Health models

Microsimulation in health

The Health Analysis Division of Statistics Canada is a pioneer of policy-relevant health-related computer simulation models. These models are tools to evaluate the impact of health interventions and policies at the population level. No single data source can ever be expected to provide enough information about treatment options, health outcomes, equity and cost-effectiveness when choices have to be made between and among different policy and program interventions.

Drawing from the rich banks of data within Statistics Canada, and building upon the analytic work of academic colleagues and collaborators, these microsimulation models realistically represent the Canadian population with attributes such as risk factor exposures, health histories and demographic characteristics typical of Canadians. The models simulate histories for individual persons in continuous time and add the individuals up to create aggregate results for the total population. The models generate realistic future projections of status quo trends and provide users with the ability to test "what if scenarios" related to potential policy and program interventions.

Population health mode, POHEM

The Population Health Model (POHEM) is a microsimulation model of diseases and risk factors in which the basic unit of analysis is the individual person. The simulation creates and ages a large sample population representative of Canada, one individual at a time, until death. The life trajectory of each simulated person unfolds by exposure to different life-like events, such as smoking initiation and cessation, changes in weight and/or leisure time physical activity, and incidence of diseases such as osteoarthritis, diabetes, cardiovascular disease, and dementia.

POHEM combines data from a wide range of sources, including nationally representative cross-sectional and longitudinal surveys, vital statistics, and Census, as well as parameters in the published literature.

The model inputs may also be altered at the user's request to investigate 'what if' scenarios. These scenarios can be very useful for policy makers, by providing information beyond what is available from retrospective population studies.

OncoSim

OncoSim, previously known as the Cancer Risk Management Model (CRMM), is a free, web-based simulation tool that evaluates cancer control strategies. Combining data from the real world, expert opinion and the published literature, OncoSim projects health and economic outcomes, and attributes them to 27 risk factors, such as smoking and inadequate physical activity. It currently models four cancer sites (breast, colorectal, lung, and cervical) and related screening programs in detail, and provides high-level projections for 28 other cancer sites. This unique and sophisticated tool is used by decision-makers across Canada to better understand the impact and value of cancer control interventions.

OncoSim is led and supported by the Canadian Partnership Against Cancer, with model development by Statistics Canada, and is made possible through funding by Health Canada.

Neurological disease models

In 2009, the Health Analysis Division at Statistics Canada received funding through the National Population Health Study of Neurological Conditions to develop a microsimulation model to project the future health and economic burden of seven neurological conditions: Alzheimer's disease and other dementias, cerebral palsy, epilepsy, multiple sclerosis, Parkinson's disease/parkinsonism, hospitalized traumatic neurological injury, and hospitalized traumatic spinal cord injury. This model, referred to as POHEM-Neurological, projects the incidence and prevalence of these key neurological conditions, their impact on mortality, life expectancy, disability-adjusted life years and health-adjusted life expectancy (HALE) and the direct costs of treatment and indirect costs (lost wages and tax revenue). POHEM-Neurological also includes the impact on families and caregivers. Select projections from POHEM-Neurological are available in the publication Mapping Connections: An Understanding of Neurological Conditions in Canada, published by the Neurological Health Charities Canada.

Study on the reliability of the weighing scales used in the 2008 Canadian Community Health Survey (CCHS) for the measured height and weight (MHW) module

José Pedro, methodologist, CCHS, June 2009

1. Introduction

This document presents the results of the study on the reliability of the weighing scales used to collect measured height and weight (MHW) module data. Physical height and weight measurements were taken for a subsample of about 5,000 respondents of the 2008 Canadian Community Health Survey (CCHS). The data collection for this survey is managed in 4 regional offices: Edmonton, Montréal, Halifax and Toronto.

We will first briefly describe the goal of this study. Then we will discuss the methodology used. Finally, we will present the conclusions drawn from tables showing all the statistics used to measure pre-survey and post-survey scale accuracy.

2. Reliability study goal

To ensure the accuracy of physical measurements data, we conducted a study on the reliability of the scales used in the survey. Data for this reliability study was collected in two stages. Measurements were first collected before the survey began (December 2007) to determine that the scales were accurate and operating properly before being sent to the regional offices. Measurements were again collected after the survey (January 2008) to ensure the accuracy of the scales used in the field.

3. Methodology

To test scale accuracy, a sample of scales was selected for each regional office (the document Validation Instructions.docdescribes sampling details). Initially, 20 scales were selected per regional office. In cases where 2 scales did not successfully pass the validation process, an additional sample of 10 scales was selected. For a scale to fail the validation process, it had to meet at least one of the following criteria: batteries do not work, the scale does not begin at 0, at least one of the 4 weight measurements (40 Kg, 80 Kg, 120 Kg and 140 Kg) is outside the range of acceptable values of 2%, the scale is broken or the scale does not work at all.

Here is a brief description of the measurement procedure followed. At each regional office and for each scale selected, a few descriptive characteristics were recorded on an Excel spreadsheet: the number of the box from which the scale was taken, the location of the box in the warehouse and the scale serial number. For the pre-survey study, battery operation was also tested. However, for the post-survey study, new batteries were used for each scale selected. Then measurements were collected for each weight (40 Kg, 80 Kg, 120 Kg and 140 Kg) and the value indicated by the scale was recorded. Finally, the values obtained were checked to ensure that they were not outside the 2% range of acceptable values.

It should be noted that no additional sample had to be selected, since the original samples complied with the validation procedures.

Once measurements had been taken, scale accuracy was checked by looking at the relationship between the measured weight value and the true weight value based on a Student’s hypothesis test (T-TEST). This method is used to determine whether or not there is a significant difference between the average of the measurements taken with the sampled scales and the reference value. The t–test was applied for each of the weights tested at 40, 80, 120 and 140 Kg. The P value1 and the upper and lower t–test confidence interval boundaries were calculated for all regions and for each region. The significance level used was 5%. That means that if we find a P value greater than 5%, there is no significant difference between the observed average and the reference weight value. Otherwise, we can say that there is a significant difference between the average and the reference weight.

SAS 9.0 and Excel 2002 were used to perform our analyses and produce our tables.

4. Analysis – Descriptive statistics and t–test

4.1 Pre-survey analysis

Before the survey, the accuracy of each of the 80 scales (20 for each of the 4 regional offices) was tested. The tests were performed on 40 Kg, 80 Kg, 120 Kg and 140 Kg reference weights. When we look at Table 4.1 for all regional offices, we see that the minimum and maximum at each reference weight is within the range of acceptable values of 2% established when measurements were taken with calibrated weights. For the 40 Kg weight, the minimum and maximum are reached at 39.80 and 40.70 respectively and are within the range of acceptable values of (39.2; 40.8). For the 80 Kg weight, the minimum and maximum are reached at 79.65 and 80.70 and are within the range of acceptable values of (78.4; 81.6). For the 120 Kg weight, the minimum and maximum are reached at 119.85 and 120.90 and are within the range of acceptable values of (117.6; 122.4). Finally, for the 140 Kg weight, the minimum and maximum are reached at 139.85 and 141.50 and are also within the range of acceptable values of (137.2; 142.8).

When we look at the t–test P value at each of the reference weights (40, 80, 120 and 140 Kg), we note a significant difference between the sample average and the reference weight (p<5%). However, looking at the upper and lower confidence interval boundaries, we see that even though 40, 80 120 and 140 are not within their respective confidence levels, the upper and lower boundary values are clearly always very close to the reference values of (40.1;40.06), (80.03;80.1), (120.1;120.17) and (140.12;140.23) respectively. Itcan thus be said that the scales are sufficiently accurate.

Then, similar analyses were performed for each of the regional offices with a sample of 20 scales per region. The results should be used with care since they apply to a sample of less than 30 units. In the case of Edmonton and Toronto, the minimums and maximums are all also within the 2% range of acceptable values. A P value greater than 5% is noted for the measurements tested at 40 Kg. This means that there is no significant difference between the average and the 40 Kg reference value. For the other measurements, i.e. 80, 120 and 140 Kg, the P value is less than 5% and thus significantly different from the reference weights. Again, since the upper and lower boundaries are always very close to the reference values, it can be said that the scales are sufficiently accurate.

In the case of Halifax and Montréal, the minimums and maximums are within the range of acceptable values. A P value greater than 5% is noted for the measurements tested at 40 and 80 Kg. That means that there is no significant difference between the average at 40 Kg and the reference value or between the average at 80 Kg and the reference value for each of the 2 regions. For the 120 and 140 Kg tests, the P values are under 5% but the confidence intervals are such that the conclusions are the same as in the preceding analyses.

Table 4.1: Pre-survey scale statistics
Regional office /Statistics Test at 40 Kg Test at 80 Kg Test at 120 Kg Test at 140 Kg
All regional offices
Maximum 40.7 80.7 120.9 141.5
Mean 40.03 80.07 120.14 140.17
Minimum 39.8 79.65 119.85 139.85
Count 80 80 80 80
Standard error 0.11 0.16 0.16 0.25
Lower bound of the confidence interval 40.01 80.03 120.1 140.12
Upper bound of the confidence interval 40.06 80.1 120.17 140.23
Standard error 0.01 0.02 0.02 0.03
P-value 0.0127 0.0003 <.0001 <.0001
Edmonton
Maximum 40.1 80.15 120.25 140.35
Mean 40.02 80.04 120.07 140.11
Minimum 39.9 79.9 119.85 139.95
Count 20 20 20 20
Standard Error 0.07 0.07 0.09 0.12
Lower bound of the confidence interval 39.99 80.01 120.02 140.06
Upper bound of the confidence interval 40.05 80.07 120.11 140.17
Standard error 0.01 0.02 0.02 0.03
P-value 0.3157 0.011 0.0044 0.0004
Halifax
Maximum 40.1 80.2 120.35 140.3
Mean 40.02 80.03 120.11 140.12
Minimum 39.95 79.85 119.95 139.9
Count 20 20 20 20
Standard error 0.06 0.1 0.11 0.11
Lower bound of the confidence interval 39.99 79.98 120.05 140.07
Upper bound of the confidence interval 40.05 80.08 120.16 140.17
Standard error 0.01 0.02 0.03 0.02
P-value 0.1485 0.1864 0.0006 <.0001
Montréal
Maximum 40.25 80.7 120.9 141.1
Mean 40.02 80.1 120.2 140.19
Minimum 39.8 79.65 119.9 139.85
Count 20 20 20 20
Standard error 0.09 0.25 0.2 0.28
Lower bound of the confidence interval 39.98 79.98 120.1 140.06
Upper bound of the confidence interval 40.06 80.21 120.29 140.33
Standard error 0.02 0.06 0.05 0.06
P-value 0.3915 0.1031 0.0004 0.0069
Toronto
Maximum 40.7 80.45 120.65 141.5
Mean 40.08 80.1 120.19 140.27
Minimum 39.9 79.85 120.05 139.95
Count 20 20 20 20
Standard error 0.19 0.16 0.17 0.37
Lower bound of the confidence interval 39.99 80.02 120.11 140.1
Upper bound of the confidence interval 40.17 80.18 120.27 140.44
Standard error 0.04 0.04 0.04 0.08
P-value 0.0811 0.0129 <.0001 0.0041

4.2 Post-survey analysis

After the survey, the accuracy of each of the 91 scales(20 in Edmonton and Halifax, 21in Montréal and 30 in Toronto) was tested. The test measurements were used for 87 of the 91 scales, since 4 scales were found to be defective. One of those scales was in Montréal and the three others in Toronto. The broken scales represent 4.4% of all the scales tested in the study. During the analysis, we noted that 2 of those defective scales were used during collection for 14 measurements. Those 14 cases constitute only 0.28% of the 5,000 MHW module cases. Those cases were excluded from the study.

Again, the tests were performed on reference weights of 40 Kg, 80 Kg, 120Kg and 140Kg for the operating 87 scales and the results were similar to the pre-survey results. Here are the details.

We note in Table 4.2 that the minimum and maximum at each reference weight are within the range of acceptable values – i.e. 2%. For the 40 Kg weight, the minimum and the maximum are reached at 39.90 and 40.50 and are within the range of acceptable values of (39.2; 40.8). For the 80 Kg weight, the minimum and maximum are reached at 79.70 and 80.50 and are within the range of acceptable values (78.4; 81.6). For the 120 Kg weight, the minimum and the maximum are reached at 119.95 and 120.65 and are within the range of acceptable values (117.6; 122.4). Finally, for the 140 Kg weight, the minimum and maximum are reached at 139.95 and 140.40 and are within the range of acceptable values (137.2; 142.8).

When we look at the t–test P value at each reference weight (40, 80, 120 and 140 Kg), we see a significant difference between the sample average and the reference weight. Wecome to the same conclusions as for the pre-survey analysis – i.e. that the upper and lower boundaries are very close to the reference values, which are (40.04;40.07), (80.07;80.11), (120.11;120.16) and (140.13;140.17) respectively. The scales can thus be considered sufficiently accurate.

Then, similar analyses were done by regional office. Again, the results should be used with care, since they apply to a sample of less than 30 units. For each regional office and each weight value, we note a P value under 5%, which means there are significant differences between the average and the reference value. Again, since the upper and lower boundaries are always very close to the reference values, it can be concluded that the scales are sufficiently accurate.

Table 4.2: Post-survey scale statistics
Regional office/Statistics Test at 40 Kg Test at 80 Kg Test at 120 Kg Test at 140 Kg
All regional offices
Maximum 40.5 80.5 120.65 140.4
Mean 40.06 80.09 120.14 140.15
Minimum 39.9 79.7 119.95 139.95
Count 87 87 87 87
Standard error 0.06 0.09 0.11 0.09
Lower bound of the confidence interval 40.04 80.07 120.11 140.13
Upper bound of the confidence interval 40.07 80.11 120.16 140.17
Standard error 0.01 0.01 0.01 0.01
P-value <.0001 <.0001 <.0001 <.0001
Edmonton
Maximum 40.1 80.2 120.25 140.25
Mean 40.06 80.09 120.13 140.13
Minimum 40 79.95 120 140
Count 20 20 20 20
Standard error 0.03 0.06 0.06 0.06
Lower bound of the confidence interval 40.04 80.06 120.1 140.1
Upper bound of the confidence interval 40.08 80.12 120.16 140.16
Standard error 0.01 0.01 0.01 0.01
P-value <.0001 <.0001 <.0001 <.0001
Halifax
Maximum 40.1 80.5 120.5 140.4
Mean 40.05 80.13 120.18 140.2
Minimum 40 80 120 140.05
Count 20 20 20 20
Standard error 0.03 0.11 0.12 0.09
Lower bound of the confidence interval 40.04 80.08 120.12 140.16
Upper bound of the confidence interval 40.07 80.18 120.23 140.24
Standard error 0.01 0.03 0.03 0.02
P-value <.0001 <.0001 <.0001 <.0001
Montréal
Maximum 40.1 80.2 120.65 140.3
Mean 40.04 80.08 120.14 140.12
Minimum 39.95 80 120 140
Count 20 20 20 20
Standard error 0.04 0.06 0.15 0.07
Lower bound of the confidence interval 40.03 80.06 120.07 140.09
Upper bound of the confidence interval 40.06 80.11 120.21 140.16
Standard error 0.01 0.01 0.03 0.02
P-value <.0001 <.0001 0.0005 <.0001
Toronto
Maximum 40.5 80.2 120.25 140.3
Mean 40.06 80.06 120.11 140.14
Minimum 39.9 79.7 119.95 139.95
Count 27 27 27 27
Standard error 0.11 0.1 0.08 0.1
Lower bound of the confidence interval 40.02 80.02 120.08 140.1
Upper bound of the confidence interval 40.11 80.1 120.14 140.18
Standard error 0.02 0.02 0.02 0.02
P-value 0.0037 0.0036 <.0001 <.0001

CCHS 2009 - Sub-Sample (HSAS): Alphabetic Index – Page 1

Master File – 12–Month
Variable Name Description Section Page
ACCZ_10 Required visit to medical specialist ACC 394
ACCZ_11 Experienced difficulties getting specialist care ACC 395
ACCZ_12A Difficulty - getting a referral ACC 395
ACCZ_12B Difficulty - getting an appointment ACC 396
ACCZ_12C Difficulty - no specialists in area ACC 396
ACCZ_12D Difficulty - waited too long for an appointment ACC 397
ACCZ_12E Difficulty - waited too long to see doctor ACC 397
ACCZ_12F Difficulty - transportation ACC 398
ACCZ_12G Difficulty - language ACC 398
ACCZ_12H Difficulty - cost ACC 399
ACCZ_12I Difficulty - personal or family responsibilities ACC 399
ACCZ_12J Difficulty - general deterioration of health ACC 400
ACCZ_12K Difficulty - appointment cancelled/deferred ACC 400
ACCZ_12L Difficulty - still waiting for visit ACC 401
ACCZ_12M Difficulty - unable to leave house / health problem ACC 401
ACCZ_12N Difficulty - other ACC 402
ACCZ_20 Required non-emergency surgery ACC 402
ACCZ_21 Experienced difficulties getting non-emergency surgery ACC 403
ACCZ_22A Difficulty - getting an appointment with a surgeon ACC 403
ACCZ_22B Difficulty - getting a diagnosis ACC 404
ACCZ_22C Difficulty - waited too long for a diagnostic test ACC 404
ACCZ_22D Difficulty - waited too long for a hospital bed ACC 405
ACCZ_22E Difficulty - waited too long for surgery ACC 405
ACCZ_22F Difficulty - service not available in area ACC 406
ACCZ_22G Difficulty - transportation ACC 406
ACCZ_22H Difficulty - language ACC 407
ACCZ_22I Difficulty - cost ACC 407
ACCZ_22J Difficulty - personal or family responsibilities ACC 408
ACCZ_22K Difficulty - general deterioration of health ACC 408
ACCZ_22L Difficulty - appointment cancelled/deferred ACC 409
ACCZ_22M Difficulty - still waiting for surgery ACC 409
ACCZ_22N Difficulty - unable to leave house / health problem ACC 410
ACCZ_22O Difficulty - other ACC 410
ACCZ_30 Required MRI, CT Scan, angiography ACC 411
ACCZ_31 Experienced difficulties getting test ACC 411
ACCZ_32A Difficulty - getting a referral ACC 412
ACCZ_32B Difficulty - getting an appointment ACC 412
ACCZ_32C Difficulty - waited too long to get an appointment ACC 413
ACCZ_32D Difficulty - waited too long to get test ACC 413
ACCZ_32E Difficulty - service not available at time required ACC 414
ACCZ_32F Difficulty - service not available in the area ACC 414
ACCZ_32G Difficulty - transportation ACC 415
ACCZ_32H Difficulty - language ACC 415
ACCZ_32I Difficulty - cost ACC 416
ACCZ_32J Difficulty - general deterioration of health ACC 416
ACCZ_32K Difficulty - did not know where to go ACC 417
ACCZ_32L Difficulty - still waiting for test ACC 417
ACCZ_32M Difficulty - unable to leave house / health problem ACC 418
ACCZ_32N Difficulty - other ACC 418
ACCZ_40 Required health information for self or family member ACC 419
ACCZ_40A Contact for health information - doctor's office ACC 419
ACCZ_40B Contact for health information - community hlth ctr / CLSC ACC 420
ACCZ_40C Contact for health information - walk-in clinic ACC 420
ACCZ_40D Contact for health information - telephone health line ACC 421
ACCZ_40E Contact for health information - emergency room ACC 421
ACCZ_40F Contact for health information - other hospital service ACC 422
ACCZ_40G Contact for health information - other ACC 422
ACCZ_41 Experienced difficult getting health information - self/family ACC 423
ACCZ_42 Experienced difficulties during regular hours ACC 423
ACCZ_43A Difficulty - contacting a physician or nurse ACC 424
ACCZ_43B Difficulty - did not have a phone number ACC 424
ACCZ_43C Difficulty - could not get through ACC 425
ACCZ_43D Difficulty - waited too long to speak to someone ACC 425
ACCZ_43E Difficulty - did not get adequate info or advice ACC 426
ACCZ_43F Difficulty - language ACC 426
ACCZ_43G Difficulty - did not know where to go/call/uninformed ACC 427
ACCZ_43H Difficulty - unable to leave house / health problem ACC 427
ACCZ_43I Difficulty - other ACC 428
ACCZ_44 Experienced difficulties during evenings/weekends ACC 428
ACCZ_45A Difficulty - contacting a physican or nurse ACC 429
ACCZ_45B Difficulty - did not have a phone number ACC 429
ACCZ_45C Difficulty - could not get through ACC 430
ACCZ_45D Difficulty - waited too long to speak to someone ACC 430
ACCZ_45E Difficulty - did not get adequate info or advice ACC 431
ACCZ_45F Difficulty - language ACC 431
ACCZ_45G Difficulty - did not know where to go/call/uninformed ACC 432
ACCZ_45H Difficulty - unable to leave house / health problem ACC 432
ACCZ_45I Difficulty - other ACC 433
ACCZ_46 Experienced difficulties during middle of night ACC 433
ACCZ_47A Difficulty - contacting a physican or nurse ACC 434
ACCZ_47B Difficulty - did not have a phone number ACC 434
ACCZ_47C Difficulty - could not get through ACC 435
ACCZ_47D Difficulty - waited too long to speak to someone ACC 435
ACCZ_47E Difficulty - did not get adequate info or advice ACC 436
ACCZ_47F Difficulty - language ACC 436
ACCZ_47G Difficulty - did not know where to go/call/uninformed ACC 437
ACCZ_47H Difficulty - unable to leave house / health problem ACC 437
ACCZ_47I Difficulty - other ACC 438
ACCZ_50 Required routine care for self/family ACC 439
ACCZ_50A Has a regular family doctor ACC 438
ACCZ_51 Experienced difficult getting routine/on-going care - self/family ACC 439
ACCZ_52 Experienced difficulties during regular hours ACC 440
ACCZ_53A Difficulty - contacting a physican ACC 440
ACCZ_53B Difficulty - getting an appointment ACC 441
ACCZ_53C Difficulty - do not have a family physician ACC 441
ACCZ_53D Difficulty - waited too long to get an appointment ACC 442
ACCZ_53E Difficulty - waited too long to see doctor ACC 442
ACCZ_53F Difficulty - service not available at time required ACC 443
ACCZ_53G Difficulty - service not available in the area ACC 443
ACCZ_53H Difficulty - transportation ACC 444
ACCZ_53I Difficulty - language ACC 444
ACCZ_53J Difficulty - cost ACC 445
ACCZ_53K Difficulty - did not know where to go ACC 445
ACCZ_53L Difficulty - unable to leave house / health problem ACC 446
ACCZ_53M Difficulty - other ACC 446
ACCZ_54 Experienced difficulties during evenings/weekends ACC 447
ACCZ_55A Difficulty - contacting a physican ACC 447
ACCZ_55B Difficulty - getting an appointment ACC 448
ACCZ_55C Difficulty - do not have a family physician ACC 448
ACCZ_55D Difficulty - waited too long to get an appointment ACC 449
ACCZ_55E Difficulty - waited too long to see doctor ACC 449
ACCZ_55F Difficulty - service not available at time required ACC 450
ACCZ_55G Difficulty - service not available in the area ACC 450
ACCZ_55H Difficulty - transportation ACC 451
ACCZ_55I Difficulty - language ACC 451
ACCZ_55J Difficulty - cost ACC 452
ACCZ_55K Difficulty - did not know where to go ACC 452
ACCZ_55L Difficulty - unable to leave house / health problem ACC 453
ACCZ_55M Difficulty - other ACC 453
ACCZ_60 Required immediate care/minor health problem - self/family ACC 454
ACCZ_61 Experienced difficulties getting immediate care - self/family ACC 454
ACCZ_62 Experienced difficulties during regular hours ACC 455
ACCZ_63A Difficulty - contacting a physican ACC 455
ACCZ_63B Difficulty - getting an appointment ACC 456
ACCZ_63C Difficulty - do not have a family physician ACC 456
ACCZ_63D Difficulty - waited too long to get an appointment ACC 457
ACCZ_63E Difficulty - waited too long to see doctor ACC 457
ACCZ_63F Difficulty - service not available at time required ACC 458
ACCZ_63G Difficulty - service not available in the area ACC 458
ACCZ_63H Difficulty - transportation ACC 459
ACCZ_63I Difficulty - language ACC 459
ACCZ_63J Difficulty - cost ACC 460
ACCZ_63K Difficulty - did not know where to go ACC 460
ACCZ_63L Difficulty - unable to leave house / health problem ACC 461
ACCZ_63M Difficulty - other ACC 461
ACCZ_64 Experienced difficulties during evenings/weekends ACC 462
ACCZ_65A Difficulty - contacting a physican ACC 462
ACCZ_65B Difficulty - getting an appointment ACC 463
ACCZ_65C Difficulty - do not have a family physician ACC 463
ACCZ_65D Difficulty - waited too long to get an appointment ACC 464
ACCZ_65E Difficulty - waited too long to see doctor ACC 464
ACCZ_65F Difficulty - service not available at time required ACC 465
ACCZ_65G Difficulty - service not available in the area ACC 465
ACCZ_65H Difficulty - transportation ACC 466
ACCZ_65I Difficulty - language ACC 466
ACCZ_65J Difficulty - cost ACC 467
ACCZ_65K Difficulty - did not know where to go ACC 467
ACCZ_65L Difficulty - unable to leave house / health problem ACC 468
ACCZ_65M Difficulty - other ACC 468
ACCZ_66 Experienced difficulties during middle of night ACC 469
ACCZ_67A Difficulty - contacting a physican ACC 469
ACCZ_67B Difficulty - getting an appointment ACC 470
ACCZ_67C Difficulty - do not have a family physician ACC 470
ACCZ_67D Difficulty - waited too long to get an appointment ACC 471
ACCZ_67E Difficulty - waited too long to see doctor ACC 471
ACCZ_67F Difficulty - service not available at time required ACC 472
ACCZ_67G Difficulty - service not available in the area ACC 472
ACCZ_67H Difficulty - transportation ACC 473
ACCZ_67I Difficulty - language ACC 473
ACCZ_67J Difficulty - cost ACC 474
ACCZ_67K Difficulty - did not know where to go ACC 474
ACCZ_67L Difficulty - unable to leave house / health problem ACC 475
ACCZ_67M Difficulty - other ACC 475
ADL_01 Needs help - preparing meals ADL 114
ADL_02 Needs help - getting to appointments / running errands ADL 115
ADL_03 Needs help - doing housework ADL 115
ADL_04 Needs help - personal care ADL 116
ADL_05 Needs help - moving about inside the house ADL 116
ADL_06 Needs help - looking after personal finances ADL 117
ADLF6R Help needed for tasks - (F) RAC 117
ADM_DOI Day of interview ADM 19
ADM_LHH Language of preference - household interview ADM 23
ADM_MOI Month of interview ADM 19
ADM_N09 Interview by telephone or in person ADM 20
ADM_N10 Respondent alone during interview ADM 20
ADM_N11 Answers affected by presence of another person ADM 21
ADM_N12 Language of interview ADM 22
ADM_PRX Health Component completed by proxy ADM 18
ADM_STA Response status after processing ADM 17
ADM_YOI Year of interview ADM 18
ALC_1 Drank alcohol in past 12 months ALC 255
ALC_2 Frequency of drinking alcohol ALC 256
ALC_3 Frequency of having 5 or more drinks ALC 257
ALCDTTM Type of drinker (12 months) - (D) ALC 257
CCC_031 Has asthma CCC 50
CCC_035 Asthma - had symptoms or attacks CCC 51
CCC_036 Asthma - took medication CCC 51
CCC_051 Has arthritis CCC 52
CCC_061 Has back problems excluding fibromyalgia and arthritis CCC 52
CCC_071 Has high blood pressure CCC 53
CCC_072 Ever diagnosed with high blood pressure CCC 53
CCC_073 Medication - high blood pressure - past month CCC 54
CCC_073A Pregnant when first diagnosed with high blood pressure CCC 54
CCC_073B Other than during pregnancy - diagram with high blood pressure CCC 55
CCC_081 Has migraine headaches CCC 55
CCC_091 Has a COPD CCC 56
CCC_101 Has diabetes CCC 56
CCC_102 Diabetes - age first diagnosed CCC 57
CCC_105 Diabetes - currently takes insulin CCC 59
CCC_106 Diabetes - takes pills to control blood sugar CCC 59
CCC_10A Diabetes diagnosed - when pregnant CCC 57
CCC_10B Diabetes diagnosed - other than when pregnant CCC 58
CCC_10C Diabetes diagnosed - when started with insulin CCC 58
CCC_121 Has heart disease CCC 60
CCC_131 Has cancer CCC 60
CCC_141 Has stomach or intestinal ulcers CCC 61
CCC_151 Suffers from the effects of a stroke CCC 62
CCC_161 Has urinary incontinence CCC 62
CCC_171 Has a bowel disorder / Crohn's Disease or colitis CCC 63
CCC_17A Type of bowel disease CCC 63
CCC_181 Has Alzheimer's disease or other dementia CCC 64
CCC_280 Has a mood disorder CCC 64
CCC_290 Has an anxiety disorder CCC 65
CCC_31A Ever had cancer CCC 61
CCCDDIA Diabetes type CCC 65
CHP_01 Overnight patient CHP 94
CHP_02 Number of nights as patient CHP 94
CHP_03 Consulted with family doctor/general practitioner CHP 95
CHP_04 Number of consultations - family doctor/general practitioner CHP 95
CHP_05 Where the most recent contact took place CHP 96
CHP_06 Consulted with eye specialist CHP 97
CHP_07 Number of consultations - eye specialist CHP 97
CHP_08 Consulted with other medical doctor CHP 98
CHP_09 Number of consultations - other medical doctor CHP 98
CHP_10 Where the most recent contact took place CHP 99
CHP_11 Consulted with nurse CHP 100
CHP_12 Number of consultations - nurse CHP 100
CHP_13 Where the most recent contact took place CHP 101
CHP_14 Consulted with dentist or orthodontist CHP 102
CHP_15 Number of consultations - dentist or orthodontist HCU 102
CHP_16 Consulted with chiropractor CHP 103
CHP_17 Number of consultations - chiropractor CHP 103
CHP_18 Consulted with physiotherapist CHP 104
CHP_19 Number of consultations - physiotherapist CHP 104
CHP_20 Consulted with psychologist CHP 105
CHP_21 Number of consultations - psychologist CHP 105
CHP_22 Consulted with social worker or counsellor CHP 106
CHP_23 Number of consultations - social worker or counsellor CHP 106
CHP_24 Consulted with speech/audiology/occupation therapist CHP 107
CHP_25 Number of consultations - speech/audiology/occupation therapist CHP 107
CHPDMDC Number of consultations with medical doctor - (D) HCU 108
CHPFCOP Consultations with health professionals - (F) HCU 108
DHH_AGE Age DHH 23
DHH_DOB Day of birth DHH 25
DHH_MOB Month of birth DHH 24
DHH_MS Marital Status DHH 26
DHH_OWN Dwelling - owned by a member of household DWL 336
DHH_SEX Sex DHH 25
DHH_YOB Year of birth DHH 24
DHHD611 Number of persons 6 to 11 years old in household - (D) DHH 28
DHHDECF Household type - (D) DHH 30
DHHDHSZ Household size - (D) DHH 31
DHHDL12 Number of persons less than 12 years old in household - (D) DHH 28
DHHDL18 Number of Persons in Household Less Than 18 Years of Age DHH 28
DHHDLE5 Number of persons 5 years old or less in household - (D) DHH 27
DHHDLVG Living arrangement of selected respondent - (D) DHH 29
DHHDOKD Number of dependents 16 or 17 years old in household - (D) DHH 27
DHHDSAGE Age of spouse DHH 26
DHHDYKD Number of persons 15 years old or less in household - (D) DHH 27
DOADL Activities of daily living - Inclusion Flag - (F) ADL 114
DOHUI Health utility index - Inclusion Flag - (F) HUI 65
DOINJ Injuries - Inclusion Flag - (F) INJ 202
DOSXB Sexual behaviours - Inclusion Flag - (F) SXB 268
DOUPE Use of protective equipment - Inclusion Flag - (F) UPE 191
EDU_1 Highest grade of elementary or high school completed EDU 348
EDU_2 Graduated from high school (2ndary school) EDU 348
EDU_3 Received any other education EDU 349
EDU_4 Highest degree, certificate or diploma obtained EDU 350
EDUDH04 Highest level of education û household, 4 levels - (D) EDU 351
EDUDH10 Highest level of education - household, 10 levels - (D) EDU 352
EDUDR04 Highest level of education - respondent, 4 levels - (D) EDU 353
EDUDR10 Highest level of education - respondent, 10 levels - (D) EDU 354
ETS_10 Someone smokes inside home ETS 250
ETS_11 Number of people who smoke inside home ETS 250
ETS_20 Exposed to second-hand smoke in private vehicle ETS 251
ETS_20B Exposed to second-hand smoke in public places ETS 251
ETS_35 Smoking allowed - House ETS 252
ETS_36 Smoking restrictions ETS 252
ETS_37A Type of restrictions -certain rooms only ETS 253
ETS_37B Type of restrictions - young children ETS 253
ETS_37C Type of restrictions - windows open ETS 254
ETS_37D Type of restrictions - Other ETS 254
FLU_160 Ever had a flu shot FLU 118
FLU_162 Had flu shot - last time FLU 118
FLU_164 Had flu shot - which month FLU 119
FLU_165 Had flu shot - current/last year FLU 120
FLU_66A No flu shot - have not gotten around to it FLU 120
FLU_66B No flu shot - respondent didn't think it was necessary FLU 121
FLU_66C No flu shot - doctor didn't think it was necessary FLU 121
FLU_66D No flu shot - personal or family responsibilities FLU 122
FLU_66E No flu shot - not available at time required FLU 122
FLU_66F No flu shot - not available at all in area FLU 123
FLU_66G No flu shot - waiting time was too long FLU 123
FLU_66H No flu shot - transportation problems FLU 124
FLU_66I No flu shot - language problem FLU 124
FLU_66J No flu shot - cost FLU 125
FLU_66K No flu shot - did not know where to go FLU 125
FLU_66L No flu shot - fear FLU 126
FLU_66M No flu shot - bad reaction to previous shot FLU 126
FLU_66N No flu shot - other FLU 127
FLU_66O No flu shot - unable to leave house / health problem FLU 127
FVC_1A Drinks fruit juices - reporting unit FVC 128
FVC_1B Drinks fruit juices - number of times per day FVC 128
FVC_1C Drinks fruit juices - number of times per week FVC 129
FVC_1D Drinks fruit juices - number of times per month FVC 129
FVC_1E Drinks fruit juices - number of times per year FVC 130
FVC_2A Eats fruit - reporting unit FVC 130
FVC_2B Eats fruit - number of times per day FVC 131
FVC_2C Eats fruit - number of times per week FVC 131
FVC_2D Eats fruit - number of times per month FVC 132
FVC_2E Eats fruit - number of times per year FVC 132
FVC_3A Eats green salad - reporting unit FVC 133
FVC_3B Eats green salad - number of times per day FVC 133
FVC_3C Eats green salad - number of times per week FVC 134
FVC_3D Eats green salad - number of times per month FVC 134
FVC_3E Eats green salad - number of times per year FVC 135
FVC_4A Eats potatoes - reporting unit FVC 135
FVC_4B Eats potatoes - number of times per day FVC 136
FVC_4C Eats potatoes - number of times per week FVC 136
FVC_4D Eats potatoes - number of times per month FVC 137
FVC_4E Eats potatoes - number of times per year FVC 137
FVC_5A Eats carrots - reporting unit FVC 138
FVC_5B Eats carrots - number of times per day FVC 138
FVC_5C Eats carrots - number of times per week FVC 139
FVC_5D Eats carrots - number of times per month FVC 139
FVC_5E Eats carrots - number of times per year FVC 140
FVC_6A Eats other vegetables - reporting unit FVC 140
FVC_6B Eats other vegetables - number of servings per day FVC 141
FVC_6C Eats other vegetables - number of servings per week FVC 141
FVC_6D Eats other vegetables - number of servings per month FVC 142
FVC_6E Eats other vegetables - number of servings per year FVC 142
FVCDCAR Daily consumption - carrots - (D) FVC 145
FVCDFRU Daily consumption - fruit - (D) FVC 143
FVCDJUI Daily consumption - fruit juice - (D) FVC 143
FVCDPOT Daily consumption - potatoes - (D) FVC 144
FVCDSAL Daily consumption - green salad - (D) FVC 144
FVCDTOT Daily consumption - total fruits and vegetables - (D) FVC 146
FVCDVEG Daily consumption - other vegetables - (D) FVC 145
FVCGTOT Daily consumption - total fruits and vegetables - (D, G) FVC 146
GEN_01 Self-perceived health GEN 31
GEN_02 Self-perceived health compared to one year ago GEN 32
GEN_02A2 Satisfaction with life in general GEN 33
GEN_02B Self-perceived mental health GEN 34
GEN_07 Perceived life stress GEN 35
GEN_08 Worked at job or business GEN 35
GEN_09 Self-perceived work stress GEN 36
GEN_10 Sense of belonging to local community GEN 37
GENDHDI Perceived Health GEN 37
GENDMHI Perceived Mental Health GEN 38
GENGSWL Satisfaction with life in general GEN 38
GEO_PRV Province of residence of respondent GEO 2
GEODCD Census Division - (D) GEO 10
GEODCMA6 2006 Census Metropolitan Area (CMA) - (D) GEO 12
GEODCSD Census Sub-Division - (D) GEO 10
GEODDA06 2006 Census Dissemination Area - (D) GEO 9
GEODDHA Nova Scotia District Health Authority (DHA) GEO 8
GEODFED Federal Electoral District - (D) GEO 10
GEODHR4 Health Region of residence of respondent - (D) GEO 3
GEODLHA British Columbia Local Health Authority (LHA) - (D) GEO 8
GEODLHN Local Health Integrated Networks (LHIN) - Ontario - (D) GEO 9
GEODPC Postal code - (D) GEO 2
GEODPG09 Health Region Peer Group - (D) GEO 13
GEODPSZ Population size group - (D) GEO 15
GEODSAT Statistical area classification type - (D) GEO 11
GEODSHR Sub-Health Region (QuÚbec only) - (D) GEO 7
GEODUR Urban and Rural Areas GEO 14
GEODUR2 Urban and Rural Areas - 2 levels - (D) GEO 14
HCU_1A1 Has a usual place to go when sick/needs health advice HCU 91
HCU_1A2 Kind of place HCU 92
HCU_1AA Has regular medical doctor HCU 88
HCU_1AC Language spoken to doctor HCU 93
HCU_1BA Reason has no regular doctor - no one available in area HCU 88
HCU_1BB Reason has no regular doctor - none taking new patients HCU 89
HCU_1BC Reason has no regular doctor - not tried to contact one HCU 89
HCU_1BD Reason has no regular doctor - has left or retired HCU 90
HCU_1BE Reason has no regular doctor - other HCU 90
HUI_01 Vision - read newsprint without glasses / contacts HUI 66
HUI_02 Vision - read newsprint with glasses / contacts HUI 66
HUI_03 Vision - able to see HUI 67
HUI_04 Vision - recognize a friend without glasses / contacts HUI 67
HUI_05 Vision - recognize a friend with glasses / contacts HUI 68
HUI_06 Hearing - in group without hearing aid HUI 68
HUI_07 Hearing - in group with hearing aid HUI 69
HUI_07A Hearing - able to hear HUI 69
HUI_08 Hearing - in quiet room without hearing aid HUI 70
HUI_09 Hearing - in quiet room with hearing aid HUI 70
HUI_10 Speech - completely understood by strangers HUI 71
HUI_11 Speech - partially understood by strangers HUI 71
HUI_12 Speech - completely understood by non-strangers HUI 72
HUI_13 Speech - partially understood by non-strangers HUI 72
HUI_14 Mobility - walk without difficulty and without support HUI 73
HUI_15 Mobility - able to walk HUI 73
HUI_16 Mobility - requires support to walk HUI 74
HUI_17 Mobility - requires help of person to walk HUI 74
HUI_18 Mobility - requires a wheelchair HUI 75
HUI_19 Mobility - frequency of wheelchair use HUI 75
HUI_20 Mobility - requires help to move in wheelchair HUI 76
HUI_21 Dexterity - able to grasp and handle small objects HUI 76
HUI_22 Dexterity - requires help due to limitation in hands HUI 77
HUI_23 Dexterity - requires help with tasks HUI 77
HUI_24 Dexterity - requires special equipment / hand limitation HUI 78
HUI_25 Emotion - self evaluation HUI 78
HUI_26 Cognition - ability to remember things HUI 79
HUI_27 Cognition - ability to think and solve problems HUI 80
HUIDCOG Cognition problems - function code - (D) HUI 85
HUIDDEX Dexterity (function code) - (D) HUI 84
HUIDEMO Emotion (function code) - (D) HUI 84
HUIDHER Hearing (function code) - (D) HUI 82
HUIDHSI Health utilities index - (D) HUI 85
HUIDMOB Ambulation (mobility) (function code) - (D) HUI 83
HUIDSPE Speech (function code) - (D) HUI 82
HUIDVIS Vision (function code) - (D) HUI 81
HUP_01 Usually free of pain or discomfort HUP 86
HUP_02 Pain and discomfort - usual intensity HUP 86
HUP_03 Pain and discomfort - number of activities prevented HUP 87
HUPDPAD Pain (function code) - (D) HUI 87
HWT_2 Height / self-reported HWT 39
HWT_2A Height - exact height from 1'0" to 1'11" / self-reported HWT 40
HWT_2B Height - exact height from 2'0" to 2'11" / self-reported HWT 40
HWT_2C Height - exact height from 3'0" to 3'11" / self-reported HWT 41
HWT_2D Height - exact height from 4'0" to 4'11" / self-reported HWT 42
HWT_2E Height - exact height from 5'0" to 5'11" / self-reported HWT 43
HWT_2F Height - exact height from 6'0" to 6'11" / self-reported HWT 44
HWT_3 Weight / self-reported HWT 45
HWT_4 Respondent's opinion of own weight - self-reported HWT 46
HWT_N4 Weight - unit of measure in pounds/kilograms / self-reported HWT 45
HWTDBMI Body Mass Index (BMI) / self-report - (D) HWT 49
HWTDCOL BMI classification (12 to 17) / self-report - Cole system - (D) HWT 50
HWTDHTM Height (metres) / self-reported - (D) HWT 47
HWTDISW BMI classification (18 +) / self-report - Internet standard - (D) HWT 49
HWTDWTK Weight (kilograms) / self-reported - (D) HWT 48
INC_1A Source of household income - wages and salaries INC 366
INC_1B Source of household income - self-employment INC 366
INC_1C Source of household income - dividends and interest INC 367
INC_1D Source of household income - employment insurance INC 367
INC_1E Source of household income - worker's compensation INC 368
INC_1F Source of hh income - benefits from Canada / Quebec Pension Plan INC 368
INC_1G Srce of hh income - pensions, superannual and annuities INC 369
INC_1H Source of household income - Old Age Security / G.I.S. INC 370
INC_1I Source of household income - child tax benefit INC 371
INC_1J Source of household income - social assistance / welfare INC 370
INC_1K Source of household income - child support INC 371
INC_1L Source of household income - alimony INC 372
INC_1M Source of household income - other INC 372
INC_1N Source of household income - none INC 373
INC_1O Source of household income - RRSP/RRIF INC 369
INC_2 Total household income - main source INC 374
INC_3 Total household income - best estimate INC 375
INC_5A Total household income - Ranges INC 375
INC_5B Household income - Range 1 INC 376
INC_5C Household income - Range 2 INC 377
INC_6A Sources personal income: Wages and salaries INC 378
INC_6B Sources personal income: Income from self-employment INC 378
INC_6C Sources personal income: Dividends and interest INC 379
INC_6D Sources personal income: Employment insurance INC 379
INC_6E Sources personal income: Worker's compensation INC 380
INC_6F Sources personal income: Canada or Quebec Pension Plan INC 380
INC_6G Sources personal income: Job related retirement pensions INC 381
INC_6H Sources personal income: RRSP/RRIF INC 381
INC_6I Sources personal income: Old Age Security and Guaranteed Inc INC 382
INC_6J Sources personal income: social assistance or welfare INC 383
INC_6K Sources personal income: Child tax benefits INC 382
INC_6L Sources personal income: Child support INC 383
INC_6M Sources personal income: Alimony INC 384
INC_6N Sources personal income: Other INC 384
INC_6O Sources personal income: None INC 385
INC_7 Main source of personal income INC 386
INC_8A Total personal income INC 387
INC_8B Total personal income: Ranges INC 387
INC_8C Total personal income: Range 1 INC 388
INC_8D Total personal income: Range 2 INC 389
INCDADR Adjusted household income ratio - (D) INC 392
INCDHH Total household income from all sources - (D) INC 390
INCDPER Total personal income from all sources - (D) INC 391
INCDRCA Household income distribution - (D) INC 392
INCDRPR Household income distribution - provincial level - (D) INC 393
INCDRRS Household income distribution - health region level - (D) INC 394
INJ_01 Injured in past 12 months INJ 210
INJ_02 Number of injuries in past 12 months INJ 210
INJ_03 Most serious injury - month of occurrence INJ 211
INJ_04 Most serious injury - year of occurrence INJ 212
INJ_05 Most serious injury - type INJ 213
INJ_06 Most serious injury - body part affected INJ 214
INJ_07 Internal organs - body part affected INJ 215
INJ_08 Most serious injury - place of occurrence INJ 216
INJ_09 Most serious injury - activity when injured INJ 217
INJ_10 Most serious injury - result of a fall INJ 222
INJ_11A How did you fall INJ 223
INJ_12 Most serious injury - cause INJ 224
INJ_12A Time of injury INJ 225
INJ_13 Most serious injury - received treatment within 48 hours INJ 225
INJ_14A Treated doctorÆs office INJ 226
INJ_14B Treated emergency room INJ 226
INJ_14C Treated hospital outpatient INJ 227
INJ_14F Treated chiropractor INJ 228
INJ_14K Treated - Other INJ 230
INJ_14L Treated other clinic INJ 227
INJ_14M Treated physio/massage therapy INJ 228
INJ_14N Treated community health centre INJ 229
INJ_14O Treated where injury happened INJ 229
INJ_15 Most serious injury - admitted to hospital INJ 230
INJ_15A Follow-up care because of injury INJ 231
INJ_16 Other injuries - treated but did not limit normal activities INJ 231
INJ_17 Other injuries - number INJ 232
INJDCAU Cause of injury - (D) INJ 233
INJDCBP Cause of injury by place of occurrence - (D) INJ 234
INJDSTT Injury Status - (D) INJ 234
INJDTBS Type of injury by body site - (D) INJ 232
INW_01 Injury occured in current job INW 218
INWCSIC North American Industry Classification System (NAICS) 2007 LBS 218
INWCSOC National Occupation Classification for Statistics (NOC-S) 2006 LBS 219
INWDING Industry group - (D) LBS 221
INWDOCG Occupation group (SOC) where injury occurred LBS 220
INWF02 Response entered - kind of business - (F) INW 218
INWF03 Response entered - kind of work - (F) INW 218
INWF03S Response entered - other - kind of work - (F) INW 219
INWF04 Response entered - most important duties at work - (F) INW 219
LBS_01 Worked at job or business last week LBS 355
LBS_02 Absent from job or business last week LBS 355
LBS_03 Had more than one job or business last week LBS 356
LBS_11 Looked for work in past 4 weeks LBS 356
LBS_31 Employee or self-employed LBS 357
LBS_42 Usual number of hours worked - current main job LBS 361
LBS_53 Usual number of hours worked - current other job LBS 361
LBSCSIC North American Industry Classification System (NAICS) 2007 LBS 359
LBSCSOC National Occupation Classification for Statistics (NOC-S) 2006 LBS 359
LBSDHPW Total usual hours worked - current jobs - (D) LBS 362
LBSDING Industry group - (D) LBS 364
LBSDOCG Occupation group - (D) LBS 365
LBSDPFT Current - full-time / part-time status - (D) LBS 362
LBSDWSS Working status last week - 4 groups - (D) LBS 363
LBSF32 Response entered-name of business (self-employed) - (F) LBF 357
LBSF33 Response entered - whom you work for - (F) LBF 358
LBSF34 Response entered - kind of business - (F) LBF 358
LBSF35 Response entered - kind of work - (F) LBF 359
LBSF35S Response entered - other - kind of work - (F) INW 360
LBSF36 Response entered - most important duties at work - (F) LBF 360
MAM_037 Currently pregnant HWT 39
MEX_01 Has given birth in the past 5 years MEX 258
MEX_01A Year of birth of last baby MEX 258
MEX_02 Took folic acid - before last pregnancy MEX 259
MEX_03 Breastfed or tried to breastfeed last child MEX 259
MEX_04 Main reason did not breastfeed last child MEX 260
MEX_05 Still breastfeeding last child MEX 261
MEX_06 Duration of breastfeeding last child MEX 262
MEX_07 Age of last baby - other foods added MEX 263
MEX_08 Main reason - other foods added MEX 264
MEX_09 Gave vitamin D - when breast milk only MEX 265
MEX_10 Main reason why stopped breastfeeding MEX 266
MEXDEBF Duration of exclusive breastfeeding - (D) MEX 267
MEXFEB6 Exclusively breastfed for at least 6 months - (F) MEX 268
PAC_1A Activity / last 3 months - walking PAC 147
PAC_1B Activity / last 3 months - gardening or yard work PAC 147
PAC_1C Activity / last 3 months - swimming PAC 148
PAC_1D Activity / last 3 months - bicycling PAC 148
PAC_1E Activity / last 3 months - popular or social dance PAC 149
PAC_1F Activity / last 3 months - home exercises PAC 149
PAC_1G Activity / last 3 months - ice hockey PAC 150
PAC_1H Activity / last 3 months - ice skating PAC 150
PAC_1I Activity / last 3 months - in-line skating or rollerblading PAC 151
PAC_1J Activity / last 3 months - jogging or running PAC 151
PAC_1K Activity / last 3 months - golfing PAC 152
PAC_1L Activity / last 3 months - exercise class or aerobics PAC 152
PAC_1M Activity / last 3 months - downhill skiing or snowboarding PAC 153
PAC_1N Activity / last 3 months - bowling PAC 153
PAC_1O Activity / last 3 months - baseball or softball PAC 154
PAC_1P Activity / last 3 months - tennis PAC 154
PAC_1Q Activity / last 3 months - weight-training PAC 155
PAC_1R Activity / last 3 months - fishing PAC 155
PAC_1S Activity / last 3 months - volleyball PAC 156
PAC_1T Activity / last 3 months - basketball PAC 156
PAC_1U Activity / last 3 months - Any other PAC 157
PAC_1V Activity / last 3 months - No physical activity PAC 158
PAC_1W Activity / last 3 months - other (#2) PAC 158
PAC_1X Activity / last 3 months - other (#3) PAC 159
PAC_1Z Activity / last 3 months - Soccer PAC 157
PAC_2A Number of times / 3 months - walking for exercise PAC 159
PAC_2B Number of times / 3 months - gardening/yard work PAC 160
PAC_2C Number of times / 3 months - swimming PAC 161
PAC_2D Number of times / 3 months - bicycling PAC 162
PAC_2E Number of times / 3 months - popular or social dance PAC 163
PAC_2F Number of times / 3 months - home exercises PAC 164
PAC_2G Number of times / 3 months - ice hockey PAC 165
PAC_2H Number of times / 3 months - ice skating PAC 166
PAC_2I Number of times / 3 months- in-line skating or rollerblading PAC 167
PAC_2J Number of times / 3 months - jogging or running PAC 168
PAC_2K Number of times / 3 months - golfing PAC 169
PAC_2L Number of times / 3 months - exercise class or aerobics PAC 170
PAC_2M Number of times / 3 months - downhill skiing or snowboarding PAC 171
PAC_2N Number of times / 3 months - bowling PAC 172
PAC_2O Number of times / 3 months - baseball or softball PAC 173
PAC_2P Number of times / 3 months - tennis PAC 174
PAC_2Q Number of times / 3 months - weight-training PAC 175
PAC_2R Number of times / 3 months - fishing PAC 176
PAC_2S Number of times / 3 months - volleyball PAC 177
PAC_2T Number of times / 3 months - basketball PAC 178
PAC_2U Number of times / 3 months - other activity (#1) PAC 180
PAC_2W Number of times / 3 months - other activity (#2) PAC 181
PAC_2X Number of times - other activity (#3) PAC 182
PAC_2Z Number of times / 3 months - soccer PAC 179
PAC_3A Time spent - walking for exercise PAC 160
PAC_3B Time spent - gardening or yard work PAC 161
PAC_3C Time spent - swimming PAC 162
PAC_3D Time spent - bicycling PAC 163
PAC_3E Time spent - popular or social dance PAC 164
PAC_3F Time spent - home exercises PAC 165
PAC_3G Time spent - ice hockey PAC 166
PAC_3H Time spent - ice skating PAC 167
PAC_3I Time spent - in-line skating or rollerblading PAC 168
PAC_3J Time spent - jogging or running PAC 169
PAC_3K Time spent - golfing PAC 170
PAC_3L Time spent - exercise class or aerobics PAC 171
PAC_3M Time spent - downhill skiing or snowboarding PAC 172
PAC_3N Time spent - bowling PAC 173
PAC_3O Time spent - baseball or softball PAC 174
PAC_3P Time spent - tennis PAC 175
PAC_3Q Time spent - weight-training PAC 176
PAC_3R Time spent - fishing PAC 177
PAC_3S Time spent - volleyball PAC 178
PAC_3T Time spent - basketball PAC 179
PAC_3U Time spent - other activity (#1) PAC 181
PAC_3W Time spent - other activity (#2) PAC 182
PAC_3X Time spent - other activity (#3) PAC 183
PAC_3Z Time spent - soccer PAC 180
PAC_7 Walked to work or school / last 3 months PAC 183
PAC_7A Number of times / 3 months - walking to go work or school PAC 184
PAC_7B Time spent - walking to go work or school PAC 184
PAC_8 Bicycled to work or school / last 3 months PAC 185
PAC_8A Number of times / 3 months - bicycling to go work or school PAC 185
PAC_8B Time spent - bicycling to go work or school PAC 186
PACDEE Daily energy expenditure - Leisure physical activities - (D) PAC 186
PACDFM Monthly frequency - Leisure physical activity lasting >15 minute - (D) PAC 187
PACDFR Frequency of all leisure physical activity > 15 minute - (D) PAC 188
PACDLTI Leisure and transportation physical activity index - (D) PAC 189
PACDPAI Leisure physical activity index - (D) PAC 189
PACDTLE Daily ener. expend. - Transportation and leisure physical activity - (D) PAC 190
PACFD Participant in daily leisure physical activity > 15 minute - (F) PAC 188
PACFLEI Participant in leisure physical activity - (F) PAC 187
PACFLTI Participant in leisure or transportation physical activity - (F) PAC 190
PERSONID Person identifier of respondent selected - health interview DHH 1
RAC_1 Has dificulty with activities RAC 109
RAC_2A Reduction in kind/amount of activities - at home RAC 109
RAC_2B1 Reduction in kind/amount of activities - at school RAC 110
RAC_2B2 Reduction in kind/amount of activities - at work RAC 111
RAC_2C Reduction in kind/amount of activities - other activities RAC 111
RAC_5 Cause of health problem RAC 112
RACDIMP Impact of health problems - (D) RAC 113
RACDPAL Participation and activity limitation - (D) RAC 113
REFPER Reference period SAM 1
REP_1A Repetitive strain injury INJ 202
REP_2 Limit your normal activities INJ 203
REP_3 Repetitive strain - body part affected INJ 204
REP_3A Repetitive strain- activity causing injury INJ 205
REP_4 Repetitive strain- working at a job or business INJ 205
REP_5A Activity - Walking INJ 206
REP_5B Activity - Sports INJ 206
REP_5C Activity - Leisure INJ 207
REP_5D Activity - Household chores INJ 207
REP_5F Activity - Computer INJ 208
REP_5G Activity - Driving a motor vehicle INJ 208
REP_5H Activity - Lifting or carrying INJ 209
REP_5I Activity - Other INJ 209
SAM_CP Sampled collection period SAM 15
SAM_TYP Sample type SAM 16
SAMDLNK Permission to link data - (D) SAM 17
SAMDSHR Permission to share data - (D) SAM 16
SAMPLEID Household identifier SAM 1
SDC_1 Country of birth SDC 281
SDC_2 Canadian citizen by birth SDC 282
SDC_3 Year of immigration to Canada SDC 282
SDC_41 Aboriginal - North American Indian, MÚtis, Inuit SDC 293
SDC_42A Aboriginal person(s) - North American Indian SDC 294
SDC_42B Aboriginal person(s) - MÚtis SDC 294
SDC_42C Aboriginal person(s) - Inuit SDC 295
SDC_43A Cultural / racial origin - White SDC 295
SDC_43B Cultural/racial origin - Chinese SDC 296
SDC_43C Cultural/racial origin - South Asian SDC 296
SDC_43D Cultural/racial origin - Black SDC 297
SDC_43E Cultural/racial origin - Filipino SDC 297
SDC_43F Cultural/racial origin - Latin American SDC 298
SDC_43G Cultural/racial origin - South East Asian SDC 298
SDC_43H Cultural/racial origin - Arab SDC 299
SDC_43I Cultural/racial origin - West Asian SDC 299
SDC_43J Cultural/racial origin - Japanese SDC 300
SDC_43K Ethnic origin - Korean SDC 300
SDC_43M Cultural/racial origin - other SDC 301
SDC_4A Ethnic origin - Canadian SDC 283
SDC_4B Ethnic origin - French SDC 283
SDC_4C Ethnic origin - English SDC 284
SDC_4D Ethnic origin - German SDC 284
SDC_4E Ethnic origin - Scottish SDC 285
SDC_4F Ethnic origin - Irish SDC 285
SDC_4G Ethnic origin - Italian SDC 286
SDC_4H Ethnic origin - Ukrainian SDC 286
SDC_4I Ethnic origin - Dutch (Netherlands) SDC 287
SDC_4J Ethnic origin - Chinese SDC 287
SDC_4K Ethnic origin - Jewish SDC 288
SDC_4L Ethnic origin - Polish SDC 288
SDC_4M Ethnic origin - Portuguese SDC 289
SDC_4N Ethnic origin - South Asian SDC 289
SDC_4P Ethnic origin - Norwegian SDC 291
SDC_4Q Ethnic origin - Welsh SDC 292
SDC_4R Ethnic origin - Swedish SDC 292
SDC_4S Ethnic origin - other SDC 293
SDC_4T Ethnic origin - North American Indian SDC 290
SDC_4U Ethnic origin - MÚtis SDC 290
SDC_4V Ethnic origin - Inuit SDC 291
SDC_5A Can converse - English SDC 301
SDC_5AA Language spoken most often at home - English SDC 313
SDC_5AB Language spoken most often at home - French SDC 313
SDC_5AC Language spoken most often at home - Arabic SDC 314
SDC_5AD Language spoken most often at home - Chinese SDC 314
SDC_5AE Language spoken most often at home - Cree SDC 315
SDC_5AF Language spoken most often at home - German SDC 315
SDC_5AG Language spoken most often at home - Greek SDC 316
SDC_5AH Language spoken most often at home - Hungarian SDC 316
SDC_5AI Language spoken most often at home - Italian SDC 317
SDC_5AJ Language spoken most often at home - Korean SDC 317
SDC_5AK Language spoken most often at home - Persian (Farsi) SDC 318
SDC_5AL Language spoken most often at home - Polish SDC 318
SDC_5AM Language spoken most often at home - Portuguese SDC 319
SDC_5AN Language spoken most often at home - Punjabi SDC 319
SDC_5AO Language spoken most often at home - Spanish SDC 320
SDC_5AP Language spoken most often at home - Tagalog (Filipino) SDC 320
SDC_5AQ Language spoken most often at home - Ukrainian SDC 321
SDC_5AR Language spoken most often at home - Vietnamese SDC 321
SDC_5AS Language spoken most often at home - Other SDC 324
SDC_5AT Language spoken most often at home - Dutch SDC 322
SDC_5AU Language spoken most often at home - Hindi SDC 322
SDC_5AV Language spoken most often at home - Russian SDC 323
SDC_5AW Language spoken most often at home - Tamil SDC 323
SDC_5B Can converse - French SDC 302
SDC_5C Can converse - Arabic SDC 302
SDC_5D Can converse - Chinese SDC 303
SDC_5E Can converse - Cree SDC 303
SDC_5F Can converse - German SDC 304
SDC_5G Can converse - Greek SDC 304
SDC_5H Can converse - Hungarian SDC 305
SDC_5I Can converse - Italian SDC 305
SDC_5J Can converse - Korean SDC 306
SDC_5K Can converse - Persian (Farsi) SDC 306
SDC_5L Can converse - Polish SDC 307
SDC_5M Can converse - Portuguese SDC 307
SDC_5N Can converse - Punjabi SDC 308
SDC_5O Can converse - Spanish SDC 308
SDC_5P Can converse - Tagalog (Filipino) SDC 309
SDC_5Q Can converse - Ukrainian SDC 309
SDC_5R Can converse - Vietnamese SDC 310
SDC_5S Can converse - other language SDC 312
SDC_5T Can converse - Dutch SDC 310
SDC_5U Can converse - Hindi SDC 311
SDC_5V Can converse - Russian SDC 311
SDC_5W Can converse - Tamil SDC 312
SDC_6A First language learned and still understood - English SDC 324
SDC_6B First language learned and still understood - French SDC 325
SDC_6C First language learned and still understood - Arabic SDC 325
SDC_6D First language learned and still understood - Chinese SDC 326
SDC_6E First language learned and still understood - Cree SDC 326
SDC_6F First language learned and still understood - German SDC 327
SDC_6G First language learned and still understood - Greek SDC 327
SDC_6H First language learned and still understood - Hungarian SDC 328
SDC_6I First language learned and still understood - Italian SDC 328
SDC_6J First language learned and still understood - Korean SDC 329
SDC_6K First language learned / still understood - Persian (Farsi) SDC 329
SDC_6L First language learned and still understood - Polish SDC 330
SDC_6M First language learned and still understood - Portuguese SDC 330
SDC_6N First language learned and still understood - Punjabi SDC 331
SDC_6O First language learned and still understood - Spanish SDC 331
SDC_6P First language learned / still understood - Tagalog (Filipino) SDC 332
SDC_6Q First language learned and still understood - Ukrainian SDC 332
SDC_6R First language learned and still understood - Vietnamese SDC 333
SDC_6S First language learned and still understood - other SDC 335
SDC_6T First language learned and still understood - Dutch SDC 333
SDC_6U First language learned and still understood - Hindi SDC 334
SDC_6V First language learned and still understood - Russian SDC 334
SDC_6W First language learned and still understood - Tamil SDC 335
SDC_7AA Considers self heterosexual, homosexual or bisexual SDC 336
SDC_8 Current student EDU 350
SDC_9 Full-time student or part-time student EDU 351
SDCCCB Country of birth - (C) SDC 337
SDCDABT Aboriginal identity - (D) SDC 346
SDCDAIM Age at time of immigration - (D) SDC 343
SDCDCGT Cultural / racial background - (D) SDC 347
SDCDFL1 First official language learned and still understood - (D) SDC 346
SDCDLHM Language(s) spoken at home - (D) SDC 343
SDCDLNG Languages - can converse - (D) SDC 345
SDCDRES Length of time in Canada since immigration - (D) SDC 344
SDCFIMM Immigrant - (F) SDC 344
SDCGCB Country of birth - (G) SDC 342
SMK_01A Smoked 100 or more cigarettes - life SMK 235
SMK_01B Ever smoked whole cigarette SMK 235
SMK_01C Age - smoked first whole cigarette SMK 236
SMK_05B Number of cigarettes smoked per day (occasional smoker) SMK 238
SMK_05C Number of days - smoked 1 cigarette or more (occupation smoker) SMK 238
SMK_05D Ever smoked cigarettes daily SMK 239
SMK_06A Stopped smoking - when (was never a daily smoker) SMK 240
SMK_06B Stopped smoking - month (never daily smoker) SMK 241
SMK_06C Number of years since stopped smoking SMK 242
SMK_09A Stopped smoking daily - when stopped (former daily smoker) SMK 243
SMK_09B Stopped smoking daily - month (former daily smoker) SMK 244
SMK_09C Number of years since stopped smoking daily (former daily smoker) SMK 245
SMK_10 Quit smoking completely (former daily smoker) SMK 245
SMK_10A Stopped smoking completely - when (former daily smoker) SMK 246
SMK_10B Stopped smoking completely - month (former daily smoker) SMK 247
SMK_10C Number of years since stopped smoking (daily) SMK 248
SMK_202 Type of smoker SMK 236
SMK_203 Age - started smoking daily (daily smoker) SMK 237
SMK_204 Number of cigarettes smoked per day (daily smoker) SMK 237
SMK_207 Age - started smoking daily (former daily smoker) SMK 242
SMK_208 Number of cigarettes smoked per day (former daily smoker) SMK 243
SMKDSTP Number of years since stopped smoking completely - (D) SMK 249
SMKDSTY Type of smoker - (D) SMK 248
SMKDYCS Number of years smoked (current daily smokers) - (D) SMK 249
SXB_07 Ever diagnosed with STD SXB 271
SXB_09 Important to avoid getting pregnant SXB 272
SXB_1 Ever had sexual intercourse SXB 269
SXB_10 Important to avoid getting partner pregnant SXB 273
SXB_11 Usually use birth control - past 12 months SXB 274
SXB_12A Usual birth control method - condom SXB 274
SXB_12B Usual birth control method - Birth control pill SXB 275
SXB_12C Usual birth control method - diaphragm SXB 275
SXB_12D Usual birth control method - spermicide SXB 276
SXB_12E Usual birth control method - other SXB 277
SXB_12F Usual birth control method - birth control injection SXB 276
SXB_13A Birth control method used last time - condom SXB 277
SXB_13B Birth control method used last time - birth control pill SXB 278
SXB_13C Birth control method used last time - diaphragm SXB 278
SXB_13D Birth control method used last time - spermicide SXB 279
SXB_13E Birth control method used last time - other SXB 280
SXB_13F Birth control method used last time - birth control injection SXB 279
SXB_13G Method used last time - nothing SXB 280
SXB_2 Age - first sexual intercourse SXB 269
SXB_3 Had sexual intercourse - past 12 months SXB 270
SXB_4 Number of different partners - past 12 months SXB 270
SXB_7A Condom use - last time SXB 271
UPE_01 Frequency - wears helmet - bicycling UPE 192
UPE_01A Done any bicycling in past 12 months UPE 191
UPE_02 Done any in-line skating in past 12 months UPE 192
UPE_02A Frequency - wears helmet - in-line skating UPE 193
UPE_02B Frequency - wears wrist guards - in-line skating UPE 193
UPE_02C Frequency - wears elbow pads - in-line skating UPE 194
UPE_02D Wear knee pads UPE 194
UPE_03A Downhill skiing or snowboarding - past 3 months UPE 195
UPE_03B Downhill skiing or snowboarding - past 12 mo UPE 195
UPE_04A Frequency - wears helmet - downhill skiing UPE 196
UPE_05A Frequency - wears helmet - snowboarding UPE 196
UPE_05B Frequency - wears wrist guards - snowboarding UPE 197
UPE_06 Has done skateboarding - past 12 mo UPE 197
UPE_06A Frequency - wears helmet - skateboarding UPE 198
UPE_06B Frequency - wears wrist guards/protectors - skateboarding UPE 198
UPE_06C Frequency - wears elbow pads - skateboarding UPE 199
UPE_07 Played ice hockey past 12 months UPE 199
UPE_07A Wear a mouth guard UPE 200
UPEFILS Wears all protective equipment - in-line skating - (F) UPE 200
UPEFSKB Wears all protective equipment - skateboarding - (F) UPE 201
UPEFSNB Wears all protective equipment - snowboarding - (F) UPE 201
VERDATE Date of file creation SAM 1
WTMZ_01 Required visit to medical specialist WTM 476
WTMZ_02 Required visit to medical specialist - type of condition WTM 477
WTMZ_03 Person who referred respondent to medical specialist WTM 478
WTMZ_04 Already visited the medical specialist WTM 478
WTMZ_05 Had difficulties seeing the medical specialist WTM 479
WTMZ_06A Difficulty - getting a referral WTM 479
WTMZ_06B Difficulty - getting an appointment WTM 480
WTMZ_06C Difficulty - no specialists in area WTM 480
WTMZ_06D Difficulty - waited too long for an appointment WTM 481
WTMZ_06E Difficulty - waited too long to see doctor WTM 481
WTMZ_06F Difficulty - transportation WTM 482
WTMZ_06G Difficulty - language WTM 482
WTMZ_06H Difficulty - cost WTM 483
WTMZ_06I Difficulty - personal or family responsibilities WTM 483
WTMZ_06J Difficulty - general deterioration of health WTM 484
WTMZ_06K Difficulty - appointment cancelled/deferred WTM 484
WTMZ_06L Difficulty - unable to leave house/health problem WTM 485
WTMZ_06M Difficulty - other WTM 485
WTMZ_07A Length of wait to see specialist WTM 486
WTMZ_07B Length of wait to see specialist - reporting unit WTM 486
WTMZ_08A Length of time been waiting to see specialist WTM 487
WTMZ_08B Length of time been waiting to see specialist - reported unit WTM 487
WTMZ_10 Respondent's opinion of waiting time WTM 488
WTMZ_11A Acceptable waiting time WTM 488
WTMZ_11B Acceptable waiting time - reporting unit WTM 489
WTMZ_12 Visit to specialist cancelled or postponed WTM 489
WTMZ_13A Visit cancelled/postponed - by respondent WTM 490
WTMZ_13B Visit cancelled/postponed - by specialist WTM 490
WTMZ_13C Visit cancelled/postponed - by other WTM 491
WTMZ_14 Life affected by wait for visit to specialist WTM 491
WTMZ_15A Life affected by wait - worry WTM 492
WTMZ_15B Life affected by wait - worry for family WTM 492
WTMZ_15C Life affected by wait - pain WTM 493
WTMZ_15D Life affected by wait - problem with activities/daily living WTM 493
WTMZ_15E Life affected by wait - loss of work WTM 494
WTMZ_15F Life affected by wait - loss of income WTM 494
WTMZ_15G Life affected by wait - increased dependence WTM 495
WTMZ_15H Life affected by wait - increased use medications WTM 495
WTMZ_15I Life affected by wait - health deteriorated WTM 496
WTMZ_15J Life affected by wait - health problem improved WTM 496
WTMZ_15K Life affected by wait - personal relationships suffered WTM 497
WTMZ_15L Life affected by wait - other WTM 497
WTMZ_16 Type of surgery required WTM 498
WTMZ_17 Already had the surgery WTM 499
WTMZ_18 Surgery required overnight hospital stay WTM 499
WTMZ_19 Experienced difficulties getting this surgery WTM 500
WTMZ_20A Difficulty - getting an appointment WTM 500
WTMZ_20B Difficulty - getting a diagnosis WTM 501
WTMZ_20C Difficulty - waited too long for a diagnostic test WTM 501
WTMZ_20D Difficulty - waited too long for a hospital bed WTM 502
WTMZ_20E Difficulty - waited too long for surgery WTM 502
WTMZ_20F Difficulty - service not available in area WTM 503
WTMZ_20G Difficulty - transportation WTM 503
WTMZ_20H Difficulty - language WTM 504
WTMZ_20I Difficulty - cost WTM 504
WTMZ_20J Difficulty - personal or family responsibilities WTM 505
WTMZ_20K Difficulty - general deterioration of health WTM 505
WTMZ_20L Difficulty - appointment cancelled/deferred WTM 506
WTMZ_20M Difficulty - unable to leave house/health problem WTM 506
WTMZ_20N Difficulty - other WTM 507
WTMZ_21A Length of wait between decision and surgery WTM 507
WTMZ_21B Length of wait between decision and surgery - reported unit WTM 508
WTMZ_22 Surgery will require overnight hospital stay WTM 508
WTMZ_23A Time since decision to have surgery WTM 509
WTMZ_23B Time since decision to have surgery - reported unit WTM 509
WTMZ_24 Respondent's opinion of waiting time WTM 510
WTMZ_25A Acceptable waiting time WTM 510
WTMZ_25B Acceptable waiting time - reported unit WTM 511
WTMZ_26 Surgery cancelled or postponed WTM 511
WTMZ_27A Surgery cancelled/postponed - by respondent WTM 512
WTMZ_27B Surgery cancelled/postponed - by surgeon WTM 512
WTMZ_27C Surgery cancelled/postponed - by hospital WTM 513
WTMZ_27D Surgery cancelled/postponed - other WTM 513
WTMZ_28 Life affected by wait for surgery WTM 514
WTMZ_29A Life affected by wait - worry WTM 514
WTMZ_29B Life affected by wait - worry for family WTM 515
WTMZ_29C Life affected by wait - pain WTM 515
WTMZ_29D Life affected by wait - problem with activities/daily living WTM 516
WTMZ_29E Life affected by wait - loss of work WTM 516
WTMZ_29F Life affected by wait - loss of income WTM 517
WTMZ_29G Life affected by wait - increased dependence WTM 517
WTMZ_29H Life affected by wait - increased used of medication WTM 518
WTMZ_29I Life affected by wait - health deteriorated WTM 518
WTMZ_29J Life affected by wait - health problem improved WTM 519
WTMZ_29K Life affected by wait - personal relationships suffered WTM 519
WTMZ_29L Life affected by wait - other WTM 520
WTMZ_30 Type of diagnostic test required WTM 520
WTMZ_31 Required diagnostic test - type of condition WTM 521
WTMZ_32 Already had diagnostic test WTM 522
WTMZ_33 Location of test WTM 522
WTMZ_34 Location of clinic WTM 523
WTMZ_35 Patient in hospital at time of test WTM 523
WTMZ_36 Had difficulties getting the diagnostic test WTM 524
WTMZ_37A Difficulty - getting a referral WTM 524
WTMZ_37B Difficulty - getting an appointment WTM 525
WTMZ_37C Difficulty - waited too long to get an appointment WTM 525
WTMZ_37D Difficulty - waited long to get test WTM 526
WTMZ_37E Difficulty - service not available at time required WTM 526
WTMZ_37F Difficulty - service not available in area WTM 527
WTMZ_37G Difficulty - transportation WTM 527
WTMZ_37H Difficulty - language WTM 528
WTMZ_37I Difficulty - cost WTM 528
WTMZ_37J Difficulty - general deterioration of health WTM 529
WTMZ_37K Difficulty - did not know where to get information WTM 529
WTMZ_37L Difficulty - unable to leave house/health problem WTM 530
WTMZ_37M Difficulty - other WTM 530
WTMZ_38A Length of wait between decision and test WTM 531
WTMZ_38B Length of wait between decision and test - reporting unit WTM 531
WTMZ_39A Length of time been waiting for diagnostic test WTM 532
WTMZ_39B Length of time been waiting for diagnostic test - unit WTM 532
WTMZ_40 Respondent's opinion of waiting time WTM 533
WTMZ_41A Acceptable waiting time WTM 533
WTMZ_41B Acceptable waiting time - unit WTM 534
WTMZ_42 Test cancelled or postponed WTM 534
WTMZ_43 Test cancelled or postponed by WTM 535
WTMZ_44 Life affected by wait for test WTM 535
WTMZ_45A Life affected by wait - worry WTM 536
WTMZ_45B Life affected by wait - worry for family WTM 536
WTMZ_45C Life affected by wait - pain WTM 537
WTMZ_45D Life affected by wait - problem with activities/daily living WTM 537
WTMZ_45E Life affected by wait - loss of work WTM 538
WTMZ_45F Life affected by wait - loss of income WTM 538
WTMZ_45G Life affected by wait - increased dependence WTM 539
WTMZ_45H Life affected by wait - increased use medications WTM 539
WTMZ_45I Life affected by wait - health deteriorated WTM 540
WTMZ_45J Life affected by wait - health problem improved WTM 540
WTMZ_45K Life affected by wait - personal relationships suffered WTM 541
WTMZ_45L Life affected by wait - other WTM 541
WTMZDCA Number of days acceptable wait - non emergency surgery - (D) WTM 544
WTMZDCN Number of days wait - non-urgent surgery - not done - (D) WTM 544
WTMZDCO Number of days wait - non-urgent surgery - surgery done - (D) WTM 543
WTMZDSA Number of days acceptable wait - medical specialist - (D) WTM 543
WTMZDSN Number/days wait/medical specialist - not seen specialist - (D) WTM 542
WTMZDSO Number/days wait/medical specialist - seen specialist - (D) WTM 542
WTMZDTA Number of days acceptable wait - diagnostic test - (D) WTM 546
WTMZDTN Number of days wait - diagnostic test - not done - (D) WTM 545
WTMZDTO Number of days wait - diagnostic test - done - (D) WTM 545
WTS_S1M Weights - Master WTS 546
WTS_S1S Weights - Share WTS 546

For the complete document in PDF format, contact Client Services (613-951-1746; hd-ds@statcan.gc.ca), Health Statistics Division

Mode effects in the Canadian Community Health Survey: a Comparison of CAPI and CATI

Martin St-Pierre (martin.st-pierre@statcan.ca) and Yves Béland (yves.beland@statcan.ca), Statistics Canada

This article should be cited as: St-Pierre, M. et Béland, Y. (2004). «Mode effects in the Canadian Community Health Survey: a Comparison of CAPI and CATI», 2004 Proceedings of the American Statistical Association Meeting, Survey Research Methods. Toronto, Canada: American Statistical Association.

Key words: interview mode effects, CAPI, CATI.

1. Introduction

The Canadian Community Health Survey (CCHS) consists of two cross-sectional surveys conducted over a two-year repeating cycle. The first survey (2001, 2003, 2005, etc.) collects data from over 130,000 households on a range of population health topics and aims to produce reliable estimates at the health region level. The second survey (2002, 2004, 2006, etc.), with a sample size of about 30,000 households, focuses on a particular topic that changes every cycle and aims to produce reliable estimates at the province level (mental health, nutrition, health examination measures, etc.).

The first survey of the first cycle (cycle 1.1), conducted in 2001, made use of multiple sampling frames and data collection modes (Statistics Canada, 2003). In cycle 1.1 the main source for selecting the sample of households was an area probability frame. Field interviewers conducted either personal or telephone interviews using a questionnaire designed for computer-assisted interviewing (CAPI or CATI). The sample was complemented by households selected from either a Random Digit Dialling frame or a list frame of telephone numbers where call centre interviewers conducted CATI interviews with the selected respondents. For operational and budgetary reasons the ratio of area/telephone frame cases changed for the CCHS cycle 2.1 to increase the number of cases completed through CATI. Table 1 shows the change in the sample allocation between the two cycles. It was anticipated that such change in the method of collection would affect the comparability of some key health indicators over the two cycles either by artificially amplifying or masking a real change in behaviours. The percentages in the table below reflect the fact that some area frame units and all telephone frame units are interviewed through CATI.

Table 1. Sample allocation by frame and mode
  Cycle 1.1
(2001)
Cycle 2.1
(2003)
Frame Area 80% 50%
Telephone 20% 50%
Mode CAPI 50% 30%
CATI 50% 70%

A study conducted using the CCHS cycle 1.1 data indicated possible mode effects between CAPI and CATI; this study however had many limitations as some uncontrolled factors distorted the interpretation of the study results (Pierre and Béland, 2002).

In order to better understand the differences caused by the methods of collection (CAPI and CATI) in a large health survey, it was decided to design a special mode study and fully implement it as part of the CCHS cycle 2.1. Although it is understood that many factors could explain differences in survey estimates, it is believed that the results of this study will provide valuable indications to CCHS users on the magnitude of the differences in some key health-related estimates caused by the method of data collection.

This paper presents the results of the mode study. First, the methodology of the study is presented in section 2. It is followed by a summary of the collection procedures. A short description of the processing, weighting and estimation strategy is given in section 4. The results of the mode study are presented in sections 5 and 6 where several univariate and multivariate analyses were performed to assess the presence and the magnitude of the mode effects. A discussion of the results is given in section 7. Finally, a conclusion and some recommendations are provided in last section.

2. Methodology of the Study

Due to operational constraints, the mode study was fully embedded in the CCHS cycle 2.1 with minimal modifications to the regular collection procedures. It is important to emphasize that it was not a true experimental design to measure pure mode effects because not all factors were controlled in the design (e.g. interviewers could not be randomized between the two modes of collection). This study however makes use of a split-plot design, i.e., a stratified multi-stage design where the secondary sampling units are randomly assigned to the two mode samples.

2.1. Sample Size and Allocation

In order to detect significant differences between point estimates at a certain α-level, a minimum sample size of 2,500 respondents was targeted for each mode sample. With such sample sizes and considering the study design effect, a 2%-difference for a 10%-prevalence and a 3%-difference for a 25%-prevalence can be detected at the level α=5%.

To facilitate the implementation of the study design with minimal disturbance to the regular CCHS collection procedures it was decided to conduct the study in a limited number of sites (health regions) in Canada. The 11 sites identified for this study provide a good representation of the various regions in Canada (East, Quebec, Ontario, Prairies and British Columbia). Rural health regions with very low density population were not considered for this study for collection cost purposes.

Each mode’s sample size was allocated to the study sites proportionally to the CCHS cycle 2.1 sample sizes. Table 2 provides a detailed distribution of the mode study sample by site.

Table 2 – Mode Study Sample Sizes
Health Region CAPI CATI
St.John’s, Newfoundland 135 100
Cape Breton, Nova Scotia 125 100
Halifax, Nova Scotia 200 150
Chaudière-Appalaches, Quebec 230 215
Montérégie, Quebec 405 390
Niagara, Ontario 235 230
Waterloo, Ontario 235 230
Winnipeg, Manitoba 320 320
Calgary, Alberta 350 290
Edmonton, Alberta 335 290
South Fraser, British Columbia 240 240
Total 2,810 2,555

Extra sample was attributed to CAPI in anticipation of possible telephone interviews (e.g. interviewer must finalize a case over the phone for various reasons); these cases were later excluded. These sample sizes were boosted before data collection to take into account out-of-scope dwellings, vacant dwellings and anticipated nonresponse.

2.2. Frame, Selection and Randomization

In the selected sites the CCHS 2.1 used two overlapping sampling frames: an area frame and a list frame of telephone numbers. However and with the objective of eliminating all possible sources of noise during data analysis it was decided to select the mode study sample from one sampling frame only. In order to keep to a minimum the changes to the regular CCHS data collection procedures it was determined that selecting the sample from the list frame of telephone numbers and assigning the method of collection afterwards would cause less changes in the procedures than selecting from the area frame.

The list frame of telephone numbers used by CCHS cycle 2.1 is created by linking the Canada Phone directory, a commercially available CD-ROM consisting of names, addresses and telephone numbers from telephone directories in Canada, to Statistics Canada internal administrative conversion files to obtain postal codes. Phone numbers with complete addresses are then mapped to health regions to create list frame strata.

As mentioned earlier, the mode study makes use of a stratified two-stage design. The 11 sites represent the study design strata. The first-stage units were the Census Sub-Divisions (CSD) while the telephone numbers were the second-stage units. Within each site, the sample of telephone numbers was selected as follows:

  1. First stage: PPS-selection of CSDs;
  2. Allocation of the total sample (CAPI + CATI) of a given site to the sampled CSDs proportionally to their sizes;
  3. Second stage: Random selection of telephone numbers in each CSD.

Once the sample of telephone numbers was selected those cases for which a valid address was not available were excluded from the process and added to the regular CCHS cycle 2.1 CATI sample. Those telephone numbers, which represented approximately 7% of all numbers, would have caused the implementation of severe changes to the procedures for the field interviewers (CAPI method of collection) to perform personal interviews; it was hence decided to exclude them for both mode samples.

Finally and controlling for the CSD within each study site the telephone numbers with a valid address were assigned a method of collection (CAPI or CATI) on a random basis to constitute the two mode samples.

3. Data Collection

The data collection for the CCHS cycle 2.1 started in January 2003 and ended in December 2003. The sample units selected from both the area frame and the telephone frame were sent to the field or to the call centres on a monthly basis for a 2-month collection period (there was a one-month overlap between two consecutive collection periods). Two weeks prior to a collection period, introductory letters describing the importance of participating in the survey were sent to all cases (area and telephone frames) for which a valid mailing address was available.

For the regular area frame cases the field interviewers were instructed to find the dwelling addresses, assess the status of the dwellings (out-of- or in-scope) and list all household members to allow for the random selection of one individual aged 12 or older. If the selected individual was present then the interviewer conducted a personal interview. If not then the interviewer had the choice of coming back at a later date for a personal interview or completing the interview over the phone (in CCHS cycle 2.1, 40% of the area frame cases were completed over the phone).

For the telephone frame cases the call centre interviewers were instructed to assess the status of the phone numbers (specific questions are included in the computer application), list all household members and conduct an interview with the selected individual at that moment or at a later date.

The data collection for the mode study took place between July and early November 2003. For the CAPI mode sample only a subset of field interviewers (experienced and inexperienced) per site were identified to work on the study cases to facilitate the monitoring of the operations. In early July the interviewers received the mode study cases (between 20 and 60) in a separate assignment than their CCHS assignment to clearly identify them as they were instructed to conduct only personal interviews (CAPI). To provide maximum flexibility to the interviewers the collection period for the mode study cases was extended to three months.

The CATI mode sample cases were divided into three and simply added to the CCHS monthly CATI samples (July, August and September) for a two-month collection period. The CATI mode study sample was completely transparent to the call centre interviewers. Those cases were known only by head office staff.

3.1. Response Rates

In total and after removing the out-of-scope units, 3,317 households were selected to participate in the CAPI mode sample. Out of these selected households a response was obtained for 2,788, giving a household-level response rate of 84.1%. Among these responding households 2,788 individuals (one per household) were selected out of which 2,410 responded, giving a person-level response rate of 86.4%. The combined response rate observed for the CAPI mode sample was 72.7%.

For the CATI mode sample, 3,460 in-scope households were selected to participate in study. Out of these selected households a response was obtained for 2,966, giving a household-level response rate of 85.7%. Among these responding households 2,966 individuals (one per household) were selected out of which a response was obtained for 2,598, giving a person-level response rate of 87.6%. The combined response rate observed for the CATI mode sample was 75.1%.

As anticipated, the response rates observed in the mode study (especially for CAPI) are lower than the CCHS cycle 2.1 response rates because the extensive nonresponse follow-up procedures in place for the main survey were not fully implemented for the mode study cases for operational reasons.

4. Data Processing, Weighting and Estimation

As the mode study was fully integrated with the CCHS cycle 2.1 the data collected for the study cases were processed using the CCHS processing system along with the remaining part of the CCHS sample. In addition to the main sampling weight, mode study respondents were assigned a separate and specific sampling weight just for the mode study to fully represent the target population of the 11 sites. The reader should note that the mode study cases were also part of the CCHS cycle 2.1 master data file as well.

Two weighting strategies with various adjustments were processed side-by-side (one for CAPI and one for CATI). Key factors determined the weighting strategy for each mode sample such as:

  • use of stratified, multistage design, involving PPS-sampling of PSUs and simple random sampling of telephone numbers;
  • household-level nonresponse;
  • random selection of one person based on household composition;
  • person-level nonresponse.

The sampling weights of each mode sample were calibrated using a one-dimensional poststratification of ten age/sex poststrata (i.e. 12-19, 20-29, 30-44, 45-64 and 65+ crossed with the two sexes).

Similarly to the regular CCHS and because of the complexity of the study design, sampling error for the mode study was calculated using the bootstrap resampling technique with 500 replicates (Rust and Rao, 1996). All results presented in this paper used the mode study sampling weights.

5. Univariate Analysis

The main purpose of the mode study was to compare health indicators derived from data collected in-person (CAPI) and those collected over the phone (CATI). This section presents univariate analyses comparing the two modes of collection. First, chi-square tests for association were used to compare the two mode samples in terms of socio-demographic characteristics. All comparisons were performed on weighted distributions and the adjusted chi-square tests for association used a 5% level of significance. Direct comparisons of several health indicators between the two modes are then presented. For these comparisons, Z-tests were applied to see if there was a significant difference between the estimates. Bootstrap weights were used to calculate standard deviations. As the two mode samples were not independent, the standard deviation of the difference between the estimates was calculated by measuring the dispersion of the 500 differences of estimates using the 500 bootstrap replicates. For all health indicators, item nonresponse was excluded from any analysis unless mentioned otherwise. By doing so, it is assumed that item nonresponse is similarly distributed as item response which might not be totally true. It should however be noted that item nonresponse was very low for each mode. A comparison of the household-level and person-level nonrespondents observed in the two mode samples is also presented.

5.1. Comparisons of socio-demographic and household characteristics

Although both mode samples are representative of the target population and sampling weights were calibrated to age/sex groupings, differences could still be observed for other socio-demographic or household characteristics. In order to assess those possible differences a series of chi-square tests for association were performed.

The results of the tests can be separated in two groups: the characteristics for which no statistical differences were found between the two mode samples and those for which differences were found. No differences in the distributions were found for the following characteristics: living arrangement, household size, education of respondent, race, immigration and job status. Statistically significant differences were however found for the following characteristics: marital status, language of interview, highest level of education in the household and household tenure. The main differences can be summarized as follows:

  • more single persons in CATI compared to CAPI (31% versus 29%);
  • more home owners in CATI (82.7% versus 79.5%);
  • more CATI households where the highest level of education was a post-secondary degree (74.4% versus 71%) and;
  • more interviews were conducted in another language than English for the CATI sample (27% versus 25.7%).

For the income variables, the item nonresponse was too high to allow for valid comparisons.

5.2. Comparisons of health indicators

Statistical Z-tests were performed to determine if the differences were significantly different. Around 70 health indicators for various age/sex domains of interest were looked at and significant differences were found for 15 indicators. Table 3 shows point estimates of selected indicators at the national level (11 sites) by mode.

The most important indicator for which significant differences were found is the obese category of the Body Mass Index (BMI). The CCHS cycle 2.1 collected self-reported height and weight from which a BMI was derived. According to the World Health Organisation, a person is considered obese if his/her BMI is 30 or higher. The obesity rate derived from mode study respondents aged 18 or older is significantly higher for CAPI (17.9%) than for CATI (13.2%). Larger differences were even observed for the 30-44 age grouping (18.1% CAPI and 11.4% CATI) and for men (20.4% and 14.7%).

Another important indicator for which significant differences were found is the physical activity index. The physical activity index is an indicator that shows the amount of leisure-time physical activity done by a person during the last 3 months. It is derived from a series of questions that ask if the respondent has done any of 20 different activities, how many times and for how long. There are significantly more inactive persons in CAPI (42.3%) than with CATI (34.4%).

Table 3. Comparison of health indicators between CAPI and CATI ( * = p < 0.05, ** = p < 0.01)
Health indicator CAPI CATI Difference
% 95% C.I. % 95% C.I. %
Obesity (self-reported height and weight) 17.9 15.9-19.9 13.2 11.4-15.1 4.7**
Physical inactivity 42.3 39.5-45.1 34.4 31.8-36.9 7.9**
Current daily or occasional smokers – all ages 23.6 20.7-26.5 21.7 19.8-25.4 1.9
Current daily or occasional smokers – 20 to 29 years old 37.7 31.4-44.0 28.2 21.7-34.8 9.5*
Alcohol drinker 80.7 78.0-82.5 78.8 76.8-80.8 1.9
At least one chronic condition 69.5 66.5-72.5 68.5 66.2-70.8 1.0
Activity limitation 25.4 22.9-27.8 26.8 24.0-29.5 -1.4
Fair or poor self-rated health 9.3 7.9-10.7 9.9 8.6-11.1 -0.6
Fair or poor self-rated mental health 4.0 2.8-5.2 3.9 2.9-4.9 0.1
Contact with medical doctors in past 12 months 83.5 81.5-85.6 78.4 76.2-80.6 5.1**
Contact with medical specialists in past 12 months 31.1 28.4-33.8 24.9 22.3-27.5 6.2**
Self-reported unmet health care needs 13.9 12.0-15.8 10.7 9.0-12.3 3.2*
Driven a motor vehicle after 2 drinks 13.5 11.3-15.7 7.2 5.1-9.3 6.3**
Ever had sexual intercourse 90.2 88.5-91.9 87.3 85.1-89.5 2.9*

For the smoking indicator (daily or occasional smokers), the rate is 2% higher for CAPI (23.6%) than for CATI (21.7%), but it is not statistically different at the 5% level of significance. However, a significant difference was observed for the 20-29 age group (37.7% for CAPI and 28.2% for CATI). Other results show that the proportion of persons reporting contacts with medical doctors and contacts with medical specialists are higher for the sample interviewed in person. However, the comparisons for contacts with medical doctors broken down by gender shows interesting results where significant differences were found for men (80.3% for CAPI versus 72.5% for CATI) and not for women (86.7% for CAPI versus 84.1% for CATI). As well, significantly more unmet health care needs have been reported for CAPI (13.9%) than for CATI (10.7%).

5.3. Comparisons of nonrespondents

Within the CCHS cycle 2.1 and the mode study, total nonresponse could be divided into two categories: household-level and person-level nonresponse. Very little information is known for the 529 CAPI and 494 CATI non-responding households but a comparison of the reasons for not responding shows no major differences between the two modes. For the “no one home/no contact” category the rate for CAPI was 3.6% and 2.1% for CATI. The “refusal” rates are also similar – 8.7% for CAPI versus 10.4% for CATI.

Person-level nonresponse is observed when interviewers successfully get through the first part (complete roster with age, sex, marital status and highest level of education of all members) but not the second part, the actual CCHS interview with the selected respondent. Table 4 compares the age group distributions of the nonrespondents (person-level) observed in CAPI and CATI. It is interesting to note the differences at the two ends of the age groups. A response from elderly persons (65 and up) is much more difficult to obtain over the phone (13.9% nonresponse) than in person (8.9%) while the opposite is observed for the younger age group (12-19). Although the variable “age” is used in the creation of the response propensity classes for the person-level nonresponse weighting adjustment, the nonresponse bias could be non-negligible for some characteristics. One could think that elderly persons with a physical condition might have difficulty to get to the phone. The same could be said with teenagers where the more physically active ones could be home less often and hence less available for a personal interview. This would however require further research.

Table 4. Person-level Nonresponse Rate (%)
Mode Total 12-19 20-29 30-44 45-64 65+
CAPI 13.6 17.6 15.7 15.1 12.4 8.9
CATI 12.4 11.9 16.9 12.0 10.1 13.9

6. Multivariate Analyses

To better understand the differences and to ensure that the mode effects found in the indicators comparisons are not simply due to discrepancies in the socio-demographic characteristics between the two mode samples, a series of multiple logistic regressions were performed. This analysis evaluates the effect of the mode of collection on the prevalence of several health indicators when controlling for the socio-demographic and household variables. The mode effect is treated as a confounded variable in the model. The socio-demographic variables are other confounded variables. Interaction terms between the mode of collection and the socio-demographic variables were all tested in the model.

For selected health indicators, table 5 shows the odds of having the health condition or the health determinant when interviewed by telephone in comparison of when interviewed in person.

The first result presented concerns the smoking indicator. Results in section 5.2 did not show a significant mode effect at the national level for that variable. This analysis shows that for white persons between 12 and 29 years old, being interviewed by telephone makes their odds of reporting a current daily or occasional smokers about 1.8 times (1/0.56 = 1.79) less than if interviewed in person (significantly different at the 1% level). For white persons 30 years old and over, the odds are the same (1.00) for CATI and CAPI. For non-white persons, being interviewed by telephone makes their odds of reporting a current daily or occasional smoker about 1.5 times (1.49) more than if interviewed in person, but it is not significant at the 5% level.

As presented in section 5.2, being interviewed by telephone makes the odds of reporting obese lower than if interviewed in person. These odds are even lower in Alberta (0.48); elsewhere in Canada the odds are 0.79. For the physical activity index (inactive), no interaction was found between the mode of collection and the socio-demographic variables. Overall, being interviewed by telephone makes their odds of reporting inactive about 1.5 times (1/0.65 = 1.54) less than if interviewed in person.

For the alcohol use indicators, ethnicity, education and age group are characteristics for which mode effect is found. White non-immigrant persons are less likely to describe themselves as alcohol drinker when interviewed by telephone (odds = 0.7), whereas the opposite is observed for non-white or immigrants persons (odds = 1.71). Similarly, for non-white persons, being interviewed by telephone makes their odds of reporting to have had 5 or more drinks in one occasion at least once a month about 2.5 times more than if interviewed in person. The opposite mode effect is found for white persons in the lowest or the lower income adequacy category (odds=0.45).

For the drinking and driving characteristics, a mode effect is found in the 20 to 44 age group. For these persons, being interviewed by telephone makes their odds of reporting drinking and driving about 3.4 times (1/0.29) less than if interviewed in person.

Another result shows that the persons not in the highest income adequacy category and without a post-secondary degree are less likely to report unmet health care needs when interviewed by telephone.

7. Interpretation of the results

The results of the mode study are quite diverse. Nearly no differences were found between CAPI and CATI in the point estimates for the vast majority of health indicators measured by CCHS such as tobacco use (all ages), chronic conditions, activity limitations, fruit and vegetable consumption and others. This means that the comparability of the health indicators over the first two cycles of CCHS is not affected by the increased number of CATI in the second cycle.

Significant differences were however found between CAPI and CATI for some health indicators. Among others, self-reported height and weight, physical activity index, contact with medical doctors and self-reported unmet health care needs are certainly the most notable ones. Although the multivariate analysis somewhat attenuated the impact of the mode effects when socio-demographic characteristics are considered, it is believed that any comparison of the above indicators over the two cycles should take into consideration the increased number of CATI in the second cycle. It is important to mention that other methodological (sample sizes, reference period, questionnaire, etc.) and contextual (changes in standards, true change, etc.) aspects should, as well, always be taken into consideration in any comparison of survey indicators over time.

Extensive literature exists on comparisons between personal and telephone interview techniques and a great deal of inconsistencies in the results is certainly noticeable as these studies report varying magnitude of mode effects. Scherpenzeel (2001) suggests that the inconsistency among results is probably caused by differences in the design of the studies. The mode study conducted as part of the CCHS cycle 2.1 is no exception as no comparable studies could be found. There is however unanimity on the presence of mode effects for some variables and the non-negligible biases on survey estimates.

Table 5. Odds ratios of the health condition for CATI versus CAPI ( * = p < 0.05, ** = p < 0.01)
Health indicator Factor Odds ratio
Smoking White 12-29 0.56**
White 30+ 1.00
Non-White 1.49
Obesity (self-reported) Alberta 0.48**
Elsewhere 0.79*
Physical inactivity All 0.65**
Influenza immunization 12-15 4.48**
16-19 1.78
20+ 1.10
Alcohol drinker White non-immigrant 0.70**
Non-white or immigrant 1.71**
5 or more drinks on one occasion at least once a month White and lowest or lower middle income 0.45*
White and highest or higher middle income 0.97
Non-white 2.45*
Unmet needs (self-reported) Highest income adequacy 1.11
Not highest income adequacy but with post-secondary degree 0.81
Not highest income adequacy and no post-secondary degree 0.46**
Drinking and driving 12-19 1.23
20-44 0.29**
45-64 0.97
65+ 0.60
Ever had sexual intercourse Female 15-24 0.43*
Others 1.02

The authors of this paper think that the differences found in the mode study of the Canadian Community Health Survey between CAPI and CATI are mainly caused by two confounding factors: social desirability and interviewer variability. The widely documented social desirability response bias is generated by people’s attempts to construct favourable images of themselves in the eyes of others. It could occur at different levels and for different topics for both CAPI and CATI and it is very difficult to quantify the magnitude of the measurement biases due to the absence of “gold standards” for many variables. Moreover the magnitude of the bias would differ based of socio-demographic profiles and it could even vary in time. Among all health indicators evaluated in this study, self-reported height and weight are good examples of variables for which the magnitude of the social desirability response biases differ between CAPI and CATI. Preliminary data of the 2004 Canadian Nutrition Survey conducted by Statistics Canada where exact measures of height and weight are collected on a large sample suggest that the obesity rate among Canadians of all ages is significantly higher than those calculated using the self-reported measures of the CCHS cycle 2.1 mode study (CAPI and CATI). Clearly the measurement bias is larger in CATI than in CAPI but they are both far from the “gold standard” derived from the nutrition survey. The reader should note that the results of the 2004 Canadian Nutrition Survey will be available in the fall of 2005.

The interviewer variability is the term used to describe the errors that are attributable to interviewers. Interviewer variability is inevitable in large surveys conducted by National Statistical Organisations. At Statistics Canada, the field interviewing staff is composed of more than 650 interviewers and 250 interviewers work in the call centres. Despite all efforts to standardize training procedures among all interviewers some aspects of the work environments (e.g. supervision) of the two collection methods are simply so different that it is reasonable to believe that interviewers’ behaviours could differ from one to the other and hence interviewer variability biases could be introduced. For the mode study, additional information provided by the computer application systems (CAPI and CATI) such as time length of each question revealed interesting findings. The physical activity module of the CCHS questionnaire from which the physical activity index is derived took significantly less time to conduct in CAPI than in CATI suggesting that some activities (from the list of 20 activities read by the interviewers) might not have been clearly mentioned to some CAPI respondents for various reasons. In parallel, the quality control procedures implemented in the call centres have not detected such behaviours from the CATI interviewers. The authors believe that the interviewer variability explains a large part of the differences observed in the mode study for the physical activity index but the absence of a gold standard for this variable does not allow for an assessment of the real measurement bias (CAPI or CATI).

8. Conclusion

The mode study was fully integrated as part of the CCHS cycle 2.1 to better understand potential differences caused by the two methods of collection used in the CCHSCAPI and CATI – on survey estimates. It was anticipated that the increased number of CATI interviews in cycle 2.1 compared to cycle 1.1 would affect the comparability of some key health indicators over the two cycles either by artificially amplifying or masking a real change in behaviours.

The mode study used a split–plot design with a unique sample frame where the secondary sampling units were randomly assigned to either CAPI or CATI. The study was conducted between July and November 2003 in 11 sites selected to provide a good representation of each region in Canada. Acceptable response rates were observed for each mode of collection and although minor differences were detected in the socio-demographic profiles the two mode samples are representative of the target population and are comparable. Special sampling weights were computed and calibrated to ten age/sex post-strata for each mode sample. It is important to mention that it was not a true experimental design to assess pure mode effect. However the mode study was designed to allow for valid comparisons between CAPI and CATI collection methods as conducted by Statistics Canada.

The results of the mode study are very useful to better understand the differences between CAPI and CATI and especially the impact of increased CATI in cycle 2.1 compared to cycle 1.1. As well and in light of the observed results, a series of recommendations has been made for future cycles of CCHS. First it was decided to implement the same cycle 2.1 sample design (area/telephone frames and CAPI/CATI ratios) for CCHS cycle 3.1 scheduled for January 2005. Starting in CCHS cycle 3.1, exact height and weight will be collected on a subsample of individuals to allow for national estimates of BMI categories for specific age/sex groupings. Also, interviewers’ procedures will be reinforced to standardize even more collection procedures among the two collection methods.

These improvements should hence improve the quality of CCHS data and provide a solid basis to policy makers and health care professionals to better track changes over time and take appropriate actions to address the various issues around the health of Canadians.

9. Acknowledgments

The authors would like to thank all their colleagues at Statistics Canada who participated in the development and realisation of this study. They are also grateful to Vincent Dale, Johane Dufour and Jean-Louis Tambay for their insightful comments.

10. References

Pierre, F. and Béland, Y. (2002). Étude sur quelques erreurs de réponse dans le cadre de l’Enquête sur la santé dans les collectivités canadiennes. 2002 Proceedings of the Survey Methods Section, Statistical Society of Canada.

Rust, K.F. and Rao, J.N.K (1996). “Variance estimation for complex surveys using replication techniques”, Statistical Methods in Medical Research, 5, p. 281-310.
Scherpenzeel, A. (2001). Mode effects in panel surveys: A comparison of CAPI and CATI. Bases statistiques et vues d’ensemble. Neuchâtel: Bundesamt, für Statistik, Office fédéral de la statistique (http://www.unine.ch/psm).
Statistique Canada (2003). CCHS Cycle 1.1 2000-2001 Public Use Microdata Files. Catalogue no. 82M0013GPE.

Interpreting Estimates from the Redesigned Canadian Community Health Survey (CCHS)

By Steven Thomas, senior methodologist, CCHS
and Sylvain Tremblay, senior analyst, CCHS

Abstract

In its attempt to better address user needs and to make better use of the interviewer resources, the regional component of the Canadian Community Health Survey , or the .1 survey, was redesigned to include varying types of content and to collect data continually over time. This change in structure allows for the collection and dissemination of various types of information for various time periods for estimation at various geographical and socio–demographic levels. For the user, this implies that several different products will be available for several different time periods. Proper interpretation of the results is now more crucial than ever as the user will have a choice in the product that they use in their analysis. The choice of product will be based on the characteristics they wish to study and the detail required in the estimates. This paper will clarify how the redesign will impact the user and aid in the proper interpretation of the resulting estimates.

1. The CCHS Redesign

After the release of the 2005 regional component of the Canadian Community Health Survey (CCHS cycle 3.1), the CCHS was redesigned to address two main points: to better address user needs and make better use of collection resources 1. The implementation of a continuous collection technique was the key step in addressing these points. At the same time, a flexible content structure was implemented to allow for varying content to be collected over various time periods. These changes affect the dissemination strategy in the types of content that can be released as well at the frequency of releases. With these changes in place, it was decided that it was a good time to implement certain methodological improvements including the implementation of a more time–efficient process.

1.1 Changes in Collection

The change that has the largest impact on users is the change to the data collection approach of the CCHS. In the past, the CCHS regional component collected data from roughly 130,000 respondents over a 12–month period every two years. Starting in January 2007, data are now continually from roughly 65,000 respondents throughout each year. To ensure that the sample is collected continuously, a new sample of roughly 11,000 respondents is collected every two months where each sample is representative at the health region level for the specific time period. Samples collected in the Territories are representative of the population after 12 months.

1.2 Changes in Content

With the change to a continuous collection approach, it is now possible to collect various types of information (or content) over various time periods. The duration of collection depends on the characteristics of interest and the sample size required. For prevalent characteristics and general domains, the content only needs to be collected for a short time–period before there are enough respondents to produce a quality estimate. For less prevalent characteristics and more detailed domains, the content is collected over an extended time–period in order to obtain an adequate sample of respondents.

The main CCHS content components are still categorized under common and optional content, although the common content is now split into two sub–components: core and theme. While both sub–components are asked of all CCHS respondents, the core content is meant to remain relatively stable over time and the theme content is collected for 12 or 24 months and can rotate back into collection after two, four or six years. The optional content component gives health regions the opportunity to select content that addresses their provincial or regional public health priorities. It can either be collected for one or two years before it is reviewed again.

A new component called Rapid Response is also available which allows the collection of data on emerging health issues from a small sample of respondents over two months of collection (approximately 11,000 respondents). This component, with a maximum duration of 2 minutes, is offered to cost–recovery clients with an immediate need for national–level data.

1.3 Changes in Dissemination

The changes to the collection and content structure of the CCHS have an impact on the dissemination strategy. In the past, information was disseminated every second year after collection of all respondents for the survey. Data files (Master, Share, PUMF) are available for the 2000/2001 (Cycle 1.1), 2003 (Cycle 2.1), and 2005 (Cycle 3.1) reference years. A 6–month file (allowing estimates to be calculated with 65,000 respondents) was produced from the Cycle 3.1 data collected from January 2005 to June 2005.

Beginning in June 2008, with the release of data collected during the 2007 collection period, master and share data files will be released every year. These annual data files will contain about 65,000 respondents, or half the sample size available with previous CCHS data files. These files will include core, theme and optional content collected throughout the year.

In June 2009, two main files will be made available: a main data file based on the 2008 collection period, which will be similar to the main 2007 data file, as well as a main data file based on the 2007–2008 collection period. The 2007–2008 file will be similar in size to files from the previous cycles (approximately 130,000 respondents). It will include core, optional and the theme content collected over the two–year period. One–year themes will not be available on the two–year data file. Also, theme modules collected from sub–sample of respondents will continue to be disseminated in separate files. These files include core content and sub–sample theme modules only. See table 1 for a clarification of what will be available with the 2007 and 2008 releases.

Table 1. Content components included in 2007 and 2008 data files

Files Core content 2007 Theme1 2008 Theme2 2007–2008 Theme Optional content3
2007 Main Yes N/A N/A Yes Yes
Sub–sample Yes Yes N/A No No
2008 Main Yes N/A Yes4 Yes Yes
Sub–sample Yes N/A Yes5 No No
2007–2008 Main Yes No No Yes Yes
1The 2007 theme was comprised of three modules (Patient satisfaction, Access to health care services and Waiting times) which were all asked to a sub–sample of respondents.
2The 2008 theme is formed of a group of modules related to chronic disease screening and a module on measured height and weight. This last module is asked of a sub–sample of respondents.
3This assumes that optional content remains the same for the two years. If not, it will only be included in the file of the year in which it was collected.
4Chronic disease screening.
5Measured height and weight.

In addition to the regular files, rapid response files will be produced for cost–recovery clients. These files will be available to other users upon request and will contain the rapid response content along with core content for a 2–month period.

Public–use Microdata Files (PUMFs) will be released every second year based on two years of collection. The first PUMF will be released Summer 2009 based on the 2007–2008 collection period. Single year PUMFs will not be available.

1.4 Changes in Survey Methodology

With the changes to the collection, content and dissemination strategies, certain changes were made to the methodology used in calculating survey weights. The redesign meant that weights would be produced more frequently and a methodology consistent with continuous collection was required. This evolution was also seen as an opportunity to make certain improvements to the weight adjustments that are used in the process2.

1.4.1 Period weighting

The weights are controlled, as best possible, to ensure that each collection period is equally represented with the weight and the weighted respondents represent the average population for the extended period of the particular release. Estimates represent the average over the time period.

1.4.2 Changes to integration

The CCHS uses a dual frame methodology where respondents are sampled from a telephone list frame and an area frame. Weights are adjusted / integrated to ensure that the population is represented only once. In the past, the weights on the telephone frame were adjusted for undercoverage (no landline, unlisted numbers, etc.) before integration with the area frame to ensure that the area and telephone list frames covered the same population. This required the assumption that those individuals not on the telephone frame were the same as those who were.

Knowing that the characteristics of telephone respondents can differ from those from those not covered by the telephone frame, the integration method has been updated3. Now, telephone frame respondents are integrated only with those units on the area frame who are also on the telephone frame. Those respondents on the area frame who are not on the telephone frame do not have their weights adjusted. This means that for variables affected by mode of collection, the resulting estimates should be more representative of the actual population.

1.4.3 Changes to calibration

The final step of the weighting procedure is to ensure that the weights sum to known population totals through a process known as calibration. These known totals are usually at the health region by age group by sex level. It is generally accepted that by calibrating weights, estimates for totals are more precise than those not calibrated. However, in order to do a proper calibration adjustment, it is suggested to have at least 20 observations in the domain. This should not be a problem with a 2–year file but with the 1–year file it will not be possible to post–stratify in all domains because of the reduced number of respondents. Users will be provided with a list of post–stata with less than 20 observations and corresponding cells will be suppressed from tabular data produced by Statistics Canada.

2. Impact on Users

2.1 More data, more often

Starting with the release of the 2008 and 2007–2008 data in June 2009, users will have the choice of working with one–year or two–year files. Eventually, it will be possible for users to combine these standard files to produce, for example, three–year or four–year files.

2.2 Period estimation

Whether a multi–year, two–year or one–year file is being used, users are encouraged to think of CCHS data as involving period estimation, in which the interviews corresponding to a period of time are combined and an updated sampling weight calculated. An annual estimate of a given characteristic is reflective of the average characteristics of the average population for the time period. In the case of the 2007 file, estimates are reflective of the average from January to December 2007. The result is a period estimate which is different from the snapshot idea that is often presented with most cross–sectional surveys. Technically, this is true only of the Census, where estimates represent a point in time.

The idea of period estimation is simply an extension of the methods used for previous cycles of CCHS, in which a set of interviews conducted over a 12–month period were combined. Similarly, the techniques involved in combined standard one–year or two–year data sets to create customized period estimates will be very similar to those used in combining cycles 1.1, 2.1 and 3.1 of the survey4.

Decisions about which period to use in a given analysis should be guided by the level of detail and the quality required. With a one year file, estimates will not always be available because of the quality associated with the limited sample size. The CCHS recommends having a Coefficient of Variation of less than 33% and having at least 10 respondents in the domain with the characteristic before publishing an estimate. This will not be possible for rare characteristics and detailed domains with a one–year file. Instead, users will have to rely on two–year files or multi–year accumulations.

Where the use of either a one–year or two–year file is viable, the user should consider the trade–off between accuracy and currency. If it is important to reflect the current characteristics of a population as closely as possible, the one–year file would be preferable. With two–year files, year–to–year trends will be masked, just as the seasonal trends are masked in a one–year file. However, with the increased sample size, more detailed estimates and analyses can be carried out.

2.3 Impact on variable naming convention

The variable naming convention has been changed slightly to reflect the fact that the same variable is being collected each year. In the past a letter designating the cycle was included in the variable name. For example, the ‘e’ in ‘ccce_101’ meant that it was the information collected from cycle 3.1. From now on the variable will be labeled ‘ccc_101’. To help users wanting to combine two data files or more, a new variable showing the reference period “REFPER” was added. This variable uses the following format YYYYMMYYYYMM (collection start year and month – collection end year and month).

2.4 Differences in Estimates Compared to the Past

Users should be aware that changes to sampling and the production of sampling weights introduced in 2007 might partially explain differences from previous cycles. In terms of sampling, the sample is controlled to have roughly the same number of respondents collected throughout the year and controlled to ensure that half the sample is from each of the two frames. This is not a dramatic change from the previous releases where the sample was divided into monthly collection periods. In terms of the production of weights, changes made to the process of integrating telephone and area frame samples could have the effect of influencing characteristics which are strongly correlated with having a listed phone number5. Further studies of this possibility are planned.

Highlights

  • Beginning with the June 18, 2008 release, master and share data files will be released every year. These annual files will contain about 65,000 respondents or half the sample size of previous data files. Data files based on two years of data will continue to be produced and will be similar in size to files from the previous cycles (~130,000 respondents).
  • Theme content was introduced with the CCHS redesign. This content is asked of all CCHS respondents and collected for one or two years only.
  • Annual sample files will include core content, annual theme content and the 2–year theme and optional content collected that year. The two year files, will include the core content, the 2–year theme and all optional content collected for two years.
  • Beginning in June 2009, users will have a choice between using one–year or two–year files.
  • With single–year estimates, year–to–year trends can be calculated. Given the idea of continuous collection, each annual estimate is reflective of the average characteristics of the average population for the time period.
  • To estimate rarer characteristics in more detailed domains, the use of two–year files, or even multi–year accumulations, will be necessary to ensure good data quality (33% CV with minimum of 10 respondents having the characteristics).
  • The CCHS variable naming convention has been changed slightly to reflect the fact that the same variable is being collected. The letter designating the cycle (e.g., “e” for cycle 3.1) was dropped from the variable name.

Notes

1. Béland Y., Dale V., Dufour J., Hamel M. The Canadian Community Health Survey: Building on the Success from the Past. 2005 Proceedings of the American Statistical Association Meeting, Survey Research Methods. American Statistical Association, 2005.

2. Sarafin C., Simard M., Thomas S. (2007). A Review of the Weighting Strategy for the Canadian Community Health Survey. 2007 Proceedings of the Survey Methods Section, Statistical Society of Canada Annual Meeting.

3. Skinner, C.J. and Rao, J.N.K. (1996). “Estimation in Dual Frame Surveys with Complex Designs”. Journal of the American Statistical Association, 91, 349–356.

4. Thomas S. Combining Cycles of the Canadian Community Health Survey. Proceedings of Statistics Canada Symposium (Statistics Canada, Catalogue no. 11–522–XIE), 2006.

5. St–Pierre M, Béland Y. Mode effects in the Canadian Community Health Survey: a comparison of CAPI and CATI. 2004 Proceedings of the American Statistical Association Meeting, Survey Research Methods. Toronto: American Statistical Association, 2004.

Canadian Community Health Survey (CCHS)

2009 Share File – Approximate Sampling Variability Tables

June 2010

Tables of contents

Input data for sampling variability tables
Provinces, Territories, and Canada
Canada by age group
Health Regions

Approximate sampling variability tables
Canada
Canada by Age Group
Age group 12-19
Age group 20-29
Age group 30-44
Age group 45-64
Age group 65+
Provinces and Territories
Newfoundland
Prince Edward Island
Nova Scotia
New Brunswick
Quebec
Ontario
Manitoba
Saskatchewan
Alberta
British Columbia
Yukon Territory
Northwest Territories
Nunavut
Health Regions
Newfoundland: Eastern Regional Integrated Health Authority (1011)
Newfoundland: Central Regional Integrated Health Authority (1012)
Newfoundland: Western Regional Integrated Health Authority (1013)
Newfoundland: Labrador-Grenfell Regional Integrated Health Authority (1014)
Prince Edward Island: Kings County (1101)
Prince Edward Island: Queens County (1102)
Prince Edward Island: Prince County (1103)
Nova Scotia: Zone 1 (1201)
Nova Scotia: Zone 2 (1202)
Nova Scotia: Zone 3 (1203)
Nova Scotia: Zone 4 (1204)
Nova Scotia: Zone 5 (1205)
Nova Scotia: Zone 6 (1206)
New Brunswick: Region 1 (1301)
New Brunswick: Region 2 (1302)
New Brunswick: Region 3 (1303)
New Brunswick: Region 4 (1304)
New Brunswick: Region 5 (1305)
New Brunswick: Region 6 (1306)
New Brunswick: Region 7 (1307)
Quebec: Région du Bas-Saint-Laurent (2401)
Quebec: Région du Saguenay–Lac-Saint-Jean (2402)
Quebec: Région de la Capitale-Nationale (2403)
Quebec: Région de la Mauricie et du Centre-du-Québec (2404)
Quebec: Région de l'Estrie (2405)
Quebec: Région de Montréal (2406)
Quebec: Région de l'Outaouais (2407)
Quebec: Région de l'Abitibi-Témiscamingue (2408)
Quebec: Région de la Côte-Nord (2409)
Quebec: Région du Nord-du-Québec (2410)
Quebec: Région de la Gaspésie–Îles-de-la-Madeleine (2411)
Quebec: Région de la Chaudière-Appalaches (2412)
Quebec: Région de Laval (2413)
Quebec: Région de Lanaudière (2414)
Quebec: Région des Laurentides (2415)
Quebec: Région de la Montérégie (2416)
Ontario: The District of Algoma Health Unit (3526)
Ontario: Brant County Health Unit (3527)
Ontario: Durham Regional Health Unit (3530)
Ontario: Elgin-St. Thomas Health Unit (3531)
Ontario: Grey Bruce Health Unit (3533)
Ontario: Haldimand-Norfolk Health Unit (3534)
Ontario: Haliburton, Kawartha, Pine Ridge District Health Unit (3535)
Ontario: Halton Regional Health Unit (3536)
Ontario: City of Hamilton Health Unit (3537)
Ontario: Hastings and Prince Edward Counties Health Unit (3538)
Ontario: Huron County Health Unit (3539)
Ontario: Chatham-Kent Health Unit (3540)
Ontario: Kingston, Frontenac and Lennox and Addington Health Unit (3541)
Ontario: Lambton Health Unit (3542)
Ontario: Leeds, Grenville and Lanark District Health Unit (3543)
Ontario: Middlesex-London Health Unit (3544)
Ontario: Niagara Regional Area Health Unit (3546)
Ontario: North Bay Parry Sound District Health Unit (3547)
Ontario: Northwestern Health Unit (3549)
Ontario: City of Ottawa Health Unit (3551)
Ontario: Oxford County Health Unit (3552)
Ontario: Peel Regional Health Unit (3553)
Ontario: Perth District Health Unit (3554)
Ontario: Peterborough County-City Health Unit (3555)
Ontario: Porcupine Health Unit (3556)
Ontario: Renfrew County and District Health Unit (3557)
Ontario: The Eastern Ontario Health Unit (3558)
Ontario: Simcoe Muskoka District Health Unit (3560)
Ontario: Sudbury and District Health Unit (3561)
Ontario: Thunder Bay District Health Unit (3562)
Ontario: Timiskaming Health Unit (3563)
Ontario: Waterloo Health Unit (3565)
Ontario: Wellington-Dufferin-Guelph Health Unit (3566)
Ontario: Windsor-Essex County Health Unit (3568)
Ontario: York Regional Health Unit (3570)
Ontario: City of Toronto Health Unit (3595)
Manitoba: Winnipeg Regional Health Authority (4610)
Manitoba: Brandon Regional Health Authority (4615)
Manitoba: North Eastman Regional Health Authority (4620)
Manitoba: South Eastman Regional Health Authority (4625)
Manitoba: Interlake Regional Health Authority (4630)
Manitoba: Central Regional Health Authority (4640)
Manitoba: Assiniboine Regional Health Authority (4645)
Manitoba: Parkland Regional Health Authority (4660)
Manitoba: Norman Regional Health Authority (4670)
Manitoba: Burntwood/Churchill (4685)
Saskatchewan: Sun Country Regional Health Authority (4701)
Saskatchewan: Five Hills Regional Health Authority (4702)
Saskatchewan: Cypress Regional Health Authority (4703)
Saskatchewan: Regina Qu'Appelle Regional Health Authority (4704)
Saskatchewan: Sunrise Regional Health Authority (4705)
Saskatchewan: Saskatoon Regional Health Authority (4706)
Saskatchewan: Heartland Regional Health Authority (4707)
Saskatchewan: Kelsey Trail Regional Health Authority (4708)
Saskatchewan: Prince Albert Parkland Regional Health Authority (4709)
Saskatchewan: Prairie North Regional Health Authority (4710)
Saskatchewan: Mamawetan/Keewatin/Athabasca (4714)
Alberta: Chinook Regional Health Authority (4821)
Alberta: Palliser Health Region (4822)
Alberta: Calgary Health Region (4823)
Alberta: David Thompson Regional Health Authority (4824)
Alberta: East Central Health (4825)
Alberta: Capital Health (4826)
Alberta: Aspen Regional Health Authority (4827)
Alberta: Peace Country Health (4828)
Alberta: Northern Lights Health Region (4829)
British Columbia: East Kootenay (5911)
British Columbia: Kootenay-Boundary (5912)
British Columbia: Okanagan (5913)
British Columbia: Thompson/Cariboo (5914)
British Columbia: Fraser East (5921)
British Columbia: Fraser North (5922)
British Columbia: Fraser South (5923)
British Columbia: Richmond (5931)
British Columbia: Vancouver (5932)
British Columbia: North Shore/Coast Garibaldi (5933)
British Columbia: South Vancouver Island (5941)
British Columbia: Central Vancouver Island (5942)
British Columbia: North Vancouver Island (5943)
British Columbia: Northwest (5951)
British Columbia: Northern Interior (5952)
British Columbia: Northeast (5953)
Yukon Territory: Yukon Territory (6001)
Northwest Territories: Northwest Territories (6101)
Nunavut: Nunavut (6201)

For the complete document in PDF format, contact Client Services (613-951-1746; hd-ds@statcan.gc.ca), Health Statistics Division

CCHS 2009: Record Layout

Master File – 12–Month

June 2010

Variable Length Position Concept
VERDATE 8 0001 – 0008 Date of file creation
REFPER 13 0009 – 0021 Reference period
SAMPLEID 20 0022 – 0041 Household identifier
PERSONID 2 0042 – 0043 Person identifier of respondent selected – health interview
GEO_PRV 2 0044 – 0045 Province of residence of respondent
GEODPC 6 0046 – 0051 Postal code – (D)
GEODHR4 4 0052 – 0055 Health Region of residence of respondent – (D)
GEODSHR 6 0056 – 0061 Sub–Health Region (Québec only) – (D)
GEODDHA 4 0062 – 0065 Nova Scotia District Health Authority (DHA)
GEODLHA 3 0066 – 0068 British Columbia Local Health Authority (LHA) – (D)
GEODLHN 4 0069 – 0072 Local Health Integrated Networks (LHIN) – Ontario – (D)
GEODDA06 8 0073 – 0080 2006 Census Dissemination Area – (D)
GEODFED 5 0081 – 0085 Federal Electoral District – (D)
GEODCSD 7 0086 – 0092 Census Sub–Division – (D)
GEODCD 4 0093 – 0096 Census Division – (D)
GEODSAT 1 0097 – 0097 Statistical area classification type – (D)
GEODCMA6 3 0098 – 0100 2006 Census Metropolitan Area (CMA) – (D)
GEODPG09 2 0101 – 0102 Health Region Peer Group – (D)
GEODUR 1 0103 – 0103 Urban and Rural Areas
GEODUR2 1 0104 – 0104 Urban and Rural Areas – 2 levels – (D)
GEODPSZ 1 0105 – 0105 Population size group – (D)
SAM_CP 6 0106 – 0111 Sampled collection period
SAM_TYP 1 0112 – 0112 Sample type
SAMDSHR 1 0113 – 0113 Permission to share data – (D)
SAMDLNK 1 0114 – 0114 Permission to link data – (D)
ADM_STA 2 0115 – 0116 Response status after processing
ADM_PRX 1 0117 – 0117 Health Component completed by proxy
ADM_YOI 4 0118 – 0121 Year of interview
ADM_MOI 2 0122 – 0123 Month of interview
ADM_DOI 2 0124 – 0125 Day of interview
ADM_N09 1 0126 – 0126 Interview by telephone or in person
ADM_N10 1 0127 – 0127 Respondent alone during interview
ADM_N11 1 0128 – 0128 Answers affected by presence of another person
ADM_N12 2 0129 – 0130 Language of interview
ADM_LHH 1 0131 – 0131 Language of preference – household interview
DHH_AGE 3 0132 – 0134 Age
DHH_YOB 4 0135 – 0138 Year of birth
DHH_MOB 2 0139 – 0140 Month of birth
DHH_DOB 2 0141 – 0142 Day of birth
DHH_SEX 1 0143 – 0143 Sex
DHH_MS 2 0144 – 0145 Marital Status
DHHDSAGE 3 0146 – 0148 Age of spouse
DHHDYKD 2 0149 – 0150 Number of persons 15 years old or less in household – (D)
DHHDOKD 2 0151 – 0152 Number of dependents 16 or 17 years old in household – (D)
DHHDLE5 2 0153 – 0154 Number of persons 5 years old or less in household – (D)
DHHD611 2 0155 – 0156 Number of persons 6 to 11 years old in household – (D)
DHHDL12 2 0157 – 0158 Number of persons less than 12 years old in household – (D)
DHHDL18 2 0159 – 0160 Number of Persons in Household Less Than 18 Years of Age
DHHDLVG 2 0161 – 0162 Living arrangement of selected respondent – (D)
DHHDECF 2 0163 – 0164 Household type – (D)
DHHDHSZ 2 0165 – 0166 Household size – (D)
GEN_01 1 0167 – 0167 Self–perceived health
GEN_02 1 0168 – 0168 Self–perceived health compared to one year ago
GEN_02A2 2 0169 – 0170 Satisfaction with life in general
GEN_02B 1 0171 – 0171 Self–perceived mental health
GEN_07 1 0172 – 0172 Perceived life stress
GEN_08 1 0173 – 0173 Worked at job or business
GEN_09 1 0174 – 0174 Self–perceived work stress
GEN_10 1 0175 – 0175 Sense of belonging to local community
GENDHDI 1 0176 – 0176 Perceived Health
GENDMHI 1 0177 – 0177 Perceived Mental Health
GENGSWL 1 0178 – 0178 Satisfaction with life in general
DOORG 1 0179 – 0179 Voluntary organization – Participate – Inclusion Flag – (F)
ORG_1 1 0180 – 0180 Member of a voluntary organization
ORG_2 1 0181 – 0181 Frequency – participate in activities
DOCIH 1 0182 – 0182 Changes made to improve health module – Inclusion Flag – (F)
CIH_1 1 0183 – 0183 Did something to improve health
CIH_2 2 0184 – 0185 Most important change to improve health
CIH_3 1 0186 – 0186 Thinks should do something to improve health
CIH_4 2 0187 – 0188 Most important thing to improve health
CIH_5 1 0189 – 0189 Barrier to improving health
CIH_6A 1 0190 – 0190 Barrier to improving health – lack of will power
CIH_6I 1 0191 – 0191 Barrier to improving health – family responsabilities
CIH_6B 1 0192 – 0192 Barrier to improving health – work schedule
CIH_6J 1 0193 – 0193 Barrier to improving health – addiction to drugs / alcohol
CIH_6K 1 0194 – 0194 Barrier to improving health – physical condition
CIH_6G 1 0195 – 0195 Barrier to improving health – disability / health problem
CIH_6F 1 0196 – 0196 Barrier to improving health – too stressed
CIH_6E 1 0197 – 0197 Barrier to improving health – too costly
CIH_6L 1 0198 – 0198 Barrier to improving health – not available – in area
CIH_6M 1 0199 – 0199 Barrier to improving health – transportation problems
CIH_6N 1 0200 – 0200 Barrier to improving health – weather problems
CIH_6H 1 0201 – 0201 Barrier to improving health – other
CIH_7 1 0202 – 0202 Intending to improve health over next year
CIH_8A 1 0203 – 0203 Health improvement – more exercise
CIH_8B 1 0204 – 0204 Health improvement – lose weight
CIH_8C 1 0205 – 0205 Health improvement – improve eating habits
CIH_8J 1 0206 – 0206 Health improvement – quit smoking
CIH_8K 1 0207 – 0207 Health improvement – drink less alcohol
CIH_8G 1 0208 – 0208 Health improvement – reduce stress level
CIH_8L 1 0209 – 0209 Health improvement – receive medical treatment
CIH_8H 1 0210 – 0210 Health improvement – take vitamins
CIH_8I 1 0211 – 0211 Health improvement – other
DOHCS 1 0212 – 0212 Health care system satisfaction module– Inclusion Flag – (F)
HCS_1 1 0213 – 0213 Rating of availability of health care – province
HCS_2 1 0214 – 0214 Rating of quality of health care – province
HCS_3 1 0215 – 0215 Rating of availability of health care – community
HCS_4 1 0216 – 0216 Rating of quality of health care – community
MAM_037 1 0217 – 0217 Currently pregnant
HWT_2 2 0218 – 0219 Height / self–reported
HWT_2A 2 0220 – 0221 Height – exact height from 1'0" to 1'11" / self–reported
HWT_2B 2 0222 – 0223 Height – exact height from 2'0" to 2'11" / self–reported
HWT_2C 2 0224 – 0225 Height – exact height from 3'0" to 3'11" / self–reported
HWT_2D 2 0226 – 0227 Height – exact height from 4'0" to 4'11" / self–reported
HWT_2E 2 0228 – 0229 Height – exact height from 5'0" to 5'11" / self–reported
HWT_2F 2 0230 – 0231 Height – exact height from 6'0" to 6'11" / self–reported
HWT_3 3 0232 – 0234 Weight / self–reported
HWT_N4 1 0235 – 0235 Weight – unit of measure in pounds/kilograms / self–reported
HWT_4 1 0236 – 0236 Respondent's opinion of own weight – self–reported
HWTDHTM 5.3 0237 – 0241 Height (metres) / self–reported – (D)
HWTDWTK 6.2 0242 – 0247 Weight (kilograms) / self–reported – (D)
HWTDBMI 6.2 0248 – 0253 Body Mass Index (BMI) / self–report – (D)
HWTDISW 2 0254 – 0255 BMI classification (18 +) / self–report – Internal standard – (D)
HWTDCOL 1 0256 – 0256 BMI classification (12 to 17) / self–report – Cole system – (D)
CCC_031 1 0257 – 0257 Has asthma
CCC_035 1 0258 – 0258 Asthma – had symptoms or attacks
CCC_036 1 0259 – 0259 Asthma – took medication
CCC_051 1 0260 – 0260 Has arthritis
CCC_061 1 0261 – 0261 Has back problems excluding fibromyalgia and arthritis
CCC_071 1 0262 – 0262 Has high blood pressure
CCC_072 1 0263 – 0263 Ever diagnosed with high blood pressure
CCC_073 1 0264 – 0264 Medication – high blood pressure – past month
CCC_073A 1 0265 – 0265 Pregnant when first diagnosed with high blood pressure
CCC_073B 1 0266 – 0266 Other than during pregnancy – diag. with high blood pressure
CCC_081 1 0267 – 0267 Has migraine headaches
CCC_091 1 0268 – 0268 Has a COPD
CCC_101 1 0269 – 0269 Has diabetes
CCC_102 3 0270 – 0272 Diabetes – age first diagnosed
CCC_10A 1 0273 – 0273 Diabetes diagnosed – when pregnant
CCC_10B 1 0274 – 0274 Diabetes diagnosed – other than when pregnant
CCC_10C 2 0275 – 0276 Diabetes diagnosed – when started with insulin
CCC_105 1 0277 – 0277 Diabetes – currently takes insulin
CCC_106 1 0278 – 0278 Diabetes – takes pills to control blood sugar
CCC_121 1 0279 – 0279 Has heart disease
CCC_131 1 0280 – 0280 Has cancer
CCC_31A 1 0281 – 0281 Ever had cancer
CCC_141 1 0282 – 0282 Has stomach or intestinal ulcers
CCC_151 1 0283 – 0283 Suffers from the effects of a stroke
CCC_161 1 0284 – 0284 Has urinary incontinence
CCC_171 1 0285 – 0285 Has a bowel disorder / Crohn's Disease or colitis
CCC_17A 1 0286 – 0286 Type of bowel disease
CCC_181 1 0287 – 0287 Has Alzheimer's disease or other dementia
CCC_280 1 0288 – 0288 Has a mood disorder
CCC_290 1 0289 – 0289 Has an anxiety disorder
CCCDDIA 1 0290 – 0290 Diabetes type
DODIA 1 0291 – 0291 Diabetes care – Inclusion Flag – (F)
DIA_01 1 0292 – 0292 Tested for "A–one–C" haemoglobin
DIA_02 3 0293 – 0295 Number of times – tested for haemoglobin "A–one–C"
DIA_03 1 0296 – 0296 Feet checked by health professional
DIA_04 3 0297 – 0299 Number of times – feet checked by health professional
DIA_05 1 0300 – 0300 Urine tested for protein by health professional
DIA_06 1 0301 – 0301 Ever had eye exam with pupils dilated
DIA_07 1 0302 – 0302 Eye exam with pupils dilated – last time
DIA_08 1 0303 – 0303 Checks glucose level / self – reporting unit
DIA_N8B 3 0304 – 0306 Checks glucose level/self – number of times per day
DIA_N8C 3 0307 – 0309 Checks glucose level/self – number of times per week
DIA_N8D 3 0310 – 0312 Checks glucose level/self – number of times per month
DIA_N8E 3 0313 – 0315 Checks glucose level/self – number of times per year
DIA_09 1 0316 – 0316 Checks feet / self – reporting unit
DIA_N9B 3 0317 – 0319 Checks feet / self – number of times per day
DIA_N9C 3 0320 – 0322 Checks feet / self – number of times per week
DIA_N9D 3 0323 – 0325 Checks feet / self – number of times per month
DIA_N9E 3 0326 – 0328 Checks feet / self – number of times per year
DIA_10 1 0329 – 0329 Medication – ASA – past month
DIA_11 1 0330 – 0330 Medication – blood cholesterol – past month
DOHUI 1 0331 – 0331 Health utility index – Inclusion Flag – (F)
HUI_01 1 0332 – 0332 Vision – read newsprint without glasses / contacts
HUI_02 1 0333 – 0333 Vision – read newsprint with glasses / contacts
HUI_03 1 0334 – 0334 Vision – able to see
HUI_04 1 0335 – 0335 Vision – recognize a friend without glasses / contacts
HUI_05 1 0336 – 0336 Vision – recognize a friend with glasses / contacts
HUI_06 1 0337 – 0337 Hearing – in group without hearing aid
HUI_07 1 0338 – 0338 Hearing – in group with hearing aid
HUI_07A 1 0339 – 0339 Hearing – able to hear
HUI_08 1 0340 – 0340 Hearing – in quiet room without hearing aid
HUI_09 1 0341 – 0341 Hearing – in quiet room with hearing aid
HUI_10 1 0342 – 0342 Speech – completely understood by strangers
HUI_11 1 0343 – 0343 Speech – partially understood by strangers
HUI_12 1 0344 – 0344 Speech – completely understood by non–strangers
HUI_13 1 0345 – 0345 Speech – partially understood by non–strangers
HUI_14 1 0346 – 0346 Mobility – walk without difficulty and without support
HUI_15 1 0347 – 0347 Mobility – able to walk
HUI_16 1 0348 – 0348 Mobility – requires support to walk
HUI_17 1 0349 – 0349 Mobility – requires help of person to walk
HUI_18 1 0350 – 0350 Mobility – requires a wheelchair
HUI_19 1 0351 – 0351 Mobility – frequency of wheelchair use
HUI_20 1 0352 – 0352 Mobility – requires help to move in wheelchair
HUI_21 1 0353 – 0353 Dexterity – able to grasp and handle small objects
HUI_22 1 0354 – 0354 Dexterity – requires help due to limitation in hands
HUI_23 1 0355 – 0355 Dexterity – requires help with tasks
HUI_24 1 0356 – 0356 Dexterity – requires special equipment / hand limitation
HUI_25 1 0357 – 0357 Emotion – self evaluation
HUI_26 1 0358 – 0358 Cognition – ability to remember things
HUI_27 1 0359 – 0359 Cognition – ability to think and solve problems
HUIDVIS 2 0360 – 0361 Vision (function code) – (D)
HUIDHER 2 0362 – 0363 Hearing (function code) – (D)
HUIDSPE 1 0364 – 0364 Speech (function code) – (D)
HUIDMOB 2 0365 – 0366 Ambulation (mobility) (function code) – (D)
HUIDDEX 2 0367 – 0368 Dexterity (function code) – (D)
HUIDEMO 1 0369 – 0369 Emotion (function code) – (D)
HUIDCOG 2 0370 – 0371 Cognition problems – function code – (D)
HUIDHSI 6.3 0372 – 0377 Health utilities index – (D)
HUP_01 1 0378 – 0378 Usually free of pain or discomfort
HUP_02 1 0379 – 0379 Pain and discomfort – usual intensity
HUP_03 1 0380 – 0380 Pain and discomfort – number of activities prevented
HUPDPAD 1 0381 – 0381 Pain (function code) – (D)
HCU_1AA 1 0382 – 0382 Has regular medical doctor
HCU_1BA 1 0383 – 0383 Reason has no regular doctor – no one available in area
HCU_1BB 1 0384 – 0384 Reason has no regular doctor – none taking new patients
HCU_1BC 1 0385 – 0385 Reason has no regular doctor – not tried to contact one
HCU_1BD 1 0386 – 0386 Reason has no regular doctor – has left or retired
HCU_1BE 1 0387 – 0387 Reason has no regular doctor – other
HCU_1A1 1 0388 – 0388 Has a usual place to go when sick/needs health advice
HCU_1A2 2 0389 – 0390 Kind of place
HCU_1AC 2 0391 – 0392 Language spoken to doctor
CHP_01 1 0393 – 0393 Overnight patient
CHP_02 3 0394 – 0396 Number of nights as patient
CHP_03 1 0397 – 0397 Consulted with family doctor/general practitioner
CHP_04 3 0398 – 0400 Number of consultations – family doctor/general practitioner
CHP_05 2 0401 – 0402 Where the most recent contact took place
CHP_06 1 0403 – 0403 Consulted with eye specialist
CHP_07 2 0404 – 0405 Number of consultations – eye specialist
CHP_08 1 0406 – 0406 Consulted with other medical doctor
CHP_09 3 0407 – 0409 Number of consultations – other medical doctor
CHP_10 2 0410 – 0411 Where the most recent contact took place
CHP_11 1 0412 – 0412 Consulted with nurse
CHP_12 3 0413 – 0415 Number of consultations – nurse
CHP_13 2 0416 – 0417 Where the most recent contact took place
CHP_14 1 0418 – 0418 Consulted with dentist or orthodontist
CHP_15 3 0419 – 0421 Number of consultations – dentist or orthodontist
CHP_16 1 0422 – 0422 Consulted with chiropractor
CHP_17 3 0423 – 0425 Number of consultations – chiropractor
CHP_18 1 0426 – 0426 Consulted with physiotherapist
CHP_19 3 0427 – 0429 Number of consultations – physiotherapist
CHP_20 1 0430 – 0430 Consulted with psychologist
CHP_21 3 0431 – 0433 Number of consultations – psychologist
CHP_22 1 0434 – 0434 Consulted with social worker or counsellor
CHP_23 3 0435 – 0437 Number of consultations – social worker or counsellor
CHP_24 1 0438 – 0438 Consulted with speech/audiology/occupation therapist
CHP_25 3 0439 – 0441 Number of consultations – speech/audiology/occupation therapist
CHPDMDC 3 0442 – 0444 Number of consultations with medical doctor – (D)
CHPFCOP 1 0445 – 0445 Consultations with health professionals – (F)
DOHMC 1 0446 – 0446 Home care services – Inclusion Flag – (F)
HMC_09 1 0447 – 0447 Received home care services – cost covered by government
HMC_10A 1 0448 – 0448 Type of govt. home care rec'd – nursing care
HMC_10B 1 0449 – 0449 Type of govt. home care rec'd – health services
HMC_10I 1 0450 – 0450 Type of govt. home care rec'd – Medical equipment
HMC_10C 1 0451 – 0451 Type of govt. home care rec'd – personal care
HMC_10D 1 0452 – 0452 Type of govt. home care rec'd – housework
HMC_10E 1 0453 – 0453 Type of govt. home care rec'd – meals
HMC_10F 1 0454 – 0454 Type of govt. home care rec'd – shopping
HMC_10G 1 0455 – 0455 Type of govt. home care rec'd – respite care
HMC_10H 1 0456 – 0456 Type of govt. home care rec'd – other
HMC_11 1 0457 – 0457 Received home care services – cost not covered by government
HMC_12A 1 0458 – 0458 Non govt. home care – provided by nurse from private agency
HMC_12B 1 0459 – 0459 Non govt. home care – provided by homemaker
HMC_12G 1 0460 – 0460 Non govt. home care – physiotherapist
HMC_12C 1 0461 – 0461 Non govt. home care – provided by neighbour or friend
HMC_12D 1 0462 – 0462 Non govt. home care – provided by family member
HMC_12E 1 0463 – 0463 Non govt. home care – provided by volunteer
HMC_12F 1 0464 – 0464 Non govt. home care – provided by other
HMC_13A 1 0465 – 0465 Received other home care services – Nursing care
HMC_13B 1 0466 – 0466 Received home care services–physio,occupational,speech therapy
HMC_13C 1 0467 – 0467 Received other home care services – Personal care
HMC_13D 1 0468 – 0468 Received other home care services – Housework
HMC_13E 1 0469 – 0469 Received home care services – Meal preparation or delivery
HMC_13F 1 0470 – 0470 Received other home care services – Shopping
HMC_13G 1 0471 – 0471 Received other home care services – Respite care
HMC_13H 1 0472 – 0472 Received other home care services – Other
HMC_13I 1 0473 – 0473 Received other home care services – Medication equipment/supplies
HMC_14 1 0474 – 0474 Self–perceived unmet home care needs
HMC_15A 1 0475 – 0475 Home care not received – not available / area
HMC_15B 1 0476 – 0476 Home care not received – not available at time required
HMC_15C 1 0477 – 0477 Home care not received – waiting time too long
HMC_15D 1 0478 – 0478 Home care not received – felt would be inadequate
HMC_15E 1 0479 – 0479 Home care not received – cost
HMC_15F 1 0480 – 0480 Home care not received – too busy
HMC_15G 1 0481 – 0481 Home care not received – didn't get around to it
HMC_15H 1 0482 – 0482 Home care not received – didn't know where to go
HMC_15I 1 0483 – 0483 Home care not received – language problems
HMC_15J 1 0484 – 0484 Home care not received – family responsibilities
HMC_15K 1 0485 – 0485 Home care not received – decided not to seek services
HMC_15L 1 0486 – 0486 Home care not received – doctor didn't think necessary
HMC_15N 1 0487 – 0487 Home care not received – Did not qualify
HMC_15O 1 0488 – 0488 Home care not received – Still waiting for homecare
HMC_15M 1 0489 – 0489 Home care not received – other
HMC_16A 1 0490 – 0490 Type of home care needed – nursing care
HMC_16B 1 0491 – 0491 Type of home care needed – health services
HMC_16I 1 0492 – 0492 Type of home care needed – Medical equipment or supplies
HMC_16C 1 0493 – 0493 Type of home care needed – personal care
HMC_16D 1 0494 – 0494 Type of home care needed – housework
HMC_16E 1 0495 – 0495 Type of home care needed – meals
HMC_16F 1 0496 – 0496 Type of home care needed – shopping
HMC_16G 1 0497 – 0497 Type of home care needed – respite care
HMC_16H 1 0498 – 0498 Type of home care needed – other
HMC_17A 1 0499 – 0499 Who contacted for home care – government sponsored program
HMC_17B 1 0500 – 0500 Who contacted for home care – private agency
HMC_17C 1 0501 – 0501 Who contacted for home care – family member or friend
HMC_17D 1 0502 – 0502 Who contacted for home care – volunteer organization
HMC_17E 1 0503 – 0503 Who contacted for home care – other
HMCFRHC 1 0504 – 0504 Received home care – (F)
DOPAS 1 0505 – 0505 Patient satisfaction – Health care service – Inclusion Flag –(F)
PAS_11 1 0506 – 0506 Received health care services
PAS_12 1 0507 – 0507 Rating of quality of care received
PAS_13 1 0508 – 0508 Satisfaction with way care provided
PAS_21A 1 0509 – 0509 Received health care services at hospital
PAS_21B 1 0510 – 0510 Type of patient – most recent visit
PAS_22 1 0511 – 0511 Rating of quality of care received – hospital
PAS_23 1 0512 – 0512 Satisfaction with way care provided – hospital
PAS_31A 1 0513 – 0513 Received physician care
PAS_31B 1 0514 – 0514 Type of physician – most recent care
PAS_32 1 0515 – 0515 Rating of quality of care received – physician
PAS_33 1 0516 – 0516 Satisfaction with way care provided – physician
DOPSC 1 0517 – 0517 Patient sat. – Community–based care – Inclusion Flag – (F)
PSC_1 1 0518 – 0518 Received any community–based care
PSC_2 1 0519 – 0519 How rate quality of the community–based received
PSC_3 1 0520 – 0520 How satisfied with the way community–based care provided
RAC_1 1 0521 – 0521 Has dificulty with activities
RAC_2A 1 0522 – 0522 Reduction in kind/amount of activities – at home
RAC_2B1 1 0523 – 0523 Reduction in kind/amount of activities – at school
RAC_2B2 1 0524 – 0524 Reduction in kind/amount of activities – at work
RAC_2C 1 0525 – 0525 Reduction in kind/amount of activities – other activities
RAC_5 2 0526 – 0527 Cause of health problem
RACDIMP 1 0528 – 0528 Impact of health problems – (D)
RACDPAL 1 0529 – 0529 Participation and activity limitation – (D)
DOADL 1 0530 – 0530 Activities of daily living – Inclusion Flag – (F)
ADL_01 1 0531 – 0531 Needs help – preparing meals
ADL_02 1 0532 – 0532 Needs help – getting to appointments / running errands
ADL_03 1 0533 – 0533 Needs help – doing housework
ADL_04 1 0534 – 0534 Needs help – personal care
ADL_05 1 0535 – 0535 Needs help – moving about inside the house
ADL_06 1 0536 – 0536 Needs help – looking after personal finances
ADLF6R 1 0537 – 0537 Help needed for tasks – (F)
FLU_160 1 0538 – 0538 Ever had a flu shot
FLU_162 1 0539 – 0539 Had flu shot – last time
FLU_164 2 0540 – 0541 Had flu shot – which month
FLU_165 1 0542 – 0542 Had flu shot – current/last year
FLU_66A 1 0543 – 0543 No flu shot – have not gotten around to it
FLU_66B 1 0544 – 0544 No flu shot – respondent didn't think it was necessary
FLU_66C 1 0545 – 0545 No flu shot – doctor didn't think it was necessary
FLU_66D 1 0546 – 0546 No flu shot – personal or family responsibilities
FLU_66E 1 0547 – 0547 No flu shot – not available at time required
FLU_66F 1 0548 – 0548 No flu shot – not available at all in area
FLU_66G 1 0549 – 0549 No flu shot – waiting time was too long
FLU_66H 1 0550 – 0550 No flu shot – transportation problems
FLU_66I 1 0551 – 0551 No flu shot – language problem
FLU_66J 1 0552 – 0552 No flu shot – cost
FLU_66K 1 0553 – 0553 No flu shot – did not know where to go
FLU_66L 1 0554 – 0554 No flu shot – fear
FLU_66M 1 0555 – 0555 No flu shot – bad reaction to previous shot
FLU_66O 1 0556 – 0556 No flu shot – unable to leave house / health problem
FLU_66N 1 0557 – 0557 No flu shot – other
DOBPC 1 0558 – 0558 Blood pressure check – Inclusion Flag – (F)
BPC_010 1 0559 – 0559 Ever had blood pressure taken
BPC_012 1 0560 – 0560 Last time blood pressure was taken
BPC_013 1 0561 – 0561 Pregnant – blood pressure taken
BPC_16A 1 0562 – 0562 Blood pressure not taken – have not gotten around to it
BPC_16B 1 0563 – 0563 Blood pressure not taken – respondent didn't think necessary
BPC_16C 1 0564 – 0564 Blood pressure not taken – doctor didn't think necessary
BPC_16D 1 0565 – 0565 Blood pressure not taken – personal / fam. responsibilities
BPC_16E 1 0566 – 0566 Blood pressure not taken – not available when required
BPC_16F 1 0567 – 0567 Blood pressure not taken – not available in area
BPC_16G 1 0568 – 0568 Blood pressure not taken – waiting time too long
BPC_16H 1 0569 – 0569 Blood pressure not taken – transportation problems
BPC_16I 1 0570 – 0570 Blood pressure not taken – language problem
BPC_16J 1 0571 – 0571 Blood pressure not taken – cost
BPC_16K 1 0572 – 0572 Blood pressure not taken – did not know where to go
BPC_16L 1 0573 – 0573 Blood pressure not taken – fear
BPC_16N 1 0574 – 0574 Blood pressure not taken – unable to leave house/health prob
BPC_16M 1 0575 – 0575 Blood pressure not taken – other
DOPAP 1 0576 – 0576 PAP smear test module – Inclusion Flag – (F)
PAP_020 1 0577 – 0577 Ever had PAP smear test
PAP_022 1 0578 – 0578 Last time had PAP smear test
PAP_26A 1 0579 – 0579 No PAP smear – have not gotten around to it
PAP_26B 1 0580 – 0580 No PAP smear – respondent didn't think necessary
PAP_26C 1 0581 – 0581 No PAP smear – doctor didn't think necessary
PAP_26D 1 0582 – 0582 No PAP smear – personal / family responsibilities
PAP_26E 1 0583 – 0583 No PAP smear – not available when required
PAP_26F 1 0584 – 0584 No PAP smear – not available in area
PAP_26G 1 0585 – 0585 No PAP smear – waiting time too long
PAP_26H 1 0586 – 0586 No PAP smear – transportation problems
PAP_26I 1 0587 – 0587 No PAP smear – language problem
PAP_26J 1 0588 – 0588 No PAP smear – cost
PAP_26K 1 0589 – 0589 No PAP smear – did not know where to go
PAP_26L 1 0590 – 0590 No PAP smear – fear
PAP_26M 1 0591 – 0591 No PAP smear – hysterectomy
PAP_26N 1 0592 – 0592 No PAP smear – hate / dislike having one done
PAP_26P 1 0593 – 0593 No PAP smear – unable to leave house / health problem
PAP_26O 1 0594 – 0594 No PAP smear – other
DOMAM 1 0595 – 0595 Mammography – Inclusion Flag – (F)
MAM_030 1 0596 – 0596 Ever had mammogram
MAM_31A 1 0597 – 0597 Had mammogram – family history
MAM_31B 1 0598 – 0598 Had mammogram – regular check–up
MAM_31C 1 0599 – 0599 Had mammogram – age
MAM_31D 1 0600 – 0600 Had mammogram – previously detected lump
MAM_31E 1 0601 – 0601 Had mammogram – follow–up of treatment
MAM_31F 1 0602 – 0602 Had mammogram – on hormone replacement therapy
MAM_31G 1 0603 – 0603 Had mammogram – breast problem
MAM_31H 1 0604 – 0604 Had mammogram – other
MAM_032 1 0605 – 0605 Last time mammogram was done
MAM_36A 1 0606 – 0606 No mammogram – have not gotten around to it – past 2 yrs
MAM_36B 1 0607 – 0607 No mammogram – respondent did not think necessary – past 2 yrs
MAM_36C 1 0608 – 0608 No mammogram – doctor did not think necessary – past 2 yrs
MAM_36D 1 0609 – 0609 No mammogram – personal/family responsibilities – past 2 yrs
MAM_36E 1 0610 – 0610 No mammogram – not available when required – past 2 yrs
MAM_36F 1 0611 – 0611 No mammogram – not available in the area – past 2 yrs
MAM_36G 1 0612 – 0612 No mammogram – waiting time too long – past 2 yrs
MAM_36H 1 0613 – 0613 No mammogram – transportation problems – past 2 yrs
MAM_36I 1 0614 – 0614 No mammogram – language problem – past 2 yrs
MAM_36J 1 0615 – 0615 No mammogram – cost – past 2 yrs
MAM_36K 1 0616 – 0616 No mammogram – did not know where to go – past 2 yrs
MAM_36L 1 0617 – 0617 No mammogram – fear – past 2 yrs
MAM_36N 1 0618 – 0618 No mammogram – unable to leave house/health prob – past 2 yrs
MAM_36O 1 0619 – 0619 No mammogram – Breasts removed / Mastectomy
MAM_36M 1 0620 – 0620 No mammogram – other – past 2 yrs
MAM_038 1 0621 – 0621 Had a hysterectomy
DOBRX 1 0622 – 0622 Breast examinations – Inclusion Flag – (F)
BRX_110 1 0623 – 0623 Had breasts examined by health professional
BRX_112 1 0624 – 0624 Last time breasts exam for lumps
BRX_16A 1 0625 – 0625 No breast exam – have not gotten around to it
BRX_16B 1 0626 – 0626 No breast exam – respondent didn't think necessary
BRX_16C 1 0627 – 0627 No breast exam – doctor didn't think necessary
BRX_16D 1 0628 – 0628 No breast exam – personal / family responsibilities
BRX_16E 1 0629 – 0629 No breast exam – not available when required
BRX_16F 1 0630 – 0630 No breast exam – not available in area
BRX_16G 1 0631 – 0631 No breast exam – waiting time too long
BRX_16H 1 0632 – 0632 No breast exam – transportation problems
BRX_16I 1 0633 – 0633 No breast exam – language problem
BRX_16J 1 0634 – 0634 No breast exam – cost
BRX_16K 1 0635 – 0635 No breast exam – did not know where to go
BRX_16L 1 0636 – 0636 No breast exam – fear
BRX_16N 1 0637 – 0637 No breast exam – unable to leave house / health problem
BRX_16O 1 0638 – 0638 No breast exam – breast removed / mastectomy
BRX_16M 1 0639 – 0639 No breast exam – other
DOBSX 1 0640 – 0640 Breast self examinations – Inclusion Flag – (F)
BSX_120 1 0641 – 0641 Self–examined breasts for lumps
BSX_121 1 0642 – 0642 Frequency – breast self–examination
BSX_22A 1 0643 – 0643 Breast self–exam learned from – doctor
BSX_22B 1 0644 – 0644 Breast self–exam learned from – nurse
BSX_22C 1 0645 – 0645 Breast self–exam learned from – book / magazine / pamphlet
BSX_22D 1 0646 – 0646 Breast self–exam learned from – TV / video / film
BSX_22H 1 0647 – 0647 Breast self–exam learned from – family member
BSX_22G 1 0648 – 0648 Breast self–exam learned from – other
DOPSA 1 0649 – 0649 Prostate cancer screening – Inclusion Flag – (F)
PSA_170 1 0650 – 0650 Ever had a PSA blood test (prostate cancer)
PSA_172 1 0651 – 0651 Last time had PSA blood test
PSA_73A 1 0652 – 0652 Had PSA test – family history of prostate cancer
PSA_73B 1 0653 – 0653 Had PSA test – regular check–up
PSA_73C 1 0654 – 0654 Had PSA test – age
PSA_73G 1 0655 – 0655 Had PSA test – race
PSA_73D 1 0656 – 0656 Had PSA test – follow–up of problem
PSA_73E 1 0657 – 0657 Had PSA test – follow–up of prostate cancer treatment
PSA_73F 1 0658 – 0658 Had PSA test – other
PSA_174 1 0659 – 0659 Had a digital rectal exam
PSA_175 1 0660 – 0660 Last time had digital rectal exam
DOCCS 1 0661 – 0661 Colorectal cancer screening – Inclusion Flag – (F)
CCS_180 1 0662 – 0662 Had an FOBT test
CCS_182 2 0663 – 0664 Last time FOBT test done
CCS_83A 1 0665 – 0665 Had FOBT – family history
CCS_83B 1 0666 – 0666 Had FOBT – regular check–up
CCS_83C 1 0667 – 0667 Had FOBT – age
CCS_83G 1 0668 – 0668 Had FOBT – race
CCS_83D 1 0669 – 0669 Had FOBT – follow–up of problem
CCS_83E 1 0670 – 0670 Had FOBT – follow–up of treatment
CCS_83F 1 0671 – 0671 Had FOBT – other
CCS_184 1 0672 – 0672 Had colonoscopy or sigmoidoscopy
CCS_185 2 0673 – 0674 Last time had colonoscopy or sigmoidoscopy
CCS_86B 1 0676 – 0676 Had colonoscopy/sigmoidoscopy – regular check–up
CCS_86C 1 0677 – 0677 Had colonoscopy/sigmoidoscopy – age
CCS_86G 1 0678 – 0678 Had colonoscopy/sigmoidoscopy – race
CCS_86D 1 0679 – 0679 Had colonoscopy/sigmoidoscopy – follow–up of problem
CCS_86E 1 0680 – 0680 Had colonoscopy/sigmoidoscopy – follow–up of treatment
CCS_86F 1 0681 – 0681 Had colonoscopy/sigmoidoscopy – other
CCS_187 1 0682 – 0682 Colonoscopy or sigmoidoscopy followed FOBT test
DOEYX 1 0683 – 0683 Eye examinations – Inclusion Flag – (F)
EYX_140 1 0684 – 0684 Visit eye doctor – 12 m
EYX_142 1 0685 – 0685 Last time eye examination
EYX_46A 1 0686 – 0686 No eye exam – not gotten around to it – past 2 yrs
EYX_46B 1 0687 – 0687 No eye exam – respondent didn't think necessary
EYX_46C 1 0688 – 0688 No eye exam – doctor didn't think necessary
EYX_46D 1 0689 – 0689 No eye exam – personal or family responsibilities
EYX_46E 1 0690 – 0690 No eye exam – not available when required
EYX_46F 1 0691 – 0691 No eye exam– not available in area
EYX_46G 1 0692 – 0692 No eye exam – waiting time too long
EYX_46H 1 0693 – 0693 No eye exam – transportation problems
EYX_46I 1 0694 – 0694 No eye exam – language problem
EYX_46J 1 0695 – 0695 No eye exam – cost
EYX_46K 1 0696 – 0696 No eye exam – did not know where to go
EYX_46L 1 0697 – 0697 No eye exam – fear
EYX_46N 1 0698 – 0698 No eye exam – health problem
EYX_46M 1 0699 – 0699 No eye exam – other reason
DODEN 1 0700 – 0700 Dental visits – Inclusion Flag – (F)
DEN_130 1 0701 – 0701 Visited dentist
DEN_132 2 0702 – 0703 Last time visited dentist
DEN_36A 1 0704 – 0704 No dental visit – have not gotten around to it
DEN_36B 1 0705 – 0705 No dental visit – respondent didn't think necessary
DEN_36C 1 0706 – 0706 No dental visit – dentist didn't think necessary
DEN_36D 1 0707 – 0707 No dental visit – personal / family responsibilities
DEN_36E 1 0708 – 0708 No dental visit – not available when required
DEN_36F 1 0709 – 0709 No dental visit – not available in area
DEN_36G 1 0710 – 0710 No dental visit – waiting time too long
DEN_36H 1 0711 – 0711 No dental visit – transportation problems
DEN_36I 1 0712 – 0712 No dental visit – language problem
DEN_36J 1 0713 – 0713 No dental visit – cost
DEN_36K 1 0714 – 0714 No dental visit – did not know where to go
DEN_36L 1 0715 – 0715 No dental visit – fear
DEN_36M 1 0716 – 0716 No dental visit – wears dentures
DEN_36O 1 0717 – 0717 No dental visit – unable to leave house / health problem
DEN_36N 1 0718 – 0718 No dental visit – other
DOOH2 1 0719 – 0719 Oral health 2 – Inclusion Flag – (F)
OH2_10 1 0720 – 0720 Frequency usually visits the dentist
OH2_11 1 0721 – 0721 Insurance for dental expenses
OH2_11A 1 0722 – 0722 Type of dental insurance plan – government–sponsored
OH2_11B 1 0723 – 0723 Type of dental insurance plan – employer–sponsored
OH2_11C 1 0724 – 0724 Type of dental insurance plan – private
OH2_12 1 0725 – 0725 Teeth removed by dentist – 12 months
OH2_13 1 0726 – 0726 Teeth removed – decay or gum disease – 12 months
OH2_20 1 0727 – 0727 Has one or more of own teeth
OH2_21 1 0728 – 0728 Wears dentures
OH2_22 1 0729 – 0729 Condition of teeth/mouth – difficulty speaking clearly
OH2_23 1 0730 – 0730 Condition of teeth/mouth – avoided conversation – 12 months
OH2_24 1 0731 – 0731 Condition of teeth/mouth – avoided laughing/smiling – 12 months
OH2_25A 1 0732 – 0732 Had a toothache – past month
OH2_25B 1 0733 – 0733 Teeth sensitive to hot or cold – past month
OH2_25C 1 0734 – 0734 Had pain – jaw joints – past month
OH2_25D 1 0735 – 0735 Had pain – mouth or face – past month
OH2_25E 1 0736 – 0736 Had bleeding gums – past month
OH2_25F 1 0737 – 0737 Had dry mouth – past month
OH2_25G 1 0738 – 0738 Had bad breath – past month
OH2_30 2 0739 – 0740 Frequency of brushing teeth
OH2FLIM 1 0741 – 0741 Limited socially due to oral health status – 12 month – (F)
OH2FOFP 1 0742 – 0742 Oral or facial pain – past month – (F)
DOFDC 1 0743 – 0743 Food choices – Inclusion Flag – (F)
FDC_1A 1 0744 – 0744 Chooses or avoids foods – concerned about body weight
FDC_1B 1 0745 – 0745 Chooses or avoids foods – concerned about heart disease
FDC_1C 1 0746 – 0746 Chooses or avoids foods – concerned about cancer
FDC_1D 1 0747 – 0747 Chooses or avoids foods – concerned about osteoporosis
FDC_2A 1 0748 – 0748 Reason to choose foods – lower fat content
FDC_2B 1 0749 – 0749 Reason to choose foods – fibre content
FDC_2C 1 0750 – 0750 Reason to choose foods – calcium content
FDC_3A 1 0751 – 0751 Reason to avoid foods – fat content
FDC_3B 1 0752 – 0752 Reason to avoid foods – type of fat
FDC_3C 1 0753 – 0753 Reason to avoid foods – salt content
FDC_3D 1 0754 – 0754 Reason to avoid foods – cholesterol content
FDC_3E 1 0755 – 0755 Reason to avoid foods – calorie content
FDCFAVD 1 0756 – 0756 Avoids foods for content reasons – (F)
FDCFCAH 1 0757 – 0757 Chooses/avoids foods because of certain health concerns – (F)
FDCFCHO 1 0758 – 0758 Chooses foods for content reasons – (F)
DODSU 1 0759 – 0759 Dietary Supplement module – Inclusion Flag – (F)
DSU_1A 1 0760 – 0760 Took vitamin or mineral supplements – past 4 weeks
DSU_1B 1 0761 – 0761 Took supplements – at least once a week
DSU_1C 2 0762 – 0763 Took supplements – number of days – last week
DSU_1D 2 0764 – 0765 Took supplements – number of days – past 4 weeks
DSUDCON 2 0766 – 0767 Frequent of consumption of vitamin/mineral supplements – (F)
FVC_1A 1 0768 – 0768 Drinks fruit juices – reporting unit
FVC_1B 2 0769 – 0770 Drinks fruit juices – number of times per day
FVC_1C 2 0771 – 0772 Drinks fruit juices – number of times per week
FVC_1D 3 0773 – 0775 Drinks fruit juices – number of times per month
FVC_1E 3 0776 – 0778 Drinks fruit juices – number of times per year
FVC_2A 1 0779 – 0779 Eats fruit – reporting unit
FVC_2B 2 0780 – 0781 Eats fruit – number of times per day
FVC_2C 2 0782 – 0783 Eats fruit – number of times per week
FVC_2D 3 0784 – 0786 Eats fruit – number of times per month
FVC_2E 3 0787 – 0789 Eats fruit – number of times per year
FVC_3A 1 0790 – 0790 Eats green salad – reporting unit
FVC_3B 2 0791 – 0792 Eats green salad – number of times per day
FVC_3C 2 0793 – 0794 Eats green salad – number of times per week
FVC_3D 3 0795 – 0797 Eats green salad – number of times per month
FVC_3E 3 0798 – 0800 Eats green salad – number of times per year
FVC_4A 1 0801 – 0801 Eats potatoes – reporting unit
FVC_4B 2 0802 – 0803 Eats potatoes – number of times per day
FVC_4C 2 0804 – 0805 Eats potatoes – number of times per week
FVC_4D 3 0806 – 0808 Eats potatoes – number of times per month
FVC_4E 3 0809 – 0811 Eats potatoes – number of times per year
FVC_5A 1 0812 – 0812 Eats carrots – reporting unit
FVC_5B 2 0813 – 0814 Eats carrots – number of times per day
FVC_5C 2 0815 – 0816 Eats carrots – number of times per week
FVC_5D 3 0817 – 0819 Eats carrots – number of times per month
FVC_5E 3 0820 – 0822 Eats carrots – number of times per year
FVC_6A 1 0823 – 0823 Eats other vegetables – reporting unit
FVC_6B 2 0824 – 0825 Eats other vegetables – number of servings per day
FVC_6C 2 0826 – 0827 Eats other vegetables – number of servings per week
FVC_6D 3 0828 – 0830 Eats other vegetables – number of servings per month
FVC_6E 3 0831 – 0833 Eats other vegetables – number of servings per year
FVCDJUI 5.1 0834 – 0838 Daily consumption – fruit juice – (D)
FVCDFRU 5.1 0839 – 0843 Daily consumption – fruit – (D)
FVCDSAL 5.1 0844 – 0848 Daily consumption – green salad – (D)
FVCDPOT 5.1 0849 – 0853 Daily consumption – potatoes – (D)
FVCDCAR 5.1 0854 – 0858 Daily consumption – carrots – (D)
FVCDVEG 5.1 0859 – 0863 Daily consumption – other vegetables – (D)
FVCDTOT 5.1 0864 – 0868 Daily consumption – total fruits and vegetables – (D)
FVCGTOT 1 0869 – 0869 Daily consumption – total fruits and vegetables – (D, G)
PAC_1A 1 0870 – 0870 Activity / last 3 months – walking
PAC_1B 1 0871 – 0871 Activity / last 3 months – gardening or yard work
PAC_1C 1 0872 – 0872 Activity / last 3 months – swimming
PAC_1D 1 0873 – 0873 Activity / last 3 months – bicycling
PAC_1E 1 0874 – 0874 Activity / last 3 months – popular or social dance
PAC_1F 1 0875 – 0875 Activity / last 3 months – home exercises
PAC_1G 1 0876 – 0876 Activity / last 3 months – ice hockey
PAC_1H 1 0877 – 0877 Activity / last 3 months – ice skating
PAC_1I 1 0878 – 0878 Activity / last 3 months – in–line skating or rollerblading
PAC_1J 1 0879 – 0879 Activity / last 3 months – jogging or running
PAC_1K 1 0880 – 0880 Activity / last 3 months – golfing
PAC_1L 1 0881 – 0881 Activity / last 3 months – exercise class or aerobics
PAC_1M 1 0882 – 0882 Activity / last 3 months – downhill skiing or snowboarding
PAC_1N 1 0883 – 0883 Activity / last 3 months – bowling
PAC_1O 1 0884 – 0884 Activity / last 3 months – baseball or softball
PAC_1P 1 0885 – 0885 Activity / last 3 months – tennis
PAC_1Q 1 0886 – 0886 Activity / last 3 months – weight–training
PAC_1R 1 0887 – 0887 Activity / last 3 months – fishing
PAC_1S 1 0888 – 0888 Activity / last 3 months – volleyball
PAC_1T 1 0889 – 0889 Activity / last 3 months – basketball
PAC_1Z 1 0890 – 0890 Activity / last 3 months – Soccer
PAC_1U 1 0891 – 0891 Activity / last 3 months – Any other
PAC_1V 1 0892 – 0892 Activity / last 3 months – No physical activity
PAC_1W 1 0893 – 0893 Activity / last 3 months – other (#2)
PAC_1X 1 0894 – 0894 Activity / last 3 months – other (#3)
PAC_2A 3 0895 – 0897 Number of times / 3 months – walking for exercise
PAC_3A 1 0898 – 0898 Time spent – walking for exercise
PAC_2B 3 0899 – 0901 Number of times / 3 months – gardening/yard work
PAC_3B 1 0902 – 0902 Time spent – gardening or yard work
PAC_2C 3 0903 – 0905 Number of times / 3 months – swimming
PAC_3C 1 0906 – 0906 Time spent – swimming
PAC_2D 3 0907 – 0909 Number of times / 3 months – bicycling
PAC_3D 1 0910 – 0910 Time spent – bicycling
PAC_2E 3 0911 – 0913 Number of times / 3 months – popular or social dance
PAC_3E 1 0914 – 0914 Time spent – popular or social dance
PAC_2F 3 0915 – 0917 Number of times / 3 months – home exercises
PAC_3F 1 0918 – 0918 Time spent – home exercises
PAC_2G 3 0919 – 0921 Number of times / 3 months – ice hockey
PAC_3G 1 0922 – 0922 Time spent – ice hockey
PAC_2H 3 0923 – 0925 Number of times / 3 months – ice skating
PAC_3H 1 0926 – 0926 Time spent – ice skating
PAC_2I 3 0927 – 0929 Number of times / 3 months– in–line skating or rollerblading
PAC_3I 1 0930 – 0930 Time spent – in–line skating or rollerblading
PAC_2J 3 0931 – 0933 Number of times / 3 months – jogging or running
PAC_3J 1 0934 – 0934 Time spent – jogging or running
PAC_2K 3 0935 – 0937 Number of times / 3 months – golfing
PAC_3K 1 0938 – 0938 Time spent – golfing
PAC_2L 3 0939 – 0941 Number of times / 3 months – exercise class or aerobics
PAC_3L 1 0942 – 0942 Time spent – exercise class or aerobics
PAC_2M 3 0943 – 0945 Number of times / 3 months – downhill skiing or snowboarding
PAC_3M 1 0946 – 0946 Time spent – downhill skiing or snowboarding
PAC_2N 3 0947 – 0949 Number of times / 3 months – bowling
PAC_3N 1 0950 – 0950 Time spent – bowling
PAC_2O 3 0951 – 0953 Number of times / 3 months – baseball or softball
PAC_3O 1 0954 – 0954 Time spent – baseball or softball
PAC_2P 3 0955 – 0957 Number of times / 3 months – tennis
PAC_3P 1 0958 – 0958 Time spent – tennis
PAC_2Q 3 0959 – 0961 Number of times / 3 months – weight–training
PAC_3Q 1 0962 – 0962 Time spent – weight–training
PAC_2R 3 0963 – 0965 Number of times / 3 months – fishing
PAC_3R 1 0966 – 0966 Time spent – fishing
PAC_2S 3 0967 – 0969 Number of times / 3 months – volleyball
PAC_3S 1 0970 – 0970 Time spent – volleyball
PAC_2T 3 0971 – 0973 Number of times / 3 months – basketball
PAC_3T 1 0974 – 0974 Time spent – basketball
PAC_2Z 3 0975 – 0977 Number of times / 3 months – soccer
PAC_3Z 1 0978 – 0978 Time spent – soccer
PAC_2U 3 0979 – 0981 Number of times / 3 months – other activity (#1)
PAC_3U 1 0982 – 0982 Time spent – other activity (#1)
PAC_2W 3 0983 – 0985 Number of times / 3 months – other activity (#2)
PAC_3W 1 0986 – 0986 Time spent – other activity (#2)
PAC_2X 3 0987 – 0989 Number of times – other activity (#3)
PAC_3X 1 0990 – 0990 Time spent – other activity (#3)
PAC_7 1 0991 – 0991 Walked to work or school / last 3 months
PAC_7A 3 0992 – 0994 Number of times / 3 months – walking to go work or school
PAC_7B 1 0995 – 0995 Time spent – walking to go work or school
PAC_8 1 0996 – 0996 Bicycled to work or school / last 3 months
PAC_8A 3 0997 – 0999 Number of times / 3 months – bicycling to go work or school
PAC_8B 1 1000 – 1000 Time spent – bicycling to go work or school
PACDEE 4.1 1001 – 1004 Daily energy expenditure – Leisure physical activities – (D)
PACFLEI 1 1005 – 1005 Participant in leisure physical activity – (F)
PACDFM 3 1006 – 1008 Month frequent – Leisure physical activity lasting >15 minute – (D)
PACDFR 1 1009 – 1009 Frequency of all leisure physical activity > 15 minute – (D)
PACFD 1 1010 – 1010 Participant in daily leisure physical activity > 15 minute – (F)
PACDPAI 1 1011 – 1011 Leisure physical activity index – (D)
PACDLTI 1 1012 – 1012 Leisure and transportation physical activity index – (D)
PACDTLE 4.1 1013 – 1016 Daily energy expend – Transport and leisure physical activity – (D)
PACFLTI 1 1017 – 1017 Participant in leisure or transportation physical activity – (F)
DOSAC 1 1018 – 1018 Sedentary activities module – Inclusion Flag – (F)
SAC_1 2 1019 – 1020 Number of hours – on a computer – past 3 month
SAC_2 2 1021 – 1022 Number of hours – playing video games – past 3 month
SAC_3 2 1023 – 1024 Number of hours – watching television or videos – past 3 month
SAC_4 2 1025 – 1026 Number of hours – reading – past 3 month
SACDTOT 2 1027 – 1028 Total number hours – sedentary activities – past 3 month – (D)
SACDTER 2 1029 – 1030 Total number hours / week (excluding reading) – sedentary activity – (D)
DOUPE 1 1031 – 1031 Use of protective equipment – Inclusion Flag – (F)
UPE_01A 1 1032 – 1032 Done any bicycling in past 12 months
UPE_01 1 1033 – 1033 Frequency – wears helmet – bicycling
UPE_02 1 1034 – 1034 Done any in–line skating in past 12 months
UPE_02A 1 1035 – 1035 Frequency – wears helmet – in–line skating
UPE_02B 1 1036 – 1036 Frequency – wears wrist guards – in–line skating
UPE_02C 1 1037 – 1037 Frequency – wears elbow pads – in–line skating
UPE_02D 1 1038 – 1038 Wear knee pads
UPE_03A 1 1039 – 1039 Downhill skiing or snowboarding – past 3 month
UPE_03B 1 1040 – 1040 Downhill skiing or snowboarding – past 12 month
UPE_04A 1 1041 – 1041 Frequency – wears helmet – downhill skiing
UPE_05A 1 1042 – 1042 Frequency – wears helmet – snowboarding
UPE_05B 1 1043 – 1043 Frequency – wears wrist guards – snowboarding
UPE_06 1 1044 – 1044 Has done skateboarding – past 12 month
UPE_06A 1 1045 – 1045 Frequency – wears helmet – skateboarding
UPE_06B 1 1046 – 1046 Frequency – wears wrist guards/protectors – skateboarding
UPE_06C 1 1047 – 1047 Frequency – wears elbow pads – skateboarding
UPE_07 1 1048 – 1048 Played ice hockey past 12 months
UPE_07A 1 1049 – 1049 Wear a mouth guard
UPEFILS 1 1050 – 1050 Wears all protective equipment – in–line skating – (F)
UPEFSKB 1 1051 – 1051 Wears all protective equipment – skateboarding – (F)
UPEFSNB 1 1052 – 1052 Wears all protective equipment – snowboarding – (F)
DOSSB 1 1053 – 1053 Sun safety behaviours – Inclusion Flag – (F)
SSB_01 1 1054 – 1054 Been surnburnt – past 12 months
SSB_02 1 1055 – 1055 Sunburn involved blistering
SSB_03 1 1056 – 1056 Sunburns involved pain – lasting more than 1 day
SSB_06 2 1057 – 1058 Amount of time in the sun – 11 am to 4 pm
SSB_07 1 1059 – 1059 Frequency – seek shade
SSB_08 1 1060 – 1060 Frequency – wear hat in the sun
SSB_09A 1 1061 – 1061 Frequency – wear long pants or skirt in the sun
SSB_09B 1 1062 – 1062 Frequency – use sunscreen on your face
SSB_10 1 1063 – 1063 Sun Proctection factor (SPF) usually use – face
SSB_11 1 1064 – 1064 Frequency – use sunscreen on your body
SSB_12 1 1065 – 1065 Sun Proctection factor (SPF) usually use on body
SSB_13 1 1066 – 1066 Skin cancer
SSB_14 1 1067 – 1067 Skin cancer – diagnostic
SSB_15 1 1068 – 1068 Skin cancer – type of cancer
DOINJ 1 1069 – 1069 Injuries – Inclusion Flag – (F)
REP_1A 1 1070 – 1070 Repetitive strain injury
REP_2 1 1071 – 1071 Limit your normal activities
REP_3 2 1072 – 1073 Repetitive strain – body part affected
REP_3A 1 1074 – 1074 Repetitive strain– activity causing injury
REP_4 1 1075 – 1075 Repetitive strain– working at a job or business
REP_5A 1 1076 – 1076 Activity – Walking
REP_5B 1 1077 – 1077 Activity – Sports
REP_5C 1 1078 – 1078 Activity – Leisure
REP_5D 1 1079 – 1079 Activity – Household chores
REP_5F 1 1080 – 1080 Activity – Computer
REP_5G 1 1081 – 1081 Activity – Driving a motor vehicle
REP_5H 1 1082 – 1082 Activity – Lifting or carrying
REP_5I 1 1083 – 1083 Activity – Other
INJ_01 1 1084 – 1084 Injured in past 12 months
INJ_02 2 1085 – 1086 Number of injuries in past 12 months
INJ_03 2 1087 – 1088 Most serious injury – month of occurrence
INJ_04 1 1089 – 1089 Most serious injury – year of occurrence
INJ_05 2 1090 – 1091 Most serious injury – type
INJ_06 2 1092 – 1093 Most serious injury – body part affected
INJ_07 1 1094 – 1094 Internal organs – body part affected
INJ_08 2 1095 – 1096 Most serious injury – place of occurrence
INJ_09 2 1097 – 1098 Most serious injury – activity when injured
INW_01 1 1099 – 1099 Injury occured in current job
INWF02 1 1100 – 1100 Response entered – kind of business – (F)
INWF03 1 1101 – 1101 Response entered – kind of work – (F)
INWCSIC 5 1102 – 1106 North American Industry Classification System (NAICS) 2007
INWCSOC 4 1107 – 1110 National Occupation Classification for Statistics (NOC–S) 2006
INWF03S 1 1111 – 1111 Response entered – other – kind of work – (F)
INWF04 1 1112 – 1112 Response entered – most important duties at work – (F)
INWDOCG 2 1113 – 1114 Occupation group (SOC) where injury occurred
INWDING 2 1115 – 1116 Industry group – (D)
INJ_10 1 1117 – 1117 Most serious injury – result of a fall
INJ_11A 2 1118 – 1119 How did you fall
INJ_12 2 1120 – 1121 Most serious injury – cause
INJ_12A 1 1122 – 1122 Time of injury
INJ_13 1 1123 – 1123 Most serious injury – received treatment within 48 hours
INJ_14A 1 1124 – 1124 Treated doctor’s office
INJ_14B 1 1125 – 1125 Treated emergency room
INJ_14C 1 1126 – 1126 Treated hospital outpatient
INJ_14L 1 1127 – 1127 Treated other clinic
INJ_14M 1 1128 – 1128 Treated physio/massage therap.
INJ_14F 1 1129 – 1129 Treated chiropractor
INJ_14N 1 1130 – 1130 Treated community health centre
INJ_14O 1 1131 – 1131 Treated where injury happened
INJ_14K 1 1132 – 1132 Treated – Other
INJ_15 1 1133 – 1133 Most serious injury – admitted to hospital
INJ_15A 1 1134 – 1134 Follow–up care because of injury
INJ_16 1 1135 – 1135 Other injuries – treated but did not limit normal activities
INJ_17 2 1136 – 1137 Other injuries – number
INJDTBS 4 1138 – 1141 Type of injury by body site – (D)
INJDCAU 2 1142 – 1143 Cause of injury – (D)
INJDCBP 4 1144 – 1147 Cause of injury by place of occurrence – (D)
INJDSTT 1 1148 – 1148 Injury Status – (D)
DOSWL 1 1149 – 1149 Satisfaction with life – Inclusion Flag – (F)
SWL_02 1 1150 – 1150 Satisfaction – job
SWL_03 1 1151 – 1151 Satisfaction – leisure activities
SWL_04 1 1152 – 1152 Satisfaction – financial situation
SWL_05 1 1153 – 1153 Satisfaction – with self
SWL_06 1 1154 – 1154 Satisfaction – way body looks
SWL_07 1 1155 – 1155 Satisfaction – relationships with other family members
SWL_08 1 1156 – 1156 Satisfaction – relationships with friends
SWL_09 1 1157 – 1157 Satisfaction – housing
SWL_10 1 1158 – 1158 Satisfaction – neighbourhood
DOSTS 1 1159 – 1159 Stress – sources – Inclusion Flag – (F)
STS_1 1 1160 – 1160 Self–perceived ability to handle unexpected problem
STS_2 1 1161 – 1161 Self–perceived ability to handle day–to–day demands
STS_3 2 1162 – 1163 Most important source of feelings of stress
DOSTC 1 1164 – 1164 Stress – Coping with stress – Inclusion Flag – (F)
STC_61 1 1165 – 1165 Frequency – coping – problem solving
STC_62 1 1166 – 1166 Frequency – coping – talking to others
STC_63 1 1167 – 1167 Frequency – coping – avoiding being with people
STC_64 1 1168 – 1168 Frequency – coping – sleeping more than usual
STC_65A 1 1169 – 1169 Frequency – coping – eating more or less than usual
STC_65B 1 1170 – 1170 Frequency – coping – smoking more cigarettes than usual
STC_65C 1 1171 – 1171 Frequency – coping – drinking alcohol
STC_65D 1 1172 – 1172 Frequency – coping – using drugs or medication
STC_66 1 1173 – 1173 Frequency – coping – jogging or other exercise
STC_67 1 1174 – 1174 Frequency – coping – praying or seeking spiritual help
STC_68 1 1175 – 1175 Frequency – coping – doing something enjoyable
STC_69 1 1176 – 1176 Frequency – coping – looking on the bright side of things
STC_610 1 1177 – 1177 Frequency – coping – blaming oneself
STC_611 1 1178 – 1178 Frequency – coping – wishing situation would go away
DOSFE 1 1179 – 1179 Self–esteem module – Inclusion Flag – (F)
SFE_501 1 1180 – 1180 Self–esteem – has good qualities
SFE_502 1 1181 – 1181 Self–esteem – is person of worth
SFE_503 1 1182 – 1182 Self–esteem – is able to do things well
SFE_504 1 1183 – 1183 Self–esteem – takes positive attitude towards self
SFE_505 1 1184 – 1184 Self–esteem – satisfied with self
SFE_506 1 1185 – 1185 Self–esteem – feels is a failure
SFEDE1 2 1186 – 1187 Self–esteem scale – (D)
DOMAS 1 1188 – 1188 Mastery – Inclusion Flag – (F)
MAS_601 1 1189 – 1189 Mastery – lack of control
MAS_602 1 1190 – 1190 Mastery – cannot solve problems
MAS_603 1 1191 – 1191 Mastery – cannot change things
MAS_604 1 1192 – 1192 Mastery – helpless
MAS_605 1 1193 – 1193 Mastery – pushed around
MAS_606 1 1194 – 1194 Mastery – fate depends upon self
MAS_607 1 1195 – 1195 Mastery – can do anything
MASDM1 2 1196 – 1197 Mastery scale – (D)
SMK_01A 1 1198 – 1198 Smoked 100 or more cigarettes – life
SMK_01B 1 1199 – 1199 Ever smoked whole cigarette
SMK_01C 3 1200 – 1202 Age – smoked first whole cigarette
SMK_202 1 1203 – 1203 Type of smoker
SMK_203 3 1204 – 1206 Age – started smoking daily (daily smoker)
SMK_204 3 1207 – 1209 Number of cigarettes smoked per day (daily smoker)
SMK_05B 3 1210 – 1212 Number of cigarettes smoked per day (occasional smoker)
SMK_05C 2 1213 – 1214 Number of days – smoked 1 cigarette or more (occasional smoker)
SMK_05D 1 1215 – 1215 Ever smoked cigarettes daily
SMK_06A 1 1216 – 1216 Stopped smoking – when (was never a daily smoker)
SMK_06B 2 1217 – 1218 Stopped smoking – month (never daily smoker)
SMK_06C 3 1219 – 1221 Number of years since stopped smoking
SMK_207 3 1222 – 1224 Age – started smoking daily (former daily smoker)
SMK_208 3 1225 – 1227 Number of cigarettes smoked per day (former daily smoker)
SMK_09A 1 1228 – 1228 Stopped smoking daily – when stopped (former daily smoker)
SMK_09B 2 1229 – 1230 Stopped smoking daily – month (former daily smoker)
SMK_09C 3 1231 – 1233 Number of yrs since stopped smoking daily (former daily smoker)
SMK_10 1 1234 – 1234 Quit smoking completely (former daily smoker)
SMK_10A 1 1235 – 1235 Stopped smoking completely – when (former daily smoker)
SMK_10B 2 1236 – 1237 Stopped smoking completely – month (former daily smoker)
SMK_10C 3 1238 – 1240 Number of years since stopped smoking (daily)
SMKDSTY 2 1241 – 1242 Type of smoker – (D)
SMKDSTP 3 1243 – 1245 Number of years since stopped smoking completely – (D)
SMKDYCS 3 1246 – 1248 Number of years smoked (current daily smokers) – (D)
DOSCH 1 1249 – 1249 Smoking – stages of change – Inclusion Flag – (F)
SCH_1 1 1250 – 1250 Quitting smoking – next 6 months
SCH_2 1 1251 – 1251 Quitting smoking – next 30 days
SCH_3 1 1252 – 1252 Stopped smoking for at least 24 hours – 12 month
SCH_4 2 1253 – 1254 Number of times stopped for at least 24 hours – 12 month
SCHDSTG 1 1255 – 1255 Smoking stages of change – (D)
DOSCA 1 1256 – 1256 Smoking cessation methods – Inclusion Flag – (F)
SCA_10 1 1257 – 1257 Has used nicotine patch
SCA_10A 1 1258 – 1258 Usefulness of nicotine patch
SCA_11 1 1259 – 1259 Has used nicotine gum or candy
SCA_11A 1 1260 – 1260 Usefulness of nicotine gum or candy
SCA_12 1 1261 – 1261 Has used medication such as Zyban
SCA_12A 1 1262 – 1262 Usefulness of medication such as Zyban
SCA_50 1 1263 – 1263 Stopped smoking for at least 24 hours
SCA_60 1 1264 – 1264 Tried to quit smoking – nicotine patch
SCA_61 1 1265 – 1265 Tried to quit smoking – nicotine gum or candy – past 12 month
SCA_62 1 1266 – 1266 Tried to quit smoking – medication such as Zyban
SCADQUI 1 1267 – 1267 Attempted to stop smoking – (D)
DOSPC 1 1268 – 1268 Smoking – physician counselling – Inclusion Flag – (F)
SPC_10 1 1269 – 1269 Visited regular medical doctor
SPC_11 1 1270 – 1270 Doctor – knows smokes/smoked
SPC_12 1 1271 – 1271 Doctor – advised to quit
SPC_13 1 1272 – 1272 Doctor – gave specific help
SPC_14A 1 1273 – 1273 Type of help – referral to one–on–one program
SPC_14B 1 1274 – 1274 Type of help – referral to group program
SPC_14C 1 1275 – 1275 Type of help – recommended nicotine patch or gum
SPC_14D 1 1276 – 1276 Type of help – recommended Zyban or other medication
SPC_14E 1 1277 – 1277 Type of help – provided self–help information
SPC_14F 1 1278 – 1278 Type of help – doctor offered counselling
SPC_14G 1 1279 – 1279 Type of help – other
SPC_20 1 1280 – 1280 Visited dentist
SPC_21 1 1281 – 1281 Dentist/hygienist – knows smokes/smoked
SPC_22 1 1282 – 1282 Dentist/hygienist – advised to quit
ETS_10 1 1283 – 1283 Someone smokes inside home
ETS_11 2 1284 – 1285 Number of people who smoke inside home
ETS_20 1 1286 – 1286 Exposed to second–hand smoke in private vehicle
ETS_20B 1 1287 – 1287 Exposed to second–hand smoke in public places
ETS_35 1 1288 – 1288 Smoking allowed – House
ETS_36 1 1289 – 1289 Smoking restrictions
ETS_37A 1 1290 – 1290 Type of restrictions –certain rooms only
ETS_37B 1 1291 – 1291 Type of restrictions – young children
ETS_37C 1 1292 – 1292 Type of restrictions – windows open
ETS_37D 1 1293 – 1293 Type of restrictions – Other
DOTAL 1 1294 – 1294 Smoking – Other tobacco products – Inclusion Flag – (F)
TAL_1 1 1295 – 1295 Smoked cigars – last month
TAL_2 1 1296 – 1296 Smoked a pipe – last month
TAL_3 1 1297 – 1297 Used snuff – last month
TAL_4 1 1298 – 1298 Used chewing tobacco – last month
ALC_1 1 1299 – 1299 Drank alcohol in past 12 months
ALC_2 2 1300 – 1301 Frequency of drinking alcohol
ALC_3 2 1302 – 1303 Frequency of having 5 or more drinks
ALCDTTM 1 1304 – 1304 Type of drinker (12 months) – (D)
DOALW 1 1305 – 1305 Alcohol use – past week – Inlusion Flag – (F)
ALW_1 1 1306 – 1306 Drank alcohol in past week
ALW_2A1 3 1307 – 1309 Number of drinks – Day1
ALW_2A2 3 1310 – 1312 Number of drinks – Day 2
ALW_2A3 3 1313 – 1315 Number of drinks – Day 3
ALW_2A4 3 1316 – 1318 Number of drinks – Day 4
ALW_2A5 3 1319 – 1321 Number of drinks – Day 5
ALW_2A6 3 1322 – 1324 Number of drinks – Day 6
ALW_2A7 3 1325 – 1327 Number of drinks – Day 7
ALWDWKY 3 1328 – 1330 Weekly consumption – (D)
ALWDDLY 3 1331 – 1333 Average daily alcohol consumption – (D)
DODRV 1 1334 – 1334 Driving and safety – Inclusion Flag – (F)
DRV_01A 1 1335 – 1335 Drove a motor vehicle
DRV_01B 1 1336 – 1336 Drove a motorcycle
DRV_02 1 1337 – 1337 Frequency – used seat belt when driving
DRV_03A 1 1338 – 1338 Use of a cell phone while driving
DRV_03B 1 1339 – 1339 Use of a hands–free while driving
DRV_04 1 1340 – 1340 Frequency – felt tired when driving
DRV_05 1 1341 – 1341 Driving speed compared to others
DRV_06 1 1342 – 1342 Driving aggression compared to others
DRV_07 1 1343 – 1343 Drove a motor vehicle after 2 or more drinks
DRV_07A 2 1344 – 1345 Number of times – drove after 2+ drinks
DRV_08A 1 1346 – 1346 Frequency – uses seat belt – front seat passenger
DRV_08B 1 1347 – 1347 Frequency – uses seat belt – back seat passenger
DRV_09 1 1348 – 1348 Frequency – uses seat belt – in taxi
DRV_10 1 1349 – 1349 Passenger/driver had 2+ drinks
DRV_10A 2 1350 – 1351 Number of times – passenger/driver had 2+ drinks
DRV_11A 1 1352 – 1352 Driver or passenger – snowmobile, motor boat or seadoo
DRV_11B 1 1353 – 1353 Driver or passenger – ATV
DRV_12 1 1354 – 1354 Frequency wears helmet – ATV
DRV_13 1 1355 – 1355 Passenger w/driver had 2+ drinks – ATV, snowmobile, etc.
DRV_13A 2 1356 – 1357 Number of times – passenger/driver had 2+ drinks–ATV/snowmobile
DRV_14 1 1358 – 1358 Drove snowmobile/ATV, etc. after 2+ drinks
DRV_14A 2 1359 – 1360 Number of times – drove snowmobile, ATV, etc after 2+ drinks
DRVFSBU 1 1361 – 1361 Passenger seat belt use – motor vehicle – (F)
DOALD 1 1362 – 1362 Alcohol use – Dependence – Inclusion Flag – (F)
ALD_01 1 1363 – 1363 Drunk – at work / school / takes care of child
ALD_02 1 1364 – 1364 Number of times – drunk / hung–over
ALD_03 1 1365 – 1365 Being drunk increased chances of getting hurt
ALD_04 1 1366 – 1366 Emotional or psychological problems due to alcohol
ALD_05 1 1367 – 1367 Strong desire or urge to drink
ALD_06 1 1368 – 1368 Spent lot of time getting drunk – one month or more
ALD_07 1 1369 – 1369 Drank much more than intended
ALD_08 1 1370 – 1370 Number of times – drank much more than intended
ALD_09 1 1371 – 1371 Had to drink more for the same effect
ALD_10 1 1372 – 1372 Had symptoms – stopped/cut down/went without
ALD_11 1 1373 – 1373 Drank alcohol – even though promised wouldn't
ALD_12 1 1374 – 1374 Drank alcohol – little time for anything else
ALD_13 1 1375 – 1375 Reduced important activities – because of alcohol
ALD_14 1 1376 – 1376 Continued despite health problems
ALD_15A 2 1377 – 1378 Level of interference – home responsibilities
ALD_5B1 2 1379 – 1380 Level of interference – attend school
ALD_5B2 2 1381 – 1382 Level of interference – work at a job
ALD_15C 2 1383 – 1384 Level of interference – close relationships
ALD_15D 2 1385 – 1386 Level of interference – social life
ALDDSF 2 1387 – 1388 Alcohol dependence scale – short form score – (D)
ALDDPP 4.2 1389 – 1392 Probability of caseness to respondents – (D)
ALDDINT 4.1 1393 – 1396 Alcohol interference – mean – 12 month– (D)
ALDFINT 1 1397 – 1397 Alcohol interference – 12 month – (F)
MEX_01 1 1398 – 1398 Has given birth in the past 5 years
MEX_01A 4 1399 – 1402 Year of birth of last baby
MEX_02 1 1403 – 1403 Took folic acid – before last pregnancy
MEX_03 1 1404 – 1404 Breastfed or tried to breastfeed last child
MEX_04 2 1405 – 1406 Main reason did not breastfeed last child
MEX_05 1 1407 – 1407 Still breastfeeding last child
MEX_06 2 1408 – 1409 Duration of breastfeeding last child
MEX_07 2 1410 – 1411 Age of last baby – other foods added
MEX_08 2 1412 – 1413 Main reason – other foods added
MEX_09 1 1414 – 1414 Gave vitamin D – when breast milk only
MEX_10 2 1415 – 1416 Main reason why stopped breastfeeding
MEXDEBF 2 1417 – 1418 Duration of exclusive breastfeeding – (D)
MEXFEB6 1 1419 – 1419 Exclusively breastfed for at least 6 months – (F)
DOMXA 1 1420 – 1420 Maternal exp.– Alcohol during preg. – Inclusion Flag – (F)
MXA_01 1 1421 – 1421 Drank alcohol – last pregnancy
MXA_02 2 1422 – 1423 Frequency of drinking – last pregnancy
MXA_03 1 1424 – 1424 Drank alcohol – while breastfeeding last baby
MXA_04 2 1425 – 1426 Frequency of drinking – while breastfeeding last baby
DOMXS 1 1427 – 1427 Maternal experience– Smoking during preg. – Inclusion Flag – (F)
MXS_01 1 1428 – 1428 Type of smoker – last pregnancy
MXS_02 3 1429 – 1431 Number of cigarettes daily – last pregnancy (daily smoker)
MXS_03 3 1432 – 1434 Number of cigarettes daily – last pregnancy (occasional smoker)
MXS_04 1 1435 – 1435 Smoked while breastfeeding last baby (occasional smoker)
MXS_05 3 1436 – 1438 Number of cigarettes daily – while breastfeeding (daily smoker)
MXS_06 3 1439 – 1441 Number of cigarettes daily – while breastfeeding (occasional smoker)
MXS_07 1 1442 – 1442 Second–hand smoke – during or after last pregnancy
DODRG 1 1443 – 1443 Illicit drugs use – Inclusion Flag – (F)
IDG_01 1 1444 – 1444 Used – marijuana, cannabis, hashish – life
IDG_02 1 1445 – 1445 Used – marijuana, cannabis, hashish – 12 month
IDG_03 1 1446 – 1446 Frequency – marijuana, cannabis, hashish – 12 month
IDG_04 1 1447 – 1447 Used – cocaine, crack – life
IDG_05 1 1448 – 1448 Used – cocaine, crack – 12 month
IDG_06 1 1449 – 1449 Frequency – cocaine, crack – 12 month
IDG_07 1 1450 – 1450 Used – speed (amphetamines) – life
IDG_08 1 1451 – 1451 Used – speed (amphetamines) – 12 month
IDG_09 1 1452 – 1452 Frequency – speed (amphetamines) – 12 month
IDG_10 1 1453 – 1453 Used – ecstasy (MDMA) – life
IDG_11 1 1454 – 1454 Used – ecstasy (MDMA) – 12 month
IDG_12 1 1455 – 1455 Frequency – ecstacy (MDMA) – 12 month
IDG_13 1 1456 – 1456 Used – hallucinogens, PCP, LSD – life
IDG_14 1 1457 – 1457 Used – hallucinogens, PCP, LSD – 12 month
IDG_15 1 1458 – 1458 Frequency – hallucinogens, PCP, LSD – 12 month
IDG_16 1 1459 – 1459 Sniffed – glue, gasoline, other solvents – life
IDG_17 1 1460 – 1460 Sniffed – glue, gasoline, other solvents – 12 month
IDG_18 1 1461 – 1461 Frequency – glue, gasoline, other solvents – 12 month
IDG_19 1 1462 – 1462 Used – heroin – life
IDG_20 1 1463 – 1463 Used – heroin – 12 month
IDG_21 1 1464 – 1464 Frequency – heroin – 12 month
IDG_22 1 1465 – 1465 Used – steroids – life
IDG_23 1 1466 – 1466 Used – steroids – 12 month
IDG_24 1 1467 – 1467 Frequency – steroids – 12 month
IDG_25A 1 1468 – 1468 Needed more drugs than usual to get high – 12 month
IDG_25B 1 1469 – 1469 Had symptom during period of cut down/no drugs – 12 month
IDG_25C 1 1470 – 1470 Used drugs – prevent having symptoms – 12 month
IDG_25D 1 1471 – 1471 Used drugs – even though promised wouldn't – 12 month
IDG_25E 1 1472 – 1472 Used drugs – more frequently than intended – 12 month
IDG_25F 1 1473 – 1473 Used drugs – little time for anything else 12 month
IDG_25G 1 1474 – 1474 Reduced important activities – because of drugs – 12 month
IDG_25H 1 1475 – 1475 Continued taking drugs despite health problems – 12 month
IDG_26A 2 1476 – 1477 Level of interference – home responsibilities – 12 month
IDG_6B1 2 1478 – 1479 Level of interference – attend school – 12 month
IDG_6B2 2 1480 – 1481 Level of interference – work at a job – 12 month
IDG_26C 2 1482 – 1483 Level of interference – close relationships – 12 month
IDG_26D 2 1484 – 1485 Level of interference – social life – 12 month
IDGFLCA 1 1486 – 1486 Cannabis drug use – including one time only – life – (F)
IDGFLCM 1 1487 – 1487 Cannabis drug use – excluding one time only – life – (F)
IDGFYCM 1 1488 – 1488 Cannabis drug use – excluding one time only – 12 month – (F)
IDGFLCO 1 1489 – 1489 Cocaine / crack drug use – life – (F)
IDGFLAM 1 1490 – 1490 Amphetamine (speed) drug use – life – (F)
IDGFLEX 1 1491 – 1491 MDMA (ecstasy) drug use – life – (F)
IDGFLHA 1 1492 – 1492 Hallucinogens, PCP or LSD drug use – life – (F)
IDGFLGL 1 1493 – 1493 Glue, gasoline or other solvent use – life – (F)
IDGFLHE 1 1494 – 1494 Heroin drug use – life – (F)
IDGFLST 1 1495 – 1495 Steroid use – life – (F)
IDGFLA 1 1496 – 1496 Illicit drug use – including one time cannabis – life – (F)
IDGFLAC 1 1497 – 1497 Illicit drug use – excluding one time cannabis – life – (F)
IDGFYA 1 1498 – 1498 Illicit drug use – including one time cannabis – 12 month – (F)
IDGFYAC 1 1499 – 1499 Illicit drug use – excluding one time cannabis – 12 month – (F)
IDGDINT 4.1 1500 – 1503 Illicit drug interference – mean – 12 month – (D)
IDGFINT 1 1504 – 1504 Illicit drug interference – 12 month – (F)
DOCPG 1 1505 – 1505 Problem gambling – Inclusion Flag – (F)
CPG_01A 2 1506 – 1507 Frequence – spending $ on instant/daily win tickets – 12 month
CPG_01B 2 1508 – 1509 Frequency – spending money on lottery tickets
CPG_01C 2 1510 – 1511 Frequency – spending money on bingo
CPG_01D 2 1512 – 1513 Frequency – spending money on cards/boards games
CPG_01E 2 1514 – 1515 Frequency – spending money on VLTs/outside casinos
CPG_01F 2 1516 – 1517 Frequency – spending money on VLTs/at casinos
CPG_01G 2 1518 – 1519 Frequency – spending money on other games/at casinos
CPG_01H 2 1520 – 1521 Frequency – spending money on Internet/arcade gambling
CPG_01I 2 1522 – 1523 Frequency – spending money on live horse racing
CPG_01J 2 1524 – 1525 Frequency – spending money on sports lotteries
CPG_01K 2 1526 – 1527 Frequency – spending money on speculative investments
CPG_01L 2 1528 – 1529 Frequency – spending money on games of skill
CPG_01M 2 1530 – 1531 Frequency – spending money on other forms of gambling
CPG_01N 2 1532 – 1533 Amount of money spent on gambling activities
CPG_02 1 1534 – 1534 Frequency – spent more than wanted on gambling
CPG_03 1 1535 – 1535 Frequency – gambled more money for same feeling
CPG_04 1 1536 – 1536 Frequency – returned to try to win back money lost
CPG_05 1 1537 – 1537 Frequency – borrowed money/sold to get $ for gambling
CPG_06 1 1538 – 1538 Frequency – felt might have a problem with gambling
CPG_07 1 1539 – 1539 Frequency – gambling caused any health problems
CPG_08 1 1540 – 1540 Frequency – people criticized respondent's betting
CPG_09 1 1541 – 1541 Frequency – gambling caused financial problems
CPG_10 1 1542 – 1542 Frequency – felt guilty about gambling
CPG_11 1 1543 – 1543 Frequency – lied to hide gambling
CPG_12 1 1544 – 1544 Frequency – wanted to stop betting but thought could not
CPG_13 1 1545 – 1545 Frequency – bet more than could afford to lose
CPG_14 1 1546 – 1546 Frequency – tried to quit/cut down; but unable
CPG_15 1 1547 – 1547 Frequency – gambled to forget problems/feel better
CPG_16 1 1548 – 1548 Frequency – gambling caused problem with family/friends
CPG_17 1 1549 – 1549 Other family member with gambling problems
CPG_18 1 1550 – 1550 Used alcohol or drugs while gambling
CPG_19A 2 1551 – 1552 Level of interference – home responsibilities – 12 month
CPG_9B1 2 1553 – 1554 Level of interference – ability to attend school – 12 month
CPG_9B2 2 1555 – 1556 Level of interference – ability to work at a job – 12 month
CPG_19C 2 1557 – 1558 Level of interference – close relationships – 12 month
CPG_19D 2 1559 – 1560 Level of interference – social life –12 month
CPGFGAM 1 1561 – 1561 Gambling activity – gambler vs. non–gambler – (F)
CPGDSEV 2 1562 – 1563 Problem gambling severity index – (D)
CPGDTYP 2 1564 – 1565 Type of gambler – (D)
CPGDACT 2 1566 – 1567 Number of different types of gambling activities – (D)
CPGDINT 4.1 1568 – 1571 Gambling interference – Mean – (D)
CPGFINT 1 1572 – 1572 Gambling Interference – (F)
DOSXB 1 1573 – 1573 Sexual behaviours – Inclusion Flag – (F)
SXB_1 1 1574 – 1574 Ever had sexual intercourse
SXB_2 3 1575 – 1577 Age – first sexual intercourse
SXB_3 1 1578 – 1578 Had sexual intercourse – past 12 months
SXB_4 1 1579 – 1579 Number of different partners – past 12 months
SXB_07 1 1580 – 1580 Ever diagnosed with STD
SXB_7A 1 1581 – 1581 Condom use – last time
SXB_09 1 1582 – 1582 Important to avoid getting pregnant
SXB_10 2 1583 – 1584 Important to avoid getting partner pregnant
SXB_11 1 1585 – 1585 Usually use birth control – past 12 months
SXB_12A 1 1586 – 1586 Usual birth control method – condom
SXB_12B 1 1587 – 1587 Usual birth control method – Birth control pill
SXB_12C 1 1588 – 1588 Usual birth control method – diaphragm
SXB_12D 1 1589 – 1589 Usual birth control method – spermicide
SXB_12F 1 1590 – 1590 Usual birth control method – birth control injection
SXB_12E 1 1591 – 1591 Usual birth control method – other
SXB_13A 1 1592 – 1592 Birth control method used last time – condom
SXB_13B 1 1593 – 1593 Birth control method used last time – birth control pill
SXB_13C 1 1594 – 1594 Birth control method used last time – diaphragm
SXB_13D 1 1595 – 1595 Birth control method used last time – spermicide
SXB_13F 1 1596 – 1596 Birth cntrl. method used last time – birth control injection
SXB_13G 1 1597 – 1597 Method used last time – nothing
SXB_13E 1 1598 – 1598 Birth control method used last time – other
DOPWB 1 1599 – 1599 Psychological well–being module – (F)
PWB_01 1 1600 – 1600 Frequency – felt self–confident – past month
PWB_02 1 1601 – 1601 Frequency – satisfied with accomplishments – past month
PWB_03 1 1602 – 1602 Frequency – took on lots of projects – past month
PWB_04 1 1603 – 1603 Frequency – felt emotionally balanced – past month
PWB_05 1 1604 – 1604 Frequency – felt loved and appreciated – past month
PWB_06 1 1605 – 1605 Frequency – had goals and ambitions – past month
PWB_07 1 1606 – 1606 Frequency – felt like having fun – past month
PWB_08 1 1607 – 1607 Frequency – felt useful – past month
PWB_09 1 1608 – 1608 Frequency – smiled easily – past month
PWB_10 1 1609 – 1609 Frequency – was true to self – past month
PWB_11 1 1610 – 1610 Frequency – did good job listening to friends – past month
PWB_12 1 1611 – 1611 Frequency – was curious and interested – past month
PWB_13 1 1612 – 1612 Frequency – was able to clearly sort things out – past month
PWB_14 1 1613 – 1613 Frequency – found life exciting – past month
PWB_15 1 1614 – 1614 Frequency – life was well–balanced – past month
PWB_16 1 1615 – 1615 Frequency – was calm and level–headed – past month
PWB_17 1 1616 – 1616 Frequency – easily found answers – past month
PWB_18 1 1617 – 1617 Frequency – got along well with others – past month
PWB_19 1 1618 – 1618 Frequency – lived at normal pace – past month
PWB_20 1 1619 – 1619 Frequency – impression of enjoying life – past month
PWB_21 1 1620 – 1620 Frequency – had good sense of humour – past month
PWB_22 1 1621 – 1621 Frequency – was at peace with self – past month
PWB_23 1 1622 – 1622 Frequency – felt healthy/in good shape – past month
PWB_24 1 1623 – 1623 Frequency – face situations positively – past month
PWB_25 1 1624 – 1624 Frequency – had good morale – past month
PWBDPWB 3 1625 – 1627 Psychological well–being scale – past month – (D)
DOSSA 1 1628 – 1628 Social support –availability – Inclusion Flag – (F)
SSA_01 3 1629 – 1631 Number of close friends and relatives
SSA_02 1 1632 – 1632 Has someone to give help if confined to bed
SSA_03 1 1633 – 1633 Has someone to listen
SSA_04 1 1634 – 1634 Has someone to provide/give advice about a crisis.
SSA_05 1 1635 – 1635 Has someone to take to doctor
SSA_06 1 1636 – 1636 Has someone who shows love and affection
SSA_07 1 1637 – 1637 Has someone to have a good time with
SSA_08 1 1638 – 1638 Has someone to give info to help understand a situation
SSA_09 1 1639 – 1639 Has someone to confide in
SSA_10 1 1640 – 1640 Has someone who gives hugs
SSA_11 1 1641 – 1641 Has someone to get together with for relaxation
SSA_12 1 1642 – 1642 Has someone to prepare meals
SSA_13 1 1643 – 1643 Has someone to give advice
SSA_14 1 1644 – 1644 Has someone to do things to get mind off things
SSA_15 1 1645 – 1645 Has someone to help with daily chores if sick
SSA_16 1 1646 – 1646 Has someone to share most private worries and fears with
SSA_17 1 1647 – 1647 Has someone to turn to for suggestions for personal problems
SSA_18 1 1648 – 1648 Has someone to do something enjoyable with
SSA_19 1 1649 – 1649 Has someone who understands problems
SSA_20 1 1650 – 1650 Has someone who loves and makes feel wanted
SSADTNG 2 1651 – 1652 Tangible social support – MOS subscale – (D)
SSADAFF 2 1653 – 1654 Affection – MOS subscale – (D)
SSADSOC 2 1655 – 1656 Positive social interaction – MOS subscale – (D)
SSADEMO 2 1657 – 1658 Emotional or informational support – MOS subscale – (D)
DOSSU 1 1659 – 1659 Social Support – utilization – Inclusion Flag – (F)
SSU_21A 1 1660 – 1660 Received tangible social support
SSU_21B 1 1661 – 1661 Frequency of tangible social support
SSU_22A 1 1662 – 1662 Received affective support
SSU_22B 1 1663 – 1663 Frequency of affective support
SSU_23A 1 1664 – 1664 Received positive social interactive support
SSU_23B 1 1665 – 1665 Frequency of positive social interactive support
SSU_24A 1 1666 – 1666 Received emotional/informational support
SSU_24B 1 1667 – 1667 Frequency of emotional/informational support
DOCMH 1 1668 – 1668 Consultations – mental health module – Inclusion Flag – (F)
CMH_01K 1 1669 – 1669 Consulted mental health professional
CMH_01L 3 1670 – 1672 Consulted mental health professional – number of times
CMH_1MA 1 1673 – 1673 Consulted mental health professional – family doctor
CMH_1MB 1 1674 – 1674 Consulted mental health professional – psychiatrist
CMH_1MC 1 1675 – 1675 Consulted mental health professional – psychologist
CMH_1MD 1 1676 – 1676 Consulted mental health professional – nurse
CMH_1ME 1 1677 – 1677 Consulted mental hlth. professional – social worker
CMH_1MF 1 1678 – 1678 Consulted mental health professional – other
DODIS 1 1679 – 1679 Distress – Inclusion Flag – (F)
DIS_10A 1 1680 – 1680 Frequency – distress: felt tired out – past month
DIS_10B 1 1681 – 1681 Frequency – distress: felt nervous – past month
DIS_10C 1 1682 – 1682 Frequency/–distress: so nervous nothing calms down – past month
DIS_10D 1 1683 – 1683 Frequency – distress: felt hopeless – past month
DIS_10E 1 1684 – 1684 Frequency – distress: felt restless – past month
DIS_10F 1 1685 – 1685 Frequency – distress: could not sit still – past month
DIS_10G 1 1686 – 1686 Frequency – distress: felt sad / depressed – past month
DIS_10H 1 1687 – 1687 Frequency – distress: depressed/nothing cheers – past month
DIS_10I 1 1688 – 1688 Frequency– distress: felt everything was an effort – past month
DIS_10J 1 1689 – 1689 Frequency – distress: felt worthless – past month
DIS_10K 1 1690 – 1690 Frequency of distress feelings – past month
DIS_10L 1 1691 – 1691 Frequency of distress feelings (more often)
DIS_10M 1 1692 – 1692 Frequency of distress feelings (less often)
DIS_10N 1 1693 – 1693 Frequency of disress feelings interfere with life – past month
DISDK6 2 1694 – 1695 Distress scale – K6 – past month – (D)
DISDCHR 2 1696 – 1697 Chronicity of distress/impairment scale – past month – (D)
DISDDSX 2 1698 – 1699 Distress scale – K10 – past month – (D)
DODEP 1 1700 – 1700 Depression – Inclusion Flag – (F)
DPS_02 1 1701 – 1701 Felt sad/blue/depressed – 2 weeks or more – 12 month
DPS_03 1 1702 – 1702 Sad/depressed – length feelings lasted – 2 week
DPS_04 1 1703 – 1703 Sad/depressed – frequency – 2 week
DPS_05 1 1704 – 1704 Sad/depressed – lose interest in things – 2 week
DPS_06 1 1705 – 1705 Sad/depressed – felt tired out / low on energy – 2 week
DPS_07 1 1706 – 1706 Sad/depressed – weight change – 2 week
DPS_08A 3 1707 – 1709 Sad/depressed – weight change (amount) – 2 week
DPS_08B 1 1710 – 1710 Sad/depressed – weight change (lb/kg) – 2 week
DPS_09 1 1711 – 1711 Sad/depressed – trouble falling asleep – 2 week
DPS_10 1 1712 – 1712 Sad/depressed trouble falling asleep – frequency – 2 week
DPS_11 1 1713 – 1713 Sad/depressed – trouble concentrating – 2 week
DPS_12 1 1714 – 1714 Sad/depressed – felt down on self – 2 week
DPS_13 1 1715 – 1715 Sad/depressed – thought a lot about death – 2 week
DPS_14 2 1716 – 1717 Sad/depressed – number of weeks – 12 month
DPS_15 2 1718 – 1719 Sad/depressed – most recent month – 2 week
DPS_16 1 1720 – 1720 Loss of interest – things that usually give pleasure – 12 month
DPS_17 1 1721 – 1721 Loss of interest – frequency – 12 month
DPS_18 1 1722 – 1722 Loss of interest – frequency – 2 week
DPS_19 1 1723 – 1723 Loss of interest – felt tired all the time – 2 week
DPS_20 1 1724 – 1724 Loss of interest – weight change – 2 week
DPS_21A 3 1725 – 1727 Loss of interest – weight change (amount)
DPS_21B 1 1728 – 1728 Loss of interest – weight change (lb/kg) – 2 week
DPS_22 1 1729 – 1729 Loss of interest – trouble falling asleep – 2 week
DPS_23 1 1730 – 1730 Loss of interest – trouble falling asleep/frequency – 2 week
DPS_24 1 1731 – 1731 Loss of interest – trouble concentrating – 2 week
DPS_25 1 1732 – 1732 Loss of interest – felt down on self – 2 week
DPS_26 1 1733 – 1733 Loss of interest – thought a lot about death – 2 week
DPS_27 2 1734 – 1735 Loss of interest – number of weeks – 12 month
DPS_28 2 1736 – 1737 Loss of interest – most recent month – 2 week
DPSDSF 2 1738 – 1739 Depression scale – short form score – (D)
DPSDPP 4.2 1740 – 1743 Depression scale – Predicted probability – (D)
DPSDWK 2 1744 – 1745 Number of weeks felt depressed – (D)
DPSDMT 2 1746 – 1747 Specific month last felt depressed – 2 weeks in a row – (D)
DOSUI 1 1748 – 1748 Suicidal thoughts & attempts – Inclusion Flag – (F)
SUI_1 1 1749 – 1749 Seriously considered suicide – lifetime
SUI_2 1 1750 – 1750 Seriously considered suicide – past 12 months
SUI_3 1 1751 – 1751 Attempted suicide – lifetime
SUI_4 1 1752 – 1752 Attempted suicide – past 12 months
SUI_5 1 1753 – 1753 Consulted health professional following suicide attempt
SUI_6A 1 1754 – 1754 Suicide attempt – consulted family doctor or g.p.
SUI_6B 1 1755 – 1755 Suicide attempt – consulted psychiatrist
SUI_6C 1 1756 – 1756 Suicide attempt – consulted psychologist
SUI_6D 1 1757 – 1757 Suicide attempt – consulted nurse
SUI_6E 1 1758 – 1758 Suicide attempt – consulted social worker or counsellor
SUI_6G 1 1759 – 1759 Suicide attempt – consulted religious or spiritual advisor
SUI_6H 1 1760 – 1760 Suicide attempt – consulted a teacher or guidance counsellor
SUI_6F 1 1761 – 1761 Suicide attempt – consulted other health professional
DOSFR 1 1762 – 1762 Health status (SF–36) module – Inclusion Flag – (F)
SFR_03 1 1763 – 1763 Health status – limits vigorous activities
SFR_04 1 1764 – 1764 Health status – limits moderate activities
SFR_05 1 1765 – 1765 Health status – limits lifting and carrying groceries
SFR_06 1 1766 – 1766 Health status – limits climbing several flights of stairs
SFR_07 1 1767 – 1767 Health status – limits climbing one flight of stairs
SFR_08 1 1768 – 1768 Health status – limits bending, kneeling, stooping
SFR_09 1 1769 – 1769 Health status – limits walking more than one km
SFR_10 1 1770 – 1770 Health status – limits walking several blocks
SFR_11 1 1771 – 1771 Health status – limits walking one block
SFR_12 1 1772 – 1772 Health status – limits bathing and dressing self
SFR_13 1 1773 – 1773 Physical hlth – cut down time work/activities – past 4 weeks
SFR_14 1 1774 – 1774 Physcial htlh – accomplished less – past 4 weeks
SFR_15 1 1775 – 1775 Physical hlth – limited type of work/activity – past 4 weeks
SFR_16 1 1776 – 1776 Phys. hlth – difficulty performing work/activities – 4 weeks
SFR_17 1 1777 – 1777 Emotion prob. – less time spent/work/activities – past 4 weeks
SFR_18 1 1778 – 1778 Emotional problems – accomplished less – past 4 weeks
SFR_19 1 1779 – 1779 Emotional problems – not as careful at work/activities – past 4 weeks
SFR_20 1 1780 – 1780 Phys./emo. prob. interfered with social act. – past 4 weeks
SFR_21 2 1781 – 1782 Level of bodily pain – past 4 weeks
SFR_22 1 1783 – 1783 Pain interfered with normal work – past 4 weeks
SFR_23 2 1784 – 1785 Feeling full of pep – past 4 weeks
SFR_24 2 1786 – 1787 Feeling nervous – past 4 weeks
SFR_25 2 1788 – 1789 Feeling down and can't be cheered up – past 4 weeks
SFR_26 2 1790 – 1791 Feeling calm and peaceful – past 4 weeks
SFR_27 2 1792 – 1793 Have lots of energy – past 4 weeks
SFR_28 2 1794 – 1795 Feeling downhearted and blue – past 4 weeks
SFR_29 2 1796 – 1797 Feeling worn out – past 4 weeks
SFR_30 2 1798 – 1799 Feeling happy – past 4 weeks
SFR_31 2 1800 – 1801 Feeling tired – past 4 weeks
SFR_32 2 1802 – 1803 Health limited social activities – past 4 weeks
SFR_33 1 1804 – 1804 Seem to get sick easier than others
SFR_34 1 1805 – 1805 Sees self as healthy as others
SFR_35 1 1806 – 1806 Expects health to worsen
SFR_36 1 1807 – 1807 Views own health as excellent
SFRDPFS 3 1808 – 1810 Physical functioning scale – (D)
SFRDSFS 3 1811 – 1813 Social functioning scale – (D)
SFRDPRF 3 1814 – 1816 Role functioning (physical) scale – (D)
SFRDMRF 3 1817 – 1819 Role functioning (mental) scale – (D)
SFRDGMH 3 1820 – 1822 General mental health scale – (D)
SFRDVTS 3 1823 – 1825 Vitality scale – (D)
SFRDBPS 3 1826 – 1828 Bodily pain scale – (D)
SFRDGHP 3 1829 – 1831 General health perceptions scale – (D)
SFRDPCS 2 1832 – 1833 Summary measure of physical health – (D)
SFRDMCS 2 1834 – 1835 Summary measure of mental health – (D)
DOACC 1 1836 – 1836 Access to health care services – Inclusion flag – (F)
ACC_10 1 1837 – 1837 Required visit to medical specialist
ACC_11 1 1838 – 1838 Experienced difficulties getting specialist care
ACC_12A 1 1839 – 1839 Difficulty – getting a referral
ACC_12B 1 1840 – 1840 Difficulty – getting an appointment
ACC_12C 1 1841 – 1841 Difficulty – no specialists in area
ACC_12D 1 1842 – 1842 Difficulty – waited too long for an appointment
ACC_12E 1 1843 – 1843 Difficulty – waited too long to see doctor
ACC_12F 1 1844 – 1844 Difficulty – transportation
ACC_12G 1 1845 – 1845 Difficulty – language
ACC_12H 1 1846 – 1846 Difficulty – cost
ACC_12I 1 1847 – 1847 Difficulty – personal or family responsibilities
ACC_12J 1 1848 – 1848 Difficulty – general deterioration of health
ACC_12K 1 1849 – 1849 Difficulty – appointment cancelled/deferred
ACC_12L 1 1850 – 1850 Difficulty – still waiting for visit
ACC_12M 1 1851 – 1851 Difficulty – unable to leave house / health problem
ACC_12N 1 1852 – 1852 Difficulty – other
ACC_20 1 1853 – 1853 Required non–emergency surgery
ACC_21 1 1854 – 1854 Experienced difficulties getting non–emerg. surgery
ACC_22A 1 1855 – 1855 Difficulty – getting an appointment with a surgeon
ACC_22B 1 1856 – 1856 Difficulty – getting a diagnosis
ACC_22C 1 1857 – 1857 Difficulty – waited too long for a diagnostic test
ACC_22D 1 1858 – 1858 Difficulty – waited too long for a hospital bed
ACC_22E 1 1859 – 1859 Difficulty – waited too long for surgery
ACC_22F 1 1860 – 1860 Difficulty – service not available in area
ACC_22G 1 1861 – 1861 Difficulty – transportation
ACC_22H 1 1862 – 1862 Difficulty – language
ACC_22I 1 1863 – 1863 Difficulty – cost
ACC_22J 1 1864 – 1864 Difficulty – personal or family responsibilities
ACC_22K 1 1865 – 1865 Difficulty – general deterioration of health
ACC_22L 1 1866 – 1866 Difficulty – appointment cancelled/deferred
ACC_22M 1 1867 – 1867 Difficulty – still waiting for surgery
ACC_22N 1 1868 – 1868 Difficulty – unable to leave house / health problem
ACC_22O 1 1869 – 1869 Difficulty – other
ACC_30 1 1870 – 1870 Required MRI, CT Scan, angiography
ACC_31 1 1871 – 1871 Experienced difficulties getting test
ACC_32A 1 1872 – 1872 Difficulty – getting a referral
ACC_32B 1 1873 – 1873 Difficulty – getting an appointment
ACC_32C 1 1874 – 1874 Difficulty – waited too long to get an appointment
ACC_32D 1 1875 – 1875 Difficulty – waited too long to get test
ACC_32E 1 1876 – 1876 Difficulty – service not available at time required
ACC_32F 1 1877 – 1877 Difficulty – service not available in the area
ACC_32G 1 1878 – 1878 Difficulty – transportation
ACC_32H 1 1879 – 1879 Difficulty – language
ACC_32I 1 1880 – 1880 Difficulty – cost
ACC_32J 1 1881 – 1881 Difficulty – general deterioration of health
ACC_32K 1 1882 – 1882 Difficulty – did not know where to go
ACC_32L 1 1883 – 1883 Difficulty – still waiting for test
ACC_32M 1 1884 – 1884 Difficulty – unable to leave house / health problem
ACC_32N 1 1885 – 1885 Difficulty – other
ACC_40 1 1886 – 1886 Required health information for self or family member
ACC_40A 1 1887 – 1887 Contact for health information – doctor's office
ACC_40B 1 1888 – 1888 Contact for health information – community health center / CLSC
ACC_40C 1 1889 – 1889 Contact for health information – walk–in clinic
ACC_40D 1 1890 – 1890 Contact for health information – telephone health line
ACC_40E 1 1891 – 1891 Contact for health information – emergency room
ACC_40F 1 1892 – 1892 Contact for health information – other hospital service
ACC_40G 1 1893 – 1893 Contact for health information – other
ACC_41 1 1894 – 1894 Experienced difficulites getting health information – self/family
ACC_42 1 1895 – 1895 Experienced difficulties during regular hours
ACC_43A 1 1896 – 1896 Difficulty – contacting a physician or nurse
ACC_43B 1 1897 – 1897 Difficulty – did not have a phone number
ACC_43C 1 1898 – 1898 Difficulty – could not get through
ACC_43D 1 1899 – 1899 Difficulty – waited too long to speak to someone
ACC_43E 1 1900 – 1900 Difficulty – did not get adequate info or advice
ACC_43F 1 1901 – 1901 Difficulty – language
ACC_43G 1 1902 – 1902 Difficulty – did not know where to go/call/uninformed
ACC_43H 1 1903 – 1903 Difficulty – unable to leave house / health problem
ACC_43I 1 1904 – 1904 Difficulty – other
ACC_44 1 1905 – 1905 Experienced difficulties during evenings/weekends
ACC_45A 1 1906 – 1906 Difficulty – contacting a physican or nurse
ACC_45B 1 1907 – 1907 Difficulty – did not have a phone number
ACC_45C 1 1908 – 1908 Difficulty – could not get through
ACC_45D 1 1909 – 1909 Difficulty – waited too long to speak to someone
ACC_45E 1 1910 – 1910 Difficulty – did not get adequate info or advice
ACC_45F 1 1911 – 1911 Difficulty – language
ACC_45G 1 1912 – 1912 Difficulty – did not know where to go/call/uninformed
ACC_45H 1 1913 – 1913 Difficulty – unable to leave house / health problem
ACC_45I 1 1914 – 1914 Difficulty – other
ACC_46 1 1915 – 1915 Experienced difficulties during middle of night
ACC_47A 1 1916 – 1916 Difficulty – contacting a physican or nurse
ACC_47B 1 1917 – 1917 Difficulty – did not have a phone number
ACC_47C 1 1918 – 1918 Difficulty – could not get through
ACC_47D 1 1919 – 1919 Difficulty – waited too long to speak to someone
ACC_47E 1 1920 – 1920 Difficulty – did not get adequate info or advice
ACC_47F 1 1921 – 1921 Difficulty – language
ACC_47G 1 1922 – 1922 Difficulty – did not know where to go/call/uninformed
ACC_47H 1 1923 – 1923 Difficulty – unable to leave house / health problem
ACC_47I 1 1924 – 1924 Difficulty – other
ACC_50A 1 1925 – 1925 Has a regular family doctor
ACC_50 1 1926 – 1926 Required routine care for self/family
ACC_51 1 1927 – 1927 Experienced difficulties getting routine/on–going care – self/family
ACC_52 1 1928 – 1928 Experienced difficulties during regular hours
ACC_53A 1 1929 – 1929 Difficulty – contacting a physican
ACC_53B 1 1930 – 1930 Difficulty – getting an appointment
ACC_53C 1 1931 – 1931 Difficulty – do not have a family physician
ACC_53D 1 1932 – 1932 Difficulty – waited too long to get an appointment
ACC_53E 1 1933 – 1933 Difficulty – waited too long to see doctor
ACC_53F 1 1934 – 1934 Difficulty – service not available at time required
ACC_53G 1 1935 – 1935 Difficulty – service not available in the area
ACC_53H 1 1936 – 1936 Difficulty – transportation
ACC_53I 1 1937 – 1937 Difficulty – language
ACC_53J 1 1938 – 1938 Difficulty – cost
ACC_53K 1 1939 – 1939 Difficulty – did not know where to go
ACC_53L 1 1940 – 1940 Difficulty – unable to leave house / health problem
ACC_53M 1 1941 – 1941 Difficulty – other
ACC_54 1 1942 – 1942 Experienced difficulties during evenings/weekends
ACC_55A 1 1943 – 1943 Difficulty – contacting a physican
ACC_55B 1 1944 – 1944 Difficulty – getting an appointment
ACC_55C 1 1945 – 1945 Difficulty – do not have a family physician
ACC_55D 1 1946 – 1946 Difficulty – waited too long to get an appointment
ACC_55E 1 1947 – 1947 Difficulty – waited too long to see doc.
ACC_55F 1 1948 – 1948 Difficulty – service not available at time required
ACC_55G 1 1949 – 1949 Difficulty – service not available in the area
ACC_55H 1 1950 – 1950 Difficulty – transportation
ACC_55I 1 1951 – 1951 Difficulty – language
ACC_55J 1 1952 – 1952 Difficulty – cost
ACC_55K 1 1953 – 1953 Difficulty – did not know where to go
ACC_55L 1 1954 – 1954 Difficulty – unable to leave house / health problem
ACC_55M 1 1955 – 1955 Difficulty – other
ACC_60 1 1956 – 1956 Required immediate care/minor health problem – self/family
ACC_61 1 1957 – 1957 Experienced difficulties getting immediate care – self/family
ACC_62 1 1958 – 1958 Experienced difficulties during regular hours
ACC_63A 1 1959 – 1959 Difficulty – contacting a physican
ACC_63B 1 1960 – 1960 Difficulty – getting an appointment
ACC_63C 1 1961 – 1961 Difficulty – do not have a family physician
ACC_63D 1 1962 – 1962 Difficulty – waited too long to get an appointment
ACC_63E 1 1963 – 1963 Difficulty – waited too long to see doc.
ACC_63F 1 1964 – 1964 Difficulty – service not available at time required
ACC_63G 1 1965 – 1965 Difficulty – service not available in the area
ACC_63H 1 1966 – 1966 Difficulty – transportation
ACC_63I 1 1967 – 1967 Difficulty – language
ACC_63J 1 1968 – 1968 Difficulty – cost
ACC_63K 1 1969 – 1969 Difficulty – did not know where to go
ACC_63L 1 1970 – 1970 Difficulty – unable to leave house / health problem
ACC_63M 1 1971 – 1971 Difficulty – other
ACC_64 1 1972 – 1972 Experienced difficulties during evenings/weekends
ACC_65A 1 1973 – 1973 Difficulty – contacting a physican
ACC_65B 1 1974 – 1974 Difficulty – getting an appointment
ACC_65C 1 1975 – 1975 Difficulty – do not have a family physician
ACC_65D 1 1976 – 1976 Difficulty – waited too long to get an appointment
ACC_65E 1 1977 – 1977 Difficulty – waited too long to see doc.
ACC_65F 1 1978 – 1978 Difficulty – service not available at time required
ACC_65G 1 1979 – 1979 Difficulty – service not available in the area
ACC_65H 1 1980 – 1980 Difficulty – transportation
ACC_65I 1 1981 – 1981 Difficulty – language
ACC_65J 1 1982 – 1982 Difficulty – cost
ACC_65K 1 1983 – 1983 Difficulty – did not know where to go
ACC_65L 1 1984 – 1984 Difficulty – unable to leave house / health problem
ACC_65M 1 1985 – 1985 Difficulty – other
ACC_66 1 1986 – 1986 Experienced difficulties during middle of night
ACC_67A 1 1987 – 1987 Difficulty – contacting a physican
ACC_67B 1 1988 – 1988 Difficulty – getting an appointment
ACC_67C 1 1989 – 1989 Difficulty – do not have a family physician
ACC_67D 1 1990 – 1990 Difficulty – waited too long to get an appointment
ACC_67E 1 1991 – 1991 Difficulty – waited too long to see doctor
ACC_67F 1 1992 – 1992 Difficulty – service not available at time required
ACC_67G 1 1993 – 1993 Difficulty – service not available in the area
ACC_67H 1 1994 – 1994 Difficulty – transportation
ACC_67I 1 1995 – 1995 Difficulty – language
ACC_67J 1 1996 – 1996 Difficulty – cost
ACC_67K 1 1997 – 1997 Difficulty – did not know where to go
ACC_67L 1 1998 – 1998 Difficulty – unable to leave house / health problem
ACC_67M 1 1999 – 1999 Difficulty – other
DOWTM 1 2000 – 2000 Waiting times – Inclusion Flag – (F)
WTM_01 1 2001 – 2001 Required visit to medical specialist
WTM_02 2 2002 – 2003 Required visit to medical specialist – type of condition
WTM_03 1 2004 – 2004 Person who referred respondent to medical specialist
WTM_04 1 2005 – 2005 Already visited the medical specialist
WTM_05 1 2006 – 2006 Had difficulties seeing the medical specialist
WTM_06A 1 2007 – 2007 Difficulty – getting a referral
WTM_06B 1 2008 – 2008 Difficulty – getting an appointment
WTM_06C 1 2009 – 2009 Difficulty – no specialists in area
WTM_06D 1 2010 – 2010 Difficulty – waited too long for an appointment
WTM_06E 1 2011 – 2011 Difficulty – waited too long to see doctor
WTM_06F 1 2012 – 2012 Difficulty – transportation
WTM_06G 1 2013 – 2013 Difficulty – language
WTM_06H 1 2014 – 2014 Difficulty – cost
WTM_06I 1 2015 – 2015 Difficulty – personal or family responsibilities
WTM_06J 1 2016 – 2016 Difficulty – general deterioration of health
WTM_06K 1 2017 – 2017 Difficulty – appointment cancelled/deferred
WTM_06L 1 2018 – 2018 Difficulty – unable to leave house/health problem
WTM_06M 1 2019 – 2019 Difficulty – other
WTM_07A 3 2020 – 2022 Length of wait to see specialist
WTM_07B 1 2023 – 2023 Length of wait to see specialist – reporting unit
WTM_08A 3 2024 – 2026 Length of time been waiting to see specialist
WTM_08B 1 2027 – 2027 Length of time been waiting to see specialist – reporting unit
WTM_10 1 2028 – 2028 Respondent's opinion of waiting time
WTM_11A 3 2029 – 2031 Acceptable waiting time
WTM_11B 1 2032 – 2032 Acceptable waiting time – reporting unit
WTM_12 1 2033 – 2033 Visit to specialist cancelled or postponed
WTM_13A 1 2034 – 2034 Visit cancelled/postponed – by respondent
WTM_13B 1 2035 – 2035 Visit cancelled/postponed – by specialist
WTM_13C 1 2036 – 2036 Visit cancelled/postponed – by other
WTM_14 1 2037 – 2037 Life affected by wait for visit to specialist
WTM_15A 1 2038 – 2038 Life affected by wait – worry
WTM_15B 1 2039 – 2039 Life affected by wait – worry for family
WTM_15C 1 2040 – 2040 Life affected by wait – pain
WTM_15D 1 2041 – 2041 Life affected by wait – prob. with activities/daily living
WTM_15E 1 2042 – 2042 Life affected by wait – loss of work
WTM_15F 1 2043 – 2043 Life affected by wait – loss of income
WTM_15G 1 2044 – 2044 Life affected by wait – increased dependence
WTM_15H 1 2045 – 2045 Life affected by wait – increased use medications
WTM_15I 1 2046 – 2046 Life affected by wait – health deteriorated
WTM_15J 1 2047 – 2047 Life affected by wait – health problem improved
WTM_15K 1 2048 – 2048 Life affected by wait – personal relationships suffered
WTM_15L 1 2049 – 2049 Life affected by wait – other
WTM_16 2 2050 – 2051 Type of surgery required
WTM_17 1 2052 – 2052 Already had the surgery
WTM_18 1 2053 – 2053 Surgery required overnight hospital stay
WTM_19 1 2054 – 2054 Experienced difficulties getting this surgery
WTM_20A 1 2055 – 2055 Difficulty – getting an appointment
WTM_20B 1 2056 – 2056 Difficulty – getting a diagnosis
WTM_20C 1 2057 – 2057 Difficulty – waited too long for a diagnostic test
WTM_20D 1 2058 – 2058 Difficulty – waited too long for a hospital bed
WTM_20E 1 2059 – 2059 Difficulty – waited too long for surgery
WTM_20F 1 2060 – 2060 Difficulty – service not available in area
WTM_20G 1 2061 – 2061 Difficulty – transportation
WTM_20H 1 2062 – 2062 Difficulty – language
WTM_20I 1 2063 – 2063 Difficulty – cost
WTM_20J 1 2064 – 2064 Difficulty – personal or family responsibilities
WTM_20K 1 2065 – 2065 Difficulty – general deterioration of health
WTM_20L 1 2066 – 2066 Difficulty – appointment cancelled/deferred
WTM_20M 1 2067 – 2067 Difficulty – unable to leave house/health problem
WTM_20N 1 2068 – 2068 Difficulty – other
WTM_21A 3 2069 – 2071 Length of wait between decision and surgery
WTM_21B 1 2072 – 2072 Length of wait between decision and surgery – reported unit
WTM_22 1 2073 – 2073 Surgery will require overnight hospital stay
WTM_23A 3 2074 – 2076 Time since decision to have surgery
WTM_23B 1 2077 – 2077 Time since decision to have surgery – reported unit
WTM_24 1 2078 – 2078 Respondent's opinion of waiting time
WTM_25A 3 2079 – 2081 Acceptable waiting time
WTM_25B 1 2082 – 2082 Acceptable waiting time – reported unit
WTM_26 1 2083 – 2083 Surgery cancelled or postponed
WTM_27A 1 2084 – 2084 Surgery cancelled/postponed – by respondent
WTM_27B 1 2085 – 2085 Surgery cancelled/postponed – by surgeon
WTM_27C 1 2086 – 2086 Surgery cancelled/postponed – by hospital
WTM_27D 1 2087 – 2087 Surgery cancelled/postponed – other
WTM_28 1 2088 – 2088 Life affected by wait for surgery
WTM_29A 1 2089 – 2089 Life affected by wait – worry
WTM_29B 1 2090 – 2090 Life affected by wait – worry for family
WTM_29C 1 2091 – 2091 Life affected by wait – pain
WTM_29D 1 2092 – 2092 Life affected by wait – problem with activities/daily living
WTM_29E 1 2093 – 2093 Life affected by wait – loss of work
WTM_29F 1 2094 – 2094 Life affected by wait – loss of income
WTM_29G 1 2095 – 2095 Life affected by wait – increased dependence
WTM_29H 1 2096 – 2096 Life affected by wait – increased used of medication
WTM_29I 1 2097 – 2097 Life affected by wait – health deteriorated
WTM_29J 1 2098 – 2098 Life affected by wait – health problem improved
WTM_29K 1 2099 – 2099 Life affected by wait – personal relationships suffered
WTM_29L 1 2100 – 2100 Life affected by wait – other
WTM_30 1 2101 – 2101 Type of diagnostic test required
WTM_31 1 2102 – 2102 Required diagnostic test – type of condition
WTM_32 1 2103 – 2103 Already had diagnostic test
WTM_33 1 2104 – 2104 Location of test
WTM_34 1 2105 – 2105 Location of clinic
WTM_35 1 2106 – 2106 Patient in hospital at time of test
WTM_36 1 2107 – 2107 Had difficulties getting the diagnostic test
WTM_37A 1 2108 – 2108 Difficulty – getting a referral
WTM_37B 1 2109 – 2109 Difficulty – getting an appointment
WTM_37C 1 2110 – 2110 Difficulty – waited too long to get an appointment
WTM_37D 1 2111 – 2111 Difficulty – waited long to get test
WTM_37E 1 2112 – 2112 Difficulty – service not available at time required
WTM_37F 1 2113 – 2113 Difficulty – service not available in area
WTM_37G 1 2114 – 2114 Difficulty – transportation
WTM_37H 1 2115 – 2115 Difficulty – language
WTM_37I 1 2116 – 2116 Difficulty – cost
WTM_37J 1 2117 – 2117 Difficulty – general deterioration of health
WTM_37K 1 2118 – 2118 Difficulty – did not know where to get information
WTM_37L 1 2119 – 2119 Difficulty – unable to leave house/health problem
WTM_37M 1 2120 – 2120 Difficulty – other
WTM_38A 3 2121 – 2123 Length of wait between decision and test
WTM_38B 1 2124 – 2124 Length of wait between decision and test – reporting unit
WTM_39A 3 2125 – 2127 Length of time been waiting for diagnostic test
WTM_39B 1 2128 – 2128 Length of time been waiting for diagnostic test – unit
WTM_40 1 2129 – 2129 Respondent's opinion of waiting time
WTM_41A 3 2130 – 2132 Acceptable waiting time
WTM_41B 1 2133 – 2133 Acceptable waiting time – unit
WTM_42 1 2134 – 2134 Test cancelled or postponed
WTM_43 1 2135 – 2135 Test cancelled or postponed by
WTM_44 1 2136 – 2136 Life affected by wait for test
WTM_45A 1 2137 – 2137 Life affected by wait – worry
WTM_45B 1 2138 – 2138 Life affected by wait – worry for family
WTM_45C 1 2139 – 2139 Life affected by wait – pain
WTM_45D 1 2140 – 2140 Life affected by wait – prob. with activities/daily living
WTM_45E 1 2141 – 2141 Life affected by wait – loss of work
WTM_45F 1 2142 – 2142 Life affected by wait – loss of income
WTM_45G 1 2143 – 2143 Life affected by wait – increased dependence
WTM_45H 1 2144 – 2144 Life affected by wait – increased use medications
WTM_45I 1 2145 – 2145 Life affected by wait – health deteriorated
WTM_45J 1 2146 – 2146 Life affected by wait – health problem improved
WTM_45K 1 2147 – 2147 Life affected by wait – personal relationships suffered
WTM_45L 1 2148 – 2148 Life affected by wait – other
WTMDSO 4 2149 – 2152 Number/days wait/medical specialist – seen specialist – (D)
WTMDSN 4 2153 – 2156 Number/days wait/medical specialist – not seen spec. – (D)
WTMDSA 4 2157 – 2160 Number of days acceptable wait – med. specialist – (D)
WTMDCO 4 2161 – 2164 Number of days wait – non–urgent surgery – surgery done – (D
WTMDCN 4 2165 – 2168 Number of days wait – non–urgent surgery – not done – (D)
WTMDCA 4 2169 – 2172 Number of days acceptable wait – non emergency surgery – (D)
WTMDTO 4 2173 – 2176 Number of days wait – diagnostic test – done – (D)
WTMDTN 4 2177 – 2180 Number of days wait – diagnostic test – not done – (D)
WTMDTA 4 2181 – 2184 Number of days acceptable wait – diagnostic test – (D)
DOINS 1 2185 – 2185 Insurance coverage – Inclusion Flag – (F)
INS_1 1 2186 – 2186 Insurance – prescription medications
INS_1A 1 2187 – 2187 Type of health insurance plan – government–sponsored
INS_1B 1 2188 – 2188 Type of health insurance plan – employer–sponsored
INS_1C 1 2189 – 2189 Type of health insurance plan – private
INS_2 1 2190 – 2190 Insurance – dental expenses
INS_2A 1 2191 – 2191 Type of health insurance plan – government–sponsored
INS_2B 1 2192 – 2192 Type of health insurance plan – employer–sponsored
INS_2C 1 2193 – 2193 Type of health insurance plan – private
INS_3 1 2194 – 2194 Insurance – eye glasses / contact lenses
INS_3A 1 2195 – 2195 Type of health insurance plan – government–sponsored
INS_3B 1 2196 – 2196 Type of health insurance plan – employer–sponsored
INS_3C 1 2197 – 2197 Type of health insurance plan – private
INS_4 1 2198 – 2198 Insurance – hospital charges
INS_4A 1 2199 – 2199 Type of health insurance plan – government–sponsored
INS_4B 1 2200 – 2200 Type of health insurance plan – employer–sponsored
INS_4C 1 2201 – 2201 Type of health insurance plan – private
SDC_1 2 2202 – 2203 Country of birth
SDC_2 1 2204 – 2204 Canadian citizen by birth
SDC_3 4 2205 – 2208 Year of immigration to Canada
SDC_4A 1 2209 – 2209 Ethnic origin – Canadian
SDC_4B 1 2210 – 2210 Ethnic origin – French
SDC_4C 1 2211 – 2211 Ethnic origin – English
SDC_4D 1 2212 – 2212 Ethnic origin – German
SDC_4E 1 2213 – 2213 Ethnic origin – Scottish
SDC_4F 1 2214 – 2214 Ethnic origin – Irish
SDC_4G 1 2215 – 2215 Ethnic origin – Italian
SDC_4H 1 2216 – 2216 Ethnic origin – Ukrainian
SDC_4I 1 2217 – 2217 Ethnic origin – Dutch (Netherlands)
SDC_4J 1 2218 – 2218 Ethnic origin – Chinese
SDC_4K 1 2219 – 2219 Ethnic origin – Jewish
SDC_4L 1 2220 – 2220 Ethnic origin – Polish
SDC_4M 1 2221 – 2221 Ethnic origin – Portuguese
SDC_4N 1 2222 – 2222 Ethnic origin – South Asian
SDC_4T 1 2223 – 2223 Ethnic origin – North American Indian
SDC_4U 1 2224 – 2224 Ethnic origin – Métis
SDC_4V 1 2225 – 2225 Ethnic origin – Inuit
SDC_4P 1 2226 – 2226 Ethnic origin – Norwegian
SDC_4Q 1 2227 – 2227 Ethnic origin – Welsh
SDC_4R 1 2228 – 2228 Ethnic origin – Swedish
SDC_4S 1 2229 – 2229 Ethnic origin – other
SDC_41 1 2230 – 2230 Aboriginal – North American Indian, Métis, Inuit
SDC_42A 1 2231 – 2231 Aboriginal person(s) – North American Indian
SDC_42B 1 2232 – 2232 Aboriginal person(s) – Métis
SDC_42C 1 2233 – 2233 Aboriginal person(s) – Inuit
SDC_43A 1 2234 – 2234 Cultural / racial origin – White
SDC_43B 1 2235 – 2235 Cultural/racial origin – Chinese
SDC_43C 1 2236 – 2236 Cultural/racial origin – South Asian
SDC_43D 1 2237 – 2237 Cultural/racial origin – Black
SDC_43E 1 2238 – 2238 Cultural/racial origin – Filipino
SDC_43F 1 2239 – 2239 Cultural/racial origin – Latin American
SDC_43G 1 2240 – 2240 Cultural/racial origin – South East Asian
SDC_43H 1 2241 – 2241 Cultural/racial origin – Arab
SDC_43I 1 2242 – 2242 Cultural/racial origin – West Asian
SDC_43J 1 2243 – 2243 Cultural/racial origin – Japanese
SDC_43K 1 2244 – 2244 Ethnic origin – Korean
SDC_43M 1 2245 – 2245 Cultural/racial origin – other
SDC_5A 1 2246 – 2246 Can converse – English
SDC_5B 1 2247 – 2247 Can converse – French
SDC_5C 1 2248 – 2248 Can converse – Arabic
SDC_5D 1 2249 – 2249 Can converse – Chinese
SDC_5E 1 2250 – 2250 Can converse – Cree
SDC_5F 1 2251 – 2251 Can converse – German
SDC_5G 1 2252 – 2252 Can converse – Greek
SDC_5H 1 2253 – 2253 Can converse – Hungarian
SDC_5I 1 2254 – 2254 Can converse – Italian
SDC_5J 1 2255 – 2255 Can converse – Korean
SDC_5K 1 2256 – 2256 Can converse – Persian (Farsi)
SDC_5L 1 2257 – 2257 Can converse – Polish
SDC_5M 1 2258 – 2258 Can converse – Portuguese
SDC_5N 1 2259 – 2259 Can converse – Punjabi
SDC_5O 1 2260 – 2260 Can converse – Spanish
SDC_5P 1 2261 – 2261 Can converse – Tagalog (Filipino)
SDC_5Q 1 2262 – 2262 Can converse – Ukrainian
SDC_5R 1 2263 – 2263 Can converse – Vietnamese
SDC_5T 1 2264 – 2264 Can converse – Dutch
SDC_5U 1 2265 – 2265 Can converse – Hindi
SDC_5V 1 2266 – 2266 Can converse – Russian
SDC_5W 1 2267 – 2267 Can converse – Tamil
SDC_5S 1 2268 – 2268 Can converse – other language
SDC_5AA 1 2269 – 2269 Language spoken most often at home – English
SDC_5AB 1 2270 – 2270 Language spoken most often at home – French
SDC_5AC 1 2271 – 2271 Language spoken most often at home – Arabic
SDC_5AD 1 2272 – 2272 Language spoken most often at home – Chinese
SDC_5AE 1 2273 – 2273 Language spoken most often at home – Cree
SDC_5AF 1 2274 – 2274 Language spoken most often at home – German
SDC_5AG 1 2275 – 2275 Language spoken most often at home – Greek
SDC_5AH 1 2276 – 2276 Language spoken most often at home – Hungarian
SDC_5AI 1 2277 – 2277 Language spoken most often at home – Italian
SDC_5AJ 1 2278 – 2278 Language spoken most often at home – Korean
SDC_5AK 1 2279 – 2279 Language spoken most often at home – Persian (Farsi)
SDC_5AL 1 2280 – 2280 Language spoken most often at home – Polish
SDC_5AM 1 2281 – 2281 Language spoken most often at home – Portuguese
SDC_5AN 1 2282 – 2282 Language spoken most often at home – Punjabi
SDC_5AO 1 2283 – 2283 Language spoken most often at home – Spanish
SDC_5AP 1 2284 – 2284 Language spoken most often at home – Tagalog (Filipino)
SDC_5AQ 1 2285 – 2285 Language spoken most often at home – Ukrainian
SDC_5AR 1 2286 – 2286 Language spoken most often at home – Vietnamese
SDC_5AT 1 2287 – 2287 Language spoken most often at home – Dutch
SDC_5AU 1 2288 – 2288 Language spoken most often at home – Hindi
SDC_5AV 1 2289 – 2289 Language spoken most often at home – Russian
SDC_5AW 1 2290 – 2290 Language spoken most often at home – Tamil
SDC_5AS 1 2291 – 2291 Language spoken most often at home – Other
SDC_6A 1 2292 – 2292 First language learned and still understood – English
SDC_6B 1 2293 – 2293 First language learned and still understood – French
SDC_6C 1 2294 – 2294 First language learned and still understood – Arabic
SDC_6D 1 2295 – 2295 First language learned and still understood – Chinese
SDC_6E 1 2296 – 2296 First language learned and still understood – Cree
SDC_6F 1 2297 – 2297 First language learned and still understood – German
SDC_6G 1 2298 – 2298 First language learned and still understood – Greek
SDC_6H 1 2299 – 2299 First language learned and still understood – Hungarian
SDC_6I 1 2300 – 2300 First language learned and still understood – Italian
SDC_6J 1 2301 – 2301 First language learned and still understood – Korean
SDC_6K 1 2302 – 2302 First language learned / still understood – Persian (Farsi)
SDC_6L 1 2303 – 2303 First language learned and still understood – Polish
SDC_6M 1 2304 – 2304 First language learned and still understood – Portuguese
SDC_6N 1 2305 – 2305 First language learned and still understood – Punjabi
SDC_6O 1 2306 – 2306 First language learned and still understood – Spanish
SDC_6P 1 2307 – 2307 First lang. learned / still understood – Tagalog (Filipino)
SDC_6Q 1 2308 – 2308 First language learned and still understood – Ukrainian
SDC_6R 1 2309 – 2309 First language learned and still understood – Vietnamese
SDC_6T 1 2310 – 2310 First language learned and still understood – Dutch
SDC_6U 1 2311 – 2311 First language learned and still understood – Hindi
SDC_6V 1 2312 – 2312 First language learned and still understood – Russian
SDC_6W 1 2313 – 2313 First language learned and still understood – Tamil
SDC_6S 1 2314 – 2314 First language learned and still understood – other
DHH_OWN 1 2315 – 2315 Dwelling – owned by a member of household
SDC_7AA 1 2316 – 2316 Considers self heterosexual, homosexual or bisexual
SDCCCB 3 2317 – 2319 Country of birth – (C)
SDCGCB 2 2320 – 2321 Country of birth – (G)
SDCDLHM 2 2322 – 2323 Language(s) spoken at home – (D)
SDCDAIM 3 2324 – 2326 Age at time of immigration – (D)
SDCFIMM 1 2327 – 2327 Immigrant – (F)
SDCDRES 3 2328 – 2330 Length of time in Canada since immigration – (D)
SDCDLNG 2 2331 – 2332 Languages – can converse – (D)
SDCDFL1 2 2333 – 2334 First official language learned and still understood – (D)
SDCDABT 1 2335 – 2335 Aboriginal identity – (D)
SDCDCGT 2 2336 – 2337 Cultural / racial background – (D)
EDU_1 1 2338 – 2338 Highest grade of elementary or high school completed
EDU_2 1 2339 – 2339 Graduated from high school (2ndary school)
EDU_3 1 2340 – 2340 Received any other education
EDU_4 2 2341 – 2342 Highest degree, certificate or diploma obtained
SDC_8 1 2343 – 2343 Current student
SDC_9 1 2344 – 2344 Full–time student or part–time student
EDUDH04 1 2345 – 2345 Highest level of education – household, 4 levels – (D)
EDUDH10 2 2346 – 2347 Highest level of education – household, 10 levels – (D)
EDUDR04 1 2348 – 2348 Highest level of education – respondent, 4 levels – (D)
EDUDR10 2 2349 – 2350 Highest level of education – respondent, 10 levels – (D)
LBS_01 1 2351 – 2351 Worked at job or business last week
LBS_02 1 2352 – 2352 Absent from job or business last week
LBS_03 1 2353 – 2353 Had more than one job or business last week
LBS_11 1 2354 – 2354 Looked for work in past 4 weeks
LBS_31 1 2355 – 2355 Employee or self–employed
LBSF32  1 2356 – 2356 Response entered–name of business (self–employed) – (F)
LBSF33  1 2357 – 2357 Response entered – whom you work for – (F)
LBSF34  1 2358 – 2358 Response entered – kind of business – (F)
LBSF35  1 2359 – 2359 Response entered – kind of work – (F)
LBSCSIC 5 2360 – 2364 North American Industry Classification System (NAICS) 2007
LBSCSOC 4 2365 – 2368 National. Occupation Classification for Statistics (NOC–S) 2006
LBSF35S 1 2369 – 2369 Response entered – other – kind of work – (F)
LBSF36 1 2370 – 2370 Response entered – most important duties at work – (F)
LBS_42 3 2371 – 2373 Usual number of hours worked – current main job
LBS_53 3 2374 – 2376 Usual number of hours worked – current other job
LBSDHPW 3 2377 – 2379 Total usual hours worked – current jobs – (D)
LBSDPFT 1 2380 – 2380 Current – full–time / part–time status – (D)
LBSDWSS 1 2381 – 2381 Working status last week – 4 groups – (D)
LBSDING 2 2382 – 2383 Industry group – (D)
LBSDOCG 2 2384 – 2385 Occupation group – (D)
DOPAF 1 2386 – 2386 Phy. act. – Facility at work – Inclusion Flag – (F)
PAF_01 1 2387 – 2387 Work at home
PAF_02 1 2388 – 2388 At work – Access to a pleasant place to walk
PAF_03 1 2389 – 2389 At work – Access to playing fields
PAF_04 1 2390 – 2390 At work – Access to a gym
PAF_05 1 2391 – 2391 At work – Access to fitness classes
PAF_06 1 2392 – 2392 At work – Access to any organized sport teams
PAF_07 1 2393 – 2393 At work – Access to showers / change rooms
PAF_08 1 2394 – 2394 At work – Access to programs to improve health
PAFFACC 1 2395 – 2395 Access to physical activity facilities at work – (F)
DOHMS 1 2396 – 2396 Home safety – Inclusion Flag – (F)
HMS_1 1 2397 – 2397 Working smoke detector in home
HMS_2 1 2398 – 2398 Smoke detectors on every level
HMS_3 1 2399 – 2399 Smoke detectors tested each month
HMS_4 1 2400 – 2400 Frequency – changed batteries in smoke detector
HMS_5 1 2401 – 2401 Escape plan to get out of home
HMS_6 1 2402 – 2402 Members of household discussed escape plan
INC_1A  1 2403 – 2403 Source of household income – wages and salaries
INC_1B  1 2404 – 2404 Source of household income – self–employment
INC_1C  1 2405 – 2405 Source of household income – dividends and interest
INC_1D  1 2406 – 2406 Source of household income – employment insurance
INC_1E  1 2407 – 2407 Source of household income – worker's compensation
INC_1F  1 2408 – 2408 Source of household income – benefits from Canada / Quebec Pension Plan
INC_1G  1 2409 – 2409 Srce of household income – pensions, superan and annuities
INC_1O 1 2410 – 2410 Source of household income – RRSP/RRIF
INC_1H  1 2411 – 2411 Source of household income – Old Age Security / G.I.S.
INC_1J  1 2412 – 2412 Source of household income – social assistance / welfare
INC_1I  1 2413 – 2413 Source of household income – child tax benefit
INC_1K  1 2414 – 2414 Source of household income – child support
INC_1L  1 2415 – 2415 Source of household income – alimony
INC_1M  1 2416 – 2416 Source of household income – other
INC_1N  1 2417 – 2417 Source of household income – none
INC_2   2 2418 – 2419 Total household income – main source
INC_3   6 2420 – 2425 Total household income – best estimate
INC_5A 1 2426 – 2426 Total household income – Ranges
INC_5B 2 2427 – 2428 Household income – Range 1
INC_5C 2 2429 – 2430 Household income – Range 2
INC_6A 1 2431 – 2431 Sources personal income: Wages and salaries 
INC_6B 1 2432 – 2432 Sources personal income: Income from self–employment
INC_6C 1 2433 – 2433 Sources personal income: Dividends and interest
INC_6D 1 2434 – 2434 Sources personal income: Employment insurance
INC_6E 1 2435 – 2435 Sources personal income: Worker's compensation
INC_6F 1 2436 – 2436 Sources personal income: Canada or Quebec Pension Plan
INC_6G 1 2437 – 2437 Sources personal income: Job related retirement pensions
INC_6H 1 2438 – 2438 Sources personal income: RRSP/RRIF
INC_6I 1 2439 – 2439 Sources personal income: Old Age Security and Guaranteed Inc
INC_6K 1 2440 – 2440 Sources personal income: Child tax benefits
INC_6J 1 2441 – 2441 Sources personal income: social assistance or welfare
INC_6L 1 2442 – 2442 Sources personal income: Child support
INC_6M 1 2443 – 2443 Sources personal income: Alimony
INC_6N 1 2444 – 2444 Sources personal income: Other
INC_6O 1 2445 – 2445 Sources personal income: None
INC_7 2 2446 – 2447 Main source of personal income
INC_8A 6 2448 – 2453 Total personal income
INC_8B 1 2454 – 2454 Total personal income: Ranges
INC_8C 2 2455 – 2456 Total personal income: Range 1
INC_8D 2 2457 – 2458 Total personal income: Range 2
INCDHH 2 2459 – 2460 Total household income from all sources – (D)
INCDPER 2 2461 – 2462 Total personal income from all sources – (D)
INCDADR 11.9 2463 – 2473 Adjusted household income ratio – (D)
INCDRCA 2 2474 – 2475 Household income distribution – (D)
INCDRPR 2 2476 – 2477 Household income distribution – provincial level – (D)
INCDRRS 2 2478 – 2479 Household income distribution – health region level – (D)
DOFSC 1 2480 – 2480 Food security – Inclusion Flag – (F)
FSC_010 1 2481 – 2481 Food situation in household – 12 month
FSC_020 1 2482 – 2482 Worried food would run out – 12 month
FSC_030 1 2483 – 2483 Food bought just didn't last and no money to buy more –12 month
FSC_040 1 2484 – 2484 Could not afford to eat balanced meals – 12 month
FSC_050 1 2485 – 2485 Relied on few kinds of low–cost food for children – 12 month
FSC_060 1 2486 – 2486 Could not feed children a balanced meal – 12 month
FSC_070 1 2487 – 2487 Children were not eating enough – 12 month
FSC_080 1 2488 – 2488 Adults skipped or cut size of meals – 12 month
FSC_081 1 2489 – 2489 Adults skipped or cut size of meals – frequency – 12 month
FSC_090 1 2490 – 2490 Ate less than felt should – 12 month
FSC_100 1 2491 – 2491 Was hungry but could not afford to eat – 12 month
FSC_110 1 2492 – 2492 Lost weight no money to buy food– 12 month
FSC_120 1 2493 – 2493 Adults did not eat for whole day – 12 month
FSC_121 1 2494 – 2494 Adults did not eat whole day – frequency – 12 month
FSC_130 1 2495 – 2495 Adults cut size of children's meals – 12 month
FSC_140 1 2496 – 2496 Children skipped meals – 12 month
FSC_141 1 2497 – 2497 Children skipped meals – frequency – 12 month
FSC_150 1 2498 – 2498 Children were hungry – 12 month
FSC_160 1 2499 – 2499 Children did not eat for whole day – 12 month
FSCDHFS2 1 2500 – 2500 Household Food Security Status – Modified version – (D)
FSCDAFS 1 2501 – 2501 Household Food Security – No children (D)
FSCDCFS 1 2502 – 2502 Household Food Security – Have children (D)
WTS_M 8.2 2503 – 2510 Weights – Master
WTS_S 8.2 2511 – 2518 Weights – Share

Availability of optional content in the Canadian Community Health Survey (CCHS), by province or territory, 2009

Standard table symbols

Optional Modules Newfoundland Prince
Edward
Island
Nova
Scotia
New
Brunswick
Quebec Ontario Manitoba Saskatchewan Alberta British
Columbia
Yukon North
West
Territories
Nunavut
Alcohol use – Dependence (ALD)
Alcohol use during the past week (ALW)
Blood pressure check (BPC)
Breast examinations (BRX)
Breast self examinations (BSX)
Changes made to improve health (CIH)
Colorectal cancer screening (CCS)
Consultations about mental health (CMH)
Dental visits (DEN)
Depression (DEP)
Diabetes care (DIA)
Dietary supplement use – Vitamins and minerals (DSU)
Distress (DIS)
Driving and safety (DRV)
Eye examinations (EYX)
Food choices (FDC)
Food security (FSC)
Health care system satisfaction (HCS)
Home care services (HMC)
Home safety (HMS)
Illicit drugs use (IDG)
Insurance coverage (INS)
Mammography (MAM)
Mastery (MAS)
Maternal experiences – Alcohol use during pregnancy (MXA)
Maternal experiences - Smoking during pregnancy (MXS)
Oral health 2 (OH2)
PAP smear test (PAP)
Patient satisfaction – Health care services (PAS)
Patient satisfaction – Community-based care (PSC)
Physical activities – Facilities at work (PAF)
Problem gambling (CPG)
Prostate cancer screening (PSA)
Psychological well-being (PWB)
Satisfaction with life (SWL)
Sedentary activities (SAC)
Self-esteem (SFE)
Health status (SF-36) (SFR)
Smoking - Physician counselling (SPC)
Smoking - Stages of change (SCH)
Smoking cessation methods (SCA)
Social support – Availability (SSA)
Social support – Utilization (SSU)
Stress – Coping with stress (STC)
Stress – Sources (STS)
Suicidal thoughts and attempts (SUI)
Sun safety behaviours (SSB)
Smoking – Other tobacco products (TAL)
Voluntary organizations – Participation (ORG)
Legend: • : Available in 2009

Newfoundland and Labrador Module acronym
Alcohol use during the past week ALW
Colorectal cancer screening CCS
Diabetes care DIA
Driving and safety DRV
Food security FSC
Health care system satisfaction HCS
Mammography MAM
Prostate cancer screening PSA
Sedentary activities SAC
Suicidal thoughts and attempts SUI

Prince Edward Island Module acronym
Blood pressure check BPC
Breast examinations BRX
Changes made to improve health CIH
Colorectal cancer screening CCS
Consultations about mental health CMH
Dental visits DEN
Depression DEP
Diabetes care DIA
Oral health 2 OH2
Pap smear test PAP
Prostate cancer screening PSA
Sun safety behaviours SSB

Nova Scotia Module acronym
Changes made to improve health CIH
Colorectal cancer screening CCS
Dental visits DEN
Eye examinations EYX
Food choices FDC
Food security FSC
Mammography MAM
Pap smear test PAP
Patient satisfaction - Community-based care PSC
Physical activities - Facilities at work PAF
Prostate cancer screening PSA
Stress – Sources STS
Sun safety behaviours SSB

New Brunswick Module acronym
Colorectal cancer screening CCS
Blood pressure check BPC
Consultations about mental health CMH
Illicit drug use IDG
Mammography MAM
Problem gambling CPG
Psychological well-being PWB
Social support - availability SSA
Social support - utilization SSU

Quebec Module acronym
Consultations about mental health CMH
Depression DEP
Distress DIS
Food choices FDC
Food security FSC
Self-esteem SFE
Social support - availability SSA
Sun safety behaviours SSB

Ontario Module acronym
Alcohol use during the past week ALW
Colorectal cancer screening CCS
Consultations about mental health CMH
Dental visits DEN
Driving and safety DRV
Food security FSC
Health care system satisfaction HCS
Home care services HMC
Illicit drug use* IDG
Eye Examinations EYX
Maternal experiences – Smoking during pregnancy MXS
Oral health 2 OH2
Patient satisfaction - Health care services PAS
Smoking - Other tobacco products TAL

Manitoba Module acronym
Food security FSC
Health status (SF-36) SFR
Mastery MAS
Consultations about mental health CMH
Sedentary activities SAC
Smoking - Physician counselling SPC
Smoking - Stages of change SCH

Saskatchewan Module acronym
Alcohol use during the past week ALW
Colorectal cancer screening CCS
Depression DEP
Distress DIS
Food security FSC
Illicit drug use IDG
Breast examinations BRX
Health care system satisfaction HCS
Social support - Availability SSA
Consultations about mental health CMH

Alberta Module acronym
Consultations about mental health CMH
Depression DEP
Distress DIS
Driving and safety DRV
Food security FSC
Mammography MAM
Maternal experiences – Alcohol use during pregnancy MXA
Patient satisfaction - Community-based care PSC
Maternal experiences – Smoking during pregnancy MXS
Problem gambling CPG
Suicidal thoughts and attempts SUI

British Columbia Module acronym
Changes made to improve health CIH
Depression DEP
Food security FSC
Satisfaction with life SWL
Sedentary activities SAC
Self-esteem SFE
Social support - Availability SSA
Social support - Utilization SSU
Suicidal thoughts and attempts SUI
Voluntary organizations - Participation ORG

Yukon Module acronym
Blood pressure check BPC
Breast examinations BRX
Breast self-examinations BSX
Changes made to improve health CIH
Colorectal cancer screening CCS
Consultations about mental health CMH
Dental visits DEN
Driving and safety DRV
Eye examinations EYX
Food choices FDC
Food security FSC
Maternal experiences – Alcohol use during pregnancy MXA
Maternal experiences – Smoking during pregnancy MXS
Pap smear test PAP
Prostate cancer screening PSA
Smoking - Physician counselling SPC
Smoking cessation methods SCA
Stress - Coping with stress STC
Stress - Sources STS

Northwest Territories Module acronym
Blood pressure check BPC
Breast examinations BRX
Colorectal cancer screening CCS
Consultations about mental health CMH
Depression DEP
Dietary supplement use - Vitamins and minerals DSU
Distress DIS
Food choices FDC
Food security FSC
Health care system satisfaction HCS
Mammography MAM
Mastery MAS
Prostate cancer screening PSA
Self-esteem SFE
Social support - Availability SSA
Voluntary organizations - Participation ORG

Nunavut Module acronym
Alcohol use - Dependence ALD
Breast examinations BRX
Breast self-examinations BSX
Colorectal cancer screening CCS
Depression DEP
Eye examinations EYX
Food security FSC
Home safety HMS
Illicit drug use IDG
Insurance coverage INS
Maternal experiences – Alcohol use during pregnancy MXA
Maternal experiences – Smoking during pregnancy MXS
Pap smear test PAP
Patient satisfaction - Community-based care PSC
Problem gambling CPG
Smoking - Physician counselling SPC
Smoking cessation methods SCA
Suicidal thoughts and attempts SUI

Canadian Community Health Survey (CCHS)

Household weights documentation

May 2010

1. Introduction
2. Weighting overview
3. Sample weighting

1. Introduction

This document describes the weighting process used in the creation of the household weight for the Canadian Community Health Survey (CCHS). In using this weight, users should note that the survey is designed to represent individuals and not designed to represent households. Certain steps are taken in the design to ensure that the sample is representative of different demographic groups and this may affect how well the sample represents households of different compositions. Also, since the calibration for the household weight is done at the provincial level, it is possible to yield reliable estimates at the national and provincial level only. It is felt that individual responses to certain questions can be used to represent the household. This weight should only be used for variables where it can be assumed that the responses from the individual clearly represent the household and that the response would not be affected by who responded within the household. This is highlighted by the fact that throughout the document, we refer to responding persons. Users must remember that the responses from this selected individual are assumed to represent the household when using the household weight.

Those familiar with the CCHS will notice that these weight adjustments are very similar to those used for other weights that have been produced in the past. A CCHS interview can be seen as a two–part process. First, the interviewer gets the complete roster of the people living within the household (Household Response). Second, (s)he interviews the selected person within the household (Person Response). In the calculation of the household weight, the individual responses are used to represent the household. Nonresponse adjustments for both stages are still included since nonresponse can occur at either part of the interview process. Note that nonresponse adjustments for the household can be based on characteristics of the individual respondent. Since the survey is designed to collect information from the individual, the characteristics of the individual can have an effect on nonresponse of the household.

2. Weighting Overview

In order for estimates produced from survey data to be representative of the covered population and not just the sample itself, users must incorporate the survey weights in their calculations. A survey weight is given to each person included in the final sample, that is, the sample of persons having answered the survey. This weight corresponds to the number of households in the entire population that are represented by the respondent.

The CCHS has recourse to three sampling frames for its sample selection: an area frame acting as the primary frame and two frames formed of telephone numbers complementing the area frame. Since only minor differences differentiate the two frames formed of telephone numbers in terms of weighting, they are treated together. They are referred to as being part of the telephone frame.

The weighting strategy treats both the area and telephone frames independently. Weights resulting from these two frames are afterwards combined into a single set of weights through a step called "integration". After some adjustments, this integrated weight becomes the final weight. Note that depending on the need, one or two frames were used for the selection of the sample within a given health region (HR). The weighting strategy deals with this aspect at the integration step.

3. Sample weighting

As mentioned previously, units from both the area and telephone frames are treated separately up to the integration step. These weighting steps for the household weight, up to and including the integration of the frames, are the same as the steps from the main weight. Please refer to the CCHS User Guide for more information about these steps. The final three weighting steps, person nonresponse, winsorization and calibration, are explained in sub–sections 3.1–3.3.

Although these two frames were used to cover the three territories, some modifications had to be done relative to their use. These modifications substantially affected the weighting of these three regions and they are reported in sub–section 3.4.

Diagram A presents an overview of the different adjustments that are part of the weighting strategy, in the order in which they are applied. A numbering system is used to identify each adjustment applied to the weight and will be used throughout the section. Letters A and T are used as prefixes to refer to adjustments applied to the units on the Area and Telephone frames respectively, while prefix I identifies adjustments applied from the Integration step onwards.

Diagram A: Weighting strategy overview (Household weight)

Diagram A: Weighting strategy overview (Household weight)

3.1 Person–level nonresponse (I2)

A CCHS interview can be seen as a two–part process. First, the interviewer gets the complete roster of the people within the household. Second, (s)he interviews the selected person. In some cases, interviewers can only get through the first part, either because they cannot get in touch with the selected person or because that selected person refuses to be interviewed. Such individuals are defined as person nonrespondents and an adjustment factor must be applied to the weights of the respondents to account for this nonresponse. Using the same methodology that was used in the treatment of household nonresponse (see User Guide, Section 8.2 – A4), the adjustment is applied within response homogeneity groups based on characteristics available for both respondents and non–respondents. All characteristics collected when creating the roster of household members are available for the creation of the groups as well as geographic information and some paradata. The scoring method is used to define the classes. In the end, the following adjustment factor is calculated within each group:

Formula 1

Weight I1 is multiplied by the above adjustment factor to produce weight I2. Nonresponding persons are dropped from the weighting process from this point onward.

3.2 Winsorization (I3)

Following the series of adjustments applied to the respondents, some units may come out with extreme weights compared with other units in the same domain of interest. For the household weights, the domains include province by household size, where household size is defined by: 1–person household, 2–person household and at least 3–person household. Some responding households could represent a large proportion of their province by household size domain or have a large impact on the variance. In order to prevent this, the weights of the outlier units that represent a large proportion of their domain are adjusted downward using a “Winsorization” trimming approach.

3.3 Calibration (I4)

The last step in obtaining the final CCHS household weight is calibration. Calibration is done using the program CALMAR to ensure that the sum of the final weights corresponds to the household estimates defined at the province by household size level. These groups of interest are defined by the sizes: 1–person household, 2–person household and at least 3–person household. At the same time, the weights are seasonally adjusted to ensure that the each two month collection period is equally represented within the sample. In terms of geography, all calibration is at the provincial level only.

The household count estimates are based on the most recent census. The average of these monthly estimates is used to calibrate for each of the province by household size post–strata within a collection period. The weight I3 is therefore adjusted to obtain the final weight I4 with the help of the adjustment factor I4 defined as follows:

Formula 2

Consequently, the weight I4 corresponds to the final CCHS household weight that can be found on the household weight file with the variable name WTS_MHH for the master weight and WTS_SHH for the share weight.

3.4 Particular aspects of the weighting in the three territories

The sampling frame used in the three territories is somewhat different from the one used in the provinces. Therefore the weighting strategy is adapted to comply with these differences. This section summarises the changes applied to the weighting steps in the territories.

For the area frame, an additional stage of selection is added in the territories where each territory is initially stratified into groups of communities and one community is selected within each group. Note that the capital of each territory forms a stratum on its own and is consequently selected automatically at this first stage. This has an effect in the computation of the probability of selection and therefore in the value of the initial weight (A0). Once the initial weight is calculated, the same series of adjustments (A1 to A4) is applied to the area frame units. The household–level adjustment classes are built in the same way as for the provinces, using the same set of variables available.

For the weighting of the telephone frame units, it should first be noted that only the RDD frame is used for the territories, and exclusively in the Yukon and Northwest Territories capitals. All of the standard telephone adjustments are applied.

The two sets of weights (area and telephone) are subsequently integrated and then adjusted for person level nonresponse, winsorization and finally calibrated in a similar way to what is done for the provinces, with the exception of four details. First, the integration is applied only to units located in the Yukon and Northwest Territories capitals since the other communities are covered only by the area frame. Second, for Nunavut, the household counts used for calibration only represent the 10 largest communities (73% of the households) because of the under–coverage of the area frame (for more details, see User Guide, section 5.4.1). Third, in the Yukon and Northwest Territories, starting with the 2008 and 2007/2008 reference periods,calibration is used to control for the proportion of households located inside the capital cities versus the proportion of households located outside of the capital cities. The same approach has been adapted for Nunavut starting in 2009. Finally, due to the differences in collection strategies, the number of collection periods used in calibration for the seasonal effect in the territories is different from the provinces. In 2009, two 6–month periods are used in the three Territories.

3.4 Particular aspects of the weighting in the three territories

Along with the master file and PUMF , which contain all CCHS responding persons, a share file is created which contains only a portion (>90%) of the original CCHS responding persons. The individuals on this share file have agreed to share their data with certain partners. To compensate for the loss of some respondents from the file, the weights of these "sharers" must be adjusted by the factor:

Formula 3

Similar to the nonresponse adjustments, this factor is calculated within homogeneity groups, where in this case, individuals with similar estimated propensity to share will be grouped together. The final weight after this adjustment is called WTS_SHH.

3.6 The Food Security Module in 2009

Starting in 2009, the Food Security Module (FSC) becomes optional content and hence is not available for all provinces. This is one of the few variables on the CCHS where it is applicable to use the household weight. Given this change, it is no longer appropriate to calculate national estimates with this variable.

Canadian Community Health Survey (CCHS) – Annual component

User guide 2009
Microdata files

1.0 Introduction
2.0 Background
3.0 CCHS redesign in 2007
4.0 Content structure of the CCHS
5.0 Sample Design
6.0 Data Collection
7.0 Data Processing
8.0 Weighting
9.0 Data Quality
10.0 Guidelines for tabulation, analysis and release
11.0 Approximate sampling variability tables
12.0 Microdata files: description, access and use
Appendix A
Appendix B
Appendix C
Appendix D
Appendix E

1.0 Introduction

The Canadian Community Health Survey (CCHS) is a cross–sectional survey that collects information related to health status, health care utilization and health determinants for the Canadian population. It surveys a large sample of respondents and is designed to provide reliable estimates at the health region level. In 2007, major changes were made to the CCHS design. Data is now collected on an ongoing basis with annual releases, rather than every two years as was the case prior to 2007. The survey’s objectives were also revised and are as follows:

  • support health surveillance programs by providing health data at the national, provincial and intra–provincial levels;
  • provide a single data source for health research on small populations and rare characteristics;
  • timely release of information easily accessible to a diverse community of users; and
  • create a flexible survey instrument that includes a rapid response option to address emerging issues related to the health of the population.

Details of the other redesign changes are provided in section 3.

The CCHS data is always collected from persons aged 12 and over living in private dwellings in the 121 health regions covering all provinces and territories. Excluded from the sampling frame are individuals living on Indian Reserves and on Crown Lands, institutional residents, full–time members of the Canadian Forces, and residents of certain remote regions. The CCHS covers approximately 98% of the Canadian population aged 12 and over.

The purpose of this document is to facilitate the manipulation of the CCHS microdata files and to describe the methodology used. The CCHS produces three types of microdata files: master files, share files and public use microdata files (PUMF). The characteristics of each of these files are presented in this guide. The PUMF is released every two years and contains two years of data. The next PUMF file will be released in 2011 and will include the data collected for the years 2009 and 2010.

Any questions about the data sets or their use should be directed to:

Electronic Products Help Line: 1–800–949–9491

For custom tabulations or general data support:
Client Custom Services, Health Statistics Division: 613–951–1746
E–mail: hd–ds@statcan.gc.ca

For remote access support: 613–951–1746
E–mail: cchs–escc@statcan.gc.ca
Fax: 613–951–0792

2.0 Background

In 1991, the National Task Force on Health Information cited a number of issues and problems with the health information system. The members felt that data was fragmented; incomplete, could not be easily shared, was not being analysed to the fullest extent, and the results of research were not consistently reaching Canadians.1

In responding to these issues, the Canadian Institute for Health Information (CIHI), Statistics Canada and Health Canada joined forces to create a Health Information Roadmap. From this mandate, the Canadian Community Health Survey (CCHS) was conceived. The format, content and objectives of the CCHS evolved through extensive consultation with key experts and federal, provincial and community health region stakeholders to determine their data requirements.2

To meet many data requirements, the CCHS had a two–year data collection cycle. Until the redesign in 2007, the first year of the survey cycle, designated by ".1", was a general population health survey, designed to provide reliable estimates at the health region level. The second year of the survey cycle, designated by ".2", had a smaller sample and was designed to provide provincial level results on specific health topics.

New designations for Cycles .1 and .2

As of 2007, the regional component of the CCHS program began being collected on an ongoing basis. To avoid confusion with the health focused surveys, the two components stopped using the “.1” and “.2” designations to distinguish them. Henceforth, the x.1 cycles of the CCHS are designated as "the annual component" of the CCHS. The full title is "The Canadian Community Health Survey – Annual component, 2009" and the short title is simply "CCHS – 2009". The focused content component of the survey remains unchanged. It will continue to examine in greater detail more specific topics or populations. It will be designated by the name of the survey followed by the topic of the themes covered by each survey (example, “Canadian Community Health Survey on Healthy Aging” or “CCHS – Healthy Aging”).

3.0 CCHS Redesign in 2007

Until 2005, the CCHS data were collected every two years over a one year period and released every two years, about six months after the end of the collection period. There were two main objectives for the 2007 CCHS redesign: to address the needs of partners to increase the survey’s content and the frequency of data releases, and to ensure better use of operational resources. For these reasons, the proposed changes to the CCHS design focused on improving the survey’s efficiency and flexibility through ongoing data collection.

Extensive consultations were held across Canada with key experts and federal, provincial and health region stakeholders to gather input on the proposed changes and detailed information on the data requirements and products of the various partners.

Below are the main changes arising from the CCHS redesign:

  • In the past, the CCHS data were collected from 130,000 respondents over a 12–month period. Now, data collection takes place on an ongoing basis. The sample, which retains the same size, is divided into 12 two–month collection periods. Each collection period is representative of the population living in the ten Canadian provinces during the two months. For operational reasons, the sample in the territories is representative of their population after 12 months.
     
  • The common content component is divided into three: the annual common content (previously referred to as core content), the one year and two-year common content (previously referred to as theme content). The one year common content is asked for one year and re-introduced every two or four years. The two year common content is asked for two years and re-introduced every four years. The two year and one year common content was created to take advantage of the continuous collection approach. The data collection time for this component can be adjusted based on the prevalence of the desired estimates and their geographic level. The annual common content will remain relatively stable over time. At the discretion of the provinces and regions, the optional content can also be adjusted on an annual basis, rather than every two years.
     
  • Content and collection changes inevitably impact the dissemination strategy. Previously, data were released every two years. Since 2008, CCHS data are released annually. Every two years, a file combining the two years’ sample (130,000 respondents) is also be released. In addition to these regular files, other special files will be made available when additional content has been collected during collection periods that do not correspond to the standard annual periods, which is January to December.
     
  • The annual data collection is divided into six two–month periods. Unlike the previous collection strategy, these periods no longer overlap, which provides more efficient oversight of collection and offers the possibility of changing the collection interface every two months, if necessary.

4.0 Content Structure of the CCHS

In addition to socio–demographic and administrative data, the content of the CCHS includes three components, each of which addresses a different need: annual common content, the two year and one year common content, the optional content component, and the rapid response component. AppendixA lists the modules included in the 2009 questionnaire by component.

The average length of a CCHS interview is estimated at 40 to 45minutes.

Table 4.1 Length of survey by component

CCHS component

Average interview time

Common content

  • Annual
  • One and two-year
30 minutes
(20 minutes)
(5 minutes)

Optional content

10 minutes

Rapid response content (optional)

2 minutes

4.1 Common content

The CCHS common content component includes questions asked of respondents in all provinces and territories (unless otherwise specified). It is divided into three components: the annual common content, one-year and two year common content.

The annual common content consists of questions asked of all survey respondents. These questions will remain relatively stable in the questionnaire for a period of about six years, unless a major concern is raised about quality.

The one year and two-year common content (previously called theme content) comprises questions related to a specific topic. Combined, the two year and one year common content take about 10 minutes of the interview time. Modules comprising this content type could be reintroduced in the survey every two, four or six years, if required. This component enables CCHS to better plan its content in the medium term.

Some of the modules in the one year common content may be asked of a sub sample of respondents if the objective of these questions is to provide reliable data at the national or provincial level, rather than at the health region level. This approach is used to minimize the related response burden and costs.

4.2 Optional content

The optional content component gives health regions the opportunity to select content that addresses their provincial or regional public health priorities. The optional content is selected from a long list of modules available for inclusion in the CCHS. The content modules selected by a region are asked only of residents in the regions that selected these modules. In reality, since 2005 (cycle 3.1), the regions and provinces have opted to coordinate the optional content selected in order to ensure a uniform selection of optional modules provincially. The optional content may vary annually depending on needs and must be reviewed every two years.

It should be noted that, unlike the modules included in the common content, the resulting data from the optional content modules is not easily generalized across Canada3.

Appendix B presents the selection results of the optional content for the current year by province of residence.

4.3 Rapid response content

The rapid response component is offered on a cost–recovery basis to organizations interested in obtaining national estimates on an emerging or specific topic related to the health of the population. The rapid response content takes a maximum of two minutes of interview time. The questions appear in the questionnaire for a single collection period (two months) and are asked of all CCHS respondents during that period.

4.4 Content included in data files

The survey produces different data files:

  • one year reference period
  • combined two years reference periods and
  • one year sub-sample data files.

Table 4.2 provides clarification about the data files available for the 2009 and 2010 CCHS.

One year data files

The survey produces data files every year. In June 2010, an annual file based on the 2009 reference period has been released. It includes respondents from the 2009 data collection and variables from the common annual content, common one year content, common two year content as well as optional content.

Two year data files

Every two years, a file combining the most recent two years is released. The last combined file was released in 2009 and contained data for 2007 and 2008. The next two years data file will be released in 2011 and will include 2009 and 2010 reference year data .

The two-year data file includes all respondents and the questions that were in the survey over the two year reference period. Unless otherwise specified, it is the question component from the common annual and two-year content and selected optional content over the two year period. The one-year common content and optional content selected for one year only are not available in the two-year data file.

Sub-sample data files

Any modules collected from a sub-sample of the population will continue to be disseminated in separate files. These files include the annual and one year common content collected from a sub-sample of respondents.

Table 4.2 Content components included in 2009 and 2010 data files
Files Annual common content 2009 one year common content1 2010 one year common content2 2009-2010 two-year common content Optional content3
2009 Main
Sub-sample
(2 modules)
Yes
Yes
No
Yes
N/A
N/A
Yes
No
Yes
No
2010 Main Yes N/A Yes Yes Yes
2009-2010 Main Yes No No Yes Yes
1 The 2009 annual common content was comprised of two modules (Access to health care services and Waiting times) which were all asked to a sub-sample of respondents.
2 The 2010 annual common content will include a group of modules related to chronic disease screening.
3Optional content will be included in the 2009-2010 data file (to be released in 2011) if it is asked of respondents in a province during the two year period. Otherwise, it will only be included in the file of the year in which it was collected. Note that if an annual common content module from one year is selected for the optional content of a jurisdiction during the second year, the module will be included in the two-year data file and will be processed as optional content.

5.0 Sample design

5.1 Target population

The CCHS targets persons aged 12 years and older who are living in private dwellings in the ten provinces and three territories. Persons living on Indian Reserves or Crown lands, those residing in institutions, full–time members of the Canadian Forces and residents of certain remote regions are excluded from this survey. The CCHS covers approximately 98% of the Canadian population aged 12 and older.

5.2 Health regions

For administrative purposes, each province is divided into health regions (HR) and each territory is designated as a single HR. Statistics Canada is sometimes asked to make minor changes to the boundaries of some of the HRs to correspond to the geography of the Census, or to better account for the health data needs determined by the new geographic boundaries. For CCHS 2008, data was collected in 118 HRs in the ten provinces, as well as to one HR per territory, totalling 121 HRs (Appendix C).

5.3 Sample size and allocation

To provide reliable estimates for each HR given the budget allocated to the CCHS component, it was determined that the survey should consist of a sample of nearly 130,000 respondents over a period of 2 years. Although producing reliable estimates for each HR was a primary objective, the quality of the estimates for certain key characteristics at the provincial level was also deemed important. Therefore, the sample allocation strategy, consisting of three steps, gave relatively equal importance to the HRs and the provinces. In the first step, a minimum size of 500 respondents per HR was imposed. This is considered the minimum for obtaining a reasonable level of data quality. However, due to response burden, a maximum sampling fraction of 1 out of 20 dwellings was imposed to avoid sampling too many dwellings in smaller regions also targeted by other surveys. Note that very few HRs have a size lower than 500 due to limit of the sampling fraction. In this first step, 60,350 units were allocated in total. The second step involves allocating the rest of the available sample by using an allocation proportional to the population size by province. The total sample size by province is therefore the sum of the sizes established by the two first steps. This sample allocation strategy was used for CCHS 3.1 and the sample sizes have remained mainly the same since then. The sample was then divided evenly between the 2 collection years. Table 5.1 gives the annual sample size for 2009.

Table 5.1 Number of health regions and targeted sample sizes by province/territory, 2009
Province Number of HRs Total sample size (targeted)
Newfoundland and Labrador 4 2,005
Prince Edward Island 3 1,001
Nova Scotia 6 2,520
New Brunswick 7 2,575
Quebec 16 12,144
Ontario1 36 22,207
Manitoba 10 3,750
Saskatchewan 11 3,860
Alberta 9 6,100
British Columbia 16 8,050
Yukon 1 600
Northwest Territories 1 600
Nunavut 1 350
Canada 121 65,762
1The sample size for Ontario includes the buy–in extra sample by LHIN. The initial sample size for Ontario before the buy–in was 20,880 units (refer to section 5.7 for further details).

In the third step, the provincial sample was allocated among its HRs proportionally to the square root of the estimated population in each HR. This three–step approach gives sufficient sample for each HR with minimal disturbance to the proportionality of the allocation by province.

Note that the three territories were not part of the above allocation strategy as they were dealt with separately. In total, for 2009, 600 sample units were allocated to the Yukon, 600 to the Northwest Territories and 350 to Nunavut. These sizes are determined according to the available budget. The sample allocation for the territories is done proportionally to the population sizes of the strata. The strata used were the same as those defined by the Labour Force Survey (LFS), which group together communities (For more details, see section 5.4.1).

The sample was then equally divided in 2 in order to obtain the same sample sizes between the area frame sample and the list frame sample for each HR4, as described in the next section. We should finally mention that the size of the samples taken from each frame was increased before data collection in order to account for the anticipated out–of–scope and non–response rates based on the rates obtained in previous CCHS cycles. The sample sizes by HR and frame are provided in Appendix D.

5.4 Frames, household sampling strategies

CCHS 2009 used three sampling frames to select the sample of households: 49% of the sample of households came from an area frame, 50% came from a list frame of telephone numbers and the remaining 1% came from a Random Digit Dialling (RDD) sampling frame.

5.4.1 Sampling of households from the area frame

The CCHS used the area frame designed for the Canadian Labour Force Survey (LFS) as a sampling frame. The sampling plan of the LFS is a multistage stratified cluster design in which the dwelling is the final sampling unit5. In the first stage, homogeneous strata are formed and independent samples of clusters are drawn from each stratum. In the second stage, dwelling lists are prepared for each cluster and dwellings, or households, are selected from these lists.

For the purpose of the LFS plan, each province is divided into three types of regions: major urban centres, cities, and rural regions. Geographic or socio–economic strata are created within each major urban centre. Within the strata, between 150 and 250 dwellings are grouped together to create clusters. Some urban centres have separate strata for apartments or for census Dissemination Areas (DA) to pinpoint households with high income, immigrants and aboriginals. In each stratum, six clusters or residential buildings (sometimes 12 or 18 apartments) are chosen by a random sampling method with a probability proportional to size (PPS), the size of which corresponds to the number of households. The number six is used throughout the sample design to allow for one sixth of the LFS sample to be rotated each month.

The other cities and rural regions of each province are stratified first on a geographical basis, then according to socio–economic characteristics. In the majority of strata, six clusters (usually census DAs) are selected using the PPS method. Some geographically isolated urban centres are covered by a three–stage sampling design. This type of sampling plan is used for Quebec, Ontario, Alberta and British Columbia.

Once the new clusters are listed, the sample is obtained using a systematic sampling of dwellings. The sample size for each systematic sample is called the “yield”. Table 5.2 gives an overview of the types of PSUs used in the LFS sample and the yield predicted by systematic sample. As the sampling rates are determined in advance, there is frequently a difference between the expected sample size and the numbers that are obtained. The yield of the sample, for example, is sometimes excessive. This can particularly happen in sectors where there is an increase in the number of dwellings due to new construction. To reduce the cost of collection, an excessive output is corrected by eliminating, from the beginning, a part of the units selected and by modifying the weight of the sample design. This change is dealt with during weighting.

Table 5.2 Major first–stage units, sizes and yields
Area Primary Sampling Unit (PSU) Size (households per PSU) Yield (sampled households)
Toronto, Montreal, Vancouver Cluster 150–250 6
Other cities Cluster 150–250 8
Most rural areas / small urban centres Cluster 100–250 10

Due to the specific of the CCHS, some modifications had to be incorporated in this sampling strategy. To obtain an annual sample of 33,000 respondents for CCHS 2009, close to 48,000 dwellings had to be selected from the area frame to account for vacant dwellings and non–responding households. Each month, the LFS design provides approximately 60,000 dwellings distributed across the various economic regions in the ten provinces, whereas the CCHS 2009 required 48,000 dwellings distributed across the HRs, which have different geographic boundaries from those of the LFS economic regions. Overall, the CCHS 2009 required a lower number of dwellings than those generated by the LFS selection mechanism, which corresponds to an adjustment factor of 0.80 (48,000/60,000). However, since the adjustment factors varied from 0.3 to 3.0 at the HR level, certain adjustments were required.

The changes made to the selection mechanism in the regions varied depending on the size of the adjustment factors. For HRs that had a factor smaller than or equal to 1, the number of PSUs selected was reduced if necessary. For example, if the factor was 0.5 then only 3 PSUs were selected in each stratum instead of the usual number of 6 PSUs. For those HRs with a factor greater than 1 but smaller than or equal to 2, the sampling process of dwellings within a PSU was repeated for a subset of the selected PSUs that were part of the same HR. For example, if the factor was 1.6 then the selection of dwellings within a PSU was repeated for 4 of the 6 PSUs in all strata of that HR. When it was necessary to have a repeated selection of dwellings within a PSU and there were no more dwellings available in that PSU, then another PSU was selected. When the factor was greater than 2, the sampling process of dwellings was repeated among other PSUs that were part of the same HR6.

Finally, when the number of dwellings available in the selected PSUs was greater than the requested number of dwellings for a given HR, a sub–sample of dwellings was selected. This process is called ‘stabilization’.

Sampling of households from the area frame in the three territories

For operational reasons, the LFS area frame sample design for the three territories is different. For each territory, in–scope communities are grouped into strata based on various characteristics (population, geographical information, proportion of Inuit and/or Aboriginal persons, and median household income). The LFS defined five design strata in the Yukon, ten in the Northwest Territories and six in Nunavut. The first stage of selection consisted of randomly selecting one community with a probability proportional to population size within each design stratum. Then, within the selected community, a household sampling strategy was put in place identically to the one described above. The CCHS selected its sample from the same communities sampled by the LFS, while ensuring that different dwellings were selected. If too many or too few dwellings were available for a community within a stratum, the LFS chose another community for the CCHS.

It is worth mentioning that the frame for the CCHS 2009 covered 90% of the private households in the Yukon, 97% in the Northwest Territories and 71% in Nunavut7.

5.4.2 Sampling of households from the list frame of telephone numbers

With the exception of 5 HRs (the two RDD only HRs and the three territories), the list frame of telephone numbers was used in all HRs to complement the area frame. The list frame consists of the Canada Phone directory which is an external administrative database of names, addresses and telephone numbers from telephone directories in Canada updated every six months. It was linked to administrative conversion files to obtain postal codes, and these were mapped to HRs to create list frame strata. There was one list frame stratum per HR. Within each stratum, the required number of telephone numbers was selected using a simple random sampling process from the list. As for the RDD frame, additional telephone numbers were selected to account for the numbers not in service or out–of–scope.

It is important to mention that the undercoverage of the list frame is higher than the one for the RDD as unlisted numbers do not have a chance of being selected. Nevertheless, as the list frame is always used as a complement to the area frame, the impact of the undercoverage of the list frame is minimal and is dealt with during weighting.

5.4.3 Sampling of households from the RDD frame of telephone numbers

In four HRs, a Random Digit Dialing (RDD) sampling frame of telephone numbers was used to select a sample of households. The sampling of households from the RDD frame used the Elimination of Non–Working Banks (ENWB) method, a procedure adopted by the General Social Survey8. A bank of one hundred telephone numbers (the first eight digits of a ten–digit telephone number) is considered to be non–working if it does not contain any residential telephone numbers. At first, the frame consists of a list of all possible banks and, as non–working banks are identified, they are eliminated from the frame. It should be noted that these banks are eliminated only when there is evidence from various sources that they are non–working. When there is no information about a bank it is left on the frame. The Canada Phone Directory and telephone companies’ billing address files were used in conjunction with various internal administrative files to eliminate non–working banks.

Using available geographic information (postal codes), the banks on the frame were regrouped to create RDD strata to encompass, as closely as possible, the HR areas. Within each RDD stratum, a bank was randomly chosen and a number between 00 and 99 was generated at random to create a complete, ten–digit telephone number. This procedure was repeated until the required number of telephone numbers within the RDD stratum was reached. Frequently, the number generated is not in service or is out–of–scope, and therefore, many additional numbers must be generated to reach the targeted sample size. This success rate varies from region to region. Within the CCHS, the success rates ranged from 25% to 50% among the four HRs which required the use of the RDD frame.

5.5 Sample allocation over the collection period

In order to balance interviewer workload and to minimize possible seasonal effects on estimates of certain key characteristics such as physical activity, the initial sample of dwellings / telephone numbers was allocated at random, within each HR, over a two–month data collection period.

In the area frame, each start selected within each HR was randomly assigned to a collection period accounting for a number of constraints related to field operations or weighting, while maintaining a uniform size for each period. For example, a sample that is representative of the Canadian population is ensured every six months by ensuring that the dwelling sample covers all LFS strata during this period.

For the lists of telephone numbers, independent samples were selected in each collection period. This strategy ensures that each sample is representative of the Canadian population that is within the scope of the survey in each two months.

5.6 Sampling of interviewees

As was done for the previous cycles, the selection of individual respondents was designed to ensure over–representation of youths (12 to 19). The selection strategy that was adopted accounted for user needs, cost, design efficiency, response burden and operational constraints. One person is selected per household using varying probabilities taking into account the age and the household composition. The selection probabilities resulted from simulations using various parameters in order to determine the optimal approach without causing extreme sampling weights.

Table 5.3 gives the selection weight multiplicative factors used to determine the probabilities of selection of individuals in sampled households by age group. For example, for a three–person household (two adults of age 45 to 64 and one 15–year–old), the teenager would have 6.5 times more chance of being selected compared to the adults. To avoid extreme sampling weights, there is one exception to this rule: if the size of the household is greater than or equal to 5 or if the number of 12–19 year olds is greater than or equal to 3 then the selection weight multiplicative factor equals 1 for each individual in the household. Consequently, all people in that household have the same probability of being selected.

Table 5.3 Selection weight multiplicative factors for the person–level sampling strategy by age
  Selection Weight Multiplicative Factors
Age 12 to 19 20 to 29 30 to 44 45 to 64 65+
Factor 65 25 20 10 10

5.7 Supplementary buy–in sample in three health regions in Ontario

The province of Ontario requested a sample increase in order to produce estimates at the Local Health Integrated Network (LHIN) geography level. Ontario contains 14 LHIN. The CCHS sample was increased in order to obtain a minimum size of 2,000 per LHIN over a period of 2 years. As the HR and LHIN boundaries intersect each other, the stratification level used was the HR–LHIN overlap. The preliminary sample sizes allotted by HR are therefore preserved. In cases where the HR allocation prevented the sample from reaching sizes of 2,000 per LHIN, the sample was then increased, and was allocated proportionally to the size of the population within the HR–LHIN overlap. Table 5.4 provides the sample sizes of targeted respondents by LHIN for 2009.

Table 5.4 Targeted respondents by Local Health Integrated Network (LHIN), CCHS 2008.
LHIN Targeted respondents
01–Erie St. Clair 1,550
02–South West 2,561

03–Waterloo Wellington

1,242

04–Hamilton Niagara Haldimand Brant

2,597

05–Central West

1,069

06–Mississauga Halton

1,115

07–Toronto Central

1 081

08–Central

1,411

09–Central East

2,108

10–South East

1,313

11–Champlain

2,057

12–North Simcoe Muskoka

1,050

13–North East

1,990

14–North West

1,063
Ontario 22,207

The total sample size of the HR–LHIN overlapping areas was then allocated equally between the list frame and the area frame. The usual sample selection procedures within each frame were then applied to the total sample. The additional sample was included as part of the full CCHS sample. Sample sizes by Local Health Integrated Network and frame are given in Appendix D.

5.8 Sub-sample for the Health Services Access Survey (HSAS)

A sub-sample of the CCHS was taken to obtain additional information on the services and access to health care. The survey covers the same population as the CCHS, except for the territories and persons less than 15 years of age.

The budget allocated to this sub-sample was similar to the previous survey, at nearly 48,000 respondents, which ensured that reliable estimates could be produced at the provincial level. The sample allocation was conducted similar to that in CCHS 2007. However, the sample was not increased in PEI, so only the 1,001 units available from the CCHS 2009 sample were used. Here are the sample sizes for the HSAS 2009 survey.

Table 5.5: Sample sizes of CCHS 2009 and the HSAS 2009 by province.
  Sample Size
Province CCHS 2009 HSAS 2009
Newfoundland and Labrador 2,005 2,005
Prince Edward Island 1,001 1,001
Nova Scotia 2,520 2,520
New Brunswick 2,575 2,575
Quebec 12,114 4,600
Ontario 22,207 22,207
Manitoba 3,750 3,200
Saskatchewan 3,806 3,200
Alberta 6,100 3,600
British Columbia 8,050 4,000
CANADA 64,212 48,908

Once the size is defined by province, the sample was allocated by HR proportionally to the HR population size, which thus ensured a better sample allocation by province while accounting for the stratification of CCHS by HR. In provinces where the sample size by HR was insufficient, a power allocation with a power less than 1 had to be used. A power of 0.9 was used in Alberta and British Columbia, whereas a power of 0.55 had to be used in Manitoba and Saskatchewan, which made the design less optimal. For the other provinces, no allocation by HR was necessary since the entire CCHS sample was used.

Finally, the sample was allocated evenly between the list frame and the area frame. The size was also increased to account for out-of-scope units, and for the predicted non-response rate. Where possible, the size was once again inflated to account for the population not covered by HSAS (12-14 year-olds) and proxy interviews that were not accepted in HSAS. Final sample sizes and the expected number of respondents by province and frame are given in Appendix D.

Sample selection was performed independently in each collection period based on the CCHS samples. A equally sub-sample of dwellings or telephone numbers was selected randomly in each HR every collection period.

6.0 Data collection

6.1 Computer–assisted interviewing

Between January and December 2009, a total of 61,679 valid interviews were conducted using computer assisted interviewing (CAI). Approximately half the interviews were conducted in person using computer assisted personal interviewing (CAPI) and the other half were conducted over the phone using computer assisted telephone interviewing (CATI).

CAI offers two main advantages over other collection methods. First, CAI offers a case management system and data transmission functionality. This case management system automatically records important management information for each attempt on a case and provides reports for the management of the collection process. CAI also provides an automated call scheduler, i.e. a central system to optimise the timing of call–backs and the scheduling of appointments used to support CATI collection.

The case management system routes the questionnaire applications and sample files from Statistics Canada’s main office to regional collection offices (in the case of CATI) and from the regional offices to the interviewers laptops (for CAPI). Data returning to the main office takes the reverse route. To ensure confidentiality, the data is encrypted before transmission. The data are then unencrypted when they are on a separate secure computer with no remote access.

Second, CAI allows for custom interviews for every respondent based on their individual characteristics and survey responses. This includes:

  • questions that are not applicable to the respondent are skipped automatically
  • edits to check for inconsistent answers or out–of–range responses are applied automatically and on–screen prompts are shown when an invalid entry is recorded. Immediate feedback is given to the respondent and the interviewer is able to correct any inconsistencies.
  • question text, including reference periods and pronouns, is customised automatically based on factors such as the age and sex of the respondent, the date of the interview and answers to previous questions.

6.2 CCHS application development

The CCHS uses two separate CAI applications to collect data, one for telephone interviews (CATI) and one for personal interviews (CAPI). This was done in order to customise each applications’ functionality to the type of interview being conducted. Each application consisted of entry, health content (known as the C2), and exit components.

Entry and exit components contain standard sets of questions designed to guide the interviewer through contact initiation, collection of important sample information, respondent selection and determination of cases status. The C2 consists of the health modules themselves and made up the bulk of the applications. This includes common modules asked of all respondents and optional modules which differed by health region. Each application underwent three stages of testing: block, integrated and end to end.

Block level testing consists of independently testing each content module or “block” to ensure skip patterns, logic flows and text, in both official languages, are specified correctly. Skip patterns or logic flows across modules are not tested at this stage as each module is treated as a stand alone questionnaire. Once all blocks are verified by several testers they are added together along with entry and exit components into integrated applications. These newly integrated applications are then ready for the next stage of testing.

Integrated testing occurs when all of the tested modules are added together, along with the entry and exit components, into an integrated application. This second stage of testing ensures that key information such as age and gender are passed from the entry to the C2 and exit components of the applications. It also ensures that variables affecting skip patterns and logic flows are correctly passed between modules within the C2. Since, at this stage the applications essentially function as they will in the field, all possible scenarios faced by interviewers are simulated to ensure proper functionality. These scenarios test various aspects of the entry and exit components including, establishing contact, collecting contact information, determining whether a case is in scope, rostering households, creating appointments and selecting respondents. The applications are also tested to ensure that during an interview, correct modules are triggered reflecting health region optional content selections.

End to end testing occurs when the fully integrated applications are placed in simulated collection environment. The applications are loaded onto computers that are connected to a test server. Data is then collected, transmitted and extracted in real time, exactly as it would be done in the field. This last stage of testing allows for the testing of all technical aspects of data input, transmission and extraction for each of the CCHS applications. It also provided a final chance of finding errors within the entry, C2 and exit components.

6.3 Interviewer training

Project managers, senior interviewers and interviewers from regional collection offices were sent self study training packages before the start of collection. These packages were prepared by the CCHS project team and were used by existing experienced CCHS interviewers to reinforce their previous training. Project managers and senior interviewers also conducted customised training sessions for new CCHS interviewing staff as needed. There were also specific training sessions to deal with various topics related to CCHS collection on a monthly basis.

The focus of the training sessions were to get interviewers comfortable using the CCHS 2009 applications, and familiarise interviewers with survey content and to introduce interviewers to interviewing procedures specific to the CCHS. The training focused on:

  • goals and objectives of the survey including a focus on the survey redesign
  • survey methodology
  • application functionality
  • review of the questionnaire content and exercises with an emphasis on significant content changes
  • interviewer techniques for maintaining response – complete exercises to minimise non–response
  • use of mock interviews to simulate difficult situations and practise potential non–response situations
  • survey management
  • transmission procedures

One of the key aspects of the training was a focus on minimizing non–response. Exercises to minimise non–response were prepared for interviewers. The purpose of these exercises was to have the interviewers practice convincing reluctant respondents to participate in the survey. There was also a series of refusal avoidance workshops given to the senior interviewers responsible for refusal conversion in each regional collection office.

6.4 The interview

Sample units selected from the telephone list and RDD (Random Digit Dialling) frames were interviewed from centralised call centres using CATI. The CATI interviewers were supervised by a senior interviewer located in the same call centre. Units selected from the area frame were interviewed by decentralised field interviewers using CAPI. While in some situations field interviewers were permitted to complete some or part of an interview by telephone, three–quarters (74.1%) of these interviews were conducted exclusively in person. CAPI interviewers worked independently from their homes using laptop computers and were supervised from a distance by senior interviewers. The variable SAM_TYP on the microdata files indicates whether a case was selected from the area frame (CAPI) or from the telephone or RDD frame (CATI).

In all selected dwellings, a knowledgeable household member was asked to supply basic demographic information on all residents of the dwelling. One member of the household was then selected for a more in–depth interview, which is referred to as the C2 Interview.

CAPI interviewers were trained to make an initial personal contact with each sampled dwelling. In cases where this initial visit resulted in non–response, telephone follow–ups were permitted. The variable ADM_N09 on the microdata files indicates whether the interview was completed face–to–face, by telephone or using a combination of the two techniques.

To ensure the quality of the data collected, interviewers were instructed to make every effort to conduct the interview with the selected respondent in privacy. In situations where this was unavoidable, the respondent was interviewed with another person present. Flags on the microdata files indicate whether somebody other than the respondent was present during the interview (ADM_N10) and whether the interviewer felt that the respondent’s answers were influenced by the presence of the other person (ADM_N11).

To ensure the best possible response rate attainable, many practices were used to minimise non–response, including:

a) Introductory letters
Before the start of each collection period introductory letters explaining the purpose of the survey were sent to the sampled households. These explained the importance of the survey and provided examples of how CCHS data would be used.

b) Initiating contact
Interviewers were instructed to make all reasonable attempts to obtain interviews. When the timing of the interviewer's call (or visit) was inconvenient, an appointment was made to call back at a more convenient time. If requests for appointments were unsuccessful over the telephone, interviewers were instructed to follow–up with a personal visit. If no one was home on first visit, a brochure with information about the survey and intention to make contact was left at the door. Numerous call–backs were made at different times on different days.

c) Refusal conversion
For individuals who at first refused to participate in the survey, a letter was sent from the nearest Statistics Canada Regional Office to the respondent, stressing the importance of the survey and the household's collaboration. This was followed by a second call (or visit) from a senior interviewer, a project supervisor or another interviewer to try to convince respondent of the importance of participating in the survey.

d) Language barriers
To remove language as a barrier to conducting interviews, each of the Statistics Canada Regional Offices recruited interviewers with a wide range of language competencies. When necessary, cases were transferred to an interviewer with the language competency needed to complete an interview.

e) Youth interviews
Interviewers were obliged to obtain verbal permission from parents/guardians to interview youths between the ages of 12 to 15 who were selected for interviews. Several procedures were followed by interviewers to alleviate potential parental concerns and to ensure a completed interview. Interviewers carried with them a card entitled “Note to parents / guardians about interviewing youths for the Canadian Community Health Survey”. This card explained the purpose of collecting information from youth, lists the subjects to be covered in the survey, asks for permission to share and link the obtained information and explains the need to respect a child's right to privacy and confidentiality.

If a parent/guardian asked to see the actual questions; interviewers were instructed to either show the survey questions, or if the interviewer was being conducted by phone, to immediately have the regional office send a copy of the questionnaire.

If privacy could not be obtained to interview the selected youth either in person or over the phone (another person listening in) the interview was coded a refusal. However, for CAPI interviews, if privacy could not be obtained to interview the selected youth, the interviewer was able to propose to the parent/guardian that the interviewer read the questions out loud and the youth enter their answers directly on the computer.

During all interviews conducted with youths, survey questions regarding income and food security were answered by the parent/guardian. These questions were asked at the end of the survey questionnaire, so that when they came up, the parent/guardian could complete the interview.

f) Proxy interviews
In cases where the selected respondent was, for reasons of physical or mental health, incapable of completing an interview, another knowledgeable member of the household supplied information about the selected respondent. This is known as a proxy interview. While proxy interviewees were able to provide accurate answers to most of the survey questions, the more sensitive or personal questions were beyond the scope of knowledge of a proxy respondent. This resulted in some questions from the proxy interview being unanswered. Every effort was taken to keep proxy interviews to a minimum. The variable ADM_PRX indicates whether a case was completed by proxy.

6.5 Field operations

The majority of the 2009 sample was divided into six non–overlapping two–month collection periods. Regional collection offices were instructed to use the first 4 weeks of each collection period to resolve the majority of the sample, with next 4 weeks being used finalise the remaining sample and to follow up on outstanding non–response cases. All cases were to have been attempted by the second week of each collection period.

Sample files were sent approximately two weeks before the start of each collection period to centralised collection offices. A series of dummy cases were included with each CAPI sample. These cases were completed by senior interviewers for the purposes of ensuring that all data transmission procedures were working through the collection cycle. Once, the samples were received, project supervisors were responsible for planning CAPI interviewer assignments. Wherever possible, assignments were generally no larger than 15 cases per interviewer.

Transmission of cases from each of the CATI offices to head office was the responsibility of the regional office project supervisor, senior interviewer and the technical support team. These transmissions were performed nightly and sent all completed cases to Statistics Canada’s head office. Completed CAPI interviews were transmitted daily from the interviewer’s home directly to Statistics Canada’s head office using a secure telephone transmission.

At the end of data collection, a national response rate of 73% was achieved. Complete details regarding the response rates can be found in Appendix E.

6.6 Quality control and collection management

During the 2009 collection year, several methods were used to ensure data quality and to optimize collection. These included using internal measures to verify interviewer performance and the use of a series of ongoing reports to monitor various collection targets and data quality.

A system of validation was used for CAPI cases whereby interviewers had their work validated on a regular basis by the Regional Office. Each collection period, randomly selected cases were flagged in the sample. Regional office managers and supervisors created lists of cases to be validated. These cases were handed to the validation team who then contacted households to verify that a legitimate interview took place. Validation procedures generally occurred during the first few weeks of a collection period to ensure that any issues were detected promptly. Interviewers were provided feedback by their supervisors on a regular basis.

CATI interviewers were also randomly chosen for validation. Validation in the CATI collection offices consisted of senior interviewers monitoring interviews to ensure proper techniques and procedures (reading the questions as worded in the applications, not prompting respondents for answers, etc.) were followed by the interviewer.

A series of reports were produced to effectively track and manage collection targets and to assist in identifying other collection issues.

Cumulative reports were generated at the end of each collection period, showing response, link, share and proxy rates for both the CATI and CAPI samples by individual health region. The reports were useful in identifying health regions that were below collection target levels, allowing the regional offices to focus efforts in these regions.

Using information obtained from the CAI applications, further analysis was done in head office in order to identify interviews that were completed below acceptable time frames. These short interviews were flagged, removed from the microdata and treated as non–response.

7.0 Data processing

7.1 Editing

Most editing of the data was performed at the time of the interview by the computer–assisted interviewing (CAI) application. It was not possible for interviewers to enter out–of–range values and flow errors were controlled through programmed skip patterns. For example, CAI ensured that questions that did not apply to the respondent were not asked.

In response to some types of inconsistent or unusual reporting, warning messages were invoked but no corrective action was taken at the time of the interview. Where appropriate, edits were instead developed to be performed after data collection at Head Office. Inconsistencies were usually corrected by setting one or both of the variables in question to "not stated".

7.2 Coding

Pre–coded answer categories were supplied for all suitable variables. Interviewers were trained to assign the respondent’s answers to the appropriate category.

In the event that a respondent’s answer could not be easily assigned to an existing category, several questions also allowed the interviewer to enter a long–answer text in the “Other–specify” category. All such questions were closely examined in head office processing. For some of these questions, write–in responses were coded into one of the existing listed categories if the write–in information duplicated a listed category. For all questions, the ‘Other–specify’ responses are taken into account when refining the answer categories for future cycles.

7.3 Creation of derived variables

To facilitate data analysis and to minimize the risk of error, a number of variables on the file have been derived using items found on the CCHS questionnaire. Derived variables generally have a "D", "G" or “F” in the fourth character of the variable name. In some cases, the derived variables are straightforward, involving collapsing of response categories. In other cases, several variables have been combined to create a new variable. The Derived Variables Documentation (DV) provides details on how these more complex variables were derived. For more information on the naming convention, please go to Section 12.5.

7.4 Weighting

The principle behind estimation in a probability sample such as CCHS is that each person in the sample "represents", besides himself or herself, several other persons not in the sample. For example, in a simple random 2% sample of the population, each person in the sample represents 50 persons in the population. In the terminology used here, it can be said that each person has a weight of 50.

The weighting phase is a step that calculates, for each person, his or her associated sampling weight. This weight appears on the PUMF, and must be used to derive meaningful estimates from the survey. For example, if the number of individuals who smoke daily is to be estimated, it is done by selecting the records referring to those individuals in the sample having that characteristic and summing the weights entered on those records.

Details of the method used to calculate sampling weights are presented in Section 8.

8.0 Weighting

In order for estimates produced from survey data to be representative of the covered population, and not just the sample itself, users must incorporate the survey weights in their calculations. A survey weight is given to each person included in the final sample, that is, the sample of persons having responded to the survey. This weight corresponds to the number of persons in the entire population that are represented by the respondent.

As described in Section 5, the CCHS has recourse to three sampling frames for its sample selection: an area frame acting as the primary frame and two frames made up of telephone numbers used to complement the area frame. Since only minor differences differentiate the two telephone frames in terms of weighting, they are treated together as one and referred to as being part of the telephone frame.

Depending on the need, one or two frames are used for the selection of the sample within a given health region (HR). When two frames are used, the weighting strategy treats both the area and telephone frames independently to come up with separate household–level weights for each of the frames used. These household–level weights are then combined into a single set of household weights through a step called "integration". After applying person–level selection weights and some further adjustments, this integrated weight becomes the final person–level weight.

8.1 Overview

As mentioned earlier, units from both the area and telephone frames are treated separately up to the integration step. The following sections describe the weighting process for the provinces. Sub–section 8.2 provides details on the weighting strategy for the area frame, while sub–section 8.3 deals with the strategy for the telephone frame. The integration of the two frames is discussed in 8.4. This is followed by the last weighting steps including calibration, where the weights are adjusted to control for seasonality and to match known population totals. These steps are explained in sub–section 8.5.

Although the two frames are used to cover the three territories, the sampling methods used are slightly different from those used in the provinces. These modifications affect the weighting of these three regions substantially, and they are reported in sub–section 8.6.

Diagram A presents an overview of the different adjustments that are part of the weighting strategy. A numbering system is used to identify each adjustment and will be used throughout the section. Letters A and T are used as prefixes to refer to adjustments applied to the units on the Area and Telephone frames respectively, while prefix I identifies adjustments applied from the Integration step onwards.

Diagram A Weighting strategy overview

Diagram A

8.2 Weighting of the area frame sample

A0 – Initial weight

The weighting on the area frame sample begins with a weight provided by the Labour Force Survey (LFS). This weight is based on the LFS design since the CCHS area frame sample design is based on the LFS. The LFS design consists of a sample of dwellings within clusters selected from LFS strata. In the initial adjustment, the LFS weight is adjusted to take into consideration the fact that the CCHS selects a sample to be representative of the Health Region. To do so, the CCHS selects a different number of clusters than the LFS and can repeat the sampling of dwellings within the selected clusters. The resulting weight is called A0. For more details about the selection mechanism, as well as a more complete definition of LFS strata and clusters, refer to Statistics Canada (1998)9.

A1 – Sub–cluster adjustment

In clusters that experience significant growth, a sub–sampling methodology is used to ensure that the workload of the interviewers is kept at a reasonable level. This can consist of sub–sampling from the selected dwellings, dividing the cluster into sub–clusters, or reclassifying the cluster as a stratum and creating new clusters within the stratum. In all these cases, a sub–sample adjustment is calculated and applied to the CCHS weight. This adjustment is applied to weight A0 to produce weight A1. Again, more information can be found in the LFS documentation (Statistics Canada (1998)).

A2 – Stabilization

In some HRs, the increase of the sample size as described in section 5, results in a larger sample than necessary. Stabilization is used to bring the sample size back down to the desired level. The stabilization process consists of randomly sub–sampling dwellings at the HR level from the dwellings originally selected within each cluster. An adjustment factor representing the effect of this stabilization is calculated in order to adjust the probability of selection appropriately. This factor, multiplied by weight A1, produces weight A2.

A3 – Removal of out–of–scope units

Among all dwellings sampled, a certain proportion is identified during collection as being out–of–scope. Dwellings that are demolished or under construction, vacant, seasonal or secondary, and institutions are examples of out–of–scope cases for the CCHS. These dwellings and their associated weight are simply removed from the sample. This leaves a sample that consists of, and representative of, in–scope dwellings or households. These in–scope dwellings that remain maintain the same weight as in the previous step, which is now called A3.

A4 – Household nonresponse

During collection, a certain proportion of sampled households inevitably result in nonresponse. This usually occurs when a household refuses to participate in the survey, provides unusable data, or cannot be reached for an interview. Weights of the nonresponding households are redistributed to responding households within response homogeneity groups (RHGs). In order to create the response groups, a scoring method based on logistic regression models is used to determine the propensity to respond and these response probabilities are used to divide the sample into groups with similar response properties. The information available for nonrespondents is limited so the regression model uses characteristics such as the collection period and geographic information, as well as paradata or process data, which includes the number of contact attempts, the time/day of attempt, and whether the household was called on a weekend or weekday. Starting in 2008, RHGs were formed within province to better control for provincial totals. An adjustment factor is calculated within each response group as follows:

Formula 1

Weight A3 is multiplied by this factor to produce weight A4 for the responding households. Non–responding households are dropped from the process at this point.

8.3 Weighting of the telephone frame sample

As mentioned earlier, the telephone frame is composed of two frames: a Random Digit Dialling (RDD) frame and a list frame. Only one of the frames can be used within an HR. When the list frame is used, it is always used as a complement to the area frame within the HR. When the RDD frame is used, it is always used as the only frame within the HR. For the purposes of weighting, units coming from the two telephone frames are treated together and therefore are subject to the same adjustments.

The geographical boundaries used to select the sample from the telephone frame do not always conform to the HR geography. Consequently, some units may have been sampled from one HR but the information collected at the time of the interview places them in a neighbouring HR. This is handled in the weighting by applying the first 3 telephone adjustments (T0, T1 and T2) relative to the HR assigned at the time of sample selection. The remaining 2 adjustments (T3 and T4) are applied to the HR based on information collected from the respondent to ensure that all units belong to their correct HR.

T0 –Initial weight

The initial design weight is defined as the inverse of the probability of selection and is computed separately for the RDD and list frame samples since the method of selection differs between these two frames. For the RDD frame, the selection of telephone numbers is done within each RDD stratum. An RDD stratum is an aggregation of area code prefixes (ACP: the first six digits of a 10–digit telephone number), with each ACP containing valid banks of one hundred numbers (see Norris and Paton10 for more details). Therefore, the probability of selection is the ratio between the number of sampled units and one hundred times the number of banks within the RDD stratum.

For the list frame, telephone numbers are randomly selected among those assigned to the specific HR. The probability of selection corresponds to the ratio of the number of sampled units to the number of telephone numbers on the list within the HR. The ratio is based on the frame available and the number of units selected for the particular two–month collection period. The probability of selection can therefore change depending on sample allocation and frame updates. The inverse of these probabilities represents the initial weight T0.

T1 – Number of collection periods

On the area frame, the entire sample is selected at the beginning of the year. This is in contrast to the telephone frame, where samples are drawn every two months. Each of these samples comes with an initial weight that allows each sample to be representative of the population at the HR level. To ensure that the total sample represents the population only once, an adjustment factor is applied to reduce the weights of each two–month sample. The adjustment factor applied to each two–month sample is equal to the the inverse of the number of samples being combined (i.e. the number of collection periods). Following this adjustment, the entire list frame sample corresponds to the average over the entire combined collection period. The initial weights are multiplied by this adjustment factor to produce weight T1.

T2 – Removal of out–of–scope numbers

Telephone numbers associated with businesses, institutions or other out–of–scope dwellings, as well as numbers not in service or any other non–working numbers are all examples of out–of–scope cases for the telephone frame. Similar to the methods used on the area frame, these cases are simply removed from the process, leaving only in–scope dwellings in the sample. These in–scope dwellings keep the same weight as in the previous step, now called weight T2.

T3 – Household nonresponse

The adjustment applied here to compensate for the effect of household nonresponse is identical to the one applied for the area frame (adjustment A4) although the paradata used does differ because of the differences in collection applications for personal and telephone interviews. The adjustment factor calculated within each class was obtained as follows:

Formula 2

The weight T2 of responding households is multiplied by this factor to produce the weight T3. Nonresponding households are removed from the process at this point.

T4 – Multiple phone lines

Some households can possess more than one residential telephone line. This has an impact on the weighting because these households have a higher probability of being selected. The weights for these households need to be adjusted for the number of residential telephone lines within the household. The adjustment factor represents the inverse of the number of lines in the household. The weight T4 is obtained by multiplying this factor by the weight T3.

8.4 Integration of the telephone and area frames (I1)

This step consists of integrating the weights for households common to the area and telephone frames into a single weight by applying a method of integration11. Those units on the area frame that are not on the telephone frame do not have their weights adjusted. For all others units, an adjustment factor α between 0 and 1 is applied to the weights. The weight of the area frame units is multiplied by this factor α, while the weight of the telephone frame units is multiplied by 1– α. Note that in the case where an HR is covered by only one frame, the adjustment factor is equal to 1. The product between the factor derived here and the final household weight calculated earlier (A4 or T4, depending on which frame the unit belongs to), gives the integrated household weight I1.

8.5 Post–integration weighting steps

I2 – Creation of person level weight

Since persons are the desired sampling units, the household–level weights computed to this point need to be converted to the person level. This weight is obtained by multiplying the weight I1 by the inverse of the probability of selection of the person selected in the household. This gives the weight I2. As mentioned earlier, the probability of selection for an individual changes depending on the number of people in the household and the ages of those individuals (see Section 5.6 for more details).

I3 – Person nonresponse

A CCHS interview can be seen as a two–part process. First, the interviewer gets the complete roster of the people within the household. Second, the selected person is interviewed. In some cases, interviewers can only get through the first part, either because they cannot get in touch with the selected person, or because that selected person refuses to be interviewed. Such individuals are defined as person nonrespondents and an adjustment factor must be applied to the weights of person respondents to account for this nonresponse. Using the same methodology that was used in the treatment of household nonresponse, the adjustment was applied within response homogeneity groups. In this process, the scoring method was used to define a response probability based on characteristics available for both respondents and non–respondents. All characteristics collected when creating the roster of household members were available for the estimation of the response probabilities as well as geographic information and some paradata.  The probabilities are grouped into response homogeneity groups and the following adjustment factor is calculated within each group:

Formula 3

Weight I2 for responding persons was multiplied by the above adjustment factor to produce weight I3. Nonresponding persons were dropped from the weighting process from this point onward.

I4 – Winsorization

Following the series of adjustments applied to the respondents, some units may come out with extreme weights compared to other units of the same domain of interest. These units could represent a large proportion of their HR or have a large impact on the variance. In order to prevent this, the weight of these outlier units is adjusted downward using a “winsorization” trimming approach.

I5 – Calibration

The last step necessary to obtain the final CCHS weight is calibration (I5). Calibration is done using CALMAR12 to ensure that the sum of the final weights corresponds to the population estimates defined at the HR level, for all 10 age-sex groups of interest. The five age groups are 12-19, 20-29, 30-44, 45-64, 65+, for both males and females. Starting in 2009, additional controls at sub-HR levels were introduced for the applicable HRs. These controls included grouped CCHSs in health regions 2403 (National Capital Region, Quebec) and 2415 (Laurentides, Quebec) as well as DHAs across Nova Scotia. A minimum domain size of 20 respondents is required to calibrate at the HR by age by sex level. For domains that have less 20 respondents, some collapsing is done within province and / or within gender. At the same time, weights are adjusted to ensure that each collection period (two-month period) is equally represented within the sample. Note that the calibration is done using the most up to date geography and may not match the geography used in sampling.

The population estimates are based on the most recent Census counts and counts of birth, death, immigration and emigration since that time. The average of these monthly estimates for each of the HR–age–sex post–strata by collection period is used to calibrate. The weight I4 is adjusted using CALMAR to obtain the final weight I5. Weight I5 corresponds to the final CCHS person–level weight and can be found on the data file with the variable name WTS_M for master or PUMF users.

8.6 Particular aspects of the weighting in the three territories

As described in Section 5, the sampling frame used in the three territories is somewhat different from the one used in the provinces. Therefore, the weighting strategy is adapted to comply with these differences. This section summarises the changes applied to the steps described in sub–sections 8.1 to 8.5.

For the area frame, as mentioned in sub–section 5.4.1, an additional stage of selection is added in the territories where each territory is stratified into groupings of communities and one community is selected within each group. The capital of each territory forms a stratum on its own and is selected automatically at the first stage. This has an effect in the computation of the probability of selection, and therefore in the value of the initial weight (A0). Once the initial weight is calculated, the same series of adjustments (A1 to A4) is applied to the area frame units. Household–level and person–level nonresponse adjustment classes are built in the same way as for the provinces, using the same set of variables.

For the weighting of the telephone frame units, it should be noted that only the RDD frame is used and exclusively in the Yukon and Northwest Territories capitals. All of the telephone frame adjustments are applied to derive a final weight for the telephone units.
The two sets of weights (area and telephone) are subsequently integrated and post–stratified in a similar way to what is done for the provinces, with three exceptions. First, the integration is applied only to units located in the Yukon and Northwest Territories capitals since the other communities are covered only by the area frame. Second, the population counts used for calibration for Nunavut represent 70% of the entire population because of the under–coverage of the area frame that was described in section 5.4.1.

Finally, starting with the 2008 and 2007–2008 reference year products, controls have been put in place to ensure that the proportion of aboriginals and the proportion of individuals in the capital regions are controlled in the Northwest Territories and Yukon. A similar control based on Inuit status was introduced for Nunavut. Starting in 2009, the proportion of individuals in the capital regions are controlled in Nunavut. These controls ensure that the proportion of the estimates represented by these different groups is consistent with proportions indicated by the 2006 Census.

8.7 Creation of a share weight

Along with the master file and PUMF which contain all CCHS respondents, a share file is created which contains only a portion (>90%) of the original CCHS respondents. The individuals on this share file have agreed to share their data with certain partners. To compensate for the loss of some respondents from the file, the weights of these "sharers" must be adjusted by the factor:

Formula 14

Similar to the nonresponse adjustments, this factor is calculated within homogeneity groups, where in this case, individuals with similar estimated propensity to share will be grouped together. The final weight after this adjustment is called WTS_S.

9.0 Data quality

9.1 Response rates

In total, 84,261 of the selected units in the CCHS 2009 were in–scope for the survey13. Out of these, 68,526 households accepted to participate in the survey resulting in an overall household–level response rate of 81.3%. Among these responding households, 68,526 individuals (one per household) were selected to participate to the survey, out of which a response was obtained for 61,679 individuals, resulting in an overall person–level response rate of 90.0%. At the Canada level, this yields a combined response rate of 73.2% for the CCHS 2009. Table 9.1 provides combined response rates as well as relevant information for their calculation by health region or group of health regions. Table 9.2 provides the same data by Local Health Integrated Network (LHIN) level. Table 9.3 provides response rates by province for the Health Services Access Survey (HSAS) sub–sample.

Table 9.1 : 2009 response rate by health region and frames

(see Appendix E)

Table 9.2 : 2009 reponse rate by Local Health Integrated Network (LHIN) and frames in Ontario

(see Appendix E)

Table 9.3 : 2009 response rate by province and frame for the Health Services Access Survey (HSAS) sub–sample

(see Appendix E)

Next, we describe how the various components of the equation should be handled to correctly compute combined response rates.

Household–level response rate
HHRR = # of responding households in both frames / all in–scope households in both frames

Person–level response rate
PPRR = # of responding persons in both frames / all selected persons in both frames

Combined response rate = HHRR x PPRR

Next is an example on how to calculate the combined response rate for Canada using the information found in Table 9.1.

HHRR =
33,307 + 35,219 = 68,526 = 0.813
40,136 + 44,125 = 84,261

PPRR =
30,475 + 31,204 = 61,679 = 0.900
33,307 + 35,219 = 68,526

Combined response rate = 0.813 x 0.900

= 0.732

= 73.2%

9.2 Survey Errors

The estimates derived from this survey are based on a sample of individuals. Somewhat different figures might have been obtained if a complete census had been taken using the same questionnaire, interviewers, supervisors, processing methods, etc. than those actually used. The difference between the estimates obtained from the sample and the results from a complete count under similar conditions is called the sampling error of the estimate.

Errors which are not related to sampling may occur at almost every phase of a survey operation. Interviewers may misunderstand instructions, respondents may make errors in answering questions, the answers may be incorrectly entered on the computer and errors may be introduced in the processing and tabulation of the data. These are all examples of non–sampling errors.

9.2.1 Non–sampling Errors

Over a large number of observations, randomly occurring errors will have little effect on estimates derived from the survey. However, errors occurring systematically will contribute to biases in the survey estimates. Considerable time and effort was made to reduce non–sampling errors in the CCHS 2009. Quality assurance measures were implemented at each step of data collection and processing to monitor the quality of the data. These measures included the use of highly skilled interviewers, extensive training with respect to the survey procedures and questionnaire, and the observation of interviewers to detect problems. Testing of the CAI application and field tests were also essential procedures to ensure that data collection errors were minimized. A major source of non–sampling errors in surveys is the effect of non–response on the survey results. The extent of non–response varies from partial non–response (failure to answer just one or some questions) to total non–response. Partial non–response to the CCHS 2009 was minimal; once the questionnaire was started, it tended to be completed with very little non–response. Total non–response occurred either because a person refused to participate in the survey or because the interviewer was unable to contact the selected person. Total non–response was handled by adjusting the weight of persons who responded to the survey to compensate for those who did not respond. See Section 8 for details on the weight adjustment for non–response.

9.2.2 Sampling Errors

Since it is an unavoidable fact that estimates from a sample survey are subject to sampling error, sound statistical practice calls for researchers to provide users with some indication of the magnitude of this sampling error. The basis for measuring the potential size of sampling errors is the standard deviation of the estimates derived from survey results. However, because of the large variety of estimates that can be produced from a survey, the standard deviation of an estimate is usually expressed relative to the estimate to which it pertains. This resulting measure, known as the coefficient of variation (CV) of an estimate, is obtained by dividing the standard deviation of the estimate by the estimate itself and is expressed as a percentage of the estimate.

For example, suppose hypothetically that it is estimated that 25% of Canadians aged 12 and over are regular smokers and that this estimate is found to have a standard deviation of 0.003. Then the CV of the estimate is calculated as:

(0.003/0.25) x 100% = 1.20%

Statistics Canada commonly uses CV results when analyzing data and urges users producing estimates from the CCHS 2009 data files to also do so. For details on how to determine CVs, see Section 11. For guidelines on how to interpret CV results, see the table at the end of Sub–section 10.4.

10.0 Guidelines for tabulation, analysis and release

This section of the documentation outlines the guidelines to be used by users in tabulating, analyzing, publishing or otherwise releasing any data derived from the survey files. With the aid of these guidelines, users of microdata should be able to produce figures that are in close agreement with those produced by Statistics Canada and, at the same time, will be able to develop currently unpublished figures in a manner consistent with these established guidelines.

10.1 Rounding guidelines

In order that estimates for publication or other release derived from the data files (Master, Share or PUMF) correspond to those produced by Statistics Canada, users are urged to adhere to the following guidelines regarding the rounding of such estimates:

a) Estimates in the main body of a statistical table are to be rounded to the nearest hundred units using the normal rounding technique. In normal rounding, if the first or only digit to be dropped is 0 to 4, the last digit to be retained is not changed. If the first or only digit to be dropped is 5 to 9, the last digit to be retained is raised by one. For example, in normal rounding to the nearest 100, if the last two digits are between 00 and 49, they are changed to 00 and the preceding digit (the hundreds digit) is left unchanged. If the last digits are between 50 and 99 they are changed to 00 and the proceeding digit is incremented by 1;

b) Marginal sub–totals and totals in statistical tables are to be derived from their corresponding unrounded components and then are to be rounded themselves to the nearest 100 units using normal rounding;

c) Averages, proportions, rates and percentages are to be computed from unrounded components (i.e., numerators and/or denominators) and then are to be rounded themselves to one decimal using normal rounding. In normal rounding to a single digit, if the final or only digit to be dropped is 0 to 4, the last digit to be retained is not changed. If the first or only digit to be dropped is 5 to 9, the last digit to be retained is increased by 1;

d) Sums and differences of aggregates (or ratios) are to be derived from their corresponding unrounded components and then are to be rounded themselves to the nearest 100 units (or the nearest one decimal) using normal rounding;

e) In instances where, due to technical or other limitations, a rounding technique other than normal rounding is used resulting in estimates to be published or otherwise released that differ from corresponding estimates published by Statistics Canada, users are urged to note the reason for such differences in the publication or release document(s);

f) Under no circumstances are unrounded estimates to be published or otherwise released by users. Unrounded estimates imply greater precision than actually exists.

10.2 Sample weighting guidelines for tabulation

The sample design used for this survey was not self–weighting. That is to say, the sampling weights are not identical for all individuals in the sample. When producing simple estimates, including the production of ordinary statistical tables, users must apply the proper sampling weight. If proper weights are not used, the estimates derived from the data file cannot be considered to be representative of the survey population, and will not correspond to those produced by Statistics Canada.

Users should also note that some software packages might not allow the generation of estimates that exactly match those available from Statistics Canada, because of their treatment of the weight field.

10.2.1 Definitions: categorical estimates, quantitative estimates

Before discussing how the survey data can be tabulated and analyzed, it is useful to describe the two main types of point estimates of population characteristics that can be generated from the data files.

Categorical estimates:
Categorical estimates are estimates of the number or percentage of the surveyed population possessing certain characteristics or falling into some defined category. The number of individuals who smoke daily is an example of such an estimate. An estimate of the number of persons possessing a certain characteristic may also be referred to as an estimate of an aggregate.

Example of categorical question:

At the present do/does …smoke cigarettes daily, occasionally or not at all? (SMK_202)
Daily
Occasionally
Not at all

Quantitative estimates:
Quantitative estimates are estimates of totals or of means, medians and other measures of central tendency of quantities based upon some or all of the members of the surveyed population.

An example of a quantitative estimate is the average number of cigarettes smoked per day by individuals who smoke daily. The numerator is an estimate of the total number of cigarettes smoked per day by individuals who smoke daily, and its denominator is an estimate of the number of individuals who smoke daily.

Example of quantitative question:

How many cigarettes do/does you/he/she smoke each day now? (SMK_204)
Number of cigarettes

10.2.2 Tabulation of categorical estimates

Estimates of the number of people with a certain characteristic can be obtained from the data file by summing the final weights of all records possessing the characteristic of interest.

Proportions and ratios of the form x/y are obtained by:

  1. summing the final weights of records having the characteristic of interest for the numerator (x );
  2. summing the final weights of records having the characteristic of interest for the denominator (y ); then
  3. dividing the numerator estimate by the denominator estimate.

10.2.3 Tabulation of quantitative estimates

Estimates of sums or averages for quantitative variables can be obtained using the following three steps (only step a) is necessary to obtain the estimate of a sum):

  1. multiplying the value of the variable of interest by the final weight and summing this quantity over all records of interest to obtain the numerator(x );
  2. summing the final weights of records having the characteristic of interest for the denominator (y ); then
  3. dividing the numerator estimate by the denominator estimate.

For example, to obtain the estimate of the average number of cigarettes smoked each day by individuals who smoke daily, first compute the numerator (x ) by summing the product between the value of variable SMK_204 and the weight WTS_M. Next, sum this value over those records with a value of "daily" to the variable SMK_202. The denominator (y ) is obtained by summing the final weight of those records with a value of "daily" to the variable SMK_202. Divide (x ) by (y ) to obtain the average number of cigarettes smoked each day by daily smokers.

10.3 Guidelines for statistical analysis

The CCHS is based upon a complex design, with stratification and multiple stages of selection, and unequal probabilities of selection of respondents. Using data from such complex surveys presents problems to analysts because the survey design and the selection probabilities affect the estimation and variance calculation procedures that should be used.

While many analysis procedures found in statistical packages allow weights to be used, the meaning or definition of the weight in these procedures can differ from what is appropriate in a sample survey framework, with the result that while in many cases the estimates produced by the packages are correct, the variances that are calculated are almost meaningless.

For many analysis techniques (for example linear regression, logistic regression, analysis of variance), a method exists that can make the application of standard packages more meaningful. If the weights on the records are rescaled so that the average weight is one (1), then the results produced by the standard packages will be more reasonable; they still will not take into account the stratification and clustering of the sample's design, but they will take into account the unequal probabilities of selection. The rescaling can be accomplished by using in the analysis a weight equal to the original weight divided by the average of the original weights for the sampled units (people) contributing to the estimator in question.

10.4 Release guidelines

Before releasing and/or publishing any estimate from the data files, users must first determine the number of sampled respondents having the characteristic of interest (for example, the number of respondents who smoke when interested in the proportion of smokers for a given population) in order to ensure that enough observations are available to calculate a quality estimate. For users of the PUMF, if this number is less than 30, the unweighted estimate should not be released regardless of the value of the coefficient of variation for this estimate. For users of the master or share files, it is recommended to have at least 10 observations in the numerator and 20 in the denominator. For weighted estimates, based on sample sizes of 10 or more (30 for the PUMF), users should determine the coefficient of variation of the estimate and follow the guidelines below.

Table 10.1 Sampling variability guidelines


Type of Estimate
CV(in%) Guidelines
Acceptable 0.0 ≤ CV ≤ 16.5 Estimates can be considered for general unrestricted release. Requires no special notation.
Marginal 16.6 < CV ≤ 33.3 Estimates can be considered for general unrestricted release but should be accompanied by a warning cautioning subsequent users of the high sampling variability associated with the estimates. Such estimates should be identified by the letter E (or in some other similar fashion).
Unacceptable CV > 33.3 Statistics Canada recommends not to release estimates of unacceptable quality. However, if the user chooses to do so then estimates should be flagged with the letter F (or in some other fashion) and the following warning should accompany the estimates:
“The user is advised that…(specify the data)…do not meet Statistics Canada’s quality standards for this statistical program. Conclusions based on these data will be unreliable and most likely invalid. These data and any consequent findings should not be published. If the user chooses to publish these data or findings, then this disclaimer must be published with the data.”

11.0 Approximate sampling variability tables

In order to supply coefficients of variation that will be applicable to a wide variety of categorical estimates produced from a PUMF and that could be readily accessed by the user, a set of Approximate Sampling Variability Tables will be produced with each PUMF. These "look–up" tables allow the user to obtain an approximate coefficient of variation based on the size of the estimate calculated from the survey data.

The coefficients of variation (CV) are derived using the variance formula for simple random sampling and incorporating a factor which reflects the multi–stage, clustered nature of the sample design. This factor, known as the design effect, was determined by first calculating design effects for a wide range of characteristics and then choosing, for each table produced, a conservative value among all design effects relative to that table. The value chosen was then used to generate a table that applies to the entire set of characteristics.

The Approximate Sampling Variability Tables, along with the design effects, the sample sizes and the population counts that were used to produce them, are provided in the document Approximate Sampling Variability Tables, which is available to the share file and PUMF users. All coefficients of variation in the Approximate Sampling Variability Tables are approximate and, therefore, unofficial. Options concerning the computation of exact coefficients of variation are discussed in sub-section 11.7.

Remember: As indicated in Sampling Variability Guidelines in Section 10.4, if the number of observations on which an estimate is based is less than 30, the weighted estimate should not be released regardless of the value of the coefficient of variation. Coefficients of variation based on small sample sizes are too unpredictable to be adequately represented in the tables.

11.1 How to use the CV tables for categorical estimates

The following rules should enable the user to determine the approximate coefficients of variation from the Sampling Variability Tables for estimates of the number, proportion or percentage of the surveyed population possessing a certain characteristic and for ratios and differences between such estimates.

Rule 1: Estimates of numbers possessing a characteristic (aggregates)

The coefficient of variation depends only on the size of the estimate itself. On the appropriate Approximate Coefficients of Variations Table, locate the estimated number in the left–most column of the table (headed "Numerator of Percentage") and follow the asterisks (if any) across to the first figure encountered. Since not all the possible values for the estimate are available, the smallest value which is the closest must be taken (as an example, if the estimate is equal to 1,700 and the two closest available values are 1,000 and 2,000, the first has to be chosen). This figure is the approximate coefficient of variation.

Rule 2: Estimates of proportions or percentages of people possessing a characteristic

The coefficient of variation of an estimated proportion (or percentage) depends on both the size of the proportion and the size of the numerator upon which the proportion is based. Estimated proportions are relatively more reliable than the corresponding estimates of the numerator of the proportion when the proportion is based upon a sub–group of the population. This is due to the fact that the coefficients of variation of the latter type of estimates are based on the largest entry in a row of a particular table, whereas the coefficients of variation of the former type of estimators are based on some entry (not necessarily the largest) in that same row. (Note that in the tables the CVs decline in value reading across a row from left to right). For example, the estimated proportion of individuals who smoke daily out of those who smoke at all is more reliable than the estimated number who smoke daily.

When the proportion (or percentage) is based upon the total population covered by each specific table, the CV of the proportion is the same as the CV of the numerator of the proportion. In this case, this is equivalent to applying Rule1.

When the proportion (or percentage) is based upon a subset of the total population (e.g., those who smoke at all), reference should be made to the proportion (across the top of the table) and to the numerator of the proportion (down the left side of the table). Since not all the possible values for the proportion are available, the smallest value which is the closest must be taken (for example, if the proportion is 23% and the two closest values available in the column are 20% and 25%, 20% must be chosen). The intersection of the appropriate row and column gives the coefficient of variation.

Rule 3: Estimates of differences between aggregates or percentages

The standard error of a difference between two estimates is approximately equal to the square root of the sum of squares of each standard error considered separately. That is, the standard error of a difference (Formula 4 ) is:

Formula 5

where X1 is estimate 1, X2 is estimate 2, and a1 and a2 are the coefficients of variation of X1 and X2 respectively. The coefficient of variation of d is given by Formula 3 . This formula is accurate for the difference between independent populations or subgroups, but is only approximate otherwise. It will tend to overstate the error, if X1 and X2 are positively correlated and understate the error if X1 and X2 are negatively correlated.

Rule 4: Estimates of ratios

In the case where the numerator is a subset of the denominator, the ratio should be converted to a percentage and Rule 2 applied. This would apply, for example, to the case where the denominator is the number of individuals who smoke at all and the numerator is the number of individuals who smoke daily out of those who smoke at all.

Consider the case where the numerator is not a subset of the denominator, as for example, the ratio of the number of individuals who smoke daily or occasionally as compared to the number of individuals who do not smoke at all. The standard deviation of the ratio of the estimates is approximately equal to the square root of the sum of squares of each coefficient of variation considered separately multiplied by R , where R is the ratio of the estimates (Formula 6 ). That is, the standard error of a ratio is:

Formula 7

Where α1 and α2 are the coefficients of variation of X1 and X2 respectively.

The coefficient of variation of R is given by Formula 7 . The formula will tend to overstate the error, if X1 and X2 are positively correlated and understate the error if X1 and X2 are negatively correlated.

Rule 5: Estimates of differences of ratios

In this case, Rules 3 and 4 are combined. The CVs for the two ratios are first determined using Rule 4, and then the CV of their difference is found using Rule 3.

11.2 Examples of using the CV tables for categorical estimates

The following "real life" examples are included to assist users in applying the foregoing rules.

Example 1: Estimates of numbers possessing a characteristic (aggregates)

Suppose that a user estimates that 4,722,617 individuals smoke daily in Canada. How does the user determine the coefficient of variation of this estimate?

1) Refer to the CANADA level CV table.

2) The estimated aggregate (4,722,617) does not appear in the left–hand column (the "Numerator of Percentage" column), so it is necessary to use the smallest figure closest to it, namely 4,000,000.

3) The coefficient of variation for an estimated aggregate (expressed as a percentage) is found by referring to the first non–asterisk entry on that row, namely, 1.7%.

4) So the approximate coefficient of variation of the estimate is 1.7%. According to the Sampling Variability Guidelines presented in Section 10.4, the finding that there were 4,722,617 individuals who smoke daily is publishable with no qualifications.

Example 2 : Estimates of proportions or percentages possessing a characteristic

Suppose that the user estimates that 4,722,617/6,081,453=77.7% of individuals in Canada who smoke at all smoke daily. How does the user determine the coefficient of variation of this estimate?

1) Refer to the CANADA level CV table.

2) Because the estimate is a percentage which is based on a subset of the total population (i.e., individuals who smoke at all, that is to say, daily or occasionally), it is necessary to use both the percentage (77.7%) and the numerator portion of the percentage (4,722,617) in determining the coefficient of variation.

3) The numerator (4,722,617) does not appear in the left–hand column (the "Numerator of Percentage" column) so it is necessary to use the smallest figure closest to it, namely 4,000,000. Similarly, the percentage estimate does not appear as any of the column headings, so it is necessary to use the figure closest to it, 70.0%.

4) The figure at the intersection of the row and column used, namely 1.0% is the coefficient of variation (expressed as a percentage) to be used.

5) So the approximate coefficient of variation of the estimate is 1.0%. According to the Sampling Variability Guidelines presented in Section 10.4, the finding that 77.7% of individuals who smoke at all smoke daily can be published with no qualifications.

Example 3 : Estimates of differences between aggregates or percentages

Suppose that a user estimates that, among men, 2,535,367/13,078,499 = 19.4% smoke daily (estimate 1), while for women, this percentage is estimated at 2,187,250 / 13,476,931 = 16.2% (estimate 2). How does the user determine the coefficient of variation of the difference between these two estimates?

1) Using the CANADA level CV table in the same manner as described in example 2 gives the CV for estimate 1 as 2.4% (expressed as a percentage), and the CV for estimate 2 as 2.4% (expressed as a percentage).

2) Using rule 3, the standard error of a difference (d = X2 X1 ) is :

Formula 5

Where X1 is estimate 1, X2 is estimate 2, and α1 and α2 are the coefficients of variation of X1 and X2 respectively. The standard error of the difference d = (0.194 – 0.162) = 0.032 is :

Formula 8

3) The coefficient of variation of d is given by oa/d = 0.0061/0.032 = 0.190.

4) So the approximate coefficient of variation of the difference between the estimates is 19.0% (expressed as a percentage). According to the Sampling Variability Guidelines presented in Section 10.4, this estimate can be published but a warning has to be issued.

Example 4 : Estimates of ratios

Suppose that the user estimates that 4,722,617 individuals smoke daily, while 1,358,836 individuals smoke occasionally. The user is interested in comparing the estimate of daily to occasional smokers in the form of a ratio. How does the user determine the coefficient of variation of this estimate?

1) First of all, this estimate is a ratio estimate, where the numerator of the estimate (= X1 ) is the number of individuals who smoke occasionally. The denominator of the estimate (= X2 ) is the number of individuals who smoke daily.

2) Refer to the CANADA level CV table.

3) The numerator of this ratio estimate is 1,358,836. The smallest figure closest to it is 1,000,000. The coefficient of variation for this estimate (expressed as a percentage) is found by referring to the first non–asterisk entry on that row, namely, 3.7%.

4) The denominator of this ratio estimate is 4,722,617. The figure closest to it is 4,000,000. The coefficient of variation for this estimate (expressed as a percentage) is found by referring to the first non–asterisk entry on that row, namely, 1.7%.

5) So the approximate coefficient of variation of the ratio estimate is given by rule 4, which is,

Formula 9

,

That is,

Formula 10

where α1 and α2 are the coefficients of variation of X1 and X2 respectively. The obtained ratio of occasional to daily smokers is 1,358,836/4,722,617 which is 0.29:1. The coefficient of variation of this estimate is 4.1% (expressed as a percentage), which is releasable with no qualifications, according to the Sampling Variability Guidelines presented in Section 10.4.

11.3 How to use the CV tables to obtain confidence limits

Although coefficients of variation are widely used, a more intuitively meaningful measure of sampling error is the confidence interval of an estimate. A confidence interval constitutes a statement on the level of confidence that the true value for the population lies within a specified range of values. For example a 95% confidence interval can be described as follows: if sampling of the population is repeated indefinitely, each sample leading to a new confidence interval for an estimate, then in 95% of the samples the interval will cover the true population value.

Using the standard error of an estimate, confidence intervals for estimates may be obtained under the assumption that under repeated sampling of the population, the various estimates obtained for a population characteristic are normally distributed about the true population value. Under this assumption, the chances are about 68 out of 100 that the difference between a sample estimate and the true population value would be less than one standard error, about 95 out of 100 that the difference would be less than two standard errors, and about 99 out of 100 that the differences would be less than three standard errors. These different degrees of confidence are referred to as the confidence levels.

Confidence intervals for an estimate, x , are generally expressed as two numbers, one below the estimate and one above the estimate, as Formula 11 , where k is determined depending upon the level of confidence desired and the sampling error of the estimate.

Confidence intervals for an estimate can be calculated directly from the Approximate Sampling Variability Tables by first determining from the appropriate table the coefficient of variation of the estimate x , and then using the following formula to convert to a confidence interval CI:

Formula 12

Where ax is determined coefficient of variation for x , and

z=

1 if a 68% confidence interval is desired
z= 1.6 if a 90% confidence interval is desired
z= 2 if a 95% confidence interval is desired
z= 3 if a 99% confidence interval is desired.

Note: Release guidelines presented in section 10.4 which apply to the estimate also apply to the confidence interval. For example, if the estimate is not releasable, then the confidence interval is not releasable either.

11.4 Example of using the CV tables to obtain confidence limits

A 95% confidence interval for the estimated proportion of individuals who smoke daily from those who smoke at all (from example 2, sub–section 11.2) would be calculated as follows:

x

= 0.777

z

= 2

ax

= 0.01 is the coefficient of variation of this estimate as determined from the tables.

C1r

= {0.777 – (2) (0.777) (0.01) , 0.777 + (2) (0.777) (0.01)}

C1r

= {0.761 , 0.793}

11.5 How to use the CV tables to do a Z–test

Standard errors may also be used to perform hypothesis testing, a procedure for distinguishing between population parameters using sample estimates. The sample estimates can be numbers, averages, percentages, ratios, etc. Tests may be performed at various levels of significance, where a level of significance is the probability of concluding that the characteristics are different when, in fact, they are identical.

Let X1 and X2 be sample estimates for 2 characteristics of interest. Let the standard error on the difference X1-X2 be oa . If the ratio of X1-X2 over ao is between –2 and 2, then no conclusion about the difference between the characteristics is justified at the 5% level of significance. If however, this ratio is smaller than –2 or larger than +2, the observed difference is significant at the 0.05 level.

11.6 Example of using the CV tables to do a Z–test

Let us suppose we wish to test, at 5% level of significance, the hypothesis that there is no difference between the proportion of men who smoke daily AND the proportion of women who smoke daily. From example3, sub–section 11.2, the standard error of the difference between these two estimates was found to be = 0.0061. Hence,

Formula 13

Since z= 5.25 is greater than 2, it must be concluded that there is a significant difference between the two estimates at the 0.05 level of significance. Note that the two sub–groups compared are considered as being independent, so the test is correct.

11.7 Exact variances/coefficients of variation

All coefficients of variation in the Approximate Sampling Variability Tables (CV Tables) are indeed approximate and, therefore, unofficial.

The computation of exact coefficients of variation is not a straightforward task since there is no simple mathematical formula that would account for all CCHS sampling frame and weighting aspects. Therefore, other methods such as resampling methods must be used in order to estimate measures of precision. Among these methods, the bootstrap method is the one recommended for analysis of CCHS data.

The computation of coefficients of variation (or any other measure of precision) with the use of the bootstrap method requires access to information that is considered confidential and not available on the PUMF. This computation must be done using the Master file. Access to the Master file is discussed in section 12.3.

For the computation of coefficients of variation, the bootstrap method is advised. A macro program, called “Bootvar”, was developed in order to give users easy access to the bootstrap method. The Bootvar program is available in SAS and SPSS formats, and is made up of macros that calculate the variances of totals, ratios, differences between ratios, and linear and logistic regressions.

There are a number of reasons why a user may require an exact variance. A few are given below.

Firstly, if a user desires estimates at a geographic level other than those available in the tables (for example, at the rural/urban level), then the CV tables provided are not adequate. Coefficients of variation of these estimates may be obtained using "domain" estimation techniques through the exact variance program.

Secondly, should a user require more sophisticated analyses such as estimates of parameters from linear regressions or logistic regressions, the CV tables will not provide correct associated coefficients of variation. Although some standard statistical packages allow sampling weights to be incorporated in the analyses, the variances that are produced often do not take into account the stratified and clustered nature of the design properly, whereas the exact variance program would do so.

Thirdly, for estimates of quantitative variables, separate tables are required to determine their sampling error. Since most of the variables for the CCHS are primarily categorical in nature, this has not been done. Thus, users wishing to obtain coefficients of variation for quantitative variables can do so through the exact variance program. As a general rule, however, the coefficient of variation of a quantitative total will be larger than the coefficient of variation of the corresponding category estimate (i.e., the estimate of the number of persons contributing to the quantitative estimate). If the corresponding category estimate is not releasable, the quantitative estimate will not be either. For example, the coefficient of variation of the estimate of the total number of cigarettes smoked each day by individuals who smoke daily would be greater than the coefficient of variation of the corresponding estimate of the number of individuals who smoke daily. Hence if the coefficient of variation of the latter is not releasable, then the coefficient of variation of the corresponding quantitative estimate will also not be releasable.

Lastly, should users find themselves in a position where they can use the CV tables, but this renders a coefficient of variation in the "marginal" range (16.6% – 33.3%), the user should release the associated estimate with a warning cautioning users of the high sampling variability associated with the estimate. This would be a good opportunity to recalculate the coefficient of variation through the exact variance program to find out if it is releasable without a qualifying note. The reason for this is that the coefficients of variation produced by the tables are based on a wide range of variables and are therefore considered crude, whereas the exact variance program would give an exact coefficient of variation associated with the variable in question.

11.8 Release cut–offs for the CCHS

Appendix E presents tables giving the minimum cut–offs for estimates of totals at the Canada, provincial, health region and CLSC levels and those for various age groups at the Canada level. Estimates smaller than the value given in the "Marginal" column may not be released under any circumstances.

12.0 Microdata Files: Description, Access and Use

The CCHS produces three types of microdata files: master files, share files and public use microdata files (PUMF). Table 12.1 includes the list of all available 2009 data files.

12.1 Master files

The master files contain all variables and all records from the survey collected during a collection period. These files are accessible at Statistics Canada for internal use and in Statistics Canada’s Research Data Centres (RDC), and are also subject to custom tabulation requests.

12.1.1 Research Data Centre

The RDC Program enables researchers to use the survey data in the master files in a secure environment in several universities across Canada. Researchers must submit research proposals that, once approved, give them access to the RDC. For more information, please consult the following web page: RDC

12.1.2 Custom tabulations

Another way to access the master files is to offer all users the option of having staff in Client Services of the Health Statistics Division prepare custom tabulations. This service is offered on a cost–recovery basis. It allows users who do not possess knowledge of tabulation software products to get custom results. The results are screened for confidentiality and reliability concerns before release. For more information, please contact Client Services at 613–951–1746 or by e–mail at: hd–ds@statcan.gc.ca.

12.1.3 Remote access

Finally, the remote access service to the survey master files is another way to have access to these data if, for some reason, the user cannot access a Research Data Centre. Each purchaser of the microdata product can be supplied with a synthetic or ‘dummy’ master file and a corresponding record layout. With these tools, the researcher can develop his own set of analytical computer programs. The code for the custom tabulations is then sent via e–mail to cchs–escc@statcan.gc.ca. The code will then be transferred into Statistics Canada’s internal secured network and processed using the appropriate master file of CCHS data. Estimates generated will be released to the user, subject to meeting the guidelines for analysis and release outlined in Section 10 of this document. Results are screened for confidentiality and reliability concerns and then the output is returned to the client. There is no charge for this service.

12.2 Share files

The share files contain all variables and all records of CCHS respondents who agreed to share their data with Statistic Canada’s partners, which are the provincial and territorial health departments, Health Canada and the Public Health Agency of Canada. Statistics Canada also asks respondents living in Quebec for their permission to share their data with the Institut de la statistique du Québec. The share file is released only to these organizations. Personal identifiers are removed from the share files to respect respondent confidentiality. Users of these files must first certify that they will not disclose, at any time, any information that might identify a survey respondent.

12.3 Public use microdata files

The public use microdata files (PUMF) are developed from the master files using a technique that balances the need to ensure respondent confidentiality with the need to produce the most useful data possible at the health region level. The PUMF must meet stringent security and confidentiality standards required by the Statistics Act before they are released for public access. To ensure that these standards have been achieved, each PUMF goes through a formal review and approval process by an executive committee of Statistics Canada.

Variables most likely to lead to identification of an individual are deleted from the data file or are collapsed to broader categories.

The PUMF contains the data collected over two years. It includes questions that were asked over two years. Unless otherwise specified, these questions are usually those included in the core content component of the theme content collected over two years and the selected optional content for two years.

There is no charge to access the PUMF in a post–secondary educational institution that is part of the Data Liberation Initiative. They are also free of charge from Client Services on request at 613-951-1746 or by e–mail at hd-ds@statcan.gc.ca.

Table 12.1 2009 CCHS data files
Files File name Sampling weight Bootstrap weights file Variables included Records included
Main master file HS.txt WTS_M b5.txt All common and all optional modules. All respondent records
Sub–sample 1 master file HSS1.txt WTS_S1M b5_s1.txt All common modules, plus the "Z" set of variables for the Height and weight – Measured module. Records of all respondents selected for the sub–sample
Share file HS.txt WTS_S b5.txt All common and all optional modules. Records of all respondents who agreed to share their data
Sub–sample 1 share file HSS1.txt WTS_S1S b5_s1.txt All common modules, plus the “Z” set of variables for the Height and weight – Measured module. Records of all respondents selected for the sub–sample who agreed to share their data

12.4 How to use the CCHS data files: annual data file or two–year data file?

Since the 2008 and 2007–2008 data were released, users that have access to share files or master files have had the choice of using one–year or two–year data files. Decisions about which period to use in a given data analysis should be guided by the level of detail and the quality required. With a one–year file, estimates will not always available because of the quality associated with limited sample sizes.

Before interpreting and using a CCHS estimate, it is recommended to make sure that the estimates meets the following rules:

  • Coefficient of Variation 33.3% or less
  • a minimum of 10 respondents in the domain with the characteristic and
  • total domain of interest includes at least 20 respondents.

This will not be possible for rare characteristics and detailed domains with one-year files. Instead, users will have to rely on two-year files or multi-year files.

Where the use of either a one–year or two–year file is viable, the user should consider the trade–off between accuracy and currency. If it is important to reflect the current characteristics of a population as closely as possible, the one–year file would be preferable. However, with the increased sample size, more detailed estimates and analyses can be carried out with a two–year file.

12.5 Use of weight variable

The weight variable WTS_M represents the sampling weight for key survey files. For a given respondent, the sampling weight can be interpreted as the number of people the respondent represents in the Canadian population. This weight must always be used when computing statistical estimates in order to make inference at the population level possible. The production of unweighted estimates is not recommended. The sample allocation, as well as the survey design specifics can cause such results to not correctly represent the population. Refer to section 8 on weighting for a more detailed explanation on the creation of this weight. The weight variable WTS_M must be used for regional analyses.

The Food Security module, included in certain reference period data files, measures concepts that apply not only to the respondent’s situation, but also to that of the respondent’s entire household. Depending on the level of analysis, the analysis of the variables may require use of a weight calculated to represent the number of Canadian households, rather than the number of persons. This weight variable WTS_HH is found in a separate file (HS_HHWT.txt). It can be used in place of the variable WTS_M for household analyses at the national and provincial levels.

12.6 Variable naming convention beginning in 2007

The variable naming convention adopted allows data users to easily use and identify the data based on the module and variable type. The CCHS variable naming convention fulfils two requirements: to restrict variable names to a maximum of eight characters for ease of use by analytical software products and to identify easily conceptually identical variables from one survey collection period to the next. Questions to which changes are made between two collection periods, and where the changes alter the concept measured by the question, are entirely renamed to avoid any confusion in the analysis.

The CCHS variable naming convention was changed beginning with the data from the 2007 collection period. The letter corresponding to the survey version (for example, A =2000 ( cycle 1.1), C =2003 cycle 2.1) and E =2005 (3.1) is no longer used in the variable names. A new variable (REFPER, format = YYYYMM–YYYYMM) was added to the microdata files in order to identify the beginning and the end of the reference during which data included in the file were collected. This variable will be useful, notably for users wanting to use data from several collection periods at a time. Therefore, variable names for identical modules or questions from one collection year to the next (example, 2007 and 2008) will be the same.

The naming convention used for variables beginning with the 2007 CCHS use up to eight characters. The variable names are structured as follows:

Positions 1 to 3: Module/questionnaire section name
Position 4: Variable type (underscore, C, D, F or G)
Positions 5 to 8: Question number and answer option for multiple response questions

Example1 shows that the structure of the variable name for question 202, Smoking Module, is SMK_202 :

Positions 1 to 3: SMK Smoking module
Position 4 : _ ( underscore = collected data)
Position 5 to 8: 202 Question number

Example 2 shows the structure of the variable name for question2 of the Health Care Utilization Module (HCU_02A), which is a multi–response question:

Positions 1 to 3: HCU Health care utilization module
Position 4 : _ ( underscore = collected data)
Position 5 to 8: 02AA Corresponding question number and answer option

Positions1 to 3 contain the acronyms for each of the modules. These acronyms appear beside the module names given in the table in AppendixA.

Position 4 designates the variable type based on whether it is a variable collected directly from a questionnaire question (“_”), from a coded (“C”), derived (“D”), grouped (“G”), or flag (“F”) variable.

In general, the last four positions (5 to 8) follow the variable numbering used on the questionnaire. The letter "Q" used to represent the word "question" is removed, and all question numbers are presented in a two or three digit format. For example, question Q01A in the questionnaire becomes simply 01A, and question Q15 becomes simply 15.

Table 12.2 Designation of codes used in the 4th position of the CCHS variable names
_ Collected variable A variable that appears directly on the questionnaire
C Coded variable A variable coded from one or more collected variables (e.g., SIC, Standard Industrial Classification code)
D Derived variable A variable calculated from one or more collected or coded variables, usually calculated during head office processing (e.g., Health Utility Index)
F Flag variable A variable calculated from one or more collected variables (like a derived variable), but usually calculated by the data collection computer application for later use during the interview (e.g., work flag)
G Grouped variable Collected, coded, suppressed or derived variables collapsed into groups (e.g., age groups)

For questions that have more than one response option, the final position in the variable naming sequence is represented by a letter. For this type of question, new variables were created to differentiate between a "yes" or "no" answer for each response option. For example, if Q2 had 4 response options, the new questions would be named Q2A for option 1, Q2B for option 2, Q2C for option 3, etc. If only options 2 and 3 were selected, then Q2A = No, Q2B = Yes, Q2C = Yes and Q2D = No.

12.7 Variable naming convention before 2007

As mentioned earlier, the variable naming convention was changed in 2007. The flag for the cycle in which the variables were collected was removed. This flag was found in the 4th position for 2000 to 2005 data (cycles 1.1 to 3.1).

Here is the list of letters used in the CCHS microdata files between cycles 1.1 and 3.1 and their corresponding cycle.

Letter Cycle and cycle name

A Cycle 1.1: Canadian Community Health Survey

B Cycle 1.2: Canadian Community Health Survey – Mental Health and Well–Being

C Cycle 2.1: Canadian Community Health Survey

D Cycle 2.2: Canadian Community Health Survey – Nutrition

E Cycle 3.1: Canadian Community Health Survey

12.8 Guidelines for the use of sub–sample variables – Not applicable to 2009 data files

12.9 Data dictionaries

Separate data dictionary reports, including universe statements and frequencies, are provided for the main master file and each of the sub–sample files.

In the master file data dictionary reports, optional content modules are treated in the same way as previous CCHS cycles. For each module, a flag indicates whether a given respondent lives in a health region where the module was selected as optional content. When the flag is equal to 2 (No), all variables in the module have “not applicable” values. For example, the DOWST variable indicates if the Work stress module applies to a given respondent.

12.10 Differences in calculation of common content variables using different files

Variables from common content modules can be estimated using either of the two data files provided, when a one year and a two-year data file is available. Depending on which file is used, very small differences will be observed.

All official Statistics Canada estimates of variables from common modules are based on the main master file sampling weight.

Appendix A

Appendix A – Canadian community health survey (2009–2010)
Annual common content (allregions)
  • Age of respondent (ANC)
  • Alcohol use (ALC)
  • Chronic conditions (CCC)
  • Contacts with Health Professionals (CHP)
  • Exposure to second-hand smoke (ETS)
  • Flu shots (FLU)
  • Fruit and vegetable consumption (FVC)
  • General health (GEN)
  • Health care utilization (HCU)
  • Pain and discomfort (HUP)
  • Height and weight – Self-reported (HWT)
  • Maternal experiences - Breastfeeding (MEX)
  • Fruit and vegetable consumption (FVC)
  • Physical activities (PAC)
  • Restriction of activities (RAC)
  • Smoking (SMK)
Administration and socio–demographic information
  • Administrative information (ADM)
  • Dwelling characteristics (DWL)
  • Education (EDU)
  • Income (INC)
  • Labour force (LBS)
  • Socio–demographic characteristics
Two year / One year common content (allregions)heme content (all regions)
2009–2010:Injuries and Functional Health 2009 Only: Health Service and Access (sub–sample)i 2010 Only: Health Care Utilization
  • Health Utilities Index (HUI)
  • Activities of daily living (ADL)
  • Use of protective equipment (UPE)
  • Sexual behaviours (SXB)
  • Injuries (INJ)
  • Access to health care services (ACC)
  • Wait times (WTM)
  • Contacts with health professionals (CHP)
  • Unmet health care needs (UCN)
  • Chronic fatigue syndrome and multiple chemical sensitivities (CC4)
  • Loss of Productivity (LOP)
  • Neurological conditions (NEU)
Optional content (certain regions)
  • Alcohol use – Dependence (ALD)
  • Alcohol use during the past week (ALW)
  • Blood pressure check (BPC)
  • Breast examination (BRX)
  • Breast self–examination (BSX)
  • Changes made to improve health (CIH)
  • Colorectal cancer screening (CCS)
  • Consultations about mental health (CMH)
  • Dental visits (DEN)
  • Depression (DEP)
  • Diabetes care (DIA)
  • Dietary supplement use – Vitamins and minerals (DSU)
  • Distress (DIS)
  • Driving and safety (DRV)
  • Eye examinations (EYX)
  • Food choices (FDC)
  • Food security (FSC)
  • Health care system satisfaction (HCS)
  • Health status (SF-36) (SFR)
  • Home care services (HMC)
  • Home safety (HMS)
  • Illicit drugs use (IDU)
  • Insurance coverage (INS)
  • Mammography (MAM)
  • Mastery (MAS)
  • Maternal experiences – Alcohol use during pregnancy (MXA)
  • Maternal experiences – Smoking during pregnancy (MXS)
  • Oral health 2 (OH2)
  • Pap smear test (PAP)
  • Patient satisfaction – Community-based care (PSC)
  • Patient satisfaction – Health care services (PAS)ii
  • Physical activities – Facilities at work (PAF)
  • Problem gambling (CPG)
  • Prostate cancer screening (PSA)
  • Psychological well-being (PWB)
  • Satisfaction with life (SWL)
  • Sedentary activities (SAC)
  • Self-esteem (SFE)
  • Smoking – Other tobacco products (TAL)
  • Smoking – Physician counselling (SPC)
  • Smoking – Stages of change (SCH)
  • Smoking cessation methods (SCA)
  • Social support – Availability (SSA)
  • Social support – Utilization (SSU)
  • Stress – Coping with stress (STC)
  • Stress – Sources (STS)
  • Suicidal thoughts and attempts (SUI)
  • Sun safety behaviours (SSB)
  • Voluntary organizations - Participation (ORG)
Rapid Response
2009
  • Sleep Apnea (SLA) (Jan – Feb 2009)
  • Osteoporosis (OST) (Mar – Apr 2009)
  • Infertility (IFT) (Sep – Dec 2009)
2010
  • Stigma towards depression (STG) (May – June 2010)
  • Mental Health Experience (MHE) (May – June 2010)
iAsked of a sub–sample of respondents.These theme modules were not asked of respondents in the territories.
iiThese 2007 theme content modules were also selected as optional content by certain regions.

Appendix B

Standard table symbols

Appendix B – Selection of optional content by province or territory (2009)
Optional Modules Newfoundland Prince–Edward–Island Nova–Scotia New
Brunswick
Quebec Ontario Manitoba Saskatchewan Alberta British
Columbia
Yukon Northwest
Territories
Nunavut
Alcohol use – Dependence (ALD)
Alcohol use during the past week (ALW)
Blood pressure check (BPC)
Breast examinations (BRX)
Breast self examinations (BSX)
Changes made to improve health (CIH)
Colorectal cancer screening (CCS)
Consultations about mental health (CMH)
Dental visits (DEN)
Depression (DEP)
Diabetes care (DIA)
Dietary supplement use – Vitamins and minerals (DSU)
Distress (DIS)
Driving and safety (DRV)
Eye examinations (EYX)
Food choices (FDC)
Food security (FSC)
Health care system satisfaction (HCS)
Home care services (HMC)
Home safety (HMS)
Illicit drugs use (IDG)
Insurance coverage (INS)
Mammography (MAM)
Mastery (MAS)
Maternal experiences – Alcohol use during pregnancy (MXA)
Maternal experiences – Smoking during pregnancy (MXS)
Oral health 2 (OH2)
PAP smear test (PAP)
Patient satisfaction – Health care services (PAS)
Patient satisfaction – Community–based care (PSC)
Physical activities – Facilities at work (PAF)
Problem gambling (CPG)
Prostate cancer screening (PSA)
Psychological well-being (PWB)
Satisfaction with life (SWL)
Sedentary activities (SAC)
Self-esteem (SFE)
Health status (SF–36) (SFR)
Smoking – Physician counselling (SPC)
Smoking – Stages of change (SCH)
Smoking cessation methods (SCA)
Social support – Availability (SSA)
Social support – Utilization (SSU)
Stress – Coping with stress (STC)
Stress – Sources (STS)
Suicidal thoughts and attempts (SUI)
Sun safety behaviours (SSB)
Smoking – Other tobacco products (TAL)
Voluntary organizations – Participation (ORG)

Appendix C

Appendix C – Available geography in the master and share files and their corresponding codes: Canada, provinces/territories, health regions and peer groups
0 Canada  
10 Newfoundland and Labrador
1011–C   Eastern Regional Integrated Health Authority
1012–I   Central Regional Integrated Health Authority
1013–I   Western Regional Integrated Health Authority
1014–H   Labrador–Grenfell Regional Integrated Health Authority
11 Prince Edward Island
1101–D   Kings County
1102–A   Queens County
1103–C   Prince County
12 Nova Scotia
1201–C   Zone 1
1202–C   Zone 2
1203–C   Zone 3
1204–C   Zone 4
1205–I   Zone 5
1206–A   Zone 6
13 New Brunswick
1301–C   Region 1
1302–C   Region 2
1303–C   Region 3
1304–C   Region 4
1305–I   Region 5
1306–I   Region 6
1307–I   Region 7
24 Quebec
2401–C   Région du Bas–Saint–Laurent
2402–C   Région du Saguenay – Lac–Saint–Jean
2403–A   Région de la Capitale–Nationale
2404–C   Région de la Mauricie et du Centre–du–Québec
2405–C   Région de l'Estrie
2406–G   Région de Montréal
2407–A   Région de l'Outaouais
2408–C   Région de l'Abitibi–Témiscamingue
2409–H   Région de la Côte–Nord
2410–H   Région du Nord–du–Québec
2411–I   Région de la Gaspésie – Îles–de–la–Madeleine
2412–E   Région de la Chaudière–Appalaches
2413–A   Région de Laval
2414–E   Région de Lanaudière
2415–E   Région des Laurentides
2416–A   Région de la Montérégie
35 Ontario by Local Health Integration Network
3501   Erie St. Clair Health Integration Network
3502   South West Health Integration Network
3503   Waterloo Wellington Health Integration Network
3504   Hamilton Niagara Haldimand Brant Health Integration Network
3505   Central West Health Integration Network
3506   Mississauga Halton Health Integration Network
3507   Toronto Central Health Integration Network
3508   Central Health Integration Network
3509   Central East Health Integration Network
3510   South East Health Integration Network
3511   Champlain Health Integration Network
3512   North Simcoe Muskoka Health Integration Network
3513   North East Health Integration Network
3514   North West Health Integration Network
35 Ontario by Health Unit
3526–C   District of Algoma Health Unit
3527–A   Brant County Health Unit
3530–B   Durham Regional Health Unit
3531–E   Elgin–St. Thomas Health Unit
3533–E   Grey Bruce Health Unit
3534–E   Haldimand–Norfolk Health Unit
3535–E   Haliburton, Kawartha, Pine Ridge District Health Unit
3536–B   Halton Regional Health Unit
3537–A   City of Hamilton Health Unit
3538–A   Hastings and Prince Edward Counties Health Unit
3539–E   Huron County Health Unit
3540–A   Chatham–Kent Health Unit
3541–A   Kingston, Frontenac and Lennox and Addington Health Unit
3542–A   Lambton Health Unit
3543–E   Leeds, Grenville and Lanark District Health Unit
3544–A   Middlesex–London Health Unit
3546–A   Niagara Regional Area Health Unit
3547–C   North Bay Parry Sound District Health Unit
3549–H   Northwestern Health Unit
3551–B   City of Ottawa Health Unit
3552–E   Oxford County Health Unit
3553–B   Peel Regional Health Unit
3554–E   Perth District Health Unit
3555–A   Peterborough County–City Health Unit
3556–H   Porcupine Health Unit
3557–E   Renfrew County and District Health Unit
3558–E   Eastern Ontario Health Unit
3560–E   Simcoe Muskoka District Health Unit
3561–C   Sudbury and District Health Unit
3562–C   Thunder Bay District Health Unit
3563–C   Timiskaming Health Unit
3565–B   Waterloo Health Unit
3566–B   Wellington–Dufferin–Guelph Health Unit
3568–B   Windsor–Essex County Health Unit
3570–B   York Regional Health Unit
3595–G   City of Toronto Health Unit
46 Manitoba
4610–A   Winnipeg Regional Health Authority
4615–A   Brandon Regional Health Authority
4620–E   North Eastman Regional Health Authority
4625–E   South Eastman Regional Health Authority
4630–E   Interlake Regional Health Authority
4640–D   Central Regional Health Authority
4645–D   Assiniboine Regional Health Authority
4660–D   Parkland Regional Health Authority
4670–H   Norman Regional Health Authority
4685–F   Burntwood/Churchill
47 Saskatchewan
4701–D   Sun Country Regional Health Authority
4702–D   Five Hills Regional Health Authority
4703–D   Cypress Regional Health Authority
4704–A   Regina Qu'Appelle Regional Health Authority
4705–D   Sunrise Regional Health Authority
4706–A   Saskatoon Regional Health Authority
4707–D   Heartland Regional Health Authority
4708–D   Kelsey Trail Regional Health Authority
4709–C   Prince Albert Parkland Regional Health Authority
4710–H   Prairie North Regional Health Authority
4714–F   Mamawetan/Keewatin/Athabasca
48 Alberta
4821–E   Chinook Regional Health Authority
4822–E   Palliser Health Region
4823–B   Calgary Health Region
4824–E   David Thompson Regional Health Authority
4825–E   East Central Health
4826–E   Capital Health
4827–E   Aspen Regional Health Authority
4828–E   Peace Country Health
4829–H   Northern Lights Health Region
59 British Columbia
5911–E   East Kootenay Health Service Delivery Area
5912–C   Kootenay–Boundary Health Service Delivery Area
5913–A   Okanagan Health Service Delivery Area
5914–C   Thompson/Cariboo Health Service Delivery Area
5921–A   Fraser East Health Service Delivery Area
5922–B   Fraser North Health Service Delivery Area
5923–B   Fraser South Health Service Delivery Area
5931–B   Richmond Health Service Delivery Area
5932–G   Vancouver Health Service Delivery Area
5933–B   North Shore/Coast Garibaldi Health Service Delivery Area
5941–A   South Vancouver Island Health Service Delivery Area
5942–A   Central Vancouver Island Health Service Delivery Area
5943–C   North Vancouver Island Health Service Delivery Area
5951–H   Northwest Health Service Delivery Area
5952–H   Northern Interior Health Service Delivery Area
5953–H   Northeast Health Service Delivery Area
60 Yukon
6001–H   Yukon
61 Northwest Territories
6101–H   Northwest Territories
62 Nunavut – 10 largest communities
6201–F   Nunavut – 10 largest communities
A Peer group A
B Peer group B
C Peer group C
D Peer group D
E Peer group E
F Peer group F
G Peer group G
H Peer group H
I Peer group I

Appendix D

Standard table symbols

Appendix D – 2009 Sample allocation by health region and frame
  Area Frame Phone frames Combined
Province/
Territory
Health Region
No. expected respondents raw sample size No. expected respondents raw sample size No. expected respondents raw sample size
Canada
Total 33,136 47,888 32,626 55,920 65,762 103,808
Newfoundland
Total 1,003 1,404 1,002 1,596 2,005 3,000
1011 405 580 405 642 810 1,223
1012 235 333 235 360 470 693
1013 213 282 212 342 425 624
1014 150 214 150 246 300 460
Prince Edward Island
Total 501 785 500 948 1,001 1,733
1101 89 159 89 168 178 327
1102 230 366 230 420 460 786
1103 182 260 181 360 363 620
Nova Scotia
Total 1,261 1,903 1,259 1,920 2,520 3,823
1201 198 306 197 312 395 618
1202 160 236 160 252 320 488
1203 180 239 180 270 360 509
1204 175 321 175 270 350 591
1205 210 284 210 324 420 608
1206 338 517 337 492 675 1,009
New Brunswick
Total 1,289 1,940 1,286 1,938 2,575 3,878
1301 250 387 250 384 500 771
1302 243 403 242 378 485 781
1303 235 373 235 366 470 739
1304 135 202 135 198 270 400
1305 125 170 125 180 250 350
1306 173 239 172 240 345 479
1307 128 166 127 192 255 358
Quebec
Total 5,874 8,104 6,270 10,998 12,144 19,102
2401 300 383 300 474 600 857
2402 314 423 314 546 628 969
2403 463 647 463 726 926 1,373
2404 402 521 401 612 803 1,133
2405 309 455 309 474 618 929
2406 777 1,114 776 1,458 1,553 2,572
2407 323 508 322 522 645 1,030
2408 300 383 300 456 600 839
2409 300 405 300 558 600 963
2410 0 0 400 1,248 400 1,248
2411 300 411 300 516 600 927
2412 362 484 361 636 723 1,120
2413 335 480 335 564 670 1044
2414 359 480 359 588 718 1,068
2415 380 536 380 624 760 1,160
2416 650 875 650 996 1300 1871
Ontario
Total 11,111 15,896 11,096 19,158 22,207 35,054
3526 213 318 212 336 425 654
3527 203 282 202 312 405 594
3530 408 574 407 648 815 1,222
3531 170 239 170 276 340 515
3533 240 359 252 450 492 809
3534 193 290 193 348 386 638
3535 238 316 237 414 475 730
3536 353 499 352 552 705 1,051
3537 413 622 412 696 825 1,318
3538 235 317 235 438 470 755
3539 148 228 147 276 295 504
3540 200 250 200 330 400 580
3541 253 380 252 450 505 830
3542 218 286 217 366 435 652
3543 238 335 237 378 475 713
3544 375 564 375 630 750 1,194
3546 383 505 382 618 765 1,123
3547 200 310 200 384 400 694
3549 200 335 200 438 400 773
3551 513 750 512 810 1,025 1,560
3552 188 245 187 282 375 527
3553 671 949 670 1,206 1,341 2,155
3554 163 223 162 246 325 469
3555 213 316 212 384 425 700
3556 188 286 187 264 375 550
3557 188 278 187 324 375 602
3558 260 355 260 396 520 751
3560 560 805 560 1,074 1,120 1,879
3561 270 393 270 480 540 873
3562 332 483 331 588 663 1,071
3563 125 183 125 216 250 399
3565 383 560 382 600 765 1,160
3566 293 382 292 456 585 838
3568 358 497 357 600 715 1,097
3570 473 627 472 870 945 1,497
3595 1,052 1,554 1,048 2,022 2,100 3,576
Manitoba
Total 1,877 2,584 1,873 2,988 3,750 5,572
4610 528 714 527 786 1,055 1,500
4615 140 200 140 228 280 428
4620 125 168 125 228 250 396
4625 150 205 150 240 300 445
4630 173 272 172 282 345 554
4640 200 253 200 276 400 529
4645 178 239 177 270 355 509
4660 133 190 132 210 265 400
4670 125 182 125 228 250 410
4685 125 160 125 240 250 400
Saskatchewan
Total 1,806 2,555 2,054 4,098 3,860 6,653
4701 150 187 150 228 300 415
4702 150 201 150 264 300 465
4703 133 185 132 222 265 407
4704 310 434 310 504 620 938
4705 155 216 155 228 310 444
4706 330 455 330 528 660 983
4707 135 213 135 216 270 429
4708 130 189 130 204 260 393
4709 163 286 162 306 325 592
4710 150 189 150 258 300 447
4714 0 0 250 1,140 250 1,140
Alberta
Total 3,052 4,490 3,048 5,076 6,100 9,566
4821 255 373 255 408 510 781
4822 208 259 207 318 4156 577
4823 698 996 697 1,122 1,395 2,118
4824 350 513 350 588 700 1,101
4825 223 290 222 336 445 626
4826 655 988 655 1,146 1,310 2,134
4827 270 404 270 462 540 866
4828 233 376 232 396 465 772
4829 160 292 160 300 320 592
British Columbia
Total 4,027 6,092 4,023 6,612 8,050 12,704
5911 153 232 152 264 305 496
5912 155 236 155 234 310 470
5913 295 394 295 486 590 880
5914 250 332 250 402 500 734
5921 260 353 260 402 520 755
5922 380 543 380 588 760 1,131
5923 400 605 400 690 800 1,295
5931 213 287 213 336 426 623
5932 400 639 400 714 800 1,353
5933 273 496 273 474 546 970
5941 338 495 338 528 676 1,023
5942 263 373 263 384 526 757
5943 133 181 132 210 265 391
5951 163 311 163 318 326 629
5952 213 307 213 360 426 667
5903 138 306 138 222 276 528
Northwest Territories
6001 475 738 125 306 600 1,044
6101 510 816 90 282 600 1,098
6201 350 580 0 0 350 580
Sample allocation by Local Health Integrated Network and frames in the CCHS 2009 in Ontario.
  Area Frame Phone frames Combined
Province/
Territory
LHIN
No. expected respondents raw sample size No. expected respondents raw sample size No. expected respondents raw sample size
Ontario
Total 11,111 15,896 11,096 19,158 22,207 35,054
3501 776 1,033 774 1,296 1,550 2,329
3,502 1,282 1,853 1,279 2,130 2,561 3,983
3,503 622 867 620 978 1,242 1,845
3,504 1,300 1,850 1,297 2,136 2,597 3,986
3505 536 772 533 954 1,069 1,726
3506 558 772 557 942 1,115 1,714
3507 541 855 540 1,044 1,081 1,899
3508 706 940 705 1,320 1,411 2,260
3509 1,056 1,469 1,052 1,830 2,108 3,299
3510 657 941 656 1,164 1,313 2,105
3511 1,030 1,474 1,027 1,632 2,057 3,106
3512 519 759 531 1,026 1,050 1,785
3513 996 1,491 994 1,680 1,990 3,171
3514 532 819 531 1,026 1,063 1,845
Sample allocation by province and frames for the Health Services Access Survey (HAS) sub–sample 20091
Province/Territory Area Frame Phone frames Combined
No. expected respondents raw sample size expected # of respondents raw sample size expected # of respondents raw sample size
Canada 23,593 35,983 23,571 42,309 47,164 78,292
Newfoundland 940 1,404 939 1,596 1,879 3,000
Prince Edward Island 470 785 469 948 939 1,733
Nova Scotia 1,188 1,903 1,186 1,920 2,374 3,823
New Brunswick 1,198 1,940 1,195 1,938 2,393 3,878
Quebec 2,300 3,379 2,300 4,097 4,600 7,476
Ontario 10,497 15,896 10,482 19,158 20,979 35,054
Manitoba 1,600 2,319 1,600 2,654 3,200 4,974
Saskatchewan 1,600 2,336 1,600 3,262 3,200 5,598
Alberta 1,800 2,806 1,800 3,190 3,600 5,996
British Columbia 2,000 3,215 2,000 3,545 4,000 6,760

1. The CCHS respondents aged 12 to 14 years old or that responded by proxy are out-of-scope for HSAS. This explains the discrepancies observed for some of the provinces between the figures found in this table and the ones found in section 5.8. For the provinces where all CCHS respondents were sampled for HSAS, the expected number of respondents was adjusted in the current table to account for the expected number of CCHS units that would be out-of-scope for HSAS. For other provinces, it was possible to account for the presence of such units at the time of sampling by selecting a larger fraction of CCHS respondents, to obtain the desired expected number of respondents for the HSAS.

Appendix E

Standard table symbols

2009 response rate by health region and frames
Province/
Territory
Health
Region
Area frame Phone frames  
No. in
scope

HH
No. resp.
HH
HH
resp.
rates
No. pers.
select.
No. resp. Pers.
resp.
rates
Resp.
rates
No. in
scope
HH
No. resp.
HH
HH
resp.
rates
No. pers.
select.
No. resp. Pers.
resp.
rates
Resp.
rates
Combined
resp.
rates
Canada
Total 40,136 33,307 83.0 33,307 30,475 91.5 75.9 44,125 35,219 79.8 35,219 31,204 88.6 70.7 73.2
Newfoundland
Total 1,141 991 86.9 991 906 91.4 79.4 1,336 1,137 85.1 1,137 992 87.2 74.3 76.6
1011 469 386 82.3 386 342 88.6 72.9 548 467 85.2 467 402 86.1 73.4 73.2
1012 251 229 91.2 229 210 91.7 83.7 306 259 84.6 259 227 87.6 74.2 78.5
1013 235 217 92.3 217 204 94.0 86.8 278 232 83.5 232 209 90.1 75.2 80.5
1014 186 159 85.5 159 150 94.3 80.6 204 179 87.7 179 154 86.0 75.5 77.9
Prince Edward Island
Total 620 524 84.5 524 470 89.7 75.8 645 545 84.5 545 470 86.2 72.9 74.3
1101 103 90 87.4 90 84 93.3 81.6 55 47 85.5 47 40 85.1 72.7 78.5
1102 308 261 84.7 261 232 88.9 75.3 338 286 84.6 286 245 85.7 72.5 73.8
1103 209 173 82.8 173 154 89.0 73.7 252 212 84.1 212 185 87.3 73.4 73.5
Nova Scotia
Total 1,531 1,308 85.4 1,308 1,181 90.3 77.1 1,560 1,338 85.8 1,338 1,189 88.9 76.2 76.7
1201 223 214 96.0 214 199 93.0 89.2 240 206 85.8 206 188 91.3 78.3 83.6
1202 189 161 85.2 161 148 91.9 78.3 205 176 85.9 176 158 89.8 77.1 77.7
1203 186 156 83.9 156 148 94.9 79.6 197 165 83.8 165 149 90.3 75.6 77.5
1204 247 220 89.1 220 203 92.3 82.2 220 192 87.3 192 169 88.0 76.8 79.7
1205 240 197 82.1 197 179 90.9 74.6 258 213 82.6 213 185 86.9 71.7 73.1
1206 446 360 80.7 360 304 84.4 68.2 440 386 87.7 386 340 88.1 77.3 72.7
New Brunswick
Total 1,493 1,283 85.9 1,283 1,154 89.9 77.3 1,605 1,387 86.4 1,387 1,252 90.3 78.0 77.7
1301 321 264 82.2 264 239 90.5 74.5 327 284 86.9 284 255 89.8 78.0 76.2
1302 290 242 83.4 242 226 93.4 77.9 312 272 87.2 272 237 87.1 76.0 76.9
1303 254 222 87.4 222 199 89.6 78.3 310 268 86.5 268 251 93.7 81.0 79.8
1304 167 142 85.0 142 128 90.1 76.6 157 140 89.2 140 127 90.7 80.9 78.7
1305 129 116 89.9 116 95 81.9 73.6 149 133 89.3 133 122 91.7 81.9 78.1
1306 203 189 93.1 189 174 92.1 85.7 197 168 85.3 168 149 88.7 75.6 80.8
1307 129 108 83.7 108 93 86.1 72.1 153 122 79.7 122 111 91.0 72.5 72.3
Quebec
Total 7,087 5,789 81.7 5,789 5,412 93.5 76.4 8,767 7,003 79.9 7,003 6,170 88.1 70.4 73.1
2401 314 290 92.4 290 277 95.5 88.2 375 316 84.3 316 279 88.3 74.4 80.7
2402 365 305 83.6 305 286 93.8 78.4 457 394 86.2 394 359 91.1 78.6 78.5
2403 608 473 77.8 473 451 95.3 74.2 627 503 80.2 503 455 90.5 72.6 73.4
2404 457 389 85.1 389 364 93.6 79.6 526 432 82.1 432 393 91.0 74.7 77.0
2405 354 265 74.9 265 254 95.8 71.8 391 331 84.7 331 299 90.3 76.5 74.2
2406 1,001 735 73.4 735 684 93.1 68.3 1,258 922 73.3 922 770 83.5 61.2 64.4
2407 417 338 81.1 338 310 91.7 74.3 438 358 81.7 358 323 90.2 73.7 74.0
2408 319 281 88.1 281 262 93.2 82.1 398 329 82.7 329 293 89.1 73.6 77.4
2409 346 300 86.7 300 290 96.7 83.8 391 300 76.7 300 257 85.7 65.7 74.2
2410 . . . . . . . 562 450 80.1 450 400 88.9 71.2 71.2
2411 341 315 92.4 315 298 94.6 87.4 393 309 78.6 309 272 88.0 69.2 77.7
2412 435 389 89.4 389 367 94.3 84.4 541 422 78.0 422 375 88.9 69.3 76.0
2413 428 334 78.0 334 308 92.2 72.0 500 394 78.8 394 342 86.8 68. 70.0
2414 433 359 82.9 359 329 91.6 76.0 511 410 80.2 410 356 86.8 69.7 72.6
2415 475 380 80.0 380 339 89.2 71.4 497 397 79.9 397 353 88.9 71.0 71.2
2416 794 636 80.1 636 593 93.2 74.7 902 736 81.6 736 644 87.5 71.4 72.9
Ontario
Total 13,662 11,229 82.2 11,229 10,211 90.9 74.7 15,703 12,256 78.0 12,256 10,758 87.8 68.5 71.4
3526 287 253 88.2 253 233 92.1 81.2 264 211 79.9 211 193 91.5 73.1 77.3
3527 266 219 82.3 219 183 83.6 68.8 252 199 79.0 199 179 89.9 71.0 69.9
3530 523 427 81.6 427 388 90.9 74.2 566 447 79.0 447 376 84.1 66.4 70.2
3531 203 166 81.8 166 145 87.3 71.4 234 189 80.8 189 165 87.3 70.5 70.9
3533 306 281 91.8 281 264 94.0 86.3 334 261 78.1 261 234 89.7 70.1 77.8
3534 247 195 78.9 195 179 91.8 72.5 281 216 76.9 216 188 87.0 66.9 69.5
3535 216 175 81.0 175 152 86.9 70.4 279 237 84.9 237 208 87.8 74.6 72.7
3536 476 390 81.9 390 359 92.1 75.4 488 382 78.3 382 334 87.4 68.4 71.9
3537 547 420 76.8 420 373 88.8 68.2 590 459 77.8 459 403 87.8 68.3 68.2
3538 276 234 84.8 234 212 90.6 76.8 347 278 80.1 278 242 87.1 69.7 72.9
3539 193 175 90.7 175 167 95.4 86.5 226 188 83.2 188 167 88.8 73.9 79.7
3540 209 198 94.7 198 191 96.5 91.4 247 199 80.6 199 177 88.9 71.7 80.7
3541 334 268 80.2 268 235 87.7 70.4 339 270 79.6 270 243 90.0 71.7 71.0
3542 245 203 82.9 203 187 92.1 76.3 296 249 84.1 249 222 89.2 75.0 75.6
3543 264 220 83.3 220 195 88.6 73.9 319 255 79.9 255 223 87.5 69.9 71.7
3544 481 380 79.0 380 359 94.5 74.6 527 408 77.4 408 367 90.0 69.6 72.0
3546 448 373 83.3 373 338 90.6 75.4 520 391 75.2 391 352 90.0 67.7 71.3
3547 251 215 85.7 215 188 87.4 74.9 270 216 80.0 216 183 84.7 67.8 71.2
3549 256 186 72.7 186 168 90.3 65.6 298 241 80.9 241 215 89.2 72.1 69.1
3551 687 489 71.2 489 442 90.4 64.3 705 564 80.0 564 498 88.3 70.6 67.5
3552 228 200 87.7 200 194 97.0 85.1 257 208 80.9 208 184 88.5 71.6 77.9
3553 891 758 85.1 758 677 89.3 76.0 1,060 825 77.8 825 705 85.5 66.5 70.8
3554 211 190 90.0 190 183 96.3 86.7 212 174 82.1 174 155 89.1 73.1 79.9
3555 243 206 84.8 206 186 90.3 76.5 284 225 79.2 225 209 92.9 73.6 75.0
3556 258 210 81.4 210 184 87.6 71.3 225 168 74.7 168 148 88.1 65.8 68.7
3557 211 203 96.2 203 184 90.6 87.2 257 197 76.7 197 174 88.3 67.7 76.5
3558 306 248 81.0 248 232 93.5 75.8 336 259 77.1 259 232 89.6 69.0 72.3
3560 650 509 78.3 509 467 91.7 71.8 786 616 78.4 616 553 89.8 70.4 71.0
3561 302 267 88.4 267 230 86.1 76.2 381 297 78.0 297 279 93.9 73.2 74.5
3562 394 312 79.2 312 289 92.6 73.4 430 342 79.5 342 308 90.1 71.6 72.5
3563 13 11 84.6 11 10 90.9 76.9 181 141 77.9 141 119 84.4 65.7 66.5
3565 493 408 82.8 408 372 91.2 75.5 521 409 78.5 409 364 89.0 69.9 72.6
3566 344 308 89.5 308 290 94.2 84.3 370 303 81.9 303 267 88.1 72.2 78.0
3568 431 358 83.1 358 333 93.0 77.3 533 406 76.2 406 348 85.7 65.3 70.6
3570 572 470 82.2 470 430 91.5 75.2 758 589 77.7 589 506 85.9 66.8 70.4
3595 1,400 1,104 78.9 1,104 992 89.9 70.9 1,730 1,237 71.5 1,237 1,038 83.9 60.0 64.9
Manitoba
Total 2,195 1,849 84.2 1,849 1,676 90.6 76.4 2,212 1,859 84.0 1,859 1,693 91.1 76.5 76.4
4610 657 520 79.1 520 463 89.0 70.5 686 575 83.8 575 522 90.8 76.1 73.3
4615 189 148 78.3 148 131 88.5 69.3 185 153 82.7 153 139 90.8 75.1 72.2
4620 138 125 90.6 125 117 93.6 84.8 122 105 86.1 105 97 92.4 79.5 82.3
4625 177 147 83.1 147 131 89.1 74.0 182 161 88.5 161 143 88.8 78.6 76.3
4630 189 164 86.8 164 149 90.9 78.8 189 165 87.3 165 154 93.3 81.5 80.2
4640 237 212 89.5 212 196 92.5 82.7 216 177 81.9 177 156 88.1 72.2 77.7
4645 212 191 90.1 191 168 88.0 79.2 220 177 80.5 177 163 92.1 74.1 76.6
4660 129 110 85.3 110 105 95.5 81.4 165 131 79.4 131 120 91.6 72.7 76.5
4670 145 127 87.6 127 121 95.3 83.4 148 127 85.8 127 117 92.1 79.1 81.2
4685 122 105 86.1 105 95 90.5 77.9 99 88 88.9 88 82 93.2 82.8 80.1
Saskatchewan
Total 2,074 1,845 89.0 1,845 1,749 94.8 84.3 2,742 2,247 81.9 2,247 2,051 91.3 74.8 78.9
4701 156 152 97.4 152 148 97.4 94.9 182 151 83.0 151 135 89.4 74.2 83.7
4702 171 150 87.7 150 142 94.7 83.0 222 179 80.6 179 165 92.2 74.3 78.1
4703 142 122 85.9 122 120 98.4 84.5 182 154 84.6 154 138 89.6 75.8 79.6
4704 385 354 91.9 354 323 91.2 83.9 427 340 79.6 340 312 91.8 73.1 78.2
4705 155 140 90.3 140 133 95.0 85.8 179 145 81.0 145 132 91.0 73.7 79.3
4706 390 328 84.1 328 313 95.4 80.3 466 387 83.0 387 348 89.9 74.7 77.2
4707 138 121 87.7 121 118 97.5 85.5 167 135 80.8 135 128 94.8 76.6 80.7
4708 145 131 90.3 131 125 95.4 86.2 161 141 87.6 141 130 92.2 80.7 83.3
4709 243 208 85.6 208 198 95.2 81.5 219 184 84.0 184 173 94.0 79.0 80.3
4710 149 139 93.3 139 129 92.8 86.6 171 141 82.5 141 130 92.2 76.0 80.9
4714 . . . . . . . 366 290 79.2 290 260 89.7 71.0 71.0
Alberta
Total 3,743 3,037 81.1 3,037 2,709 89.2 72.4 4,068 3,238 79.6 3,238 2,900 89.6 71.3 71.8
4821 304 246 80.9 246 232 94.3 76.3 323 273 84.5 273 248 90.8 76.8 76.6
4822 223 190 85.2 190 180 94.7 80.7 225 183 81.3 183 163 89.1 72.4 76.6
4823 852 686 80.5 686 634 92.4 74.4 942 747 79.3 747 663 88.8 70.4 72.3
4824 427 351 82.2 351 313 89.2 73.3 448 375 83.7 375 341 90.9 76.1 74.7
4825 247 191 77.3 191 175 91.6 70.9 269 210 78.1 210 186 88.6 69.1 70.0
4826 837 645 77.1 645 531 82.3 63.4 952 743 78.0 743 662 89.1 69.5 66.7
4827 326 272 83.4 272 253 93.0 77.6 357 279 78.2 279 255 91.4 71.4 74.4
4828 323 292 90.4 292 252 86.3 78.0 319 254 79.6 254 230 90.6 72.1 75.1
4829 204 164 80.4 164 139 84.8 68.1 233 174 74.7 174 152 87.4 65.2 66.6
British Columbia
Total 5,023 4,072 81.1 4,072 3,725 91.5 74.2 5,269 4,029 76.5 4,029 3,562 88.4 67.6 70.8
5911 194 164 84.5 164 151 92.1 77.8 206 157 76.2 157 148 94.3 71.8 74.8
5912 166 152 91.6 152 142 93.4 85.5 186 145 78.0 145 132 91.0 71.0 77.8
5913 345 303 87.8 303 287 94.7 83.2 407 314 77.1 314 285 90.8 70.0 76.1
5914 278 243 87.4 243 226 93.0 81.3 293 235 80.2 235 212 90.2 72.4 76.7
5921 304 255 83.9 255 231 90.6 76.0 304 243 79.9 243 207 85.2 68.1 72.0
5922 473 383 81.0 383 362 94.5 76.5 505 371 73.5 371 330 88.9 65.3 70.8
5923 535 448 83.7 448 408 91.1 76.3 575 440 76.5 440 386 87.7 67.1 71.5
5931 232 198 85.3 198 180 90.9 77.6 282 205 72.7 205 170 82.9 60.3 68.1
5932 527 382 72.5 382 365 95.5 69.3 570 385 67.5 385 321 83.4 56.3 62.5
5933 332 270 81.3 270 209 77.4 63.0 380 275 72.4 275 246 89.5 64.7 63.9
5941 429 336 78.3 336 312 92.9 72.7 414 325 78.5 325 287 88.3 69.3 71.1
5942 316 258 81.6 258 248 96.1 78.5 309 255 82.5 255 231 90.6 74.8 76.6
5943 144 113 78.5 113 111 98.2 77.1 165 138 83.6 138 126 91.3 76.4 76.7
5951 252 205 81.3 205 185 90.2 73.4 233 185 79.4 185 168 90.8 72.1 72.8
5952 262 183 69.8 183 167 91.3 63.7 280 227 81.1 227 200 88.1 71.4 67.7
5953 234 179 76.5 179 141 78.8 60.3 160 129 80.6 129 113 87.6 70.6 64.5
Yukon
6001 577 522 90.5 522 485 92.9 84.1 128 110 85.9 110 98 89.1 76.6 82.7
Northwest Territories
6101 604 509 84.3 509 470 92.3 77.8 90 70 77.8 70 69 98.6 76.7 77.7
Nunavut
6201 386 349 90.4 349 327 93.7 84.7 . . . . . . . 84.7
Response rate by Local Health Integrated Network (LHIN) and frames in the CCHS 2009 in Ontario
  Area frame / Base aréolaire Phone frames / Bases téléphoniques  
Province/
Territory
LHIN No. in
scope
HH
No. resp.
HH
HH
resp.
rates
No. pers.
select.
No. resp. Pers.
resp.
rates
Resp.
rates
No. in
scope
HH
No. resp.
HH
HH
resp.
rates
No. pers.
select.
No. resp. Pers.
resp.
rates
Resp.
rates
Combined
resp.
rates
Ontario Total 13,662 11,229 82.2 11,229 10,211 90.9 74.7 15,703 12,256 78.0 12,256 10,758 87.8 68.5 71.4
3501 885 759 85.8 759 711 93.7 80.3 1,0768 854 79.4 854 747 87.5 69.4 74.3
3502 1,611 1,381 85.7 1,381 1,309 94.8 81.3 1,761 1,405 79.8 1,405 1,253 89.2 71.2 76.0
3503 779 666 85.5 666 609 91.4 78.2 826 660 79.9 660 593 89.8 71.8 74.9
3504 1,651 1,322 80.1 1,322 1,180 89.3 71.5 1,798 1,389 77.3 1,389 1,224 88.1 68.1 69.7
3505 726 602 82.9 602 531 88.2 73.1 823 629 76.4 629 528 83.9 64.2 68.4
3506 749 636 84.9 636 583 91.7 77.8 843 653 77.5 653 570 87.3 67.6 72.4
3507 752 574 76.3 574 533 92.9 70.9 873 636 72.9 636 546 85.8 62.5 66.4
3508 859 708 82.4 708 634 89.5 73.8 1,136 860 75.7 860 732 85.1 64.4 68.5
3509 1,217 1,005 82.6 1,005 899 89.5 73.9 1,483 1,160 78.2 1,160 996 85.9 67.2 70.2
3510 789 651 82.5 651 579 88.9 73.4 935 743 79.5 743 652 87.8 69.7 71.4
3511 1,289 1,011 78.4 1,011 921 91.1 71.5 1,364 1,076 78.9 1,076 956 88.8 70.1 70.8
3512 594 460 77.4 460 420 91.3 70.7 732 571 78.0 571 512 89.7 69.9 70.3
3513 1,111 956 86.0 956 845 88.4 76.1 1,325 1,03 78.3 1,037 926 89.3 69.9 72.7
3514 650 498 76.6 498 457 91.8 70.3 728 583 80.1 583 523 89.7 71.8 71.1
Response rate by province and frames for the Health Services Access Survey (HSAS) sub–sample 2009
Province/
Territory
Area frame Phone frames  
No. in
scope
HH
No. resp.
HH
HH
resp.
rates
No. pers.
select.
No. resp. Pers.
resp.
rates
Resp.
rates
No. in
scope
HH
No. resp.
HH
HH
resp.
rates
No. pers.
select.
No. resp. Pers.
resp.
rates
Resp.
rates
Combined
resp.
rates
Canada 30,394 25,145 82.7 23,732 21,648 91.2 75.5 33,459 26,713 79.8 24,870 21,963 88.3 70.5 72.9
Newfoundland 1,141 991 86.9 935 855 91.4 79.4 1,336 1,137 85.1 1,033 899 87.0 74.1 76.6
Prince Edward Island 620 524 84.5 480 430 89.6 75.7 645 545 84.5 501 427 85.2 72.0 73.8
Nova Scotia 1,531 1,308 85.4 1,223 1,106 90.4 77.3 1,560 1,338 85.8 1,244 1,105 88.8 76.2 76.7
New Brunswick 1,493 1,283 85.9 1,215 1,090 89.7 77.1 1,605 1,387 86.4 1,300 1,169 89.9 77.7 77.4
Quebec 3,006 2,374 79.0 2,234 2,091 93.6 73.9 3,481 2,727 78.3 2,578 2,265 87.9 68.8 71.2
Ontario 13,662 11,229 82.2 10,649 9,676 90.9 74.7 15,051 11,747 78.0 10,903 9,548 87.6 68.3 71.4
Manitoba 1,996 1,671 83.7 1,579 1,430 90.6 75.8 1,997 1,676 83.9 1,558 1,421 91.2 76.5 76.2
Saskatchewan 1,905 1,696 89.0 1,592 1,507 94.7 84.3 2,348 1,926 82.0 1,802 1,650 91.6 75.1 79.2
Alberta 2,364 1,906 80.6 1,809 1,606 88.8 71.6 2,590 2,059 79.5 1,922 1,708 88.9 70.6 71.1
British Columbia 2,676 2,163 80.8 2,016 1,857 92.1 74.5 2,846 2,171 76.3 2,029 1,771 87.3 66.6 70.4

Notes

1. 1999. Health Information Roadmap: Responding to Needs, Health Canada, Statistics Canada. page 3.
2. 1999. Health Information Roadmap: Beginning the Journey. Canadian Institute for Health Information/Statistics Canada. ISBN 1–895581–70–2. p.19.
3. Unless all health regions in Canada select an optional module in the same collection period, which has never happened to date.
4. Except for 2 regions which use a random digit dialing frame (RDD) only (section 5.4.3) and the three territories which use only area frame and random digit dialing frame (RDD) (sections 5.4.1 and 5.4.3).
5. Statistics Canada (1998). Methodology of the Canadian Labour Force Survey. Statistics Canada. Cat. No. 71–526–XPB.
6. To reduce listing costs, the sampling process of dwellings was repeated up to 3 times within PSUs already selected in urban areas only. These cases were exceptions, however.
7. In Nunavut, because of operational difficulties inherent to remote locales, only the 10 largest communities are covered by the survey: Iqaluit, Cambridge Bay, Baker Lake, Arviat, Rankin Inlet, Kugluktuk, Pond Inlet, Cape Dorset, Pangnirtung and Igloolik.
8. Norris, D.A. and Paton, D.G. (1991). Canada’s General Social Survey: Five Years of Experience, Survey Methodology, 17, 227–240.
9. Statistics Canada. 1998. Methodology of the Canadian Labour Force Survey. Statistics Canada. Cat. No. 71–526–XPB.
10. Norris, D.A. and Paton, D.G. 1991. Canada’s General Social Survey: Five Years of Experience. Survey Methodology. 17, 227–240.
11. Skinner, C.J. and Rao, J.N.K. 1996. Estimation in Dual Frame Surveys with Complex Designs. Journal of the American Statistical Association. 91, 433, 349–356.
12. Sautory O. Calmar 2: A New Version of the Calmar Calibration Adjustment Program. Proceedings of Statistics Canada Symposium (Statistics Canada, Catalogue no. 11–522–XCB), 2003.
13. Among the units selected, some are not in–scope for the survey. They are, for examples, vacant, demolished or non–residential dwellings or invalid phone numbers such as phone numbers without service or non–residential lines. These units are identified during the data collection, otherwise, they would have been excluded before the sample selection. These units are not considered in the calculation of response rates.