CANADIAN COMMUNITY HEALTH SURVEY Data and Products
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CANADIAN COMMUNITY HEALTH SURVEYData and Products
Sylvie LafortuneLaurentian University
DLI Spring Meeting (ON)April 13, 2010
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Overview
• Background on CCHS• CCHS content• CCHS geography• Products
– Health Indicators– Health Profile
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Background on CCHS
• Launched in 2000 as part of the Health Information Roadmap Initiative
• Includes partners at federal, provincial and health regions levels => content & collection changes are constant!
• Supersedes the NPHS cross-sectional component
For background and progress reports, see the Health Information Roadmap Initiative webpage on the Canadian Institute for Health Information website
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Background on CCHS
• Targets persons aged 12 years and older living in private dwellings in the 10 provinces and 3 territories
• Data is self or proxy-reported• CCHS has evolved considerably in past
decade• Major redesign in 2007
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Purpose of CCHSObjectives until 2005• Provide timely and
reliable estimates of
– health status– health care
utilization– health
determinants• Gather data at the sub-
provincial levels of geography
Revised objectives after 2005• Support health surveillance
programs at nat/prov/reg levels
• Timely release of data easily accessible to diverse community of users
• Include rapid response option to address emerging issues
• Support health research on small populations and rare characteristics
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Core content topics
• Alcohol
• Chronic conditions
• Exposure to second-hand smoke
• Fruit and vegetable consumption
• General health
• Health care utilization
• Height and weight
• Injuries
• Mammography
• Maternal experiences
• PAP smear test
• Physical activities
• Restriction of activities
• Smoking
• Two-week disability
• Income
• Socio-demographic characteristics
• Administration
• Labour Force (short form)
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CCHS content structure
2001-2005–Based on 2-year collection cycle–Year 1 Main file -> .1 – general health
survey provides data at the regional level – large sample: 130, 000 cases
–Year 2 Thematic file -> .2 – special topic survey provides data at the provincial level – smaller sample size: ~35, 000 cases
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CCHS content structure
2007 redesign:
1. Changes in collection:• “continuous collection process”• new sample of 11, 000 every two months
2. Changes in content:• common content is split in core and theme; • optional content;• new “rapid response” content
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CCHS content structure
2007 redesign:
3. Changes in dissemination:• annual data files• two-year data files• rapid response files, and more
4. Changes in designations:• CCHS cycle 4.1
– CCHS – Annual component, 2008
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CCHS geography• National• Provincial• Infraprovincial
– Health regions (defined by provinces)– Combined health regions (G)
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CCHS geography
• Peer Groups = groups of health regions with similar socio-economic characteristics
• StatCan identified 24 variables and used cluster and discriminant analyses
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CCHS geography
• 4 strongest predictors of final peer groups(1):– Population density– Aboriginal population– Employment rate– Immigration population
(1) A detailed discussion on the rationale and methods involved in the development of peer groups is available in "Health Region (2007) Peer Groups Working Paper".
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Peer groups and principal characteristics
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Was there ever a time in your life when you had a strong fear or a great deal of concern about being too fat or overweight?
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Was there ever a time in your life when you had a strong fear or a great deal of concern about being too fat or overweight?
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Was there ever a time in your life when you had a strong fear or a great deal of concern about being too fat or overweight?
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What CCHS PUMFs are available ?
• 2001: Cycle 1.1 General File • 2002: Cycle 1.2 Mental Health and Well-
being • 2003: Cycle 2.1 General File • 2004: Cycle 2.2 Nutrition General Health
Component
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• 2005: Cycle 3.1 Main File • 2005: Cycle 3.1 Sub-sample 1: Health
Utility Index (HUI), Fruit and Vegetable Consumption and Labour Force (long form)
• 2005: Cycle 3.1 Sub-sample 2: Measured Height and Weight
• 2005: Cycle 3.1 Sub-sample 3: Access to Health Care Services, Waiting Times and Patient Satisfaction
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• 2007-2008:– CCHS Annual component (Cycle 4.1)
• Currently all available on <odesi>• Currently in EQUINOX
• Only 2-year data PUMFs are planned• The next CCHS PUMF will be for
2009/2010 Fall of 2011
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More to come …
• CCHS - Healthy Aging (CCHS) 2008-2009
• CCHS - Mental Health Stigma and Discrimination Content Module - Test (CCHS)
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Health data products
• June 2009 - Health in Canada module is launched
– Health Indicators (tables and maps)– Health Profile online application
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Proportion of the population aged 12 and over with diabetes by health region, 2005
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About the Health Profile
“My compliments to the folks who put this together for providing the 'comprehensive download' facility. It makes things a _lot_ easier for anyone who wants to look are more than 2 health regions at a time 8-)
And I am also delighted to see that this falls under the DSP licence,rather than the much more restrictive DLI licence.”
Laine Ruus, DLI list, June 25, 2010
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Demo of Health Profile
• Following up on significant difference on “strong fear of being too fat or obese” between women living in Quebec and Central East.Ontario
• Indicator: “Perceived mental health, very good or excellent”
• Health Profile