Survey Data Research Articles

Convenience and price drive online pharmacy usage by veterinary clients.

To evaluate factors that influence client selection of a veterinary pharmacy and assess client perception of the impact of online pharmacies on veterinary clinics. Survey data and satisfaction metrics were compared between online pharmacies, a teaching hospital pharmacy (UW Veterinary Care), and primary care veterinary clinics between March and April 2023. Online pharmacy users were asked about perceived impact of online pharmacies on veterinary clinics. Personal values were correlated with the likelihood of using a pharmacy. 158 surveys were analyzed; 32.9% of respondents used an online pharmacy. Of those, 20% used a veterinary-affiliated online pharmacy. Convenience was the value most liked by online pharmacy and primary care clinic users. Online users reported liking price most, whereas veterinary clinic pharmacy users (UW Veterinary Care and primary care clinics) reported liking communication and trust. Online users ranked price as more important, whereas veterinary clinic users ranked personalized experience (caring, explanations, veterinary recommended) as more important. Regardless of pharmacy type, satisfaction scores were high. Most online users perceived a negative impact of online pharmacies on veterinary clinics; this did not change reported usage. Online and veterinary clinic users prioritized different values. Online users prioritized price and veterinary clinic users prioritized personalized experience. Online usage was not influenced by perceived impact. For veterinary clinics attempting to increase revenue, appealing to these 2 distinct driving values is essential. Offering practice-directed online pharmacies with competitive and transparent pricing could procure online consumers, while maintaining a personalized experience remains important for consumers purchasing prescriptions in-house.

Big geo-data unveils influencing factors on customer flow dynamics within urban commercial districts

Commercial districts, as the epicenters of urban commerce and economic activity, largely reflect an area’s prosperity through their customer flow. However, previous research, which often relied on statistical and survey data, has typically not captured the full scope of customer flow dynamics throughout urban commercial districts and has not adequately measured the specific impacts of business district locations and their surrounding communities on customer flow. To bridge these gaps, this study utilizes multidimensional big geo-data resources, including mobile phone signaling data, Points of Interest (POI) data, and transportation network data, to uncover the underlying factors that influence customer flow within urban commercial districts. The findings suggest that several factors—the size of the commercial district, the diversity of business formats, the convenience of parking, the working and residential population in surrounding communities, and the proximity to urban centers—significantly influence the customer flow. Consumers show a preference for larger-scale, centrally-located commercial districts that offer convenient parking options, while a homogenized and uncharacteristic business format may reduce a commercial district’s appeal. Furthermore, the study reveals that industrial parks and mixed-use complexes within the 15-minute living circle surrounding the commercial district have a stronger attraction to customer flow than residential neighborhoods do. The insights from this research not only guide the strategic placement of new commercial centers but also provide a robust framework for enhancing the layout of urban commercial spaces and for the revitalization and advancement of established commercial districts.

Association of socioeconomic status with unintended pregnancy and induced abortion in married couples: An analysis of the 2021 national survey data in Japan

BackgroundAn association of the major indicators of socioeconomic status with unintended pregnancy and induced abortion in married couples has not been investigated in Japan, and we investigated it using recent nationwide survey data in Japan. MethodsData from the National Fertility Survey in 2021 in Japan, which evaluated the outcomes and intentions of previous pregnancies in married couples, were used. Number of unintended pregnancies, induced abortions, and unintended pregnancies ending in induced abortion were used as outcomes, and the number of unintended pregnancies ending in induced abortion was analyzed among couples who experienced an unintended pregnancy. Associations with current educational attainment, employment status, and household income were investigated using Poisson regression analysis. A complete-case analysis was conducted for dealing with missing data, as well as an analysis using multiple imputation. ResultsAverage number of unintended pregnancy and induced abortion per pregnancy of junior high school graduates was the highest among educational attainments of wives and husbands. The adjusted regression analysis showed that junior high school graduate in husbands was significantly associated with higher number of unintended pregnancies and induced abortions, regardless of the missing data analysis methods. In addition, high school or training school graduate in husbands was significantly associated with higher number of induced abortions. A significant association between socioeconomic status and the unintended pregnancy ending in induced abortion was not observed. ConclusionThis study showed that a lower educational attainment in husband was associated with higher number of unintended pregnancies and induced abortions in Japan.

Use and Cost Patterns of Antihypertensive Medications in the United States From 1996 to 2021.

Antihypertensive medication use patterns have likely been influenced by changing costs and accessibility over the past 3 decades. This study examines the relationships between patent exclusivity loss, medication costs, and national health policies on antihypertensive medication use. Using 1996 to 2021 Medical Expenditure Panel Survey data of US adults with hypertension taking at least 1 antihypertensive medication, we conducted a cross-sectional analysis. We explored the associations between patent exclusivity loss, per-pill costs, and Medicare Part D enactment on medication use over time, focusing on the most commonly used medications (lisinopril, amlodipine, losartan, hydrochlorothiazide, and metoprolol). The unweighted sample comprised 50 095 US adults (mean age, 62 years; 53% female). The survey-weighted number of adults taking antihypertensive medications increased from 22 million (95% CIs, 20-23 million) to 55 million (95% CI, 51-60 million) between 1996 and 2021. Loss of patent exclusivity led to increased medication fills, notably for lisinopril, amlodipine, and losartan, which all exhibited within-class dominance. However, per-pill cost decreases coinciding with Medicare Part D did not increase the number of individuals treated or the use of specific antihypertensive medications or classes. The increase in antihypertensive medication use over the past decades highlights the significant impact of loss of patent exclusivity on the uptake in the use of specific medications. These findings underscore the complexity of factors influencing medication use, beyond cost reductions alone, and suggest that policies need to consider multiple facets to effectively improve antihypertensive medication accessibility and utilization.

Geospatial insights into social determinants and financial toxicity among patients with gynecologic malignancies: A perspective from the American Community Survey data

Geospatial insights into social determinants and financial toxicity among patients with gynecologic malignancies: A perspective from the American Community Survey data

The psychology of pandemic policy support: unraveling the complex interplay of personal values and value congruence across 20 European countries

ObjectivesWe explored the roles of personal values and value congruence—the alignment between individual and national values—in predicting public support for pandemic restrictions across 20 European countries. Study designCross-sectional study. MethodsWe analyzed multinational European survey data (N = 34,356) using Schwartz's values theory and person-environment fit theory. Multilevel polynomial regression was employed to assess the linear and curvilinear effects of personal values on policy support. Multilevel Euclidean similarity analysis and response surface analysis were conducted to evaluate the impact of value congruence and delineate nuanced congruence patterns. ResultsFindings revealed that extreme levels of security, conformity, stimulation, hedonism, and achievement values were associated with decreased policy support. Value congruence with security, conformity, and benevolence increased support, while congruence with stimulation, hedonism, and achievement reduced it. High congruence between personal and national social focus values significantly boosted policy support. Extreme mismatches in self-direction values amplified support. Societal power exceeding personal power also increased support. Matched levels of hedonism motivated greater support, while stimulation and achievement value (in)congruence showed little impact. ConclusionsWe highlight the differential effects of personal values and value congruence on public attitudes toward pandemic restrictions. The findings underscore the importance of considering the interplay between individual and societal values when designing and implementing effective pandemic response strategies.

Sustainable Steps in the Snow: Exploring factors associated with active school commuting in Finland

Physical inactivity of children and youth is a major health problem. Active commuting could increase the amount of physical activity and be a more environmentally friendly traffic mode choice compared with motorized vehicles. Parents have an integral role in determining the options a child has for commuting. We explored parental barriers and motivators associated with the active commute of their children.This cross-sectional study used the CLIMATE NUDGE Survey data of parents with school-aged children. A set of 25 possible influencing factors included demographic factors, social aspects, and pro-environmental attitudes, and questions about the motivating role of journey characteristics and health effects. The data were analyzed with two multinomial logistic regression analyses (N = 320): first, comparing those who either never or sometimes commute actively to those who always do so, and second, those who always or sometimes commute actively to those who never do so.Results indicated the strongest determinants to differentiate those who always and those who never use active commute, were commute distance and parental beliefs about social commute norms. The longer the commute distance was, the more likely the child was to belong to the never active commuter group and less likely to belong to the always active commuter group. The more parents believed their child’s peers commuted actively, the more likely it was that their child always commuted actively and less likely they never did so.We found several factors associated with active commuting, yet somewhat surprisingly neither environmental attitudes nor climate change related reasons were significantly associated with active commuting. To conclude, instead of highlighting environmental aspects to promote active commute, we recommend highlighting social norms and perception of the commute distance, and addressing weather-related barriers and health related motivators.

Cognitive Difficulty in Middle Eastern and North African Adults Living in the United States Compared With Other Racial and Ethnic Categories, 2017-2021.

Objectives. To estimate the odds of having cognitive difficulties among Middle Eastern and North African (MENA) American adults and compare these odds with those of White, Black, Hispanic/Latino, Asian, American Indian or Alaska Native (AI/AN), and Native Hawaiian/Other Pacific Islander adults nationally and in the 4 states with the largest MENA populations (California, New York, Michigan, and Texas) after adjusting for sociodemographic factors. Methods. We analyzed 2017-2021 American Community Survey data (aged ≥ 45 years; n = 7 284 988), comparing presence of cognitive difficulties by race/ethnicity. Results. MENA adults had greater odds of reporting cognitive difficulties than did White (odds ratio [OR] = 1.49; 95% confidence interval [CI] = 1.42, 1.56), Black (OR = 1.20; 95% CI = 1.14, 1.26), Hispanic (OR = 1.46; 95% CI = 1.39, 1.53), Asian (OR = 1.31; 95% CI = 1.25, 1.38), and AI/AN (OR = 1.07; 95% CI = 1.01, 1.14) adults. In all 4 states, odds of having cognitive difficulties were higher among MENA than Asian adults. Other racial/ethnic comparisons differed by state. Conclusions. A separate checkbox for MENA Americans approved by the Office of Management and Budget is important so health outcomes can be studied in more detail and funds can be allocated for research and resources at state and national levels. (Am J Public Health. 2024;114(11):1265-1274. https://doi.org/10.2105/AJPH.2024.307803).

The relationship between nocturia and suicidal ideation: A study on The National Health and Nutrition Survey data.

The focus of this research was to explore any potential link between nocturia and the risk of suicidal ideation. Drawing from the National Health and Nutrition Survey, data relating to 25 241 participants was scrutinized. This included 13 421 individuals identifying as male and 11 820 individuals identifying as female. Participants provided information on nocturia and suicidal ideation via self-completed questionnaires. To determine if nocturia was independently related to suicidal ideation, a multivariable logistic regression analysis was employed. Analyses were also undertaken separately for adult males and females. It was found that around 3.5% of participants had experienced suicidal ideation. The results indicated that nocturia increased the risk for suicidal ideation in all adult groups (odds ratio [OR] = 1.67, 95% confidence interval[CI]: 1.37-2.03, p < 0.0001), including both males (OR = 1.91, 95% CI: 1.38-2.65, p < 0.001) and females (OR = 1.48, 95% CI: 1.158-1.90, p = 0.002). The risk for suicidal ideation increased with the severity of nocturia, with significant trends observed in adult males (p for trend = 0.04) and adult females (p for trend = 0.01). Additionally, subgroup examination showed a significant interaction between nocturia and educational level in adult males (p for interaction = 0.03). Among adult females, a noteworthy interaction was observed between nocturia and body mass index (p for interaction = 0.02). The research uncovered a connection between nocturia and an elevated risk of suicidal ideation.

Factors Affecting Women Sports Officials’ Intention to Leave Across Europe

This study examines the factors affecting women officials’ intention to leave their chosen sport, including personal, work-related, and sociocultural factors. The empirical analysis is based on survey data of women officials in 69 different sports across Europe (n = 3,214). Overall, 10.7% of women expressed a turnover intention. Regression analyses indicate that this intention is higher for women who have more officiating experience (16–20 years), officiate at lower levels of sport (grassroots, junior), frequently experience abuse, and dislike the stress and time commitments of officiating, lack of support from the federation, and their lack of opportunity to progress. Younger women (≤24 years) with a mentor, who enjoy being part of a sport community and live in a more gender equal society are less likely to leave. The findings suggest that multiple factors are at work, which need to be addressed by sport managers to retain women in officiating roles.

Using random forest to identify correlates of depression symptoms among adolescents.

Adolescent depression is a significant public health concern, and studying its multifaceted factors using traditional methods possess challenges. This study employs random forest (RF) algorithms to determine factors predicting adolescent depression scores. This study utilized self-reported survey data from 56,008 Canadian students (grades 7-12) attending 182 schools during the 2021/22 academic year. RF algorithms were applied to identify the correlates of (i) depression scores (CESD-R-10) and (ii) presence of clinically relevant depression (CESD-R-10 ≥ 10). RF achieved a 71% explained variance, accurately predicting depression scores within a 3.40 unit margin. The top 10 correlates identified by RF included other measures of mental health (anxiety symptoms, flourishing, emotional dysregulation), home life (excessive parental expectations, happy home life, ability to talk to family), school connectedness, sleep duration, and gender. In predicting clinically relevant depression, the algorithm showed 84% accuracy, 0.89 sensitivity, and 0.79 AUROC, aligning closely with the correlates identified for depression score. This study highlights RF's utility in identifying important correlates of adolescent depressive symptoms. RF's natural hierarchy offers an advantage over traditional methods. The findings underscore the importance and additional potential of sleep health promotion and school belonging initiatives in preventing adolescent depression.

A study of oral health and quality of life in patients with dyslipidemia

Objectives: This study analyzed factors influencing oral health and quality of life in patients with dyslipidemia using raw data from the first year (2019) and third year (2021), where the quality of life was assessed using the HINT-8 tool from the 8th National Health and Nutrition Survey data. Methods: Frequency analysis, descriptive statistics, general linear model analysis, and linear regression analysis were performed on the collected data using SPSS program 26.0, and the data of 1,926 participants were analyzed. Results: The mean quality of life (HINT-8) score was 0.78 out of 1.00. Quality of life according to general characteristics, showed significant differences according to gender, age, household income, education level, lifetime smoking status, and lifetime alcohol consumption. In terms of oral health, it significantly differed according to chewing discomfort, speaking discomfort, oral examination history, toothbrushing frequency, toothache history, untreated dental care needs, subjective oral health status and use of oral care products. The predictors of quality of life were gender, household income, education level, lifetime alcohol consumption, chewing discomfort, speaking discomfort, toothache history, and untreated dental care needs. Conclusions: These results confirm that oral health influences the quality of life of patients with dyslipidemia and are expected to provide basic data for research on improving oral health and quality of life in these patients.

A 28-time-point cropland area change dataset in Northeast China from 1000 to 2020

Abstract. Based on historical documents, population data, published results, remote sensing data products, statistical data, and survey data, this study reconstructed the cropland area and the spatial pattern changes at 28 time points from 1000 to 2020 in Northeast China. The period from 1000 to 1600 corresponds to historical provincial-level administrative districts, while the period from 1700 to 2020 corresponds to modern county-level administrative districts. The main findings are as follows: (1) the cropland in Northeast China exhibited phase changes of expansion–reduction–expansion over the past millennium. (2) The cropland area in Northeast China increased from 0.55×104 km2 in 1000 to 37.90×104 km2 in 2020, and the average cropland fraction increased from 0.37 % to 26.27 %; (3) from 1000 to 1200, the cropland area exhibited an increasing trend, which peaked in 1200. The scope of land reclamation was comparable to modern times, but the overall cropland fraction remained low. The cropland area significantly decreased between 1300 and 1600, with the main land reclamation area being reduced southward into Liaoning province. From 1700 to 1850, the cropland area increased slowly and the agricultural reclamation gradually expanded northward. After 1850, there was almost exponential growth, with the cropland area continuously expanding to the whole study area, and this growth trend persists until 2020; (4) the dataset of changes in the cropland of administrative districts in Northeast China, reconstructed based on multiple data sources and improved historical cropland reconstruction methods, significantly enhances time resolution and reliability. Additionally, the dataset shows relatively better credibility assessment results, which can provide a refined database for historical land use and land cover change (LUCC) dataset reconstruction, carbon emission estimation, climate data construction, etc. The dataset can be downloaded from https://doi.org/10.6084/m9.figshare.25450468.v2 (Jia et al., 2024).

Identarian Atlanticism and foreign policy implications: a study of European public attitudes

ABSTRACT An increasing number of scholars have studied the role of identity in shaping states’ foreign policy. In Europe, the existence of diverse national identities renders shared senses of European identity an important foundation for any foreign policy requiring supra-national coordination. Most studies support the view that strengthening senses of European identity promote ‘Europeanist’ foreign policy paradigms that emphasize the importance for Europe to act as an autonomous and independent global player. However, we suggest that the effects of European identification on citizens’ foreign policy preferences remain poorly understood. In this paper, using novel survey data, we statistically assess the linkages between citizens’ sense of European identity and their preferences to align with the United States. We find European identity to be strongly tied to ‘Atlanticist’ foreign policy attitudes and attribute much of this effect to feelings of ideational proximity. Our results provide insights into the future of Europe’s international positioning and showcase the importance of considering the relative proximity in actors’ identities when studying the impact of such identities on foreign policy attitudes.

Limited Congruence: Citizens’ Attitudes and Party Rhetoric About Referendums and Deliberative Practices

Both citizens and political parties refer to novel participatory practices in the contemporary crisis of representative democracy. Survey data indicate a growing demand for such practices within the electorate, while political parties have also begun discussing them more frequently. However, previous studies on citizens’ attitudes and parties’ discourse on democratic innovations rarely speak to each other. It remains unclear whether citizens’ attitudes and parties’ discourse are congruent. This article seeks to address this gap in the literature and analyses the extent to which political parties reflect citizens’ attitudes towards referendums and citizens’ deliberation in their manifestos. We cover 15 political parties in Germany and the UK. Our analysis uses party manifesto data between 2010 and 2024, and data from surveys conducted on national representative samples. Our findings reveal that political parties and citizens rarely have congruent approaches towards referendums and deliberative practices. People’s enthusiasm about referendums is hardly reflected in parties’ rhetoric, but the latter reacts gradually to the public appetite for deliberation. There are visible differences between opposition parties and those in government.

The credentialism trap: are IT certifications overrated?

Purpose This paper aims to explore whether certifications are sufficient for comprehensively evaluating the IT sector, focusing on DevOps, as this branch has the widest range of certifications. It examines the limitations of relying solely on certifications and highlights the gap between certified knowledge and practical competence in real-world settings. Design/methodology/approach The study includes a survey of 72 certified DevOps professionals with varying years of experience to gather insights on the impact of certifications. It also reviews existing literature on the origins, psychological aspects and role of certifications in recruitment within the IT sector. Findings The findings indicate that while certifications enhance technical knowledge and boost confidence among IT professionals, they do not consistently lead to career advancements and sometimes do not adequately assess practical skills and soft skills essential for DevOps roles. The survey revealed that only a minority experienced promotions postcertification, highlighting a disconnect between certifications and career progression. Research limitations/implications The survey sample was limited to 72 respondents, which may not represent the entire DevOps community. Future research with a more extensive and diverse sample could provide more generalisable results and deeper insights into the impact of certifications across different contexts. Practical implications Organisations should consider certifications as one component of a candidate’s qualifications, alongside practical experience and soft skills. Professionals are encouraged to pursue certifications for skill validation and knowledge enhancement but should integrate them with practical application and continuous learning to ensure effectiveness in DevOps environments. Social implications An overemphasis on certifications can contribute to a “credentialist” culture, potentially undervaluing practical skills and leading to stress and burnout among professionals. A balanced approach that values both certified knowledge and experiential learning can promote a healthier professional environment and improve team collaboration. Originality/value This paper provides a nuanced examination of the role of certifications in evaluating DevOps skills by combining survey data with a literature review. It offers original insights into the limitations of certifications and emphasises the importance of balancing them with practical experience and soft skills in the IT industry.

Comparing Canada's 2018 proposed and 2022 final front-of-pack labelling regulations using generic food composition data and a nationally representative dietary intake survey.

The objective of the study was to compare the potential dietary impact of proposed and final front-of-pack labelling (FOPL) regulations (published in Canada Gazette I (CG1) and Canada Gazette II (CG2), respectively) by examining the difference in the prevalence of foods that would require a 'High in' front-of-pack nutrition symbol and nutrient intakes from those foods consumed by Canadian adults. Foods in a generic food composition database (n 3676) were categorised according to the details of FOPL regulations in CGI and CGII, and the differences in the proportion of foods were compared. Using nationally representative dietary survey data, potential intakes of nutrients from foods that would display a 'High in' nutrition symbol according to CGI and CGII were compared. Canada. Canadian adults (≥ 19 years; n 13 495). Compared with CGI, less foods would display a 'High in' nutrition symbol (Δ = -6 %) according to CGII (saturated fat = -4 %, sugars = -1 %, sodium = -3 %). Similarly, potential intakes of nutrients-of-concern from foods that would display a 'High in' nutrition symbol were reduced according to CGII compared with CGI (saturated fat = -21 %, sugars = -2 %, sodium = -6 %). Potential intakes from foods that would display a 'High in' nutrition symbol were also reduced for energy and nutrients-to-encourage, including protein, fibre, calcium and vitamin D. Changes to FOPL regulations may have blunted their potential to limit intakes of nutrients-of-concern; however, they likely averted potential unintended consequences on intakes of nutrients-to-encourage for Canadians (e.g. calcium and vitamin D). To ensure policy objectives are met, FOPL regulations must be monitored regularly and evaluated over time.

State Full Practice Authority Regulations and Nurse Practitioner Practice Autonomy: Evidence From the 2018 National Sample Survey of Registered Nurses.

State full practice authority (FPA) laws are designed to permit NPs to practice autonomously from physicians. Little is known regarding how FPA laws affect NPs' practice autonomy in daily practice. This study used nationwide survey data from 20,830 NPs to estimate how NPs' practice autonomy differs between NPs in FPA and non-FPA states. NPs in states with FPA laws were more than twice as likely as NPs in non-FPA states to practice in clinic settings with no onsite physicians and were twice as likely to not have a physician collaborator. Associations between FPA laws and four other indicators of practice autonomy were positive but smaller in magnitude. States with FPA laws more than 10 years experienced larger changes in nurse practitioner (NP) autonomy compared with states with FPA laws in effect less than 10 years. FPA laws may promote the development of autonomous NP practice sites, thereby expanding access in underserved populations.

Research on the mechanism of digital innovation ecosystem embeddedness on the digital innovation performance of complementary enterprises: evidence from China

PurposeIn the era of the digital economy, the digital innovation ecosystem is an important vehicle to alleviate enterprises' resource and capability constraints and thus improve their digital innovation performance. Embedding digital innovation ecosystems for survival and development opportunities has become a new strategic choice for enterprises. However, how digital innovation ecosystem embeddedness affects the digital innovation performance of complementary enterprises has not yet been fully revealed. This study examines whether digital innovation ecosystem embeddedness affects the digital innovation performance of complementary enterprises through ambidextrous capabilities (exploration and exploitation) and the moderating role of strategic flexibility.Design/methodology/approachA field survey was conducted in China, collecting survey data from 578 complementary enterprises in advanced manufacturing industries embedded in digital innovation ecosystems. This study applies multiple regression analysis to verify the relevant hypotheses.FindingsThe results confirmed that (1) digital innovation ecosystem embeddedness has a significant positive effect on complementary enterprises' digital innovation performance; (2) Ambidextrous capabilities play a partial mediating role in the relationship between digital innovation ecosystem embeddedness and complementary enterprises' digital innovation performance. (3) Strategic flexibility positively moderates the effect of digital innovation ecosystem embeddedness on ambidextrous capabilities and digital innovation performance.Practical implicationsThe findings, intended to guide enterprises that complement the digital innovation ecosystem to achieve digital innovation and performance improvement, highlight the importance of eco-embedded strategies, ambidextrous capabilities and strategic flexibility.Originality/valueThe finding enriches antecedent research on digital innovation performance and provides practical insights for firms to embed themselves in digital innovation ecosystems to improve performance.

Towards more effective health monitoring: a comparison of different data sources

Abstract Background Monitoring the prevalences of chronic diseases and their risk factors at the population level is important to support effective prevention measures, health service planning and health policy-making. The utilization of register information is cost-effective in population health monitoring, but the validity of information is important to assess. The aim of this study was to compare the information on most common chronic diseases and risk factors collected from a population-based Healthy Finland survey and national health registers. Methods The study population comprised of 4785 individuals aged 20 years or over from the nationally representative Healthy Finland Health Examination Survey conducted in 2023. Information on the most common chronic diseases were derived from both survey data (including measured and self-reported data) and the national registers. The prevalence in survey data were compared with prevalence in register data for those individuals who participated in the survey. Register data was examined for the previous five years and was obtained from the Care Register for Health Care and medical registers, depending on availability of data. Weighted prevalences were calculated taking into account the sampling design and non-response. Results For all examined risk factors and diseases, the prevalence was higher in survey data than in register data. The difference was the greatest for elevated blood pressure: the prevalence in survey data was 48.6% (95% CI 46.5, 50.7) versus 17.3% (15.6, 19.0) in register data. The prevalence of diabetes was 11.5% (10.4, 12.5) in survey and 6.9% (5.9, 7.9) in register data. For sleep apnea, the prevalence in survey data was 8.4% (7.4, 9.3) and 4.4% (3.7, 5.1) in register data. Conclusions Register-based information provides more reliable prevalences on diseases needing urgent treatment. Survey data brings out also previously unidentified diseases cases that do not show in registers. Key messages • Register data is cost-effective in health monitoring, but surveys are needed for monitoring risk factors. • Utilizing diverse data sources enhances getting reliable information to support decision-making.