Commission Implementing Regulation (EU) 2023/2529of 17 November 2023specifying the technical items of the data set, establishing the technical formats for transmission of information and specifying the detailed arrangements and content of the quality reports on the organisation of a sample survey in the health domain pursuant to Regulation (EU) 2019/1700 of the European Parliament and of the Council(Text with EEA relevance)

Commission Implementing Regulation (EU) 2023/2529 of 17 November 2023 specifying the technical items of the data set, establishing the technical formats for transmission of information and specifying the detailed arrangements and content of the quality reports on the organisation of a sample survey in the health domain pursuant to Regulation (EU) 2019/1700 of the European Parliament and of the Council (Text with EEA relevance) THE EUROPEAN COMMISSION, Having regard to the Treaty on the Functioning of the European Union, Having regard to Regulation (EU) 2019/1700 of the European Parliament and of the Council of 10 October 2019 establishing a common framework for European statistics relating to persons and households, based on data at individual level collected from samples, amending Regulations (EC) No 808/2004, (EC) No 452/2008 and (EC) No 1338/2008 of the European Parliament and of the Council, and repealing Regulation (EC) No 1177/2003 of the European Parliament and of the Council and Council Regulation (EC) No 577/98 OJ L 261 I, 14.10.2019, p. 1. , and in particular Article 7(1), Article 8(3) and Article 13(6) thereof, Whereas: (1) The European Health Interview Survey (EHIS) is a general population survey in the health domain providing statistical information on health status, health determinants and healthcare activities in the Union. It is a major Union reference source for evidence-based, health-related policies including those on social inclusion and protection, healthy lifestyles, healthy ageing and well-being, health inequalities, healthcare access and quality of healthcare services. (2) In order to ensure the accurate implementation of the EHIS, the Commission should specify the technical items of the data set, the technical formats for transmission of information from the Member States to the Commission and the detailed arrangements for the content and transmission of the quality reports. (3) The aim of Europe’s Beating Cancer Plan Communication from the Commission to the European Parliament and the Council, Europe’s Beating Cancer Plan (COM(2021) 44 final of 3 February 2021). is to tackle the entire disease pathway. It is structured around four key action areas where the Union can add the most value, namely prevention, early detection, diagnosis and treatment and quality of life of cancer patients and survivors. The farm to fork strategy Communication from the Commission to the European Parliament, the Council, the European Economic and Social Committee and the Committee of the Regions, A Farm to Fork Strategy for a fair, healthy and environmentally-friendly food system (COM(2020) 381 final of 20 May 2020). is at the heart of the Commission’s European Green Deal Communication from the Commission to the European Parliament, the Council, the European Economic and Social Committee and the Committee of the Regions, The European Green Deal (COM(2019) 640 final of 11 December 2019). , promoting sustainable food consumption and facilitating the shift to healthy, sustainable diets.

(4) Council Recommendation on access to affordable high-quality long-term care Council Recommendation of 8 December 2022 on access to affordable high-quality long-term care (OJ C 476, 15.12.2022, p. 1). , accompanying the Commission’s Communication on the European care strategy Communication from the Commission to the European Parliament, the Council, the European Economic and Social Committee and the Committee of the Regions on the European care strategy (COM(2022) 440 final of 7 September 2022). , sets a policy framework to guide the development of sustainable long-term care that ensures better and more affordable access to quality services for all, as well as better working conditions in the sector. (5) The protection of workers’ health and safety, enshrined in the Treaties and the Charter of Fundamental Rights, is a key element for a Union economy that works for people. (6) The international comparability of national statistics on health requires the use of statistical classifications for the territorial units, education, occupation and economic sector that are compatible with the NUTS Regulation (EC) No 1059/2003 of the European Parliament and of the Council of 26 May 2003 on the establishment of a common classification of territorial units for statistics (NUTS) (OJ L 154, 21.6.2003, p. 1). , ISCED International Standard Classification of Education 2011. , ISCO International Standard Classification of Occupations, version 2008. and NACE Regulation (EC) No 1893/2006 of the European Parliament and of the Council of 20 December 2006 establishing the statistical classification of economic activities NACE Revision 2 and amending Council Regulation (EEC) No 3037/90 as well as certain EC Regulations on specific statistical domains (OJ L 393, 30.12.2006, p. 1). classifications. (7) Council Recommendation on promoting health-enhancing physical activity (HEPA) across sectors Council Recommendation of 26 November 2013 on promoting health-enhancing physical activity across sectors (OJ C 354, 4.12.2013, p. 1). encourages Member States to adopt cross-sectoral policy approaches and action plans for the promotion of physical activity, and establishes a framework for monitoring the progress of HEPA indicators in relevant thematic areas. (8) Commission Recommendation (EU) 2023/397 on reference metadata and quality reports OJ L 53, 21.2.2023, p. 104. invites Member States to ensure that their national statistical authorities apply, when compiling reference metadata and quality reports, the statistical concepts listed in the latest version of the Single Integrated Metadata Structure. (9) The measures provided for in this Regulation are in accordance with the opinion of the European Statistical System Committee, HAS ADOPTED THIS REGULATION:

Article 1

Subject matter This Regulation specifies the technical items of the data set, establishes the technical formats for the transmission of information from Member States to the Commission (Eurostat) and specifies the detailed arrangements for the content and transmission of the quality reports in the European Health Interview Survey (EHIS).

EHIS shall concern health status, healthcare and health determinants as well as socio-demographic characteristics of the reference population as referred to in Article 4.

Article 2

Definitions For the purposes of this Regulation, the following definitions apply: (1) reference period means the period to which a particular item of information relates; (2) current refers to the situation at the time of the interview; (3) proxy means, with reference to an interview, a situation where information requested to the selected respondent has been provided by a third person (including another household member or someone outside the household who takes care of the selected respondent) without being validated by the selected respondent. This third person is close and knows the selected respondent very well; (4) metadata means data defining and describing other data, the methodology used and statistical business processes.

Article 3

Statistical concepts and description of variables

1. Member States shall use the statistical concepts laid down in Annex I.
2. The technical characteristics of the variables shall be those laid down in Annex II and shall refer to: (a) the variable identifier; (b) the variable name; (c) the reference period; (d) the modality code and label; (e) filter.

Article 4

Characteristics of the statistical populations and observation units

1. The reference population shall be persons aged 15 and over usually residing in private households in the territory of the Member State concerned at the time of the data collection.
2. The national territories listed in Annex III shall be excluded from the sample. Small parts of the national territory amounting to no more than 2 % of the national population may also be excluded from the sample. Information on those national territories shall be provided in the reference metadata.

Article 5

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

Article 6

Detailed sample characteristics

1. At least three attempts shall be made to contact a respondent before they are dropped from the survey, except in the following situations: (a) the address was impossible to locate; (b) the address was non-residential or unoccupied; (c) the person was not found at the address; (d) the person was unable to respond, including for reasons of incapacity; (e) a definite refusal of the person to cooperate was received; (f) the circumstances were endangering the interviewer’s safety.
2. In duly justified cases, and only to the extent necessary, controlled substitution shall be allowed. Controlled substitutions of sample units (households or persons) shall be allowed, if one of the situations listed in paragraph 1 arises, or if the sample unit has not been reached after three attempts for contact.
3. Procedures shall be followed to ensure that the process of substitution is controlled to the maximum extent possible. Such procedures shall include using a design which ensures that the selected substitutes closely match the persons they replace in terms of their significant characteristics.

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

Article 7

Data gathering periods and methods

1. The collection of data shall be spread over at least 3 months including at least 1 month in the period from September to December.
2. Proxy answers shall be allowed only in cases where the respondent is unable to answer for one of the following reasons: (a) suffering from long-term cognitive impairment; (b) suffering from long-term severe debilitation; (c) suffering from a long-term sensory impairment that prevents the interaction between interviewer and interviewee; (d) in hospital, health or social care facility for the entire period of the fieldwork.
3. For variables listed in Annex IV, Eurostat shall use only information directly collected from the respondent for the computation of the related indicators. Member States shall either transmit to Eurostat only that information directly collected from a respondent or information directly collected from a respondent in combination with information collected indirectly.

Article 8

Common standards for data editing, imputation, weighting and estimation

1. Imputation, calibration or weighting shall be applied to the data where necessary.
2. Imputation shall be used to adjust only for item non-response.
3. Methods of statistical imputation shall be applied where non-response exceeds 5 % with regard to the key variables set out in Annex V for which information is missing, invalid or inconsistent.
4. The reference population for weighting shall be the real or estimated population usually residing in private households.
5. Weighting factors shall be calculated to take into account the unit’s probability of selection, non-response, and, as appropriate, adjustment of the sample to external data relating to the distribution of persons in the target population.
6. The adjustment of the sample to external data shall be done with respect to the distribution of persons in the target population according to sex and age groups.

Article 9

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

Article 10

Quality reporting

1. Quality reports by Member States shall comply with the detailed arrangements and content requirements set out in Annex VI.
2. Member States shall transmit the quality-related reference metadata required by this Regulation to the Commission (Eurostat), using the statistical data and metadata exchange standards. They shall send the metadata through the single entry point.

Article 11

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

This Regulation shall be binding in its entirety and directly applicable in all Member States. Done at Brussels, 17 November 2023. For the Commission The President Ursula von der Leyen

Annex

ANNEX I DEFINITIONS OF STATISTICAL CONCEPTS (1) Long-standing health problem Health problems may be physical, emotional, behavioural or mental in nature. The term covers diseases and disorders but also, for example, pain, ill-health caused by accidents and injuries and congenital conditions. The main characteristic of a long-standing health problem is that it is permanent and may be expected to require a long period of supervision, observation or care. Long-standing health problems should have lasted (or recurred) or be expected to last (recur) for 6 months or more; temporary problems are not included. Problems that are seasonal or intermittent, even where they flare up for 4 to 6 months at a time, are considered as long-standing health problems. (2) Limitation in activities An activity is defined as the performance of a task or action by an individual and activity limitations are defined as difficulties the individual experiences in performing an activity. (3) Home or leisure accident Home or leisure accident is an unintentional event characterised by a rapid force or an impact that leads to physical harm, occurring at home, around the house (garage, garden, alley) or during leisure time spent on activities done for pleasure or personal interest. Home or leisure accidents also include: cases of acute poisoning; injuries inflicted by animals or insects. Home or leisure accidents do not include: for employed persons, accidents occurred while working from home (teleworking), that is while performing an activity where a work-related purpose can be established and which is related to the conditions of employment; accidents at work or in school; traffic accidents; diseases or illnesses; intentional injuries (due to interpersonal violence – wilful acts by other persons – and deliberate self-harm); trivial injuries such as superficial cuts or scratches. (4) Bodily pain Bodily (physical) pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage; it is always unpleasant and therefore also an emotional experience. (5) Healthcare Healthcare is defined as individual healthcare goods and services that are provided directly to and consumed by individual persons. The term covers curative care, rehabilitative care, long-term healthcare, ancillary services and medical goods supplied to outpatients. It also covers various modes of healthcare (inpatient, outpatient, day, at home). (6) Mental healthcare Mental healthcare refers to healthcare services provided to treat mental and behavioural disorders. Care can be provided by medical staff (psychiatrists) or non-medical staff (psychologists). (7) Inpatient Inpatients are patients who are formally admitted to a healthcare facility (that is to say hospitalised) for treatment and/or care and require at least an overnight stay in a hospital or other institution providing inpatient care.

Being formally admitted means that the patient is assigned a room or a bed during their stay in the healthcare facility. (8) Day patient Day patients are patients who receive planned medical and paramedical services delivered in a healthcare facility and who are formally admitted for diagnosis, treatment or other types of healthcare and are discharged on the same day. The term does not cover those using outpatient services (who are not formally admitted to a healthcare facility), emergency services or services provided by diagnostic centres or similar facilities that are not part of private or public hospitals or clinics. Being formally admitted means that the patient is assigned a room or a bed during their stay in the healthcare facility. (9) Health professional A health professional is a person who is currently providing healthcare and who is qualified to do so by education, training, certification, or licensure. A health professional is associated with either a specialist field or a discipline, and belongs to one of the following groups: (a) medical and dental staff (both generalist and specialist practitioners); (b) nurses and midwives; (c) professionals allied to medicine, e.g. clinical psychologists, dieticians, physiotherapists; (d) accident and emergency ambulance staff or paramedics; (e) other professionals who have direct patient contact, such as pharmacists, medical photographers, medical records staff. (10) Dentist A dentist is a health professional who diagnoses and treats diseases, injuries and malformations of the teeth, gums and related oral structures. They restore normal oral function using a broad range of treatments, such as surgery and other specialist techniques, and advice on oral health. Dentists’ tasks include: diagnosing, advising on and providing necessary dental treatment, administering surgical, medical and other forms of treatment for particular types of dental and oral diseases and disorders. (11) Orthodontist An orthodontist is a dental specialist who diagnoses, prevents and corrects irregularities of the teeth and jaw (for example, correcting misaligned teeth through the use of braces). (12) General practitioner/family doctor A general practitioner/family doctor is a physician (medical doctor) who does not limit their practice to specific disease categories (is not specialised), who provides individuals, families and communities with a wide range of ongoing medical care or and who can refer patients to other health professionals. (13) Medical or surgical specialist Medical or surgical specialists refer to medical doctors specialized in the diagnosis or use of surgical techniques, or both, to treat disorders and diseases. Their tasks include conducting medical examinations and diagnosing; prescribing medication and giving treatment for diagnosed illnesses, disorders or injuries; giving specialised medical or surgical treatment for particular types of illnesses, disorders or injuries; and giving advice on and applying preventive medicine methods and treatments. Also included are general gynaecologists, psychiatrists or other medical specialists fulfilling this definition. Dental surgeons are also included, but not general dentists.

(14) Physiotherapist/kinesitherapist A physiotherapist/kinesitherapist is a medical or non-medical healthcare provider who applies one or more of the following therapies to improve or restore a patient’s motor functions: movement therapy, massage therapy, physical therapy in the strict sense (application of physical stimuli, electrotherapy, ultrasound therapy, thermotherapy, hydrotherapy, balneotherapy and electro-diagnostics, but not using ionising radiation). They treat disorders of bones, muscles and parts of the circulatory or nervous system by manipulative methods, and ultrasound, heating, laser or similar techniques, or apply therapies as part of the treatment for people who are (temporarily) physically disabled, mentally ill or unbalanced. The therapies are provided by those health professionals in a variety of settings, such as hospitals, private practices, outpatient medical units, home care services establishment, schools, fitness centres, etc. (15) Psychologist, psychotherapist or psychiatrist Psychologists, psychotherapists and psychiatrists are health professionals providing mental healthcare, who may be medical professionals (psychiatrists) or not. Their role covers psychological assessment and psychotherapy but also medical psychiatric care (psychiatrists). (16) Home care services Home care services involve the provision of medical and non-medical domestic support services for persons who, due to mental or physical frailty, disease or disability, cannot perform specific personal or household care activities or are confined to their own houses. It includes at-home services provided by a visiting nurse or care worker from a health institute, agency or association, or by a community organisation using professional or non-professional (volunteer) staff for care provision. (17) Prescribed medicines A medicine is a product used to alleviate symptoms, prevent illness, or improve poor health. Prescribed medicines are medicines that are written on a prescription by a doctor (irrespective of whether they are reimbursed by health insurance or not). They include: medicines, herbal medicines, homeopathic medicines and dietary supplements (such as vitamins, minerals or tonics), contraceptive pills used for purposes other than contraception, hormones (other than for contraception). Contraceptive pills and hormones prescribed and used for contraception are not included. (18) Smoking Smoking means the breathing in and out of smoke from tobacco products such as manufactured cigarettes, hand-rolled cigarettes, cigars, pipes, shishas. Smoking does not include: (a) the use of heated tobacco products; (b) the use of electronic cigarettes or similar electronic devices; (c) the smoking of cannabis mixed with tobacco. (19) Heated tobacco products Heated tobacco products are tobacco products that produce aerosols containing nicotine and other chemicals, inhaled by users through the mouth. (20) Alcoholic drink Alcoholic drink refers to all drinks that contain ethanol, regardless of the kind of drink, such as strong or light beer, wine or spirits, or the quantity consumed.

Annex

ANNEX II TECHNICAL CHARACTERISTICS OF VARIABLES Variable identifierVariable nameReference periodModality codeModality labelFilterDetailed topic: DATA COLLECTION INFORMATIONPRIMSTRATStratumat selection0001 – 9999Stratum identifierEverybody-2Not applicablePSUPrimary Sampling Unit (PSU)at selection0001 – 9999Primary sampling unit identifierEverybody-2Not applicableDetailed topic: IDENTIFICATIONHHIDIdentification number of householdconstantYYYYYYYYYY10-digit numberEverybody-1MissingPIDIdentification number of respondentconstantYYYYYYYYYY10-digit numberDetailed topic: WEIGHTSWGTFinal individual weightcurrentYYYYY.YYYNumber (format 5.3)EverybodyDetailed topic: INTERVIEW CHARACTERISTICSPROXYNature of participation in the surveycurrent1Direct participationEverybody2Other member of the household3Someone else outside the household-1Not statedREFDATEReference date of the interviewcurrentYYYY-MM-DDInterview dateEverybody INTMETHODInterviewing mode usedcurrent10Paper assisted personal interview (PAPI)Everybody20Computer assisted personal interview (CAPI)30Computer assisted telephone interview (CATI)40Computer assisted web-interview (CAWI)50OtherINTLANGLanguage used for interviewcurrentXXXStandard Code List Eurostat (SCL) – Languages (3-digit code)Everybody-1MissingDetailed topic: LOCALISATIONREGIONRegion of residencecurrent10 – ZZRegion of residence (NUTS code at 2-digit level)EverybodyCOUNTRYCountry of residencecurrentNNCountry of residence (SCL GEO code)EverybodyDEG_URBDegree of urbanisationcurrent1CitiesEverybody2Towns and suburbs3Rural areasDetailed topic: DEMOGRAPHYSEXSexcurrent1MaleEverybody2FemaleAGEAge in completed yearscurrentAgederived from REFDATE, YEARBIRTH & PASSBIRTHEverybody YEARBIRTHYear of birthconstantYYYY4-digit numberEverybodyPASSBIRTHPassing of birthdaycurrent1YesEverybody2NoDetailed topic: CITIZENSHIP AND MIGRANT BACKGROUNDBIRTHPLACECountry of birthconstantNNCountry of birth (SCL GEO code)EverybodyZZForeign-born but country of birth unknown-1Not statedCITIZENCountry of main citizenshipcurrentNNCountry of main citizenship (SCL GEO code)EverybodyZZStatelessXXForeign citizenship but country unknown-1Not statedBIRTHPLACEFATHCountry of birth of the fatherconstantNNCountry of birth of the father (SCL GEO code)EverybodyZZFather foreign-born but country of birth of the father unknown-1Not statedBIRTHPLACEMOTHCountry of birth of the motherconstantNNCountry of birth of the mother (SCL GEO code)EverybodyZZMother foreign-born but country of birth of the mother unknown-1Not stated Detailed topic: HOUSEHOLD COMPOSITIONPARTNERSPartners living in the same householdcurrent1Person living with a legal or de facto partnerEverybody2Person not living with a legal or de facto partner-1Not stated-2Not applicableHHNBPERSHousehold sizecurrentNumberTotal number of members of the householdEverybody-1Not statedHHNBPERS_0_13Number of persons aged 13 or youngercurrentNumberNumber of persons aged 13 or belowEverybody-1-1 Not statedHHTYPEHousehold typecurrent10One-person householdEverybody21Lone parent with at least one child aged less than 2522Lone parent with all children aged 25 or more31Couple without any child or children32Couple with at least one child aged less than 2533Couple with all children aged 25 or more40Other type of household-1Not stated

Detailed topic: MAIN ACTIVITY STATUS (SELF-DEFINED)MAINSTATMain activity status (self-defined)current10EmployedEverybody20Unemployed30Retired40Unable to work due to long-standing health problems50Student, pupil60Fulfilling domestic tasks70Compulsory military or civilian service80Other-1Not statedDetailed topic: ELEMENTARY JOB CHARACTERISTICSJOBISCOOccupation in main jobcurrent00, 11 – 96ISCO-08 at 2-digit levelMAINSTAT = 10-1Not stated-2Not applicableLOCNACEEconomic activity of the local unit for main jobcurrentA, B, C…One character representing the NACE sectionMAINSTAT = 10-1Not stated-2Not applicableFT_PTFull or part-time main job (self-defined)current1Full-time jobMAINSTAT = 102Part-time job-1Not stated-2Not applicable JOBSTATStatus in employment in main jobcurrent11Self-employed person with employeesMAINSTAT = 1012Self-employed person without employees20Employee30Family worker (unpaid)-1Not stated-2Not applicableDetailed topic: EDUCATIONAL ATTAINMENT LEVELHATLEVELEducational attainment level (highest level of education successfully completed)current0No formal education or below ISCED 1Everybody1ISCED 1 Primary education2ISCED 2 Lower secondary education3ISCED 3 Upper secondary education4ISCED 4 Post-secondary non-tertiary education5ISCED 5 Short-cycle tertiary education6ISCED 6 Bachelor’s or equivalent level7ISCED 7 Master’s or equivalent level8ISCED 8 Doctoral or equivalent level-1Not stated Detailed topic: TOTAL HOUSEHOLD MONTHLY INCOMEHHINCOMENet current monthly household incomecurrent calendar year1Lower equalised net current monthly income groupEverybody2Low to medium equalised net current monthly income group3Medium equalised net current monthly income group4Medium to high equalised net current monthly income group5Higher equalised net current monthly income group-1Not statedDetailed topic: MINIMUM EUROPEAN HEALTH MODULEHS1Self-perceived general healthcurrent1Very goodEverybody2Good3Fair (neither good nor bad)4Bad5Very bad-1Not stated-3ProxyHS2Long-standing health problemcurrent1YesEverybody2No-1Not stated HS3Limitation in activities because of health problemscurrent1Severely limitedEverybody2Limited but not severely3Not limited at all-1Not statedDetailed topic: DISEASES AND CHRONIC CONDITIONSCD1AHaving asthma in the past 12 months (allergic asthma included)last 12 months1YesEverybody2No-1Not statedCD1BHaving chronic bronchitis, chronic obstructive pulmonary disease or emphysema in the past 12 monthslast 12 months1YesEverybody2No-1Not statedCD1CHaving a myocardial infarction (heart attack) or chronic consequences of myocardial infarction in the past 12 monthslast 12 months1YesEverybody2No-1Not statedCD1DHaving a coronary heart disease or angina pectoris in the past 12 monthslast 12 months1YesEverybody2No-1Not statedCD1EHaving high blood pressure in the past 12 monthslast 12 months1YesEverybody2No-1Not stated CD1FHaving a stroke (cerebral haemorrhage, cerebral thrombosis) or chronic consequences of stroke in the past 12 monthslast 12 months1YesEverybody2No-1Not statedCD1GHaving arthrosis (arthritis excluded) in the past 12 monthslast 12 months1YesEverybody2No-1Not statedCD1HHaving a low back disorder or other chronic back defect in the past 12 monthslast 12 months1YesEverybody2No-1Not statedCD1IHaving a neck disorder or other chronic neck defect in the past 12 monthslast 12 months1YesEverybody2No-1Not statedCD1JHaving diabetes in the past 12 monthslast 12 months1YesEverybody2No-1Not statedCD1KHaving an allergy, such as rhinitis, eye inflammation, dermatitis, food allergy or other allergy (allergic asthma excluded) in the past 12 monthslast 12 months1YesEverybody2No-1Not stated

CD1MHaving urinary incontinence, problems in controlling the bladder in the past 12 monthslast 12 months1YesEverybody2No-1Not statedCD1NHaving kidney problems in the past 12 monthslast 12 months1YesEverybody2No-1Not statedCD1OHaving depression in the past 12 monthslast 12 months1YesEverybody2No-1Not statedCD1PHaving high blood lipids in the past 12 monthslast 12 months1YesEverybody2No-1Not statedCD1RHaving cancer (i.e. received cancer diagnosis, cancer treatment, living with cancer) in the past 12 monthslast 12 months1YesEverybody2No-1Not statedCD2Self-perceived general oral healthcurrent1Very goodEverybody2Good3Fair (neither good nor bad)4Bad5Very bad-1Not stated-3Proxy Detailed topic: ACCIDENTS AND INJURIESAC1Occurrence of a home or leisure accident in the past 12 monthslast 12 months1YesEverybody2No-1Not statedDetailed topic: PAINPN1Intensity of bodily pain during the past 4 weekslast 4 weeks1NoneEverybody2Very mild3Mild4Moderate5Severe6Very severe-1Not stated-3ProxyPN2Extent that pain interfered with normal work during the past 4 weeks (including both work outside the home and housework)last 4 weeks1Not at allif PN1 = 2, 3, 4, 5 or 62A little bit3Moderately4Quite a bit5Extremely-1Not stated-2Not applicable-3Proxy Detailed topic: MENTAL HEALTH, INCLUDING ADDICTIONSMH1AExtent of having little interest or pleasure in doing things over the last 2 weekslast 2 weeks1Not at allEverybody2Several days3More than half the days4Nearly every day-1Not stated-3ProxyMH1BExtent of feeling down, depressed or hopeless over the last 2 weekslast 2 weeks1Not at allEverybody2Several days3More than half the days4Nearly every day-1Not stated-3ProxyMH1CExtent of having trouble falling or staying asleep, or sleeping too much over the last 2 weekslast 2 weeks1Not at allEverybody2Several days3More than half the days4Nearly every day-1Not stated-3Proxy MH1DExtent of feeling tired or having little energy over the last 2 weekslast 2 weeks1Not at allEverybody2Several days3More than half the days4Nearly every day-1Not stated-3ProxyMH1EExtent of having poor appetite or overeating over the last 2 weekslast 2 weeks1Not at allEverybody2Several days3More than half the days4Nearly every day-1Not stated-3ProxyMH1FExtent of respondent feeling negative about themselves, or feeling that they are a failure or have let themselves or their family down over the last 2 weekslast 2 weeks1Not at allEverybody2Several days3More than half the days4Nearly every day-1Not stated-3Proxy MH1GExtent of having trouble concentrating on things, such as reading the newspaper or watching television, over the last 2 weekslast 2 weeks1Not at allEverybody2Several days3More than half the days4Nearly every day-1Not stated-3ProxyMH1HExtent of moving or speaking so slowly that other people may have noticed; or being so fidgety or restless that they have been moving around a lot more than usual, over the last 2 weekslast 2 weeks1Not at allEverybody2Several days3More than half the days4Nearly every day-1Not stated-3ProxyMH2AFeeling cheerful and in good spirits over the last 2 weekslast 2 weeks1All of the timeEverybody2Most of the time3More than half of the time4Less than half of the time5Some of the time6At no time-1Not stated-3Proxy

MH2BFeeling calm and relaxed over the last 2 weekslast 2 weeks1All of the timeEverybody2Most of the time3More than half of the time4Less than half of the time5Some of the time6At no time-1Not stated-3ProxyMH2CFeeling active and vigorous over the last 2 weekslast 2 weeks1All of the timeEverybody2Most of the time3More than half of the time4Less than half of the time5Some of the time6At no time-1Not stated-3Proxy MH2DWaking up feeling fresh and rested over the last 2 weekslast 2 weeks1All of the timeEverybody2Most of the time3More than half of the time4Less than half of the time5Some of the time6At no time-1Not stated-3ProxyMH2EFeeling that daily life has been filled with things that interest over the last 2 weekslast 2 weeks1All of the timeEverybody2Most of the time3More than half of the time4Less than half of the time5Some of the time6At no time-1Not stated-3ProxyDetailed topic: FUNCTIONAL LIMITATIONSPL1Wearing glasses or contact lensescurrent1YesEverybody2No3Blind or cannot see at all-1Not stated PL2Difficulty in seeing, even when wearing glasses or contact lensescurrent1No difficultyif PL1 = 1, 2 or -12Some difficulty3A lot of difficulty4Cannot do at all/Unable to do-1Not stated-2Not applicablePL3Use of a hearing aidcurrent1YesEverybody2No3Profoundly deaf-1Not statedPL4Difficulty in hearing what is said in a conversation with one other person in a quiet room even when using a hearing aidcurrent1No difficultyif PL3 = 1, 2 or -12Some difficulty3A lot of difficulty4Cannot do at all/Unable to do-1Not stated-2Not applicablePL5Difficulty in hearing what is said in a conversation with one other person in a noisier room even when using a hearing aidcurrent1No difficultyif PL3 = 1, 2 or -12Some difficulty3A lot of difficulty4Cannot do at all/Unable to do-1Not stated-2Not applicable PL6Difficulty in walking half a km on level ground without the use of any aidcurrent1No difficultyEverybody2Some difficulty3A lot of difficulty4Cannot do at all/Unable to do-1Not statedPL7Difficulty in walking up or down 12 stepscurrent1No difficultyEverybody2Some difficulty3A lot of difficulty4Cannot do at all/Unable to do-1Not statedPL8Difficulty in remembering or concentratingcurrent1No difficultyEverybody2Some difficulty3A lot of difficulty4Cannot do at all/Unable to do-1Not statedPL8ADifficulty in communicating (using usual language, for example understanding or being understood by others)current1No difficultyEverybody2Some difficulty3A lot of difficulty4Cannot do at all/Unable to do-1Not stated PL9Difficulty in biting and chewing on hard foodscurrent1No difficultyif AGE ≥ 552Some difficulty3A lot of difficulty4Cannot do at all/Unable to do-1Not stated-2Not applicableDetailed topic: DIFFICULTIES IN PERSONAL CARE ACTIVITIESPC1ADifficulty in feeding yourselfcurrent1No difficultyif (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 552Some difficulty3A lot of difficulty4Cannot do at all/Unable to do-1Not stated-2Not applicablePC1BDifficulty in getting in and out of a bed or chaircurrent1No difficultyif (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 552Some difficulty3A lot of difficulty4Cannot do at all/Unable to do-1Not stated-2Not applicable

PC1CDifficulty in dressing and undressingcurrent1No difficultyif (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 552Some difficulty3A lot of difficulty4Cannot do at all/Unable to do-1Not stated-2Not applicablePC1DDifficulty in using toiletscurrent1No difficultyif (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 552Some difficulty3A lot of difficulty4Cannot do at all/Unable to do-1Not stated-2Not applicablePC1EDifficulty in bathing or showeringcurrent1No difficultyif (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 552Some difficulty3A lot of difficulty4Cannot do at all/Unable to do-1Not stated-2Not applicable PC2Usually receiving help with one or more self-care activities: feeding yourself, getting in and out of a bed or chair, dressing and undressing, using toilets, bathing or showeringcurrent1Yes, with at least one activityif [(AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55] and [(PC1A = 2 or 3 or 4) or (PC1B = 2 or 3 or 4) or (PC1C = 2 or 3 or 4) or (PC1D = 2 or 3 or 4) or (PC1E = 2 or 3 or 4)]2No-1Not stated-2Not applicablePC3Need to receive help or more help with one or more self-care activities: feeding yourself, getting in and out of a bed or chair, dressing and undressing, using toilets, bathing or showeringcurrent1Yes, with at least one activityif [(AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55] and [(PC1A = 2 or 3 or 4) or (PC1B = 2 or 3 or 4) or (PC1C = 2 or 3 or 4) or (PC1D = 2 or 3 or 4) or (PC1E = 2 or 3 or 4)]2No-1Not stated-2Not applicableDetailed topic: DIFFICULTIES IN HOUSEHOLD ACTIVITIESHA1ADifficulty in preparing mealscurrent1No difficultyif (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 552Some difficulty3A lot of difficulty4Cannot do at all/Unable to do5Not applicable (never tried it or do not need to do it)-1Not stated-2Not applicable HA1BDifficulty in using the telephonecurrent1No difficultyif (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 552Some difficulty3A lot of difficulty4Cannot do at all/Unable to do5Not applicable (never tried it or do not need to do it)-1Not stated-2Not applicableHA1CDifficulty to do shoppingcurrent1No difficultyif (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 552Some difficulty3A lot of difficulty4Cannot do at all/Unable to do5Not applicable (never tried it or do not need to do it)-1Not stated-2Not applicableHA1DDifficulty in managing medicationcurrent1No difficultyif (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 552Some difficulty3A lot of difficulty4Cannot do at all/Unable to do5Not applicable (never tried it or do not need to do it)-1Not stated-2Not applicable HA1EDifficulty in doing light houseworkcurrent1No difficultyif (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 552Some difficulty3A lot of difficulty4Cannot do at all/Unable to do5Not applicable (never tried it or do not need to do it)-1Not stated-2Not applicableHA1FDifficulty in doing occasional heavy houseworkcurrent1No difficultyif (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 552Some difficulty3A lot of difficulty4Cannot do at all/Unable to do5Not applicable (never tried it or do not need to do it)-1Not stated-2Not applicableHA1GDifficulty in taking care of finances and everyday administrative taskscurrent1No difficultyif (AGE < 55 and HS3 = 1 or 2) or AGE ≥ 552Some difficulty3A lot of difficulty4Cannot do at all/Unable to do5Not applicable (never tried it or do not need to do it)-1Not stated-2Not applicable

HA2Usually receiving help with one or more domestic activities: preparing meals, using the telephone, shopping, managing medication, light or occasional heavy housework, taking care of finances and everyday administrative taskscurrent1Yes, with at least one activityif [(AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55] and [(HA1A = 2, 3 or 4) or (HA1B = 2, 3 or 4) or (HA1C = 2, 3 or 4) or (HA1D = 2, 3 or 4) or (HA1E = 2, 3 or 4) or (HA1F = 2, 3 or 4) or (HA1G = 2, 3 or 4)]2No-1Not stated-2Not applicableHA3Need for help or more help with one or more domestic activities: preparing meals, using the telephone, shopping, managing medication, light or occasional heavy housework, taking care of finances and everyday administrative taskscurrent1Yes, with at least one activityif [(AGE < 55 and HS3 = 1 or 2) or AGE ≥ 55] and [(HA1A = 2, 3 or 4) or (HA1B = 2, 3 or 4) or (HA1C = 2, 3 or 4) or (HA1D = 2, 3 or 4) or (HA1E = 2, 3 or 4) or (HA1F = 2, 3 or 4) or (HA1G = 2, 3 or 4)]2No-1Not stated-2Not applicableDetailed topic: TEMPORARY LIMITATION IN ACTIVITY (DUE TO HEALTH PROBEMS)AW2Number of days of absence from work due to personal health problems in the past 12 monthslast 12 months0 – 365Numberif MAINSTAT = 10-1Not stated-2Not applicable Detailed topic: BARRIERS TO PARTICIPATION IN SPECIFIC LIFE DOMAINSBA1Difficulty leaving home due to long-standing health problems (chronic conditions or impairments)current1No difficultyEverybody2Some difficulty3A lot of difficulty4Cannot do at all/Unable to do5Not interested in this activity/Do not want to do it-1Not statedBA2Difficulty using various forms of transportation due to long-standing health problemscurrent1No difficultyEverybody2Some difficulty3A lot of difficulty4Cannot do at all/Unable to do5Not interested in this activity/Do not want to do it-1Not statedBA3Difficulty accessing public buildings, including moving about once inside and using indoor building facilities due to long-standing health problemscurrent1No difficultyEverybody2Some difficulty3A lot of difficulty4Cannot do at all/Unable to do5Not interested in this activity/Do not want to do it-1Not stated BA4 (optional)Main reason contributing to the difficulty experienced (other than long-standing health problems)current1Lack of money, can’t afford itif any of BA1, BA2 or BA3 = 2 or 3 or 42Lack of self-confidence3Attitudes of other people4Lack of convenient or available transport5Difficulties travelling on transport (such as getting on or off transport, no seats available, too uncomfortable)6Difficulties parking (such as not enough spaces)7Poor buildings’ infrastructure and accessibility (lack of elevators, ramps, signs, doors too narrow, toilets not adapted, etc.)8Other reasons9None-1Not stated-2Not applicableBA5Difficulty attending social activities such as getting together with family or friends, going to dinner, going to social events due to long-standing health problemscurrent1No difficultyEverybody2Some difficulty3A lot of difficulty4Cannot do at all/Unable to do5Not interested in this activity/Do not want to do it-1Not stated

BA6 (optional)Main reason contributing to the difficulty experienced attending social activities (other than long-standing health problems)current1Too busy (with work, family, caring or other responsibilities)if BA5 = 2 or 3 or 42Lack of money, can’t afford it3Lack of self-confidence4Attitudes of other people5Lack of knowledge or information6Environmental barriers/no friendly environment (for instance, difficulties with access and use of public transportation, accessing or using buildings, shops, easy movement along streets, parking, etc.)7Other reasons8None-1Not stated-2Not applicableBA7Difficulty using internet due to long-standing health problemscurrent1No difficultyEverybody2Some difficulty3A lot of difficulty4Cannot do at all/Unable to do5Not interested in this activity/Do not want to do it-1Not stated Detailed topic: USE OF HEALTH AND LONG-TERM CAREHO12Number of nights spent as a patient in a hospital in the past 12 monthslast 12 months0 – 365NumberEverybody-1Not statedHO34Number of times admitted as a day patient in a hospital in the past 12 monthslast 12 months0 – 365NumberEverybody-1Not statedAM1 Last time of a visit to a dentist or orthodontist (for personal treatment) last 12 months1Less than 6 months agoEverybody26 to 12 months ago312 months ago or longer4Never-1Not statedAM2Last time of a consultation of a general practitioner or family doctor (for personal treatment)last 12 months1Less than 12 months agoEverybody212 months ago or longer3Never-1Not statedAM3Number of consultations of a general practitioner or family doctor during the past four weeks (for personal treatment)last 4 weeks0 – 99Numberif AM2 = 1-1Not stated-2Not applicable AM4Last time of a consultation of a medical or surgical specialist (for personal treatment)last 12 months1Less than 12 months agoEverybody212 months ago or longer3Never-1Not statedAM5Number of consultations of a medical or surgical specialist during the past four weeks (for personal treatment)last 4 weeks0 – 99Numberif AM4 = 1-1Not stated-2Not applicableAM6AConsultation of a physiotherapist or kinesitherapist in the past 12 monthslast 12 months1YesEverybody2No-1Not statedAM6BConsultation of a psychologist, psychotherapist or psychiatrist in the past 12 monthslast 12 months1YesEverybody2No-1Not statedLT1Receiving regularly (at least once a week) informal care or assistance due to a chronic health condition or infirmity or due to old agelast 12 months1Yes, mainly from a family memberEverybody2Yes, mainly from a non-family member3No-1Not stated LT2Receiving regularly (at least once a week) any (formal) home care services due to a chronic health condition or infirmity or due to old agelast 12 months1YesEverybody2No-1Not statedLT3Number of hours per week regularly receiving (formal) home care services for personal needslast 2 weeks1Less than 5 hours per weekif LT2 = 125 hours to less than 10 hours per week310 hours to less than 20 hours per week420 hours to less than 30 hours per week530 hours to less than 40 hours per week640 hours per week or more-1Not stated-2Not applicableDetailed topic: MEDICINE USEMD1Use of any medicines prescribed by a doctor during the past two weeks (excluding contraception)last 2 weeks1YesEverybody2No-1Not statedMD2Use of any medicines, herbal medicines or vitamins not prescribed by a doctor during the past two weeks (excluding contraception)last 2 weeks1YesEverybody2No-1Not stated

Detailed topic: PREVENTIVE CAREPA1Last time of vaccination against flulast 12 monthsYYYY-MMVaccination month and yearEverybody1Too long ago (before the previous calendar year)2Never-1Not stated-3ProxyPA2Last time of blood pressure measurement by a health professionallast 5 years1Within the past 12 monthsEverybody21 to less than 3 years33 to less than 5 years45 years or more5Never-1Not stated-3ProxyPA3Last time of blood cholesterol measurement by a health professionallast 5 years1Within the past 12 monthsEverybody21 to less than 3 years33 to less than 5 years45 years or more5Never-1Not stated-3Proxy PA4Last time of blood sugar measurement by a health professionallast 5 years1Within the past 12 monthsEverybody21 to less than 3 years33 to less than 5 years45 years or more5Never-1Not stated-3ProxyPA5Last time of a faecal occult blood testlast 3 years1Within the past 12 monthsEverybody21 to less than 2 years32 to less than 3 years43 years or more5Never-1Not stated-3ProxyPA6Last time of a colonoscopylast 10 years1Within the past 12 monthsEverybody21 to less than 5 years35 to less than 10 years410 years or more5Never-1Not stated-3Proxy PA7Last time of a mammography (breast X-ray)last 3 years1Within the past 12 monthsif SEX = 221 to less than 2 years32 to less than 3 years43 years or more5Never-1Not stated-2Not applicable-3ProxyPA8Last time of a cervical smear testlast 3 years1Within the past 12 monthsif SEX = 221 to less than 2 years32 to less than 3 years43 years or more5Never-1Not stated-2Not applicable-3ProxyDetailed topic: ACCESS TO HEALTHCAREUN1AUnmet need for healthcare in the past 12 months due to long waiting list(s)last 12 months1YesEverybody2No3No need for healthcare-1Not stated-3Proxy UN2AUnmet need for mental healthcarelast 12 months1Yes, there was at least one occasion when the respondent really needed mental healthcare but did not receive itEverybody2No, there was no occasion when the person respondent really needed mental healthcare but did not receive it3No need for mental healthcare-1Not stated-3ProxyUN2BMain reason for unmet need for mental healthcarelast 12 months1Could not afford to (too expensive)if UN2A = 12Waiting list (long wait times)3Could not take time because of work, care for children or for others4Too far to travel/no means of transportation5Having concerns about confidentiality and trust6Being afraid of negative reaction or comments from family, friends or colleagues7Fear about the consultation or treatment (for instance, fear of negative outcome or fear of side effects of medication)8Not knowing where to seek help9Other reasons-1Not stated-2Not applicable-3Proxy Detailed topic: HEIGHT AND WEIGHTBM1Height without shoescurrent50 – 250NumberEverybody-1Not statedBM2Weight without clothes and shoescurrent20 – 350NumberEverybody-1Not statedDetailed topic: PHYSICAL ACTIVITYPE1Physical effort of working tasks (both paid and unpaid work activities included)current1Mostly sitting or standingEverybody2Mostly walking or tasks of moderate physical effort3Mostly heavy labour or physically demanding work4Not performing any working tasks-1Not stated-3ProxyPE2Number of days in a typical week walking to get to and from places at least 10 minutes continuouslycurrent1 – 7NumberEverybody0I never carry out such physical activities-1Not stated-3Proxy

PE3Time spent on walking to get to and from places on a typical daycurrent110-29 minutes per dayif PE2 ≠ 0230-59 minutes per day31 hour to less than 2 hours per day42 hours to less than 3 hours per day53 hours or more per day-1Not stated-2Not applicable-3ProxyPE4Number of days in a typical week bicycling to get to and from places at least 10 minutes continuouslycurrent1 – 7NumberEverybody0I never carry out such physical activities-1Not stated-3ProxyPE5Time spent on bicycling to get to and from places on a typical daycurrent110-29 minutes per dayif PE4 ≠ 0230-59 minutes per day31 hour to less than 2 hours per day42 hours to less than 3 hours per day53 hours or more per day-1Not stated-2Not applicable-3Proxy PE6Number of days in a typical week doing sports, fitness or recreational (leisure) physical activities that cause at least a small increase in breathing or heart rate for at least 10 minutes continuouslycurrent1 – 7NumberEverybody0I never carry out such physical activities-1Not stated-3ProxyPE7Time spent on doing sports, fitness or recreational (leisure) physical activities in a typical weekcurrentHH:MM:00Number of hours and minutesif PE6 ≠ 0-1Not stated-2Not applicable-3ProxyPE8Number of days in a typical week doing muscle-strengthening activitiescurrent1 – 7NumberEverybody0I never carry out such physical activities-1Not stated-3ProxyPE9Time spent sitting on a typical daycurrentHH:MM:00Number of hours and minutesEverybody-1Not stated-3Proxy Detailed topic: NUTRITIONAL HABITSDH1Frequency of eating fruit, excluding juicecurrent1Once or more a dayEverybody24 to 6 times a week31 to 3 times a week4Less than once a week5Never-1Not stated-3ProxyDH2Number of portions of fruit a day, excluding juicecurrent1 – 99Numberif DH1 = 1-1Not stated-2Not applicable-3ProxyDH3Frequency of eating vegetables or salad, excluding juice and potatoescurrent1Once or more a dayEverybody24 to 6 times a week31 to 3 times a week4Less than once a week5Never-1Not stated-3Proxy DH4Number of portions of vegetables or salad, excluding juice and potatoes a daycurrent1 – 99Numberif DH3 = 1-1Not stated-2Not applicable-3ProxyDH5Frequency of drinking pure fruit or vegetable juicecurrent1Once or more a dayEverybody24 to 6 times a week31 to 3 times a week4Less than once a week5Never-1Not stated-3ProxyDH6Frequency of drinking sugar-sweetened soft drinkscurrent1Once or more a dayEverybody24 to 6 times a week31 to 3 times a week4Less than once a week5Never-1Not stated-3Proxy DH7Frequency of eating red meatcurrent1Once or more a dayEverybody24 to 6 times a week31 to 3 times a week4Less than once a week5Never-1Not stated-3ProxyDH8Frequency of eating processed meat productscurrent1Once or more a dayEverybody24 to 6 times a week31 to 3 times a week4Less than once a week5Never-1Not stated-3ProxyDetailed topic: SMOKINGSK1Type of tobacco smoking behaviourcurrent1Daily smokingEverybody2Occasional smoking3No smoking-1Not stated SK2Average number of cigarettes a daycurrent0 – 99Numberif SK1 = 1-1Not stated-2Not applicableSK3Former daily tobacco smokingcurrent1Yesif SK1 = 2, 3 or -12No-1Not stated-2Not applicableSK4Number of years of daily tobacco smokingcurrent0 – 99Number

if SK1 = 1 or (SK1 = 2, 3 or -1 and SK3 = 1) -1Not stated-2Not applicableSK5Frequency of exposure to tobacco smoke indoorscurrent1Every day, 1 hour or more a dayEverybody2Every day, less than 1 hour per day3At least once a week4Less than once a week5Never or almost never-1Not stated-3ProxySK6AType of heated tobacco products use behaviourcurrent1Daily useEverybody2Occasional use3Former user4Never-1Not stated SK6BType of electronic cigarettes or similar electronic devices behaviourcurrent1Daily vapingEverybody2Occasional vaping3Former vaping4Never vaping-1Not statedDetailed topic: ALCOHOL CONSUMPTIONAL1Frequency of consumption of an alcoholic drink of any kind (beer, wine, cider, spirits, cocktails, premixes, liqueurs, homemade alcohol…) in the past 12 monthslast 12 months1Every day or almostEverybody25-6 days a week33-4 days a week41-2 days a week52-3 days in a month6Once a month7Less than once a month8Not in the past 12 months, as I no longer drink alcohol9Never, or only a few sips or tries, in my whole life-1Not stated-3Proxy AL2Frequency of consumption of an alcoholic drink from Monday to Thursdaycurrent1On all 4 daysif AL1 = 1, 2, 3 or 42On 3 of the 4 days3On 2 of the 4 days4On 1 of the 4 days5On none of the 4 days-1Not stated-2Not applicable-3ProxyAL3Number of alcoholic (standard) drinks on average on one of the days from Monday to Thursdaycurrent116 or more drinks a dayif (AL1 = 1, 2, 3 or 4) and (AL2 = 1, 2, 3 or 4)210-15 drinks a day36-9 drinks a day44-5 drinks a day53 drinks a day62 drinks a day71 drink a day80 drink a day-1Not stated-2Not applicable-3Proxy AL4Frequency of consumption of an alcoholic drink from Friday to Sundaycurrent1On all 3 daysif AL1 = 1, 2, 3 or 42On 2 of the 3 days3On 1 of the 3 days4On none of the 3 days-1Not stated-2Not applicable-3ProxyAL5Number of alcoholic (standard) drinks on average on one of the days from Friday to Sundaycurrent116 or more drinks a dayif (AL1 = 1, 2, 3 or 4) and (AL4 = 1, 2, or 3)210-15 drinks a day36-9 drinks a day44-5 drinks a day53 drinks a day62 drinks a day71 drink a day80 drink a day-1Not stated-2Not applicable-3Proxy AL6Frequency of risky single-occasion drinking (equivalent of 60g of pure ethanol or more) during the past 12 monthslast 12 months1Every day or almost if AL1 = 1, 2, 3, 4, 5, 6 or 7 25-6 days a week33-4 days a week41-2 days a week52-3 days in a month6Once a month7Less than once a month8Not in the past 12 months9Never in my whole life-1Not stated-2Not applicable-3ProxyDetailed topic: SOCIAL AND ENVIRONMENTAL FACTORSSS1Number of close people to count on in case of serious personal problemscurrent1NoneEverybody21 or 233 to 546 or more-1Not stated-3Proxy SS2Degree of concern shown by other people in what the respondent is doingcurrent1A lot of concern and interestEverybody2Some concern and interest3Uncertain4Little concern and interest5No concern and interest-1Not stated-3ProxySS3How easy is it to get practical help from neighbours in case of needcurrent1Very easyEverybody2Easy3Possible4Difficult5Very difficult-1Not stated-3ProxyIC12Providing care or assistance to one or more persons suffering from any chronic health condition or infirmity or due to old age, at least once a weekcurrent1Yes, to a member(s) of respondent’s familyEverybody2Yes, to a non-member(s) of respondent’s family3No-1Not stated-3Proxy

IC3Number of hours per week the respondent provides care or assistance to the person(s) suffering from any chronic condition or infirmity or due to old agecurrent1Less than 5 hours per weekif IC12 = 1 or 225 hours to less than 10 hours per week310 hours to less than 20 hours per week420 hours to less than 30 hours per week530 hours to less than 40 hours per week640 hours per week or more-1Not stated-2Not applicable-3ProxyDetailed topic: SUICIDE (OPTIONAL)SU1Having had thoughts about committing suicidelast 12 months1YesEverybody2No-1Not stated-3ProxySU2Having ever made a suicide attemptlifetime1Yes, in the past 12 monthsEverybody2Yes, but not in the past 12 months3No-1Not stated-3Proxy

Annex

ANNEX III NATIONAL TERRITORIES THAT ARE EXCLUDED FROM THE SAMPLE CountryNational territoriesFranceFrench Overseas Departments and TerritoriesCyprusThe non-government-controlled areaNetherlandsCaribbean Islands (Bonaire, St. Eustatius and Saba)IrelandAll offshore islands with the exception of Achill, Bull, Cruit, Gorumna, Inishnee, Lettermore, Lettermullan and Valentia

Annex

ANNEX IV VARIABLES FOR WHICH PROXY ANSWERS ARE NOT TO BE USED BY EUROSTAT FOR INDICATORS COMPUTATION HS1Self-perceived general healthCD2Self-perceived general oral healthPN1Intensity of bodily pain during the past 4 weeksPN2Extent that pain interfered with normal work during the past 4 weeks (including both work outside the home and housework)MH1AExtent of having little interest or pleasure in doing things over the last 2 weeksMH1BExtent of feeling down, depressed or hopeless over the last 2 weeksMH1CExtent of having trouble falling or staying asleep, or sleeping too much over the last 2 weeksMH1DExtent of feeling tired or having little energy over the last 2 weeksMH1EExtent of having poor appetite or overeating over the last 2 weeksMH1FExtent of subject feeling negative about themselves, or feeling that they are a failure or have let themselves or their family down, over the last 2 weeksMH1GExtent of having trouble concentrating on things, such as reading the newspaper or watching television, over the last 2 weeksMH1HExtent of moving or speaking so slowly that other people may have noticed; or being so fidgety or restless that they have been moving around a lot more than usual, over the last 2 weeksMH2AFeeling cheerful and in good spirits over the last 2 weeksMH2BFeeling calm and relaxed over the last 2 weeksMH2CFeeling active and vigorous over the last 2 weeksMH2DWaking up feeling fresh and rested over the last 2 weeksMH2EFeeling that daily life has been filled with things that interest over the last 2 weeksPA1Last time of vaccination against fluPA2Last time of blood pressure measurement by a health professionalPA3Last time of blood cholesterol measurement by a health professionalPA4Last time of blood sugar measurement by a health professionalPA5Last time of a faecal occult blood testPA6Last time of a colonoscopyPA7Last time of a mammography (breast X-ray)PA8Last time of a cervical smear testUN1AUnmet need for healthcare in the past 12 months due to long waiting list(s)UN2AUnmet need for mental healthcareUN2BMain reason for unmet need for mental healthcare

PE1Physical effort of working tasks (both paid and unpaid work activities included)PE2Number of days in a typical week walking to get to and from places at least 10 minutes continuouslyPE3Time spent on walking to get to and from places on a typical dayPE4Number of days in a typical week bicycling to get to and from places at least 10 minutes continuouslyPE5Time spent on bicycling to get to and from places on a typical dayPE6Number of days in a typical week doing sports, fitness or recreational (leisure) physical activities that cause at least a small increase in breathing or heart rate for at least 10 minutes continuouslyPE7Time spent on doing sports, fitness or recreational (leisure) physical activities in a typical weekPE8Number of days in a typical week doing muscle-strengthening activitiesPE9Time spent sitting on a typical dayDH1Frequency of eating fruit, excluding juiceDH2Number of portions of fruit a day, excluding juiceDH3Frequency of eating vegetables or salad, excluding juice and potatoesDH4Number of portions of vegetables or salad, excluding juice and potatoes a dayDH5Frequency of drinking pure fruit or vegetable juiceDH6Frequency of drinking sugar-sweetened soft drinksDH7Frequency of eating red meatDH8Frequency of eating processed meat productsSK5Frequency of exposure to tobacco smoke indoorsAL1Frequency of consumption of an alcoholic drink of any kind (beer, wine, cider, spirits, cocktails, premixes, liqueurs, homemade alcohol…) in the past 12 monthsAL2Frequency of consumption of an alcoholic drink from Monday to ThursdayAL3Number of alcoholic (standard) drinks on average on one of the days from Monday to ThursdayAL4Frequency of consumption of an alcoholic drink from Friday to SundayAL5Number of alcoholic (standard) drinks on average on one of the days from Friday to SundayAL6Frequency of risky single-occasion drinking (equivalent of 60 g of pure ethanol or more) during the past 12 monthsSS1Number of close people to count on in case of serious personal problemsSS2Degree of concern shown by other people in what the respondent is doingSS3How easy is it to get practical help from neighbours in case of needIC12Prevailing relationship of the person(s) suffering from any chronic condition or infirmity or due to old age being provided with care or assistance at least once a week from the respondentIC3Number of hours per week the respondent provides care or assistance to the person(s) suffering from any chronic condition or infirmity or due to old age

Annex

ANNEX V KEY VARIABLES FOR WHICH METHODS OF STATISTICAL IMPUTATION ARE TO BE APPLIED WHEN NON-RESPONSE EXCEEDS 5 % MAINSTATMain activity status (self-defined)HATLEVELEducational attainment level (highest level of education successfully completed)HHINCOMENet current monthly household incomeHS3Limitation in activities because of health problems

Annex

ANNEX VI DETAILED ARRANGEMENTS AND CONTENT OF QUALITY REPORTS METADATA UPDATE The date on which the metadata element was inserted or modified in the database.

STATISTICAL PRESENTATION (1) Data description Title of the survey at national level, year of the survey, link to the survey website. (2) Classification systems The version of the classification used in the data, and any deviations from European statistical standards or international standards. (3) Statistical concepts and definitions List of concepts and variables, including answer categories, that deviate from the standard definitions, mentioning the national concepts used and any differences between the national concepts and the respective standard definitions. UNIT OF MEASURE The unit in which the data values are measured. REFERENCE PERIOD The period of time to which the measured observation is intended to refer. INSTITUTIONAL MANDATE Law, set of rules or other formal set of instructions assigning an organisation responsibility and authority for collecting, processing, and disseminating statistics. RELEASE POLICY Rules for disseminating statistical data to all interested parties. FREQUENCY OF DISSEMINATION The time interval at which the statistics are disseminated over a given time period. STATISTICAL PROCESSING (1) Source data Description of the data source used for building the sampling frame (for example population register, dwelling register, population census and another survey), frequency of update and year of last update of the data source, and method used for obtaining or creating the sampling frame. Where another survey has been used as a data source, the name of the survey is indicated. Regarding sample design: methods for sample design (for example, simple random sampling; systematic sampling; stratified sampling; cluster sampling, multiple stage sampling, combination of designs). If Member States use stratified sampling, the stratification and sub-stratification criteria are reported. If Member States use multiple stage sampling, the different stages and the corresponding probabilities (equal, unequal, proportional to size) are described. If Member States use a combination of designs, the designs used are described; sample size. (2) Data collection Description of methods used to conduct the interview including PAPI, CATI, CAPI, CASI, CAWI PAPI – Traditional paper-and-pencil personal interview; CATI – telephone interview; CAPI – computer-assisted personal interview; CASI – self-completed computer-based interview; CAWI – computer assisted web interview. , mixed mode, and/or other sources such as registers and other surveys. The variables collected based on other sources are listed. (3) Data compilation Each step of weighting is described separately: design weights; weight adjustments for non-response, weight adjustments applied to external data sources such as calibration techniques used and level and variables used for the adjustment, any other weight adjustments for example trimming, top (bottom)-coding of the weight distribution to adjust for outliers, final weights. Where imputation is used, any imputed variables are listed, the imputation procedure used is described and the reasons for imputation are explained. The number of imputed values as a percentage of the total number of observations is reported.

ACCURACY AND RELIABILITY (1) Sampling error Precision requirements are expressed in standard errors for the indicator set out in the third paragraph below, point (c). Countries describe the methodology for calculating the precision estimates. For the following indicators, the number of respondents (unweighted), the estimated proportion (weighted), the standard errors, the 95 % confidence interval (lower and upper limit), and the design effect (if applicable/available) are reported at national level: (a) respondents aged 15 years and over in good or very good health (based on variable HS1); (b) respondents aged 15 years and over with long-standing illness or health problem (based on variable HS2); (c) respondents aged 15 years and over who were severely limited in activities people usually do because of health problems for at least the past 6 months (based on variable HS3); (d) respondents aged 15 years and over having been hospitalised in the past 12 months (based on variable HO12); (e) respondents aged 18 years and over who are obese (based on variable BM1 and BM2). (2) Non-sampling error (a) Measurement error The different sources of measurement errors likely to be found in the survey are described and include: description and testing of the questionnaire; description of interview training, for example number of training days, skills testing before starting the fieldwork (rate of success, etc.)); information on studies to check the impact of the interviewer, such as re-interviews, record check studies, or split-sample experiments (if available), and results from models (if available). (b) Non-response error Unit non-response Member States compute, total and for each mode of data collection, non-response rates. For those Member States where controlled substitutions are made in case of unit non-response, non-response rates are calculated before and after substitution. Breakdowns of non-respondents by characteristics and reasons for non-response as far as available. Description of any measures taken to correct for non-response. If controlled substitutions are applied in cases of unit non-response pursuant to Article 6, substitution rates are provided as well as a description of the method of selection of substitutes, main characteristics of substituted units compared to the original units, distribution of substituted (original) units by number of attempts for contact, interview acceptance, and questionnaire result. Number of units successfully contacted before and after substitution. Number of responding units before and after substitution. Gross sample size, number of eligible and ineligible units, net sample size, including substitution units (achieved sample size) needs to be provided. Item non-response For the health variables listed in the metadata template under this topic, the following information is provided: the percentage of persons with a valid answer (excluding missing values) for each variable; the percentage of persons with missing values (unweighted and before imputation) for each variable.

(c) Processing error Information to be provided about any errors in processing and their impact on the final data collection results arising from faulty implementation of correctly planned implementation methods. An account is given of the main errors detected in the post-data-collection process. Description of the quality checks such as data entry controls and coding controls and the data editing process. Imputation procedures are described. Information to be provided on the imputation rate calculated as the share of observations imputed (for each variable) out of the total number of observations. DATA REVISION (1) Data revision – policy Information is provided about any policy designed to ensure the transparency of disseminated data, whereby the preliminary data compiled are subsequently revised. Revision of data is reported. (2) Data revision – practice Schedule for revisions. Main reasons for revisions and their nature such as new source data available and new methods. Impact of revisions on indicators.