Commission Regulation (EU) 2018/255 of 19 February 2018 implementing Regulation (EC) No 1338/2008 of the European Parliament and of the Council as regards statistics based on the European Health Interview Survey (EHIS) (Text with EEA relevance. )
Date: 2018-02-19
Institutions: European Commission, Eurostat
Subjects: EU Member State, EU statistics, data collection, health care, health statistics, public health, statistical method




L_2018048EN.01001201.xml










21.2.2018   


EN


Official Journal of the European Union


L 48/12








            COMMISSION REGULATION (EU) 2018/255
of 19 February 2018
         
implementing Regulation (EC) No 1338/2008 of the European Parliament and of the Council as regards statistics based on the European Health Interview Survey (EHIS)
(Text with EEA relevance)


THE EUROPEAN COMMISSION,

Having regard to the Treaty on the Functioning of the European Union,


Having regard to Regulation (EC) No 1338/2008 of the European Parliament and of the Council of 16 December 2008 on Community statistics on public health and health and safety at work (1), and in particular Article 9(1) thereof,

Whereas:







(1)


Regulation (EC) No 1338/2008 establishes a common framework for the systematic production of European statistics on public health and health and safety at work.












(2)


Pursuant to Article 9(1) of Regulation (EC) No 1338/2008, implementing measures are needed to specify the data and metadata to be provided on health status, health determinants and healthcare covered by Annex I to that Regulation and to set the reference periods and intervals for providing those data.












(3)


Those data represent a minimum statistical data set that should enable better monitoring of the Union's health programmes and policies on social inclusion and social protection, health inequalities and healthy ageing.












(4)


Confidential data sent by Member States to the Commission (Eurostat) should be handled in accordance with the principle of statistical confidentiality as laid down in Regulation (EC) No 223/2009 of the European Parliament and of the Council (2) as well as in accordance with Regulation (EC) No 45/2001 of the European Parliament and of the Council (3).












(5)


A cost-benefit analysis has been carried out and evaluated in accordance with Article 6 of Regulation (EC) No 1338/2008. It demonstrated that the availability of comparable Union-wide data is likely to be of great benefit for health and social policy decisions and for scientific purposes. The use of common tools should enable data consistency across countries, even though the related costs would vary depending on the degree of integration of the requested variables and methodology within existing national surveys.












(6)


The measures provided for in this Regulation are in accordance with the opinion of the European Statistical System Committee,





HAS ADOPTED THIS REGULATION:



Article 1

Subject matter

European statistics based on the European Health Interview Survey (EHIS) shall concern health status, healthcare and health determinants as well as socio-demographic characteristics of the population aged 15 and over.


Article 2

Definitions

For the purpose of this Regulation, the following definitions shall apply:






1.


‘private household’ means:






(a)


a one-person household, i.e. a person who lives alone in a separate housing unit or who occupies, as a lodger, a separate room (or rooms) in a housing unit but does not join with any of the other occupants of the housing unit to form part of a multi-person household as defined below; or










(b)


a multi-person household, i.e. a group of two or more persons who combine to occupy the whole or part of a housing unit and to provide themselves with food and possibly other essentials for living. Members of the group may pool their incomes, have a common budget and share expenses to a greater or lesser extent.




This definition does not cover collective households such as hospitals, care or residential homes, prisons, military barracks, religious institutions, boarding houses or hostels;










2.


‘usual residence’ means the place where a person normally spends the daily period of rest, regardless of temporary absences for purposes of recreation, holidays, visits to friends and relatives, business, medical treatment or religious pilgrimage.
Only the following persons shall be considered usual residents of the geographical area in question:






(a)


those who have lived in their place of usual residence for a continuous period of at least 12 months before the reference date; or










(b)


those who arrived in their place of usual residence during the 12 months before the reference date with the intention of staying there for at least 1 year.




Where the circumstances referred to in points (a) or (b) cannot be established, ‘usual residence’ shall mean the place of legal or registered residence;










3.


‘microdata’ means non-aggregated observations or measurements of characteristics of individual units;










4.


‘pre-checked microdata’ means microdata verified by the Member States on the basis of agreed common validation rules;










5.


‘metadata’ means data defining and describing other data, the methodology used and statistical business processes.






Article 3

Data required


1.   Each Member State shall provide to the Commission (Eurostat) the microdata set out in Annex I.


2.   Those microdata shall be based on nationally representative probability samples.


3.   To achieve a high level of harmonisation of the survey results across countries, the Commission (Eurostat) shall, in close cooperation with Member States, propose methodological and practical recommendations and guidelines on sampling and the implementation of the survey. These recommendations and guidelines will be set out in a ‘European Health Interview Survey Manual’, which will include a model questionnaire.


4.   The precision requirements shall be as set out in Annex II. Weighting factors shall be calculated to take into account the units' 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.



Article 4

Reference population


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. In addition, some 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.



Article 5

Data collection period


1.   Data shall be collected in 2019.


2.   The collection of data shall be spread over at least 3 months including at least 1 month of the period from September to December.



Article 6

Provision of microdata to the Commission (Eurostat)


1.   Member States shall transmit the pre-checked microdata (without direct identification and including weighting factors) required by this Regulation in accordance with a data exchange standard set out by the Commission (Eurostat). The data shall be provided to Eurostat through the single entry point to enable the Commission (Eurostat) to retrieve the data by electronic means.


2.   Member States shall transmit the pre-checked microdata within 9 months after the end of the national period for collecting the data.



Article 7

Provision of reference metadata to the Commission (Eurostat)


1.   The quality-related reference metadata shall be provided according to the European Statistical System standard specified by the Commission (Eurostat) and agreed with the Member States.


2.   Member States shall transmit the quality-related reference metadata required by this Regulation in accordance with a metadata exchange standard set out by the Commission (Eurostat). The data shall be provided to Eurostat through the single entry point to enable the Commission (Eurostat) to retrieve the data by electronic means.


3.   Member States shall provide those metadata to the Commission (Eurostat) not later than 3 months after transmission of the pre-checked microdata.



Article 8

Entry into force

This Regulation shall enter into force on the twentieth day following that of its publication in the Official Journal of the European Union.




This Regulation shall be binding in its entirety and directly applicable in all Member States.
Done at Brussels, 19 February 2018.


For the Commission


The President

Jean-Claude JUNCKER
            





(1)  
            OJ L 354, 31.12.2008, p. 70.

(2)  Regulation (EC) No 223/2009 of the European Parliament and of the Council of 11 March 2009 on European statistics (OJ L 87, 31.3.2009, p. 164).

(3)  Regulation (EC) No 45/2001 of the European Parliament and of the Council of 18 December 2000 on the protection of individuals with regard to the processing of personal data by the Community institutions and bodies and on the free movement of such data (OJ L 8, 12.1.2001, p. 1).




ANNEX I

Microdata to be submitted to the Commission (Eurostat)









Variable code


Variable name


Categories


Filter





TECHNICAL SURVEY VARIABLES






PID


Identification number of respondent


10-digit number


Everybody




HHID


Identification number of household


10-digit number
Not stated


Everybody




PRIMSTRAT


Primary strata as used in the selection of the sample


4-digit number
Not applicable (no stratification)


Everybody




SU


Primary sampling units as used in the selection of the sample


4-digit number
Not applicable (no multistage sampling)


Everybody




WGT


Final individual weight


8-digit number


Everybody




WGT_SPEC


Final special individual weight


8-digit number
Not stated


Everybody




PROXY


Was the selected person interviewed or someone else (proxy interview)


Person himself/herself
Other member of the household
Someone else outside the household


Everybody




REFDATE


Reference date of the interview


8-digit number (YYYYMMDD)


Everybody




INTMETHOD


Data collection method used


Self-administered, postal non-electronic version
Self-administered, postal electronic version
(email)
Self-administered, web questionnaire
Face-to-face interview, non-electronic version
Face-to-face interview, electronic version
Telephone interview, non-electronic version
Telephone interview, electronic version
Web personal interview
Mixed mode collection


Everybody




INTLANG


Language used for interview


3-digit codes (Standard Code List Eurostat)
Not stated


Everybody





BACKGROUND VARIABLES






SEX


Sex of respondent


Male
Female


Everybody




YEARBIRTH


Year of birth of respondent


4-digit number (YYYY)


Everybody




PASSBIRTH


Passing of respondent's birthday on the day of the interview


Yes
No


Everybody




COUNTRY


Country of residence


Country code (SCL GEO code)


Everybody




REGION


Region of residence


2-digit code according to NUTS 2 regional level (2 digits following the country code)
Not stated


Everybody




DEG_URB


Degree of urbanisation


Cities
Towns and suburbs
Rural areas
Not stated


Everybody




BIRTHPLACE


Country of birth


Country code (SCL GEO code)
Not stated


Everybody




CITIZEN


Country of main citizenship


Country code (SCL GEO code)
Stateless
Not stated


Everybody




BIRHTPLACEFATH


Country of birth of father


Country code (SCL GEO code)
Not stated


Everybody




BIRTHPLACEMOTH


Country of birth of mother


Country code (SCL GEO code)
Not stated


Everybody




HATLEVEL


Educational attainment level (highest level of education successfully completed)


Based on ISCED-2011 classification, ISCED-A codes
No formal education or below ISCED 1
ISCED 1 Primary education
ISCED 2 Lower secondary education
ISCED 3 Upper secondary education
ISCED 4 Post-secondary non-tertiary education
ISCED 5 Short-cycle tertiary education
ISCED 6 Bachelor's or equivalent level
ISCED 7 Master's or equivalent level
ISCED 8 Doctoral or equivalent level
Not stated


Everybody




MAINSTAT


Main activity status (self-defined)


Employed
Unemployed
Retired
Unable to work due to long-standing health problems
Student, pupil
Fulfilling domestic tasks
Compulsory military or civilian service
Other
Not stated


Everybody




FT_PT


Full- or part-time main job (self-defined)


Full-time job
Part-time job
Not stated
Not applicable


MAINSTAT = Employed




JOBSTAT


Status in employment in main job


Self-employed person with employees
Self-employed person without employees
Employee
Family worker (unpaid)
Not stated
Not applicable


MAINSTAT = Employed




JOBISCO


Occupation in main job


ISCO-08 at 2-digit level
Not stated
Not applicable


MAINSTAT = Employed




LOCNACE


Economic activity of the local unit for main job (economic sector)


NACE Rev. 2 at 1-digit level
Not stated
Not applicable


MAINSTAT = Employed




PARTNERS


Partners living in the same household


Person living with a legal or de facto partner
Person not living with a legal or de facto partner
Not stated
Not applicable


Everybody




MARSTALEGAL


Legal marital status


Never married and never been in a registered partnership
Married or in a registered partnership
Widowed or in registered partnership that ended with death of partner (not remarried or in new registered partnership)
Divorced or in registered partnership that was legally dissolved (not remarried or in new registered partnership)
Not stated


Everybody




HHNBPERS


Household size


Number of members of the household
Not stated


Everybody




HHNBPERS_0_13


Number of persons aged 13 or younger


Number
Not stated


Everybody




HHTYPE


Household type


One-person household
Lone parent with at least one child aged less than 25
Lone parent with all children aged 25 or more
Couple without any children
Couple with at least one child aged less than 25
Couple with all children aged 25 or more
Other type of household
Not stated


Everybody




HHINCOME


Net monthly equivalised income of the household


1st income quintile group
2nd income quintile group
3rd income quintile group
4th income quintile group
5th income quintile group
Not stated


Everybody





HEALTH VARIABLES







Health status








Minimum European Health Module







HS1


Self-perceived general health


Very good
Good
Fair (neither good nor bad)
Bad
Very bad
Not stated


Everybody




HS2


Long-standing health problem


Yes
No
Not stated


Everybody




HS3


Limitation in activities because of health problems


Severely limited
Limited but not severely
Not limited at all
Not stated


Everybody






Diseases and chronic conditions







CD1A


Having asthma in the past 12 months (allergic asthma included)


Yes
No
Not stated


Everybody




CD1B


Having chronic bronchitis, chronic obstructive pulmonary disease or emphysema in the past 12 months


Yes
No
Not stated


Everybody




CD1C


Having a myocardial infarction (heart attack) or chronic consequences of myocardial infarction in the past 12 months


Yes
No
Not stated


Everybody




CD1D


Having a coronary heart disease or angina pectoris in the past 12 months


Yes
No
Not stated


Everybody




CD1E


Having high blood pressure in the past 12 months


Yes
No
Not stated


Everybody




CD1F


Having a stroke (cerebral haemorrhage, cerebral thrombosis) or chronic consequences of stroke in the past 12 months


Yes
No
Not stated


Everybody




CD1G


Having arthrosis (arthritis excluded) in the past 12 months


Yes
No
Not stated


Everybody




CD1H


Having a low back disorder or other chronic back defect in the past 12 months


Yes
No
Not stated


Everybody




CD1I


Having a neck disorder or other chronic neck defect in the past 12 months


Yes
No
Not stated


Everybody




CD1J


Having diabetes in the past 12 months


Yes
No
Not stated


Everybody




CD1K


Having an allergy, such as rhinitis, eye inflammation, dermatitis, food allergy or other (allergic asthma excluded) in the past 12 months


Yes
No
Not stated


Everybody




CD1L


Having cirrhosis of the liver in the past 12 months


Yes
No
Not stated


Everybody




CD1M


Having urinary incontinence, problems in controlling the bladder in the past 12 months


Yes
No
Not stated


Everybody




CD1N


Having kidney problems in the past 12 months


Yes
No
Not stated


Everybody




CD1O


Having depression in the past 12 months


Yes
No
Not stated


Everybody




CD1P


Having high blood lipids in the past 12 months


Yes
No
Not stated


Everybody




CD2


Self-perceived general oral health


Very good
Good
Fair (neither good nor bad)
Bad
Very bad
Not stated


Everybody






Accidents and injuries







AC1A


Occurrence of a road traffic accident in the past 12 months


Yes
No
Not stated


Everybody




AC1B


Occurrence of an accident at home in the past 12 months


Yes
No
Not stated


Everybody




AC1C


Occurrence of a leisure accident in the past 12 months


Yes
No
Not stated


Everybody




AC2


Most serious medical care intervention for the most serious accident in the past 12 months


Admission to a hospital or any other health facility
A doctor or nurse
No intervention was needed
Not stated
Not applicable


if
AC1A = Yes or
AC1B = Yes or
AC1C = Yes






Absence from work (due to health problems)







AW1


Absent from work due to personal health problems in the past 12 months


Yes
No
Not stated
Not applicable


if MAINSTAT = Employed




AW2


Number of days of absence from work due to personal health problems in the past 12 months


Number of days
Not stated
Not applicable


if AW1 = Yes






Functional limitations







PL1


Wearing glasses or contact lenses


Yes
No
Blind or cannot see at all
Not stated


Everybody




PL2


Difficulty in seeing, even when wearing glasses or contact lenses


No difficulty
Some difficulty
A lot of difficulty
Cannot do at all/Unable to do
Not stated
Not applicable


If PL1 = Yes or No or Not stated




PL3


Use of a hearing aid


Yes
No
Profoundly deaf
Not stated


Everybody




PL4


Difficulty in hearing what is said in a conversation with one other person in a quiet room even when using a hearing aid


No difficulty
Some difficulty
A lot of difficulty
Cannot do at all/Unable to do
Not stated
Not applicable


If PL3 = Yes or No or Not stated




PL5


Difficulty in hearing what is said in a conversation with one other person in a noisier room even when using a hearing aid


No difficulty
Some difficulty
A lot of difficulty
Cannot do at all/Unable to do
Not stated
Not applicable


If PL3 = Yes or No or Not stated




PL6


Difficulty in walking half a km on level ground without the use of any aid


No difficulty
Some difficulty
A lot of difficulty
Cannot do at all/Unable to do
Not stated


Everybody




PL7


Difficulty in walking up or down 12 steps


No difficulty
Some difficulty
A lot of difficulty
Cannot do at all/Unable to do
Not stated


Everybody




PL8


Difficulty in remembering or concentrating


No difficulty
Some difficulty
A lot of difficulty
Cannot do at all/Unable to do
Not stated


Everybody




PL9


Difficulty biting and chewing on hard foods


No difficulty
Some difficulty
A lot of difficulty
Cannot do at all/Unable to do
Not stated
Not applicable


if AGE (1) ≥ 55






Personal care activities







PC1A


Difficulty in feeding yourself


No difficulty
Some difficulty
A lot of difficulty
Cannot do at all/Unable to do
Not stated
Not applicable


if AGE ≥ 55




PC1B


Difficulty in getting in and out of a bed or chair


No difficulty
Some difficulty
A lot of difficulty
Cannot do at all/Unable to do
Not stated
Not applicable


if AGE ≥ 55




PC1C


Difficulty in dressing and undressing


No difficulty
Some difficulty
A lot of difficulty
Cannot do at all/Unable to do
Not stated
Not applicable


if AGE ≥ 55




PC1D


Difficulty in using toilets


No difficulty
Some difficulty
A lot of difficulty
Cannot do at all/Unable to do
Not stated
Not applicable


if AGE ≥ 55




PC1E


Difficulty in bathing or showering


No difficulty
Some difficulty
A lot of difficulty
Cannot do at all/Unable to do
Not stated
Not applicable


if AGE ≥ 55




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


Yes, with at least one activity
No
Not stated
Not applicable


if (AGE ≥ 55) and
{PC1A ≠ No difficulty
or PC1B ≠ No difficulty
or PC1C ≠ No difficulty
or PC1D ≠ No difficulty
or PC1E ≠ No difficulty}




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


Yes, with at least one activity
No
Not stated
Not applicable


if (AGE ≥ 55) and
{PC1A ≠ No difficulty
or PC1B ≠ No difficulty
or PC1C ≠ No difficulty
or PC1D ≠ No difficulty
or PC1E ≠ No difficulty}






Household activities







HA1A


Difficulty in preparing meals


No difficulty
Some difficulty
A lot of difficulty
Cannot do at all/Unable to do
Not applicable (never tried it or do not need to do it)
Not stated
Not applicable


if AGE ≥ 55




HA1B


Difficulty in using the telephone


No difficulty
Some difficulty
A lot of difficulty
Cannot do at all/Unable to do
Not applicable (never tried it or do not need to do it)
Not stated
Not applicable


if AGE ≥ 55




HA1C


Difficulty to do shopping


No difficulty
Some difficulty
A lot of difficulty
Cannot do at all/Unable to do
Not applicable (never tried it or do not need to do it)
Not stated
Not applicable


if AGE ≥ 55




HA1D


Difficulty in managing medication


No difficulty
Some difficulty
A lot of difficulty
Cannot do at all/Unable to do
Not applicable (never tried it or do not need to do it)
Not stated
Not applicable


if AGE ≥ 55




HA1E


Difficulty in doing light housework


No difficulty
Some difficulty
A lot of difficulty
Cannot do at all/Unable to do
Not applicable (never tried it or do not need to do it)
Not stated
Not applicable


if AGE ≥ 55




HA1F


Difficulty in doing occasional heavy housework


No difficulty
Some difficulty
A lot of difficulty
Cannot do at all/Unable to do
Not applicable (never tried it or do not need to do it)
Not stated
Not applicable


if AGE ≥ 55




HA1G


Difficulty in taking care of finances and everyday administrative tasks


No difficulty
Some difficulty
A lot of difficulty
Cannot do at all/Unable to do
Not applicable (never tried it or do not need to do it)
Not stated
Not applicable


if AGE ≥ 55




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


Yes, with at least one activity
No
Not stated
Not applicable


if (AGE ≥ 55) and
{HA1A ≠ No difficulty
or HA1B ≠ No difficulty
or HA1C ≠ No difficulty
or HA1D ≠ No difficulty
or HA1E ≠ No difficulty
or HA1F ≠ No difficulty
or HA1G ≠ No difficulty}




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


Yes, with at least one activity
No
Not stated
Not applicable


if (AGE ≥ 55) and
{HA1A ≠ No difficulty
or HA1B ≠ No difficulty
or HA1C ≠ No difficulty
or HA1D ≠ No difficulty
or HA1E ≠ No difficulty
or HA1F ≠ No difficulty
or HA1G ≠ No difficulty}






Pain







PN1


Intensity of bodily pain during the past 4 weeks


None
Very mild
Mild
Moderate
Severe
Very severe
Not stated


Everybody




PN2


Extent that pain interfered with normal work during the past 4 weeks (including both work outside the home and housework)


Not at all
A little bit
Moderately
Quite a bit
Extremely
Not stated


Everybody






Mental health







MH1A


Extent of having little interest or pleasure in doing things over the last 2 weeks


Not at all
Several days
More than half the days
Nearly every day
Not stated


Everybody




MH1B


Extent of feeling down, depressed or hopeless over the last 2 weeks


Not at all
Several days
More than half the days
Nearly every day
Not stated


Everybody




MH1C


Extent of having trouble falling or staying asleep, or sleeping too much over the last 2 weeks


Not at all
Several days
More than half the days
Nearly every day
Not stated


Everybody




MH1D


Extent of feeling tired or having little energy over the last 2 weeks


Not at all
Several days
More than half the days
Nearly every day
Not stated


Everybody




MH1E


Extent of having poor appetite or overeating over the last 2 weeks


Not at all
Several days
More than half the days
Nearly every day
Not stated


Everybody




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


Not at all
Several days
More than half the days
Nearly every day
Not stated


Everybody




MH1G


Extent of having trouble concentrating on things, such as reading the newspaper or watching television, over the last 2 weeks


Not at all
Several days
More than half the days
Nearly every day
Not stated


Everybody




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


Not at all
Several days
More than half the days
Nearly every day
Not stated


Everybody





Healthcare








Use of inpatient and day care







HO12


Number of nights spent as a patient in a hospital in the past 12 months


Number
Not stated


Everybody




HO34


Number of times admitted as a day patient in a hospital in the past 12 months


Number
Not stated


Everybody






Use of ambulatory and home care







AM1


Last time of a visit to a dentist or orthodontist (for personal treatment)


Less than 6 months ago
6 to 12 months ago
12 months ago or longer
Never
Not stated


Everybody




AM2


Last time of a consultation of a general practitioner or family doctor (for personal treatment)


Less than 12 months ago
12 months ago or longer
Never
Not stated


Everybody




AM3


Number of consultations of a general practitioner or family doctor during the past four weeks (for personal treatment)


Number
Not stated
Not applicable


If AM2 = Less than 12 months ago




AM4


Last time of a consultation of a medical or surgical specialist (for personal treatment)


Less than 12 months ago
12 months ago or longer
Never
Not stated


Everybody




AM5


Number of consultations of a medical or surgical specialist during the past four weeks (for personal treatment)


Number
Not stated
Not applicable


If AM4 = Less than 12 months ago




AM6A


Consultation of a physiotherapist or kinesitherapist in the past 12 months


Yes
No
Not stated


Everybody




AM6B


Consultation of a psychologist, psychotherapist or psychiatrist in the past 12 months


Yes
No
Not stated


Everybody




AM7


Use of any home care services for personal needs during the past 12 months


Yes
No
Not stated


Everybody






Medicine use







MD1


Use of any medicines prescribed by a doctor during the past two weeks (excluding contraception)


Yes
No
Not stated


Everybody




MD2


Use of any medicines, herbal medicines or vitamins not prescribed by a doctor during the past two weeks (excluding contraception)


Yes
No
Not stated


Everybody






Preventive services







PA1


Last time of vaccination against flu


Year and month (YYYYMM)
Too long ago (before the previous calendar year)
Never
Not stated


Everybody




PA2


Last time of blood pressure measurement by a health professional


Within the past 12 months
1 to less than 3 years
3 to less than 5 years
5 years or more
Never
Not stated


Everybody




PA3


Last time of blood cholesterol measurement by a health professional


Within the past 12 months
1 to less than 3 years
3 to less than 5 years
5 years or more
Never
Not stated


Everybody




PA4


Last time of blood sugar measurement by a health professional


Within the past 12 months
1 to less than 3 years
3 to less than 5 years
5 years or more
Never
Not stated


Everybody




PA5


Last time of a faecal occult blood test


Within the past 12 months
1 to less than 2 years
2 to less than 3 years
3 years or more
Never
Not stated


Everybody




PA6


Last time of a colonoscopy


Within the past 12 months
1 to less than 5 years
5 to less than 10 years
10 years or more
Never
Not stated


Everybody




PA7


Last time of a mammography (breast X-ray)


Within the past 12 months
1 to less than 2 years
2 to less than 3 years
3 years or more
Never
Not stated
Not applicable


If SEX = Female




PA8


Last time of a cervical smear test


Within the past 12 months
1 to less than 2 years
2 to less than 3 years
3 years or more
Never
Not stated
Not applicable


If SEX = Female






Unmet needs for healthcare







UN1A


Unmet need for healthcare in the past 12 months due to long waiting list(s)


Yes
No
No need for healthcare
Not stated


Everybody




UN1B


Unmet need for healthcare in the past 12 months due to distance or transportation problems


Yes
No
No need for healthcare
Not stated


Everybody




UN2A


Could not afford medical examination or treatment in the past 12 months


Yes
No
No need
Not stated


Everybody




UN2B


Could not afford dental examination or treatment in the past 12 months


Yes
No
No need
Not stated


Everybody




UN2C


Could not afford prescribed medicines in the past 12 months


Yes
No
No need
Not stated


Everybody




UN2D


Could not afford mental healthcare (by a psychologist, psychotherapist or psychiatrist for example) in the past 12 months


Yes
No
No need
Not stated


Everybody





Health determinants








Weight and height







BM1


Height without shoes


Number in cm
Not stated


Everybody




BM2


Weight without clothes and shoes


Number in kg
Not stated


Everybody






Physical activity







PE1


Physical effort of working tasks (both paid and unpaid work activities included)


Mostly sitting or standing
Mostly walking or tasks of moderate physical effort
Mostly heavy labour or physically demanding work
Not performing any working tasks
Not stated


Everybody




PE2


Number of days in a typical week walking to get to and from places at least 10 minutes continuously


Number of days
I never carry out such physical activities
Not stated


Everybody




PE3


Time spent on walking to get to and from places on a typical day


10-29 minutes per day
30-59 minutes per day
1 hour to less than 2 hours per day
2 hours to less than 3 hours per day
3 hours or more per day
Not stated
Not applicable


if PE2 ≠ I never carry out such physical activities




PE4


Number of days in a typical week bicycling to get to and from places at least 10 minutes continuously.


Number of days
I never carry out such physical activities
Not stated


Everybody




PE5


Time spent on bicycling to get to and from places on a typical day


10-29 minutes per day
30-59 minutes per day
1 hour to less than 2 hours per day
2 hours to less than 3 hours per day
3 hours or more per day
Not stated
Not applicable


if PE4 ≠ I never carry out such physical activities




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


Number of days
I never carry out such physical activities
Not stated


Everybody




PE7


Time spent on doing sports, fitness or recreational (leisure) physical activities in a typical week


Hours and minutes (HHMM)
Not stated
Not applicable


if PE6 ≠ I never carry out such physical activities




PE8


Number of days in a typical week doing muscle-strengthening activities


Number of days
I never carry out such physical activities
Not stated


Everybody




PE9


Time spent sitting on a typical day


Hours and minutes (HHMM)
Not stated


Everybody






Dietary habits







DH1


Frequency of eating fruit, excluding juice


Once or more a day
4 to 6 times a week
1 to 3 times a week
Less than once a week
Never
Not stated


Everybody




DH2


Number of portions of fruit a day, excluding juice


Number
Not stated
Not applicable


if DH1 = Once or more a day




DH3


Frequency of eating vegetables or salad, excluding juice and potatoes


Once or more a day
4 to 6 times a week
1 to 3 times a week
Less than once a week
Never
Not stated


Everybody




DH4


Number of portions of vegetables or salad, excluding juice and potatoes a day


Number
Not stated
Not applicable


if DH3 = Once or more a day




DH5


Frequency of drinking pure fruit or vegetable juice


Once or more a day
4 to 6 times a week
1 to 3 times a week
Less than once a week
Never
Not stated


Everybody




DH6


Frequency of drinking sugar-sweetened soft drinks


Once or more a day
4 to 6 times a week
1 to 3 times a week
Less than once a week
Never
Not stated


Everybody






Smoking







SK1


Type of current tobacco smoking behaviour


Daily smoking
Occasional smoking
No smoking
Not stated


Everybody




SK2


Average number of cigarettes a day


Number
Not stated
Not applicable


if SK1 = Daily smoking




SK3


Former daily tobacco smoking


Yes
No
Not stated
Not applicable


if SK1 = Occasional smoking or No smoking or Not stated




SK4


Number of years of daily tobacco smoking


Number
Not stated
Not applicable


if SK1 = Daily smoking
or
{(SK1 = Occasional smoking
or No smoking
or Not stated)
and SK3 = Yes}




SK5


Frequency of exposure to tobacco smoke indoors


Every day, 1 hour or more a day
Every day, less than 1 hour per day
At least once a week (but not every day)
Less than once a week
Never or almost never
Not stated


Everybody




SK6


Type of electronic cigarettes or similar electronic devices use


Daily vaping
Occasional vaping
Former vaping
Never vaping
Not stated


Everybody






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


Every day or almost
5 - 6 days a week
3 - 4 days a week
1 - 2 days a week
2 - 3 days in a month
Once a month
Less than once a month
Not in the past 12 months, as I no longer drink alcohol
Never, or only a few sips or tries, in my whole life
Not stated


Everybody




AL2


Frequency of consumption of an alcoholic drink for Monday-Thursday


On all 4 days
On 3 of the 4 days
On 2 of the 4 days
On 1 of the 4 days
On none of the 4 days
Not stated
Not applicable


if AL1 =
Every day or almost
or 5 - 6 days a week
or 3 - 4 days a week
or 1 - 2 days a week




AL3


Number of alcoholic (standard) drinks on average on one of the days (Monday to Thursday)


16 or more drinks a day
10 - 15 drinks a day
6 - 9 drinks a day
4 - 5 drinks a day
3 drinks a day
2 drinks a day
1 drink a day
0 drink a day
Not stated
Not applicable


If (AL1 =
Every day or almost
or 5 - 6 days a week
or 3 - 4 days a week
or 1 - 2 days a week)
and
(AL2 = On all 4 days
or On 3 of the 4 days
or On 2 of the 4 days
or On 1 of the 4 days)




AL4


Frequency of consumption of an alcoholic drink for Friday-Sunday


On all 3 days
On 2 of the 3 days
On 1 of the 3 days
On none of the 3 days
Not stated
Not applicable


if AL1 =
Every day or almost
or 5 - 6 days a week
or 3 - 4 days a week
or 1 - 2 days a week




AL5


Number of alcoholic (standard) drinks on average on one of the days (Friday-Sunday)


16 or more drinks a day
10 - 15 drinks a day
6 - 9 drinks a day
4 - 5 drinks a day
3 drinks a day
2 drinks a day
1 drink a day
0 drink a day
Not stated
Not applicable


if (AL1 =
Every day or almost
or 5 - 6 days a week
or 3 - 4 days a week
or 1 - 2 days a week)
and
(AL4 = On all 3 days
or On 2 of the 3 days
or On 1 of the 3 days)




AL6


Frequency of risky single-occasion drinking (equivalent of 60 g of pure ethanol or more) during the past 12 months


Every day or almost
5 - 6 days a week
3 - 4 days a week
1 - 2 days a week
2 - 3 days in a month
Once a month
Less than once a month
Not in the past 12 months
Never in my whole life
Not stated
Not applicable


if AL1 =
Every day or almost
or 5 - 6 days a week
or 3 - 4 days a week
or 1 - 2 days a week
or 2 - 3 days in a month
or Once a month
or Less than once a month






Social support







SS1


Number of close people to count on in case of serious personal problems


None
1 or 2
3 to 5
6 or more
Not stated


Everybody




SS2


Degree of concern shown by other people in what the person is doing


A lot of concern and interest
Some concern and interest
Uncertain
Little concern and interest
No concern and interest
Not stated


Everybody




SS3


How easy is it to get practical help from neighbours in case of need


Very easy
Easy
Possible
Difficult
Very difficult
Not stated


Everybody






Provision of informal care or assistance







IC1


Providing care or assistance to one or more persons suffering from some age problem, chronic health condition or infirmity, at least once a week (professional activities excluded)


Yes
No
Not stated


Everybody




IC2


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


Member(s) of respondent's family
Non-member(s) of respondent's family
Not stated
Not applicable


if IC1 = Yes




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


Less than 10 hours per week
At least 10 but less than 20 hours per week
20 hours per week or more
Not stated
Not applicable


if IC1 = Yes






(1)  AGE refers to age of respondent in completed years.





ANNEX II

Precision requirements









1.


Precision requirements for all data sets are expressed in standard errors and are defined as continuous functions of the actual estimates and of the size of the statistical population in a country.












2.


The estimated standard error of a particular estimate

shall not be bigger than the following amount:

















3.


The function f(N) shall have the form of 

.












4.


The following values for parameters N, a and b shall be used:















N


a


b




Percentage of population severely limited in usual activities because of health problems (age 15 years or over)


Country population aged 15 years or over residing in private households, in million persons and rounded to 3 decimal digits


1 200 


2 800 













ANNEX III

National territories that are excluded from the survey







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




United Kingdom


Scotland north of the Caledonian Canal, the Scilly Islands