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Focus on Women and Men

3. Health

Contents


All information on the health establishments of the Czech Republic and the health state of the population is collected, except figures on incapacity for work due to injury or disease, in an exhaustive manner by the Institute of Health Information and Statistics of the Czech Republic (IHIS CR) on the basis of departmental statistical surveys and mandatory notification by health establishments. The Czech Statistical Office measures data on incapacity for work due to disease or injury; all other data concerning health service are taken over by the CZSO for its publications from the above-mentioned institute.

Basic indicators on number of employees in health service – Source: Annual questionnaire on registered number of employees and employers, numbers of actual persons are given.

Physicians by main branch of activity – Source: Register of physicians, dentists and pharmacists. In processing by main branch of activity each worker is classified by branch, in which he/she has the highest workload, in the case of the same workloads by branch, in which he/she has higher qualification. (Each physician is included only once – as actual person, even in the case that he/she has a load in more branches.) Data provided apply to registered number of workers, i.e. those who were active in the relevant time. Data include also dentists.

Crčches – Source: Annual questionnaire on activity of health establishments.

Abortions – Source: Mandatory notification “Application for induced abortion, notification on abortion and ectopic pregnancy.” Data provided apply to females with Czech nationality.

Data from the Health Interview Survey – Data on smoking, alcohol consumption, body weight, physical activity and chronic diseases were obtained from a sample survey on health condition of Czech population (Health Interview Survey), which was carried out by the Institute of Health Information and Statistics of the CR. The survey was carried out in 1993, 1996, 1999 and 2002.

Chronic diseases - Table and graph show prevalence of selected chronic diseases in groups of persons asked within the sample survey on health condition of Czech population in 1993-2002.

Smoking - Table and graph show structure of respondents by type of smoker in % of males and % of females.

Alcohol consumption – Structure of respondents in % by last alcoholic drink and weekly consumption. Alcohol consumption is converted to doses of 12g. Weekly consumption of 0-1.9 of alcohol doses is evaluated as low, 15 doses and more for females and 22 doses and more for males as an excessive consumption of alcohol.

Body weight – it was evaluated by the Body Mass Index, which is calculated from the relation of weight to height of an individual. BMI values of 20-26.9 were evaluated as normal weight, lower as underweight and higher as overweight. (Below 17.9 it is a big underweight, over 30 is obesity). Height and weight were surveyed by an inquiry. Table and graph show structure of respondents by BMI and sex.

Physical activity – Table and graph show structure of respondents by physical activity in leisure time. Females and males provided information on what time they spent by relevant activity during the last 7 days.

Average percentage of incapacity for work per year is calculated from calendar days of incapacity for work due to disease or injury divided by the average number of the sickness insured, multiplied by the number of calendar days in a year.

Average number of the sickness insured - the indicator shows the average number of persons who are sickness insured according to the Sickness Insurance of Employed Persons Act 54/56 as last amended.

Excluded from this statutory insurance are regular members of the armed forces, foreign nationals (not residing on the territory of the Czech republic), employees working in the Czech Republic for an employer not based (having no seat) in the Czech Republic, and employees with occasional jobs only. The average number of the sickness insured does not include women on maternity leave and temporary members of the armed forces.

Cases of incapacity for work - refer to newly notified cases of incapacity for work due to injury or disease.

Calendar days of incapacity for work - the number of calendar days on which employees insured for sickness were incapable to work (based on reported beginning and end of the incapacity)

Deaths: analysed by cause - On 1 January 1994 the 10th decennial revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10), formerly the International Classification of Diseases, Injuries and Causes of death (ICDICD), was put into use in the CR by Act 278/1992 of the Czech National Council. The organization responsible for its use in practice is the Institute of Health Information and Statistics of the CR. Unlike its 9th revision, the ICD-10 uses a four-character alphanumerical code consisting of one letter and three digits. However, a three-character alpha numerical code is employed for basic statistical treatment. The range of the causes of dead has been considerably expanded, and the names and the order of cause of death have been changed, too. There is no full comparability between ICD-9 and ICD-10.