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Scientific Data Documentation
Anthropometric Data (1976-1980)
DSN: CC37.HANES2.ANTHRO ABSTRACT HEALTH AND NUTRITION EXAMINATION SURVEY II, 1976-1980 CONTENTS I. Background A. NHANES II 1976-1980 1. Description of Survey 2. Target Population 3. Data Collection Techniques and Content B. Use of NHANES Data C. Editing of the data sets D. Use of sample weights E. Sample Design, Variance Estimation, and Hypothesis testing I. GENERAL NOTES A. DEMOGRAPHIC INFORMATION II. DATA DESCRIPTION A. INDEX B. Record Layout 1. Demographic Data 2. Detailed Notes Use of NHANES Data NCHS requests the cooperation of recipients of data tapes in certain actions related to their use: 1. Any publication based on the data should acknowledge the National Center for Health Statistics (NCHS) as the original source.It should include a disclaimer which credits the authors for any analyses, interpretations, or conclusions, and not NCHS, which is responsible only for the data. 2. Consumers who wish to publish a technical description of the data should make a reasonable effort to ensure that the description is not inconsistent with that published by NCHS.This does not mean, however, that NCHS will review such descriptions. 3. The National Center for Health Statistics would appreciate receiving reprints of journal articles or other publications based upon find- ings from the NHANES II survey. Please forward copies to: Division of Health Examination Statistics National Center for Health Statistics Center Building, Room 2-58, 3700 East-West Highway Hyattsville, Maryland 20782 Editing of the Data Sets The data users' tapes have been subjected to a great deal of careful editing. Some of the continuous data items have extremely high or low values and it has been verified that they do in fact appear that way on the original inter- view documents; that is, it has been verified that the values have not been incorrectly keyed.Within each data tape numerous consistency checks have been performed. However, due to the large volume of data collected in the survey, it is likely that a small number of errors or discrepancies remain undetected . The Division of Health Examination Statistics, NCHS would appreciate if any such errors are detected that they be brought to our attention so that errata sheets can be issued to previous purchasers and corrections made if new data tapes are created. BACKGROUNDDescription of Survey Description of Survey: A detailed description of the design, content,ques- tionnaires, and operation of NHANES II is provided in the following report: Plan and Operation of the Second Health and Nutrition Examination Survey, 1976-1980, DHHS Pub. No. (PHS) 81-1317 Series 1, No. 15, Public Health Service, Superintendent of Documents, U.S. Government Printing Office, Washington, D.C. 20402. The stock number is 017-022-00752-5 and the cost is $5.50. One copy is provided with the documentation herein, and a general summary of the data collection techniques and content is given in Appendix A.DESCRIPTION OF POPULATION Target Population:NHANES II was conducted on a nationwide probability sample of approximately 28,000 persons, ages 6 months-74 years, from the civilian, noninstitutionalized population of the United States. The survey started in February 1976 and was completed in February 1980. The NHANES II sample was selected so that certain population groups thought to be at high risk of malnutrition (persons with low incomes, preschool children and the elderly) were oversampled. Adjusted sampling weights were then computed for 76 age, sex,and race categories in order to inflate the sample in such a manner as to closely reflect the estimated civilian noninstitutionalized U.S. population ages 6 months-74 years at the midpoint of the survey (March 1, 1978). METHODS Use of Sample Weights NHANES II uses a multistage sample designed to represent the civilian noninstitutionalized population of the United States,6 months-74 years of age . Since the sample is not a simple random one, it is necessary to incorporate the person's sample weight for proper analysis of the data.The sample weight is a composite of the individual selection probability, adjustments for nonresponese, and poststratification adjustments. NHANES II provides information on 20,322 interviewed and examined individuals . In addition to the general examination components, several more detailed examinations were performed on subsamples of the population. Therefore, instead of there being one sample weight per person,there are several sample weights for each person. If a person was not selected for a particular subsample, their associated subsample weight is zero. When analyzing the special subsamples, the analyst must be careful to select the appropriate sampling weight from the weights found in tape locations 282-317. For a more complete description of how the sample weights are calculated, see the detailed note section of this documentation. Sample Design, Variance Estimation, and Hypothesis Testing The data collected in the Second National Health and Nutrition Examination Survey (NHANES II) were obtained through a complex sample design involving both clustering and stratification.Because of the complex design and the ratio adjustments applied to the sample weights (see previous section on use of sample weights), the direct application of standard statistical analysis methods for variance estimation and hypothesis testing may be very misleading .The modification of statistical analysis procedures to incorporate the effects of complex survey designs is an important area of research;however, the current methodologies appropriate for the analysis of data from such surveys have not been made readily available in the standard packaged statistical software. There are computer programs available which do provide the capability of variance estimation for complex sample designs. The balanced repeated replication approach 1/ is utilized in &REPERR-&PSALMS-OSIRIS.IV 2/ to calculate the variance-covariance matrix.SESUDAAN, SURREGR 3/ and SUPERCARP 4/ are programs that calculate the variance-covariance matrix using the linearization approach 5/ (Taylor series expansion). In order to provide the user with the capability of estimating the complex sample variances in the NHANES II data using the above procedures, we have provided Strata and Pseudo Primary Sampling Unit (PSU) codes on all data tapes in positions 324-326. These variables and the sample weights are necessary for the calculation of variances. Even though the overall number of examined persons in this survey is quite large for statistical inference purposes, subclass analyses can lead to estimaters that are unstable, particularly estimates of variances. Consequently, analyses of subclasses require that the user pay particular attention to the coefficient of variation for the estimates of means, proportions and totals.In addition, small sample sizes, or a small number of PSU's used in the variance calculations may produce unstable estimates of the variances using the above computer programs. An NCHS Series 2 publication discussing these issues is in publication.6/ DEMOGRAPHIC DATA INFORMATION General 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 NHANES II probability sample. 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 in each household 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. Demographic Data Summary - NHANES II Tape Positions Sample Sequence Number 1- 5 Catalog Number (5371-for Demographic Data only) 6- 9 Data user work area 10 Size of place 11 SMSA-not SMSA 12 Data user work area 13-23 Type of living quarters 24 Land usage 25 If rural, asked does this place have 10 acres or more? 26 If 10 acres or more, asked if in the last 12 months did sales of farm produce and livestock amount to $50 or more? 27 If 10 acres or more, asked to $250 or more? 28 Data user work area 29 Total number of persons in household 30-31 Total number of sample persons in household 32-33 Sample Person Data Tape Positions Data user work area 34 Family relationship 35 Data user work area 36 Family unit number 37-41 Data user work area 42-44 Age-months (at interview) 45-46 Age-years (at interview) 47-48 Data user work area 49-50 Date of birth-month 51-52 Date of birth-year 53-54 Sex 55 Race 56 In what state was he/she born? 57-58 Is he/she married, widowed, divorced, separated or never married? 59 Natural origin or ancestry 60-61 Education level 62-63 Grade completed 64 What was he/she doing during most of the past 12 months? 65 What was he/she doing? 66 Did he/she work at a job or business at any time during the past three months? 67 Did he/she work full or part-time when working? 68 Was he/she working within last two weeks not counting work around the house? 69 Even though he/she did not work, does he/she have a job or business? 70 Was he/she looking for work or on layoff from a job? 71 Which, looking for work or on layoff from a job? 72 What kind of industry or business is this? 73- 75 What kind of work was he/she doing? 76- 78 Was he/she in private company or business or individual for wages, salary or commission? 79 Did he/she ever serve in the armed forces of the U.S.? 80 When did he/she serve? 81 Data user work area 82- 90 Household Data Tape Positions How many rooms are in this...? Count the kitchen, but not the bath 91 How many bedrooms are in this...? 92 Ask only of unrelated household members. Do you have complete kitchen facilities in your living quarters, that is a kitchen sink with piped water, a refrigerator and a range or cookstove? 93 Do you have access to complete kitchen facilities in this house? 94 Do you have access to a range or cookstove? 95 Do you have access to a refrigerator? 96 Do you have access to a sink with piped water? 97 Is there piped water in this house (these living quarters)? 98 Is there both hot and cold water? 99 Are these kitchen facilities used by anyone not living in this household? 100 What is the main type of heating system you have? 101-102 Do you have air conditioning? 103 How many motor vehicles are owned or regularly used for transportation by members of your family? 104 Is any language other than English spoken by family members living here? 105 What language? 106 Which of these income groups represents your total combined family income for the past 12 months? 107-108 During the past 12 months, how much money did you and all members of your family receive in wages or salaries before deductions (under $7,000 only)? 109-112 Social security or railroad retirement? 113 Data user work area 114 If yes, how much? 115-118 Welfare payments or other public assistance? 119 Data user work area 120 If yes, how much? 121-124 Unemployment compensation or workmen's compensation? 125 Data user work area 126 If yes, how much? 127-130 Government employee pension or private pensions? 131 Data user work area 132 If yes, how much? 133-136 Dividends, interest or rent? 137 Data user work area 138 If yes, how much? 139-142 Net income from their own business (nonfarm) professional practice, or partnership? 143 Data user work area 144 If yes, how much? 145-148 Net income from a farm? 149 Data user work area 150 If yes, how much? 151-154 Veteran's payments? 155 Data user work area 156 If yes, how much? 157-160 Alimony, child support or other support from persons not in household? 161 Data user work area 162 If yes, how much? 163-166 Any other income? 167 Data user work area 168 If yes, how much? 169-172 Total amount 173-176 Check Item B 177 Are you certified to participate in the food stamp program? 178 Are you buying food stamps now? 179 What is the main reason you are not participating in the program? 180 Are you certified for commodity distribution program? 181 Are you receiving commodity foods now for your family? 182 Why aren't you participating in the program? 183 Date of exam 184-189 Age in years (at examination) 190-191 Data user work area 192-205 Race-sex recode for sample persons 206 Farm, nonfarm recode for sample person 207 Interview status 208 Region 209 Poverty index 210-212 Data user work area 213-246 Head of Household Data Tape Positions Age in years 247-248 Data user work area 249-250 Date of birth-month 251-252 Date of birth-year 253-254 Sex 255 Race 256 In what state was he/she born? 257-258 Is he/she married, widowed, divorced, separated or never married? 259 Natural origin or ancestry? 260-261 Education level 262-263 Grade completed 264 What was he/she doing during most of the past 12 months? 265 What was he/she doing? 266 Did he/she work at a job or business at any time during the past three months? 267 Did he/she work full or part-time when working? 268 Was he/she working within last two weeks not counting work around the house? 269 Even though he/she did not work, does he/she have a job or business? 270 Was he/she looking for work or on layoff from a job? 271 Which?, looking for work or on layoff from a job? 272 Type of industry or business 273-275 What kind of work was he/she doing? 276-278 Was he/she in private company or business or individual for wages, salary or commission? 279 Did he/she ever serve in the armed forces of the U.S.? 280 When did he/she serve? 281 Sample Weights Tape Positions Examined final weight 282-287 Medical history interview final weight 288-293 Glucose Tolerance Test final examined weight 294-299 Lead final examined weight 300-305 Carboxyhemoglobin final examined weight 306-311 Bile acids final examined weight 312-317 Data user work area 318-323 Strata code 324-325 Pseudo PSU code 326 Poverty, Nonpoverty segments 327 (Not coded on Intake, Recall, Anthro and Glucose tapes) Data user work area 328-350 2Use of Special Terms Demographic Data Use of Special Terms The term "data user work area" refers to blank areas in the data tape which are reserved for the user as needed. The term "blank, but applicable",is used to indicate a data item that was to have a response for a sample person but none was given. The terms "blank" and "Not applicable"refer to data items where the sample person was not supposed to respond to the question or receive the examination component. To more fully understand the questionnaire skip patterns and the categorizations used,see the Plan and Operation of the Second National Health and Nutrition Examination Survey document included with this documentation. All the questionnaires are included in this document. Demographic Data - Record Layout 001-005. Sample Sequence Number TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 001- Sample Sequence Number 005 00001-27796 006-009. Catalog Number TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 006- Catalog Number 009 5371 010. Data User Work Area TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 010 Data User Work Area 011. Size of Place TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 011 Size of Place See Detailed Notes 1 - Urbanized area with 3,000,000 or more 2 - Urbanized area 1,000,000 to 2,999,999 3 - Urbanized area with 250,000 to 999,999 4 - Urbanized area under 250,000 5 - Urban place 25,000 or more outside urbanized area 6 - Urban place 10,000-24,999 outside urbanized area 7 - Urban place 2,500 to 9,999 outside urbanized area 8 - Rural 012. SMSA - Not SMSA TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 012 SMSA-Not SMSA See Detailed Notes 1 - In SMSA, in central city 2 - In SMSA, not in central city 4 - Not in SMSA 013-023. Data User Work Area TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 013- Data User Work Area 023 024. Type of Living Quarters TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 024 Type of living quarters 1 - Housing unit 2 - Other unit 025. Land Usage TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 025 Land Usage 1 - Urban 2 - Rural 026. If Rural, Does Place have 10 Acres or More? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 026 If rural, asked does this place have 10 acres or more? 1 - Yes 2 - No 9 - Not Applicable 027. If 10 Acres or More, was Farm Produce/Livestock >= $50? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 027 If 10 acres or more, asked if in the last 12 months did sales of farm produce and livestock amount to $50 or more? 1 - Yes 2 - No 9 - Not Applicable 028. If Less than 10 Acres, was Farm Produce/Livestock >= $250? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 028 If less than 10 acres, asked if in the last 12 months did sales or farm produce and livestock amount to $250 or more? 1 - Yes 2 - No 9 - Not Applicable 029. Data User Work Area TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 029 Data User Work Area 030-031. Total Number of Persons in Household TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 030- Total Number Of Persons In Household 031 01 - 15 - As given 032-033. Total Number of Sample Persons in Household TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 032- Total Number Of Sample Persons In 033 Household 01 - 06 - As Given Sample Person Data (Tape Loc. 034-090) 034. Data User Work Area TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 034 Data User Work Area 035. Family Relationship TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 035 Family Relationship 1 - Head one person living alone or with non-relatives 2 - Head 2 or more related persons in family 3 - Wife 4 - Child 5 - Other relative 6 - Foster child 7 - Husband 036. Examination Status TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 036 Examination Status 1 - Examined 037-041. Family Unit Code TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 037- Family Unit Code See Detailed Notes 041 00001-21050 - As Given 042-044. Data User Work Area TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 042- Data User Work Area 044 045-046. Age-Months TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 045- Age-Months At Interview 046 06-11 Months Blank, if greater than 11 months 047-048. Age-Years TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 047- Age-Years At Interview 048 01 - 74 Years 00, If less than 12 months 049-050. Data User Work Area TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 049- Data User Work Area 050 051-052. Date-of-Birth-Month TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 051- Date-Of-Birth-Month 052 01 - 12 Month 053-054. Date-of-Birth-Year TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 053- Date-Of-Birth-Year 054 01 - 79 Year 055. Sex TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 055 Sex 1 - Male 2 - Female 056. Race TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 056 Race See Detailed Notes 1 - White 2 - Black 3 - Other 057-058. In What State was He/She Born? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 057- In what state was he/she born? See Detailed Notes 058 01 - 97 88 - Blank, but applicable 059. Is He/She Married,Widowed,Divorced,Separated,Never Married? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 059 Is he/she married, widowed, divorced, separated, or never married? 1 - Under 17 2 - Married 3 - Widowed 4 - Divorced 5 - Separated 6 - Never married 8 - Blank, but applicable 060-061. Natural Origin or Ancestry TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 060- Natural Origin or Ancestry 061 01 - Countries of Central or South America 02 - Chicano 03 - Cuban 04 - Mexican 05 - Mexicano 06 - Mexican-American 07 - Puerto Rican 08 - Other Spanish 09 - Other European, such as German, French, English, Irish 10 - Black, Negro or Afro-American 11 - American Indian or Alaskan Native 12 - Asian or Pacific Islander Such as Chinese, Japanese, Korean, Philippino, Samoan 13 - Another Group Not Listed 88 - Blank, but applicable 062-063. Highest Grade of School Attended TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 062- Highest Grade Of School Attended 063 00 - None (regardless of age) 21 - 28 - Elementary Grades (1-8) 31 - 34 - High School (1-4) 41 - 45 - College (1-5+) 88 - Blank, but applicable 064. Grade Completed TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 064 Grade Completed 1 - Yes 2 - No 8 - Blank, but applicable Blank 065. What was He/She Doing During Most of the Past 12 Months? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 065 What was he/she doing during most of the past 12 months? 1 - Working 2 - Keeping house 3 - Something else 8 - Blank, but applicable Blank 066. What was He/She Doing? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 066 What was he/she doing? 1 - Layoff 2 - Retired 3 - Student 4 - Ill 5 - Staying home 6 - Looking for work 7 - Unable to work 8 - Blank, but applicable 0 - Other Blank 067. Did He/She Work at a Job/Business any During Past 3 Months? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 067 Did he/she work at a job or business at any time during the past three months? 1 - Yes 2 - No 8 - Blank, but applicable Blank 068. Did He/She Work Full or Part-Time when Working? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 068 Did he/she work full or part-time when working? 1 - Full time 2 - Part time 8 - Blank, but applicable Blank 069. Was He/She Working Within Last 2 Wks. - Not Housework? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 069 Was he/she working within last two weeks not counting work around the house? 1 - Yes 2 - No 8 - Blank, but applicable Blank 070. Though He/She did Not Work Does He/She have Job/Business? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 070 Even though he/she did not work does he/she have a job or business? 1 - Yes 2 - No 8 - Blank, but applicable Blank 071. Was He/She Looking for Work or on Layoff from a Job? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 071 Was he/she looking for work or on layoff from a job? 1 - Yes 2 - No 8 - Blank, but applicable Blank 072. Which Looking for Work or on Layoff from a Job? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 072 Which looking for work or on layoff from a job? 1 - Looking 2 - Layoff 3 - Both 8 - Blank, but applicable Blank 073-075. What Kind of Industry or Business in This? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 073- What kind of industry or business is See Detailed Notes 075 this? 017 - 998 (last digit 7, 8, 9) 000 - Blank, but applicable Blank 076-078. What Kind of Work was He/She Doing? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 076- What kind of work was he/she doing? See Detailed Notes 078 001 - 992 - Occupation (last digit 0-6) 000 - Blank, but applicable Blank 079. Was He/She in Private Co./Business or Working for Someone? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 079 Was he/she in private company or business or working for individual for wages, salary or commission? 1 - Private 2 - A Federal government employee 3 - A State government employee 4 - A local government employee 5 - Incorporated-Own 6 - Self-employed (or farm) 7 - Working without pay in family business or farm 8 - Never worked 0 - Blank, but applicable Blank 080. Did He/She Ever Serve in the Armed Forces of the U.S.? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 080 Did he/she ever serve in the armed forces of the U.S.? 1 - Yes 2 - No 8 - Blank, but applicable Blank 081. When did He/She Serve? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 081 When did he/she serve? 1 - Vietnam 2 - Korean War 3 - World War II 4 - World War I 5 - Post Vietnam 6 - Other Service 8 - Blank, but applicable 9 - Do not know Blank 082-090. Data User Work Area TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 082- Data User Work Area 090 Household Data (Tape Loc. 091-246) 091. How Many Rooms are in This ...? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 091 How many rooms are in this..? Count the kitchen, but not the bath. 1 - 8 Rooms 9 - 9 Or More Rooms 092. How Many Bedrooms are in This ...? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 092 How many bedrooms are in this - ? 0 - 7 Bedrooms - More than 7 bedrooms coded as 7 093. Do You have Complete Kitchen Facilities? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 093 Ask only of unrelated household members. Do you have complete kitchen facilities in your living quarters, that is a kitchen sink with piped water, a refrigerator and a range or cookstove? 1 - Yes 2 - No Blank 094. Do You have Access to Complete Kitchen Facilities in House? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 094 Do you have access to complete kitchen facilities in this house? 1 - Yes 2 - No 8 - Blank, but applicable Blank 095. Do You have Access to a Range or Cookstove? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 095 Do you have access to a range or cookstove? 1 - Yes 2 - No 8 - Blank, but applicable Blank 098. Is There Piped Water in This House? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 098 Is there piped water in this house (these living quarters)? 1 - Yes 2 - No 8 - Blank, but applicable Blank 099. Is There Both Hot and Cold Water? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 099 Is there both hot and cold water? 1 - Yes 2 - No 8 - Blank, but applicable Blank 100. Are Kitchen Facilities Used by Anyone Not in Household? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 100 Are these kitchen facilities used by anyone not living in this household? 1 - Yes 2 - No 8 - Blank, but applicable Blank 101-102. Main Type of Heating System TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 101- What is the main type of heating system 102 you have? 11 - Steam or hot water system 12 - Central warm air furnace with ducts to individual rooms or central heat pump (forced air) 13 - Built in electric units (permanently installed in wall, ceiling or baseboard 14 - Floor, wall or pipeless furnace 15 - Circulating, radiant or room heaters, with flue or vent, burning gas, oil, or kerosene 16 - Circulating, radiant, or room heaters (not portable) without flue or vent burning gas, oil or kerosene 17 - Fireplace or stoves burning coal, wood or coke 18 - Portable room heaters of any kind 19 - Some other type 20 - None, unit is not heated 88 - Blank, but applicable 103. Do You have Air Conditioning? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 103 Do you have air conditioning? 1 - Yes, individual room unit 2 - Yes, central air conditioning 3 - No 8 - Blank, but applicable 104. No. of Motor Vehicles Owner/Used by Members of Family TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 104 How many motor vehicles are owned or regularly used for transportation by members of your family? 0 - None 1 - 8 Vehicles (more than 8 coded as 8) 9 - Blank, but applicable 105. Is Language Other than English Spoken by Family Members? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 105 Is any language other than English spoken by family members living here? 1 - Yes 2 - No 8 - Blank, but applicable 106. What Language? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 106 What language? 0 - German 1 - Italian 2 - French 3 - Polish 4 - Russian 5 - Spanish 6 - Chinese 7 - Other language 8 - Blank, but applicable 9 - Not applicable 107-108. Group Representing Tot. Family Income for Past 12 Mo. TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 107- Which of these income groups represents See Detailed Notes 108 your total combined family income for the past 12 months? 11 - Under $1,000 12 - $1,000-1,999 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 109-112. Amt. Money Received by Members of Family During 12 Mo. TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 109- During the past 12 months, how much 112 money did you and all members of your family receive in wages or salaries before deductions? 0000 - 6999 Amount 8888 - Blank, but applicable Blank 113. Social Security or Railroad Retirement? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 113 Social security or railroad retirement? 1 - Yes 2 - No 8 - Blank, but applicable Blank 114. Data User Work Area TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 114 Data User Work Area 115-118. If Yes, How Much? (Social Security/Railroad Retirement) TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 115- If yes, how much? 118 0038 - 6828 Amount 8888 - Blank, but applicable Blank 119. Welfare Payments or Other Public Assistance? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 119 Welfare payments or other public assistance? 1 - Yes 2 - No 8 - Blank, but applicable Blank 120. Data User Work Area TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 120 Data User Work Area 121-124. If Yes, How Much? (Welfare Payments/Other Assistance) TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 121- If yes, how much? 124 0012 - 6800 Amount 8888 - Blank, but applicable Blank 125. Unemployment Compensation or Workman's Compensation? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 125 Unemployment Compensation or Workman's Compensation 1 - Yes 2 - No 8 - Blank, but applicable Blank 126. Data User Work Area TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 126 Data User Work Area 127-130. If Yes, How Much? (Unempl. Comp./Workman's Comp.) TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 127- If yes, how much? 130 0015 - 5640 Amount 8888 - Blank, but applicable Blank 131. Government Employee Pension or Private Pensions? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 131 Government Employee Pension or Private Pensions? 1 - Yes 2 - No 8 - Blank, but applicable Blank 132. Data User Work Area TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 132 Data User Work Area 133-136. If Yes, How Much? (Gov't. Employee/Private Pension) TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 133- If yes, how much? 136 0036 - 6000 Amount 8888 - Blank, but applicable Blank 137. Dividends, Interest or Rent? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 137 Dividends, Interest or Rent? 1 - Yes 2 - No 8 - Blank, but applicable Blank 138. Data User Work Area TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 138 Data User Work Area 139-142. If Yes, How Much? (Dividends, Interest or Rent) TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 139- If yes, how much? 142 0001 - 5200 Amount 8888 - Blank, but applicable Blank 143. Net Income from Own Bus.,Professional Practice,Partnership? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 143 Net income from their own business (nonfarm) professional practice, or partnership? 1 - Yes 2 - No 3 - Loss 8 - Blank, but applicable Blank 144. Data User Work Area TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 144 Data User Work Area 145-148. If Yes, How Much? (Net Income) TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 145- If yes, how much? 148 0001 - 6800 Amount 8888 - Blank, but applicable Blank 149. Net Income from a Farm? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 149 Net income from a farm? 1 - Yes 2 - No 3 - Loss 8 - Blank, but applicable Blank 150. Data User Work Area TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 150 Data User Work Area 151-154. If Yes, How Much? (Net Income from Farm) TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 151- If yes, how much? 154 0000 - 6500 Amount 8888 - Blank, but applicable Blank 155. Veterans Payments? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 155 Veterans payments? 1 - Yes 2 - No 8 - Blank, but applicable Blank 156. Data User Work Area TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 156 Data User Work Area 157-160. If Yes, How Much? (Veterans Payments) TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 157- If yes, how much? 160 0060 - 6000 Amount 8888 - Blank, but applicable Blank 161. Alimony, Child Support or Other Support? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 161 Alimony, child support or other support from persons not in household? 1 - Yes 2 - No 8 - Blank, but applicable Blank 162. Data User Work Area TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 162 Data User Work Area 163-166. If Yes, How Much? (Alimony,Child Support,Other Support) TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 163- If yes, how much? 166 0020 - 6900 Amount 8888 - Blank, but applicable Blank 167. Any Other Income? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 167 Any other income? 1 - Yes 2 - No 8 - Blank, but applicable Blank 168. Data User Work Area TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 168 Data User Work Area 169-172. If Yes, How Much? (Other Income) TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 169- If yes, how much? 172 0003 - 6403 Amount 8888 - Blank, but applicable Blank 173-176. Total Amount TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 173- Total Amount Q 21 & 22 176 0000 - 6999 Amount 8888 - Blank, but applicable Blank 177. Check Item B TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 177 Check Item B 2 - Food stamps available 4 - Both - Food Stamps and commodities 178. Are You Certified to Participate in Food Stamp Program? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 178 Are you certified to participate in the food stamp program? 1 - Yes 2 - No 8 - Blank, but applicable Don't know 179. Are You Buying Food Stamps Now? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 179 Are you buying food stamps now? 1 - Yes, Regularly 2 - Yes, Occasionally 3 - No 8 - Blank, but applicable Blank 180. Main Reason You are Not Participating in Food Stamps Prog. TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 180 What is the main reason you are not participating in the program? 1 - No need 2 - Not enough money at the time 3 - No transportation 4 - Pride 5 - Other 8 - Blank, but applicable Blank 181. Are You Certified for Commodity Distribution Program? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 181 Are you certified for commodity distribution program? 1 - Yes 2 - No 9 - Do not know Blank 182. Are You Receiving Commidity Foods Now for Your Family? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 182 Are you receiving commodity foods now for your family? 1 - Yes, regularly 2 - Yes, occasionally 3 - No Blank 183. Why Aren't You Participating in Commodity Foods Program? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 183 Why aren't you participating in the program? 1 - No need 2 - No transportation 3 - Pride 4 - Other 8 - Blank, but applicable Blank 184-185. Date of Exam Month TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 184- Date of Exam Month Control Record 185 01 - 12 186-187. Date of Exam Day TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 186- Date of Exam Day Control Record 187 00 - 31 188-189. Date of Exam Year TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 188- Date of Exam Year Control Record 189 76 - 80 190-191. Age Years TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 190- Age Years At Examination 191 01 - 75 Years 00 - If less than 12 months or non- examined 192-205. Data User Work Area TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 192- Data User Work Area 205 206. Race Sex Recode for Sample Person TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 206 Race Sex Recode For Sample Person See Detailed Notes 1 - Male, White 2 - Male, Black 3 - Male, Other 4 - Female, White 5 - Female, Black 6 - Female, Other 207. Farm, Non-Farm Recode for Sample Person TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 207 Farm, Non-Farm Recode For Sample Person See Detailed Notes 1 - Farm 2 - Non-Farm 208. Interview Status TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 208 Interview Status 1 - Interviewed 209. Region TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 209 Region See Detailed Noted 1 - Northeast 2 - Midwest 3 - South 4 - West 210-212. Poverty Index TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 210- Poverty Index (x.xx) See Detailed Notes 212 001 - 880 - As Given 999 - Unknown 213-246. Data User Work Area TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 213- Data User Work Area 246 Head of Household Data (Tape Loc. 247-281) 247-248. Age Years TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 247- Age Years 248 15 - 99 Years (more than 100 coded as 99) 249-250. Data User Work Area TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 249- Data User Work Area 250 251-252. Date-of-Birth-Month TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 251- Date-Of-Birth-Month 252 01 - 12 Month 88 - Blank, but applicable 253-254. Date-of-Birth-Year TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 253- Date-Of-Birth-Year 254 00 - 99 Year 255. Sex TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 255 Sex 1 - Male 2 - Female 256. Race TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 256 Race See Detailed Notes 1 - White 2 - Black 3 - Other 257-258. In What State was He/She Born? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 257- In what state was he/she born? See Detailed Notes 258 01 - 97 88 - Blank, but applicable 259. Is He/She Married,Widowed,Divorced,Separated,Never Married? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 259 Is he/she married, widowed, divorced, separated, or never married? 1 - Under 17 2 - Married 3 - Widowed 4 - Divorced 5 - Separated 6 - Never married 8 - Blank, but applicable 260-261. Natural Origin or Ancestry TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 260- Natural Origin or Ancestry? 261 01 - Countries of Central or South America 02 - Chicano 03 - Cuban 04 - Mexican 05 - Mexicano 06 - Mexican-American 07 - Puerto Rican 08 - Other Spanish 09 - Other European, such as German, French, English, Irish 10 - Black, Negro or Afro-American 11 - American Indian or Alaskan Native 12 - Asian or Pacific Islander Such as Chinese, Japanese, Korean, Philippino, Samoan 13 - Another Group Not Listed 88 - Blank, but applicable 262-263. Highest Grade Attended TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 262- Highest Grade Attended 263 00 - None (regardless of age) 21 - 28 - Elementary Grades (1-8) 31 - 34 - High School (1-4) 41 - 45 - College (1-5+) 88 - Blank, but applicable 264. Grade Completed? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 264 Grade Completed 1 - Yes 2 - No 8 - Blank, but applicable Blank 265. What was He/She Doing During Most of the Past 12 Months? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 265 What was he/she doing during most of the past 12 months? 1 - Working 2 - Keeping house 3 - Something else 8 - Blank, but applicable Blank 266. What was He/She Doing? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 266 What was he/she doing? 1 - Layoff 2 - Retired 3 - Student 4 - Ill 5 - Staying home 6 - Looking for work 7 - Unable to work 8 - Blank, but applicable 0 - Other Blank 267. Did He/She Work at Job/Business During Past 3 Months? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 267 Did he/she work at job or business during past three months? 1 - Yes 2 - No 8 - Blank, but applicable Blank 268. Did He/She Work Full or Part-Time when Working? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 268 Did he/she work full or part-time when working? 1 - Full time 2 - Part time 8 - Blank, but applicable Blank 269. Did He/She Work During Last 2 Wks. - Not Housework? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 269 Did he/she work at any time the last two weeks not counting work around the house? 1 - Yes 2 - No 8 - Blank, but applicable Blank 270. Though He/She did Not Work, Does He/She have Job/Business? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 270 Even though he/she did not work, does he/she have a job or business? 1 - Yes 2 - No 8 - Blank, but applicable Blank 271. Was He/She Looking for Work or on Layoff from a Job? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 271 Was he/she looking for work or on layoff from a job? 1 - Yes 2 - No 8 - Blank, but applicable Blank 272. Which, Looking for Work or on Layoff from a Job? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 272 Which, looking for work or on layoff from a job? 1 - Looking 2 - Layoff 3 - Both 8 - Blank, but applicable Blank 273-275. Type of Industry or Business? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 273- Type of industry or business? See Detailed Notes 275 017 - 998 (last digit 7, 8, 9) 000 - Blank, but applicable Blank 276-278. What Kind of Work was He/She Doing? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 276- What kind of work was he/she doing? See Detailed Notes 278 001 - 992 - Occupation (last digit 0-6) 000 - Blank, but applicable Blank 279. Was He/She in Private Co./Business or Working for Someone? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 279 Was he/she in private company or business or working for individual for wages, salary or commission? 1 - Private 2 - A Federal government employee 3 - A State government employee 4 - A local government employee 5 - Incorporated-Own 6 - Self-employed (or farm) 7 - Working without pay in family business or farm 8 - Never worked 0 - Blank, but applicable Blank 280. Did He/She Ever Serve in the Armed Forces of the U.S.? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 280 Did he/she ever serve in the armed forces of the U.S.? 1 - Yes 2 - No 8 - Blank, but applicable Blank 281. When Did He/She Serve? TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 281 When did he/she serve? 1 - Vietnam 2 - Korean War 3 - World War II 4 - World War I 5 - Post Vietnam 6 - Other Service 8 - Blank, but applicable 9 - Do not know Blank Sample Weights (Tape Loc. 282-350) 282-287. Examined Final Weight TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES SEE DETAILED NOTES FOR POSITIONS 282-326 282- Examined Final Weight 287 001218 - 079634 288-293. Medical History Interview Final Weight TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES SEE DETAILED NOTES FOR POSITIONS 282-326 288- Medical History Interview Final Weight 293 001171 - 071969 294-299. Glucose Tolerance Test Final Examined Weight TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES SEE DETAILED NOTES FOR POSITIONS 282-326 294- Glucose Tolerance Test Final Examined 299 Weight 003502 - 084477 000000 300-305. Lead Final Examined Weight TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES SEE DETAILED NOTES FOR POSITIONS 282-326 300- Lead Final Examined Weight 305 001218 - 084115 000000 306-311. Carboxyhemoglobin Final Examined Weight TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES SEE DETAILED NOTES FOR POSITIONS 282-326 306- Carboxyhemoglobin Final Examined Weight 311 002546 - 110759 000000 312-317. Bile Acids Final Examined Weight TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES SEE DETAILED NOTES FOR POSITIONS 282-326 312- Bile Acids Final Examined Weight 317 003519 - 087638 000000 318-323. Data User Work Area TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES SEE DETAILED NOTES FOR POSITIONS 282-326 318- Data User Work Area 323 324-325. STRATA TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES SEE DETAILED NOTES FOR POSITIONS 282-326 324- STRATA 325 01 - 32 326. PSEUDO Primary Sampling Unit TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES SEE DETAILED NOTES FOR POSITIONS 282-326 326 PSEUDO Primary Sampling Unit 1 OR 2 328. Poverty/Non-Poverty Segments TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 328 Poverty/Non-Poverty Segments 1-Non-Poverty 2-Poverty 328-350. Data User Work Area TAPE ** CONTROL NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES COUNTS OR NOTES 328- Data User Work Area 350 DETAILED NOTES, DEMOGRAPHIC DATA Tape Position 11 - Size of Place Size of place classification was derived from the 1970 census. According to the definition used in the 1970 census, the urban population was comprised of all persons living in (a) places of 2,500 inhabitants or more incorporated as cities, boroughs (except Alaska),villages and towns (except towns in New York ,New England States,and Wisconsin),but excluding those persons living in the rural portions of extended cities; (b) unincorporated places of 2,500 inhabitants or more; and (c) other territories included in urbanized areas. 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 12 - SMSA Except in New England,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 1970 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. In New England, SMSA's consist of towns and cities, rather than counties. Tape Positions 37-41 - Family Unit Code All related sample persons in the same family unit have the same computer generated family unit code. This will enable analysis of individual family units. Tape Positions 56, 206, 256 - Race The race of the respondent was marked by observation and the interviewers were instructed to assume the race of all related persons was the same as the respondent unless otherwise learned.The race categories were "White","Black" or "Other". If the appropriate category could not be marked by observation, then race was asked. Interviewers were instructed to record persons who responded with something other than White or Black,such as Japanese,Chinese, American Indian, Korean, Hindu, Eskimo, etc., as "Other"; and to include Mexicans,Puert Ricans and other persons of Latin American descent in "White", unless definitely Black, American Indian, or of other non-white race. Tape Positions 57-58 and 257-258 United States Name of Place Code Alabama 01 Alaska 02 Arizona 04 Arkansas 05 California 06 Colorado 08 Connecticut 09 Delaware 10 District of Columbia 11 Florida 12 Georgia 13 Hawaii 15 Idaho 16 Illinois 17 Indiana 18 Iowa 19 Kansas 20 Kentucky 21 Louisiana 22 Maine 23 Maryland 24 Massachusetts 25 Michigan 26 Minnesota 27 Mississippi 28 Missouri 29 Montana 30 Nebraska 31 Nevada 32 New Hampshire 33 New Jersey 34 New Mexico 35 New York 36 North Carolina 37 North Dakota 38 Ohio 39 Oklahoma 40 Oregon 41 Pennsylvania 42 Rhode Island 44 South Carolina 45 South Dakota 46 Tennessee 47 Texas 48 Utah 49 Vermont 50 Virginia 51 Washington 53 West Virginia 54 Wisconsin 55 Wyoming 56 Outlying Areas of the United States Name of Place Code Description American Samoa 60 U.S. territory in the Pacific Canal Zone 61 Territory in Panama leased by U.S. Canton and Enderbury Islands 62 Under common US-UK administration Guam 66 U.S. territory in the Pacific Johnston Atoll U.S. territory in the Pacific, includes Sand Island Midway Islands 71 U.S. territory in the Pacific Puerto Rico 72 Commonwealth associated with the U.S. Swan Islands 74 U.S. territory in the Caribbean Trust Territories of the Pacific 75 U.S. administered, includes Islands Caroline, Mariana, and Marshall Island Groups U.S. Miscellaneous Caribbean 76 Includes Navassa Islands, Quito Islands Sueno Bank, Roncador Cay, Serrana Bank, Serranilla Bank U.S. Miscellaneous Pacific 77 Includes Kingman Reef, Howland, Islands Baker and Jarvis Islands, Palmyra Atoll Virgin Islands 78 U.S. territory in the Caribbean Wake Island 79 U.S. territory in the Pacific Foreign Countries North America 91 South America 92 Europe 93 Africa 94 Asia 95 Australasia 96 Pacific Islands 97 Tape Pos. 73-75,76-78,273-275,276-278-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 spent 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 Occupa- tion 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 Positions 107-108 - Family Income Group The respondent was handed a card with 12 income ranges listed as Group A to Group L and asked "Which of these income groups represents your total com- bined family income for the past 12 months,that is,yours, your ...'s, etc? include income from all sources such as wages,salaries,social security or retirement benefits, help from relatives, rent from property and so forth." If the respondent answered Group A through G,that is with an income less than $7,000,then questions 21 and 22 detailing exact sources and amounts of income were asked; otherwise, these questions were skipped. No effort was made to reconcile amounts reported in detailed questions 21 and 22 with the categorical response to the family income group question. During the survey time period, no adjustments to the income groups or $7,000 value were made to account for inflation. Tape Position 207 - Land Land used for farming purposes (Code 1 in Tape Position 207) was identified as being rural land (Code 2 in Tape Position 25) consisting of 10 or more acres (Code 1 in Tape Position 26) with crop sales amounting to $50 or more (Code 1 in Tape Position 27), or rural land (Code 2 in Tape Position 25) consisting of less than 10 acres(Code 2 in Tape Position 26)with crop sales amounting to $250 or more (Code 1 in Tape Position 28).All other land is classified as nonfarm (Code 2 in Tape Position 207). Tape Position 209 - Region The United States was divided into four broad geographic regions of approximately equal population. Those regions, which deviate somewhat from the groups used by the Bureau of 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, Wyoming, Alaska, Hawaii Tape Positions 210-212 - Poverty Index Income status was determined by the Poverty Income Ratio (PIR). Poverty statistics published in the Census Bureau reports 1-5 were based on the poverty index developed by the Social Security Administration (SSA) in 1964. (For a detailed discussion of the SSA poverty standards, see reference 6.) Modifications in the definition of poverty were adopted in 1969.7 The stand- ard data series in poverty for statistical use by all executive departments and establishments has been established.8 The two components of the PIR are the total income of the household (numera- tors the median of the income group for incomes $7,000 and above; the sum of the porponent parts of the income questions for incomes under $7,000) 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 relatively 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 tables, 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 twice 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 variations in the cost of living (except for the farm, nonfarm difference).None of the noncash public welfare benefits such as food stamp bonuses are included in the income of the low income families receiving these benefits.PIR has been adjusted by year (see tables) and accounts in some part for inflation. 1 U.S. Bureau of the Census, Current Population Reports, Series P-60, No. 107, "Money Income and Poverty Status of Families and Persons in the United States: 1976" (Advance Report) U.S. Government Printing Office, Washington, D.C., 1977. 2 U.S. Bureau of the Census, Current Population Reports, Series P-60, No. 116, "Money Income and Poverty Status of Families and Persons in the United States: 1977" (Advance Report) U.S. Government Printing Office, Washington, D.C., 1978. 3 U.S. Bureau of the Census, Current Population Reports, Series P-60, No. 120, "Money Income and Poverty Status of Families and Persons in the United States: 1978" (Advance Report), U.S. Government Printing Office, Washington, D.C., 1979. 4 U.S. Bureau of the Census, Current Population Reports, Series P-60, No. 125, "Money Income and Poverty Status of Families and Persons in the United States: 1979" (Advance Report), U.S. Government Printing Office, Washington, D.C., 1980. 5 U.S. Bureau of the Census, Current Population Reports, Series P-60, No. 127, "MoneyIncome and Poverty Status of Families and Persons in the United States: 1980"(Advance Data from the March 1981 Current Population Survey), U.S. Government Printing Office, Washington, D.C., 1981. 6 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. 7 U.S. Bureau of the Census, Current Population Reports, Series P-23, No. 28 "Special Studies", U.S. Government Printing Office, Washington, D.C., August 12, 1969. 8 Circular No. A-46,Transmitted Memorandum No. 9,Executive Office of the President, Bureau of the Budget, August 29, 1969, and Exhibit L (rev.). Tape Positions 282-323 A multistage estimation procedure was used to calculate the various NHANES II subsample sample weights that are necessary to use in any analysis of the data.The procedure has three basic components:(1) inflation by reciprocals of the probabilities of selection, (2) adjustment for nonresponse, and (3) poststratification ratio adjustment by age-sex-race. A brief description of each component is as follows: Inflation by reciprocals of the sampling probabilities.Since the survey utilized a three-stage sample design, there were three probabilities of selection: (1) the probability of selecting the PSU,(2) the probability of selecting a segment (housing unit),and (3) the probability of select- ing a sample person. Adjustment for nonresponse. Estimates from the NHANES II data were adjusted to account for sample persons who were not examined. The estimates were inflated by a multiplication factor calculated within five selected income groups, three age groups, four regions, and standard metropolitan statistical area (SMSA) or non-SMSA. The numerator of these factors was the sum of the weights for sample persons resulting from the reciprocal of the probability of selection, and the denominator was the sum of the weights for examined persons also resulting from the reciprocals of the sampling probabilities. Poststratification by age-sex-race. The estimates were ratio adjusted within each of 76 age-sex-race cells to an independent estimate,provided by the U.S. Bureau of the Census, of the population of each cell as of March 1, 1978, (approximate mid-point of the survey). The ratio adjustment was a multiplication factor of which the numerator was the U.S.population and the denominator was the sum of the weights adjusted for nonresponse for examined persons. This ratio estimation process makes the sample more closely representative of the civilian, noninstitutionalized population of the U.S. Potential bias of nonresponse.Usually a sizeable number of sample persons who initially are willing to complete the household information and some of the medical history questionnaire subsequently will not participate in the examination.This creates the potential for bias if these persons differ from other sample persons with respect to the variables being studied. Intense efforts were undertaken during NHANES II to develop and implement standard procedures and inducements that would reduce the number of nonrespondents and thereby reduce the potential for bias. The user needs to be aware of and should explore the potential bias for nonresponse in any analysis of the NHANES II data. Tables (By Size of Family, Sex of Head, Farm-Nonfarm Residence) Table 15. Weighted Avg. Thresholds-Poverty Cutoffs in 1976 Table 15. WEIGHTED AVERAGE THRESHOLDS--POVERTY CUTOFFS IN 1976, BY SIZE OF FAMILY AND SEX OF HEAD, BY FARM-NONFARM RESIDENCE NONFARM SIZE OF FAMILY UNIT Total Total Male Head Female Head (Dollars) (Dollars) (Dollars) (Dollars) 1 Person (Unrelated Individual). . . . . . . . . 2 877 2 884 3 016 2 788 14 to 64 Years . . . . . . . 2 954 2 959 3 069 2 840 65 Years And Over. . . . . . 2 720 2 730 2 758 2 722 2 Persons. . . . . . . . . . . 3 688 3 711 3 721 3 660 Head 14 to 64 Years. . . . . 3 806 3 826 3 846 3 733 Head 65 Years and Over . . . 3 417 3 445 3 447 3 428 3 Persons. . . . . . . . . . . 4 515 4 540 4 565 4 414 4 Persons. . . . . . . . . . . 5 786 5 815 5 818 5 790 5 Persons. . . . . . . . . . . 6 838 6 876 6 884 6 799 6 Persons. . . . . . . . . . . 7 706 7 760 7 766 7 709 7 Persons Or More. . . . . . . 9 505 9 588 9 622 9 375 FARM SIZE OF FAMILY UNIT Total Male Head Female Head (Dollars) (Dollars) (Dollars) 1 Person (Unrelated Individual). . . . . 2 438 2 532 2 348 14 to 64 Years . . . . . . . . . . . . 2 542 2 608 2 413 65 Years And Over. . . . . . . . . . . 2 322 2 344 2 313 2 Persons. . . . . . . . . . . . . . . . 3 128 3 133 3 033 Head 14 to 64 Years. . . . . . . . . . 3 267 3 271 3 159 Head 65 Years and Over . . . . . . . . 2 928 2 928 2 922 3 Persons. . . . . . . . . . . . . . . . 3 858 3 864 3 734 4 Persons. . . . . . . . . . . . . . . . 4 950 4 953 4 840 5 Persons. . . . . . . . . . . . . . . . 5 870 5 871 5 847 6 Persons. . . . . . . . . . . . . . . . 6 585 6 584 6 607 7 Persons Or More. . . . . . . . . . . . 8 072 8 068 8 428 Table 15. Weighted Avg. Thresholds-Poverty Cutoffs in 1977 Table 15. WEIGHTED AVERAGE THRESHOLDS--POVERTY CUTOFFS IN 1977, BY SIZE OF FAMILY AND SEX OF HEAD, BY FARM-NONFARM RESIDENCE NONFARM SIZE OF FAMILY UNIT Total Total Male Head Female Head (Dollars) (Dollars) (Dollars) (Dollars) 1 Person (Unrelated Individual). . . . . . . . . 3 067 3 075 3 214 2 969 14 to 64 Years . . . . . . . 3 147 3 152 3 267 3 023 65 Years And Over. . . . . . 2 895 2 906 2 936 2 898 2 Persons. . . . . . . . . . . 3 928 3 951 3 961 3 907 Head 14 to 64 Years. . . . . 4 054 4 072 4 095 3 981 Head 65 Years and Over . . . 3 637 3 666 3 670 3 646 3 Persons. . . . . . . . . . . 4 806 4 833 4 860 4 708 4 Persons. . . . . . . . . . . 6 157 6 191 6 195 6 162 5 Persons. . . . . . . . . . . 7 279 7 320 7 329 7 238 6 Persons. . . . . . . . . . . 8 208 8 261 8 268 8 197 7 Persons Or More. . . . . . . 10 137 10 216 10 249 9 995 FARM SIZE OF FAMILY UNIT Total Male Head Female Head (Dollars) (Dollars) (Dollars) 1 Person (Unrelated Individual). . . . . 2 588 2 672 2 498 14 to 64 Years . . . . . . . . . . . . 2 709 2 776 2 569 65 Years And Over. . . . . . . . . . . 2 475 2 495 2 563 2 Persons. . . . . . . . . . . . . . . . 3 318 3 325 3 176 Head 14 to 64 Years. . . . . . . . . . 3 466 3 474 3 278 Head 65 Years and Over . . . . . . . . 3 128 3 131 3 079 3 Persons. . . . . . . . . . . . . . . . 4 093 4 110 3 893 4 Persons. . . . . . . . . . . . . . . . 5 273 5 274 5 213 5 Persons. . . . . . . . . . . . . . . . 6 247 6 247 6 237 6 Persons. . . . . . . . . . . . . . . . 7 026 7 026 7 040 7 Persons Or More. . . . . . . . . . . . 8 708 8 706 8 738 Table A-3. Weighted Avg. Thresholds at Poverty Level in 1978 Table A-3. WEIGHTED AVERAGE THRESHOLDS AT THE POVERTY LEVEL IN 1978, BY SIZE OF FAMILY AND SEX OF HEAD, BY FARM-NONFARM RESIDENCE NONFARM SIZE OF FAMILY UNIT Male Female Total Total Head1 Head1 1 Person (Unrelated Individual). . . . . . . . . $3,302 $3,311 $3,460 $3,196 14 to 64 Years . . . . . . . 3,386 3,392 3,516 3,253 65 Years And Over. . . . . . 3,116 3,127 3,159 3,118 2 Persons. . . . . . . . . . . 4,225 4,249 4,258 4,206 Head 14 to 64 Years. . . . . 4,363 4,383 4,407 4,286 Head 65 Years and Over . . . 3,917 3,944 3,948 3,923 3 Persons. . . . . . . . . . . 5,178 5,201 5,231 5,065 4 Persons. . . . . . . . . . . 6,628 6,662 6,665 6,632 5 Persons. . . . . . . . . . . 7,833 7,880 7,888 7,806 6 Persons. . . . . . . . . . . 8,825 8,891 8,895 8,852 7 Persons Or More. . . . . . . 10,926 11,002 11,038 10,765 FARM SIZE OF FAMILY UNIT Male Female Total Head1 Head1 1 Person (Unrelated Individual). . . . . $2,795 $2,898 $2,690 14 to 64 Years . . . . . . . . . . . . 2,913 2,987 2,764 65 Years And Over. . . . . . . . . . . 2,661 2,685 2,650 2 Persons. . . . . . . . . . . . . . . . 3,578 3,582 3,497 Head 14 to 64 Years. . . . . . . . . . 3,731 3,737 3,614 Head 65 Years and Over . . . . . . . . 3,352 3,354 3,313 3 Persons. . . . . . . . . . . . . . . . 4,413 4,430 4,216 4 Persons. . . . . . . . . . . . . . . . 5,681 5,683 5,622 5 Persons. . . . . . . . . . . . . . . . 6,714 6,714 6,700 6 Persons. . . . . . . . . . . . . . . . 7,541 7,543 7,462 7 Persons Or More. . . . . . . . . . . . 9,373 9,386 8,813 1 For one person (i.e., unrelated individual), sex of the individual. Table 17. Weighted Avg. Thresholds-Poverty Cutoffs in 1979 Table 17. WEIGHTED AVERAGE THRESHOLDS--POVERTY CUTOFFS IN 1979, BY SIZE AND TYPE OF FAMILY, BY FARM-NONFARM RESIDENCE NONFARM Families With SIZE OF FAMILY UNIT Total Total Female HHLDR, No Husband1 All Other Present Families2 (Dollars) (Dollars) (Dollars) (Dollars) 1 Person (Unrelated Individual). . . . . . . . . 3 683 3 689 3 556 3 855 14 to 64 Years . . . . . . . 3 773 3 778 3 619 3 912 65 Years And Over. . . . . . 3 472 3 479 3 469 3 515 2 Persons. . . . . . . . . . . 4 702 4 725 4 669 4 737 Head 14 to 64 Years. . . . . 4 858 4 878 4 762 4 905 Head 65 Years and Over . . . 4 364 4 390 4 362 4 394 3 Persons. . . . . . . . . . . 5 763 5 784 5 624 5 820 4 Persons. . . . . . . . . . . 7 386 7 412 7 381 7 416 5 Persons. . . . . . . . . . . 8 736 8 775 8 690 8 785 6 Persons. . . . . . . . . . . 9 849 9 914 9 843 9 922 7 Persons Or More. . . . . . . 12 212 12 280 12 037 12 322 FARM Families With Female HHLDR, No Husband All Other SIZE OF FAMILY UNIT Total Present1 Families2 (Dollars) (Dollars) (Dollars) 1 Person (Unrelated Individual). . . . . 3 138 3 001 3 236 14 to 64 Years . . . . . . . . . . . . 3 254 3 076 3 324 65 Years And Over. . . . . . . . . . . 2 963 2 948 2 988 2 Persons. . . . . . . . . . . . . . . . 3 987 3 917 3 991 Head 14 to 64 Years. . . . . . . . . . 4 156 4 027 4 163 Head 65 Years and Over . . . . . . . . 3 730 3 686 3 732 3 Persons. . . . . . . . . . . . . . . . 4 917 4 680 4 928 4 Persons. . . . . . . . . . . . . . . . 6 329 6 261 6 332 5 Persons. . . . . . . . . . . . . . . . 7 492 7 509 7 492 6 Persons. . . . . . . . . . . . . . . . 8 424 8 309 8 428 7 Persons Or More. . . . . . . . . . . . 10 533 10 178 10 547 1 Includes female unrelated individuals. 2 Includes male unrelated individuals. Table 17. Weighted Avg. Thresholds-Poverty Cutoffs in 1980 Table 17. WEIGHTED AVERAGE THRESHOLDS--POVERTY CUTOFFS IN 1980, BY SIZE AND TYPE OF FAMILY, BY FARM-NONFARM RESIDENCE NONFARM Families With SIZE OF FAMILY UNIT Total Total Female HHLDR, No Husband1 All Other Present Families2 (Dollars) (Dollars) (Dollars) (Dollars) 1 Person (Unrelated Individual). . . . . . . . . 4 184 4 190 4 037 4 379 14 to 64 Years . . . . . . . 4 286 4 290 4 109 4 441 65 Years And Over. . . . . . 3 941 3 949 3 938 3 990 2 Persons. . . . . . . . . . . 5 338 5 363 5 316 5 373 Head 14 to 64 Years. . . . . 5 518 5 537 5 415 5 568 Head 65 Years and Over . . . 4 954 4 983 4 946 4 988 3 Persons. . . . . . . . . . . 6 539 6 565 6 388 6 605 4 Persons. . . . . . . . . . . 8 385 8 414 8 382 8 418 5 Persons. . . . . . . . . . . 9 923 9 966 9 878 9 976 6 Persons. . . . . . . . . . . 11 215 11 269 11 227 11 274 7 Persons Or More. . . . . . . 13 883 13 955 13 767 13 986 FARM Families With Female HHLDR, No Husband All Other SIZE OF FAMILY UNIT Total Present1 Families2 (Dollars) (Dollars) (Dollars) 1 Person (Unrelated Individual). . . . . 3 539 3 392 3 680 14 to 64 Years . . . . . . . . . . . . 3 693 3 492 3 773 65 Years And Over. . . . . . . . . . . 3 359 3 347 3 392 2 Persons. . . . . . . . . . . . . . . . 4 502 4 302 4 513 Head 14 to 64 Years. . . . . . . . . . 4 714 4 497 4 721 Head 65 Years and Over . . . . . . . . 4 233 4 185 4 237 3 Persons. . . . . . . . . . . . . . . . 5 573 5 271 5 587 4 Persons. . . . . . . . . . . . . . . . 7 170 7 152 7 170 5 Persons. . . . . . . . . . . . . . . . 8 472 8 373 8 474 6 Persons. . . . . . . . . . . . . . . . 9 613 9 168 9 625 7 Persons Or More. . . . . . . . . . . . 11 915 12 133 11 389 1 Includes female unrelated individuals. 2 Includes male unrelated individuals. ANTHROPOMETRIC DATA INFORMATION General Information Anthropometry: In the mobile examination center, two health tech- nicians obtained measurements of height and weight and a series of body and skinfold measurements for all examinees. See Appendix B for a description of procedures and instructions for body measurements from the NHANES II examination staff procedures manual. Data Editing Anthropometry Data Editing: All anthropometric measurements obtained in the mobile examination center were compiled and keyed by the U.S. Bureau of the Census and sent to the Division of Health Examination Statistics on tape. The data were edited for completeness and accuracy and certain consistency and range edits were performed to check for unusual or problematic data. When a question of accuracy arose, reference was made to microfilm records of the original recording documents. Anthropometric Data Summary Tape Positions Catalog Number 5301 351-354 Examiner Number 355-356 Bitrochanteric Breadth 357-359 Imputation Code 360 Elbow Breadth Right side measurement 361-363 Imputation Code (right side) 364 Left side measurement 365-367 Upper Arm Girth Right side measurement 368-370 Imputation Code (right side) 371 Left side measurement 372-374 Chest Circumference Erect (ages 2-7 years only) 375-377 Supine (age 3 years and under) 378-380 Head Circumference 381-383 Triceps Skinfold Right side measurement 384-386 Imputation Code (right side) 387 Left side measurement 388-390 Subscapular Skinfold Right side measurement 391-393 Imputation Code (right side) 394 Left side measurement 395-397 Sitting Height 398-401 Imputation Code 402 Crown Rump 403-405 Is examinee right or left handed? 406 Weight In pounds 407-411 In kilograms 412-416 Imputation Code 417 Height In centimeters 418-421 In inches 422-424 Imputation Code 425 Recumbent Length 426-429 Use of Special Terms Anthropometry Data The term "data user work area" refers to blank areas in the data tape which are reserved for the user as needed. The term "blank, but applicable", is used to indicate a data item that was to have a response for a sample person but none was given. The terms "blank" and "Not Applicable" refer to data items where the sample person was not supposed to respond to the question or receive the examination component. To more fully understand the questionnaire skip patterns and the categorizations used, see the Plan and Operation of the Second National Health and Nutrition Examination Survey document included with this documenation. All the questionnaires are included in this document. Anthropometric Data - Record Layout 351-354. Catalog TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES 351- Catalog Number 20,322 354 5301 355-356. Examiner Number TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES 355- Examiner Number See Appendix B for a 356 description of body 01 - 95 - As given 20,319 measurement proce- 88 - Blank, but applicable 3 dures. 357-359. Bitrochanteric Breadth TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES 357- Bitrochanteric Breadth 359 (in cm. - xx.x - decimal not shown on tape) 099 - 534 - As given 20,322 360. Imputation Code TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES 360 Imputation Code Blank - As observed 20,220 1 - Missing data - imputed 102 361-363. Elbow Breadth - Right Side Measurement TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES Elbow Breadth (in cm. - xx.x - decimal not shown on tape) 361- Right side measurement 363 026-099 - As given 20,322 364. Elbow Breadth - Imputation Code (Right Side) TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES Elbow Breadth (in cm. - xx.x - decimal not shown on tape) 364 Imputation Code (right side) Blank - As observed 20,272 1 - Missing data - imputed 50 365-367. Elbow Breadth - Left Side Measurement TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES Elbow Breadth (in cm. - xx.x - decimal not shown on tape) 365- Left side measurement 367 (in cm. - xx.x - decimal not shown on tape) See Detailed Notes 031-091 - As given 3,962 888 - Blank, but applicable 136 999 - Not applicable 16,224 368-370. Upper Arm Girth - Right Side Measurement TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES Upper Arm Girth (in cm. - xx.x - decimal not shown on tape) 368- Right side measurement 370 105 - 576 - As given 20,322 371. Upper Arm Girth - Imputation Code (Right Side) TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES Upper Arm Girth (in cm. - xx.x - decimal not shown on tape) 371 Imputation Code (right side) Blank - As observed 20,254 1 - Missing data imputed 68 372-374. Upper Arm Girth - Left Side Measurement TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES Upper Arm Girth (in cm. - xx.x - decimal not shown on tape) 372- Left side measurement 374 (in cm. - xx.x - decimal not shown on tape) See Detailed Notes 124 - 525 - As given 3,957 888 - Blank, but applicable 141 999 - Not applicable 16,224 375-377. Chest Circumference - Erect (Ages 2-7) TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES Chest Circumference (in cm. - xx.x - decimal not shown on tape) 375- Erect (ages 2 through 7) 377 422 - 759 - As given 3,571 See Detailed Notes 888 - Blank, but applicable 60 999 - Not applicable - less than 2 years 16,691 378-380. Chest Circumference - Supine (Ages 3 and Under) TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES Chest Circumference (in cm. - xx.x - decimal not shown on tape) 378- Supine (ages 3 and under) 380 285 - 712 - As given 2,512 See Detailed Notes 888 - Blank, but applicable 45 999 - Not applicable 4-74 years old 17,765 381-383. Head Circumference (Ages 7 and Under) TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES 381- Head Circumference (ages 7 and under) 383 (in cm. - xx.x - decimal not shown on tape) See Detailed Notes 347 - 652 - As given 4,625 888 - Blank, but applicable 66 999 - Not applicable 8-74 years old 15,631 384-386. Triceps Skinfold - Right Side Measurement TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES Triceps skinfold (in mm. - xx.x - decimal not shown on tape) 384- Right side measurement 386 010 - 650 - As given 20,322 387. Triceps Skinfold - Imputation Code (Right Side) TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES Triceps skinfold (in mm. - xx.x - decimal not shown on tape) 387 Imputation Code (right side) Blank - As observed 20,159 1 - Missing data imputed 163 388-390. Triceps Skinfold - Left Side Measurement TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES Triceps skinfold (in mm. - xx.x - decimal not shown on tape) 388- Left side measurement 390 See Detailed Notes 010 - 565 - As given 3,939 888 - Blank, but applicable 159 999 - Not applicable 16,224 391-393. Subscapular Skinfold - Right Side Measurement TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES Subscapular skinfold (in mm. - xx.x - decimal not shown on tape) 391- Right side measurement 393 010 - 650 - As given 20,322 394. Subscapular Skinfold - Imputation Code (Right Side) TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES Subscapular skinfold (in mm. - xx.x - decimal not shown on tape) 394 Imputation Code (right side) Blank - As observed 20,041 1 - Missing data imputed 281 395-397. Subscapular Skinfold - Left Side Measurement TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES Subscapular skinfold (in mm. - xx.x - decimal not shown on tape) 395- Left side measurement 397 See Detailed Notes 005 - 650 - As given 3,909 808 - Blank, but applicable 189 999 - Not applicable 16,224 398-401. Sitting Height (Ages 2 and Over) TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES 398- Sitting Height (ages 2 and over) 401 (in cm. - xxx.x - decimal not shown on tape) 0414 - 1046 - As given 19,260 9999 - Not applicable - Less than 2 years old 1,062 402. Imputation Code TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES 402 Imputation Code Blank - As observed 20,199 1 - Missing data imputed 123 403-405. Crown Rump (Ages 3 and Under) TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES 403- Crown Rump (ages 3 and under) 405 (in cm. - xx.x - decimal not shown on tape) See Detailed Notes 348 - 666 - As given 2,509 888 - Blank, but applicable 48 999 - Not applicable 4-74 years old 17,765 406. Is Examinee Right or Left Handed? TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES 406 Is Examinee right or left handed? See Detailed Notes 1 - Right handed 17,121 2 - Left handed 1,574 3 - Uses both hands about the same 487 4 - Not sure 675 8 - Blank, but applicable 465 407-411. Weight in Pounds TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES 407- Weight 411 (in pounds - xxx.xx - decimal not shown on tape) 01175 - 38775 - As given 20,322 412-416. Weight in Kilograms TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES 412- Weight 416 (in kilograms - xxx.xx - decimal not shown on tape) 00533 - 17588 - As given 20,322 417. Imputation Code - Weight TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES 417 Imputation Code Blank - As observed 20,296 1 - Missing data imputed 26 418-421. Height in Centimeters (Ages 2 and Over) TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES 418- Height (ages 2 and over) 421 (in centimeters - xxx.x - decimal not shown on tape) 0766 - 2000 - As given 19,260 9999 - Not applicable - less than 2 years old 1,062 422-424. Height in Inches (Ages 2 and Over) TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES 422- Height (ages 2 and over) 424 (in inches - xx.x - decimal not shown on tape) 302 - 787 - As given 19,260 Computer Generated 999 - Not applicable - less than 2 years old 1,062 425. Imputation Code - Height TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES 425 Imputation Code Blank - As observed 20,258 1 - Missing data imputed 64 426-429. Recumbent Length in Centimeters (Ages 3 and Under) TAPE CONTROL NHANES II DATA SOURCE POS. ITEM DESCRIPTION & CODES COUNTS OR NOTES 426- Recumbent Length (ages 3 and under) 429 (in cm. - xxx.x - decimal not shown on tape) See Detailed Notes 0500 - 1251 - As given 2,511 8888 - Blank, but applicable 46 9999 - Not applicable 4-74 years old 17,765 DETAILED NOTES, ANTHROPOMETRIC DATA Tape Positions 365-367, 372-374, 388-290, 395-397-Left Side Meas Left side measurements of the elbow breadth, upper arm girth, triceps skinfold, and subscapular skinfold were randomly done on approximately 20 percent of the examined sample persons. These measures were collected for quality control purposes and are not a representative sample of the U.S. population. Therefore, none of the sample weights are applicable for analysis using these measurements. Tape Positions 375-383, 403-406, 426-429 The missing data for the following Anthropometric Measurements were not imputed: Chest circumference (Erect, Supine); Head circumference; Crown Rump; Is examinee right or left handed?; Recumbent length APPENDIX A - DATA COLLECTION TECHNIQUES AND CONTENT The plan developed with respect to the content of NHANES II called for the following: A. Questionnaires completed in the household: (1) Household questionnaire: For each household member, questions referred to family relationships;certain demographic items such as age, sex, and race; selected housing information;occupation, income, education, veteran status; and an indication of participation in food stamp programs. (2) Medical history questionnaires: (a) For each sample person ages 6 months-11 years The questionnaire included items on birth weight, prematurity,congenital conditions, medication, neurological conditions, lead poisoning, accidents, hospital care, disability, diarrhea, pica, vision, and a variety of chronic conditions. In addition, data were collected on allergies, kidney and bladder disease, anemia, speech and hearing, lung and chest conditions, and participation in food programs. (b) For each sample person ages 12-74 years The questionnaire included items on medication; hospital care; tuberculosis; a variety of acute and chronic diseases; tobacco usage, physical activity; weight; height; vision disability, exposure to pesticides; gastrointestinal problems; and for females; a menstrual and pregnancy history. In addition, data were collected on anemia, diabetes, respiratory condition, hearing and speech, liver and gallbladder conditions, kidney and bladder disease, allergies, hypertension, cardiovascular conditions, stroke, arthritis (stressing middle and upper back and neck problems), and participation in food programs. Questionnaires and tests administered in the mobile examination center: (3) Dietary Questionnaires (a) For each examined person, a 24-Hour Recall was administered by trained dietary interviewers. Specific and quantitative detail of every food or drink consumed during the previous day was recorded and calculated, thus providing estimates of calories, protein, carbohydrates, fat, unsaturated fats, cholesterol, and specific vitamins and minerals consumed. (b) For each examined person, a Food Frequency interview was administered to ascertain usual patterns of food consumption. Daily and/or weekly consumption of foods within 26 subgroups were recorded. In addition, data were collected on usual vitamin-mineral supplement usage. (c) For each person ages 12-74 years, a Dietary Supplement form was self-administered and reviewed. This form provided information on special diets, recent medications and barriers to purchasing groceries or eating foods; it does not provide information on vitamin/mineral or other supplements to the diet. (4) Medication/Vitamin Usage Form provided information on the past week's usage of any medicines; vitamins or minerals for al examined persons. (5) Behavior Questionnaire elicited data on behavior which may be associated with coronary heart disease for examined persons ages 25-74. B. Examination by physician A physician performed and recorded the results of a medical examination giving special attention to specified findings related to nutrition, to hearing, to the thyroid gland,and to the cardiovascular, respiratory, neurological and musculoskeletal systems. C. Special clinical procedures and tests A specially trained health technician carried out the following on examined persons in the designated age ranges: 1. Spirometry trials of examined persons ages 6-24 years, were digitized and recorded on magnetic tape. Various pulmonary function indicators such as FVC (forced vital capacity), FEV1 (forced expiratory volume in one second), and peak flow rate were subsequently derived from these data. 2. Electrocardiograms Electrocardiographic signals of examined persons ages 25-74 years were digitized and recorded on magnetic tape providing normative data of amplitude, duration, interval and axis measurements and permitting interpretations of heart disease according to the Minnesota classification code. 3. Body Measurements were made on all examinees and included standing height, body weight, triceps and subscapular skinfolds, and several other anthropometric measurements. 4. Puretone audiometry Tests were carried out on examined persons between the ages of 4 and 19 years, permitting determination of threshold levels of hearing for frequencies of 500, 1000, 2000, and 4000 Hertz for right and left ears. 5. Speech recording, involving use of tape recording of the subject's repetition of specially developed sentences,was carried out on examined persons between the ages of 4 and 6 years, permitting interpretations as an indication of problems with articulation and language development. 6. Allergy tests, involving skin tests (prick test) with eight common allergens (housedust, alternaria, cat fur, dog fur, ragweed, oak, rye grass, and Bermuda grass).The tests were made on examined persons between the ages of 6 and 74 years, to obtain degrees of skin reaction. D. X-Rays For examined persons ages 25-74 years, two x-rays were made. No x-rays were taken of pregnant women and no lumbar x-rays were taken on women under 50 years of age. 1. X-ray of cervical and lumbar spine, were taken to provide evidence of osteoarthritis and degenerative disc disease, and 2. X-ray of chest, to be used in the diagnosis of respiratory diseases and to serve as a measure of left ventricular enlargement. E. Urine tests Tests as follows were performed on casual samples of urine: 1. N-Multistix tests for qualitative protein, glucose, ketones, bilirubin, blood, urobilinogen, pH, and bacteriuria (nitrite test) were done for examined persons ages 6-74 years. 2. Urinary sediments, including red cells, white cells, and casts, were measured for a subsample of examined adults ages 20-74 years. 3. Gonorrhea cultures, of urinary sediments were performed for male and female examined persons ages 12-40 years. However, of those females who received the Glucose Tolerance Test (GTT) only those ages 20-24 years had the gonorrhea test performed. 4. Analyses for pesticide residue and metabolite levels,were carried out on a subsample of examined persons ages 12-74 years, including measures of the body burdens from exposure to alkyl phosphate residues and metabolites, carbamate residues, phenolic compound residues and malathion metabolites. F. Tests on blood samples Samples of blood provide a broad range of information related to health and nutrition. The particular tests performed varied with the specific target condition and age group as described in the Series 1, No.15 program description (page 39). 1. Glucose tolerance test (GTT) This test involved collection of blood specimens while in a fasting state, as well as at one and two hours after glucose challenge. The test was performed on a specified subsample of examined adults to provide estimates of the prevalence of diabetes. 2. Tests related to liver function (a) Post-prandial liver bile acid test. This test measures the ability of the liver to remove bile acids from the blood following consumption of a food preparation which induces eventual addition of bile acids to the blood via contraction of the gallbladder. (b) Liver biochemistries performed include bilirubin, SGOT, and alkaline phosphatase tests. 3. Anemia-related laboratory tests The tests made to characterize anemia consisted of protoporphyrin,iron,total iron binding capacity (TIBC), zinc, copper, red cell folates, serum folates, serum ferritin, B12, and the determination of abnormal hemoglobin. 4. Other nutritional biochemistries These tests include albumin,Vitamin A and Vitamin C. 5. Serum lipids Because of their important relevance to cardiovascular disease, determinations were made of cholesterol, triglycerides, and high density lipoprotein (HDL). 6. Biochemistries for body burden from environmental exposures Determinations were made of body burden levels of lead and pesticide residues and metabolites.Tests were also performed for carboxyhemoglobin which reflects environmental exposure to carbon monoxide and the individual's smoking habits. 7. Hematology The hematology included determinations of hemoglobin, hematocrit,red blood cell count,white blood cell count and differential leukocyte analysis, and red blood cell morphology and hemoglobin phenotyping. 8. Kidney function The only quantitative test for kidney function performed on blood samples was the serum creatinine test. 9. Syphilis The serology determinations for syphilis included qualitative and quantitative ART, a FTA-ABS and MHA-TP. APPENDIX B - BODY MEASUREMENT PROCEDURES Equipment Anthropometer parts: 2 sets of four sections each, 4 sliding arms, 1 circuar metal base Body measurement table Footstool Sliding calipers Skinfold calipers Steel tape Fiberglass tape Special height scale Polaroid land camera Special light attachment for camera Self-balancing weight scale Set of weights for calibration of weight scale (one 25-lb. weight and five 50-lb. weights) Children's measuring board Anthropometers Two anthropometers are provided, one as a spare. Each anthropometer consists of a rod in four sections with two caliper arms. One of the arms is fixed to the top end of the instrument: the other slides. The lower two sections are used for sitting heights and will be mounted in the circular metal base. The top section is used for bitrochanteric breadth. The remaining section can be used when required for measuring sitting heights of large examinees. The sliding calipers used to measure elbow breadth may become too loose; if so, use candle wax to tighten them. With these anthropometers there are three sources of error which must be checked daily. The chief technician should see that: 1. The anthropometer numbers read in the proper sequence and the movable arms slide freely without slipping; 2. When mounted in the base, the instruments stands vertically without support; and 3. The bottom end of the anthropometer is perfectly flush with the undersurface of the metal stand. (Do not handle anthropometers by the upper ends alone as this tends to wrench them from their bases.) Measuring and Recording The examiner takes each measurement and says it to the recorder. The recorder repeats the number, records it in the proper space, and says the name of the next measurement. The examiner should keep the measuring instrument set until the recorder repeats the number. If the anthropometer becomes unset in any way before the measurement is read back, the measurement should be made again. On standing measurements the recorder will ensure that the subject stands erect. For the standing height measurement the recorder should check the height photo to be sure of the accuracy of the technician's reading. A recorder is important because he helps ensure the accurate recording of the measurement while also helping the examiner position the examinee correctly. The recorder also assists the examiner by seeing that the steel tape is horizontal with proper tension when girths are measured. The recorder, having had the same training as the examiner, should recognize an error in measurement or in reading from the wrong scale. (The anthropometer has two scales--ascending and descending.) When he does see an error he should call it to the examiner's attention and have the mistake corrected. All measurements are to be taken to the nearest tenth of a centimeter, except skinfolds which are to be taken to the nearest half of a millimeter. If the digit to the right of the last digit to be recorded appears to be exactly 5, the last digit to be recorded should be raised one unit if it is odd or stay unchanged if it is even. If a skinfold is too tight to be measured, write "too tight" in the recording space for that measurement (but, do try to get the subject to relax for the measurement). The original examiner and recorder will complete an examination once it is started. The measurements taken consist of various heights, breadths, girths, & skinfolds. All are to be taken on the right side of the body if possible. When any of the measurements cannot be taken on the right side because of casts, amputations, or any other reasons, these particular measurements should be made on the left side and the reasons noted on the recording page. When the examinee's sample number ends in "3" or "6," four of the measurements are to be taken on the left side, as well as the right side unless there is some reason it is impossible to take them on the left side. In this instance, again, the reason not taken should be noted on the body measurement page. Procedure for Measuring Examinees 8 Years and Over Record on the control record the examiner number and the time the procedure begins. Record on the body measurement form the examiner and recorder numbers. Have the examinee stand with his feet together in the standard erect position for the following five measurements. 1. Bitrochanteric breadth--With the top section of the anthropometer measure to the nearest 0.1 cm the maximum breadth of the body at the level of the greater femoral trochanters. Compress the soft tissue over the trochanters as much as possible by applying pressure on the caliper arms near where they touch the body (not where the arms are attached to the anthropometer). Take this measurement over the examinee's gown. 2. Elbow breadth--Have the examinee extend his right arm forward until it is perpendicular to his body. Bend the arm so the angle at the elbow forms 90* with the fingers pointing up and the dorsal part of the wrist toward the examiner. With the sliding calipers along the axis of the upper arm, measure to the nearest 0.1 cm the greatest breadth across the elbow joint. This is a bone to bone measurement across the epicondyles of the humerus and is usually taken at an oblique angle because the inner condyle is lower than the outer condyle. Be careful that the calipers do not slide off the epicondyle. 3. Upper arm girth--With the examinee's right arm flexed 90* at the elbow, use the fiberglass tape to measure to the nearest 0.1 cm the distance from the outer edge of the acromial process to the olecranon process of the ulna. Mark the outer edge of the acromial process first, then place the tape on the mark and locate the midpoint between the acrimial and olecranon processes. Mark this midpoint carefully. This is the level at which both the arm girth and triceps skinfold are measured. 4. Triceps skinfold--Have the examinee relax his shoulder and let his arm hand freely at his side. Mark a point on the right midtriceps in the same plane as the midhumeral point used for the upper arm girth & perpendicular to the olecranon process of the ulna. Grasp the skin and subcutaneous tissue firmly with thumb and forefinger approximately 1 cm above this level and draw directly back from the body making sure that no muscle tissue is included in the fold. The crest of the fold should be parallel to the long axis of the arm. Apply the calipers at the level of the point marked above and measure the fold to the nearest 1/2 mm without releasing the fingers. Take a second measurement; if the two disagree, continue taking measurements until you get two that agree to within 1 mm. 5. Subscapular skinfold--Have the examinee relax his shoulders and arms. Palpate the inferior angle of the scapula. Grasp a fold of skin and subcutaneous tissue directly above the angle firmly with the thumb & forefinger and draw straight back from the body making sure that no muscle tissue is included in the fold. The fold should parallel natural cleavage lines of the skin which are often lines about 45* from the horizontal extending medially upward. Apply the calipers about 1 cm below the thumb & forefinger and measure the fold to the nearest 1/2 mm without releasing the fingers. Take a second measurement; if the two disagree, continue taking measurements until two agree to within 1 mm. 6. Sitting height--Have the examinee sit as far back on the measuring table as he can so that the backs of his knee joints (popliteal fossae) are at the front edge of the table. Have him sit erectly with his eyes straight ahead & the infraorbital meatal line parallel to the table top (i.e., eyes in horizontal plane looking straight ahead). Check with the recorder on the examinee's position before making the measurement. Then bring the caliper arm down firmly against the midline of the examinee's head. (Note: you might have to compress some hairstyles.) Take the measurement to the nearest 0.1 cm with your eyes at the same level as the caliper arm. Do not make the reading at an angle. Shorter technicians should use the stool available in the measuring room as an aid. 7. Ask the examinee whether he is right-handed or left-handed and record his answer by checking the appropriate box. 8. Weight a. Examinees who weigh 250 pounds or less: (1) Ask the examinee to stand still on the scale (in slippers). (2) Wait until the scale pointer stops moving. (3) Insert the bottom of the body measurement page on the case record in the slot at the front of the scale's printer. (4) Depress the bar on the front of the printer to record the weight on the record to the nearest quarter of a pound. (5) Check to be sure that the recorded weight is legible. (6) Record weight on the body measurement form in the space provided (Item 10) near the bottom of the form. Always record the weight in five digits, fill in the blank spaces with zeroes as appropriate, e.g., 98.5 should be entered as 098.50. b. Examinees who weight more than 250 pounds: Since the scale printer will only print to 250 pounds, the following procedure must be followed if an examinee weighs more than 250 pounds: (1) If the examinee weighs more than 250 pounds, but no more than 350 pounds: (a) Move the bottom weight on the notched bar on the front of the scale to 100 pounds (far right); (b) Weigh the examinee and stamp his case record just as though he weighed less than 250 pounds; (c) Add 100 pounds to the stamped weight total on the body measurement page; and then (d) Record the total weight (stamped weight plus 100 pounds) in the proper space on the body measurement page. (2) If the examinee weighs more than 350 pounds, but no more than 400 pounds: (a) Move the bottom weight on the notched bar to 100 pounds; (b) Move the top weight on the numbered bar to 50 pounds (far right); (c) Weigh the examinee and stamp his case record just as though he weighed less than 250 pounds; (d) Add 150 pounds to the stamped weight total on the body measurement page; and then (e) Record the total weight (stamped weight plus 150 pounds) in the proper space on the body measurement page. (3) If the examinee weighs more than 400 pounds ask him to estimate his weight. 9. Height a. Have the examinee stand erect with his back and heels against the upright bar of the height scale, ("Stand up tall" or "Stand up straight") with feet together and head in the Frankfort Horizontal Plane ("Look straight ahead"). Grasp the examinee under the mastoid processes and stretch him gently upward. b. Bring the horizontal bar down snugly to the examinee's head. c. Stick one of the sample number labels next to the tape on the upright bar so the number label can be read when the height scale is photographed. d. Photograph the height measurement and ask the examinee to step aside. e. Process the film and place the sample number label from the height scale on the photo. Do not cover up the scale or the photographed sample number. f. Record the standing height on the body measurement form as read from the photograph in the space provided (Item 11). This should be recorded in four digits to the nearest mm (0.1 of cm) from the metric scale. If there are less than four digits, fill in the blank spaces with zeroes as appropriate, e.g., 99.0 should be 099.0. When the measurement is exactly at the half-way point between 2 mm round up if the preceding whole number is odd and round down if even. Procedure for Measuring Children Under 8 Years Old 1. Bitrochanteric breadth--Use the same procedure as that for older examinees. 2. Elbow breadth--With child standing or sitting, use the same procedure as that for older examinees. 3. Upper arm girth--The arm must be fully extended and as relaxed as possible. Otherwise, use the same procedure as that for older examinees. 4. Chest circumference a. 2 years old and over, standing--Using the steel tape, measure to the nearest 0.1 cm the chest circumference at the level of the nipple line at midrespiration, with the examinee breathing normally and with his arms relaxed at the sides. The tape should pass around the chest so that it is at right angles to the longitudinal axis of the body. b. 3 years old and under, supine--Measure the child lying supine on the infant measuring board. Measure the circumference with a steel tape at nipple level, the tape being placed at the right angles to the longitudinal axis of the body. The measurement is taken to the nearest 0.1 cm at normal midrespiration. 5. Head circumference--The child can be either sitting or standing. Steady the child's head & measure its circumference to the nearest 0.1 cm by placing the steel tape firmly around the frontal bones (forehead) just above but not including the supra-orbital ridges, passing it around the head just above the ears on each side, and laying it over the maximum occipital prominence at the back of the head. The tape should be pulled firmly to compress the hair and underlying soft tissues. 6. Triceps skinfold--With the child either standing or sitting (preferably standing) use the same procedure as that for older examinees. 7. Subscapular skinfold--With the child either standing or sitting (preferably standing) use the same procedure as that for older examinees. 8. Sitting height (2 years old and over)--Have the child sit erectly on the measuring table with his eyes directed straight ahead (the eyes should be in a horizontal plane looking straight ahead). The child should sit far back on the table as he can so that he backs of his knee joints (popliteal fossae) are in contact with the front edge of the table. CHECK WITH THE RECORDER ON THE CHILD'S POSITION BEFORE MAKING THE MEASUREMENT. Younger children need to be encouraged to sit straight, and you might have to give support to a younger child, i.e., straighten out his back by placing one hand (right) over the upper part of the chest and the other hand (left) over the lumbar area, and pushing gently. After checking the child's position with the recorder, bring the caliper arm firmly against the midline of the examinee's head. NOTE, you might have to compress some hairstyles. Take the measurement to the nearest 0.1 cm with your eyes at the same level as the caliper arm. 9. Sitting height, recumbent (crown-rump length), children under 3 years--Measure on the infant measuring board with the child lying on his back with his knees bent to a right angle. One technician holds the child's head in the Frankfort plane (i.e., eyes straight ahead, in this case straight upward so that the plane they form is parallel to the movable footboard) and applies gentle traction to bring the head into contact with the fixed headboard. The second technician supports the child's legs under the flexed knees and brings the movable footboard to rest against the child's buttocks with firm pressure. 10. Weight--Use the same procedure as that for older examinees. 11. Standing height (2 years old and over).--Use the same procedure as that for older examinees. 12. Recumbent length (children under 3 years)--Measure on the infant measuring board with the child lying supine. One technician holds the child's head in the Frankfort plane & applies gentle traction to bring the head into contact with the fixed headboard. The second technician holds the child's legs roughly midway between the ankles & knees, with the toes pointing directly upward. Then, while applying downward pressure to the legs (to prevent the knees from slexing), the technician brings the movable footboard to rest firmly against the child's heels. You may need extra help (third person) for restless infants under 2 years to make measurements as quickly as possible and maintain accuracy. Field Checks 1. Calipers--Calipers must be checked before each stand and once a week during the stand against a metric tape. The skinfold caliper should be checked daily before use. To do this place the standards between the caliper arms and see that the reading on the scale corresponds to the length of the standard. If the calipers are not right, adjust them by pressing firmly on the arms. If they are 1 mm or more out of calibration, use the other available calipers & return the ones out of calibration to headquarters. 2. Height a. At the beginning and end of each stand, check to be sure that: (1) The upright bar and tape measure have not been changed or damaged. Check the accuracy of the tape with the sitting height anthropometer. Set the sitting height anthropometer at about the middle of the height scale base. Turn the movable anthropometer's caliper arm upside down. Take the picture of the height measurement. Read the anthropometer measurement the same way as for sitting height and record the reading on the back of the photograph. Send the photo- graph to the chief, Quality Control Section, headquarters. The photograph should include the stand number & location, date, number of the person who checked the scale, anthropometer reading, and whether it was the beginning or end of the stand. If the measurement does not agree with the sitting height anthropometer, adjust the sighting window until the measurement does agree with the sitting height anthropometer setting. Take a picture after the adjustment & send the photograph to headquarters. (2) The horizontal bar is firmly attached to the upright section that slides on the upright bar. (3) The camera and light are working to produce optimum photos. Any necessary repairs and adjustments should be made as soon as possible. This equipment is the only means we have for measuring height. b. Check daily that the standing height measurer operates smoothly. 3. Weight--At the beginning of each stand before the examinations begin and again at the end of the stand, the scale should be calibrated at zero & at intervals of 25 pounds all the way up to 250 pounds. If the scale is out of calibration by a constant amount at all calibra- tion weights, correct the error with the adjustment knob on the left side of the scale. If the trailer is not level the scale will have to be zeroed. If adjusted to lower than 0.00 it will read E.EE; but when adjusted correctly it will read 0.00. After zeroing the scale properly, stamp zero on any ordinary sheet of 8 x 10 1/2 paper. Then weigh the calibration weights in increments of 25 pounds, starting with 25 pounds & going up to 250 pounds & stamping each weight on the paper. Altogether, 11 recordings should be made on the paper. The paper with the recorded weights should also include the stand number & location, date, the number of the person doing the check procedure, & whether it was the beginning or end of the stand. Mail the recording immediately to the Chief Quality Control Section, headquarters. If the scale is out of calibration by 1/2 pound or more at three stations, have it repaired. The ribbon for printing the weight will need occasional replacement (approximately every 6 months). When the printing starts getting dim call a Toledo Scales dealer for replacement ribbon. At the end of each stand, turn the scale lock to a vertical position for transit. The tech responsible for the body measurement station should weigh himself daily to roughly check the accuracy of the weight scales. If there is any reason to believe the scales are not accurate a complete calibration should be done. The recording of the calibration should be sent to headquarters. 4. Anthropometers--Check daily to see that the sitting height anthropometer is vertical on the table top and that the caliper arm is perpendicular to the bar & not bent. See that the arms of the bitrochanteric breadth anthropometer are perpendicular to the bar and not bent. 5. Log Book--In a book that stays with the trailers write in the following headings: Date, Technician Number, Measuring Device Number, 0 mm, 10 mm, 20 mm, 30 mm, 40 mm, 50 mm, Counter Reading, and Tape Measure Reading Record daily in the log book the required identifying information under the appropriate headings. Then record the skinfold caliper calibration reading for each standard. Finally, move the foot board of the baby board as close as possible to the head board; record in the book the counter reading. Measure with the tape measure the distance between head and foot boards, and record that reading. 6. Cleaning of equipment--At the beginning of each stand the anthropometer, calipers, and tape measures should be cleaned with vinegar. Replicates An intertechnician body measurement replicate is to be done every fourth session on the examinee who arrives first at the exam center. The sessions on which replicates are to be done are shown in the schedule sheet. For the sessions during which a replicate is to be done, the coordinator should write the examinee's sample number in the appropriate space on the schedule sheet and should assign the original body measurements on that examinee to a technician according to the usual flow system rules. She should assign the replicate measurements in a random way to one of the other technicians and write that technician's number in the appropriate space on the schedule sheet. REFERENCES 1. National Center for Health Statistics: Replication an Approach to the Analysis of Data from Complex Surveys by P.J. McCarthy. Vital and Health Statistics Series 2-No. 14. DHEW Pub. No.(PHS) 79-1269. Public Health Service. Washington, D.C. U.S. Government Printing Office, 1966. 2. Survey Research Center Computer Support Group, OSIRIS IV User's Manual, Institute for Social Research, 1979. 3. Holt, M.M.: SURREGR: Standard errors of regression coefficients from sample survey data. (unpublished) Research Triangle Institute, NC, 1977. 4. Hidiruglou, M.A.,Fuller,W.A.,Hickman, R.D.:(SUPERCARP) Survey Section, Statistical Laboratory,Iowa State University. Ames, Iowa. Sixth Edition. October 1980. 5. Woodruff, R.S.: A simple method for approximating the variance of a complicated estimate. JASA 66:411-414, 1971. 6. National Center for Health Statistics: A General Statistical Methodology for the Analysis of Data from a Complex Survey: NHANES I by J.R. Landis, J.H. Lepkowski, S.A. Stehouwer, and S.A. Eklund. Vital and Health Statistics, Series 2. (In publication)
