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Choosing Core NILS data and its impact on Research

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1 Choosing Core NILS data and its impact on Research
Rónán Adams Máire Brolly NILS User Forum 11th December 2009

2 Aims: Understand the structure of the NILS
Understand the level/impact of Census Imputation and List Inflation Understand the research implications

3 Identifying the Core NILS data
requirement to have a core data source coverage of the data source complete information on dates of birth existing linkages between the data sources

4 Core Data Set Options: Data sets in Research Proposal – Agreement
Census Health Card Registrations (CHI) Issues: Census Office only require Age Any missing day/month Imputed to 1st 1st too high, all other dates too low Person imputation (95%) Health Card registrations List Inflation (105%)

5 Existing Links between Data Sources
NICR Data GRO Deaths Central Health Index GRO Births 2001 Census Records

6 Proposed Links between Data Sources
NICR Data GRO Deaths Central Health Index GRO Births 2001 Census Records

7 NILS/NIMS NILS c28% of population
Sample members from Health Card Registrations List Inflation an issue Census Imputation NIMS 100% of deaths Census members linked to deaths Only enumerated people can be linked

8 Sample Selection in NI 104 dates – 100 NI, 4 E&W
For each download (6 monthly) Is the DDMM of the DOB a NILS date? If so then they are in the sample NILS sample – a person who has ever been in one of the 6-monthly downloads

9 Contextual Data NILS Core Data Events Health Card Registrations 2001
Census Database Deaths Health Card Registrations Key demographic information on NILS members (514,000 live) @ Census Date Births to Mothers Births to Fathers 1991 Census Stillbirths & Infant Deaths Births Data (baby linked to Birth Registration) 1997 births onwards Migration (Immigrants, Emigrants, Re-Entrants & Within NI Movers) New members (c40,000) POINTER Address Database VLA/Rating Data

10 The 3 LSs NILS E&W LS SLS Number Dates 104 4 20 Size 500,000 (28%)
500,000 (1%) 300,000 (5%) Start Date 2001 1971 1991 Number of Censuses 1 2 Source Health Card Registration Census + GRO Births + NHSCR Immigrants Includes Enumerated, Imputed and List Inflation – can look at enumerated only Enumerated only

11 SG Discussion LS and SLS reps included on NILS SG
Recognition and Agreement between 3 LSs NILS methodology would allow future ‘UK’ analyses

12

13 List Inflation 83,206 Imputed Records Imputed Records Health Card
Registrations Central Health Index All Live Patients (4th May 2001) 1,768,473 List Inflation 83,206 4.7% Published 2001 census population One Number (29th April 2001) 1,685,267 Imputed Records 81,626 Imputed Records 81,626 4.6% Enumerated 2001 census population (29th April 2001) 1,603,641 Enumerated 2001 census population (29th April 2001) 1,603,641 90.7%

14 NOT 4.6% & 4.7% across all groupings
Imputation and List Inflation: different profiles by age, gender, geography and other characteristics NOT 4.6% & 4.7% across all groupings

15 The very young Age All Patients Published Census Enumeration
Imputation Inflation 16321 21683 19542 2141 -5362 1 22170 22363 20860 1503 -193 2 23389 23264 21757 1507 125 3 23800 23584 22142 1442 216

16 Female vs Male

17 All People

18 Imputation

19 List Inflation

20 Geographical Area Small geographies Urban – Rural Administrative Areas
Settlements Deprivation

21 Urban/Rural

22 Urban/Rural

23 Assembly Areas / Parliamentary Constituencies

24 MDM - Deciles DECILE Enumerated Imputed List Inflation % LI, Imp
Least Deprived 157,974 5,710 2,525 5% 156,166 5,375 -4,652 0% 158,522 6,122 -273 4% 162,774 6,546 1,150 162,128 8,177 2,133 6% 166,973 8,897 3,644 7% 162,667 7,946 10,109 10% 162,913 9,324 11,422 11% 159,247 10,095 23,688 18% most Deprived 154,277 13,434 33,458 23%

25 List Inflation Census Imputation Age, gender, geographical area
All Census characteristics

26 Imputation level – Marital Status

27 Imputation level – Economic Activity

28 Imputation level – Community Background

29 Summary Characteristics of List Inflation & Imputation are different from Enumerated Highest in deprived, urban areas Affects males more than females Affects year olds most Unemployed, students, living alone

30 Impact on NILS Imputed people can’t be linked – no names, DOBs etc.
List inflation people unlikely to be on other administrative data (births, deaths, …) Can only expect to link a proportion of population

31 Estimate for NILS 28% sample
4.7% Health Card Registrations with NILS Date Central Health Index All Live Patients (4th May 2001) 508,279 List Inflation 23,914 Don’t know who is ‘list inflation’ Don’t know who is ‘imputed’ Assume 28% is representative 4.6% Imputation 23,460 90.7% Enumerated 460,904

32 NILS Match Rate (MCR-Census)
4.7% Health Card Registrations with NILS Date Central Health Index All Live Patients (4th May 2001) 508,279 List Inflation 23,914 List Inflation 23,914 4.6% Imputation 23,460 Imputation 23,460 90.7% Enumerated 460,904 Unmatched 13,447 Matched 447,457 88% Match Rate 97% Match Rate Adjusted

33 What % can we expect to match?
Core NILS – Census LI, Imp 91% Core NILS – Births LI 95% Core NILS – Births – Census Core NILS – Deaths Core NILS – Deaths – Census NIMS – Deaths – Census Imp

34 Hypothetical Example General Fertility Rate – 8,000 births
number of births per 1,000 women aged 16-44 8,000 births NILS members (16-44) 130,000 GFR = 62.1 per 1,000 NILS members with Census link (16-44) 110,000 GFR = 72.7 per 1,000 ‘true’ estimate 120,000 GFR = 67.2 per 1,000

35 Dental Registrations - Males

36 Dental Registrations - Females

37 Dental Registrations – Relative differences

38 Summary List inflation & imputation are issues
Imputation can be measured – lots of information LI cannot be easily measured – limited information Match rates cannot be easily determined Characteristics of imputed and list inflation different from ‘normal’ population Need to consider impact on your research

39 Aim: Understand the structure of the NILS
Understand the level/impact of Census Imputation and List Inflation Understand the research implications

40 Choosing Core NILS data and its impact on Research
Rónán Adams Máire Brolly

41 CSA FPS CHI NHAIS BSO H&C, CHIN HEALTH CARD REGISTRATIONS


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