Population health indicators availability at regional level across the European Union

Abstract

Abstract Background The availability of reliable and comparable data at the regional level is extremely important to measure regional health inequalities. The aim of this research is to assess the data availability of the indicators included in EURO-HEALTHY’s Population Health Index (PHI), a multidimensional tool developed to measure population health across European regions. Methods Three consecutive steps where implemented: i) assessment of data availability and reliability of the indicators for the regional level and for the last year with data available; ii) application of a protocol to solve cases of missing data and assure the database completeness and iii) development of an availability scoring system, ranging from 0 (no data available) to 1 (all data available), by indicator and EU region. Results A set of 39 population health indicators were assessed. The mean availability is 0.8, ranging from 0.46 (worst) to 1 (best). Indicators such as ’Unemployment’, ’Higher education’, ’Ageing index’, ’Teenage motherhood’, ’Victims in road accidents’, ’Fatality rate’, ’Life expectancy’ and ’Infant mortality’ present the highest scores (>0.95). ’Daily smokers’, ’Pure alcohol consumption’, ’Number of rooms per person’ and access to ’Public water supply’ and ’Wastewater treatment’ present the lowest availability scores (<0.60), mostly due to the availability at the national level only. Conclusions This study provides a comprehensive assessment of data availability of population health indicators from multiple areas of concern, at the EU regional level. The results highlight the urgent need for sub-national data in several domains that are important to close the health gap between and within countries. Still, as data collection in EU is driven by a policy derived framework, it is essential to give awareness to the regional scale, prior to the policy development. Key messages There is an urgent need for sub-national data in several domains that are important to close the health gap between and within countries. As data collection in EU is driven by a policy derived framework, it is essential to give awareness to the regional scale, prior to the policy development.