UK Data Service data catalogue record for:

Health Survey for England, 2013

Title details

SN: 7649
Title: Health Survey for England, 2013
Alternative title: HSE
Persistent identifier: 10.5255/UKDA-SN-7649-1
Series: Health Survey for England [Health Survey for England, 1991-]
Depositor: NatCen Social Research
Principal investigator(s): NatCen Social Research
University College London. Department of Epidemiology and Public Health
Sponsor(s): Information Centre for Health and Social Care


The citation for this study is:

NatCen Social Research, University College London. Department of Epidemiology and Public Health. (2015). Health Survey for England, 2013. [data collection]. UK Data Service. SN: 7649,

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Subject Categories

Drug abuse, alcohol and smoking - Health
General - Health
Health services and medical care - Health
Mental health - Health
Nutrition - Health
Physical fitness and exercise - Health
Social attitudes and behaviour - Society and culture


Abstract copyright UK Data Service and data collection copyright owner.

The Health Survey for England is a series of surveys designed to monitor trends in the nation's health. It is commissioned by the Information Centre and carried out by the Joint Health Surveys Unit of the National Centre for Social Research and the Department of Epidemiology and Public Health at University College London.
  • The aims of the HSE 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 includes a number of core questions every year but also focuses on different health issues at each wave. Topics are revisited at appropriate intervals in order to monitor change.

Further information about the series may be found on the NHS Digital Health Survey for England; health, social care and lifestyles webpage, the NatCen Social Research NatCen Health Survey for England webpage and the University College London Health and Social Surveys Research Group UCL Health Survey for England webpage.

Changes to the HSE from 2015:
Users should note that from 2015 survey onwards, only the individual data file is available. The household data file is no longer released for analysis. In addition, users may see other changes; for example only grouped age is now available instead of single year of age. NHS Digital have issued the following statement on changes to the HSE from 2015:

"NHS Digital has recently reviewed how we manage access to survey datasets. In doing this we have sought to strike a balance between protecting the privacy of individuals and enabling maximum use of these valuable, publicly funded data collections. We have thoroughly reviewed our disclosure control measures, including taking advice from experts at the Office of National Statistics. The result is that additional disclosure control measures have been applied to the 2015 survey [onwards] to enable a suitable dataset to be made available through the UK Data Service via end user licence. This involved providing less detail on some aspects, such as geographical classifications, ethnicity and household relationships. To provide greater protection of the answers of children and adults within households it is not possible to identify people within the same household on this dataset."

It is hoped that a second dataset with more detail including family and household relationships will be made available via Special Licence. In the meantime, researchers who want to do analysis of health and behaviours within families or households are advised to register their interest for a more detailed dataset with NatCen Social Research and provide information about their proposed research and which data they want.

The focus for the HSE 2013 was social care. The survey also provided updates on core topics including smoking, drinking and general health. Additional non-core modules included eyesight, end of life care, shift work, average weekly alcohol consumption, well-being, and physical activity.

Main Topics:
Data collection involved an interview, followed by a visit from a specially trained nurse for all those in the core sample who agreed. The nurse visit covered clinical and anthropometric measures, blood, urine and saliva samples, and prescribed medications.

Question modules covered general health, longstanding illness, social care, doctor-diagnosed hypertension, diabetes, smoking, alcohol drinking (heaviest day in last week), consent to data linkage, and demographic characteristics. Additional topics included for 2013 were eyesight, end of life care, shift work, average weekly alcohol consumption, well-being, and physical activity.

Coverage, universe, methodology

Dates of fieldwork: January 2013 - December 2013
Country: England
Spatial units: Government Office Regions
Strategic Health Authorities
Observation units: Individuals
Kind of data: Numeric data
Individual (micro) level
Universe: National
Adults (aged 16 and over) and children (aged 0-15 years) in the general population, living in private households in England during 2013.
Time dimensions: Repeated cross-sectional study
The survey is conducted annually.
Sampling procedures: Multi-stage stratified random sample
Number of units: 10,980 cases (individual file), 12,818 cases (household file)
Method of data collection: Face-to-face interview; Self-completion; Clinical measurements; Diaries; Physical measurements
Weighting: Several types of weighting variable have been used. See User Guide for details.

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Administrative and access information

Date of release:
First edition: 26 January 2015
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


Title File Name Size (KB)
Changes to Lab Procedures in HSE 2010-2015 7649_hse2010-15_lab_procedures.pdf 457
Lists of Variables and Derived Variables 7649_hse2013_dataset_documents.pdf 2429
"Questionnaires, Showcards, Coding Frames and Consent Booklets" 7649_hse2013_interviewing_documents.pdf 3494
"Interviewer, Nurse, Coding, Measurement and Editing Instructions" 7649_hse2013_supporting_documents.pdf 3173
User Guide 7649_hse2013_userguide.pdf 666
Study information and citation UKDA_Study_7649_Information.htm 6
READ File read7649.htm 12
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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.

Latest publications and tables based on the HSE series may be found on the NHS Digital Health Survey for England webpage, the NatCen Social Research NatCen Health Survey for England webpages and the University College London Health and Social Surveys Research Group UCL Health Survey for England webpage.

Resulting from secondary analysis:
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: (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

Holman, N. (2010) APHO Diabetes Prevalence Model for Scotland, York: Yorkshire and Humber Public Health Observatory (YHPHO). Retrieved October 22, 2010, from

Holman, N. (2010) APHO Diabetes Prevalence Model for Wales, York: Yorkshire and Humber Public Health Observatory (YHPHO). Retrieved October 22, 2010, from

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,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

Ryan, C., Martin, D., McDonough, S., Leveille, S. and Kirwan, J. (2012) 'Chronic musculoskeletal pain and physical activity in older adults: A secondary analysis of the Health Survey for England 2008', Journal of Aging and Physical Activity, 20, pp. 247-8, Human Kinetics Publ. Inc.

Biro, A. (2013) 'Determinants of H1N1 vaccination uptake in England', Preventive Medicine, 57(2), pp.140-142. doi: 10.1016/j.ypmed.2013.04.017

Ryan, C.G., McDonough, S., Kirwan, J.P., Leveille, S. and Martin, D.J. (2013) 'An investigation of association between chronic musculoskeletal pain and cardiovascular disease in the Health Survey for England (2008)', European Journal of Pain, published online 24 October 2013, DOI: 10.1002/j.1532-2149.2013.00405.x

Baker J., Mitchell R., Lawson K., et al. (2013) 'Ethnic differences in the cost-effectiveness of targeted and mass screening for high cardiovascular risk in the UK: cross-sectional study', Heart, doi: 2013;10.1136/heartjnl-2013-304625

Baker J., Mitchell R. and Pell J. (2013) 'Cross-sectional study of ethnic differences in the utility of area deprivation measures to target socioeconomically deprived individuals', Social Science and Medicine, 85, pp.27-31.

Hardcastle, S.A., Gregson, C.L., Deere, K.C., Davey Smith, G., Dieppe, P. and Tobias, J.H. (2013) 'High bone mass is associated with an increased prevalence of joint replacement: a case control study', Rheumatology, 52, pp.1042-1051. doi:10.1093/rheumatology/kes411

Feng, J. He., Pombo-Rodrigues, S. and MacGregor, G.A. (2014) 'Salt reduction in England from 2003 to 2011: its relationship to blood pressure, stroke and ischaemic heart disease mortality', BMJOpen, 4:e004549. doi:10.1136/bmjopen-2013-004549

Miners, A. et al. (2014) 'Health-related quality-of-life of people with HIV in the era of combination antiretroviral treatment: a cross-sectional comparison with the general population', The Lancet HIV, doi:10.1016/S2352-3018(14)70018-9

McRonald, F.E., Yadegarfar, G., Baldwin, D.R., Devaraj, A., Brain, K.E., Eisen, T., Holemans, J.A., Ledson, M., Screaton, N., Rintoul, R.C., Hands, C.J., Lifford, K., Whynes, D., Kerr, K.M., Page, R., Parmar, M., Wald, N., Weller, D., Williamson, P.R., Myles, J., Hansell, D.M., Duffy, S.W. and Field, J.K. (2014) 'The UK Lung Screen (UKLS): demographic profile of first 88,897 approaches provides recommendations for population screening', Cancer Prevention Research, March, 7(3), pp. 362-71. (Used HSE 2010.)

MacLaughlin, H.L., Hall, W.L., Sanders, T.A.B and Macdougall, I.C. (2015) 'Risk for chronic kidney disease increases with obesity: Health Survey for England 2010', Public Health Nutrition (online first). doi:10.1017/S1368980015000488

OECD, (2015) Tackling harmful alcohol use, economics and public health policy, OECD Publishing. doi:10.1787/9789264181069-en

Devaux, M. and Sassi, F. (2015) Alcohol consumption and harmful drinking: trends and social disparities across OECD countries, OECD Health Working Paper No.79. doi:10.1787/18152015

MacInnes, T., Tinson, A., Gaffney, D., Horgan, G. and Baumberg, B. (2015) Disability, long-term conditions and poverty, 2015, New Policy Institute. Retrieved July 20, 2015 from:

Baumberg, B., Jones, M. and Wass, V. J. (2015) 'Disability prevalence and disability-related employment gaps in the UK 1998-2012: different trends in different surveys?', Social Science and Medicine, published online 13 July 2015. doi:10.1016/j.socscimed.2015.07.012

Jarvis, M.J. and Feyerabend, C. (2015) 'Recent trends in children's exposure to second-hand smoke in England: cotinine evidence from the Health Survey for England', Addiction, 110(9), pp.1484-1492.

Boehnke, J.R. and Croudace, T.J. (2015) 'Calibrating well-being, quality of life and common mental disorder items: psychometric epidemiology in public mental health research', British Journal of Psychiatry. DOI: 10.1192/bjp.bp.115.165530

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Scholes, S., Biddulph, J., Davis, A., et al. (2018) 'Socioeconomic differences in hearing among middle-aged and older adults: cross-sectional analyses using the Health Survey for England', BMJ Open, 8:e019615. doi:10.1136/bmjopen-2017-019615


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