Commission Implementing Regulation (EU) 2023/2529 of 17 November 2023 specifying the technical items of the data set, establishing the technical formats for transmission of information and specifying the detailed arrangements and content of the quality reports on the organisation of a sample survey in the health domain pursuant to Regulation (EU) 2019/1700 of the European Parliament and of the Council
Subject matter
This Regulation specifies the technical items of the data set, establishes the technical formats for the transmission of information from Member States to the Commission (Eurostat) and specifies the detailed arrangements for the content and transmission of the quality reports in the European Health Interview Survey (EHIS).
EHIS shall concern health status, healthcare and health determinants as well as socio-demographic characteristics of the reference population as referred to in Article 4.
Definitions
For the purposes of this Regulation, the following definitions apply:
(1)
‘reference period’ means the period to which a particular item of information relates;
(2)
‘current’ refers to the situation at the time of the interview;
(3)
‘proxy’ means, with reference to an interview, a situation where information requested to the selected respondent has been provided by a third person (including another household member or someone outside the household who takes care of the selected respondent) without being validated by the selected respondent. This third person is close and knows the selected respondent very well;
(4)
‘metadata’ means data defining and describing other data, the methodology used and statistical business processes.
Statistical concepts and description of variables
1. Member States shall use the statistical concepts laid down in Annex I.
2. The technical characteristics of the variables shall be those laid down in Annex II and shall refer to:
(a)
the variable identifier;
(b)
the variable name;
(c)
the reference period;
(d)
the modality code and label;
(e)
filter.
Characteristics of the statistical populations and observation units
1. The reference population shall be persons aged 15 and over usually residing in private households in the territory of the Member State concerned at the time of the data collection.
2. The national territories listed in Annex III shall be excluded from the sample. Small parts of the national territory amounting to no more than 2 % of the national population may also be excluded from the sample. Information on those national territories shall be provided in the reference metadata.
Reference periods
The reference periods for variables shall be those specified in Annex II.
Detailed sample characteristics
1. At least three attempts shall be made to contact a respondent before they are dropped from the survey, except in the following situations:
(a)
the address was impossible to locate;
(b)
the address was non-residential or unoccupied;
(c)
the person was not found at the address;
(d)
the person was unable to respond, including for reasons of incapacity;
(e)
a definite refusal of the person to cooperate was received;
(f)
the circumstances were endangering the interviewer’s safety.
2. In duly justified cases, and only to the extent necessary, controlled substitution shall be allowed. Controlled substitutions of sample units (households or persons) shall be allowed, if one of the situations listed in paragraph 1 arises, or if the sample unit has not been reached after three attempts for contact.
3. Procedures shall be followed to ensure that the process of substitution is controlled to the maximum extent possible. Such procedures shall include using a design which ensures that the selected substitutes closely match the persons they replace in terms of their significant characteristics.
4. The set of sample persons for substitution shall be defined prior to data collection. There shall be no substitution with persons not belonging to that set.
Data gathering periods and methods
1. The collection of data shall be spread over at least 3 months including at least 1 month in the period from September to December.
2. Proxy answers shall be allowed only in cases where the respondent is unable to answer for one of the following reasons:
(a)
suffering from long-term cognitive impairment;
(b)
suffering from long-term severe debilitation;
(c)
suffering from a long-term sensory impairment that prevents the interaction between interviewer and interviewee;
(d)
in hospital, health or social care facility for the entire period of the fieldwork.
3. For variables listed in Annex IV, Eurostat shall use only information directly collected from the respondent for the computation of the related indicators. Member States shall either transmit to Eurostat only that information directly collected from a respondent or information directly collected from a respondent in combination with information collected indirectly.
Common standards for data editing, imputation, weighting and estimation
1. Imputation, calibration or weighting shall be applied to the data where necessary.
2. Imputation shall be used to adjust only for item non-response.
3. Methods of statistical imputation shall be applied where non-response exceeds 5 % with regard to the key variables set out in Annex V for which information is missing, invalid or inconsistent.
4. The reference population for weighting shall be the real or estimated population usually residing in private households.
5. Weighting factors shall be calculated to take into account the unit’s probability of selection, non-response, and, as appropriate, adjustment of the sample to external data relating to the distribution of persons in the target population.
6. The adjustment of the sample to external data shall be done with respect to the distribution of persons in the target population according to sex and age groups.
Formats for transmitting information
Member States shall transmit to the Commission (Eurostat) a data set with pre-checked microdata that comply with the characteristics of the variables specified in Annex II to this Regulation, including appropriate weights, using the statistical data and metadata exchange standards set by the Commission (Eurostat) and the single entry point.
Quality reporting
1. Quality reports by Member States shall comply with the detailed arrangements and content requirements set out in Annex VI.
2. Member States shall transmit the quality-related reference metadata required by this Regulation to the Commission (Eurostat), using the statistical data and metadata exchange standards. They shall send the metadata through the single entry point.
This Regulation shall enter into force on the twentieth day following that of its publication in the Official Journal of the European Union .
Supplementary provisions
DEFINITIONS OF STATISTICAL CONCEPTS
ANNEX ISupplementary provisions
ANNEX I
DEFINITIONS OF STATISTICAL CONCEPTS
(1) Long-standing health problem
Health problems may be physical, emotional, behavioural or mental in nature. The term covers diseases and disorders but also, for example, pain, ill-health caused by accidents and injuries and congenital conditions.
The main characteristic of a long-standing health problem is that it is permanent and may be expected to require a long period of supervision, observation or care. Long-standing health problems should have lasted (or recurred) or be expected to last (recur) for 6 months or more; temporary problems are not included. Problems that are seasonal or intermittent, even where they ‘flare up’ for 4 to 6 months at a time, are considered as long-standing health problems.
(2) Limitation in activities
An ‘activity’ is defined as ‘the performance of a task or action by an individual’ and activity limitations are defined as ‘difficulties the individual experiences in performing an activity’.
(3) Home or leisure accident
‘Home or leisure accident’ is an unintentional event characterised by a rapid force or an impact that leads to physical harm, occurring at home, around the house (garage, garden, alley) or during leisure time spent on activities done for pleasure or personal interest.
Home or leisure accidents also include:
—
cases of acute poisoning;
—
injuries inflicted by animals or insects.
Home or leisure accidents do not include:
—
for employed persons, accidents occurred while working from home (teleworking), that is while performing an activity where a work-related purpose can be established and which is related to the conditions of employment;
—
accidents at work or in school;
—
traffic accidents;
—
diseases or illnesses;
—
intentional injuries (due to interpersonal violence – wilful acts by other persons – and deliberate self-harm);
—
trivial injuries such as superficial cuts or scratches.
(4) Bodily pain
Bodily (physical) pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage; it is always unpleasant and therefore also an emotional experience.
(5) Healthcare
Healthcare is defined as individual healthcare goods and services that are provided directly to and consumed by individual persons. The term covers curative care, rehabilitative care, long-term healthcare, ancillary services and medical goods supplied to outpatients. It also covers various modes of healthcare (inpatient, outpatient, day, at home).
(6) Mental healthcare
Mental healthcare refers to healthcare services provided to treat mental and behavioural disorders. Care can be provided by medical staff (psychiatrists) or non-medical staff (psychologists).
(7) Inpatient
Inpatients are patients who are formally admitted to a healthcare facility (that is to say hospitalised) for treatment and/or care and require at least an overnight stay in a hospital or other institution providing inpatient care.
Being formally admitted means that the patient is assigned a room or a bed during their stay in the healthcare facility.
(8) Day patient
Day patients are patients who receive planned medical and paramedical services delivered in a healthcare facility and who are formally admitted for diagnosis, treatment or other types of healthcare and are discharged on the same day. The term does not cover those using outpatient services (who are not formally admitted to a healthcare facility), emergency services or services provided by diagnostic centres or similar facilities that are not part of private or public hospitals or clinics.
Being formally admitted means that the patient is assigned a room or a bed during their stay in the healthcare facility.
(9) Health professional
A health professional is a person who is currently providing healthcare and who is qualified to do so by education, training, certification, or licensure. A health professional is associated with either a specialist field or a discipline, and belongs to one of the following groups:
(a)
medical and dental staff (both generalist and specialist practitioners);
(b)
nurses and midwives;
(c)
professionals allied to medicine, e.g. clinical psychologists, dieticians, physiotherapists;
(d)
accident and emergency ambulance staff or paramedics;
(e)
other professionals who have direct patient contact, such as pharmacists, medical photographers, medical records staff.
(10) Dentist
A dentist is a health professional who diagnoses and treats diseases, injuries and malformations of the teeth, gums and related oral structures. They restore normal oral function using a broad range of treatments, such as surgery and other specialist techniques, and advice on oral health. Dentists’ tasks include: diagnosing, advising on and providing necessary dental treatment, administering surgical, medical and other forms of treatment for particular types of dental and oral diseases and disorders.
(11) Orthodontist
An orthodontist is a dental specialist who diagnoses, prevents and corrects irregularities of the teeth and jaw (for example, correcting misaligned teeth through the use of braces).
(12) General practitioner/family doctor
A general practitioner/family doctor is a physician (medical doctor) who does not limit their practice to specific disease categories (is not specialised), who provides individuals, families and communities with a wide range of ongoing medical care or and who can refer patients to other health professionals.
(13) Medical or surgical specialist
Medical or surgical specialists refer to medical doctors specialized in the diagnosis or use of surgical techniques, or both, to treat disorders and diseases. Their tasks include conducting medical examinations and diagnosing; prescribing medication and giving treatment for diagnosed illnesses, disorders or injuries; giving specialised medical or surgical treatment for particular types of illnesses, disorders or injuries; and giving advice on and applying preventive medicine methods and treatments. Also included are general gynaecologists, psychiatrists or other medical specialists fulfilling this definition. Dental surgeons are also included, but not general dentists.
(14) Physiotherapist/kinesitherapist
A physiotherapist/kinesitherapist is a medical or non-medical healthcare provider who applies one or more of the following therapies to improve or restore a patient’s motor functions: movement therapy, massage therapy, physical therapy in the strict sense (application of physical stimuli, electrotherapy, ultrasound therapy, thermotherapy, hydrotherapy, balneotherapy and electro-diagnostics, but not using ionising radiation). They treat disorders of bones, muscles and parts of the circulatory or nervous system by manipulative methods, and ultrasound, heating, laser or similar techniques, or apply therapies as part of the treatment for people who are (temporarily) physically disabled, mentally ill or unbalanced.
The therapies are provided by those health professionals in a variety of settings, such as hospitals, private practices, outpatient medical units, home care services establishment, schools, fitness centres, etc.
(15) Psychologist, psychotherapist or psychiatrist
Psychologists, psychotherapists and psychiatrists are health professionals providing mental healthcare, who may be medical professionals (psychiatrists) or not. Their role covers psychological assessment and psychotherapy but also medical psychiatric care (psychiatrists).
(16) Home care services
Home care services involve the provision of medical and non-medical domestic support services for persons who, due to mental or physical frailty, disease or disability, cannot perform specific personal or household care activities or are confined to their own houses. It includes at-home services provided by a visiting nurse or care worker from a health institute, agency or association, or by a community organisation using professional or non-professional (volunteer) staff for care provision.
(17) Prescribed medicines
A medicine is a product used to alleviate symptoms, prevent illness, or improve poor health. Prescribed medicines are medicines that are written on a prescription by a doctor (irrespective of whether they are reimbursed by health insurance or not). They include: medicines, herbal medicines, homeopathic medicines and dietary supplements (such as vitamins, minerals or tonics), contraceptive pills used for purposes other than contraception, hormones (other than for contraception). Contraceptive pills and hormones prescribed and used for contraception are not included.
(18) Smoking
Smoking means the breathing in and out of smoke from tobacco products such as manufactured cigarettes, hand-rolled cigarettes, cigars, pipes, shishas.
Smoking does not include:
(a)
the use of heated tobacco products;
(b)
the use of electronic cigarettes or similar electronic devices;
(c)
the smoking of cannabis mixed with tobacco.
(19) Heated tobacco products
Heated tobacco products are tobacco products that produce aerosols containing nicotine and other chemicals, inhaled by users through the mouth.
(20) Alcoholic drink
Alcoholic drink refers to all drinks that contain ethanol, regardless of the kind of drink, such as strong or light beer, wine or spirits, or the quantity consumed.
TECHNICAL CHARACTERISTICS OF VARIABLES
ANNEX IISupplementary provisions
ANNEX II
TECHNICAL CHARACTERISTICS OF VARIABLES
Variable identifier
Variable name
Reference period
Modality code
Modality label
Filter
Detailed topic: DATA COLLECTION INFORMATION
PRIMSTRAT
Stratum
at selection
0 001 – 9 999
Stratum identifier
Everybody
-2
Not applicable
PSU
Primary Sampling Unit (PSU)
at selection
0 001 – 9 999
Primary sampling unit identifier
Everybody
-2
Not applicable
Detailed topic: IDENTIFICATION
HHID
Identification number of household
constant
YYYYYYYYYY
10-digit number
Everybody
-1
Missing
PID
Identification number of respondent
constant
YYYYYYYYYY
10-digit number
Detailed topic: WEIGHTS
WGT
Final individual weight
current
YYYYY.YYY
Number (format 5.3)
Everybody
Detailed topic: INTERVIEW CHARACTERISTICS
PROXY
Nature of participation in the survey
current
1
Direct participation
Everybody
2
Other member of the household
3
Someone else outside the household
-1
Not stated
REFDATE
Reference date of the interview
current
YYYY-MM-DD
Interview date
Everybody
INTMETHOD
Interviewing mode used
current
10
Paper assisted personal interview (PAPI)
Everybody
20
Computer assisted personal interview (CAPI)
30
Computer assisted telephone interview (CATI)
40
Computer assisted web-interview (CAWI)
50
Other
INTLANG
Language used for interview
current
XXX
Standard Code List Eurostat (SCL) – Languages (3-digit code)
Everybody
-1
Missing
Detailed topic: LOCALISATION
REGION
Region of residence
current
10 – ZZ
Region of residence (NUTS code at 2-digit level)
Everybody
COUNTRY
Country of residence
current
NN
Country of residence (SCL GEO code)
Everybody
DEG_URB
Degree of urbanisation
current
1
Cities
Everybody
2
Towns and suburbs
3
Rural areas
Detailed topic: DEMOGRAPHY
SEX
Sex
current
1
Male
Everybody
2
Female
AGE
Age in completed years
current
Age
derived from REFDATE, YEARBIRTH & PASSBIRTH
Everybody
YEARBIRTH
Year of birth
constant
YYYY
4-digit number
Everybody
PASSBIRTH
Passing of birthday
current
1
Yes
Everybody
2
No
Detailed topic: CITIZENSHIP AND MIGRANT BACKGROUND
BIRTHPLACE
Country of birth
constant
NN
Country of birth (SCL GEO code)
Everybody
ZZ
Foreign-born but country of birth unknown
-1
Not stated
CITIZEN
Country of main citizenship
current
NN
Country of main citizenship (SCL GEO code)
Everybody
ZZ
Stateless
XX
Foreign citizenship but country unknown
-1
Not stated
BIRTHPLACEFATH
Country of birth of the father
constant
NN
Country of birth of the father (SCL GEO code)
Everybody
ZZ
Father foreign-born but country of birth of the father unknown
-1
Not stated
BIRTHPLACEMOTH
Country of birth of the mother
constant
NN
Country of birth of the mother (SCL GEO code)
Everybody
ZZ
Mother foreign-born but country of birth of the mother unknown
-1
Not stated
Detailed topic: HOUSEHOLD COMPOSITION
PARTNERS
Partners living in the same household
current
1
Person living with a legal or de facto partner
Everybody
2
Person not living with a legal or de facto partner
-1
Not stated
-2
Not applicable
HHNBPERS
Household size
current
Number
Total number of members of the household
Everybody
-1
Not stated
HHNBPERS_0_13
Number of persons aged 13 or younger
current
Number
Number of persons aged 13 or below
Everybody
-1
-1 Not stated
HHTYPE
Household type
current
10
One-person household
Everybody
21
Lone parent with at least one child aged less than 25
22
Lone parent with all children aged 25 or more
31
Couple without any child or children
32
Couple with at least one child aged less than 25
33
Couple with all children aged 25 or more
40
Other type of household
-1
Not stated
Detailed topic: MAIN ACTIVITY STATUS (SELF-DEFINED)
MAINSTAT
Main activity status (self-defined)
current
10
Employed
Everybody
20
Unemployed
30
Retired
40
Unable to work due to long-standing health problems
50
Student, pupil
60
Fulfilling domestic tasks
70
Compulsory military or civilian service
80
Other
-1
Not stated
Detailed topic: ELEMENTARY JOB CHARACTERISTICS
JOBISCO
Occupation in main job
current
00 , 11 – 96
ISCO-08 at 2-digit level
MAINSTAT = 10
-1
Not stated
-2
Not applicable
LOCNACE
Economic activity of the local unit for main job
current
A, B, C…
One character representing the NACE section
MAINSTAT = 10
-1
Not stated
-2
Not applicable
FT_PT
Full or part-time main job (self-defined)
current
1
Full-time job
MAINSTAT = 10
2
Part-time job
-1
Not stated
-2
Not applicable
JOBSTAT
Status in employment in main job
current
11
Self-employed person with employees
MAINSTAT = 10
12
Self-employed person without employees
20
Employee
30
Family worker (unpaid)
-1
Not stated
-2
Not applicable
Detailed topic: EDUCATIONAL ATTAINMENT LEVEL
HATLEVEL
Educational attainment level (highest level of education successfully completed)
current
0
No formal education or below ISCED 1
Everybody
1
ISCED 1 Primary education
2
ISCED 2 Lower secondary education
3
ISCED 3 Upper secondary education
4
ISCED 4 Post-secondary non-tertiary education
5
ISCED 5 Short-cycle tertiary education
6
ISCED 6 Bachelor’s or equivalent level
7
ISCED 7 Master’s or equivalent level
8
ISCED 8 Doctoral or equivalent level
-1
Not stated
Detailed topic: TOTAL HOUSEHOLD MONTHLY INCOME
HHINCOME
Net current monthly household income
current calendar year
1
Lower equalised net current monthly income group
Everybody
2
Low to medium equalised net current monthly income group
3
Medium equalised net current monthly income group
4
Medium to high equalised net current monthly income group
5
Higher equalised net current monthly income group
-1
Not stated
Detailed topic: MINIMUM EUROPEAN HEALTH MODULE
HS1
Self-perceived general health
current
1
Very good
Everybody
2
Good
3
Fair (neither good nor bad)
4
Bad
5
Very bad
-1
Not stated
-3
Proxy
HS2
Long-standing health problem
current
1
Yes
Everybody
2
No
-1
Not stated
HS3
Limitation in activities because of health problems
current
1
Severely limited
Everybody
2
Limited but not severely
3
Not limited at all
-1
Not stated
Detailed topic: DISEASES AND CHRONIC CONDITIONS
CD1A
Having asthma in the past 12 months (allergic asthma included)
last 12 months
1
Yes
Everybody
2
No
-1
Not stated
CD1B
Having chronic bronchitis, chronic obstructive pulmonary disease or emphysema in the past 12 months
last 12 months
1
Yes
Everybody
2
No
-1
Not stated
CD1C
Having a myocardial infarction (heart attack) or chronic consequences of myocardial infarction in the past 12 months
last 12 months
1
Yes
Everybody
2
No
-1
Not stated
CD1D
Having a coronary heart disease or angina pectoris in the past 12 months
last 12 months
1
Yes
Everybody
2
No
-1
Not stated
CD1E
Having high blood pressure in the past 12 months
last 12 months
1
Yes
Everybody
2
No
-1
Not stated
CD1F
Having a stroke (cerebral haemorrhage, cerebral thrombosis) or chronic consequences of stroke in the past 12 months
last 12 months
1
Yes
Everybody
2
No
-1
Not stated
CD1G
Having arthrosis (arthritis excluded) in the past 12 months
last 12 months
1
Yes
Everybody
2
No
-1
Not stated
CD1H
Having a low back disorder or other chronic back defect in the past 12 months
last 12 months
1
Yes
Everybody
2
No
-1
Not stated
CD1I
Having a neck disorder or other chronic neck defect in the past 12 months
last 12 months
1
Yes
Everybody
2
No
-1
Not stated
CD1J
Having diabetes in the past 12 months
last 12 months
1
Yes
Everybody
2
No
-1
Not stated
CD1K
Having an allergy, such as rhinitis, eye inflammation, dermatitis, food allergy or other allergy (allergic asthma excluded) in the past 12 months
last 12 months
1
Yes
Everybody
2
No
-1
Not stated
CD1M
Having urinary incontinence, problems in controlling the bladder in the past 12 months
last 12 months
1
Yes
Everybody
2
No
-1
Not stated
CD1N
Having kidney problems in the past 12 months
last 12 months
1
Yes
Everybody
2
No
-1
Not stated
CD1O
Having depression in the past 12 months
last 12 months
1
Yes
Everybody
2
No
-1
Not stated
CD1P
Having high blood lipids in the past 12 months
last 12 months
1
Yes
Everybody
2
No
-1
Not stated
CD1R
Having cancer (i.e. received cancer diagnosis, cancer treatment, living with cancer) in the past 12 months
last 12 months
1
Yes
Everybody
2
No
-1
Not stated
CD2
Self-perceived general oral health
current
1
Very good
Everybody
2
Good
3
Fair (neither good nor bad)
4
Bad
5
Very bad
-1
Not stated
-3
Proxy
Detailed topic: ACCIDENTS AND INJURIES
AC1
Occurrence of a home or leisure accident in the past 12 months
last 12 months
1
Yes
Everybody
2
No
-1
Not stated
Detailed topic: PAIN
PN1
Intensity of bodily pain during the past 4 weeks
last 4 weeks
1
None
Everybody
2
Very mild
3
Mild
4
Moderate
5
Severe
6
Very severe
-1
Not stated
-3
Proxy
PN2
Extent that pain interfered with normal work during the past 4 weeks (including both work outside the home and housework)
last 4 weeks
1
Not at all
if PN1 = 2, 3, 4, 5 or 6
2
A little bit
3
Moderately
4
Quite a bit
5
Extremely
-1
Not stated
-2
Not applicable
-3
Proxy
Detailed topic: MENTAL HEALTH, INCLUDING ADDICTIONS
MH1A
Extent of having little interest or pleasure in doing things over the last 2 weeks
last 2 weeks
1
Not at all
Everybody
2
Several days
3
More than half the days
4
Nearly every day
-1
Not stated
-3
Proxy
MH1B
Extent of feeling down, depressed or hopeless over the last 2 weeks
last 2 weeks
1
Not at all
Everybody
2
Several days
3
More than half the days
4
Nearly every day
-1
Not stated
-3
Proxy
MH1C
Extent of having trouble falling or staying asleep, or sleeping too much over the last 2 weeks
last 2 weeks
1
Not at all
Everybody
2
Several days
3
More than half the days
4
Nearly every day
-1
Not stated
-3
Proxy
MH1D
Extent of feeling tired or having little energy over the last 2 weeks
last 2 weeks
1
Not at all
Everybody
2
Several days
3
More than half the days
4
Nearly every day
-1
Not stated
-3
Proxy
MH1E
Extent of having poor appetite or overeating over the last 2 weeks
last 2 weeks
1
Not at all
Everybody
2
Several days
3
More than half the days
4
Nearly every day
-1
Not stated
-3
Proxy
MH1F
Extent of respondent feeling negative about themselves, or feeling that they are a failure or have let themselves or their family down over the last 2 weeks
last 2 weeks
1
Not at all
Everybody
2
Several days
3
More than half the days
4
Nearly every day
-1
Not stated
-3
Proxy
MH1G
Extent of having trouble concentrating on things, such as reading the newspaper or watching television, over the last 2 weeks
last 2 weeks
1
Not at all
Everybody
2
Several days
3
More than half the days
4
Nearly every day
-1
Not stated
-3
Proxy
MH1H
Extent of moving or speaking so slowly that other people may have noticed; or being so fidgety or restless that they have been moving around a lot more than usual, over the last 2 weeks
last 2 weeks
1
Not at all
Everybody
2
Several days
3
More than half the days
4
Nearly every day
-1
Not stated
-3
Proxy
MH2A
Feeling cheerful and in good spirits over the last 2 weeks
last 2 weeks
1
All of the time
Everybody
2
Most of the time
3
More than half of the time
4
Less than half of the time
5
Some of the time
6
At no time
-1
Not stated
-3
Proxy
MH2B
Feeling calm and relaxed over the last 2 weeks
last 2 weeks
1
All of the time
Everybody
2
Most of the time
3
More than half of the time
4
Less than half of the time
5
Some of the time
6
At no time
-1
Not stated
-3
Proxy
MH2C
Feeling active and vigorous over the last 2 weeks
last 2 weeks
1
All of the time
Everybody
2
Most of the time
3
More than half of the time
4
Less than half of the time
5
Some of the time
6
At no time
-1
Not stated
-3
Proxy
MH2D
Waking up feeling fresh and rested over the last 2 weeks
last 2 weeks
1
All of the time
Everybody
2
Most of the time
3
More than half of the time
4
Less than half of the time
5
Some of the time
6
At no time
-1
Not stated
-3
Proxy
MH2E
Feeling that daily life has been filled with things that interest over the last 2 weeks
last 2 weeks
1
All of the time
Everybody
2
Most of the time
3
More than half of the time
4
Less than half of the time
5
Some of the time
6
At no time
-1
Not stated
-3
Proxy
Detailed topic: FUNCTIONAL LIMITATIONS
PL1
Wearing glasses or contact lenses
current
1
Yes
Everybody
2
No
3
Blind or cannot see at all
-1
Not stated
PL2
Difficulty in seeing, even when wearing glasses or contact lenses
current
1
No difficulty
if PL1 = 1, 2 or -1
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all/Unable to do
-1
Not stated
-2
Not applicable
PL3
Use of a hearing aid
current
1
Yes
Everybody
2
No
3
Profoundly deaf
-1
Not stated
PL4
Difficulty in hearing what is said in a conversation with one other person in a quiet room even when using a hearing aid
current
1
No difficulty
if PL3 = 1, 2 or -1
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all/Unable to do
-1
Not stated
-2
Not applicable
PL5
Difficulty in hearing what is said in a conversation with one other person in a noisier room even when using a hearing aid
current
1
No difficulty
if PL3 = 1, 2 or -1
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all/Unable to do
-1
Not stated
-2
Not applicable
PL6
Difficulty in walking half a km on level ground without the use of any aid
current
1
No difficulty
Everybody
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all/Unable to do
-1
Not stated
PL7
Difficulty in walking up or down 12 steps
current
1
No difficulty
Everybody
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all/Unable to do
-1
Not stated
PL8
Difficulty in remembering or concentrating
current
1
No difficulty
Everybody
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all/Unable to do
-1
Not stated
PL8A
Difficulty in communicating (using usual language, for example understanding or being understood by others)
current
1
No difficulty
Everybody
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all/Unable to do
-1
Not stated
PL9
Difficulty in biting and chewing on hard foods
current
1
No difficulty
if AGE ≥ 55
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all/Unable to do
-1
Not stated
-2
Not applicable
Detailed topic: DIFFICULTIES IN PERSONAL CARE ACTIVITIES
PC1A
Difficulty in feeding yourself
current
1
No difficulty
if (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all/Unable to do
-1
Not stated
-2
Not applicable
PC1B
Difficulty in getting in and out of a bed or chair
current
1
No difficulty
if (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all/Unable to do
-1
Not stated
-2
Not applicable
PC1C
Difficulty in dressing and undressing
current
1
No difficulty
if (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all/Unable to do
-1
Not stated
-2
Not applicable
PC1D
Difficulty in using toilets
current
1
No difficulty
if (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all/Unable to do
-1
Not stated
-2
Not applicable
PC1E
Difficulty in bathing or showering
current
1
No difficulty
if (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all/Unable to do
-1
Not stated
-2
Not applicable
PC2
Usually receiving help with one or more self-care activities: feeding yourself, getting in and out of a bed or chair, dressing and undressing, using toilets, bathing or showering
current
1
Yes, with at least one activity
if [(AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55] and [(PC1A = 2 or 3 or 4) or (PC1B = 2 or 3 or 4) or (PC1C = 2 or 3 or 4) or (PC1D = 2 or 3 or 4) or (PC1E = 2 or 3 or 4)]
2
No
-1
Not stated
-2
Not applicable
PC3
Need to receive help or more help with one or more self-care activities: feeding yourself, getting in and out of a bed or chair, dressing and undressing, using toilets, bathing or showering
current
1
Yes, with at least one activity
if [(AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55] and [(PC1A = 2 or 3 or 4) or (PC1B = 2 or 3 or 4) or (PC1C = 2 or 3 or 4) or (PC1D = 2 or 3 or 4) or (PC1E = 2 or 3 or 4)]
2
No
-1
Not stated
-2
Not applicable
Detailed topic: DIFFICULTIES IN HOUSEHOLD ACTIVITIES
HA1A
Difficulty in preparing meals
current
1
No difficulty
if (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all/Unable to do
5
Not applicable (never tried it or do not need to do it)
-1
Not stated
-2
Not applicable
HA1B
Difficulty in using the telephone
current
1
No difficulty
if (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all/Unable to do
5
Not applicable (never tried it or do not need to do it)
-1
Not stated
-2
Not applicable
HA1C
Difficulty to do shopping
current
1
No difficulty
if (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all/Unable to do
5
Not applicable (never tried it or do not need to do it)
-1
Not stated
-2
Not applicable
HA1D
Difficulty in managing medication
current
1
No difficulty
if (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all/Unable to do
5
Not applicable (never tried it or do not need to do it)
-1
Not stated
-2
Not applicable
HA1E
Difficulty in doing light housework
current
1
No difficulty
if (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all/Unable to do
5
Not applicable (never tried it or do not need to do it)
-1
Not stated
-2
Not applicable
HA1F
Difficulty in doing occasional heavy housework
current
1
No difficulty
if (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all/Unable to do
5
Not applicable (never tried it or do not need to do it)
-1
Not stated
-2
Not applicable
HA1G
Difficulty in taking care of finances and everyday administrative tasks
current
1
No difficulty
if (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all/Unable to do
5
Not applicable (never tried it or do not need to do it)
-1
Not stated
-2
Not applicable
HA2
Usually receiving help with one or more domestic activities: preparing meals, using the telephone, shopping, managing medication, light or occasional heavy housework, taking care of finances and everyday administrative tasks
current
1
Yes, with at least one activity
if [(AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55] and [(HA1A = 2, 3 or 4) or (HA1B = 2, 3 or 4) or (HA1C = 2, 3 or 4) or (HA1D = 2, 3 or 4) or (HA1E = 2, 3 or 4) or (HA1F = 2, 3 or 4) or (HA1G = 2, 3 or 4)]
2
No
-1
Not stated
-2
Not applicable
HA3
Need for help or more help with one or more domestic activities: preparing meals, using the telephone, shopping, managing medication, light or occasional heavy housework, taking care of finances and everyday administrative tasks
current
1
Yes, with at least one activity
if [(AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55] and [(HA1A = 2, 3 or 4) or (HA1B = 2, 3 or 4) or (HA1C = 2, 3 or 4) or (HA1D = 2, 3 or 4) or (HA1E = 2, 3 or 4) or (HA1F = 2, 3 or 4) or (HA1G = 2, 3 or 4)]
2
No
-1
Not stated
-2
Not applicable
Detailed topic: TEMPORARY LIMITATION IN ACTIVITY (DUE TO HEALTH PROBEMS)
AW2
Number of days of absence from work due to personal health problems in the past 12 months
last 12 months
0 – 365
Number
if MAINSTAT = 10
-1
Not stated
-2
Not applicable
Detailed topic: BARRIERS TO PARTICIPATION IN SPECIFIC LIFE DOMAINS
BA1
Difficulty leaving home due to long-standing health problems (chronic conditions or impairments)
current
1
No difficulty
Everybody
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all/Unable to do
5
Not interested in this activity/Do not want to do it
-1
Not stated
BA2
Difficulty using various forms of transportation due to long-standing health problems
current
1
No difficulty
Everybody
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all/Unable to do
5
Not interested in this activity/Do not want to do it
-1
Not stated
BA3
Difficulty accessing public buildings, including moving about once inside and using indoor building facilities due to long-standing health problems
current
1
No difficulty
Everybody
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all/Unable to do
5
Not interested in this activity/Do not want to do it
-1
Not stated
BA4 (optional)
Main reason contributing to the difficulty experienced (other than long-standing health problems)
current
1
Lack of money, can’t afford it
if any of BA1, BA2 or BA3 = 2 or 3 or 4
2
Lack of self-confidence
3
Attitudes of other people
4
Lack of convenient or available transport
5
Difficulties travelling on transport (such as getting on or off transport, no seats available, too uncomfortable)
6
Difficulties parking (such as not enough spaces)
7
Poor buildings’ infrastructure and accessibility (lack of elevators, ramps, signs, doors too narrow, toilets not adapted, etc.)
8
Other reasons
9
None
-1
Not stated
-2
Not applicable
BA5
Difficulty attending social activities such as getting together with family or friends, going to dinner, going to social events due to long-standing health problems
current
1
No difficulty
Everybody
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all/Unable to do
5
Not interested in this activity/Do not want to do it
-1
Not stated
BA6 (optional)
Main reason contributing to the difficulty experienced attending social activities (other than long-standing health problems)
current
1
Too busy (with work, family, caring or other responsibilities)
if BA5 = 2 or 3 or 4
2
Lack of money, can’t afford it
3
Lack of self-confidence
4
Attitudes of other people
5
Lack of knowledge or information
6
Environmental barriers/no friendly environment (for instance, difficulties with access and use of public transportation, accessing or using buildings, shops, easy movement along streets, parking, etc.)
7
Other reasons
8
None
-1
Not stated
-2
Not applicable
BA7
Difficulty using internet due to long-standing health problems
current
1
No difficulty
Everybody
2
Some difficulty
3
A lot of difficulty
4
Cannot do at all/Unable to do
5
Not interested in this activity/Do not want to do it
-1
Not stated
Detailed topic: USE OF HEALTH AND LONG-TERM CARE
HO12
Number of nights spent as a patient in a hospital in the past 12 months
last 12 months
0 – 365
Number
Everybody
-1
Not stated
HO34
Number of times admitted as a day patient in a hospital in the past 12 months
last 12 months
0 – 365
Number
Everybody
-1
Not stated
AM1
Last time of a visit to a dentist or orthodontist
(for personal treatment)
last 12 months
1
Less than 6 months ago
Everybody
2
6 to 12 months ago
3
12 months ago or longer
4
Never
-1
Not stated
AM2
Last time of a consultation of a general practitioner or family doctor (for personal treatment)
last 12 months
1
Less than 12 months ago
Everybody
2
12 months ago or longer
3
Never
-1
Not stated
AM3
Number of consultations of a general practitioner or family doctor during the past four weeks (for personal treatment)
last 4 weeks
0 – 99
Number
if AM2 = 1
-1
Not stated
-2
Not applicable
AM4
Last time of a consultation of a medical or surgical specialist (for personal treatment)
last 12 months
1
Less than 12 months ago
Everybody
2
12 months ago or longer
3
Never
-1
Not stated
AM5
Number of consultations of a medical or surgical specialist during the past four weeks (for personal treatment)
last 4 weeks
0 – 99
Number
if AM4 = 1
-1
Not stated
-2
Not applicable
AM6A
Consultation of a physiotherapist or kinesitherapist in the past 12 months
last 12 months
1
Yes
Everybody
2
No
-1
Not stated
AM6B
Consultation of a psychologist, psychotherapist or psychiatrist in the past 12 months
last 12 months
1
Yes
Everybody
2
No
-1
Not stated
LT1
Receiving regularly (at least once a week) informal care or assistance due to a chronic health condition or infirmity or due to old age
last 12 months
1
Yes, mainly from a family member
Everybody
2
Yes, mainly from a non-family member
3
No
-1
Not stated
LT2
Receiving regularly (at least once a week) any (formal) home care services due to a chronic health condition or infirmity or due to old age
last 12 months
1
Yes
Everybody
2
No
-1
Not stated
LT3
Number of hours per week regularly receiving (formal) home care services for personal needs
last 2 weeks
1
Less than 5 hours per week
if LT2 = 1
2
5 hours to less than 10 hours per week
3
10 hours to less than 20 hours per week
4
20 hours to less than 30 hours per week
5
30 hours to less than 40 hours per week
6
40 hours per week or more
-1
Not stated
-2
Not applicable
Detailed topic: MEDICINE USE
MD1
Use of any medicines prescribed by a doctor during the past two weeks (excluding contraception)
last 2 weeks
1
Yes
Everybody
2
No
-1
Not stated
MD2
Use of any medicines, herbal medicines or vitamins not prescribed by a doctor during the past two weeks (excluding contraception)
last 2 weeks
1
Yes
Everybody
2
No
-1
Not stated
Detailed topic: PREVENTIVE CARE
PA1
Last time of vaccination against flu
last 12 months
YYYY-MM
Vaccination month and year
Everybody
1
Too long ago (before the previous calendar year)
2
Never
-1
Not stated
-3
Proxy
PA2
Last time of blood pressure measurement by a health professional
last 5 years
1
Within the past 12 months
Everybody
2
1 to less than 3 years
3
3 to less than 5 years
4
5 years or more
5
Never
-1
Not stated
-3
Proxy
PA3
Last time of blood cholesterol measurement by a health professional
last 5 years
1
Within the past 12 months
Everybody
2
1 to less than 3 years
3
3 to less than 5 years
4
5 years or more
5
Never
-1
Not stated
-3
Proxy
PA4
Last time of blood sugar measurement by a health professional
last 5 years
1
Within the past 12 months
Everybody
2
1 to less than 3 years
3
3 to less than 5 years
4
5 years or more
5
Never
-1
Not stated
-3
Proxy
PA5
Last time of a faecal occult blood test
last 3 years
1
Within the past 12 months
Everybody
2
1 to less than 2 years
3
2 to less than 3 years
4
3 years or more
5
Never
-1
Not stated
-3
Proxy
PA6
Last time of a colonoscopy
last 10 years
1
Within the past 12 months
Everybody
2
1 to less than 5 years
3
5 to less than 10 years
4
10 years or more
5
Never
-1
Not stated
-3
Proxy
PA7
Last time of a mammography (breast X-ray)
last 3 years
1
Within the past 12 months
if SEX = 2
2
1 to less than 2 years
3
2 to less than 3 years
4
3 years or more
5
Never
-1
Not stated
-2
Not applicable
-3
Proxy
PA8
Last time of a cervical smear test
last 3 years
1
Within the past 12 months
if SEX = 2
2
1 to less than 2 years
3
2 to less than 3 years
4
3 years or more
5
Never
-1
Not stated
-2
Not applicable
-3
Proxy
Detailed topic: ACCESS TO HEALTHCARE
UN1A
Unmet need for healthcare in the past 12 months due to long waiting list(s)
last 12 months
1
Yes
Everybody
2
No
3
No need for healthcare
-1
Not stated
-3
Proxy
UN2A
Unmet need for mental healthcare
last 12 months
1
Yes, there was at least one occasion when the respondent really needed mental healthcare but did not receive it
Everybody
2
No, there was no occasion when the person respondent really needed mental healthcare but did not receive it
3
No need for mental healthcare
-1
Not stated
-3
Proxy
UN2B
Main reason for unmet need for mental healthcare
last 12 months
1
Could not afford to (too expensive)
if UN2A = 1
2
Waiting list (long wait times)
3
Could not take time because of work, care for children or for others
4
Too far to travel/no means of transportation
5
Having concerns about confidentiality and trust
6
Being afraid of negative reaction or comments from family, friends or colleagues
7
Fear about the consultation or treatment (for instance, fear of negative outcome or fear of side effects of medication)
8
Not knowing where to seek help
9
Other reasons
-1
Not stated
-2
Not applicable
-3
Proxy
Detailed topic: HEIGHT AND WEIGHT
BM1
Height without shoes
current
50 – 250
Number
Everybody
-1
Not stated
BM2
Weight without clothes and shoes
current
20 – 350
Number
Everybody
-1
Not stated
Detailed topic: PHYSICAL ACTIVITY
PE1
Physical effort of working tasks (both paid and unpaid work activities included)
current
1
Mostly sitting or standing
Everybody
2
Mostly walking or tasks of moderate physical effort
3
Mostly heavy labour or physically demanding work
4
Not performing any working tasks
-1
Not stated
-3
Proxy
PE2
Number of days in a typical week walking to get to and from places at least 10 minutes continuously
current
1 – 7
Number
Everybody
0
I never carry out such physical activities
-1
Not stated
-3
Proxy
PE3
Time spent on walking to get to and from places on a typical day
current
1
10-29 minutes per day
if PE2 ≠ 0
2
30-59 minutes per day
3
1 hour to less than 2 hours per day
4
2 hours to less than 3 hours per day
5
3 hours or more per day
-1
Not stated
-2
Not applicable
-3
Proxy
PE4
Number of days in a typical week bicycling to get to and from places at least 10 minutes continuously
current
1 – 7
Number
Everybody
0
I never carry out such physical activities
-1
Not stated
-3
Proxy
PE5
Time spent on bicycling to get to and from places on a typical day
current
1
10-29 minutes per day
if PE4 ≠ 0
2
30-59 minutes per day
3
1 hour to less than 2 hours per day
4
2 hours to less than 3 hours per day
5
3 hours or more per day
-1
Not stated
-2
Not applicable
-3
Proxy
PE6
Number of days in a typical week doing sports, fitness or recreational (leisure) physical activities that cause at least a small increase in breathing or heart rate for at least 10 minutes continuously
current
1 – 7
Number
Everybody
0
I never carry out such physical activities
-1
Not stated
-3
Proxy
PE7
Time spent on doing sports, fitness or recreational (leisure) physical activities in a typical week
current
HH:MM:00
Number of hours and minutes
if PE6 ≠ 0
-1
Not stated
-2
Not applicable
-3
Proxy
PE8
Number of days in a typical week doing muscle-strengthening activities
current
1 – 7
Number
Everybody
0
I never carry out such physical activities
-1
Not stated
-3
Proxy
PE9
Time spent sitting on a typical day
current
HH:MM:00
Number of hours and minutes
Everybody
-1
Not stated
-3
Proxy
Detailed topic: NUTRITIONAL HABITS
DH1
Frequency of eating fruit, excluding juice
current
1
Once or more a day
Everybody
2
4 to 6 times a week
3
1 to 3 times a week
4
Less than once a week
5
Never
-1
Not stated
-3
Proxy
DH2
Number of portions of fruit a day, excluding juice
current
1 – 99
Number
if DH1 = 1
-1
Not stated
-2
Not applicable
-3
Proxy
DH3
Frequency of eating vegetables or salad, excluding juice and potatoes
current
1
Once or more a day
Everybody
2
4 to 6 times a week
3
1 to 3 times a week
4
Less than once a week
5
Never
-1
Not stated
-3
Proxy
DH4
Number of portions of vegetables or salad, excluding juice and potatoes a day
current
1 – 99
Number
if DH3 = 1
-1
Not stated
-2
Not applicable
-3
Proxy
DH5
Frequency of drinking pure fruit or vegetable juice
current
1
Once or more a day
Everybody
2
4 to 6 times a week
3
1 to 3 times a week
4
Less than once a week
5
Never
-1
Not stated
-3
Proxy
DH6
Frequency of drinking sugar-sweetened soft drinks
current
1
Once or more a day
Everybody
2
4 to 6 times a week
3
1 to 3 times a week
4
Less than once a week
5
Never
-1
Not stated
-3
Proxy
DH7
Frequency of eating red meat
current
1
Once or more a day
Everybody
2
4 to 6 times a week
3
1 to 3 times a week
4
Less than once a week
5
Never
-1
Not stated
-3
Proxy
DH8
Frequency of eating processed meat products
current
1
Once or more a day
Everybody
2
4 to 6 times a week
3
1 to 3 times a week
4
Less than once a week
5
Never
-1
Not stated
-3
Proxy
Detailed topic: SMOKING
SK1
Type of tobacco smoking behaviour
current
1
Daily smoking
Everybody
2
Occasional smoking
3
No smoking
-1
Not stated
SK2
Average number of cigarettes a day
current
0 – 99
Number
if SK1 = 1
-1
Not stated
-2
Not applicable
SK3
Former daily tobacco smoking
current
1
Yes
if SK1 = 2, 3 or -1
2
No
-1
Not stated
-2
Not applicable
SK4
Number of years of daily tobacco smoking
current
0 – 99
Number
if SK1 = 1 or
(SK1 = 2, 3 or -1
and SK3 = 1)
-1
Not stated
-2
Not applicable
SK5
Frequency of exposure to tobacco smoke indoors
current
1
Every day, 1 hour or more a day
Everybody
2
Every day, less than 1 hour per day
3
At least once a week
4
Less than once a week
5
Never or almost never
-1
Not stated
-3
Proxy
SK6A
Type of heated tobacco products use behaviour
current
1
Daily use
Everybody
2
Occasional use
3
Former user
4
Never
-1
Not stated
SK6B
Type of electronic cigarettes or similar electronic devices behaviour
current
1
Daily vaping
Everybody
2
Occasional vaping
3
Former vaping
4
Never vaping
-1
Not stated
Detailed topic: ALCOHOL CONSUMPTION
AL1
Frequency of consumption of an alcoholic drink of any kind (beer, wine, cider, spirits, cocktails, premixes, liqueurs, homemade alcohol…) in the past 12 months
last 12 months
1
Every day or almost
Everybody
2
5-6 days a week
3
3-4 days a week
4
1-2 days a week
5
2-3 days in a month
6
Once a month
7
Less than once a month
8
Not in the past 12 months, as I no longer drink alcohol
9
Never, or only a few sips or tries, in my whole life
-1
Not stated
-3
Proxy
AL2
Frequency of consumption of an alcoholic drink from Monday to Thursday
current
1
On all 4 days
if AL1 = 1, 2, 3 or 4
2
On 3 of the 4 days
3
On 2 of the 4 days
4
On 1 of the 4 days
5
On none of the 4 days
-1
Not stated
-2
Not applicable
-3
Proxy
AL3
Number of alcoholic (standard) drinks on average on one of the days from Monday to Thursday
current
1
16 or more drinks a day
if (AL1 = 1, 2, 3 or 4) and (AL2 = 1, 2, 3 or 4)
2
10-15 drinks a day
3
6-9 drinks a day
4
4-5 drinks a day
5
3 drinks a day
6
2 drinks a day
7
1 drink a day
8
0 drink a day
-1
Not stated
-2
Not applicable
-3
Proxy
AL4
Frequency of consumption of an alcoholic drink from Friday to Sunday
current
1
On all 3 days
if AL1 = 1, 2, 3 or 4
2
On 2 of the 3 days
3
On 1 of the 3 days
4
On none of the 3 days
-1
Not stated
-2
Not applicable
-3
Proxy
AL5
Number of alcoholic (standard) drinks on average on one of the days from Friday to Sunday
current
1
16 or more drinks a day
if (AL1 = 1, 2, 3 or 4) and (AL4 = 1, 2, or 3)
2
10-15 drinks a day
3
6-9 drinks a day
4
4-5 drinks a day
5
3 drinks a day
6
2 drinks a day
7
1 drink a day
8
0 drink a day
-1
Not stated
-2
Not applicable
-3
Proxy
AL6
Frequency of risky single-occasion drinking (equivalent of 60g of pure ethanol or more) during the past 12 months
last 12 months
1
Every day or almost
if AL1 = 1, 2, 3,
4, 5, 6 or 7
2
5-6 days a week
3
3-4 days a week
4
1-2 days a week
5
2-3 days in a month
6
Once a month
7
Less than once a month
8
Not in the past 12 months
9
Never in my whole life
-1
Not stated
-2
Not applicable
-3
Proxy
Detailed topic: SOCIAL AND ENVIRONMENTAL FACTORS
SS1
Number of close people to count on in case of serious personal problems
current
1
None
Everybody
2
1 or 2
3
3 to 5
4
6 or more
-1
Not stated
-3
Proxy
SS2
Degree of concern shown by other people in what the respondent is doing
current
1
A lot of concern and interest
Everybody
2
Some concern and interest
3
Uncertain
4
Little concern and interest
5
No concern and interest
-1
Not stated
-3
Proxy
SS3
How easy is it to get practical help from neighbours in case of need
current
1
Very easy
Everybody
2
Easy
3
Possible
4
Difficult
5
Very difficult
-1
Not stated
-3
Proxy
IC12
Providing care or assistance to one or more persons suffering from any chronic health condition or infirmity or due to old age, at least once a week
current
1
Yes, to a member(s) of respondent’s family
Everybody
2
Yes, to a non-member(s) of respondent’s family
3
No
-1
Not stated
-3
Proxy
IC3
Number of hours per week the respondent provides care or assistance to the person(s) suffering from any chronic condition or infirmity or due to old age
current
1
Less than 5 hours per week
if IC12 = 1 or 2
2
5 hours to less than 10 hours per week
3
10 hours to less than 20 hours per week
4
20 hours to less than 30 hours per week
5
30 hours to less than 40 hours per week
6
40 hours per week or more
-1
Not stated
-2
Not applicable
-3
Proxy
Detailed topic: SUICIDE (OPTIONAL)
SU1
Having had thoughts about committing suicide
last 12 months
1
Yes
Everybody
2
No
-1
Not stated
-3
Proxy
SU2
Having ever made a suicide attempt
lifetime
1
Yes, in the past 12 months
Everybody
2
Yes, but not in the past 12 months
3
No
-1
Not stated
-3
Proxy
NATIONAL TERRITORIES THAT ARE EXCLUDED FROM THE SAMPLE
ANNEX IIISupplementary provisions
ANNEX III
NATIONAL TERRITORIES THAT ARE EXCLUDED FROM THE SAMPLE
Country
National territories
France
French Overseas Departments and Territories
Cyprus
The non-government-controlled area
Netherlands
Caribbean Islands (Bonaire, St. Eustatius and Saba)
Ireland
All offshore islands with the exception of Achill, Bull, Cruit, Gorumna, Inishnee, Lettermore, Lettermullan and Valentia
VARIABLES FOR WHICH PROXY ANSWERS ARE NOT TO BE USED BY EUROSTAT FOR INDICATORS COMPUTATION
ANNEX IVSupplementary provisions
ANNEX IV
VARIABLES FOR WHICH PROXY ANSWERS ARE NOT TO BE USED BY EUROSTAT FOR INDICATORS COMPUTATION
HS1
Self-perceived general health
CD2
Self-perceived general oral health
PN1
Intensity of bodily pain during the past 4 weeks
PN2
Extent that pain interfered with normal work during the past 4 weeks (including both work outside the home and housework)
MH1A
Extent of having little interest or pleasure in doing things over the last 2 weeks
MH1B
Extent of feeling down, depressed or hopeless over the last 2 weeks
MH1C
Extent of having trouble falling or staying asleep, or sleeping too much over the last 2 weeks
MH1D
Extent of feeling tired or having little energy over the last 2 weeks
MH1E
Extent of having poor appetite or overeating over the last 2 weeks
MH1F
Extent of subject feeling negative about themselves, or feeling that they are a failure or have let themselves or their family down, over the last 2 weeks
MH1G
Extent of having trouble concentrating on things, such as reading the newspaper or watching television, over the last 2 weeks
MH1H
Extent of moving or speaking so slowly that other people may have noticed; or being so fidgety or restless that they have been moving around a lot more than usual, over the last 2 weeks
MH2A
Feeling cheerful and in good spirits over the last 2 weeks
MH2B
Feeling calm and relaxed over the last 2 weeks
MH2C
Feeling active and vigorous over the last 2 weeks
MH2D
Waking up feeling fresh and rested over the last 2 weeks
MH2E
Feeling that daily life has been filled with things that interest over the last 2 weeks
PA1
Last time of vaccination against flu
PA2
Last time of blood pressure measurement by a health professional
PA3
Last time of blood cholesterol measurement by a health professional
PA4
Last time of blood sugar measurement by a health professional
PA5
Last time of a faecal occult blood test
PA6
Last time of a colonoscopy
PA7
Last time of a mammography (breast X-ray)
PA8
Last time of a cervical smear test
UN1A
Unmet need for healthcare in the past 12 months due to long waiting list(s)
UN2A
Unmet need for mental healthcare
UN2B
Main reason for unmet need for mental healthcare
PE1
Physical effort of working tasks (both paid and unpaid work activities included)
PE2
Number of days in a typical week walking to get to and from places at least 10 minutes continuously
PE3
Time spent on walking to get to and from places on a typical day
PE4
Number of days in a typical week bicycling to get to and from places at least 10 minutes continuously
PE5
Time spent on bicycling to get to and from places on a typical day
PE6
Number of days in a typical week doing sports, fitness or recreational (leisure) physical activities that cause at least a small increase in breathing or heart rate for at least 10 minutes continuously
PE7
Time spent on doing sports, fitness or recreational (leisure) physical activities in a typical week
PE8
Number of days in a typical week doing muscle-strengthening activities
PE9
Time spent sitting on a typical day
DH1
Frequency of eating fruit, excluding juice
DH2
Number of portions of fruit a day, excluding juice
DH3
Frequency of eating vegetables or salad, excluding juice and potatoes
DH4
Number of portions of vegetables or salad, excluding juice and potatoes a day
DH5
Frequency of drinking pure fruit or vegetable juice
DH6
Frequency of drinking sugar-sweetened soft drinks
DH7
Frequency of eating red meat
DH8
Frequency of eating processed meat products
SK5
Frequency of exposure to tobacco smoke indoors
AL1
Frequency of consumption of an alcoholic drink of any kind (beer, wine, cider, spirits, cocktails, premixes, liqueurs, homemade alcohol…) in the past 12 months
AL2
Frequency of consumption of an alcoholic drink from Monday to Thursday
AL3
Number of alcoholic (standard) drinks on average on one of the days from Monday to Thursday
AL4
Frequency of consumption of an alcoholic drink from Friday to Sunday
AL5
Number of alcoholic (standard) drinks on average on one of the days from Friday to Sunday
AL6
Frequency of risky single-occasion drinking (equivalent of 60 g of pure ethanol or more) during the past 12 months
SS1
Number of close people to count on in case of serious personal problems
SS2
Degree of concern shown by other people in what the respondent is doing
SS3
How easy is it to get practical help from neighbours in case of need
IC12
Prevailing relationship of the person(s) suffering from any chronic condition or infirmity or due to old age being provided with care or assistance at least once a week from the respondent
IC3
Number of hours per week the respondent provides care or assistance to the person(s) suffering from any chronic condition or infirmity or due to old age
KEY VARIABLES FOR WHICH METHODS OF STATISTICAL IMPUTATION ARE TO BE APPLIED WHEN NON-RESPONSE EXCEEDS 5 %
ANNEX VSupplementary provisions
ANNEX V
KEY VARIABLES FOR WHICH METHODS OF STATISTICAL IMPUTATION ARE TO BE APPLIED WHEN NON-RESPONSE EXCEEDS 5 %
MAINSTAT
Main activity status (self-defined)
HATLEVEL
Educational attainment level (highest level of education successfully completed)
HHINCOME
Net current monthly household income
HS3
Limitation in activities because of health problems
DETAILED ARRANGEMENTS AND CONTENT OF QUALITY REPORTS
ANNEX VISupplementary provisions
ANNEX VI
DETAILED ARRANGEMENTS AND CONTENT OF QUALITY REPORTS
METADATA UPDATE
The date on which the metadata element was inserted or modified in the database.
STATISTICAL PRESENTATION
(1) Data description
Title of the survey at national level, year of the survey, link to the survey website.
(2) Classification systems
The version of the classification used in the data, and any deviations from European statistical standards or international standards.
(3) Statistical concepts and definitions
List of concepts and variables, including answer categories, that deviate from the standard definitions, mentioning the national concepts used and any differences between the national concepts and the respective standard definitions.
UNIT OF MEASURE
The unit in which the data values are measured.
REFERENCE PERIOD
The period of time to which the measured observation is intended to refer.
INSTITUTIONAL MANDATE
Law, set of rules or other formal set of instructions assigning an organisation responsibility and authority for collecting, processing, and disseminating statistics.
RELEASE POLICY
Rules for disseminating statistical data to all interested parties.
FREQUENCY OF DISSEMINATION
The time interval at which the statistics are disseminated over a given time period.
STATISTICAL PROCESSING
(1) Source data
Description of the data source used for building the sampling frame (for example population register, dwelling register, population census and another survey), frequency of update and year of last update of the data source, and method used for obtaining or creating the sampling frame. Where another survey has been used as a data source, the name of the survey is indicated.
Regarding sample design:
—
methods for sample design (for example, simple random sampling; systematic sampling; stratified sampling; cluster sampling, multiple stage sampling, combination of designs). If Member States use stratified sampling, the stratification and sub-stratification criteria are reported. If Member States use multiple stage sampling, the different stages and the corresponding probabilities (equal, unequal, proportional to size) are described. If Member States use a combination of designs, the designs used are described;
—
sample size.
(2) Data collection
Description of methods used to conduct the interview including PAPI, CATI, CAPI, CASI, CAWI ( 1 ) , mixed mode, and/or other sources such as registers and other surveys. The variables collected based on other sources are listed.
(3) Data compilation
Each step of weighting is described separately: design weights; weight adjustments for non-response, weight adjustments applied to external data sources such as calibration techniques used and level and variables used for the adjustment, any other weight adjustments for example trimming, top (bottom)-coding of the weight distribution to adjust for outliers, final weights.
Where imputation is used, any imputed variables are listed, the imputation procedure used is described and the reasons for imputation are explained. The number of imputed values as a percentage of the total number of observations is reported.
ACCURACY AND RELIABILITY
(1) Sampling error
Precision requirements are expressed in standard errors for the indicator set out in the third paragraph below, point (c).
Countries describe the methodology for calculating the precision estimates.
For the following indicators, the number of respondents (unweighted), the estimated proportion (weighted), the standard errors, the 95 % confidence interval (lower and upper limit), and the design effect (if applicable/available) are reported at national level:
(a)
respondents aged 15 years and over in good or very good health (based on variable HS1);
(b)
respondents aged 15 years and over with long-standing illness or health problem (based on variable HS2);
(c)
respondents aged 15 years and over who were severely limited in activities people usually do because of health problems for at least the past 6 months (based on variable HS3);
(d)
respondents aged 15 years and over having been hospitalised in the past 12 months (based on variable HO12);
(e)
respondents aged 18 years and over who are obese (based on variable BM1 and BM2).
(2) Non-sampling error
(a)
Measurement error
The different sources of measurement errors likely to be found in the survey are described and include:
—
description and testing of the questionnaire;
—
description of interview training, for example number of training days, skills testing before starting the fieldwork (rate of success, etc.));
—
information on studies to check the impact of the interviewer, such as re-interviews, record check studies, or split-sample experiments (if available), and results from models (if available).
(b)
Non-response error
Unit non-response
—
Member States compute, total and for each mode of data collection, non-response rates.
—
For those Member States where controlled substitutions are made in case of unit non-response, non-response rates are calculated before and after substitution.
—
Breakdowns of non-respondents by characteristics and reasons for non-response as far as available.
—
Description of any measures taken to correct for non-response.
—
If controlled substitutions are applied in cases of unit non-response pursuant to Article 6, substitution rates are provided as well as a description of the method of selection of substitutes, main characteristics of substituted units compared to the original units, distribution of substituted (original) units by number of attempts for contact, interview acceptance, and questionnaire result.
—
Number of units successfully contacted before and after substitution.
—
Number of responding units before and after substitution.
—
Gross sample size, number of eligible and ineligible units, net sample size, including substitution units (achieved sample size) needs to be provided.
Item non-response
For the health variables listed in the metadata template under this topic, the following information is provided:
—
the percentage of persons with a valid answer (excluding missing values) for each variable;
—
the percentage of persons with missing values (unweighted and before imputation) for each variable.
(c)
Processing error
Information to be provided about any errors in processing and their impact on the final data collection results arising from faulty implementation of correctly planned implementation methods. An account is given of the main errors detected in the post-data-collection process.
Description of the quality checks such as data entry controls and coding controls and the data editing process.
Imputation procedures are described. Information to be provided on the imputation rate calculated as the share of observations imputed (for each variable) out of the total number of observations.
DATA REVISION
(1) Data revision – policy
Information is provided about any policy designed to ensure the transparency of disseminated data, whereby the preliminary data compiled are subsequently revised. Revision of data is reported.
(2) Data revision – practice
Schedule for revisions.
Main reasons for revisions and their nature such as new source data available and new methods.
Impact of revisions on indicators.
( 1 ) PAPI – Traditional paper-and-pencil personal interview; CATI – telephone interview; CAPI – computer-assisted personal interview; CASI – self-completed computer-based interview; CAWI – computer assisted web interview.
Source: EUR-Lex (Publications Office of the EU), © European Union, reuse permitted under Commission Decision 2011/833/EU.
