Health Survey for England, 2021

<P>Abstract copyright UK Data Service and data collection copyright owner.</P><div>The <span style="font-style: italic;">Health Survey for England </span>(HSE)<span style="font-style: italic;">&nbsp;</span>is a series of surveys designed to monitor trends in the nation's health.&nbsp; 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.</div><div><br></div><div>The aims of the HSE series are:</div><ul><li>to provide annual data about the nation’s health;</li><li>to estimate the proportion of people in England with specified health conditions;</li><li>to estimate the prevalence of certain risk factors associated with these conditions;</li><li>to examine differences between population subgroups in their likelihood of having specific conditions or risk factors;</li><li>to assess the frequency with which particular combinations of risk factors are found, and which groups these combinations most commonly occur;</li><li>to monitor progress towards selected health targets</li><li>since 1995, to measure the height of children at different ages, replacing the National Study of Health and Growth;</li><li>since 1995, monitor the prevalence of overweight and obesity in children.</li></ul>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. <br> <br> Further information about the series may be found on the NHS Digital <a href="http://content.digital.nhs.uk/article/3741/Health-Survey-for-England-Health-social-care-and-lifestyles" title="Health Survey for England; health, social care and lifestyles">Health Survey for England; health, social care and lifestyles</a> webpage, the NatCen Social Research <a href="https://natcen.ac.uk/s/health-survey-england" title="NatCen Health Survey for England" target="_blank">NatCen Health Survey for England</a> webpage and the University College London Health and Social Surveys Research Group&nbsp;<a title="UCL Health Survey for England" href="https://www.ucl.ac.uk/epidemiology-health-care/research/epidemiology-and-public-health/research/health-and-social-surveys-research-group/studies-0" target="_blank">UCL Health Survey for England</a>&nbsp;webpage.<br> <br> <p><strong>Changes to the HSE from 2015</strong>:<br>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.</p><p><span style="font-weight: bold;">COVID-19 and the HSE:</span><br>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 <a href="https://digital.nhs.uk/data-and-information/areas-of-interest/public-health/health-survey-for-england---health-social-care-and-lifestyles#about-the-survey">NHS Digital Health Survey for England - Health, social care and lifestyles</a> webpage for more details.<br></p><br><p>The 2021 HSE included additional topics on physical activity, wellbeing (including loneliness), and gambling. The survey also provided updates on repeated core topics, including general health, long-standing illness, smoking and drinking.</p><br><B>Main Topics</B>:<BR><br><div><span style="font-weight: bold;">Core topics</span></div><div><br></div><ul><li>General health</li><li>Longstanding illness</li><li>Smoking</li><li>Average weekly alcohol consumption</li><li>Drinking (heaviest day in last week)</li><li>Consent to data linkage (NHS central register, HES)</li><li>Socio-economic information: sex, age, income, education, employment etc</li><li>Prescribed medications (nurse)</li></ul><div><span style="font-weight: bold;">Additional topics</span></div><div><br></div><ul><li>Social care receipt and provision</li><li>Provision of unpaid care</li><li>Dental health</li><li>Use of GP and counselling services</li><li>Eating disorders</li></ul><p><span style="font-weight: bold;">Measurements</span></p><ul><li>Height and weight</li><li>Blood pressure (nurse)</li><li>Waist and hip circumference (nurse)</li><li>Blood sample for cholesterol, glycated haemoglobin (nurse)</li><li>Saliva sample (nurse)</li></ul>本摘要版权归英国数据服务（UK Data Service）及数据采集版权所有者所有。 《英格兰健康调查》（Health Survey for England, HSE）是一系列旨在监测国民健康趋势的调查项目，由英国国民保健署数字化服务部（NHS Digital）委托，伦敦大学学院国家社会研究中心联合健康调查单元与流行病学与公共卫生系共同执行。 本系列调查的目标包括： - 每年提供国民健康相关数据； - 估算英格兰境内罹患特定健康状况的人群比例； - 估算与这些状况相关的部分风险因素的流行率； - 考察不同人口亚群体在罹患特定疾病或暴露于风险因素的概率上的差异； - 评估特定风险因素组合的出现频率，以及这些组合最常出现的群体； - 监测既定健康目标的达成进度； - 自1995年起，测量不同年龄段儿童的身高，以取代原有的《国家健康与成长研究》； - 自1995年起，监测儿童超重与肥胖的流行情况。 该调查每年包含若干核心问题，同时每一轮调查都会聚焦不同的健康议题，并在合适的周期内重复相关主题以监测变化情况。 如需了解该系列调查的更多信息，可访问英国国民保健署数字化服务部的"《英格兰健康调查：健康、社会照护与生活方式》"网页、NatCen国家社会研究中心的"NatCen英格兰健康调查"网页，以及伦敦大学学院健康与社会调查研究组的"UCL英格兰健康调查"网页。 **2015年起HSE的调整**： 用户需注意，自2015年调查起，仅个人数据文件可通过标准最终用户许可协议（End User Licence, EUL）获取。家庭数据文件自2015年起仅包含于特殊许可协议（Special Licence, SL）版本中。此外，特殊许可协议的个人文件包含了标准最终用户许可协议HSE数据集的全部变量，外加部分经英国国民保健署数字化服务部披露审查后从标准版本中移除的变量。特殊许可协议版本的HSE相较于标准版本，访问限制更为严格（详见访问信息部分）。建议用户先获取标准最终用户许可协议版本，确认其满足需求后，再考虑申请特殊许可协议版本。 **COVID-19与HSE**： 受COVID-19疫情影响，HSE 2020调查于2020年3月中止，且未再重启，当年未发布任何调查成果。该调查于2021年恢复，但其方法已作出调整。2022年，调查全面恢复，且实地调研周期有所延长。鉴于此，为最大化2022年调查的回复率并确保数据报告的可靠性，项目组决定不再推进2023年的调查。如需更多详情，请访问英国国民保健署数字化服务部的"《英格兰健康调查：健康、社会照护与生活方式》"网页。 2021年HSE新增了体育活动、福祉（含孤独感）及赌博相关的调查主题，同时也对通用健康、长期疾病、吸烟与饮酒等重复出现的核心主题进行了更新。 **主要主题**： **核心主题**： - 通用健康状况 - 长期疾病 - 吸烟情况 - 每周平均酒精摄入量 - 过去一周单日最大饮酒量 - 数据链接同意（英国国民保健署中央登记册、医院事件统计系统（Hospital Episode Statistics, HES)） - 社会经济信息：性别、年龄、收入、教育程度、就业状况等 - 处方药物（护士采集） **附加主题**： - 社会照护的接收与提供 - 无偿照护的提供 - 口腔健康状况 - 全科医生与咨询服务的使用情况 - 进食障碍 **测量项目**： - 身高与体重 - 血压（护士采集） - 腰围与臀围（护士采集） - 用于检测胆固醇与糖化血红蛋白的血液样本（护士采集） - 唾液样本（护士采集）