The tables provide data for adults (defined as people aged 16 and over).

The tables are in Excel format and provide data to accompany each topic.

Abstract copyright UK Data Service and data collection copyright owner.

The Scottish Health Survey (SHeS) series was established in 1995. Commissioned by the Scottish Government Health Directorates, the series provides regular information on aspects of the public's health and factors related to health which cannot be obtained from other sources. The SHeS series was designed to:

• estimate the prevalence of particular health conditions in Scotland;
• estimate the prevalence of certain risk factors associated with these health conditions and to document the pattern of related health behaviours;
• look at differences between regions and between subgroups of the population in the extent of their having these particular health conditions or risk factors, and to make comparisons with other national statistics for Scotland and England;
• monitor trends in the population's health over time;
• make a major contribution to monitoring progress towards health targets.

Each survey in the series includes a set of core questions and measurements (height and weight and, if applicable, blood pressure, waist circumference, urine and saliva samples), plus modules of questions on specific health conditions that vary from year to year. Each year the core sample has also been augmented by an additional boosted sample for children. Since 2008 NHS Health Boards have also had the opportunity to boost the number of adult interviews carried out in their area.

The Scottish Government Scottish Health Survey webpages contain further information about the series, including latest news and publications.

Main Topics:

The Scottish Health Survey 2022 (SHeS22) is the eighteenth survey in the series. There were two phases to the data. During Phase 1 for the Core sample, potential participants were contacted by letter and recruited to participate by interviewers knocking on their door, in what is termed a 'knock-to-nudge' methodology. Interviews were conducted by telephone and an online or paper self-completion questionnaire. For any interviews undertaken by telephone, no height and weight measurements or biological measures could be taken.

The Core sample Phase 2 began in May 2022. Potential respondents were again contacted by letter but were then invited to take part in an in-home interview. A telephone contingency was retained for respondents unwilling to have the interviewer enter their home due to health concerns.

Between March and July 2022, participants from the child boost sample continued to be invited to opt in via letter, with interviewer undertaken by telephone with an online/paper self-completion. Fieldwork for the child boost sample was suspended in August 2022 to allow the transition to the second phase (from September 2022) which utilised a sample linked to the Community Health Index (CHI) database. Potential respondents were again contacted by letter but were then invited to take part in an in-home interview.

Topics covered included household composition, demographics (including ethnicity, religion, educational background and economic activity), general health including caring, mental health and wellbeing, cardiovascular disease, respiratory disease and asthma, chronic pain, physical activity, eating habits, fruit and veg consumption, smoking and drinking, dental health, COVID-19 and self-reported height and weight measurements.

The study also includes combined datasets covering 2021/2022, 2018/2019/2021/2022 and 2018/2022. They contain information from the household questionnaires, main individual schedules and self-completions. The combined datasets have been provided to give a larger base for the analysis of variables. The individual year datasets should be used for the analysis of individual years, including comparisons between years.

Abstract

The National Family Health Survey 2019-21 (NFHS-5), the fifth in the NFHS series, provides information on population, health, and nutrition for India, each state/union territory (UT), and for 707 districts.

The primary objective of the 2019-21 round of National Family Health Surveys is to provide essential data on health and family welfare, as well as data on emerging issues in these areas, such as levels of fertility, infant and child mortality, maternal and child health, and other health and family welfare indicators by background characteristics at the national and state levels. Similar to NFHS-4, NFHS-5 also provides information on several emerging issues including perinatal mortality, high-risk sexual behaviour, safe injections, tuberculosis, noncommunicable diseases, and the use of emergency contraception.

The information collected through NFHS-5 is intended to assist policymakers and programme managers in setting benchmarks and examining progress over time in India’s health sector. Besides providing evidence on the effectiveness of ongoing programmes, NFHS-5 data will help to identify the need for new programmes in specific health areas.

The clinical, anthropometric, and biochemical (CAB) component of NFHS-5 is designed to provide vital estimates of the prevalence of malnutrition, anaemia, hypertension, high blood glucose levels, and waist and hip circumference, Vitamin D3, HbA1c, and malaria parasites through a series of biomarker tests and measurements.

Geographic coverage

National coverage

Analysis unit

• Household
• Individual
• Children age 0-5
• Woman age 15-49
• Man age 15 to 54

Universe

The survey covered all de jure household members (usual residents), all women aged 15-49, all men age 15-54, and all children aged 0-5 resident in the household.

Kind of data

Sample survey data [ssd]

Sampling procedure

A uniform sample design, which is representative at the national, state/union territory, and district level, was adopted in each round of the survey. Each district is stratified into urban and rural areas. Each rural stratum is sub-stratified into smaller substrata which are created considering the village population and the percentage of the population belonging to scheduled castes and scheduled tribes (SC/ST). Within each explicit rural sampling stratum, a sample of villages was selected as Primary Sampling Units (PSUs); before the PSU selection, PSUs were sorted according to the literacy rate of women age 6+ years. Within each urban sampling stratum, a sample of Census Enumeration Blocks (CEBs) was selected as PSUs. Before the PSU selection, PSUs were sorted according to the percentage of SC/ST population. In the second stage of selection, a fixed number of 22 households per cluster was selected with an equal probability systematic selection from a newly created list of households in the selected PSUs. The list of households was created as a result of the mapping and household listing operation conducted in each selected PSU before the household selection in the second stage. In all, 30,456 Primary Sampling Units (PSUs) were selected across the country in NFHS-5 drawn from 707 districts as on March 31st 2017, of which fieldwork was completed in 30,198 PSUs.

For further details on sample design, see Section 1.2 of the final report.

Mode of data collection

Computer Assisted Personal Interview [capi]

Research instrument

Four survey schedules/questionnaires: Household, Woman, Man, and Biomarker were canvassed in 18 local languages using Computer Assisted Personal Interviewing (CAPI).

Cleaning operations

Electronic data collected in the 2019-21 National Family Health Survey were received on a daily basis via the SyncCloud system at the International Institute for Population Sciences, where the data were stored on a password-protected computer. Secondary editing of the data, which required resolution of computer-identified inconsistencies and coding of open-ended questions, was conducted in the field by the Field Agencies and at the Field Agencies central office, and IIPS checked the secondary edits before the dataset was finalized.

Field-check tables were produced by IIPS and the Field Agencies on a regular basis to identify certain types of errors that might have occurred in eliciting information and recording question responses. Information from the field-check tables on the performance of each fieldwork team and individual investigator was promptly shared with the Field Agencies during the fieldwork so that the performance of the teams could be improved, if required.

Response rate

A total of 664,972 households were selected for the sample, of which 653,144 were occupied. Among the occupied households, 636,699 were successfully interviewed, for a response rate of 98 percent.

In the interviewed households, 747,176 eligible women age 15-49 were identified for individual women’s interviews. Interviews were completed with 724,115 women, for a response rate of 97 percent. In all, there were 111,179 eligible men age 15-54 in households selected for the state module. Interviews were completed with 101,839 men, for a response rate of 92 percent.

Abstract copyright UK Data Service and data collection copyright owner.

The Health Survey for England (HSE) is a series of surveys designed to monitor trends in the nation's health. It was commissioned by NHS Digital 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;
• since 1995, 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 under standard End User Licence (EUL). The household data file is now only included in the Special Licence (SL) version, released from 2015 onwards. In addition, the SL individual file contains all the variables included in the HSE EUL dataset, plus others, including variables removed from the EUL version after the NHS Digital disclosure review. The SL version of the dataset contains variables with a higher disclosure risk or are more sensitive than those included in the EUL version and is subject to more restrictive access conditions (see Access information). Users are advised to obtain the EUL version to see if it meets their needs before considering an application for the SL version.

COVID-19 and the HSE:
Due to the COVID-19 pandemic, the HSE 2020 survey was stopped in March 2020 and never re-started. There was no publication that year. The survey resumed in 2021, albeit with an amended methodology. The full HSE resumed in 2022, with an extended fieldwork period. Due to this, the decision was taken not to progress with the 2023 survey, to maximise the 2022 survey response and enable more robust reporting of data. See the NHS Digital Health Survey for England - Health, social care and lifestyles webpage for more details.

The EUL version of the HSE 2019 is held under SN 8860.

Main Topics:

Core topics:

• General health
• Longstanding illness
• Smoking
• Average weekly alcohol consumption
• Drinking (heaviest day in last week)
• Consent to data linkage (NHS central register, HES)
• Socio-economic information: sex, age, income, education, employment etc
• Prescribed medications (nurse)

Additional topics:

• Social care receipt and provision
• Provision of unpaid care
• Dental health
• Use of GP and counselling services
• Eating disorders

Measurements:

• Height and weight
• Blood pressure (nurse)
• Waist and hip circumference (nurse)
• Blood sample for cholesterol, glycated haemoglobin (nurse)
• Saliva sample (nurse)

Abstract

The 2021-22 Cambodia Demographic and Health Survey (2021-22 CDHS) was implemented by the National Institute of Statistics (NIS) in collaboration with the Ministry of Health (MoH). Data collection took place from September 15, 2021, to February 15, 2022.

The primary objective of the 2021-22 CDHS is to provide up-to-date estimates of basic demographic and health indicators. Specifically, the survey collected information on fertility, awareness and use of family planning methods, breastfeeding practices, nutritional status of women and children, maternal and child health, adult and childhood mortality, women’s empowerment, domestic violence, awareness and behavior regarding HIV/AIDS and other sexually transmitted infections (STIs), and other health-related issues such as smoking.

The information collected through the 2021-22 CDHS is intended to assist policymakers and program managers in evaluating and designing programs and strategies for improving the health of Cambodia’s population. The survey also provides data on indicators relevant to the Sustainable Development Goals (SDGs) for Cambodia.

Geographic coverage

National coverage

Analysis unit

• Household
• Individual
• Children age 0-5
• Woman age 15-49
• Man age 15 to 49

Universe

The survey covered all de jure household members (usual residents), all women aged 15-49, all men age 15-49, and all children aged 0-4 resident in the household.

Kind of data

Sample survey data [ssd]

Mode of data collection

Computer Assisted Personal Interview [capi]

Research instrument

Four questionnaires were used in the 2021-22 CDHS: the Household Questionnaire, the Woman’s Questionnaire, the Man’s Questionnaire, and the Biomarker Questionnaire. The questionnaires, based on The DHS Program’s model questionnaires, were adapted to reflect the population and health issues relevant to Cambodia. In addition, a self-administered Fieldworker Questionnaire collected information about the survey’s fieldworkers.

Cleaning operations

The processing of the 2021-22 CDHS data began as soon as the fieldwork started. When data collection was completed in each cluster, the electronic data files were transferred via the IFSS to the NIS central office in Phnom Penh. The data files were registered and checked for inconsistencies, incompleteness, and outliers. Errors and inconsistencies were communicated to the field teams for review and correction. Secondary editing, done by NIS data processors, was carried out in the central office and included resolving inconsistencies and coding open-ended questions. The paper Biomarker Questionnaires were collected by field coordinators and then compared with the electronic data files to assess whether any inconsistencies arose during data entry. Data processing and editing were carried out using the CSPro software package. The concurrent data collection and processing offered an advantage because it maximized the likelihood of the data being error-free. Timely generation of field check tables allowed for effective monitoring. The secondary editing of the data was completed in March 2022.

Response rate

A total of 21,270 households were selected for the CDHS sample, of which 20,967 were found to be occupied. Of the occupied households, 20,806 were successfully interviewed, yielding a response rate of 99%. In the interviewed households, 19,845 women age 15-49 were identified as eligible for individual interviews. Interviews were completed with 19,496 women, yielding a response rate of 98%. In the subsample of households selected for the male survey, 9,079 men age 15-49 were identified as eligible for individual interviews and 8,825 were successfully interviewed, yielding a response rate of 97%.

Sampling error estimates

The estimates from a sample survey are affected by two types of errors: (1) nonsampling errors and (2) sampling errors. Nonsampling errors are errors that were made during data collection and data processing such as failure to locate and interview the correct household, misunderstanding of the questions by either the interviewer or the respondent, and data entry errors. Although numerous efforts were made during the implementation of the 2021-22 Cambodia Demographic and Health Survey (CDHS) to minimize this type of error, nonsampling errors are impossible to eliminate completely and difficult to evaluate statistically.

Sampling errors, on the other hand, can be evaluated statistically. The sample of respondents selected in the 2021-22 CDHS is only one of many possible samples that could have been selected from the same population, using exactly the same design. Each of those samples would yield results that differ somewhat from the results of the actual sample selected. Sampling errors are a measure of the variability between all possible samples. Although the degree of variability is not known exactly, it can be estimated from the survey results.

A sampling error is usually measured in terms of the standard error for a particular statistic (mean, percentage, etc.), which is the square root of the variance. The standard error can be used to calculate confidence intervals within which the true value for the population can reasonably be assumed to fall. For example, for any given statistic calculated from a sample survey, the value of that statistic will fall within a range of plus or minus two times the standard error of that statistic in 95% of all possible samples of identical size and design.

If the sample of respondents had been selected as a simple random sample, it would have been possible to use straightforward formulas for calculating sampling errors. However, the 2021-22 CDHS sample was the result of a multistage stratified design, and, consequently, it was necessary to use more complex formulas. The computer software used to calculate sampling errors for the 2021-22 CDHS was an SAS program. This program used the Taylor linearization method for estimate variances for survey estimates that are means or proportions. The Jackknife repeated replication method is used for variance estimation of more complex statistics such as fertility and mortality rates.

A more detailed description of estimates of sampling errors are presented in APPENDIX B of the survey report.

Data appraisal

Data Quality Tables

• Household age distribution
• Age distribution of eligible and interviewed women
• Age distribution of eligible and interviewed men
• Age displacement at age 14/15
• Age displacement at age 49/50
• Pregnancy outcomes by years preceding the survey
• Completeness of reporting
• Height and weight data completeness and quality for children
• Height measurements from random subsample of measured children
• Interference in height and weight measurements of children
• Interference in height and weight measurements of women
• Heaping in anthropometric measurements for children (digit preference)
• Observation of handwashing facility
• School attendance by single-year age
• Vaccination cards photographed
• Number of enumeration areas completed by month and province
• Sibship size and sex ratio of siblings
• Pregnancy-related mortality trends
• Pregnancy-related mortality

See details of the data quality tables in Appendix C of the final report.

See https://wwwn.cdc.gov/Nchs/Data/Nhanes/Public/2021/DataFiles/DEMO_L.htm#DMDHHSIZ for a complete description.

Abstract

The GSHS is a school-based survey which uses a self-administered questionnaire to obtain data on young people's health behaviour and protective factors related to the leading causes of morbidity and mortality among children and adults worldwide.

Geographic coverage

National

Analysis unit

Individuals

Universe

School-going adolescents aged 13-17 years.

Kind of data

Sample survey data [ssd]

Sampling procedure

A two-stage cluster sample design was used to produce data representative of all students in grades 7-12 in Thailand. At the first stage, schools were selected with probability proportional to enrollment size. At the second stage, classes were randomly selected and all students in selected classes were eligible to participate.

Mode of data collection

self-administered

Research instrument

The following core modules were included in the survey: alcohol use dietary behaviours drug use hygiene mental health physical activity protective factors sexual behaviours tobacco use violence and unintentional injury

Cleaning operations

All data processing (scanning, cleaning, editing, and weighting) was conducted at WHO and the US Centers for Disease Control.

Response rate

The school response rate was 92%, the student response rate was 90%, and the overall response rate was 83%.

This report presents findings on the health and health-related behaviours of the Lesbian, Gay and Bisexual (LGB) population in England. These are analysed by age, sex and ethnicity. The data are based on a representative sample of adults, aged 16 and over, who participated in the Health Survey for England from 2011–2018. 2% of adults surveyed in 2011-2018 identified as lesbian, gay or bisexual (LGB) The Health Survey for England series was designed to monitor trends in the health, and health related behaviours, of adults and children in England.

According to a survey conducted in 2021, of 95 countries that took part on the study, around 39 countries had completed national health and climate change plans or strategies worldwide from 2010 to 2021. The majority of these plans were developed during the period between 2016 and 2021, with around 27 countries reporting they had developed their corresponding strategies. National health and climate change plans are meant to consider health risks related to climate change and provide a framework for better adaptation.

• 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;
• since 1995, 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 under standard End User Licence (EUL). The household data file is now only included in the Special Licence (SL) version, released from 2015 onwards. In addition, the SL individual file contains all the variables included in the HSE EUL dataset, plus others, including variables removed from the EUL version after the NHS Digital disclosure review. The SL HSE is subject to more restrictive access conditions than the EUL version (see Access information). Users are advised to obtain the EUL version to see if it meets their needs before considering an application for the SL version.

COVID-19 and the HSE:
Due to the COVID-19 pandemic, the HSE 2020 survey was stopped in March 2020 and never re-started. There was no publication that year. The survey resumed in 2021, albeit with an amended methodology. The full HSE resumed in 2022, with an extended fieldwork period. Due to this, the decision was taken not to progress with the 2023 survey, to maximise the 2022 survey response and enable more robust reporting of data. See the NHS Digital Health Survey for England - Health, social care and lifestyles webpage for more details.

The Health Survey for England, 2017: Special Licence Access is available from the UK Data Archive under SN 9084.

Latest edition information:
For the third edition (May 2023), a number of corrections were made to the data file and the data documentation file. Further information is available in the documentation file '8488_hse_2017_eul_v3_corrections_to_ukds.pdf’.

• 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;
• since 1995, 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 under standard End User Licence (EUL). The household data file is now only included in the Special Licence (SL) version, released from 2015 onwards. In addition, the SL individual file contains all the variables included in the HSE EUL dataset, plus others, including variables removed from the EUL version after the NHS Digital disclosure review. The SL HSE is subject to more restrictive access conditions than the EUL version (see Access information). Users are advised to obtain the EUL version to see if it meets their needs before considering an application for the SL version.

COVID-19 and the HSE:
Due to the COVID-19 pandemic, the HSE 2020 survey was stopped in March 2020 and never re-started. There was no publication that year. The survey resumed in 2021, albeit with an amended methodology. The full HSE resumed in 2022, with an extended fieldwork period. Due to this, the decision was taken not to progress with the 2023 survey, to maximise the 2022 survey response and enable more robust reporting of data. See the NHS Digital Health Survey for England - Health, social care and lifestyles webpage for more details.

The HSE 2008 provides data at both national and regional level about the population living in private households in England. The sample comprised two components: the core (general population) sample and a boost sample of children. The core sample was designed to be representative of the population living in private households in England. The reports for the 2008 survey may be found on the HSCIC HSE 2008 publications webpage.

For the HSE core sample, all adults aged 16 years or older at each household were selected for the interview (maximum ten adults). However, a maximum of two children aged 0-15 were interviewed per household. For households with three or more children, interviewers selected two children at random. At boost addresses interviewers screened for households containing at least one child aged 2-15 years. For households which included eligible children, up to two were selected by the interviewer for inclusion in the survey. Interviewing was conducted throughout the year to take account of seasonal differences.

New editions and changes over time:

• For the second edition (October 2010), an updated version of the individual-level file was deposited, with amended GHQ12 variables. The code for respondents who did not answer the GHQ12 questions is now set at '-1' rather than '0’.
• For the third edition (July 2011), the GHQ12 variables were further amended to correct errors in the GHQ12 scores. See document 'Note about GHQ12 problems in HSE Data' for details.
• For the fourth edition (August 2013), since publication of the HSE 2008 survey report, four survey participants (one household) have withdrawn their consent and had their records removed from the data. Therefore, the number of cases have now been reduced to 22,619 in the individual file and 31,923 in the household file. Consequently, users may not find it possible to reproduce some figures with the same degree of accuracy presented in the accompanying documentation.

The Scottish Health Survey (SHeS) series was established in 1995. Commissioned by the Scottish Government Health Directorates, the series provides regular information on aspects of the public's health and factors related to health which cannot be obtained from other sources. The SHeS series was designed to:

• estimate the prevalence of particular health conditions in Scotland;
• estimate the prevalence of certain risk factors associated with these health conditions and to document the pattern of related health behaviours;
• look at differences between regions and between subgroups of the population in the extent of their having these particular health conditions or risk factors, and to make comparisons with other national statistics for Scotland and England;
• monitor trends in the population's health over time;
• make a major contribution to monitoring progress towards health targets.

Each survey in the series includes a set of core questions and measurements (height and weight and, if applicable, blood pressure, waist circumference, urine and saliva samples), plus modules of questions on specific health conditions that vary from year to year. Each year the core sample has also been augmented by an additional boosted sample for children. Since 2008 NHS Health Boards have also had the opportunity to boost the number of adult interviews carried out in their area.

The Scottish Government Scottish Health Survey webpages contain further information about the series, including latest news and publications.

Scottish Health Survey, 2021: Special Licence Access
The drug and alcohol use questions in the SHeS 2021 young adult and adult self-completions (paper and web) are available under a Special Licence (SL). Most of the variables and derived variables relate to drug use, with a few relating to whether alcohol has been a problem. The rest of the variables relating to alcohol use are available in the Scottish Health Survey, 2021 EUL dataset (available from the UK Data Archive under SN 9048). User are advised to consult the EUL version first before applying for the SL data.

In 2020, the National Center for Health Statistics (NCHS) partnered with the Census Bureau on an experimental data system called the Household Pulse Survey. This survey was designed to complement the ability of the federal statistical system to rapidly respond and provide relevant information about how emergent issues are impacting American households. Beginning in Phase 4.0 (on January 9, 2024), questions on social support, loneliness, and social isolation were added to the survey. These questions have been included on other nationally representative surveys. Briefly, the question on social support was included on the National Health Interview Survey (NHIS) from July 2020-December 2021 and was added to the 2024 NHIS. The question on loneliness was added to the 2024 NHIS. The questions on social isolation are adapted from the Berkman-Syme Social Network Index and were included on an earlier cycle of the National Health and Nutrition Examination Survey. For more information, please visit: https://www.cdc.gov/nchs/covid19/pulse/lack-socialconnection.htm

The Research and Development Survey (RANDS) is a platform designed for conducting survey question evaluation and statistical research. RANDS is an ongoing series of surveys from probability-sampled commercial survey panels used for methodological research at the National Center for Health Statistics (NCHS). RANDS estimates are generated using an experimental approach that differs from the survey design approaches generally used by NCHS, including possible biases from different response patterns and sampling frames as well as increased variability from lower sample sizes. Use of the RANDS platform allows NCHS to produce more timely data than would be possible using traditional data collection methods. RANDS is not designed to replace NCHS’ higher quality, core data collections. Below are experimental estimates of reduced access to healthcare for three rounds of RANDS during COVID-19. Data collection for the three rounds of RANDS during COVID-19 occurred between June 9, 2020 and July 6, 2020, August 3, 2020 and August 20, 2020, and May 17, 2021 and June 30, 2021. Information needed to interpret these estimates can be found in the Technical Notes. RANDS during COVID-19 included questions about unmet care in the last 2 months during the coronavirus pandemic. Unmet needs for health care are often the result of cost-related barriers. The National Health Interview Survey, conducted by NCHS, is the source for high-quality data to monitor cost-related health care access problems in the United States. For example, in 2018, 7.3% of persons of all ages reported delaying medical care due to cost and 4.8% reported needing medical care but not getting it due to cost in the past year. However, cost is not the only reason someone might delay or not receive needed medical care. As a result of the coronavirus pandemic, people also may not get needed medical care due to cancelled appointments, cutbacks in transportation options, fear of going to the emergency room, or an altruistic desire to not be a burden on the health care system, among other reasons. The Household Pulse Survey (https://www.cdc.gov/nchs/covid19/pulse/reduced-access-to-care.htm), an online survey conducted in response to the COVID-19 pandemic by the Census Bureau in partnership with other federal agencies including NCHS, also reports estimates of reduced access to care during the pandemic (beginning in Phase 1, which started on April 23, 2020). The Household Pulse Survey reports the percentage of adults who delayed medical care in the last 4 weeks or who needed medical care at any time in the last 4 weeks for something other than coronavirus but did not get it because of the pandemic. The experimental estimates on this page are derived from RANDS during COVID-19 and show the percentage of U.S. adults who were unable to receive medical care (including urgent care, surgery, screening tests, ongoing treatment, regular checkups, prescriptions, dental care, vision care, and hearing care) in the last 2 months. Technical Notes: https://www.cdc.gov/nchs/covid19/rands/reduced-access-to-care.htm#limitations

Abstract copyright UK Data Service and data collection copyright owner.

The Health Survey for England (HSE) is a series of surveys designed to monitor trends in the nation's health. It was commissioned by NHS Digital 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;
• since 1995, 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 under standard End User Licence (EUL). The household data file is now only included in the Special Licence (SL) version, released from 2015 onwards. In addition, the SL individual file contains all the variables included in the HSE EUL dataset, plus others, including variables removed from the EUL version after the NHS Digital disclosure review. The SL HSE is subject to more restrictive access conditions than the EUL version (see Access information). Users are advised to obtain the EUL version to see if it meets their needs before considering an application for the SL version.

COVID-19 and the HSE:
Due to the COVID-19 pandemic, the HSE 2020 survey was stopped in March 2020 and never re-started. There was no publication that year. The survey resumed in 2021, albeit with an amended methodology. The full HSE resumed in 2022, with an extended fieldwork period. Due to this, the decision was taken not to progress with the 2023 survey, to maximise the 2022 survey response and enable more robust reporting of data. See the NHS Digital Health Survey for England - Health, social care and lifestyles webpage for more details.

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.

Latest edition information

For the second edition (June 2023), the following changes have been made: 1) The variable MedsNum2G8 has been corrected and is now derived from Mednum2, which is the derived variable that excludes contraceptives and nicotine dependency drugs. 2) Variables SOC2010B and HRPSOC10B have had one category corrected that was incorrectly coded. 3) Variables NATID2 and NATID3 have had their labels corrected to NatID2 "National identity: Welsh" and NatID3 "National identity: Scottish". 4) Variables YNATSC2 and YNATSC3 have had their labels corrected to YNATSC2 "National identity: Welsh (SC)" and YNATSC3 "National identity: Scottish (SC)". 5) Seven cases that were coded into the wrong category in variable BMISRG5 have been corrected. 6) Two cases in variable CIGDYAL have been recoded to '-8' rather than '97 ("don’t know"). 7) The variable ANTIBACTAK has had its label corrected. 8) The documentation has also been updated to reflect these changes.

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,...

• 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;
• since 1995, 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 under standard End User Licence (EUL). The household data file is now only included in the Special Licence (SL) version, released from 2015 onwards. In addition, the SL individual file contains all the variables included in the HSE EUL dataset, plus others, including variables removed from the EUL version after the NHS Digital disclosure review. The SL HSE is subject to more restrictive access conditions than the EUL version (see Access information). Users are advised to obtain the EUL version to see if it meets their needs before considering an application for the SL version.

COVID-19 and the HSE:
Due to the COVID-19 pandemic, the HSE 2020 survey was stopped in March 2020 and never re-started. There was no publication that year. The survey resumed in 2021, albeit with an amended methodology. The full HSE resumed in 2022, with an extended fieldwork period. Due to this, the decision was taken not to progress with the 2023 survey, to maximise the 2022 survey response and enable more robust reporting of data. See the NHS Digital Health Survey for England - Health, social care and lifestyles webpage for more details.

The HSE 2007 was designed to provide data at both national and regional level about the population living in private households in England. The sample comprised two components; the core (general population) sample and a boost sample of children aged 2-15. The core sample was designed to be representative of the population living in private households in England and should be used for analyses at the national level.

For the HSE core sample, all adults aged 16 years or older at each household were selected for the interview (up to a maximum of ten adults). However, a limit of two was placed on the number of interviews carried out with children aged 0-15. For households with three or more children, interviewers selected two children at random. At boost addresses interviewers screened for households containing at least one child aged 2-15 years. For households which included eligible children, up to two were selected by the interviewer for inclusion in the survey. Interviewing was conducted throughout the year to take account of 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). The original variables (bmicut1, bmicut2, bmicut3) are unreliable and should not be used. Further information is available in the documentation and on the Information Centre for Health and Social Care Health Survey for England web page.

Abstract

The 2022 Ghana Demographic and Health Survey (2022 GDHS) is the seventh in the series of DHS surveys conducted by the Ghana Statistical Service (GSS) in collaboration with the Ministry of Health/Ghana Health Service (MoH/GHS) and other stakeholders, with funding from the United States Agency for International Development (USAID) and other partners.

The primary objective of the 2022 GDHS is to provide up-to-date estimates of basic demographic and health indicators. Specifically, the GDHS collected information on: - Fertility levels and preferences, contraceptive use, antenatal and delivery care, maternal and child health, childhood mortality, childhood immunisation, breastfeeding and young child feeding practices, women’s dietary diversity, violence against women, gender, nutritional status of adults and children, awareness regarding HIV/AIDS and other sexually transmitted infections, tobacco use, and other indicators relevant for the Sustainable Development Goals - Haemoglobin levels of women and children - Prevalence of malaria parasitaemia (rapid diagnostic testing and thick slides for malaria parasitaemia in the field and microscopy in the lab) among children age 6–59 months - Use of treated mosquito nets - Use of antimalarial drugs for treatment of fever among children under age 5

The information collected through the 2022 GDHS is intended to assist policymakers and programme managers in designing and evaluating programmes and strategies for improving the health of the country’s population.

Geographic coverage

National coverage

Analysis unit

• Household
• Individual
• Children age 0-5
• Woman age 15-49
• Man age 15-59

Universe

The survey covered all de jure household members (usual residents), all women aged 15-49, men aged 15-59, and all children aged 0-4 resident in the household.

Kind of data

Sample survey data [ssd]

Sampling procedure

To achieve the objectives of the 2022 GDHS, a stratified representative sample of 18,450 households was selected in 618 clusters, which resulted in 15,014 interviewed women age 15–49 and 7,044 interviewed men age 15–59 (in one of every two households selected).

The sampling frame used for the 2022 GDHS is the updated frame prepared by the GSS based on the 2021 Population and Housing Census.1 The sampling procedure used in the 2022 GDHS was stratified two-stage cluster sampling, designed to yield representative results at the national level, for urban and rural areas, and for each of the country’s 16 regions for most DHS indicators. In the first stage, 618 target clusters were selected from the sampling frame using a probability proportional to size strategy for urban and rural areas in each region. Then the number of targeted clusters were selected with equal probability systematic random sampling of the clusters selected in the first phase for urban and rural areas. In the second stage, after selection of the clusters, a household listing and map updating operation was carried out in all of the selected clusters to develop a list of households for each cluster. This list served as a sampling frame for selection of the household sample. The GSS organized a 5-day training course on listing procedures for listers and mappers with support from ICF. The listers and mappers were organized into 25 teams consisting of one lister and one mapper per team. The teams spent 2 months completing the listing operation. In addition to listing the households, the listers collected the geographical coordinates of each household using GPS dongles provided by ICF and in accordance with the instructions in the DHS listing manual. The household listing was carried out using tablet computers, with software provided by The DHS Program. A fixed number of 30 households in each cluster were randomly selected from the list for interviews.

For further details on sample design, see APPENDIX A of the final report.

Mode of data collection

Face-to-face computer-assisted interviews [capi]

Research instrument

Four questionnaires were used in the 2022 GDHS: the Household Questionnaire, the Woman’s Questionnaire, the Man’s Questionnaire, and the Biomarker Questionnaire. The questionnaires, based on The DHS Program’s model questionnaires, were adapted to reflect the population and health issues relevant to Ghana. In addition, a self-administered Fieldworker Questionnaire collected information about the survey’s fieldworkers.

The GSS organized a questionnaire design workshop with support from ICF and obtained input from government and development partners expected to use the resulting data. The DHS Program optional modules on domestic violence, malaria, and social and behavior change communication were incorporated into the Woman’s Questionnaire. ICF provided technical assistance in adapting the modules to the questionnaires.

Cleaning operations

DHS staff installed all central office programmes, data structure checks, secondary editing, and field check tables from 17–20 October 2022. Central office training was implemented using the practice data to test the central office system and field check tables. Seven GSS staff members (four male and three female) were trained on the functionality of the central office menu, including accepting clusters from the field, data editing procedures, and producing reports to monitor fieldwork.

From 27 February to 17 March, DHS staff visited the Ghana Statistical Service office in Accra to work with the GSS central office staff on finishing the secondary editing and to clean and finalize all data received from the 618 clusters.

Response rate

A total of 18,540 households were selected for the GDHS sample, of which 18,065 were found to be occupied. Of the occupied households, 17,933 were successfully interviewed, yielding a response rate of 99%. In the interviewed households, 15,317 women age 15–49 were identified as eligible for individual interviews. Interviews were completed with 15,014 women, yielding a response rate of 98%. In the subsample of households selected for the male survey, 7,263 men age 15–59 were identified as eligible for individual interviews and 7,044 were successfully interviewed.

Sampling error estimates

The estimates from a sample survey are affected by two types of errors: (1) nonsampling errors and (2) sampling errors. Nonsampling errors are the results of mistakes made in implementing data collection and data processing, such as failure to locate and interview the correct household, misunderstanding of the questions on the part of either the interviewer or the respondent, and data entry errors. Although numerous efforts were made during the implementation of the 2022 Ghana Demographic and Health Survey (2022 GDHS) to minimize this type of error, nonsampling errors are impossible to avoid and difficult to evaluate statistically.

Sampling errors, on the other hand, can be evaluated statistically. The sample of respondents selected in the 2022 GDHS is only one of many samples that could have been selected from the same population, using the same design and identical size. Each of these samples would yield results that differ somewhat from the results of the actual sample selected. Sampling errors are a measure of the variability between all possible samples. Although the degree of variability is not known exactly, it can be estimated from the survey results. A sampling error is usually measured in terms of the standard error for a particular statistic (mean, percentage, etc.), which is the square root of the variance. The standard error can be used to calculate confidence intervals within which the true value for the population can reasonably be assumed to fall. For example, for any given statistic calculated from a sample survey, the value of that statistic will fall within a range of plus or minus two times the standard error of that statistic in 95% of all possible samples of identical size and design.

If the sample of respondents had been selected as a simple random sample, it would have been possible to use straightforward formulas for calculating sampling errors. However, the 2022 GDHS sample was the result of a multistage stratified design, and, consequently, it was necessary to use more complex formulas. The computer software used to calculate sampling errors for the GDHS 2022 is an SAS program. This program used the Taylor linearization method to estimate variances for survey estimates that are means, proportions, or ratios. The Jackknife repeated replication method is used for variance estimation of more complex statistics such as fertility and mortality rates.

A more detailed description of estimates of sampling errors are presented in APPENDIX B of the survey report.

Data appraisal

Data Quality Tables

• Age distribution of eligible and interviewed women
• Age distribution of eligible and interviewed men
• Age displacement at age 14/15
• Age displacement at age 49/50
• Pregnancy outcomes by years preceding the survey
• Completeness of reporting
• Standardisation exercise results from anthropometry training
• Height and weight data completeness and quality for children
• Height measurements from random subsample of measured children
• Interference in height and weight measurements of children
• Interference in height and weight measurements of women and men
• Heaping in anthropometric measurements for children (digit preference)
• Observation of mosquito nets
• Observation of handwashing facility
• School attendance by single year of age
• Vaccination cards photographed
• Number of

The National Ambulatory Medical Care Survey (NAMCS), conducted by the National Center for Health Statistics (NCHS), collects data on visits to physician offices to describe patterns of ambulatory care delivery in the United States. As part of NAMCS, the Physician Induction Interview collects information about practice characteristics at physician offices. Partway through the 2020 NAMCS, NCHS added questions to the Physician Induction Interview to assess physician experiences related to COVID-19 in office-based settings. The data include nationally representative estimates of experiences related to COVID-19 among office-based physicians in the United States, including: shortages of personal protective equipment (PPE) in the past 3 months; the ability to test for COVID-19 in the past 3 months; providers testing positive for COVID-19 in the past 3 months; turning away COVID-19 patients in the past 3 months; and telemedicine or telehealth technology use before and after March 2020. Estimates were derived from interviews with physicians in periods 3 and 4 of 2020 NAMCS and periods 1 through 4 of 2021 NAMCS, which occurred between December 15, 2020 and May 6, 2022. The data are considered preliminary, and the results may change with the final data release.