Table 1. Contribution of national health examination survey data to other study types essential for noncommunicable disease health planning.
Study type | Data contributed by national health examination surveys to other study types |
|||||
---|---|---|---|---|---|---|
Health examination survey indicator | ||||||
Risk factor prevalence | Self-reported diagnosis | Objective disease prevalence | Self-reported treatment and drug use | Biophysical parameters and disease control status | Perceived health and quality of life | |
Normative studies | General population and percentile age and sex risk factor exposure curves | National benchmarks for diagnostic coverage | National denominators for prevalence calculations and age- and sex-adjusted prevalence estimates for local administrative divisions | National benchmarks for treatment coverage | Population distribution curves and normal cut-offs for biophysical parameters; and national benchmarks for effective disease control coverage | National quality of life benchmarks; and local indexing of quality-of-life instruments |
Care cascade and health system performance studies | NA | Diagnostic coverage | NA | Treatment coverage and inappropriate drug use | Effective treatment coverage | General population quality of life and disease-specific quality of life |
Inequality studies | Estimates of relative and absolute excess risk factor exposure in underserved population groups | Gaps in diagnostic coverage in underserved population groups | Unequal disease distribution | Gaps in treatment coverage in underserved population groups | Gaps in effective treatment coverage in underserved population groups | Gaps in quality of life in underserved population groups |
Studies of the global burden of disease and of the burden attributable to risk factors | Population attributable fractions and population impact fractions | NA | Prevalence-based estimates of the global burden of disease (DALYs and YLDs) | NA | NA | Estimates of country-specific disability weights |
Health costs and avoidable costs studies | Attributable costs and avoidable costs due to changes in risk factor exposure (i.e. counterfactuals) | Avoidable costs attributable to increases in diagnostic coverage | Total burden-of-disease costs | Avoidable costs attributable to increases in treatment coverage | Avoidable costs attributable to improvements in treatment quality | Cost-effectiveness estimates (QALYs) |
Changes in population trends | Changes in population trends in risk factor exposure | Changes in population trends in diagnostic coverage | Changes in population trends in disease prevalence and burden | Changes in population trends in treatment coverage | Changes in population trends in effective treatment coverage and biophysical parameter distributions | Changes in quality of life |
DALY: disability-adjusted life-year; NA: not applicable; QALY: quality-adjusted life-year; YLD: year lived with disability.