1. The Scottish Health Survey (SHeS) Julie Ramsay Scottish Government Health Directorates

2. Outline of Presentation Background Aims and Objectives Survey Design Survey Content Research Outputs Some Key Results How to Analyse the Data Yourself Future Plans Contact Details

3. Background Began in 1995 and ran in 1998 and 2003 Major review in 2005/2006 which led to the survey running continuously from 2008 onwards Current contract for 2008-2011 Procurement underway for 2012-2015 Presentation will focus on the 2008-2011 surveys

4. Aims and Objectives To provide robust information on the health and health related behaviours of people across Scotland –To estimate the prevalence of particular health conditions –To estimate the prevalence of certain risk factors associated with these health conditions and to document the pattern of related health behaviours –To look at the differences between sub-groups of the population –To monitor trends in the population’s health over time

5. Survey Design 2008-2011 Annual interviews with approximately –6,500 to 7,500 adults –1,800 to 2,500 children –Varies each year due to response rates and whether Health Boards have boosted their samples Designed to provide Scotland results annually and HB results at least every 4 years

6. Survey Content 2008-2011 2 stage survey Interview for all households –Mental health, dental health, smoking, drinking, diet, physical activity, CVD, use of services, respiratory health, height & weight measurements (administered by interviewer, not self-reported) –Module purchased by NHS Health Scotland with questions on knowledge, attitudes and motivations to replace the previous HEPS survey. Nurse visit for a subset of households –Further questions on mental health, prescriptions etc. –Biological measurements, blood, urine and saliva samples, lung function tests, blood pressure, waist and hip circumference measurements.

7. Research Outputs Annual reports –Main report and technical report –2008 and 2009 published so far –2010 due in September –Web tables Topic reports –UK Comparisons –Investigating the Glasgow Effect –Further two reports to come on Older People and Children’s health Datasets –Each year datasets are deposited with the UK data archive –Single years and composite years

8. Some Key Results

13. Proportion Eating 5+ Fruit & Veg a day by NHS Board, 2008/2009

14. Prevalence of Obesity (BMI>=30) by NHS Board, 2008/2009

15. How to Analyse the Data Yourself

16. Key Steps Get the Data Download (and read!) the documentation –User guide –Variable lists Decide what you want to analyse –Replicate existing analysis (and amend) –Something not done before (consult variable lists)

17. Things to be aware of Weights can be different for some variables –Adult weights / child weights / module A weights / KAM module weights / nurse weights / blood weights etc. Confidence Intervals Age Standardisation for socio-economic analysis Changes to data over time –Alcohol –Physical Activity

18. www.scottishhealthsurvey.org

19. Future Plans 2010 and 2011 annual reports (September 2011 and 2012) Topic reports on older people (November 2011) and children (2012) ESRC intern to carry out short research project – June to August 2011 Providing the 2008 onwards data to ISD to create the linked dataset Health Board analysis in 2012 Reprocurement Need to encourage external users of the data

20. Contact Details Website www.scottishhealthsurvey.orgwww.scottishhealthsurvey.org –access publications –Access datasets via Data Archive –Guidance on use of the survey –List of publications using data Contact us: scottishhealthsurvey@scotland.gsi.gov.uk scottishhealthsurvey@scotland.gsi.gov.uk Feedback welcomed