SCOTTISH HEALTH SURVEY
QUESTIONNAIRE REVIEW 2012-2015
Final Report
December 2011
1
CONTENTS
1.
2.
INTRODUCTION ..................................................................................................... 4
TOPIC AREAS .......................................................................................................... 4
2.1
A1 Caring Responsibilities ............................................................................. 4
2.2
B1 CVD Conditions, High Blood Pressure and Diabetes ............................... 4
2.3
B2 Self-reported Blood Pressure and Cholesterol Measurements ............. 5
2.4
B3 Blood Samples .......................................................................................... 5
2.5
B4 Blood Pressure Measurement ................................................................. 5
2.6
B5 Rose Angina Questionnaire ..................................................................... 5
2.7
B6 Prescribed medicines and drug coding ................................................... 5
2.8
B7 Edinburgh Claudication Questionnaire ................................................... 6
2.9
C1 Asthma ...................................................................................................... 6
2.10 C2 COPD ....................................................................................................... 10
2.11 C3 MRC Respiratory Module ....................................................................... 10
2.12 C4 Lung Function ......................................................................................... 12
2.13 D1 Use of Services of those with CVD ........................................................ 13
2.14 D2 Use of Services of those without CVD................................................... 13
2.15 E1 Adult Physical Activity ............................................................................ 13
2.16 E2 Physical Activity at Work ....................................................................... 15
2.17 E3 Where People do Physical Activity ........................................................ 15
2.18 E4 Screen Time (Adults) .............................................................................. 16
2.19 E5 Child Physical Activity ............................................................................ 16
2.20 E6 Screen Time (Children) ........................................................................... 16
2.21 E7 Motivations and Barriers to sport ......................................................... 16
2.22 F1 Eating Habits (Adults) (DINE questionnaire) ......................................... 17
2.23 F2 Eating Habits (Children) (DINE questionnaire) ...................................... 18
2.24 F3 Fruit and Vegetable Consumption ......................................................... 18
2.25 F4 How many times household eats together ........................................... 18
2.26 F5 Urine Sample (sodium) ........................................................................... 18
2.27 G1 Height and Weight measurements ....................................................... 18
2.28 G2 Waist and Hip circumference ................................................................ 18
2.29 G3 Demispan ............................................................................................... 19
2.30 H1 Smoking .................................................................................................. 19
2.31 H2 Passive Smoking ..................................................................................... 19
2.32 H3 Saliva Sample ......................................................................................... 19
2.33 H4 Nicotine Replacement ........................................................................... 19
2.34 I1 Contraception .......................................................................................... 19
2.35 J1 Alcohol (weekly consumption) ............................................................... 19
2.36 J2 Alcohol (heaviest drinking day) .............................................................. 20
2.37 J3 Where and with who do you drink most alcohol? ................................ 20
2.38 J4 Problem Drinking .................................................................................... 20
2.39 K1 Dental Health ......................................................................................... 21
2.40 K2 Dental Services ....................................................................................... 21
2.41 L1 Strengths and Difficulties Questionnaire............................................... 21
2.42 L2 GHQ-12 .................................................................................................... 21
2.43 L3 WEMWBS ................................................................................................ 21
2
2.44 L4 Depression, Anxiety and Self-harm ....................................................... 22
2.45 L5 Social Capital ........................................................................................... 22
2.46 L6 Discrimination and Harassment ............................................................. 22
2.47 L7 Stress at Work ......................................................................................... 22
2.48 L8 Life Satisfaction ....................................................................................... 22
2.49 M1 Vitamins / Supplements ....................................................................... 22
2.50 M2 Accidents ............................................................................................... 22
2.51 M3 Food Poisoning ...................................................................................... 23
2.52 M4 Parental History .................................................................................... 23
2.53 M5 National Identity ................................................................................... 23
2.54 N1 Gambling ................................................................................................ 23
3. KNOWLEDGE, ATTITUDES AND MOTIVATIONS TO HEALTH (KAM) MODULE ... 23
4. HARMONISED CORE ............................................................................................ 23
4.1
Household Relationship Matrix .................................................................. 23
4.2
Gender ......................................................................................................... 24
4.3
Age and/or Date of Birth............................................................................. 24
4.4
Religion ........................................................................................................ 24
4.5
Country of Birth ........................................................................................... 24
4.6
Ethnic Group ................................................................................................ 26
4.7
Sexual Orientation ...................................................................................... 27
4.8
Self Assessed Health.................................................................................... 27
4.9
Tenure .......................................................................................................... 27
4.10 Qualifications Held ...................................................................................... 27
4.11 Economic Activity ........................................................................................ 28
4.12 Banded Household Income ......................................................................... 29
4.13 Smoking ....................................................................................................... 29
4.14 Car Access .................................................................................................... 29
4.15 Legal Marital Status..................................................................................... 29
4.16 Disability / Limiting Long-term Conditions ................................................ 29
4.17 Caring ........................................................................................................... 30
4.18 Perception of Crime .................................................................................... 30
4.19 Police Confidence ........................................................................................ 30
5. NEXT STEPS .......................................................................................................... 31
3
1.
INTRODUCTION
This paper outlines the decisions made by the Scottish Health Survey team regarding
changes to the questionnaire for the 2012-2015 surveys.
A consultation period was launched on 21st March and ended on 15th April 2011. A
spreadsheet of existing question topics was provided, with links to the
questionnaires, and people were invited to submit proformas to either retain,
amend or add questions for the period 2012-2015. Details of the consultation were
available on the Scottish Health Survey website and an email was sent to the
ScotStat register inviting them to take part in the consultation process. Thank you
to all who contributed at this stage of the consultation.
The proformas were considered in relation to their: policy relevance; weight of
support; use for indicators/targets; availability from other sources; frequency and
geography required; length of question and whether questions had been previously
tested.
Following discussions with the contractors, initial recommendations were made for
inclusion of questions in the questionnaire and the contractors proceeded to
cognitive testing in August. Further changes were made based on the results of the
cognitive testing and the new questionnaire was piloted in September. The pilot
provided essential information on question timings and led to changes to the order
of questions and, in some cases, the mode of questioning. The dress rehearsal took
place in November and has led to further minor changes to the questionnaire before
it is launched in January.
This paper summarises the changes which have been made to the questionnaire for
2012-2015 following the process set out above.
2.
TOPIC AREAS
2.1
A1 Caring Responsibilities
The existing questions on carers will be retained with a few minor amendments
including:
 questions to be extended to children (4-15) as well as adults;
 extending the question on who is cared for to identify separate options
outwith the household;
 a minor change to the question on hours spent providing care to remove
some categories and align with the census 2011 question.
Three new questions will be added on length of time caring; impact of caring on
employment and support for carers.
2.2
B1 CVD Conditions, High Blood Pressure and Diabetes
4
Questions to establish prevalence, doctor diagnosis and whether condition has
occurred during the past 12 months will be retained along with questions on
whether medication is being taken for the condition. Questions on age of onset of
diabetes and insulin injecting will also be retained.
Questions on surgery and other treatment for conditions will be dropped due to
limited evidence of their use.
2.3
B2 Self-reported Blood Pressure and Cholesterol Measurements
Questions will be dropped.
2.4
B3 Blood Samples
No venous blood samples will be collected in 2012 but it is planned to introduce dry
blood spot measures in 2013 for as many of the current analytes as is feasible.
2.5
B4 Blood Pressure Measurement
This will continue to be collected but will be measured by the interviewer rather
than a nurse. The protocol will therefore change slightly and a comparability study
will be carried out in Spring 2012 to assess the effect, if any, of this change.
2.6
B5 Rose Angina Questionnaire
Questions will be dropped for 2012-2015 cycle with consideration given to
reintroducing at a later date.
2.7
B6 Prescribed medicines and drug coding
Questions will be moved from the nurse visit to the interviewer administered bio
module. As is done currently, all respondents are asked if they take any medication
etc prescribed by a doctor or a nurse:
MedCNJD
Are you taking or using any medicines, pills, syrups, ointments, puffers or injections
prescribed for you by a doctor or a nurse?
Yes/ No
Currently, if they say yes they are then asked for the name of the drug, whether they
have used it in the last 7 days and if they are taking it for a heart problem, for high
blood pressure or for some other reason. From 2012, these follow up questions will
only be asked of respondents who have said they are taking medicines, tables or pills
for either high blood pressure or their heart condition or stroke (in section B1
above).
MedIntro
5
Could I take down the names of the medicines, including pills, syrups, ointments,
puffers or injections, prescribed for you by a doctor?
INTERVIEWER: Including the contraceptive pill.
MedBI
INTERVIEWER: Enter name of drug. Ask if you can see the containers for all
prescribed medicines currently being taken. If Aspirin, record dosage as well as name.
MedBIA
Have you taken/used {name of drug}in the last 7 days? (Yes/ No)
ASK for each drug mentioned
Do you take {name of drug} because of a heart problem, high blood pressure or for
some other reason?
Heart problem
High blood pressure
Other reason
2.8
B7 Edinburgh Claudication Questionnaire
Questions will be dropped for 2012-2015 cycle with consideration given to
reintroducing at a later date.
2.9
C1 Asthma
A reduced set of questions will be retained in module A for 2012 and 2014 (as per
the current biennial cycle). These are as follows:
ASK ALL 0+ WHO HAVE EVER WHEEZED (IF EverW = Yes)
[NoCol]
Have you ever had this wheezing or whistling when you did not have a cold?
1
Yes
2
No
ASK ALL AGED 0+ WHO’VE WHEEZED IN THE LAST 12 MONTHS (IF TweWz=Yes)
[Attak]
How many attacks of wheezing/whistling have you had in the last 12 months?
IF DON’T KNOW, OBTAIN ESTIMATE.
PROMPT IF REQUIRED:
1
1 to 3
2
4 to 12
3
More than 12 attacks
[SleTw]
In the last 12 months, how often on average has your sleep been disturbed due
to wheezing/whistling? Have you ...READ OUT...
6
1
2
3
INTERVIEWER: If DK obtain estimate.
...never woken with wheezing,
woken less than 1 night per week,
woken one or more nights per week?
1
2
3
4
[NaDLi]
In the last 12 months, how much did wheezing/whistling interfere with your
normal daily activities ...READ OUT...
...not at all,
a little,
quite a bit,
or a lot?
ASK ALL 0+ WHO HAVE EVER WHEEZED (IF EverW = Yes)
[RecAtW]
When was your most recent attack of wheezing/whistling?
PROMPT IF NECESSARY.
1
Less than 4 weeks ago
2
More than 4 weeks but within the last 12 months
3
One to five years ago
4
More than 5 years ago
Three questions will move into the core questionnaire as follows:
ASK ALL AGED 0+
[EverW]
I am now going to ask you some questions about your breathing.
Have you ever had wheezing or whistling in the chest at any time, either now or
in the past?
1
Yes
2
No
1
2
[TweWz]
Have you ever had wheezing or whistling in the chest in the last 12 months?
Yes
No
ASK ALL 0+
[ConDr]
Did a doctor ever tell you that you had asthma?
PLEASE EXCLUDE ADVICE FROM HOMEOPATHS, ETC.
1
Yes
2
No
The following questions will be dropped.
[BrWhy]
7
Have you ever been at all breathless when the wheezing or whistling noise was
present?
1 Yes
2 No
[Speke]
In the last 12 months, has the wheezing/whistling ever been severe enough to limit
your speech to only
one or two words at a time between breaths?
1 Yes
2 No
ASK IF: DIAGNOSED WITH ASTHMA AND HAVE NOT WHEEZED IN THE LAST 12
MONTHS
OR HAVE NEVER WHEEZED (IF ConDr = Yes AND (EverW=No OR EverW= Don’t
Know) OR
(EverW=Yes AND TweWz=No or Don’t Know))
[AsTwe]
When was your most recent attack of asthma?
PROMPT IF NECESSARY.
1 Less than 4 weeks ago
2 More than 4 weeks but within the last 12 months
3 One to five years ago
4 More than 5 years ago
ASK IF: EVER WHEEZED OR DIAGNOSED WITH ASTHMA AND HAD AN ATTACK IN
THE
PAST FIVE YEARS ((EverW=Yes OR ConDr=Yes) AND AstWe OR RecAtW = between
less than 4 weeks ago…One to Five years ago))
[TrtWze]
SHOW CARD C1
Have you received any treatment or advice for your (asthma/wheezing or whistling)
from any of the people on this card?
1 Yes
2 No
IF TrtWze=Yes
[TrtWh]*
Which ones? PROBE: Any others? CODE ALL THAT APPLY
1 A general practitioner (GP) [TrtWh1]
2 Nurse at GP surgery/Health centre [TrtWh2]
3 Community, School or District Nurse [TrtWh3]
4 Hospital casualty/Accident and Emergency department [TrtWh4]
5 Consultant/Specialist or other doctor at hospital outpatients [TrtWh5]
6 Consultant/Specialist or other doctor elsewhere [TrtWh6]
7 Homeopath [TrtWh7]
8 Acupuncturist [TrtWh8]
8
9 Other alternative medicine professional [TrtWh9]
IF TrtWh=A General Practioner (GP)
[TrTim1]
How many times were you treated by a general practitioner for your
(asthma/wheezing or whistling) in the last 12 months?
Range: 0..52
IF TrtWh=A Nurse at GP Surgery/Health Centre
[TrTim2]
How many times were you treated by a nurse at a GP surgery/Health centre for your
(asthma/wheezing or whistling) in the last 12 months?
Range: 0..52
IF TrtWh=Community, School or District nurse
[TrTim3]
How many times were you treated by a Community, School or District nurse for your
(asthma/wheezing or whistling) in the last 12 months?
Range: 0..52
IF TrtWh= hospital casualty or Accident and Emergency Department
[TrTim4]
How many times were you treated at a hospital casualty or Accident and Emergency
Department for your (asthma/wheezing or whistling) in the last 12 months?
Range: 0..52
IF TrtWh=Consultant/Specialist or other doctor at hospital outpatients
[TrTim5]
How many times were you treated by a Consultant/Specialist or other doctor at
hospital outpatients for your (asthma/wheezing or whistling) in the last 12 months?
Range: 0..52
IF TrtWh=Consultant/Specialist or other doctor elsewhere
[TrTim6]
How many times were you treated by a Consultant/Specialist or other doctor
elsewhere for your (asthma/wheezing or whistling) in the last 12 months?
Range: 0..52
ASK ALL WHO HAVE A DOCTOR DIAGNOSIS OF ASTHMA (IF ConDr=YES)
[AdvTyp]
SHOW CARD C2
Now I’d like to talk about the type of treatment and advice you have received from
these people. What treatment or advice have you received for your asthma?
CODE ALL THAT APPLY
1 Take appropriate exercise
2 Avoid known allergens or triggers (e.g. pollen, animals, other people’s cigarette
smoke)
3 Advice or treatment to stop smoking
9
4 Avoid extreme temperatures
5 Medication (including inhaler) use
6 Advice or treatment to lose weight
7 Other
8 None of these
IF AdvTyp IS NOT ‘NONE OF THESE / DON’T KNOW’
[AsPlan]
Has this treatment or advice included a personal asthma action plan?
1 Yes
2 No
2.10
C2 COPD
Questions will be retained.
2.11
C3 MRC Respiratory Module
A reduced set of questions will be retained in module A for 2012 and 2014 (as per
the current biennial cycle). These are as follows:
ASK ALL AGED 16+
[Flemwint]
Do you usually bring up any phlegm from your chest, first thing in the morning
in winter?
1
Yes
2
No
IF Flemwint = No or Don’t know THEN
[Flemdawn]
Do you usually bring up any phlegm from your chest, during the day or at night
in the winter?
1
Yes
2
No
IF Flemwint=Yes OR FlemDawn=Yes THEN
[Flemreg]
Do you bring up phlegm like this on most days for as much as three months
each year?
1
Yes
2
No
ASK ALL AGED 16+
[Windhila]
10
1
2
3
4
Are you troubled by shortness of breath when hurrying on level ground or
walking up a slight hill?
Yes
No
Never walks uphill or hurries
Cannot walk
IF Windhila = Yes, Never walks uphill or hurries or Don’t know THEN
[WindPeer]
Do you get short of breath walking with other people of your own age on level
ground?
1
Yes
2
No
3
Never walks with people of own age on level ground
IF Windpeer = Yes or No THEN
[Windpace]
Do you have to stop for breath when walking at your own pace on level
ground?
1
Yes
2
No
The following questions will be dropped.
ASK ALL AGED 16+
[Windwizz]
Have you had attacks of wheezing or whistling in your chest at any time in the
last 12 months?
1
Yes
2
No
1
2
[Windwake]
Have you at any time in the past 12 months been woken at night by an attack
of shortness of breath?
Yes
No
1
2
[Windwees]
Have you ever had attacks of shortness of breath with wheezing?
Yes
No
IF Windwees =Yes THEN
11
1
2
2.12
[Windnorm]
Is/Was your breathing absolutely normal between attacks?
Yes
No
C4 Lung Function
The switch from the nurse visit to interviewer led bio measures means that it will no
longer be possible to measure lung function.
12
2.13
D1 Use of Services of those with CVD
Questions will be retained.
2.14
D2 Use of Services of those without CVD
Questions will be retained.
2.15
E1 Adult Physical Activity
Questions will be retained but with some additions in order to monitor the new
physical activity guidelines which were published in summer 2011.
Additional information will now be captured in the following areas:



Muscle strengthening activities in adults aged 16 and over
Balance improving activities in adults aged 65 and over
Waking exertion in adults aged 65 and over
The questions about muscle strengthening and balance improving relate solely to
sporting activities, so other kinds of activity (such as housework, gardening or workbased tasks) will not be counted (the frequency and duration of such activities will
still be included in survey).
The current question on participation in a list of 10 sporting activities will remain. A
new question with additional sporting activities will be added. It asks whether
people have done any of the following in the past 4 weeks:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Bowls
16
Fishing/ angling
17
Golf
18
Hillwalking/ rambling
19
Snooker/ billiards/ pool
20
Aquarobics/ aquafit/ exercise class in 21
water
Yoga/pilates
22
Athletics
23
Basketball
24
Canoeing/ Kayaking
25
Climbing
26
Cricket
27
Curling
28
Hockey
29
Horse riding
30
Ice skating
Martial arts including Tai Chi
Netball
Powerboating/ jet skiing
Rowing
Sailing/ windsurfing
Shinty
Skateboarding/ inline skating
Skiing/ snowboarding
Subaqua
Surfing/ body boarding
Table tennis
Tenpin bowling
Volleyball
Waterskiing
For each activity mentioned, information is collected about how often and for how
long people did them.
13
Muscle Strengthening Activities
The activities were classified as either:
 definitely muscle strengthening
 potentially muscle strengthening – depending on the impact on people’s
muscles
Definite strengthening activities
The following activities will be automatically classified as muscle strengthening when
the data are processed:
Swimming
Tai Chi
Athletics
Sailing/Wind Surfing
Skiing/Snowboarding
Horse Riding
Waterskiing
Rowing
Canoeing/Kayaking
Climbing
Potential strengthening activities
The following activities will be classified as muscle strengthening only if the
participant answers yes to this follow-up question:
During the past four weeks, was the effort of [name of activity] usually enough to
make your muscles feel some tension, shake or feel warm?
Cycling
Workout at a gym
Aerobics
Any other type of dancing
Football/Rugby
Badminton/Tennis
Squash
Exercises
Ten pin bowling
Yoga/Pilates
Aquarobics/Aquafit
Martial arts/Tai Chi
Basketball
Netball
Lawn bowls
Golf
Hill Walking/Rambling
Cricket
Hockey
Curling
Ice skating
Shinty
Surf/body boarding
Volleyball
Balance improving activities in adults aged 65 and over
A similar approach will be adopted for the balance improving activities, though just
one activity was classified as potentially balance improving.
The following activities will be automatically classified as balance improving when
the data are processed:
14
Cycling
Workout at a gym
Aerobics
Any other type of dancing
Football/Rugby
Badminton/Tennis
Squash
Horse riding
Aquafit/Aquarobics
Jet ski
Climbing
Lawn bowls
Golf
Hill Walking/Rambling
Yoga/Pilates
Athletics
Basketball
Netball
Canoeing/Kayaking
Cricket
Hockey
Curling
Ice skating
Martial arts/Tai Chi
Sailing/Wind Surfing
Shinty
Surf/body boarding
Skiing/Snowboarding
Ten pin bowling
Table tennis
Volleyball
Waterskiing
In addition, people who report doing “Exercises (e.g. press-ups, sit-ups)” will be
classified as having done balance improving activities if they answer yes to this
follow-up question:
Did these exercises involve you standing up and moving about?
Walking exertion in adults aged 65 and over
The questionnaire currently asks all adults about their usual walking pace as a proxy
for the level of exertion. However, concerns were raised that this is not suitable for
some older people as they may walk at a slow pace but still exert themselves. A new
question for people aged 65 and over has been added:
During the past four weeks, was the effort of walking for 10 minutes or more usually
enough to make you breathe faster, feel warmer or sweat?
Yes/No
2.16
E2 Physical Activity at Work
Questions to be dropped. These are currently asked about the household reference
person (HRP) only in module A and are not used to derive the variables on
adherence to physical activity recommendations. There has been no evidence of
these variables being used in their own right.
Note that there are questions on physical activity at work asked of all adults in
section E1 (see above) which are used to derive the variables on adherence to
physical activity recommendations and these will be retained.
2.17
E3 Where People do Physical Activity
No case was made for the retention of these questions during the questionnaire
consultation. Therefore they will not be included in the 2012-2015 questionnaires.
15
2.18
E4 Screen Time (Adults)
Questions will be retained but moved from module A to the core. Additional
questions on wider sedentary activity at work and in leisure time will also be
included.
When you are at work are you mainly sitting down, standing up or walking about?
On an average work day in the last four weeks, how much time did you usually spend
sitting down?
And how much time on an average weekday do you spend sitting down doing any
other activity, such as eating a meal, reading, or listening to music (IF 65+: or
napping in a chair)? Please do not include time spent doing these activities while at
work.
INTERVIEWER: EXAMPLES OF THESE ACTIVITIES INCLUDE SNACKING, STUDYING,
DRAWING, DOING PUZZLES/CROSSWORDS ETC. DO NOT COUNT TIME TWICE E.G. IF
THEY WATCH TV AND EAT, INCLUDE THAT HERE OR AT PREVIOUS QUESTION - NOT
BOTH.
And how much time do you spend sitting down doing any other activity on an
average weekend day (that is Saturday and Sunday)? Please do not include time
spent doing these activities while at work.
INTERVIEWER: EXAMPLES OF THESE ACTIVITIES INCLUDE SNACKING, STUDYING,
DRAWING, DOING PUZZLES/CROSSWORDS ETC. DO NOT COUNT TIME TWICE E.G. IF
THEY WATCH TV AND EAT, INCLUDE THAT HERE OR AT PREVIOUS QUESTION - NOT
BOTH.
2.19
E5 Child Physical Activity
Questions will be retained.
2.20
E6 Screen Time (Children)
Questions will be retained but moved from module A to the core. Additional
questions on wider sedentary activity will be added. These will be the same as the
final two questions in section E4 above.
2.21
E7 Motivations and Barriers to sport
New questions will be added to module A on adults’ motivations and barriers to
sport as follows:
Looking at this card, are there any particular reasons why you haven’t done
any/more sport in the last 4 weeks? (tick all that apply)
It costs too much
No one to do it with
Never occurred to me
16
Not really interested
Fear of injury
I wouldn’t enjoy it
Health isn’t good enough
I might feel uncomfortable or out of place
Changing facilities are not good enough
Lack of transport / I can’t easily get to it
Not enough information on what is available
It’s difficult to find the time
Other (please specify)
And which of these is your main reason?
I would like to ask you some more detail about the last time you did (this/these)
activities.
What were your reasons for doing (it/these)?
CODE ALL THAT APPLY
PROBE: What others?
To keep fit (not just to lose weight)
To lose weight
To take children
To meet with friends
To train/ take part in a competition
To improve my performance
Just enjoy it
To help with my injury or disability
Part of my voluntary work
To walk the dog
For health reasons / to improve health
Other (RECORD AT NEXT QUESTION)
SPONTANEOUS: DON'T KNOW
And which of these was your main reason?
2.22
F1 Eating Habits (Adults) (DINE questionnaire)
Most questions will be retained with priority given to those items which are included
in the calculation of the dietary quality index. The following questions will be
dropped:
[AtTable]
At the table do you ... READ OUT…
CODE ONE ONLY
1
...generally add salt to your food without tasting it first,
2
taste the food, but then generally add salt,
17
3
4
taste the food, but only occasionally add salt,
rarely, or never, add salt at the table?
[Poultry]
SHOW CARD G2
How often do you eat poultry such as chicken or turkey?
[Water]
SHOW CARD G2
How often do you drink plain water, for example from the tap, a water cooler or a
bottle of water?
INTERVIEWER: If asked, include carbonated/fizzy water.
2.23
F2 Eating Habits (Children) (DINE questionnaire)
The same changes will be made as in the adults section in F1.
2.24
F3 Fruit and Vegetable Consumption
Questions will be retained.
2.25
F4 How many times household eats together
Question will be retained.
2.26
F5 Urine Sample (sodium)
Measure will be retained but will move from nurse visit to interviewer administered
bio module.
2.27
G1 Height and Weight measurements
Measures will be retained.
2.28
G2 Waist and Hip circumference
Waist circumference will continue to be measured but will move from the nurse visit
to the interviewer administered bio module – the measurement protocol will change
as a result and a comparability study will be carried out in Spring 2012 to assess the
impact of this change in protocol.
18
It is not possible for interviewers to carry out hip measurements and therefore this
measure will be dropped.
2.29
G3 Demispan
Measure will be dropped.
2.30
H1 Smoking
Questions will be retained.
New question will be added on the longest period of time the respondent has
managed to give up smoking.
2.31
H2 Passive Smoking
Questions will be retained. The response options on the question on exposure to
passive smoking will be amended to reflect the change in legislation. The options
“on public transport” and “in pubs” will be removed and “in cars,vans etc.” and
“outside of buildings (e.g. pubs, shops, hospitals)” will be added. This question will
also be extended to children aged 0-15.
The question on whether the respondent is bothered by passive smoking will be
restricted to those aged 13+ only. A new question on smoking rules within the home
will be added.
2.32
H3 Saliva Sample
The saliva sample will be retained but will move from the nurse visit to the main
interview bio module.
2.33
H4 Nicotine Replacement
Questions will be moved from the nurse visit to the main interview (core) and
additional response options have been added to the questions USENRT.
A new question will be added to identify whether NRT products have were bought or
on prescription. A new question will be asked to respondents in the bio module only
on whether they used these NRT products within the last seven days to aid with
validation of the cotinine measures.
2.34
I1 Contraception
Questions will be retained.
2.35
J1 Alcohol (weekly consumption)
19
Most Questions will be retained with one minor amendment to the list of strong
beers.
The following question will be dropped:
ASK ALL 18/20+ WHO DRINK ALCOHOL (IF (Drink = Yes) OR (DrinkAny = Very
occasionally))
[DrAmount]
Compared to five years ago, would you say that on the whole you drink more,
about the same or less nowadays?
1
More nowadays
2
About the same
3
Less nowadays
2.36
J2 Alcohol (heaviest drinking day)
Questions will be retained.
2.37
J3 Where and with who do you drink most alcohol?
Questions will be retained, but only the main response will be recorded and the
secondary questions will be dropped.
2.38
J4 Problem Drinking
The following question on drunkenness will be retained.
Q7 I have been drunk at least once a week, on average, in the last
three weeks Tick ONE box
1 Yes
2 No
The following questions on drunkenness will be dropped.
Q8 Drinking has made me slightly (or very) drunk in the last three months Tick ONE
box
1 Yes
2 No
Q9
If yes, please tick one of the boxes to show how many times in the last 3 months?
Once, Twice, Three times, Four or more times
CAGE questions will be dropped from the self-completion and replaced with the
AUDIT questionnaire as follows:
20
1. How often do you have a drink containing alcohol?
Never / Monthly or less / 2-4 times a month / 2-3 times a week / 4 or more time as
week
2. How many drinks containing alcohol do you have on a typical day when you are
drinking?
1 or 2 / 3 or 4 / 5 or 6 / 7 to 9 / 10 or more
3. How often do you have six or more drinks on one occasion?
Never / Less than Monthly / Monthly / Weekly / Daily or almost daily
4. How often during the last year have you found that you were not able to stop
drinking once you had started?
Never / Less than Monthly / Monthly / Weekly / Daily or almost daily
5. How often during the last year have you failed to do what was normally expected
of you because of drinking?
Never / Less than Monthly / Monthly / Weekly / Daily or almost daily
6. How often during the last year have you needed a first drink in the morning to get
yourself going after a heavy drinking session?
Never / Less than Monthly / Monthly / Weekly / Daily or almost daily
7. How often during the last year have you had a feeling of guilt or remorse after
drinking?
Never / Less than Monthly / Monthly / Weekly / Daily or almost daily
8. How often during the last have you been unable to remember what happened the
night before because of your drinking?
Never / Less than Monthly / Monthly / Weekly / Daily or almost daily
9. Have you or someone else been injured because of your drinking?
No / Yes, but not in the last year / Yes, during the last year
10. Has a relative, friend, doctor, or other health care worker been concerned about
your drinking or suggested you cut down?
No / Yes, but not in the last year / Yes, during the last year
2.39
K1 Dental Health
Questions will be retained in the core.
2.40
K2 Dental Services
Questions will be retained in module A in 2013 and 2015.
2.41
L1 Strengths and Difficulties Questionnaire
Questions will be retained
2.42
L2 GHQ-12
Questions will be retained
2.43
L3 WEMWBS
21
Questions will be retained and extended to 13-15 year olds.
2.44
L4 Depression, Anxiety and Self-harm
Questions will be retained but have moved from the nurse visit to the main
interview bio module. Following the pilot, the mode of these questions has changed
from CAPI to CASI to reduce potential distress to respondents.
Self-harm questions DSH5 (method), DSH9 (medical attention) and DSH10
(psychiatric care) have been removed due to the very small number of respondents
who would answer these questions, rendering the results unusable.
2.45
L5 Social Capital
Questions will be retained on a biennial basis, returning to the survey in 2013.
2.46
L6 Discrimination and Harassment
Questions will be retained on a biennial basis, returning to the survey in 2013.
2.47
L7 Stress at Work
Questions will be retained on a biennial basis, returning to the survey in 2013.
2.48
L8 Life Satisfaction
Question will be retained.
2.49
M1 Vitamins / Supplements
Most questions will be retained and will move from the nurse visit to the core
interview. The following question will be dropped due to the small numbers
involved making the data unusable:
IF VitTake=Yes THEN
[Vitamin]
What are you taking?
NURSE: CODE ALL THAT APPLY.
1
Vitamins
2
Fish oils
3
Iron supplements
4
Calcium
5
Other minerals
6
Other supplements
2.50
M2 Accidents
22
Questions will be retained in module A in 2013 and 2015. Additional questions were
requested on location of accident and activity at time of accident. Whilst a good
case was made for the inclusion of these questions, they have not been accepted as
the small number of respondents who would answer these questions would make
the data unusable and could not justify their inclusion.
2.51
M3 Food Poisoning
Questions will be dropped.
2.52
M4 Parental History
Existing questions will be retained. New questions will be added to determine family
history of diabetes, heart disease and stroke to allow calculation of ASSIGN scores.
2.53
M5 National Identity
Questions will be dropped.
2.54
N1 Gambling
A new set of questions on problem gambling were proposed and will be introduced
to the self-completion section of the survey.
3.
KNOWLEDGE, ATTITUDES AND MOTIVATIONS TO HEALTH (KAM) MODULE
This module is currently funded by NHS Health Scotland and they have indicated that
they do not wish to continue the collection of this data from 2012 onwards. We
received a small number of requests to continue individual questions from this
module during the consultation.
None of these questions will be included in the 2012-2015 surveys. This is due to the
different design required for these types of questions. They need to be asked of a
random adult in the household rather than all adults. Without a full module of this
type of questions, it is not feasible or efficient to include this in the design for a few
questions.
4.
HARMONISED CORE
The development of a harmonised core of 19 questions across the three large
Scottish population surveys (Scottish Household Survey, Scottish Health Survey and
Scottish Crime and Justice Survey) has led to some minor changes to existing SHeS
questions and some additions. Many of the harmonised core questions already exist
in the SHeS. All are listed below for completeness.
4.1
Household Relationship Matrix
23
Existing SHeS question. Minor changes have been made to the wording . We have
more answer options than those shown below due to the need to identify blood
relatives for health analysis, but the SHeS answer categories can be combined to
produce harmonised output with the question below.
Could you tell me how {person1} is related to {person2}?
Answer:
4.2
1. Husband or wife
2. Cohabiting partner
3. Legally recognised civil partner
4. Son or daughter (including adopted)
5. Step son or step daughter
6. Foster child
7. Son-in-law or daughter-in-law
8 Parent (including adopted)
9. Step parent
10. Foster parent
11 Parent-in-law
12 Brother or sister (including adopted)
13 Half brother or sister
14 Foster brother or sister
15 Step brother or sister
16 Brother-in-law or sister-in-law
17 Grand parent
18 Grand child
19 Other relative
20 Unrelated
Gender
Existing SHeS question. No changes required.
4.3
Age and/or Date of Birth
Existing SHeS questions. No changes required.
4.4
Religion
Existing SHeS question. No changes required.
4.5
Country of Birth
New question added as follows:
What is your country of birth?
923. Scotland
24
921. England
924. Wales
922. Northern Ireland
372. Republic of Ireland
Elsewhere (please specify)
25
4.6
Ethnic Group
Existing SHeS question. Minor changes have been made to the wording as follows:
What is your ethnic group?
Choose ONE section from A to F, then tick ONE box
which best describes your ethnic group or background.
A White
Scottish
Other British
Irish
Gypsy / Traveller
Polish
Other white ethnic group, please write in
B Mixed or multiple ethnic group
Any mixed or multiple ethnic groups, please write in
C Asian, Asian Scottish or Asian British
Pakistani, Pakistani Scottish or Pakistani British
Indian, Indian Scottish or Indian British
Bangladeshi, Bangladeshi Scottish or Bangladeshi British
Chinese, Chinese Scottish or Chinese British
Other, please write in
D African
African, African Scottish or African British
Other, please write in
E Caribbean or Black
Caribbean, Caribbean Scottish or Caribbean British
Black, Black Scottish or Black British
Other, please write in
F Other ethnic group
Arab, Arab Scottish or Arab British
Other, please write in
26
4.7
Sexual Orientation
Existing SHeS question. Minor changes made to the wording as follows:
Which of the following options best describes how you think of yourself?
1. Heterosexual or Straight
2. Gay or Lesbian
3. Bisexual
4. Other
4.8
Self Assessed Health
Existing SHeS question. No changes required.
4.9
Tenure
Existing SHeS question. No changes required.
4.10
Qualifications Held
Existing SHeS question. Minor changes to wording and answer category 1.
Please look at this card and tell me which, if any, of the following qualifications you
have.
Answer all that apply.
1. School leaving certificate, National Qualification Access Unit
2. O Grade, Standard Grade, GCSE, GCE O Level, CSE, National Qualification Access
3 Cluster, Intermediate 1 or 2, Senior Certificate or equivalent.
3. GNVQ/GSVQ Foundation or Intermediate, SVQ Level 1 or 2, SCOTVEC/National
Certificate Module, City and Guilds Craft, RSA Diploma or equivalent
4. Higher Grade, Advanced Higher, CSYS, A Level, AS Level, Advanced Senior
Certificate or equivalent
5. GNVQ/GSVQ Advanced, SVQ Level 3, ONC, OND,
SCOTVEC National Diploma,
City and Guilds Advanced Craft, RSA Advanced Diploma or equivalent
6. HNC, HND, SVQ Level 4, RSA Higher Diploma or equivalent
7. First Degree, Higher Degree, SVQ Level 5 or equivalent
8. Professional qualifications e.g. teaching, accountancy
9. Other school examinations not already mentioned
10. Other post-school but pre Higher education examinations not already mentioned
11. Other Higher education qualifications not already mentioned
12. No qualifications
27
4.11
Economic Activity
Existing SHeS Questions. Some changes required to match harmonised questions as
follows. Existing SHeS questions on type of job will be retained to allow calculation
of NSSEC. An additional question will be needed to identify students.
Question 1: In the last week (that is the 7 days ending Sunday the [date]) were you
doing any of the following, even if only for one hour:
Code all that apply.
1. Working as an employee (or temporarily away)
2. On a Government sponsored training scheme (or temporarily away)
3. Self employed or freelance (or temporarily away)
4. Working unpaid for your own family’s business (or temporarily away)
5. Doing any other kind of paid work
6. None of the above
Note: ‘Temporarily away’ includes away from work ill, on maternity leave, on holiday
leave and temporarily laid off (as long as there is still an employment contract).
It does not include those who are laid off and no longer have an employment
contract.
Question 2: If (Q1 is 4 OR 6) AND (Q1 not 1,2,3,5) then:
Thinking of the 4 weeks ending Sunday the [Reference Day], were you actively
looking for any kind of paid work or for a place on a government scheme at any time
in those 4 weeks?
1. Yes
2. No
Question 3: If (Q1 is 4 OR 6) AND (Q1 not 1,2,3,5) and (Q2 is 2) then:
Were you waiting to take up a job that you had already
1. Yes
2. No
Question 4: If (Q1 is 4 OR 6) AND (Q1 not 1,2,3,5) AND (Q2 is 1 OR Q3 is 1) then:
If a job or a place on a government scheme had been available in the week ending
Sunday the [date], would you have been able to start within 2 weeks?
1. Yes
2. No
28
o
4.12
Banded Household Income
Existing SHeS question.
harmonised question.
4.13
Minor changes to the bands to allow consistency with the
Smoking
Existing SHeS question. Minor change to the wording required. Our current question
includes the words “at all”.
Do you smoke cigarettes nowadays?
1. yes
2. no
4.14
Car Access
Existing SHeS question. Minor changes to wording as follows:
In total, how many cars or vans are owned, or are available for private use, by members of
your household? Include any company cars or vans available for private use.
Range from 0 – 100
-8 Don’t know
4.15
Legal Marital Status
Existing SHeS question. Minor changes to wording as follows:
Please look at this card and tell me your legal marital or same-sex civil partnership status?
1. Never married and never registered a same-sex civil partnership
2. Married
3. In a registered same-sex civil partnership
4. Separated, but still legally married
5. Separated, but still legally in a same-sex civil partnership
6. Divorced
7. Formerly in a same-sex civil partnership which is now legally dissolved
8. Widowed
9. Surviving partner from a same-sex civil partnership
4.16
Disability / Limiting Long-term Conditions
The wording of this question has been changed very slightly to read:
Do you have a long-standing physical or mental condition or illness lasting, or expected to
last, 12 months or more?"
And the answer options for the question on whether this limits activities have been
extended from yes/no to:



4.17
Yes, a lot
Yes, a little
Not at all
Caring
Existing SHeS questions. Some minor changes required as follows:
RG15
Do you look after, or give any regular help or support to family members, friends, neighbours
or others because of either:
 long-term physical / mental ill-health / disability; or
 problems related to old age?
INTERVIEWER: Exclude any caring that is done as part of any paid employment.
1 Yes
2 No
RG17
In total, how many hours each week approximately do you spend providing any regular help
or support?
INTERVIEWER: Include care provide both inside and outside the household.
1
up to 4 hours a week
2
5 - 19 hours a week
3
20-34 hours a week
4
35-49 hours a week
5
50 or more hours a week
6
Varies (not to be included on a showcard but to be a possible option)
INTERVIEWER: If person says that continuous care is provided then code as 50 or more hours
a week.
4.18
Perception of Crime
The following questions have been added to the household questionnaire:
How many years have you lived in your local area, that is the area within about a 15 minute
walk from your home?
How much would you say the crime rate in your local area has changed since two years ago?
Would you say there is more, less or about the same?
4.19
Police Confidence
The following questions have been added to the household questionnaire:
How confident are you in the police in your local area’s ability to:
- Prevent crime
- Respond quickly to appropriate calls and information from the public
- Deal with incidents as they occur
- Investigate incidents after they occur
- Solve crimes
- Catch criminals
5.
NEXT STEPS
All amendments have been made to the questionnaire and it will go into the field in January
2012. The first results will be published in autumn 2013.
Scottish Health Survey Team
Health Analytical Services
Scottish Government
December 2011