Scientific Data DocumentationHealth History Supplement, Ages 12-74 (1976-1980)DSN: CC37.HANES2.HLTHHIS ABSTRACT Description of Survey A detailed description of the design, content,questionnaires, 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 NHANES II was conducted on a nationwide probability sample of approximately 28,000 persons, ages 6 months-74 years, from the civilian, noninstitutional- ized 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 closely reflect the estimated civilian noninstitutionalized U.S. population ages 6 months-74 years at the midpoint of the survey (March 1, 1978).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 all 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. 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 20782EDITING 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.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/ 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)GENERAL NOTES, DEMOGRAPHIC INFORMATION, NHANES II 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 1-33 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 Tape Positions 34-90 Tape Positions Sample Person Data 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 Tape Positions 91-246 Tape Positions Household Data How many rooms are in this...? Count the kitchen, but not the bathroom. 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 Tape Positions 247-281 Tape Positions Head of Household Data 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 Tape Positions 282-350 Tape Positions Sample Weights 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 USE OF SPECIAL TERMS, DEMOGRAPHIC DATA, NHANES II 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. RECORD LAYOUT, DEMOGRAPHIC DATA Tape Locations 1-50 NATIONAL HEALTH AND NUTRITION EXAMINATION SURVEY - NHANES II DEMOGRAPHIC DATA TAPE NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES OR NOTES 001- Sample Sequence Number 005 00001-27796 006- Catalog Number 009 5371 010 Data User Work Area 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 See Detailed Notes 1 - In SMSA, in central city 2 - In SMSA, not in central city 4 - Not in SMSA 013- Data User Work Area 023 024 Type of living quarters 1 - Housing unit 2 - Other unit 025 Land Usage 1 - Urban 2 - Rural 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, 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, 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 030- Total Number Of Persons In Household 031 01 - 15 - As given 032- Total Number Of Sample Persons In 033 Household 01 - 06 - As Given Sample Person Data 034 Data User Work Area 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 1 - Examined 037- Family Unit Code See Detailed Notes 041 00001-21050 - As Given 042- Data User Work Area 044 045- Age-Months At Interview 046 06-11 Months Blank, if greater than 11 months 047- Age-Years At Interview 048 01 - 74 Years 00, If less than 12 months 049- Data User Work Area 050 Tape Locations 51-100 TAPE NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES OR NOTES 051- Date-Of-Birth-Month 052 01 - 12 Month 053- Date-Of-Birth-Year 054 01 - 79 Year 055 Sex 1 - Male 2 - Female 056 Race See Detailed Notes 1 - White 2 - Black 3 - Other 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, or never married? 1 - Under 17 2 - Married 3 - Widowed 4 - Divorced 5 - Separated 6 - Never married 8 - Blank, but applicable 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- 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 1 - Yes 2 - No 8 - Blank, but applicable Blank 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? 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 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? 1 - Full time 2 - Part time 8 - Blank, but applicable Blank 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 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? 1 - Yes 2 - No 8 - Blank, but applicable Blank 072 Which looking for work or on layoff from a job? 1 - Looking 2 - Layoff 3 - Both 8 - Blank, but applicable Blank 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- 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 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.? 1 - Yes 2 - No 8 - Blank, but applicable Blank 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- Data User Work Area 090 Household Data 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 - ? 0 - 7 Bedrooms - More than 7 bedrooms coded as 7 093 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 this house? 1 - Yes 2 - No 8 - Blank, but applicable Blank 095 Do you have access to a range or cookstove? 1 - Yes 2 - No 8 - Blank, but applicable Blank 096 Do you have access to a refrigerator? 1 - Yes 2 - No 8 - Blank, but applicable Blank 097 Do you have access to a sink with piped water? 1 - Yes 2 - No 8 - Blank, but applicable Blank 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? 1 - Yes 2 - No 8 - Blank, but applicable Blank 100 Are these kitchen facilities used by anyone not living in this household? 1 - Yes 2 - No 8 - Blank, but applicable Blank Tape Locations 101-150 TAPE NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES 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? 1 - Yes, individual room unit 2 - Yes, central air conditioning 3 - No 8 - Blank, but applicable 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 any language other than English spoken by family members living here? 1 - Yes 2 - No 8 - Blank, but applicable 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- 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- 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? 1 - Yes 2 - No 8 - Blank, but applicable Blank 114 Data User Work Area 115- If yes, how much? 118 0038 - 6828 Amount 8888 - Blank, but applicable Blank 119 Welfare payments or other public assistance? 1 - Yes 2 - No 8 - Blank, but applicable Blank 120 Data User Work Area 121- If yes, how much? 124 0012 - 6800 Amount 8888 - Blank, but applicable Blank 125 Unemployment Compensation or Workman's Compensation 1 - Yes 2 - No 8 - Blank, but applicable Blank 126 Data User Work Area 127- If yes, how much? 130 0015 - 5640 Amount 8888 - Blank, but applicable Blank 131 Government Employee Pension or Private Pensions? 1 - Yes 2 - No 8 - Blank, but applicable Blank 132 Data User Work Area 133- If yes, how much? 136 0036 - 6000 Amount 8888 - Blank, but applicable Blank 137 Dividends, Interest or Rent? 1 - Yes 2 - No 8 - Blank, but applicable Blank 138 Data User Work Area 139- If yes, how much? 142 0001 - 5200 Amount 8888 - Blank, but applicable Blank 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 145- If yes, how much? 148 0001 - 6800 Amount 8888 - Blank, but applicable Blank 149 Net income from a farm? 1 - Yes 2 - No 3 - Loss 8 - Blank, but applicable Blank 150 Data User Work Area Tape Locations 151-205 TAPE NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES OR NOTES 151- If yes, how much? 154 0000 - 6500 Amount 8888 - Blank, but applicable Blank 155 Veterans payments? 1 - Yes 2 - No 8 - Blank, but applicable Blank 156 Data User Work Area 157- If yes, how much? 160 0060 - 6000 Amount 8888 - Blank, but applicable Blank 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 163- If yes, how much? 166 0020 - 6900 Amount 8888 - Blank, but applicable Blank 167 Any other income? 1 - Yes 2 - No 8 - Blank, but applicable Blank 168 Data User Work Area 169- If yes, how much? 172 0003 - 6403 Amount 8888 - Blank, but applicable Blank 173- Total Amount Q 21 & 22 176 0000 - 6999 Amount 8888 - Blank, but applicable Blank 177 Check Item B 2 - Food stamps available 4 - Both - Food Stamps and commodities 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? 1 - Yes, Regularly 2 - Yes, Occasionally 3 - No 8 - Blank, but applicable Blank 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? 1 - Yes 2 - No 9 - Do not know Blank 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 the program? 1 - No need 2 - No transportation 3 - Pride 4 - Other 8 - Blank, but applicable Blank 184- Date of Exam Month Control Record 185 01 - 12 186- Date of Exam Day Control Record 187 00 - 31 188- Date of Exam Year Control Record 189 76 - 80 190- Age Years At Examination 191 01 - 75 Years 00 - If less than 12 months or non- examined 192- Data User Work Area 205 Tape Locations 206-250 TAPE NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES 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 See Detailed Notes 1 - Farm 2 - Non-Farm 208 Interview Status 1 - Interviewed 209 Region See Detailed Noted 1 - Northeast 2 - Midwest 3 - South 4 - West 210- Poverty Index (x.xx) See Detailed Notes 212 001 - 880 - As Given 999 - Unknown 213- Data User Work Area 246 Head of Household Data 247- Age Years 248 15 - 99 Years (more than 100 coded as 99) 249- Data User Work Area 250 Tape Locations 251-305 TAPE NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES OR NOTES 251- Date-Of-Birth-Month 252 01 - 12 Month 88 - Blank, but applicable 253- Date-Of-Birth-Year 254 00 - 99 Year 255 Sex 1 - Male 2 - Female 256 Race See Detailed Notes 1 - White 2 - Black 3 - Other 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, or never married? 1 - Under 17 2 - Married 3 - Widowed 4 - Divorced 5 - Separated 6 - Never married 8 - Blank, but applicable 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- 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 1 - Yes 2 - No 8 - Blank, but applicable Blank 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? 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 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? 1 - Full time 2 - Part time 8 - Blank, but applicable Blank 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 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? 1 - Yes 2 - No 8 - Blank, but applicable Blank 272 Which, looking for work or on layoff from a job? 1 - Looking 2 - Layoff 3 - Both 8 - Blank, but applicable Blank 273- Type of industry or business? See Detailed Notes 275 017 - 998 (last digit 7, 8, 9) 000 - Blank, but applicable Blank 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 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.? 1 - Yes 2 - No 8 - Blank, but applicable Blank 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 SEE DETAILED NOTES FOR POSITIONS 282-326 282- Examined Final Weight 287 001218 - 079634 288- Medical History Interview Final Weight 293 001171 - 071969 294- Glucose Tolerance Test Final Examined 299 Weight 003502 - 084477 000000 300- Lead Final Examined Weight 305 001218 - 084115 000000 Tape Locations 306-350 TAPE NHANES II DATA SOURCE LOC. ITEM DESCRIPTION & CODES OR NOTES 306- Carboxyhemoglobin Final Examined Weight 311 002546 - 110759 000000 312- Bile Acids Final Examined Weight 317 003519 - 087638 000000 318- Data User Work Area 323 324- STRATA 325 01 - 32 326 PSEUDO Primary Sampling Unit 1 OR 2 328 Poverty/Non-Poverty Segments 1-Non-Poverty 2-Poverty 328- Data User Work Area 350 DETAILED NOTES, DEMOGRAPHIC DATA 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. 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. 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. 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 Industry and 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. 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. 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). 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 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.). 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 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 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 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 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. 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. Data Set Description This data tape contains demographic, health history, and blood pressure data for persons 12-74 years old who were both interviewed and examined in the second National Health and Nutrition Examination Survey (NHANES II). HEALTH HISTORY DATA COLLECTION A 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 visited the household, determined the appropriate sample person(s), and administered demographic and medical history questionnaires. Information on the household and the housing unit was obtained from an available and eligible household respondent. Demographic data for each sample person were obtained by self-response, when possible. When the sample person was not available, the interviewer obtained the data by proxy from any responsible adult in the household. Medical history data were collected in the household from all sample persons who were later given direct medical examinations. At the examination center they were asked more questions about their health. The blood pressure data contained on this tape were collected during the physician's examination. The histories obtained at the examination center form the Health History Supplement data contained on this tape. Some of the condition-related questions asked in the home were also asked as part of the Health History Supplement at the examination center. This redundancy was designed to allow analysis of data reliability and non-response (a small proportion of people interviewed in the home and selected for examination did not receive examinations and supplemental history interviews). More detailed questions were asked in the examination centers so as to reduce respondent burden in the home. The sensitive nature of some other questions precluded their being asked in the household interview. OTHER HISTORY AND RELATED DATA COLLECTION Medical history data obtained in the household are available on another public use tape available from NTIS (Catalog Number 5020). That tape contains data on medicine/vitamine use; eating, digestion, and appetite; smoking; coffee and tea drinking; and data on: anemia, diabetes, hearing deficits, allergies, hypertension, and back and neck problems. Special attention also was given to cardiovascular, respiratory, kidney and bladder, liver and gall bladder diseases, and hypertension. Persons 25-74 years old were asked questions from a Behavior Questionnaire at the examination Center. The questions were designed to elicit data on behavior thought to be associated with increased risk of coronary heart disease. A public use data tape with these data is in preparation (Catalog Number 5317). DATA EDITING Preliminary editing of the interview forms was done by personnel of NCHS. They verified and corrected, to the extent possible, problematic data and did further edits for consistency, completeness, and accuracy of the data against microfilm records of the original questionnaire where needed. HEALTH HISTORY DATA SUMMARY Catalog Number.................................................. 401-404 Unused position(s).............................................. 405-413 Check Item I.................................................... 414 Cardiovascular Conditions (Asked if age 25 or older)............ 415-482 Back, Neck, and Joints (Asked if age 25 or older)............... 483-691 Mononucleosis................................................... 692 Yellow Jaundice................................................. 693-699 Hernia.......................................................... 700 Contact with Carbon Tetrachloride............................... 701 Exposure to Pesticides.......................................... 702-710 Smoking (Asked if ages 12-17)................................... 712-722 Kidney and Bladder disease...................................... 723-750 Activity Limitation............................................. 751-767 Check Item III.................................................. 768 Menstrual and Pregnancy History for Females..................... 769-790 Blood Pressure.................................................. 791-808 Unused position................................................. 809 Dummy Record.................................................... 810 RECORD LAYOUT, HEALTH HISTORY DATA Tape Positions 401-450 TAPE CONTROL NHANES-II DATA POSITIONS ITEM DESCRIPTION AND CODES COUNTS SOURCE OR NOTES 401-404 CATALOG NUMBER: 5305 Health History Supplement Ages 12-74 405-413 Unused Positions 14,479 414 Check Item I 1 - 25 or over 10,404 2 - Under 25 4,007 Blank 68 415 Have you ever had any trouble Question 1a. with pain, discomfort or pressure in your chest when you walk fast or uphill? 1 - Yes 1,223 2 - No 9,181 8 - Blank, but applicable 4,075 Would you describe this pain as Question 1b. any of the following? 416 Heaviness 1 - Yes 516 2 - No 703 8 - Blank, but applicable 4 Blank 13,256 Would you describe this pain as Question 1b. any of the following? Continued 417 Burning sensation 1 - Yes 165 2 - No 1,054 8 - Blank, but applicable 4 Blank 13,256 418 Tightness 1 - Yes 628 2 - No 591 8 - Blank, but applicable 4 Blank 13,256 419 Stabbing pain 1 - Yes 255 2 - No 964 8 - Blank, but applicable 4 Blank 13,256 420 Pressure 1 - Yes 613 2 - No 606 8 - Blank, but applicable 4 Blank 13,256 421 Sharp pain 1 - Yes 384 2 - No 835 8 - Blank, but applicable 4 Blank 13,256 422 Shooting pains 1 - Yes 226 2 - No 993 8 - Blank, but applicable 4 Blank 13,256 423 Have you had the pain or dis- Question 1c. comfort more than THREE times? 1 - Yes 1,036 2 - No 182 8 - Blank, but applicable 5 Blank 13,256 424 Have you been bothered by the Question 1d. pain or discomfort within the past 12 months? 1 - Yes 943 2 - No 278 8 - Blank, but applicable 2 Blank 13,256 425 How old were you when you first Question 1e. had the pain or discomfort? 1 - Under 10 years 22 2 - 10-19 years 76 3 - 20-29 years 140 4 - 30-39 years 178 5 - 40-49 years 218 6 - 50-59 years 313 7 - 60 years or older 271 8 - Blank, but applicable 5 Blank 13,256 426 Do you get the pain or discomfort Question 1f. if you walk at an ordinary pace on level ground? 1 - Yes 329 2 - No 886 8 - Blank, but applicable 8 Blank 13,256 If you get the pain or discomfort Question 1g. while walking do you - 427 Stop? 1 - Yes 628 2 - No 574 8 - Blank, but applicable 21 Blank 13,256 428 Slow down? 1 - Yes 680 2 - No 521 8 - Blank, but applicable 22 Blank 13,256 429 Continue at the same pace? 1 - Yes 111 2 - No 1,090 8 - Blank, but applicable 22 Blank 13,256 430 Take medicine? 1 - Yes 238 2 - No 963 8 - Blank, but applicable 22 Blank 13,256 431 If you do stop or slow down, is Question 1h. the pain or discomfort relieved or not? 1 - Relieved 1,074 2 - Not relieved 110 8 - Blank, but applicable 39 Blank 13,256 432 How soon is the pain relieved? Question 1i. 1 - Less than 10 minutes 758 2 - 10 minutes or more 304 8 - Blank, but applicable 51 Blank 13,366 When you get pain or discomfort Question 1j. where is it located? Is it in the - 433 Upper middle chest? 1 - Yes 768 2 - No 434 8 - Blank, but applicable 21 Blank 13,256 434 Lower middle chest? 1 - Yes 296 2 - No 905 8 - Blank, but applicable 22 Blank 13,256 435 Left side of chest? 1 - Yes 376 2 - No 825 8 - Blank, but applicable 22 Blank 13,256 436 Left arm? 1 - Yes 149 2 - No 1,052 8 - Blank, but applicable 22 Blank 13,256 437 Right side of chest? 1 - Yes 110 2 - No 1,091 8 - Blank, but applicable 22 Blank 13,256 438 Some other place? 1 - Yes 94 2 - No 1,107 8 - Blank, but applicable 22 Blank 13,256 Do any of the following things tend Question 1k. to bring the pain or discomfort on? 439 Excitement or emotion? 1 - Yes 531 2 - No 670 8 - Blank, but applicable 22 Blank 13,256 440 Stopping over? 1 - Yes 326 2 - No 874 8 - Blank, but applicable 23 Blank 13,256 441 Eating a heavy meal? 1 - Yes 328 2 - No 872 8 - Blank, but applicable 23 Blank 13,256 442 Coughing spells? 1 - Yes 341 2 - No 859 8 - Blank, but applicable 23 Blank 13,256 443 Cold wind? 1 - Yes 482 2 - No 717 8 - Blank, but applicable 24 Blank 13,256 444 Exertion? 1 - Yes 951 2 - No 248 8 - Blank, but applicable 24 Blank 13,256 445 Have you ever had severe pain across Question 2a. the front of your chest lasting for half an hour or more? 1 - Yes 676 2 - No 9,728 Blank 4,075 446 How many of these attacks of pain Question 2b. have you had? 1 - One 226 2 - Two 92 3 - Three 74 4 - Four or more 283 8 - Blank, but applicable 1 Blank 13,803 What was the date of your last Question 2c. attack? 447-448 01-12 - Month as given 628 88 - Blank but applicable 48 Blank 13,803 449-450 30-80 - Year as given 656 88 - Blank but applicable 20 Blank 13,803 Tape Positions 451-500 TAPE CONTROL NHANES-II DATA POSITIONS ITEM DESCRIPTION AND CODES COUNTS SOURCE OR NOTES 451 What was the duration of the pain Question 2d. during your last attack? 1 - 30-59 minutes 293 2 - 1-2 hours 152 3 - 3-5 hours 73 4 - 6-11 hours 32 5 - 12-23 hours 11 6 - 24-47 hours 28 7 - 2 days or more 75 8 - Blank, but applicable 12 Blank 13,803 452 Did you see a doctor about this Question 2e. last attack? 1 - Yes 422 2 - No 254 Blank 13,803 What did he say it was? Question 2f. See Detailed Notes for 453 Rheumatic fever (Active) list of codes (Note: A 9th catch- 1 - Yes 1 all category for 8 - Blank, but applicable 71 "other chest pain- Blank 14,407 not cardiovascular" has been added to 454 Chronic rheumatic heart disease the 8 categories referenced on the 1 - Yes 4 interview form.) 8 - Blank, but applicable 71 Blank 14,404 455 Hypertension 1 - Yes 8 8 - Blank, but applicable 71 Blank 14,400 456 Ischemic heart disease 1 - Yes 194 8 - Blank, but applicable 71 Blank 14,214 457 Other forms of heart disease 1 - Yes 42 8 - Blank, but applicable 71 Blank 14,366 458 Cerebrovascular disease 1 - Yes 10 8 - Blank, but applicable 71 Blank 14,398 459 Arteriosclerosis 1 - Yes 5 8 - Blank, but applicable 71 Blank 14,403 460 Other diseases of the circulatory system 1 - Yes 21 8 - Blank, but applicable 71 Blank 14,387 461 Other chest pain - not cardiovascular 1 - Yes 21 8 - Blank, but applicable 71 Blank 14,330 462 Have you ever seen a doctor about Question 2g. chest pains, chest discomfort or heart failure? 1 - Yes 173 8 - Blank, but applicable 81 Blank 14,225 What type of doctor was it? Question 2h. Was it a- 463 General Practitioner? 1 - Yes 358 2 - No 202 8 - Blank, but applicable 12 9 - Don't know 23 Blank 13,884 464 Internist? 1 - Yes 92 2 - No 458 8 - Blank, but applicable 12 9 - Don't know 33 Blank 13,884 465 Osteopath? 1 - Yes 24 2 - No 528 8 - Blank, but applicable 12 9 - Don't know 31 Blank 13,884 466 Heart Specialist? 1 - Yes 236 2 - No 320 8 - Blank, but applicable 12 9 - Don't know 27 Blank 13,884 467 Some other medical person? 1 - Yes 36 2 - No 509 8 - Blank, but applicable 12 9 - Don't know 38 Blank 13,884 468 Have you ever stayed in a hospital Question 2i. overnight or longer because of your chest pains or a heart condition? 1 - Yes 372 2 - No 301 8 - Blank, but applicable 3 Blank 13,803 469 During the past 12 months, about Question 2j. how many work days would you esti- mate you have lost because of a heart condition? 1 - None 539 2 - 1-4 days 23 3 - 5-9 days 14 4 - 10-14 days 5 5 - 15-19 days 5 6 - 20-29 days 1 7 - 30 days or more 82 8 - Blank, but applicable 7 Blank 13,803 SHORTNESS OF BREATH 470 Have you ever had shortness of Question 3a. breath either when hurrying on the level or walking up a slight hill? 1 - Yes 3,451 2 - No 6,953 Blank 4,075 471 Have you had this problem on most Question 3b. days for at least 90 days in the past year? 1 - Yes 1,598 2 - No 1,853 8 - Blank, but applicable 11,028 Blank 472 Do you get short of breath when Question 3c. walking with other people at an ordinary pace on level ground? 1 - Yes 1,097 2 - No 2,351 8 - Blank, but applicable 3 Blank 11,028 473 Do you have to stop for breath when Question 3d. walking at your own pace on level ground? 1 - Yes 698 2 - No 2,747 8 - Blank, but applicable 6 Blank 11,028 474 Do you have to stop for breath after Question 3e. walking about 100 yards or after a few minutes on level ground? 1 - Yes 693 2 - No 2,751 8 - Blank, but applicable 7 Blank 11,028 475 How long ago did you first have Question 3f. this trouble with shortness of breath? 1 - Less than 1 year ago 389 2 - 1-3 years ago 1,089 3 - 4-9 years ago 857 4 - 10 years ago or more 1,002 8 - Blank, but applicable 3 9 - Don't know 111 Blank 11,028 476 Have you gotten chest pains along Question 3g. with the shortness of breath? 1 - Yes 845 2 - No 2,605 8 - Blank, but applicable 1 Blank 11,028 Were these pains located in the - Question 3h. 477 Upper chest? 1 - Yes 732 2 - No 109 8 - Blank, but applicable 5 Blank 13,633 478 Upper back? 1 - Yes 123 2 - No 717 8 - Blank, but applicable 6 Blank 13,633 479 Lower back? 1 - Yes 44 2 - No 797 8 - Blank, but applicable 5 Blank 13,633 Were these pains located in the - Question 3h. Continued 480 Along the lower ribs? 1 - Yes 149 2 - No 691 8 - Blank, but applicable 6 Blank 13,633 481 On the sides? 1 - Yes 143 2 - No 697 8 - Blank, but applicable 6 Blank 13,633 482 Do you develop wheezing as well as Question 3i. shortness of breath? 1 - Yes 1,043 2 - No 2,394 8 - Blank, but applicable 14 Blank 11,028 483 Have you ever had pain in your back Question 4a. on most days for at least two weeks? 1 - Yes 1,763 2 - No 8,641 Blank 4,075 484 What is the longest episode of back Question 4b. pain you have ever had? 1 - Less than one month 607 2 - One but less than 2 months 264 3 - 2-3 months 204 4 - 4-5 months 67 5 - 6 months or more 590 8 - Blank, but applicable 2 9 - Don't remember 29 Blank 12,716 Where is the pain usually located? Question 4c. In the - 485 Upper back? 1 - Yes 235 2 - No 1,527 8 - Blank, but applicable 1 Blank 12,716 486 Mid-back? 1 - Yes 275 2 - No 1,487 8 - Blank, but applicable 1 Blank 12,716 487 Lower back? 1 - Yes 1,516 2 - No 246 8 - Blank, but applicable 1 Blank 12,716 When you have this back pain, Question 4d. where is it most intense? 488 Upper back? 1 - Yes 178 2 - No 1,578 8 - Blank, but applicable 7 Blank 12,716 489 Mid-back? 1 - Yes 206 2 - No 1,550 8 - Blank, but applicable 7 Blank 12,716 When you have this back pain, Question 4d. where is it most intense? Continued 490 Lower back? 1 - Yes 1,443 2 - No 313 8 - Blank, but applicable 7 Blank 12,716 491 Is the back pain usually present Question 4e. when you are resting at night? 1 - Yes 1,001 2 - No 755 8 - Blank, but applicable 7 Blank 12,716 492 When you have the back pain does it Question 4f. awaken you from sleeping at night? 1 - Yes 882 2 - No 878 8 - Blank, but applicable 3 Blank 12,716 493 Does the back pain ever seem to Question 4g. spread? 1 - Yes 564 2 - No 1,178 8 - Blank, but applicable 21 Blank 12,716 Does it spread to the - Question 4h. 494 Back of the right leg? 1 - Yes 195 2 - No 369 8 - Blank, but applicable 21 Blank 13,894 Does it spread to the - Question 4h. Continued 495 Back of the left leg? 1 - Yes 171 2 - No 393 8 - Blank, but applicable 21 Blank 13,894 496 Back of both legs? 1 - Yes 167 2 - No 396 8 - Blank, but applicable 22 Blank 13,894 497 Top of the head? 1 - Yes 85 2 - No 478 8 - Blank, but applicable 22 Blank 13,894 498 Sides of the body? 1 - Yes 149 2 - No 414 8 - Blank, but applicable 22 Blank 13,894 Is your back pain made worse - Question 4i. 499 By coughing, sneezing, or deep breathing? 1 - Yes 590 2 - No 1,155 8 - Blank, but applicable 18 Blank 12,716 Is your back pain made worse - Question 4i. Continued 500 With bending or twisting motion? 1 - Yes 1,381 2 - No 365 8 - Blank, but applicable 17 Blank 12,716 Tape Positions 501-550 TAPE CONTROL NHANES-II DATA POSITIONS ITEM DESCRIPTION AND CODES COUNTS SOURCE OR NOTES 501 After prolonged sitting? 1 - Yes 1,245 2 - No 502 8 - Blank, but applicable 16 Blank 12,716 502 After prolonged standing? 1 - Yes 1,169 2 - No 577 8 - Blank, but applicable 17 Blank 12,716 503 After prolonged activity? 1 - Yes 1,227 2 - No 519 8 - Blank, but applicable 17 Blank 12,716 504 How old were you when you first Question 4j. experienced this recurring back pain? 1 - Less than 20 years old 171 2 - 20-29 years old 372 3 - 30-39 years old 404 4 - 40-49 years old 367 5 - 50-59 years old 273 6 - 60 years old or older 170 8 - Blank, but applicable 6 Blank 12,716 505 When was the last time you had this Question 4k. pain? 1 - Have it now 896 2 - Less than 1 year ago, but not now 445 3 - 1-2 years ago 115 4 - 3-5 years ago 89 5 - 6 years ago or more 212 8 - Blank, but applicable 6 Blank 12,716 506 Does this back pain occur more fre- Question 4l. quently now than it used to occur? 1 - Yes 671 2 - No 1,088 8 - Blank, but applicable 4 Blank 12,716 507 Had this back pain usually been Question 4m. mild, moderate or severe? 1 - Mild 365 2 - Moderate 746 3 - Severe 646 8 - Blank, but applicable 6 Blank 12,716 508 Have you ever had a sprained back Question 4n. due to some type of physical activity? 1 - Yes 594 2 - No 1,164 8 - Blank, but applicable 5 Blank 12,716 509 Have you ever had a disc problem Question 4o. in either your back or neck? 1 - Yes 555 2 - No 1,196 8 - Blank, but applicable 12 Blank 12,716 510 Was the problem a ruptured disc? Question 4p. 1 - Yes 264 2 - No 289 8 - Blank, but applicable 14 Blank 13,912 511 Was the disc problem in your back Question 4q. or neck? 1 - Back 459 2 - Neck 38 3 - Both 52 8 - Blank, but applicable 18 Blank 13,912 512-513 How old were you when you first Question 4r. had the disc problem? 00-74 - Years old 547 88 - Blank, but applicable 20 Blank 13,912 514 Were you in traction? Question 4s. 1 - Yes 218 2 - No 333 8 - Blank, but applicable 16 Blank 13,912 515 Was surgery necessary? Question 4t. 1 - Yes 167 2 - No 384 8 - Blank, but applicable 16 Blank 13,912 516 Have you ever stayed in a hospital Question 4u. overnight or longer for back pain? 1 - Yes 545 2 - No 1,201 8 - Blank, but applicable 17 Blank 12,716 517 Have you ever had pain in your neck Question 5a. on most days for at least two weeks? 1 - Yes 913 2 - No 9,491 Blank 4,075 518 What is the longest episode of neck Question 5b. pain you have ever had? 1 - Less than one month 327 2 - One but less than two months 129 3 - 2-3 months 122 4 - 4-5 months 26 5 - 6 months or more 291 8 - Blank, but applicable 1 9 - Don't remember 17 Blank 13,566 519 Is the neck pain present when you Question 5c. are resting at night? 1 - Yes 574 2 - No 334 8 - Blank, but applicable 5 Blank 13,566 520 Does the neck pain ever seem to Question 5d. spread? 1 - Yes 358 2 - No 555 Blank 13,566 Does it spread to - Question 5e. 521 The top and back of the head? 1 - Yes 182 2 - No 171 8 - Blank, but applicable 5 Blank 14,121 522 Either shoulder area? 1 - Yes 251 2 - No 100 8 - Blank, but applicable 7 Blank 14,121 523 The arms or hands? 1 - Yes 109 2 - No 243 8 - Blank, but applicable 6 Blank 14,121 524 Other? 1 - Yes 34 2 - No 314 8 - Blank, but applicable 10 Blank 14,121 Is your neck pain made worse - Question 5f. 525 By coughing, sneezing, or deep breathing? 1 - Yes 195 2 - No 714 8 - Blank, but applicable 4 Blank 13,566 526 With bending or twisting motion? 1 - Yes 641 2 - No 267 8 - Blank, but applicable 5 Blank 13,566 527 After prolonged activity? 1 - Yes 529 2 - No 378 8 - Blank, but applicable 6 Blank 13,566 528 After prolonged sitting? 1 - Yes 453 2 - No 452 8 - Blank, but applicable 8 Blank 13,566 529 After prolonged standing? 1 - Yes 393 2 - No 511 8 - Blank, but applicable 9 Blank 13,566 530 How old were you when you first Question 5g. experienced this recurring neck pain? 1 - Less than 20 years old 52 2 - 20-29 years old 144 3 - 30-39 years old 164 4 - 40-49 years old 213 5 - 50-59 years old 170 6 - 60 years old or older 164 8 - Blank, but applicable 6 Blank 13,566 531 When was the last time you had this Question 5h. pain? 1 - Have it now 534 2 - Less than 1 year ago, but not now 207 3 - 1-2 years ago 50 4 - 3-5 years ago 40 5 - 6 years ago or more 78 8 - Blank, but applicable 4 Blank 13,566 532 Does this neck pain occur more fre- Question 5i. quently now than it used to occur? 1 - Yes 415 2 - No 496 8 - Blank, but applicable 2 Blank 13,566 533 Has this neck pain usually been Question 5j. mild, moderate or severe? 1 - Mild 247 2 - Moderate 402 3 - Severe 262 8 - Blank, but applicable 2 Blank 13,566 534 Have you ever had a "whiplash" Question 5k. injury of the neck? 1 - Yes 239 2 - No 671 8 - Blank, but applicable 3 Blank 13,566 Have you ever used any of the Questions 6a. & 6b. following kinds of treatment for your back or neck trouble? Did it do you any good? 535 Splints or casts? 1 - Yes 72 2 - No 2,014 8 - Blank, but applicable 66 Blank 12,327 536 Did it do you any good? 1 - Yes 53 2 - No 18 8 - Blank, but applicable 67 Blank 14,341 537 Braces? 1 - Yes 500 2 - No 1,579 8 - Blank, but applicable 73 Blank 12,327 538 Did it do you any good? 1 - Yes 367 2 - No 133 8 - Blank, but applicable 73 Blank 13,906 539 Diathermy or paraffin? 1 - Yes 296 2 - No 1,786 8 - Blank, but applicable 70 Blank 12,327 540 Did it do you any good? 1 - Yes 233 2 - No 63 8 - Blank, but applicable 70 Blank 14,113 541 Hot packs or heating pads? 1 - Yes 1,431 2 - No 643 8 - Blank, but applicable 78 Blank 12,327 542 Did it do you any good? 1 - Yes 1,181 2 - No 249 8 - Blank, but applicable 79 Blank 12,970 543 Cold packs or ice? 1 - Yes 139 2 - No 1,943 8 - Blank, but applicable 70 Blank 12,327 544 Did it do you any good? 1 - Yes 86 2 - No 53 8 - Blank, but applicable 70 Blank 14,270 545 Rest? 1 - Yes 1,571 2 - No 491 8 - Blank, but applicable 90 Blank 12,327 546 Did it do you any good? 1 - Yes 1,373 2 - No 197 8 - Blank, but applicable 91 Blank 12,818 547 Traction? 1 - Yes 421 2 - No 1,653 8 - Blank, but applicable 78 Blank 12,327 548 Did it do you any good? 1 - Yes 277 2 - No 144 8 - Blank, but applicable 78 Blank 13,980 549 Exercises or physical therapy? 1 - Yes 697 2 - No 1,379 8 - Blank, but applicable 76 Blank 12,327 550 Did it do you any good? 1 - Yes 543 2 - No 154 8 - Blank, but applicable 76 Blank 13,706 Tape Positions 551-600 TAPE CONTROL NHANES-II DATA POSITIONS ITEM DESCRIPTION AND CODES COUNTS SOURCE OR NOTES 551 Aspirin? 1 - Yes 1,174 2 - No 899 8 - Blank, but applicable 79 Blank 12,327 552 Did it do you any good? 1 - Yes 939 2 - No 234 8 - Blank, but applicable 80 Blank 13,226 553 Cane? 1 - Yes 121 2 - No 1,945 8 - Blank, but applicable 86 Blank 12,327 554 Did it do you any good? 1 - Yes 110 2 - No 11 8 - Blank, but applicable 86 Blank 14,272 555 Crutch? 1 - Yes 94 2 - No 1,973 8 - Blank, but applicable 85 Blank 12,327 556 Did it do you any good? 1 - Yes 78 2 - No 15 8 - Blank, but applicable 86 Blank 14,300 557 Stiff mattress? 1 - Yes 1,011 2 - No 1,060 8 - Blank, but applicable 81 Blank 12,327 558 Did it do you any good? 1 - Yes 857 2 - No 148 8 - Blank, but applicable 87 Blank 13,387 559 Bed board? 1 - Yes 623 2 - No 1,443 8 - Blank, but applicable 86 Blank 12,327 560 Did it do you any good? 1 - Yes 525 2 - No 94 8 - Blank, but applicable 90 Blank 13,770 Are you now using it regularly for Question 6c. back or neck trouble? 561 Splints or casts? 1 - Yes 3 2 - No 51 8 - Blank, but applicable 1 Blank 14,424 562 Braces? 1 - Yes 93 2 - No 269 8 - Blank, but applicable 5 Blank 14,112 563 Diathermy or paraffin? 1 - Yes 13 2 - No 213 8 - Blank, but applicable 7 Blank 14,246 564 Hot packs or heating pads? 1 - Yes 396 2 - No 775 8 - Blank, but applicable 11 Blank 13,297 565 Cold packs or ice? 1 - Yes 17 2 - No 66 8 - Blank, but applicable 3 Blank 14,393 566 Rest? 1 - Yes 685 2 - No 673 8 - Blank, but applicable 18 Blank 13,103 567 Traction? 1 - Yes 23 2 - No 249 8 - Blank, but applicable 5 Blank 14,202 568 Exercises or physical therapy? 1 - Yes 222 2 - No 312 8 - Blank, but applicable 9 Blank 13,936 569 Aspirin? 1 - Yes 462 2 - No 459 8 - Blank, but applicable 20 Blank 13,538 570 Cane? 1 - Yes 34 2 - No 74 8 - Blank, but applicable 4 Blank 14,367 571 Crutch? 1 - Yes 4 2 - No 74 8 - Blank, but applicable 3 Blank 14,398 572 Stiff mattress? 1 - Yes 783 2 - No 75 8 - Blank, but applicable 7 Blank 13,614 573 Bed board? 1 - Ys 332 2 - No 189 8 - Blank, but applicable 9 Blank 13,949 574 At the present time, does your back Question 7a. or neck condition restrict your physical activity very little, quite a bit, or a whole lot? 1 - Very little 1,436 2 - Quite a bit 391 3 - A whole lot 258 8 - Blank, but applicable 67 Blank 12,327 575 Have you ever had to stay in bed at Question 7b. home for long periods of time because of your back or neck trouble? 1 - Yes 729 2 - No 1,355 8 - Blank, but applicable 68 Blank 12,327 576 Have you ever stayed overnight in a Question 7c. hospital because of back or neck problems? 1 - Yes 636 2 - No 1,446 8 - Blank, but applicable 70 Blank 12,327 577 With respect to your back or neck Question 8. or back trouble, would you say your condition is mild, moderate, or severe? 1 - Mild 970 2 - Moderate 804 3 - Severe 316 8 - Blank, but applicable 62 Blank 12,327 578 At any time during the past year did Question 9a. your back or neck trouble cause you to cut down on the things you usually do? 1 - Yes 969 2 - No 1,123 8 - Blank, but applicable 60 Blank 12,327 579-581 During the past year, about how Question 9b. many days did you cut down on your activity? 000-365 - Days 957 888 - Blank, but applicable 72 Blank 13,450 582-584 During the past year, about how Question 9c. many days did your condition keep you from work or school, not count- ing work around the house? 000-365 - Days 923 888 - Blank, but applicable 82 Blank 13,474 585-587 During the past year about how many Question 9d. days did your condition limit the kind or amount of work around the house you could do? 000-365 - Days 926 888 - Blank, but applicable 79 Blank 13,474 588-590 During the past year, about how Question 9e. many days has this condition kept you in bed all or most of the day? 000-365 - Days 759 888 - Blank, but applicable 75 Blank 13,645 591 Have you ever had pain, swelling, or Question 10a. stiffness in your back or neck as the result of an accident or injury? 1 - Yes - back 415 2 - Yes - neck 209 3 - Yes - both 166 4 - No 1,292 8 - Blank, but applicable 70 Blank 12,327 592 Do you think the accident or injury Question 10b. is the cause of any pain, swelling, or stiffness which might still be present? 1 - Yes 564 2 - No 164 8 - Blank, but applicable 73 9 - Don't know 59 Blank 13,619 593 Have you ever been treated by a Question 11a. medical person for back or neck trouble? 1 - Yes 3,752 2 - No 6,652 Blank 4,075 Was the medical person a - Question 11b. 594 General Practitioner? 1 - Yes 1,987 2 - No 1,762 8 - Blank, but applicable 3 Blank 10,727 595 Internist? 1 - Yes 216 2 - No 3,534 8 - Blank, but applicable 2 Blank 10,727 596 Rheumatologist? 1 - Yes 56 2 - No 3,694 8 - Blank, but applicable 2 Blank 10,727 597 Orthopedist? 1 - Yes 934 2 - No 2,815 8 - Blank, but applicable 3 Blank 10,727 598 Chiropractor? 1 - Yes 1,297 2 - No 2,454 8 - Blank, but applicable 1 Blank 10,727 599 Osteopath? 1 - Yes 439 2 - No 3,311 8 - Blank, but applicable 2 Blank 10,727 600 Physical therapist? 1 - Yes 310 2 - No 3,440 8 - Blank, but applicable 2 Blank 10,727 Tape Positions 601-650 TAPE CONTROL NHANES-II DATA POSITIONS ITEM DESCRIPTION AND CODES COUNTS SOURCE OR NOTES 601 Occupational therapist? 1 - Yes 16 2 - No 3,734 8 - Blank, but applicable 2 Blank 10,727 602 Other? 1 - Yes 303 2 - No 3,240 8 - Blank, but applicable 209 Blank 10,727 What did he say the problem was? Question 11c. See Detailed Notes 603 Category 1 for list of code definitions 1 - Yes 184 8 - Blank, but applicable 433 Blank 13,862 604 Category 2 1 - Yes 317 8 - Blank, but applicable 433 Blank 13,729 605 Category 3 1 - Yes 62 8 - Blank, but applicable 433 Blank 13,984 606 Category 4 1 - Yes 623 8 - Blank, but applicable 433 Blank 13,423 607 Category 5 1 - Yes 1,221 8 - Blank, but applicable 433 Blank 12,825 608 Category 6 1 - Yes 1,098 8 - Blank, but applicable 433 Blank 12,948 609 Are you now being treated by a Question 11d. medical person for back or neck trouble? 1 - Yes 501 2 - No 3,235 8 - Blank, but applicable 16 Blank 10,727 Is this a - Question 11e. 610 General Practitioner? 1 - Yes 224 2 - No 272 8 - Blank, but applicable 21 Blank 13,962 611 Internist? 1 - Yes 26 2 - No 469 8 - Blank, but applicable 22 Blank 13,962 612 Rheumatologist? 1 - Yes 11 2 - No 484 8 - Blank, but applicable 22 Blank 13,962 613 Orthopedist? 1 - Yes 75 2 - No 420 8 - Blank, but applicable 22 Blank 13,962 614 Chiropractor? 1 - Yes 135 2 - No 359 8 - Blank, but applicable 23 Blank 13,962 615 Osteopath? 1 - Yes 39 2 - No 456 8 - Blank, but applicable 22 Blank 13,962 616 Physical therapist? 1 - Yes 10 2 - No 485 8 - Blank, but applicable 22 Blank 13,962 617 Occupational therapist? 1 - Yes 2 2 - No 493 8 - Blank, but applicable 22 Blank 13,962 618 Other? 1 - Yes 35 2 - No 441 8 - Blank, but applicable 41 Blank 13,962 What did he say the problem was? Question 11f. See Detailed Notes 619 Category 1 for list of codes 1 - Yes 42 8 - Blank, but applicable 89 Blank 14,348 620 Category 2 1 - Yes 99 8 - Blank, but applicable 89 Blank 14,291 621 Category 3 1 - Yes 13 8 - Blank, but applicable 89 Blank 14,377 622 Category 4 1 - Yes 77 8 - Blank, but applicable 89 Blank 14,313 623 Category 5 1 - Yes 91 8 - Blank, but applicable 89 Blank 14,299 624 Category 6 1 - Yes 134 8 - Blank, but applicable 89 Blank 14,256 625 Have you ever had an operation for a Question 12a. back or neck disease or injury? 1 - Yes 298 2 - No 3,454 Blank 10,727 626 Was it your back or neck? Question 12b. 1 - Back 244 2 - Neck 43 3 - Both 3 8 - Blank, but applicable 8 Blank 14,181 627 Have you had pain or aching in any Question 13a. joint other than the back or neck on most days for at least six weeks? 1 - Yes 2,219 2 - No 8,185 Blank 4,075 Which joints were painful? Questions 13b. and 13c. 628 Fingers? 1 - Yes 739 2 - No 1,474 8 - Blank, but applicable 6 Blank 12,260 629 Which fingers? 1 - Right 144 2 - Left 76 3 - Both 517 8 - Blank, but applicable 2 Blank 13,740 630 Wrist? 1 - Yes 394 2 - No 1,816 8 - Blank, but applicable 9 Blank 12,260 631 Which wrist? 1 - Right 83 2 - Left 63 3 - Both 243 8 - Blank, but applicable 5 Blank 14,085 632 Elbow? 1 - Yes 491 2 - No 1,722 8 - Blank, but applicable 6 Blank 12,260 633 Which elbow? 1 - Right 148 2 - Left 95 3 - Both 244 8 - Blank, but applicable 4 Blank 13,988 634 Shoulder? 1 - Yes 784 2 - No 1,427 8 - Blank, but applicable 8 Blank 12,260 635 Which shoulder? 1 - Right 271 2 - Left 158 3 - Both 353 8 - Blank, but applicable 2 Blank 13,695 636 Hip? 1 - Yes 564 2 - No 1,648 8 - Blank, but applicable 7 Blank 12,260 637 Which hip? 1 - Right 153 2 - Left 139 3 - Both 264 8 - Blank, but applicable 8 Blank 13,915 638 Knee? 1 - Yes 1,090 2 - No 1,123 8 - Blank, but applicable 6 Blank 12,260 639 Which knee? 1 - Right 260 2 - Left 215 3 - Both 612 8 - Blank, but applicable 3 Blank 13,389 640 Ankle? 1 - Yes 448 2 - No 1,764 8 - Blank, but applicable 7 Blank 12,260 641 Which ankle? 1 - Right 85 2 - Left 70 3 - Both 289 8 - Blank, but applicable 4 Blank 14,031 642 Foot? 1 - Yes 391 2 - No 1,819 8 - Blank, but applicable 9 Blank 12,260 643 Which foot? 1 - Right 52 2 - Left 67 3 - Both 271 8 - Blank, but applicable 1 Blank 14,088 644 When was the last time you had this Question 13d. pain? 1 - Have it now 1,363 2 - Less than 1 year ago, but not now 519 3 - 1-2 years ago 103 4 - 3-5 years ago 84 5 - 6 years ago or more 136 8 - Blank, but applicable 14 Blank 12,260 645 Have you ever had any swelling of Question 14a. joints with pain present when the joint was touched on most days for at least one month? 1 - Yes 1,180 2 - No 9,224 Blank 4,075 646 Has this swelling been present on Question 14b. any one occasion for at least six weeks? 1 - Yes 795 2 - No 351 8 - Blank, but applicable 34 Blank 13,299 Which joints are usually involved Questions 14c. and whenever you have this swelling and 14d. tenderness on touching? 647 Fingers? 1 - Yes 495 2 - No 638 8 - Blank, but applicable 47 Blank 13,299 648 Which fingers? 1 - Right 106 2 - Left 49 3 - Both 334 8 - Blank, but applicable 6 Blank 13,984 649 Wrist? 1 - Yes 176 2 - No 939 8 - Blank, but applicable 65 Blank 13,299 650 Which wrist? 1 - Right 33 2 - Left 30 3 - Both 108 8 - Blank, but applicable 5 Blank 14,303 Tape Positions 651-700 TAPE CONTROL NHANES-II DATA POSITIONS ITEM DESCRIPTION AND CODES COUNTS SOURCE OR NOTES 651 Elbows? 1 - Yes 170 2 - No 943 8 - Blank, but applicable 67 Blank 13,299 652 Which elbow? 1 - Right 37 2 - Left 43 3 - Both 86 8 - Blank, but applicable 4 Blank 14,309 653 Shoulders? 1 - Yes 188 2 - No 921 8 - Blank, but applicable 71 Blank 13,299 654 Which shoulder? 1 - Right! 52 2 - Left 27 3 - Both 105 8 - Blank, but applicable 4 Blank 14,291 655 Hips? 1 - Yes 111 2 - No 996 8 - Blank, but applicable 73 Blank 13,299 656 Which hip? 1 - Right 25 2 - Left 15 3 - Both 67 8 - Blank, but applicable 4 Blank 14,368 657 Knees? 1 - Yes 500 2 - No 634 8 - Blank, but applicable 46 Blank 13,299 658 Which knee? 1 - Right 151 2 - Left 101 3 - Both 240 8 - Blank, but applicable 8 Blank 13,979 659 Ankles? 1 - Yes 330 2 - No 796 8 - Blank, but applicable 54 Blank 13,299 660 Which ankle? 1 - Right 69 2 - Left 55 3 - Both 198 8 - Blank, but applicable 8 Blank 14,149 661 Feet? 1 - Yes 259 2 - No 863 8 - Blank, but applicable 58 Blank 13,299 662 Which foot? 1 - Right 33 2 - Left 39 3 - Both 181 8 - Blank, but applicable 6 Blank 14,220 663 How old were you when you first Question 14e. experienced this swelling of the joints? 1 - Less than 20 years old 89 2 - 20-29 years old 148 3 - 30-39 years old 171 4 - 40-49 years old 246 5 - 50-59 years old 262 6 - 60 years old or older 237 8 - Blank, but applicable 27 Blank 13,299 664 When was the last time you had this? Question 14f. 1 - Now 712 2 - Less than 1 year ago, but not now 225 3 - 1-2 years ago 71 4 - 3-5 years ago 41 5 - 6 years ago or more 106 8 - Blank, but applicable 25 Blank 13,299 665 Have you had stiffness in your Question 15a. joints and muscles when first getting out of bed in the morning on most mornings for at least one month? 1 - Yes 2,073 2 - No 8,331 Blank 4,075 666 Has this morning stiffness been Question 15b. present on any one occasion for at least six weeks? 1 - Yes 1,540 2 - No 489 8 - Blank, but applicable 44 Blank 12,406 Which joints are usually involved Questions 15c. and whenever you have this morning 15d. stiffness? 667 Fingers? 1 - Yes 838 2 - No 1,233 8 - Blank, but applicable 2 Blank 12,406 668 Which fingers? 1 - Right 104 2 - Left 42 3 - Both 677 8 - Blank, but applicable 15 Blank 13,641 669 Wrists? 1 - Yes 388 2 - No 1,681 8 - Blank, but applicable 4 Blank 12,406 670 Which wrist? 1 - Right 44 2 - Left 23 3 - Both 312 8 - Blank, but applicable 9 Blank 14,091 671 Elbows? 1 - Yes 382 2 - No 1,686 8 - Blank, but applicable 5 Blank 12,406 672 Which elbow? 1 - Right 63 2 - Left 30 3 - Both 281 8 - Blank, but applicable 8 Blank 14,097 673 Shoulders? 1 - Yes 662 2 - No 1,406 8 - Blank, but applicable 5 Blank 12,406 674 Which shoulder? 1 - Right 110 2 - Left 61 3 - Both 480 8 - Blank, but applicable 11 Blank 13,817 675 Hips? 1 - Yes 748 2 - No 1,318 8 - Blank, but applicable 7 Blank 12,406 676 Which hip? 1 - Right 110 2 - Left 72 3 - Both 555 8 - Blank, but applicable 11 Blank 13,731 677 Knees? 1 - Yes 1,210 2 - No 861 8 - Blank, but applicable 2 Blank 12,406 678 Which knee? 1 - Right 142 2 - Left 91 3 - Both 961 8 - Blank, but applicable 16 Blank 13,269 679 Ankles? 1 - Yes 663 2 - No 1,407 8 - Blank, but applicable 3 Blank 12,406 680 Which ankle? 1 - Right 58 2 - Left 51 3 - Both 545 8 - Blank, but applicable 9 Blank 13,816 681 Feet? 1 - Yes 574 2 - No 1,494 8 - Blank, but applicable 5 Blank 12,406 682 Which foot? 1 - Right 41 2 - Left 43 3 - Both 475 8 - Blank, but applicable 15 Blank 13,905 683 Back? 1 - Yes 983 2 - No 1,065 8 - Blank, but applicable 25 Blank 12,406 684 How long after getting up and Question 15e. moving around does the morning stiffness last? 1 - Less than 15 minutes 595 2 - 15 minutes to one half hour 584 3 - More than one half hour, but less than all day 702 4 - All day 192 Blank 12,406 685 How old were you when you first Question 15f. experienced this morning stiffness of the joints? 1 - Less than 20 years old 73 2 - 20-29 years old 212 3 - 30-39 years old 298 4 - 40-49 years old 432 5 - 50-59 years old 596 6 - 60 years old or older 458 8 - Blank, but applicable 4 Blank 12,406 686 When was the last time you had this? Question 15g. 1 - Now 1,730 2 - Less than 1 year ago, but not now 251 3 - 1-3 years ago 46 4 - 4-9 years ago 20 5 - 10 years ago or more 18 8 - Blank, but applicable 8 Blank 12,406 687 Have you ever had a job which Question 16a. placed frequent stress or strain on your back? 1 - Yes 3,951 2 - No 6,453 Blank 4,075 688-689 How long did you work at that kind Question 16b. of job? 00-11 - Months 357 88 - Blank, but applicable 1 Blank 14,121 690-691 01-55 - Years 3,593 Blank 10,886 692 Has a doctor ever told you that Question 17. you had mononucleosis? 1 - Yes 439 2 - No 13,891 8 - Blank, but applicable 81 Blank 68 693 Have you ever had yellow jaundice Question 18a. which caused your skin or eyes to turn yellow? 1 - Yes 694 2 - No 13,649 8 - Blank, but applicable 68 Blank 68 694 When this happened, did your urine Question 18b. become darker? 1 - Yes 334 2 - No 117 8 - Blank, but applicable 311 Blank 13,717 695 Did your stools become lighter in Question 18c. color? 1 - Yes 209 2 - No 168 8 - Blank, but applicable 385 Blank 13,717 696 Did your skin remain yellow for a Question 18d. month or longer? 1 - Yes 261 2 - No 264 8 - Blank, but applicable 237 Blank 13,717 697 Have you had yellow jaundice more Question 18e. than once? 1 - Yes 40 2 - No 564 8 - Blank, but applicable 158 Blank 13,717 698 How many times did you have it? Question 18f. 1-5 - Times 37 8 - Blank, but applicable 161 Blank 14,281 699 As far as you know, have you ever Question 18g. been in contact with a person who may have had yellow jaundice? 1 - Yes 2,169 2 - No 11,672 8 - Blank, but applicable 67 9 - Don't know 503 Blank 68 700 Have you ever had an operation for a Question 19. hernia not including hiatus hernia of the diaphragm? 1 - Yes 1,105 2 - No 13,219 8 - Blank, bt applicable 87 Blank 68 Tape Positions 701-750 TAPE CONTROL NHANES-II DATA POSITIONS ITEM DESCRIPTION AND CODES COUNTS SOURCE OR NOTES 701 How any times have you used or had Question 20. any contact with carbon tetra- chloride? 0 - None 10,958 1 - Once 210 2 - 2-4 times 656 3 - 5-9 times 363 4 - 10 or more times 1,281 8 - Blank, but applicable 63 9 - Don't know 880 Blank 68 Are pesticides, such as weed Question 21a. killers, insecticides, fungicides and other chemicals used for pest control, used in your - 702 Home? 1 - Yes 9,244 2 - No 5,061 8 - Blank, but applicable 61 9 - Don't know 45 Blank 68 703 Garden? 1 - Yes 6,181 2 - No 8,064 8 - Blank, but applicable 61 9 - Don't know 105 Blank 68 704 Yard? 1 - Yes 6,004 2 - No 8,221 8 - Blank, but applicable 61 9 - Don't know 125 Blank 68 705 Place of employment? 1 - Yes 2,823 2 - No 11,082 8 - Blank, but applicable 61 9 - Don't know 445 Blank 68 706 Anywhere else around you? 1 - Yes 1,336 2 - No 12,577 8 - Blank, but applicable 61 9 - Don't know 437 Blank 68 707 To your knowledge are any pesticides Question 21b. used around you? 1 - Yes 115 2 - No 2,008 8 - Blank, but applicable 125 Blank 12,231 708 During the past 12 months, has Question 21c. anyone in your family had pesticide poisoning diagnosed by a doctor? 1 - Yes 43 2 - No 14,262 8 - Blank, but applicable 106 Blank 68 79 During the past 12 months has your Question 21d. home or place of employment been treated for pest control by a commercial company? 1 - Yes 3,748 2 - No 10,553 8 - Blank, but applicable 110 Blank 68 710 Are any disinfectants, such as Lysol Question 21e. or Pine Oil, used in your home? 1 - Yes 11,964 2 - No 2,329 8 - Blank, but applicable 118 Blank 68 711 Have you smoked at least 100 Question 22a. cigarettes during your entire life? 1 - Yes 371 2 - No 1,589 Blank 12,519 712 Do you smoke cigarettes now? Question 22b. 1 - Yes 292 2 - No 79 Blank 14,108 713-714 On the average, about how many a Question 22c. day do you smoke? 00-40 - Cigarettes per day 292 Blank 14,187 715-716 How long has it been since you Question 22d. smoked cigarettes fairly regularly? 00-10 - Years 28 77 - Under one year 44 88 - Never smoked cigarettes regularly 7 Blank 14,400 717-718 On the average, about how many Question 22e. cigarettes a day were you smoking 12 months ago? 00-80 - Cigarettes per day 263 88 - Did not smoke 60 99 - Don't know 13 Blank 14,143 719-720 During the period when you were Question 22f. smoking the most, about how many cigarettes a day did you usually smoke? 00-80 - Cigarettes per day 357 99 - Don't know 7 Blank 14,115 721-722 About how old were you when you Question 22g. first started smoking cigarettes fairly regularly? 06-17 - Years old 349 88 - Never smoked regularly 13 99 - Don't know 2 Blank 14,115 723 Did a doctor ever tell you that you Question 23a. had chronic kidney disease? 1 - Yes 283 2 - No 14,051 8 - Blank, but applicable 77 Blank 68 724 Have you ever had pain or burning Question 23b. sensation on urination accompanied by more frequent urination than usual? 1 - Yes 3,840 2 - No 10,419 8 - Blank, but applicable 152 Blank 68 725-726 How many separate times has this Question 23c. happened? 01-99 - Times 3,693 88 - Blank, but applicable 299 Blank 10,487 727 Do you NOW have difficulty starting Question 24. to urinate? 1 - Yes 810 2 - No 13,518 8 - Blank, but applicable 83 Blank 68 728 Do you NOW have periods of waking Question 25. from sleep two or three times a night to urinate? 1 - Yes 2,645 2 - No 11,685 8 - Blank, but applicable 81 Blank 68 729 Have you ever noticed blood in your Question 26a. urine? (FOR WOMEN - other than at the time of your period.) 1 - Yes 1,098 2 - No 13,313 Blank 68 730-731 How many separate times has this Question 26b. happened? 01-99 - Times 1,065 88 - Blank, but applicable 33 Blank 13,381 732 When was the last time it happened? Question 26c. 1 - Less than 1 year ago, but not now 270 2 - 1-2 years ago 202 3 - 3-5 years ago 213 4 - 6 years ago or more 404 8 - Blank, but applicable 9 Blank 13,381 733 Have you ever noticed that your Question 27a. urine was a different color than the usual yellow? (FOR WOMEN - other than at the time of your period.) 1 - Yes 916 2 - No 13,495 Blank 68 734 How many different times has this Question 27b. happened? 1 - Once 182 2 - Twice 165 3 - 3 or more 569 Blank 13,563 735-736 How old were you when it happened? Question 27c. 05-72 - Years old 182 Blank 14,297 737 How long did the change in color Question 27d. last? 1 - One time 40 2 - One day 23 3 - 2-6 days 60 4 - 1 week or longer 57 8 - Blank, but applicable 2 Blank 14,297 738-739 How old were you when it FIRST Question 27e. happened? 01-73 - Years old 713 88 - Blank, but applicable 21 Blank 13,745 740-741 How long ago did it last happen? Question 27f. 00-74 - Years ago 660 88 - Blank, but applicable 74 Blank 13,745 742-743 How long did the change in color Question 27g. last that time? 00 - Less than one day 208 01-90 - Days 501 88 - Blank, but applicable 25 Blank 13,745 744 Did you see a doctor about it? Question 27h. 1 - Yes 467 2 - No 433 8 - Blank, but applicable 16 Blank 13,563 745 Do you have trouble with your bowels Question 28. which makes you constipated or gives you diarrhea? 1 - Yes-Constipation 1,824 2 - Yes-Diarrhea 619 3 - No 11,742 4 - Both 149 8 - Blank, but applicable 77 Blank 68 746 Have your bowel movements ever been Question 29a. white, gray, dark black, or streaked with blood? 1 - Yes 1,442 2 - No 12,969 Blank 68 Which was it? Question 29b. 747 White? 1 - Yes 109 2 - No 1,324 8 - Blank, but applicable 9 Blank 13,037 748 Gray? 1 - Yes 88 2 - No 1,344 8 - Blank, but applicable 10 Blank 13,037 749 Dark black? 1 - Yes 688 2 - No 746 8 - Blank, but applicable 8 Blank 13,037 750 Streaked with blood? 1 - Yes 727 2 - No 712 8 - Blank, but applicable 3 Blank 13,037 Tape Positions 751-802 TAPE CONTROL NHANES-II DATA POSITIONS ITEM DESCRIPTION AND CODES COUNTS SOURCE OR NOTES 751 Do you have a physical disability Question 30a. or handicap which prevents or limits normal daily activities, such as the kind or amount of work that you can do, housework, schoolwork, using public transportation, and so on? 1 - Yes 1,172 2 - No 13,146 8 - Blank, but applicable 93 Blank 68 752-753 How long have you had this disa- Question 30c. bility or handicap? 00-11 - Months 66 88 - Blank, but applicable 166 Blank 14,247 754-755 01-74 - Years 1,033 88 - Blank, but applicable 166 Blank 13,280 Does this disability or handicap Questions 30d. and PREVENT you from.... 30e. 756 (Age 18 and over) working at a job or business? 1 - Yes 668 2 - No 414 8 - Blank, but applicable 131 Blank 13,266 757 Does it LIMIT you in this activity? 1 - Yes 241 2 - No 152 8 - Blank, but applicable 152 Blank 13,934 758 (Age 18 and over) driving a car? 1 - Yes 240 2 - No 831 8 - Blank, but applicable 142 Blank 13,266 759 Does it LIMIT you in this activity? 1 - Yes 258 2 - No 500 8 - Blank, but applicable 215 Blank 13,506 760 (Under age 18) doing any regular school work? 1 - Yes 1 2 - No 31 8 - Blank, but applicable 20 Blank 14,427 761 Does it LIMIT you in this activity? 1 - Yes 12 2 - No 18 8 - Blank, but applicable 21 Blank 14,428 762 Using any public transportation such as buses, trains and so on? 1 - Yes 147 2 - No 965 8 - Blank, but applicable 153 Blank 13,214 763 Does it LIMIT you in this activity? 1 - Yes 206 2 - No 665 8 - Blank, but applicable 247 Blank 13,361 764 Taking care of any of your personal needs such as dressing or eating? 1 - Yes 91 2 - No 1,023 8 - Blank, but applicable 151 Blank 13,214 765 Does it LIMIT you in this activity? 1 - Yes 211 2 - No 719 8 - Blank, but applicable 244 Blank 13,305 766 Doing work around the house? 1 - Yes 274 2 - No 833 8 - Blank, but applicable 158 Blank 13,214 767 Does it LIMIT you in this activity? 1 - Yes 508 2 - No 287 8 - Blank, but applicable 196 Blank 13,488 INTERVIEWER CHECK ITEM III 768 1 - Female 7,494 2 - Male 6,917 Blank 68 769-770 How old were you when your periods Question 31a. or menstrual cycles started? 02 - Haven't started yet 148 08-35 - Years 7,299 88 - Blank, but applicable 47 Blank 6,985 771 Have your periods stopped entirely -- Question 31b. not counting pregnancy? 1 - Yes 3,434 2 - No 3,883 8 - Blank, but applicable 29 Blank 7,133 772-773 At what age? Question 31c. 14-69 - Years 3,404 88 - Blank, but applicable 59 Blank 11,016 774-775 When did your last period or Question 31d. menstrual cycle end? 00 - Having it now 495 01-99 - Days ago 3,296 88 - Blank, but applicable 92 Blank 10,596 776 Have you taken birth control pills Question 32a. during the past six months? 1 - Yes 940 2 - No 6,406 Blank 7,133 777 Are you taking them now? Question 32b. 1 - Yes 654 2 - No 286 Blank 13,539 778 Have you EVER been pregnant? Question 33a. 1 - Yes 5,153 2 - No 2,171 8 - Blank, but applicable 22 Blank 7,133 779-780 What is the total number of preg- Question 33b. nancies you have had? 01-20 - Number 5,152 88 - Blank, but applicable 1 Blank 9,326 781-782 What is the total number of mis- Question 33c. carriages you have had? 01-19 - Miscarriages 5,147 88 - Blank, but applicable 1 Blank 9,326 783-784 What is the total number of live Question 33d. births you have had? 00-20 - Births 5,146 88 - Blank, but applicable 7 Blank 9,326 785 Are you pregnant now? Question 33e. 1 - Yes 122 2 - No 4,978 8 - Blank, but applicable 28 9 - Don't know 25 Blank 9,326 786-787 Which month of pregnancy are you in? Question 33f. 01-10 - Month 118 88 - Blank, but applicable 4 Blank 14,357 788 Have you had a pregnancy which ended Question 33g. within the last 12 months? 1 - Yes 281 2 - No 4,872 Blank 9,326 789 How many months ago did that Question 33h. pregnancy end? 1 - 10-12 months ago 62 2 - 7-9 months ago 68 3 - 4-6 months ago 74 4 - 0-3 months ago 74 8 - Blank, but applicable 3 Blank 14,198 790 Are you breast feeding? Question 33i. 1 - Yes 41 2 - No 231 8 - Blank, but applicable 9 Blank 14,198 Blood Pressure Measurements Physician's Examin- ation, Ages 12-74 (See Detailed Notes) Item (e.) 791-793 Systolic 065-300 - As given 14,416 888 - Blank, but applicable 63 794-796 Distolic 035-150 - As given 14,384 888 - Blank, but applicable 95 Recumbent Measurement Item (U.) 797-799 Systolic 070-300 - As given 14,398 888 - Blank, but applicable 81 800-802 Distolic 036-150 - As given 14,361 888 - Blank, but applicable 118 Tape Positions 803-810 TAPE CONTROL NHANES-II DATA POSITIONS ITEM DESCRIPTION AND CODES COUNTS SOURCE OR NOTES Second Sitting Measurement 803-805 Systolic 065-300 - As given 14,394 888 - Blank, but applicable 85 806-808 Distolic 036-150 - As given 14,377 888 - Blank, but applicable 102 810 Dummy Record Flag 1 - Dummy 68 Blank - Not dummy 14,411 DETAILED NOTES, HEALTH HISTORY DATA Sample Weights 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 and housing unit, and 3) the probability of selecting 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 nnresponse 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. Poverty/non-poverty segments Individuals interviewed during NHANES II were selected by means of a multi-stage, stratified probability sample of loose clusters of households by geographic locations.8 Clusters of housing units (segments) were designated as either "poverty" or "nonpoverty" (See Detailed Notes for description of Poverty Index) in the sample selection process to insure adequate representation of low income persons in the sample. Code Disease Rheumatic fever (Active) Chorea Endocarditis (rheumatic) (active or acute) 1 Myocarditis (rheumatic) (active or acute) Pericarditis (rheumatic) (active or acute) Rheumatic Health Disease (active or acute) Chronic rheumatic heart disease Aortic, endocardial or mitral (chronic) Incompetency 2 Insufficiency Obstruction Sclerosis Stenosis Endocardial Aneurysm Hypertension Arteriolar nephritis Arteriosclerosis of kidney 3 Bright's disease (chronic) Hypertensive cardiovascular renal Hypertensive renal failure Nephrosclerosis Ischemic heart disease Acute myocardial infarction Angina pectoris Cardiac infarction 4 Coronary Embolism Occlusion Rupture Thrombosis Infarction of heart, myocardium, or ventricle Rupture of heart or myocardium Other forms of heart disease Acute pericarditis (nonrheumatic) Aortic, endocardial or mitral (nonrheumatic) Incompetency Insufficiency Obstruction Stenosis Auricular fibrillation or flutter Bacterial endocarditis Cardiac enlargement or hypertrophy Cardiac or myocardial insufficiency Carditis 5 Congestive heart failure Enlargement of heart Left ventricular failure Acute edema of lung Acute pulmonary edema Acute cardiac asthma Mycotic aneurysm Paroxysmal tachycardia Pulmonary heart disease Septic myocarditis Toxic myocarditis Ventricular fibrillation or flutter Ventricular dilation Cerebrovascular disease Cerebral: Arteriosclerosis Embolism 6 Hemorrhage Thrombosis Meningeal hemorrhage Paralytic stroke Ruptured cerebral aneurysm Arteriosclerosis Of aorta 7 Of renal artery Senile Generalized and unspecified Other diseases of the circulatory system Aortic aneurysm Arterial embolism and thrombosis Buerger's disease Chilblains Elephantiasis 8 Gangrene Hemorrhoids Hypotension Peripheral vascular disease Phlebitis Pulmonary embolism and infarction Raynaud's disease Rupture of blood vessel Varicose veins 9 Other chest pain - not cardiovascular Tape Positions 603-608 and 619-624 Code Disease Acute arthritis Arthritis of spine, hip, upper and lower extremities Arthritis due to an infection: Dysentary 1 Enteritis Parathyphoid Typhoid Urethritis Rheumatoid Arthritis Osteoarthritis and allied conditions Degenerative Hypertrophic 2 Other specified forms of arthritis Allergic Articular rheumatism Traumatic Arthritis, unspecified Rheumatism, polymyositis, and dermatomyositis Rheumatism Fibrositis Frozen shoulder Muscular rheumatism 3 Myalgia Myofibrosis Neck contracture Neuritis (rheumatic) Periarthritis Radiculitis Torticellis (spasmodic or spastic) Wry neck Osteomyelitis and periostitis Abscess of bone Acute osteomyelitis Arrest of growth Aseptic necrosis Backache or back pain Calcaneal spur Cervicalgia (pain in neck) Compression of cervical spinal cord Cyst of bone (except jaw) Flexion contracture of fingers Hyperostosis of skull Loose body in knee Neuritis Osteochondrosis 4 Paget's disease of bone Pellegrini Recurrent dislocation of shoulder, elbow, knee Sciatica Sprain or Strain of Sacroiliac Spontaneous fracture Stiffness of joint spine, shoulder, elbow, wrist, finger, hip, knee, ankle Vertebral artery compression Other diseases of the musculoskeletal system Abscess of bursa Bunion Bursitis Calcium deposits in joint or tendon Curvature of spine Cyst of meniscus Deformity of: Ankle and foot (excluding toes) Clawfoot Clubfoot Equinovarus Arm Bone Chest 5 Elbow Fingers Mallet fingers Forearm (excluding fingers) Clawhand Clubhand Hip Knee Leg Neck Nose Pelvis Rib Shoulder Spine Toes Clawtoe Hammer toe Wrist Fallen or broken arches Fibrous myositis Flat feet Housemaid's knee Hunchback Infective myositis Inflammation of muscle, tendon, or fascia Kyphosis Muscular atrophy Short achilles tendon Synovitis Tenosynovitis Tape Positions 535-559 (odd), 536-560 (even), and 561-573 These fields contain data on kinds of treatment for back and neck trouble. Although it was expected that a "Yes" reply to question 6a ("...ever need any of the following kinds of treatment for your back or neck trouble?") and a "No" reply to question 6b ("Did it do you any good?") would end the sequence of questioning for question 6, a number of respondents who answered "Yes" to question 6a and "No" to question 6b were also asked question 6c ("Are you now using it regularly for your back or neck trouble?"). These records were verified and no keying errors were found. Tape Positions 779-784 These positions contain pregnancy history data. The total number of pregnancies recorded may include current pregnancies, induced abortions, spontaneous abortions (miscarriages), and/or live births. Also, the number of live births may include multiple births for single pregnancies. In cases where the total number of pregnancies differs from the sum of miscarriages and live births, the data were verified against the original interview documents. Tape Position 810 The term "Dummy Record" refers to a tape record for a respondent who was included in the sample but for whom no Health History Supplement Questionnaire was received. Although demographic data are available for all respondents, positions 355-790 are all blank in dummy records, and position 810 contains a code of "1" to identify such records. If position 810 contains the code "blank", at least some Health History Supplement Questionnaire data were received for that respondent. Blood Pressure These fields contain data on blood pressure which were obtained only for sample persons aged 6 years and over. The blood pressure data on this tape are limited to those for persons 12 through 74 years of age; data for persons 6 through 11 years of age are available on another public use tape: Medical History, Ages 6 Months-11 Years (catalog number 5010). At the beginning of the physical examination the physician took the sample person's blood pressure while the person was in a sitting position. The physician took the person's blood pressure twice more at the end of the examination, once while the person was recumbent and again while sitting. The following guidelines, based on the American Heart Association's Recommendations for Human Blood Pressure Determinations by Sphygmomanometers (Committee to Revise Standardization of High Blood Pressure Readings, New York, American Heart Association, October, 1951), were generally observed: 1. The cuff was at least 20 percent wider than the diameter of the arm or covered approximately two-thirds of the arm. (An adult 12.5 cm. cuff and a pediatric 9.5 cm. cuff were provided.) 2. The manometer was at eye level with the physician. 3. The meniscus of the mercury instruments was checked weekly for zero-level calibration. 4. While measuring, the rate of falling pressure was maintained 2-3 mmHg per heartbeat, which was slow enough to detect the first and last sounds but sufficiently rapid to avoid the intermittent trapping of blood between systolic and diastolic levels. 5. For diastolic pressure, the level was recorded at the point of complete cessation of Korotkoff's sounds, or, if there was no cessation, the point of muffling. 6. Measurements were recorded to the nearest 2 mm. on the scale.
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