1. 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.

2. 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 households)
lost information when considering only health reasons

3. 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 households)

4. 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 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.

5. 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.