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					Health Survey
  for England

    Jenny Harris
HSE 2005
Health of Older People
• Joint Health Surveys Unit (JHSU) of NatCen and Dept.
  Epidemiology and Public Health at Royal Free and
  University Medical School

• Carried out on behalf of the Information Centre for Health
  and Social Care
HSE 2005
Health of Older People
• Full-sized general population sample, child boost plus boost
  sample sample of older adults (aged 65 and over)
• Core sample: 7,630 adults aged 16 and over and 1,852
• Boost sample: 1,142 children aged 2-15 and sample of 2,673
  older adults
• Total 4402 adults aged 65 and over
• 71% household RR (core), 74% household RR (boost)
   • 89% RR among adults in co-operative HH
   • 97% RR among older adults in co-operative HH
HSE 2005
Health of Older People
Interview and nurse visit for older people:
Core interview topics
   • General health, alcohol consumption, smoking, fruit, vegetables,
     height and weight
Additional topics
   • Use of health services, dental and social care services, CVD, chronic
     diseases, quality of care, disabilities and falls
Nurse visit
   • BP, waist-hip circumference, demi-span and tests of physical
     function, blood and urine
Five volumes

The health of older people:
      1. General health and function
      2. Chronic diseases
      3. Social capital and health
      4. Mental health and wellbeing

      5. Methodology and documentation
Key findings
• Many people aged 65 and over lead healthy and
  active lives, but others face severe health
  challenges as they get older
• Inequalities in health
• Nearly 2 in 3 adults aged 65 and over suffer from
  high blood pressure
• Roughly 1 in 4 is obese
• Over a quarter of women and more than a fifth of
  men have symptoms of depression
Health and disability
• More than half say their health is ‘good’ or ‘very good’

• 71 % have a longstanding illness

• 42% of men and 46% of women said this limited their

• Around 2 in 5 had at least one functional limitation
  (sight, hearing, communicating, walking, using stairs)
Mobility problems
Upper body strength
Walking impairment
High blood pressure

 • Around 2 in 3 had high blood pressure (nurse visit)

 • 3 in 5 are receiving treatment for hypertension;
    – Of these, only 1 in 2 were on adequately controlling their
      blood pressure

 • Varied by income (lowest income = highest
Cardiovascular disease
and obesity
Mental illness
• Identification and treatment
   • Mental illness in old age is common but often not
   • Even when recognised often does not receive
     adequate or appropriate management
• Prevalence
   • 4% of men and 7% of women aged 65 + reported
     emotional, nervous or psychiatric problems (doctor
   • 28% of women and 22% of men had high Geriatric
     Depression Scores
Geriatric Depression Score
HSE 2005 report

                  Published mid March 2007
                  on the Information Centre
                  website- hard copies now

                  Trend tables published in
                  December 2006
HSE 2006
• Full size sample (general population and child
• Fieldwork is complete
• Data editing and weighting
• Report published December 2007
   • Cardiovascular disease
      – doctor diagnosed & undiagnosed
   • Children
      – obesity and other risk factors
HSE 2007
• Half-size sample, and child boost sample
• Currently in-field
• Focus on:
   • children’s health and lifestyles (obesity)
   • knowledge and attitudes (adults and children aged 11+)
   • monitoring the effect of smoke free legislation

• …reporting 2008 on children’s health and on
HSE 2008 Physical Activity
• Focus of 2008 likely to be physical activity

• Currently in the development stage
   • Physical activity = complex to measure
   • HSE already contains a module of questions on physical
HSE physical activity
development work
• Three aspects of the development work:

   • Cognitive Pilot

   • Validation Study

   • Step test
Cognitive pilot
• This stage of the development is complete

• Tested 2 separate physical activity questionnaires:

   • Adult (16+)
   • Children
Validation Study
• Validating the revised questions against OBJECTIVE measure
  of physical activity… THE ACTIGRAPH
• Physical activity monitor worn on a belt
• Like a pedometer
• We are asking respondents to wear it:
   • For two 7-day periods (adults)
   • For one 7-day period (children)
• A feasibility study for mainstage HSE
The step test
•Fitness is an independent
health risk factor - should we
be collecting data on this as
well as obesity and physical

•Feasibility study

•Measure fitness using a step
And finally… use of HSE data

• Some current data requests:

  • Use of stored bloods in further research

  • Mortality Data
Thank you


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