a year of change for official health surveys
TRANSCRIPT
A year of change for official health surveys:An update on health surveys at NatCen
HSUC conference 8th July 2021
Chloe Robinson
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Contents Health survey updates:
- Health Survey for England (HSE)
- Adult Psychiatric Morbidity Study (APMS)
- Mental Health of Children and Young People (MHCYP)
- National Diet and Nutrition Survey (NDNS)
Health Survey for England (HSE)
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What is the Health Survey for England?
Annual snapshot of the nation’s health
Health Examination Survey
Tracks trends over time
Cross-sectional
Nationally representative sample- 8,000 adults and 2,000 children each year
Commissioned by: Carried out by:
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Core contentInterviewGeneral health SmokingLongstanding illness DrinkingHypertension Physical activityDiabetes GHQ-12 / WEWBS / EQ-5DSocial care Demographic informationFruit and veg Height & weightNursePrescribed medication Blood PressureWaist & hip Saliva sampleBlood sample Urine sample
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Additional content (recent) Topic YearsDental health 2019CVD 2017Chronic pain 2017End of life care 2017Adult physical activity & weight management 2016Liver disease & Kidney disease 2016Cider consumption 2016Gambling behaviour 2012/15/16/18Child physical activity 2015
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HSE update 2019 report published December 2020
2020 fieldwork paused March 2020
2021 fieldwork started January 2021
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HSE 2019 publication Summary of key findings
Individual reports: - Adult health related behaviours, Child health related behaviours,
Adult health, Adult and child overweight and obesity, Eating disorders, Carers, Service use
True standard errors, confidence intervals and design effects for key survey measures
Population numbers estimates
Methods and documentation
https://digital.nhs.uk/data-and-information/publications/statistical/health-survey-for-england/2019
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Extra reportsSelf-reported vs. measured height and weight 2018 – 18% did not have BMI from measured height and weight
Alternative modes cannot measure height and weight
Comparison of measured with self-reported height and weight
Builds on analysis by PHE using the Active Lives Survey and HSE
Ethnicity report and dataset Combined dataset to allow us to look at main ethnic groups
9-year dataset 2011 – 2019
Look at key trends - overweight/obesity and health related behaviours
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HSE 2021 fieldwork January – March
- Opt-in
- Telephone interviewing
April – July- Doorstep recruitment
- Telephone interviewing
August – December- No decision on when return in-home
- Flexibility between telephone and face-to-face interviewing
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HSE telephone interview Recommend multi-person households interviewed separately
Height and weight not possible
Showcards sent in advance or online
Self-completions sent after the interview
CASI (computer assisted self-interviewing) – questions asked instead
Data linkage and follow-up consent not included
Information leaflets and thank you leaflet posted and online
Nurse visit postponed
Reduced content (30 minutes)- No height and weight, self-completions or consent to data linkage and
fewer questions
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HSE 2021 response so far Jan – March – Opt-in
- Around a fifth opted in
- Of those, around 80% took part
Since April - Doorstep recruitment - More successful in recruiting participants to take part than opt-in
- However, telephone interviewing has a lower response than face-to-face interviewing
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HSE video interviewing Trial of using video technology (MS Teams) to conduct HSE
interviews
Potential to improve the interview experience
Three stages - Stage one – feasibility test - test the technology and interviewer training
- Stage two – test take-up during opt-in
- Stage three – test take-up during doorstep recruitment
Conclusions- Technology worked well
- 10-15% preference for video at opt-in
- Very low take-up during doorstep recruitment
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HSE 2022 Fieldwork starts January 2022
Planning full in-home dress rehearsal in August and September
Telephone mode will be available
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HSE Feasibility Study Opportunity to test transferring some HSE content from face-to-face
mode to online and postal modes
Overall response using online and postal modes
Agreement rate to a future nurse visit
Consent rate to data linkage and future recontact
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HSE Feasibility Study methods Two stages – adults and children
Adults (2 adults per household): - Postcode Address File sample
- Aim for 6,000 response
- ‘Push to Web’
- 20-minute online questionnaire
- ‘Mobile first’ questionnaire design
- Invitation letter, 2 reminders
- Postal questionnaires sent with second reminder
- Conditional £5 incentive
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HSE Feasibility Study methodsChildren: Named sample from adult survey (c. 1,500 children) Reconciliation to remove duplicate children Select 2 children 0-12 and 2 children 13-15 Three postal questionnaires:
- Parents 0-12 (5 minutes)- Children 8-12 (10 minutes)- Children 13-15 (15 minutes) Online equivalent questionnaire for 13–15-year-olds
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HSE Feasibility Study response Stage one – adults
- Aim for 6000 responses
- Achieved slightly less than the target
- 18% response – 9% online and 9% postal
- Approximately 70% were online responses
Stage two – children- Expected 1500 children from adult sample with a 20% response rate
- Fewer children in sample but higher response
- 13-15 year olds – a third completed online
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If you want further information or would like to contact us:
Chloe Robinson, Research Director Email: [email protected]
Visit us online: https://digital.nhs.uk/data-and-information/publications/statistical/health-survey-for-england
More info?
Adult Psychiatric Morbidity Survey
2020
Adult Psychiatric Morbidity Survey
Probability sample of private households
Cross-sectional
Britain (1993, 2000); England (2007, 2014)
7,500 adults 16+ (1993 to 64; 2000 to 74)
Two-phase design
DHSC funded
NHS Digital commissioned
NatCen Social Research, University of Leicester
Academic advisory/writing group
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AimsExtent of mental illness Change over time
Inequalities in illness
Risk/protective factors
Proportion of people who get treatment Change over time
Inequalities in treatment
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Mental disordersSince 1993 Common mental disorders: CIS-R
Psychotic disorder: PSQ, SCAN
Since 2000 Suicidal thoughts, suicide attempts,
self-harm
Alcohol dependence: AUDIT, SAD
Drug dependence: DSM criteria
Personality disorder: SCID-II, SAPAS
Since 2007 Autism: AQ, ADOS
Attention-deficit/hyperactivity disorder: ASRS
Posttraumatic stress disorder: TSQ/PCL-C
Since 2014 Bipolar disorder: MDQ
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Report, full questionnaire (Appendix D): http://content.digital.nhs.uk/catalogue/PUB21748
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APMS 2022 Next survey will take place in 2022
Similar in scope and design to the previous surveys in the series
8,000 phase one 16+, England only
700 phase two
Next survey will include eating disorders and problem gambling again – these were in 2007 but not 2014
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If you want further information or would like to contact us:
Sally McManus, NatCen AssociateEmail: [email protected]
Sarah Morris, Research DirectorEmail: [email protected]
Visit us online: https://mentalhealthsurveys.org/
More info?
Mental Health of Children and Young People
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Mental Health of Children and Young People
A probability sample of children and young people living in England and registered with a GP.
In 2017, data collected from 2-19 year olds.
Over 9,000 children & young people
Data from children, parents and teachers
Clinical raters
NHS Digital commissioned
NatCen Social Research & ONS
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Mental Health of Children and Young People: Follow-up 2020
Follow-up study of previous MHCYP 2017 participants who agreed to re-contact
NatCen, Office for National Statistics (ONS), University of Cambridge and University of Exeter
Commissioned by NHS Digital
Aims:1. Measure the mental health and wellbeing of children and young people
in England (SDQ)
2. Understand how they have been affected by the Covid-19 pandemic
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MHCYP follow-up 2020
20-minute CAWI (web) survey
Telephone nudge for non-responders to encourage participation
Report published September 2020
One headline finding: rates of probable mental disorders increased from one in nine (10.8%) in 2017 to one in six
(16.0%) in 2020.
https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-of-children-and-young-people-in-england/2020-wave-1-follow-up
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MHCYP follow-up 2021
Follow-up of previous MHCYP 2017 / 2020 participants who agreed to re-contact
20-minute CAWI or CATI survey
Aims:1. Measure the mental health and wellbeing of children and young people
in England (SDQ)
2. Understand how the COVID-19 pandemic continues to affect children and young people in England
Report will be published September 2021
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If you want further information or would like to contact us:
Katharine Sadler, Research Director Email: [email protected]
Visit the MHCYP surveys series online: https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-of-children-and-young-people-in-england
More info?
National Diet and Nutrition Survey (NDNS)
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Key facts about NDNS Cross-sectional, continuous survey of
diet and nutrition for individuals
Designed to be representative of the general UK population
Provides the information needed to develop and monitor public health and protect food safety
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Key facts about NDNS
Funders(core sample)
Consortium
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Content of datasets
Household dataDemographics for all individuals in participating households
Individual dataInterview modules Self completion questionnairesPhysical measurements Biological samples (blood, urine)
Dietary dataPerson level Food levelDay level
UK Nutrient DatabankNutrient information per 100g
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Latest report published December 2020 and included time trend analyses from the first 11 years of the programme (2008/09 -2018/19). NDNS: results from years 9 to 11 (2016 to 2017 and 2018 to 2019) -GOV.UK (www.gov.uk)
Year 12 (Oct 2019-June 2020) fieldwork paused March 2020 and did not resume.
Year 13 (July 2020-March 2021) also paused but interviewer fieldwork resumed October 2020.
Year 14 (April 2021-March 2022) launched as planned.
NDNS update
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Telephone interviewing
Doorstep recruitment
First dietary recall completed independently by participant and interviewer phones back to check complete or provide support if necessary. Participants who aren’t able to complete their recall can have assistance by which the recall is completed over the telephone.
Other fieldwork changes; self-reported height and weight measurements, no spot urine samples currently collected and doorstep protocol for DLW & PAM sub-study.
In-home interviewing may commence in Summer 2021 and Nurse fieldwork (collecting blood samples) in Autumn 2021.
NDNS year 13 and 14 fieldwork
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Diet, Nutrition and Activity during Covid-19 study
Follow up study of NDNS Years 9-12 (2016/17 -2019/20) participants:
- Web questionnaire on changes in shopping, eating and physical activity habits as well as changes in household’s financial situation and food security during the COVID-19 pandemic
- 4 dietary recalls.
- Recent Physical Activity Questionnaire for adults.
Study period: August to October 2020
Aim to compare diet and physical activity from that period with the original pre-pandemic assessments
Report currently being prepared
DNAC-19
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If you want further information or would like to contact us
Beverley Bates, Research Director Email: [email protected]
Visit us online: https://www.gov.uk/government/collections/national-diet-and-nutrition-survey
More info?
ContactChloe Robinson Research DirectorT. 0207 549 7039E. [email protected]
Visit us online, natcen.ac.uk