Turkish Statistical Institute Tobacco Health Survey Overview

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The Turkish Statistical Institute conducted a comprehensive survey on tobacco use in health interviews in May 2016. The survey process included questionnaire development, historical background, and implementation in households. Data analysis, translation tasks, and collaborating with public institutions were key aspects of the survey. The questionnaire covered various health aspects, including health care services, health determinants, and health status. The survey aimed to provide valuable insights into tobacco usage and its implications on public health in Turkey.


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  1. TURKISH STATISTICAL INSTITUTE TOBACCO QUESTIONS IN HEALTH INTERVIEW SURVEY 03-04 May 2016, Ankara Tu ba KANDAR Social Sector Statistics Department Health and Social Protection Statistics Group 1 25.09.2024

  2. TURKISH STATISTICAL INSTITUTE Outline History Survey process Questionnaire Turkey Health Survey Tobacco Use Module Social Sector Statistics Department Health and Social Protection Statistics Group 2 25.09.2024

  3. TURKISH STATISTICAL INSTITUTE History 2008 - EHIS vawe 1, GATS 2010 - National needs 2012 - National needs, GATS 2014 - EHIS vawe 2 Social Sector Statistics Department Health and Social Protection Statistics Group 3 25.09.2024

  4. TURKISH STATISTICAL INSTITUTE Survey process Translation of Eurostat manual, Comparing 2012 questions with new recommended questions, Evaluation of Tobacco Questions for Surveys (TQS), Discussing draft questionnaire with related public institutions, Training for interviewers, controllers, Social Sector Statistics Department Health and Social Protection Statistics Group

  5. TURKISH STATISTICAL INSTITUTE Implementing survey in 9 740 households with Harzemli program established by TurkStat software experts, Creating SAS analysis for using by regional offices while survey is continuing, Detail analysis after finished implementing, Publishing news release on September 2015, Sending micro data to Eurostat. Social Sector Statistics Department Health and Social Protection Statistics Group

  6. TURKISH STATISTICAL INSTITUTE Questionnaire Sections MODULE B Health Care Services 1. Use of inpatient and day care 2. Outpatient care/home care 3. Use of medicine 4. Preventive services 5. Unmet needs for health care MODULE C Heallth Determinants 1. Weight and height 2. Physical activity/ exercise 3. Consumption of fruits and vegetables 4. Use of Tobacco 5. Use of alcohol 6. Use of drug 7. Social Support 8. Provision of informal care or assistance MODULE A Health Status 1. Health status 2. Diseases and chronic conditions 3. Accidents and injuries 4. Absence from work 5. Physical and sensory limitations 6. Personal care activities 7. Household activities 8. Pain 9. Mental health Social Sector Statistics Department Health and Social Protection Statistics Group 6 25.09.2024

  7. TURKISH STATISTICAL INSTITUTE Tobacco Use Module 1. Do you smoke? (EU) 1. Yes, daily 2. Yes, occasionally 3. Not at all 4. I left (MoH) Because request of MoH, I left was added to questions. 2. How long ago you stopped smoking? (MoH) .. months Respondent who said I left in the previous question answered this question. MoH wanted this question to see whether stop smoking project to succeeded or not. Social Sector Statistics Department Health and Social Protection Statistics Group 7 25.09.2024

  8. TURKISH STATISTICAL INSTITUTE The following questions added by TurkStat for continuing of last series. 3. For the first time, when did you try to smoke any tobacco product? (TurkStat) ----- age 4. What is the reason behind that you started to use tobacco? (TurkStat) 1. Interest 2. Desire 3. Family problems 4. Personal problems 5. Impact of girlfriend/boyfriend 6. Impact of friend 7. Impact of members of family 8. Impact of radio, television, press 9. For fun 10. No special reason 98. Others Social Sector Statistics Department Health and Social Protection Statistics Group 8 25.09.2024

  9. TURKISH STATISTICAL INSTITUTE 5. Regularly (at least 100 times a year), have you ever smoked any tobacco products? (TurkStat) 1. Yes 2. No 6. Regularly, at which age did you start to smoke tobacco products ? (TurkStat) ----- age Social Sector Statistics Department Health and Social Protection Statistics Group 9 25.09.2024

  10. TURKISH STATISTICAL INSTITUTE 7. What kind of tobacco product do you mostly consume? (EU) 1. Manufactured cigarettes 2. Hand-rolled cigarettes 3. Cigars 4. Pipefuls of tobacco 5. Waterpipe 98. Other 8. On average, how many cigarettes do you smoke each day? (EU) ---- number of cigarettes Eurostat only asks number of daily smoked cigarettes. If we added TQS questions related with this, respondent burden would increase. Social Sector Statistics Department Health and Social Protection Statistics Group 10 25.09.2024

  11. TURKISH STATISTICAL INSTITUTE Smokeless tobacco is not very common in our country. Because of this, questions related to smokeless tobacco was not used. 9. In the past 12 months, have you ever tried to stop smoking? (TQS-MoH) 1. Yes 2. No 10. Which latest method did you use to stop smoking?(MoH) 1. 2. 3. 4. 5. 98. Other I left myself I called 171 (smoking cessation hotline) I left with the help of doctors I left with the help of doctors and medicine I left with medicine Social Sector Statistics Department Health and Social Protection Statistics Group 11 25.09.2024

  12. TURKISH STATISTICAL INSTITUTE 11. How often are you exposed to tobacco smoke indoors? (EU) 1. Never or almost never 2. Less than 1 hour per day 3. 1 hour or more a day Because the request of the Ministry of Health, TQS 9th question was not used. Social Sector Statistics Department Health and Social Protection Statistics Group 12 25.09.2024

  13. TURKISH STATISTICAL INSTITUTE 12. In the past 30 days, did you see anyone who is using tobacco in ..? (MoH) 09:00-17:00 17:01-02:00 1 Yes 2 No 3 I have not 1 Yes 2 No 3 I have not 1 Restaurant 2 Patisserie 3 Cafe 4 Saloon 5 Bar 98 Other Social Sector Statistics Department Health and Social Protection Statistics Group 13 25.09.2024

  14. TURKISH STATISTICAL INSTITUTE 13. How often does anyone use tobacco in your house? (TQS, MoH, Turkstat) 1. Almost every day 2. At least once a week 3. At least once a month 4. Less than once a month 5. Never 14. Where tobacco products are often used at home? (MoH) 1. Kitchen 2. Balcony/terrace 3. Everywhere Social Sector Statistics Department Health and Social Protection Statistics Group 14 25.09.2024

  15. TURKISH STATISTICAL INSTITUTE Some figures The percentage of individuals' status of smoking tobacco products by sex and age groups, 2010, 2012, 2014 [15+ ya - age] (%) 2010 2012 2014 Total Male Female Total Male Female Total Male Female Daily smoker 25.4 39.0 12.3 23.2 35.9 10.8 27.3 41.8 13.1 Occasional smoker 4.1 4.5 3.7 3.6 4.3 2.9 5.2 5.6 4.8 Non-smoker 17.1 23.0 11.5 14.3 19.8 8.9 17.7 23.8 11.8 Never smoker 53.4 33.5 72.6 59.0 40.0 77.3 49.8 28.7 70.3 Turkey Health Interview Survey Social Sector Statistics Department Health and Social Protection Statistics Group 15 25.09.2024

  16. TURKISH STATISTICAL INSTITUTE The distribution of reasons behind starting tobacco use of individuals by sex, 2010, 2012, 2014 [15+ ya - age] (%) 2010 2012 2014 Toplam Total Erkek Male Female Kad n Toplam Total Erkek Male Female Kad n Toplam Total Erkek Male Female Kad n Interest 34.5 34.6 34.3 42.3 43.9 38.2 36.2 37.2 34.0 Desire 23.3 25.5 18.3 26.5 27.8 23.2 16.8 18.3 13.2 Family problems 4.0 2.8 6.8 3.8 2.3 7.7 3.9 2.3 7.6 Personal problems 5.0 4.2 7.1 4.4 3.6 6.6 5.3 4.5 7.0 Impact of friend 22.7 23.7 20.5 16.0 16.3 15.2 29.4 30.4 27.2 For fun 3.2 3.1 3.3 1.6 1.5 1.9 2.8 2.7 3.3 No special reason 1.7 1.5 2.0 2.5 2.3 3.3 1.9 1.7 2.3 Turkey Health Interview Survey Social Sector Statistics Department Health and Social Protection Statistics Group 16 25.09.2024

  17. TURKISH STATISTICAL INSTITUTE Cross tables Obesity*Tobacco use, 2014 [15+ ya - age] (%) Tobacco Use Obesity Daily Less than daily Never Left Underweight 3.2 3.3 5.5 2.2 Normal weight 47.7 41.4 42.9 31.9 Overweight 34.5 35.8 30.7 40.4 Obese 14.6 19.6 20.9 25.5 Turkey Health Interview Survey Social Sector Statistics Department Health and Social Protection Statistics Group 17 25.09.2024

  18. TURKISH STATISTICAL INSTITUTE Alcohol*Tobacco use, 2014 [15+ ya - age] (%) Tobacco Use Alcohol Use Daily Less than daily Never Left Yes 48.5 6.9 17.5 27.1 No 16.9 4.4 65.6 13.1 Turkey Health Interview Survey Social Sector Statistics Department Health and Social Protection Statistics Group 18 25.09.2024

  19. TURKISH STATISTICAL INSTITUTE Thanks you for your attention. Social Sector Statistics Department Health and Social Protection Statistics Group 19 25.09.2024

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