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Methodology of the 2009 Survey on Living with Chronic Diseases in Canada--hypertension component
A S Bienek1, M E Gee, R P Nolan
1Public Health Agency of Canada, Ottawa, Ontario, Canada. Asako.Bienek@phac-aspc.gc.ca
Insights
The Survey on Living with Chronic Diseases in Canada–hypertension component (SLCDC-H) offers new data on hypertension management in Canada. This survey accurately represents the Canadian population with hypertension.
Area of Science:
- Public Health
- Epidemiology
- Health Services Research
Background:
- The Survey on Living with Chronic Diseases in Canada--hypertension component (SLCDC-H) is a cross-sectional telephone survey.
- It focuses on hypertension diagnosis and management among Canadians aged 20 years and older with self-reported hypertension.
- The survey data was sampled from the 2008 Canadian Community Health Survey (CCHS).
Purpose of the Study:
- To provide comprehensive data on the diagnosis and management of hypertension in Canada.
- To represent the Canadian population with self-reported hypertension.
- To serve as a model for surveys on other chronic conditions.
Main Methods:
- A questionnaire developed using the Delphi technique, externally reviewed, and qualitatively tested.
- Statistics Canada managed sampling, recruitment, data collection, and processing.
- Weighted proportions and bootstrap methods were used for statistical analysis.
Main Results:
- The SLCDC-H sample (n=6142) is representative of the CCHS hypertension population but slightly younger.
- The SLCDC-H sample includes more post-secondary school graduates compared to the CCHS population.
- Fewer SLCDC-H respondents reported being on hypertension medication compared to the CCHS population.
Conclusions:
- The 2009 SLCDC-H provides novel and comprehensive data on hypertension diagnosis and management.
- The survey methodology has been adapted for other chronic conditions like diabetes and respiratory diseases.
- The questionnaire and descriptive results are publicly available through Statistics Canada and the Public Health Agency of Canada.
Introduction:
The Survey on Living with Chronic Diseases in Canada--hypertension component (SLCDC-H) is a 20-minute cross-sectional telephone survey on hypertension diagnosis and management. Sampled from the 2008 Canadian Community Health Survey (CCHS), the SLCDC-H includes Canadians (aged ≥ 20 years) with self-reported hypertension from the ten provinces.
Methods:
The questionnaire was developed by Delphi technique, externally reviewed and qualitatively tested. Statistics Canada performed sampling strategies, recruitment, data collection and processing. Proportions were weighted to represent the Canadian population, and 95% confidence intervals (CIs) were derived by bootstrap method.
Results:
Compared with the CCHS population reporting hypertension, the SLCDC-H sample (n = 6142) is slightly younger (SLCDC-H mean age: 61.2 years, 95% CI: 60.8-61.6; CCHS mean age: 62.2 years, 95% CI: 61.8-62.5), has more post-secondary school graduates (SLCDC-H: 52.0%, 95% CI: 49.7%-54.2%; CCHS: 47.5%, 95% CI: 46.1%-48.9%) and has fewer respondents on hypertension medication (SLCDC-H: 82.5%, 95% CI: 80.9%-84.1%; CCHS: 88.6%, 95% CI: 87.7%-89.6%).
Conclusion:
Overall, the 2009 SLCDC-H represents its source population and provides novel, comprehensive data on the diagnosis and management of hypertension. The survey has been adapted to other chronic conditions--diabetes, asthma/chronic obstructive pulmonary disease and neurological conditions. The questionnaire is available on the Statistics Canada website; descriptive results have been disseminated by the Public Health Agency of Canada.
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