Commission Implementing Regulation (EU) 2023/2529

Contents

THE EUROPEAN COMMISSION,Having regard to the Treaty on the Functioning of the European Union,Having regard to Regulation (EU) 2019/1700 of the European Parliament and of the Council of 10 October 2019 establishing a common framework for European statistics relating to persons and households, based on data at individual level collected from samples, amending Regulations (EC) No 808/2004, (EC) No 452/2008 and (EC) No 1338/2008 of the European Parliament and of the Council, and repealing Regulation (EC) No 1177/2003 of the European Parliament and of the Council and Council Regulation (EC) No 577/98^note, and in particular Article 7(1), Article 8(3) and Article 13(6) thereof,Whereas:

(1)The European Health Interview Survey (EHIS) is a general population survey in the health domain providing statistical information on health status, health determinants and healthcare activities in the Union. It is a major Union reference source for evidence-based, health-related policies including those on social inclusion and protection, healthy lifestyles, healthy ageing and well-being, health inequalities, healthcare access and quality of healthcare services.

(2)In order to ensure the accurate implementation of the EHIS, the Commission should specify the technical items of the data set, the technical formats for transmission of information from the Member States to the Commission and the detailed arrangements for the content and transmission of the quality reports.

(3)The aim of Europe’s Beating Cancer Plan^note is to tackle the entire disease pathway. It is structured around four key action areas where the Union can add the most value, namely prevention, early detection, diagnosis and treatment and quality of life of cancer patients and survivors. The farm to fork strategy^note is at the heart of the Commission’s European Green Deal^note, promoting sustainable food consumption and facilitating the shift to healthy, sustainable diets.

(4)Council Recommendation on access to affordable high-quality long-term care^note, accompanying the Commission’s Communication on the European care strategy^note, sets a policy framework to guide the development of sustainable long-term care that ensures better and more affordable access to quality services for all, as well as better working conditions in the sector.

(5)The protection of workers’ health and safety, enshrined in the Treaties and the Charter of Fundamental Rights, is a key element for a Union economy that works for people.

(6)The international comparability of national statistics on health requires the use of statistical classifications for the territorial units, education, occupation and economic sector that are compatible with the NUTS^note, ISCED^note, ISCO^note and NACE^note classifications.

(7)Council Recommendation on promoting health-enhancing physical activity (HEPA) across sectors^note encourages Member States to adopt cross-sectoral policy approaches and action plans for the promotion of physical activity, and establishes a framework for monitoring the progress of HEPA indicators in relevant thematic areas.

(8)Commission Recommendation (EU) 2023/397 on reference metadata and quality reports^note invites Member States to ensure that their national statistical authorities apply, when compiling reference metadata and quality reports, the statistical concepts listed in the latest version of the Single Integrated Metadata Structure.

(9)The measures provided for in this Regulation are in accordance with the opinion of the European Statistical System Committee,

HAS ADOPTED THIS REGULATION:

Article 1Subject matter#

This Regulation specifies the technical items of the data set, establishes the technical formats for the transmission of information from Member States to the Commission (Eurostat) and specifies the detailed arrangements for the content and transmission of the quality reports in the European Health Interview Survey (EHIS).EHIS shall concern health status, healthcare and health determinants as well as socio-demographic characteristics of the reference population as referred to in Article 4.

Article 2Definitions#

For the purposes of this Regulation, the following definitions apply:

(1)‘reference period’ means the period to which a particular item of information relates;

(2)‘current’ refers to the situation at the time of the interview;

(3)‘proxy’ means, with reference to an interview, a situation where information requested to the selected respondent has been provided by a third person (including another household member or someone outside the household who takes care of the selected respondent) without being validated by the selected respondent. This third person is close and knows the selected respondent very well;

(4)‘metadata’ means data defining and describing other data, the methodology used and statistical business processes.

Article 3Statistical concepts and description of variables#

1.Member States shall use the statistical concepts laid down in Annex I.

2.The technical characteristics of the variables shall be those laid down in Annex II and shall refer to:

(a)the variable identifier;

(b)the variable name;

(c)the reference period;

(d)the modality code and label;

(e)filter.

Article 4Characteristics of the statistical populations and observation units#

1.The reference population shall be persons aged 15 and over usually residing in private households in the territory of the Member State concerned at the time of the data collection.

2.The national territories listed in Annex III shall be excluded from the sample. Small parts of the national territory amounting to no more than 2 % of the national population may also be excluded from the sample. Information on those national territories shall be provided in the reference metadata.

Article 5Reference periods#

The reference periods for variables shall be those specified in Annex II.

Article 6Detailed sample characteristics#

1.At least three attempts shall be made to contact a respondent before they are dropped from the survey, except in the following situations:

(a)the address was impossible to locate;

(b)the address was non-residential or unoccupied;

(c)the person was not found at the address;

(d)the person was unable to respond, including for reasons of incapacity;

(e)a definite refusal of the person to cooperate was received;

(f)the circumstances were endangering the interviewer’s safety.

2.In duly justified cases, and only to the extent necessary, controlled substitution shall be allowed. Controlled substitutions of sample units (households or persons) shall be allowed, if one of the situations listed in paragraph 1 arises, or if the sample unit has not been reached after three attempts for contact.

3.Procedures shall be followed to ensure that the process of substitution is controlled to the maximum extent possible. Such procedures shall include using a design which ensures that the selected substitutes closely match the persons they replace in terms of their significant characteristics.

4.The set of sample persons for substitution shall be defined prior to data collection. There shall be no substitution with persons not belonging to that set.

Article 7Data gathering periods and methods#

1.The collection of data shall be spread over at least 3 months including at least 1 month in the period from September to December.

2.Proxy answers shall be allowed only in cases where the respondent is unable to answer for one of the following reasons:

(a)suffering from long-term cognitive impairment;

(b)suffering from long-term severe debilitation;

(c)suffering from a long-term sensory impairment that prevents the interaction between interviewer and interviewee;

(d)in hospital, health or social care facility for the entire period of the fieldwork.

3.For variables listed in Annex IV, Eurostat shall use only information directly collected from the respondent for the computation of the related indicators. Member States shall either transmit to Eurostat only that information directly collected from a respondent or information directly collected from a respondent in combination with information collected indirectly.

Article 8Common standards for data editing, imputation, weighting and estimation#

1.Imputation, calibration or weighting shall be applied to the data where necessary.

2.Imputation shall be used to adjust only for item non-response.

3.Methods of statistical imputation shall be applied where non-response exceeds 5 % with regard to the key variables set out in Annex V for which information is missing, invalid or inconsistent.

4.The reference population for weighting shall be the real or estimated population usually residing in private households.

5.Weighting factors shall be calculated to take into account the unit’s probability of selection, non-response, and, as appropriate, adjustment of the sample to external data relating to the distribution of persons in the target population.

6.The adjustment of the sample to external data shall be done with respect to the distribution of persons in the target population according to sex and age groups.

Article 9Formats for transmitting information#

Member States shall transmit to the Commission (Eurostat) a data set with pre-checked microdata that comply with the characteristics of the variables specified in Annex II to this Regulation, including appropriate weights, using the statistical data and metadata exchange standards set by the Commission (Eurostat) and the single entry point.

Article 10Quality reporting#

1.Quality reports by Member States shall comply with the detailed arrangements and content requirements set out in Annex VI.

2.Member States shall transmit the quality-related reference metadata required by this Regulation to the Commission (Eurostat), using the statistical data and metadata exchange standards. They shall send the metadata through the single entry point.

Article 11 #

This Regulation shall enter into force on the twentieth day following that of its publication in the Official Journal of the European Union.

Annex I · Definitions of statistical concepts

(1) Long-standing health problem

Health problems may be physical, emotional, behavioural or mental in nature. The term covers diseases and disorders but also, for example, pain, ill-health caused by accidents and injuries and congenital conditions.

The main characteristic of a long-standing health problem is that it is permanent and may be expected to require a long period of supervision, observation or care. Long-standing health problems should have lasted (or recurred) or be expected to last (recur) for 6 months or more; temporary problems are not included. Problems that are seasonal or intermittent, even where they ‘flare up’ for 4 to 6 months at a time, are considered as long-standing health problems.

(2) Limitation in activities

An ‘activity’ is defined as ‘the performance of a task or action by an individual’ and activity limitations are defined as ‘difficulties the individual experiences in performing an activity’.

(3) Home or leisure accident

—cases of acute poisoning;

—for employed persons, accidents occurred while working from home (teleworking), that is while performing an activity where a work-related purpose can be established and which is related to the conditions of employment;

—injuries inflicted by animals or insects.

—accidents at work or in school;

—traffic accidents;

—diseases or illnesses;

—intentional injuries (due to interpersonal violence – wilful acts by other persons – and deliberate self-harm);

—trivial injuries such as superficial cuts or scratches.

‘Home or leisure accident’ is an unintentional event characterised by a rapid force or an impact that leads to physical harm, occurring at home, around the house (garage, garden, alley) or during leisure time spent on activities done for pleasure or personal interest.

Home or leisure accidents also include:

Home or leisure accidents do not include:

(4) Bodily pain

Bodily (physical) pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage; it is always unpleasant and therefore also an emotional experience.

(5) Healthcare

Healthcare is defined as individual healthcare goods and services that are provided directly to and consumed by individual persons. The term covers curative care, rehabilitative care, long-term healthcare, ancillary services and medical goods supplied to outpatients. It also covers various modes of healthcare (inpatient, outpatient, day, at home).

(6) Mental healthcare

Mental healthcare refers to healthcare services provided to treat mental and behavioural disorders. Care can be provided by medical staff (psychiatrists) or non-medical staff (psychologists).

(7) Inpatient

Inpatients are patients who are formally admitted to a healthcare facility (that is to say hospitalised) for treatment and/or care and require at least an overnight stay in a hospital or other institution providing inpatient care.

Being formally admitted means that the patient is assigned a room or a bed during their stay in the healthcare facility.

(8) Day patient

Day patients are patients who receive planned medical and paramedical services delivered in a healthcare facility and who are formally admitted for diagnosis, treatment or other types of healthcare and are discharged on the same day. The term does not cover those using outpatient services (who are not formally admitted to a healthcare facility), emergency services or services provided by diagnostic centres or similar facilities that are not part of private or public hospitals or clinics.

Being formally admitted means that the patient is assigned a room or a bed during their stay in the healthcare facility.

(9) Health professional

(a)medical and dental staff (both generalist and specialist practitioners);

(b)nurses and midwives;

(c)professionals allied to medicine, e.g. clinical psychologists, dieticians, physiotherapists;

(d)accident and emergency ambulance staff or paramedics;

(e)other professionals who have direct patient contact, such as pharmacists, medical photographers, medical records staff.

A health professional is a person who is currently providing healthcare and who is qualified to do so by education, training, certification, or licensure. A health professional is associated with either a specialist field or a discipline, and belongs to one of the following groups:

(10) Dentist

A dentist is a health professional who diagnoses and treats diseases, injuries and malformations of the teeth, gums and related oral structures. They restore normal oral function using a broad range of treatments, such as surgery and other specialist techniques, and advice on oral health. Dentists’ tasks include: diagnosing, advising on and providing necessary dental treatment, administering surgical, medical and other forms of treatment for particular types of dental and oral diseases and disorders.

(11) Orthodontist

An orthodontist is a dental specialist who diagnoses, prevents and corrects irregularities of the teeth and jaw (for example, correcting misaligned teeth through the use of braces).

(12) General practitioner/family doctor

A general practitioner/family doctor is a physician (medical doctor) who does not limit their practice to specific disease categories (is not specialised), who provides individuals, families and communities with a wide range of ongoing medical care or and who can refer patients to other health professionals.

(13) Medical or surgical specialist

Medical or surgical specialists refer to medical doctors specialized in the diagnosis or use of surgical techniques, or both, to treat disorders and diseases. Their tasks include conducting medical examinations and diagnosing; prescribing medication and giving treatment for diagnosed illnesses, disorders or injuries; giving specialised medical or surgical treatment for particular types of illnesses, disorders or injuries; and giving advice on and applying preventive medicine methods and treatments. Also included are general gynaecologists, psychiatrists or other medical specialists fulfilling this definition. Dental surgeons are also included, but not general dentists.

(14) Physiotherapist/kinesitherapist

A physiotherapist/kinesitherapist is a medical or non-medical healthcare provider who applies one or more of the following therapies to improve or restore a patient’s motor functions: movement therapy, massage therapy, physical therapy in the strict sense (application of physical stimuli, electrotherapy, ultrasound therapy, thermotherapy, hydrotherapy, balneotherapy and electro-diagnostics, but not using ionising radiation). They treat disorders of bones, muscles and parts of the circulatory or nervous system by manipulative methods, and ultrasound, heating, laser or similar techniques, or apply therapies as part of the treatment for people who are (temporarily) physically disabled, mentally ill or unbalanced.

The therapies are provided by those health professionals in a variety of settings, such as hospitals, private practices, outpatient medical units, home care services establishment, schools, fitness centres, etc.

(15) Psychologist, psychotherapist or psychiatrist

Psychologists, psychotherapists and psychiatrists are health professionals providing mental healthcare, who may be medical professionals (psychiatrists) or not. Their role covers psychological assessment and psychotherapy but also medical psychiatric care (psychiatrists).

(16) Home care services

Home care services involve the provision of medical and non-medical domestic support services for persons who, due to mental or physical frailty, disease or disability, cannot perform specific personal or household care activities or are confined to their own houses. It includes at-home services provided by a visiting nurse or care worker from a health institute, agency or association, or by a community organisation using professional or non-professional (volunteer) staff for care provision.

(17) Prescribed medicines

A medicine is a product used to alleviate symptoms, prevent illness, or improve poor health. Prescribed medicines are medicines that are written on a prescription by a doctor (irrespective of whether they are reimbursed by health insurance or not). They include: medicines, herbal medicines, homeopathic medicines and dietary supplements (such as vitamins, minerals or tonics), contraceptive pills used for purposes other than contraception, hormones (other than for contraception). Contraceptive pills and hormones prescribed and used for contraception are not included.

(18) Smoking

(a)the use of heated tobacco products;

(b)the use of electronic cigarettes or similar electronic devices;

(c)the smoking of cannabis mixed with tobacco.

Smoking means the breathing in and out of smoke from tobacco products such as manufactured cigarettes, hand-rolled cigarettes, cigars, pipes, shishas.

Smoking does not include:

(19) Heated tobacco products

Heated tobacco products are tobacco products that produce aerosols containing nicotine and other chemicals, inhaled by users through the mouth.

(20) Alcoholic drink

Alcoholic drink refers to all drinks that contain ethanol, regardless of the kind of drink, such as strong or light beer, wine or spirits, or the quantity consumed.

Annex II · Technical characteristics of variables

Variable identifier	Variable name	Reference period	Modality code	Modality label	Filter
Detailed topic: DATA COLLECTION INFORMATION
PRIMSTRAT	Stratum	at selection	0001 – 9999	Stratum identifier	Everybody
-2	Not applicable
PSU	Primary Sampling Unit (PSU)	at selection	0001 – 9999	Primary sampling unit identifier	Everybody
-2	Not applicable
Detailed topic: IDENTIFICATION
HHID	Identification number of household	constant	YYYYYYYYYY	10-digit number	Everybody
-1	Missing
PID	Identification number of respondent	constant	YYYYYYYYYY	10-digit number
Detailed topic: WEIGHTS
WGT	Final individual weight	current	YYYYY.YYY	Number (format 5.3)	Everybody
Detailed topic: INTERVIEW CHARACTERISTICS
PROXY	Nature of participation in the survey	current	1	Direct participation	Everybody
2	Other member of the household
3	Someone else outside the household
-1	Not stated
REFDATE	Reference date of the interview	current	YYYY-MM-DD	Interview date	Everybody
INTMETHOD	Interviewing mode used	current	10	Paper assisted personal interview (PAPI)	Everybody
20	Computer assisted personal interview (CAPI)
30	Computer assisted telephone interview (CATI)
40	Computer assisted web-interview (CAWI)
50	Other
INTLANG	Language used for interview	current	XXX	Standard Code List Eurostat (SCL) – Languages (3-digit code)	Everybody
-1	Missing
Detailed topic: LOCALISATION
REGION	Region of residence	current	10 – ZZ	Region of residence (NUTS code at 2-digit level)	Everybody
COUNTRY	Country of residence	current	NN	Country of residence (SCL GEO code)	Everybody
DEG_URB	Degree of urbanisation	current	1	Cities	Everybody
2	Towns and suburbs
3	Rural areas
Detailed topic: DEMOGRAPHY
SEX	Sex	current	1	Male	Everybody
2	Female
AGE	Age in completed years	current	Age	derived from REFDATE, YEARBIRTH & PASSBIRTH	Everybody
YEARBIRTH	Year of birth	constant	YYYY	4-digit number	Everybody
PASSBIRTH	Passing of birthday	current	1	Yes	Everybody
2	No
Detailed topic: CITIZENSHIP AND MIGRANT BACKGROUND
BIRTHPLACE	Country of birth	constant	NN	Country of birth (SCL GEO code)	Everybody
ZZ	Foreign-born but country of birth unknown
-1	Not stated
CITIZEN	Country of main citizenship	current	NN	Country of main citizenship (SCL GEO code)	Everybody
ZZ	Stateless
XX	Foreign citizenship but country unknown
-1	Not stated
BIRTHPLACEFATH	Country of birth of the father	constant	NN	Country of birth of the father (SCL GEO code)	Everybody
ZZ	Father foreign-born but country of birth of the father unknown
-1	Not stated
BIRTHPLACEMOTH	Country of birth of the mother	constant	NN	Country of birth of the mother (SCL GEO code)	Everybody
ZZ	Mother foreign-born but country of birth of the mother unknown
-1	Not stated
Detailed topic: HOUSEHOLD COMPOSITION
PARTNERS	Partners living in the same household	current	1	Person living with a legal or de facto partner	Everybody
2	Person not living with a legal or de facto partner
-1	Not stated
-2	Not applicable
HHNBPERS	Household size	current	Number	Total number of members of the household	Everybody
-1	Not stated
HHNBPERS_0_13	Number of persons aged 13 or younger	current	Number	Number of persons aged 13 or below	Everybody
-1	-1 Not stated
HHTYPE	Household type	current	10	One-person household	Everybody
21	Lone parent with at least one child aged less than 25
22	Lone parent with all children aged 25 or more
31	Couple without any child or children
32	Couple with at least one child aged less than 25
33	Couple with all children aged 25 or more
40	Other type of household
-1	Not stated
Detailed topic: MAIN ACTIVITY STATUS (SELF-DEFINED)
MAINSTAT	Main activity status (self-defined)	current	10	Employed	Everybody
20	Unemployed
30	Retired
40	Unable to work due to long-standing health problems
50	Student, pupil
60	Fulfilling domestic tasks
70	Compulsory military or civilian service
80	Other
-1	Not stated
Detailed topic: ELEMENTARY JOB CHARACTERISTICS
JOBISCO	Occupation in main job	current	00, 11 – 96	ISCO-08 at 2-digit level	MAINSTAT = 10
-1	Not stated
-2	Not applicable
LOCNACE	Economic activity of the local unit for main job	current	A, B, C…	One character representing the NACE section	MAINSTAT = 10
-1	Not stated
-2	Not applicable
FT_PT	Full or part-time main job (self-defined)	current	1	Full-time job	MAINSTAT = 10
2	Part-time job
-1	Not stated
-2	Not applicable
JOBSTAT	Status in employment in main job	current	11	Self-employed person with employees	MAINSTAT = 10
12	Self-employed person without employees
20	Employee
30	Family worker (unpaid)
-1	Not stated
-2	Not applicable
Detailed topic: EDUCATIONAL ATTAINMENT LEVEL
HATLEVEL	Educational attainment level (highest level of education successfully completed)	current	0	No formal education or below ISCED 1	Everybody
1	ISCED 1 Primary education
2	ISCED 2 Lower secondary education
3	ISCED 3 Upper secondary education
4	ISCED 4 Post-secondary non-tertiary education
5	ISCED 5 Short-cycle tertiary education
6	ISCED 6 Bachelor’s or equivalent level
7	ISCED 7 Master’s or equivalent level
8	ISCED 8 Doctoral or equivalent level
-1	Not stated
Detailed topic: TOTAL HOUSEHOLD MONTHLY INCOME
HHINCOME	Net current monthly household income	current calendar year	1	Lower equalised net current monthly income group	Everybody
2	Low to medium equalised net current monthly income group
3	Medium equalised net current monthly income group
4	Medium to high equalised net current monthly income group
5	Higher equalised net current monthly income group
-1	Not stated
Detailed topic: MINIMUM EUROPEAN HEALTH MODULE
HS1	Self-perceived general health	current	1	Very good	Everybody
2	Good
3	Fair (neither good nor bad)
4	Bad
5	Very bad
-1	Not stated
-3	Proxy
HS2	Long-standing health problem	current	1	Yes	Everybody
2	No
-1	Not stated
HS3	Limitation in activities because of health problems	current	1	Severely limited	Everybody
2	Limited but not severely
3	Not limited at all
-1	Not stated
Detailed topic: DISEASES AND CHRONIC CONDITIONS
CD1A	Having asthma in the past 12 months (allergic asthma included)	last 12 months	1	Yes	Everybody
2	No
-1	Not stated
CD1B	Having chronic bronchitis, chronic obstructive pulmonary disease or emphysema in the past 12 months	last 12 months	1	Yes	Everybody
2	No
-1	Not stated
CD1C	Having a myocardial infarction (heart attack) or chronic consequences of myocardial infarction in the past 12 months	last 12 months	1	Yes	Everybody
2	No
-1	Not stated
CD1D	Having a coronary heart disease or angina pectoris in the past 12 months	last 12 months	1	Yes	Everybody
2	No
-1	Not stated
CD1E	Having high blood pressure in the past 12 months	last 12 months	1	Yes	Everybody
2	No
-1	Not stated
CD1F	Having a stroke (cerebral haemorrhage, cerebral thrombosis) or chronic consequences of stroke in the past 12 months	last 12 months	1	Yes	Everybody
2	No
-1	Not stated
CD1G	Having arthrosis (arthritis excluded) in the past 12 months	last 12 months	1	Yes	Everybody
2	No
-1	Not stated
CD1H	Having a low back disorder or other chronic back defect in the past 12 months	last 12 months	1	Yes	Everybody
2	No
-1	Not stated
CD1I	Having a neck disorder or other chronic neck defect in the past 12 months	last 12 months	1	Yes	Everybody
2	No
-1	Not stated
CD1J	Having diabetes in the past 12 months	last 12 months	1	Yes	Everybody
2	No
-1	Not stated
CD1K	Having an allergy, such as rhinitis, eye inflammation, dermatitis, food allergy or other allergy (allergic asthma excluded) in the past 12 months	last 12 months	1	Yes	Everybody
2	No
-1	Not stated
CD1M	Having urinary incontinence, problems in controlling the bladder in the past 12 months	last 12 months	1	Yes	Everybody
2	No
-1	Not stated
CD1N	Having kidney problems in the past 12 months	last 12 months	1	Yes	Everybody
2	No
-1	Not stated
CD1O	Having depression in the past 12 months	last 12 months	1	Yes	Everybody
2	No
-1	Not stated
CD1P	Having high blood lipids in the past 12 months	last 12 months	1	Yes	Everybody
2	No
-1	Not stated
CD1R	Having cancer (i.e. received cancer diagnosis, cancer treatment, living with cancer) in the past 12 months	last 12 months	1	Yes	Everybody
2	No
-1	Not stated
CD2	Self-perceived general oral health	current	1	Very good	Everybody
2	Good
3	Fair (neither good nor bad)
4	Bad
5	Very bad
-1	Not stated
-3	Proxy
Detailed topic: ACCIDENTS AND INJURIES
AC1	Occurrence of a home or leisure accident in the past 12 months	last 12 months	1	Yes	Everybody
2	No
-1	Not stated
Detailed topic: PAIN
PN1	Intensity of bodily pain during the past 4 weeks	last 4 weeks	1	None	Everybody
2	Very mild
3	Mild
4	Moderate
5	Severe
6	Very severe
-1	Not stated
-3	Proxy
PN2	Extent that pain interfered with normal work during the past 4 weeks (including both work outside the home and housework)	last 4 weeks	1	Not at all	if PN1 = 2, 3, 4, 5 or 6
2	A little bit
3	Moderately
4	Quite a bit
5	Extremely
-1	Not stated
-2	Not applicable
-3	Proxy
Detailed topic: MENTAL HEALTH, INCLUDING ADDICTIONS
MH1A	Extent of having little interest or pleasure in doing things over the last 2 weeks	last 2 weeks	1	Not at all	Everybody
2	Several days
3	More than half the days
4	Nearly every day
-1	Not stated
-3	Proxy
MH1B	Extent of feeling down, depressed or hopeless over the last 2 weeks	last 2 weeks	1	Not at all	Everybody
2	Several days
3	More than half the days
4	Nearly every day
-1	Not stated
-3	Proxy
MH1C	Extent of having trouble falling or staying asleep, or sleeping too much over the last 2 weeks	last 2 weeks	1	Not at all	Everybody
2	Several days
3	More than half the days
4	Nearly every day
-1	Not stated
-3	Proxy
MH1D	Extent of feeling tired or having little energy over the last 2 weeks	last 2 weeks	1	Not at all	Everybody
2	Several days
3	More than half the days
4	Nearly every day
-1	Not stated
-3	Proxy
MH1E	Extent of having poor appetite or overeating over the last 2 weeks	last 2 weeks	1	Not at all	Everybody
2	Several days
3	More than half the days
4	Nearly every day
-1	Not stated
-3	Proxy
MH1F	Extent of respondent feeling negative about themselves, or feeling that they are a failure or have let themselves or their family down over the last 2 weeks	last 2 weeks	1	Not at all	Everybody
2	Several days
3	More than half the days
4	Nearly every day
-1	Not stated
-3	Proxy
MH1G	Extent of having trouble concentrating on things, such as reading the newspaper or watching television, over the last 2 weeks	last 2 weeks	1	Not at all	Everybody
2	Several days
3	More than half the days
4	Nearly every day
-1	Not stated
-3	Proxy
MH1H	Extent of moving or speaking so slowly that other people may have noticed; or being so fidgety or restless that they have been moving around a lot more than usual, over the last 2 weeks	last 2 weeks	1	Not at all	Everybody
2	Several days
3	More than half the days
4	Nearly every day
-1	Not stated
-3	Proxy
MH2A	Feeling cheerful and in good spirits over the last 2 weeks	last 2 weeks	1	All of the time	Everybody
2	Most of the time
3	More than half of the time
4	Less than half of the time
5	Some of the time
6	At no time
-1	Not stated
-3	Proxy
MH2B	Feeling calm and relaxed over the last 2 weeks	last 2 weeks	1	All of the time	Everybody
2	Most of the time
3	More than half of the time
4	Less than half of the time
5	Some of the time
6	At no time
-1	Not stated
-3	Proxy
MH2C	Feeling active and vigorous over the last 2 weeks	last 2 weeks	1	All of the time	Everybody
2	Most of the time
3	More than half of the time
4	Less than half of the time
5	Some of the time
6	At no time
-1	Not stated
-3	Proxy
MH2D	Waking up feeling fresh and rested over the last 2 weeks	last 2 weeks	1	All of the time	Everybody
2	Most of the time
3	More than half of the time
4	Less than half of the time
5	Some of the time
6	At no time
-1	Not stated
-3	Proxy
MH2E	Feeling that daily life has been filled with things that interest over the last 2 weeks	last 2 weeks	1	All of the time	Everybody
2	Most of the time
3	More than half of the time
4	Less than half of the time
5	Some of the time
6	At no time
-1	Not stated
-3	Proxy
Detailed topic: FUNCTIONAL LIMITATIONS
PL1	Wearing glasses or contact lenses	current	1	Yes	Everybody
2	No
3	Blind or cannot see at all
-1	Not stated
PL2	Difficulty in seeing, even when wearing glasses or contact lenses	current	1	No difficulty	if PL1 = 1, 2 or -1
2	Some difficulty
3	A lot of difficulty
4	Cannot do at all/Unable to do
-1	Not stated
-2	Not applicable
PL3	Use of a hearing aid	current	1	Yes	Everybody
2	No
3	Profoundly deaf
-1	Not stated
PL4	Difficulty in hearing what is said in a conversation with one other person in a quiet room even when using a hearing aid	current	1	No difficulty	if PL3 = 1, 2 or -1
2	Some difficulty
3	A lot of difficulty
4	Cannot do at all/Unable to do
-1	Not stated
-2	Not applicable
PL5	Difficulty in hearing what is said in a conversation with one other person in a noisier room even when using a hearing aid	current	1	No difficulty	if PL3 = 1, 2 or -1
2	Some difficulty
3	A lot of difficulty
4	Cannot do at all/Unable to do
-1	Not stated
-2	Not applicable
PL6	Difficulty in walking half a km on level ground without the use of any aid	current	1	No difficulty	Everybody
2	Some difficulty
3	A lot of difficulty
4	Cannot do at all/Unable to do
-1	Not stated
PL7	Difficulty in walking up or down 12 steps	current	1	No difficulty	Everybody
2	Some difficulty
3	A lot of difficulty
4	Cannot do at all/Unable to do
-1	Not stated
PL8	Difficulty in remembering or concentrating	current	1	No difficulty	Everybody
2	Some difficulty
3	A lot of difficulty
4	Cannot do at all/Unable to do
-1	Not stated
PL8A	Difficulty in communicating (using usual language, for example understanding or being understood by others)	current	1	No difficulty	Everybody
2	Some difficulty
3	A lot of difficulty
4	Cannot do at all/Unable to do
-1	Not stated
PL9	Difficulty in biting and chewing on hard foods	current	1	No difficulty	if AGE ≥ 55
2	Some difficulty
3	A lot of difficulty
4	Cannot do at all/Unable to do
-1	Not stated
-2	Not applicable
Detailed topic: DIFFICULTIES IN PERSONAL CARE ACTIVITIES
PC1A	Difficulty in feeding yourself	current	1	No difficulty	if (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55
2	Some difficulty
3	A lot of difficulty
4	Cannot do at all/Unable to do
-1	Not stated
-2	Not applicable
PC1B	Difficulty in getting in and out of a bed or chair	current	1	No difficulty	if (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55
2	Some difficulty
3	A lot of difficulty
4	Cannot do at all/Unable to do
-1	Not stated
-2	Not applicable
PC1C	Difficulty in dressing and undressing	current	1	No difficulty	if (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55
2	Some difficulty
3	A lot of difficulty
4	Cannot do at all/Unable to do
-1	Not stated
-2	Not applicable
PC1D	Difficulty in using toilets	current	1	No difficulty	if (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55
2	Some difficulty
3	A lot of difficulty
4	Cannot do at all/Unable to do
-1	Not stated
-2	Not applicable
PC1E	Difficulty in bathing or showering	current	1	No difficulty	if (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55
2	Some difficulty
3	A lot of difficulty
4	Cannot do at all/Unable to do
-1	Not stated
-2	Not applicable
PC2	Usually receiving help with one or more self-care activities: feeding yourself, getting in and out of a bed or chair, dressing and undressing, using toilets, bathing or showering	current	1	Yes, with at least one activity	if [(AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55] and [(PC1A = 2 or 3 or 4) or (PC1B = 2 or 3 or 4) or (PC1C = 2 or 3 or 4) or (PC1D = 2 or 3 or 4) or (PC1E = 2 or 3 or 4)]
2	No
-1	Not stated
-2	Not applicable
PC3	Need to receive help or more help with one or more self-care activities: feeding yourself, getting in and out of a bed or chair, dressing and undressing, using toilets, bathing or showering	current	1	Yes, with at least one activity	if [(AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55] and [(PC1A = 2 or 3 or 4) or (PC1B = 2 or 3 or 4) or (PC1C = 2 or 3 or 4) or (PC1D = 2 or 3 or 4) or (PC1E = 2 or 3 or 4)]
2	No
-1	Not stated
-2	Not applicable
Detailed topic: DIFFICULTIES IN HOUSEHOLD ACTIVITIES
HA1A	Difficulty in preparing meals	current	1	No difficulty	if (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55
2	Some difficulty
3	A lot of difficulty
4	Cannot do at all/Unable to do
5	Not applicable (never tried it or do not need to do it)
-1	Not stated
-2	Not applicable
HA1B	Difficulty in using the telephone	current	1	No difficulty	if (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55
2	Some difficulty
3	A lot of difficulty
4	Cannot do at all/Unable to do
5	Not applicable (never tried it or do not need to do it)
-1	Not stated
-2	Not applicable
HA1C	Difficulty to do shopping	current	1	No difficulty	if (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55
2	Some difficulty
3	A lot of difficulty
4	Cannot do at all/Unable to do
5	Not applicable (never tried it or do not need to do it)
-1	Not stated
-2	Not applicable
HA1D	Difficulty in managing medication	current	1	No difficulty	if (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55
2	Some difficulty
3	A lot of difficulty
4	Cannot do at all/Unable to do
5	Not applicable (never tried it or do not need to do it)
-1	Not stated
-2	Not applicable
HA1E	Difficulty in doing light housework	current	1	No difficulty	if (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55
2	Some difficulty
3	A lot of difficulty
4	Cannot do at all/Unable to do
5	Not applicable (never tried it or do not need to do it)
-1	Not stated
-2	Not applicable
HA1F	Difficulty in doing occasional heavy housework	current	1	No difficulty	if (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55
2	Some difficulty
3	A lot of difficulty
4	Cannot do at all/Unable to do
5	Not applicable (never tried it or do not need to do it)
-1	Not stated
-2	Not applicable
HA1G	Difficulty in taking care of finances and everyday administrative tasks	current	1	No difficulty	if (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55
2	Some difficulty
3	A lot of difficulty
4	Cannot do at all/Unable to do
5	Not applicable (never tried it or do not need to do it)
-1	Not stated
-2	Not applicable
HA2	Usually receiving help with one or more domestic activities: preparing meals, using the telephone, shopping, managing medication, light or occasional heavy housework, taking care of finances and everyday administrative tasks	current	1	Yes, with at least one activity	if [(AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55] and [(HA1A = 2, 3 or 4) or (HA1B = 2, 3 or 4) or (HA1C = 2, 3 or 4) or (HA1D = 2, 3 or 4) or (HA1E = 2, 3 or 4) or (HA1F = 2, 3 or 4) or (HA1G = 2, 3 or 4)]
2	No
-1	Not stated
-2	Not applicable
HA3	Need for help or more help with one or more domestic activities: preparing meals, using the telephone, shopping, managing medication, light or occasional heavy housework, taking care of finances and everyday administrative tasks	current	1	Yes, with at least one activity	if [(AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55] and [(HA1A = 2, 3 or 4) or (HA1B = 2, 3 or 4) or (HA1C = 2, 3 or 4) or (HA1D = 2, 3 or 4) or (HA1E = 2, 3 or 4) or (HA1F = 2, 3 or 4) or (HA1G = 2, 3 or 4)]
2	No
-1	Not stated
-2	Not applicable
Detailed topic: TEMPORARY LIMITATION IN ACTIVITY (DUE TO HEALTH PROBEMS)
AW2	Number of days of absence from work due to personal health problems in the past 12 months	last 12 months	0 – 365	Number	if MAINSTAT = 10
-1	Not stated
-2	Not applicable
Detailed topic: BARRIERS TO PARTICIPATION IN SPECIFIC LIFE DOMAINS
BA1	Difficulty leaving home due to long-standing health problems (chronic conditions or impairments)	current	1	No difficulty	Everybody
2	Some difficulty
3	A lot of difficulty
4	Cannot do at all/Unable to do
5	Not interested in this activity/Do not want to do it
-1	Not stated
BA2	Difficulty using various forms of transportation due to long-standing health problems	current	1	No difficulty	Everybody
2	Some difficulty
3	A lot of difficulty
4	Cannot do at all/Unable to do
5	Not interested in this activity/Do not want to do it
-1	Not stated
BA3	Difficulty accessing public buildings, including moving about once inside and using indoor building facilities due to long-standing health problems	current	1	No difficulty	Everybody
2	Some difficulty
3	A lot of difficulty
4	Cannot do at all/Unable to do
5	Not interested in this activity/Do not want to do it
-1	Not stated
BA4 (optional)	Main reason contributing to the difficulty experienced (other than long-standing health problems)	current	1	Lack of money, can’t afford it	if any of BA1, BA2 or BA3 = 2 or 3 or 4
2	Lack of self-confidence
3	Attitudes of other people
4	Lack of convenient or available transport
5	Difficulties travelling on transport (such as getting on or off transport, no seats available, too uncomfortable)
6	Difficulties parking (such as not enough spaces)
7	Poor buildings’ infrastructure and accessibility (lack of elevators, ramps, signs, doors too narrow, toilets not adapted, etc.)
8	Other reasons
9	None
-1	Not stated
-2	Not applicable
BA5	Difficulty attending social activities such as getting together with family or friends, going to dinner, going to social events due to long-standing health problems	current	1	No difficulty	Everybody
2	Some difficulty
3	A lot of difficulty
4	Cannot do at all/Unable to do
5	Not interested in this activity/Do not want to do it
-1	Not stated
BA6 (optional)	Main reason contributing to the difficulty experienced attending social activities (other than long-standing health problems)	current	1	Too busy (with work, family, caring or other responsibilities)	if BA5 = 2 or 3 or 4
2	Lack of money, can’t afford it
3	Lack of self-confidence
4	Attitudes of other people
5	Lack of knowledge or information
6	Environmental barriers/no friendly environment (for instance, difficulties with access and use of public transportation, accessing or using buildings, shops, easy movement along streets, parking, etc.)
7	Other reasons
8	None
-1	Not stated
-2	Not applicable
BA7	Difficulty using internet due to long-standing health problems	current	1	No difficulty	Everybody
2	Some difficulty
3	A lot of difficulty
4	Cannot do at all/Unable to do
5	Not interested in this activity/Do not want to do it
-1	Not stated
Detailed topic: USE OF HEALTH AND LONG-TERM CARE
HO12	Number of nights spent as a patient in a hospital in the past 12 months	last 12 months	0 – 365	Number	Everybody
-1	Not stated
HO34	Number of times admitted as a day patient in a hospital in the past 12 months	last 12 months	0 – 365	Number	Everybody
-1	Not stated
AM1	Last time of a visit to a dentist or orthodontist(for personal treatment)	last 12 months	1	Less than 6 months ago	Everybody
2	6 to 12 months ago
3	12 months ago or longer
4	Never
-1	Not stated
AM2	Last time of a consultation of a general practitioner or family doctor (for personal treatment)	last 12 months	1	Less than 12 months ago	Everybody
2	12 months ago or longer
3	Never
-1	Not stated
AM3	Number of consultations of a general practitioner or family doctor during the past four weeks (for personal treatment)	last 4 weeks	0 – 99	Number	if AM2 = 1
-1	Not stated
-2	Not applicable
AM4	Last time of a consultation of a medical or surgical specialist (for personal treatment)	last 12 months	1	Less than 12 months ago	Everybody
2	12 months ago or longer
3	Never
-1	Not stated
AM5	Number of consultations of a medical or surgical specialist during the past four weeks (for personal treatment)	last 4 weeks	0 – 99	Number	if AM4 = 1
-1	Not stated
-2	Not applicable
AM6A	Consultation of a physiotherapist or kinesitherapist in the past 12 months	last 12 months	1	Yes	Everybody
2	No
-1	Not stated
AM6B	Consultation of a psychologist, psychotherapist or psychiatrist in the past 12 months	last 12 months	1	Yes	Everybody
2	No
-1	Not stated
LT1	Receiving regularly (at least once a week) informal care or assistance due to a chronic health condition or infirmity or due to old age	last 12 months	1	Yes, mainly from a family member	Everybody
2	Yes, mainly from a non-family member
3	No
-1	Not stated
LT2	Receiving regularly (at least once a week) any (formal) home care services due to a chronic health condition or infirmity or due to old age	last 12 months	1	Yes	Everybody
2	No
-1	Not stated
LT3	Number of hours per week regularly receiving (formal) home care services for personal needs	last 2 weeks	1	Less than 5 hours per week	if LT2 = 1
2	5 hours to less than 10 hours per week
3	10 hours to less than 20 hours per week
4	20 hours to less than 30 hours per week
5	30 hours to less than 40 hours per week
6	40 hours per week or more
-1	Not stated
-2	Not applicable
Detailed topic: MEDICINE USE
MD1	Use of any medicines prescribed by a doctor during the past two weeks (excluding contraception)	last 2 weeks	1	Yes	Everybody
2	No
-1	Not stated
MD2	Use of any medicines, herbal medicines or vitamins not prescribed by a doctor during the past two weeks (excluding contraception)	last 2 weeks	1	Yes	Everybody
2	No
-1	Not stated
Detailed topic: PREVENTIVE CARE
PA1	Last time of vaccination against flu	last 12 months	YYYY-MM	Vaccination month and year	Everybody
1	Too long ago (before the previous calendar year)
2	Never
-1	Not stated
-3	Proxy
PA2	Last time of blood pressure measurement by a health professional	last 5 years	1	Within the past 12 months	Everybody
2	1 to less than 3 years
3	3 to less than 5 years
4	5 years or more
5	Never
-1	Not stated
-3	Proxy
PA3	Last time of blood cholesterol measurement by a health professional	last 5 years	1	Within the past 12 months	Everybody
2	1 to less than 3 years
3	3 to less than 5 years
4	5 years or more
5	Never
-1	Not stated
-3	Proxy
PA4	Last time of blood sugar measurement by a health professional	last 5 years	1	Within the past 12 months	Everybody
2	1 to less than 3 years
3	3 to less than 5 years
4	5 years or more
5	Never
-1	Not stated
-3	Proxy
PA5	Last time of a faecal occult blood test	last 3 years	1	Within the past 12 months	Everybody
2	1 to less than 2 years
3	2 to less than 3 years
4	3 years or more
5	Never
-1	Not stated
-3	Proxy
PA6	Last time of a colonoscopy	last 10 years	1	Within the past 12 months	Everybody
2	1 to less than 5 years
3	5 to less than 10 years
4	10 years or more
5	Never
-1	Not stated
-3	Proxy
PA7	Last time of a mammography (breast X-ray)	last 3 years	1	Within the past 12 months	if SEX = 2
2	1 to less than 2 years
3	2 to less than 3 years
4	3 years or more
5	Never
-1	Not stated
-2	Not applicable
-3	Proxy
PA8	Last time of a cervical smear test	last 3 years	1	Within the past 12 months	if SEX = 2
2	1 to less than 2 years
3	2 to less than 3 years
4	3 years or more
5	Never
-1	Not stated
-2	Not applicable
-3	Proxy
Detailed topic: ACCESS TO HEALTHCARE
UN1A	Unmet need for healthcare in the past 12 months due to long waiting list(s)	last 12 months	1	Yes	Everybody
2	No
3	No need for healthcare
-1	Not stated
-3	Proxy
UN2A	Unmet need for mental healthcare	last 12 months	1	Yes, there was at least one occasion when the respondent really needed mental healthcare but did not receive it	Everybody
2	No, there was no occasion when the person respondent really needed mental healthcare but did not receive it
3	No need for mental healthcare
-1	Not stated
-3	Proxy
UN2B	Main reason for unmet need for mental healthcare	last 12 months	1	Could not afford to (too expensive)	if UN2A = 1
2	Waiting list (long wait times)
3	Could not take time because of work, care for children or for others
4	Too far to travel/no means of transportation
5	Having concerns about confidentiality and trust
6	Being afraid of negative reaction or comments from family, friends or colleagues
7	Fear about the consultation or treatment (for instance, fear of negative outcome or fear of side effects of medication)
8	Not knowing where to seek help
9	Other reasons
-1	Not stated
-2	Not applicable
-3	Proxy
Detailed topic: HEIGHT AND WEIGHT
BM1	Height without shoes	current	50 – 250	Number	Everybody
-1	Not stated
BM2	Weight without clothes and shoes	current	20 – 350	Number	Everybody
-1	Not stated
Detailed topic: PHYSICAL ACTIVITY
PE1	Physical effort of working tasks (both paid and unpaid work activities included)	current	1	Mostly sitting or standing	Everybody
2	Mostly walking or tasks of moderate physical effort
3	Mostly heavy labour or physically demanding work
4	Not performing any working tasks
-1	Not stated
-3	Proxy
PE2	Number of days in a typical week walking to get to and from places at least 10 minutes continuously	current	1 – 7	Number	Everybody
0	I never carry out such physical activities
-1	Not stated
-3	Proxy
PE3	Time spent on walking to get to and from places on a typical day	current	1	10-29 minutes per day	if PE2 ≠ 0
2	30-59 minutes per day
3	1 hour to less than 2 hours per day
4	2 hours to less than 3 hours per day
5	3 hours or more per day
-1	Not stated
-2	Not applicable
-3	Proxy
PE4	Number of days in a typical week bicycling to get to and from places at least 10 minutes continuously	current	1 – 7	Number	Everybody
0	I never carry out such physical activities
-1	Not stated
-3	Proxy
PE5	Time spent on bicycling to get to and from places on a typical day	current	1	10-29 minutes per day	if PE4 ≠ 0
2	30-59 minutes per day
3	1 hour to less than 2 hours per day
4	2 hours to less than 3 hours per day
5	3 hours or more per day
-1	Not stated
-2	Not applicable
-3	Proxy
PE6	Number of days in a typical week doing sports, fitness or recreational (leisure) physical activities that cause at least a small increase in breathing or heart rate for at least 10 minutes continuously	current	1 – 7	Number	Everybody
0	I never carry out such physical activities
-1	Not stated
-3	Proxy
PE7	Time spent on doing sports, fitness or recreational (leisure) physical activities in a typical week	current	HH:MM:00	Number of hours and minutes	if PE6 ≠ 0
-1	Not stated
-2	Not applicable
-3	Proxy
PE8	Number of days in a typical week doing muscle-strengthening activities	current	1 – 7	Number	Everybody
0	I never carry out such physical activities
-1	Not stated
-3	Proxy
PE9	Time spent sitting on a typical day	current	HH:MM:00	Number of hours and minutes	Everybody
-1	Not stated
-3	Proxy
Detailed topic: NUTRITIONAL HABITS
DH1	Frequency of eating fruit, excluding juice	current	1	Once or more a day	Everybody
2	4 to 6 times a week
3	1 to 3 times a week
4	Less than once a week
5	Never
-1	Not stated
-3	Proxy
DH2	Number of portions of fruit a day, excluding juice	current	1 – 99	Number	if DH1 = 1
-1	Not stated
-2	Not applicable
-3	Proxy
DH3	Frequency of eating vegetables or salad, excluding juice and potatoes	current	1	Once or more a day	Everybody
2	4 to 6 times a week
3	1 to 3 times a week
4	Less than once a week
5	Never
-1	Not stated
-3	Proxy
DH4	Number of portions of vegetables or salad, excluding juice and potatoes a day	current	1 – 99	Number	if DH3 = 1
-1	Not stated
-2	Not applicable
-3	Proxy
DH5	Frequency of drinking pure fruit or vegetable juice	current	1	Once or more a day	Everybody
2	4 to 6 times a week
3	1 to 3 times a week
4	Less than once a week
5	Never
-1	Not stated
-3	Proxy
DH6	Frequency of drinking sugar-sweetened soft drinks	current	1	Once or more a day	Everybody
2	4 to 6 times a week
3	1 to 3 times a week
4	Less than once a week
5	Never
-1	Not stated
-3	Proxy
DH7	Frequency of eating red meat	current	1	Once or more a day	Everybody
2	4 to 6 times a week
3	1 to 3 times a week
4	Less than once a week
5	Never
-1	Not stated
-3	Proxy
DH8	Frequency of eating processed meat products	current	1	Once or more a day	Everybody
2	4 to 6 times a week
3	1 to 3 times a week
4	Less than once a week
5	Never
-1	Not stated
-3	Proxy
Detailed topic: SMOKING
SK1	Type of tobacco smoking behaviour	current	1	Daily smoking	Everybody
2	Occasional smoking
3	No smoking
-1	Not stated
SK2	Average number of cigarettes a day	current	0 – 99	Number	if SK1 = 1
-1	Not stated
-2	Not applicable
SK3	Former daily tobacco smoking	current	1	Yes	if SK1 = 2, 3 or -1
2	No
-1	Not stated
-2	Not applicable
SK4	Number of years of daily tobacco smoking	current	0 – 99	Number	if SK1 = 1 or(SK1 = 2, 3 or -1and SK3 = 1)
-1	Not stated
-2	Not applicable
SK5	Frequency of exposure to tobacco smoke indoors	current	1	Every day, 1 hour or more a day	Everybody
2	Every day, less than 1 hour per day
3	At least once a week
4	Less than once a week
5	Never or almost never
-1	Not stated
-3	Proxy
SK6A	Type of heated tobacco products use behaviour	current	1	Daily use	Everybody
2	Occasional use
3	Former user
4	Never
-1	Not stated
SK6B	Type of electronic cigarettes or similar electronic devices behaviour	current	1	Daily vaping	Everybody
2	Occasional vaping
3	Former vaping
4	Never vaping
-1	Not stated
Detailed topic: ALCOHOL CONSUMPTION
AL1	Frequency of consumption of an alcoholic drink of any kind (beer, wine, cider, spirits, cocktails, premixes, liqueurs, homemade alcohol…) in the past 12 months	last 12 months	1	Every day or almost	Everybody
2	5-6 days a week
3	3-4 days a week
4	1-2 days a week
5	2-3 days in a month
6	Once a month
7	Less than once a month
8	Not in the past 12 months, as I no longer drink alcohol
9	Never, or only a few sips or tries, in my whole life
-1	Not stated
-3	Proxy
AL2	Frequency of consumption of an alcoholic drink from Monday to Thursday	current	1	On all 4 days	if AL1 = 1, 2, 3 or 4
2	On 3 of the 4 days
3	On 2 of the 4 days
4	On 1 of the 4 days
5	On none of the 4 days
-1	Not stated
-2	Not applicable
-3	Proxy
AL3	Number of alcoholic (standard) drinks on average on one of the days from Monday to Thursday	current	1	16 or more drinks a day	if (AL1 = 1, 2, 3 or 4) and (AL2 = 1, 2, 3 or 4)
2	10-15 drinks a day
3	6-9 drinks a day
4	4-5 drinks a day
5	3 drinks a day
6	2 drinks a day
7	1 drink a day
8	0 drink a day
-1	Not stated
-2	Not applicable
-3	Proxy
AL4	Frequency of consumption of an alcoholic drink from Friday to Sunday	current	1	On all 3 days	if AL1 = 1, 2, 3 or 4
2	On 2 of the 3 days
3	On 1 of the 3 days
4	On none of the 3 days
-1	Not stated
-2	Not applicable
-3	Proxy
AL5	Number of alcoholic (standard) drinks on average on one of the days from Friday to Sunday	current	1	16 or more drinks a day	if (AL1 = 1, 2, 3 or 4) and (AL4 = 1, 2, or 3)
2	10-15 drinks a day
3	6-9 drinks a day
4	4-5 drinks a day
5	3 drinks a day
6	2 drinks a day
7	1 drink a day
8	0 drink a day
-1	Not stated
-2	Not applicable
-3	Proxy
AL6	Frequency of risky single-occasion drinking (equivalent of 60g of pure ethanol or more) during the past 12 months	last 12 months	1	Every day or almost	if AL1 = 1, 2, 3,4, 5, 6 or 7
2	5-6 days a week
3	3-4 days a week
4	1-2 days a week
5	2-3 days in a month
6	Once a month
7	Less than once a month
8	Not in the past 12 months
9	Never in my whole life
-1	Not stated
-2	Not applicable
-3	Proxy
Detailed topic: SOCIAL AND ENVIRONMENTAL FACTORS
SS1	Number of close people to count on in case of serious personal problems	current	1	None	Everybody
2	1 or 2
3	3 to 5
4	6 or more
-1	Not stated
-3	Proxy
SS2	Degree of concern shown by other people in what the respondent is doing	current	1	A lot of concern and interest	Everybody
2	Some concern and interest
3	Uncertain
4	Little concern and interest
5	No concern and interest
-1	Not stated
-3	Proxy
SS3	How easy is it to get practical help from neighbours in case of need	current	1	Very easy	Everybody
2	Easy
3	Possible
4	Difficult
5	Very difficult
-1	Not stated
-3	Proxy
IC12	Providing care or assistance to one or more persons suffering from any chronic health condition or infirmity or due to old age, at least once a week	current	1	Yes, to a member(s) of respondent’s family	Everybody
2	Yes, to a non-member(s) of respondent’s family
3	No
-1	Not stated
-3	Proxy
IC3	Number of hours per week the respondent provides care or assistance to the person(s) suffering from any chronic condition or infirmity or due to old age	current	1	Less than 5 hours per week	if IC12 = 1 or 2
2	5 hours to less than 10 hours per week
3	10 hours to less than 20 hours per week
4	20 hours to less than 30 hours per week
5	30 hours to less than 40 hours per week
6	40 hours per week or more
-1	Not stated
-2	Not applicable
-3	Proxy
Detailed topic: SUICIDE (OPTIONAL)
SU1	Having had thoughts about committing suicide	last 12 months	1	Yes	Everybody
2	No
-1	Not stated
-3	Proxy
SU2	Having ever made a suicide attempt	lifetime	1	Yes, in the past 12 months	Everybody
2	Yes, but not in the past 12 months
3	No
-1	Not stated
-3	Proxy

III · National territories that are excluded from the sample

Country	National territories
France	French Overseas Departments and Territories
Cyprus	The non-government-controlled area
Netherlands	Caribbean Islands (Bonaire, St. Eustatius and Saba)
Ireland	All offshore islands with the exception of Achill, Bull, Cruit, Gorumna, Inishnee, Lettermore, Lettermullan and Valentia

Annex IV · Variables for which proxy answers are not to be used by eurostat for indicators computation

HS1	Self-perceived general health
CD2	Self-perceived general oral health
PN1	Intensity of bodily pain during the past 4 weeks
PN2	Extent that pain interfered with normal work during the past 4 weeks (including both work outside the home and housework)
MH1A	Extent of having little interest or pleasure in doing things over the last 2 weeks
MH1B	Extent of feeling down, depressed or hopeless over the last 2 weeks
MH1C	Extent of having trouble falling or staying asleep, or sleeping too much over the last 2 weeks
MH1D	Extent of feeling tired or having little energy over the last 2 weeks
MH1E	Extent of having poor appetite or overeating over the last 2 weeks
MH1F	Extent of subject feeling negative about themselves, or feeling that they are a failure or have let themselves or their family down, over the last 2 weeks
MH1G	Extent of having trouble concentrating on things, such as reading the newspaper or watching television, over the last 2 weeks
MH1H	Extent of moving or speaking so slowly that other people may have noticed; or being so fidgety or restless that they have been moving around a lot more than usual, over the last 2 weeks
MH2A	Feeling cheerful and in good spirits over the last 2 weeks
MH2B	Feeling calm and relaxed over the last 2 weeks
MH2C	Feeling active and vigorous over the last 2 weeks
MH2D	Waking up feeling fresh and rested over the last 2 weeks
MH2E	Feeling that daily life has been filled with things that interest over the last 2 weeks
PA1	Last time of vaccination against flu
PA2	Last time of blood pressure measurement by a health professional
PA3	Last time of blood cholesterol measurement by a health professional
PA4	Last time of blood sugar measurement by a health professional
PA5	Last time of a faecal occult blood test
PA6	Last time of a colonoscopy
PA7	Last time of a mammography (breast X-ray)
PA8	Last time of a cervical smear test
UN1A	Unmet need for healthcare in the past 12 months due to long waiting list(s)
UN2A	Unmet need for mental healthcare
UN2B	Main reason for unmet need for mental healthcare
PE1	Physical effort of working tasks (both paid and unpaid work activities included)
PE2	Number of days in a typical week walking to get to and from places at least 10 minutes continuously
PE3	Time spent on walking to get to and from places on a typical day
PE4	Number of days in a typical week bicycling to get to and from places at least 10 minutes continuously
PE5	Time spent on bicycling to get to and from places on a typical day
PE6	Number of days in a typical week doing sports, fitness or recreational (leisure) physical activities that cause at least a small increase in breathing or heart rate for at least 10 minutes continuously
PE7	Time spent on doing sports, fitness or recreational (leisure) physical activities in a typical week
PE8	Number of days in a typical week doing muscle-strengthening activities
PE9	Time spent sitting on a typical day
DH1	Frequency of eating fruit, excluding juice
DH2	Number of portions of fruit a day, excluding juice
DH3	Frequency of eating vegetables or salad, excluding juice and potatoes
DH4	Number of portions of vegetables or salad, excluding juice and potatoes a day
DH5	Frequency of drinking pure fruit or vegetable juice
DH6	Frequency of drinking sugar-sweetened soft drinks
DH7	Frequency of eating red meat
DH8	Frequency of eating processed meat products
SK5	Frequency of exposure to tobacco smoke indoors
AL1	Frequency of consumption of an alcoholic drink of any kind (beer, wine, cider, spirits, cocktails, premixes, liqueurs, homemade alcohol…) in the past 12 months
AL2	Frequency of consumption of an alcoholic drink from Monday to Thursday
AL3	Number of alcoholic (standard) drinks on average on one of the days from Monday to Thursday
AL4	Frequency of consumption of an alcoholic drink from Friday to Sunday
AL5	Number of alcoholic (standard) drinks on average on one of the days from Friday to Sunday
AL6	Frequency of risky single-occasion drinking (equivalent of 60 g of pure ethanol or more) during the past 12 months
SS1	Number of close people to count on in case of serious personal problems
SS2	Degree of concern shown by other people in what the respondent is doing
SS3	How easy is it to get practical help from neighbours in case of need
IC12	Prevailing relationship of the person(s) suffering from any chronic condition or infirmity or due to old age being provided with care or assistance at least once a week from the respondent
IC3	Number of hours per week the respondent provides care or assistance to the person(s) suffering from any chronic condition or infirmity or due to old age

Annex V · Key variables for which methods of statistical imputation are to be applied when non-response exceeds 5 %

MAINSTAT	Main activity status (self-defined)
HATLEVEL	Educational attainment level (highest level of education successfully completed)
HHINCOME	Net current monthly household income
HS3	Limitation in activities because of health problems

Annex VI · Detailed arrangements and content of quality reports

Metadata update

The date on which the metadata element was inserted or modified in the database.

Statistical presentation

(1) Data description

Title of the survey at national level, year of the survey, link to the survey website.

(2) Classification systems

The version of the classification used in the data, and any deviations from European statistical standards or international standards.

(3) Statistical concepts and definitions

List of concepts and variables, including answer categories, that deviate from the standard definitions, mentioning the national concepts used and any differences between the national concepts and the respective standard definitions.

Unit of measure

The unit in which the data values are measured.

Reference period

The period of time to which the measured observation is intended to refer.

Institutional mandate

Law, set of rules or other formal set of instructions assigning an organisation responsibility and authority for collecting, processing, and disseminating statistics.

Release policy

Rules for disseminating statistical data to all interested parties.

Frequency of dissemination

The time interval at which the statistics are disseminated over a given time period.

Statistical processing

(1) Source data

—methods for sample design (for example, simple random sampling; systematic sampling; stratified sampling; cluster sampling, multiple stage sampling, combination of designs). If Member States use stratified sampling, the stratification and sub-stratification criteria are reported. If Member States use multiple stage sampling, the different stages and the corresponding probabilities (equal, unequal, proportional to size) are described. If Member States use a combination of designs, the designs used are described;

—sample size.

Description of the data source used for building the sampling frame (for example population register, dwelling register, population census and another survey), frequency of update and year of last update of the data source, and method used for obtaining or creating the sampling frame. Where another survey has been used as a data source, the name of the survey is indicated.

Regarding sample design:

(2) Data collection

Description of methods used to conduct the interview including PAPI, CATI, CAPI, CASI, CAWI^note, mixed mode, and/or other sources such as registers and other surveys. The variables collected based on other sources are listed.

(3) Data compilation

Each step of weighting is described separately: design weights; weight adjustments for non-response, weight adjustments applied to external data sources such as calibration techniques used and level and variables used for the adjustment, any other weight adjustments for example trimming, top (bottom)-coding of the weight distribution to adjust for outliers, final weights.

Where imputation is used, any imputed variables are listed, the imputation procedure used is described and the reasons for imputation are explained. The number of imputed values as a percentage of the total number of observations is reported.

Accuracy and reliability

(1) Sampling error

(a)respondents aged 15 years and over in good or very good health (based on variable HS1);

(b)respondents aged 15 years and over with long-standing illness or health problem (based on variable HS2);

(c)respondents aged 15 years and over who were severely limited in activities people usually do because of health problems for at least the past 6 months (based on variable HS3);

(d)respondents aged 15 years and over having been hospitalised in the past 12 months (based on variable HO12);

(e)respondents aged 18 years and over who are obese (based on variable BM1 and BM2).

Precision requirements are expressed in standard errors for the indicator set out in the third paragraph below, point (c).

Countries describe the methodology for calculating the precision estimates.

For the following indicators, the number of respondents (unweighted), the estimated proportion (weighted), the standard errors, the 95 % confidence interval (lower and upper limit), and the design effect (if applicable/available) are reported at national level:

(2) Non-sampling error

(a) Measurement error

—description and testing of the questionnaire;

—description of interview training, for example number of training days, skills testing before starting the fieldwork (rate of success, etc.));

—information on studies to check the impact of the interviewer, such as re-interviews, record check studies, or split-sample experiments (if available), and results from models (if available).

The different sources of measurement errors likely to be found in the survey are described and include:

(b) Non-response error

Unit non-response

—Member States compute, total and for each mode of data collection, non-response rates.

—For those Member States where controlled substitutions are made in case of unit non-response, non-response rates are calculated before and after substitution.

—Breakdowns of non-respondents by characteristics and reasons for non-response as far as available.

—Description of any measures taken to correct for non-response.

—If controlled substitutions are applied in cases of unit non-response pursuant to Article 6, substitution rates are provided as well as a description of the method of selection of substitutes, main characteristics of substituted units compared to the original units, distribution of substituted (original) units by number of attempts for contact, interview acceptance, and questionnaire result.

—Number of units successfully contacted before and after substitution.

—Number of responding units before and after substitution.

—Gross sample size, number of eligible and ineligible units, net sample size, including substitution units (achieved sample size) needs to be provided.

Item non-response

—the percentage of persons with a valid answer (excluding missing values) for each variable;

—the percentage of persons with missing values (unweighted and before imputation) for each variable.

For the health variables listed in the metadata template under this topic, the following information is provided:

(c) Processing error

Information to be provided about any errors in processing and their impact on the final data collection results arising from faulty implementation of correctly planned implementation methods. An account is given of the main errors detected in the post-data-collection process.

Description of the quality checks such as data entry controls and coding controls and the data editing process.

Imputation procedures are described. Information to be provided on the imputation rate calculated as the share of observations imputed (for each variable) out of the total number of observations.

Impact of revisions on indicators.