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European Health Interview Survey in the Czech Republic 2008

European Health Interview Survey in the Czech Republic EHIS

Náhled: European Health Interview Survey in the Czech Republic EHIS

Pages: ca. 273 pages
Published in 2008, 2003, 2001

This publication presents results of European Health Information Survey, which was carried out in the Czech Republic in 2008 on the Sample of 1955 respondents aged 15+. The results come from  processing of data at the national level. In addition to concrete data (absolute as well as relative ones) in different breakdowns the publication contains the detailed analytical texts. The sample survey observed information on different topics: health state, use of health care, health determinants, all related to socio-demographic characteristics.

AKTUÁLNÍ INFORMACE (Topical Information)

Topical Information evaluates data from European Health Interview Survey about smoking and tobacco smoke exposure. According to the survey, there is 24,5 % daily smokers (30 % among men, 19 % among women), 7,8 % occasional smokers, 16,5 % former smokers and 51,1 % never smokers. Compared with previous survey in 2002, the percentage of smokers is higher. The mean number of daily smoked cigarettes is 16 for men and 12 for women (daily smokers). About 9,1 % of respondents is exposed to tobacco smoke indoors more than 1 hour at home, in public places 6,4 % of respondents, at workplace 7,4 % of working indoors respondents.

Topical information evaluates three thematic items of European Health Determinants Module. The first part concerns average height, weight and Body Mass Index of respondents. The second part concerns physical activity, and after all analyses consumption of fruits and vegetables. Inequalities by sex and age are described in relevant parts of this Topical Information. Main results: values of BMI are higher from the age of 45 years, overweight is more common for man than for woman. High physical activity is quite equal by age, decrease starts at age 75. By gender high physical activity is more common for man. Consumption of fruits and vegetables is about 2 times more common for woman than for man.
Topical Information concerns social environment. We are pursuing number of close persons, which a respondent can count on in case of serious personal problems, intensity and quality of social contacts. For respondents at age 54 years and younger, higher number of close persons and higher quality of social contacts are more common. Higher frequency of social contacts is more common for woman than for man. Comparing to the survey in 2002, the proportion of persons with very good social contacts increased. On the contrary, the proportion of persons that are always in contact with their relatives and friends, decreased.
Topical information concerns environment where does the respondent live - physical environment (noise, air pollution and bad smells), crime and workplace environment. In all 3 components of physical environment are more often exposed respondents younger than 45 years, differences in gender were not found. Respondents living in cities with more than 50 000 inhabitants are more often exposed to noise and air pollution. On the contrary, people living in smaller cities are more often exposed to bad smells. Women, young people and people from large cities (with population 100 000 and over) are more often exposed to crime. Incommodities at workplace are more common for man than for woman.
This Topical information analyses the alcohol consumption during the last 12 months before the interview. During this period any alcohol was consumed by 90 % of men and 77 % of women. The alcohol consumption among men is higher if compared to women, the highest alcohol consumption was observed among men aged 35–64 years. While young respondents consume alcohol less often, but in higher rate, the older ones prefer the regular alcohol consumption on lower level. The most frequently used type of alcohol was beer among men and wine among women; Friday and Saturday are days with the highest alcohol consumption. If compared to 2002 survey, the alcohol consumption among respondents slightly increased.
This Topical information processes the data on out-of-pocket payments of respondents for health care in whole its extent, it means the dental care, care provided by GP and specialists, all other types of health care (incl. hospital care), payments for medicines (prescribed, non prescribed) and finally the costs for health aids. The highest were payments for prescribed and non prescribed medicines, for women the costs are higher than for men. About half of respondents spent amount higher than 150 CZK during the last 4 weeks.
Analysis processes data from EHIS survey with respect of identification drug users among the respondents. According to the survey there were about 15 % of persons who ever used drug in the population aged 15 and more. During the last 12 months prior the interview the drug was used by 13 % of men and almost 9 % of women under 35 years. Men used drugs more often than women, the drug users are mainly the young people. The most frequent drug consumed was marihuana, ecstasy and magic mushrooms. If compared to previous surveys, the prevalence of drug users in 2008 significantly increased. If compared to other data sources (e.g. the Survey on drugs performed by the National Monitoring Centre), the percentage of drug users according to the EHIS survey is significantly underestimated and the real prevalence of drug users in the population is higher. About 28 % of respondents know somebody, who uses drugs.
Another from the series of analysis of the data from the health survey (EHIS) in 2008 observes the use of medicines - prescribed as well as non-prescribed ones. For both types of medicines the prevalence of their users is approx. 45 %, the most used were medicines on hypertension, pain, cold and flu and vitamins. Women use medicines more than men. The percentage of prescribed - medicines users increases with age, it does not apply for the non-prescribed medicines. If compared to 2002 survey, the percentage of women using the prescribed medicines decreased, namely those for migraine, for non-prescribed medicines the decrease was observed in use of vitamins and minerals among women, increase was apparent in use of medicines against cold and flu. Any problems with physical pain during the last 4 weeks were reported by 36 % of men and 45 % of women, 3 % of men and 8,5 % of women reported serious or extreme problems. Problems are more frequent and serious among women and seniors if compared to others.
The topical information assesses the mental health and vitality of respondents using two aggregated indexes. These indicators describe worsening of mental health and vitality with age, except of transient improvement between 55-74 years. Women show worse mental health and vitality compared to men. Comparison of selected questions with results from 2002 and 1999 surveys shows improving trend of assessment of mental health and vitality. Also cognitive abilities are evaluated in the survey; any difficulties with memory were reported by 28 % of respondents, about 18 % of respondents reported problems with thinking. Both evaluations significantly improved if compared to 2002.
Topical Information evaluate satisfaction with health care. The best rating concerning satisfaction got dental care, followed by medical specialists, general practicioners and hospitals. Home care services are evaluated separately because of high percentage of refusal and “don’t know” answers. In general we can say that women are more satisfied than man, and older respondents are more satisfied than younger. The neutral answers decrease with age as well. We have also found a connection between self-rated health and satisfaction. All particular statements are statistically tested and are commented in relevant parts of this Topical Information.