THE ITALIAN EXPERIENCE ON EHSIS In Italy in 2013 the European Health and Social Integration Survey was carried out within the national HIS survey. We want to share the analysis of the results of the Italian experience, because it could provide useful insights for the development of the European module, trying to maximize the information content of the module for Social Inclusion, but having in mind the aim of significantly reducing its length. According to the International Classification of Functioning, Disability and Health (ICF) disability is meant as the result of interactions between individual health conditions and contextual (personal and environmental) factors. This new classification needs tools that should take into account potential environmental barriers.

People aged 15 and over with mobility difficulties, by reasons and health conditions. Year 2013 (%). TYPE OF DIFFICULTY IN MOBILITY DOMAINS LEAVING HOME ACCESSING BUILDINGS USING PUBLIC TRANSPORT with health problems with severe functional limitations Total population No difficulties, no interest 63.4 16.7 83.7 68.5 18.4 87.9 42.5 15.7 56.5 Yes difficulties 36.6 83.3 16.3 31.5 81.6 12.1 57.5 84.3 43.5 Difficulties due to health problems 27.2 76.2 7.3 22.4 70.5 5.8 19.7 59.6 5.1 Difficulties due to environmental barriers excluding health problems 1.0 1.6 0.4 2.8 5.4 7.2 11.7 3.0 Difficulties due to other reasons excluding BOTH health and environmental barriers 8.3 5.5 8.7 6.4 5.6 5.3 30.5 13.0 35.3   100.0 Total (Estimates Iin thousand) 13,177 3,086 51,578 MOBILITY DOMAINS Data from Italian His 2013 (on sample of 50.000 households) lost information when considering only health reasons

IN WORKING IN STUDYING TYPE OF DIFFICULTIES IN SOCIAL DOMAINS With health problems With severe f. limitations Total No difficulties. no interest   64.3 52.2 65.7 90.5 91.6 85.5 Yes difficulties 35.7 47.8 34.3 9.5 8.4 14.5 Difficulties due to health conditions 17.7 32.6 4.1 3.3 6.3 0.9 Difficulties due to environmental barriers excluding health conditions 0.2 0.3 Difficulties due to other reasons excluding BOTH health and environmental barriers 20.8 14.9 29.9 6.2 1.9 13.4 100.0 IN SOCIAL RELATIONSHIP IN PURSUING HOBBIES DIFFICULTY IN USING INTERNET 57.6 38.6 68.3 59.1 31.3 66.0 14.0 56.5 42.4 61.4 31.7 40.9 68.7 34.0 86.0 43.5 17 47.6 4.5 22.1 60.8 6.0 11.1 36.3 2.9 0.5 0.1 0.8 3.2 25.1 13.3 27.1 18.6 7.4 27.9 56.8 46.5 40.3 100 OTHER DOMAINS Data from Italian His 2013 (on sample of 50.000 households)

Life domains split in two groups - Leaving your home - Using public transport - Accessing buildings GROUP 2 Studying Working Social activities Using internet Pursuing hobbies Data from Italian His 2013 (on sample of 50.000 households) A possible compromise is to split all domains in two groups, in order to better investigate for barriers in mobility domains (GROUP 1). For the reasons other than environmental barrier or health problems the analysis of pretest results will help us reducing them.

Background information and definitions People with health problems 1) Total Male Female (in thousands) 65 and over 15 and over People with severe functional limitations (2) 2537 3086 760 1019 1777 2066 People with mild limitations, impairments or severe chronic conditions 5514 10091 2590 4944 2924 5147 1) People "with health problems" are about 13 million 177 thousand people (25.5% of the population resident in Italy), of whom people with severe functional limitations are about 3 million (6.0% of the population), mostly elderly over 65 years of age (over 2 million and 500 thousand). The rest of the population considered has mild limitations, impairments or severe chronic conditions (10 million 91 thousand, which is the 19.5% of the total population). In this second group, the elders are about half (5 million 500 thousand). 2) Severe functional limitations are those who, even when using aids, report the greatest level of difficulty in the motor, sensory or essential functions of daily life.