# Part C: Major Data Sources for Healthy People 2010

The 467 Healthy People 2010 objectives are being tracked by 190 data
sources. A [major]{.underline} data source is defined as a data system
responsible for tracking five or more Healthy People 2010 objectives.
There are 23 data systems that meet these criteria. A brief discussion
of each (in alphabetical order) is provided in this section. Table 7
(below) lists the major data sources by the number of objectives they
track. More than three-fifths (286) of the objectives are tracked with
data from these sources.

+-----------------------------------------------------------+----------+
| ## **Tabl                                                 |          |
| e 7 Number of Objectives Tracked by Healthy People 2010 M |          |
| ajor Data Sources**  {#table-7-number-of-objectives-track |          |
| ed-by-healthy-people-2010-major-data-sources .unnumbered} |          |
+-----------------------------------------------------------+----------+
| > **Data Sources**                                        | >        |
|                                                           | **Number |
|                                                           | > of\    |
|                                                           | > Ob     |
|                                                           | jectives |
|                                                           | > T      |
|                                                           | racked** |
+-----------------------------------------------------------+----------+
| > National Health Interview Survey (NHIS)                 | > 67     |
+-----------------------------------------------------------+----------+
| > National Health and Nutrition Examination Survey        | > 35     |
| > (NHANES)                                                |          |
+-----------------------------------------------------------+----------+
| > National Vital Statistics System---Mortality (NVSS-M)   | > 32     |
+-----------------------------------------------------------+----------+
| > National Survey of Family Growth (NSFG)                 | > 14     |
+-----------------------------------------------------------+----------+
| > National Hospital Discharge Survey (NHDS)               | > 11     |
+-----------------------------------------------------------+----------+
| > Youth Risk Behavior Surveillance System (YRBSS)         | > 11     |
+-----------------------------------------------------------+----------+
| > HIV/AIDS Surveillance System                            | > 10     |
+-----------------------------------------------------------+----------+
| > Behavioral Risk Factor Surveillance System (BRFSS)      | > 9      |
+-----------------------------------------------------------+----------+
| > National Household Survey on Drug Abuse (NHSDA)         | > 8      |
+-----------------------------------------------------------+----------+
| > School Health Policies and Programs Study (SHPPS)       | > 8      |
+-----------------------------------------------------------+----------+
| > National Vital Statistics System---Natality (NVSS-N)    | > 8      |
+-----------------------------------------------------------+----------+
| > National Profile of Local Health Departments (NPLHD)    | > 8      |
+-----------------------------------------------------------+----------+
| > National Ambulatory Medical Care Survey (NAMCS)         | > 7      |
+-----------------------------------------------------------+----------+
| > United States Renal Data System (USRDS)                 | > 7      |
+-----------------------------------------------------------+----------+
| > STD Surveillance System (STDSS)                         | > 7      |
+-----------------------------------------------------------+----------+
| > Medical Expenditure Panel Survey (MEPS)                 | > 6      |
+-----------------------------------------------------------+----------+
| > National Hospital Ambulatory Medical Care Survey        | > 6      |
| > (NHAMCS)                                                |          |
+-----------------------------------------------------------+----------+
| > Continuing Survey of Food Intake by Individuals (CSFII) | > 6      |
+-----------------------------------------------------------+----------+
| > National Crime Victimization Survey (NCVS)              | > 6      |
+-----------------------------------------------------------+----------+
| > 1999 National Worksite Health Promotion Survey (NWHPS)  | > 5      |
+-----------------------------------------------------------+----------+
| > State Tobacco Activities Tracking and Evaluation System |          |
| > (STATES)                                                |          |
+-----------------------------------------------------------+----------+
| > National Notifiable Disease Surveillance System (NNDSS) | > 5      |
+-----------------------------------------------------------+----------+
| > Monitoring the Future Study (MTF)                       | > 5      |
+-----------------------------------------------------------+----------+

+--------------------+-------------------------------------------------+
| **Behavioral Risk  |                                                 |
| Factor             |                                                 |
| Surveillance       |                                                 |
| System\            |                                                 |
| (BRFSS)**          |                                                 |
+====================+=================================================+
| Sponsor            | U.S. Department of Health and Human Services,   |
|                    | Centers for Disease Control and Prevention      |
|                    | (CDC), National Center for Chronic Disease      |
|                    | Prevention and Health Promotion (NCCDPHP).      |
+--------------------+-------------------------------------------------+
| Mode of            | Telephone interview.                            |
| Administration     |                                                 |
+--------------------+-------------------------------------------------+
| Survey Sample      | Data collection is conducted separately by each |
| Design             | State. Sample design uses State-level,          |
|                    | random-digit-dialed probability samples of the  |
|                    | adult (aged 18 years and over) population. Most |
|                    | States currently use disproportionate random    |
|                    | sampling methods. Increasing State              |
|                    | participation over time, with 15 States in 1984 |
|                    | and all 50 States and the District of Columbia  |
|                    | since 1994. In 1998, State-specific sample      |
|                    | sizes ranged from 1,499 to 6,005. The median    |
|                    | sample size was 2,648.                          |
+--------------------+-------------------------------------------------+
| ####               | State response rates vary from year to year. In |
| ### Response Rates | 1998, upper-bound response rates ranged from 45 |
|                    | to 95 percent (median response rate: 73         |
|                    | percent).                                       |
+--------------------+-------------------------------------------------+
| Primary Survey     | The survey consists of a core of questions      |
| Content            | asked in all States, standardized optional      |
|                    | questions on selected topics that are           |
|                    | administered at the State's discretion, a       |
|                    | rotating core of questions asked every other    |
|                    | year in all States, and State-added questions   |
|                    | developed to address State-specific needs.      |
|                    | Questions cover behavioral risk factors (for    |
|                    | example, alcohol and tobacco use), preventive   |
|                    | health measures, HIV/AIDS, health status,       |
|                    | limitation of activity, and health care access  |
|                    | and utilization.                                |
+--------------------+-------------------------------------------------+
| Population         | Civilian, noninstitutionalized population 18    |
| Targeted           | years of age and older who reside in households |
|                    | with telephones.                                |
+--------------------+-------------------------------------------------+
| ######             | Gender, age, educational attainment,            |
| # Demographic Data | race/ethnicity, household income, employment    |
|                    | status, and marital status.                     |
+--------------------+-------------------------------------------------+
| #####              | Annually since 1984.                            |
| ## Years Collected |                                                 |
+--------------------+-------------------------------------------------+
| ####### Schedule   | Annual.                                         |
+--------------------+-------------------------------------------------+
| Geographic         | National; State; smaller area estimates         |
| Estimates          | possible in some States.                        |
+--------------------+-------------------------------------------------+
| ####### Notes      | The BRFSS is a partnership between State Health |
|                    | Departments and CDC; CDC provides about         |
|                    | one-half of the financial resources for States  |
|                    | to use for data collection efforts. States have |
|                    | substantial input on questions used by all      |
|                    | States through the BRFSS. Many Healthy People   |
|                    | objectives are tracked with questions that are  |
|                    | asked every other year or are optional. Persons |
|                    | who do not have telephones or have telephones   |
|                    | but are either in institutional settings or     |
|                    | cannot be understood over the telephone are     |
|                    | excluded.                                       |
+--------------------+-------------------------------------------------+
| Contact            | Data system homepage:                           |
| Information        | http://www.cdc.gov/nccdphp/brfss                |
|                    |                                                 |
|                    | Data system phone: 770-488-2455                 |
|                    |                                                 |
|                    | Agency homepage: http://www.cdc.gov/nccdphp     |
|                    |                                                 |
|                    | Agency phone: 770-488-5401                      |
+--------------------+-------------------------------------------------+
| ####### References | Centers for Disease Control and Prevention.     |
|                    | *The Behavioral Risk Factor Surveillance System |
|                    | User's Guide*. Atlanta, GA: U.S. Department of  |
|                    | Health and Human Services, 1998.                |
|                    |                                                 |
|                    | Nelson, D.E.; Holtzman, D.; Waller, M.; et al.  |
|                    | Objectives and design of the Behavioral Risk    |
|                    | Factor Surveillance System. *American           |
|                    | Statistical Association 1998 Proceedings of the |
|                    | Section on Survey Research Methods*.            |
|                    | Alexandria, VA: American Statistical            |
|                    | Association (ASA), 1998, 214-218.               |
|                    |                                                 |
|                    | Powell-Griner, E. Uses and limitations of the   |
|                    | Behavioral Risk Factor Surveillance System      |
|                    | data. *American Statistical Association 1998    |
|                    | Proceedings of the Section on Survey Research   |
|                    | Methods.* Alexandria, VA: ASA, 1998, 219-223.   |
+--------------------+-------------------------------------------------+

+--------------------+-------------------------------------------------+
| **Continuing       |                                                 |
| Survey of Food     |                                                 |
| Intake by          |                                                 |
| Individuals\       |                                                 |
| (CSFII),           |                                                 |
| 1994--96**         |                                                 |
+====================+=================================================+
| Sponsor            | U.S. Department of Agriculture (USDA),          |
|                    | Agricultural Research Service (ARS).            |
+--------------------+-------------------------------------------------+
| Mode of            | Two nonconsecutive days of food intake data     |
| Administration     | collected 3-10 days apart during in-person      |
|                    | interviews using the 24-hour dietary recall     |
|                    | method. About 2 weeks later, one adult from     |
|                    | each household was asked to answer a series of  |
|                    | questions about knowledge and attitudes toward  |
|                    | dietary guidance, health, and use of food       |
|                    | labels.                                         |
+--------------------+-------------------------------------------------+
| Survey Sample      | Nationally representative stratified multistage |
| Design             | area probability sample of U.S.                 |
|                    | noninstitutionalized civilian population, all   |
|                    | ages. Subsampling of individuals in households. |
|                    | Oversampling of low-income households with      |
|                    | incomes at or below 130 percent of the poverty  |
|                    | threshold. For 1994--96, sample size for 1-day  |
|                    | dietary data was 16,103; for 2-day dietary      |
|                    | data, it was 15,303.                            |
+--------------------+-------------------------------------------------+
| ####               | One-day response rate: 80 percent; and 2-day    |
| ### Response Rates | response rate: 76 percent.                      |
+--------------------+-------------------------------------------------+
| Primary Survey     | Kinds and amounts of foods consumed on each of  |
| Content            | 2 nonconsecutive days, sources of foods, time,  |
|                    | name of each eating occasion. Also collected    |
|                    | are food expenditures, shopping practices,      |
|                    | pregnancy, lactation, nursing status, and       |
|                    | height and weight.                              |
+--------------------+-------------------------------------------------+
| Population         | The civilian, noninstitutionalized population   |
| Targeted           | residing in all 50 States and the District of   |
|                    | Columbia, all ages.                             |
+--------------------+-------------------------------------------------+
| ######             | Household: Income, poverty status, household    |
| # Demographic Data | size, region, urbanization, tenancy,            |
|                    | participation in Food Stamp and WIC programs.   |
|                    |                                                 |
|                    | Individual: Gender, age, education, race,       |
|                    | ethnicity (Hispanic or non-Hispanic),           |
|                    | employment status of persons 15 years of age    |
|                    | and older.                                      |
+--------------------+-------------------------------------------------+
| #####              | 1994--96.                                       |
| ## Years Collected |                                                 |
+--------------------+-------------------------------------------------+
| ####### Schedule   | Periodic.                                       |
+--------------------+-------------------------------------------------+
| Geographic         | National; four U.S. Census Bureau regions;      |
| Estimates          | Standard Metropolitan Statistical Areas.        |
+--------------------+-------------------------------------------------+
| ####### Notes      | Additional outcome variables: For each of 2     |
|                    | days of intake and 2-day averages, food intakes |
|                    | in grams of 71 USDA-defined food groups and     |
|                    | subgroups, nutrient intakes of 28 nutrients and |
|                    | food components, nutrient intakes expressed as  |
|                    | percentages of the 1989 Recommended Dietary     |
|                    | Allowances, and Pyramid servings from 30 food   |
|                    | groups. Various components of the dietary       |
|                    | collection methodology will change from the     |
|                    | 1994--96 survey to the next survey planned for  |
|                    | the year 2000. Two 24-hour recalls will be      |
|                    | collected by telephone instead of by in-person  |
|                    | interview. Further research will assess the     |
|                    | impact of the changes in dietary data           |
|                    | collection methods on the comparability of the  |
|                    | 1994--96 and the 2000 survey estimates.         |
+--------------------+-------------------------------------------------+
| Contact            | Data system homepage:                           |
| Information        |                                                 |
|                    | htt                                             |
|                    | p://www.barc.usda.gov/bhnrc/foodsurvey/home.htm |
|                    |                                                 |
|                    | Data system phone: 301-504-0170                 |
|                    |                                                 |
|                    | Agency homepage: http://www.usda.gov            |
|                    |                                                 |
|                    | Agency phone: 202-720-2791                      |
+--------------------+-------------------------------------------------+
| References         | Ingwersen, L.A.; Haggerty, E.S.; LaComb, R.P.;  |
|                    | et al. Continuing Survey of Food Intakes by     |
|                    | Individuals (CSFII) Methodology: Translating    |
|                    | Food Intakes into Data. Champagne, C., ed.      |
|                    | *21st National Nutrient Databank Conference     |
|                    | Proceedings*. Baton Rouge, LA, 1998.            |
|                    |                                                 |
|                    | Mickle, S.J.; Vecchio, F.A.; and Guenther, P.M. |
|                    | Recent and Current Continuing Survey of Food    |
|                    | Intakes by Individuals (CSFII) Methodology      |
|                    | Research. Champagne, C., ed. *21st National     |
|                    | Nutrient Databank Conference Proceedings.*      |
|                    | Baton Rouge, LA, 1998.                          |
|                    |                                                 |
|                    | LaComb, R.P.; Green A.; and Ingwersen, L.       |
|                    | Survey Net: Coding and Management of CSFII Food |
|                    | Intake Data. *American Statistical Association  |
|                    | 1997 Proceedings of the Section on Survey       |
|                    | Research Methods.* Alexandria, VA: American     |
|                    | Statistical Association, 1997.                  |
|                    |                                                 |
|                    | Hama, M.Y. CSFII and HFCS Data: Issues,         |
|                    | Problems, and Needs. Emerging Data Issues in    |
|                    | Applied Food Demand Analysis. Proceedings of a  |
|                    | Workshop Held by the S216, Food Demand and      |
|                    | Consumption Behavior Regional Committee, 1993.  |
+--------------------+-------------------------------------------------+

##  

####  {#section-1 .unnumbered}

+--------------------+-------------------------------------------------+
| **HIV/AIDS         |                                                 |
| Surveillance       |                                                 |
| System**           |                                                 |
+====================+=================================================+
| Sponsor            | U.S. Department of Health and Human Services,   |
|                    | Centers for Disease Control and Prevention      |
|                    | (CDC), National Center for HIV, STD, and TB     |
|                    | Prevention (NCHSTP).                            |
+--------------------+-------------------------------------------------+
| Mode of            | Reports from health care providers are sent to  |
| Administration     | the local, State, or territorial health         |
|                    | departments. States and territories share, on a |
|                    | voluntary basis, de-identified data with CDC.   |
+--------------------+-------------------------------------------------+
| Survey Sample      | All 50 States, the District of Columbia, Puerto |
| Design             | Rico, the U.S. Virgin Islands, and other U.S.   |
|                    | territories report AIDS cases.                  |
+--------------------+-------------------------------------------------+
| ####               | Response rates vary by geographic region and    |
| ### Response Rates | patient population. In most areas, reporting of |
|                    | AIDS cases is at least 85 percent complete.     |
|                    | Reporting of deaths is about 90 percent         |
|                    | complete.                                       |
+--------------------+-------------------------------------------------+
| Primary Survey     | The AIDS case definition was modified in 1985,  |
| Content            | 1987, 1993 (for adults and adolescents), and    |
|                    | 1994 (for pediatric cases). Data include mode   |
|                    | of exposure to HIV, case definition category,   |
|                    | and other clinical and demographic information. |
+--------------------+-------------------------------------------------+
| Population         | Entire population of all 50 States, the         |
| Targeted           | District of Columbia, Puerto Rico, the U.S.     |
|                    | Virgin Islands, and other U.S. territories.     |
|                    | AIDS data are nationally representative.        |
+--------------------+-------------------------------------------------+
| ######             | Age, gender, race, ethnicity, State and county  |
| # Demographic Data | of residence, country of birth, and living      |
|                    | status.                                         |
+--------------------+-------------------------------------------------+
| #####              | CDC first received reports of persons with AIDS |
| ## Years Collected | in 1981.                                        |
+--------------------+-------------------------------------------------+
| ####### Schedule   | Biannual. HIV/AIDS Surveillance Report is       |
|                    | published twice a year. Supplemental reports    |
|                    | are published on an ad hoc basis and available  |
|                    | on the Web at                                   |
|                    | http:/                                          |
|                    | /www.cdc.gov/nchstp/hiv_aids/stats/hasrlink.HTM |
|                    | and at                                          |
|                    | ht                                              |
|                    | tp://www.cdc.gov/nchstp/hiv_aids/pubs/mmwr.htm. |
+--------------------+-------------------------------------------------+
| Geographic         | National, State, and Metropolitan Statistical   |
| Estimates          | Area. Data release policies dictate that no     |
|                    | data that could be used to identify a person    |
|                    | reported to the system may be released, thus,   |
|                    | release of data in cell sizes less than or      |
|                    | equal to three in a given category are          |
|                    | prohibited.                                     |
+--------------------+-------------------------------------------------+
| ####### Notes      | HIV/AIDS case surveillance is a                 |
|                    | population-based system.                        |
+--------------------+-------------------------------------------------+
| Contact            | Data system homepage:                           |
| Information        | http                                            |
|                    | ://www.cdc.gov/nchstp/hiv_aids/surveillance.htm |
|                    |                                                 |
|                    | Data system phone: 404-639-2057                 |
|                    |                                                 |
|                    | Agency homepage:                                |
|                    | http://www.cdc.gov/nchstp/od/nchstp.html        |
|                    |                                                 |
|                    | Agency phone: 770-488-5401                      |
+--------------------+-------------------------------------------------+
| ####### References | Centers for Disease Control and Prevention      |
|                    | (CDC). Guidelines for national human            |
|                    | immunodeficiency virus case surveillance,       |
|                    | including monitoring for human immunodeficiency |
|                    | virus infection and acquired immunodeficiency   |
|                    | syndrome. *Morbidity and Mortality Weekly       |
|                    | Report* 48(RR13), 1999.                         |
|                    |                                                 |
|                    | CDC. *HIV/AIDS Surveillance Report.* Year-end   |
|                    | 1998. Vol. 10, No. 2, 1999.                     |
+--------------------+-------------------------------------------------+

##  

####  {#section-3 .unnumbered}

+--------------------+-------------------------------------------------+
| **Medical          |                                                 |
| Expenditure Panel  |                                                 |
| Survey\            |                                                 |
| (MEPS)**           |                                                 |
+====================+=================================================+
| Sponsor            | U.S. Department of Health and Human Services:   |
|                    | Agency for Healthcare Research and Quality      |
|                    | (AHRQ) and Centers for Disease Control and      |
|                    | Prevention (CDC), National Center for Health    |
|                    | Statistics (NCHS).                              |
+--------------------+-------------------------------------------------+
| Mode of            | The MEPS comprises four linked, integrated      |
| Administration     | surveys, three of which are of interest here:   |
|                    |                                                 |
|                    | Household Component (HC): Computer-assisted,    |
|                    | in-person interviews;                           |
|                    |                                                 |
|                    | Medical Provider Component (MPC): Telephone     |
|                    | interviews and mailed surveys; and,             |
|                    |                                                 |
|                    | Insurance Component (IC): Telephone interviews  |
|                    | and mailed surveys.                             |
+--------------------+-------------------------------------------------+
| Survey Sample      | Each year, the MEPS HC sample is a nationally   |
| Design             | representative subsample of the National Health |
|                    | Interview Survey (NHIS), which uses a           |
|                    | stratified multistage probability design that   |
|                    | permits a continuous sampling of 358 primary    |
|                    | sampling units. The 1996 HC collected data on   |
|                    | 10,500 families and 24,000 individuals who      |
|                    | participated in the 1995 NHIS. The MPC bases    |
|                    | its sample on the HC. The IC partially bases    |
|                    | its sample on the HC. Data are obtained through |
|                    | employers, unions, or other private health      |
|                    | insurance sources identified by the HC          |
|                    | respondents.                                    |
+--------------------+-------------------------------------------------+
| ####               | HC: Rate varies by round, so effective response |
| ### Response Rates | rate varies by reference period of analysis;    |
|                    | however, for estimates of calendar year 1996,   |
|                    | MEPS has a response rate of 70 percent,         |
|                    | including the NHIS and three rounds of data     |
|                    | collection. MPC: Rate is over 90 percent. IC:   |
|                    | Rate varies by type of establishment; it is     |
|                    | over 90 percent for governments and less for    |
|                    | employers.                                      |
+--------------------+-------------------------------------------------+
| Primary Survey     | HC: Health conditions, health status, use of    |
| Content            | medical care services, charges and payments,    |
|                    | access to care, satisfaction with care, health  |
|                    | insurance coverage, income, and employment.     |
|                    | MPC: Information on medical care events from    |
|                    | medical providers identified by HC respondents, |
|                    | including expense information for events        |
|                    | covered under various managed care plans. IC:   |
|                    | Data on types of health insurance plans,        |
|                    | associated premiums, and numbers of plans       |
|                    | offered.                                        |
+--------------------+-------------------------------------------------+
| Population         | HC: Civilian noninstitutionalized families and  |
| Targeted           | individuals, all ages. MPC: Medical providers   |
|                    | identified by HC respondents. IC: Health        |
|                    | insurance companies.                            |
+--------------------+-------------------------------------------------+
| ######             | Age, race, ethnicity, region, occupation,       |
| # Demographic Data | employment status, and household composition.   |
+--------------------+-------------------------------------------------+
| #####              | 1977, 1987, and 1996 to present.                |
| ## Years Collected |                                                 |
+--------------------+-------------------------------------------------+
| ####### Schedule   | Annual.                                         |
+--------------------+-------------------------------------------------+
| Geographic         | National. The HC data also can be shown for the |
| Estimates          | four Census regions (Northeast, Midwest, South, |
|                    | and West). Some State information can be        |
|                    | provided for the IC.                            |
+--------------------+-------------------------------------------------+
| ####### Notes      | AHRQ fields a new MEPS panel each year. In this |
|                    | design, two calendar years of information are   |
|                    | collected from each household in a series of    |
|                    | five rounds of data collection over a 2         |
|                    | 1/2-year period. These data are then linked     |
|                    | with additional information collected from the  |
|                    | respondents' medical providers, employers, and  |
|                    | insurance providers. This series of data        |
|                    | collection activities is repeated each year on  |
|                    | a new sample of households, resulting in        |
|                    | overlapping panels of survey data.              |
+--------------------+-------------------------------------------------+
| Contact            | Data system homepage:                           |
| Information        | http://www.meps.ahrq.gov/survey.htm#target2     |
|                    |                                                 |
|                    | Data system phone: 301-594-1406                 |
|                    |                                                 |
|                    | Agency homepage: http://www.meps.ahrq.gov       |
|                    |                                                 |
|                    | Agency phone: 301-594-1406                      |
+--------------------+-------------------------------------------------+
| ####### References | Agency for Health Care Policy and Research      |
|                    | (AHCPR). *Construction of Weights for the 1996  |
|                    | Medical Expenditure Panel Survey Insurance      |
|                    | Component List Sample.* MEPS Methodology Report |
|                    | No. 8. AHRQ Pub. No. 00-0005. Rockville, MD:    |
|                    | AHCPR, 1999.                                    |
|                    |                                                 |
|                    | Sommers, J.P. *List Sample Design of the 1996   |
|                    | Medical Expenditure Panel Survey Insurance      |
|                    | Component.* MEPS Methodology Report No. 6 AHRQ  |
|                    | Pub. No. 99-0037. Rockville, MD: AHCPR, 1999.   |
|                    |                                                 |
|                    | Sommers, J.P.; Bethel, J.; and Broene, P.       |
|                    | *Construction of Weights for the 1996 Medical   |
|                    | Expenditure Panel Survey Nursing Home           |
|                    | Component.* MEPS Methodology Report No. 7. AHRQ |
|                    | Pub. No. 99-0045. Rockville, MD: AHCPR, 1999.   |
|                    |                                                 |
|                    | Cohen, S.B.; DiGaetano, R.; and Goksel, H.      |
|                    | *Estimation Procedures in the 1996 Medical      |
|                    | Expenditure Panel Survey Household Component.*  |
|                    | MEPS Methodology Report No. 5. AHRQ Pub. No.    |
|                    | 99-0027. Rockville, MD: AHCPR, 1999.            |
|                    |                                                 |
|                    | AHCPR. *Design and Methods of the 1996 Medical  |
|                    | Expenditure Panel Survey Nursing Home           |
|                    | Component.* MEPS Methodology Report 3. AHCPR    |
|                    | Pub. No. 98-0041. Rockville, MD: AHCPR, 1998.   |
|                    |                                                 |
|                    | AHCPR. *Sample Design of the 1996 Medical       |
|                    | Expenditure Panel Survey Nursing Home           |
|                    | Component.* MEPS Methodology Report 4. AHCPR    |
|                    | Pub. No. 98-0042. Rockville, MD: AHCPR, 1998.   |
|                    |                                                 |
|                    | Cohen, J. *Design and Methods of the Medical    |
|                    | Expenditure Panel Survey Household Component.*  |
|                    | MEPS Methodology Report No. 1. AHCPR Pub. No.   |
|                    | 97-0026. Rockville, MD: AHCPR, 1997.            |
|                    |                                                 |
|                    | Cohen, S. *Sample Design of the 1996 Medical    |
|                    | Expenditure Panel Survey Household Component.*  |
|                    | MEPS Methodology Report No. 2. AHCPR Pub. No.   |
|                    | 97-0027. Rockville, MD: AHCPR, 1997.            |
|                    |                                                 |
|                    | Cohen, J.W.; Monheit, A.C.; Beauregard, K.M.;   |
|                    | et al. *The Medical Expenditure Panel Survey: A |
|                    | National Health Information Resource.* Inquiry  |
|                    | 33:373-389, 1996/1997. Also available as AHCPR  |
|                    | Pub. No. 97-R043. Washington, DC: AHCPR, 1997.  |
+--------------------+-------------------------------------------------+

####  {#section-4 .unnumbered}

+--------------------+-------------------------------------------------+
| **Monitoring the   |                                                 |
| Future Study\      |                                                 |
| (MTF)**            |                                                 |
+====================+=================================================+
| Sponsor            | U.S. Department of Health and Human Services,   |
|                    | National Institutes of Health (NIH), National   |
|                    | Institute on Drug Abuse (NIDA).                 |
+--------------------+-------------------------------------------------+
| Mode of            | Self-administered paper and pencil              |
| Administration     | questionnaire completed by a random sample of   |
|                    | 8th, 10th, and 12th graders.                    |
+--------------------+-------------------------------------------------+
| Survey Sample      | The Monitoring the Future Study utilizes a      |
| Design             | three-stage probability design that includes    |
|                    | primary sampling units (PSUs), schools within   |
|                    | PSUs, and students within schools. Up to 350    |
|                    | students per school are selected, either by     |
|                    | randomly sampling classrooms or by some other   |
|                    | random method that is convenient for the school |
|                    | and judged to be unbiased. Beginning in 1991,   |
|                    | national samples of 8th and 10th graders were   |
|                    | included. Approximately 50,000 responses are    |
|                    | collected annually from all three grades        |
|                    | combined.                                       |
+--------------------+-------------------------------------------------+
| ####               | The 1998 response rate for 8th, 10th, and 12th  |
| ### Response Rates | graders was 88, 87, and 82 percent,             |
|                    | respectively.                                   |
+--------------------+-------------------------------------------------+
| Primary Survey     | Cigarette, alcohol, and illicit drug use;       |
| Content            | attitudes and beliefs regarding drug use;       |
|                    | attitudes of significant others regarding drug  |
|                    | use; drug exposure and availability; lifestyle  |
|                    | values, attitudes, and behaviors; participation |
|                    | in organized activities, leisure time           |
|                    | activities, and religion; deviant behavior and  |
|                    | victimization; health; college plans; and       |
|                    | demographic data. Drug use and related          |
|                    | attitudes are the key variables.                |
+--------------------+-------------------------------------------------+
| Population         | Students in 8th, 10th, and 12th grades from     |
| Targeted           | public and private schools in the coterminous   |
|                    | United States.                                  |
+--------------------+-------------------------------------------------+
| ######             | Gender, race/ethnicity, parental education      |
| # Demographic Data | (used as a proxy for socioeconomic status).     |
|                    | Data on sexual orientation are not collected.   |
+--------------------+-------------------------------------------------+
| #####              | 1975 through present.                           |
| ## Years Collected |                                                 |
+--------------------+-------------------------------------------------+
| ####### Schedule   | Annual.                                         |
+--------------------+-------------------------------------------------+
| Geographic         | National, census region, and population density |
| Estimates          | (Large Metropolitan Statistical Areas \[MSAs\], |
|                    | other MSA, non-MSA).                            |
+--------------------+-------------------------------------------------+
| ####### Notes      | To obtain estimates, numerator and denominator  |
|                    | data are weighted to reflect differential       |
|                    | probabilities of selection at three stages of   |
|                    | selection: primary areas (counties or groups of |
|                    | counties) within stratum, schools within        |
|                    | primary areas, and students within schools.     |
|                    | Final weights are normalized to average unity,  |
|                    | thus the numerator and denominator estimates    |
|                    | reflect the sample design but not population    |
|                    | totals. This weighting scheme allows the        |
|                    | estimates to be representative of the           |
|                    | population of students in public and private    |
|                    | schools in the continental United States.       |
+--------------------+-------------------------------------------------+
| Contact            | Data system homepage:                           |
| Information        | http://www.isr.umich.edu/src/mtf/index.html     |
|                    |                                                 |
|                    | Data system phone: Not available                |
|                    |                                                 |
|                    | Agency homepage: http://www.nida.nih.gov        |
|                    |                                                 |
|                    | Agency phone: 301-443-6637                      |
+--------------------+-------------------------------------------------+
| ####### References | Johnston, L.D.; Bachman, J.G.; and O\'Malley,   |
|                    | P.M. *Monitoring the Future: Questionnaire      |
|                    | Responses From the Nation\'s High School        |
|                    | Seniors.* Ann Arbor, MI: Institute for Social   |
|                    | Research, 1995.                                 |
|                    |                                                 |
|                    | O\'Malley, P.M. *The Monitoring the Future      |
|                    | Study.* In: Jaffe, J.H., et al., eds.           |
|                    | *Encyclopedia of Drugs and Alcohol*. New York,  |
|                    | NY: Macmillan, 1995.                            |
|                    |                                                 |
|                    | Wallace, J.M., Jr., and Bachman, J.G. Validity  |
|                    | of self-reports in student-based studies on     |
|                    | minority populations: Issues and concerns. In:  |
|                    | De La Rosa, M., and Andrados, J.L., eds. Drug   |
|                    | Abuse Among Minority Youth: Advances in         |
|                    | Research and Methodology. *NIDA Research        |
|                    | Monograph* No. 130:167-200. Rockville, MD:      |
|                    | National Institute on Drug Abuse, 1993.         |
+--------------------+-------------------------------------------------+

+--------------------+-------------------------------------------------+
| **National         |                                                 |
| Ambulatory Medical |                                                 |
| Care Survey\       |                                                 |
| (NAMCS)**          |                                                 |
+====================+=================================================+
| Sponsor            | U.S. Department of Health and Human Services,   |
|                    | Centers for Disease Control and Prevention      |
|                    | (CDC), National Center for Health Statistics    |
|                    | (NCHS).                                         |
+--------------------+-------------------------------------------------+
| Mode of            | Field personnel meet with participating         |
| Administration     | physicians and instruct them in survey data     |
|                    | collection methods. Physicians are asked to     |
|                    | complete 1-page questionnaires on a sample of   |
|                    | their office visits during an assigned          |
|                    | reporting period.                               |
+--------------------+-------------------------------------------------+
| Survey Sample      | The NAMCS utilizes a three-stage survey design  |
| Design             | that involves probability samples of primary    |
|                    | sampling units (PSUs), physician practices      |
|                    | within PSUs, and patient visits within          |
|                    | physician practices. Participating physicians   |
|                    | are randomly assigned to a 1-week reporting     |
|                    | period during the survey year, and a systematic |
|                    | random sample of patient visits during that     |
|                    | period is selected by the physician, using a    |
|                    | visit sampling rate that varies by the size of  |
|                    | the practice. Sample data are weighted to       |
|                    | produce national estimates of office visits.    |
|                    | About 2,500 physicians were sampled in 1998 and |
|                    | more than 23,000 survey encounter forms were    |
|                    | completed.                                      |
+--------------------+-------------------------------------------------+
| ####               | The survey response rate has averaged around 70 |
| ### Response Rates | percent.                                        |
+--------------------+-------------------------------------------------+
| Primary Survey     | Information is obtained on various aspects of   |
| Content            | office visits, including physician practice     |
|                    | characteristics, patient characteristics, and   |
|                    | other visit characteristics. The survey form is |
|                    | redesigned every 2 years to address changing    |
|                    | health data needs. Among the items collected    |
|                    | are patient's age, gender, race, and ethnicity; |
|                    | patient's expressed reason for visiting the     |
|                    | physician; place, cause, and intentionality of  |
|                    | injury, if any; physician's diagnoses;          |
|                    | diagnostic services ordered or provided;        |
|                    | therapeutic services; ambulatory surgical       |
|                    | procedures performed; medications; providers    |
|                    | seen; visit disposition; time spent with        |
|                    | physician; and expected source of payment.      |
+--------------------+-------------------------------------------------+
| Population         | The basic sampling unit is the                  |
| Targeted           | physician-patient encounter or visit. Visits    |
|                    | made to the offices of nonfederally employed,   |
|                    | office-based physicians who are classified by   |
|                    | the American Medical Association or the         |
|                    | American Osteopathic Association as being       |
|                    | primarily engaged in direct patient care. The   |
|                    | specialties of anesthesiology, pathology, or    |
|                    | radiology are not included. Not included are    |
|                    | contacts by telephone, visits made outside the  |
|                    | physician's office, visits in hospitals or      |
|                    | institutional settings, and visits made for     |
|                    | administrative purposes only.                   |
+--------------------+-------------------------------------------------+
| ######             | Patient's age, gender, race, and ethnicity.     |
| # Demographic Data |                                                 |
+--------------------+-------------------------------------------------+
| #####              | Annual from 1973--81; again in 1985; resumed an |
| ## Years Collected | annual schedule in 1989.                        |
+--------------------+-------------------------------------------------+
| ####### Schedule   | Annual.                                         |
+--------------------+-------------------------------------------------+
| Geographic         | National; four regions.                         |
| Estimates          |                                                 |
+--------------------+-------------------------------------------------+
| ####### Notes      | The NAMCS is a visit-based survey rather than a |
|                    | population-based survey. Therefore, estimates   |
|                    | of incidence and prevalence of disease cannot   |
|                    | be computed. The survey is cross-sectional in   |
|                    | nature. Multiple visits may be made by the same |
|                    | person within the sample.                       |
+--------------------+-------------------------------------------------+
| Contact            | Data system homepage:                           |
| Information        |                                                 |
|                    | <http                                           |
|                    | ://www.cdc.gov/nchs/about/major/ahcd/ahcd1.htm> |
|                    |                                                 |
|                    | Data system phone: 301-458-4600                 |
|                    |                                                 |
|                    | Agency homepage: <http://www.cdc.gov/nchs>      |
|                    |                                                 |
|                    | Agency phone: 301-458-INFO (4636)               |
+--------------------+-------------------------------------------------+
| ####### References | Woodwell, D.A. *National Ambulatory Medical     |
|                    | Care Survey: 1997 Summary.* Advance data from   |
|                    | Vital and Health Statistics, No. 305.           |
|                    | Hyattsville, MD: National Center for Health     |
|                    | Statistics, 1999.                               |
+--------------------+-------------------------------------------------+

####  {#section-5 .unnumbered}

+--------------------+-------------------------------------------------+
| **National Crime   |                                                 |
| Victimization      |                                                 |
| Survey\            |                                                 |
| (NCVS)**           |                                                 |
+====================+=================================================+
| Sponsor            | U.S. Department of Justice, Bureau of Justice   |
|                    | Statistics, Office of Justice Programs.         |
+--------------------+-------------------------------------------------+
| Mode of            | Interview: With the exception of the first and  |
| Administration     | the fifth of a total of seven interviews, all   |
|                    | interviews are done by phone using              |
|                    | computer-assisted telephone interviewing        |
|                    | (CATI). The first and fifth interviews are      |
|                    | personal interviews using computer-assisted     |
|                    | personal interviewing (CAPI).                   |
+--------------------+-------------------------------------------------+
| Survey Sample      | The NCVS uses a stratified, multistage cluster  |
| Design             | sample. Primary sampling units (PSUs) consist   |
|                    | of counties, groups of counties, or large       |
|                    | metropolitan areas. The 1994 survey sample      |
|                    | households were drawn from the 1980-based       |
|                    | sample design. Data are collected every year    |
|                    | from a sample of approximately 50,000           |
|                    | households that includes about 100,000 people   |
|                    | aged 12 years and older. PSUs remain in the     |
|                    | sample for a total of 3 years. A total of seven |
|                    | interviews are conducted at 6-month intervals   |
|                    | during the 3-year process.                      |
+--------------------+-------------------------------------------------+
| ####               | Response rates have consistently remained       |
| ### Response Rates | around 95 percent (96 percent of eligible       |
|                    | housing units and 92 percent of individuals in  |
|                    | interviewed households).                        |
+--------------------+-------------------------------------------------+
| Primary Survey     | The NCVS counts incidents not reported to       |
| Content            | police and is one of two U.S. Department of     |
|                    | Justice measures of crime in the United States. |
|                    | The survey contains a screening section with    |
|                    | detailed questions and cues on victimizations   |
|                    | and situations within which crimes may take     |
|                    | place. Interviewers follow up positive          |
|                    | responses and collect details about             |
|                    | victimizations in incident reports.             |
+--------------------+-------------------------------------------------+
| Population         | Noninstitutionalized population aged 12 years   |
| Targeted           | and older residing in the United States.        |
+--------------------+-------------------------------------------------+
| ######             | Age, gender, race, ethnicity, and income.       |
| # Demographic Data | Property crimes include data on age, race,      |
|                    | ethnicity, and household size.                  |
+--------------------+-------------------------------------------------+
| #####              | 1974 to present.                                |
| ## Years Collected |                                                 |
+--------------------+-------------------------------------------------+
| ####### Schedule   | Annual.                                         |
+--------------------+-------------------------------------------------+
| Geographic         | National.                                       |
| Estimates          |                                                 |
+--------------------+-------------------------------------------------+
| ####### C          | Data system homepage:                           |
| ontact Information | http://www.oip.usdoj.gov/bjs/cvict.htm#ncvs     |
|                    |                                                 |
|                    | Data system phone: 202-616-3494                 |
|                    |                                                 |
|                    | Agency homepage: http://www.oip.usdoj.gov/bjs   |
|                    |                                                 |
|                    | Agency phone: 202-307-0770                      |
+--------------------+-------------------------------------------------+
| References         | Kinderman, C.; Lynch, J.; and Cantor, D.        |
|                    | *Effects of the Redesign on Victimization       |
|                    | Estimates.* Washington, DC: Bureau of Justice   |
|                    | Statistics, 1997.                               |
|                    |                                                 |
|                    | Hubble, D. *The National Crime Victimization    |
|                    | Survey Redesign: New Questionnaire and          |
|                    | Procedures Development and Phase-In             |
|                    | Methodology.* Orlando, FL: Annual meetings of   |
|                    | the American Statistical Association, 1995.     |
|                    |                                                 |
|                    | Persley, C. *The National Crime Victimization   |
|                    | Survey Redesign: Measuring the Impact of New    |
|                    | Methods.* Orlando, FL: Annual meetings of the   |
|                    | American Statistical Association, 1995.         |
|                    |                                                 |
|                    | Biderman, A.D.; Cantor, D.; Lynch, J.P.; et al. |
|                    | *Final Report of Research and Development for   |
|                    | the Redesign of the National Crime              |
|                    | Victimization Survey.* Washington, DC: Bureau   |
|                    | of Social Sciences Research, Inc., 1986.        |
|                    |                                                 |
|                    | Hubble, D. *The National Crime Survey's New     |
|                    | Questionnaire Phase-in: Preliminary Results.*   |
|                    | Tucson, AZ: International Conference on         |
|                    | Measurement Errors in Surveys, 1990.            |
|                    |                                                 |
|                    | Hubble, D., and Wilder, B.E. *Preliminary       |
|                    | Results from the National Crime Survey CATI     |
|                    | Experience.* New Orleans, LA: Proceedings of    |
|                    | the American Statistical Association: Survey    |
|                    | Methods Section, 1988.                          |
+--------------------+-------------------------------------------------+

##  

####  {#section-7 .unnumbered}

+--------------------+-------------------------------------------------+
| National Health    |                                                 |
| and Nutrition      |                                                 |
| Examination        |                                                 |
| Survey\            |                                                 |
| (NHANES)           |                                                 |
+====================+=================================================+
| Sponsor            | U.S. Department of Health and Human Services,   |
|                    | Centers for Disease Control and Prevention      |
|                    | (CDC), National Center for Health Statistics    |
|                    | (NCHS).                                         |
+--------------------+-------------------------------------------------+
| Mode of            | In-person interview in the household and in a   |
| Administration     | private setting in the mobile examination       |
|                    | center. Standardized physical examinations and  |
|                    | medical tests in mobile examination centers.    |
|                    | Conducted in English and Spanish.               |
+--------------------+-------------------------------------------------+
| Survey Sample      | The NHANES uses a stratified multistage         |
| Design             | probability sample, nationally representative   |
|                    | of the U.S. civilian noninstitutionalized       |
|                    | population. Approximately 5,000 people are      |
|                    | examined at 15 locations each year. In NHANES   |
|                    | III, children aged 2 months to 5 years, persons |
|                    | aged 70 years and over, African Americans, and  |
|                    | Mexican Americans were oversampled. Beginning   |
|                    | in 1999, African Americans, Mexican Americans,  |
|                    | adolescents, and older persons will be          |
|                    | oversampled.                                    |
+--------------------+-------------------------------------------------+
| ####               | In NHANES III (1988--94): Household interview   |
| ### Response Rates | response rate was 86 percent; and the medical   |
|                    | examination response rate was 78 percent.       |
+--------------------+-------------------------------------------------+
| Primary Survey     | Chronic disease prevalence and conditions       |
| Content            | (including undiagnosed conditions), risk        |
|                    | factors, diet and nutritional status,           |
|                    | immunization status, infectious disease         |
|                    | prevalence, health insurance, and measures of   |
|                    | environmental exposures. Other topics addressed |
|                    | include hearing, vision, mental health, anemia, |
|                    | diabetes, cardiovascular disease, osteoporosis, |
|                    | obesity, oral health, mental health, and        |
|                    | physical fitness. Beginning in 1999, new topics |
|                    | are cardiorespiratory fitness, physical         |
|                    | functioning, lower extremity disease, full body |
|                    | DXA for body fat as well as bone density, and   |
|                    | tuberculosis infection.                         |
+--------------------+-------------------------------------------------+
| Population         | For NHANES III, the civilian                    |
| Targeted           | noninstitutionalized population residing in the |
|                    | United States aged 2 months and over. Beginning |
|                    | in 1999, people of all ages are included.       |
+--------------------+-------------------------------------------------+
| ######             | Gender, age, education, race/ethnicity, place   |
| # Demographic Data | of birth, income, occupation, and industry.     |
+--------------------+-------------------------------------------------+
| #####              | From 1960 to 1994, a total of seven national    |
| ## Years Collected | examination surveys have been conducted.        |
|                    | Beginning in 1999, the survey has been          |
|                    | conducted continuously.                         |
+--------------------+-------------------------------------------------+
| ####### Schedule   | Periodic (1960--94); annual beginning in 1999.  |
+--------------------+-------------------------------------------------+
| Geographic         | National; four U.S. Census Bureau regions.      |
| Estimates          |                                                 |
+--------------------+-------------------------------------------------+
| ####### Notes      | Although the new NHANES will be conducted on a  |
|                    | yearly basis, the annual sample size will be    |
|                    | too small to provide reliable estimates for     |
|                    | many measures and for most subgroups. Most      |
|                    | analyses will require 3 years of data for       |
|                    | reliable estimates.                             |
+--------------------+-------------------------------------------------+
| Contact            | Data system homepage:                           |
| Information        |                                                 |
|                    | http://www.cdc.gov/nchs/nhanes.htm              |
|                    |                                                 |
|                    | Data system phone: 301-458-4667                 |
|                    |                                                 |
|                    | Agency homepage: http://www.cdc.gov/nchs        |
|                    |                                                 |
|                    | Agency phone: 301-458-INFO (4636)               |
+--------------------+-------------------------------------------------+
| ####### References | National Center for Health Statistics. Plan and |
|                    | operation of the third National Health and      |
|                    | Nutrition Examination Survey, 1988--94.         |
|                    | National Center for Health Statistics (NCHS).   |
|                    | *Vital and Health Statistics* 1(32), 1994.      |
|                    |                                                 |
|                    | Ezzati, T.M.; Massey, J.T.; Waksberg, J.; et    |
|                    | al. Sample design: Third National Health and    |
|                    | Nutrition Examination Survey. NCHS. *Vital and  |
|                    | Health Statistics* 2(113), 1992.                |
|                    |                                                 |
|                    | Maurer, K.R. Plan and operation of the Hispanic |
|                    | Health and Nutrition Examination Survey,        |
|                    | 1982--84. NCHS. *Vital and Health Statistics*   |
|                    | 1(19), 1985.                                    |
+--------------------+-------------------------------------------------+

####  {#section-8 .unnumbered}

+--------------------+-------------------------------------------------+
| **National Health  |                                                 |
| Interview Survey\  |                                                 |
| (NHIS)**           |                                                 |
+====================+=================================================+
| Sponsor            | U.S. Department of Health and Human Services,   |
|                    | Centers for Disease Control and Prevention      |
|                    | (CDC), National Center for Health Statistics    |
|                    | (NCHS).                                         |
+--------------------+-------------------------------------------------+
| Mode of            | Personal interview in households using          |
| Administration     | computer-assisted personal interviewing (CAPI), |
|                    | administered by professional interviewers, and  |
|                    | conducted in English and Spanish (for CAPI,     |
|                    | Spanish version was initiated in mid-1998).     |
+--------------------+-------------------------------------------------+
| Survey Sample      | The NHIS uses a stratified multistage           |
| Design             | probability design that permits a continuous    |
|                    | sampling of 358 primary sampling units (PSUs),  |
|                    | with over-sampling of African Americans and     |
|                    | Hispanics. A typical NHIS sample for the data   |
|                    | collection years 1995--2004 consists of         |
|                    | approximately 7,000 second-stage units          |
|                    | (segments) within a PSU. The expected sample of |
|                    | 43,000 occupied respondent households yields a  |
|                    | probability sample of about 111,000 persons.    |
|                    | The survey is designed so that the sample       |
|                    | scheduled for each week is representative of    |
|                    | the target population and the weekly samples    |
|                    | are additive over time.                         |
+--------------------+-------------------------------------------------+
| ####               | Response rates for the basic NHIS core          |
| ### Response Rates | questionnaire have ranged from 91 to 96 percent |
|                    | over the years, with rates of sample person     |
|                    | components generally ranging from 85 to 90      |
|                    | percent of eligible respondents. Response rates |
|                    | for special health topics (supplements) have    |
|                    | generally also been in this lower range. The    |
|                    | effect, if any, of the new CAPI technology is   |
|                    | not yet known.                                  |
+--------------------+-------------------------------------------------+
| Primary Survey     | Information is obtained on demographic          |
| Content            | characteristics, illnesses, injuries,           |
|                    | impairments, chronic conditions, utilization of |
|                    | health resources, health insurance, and other   |
|                    | health topics. The core household interview     |
|                    | asks about everyone in the household.           |
|                    | Additional questions are asked of one sample    |
|                    | adult and one sample child (under 18 years) per |
|                    | family in the household. The sample adult       |
|                    | questionnaire includes chronic health           |
|                    | conditions and limitations in activity, health  |
|                    | behaviors, health care access, health care      |
|                    | provider contacts, immunizations, and AIDS      |
|                    | knowledge and attitudes. The sample child       |
|                    | questionnaire includes questions about chronic  |
|                    | health conditions, limitation of activities,    |
|                    | health status, behavior problems, health care   |
|                    | access and utilization, and immunizations.      |
|                    | Child data are proxy-reported by a parent or    |
|                    | other knowledgeable adult respondent. Adult     |
|                    | sample person data are all self-reported.       |
|                    | Special modules are fielded periodically, and   |
|                    | cover areas such as cancer, prevention, and     |
|                    | disability.                                     |
+--------------------+-------------------------------------------------+
| Population         | Civilian noninstitutionalized population        |
| Targeted           | residing in the United States, all ages.        |
+--------------------+-------------------------------------------------+
| ######             | Gender, age, race/Hispanic ethnicity,           |
| # Demographic Data | education, income, marital status, place of     |
|                    | birth, industry, and occupation.                |
+--------------------+-------------------------------------------------+
| #####              | Continuously since 1957. Current sample design  |
| ## Years Collected | began in 1995; current questionnaire design     |
|                    | began in 1997.                                  |
+--------------------+-------------------------------------------------+
| ####### Schedule   | Annual.                                         |
+--------------------+-------------------------------------------------+
| Geographic         | National; four U.S. Census Bureau regions; some |
| Estimates          | of the 10 HHS regions, some States;             |
|                    | metropolitan and nonmetropolitan areas.         |
+--------------------+-------------------------------------------------+
| ####### C          | Data system homepage:                           |
| ontact Information | http://www.cdc.gov/nchs/nhis.htm                |
|                    |                                                 |
|                    | Data system phone: 301-458-4001                 |
|                    |                                                 |
|                    | Agency homepage: http://www.cdc.gov/nchs        |
|                    |                                                 |
|                    | Agency phone: 301-458-INFO (4636)               |
+--------------------+-------------------------------------------------+
| ####### References | Hendershot, G.; Adams, P.; Marano, M.; et al.   |
|                    | Current estimates from the National Health      |
|                    | Interview Survey, 1996. National Center for     |
|                    | Health Statistics (NCHS). *Vital and Health     |
|                    | Statistics* 10(200), 1999.                      |
|                    |                                                 |
|                    | Questionnaires from the National Health         |
|                    | Interview Survey, 1985--89. NCHS. *Vital and    |
|                    | Health Statistics* 1(31), 1993.                 |
|                    |                                                 |
|                    | Massey, J.T.; Moore, T.F.; Parsons, V.L.; et    |
|                    | al. Design and estimation for the National      |
|                    | Health Interview Survey, 1985--94. NCHS. *Vital |
|                    | and Health Statistics* 2(110), 1989.            |
+--------------------+-------------------------------------------------+

+--------------------+-------------------------------------------------+
| **National         |                                                 |
| Hospital           |                                                 |
| Ambulatory Medical |                                                 |
| Care Survey        |                                                 |
| (NHAMCS)**         |                                                 |
+====================+=================================================+
| Sponsor            | U.S. Department of Health and Human Services,   |
|                    | Centers for Disease Control and Prevention      |
|                    | (CDC), National Center for Health Statistics    |
|                    | (NCHS).                                         |
+--------------------+-------------------------------------------------+
| Mode of            | Hospital staff are asked to complete one-page   |
| Administration     | questionnaires (Patient Record forms) on a      |
|                    | sample of their patient visits during an        |
|                    | assigned reporting period.                      |
+--------------------+-------------------------------------------------+
| Survey Sample      | The NHAMCS utilizes a four-stage probability    |
| Design             | design that involves samples of primary         |
|                    | sampling units (PSUs), hospitals within PSUs,   |
|                    | clinics within hospitals, and patient visits    |
|                    | within clinics. Hospital staff were asked to    |
|                    | complete Patient Record forms for a systematic  |
|                    | random sample of patient visits occurring       |
|                    | during a randomly assigned 4-week reporting     |
|                    | period during the survey year. Sample data are  |
|                    | weighted to produce national estimates of       |
|                    | patient visits. About 400 emergency departments |
|                    | participated in 1998 and more than 24,000       |
|                    | Patient Record forms were completed. About 230  |
|                    | outpatient departments (OPD) participated in    |
|                    | 1998 and about 30,000 Patient Record forms were |
|                    | completed.                                      |
+--------------------+-------------------------------------------------+
| ####               | The response rates are about 95 percent.        |
| ### Response Rates |                                                 |
+--------------------+-------------------------------------------------+
| Primary Survey     | NHAMCS includes two files: ED visits and OPD    |
| Content            | visits. Information is obtained on various      |
|                    | aspects of patient visits, including patient    |
|                    | characteristics, physician characteristics, and |
|                    | other visit characteristics. The survey form is |
|                    | redesigned every 2 years to address changing    |
|                    | health data needs. Among the items collected    |
|                    | are: patient's age, gender, race, and           |
|                    | ethnicity; patient's expressed reason for       |
|                    | visit; place, cause, work-relatedness, and      |
|                    | intentionality of injury, if any; physician's   |
|                    | diagnoses; diagnostic services ordered or       |
|                    | provided; procedures provided; medications      |
|                    | ordered, supplied, administered or continued;   |
|                    | providers seen; visit disposition; immediacy    |
|                    | with which patient should be seen; time spent   |
|                    | with physician; and, expected source of         |
|                    | payment.                                        |
+--------------------+-------------------------------------------------+
| Population         | The basic sampling unit is the patient visit.   |
| Targeted           | Included in the survey are in-person visits by  |
|                    | patients to EDs and OPDs of noninstitutional    |
|                    | general and short-stay hospitals, exclusive of  |
|                    | Federal, military, and Veterans Administration  |
|                    | hospitals, located in the 50 States and the     |
|                    | District of Columbia. Telephone contacts are    |
|                    | excluded.                                       |
+--------------------+-------------------------------------------------+
| ######             | Patient's age, gender, race, and ethnicity.     |
| # Demographic Data |                                                 |
+--------------------+-------------------------------------------------+
| #####              | Annual since 1992.                              |
| ## Years Collected |                                                 |
+--------------------+-------------------------------------------------+
| ####### Schedule   | Annual.                                         |
+--------------------+-------------------------------------------------+
| Geographic         | National, four U.S. Census Bureau regions.      |
| Estimates          |                                                 |
+--------------------+-------------------------------------------------+
| ####### Notes      | The NHAMCS is a visit-based survey rather than  |
|                    | a population-based survey. Estimates of visits  |
|                    | per person per year can be produced using U.S.  |
|                    | Census Bureau civilian noninstitutionalized     |
|                    | population estimates. The survey is             |
|                    | cross-sectional in nature. Multiple visits may  |
|                    | be made by the same person within the sample.   |
+--------------------+-------------------------------------------------+
| Contact            | Data system homepage:                           |
| Information        | <http                                           |
|                    | ://www.cdc.gov/nchs/about/major/ahcd/ahcd1.htm> |
|                    |                                                 |
|                    | Data system phone: 301-458-4600                 |
|                    |                                                 |
|                    | Agency homepage: <http://www.cdc.gov/nchs>      |
|                    |                                                 |
|                    | Agency phone: 301-458-INFO (4636)               |
+--------------------+-------------------------------------------------+
| ####### References | McCaig, L.F.; and McLemore, T. Plan and         |
|                    | operation of the National Hospital Ambulatory   |
|                    | Medical Care Survey. National Center for Health |
|                    | Statistics. *Vital and Health Statistics*       |
|                    | 1(34), 1994.                                    |
+--------------------+-------------------------------------------------+

+--------------------+-------------------------------------------------+
| **National         |                                                 |
| Hospital Discharge |                                                 |
| Survey\            |                                                 |
| (NHDS)**           |                                                 |
+====================+=================================================+
| Sponsor            | U.S. Department of Health and Human Services,   |
|                    | Centers for Disease Control and Prevention      |
|                    | (CDC), National Center for Health Statistics    |
|                    | (NCHS).                                         |
+--------------------+-------------------------------------------------+
| Mode of            | Manual sample selection and abstraction of      |
| Administration     | inpatient medical records by field personnel or |
|                    | automated data collection through the purchase  |
|                    | of electronic files from commercial abstracting |
|                    | sources, States, or hospitals.                  |
+--------------------+-------------------------------------------------+
| Survey Sample      | The NHDS utilizes a three-stage probability     |
| Design             | design that includes primary sampling units     |
|                    | (PSUs) used for the 1985--94 NHIS, hospitals    |
|                    | within PSUs, and discharges within hospitals.   |
|                    | The largest hospitals were selected with        |
|                    | certainty. The annual number of records         |
|                    | included in the survey is approximately         |
|                    | 300,000.                                        |
+--------------------+-------------------------------------------------+
| ####               | The survey response rate averages between 92    |
| ### Response Rates | and 95 percent annually.                        |
+--------------------+-------------------------------------------------+
| Primary Survey     | Variables collected include: age; gender; race; |
| Content            | ethnicity; admission and discharge dates        |
|                    | (length of stay); discharge status; source of   |
|                    | payment; hospital size, ownership, and region;  |
|                    | from 1-7 diagnoses coded using the ICD-9-CM;    |
|                    | and, from 0-4 procedures using the ICD-9-CM.    |
+--------------------+-------------------------------------------------+
| Population         | Hospital discharges from short-stay             |
| Targeted           | noninstitutional hospitals and general and      |
|                    | children's general hospitals regardless of      |
|                    | length of stay, exclusive of military and U.S.  |
|                    | Department of Veteran Affairs hospitals,        |
|                    | located within the 50 States and the District   |
|                    | of Columbia.                                    |
+--------------------+-------------------------------------------------+
| ######             | Patient's age, gender, race, and ethnicity.     |
| # Demographic Data |                                                 |
+--------------------+-------------------------------------------------+
| #####              | 1965 to present.                                |
| ## Years Collected |                                                 |
+--------------------+-------------------------------------------------+
| ####### Schedule   | Annual.                                         |
+--------------------+-------------------------------------------------+
| Geographic         | National, four U.S. Census Bureau regions.      |
| Estimates          |                                                 |
+--------------------+-------------------------------------------------+
| ####### Notes      | Data on race are not available for some         |
|                    | hospitals because the hospitals provide data    |
|                    | from billing forms that do not include race as  |
|                    | a required item. A comparison of NHDS data with |
|                    | data for those who reported being hospitalized  |
|                    | in the NHIS indicated that under reporting for  |
|                    | whites was about 30 percent in 1992; the        |
|                    | difference for African Americans was not        |
|                    | statistically significant. Hispanic origin is   |
|                    | not reported for 75 percent of the NHDS records |
|                    | in 1992. (Kozak, L.J. Under reporting of race   |
|                    | in the National Hospital Discharge Survey.      |
|                    | Advance Data from Vital and Health Statistics,  |
|                    | No. 265. Hyattsville, MD: National Center for   |
|                    | Health Statistics, 1995.)                       |
+--------------------+-------------------------------------------------+
| Contact            | Data system homepage:                           |
| Information        | htt                                             |
|                    | p://www.cdc.gov/nchs/about/major/hdasd/nhds.htm |
|                    |                                                 |
|                    | Data system phone: 301-458-4321                 |
|                    |                                                 |
|                    | Agency homepage: http://www.cdc.gov/nchs        |
|                    |                                                 |
|                    | Agency phone: 301-458-INFO (4636)               |
+--------------------+-------------------------------------------------+
| ####### References | Graves, E.J., and Owings, M.F. 1996 Summary:    |
|                    | National Hospital Discharge Survey. *Advance    |
|                    | data from Vital and Health Statistics*. No.     |
|                    | 301. Hyattsville, MD: National Center for       |
|                    | Health Statistics (NCHS), 1998.                 |
|                    |                                                 |
|                    | Haupt, B.J., and Kozak, L.J. Estimates from two |
|                    | survey designs: National Hospital Discharge     |
|                    | Survey. NCHS. *Vital and Health Statistics* 13  |
|                    | (111), 1992.                                    |
|                    |                                                 |
|                    | National Center for Health Statistics. Detailed |
|                    | diagnoses and procedures: National Hospital     |
|                    | Discharge Survey. NCHS. *Vital and Health       |
|                    | Statistics* 13, Published annually.             |
+--------------------+-------------------------------------------------+

+--------------------+-------------------------------------------------+
| **National         |                                                 |
| Household Survey   |                                                 |
| on Drug Abuse\     |                                                 |
| (NHSDA)**          |                                                 |
+====================+=================================================+
| Sponsor            | U.S. Department of Health and Human Services,   |
|                    | Substance Abuse and Mental Health Services      |
|                    | Administration (SAMHSA).                        |
+--------------------+-------------------------------------------------+
| Mode of            | Questionnaires are administered in the home by  |
| Administration     | professional survey administrators. Starting in |
|                    | 1999, computer-assisted personal interview      |
|                    | (CAPI) and audio computer-administered self     |
|                    | interview (ACASI) for sensitive questions are   |
|                    | used. Prior surveys used paper and pencil.      |
|                    | Self-respondents only; no respondent            |
|                    | identifiers are collected.                      |
+--------------------+-------------------------------------------------+
| Survey Sample      | Multistage national probability sample with     |
| Design             | oversampling of youth. In 1997, the survey was  |
|                    | administered to 24,505 persons aged 12 years    |
|                    | and older, including 7,844 persons aged 12 to   |
|                    | 17 years. Oversample of young people (aged 12   |
|                    | to 34 years), African Americans, and Hispanics  |
|                    | in 1985--98 surveys. Oversample in California   |
|                    | and Arizona in 1997 and 1998. In 1999, the      |
|                    | sample size increased to 70,000 people,         |
|                    | including 3,600 to 4,600 for the eight most     |
|                    | populous States, and 900 to 1,000 for the other |
|                    | States. It included 25,000 youth aged 12 to 17  |
|                    | years, 22,500 young adults aged 18 to 25, and   |
|                    | 22,500 adults aged 26 years and older.          |
+--------------------+-------------------------------------------------+
| ####               | [For 1997]{.underline}: [Total]{.underline} [12 |
| ### Response Rates | to 17 years]{.underline}                        |
|                    |                                                 |
|                    | Household response rate 93% 93%                 |
|                    |                                                 |
|                    | Individual response rate 78% 83%                |
|                    |                                                 |
|                    | Overall response rate 73% 77%                   |
|                    |                                                 |
|                    | Response rates are slightly higher among the    |
|                    | Hispanic and African American populations.      |
+--------------------+-------------------------------------------------+
| Primary Survey     | In 1999, the survey contained initiation,       |
| Content            | recency, and frequency of use of alcohol,       |
|                    | tobacco (including smokeless, cigarettes, and   |
|                    | cigars), marijuana and other illicit drugs;     |
|                    | prescription drug misuse; treatment and         |
|                    | prevention-related items.                       |
+--------------------+-------------------------------------------------+
| Population         | Civilian noninstitutionalized population        |
| Targeted           | residing in the United States ages 12 and       |
|                    | older.                                          |
+--------------------+-------------------------------------------------+
| ######             | Gender, age, race/ethnicity, education, marital |
| # Demographic Data | status, employment, income.                     |
+--------------------+-------------------------------------------------+
| #####              | 1971 to present. Continuous since 1992.         |
| ## Years Collected |                                                 |
+--------------------+-------------------------------------------------+
| ####### Schedule   | Annual.                                         |
+--------------------+-------------------------------------------------+
| Geographic         | National, regional.                             |
| Estimates          |                                                 |
|                    | Beginning in 1999, direct State estimates are   |
|                    | possible for California, Texas, Michigan,       |
|                    | Pennsylvania, New York, Florida, Illinois, and  |
|                    | Ohio, and model-based estimates are possible    |
|                    | for other States.                               |
+--------------------+-------------------------------------------------+
| ####### Notes      | The sample size, the mode of administration and |
|                    | the survey content changed in 1999.             |
+--------------------+-------------------------------------------------+
| Contact            | Data system homepage:                           |
| Information        | ht                                              |
|                    | tp://www.samhsa.gov/OAS/nhsda/nhsda97/httoc.htm |
|                    |                                                 |
|                    | Data system phone: Not available                |
|                    |                                                 |
|                    | Agency homepage: http://www.samhsa.gov          |
|                    |                                                 |
|                    | Agency phone: 800-729-6686                      |
+--------------------+-------------------------------------------------+
| ####### References | Harrell, A.V. The validity of self-reported     |
|                    | drug use data: The accuracy of responses on     |
|                    | confidential self-administered answer sheets,   |
|                    | In: Harrison, L., and Hughes, A., eds. *The     |
|                    | Validity of Self-Reported Drug Use: Improving   |
|                    | the Accuracy of Survey Estimates.* NIDA         |
|                    | Research Monograph 167, NIH Pub. No. 96-4147,   |
|                    | Washington, DC: Superintendent of Documents,    |
|                    | U.S. Government Printing Office (GPO), 1997.    |
|                    |                                                 |
|                    | Harrison, L., and Hughes, A., eds. *The         |
|                    | Validity of Self-Reported Drug Use: Improving   |
|                    | the Accuracy of Survey Estimates.* NIDA         |
|                    | Research Monograph 167, NIH Pub. No. 96-4147,   |
|                    | Washington, DC: Superintendent of Documents,    |
|                    | GPO, 1997.                                      |
|                    |                                                 |
|                    | Substance Abuse and Mental Health Services      |
|                    | Administration. *Development and Implementation |
|                    | of a New Data Collection Instrument for the     |
|                    | 1994 National Household Survey on Drug Abuse.*  |
|                    | HHS Pub. No. (SMA)96-3084, Washington, DC:      |
|                    | Superintendent of Documents, GPO, 1996.         |
|                    |                                                 |
|                    | Gfroerer, J. *An Overview of the National       |
|                    | Household Survey on Drug Abuse and Related      |
|                    | Methodological Research.* Proceedings of the    |
|                    | Survey Research Section of the American         |
|                    | Statistical Association, Joint Statistical      |
|                    | Meetings, Boston, MA, August 1992.              |
|                    |                                                 |
|                    | American Statistical Association. Turner, C.F.; |
|                    | Lessler, J.T.; and Gfroerer, J.C. *Survey       |
|                    | Measurement of Drug Use: Methodological         |
|                    | Studies.* National Institute on Drug Abuse.     |
|                    | DHHS Pub. No. (ADM) 92-1929, 1992.              |
|                    |                                                 |
|                    | Needle, R.H.; Jou, S.C.; and Su, S.S. The       |
|                    | impact of changing methods of data collection   |
|                    | on the reliability of self-reported drug use of |
|                    | adolescents. *American Journal of Drug and      |
|                    | Alcohol Abuse* 15(3):275-289, 1989.             |
+--------------------+-------------------------------------------------+

+--------------------+-------------------------------------------------+
| **National         |                                                 |
| Notifiable Disease |                                                 |
| Surveillance       |                                                 |
| System (NNDSS) and |                                                 |
| National           |                                                 |
| Electronic         |                                                 |
| Telecommunications |                                                 |
| System for         |                                                 |
| Surveillance       |                                                 |
| (NETSS)**          |                                                 |
+====================+=================================================+
| Sponsor            | U.S. Department of Health and Human Services,   |
|                    | Centers for Disease Control and Prevention      |
|                    | (CDC), Epidemiology Program Office (EPO).       |
+--------------------+-------------------------------------------------+
| Mode of            | Reports are submitted by health care providers  |
| Administration     | and clinical laboratories to the local, county, |
|                    | or State health departments. Weekly             |
|                    | transmission of all data reported to CDC is     |
|                    | overseen and administered by the State health   |
|                    | department.                                     |
+--------------------+-------------------------------------------------+
| Survey Sample      | States determine the diseases that are          |
| Design             | nationally notifiable, the data that are        |
|                    | collected, and method of reporting.             |
+--------------------+-------------------------------------------------+
| ####               | Varies by disease and State. Severe clinical    |
| ### Response Rates | illnesses are more likely to be reported.       |
|                    | Persons with clinically mild diseases---usually |
|                    | not associated with severe consequences---may   |
|                    | not be seen in health care settings or may not  |
|                    | be reported by health care providers.           |
|                    | Underreporting is a major limitation of this    |
|                    | system.                                         |
+--------------------+-------------------------------------------------+
| Primary Survey     | The Council of State and Territorial            |
| Content            | Epidemiologists and CDC develop the list of     |
|                    | diseases and conditions that are considered     |
|                    | nationally notifiable (52 in 1999). However,    |
|                    | each State determines which diseases and        |
|                    | conditions from the list will be reported from  |
|                    | that State; many States also include other      |
|                    | diseases and conditions in addition to those on |
|                    | the list of nationally notifiable diseases and  |
|                    | conditions. States generally report the         |
|                    | internationally quarantineable diseases, in     |
|                    | compliance with the World Health Organization   |
|                    | regulations. Data include demographic           |
|                    | characteristics and other epidemiologically     |
|                    | important information.                          |
+--------------------+-------------------------------------------------+
| Population         | Entire population of all States, District of    |
| Targeted           | Columbia, and five U.S. territories.            |
+--------------------+-------------------------------------------------+
| ######             | Race, ethnicity, age, gender.                   |
| # Demographic Data |                                                 |
+--------------------+-------------------------------------------------+
| #####              | By 1928, all States, the District of Columbia,  |
| ## Years Collected | Hawaii, and Puerto Rico were participating in   |
|                    | public health reporting for nearly 30 specified |
|                    | conditions. In 1984, a system was developed for |
|                    | the electronic transfer of individual case      |
|                    | record data, and by 1990, each of the 50 States |
|                    | had begun participating in the system, which    |
|                    | was then renamed NETSS. NETSS provides both     |
|                    | individual and summary records.                 |
+--------------------+-------------------------------------------------+
| ####### Schedule   | Data are transmitted to CDC from the States     |
|                    | each week. National data are published          |
|                    | annually.                                       |
+--------------------+-------------------------------------------------+
| Geographic         | National, regional, State, county.              |
| Estimates          |                                                 |
+--------------------+-------------------------------------------------+
| ####### Notes      | Although State health department staff and      |
|                    | their CDC colleagues attempt to obtain complete |
|                    | demographic and epidemiologic information, some |
|                    | data (particularly race and ethnicity) are not  |
|                    | available for some cases of disease. Laws,      |
|                    | regulations, and mandates for public health     |
|                    | reporting (including specific data items that   |
|                    | are reported) are under the authority of        |
|                    | individual States, and in some States, race and |
|                    | ethnicity may not be approved for reporting to  |
|                    | the national level. Race and ethnicity data may |
|                    | also be unknown when cases are reported from a  |
|                    | laboratory or when cases are reported as        |
|                    | aggregate disease totals.                       |
+--------------------+-------------------------------------------------+
| Contact            | Data system homepage:                           |
| Information        | http://www.cdc.gov/epo/dphs/netss.htm           |
|                    |                                                 |
|                    | Data system phone: 404-639-0080                 |
|                    |                                                 |
|                    | Agency homepage: <http://www.cdc.gov/epo>       |
|                    |                                                 |
|                    | Agency phone: 404-639-3636                      |
+--------------------+-------------------------------------------------+

####  {#section-9 .unnumbered}

+--------------------+-------------------------------------------------+
| **National Profile |                                                 |
| of Local Health    |                                                 |
| Departments        |                                                 |
| (NPLHD)**          |                                                 |
+--------------------+-------------------------------------------------+
| Sponsor            | Conducted by the National Association of County |
|                    | and City Health Officials, funded through a     |
|                    | U.S. Department of Health and Human Services,   |
|                    | Centers for Disease Control and Prevention      |
|                    | (CDC), cooperative agreement.                   |
+--------------------+-------------------------------------------------+
| Mode of            | Self-administered questionnaires.               |
| Administration     |                                                 |
+--------------------+-------------------------------------------------+
| Survey Sample      | Census of U.S. local health departments.        |
| Design             |                                                 |
+--------------------+-------------------------------------------------+
| ####               | The response rate for the 1996--97 NPLHD was 88 |
| ### Response Rates | percent (2,492 of 2,834 local health            |
|                    | departments).                                   |
+--------------------+-------------------------------------------------+
| Primary Survey     | Descriptive data on local health departments    |
| Content            | nationwide, including jurisdiction type,        |
|                    | services provided, staff size, community        |
|                    | partnerships and collaborative relationships,   |
|                    | managed care, and expenditures.                 |
+--------------------+-------------------------------------------------+
| Population         | Local health departments in the United States.  |
| Targeted           |                                                 |
+--------------------+-------------------------------------------------+
| ######             | Jurisdiction type, population size.             |
| # Demographic Data |                                                 |
+--------------------+-------------------------------------------------+
| #####              | 1989; 1992--93; 1996--97.                       |
| ## Years Collected |                                                 |
+--------------------+-------------------------------------------------+
| ####### Schedule   | Periodic.                                       |
+--------------------+-------------------------------------------------+
| Geographic         | National, 10 HHS Regions, State, and county.    |
| Estimates          | Data will be geo-coded.                         |
+--------------------+-------------------------------------------------+
| ####### Notes      | The NPLHD is a cross-sectional survey, not a    |
|                    | longitudinal survey. Questions change from      |
|                    | survey to survey.                               |
+--------------------+-------------------------------------------------+
| Contact            | Data system homepage: http://www.naccho.org     |
| Information        |                                                 |
|                    | Data system phone: 202-783-5550                 |
|                    |                                                 |
|                    | Agency homepage: http://www.cdc.gov/phppo       |
|                    |                                                 |
|                    | Agency phone: 770-488-2460                      |
+--------------------+-------------------------------------------------+
| ####### References | National Association of County and City Health  |
|                    | Officials. *1992--1993 National Profile of      |
|                    | Local Health Departments: National Surveillance |
|                    | Series*. Atlanta, GA: Centers for Disease       |
|                    | Control and Prevention, 1995.                   |
+--------------------+-------------------------------------------------+

##  

####  {#section-11 .unnumbered}

+--------------------+-------------------------------------------------+
| **National Survey  |                                                 |
| of Family Growth\  |                                                 |
| (NSFG)**           |                                                 |
+====================+=================================================+
| Sponsor            | U.S. Department of Health and Human Services,   |
|                    | Centers for Disease Control and Prevention      |
|                    | (CDC), National Center for Health Statistics    |
|                    | (NCHS).                                         |
+--------------------+-------------------------------------------------+
| Mode of            | Computer-assisted personal interview (CAPI) by  |
| Administration     | professional female interviewers. In addition,  |
|                    | a self-administered audio section for more      |
|                    | sensitive topics (ACASI), in which respondents  |
|                    | hear questions on headphones (and read on a     |
|                    | computer screen) and enter responses on the     |
|                    | computer themselves.                            |
+--------------------+-------------------------------------------------+
| Survey Sample      | The 1995 survey was a multistage probability    |
| Design             | design consisting of households that had been   |
|                    | interviewed in 198 PSUs in the National Health  |
|                    | Interview Survey in 1993. Of the 13,795         |
|                    | eligible females in the sample, 10,847 were     |
|                    | interviewed. Black and Hispanic females were    |
|                    | oversampled.                                    |
+--------------------+-------------------------------------------------+
| ####               | Response rates have averaged around 80 percent  |
| ### Response Rates | for prior cycles; in the most recent cycle,     |
|                    | 1995, the response rate was 79 percent.         |
+--------------------+-------------------------------------------------+
| Primary Survey     | The NSFG contains data on factors affecting     |
| Content            | birth and pregnancy rates, adoption, and        |
|                    | maternal and infant health. These factors       |
|                    | include sexual activity, marriage, divorce and  |
|                    | remarriage, unmarried cohabitation,             |
|                    | contraception and sterilization, infertility,   |
|                    | breastfeeding, pregnancy loss, low birthweight, |
|                    | and use of medical care for family planning and |
|                    | infertility.                                    |
+--------------------+-------------------------------------------------+
| Population         | Civilian noninstitutionalized females aged 15   |
| Targeted           | to 44 years residing in the United States.      |
+--------------------+-------------------------------------------------+
| ######             | Age, race, Hispanic ethnicity, family income,   |
| # Demographic Data | educational attainment.                         |
+--------------------+-------------------------------------------------+
| #####              | 1973; 1976; 1982; 1988; and 1995. Future        |
| ## Years Collected | surveys will be conducted in 2001, 2004, and    |
|                    | 2007.                                           |
+--------------------+-------------------------------------------------+
| ####### Schedule   | Periodic.                                       |
+--------------------+-------------------------------------------------+
| Geographic         | National; four U.S. Census Bureau regions;      |
| Estimates          | metropolitan and nonmetropolitan areas; some of |
|                    | the 10 HHS regions.                             |
+--------------------+-------------------------------------------------+
| ####### Notes      | The sample size of future surveys will          |
|                    | increase. Beginning in 2001, males will be      |
|                    | sampled as well as females. Persons aged 15 to  |
|                    | 19 and 20 to 24 years will be oversampled as    |
|                    | well as black and Hispanic population groups.   |
+--------------------+-------------------------------------------------+
| Contact            | Data system homepage:                           |
| Information        | http://www.cdc.gov/nchs/nsfg.htm                |
|                    |                                                 |
|                    | Data system phone: 301-458-4222                 |
|                    |                                                 |
|                    | Agency homepage: http://www.cdc.gov/nchs        |
|                    |                                                 |
|                    | Agency phone: 301-458-INFO (4636)               |
+--------------------+-------------------------------------------------+
| ####### References | Potter, F.J.; Iannacchione, V.G.; Mosher, W.D.; |
|                    | et al. Sampling weights, imputation, and        |
|                    | variance estimation in the 1995 National Survey |
|                    | of Family Growth. National Center for Health    |
|                    | Statistics (NCHS). *Vital and Health            |
|                    | Statistics* 2(124), 1998.                       |
|                    |                                                 |
|                    | Kelly, J.E.; Mosher, W.D.; Duffer, A.P.; et al. |
|                    | Plan and operation of the 1995 National Survey  |
|                    | of Family Growth. NCHS. *Vital and Health       |
|                    | Statistics* 1(36), 1997.                        |
|                    |                                                 |
|                    | Waksberg, J.; Sperry, S.; Judkins, D.; et al.   |
|                    | National Survey of Family Growth, Cycle IV,     |
|                    | evaluation of linked design. NCHS. *Vital and   |
|                    | Health Statistics* 2(117), 1993.                |
|                    |                                                 |
|                    | Judkins, D.R.; Mosher, W.D., and Botman, S.     |
|                    | National Survey of Family Growth: Design,       |
|                    | estimation, and inference. NCHS. *Vital and     |
|                    | Health Statistics* 2(109), 1991.                |
|                    |                                                 |
|                    | Waksberg, J., and Northrup, D.R. Integration of |
|                    | sample design for the National Survey of Family |
|                    | Growth, Cycle IV, with the National Health      |
|                    | Interview Survey. NCHS. *Vital and Health       |
|                    | Statistics* 2(96), 1985.                        |
+--------------------+-------------------------------------------------+

+-------------------+--------------------------------------------------+
| **National Vital  |                                                  |
| Statistics        |                                                  |
| System,           |                                                  |
| Mortality\        |                                                  |
| (NVSS-M)**        |                                                  |
+===================+==================================================+
| Sponsor           | U.S. Department of Health and Human Services,    |
|                   | Centers for Disease Control and Prevention       |
|                   | (CDC), National Center for Health Statistics     |
|                   | (NCHS).                                          |
+-------------------+--------------------------------------------------+
| Mode of           | Administrative records (death certificates)      |
| Administration    | completed by physicians, coroners, medical       |
|                   | examiners, and funeral directors are filed with  |
|                   | State vital statistics offices; selected         |
|                   | statistical information is forwarded to NCHS to  |
|                   | be merged into a national statistical file.      |
|                   | Beginning with 1989, revised standard            |
|                   | certificates replaced the 1978 versions; the     |
|                   | next scheduled revision is 2003. Demographic     |
|                   | information on the death certificate is provided |
|                   | by the funeral director and is based on          |
|                   | information supplied by an informant. Medical    |
|                   | certification of cause of death is provided by   |
|                   | the physician, medical examiner, or coroner.     |
+-------------------+--------------------------------------------------+
| Survey Sample     | NVSS mortality files include data for the 50     |
| Design            | States, the District of Columbia, and the        |
|                   | territories of Puerto Rico, Virgin Islands,      |
|                   | Guam, American Samoa, and the Commonwealth of    |
|                   | the Northern Marianas. All deaths occurring in   |
|                   | those areas are included (approximately 2.2 to   |
|                   | 2.3 million annually). Data for Healthy People   |
|                   | 2010 are based only on resident deaths filed in  |
|                   | the 50 States and the District of Columbia.      |
|                   | Deaths to nonresidents of the United States are  |
|                   | not included.                                    |
+-------------------+--------------------------------------------------+
| #####             | N/A.                                             |
| ## Response Rates |                                                  |
+-------------------+--------------------------------------------------+
| Primary Survey    | Year of death, place of decedent's residence,    |
| Content           | place death occurred, age at death, day of week  |
|                   | and month of death, Hispanic origin, race,       |
|                   | marital status (beginning in 1979), place of     |
|                   | birth, gender, underlying and multiple causes of |
|                   | death for all States, injury at work (beginning  |
|                   | in 1993), hospital and patient status,           |
|                   | educational attainment (beginning in 1989) for   |
|                   | selected States, and occupation and industry     |
|                   | (beginning in 1984) for selected States.         |
+-------------------+--------------------------------------------------+
| Population        | The U.S. population.                             |
| Targeted          |                                                  |
+-------------------+--------------------------------------------------+
| #######           | Gender, race, Hispanic origin (beginning in      |
|  Demographic Data | 1984), age at death, place of decedent's         |
|                   | residence, educational attainment (beginning in  |
|                   | 1989) for selected States, marital status, and   |
|                   | industry and occupation for selected States.     |
|                   | Race and ethnic origin are separate items on the |
|                   | death certificate. Beginning with 1992 data,     |
|                   | California, Hawaii, Illinois, New Jersey, New    |
|                   | York, Texas, and Washington reported expanded    |
|                   | Asian and Pacific Islander categories of Asian   |
|                   | Indian, Korean, Vietnamese, Samoan, and          |
|                   | Guamanian. The rest of the States reported a     |
|                   | combined Other Asian and Pacific Islander        |
|                   | category in addition to the categories of white, |
|                   | black, American Indian, Chinese, Hawaiian,       |
|                   | Japanese, and Filipino that all States report.   |
|                   | As of 1997, all States report Hispanic origin.   |
|                   | The categories reported include Mexican, Puerto  |
|                   | Rican, Cuban, Central and South American, and    |
|                   | Other Hispanic.                                  |
+-------------------+--------------------------------------------------+
| ######            | The data system began in 1900 but not all States |
| # Years Collected | participated before 1933. Coverage for deaths    |
|                   | has been complete since 1933.                    |
+-------------------+--------------------------------------------------+
| ####### Schedule  | Annual.                                          |
+-------------------+--------------------------------------------------+
| Geographic        | National, regional, State, and county. Beginning |
| Estimates         | with 1989 data, some changes were initiated to   |
|                   | increase confidentiality protection. Identifying |
|                   | information including date of death and          |
|                   | geographic identifiers for counties of less than |
|                   | 100,000 persons are not available for public     |
|                   | use.                                             |
+-------------------+--------------------------------------------------+
| ####### Co        | Data system homepage:                            |
| ntact Information | http                                             |
|                   | ://www.cdc.gov/nchs/about/major/dvs/mortdata.htm |
|                   |                                                  |
|                   | Data system phone: 301-458-4555                  |
|                   |                                                  |
|                   | Agency homepage: http://www.cdc.gov/nchs         |
|                   |                                                  |
|                   | Agency phone: 301-458-4666                       |
+-------------------+--------------------------------------------------+
| References        | Hoyert, D.L.; Kochanek, K.D.; and Murphy, S.L.   |
|                   | Deaths: Final Data for 1997. *National Vital     |
|                   | Statistics Reports* 19(Suppl. 47). Hyattsville,  |
|                   | MD: National Center for Health Statistics        |
|                   | (NCHS), 1999.                                    |
|                   |                                                  |
|                   | NCHS. *Technical Appendix. Vital Statistics of   |
|                   | the United States, 1992*. Vol. II, Mortality,    |
|                   | Part A. HHS Pub. No. (PHS) 96-1101. Washington,  |
|                   | DC: U.S. Government Printing Office, 1996.       |
+-------------------+--------------------------------------------------+

+-------------------+--------------------------------------------------+
| **National Vital  |                                                  |
| Statistics        |                                                  |
| System -          |                                                  |
| Natality\         |                                                  |
| (NVSS-N)**        |                                                  |
+===================+==================================================+
| Sponsor           | U.S. Department of Health and Human Services,    |
|                   | Centers for Disease Control and Prevention       |
|                   | (CDC), National Center for Health Statistics     |
|                   | (NCHS).                                          |
+-------------------+--------------------------------------------------+
| Mode of           | Hospital and attendants at delivery are          |
| Administration    | responsible for completion of administrative     |
|                   | records (birth certificates), which are filed    |
|                   | with State vital statistics offices; selected    |
|                   | statistical information is forwarded to NCHS to  |
|                   | be merged into a national statistical file.      |
|                   | Demographic information is provided by the       |
|                   | mother. Medical and health information is        |
|                   | generally based on hospital and other records.   |
|                   | Beginning with 1989, revised standard            |
|                   | certificates replaced the 1978 versions. The     |
|                   | next scheduled revision is in 2003.              |
+-------------------+--------------------------------------------------+
| Survey Sample     | NVSS natality data include data for the 50       |
| Design            | States, the District of Columbia, and the        |
|                   | territories of Puerto Rico, Virgin Islands,      |
|                   | Guam, American Samoa, and the Commonwealth of    |
|                   | the Northern Marianas. All births are included   |
|                   | (approximately 3.9 to 4.0 million annually).     |
|                   | Data for Healthy People 2010 are based only on   |
|                   | resident births filed in the 50 States and the   |
|                   | District of Columbia. Births to nonresidents of  |
|                   | the United States are not included.              |
+-------------------+--------------------------------------------------+
| #####             | N/A.                                             |
| ## Response Rates |                                                  |
+-------------------+--------------------------------------------------+
| Primary Survey    | Year of birth, place of birth, prenatal care,    |
| Content           | demographic information and health status of     |
|                   | baby, demographic information of mother and      |
|                   | father, pregnancy history of mother, medical and |
|                   | health data about the delivery, pregnancy, and   |
|                   | mother.                                          |
+-------------------+--------------------------------------------------+
| Population        | All registered births in the United States.      |
| Targeted          |                                                  |
+-------------------+--------------------------------------------------+
| #######           | Gender of baby. Race, Hispanic origin, age,      |
|  Demographic Data | educational attainment, marital status of        |
|                   | mother, and live-birth order.                    |
+-------------------+--------------------------------------------------+
| ######            | The data system began in 1900 but not all States |
| # Years Collected | participated before 1933. Before 1972, only a 50 |
|                   | percent sample of birth certificates was         |
|                   | received. Beginning 1972 all birth certificates  |
|                   | are included from States participating in the    |
|                   | Vital Statistics Cooperative Program (VSCP),     |
|                   | with other States continuing to provide data     |
|                   | from a 50 percent sample of birth certificates.  |
|                   | Beginning 1985, the natality file is based on    |
|                   | 100 percent of birth certificates in all States  |
|                   | and the District of Columbia.                    |
+-------------------+--------------------------------------------------+
| ####### Schedule  | Annual.                                          |
+-------------------+--------------------------------------------------+
| Geographic        | National, regional, State, county, and city.     |
| Estimates         | Detailed data for counties and cities of 100,000 |
|                   | or more population.                              |
+-------------------+--------------------------------------------------+
| ####### Co        | Data system homepage:                            |
| ntact Information | <http://www.cdc.gov/nchs/births.htm>             |
|                   |                                                  |
|                   | Data system phone: 301-458-4111                  |
|                   |                                                  |
|                   | Agency homepage: <http://www.cdc.gov/nchs>       |
|                   |                                                  |
|                   | Agency phone: 301-458-INFO (4636)                |
+-------------------+--------------------------------------------------+
| #                 | Ventura, S.J.; Martin, J.A.; Curtin, S.A.; et    |
| ###### References | al. Births: Final Data for 1998. *National Vital |
|                   | Statistics Reports* 3(Suppl. 48). Hyattsville,   |
|                   | MD: National Center for Health Statistics        |
|                   | (NCHS), 2000.                                    |
|                   |                                                  |
|                   | NCHS. *Technical Appendix*. *Vital Statistics of |
|                   | the United States, 1992.* Vol. I, Natality. HHS  |
|                   | Pub. No. (PHS) 96-1100. Washington, DC: U.S.     |
|                   | Government Printing Office, 1996.                |
+-------------------+--------------------------------------------------+

####  {#section-12 .unnumbered}

+-------------------+--------------------------------------------------+
| **1999 National   |                                                  |
| Worksite Health   |                                                  |
| Promotion Survey  |                                                  |
| (NWHPS)**         |                                                  |
+===================+==================================================+
| Sponsor           | Association for Worksite Health Promotion        |
|                   | (AWHP), the U.S. Department of Health and Human  |
|                   | Services, Office of Disease Prevention and       |
|                   | Health Promotion (ODPHP), and William M. Mercer, |
|                   | Incorporated.                                    |
+-------------------+--------------------------------------------------+
| Mode of           | Computer-assisted telephone interview (CATI).    |
| Administration    |                                                  |
+-------------------+--------------------------------------------------+
| Survey Sample     | Worksites were defined as an organizational      |
| Design            | entity comprising 50 or more employees working   |
|                   | at a particular geographic location. The sample  |
|                   | was drawn randomly from the Dun & Bradstreet     |
|                   | universe of employers and classified according   |
|                   | to the number of employees at each worksite and  |
|                   | Standard Industrial Classification (SIC) code.   |
|                   | Size strata were 50-99, 100-249, 250-749, and    |
|                   | 750 and more employees. Public sector employers  |
|                   | were excluded. Results of the survey were        |
|                   | weighted based on the size of the worksite. A    |
|                   | total of 1,544 worksites were surveyed in        |
|                   | 1998--99.                                        |
+-------------------+--------------------------------------------------+
| #####             | Overall response rate was 60 percent.            |
| ## Response Rates |                                                  |
+-------------------+--------------------------------------------------+
| Primary Survey    | The survey covered employer's health risk and    |
| Content           | prevention programs and policies provided to     |
|                   | their employees; corporate characteristics;      |
|                   | corporate perspectives on health, values,        |
|                   | support, and barriers; use of health plans for   |
|                   | current and future health promotion delivery;    |
|                   | delivery mechanisms, cost sharing and            |
|                   | incentives; and disease- and demand-management   |
|                   | programs and trends.                             |
+-------------------+--------------------------------------------------+
| Population        | Worksites with 50 or more employees, excluding   |
| Targeted          | public sector worksites.                         |
+-------------------+--------------------------------------------------+
| #######           | Not applicable.                                  |
|  Demographic Data |                                                  |
+-------------------+--------------------------------------------------+
| ######            | November 1998--August 1999.                      |
| # Years Collected |                                                  |
+-------------------+--------------------------------------------------+
| ####### Schedule  | Periodic.                                        |
+-------------------+--------------------------------------------------+
| Geographic        | National (excluding Alaska and Hawaii).          |
| Estimates         |                                                  |
+-------------------+--------------------------------------------------+
| ####### Notes     | There are plans to repeat this survey at least   |
|                   | twice between 2001 and 2007 to obtain updates    |
|                   | for the Healthy People 2010 objectives that      |
|                   | target worksite health promotion programs.       |
+-------------------+--------------------------------------------------+
| Contact           | Data system homepage: http://www.awhp.org        |
| Information       |                                                  |
|                   | Data system phone: 847-480‑9574 (NWHP)           |
|                   |                                                  |
|                   | 612-897-8800 (Mercer, Incorporated)              |
|                   |                                                  |
|                   | Agency homepage: http://odphp.osophs.dhhs.gov    |
|                   |                                                  |
|                   | Agency phone: 202-205-8611 (ODPHP)               |
+-------------------+--------------------------------------------------+
| #                 | Association for Worksite Health Promotion. *1999 |
| ###### References | National Worksite Health Promotion Survey.*      |
|                   | Northbrook, IL: the Association, 1999.           |
+-------------------+--------------------------------------------------+

+-------------------+--------------------------------------------------+
| **School Health   |                                                  |
| Policies and      |                                                  |
| Programs Study\   |                                                  |
| (SHPPS)**         |                                                  |
+===================+==================================================+
| Sponsor           | U.S. Department of Health and Human Services,    |
|                   | Centers for Disease Control and Prevention       |
|                   | (CDC), National Center for Chronic Disease       |
|                   | Prevention and Health Promotion (NCCDPHP).       |
+-------------------+--------------------------------------------------+
| Mode of           | State and district level: Self-administered,     |
| Administration    | mailed questionnaire.                            |
|                   |                                                  |
|                   | School and classroom level: On-site, structured  |
|                   | personal interview.                              |
+-------------------+--------------------------------------------------+
| Survey Sample     | For the 1994 SHPPS, all 50 States and the        |
| Design            | District of Columbia education agencies; a       |
|                   | national probability sample of public and        |
|                   | private districts; a national sample of public   |
|                   | and private middle/junior and senior high school |
|                   | schools, and a random sample of required health  |
|                   | education and physical education classes. About  |
|                   | 400 districts and 600 schools participated.      |
|                   | Respondents included administrators, teachers,   |
|                   | school nurses, counselors, food service staff,   |
|                   | secretaries, and other school personnel.         |
+-------------------+--------------------------------------------------+
| #####             | For the 1994 SHPPS: State education agencies,    |
| ## Response Rates | 100 percent; school districts, 82 percent;       |
|                   | schools, 79 percent; health education teachers,  |
|                   | 63 percent; and physical education teachers, 70  |
|                   | percent.                                         |
+-------------------+--------------------------------------------------+
| Primary Survey    | Characteristics (such as policies,               |
| Content           | administration, planning, program content,       |
|                   | program requirements, teaching methodologies,    |
|                   | professional preparation of staff, efforts to    |
|                   | promote programs, accessibility of services,     |
|                   | training needs, etc.) of school health programs, |
|                   | including health education, physical education,  |
|                   | food service, health services, and school health |
|                   | policies were measured in 1994.                  |
+-------------------+--------------------------------------------------+
| Population        | Education agencies in all 50 States and the      |
| Targeted          | District of Columbia; public and private school  |
|                   | districts; public and private middle/junior and  |
|                   | senior high schools; required health education   |
|                   | and physical education courses.                  |
+-------------------+--------------------------------------------------+
| #######           | For schools, demographic variables include       |
|  Demographic Data | school size, school type, and urbanicity.        |
+-------------------+--------------------------------------------------+
| ######            | 1994; 2000.                                      |
| # Years Collected |                                                  |
+-------------------+--------------------------------------------------+
| ####### Schedule  | Periodic: Every 6 years.                         |
+-------------------+--------------------------------------------------+
| Geographic        | National estimates for school districts,         |
| Estimates         | schools, and health education and physical       |
|                   | education courses; State estimates for State     |
|                   | education agencies.                              |
+-------------------+--------------------------------------------------+
| ####### Notes     | SHPPS is the most comprehensive source of        |
|                   | national data on policies and programs that      |
|                   | support school health programs. SHPPS 2000 is an |
|                   | expanded version of the 1994 SHPPS. About 800    |
|                   | districts and 1,400 schools were asked to        |
|                   | participate, including elementary schools. In    |
|                   | addition to the 1994 survey content, SHPPS 2000  |
|                   | assesses mental health and social services,      |
|                   | faculty and staff health promotion, and family   |
|                   | and community involvement. Demographic data will |
|                   | be expanded to include percent of students       |
|                   | receiving free or reduced-price school lunches,  |
|                   | student-teacher ratios, and race/ethnic          |
|                   | distribution of students.                        |
+-------------------+--------------------------------------------------+
| Contact           | Data system homepage:                            |
| Information       | http://www.cdc.gov/nccdphp/dash/shpps/index.htm  |
|                   |                                                  |
|                   | Data system phone: 800-231-6405                  |
|                   |                                                  |
|                   | Agency homepage: http://www.cdc.gov/nccdphp      |
|                   |                                                  |
|                   | Agency phone: 770-488-5401                       |
+-------------------+--------------------------------------------------+
| #                 | Errecart, M.T.; Ross, J.G.; Robb, W.; et al. The |
| ###### References | School Health Policies and Programs Study        |
|                   | (SHPPS): Methodology. *Journal of School Health* |
|                   | 8(65), 1995.                                     |
+-------------------+--------------------------------------------------+

+-------------------+--------------------------------------------------+
| **State Tobacco   |                                                  |
| Activities        |                                                  |
| Tracking and      |                                                  |
| Evaluation System |                                                  |
| (STATE)**         |                                                  |
+===================+==================================================+
| Sponsor           | U.S. Department of Health and Human Services,    |
|                   | Centers for Disease Control and Prevention       |
|                   | (CDC), National Center for Chronic Disease       |
|                   | Prevention and Health Promotion (NCCDPHP),       |
|                   | Office on Smoking and Health (OSH).              |
+-------------------+--------------------------------------------------+
| Mode of           | The STATE System is a data warehouse. Data are   |
| Administration    | collected and summarized from various sources,   |
|                   | including the Behavioral Risk Factor             |
|                   | Surveillance System; the Youth Risk Behavior     |
|                   | Surveillance System; the Census Bureau, the      |
|                   | Economic Research Service, USDA; and SAMHSA.     |
|                   | Specifically for Healthy People 2010 objectives, |
|                   | the Lexis-Nexis on-line legal database is used.  |
+-------------------+--------------------------------------------------+
| Survey Sample     | Not applicable.                                  |
| Design            |                                                  |
|                   | Specifically for Healthy People 2010 objectives, |
|                   | CDC, OSH searches two Lexis-Nexis subfiles: the  |
|                   | StateTrack System and the Advanced Legislative   |
|                   | Services System. Downloads to the STATE database |
|                   | are coded according to variables identified by   |
|                   | CDC, OSH.                                        |
+-------------------+--------------------------------------------------+
| #####             | N/A.                                             |
| ## Response Rates |                                                  |
+-------------------+--------------------------------------------------+
| Primary Survey    | The system contains data on cigarette and other  |
| Content           | tobacco use, resident population estimates       |
|                   | (number of adults and adolescents), the tobacco  |
|                   | industry (tobacco agriculture, manufacturing,    |
|                   | and cigarette sales), health consequences and    |
|                   | cost, State tobacco-control legislation          |
|                   | (smokefree indoor air, youth access, preemption, |
|                   | excise tax on tobacco products, licensure, and   |
|                   | advertising), and program implementation         |
|                   | (cigarette sales to underage persons).           |
+-------------------+--------------------------------------------------+
| Population        | State tobacco activities.                        |
| Targeted          |                                                  |
+-------------------+--------------------------------------------------+
| #######           | Resident population data grouped by adult and    |
|  Demographic Data | youth.                                           |
+-------------------+--------------------------------------------------+
| ######            | Continuously since 1996. Released on the         |
| # Years Collected | Internet in May, 1999.                           |
+-------------------+--------------------------------------------------+
| ####### Schedule  | Annually for most data sources, quarterly for    |
|                   | State tobacco control legislation.               |
+-------------------+--------------------------------------------------+
| Geographic        | State (see NOTES).                               |
| Estimates         |                                                  |
+-------------------+--------------------------------------------------+
| ####### Notes     | The STATE System is an electronic data warehouse |
|                   | containing up-to-date and historic State-level   |
|                   | data on tobacco use prevention and control. It   |
|                   | is designed to integrate many data sources to    |
|                   | provide comprehensive summary data and           |
|                   | facilitate research and consistent               |
|                   | interpretation of the data. The STATE System was |
|                   | developed by CDC, NCCDPHP, OSH.                  |
|                   |                                                  |
|                   | National estimates specifically for Healthy      |
|                   | People 2010 are derived by summing the State     |
|                   | numbers (for example, number of smokefree indoor |
|                   | air policies) across States.                     |
+-------------------+--------------------------------------------------+
| Contact           | Data system homepage:                            |
| Information       | http://www2.cdc.gov/nccdphp/osh/state/           |
|                   |                                                  |
|                   | Data system phone: 770-488-5703                  |
|                   |                                                  |
|                   | Agency homepage: http://www.cdc.gov/tobacco      |
|                   |                                                  |
|                   | Agency phone: 770-488-5701                       |
+-------------------+--------------------------------------------------+
| #                 | Centers for Disease Control and Prevention       |
| ###### References | (CDC). Tobacco use among middle and high school  |
|                   | students, United States, 1999. *Morbidity and    |
|                   | Mortality Weekly Report* 49(03): 49-53, 2000.    |
|                   |                                                  |
|                   | CDC. Surveillance for selected tobacco use       |
|                   | behaviors, United States, 1900--94. *Morbidity   |
|                   | and Mortality Weekly Report* 43(SS-3):49-53,     |
|                   | 1994.                                            |
|                   |                                                  |
|                   | CDC. Attitudes toward smoking policies in eight  |
|                   | States, United States, 1993. *Morbidity and      |
|                   | Mortality Weekly Report* 43(43): 786-789, 1994.  |
+-------------------+--------------------------------------------------+

##  

## 

+-------------------+--------------------------------------------------+
| **STD             |                                                  |
| Surveillance      |                                                  |
| System\           |                                                  |
| (STDSS)**         |                                                  |
+===================+==================================================+
| Sponsor           | U.S. Department of Health and Human Services,    |
|                   | Centers for Disease Control and Prevention       |
|                   | (CDC), National Center for HIV, STD, and TB      |
|                   | Prevention (NCHSTP).                             |
+-------------------+--------------------------------------------------+
| Mode of           | Reports from health care providers are sent to   |
| Administration    | the local/State/territorial health departments.  |
+-------------------+--------------------------------------------------+
| Survey Sample     | All 50 States, the District of Columbia, Puerto  |
| Design            | Rico, the U.S. Virgin Islands, Guam, and 64      |
|                   | select large cities report STD cases.            |
+-------------------+--------------------------------------------------+
| #####             | Response rates vary by disease and patient       |
| ## Response Rates | population. Estimates of completeness for case   |
|                   | reporting of syphilis, gonorrhea, and chlamydia  |
|                   | are 65, 50, and 20 percent, respectively.        |
+-------------------+--------------------------------------------------+
| Primary Survey    | Summary case count data are submitted monthly,   |
| Content           | quarterly, and annually using OMB-approved hard  |
|                   | copy forms. Hard copy reporting is being         |
|                   | replaced by electronic line-listed data.         |
|                   | Currently, electronic line-listed data are       |
|                   | submitted by more than half of the reporting     |
|                   | States. Disease-specific information and         |
|                   | demographics are available.                      |
+-------------------+--------------------------------------------------+
| Population        | Health care providers and laboratories providing |
| Targeted          | medical care and laboratory services to persons  |
|                   | with STDs.                                       |
+-------------------+--------------------------------------------------+
| #######           | Age, gender, race, ethnicity, State and county   |
|  Demographic Data | of residence, country of birth.                  |
+-------------------+--------------------------------------------------+
| ######            | CDC first provided reports of persons with STDs  |
| # Years Collected | in 1941.                                         |
+-------------------+--------------------------------------------------+
| ####### Schedule  | Annual. STD Surveillance Report is published     |
|                   | annually and is supplemented by the Chlamydia    |
|                   | Prevalence Monitoring Annual Report, the         |
|                   | Gonococcal Isolate Surveillance Project (GISP)   |
|                   | Annual Report, and the Syphilis Surveillance     |
|                   | Report. Report is available on the Web at        |
|                   | http://www.cdc.gov/wonder/STD/Contents.shtml .   |
+-------------------+--------------------------------------------------+
| Geographic        | National, State, regional, and selected large    |
| Estimates         | cities and counties. Data release policies       |
|                   | dictate that no data that could be used to       |
|                   | identify a person reported to the system may be  |
|                   | released; thus, release of data in cell sizes    |
|                   | less than or equal to five in a given category   |
|                   | is prohibited.                                   |
+-------------------+--------------------------------------------------+
| ####### Co        | Data system homepage:                            |
| ntact Information | http://www.cdc.g                                 |
|                   | ov/nchstp/dstd/Stats_Trends/Stats_and_Trends.htm |
|                   |                                                  |
|                   | Data system phone: 404-639-8356                  |
|                   |                                                  |
|                   | Agency homepage:                                 |
|                   | http://www.cdc.gov/nchstp/od/nchstp.html         |
|                   |                                                  |
|                   | Agency phone: 404-639-2070                       |
+-------------------+--------------------------------------------------+
| References        | Centers for Disease Control and Prevention       |
|                   | (CDC), Division of Sexually Transmitted Disease  |
|                   | Prevention. *Sexually Transmitted Disease        |
|                   | Prevention Surveillance.* Atlanta, GA: CDC,      |
|                   | 1999.                                            |
|                   |                                                  |
|                   | CDC. Case definition for infectious conditions   |
|                   | under public health surveillance. *Morbidity and |
|                   | Mortality Weekly Report* 46(RR10), 1997.         |
|                   |                                                  |
|                   | CDC. Guidelines for evaluating surveillance      |
|                   | systems. *Morbidity and Mortality Weekly Report* |
|                   | 37(S5), 1988.                                    |
+-------------------+--------------------------------------------------+

+-------------------+--------------------------------------------------+
| **United States   |                                                  |
| Renal Data        |                                                  |
| System\           |                                                  |
| (USRDS)**         |                                                  |
+===================+==================================================+
| Sponsor           | U.S. Department of Health and Human Services,    |
|                   | National Institutes for Health (NIH), National   |
|                   | Institute for Diabetes and Digestive and Kidney  |
|                   | Disease (NIDDK) in collaboration with the U.S.   |
|                   | Department of Health and Human Services, Health  |
|                   | Care Financing Administration (HCFA).            |
+-------------------+--------------------------------------------------+
| Mode of           | Continuous mandated reporting from physicians    |
| Administration    | who treat end-stage renal disease (ESRD).        |
+-------------------+--------------------------------------------------+
| Survey Sample     | The database consists of patient and facility    |
| Design            | records from the HCFA ESRD Program Management    |
|                   | and Medical Information System, the Annual       |
|                   | Facility Survey, and data on transplant followup |
|                   | and Medicare parts A and B services derived from |
|                   | Medicare claims. These HCFA-supplied data are    |
|                   | supplemented by data from the Social Security    |
|                   | Administration, the U.S. Department of Veterans  |
|                   | Affairs facilities, the U.S. Census Bureau,      |
|                   | local and national ESRD provider databases, and  |
|                   | international ESRD registries. Patient-specific  |
|                   | data are compiled from medical records, as well  |
|                   | as data on medical providers and treatment       |
|                   | facilities. Special studies utilize random       |
|                   | samples of patient population medical records.   |
+-------------------+--------------------------------------------------+
| #####             | About 96 percent of all treated ESRD patients in |
| ## Response Rates | the United States are covered.                   |
+-------------------+--------------------------------------------------+
| Primary Survey    | Date of onset of ESRD, treatment modality        |
| Content           | (including dialysis and kidney transplantation), |
|                   | causes of death, patient survival,               |
|                   | hospitalization, cost and cost effectiveness,    |
|                   | and institutional providers of ESRD treatment.   |
|                   | Questions in special surveys cover behavioral    |
|                   | risk factors (for example, alcohol and tobacco   |
|                   | use), preventive health measures, health status, |
|                   | limitation of activity, and health care access   |
|                   | and utilization.                                 |
+-------------------+--------------------------------------------------+
| Population        | Medicare and non-Medicare ESRD patients. The     |
| Targeted          | USRDS contains data on approximately 1 million   |
|                   | patients treated between 1977 and 1998.          |
+-------------------+--------------------------------------------------+
| #######           | Gender, age, income, education, race, Hispanic   |
|  Demographic Data | ethnicity (available since April 1995).          |
+-------------------+--------------------------------------------------+
| ######            | Continuously since 1988.                         |
| # Years Collected |                                                  |
+-------------------+--------------------------------------------------+
| ####### Schedule  | Annual.                                          |
+-------------------+--------------------------------------------------+
| Geographic        | National, State, and county.                     |
| Estimates         |                                                  |
+-------------------+--------------------------------------------------+
| ####### Notes     | The USRDS provides data on the incidence,        |
|                   | prevalence, mortality rates, and trends over     |
|                   | time of end-stage renal disease by primary       |
|                   | diagnosis, treatment modality, and               |
|                   | sociodemographic variables. Data are published   |
|                   | in an Annual Data Report, which is available on  |
|                   | the Internet at http://www.med.umich.edu/usrds.  |
|                   | Other data collected by the database include     |
|                   | services resources; services utilization; and    |
|                   | services expenditures and financing.             |
+-------------------+--------------------------------------------------+
| Contact           | Data system homepage: http://www.usrds.org       |
| Information       |                                                  |
|                   | Survey description:                              |
|                   | http://w                                         |
|                   | ww.os.dhhs.gov/progorg/aspe/minority/minnih9.htm |
|                   |                                                  |
|                   | Agency homepage: http://www.niddk.nih.gov        |
|                   |                                                  |
|                   | Agency phone: 301-594-1932                       |
+-------------------+--------------------------------------------------+
| #                 | U.S. Renal Data System (USRDS). *1999 Annual     |
| ###### References | Data Report.* Bethesda, MD: National Institutes  |
|                   | of Health, National Institute of Diabetes and    |
|                   | Digestive and Kidney Diseases. Published         |
|                   | annually.                                        |
+-------------------+--------------------------------------------------+

+-------------------+--------------------------------------------------+
| **Youth Risk      |                                                  |
| Behavior          |                                                  |
| Surveillance      |                                                  |
| System (YRBSS)**  |                                                  |
+===================+==================================================+
| Sponsor           | U.S. Department of Health and Human Services,    |
|                   | Centers for Disease Control and Prevention       |
|                   | (CDC), National Center for Chronic Disease       |
|                   | Prevention and Health Promotion (NCCDPHP).       |
+-------------------+--------------------------------------------------+
| Mode of           | School based; administered in classrooms by      |
| Administration    | professional survey administrators. Anonymous    |
|                   | self-administered questionnaires. Make-up        |
|                   | surveys conducted for absentees.                 |
+-------------------+--------------------------------------------------+
| Survey Sample     | The YRBSS has several components all of which    |
| Design            | are administered among samples of 9th through    |
|                   | 12th grade students: a national survey, State    |
|                   | surveys administered by the States, local        |
|                   | surveys administered by 16 of the largest        |
|                   | cities, a survey of the Navaho Indian Nation     |
|                   | schools, and a census of Bureau of Indian        |
|                   | Affairs schools. The national survey uses a      |
|                   | three-stage probability sample. It is completed  |
|                   | biennially by students in about 150 public and   |
|                   | private schools, grades 9-12. African-American   |
|                   | and Hispanic/Latino students are over-sampled in |
|                   | the national survey. In the 1999 national        |
|                   | survey, N= 15,349; grade 9 = 28.9 percent; grade |
|                   | 10 = 26.0 percent; grade 11 = 23.6 percent; and  |
|                   | grade 12 = 21.4 percent.                         |
+-------------------+--------------------------------------------------+
| #####             | [For 1999]{.underline}:                          |
| ## Response Rates |                                                  |
|                   | School response rate 77%                         |
|                   |                                                  |
|                   | Individual response rate 86%                     |
|                   |                                                  |
|                   | Overall response rate 66%                        |
+-------------------+--------------------------------------------------+
| Primary Survey    | Six categories of health risk behaviors: injury, |
| Content           | tobacco use, alcohol and other drug use, sexual  |
|                   | behavior, diet and nutrition, and physical       |
|                   | activity.                                        |
+-------------------+--------------------------------------------------+
| Population        | Students in grades 9-12.                         |
| Targeted          |                                                  |
+-------------------+--------------------------------------------------+
| Demographic Data  | Gender, age, grade, race/ethnicity, urbanicity   |
|                   | of school.                                       |
|                   |                                                  |
|                   | Race/ethnicity data are collected using a single |
|                   | question. Categories are White, Black or African |
|                   | American, American Indian or Alaska Native,      |
|                   | Asian, Native Hawaiian or other Pacific          |
|                   | Islander, Hispanic or Latino. Respondents can    |
|                   | choose one or more categories. Persons who       |
|                   | select "Hispanic or Latino" are only counted as  |
|                   | Hispanic or Latino, whereas people who select    |
|                   | multiple race categories (not including Hispanic |
|                   | or Latino) are classified as "multiracial." (The |
|                   | number in the multiracial category is very       |
|                   | small.) When the data are compiled, persons who  |
|                   | select White only are classified as nonHispanic  |
|                   | White. Person who select Black or African        |
|                   | American only are classified as non-Hispanic     |
|                   | Black or African American.                       |
+-------------------+--------------------------------------------------+
| ######            | 1990; biennially since 1991.                     |
| # Years Collected |                                                  |
+-------------------+--------------------------------------------------+
| ####### Schedule  | Biennial (odd-numbered years).                   |
+-------------------+--------------------------------------------------+
| Geographic        | National survey: national and four U.S. Census   |
| Estimates         | Bureau regions; State survey: 41 States and the  |
|                   | District of Columbia in 1999; Local survey: 16   |
|                   | selected large urban school districts in 1999.   |
+-------------------+--------------------------------------------------+
| ####### Notes     | This is one of the few school-based surveys that |
|                   | conducts a makeup survey for students who are    |
|                   | absent during the original survey yielding       |
|                   | excellent coverage of the in-school youth        |
|                   | population. Other components of the YRBSS        |
|                   | include a national alternative school survey,    |
|                   | middle school surveys in selected States, and    |
|                   | the National College Health Risk Behavior        |
|                   | Survey. For the 1999 YRBSS, questionnaire        |
|                   | revisions were made to be responsive to the      |
|                   | Healthy People 2010 objectives and current       |
|                   | trends.                                          |
+-------------------+--------------------------------------------------+
| Contact           | Data system homepage:                            |
| Information       | http://www.cdc.gov/nccdphp/dash/yrbs/ov.htm      |
|                   |                                                  |
|                   | Data system phone: 800-231-6405                  |
|                   |                                                  |
|                   | Agency homepage: http://www.cdc.gov/nccdphp      |
|                   |                                                  |
|                   | Agency phone: 770-488-5401                       |
+-------------------+--------------------------------------------------+
| #                 | Kann, L.; Kichen, S.A.; Williams, B.I.; et al.   |
| ###### References | Youth risk behavior surveillance, United States. |
|                   | *Morbidity and Mortality Weekly Report           |
|                   | Surveillance Summary* 47(SS-3):1-89, 1997.       |
|                   |                                                  |
|                   | Kann, L.; Warren, C.W.; Harris, W.A.; et al.     |
|                   | Youth risk behavior surveillance, United States. |
|                   | *Morbidity and Mortality Weekly Report           |
|                   | Surveillance Summary* 45(SS-4):1-83, 1995.       |
|                   |                                                  |
|                   | Kann, L.; Kolbe, L.J.; and Collins, J.L. (eds).  |
|                   | Measuring the health behavior of adolescents:    |
|                   | The Youth Risk Behavior Surveillance System and  |
|                   | recent reports on high-risk adolescents. *Public |
|                   | Health Reports* 108 (Suppl. 1), 1993.            |
+-------------------+--------------------------------------------------+