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Population Health Surveys at STC Prepared for: B.C. Research Data Centre Date: Nov. 15, 2000

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Why Health Information Matters &$80 billion a year on health care &How do we improve the health of the population &Why are some healthier than others &The most critical contributors to health are not health related -- social status, control over work, education (CPRN)

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National Population Health Survey (NPHS) longitudinal survey of 17,276 households and 2,300 residents of institutions first cycle in 1994, continuing every 2 years Cycle 4, transition to only longitudinal

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Self perceived health - a longitudinal and cross sectional analysis. Aged 65 + Table 2

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Percentage of household population aged 65 or older in 1994/95 entering home care by 1996/97, by selected characteristics Chart 7

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Chart 6

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Opportunities to improve health information &Health Information Roadmap: a four-year action plan to strengthen Canadas health information system; & Creation of Canadian Community Health Survey (CCHS) & Person oriented database

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NPHS and CCHS - A More Robust Survey Program &NPHS longitudinal sample of 17,276 households national and provincial level estimates &CCHS cross-sectional sample of 130,00 respondents national, provincial and sub provincial level estimates

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The Canadian Community Health Survey &Objectives &Estimates at the community health region level &Flexibility to enhance and vary content to meet unique regional and provincial needs regular data collection timely data release

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Canadian Community Health Survey Cycles and Components

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Canadian Community Health Survey Design &2000/2001 Sample size -- 130,000, stratified by health region Questionnaire content 30 minutes for priority items30 minutes for priority items 10 minutes of optional items selected by health regions10 minutes of optional items selected by health regions standard socio-economic itemsstandard socio-economic items Estimates for health regions, provinces and Canada &2001/2002 Sample size -- 30,000 Proposed focused study on mental health and well- being

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CCHS - Year 1 Survey Sample Frames &Area frame (computer-assisted personal interview) 94,000 households from the LFS structure 78,000 households with 1 person selected78,000 households with 1 person selected 16,000 households with 2 persons selected16,000 households with 2 persons selected &RDD frame (computer-assisted telephone interview) 20,000 households with 1 person selected these figures will be boosted before going in the field

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Common Content &Alcohol &Alcohol dependence / abuse &Blood pressure check &Breastfeeding &Chronic condition &Contacts with mental health professionals &Exposure to second hand smoke &Food insecurity &Fruit & vegetable consumption &General health &Health care utilization &Health status - SF36 &Health Utility Index (HUI) &Height / Weight &Injuries &Mammography &PAP smear test &Physical activities &PSA test &Restriction of activities &Smoking &Tobacco alternatives &Two-week disability &Household composition & housing &Income &Labour force &Socio-demographic characteristics &Administration

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Optional Content &Breast examinations &Breast self examinations &Changes made to improve health &Child & adult stressors (traumas) &Dental visits &Depression &Distress &Driving under influence &Drug use &Eye examinations &Flu shots &Home care &Mastery &Mood &Ongoing problems &Physical check-up &Recent life events &Sedentary activities &Self-esteem &Sexual behaviours &Smoking cessation aids &Social support &Spirituality &Suicidal thoughts and attempts &Use of protective equipment &Work stress

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CCHS Cycle 1.1 Preliminary Counts Province Pop. Size No. Health Regions # Records* Province Pop. Size No. Health Regions # Records* NFLD 551K 6 4,026 PEI 135K 2 3,617 NS 909K 6 5,226 NB 738K 7 5,039 QUE7,139K 1622,759 ONT 10,714K 3738,910 MAN1,114K 11 8,443 SASK 990K 11 8,062 ALB2,697K 1714,499 BC3,725K 20 18,218 CANADA 29,000K 133 130,917 Pop. SizeRecords Pop. Size # Records * Territories: YUK 25,000 791 NWT 36,000 985 NUN 22,000 342 * Preliminary numbers, November 2001

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Status of Collection CCHS 1.1 &Collection completed Nov 3, 2001; &National response rate 85%; &Projected provincial response rates of at least 80%; &Achieved target of more than 130,000 records.

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CCHS 1.1 Release Line-up &Preliminary Results- Dec. 2001 &Shared Files - April 2002 &Official Data Release - May 2002 &Analytical Results - June 2002 &Public Use File - August 2002 &Workshops - Fall 2002

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CCHS 1.1 Products & Services &Micro Data Files for sharing partners and researchers; &Analysis that informs the general public; &Health Indicators on-line for health region information; &Workshops to build capacity.

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Organization of Electronic Data Cansim II Data Warehouse $ for Download Canadian Statistics Free Canada Level Detail Health Indicators Free Detailed Health Region Information Health Region information in the Community Profile Free, Simple

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health care service encounter (e.g. hospital in- patient stay; date, diagnosis, procedures, etc.) personal interview content (socio-demographic, disability, etc. + info for other family members) attributes of persons geographic neighbourhood person jperson i tt+2t+4t+6 Linked Sample Data Structure

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Mental Health & Well-Being Objectives Mental Health & Well-Being Objectives 1. Determine prevalence rates of selected mental disorders to study adequacy of health care; 2. Juxtapose access and utilisation of mental health services with respect to perceived needs; 3. Assess the disability associated with mental health problems to individuals and society.

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CCHS 1.2 Study Methodology &Face to face interview; &Sample of 30,000 individuals, aged 15 years and older; &Based on WHO non clinical approach, that profiles disorders depending on symptoms, duration and severity, (ICD10, DSM IV).

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Content: Mental Illness & Problems Content: Mental Illness & Problems &Depression &Mania &Panic disorder &Social phobia &Agoraphobia &Generalised anxiety disorder &Suicidal thoughts & attempts &Eating troubles & behaviours &Gambling &Alcohol dependence &Illicit drugs use & dependence &Utilization of mental health services &Medication Use

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Content: General Information Content: General Information &General health &Restriction of activities &Chronic illness &Well-being and satisfaction with life &Spirituality &Demographics &Smoking &Social Support &Distress &Stress, Work Stress &Labour force activity &Income

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Surveying Challenges &Balance between individual privacy and informed research; &keeping abreast of emerging issues; &collecting increasingly sophisticated information e.g. mental health, physical measures, dietary recall

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C C H S Questionnaire Content and Sample Design Information is available on the Statistics Canada Web Site. Questionnaire Content and Sample Design Information is available on the Statistics Canada Web Site.www.statcan.canphs-ensp@statcancchs-escc@statcan