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Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

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Page 1: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Choosing Core NILS data and its impact on Research

Rónán AdamsMáire Brolly

NILS User Forum11th December 2009

Page 2: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Aims:

• Understand the structure of the NILS

• Understand the level/impact of Census Imputation and List Inflation

• Understand the research implications

Page 3: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Identifying the Core NILS data

• requirement to have a core data source

• coverage of the data source

• complete information on dates of birth

• existing linkages between the data sources

Page 4: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Core Data SetOptions:

Data sets in Research Proposal – Agreement• Census• Health Card Registrations (CHI)

Issues: • Census

– Census Office only require Age– Any missing day/month Imputed to 1st

– 1st too high, all other dates too low– Person imputation (95%)

• Health Card registrations– List Inflation (105%)

Page 5: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Existing Links between Data Sources

NICR Data

Central HealthIndex

GRO Births

GRO Deaths

2001 CensusRecords

Page 6: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Proposed Links between Data Sources

NICR Data

Central HealthIndex

GRO Births

GRO Deaths

2001 CensusRecords

Page 7: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

NILS/NIMS

NILS• c28% of population

• Sample members from Health Card Registrations

• List Inflation an issue

• Census Imputation

NIMS• 100% of deaths

• Census members linked to deaths

• Only enumerated people can be linked

Page 8: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Sample Selection in NI

• 104 dates – 100 NI, 4 E&W

• For each download (6 monthly)– Is the DDMM of the DOB a NILS date? If so

then they are in the sample

• NILS sample – a person who has ever been in one of the 6-monthly downloads

Page 9: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Contextual Data NILS Core Data Events

Health Card Registrations

Key demographic information on NILS

members(514,000 live)

@ Census Date

New members (c40,000)

2001 Census

Database

1991 Census

Births Data (baby linked to

Birth Registration)1997 births onwards

Deaths

Births to Mothers

Births to Fathers

Stillbirths & Infant Deaths

Migration (Immigrants, Emigrants,

Re-Entrants & Within NI Movers)

VLA/Rating DataPOINTER

Address Database

Page 10: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

NILS E&W LS SLS

Number Dates 104 4 20

Size 500,000 (28%) 500,000 (1%) 300,000 (5%)

Start Date 2001 1971 1991

Number of Censuses

1 4 2

Source Health Card Registration

Census + GRO Births + NHSCR

Immigrants

Census + GRO Births + NHSCR

Immigrants

Includes Enumerated,

Imputed and List Inflation – can look at enumerated only

Enumerated only Enumerated only

The 3 LSs

Page 11: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

SG Discussion

• LS and SLS reps included on NILS SG

• Recognition and Agreement between 3 LSs

• NILS methodology would allow future ‘UK’ analyses

Page 12: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009
Page 13: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Health Card Registrations

Central Health Index

All Live Patients

(4th May 2001)

1,768,473

Published 2001

census population

One Number

(29th April 2001)

1,685,267

Enumerated 2001

census population

(29th April 2001)

1,603,641

Imputed Records81,626

Imputed Records81,626

Enumerated 2001

census population

(29th April 2001)

1,603,641

List Inflation83,206

4.6%

90.7%

4.7%

Page 14: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Imputation and List Inflation: different profiles by age, gender,

geography and other characteristics

NOT 4.6% & 4.7% across all groupings

Page 15: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Age All PatientsPublished Census Enumeration Imputation Inflation

0 16321 21683 19542 2141 -5362

1 22170 22363 20860 1503 -193

2 23389 23264 21757 1507 125

3 23800 23584 22142 1442 216

The very young

Page 16: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Female vs Male

Page 17: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

All People

Page 18: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Imputation

Page 19: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

List Inflation

Page 20: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Geographical Area

• Small geographies

• Urban – Rural

• Administrative Areas

• Settlements

• Deprivation

Page 21: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Urban/Rural

Page 22: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Urban/Rural

Page 23: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Assembly Areas / Parliamentary Constituencies

Page 24: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

DECILE Enumerated ImputedList

Inflation % LI, Imp

         

Least Deprived 157,974 5,710 2,525 5%

156,166 5,375 -4,652 0%

158,522 6,122 -273 4%

162,774 6,546 1,150 5%

162,128 8,177 2,133 6%

166,973 8,897 3,644 7%

162,667 7,946 10,109 10%

162,913 9,324 11,422 11%

159,247 10,095 23,688 18%

most Deprived 154,277 13,434 33,458 23%

MDM - Deciles

Page 25: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

• List Inflation– Age, gender, geographical area

• Census Imputation– All Census characteristics

Page 26: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Imputation level – Marital Status

Page 27: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Imputation level – Economic Activity

Page 28: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Imputation level – Community Background

Page 29: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Summary

• Characteristics of List Inflation & Imputation are different from Enumerated

– Highest in deprived, urban areas– Affects males more than females– Affects 17-35 year olds most– Unemployed, students, living alone

Page 30: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Impact on NILS

• Imputed people can’t be linked – no names, DOBs etc.

• List inflation people unlikely to be on other administrative data (births, deaths, …)

• Can only expect to link a proportion of population

Page 31: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Estimate for NILS 28% sample

• Don’t know who is ‘list inflation’

• Don’t know who is ‘imputed’

• Assume 28% is representative

4.6%

90.7%

4.7%

Health Card Registrations

with NILS Date

Central Health Index

All Live Patients

(4th May 2001)

508,279

Imputation23,460

Enumerated

460,904

List Inflation23,914

Page 32: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

4.6%

90.7%

4.7%

Health Card Registrations

with NILS Date

Central Health Index

All Live Patients

(4th May 2001)

508,279

Imputation23,460

Enumerated

460,904

List Inflation23,914

Imputation23,460

Matched

447,457

List Inflation23,914

Unmatched13,447

88%MatchRate

97%Match RateAdjusted

NILS Match Rate (MCR-Census)

Page 33: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Core NILS – Census LI, Imp 91%

Core NILS – Births LI 95%

Core NILS – Births – Census LI, Imp 91%

Core NILS – Deaths LI 95%

Core NILS – Deaths – Census LI, Imp 91%

NIMS – Deaths – Census Imp 95%

What % can we expect to match?

Page 34: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Hypothetical Example

• General Fertility Rate – – number of births per 1,000 women aged 16-44

• 8,000 births

• NILS members (16-44) – 130,000– GFR = 62.1 per 1,000

• NILS members with Census link (16-44) – 110,000– GFR = 72.7 per 1,000

• ‘true’ estimate– 120,000– GFR = 67.2 per 1,000

Page 35: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Dental Registrations - Males

Page 36: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Dental Registrations - Females

Page 37: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Dental Registrations – Relative differences

Page 38: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Summary

• List inflation & imputation are issues

• Imputation can be measured – lots of information• LI cannot be easily measured – limited information

• Match rates cannot be easily determined

• Characteristics of imputed and list inflation different from ‘normal’ population

• Need to consider impact on your research

Page 39: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Aim:

• Understand the structure of the NILS

• Understand the level/impact of Census Imputation and List Inflation

• Understand the research implications

Page 40: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

Choosing Core NILS data and its impact on Research

Rónán Adams

Máire Brolly

Page 41: Choosing Core NILS data and its impact on Research Rónán Adams Máire Brolly NILS User Forum 11 th December 2009

• CSA• FPS • CHI• NHAIS• BSO• H&C, CHIN

HEALTH CARD REGISTRATIONS