An hwentory of 

Alcohol, Drug, and 

Mental Health Data 

Available From the 

National Center for 

Health Statistics 

This repcm identifies National Center for “ 

Health Statistics data sets that contain 

information on clinical mental disorder, 

psychological well-being, psychosocial risk 

factors, alcohol use and abuse, and drug 

use and abuse, and provides a detailed 

summary of these data elements. 

pwm—a~~ . Procedures 

Series 1, NQ. 17 

DHHS Publication No. (PHS) 85-1319 

U.S. Department of Health and Human 

Services 

Public Health Service 

National Center for Health Statistics 

Hyattsville, Md. 

April 1985 
.

. 

.-”. ‘ 

. 

., 

. . . 

... 

National Center for Health Statistics 

Manning Feirsleib, M.D., Dr.P.H., Director 

Robert A. Israel, Deputy Director 

Jacob J. Feldman, Ph. D., Associa/e Director for Analysis and 

Epidemiology 

Garrie J. Losee, Associute Director for Dutu Processing und 

Services 

Alvan O. Zarate, Ph. D., Associute Director for Internutionul 

Statistics 

E. Earl Bryant, Associute Director for Interview und Examination 

Statistics 

Stephen E. Nieberding, Associute Director for Management 

Gail F. Fkher, Ph. D., Associate Director for Program Planning, 

Evaluation, and Coordination 

Monroe G. Sirken, Ph. D., Associate Director for Research und 

Methodology 

Peter L. Hurley, Associate Director for Vitul and Health Care 

Sfutistics 

Alice Haywood, lnformution Ofticer 

Office of Analysis and Epidemiology Program 

Jacob J. Feldman, Ph.D., Associu?e Director 

Division of Epidemiology and Health Promotion 

Ronald W. Wilson, Director 

Thomas F. Drury, Ph.D., Chief, Health Status Measurement 

Brunch 
-----

Copyright Information 

All material appearing in this report is in the public domain and may be 

reproduced or copied without perrnissiom citation se to source, however, is 

appreciated. 

Suggested Clfation 

National Center for Health Statistics, C. A. Schoenbom: An invento~ of alcohol, 

drug, and mental health data available from the National Canter for Health 

Statistics. Vital and Hedh Stafistim. Series 1, No. 17. DHHS Pub. No. (PHS) 

85-1319. Public Health Service. Washington. U.S. Government Printing Office, 

Apr. 1985. 

Llbmry of Congreaa Cabdoging in Publication Data 

Schoenbom, Charlotte A. 

An Inventory of alcohol, drug, and mental health data available fmm the 

National Cenler for Health Statistic. 

(Series 1, Programs and collection procedures; no. 17) (DHHS publication; 

no. (PHS) 85-1319) 

By Charlotte A. Schoenborn. 

Includes bibliographies. 

“APril 1985.” 

Supt. of Dots. no. HE 20.6209: 1/17 

1. Mental health sutvey-llnlted States. 2. Mental illness-lfnited StateaStatlWc%Bibliography. 3. Alcoholism-United State~Statistic.s-Sibticgraphy. 

4.€Drug abuse-United States-Statistics-Bibliography. 5. United State~

Stafiafics, Medical--Bibliography. 1. National Center for Health Statistics (U.S.) Il.

Tltla. Ill. Saries: Vital and health statistics. Series 1, Programs and collection

proceduma; no. 17. IV. Series: DHHS publication; no. (PHS) 85-1319. [DNLfW

1. Data Collection-methods. 2. Health Surveys-lJnitad States. 3. Mental

Dlaordera-occurrence-United States. 4. Questionnaires. 5. Substance

Abu8e-occurrence-United States. W2 A N148va no. 171

RA409.U44 no. 17a 362.1 ‘0723 S 84-600397

[RA790.6] [362.20723] 

ISBN C-6408-0309+ 

For sale by the Superintendent of Documents, U.S. Government Printing Office, Washington, D-C. 20402 

. . . . . . .. .. . . . . . . . . . . .. . . ... 
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1


References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7


Section l: General population surveys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11


Nationai Heahh Examination Survey (NHES)CycleI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ]Q


National Health Examination Survey (NHES)CycleII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13


National Health Examination Survey (NHES)CycleIII . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . 15


National Health and Nutrition Examination Suwey I(NHANESI) . . . . . . . . . . . . . . . . . . . . . . . . . 17


National Health and Nutrition Examination I (NHANES I) Epidemiologic Followup Survey . . . . . . . . . . . . . 19


National Health and Nutrition Examination Survey H (NHANES II) 21


Hispanic Health and Nutrition Examination Survey (HHANES) . . . : j 1 1 1 1 j j 1 I j 1 J 1 ; : ; j 1 1 ~ : ~ j 23


National Health Interview Survey (NHIS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26


National Medical Care Utilization and Expenditure Survey (NMCUES) . . . . . . . . . . . . . . . . . . . . . . . 31


National Survey of Personal Health Practices and Consequences (NSPHPC) . . . . . . . . . . . . . . . . . . . . . 32


Section H: Health care statistics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35


National Ambulatory Medical Care Survey (NAMCS) 36


Nationtd Hospital Discharge Survey (NHDS) .....:::::::::::::::-:: 1::::::::::::: 38


National Nursing Home Survey (NNHS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39


NutionalMa
 sterFacilityIr wentory(NMFI) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 

Section III: ViPdlstatistics surveys. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45


Nationa lSurveyo fFamilyGrowt h(NSFG),CycleII1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46


National Natality Survey (NNS) and National Fetal Mortality Survey (NFMS) . . . . . . . . . . . . . . . . . . . 47


Nationu lMortalit ySurvey(NMS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49


SectionlV:Vita lstatistic s... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51


MorttilityStatistics(MS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52


DivorceStatistic s(DS ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54


Appenchxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57


J. Summary of alcohol, drug, and mental health (ADM) measures . . . . . . . . . . . . . . . . . . . . . . . . . . 59


11. International Classificationof Diseases (lCD) . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . 63


111.Classificiltio nvariable s... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65


lV. HHANESalcohol consumpti(m questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69


V. NH[S1983tiicoholcf )nsumpti(Jnquestions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77


Figure 

Data systems with alcohol, drug. or mental health components within the context of the organizational structure of


the Nationa lCenterfo rHealthStatistics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...2


111 
An Bnventory of


Alcohol, Drug, and Mental


Health Data Available


From the National Center


for Health Statistics


by Charlotte A. Schoenborn, M. P.H.,


Division of Epidemiology and Health Promotion


Introduction 

A number of articles on the epidemiology of mental 

health and mental disorders, psychosocial risk factors, alcohol 

use and abuse, and drug use and abuse have identified information gaps that need to be filled from both a scientific and 

a policy standpoint. 1-16Although many of these information 

gaps will only be filled by the collection and analysis of 

new data, secondary analysis of existing data will likely 

provide answers, at least in part, to a good many questions. 

Sources of existing data include statistical compendia 

such as Health, United States, ‘7 Mental Health, United 

States,’s First Statistical Compendium on Alcohol and 

Health,’9 the Alcohol, Drug Abuse, and Mental Health Data 

Book, 20 and Drug Utilization in the U.S.2’ A number of 

detailed statistical reports also exist that present findings 

for the alcohol, drug, and mental health areas.22-29 

Public-use data bases constitute another source of existing 

data. Although none of the three major Government agencies 

responsible for alcohol, drug, and mental health data (National 

Institute on Alcohol Abuse and Alcoholism, National Institute 

on Drug Abuse, and National Institute of Mental Health) 

has a formal public-use data tape distribution program, tapes 

may sometimes be obtained from these agencies upon request. 

The availability of public-use data tapes has not been treated 

systematically in the literature, but some isolated attempts 

have been made to catalog these data sources. One attempt— 

part of the joint Canadian-United States Research Seminar 

on Health Promotion and Disease Prevention—presented information on a broad range of alcohol, drug, and mental health 

data sources, 30131Information specifically on drug data bases 

has also been published.32”33 

In an effort to stimulate the use of National Center 

for Health Statistics (NCHS) data for secondary analysis, 

the present report identifies NCHS data sets that contain 

information on clinical mental disorder, psychological wellbeing, psychosocial risk factors, alcohol use and abuse, and 

drug use and abuse, including the use of tobacco. In accordance with Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) usage,20 the acronym ‘ADM’ is used 

throughout the inventory to refer to these kinds of data. 

However, because of the extensiveness of NCHS data on 

the use of prescription and over-the-counter drugs and the 

limited nature of data on drug abuse, the “D here refers 

to drug use rather than drug abuse. 

Background 

The mission of NCHS includes collection, analysis, and 

dissemination of data on the Nation’s health. The enabling 

legislation for the Center’s activities specifically states that 

the Center shall collect data in the following areas: 

� The extent and nature of illness and disability of the 

population of the United States and its subgroups. 

� The impact of illness and disability on the economy 

and on the well-being of the population. 

� Environmental, social, and other health hazards. 

� Determinants of health. 

� Health resources, including health professionals by speciality and types of practice; and the supply of services 

by hospitals, extended care facilities, home health agencies, and other institutions. 

� Utilization of health care, including ambulatory health 

services, hospitals, extended care facilities, home health 

agencies, and other institutions. 

� Health care costs and financing.


� Family formation, growth, and dissolution.


� National vital statistics—births, marriages, and divorces.


The data collection mechanisms of NCHS that implement 

this broad mandate include general population surveys, health 

care surveys, special purpose surveys, and vital statistics. 

The organizational chart shown in the figure identifies particular data systems relevant to ADM concerns and locates these 

data systems within Center programs primarily responsible 

for them. As is evident from the chart, primary data collection 

and analysis responsibilities for current NCHS data systems 

rest with three programs: the Office of Vital and Health 

Care Statistics Program, the Office of Interview and Examination Statistics Program, and the Office of Analysis and 

Epidemiology Program. 

Other programs of the Center, however, play major roles 

in the development, operation, and analysis of these data 

collection systems. The Office of Research and Methodology 

(ORM) provides statistical consultation and technical assistance to all NCHS programs and formulates statistical standards regarding survey design, data collection, coding, data 

analysis, data presentation, and statistical computation. 

1

. . 

,. 

“, 

,. 

~, 

‘.”. 

. . 

. . 

,. 

. . 

., 

. . 

Office of Research 

and Methodology 

Office of I 

International Statistics 

I I 

Office of the Statistical Methods — Center Director — Survey Design Staff 

Staff 

Office of Management 

Office of Program Planning, 

Evaluation, and Coordination 

I 

I I 

Planning, Evaluation, Extramural Affairs Program Development 

and Legislation Staff Staff Staff 

I I 

Office of Vital and Health Office of Interview and 

Care Statistics Program Examination Statistics Program 

I I 

t 1 I I 

Division of Oivision of Health Division of Health Division of Health 

Vital Statistics Care Statistics Interview Statistic Examination Statistics 

National Natality Survey National Ambulatory 

Mediil Care Survey National Health 

Intewiew Survey 

National Health 

Examination Survey, 

National Suwsy 

of Family Growth National Hospital 

Oischarge SUr#ey National Madical Care 

Utilization and 

Cycles 1, 11,and Ill 

National Health and 

Mortality Statistics 

Divorce Statistics 

National Nursing 

Home .’%vey 

Expenditure Survey Nutrition Exanrinafm”, 

Survey I and II 

National Master Hispanic Health and 

Nutrition Examination Facility Inventory Survey 

National Mortality Survey 

I 1 

Office of Data Processing Office of Analysls 

and Services Program and Epidemiology Program 

I I 1 I I 1 

Division of Oivmon of 

Epidemiology and Analysia 

Health Promotion 

Division of Data 

Processing 

Division of Data 

Services National Survey at National Health and 

Personal Heallh Nutrition Examlnat#onI 

Practicesand Epidemlolcgic 

Consequences Followup SUWey 

., 

Figure Data systems with alcohol, drug, or mental health components ~t~n the context of the organizational structure of the National Center for Health 

Statistics 

2 
The Office of Program Planning, Evaluation, and Coordination (OPPEC) serves as the focal point for coordination 

of health statistical activities within NCHS and develops 

and monitors the collaborative statistical activities of NCHS 

with other organizations and agencies, inchdng those with 

ADAMHA. OPPEC also collects, assesses, maintains, and 

disseminates current information on State and national health 

statistics systems, both public and private. 

The Office of Data Processing and Services Program 

(ODPSP) is the statistical operations component of NCHS. 

ODPSP is responsible for the collection of data for the 

National Health and Nutrition Examination Survey 

(NHANES) and NCHS surveys conducted by mail, as well 

as for data preparation, entry, and automated processing 

of all NCHS surveys. Editing, composing, and printing NCHS 

publications, and marketing, disseminating, and providing 

information services for NCHS statistical products are also 

within the purview of ODPSP, In addition, ODPSP provides 

training and technical assistance to NCHS staff. 

The Office of International Statistics (01S) is responsible 

for planning and conducting the foreign research and consultation activities of NCHS. 01S programs include a Comparative 

International Health Statistics Program that assembles and 

analyzes data available from industrialized countries. 01S 

also furnishes technical assistance to developing countries, 

such as Egypt, where the first national morbidity survey 

has yielded a nationwide health profile of the Egyptian population that includes indicators of alcohol consumption. 

The history of NCHS’S efforts in the mental health 

area and the availability of basic mental health data in Center 

surveys have been discussed in previous publications .34’35 

Rice and Hitchcock provide a useful introduction to NCHS 

efforts to collect mental health data, covering such topics 

as mental disorder diagnosis, disability due to mental condltions, screening scales for depression and well-being, and 

self-perceptions of psychological and nervous dkorder. These 

authors do not, however, discuss NCHS measures of alcohol 

or drug use, measures of the antecedents of mental disorders, 

or the use of vital statistics for the study of ADM disorders. 

Scope 

ADM data elements are broadly delimited for the purposes of this inventory. Items concerning diagnosis of clinical 

ADM disorders, including mental retardation, as well as 

reports of symptoms of distress are central. Also within 

the scope are items related to conditions or circumstances 

that may impact upon, or be a consequence of, a person’s 

mental condition. Alcohol and drug use, including the use 

of tobacco, life event stress, Type A behavior pattern, social 

support, sleep disturbance, and utilization of ADM resources 

we examples of such conditions or circumstances. Some 

studies have discussed these concepts and provide examples 

of how they have been measured and used.3=7 A summary 

table of measures included in the inventory is provided as 

appendix 1. 

In this inventory, no effort has been made to describe 

NCHS data systems that do not address ADM issues at 

some level. An overview of the complete range of NCHS 

data systems is available elsewhere .48 Most data systems 

within NCHS, however, contain at least some ADM components. In some cases, entire batteries are included, such 

as the General Well-Being Schedule4y or the Center for 

Epidemiologic Studies Depression (CES–D) Scale.so In other 

cases. there are only a few relevant items. In some instances. 

the purpose of the question is not to elicit ADM information 

specifically, but rather to gather general health information, 

such as days lost from work or days spent in bed due to 

ill health. In reporting such events, respondents provide information about conditions that cause them to restrict their 

activity. These condition are then coded into International 

Classification of Diseases (ICD) categories (see appendix 

11for a discussion of ICD coding), including relevant ADM 

disorder codes. 51 The Diagnostic and Statistical Manual 

(DSM), developed and published by the American Psychiatric 

Association, 52’53has never been used in the coding of Center 

ADM data, although a crosswalk has been developed which 

allows translation of codes for the third edition of the DSM 

(DSM III) to codes for the Ninth Revision of the ICD, 

Clinical Modification (ICD-9-CM).54 

Direct versus indirect measures 

The inventory covers both direct and indirect measures 

of ADM disorders. Direct measures include, but are not 

limited to, items used in case ascertainment of ADM disorders, 

such as the National Institute of Mental Health (NIMH) 

Diagnostic Interview Schedule (DIS).55.56The depression section of the DIS, including a Spanish language translation,57”58 

has been used in the Hispanic Health and Nutrition Examination Survey (HHANES). 59 other examples of direct in~lcators 

are items used to develop general psychiatric impairment 

and well-being scales, as well as items dealing with alcohol 

use or use of drugs. 

Indirect measures include items which figure prominently 

in considerations of needs assessment. Being divorced, for 

example, does not necessarily mean that an individual is 

mentally ill. In the aggregate, however, d]vorce rates do 

impact on both the medical and ADM specialty sectors of 

the service structure of local communities, and divorce may 

have varying direct and indirect effects on the psychological 

well-being of the parties affected.-3 

Because drug, alcohol, and psychiatric problems frequently produce physical symptoms,&”65 reports of such 

symptoms constitute another major type of indirect measure 

of ADM disorders. Although the more obvious physical 

symptoms of ADM disorders have been included. such as 

speech problems, headaches, and dizzy spells, no systematic 

attempt has been made to identify all of the physical manifestations of ADM disorders that have been measured in NCHS 

data systems. Users interested in these areas may find additional NCHS data on physical symptoms of ADM disorders 

which have not been covered in the inventory. 

Data contexts 

An effort was made to identify sociodemographic and 

other classification variables available in each of the surveys; 

these are identified in appendix HI. Also, an attempt was 

3

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., 

:. 

.. 

-. 

, 

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.-

., 

. 

.-

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,. 

“. 

made to place the ADM components in context by providing 

general descriptions of the types of non-ADM data available 

in each of the surveys and vital statistics systems. In response 

to the needs of an “Alcohol and Safety” initiative sponsored 

by the National Institute on Alcohol Abuse and Alcoholism 

(NIAAA) in collaboration with the National Institute on Dmg 

Abuse, accident and injury data have been identified for 

NCHS data bases containing alcohol or drug information. 

These data, which may or may not be associated with ADM 

disorders, are illustrated in detail elsewhere.66 The brief descriptions of basic data elements contained in this inventory 

are designed only to sketch data analysis possibilities. 

Coverage 

The inventory covers approximately a 20-year period, 

with emphasis on the past 15 years-the period for which 

public-use data tapes are generally available .67 Because the 

purpose of the inventory is to stimulate the use of NCHS 

alcohol, drug, and mental health data for secondary analysis, 

it focuses on data available through the public-use data tape 

distribution program. ADM data elements are only identified 

for data years in which public-use tapes are or will become 

available. 

out of scope 

Only data that are either currently available or currently 

being collected are discussed in this inventory. Surveys that 

are in the planning or design stages are excluded. These 

include the 1985 National Nursing Home Survey; the 1985 

Health Promotion Supplement to the National Health Interview 

Survey (NHIS); the second round of the National Health 

and Nutrition Examination I Epidemiologic Followup Study: 

Continued Followup scheduled for 1985; and the National 

Health and Nutrition Examination Survey III, scheduled to 

begin in 1987. Also excluded is the Mental Health Demographic Profile (MHDP) which, though currently being ana -

Iyzed by NCHS staff, was developed by the National 

Institute of Mental Health,6s’69 

The Center’s surveys generally do not identify persons 

with clinical cases of ADM disorders. Therefore, no systematic 

attempt has been made in this inventory to identify NCHS 

data which might be used to clarify selected aspects of the 

medical problems of psychiatric patients .’” That there are 

possibilities in this area is evident from recent efforts to 

integrate NCHS household interview estimates with psychiatric case registry data in projections of levels of chronic 

diseases and disability among a psychiatric population.’] “72 

The identification of clinically significant depression in 

HHANES using NIMH DIS and of childhood behavior problems in the 1980 NHIS Child Health Supplement73”74will, 

in the future, provide researchers with a data base for studying 

medical problems among persons with these disorders. 

Even now, however, some innovative uses might be 

made of available data. For example, several years of NHIS 

data might be pooled to describe the sociodemographic and 

health characteristics of persons with one or more short-stay 

hospital discharges in the past year for an ADM disorder 

or of persons who were limited in their usual activity due 

to an ADM dkorder. 

Methods 

In constructing the inventory, four principal sources were 

consulted questionnaires, data tape formats. methodological 

reports, and NCHS staff responsible for the collection and 

analysis of data. First, questionnaires were systematical [y 

revie,wed for ADM content. In cases where the ADM conte It 

of a question was not obvious, the data tape formats we :e 

then examined for ADM coding. Methodological reports we ‘e 

reviewed for background information about the surveys ar d 

vital statistics systems. Program staff were consulted when 

necessruy to clarify questions related to content, methods, 

coverage, and data availability. 

Presentation of results 

The invento~ is arranged according to survey or vitul 

statistics system. With the exception of the health examination 

surveys, each survey or system is described once. regardless 

of the number of years for which data are available. The 

National Health Examination Survey (NHES) Cycles 1, 11, 

and III, the National Health and Nutrition Examination SLUveys (NHANES) I and H, the National Health and Nutritio 1 

Examination I Epidemiologic Followup Study, and the Hispanic Health and Nutrition Examination Survey are describeti 

separately because of the extent of ADM data contained 

in each. To include them in a single description woidd cause 

unnecessary confusion. 

Descriptions of the surveys or data systems have five 

components, designed to provide a brief overview of the 

data system and detailed information concerning alcohol, 

drug, and mental health data. The format is as follows: 

Survey design 

The target population and geographic boundaries of the 

survey or vital statistics system are identified, and the samplini: 

procedures are briefly described, The data collection method 

and the time period during which the data were collectec~ 

are specified. Public-use data tapes may not be availabk 

for all years of the survey. 

Basic data elements 

A brief overview is given of the types of non-ADM 

data available from the data system. More complete summaries 

are available elsewhere .48”75 

ADM data elements 

A detailed list of items related to mental disorders, 

psychosocial risk factors, alcohol use, and drug use is provided. For the most part, variables are listed in the order 

in which they appear in the questionnaires. Questionnaire 

items and scales are summarized whenever possible. When 

summarization would make interpretation difficult, the entire 

question is given. In two cases, the skip patterns and flow 

4 
of the questions are so complex that the appropriate sections 

of the questionnaires themselves are provided as appendixes. 

The marginals for ADM variables were not examined, and 

in some instances the number of cases maybe quite small. 

Data tape availsbilii 

Many data tapes may be purchased from the National 

~ Technical Information Service (NTIS), 5285 Port Royal Road, 

,	 Springfield, Virginia 22161. Telephone: (703) 48%4650. The 

NTIS accession number required to order these tapes is 

provided. Tapes not available from NTIS are sometimes 

available from NCHS. The person listed as the technical 

contact for the data system can answer questions regarding 

specific tape availability. ADM and other relevant data may 

be located on separate tapes; therefore the purchase of more 

than one tape may be required. Potential users should carefully 

review methodological reports cited elsewhere48 and consult 

with the technical contact person before purchasing tapes. 

For persons affiliated with local universities, many NCHS 

tapes are available through the schools of public health of 

major universities. Schools of public health at the following 

universities participate in the NCHS data tape acquisition 

program: University of California, Berkeley; University of 

California, Los Angeles; Columbia University; University 

of Hawaii; Harvard Universiqc University of Illinois; 

Johns Hopkins University; Loma Linda University; Uni ­

versity of Michigan; University of North Carolina, Chapel 

Hill; University of Texas; University of Washington, Seattle; 

and Yale University. The names of appropriate contact persons at these schools may be obtained by contacting the 

Scientific and Technical Information Branch, NCHS, 3700 

East-West Highway, Hyattsville, Md. 20782. Telephone: 

(301) 436-8500, 

Questionnairesource items 

This final component directs the user to references that 

contain the questionnaire items listed in the invento~. For 

the most part, these references are available from the U.S 

Government Printing Office, Washington, D.C. 20402. In 

cases where the questionnaires have not been published, 

a copy can usually be obtained from the technical contact 

person. 

Appendixes 

Appendix I provides a summary of the availability of 

ADM measures in NCHS data systems. The summary includes 

only major categories of variables and is not comprehensive. 

A detailed cross-classification of individual questions is 

beyond the scope of this document due to the extent of 

variation in the question wording and intent among the surveys. However, such a classification is available elsewhere 

for the NHANES and NHES surveys. 

Appendix II discusses the use of the International Classification of Diseases (ICD) for coding of NCHS morbidity 

and mortality data. The discussion is limited to those data 

systems that are included in the inventory. 

Appendix III provides an overview of the classification 

variables available for each of the data systems. The surveys 

are identified by their respective acronyms; the full names 

of the surveys can be found in the table of contents. All 

classification variables appropriate to the study of alcohol 

use, drug use, mental disorders, or psychosocial risk factors 

are included. 

Because the alcohol questions for the Hispanic Health 

and Nutrition Examination Survey and the 1983 National 

Health Interview Survey were judged to be too detailed 

and not amenable to summarization, they are included in 

their entirety as appendixes IV and V. 

Secondary analysis 

NCHS surveys provide an excellent source of secondary 

data for analysis of ADM issues. Some of the data presented 

in this inventory have already been analyzed either by 

NCHS analysts7&88 or by analysts at NIAAA, 11”19-8%91 

NIMH, 18’47-92–94or at the Food and Drug Administration 

(FDA) .95 However, much of NCHS’S ADM data have not 

been analyzed, and those data that have already received 

attention offer potential for even further analysis. 

The benefits of secondary analysis are many.gb On the 

practical side, the approach requires fewer resources-both 

in terms of money and time-than a full-scale survey effort. 

Secondary analysis also offers several substantive advantages: 

namely, it provides historical perspective on important issues; 

it permits trend studies and comparative analyses that a single 

research endeavor cannot achieve. Finally, secondary analysis 

promotes the expansion of existing theory by forcing the 

researcher to think broadly and abstractly to find overarching 

concepts or categories within which available indicators can 

be contained.96 

Secondary analysis, particularly analysis of large-scale, 

complex surveys, requires careful consideration of the in­

‘tricacies and limitations of the data. 97-101 Methods, target 

populations, units of analysis, and response rates vary among 

data systems. Items may appear similar in a questionnaire, 

but their possible uses can vary substantially. Trend studies, 

especially, warrant critical examination of methodological 

and measurement variation. 102–lwDetailed discussion of these 

issues is beyond the scope of this report, but the. user is 

urged to consult other publications for a more complete description of the data systems and for references to detailed 

methodological reports .48+75’105 

Concluding remarks 

The National Center for Health Statistics has collected 

a variety of data appropriate to the study of alcohol use, 

drug use, mental disorders, and psychosocial risk factors. 

This inventory is the first systematic attempt to identify these 

data and make their existence known to interested researchers 

and policymakers. 

NCHS data have a range of epidemiological uses. Morris lM first codified 7 uses of epidemiologic data almost 30 

5 
, ,. 

“.“. years ago. These uses are: (1) providing historical perspective; epidemiology. lS.lW-I10 Although NCHS data systems t ave 

“.,’ (2) community diagnosis; (3) studying the working of health not been discussed here explicitly in the Morris cont:xt. . 

-.

,. services; (4) determining individual risks; (5) identifying syn- the data do offer a significant potential for extending the 

.-, dromes; (6) completing the clinical picture; and (7) searching current state of knowledge along the lines of Morris’ seven . ,.. 

,. for causes. This codification has been used by a number epidemiological uses.

of researchers in addressing important issues of psychiatric 

.. 

0 

. . 

.“: 

.. .-

,. “. 

. . 

. .“ 

.. 

6 
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Inc., 1976. 

1[oM, Krame~ Diagnosis and classification in epidemiologicai aad 

health services research, in N. Hobbs, ed., Issues in the Classification of Children, Vol. 1. San Francisco. Jossey-Bass Publishers, 

1975. 

II1National Center for Health Statistics: Estimates of selected comparability ratios based on dual coding of 1976 death certificatess 

by the E[ghth and Ninth Revision of the International Classificatilm 

of Diseases. Monthly Vital Statistics Report, Vol. 28, No. 11, 

DHEW Pub. No. (PHS) 80-1120. Public Health Service, Hyattsvillc, 

Md., Feb. 29, 1980. 

‘‘2Nationai Center for Health Statistics, J. Klebba and A. B. Dolman: 

Comparability of mortality statistics for the seventh and eigh:h 

revisions of the International Classification of Diseases. United 

States. Vital and Health Statistics. Series 2, No. 66. DHEW Pu ]. 

No. (HRA) 76-1340. Health Resources Administration1. 

Washington. U.S. Government Printing Office, Oct. 1975. 

.“. . 

10

Section 1: General population surveys 
National Health 

Examination Survey 

(NHES) Cycle I 

Survey design 

Survey of U. S.adults ages 18–79 years, using a multistage, 

clustered probability sample, stratified by geographic region 

and population size. Approximately 6,700 persons were interviewed and examined between 1959 and 1962. 

Basic data elements 

Data include a household interview, medical history, medical examination, dental examination, X-ray, EKG readings, 

laboratory blood tests, vision and hearing tests, and anthropometric measurements. Also included are a personal 

medical history and results of a physician examination related 

to the cardiovascular system, arthritis, and diabetes. Data 

are located on multiple tapes. 

ADM data elements 

Ever fainted or blacked out?


Ever had nervous breakdown?


Ever felt close to breakdown?


Ever had trouble getting to sleep or staying asleep?


Ever bothered by nervousness-feeling fidgety and tense?


Ever unable to take care of things because “just couldn’t


get going”?


Ever bothered by nightmares?


Ever bothered by trembling hands?


Ever troubled by sweating hands?


Ever had heart palpitations? Frequency?


Ever troubled by headaches in past few years? Frequency?


Ever had dizzy spells? Frequency?


Data tape availability 

NHES I Psychological Distress (tape no. 1002). 

NTIS accession no. PB 293126. 

Technical contact	 Dale Hhchcock 

Division of Health Examination Statistics 

3700 East-West Highway, Room 2–58 

Hyattsville, Md. 20782 

(301) 436-7081 

Questionnaire source items 

Nationai Center for Health Statistics, H. J. Dupuy, A. Engel, 

B. K. Devine, J. ScanIon, et al.: Selected symptoms of 

psychological distress, United States. Vital and Health Statistics. Series 11, No. 37. PHS Pub. No. 1000. Health Services 

and Mental Health Administration. Washington. U.S. Goven~­

ment Printing Office, Aug. 1970. 

(Question wording, but not actual questionnaire. ) 

12

National Health 

Examination Survey 

(NHES) Cycle II 

Suwey design 

Survey of civilian noninstitutionalized U.S. children, 

ages 6 months to 11 years, using a multistage, clustered 

probability sample, stratified by geographic region and population size. Approximately 7,100 children were interviewed 

and examined between 1963 and 1965. 

Basic data elements 

Data include detailed medical and developmental histones 

from a household adult, usually the mothe~ information 

from the school; medical, dental, and psychological examinations; vision and hearing tests; and anthropometric measurements. Major data elements are on one tape. Approximate y 

one-third of children examined in Cycle II were reexamined 

in Cycle III. These children are identified on both the Cycle 

11and Cycle 111tapes, making Iongimdinal analyses possible. 

ADM data elements 

Child’smedicalhistory 

Does child have bad dreams or nightmares’?


Is child afraid of dark?


Friends:


Approximate number (few, good number, very many)? 

Ages of friends relative to child? 

Number of child’s close friends parents know? 

Reaction to meeting new children? 

How well does child get along with other children? 

Ever run away? 

How often? 

Reason’? 

Anything ever seriously upset or disturb child? 

If so, explain. 

If so, what age’? 

Rating of how relaxed, tense, or nervous child is.


Temperament’?


Participation in:


scouts’?


Church activities’?


sports’?


Fine arts activities?


Other activities’?


Schoolquestionnaire 

Class for gifted children? 

Recommended? 

Available? 

Used? 

Special provision for slow learners? 

Recommended? 

Available? 

Used? 

Class for mentally retarded? 

Recommended? 

Available? 

Used? 

Special provision for emotionally disturbed? 

Recommended? 

Available? 

Used? 

Child’s overall adjustment?


Child’s overall behavior?


Adjustment evaluation?


Attention span?


Restless classroom movement?


Behavion


Frequently accused of fighting? 

Too “rough”? 

Frequently injured? 

Aggressive? 

Uses bad words? 

Complaints about behavior from other parents’? 

No method of discipline works? 

Frequency of required disciplinary action’? 

Frequency of being selected when children “choose sides”? 

Frequency of being chosen as leader by group’? 

Psychological examination 

Wechsler Intelligence Scale for Children (WISC). 

Vocabulary. 

Block design. 

Wide Range Achievement Test (WRAT). 

Oral reading. 

Arithmetic. 

Harris-Goodenough Draw-a-Person Test. 

13

.

.

.

..

.. -...’. 

. ... ,. . ,. . .. . .. Thematic Apperception Test. .,

.-.’ . . . Microfilm copies of tape transcripts are available from : ... , . technical contact person. The transcripts include respon­ . . ,.. 

..- dent identification numbers which permit linkage with 

-: data tape information. 

.’ 

. ..’ . . Data tape availability ,“ :“. : ,. NHES II Integrated Data Tape (tape no. 21DT). .: 

,, NTIS accession no. PB 293124. . . 

Technical contacti Dale Hitchcock 

Division of Health Examination Statistics 

. . . 3700 East-West Highway, Room 2-58 

Hyattsville, Md. 20782 

(301) 436-7081 

. . 

... .,p­ ,,.. . . ~..: 

:<-

.... .’.’ . 

..;, 

,: 

Questionnaire source items 

National Center for .Health Statistics: Plan, operation, and 

response results of a program of children’s examinations. 

Viral and Health Statistics. Series 1, No. 5. PHS Pub. No. 

1000. Public Health Service. Washington. U.S. Government 

Printing Office, Oct. 1967. 

(Selected questionnaire items only,) 

Questionnaire available upon request from technical contzct 

person. 
National Health 

Examination Survey 

(NHES) Cycle Ill 

Survey design 

Survey of the civilian noninstitutionalized U.S. population 

ages 12-17 years, using a multistage, clustered probability 

sample, stratified by geographic region and population size. 

Approximately 6,800 youths were interviewed and examined 

between 1966 and 1970. 

Basic data elements 

Data include a household interview, detailed medical 

and developmental histories, information from the school, 

medical, dental, and psychological examinations, vision and 

hearing tests, anthropometric measurements, X-rays, and laboratory tests, Major data elements are on one tape. Approximately one-third of youths examined in Cycle III were 

examined earlier in Cycle II. These youths are identified 

on both the Cycle II and Cycle III tapes, making longitdhal 

analyses possible. 

ADM data elements 

Parent questionnaire 

Is youth nervous, tense, or high strung?


Has youth been to mental hospital or guidance clinic?


Has youth seen a psychiatrist or psychologist, or has parent


talked to one about youth?


Perceived importance of selected personal qualities in youth:


To be neat and clean? 

To be able to defend oneself? 

To have self control? 

To be happy? 

To obey parents? 

To be dependable? 

To be considerate of others? 

To face life’s problems calmly? 

To obey the law? 

To be ambitious? 

To know how to keep in good health? 

Inclination to consult physician if youth exhibited nervousness? 

School questionnaire 

Frequency disciplinary action required? 

Special resources fo~ 

Gifted children? 

– Available?


–	 Used?


Mentally retarded?


– Available?


–	 Used?


S1OWlearners?


– Available?


–	 Used?


Emotionally disturbed?


– Available?


– Used? 

Adjustment evaluation. 

Youth questionnaire 

Frequency of trouble getting to sleep or staying asleep?


Frequency of bad dreams or nightmares?


Ever run away?


How often? 

At what age? 

Number of times in contact with police over something 

done or suspected of having done? 

Number of times arrested? 

Type of punishment? 

Tobacco use (cigarettes): 

Age first smoked? 

Age started smoking regularly? 

Amount smoked per day? 

Ever feel tense, nervous, or fidgety? 

Perceived importance of selected personal qualities: 

To be neat and clean? 

To be able to defend oneself? 

To have self control? 

To be happy? 

To obey parents? 

To be dependable? 

To be considerate of others? 

15 
To face life’s problems calmly?


To obey the law?


To be ambitious?


To know how to keep in good health?


Inclination to consult physician for nervousness? 

Psychological examination 

Wechsler Intelligence Scale for Children (WISC). 

Vocabulary. 

Block design. 

Wide Range Achievement Test (WRAT). 

Oral reading. 

Arithmetic. 

Harris-Goodenough Draw-a-Person Test. 

Thematic Apperception Test. 

Microfilm copies of tape transcripts are available from 

technical contact person. The transcripts include respmdent identification numbers which permit linkage with 

data tape information. 

Data tape availability 

NHES III Extended Data Tape (tape no. 3EDT). 

NTIS accession no. PB 296025. 

Technical contact:	 Dale Hitchcock 

Division of Health Examination Statistic j 

3700 East-West Highway, Room 2–58 

Hyattsville, Md. 20782 

(301) 436-7081 

Questionnaire source items 

Questionnaire available upon request from technical 

contact person. 

16

National Health and Nutrition 

Examination Survey I 

(NHANES 1) 

Survey design 

Survey of civilian noninstitutionalized U.S. population 

ages 1-74 years, using a multistage, clustered probability 

sample, stratified by geographic region and population size. 

Approximately 21,000 persons were interviewed and 

examined between 1971 and 1974. This sample was 

augmented with approximately 3,000 persons ages 25–74 

between 1974 and 1975. 

Bask data elements 

Data on all examined persons include household information, nutrition information, medical, dental, derrnatological, 

and ophthalmological examinations, anthropometric measurements, hand-wrist X-rays (ages 1-17 only), and a variety 

of laboratory tests, Information on a subsample of adults 

includes a supplementary medical history; supplementary information concerning arthritis, respiratory conditions, and 

cardiovascular conditions; health care needs; an extended 

medical examination; and a variety of additional clinicat procedures and laboratory tests. Data are located on multiple tapes. 

ADM data elements 

Medical history questionnaire 

(ages 12-74 years) 

Nervous breakdown ever diagnosed by physician? 

Alcohol consumption: 

Had at least one drink of beer, wine, or liquor in past 

year? 

Frequency of drinking any alcoholic beverage? 

Most frequently consumed alcoholic beverage (beer, 

wine, or liquor)? 

When drinking, amount drunk over 24-hour period of 

most frequently consumed alcoholic beverage? 

Medicine, dreg, or pill use during past 6 months fo~ 

Insomnia? 

Headache? 

Upset stomach? 

Nerves? 

Lack of pep? 

General medical hstory supplement 

(ages 2%74 years) 

Tobacco use: 

Cigarettes. 

— Smoked at least 100 cigarettes in lifetime?


Currently smoke cigarettes?


Amount smoke per day?
 — Length of time since smoked fairly regularly?


If less than 1year ago, amount smoked I year ago?


— Age first started smoking fairly regularly? 

Amount smoked when smoking most? 

Cigars. 

- Smoked at least 100 cigars in lifetime? 

– Currently smoke cigars? 

– Amount smoke per day? 

-	 Length of time since smoked 3 or more cigars per 

week? 

If less than 1year ago, amount smoked 1year ago? 

Pipe. 

– Smoked at least 3 packages of pipe tobacco in lifetime? 

– Currently smoke? 

– Number of pipefuls per day? 

–	 Length of time since smoked 3 or more pipefuls per 

week? 

If less than 1 year ago, amount smoked 1 year ago? 

Current use of other forms of tobacco. 

– Snuff? 

– Chewing tobacco? 

-	 Other? 

Specify. 

General WeH-Being Schedule (GWB) 

(ages 25-74 years) 

In past month: 

Feeling (spirits) in general? 

Bothered by nervousness? 

In firm control of behavior, thoughts, emotions, or feelings? 

Felt so sad, discouraged, hopeless, or had so many problems that wondered if anything was worthwhile? 

Felt under any stress, strain, or pressure? 

17

.

. .

.

.

.

.

---

.

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;.” l’. 

.-. ..’. .,. ,: 

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. . . 

;: -.. 

-. . . . . 

.. . . 

. . . . . 

. . . .. .. . . 

. . . . 

. 

. , 

,. 

,. 

.. 

, 

, 

#,.,. . ...:.“-

.. . ,. 

.-. .-

-“. . 

. . 

,,. 

. . 

Felt happy, satisfied. or pleased with personal life?


Wondered if losing mind or losing control over actions,


speech, feelings, or memory’?


Anxious, worried, or upset’?


Awoke fresh and rested?


Bothered by any illness, bodily disorder. pains, or fears


about health’?


Daily life full of interesting things?


Felt downhearted and blue?


Felt emotionally stable and sure of self?


Felt tired, worn out, used-up, or exhausted?


Concerned or worried over health?


Relaxed or tense?


Level of energy, pep, and vitality?


Depressed or cheerful?


Personal, emotional, behavioral, or mental problems in past 

year severe enough to feel need for professional help? 

Ever felt close to nervous breakdown? 

Ever had a nervous breakdown? 

Ever been a patient at a mental hospital, ward, or clinic 

for personal, emotional, behavioral, or mental problems? 

Ever seen psychiatrist, psychologist, or psychoanalyst? 

Consultation during past year for personal, emotional, be-. 

havioral, mental problem, worries, or nerves with: 

Regular medical doctor? 

Brain or nerve specialist? 

Nurse? 

Lawyer? 

Police? 

Clergyman? 

Marriage counselor? 

Social worker? 

Other formal assistance? 

Discuss problems with family members or friends? 

Center for Epidemiologic Studies Depression 

Scale (CES-D) (ages 25-74 years) (1 974-75) 

During past week: 

Unusually bothered?


Poor appetite?


Could not shake off the blues even with help of family


or friends?


Felt as good as other people?


Trouble concentrating?


Depressed?


Everything an effort?


Hopeful about future?


Thought life had been a failure?


Fearful?


Restless sleep?


Happy?


Talked less than usual?


Lonely?


People unfriendly?


Enjoyed life?


Had crying spells?


Felt sad?


Felt disliked by people’?


Could not get going?


Data tape availability 

NHANES I General Well-Being and the CES–D Depression


Scale Developed by the National Institute of Mental Health,


ages 25–74 (tape no. 417 1).


NTIS accession no. PB 296020.


NHANES I Medical History Questionnaire, ages 12–74 (tape


no. 4081).


NTIS accession no. PB 296073.


NHANES I Detailed Medical History Supplement and Health


Care Needs, Respiratory, and Cardiovascular Supplements,


ages 25–74 (tape no. 409 1).


NTIS accession no. PB 296029.


Technical contact:	 Dale Hitchcock 

Division of Health Examination Statistics 

3700 East-West Highway, Room 2-58 

Hyattsville, Md. 20782 

(301) 436-7081 

Questionnairesource items 

National Center for Health Statistics: Plan and operation o: 

the Health and Nutrition Examination Survey, United States 

1971-73. Vital and Health Statistics. Series 1, No. 10b 

DHEW Pub. No. (HSM) 73–13 10. Health Services and Menta 

Health Administration. Washington. U.S. Government Print. 

ing Office, Feb. 1973. 

National Center for Health Statistics, A. Engel, R. S. Murphy 

K. Maurer, and E. Collins. Plan and operation of the 

HANES I Augmentation Survey. of Adults 25–74 years, 

United States, 197&75. Vital and Health Statistics .Serie!; 

1, No. [4. DHEW Pub. No. (PHS) 78–13 14, Public Health 

Service. Washington. U.S. Government Printing Office, June 

1978. 

18

National Health and Nutrition 

Examination 1(NHANES I) 

Epidemiologic Followup Survey 

Survey design 

Followup survey conducted between 1982 and 1984 

with respondents (or their proxies, for deceased or disabled 

respondents) of the first National Health and Nutrition Examination Survey (NHANES I), initially interviewed and 

examined between 197I and 1975. Interviews were conducted wherever the respondents lived, including institutions. 

Respondents ranged in age from 32 to 86 years. 

Basic data elements 

Data include a health history, a female medical history, 

a health condition checklist, sections on nutrition, arthritis, 

functional impairment, medication use, physical actitiity, vision and hearing impairments, and dental problems. Blood 

pressure, pulse rate, and weight measurements are included. 

Information was obtained from hospitals and nursing homes 

for those persons who had had admissions to such facilities. 

ICD-coded injury data are available for persons hospitalized 

for injuries. Death certificates and hospital records were obtained for NHANES I participants who had died, and proxies 

provided information on the decedents’ last days. 

ADM data elements 

Subject questionnaire 

Mental Status Questionnaire (MSQ I): 

What is your complete address (number and street, city, 

State)’? 

How old are you? 

When were you born (month, year)? 

Who is president’? 

Who was president before him? 

what is today’s date (month, day, year)? 

Migraines ever diagnosed by physician? 

Year first diagnosed? 

Hospitalized since 1970 for this condition? 

Cirrhosis ever diagnosed by physician? 

Year tlrst diagnosed? 

Hospitalized since 1970 for this condition? 

Nervous breakdown ever diagnosed by physician? 

Year first diagnosed? 

Hospitalized since 1970 for this condition? 

Psychotropic drug use: 

Currently taking prescription tranquilizers? 

Currently taking prescription antidepressants? 

Stayed overnight in mental health facility since 1970? 

Mental Status Questionnaire (MSQ II). 

Tobacco use: 

Cigarettes. 

Smoked at least 100 cigarettes in lifetime? 

Currently smoke cigarettes? 

Quit in past year? 

Chronological history of attempts to quit? — Amount currently smoke?


Length of time smoked this amount?


Average amount smoked per day over the years?


Mostly smoked filtered or unfiltered?


Cigars or Pipe. 

- Ever smoked cigars or pipe? 

–	 Currently smoke cigars or pipe? 

Other tobacco. 

– Ever use snuff? 

– Ever use chewing tobacco? 

– Ever been married to a smoker? 

Alcohol consumption: 

Ever had at least 12drinks in 1year?


Main reason for not drinking?


At least one drink in past year?


Main reason for not drinking in past year?


Age when quit drinking?


Frequency of alcohol consumption?


Quantity drink on drinking days?


Number of months in past 12 consumed at least I drink’?


Number of days in past 12 months had 9 or more drinks


in 1day?


Number of days in past 12 months had 5 or more drinks


in 1day?


Current drinking compared to 1year ago?


Self-perceived drinking level?


Usual drinking pattern at ages 25, 35, 45, 55, 65.


and 75, as applicable?


Ever drank more than largest amount reported above


for 3 or more months?


Amount consumed during this period?


Age when started drinking this amount?


Length of time for which this amount was typical?


19

Average consumption per day, week, month. or year 

~ficans or bottles of beer? 

– glasses of wine? 

—shots or drinks of hard liquor, either straight or in 

a mixed drink? 

Sleep disturbance: 

Frequency of trouble falling asleep? 

Frequency of waking up during night? 

Frequency of waking up early? 

Frequency of needing a nap? 

Sleep problems compared to 1year ago? 

Frequency of taking prescription sleeping pills? 

Average number of hours of sleep a night? 

Frequency of feeling too weak, too tired, or not having 

enough energy to do things? 

Coronary-prone (Type A) behavio~ 

Strong need to excel? 

Usually feel pressed for time? 

Hard driving and competitive? 

Eat too quickly? 

Upset when must wait in line? 

Extroversion: 

Like to have people around? 

Cheerful? 

Do not like to chat? 

Very active? 

Prefer to work alone? 

Strong emotional attachment to friends? 

Dominant, forceful, and assertive? 

Ever done things for “kicks” or “thrills”? 

Openness to new experiences: 

Do not like to waste time daydreaming? 

Poetry has little or no effect? 

Often try new and foreign foods? 

Set in ways? 

Enjoy solving problems or puzzles? 

Active imagination? 

Center for Epidemiologic Studies Depression 

Scale (CES-D) 

During past week: 

Unusually bothered? 

Poor appetite? 

Could not shake off the blues even with help of family 

or friends? 

Felt as good as other people? 

Trouble concentrating? 

Depressed? 

Everything an effort? 

Hopeful about future? 

Thought life had been a failure?


Fearful?


Slept restlessly?


Happy?


Talked less than usual?


Lonely?


People unfriendly?


Enjoyed life’?


Had crying spells?


Felt sad?


Felt disliked by people?


Could not get going?


Abbreviated General Well-Being Schedule 

(GWB) 

In past month: 

Feeling (spirits) in general? 

Felt under any stress, strain, or pressure? 

Happy, satisfied, or pleased with personal life? 

Anxious, worried, or upset? 

Bothered by any illness, bodily disorder, pains, or fears 

about health? 

Felt emotionally stable and sure of self? 

Concerned or worried over health? 

Relaxed or tense? 

Level of energy, pep, and vitality? 

Depressed or cheerful? 

social support 

Household members in addition to respondent? 

Age? 

Sex? 

Relationship to respondent? 

If living alone, how long?


Number of close friends and relatives?


Data tape availability 

Currently in the field. Public-use tapes expected to be 

available approximately December 1986. 

Technical contact:	 Helen Barbano 

Division of Analysis 

3700 East-West Highway, Room 2–27 

Hyattsville, Md. 20782 

(30 I) 436-5975 

Questionnaire source items 

Questionnaire may be obtained by writing to technical 

contact person. 

.. 

20 
National Health and Nutrition 

Examination Survey II 

(NHANES II) 

Survey design 

Survey of the civilian noninstitutionalized U.S. population ages 6 months–74 years, using a multistage, clustered 

probability sample, stratified by geographic region and population size. Approximately 21,000 persons were interviewed 

and examined between 1976 and 1980. 

Basic data elements 

Data include household information, a medical history, 

nutrition information, medication and vitamin usage, a medical 

examination, anthropometric measurements, and a varieq 

of clinicaI procedures and laboratory tests. Information is 

located on multiple tapes. 

ADM data elements 

Chdd’s MedicalHistory Questionnaire 

(ages 6 months-l 1 years) 

Speech problems? 

Stammering? 

Stuttering? 

Cause of speech problem? 

Age speech problem began? 

Enrolled in special education? 

Type’? 

Ever received speech therapy from: 

Speech therapist? 

Neurologist? 

Psychologist’? 

Other? 

Characteristics of therapy: 

Duration’? 

Age at initiation? 

Provided by school? 

Currently receiving therapy? 

Reason for discontinuing? 

Physician ever diagnosed: 

Brain damage’? 

Emotional problem or disturbance? 

Hyperactivity? 

Mental retardation? 

Adult Medical History Questionnaire 

(ages 12-74 years) 

Nervous breakdown ever diagnosed by physician? 

Number of years ago had first nervous breakdown? 

Tobacco use: (ages 18–74 years) 

Cigarettes. 

– Smoked at least 100 cigarettes in lifetime? 

– Currently smoke? 

– Amount smoke per day? 

– Length of time since smoked fairly regularly? 

– If less than 1year ago, amount smoked 1year ago? — Age started smoking fairly regularly? 

–	 Amount smoked per day when smoking most? 

Cigars. 

– Currently smoke cigars? 

–	 Number per day or week? 

Pipe. 

– Currently smoke a pipe? 

– Number of pipefuls of tobacco a day or week? 

Health History Supplement (ages 12-74 years) 

Tobacco use (cigarettes only): (ages 12–17 years) 

Smoked at least 100 cigarettes in lifetime? 

Currently smoke? 

Amount smoke per day? 

Length of time since smoked fairly regularly?


—If less than 1year ago, amount smoked I year ago?


Amount smoked per day when smoking most?


Age started smoking fairly regularly?


(Coronary-prone) Behavior Questionnaire 

(ages 25-74 years) 

Trouble finding time to get hair styled?


Changes in heartbeat when under stress?


Speed of eating?


Feel like hurrying along person who takes too long to come


to point?


How often do you put words in others’ mouths to speed


things up?


How often arrive late to meet spouse or friend?


While waiting for person at public place, do you:


Sit and wait.


Walk about.


Read or write something”?


When younger, did people consider you hard driving and 

competitive? 

Would spouse or closest friend rate you now as hard driving 

or competitive? 

How do you react to interruptions in midst of a job’? 

21 
How do you handle repeated interruptions? 

When playing games with 10-year olds, how often do you 

let them win’? 

When playing on a team, how important is your level of 

skill? 

How do you feel about competition on the job or in outside 

activities? 

Does your job “stir you to action”? 

Quality of your work when working under deadline? 

Content to remain at present job level for next 5 years? 

Taken less than allotted number of vacation days in past 

3 years? 

Number of different job titles in past 10 years? 

In your job or housework: 

Amount of time spent sitting down?


Amount of time spent walking or moving about?


Amount of time using lots of arm, leg, or back muscles?


Outside of your job or housework, how often do you: 

Walk as much as a mile getting to and from work, 

stores, etc. ? 

Take hikes or walks in good weather? 

Take part in activities that require a lot of body movement 

or energy? 

Do you follow a regular exercise program? 

Number of hours each week spent in moderately strenuous 

or strenuous exercise? 

Data tape availability 

NHANES 11 Medical History 6 months-11 years (tape no. 

5010). 

NTIS accession no. PB 83–215616. 

NHANES 11 Health History Supplement, ages 12-74 

years (tape no. 5305). 

NTIS accession no. PB 83–256537. 

NHANES 11 Medical History, ages 12–74 years (tape 

no. 5020). 

NTIS accession no. PB 83–154815. 

NHANES II Behavior Questionnaire, 

Contac! Division of Health Examination Statistics for 

tape information. 

Technical contact:	 Dale Hitchcock 

Division of Health Examination Statistics 

3700 East-West Highway, Room 2-58 

Hyattsville, Md. 20782 

(301) 436-7081 

Questionnaire source items 

National Center for Health Statistics, A, McDowell, 

A. Engel, T. T. Massey. and K. Mauren Plan and opemtion 

of the Second National Health and Nutrition Examination 

Survey. 1976-80. Vital and .Health Statistics. Series 1, No. 

15. DHHS Pub. No. (PHS) 81–1317. Public Health Service. 

Washington. U.S. Government Printing Office, July 1981. 

22 
Hispanic Health and Nutrition 

Examination Survey (HHANES) 

Survey design 

Survey of persons of Hispanic origin, ages 6 months–74 

years. The sample was drawn from a universe comprising 

228 counties in Texas, Arizona, Colorado, New Mexico, 

and California, and the New York City and Miami areas, 

where an estimated 76 percent of the Hispanic-origin population of the United States resides. Approximately 12,000 

persons were interviewed and examined between 1982 and 

1984. 

Basic data elements 

Data include a medical history, medication and vitamin 

usage, health care needs, utilization of health services, a 

medical examination, a dental examination, anthropometric 

measurements, nutrition, and a variety of clinical procedures 

and laboratory tests. 

ADM data elements 

Child questionnaire (ages 6 months-l 1 years) 

Any physical or mental problem or defect at birth? 

Brain or nervous system involved? 

Physician ever diagnosed: 

Mental retardation? 

- Ever treated by physician’? 

Speech problems’? 

- Age first had problems? 

- Still have problems?


- Ever treated by physician?


Psychological or behavioral problems?


- ,+ge first had problems’?


- Still have problems?


– Ever treated by physician?


Use of nonprescription medicines in past 2 weeks: 

Pain relievers, such as aspirin or Tylenol? 

Sleeping tablets, sedatives, or tranquilizers? 

Antidepressants, stimulants, or pep pills? 

Medicines for indigestion’? 

Use of prescription medicines in past 2 weeks: 

Name’? 

Strength’? 

Prescribed dosage’? 

prescribed frequency?


Problem for which prescribed?


Frequency taken?


Side effects?


– SpeciQ 

–	 Behavioral response to side effects? 

(such as, quit taking medicine) 

Adult questionnaire (ages 12-74 years) 

Tobacco use: (ages 20-74 years) 

Cigarettes. 

— Smoked at least 100 cigarettes in lifetime? 

Age first started smoking’fairly regularly? 

Currently smoke? — Length of time since smoked fairly regularly? 

— Date last smoked fairly regularly?


Amount currently smoke or smoked when last smoked


regularly?
 — Ever a period when smoked more?


Amount smoked when smoking most?


Brand of cigarettes smoked?


Type of cigarette?


Filter tip or nonfilter tip?


Menthol or plain?


Hardpack or softpack?


Regular, king size, 100, or 120 millimeter?


High, medium, or low tar and nicotine?


Cigars.


– Currently smoke? 

–	 Number per day or week”? 

Pipe. 

– Currently smoke? 

– Number of pipefuls per day or week’? 

–	 Anyone else in household smoke cigarettes. cigars. 

or a pipe inside the home? 

Physician ever diagnosed cirrhosis of the liver’? 

Still have? 

Number of years ago first diagnosed? 

Use of nonprescription medicines in past 2 weeks: 

Pain relievers such as aspirin or Tylenol? 

Sleeping tablets, sedatives, or tranquilizers’? 

Antidepressants, stimulants, or pep pills’? 

Medicines for indigestion’? 

23 
Use of prescription medicines in past 2 weeks: 

Name? 

Strength? 

Prescribed dosage? 

Prescribed frequency? 

Problem for which prescribed? 

Frequency taken’? 

Side effects? 

- Specify 

–	 Behavioral response 

(such as, quit taking medicine ) 

Adult questionnaire supplement 

(ages 12-74 years) 

Tobacco use: (ages 20-74 years) 

Cigarettes. 

Smoked at least 100 cigarettes in lifetime? 

Age first started smoking fairly regularly? 

Currently smoke? 

Length of time since smoked fairly regularly? 

Date last smoked fairly regularly? 

Amount currently smoke or smoked when last smoked 

regularly? 

Ever a period when smoked more? 

Amount smoked when smoking most? 

Brand of cigarettes smoked? 

Type of cigarette? 

Filter tip or nonfilter tip?


Menthol or plain?


Hardpack or softpack?


Regular, king size, 100, or 120 millimeter?


High, medium, or low tar and nicotine? 

Anyone else in household smoke cigarettes, cigars, or 

a pipe inside the home? 

Alcohol consumption—73 questions. See appendix IV for 

detaiI. 

Drug abuse: 

Respondent is shown a card with a list of barbiturates 

and other sedatives and asked if he or she ever takes 

these kinds of pills: 

– Just to see what they are like? 

– Just to enjoy the feeling they give? 

– For other nonmedical reasons? 

‘Most recent time taken barbiturates or sedatives for nonmedical reasons? 

Age when first had a chance to try marijuana or hash 

if wanted to? 

- Age when first tried marijuana or hash? 

– Most recent time used marijuana or hash? 

–	 Number of days used marijuana or hash in past 30 

days? 

– Number of times in entire life used marijuana or hash? 

Age when first had a chance to try inhalants if wanted 

to? 

–	 Age when first used inhalants? 

Ever used the following for kicks or to get high? 

– Gasoline or lighter fluid? 

– Spray paint? 

Other aerosol sprays?


“Shoe shine,” glue, or toluene?


Lacquer thinner, other paint solvents?


Amyl nitrite or poppers?


Halothane, ether, or other anesthetics?


— Nitrous oxide, whippets? 

“Locker Room” odorizes’? 

Last time used one of these to get high? 

Age when first had chance to try cocaine if wanted 

to? 

– Age when first tried cocaine? 

– Most recent time used cocaine? 

Dmgnostic Interview Schedule (DIS) 

Depression Seetion (ages 2&74 years) 

Has there ever been a period lasting 2 weeks or more when 

you: 

Felt sad, blue, depressed, or lost all interest and pleasure 

in things? 

Lost appetite? 

Lost wpight without trying, as much as 2 pounds a 

week? 

Increased eating, resulting in weight gain of 2 or more 

pounds a week?


Had trouble falling asleep, staying asleep, or waking


up too early?


Were sleeping too much?


Felt tired out all the time?


Talked or moved more slowly than normal?


Could not sit still?


Ever had a period of several weeks when interest in


sex was a lot less than usual?


– Told doctor or other professional?


–	 Took medication more than once?


Did decreased interest in sex interfere with your life


or activities a lot? 

Has there ever been a period of 2 weeks or more when 

you(r): 

Felt worthless, sinful, or guilty?


Had trouble concentrating?


Thoughts came much slower than usual and seemed


mixed up?


Thought a lot about death, either your own or someone


else’s, or death in general?


Felt like you wanted to die?


Felt so low you thought of committing suicide’?


Attempted suicide?


Ever a time when feelings of depression and some of


these other problems occurred in the same month’?


Ever a period when several of these problems occurred


in same month?


When having some of these problems, were you feeling


OK or feeling low, depressed, blue, or uninterested 

in everything? 

Longest spell ever felt depressed and had several 

other problems at same time? 

Had more than one spell when felt depressed and had 

several other problems at same time? 

24 
Did spell(s) occur just after someone close died?


Had any spell of depression along with these other prob-=


Iems at times when the depression was not due to a


death’?


Are you in one of these spells now?


When did last spell end?


Age when felt depressed for at least 2 weeks and had


largest number of these other problems at same time?


Center for Epidemiologic Studies Depression 

Soale (CES-D) (ages 20-74 years) 

In past week: 

Unusually bothered? 

Poor appetite? 

Could not shake off the blues even with help of family 

or friends? 

Felt as good as other people? 

Trouble concentrating? 

Depressed? 

Everything an effort? 

Hopeful about future? 

Thought life had been a failure? 

Fearlid? 

Slept restlessly? 

Happy’? 

Talked.less than usual? 

Lonely? 

People unfriendly?


Enjoyed life?


Had crying spells?


Feh sad?


Felt disliked by people?


Could not get going?


Data tape availability 

Survey currently in the field. Public-use data tapes will 

be available at a future date. 

Technical contact:	 Claudia Moy 

Division of Health Examination Statistics 

3700 East-West Highway, Room 2–58 

Hyattsville, Md. 20782 

(301) 436-7081 

Questionnaire source items 

National Center for Health Statistics: Data Collection Forms 

of the Hispanic HANES. DHHS. Public Health Service. 

Hyattsville, Md. Undated. 

Available from:	 Scientific and Technical Information Branch 

3700 East-West Highway, Room 1–57 

Hyattsville, Md. 20782 

(301) 436-8500 

25 
National Health Interview 

Survey (NHIS) 

Survey design 

This general household health survey of the civilian noninstitutionalized U.S. population employs a multistage probability design that permits continuous sampling throughout the 

year. The survey is designed so that the sample of households 

interviewed each week is representative of the target population, and weekly samples are additive over time. Independent 

samples are selected each. year. Interviews have been conducted annually since 1957 with approximately 111,000 persons living in about 42,000 households. 

Basic data elements 

Data include information on acute illnesses and injuries, 

disability days associated with acute and chronic conditions 

(for example, bed days, work-loss days, and school-loss 

days), prevalence of selected chronic conditions and impairments, limitation of activity as a result of one or more 

chronic conditions or impairments, and use of physicians, 

dentists, and short-stay hospitals. Data are located on multiple 

tapes. 

ADM data elements 

Core questionnaire items 

Restricted activity in past 2 weeks due to mental condition? 

Number of bed days? 

Number of work-loss days? (ages 17years and over) 

Number of school-loss days? (ages 6-16 years) 

Number of reduced activity days? 

Limitation of activity due to mental condition? 

Unable to perform usual activity for one’s age and sex 

group? 

Limited in kind or amount of usual activity? 

Limited, but not in usual activity’? 

Physician visit(s) in past 2 weeks due to mental condition? 

Short-stay hospitalizations because of mental condition? 

Number of discharges? 

Number of days? 

Average length of stay? 

Chronic conditions? 

Stammering or stuttering? ( 1971; 1977–84) 

Mental retardation? ( 1971; 1977–84) 

Migraines? (1973; 1978-84) 

Cirrhosis of the liver? ( 1975; 1978–84) 

Ulcer? (! 975; 1978-84) 

Limitation of activity because ofi ( 1977) 

Emotional condition? 

Nervous condition? 

Number of times mamied? ( 1973) 

Smoking Supplement (ages 17 years and 

over) (1970) 

Cigarettes: 

Smoked at least 100cigarettes in lifetime’? 

Currently smoke? 

Length of time since smoked fairly regularly’? 

Reason(s) for quitting: 

Wanted to p~ovet; yourself that you could? 

Had illness which thought would worsen’? 

Felt smoking would damage health? 

Expense? — Smell of smoke on breath and clothing?


Doctor advised?


Relative or friend’s urging?


Stains on teeth and fingers?


To set good example?


— Media warnings about dangers of smoking’?


Smoking no longer enjoyable?


Other?


Specify.


If more than one reason, main reason’?


If quit less than 1 year ago, amount smoked 1 year


ago?


Amount smoke per day?


Usually smoke regular, king, or extra long’?


Usually smoke filtered or unfiltered?


Amount smoked when smoking most’?


Age when started smoking fairly regularly’?


Cigars: 

Smoked at least 50 cigars in lifetime’? 

Currently smoke’? 

Amount smoked per day or week’? 

Length of time since smoked 3 or more per week’? 

If less than 1year, amount smoked I year ago’? 

Usually smoke full size, cigarillos, or cigarette size’? 

Pipe: 

Smoked at least 3 packages of pipe tobacco in lifetime’?


Currently smoke?


Amount smoked per day or week?


Length of time since smoked 3 or more pipefuls a week’?


If less than 1year, amount smoked 1year ago?


26 
Other tobacco use: 

Snuff? 

Chewing’? 

Other’? 

Prescribed Medicines Supplement (all ages) 

(1973) 

Use of prescription medication in 2-week reference period?


Name of medication’?


Condition for which medication was taken?


Method obtained:


Written prescription?


Refill’?


Call to pharmacist”?


Given by physician?


Source of payment? 

Total cost? 

Hypertension Supplement (ages 17 years and 

over) (1974) 

Smoked at least 100 cigarettes in lifetime?


Currently smoke?


Amount smoke?


Ever tried to stop?


Tried to stop because of specific condition(s)? 

– Specify. 

Health Habits Supplement (ages 20 years and 

over) (1976) 

Use of medicines, drugs, or pills for insomnia during the 

past 6 months’? 

Used one or more times per week? 

Advised by doctor to take this medication? 

Use of aspirin or aspirin-type pills in past 6 months? 

Use one or more times per week? 

Use of tobacco (cigarettes only)? . Smoked at least 100 cigarettes in lifetime?


Currently smoke’?


Amount smoke?


Ever tried to stop’?


Ever advised by doctor to stop?


- Advised to stop because of condition?


Specify. 

H-1 (Health Habits) Supplement (ages 20 

years and over) (1977) 

Alcohol consumption: 

Frequency of drinking wine’? 

- Quantity consumed at one sitting’? 

Frequency ot’drinking beer’? 

- Quantity consumed at one sitting? 

Frequency of drinking liquor? 

- Qwmtity consumed at one sitting’? 

Five or more drinks at one sitting in past 12 months’? 

T(}bacc(~use (cigarettes only): 

Smoked at least I00 cigarettes in lifetime’? 

Currently smoke’? 

Amount smoke per dtiy’? 

Disability Supplement (ages 3 years and over) 

(1977) 

Psychological counseling in past 12 months? (ages 3 and 

over) 

Currently receiving’? . 

Helped by it? 

Currently need counseling? 

Tried to get counseling? 

Prescription medication taken for hyperactivity? (ages 3-18 

years) 

Smoking Supplement (ages 17 years and 

over) (1976-60) 

Smoked at least 100 cigarettes in lifetime?


Age started smoking fairly regularly?


Currently smoke?


Amount smoke?


Amount smoked per day when smoking most?


Brand smoked (most)?


Type of cigarettes:


Filter or nonfilter?


Plain or menthol?


Hardpack or softpack?


Regular, king size, or 100 millimeter?


Ever made serious attempt to quit? 

Number of times? 

Number of times in past 12 months? 

Length of time since start of last attempt to quit? o 

Length of time off cigarettes the last time? 

Home Care Supplement (all ages) (1979-60) 

Due to mental condition, needs help with: 

Walking? 

Going outside? 

Using toilet? 

Bathing? 

Dressing? 

Eating? 

Getting in and out of bed? 

Preparing meals? 

Shopping for personal items’? 

Routine household chores? 

Handling money? 

Social support: 

Had visits from a friend, relative, or neighbor (during 

2-week reference period)? 

–	 Number of visits? 

Went to visit a friend, relative, or neighbor (during 

2-week reference period)’? 

– Number of visits’? 

Child Health Supplement (ages 17 years and 

under) (1981) 

Marital history of biological mother: 

Current marital status? 

Number of marriages’? 

Dates of marriages’? 

Dates of divorces, annulments, or deaths of spouses’? 

Length of time since separation’? 

27 
Low birth weight (less than 5– 1/2 pounds)? 

Child ever had chronic conditions: 

Ulcer”? 

Stammering or stuttering’? 

Autism’? 

Mental retardation’?


Migraines’?


Frequent or severe headaches?


Use of medications during 2-week reference period: 

Pain relievers such as aspirin or Tylenol’? 

- Main health problem for which child took the medication’? 

– Prescribed by physician’? 

- Recommended by physician? 

- Frequency taken in past 3 months’?


Tranquilizers or sedatives’?


- Main health problem for which child took the medica­


tion? 

- Prescribed by physician’? 

- Recommended by physician? 

- Frequency taken in past 3 months? 

Ever suspended or expelled from school? 

Number of times’? 

Length of time since last suspension or expulsion? 

Has school ever requested conference to discuss problems? 

Length of time since last request? 

Behavior (3 years and older). 

Wet bed in past 12 months? 

- Number of times’? 

Suck thumb or fingers? 

Ever mn away from home? 

– Number of times?


–	 Age the last time?


Medication to control activity or behavior?


Ever seen a psychiatrist, psychologist, or psychoanalyst


about any emotional, mental, or behavioral problem?


–	 Still seeing this person?


- Last time saw this person?


During past 12 months, has parent felt or has anyone


suggested that child needed help for any emotional, men­


tal, or behavioral problem: 

Behavioral problems (4 years and eider). 

Have the following often, sometimes, or never been 

true of the child in the past 3 months’? 

Sudden changes in mood or feelings?


Feelings or complaints that no one loves him/her?


Rather high strung, tense, or nervous?


Cheats or tells lies’?


Too fearful or anxious?


Argues too much?


Difficulty concentrating, cannot pay attention for long?


Easily confused, seems to be in a fog?


Bullies, or is cruel or mean to others?


Disobedient at home?


Disobedient at school?


Does not seem to feel sorry after misbehaves?


Trouble getting along with other children?


Trouble getting along with teachers?


— Impulsive, or acts without thinking’?


Feels worthless or inferior?


Not liked by other children?


— Difficulty getting mind off certain thoughts, has obses­


sions?


Restless or overly active. cannot sit still’?


— Stubborn, sullen. or irritable?


Very strong temper and loses it easily’?


Unhappy. sad, or depressed?


— Withdrawn, does not get involved with others”? 

— Breaks things on purpose? 

Clings to adults? — Cries too much?


Demands a lot of attention?


Too dependent on others?


— Feels others are out to get him/her?


Hangs around kids who get into trouble’?


Secretive?


Worries too much?


Akohol-Health Practices Supplement 

(ages 18 years and over) (1983) 

Alcohol consumption — 26 questions. 

See appendix V for detail. 

Tobacco use (cigarettes only): 

Smoked at least 100 cigarettes in lifetime’?


Currently smoke?


Amount smoke?


Length of time since last smoked fairly regularly?


Tried to quit within past 5 years?


Methods of quitting used:


Formal program?


Consultation with health professional?


Special filters or holders?


Low tar and nicotine cigarettes?


Stopped or tried to stop with friends, relatives, cr


acquaintances?


Stopped entirely on own?
 — Other method? 

Specify. 

Aging Supplement (ages 55 years and over) 

(1984) 

Length of time widowed, divorced, or separated’? 

Social suppom, 

Number of living sons? 

Number of living daughters? 

How quickly can children reach respondent’? 

Frequency of seeing any of children’? 

Frequency of talking on telephone with any of children’? 

Frequency of getting mail from any of children’? 

Number of living brothers? 

Number of living sisters? 

Telephone call service available to check on well-bein~: 

(for persons residing in retirement community or com. 

plex)? 

Use of a community service in past 12 months which 

28 
makes routine telephone calls to check on the health


of elderly people?


During the past 2 weeks did you:


- Get together socially with friends or neighbors?


- Talk with friends or neighbors on the telephone?


- Get together with any relatives?


- Talk with any relatives on the telephone?


- Go to church or temple for services or other activities?


- Go to a show or movie, sports event, club meeting,


classes, or other group event? 

Present social activities sufficient? 

Friend, relative, or neighbor available who would take 

care of you foc 

- A few days, if necessary? 

- A few weeks, if necessary? 

Ever had Alzheimer’s disease?


Ever worry about health in past year?


Perceived control over future health?


Frequency of having trouble remembering things in past year?


Frequency compared with 1year ago? 

Frequency of getting confused in the past year? 

Frequency compared with 1 year ago? 

Data tape availability 

NationalHeatth Interview Survey, core data 

Data year NTIS accession no. 

1969 PB 235543 

1970 PB 237322 

1971 PB238524 

1972 PB 285460 

1973 PB 285511 

1974 PB 285517 

1975 PB281126 

1976 PB 300423 

1977 PB 80-203953 

1978 PB 81–179285 

1979 PB 82–157173 

1980 PB 83–248922 

1981 PB 84-111657 

National Health Interview Survey, 

Supplements 

I970 

I973 

1974 

1976 

I977 

1977 

1978-80 

1979-80 

1981 

1983 

1984 

Smoking


Prescribed Medicines


Hypertension


Health Habits


H- I (Health Habits)


Supplement


Disability


Smoking


Home Care


Child Health (Available


in future)


Alcohol-Health Habits


(Available in future)


Aging (Available in future)


Supplement tapes are available from the Division of 

Health Interview Statistics with the exception of the 1970 

Smoking Supplement, which is available only as part of 

the core data tape distributed by NTIS. The 1977 Health 

Habits Supplement is available both as part of the core 

data tape and as a supplement tape. 

Technical contact:	 Marie Marano 

Division of Health Interview Statistics 

3700 East-West Highway, Room 244 

Hyattsville, Md. 20782 

(301) 436-7089 

Questionnaire source items 

National Center for Health Statistics, G. E. Blanken: Current 

estimates from the Health Interview Survey, United States, 

1969. Vital and Health Statistics. Series 1!3, No. 63. PHS 

Pub. No. 1000. Public Health Service. Washington. U.S. 

Government Printing Office, June 1971. 

National Center for Health’ Statistics, M. H. Wildec Current 

estimates from the Health Interview Survey, United States, 

1970. Vital and Health Statistics. Series 10, No. 72. DHEW 

Pub. No. (HSM) 72–1054. Health Services and Mental Health 

Administration. Washington. U.S. Government Printing Office, May 1972. 

National Center for Health Statistics, R. W. Wilson: Current 

estimates from the Health Interview Survey, United States, 

1971. Vital and Health Statistics. Series 10, No. 79. DHEW 

Pub. No. (HSM) 73-1505. Health Services and Mental Health 

Administration. Washington. U.S. Government printing 

Office, Feb. 1973. 

National Center for Health Statistics, R. W. Wilson: Current 

estimates from the Health Interview Survey, United States, 

1972. Vital and Health Statistics. Series 10, No. 85. DHEW 

Pub. No. (HRA) 74-1512. Health Resources Administration. 

Washington. U.S. Government Printing Office, Sept. 1973. 

National Center for Health Statistics, M. H. Wilder Current 

estimates from the Health Interview Survey, United States, 

1973, Vital and Health Statistics. Series 10, No. 95. DHEW 

Pub. No. (HRA) 75–1522. Health Resources Administration. 

Washington. U.S. Government Printing Office, Oct. 1974. 

National Center for Health Statistics, P. W. Ries: Current 

estimates from the Health Interview Survey, United States, 

1974. Vital and Health Statistics. Series 10, No. 100. DHEW 

Pub. No. (HRA) 77– 1527. Health Resources Administration. 

Washington. U.S. Government Printing Office, Feb. 1977. 

National Center for Health Statistics, T. F. Drury: Current 

estimates from the Health Interview Survey, United States, 

1975. Vital and Heafth Statistics. Series 10, No. 115. DHEW 

Pub. No. (HRA) 77–1543. Health Resources Administration. 

Washington. U.S. Government Printing Office, Mar. 1977. 

National Center for Health Statistics, E. R. Black: Current 

estimates from the Health Interview Survey, United States, 

1976. Vital and Health Statistics. Series 10. No. 119. DHEW 

29 
.-

,,.. -..:; Pub. No. (PHS) 78– i547. Public Health Service. Washington,
 .. .


.,;. U.S. Government Printing Office. Nov. 1977.
 >.


‘---.,..‘. National Center for Health Statistics. L. J. Howie and T.
 . . .


.} .: F. Drury: Current estimates from the Health Interview Survey,
 . 

, ,. United States. 1977. Vital and Health Statistics. Series 10, .s: 

,.,. No. 1~6. DHEW Pub. No. (PHS) 78–1554. Public Health .- ., Service. Washington. U.S. Government Printing Office, Sept. ., 1978. 

National Center for Health Statistics. J. D. Givens: Current 

estimates from the Health Interview Survey, United States. 

. . 1978. Viral and Heafth Statistics. Series 10. No. 130. DHEW ., Pub. No. (PHS) 80-1551. Public Health Service. Washington. . . U.S. Government Printing Office, Nov. 1979. 

National Center for Health Statistics. S. S. Jack and P. 

W. Ries: Current estimates from the Health Interview Survey, 

.>. 

. . 

United States, 1979. Vital and Health Stutistic.r. Series 10. 

No,. 136. DHHS Pub. No. (PHS) 81-1564. Public Health 

Service. Washington. U.S. Government Printing Office. Apr. 

1981. 

National Center for Health Statistics, S. S. Jack: Cur-enr 

estimates from’ the Health Interview Survey. United Stti[m. 

1980. Vital and Health Statistics. Series 10, No. 139. DE HS 

Pub. No. (PHS) 82–1 567. Public Health Service. Washington. 

U.S. Government Printing Office, Dec. 1981, 

National Center for Health Statistics. B. Bloom: Cun”ent 

estimates from the National Health Interview Survey, Un, ted 

States. 1981. Vital and Health Statistics. Series 10. No. 

141. DHHS Pub. No. (PHS) 82–1569. Public Health Serv ce. 

Washington. U.S. Government Printing Office. Oct. 1982. 

. 

30 
National Medical Care Utilization 

and Expenditure Survey 

(NMCUES) 

Survey design 

This health care expenditures and utilization survey 

is of a panel of 17,500 civilian noninstitutionalized individuals 

throughout the United States and 13,400 individuals from 

Medicaid enrollment lists in California, Michigan, New 

York, and Texas. A multistage area probability sampling 

procedure was used and five mutually exclusive samples 

were obtained. Data were collected in 5 rounds of household 

interviews, conducted at 3-month intervals in 1980 and 

1981. 

Basic data elements 

Data include access to medical care, episodes of illness 

and injury, number of bed days, restricted activity days, 

hospital admissions, physician and dental visits, other medical 

care encounters, and purchases of prescribed medicine. Detailed data were obtained for each contact with the medical 

care system. 

ADM data elements 

Restricted activity since (reference date) because of mental 

condition’? 

Number of bed days’? 

Number of work-loss days? 

Number of days cut down on activities? 

Limitation of activity because of mental condition? 

Unable to perform usual activity for one’s age and sex 

group? 

Limited in kind or amount of usual activity? 

Limited, but not in usual activity? 

Visit to a medical person since (reference date)? 

Type of professional seen’? 

– Psychiatrist’? 

- Psychologist’? 

– Psychiatric social worker’? 

– Other mental health person’? 

Number of times seen (since reference date)? 

Visit to emergency room because of a mental condition? 

Visit to a hospital clinic or outpatient department since 

(reference date)’? 

Type of professional seen: 

- Psychiatrist’? 

- Psychologist’? 

- Social worker’? 

Hospitalized because of a mental condition? 

Number of nights? 

Received a separate bill for treatment by psychiatrist 

while hospitalized? 

In addition to all previously mentioned contacts, any other 

visits to a psychiatrist, psychologist, psychiatric social 

worker, or any other mental health person? 

Number of times since (reference date)? 

Medicines prescribed for mental condition? 

Date last obtained? 

Number of times obtained since (reference date)? 

Total cost? 

Amount of money spent on pain relievers since (reference 

date)? 

NO~. The reference date for the first round of interviews was 

January 1, 1980. The reference date for rounds 24 was 3 months prior 

to the interview. The date for the last round was December31, 1980. 

Data tape availability 

National Medical Care Utilization and Expenditure Sur­


vey, 1980.


NTIS accession no. PB 83–229542.


Technical contact:	 Robert Wright 

Division of Health Interview Statistics 

3700 East-West Highway, Room 2–28 

Hyattsville, Md. 20782 

(301) 436-7100 

Questionnaire source items 

National Center for Health Statistics, G. S. Bonham: Procedures and questionnaires of the National Medical Care Utilization and Expenditure Suwey. National Medical Care Utilization and Expenditure Survey. Series A, Methodological Report 

No. 1. DHHS Pub. No. 83–20001. Public Health Service. 

Washington. U.S. Government Printing C?ffice,Mar. 1983. 

31 
National Survey of Personal 

Health Practices and 

Consequences (NSPHPC) 

Survey design 

Telephone-administered, 2-wave panel survey is of 3,025 

adults ages 20-64 years, living in households with telephones 

in the 48 contiguous United States. The multistage probability 

sample was selected using a random-digit-dialing technique. 

The first wave of the survey was conducted in 1979. In 

1980, 2,436 of the Wave I respondents were successfully 

contacted and reinterviewed with virtually the same 

questionnaire. 

Basic data elements 

Data include information on personal health practices 

(such as smoking, drinking, sleeping, eating, physical activity, 

brushing and flossing teeth, using seatbelts), health status, 

functional limitations, use of health services, and history 

of family longevity. 

ADM data elements 

Frequency of taking medicines in past month? ( 1980) 

Aspirin? 

Medicine for indigestion’? 

Sleeping pills? 

Tranquilizers? 

Taken valium in past year? ( 1980) 

Last time taken valium? 

Tobacco use (cigarettes only): 

Smoked at least 100 cigarettes in lifetime? (1979)


Smoked at least 100 cigarettes in past year? ( 1980)


Currently smoke?


Amount smoked?


Tar and nicotine level?


– Tar and nicotine level compared to 1year ago? ( 980) 

– Change due to health-related condition? ( 1980) 

Changed number or brand of cigarettes in past 

2 years?(1979) 

–	 Change due to health-related condition? 

Amount smoked compared to 1year ago? (1980) 

–	 Change due to health-related condition? 

Serious attempt to quit smoking in past 2 years?( 1979) 

Serious attempt to quit smoking in past year? ( 1980) 

Alcohol consumption: 

Ever drink alcoholic beverages’? 

- If not, did you drink 2 years ago? ( 1979) 

Changed drinking pattern because a health-rela[ed


problem?


Frequency of drinking wine, beer, liquor?


Amount drink per day on drinking days?


Drink more or less than 2 years ago? ( 1979)


Drink more or less than 1year ago? ( 1980)


Worry about health in past year?


Perceived control over health?


Perceived control over high blood pressure?


Frequency of headaches, generally?


Energy level compared with peers?


Degree of emotional stress associated with job?


Social support:


Social group participation?


- Labor or professional organizations?


- Church?


– Scouts or other organized youth groups?


– Community service?


- Social groups?


ReIigious attendance?


Number of close relatives?


Number of close friends?


Frequency of visits with any close friends and relatives’?


Number of friends and relatives seen at least monthly?


Enough close friends and relatives?


Marital happiness?


Enjoyment of free time?


T]me on hands?


Happiness these days?


Abbreviated General Well-Being Schedule.


In past month, frequency of feeling: 

– Cheerful and lighthearted? 

– Loved and wanted? 

- Downhearted and blue? 

- Lonely? 

Inability to cope with daily problems’?( 1980) 

Life events in past 5 years? (past year for Wave II) 

Death of spouse or child?


Problems with steady date or fiance’?


Serious financial difficulties or problems’?


Own serious illness, injury, or operation’?


Serious illness, injury, or operation of one of your


children?


Serious illness. injury, or operation of spouse’?


Unable to get medical treatment when seriously needed


32 
for self, spouse, or child? 

Marital separation or divorce? 

Other problems related to marriage? 

Personal, emotional, behavioral, or mental problems in past 

yew’? 

Severe’? 

Less than severe? 

Needed professional help? 

Sought professional help’? 

Ever had nervous breakdown?


Ever close to nervous breakdown?


Close to nervous breakdown in past year?


Still bothered? 

NOTE: Items appear in both Waves 1and II unless otherwise indicated. 

Data tape availability 

National Survey of Personal Health Practices and Conse­


quences, Waves I and 11.


NTIS accession no. PB 83-104323.


Technical contacc	 Patricia M. Golden 

Division of Epidemiology and Health 

Promotion 

3700 East-West Highway. Room 2–27 

Hyattsville, Md. 20782 

(301) 43t5-7032 

Questionnaire source items 

National Center for Health Statistics, K. M. Danchik. 

C. A. Schoenbom, and J. Elinson: Highlights from Wave I 

of the National Survey of Personal Health Practices and 

Consequences, United States, 1979. Vital and Health Statistics. Series 15, No. 1. DHHS Pub. No. (PHS) 81–1 !62. 

Public Health Service. Washington. U.S. Government Printing 

Office, June 1981. 

National Center for Health Statistics, R. K. Eisenstadt and 

C. A. Schoenbom: Basic data from Wave II of the National 

Survey of Personal Health Practices and Consequences, United 

States, 1980. Working Paper Series. No. 13, Oct. 1982. 

* 

0 

33 
Section 11:Health care statistics 

35 
National Ambulatory 

Medical Care 

Survey (NAMCS) 

Survey design 

Survey of approximately 3,000 non-Federal physicians 

in ot%ce-based practices in the 48 contiguous United States, 

who provide information using medical record encounter 

forms, on a systematic sample of about 50,000 patient visits 

annually. The survey is conducted weekly throughout the 

year, using a multistage probability sample. Between 1973 

and 1981 NAMCS was conducted annually. Beginning in 

1985, it will be conducted on a triennial basis. 

Basic data elements 

Reasons for visit and ICD-coded diagnoses (coded according to the ICD revision in use at the time of data collection), 

inchdng injuries and poisonings, are listed up to a maximum 

of three each. See appendix II for discussion of ICD coding. 

Also included are data on whether or not a patient was 

ever seen for the particular problem before, length of time 

since onset of the problem, and diagnostic and therapeutic 

services ordered or provided. 

ADW data elements 

Patient information 

Reason for visit: 

Principal? 

Other? 

Seriousness? (1973-78) 

Physician diagnosis (ICD coding): 

Principal? 

Other? 

Treatment or service ordered or provided: 

Prescription? 

Psychotherapy or therapeutic listening? 

Family or social counseling’?(1980-8 1) 

Disposition of visit? 

Duration of visit? 

Mental status examination administered? (1979-8 1) 

Names of medications prescribed? ( 1980-8 1) 

Physician information 

Specialty’?


Type of practice (for example, group or private)


Data tape availability 

National Ambulatory Medical Care Survey. 

Data year NTIS accession no. 

1973 PB 293900 

1975 PB 290478 

1976 PB291i52 

1977 PB 80-130230 

1978 PB 80-204092 

1979 PB 82-122029 

1980 PB 82–191941 

1981 PB 83-199570 

National Ambulatory Medical Care Survey-dreg mentions. 

Data year NTIS accession no. 

1980 PB 83-154799 

� 1981 PB 83-199570 

Technical contacfi	 Ray Gagnon 

Division of Health Care Statistics 

3700 East-West Highway, Room 243 

Hyaysville, Md. 20782 

(301)436-7132 

Questionnaire source items 

NOTE: Although the tides of the following reports indicate only I dati 

year, identical questionnaires were used for the I or 2 yews shown i I 

parentheses after the citation. 

National Center for Health Statistics, J. E. DeLozier and 

R. O. Gagnon: The National Ambulatory Medical Care Sure 

vey, 1973 summary, United States, May 1973–April 1974 

Vital and Health Statistics. Series 13, No. 21. DHEW Pub 

No. (HRA) 76-1772. Health Resources Administration 

Washington. U.S. Government Printing Office, Oct. 1975 

(1973-74) 

National Center for Health Statistics, H. Koch and T. McLe. 

more: The National Ambulatory Medical Care Survey, 197: 

summary, United States, January-December 1975. Vital an~’ 

Health Statistics. Series 13, No. 33. DHEW Pub. No. (PHS 

78–1784. Public Health Service. Washington. U.S. GovernmentPrinting Office, Jan. 1978. (1975-76) 

36 
National Center for Health Statistics, T. Ezzati and T. McLemore: The National Ambulatory Medical Care Survey, 1977 

summary, United States, January-December 1977. Vital and 

Health Sratisfics. Series 13, No. 44. DHEW Pub. No. (PHS) 

80-1795. Public Health Service. Washington. U.S. GovernmentPrinting Office, Apr. 1980. ( 1977-78) 

National Center for Health Statistics, R.O. Gagnon, J. E. 

DeLozier, and T. McLemore: The National Ambulatory Medical Care Survey, United States, 1979, summary. Vital and 

Health Statistics. Series 13, No. 66. DHHS Pub. No. (PHS) 

82–1727. Public Health Service. Washington. U.S. GovernmentPrinting Office, Sept. 1982.( 1979) 

National Center for Health Statistics, B. K. Cypress: Patterns 

of ambulatory care in general and family practice, the National 

Ambulatory Medical Care Survey. United States. January 

1980-December 1981. Viraf and Health Stafisfic.s. Series 

13, No. 73. DHHS Pub. No. (PHS) 83–1734. Public Health 

Service. Washington. U,S. Government Printing Office. Sept. 

1983. (1980-81) 

37 
National Hospital 

Discharge Survey (NHDS) 

Survey design 

Survey of patient discharges from about 450 short-stay, 

non-Federal hospitals throughout the United States, using a 

two-stage probability sample. Hospital selection is stratified 

by bed size, geographic region, and ownership. Data are 

abstracted from the face sheets of a systematic sample of 

discharged patients. The survey has been conducted annually 

since 1965. 

Basic data elements 

For the years 1965-82, data elements included patient 

characteristics (age, race, marital status); hospital characteristics (location, size. and ownership); all-listed diagnoses, including injuries and poisonings (coded accordhg to the ICD 

revision in use at the time of data collection); all-listed procedures; average length of stay; and discharge status. In addition, 

an item on expected source of payment was included from 

1977-82. See appendix II for discussion of ICD coding. 

ADM data elements 

Selected diagnoses of ADM disorders’ (ICD coding): 

Organic psychotic conditions.


Schizophrenic disorders.


Other psychoses.


Anxiety states.


Other neuroses and personality disorders.


Alcohol dependence syndrome.


Drug dependence syndrome.


Nondependent abuse of drugs (including alcohol).


Other mental disorders.


Mental retardation.


Data tape availability 

National Hospital Discharge Survey. 

Data year NTIS accession no. 

1970 PB 270763 

1971 PB 270765 

1972 PB 270767 

1973 PB 270769 

‘These disorders are listed for ilhsstrative purposes only. All disorders listed 

on the hospital record are available on the tape. 

I974 PB 270771 

1975 PB 270773 

1976 PB 82-179227 

1977 PB 82–179326 

1978 PB 82-179342 

1979 PB 82-179334 

1980 PB 83-126318 

1981 Available from technical 

contact person. 

1982 Available from technical 

contact person. 

Technical contact:	 Robert Pokras 

Division of Health Care Statistics 

3700 East-West Highway, Room 2-43 

Hyattsville, Md. 20782 

(301) 436-7125 

Questionnaire source items 

NOTE: Although the titles of the following reports indicute only I LItiM 

year. identical questionnaires were used for the years shown in p~rcnthmcs 

after the citation. 

National Center for Health Statistics, A. L. Ranofsky: Utilization of short-stay hospitals, annual summary for the United 

States, 1974. Vital and Health Statistics. Series 13. No. 

26.	 DHEW Pub. No. (HRA) 76-1777. Health Resources 

Administration. Washington. U.S. Government Printing Office, Sept. 1976. (1965–76) 

National Center for Health Statistics, B. J. Haupt: Utilization 

of short-stay hospitals, annual summary for the United States. 

1977. Vital and Health Statistics. Series 13, No. 41. DHEW 

Pub. No. (PHS) 79-1557. Public Health Service. Washington. 

U.S. Government Printing Office, Mar. 1979. (1977-78) 

National Center for Health Statistics, E. McCarthy: Inpatient 

utilization of short-stay hospitals, by diagnosis, United States. 

1979. Vital and Health Statistics. Series 13. No. 69. DHHS 

Pub. No. (PHS) 83–1730. Public Health Service. Washington. 

U.S. Government Printing Office, Dec. 1982. ( 1979–80) 

National Center for Health Statistics, E. J. Graves and 

B. J. Haupt: Utilization of short-stay hospitals, United States, 

1981 annual summary. Vital and Health Statistics. Series 

13, No. 72. DHHS Pub. No. (PHS) 83–1733. Public Health 

Service. Washington. U.S. Government Printing Office. Aug. 

1983. (1981-82) 

38 
Natiord Nursing Home 

Survey (NNHS) 

Survey design 

Survey of current residents, discharged residents, and 

employees of U.S. nursing homes, using a two-stage cluster 

probability sample. Nursing home selection was stratified 

by bed size and type of service. A systematic sample of 

current residents, discharged residents (1977), and employees 

was then selected. Two cycles of NNHS have been conducted. 

The 1973-74 national survey covered approximately 1,900 

nursing homes, 19,000 current residents, and 21,000 employees. The 1977 national survey covered approximate y 1,500 

nursing homes, 7,000 current residents, 5,100 discharged 

residents, and 13,600 employees. The national sample was 

augmented in 1977 in California, Illinois, Massachusetts, 

New York, and Texas to produce State-level estimates. The 

total sample for these 5 States included 650 nursing homes, 

3,100 current residents, 2,500 discharged residents, and 5,700 

employees. 

Basic data elements 

Administrative information is available for the facility 

and the staff. Data for current and discharged residents consist 

of information on diagnoses (including “accident, poisonings, 

and violence” in 1973-74 and “hip and other fractures” in 

1977), functional status, physician and other services received, 

visitors, and overnight leave, 

ADM data elements 

Facilii questionnaire 

Persons accepted with the following primary diagnoses? ( 1977) 

Mental illness or emotional disturbance? 

Mental retardation? 

Alcoholism’? 

Drug addiction’? 

Senility’? 

Services routinely provided on premises? 

Counseling by social worker, psychologist, or mental 

health worker’?( 1973–74) 

Counseling or therapy by psychiatrist, psychologist, or 

mental health worker? (1977) 

Counseling by social worker’?( 1977) 

Services provided to nonresidents: 

Friendly visiting’?( 1973-74; 1977) 

Daily telephone checking service? (1973-74; 1977) 

Psychiatric care? ( 1977) 

Resident questionnaire 

Place of residence prior to current admission’? 

Mental hospital or other long-term speciality hospital’? 

(1973-74) 

Facility for mentally retarded? (i977) 

Mental hospital? ( 1977) 

Anticipated place of residence after discharge’? 

Mental hospital? (1977) 

Primary reason for admission? 

Behavioral (disruptive behavior. mental deterioration)’? 

(1973-74) 

Social (lack of family or family interest)’? ( 1973–74: 

1977) 

Mental illness? ( 1977) 

Mental retardation? (1977) 

Disruptive behavior? ( 1977) 

Primary diagnosis at time of admission’?( 1973–74) 

Senility? 

Mental disorders (mental retardation. psychoses, 

neuroses, and the like)? 

Primary diagnosis at time of last medical examination’? 

Senility? ( 1973–74) 

Mental disorders (mental retardation, psychoses, 

neuroses, and the like)’?(1973–74) 

Chronic brain syndrome’?(1977) 

Mental retardation? ( 1977) 

Neurosis? (1977) 

Psychosis? (1977) 

Senile psychosis (senile dementia)’?(1977) 

Senile, not psychotic? ( 1977) 

Other mental disorders? Specify. ( 1977) 

Alcoholism? (1977) 

Cirrhosis of the liver’?( 1977) 

Drug addiction? ( 1977) 

Ulcers? ( I977) � 

Current conditions or impairments? 

Senility? (1973-74: 1977) 

Mental illness’?( 1973–74; 1977) 

Mental retardation”?( 1973–74; 1977) 

Chronic brain syndrome’?( 1977) 

Insomnia’?(1977) 

Alcoholism’?(1977) 

Drug addiction’?( 1977) 

39 
.

.:

., Medications received during past 7 days? ( 1973-74) -.. 

.. Tranquilizers? 

,. Hypnotics, sedatives? 

:.. 

..<. Antidepressants? 

-: Conditions for which resident received medication in past 

.’ 7 days? ( 1977) 

. ;. Senility? 

Mental illness? .. . Mental retardation? 

, . Chronic brain syndrome? 

. Insomnia? 

. . Alcoholism? 

.“ Drug addiction? 

Tranquilizers received in past 7 days? (1977) 

For what conditions? 

Number of times in past month resident received professional 

counseling by social worker, psychologist, or other mental 

health worker? (1973-74) 

Number of hours during the past month resident received 

. . (1977) 

Counseling or therapy by a psychiatrist, psychologist, 

or other mental health worker? 

Counseling by a social worker? . Resident exhibits any of the following behavioral problems: 

Depressed or withdrawn? (1973-74 1977) 

Agitated, nervous? (1973-7~ 1977) 

Abusive, aggressive, disruptive? (1973-74 1977) 

Confused, senile? (1973-74) 

Disturbed sleep? (1973-74) 

Wandering? (1977) 

Other problem behavior? (1973–74; 1977) 

Frequency behavioral problem is exhibited? (1973-74) 

Current nonverbal communication of physical needs due to 

mental or emotional problem? (1977) 

Extra nursing care required because resident is: (1977) 

Depressed or withdrawn?


Agitated, nervous?


Abusive, aggressive, disruptive?


Prone to wandering?


Exhibiting other problem behavior?


Participation in organized recreational activities in the facility 

in past month? ( 1977) 

Participation in recreational or leisure activities outside the 

facili~ in the past month? (1973–74; 1977) 

Reasons for not participating?


- Not interested?


- Confused?


- Behavioral problem?


- No one to accompany? 

Leave from facility for 1 night or longer during past 12 

months? 

..’ Most recent place of visit? ( 1977) 

;	 – Length of time? 

Usual place of visit?(1973–74) 

–	 Frequency?


Why no overnight leave? ( 1977)


– Not interested? 

- Behavioral problem? 

– No place to go? 

Visitors? 

Relationship to resident? (1977) 

Frequency with which resident has any visitor!,? 

(1973-74; 1977) 

Discharged resident questionnaire: (1977) 

Resident discharged to mental hospital?


Exhibition of any of the following conditions or impairment


by former resident? 

Senility? 

Mental retardation? 

Mental illness? 

Chronic brain syndrome? 

Insomnia? 

Alcoholism? 

Drug addiction? 

Primary diagnosis at time of former resident’s admission? 

Chronic brain syndrome? 

Mental retardation? 

Neurosis? , Psychosis? 

Senile psychosis? 

Senile, not psychotic? 

Other mental disorders? 

–	 Specify. 

Drug addiction? 

Alcoholism? 

Cirrhosis of the liver? 

Ulcers? 

During month prior to discharge, did former resident receive: 

Counseling or therapy by a psychiatrist, psychologist, 

or other mental health worker? 

Counseling by a social worker? 

Reality orientation? 

Staff questionnaire 

Number of nondegree training courses taken in past year 

in mental or social problems of the aged or chronically 

ill? (1973-74) 

Enrollment in past 12 months in nondegree training courses 

in mental or social problems of the aged or chronically 

ill? (1977) 

Performs work, counseling services? (1977) 

Data tape availability 

National Nursing Home Survey, 1973–74.


Available’from NCHS, Division of Health Care Statistics.


National Nursing Home Survey, 1977.


NTIS accession no. PB 80-188030.


National Nursing Home Survey, 1977, Five States (Calif.,


111.,Mass., N. Y., Tex.).


NTIS accession no. PB 80-188717.


– Confused, disoriented, frightened? 

40 4 
I 

Technical contact:	 Esther Hing 

Division of Health Care Statistics 

3700 East-West Highway, Room 2-43 

Hyattsville, Md. 20782 

(30 I) 436-8830 

, Questionnaire source items 

, National Center for Health Statistics, A, Sirrocco and H.W. 

Koch: Nursing homes in the United States, 1973-74, National 

; Nursing Home Survey. Vital and Health Statistics. Series 

14, No. 17. DHEW Pub. No. (HRA) 78–1812. Health Resources Administration. Washington. U.S. Government Printing Office, Oct. 1977. 

National Center for Health Statistics, J. F. Van Nostrand. 

A. Zappolo, E. Hing, et al.: The National Nursing Home 

Survey, 1977 Summary for the United States. Viral and 

Health Statistics. Series 13, No. 43. DHEW Pub. No. (PHS ) 

79-1794. Public Health Service. Washington. U.S. GovernmentPrinting Office, July 1979. 

41

.

.,

.<.. 

,.

-.. National Master Facility ... , ,.. :.- Inventory (NMFI) ... ., 

“.’ 

., 

... 

,. 

,. . 

. 

Survey design 

Survey of all hospitals in the United States, carried out 

annually from 1963 through 1976.b Survey of all nursing 

and related care homes in the United States was carried 

out in 1963, 1967, 1969, 1971, 1973, 1976, 1978, 1980, 

and 1982. The data were gathered using a mail questionnaire. 

Basic data elements 

Comprehensive list of U.S. facilities that provide medical, 

nursing, personal, or custodial care to groups of unrelated 

persons on an inpatient basis. Data for hospitals include 

name of facility, ownership, type of facility, number of 

beds, days of care, discharges, admissions, type of service, 

outpatient visits, employees, and facilities and services offered. Data for nursing homes and other health facilities 

include name of facility, address, number of beds, ownership, 

type of facility, ages and sexes served, and number of 

residents. 

ADM data elements’ 

Nursing and related owe homes 

Resident facility foc 

Emotionally disturbed? (197 1–80) 

Alcoholics or drug abusers? ( 1971) 

Alcoholics? ( 1973–80) 

Drug abusers? (1973-80) 

Mentally retarded? (197 1–80) 

Programs provided for mentally retarded: (1971) 

Classes for educable children? — Classes for trainable children?


Classes for profoundly retarded children?


Classes for adults?


Specify.
 — Vocational training or counseling? — Occupational therapy? 

Physical therapy? 

— Other programs?


Describe.


None of the above.


hDa[a for ~ear$ subsequent to 1976 are available from the AmericanHospital 

Association, 840 Lake Shore Drive, Chicago, 111.60611. 

“Items appear in all years of the survey unless otherwise noted. 

Number of residents during the previous night with the 

following: (1973) 

Emotional disturbance (excluding senility)? 

Mental retardation? 

Facility accepts: (1976) 

Mentally ill or emotionally disturbed? 

Mentally retarded? 

Alcoholics? 

Drug addicts? 

Senile? 

Number of full-time employees in this facility who are: 

(1973-82) 

Psychologists? (1973) 

Medical social workers? 

Recreation therapists or activities directors? 

Number of part-time employees in this facility who a.e: 

(1973-82) 

Psychologists? (1973) 

Medical social workers? 

Recreation therapists or activities directors? 

Hospitals 

Type of service hospital provides to majority of patients? 

Psychiatric? 

Narcotic addiction? (197 1–74) 

Mental retardation? (1971; 1974-76) 

Alcoholism? 

Facilities and services located within the hospital? 

Psychiatric inpatient unit? 

– Number of beds? 

Psychiatric outpatient unit?


Psychiatric partial hospitalization program’?


Psychiatric emergency services?


Psychiatric foster or home care?


Psychiatric consultation and education services’?


Clinical psychology services’?( 1972-76)


Social work department? ( 1973)


Alcohol or chemical dependency inpatient unit’?( 1975–7tI)


–	 Number of beds?


Alcoholism or chemical dependency outpatient service:’?


( 1975-76)


Admission of psychiatric patients to general service’?( 1971) 

Organized treatment program for drug abuse patients’?( 1971) 

42 
Data tape availability 

National Master Facility Inventory-nursing homes, and other 

health facilities. 

Data year NTIS accession no. 

1971 pB ~87~70 

1973 pB 287268 

1976 PB 287230 

1980 PB 83–178459 

1982 Expected to be available 

Mar. 1985 

National Master Facility Inventory-hospitals. 

Data year NTIS accession no, 

1971 PB 284912 

1972 PB 284914 

I973 PB 284916 

I974 PB 284918 

I975 PB 284920 

1976 PB 284922 

Technical contact:	 Al Sirrocco 

Division of Health Care Statistics 

3700 East-West Highway, Room 2-43 

Hyattsviile, Md. 20782 

(301 ) 436-8830 

Questionnaire source items 

National Center f& Health Statistics, A. Sirrocco: Inpatient 

health facilities as reported from the 197 I MFI Survey. Vifal 

and Health Statistics. Series 14, No. 12. DHEW Pub. No. 

(HRA) 74-1807. Health Resources Administration. 

Washington. U.S. Government Printing Office, Mar. 1974. 

National Center for Health Statistics, A. Sirmcco: Inpatient 

health facilities as reported from the 1973 MFI Survey. Viral 

and Health Statistics. Series 14. No. 16. DHEW Pub. No. 

(HRA) 76-1811. Health Resources ,4dministration. 

Washington. U.S. Government Printing Office. May 1976. 

National Center for Health Statistics, J. F. Sutton and ,4. 

Sirrocco: Inpatient health facilities as reported from the 1976 

MFI Survey. Vital and Health Statistics. Series 14. No. 

23. DHEW Pub. No. (PHS) 80-1818. Public Health Service. 

Washington. U.S. Government Printing Office, Jan. 1980. 

National Center for Health Statistics, G. W. Strahan: Inpatient 

health facilities statistics, United States, 1978. Vita/ and 

Health Statistics. Series 14. No. 24. DHHS Pub. No. (PHS) 

80-1819. Public Health Service. Washington. U.S. Government Printing Office, Mar. 1981. 

National Center for Health Statistics, A. Sirrocco: Nursing 

and related care homes, as reported from the 1980 NMFI 

Survey. Vital and Health Statistics. Series 14, No. 29. DHHS 

Pub. No. (PHS) 84-1824. Public Health Service. Washington. 

U.S. Government Printing Office, Dec. 1983. 

43 
Section Ilk Vital statistics surveys 
National Survey of . . . Family Growth (NSFG) . . 

-. CycleIll ‘. 

Survey design 

Survey of U.S. women ages 1544 years, conducted 

on a cyclical basis. using a multistage area probability sample. 

Cycle 111interviews were conducted in 1982 with approximately 8,000 women, including both ever married and never 

married women. 

Basic data elements 

Data include marital history, a detailed pregnancy history, 

fecundity and expected or intended future births, pregnancy 

planning practices and utilization of specific contraceptive 

methods, the source of financing of family planning services, 

and information on sex education and the sexually active 

population. 

ADM data elements 

Average number of cigarettes smoked per day during last 

pregnancy’? 

Frequency of drinking any alcoholic beverages during last 

pregnancy’? 

46 

Data tape availability 

National Survey of Family Growth, Cycle III. 

1982 Combined Respondent-Interval File. 

NTIS accession no, PB 85-100022. 

Technical contact:	 William Pratt, Ph.D. 

Division of Vital Statistics 

3700 East-West Highway, Room 1-44 

Hyattsville, Md. 20782 

(301) 436-8731 

Questionnaire source items 

Questionnaire available from technical contact person. 
National Nataiity 

Survey (NNS) and 

National Fetal Mortality 

Survey (NFMS) 

Sutvey design 

National Natality Surveys, conducted in 1963-69, 1972, 

and 1980, were based on probability samples of registered 

births occurring in a calendar year in each registration area 

in the United States. For the first time in 1980, the natality 

survey was accompanied by the 1980 National Fetal Mortality 

Survey based on a sample of registered late fetal deaths. 

In the 1980 NNS-NFMS, questionnaires were mailed to married mothers, hospitals where the deliveries occurred, attendants at delivery, and X-ray technicians and radiologists. 

In 1967-69 and 1972, NNS samples were limited to in-wedlock births, and questionnaires were mailed to mothers. In 

1972, hospitals and attendants were also surveyed. The data 

sets consist of birth certificate information for all sample 

births and questionnaire information for survey respondents. 

In cases of nonresponse, imputation procedures were employed 

to complete the data file and weight the samples up to 

national estimates. Information on smoking and alcohol use 

was collected from married mothers in the 1967-69 NNS 

and in the 1980 NNS-NFMS. Samples consisted of approximately 3,600 live births to married women in each of the 

1967–69 surveys, and 9,941 live births and 6,386 late fetal 

deaths to married and unmarried women in the 1980 survey. 

In 1967, the survey response rate was 91 percent; in 1968-69, 

it was 87 percent. In 1980, of the 7,825 married women 

with live births and 4,815 married women with fetal deaths 

who were sent questionnaires, response rates were 79.5 percent 

and 74.5 percent, respectively, 

Basic data elements 

Survey data include about 300 items, such as medical 

care of the mother, breastfeeding practices, information about 

previous pregnancies, childbearing expectations, sterilization, 

health status of mother and child, marital history, electronic 

fetal monitoring (1980), and amniocentesis (1980). In addition, the vital record contains basic sociodemographic data, 

State of birth, number of previous children born alive, number 

of fetal deaths, birth order, birthweight, and completed weeks 

of pregnancy. 

ADM data elements 

Tobacco use: 

Smoked at all during 12 months before delive~? 

( 1967-69; 1980) 

Smoking practices before you found out you were


pregnank


- Amount smoked per day? (1967-69; 1980)


– Brand? ( 1980) 

– Filter or nonfilter? ( 1980) 

– Hard or softpack? ( 1980) 

- Menthol or regular? ( 1980) 

—Regular length, king size, or 100 or 120 millimeter? 

(1980) 

Smoking practices after you found out you were pregnarm 

– Amount smoked per day? ( 1967-69; 1980) 

– Brand? (1980) 

– Filter or nonfilter? ( 1980) 

– Hard or softpack? ( 1980) 

– Menthol or regular? (1980) 

–	 Regular length, king size, or 100 or 120 millimeter? 

(1980) 

Alcohol consumption: (1980) 

Drank any alcoholic beverages (beer, wine, or liquor) 

during the 12 months prior to delivery? 

Alcohol consumption prior to pregnancy: 

– Frequency of drinking any alcoholic beverage?


–	 Number of drinks on drinking days?


Alcohol consumption during pregnancy:


– Frequency of drinking any alcoholic beverages?


—Number of drinks on drinking days?


Type(s) of alcohol usually consumed (beer, wine, or


liquor)?


Medication use: (1980) 

Number of aspirin tablets taken per month during . 

pregnancy? 

Data tape availability 

National Natality Surveys.


Data year NTIS accession no.


1964-66 (one tape) PB 237326


1967 PB 300997


1968 PB301157


1969 PB 300999


1972 PB 301358


The National Natality Survey and the National Fetal Mortality


Survey-1980.


NTIS accession no. PB 84-177310.


47 
...”. ,. Technical contact: Paul Placek, Ph. D., or characteristics, 1980 National Natality and Fetal Mortality . . Kenneth Keppel, Ph.D. Surveys. Vitafand Hea/fh Sfarisrics. Series 1. Public Heidth 

.. Division of Vital Statistics Service. DHHS, Hyattsville, Md. To be published. 

. .. 3700 East-West Highway, Room 1-60 ., Hyattsville, Md. 20782 

.“ (301) 436-8954 

Questionnaire source items 

‘. National Center for Health Statistics, K. G. Keppel, P. J. 

Placek. S. Botman, and I. M. Shimizu: Methods and response ., 

. . 

48 
National Mortality Survey (NMS) 

Survey design 

The survey is based on a systematic random sample 

of all deaths occurring in the United States to persons 35-84 

years of age in 1966, 1967, and 1968. The sample was 

stratified for month of death, geographic area, age, and 

selected causes of death related to smokhg. A total sample 

of about 19,500 decedents was drawn over the 3 years. 

Questionnaires were mailed to surviving relatives or other 

informants, with a final response rate of 95 percent. In 

cases where portions or all of the survey information was 

not obtained, imputation procedures were employed to complete the data file. 

Basic data elements 

Survey data include value of things owned by decedents 

and spouse, total family income of decedent’s family in 

year before death, date of birth of surviving spouse, number 

of decedent’s children in household, date of birth of oldest 

child in household, and number of children under 18 years 

old in family. In addition to sociodemographic information, 

death certificate data include place of death, date of death, 

underlying cause, and relationship of informant to decedent. 

ADM data elements 

Tobacco use: 

Did the deceased smoke as many as five packs of 

cigarettes in entire life? 

During the period of heaviest smoking, average amount


smoked per day?


During year before death, average amount smoked per


day?


Three years before death, average amount smoked per


day?


Three years before death, smoked cigars?


Three years before death, smoked a pipe?


Data tape availsbilii 

National Mortality Survey, 1966-68 (one tape). 

NTIS accession no. PB 80-117138. 

Technical conracc Isadore Seeman 

Office of Vital and Health Care Statistics 

Program 

.3700 East-West Highway, Room 2-63 

Hyattsville, Md. 20782 

(301) 436-7107 

Questionnaire source items 

Questionnaires available from technical contact person. 

49 
Section IV: Vital statistics 
.	 . 

.. . . Mortality Statistics (MS) :. 

,. 

r.. 

.’ 

. . 

‘:. 

., . 

Survey design 

One hundred percent of deaths have been registered in 

the United States since 1933. Deaths are ~gistered by the 

States and reported to NCHS on an ongoing basis. 

Basic data elements 

Detailed data include characteristics of the location of 

residence of the deceased; age at death; day of death 

(1972-77); whether or not autopsy was performed (1972-77); 

whether or not findings were used ( 1972–77); multiple causeof-death codes (1968-present), and under]ying cause-of-death 

codes, which include codes for accidents and injuries. (Coded 

according to the ICD revision in use at the time of data 

collection. See appendix II for discussion of ICD coding). 

Local area summary and cause-of-death summary tapes contain 

selected data from the detailed tapes. 

ADM data elements 

Selected causes of death (ICD coding): 

Senile and presenile organic psychotic conditions. 

Alcoholic psychosis.€

All other psychoses.€

Alcohol dependence syndrome.€

Drug dependence.€

Other neurotic, personality and nonpsychotic mental€

disorders.€

Mental retardation.€

Senility without mention of psychosis.€

Suicide by:€

– Drugs.€

– Other solid or liquid substances,€

- Gases and vapors.€

– Hanging, strangulation, and suffocation.€

– Handgun.€

- All other and unspecified firearms.€

– All other means.€

Diseases of the digestive system.€

Chronic liver disease and cirrhosis, specified as alcoholic.€

Homicide.€

Data tape availability 

Vhal Statistics Mortality-detail, 1968–81. 

Data year NTIS accession no.€

1968 PB 300800€

1969 PB 299676€

1970 PB 299679€

1971 PB 300802€

1972 PB 300885€

1973 P13300805€

1974 PB 300807€

1975 PB 300809€

1976 PB 300811€

1977 PB 300798€

1978 P1381–125106€

1979 PB 83-132357€

1980 PB 83–261552€

1981 PB8&213016€

Vital Statistics Mortality-local area summary, 1968-81. 

Data year NTIS accession no.€

1968 PB 238827€

1969 PB 80-126618€

1970 PB 80-108749€

1971 PB 80-126642€

1972 PB 80-126667€

1973 PB 80-133374€

1974 PB 80-126683€

1975 PB 80-134158€

1976 PB80-134117€

1977 PB 80-131675€

1978 PB 81–100232€

1979 PB 83–143230€

1980 PB 83-261636€

Vital Statistics Mortality+ause-of-death summary. 

Data year NTIS accession no.€

1968 PB 80-126550€

1969 PB 80-133358€

1970 PB 80-133333€

1971 PB80-133317€

52

1972 PB 80-133275 

1973 PB 80-126576 

1974 PB 80-133291 

i975 PB 80-134133 

1976 PB 80-134091 

1977 PB 80-126592 

1978 PB 81–100257 

1979 PB 83–132373 

1980 PB 83–261578 

1981 PB 84-213032 

Vital Statistics Mortality-multiple cause of death, detail, 

1968-80, 

Data year NTIS accession no. 

1968 PB 82-191800 

1969 PB 82–155011 

I970 PB82–121716 

1971 PB82–142654 

1972 PB82-191966 

1973 PB82–191644 

1974 PB82–186164 

1975 PB82–157322 

1976 PB81-186827 

I977 PB81–217382 

1978 PB82–105743 

1979 PB83–153031 

1980 PB8&l12200 

Technical contacti	 Mabel Smith 

Division of Vital Statistics 

3700East-West Highway, Room 144 

Hyattsville, Md. 20782 

(301)436-8980 

Questionnaire source items 

National Center for Health Statistics: Vital Statistics oftlze 

United States, /968, Vol. II, Mortality, Part B. DHEW 

Pub. No. (HSM) 72-1102. Health Services and Mental Health 

Administration. Washington. U.S. Government printing 

Office, 1971, 

National Center for Health Statistics: Vital Statistics of tie 

United States, 1969, Vol. II, Mortality, Part B. DHEW 

Pub. No. (HSM) 73–1 102. Health Services and Mental Health 

Administration. Washington. U.S. Government Printing 

Office, I973. 

National Center for Health Statistics: Vital Statistics of the 

United Srates, /970, Vol. II, Mortality. Part B. DHEW 

Pub. No. (HRA) 74-1102. Health Resources Administration. 

Washington. U.S. Government Printing Office, 1974. 

National Center for Health Statistics: Vital Statistics of the 

United States, 1971, Vol. H, Mortality, Part B. DHEW 

Pub. No. (HRA) 75–1 102. Health Resources Administration. 

Washington. U.S. Government Printing Office, 1974. 

National Center for Health Statistics: Viral Statistics of /he 

United Stares, 1972, Vol. H, Mortality, Part B. DHEW 

Pub. No. (HRA) 76-1115.Health Resources Administration. 

Washington. U.S. Government Printing Office, 1975. 

National Center for Health Statistics: Vital Statistics of the 

United Stares, 1973, Vol. H, Mortality, Part B. DHEW 

Pub. No. (HRA) 76-1102. Health Resources Administration. 

Washington. U.S. Government Printing Office. 1975. 

National Center for Health Statistics: Vital Statistics of rhe 

United States, 1974, Vol. II, Mortality, Part B. DHEW 

Pub. No. (HRA) 76-1115. Health Resources Administration. 

Washington. U.S. Government Printing Office, i976. 

National Center for Health Statistics: Vital Statistics of the 

United States, 1975, Vol. II, Mortality, Part B. DHEW 

Pub. No. (PHS) 78–1 102. Public Health Service. Washington. 

U.S. Government Printing Office, 1977. 

National Center for Health Statistics: Vital Statistics of the 

United States, 1976, Vol. II, Mortality, Part B. DHEW 

Pub. No. (PHS) 80-1101. Public Health Service. Washington. 

U.S. Government Prhting Office, 1980. 

National Center for Health Statistics: Vita/ Statistics of the 

United States, /977, Vol. II, Mortality, Part B. DHHS “Pub. 

No. (PHS) 80-1102. Public Health Service. Washington. 

U.S. Government Printing Office, 1980. 

National Center for Health Statistics: Vital Statistics ofrhe 

United States, 1978, Vol. II, Mortality, Part B. DHHS Pub. 

No. (PHS) 82–1 102. Public Health Service. Washington. 

U.S. Government Printing Office, 1982. 

Volumes for subsequent data years are not yet published. 

53 
. . ,, ,, Divorce Statistics (DS) ... 

.. 

,. 

..’. 

., 

Survey design 

Divorce counts are obtained from all States and counties 

in the United States. In addition, States in the divorce registration area (DRA) provide either microfilm copies of divorce 

certificates or machine-readable data tapes. The detailed divorce tapes contain a sample from the microfilm records 

and all of the records from States that supply machine-readable 

tapes. Detailed data are available for all years since 1958 

for States in the DRA. The following States have participated 

in the DRA: Alabama, Alaska, California, Connecticut, Delaware, Georgia, Hawaii, Idaho, Illinois, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Missouri, Montana, Nebraska, New Hampshire, New York, North Carolina, 

Ohio, Oregon, Pennsylvania, Rhode Island, South Carolina, 

South Dakota, Tennessee, Utah, Vermont, Virginia, Wkconsin, and Wyoming, and the Virgin Islands. The total number 

of participating States has expanded from 14 in 1958 to 

31 in 1981. California dropped out in 1978. 

Basic data elements 

For 1958-67 data are published showing tabulations of 

counts of divorces by region, State, and county. For registration States there are also tabulations on the plaintiff, duration 

of the marriage, and number of children. Shown separately 

for the husband and wife are race, ages at marriage and 

divorce, and marriage order. 

From 1968 forward computer tapes are available in addition to the published annual volumes. These tapes contain 

region. division, and State of divorce and marriage; month 

and year of marriage, separation, and divorce, and durations 

between these events; plaintiff and number of children under 

18 years of age. They also contain, separately for the husband 

and wife. age, race. education, and number of times married, 

widowed, and divorced. Not all items are reported by every 

registration State in every year. 

ADM data elements 

Total U.S. population 

Number of divorces by region, State. and county. 

Divorce registration area States 

Number of this marriage. 

Previous marital status. 

Duration of marriage.


Number of children under 18years of age.


Data tape availability 

Vital Statistics-Divorce, detail, 1968–8 1. 

Data year NTIS accession no. 

1968 PB 238824 

1969 PB 238825 

1970 PB 80-186745 

1971 PB 80-187164 

1972 PB80-187180 

1973 PB80-187149 

1974 PB 80-187123 

1975 PB 80- I86786 

1976 PB 80-186760 

1977 PB 80-186729 

1978 PB 81-100216 

1979 PB 8 1–238800 

1980 PB 83-242644 

1981 PB84-164185 

Technical contact: Barbara Wilson 

Division of Vital Statistics 

3700 East-West Highway, Room 144 

Hyattsville, Md. 20782 

(301) 436-8978 

Questionnaire source items 

National Center for Health Statistics: Viftd Sr(lfi.sfic.r of flw 

United States, 1968, Vol. 111,Marriage and Divorce. DHE~V 

Pub. No. (HSM) 72–1 103. Health Services and Mental Heithh 

Administration. Washington. U.S. Government Printirg 

Office. 1971. 

National Center for Health Statistics: Vifcil Sftiri,wils ()/. r/e 

United States, 1969, Vol. 111.Marriage tind Divorce. DHEIV 

Pub. No. (HSM) 73–1 103. Health Services and iMentd Heul[h 

Administration. Washington. U.S. Government Printing 

Office, I972. 

National Center for Health Statistics: Vital Smi.sties of IAC 

United States, /970, Vol. 111,Marriage and Divorce. DHEW 

Pub. No. (HRA) 75– 1103. Health Resources Administration. 

Washington. U.S. Government Printing Office. 1974. 

54 
National Center for Health Statistics: Viral Statistics 01 the 

United States, 1971, Vol. HI. Marriage and Divorce. DHEW 

Pub. No. (HRA) 76- I I03. Health Resources Administration. 

Washington. U.S. Government Printing Office, 1975. 

National Center for Health Statistics: Viral Starisrics of the 

Uniwd Sr(Jres, /972, Vol. 111, Marriage and Divorce. DHEW 

Pub. No. (HRA) 76-1105. Health Resources Administration. 

Washington. U.S. Government Printing Office, 1976. 

National Center for Health Statistics: Viral Statistics of the 

United States, 1973, Vol. 111. Marriage and Divorce. DHEW 

Pub. No. (HRA) 77– I I03. Health Resources Administration. 

Washington. U.S. Government Printing Office, !977. 

Ntitional Center for Health Statistics: Viral Statistics of the 

United States, 1974, Vol. 111, Marriage and Divorce. DHEW 

Pub. No. (PHS) 78– I I03. Public Health Service. Washington. 

U.S. Government Printing Office. 1977. 

National Center for Health Statistics: Viral Statistics of the 

United States, /975, Vol. HI, Marriage and Divorce. DHEW 

Pub. No. (PHS) 79– 1103. Public Health Service. Washington. 

U.S. Government Printing Office, 1979. 

National Center for Health Statistics: Vital Statistics of rhe 

United Srates, /976, Vol. III, Marriage and Divorce. DHEW 

Pub. No. (PHS) 81–1 103. Public Health Service. Washington. 

U.S. Government Printing Office, 1980. 

National Center for Health Statistics: Vital S[atisrics of the 

United Stares, /977, Vol. HI, Marriage and Divorce. DHEW 

Pub. No. (PHS) 8 l–l 121. Public Health Service. Washington. 

U.S. Government Printing Office, 1981. 

National Center for Health Statistics: Vital Statistics of rhe 

United States, 1978, Vol. HI, Marriage and Divorce. DHEW 

Pub. No. (PHS) 82– 1103. Public Health Service. Washington. 

U.S. Government Printing Office, 1982. 

National Center for Health Statistics: Vital Statistics of the 

United States, 1979, Vol. III, Marriage and Divorce. DHEW 

Pub. No. (PHS) 84- I I03. Public Health Service. Washington. 

U.S. Government Printing Office, 1984. 

Volumes for subsequent data years are not yet published. 

55 
Appendixes 
Appendixes


Contents 

I. Summary of alcohol, drug, and mental health (ADM) measures . . . . . . . . . . . . . . . . . . . . . . . . . . . .$9 

11.	 International Classification of Diseases (ICE) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (,3 

III, Classification variables .,..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..t)5 

IV. HHANES alcohol consumption questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . WI 

V. NHlS1983aicohol consumption questions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . ..’7 , 

List of appendix tables 

I. Summary of alcohol, drug use, and mental health (ADM) measures, by survey or data system . . . . . . . . . . . ~,0 

H.	 Classification variables available for analysis of alcohol. drug, and mental health data, by survey or 

data system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . ..66 

., 

58 
Appendix I 

Summary of alcohol, drug, 

and mental health 

(ADM) measures 

59 
: 

.“: Summary of alcohol, drug, . ..”. 

. . and mental health . . (ADM) measures 

Table 1: Summary of alcoh@ drug ~ and mental hesttfh(ADM) maaaurq fwww-­ — 

NHES NHES NHES NHANES I NHANES 

ADM measurd.z c@e I C@aII QL’bIll NhMNES I Ii HHANES — .. Mental health scales or indexes 

., CES-D3 . . . . . . . . . . . . . . . . . . . . . . . . . . . .


Coronary-prone behavior . . . . . . . . . . . . . . . . . . .


DISDepreaeion Section4 . . . . . . . . . . . . . . . . . . .


General Well-Being Schadula5 . . . . . . . . . . . . . . . .


Mental Status Exam . . . . . . . . . . . . . . . . . . . . .


Opennesa to New fip.eriences. . . . . . . . . . . . . . . . .


Mental health single items 

Happiness . . . . . . . . . . . . . . . . . . . . . . . . . .


Mental atatua . . . . . . . . . . . . . . . . . . . . . . . . .


,. Nervousneaa or breakdown . . . . . . . . . . . . . . . . .


Psychological, emotional, or behavioral problems . . . . . .


Suicide . . . . . . . . . . . . . . . . . . . . . . . . . . . .


Phyaicel symptoms 

Headaches and migrainea . . . . . . . . . . . . . . . . . .


Nightmares . . . . . . . . . . . . . . . . . . . . . . . . . .


Ofhersleep disturbances . . . . . . . . . . . . . . . . . . .


Speech problems . . . . . . . . . . . . . . . . . . . . . . .


Other symptoms ofdistreee . . . . . . . . . . . . . . . . .


Cfinical conditions 

Afzheimer’s oraenifity . . . . . . . . . . . . . . . . . . . . 

CirrhosisS . . . . . . . . . . . . . . . . . . . . . . . . . . .


Hyperactivity . . . . . . . . . . . . . . . . . . . . . . . . .


Mental retardation . . . . . . . . . . . . . . . . . . . . . .


Utilization or provision 

Mental health services . . . . . . . . . . . . . . . . . . . . 

SPecial echoolreaources . . . . . . . . . . . . . . . . . . .


Other haalth services formental condition . . . . . . . . .


Medication use or prescription 

Aspirin . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


PsychotropicS . . . . . . . . . . . . . . . . . . . . . . . . .


Sleeping piils . . . . . . . . . . . . . . . . . . . . . . . . .


Psychosocial risk factors 

Lifeevents orstress . . . . . . . . . . . . . . . . . . . . .


SOcialsupporf . . . . . . . . . . . . . . . . . . . . . . . . .


Psychological examination 

WISC7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . WRATH . . . . . . . . . . . . . . . . . . . . . . . . . . . .


Draw-a-persong . . . . . . . . . . . . . . . . . . . . . . . .


ThematicApperceptionTeat . . . . . . . . . . . . . . . . .


Substance abuae 

Alcoholuseorabuse . . . . . . . . . . . . . . . . . . . . .


Druguseorabuae . . . . . . . . . . . . . . . . . . . . . .


Smoking . . . . . . . . . . . . . . . . . . . . . . . . . . .


‘Variables are not tientical across surveys. 

x x x 

x x 

x 

x x 

x 

x 

x x x


x x x x x x


x x x x x


x


x


x x x


x x x x x


x x 

x x x 

x x 

x x 

x x 

x x x


x x


x x


x x


x x x


x x x


x


x x x


x x


x x


x x


x x 

x x x


x


x x x x x


‘Some variables noted individuality are also components of acakss or indexes.


3Center for Epidemiologic Skidiis Dspreeeion Scab.


4Diagr0.stic ltIt6rVleWSCh6dUle Depression Sacfio+I.


me General Well-Being schedule is abbreviated in the NHANES Followup and the NSPHPC.


%irrhosismsyor maynotbeaeecciated witha!cofwlwmsumpffun.


. .	 7WschslerIntelfiinse Scale for Children. 

%Viie Range Achievement Test. 

9Harris.Goodenough Draw-a-Person Test. 

60 
Tsbb k Summary of skoh4 drug use, and menti heslth (ADM) measureq by survey or dsts syst~n. 

NNS 

NHIS NMCUES NSPHPC NAMCS NHDS NNHS NMFI NSFG NFMS NMS MS 

x


x


x x x


x


x


“x


x x x


x x


x


x x x


x x x x x x


x x x x


x x x


x x x x x


x x x x x


x x


x x x


x x x x x x x


x x x


x x x x x


61 
Appendix II 

International Classification 

of Diseases (lCD) 
International 

Classification 

Diseases(lCD) 

The International Classij7cation of Diseases (lCD) is 

published by the World Health Organization and is revised 

approximately every 10 years. The Ninth Revision of the 

ICD, including the ICD-9-CM (a clinical modification of 

the ICD developed jointly by NCHS, the Health Care Financing Administration, and other U.S. organizations in the health 

care field), came into use in 1979 for all NCHS surveys 

that employ the ICD coding system. Prior to the Nhth Revision, NCHS data systems dld not all begin using the new 

revisions in the same data year. The E]ghth Revision (including .	 the ICD-Adapted) was used from approximate] y 1968 to 

1978, and the Seventh Revision was used from approximately 

1958 to 1967. Users who intend to use condition data from 

these earlier years should consult the data system’s technical 

contact regarding the ICD revision in use at the time and 

any modifications made to the official ICD codes. 

A study of the comparability of the Eighth and the 

Ninth Revisions using data from three of the Center’s morbidity surveys (that is, the National Health Interview Survey, 

the National Ambulatory Medical Care Survey, and the National Hospital Discharge Survey) is just being completed, 

and comparability ratios will be available. An independent 

study has been conducted by the Division of Vital Statistics, 

and comparabili~ ratios between the Eighth and Ninth Revisions for selected causes of death are currently available.111 

An earlier publication presented similar comparability ratios 

for the Seventh and Eighth Revisions. 1*2These ratios assist 

NOTE This appendix discusses the use of the lCD only in those NCHS 

surveys that are covered in this inventory. 

54 

researchers in interpreting trends in ICD-coded condititms 

that may be attributable to changes in the classification system. 

ICD is used for classi~ing conditions repotied by respondents in the National Health Interview Survey and the Natio lal 

Medical Care Utilization and Expenditure Survey. An extensive coding manual developed by the Division of Health 

Interview Statistics provides detailed guidelines for the coding 

of selected diagnoses and impairments (impairment codes 

are independent of ICD). ICD is also used for classifying 

cause of death for the Center’s mortality statistics. 

ICD-9-CM has been used since 1979 in classifying physician diagnoses reported in the National Ambulatory Medical 

Care Survey, the National Hospital Discharge Survey, and 

the examination components of the National Health and Nutt-ition Examination Surveys and Hispanic Health and Nutrition 

Examination Survey. 

However, neither ICD nor ICD-9-CM are used in d] 

Center surveys. The Health Examination Surveys, Cycles 

I, 11, and HI, and the National Nursing Home Survey contain 

data on clinical conditions, but these data are coded using 

non-ICD codhg schemes. In the case of the Nursing Home 

Survey, a preceded list of selected diagnoses, very much 

like but not identical to ICD-9-CM categories, is used. 

The National Survey of Personal Health Practices and Consequences and the National Master Facility Inventory, the National Survey of Family Growth, and the National Natali ty 

Survey contain no condition data that call for medical coding. 
Appendix Ill 

Classificationvariables 
Classification variables


Tablelk Cfasai%atbn wtdabfesavaihblts foranalysbofakottd drutkandmentaf fwafthdetm bysurveyor fhfasystem 

— 

NHES NHES NHES NHANES 

Claasificationl Qole Cycle Qc/e NHANES I NHANES 

van”abba I II Ill I Folbwu/I II HHANES — 

Sex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . x x x x x x x


Age . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . x x x x x x x


Race . . . . . . . . . . . . . . . . . . . . . . . . . . . . . x x x x x x x


Hispanicongin3 . . . . . . . . . . . . . . . . . . . . . . . . x x x


Ancestryornationalorigin . . . . . . . . . . . . . . . . . . x x x x


Educatfonofindividual . . . . . . . . . . . . . . . . . . . . x x x x x x x


Education ofheadofhoueehold . . . . . . . . . . . . . . . x x x x x x x


Pereonal income . . . . . . . . . . . . . . . . . . . . . . . x


Familyinmme . . . . . . . . . . . . . . . . . . . . . . . . x x x x x x x


Maritalstatus . . . . . . . . . . . . . . . . . . . . . . . . . x x x x x


Employmentetatus . . . . . . . . . . . . . . . . . . . . . . x x x x x x


Laborforcestatus . . . . . . . . . . . . . . . . . . . . . . x x x x x x


0ccupafion4 . . . . . . . . . . . . . . . . . . . . . . . . . . x x x x x


lndust~. . . . . . . . . . . . . . . . . . . . . . . . . . . x x x x x


ClaesofworkeP . . . . . . . . . . . . . . . . . . . . . . . x x x x


Region. . . . . . . . . . . . . . . . . . . . . . . . . . . . x x x x x x x


Locatlonofresidence’ . . . . . . . . . . . . . . . . . . . . x x x x x x


Sheoflocatfonofresidence... . . . . . . . . . . . . . . x x x x x x


Placeofbirth . . . . . . . . . . . . . . . . . . . . . . . . . x x x x x x


Veteranstatus . . . . . . . . . . . . . . . . . . . . . . . . x x x


Twinstatua . . . . . . . . . . . . . . . . . . . . . . . . . . x x


Numbarofpersonsinhousehold. . . . . . . . . . . . . . . x x x x x x x


Familyrelationshipe . . . . . . . . . . . . . . . . . . . . . . x x x x x


Familystructureg . . . . . . . . . . . . . . . . . . . . . . . x x x


Numberofrooms’” . . . . . . . . . . . . . . . . . . . . . . x x x


Medicaiinsurance” . . . . . . . . . . . . . . . . . . . . . x


Disabffitystatus’z . . . . . . . . . . . . . . . . . . . . . . . x x x


‘Classification variables are inapplicable to the Natbnal Master Facifify Inventory. 

2Dlvision of Vitsl Statistics (DVS): Mortafity Slafiafics (MS) and Divorce Statisfii (DS). 

3Dsfined by the respondent. 

4Codedacmrding to the lateat available Censuaof Populaticm Alphab@tial Index of Industries andtiupatiins. 

5Government (local. State, Federal), private industry, self-empfoyed, without pay, not in IaborfoEe. 

‘Regions arenot defined the same in ail auweys. 

7Me!ro@tan versus nenmetrepditan residence. 

8Relationship of housefmld members to each other. 

‘Presence of one or both parents, Asked only of parsons under 25 yeara of age. 

‘°Can be used along with number of persons in the household to crests a measure of density. 

“Level of detail variea by survey. Insurance data may not ba available for every data year. 

,Zfimitatlon Of major and other activities due to chronic sandfiion( s). 

13Available, but nOt Ofl public uaedats tape. 

66 
I


I


TWSII: Claasifloatbn variables available foranalyaisofafooW drug andmentai health dat~ byaurvey ordatasyatam-Con. 

NSFG NNS 

Cycle and DVS ‘ 

NHIS NMCUES NSPHPC NAMCS NULLS NNHS ill NFMS NMS MS 0s 

x x x x x x x x x x x


x x x x x x x x x x x


x x x x x x x x x x x


x x x x x x x x


x x


x x x x x x


x x x


x x x x


x x x x x x


x x x x x x x x x


x x x x x


x x x x


x x x


x x x x


x x x


x x x x x x x x x


x x x x x x x x


x x


x x


x x


x x x X13 x x


x x x’= x x


x x


x


x x x x


x x x


67 
Appendix IV 

HHANES 

alcohol consumption 

questions 

69 
HHANES alcohol 

consumption questions 

. 

D2. In you entire life have you had at least 12 drinks of any 0

215 lnY 2 •1 N(D4)

kind of alcoholic beverage? 

,. 

I 

D3.	 In any one year have you had at least 12 drinks of any 

I

,0 1CIY(D5) 20N 

kind of alcoholic beverage? 

I 

I 

70 
“-’-7

I DO NOT READ. 

D4. What is your main reason for not drinking? I @ ol � NO NEED/NOT NECESSARY 

02 •l DONT CARE FOR/DiSLIKE IT 

I 08 •l MEDICAL/HEALTH REASONS 

I w •l RELIGIOUS/MORAL REASONS 

os •l BROUGHT UP NOT TO DRINK (El) 

I 06 •l COSTS TOO MUCH 

07 � FAMILY MEMBER ALCOHOLIC 

I 08 � INFREQUENT DRINKER 

I 

I 

os •l OTHER 7 10 

1

specify

I 

1 

D5.	 Not counting small tasta$, how old were you when you years old 

started drinking alcoholic beverages? @ number 

I 

HAND CALENDAR CARD. I 

D6. Did you have a drink during the period outlined in red? @ ICI Y(D8)ZUN 

D7. When was your last drink? ‘ @-@ Month Day Year 

ENTER DATE AND CHECK BOX fi 1 C before 4-week reference period, less than 1 year 

from end of reference period (D32) 

i- 2 Cl 1 or more years ago from end of reference 

I period (D64) 

D8. During that period, when did you last have a drink? ; @.@ _&._/-

I 

D9. Let’s talk about the 4 weeks outlined in red. “ , @ 00 •l none or never (D13) 

During that 4-week period, on how many days did you I number drink any baer? 

I 

DIO. During that 4-week period, on the day(s) when you drank 

beer, about how many beers did you drink (a day)? @ number 

I 

I 

DI 1. During those four weeks, what was the total number of 

beers you drank? @ number 

I 

I 

D12.	 How many ounces were in a typical can or bottle or glass 

that you drank during that period? @ number 

I 

days 

beers 

beers 

ounces 

D13.	 During that 4-week period, on how many days did you I @ 00 � none or never (D17) 

drink any wine? 

1 “umber ‘ays 

I 

D14, During that 4-week period, on the day(s) when you drank glasses number 

wine, about how many glassesof wine did you drink @ 

(a day)? i 

71 
D15. During those four weeks, what was the total number of @ 

,__glasses number 

glassesof wine that You drank? 

I 

D16. How many ouncas were in a typical glass that you drank 

@ number ounces 

during that period? I 

D17.	 During that 4-week period, on how many days did you \ @‘o � none or ‘ever ‘D*’) 

drink any liquor, such as whiskey, rum, gin, vodka, or 

tequila? 1 number ‘ays 

, 

D18.	 During that 4-week period, on the day(s) whan you drank ~@ number drinks 

liquor, such as whiskey, rum, gin, vodka, or tequila, about 

how many drinks did You have a (day)? 

I 

019. During those four weeks, what was the total number of ;@ “umber ‘rinks 

drinks of liquor you drank? I 

I 

1 

D20. How many ounces of liquor ware in a typical glassthat ,@ ounces number 

you drank during that perid? 

I 

I 

t)21. CHECK ITEM: REFER TO QUESTIONS D9, D13, AND I •l only one beverage type (D24) 

D17 AND MARK FIRST APPROPRIATE BOX. ; o , � drank every day (D24) 

3 0 other (D22) 

I 

D22.	 1 have asked you about beer, wine, and liquor separately. 

Now I want you to think about them combined. 

D23. During those 4 weeks outlined in red, on how many days 01 •l one day only (D29) 

W altogether did you drink any kind of alcoholic I.xwerage, I 

that is, beer, or wine, or Itior? OR 

I 

I - ‘ays 

)24. During those 4 weeks, did you have more than (largest @ ICIY 2 •1 N(D29) 

number in DIO, D14, or D18) drink(s) of any kind of 

alcoholic beverage on a single day? — I 

! 

I 

D25.	 During those 4 weeks, on how many days did you have l@olao ne day only (D28) 

more than {largest number in DIO, D14t or D18) drinks(s) \ 

of any kind of alcoholic beverage, that is, beer, wine, or days 

Iiqti? I number 

>26.	 What was the largest number of drinks you had on any I

,@ -drinks one of those days? 

I 

327. On how many days during those 4 weeks did you have 

(number in D26) drinks?	 I@ IXImber daYs (D29) 

I 

72 
D28, How many drinks did you have on that day? I

lo number ‘rinks I 

i 

D29, Was your drinking during those four weeks typical of I @ ICI Y(D31)ZIZN 

your drinking over the ‘past 12 months? 

I 

I 

D30, Did you drink more or less than usual during those 10247 1� more (D51) 4 weeks? z � less } 

I 

D31.	 For how many years has this been typical of your i@ number 

years (D51 ) 

drinking? i 

D32. Let’s talk about the 4-week period ending the day you 

had your last drink. i 

I 

During those 4 weeks, on how many days did You drink 10 249 00 � none or never (D36) 

any beer? I 

I “umber “y’ 

D33. During that 4-week period, on the day(s) when you drank o 250 beers number 

beer, about how many beers did you drink (a day)? 

D34. During those four weeks, what was the total num”ber of o 251 number beers 

beers you drank? 

t 

D35. About how many ounces were in a typical can or bottle ~ @ ounces 

or glass of beer that you drank during that period? 

# 

D36, During those 4 weeks, on how many days did you drink 1 @ 00 � none or never (D40) 

any wine? , 

number 

number ‘ays 

I D37. During that 4.week period, on the day(s) when you drank 

wine, about how many glasses of wine did you drink @ ~m~glasses 

(a day)? I 

D38.	 During thosa four weeks, what was the total number of glasses 

glasses of wine that you drank? ~@ number 

I 

D39. About how many ounces were in a typical glass that you 

drank during that period?	 i@ number 

ounces 

I 

D40,	 During those 4 weeks, on how many days did you drink lo257 00 � none or never (D44) 

any liquor, such as whiskey, rum, gin, vodka or tequila? 

I number ‘ays 

73 
— 

. I 

D41. During that 4-week period, on the day(s) when you drank 

10 number ‘rinks 

liquor, such as whiskey, rum, gin, vodka or tequila, about 

how many drinks did you have (a day)? I 

— 

I 

D42. During those four weeks, what was the total number of @ number drinks 

drinks you had? 

I — 

I 

D43. About how many ounces of liquor were in a typical drink ounces 

you had during that period? @ number 

— 1 

D44. CHECK ITEM: REFER TO QUESTIONS D32, D36, AND i @ I •l only one beverage type (D47) 

D40 AND MARK F!RST APPROPRIATE BOX. ‘,?� drank every day (D47) I 3 •l other (D45) 

I 

D45. I have asked you about beer, wine, and liquor separately. 

Now I want you to think about them combined. 

1 

D46. During 262 01 � one day only those 4 weeks, on how many days altogether did 10

you drink any kind of alcoholic beverage, that is, beer, 

or wine, or~uor? I OR 

I 

days number 

I 

— 

D47. Was your drinking during those 4 weeks typical of your 1 � Y(D49)CZ � N 

@ drinking during the 12 months before your last drink? 

I — 

D48. Did you drink more or less than usual during those I @ 1 � more} ~D50) 

4 weeks? I 2 � less 

1 

D49.	 For how many years did you drink the same as you did 

in the 4 weeks before your last drink? @ 

i 

D50. What is your main reason for not drinking since (date I 

in D7)? I @ ::: 

03 •l 

I 04 El 

I 05 a 

06 � 

I 07 Cl 

I 

I 08 U 

09 •! 

I 

I 

D51. Now think back over the 12-month period before your ~@ last drink. In how many of those months did you have at 

least one drink of any alcoholic beverage, that is, either 

beer or wine or liquor? I 

I 

— 

years number 

— 

DO NOT READ. 

;;;%’%;;%~;;lT


MEDICAL/HEALTH REASONS


RELIGIOUS/MORAL REASONS


ALCOHOLIC/PROBLEM DRINKING (SELF)


COSTS TOO MUCH


FAMILY MEMBER AN ALCOHOLIC OR

PROBLEM DRINKER 

IN FREQUENT DRINKER 

OTHER 

10 

specify 

months number 

74 
1 

D52, During those months, on how many days did you have @ days number 

9 or more drinks of any alcoholic beverage? — 

I 

D53, On how many days did you have at least 5 drinks of any i@ n umber — days

alcoholic beverage? I 

D54, The next few questions are about drinking during your I 

lifetime beginning with the age you started drinking and I 

ending with your last drink. 

I 

Was there ever a period in your life when you considered , I @ ICIY 2 � N (D57) 

yourself to be a heavy drinker? 1 

D55. How many years were you a heavy drinker? ;0 number 

years 

D56. When you were a heavy drinker, how many drinks of lo “umber ‘rinks 

alcoholic beverages did you have in a typical week? 

I 

D57.	 Was there ever a period in your life when yCN,Iconsidered i @ lCIY 2 •l N (D60) 

yourself to be a moderate drinker? 1 

D58, How many years were you a moderate drinker? years 

;0 number 

I 

D59. When you were a moderate drinker, how many drinks drinks number 

of alcoholic beverages did you have in a typical week? ;@ 

I 

D60. Was there ever a perid in your life when you considered I @ ICIY 2 � N (D63) 

yourself to be a light drinker? 

I 

D61. How many years were you a light drinker? years number 

D62. When you were a light drinker, how many drinks of _drinks 

lo number 

alcoholic beverages did you have in a typical week? 

D63. Do you now consider yourself to be a light, moderate, ~ @ 1 � abstainer 

or heavy drinker? 2 •l light 

3 � moderate (El) 

I 4 � heavy 1 I 

D64. The next few questions are about drinking during your 

lifetime beginning with the age you started drinking and i 

ending with your last drink. 

I 

Was there ever a period in your life when you considered lCIY 2 � N (D67) :@ yourself to be a heavy drinker? 

75 
I 

D65. How many years were you a heavy drinker? years 

@ number 

I 

D66. When You were a heavy drinker, how many drinks of drinks number 

alcoholic beverages did You have in a typical week? :@ 

D67.	 Was there ever a period in your life when you considered 

yourself to be a moderate drinker? ~ @ ‘oy 2nN(D70) 

I 

D68. How many years were you a moderate drinker? years 

10 number 

I 

D69. When you were a moderate drinker, how many drinks of drinks number alcoholic beverages did you have in a typical week? @l 

1 

D70.	 Was there ever a period in your life when you considered ~@ lnY 2 � N (D73) 

yourself to be a light drinker? 

1 

D71. How many years were You a light drinker? 10 287

number 

years 

. I 

D72. When you were a light drinker, how many drinks of drinks 

alcoholic beverages did you have in a typical week? ~@ number 

1 

DO NOT READ. 

I 

D73. What is your main reason for not drinking since (date I @ ::: %P!%!!%!:~Stil!:lT 

~)? 03 � MEDICAL/HEALTH REASONS 

I 04 � RELIGIOUS/MORAL REASONS 

I 05 � ALCOHOLIC/PROBLEM DRINKING (SELF) , 

I 06 •l COSTS TOO MUCH 

07 Cl FAMILY MEMBER AN ALCOHOLIC OR 

PROBLEM DRINKER

I 08 •l IN FREQUENT DRINKER 

I 09 Cl OTHER 

10 

I specify 

76 
Appendix V 

NHIS 1983 “ 

alcohol consumption 

questions 
,“, .! . . . 

,. . . . . . ,. .. . . . 

I RT 64 ~ 0. ALCOHOL/HEALTH PRACTICES PAGE Refer to 6. 

~ 03 I� Less than 5 years (7b) 

Sample Person Number _ 2 •l 5 years or more (6J 

Refer to household composition and age. 

I � Deleted (Next SP) 7a. In the past 5 years, have you EVER tried to stop smoking cigarettes? @ 

1 •l Yes 2 � No (8) 2 � Under 18 (Next SPJ --— —__ ___ ___ ___ ___ ___ ___ __ ——— ———— 

01 3 � 18 and over, callback required (Next SP) b. Now I �m going to mad � list of methods which some peopla use to 

4 � 18 and over, noninterview (Specify, THEN next SP) stop smoking cigarettes. Tell me which of thase methods you used in 

5 � 18 and over, available (1) the past 5 years to stop or try to stop smoking. 

II) Did YOU�tend a formal program SUCH Read to respondent: AS SmokEndors, the American Cancer 

fNam~ of SPL the foliowing questions concern your health practices, Soclnty program or American Lung 

amokmg, and alcohol use. (It is not necaasarv for anyone else to be Association program? ......................... I � Yes 2DN0 ~ 

present.) 

1. How msny hours do you usually sleep at night? (21 Did YOUgo to � health professional for 

help, SUCH AS � physician, 

Hours IA?.. psychologist, or plvchiatrist? ............... I •l Yes 20N0 = 

~ 2.	 How often do you eat breakfast - almost ovary day, somatimas, (3) Did YOUuse spacid filters or cigaratta 

rarely, or never? holders to regulato the �mount of 

I � Every day smoke inhaled in an �ttempt to stop 

2 � Sometimes smoking? ........................................... I � Yes 2i3No ~ 

3 � Rarelv or never (4)	 Did YOUswitch to lower tar �nd 

nicotine cig*rett9s in �n �ttampt to 

stop smoking? ..................................... I � Yas 2DN0 = 

3.	 Including evening snacks, how often do you eat between meals - H {5) Did you stop or try to stop smoking almost every day, sometimes, rarely, or never? with � few friwrds, relativas, or I � Every day — v �cquaintances? ................................... I II Yea 2DN0 = 

21-1 Sometimes


3 � Rarely or never [6) Did YOUstop or try to atop entirely on


your own? .......................................... I •l Yes 2DN0 = 

a � Other (Specify) 

~ (7) Did YOUusa 8oma othar method to stop 4.	 Would you say that you are physically more activa, lass activa, or ortryto atop smoking? ........................ I � Yes 2DN0 ~ about as active as other persons your aga7 LsPecifY)J 

I � More active 

z � Less active


3 � Same Read to respondent:


8 � Other (Specify} Thma naxt questions �re about drinking alcoholic beverages. Included 

are liquor such as whiskay, rum, gin, or vodka, and baar, and wine, and 

5a. Have you smoked at least 100 cigarettes in your life? & any other type of alcoholic baverage. 

1 •l Yes 2 � No (6) Sa. In YOUR ENTIRE LIFE have you had at least 12 drinks of ANY kind of 

—T -.,12 �lcoholic beverage? 

b. Do you smoke cigarettes now? 1 � Yes 2 � No (8cJ E 

1 •l Yes 2DN0 -i — — — 

b. In ANY ONE YEAR have you had at least 12 drinks of ANY kind of ---w

c.	 On the average, a“bouthow many cigarette a day [do/did] y&-srnOk~? t~-l 4 alcohofic baveraga? = —	 Number 98 � Never smoked regularly (8) 1 � Yes (9) 2DN0 

— — 

02 I~ 

~ Refer to 5b. c. What is your MAIN reason for not drinking? ---v 

‘,Yes” in 5b(7) 00 � No need/not necessary 

2 D “No” in 5b (6) 01 � Oon’t care forldislike it 

oz � Medical/health reasons 

6. About how long has it been since vou last smoked cigarettes fairly L!.XM 03 � Religious/moral reasons regularly? -

20 Days 04 � 8rought up not to drink (36) 

3n Weeks 05 � COstS tOO much 

_ Number [ 4!3 Months 06 � Family member an alcoholic or problem drinker 

~ ,mYear. 07 � infrequent d,inke[ 

can Never smoked regularly (8) anD Other CSoecifvJ t 
-------

------------

9. Not counting smafftaatss, how OM WerE YOUwhen You ~~ed 132-33 1-ja. ~ *M 2.we@k period, an how many days did you drink �ny j 66-87 

drinking alcohofic beverages? ritmr, such aS wbiskeY, mm. gin, LWvodka? 

Years old ODWS 

OOU None or never (05) Hand calendar. — — — — — —-—— ———— ———— ——-— ——-— —--—— r68-%9 

10a. Did you have a drink during the 2-waek pariod [outlinad on that b. During that 2-week period, on the day(s) when you drank liquor, 

calendarl beginning Monday, [tie] and ending Sunday (dXefl? about how many drinks did you have e day? 

34 I •l Yes 20 No(IOC) 

— — — — — — — — — — — — — —-——— — OQrinks 

3E–io ‘––––-–––––––––– ‘––––-- –-:––––[7&_72–
 b. During that period, when did you last have a drink? c. During that 2-week period, what was tha total number of dmrks of 

fiquor you bed? 

19 —____ [11) 

Month Date Year Drinks — — — — — — —-—— ———- ———— ——-— ———- —— T4~-~6 -––-––––––––:––– ––––---.–-––––– 7i_i4- c.	 When was your lastdrink prior to that 2-week period? d. About how meny ounces of bquor wera in a typical drink that 

you had during that period? 

19— 

Month Date Year Ounces 

47 75 Refer to 1Oc. ~ 

04 I � One day and one beverage type (76) 

:: ~~a~o~~~~ ~~,than 1 ‘ear(7 7J 05 ZUOnly one beverage type (75) 

3 � 14 days in 11a, 12., or 13a (Intro) 11a.During that 2-week pariod, on how many days did you drink any baer? 148-49 e � Other ( 14) 

Ow Read to respondent: 

OOD None or never (j2) ~ have asked you about baar, wine, end tiquor separately. Now I 

-.. — —-. — ---- --—— —-—— -——— - went you to think about them combined. 

56-%1 b. During that 2-waek period, on the day(s) when YOUdrank beer, 14. During tha 2-week pariod [outlinad on that calandar/baginning Monday, 

about how many bears did you drink a day? (&e) and ending Sunday (tie)], on tIOW many d.v altomther did YOU 

drink alcoholic beverages, that is, beer, or wine, or tiquor? 

— _ ---—OB’=S———— —--- —— Days (75) 76-7 7 

c. During that 2-week period, what was the total numbar of bears 5;-%4 

01 � One day only (16) you drank? 

I hava askad you about baer, wine, and tiquor separately. Now I 

Beers went you to think about them combined. — .. — — — — 

d. About how many ouncas wera in a typical can or bottle or glass of Refer to quastions 1 lb, 12b, and 13b. 

baar that you drank during that period? 15a. During that 2-week period, did you have more than (Iargsst number 

in 11 b, 12b, or 73b) drink(s) on a single day? 

Ounces I •l Yes 2nNo (16) I 78 

–_-–––_____-–––––- –-––:–– ––--––-r7g_a 12a. During that 2-week period, on how many days did YOUdrink any wine?167-58 b. During that 2-week period, on how many days dld you hava mora than o 

(largest number in 1 lb, 12b, or 13b) drink(s) of baart or wine, or ~quor? 

OW 

00D None or never (13) Days — --—. —— 

56--50 01 � One day only (15e) — — — — — — — — b. During that 2-week period, on tha day(s) when you drank wins, 81–“i2- about how many glasaes of wine did you drink a day? c. What was tha largest numbar of drinks you had on any one of 

those days? 

., _~Glasses _ — — —.-— -——— — 

c. During that 2-week period, what was the total number of glasses of 6~-%3 _______________ Drinks ___––––. . ..---.-63_- ~4--

wine you drank? d. On how many deys during thet 2-week period did you heve 

(number in 15c) drinks? 

Glasses — — — Days (16) *5_ ~6- d.	 About how many ounces of wina wera in a typical glass that you 6~-65 _______ –________ 

drank during that period? e. How many drinks did you heve on that day? 

Ounces o Drinks 

FORM HIS 1 1S61[19a3119 3821 
----

r. . . . ..1 

f-iii-E 16a.	 Was the amount of your drinking during that 2-week period typical & 

of your drinking during the past 12 months? 

In Yes(16c) 2DN0 r 

b.	 Wastheamount ofyourdrinting during that2-week period more lx or less than your drinking during the past 12 months? 

In More (23) zn Less (23) 

— 

c. Forhowmany years hasthis beentypicalof yorrrdrinking? “--w 

— Years (23) oon Less than one (23) 

Read to respondent: 

Let’s talk about the 2-weak period ENDING WITH AND 

INCLUDING the day you had your lastdrink. 

17a. During that2-week period,on how manydays did youdrink any beer? 

I IDays E 

ooo None or never (7.9) 

b,	 During that2-waek-pe~od~on the-d;y[s)w~e~y~ u-dja~k&ezr~ - – @ 

about how many bears did you drink a day? 

Beers 

— 

c.	 During that 2-week period, what wasthetotal number of beers “w you drank? 

— Beers 

d.	 About howmanyounces wereina typical canorbottle orglass “M of beer that you drank during that pariod? 

Ouncee 

18a.	 During that2-week period, onhowmany daysdidyou drink ~ 

any wine? 

Ow 

oofl None ornever (19) 

b.	 During that 2-week period, ontheday(s) when youdrank wine, h about how many glasses of wine did you drink a day? 

— Glasses 

c.	 During that 2-week period, what wasthatotal number of glasses & of wine you drank? 

———————— Glasses 

d.	 About howmanyounces ofwinawere inatypical glass thatyou @ drank during that pariod? 

Cu, ,w> 

!HIS 1 fS8t(19Er31 (Y 3t12, 

19a.	 During that 2-week period, on how many days did you drink any [~~-z~ 

fiquor, such as whiskay, rum, gin, or vodka? 

“----- ~Days 

oon None —or never (06) . 

b.	 During that 2-week pariod, on tha day(s) when you drank liquor, I.&S 

about how many drinks did you have a day? 

._ Drinks 

——---- —___ ____ .__. _._. 

c. During that 2-waek period, what was the total number of drinks I-&x 

of tiquor you had? 

_ Drinks 

——--—_ ____ ____ _ ___ d.	 About how many ounces of liquor were in a typical drink that 

you had during that period? 

— Ounces 

Refer to 17a, 18a, and 19a. 

I � Only one beverage type (2?) 06 ZO14cfaysin 17a, 18a, or19a (27) 

a � Other (20) 

Read to respondent: 

I have askad you about beer, wine, and fiquor separately. Now I 

want you to think �bout them comtrinad. 

34-35 

36 

20. During the 2-waak pariod ENDING WITH AND INCLUDING the day 

you had your last drink, on how many daya altogether did you drink 

alcohofic bevaragas, that ia, baer, or wine, or liquor? 

— Days = 

21a.	 Was the amount of your drinfdng during that 2-week pariod typical ~—39 

of your drinking during the 12 months before your last drink? 

1 � Yes (21c) 20N0 

b.	 Was the amount of your drinking during that 2-week period more L _.40 

or lass than your drinking during the 12 months befora your last 

drink? 

I � More (22} 2 � Less (22) 

c. For how many years was this typical of your drinking? I&z 

Years 00 H Less than one 

‘OOTNOTES 
----

22a. What is your MAIN reason for not drinking since (date m IOCJ? w 25f. When you were a modarata drinker, how marry drinks of IIEXE_ 

oa � No need/not necessary alcoholic beverages did you have in a week? 

01 n Don’t care for/dishke it 

Drinks 00 � Less than one 

020 Medical/health reasons — — — — — — — — — 

03EI Religious/moral reasons g. Was there ever a period in your fife when you considered ‘-E 

04� Alcoholic/problem drinker-self yourself to be a kightdrinker? 

050 Costs too much 1•l Yes 2 � No (07) 

06n Family member an alcoholic or problem drinker 

o?n Quit drinking (23b) 

— — — — — — — — — —-—— ———— ——_— 

h. For how many yaars ware you a fight drinker? w 

08D Infrequent drinker(23aJ Years 00 � Less than one aa ~ Other (Specify) — — —-—— -——— ——-. ———— ———— ____ -i­ — — — — . Whan you were a fight drinker, how many drinks of alcohofic IzE-z b. Hava you completely stopped drinking alcohofic baverages? ---w bavaragas did you have in a week? 

I � Yes (23b) 20No 

23a.	 During the past year, in how many MONTHS did you have at least [46–47 Drinks OO� Less than ona 

one drink of ANY alcoholic beverage? Refer to 25a, 25d, and 25g. L-.x---

Months (24) 07	 I� 25a, 25d, and 25g are all “No” (25j) 

a � Other (25n) 

b. During the year before your lastd;nk,;nho-w-m;n~ MONTHSdid - ~ 

you have at least one drink of ANY alcoholic beverage? 25j. Was there ever a pariod in your fife when you considered yourself I 73 

Months 00 � None (25) 

to be a vary kight,occasional, or infrequent drinker? 

24a. During [that month/those months], on how many DAYS did you I.!&E — 1•l Yes 2 n No (25m) 

have 9 or more drinks of ANY alcoholic beverage? k. For how many years were you a vary tight, occasional, or 1“74-75” 

infrequent drinkar? 

Days 000 � None 

‘ b. During [that month/thosa months], on how many DAYS did you “- - ‘I-E!!! Years 00 � Less than one — have 5 or more drinks of ANY alcoholic beverage? (Include tha 

(number in 24a) days you had 9 or mora drinks.) 1. Whan you ware a vary fight, occaaionai, or infrequent drinker, 

how many drinks of alcoholic baveragas did you have in a 

LVEz 

week? 

Days 000 ~ None 

Read to respondent: Drinks OO� Less than one . 

These next questions ara about drinking during your lifetime m. Do you now considar yourself to ba an abstainar or a I rlight, L...Z!!– 

beginning with the age you started drinking. I will ask you occasional, or infrequent drinkar? 

about heavy, moderate, and kightdrinking. 1� Light 25a. Was thera ever a period in your fife when you considered 2 � Moderate yourself to be a heavy drinker? 

30 Heavy 

1•l Yes 2 � NO (25d) E 4 � Abstainer (31) 

b. For how many years were you a heavy drinker? “I_!.@!! 5 � Very light, occasional, infrequent 

a � Other iSpecify) 

Years 00 Q Less than one J 

c. When you were a heavy drinker, how many drinka of alcoholic PL!x baverages did you hava in a week? n. Do you now consider yourself to bean abstainer or a fight, 1--1 moderata, or heavy drinker? 

Drinks 000 a Less than one 1� Light 

d. Was there aver a period in your life when you considered L-E 2 � Moderate 

yourself to be a moderate drinker? 3D Heavy 

I n Yes 2 U No (25g) 4 � Abstainer (31) 5 U Very light, occasional, infrequent 

e. For how msny years were you a moderate drinker? I.E!z s � Other (Specify) 

J 

...— Years 00 r] Less than one — }

m 1+HIS 1 {SEX, 119831 (!4 3821 Pa! ?2 
---

----

----

‘. .,. ,. .,, .,: 

m


ro Read to respondent:


I would like you to think about your drinking of alcoholic beveragas, 

that is, baer, or wine, or liquor, around (date in 10c.) 

26a.	 In atypical weak, on how many days did you drink alcohofic 

beverages? 

Daye 000 None (27) m — — — -. .._ _ b.	 On tha day[s) when you drank, about how many drinks did you l_!EE have a day7 

Drinks -.. . ____ _____ ____ —-—_ ____ __ 

c. For how many yearswas this typical of your drinking? I_E!! 

Years oon Less than one 

980 Not typical 

27.	 During the year before yourlast drink, in how many MONTHS 

did you hava at leastone drink of ANY alcoholic beverage? 

Months oou None (29) ‘/, F 

28a.	 During [that month/thosa months], on how many DAYS did you I 88-8( 

have 9 or mora drinks of ANY alcohofic bevarage? 

Days 0000 None 

b. During [that month/those months], on how many DAYS did you LEE! 

have 5 or more drinks of ANY alcohofic baverage? (hrchrda tha 

(number in 28a) days you had 9 or more drinks,) 

Days ooofl None 

Read to respondent: 

These next questions are about drinking during your fifetime baginning 

with the age you started drinking. I will ask you about heavy, moderata, 

and light drinking. 

29a.	 Was there ever a period in your life when you considered 

yourself to be a heavy drinker? 

I r-]Yes 2 ~ NO (29d) E 

b. For how many yearswera you a heavy drinker? I&X 

—. ___ Years oon Less than one 

c.	 When you were a heavy drinker, how many drinks of alcohofic L%!! 

beverages did you have in a weak? 

Drinks 000[ I Less than one 

d.	 Was there ever a period in your life when you considered L_E!!L 

yourself to be a moderate drinker? 

1! lYes 21 [ No f29g) 

e- For how many years were you a moderate drinker? & 

Years oo) I Less Ihim one 

29f.	 When you ware a modarate drinker, how many drinks of w 

alcohofic bevarages did you have in a week? 

Drinks 000 Less than one ——-—_ _____ ____ 

g. Was there ever a period in your life when you considered Lx 

yourself to ba a light drinker? 

1 � Yes 2 � No (08) —--- ____ ____ ___ 

h. For how many yaars ware you a light drinker? -@ 

Years oofl Less than one — —--— —__— _—_. ____ _.. 

i.	 Whan you were a light drinker, how many drinks of alcohofic I.UE! 

baveragas did you have in a waek? 

Drinks oou Less than one 

Refer to 29a, 29d, and 29g. 110 

08 I� 29a, 29d, and 29g are all “No” (29j) 

an Other (30) 

I 

~ 29j. Was thera avar a period in your fife when you considered yourself 

to be a vary fight, occasional, or infrequent drinker? 

1 � Yes — .. ___ .._- ___ ___ 

k.	 For how many yaars ware you a vary tight,occasional, or E 

infrequent drinker? 

Years ooa Less than one — —-. ——. .._ __ 

1.When you wera a very tight, occasional, or infrequent drinkar, how “k 

many drinks of alcoholic baverages did you have in a weak? 

Drinks 00D Less than one 

IOa. What is your MAIN reason for not drinking sinca (date in 70c)? ~1 

oofl No need/not necessary


OID Don’t care for/dislike it


020 Medical/health reasons


030 Religious/moral reasons


040 Alcoholic/problem drinker-self


05fl cOStS 100 r_IVJch


060 Family membel an alcoholic or problem drinker


070 Quit drinking
 (37) oen Infrequent drinker } 

.eam Other (Specify)_ —— 

b. Have you completely etopped drinking alcoholic beverages? L 118 

I n Yes 2~No 

‘OOTNOTES 
-----

----

-----

-- ---

------

31a.	 Soma paapfa have prebtema related to drinking. Have you EVER G!+ 34a. Dd you EVER havo any (other) heatth probtem dated to w 

had a family or marital problem d.stad to YOUR drinking? YOUR drinking? 

1Cl Yes 2 � NO (327 F 1� Yes 2 � No (35) —	 .. — — — — — —-—— ———— —— —--- ——-— ———— ———— ———— ———- -——— — b. What problem did you have? E b. What waa the haaftb problem? E 

—-—. —.—— ———..— __ __— —-——— ———- —— 

c. Anything else? E 

� Yes (Reask 37b and c) � No — — — .- —- -—. - ———— ———— -——— ——-— -. 

Markbox or ask. H” 1 year or more” in 04 (32) w 

d.	 Did [this problem/any of thaae problems] occur in the paat 

12 months? 

1•l Yes 20No 

32a. Have you EVER had a job or work problem relatedto IJl 

YOUR drinking? 

1•l Yes 2 � No (33) 

— —-—- —.—— -——- ———— -——— ———— ———— 

b. What problem did you heve? @ 

—— —————— —————-—- ————-.——— ——— 

c. Anything else? E 

� Yes (I?eask 32b and c) � No 

— — — — .—— — ———— ——-— ———— ——— 

Mark box or ask. � l”1 year or more” in 04 (33} DC 

d. Did [this problem/any of these problama] occur in the past 

12 months? 

1 � Yes 20No 

~ 33a. Have you EVER had an injury related to YOUR drinking? 

1� Yes 2 � No (34) 

— —-—— .—— — ———— ____ ___ 

--—— --—— ——————-— —-—— ————————— 

c. Anything else? L&K 

� Yes (Reask 34b andc) � No 

~a;k-b;x ;r;s~.– - D7’;yLa;oY;oZ:i;0173;)- ‘“ [ ‘3~ -

d.	 Did [thfa nroblemlanv of these twoblamsl occur in tha r3ast 

12 months? - -

1� Yes 20No 

35a.	 Whila YOU were driving, did you EVER have a motor vahicla I_!?__ 

accidant or traffic violation related to YOUR drinking? 

1•l Yes 2 � NO (36) 

b. W~c~,; ;o;o;v;h;cfi ;c;id;n; ;r ;a~fi; ~o;a;o;?– – “- – – ‘- ‘M 

1� Accident 

2 •l Violation 

3 � Both — — — — — — — — 

Mark box or ask. - ~:’ ‘i_yZaFoF;oZ;i;OZ73;)- ~ 

c.	 Oid you have a [motor vehicle accident/ traffic violation] ralatad 

to YOUR drinking in tha past 12 months? 

1•l Yes 20No 

‘OOTNOTES 

b. What-was-the ;j;ry? - T.zzx 

. . . . —.. . ____ ____ 

c. Anything else? E 

� Yes (Reask 33b and c) � No 

Mark box or ask. �“l-yearorrnore” in04(34)”- – ‘~ 

d. Oid [this injury/any of these injurias] occur in the past 12 months? 

1•! Yes 20No co


ra IMI{lS1 (SE)(19831[93821

.’ 

,, ,t. ’,.” . ~’”,,.... :, ””.,. .. ., 

. . .: .’. 

..

... . .; . . 

.. . . ‘, ,. :., 

m


.P 16. Tell me whether or not you hevrr EVER had any of the following FOOTNOTES


conditions even if you have mentionad them before. 

e. Hypertension or high blood pressura? ........... I � Yes 

b. Hardening of the artaries? ............................ I � Yes 

c. Tachycardie, arrhythmia, or rapid heart? .......1 � Yes 

d, Arthritisor rheumatism? ............................... 

1•l Yes 

e, Convulsions or seizures? 

.............................. lCIYes 

f. Blackouts? .................................................. 113 Yes 

!3. Shortnessof breath? 

.................................... 

1� Yes 

h. Insomnia or slaaplessness? 

.......................... f � Yes 

i. Hapatitis? 

................................................... 

1� Yes 

j. Any diseasaof the pancreas? 

........................ I � Yes 

k.	 An ulcer,other than a skin ulcer? 

.................. I � Yes 

L Any gastrointestinal bleating? 

...................... I � Yes 

m. Diabetes? 

................................................... I � yes 

n. Heartattack or heart failure? 

........................ 

1� Yes 

o. Coronary heati diseaea? 

............................... 

1� Yes 

P. Strokaor hemorrhage of the brain? 

...............1 � Yes 

% Angina pactoris? 

......................................... 1•l Yas 

r. Cancer? .......................~.............................. I � Yes 

s. Yellow jaundica? 

.......................................... 

1� Yes 

t. Fany Iivar? 

.................................................. 1•l Yes 

u. Enlarged liver? 

............................................ 1� Yes 

v. Cirrhosis of the liver?

.................................... 10 Yes 

w. Any other liver trouble? ............................... . I � Yes 

x. DT’s or defiriurn tremens? ............................. 

1•l Yes 

y. Alcoholism? 

................................................ 10 Yes 

Mark by observation. Mark all that apply. 

Who was present during the interview? 

I � Telephone interview 

I � No one else present’ 

09 1 D Husband/wife 

I a Child/children under 18 years old 1U Parent(s) 

I D Other adultls) 

Mhls I (SE 3631193821 

20No 

20No 

20No 

20No 

20No 

2~No 

20No 

20No 

20No 

20No 

2DN0 

20No 

20No 

20No 

20No 

20No 

20No 

2DN0 

20No 

20No 

20No 

20No 

20No 

2i3No 

20No 

65 

66 

67 

68 

69 

r 70 
I 

I 

\RIES1. 

~ 

FRIES 2. 

I 

I 

?RIES 3. 

:RIES 4. 

;RIES 5. 

~RIES 10. 

;RIES II. 

SRIES 2. 

5RIES 3. 

Programs and Collection Procedures-Reports describing 

the general programs of the National Center for Health 

Statistics and its offices and divisions and the data collection methods used. They also include definitions and 

other material necessary forunderstanding the data. 

Data Evaluation and Methods Research–Studies of new 

statistical methodology including experimental tests of 

new survey methods, studies of vital statistics collection 

methods, new analytical techniques, objective evaluations 

of reliability of collected data, and contributions to 

statistical theory. Studies also include comparison of 

U.S. methodology with those of other countries. 

Analytical and Epidemiological Studies-Reports presenting analytical or interpretive studias based on vital 

and health statistics, carrying the anelysis further than 

the expository types of reports in the other series. 

Documents and Committae Reports-Final reports of 

major committees concerned with vital and health statistics and documents such as recommended model vital 

registration laws and revised birth and death certificates. 

Comparative International Vital and Health Statistics 

Raports-Analytical and descriptive reports comparing 

U.S. vital and health statistics with those of other countries. 

Data Fromtha National Health lrrterview Survey -Statistics on illness, accidental injuries, disability, use of hospital, medical, dental, and other services, and other 

heelth-related topics, all based on data collected in the 

continuing national household interview survey. 

Data From the National Heaith Examination Survey and 

tha National Haalth and Nutrition Examination SurveyData from direct examination, testing, and measurement 

of national samples of the civilian noninstitutionalized 

population provide the basis for (1) estimates of the 

medically defined prevalence of specific diseases in the 

United States and the distributions of the population 

with respact to physical, physiological, and psychological characteristics and (2) analysis of relationships 

among the various measurements without reference to 

an explicit finite universe of persons. 

Data From the Institutionalized Population Surveys– Discontinued in 1975. Reports from these surveys are included in Series 13. 

Data on Haalth Rasources Utilization-Statistics on the 

utilization of health manpower and facilities providing 

long-term care, ambulatory care, hospital care, and family 

planning services. 

SERIES 14. 

SERIES 15. 

SERIES 20. 

SERIES 21. 

SERIES 22. 

SERIES 23. 

Data on Health Resourcas: Manpower and Facilities– 

Statistics on the numbers, geographic distribution, and 

characteristics of health resources including physicians, 

dentists, nurses, other health occupations, hospitals, 

nursing homes, and outpatient facilities. 

Data From Special Surveys-Statistics on health and 

health-related topics co; lected in special surveys that 

are not a part of the continuing data systems of the 

National Center for Health Statistics. 

Data on Mortality-Various statistics on mortality other 

than as included in regular annual or monthly raports. 

Special analyses by cause of death, age, and other demographic variables; geographic and time series analyses; 

and statistics on characteristics of deaths not available 

from the vital records based on sample surveys of those 

records. 

Data on Natality, Marriage, and Divorce–Various statistics on natality, marriage, and divorce other than as 

included in regular annual or monthly reports. Spatial 

analyses by demographic variables; geographic and time 

series analyses; studies of fertility; and statistics on 

characteristics of births not available from the vital 

records based on sample surveys of those records. 

Data From the National Mortality and Natality SurveysDiscontinued in 1975. Reports from these sample surveys 

based on vital records are included in Series 20 and 21, 

respectively. 

Data From the National Survey of Family Growth– 

Statistics on fertility, family formation and dissolution, 

family planning, and related maternal and infant health 

topics derived from a periodic suway of a nationwide 

probability sample of ever-married women 1544 years 

of age. 

For answers to questions about this report or for a list of titles of 

reports published in these series, contact: 

Scientific and Technical Information Branch


National Center for Health Statistics


Public Health Sawice


Hyattsville, Md. 20782


301-436-8500


.