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Qatar World Qatar World Health Survey Health Survey Socio demographic Socio demographic Risk Factors Risk Factors Morbidity Morbidity Health State Valuation Health State Valuation Health System Responsiveness Health System Responsiveness

Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

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Page 1: Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

Qatar World Qatar World Health SurveyHealth Survey

Socio demographicSocio demographicRisk FactorsRisk FactorsMorbidity Morbidity Health State ValuationHealth State ValuationHealth System ResponsivenessHealth System Responsiveness

Page 2: Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

Qatar World Qatar World Health SurveyHealth Survey

Socio demographicSocio demographic

Page 3: Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

Derived VariablesDerived Variables

All tables use similar questions:All tables use similar questions: GenderGender Nationality statusNationality status

Taken from individual questionnaire – self-Taken from individual questionnaire – self-reportreport

AgeAge Divided into groups Divided into groups

Wealth QuintileWealth Quintile RegionRegion

The 10 regions of Qatar were reduced to three:The 10 regions of Qatar were reduced to three: Doha, Al Rayyan and all otherDoha, Al Rayyan and all other

Page 4: Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

Population Pyramid by Population Pyramid by NationalityNationality

7 6 5 4 3 2 1 0 1 2 3 4 5 6 7

0-4

5-9

10-14

15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85+

Age

Gro

up

Percentage of Population

Qatari Males Non-Qatari Males Qatari Females Non-Qatari Females

FemaleMaleMale

Page 5: Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

Region of ResidenceRegion of Residence

MalMalee

FemalFemalee

QatarQatarii

Non-Non-QatarQatarii

TotaTotall

DohaDoha46.246.245.845.830.430.456.256.246.046.0

Al RayyanAl Rayyan37.437.438.338.349.149.130.530.537.937.9

Other RegionsOther Regions16.416.415.915.920.520.513.313.316.116.1

Page 6: Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

ProfessionsProfessions

A third of non-Qataris stated that A third of non-Qataris stated that they were professionals, compared they were professionals, compared with 23% of Qatariswith 23% of Qataris

The largest proportion of Qataris The largest proportion of Qataris were clerks, with 30%were clerks, with 30%

Females most likely to be Females most likely to be professionals or clerks, with males professionals or clerks, with males spread more evenly between spread more evenly between professionals, legislators, clerks or professionals, legislators, clerks or service workersservice workers

Page 7: Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

Qatar World Qatar World Health SurveyHealth Survey

Risk FactorsRisk Factors

Page 8: Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

BackgroundBackground One person in the household asked One person in the household asked

questions about their risk behavioursquestions about their risk behaviours SmokingSmoking NutritionNutrition Physical ActivityPhysical Activity

Height and Weight measurements takenHeight and Weight measurements taken Of individualOf individual Of a randomly selected child under 5Of a randomly selected child under 5

Blood pressure measurements and blood Blood pressure measurements and blood sample taken from the adultsample taken from the adult Blood chemistry analysedBlood chemistry analysed

Page 9: Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

SmokingSmoking

11% admitted to being a daily smoker11% admitted to being a daily smoker 2.6% to smoking, but not daily2.6% to smoking, but not daily

Mainly males – almost 20% of males smoke Mainly males – almost 20% of males smoke an average of 16.5 units of tobacco a dayan average of 16.5 units of tobacco a day

Qataris smoke a greater amount than non-Qataris smoke a greater amount than non-Qataris if they are daily smokersQataris if they are daily smokers

The average amount smoked increases with The average amount smoked increases with ageage

Most common use of tobacco is Most common use of tobacco is manufactured cigarettesmanufactured cigarettes

Page 10: Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

Percentage smoking by age Percentage smoking by age and sexand sex

0

5

10

15

20

25

30

18 to 19 20 to 29 30 to 39 40 to 49 50 to 59 60 to 69 70+

Age Group

Per

cen

t S

mo

kin

g

Male

Female

Page 11: Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

Adult ObesityAdult Obesity

Individual weighed and height takenIndividual weighed and height taken BMI calculated:BMI calculated:

Weight/HeightWeight/Height22

Those with a BMI between 20 and Those with a BMI between 20 and 25 classified as normal weight25 classified as normal weight

25 to 30 are overweight25 to 30 are overweight Over 30 are obeseOver 30 are obese Over 40 are morbidly obeseOver 40 are morbidly obese

Page 12: Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

Adult ObesityAdult Obesity

Only a quarter of adults are in the Only a quarter of adults are in the normal weight rangenormal weight range 39% are overweight39% are overweight 32% are obese32% are obese

Qatari nationals are more likely to Qatari nationals are more likely to be obese – 40% are in this category be obese – 40% are in this category 28% of non-Qataris28% of non-Qataris

Proportion of normal birth weight Proportion of normal birth weight adults falls as age increasesadults falls as age increases

Page 13: Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

Childhood ObesityChildhood Obesity If household has a child under 5 this child was If household has a child under 5 this child was

measuredmeasured Kish grid used if more than one childKish grid used if more than one child

Number of households with a child under 5 did have a Number of households with a child under 5 did have a child’s measurements recordedchild’s measurements recorded Lots of children under 1 year old omittedLots of children under 1 year old omitted

Child’s BMI calculated from their height and weight Child’s BMI calculated from their height and weight and compared to WHO growth standards for a child and compared to WHO growth standards for a child the same agethe same age Results are the z-scores away from a standard reference childResults are the z-scores away from a standard reference child Positive z-scores indicate larger BMI then the reference, Positive z-scores indicate larger BMI then the reference,

negative a smaller BMInegative a smaller BMI Scores above +2 indicate a very large BMI for their ageScores above +2 indicate a very large BMI for their age Scores below -2 indicate a very small BMI for their ageScores below -2 indicate a very small BMI for their age

Page 14: Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

Childhood Obesity Childhood Obesity ResultsResults

43% of children within normal range43% of children within normal range 16% are very large for their age16% are very large for their age 13% very small13% very small

Qatari children less likely to be Qatari children less likely to be smaller than non-Qatari childrensmaller than non-Qatari children

As the age of the child increases, As the age of the child increases, they are more likely to be larger they are more likely to be larger than the reference group of childrenthan the reference group of children

Page 15: Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

Qatar World Qatar World Health SurveyHealth Survey

MorbidityMorbidity

Page 16: Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

Blood PressureBlood Pressure Average blood pressure at the higher end Average blood pressure at the higher end

of normalof normal Higher for men than womenHigher for men than women Increases with ageIncreases with age 14% have a high B.P. and can be diagnosed as 14% have a high B.P. and can be diagnosed as

hypertensivehypertensive Males much more likely than females to Males much more likely than females to

have a high B.P.have a high B.P. 15% of non-Qataris are hypertensive, 15% of non-Qataris are hypertensive,

compared to 13% of Qatari'scompared to 13% of Qatari's Hypertension increases with age, with 6% Hypertension increases with age, with 6%

of 18 to 29 years olds and 47% of over 60’s of 18 to 29 years olds and 47% of over 60’s with a high blood pressurewith a high blood pressure

Page 17: Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

DiabetesDiabetes

Random Blood Sugar tests indicate that:Random Blood Sugar tests indicate that: 6% of adults are classified as having 6% of adults are classified as having

diabetesdiabetes 10% are in the stage before diabetes with a 10% are in the stage before diabetes with a

raised level of sugar in the bloodraised level of sugar in the blood Higher percentage of males and Qataris Higher percentage of males and Qataris

in the diabetic groupin the diabetic group Diabetes and prediabetes increases with Diabetes and prediabetes increases with

ageage

Page 18: Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

Qatar World Qatar World Health SurveyHealth Survey

Health State ValuationHealth State Valuation

Page 19: Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

DomainsDomains

9 domains of health9 domains of health MobilityMobility Self-careSelf-care Pain and DiscomfortPain and Discomfort CognitionCognition Interpersonal ActivitiesInterpersonal Activities BreathingBreathing Sleep and EnergySleep and Energy AffectAffect Vision and HearingVision and Hearing

Page 20: Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

General Health RatingGeneral Health Rating

87% said that they were very good or 87% said that they were very good or goodgood 11% moderate and 1.8% bad or very bad11% moderate and 1.8% bad or very bad

Men gave themselves a higher rating than Men gave themselves a higher rating than females – 49% in the very good category females – 49% in the very good category compared with 39% of womencompared with 39% of women

Non-Qataris happier with their health Non-Qataris happier with their health than Qataris – 90% in top two categories than Qataris – 90% in top two categories while only 83% of Qatariswhile only 83% of Qataris

Satisfaction falls as age increasesSatisfaction falls as age increases

Page 21: Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

Qatar World Qatar World Health SurveyHealth Survey

Health System Health System ResponsivenessResponsiveness

Page 22: Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

Self-Assessed HealthSelf-Assessed Health Respondents were asked to rate their health:Respondents were asked to rate their health:

‘‘In general, how would you rate your health In general, how would you rate your health today?’today?’

5-point scale ranging from very good to very 5-point scale ranging from very good to very badbad 44% very good;44% very good; 43% good;43% good; 11% moderate;11% moderate; 1.5% bad; and1.5% bad; and 0.3% very bad0.3% very bad

Responsiveness tabulated with these Responsiveness tabulated with these responsesresponses

Page 23: Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

Need for Health CareNeed for Health Care

66% of respondents needed any sort 66% of respondents needed any sort of health care in the last 3 years of health care in the last 3 years (out/inpatient)(out/inpatient)

99% of those who needed health care 99% of those who needed health care stated that they obtained it!stated that they obtained it!

Page 24: Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

Satisfaction with Health Satisfaction with Health CareCare

Patients were asked to rate the Patients were asked to rate the health care on seven different health care on seven different aspects:aspects: Waiting timeWaiting time Experience of greetingExperience of greeting Explanations by health providersExplanations by health providers Involvement in decision makingInvolvement in decision making PrivacyPrivacy Freedom to choose health providersFreedom to choose health providers Cleanliness of rooms, including toiletsCleanliness of rooms, including toilets

Page 25: Qatar World Health Survey Socio demographic Risk Factors Morbidity Health State Valuation Health System Responsiveness

Satisfaction with Health Satisfaction with Health Care ServicesCare Services

The Satisfaction with Health Care Services

18.88

61.77

8.18 9.06

2.1

0

10

20

30

40

50

60

70

Very Satisf ied Satisf ied Neither Satisf ied nor Unsatisf ied Dissatisf ied Very Dissatisf ied