An overview of the European Health Examination Survey Pilot Joint Action

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• 作者：Kari Kuulasmaa (1)
  Hanna Tolonen (1)
  P?ivikki Koponen (1)
  Katri Kilpel?inen (1)
  Mária Avdicová (2)
  Grazyna Broda (3)
  Neville Calleja (4)
  Carlos Dias (5)
  Antje G?sswald (6)
  Ruzena Kubinova (7)
  Jennifer Mindell (8)
  Satu M?nnist? (1)
  Luigi Palmieri (9)
  Grethe S Tell (10)
  Antonia Trichopoulou (11)
  WM Monique Verschuren (12)
  
• 关键词：Health surveys ; Population health monitoring ; Risk factors ; Chronic diseases ; EHES ; Survey methods
• 刊名：Archives of Public Health
• 出版年：2012
• 出版时间：December 2012
• 年：2012
• 卷：70
• 期：1
• 全文大小：192KB
• 参考文献：1. Vartiainen E, Laatikainen T, Peltonen M, Juolevi A, Mannisto S, Sundvall J, Jousilahti P, Salomaa V, Valsta L, Puska P: Thirty-five-year trends in cardiovascular risk factors in Finland. / Int J Epidemiol 2010, 39:504-18. CrossRef
  2. Mindell J, Biddulph JP, Hirani V, Stamatakis E, Craig R, Nunn S, Shelton N: Cohort profile: The Health Survey for England. / Int J Epidemiol 2012.,9(Epub ahead of print):
  3. Scottish Health Survey [Internet]: / The Scottish Government. [cited 10 April 2012]. Available from: http://scotland.gov.uk/Topics/Statistics/Browse/Health/scottish-health-survey
  4. / German health interview and examination survey for adults (DEGS) [Internet]. Berlin: Robert Koch Institut; cited 27 April 2012. Available from: http://www.rki.de/EN/Content/Health_Reporting/HealthlSurveys/Degs/degs_node.html
  5. Broda G, Rywik S: Multi-center All-Polish Health Survey--WOBASZ Project. Defining the problem and aims of the study. / Polish Population Review (PPR) 2005, 27:29-6.
  6. NHANES - National Health and Nutrition Examination Surveys [Internet]: / Centers for Disease Control and Prevention. [cited 10 April 2012]. Available from: http://www.cdc.gov/nchs/nhanes.htm. [cited 10 April 2012]. Available from: .
  7. Kuulasmaa K, Tolonen H, Davidson M, Mendis S: / MONICA monograph and multimedia sourcebook: World's largest study of heart disease, stroke, risk factors, and population trends 1979-002. Edited by: Tunstall-Pedoe H. Geneva: World Health Organization; 2003.
  8. / STEPwise approach to surveillance (STEPS) [Internet]. Geneva: World Health Organization; 2012. [cited 25 April 2012]. Available from: http://www.who.int/chp/steps/en/
  9. Tolonen H, Koponen P, Aromaa A, Conti S, Graff-Iversen S, Gr?tvedt L, Kanieff M, Mindell J, Natunen S, Primatesta P, Verschuren M, Viet L, Kuulasmaa K (Eds): / Recommendations for the health examination surveys in Europe. Helsinki: National Public Health Institute of Finland; 2008. Report No.: B21/2008
  10. / Together for Health: A Strategic Approach for the EU 2008-013. White paper presented by the Commission. Brussels; 2007. 23.10.2007 COM(2007) 630 final. (2007)
  11. REGULATION (EC) no 1338/2008 OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 16 December 2008 on Community Statistics on Public Health and Health and Safety at Work / REGULATION (EC) no 1338/2008 OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 16 December 2008 on Community Statistics on Public Health and Health and Safety at Work. 31 December 2001, 2008, L 354.
  12. European Health Interview Survey (EHIS) [Internet]: / EUROSTAT; 2011. cited 10 April 2012. Available from: http://epp.eurostat.ec.europa.eu/cache/ITY_SDDS/en/hlth_ehis_esms.htm
  13. Tolonen H, Koponen P, Aromaa A, Conti S, Graff-Iversen S, Gr?tvedt L, Heldal J, Kanieff M, Mindell J, Natunen S, Primatesta P, Verschuren M, Viet L, Kuulasmaa K (Eds): / Recommendations for organizing a standardized European health examination survey. Helsinki: National Public Health Institute of Finland; 2008. Report No.: B22/2008
  14. Commission decision of 23 February 2009 on the adoption of the work plan for 2009 for the implementation of the second programme of community action in the field of health (2008 to 2013), and on the selection, award and other criteria for financial contributions to the actions of this programme (2009/158/EC) / Official Journal of the European Union 26 February 2009, L 53:41.
  15. European Health Examination Survey [Internet]: / National Institute for Health and Welfare of Finland. 2011. [cited 10 April 2012]. Available from: http://www.ehes.info/
  16. Heidi data tool [Internet]: / European Commission. [cited 10 April 2012]. Available from: http://ec.europa.eu/health/indicators/indicators/index_en.htm
  17. / Council Conclusions on Closing Health Gaps within the EU through Concerted Action to Promote Healthy Lifestyle Behaviour. 3131st EMPLOYMENT, SOCIAL POLICY, HEALTH and CONSUMER AFFAIRS Council meeting. Brussels; 2011.
  18. / Directive 95/46/EC of the European Parliament and of the Council of 24 October 1995 on the Protection of Individuals with Regard to the Processing of Personal Data and on the Free Movement of such Data L 281. 1995.
  19. / Political Declaration of the High-Level Meeting of the General Assembly on the Prevention and Control of Non-Communicable Diseases. 2012. A/RES/66/2, 66th session of the United Nations General Assembly
  20. / Action Plan for Implementation of the European Strategy for the Prevention and Control of Noncommunicable Diseases 2012-016. 2011. EUR/RC61/R3, 61st session of the WHO Regional Committee for Europe
  21. Europe 2020 Flagship Initiative Innovation Union, COM(2010) 546 final. Communication form the Commission to the European Parliament, the Council, the European Economic and Social Committee and the Committee of the Regions (2010)
  
• 作者单位：Kari Kuulasmaa (1)
  Hanna Tolonen (1)
  P?ivikki Koponen (1)
  Katri Kilpel?inen (1)
  Mária Avdicová (2)
  Grazyna Broda (3)
  Neville Calleja (4)
  Carlos Dias (5)
  Antje G?sswald (6)
  Ruzena Kubinova (7)
  Jennifer Mindell (8)
  Satu M?nnist? (1)
  Luigi Palmieri (9)
  Grethe S Tell (10)
  Antonia Trichopoulou (11)
  WM Monique Verschuren (12)
  
  1. National Institute for Health and Welfare (THL), Helsinki, Finland
  2. Regional Authority of Public Health, Banská Bystrica, Slovakia
  3. The Cardinal Stefan Wyszynski Institute of Cardiology, Warsaw, Poland
  4. Ministry for Social Policy, Valletta, Malta
  5. Instituto Nacional de Saúde Dr. Ricardo Jorge, Lisbon, Portugal
  6. Robert Koch Institute, Berlin, Germany
  7. National Institute of Public Health, Prague, Czech Republic
  8. UCL (University College London), London, UK
  9. Istituto Superiore di Sanità, Rome, Italy
  10. Norwegian Institute of Public Health, Bergen, Norway
  11. Hellenic Health Foundation, Athens, Greece
  12. National Institute of Public Health and the Environment (RIVM), Bilthoven, Netherlands
  
• ISSN：0778-7367

文摘

Background Health Examination Surveys (HESs) can provide essential information on the health and health determinants of a population, which is not available from other data sources. Nevertheless, only some European countries have systems of national HESs. A study conducted in 2006-008 concluded that it is feasible to organize national HESs using standardized measurement procedures in nearly all EU countries. The feasibility study also outlined a structure for a European Health Examination Survey (EHES), which is a collaboration to organize standardized HESs in countries across Europe. To facilitate setting up national surveys and to gain experience in applying the EHES methods in different cultures, EHES Joint Action (2010-011) planned and piloted standardized HESs in the working age population in 12 countries. This included countries with earlier national HESs and countries which were planning their first national HES. The core measurements included in all surveys were weight, height, waist circumference and blood pressure, and blood samples were taken to measure lipid profiles and glucose or glycated haemoglobin (HbA1c). These are modifiable determinants of major chronic diseases not identified in health interview surveys. There was a questionnaire to complement the data on the examination measurements. Methods Evaluation of the pilot surveys was based on review of national manuals and evaluation reports of survey organizers; observations and discussions of survey procedures during site visits and training seminars; and other communication with the survey organizers. Results Despite unavoidable differences in the ways HESs are organized in the various countries, high quality and comparability of the data seems achievable. The biggest challenge in each country was obtaining high participation rate. Most of the pilot countries are now ready to start their full-size national HES, and six of them have already started. Conclusions The EHES Pilot Project has set up the structure for obtaining comparable high quality health indicators on health and important modifiable risk factors of major non-communicable diseases from the European countries. The European Union is now in a key position to make this structure sustainable. The EHES core survey can be expanded to cover other measurements.