Canadian Community Health Survey

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Canadian Community Health Survey

• Improving the
• Connection between Surveillance and Policy
• Vincent Dale
• Canadian Community Health Survey

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Overview

• What is CCHS?
• How does CCHS fit in a pan-Canadian risk factor
  surveillance system?
• What does the future hold?

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CCHS - Objectives

• Cross-sectional estimates of health determinants,
  risk factors and health status
• Comparable indicators across Canada
• 100 health regions
• Flexibility
• meet specific health region data gaps
• quick response to emerging issues
• develop focused survey content

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CCHS - Survey Design

• Year 1 General
• 130,000 respondents
• stratified by health region
• Content
• common
• optional
• sub-sample
• Estimates for health regions, provinces,
  territories, Canada

• Year 2 Focus
• 30,000 respondents
• stratified by province
• Content
• focus
• correlates
• 60 minutes
• Estimates for provinces, Canada (excluding
  territories)

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CCHS Dissemination Status

• Cycle 1.1 (released)
• General content
• 130 000 sample
• Health region estimates
• May 8, 2002 initial release
• Aug, 2003 PUMF (re-issue)
• Cycle 2.1 (released)
• General content
• 130 000 sample
• Health region estimates
• June 15, 2004 initial release
• Late 2004 PUMF

• Cycle 1.2 (released)
• Focus content (mental health)
• 30 000 sample
• provincial estimates
• Sept 2003 release
• Sept 2004 PUMF
• Cycle 2.2 (in the field)
• Focus content (nutrition)
• 30 000 sample
• provincial estimates
• Fall 2005 release

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Health Indicators framework
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Performance Indicators

• September 2002 and February 2003 First Ministers
  Meetings on Health
• 15 of 18 featured indicators provided by CCHS

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CCHS 2.1 - Common Content

• Chronic conditions
• General health
• Height / Weight
• Health Utility Index
• Injuries
• Restriction of activities
• Two-week disability
• Oral health
• PAP smear test
• Mammography
• Flu shots
• Insurance
• Health care utilization
• Home care

• Alcohol consumption
• Smoking
• Exposure to second hand smoke
• Youth smoking
• Fruit vegetable consumption
• Physical activities
• Maternal experiences
• Sexual behaviour
• Voluntary organisations

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CCHS 2.1 - Optional Content

• Alcohol dependence / abuse
• Blood pressure check
• Breast examinations
• Breast self examinations
• Changes made to improve health
• Colorectal cancer screening
• Contacts w/mental health professionals
• Dental visits
• Depression
• Dietary supplement use
• Distress
• Driving safety
• Eating troubles
• Food choices
• Food insecurity
• Health care system satisfaction
• Health Utility Index
• Home safety
• Illicit drug use

• Medication use
• Nicotine dependence
• Oral health (optional)
• Patient satisfaction
• Physical check-up
• Physician counseling (smoking)
• Problem gambling
• Prostate cancer screening
• Psychological well-being
• Satisfaction w/availability of services
• Satisfaction w/life
• Sedentary activities
• Self-esteem
• SF-36
• Smoking cessation aids
• Social support
• Stages of change (smoking)
• Suicidal thoughts and attempts
• Tobacco alternatives

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CCHS - Indicators Framework

• Indicator framework is just one source of inputs
  for survey content
• Stakeholders include
• NPHS/CCHS Advisory committee
• Health regions
• Provincial / Territorial Ministries of Health
• Health Canada
• Researchers / experts in health domain
• Canadian Institute for Health Information

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Dynamics of Health
Daytime Evening Rotating Irregular
Daytime Evening Rotating
Irregular schedule shift shift
shift schedule shift
shift shift
Cross-sectional findings
Longitudinal findings
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Dynamics of Health

• Cross-sectional results The odds of having been
  diagnosed with a chronic condition did not differ
  for men who worked shift compared with those who
  had a regular daytime schedule
• Longitudinal results Working shift was
  associated with increased health risks over time.
  For men, working a non-standard schedule in
  1994/95 was predictive of developing chronic
  conditions over the next four years.

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CCHS - Future Directions

• CCHS 2.2 - Nutrition
• detailed food and nutrient intake
• measured height and weight
• childrens health
• Canadian Health Examination Survey
• physical measurements

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CCHS - Future Directions

• Review of .1 Survey Design
• meet more information needs?
• respond more quickly to emerging needs?
• Improved timeliness?

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Contact Info

• Vincent Dale
• Survey Manager - CCHS Cycles 2.1 and 3.1
• Health Statistics Division
• Statistics Canada
• [phone]
• vincent.dale_at_statcan.ca