Joint US/Canada Survey of Health (JCUSH)

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Joint US/Canada Survey of Health (JCUSH)
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Project Inception NCHS/Statistics Canada
Interchange

• Two-day Fall meetings
• Interchange 1999 - Hyattsville
• Interchange 2000 - Ottawa
• Interchange 2001 Hyattsville

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Interchange 2000

• Session concerned with making our data
• more comparable and more integrated
• Joint STC-NCHS survey

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Joint STC-NCHS Health Survey(Staff)

• NCHS
• Project Officer (NHIS)
• Cognitive Testing Team Leader (ORM)
• Questionnaire Designer (NHIS)
• Subject Matter Expert (NHIS)
• Translation Team leadersSpanish (NHIS)
• Data Collection/Training Coordinator (NHIS)
• Study and Sample Designer (ORM)
• Editing Consultant (NHIS)

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Joint STC-NCHS Health Survey(Staff)

• StatCan
• 2 Team Leaders
• 2 Staff Assistants
• Cognitive Testing Consultant
• Questionnaire Designer
• Subject Matter Expert
• 2 Sample Designers
• Instrument programmers and testers
• Telephone Data Collection Unit

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Joint STC/NCHS Health Survey(Objectives)

• Developing measures other than mortality rates to
  make international health comparisons
• Selecting relevant topic areas for study
• Keeping in mind WHOs goal of a common health
  survey instrument

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Joint STC/NCHS Health Survey(Objectives
continued)

• Developing and testing identical questions to be
  fielded in both countries
• Conducting methodological studies

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Joint STC/NCHS Health Survey(Questionnaire
Topics)

• Disability/Restriction of Activity
• Chronic Conditions (asthma, diabetes, heart
  conditions, depression, etc.)
• Smoking
• Height/Weight
• Patient Satisfaction
• Insurance
• Physical Activity
• Health Care Utilization
• Medication Use
• General Health

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Joint STC/NCHS Health Survey(Methods)

• Survey is one-time event
• Telephone survey (CATI)
• 20 minutes

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Joint STC/NCHS Health Survey(Methods continued)

• Common sampling methodology
• Common collection methodology
• Telephone calls made from Canada to both countries

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Joint STC/NCHS Health Survey(Methods continued)

• Sample
• 5,000 adults in U.S.
• 3,000 adults in Canada
• Target field date
• November 4, 2002

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Methodological Studies

• Focus group vs. narrative interviewing
• Performance of 4 different measures of
  disability/restriction of activity

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Challenges of Joint Survey

• Different measurement units
• 10 pounds or 4.54 kilograms
• 5 kilograms or 11.02 pounds
• Different languages
• English and French in Canada
• English and Spanish in U.S.

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Challenges of Joint Survey

• Different coverage of the populations
• Rates of institutionalization are different
• Rates of telephone coverage are different
• Different release policies
• Statistics Canada sells data files
• NCHS data files are free

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Challenges of Joint Survey

• Legal questionsdata collected under different
  laws
• Funding splitting costs

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Phases

• Phase I Cognitive Testing
• Phase II Data Collection
• Phase III Data release and analysis