European Survey of Health in Spain (ESHS) provides information periodically on the health of citizens and some of the main crucial factors.
The ESHS 2014 has the general objective of providing information on the health of the Spanish population, harmonized and comparable at an European level, in order to be able to plan and evaluate actions in health sector. It is designed for:
1. Provide information about the assessment of the state of general physical and mental health and identify the main health problems of citizens: chronic diseases, illnesses, accidents and functional limitations.
2. Know the degree of access and utilization of health services.
3 To ascertain the determining health factors: living habits and characteristics of the physical and social environment that pose health risks.
4. Analyze differences that health problems show, the risk factors and the use of services among different population subgroups (gender, age, social class, economic activity, country of birth and Autonomous Community).
The ESHS 2014 uses four standardized classifications in its exploitation of results:
National Classification of Economic Activities CNAE-2009: The activity is coded to a three-digit level.
National Classification of Occupations CNO 2011: The occupation is coded to a three-digit level.
National Classification of Education CNED2014: The level of studies reached is classified according aggregations NCED codes.
Social class: It was obtained according to the classification proposed in 2012 by the Working Group Determinants of the Spanish Society of Epidemiology (SEE), adapted for health surveys.
The research is directed to all persons residing in main family homes across the country. Population living in institutions is not considered
The unit is the resident person in the main family dwelling.
The total population or universe to respect the European Health Survey is the population residing in main family dwellings.
The Survey is conducted throughout the country.
The target variables are provided with a level of territorial disaggregation of Autonomous Community.
The European Survey of Health in Spain (ESHS) was held for the first time in 2009. The ESHS 2014 is the second edition.
The time period to which the data refer varies according to the nature of the variables to be investigated. The reference period may be 12 months (self-perceived health), the last 4 weeks (medical consultations) or the last two weeks (drug use).
Data referred to the period: Encuesta Europea de Salud de EspaÃ±a 2014
This statistical project investigates the variables mentioned in the article 11.2 from the Law of the Funtion of Public Statistics (ethnic origine, political opinions, religious conviction or ideologies and issues related to the personal or familiar intimacy) , for that reason it is voluntary.
The European Survey of Health 2014 in Spain is a harmonized and comparable survey at European level. Regulation (EU) No 141/2013 of 19 February 2013 Implementing Regulation (EC) No 1338/2008 of the European Parliament and of the Council on Community statistics on public health and health and safety at work, as regards statistics based on the European Health Interview survey (EHIS) establishes the physical changes of the survey application in all countries of the European Union. The Spanish version of this policy of the European Union is available from: http://www.ine.es/en/normativa/leyes/UE/minine_en.htm#54088
There is a collaboration agreement between INE and Ministry of Health, Social Services and equality for expanding EHIS 2014 variables.
The European Survey of Health in Spain (ESHS) has a five-year basis. The first edition was held in 2009, therefore, the information of ESHS 2009 and ESHS2014 is available.
The results of the survey are disseminated through the INE website, and some results are included in publications such as the Statistical Yearbook, INE Figures, etc...
Eurostat has the microdata file with the variables laid down in Regulation (EU) Nº141 / 2013. After analyzing the results of the member countries disseminate information on its website.
The Ministry of Health, Social Services and Equality, as set out in the collaboration agreement between INE and MSSSI for expanding variables EESE 2014, also disseminates the results through its website and produces reports with key operating results making public to all users.
The users themselves disseminate the results of the survey by the articles, the result of their research, published in scientific journals of national and international prestige.
You can access all the information available EESE 2014 via the following link :
The file anonymised microdata of ESHE is available at INE website:
In order to ensure confidentiality they have been removed certain variables (name, country of birth, nationality, province, DNI..ademas of all the variables collected some literal).
Users can apply a variable not released under strict conditions of confidentiality. The request is carried out via the User Information Area:
A detailed description may be viewed at:
The INE conducts two specific analyzes for assessing the quality of data ESHS. In the first place, we obtain sampling errors published with the errors tabulation. Secondly, an analysis of the lack of response is carried out and published in the website. Both results can be found in the website of ESHS results dissemination:
Thus, the following sections of this methodological report (items from 12 to 19) constitute the quality global report oriented to the user for this operation.
For the ESHS 2014 an amount of measures has been implemented and they help guarantee the process and results quality. Beyond them we can found the following:
- Translation of the questionnaire suggested by Eurostat following the protocol recommended by the agency translation.
Data collection via a CAPI application with implementation or errors and incompatibility warnings between the survey answers in order to carry out the first filtering in the same dwelling where the information is obtained.
- Specific training to the interviewers.
- Periodic inspection of field work.
- Control of the surveys answered by proxies.
- Exhaustive review of the encodings of the questions (studies, activity and occupation).
- Control of errors and warnings to the collection back in order to confirm the proper functioning of the applications and avoid systematic errors in gathering.
- Using EDIT validator provided by Eurostat to monitor inconsistencies
According to the measures implemented in the collection process and purification results described in the previous section, the strengths of the survey are:
- The completion of the questionnaire when collecting the different dimensions that may be included in a health survey.
- The absence of errors and inconsistencies between the questionnaire responses thanks to the ICSC questionnaire and a first filtering in field.
- Low level of responses provided by proxy to the individual questionnaire (3% of all adults).
- Proper classification by sociodemographic variables because of the exhaustive debugging variables studies, activity, employment and household composition.
- Lack of slightly lower than the normal rates in response household surveys.
- Calibrated results by age, sex and nationality
The main users of the survey:
- Ministry of Health, Social Services and Equality
Territorial Administrations (AACC)
Other international institutions (OECD, WHO...)
- Researchers and universities
- The press and specialised media
The user needs models serve different purposes, to cite some examples, Eurostat needs healthcare internationally comparable information for EU policies, to the Ministry of Health, Social Services and Equality this type of information is an essential element for planning and action public health and is an essential tool in evaluating health policies and researchers focus on a detailed and specialized exploitation of information.
The INE has carried out general user satisfaction surveys in 2007, 2010 and 2013, and it plans to continue doing so every three years. The purpose of these surveys is to find out what users think about the quality of the information of the INE statistics and the extent to which their needs of information are covered. In addition, additional surveys are carried out in order to acknowledge better other fields such as dissemination of the information, quality of some publications...
On the INE website, in its section Methods and Projects / Quality and Code of Practice / INE quality management / User surveys are available surveys conducted to date.(Click next link)
For Eurostat, the Survey on European Health (ESHS) is the way to get health information internationally comparable and provide various DGs reports necessary for EU policies in this area.
Also, the ESHS is a key instrument, along with the National Health Survey, in planning health policies by the Ministry of Health, Social Services and Equality.
the ESHS is widely used by epidemiologists researchers, some of whose research is published in various prestigious journals of national and international scope.
The European Health Survey 2014 is a harmonized and comparable at European level survey. Regulation (EU) No 141/2013 lays down the basic fields of application of the European Health Survey in all countries of the European Union.
All variables considered have been collected and exploited. The variables with higher non-response have been those related to income.
The available mandatory statistical results, calculated as the ratio between the number of data provided and the number of data required by the applicable regulations is 100%.
The estimators used are ratio estimators with a large national sample size which ensures unbiased and small sampling error estimates for key variables.
Furthermore, techniques have been applied weighting (calibration) according to sex, age and nationality, to adjust the results of the deviations presented by the lack of common response in some groups within household surveys (eg, overrepresentation of seniors).
Besides they have been controlled and inspected possible sources of error factor interviewer own collection investigating deviations from the most elevated mean responses for the main variables, avoiding bias in the results by areas.
Finally, comprehensive and centralized filtering of encoded variables studies, activity, occupation and household members have ensured a homogeneous treatment and subsequent classifications controlled sample also avoiding bias in the results of certain areas or groups.
The coefficients of variation of key variables are published. The results may be found in the tabulation of the survey at the following link:
The main source of sampling error was due to the lack of response of households. Health surveys are traditionally well received at rates of collaboration are often among the highest in household surveys. Specially for ESHS, the two main indicators of response are:
Nonresponse rate (Hog. Not surveyed / Hog. Surveyable) = 28.3%
Proportion of effective sample of households (Hog. Surveyed / housing theoretical sample) = 60.9%
A comprehensive document of non-response analysis which can be found at the following link is provided:
The reference period of the data is the year 2014.
The data are published in October 2015 Nine months after the completion of field work.
The data are published on schedule and established date by Regulation (EU) Nº141 / 2013 for sending data to Eurostat.
The sample design allows the comparison of results in the AACC.
Regulation (EU) No 141/2013 establishes the obligation of the survey in all countries of the European Union, thus ensuring the comparability of information on health.
The European Survey of Health 2014 is the second edition of the ESHS. The variables included in Regulation (EU) No 141/2013 pursues the territorial comparability but also the temporal comparability with the ESHS 2009. Although 80% of the variables coincide in both projects, others such as those for the module of physical exercise, alcohol consumption and mental health, show slight differences that prevent temporal comparison.
The European Survey of Health and the National Health Survey are the national benchmark in the perception of health status and morbidity. Both surveys include the minimum European health module, which is also included in the Survey of Living Conditions and that key indicators of health status and life expectancy free of disability are obtained. The results are comparable and show the same trend.
Health surveys are the main contribution of comprehensive information on the use of health services (including data on the use of public and private health care).
With regard to the determinants of health, the survey includes a range of modules that are themselves own studies (consumption of snuff, alcohol consumption, eating habits, physical exercise). The main contribution of the survey is the possibility of crossing these variables with the health status and health care.
Coherence between variables is contrasted from the time of capture of data in the home through the application (control of errors and warnings) and is reviewed in the purification process in office. This process has enabled to provide all the variables collected in the questionnaire.
The use of electronic questionnaire can reduce the burden of reporting from the point of view of the time of interview. While the average time to interview health surveys conducted by the INE in paper questionnaire was an hour, the average time of interview ESHS 2014 is estimated at 30 minutes.
Reducing the burden on informants also attended the Technical Working Group of Eurostat. After analyzing the results of the ESHS 2009 agreed to reduce the size of the questionnaire, including only the variables needed for the calculation of indicators that allow international health and Community policies in this area.
The estimate of the budgetary credit needed to finance this survey under the annual programs from 2011 to 2015 amounts to a total of 4110.30 million euros in the INE budget and 280.81 million euros in the budget of the Ministry of Health , Social Policy and Equality.
(NOTE: This figure was calculated by adding the respective annual programs, as you can see by clicking on the respective annual programs in http://www.ine.es/dyngs/IOE/es/fichaHistorica.htm?cid=1259930873883)
Final data are published and are not subject to revision.
A preview of the ESHS 2014 was not published. The seasonal nature of many of the variables measured in this statistical operation requires having available all the data collection period (12 months) before calculating aggregates.
The data published is published when it is final and it is not subject to revision.
Data collected for this statistical operation are based on a computer-assisted personal interview that is conducted through two questionnaires:
A household questionnaire: It collects all household members and some basic sociodemographic variables of them all. Besides it collects information on sociodemographic characteristics of the household reference person (person who contributes most to the household budget).
An individual questionnaire: It collects information from the person of 15 years or more selected home
We used a three-stage sampling with stratification of the first-stage units. The first-stage units are the census sections. The second-stage units are the main family dwellings. Within each household selected to an adult (15 years).
To meet the objectives of the survey to provide estimates with a specific degree of reliability on a national and autonomous community level, we selected a sample of 37,500 dwellings distributed in 2,500 census tracts. The number of dwellings selected in each census section is 15.
The European Survey of Health was carried out for the first time in 2009. The ESHS 2014 is the second edition and is expected to be next in 2019.
The data collection method consists on an personal, computer-aided interview (CAPI). Data collection was performed during the year 2014.
The process of monitoring information for quality assurance is carried out in two phases:
1 / During the course of the interview: The computer-aided personal interview (CAPI), can be incorporated into the electronic questionnaire validation rules errors and inconsistencies that need to be cleared at the time of the interview. It also allows to incorporate minor notices to be collated directly with the informant inconsistencies.
2 / Office functions: After receiving the data, a debugging application allows an exhaustive control of the data, analyzing errors, serious inconsistencies, minor inconsistencies, extreme values, tracking marginal distributions, cross tables ...
Complementarily crossings are scheduled or subsets of data are extracted to analyze specific variables.
Serious errors or invalid values, if any, are detected in the first weeks of the period of collection of information and allow perfecting the electronic questionnaire.
The errors may be due to misinterpretation of questions, the interviewers are transmitted to take it into account during the development of their work.
Among the processes applied to the initial data to the collection of aggregate data we can find:
1 / data filtering, as described in the previous section.
2 / periodic comparisons of the sample with the population pyramid pyramid to control the representativeness of the sample versus the variables age and sex.
3 / Control of the socioeconomic variables.
4 / Adjusting the lack of response and calibration
5 / Calculation and review of the elevation factors.
No temporary adjustments carried out.
No hay observaciones.