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Health Survey for England, 2003

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Title details

SN: 5098
Title: Health Survey for England, 2003
Persistent identifier: 10.5255/UKDA-SN-5098-1
Series: Health Survey for England, 1991-
Depositor(s): NatCen
Principal investigator(s): National Centre for Social Research
University College London. Department of Epidemiology and Public Health
Sponsor(s): Department of Health
Other acknowledgements: P ; 2327

Subject Categories

Health Survey for England - Major studies
General - Health
Nutrition - Health
Physical fitness and exercise - Health
Health services and medical care - Health

Abstract

The Health Survey for England (HSE) series is designed to monitor trends in the nation's health. The study provides regular information that cannot be obtained from other sources on a range of aspects concerning the public's health and many of the factors that affect health. The aims of the series are:
  • to provide annual data about the nation's health
  • to estimate the proportion of people in England with specified health conditions
  • to estimate the prevalence of certain risk factors associated with these conditions
  • to examine differences between population subgroups in their likelihood of having specific conditions or risk factors
  • to assess the frequency with which particular combinations of risk factors are found, and which groups these combinations most commonly occur
  • to monitor progress towards selected health targets
  • since 1995, to measure the height of children at different ages, replacing the National Study of Health and Growth, and to monitor the prevalence of overweight and obesity in children
The survey focuses on different health issues each year, although a number of core questions are included every year. Topics are revisited at appropriate intervals in order to monitor change:
  • in 1991, 1992, 1993, 1994, 1998, 2003, 2006 and 2011, the survey focused on cardiovascular disease and associated risk factors
  • in 1995 and 1996, the major focus of the survey was atopic disease (including asthma and eczema), accidents and disability
  • in 1997 the survey report focused on the health of young people aged 2-24 years, and combined data (in report format only) from the 1995-1997 surveys
  • in 1999 and again in 2004, the focus was on the health of minority ethnic groups. The boost sample was designed solely to yield additional interviews with members of the most populous minority ethnic groups: Black Caribbean, Black African (covered in 2004 only), Indian, Pakistani, Bangladeshi, Chinese and Irish
  • in 2000 and 2005, the survey focused on the health of older people; the HSE 2000 included a sample of care home residents, whereas HSE 2005 included a boost sample of people aged 65 and over resident in private households
  • the 2001 survey included for the first time questions on fruit and vegetable consumption
  • the 2002 survey focused on children, young people and maternal health, and included a boost sample of young people aged 0 to 24 years and mothers of infants aged under one year
  • the 2007 survey focused on knowledge and attitudes towards key aspects of lifestyle, and monitoring any impact from the 2007 smokefree legislation
  • the 2008 survey primary focus was physical activity and fitness
  • the 2009 survey focused on long-term health conditions and self-assessed general health. In addition it looked at the effectiveness and use of personal care plans
  • the 2010 survey focused on respiratory disease and lung function, with additional questions on contraception and sexual health, well-being, kidney disease and dental health
Further information about the series may be found on the Information Centre for Health and Social Care (search for 'Health Survey for England') and NatCen Social Research Health Survey for England web pages.

Three teaching datasets based on the HSE have been produced, all held at the UK Data Archive: SN 5033 Health Survey for England, 2002: Teaching Dataset; SN 6765 Health Survey for England, 2003-2005: Multilevel Modelling Teaching Dataset, and SN 6792 Health Survey for England, 2000-2001: Small Area Estimation Teaching Dataset.
The 2003 Health Survey for England (HSE03) consisted of a general population sample and was designed to provide data at both national and regional level about the population living in private households in England. All private households in the general population sample were eligible for inclusion in the survey (up to a maximum of three households per address). Up to two children aged 0-15 were interviewed in each household, as well as up to 10 adults aged 16 and over. Information was obtained directly from persons aged 13 and over. Information about children under 13 was obtained from a parent with the child present.

An interview with each eligible person was followed by a nurse visit both using computer-assisted interviewing. At one sixth of the selected addresses the nurse visit was extended to include additional procedures. The survey was conducted throughout the year to take into consideration seasonal differences.

For the second edition (April 2010), three new children's Body Mass Index (BMI) variables have been added to the individual data file (bmicat1, bmicat2, bmicat3). Further information is available in the documentation and on the Information Centre for Health and Social Care Health Survey for England web page.
Main Topics:
In 2003 the major focus of the survey was cardiovascular disease and related risk factors. Key modules covered cardiovascular disease (including questions about symptoms, diagnosed illness and use of services), and adult physical activity. Core questions covered smoking, drinking, psycho-social health (GHQ12), fruit and vegetable consumption, social support and social capital.

The nurse visit was split into two sample types, standard and long. The standard nurse visit collected blood pressure measurements, saliva samples, waist and hip measurements and non-fasting blood samples. At one sixth of the selected addresses the nurse visit was extended to include a fasting blood sample (from those aged 35 and over) and a spot urine sample (from adults aged 16 and over).

Standard Measures
  • General Health Questionnaire (GHQ12)

  • EQ-5D Health State.


    		•

    Coverage, universe, methodology

    Dates of fieldwork: January 2003, March 2004
    Country: England
    Spatial units: Health Authorities (England)
    Observation units: Individuals
    Kind of data: Numeric
    Universe: National
    Adults (aged 16 and over) and children (aged 0-15 years) living in private households in England in the year 2003.
    Time dimensions: Repeated cross-sectional study
    The survey is conducted annually.
    Sampling procedures: Multi-stage stratified random sample
    Number of units: 18,553 (productive individuals)
    Method of data collection: Face-to-face interview; Self-completion; Clinical measurements; Physical measurements
    CAPI
    Weighting: Non-response, child, household, interview and nurse weights used - see documentation for details

    Keywords

    ACCIDENTSAGEALCOHOL CONSUMPTION
    ALCOHOLIC DRINKSANTHROPOMETRIC DATAANXIETY
    ATTITUDESBEDROOMSCARDIOVASCULAR DISEASES
    CHILDRENCHRONIC ILLNESSCLINICAL TESTS AND MEASUREMENTS
    CLUBSCOMMUNITIESCONCENTRATION
    CONFECTIONERYCONTRACEPTIVE DEVICESCOOKING
    CRIMINAL DAMAGECULTURAL IDENTITYCYCLING
    DAIRY PRODUCTSDEBILITATIVE ILLNESSDEPRESSION
    DIABETESDIET AND NUTRITIONDISABILITIES
    ECONOMIC ACTIVITYEDIBLE FATSEDUCATIONAL BACKGROUND
    EMOTIONAL STATESEMPLOYEESEMPLOYMENT
    EMPLOYMENT HISTORYENGLANDETHNIC GROUPS
    EXERCISEFAMILIESFATHERS
    FOODFRIENDSFRUIT
    FURNISHED ACCOMMODATIONGARDENINGGENDER
    HAPPINESSHEADS OF HOUSEHOLDHEALTH
    HEALTH ADVICEHEALTH CONSULTATIONSHEALTH PROFESSIONALS
    HEALTH SERVICESHEART DISEASESHEIGHT (PHYSIOLOGY)
    HORMONE REPLACEMENT THERAPYHOSPITAL OUTPATIENT SERVICESHOSPITALIZATION
    HOUSEHOLD INCOMEHOUSEHOLDSHOUSEWORK
    HOUSING TENUREHUMAN SETTLEMENTILL HEALTH
    INDUSTRIESINFANTSINJURIES
    JOB HUNTINGLANDLORDSLEGUMES
    LOCAL COMMUNITY FACILITIESMARITAL STATUSMEAT
    MEDICAL DIETSMEDICAL PRESCRIPTIONSMEDICINAL DRUGS
    MEMBERSHIPMENSTRUATIONMENTAL HEALTH
    MILKMOTHERSMOTOR PROCESSES
    MOTOR VEHICLESMUSCULOSKELETAL SYSTEMNEIGHBOURS
    NURSESOCCUPATIONAL QUALIFICATIONSORGANIZATIONS
    PAINPARENT RESPONSIBILITYPASSIVE SMOKING
    PERSONAL PROTECTIVE GEARPHYSICAL ACTIVITIESPHYSICIANS
    PREGNANCYPRESERVED FOODSQUALIFICATIONS
    RENTED ACCOMMODATIONRESIDENTIAL MOBILITYRESPIRATORY TRACT DISEASES
    SAFETY EQUIPMENTSALTSAVOURY SNACKS
    SELF-EMPLOYEDSELF-ESTEEMSMOKING
    SMOKING CESSATIONSOCIAL CLASSSOCIAL NETWORKS
    SOCIAL PARTICIPATIONSOCIAL SECURITY BENEFITSSOCIAL SUPPORT
    SOCIO-ECONOMIC STATUSSPORTSTRESS (PSYCHOLOGICAL)
    SUPERVISORY STATUSSURGERYTIED HOUSING
    TOBACCOTOP MANAGEMENTTRUST
    UNFURNISHED ACCOMMODATIONVASCULAR DISEASESVEGETABLES
    VITAMINSWALKINGWEIGHT (PHYSIOLOGY)
    WORKING TIMEYOUTH

    Administrative and access information

    Date of release:
    First edition: 03 March 2005
    Latest edition: 27 April 2010 ( Edition 2 )
    Copyright: Crown copyright material is reproduced with the permission of the Controller of HMSO and the Queen's Printer for Scotland
    Access conditions: The depositor has specified that registration is required and standard conditions of use apply. The depositor may be informed about usage. See terms and conditions of access for further information.
    Availability: UK Data Service
    Contact: Get in touch

    Documentation

    TitleFile NameSize (KB)
    Data Documents 5098data.pdf 3806
    Interviewing Documents 5098interviewing.pdf 3915
    Supporting Documents 5098supportdocs.pdf 3476
    User Guide 5098userguide.pdf 340
    BMI Errata Note bmi_errata_note.pdf 144
    SOC2000 Code List soc2000.pdf 181
    Study information and citation UKDA_Study_5098_Information.htm 27
    READ File read5098.htm 11

    Related studies:

    Health Survey for England, 1991-1992 : Combined Data File (SN 3238)
    Health Survey for England, 1993 (SN 3316)
    Health Survey for England, 1994 (SN 3640)
    Health Survey for England, 1995 (SN 3796)
    Health Survey for England, 1996 (SN 3886)
    Health Survey for England, 1997 (SN 3979)
    Health Survey for England, 1998 (SN 4150)
    Health Survey for England, 1999 (SN 4365)
    Health Survey for England, 2000 (SN 4487)
    Health Survey for England, 2001 (SN 4628)
    Health Survey for England, 2002 (SN 4912)
    Health Survey for England, 2004 (SN 5439)
    Health Survey for England, 2005 (SN 5675)
    Health Survey for England, 2006 (SN 5809)
    Health Survey for England, 2007 (SN 6112)
    Health Survey for England, 2008 (SN 6397)
    Health Survey for England, 2009 (SN 6732)
    Health Survey for England, 2010 (SN 6986)
    Health Survey for England, 2011 (SN 7260)
    Health Survey for England, 2002: Teaching Dataset (SN 5033)
    English Longitudinal Study of Ageing: Waves 0-5, 1998-2011 (SN 5050)
    English Longitudinal Study of Ageing (ELSA); Wave 1, 2002-2003: Teaching Dataset (SN 5172)
    Health Survey for England, 2003-2005: Multilevel Modelling Teaching Dataset (SN 6765)
    Health Survey for England, 2000-2001: Small Area Estimation Teaching Dataset (SN 6792)
    Health Survey for England Time Series Dataset, 1991-2009 (SN 7025)

    Related case studies:

    Using government microdata to explore health

    Related support guides:

    Guide to Health Survey for England
    Weighting the Social Surveys
    Small area estimation using ESDS government surveys – an introductory guide

    Publications

    Please note, the inclusion of publications in this tab is temporary. Publications and outputs will be searchable using the publications filter in the near future.

    By principal investigator(s):
    Breeze, E., et al. (1994) Health Survey for England 1992, London: HMSO.

    Bennett, N., et al. (1995) Health Survey for England 1993, London: HMSO.

    Colhoun, H. and Prescott-Clarke, P. (eds.) (1996) Health Survey for England 1994, 2v. London: HMSO. ISBN 011 321 8958.

    Prescott-Clarke, P. and Primatesta, P. (eds.) (1997) Health Survey for England 1995, 2v. London: HMSO. ISBN 011 3220219.

    Prescott-Clarke, P. and Primatesta, P. (eds.) (1998) Health Survey for England 1996, 2v. London: HMSO. ISBN 011322091X.

    Prescott-Clarke, P. and Primatesta, P. (eds.) (1998) Health Survey for England: the health of young people '95-97 2 vols., London: The Stationery Office. ISBN 0113222661.

    Erens, B. and Primatesta, P. (eds.) (1999) Health Survey for England: cardiovascular disease '98, volumes I and II, London: The Stationery Office. ISBN 0113223072.

    Erens, B., Primatesta, P. and Prior, G. (eds.) (2000) Health Survey for England: the health of minority ethnic groups 1999, volumes I and II, London: The Stationery Office. ISBN 0113224486.

    Falaschetti, E., Malbut, K. and Primatesta P. (2002) Health Survey for England 2000: the general health of older people and their use of health services, London: The Stationery Office.

    Hirani, V. and Malbut, K. (2002) Health Survey for England 2000: disability among older people, London: The Stationery Office.

    Tait, C. and Fuller, E. (2002) Health Survey for England 2000: psychosocial well-being among older people, London: The Stationery Office.

    Bajekal, M. (2002) Health Survey for England 2000: care homes and their residents, London: The Stationery Office.

    Boreham, R., Stafford, M. and Taylor R. (2002) Health Survey for England 2000: social capital and health, London: The Stationery Office.

    Prior, G., et al. (2002) Health Survey for England 2000: methodology and documentation, London: The Stationery Office.

    Bajekal, M. and Purdon, S. (2002) Social capital and social exclusion: development of a condensed module for the Health Survey for England, London: The Stationery Office.

    Elam, G., McMunn, A. and Nazroo J. (2002) Feasibility study for health surveys among black African people living in England: final report - implications for the Health Survey for England 2003, London: The Stationery Office.

    Malbut K. and Falaschetti E. (2003) Health Survey for England 2001: non-fatal accidents, London: The Stationery Office.

    Bajekal M. and Prescott, A. (2003) Health Survey for England 2001: disability, London: The Stationery Office.

    Primatesta P. and Stamakatakis (2003) Health Survey for England 2001: respiratory symptoms, atopic conditions and lung function, London: The Stationery Office.

    Doyle M. and Hosfield N. (2003) Health Survey for England 2001: fruit and vegetable consumption, London: The Stationery Office.

    Prior G., et al. (2003) Health Survey for England 2001: methodology and documentation, London: The Stationery Office.

    Sproston, K. and Primatesta, P. (eds.) (2003) Health Survey for England 2002: volume 1: the health of children and young people, London: The Stationery Office.

    Sproston, K. and Primatesta, P. (eds.) (2003) Health Survey for England 2002: volume 2: maternal and infant health, London: The Stationery Office.

    Sproston, K. and Primatesta, P. (eds.) (2003) Health Survey for England 2002: volume 3: methodology and documentation, London: The Stationery Office.

    Sproston K. and Primatesta P. (eds.) (2004) Health Survey for England 2003 volume 1: cardiovascular disease, London: The Stationery Office.

    Sproston K. and Primatesta P. (eds.) (2004) Health Survey for England 2003 volume 2: risk factors for cardiovascular disease, London: The Stationery Office.

    Sproston K. and Primatesta P. (eds.) (2004) Health Survey for England 2003 volume 3: methodology and documentation, London: The Stationery Office.

    Publications based on the HSE may be found on the NHS Information Centre (a publications search will find reports and including trend tables) and the NatCen Social Research HSE webpages.

    Resulting from secondary analysis:

  • Search for Health Survey for England in ESDS Government publication search.


    • Murphy, M., Assessing the link between household and family living arrangements and health, (Paper presented at EAPS /Hacettepe University Seminar 'Morbidity and Mortality Data : Problems of Comparability', Crgup, Turkey, October 18-21, 1995).

    Ginn, J., Arber, S. and Cooper, H. (1998) 'Inequalities in older people's health behaviour : effects of structural factors and social relationships', Journal of Contemporary Health, 7, pp.77-82.

    Ukoumunne, O.K., et al. (1999) 'Methods for evaluating area-wide and organisation-based interventions in health and health care : a systematic review', Health Technology Assessment, 3(5), whole issue.

    Gulliford, M.C., Ukoumunne, O.C. and Chinn, S. (1999) 'Components of variance and intraclass correlations for the design of community-based surveys and intervention studies : data from the Health Survey for England 1994', American Journal of Epidemiology, 149(9), pp.876-883.

    Cooper, H., Ginn, J. and Arber, S. (1999) Health-related behaviour and attitudes of older people : secondary analysis of national datasets, London: HEA.

    Reilly, J.J. and Dorosty, A.R. (1999) 'Epidemic of obesity in UK children' , The Lancet, 354, pp.1874-1875.

    Bowling, A., et al. (1999) 'Short Form 36 (SF-36) Health Survey questionnaire: which normative data should be used? Comparisons between the norms provided by the Omnibus Survey in Britain, the Health Survey for England and the Oxford Healthy Life Survey', Journal of Public Health Medicine, 21(3), pp.255-270.

    Wills, W. and Grundy, E. Using data to research the food choice, family life and well-being of young people, paper presented at the British Sociological Association Youth Study Group conference on 11-12 July 2000, University of Surrey.

    Pevalin, D.J. (2000) 'Multiple applications of the GHQ-12 in a general population sample: an investigation of long-term retest effects', Social Psychiatry and Psychiatric Epidemiology, 35, pp.508-512.

    Gulliford, M. and Ukoumunne, O.C. (2001) 'Original communication: determinants of glycated haemoglobin in the general population: associations with diet, alcohol and cigarette smoking', European Journal of Clinical Nutrition, 55, pp.615-623.

    Phillips, M., Arber, S. and Ginn, J. (2001) 'Physical activity among men and women in midlife: variations by class and employment status', Education and Ageing, 16(2), pp.135-161.

    Bartlett, C.J., et al. (2002) 'Neurotic symptoms, stress or deprivation: which is most closely associated with incidence of suicide? An ecological study of English health authorities', Psychological Medicine, 32, pp.1131-1136 (brief communication).

    Marshall, T. and Rouse, A. (2002) 'Resource implications and health benefits of primary prevention strategies for cardiovascular disease in people aged 30 to 74: mathematical modelling study', British Medical Journal, 325, pp.197-199.

    Lalloo, R. (2003) 'Risk factors for major injuries to the face and teeth', Dental Traumatology, 19, pp.12-14.

    Lalloo, R. and Sheiham, A. (2003) 'Risk factors for childhood major and minor head and other injuries in a nationally representative sample', Injury, International Journal of the Care of the Injured, 34, pp.261-266.

    Wilson, S., et al. (2003) 'A comparison of methods to identify individuals at increased risk of coronary disease from the general population', British Medical Journal, vol.326, pp.1436-1438.

    Wilson, S., et al. (2003) 'Predicting coronary risk using the Joint British Chart', Journal of Cardiovascular Risk, 10(2), pp.137-141.

    Keimer, K.M. (2004) The medicalisation of childbirth - mapping out the complexity of a traditionally neutral concept, MSc Medical Sociology dissertation, Royal Holloway, University of London.

    Hann M. et al (2004) 'Prescribing patterns in high-need Health Authority populations: How does an ethnically mixed composition affect volume and cost?', Journal of Clinical Pharmacy and Therapeutics, 29(6), pp.537-546.

    Marshall, T. (2004) 'When measurements are misleading: modelling the effects of blood pressure misclassification in the English population', British Medical Journal, 328, p.933.

    Shields, M.A. and Wheatley Price, S. (2005) 'Exploring the economic and social determinants of psychological health and perceived social support in England', Journal of the Royal Statistical Society Series A, 168, pp.513-537.

    Marshall, T. (2005) 'How many antihypertensives do patients need to achieve a target blood pressure?', Journal of Human Hypertension, 19, pp.317-319.

    Marshall, T. (2005) 'Evaluating national guidelines for prevention of cardiovascular disease in primary care', Journal of Evaluation in Clinical Practice, 11, pp.452-461.

    Marshall, T. (2006) 'The cost-effectiveness of drug treatments for primary prevention of cardiovascular disease: a modelling study', European Journal of Cardiovascular Prevention and Rehabilitation, 13(4), pp.523-528.

    Marshall, T. (2006) 'The value of information: modelling the efficiency of strategies for identifying high-risk patients for primary prevention of cardiovascular disease', Informatics in Primary Care, 14, pp.85-92.

    Cavill, N. and Rolfe, L. (2006) Choosing health in the South East: physical activity, London: South East Public Health Observatory.

    Crowther, R. (2006) Choosing health in the South East: obesity, London: South East Public Health Observatory.

    Marshall T., Tennant R. and Harrison W.N. (2007) 'Estimating the proportion of young adults on antihypertensive treatment that have been correctly diagnosed' , Journal of Human Hypertension, 22, pp.96-101.

    Marshall, T. (2008) 'Identification of patients for clinical risk assessment by prediction of cardiovascular risk using default risk factor values', BMC Public Health, 8(25).

    Marshall, T. (2008) "Default" risk factor values for cardiovascular disease (CVD) (average values of Total Cholesterol, HDL cholesterol, Sytolic BP and Diastolic BP for categories of patients defined by age, sex, history of CVD, BP treatment status and smoking status). The default values, and a 'Risk and Benefit Calculator' are available at: http://www.pcpoh.bham.ac.uk/publichealth/cardiovascular/index.shtml (Retrieved December 17, 2008).

    Holman, N. (2010) APHO Diabetes Prevalence Model for England, York: Yorkshire and Humber Public Health Observatory (YHPHO). Retrieved October 22, 2010, from http://www.yhpho.org.uk/default.aspx?RID=81090.

    Holman, N. (2010) APHO Diabetes Prevalence Model for Scotland, York: Yorkshire and Humber Public Health Observatory (YHPHO). Retrieved October 22, 2010, from http://www.yhpho.org.uk/default.aspx?RID=81090.

    Holman, N. (2010) APHO Diabetes Prevalence Model for Wales, York: Yorkshire and Humber Public Health Observatory (YHPHO). Retrieved October 22, 2010, from http://www.yhpho.org.uk/default.aspx?RID=81090.

    Sassi, F. et al. (2009) The obesity epidemic: analysis of past and projected future trends in selected OECD countries, OECD Working Paper No. 45, Paris: OECD, March.

    Sassi, F. et al. (2009) Education and obesity in four OECD countries, OECD Working Paper No. 46, Paris: OECD, June.

    Sassi, F. et al. (2009) Improving lifestyles, tackling obesity: the health and economic impact of prevention strategies, OECD Working Paper No. 48, Paris: OECD, November.

    Sassi, F. et al. (2010) Obesity and the economics of prevention: fit not fat
    , OECD Working Paper, Paris: OECD, September. Retrieved December 21, 2010 from http://www.oecd.org/document/60/0,3343,en_2649_33929_45999775_1_1_1_1,00.html.

    Jordan, R.E, Cheung, K.K, Miller, M.R. and Adab, P. (2011) 'Passive smoking and chronic obstructive pulmonary disease: cross-sectional analysis of data from the Health Survey for England', BMJ Open, 2011;2:e000153. doi:10.1136/bmjopen-2011-000153

    Vogl M., Wenig C.M., Leidl R. and Pokhrel S. (19 March 2012) 'Smoking and health-related quality of life in English general population: implications for economic evaluation', BMC Public Health, 12:203. doi:10.1186/1471-2458-12-203


    The Institute of Alcohol Studies (IAS) has produced a 'Data Dictionary' covering summary information on UK-based survey series (including the HSE) that include any data on alcohol use. Further information and links to the dictionary documents may be found on the IAS Data Dictionary - Table of Contents web page.

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