Scientific Data Documentation
General Well Being (1971-75)
DSN: CC37.HANES1.WELL ABSTRACT HEALTH AND NUTRITION EXAMINATION SURVEY, 1971-1975 Contents HANES 1971-1975 Description of Survey Target Population Data Collection Use of HANES Data Errors in the Data Sets and Survey Differences Variance Estimation General Notes Demographic Data Demographic Data Summary Record Layout Demographic Data Detailed Notes Demographic Data DESCRIPTION OF SURVEY Description of Survey: A detailed description of the design, content and operation of HANES I is provided in the following reports: Plan and Operation of the Health and Nutrition Examination Survey, DHEW Pub. No. (HSM) 73-1310, Series 1, Nos. 10a and 10b, Public Health Service, Washington, D. C., U. S. Government Printing Office, February 1973. Also provided is a draft report on the augmentation survey of adults describing the relevant field work conducted between July 1974 and October 1975. TARGET POPULATION Target Population: HANES I was conducted on a nationwide probability sample of approximately 32,000 persons, ages 1-74 years, from the civilian, noninstitutionalized population of the coterminous United States, excepting those persons residing on Indian reservations. The survey started in April 1971 and for many survey components was completed in June 1974. The HANES I sample was selected so that certain population groups thought to be at high risk of malnutrition (persons with low incomes, preschool children, women of childbearing age and the elderly) were oversampled at known rates. Adjusted sampling weights were then computed within 60 age, sex and race categories in order to inflate the sample in such a manner as to closely reflect the noninstitutionalized population, ages 1-74 years, of the United States at the midpoint of the survey. Although the main emphasis of HANES I was on nutrition, a subset of those sample persons aged 25-74 received a more detailed health examination which was continued through October 1975. No particular oversampling of subgroups of the population was done in this subsample (e.g., women of childbearing age were not oversampled as they were for the major nutrition component of HANES I). This subsample is also representative of the United States population aged 25-74 during the time of HANES I. After the nutrition survey was completed, the detailed examination given to the 25-74 age group was continued until the total number of examined persons was approximately double the number of examinees who received the detailed examination during the nutrition survey. DATA COLLECTION Data Collection: Information for all examined sample persons in HANES I was obtained by means of a household interview, a general medical history, a 24-hour dietary intake recall interview, a food frequency interview, a food program questionnaire, a general medical examination, dental, dermatological and ophthalmological examinations, anthropometric measurement, hand-wrist x-rays (of those ages 1-17 only) and 24 hematological, blood chemistry, and urological laboratory determinations. In addition to the information received on all examined persons by means of the above questionnaires, procedures and measurements, the following data were gathered on the subsample of adults aged 25-74: a medical history supplement; supplementary questionnaires concerning arthritis, respiratory and cardiovascular conditions (when applicable); a health care needs question- naire; a general well-being questionnaire; an extended medical examination; x-rays of the chest and hip and knee joints; audiometry, electrocardiography; goniometry; spirometry; pulmonary diffusion and tuberculin tests; along with additional laboratory determinations. USE OF HANES DATA With the goal of mutual benefit, NCHS requests the cooperation of recipients of data tapes in certain actions related to their use: A. Any published material derived from the data should acknowledge the National Center for Health Statistics as the original source. It should also include a disclaimer which credits any analyses, interpretations, or conclusions reached to the author (recipient of the tape) and not to NCHS, which is responsible only for the initial data. B. Consumers who wish to publish a technical description of the data will make a reasonable effort to insure that the description is not inconsistent with that published by NCHS. This does not mean, however that NCHS will review such descriptions. ERRORS IN THE DATA SETS AND SURVEY DIFFERENCES The data users' tapes have been subjected to a great deal of careful editing. However, due to the large volume of data in the series, it is likely that a small number of errors or discrepancies remain undetected. We would appre- ciate if any such errors are detected that they be brought to our attention so that new corrected copies of the tape can be created and errata sheets issued to previous purchasers. Some of the continuous data items have extremely high or low values and we have verified that they do in fact appear that way on the hard documents; that is, we have verified that the values have not been incorrectly keyed. In general, we have not attempted to resolve any differences that may exist between estimates derived from the various subsamples of HANES I. Nor have we made any comparisons between estimates from HANES I and previous surveys conducted by the Division of Health Examination Statistics. VARIANCE ESTIMATION Because the Health and Nutrition Examination Survey is based upon a complex sample design, the assumptions of many statistical tests and routinely avail- able statistical programs are not met. For this reason, when estimates of the variances of statistics from HANES are computed, the technique of estimation must be based upon complex sampling theory. In order to provide the user with the capability of estimating the complex sample variances, we have provided Strata and Primary Sampling Unit (PSU) codes on the HANES user tapes in tape positions 194-198. However, these codes are suitable for making variance estimates only for examination locations 1-65 and 1-100. To compute variance estimates for examination locations 1-35 or 66-100, it is necessary to recode the current Strata-PSU codes according to the specifications that follow. The resultant recoded Strata-PSU codes should be used only for locations 1-35 and 66-100. One computer program that should be widely available sometime around the summer of 1978 as part of the Statistical Analysis System (available from the SAS Institute, Inc., Post Office Box 10066, Raleigh, North Carolina 27605) is capable of using the Strata-PSU codes provided for HANES to compute complex sample variances. Other programs may also be available. In those Strata, referred to as certainty or self-representing Strata, the PSU codes are actually the segment numbers. Neither the Strata codes nor the PSU codes are the original codes used in the formation of the HANES sample design, but are nonetheless a unique Recoding of the original codes. For further discussion of the sample design of HANES, the user should consult the publications of the National Center for Health Statistics--Series-Nos. 10a and 14 and the detailed note for tape positions 158-193. Recode Specifications for Strata-PSU Codes First.--Create a files with only those records in the file for examination locations 1-35.* Second.--Retain 1he original Strata-PSU codes in Strata 7-10 and 13 in the original form as the recoded Strata-PSU codes. Third.--Recode the remaining strata according tot he chart below. Fourth.--Repeat the process for examination locations 66-100.* Old Strata # (tape positions 194-195) New Strata # New PSU 01 01 001 02 01 002 03 03 001 06 03 002 04 04 001 05 04 002 11 11 001 12 11 002 14 14 001 21 14 002 15 15 001 16 15 002 17 17 001 20 17 002 18 18 001 19 18 002 22 22 001 25 22 002 23 23 001 24 23 002 26 26 001 27 26 002 28 28 001 29 28 002 30 30 001 35 30 002 31 31 001 32 31 002 33 33 001 34 33 002 *See detailed note for tape positions 158-193. GENERAL NOTES, DEMOGRAPHIC DATA, HANES I Demographic Information: An advance letter, announcing the forthcoming arrival of an interviewer from the U. S. Bureau of the Census, was mailed to each household that fell into the sample area. The interviewer subsequently visited the household to ascertain its composition and to administer a questionnaire, the primary purpose of which was to obtain demographic information. The questionnaire was administered to each potential sample person that was available and competent enough to respond to questions. In the event that a potential sample person was not at home at the time of interview, any responsible adult in the household was asked to respond to the questions for the absent person. Asterisks on the Tape Description: Some of the data items were obtained only for a particular subsample of HANES. Consequently some of these items appear to have a great deal of missing data (coded as blank) due to nonresponse, but in fact the data are missing because the design of HANES dictated that the item was to be obtained only for a particular subsample. (For further discussion of the various subsamples in HANES the user should see the detailed note for tape positions 158-193.) To alert the user to this fact asterisks were put on the tape des- cription. One asterisk denotes that the data item was obtained only on examinees at locations 1-65, two asterisks denote that it was ob- tained only at location 66-100 and three asterisks denote that it was obtained only on examinees receiving the detailed examination. DEMOGRAPHIC DATA SUMMARY - HANES I Tape Positions Sample sequence number ............................................. 1 Size of place ...................................................... 10 SMSA-not SMSA ...................................................... 11 Type of living quarters............................................. 12 Land usage ......................................................... 13 If rural, asked - How many acres of land are included .............. 14 If 10 acres/more asked - Sale of crops/etc. amount to $50 or more .. 15 If 10 acres/less asked - Sale of crops/etc. amount to $250 or more . 16 Age - head of household ............................................ 17 Sex - head of household ............................................ 19 Highest grade attended - head of household ......................... 20 Race - head of household ........................................... 22 Total number of persons in household ............................... 23 Total sample persons in household .................................. 25 Number of rooms in house ........................................... 27 Is there piped water ............................................... 28 If yes, is there hot and cold piped water .......................... 29 If yes to piped water - Does house have a sink with piped water .... 30 Does house have a range or cook stove .............................. 31 Does house have a refrigerator ..................................... 32 Are kitchen facilities used by anyone not living in household ...... 33 Total family income group .......................................... 34 NOTE: The following income questions were asked only if "Total Family Income" was less than $7,000 Tape Positions During Past Year Did you or Any Members of Your Family Receive Money From: Wages or salaries .................................................. 36 If yes - How much altogether before deductions ..................... 37 Social Security or Railroad Retirement ............................. 41 If yes - How much altogether ....................................... 42 Welfare payments or other public assistance ........................ 46 If yes - How much altogether ....................................... 47 Unemployment or Workman's Compensation ............................. 51 If yes - How much altogether ....................................... 52 Government employee pensions or private pensions ................... 56 If yes - How much altogether ....................................... 57 Dividends, interest or rent ........................................ 61 If yes - How much altogether ....................................... 62 Net income from own non-farm business, professional practice or partnership ...................................................... 66 If yes - How much altogether ....................................... 67 Net income from a farm ............................................. 71 If yes - How much altogether ....................................... 72 Veteran's payments ................................................. 76 If yes - How much altogether ....................................... 77 Alimony, child support or contributions from persons not living in household ........................................................ 81 If yes - How much altogether ....................................... 82 Any other income ................................................... 86 If yes - How much altogether ...................................... 87 Total amount....................................................... 91 Family unit code ................................................... 95 Relationship to head of household .................................. 100 Age at interview ................................................... 101 Race of examined person ............................................ 103 Sex of examined person ............................................. 104 Marital status ..................................................... 105 Date of birth (month and year) ..................................... 106 Place of birth ..................................................... 110 Highest grade of regular school ever attended ...................... 112 Did he finish the grade ............................................ 114 Is he attending school now ......................................... 115 Has he ever attended a school of any kind .......................... 116 If yes - What kind of school ....................................... 117 Any language other than English frequently spoken in the household.. 118 If yes - What language ............................................. 119 What is your main ancestry or national origin ...................... 120 What was he doing most of past three months ........................ 122 If "something else" - What was he doing ............................ 123 If "keeping house" or "something else" - Did he work at a job or business at any time during the past three months ................ 124 If "working" - Did he work full-time or part-time .................. 125 Did he work at any time last week or week before (not around house). 126 If no - Even though he did not work during that time, does he have a job or business ................................................ 127 Tape Positions Was he looking for work or on lay-off from a job ................... 128 If yes - Which ..................................................... 129 Class of worker .................................................... 130 If self-employed in "own" business and not a farm, is the business incorporated ..................................................... 131 Business or industry code .......................................... 132 Occupation code .................................................... 135 Date of examination ................................................ 138 Age at examination ................................................. 144 Farm/non-farm ...................................................... 146 Poverty index ...................................................... 147 Region ............................................................. 150 FOOD PROGRAMS APPLICABILITY ........................................ 151 Are you certified to participate in the food stamp program? ........ 152 Are you buying food stamps now? .................................... 153 What is the main reason you aren't participating in the program? ... 154 Are you certified to participate in commodity distribution program?. 155 Are you receiving commodity foods now for your family? ............. 156 Why aren't you participating in the program? ....................... 157 SAMPLE WEIGHTS ..................................................... 158 STRATA - Primary Sampling Unit (PSU) ............................... 194RECORD LAYOUT, DEMOGRAPHIC DATA HEALTH AND NUTRITION EXAMINATION SURVEY (HANES I) Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source DEMOGRAPHIC DATA 1-5 Sample Sequence Number 6-9 Catalog Number 10 Size of Place Urbanized area with: 1 - 3,000,000 or more Hshld Questionnaire 2 - 1,000,000 to 2,999,999 See Detailed Notes 3 - 250,000 to 999,999 4 - under 250,000 5 - Urban place 25,000 or more outside urbanized area 6 - Urban place 10,000 to 24,999 outside urbanized area 7 - Urban place 2,500 to 9,999 outside urbanized area 8 - Rural 11 SMSA - Not SMSA 1 - In SMSA, in central city Hsehld Questionnaire 2 - In SMSA, not in central city See Detailed Notes 3 - Not in SMSA 12 Type of Living Quarters 1 - Housing Unit Hsehld Questionnaire 2 - Other unit 13 Land Usage 1 - All other Hsehld Questionnaire 2 - Rural 7136 14 If Rural, asked How Many Acres of Land Are Included? Hsehld Questionnaire 1 - 10 or more acres 2 - Less than 10 acres 9 - Not applicable Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 15 If 10 acres or more, asked if Sale of Crops, Etc. Amount to $50 or more? Hsehld Questionnaire 2 - Yes 4 - No 9 - Not applicable 16 If 10 acres or less, asked if Sale of Crops, Etc. Amount to $250 or more? Hsehld Questionnaire 3 - Yes 5 - No 9 - Not applicable 17-18 Age - Head of Hsehld 16-92 as given Hsehld Questionnaire 00 Blank, but applicable 19 Sex - Head of Hsehld Hsehld Questionnaire 1 - Male 2 - Female 20-21 Highest Grade Attended - Head of Hsehld 10 - None Hsehld Questionnaire 21 - 1st grade 22 - 2nd grade 23 - 3rd grade 24 - 4th grade 25 - 5th grade 26 - 6th grade 27 - 7th grade 28 - 8th grade 31 - 9th grade 32 - 10th grade 33 - 11th grade 34 - 12th grade 41 - First year of college 42 - Second year of college 43 - Third year of college 44 - Fourth year of college 45 - Graduate 88 - Blank, but applicable Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 22 Race - Head of Household 1 - White Hsehld Questionnaire 2 - Negro See Detailed Notes 3 - Other 23-24 Total Number of Persons in Household 01-19 - As given Hsehld Questionnaire 25-26 Total Sample Persons in Household 01-07 - As given Hsehld Questionnaire 27 Number of Rooms in House 1-8 - As given Hsehld Questionnaire 9 - 9 or more 28 Is there piped water? 1 - Yes Hsehld Questionnaire 2 - No 29 If yes Is there Hot and Cold piped water? 1 - Yes Hsehld Questionnaire 2 - No 9 - Not applicable 30 If yes to piped water - Does House Have a Sink with Piped Water? 1 - Yes Hsehld Questionnaire 2 - No 9 - Not applicable 31 Does House Have a Range or Cook Stove? 1 - Yes Hsehld Questionnaire 2 - No Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 32 Does House have a Regrigerator? 1 - Yes Hsehld Questionnaire 2 - No 33 Are kitchen facilities used by anyone not living in household? 1 - Yes Hsehld Questionnaire 2 - No 9 - Not applicable 34-35 Total Family Income Group 11 - Under $1,000(including loss) Hsehld Questionnaire 12 - $1,000-1,999 See Detailed Notes 13 - $2,000-2,999 14 - $3,000-3,999 15 - $4,000-4,999 16 - $5,000-5,999 17 - $6,000-6,999 18 - $7,000-9,999 19 - $10,000-14,999 20 - $15,000-19,999 21 - $20,000-24,999 22 - $25,000 and over 88 - Blank, but applicable NOTE: The following income questions were asked only if "Total Family Income" was less than $7,000 DURING PAST YEAR DID YOU OR ANY MEMBERS OF YOUR FAMILY RECEIVE MONEY FROM: 36 Wages or Salaries? 1 - Yes Hsehld Questionnaire 2 - No 3 - Blank, but applicable 9 - Not applicable Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 37-40 If yes to above, how much altogether before deductions? 0001-8000 - As given Hsehld Questionnaire 8888 - Blank, but applicable 9999 - Not applicable 41 Social Security or Railroad Retirement? 1 - Yes Hsehld Questionnaire 2 - No 3 - Blank, but applicable 9 - Not applicable 42-45 If yes to above, how much altogether? 0001-6999 - As given Hsehld Questionnaire 8888 - Blank, but applicable 9999 - Not applicable 46 Welfare Payments or Other Public Assistance? 1 - Yes Hsehld Questionnaire 2 - No 3 - Blank, but applicable 9 - Not applicable 47-50 If yes to above, hyow much altogether? 0001-6999 - As given Hsehld Questionnaire 8888 - Blank, but applicable 9999 - Not applicable 51 Unemployment or Workmen's Compensation? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 52-55 If yes to above, how much altogether? 0001-6999 - As given Hsehld Questionnaire 8888 - Blank, but applicable 9999 - Not applicable 56 Government Employee Pensions or Private Pensions? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable 57-60 If yes to above, how much altogether? 0001-6999 - As given Hsehld Questionnaire 8888 - Blank, but applicable 9999 - Not applicable 61 Dividends, interest or rent? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable 62-65 If yes to above, how much altogether? 0001-6999 - As given Hsehld Questionnaire 8888 - Blank, but applicable 9999 - Not applicable 66 Net income from own non-farm business, professional practice or partnership? 1 - Yes Hsehld Questionnaire 2 - No 3 - Loss 8 - Blank, but applicable 9 - Not applicable Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 67-70 If yes to above, how much altogether? 0000-7500 - As given Hsehld Questionnaire 8888 - Blank, but applicable 9999 - Not applicable 71 Net income from a farm? 1 - Yes Hsehld Questionnaire 2 - No 3 - Loss 8 - Blank, but applicable 9 - Not applicable 72-75 If yes to above, how much altogether? 0000-7500 - As given Hsehld Questionnaire 8888 - Blank, but applicable 9999 - Not applicable 76 Veteran's Payments? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable 77-80 If yes to above, how much altogether? 0001-6999 - As given Hsehld Questionnaire 8888 - Blank, but applicable 9999 - Not applicable 81 Alimony, child support or contributions from persons not living in Hsehld? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 82-85 If yes to above, how much altogether? 0001-6999 - As given Hsehld Questionnaire 8888 - Blank, but applicable 9999 - Not applicable 86 Any other income? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable 87-90 If yes to above, how much altogether? 0001-6900 - As given Hsehld Questionnaire 8888 - Blank, but applicable 9999 - Not applicable 91-94 Total Amount (Total of Positions 37-90) 0000-6999 - As given Hsehld Questionnaire 8888 - Blank, but applicable 9999 - Not applicable 95-99 FAMILY UNIT CODE Computer generated 00001-23180 See Detailed Notes 100 Relationship to Head of Household (Hsehld Questionnaire) 1 - Head (1 person living along or with non-relatives) 1920 2 - Head (2 or more related persons in family) 4912 3 - Wife 5256 4 - Child 7733 5 - Other relative 928 101-2 Age at Interview 01-74 - As given Hsehld Questionnaire Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 103 Race of Examined Person 1 - White Hsehld Questionnaire 2 - Negro See Detailed Notes 3 - Other 104 Sex of Examined Person 1 - Male Hsehld Questionnaire 2 - Female 105 Marital Status 1 - Under 17 Hsehld Questionnaire 2 - Married 3 - Widowed 4 - Never Married 5 - Divorced 6 - Separated 8 - Blank, but applicable 106-9 Date of Birth (month, year) 01-12 - Month as given Hsehld Questionnaire 00-99 - Year (1896-1973) as given 110-11 Place of Birth (As given) 01-02 Hsehld Questionnaire 04-06 See Detailed Notes 08-13 15-42 44-51 53-56 60-81 91-97 88 - Blank, but applicable 144 Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 112-13 Highest Grade of regular school ever attended? 10 - None Hsehld Questionnaire 21 - 1st grade 22 - 2nd grade 23 - 3rd grade 24 - 4th grade 25 - 5th grade 26 - 6th grade 27 - 7th grade 28 - 8th grade 31 - 9th grade 32 - 10th grade 33 - 11th grade 34 - 12th grade 41 - First year of college 42 - Second year of college 43 - Third year of college 44 - Fourth year of college 45 - Graduate 77 - Special school 88 - Blank, but applicable 99 - Not applicable 114 Did he finish the grade? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable 115 Is he attending school now? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 116 Has he ever attended a school of any kind? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable 117 If yes, what kind of school? 1 - Nursery Hsehld Questionnaire 2 - Kindergarten 3 - Other 4 - Headstart 5 - Daycare 8 - Blank, but applicable 9 - Not applicable 118 Is any language other than English frequently spoken in the household? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 119 If yes, what language? 0 - German Hsehld Questionnaire 1 - Italian 2 - French 3 - Polish 4 - Russian 5 - Spanish 6 - Chinese 7 - Other language 8 - Blank, but applicable 9 - Not applicable Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 120-21 What is your main ancestry or national origin? 00 - German Hsehld Questionnaire 01 - Irish 02 - Italian 03 - French 04 - Polish 05 - Russian 06 - English 07 - Spanish 08 - Mexican 09 - Chinese 10 - Japanese 11 - American Indian 12 - Negro 13 - Jewish 14 - American 15 - Other 88 - Blank, but applicable 99 - Don't know 122 What was he doing most of past three months? 1 - Working Hsehld Questionnaire 2 - Keeping house 3 - Something else 8 - Blank, but applicable 9 - Not applicable 123 If "something else" from above, what was he doing? 0 - Laid off Hsehld Questionnaire 1 - Retired 2 - Student 3 - Other 4 - Ill 5 - Staying home 6 - Looking for work 7 - Unable to work 8 - Blank, but applicable 9 - Not applicable Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 124 If "keeping house" or "something else" from above, did he work at a job or business at any time during the past three months? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable 125 If "Working" from above, did he work full-time or part-time? 1 - Full-time Hsehld Questionnaire 2 - Part-time 8 - Blank, but applicable 9 - Not applicable 126 Did he work at any time last week or the week before (not around house)? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable 127 If "no" to above, even though he did not work during that time, does he have a job or business? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable 128 If "no" in Position 126, was he looking for work or on lay-off from a job? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 129 If yes to above - which? 1 - Looking Hsehld Questionnaire 2 - Lay-off 3 - Both 8 - Blank, but applicable 9 - Not applicable 130 Class of Worker 1 - Private paid Hsehld Questionnaire 2 - Government-Federal 3 - Government-Other 4 - Own 5 - Non-paid 6 - Never worked 8 - Blank, but applicable 9 - Not applicable 131 If self-employed in "own" business and not a farm, is the business incorporated? 1 - Yes Hsehld Questionnaire 2 - No 8 - Blank, but applicable 9 - Not applicable 132-34 Business or Industry Code 017-999 - As given Hsehld Questionnaire 135-37 Occupation Code 001-995 - As given Hsehld Questionnaire 138-43 Date of Examination Month - 01-12 as given Control Record Day - 01-31 as given Year - 71-75 as given Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 144-45 Age at Examination 01-75 - As given Computer Generated 146 Farm 1 - Farm Computer Generated 2 - Nonfarm See Detailed Notes 147-49 Poverty Index (X.XX) 001-997 - As given Computer Generated 998 - Index computed 998 See Detailed Notes or greater 999 - Unknown 150 Region 1 - Northeast Computer Generated 2 - Midwest See Detailed Notes 3 - South 4 - West 151 FOOD PROGRAMS APPLICABILITY 1 - Not applicable Food Programs Quest. 2 - No program available 3 - Food stamps available 4 - Commodities available 8 - Blank, but applicable 152 Are you certified to participate in the food stamp program? 1 - Yes Food Programs Quest. 2 - No 9 - Don't know Blank Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source 153 Are you buying stamps now? 1 - Yes, regularly Food Programs Quest. 2 - Yes, occasionally 3 - No 8 - Blank, but applicable Blank 154 What is the main reason you aren't participating in the program? 1 - No need Food Programs Quest. 2 - Not enough money at the time 3 - No transportation 4 - Pride 5 - Other 8 - Blank, but applicable Blank 155 Are you certified to participate in the commodity distribution program? 1 - Yes Food Programs Quest. 2 - No 9 - Don't know Blank 156 Are you receiving commodity foods now for your family? 1 - Yes, regularly Food Programs Quest. 2 - Yes, occasionally 3 - No 8 - Blank, but applicable Blank 157 Why aren't you participating in the program? 1 - No need Food Porgrams Quest. 2 - No transportation 3 - Pride 4 - Other 8 - Blank, but applicable Blank Tape Control HANES I Data Loc. ITEM DESCRIPTION & CODES Counts Source SAMPLE WEIGHTS 158-63 Detailed Persons, Location 01-35 See Detailed Notes Blanks 164-69 All Sample Persons, Locations 01-35 See Detailed Notes Blanks 170-75 Detailed Persons, Locations 01-65 See Detailed Notes Blanks 176-81 All Sample Persons, Locations 01-65 See Detailed Notes Blanks 182- Work Area 193 194- STRATA 1/ 195 196- Primary Sampling Unit1/ 198 199- Work Area 200 1/Use only for producing variance estimates for examination locations 1-65 or 1-100. See General Note titled "Variance Estimation" for producing variance estimates for examination locations 1-35 or 66-100. DETAILED NOTES, DEMOGRAPHIC DATA Tape Position 10 - Size of Place Size of place classification was derived from the 1960 census. According to the definition used in the 1960 census, the urban population was comprised of all persons living in (a) places of 2,500 inhabitants or more incorporated as cities, boroughs, villages and towns (except towns in New York, New England, and Wisconsin); (b) the densely settled urban fringe, whether incorporated or unincorporated, or urbanized areas; (c) towns in New England and townships in New Jersey and Pennsylvania which contained no incorporated municipalities as subdivisions and had either 2,500 inhabitants or more, or a population of 2,500 to 25,000 and a density of 1,500 persons or more per square mile; (d) counties in states other than the New England states, New Jersey, and Pennsylvania, that had no incorporated municipalities within their boundaries and had a density of 1,500 persons per square mile; and (e) unincorporated places of 2,500 inhabitants or more not included in any urban fringe. The remaining population was classified as rural. Urban areas are further classified by population size for places within urbanized areas and other places outside urbanized areas. Tape Position 11 - SMSA A standard metropolitan statistical area is basically a county or a group of contiguous counties which contains at least one city of 50,000 inhabitants or more, or "twin cities" with a combined population of at least 50,000. In addition to the county or counties containing such a city or cities, contiguous counties are included in an SMSA if, according to the 1960 Census, they are socially and economically integrated with the central city. Each SMSA must include at least one central city, and the complete title of an SMSA identifies the central city or cities. Tape Positions 22 and 103 - Race The race of the respondent was marked by observation and it was assumed the race of all related persons was the same as the respondent unless otherwise learned. The race categories were "White", "Negro", or "other." If the appropriate category could not be marked by observation, then race was asked. Persons of races other than White or Negro, such as Japanese, Chinese, American Indian, Korean, Hindu, Eskimo, etc. were reported as "Other." Mexicans were included with "White" unless definitely known to be American Indian or of other nonwhite race. Tape Positions 34-35 - Total Family Income Group The income group represents the total combined family income for the past twelve (12) months. It includes income from all sources such as wages, salaries, social security or retirement benefits, help from relatives, rent from property and so forth. The income groups were not reconciled to the component parts (tape positions 36-94). The income component parts were not asked when the gross income was greater than $6,999 per annum. However, amounts greater than $6,999 appear in tape positions 37-40, 67-70, and 72-75. Some respondents reported a loss of income from their nonfarm business, professional practice, partnership or farm and this explains why some data fields are greater than $6,999, but the individual total in tape positions 91-94 does not exceed this figure. Tape Positions 95-99 - Family Unit Code All related sample persons in the same family unit have the same computer generated family unit code. This will enable detailed analysis of the individual family unit. Tape Positions 110-111 - State Codes UNITED STATES OUTLYING AREAS OF THE U.S. Standard Abbreviation Code Name of Place Cod ALABAMA Ala. 01 American Samoa 60 ALASKA Alaska 02 Canal Zone 61 ARIZONA Ariz. 04 Canton and Enderbury Islands 62 ARKANSAS Ark. 05 Caroline Islands 63 CALIFORNIA Calif. 06 Cook Islands 64 COLORADO Colo. 08 Gilbert and Ellice Islands 65 CONNECTICUT Conn. 09 Guam 66 DELAWARE Del. 10 Johnston Atoll 67 DIST. OF COLUMBIA D.C. 11 Line Islands - Southern 68 FLORIDA Fla. 12 Mariana Islands 69 GEORGIA Ga. 13 Marchall Islands 70 HAWAII Hawaii 15 Midway Islands 71 IDAHO Idaho 16 Puerto Rico 72 ILLINOIS Ill. 17 Ryukyn Islands - Southern 73 INDIANA Ind. 18 Swan Islands 74 IOWA Iowa 19 Tokelau Islands 75 KANSAS Kans. 20 U.S. Misc. Caribbean 76 KENTUCKY Ky. 21 U.S. Misc. Pacific Islands 77 LOUISIANA La. 22 Virgin Islands 78 MAINE Maine 23 Wake Islands 79 MARYLAND Md. 24 Cuba 80 MASSACHUSETTS Mass. 25 West Indies 81 MICHIGAN Mich. 26 North America 91 MINNESOTA Minn. 27 South America 92 MISSISSIPPI Miss. 28 Europe 93 MISSOURI Mo. 29 Africa 94 MONTANA Mont. 30 Asia 95 NEBRASKA Nebr. 31 Australasia 96 NEVADA Nev. 32 Pacific Islands 97 NEW HAMPSHIRE Nebr. 33 NEW JERSEY N.J. 34 NEW MEXICO N. Mex. 35 NEW YORK N.Y 36 NORTH CAROLINA N.C. 37 NORTH DAKOTA N. Dak. 38 OHIO Ohio 39 OKLAHOMA Okla. 40 OREGON Oreg. 41 PENNSYLVANIA Pa. 42 RHODE ISLANDS R.I. 44 SOUTH CAROLINA S.C. 45 SOUTH DAKOTA S. Dak. 46 UNITED STATES Standard Abbreviation Code TENNESSEE Tenn. 47 TEXAS Tex. 48 UTAH Utah 49 VERMONT Vt. 50 VIRGINIA Va. 51 WASHINGTON Wash. 53 WEST VIRGINIA W. Va. 54 WISCONSIN Wis. 55 WYOMING Wyo. 56 Tape Positions 132-134 and 135-137 - Industry & Occupation Codes A person's occupation may be defined as his principal job or business. For this survey purpose, the principal job or business of a respondent is defined in one of the following ways: If the person worked during the two week interview period or had a job or business, the question concerning his occupation (or work) applies to his job during that period. If the respondent held more than one job, the question is directed to the one at which he spent the most time. It refers to the one he considers most important when equal time is spent at each job. A person who has not begun work at a new job, is looking for work, or is on layoff from work is questioned about his last full- time civilian job. A full-time job is defined as one at which the person spen 35 or more hours per week and which lasted two consecutive weeks or more. A person who has a job to which he has not yet reported and has never had a previous job or business is classified as a "new worker." The 1970 census of population Alphabetical Index of Industries and Occupations was used in the coding of both the industry and occupation. Library of Congress Number 74-612012. For sale by the Superintendent of Documents, U.S. Government Printing Office, Washington, D.C. 20402. $3.00. Stock Number 0301-2283. Tape Position 146 - Land Land used for farming purposes (Code 1 in Tape Position 146) was identified as being rural land (Code 2 in Tape Position 13) consisting of 10 or more acres (Code 1 in Tape Position 14) with crop sales amounting to $50 or more (Code 2 in Tape Position 15), or rural land (Code 2 in Tape Position 13) consisting of less than 10 acres (Code 2 in Tape Position 14) with crop sales amounting to $250 or more (Code 3 in Tape Position 16). All Other land is classified as nonfarm (Code 2 in Tape Position 146). Tape Positions 147-149 - Poverty Index Poverty Index--Income status was determined by the Poverty Income Ratio (PIR). Poverty statistics published in the Census Bureau reports1/ were based on the poverty index developed by the Social Security Administration in 1964. (For a detailed discussion of the SSA poverty standards, see reference 2.) Modifications in the definition of poverty were adopted in 1969.3/ The standard data series in poverty for statistical use by all executive departments and establishments has been established.4/ The two components of the PIR are the total income of the household (numerator) and a multiple of the total income necessary to maintain a family with given characteristics on a nutritionally adequate food plan3/ (denominator). The dollar value of the denominator of the PIR is constructed from a food plan (economy plan) necessary to maintain minimum recommended daily nutritional requirements. The economy plan is designated by the Department of Agriculture for "emergency or temporary use when funds are low." For families of three or more persons, the poverty level was set at three times the cost of the economy food plan. For smaller families and persons living alone, the cost of the economy food plan was adjusted by the relative- ly higher fixed expenses of these smaller households. The denominator or poverty income cutoff adjusts the family poverty income maintenance requirements by the family size, the sex of the family head, the age of the family head in families with one or two members, and the place of residence (farm, nonfarm). Annual revisions of the poverty income cutoffs are based on the changes in the average cost of living as reflected in the Consumer Price Index. As shown in the table, the annual income considered to be the poverty level increases as the family size increases. A family with any combination of characteristics and with the same income as shown in the table has been designated as having a PIR or poverty level of 1.0. The same family with twic the income found in the table would have a PIR of 2.0. Ratios of less than 1.0 can be described as "below poverty," ratios greater than or equal to 1.0, as "at or above poverty." Poverty thresholds are computed on a national basis only. No attempt has been made to adjust these thresholds for regional, State, or other local variation in the cost of living (except for the farm, nonfarm difference). None of the noncash public welfare benefits such as food stamp bonuses or free food commodities are included in the income of the low income families receiving these benefits. 1/ Current Populatrion Reports, "Consumer Income," Series P-60, No. 77, May 7, 1971 2/ Orshansky, M.: "Counting the Poor: Another Look at the Poverty Profile, Social Security Bulletin, January 1965; "Who's Who Among the Poor: A Demographic View of Poverty," Social Security Bulletin, July 1965. 3/ Current Population Reports, "Special Studies," Series P-23, No. 28, August 12, 1969 4/ Circular No. A-46, Transmitted Memorandum No. 9, Executive Office of the President, Bureau of the Budget, August 29, 1969, and Exhibit L (rev.) Weighted average thresholds at the low income level in 1971 by size of family and sex of head, by farm-nonfarm residence Nonfarm Farm Size of family Total Total Male1 Female1 Total Male1 Female1 head head head head All unrelated individuals- $2,033 $2,040 $2,136 $1,978 $1,727 $1,783 $1,669 Under 65 years--------- 2,093 3,098 2,181 2,017 1,805 1,853 1,715 65 years and over------ 1,931 1,940 1,959 1,934 1,652 1,666 1,643 All families-------------- 3,700 3,724 3,764 3,428 3,235 3,242 3,079 2 persons-------------- 2,612 2,633 2,641 2,581 2,219 2,224 2,130 Head under 65 years---- 2,699 2,716 2,731 2,635 2,317 2,322 2,195 Head 65 years and over- 2,424 2,448 2,450 2,437 2,082 2,081 2,089 3 persons-------------- 3,207 3,229 3,248 3,127 2,745 2,749 2,627 4 persons-------------- 4,113 4,137 4,139 4,116 3,527 3,528 3,513 5 persons-------------- 4,845 4,880 4,884 4,837 4,159 4,159 4,148 6 persons-------------- 5,441 5,489 5,492 5,460 4,688 4,689 4,656 7 persons or more------ 6,678 6,751 6,771 6,583 5,736 5,749 5,516 1For unrelated individuals, sex of the individual. SOURCE: U.S. Department of Commerce, Social and Economic Statistics Administration, U.S. Bureau of the Census "Characteristics of the Low Income Population: 1971," Current Population Reports, Series P-60, No. 86, p. 18. Tape Position 150 - Region The United States was divided into four broad geographic regions of approximately equal population. These regions, which deviate somewhat from the groups used by the Bureau of the Census, are as follows: Region States Included Northeast Maine, Vermont, New Hampshire, Massachusetts, Connecticut, Rhode Island, New York, New Jersey, and Pennsylvania South Delaware, Maryland, District of Columbia, West Virginia, Virginia, Kentucky, Tennessee, North Carolina, South Carolina, Georgia, Florida, Alabama, Mississippi, Louisiana, and Arkansas Midwest Ohio, Illinois, Indiana, Michigan, Wisconsin, Minnesota, Iowa, Missouri West Washington, Oregon, California, Nevada, New Mexico, Arizona, Texas, Oklahoma, Kansas, Nebraska, North Dakota, South Dakota, Idaho, Utah, Colorado, Montana, and Wyoming. Tape Positions 158-193 - HANES HANES is a multistage, stratified, probability sample of loose clusters of persons in land-based segments. In addition, HANES is composed of two distinct examination components--a nutrition screening examination (taken by all examinees) and a more detailed examination taken by a pre-selected subsample of all examinees, ages 25-74. For the nutrition screening examination, locations 1-35 and 1-65 constituted national probability samples and for the detailed examination, locations 1-35, 1-65, 66-100 and 1-100 all constitute national probability samples. In other words, HANES is composed of six distinct subsamples of the U.S. population. For a more detailed discussion of the sample design see Series 1, No. 10a. Since each of these six subsamples is a distinct subsample of the U.S. population, such subsample requires a different set of weights. The weights are based upon the probability of selection into the sample, adjustments for nonresponse and further adjustments to approximate the U.S. noninstitu- tionalized population as of the midpoint of each subsample. In order to select all of those examinees in a particular subsample, i.e. received a particular exam component, it is necessary to exclude all examinees with a weight of zero or blank. It is also necessary to exclude all zero or blank weights because that is the only way to differentiate missing data due to nonresponse from data that is missing because the sample design dictated that a particular examinee was not supposed to receive particular examination component. It is suggested that any analyses that are desired by the researcher be performed using the greatest number of examinees possible; that is, if the researcher is interested in an exam component of the nutrition screening examination he should use the weight and consequently the data from the 65 location subsample rather than the 35 location subsample. For the detailed examination, the researcher should use the 100 location subsample rather than one of the others. However, some exam components were only done in a particular subsample; for example, only at the first 35 locations. In that case, the researcher has no choice in selecting a particular subsample. There may be occasions when a researcher may want to make comparisons of estimates obtained from various subsamples. For example, the prevalence of some disease condition as estimated from the first 35 locations could be compared with an estimate based upon locations 66-100. The researcher may also want to formulate hypotheses using 1 subsample and test those hypotheses using another subsample. GENERAL NOTES, GENERAL WELL-BEING DATA, HANES I General well-Being Schedule and CES-D Depression Scale: The General Well- Being was the only explicitly psychological component in the HANES I examination. It was administered in the mobile examination centers by designated personnel to the detailed examination sample of adults 25-74 years of age.The psychological component of this examination was administratively limited to 10 minutes of the 210 minute time allocation for the total detailed examination sample. The response options for the major data elements have been recorded from the form used to obtain initial responses to ordinal values such that a higher numerical score reflects a higher representation of psychological well-being. The six sub-scale scores (Positions 231-242) are simply the sum of the item responses (ordinal values) as indicated by the tape positions given for each sub-scale. The items in each sub-scale were rationally constructed as indicators for the six constructs. The six constructs were formulated to reflect some of the major aspects of general psychological well-being or distress as viewed from a framework of health appraisal. They were not formulated to represent six statistically or psychologically independent dimensions. They can be viewed as six content components considered to be important for assessing general psychological well-being or distress and hence have been added together to form a total GWB score to serve as an index for this more general construct. Other sub-scales or indexes can be developed from these 18 items to reflect constructs of interest to investigators. The 20 questions in the fourth section (Positions 279-298) were included as part of the psychological examination in the last 35 locations of the 100 locations that were covered. These questions are from the Center for Epidemiological Studies (CES), Division of Biometry, National Institute of Mental Health, depressions scale labeled herein as the CES-D (depression) scale . These items were added to the initial GWB schedule.The 20 items are recommended for use as a scale. See the Detailed Notes for tape positions 279-298 for scale scoring procedures. For reliability and validity information, see: (1) Radloff, L.S. The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, I: 385-401, 1977. (2) Weissman, M. M., et al. Assessing depressive symptoms in five psychiatric populations: A validation study. American Journal of Epidemiology, 106: 203-214, 1977. Copies of these publications may be obtained from the Center for Epidemiologic Studies, National Institute of Mental Health, 5600 Fishers Lane, Rockville, MD 20857. Those who wish to analyze individual items or subsets of the scale should note the scoring, imputation, and response set bias correction procedures described in the Detailed Notes for tape positions 279-298. GENERAL WELL-BEING DATA SUMMARY - HANES I GENERAL WELL-BEING AND CES-D DEPRESSION SCALE DATA SUMMARY - HANES I Tape Positions CATALOGUE NUMBER - 4171 ................................................. 201 GENERAL WELL-BEING ADJUSTMENT INDICATORS Have you ever been bothered by an illness, body disorder, pains, or fears about your health? (DURING THE PAST MONTH) ................... 209 How concerned or worried about your HEALTH have you been? (DURING THE PAST MONTH) .......................................................... 210 Have you felt tired, worn out, used-up, or exhausted? (DURING THE PAST MONTH) .......................................................... 212 Have you been waking up fresh and rested? (DURING THE PAST MONTH) ..... 213 How much ENERGY, PEP, VITALITY have you felt? (DURING THE PAST MONTH) . 214 How happy, satisfied, or pleased have you been with your personal life? (DURING THE PAST MONTH) ....................................... 216 Has your daily life been full of things that were interesting to you? (DURING THE PAST MONTH) .............................................. 217 Have you felt down-hearted and blue? (DURING THE PAST MONTH)........... 218 How have you been feeling in general? (DURING THE PAST MONTH) ......... 219 Have you felt so sad, discouraged, hopeless, or had so many problems that you wondered if anything was worthwhile? (DURING THE PAST MONTH) ............................................................... 220 How DEPRESSED or CHEERFUL have you been? (DURING THE PAST MONTH) ...... 221 Have you been anxious, worried, or upset? (DURING THE PAST MONTH) ..... 223 Have you been under or felt you were under any strain, stress, or pressure? (DURING THE PAST MONTH) ................................... 224 Have you been bothered by nervousness or your "nerves?" (DURING THE PAST MONTH) .......................................................... 225 How RELAXED or TENSE have you been? (DURING THE PAST MONTH) ........... 226 Have you been in firm control of your behavior, thoughts, emotions OR feelings? (DURING THE PAST MONTH) ................................... 228 Have you been feeling emotionally stable and sure of yourself? (DURING THE PAST MONTH) .............................................. 229 Have you had any reason to wonder if you were losing your mind, or losing control over the way you act, talk, think, feel, or of your memory? (DURING THE PAST MONTH) ..................................... 230 ADJUSTMENT FACTORS (SUB-SCALE SCORES) Freedom from Health Worry, Concern ..................................... 231 Energy Level ........................................................... 233 Satisfying, Interesting Life ........................................... 235 Cheerful vs. Depressed Mood ............................................ 237 Relaxed vs. Tense, Anxious ............................................. 239 Emotional-Behavioral Control ........................................... 241 Total General Well-Being Scale Score ................................... 243 THE GWB CRITERIAL SECTION : Tape Positions Have you had severe enough personal, emotional, behavior, or mental problems that you felt you needed help DURING THE PAST YEAR? ......... 246 Have you ever felt that you were going to have, or were close to having, a nervous breakdown? ......................................... 247 Have you ever had a nervous breakdown? ................................. 248 Have you ever been a patient (or outpatient) at a mental hospital, a mental health ward of a hospital, or a mental health clinic, for any personal, emotional, behavior, or mental problem? .................... 249 Have you ever seen a psychiatrist, psychologist, or psychoanalyst about any personal, emotional, behavior, or mental problem concerning yourself?............................................................ 250 Have you talked with or had any connection with any of the following about some personal, emotional, behavior, mental problem, worries, or "nerves" CONCERNING YOURSELF DURING THE PAST YEAR? ... Regular medical doctor (except for definite physical conditions or routine checkups) .................................................. 251 Brain or nerve specialist ............................................ 252 Nurse (except for routine medical conditions) ........................ 253 Lawyer (except for routine legal services) ........................... 254 Police (except for simple traffic violations) ........................ 255 Clergyman, minister, priest, rabbi, etc. ............................. 256 Marriage Counselor ................................................... 257 Social Worker ........................................................ 258 Other formal assistance (If yes, what kind?) ......................... 259 Number of "yes" options checked for positions 251-259................. 260 Do you discuss your problems with any member of your family or friends? ............................................................. 261 GWB filled out by? ..................................................... 262 NIMH'S CES-D DEPRESSION SCALE DURING THE PAST WEEK, ... I was bothered by things that usually don't bother me . .......... 279 I did not feel like eating; my appetite was poor . ............... 280 I felt that I could not shake off the blues even with help from my family or friends . ............................................ 281 I felt that I was just as good as other people . ................. 282 I had trouble keeping my mind on what I was doing . .............. 283 I felt depressed . ............................................... 284 I felt that everything I did was an effort . ..................... 285 I felt hopeful about the future . ................................ 286 I thought my life had been a failure . ........................... 287 I felt fearful . ................................................. 288 Tape Positions NIMH'S CES-D DEPRESSION SCALE (continued) My sleep was restless . .......................................... 289 I was happy . .................................................... 290 I talked less than usual . ....................................... 291 I felt lonely . .................................................. 292 People were unfriendly . ......................................... 293 I enjoyed life . ................................................. 294 I had crying spells . ............................................ 295 I felt sad . ..................................................... 296 I felt that people disliked me . ................................. 297 I could not get "going" . ........................................ 298 Total CES-D Score . ................................................ 299 RECORD LAYOUT, GENERAL WELL-BEING DATA HEALTH AND NUTRITION EXAMINATION SURVEY (HANES I) GENERAL WELL-BEING SCHEDULE (GWB) including the NIMH Center for Epidemiologic Studies Depression Scale (CES-D) (n = 6913) Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 201- Catalogue Number 204 4171 205- Blank - Data User Work Area 208 GENERAL WELL-BEING DURING THE PAST MONTH 209 Have you been bothered by any illness, General Well-Being bodily disorder, pains, or fears about Question #10 your health? (DURING THE PAST MONTH) 0 - All of the time 195 1 - Most of the time 293 2 - A good bit of the time 286 3 - Some of the time 1124 4 - A little of the time 1890 5 - None of the time 3125 210- How concerned or worried about your General Well-Being 211 HEALTH have you been? (DURING THE Question #15 PAST MONTH) 00 - Very concerned 337 01 - 138 02 - 237 03 - 215 04 - 241 05 - 787 06 - 302 07 - 613 08 - 904 09 - 1345 10 - Not concerned at all 1794 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 212 Have you felt tired, worn out, used-up, General Well-Being or exhausted? (DURING THE PAST MONTH) Question #14 0 - All of the time 151 1 - Most of the time 506 2 - A good bit of the time 612 3 - Some of the time 1952 4 - A little of the time 2416 5 - None of the time 1276 213 Have you been waking up fresh and General Well-Being rested? (DURING THE PAST MONTH) Question #9 0 - None of the time 180 1 - Rarely 484 2 - Less than half of the time 756 3 - Fairly often 1310 4 - Most every day 3009 5 - Every day 1174 214- How much ENERGY, PEP, VITALITY have General Well-Being 215 you felt? (DURING THE PAST MONTH) Question #17 00 - No energy at all, listless 123 01 - 153 02 - 286 03 - 476 04 - 511 05 - 1398 06 - 597 07 - 895 08 - 1211 09 - 665 10 - Very energetic, dynamic 598 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 216 How happy, satisfied, or pleased have General Well-Being you been with your personal life? Question #6 (DURING THE PAST MONTH) 0 - Very dissatisfied 119 1 - Somewhat dissatisfied 617 2 - Satisfied, pleased 1172 3 - Fairly happy 1624 4 - Very happy 2607 5 - Extremely happy - could not have 774 been more satisfied or pleased 217 Has your daily life been full of General Well-Being things that were interesting to you? Question #11 (DURING THE PAST MONTH) 0 - None of the time 124 1 - A little of the time 360 2 - Some of the time 1101 3 - A good bit of the time 872 4 - Most of the time 3264 5 - All of the time 1192 218 Have you felt down-hearted and blue? General Well-Being (DURING THE PAST MONTH) Question #12 0 - All of the time 56 1 - Most of the time 176 2 - A good bit of the time 284 3 - Some of the time 1189 4 - A little of the time 2300 5 - None of the time 2908 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 219 How have you been feeling in general? General Well-Being (DURING THE PAST MONTH) Question #1 0 - In very low spirits 79 1 - In low spirits mostly 250 2 - I have been up and down in spirits a lot 1305 3 - In good spirits mostly 2673 4 - In very good spirits 1748 5 - In excellent spirits 858 220 Have you felt so sad, discouraged, General Well-Being hopeless, or had so many problems Question #4 that you wondered if anything was worthwhile? (DURING THE PAST MONTH) 0 - Extremely so -- to the point that I have just about given up 98 1 - Very much so 181 2 - Quite a bit 275 3 - Some -- enough to bother me 571 4 - A little bit 1693 5 - Not at all 4095 221- How DEPRESSED or CHEERFUL have you General Well-Being 222 been? (DURING THE PAST MONTH) Question #18 00 - Very depressed 69 01 - 96 02 - 125 03 - 238 04 - 347 05 - 1161 06 - 533 07 - 942 08 - 1439 09 - 1047 10 - Very cheerful 916 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 223 Have you been anxious, worried, or General Well-Being upset? (DURING THE PAST MONTH) Question #8 0 - Extremely so -- to the point of being sick or almost sick 99 1 - Very much so 277 2 - Quite a bit 460 3 - Some -- enough to bother me 920 4 - A little bit 2782 5 - Not at all 2375 224 Have you been under or felt you were General Well-Being under any strain, stress, or pressure? Question #5 (DURING THE PAST MONTH) 0 - Yes -- almost more than I could bear or stand 107 1 - Yes -- quite a bit of pressure 565 2 - Yes -- some-more than usual 727 3 - Yes -- some-but about usual 1251 4 - Yes -- a little 1924 5 - Not at all 2339 225 Have you been bothered by nervousness General Well-Being or your "nerves"? (DURING THE PAST Question #2 MONTH) 0 - Extremely so -- to the point where I could not work or take care of things 91 1 - Very much so 272 2 - Quite a bit 549 3 - Some -- enough to bother me 1054 4 - A little 2854 5 - Not at all 2093 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 226- How RELAXED or TENSE have you been? General Well-Being 227 (DURING THE PAST MONTH) Question #16 00 - Very tense 155 01 - 145 02 - 273 03 - 354 04 - 369 05 - 1139 06 - 535 07 - 900 08 - 1092 09 - 1013 10 - Very relaxed 938 228 Have you been in firm control of your General Well-Being behavior, thoughts, emotions OR Question #3 feelings? (DURING THE PAST MONTH) 0 - No, and I am very disturbed 30 1 - No, and I am somewhat disturbed 93 2 - Not too well 328 3 - Generally so 1045 4 - Yes, for the most part 2237 5 - Yes, definitely so 3180 229 Have you been feeling emotionally General Well-Being stable and sure of yourself? (DURING Question #13 THE PAST MONTH) 0 - None of the time 72 1 - A little of the time 144 2 - Some of the time 452 3 - A good bit of the time 389 4 - Most of the time 2854 5 - All of the time 3002 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 230 Have you had any reason to wonder if General Well-Being you were losing your mind, or losing Question #7 control over the way you act, talk, think, feel, or of your memory? (DURING THE PAST MONTH) 0 - Yes, very much so and I am very concerned 44 1 - Some and I am quite concerned 58 2 - Some and I have been a little concerned 194 3 - Some -- but not enough to be concerned or worried about 396 4 - Only a little 578 5 - Not at all 5643 Sub-Scale Scores 231- Freedom from Health Worry, Concern Computer Generated 232 (Positions 209, 210-211) Possible score range: 00-15 6913 233- Energy Level (Positions 212, 213, 234 214-215) Possible score range: 00-20 6913 235- Satisfying, Interesting Life 236 Positions 216, 217 Possible score range: 00-10 6913 237- Cheerful vs. Depressed Mood 238 Positions 218, 219, 220, 221-222) Possible score range: 00-25 6913 239- Relaxed vs. Tense, Anxious 240 Positions 223, 224, 225, 226-227) Possible score range: 00-25 6913 241- Emotional-Behavioral Control 242 Positions 228, 229, 230) Possible score range: 00-15 6913 243- Total General Well-Being Scale Score 245 Positions 209-230 Possible score range: 000-110; Actual range: 004-110 6913 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source The GWB Criterial Section: 246 Have you had severe enough personal, General Well-Being emotional, behavior, or mental problems Question #19 that you felt you needed help DURING THE PAST YEAR? 1 - Yes, but I did not seek profes- sional help 249 2 - Yes, and I did seek professional help 325 3 - I have had (or have now) severe personal problems, but I have not felt I needed professional help 619 4 - I have had very few personal problems of any serious concern 3171 5 - I have not been bothered at all by personal problems during the past year 2549 247 Have you ever felt that you were General Well-Being going to have, or were close to Question #20 having, a nervous breakdown? 1 - Yes -- during the past year 376 2 - Yes -- more than a year ago 720 3 - No 5817 248 Have you ever had a nervous breakdown? General Well-Being Question #21 1 - Yes -- during the past year 44 2 - Yes -- more than a year ago 255 3 - No 6614 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 249 Have you ever been a patient (or out- General Well-Being patient) at a mental hospital, a mental Question #22 health ward of a hospital, or a mental health clinic, for any personal, emo- tional, behavior, or mental problem? 1 - Yes -- during the past year 54 2 - Yes -- more than a year ago 225 3 - No 6634 250 Have you ever seen a psychiatrist, or General Well-Being psychoanalyst about any personal, emo- Question #23 tional, behavior, or mental problem concerning yourself? 1 - Yes -- during the past year 164 2 - Yes -- more than a year ago 433 3 - No 6316 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source Have you talked with or had any connec- tion with any of the following about some personal, emotional, behavior, mental problem, worries, or "nerves" CONCERNING YOURSELF DURING THE PAST YEAR? NOTE: Blanks were coded as '2' for positions 251-259. 251 Regular medical doctor (except for General Well-Being definite physical conditions or Question #24A routine check-ups) 1 - Yes 896 2 - No 6017 252 Brain or nerve specialist General Well-Being Question #24B 1 - Yes 98 2 - No 6815 253 Nurse (except for routine medical General Well-Being conditions) Question #24C 1 - Yes 113 2 - No 6800 254 Lawyer (except for routine legal General Well-Being services) Question #24D 1 - Yes 143 2 - No 6770 255 Police (except for simple traffic General Well-Being violations) Question #24E 1 - Yes 75 2 - No 6838 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 256 Clergyman, minister, priest, rabbi, General Well-Being etc. Question #24F 1 - Yes 256 2 - No 6657 257 Marriage Counselor General Well-Being Question #24G 1 - Yes 69 2 - No 6844 258 Social Worker General Well-Being Question #24H 1 - Yes 168 2 - No 6745 259 Other formal assistance (If yes, General Well-Being what kind?) Question #24I 1 - Yes 120 2 - No 6793 260 Number of "yes" options checked for Computer Generated Positions 251-259 0 - None 5584 1 - One 946 2 - Two 249 3 - Three 87 4 - Four 22 5 - Five 13 6 - Six 8 7 - Seven 1 8 - Eight 2 9 - Nine 1 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 261 Do you discuss your problems with any General Well-Being member of your family or friends? Question #25 1 - Yes -- but it does not help at all 190 2 - No -- no one cares to hear about my problems 55 3 - No -- I do not have anyone I can talk with about my problems 142 4 - Yes -- and it helps some 2145 5 - No -- I do not care to talk about my problems with anyone 684 6 - Yes -- and it helps a lot 2482 7 - No -- I do not have any problems 1215 262 GWB filled out by: General Well-Being Question: 0 - Unknown 691 #26 - Locations 1-65 1 - Examinee (mostly or completely) 4778 #46 - Locations 66-100 2 - Interviewer (mostly or completely) 749 3 - Mixed (some help given) 695 263 Imputations for GWB (Positions 209-230 and 246-262) 1 - No imputation 6702 2 - Imputed by replacement with responses from an alternate GWB record in terms of sex, age, race, marital status, education, income, and 12 medical history items 211 264- BLANK - DATA USER WORK AREA 278 Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source NIMH'S CES-D DEPRESSION SCALE: DURING THE PAST WEEK: 279 I was bothered by things that usually General Well-Being don't bother me Question #26 0 - Rarely or none of the time (less than 1 day) 2241 1 - Some or a little of the time (1-2 days) 563 2 - Occasionally or a moderate amount of the time (3-4 days) 151 3 - Most or all of the time (5-7 days) 70 8 - Blank, but applicable 34 Blank 3854 ** 280 I did not feel like eating; my General Well-Being appetite was poor: Question #27 0 - Rarely or none of the time (less than 1 day) 2438 1 - Some or a little of the time (1-2 days) 359 2 - Occasionally or a moderate amount of the time (3-4 days) 137 3 - Most or all of the time (5-7 days) 90 8 - Blank, but applicable 35 Blank 3854 ** 281 I felt that I could not shake off the General Well-Being blues, even with help from my family Question #28 or friends? 0 - Rarely or none of the time (less than 1 day) 2510 1 - Some or a little of the time (1-2 days) 293 2 - Occasionally or a moderate amount of the time (3-4 days) 117 3 - Most or all of the time (5-7 days) 96 8 - Blank, but applicable 43 Blank 3854 ** Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 282 I felt that I was just as good as General Well-Being other people Question #29 0 - Most or all of the time (5-7 days) 2051 1 - Occasionally or a moderate amount of the time (3-4 days) 207 2 - Some or a little of the time (1-2 days) 164 3 - Rarely or none of the time (less than 1 day) 585 8 - Blank, but applicable 52 Blank 3854 ** 283 I had trouble keeping my mind on what General Well-Being I was doing Question #30 0 - Rarely or none of the time (less than 1 day) 2102 1 - Some or a little of the time (1-2 days) 628 2 - Occasionally or a moderate amount of the time (3-4 days) 205 3 - Most or all of the time (5-7 days) 81 8 - Blank, but applicable 43 Blank 3854 ** 284 I felt depressed General Well-Being Question #31 0 - Rarely or none of the time (less than 1 day) 2020 1 - Some or a little of the time (1-2 days) 714 2 - Occasionally or a moderate amount of the time (3-4 days) 192 3 - Most or all of the time (5-7 days) 87 8 - Blank, but applicable 46 Blank 3854 ** Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 285 I felt everything I did was an effort General Well-Being Question #32 0 - Rarely or none of the time (less than 1 day) 1908 1 - Some or a little of the time (1-2 days) 652 2 - Occasionally or a moderate amount of the time (3-4 days) 204 3 - Most or all of the time (5-7 days) 248 8 - Blank, but applicable 47 Blank 3854 ** 286 I felt hopeful about the future General Well-Being Question #33 0 - Most or all of the time (5-7 days) 1727 1 - Occasionally or a moderate amount of the time (3-4 days) 426 2 - Some or a little of the time (1-2 days) 292 3 - Rarely or none of the time (less than 1 day) 555 8 - Blank, but applicable 59 Blank 3854 ** 287 I thought my life had been a failure General Well-Being Question #34 0 - Rarely or none of the time (less than 1 day) 2601 1 - Some or a little of the time (1-2 days) 264 2 - Occasionally or a moderate amount of the time (3-4 days) 99 3 - Most or all of the time (5-7 days) 47 8 - Blank, but applicable 48 Blank 3854 ** Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 288 I felt fearful General Well-Being Question #35 0 - Rarely or none of the time (less than 1 day) 2425 1 - Some or a little of the time (1-2 days) 408 2 - Occasionally or a moderate amount of the time (3-4 days) 115 3 - Most or all of the time (5-7 days) 62 8 - Blank, but applicable 49 Blank 3854 ** 289 My sleep was restless General Well-Being Question #36 0 - Rarely or none of the time (less than 1 day) 1686 1 - Some or a little of the time (1-2 days) 796 2 - Occasionally or a moderate amount of the time (3-4 days) 336 3 - Most or all of the time (5-7 days) 192 8 - Blank, but applicable 49 Blank 3854 ** 290 I was happy General Well-Being Question #37 0 - Most or all of the time (5-7 days) 1922 1 - Occasionally or a moderate amount of the time (3-4 days) 576 2 - Some or a little of the time (1-2 days) 246 3 - Rarely or none of the time (less than 1 day) 263 8 - Blank, but applicable 52 Blank 3854 ** Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 291 I talked less than usual General Well-Being Question #38 0 - Rarely or none of the time (less than 1 day) 2033 1 - Some or a little of the time (1-2 days) 558 2 - Occasionally or a moderate amount of the time (3-4 days) 292 3 - Most or all of the time (5-7 days) 125 8 - Blank, but applicable 51 Blank 3854 ** 292 I felt lonely General Well-Being Question #39 0 - Rarely or none of the time (less than 1 day) 2243 1 - Some or a little of the time (1-2 days) 468 2 - Occasionally or a moderate amount of the time (3-4 days) 190 3 - Most or all of the time (5-7 days) 102 8 - Blank, but applicable 56 Blank 3854 ** 293 People were unfriendly General Well-Being Question #40 0 - Rarely or none of the time (less than 1 day) 2593 1 - Some or a little of the time (1-2 days) 277 2 - Occasionally or a moderate amount of the time (3-4 days) 71 3 - Most or all of the time (5-7 days) 72 8 - Blank, but applicable 46 Blank 3854 ** Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 294 I enjoyed life General Well-Being Question #41 0 - Most or all of the time (5-7 days) 2143 1 - Occasionally or a moderate amount of the time (3-4 days) 382 2 - Some or a little of the time (1-2 days) 194 3 - Rarely or none of the time (less than 1 day) 288 8 - Blank, but applicable 52 Blank 3854 ** 295 I had crying spells General Well-Being Question #42 0 - Rarely or none of the time (less than 1 day) 2649 1 - Some or a little of the time (1-2 days) 237 2 - Occasionally or a moderate amount of the time (3-4 days) 90 3 - Most or all of the time (5-7 days) 32 8 - Blank, but applicable 51 Blank 3854 ** 296 I felt sad General Well-Being Question #43 0 - Rarely or none of the time (less than 1 day) 2122 1 - Some or a little of the time (1-2 days) 674 2 - Occasionally or a moderate amount of the time (3-4 days) 169 3 - Most or all of the time (5-7 days) 50 8 - Blank, but applicable 44 Blank 3854 ** Tape Control Loc. ITEM DESCRIPTION & CODES Counts HANES I Data Source 297 I felt that people disliked me General Well-Being Question #44 0 - Rarely or none of the time (less than 1 day) 2684 1 - Some or a little of the time (1-2 days) 247 2 - Occasionally or a moderate amount of the time (3-4 days) 57 3 - Most or all of the time 30 8 - Blank, but applicable 41 Blank 3854 ** 298 I could not get "going" General Well-Being Question #45 0 - Rarely or none of the time (less than 1 day) 1887 1 - Some or a little of the time (1-2 days) 796 2 - Occasionally or a moderate amount of the time (3-4 days) 225 3 - Most or all of the time 109 8 - Blank, but applicable 42 Blank 3854 ** 299- Total CES-D Score Computer Generated 300 See Detailed Notes 00-60 - As given 3023 99 - Blank, but applicable 36 Blank 3854 ** 301- BLANK - DATA USER WORK AREA 350 DETAILED NOTES, GENERAL WELL-BEING DATA Very limited corrections and imputations were made to the CES-D data set (Depression Scale). These changes included imputation for missing data and corrections for response set bias.The instructions for both the imputations and corrections, and the computation of a CES-D scale score are listed below. The user may wish to consider alternative procedures. 1. For each sample person, tape positions 279-298 were examined. All codes that were 8's or blanks were ignored. A consistency check was performed as follows for those tape positions coded 0, 1, 2, or 3: The 4 codes in tape positions 282, 286, 290, and 294 were summed.These are the so-called positive items, that is, the questions are worded in a positive direction. Then the 16 codes in the other CES-D positions were summed. These are the so-called negative items, or questions worded in a negative direction to elicit depression. If and only if the 4 positive items summed to 0 and the 16 negative items summed to 48 (i.e., extreme values indicating depression), the total CES-D score was changed from 48 to 60. If and only if the 4 positive items summed to exactly 12 and the 16 negative items summed to 0, the total CES-D score was changed to 00. 2. For each sample person, positions 279-298 were examined for missing data (code 8 or blank). If more than 5 items were missing for a given sample person, then the whole scale was considered to be missing and a code 99 was placed in the tape positions 299-300. If 5 or fewer items were missing for a sample person, the k non-missing items were summed, divided by k, then multiplied by 20. This computed value was then placed in positions 299-300. 3. For the remaining sample person records, the CES-D scale score was simply computed by summing the values of the 20 items in tape positions 279-298.The range of possible scores is 0-60; 99 indicates significant or total non-response.