Transcript Andrea Gartner - Measuring lifestyle and health

06/10/2010
Measuring lifestyle: methods
and limitations
Measuring lifestyle:
Presenter:
Andrea methods
Gartnerand
limitations
Overview
•
•
•
•
•
What is lifestyle?
What is measured?
Observatory lifestyle profile
Deaths attributable to smoking
Dissemination
Measuring lifestyle: methods and
limitations
What is lifestyle?
• Definition
“Lifestyles are patterns of (behavioural) choices from
alternatives that are available to people according to
their socio-economic circumstances and the ease with
which they are able to choose certain ones over
others” (WHO, 1986)
• Topics relating to health
- Diet, physical activity, obesity, smoking, alcohol,
illicit drugs, sexual health, dental health
Measuring lifestyle: methods and
limitations
What is measured?
• Behaviour patterns (surveys)
- How much? How often? Alcohol, smoking, drug use, fruit/veg
- Who? Age, sex, deprivation at residence of respondents
• Outcome measures
- Mortality or hospital admissions due to alcohol, smoking, drugs
- Tooth decay
- Teenage conception
Measuring lifestyle: methods and
limitations
Some gaps
• Data at small area level
- MSOA/USOA level
• Robust primary care data
- e.g. hypertension, obesity, diabetes
- based on practice not residence
• Self-reported survey data
Measuring lifestyle: methods and
limitations
Observatory lifestyle
profile
• Published early 2010
• Bilingual printed/online report (Wales
and 7 health board profiles,
reference document, web links)
• Aims to provide a snapshot of local
patterns
• 5 months, 170 analyst days
Measuring lifestyle: methods and
limitations
Indicator selection
• Availability of data
- by LA/HB for comparison tables
- others at Wales level
• Input from practitioners and leads
(where choice available)
• Limited space
Measuring lifestyle: methods and
limitations
Traffic light table - health board areas
Diet, physical
activity, obesity
Smoking
Alcohol
Illicit drugs
Sexual health
Dental health
Measuring lifestyle: methods and
limitations
Traffic light table - ABM
Measuring lifestyle: methods and
limitations
Deaths attributable to smoking
• New estimate for Wales
• Indicator in English Health Profiles
(ERPHO)
• Around 5,650 deaths per year in Wales
(35+) (1,050 all ages from alcohol)
• Attributable fractions for Wales
calculated
Measuring lifestyle: methods and
limitations
Smoking-attributable fractions
• Fractions for Wales calculated using
- Relative risks from published studies (US data)
- Prevalence of smokers and ex-smokers from
2007 WHS (Wales-level)
• Fractions applied to number of deaths
• Limitations (assumptions)
Fractions
60-64 Female
60-64 Male
Lung cancer
0.78
0.90
Coronary heart disease
0.35
0.42
Measuring lifestyle: methods and
limitations
Dissemination
•
•
•
•
•
350 printed copies sent out (100 CMO)
Intranet/internet news item
Email distribution
No press release
Press article: “Wales has most early sex,
booze, drugs, HIV and clap” (NewsWales
website, 1/02/2010)
Measuring lifestyle: methods and
limitations