The Ottawa Hospital Research Institute, ICES, and the School of Epidemiology and Public Health at the University of Ottawa, Ottawa, Ontario.
The Ottawa Hospital Research Institute, and ICES, Ottawa, Ontario.
Health Rep. 2020 Jul 29;31(7):12-23. doi: 10.25318/82-003-x202000700002-eng.
National health surveys linked to vital statistics and health care information provide a growing source of individual-level population health data. Pooling linked surveys across jurisdictions would create comprehensive datasets that are larger than most existing cohort studies, and that have a unique international and population perspective. This paper's objectives are to examine the feasibility of pooling linked population health surveys from three countries, facilitate the examination of health behaviours, and present useful information to assist in the planning of international population health surveillance and research studies.
The design, methodologies and content of the Canadian Community Health Survey (2003 to 2008), the United States National Health Interview Survey (2000, 2005) and the Scottish Health Survey (SHeS) (2003, 2008 to 2010) were examined for comparability and consistency. The feasibility of creating common variables for measuring smoking, alcohol consumption, physical activity and diet was assessed. Sample size and estimated mortality events were collected.
The surveys have comparable purposes, designs, sampling and administration methodologies, target populations, exclusions, and content. Similar health behaviour questions allow for comparable variables to be created across the surveys. However, the SHeS uses a more detailed risk factor evaluation for alcohol consumption and diet data. Therefore, comparisons of alcohol consumption and diet data between the SHeS and the other two surveys should be performed with caution. Pooling these linked surveys would create a dataset with over 350,000 participants, 28,424 deaths and over 2.4 million person-years of follow-up.
Pooling linked national population health surveys could improve population health research and surveillance. Innovative methodologies must be used to account for survey dissimilarities, and further discussion is needed on how to best access and analyze data across jurisdictions.
与生命统计和医疗保健信息相关联的国家健康调查为个体层面的人口健康数据提供了不断增长的来源。在司法管辖区之间汇集链接调查将创建比大多数现有队列研究更大的综合数据集，并且具有独特的国际和人口视角。本文的目的是检验汇集来自三个国家的链接人口健康调查的可行性，促进对健康行为的研究，并提供有用的信息，以协助规划国际人口健康监测和研究。
研究检查了加拿大社区健康调查（2003 年至 2008 年）、美国国家健康访谈调查（2000 年、2005 年）和苏格兰健康调查（SHeS）（2003 年、2008 年至 2010 年）的设计、方法和内容的可比性和一致性。评估了为衡量吸烟、饮酒、身体活动和饮食创建通用变量的可行性。收集了样本量和估计的死亡事件。
这些调查具有相似的目的、设计、抽样和管理方法、目标人群、排除和内容。相似的健康行为问题允许在调查之间创建可比的变量。然而，SHeS 对酒精消费和饮食数据使用了更详细的风险因素评估。因此，应谨慎比较 SHeS 与其他两个调查之间的酒精消费和饮食数据。汇集这些链接调查将创建一个拥有超过 350,000 名参与者、28,424 例死亡和超过 240 万人年随访的数据集。
汇集链接的国家人口健康调查可以改善人口健康研究和监测。必须使用创新的方法来解决调查差异，并且需要进一步讨论如何在司法管辖区之间最好地访问和分析数据。
