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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: International population-based health surveys linked to outcome data: A new resource for public health and epidemiology
Author(s): Fisher, Stacey
Bennett, Carol
Hennessy, Deirdre
Robertson, Tony
Leyland, Alastair
Taljaard, Monica
Sanmartin, Claudia
Jha, Prabhat
Frank, John
Tu, Jack V
Rosella, Laura C
Wang, Jianli
Tait, Christopher
Manuel, Douglas G
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Keywords: population health
health surveillance
national health surveys
Issue Date: Jul-2020
Citation: Fisher S, Bennett C, Hennessy D, Robertson T, Leyland A, Taljaard M, Sanmartin C, Jha P, Frank J, Tu JV, Rosella LC, Wang J, Tait C & Manuel DG (2020) International population-based health surveys linked to outcome data: A new resource for public health and epidemiology. Health Reports, 31 (7), pp. 12-23.
Abstract: Background: 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. Methods: 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. Results: 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. Conclusions: 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.
DOI Link: 10.25318/82-003-x202000700002-eng
Rights: © Her Majesty the Queen in Right of Canada as represented by the Minister of Industry, 2020 All rights reserved. Use of this publication is governed by the Statistics Canada Open Licence Agreement. Subject to this licence, Statistics Canada grants you a worldwide, royalty-free, non-exclusive licence to: - use, reproduce, publish, freely distribute, or sell the Information; - use, reproduce, publish, freely distribute, or sell Value-added Products; and, - sublicence any or all such rights, under terms consistent with this licence. In doing any of the above, you shall: - reproduce the Information accurately; not use the Information in a way that suggests that Statistics Canada endorses you or your use of the Information; - not misrepresent the Information or its source; - use the Information in a manner that does not breach or infringe any applicable laws; - not merge or link the Information with any other databases for the purpose of attempting to identify an individual person, business or organization; - not present the Information in such a manner that gives the appearance that you may have received, or had access to, information held by Statistics Canada about any identifiable individual person, business or organization; and - not disassemble, decompile or in any way attempt to reverse engineer any software provided as part of the Information.

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