A population health and lifestyle survey of a coastal city in South East England (Health Counts 2024): Protocol for a cross-sectional study.

Nigel Sherriff, Kate Gilchrist, Massimo Mirandola, Jörg Huber, Catherine Aicken, Kathleen T Galvin, Alexandra Sawyer, Susannah Davidson, Ciara Gray, Caroline Vass, Louise Knight, Carrie Llewellyn

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Health and lifestyle population surveys are important in public health to identify trends, provide data to monitor the effectiveness and reach of public health initiatives and policies, and help allocate health resources more equitably. Surveys are a methodologically robust way of examining the inequalities in health outcomes or access to resources across a number of socio-demographic groups in a defined geographic area. This particular public health survey will provide information that cannot be obtained from other sources.
Aim: The aim of the study is to generate comprehensive public health relevant data from an adult population in a defined geographic coastal area of South East England.
Methods: A cross-sectional, non-interventional (observational) health and lifestyle population survey was developed using a mobile first design approach to recruitment, with the content drawing on a previous iteration of the survey in 2012. Previous Health Counts surveys in this region have been conducted approximately every ten years since 1992 to provide data about trends over time. Extensive rounds of consultation and testing took place between October 2023 and February 2024. The final survey comprised of 102 questions structured around 13 contemporary public health issues in the UK. Survey distribution was by two rounds of text messaging through all General Practices (GP) in Brighton and Hove, to all adults registered with a GP, with a mobile phone who had not opted out of communications; advertising across a range of public facing initiatives; and included targeted outreach activities for potentially marginalised groups e.g. in public libraries and community groups. Enrolment took place between 18th March and 28th April 2024.
Results: A total of 26, 014 eligible people responded. Data analysis has started and results will be reported in the summer of 2025.
Conclusions: Understanding trends in population inequalities over time, as well as gaining insights into new areas for the very first time, Health Counts 2024 data can inform decision-making on strategies to improve health and reduce inequalities by local authorities in the England, and the NHS but also potentially across other European cities through the effective dissemination and sharing of promising practices as an integral part of evidenced-based public health.
Original languageEnglish
JournalJMIR Research Protocols
DOIs
Publication statusAccepted/In press - 16 Jun 2025

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Keywords

  • health
  • survey
  • health inequalities
  • population
  • health Counts 2024
  • public health

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