United States, 1981 · 2019-06-11 · United States, 1981 Incidence of acute conditions, number of...

.-

Current EstimatesFrom the NationalHealth InterviewSurve~

United States, 1981

Incidence of acute conditions, numberof persons reporting limitation ofactivity, number of persons injured,hospital episodes, disability days, andfrequency of dental and physicianvisits are estimated. Estimates arebased on data collected in theNational Health Interview Surveyduring 1981.

Data From the National HealthSurveySeries 10, Number 141

DHHS Publication No. (PHS) 82-1569

U.S. Department of Health and HumanServices

Public Health ServiceNational Center for Health StatisticsHyattsville, Md.October 1982

. .,4

,,. .

$..

COPYRIGHT INFORMATION

All material appearing in this report is in the public domain andmay be reproduced or copied without permission; citation as toFsource, however, is appreciated.

k SUGGESTED CITATION

I National Center for Health Statistics, B. Bloom: Current estimatesfrom the National Health Interview Survey, United States, 1981.Vital and Health Statistics. Series 1O-NO. 141. DHHS Pub. No.(PHS) 83-1569. Public Health Service. Washington. U.S. GovernmentPrinting Ofl’ice, October 1982.

Library of Congress Catalog Card Number 66-62623

Ih)rsnlehythe Superintendentof Docnnlents. TJ.S. Government Printing Office. WrAington, D. C. 20402

... ---- . . . . ..- . ... . -p-. ... -, ._ . . . . ,- .

National Center for Health Statistics

ROBERT A. ISlL4EL, Acting Director

JACOB J. FELDMAN, Ph.D., Associate Director forAnaIysis and Epidemiology

GAIL F. FISHER, Ph.D., Associate Director for theCooperative Health Statistics System

GARRIE J. LOSEE, Associate Directoi for DataProcessing and Services

ALVAN O. ZARATE, Ph.D., Assistant Director forInternational Statistics

E. EARL BRYANT, Associate Director for Interviewand Examination Statistics

ROBERT L. QUAVE, Associate Director forManagement

MONROE G. SIRKEN, Ph.D., Associate Director forResearch and Methodology

PETER L. HURLEY, Associate Director for Vita/ andHealth Care Statistics

ALICE HAYWOOD, Information Oflcer

Interview and Examination Statistics Program

E. EARL BRYANT, Associate Director

MARY GIWCE KOVAR, Special Assistant for DataPolicy and Analysis

Division of Health Interview Statistics

ROBERT R. FUCHSBERG, Director

OWEN T. THORNBERRY, JR., Ph.D., DeputyDirector

CLINTON E. BURNHAM, Chief Illness and DisabilityStatistics Branch

ROBERT A. WRIGHT, ChieJ Utilization andExpenditure Statistics Branch

8, ...- -’, .-...-: ,X. -., i.. .-: .’,.’. .. ’-.. . . . . .

STEWART C. RICE, ChieJ Survey Planning andDevelopment Branch

NELMA B. KEEN, ChieJ Programming Branch

Under the legislation establishing the National Health Interview Survey, thePublic Health Service is authorized to use, insofar as possible, the services orfacilities of other Federal, State, or private agencies.

In accordance with specifications established by the Division of HealthInterview Statistics, the Bureau of the Census, under a contractual arrangement,participated in planning the survey and collecting the data. t-

M

Contents

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

Highlights for the period .. . . . . . . . . ...0 . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...?. 2Acute conditions .. .. .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Days of disability . .. .. .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . 3Limitation of activity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Utilization of medical services .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Seasonal variation .. . . . . . . . . . . . . . ..0...... . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Background .. . . . . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . ..-

7Contents of the 1981 questionnaire . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . 7Sources and limitations of the data .. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Related publications in Series 10 .. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . . . . . . . . .. . 8

References .. . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

List of detailed taMes .. . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . . . . .. . .. . . . . . . . . . . . 10

Appendixes

Contents . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . 36L Technical notes on methods .. . . .. . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...’..... .. 37IL Definitions of certain terms used in this report . . . . . . .. . . . . . .. . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49Hi. Questionnaire and flash cards . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . .. . . . . .. . . . . . . . .. . . . . . . . . . . . 55

List of text figures

1, Incidence of all acute conditions and acute respiratory conditions per 100 persons per quarter . . . . . . . . . . . 52. Persons injured per 100 persons per quarter, by class of accident . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . . . 6

. 3. Disability days per person per quarter, by type of disability and sex .. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . 6

“ List of text tabies

A. Incidence of acute conditions, associated disability days, and persons injured: United States, 1979-81.. 2B. Days of disability per person per year, by type of disability day United States, 1979-61 .. . . . . . . . . . . . . . . . . . . 3C. Percent of the total population with limitation of activity due to chronic conditions: United States,

1979-81 .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4D. Selected measures of health care utilization: United States, 1979-61 ... . .. . . . . . . . . .. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . 4E. Percent of population hospitalized by age according to number of episodes: United States, 1981.. . . . . . . . 5

...111

.

.

Symbols used in tables

--- Data not available

. . . Category not applicable

Quantity zero

0.0 Quantity more than zero but lessthan

0.05

z Quantity more than zero but lessthan500 where numbers are rounded tothousands

● Figure does not meet standards of

reliability or precision (more than

30-percent relative standard error)

# Figure suppressed to comply withconfidentiality requirements

-.

..

iv

.

.4

Current Estimates Fromthe National HealthInterview Surveyby Barbara Bloom, Division of Health InterviewStatistics

.

IntroductionThis report presents national estimates of acute

illnesses and injuries, disability days, limitation ofactivity due to chronic conditions, and measures ofhealth care utilization for 1981. These variables repre-sent the basic health items for which data werecollected in the 1981 National Health InterviewSurvey of the U.S. civilian noninstitutionalized poptda-tion.

The detailed tables in this report include data onpeople classified by age and sex. More detailedanalyses of similar data by other social, economic, anddemographic categories will be presented in forthcom-ing reports, The text tables present data that indicaterecent trends for major health items collected in 1981as well as for the two previous years. Other CurrentEstimates reports in Series 10 (Numbers 136 and 139)present detailed data for 1979 and 1980 that arecomparable to data shown in this report for 1981.

.,

A major change made in 1979 affects the compari-son of 1979, 1980, and 1981 illness data with data fromearlier years. Beginning in 1979, illnesses and injurieswere coded using the ninth revision of the Internatio-nalClassification of Diseases] rather than the eighthrevision used in 1978 and earlier years mentioned inthe report. Caution should therefore be used whencomparing data in specific disease categories. Detailedinformation on the old and new disease categoryclassification is available from the Interview andExamination Statistics Program of the National Centerfor Health Statistics.

Although published reports are the primary vehi-cle for disseminating statistical estimates from theNational Health Interview Survey, data are alsoavailable in the form of standardized rnicrodata tapes.Questions pertaining to cost and availability of datashould be directed to the Scientific and TechnicalInformation Branch of the National Center for HealthStatistics.

Highlights for the period

.

.

Acute conditionsAcute conditions are defied by the National

Health Interview Survey as those illnesses and injuriesthat have lasted less than 3 months and that haveinvolved either medical attention or 1 day or more ofrestricted activity. However, to counteract the effect ofmemory decay, which impairs the validity of theestimates, the annual incidence of acute conditions iscalculated by including only those conditions that hadtheir onset during the 2 weeks prior to the interviewand that caused restricted activity or required medicalcare during this 2-week period.

During 1981 an estimated 478.0 million acuteillnesses and injuries occurred among the civiliannoninstitutionalized population of the United States(tables 1 and 2). Although the incidence rate of 212.4

, acute conditions per 100 persons for 1981 appearssomewhat lower than the rates for the 2 previous years(table A), particularly the rate for 1980, the difference

-. is not statistically significant.Comparing 1981 rates for the major classifications

of acute conditions with 1980 rates shows one changethat is statistically significant. The lower reportedincidence rate for digestive system conditions in 1981is due to the decrease in the incidence rate for dentalconditions for women.

It was anticipated that the incidence rate forinfluenza for 1981 would greatly decrease, correspond-ing to a similarly decreased rate in 1977 (40.4) and1979 (40.5).” However, the rate for 1981 remained on alevel with the 1980 rate because of reported wide-spread outbreaks of influenza in the first quarter of theyear.

In 1981 acute illnesses and injuries caused anaverage of 959.1 days of restricted activity per 100persons, or 9.6 days per person (tables A, 3, and 5)-arate apparently but not significantly dMerent from thatfor 1979 or 1980. The rate for restricted-activity days

8For further details and quarterly estimates, see Series 10, Numbers130, 136, and 139.

Table A. Incidence of acute conditions, associated disability days,and persons injured United States, 1978-S1

Item 1979 1980 1981

Acute conditions

All acute conditions. . .. . . . .

Infective and parasitic dis-eases . . . . . . . . . . . . . . . . . . . . . .

Respiratoryconditions. . . . .U$~oreepiratory con-

. . . . . . . . . . . . . . . . . .Influenza. . . . . . . . . . . . . . . . .Other respiratory condi-

tions . . . . . . . . . . . . . . . . . . . .Digestive system condi-

tions . . . . . . . . . . . . . . . . . . . . . . .Injuries . . . . . . . . . . . . . . . . . . . . . . .All other acute conditions

Days of disabilityassoci-ated with acute conditions

Restricted-activitydays .. . .Bed-disabilitydays . . . . . . . . .Work-loss days (ages 17

years and over)l .. . . . . . . .School-loss days (ages 8-

16 years). . . . . . . . . . . . . . . . . .

Class of accident

Ail classes of accident . . . .

Moving motor vehicle . . . . . .While at work . . .. . . . . . . . . . . .Home. .. . . . . . . . . . . . . . . . . . . . . . .Other .. . . . . . . . . . . . . . . . . . . . . . . .

Number of acute conditions per 100persons per year

215,3 222.2 212.4

24.4 24.6 23.6107.3 116.2 111.9

60.1 57.0 55.740.5 52.2 49.7

6.7 7,0 6.5

11.4 11.4 9.734.5 33.4 33.237.7 36.6 34.1

Days of disability per 100 persons peryear

939.9 966,9 959.1413.4 426.6 419,0

350.6 347.7 337.4

477.8 487.2 436,2

Number of persons injured per 100persons per year

32.0 31.2 31.2

2.3 2.0 2.25.6 5.0 5,0

11.5 12.2 12.014.0 12.9 13.2 .

1For currentlyemployedpopulation.

.4

associated with respiratory conditions (4.0 days perperson) was signifi~antly lower in 1981 than it was forthe previous year (4.3 days per person). This was dueprimarily to a’lower rate of restricted-activity days forinfluenza, although no significant difference had beenfound in the incidence rates for influenza between the 2years. The rate of 4.2 days in bed per person for 1981(tables A, 4, and 6) was not significantly different from

2

.4. . . . . . . ,., .” . . . . . . . . ;,.-.:. -., ... . . . . . . . ..i . ., ,, . .

the rates for the previous 2 years. The rate of 1.2 beddays per person for influenza was the same for 1981 asfor 1980. The rate of 4.4 school-loss days per childaged 6-16 is not significantly lower than the rate foreither 1980 or 1979 (tables A and 7). The number ofdays lost from work because of acute conditionsamong the currently employed population (about 3.4days per person) was similar for 1981, 1980, and 1979

. (tables A and 8).In 1981 an estimated 70 million persons were

injured (table 9)—a rate of 31.2 persons injured per100 persons (table A). The rates were highest among.those under 45 years of age. The high rate for those inthe age group 6-16 years (38.2) was primarily becauseof accidents in “other” places, which include schools.Those under 6 years of age and those 1744 years ofage had a slightly lower but similar rate (36.2 and 35.4per 100, respectively), but the accident locations variedbetween the two groups (table 9). Associated withthese injuries were 357.3 days of restricted activity(table 10) and 86.6 days of bed disability (table 11) per100 persons per year. Although the rate of personsinjured tended to decrease with age, the number ofrestricted-activity and bed-disability days per personper year associated with injuries tended to increasewith age.

Days of disabilityTable B shows days of disability per person per

year for both acute and chronic conditions for1979-81. “Days of disability” refers to both temporaryand long-term reduction of a person’s activity. Thefour types of disability days (restricted-activity, bed-disability, work-loss, and school-loss days) are report-ed in the health interview in association with specificacute and chronic conditions. Although it is possiblefor a particular day of disability to be attributed tomultiple conditions, the person-day’ measure, used intable B, counts each day of disability only once,regardless of the number of conditions causing disabili-ty on that day. A day of restricted activity is oneduring which a person reduces his or her normalactivity for all or most of the day because of an illnessor injury. Each day spent in bed for all or most of the

.Table B. Days of disability per person per year, by type of

disability day United States, 1979-S1

Type of disability dayk 1979 1980 1981

Days of disability per person per year

Restricted-activity days . . . . 19.0 19.1 19.1Bed-disability days . . .. . . . . . 6.7 7.0 6.9Work-loss days (ages 17

years and over)! .. . . . . . . . 5.0 5.0 4.9School-loss days (ages

616 years) .. . . . . . . . . . . . . . 5.3 5.3 4.9

day is counted as a day of restricted activity. Similarly,each day lost from work or school is a day of restrictedactivity. Days on which people cut down on the thingsthat they usually do for the whole day, but which arenot bed days, work-loss days, nor school-loss days, arealso counted as restricted-activity days.

In 1981 there were an estimated 19.1 days ofrestricted activity per person as a result of chronic andacute illnesses or injuries-a rate similar to that for1980 and 1979. The number of restricted-activity daysper person per year ranged from 10.5 days for childrenunder 17 years of age to 39.9 for adults 65 years of ageand over (table 12). The average number of bed-disability days per person during 1981 (6.9) was notsignificantly different from either 1980 or 1979 (tableB). There were an estimated 492 million days lost fromwork because of illness or injury-4.9 days percurrently employed person 17 years of age and overper year, a rate similar to the rates in 1980 and 1979.

Females reported more restricted-activity and bed-disability days per person than males did during 1981,as in previous years (table 12). In addition, for 1981females reported more work-loss days than males did(5.3 and 4.6 days per person, respectively).

The number of days lost from school for children .6-16 years of age during 1981 was 4.9 days per child, arate similar to those of 1980 and 1979 (tables B and13). Boys miss school because of illness at a ratesimilar to that of girls (4.6 and 5.3 days per year,respectively).

Limitation of activityThe concept of limitation of activity used in this

report refers to long-term reduction in activity result-ing from chronic disease or impairment. The measure-ment of this concept in the National Health InterviewSurvey (NHIS) permits one to distinguish among (1)persons unable to carry on their usual activity, (2)persons limited in the amount or kind of their usualactivity, (3) persons limited but not in their usualactivity, and (4) persons not limited. The category ofpersons limited in their major activity includes those inthe first two groups, that is, those unable to carry onthe usual activity for their age-sex group, whether it isworking, keeping house, or going to school, and thoserestricted in the amount or kind of usual activity fortheir age-sex group. Persons limited but not in theirmajor activity include persons restricted in otheractivities such as civic, church, or recreational activi-ties. Table C shows the percent of the population withlimitation of activity for 1979–81.

The 1981 NHIS produced an estimate of 14.4percent of the population as limited in activities as aresult of one or more chronic conditions. This estimat-ed rate has remained essentially level in the periodfrom 1978-81 after a period in which the rate appearedto be increasing. The proportion of the population for

3

Table C. Percent of the total population with limitation of activitydue to chronic conditions United States, 1979-61

Lirnitatkxrof activiiy 1979 1980 1981

Limited in activity . . . . . . . . . . . . . . . . . . . . . . . . . I 4.e 14.4 14.4Limited in major activity. . . . . . . . . . . . . . . 10.9 10.9 10.9

No limitation of activity . . . . . . . . . . . . . . . . . . . 85.4 85.6 85.6

!Majoractivityrefersto abilityto work,keep house, or engage inschool or preschool activities.

which some limitation was reported increases with agefrom 3.8 percent for those under 17 years of age to45.7 percent for those 65 years of age and over.

In general, the direction of the relationshipsbetween limitation of activity, age, and sex in 1981(table 14) was similar to the direction observed inearlier years.

Utilization of medical servicesMeasures of the utilization of health services as

reported in NHIS are shown in tables 15-21 andhighlighted in table D.

Information was obtained in NHIS on the hospi-talization experience of each household member dur-ing the 12-month period prior to the week of theinterview. Two measures of hospitalization were de-rived from this information-hospital discharges andhospital episodes. Differences in the estimating proce-dures for these two measures are described in appendixI. (See “Explanation of hospital recall.”)

Information is also collected on hospital dischargesfrom hospital records through the National HospitalDischarge Survey conducted by the National Centerfor Health Statistics. Estimates from the NationalHospital Discharge Survey, published in Series 13 ofVital and Health Statistics, are somewhat higher thanthose presented here because of differences in collec-tion procedures, population sampled, and definitionsused. The most recent national estimates of short-stayhospitalization based on the National Hospital Dis-charge Survey are summarized in Series 13, Number64.2

According to data collected in the 1981 surveyyear, there were an estimated 14.2 discharges fromshort-stay hospitals per 100 persons—a rate similar tothose in the past 2 years (tables D and 15). The rate ofdischarges per 100 persons for those 65 years of ageand over (28.4) was over 4 times as high as that forchildren under 17 years of age (6.5). The averagelength of stay in days per hospital discharge was 7.4,continuing the downward trend from previous years.In 1969 the average length of stay was 9.0 (9.7excluding deliveries), while in 1980 the average” staywas 7.6 (8. 1 excluding deliveries). In 1981 for personsunder 35 years of age, the average hospital stay was 5.3days. Older persons had increasingly longer stays;those aged 65 years and over averaged about 10.0 days.

Table D. Selected measures of health care utilization: UnitedStates, 1979-61

Measure of utilization 1979 1980 1981

Hospitalization

Number of discharges per100 persons per year... 13.9 13.9 14.2

Average length of stay indays . . . . . . . . . . . . . . . . . . . . . . . 7.8 7.6 7.4

Percent of persons with 1hospital episode or

F

more . . . . . . . . . . . . . . . . . . . . . . . 10.3 10.4 10.2

Dental visits .

Number per person peryear . . . . . . . . . . . . . . . . . . . . . . . . 1.7 1.7 1.7

Percent of persons withvisits in past year . . . . . . . 50.2 49.9 50.0

Physician visits

Number per person peryear . . . . . . . . . . . . . . . . . . . . . . . . 4.7 4.8 4.6

Percent of persons withvisits in past year . . . . . . . 75.1 .74.9 74.3

In every age category males remained in the hospitallonger than females did. Even when deliveries areexcluded, males experienced longer stays than femalesdid, except for persons 17-24 years of age.

Approximately 10 percent of the population werehospitalized at least once during the year preceding theinterview (table 16). About 81 percent of these personshad only om stay in a hospital (table E). Theproportion of those with a hospital episode who hadmultiple stays increased with age from approximately14 percent among those under 35 years of age toapproximately 27 percent of those 65 years of age andover. In 1981 persons with one or more hospitalepisodes spent an average of about 9.4 days per personin the hospital, the average increasing gradually withage (table 17). Overall, males with episodes spent moredays in the hospital than females did; however, thisvaried by age group.

There were an estimated 380,3 million dental visitsin 1981 (table 18), or 1.7 visits per person. This rate isthe same as that for 1979 and 1980 (table D). As in thepast, females continued to make slightly more dentalvisits per person than males did—1,8 and 1.5 visits perperson per year, respectively (table 18).

The percent of the population with at least one .annual dental visit in 1981 was similar to the 1980 and1979 proportions-50. 1, 49.9, and 50.2, respectively.Detailed data on the time interval since the last dental +visit are shown in table 19.

In 1981 there were approximately 1 billion con-tacts with medical doctors (excluding visits to inpa-tients in hospitals), an average of 4.6 per person (table20). This rate is similar to those for the 2 previousyears (table D). The number of contacts per person peryear ranged from 4.0 for persons 17-24 years of age to6.4 for persons 75 years of age and over. For persons.

4

.1 ..,.. .!, . ,. . ’.”...-,’.’ .. -$.-’. :...-.,.-)’. .-,-. ... .... . :,, . . . ....:~

Table E. Percent of population hospitalized by age, according tonumber of episodes United States, 1981

Age 1 episode 2 or moreepisodes

Total.. . .. . . . . .. .. .. . . .. . . .. . . . .. . .. . . . . . 80.9 19.1

Under 35 years of age . . . . . . . . . . . . . . . 86.2 13.8 -35-44 years of age . . . . . . . . . . . . . . . . . . . 82.1 17.945-64 years of age., . . . . . . . . . . . . . . . . . 76.7 23.365 years of age and over . . . . . . . . . . . 72.6 27.4

.

. aged 17-64 years, women had more physician contactsthan men did. For those under 17 and those over 64years of age, the rates were similar for both sexes.

Approximately 75 percent of the civilian noninsti-tutionalized population contacted a medical doctor atleast once during the 12 months preceding the inter-view (table 21). This percent has changed little overthe past 3 years (table D). The proportion of thepopulation contacting a doctor within a year is highestamong those over 64 (80.1 percent), followed by thoseunder 17 years of age (76.2 percent). The rate is almostconstant for those 17-64 years of age, approximately72 percent. An estimated 3.7 percent of the populationhad not contacted a physician in 5 years or more.

More extensive data on physician visits can befound in the report titled “Physician Visits: Volumeand Interval Since Last Visit, United States, 1975”(Series 10, Number 128). Other estimates of ambulato-ry medical care services by physicians are provided bydata from the National Ambulatory Medical CareSurvey (NAMCS). NAMCS is a probability samplesurvey conducted yearly by the Division of HealthCare Statistics of the National Center for HealthStatistics. A summary of 1980 survey results is foundin Advance Data From Vital and Health Statistics,Number 77.3

Seasonal variationTables 22-24 present quarterly estimates of acute

conditions, persons injured, and disability days. Fig-ures 1-3 show these data for the past 6 years. Thequarterly estimates of acute conditions for 1981resemble the estimates of 1976-80. Rates for personsinjured fluctuate both seasonally and annually. Re-stricted-activity days and bed-disability days fluctuatein a pattern similar to that of previous years, although1981 figures most closely resemble those of 1980 and1978 (figure 3).

100

so

60

40

t 1

Acute respiratorconditions

10 I II 11111 1111111111111111 [111111111111 111111111111111 [1111111111111 11111111111111111Jan Apr Jul Ott Jan Apr Jui Ott Jan Apr Jul Ott Jan Apr Jul Ott Jan Apr Jui Ott Jan Apr Jul Ott Jan Apr Jul Ott hn

1975 1976 1977 1976 1979 1980 1981

.

Figure 1. Incidence of all acute conditions and acute respiratory conditions per 100 pemons per quarter

.

12.0

10.0

8.0

6.0

4.0

2.0

L~Total

A

\

I A I

0,80.7

1 11 (11111111111111,1111111111 11111111111 [111111111111111 11111111111111111111111111Jan Apr Jul Ott Jan Apr Jul Ott Jan Apr Jul Ott Jan Apr Jul Ott Jan Apr Jul Ott Jan APr Jul Ott Jan Apr Jul Oat Jan

1975 1976 1977 1978 1979 1980 1961

Figure 2. Persons injured per 100 persons per quarter, by class of accident

8.0

6.0

4.0

2,0

Reetrictad activity days4X

4.X ,*

\--e,

- J

Male

Bed-disability days

1.0

0.8 11111111111111111111111 11111111111111111111111 1 [111111111111111111111 1111111 I I II

Jan Apr Jul Ott Jan Apr Jul Ott Jan Apr Jui Ott Jan Apr Jul Ott Jan Apr Jul Ott Jan Apr Jul Ott Jan Apr Jul Ott Jan

1975 1976 1977 1978 1979 1980 1981

Figure 3. Disability days per person par quarter, by type of disability and sex

.

.

.

*

. . ,., ,,$. -. .,,, :.. ‘,

Background

.

“

Contents of the 1981 questionnaireData on the incidence of acute conditions, limita-

tion of activity, persons injured, hospitalizations,disability days, dental visits, physician visits, and theprevalence of selected chronic conditions are collectedannually in the National Health Interview Survey. Alist of publications that contain detailed data on theseitems for previous years is shown at the end of the text.

The 1981 National Health Interview Survey ques-tionnaire contains questions on supplemental incomefor which data are not collected every year. Alsoincluded is a supplement on child health.

Sources and limitations of the dataThe information from the National Health Inter-

view Survey presented in this report is based on datacollected in a continuing nationwide survey by house-hold interview. Each week a probability sample ofhouseholds in the civilian noninstitutionalized popula-tion of the United States is intemiewed by personnel ofthe U.S. Bureau of the Census. Information is obtainedabout the health and other characteristics of eachmember of the household.

During 52 sample weeks in 1981 the sample wascomposed of approximately 41,000 households con-taining about 107,000 persons living at the time of theinterview. The total noninterview rate was about 3.0

. percent, of which 1.8 percent was due to respondentrefusal, and the remainder was primarily due to failureto locate an eligible respondent at home after repeated

. calls.The population figures used in computing the

annual rates shown in this report appear in table 25.A description of the survey design, the methods

used in estimation, and general qualifications of thedata obtained from the survey are presented inappendix I. Because the estimates shown in this reportare based on a sample of the population, they aresubject to sampling errors. Therefore, particular atten-

. . . .. . . . . .,.

tion should be paid to the section titled “Reliability ofestimates.” Sampling errors for most of the estimatesare relatively low. However, where an estimatednumber or the numerator or denominator of a rate orpercent is small, the sampling error may be high.Charts of relative sampling errors and instructions fortheir use are shown in appendix I.

Certain terms used in this report are defined in _appendix II. Some of the terms have specified mean-ings for the purpose of the survey. For example,estimates of the incidence of acute conditions include,with certain exceptions, those conditions that hadstarted during the 2-week period prior to the interviewand that involved either medical attention or restrictedactivity. The exceptions, listed in appendix II, arecertain conditions, such as heart trouble and diabetes,that are always considered to be chronic regardless ofduration or onset.

Estimates of the number of disability days associ-ated with acute conditions are derived from thenumber of disability days experienced during the 2-week period prior to the week of interview. Theestimates include all such days reported even if theacute condition causing the disability had its onsetprior to the 2-week period. Disability days associatedwith acute conditions are recorded on the basis of theconditions. If an individual reports more than oneillness or injury on the same day, the count ofdisability days will exceed the actual number of daysdisabled, that is, person-days of disability.

Appendix III contains the questionnaire used inthe interview. Also shown are the cards used by theinterviewer to ask certain questions.

In this report, terms such as “similar” and “thesame” mean that no statistically significant differenceexists between the statistics being compared. Termsrelating to difference (for example, “greater” or “less”)indicate that differences are statistically significant.The t-test with a critical value of 1.96 (0.05 level ofsignificance) was used to test all comparisons that arediscussed. Lack of comment regarding the difference

7

between any two statistics does not mean the differencewas tested and found to be not significant.

Related publications in seriesSeries 10number

76

82

83

84

85

87

88

9094

95

96

98

99

100

102

105

107

109

10

Dental Visits: Volume and Interval Since LastVisit, United States, 1969Acute Conditions, Incidence and AssociatedDisability, United States, July 1970-June1971Prevalence of Selected Chronic DigestiveConditions, United States, July–December1968Prevalence of Selected Chronic RespiratoryConditions, United States, 1970Current Estimates From the Health InterviewSurvey, United States, 1972Impairments Due to Injury, United States,1971Acute Conditions, Incidence and AssociatedDisability, United States, July 1971-June1972Disability Days, United States, 1971Prevalence of Selected Chronic CirculatoryConditions, United States, 1972Current Estimates From the Health InterviewSurvey, United State$, 1973Limitation of Activity and Mobility Due toChronic Conditions, United States, 1972Acute Conditions, Incidence and AssociatedDisability, United States, July 1972-June1973Prevalence of Selected Impairments, UnitedStates, 1971Current Estimates From the Health InterviewSurvey, United States, 1974Acute Conditions, Incidence and AssociatedDisability, United States, July 1973-June1974Persons Injured and Disability Days by De-tailed Type and Class of Accident, UnitedStates, 1971-1972Hospital Discharges and Length of Stay:Short-Stay Hospitals, United States, 1972Prevalence of Chronic Conditions of theGenitourinary, Nervous, Endocrine, Metabol-ic, and Blood and Blood-Forming Systems

111

112

114

115

116

118119

120

124

125

126

128

130

132

134

136

137

138

139

140

and of Other Selected Chronic Conditions,United States, 1973Limitation of Activity due to Chronic Condi-tions, United States, 1974Health Characteristics of Persons WithChronic Activity Limitation, United States,1974Acute Conditions, Incidence and AssociatedDisability, United States, July 1974-June ●

1975Current Estimates From the Health InterviewSurvey, United States, 1975 .

Persons Hospitalized by Number of Episodesand Days Hospitalized in a Year, UnitedStates, 1972Disability Days, United States, 1975Current Estimates From the Health InterviewSurvey, United States, 1976Acute Conditions, Incidence and AssociatedDisability, United States, July 1975-June1976Prevalence of Selected Chronic Skin andMusculoskeletal Conditions, United States,1976Acute Conditions, Incidence and Associated -Disability, United States, July 1976-June1977Current Estimates From the Health InterviewSurvey, United States, 1977Physician Visits: Volume and Interval SinceLast Visit, United States, 1975Current Estimates From the Health InterviewSurvey, United States, 1978Acute Conditions, Incidence and AssociatedDisability, United States, July 1977-June1978Prevalence of Selected Impairments, UnitedStates, 1977Current Estimates From the National HealthInterview Survey, United States, 1979Health Characteristics of Persons withChronic Activity Limitation, United States,1979Dental Visits: Volume and Interval Since LastVisit, United States, 1978 and 1979Current Estimates from the National HealthInteniew Survey, United States, 1980 .Hearing Ability of Persons by Sociodemo-graphic and Health Characteristics, UnitedStates .

8

References

.

.

1World Health Organization: Manual of the International Statisti-cal Ciasstjication of Diseases, Injuries, and Causes of Death. Basedon the Recommendations of the Ninth Revision Conference, 1975.Geneva. World Health Organization, 1977.

ZNational Center for Health Statistics: Utilization of short-stayhospitals, anrmal summary for the United States, 1980, by B. J.Haupt. vital and Health Statktics. Series 13-No. 64. DHEW Pub.No. (PHS) 82-1725: Public Health Service. Washington. U.S.Government Printing Office, Mar. 1982.

jNational Center for Health Statistic= 1980 Summary NationalAmbulatory Medical Care Survey, by T. McLemore. Advance DataFrom Vital and Health Stat&tics, No. 77. DHHS Pub. No. (PHS)82-1250. Public Health Service. Hyattsville, Md. Feb. 22, 1982.

4National Center for Health Statistics: Health survey procedure:concepts, questionnaire development, and definitions in the HealthInterview Survey. Vital and Health Statistics. PHS Pub. No.1000-Series l-No. 2. Public Health Service. Washington. U.S.Government Printing Office, May 1964.

$National Center for Health Statistics: Health Interview SurveyProcedure, 1957-74. Vital and Health StatMics. Series l-No. 1LDHEW Pub. No. (HRA) 75–13 11. Health Resources Administra-tion. Washington. U.S. Government Printing Office, Apr. 1975.

W.S. National Health Survey The statistical design of the healthhousehold interview survey, by W.R. Simmons. Health Statiwics.PHS Pub. No. 584-A2. Public Health Service. Washington, D. C.,July 1958.

TNational Center for Health Statistic Estimation and samplingvariance in the Health Interview survey, by J. A. Bean. Vital and

Health Statistics. PHS Pub. No. 1000-Series 2–No. 38. PublicHealth Service. Washington. U.S. Government Printing Office,June 1970.

sNationrd Center for Health Statistics: Quality control and meas-urement of nonsampling error in the Health Interview Survey, byD.A. Koons. Vital and Health Statistics. Series 2-No. 54. DHEWPub. No. (HSM) 73-1328. Health Services and Mental HealthAdministration. Washington. U.S. Government Printing Office,Mar. 1973.

gNational Center for Health Statistics: Health interview responses --compared with medkal records, by E. Balamuth. Vital and HealthStatfitics. PHS Pub. No. 1000-Seri= 2-No. 7. Public HealthService. Washington. U.S. Government Printing Office, July 1965.

10Nation~ Center for Health Statistics: Comparison of hospitalize- .tion reporting in three survey procedures, by C. F. Cannell and F.J. Fowler, Jr. Vital and Health Statistics. PHS Pub. No.lCOO-Series 2-No. 8. Public Health Service. Washington. U.S.Government Printing Office, July 1965.1lNation~ Center for H=lth Statistics: Interview data on chronic

conditions compared with information derived from medicalrecords, by W. G. Madow. Vital and Health Statktics. PHS Pub.No. 1000-Series 2–No. 23. Public Health Service. Washington.U.S. Government Printing Office, May 1967.12National center for Health Statistics: The influence of interview.

er and respondent psychological and behavioral variables on thereporting in household interviews, by C. F. Cannell, F. J. Fowler,Jr., and K. H. Marquis. Vital and Health Statistics. PHS Pub. No.1000-Series 2-No. 26. Public Health Service. Washington. U.S.Government Printing Office, Mar. 1968.

List of detailed tables

.

.

Annual estimates

Incidence of acute conditions

1. Incidence of acute conditions, percent distribution, and num..bar of acute conditions per 100 parsons per year, by condi.tion group, according to sax: United States, 1981 , , , . , , . I I

2. Incidance of acute conditions and numlwr of acute condi.tions. per 100 persons per yaar, by age, sex, and conditiongroup: Unitad States, 1981 . . . . . . . . . . . . . . . . . . . . 12

Disability associated with acute conditions

3.

4.

5.

6.

7.

8.

Deys of restricted activity associated with acute conditionsand days of restricted activity per 100 persons per year, by

sex and condition group: Unitad States, 1981, . . , . , . . . , 13

Days of bed disability associated with acute’ conditions anddays of bed disability per 100 parsons per yaar, by sex andcondition group: United States, ,1981 . . . . . . . . . . . . . . 14

Days of restricted activity associated with acute conditionsand days of restricted activity per 100 parsons per year, byage, sex, end condition group: United States, 1981. . . . . . . 15

Days of bed disability associated with acute conditions anddays of bed disability par 100 persons par year, by age, sex,

and condition group: United States, 1981, . . . . . . . . . . . 16

Days lost from school associated with acute conditions anddays lost from school per 100 children (6-16 yeara) par year,by sex and condition group: Unitad States, 1981. . . . . . . . 17

Days lost from work asaociatad with acute conditions anddays lost from work par 100 currently employad parsons per

Year, by ega, sex, end condition group: United States,1981 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Persons injured and associated disability

9. Number of parsons injured and number of persons injuredlmr 100 persons per year, by class of accident, sax, and age:Unitad States, 1981, , . . . . . . . . . . . . . . . . . . . . . . . 19

10. Days of restricted activity associated with injury and days ofrestricted activity per 100 persons per year, by class of ecci-dent, sex, and ega: United States, 1981 . . . . . . . . . . . . . 20

11. Deys of bed disability associated with injury and days of beddisability per 100 persons par year, by classof accidant, sex,andega: United Statas,1981 . . . . . . . . . . . . . . . . . . . 21

Disability days for acute and chronic conditions

12.

13.

10

Days of disability and days of disability per person per yaar,byaexand ege:United Statas,1981. . . . . . . . . . . . . . . 22

Days lost from school and days lost from school per child

6-16 yeara of age per year, by sex: Unitad Statas, f98’I . . . . 23

Limitation of activity due to chronic conditions

14. Number and percent distribution of persons with limitationof activity due to chronic conditions, by degree of limitation

according to sex and age: United States, 1981 . . . . . . . . .

Hospitalization

15.

16.

17.

Number of discharges from shott-stay hospitals, numbar ofdischarges per 100 persons per year, number of hospital days,and average length of stay, by sex end age: United Statas,based on data collected in haaith interviews in ‘1981. . . . . .

Number and percent distribution of persons with short-stayhospital episodes during the past year by number of apiscdes,according to sex and age: United States, based on data col-lected in health interviews in ‘1981 , . . . . . . . . . , . . . . .

Number of short-stay hospital days during the past yaar andnumber of days per person with ona hospital episode ormore, by number of apisodes, sax, and ega: United States,based on data collacted in health interviews in 1981 . . . , . .

Dental visits

18. Number of dental visits and number of dental visits par per-

son per year, by age and sax: United States, 1981 , , , . . . ,

19. Number and parcent distribution of persons by time intervalsince last dantal visit according to sex and aga: United States,1981 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Physician visits

20. Number of physician visits and numbar of physician visits perparson per yaar, by aga and sax: United States, 1981 . . . . .

21. Number and gercent distribution of ~ersons bv time intervalsince last physician visit according to sex and age: UnitedStates, 1981 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Quarterly estimates

22.

23.

24.

lncidance of all”acute conditions and acute respiratory con-ditions per 100 persons per quartar, by sex and age: UnitedStates, 1981 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Number of persons injured per 100 persons par quarter, bysexandega: United Statas,1981. . . . . . . . . . . . . . . . .

DaVs of disability per person par quarter, by sax, type of dis-ability, and age: United States, 1981. . . . . . . . . . . . . . .

Pomsietion table

25. Population used in computing annual rates shown in this pub-lication, by sex and age: United States, 1981 . . . . . . . . . .

24

25

26

27

28

29

30

31

32

33

34

35

.

TABLE 1. INCIDENCE OF ACUTE CONDITIONS, PERCENT DISTRIBUTION, ANO NUMBER OF ACUTE CONDITIONS PER 100 PERSONSPER YEAR* BY CONDITION GROUP, ACCOROING TO SEX: UNITEO STATES, 1981

[Data are basad on housahold interviews of the civilian noninstltutionalized population. The survey design, general qualifications, andinformation on the reliability of the estimates are given in appendix 1. Definitions of terms are given in appandix I I ]

BOTH BOTH BOTHCONOITION GROUP SEXES HALE FEMALE SEXES MALE FEMALE SEXES MALE FEMALE

. ALL ACUTE CONOITIONS———

INFECTIVE ANO PARASITIC OISEASES-—

COMMON CHILOHOOD DISEASES———VIRUS- N.O.S.-—-———-—OTHER INFECTIVE AND PARASITIC

OISEASES———

RESPIRATORY CONOITIONS--————

UPPER RESPIRATORY CONOITION+—COMMON COLO——-———OTHER UPPER RESPIRATORY

CONOITIONS— ——

INFLUENZA——----- —

INFLUENZA WITH OIGESTIVEHANIFESTATiONS— —

OTHER INFLUENZA————OTHER RESPIRATORY CONOITIONS——

PNEU140NIA-BRDNCHITIS —— —

OTHER RESPIRATORY CONOITION+

.

.

DIGESTIVE SYSTEH CONOITIONS--——

OENTAL CONDITIONS—————FUNCTIONAL ANO SYMPTOMATIC UPPER

GASTROINTESTINAL OISOROERS,N.E.C. —

OTHER OIGESTIVE SYSTEMCONOITIONS———-——

INJURIES-—--——-—————

FRACTURES, DISLOCATIONS, SPRAINS,ANO STRAINS —— ——

FRACTURES ANO OISLOCATIONS——SPRAiNS ANO STRAINS--———

DPEN WOUNOS AND LACERATIONS———CONTUSIONS AND SUPERFICIAL

INJURIES— -————--——

OTHER CURRENT INJURIES—-——

ALL OTHER ACUTE CONOITIONS——

OISEASES OF THE EAR———HEADACHES--—-——-—-——GENITOURINARY DISORDERS-———OEI.IVERIES ANO OISOROERS OF

PREGNANCY AND THE PUERPERIU~—OISEASES OF THE SKIN—---———OISEASES OF THE MUSCULOSKELETAL

S YSTE l!——————ALL OTHER ACUTE CONOITIONS——

INCIOENCE OF ACUTECONDITIONS IN THOUSANDS

478,047

53,185

3,67+24,144

25,367

251s802

125,39993,062

32,337111s847

5,886105,9611495553,2706*4134,8?2

e

21,771

4,869

11,214

5,688

74,660

23,9968,304

15-69218,915

15,95415s794

76,629

19,0744s141

13,132

5,2344*765

8,82721,456

2199525

23,287

1,91410.583

10*79O

115*71O

57,98543,458

14,52751v923

2,64249,281

5,8021,4022,4941,906

10s691

2,495

5,815

2,381

42*266

13,9425,1358,807

12,314

8,3157,695

27,571

9,184137502,061

...2,157

4,0328,386

258*522

29,899

1,76013,562

14,577

136,092

67,41449,604

17,81159,924

3,24456,680

8,7541,8683,9192,966

11,080

2,374

5,399

3,307

32,394

10,0543,1696,8856,601

7,6398,100

49,059

9,8902,391

11,070

5,2342,609

4,79413,071

PERCENTDISTRIBUTION

100.0

11.1

0.85.1

5.3

52.7

26.219.5

6.823.4

1.222.23.00.71.31.0

4.6

1.0

2.3

1.2

15.6

5.01.73.34.0

3.33.3

16.0

4.00.92.7

1.11.0

1.84.5

100.0

10.6

0.94.8

4.9

52.7

26.419.8

6.623.7

1.222.42.60.61.10.9

4.9

1.1

2.6

1.1

19.3

6.42.34.05.6

3.83.5

12.6

4.20.80.9

...1.0

1.83.8

100.0

11.6

0.75.2

5.6

52.6

26.119.2

6.923.2

1.321.93.40.71.51.1

4.3

0.9

2.1

1.3

12.5

3.91.22.72.6

3.03.1

19.0

3.80.94.3

2.01.0

1.95.1

NU14BER OF ACUTE CON-DITIONS PER 100PERSONS PER YEAR

212.4

23.6

1.610.7

11.3

111.9

55.741.4

14.449.7

2.647.16.51.52.82.2

9.7

2.2

5.0

2.5

33.2

10.73.77.08.4

7.17.0

34.1

8.51.85.8

2.32.1

3.99.5

202.2

21.4

1.89.7

9.9

106.6

53.440.0

13.447.8

2.445.45.31.32.31.8

9.8

2.3

5.4

2.2

38.9

12.84.7B.1

11.3

7.77.1

25.4

8.51.61.9

...2.0

3.77.7

221.9

25.7

1.511.6

12.5

116.8

57.942.6

15.351.4

2.848.7

7.51.63.42.5

9.5

2.0

4.6

2.8

27.8

B.62.75.95.7

6.67.0

42.1

8.52.19.5

4.52.2

4.111.2

NOTES: EXCLUOEO FROM THESE STATISTICS ARE ALL CONDITIONS INVOLVING NEITHER RESTRICTED ACTIVITY NOR MEOICALATTENTION.

N.O.S.—NOT OTHERWISE SPECiFIEO; N.E.C. --NOT ELSEifHERE CLASSIFIED.

THE APPROPRIATE RELATIVE STANDARO ERRORS OF THE ESTIMATES SHOhN IN THIS TABLE ARE FOUNO IN APpENDIX ItURES I ANO VI.

FIG-

11

TABLE 2. INCIDENCE OF ACUTE CONDITIONS AND NUMBER OF ACUTE CONDITIONS PER 100 PERSONS PER YEARt BY AGE,SEXV AND CONOITI”ON GROUP: UNITEO STATES, 1981

[Data are based on household interviews of the civilian noninstitutional lzed population. The survey design, ganeral qualif icetions, andinformation on the reliability of the estimates are given In eppendix 1. Definitions of terms are given in appendix I I 1

UNOER 45 UNDER 45SEX AND CONOITION GROUP ALL 6 6-16 17-44 YEARS ALL 6 6-16

AGES17-44 YEARS

YEARS YEARS YEARS & OVER AGES YEARS YEARS YEARS & OVER

.

INCIOENCE OF ACUTE CONDITIONS NUMBER OF ACUTE CONDITIONS PERBOTH SEXES IN THOUSANOS 100 PERSONS PER YEAR

.

ALL ACUTE CONDITIONS- 478,047 B3,262 212.4 380.0 275.9 217.6 120.6

7.966.4

27.533.8

5.1

5.121.4

19.8

107.6

5.861.0

24.332.6

4.1

4.520.4

15.9

131.3

9*770.9

30.134.8

5.9

5.622.2

23.0

76,434

12,01540,078

25s44511,464

3,168

2,0397,379

14,922

40,599

5,75820,955

13,8035,795

1,357

1,5024,190

8,193

35,835

6,2571.9,122

n’, 6425,669

1,811

*5363,190

6s729

106,979

14,744579845

30,94824,492

2,406

5,94515,629

12s817

55,033

7,45329,239

14,80513,213

1,221

3,2029,392

5,747

51,946

7,29128,606

16s14311,278

1,185

2,7436,237

7,070

211,373

20,95710B,O51

50t02552t566

5,460

10,26236,898

35,205

90,411

8,27746,548

21,82522,766

1,957

4,57422,337

8,675

120,962

12,68161,503

28,20029,800

3,503

5,68814,561

26,530

INFECTIVE AND PARASITICDISEASES—-—

RESPIRATORY CONOITIONS---UPPER RESPIRATORY

CONOITIONS————-INFLUENZA—--—----—-OTHER RESPIRATORY

CONOITIONS--——-OIGESTIVE SYSTEM

CONOITIONS-——-—-INJURIES-—-—-———-ALL OTHER ACUTE

CONOITIONS-——

53,185251,802

125,399111,847

14*555

21,77174,660

76,629

5,469 23.645,82B 111.9

18,981 55.723,326 49.7

3,521 6.5

3,526 9.714,754 33.2

13,685 34.1

59.7199.3

38.0149.2

21.6111.2

126.557.0

79.863.2

51.554.1

15.8 6.2 5.6

10.136.7

15.340.3

10.638.0

74.2 33.1 36.2

MALE

ALL ACUTE CONOITIONS- 219,525 33,482 202.2 396.9 277.4 190.8

INFECTIVE ANO PARASITICOISEASES—-—--——————

RESPIRATORY CONDITIONS—-UPPER RESPIRATORY

CONOITIONS——-——INFLUENZA————-—-OTHER RESPIRATORY

CONOITIONS——-——-OIGESTIVE SYSTEM

CDNOITIONS-—--——--—-INJURIES-—-—--—--—-ALL OTHER ACUTE

CDNDITIONS- ——-—e--

23,287115,710

1,79818,968

21.4106.6

56.3204.9

37.6147.4

17.598.2

57,98551,923

7,55210,149

53.447.8.

135.056.7

74.666.6

46.148.0

5,802 1,267 5.3 13.3 6.2 4.1

10,69142t266

1 * 41369347

9.838.9

14.741.0

16.147.3

9.747.1

27,571 4.955 25.4 80.1 29.0 18.3

FEMALE

ALL ACUTE CONOITIONS- 258,522 362.5 274.5 243.149,779 221.9

INFECTIVE ANO PARASITICDISEASES—-—--——-

RESPIRATORY CONOITIONS—-UPPER RESPIRATORY

CONOITIONS--—--——-INFLUENZA—-——-—-OTHER RESPIRATORY

CONOITIONS--——--OIGESTIVE. SYSTEM

CONDITIONS-—--———-INJURIES-—-—--—-——-ALL OTHER ACUTE

CONDITIONS-—---———--

29,899136,092

67,41459,924

8,754

11,08032,394

49,059

3,671 25.726,861 116.8

63.3193.4

38.5151.1

25.5123.6

11,430 57.913,117 51.4

117.857.3

85.359.6

56.759.9

2,254 7.5 18.3 6.3 7.0 .

.

2,112 9.58,406 27.8

*5.432.3

14.533.0

11.429.3

8,729 42.1 68.1 37.4 53.3

NOTES: EXCLUOEO FROM THESE STATISTICS ARE ALL CONDITIONS INVOLVING NEITHER RESTRICTED ACTIVITY NOR MEOICALATTENTION.

THE APPROPRIATE RELATIVE STANOARO ERRORS OF THE ESTIMATES SHOkN IN THIS TA8LE ARE FOUNO IN APPENOIX ItFIGURES I AND VI.

12

. . . ,,. . .

.

.

.

“

TABLE 3. DAYS OF RESTRICTED ACTIVITY ASSOCIATED HITH ACUTE CONDITIONS ANO DAYS OF RESTRICTED ACTIVITY PER 100PERSONS PER YEAR. BY SEX ANO CONOITION GROUP: UNITEO STATESO 1981

[Data era basad on housahold interviews of the civilian noninstitutionalized population. The suwey design, general qualifications, andinformation on the reliability of the estimates ara given in appendix 1. Definitions of terms are given in appendix I I 1

BOTH BOTHCONOITION GROUP SEXES HALE FEMALE SEXES HALE FE14ALE

ALL ACUTE CONOITIONS——

INFECTIVE ANO PARASITIC OISEASES—

COMMON CHILOHDOO DISEASES——VIRUSO N.O.S.- .— .

OTHER INFECTIVE ANO PARASITICDISEASES———

RESPIRATORY CONOITIONS———

UPPER RESPIRATORY CONOITIONS——COMMON COL~OTHER UPPER RESPIRATORY

CONOITIONS—INFLUENZA—

INFLUENZA WITH DIGESTIVEMANIFESTATIONS

OTHER INFLUENZA———OTHER RESPIRATORY CONOITION~

PNEUMONIA————BRONCHITIS— ——

OTHER RESPIRATORY CONDITIONS--

OIGESTIVE SYSTEM CONOiTIONS————

OENTAL CONDITIONSFUNCTIONAL ANO SYMPTOMATIC UPPER

GASTROINTESTINAL DISOROERStN.E.C.—————-—

OTHER OIGESTIVE SYSTEMCONOITXONS——-——

INJURIES-—- — —-

FRACTURESt DISLOCATIONS, SPRAINSVANO STRAINS— ——

FRACTURES ANO DISLOCATIONS—--SPRAINS ANO STRAINS--——-

OPEN HOUNOS ANO LACERATIONS——CONTUSIONS ANO SUPERFICIAL

INJURIES— ——

OTHER CURRENT INJURIES——————

ALL OTHER ACUTE CONDITIONS

DISEASES OF THE EAR—HEAOACHES--— -——

GENITOURINARY DISOROERSDELIVERIES ANO DISOROERS OF

PREGNANCY ANO THE PUERPER1Ui4——OISEASES OF THE SKIN———OISEASES OF THE MUSCULOSKELETAL

ALL OTHER ACUTE CONOITIONS—

OAYS OF RESTRICTED ACTIVITY OAYS OF RESTRICTEO ACTIVITYIN THOUSANOS PER 100 PERSONS PER YEAR

2,158,450

211-368

25,73584,589

101*O45

907e638

359?580261,781

979799428,252

16,720411 t 532119,806

53,53638*74327,527

97,762

17*707

27,175

52v880

492,909

267,698152$339115$358

67,699

62,05895,454

448,773

61,55313,06770,784

91,45313,467

73,707124,742

905,569

86,837

12*50433 ,33S

40,994

404,095

159,734118,540

41,194189,393

6,472182,921

54,96824,66214,48515,820

38,444

8,309

10,199

19,937

252’,601

140 * 14381,17758,96541,887

28,06742,504

123,592

26,2656,3589,210

. . .6,892

26,82948,038

1s252,881

124,531

13,23051,251

60,050

503,543

199,846143,241

56,605238,859

10,247228,612

64s83828,87424,25811,707

59,317

9.398

16,976

32,943

240,309

127,55571s16256s39325e812

33,99152t950

325,181

35,2886,709

61,574

91,4536,575

46987876,704

959.1

93.9

11.437.6

44.9

403.3

159.8116.3

43.5190.3

7.4182.9

53.223.817.212.2

43.4

7.9

12.1

23.5

219..0

119.067.751.330.1

27.642.4

199.4

27.45.8

31.5

40.66.0

32.855.4

834.1

80.0

11.530.7

37.8

372.2

147.1109.2

37.9174.4

6.0168.5

50.622.713.314.6

35.4

7.7

9.4

18.4

232.7

129.174.854.338.6

25.939.2

113.8

24.25.98.5

. . .6.3

24.744.2

1v075.6

106.9

11.444.0

51.6

432.3

171.6123.0

48.6205.1

8.8196.3

55.724.820.810.1

50.9

8.1

14.6

28.3

206.3

109.561.148.422.2

29.245.5

279.2

30.35.8

52.9

78.55.6

40.265.9

.

NOTES: N.O.S.--NOT OTHERWISE SPECIFiEO; N.E.C.--NOT ELSEWHERE Classified.

THE APPROPRIATE RELATiVE STANOARD ERRORS OF THE ESTiMATES SHOWN IN THiS TA8LE ARE FOUNO IN APPENOiX i, FiG-tiRE Ii.

13

.: ..,: . . . . ... . . . . . .. . . ..... ..-~,.,.. ...~.. ,.. . . . .. ..~ .-. ,.’.:.. .,. .” . . . . . .

TABLE 4. DAYS OF BED OISABILITY ASSOCIATED WITH ACUTE CONDITIONS AND OAYS OF BED DISABILITY PER 100 PERSONSPER YEAR, BY SEX ANO CIJNOITION GROUP: UNITED STATESV 1981

[Date aro based on household lntendews of the civillen noninstltutlonalIzed population, The suwey design, ganeral qualifications, andinformation on the reliability of the estimates are givan in appendix 1. Definitions of terms are given in appendix II]

BDTH BOTHCONOITION GROUP SEXES MALE FEMALE SEXES MALE FEMALE

4

ALL ACUTE CONDITIONS———

INFECTIVE ANO PARASITIC OISEASES--

COMMON CHILOHOOO OISEASES—VIRUS, N.D.S.-—— ——

OTHER INFECTIVE ANO PARASITICOISEASES——————-——

RESPIRATORY CONDITIONS———

UPPER RESPIRATORY CONOITIONS——CONNON COLOOTHER UPPER RESPIRATORY

CONOITIONS—-——lNFLUENZA— .—

INFLuENZA HITH OIGESTIVEMANIFESTATIONS ——

OTHER INFLUENZA————OTHER RESPIRATORY CONOITION~

PNEUMONIA—BRONCHfTIS——OTHER RESPIRATORY CCINOITIONS---

DIGESTIVE SYSTEM CONOITION+-——

OENrAL CONOITIONS————FUNCTIONAL AND SYMPTOMATIC UPPER

GASTROINTESTINAL DISOROERStN.E .C .—————

OTHER OIGESTIVE SYSTEMCONOITIONS——-——————

INJURIES-—— ——

FRACTURES, OISLOCATIONSV SPRAINS,ANO STRAINS-—-—-————

FRACTURES ANO OISLOCATIONS——SPRAINS ANO STRAINS-———

OPEN WOUNOS AND LACERATIONS——CONTUSIONS ANO SUPERFICIAL

INJURIESOTHER CURRENT iNJURIES----——

ALL OTHER ACUTE CONOITIONS--—

OISEASES OF THE EAR—HEADACHES —. ——GENITOURINARY DISOROERS——DELIVERIES AND OISOROERS OF

PREGNANCY AND THE PUERPERIUM———OISEASES OF THE SKIN —

OISEASES OF THE MUSCULOSKELETALSYSTEM————-—ALL OTHER ACUTE CONOITIONS-——

DAYS OF BED DISABILITYIN THOUSANOS

942,870

110s743

11,42544,385

54*933

475,625

151,255lo4*ooo

47s255259s678

9,992249v68664,69132,36719,73312,591

40,566

6v732

11,580

22,254

144,014

69,38837,75231,63616,617

19s36338,646

171,92Z

Z3,844*5*40034,512

36,995*4,698

18*15748,316

375,919

45v249

6,80617*001

219442

203,007

62,93943*91O

19,029111,188

*4s028107s16028,88015,2557,0776,549

16,241

*3,229

*4,115

8,898

65,330

33,54218,24915,2938,625

7,47015,694

46,091

9,635*2,246*5,190

...*29258

5,58521,176

566s951

65,494

*4,61927,384

33*491

272,617

88,31660s091

28,226148v490

5,964142s52635s81117,11212,6576,043

24,325

*3,503

7,465

13,356

78s684

35s84519s50316,3437*993

11,89322,952

125g831

149209*3,15429r322

369995*2*440

12,57127,140

OAYS OF BEO DISABILITY.

PER 100 PERSONS PER YEAR

419.0

49.2

5.119.7

24.4

211.3

67.246.2

21.0115.4

4.4110.928.714.48.85.6

18.0

3.0

5.1

9.9

64.0

30.816.814.17.4

8.617.2

76.4

10.6*2.415.3

16.4*2.1

8.121.5

346.3

41.7

6.315.7

19.8

187.0

58.040.4

17.5102.4

*3.798.726.614.16.56.0

15.0”

*3.O

*3.8

8.2

60.2

30.916.814.17.9

6.914.5

42.5

8.9*2.1*4.8

...*2.1

5.119.5

486.7 -

56.2

*4.O23.5

28.8

234.0

75.851.6

24.2127.5

5.1122.430.714.710.95.2

20.9

*3.O

6.4

11.5

67.6

30.816.714.06.9

10.Z19.7

108.0

12.2*2.725.2

31.8*2.1

10.823.3

NOTES: N.O.S. —NOT OTHERWISE SPECIFIEO; N.E.C.--NOT ELSEWHERE CLASSIFIED.

.

THE APPROPRIATE RELATIVE STANOARO ERRORS OF THE ESTIMATES SHOWN IN THIS TABLE ARE FOUND IN APPENOIX 1,URE II.

FIG-

14

TABLE 5. DAYS OF RESTRICTED ACTIVITY ASSOCIATE HITH ACUTE CONDITIONS ANO OAYS OF RESTRICTED ACTIVITY PER 100PERSONS PER YEAR, BY AGE, SEX. ANO CONOITION GROUP: UNITED STATES, 1981

[Data are based on housahold intawiaws of the civilian noninatitutlonalizad population. The survey daaign, general qualifications, andinformation on tha raliabiiity of the astimatas ar. given In appandlx i. Definitions of tarms ara givan in appandix I I ]

UNOER 45 UNOER 45SEX ANO CONDITION GROUP ALL 6-16 17-44 YEARS ALL 6 6-16 17-44 YEARS

AGES YEiRS YEARS YEARS & OVER AGES YEARS YEARS YEARS & OVER

.

OAYS OF RESTRICTED ACTIVITY IN THOUSANOSOAYS OF RESTRICTED ACTIVITY

PER 100 PERSONS PER YEARBOTH SEXES

985.0

77.6368.8

151.7181.7

35.4

45.5260.5

232.5

799.6

57.5318.3

134.8156.1

27.3

34.2306.5

83.1

966.3

56.5394.3

111.3203.6

79.4

49.8250.7

215.1

—

810.9

44.1354.7

86.2183.3

85.2

40.2220.9

151.0

2,158t450

211,368907,638

359,580428,252

119,806

97,762492e909

448,773

905,569

86,837404,095

1599734189,393

54,968

38,444252s601

123s592

1,252,881

124,531503s543

199v846238*859

64,838

59,3172409309

325*181

213,355 321s287 956t758 667,051

38,988272,173

769802140,567

54,804

34,356173,064

148,471

252s339

13,732110,372

26,81457,035

26,523

12,50068,750

46*984

828.7

142.5402.3

188.9177.7

35.7

38.4150.7

94.8

791.9

129.4387.4

173.8181.2

32.4

32.6166.0

76.4

.ALL ACUTE CONDITIONS- 959.1

93.9403.3

159.8~90.3

53.2

43.4219.0

199.4

834.1

80.0372.2

147.1174.4

50.6

35.4232.7

113.8

1,060.7

207.5602.9

309.1210.4

83.4

*21.641.4

187.4

lt146.3

197.3645.8

337.8219.2

88.7

*31.955.6

215.7

972.2

218.0558.4

279.3201.2

77.9

*1O.9*26.8

158.0

INFECTIVE AND PARASITICDISEASES—-—-——-


CONDITIONS--———-INFLUENZA—-—--——-OTHER RESPIRATORY

CONDITIONS-———DIGESTIVE SYSTEM

CONDITIONS-———-—-INJURIES-—-——-——-ALL OTHER ACUTE

CONDITIONS————-

419734121,262

55,246155*975

75,401358,228

62* 16942,318

73s25268,884

147*357176,48$

16,775 13t839 34s388

*+,34281333

14*86858,428

44*197253 s085

225,84737,685 36s771

MALE

ALL ACUTE CONOITIONS- 117,245 157,131 378,854

INFECTIVE ANO PARASITICDISEASES—————


CONOITIONS——INFLUENZA—-———-OTHER RESPIRATORY

CONOITIONS———-DIGESTIVE SYSTEM

CONOITIONS-—--INJURIES---—’-—-—ALL OTHER ACUTE

CONOITIONS—————-

20,18166,054

25.67776,869

27,247150,800

34949035,952

63v87673,983

34*55422,423

9,077 6,427 12,941

*3,2605,688

6,47732,943

16,208145*219

22s063 15s166 39?380

FEMALE

969109 164s155 577s904 414,712 1,075.6 867.3 lt161.5 1s093.9ALL ACUTE CONOITIONS-

INFECTIVE ANO PARASITICOISEASES—-————-


CONOITIONS--———-INFLUENZA—--—-—-—-OTHER RESPIRATORYCONOITIONS————-

. OIGESTIVE SYSTEMCONDITIONS-—----—-—-

INJURIES----—------—-—ALL OTHER ACUTE

CONDITIONS-—--—-—-.

25s256 106.9161s800 432.3

49v 988 171.683,532 205.1

28,281 55.7

21,856 50.9104,314 206.3

101,487 279.2

156.2418.0

96.8416.9

66.6426.8

29,56979,106

48v154207.428

21,55255,208

167.8206.0

27s61519,895

38,76232*932

83,481102,500

204.8174.0

131.9220.3

43.17,698 7,412 21,447 39.2 74.6

56.3216.8

*1,082*2s645

8*391259485

27v989107t866

44.3134.6

114.1

57.7275.2

267.7374.815$622 21t605 186,467

THE APPROPRIATE RELATIVE STANOARO ERRORS OF THE ESTIMATES SHOWN IN THIS TABLE ARE FOUNO IN ApPENoIX 1~ FIGURE11.

15

TABLE 6. DAYS OF BED DISABILITY ASSOCIATED WITH ACUTE CONDITIONS AND OAYS OF BEO DISABILITY PER 100 PERSONS PERYEAR, BY AGE, SEX, ANO CONDITION GROUP: UNITED STATES, 19B1

[Data are ha-d on househoid interviews of the civilian noninstitutionalized population. Tha survey design, general welificatior-m andinformation on the reliability of tha estimates are given in appendix 1. Definitions of terms are given in ewendix II 1

UNOER 45SEX ANO CONOITION GROUP

UNOER 45ALL 6 6-16 17-44 YEARS ALL 6-16AGES

17-44 YEARSYEARS YEARS YEARS & OVER AGES YEiRS YEARS YEARS .S OVER

.

BOTH SEXESDAYS OF BED DISABILITY PER

100 PERSONS PER YEARDAYS OF BED DISABILITY IN THOUSANOS

419.0 527.1 418.6 410.5

38.1185.8

60.0107.1

18.7

19.379.0

88.3

306.7

27.9151.1

46.791.0

13.5

16.287.3

24.2

509.4

47.9218.9

72.7122.5

23.7

22.371.1

149.3

399.6942,870 275,829

17,295136,650

28,82379,077

28,750

13,93253,583

54,369

99,051

5,81151,593

9,58728,681

13,325

*4,80817,840

18,999

L76,778

11,485B5,057

19,23650,396

15,425

9,12435,743

35,370

ALL ACUTE CONDITIONS- 106~015

22t51362,283

25951426,533

10,236

*1,398*2,433

17,388

57,373

11,05833s798

14,12714,040

5,631

*l,049*1,716

9,753

48,642

11,45528,485

11,38712,493

*4,605

*350*717

7,636

162,293 398t734

INFECTIVE AND PARASITICOISEASES--—


CONOITIONS--—-—INFLUENZA——-——-OTHER RESPIRATORY

CONDITIONS-———-OIGESTIVE SYSTEM

CONOITIONS—-———-INJURIES———--—-ALL OTHER ACUTE

CONOITIONS-———-

110,743475,625

151,255259,678

64,691

40,566144,014

171,922

33,921%?193

379014180,499

49.2211.3

111.9 87.5309.6 248.1

126.8 99.6131.9 129.0

50.9 19.5

*7.O 16.8*12.1 29.1

86.4 37.2

25.1198.0

38,62050t023

58,29B1D4,045

67.2115.4

41.8114.6

7,550 18,156 28.7 41.6

20.277.6

6,50511P267

18,73176,731

i8.O64.0

85,75814,406 76.4 78.8

MALE

AkL ACUTE CONOITIONS- 375,919 74p205 145,291 346.3 560.9 374.0 318.3

INFECTIVE ANO PARASITICDISEASES —— ——-—


CONOITIONS——-INFLUENZA—-———-OTHER RESPIRATORY

CONOITIONS--——-OIGESTIVE SYSTEM

CONOITIONS-———-—-., INJURIES-—-—————-

ALL OTHER ACUTECONOITIONS-——--—-

45,249203,007

15,18246,012

13,19871,604

41.7187.0

108.1330.4

76.5231.9

18.7165.8

62,939111,188

17,11625,358

30.892.2

22,10943,109

58.0102.4

138.1137.3

86.3127.8

28s880 *3,539 *17.86,386 26.6 55.1 42.8

16,24165,330

*2,725%,406

7,65941,368

15.060.2

*1O.3*16.8

*13.7*22.2

*15.557.3

46,091 5,879 11,461 42.5 95.4 29.6 61.1

FEMALE

ALL ACUTE CONDITIONS- 566$951 88,088 253,443 486.7 492.0 465.4 466.3

INFECTIVE AND’ PARASITICOISEASES—-—————-


CONOITIONS———-INFLUENZA—--—-——-OTHER RESPIRATORY

CONOITIONS--———OIGESTIVE SYSTEM

CONOITIONS-—-——-INJURiES—-—-——----ALL OTHER ACUTE

CONOITIONS-—--———

65,494272,617

18,73950,181

23,816108,895

56.2234.0

115.9288.1

99.0265.1

30.3224.4

B8,316148,490

21,50424,665

36,18960,936

75.8127.5

115.2126.4

113.6130.3

50.7132.9

35,811 %,011 11,770 30.7 *46.6 *21.2 40.7 .

.

24,32578,684

*3g7806,861

11,07235,363

20.967.6

*3.5*7.3

*20.O36.2

24.194.3

125,831 8,528 74,298 108.0 77.2 45.1 93.3

THE APPROPRIATE RELATIVE STANOARO ERRORS OF THE ESTIMATES SHOWN IN THIS TABLE ARE FOUNO IN APPENOIX It11.

FIGURE

16

TABLE 7. DAYS LOST FROM SCHOOL ASSOCIATED WITH ACUTE CONDITIONS AND DAYS LOST FROM SCHOOL PER 100CHILDREN (6-16 YEARS) PER YEAR, BY SEX ANO CONDITION GROUP: UNITED STATES, 1981

[Data are based on household interviews of the Civilien noninstitutionalized population. The survey design, general qualifications, andinformation on the reliability of the estimates are givan in appendix 1. Definitions Of terms ara given in appendix I I ]

BOTH BOTHCONDITICIN GROUP SEXES MALE FEMALE SEXES MALE FEMALE

.

.

ALL

INFECTIVE

ACUTE CONDITIONS-————

AND PARASITIC DISEASES———-

RESPIRATORY CONDITIONS—-—-——UPPER RESPIRATORY CONDITIONS—————INFLUENZA——---————-—-OTHER RESPIRATORY CONOITIONS-—————

DIGESTIVE SYSTEM CONDITIONS———-

INJURIES—————— ———-—

ALL OTHER ACUTE CONDITIONS————

DAYS LOST FROM SCHOOLIN THOUSANDS

169s126 78,624 90,501

32,530 13,771 18,760

98s145 47*128 51,01844,240 20,580 23,65946,328 24,132 22,196

7,577 *29415 5,162

7,737 3t587 4,150

14,147 7,841 6,306

16,566 6 s297 10,268

OAYS LOST FROM SCHOOL PER100 CHILDREN PER YEAR

436.2 396.3 478.2

83.9 69.4 99.1

253.2 237.5 269.6114.1 103.7 125.0119.5 121.6 117.3

19.5 *12.2 27.3

20.0 18.1 21.9

36.5 39.5 33*3

42.7 31.7 54.3

THE APPROPRIATE RELATIVE STANDARD ERRORS OF THE ESTIMAtES SHOWN IN THIS TABLE ARE FOUNO IN AP-, PENDIX Is FIGURE 11.

.

.

17

TABLE 8. DAYS LOST FRO14 WORK ASSOCIATED ldITH ACUTE CONDITIONS AND DAYS LOST FROM HORK PER 100CURRENTLY EMPLOYED PERSONS PER YEARs BY AGE, SEXS AND CONDITION GROUP: UNITED STATES, 1981

[Data are based onhousahold intafvievva oftha civilian noninatitutionaiized population. Thesurvay design, generai qualifications, andinformation ontherellebility of theastimates are given inar.wandix 1. Definitions oftarms are given inatarmndix ii]

ALL AGES- 45 ALL AGES- 45SEX AND CONDITION GROUP 17 YEARS 17-44 YEARS 17 YEARS 17-44 YEARS

& OVER YEARS & OVER & oVER YEARS & OVER “

80TH SEXES

ALL ACUTE CONDITIONS——-—

INFECTIVE ANO PARASITIC DISEASES—RESPIRATORY CONDITIONS-————————

UPPER RESPIRATORY CONDITIONS-—----INFLUENZA —.—OTHER RESPIRATORY CONllITfONS————

DIGESTIVE SYSTEM CONDITIONS-—-——INJURIESALL OTHER ACUTE CONDITIONS—-—-——

MALE

ALL ACUTE CONOITIONS—

INFECTIVE AND PARASITIC DISEASES——RESPIRATORY CONDITIONS—

UPPER RESPIRATORY CONDITIONS———————INFLUENZA—— — --—-OTHER RESPIRATORY CONDITIONS---——

DIGESTIVE SYSTEM CONDITIONS————INJURIES-—-———--—-——ALL OTHER ACUTE CONOITIONS——--—

FEMALE

ALL ACUTE CONDITXONS—————

INFECTIVE AND PARASITIC DISEASES————RESPIRATORY CONDITIONS-—

UPPER RESPIRATORY CONDITIONS—-—-—INFLUENZA— ——-—---——-—

OTHER RESPIRATORY CONDITIONS———DIGESTIVE SYSTEM CONDITIONS——-——————INJURIES——-—-—-—-—————— ---

ALL OTHER ACUTE CONDITIONS———-————

DAYS LOST FROM liORKIN THOUSANDS

3389445

26*881141,275

46* 06876964818t55916t76297s06956e458

171s295

12,09374? 64322,06041,73010e853

8,54757,28518,728

167,149

14s78866,63224,008349918

7,7068,215

39,78437,730

2479205

21,55298s55033*35954?57610,61513,83571,02142,247

123?075

8,79750v86416954328e701

5?6207,151

44936411,900

124,130

12w75547,68716*81625,876

4,9956,684

26t65830,347

911240

5,33042 s72412s70922 S071

7* 944*2,92726e04814,211

48,220

*3w29623,779

5?51713s029

5,233*1939612,921

6,828

43s020

*2 ,03418*945

7t1929t042

*2s711*1$53113,127

7,383

DAYS LOST FROM UORK PER -100 CURRENTLY EMPLOYED

PERSONS PER YEAR

337.4

26.8140.8

45.976.418.516.796.856.3

298.7

21.1130.2

38.572.818.914.999.932.7

388.9

34.4155.0

55.981.217.919.192.687.8

355.5

31.0141.7

48.078.515.319.9

102.160.8

315.4

.22.5130.4

42.473.614.418.3

113.730.5

406-7

41.8156.2

55.184.816.421.987.399.4

296.4

17.3138.8

41.371.725.8*9.584.646.2

263.1

*18.o129.8

30.171.128.6*7.670.537.3

345.3

*16.3152.1

57.772.6

*21. 8*12.3105.4 -

59*3

.

THE APPROPRIATE RELATIVE STANDARD ERRDRS OF THE ESTIMATES SHOhlN IN THIS TA8LE ARE FOUND IN AP-PENDIX Is FIGURE 11.

18

rABLE 9. NUMBER OF PERSONS INJUREO AND NUMBER OF PERSONS INJUREO PER 100 PERSONS PER YEAR, BY CLASS OF ACCIOENTtSEX, ANO AGE: UNITED STATES, 1981

[Data are based OnhOusehOld interviewa Of the civilian noninstitutionalizad powlation. Thesurvey dasign, ganeral qualifications, andinformation ontha reliability of thaastimatas aregivan in appandix 1. DefiniticIns Of terms are given in appendix Ill

CLASS OF ACCIOENT

SEX AND AGE TOTAL MOVING MOTOR VEHICLE●

UHILEAT HOME OTHER

TOTAL TRAFFIC HORK

.BOTH SEXES

ALL AGES--—-—---— ——-——-- ——

UNOER 6 YEARS-———————————6-16 YEARS- ————--—--- ——

17-44 YEARS--—- ——-—-—— —- -——

45-64 YEARS--———-—-—--———65 YEARS ANO OVER——— ——

MALE

ALL AGES--—-——-—-——-—

UNDER 6 YEARS— ————-———-—

6-16 YEARS————--—-——————17-44 YEARS— -————————-—

45-64 YEARS-- —— -—

65 YEARS AND OVER—— ——-—--——

FEMALE

ALL AGES———————-—

UNOER 6 YEARS————--———-—6-16 YEARS——————L7-++ YEARS— ————-——

+5-64 YEARS— — -——

65 YEARS ANO OVER—-—-——--—-—-—

NUMBER OF PERSONS INJUREO IN THOUSANOS

70,252 5,019 4,543 26,909

491705,30110,0413,8633,534

13,388

2,4162,826590581,6151*472

13,521

1,7552,4744,9832s24829062

11,291

...

...8,7112,532

*4B

99074

...

...7,2501,777*48

2*216

...

...1,461755

29,812

7,28414,82034,3649,2324,544

*426782

3.308.*503

?426

7273,034*355

2,7918,74514s5342,7311,010

40*053 2.424 2s101 17s521

4*0948,885

20,9744,3801,719

1,7325,5098,9481,085*2+7

*5501s674*ZOO

*4951,454*152

30,199 2,595 2,442 12s291

1*0593,2365.5871.646

763

3*19059942

13,3894.8522s825

*426*232

1.634*303

*426*232

1,580*203

80TH SEXES

ALL AGES—-——----——- ——--—-—

UNDER 6 YEARS--—--— ————— -—

6-16 YEARS— ---——--—-—-——

17-44 YEARS----—-—-— —.-—.———

45-64 YEARS——-—-——--—--—--—-—65 YEARS ANO OVER———----—--—--—-

MALE

ALL AGES-——————---—-————————

UNOER 6 YEARS—-— ——————-— —-- -——

6-16 YEARS———-— -— -——— -—--—

17-44 YEARS——-——- ——————--—

43-64 YEARS—————--— —--——

65 YEARS AND OVER-—————-——-——

FEMALE.

ALL AGES ———-—— —— —-—

UNOER 6 YEARS--—-—-——-—--—-——P 6-16 YEARS-—-—-———---—— —-—---—-—

17-44 YEARS-—— -——--— ---——-—

45-64 YEARS—— ———————---

65 YEARS ANO OVER--—— -——— -—-—-——

NUMBER OF PERSONS INJUREO PER 100 PERSONS PER YEAR

31.2 2.2 2.0 5.0 12.0 13.2

36.2 *2.1 *2.1 ... 20.738.2 2.0 1.9 ... 13.735.4 3.4 3.1 9.0 10.320.9 *1.1 *0.8 5*7 8.718.3 *0.2 14:2

13.922.615.06.24.1

36.9 2.2 1.9 8.4 12.3

40.0 ... 23.644.8 *2.8 *2.5 ... 14.244.3 3.5 3.1 15.3 10.720.9 *1.O *().7 8.5 7.716.9 *IJ.5 14.5

16.1

16.927.818.95.2

*2.4

25.9 2.2 2.1 1.9 11.6

32.3 *4.3 *4.3 ... 17.831.4 *1.2 *1*2 ... 13.126.9 3.3 3.2 2.9 10.020.9 *1.3 *0.9 3.2 9.719.2 14.0

10.6

10.717.111.27.15.2

NOTES: EXCLUOEO FROM THESE STATISTICS ARE ALL CONDITIONS INVOLVING NEITHER RESTRICTED ACTIVITY NOR MEOICAL ATTEN-TION.

THE SUM OF OATA FOR THE FOUR CLASSES OF ACCIOENTS MAY BEMUrUALLY EXCLUSIVE.

THE APPROPRIATE RELATIVE STANOARO ERRORS OF THE ESTIMATESI ANO VI.

GREATER THAN THE TOTAL BECAUSE THE CLASSES ARE NOT

SHOWN IN THIS TABLE ARE FOUNO IN AppENoIX Is FIGURES

19

TABLE 10. DAYS OF RESTRICTED ACTIVITY ASSOCIATE UITH INJURY ANO OAYS OF RESTRICTED ACTIVITY PER 100 PERSONS PERYEAR, BY CLASS OF ACCIDENT, SEX, ANO AGE: UNITED STATES, 1981

[Data are based onhousehold intarvimvso fthecivilian noninstitutionalized population. Thesurvay design, grmeral welifications, andinformation onthereliabillty of thee=imatas aregiven 1nappendixl. Definitions oftarms aregivan inappendixll]

CLASS OF ACCIOENT

SEX AND AGE TOTAL MOVING MOTOR VEHICLE .HHILE

HOME OTHERTOTAL TRAFFIC U~K

.BOTH SEXES DAYS OF RESTRICTED ACTIVITY IN THOUSANDS

139*343

*3376,585

84* 29636,380l&,746

70,186

*2,35844t 66920s259*2, 899

69,158

*337*4s22739v62716,121

8,847

126,144

*337*5,17176,82232,87310,941

59V715

*2,35837,60516,905*29846

66,430

*337*2,81339s21715,969

8,095

214,873

.-.

.*.127.91i77,3809,583

163,037

...

...98,07158,9665,999

51,837

...

...29,84018,414*3,583

219,190

*4, 44619,00561,18057? 94276,618

81,110

*3,2619,290

30,15121,26617* 143

138t080

*1,1859,716

31s 02936*67659,475

279s954

*3,50036,292

122,85669,52647,780

155,608

*2,13323,04473,75336,77219t905

124,346

*1,36613,24849,10332,75427,875

ALL AGES — . —. 804s 106

8,23261.189

369,339221s542143,804

429,080

*5*39434,692

225,6+3119,32644,025

375,026

*2,83826*497

143*695102,21699,780

UNOER 6 YEARS .——.——-—

17-44 YEARS ——-————-—-—— .

45-64 YEARS-———— ——-——--—.

65 YEARS ANO OVER-————————-—

MALE

ALL AGES-———-————-—

UNDER 6 YEARS— .————-—

6-16 YEARS— —-—-——-—

17-44 YEARS———————-—————45-64 YEARS——— —

65 YEARS ANO OVER—— -——

FEMALE

ALL AGES ———— —

UNDER 6 YEARS - ———

6-16 YEARS————--—————17-44 YEAR~———-—45-64 YEARS —---————

65 YEARS ANO”OVER-——————

80TH SEXES OAYS OF RESTRICTED ACTIVITY PER 100 PERSONS PER YEAR

ALL AGES— --——-———-—-—--z 357.3 61.9 56.1 95.5 97.4 124.4

UNOER 6 YEARS——--—————-————6-16 YEARS—— ————

17-44 YEARS-—————— ——- ——45-64 YEARS——- -—-Z —-—.——65 YEARS ANO OVER-—-—-————-——

40.9157.8380.2501.5578.7

*1.717.086.882.347.3

*1.7*13.3

79.174.444.0

*22.149.063.0

131.2308.3

*17.493.6

126.5157.4192.3

. . .

.-.131.7175.2

38.6

MALE

ALL AGES-——— —— — 395.2 64.6 55.0 150.2 74.7 143.3

UNOER 6 YEARS—-————-——---—-—6-16 YEARS————-—-——-—-—17-44 YEARS— -———-—.

45-64 YEARS——-———-——- ——-——65 YEARS ANO OVER——————-

*52.7174.8476.2569.6432.9

*31.946.863.6

101.5168.6

*zo.9116.1155.7175.5195.7

*11.994.396.7

*28.5

*11.979.480.7

*28.o

. . .

.*.207.0281.5

59.0

FEMALE

ALL AGES —-—--—.— 322.0 59.4 57.0 44.5 118.5 106.8

UNOER 6 YEARS ————--—6-16 YEARS————————————— - —-—

*28.7L40. o288.8440.0679.7

*3.4*22.3

79.669.460.3

*3.4*14.9

78.868.755.1

*12.()51.362.4

157.9405.1

*13.870.098.7

141.0189.9

. . .

. . .60.079.3

*24.445-64 YEARS—— -——— —

65 YEARS AND OVER——-—— —-———

NOT ES: INCLUDES DISABILITY OAYS ASSOCIATED uITH CURRENT INJURIES AND IMPAIRMENTS DUE TO INJURY.

THE SUM OF DATA FOR THE FOUR CLASSES OF ACC1OENTS MAY BE GREATER THAN THE TOTAL BECAUSE THE CLASSES ARE NOTMUTUALLY EXCLUSIVE.

THE APPROPRIATE RELATIVE STANOARO ERRoRS OF THE ESTIMATES SHOWN IN THIS TABLE ARE FOUNO IN APPENOIX 1, FIGUR.E11.

I 20

.,, .

s

.

.

.

TABLE 11. DAYS OF BED DISABILITY ASSOCIATED WITH INJURY AND DAYS OF BED DISABILITY PER 100 PERSONS PER YEAR, BYCLASS OF ACCXOENT, SEX, AND AGE: UNITEO STATES, 1981

[Data are based onhousehold interviews of the civilian noninstitutionalized population. Thesurvey design, general qualifications, andinformation on tha raliabilitjr of theestimates eragivan in appendix 1. Dafinitionsof tarms are given in appendix Ill

CLASS OF ACCIOENT

SEX AND AGE TOTAL MOVING MOTOR VEHICLEWHILE

AT HOME OTHERTOTAL TRAFFIC WORK

BOTH SEXES

ALL AGES--—-—-— ———-——.—

UNOER 6 YEARS—————--————6-16 YEARS—- —-——- ——

17-46 YEAILS———— ——————-

45-64 YEARS-—-———-—————-—65 YEARS ANO OVER————-—-—

MALE

ALL AGES—-—-————-—

UNDER 6 YEARS—- .——

OAYS OF BEO DISABILITY IN THOUSANOS

36,289 33,306

*1,81719,910

6,971*4,608

12,732

*4169,703

*1*747*866

20,574

*1,40110,207*5,224*3,74Z

43,957

. . .

. . .26,114160628*1,215

30,959

. . .

. . .18J 97611s802

*181

12,997

. . .● . .

7,138*4,825*1,034

53,479

*1, 144*3,52213,25112,90522s 657

17,098

* 894*1,351

6,077*3*091

5,684

36,381

*250

*2* 1717,1749,815

16,972

70v161

*2,5811o,45485,35056,34540,089

*1,487*5,11529v63922,31111,609

*1,81721,940

7,924*4, 608

92,715 36,826

*1,670*4, 94246,19525977414,133

*776*3, 17514,24511$229

7,402

*416llt630*2,7oo

*866

6-L6 YEARS—— -————--—

17-44 YEARS -———-—-——

45-64 YEARS—— —.—————-—

65 YEARS ANO OVER-————-—-——-—

FEMALE

ALL AGES-——-—————

UNOER 6 YEARS—————-——--—

102,103 20,677 33*334

*91O5*511

39,15530,57125v956

*71O*1*94015,39411,083*4v207

*1,40110s310*5, 224*3.742

6-16 YEAKS——-————-———17-44 YEARS—-————————45-64 YEARS-—— —-———

65 YEARS ANO OVER——-———————

BOTH SEXES

ALL AGES--—-———-—

UNOER 6 YEARS————6-16 YEARS——- ——-

17-44 YEARS—-——— -—-—- —

OAYS OF BEO DISABILITY PER 100 PERSONS PER YEAR

86.6 16. L 14.8 19.5 23.8 31.2

*12.827.0 *4.7 *4.787.9 22.6 20.5

127.5 17.9 15.8161.3 *18.5 *18.5

. . . *5.7

. . . *9.126.9 13.637.6 29.2*4. 9 91.2

*7.4*13.2

30.550.546.765 YEARS ANO OVER—-—-—— —--—-——

MALE

ALL AGES————— —--—--———

UNOER 6 YEARS— -———- ——--——

6-16 YEARS—--——-——————-————17-44 YEARS--——-———————-——45-64 YEARS—-——--—————— -—-——65 YEARS ANO OVER------————-—-—

FEMALE

ALL AGES--—-----——--————

UNOER 6 YEARS—-———-———--————----6-16 YEARS—--———————---——17-44 YEARS—— -—-————-—

45-64 YEARS—-—-— .————___-.—65 YEARS ANO OVER-—-——-——--————— —--——

85.4 14.4 11.7

*16.3*24. 9 *2.1 *2.1

97.5 24.5 20.5123.0 *12.9 *8.3139.0 *8.5 *8.5

28.5 15.7

. . . *8. 7

. . . *6. 840.1 12.856.3 *14.8*1.8 55.9

33.9

*7.6*16.()

30.153.672.8

87.7 L7.8 17.7

*9.229.1 *7.4 *7.478.7 20.7 20.5

131.6 *22. 5 *22.5176.8 *25.5 *25.5

11.2 31.2

..* *2.5

. . . *11.514.3 14.4

*20.8 42.2*T.O 115.6

28.6

*7.z

*1O.230.947.7

*28.7

NOTES : INCLUOES DISABILITY OAYS ASSOCIATE WITH CURRENT INJURIES ANO IMPAIRMENTS OUE TO INJURY.

THE SUM OF OATA FOR THE FOUR CLASSES OF ACCIOENTS MAY 8E GREATER THAN THE TOTAL BECAUSE THE CLASSES ARE NOTMUTUALLY EXCLUSIVE.

THE APPROPRIATE RELATIVE STANOARO ERRORS OF THE ESTIMATES SHOWN IN THIS TA8LE ARE FOUNO IN APPENOIX 1, FIGURE11.

21

TABLE 12. DAYS OF DISABILITY AND DAYS OF DISABILITY PER PERSON PER YEAR, BY SEX AND AGE: UNITEDSTATESs 1981

[Data are bawd on housahold intewiaws of the civillan noninstitutionalizad population. The survay design, ganaral qualifications, andinformation on the reliability of tha estimetasare givan in appandix 1. Definitions of terms ere given in appendix II1

RESTRICTED BED-SEX AND AGE ACTIVITY DISABILITY MORK-LOSS

DAYS DAYS OAYS.

BOTH SEXES

ALL AGES---——----—------—--—--—---

DAYS OF DISABILITY IN THOUSANDS

4,295,773 1,553,428 491,781

UNDER 17 YEARS—----———----———---—----17-24 YEARS----——-—-----—---—— ----------25-44 YEARS---—------—---—----—---——-----45-64 YEARS---—----—---—-—----—---—-—---65 YEARS AND OVER-----—------—--—------—---

620~948 284,872 . . .3959648 162,809 86,071

1,073,097 361,530 235,0771,214,615 396* 808 156?925

991s465 347,409 13,707

MALE

ALL AGES——---—-— -———--—---— -- 1,880,132 634,377 262,062

UNDER 17 YEARS-------—--——---—----—--—---17-24 YEARS-—-——--—--—---——------—-----25-44 YEARS-—-—-—-—--——————----45-64 YEARS---------———--—--——-—--—--65 YEARS AND OVER---—---------——--—--—---

328,255 143s918 *..156t107 55,854 39,251458*887 130,023 123,246554,337 163,275 90?713382,546 141,308 8*851

FEMALE

2,415,641 919,051 229,719ALL AGES——--——--------—--------—---

uNOER 17 YEARS------—-----—-----—------—---17-24 YEARS----—---—---—-————--—--—---25-44 YEARS---—--------—--————---—-—--45-64 YEARS----——-—-----—-———------—---65 YEARS AND OVER———-—-———---—-—--

292,693 140,954 . . .239,542 106s955 46,820614s210 231,507 111$8316609279 233,533 66,213608,918 206,101 4,855

BOTH SEXES

ALL AGES---——------—-——-—-—---

DAYS OF DISABILITY PER PERSON PER YEAR

19.1 6.9 4.9

UNDER 17 YEARS—---—--——-—--——--——---17-24 YEARS---------—------—---—--—-—---25-44 YEARS------—---------————------—---45-64 YEARS-----—-—---—-----——-—-——---

., 65 YEARS ANO OVER----—-—----—--—--—--—---

10.5 4.8 . . .12.0 4.9 4.116.7 5.6 4.827.5 9.0 5.739.9 14.0 4.2

MALE “

ALL AGES—-—-—---—---————--—--- 17.3 5.8 4.6

UNOER 17 YEARS-—---—---—---—--—--—-—-----17-24 YEARS---—--------------—--—--—--—---25-44 YEARS---------——-——-———-—---—---45-64 YEARS---—-—-—----——-————--—---65 YEARS ANO OVER---—--------—-—------—---

10.9 4.8 -..9.6 3.4 3.5

14.7 4.2 4.426.5 7.8 5.637.6 13.9 4.4

FEMALE

ALL AGES--—---—-—---—-—---—-—--- 20.7 7.9 5.3

UNOER 17 YEARS——--—--------—-—------—----17-24 YEARS---------——----——-—--—--—---25-44 YEARS---——-—-——----——--—--—-----45-64 YEARS-—------—-—-—---————--—--65 YEARS ANO OVER---———-—-—-—--—-—---

10.2 4.9 .**14.2 6.3 4.818.7 7.0 5.428.4 10.1 5.941.5 14.0 3.8

NOTES: WORK LOSS REPORTEO FOR CURRENTLY EMPLOYED PERSONS AGEO 17 YEARS ANO OVER.

THE APPROPRIATE RELATIVE STANOARO ERRORS OF THE ESTIMATES SHOWN IN THIS TA8LE ARE FOUND IN AP-PENDIX Is FIGURE II.

22

TABLE 13. DAYS LOST FROM SCHOOL AND DAYS LOST FROM SCHOOL PER CHILO 6-16 YEARS OF AGE PER YEAR,BY SEX: UNITED STATES, 1981

[Date Or. bawd on household Interviews of the civilian noninstitutionalized population. The survey design, ganeral qualifications, andinformation on the reliability of the estimates are given In appendix 1. Definitions of terms are given in appendix II 1

AGE BOTH SEXES MALE FEMALE

.

.ALL AGES- 6-16

ALL AGES- 6-16

OAYS LOST FROM SCHOOL IN THOUSANOS

YEARS----—--———--— -—--- 191,420 91,884 999536

NUMBER OF SCHOOL-LOSS DAYS PER CHILD PER YEAR

YEARS—-—-— —---—. —- - 4.9 4.6 5.3

THE APPROPRIATE RELATIVE STANDARD ERRORS OF THE ESTIMATES SHOWN IN THIS TABLE ARE FOUND INAPPENDIX Is FIGURE 11.

23

TABLE 14. NUMBER AND PERCENT DISTRIBUTION OF PERSONS WITH LIMITATION OF ACTIVITY OUE TO CHRoNIC CoNOITIoNSS BY OEGREEOF LIMITATION ACCOROIN6 TO SEX ANO AGE: UNITEO STATES, 1981

[Data are based on household intewiew of the civilien noninstitutiorralized population. The survey design, general qualifications, ●ndinformation on the reliability of the estimatasare given In appendix 1. Definitions of terms are given in appendix I I 1

WITH WITHWITH LIMITATION WITH NO WITH LIMITATION MITH NO

TOTAL ACTIVITY IN MAJOR ACTIVITY TOTALSEX ANO AGE POPULATION

ACTIVITY IN MAJORLI141TATION ACTIVITY

ACTIVITYLIMITATION POPULATION LIMITATION ACTIVITY LIMITATION

BOTH SEXES

ALL AGES—

UNDER 17 YEARS——

17-44 YEARS——

45-64 YEARS——

65 YEARS AND OVER-—

UNOER

17-44

45-64

MALE

ALL AGES-

17 YEAR~—

YEARS

YEARS———

65 YEARS ANO OVER-—

FEUALE

ALL AGES-—

UNOER 17 YEARS——

17-44 YEAR~

45-64 YEARS——


NU14BER IN THOUSANOS

225,048

58,883

97,137

44,179

24,849

108,567

30,070

47,380

20,948

10,169

116,481

28,813

49.757

23,231

14,680

32,309

2,216

8,151

10,574

11,368

15,806

1,312

4,238

5,214

5,042

16,504

905

3,913

5,360

6,326

24,552

1,153

5,219

8,444

9,736

12,233

707

2,686

4,293

4,548

12,318

446

2,534

4,151

5,188

L92, 739

56,666

88,986

33,605

13,481

92,762

28,758

43,142

15,734

5,128

99,977

27,908

45,844

17,871

8,353

PERCENT 01STR18UTION

100.0 14.4 10.9 85.6

100.0 3.8 2.0 96.2

100.0 8.4 5.4 91.6

100.0 23.9 19.1 76.1

100.0 45.7 39.2 54.3

100.0 14.6 11.3 85.4

100.0 4.4 2.4 95.6

100.0 8.9 5.7 91.1

100.0 24.9 20.5 75.1

100.0 49.6 44.7 50.4

100.0 14.2 10.6 85.8

100.0 3.1 1.5 96.9

100.0 7.9 5.1 92.1

100.0 23.1 17.9 76.9

100.0 43.1 35.3 56.9

NOTES: MAJOR ACTIVITY REFERS TO ABILITY TO blORK, KEEP HOUSE, OR ENGAGE IN SCHOOL OR PRESCHOOL ACTIVITIES.

FOR OFFICIAL POPULATION ESTIMATES FOR MORE GENERAL USE, SEE 8UREAU OF THE CENSUS REPORTS ON THE CIVILIAN POPULATIONOF THE UNITE• STATE5r I N CURRENT POPULATION REPORTS: 5ERIE5 p-zot p-zst ANO p-60.

THE APPROPRIATE RELATIVE STANOARO ERRORS OF THE ESTIMATES SHOMN IN THIS TABLE ARE FOUNO IN APPENOIX I,ANO VII.

FIGURES IV

24

. . . . . ..’.. ,. .,. . .. . . . . . . . . . . . ...* . . . . .

TABLE 15. NUMBER OF DISCHARGES FROM SHORT-STAY HOSPITALS, NUMBER OF DISCHARGES PER 100 PERSONS PERYEAR, NUMBER OF HOSPITAL DAYSS ANO AVERAGE LENGTH OF STAY, BY SEX AND AGE: UNITED STATES, BASEDON DATA COLLECTED IN HEALTH INTERVIEWS IN 1981

[Data arc based on household interviews of the civilian noninstitutionalized population. The survey design, general qualifications, and

information on the reliability of the estimates are given in appandix i, Definitions of terms are given in appendix II]

BOTHAGE

80THSEXES MALE FEMALE SEXES HAL E FEMALE

●

.NUMBER OF DISCHARGES

IN THOUSANOSNUMBER OF DISCHARGES PER 100

PERSONS PER YEAR

UNDER

17-24

25-34

35-44

45-64

ALL AGES———-—

17 YEARS-——---—

YEARS ——--—

YEARS —-—-

YEARS———--——

YEARS-————

65 YEARS AND OVER

ALL AGES- ——

UNDER 17 YEARS———

17-24 YEARS—— ——

25-34 YEARS——

35-44 YEARS———-———

45-64 YEARS————-

65 YEARS AND OVER———

31*979 12,777 19s201

3,845 2,079 11766

4,668 1,131 3* 537

5 e592 1 *356 4t 237

3,087 1,216 le870

7,741 3s806 3,935

7,046 3,189 3,857

NUMBER OF HOSPITAL DAYSIN THOUSANDS

14.2 11.8 16.5

6.5 6.9 6.1

14.1 7.0 21.0

14.8 7.4 21.9

11.7 9.5 13.8

17.5 18.2 16.9

28.4 31.4 26.3

AVERAGE LENGTH OF STAY

236,785 107s672 129s113

20,673 12t383 8,290

22*783 6,474 16e309

31 ?283 9,606 21*677

229211 9,818 12,393

69,182 36,278 32,904

70e653 33,112 37 t 541

7.4 8.4 6.7

5.4 6.0 4.7

4.9 5.7 4.6

5.6 7.1 501

7.2 8.1 6.6

8.9 9.5 8.4

10.0 10.4 9.7

NOTES: THESE STATISTICS ARE BASED ON DATA COLLECTED IN HOUSEHOLO HEALTH INTERVIEWS. THEY HILL

DIFFER FRO!! THOSE REPORTEO BY THE NCHS~S HOSPITAL OISCHARGE SURVEY AND OTHEK STUDIES 8ECAUSE OFDIFFERENCES IN THE POPULATION COVEREOt THE SOURCES OF DATAs ANO TYPES OF HOSPITALS INCLUDED* E.G.cOATA IN THIS REPORT INCLUOE VETERANS ADMINISTRATION ANO OTHER FEOERAL HOSPITALS 8UT EXCLUOE PER-SONS W(3 OIED IN THE HOSPITALS AND PERSONS NITH STAYS OF LESS THAN ONE DAY.

THE APPROPRIATE RELATIVE STANDARD ERRORS OF THE ESTIMATES SHOidN IN THIS TABLE ARE FOUND IN AP-PENDIX If FIGURE 111.

25

TABLE 16. NUMBER ANO PERCENT DISTRIBUTION OF PERSONS HITH SHORT-STAY HOSPITAL EPISOOES OURING THE PAST YEARBY NUMBER OF EPISOOESS ACCOROING TO SEX ANO AGE: UNITEO STATESV BASEO ON OATA COLLECTEO IN HEALTH INTER-VIEWS IN 1981

[Dam ars band on hous.hoid inwviaw of the civilian non institutionalized rmraulaticm. The SWWY dasiw, ganeral CIualif Icatiorw, andinformation On tha raliabillw Of the estimates are given In appendix 1. Definitions Of terms are given in appendix I I 1

NUMBER OF HOSPITAL EPISOOES NUMBER OF HOSPITAL EPISOOESSEX ANO AGE POPULATION PoPu-

LAT 10NNONE 1 2 3+ NON E 1 2 3+

●

BOTH SEXES

ALL AGES--—---

17 YEARS-——-

YEARS---——-

YEARS——-——-

YEARS—---——-

YEARS-—-—-

NUMBER OF PERSONS IN THOUSANOS PERCENT DISTRIBUTION.

100.0

100.0

100.0

100.0

100.0

100* o

100*CJ

89.8 8.3

94.9 4.4

89.4 9.3

88.3 9.9

91.1 7.3

88.1 9.1

82.0 13.1

1.4

0.5

1.0

1.4

1.3

2.1

3.5

1.2

0.5

0.6

0.6

1.1

2.0

4*1

1.7

0.5

1.4

2.1

1.5

2.2

3.1

0.5

0.2

0.4

0.4

0.3

0.7

1.4

0.4

0.1

*0.2

*0.1

*0.2

0.9

1.5

0.6

0.2

0.6

0.7

0.3

0.5

1.4

225,048

58,883

33,066

37s 779

26v292

44,179

24,849

108s567

30,070

16?192

18,429

12,759

20,948

10,169

116,481

28,813

16,873

19,351

13,533

23,231

14,680

202,058

55,888

29*556

33?365

23 v965

38*917

209366

18,608 3,252 “17130

115

122

149

72

314

357

2s593 286

3,067 320

3,748 51’7

1s911 343

4s035 913

3 s254 872

UNDER

17-24

25-34

35-44

45-6+

65 YEARS AND OVER---

MALE

ALL AGES——-

17 YEARS--——-

YEARS--—-——-

YEARS—-——-

YEARS-—--—-

YEARS——-

99?634

289436

15*269

17,358

11,917

18,432

8,222

7,132 1,323 479 100.0

100*O

100.0

100.0

100.0

100.0

100.0

91.8 6.6

94.6 4.8

94.3 5.0

94.2 5.1

93.4 5.3

88.0 9.1

80.5 13.5

UNOER

17-24

25-34

35-44

45-64

1,439 150

804 91

933 115

673 139

1,908 409

1,375 418

45

*28

*24

*3O

199


FEMALE

ALL AGES--—--

17 YEARS ------

YEARS-—--——-

YEARS--——

YEARS-—-——

YEARS—--——-

-.

. “:

102,424

27,452

14,287

16,008

12,048

20,484

12,144

11,476 1.,929 651

71

95

126

42

115

203

100.0

100.0

100.0

100.0

100.0

100.0

100.0

87.9 9.9

95*3 4.0

84.7 13.4

82.7 14.5

89.0 9.1

88.2 9.2

82.7 12.8

UNOER

17-24

25-34

35-44

45-64

1,154 136

2g263 229

2,815 402

1s238 204

2j127 504

19879 45465 YEARS AND OVER-—-

.NOTES: FOR OFFICIAL POPULATION ESTIMATES FOR MORE GENERAL USE, SEE BUREAU OF THE CENSUS REPORTS ON THE

CIVILIAN POPULATION OF THE UNITEO STATES, IN CURRENT POPULATION REPORTS: SERIES P-20, P-25, ANO R-60.

THE APPROPRIATE RELATIVE STANOARO ERRORS OF THE ESTIMATES SHOWN IN THIS TA8LE ARE FOUNO IN APPENOIX 1,FIGURES XV AND VII.

26

TABLE 17. NUMBER OF SHORT-STAY HOSPITAL DAYS DURING THE PAST YEAR AND NUMBER OF DAYS PER PERSONWITH ONE HOSPITAL EPISOOE OR MORE? BY NUMBER OF EPISOOES, SEX* ANO AGE: UNITED STATES, BASEDON OATA COLLECTED IN HEALTH INTERVIEWS IN 1981

[Data are basodon household interviews of the civilian noninatitutlonalized population. Thesurvey design, general qualifications, andinformation ontherellablllw of theestimetes aregiven lnappendixl. Definitions ofterms aragiven inappendixll]

NUMBER OF HOSPITAL EPISODES

. SEX AND AGEALL ALL

EPISOOES 1 2 3+ EPISODES 1 2 3+

UNOER

17-24

25-34

35-44

45-64

BOTH SEXES

ALL AGES--—— --------

17 YEARS--—-----—---

YEARS-----—--—-—---

YEARS-----—-----—---

YEARS----—-——----—

YEARS-----———-—---

65 YEARS AND OVER———--———

MALE

ALL AGES--—--—-—-—

UNOER 17 YEARS-—--------—

17-24 YEARS-----——------—

25-34 YEARS----.———----——

35-44 YEARS-—--—--— ------

45-64 YEARS--—-———-—---

65 YEARS AND OVER---——----

UNDER

17-24

25-34

35-44

. 45-64

FEMALE

ALL AGES--—--——--

17 YEARS---------—---

YEARS—--- — ----—--

YEARS-—--—--—-—---

YEARS-------—---—---

YEARS----—---——-—

65 YEARS AND OVER —---—---

HOSPITAL OAYS IN THOUSANOS

217,228

19*547

20,966

30,329

20s893

62s 142

63,352

96*616

10,881

6,709

9,685

8s777

329543

28,022

120,613

8*666

14t257

20,644

12tl16

29,599

35,330

121,106

12,976

13,301

19,051

119953

31s676

32,148

52,632

7*194

4,176

6,893

4,454

16,226

13,689

68,473

5t782

9?126

12,159

7*499

15,449

18,459

55,409

3,259

3,596

7,333

6s151

17?435

17,636

23,887

1,760

1,210

2s102

2,793

8?207

7,816

31,522

1,499

2,386

5t231

3,358

9,228

9,820

40,713

3,312

4,068

3,945

2,789

13,031

13,568

20,096

1,927

1,323

*691

1$530

8t109

6,517

20,617

1,385

2 * 745

3,255

19259

4,922

7,051

DAYS PER PERSON WITH EPISODES

9.4

6-5

6-0

6.9

9.0

11.8

14.1

10.8

6.7

7.3

9.0

10.4

12.9

14.4

8.6

6.4

5.5

6.2

8.2

10.8

13.9

6.5

5.0

4.3

5.1

6.3

7.9

9.9

7.4

5.0

5.2

7.4

6.6

8.5

10.0

6.0

5.0

4.0

4.3

6.1

7.3

9.8

17.0

11.4

11.2

14.2

17.9

19.1

20.2

18.1

11.7

13.3

18.3

20.1

20.1

i8.7

16.3

11.0

10.4

13.0

16.5

18.3

21.6

36.0

28.8

33.3

26.5

38.7

41.5

38.0

42.0

42.8

*7.3

*8.8

*1.O

40.7

42.3

31.7

19.5

28.9

25.8

30.0

42.8

34.7

THE APPROPRIATE RELATIVE STANOARO ERRORS OF THE ESTIMATES SHOWN IN THIS TABLE ARE FOUNO IN AP-PENDIX It FIGURE IV.

ESTIMATES OF THE NUM8ER OF HOSPITAL OAYS SHOWN A80VE ARE 8ASE0 ON INFORMATION FOR THE 12-MONTHPERIOD PRIOR TO THE TIME OF INTERVIEWS AND BECAUSE OF MEMORY OECAY ARE LOWER THAN THE ESTIMATESOF HOSPITAL OAYS SHOWN IN TABLE 15 WHICH ARE 8ASE0 ON A 6-MONTH REFERENCE PERIQD.

27

.. . . . . . .. . . . . . . . . . . . . :. ~.,.. ... - ,. .,.

TABLE 18. NUMBER OF DENTAL VISITS AND NUMBER OF OENTAL VISITS PER PERSON PER YEAR, BY AGE ANDSEX: UNITED STATESt 1981

[Dataara baaadon houaaholdlntawlows ofthecivilian noninatitutionallzad population. Thosurvey daaign, ganwal qualifications, andinformation on tha rail.sbillty of tha astimatasara givan In appendix 1. Definitions of tarms are givan in appandix II1

ALL UNDER 17-24 25-44 45-64 65 YEARSSEX AGES 17 YEARS YEARS YEARS YEARS ANO OVER

.

NUMBER OF DENTAL VISITS IN THOUSANOS

BOTH SEXES- -.-——--——- - 380,305 96s201 53,831 112,915 80,862 36,494 “

MALE—--—-—— -——.— —-— —------- 167?879 46t593 22n824 46t295 389140 149026

FEMAL* -———- ———-- 212t426 49w608 31tO08 66s620 42v722 22,468

BOTH

NUM8ER OF DENTAL VISITS PER PERSON PER YEAR

SEXES ——.—- 1.7 1-6 1-6 . 108 108 1.5

MALE-———————-—-———— 1.5 1.5 1.4 1.5 108 1.4

FEMALE--—————-— ——-—- - 1.8 1.7 1.8 2.0 1-8 1.5

THE APPROPRIATE RELATIVE STANDARO ERRORS OF THE ESTIMATES SHOWN IN THIS TABLE ARE FOUND INAPPENDIX It FIGURE V-

26

TABLE 19. NUMBER AND PERCENT DISTRIBUTION OF PERSONS BY TIME INTERVAL SINCE LAST OENTAL VISIT ACCOROING TOSEX AND AGE: UNITED STATES, 1981

[Data are based on household intarviws of the civilian noninstitutionalized population. The survey design, general qualifications, andInformation on the reliability of the estimates are givan in appendix 1. Definitions of tarms are givan in eppendix I I ]

TIME INTERVAL SINCE LAST OENTAL VISIT

TOTALSEX ANO AGE POPULATION UNOER 6 6-11 1

.5 YEARS

MONTHS MONTHS YEAR Y;A;S AND OVER NEVER UNKNOWN

BOTH SEXES

vALL AGES--————-——---

UNDER 17 YEARS-— -—--———-—

17-24 YEARS-——-———-——--25-44 YEARS——-———---——---45-64 YEARS—---— -—--—-—---

65 YEARS AND OVER-———-——-—

MALE

ALL AGES--—-——---——---

UNOER 17 YEARS-- —-——-—-—---

L7F24 YEARS———————— -—.——

2!+44 YEARS—-—————-45-64 YEARS———-——-———65 YEARS ANO OVER—————------

NUMBER OF PERSONS IN THOUSANOS

30s633 28,591 30,482 20e13880,928

21,31812,17624,709169211

6,514

37,212

10,5785,327

11,1287,5502,628

43,717

LO*7406,848

13s5818,6623,886

36.0

36.236.838.636.726.2

34.3

35.232.935.736.025.8

37.5

37.340.641.337.326.5

31,689

8,1465,729

10,0255,7082,082

14,921

4,1902,7734,5222,634

802

16,768

3,9552,9565,5023,0741,281

225,048 2,586

475581B72467192

1,416

247323533234

80

1,171

228258339234112

1.1

0.81.81.41.10.8

1.3

0.82.01.71.10.8

1.0

0.81.51.01.00.8

58t88333,06664s07144,17924,849

6,3396,092

10,6885,5142,000

3,6505,1129,8466,4333,549

1,055 17#8992,352 1,0247,107 8259,569 276

10,398 113

108.567 15,295 14,296 14,873 10i555

5481,3614,1004,5494,316

15,608

507991

3,0075,0206,083

13.5

1.87.1

11.121.741.8

13.7

1.88.4

13.121.742.4

13.4

1.85.99.1

21.641.4

9,21959751116761

9,584

8,68042731410952

8.9

30.43.11.30.60.5

9.7

30.73.71.60.80.6

8.2

30.12.51.00.50.4

30,07016,19231s18820g94810,169

3,2643,1485,3062,732

846

2,0242,6645,0883,0831,437

FEMALE

ALL AGES —-—-—

17 Y EAR S--—————-----YEARS—- ————--——-

YEARS-————-—----YEARS— -———.-

116,481 15,338 14,295

UNOER17-2425-4445-64

28,81316s87332e88423,23114,680

3,0762,9445,3B22,7821,154

1,6262,4484,7583,3512,11365 YEARS ANO OVER— ———.-—

BOTH SEXES

ALL AGES- ———-———-

UNOER 17 YEARS-—-———-——---17-24 YEARS—--—-———--25-44 YEARS———-————45-64 YEARS--———-—————-65 YEARS ANO OVER—-———---

MALE

ALL AGES -———__

UNOER 17 YEARS--—--—-————-—17-24 YEARS— --—-—---

25-44 YEARS——— —-—- —--—---

45-64 YEARS——-——— .———---65 YEARS ANO OVER-——---——---

FEMALE

. ALL AGES-——————--——

UNOER 17 YEARS- —-—--- ————-

17-24 YEARS-—--———-——---25-44 YEARS— ———- ———-

.45-64 YEARS----——--—-——---65 YEARS AND OVER—--—-—--—-—

PERCENT DISTRIBUTION

13.6

10.818.416.712.5

8.0

14.1

10.919.417.013.0

8.3

13.2

10.717.416.412.0

7.9

12.7

6.215.515.414.614.3

13.2

6.716.516.314.714.1

12.3

5.614.514.514.414.4

100.0 14.1

100.0100*O100.0100.0100.0

13.817.315.612.9

8.4

100.0 13.7

100.0100.0100.0100.0100.0

13.917.114.512.6

7.9

100.0 14.4

100.0100.0100.0100.0100.0

13.717.5L6.713.2

8.7

NOTES: FOR OFFICIAL POPULATION ESTIMATES FOR MORE GENERAL USE, SEE BUREAU OF THE CENSUS REPORTS ON THECIVILIAN POPULATION OF THE UNITEO STATES, IN CURRENT POPULATION REPORTS: SERIES P-20, P-25, ANO P-60.

THE APPROPRIATE RELATIVE STANOARD ERRORS OF THE ESTIMATES SHOWN IN THIS TABLE ARE FOUNO IN APPENOIX I,FIGURE V.

29

. .. . . . . . . . . . ,, .,, . .. .I

I

TABLE 20. NUMBER OF PHYSICIAN VISITS AND NUMBER OF PHYSICIAN VISITS PER PERSON PER YEAR, BY AGEAND SEX: UNITED STATESs 1981

[Date arc based on houwhold Ww.arvlews of the civillan noninstitutionalizad population. The survey dasign, general qualifications, andinformation on the reliability of the estimates are given in ar.wendix 1. Definitions of tarms are given in appendix I I 1

ALL UNDER 17-24 25-44 45-64 65-74 75 YEARSSEX AGES 17 YEARS YEARS YEARS YEARS YEARS AND OVER

.

BOTH SEXES———-—-

MALE-—--— -— -

FEMALE———-——-——-

.. BOTH SEXES

MAL E———— -—

FEMAL E———— —-

NUMBER OF PHYSICIAN VISITS IN THOUSANDS

“

1,03B,616 243t737 132w477 280?008 224*618 989386 59,390

429,303 127,864 42s000 99,157 999431 40q072 20,779

609s313 115,873 90?477 180,851 125t187 58,314 38t611

NUMBER OF PHYSICIAN VISITS PER PERSON PER YEAR

4.6 4.1 4.0 4.4 5.1 6.3 6.4

4.0 4.3 2.6 3.2 4.7 5.9 6.1

5.2 4.0 5.4 5.5 5.4 6.6 6.6

,

THE APPROPRIATE RELATIVE STANDARD ERRORS OF THE ESTIMATES SHOWNPENOIX Is FIGURE V.

IN THIS TABLE ARE FOUNO IN AP-

.

30

TABLE 21. NUMBER AND PERCENT DISTRIBUTION OF PERSCINS BY TIME INTERVAL SINCE LAST PHYSICIAN VISIT ACCOROINGTO SEX AND AGE: UNITED STATES, 1981

[Data ara basad on housahold interviews of the civilien noninstitutionelized population. The survey design, general qualifications, andinformation on the reliability of the estimetes are given In eppendix 1. Definitions of terms are given in appendix I I 1

TIME INTERVAL SINCE LAST PHYSICIAN VISIT

TOTALSEX AND AGE POPULATION UNOER 6 6-11 1 z-4 5 YEARS

MONTHS MONTHS Y EAR YEARS ANO OVER NEVER UNKNOWN.

,

BOTH SEXES

ALL AGES--——--————---

UNDER 17 YEARS-—-——--———L7-24 YEARS-----—---— - ———---

25-44 YEARS----—--————-—45-64 YEARS————-—---———---65 YEARS ANO OVER—--—----—-—---

NUHBER OF PERSONS IN THOUSANOS

24,977 22,590 7,936

942943

2,3692,3921s289

4,805

463658

1,7731,355

557

3*131

480285596

1,038733

3.5

1.62.93.75.45.2

4.4

1.54.15.76.55.5

2.7

1.71.71.84.55.0

129,710

34,00618,01934,24026t04B17t397

56,811

17,4277,219

13,88611s457

6,823

72,899

16,57910,80020,35414,5911o,574

5T.6

57.854.553.459.070.0

52.3

58.044.644.5!34.767.1

62.6

57.564.061.962.872.0

37,497

10,8315t911

11,8226,4132,521

18,794

5,4783,1285* 9743,1401,074

18,703

5,3532,7835,8483,2731,447

225,048 338

1647256

*26*20

187

794045

*16*6

151

85*31*11*lo*14

0.2

0.30.20.1

*0.1*0.1

0.2

0.30.20.1

*0.1*0.1

0.1

0.3*().2*0.O*o.()*0.1

2,000

523406593360118

1,145

30024035320449

855

22316624015769

0.9

0.91.20.90.80.5

1.1

1.01.51.11.00.5

0.7

0,81.00.70.70.5

58,88333,06664,07144,17924,849

7,7974,0217,513491531,493

4,6203,6947,4804,7862*O1O

MALE

ALL AGES-—— ---

17 YEARS--—-—---—-—---YEARS———-—y---YEARS—————---YEARS—— ———--——___

108,567 13,311 13,514

UNOER17-2425-4445-64

30,07016,19231,18820,94810,169

3,9672,3844,1762,122662

2s3562s5234,9822,654

99965 YEARS ANO OVER-—-—--—-—-—

FEMALE

ALL AGES-—-—-—--——-

UNOER 17 YEARS——-——-——17-24 YEARS——-——-————-25-44 YEARS—— ——-—---

45-64 YEARS———-——---65 YEARS ANO OVER— ——— -—

BOTH SEXES

ALL AGES-————---

UNDER 17 YEARS-— ----——--——_17-24 YEARS—-—-—-—--— ------25-44 YEARS— ——-—-45-64 YEARS————--———65 YEARS AND OVER----—---———-—

HALE

ALL AGES—-——--——-

UNOER 17 YEARS-—-—---—-—---17-24 YEARS-— —-—---—_—___

25-44 YEARS-—-——---45-64 YEARS-—-————— —_-___:_

65 YEARS ANO OVER—-——-——---

FEMALE

ALL AGES-——————---

UNOER 17 YEARS —-—______

17-24 YEARS-—-—-——-——25-44 YEARS—--———-——-45-64 YEARS—-— -—--——---

65 YEARS ANO OVER—-—--———

116,481 11,666 9,076

28,81316,87332,88423,23114,680

3,8291,6373,3362,031

832

2,2641,1712,4982,1321,011

PERCENT DISTRIBUTION

11.1

13.212.2li.7

9.46.0

12.3

13.214.713.410.1

6.5

10.0

13.39.7

10.18.75.7

10.0

7.811.211.710.8

8.1

12.4

7.815.616.012.7

9.8

7.8

7.96.97.69.26.9

100.0 16.7

100.0100.0100.0100.0100.0

L8.417.918.514.510.1

100.0 17.3

18.219.319.215.010.6

100.0100.0100.0100.0100.0

100.0 16.1

18.616.517.814.1

9.9

.

.

100.0100.0100.0100.0100.0

NOTES: FOR OFFICIAL POPULATION ESTIMATES FOR MORE GENERAL USE, SEE BUREAU OF THE CENSUS REPORTS ON THECIVILIAN POPULATION OF THE UNITEO STATES, IN CURRENT POPULATION REPORTS: SERIES P-20, P-25, ANO P-60.

THE APPROPRIATE RELATIVE STANOARD ERRORS OF THE ESTIMATES SHOWN IN THIS TA8LE ARE FOUNDFIGURE V.

IN APPENOIX I,

31

. . . . .

TABLE 22. INCIDENCE OF ALL ACUTE CONDITIONS ANO ACUTE RESPIRATORY CONDIT IONS PER 100 PERSONS PER QUARTER,UNITEO STATES, 1981

BY SEX AND AGE:

[Data are based on household interviews of the civilian noninstitutionaiized population. The survey design, general qualifications, andinformation on the reliability of the estimatesare givan in acwandix 1. Definitions of terms ara given in appendix II]

ALL ACUTE CONO IT IONS ACUTE RESPIRATORY CONOI TIONS

SEX ANO AGEJAN.-MAR. APR.-JUNE JULY-SEPT. OCT. -OEC. JAN.-MAR. APR.-JUNE JULY-SE PT. OCT. -DEC.

.

NUH8ER OF CONOIT IONS PER 100 PERSONS PER QUARTER

BOTH SEXES, ALL AGES 70.1 42.8 41.8 57.8 44.6 16.7 16.6 34.0

UNOER 6 YEAR~ 122.4 78.4 72.5 106.86-16 YEARS-—

69.499.7 51.8

32.1 30.6 67.3 “48.8 75.4

17-44 YEARS62.9

66.923.5

45.419.1

47.443.6

57.945 YEARS AND OVER—

43.3 15.642.7 23.6

18.620.9

33.833.4 28.9 9.9 8.4 19.1

HALE, ALL AGES 66.6 41.5 40.3 53.9 42.5 17.2 15.1 31.8

UNOER 6 YEARS—— 124.7 84.0 72.3 115.9 72.66-16 YEARS 97.3 57.7

35.7 27.748.7

68.873.4

17-44 YEARS- 60.259.7

39.226.8 19.3

42.841.4

48.7 39.445 YEARS ANO OVER 37.6

13.7 15.520.5 20.6

29.728.9 26.3 10.2 7.6 16.9

FEMALE , ALL AGE~ 73.4 44.0 43.1 61.4 46.6 16.2 18.1 36.0

UNOER 6 YEARS-— 120.2 72.4 72.7 97.3 66.0

6-16 YEAR~ 102.228.3

45.733.6 65.6

49.0 77.4 66.2

17-44 YEAR~ 73.3

19.9 18.851.3

46.0

51.8 66.8

45 YEARS AND OVER

47.0 17.447.0

21.626.2

37.721.1 37.0 31.0 9.8 9.1 21.0

NOTES: EXCLUOEO FROM THESE STATISTICS ARE ALL CONDITIONS INVOLVING NEITHER RESTRICTED ACTIVITY NOR MEDICAL ATTENTION.

THE APPROPRIATE RELATIVE S7ANOARD ERRORS OF THE ESTIMATES SHOWN IN THIS TA8LE ARE FOUND IN APPENOIX 1, FIGURE 1.

e

32

.

TABLE 23. NUMBER OF PERSONS INJUREO PER 100 PERSONS PER QUARTER, BY SEX ANO AGE: UNITED STATESS 1981

[Data armbased on household interviews of the civilian nonlnatltutionalized population. The suwey design, general qualifications, andinformation on tha reliability of the aatimates are given In appendix 1. Definitions of terms are given in appendix I I 1

SEX ANO AGE JAN.-MAR. APR.-JUNE JULY-SEPT. OCT.-OEC.

NUMBER OF PERSONS INJUREO PER 100 PERSONS PER QUARTER

. BoTH SEXES* ALL AGES————- 7.1 8.0 8.7 7.4

UNDER 17 YEARS—-—-—— —-—--- 8.6 9.0 10.5 9.4r 17 YEARS AND OVER—-——-——————-— 6.6 7.6 8.1 6.7

MALEt ALL AGES — ————.—- 8-5 9.1 10-6 8.6

UNDER 17 YEARS ———.— 10.0 11.0 10.7 11.417 YEARS AND OVER———————--—— 7.9 8.4 10.6 7.6

FEMALE, ALL AGES——————-— 5.9 6.9 6-9 6-3

UNDER 17 YEARS———- ——- 7.2 6.9 10.3 7.317 YEARS AND OVER——————--- 5.4 6.8 5.8 6.0

NOTES: EXCLUDEO FROM THESE STATISTICS ARE ALL COh121TIONS INVOLVING NEITHER RESTRICTED ACTIVITY NORMEDICAL ATTENTION.

THE APPROPRIATE RELATIVE STANDARD ERRORS OF THE ESTIMATES SHOHN IN THIS TA8LE ARE FOUND IN APPENDIX

1, FIGURE 1.

.

33

TABLE 24. DAYS OF DISABILITY PER PERSON PER QUARTER, BY SEX, TYPE OF DISABILITY, AND AGE: UNITED STATES, 19.31

[Data ma baaed on houaahold inmrvie+ws of the civilian noninstitutional ized population. The suwey design, general qualifications, and

information on the reliability of the estimates are givan in appendix 1. Definitions of terms are givan in appendix I I 1

80TH SEXES HALE FEMALE

TYPE OF DISABILITY ANO AGEJAN.- APR.- JULY- OCT.- JAN.-MAR. JUNE

APR.- JULY- OCT. - JAN.- APR.- JULY- OCT. -SEPT. OEC. MAR. JUNE SEPT. DEC. MAR. JuNE SEPT. oEC.

OAYS OF RESTRICTED ACTIVITY, ALL AGkS----

UNDER 6 YEARS—-——————-6-16 YEARS--—-—— -——.

17-44 YEARS———————45-64 Y EARS-—-———————65 YEARS ANO OVER——-- ———- —

OAYS OF BEO DISABILITY, ALL AGES————

UNOER 6 Y EARS——————-———————

17-44 YEARS-—-——— ——— ---

45-64 YEARS-——————65 YEARS ANLl OVER-—=—-———————

OAYS LOST FRoN HORX , 17 YEARS ANO OVER—-

17-44 YEARS ——-————

+5-64 YEARS-—————-——65 YEARS ANO OVER————————

OAYS LOST FROM SCHDDL, 6-16 YEARS-———

5.5

4.03.64.27.6

11.6

2.3

2.01.81.72.94.6

1.6

1.42.12.1

2.2

4.5

2.12.23.56.99.2

1.5

0.90.91.22.32.9

1.0

1.01.1

*1. O

1.0

4.5

2.0.1.73.66.7

10.1

1.4

O.B0.61.22.03.3

1.2

1.11.4

*0.7

0.4

OAYS OF DISABILITY PER PERSON PER QUARTER

4.6

3.42.53.86.29.0

1.7

1.71.21.41.93.2

1.1

1.11.2

*0.4

1.4

5.1

4.43.53.67.5

10.9

1.9

2.21.61.32.44.0

1.5

1.32.0

●1 .9

2.0

3.9

2.52.43.06.37.8

1.2

1.10.80.82.02.6

0.9

0.91.0

*1.3

1.0

4.2

2.01.73.16.7

10.5

1.3

0.90.6O.B1.93.8

1.2

1.01.5

*0.8

0.3

4.2

3.72.43.35.9B. 5

1.4

l.B1.11.01.53.6

1.0

1.01.0

*0.5

1.3

6.0

3.53.74.77.7

12.1

2.6

1.72.02.03.35.0

1.8

1.62.2

*2.4

2.5

5.0

1.72.04.17.5

10.2

1.8

O.B1.01.62.53.1

1.1

1.11.3

*0.5

0.9

4.8

2.01.74.16.79.8

1.6

0.80.61.52.03.0

1.2

1.31.1

*0.5

0.4

.5.0

3.1 ●

2.64.36.59.4

1.9

1.61.31.72.23.0

1.2

1.21.4

*0.3

1.5

THE APPROPRIATE RELATIVE STANOARO ERRORS OF THE ESTIMATES SHOliN IN THIS TABLE ARE FOUNO IN APPENOIX I, FIGURE 11.

.

34

TABLE 25- POPULATION USEO IN COMPUTING ANNUAL RATES SHOWN IN THIS PUBLICATION, BY SEX ANO AGE:UNITED STATES, 1981

[Data, orO based on household interviews Of the civilien noninatltutionelized population. The survev design, general qualifications, andInformation on the reliebiiitv of the estimetes are givan in appendix 1. Definitions of terms are given in appendix I I 1

AGE BOTH SEXES MALE FEMALE

.

e ALL AGES-—-—-—-———-—-—--—---

UNDER 17 YEARS--——---—-——--———--—---

UNDER 6 YEARS-——--——-—-—-—-—

6-16 YEARS-——---—--F-——---——---—---

17-44 YEARS——-——--—-—--—-—-———-—

17-24 YEARS————-—--—--— -------

25-44 YEARS—-—---—---——--——-— -----

25-34 YEARS-—-——-—————-—-—-—

35-44 YEARS— —-— --—— ------—---—-—

45 YEARS AND OVER—-—---—-—----—---————

45-64 YEARS-——----——--——-—-

65 YEARS AND OVER——--— —---—-—--—

65-74 YEARS——---—--————— -.--—--——

7,5 YEARS AND OVER-———-——---——

ALL AGES-17 YEARS ANO OVER-————————

17-44 YEARS--—-—-—-——-——-——---

17-24 YEARS—-——-——-—-—---——-—--

25-44 YEARS-----—---—--—-—---——-—-—

45 YEARS AND OVER——-———--—

45-64 YEARS---——--—-—---—--—---—--—---

65 YEARS AND OVER--—-—-—-——--—---

POPULATION IN THOUSANDS

225t048 108s 567

589883 30,070

20tl14 10,228

38,769 19$842

97,137 47,380

33,066 16,192

64,071 31,188

37,779 18,429

269292 12,759

69,028 31,117

44,179 20s 948

24,849 10s 169

15t598 6,765

9,251 3,404

CURRENTLY EMPLOYED POPULATION

100,324 57,346

69*541 39,021

209942 11?145

48t598 27, 876

30?783 18,325

279513 16,328

3,270 1,997

116?481

28,813

9,886

1Bv927

49*757

16,873

32,884

19,351

13,533

37,911

23,231

14,680

8,832

5,847

42,978

30,520

9,797

20,723

12,458

11,186

1,272

NOTES: FOR OFFICIAL POPULATION ESTIMATES FOR MORE GENERAL USE, SEE BUREAU OF THE CENSUS REPORTS. ON THE CIVILIAN POPULATION OF THE UNITED STATESS IN CURRENT POPULATION REPORTS: SERIES P-20t P-25,

AND P-60; ANO BUREAU OF LABOR STATISTICS MONTHLY REPORT* EMPLOYMENT ANO EARNINGS-

THE APPROPRIATE RELATIVE STANOARD ERRORS GF THE CURRENTLY EMPLOYEO ESTIMATES SHOWN IN THISTABLE ARE FOUNO IN APPENOIX I, FIGURE IV.

THE NUMBER OF PERSONS IN EACH AGE-SEX CATEGORY OF THE TOTAL POPULATION IS AOJUSTEO TO OFFICIALBUREAU OF THE CENSUS FIGURES ANO IS NOT SUBJECT TO SAMPLING ERROR-

35

.. ,,....,.. .’.,.- ... . ; ~’ ‘. ‘....,,,$ ..-. -. ..,. - ;!:..,... : ..:,,..”,.;....,.. .. ,. .:...: .. r. . . .. . . .. ... .. :..’ ‘, . -: ....” ,. .. :.,,: .: -.:r . .. . . ,. . . .. ,.-. . .. . . . . . ..-,:,..-:,-!- ‘. ... , .#,

. . . . . . . . . . . -- ”,.......:.. ,,.” . . ., .:. ‘., :.’ .. . ..- ,. ..- . . . ,.

Appendixes

Contents

i. Technical notesonmethods. ,.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37Background ofthisreport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37Statistical dasignofthe National Heaith InterviewSurvey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37General qualifications. ,.,,... . . . . . . . . . . . . . . . . . . ,0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . . 39Reliability ofestimates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

.Il. Definitions ofcertain termsused inthisreport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Terms relatingtoconditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49Terrnsrelatingtodisability.,.... . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . . . . . . . . .. O....... . . . . . . 50

Terms relatingto personsinjured. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,,,... 51Terms relatingto classofaccident . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52Terrnsrelatingto hospitalization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53Terms relatingtodental visifi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..O 53Terms relatingto physicianvisits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. O....... . . . . . . . . . . . . 53Demographicterms . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,.. .OO,., 54

Ill. Questionnaire andflashcards . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

List ofappendix figures

1.Ii.Ill.

Iv.

v.

w.WI.

Relative standard errorsfornumber ofacute conditionsorpersons injured. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42Relative standard errors fordaysof restricted activity orbed disability(A) and fordays lostfrom workorschool (B).. 43Relative standard errors for number of short-stay hospital days (A), short-stay hospital discharges (B), and population

characteristics (P) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..OO. ,. ...,, 44

Relative standard errors forshort-stay hospital days based ona12-month reference ~riod(A), andpopulation chara&

teristics (P) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45Relative standard errors for number of physician ordental visifi basedon a2-week reference period (A), andpopula-tion characteristics (P) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46Relative standard errors ofpercentages ofacute conditions orpersons injured. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 -

Relative standard errors ofpercentages ofpopulation characteristics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . 48

.

36

Appendix 1.Technical noteson methods

Background of this report

This report is one of a series of statistical reportsprepared by the National Center for Health Statistics(NCHS). It is based on information collected in acontinuing nationwide sample of households in theNational Health Interview Survey (NHIS).

The National Health Interview Survey utilizes aquestionnaire that obtains information on personaland demographic characteristics, illnesses, injuries,impairments, chronic conditions, and other healthtopics. As data relating to each of these various broadtopics are tabulated and analyzed, separate reportsare issued that cover one or more of the specifictopics.

The population covered by ●the sample for theNational Health Interview Survey is the civilian,noninstitutionalized population of the United Statesliving at the time of the interview. The sample doesnot include members of the Armed Forces or U.S.nationals living in foreign countries. It should also benoted that the estimates shown do not represent acomplete measure of any given topic during thespecified calendar period since data are not collectedin the interview for persons who died during thereference period. For many types of statistics col-lected in the survey, the reference period covers the 2weeks prior to the interview week. For such a shortperiod, the contribution by decedents to a totalinventory of conditions or services should be verysmall. However, the contribution by decedents during.a long reference period (e.g., 1 year) might be sizable,especially for older persons.

Statistical design of the NationalHealth Interview Survey

General plan. –The sampling plan of the surveyfollows a multistage probability design that permits acontinuous sampling of the civilian noninstitu-tionalized population of the United States. Thesample is designed in such a way that the sample of

households interviewed each week is representative ofthe target population and that weekly samples areadditive over time. This feature of the design permitsboth continuous measurement of characteristics ofsamples and more detailed analysis of less commoncharacteristics and smaller categories of health-relateditems. The continuous collection has administrativeand operational advantages as well as technical assetssince it permits fieldwork to be handled with anexperienced, stable staff.

The overall sample was designed so that tabula-tions can be provided for each of the four majorgeographic regions and for selected places of resi-dence in the United States.

The first stage of the sample design consists ofdrawing a sample of 376 primary sampling units(PSU’S) from approximately 1,900 geographicallydefined PSU’S. A PSU consists of a county, a smallgroup of contiguous counties, or a standard metro-politan statistical area. The PSU’S collectively coverthe 50 States and the District of Columbia.

With no loss in general understanding, the remain-ing stages can be combined and treated in thisdiscussion as an ultimate stage. Within PSU’S, then,ultimate stage units called segments are defined insuch a manner that each segment contains an ex-pected four households. Three general types ofsegments are used:

Area segments which are defined geographically.

List segments, using 1970 census registers as theframe.

Permit segments, using updated lists of buildingpermits issued in sample PSU’S since 1970.

Census address listings were used for all areas of thecountry where addresses were well defiied and couldbe used to locate housing units. In general the listframe included the larger urban areas of the UnitedStates from which about two-thirds of the NHISsample was selected.

The usual NHIS sample consists of approximately12,000 segments containing about 51,000 assigned

37

households, of which 9,000 were vacant, demolished,or occupied by persons not in the scope of thesurvey. The 42,000 eligible occupied households yielda probability sample of about 111,000 persons.

Descriptive material on data collection, fieldprocedures, and questionnaire development in NHIShave been published,AJ as well as a detailed descri-ption of the sample design and estimation pro-cedure.e,y

Collection of data.–Field operations for the sur-vey are performed by the U.S. Bureau of the Censusunder specifications established by the NationalCenter for Health Statistics. In accordance with thesespecifications the Bureau of the Census participates insurvey planning, selects the sample, and conducts thefield interviewing as an agent of NCHS. The data arecoded, edited, and tabulated by NCHS.

Estimating procedures.–Since the design of NHISis a complex multistage probability sample, it isnecessary to use complex procedures in the derivationof estimates. Four basic operations are involved.

1.

2.

3.

. .

4.

Injlation by the reciprocal of the probability ofselection.—The probability of selection is theproduct of the probabilities of selection fromeach step of selection in the design (PSU, seg-ment, and household).

Nonresponse adjustment. –The estimates are in-flated by a multiplication factor that has as itsnumerator the number of sample households in agiven segment and as its denominator the numberof households interviewed in that segment.

First-stageratio adjustment. –Sampling theory in-dicates that the use of auxiliary information thatis highly correlated with the variables beingestimated improves the reliability of the esti-mates. To reduce the variability between PSU’Swithin a region, the estimates are ratio adjusted tothe 1970 populations within 12 color-residenceclasses.

Poststratij?cation by age-sex-color.–The estimatesare ratio adjusted within each of 60 age-sex-colorcells to an independent estimate of the popula-tion of each cell for the survey period. Theseindependent estimates are prepared by the Bureauof the Census. Both the first-stage and poststrati-fied ratio adjustments take the form of multipli-cation factors applied to the weight of eachelementary unit (person, household, condition,and hospitalization).

The effect of the ratio-estimating process is tomake the sample more closely representative of thecivilian noninstitutionalized population by age, sex,color, and residence, which thereby reduces samplingvariance.

NOTE: A list of references follows the text.

38

As noted, each week’s sample represents thepopulation living during that week and characteristicsof the population. Consolidation of samples over atime period, e.g., a calendar quarter, produces esti-mates of average characteristics of the U.S. popula-tion for the calendar quarter. Similarly, populationdata for a year are averages of the four quarterlyfigures.

For prevalence statistics, such as number of .persons with speech impairments or number ofpersons classif~ed by time interval since last physicianVisitj figures are fust calculated for each calendar .quarter by averaging estimates for all weeks ofinterviewing in the quarter. Prevalence data for a yearare then obtained by averaging the four quarterlyfigures.

For other types of statistics–namely those meas-uring the number of occurrences during a specifiedtime period-such as incidence of acute conditions,number of disability days, or number of visits to adoctor or dentist, a similar computational procedureis used, but the statistics are interpreted differently.For these items, the questionnaire asks for therespondent’s experience over the 2 calendar weeksprior to the week of interview. In such instances theestimated quarterly total for the statistic is 6.5 timesthe average 2-week estimate produced by the 13successive samples taken during the period. Theannual total is the sum of the four quarters. Thus theexperience of persons interviewed during a year-experience which actually occurred for each person ina 2-calendar-week interval prior to week of inter-view-is treated as though it measured the total ofsuch experience during the year. Such interpretationleads to no signMcant bias.

Explanation of hospital recall.–The survey ques-tionnaire uses a 12-month-recall period for hospitali-zations. That is, the respondent is asked to reporthospitalizations that occurred during the 12 monthsprior to the week of interview. Information is alsoobtained as to the date of entry into the hospital andduration of stay. Analysis of this information, andalso the results of special studies, has shown thatthere is an increase in underreporting of hospitaliza-tions with increase in time interval between thedischarge and the interview. Exclusive of the hospitalexperience of decedents, the net underreporting witha 12-month recall is in the neighborhood of 10 -percent, but underreporting of discharges within 6months of the week of interview is estimated to beless than 5 percent. For this reason hospital discharge “data in this report are based on hospital dischargesreported to have occurred within 6 months of theweek of interview. Since the interviews were evenlydistributed according to weekly probability samplesthroughout any interviewing year, no seasonal biaswas introduced by doubling the 6-month-recall datato produce an annual estimate for that year of

interviewing. Doubling the 6-month data in effectimputes to the entire year preceding the interview therate of hospital discharges actually observed duringthe 6 months prior to interview. However, estimatesof the number of persons with hospital episodes (asopposed to estimates of the number of hospitaldischarges) are based on 12-month recall data, since aperson’s 12-month experiences cannot be obtained bydoubling his most recent 6-month experience.

General qualifications

. Nonresponse. –Data were adjusted for nonre-sponse by a procedure that imputes to persons in ahousehold who were not interviewed the characteris-tics of persons in households in the same segmentwho were interviewed. Interviews were completed in97.0 percent of the sample households.

The interview process. –The statistics presented inthis report are based on replies obtained in interviewswith persons in the sample households. Each person19 years of age and over present at the time ofinterview was interviewed individually. For childrenand for adults not present in the home at the time ofthe interview, the information was obtained from arelated household member such as a spouse or themother of a child.

There are limitations to the accuracy of diagnos-tic and other information collected in householdinterviews. For diagnostic information, the householdrespondent can usually pass on to the intervieweronly the information the physician has given to thefamily. For conditions not medically attended, diag-nostic information is often no more than a descrip-tion of symptoms. However, other facts, such as thenumber of disability days caused by the condition,can be obtained more accurately from householdmembers than from any other source, since only thepersons concerned are in a position to report thisinformation.

Rounding of numbers. –The original tabulationson which the data in this report are based show allestimates to the nearest whole unit. All consolida-tions were made from the original tabulations usingthe estimates to the nearest unit. In the fiialpublished tables, the figures are rounded to thenearest thousand, although these are not necessarily

. accurate to that detail. Devised statistics such as ratesand percent distributions are computed after theestimates on which these are based have beenrounded to the nearest thousand.

Population j?gures.–Some of the published tablesinclude population figures for specified categories.Except for certain overall totals by age, sex, andcolor, which are adjusted to independent estimates,these figures are based on the sample of households inNHIS. These are given primarily to provide denomina-tors for rate computation, and for this purpose are

more appropriate for use with the accompanyingmeasures of health characteristics than other popula-tion data that may be available. With the exception ofthe overall totals by age, sex, and color mentionedabove, the population figures differ from figures(which are derived from different sources) publishedin reports of the Bureau of the Census. Officialpopulation estimates are presented in Bureau of theCensus reports in Series P-20, P-25, and P-60.

Reliability of estimates

Since the statistics presented in this report arebased on a sample, they will differ somewhat fromthe figures that would have been obtained if acomplete census had been taken using the sameschedules, instructions, and interviewing personneland procedures.

As in any survey, the results are also subject toreporting and processing errors and errors due tononresponse. To the extent possible, these types oferrors were kept to a minimum by methods built intosurvey procedures.s Although it is very difficult tomeasure the extent of bias in the National HealthInterview Survey, a number of studies have beenconducted to study this problem. The results havebeen published in several reports. g-l z The standarderrors shown in this report were computed using thebalanced half-sample replication procedure.

The standard error is primarily a measure ofsampling variability, that is, the variations that mightoccur by chance because only a sample of thepopulation is surveyed. As calculated for this report,the standard error also reflects part of the variationwhich arises in the measurement process. It does notinclude estimates of any biases which might be in thedata. The chances are about 68 out of 100 that anestimate from the sample would differ from acomplete census by less than the standard error. Thechances are about 95 out of 100 that the differencewould be less than twice the standard error and about99 out of 100 that it would be less than 2% times aslarge.

Standard error charts. –The relative standard errorof an estimate is obtained by dividing the standarderror of the estimate by the estimate itself and isexpressed as a percentage of the estimate. For thisreport, asterisks are shown for any cell with morethan a 30-percent relative standard error. Included inthis appendix are charts from which the relativehndard errors can be determined for estimatesshown in the report. In order to derive relative errorswhich would be applicable to a wide variety of healthstatistics and which could be prepared at a moderatecost, a number of approximations were required. As aresult, the charts provide an estimate of the approxi-


39

.*;< - . -.~...,

,’

mate relative standard error rather than the precise denominator. For example, in computing theerror for any speciilc aggregate or percentage. rate of visual impairments per 1,000 popula-

Three classes of statistics for the health survey are tion, the numerator consisting of personsidentified for purposes of estimating variances. with the impairment is a subclass of the

1.

2.

3.

--

Narrow range. –This class consists of(1) statisticswhich estimate a population attribute, e.g., thenumber of persons in a particular income group,and (2) statistics for which the measure for asingle individual during the reference period usedin data collection is usually either O to 1 and, onoccasion, may take on the value 2 or veryrarely 3.

Medium range.–This class consists of other statis-tics for which the measure for a single individualduring the reference period used in data collec-tion will rarely lie outside the range Oto 5. ,

Wide range.–This class consists of statistics forwhich th~ measure for a single individual duringthe reference period used in data collection canrange from O to a number in excess of 5, e.g., thenumber of days of bed disability.

In addition to classifying variables according towhether they are narrow-, medium-, or wide-range,statistics in the survey are further classified as towhether they are based on a reference period of 2weeks, 6 months, or 12 months.

General rules for determining relative standarderrors.-The f~llowing rules will enable the reader todetermine approximate relative standard errors fromthe charts for estimates presented in this report.These charts represent standard errors of NHIS data.They should be used in preference to the chartswhich have appeared in all previous Series 10 pub-lications.

Rule 1.

Rule 2.

Rule 3.

Estimates of aggregates: Approximate rela-tive standard errors for estimates of aggre-gates such as the number of persons with agiven characteristic are obtained from appro-priate curves, figures I-V. The number ofpersons in the total U.S. population or in anage-sex-color class of the total population isadjusted to official Bureau of the Censusfigures and is not subject to sampling error.

Estimates of percentages in a percent distri-bution: Relative standard errors for per-centages in a percent distribution of a totalare obtained from appropriate curves, figuresVI-VII. For values which do not fall on oneof the curves presented in the chart, visualinterpolation will provide a satisfactory ap-proximation.

Estimates of rates where the numerator is asubclass, of the denominator: This rule ap-plies for prevalence rates or where a unit ofthe numerator occurs, with few exceptions,only once in the year for any one unit in the

denominator, which includes all persons inthe population. Such rates if converted torates per 100 may be treated as though theywere percentages and the relative standarderrors obtained from the percentage chartsfor population estimates. Rates per 1,000, oron any other base, must first be converted torates per 100; then the percentage chart willprovide the relative standard error per 100.

Rule 4. Estimates of rates where the numerator isnot a subclass of the denominator: This ruleapplies where a unit of the numerator oftenoccurs more than once for any one unit inthe denominator. For example, in the com-

.

.

putation of the number of persons injuredper 100 currently employed persons peryear, it is possible that a person in thedenominator could have sustained more thanone of the injuries included in the numera-tor. Approx&ate relative standard errors forrates of this kind may be computed asfollows:(a) Where the denominator is the total U.S.

population or includes all persons in oneor more of the age-sex-color groups ofthe total population, the relative error ofthe rate is equivalent to the relative errorof the numerator, which can be obtaineddirectly from the appropriate chart.

(b) In other cases the relative standard errorof the numerator and of the denomina-tor can be obtained from the appropriatecurve. Square each of these relativeerrors, add the resulting values, andextract the square root of the sum. Thisprocedure will result in an upper boundon the standard error and will overstatethe error to the extent that the correla-tion between numerator and denomina-tor is greater than zero.

Rule 5. Estimates of difference between two statis-tics (mean, rate, total, etc. ): The standarderror of a difference is approximately the .square root of the sum of the squares of eachstandard error considered separately. A for-mula for the standard error of a difference, -

d= X1-X2

is

~d = J(xl L,) 2+(X2VX2)2

40

where Xl is the estimate for class 1, X2 isthe estimate for class 2, and ~, and K ~are the relative errors of X1 and Xz respec-tively. This formula will represent the actualstandard error quite accurately for the differ-ence between separate and uncorrelated char-

acteristics although it is only a rough approx-imation in most other cases. The relativestandard error of each estimate involved insuch a difference can be determined by oneof the four rules above, whichever is appro-priate.

41

&

,,. . .

A2 3 456789A 2 3 4 56789A 2w. ,

3 456789A 2 3 456789A10 100

2 3 456789A1,000 Io,ooo mo,ooo 1,000,000

Size of estimate (in thousands)

1T’hls curve represents estimates of relative standard errors based on 1 to 4 quarters of data co! Iaction for narrow range estimates of aggravatesusing a 2-week referenceperiod.

Example of usa of chart: An estimate of 1,000,000 acute respiratory conditions(on scala at bottom of chart) has a relativa standard error of 23 parcant (read from scaleat left side of chart), or a standard arror of 230,000 (23 parcant of 1,000,000).

Figure 1. Relative standard errors for number of acuta conditions or parsons injuredl

,

● ✌

&f!80706050

40

30

20

Lo

8

:5

4

3

2

L9

M0.60.5

0.4

0.3

0.2

0.1

SE50

40

1-30, , I I I I

20

65

4u I I ( 1

FmfIll, I , , , , ,,, , ,-Hitl , , , , ,

3

2

10.90.8

u0.5

+tttl , , , , , , , , , , , ,,,0.4

0.3

II0.2

0.13 456789A

Ioo,ooo

2 3 456789A

1,000,000

23AZ 3 456789A 2 3 4 56789A 2

100 1,000 10,0004 5 6789A

10,OOO,OOO

a 2-waek reference period.


lThe~e ~urve~ represent estimates of relative standard errors based on 1 to 4 quarters of data Collection for wide renge estlmetesof aggregatesusing

Example of use of chart: An estimate of 10,000,000 days of restricted activity (on scale at bottom of chart) has a relative standard error of 22 percent (read from curve A on scelaat left side of chart), or a standard error of 2,200,000 (22 percent of 10,000,000).

Figure 11. Relative standard errors for days of restrictedactivity or bed disability (A) and for days lost from work or school (B)l.Pw

: .4

18880

i%50

40

30

20

1$1

8766

4

3

2

0.5

0.4

0.3

0.2

0.$2 3 456789A 2 3 4 56789A 2 3 456789A

10023

1,000 10,OOO


4 5 6 789A 23

100,000

100::706050

40

30

20

Lo

;

65

4

3

2

10.9

:;0.60.5

0.4

0.3

0.2

0.14 5 6789A

1,000,000

‘The curves related to short-stay hospital days end dischargesare based on 4 quarters of data collection for wide and nerrow range estimates of aggregates USin9 ~ 6.month

reference period; the curve for population characteristicsis based on 4 quarters of date collactlon for narrow ranga estimatesof aggregates.

Example of use of chart: An estimataof 10,000,000 hospital days (on scaleat bottom of chart) has a relativestandard error of 10.2 percent (read from curve A on scala at left sideof chart), or a standard error of 1,020,000 (10.2 percant of 10,000,000). An estimata of 1,000,000 dischargesfrom short-stay hospitals (curva B) hasa relative standard error of 7.4parcent. An estimata of 1,000,000 persons in the Northaast Region (curve P) has a relative standard arror of 5.7 parcent.

Figure II 1. Relative standard errors for number of short-stay hospital days (A), short-stay hospitaldischarges(8), and population char~teristics (P)1

..“,

.,.

,,.,

‘?

I...

“.

.

.,.

50

40

30

20

lg

8765

4

3

2

0.60.5

0.4

0.3

0.2

0.1

5040

30

20

65

4

3

2

;.9

H0.60.5

0.4

0.3

0.2

0.1AZ 3 466789A 2 3 4 56789A 2 ,3 456789A 2 3 4 5 6 78”9A 2 3 456789A10 100 1,000 Io,ooo Ioo,ooo 1,000,000


lThe curve related to hospital days is basad on 4 quartars of data collactlon for wide ranga astimatas of aggravates using a 12-month rafarance parlod; tha curva for popula-tion charactarlstics is basad on 4 quarters of data collation for narrow ranga ●stimatas of aggregates.

Examplo of use of charti An astlmate of 10,000,000 days of hospitalization in tha past yaar(on scala at bottom of chart) has a raiatlve standard error of 7.8 percent (readfrom curva A on scale at left slda of chart), or a standard error of 780,000 (7.8 parcent of 10,000,000). An estimate of 1,000,000 parsons with 1 hospital episode ormora (curva P) has a relative standard error of 6,7 percant.

Figure IV. Ralative standard errors for short-stay hospital days based on a 12-month reference period (A), and population characteristics(P)’

,

&

6050

40

30

20

1:

8765

4

3

2

0.:0.8

u0.5

(-M

0.3

0.2

0.1

1009080706050

40

30

20

5

4

3

2

:.9

M0.60.5

0.4

0.3

0.2

0.1AZ 3 456789A 2 3 4 56789A 2 3 456789A 2 3 456789A

1002 3 456789A

1,000 10,000 100,000 1,000,000 10,000,000


lThe curve related m physician or dental visits is based on 1 to 4 quartars of data collactlon for medium ranga astimatas of 89!Jr090tOS Using a 2-week refarenCe parlod;

tha curve for population characteristics is basad on 4 quarters of data collection for narrow range estimatas ot aggragatas.

Example of use of chart: An estimate of 10,000,000 dantal visits (on scale at bottom of chart) has a relatwe standard arror of 9.2 percent (raed from curva A on scaleat loft side of chart), or a standard ●rror of 920,000 (9.2 percant of 10,000,000). An estimam of 1,000,000 persons in tha Northaast Region (curva P) has a ralativestandard ●rror of S.7 percent.

Figure V. Relative standard errors for number of physician or dental visits based on a 2-week refarenca period (A), and population characteristics (P)’

* ,

KI13 10090807060

807060

50 50

4040

3030

.

.

.

*

2020

10987

1:

876

5

65

4 4

33 I I I I 1 I I I 111111111(1 I ‘l”~

22

1

%:0.7

;.90.80.70.60.6

0.5 0.5, , , , , ,I I I II It-l-t

0.40.4

0.30.3

0.20.2

0.10.1

A 2 3 456789A 23 4 56789A 23 4 56789A

1 10 100 1,000

Estimated percentage

lTha8e ~uwes ~aPremnt ~~tlmate~ of ~eiative standard errors of per~entage~ of acute conditions or persons injured besed on 1 to 4 qUS!r-”

tws of data collection for narrow ranga data using a 2-weak reference period.

Example of use of chart: An estlmete of 20 percent (on scale at bottom of chart) based on an estimete of 10,000,000 has a relativestandard error of 14.5 percant (read from the scale at the left side of chart), the point at which the curve for a base of 10,000,000 inter-Mcts tha vortlcal line for 20 percent. The standerd error in parentage points is equal to 20 percent X 14.5 percent, or 2.9 percentageDoints,

Figure V1. Relative standard arrors of percentages of acute conditions or persons injured’

(Base of percentage shown on cumes in millions)

47

-.

1s3;

807C60

50

40

30

20

6

5

4

3

2

0.:0.80.7

0.6

0.5

0.4

0.3

0.2

0.1

E I r 1 I I I 1 1 1 1+

1009080706050

40

30

20

;0

8765

4

3

2

0.4

0.3

0.2

0.1

A 23 4 56789A 23 4 56789A 23 4 56789 A-” ,1 10 100 1,000

Estimated percentage

IThese curves represent estimates of relative standard errors of percentages of population characteristics based on 4 quarters of deta col-lection for narrow range estimetes.

Example of use of chert: An estimate of 20 percent (on scaia at bottom of chart) based on an estimate of 10,000,000 has a relativestendard error of 3.6 parcent (read from the scale at the left side of chart), the point at which the curve for a base of 10,000,000 inter-sects the vertical Iina for 20 percent, Tha standerd error in percantege points is equal to 20 percent X 3.6 percent, or 0.72 percentagepoints.

Figure V 11. Relative standard errors of percentages of population characteristics

(Base of percentage shown on curves in miilions)

.

.

*

48

Appendix Il. Definitions of certainterms used in this report

.

Terms relating to conditions

Condition. –A morbiditycondition, is any entry ondescribes a departure from

condition, or simply athe questionnaire thata state of physical or

mental well-being. It results from a positive ‘responseto one of a series of “medical-disability impact” or“illnes~recall” questions. In the coding and tabu-lating process, conditions are selected or classifiedaccording to a number of different criteria (such aswhether they were medically attended, whether theyresulted in disability, or whether they were acute orchronic) or according to the type of disease, injury,impairment, or symptom reported. For the purposesof each published report or set of tables, only thoseconditions recorded on the questionnaire that satisfycertain stated criteria are included.

Conditions except impairments are classitled bytype according to the ninth revision of the Interna-tional Classification of Diseases,l with certain modifications adopted to make the code more suitable for ahousehold interview survey.

Acute condition. –An acute condition is defiiedas a condition that has lasted less than 3 months andthat has involved either medical attention or re-stricted activity. Because of the ,procedures used toestimate incidence, the acute conditions included inthis report are the conditions that had their onsetduring the 2 weeks prior to the interview week andthat involved either medical attention or restrictedactivity during the 2-week period. However, excludedare some conditions that are always classified aschronic even though the onset occurred within 3months prior to the week of the interview. The codesrefer to the ninth revision of the InternationalClassification of Diseases, as modified by the NHISMedical Coding Manual.

Acute condition groups. –In this report all tableswith data classified by type of condition employ a


five-category regrouping plus several selected sub-groups.

Chronic condition. –A condition is consideredchronic if (1) the condition is described by therespondent as having been f~st noticed more than 3months before the week of the interview, or (2) it isone of the folIowing conditions always classtiled aschronic regardless of the onset:

Tuberculosis.

Neoplasms (benign and malignant).

Diseases of the thyroid gland.

Diabetes.

Gout.

Psychoses and certain other mental disorders.

Multiple sclerosis and certain other diseases of thecentral nervous system.

Certain diseases and conditions of the eye.

Certain diseases of the circulatory system (in-cludes rheumatic fever, hypertension, stroke,and all heart conditions).

Emphysema, asthma, hay fever, and bron-chiectasis.

Ulcers and certain other diseases of the esoph-agus, stomach, and duodenum.

Hernia of abdominal cavity (includes rupture).

Gastroenteritis and colitis (with exceptions).

Calculus of kidney, ureter, and other parts of theurinary system.

Diseases of the prostate.

Chronic cystic diseases of the breast.

Eczema and certain other dermatitis.

Arthritis and rheumatism.

Cyst of the bone (except jaw).

All congenital anomalies.

49

J. . . . . . . .. . . ..- . ... . . ~. ’.” . ..’ ,.. .“ ‘: .’ . . .. .. . . . . . . . . . . .. . . .

Impairment. –Impairments are chronic or perma-nent defects, usually static in nature, that result fromdisease, injury, or congenital malformation. Theyrepresent decrease or loss of ability to performvarious functions, particularly those of the musculo-skeletal system and the sense organs. All impairmentsare classified by means of a special supplementarycode. Hence code numbers for impairments in theInternational Classification of Diseases are not used.In the supplementary code, impairments are groupedaccording to type of functional impairment andetiology.

Incidence of conditions. –The incidence of con-ditions is the estimated number of conditions thathave their onset within a specified time period. Aspreviously mentioned, minor acute conditions thatinvolve neither restricted activity nor medical atten-tion are excluded from the statistics. The incidencedata shown in some reports are further limited tovarious subclasses of conditions, such as “incidence ofconditions involving bed disability.”

Onset of condition. –A condition is considered tohave had its onset when it was fust noticed. Thiscould be the time the person fiist felt sick or becameinjured, or it could be the time when the person orfamily was first told by a physician that the personhad a condition of which he or she had beenpreviously unaware.

Activity-restricting condition. –An activity-stricting condition is one that had its onset in the 2weeks prior to interview and that caused at least 1day of restricted activity during the 2 calendar weeksbefore the interview week. (See “Restricted-activityday” under “Terms relating to disability.”)

Bed-disabling condition. –A condition with onsetin the 2 weeks prior to interview that involved at least1 day of bed disability is called a bed-disablingcondition. (See “Bed-disability day” under “Termsrelating to disability.”) .

Medically attended condition. -A condition withonset in the 2 weeks prior to interview is consideredmedically attended if a physician had been consultedeither at its onset or at any time thereafter. However,when the fhxt medical attention for a condition doesnot occur until after the end of the 2-week period,the case is treated as though there was no medicalattention. Medical attention includes consultationeither in person or by telephone for treatment oradvice. Advice from the physician transmitted to thepatient %rough the nurse is counted, as well as visitsto physicians in clinics or hospitals. If during thecourse of a single visit the physician is consultedabout more than one condition for each of severalpatients, each condition of each patient is counted asmedically attended.

Discussions of a child’s condition between thephysician and a responsible member of the household

are considered as medical attention even if the childwas not seen at that time.

For the purpose of this definition the term“physician” includes doctors of medicine and osteo-pathic physicians.

Terms relating to disability

Disability. –Disability is the general term used to .describe any temporary or long-term reduction of aperson’s activity as a result of an acute or chroniccondition. .

Disability day. –Short-term disability days areclassified according to whether they are days ofrestricted activity, bed days, hospital days, work-lossdays, or school-loss days. All hospital days are, bydefinition, days of bed disability; all days of beddisability are, by deftition, days of restricted activ-ity. The converse form of these statements is, ofcourse, not true. Days lost from work and days lostfrom school are special terms that apply to theworking and school-age populations only but thesetoo are days of restricted activity. Hence “days ofrestricted activity” is the most inclusive term used todescribe disability days.

Restricted-activity day. –A day of restricted activ-ity is one on which a person cuts down on his or herusual activities for the whole of that day because ofan illness or an injury. The term “usual activities” forany day means the things that the person wouldordinarily do on that day. For children under schoolage, usual activities depend on whatever the usualpattern is for the child’s day, which will in turn beaffected by the age of the child, weather conditions,and so forth. For retired or elderly persons, usualactivities might consist of almost no activity, butcutting down on even a small amount for as much asa day would constitute restricted activity. On Sun-days or holidays, usual activities are the things theperson usually does on such days–going to church,playing golf, visiting friends or relatives, or staying athome and listening to the radio, reading, looking attelevision, and so forth. Persons who have perma-nently reduced their usual activities because of achronic condition might not report any restricted-activity days during a 2-week period. Thereforeabsence of restricted-activity days does not implynormal health. .

Restricted activity does not imply completeinactivity, but it” does imply only the minimum ofusual activities. A special nap for an hour after lunch “does not constitute cutting down on usual activities,nor does the elimination’ of a heavy chore such ascleaning ashes out of the furnace or hanging out thewash. If a farmer or housewife carries on only theminimum of the day’s chores, however, this is a dayof restricted activity.

A day spent in bed or a day home from work or

50

school because of illness or injury is, of course, arestricted-activity day.

Bed-disability day.–A day of disability is one onwhich a person stays in bed for all or most of the daybecause of a specific illness or injury. All or most ofthe day is defined as more than half of the daylighthours. All hospital days for inpatients are consideredto be days of bed disability even if the patient wasnot actually in bed at the hospital.

. Work-1ossday.–A day lost from work is a day onwhich a person did not work at his job or business forat least half of his normal workday because of a

w specific ilIness or injury. The number of days lostfrom work is determined only for persons 17 years ofage and over who reported that at any time duringthe 2-week period covered by the interview theyeither worked at or had a job or business. (See“Currently employed” persons under “Demographicterms.”)

School-loss day.–A day lost from school is anormal school day on which a child did not attendschool because of a specific illness or hjury. Thenumber of days lost from school is determined onlyfor children 6-16 years of age.

Person-day,–Persondays of restricted activity,bed disability, and so forth are days of the variousforms of disability experienced by any one person.The sum of days for all persons in a group representsan unduplicated count of all days of disability for thegroup.

Condition-day.–Condition-days of restricted ac-tivity, bed disability, and so forth are days of thevarious forms of disability associated with any onecondition. Since any particular day of disability maybe associated with more than one condition, the sumof days for conditions may add to more than thetotal number of person-days.

Chronic activity limitation. –Persons are classifiedinto four categories according to the extent to whichtheir activities are limited at present as a result ofchronic conditions. Since the usual activities of pre-school children, school-age children, housewives,workers, and other persons differ, a different set ofcriteria is used for each group. There is a general simi-larity between them, however, as will be seen in thefollowing descriptions of the four categories:

1. Persons unable to carry on major activity for their. group (major activity refers to ability to work,

keep house, or engage in school or preschoolactivities).Preschool children:

Inability to take part in ordinary play withother children.

School-age children:Inability to go to school.

Housewives:Inability to do any housework,

2.

3.

4.

Workers and all other persons:Inability to work at a job or business.

Persons limited in amount or kind of major activ-ity performed (major activity refers to ability towork, keep house, or engage in school or pre-school activities)

Preschool children:Limited in amount or kind of play with otherchildren, e.g., need special rest periods, can-not play strenuous games, or cannot play forlong periods at a time.

School-age children:Limited to certain types of schools or inschool attendance, e.g., need special schoolsor special teaching or cannot go to school fulltime or for long periods at a time.

Housewives:Limited in amount or kind of housework, e.g.,cannot lift children, wash or iron, or dohousework for long periods at a time. -

Workers and all other persons:Limited in amount or kind of work, e.g., needspecial working aids or special rest periods atwork, cannot work full time or for longperiods at a time, or cannot do strenuouswork.

Persons not limited in major activity but other-wise limited (major activity refers to ability towork, keep house, or engage in school or pre-school activities)

Preschool children:Not classified in this category.

School-age children:Not limited in going to school but limited inparticipation in athletics or other extracur-ricular activities.

Housewives:Not limited in housework but limited in otheractivities such as church, clubs, hobbies, civicprojects, or shopping.

Workers and all other persons:Not limited in regular work activities but lim-ited in other activities such as church, club,hobbies, civic projects, sports, or games.

Persons not limited in activities (includes personswhose activities are not limited in any of the waysdescribed above).

Terms relating to persons injured

Injury condition. –An injury condition, or simplyan injury, is a condition of the type that is classifiedaccording to the nature of injury code numbers(800-999) in the International Classification of Dis-eases. In addition to fractures, lacerations, con-tusions, burns, and so forth, which are commonly

51

‘ ,.. * ,’: .. . . -. . ,.7

.,

thought of as injuries, this group of codes includeseffects of exposure, such as sunburn; adverse reac-tions to immunization and other medical procedures;and poisonings. Unless otherwise specified, the terminjury is used to cover all of these.

Since a person may sustain more than one injuryin a single accident, e.g., a broken leg and lacerationof the scalp, the number of injury conditions mayexceed the number of persons injured.

Statistics of acute injury conditions include onlythose injuries which involved at least 1 full day ofrestricted activity or medical attendance.

Person injured. –A person injured is one who hassustained one or more injuries in an accident or insome type of nonaccidental violence. (See defdtionof injury condition.) Each time a person is involved inan accident or in nonaccidental violence causinginjury that results in at least 1 full day of restrictedactivity or medical attention he is included in thestatistics as a separate person injured; hence oneperson may be included more than once.

The number of persons injured is not equivalentto the number of accidents for several reasons: (1)the term “accident” as commonly used may notinvolve injury at all, (2) more than one injured personmay be involved in a single accident, so the numberof accidents resulting in tijury would be less than thenumber of persons injured in accidents, and (3) theterm “accident” ordinarily implies an accidentalorigin, whereas “persons iqjured” as used in theNational Health Interview Survey includes personswhose injuries resulted from certain nonaccidentalviolence.

The number of persons injured in a specified timeinterval is equal to or less than the incidence o: injuryconditions, since one person may incur more thanone injury in a single accident.

Terms relating to class of accident

CZassof accident. –Injuries, kjured persons, andresulting days of disability maybe grouped accordingto class of accident. This is a broad classii5cation ofthe types of events that resulted in personal injuries.Most of these events are accidents in the usual senseof the word, but some are other kinds of mishap,such as overexposure to the sun or adverse reactionsto medical procedures, and others are nonaccidentalviolence, such as attempted suicide. The classes ofaccident are (1) moving motor vehicle accidents, (2)accidents occurring while at work, (3) home acci-dents, and (4) other accidents. These categories arenot mutually exclusive. For example, a person maybe injured in a moving motor vehicle accident whichoccurred while the person was at home or at work.The accident class “moving motor vehicle” includes“home-moving motor vehicle” and “while at work-moving motor vehicle.” Similarly, the classes “whileat wor~’ and “home” include duplicated ~ounts, e.g.,

“moving motor vehicle-while at work” is includedunder “while at work.”

Motor vehicle. –A motor vehicle is any mechan-ically or electrically powered device, not operated onrails, upon which or by which any person or propertymay be transported or drawn upon a land highway,Any object, such as a trailer, coaster, sled, or wagon,being towed by a motor vehicle is considered a partof the motor vehicle. Devices used solely for moving .persons or materials within the confines of a buildingand its premises are not counted as motor vehicles.

Moving motor vehicle accident. –The accident is “classified as “moving motor vehicle” if at least one ofthe motor vehicles involved in the accident wasmoving at the time of the accident. This category issubdivided into “traffic” and “nontraffic” accidents.

Traffic moving motor vehicle accident. –The acci-dent is in the “traffic” category if it occurred on apublic highway. It is considered to have occurred onthe highway if it occurred wholly on the highway, ifit originated on the highway, if it terminated on thehighway, or if it involved a vehicle partially on thehighway. A public highway is the entire widthbetween boundary lines of every way or place ofwhich any part is open to the use of the public forthe purposes of vehicular traffic as a matter of rightor custom.

Non traffic moving motor vehicle accident. –Theaccident is in the “nontraffic” category if it occurredentirely in any place other than a public highway.

Nonmoving motor vehicle accident. –If the motorvehicle was not moving at the time of the accident,the accident is considered a “nomnoving motorvehicle” accident and is classified in the “otheraccident” category.

Accident while at work. –The class of accident is$Cwhileat work” if the injured person was 17 years ofage or over and was at work at a job or a business atthe, time the accident happened.

Home accident. –The class of accident is “home”if the injury occurred either inside or outside thehouse. “Outside the house” refers to the yard,buildings, and sidewalks on the property. “Home”includes not only the person’s own home but also anyother home in which the person may have been whenhe or she was injured.

Other accident. –The class of accident is “other” -if the occurrence of injury cannot be classified in oneor more of the first three class-of-accident categories’(e.g., moving motor vehicle, while at work, or home). -This category therefore includes persons injured inpublic places (e.g., tripping and falling in a store or ona public sidewalk) and also nonaccidental injuriessuch as homicidal and suicidal attempts. The surveydoes not cover the military population, but currentdisability of various types resulting from prior injuryoccurring while the person was in the Armed Forcesis covered and is included in this class. The class also

62

includes mishaps for which the class of accident couldnot be ascertained.

Terms relating to hospitalization

Hospital. –For this survey a hospital is defiied asany institution meeting one of the following criteria:(1) named in the listing of hospitals in the current

, American Hospital Association, Guide to the HealthCare Field or (2) found on the Master FacilityInventory List maintained by the National Center for

. Health Statistics.

Short-stay hospital. –A short-stay hospital is onein which the type of service provided by the hospitalis general; maternity; eye, ear, nose, and throat;children’s; or osteopathic; or it may be the hospitaldepartment of an institution.

Hospital day. –A hospital day is a day on which aperson is confined to a hospital. The day is countedas a hospital day only if the patient stays overnight.Thus a patient who enters the hospital on Mondayafternoon and leaves Wednesday noon is consideredto have had 2 hospital days.

Hospital days during the year. –The number ofhospital days during the year is the total number forall hospital episodes in the 12-month period prior tothe interview week. For the purQoses of this estimate,episodes overlapping the beginning or end of the12-month period are subdivided so that only thosedays falling within the period are included.

HospitaZ episode. –A hospital episode is any con-tinuous period of stay of 1 night or more in a hospitalas an inpatient except the period of stay of a wellnewborn infant. A hospital episode is recorded for afamily member whenever any part of his hospital stayis included in the 12-month period prior to theinterview week.

Hospital discharge. –A hospital discharge is thecompletion of any continuous period of stay of 1 ormore nights in a hospital as an inpatient except theperiod of stay of a well newborn infant. A hospitaldischarge is recorded whenever a present member ofthe household is reported to have been dischargedfrom a hospital in the 12-month period prior to theinterview week. (Estimates were based on discharges

. which occurred during the 6-month period prior tothe interview.)

Length of hospital stay. –The length of hospital“stay is the duration in days, exclusive of the day ofdischarge, of a hospital discharge. (See deftition of“hospital discharge.”)

Average length of stay. –The average length ofstay per discharged patient is computed by dividingthe total number of hospital days for a specifiedgroup by the total number of discharges for the samegroup.

Terms relatingto dental visits

Dental visit. –A dental visit is defined as any visitto a dentist’s office for treatment or advice, includingservices by a technician or hygienist acting under adentist’s supervision.

Interval since last dental visit. –The interval sincethe last dental visit k the length of time prior tothe week of interview since a dentist or dentalhygienist was last visited for treatment or advice ofany type.

Terms relatingto physicianvisits

Physician visit. –A physician visit is defined asconsultation with a physician, in person or bytelephone, for examination, diagnosis, treatment, oradvice. The visit is considered to be a physician visit ifthe service is provided directly by the physician or bya nurse or other person acting under a physician’ssupervision. For the purpose of this deftition “physi-cian” includes doctors of medicine and “osteopathicphysicians. The term “doctor” is used in the inter- -view rather than “physician” because of popularusage. However, the concept toward which all instruc-tions are directed is that which is described here.

Physician visits for services provided on a massbasis are not included in the tabulations. A servicereceived on a mass basis is defiied as any serviceinvolving only a single test (e.g., test for diabetes) ora single procedure (e.g., measles inoculation) whenthis single service was administered identically to allpersons who were at the place for this purpose. Henceobtaining a chest X-ray in a tuberculosis chest X-raytrailer is not included as a physician visit. However, aspecial chest X-ray given in a physician’s office or inan outpatient clinic is considered a physician visit.

Physician visits to hospital inpatients are notincluded.

If a physician is called to a house to see morethan one person, the call is considered a separatephysician visit for each person about whom thephysician was consulted.

A physician visit is associated with the personabout whom the advice was sought, even if thatperson did not actually see or consult the physician.For example, if a mother consults a physician aboutone of her children, the physician visit is ascribed tothe child.

Interval since last physician visit. –The intervalsince the last physician visit is the length of time priorto the week of interview since a physician was lastconsulted in person or by telephone for treatment oradvice of any type whatever. A physician visit to ahospital inpatient may be counted as the last time aphysician was seen.

53

. . . . . . .- .:. . .. .. . ....-’. .- ...-, .-.

Demographic terms

Age. –The age recorded for each person is the ageat last birthday. Age is recorded in single years andgrouped in a variety of distributions depending on thepurpose of the table.

Currently employed. -Persons 17 years of age andover who reported that at any time during the 2-weekperiod covered by the interview they either worked ator had a job or business are currently employed.Current employment includes paid work as an em-ployee of someone else; self-employment in business,farming, or professional practice; and unpaid work ina family business or farm. Persons who were tempo-rarily absent from a job or business because of atemporary illness, vacation, strike, or bad weather areconsidered as currently employed if they expected towork as soon as the particular event causing theabsence no longer existed.

Freelance workers are considered currently em-ployed if they had a deftite arrangement with oneemployer or more to work for pay according to aweekly or monthly schedule, either full time or parttime.

Excluded from the currently employed popula-

. . . . ... . . . . . . .. .: . ...- . . . . .. . . . .. . . r‘.,

tion are persons who have no definite employmentschedule but work only when their services areneeded. Also excluded from the currently employedpopulation are (1) persons receiving revenue from anenterprise but not participating in its operation, (2)persons doing housework or charity work for whichthey receive no pay, (3) seasonal workers during theportion of the year they were not working, and (4)persons who were not working, even though having ajob or business, but were on layoff or looking for Lwork.

The number of currently employed persons esti-mated from the National Health Interview Survey ●

(NHIS) will differ from the estimates prepared fromthe Current Population Survey (CPS) of the U.S.Bureau of the Census for several reasons. In additionto sampling variability they include three primaryconceptual differences, namely: (1) NHIS estimatesare for persons 17 years of age and over; CPSestimates are for persons 16 years of age and over. (2)NHIS uses a 2-week reference period, while CPS usesa l-week reference period. (3) NHIS is a continuingsurvey with separate samples taken weekly; CPS is amonthly sample taken for the survey week whichincludes the 12th of the month.

54

.

.

.

Appendix Ill. Questionnaireand flash cards

Form Approved: O.M.B. No. 0937-OQ

IOTICC - information contmnedon this form which would !aermtt identiticatlon of any Indiwdual or establishment has been co! Iectad with a guarantee 1.hst It will bm held m strict confidence, WII I be used on! lot PufDoses stated for Ih@sstudy, and WIII not be dmclosed or released to others wathout

Jht Consent of the mitwdual of tha Ostablmhmmt m acco ante Wh section 3C!Wdl of the Public Health $erwce Act (42 USC 243ml. Book — Of_ books

Is-1 (1981) 2. R.0, nuwber 3. Sample 4. Segment type1.2, *[I

~ Area

u.S. DEPARTMENT Or COMMERCE.“” EAu 0, TbIS cCNS” S ❑ Permit

A., ING ASCOL,LCC7, NG AGE., .0” r“cU.S. PUOLIC HEALTH SERVICE ❑ Address

NATIONAL HEALTH INTERVIEW SURVEY I ❑ Cen-S.p❑ Special Place I

5. Control number

Psu Se~ment Serial

I I, ,

da. Wlat is your ●xact oddwss? (Include House No., API. No., or other Identif,catiom and ZIP code) ~~;:::g

---------------- . --------------------------.----------------, ,Sheet: No. .—

'--------------------------~~;a;;------~~~P-;oj;----~~o;;~------~L!neCity

I 1 ; No. _

b, Is this yaw mailing address? - Same as 6a

Mark box or specify If different. Include ZIP code.

----------------------------------------------------------- -------

--------------------------- ,___ . .city I State , 21P code ~couky “ ‘“-

1I ,

c, Special place name I Sample unit number Type code

I

7. YEAR BUILT ~ Ask = ❑ Oo NOT Ask

Whtn was this structuro originally built?

0 Before 4-1-70 ~ After 4-I-70 (Go m 9c, complete(Continue mtervrew) . tf required and end mrervtew)

& Type of I!wng quarters _ t ~ Houstng un!c 2 ~ OTHER umt

9. Area segments ONLY

~1 a. Aw there any occupied or vacant living quorftrs besid-s your own in this building?Y (ftll Table X) N

---------------------------------------------------------------- .

[- I b. AI* *h*r* any occupied or vacant living quarters besid.. your own o. this floor?Y (fill Toble X) N

-------------------------------------------------------------- . . . .

r I c. I* there any other building on this property for people to Iivc in - ●ither occupied or vacant? ,Y (fill Table X) N------ ----- ------ ----

r: I d. None

) GO TO PROBE PAGE. 2

0. Land use z [~ RURAL 1 ~ URBAN (131-– Regular unlcs and Special Place un, ts coded 85-88 In 6c, go m 11.

-- sDecIOi Place un!ts not coded 85-88 in 6c. EO to/3.

1, Do you own or rent this place? - Own = Rent — Rent for free

2a. Does this” place you (own/r. nt/rent for free) have 10 acres or more? I Y f12b) 2 N (12c)b. Duting the past 12 months did sales of crops, livestock, and

other farm products from this place amount to S50 or more? ! Y (13) 2 N (13)c. During the past 12 months did salrs of crops, livestock, and

other farm products from this place amount to S250 or more? fY 2N

Rooms3. How many reams are in this --?

Bedt.aoms14. How many bedrooms are in this --?

Count the kitchen but not the bathroom. If “None” descrtbe ,n footnotes.

5. ~j,:t,is th. telephone numberA,., cod, Numb,,

16. Was thts !ncerv, ew c.b.ser.ed>

2 - None BY 2N

7. Interwewer’s name Code

, BEFORE LEAVING HOUSEHOLD, CHECK THAT ITEM 20 HAS AN ENTRY.

D.t.rmi.. the best tire= for callbacks.J

‘OOTNOTES

r ! 1

18. Nonmterwew reason

TYPE A

}

I U Refusal - Describe in a Iootnofe

Z n NO 0.. at home - repeated callsFill items 1-s8

3 r; T.moorar: b’ absent - F..WW7.8, 10, Iza-cas applicable,

4 ~j Ocher kSpeC//y) 16-19

F

TYPE B

$ C i vacant - nonseasonal2 ~ I vacant - seasonal

}

Fill /rams l+a7-10. 12a-c as

3 L ) Usual ,es, de.ce elsewhere ;g~lgab /e.

4 c : Armed Farces

s C: I Other fSpec/fyjz

TYPE C

I El U..sed 1,.e of I,srmc sheet >

21:1 Dernol #shed

~

FIf/ NeMS I-tia, ~ Merzed sc it required,

PC ,/ marked.4 r \ Outs,de segment fa-f9. Serws C! Bu,lt aft,, APr,l 1. 1970 mter.COnwn.

6 ~] Other (SpecdkA)F’

19. Record of calls

BectnntnzMonth ~ Oate ~,me

E.dmc Completedt,me Mark (XJ

I I a.m. I a.m. I[ I I tm. I rm.

a.m. a.m. I

a.m. a.m.3 w. p.m.

I I a.m. I a.m. I41: v.m. cm.

a.m. a.m.5 mm. o.m.

I I a.m. I a.m. I51 p.m. mm.

20. List column numbers of preferred respondent(s)req”iri”g callbacks for Child Health %pplement

~ None

columnnumber+ Ill

21. Record of addiuonal contacts

a.m. a.m.$ D.m. D.m.

55

Sc SCHOOLr-lu

10. Whet is tho nomc of th* head of this household? - Enter narna in first column

!-J10. First name

b, Wlwt arc tha names of all other persons who Iivc hero? - List all persons who live here. o AGEYes * NO 1

c. I havo Iistad (Read names). Is tharc onyonc ●1s. staying here now, such os friwrds, relatives, or roomers? ❑ u

d. Havo I missed anyone who USUALLY lives here but is now away from hem*?. . . . . . . . . . . . . . . . . . . . . . 0 ~

●.Doonyaf thepeoplo in this household have ahomeanywhero ●lee? . . . . . . . . . . . . . . . . . . . . . . . . . . . . u u--7------------ RACELast name Iw

* Apply household membe,$h, p ,.1.s.

f. Arc any of the persons in this houscheld now on full.timo20

active. duty with the Armd Forc*s of thr United Stat-s?. . . . . . . . . I Y CoI(s). _ (Delete) z N3 OT

2. How is -- rdotad to -- (Head of household)? . Relatmnsh, p SEX

TM

HEAO 2F

3. What is --’ s date of birth? (Enter date and Age, and circle Race and Sex)3. Month Oate Year

1. Ask Conditi.m list—. Determine sample child; mark SC box.BED DAYS Ov HOSP.

❑ p:;; ❑ /.4;4 ❑ ~;;

1. Record the number of Bed Days, Doctor Visits, and Hospitalizations

c c –(N”–’Np)–(N”2. Record each condition in the person’s column, with the question number(s) where it was reported. Q. No. Condloon

Reference dates 1

2-week period

12.month Bed Days 1I

and Doctor visitprobe [

Hospital probe 1

... .

If 17+, ask:0 ❑ Under 17

4. Is -- cow ma,ried, widow-d, divorced, 5eparatcd, or ncvor married? 4. t ❑ Married - spouse present

s I_J Married “- spouse ●bsent

2 I_J W,dowed

4 ❑ Divorced

5 ❑ S=parated

3 ❑ Never married

If related persons 17 years old or over are listed in addition to the respondent, say:

H w

O ❑ Under i7

● would Iikc to hovo all adults who are at home tako part in the intsrview.Is your --, your --, ate., ot homo now? If ‘“Yes,” ask: Plutsa ask thcm to ioin us.

H t ❑ At home

2 ❑ Not at home

This survey is b*ing conducted to collect information on tha Nation’s haalth. I will ask akut visits todoctors and dentists, illnc.s in the family, and c+hcr health relatad items. (Hand calendar)

The next few questions refer to tha past 2 weeks, tha 2 weeks outlined in rod on that colendor,

b-ginning Monday, (date) , and ●riding this past Sunday, (date) .Y (5b)

%. During those 2 weeks, did -- stay in bad bocausc of any illness or in@Y? 50. 00 N

}

If age:------------------------------ . ________________________________________________ ___ 17+ (6)

b. During that 2.week period, how many days did -- stay in b-d all or most of the day?6-16 (7)

b. _ Oays Under 6 (9)

6. During those 2 weeks, how many days did illness or iniury koop -- from work? 6.(For females): not counting work around the housa?

_ WL days (6)

00 ❑ None (9)

7. During those 2 weeks, how many cloys did illness or iniury ktep -- from school? 7._ SL days

00 ❑ None (9)

If one or more days in 5b, ask 8; otherwise go co 9

8. On how ninny of these -- days lost from

{ ‘:’50’ } ‘id--

stay in bad all or most of the day?Oay s

a. —00 ❑ None

{

in bed9a. (NOT COUNTING the day(s)

}

lost from work ) 9.. iY

lost from schoolWere there any (othe,) days during the past 2 weeks that -- cut &wn on tho things

h- usually dots because of illness or iniury?7. N (10)

----------------------------------------------- .---------------------------------- --- --------------------

{

in bedb. (Again, not counting the day(s)

}lost from work ) b. . clayslost from school 000 None

Owing that period, how many (other) days did he cut down for as much as o cloy?

If one or more days In 5-9, ask 10; odzenvise go to next person.

{z::’}

Enter condNlon m item C

10a. What cmdition caused -- to during the past 2 weeks? 10.. Ask 10b

------------------------------------------------------------- .-------------- --- --- ----------- --..------

-___,______{sz_):::::::_______________ _; ,.-;:Y!______

b. Did any other condition cause him to

C. What condition? c. Enter condltton {n Item C (lObJ

b Fill item C, (BED DAYS), from Sb for aII perSMS.

66

Ilcr. During the past 2 weeks, did anyone in the family, thot is you,your --, etc., have any (other) accidents or iniuries? Y N (12)______________________________________________________________________________

b. Who was this? - Mark “’Accident or injury” box in person’s column.------------------------------------------------------------------------------

c, What was the iniury?______________________________________________________________________________

d. Did anyone have any other accidents or iniuries during that period? Y (Reask I I b and c) N______________________________________________________________________________If ‘“Accident or injury;’ ask

c, As a result of the accident, did - - see a dactar or did he cut down on the things he usually does?

b. Wha was this? - Mark “Dental visit” box in person’s column.. _____________________________________________________________________________

c. During the past 2 weeks, did anyone else in the family go ta a dentist? Y (Reask 12b and c) N______________________________________________________________________________

If “Dental visit, ” ask:

d, During the post 2 weeks, haw mony times did -- ga to a dentist?

Mark box or ask:

3. ABOUT how Iang has it been since -- LAST wont to a dentist?

‘Oomo-ms

❑ Accident IX injuryI___________________

I“, ”ry

❑ Dental visit

1 ❑ 2.week dental visit

----------—-—-———-2 ❑ Past 2 weeks not

reported (12)

3 ❑ 2 weeks-. $months

4 ❑ Over 6-12 months

5 ❑ I year

6 U 2-4 years

7 ❑ 5+ yearsa ❑ Never/age 1 or under

.

.

57

14. During the post 2 wooks (tho 2 weeks outlinod in rcd on that colmzdar) how many times did -- sac a mcdieai doctor? 14. 00 ❑ None

Do not count doctors seen while a patient Jn a hospital. _ Numb-r of visits

(B*sidcs these visits)

15a. During thot 2-wcok period did anyenc in the family go to a doctor’s offic* or Yclinic for shots, X-rays, tests, or examinations? N (16)- ----------------------------------- --------------------------------------------

b. Who was this? - Mark “Doctor visit” box In person’s column. lsb,--------------------------------------------------------------------------------

c. Anyone else? Y (Reask 15b and c)

N------------------ --------------------------------------------------------------If “Doctor vis!t. ” ask:

d. How ~anY times did -- visit the doctor during that period? d. _ Number of visits (NP)

16cI. During that period, did anyone in the family g~t any medical advice from Ya doctor over the telephone? N (17)________________________________________________________________________________

b. Who was the phone call about? - Mark “Phone call” box in person’s column.--------------------------------------------------------------------------------

c. Any cakls about anyone rise? Y (Reosk 16b and c)

N________________________________________________________________________________

If “’Phone call, ” ask:

d. How many telephone coils were made to get medical advice obout -- ?

} Fill item C, (DV), from 14-16 for all persons.

.

Ask 17a for each person with visits in DV box.

17a. For what condition did -- SC- or talk to a &ctor during tho past 2 wocks?------- . . . . . ------------------------------------------------------------------ ~~~:

b. Did -- see or talk to o doctor about any specific condition?

+

b._______________________________________________________________________________ _-

C. What condition? .-------------------------------------------------------------------------------- ---

c.

_ Number of cd Is (NP)

THEN 17d)

❑ Pre;nancy (77e)

❑ No condition------------------- .

Y N (NP)-------------------

Enter cong;ly,: Item C

--------------------

d. During that period, did -- see or talk to a doctor about any other condition?11

d. Y (17c) N (NP)------------------------------------------------------------------------------- --------------- ------

●. During the past 2 weeks wos -- sick beceuse of her prqnancy?

N

●. Y N (17d)---------------------------------------------------------------------------- ------ ------------- ------

f. What was the matter?I

f,

18a. During the past 12 months, (that is since d (date) a year.ago) , about how many times did -- see or 18.3

tolk to o medicol doctor? (Do not count octors seen whilo a potient in a hospital.)(Include the -- visits you already told me about.)

---------------------------------------- ----------------------------------------- ---b. ABOUT how long has It been since -- LAST sow or talked to o medical dostor?

Include doctors seen. whi Ie a patient in a hospital.b

Enter condltlon In Item C (17d,

..100 ❑ Only when in hospital

100n None

— Number of visits_____________ ------

1 ❑ 2-weak DV-------------------

2 ❑ Past 2 weeksnot reported(14 snd 17)

3 ❑ 2 wks.-d mos.

4 ❑ Over 6-12 mos.

5 ❑ I year

6 ❑ 2-4 y08rS

7 ❑ 5+ years

a a Nevw

.

58

.

19a. What was -- doing MOST OF THE PAST 12 MONTHS - (For males): working or doing something ●lsa? 19.

If “’something else,’” ask: (For females): keeping hmrse, working, or doing JI ❑ Workinx (24a)

A-es b. what WOS -- doing? something else?. z ❑ Keeping house (24b)

17+ If 45+ years and was not ‘“working, ” “keeping house,” or “’going to school, ” ask:3 ❑ Retired, health (23)

c, IS ---- ,.tir.d? 4 I_J Retired. ocher (23)

d. If “retired,” ask: Did he retire because of his health? 5 ❑ Geinz to school (28)---------- ____________________________________ ____________________________________

Ages200. What wos -- doing MOST OF THE PAST 12 MONTHS - going to school or doing something ●lse? 6 ❑ 17+ something else (2s)

6-16If “something else,’” ask: 7 ❑ 6-16 som-xhing else (25,

b. What Was -- doing?---------

Ages '----------------------------------------------------------------------- ‘- --o-i–l=;GXti7)------

under 6 On Under I (22)

!10. Is -- obls to take part at all in ordinory play with other children? 210. Y------------------------------------------------------------------------------- ---- —__________________

I N (28)

b. Is ho Iimitod in the kind of play he can do because of his health? b._______________________________________________________________________________ __-, ___________________2 Y (28) N

c. Is hc Iimitcd in the amount of play because of his healih? c. 2 Y (28) N (27)

!2a. Is -- limited in any way becousaof his haolth? 220. lY------------------------------------------------------------------------------- ~-—-. ___________________ .

5 N (NP)

b.lnwhat wayis delimited? Record limitation, not condition. b. (28)

!30. Does --health now keep him from working? 23a. f Y (28) N------------------------------------------------------------------------------- . --- ——_________________ .

b. Ishe limitad inthekind ofworkhe could do becausa ofhisheolth? b. 2 Y (28)------------------------------------------------------------------------------- . -—- ___________________ .

N

c. Is ha limited in the amount ofwark he could do bacause of his health?------------------------------------------------------------------------------- . --- --------------------

c. 2 Y (28) N

d. Is he Iimitad in the kind or amount of other activities because of his health? d. 3 Y (28) N (27)

!40. Does -- NOW have o iob? 24a. Y (24c)------------------------------------------------------------------------------- . --- _____________ -

N

b.lnterrm of health, is-- NOWable h(work- keep house) atall? b. Y------------------------- . _____________________________________________________ ,. ___ ____________________

1 N (28)

c. Is he limited in the kind of (work - hausewark) he can do because of his health?_______________________________________________________________________________ ___ ___________________C. 2 Y (28) N

d. Is h- limited in the amount of (wark - housework) he can do because of his heoIth?----- -------------------------------------------------------------------------- . . ---- —-- —_________ E_____d. 2 Y (28)

● . Is he limited in the kind ar amount of ather activities because of his health? ●. 3 Y [28) N (27)

5. In terms of health would -- be able to go to schaal? 2s. Y 1 N (28)

60. Does (would) -- havo to go to a certain typo of school because of hi. health? 260. 2 Y (28)-------- ----------------------------------------------------------------------- . —--- ------- —___________

N

b. Is he (would hc be) limited in school attendance because of his health? b. 2 Y (28)-------- ----------------------------------------------------------------------- . . ---- ___________________

N

c. Is ha limited in the kind or amaunt of other activities because of his health? c. a Y (28) N

7a. Is -- limited in ANY WAY becorrse of a disability or health? we. 4Y------------------------------------------------------------------------------- . . ---- --- _ ----- —_________

s N (NP)

b. In what way is he limited? Record limitation, not condition. b.

{

bmt limited in --Ea. About how long has he bten unable to --

}

000 ❑ Less than I month280.

had to go to a certoin type of schoal?------------------------------------------------------------------------------- ..- - -- _’_z_K??____2_:X:

b. What (other) condition causes this Iimitotion? b. Enter condition in item C

If “old age” only, ask Is this limitation caused by any specific condition?

Ask 28a

● u Old age only (NP)----- ______________________________________________________________ ______ __ ___________________

C. Is this Iimitotion caused by any other condition?Y (Reask N

28b and c)______________________________ L ________________________________________________ .,_ ___ ______ _-

C.

Mark box ar ask:❑ Only I condition

d. Which of these conditions wouid you soy is the MAIN CIIUSC of his limitation? d. Enter main cc.ndi tion

“

59

9a. Was -- a patient in a hospital at any time sinca (date) a y.ar ago?H

290. Y N (If am C)---------------- --------------------------- --------- --------------------------- -- ----------------- ._

b. How many times was -- in a hospitol since (date) 0 y-or ago? b. . Ttmes (Item C)

h. Was anyone in tho family in o nursing home, convalescent ham., or

similar placo since (date) a yaar ago? Y N (31)

b. Who was this? - Circle “Y” in person’s column. 3ob. Y--,7----------- -------------------------------------- --------------------------- ---If Y,” ask:

-------------------

C. During that pariod, how many times was -- in a nurzing horn. or similor plocc? e. _ Times (Item C)

Ask for each child I Year old or under if date of birth is on or after reference date.

la. Wos -- born in a’hospitol?

If “Yes,”

31o.

and no hospitalizations entered in his and/or mother’s column, enter “I” in 29b and item C.

If ‘“Yes,” and a hospitalization is entered for the mother and/or baby, ask 31 b for each.

Y N (NP)

--- r------- ~---- ----------------------------------------------------------------- ---- ------------------ --b. Is this hospltallzotion mcludad in the numbar you gave mc for --? b.

If ““No,” correct entries in 29 and item C for mother and/or baby. Y N

00TNOTES

.

60

●

✎

32a. DURING THE PAST 12 MONTHS, did anyone in the A. Gallstones? 1. Any diwaw af the pancreas?btily (YOU, YOU? --, etC.) have - ----------------------- --- ------------------------ --

B. Any othor gallbladder tro.bie?if ‘“Yes,”

J. Ulcer?ask 32b and c. ------------------------ ----- ----- ——---- —- —---------- .-.

C. Cirrhosis of the Iivor? K. Homia or ruptura?

1b. Who was this? Enter name af conditian and letter of line ------------------------- ---- ------------------------ ---

where reparted in appropriate person’s coiumn in item C. D. Fotty liver? L. A disease of the esophagus?------------------------ ---- ------------------------ .-.

c. During *ho past 12 months, did anyamo ●iso have . . .? E. Hwotitis? M. Gastritis?------------------------- --- ------------------------ ---

Conditions affecting the digestive system. F. Ydlow iaundica? N. FREQUENT indigwtion?------------------------ -, --- ------------------------ - -.

Make no entry in item C for coid, flu, or @ppa even G. Any othar Ihr trouble?if reported in questian 32.

0. Any othor stomach trouble?------------------------ --- ---------------------- --, . -.

H. Diabetw? P. Enteritis?

32e. Dow anyona in the fanri IY (YOU, ywr --, ●tc.) NOW havo -If “Yes,” ●sk 32b and c. A. Pwmonent stiffnws or any dofarmity of tho foot, lag, fingcm, arm or back?

b. Who is this? Enter name af conditian and letter af line(Permanent stifhress - joints wi II not mave atall)

where reported in appropriate person’s calumn in item C. ----------------------------------------------------- --

c. Does anyana ●1s. hava . . .? B. Pamlysis of any kind?

~2d. DURING THE PAST 12 MONTHS, did anyone in ths famiiyC. Arthritis 4 any kind

4

2orRhwmetism? 1. Trick knee?

(you, your --, ●te.) hove - If “Yes,” ●sk 32e ●nd f. ------------------------ - ---- ------------- ~ __________ - --

D. Gout? J. A slipped or ruptured disc?●. Who was this? Enter name of canaliti an and letter of i ine ------------------------ --- ------------------------ -, -_

whare raported in appropriate person’s calumn in item C. E. Lumbago? K. Curvature of the spirm?- --, --------------------- . ---- ________________________ . -.

f. During tho post 12 months, did anyana ●isa have. . .? F. Ostaamyolitis? L. REPEATED traublo with(os-taa-sh-my.uh. iita.isa) neak, back, or spine?

Conditions C-N ●nd V era conditions ●ffactin; tha bone- ------------------ ------ --- ------------------------ . --

●nd muscle. G. A ban. cyst ar ban. spur?M. Bursitis or Synovitis?

(sin. uh.vitedss)----------------------- - ---- ------------------------ .- --

H. Any othar dlsaasa of rho N. Any diseesa af tfta musclesbane w cartilage? or tendons?

A. Goiter or othar32a. DURlt& THE PAST 12 MONTHS, did anyana in the

famliy (you, yaur --, eta.) havo -thyroid traubia?

----------------------- ., --

: 1GlandularB. Diabetes?

If “Yes,” ●sk 32b and c.disafders----------------------- . .--

3 b. Whe was this? Enternama of condit,on and lattarof iineC. Cystic fibrosis?

- --------- -------------- . --wham repwted in ●ppropriate person’s column in itam C. D. Anemie? Blood disorder

- --------------- --------. ,--c, During tho pest 12 manthsr did enyeno 61h hsiva , . .? E. Epilepsy?

----------------------- . --

~ }

Candltians affecting

F. Multiplo sclomsls?the narvous system

- ------- ------------------ --

G. Mi~roine?

.

,.

61

.

32a. DURING THE PAST 12 M@fTHS, did anyorwW. Cancer of the stomach,

Q. Diverticulitis?in tho family have -

colon or rectum?------------------------ --- ------------------------- ---

If ‘“Yes,’” ask 32b and c. R. Colitis? X. During the past 12 months,

7b. Who was this? Enter in item C.

--- — ------------------- . --- did anyeno in tha familyhavo any athar conditian of

c. During th. post 12 months, did onymro S. Spastic colon?the digostivo syst~m?

●lse hove . . . ? ------------------------- --- If “Yes, ” ask: Whowasthis? - What was tho

“Conditirsnaaffactin; the digestive system. T. FREQUENT eanstipation?condition? (Enter in Item C)

------------------------ . ----

Make no entry in item C for cold, flu, or grippe evenif raported in question 32. U. Any otfmr bowel troublo?

I------ ---------------- --- ---

V. Any ether ;ntestinol trouble?

32d. DURING THE PAST 12 MONTHS, did anyono O. A tumor, cyst or grawth U. Dwmatitis or any athorin tho fmmily halve - of tfw skin? skin trouble?

----------------- _.------- --- ----------- ------------- . ----

If “Yes,” ask 32e and f.

‘“ ‘Czema ar fc%:;:%sis)

V. TROUBLE with fallen swchos,flatfeot s+ clubfaat?

. . Who was this? Enter in item C.------------------------- --- ----------------- ------- . ----

f. During the past 12 months, did onyone ●lsehave ...?

2Q. TROUBLE with dry or W. TROUBLE with ingrawn toonails

itching skin? or fingomails?

Conditiona O-U ●nd W-Z sre conditions ---------------- -------- --- ---------------- --------- ----

●ffecting the ski n. X. TROUBLE with bunions, corns,R. TROUBLE with acne? or calluses?

------------------------- --- ----------- --------- ----- ----

S. A sbfn ulcer? Y. A diseoao of tho heir or scalp?------------------------ . ---- ------------------------ ----

Z. Any disoaso of tho lymph orT. Any kind af skin aller~y? sweet glands?

32e. DURING THE PAST 12 MONTHS, did anyano H. Nauralgia or neuritis? Conditions affecting the

In tho fomi Iy havo -------------------------- ---L Sciatica?

nervous system

If ‘“Yeso” ●sk 32b and c.------------------------- ---J. Naphritis?

%

b. Whe was this? Enter’ in item C.----------------------- -- ---

3K. Kldnay stenos?

------------------------- ---c. During tho peet 12 months, dld anyocm L. Any other kidney troublo?

dSO hsvo . . . ? ----------------------- -- --

M. Nodder troublo? Genito-urinary------------- -------- ---- --- bN. Prostate trouble?

conditions

-------- ----------------- --

0. Dieeose of tho uterus or ovary?------------------------ - ---P. Any ether femolo trouble?

.

.

.

62

*

.

H. A detached retina or any other conditien32a. DO*S anyone in the family (YOU, A. Daafnoss in one or both ears?

--, ●te.) NOW hove -of the retina?

your ------------------------------- --- ------------------------------- ---

If “Yes,”B. Any other troublo hearing with one or L Any other trouble saeirrg with ane w bath

ask 32b and c. both cars ? -ayes ●vori whwr wearing glasses?--------- —- —---------- —-------- ---

b. Who is this? - Enter name af condition

4----------------- -----------------

C. Tinnitus or ringing in the ●ars?and letter of line where reported in J. A cleft palate or harelip?

appropriate person’s column in item C. ‘ ----------------------------- ‘- ------------------------------” “--D. Blindness in one ar both ●yes? K. Stommeting or stuttering?

c. Does anyane ●lso have . . .? ------------------------------ --- --------- —---------------------- .---

{} :

E. Cataracts?hearing

L Any ether speech defeat?

A-L are conditions affecting vision------------------------------ ---, ------------------------------- .---

speech M. $rrnn$ing finger, bend, ar arm, tea, foot,F. Glaucoma?------------------------------ ---, ------------------------------- ---

G. Calor blindness? N. A missing (breast), kidney or lung?

32a. Has onyona in the family (you, A. Rhaumotie fever? G. Strake or a cerabravesculor accident?yaut --, etc.) EVER had - -----, ------------------------- --- ------------------------------- .---

If “Yes, ” B. Rheumatic heart diseoso?ask 32b and c. H. Hemorrhage af the broin?------------------------------- ---, ------------------------------- ---

5b. Whe was this? - Enter name of condi- C. Hardonin af the arteries er

tion and letter of line where reported in ?arteriasc ●rasis? L Angina paataris?appropriate person’s calumn in item C. ------------------------------- --- ------------------------------- ---

c. Has anyone ●lse ●ver had. . .? 0. Congenital haart disease? J. Myoaardiol irrfarctiwr?------------------------------ --- -------------------------’- 4 ----- ---

Conditions affecting the heartand circulatory system, E. Caranary heart disease? K. Any ather heart attuck?

------------------------------ ---

F. High blaod pressure?

32a. OURING THE PAST 12 MONTHS, did A. Bronchitis? F. Sinus trouble?anyane hr the family (yau, yaur --, -------------------------------- -- ----------------------------- --- ---

●tc.) hove - B. Bronchiectasis? (brarrg ke.ek toh-sis) G. Deflected w deviated nasal septum?------------------------------- -- ------------------------------- ---

If “Yes,” ask 32b and c. C. Asthma?H. ●T~sillitis ar anla ●memt d the

7tansils or adenaids------------------------------- --b. Wha was this? - Enter name of condition D: HoY fever?

and letter of line where reported ine

●ppropriate person’s calumn in item C.------------------------------ -- ------------------------------- ---

E. Nasal palyp? L *Laryngitis?

6 *lf reparted in question 32 only, ask:

c. During the peat 12 months did onyone 1. HOWmony times did -- kve , . . in t~ ~st 12 ~nth5? - If 2+ enter in item C.●lso have . . .?

Conditions affecting theif only I time, ask:

respiratory system. 2. How Iang did it last? - If I month or Iangar, enter in item C.If leas than I month, do not retard.

If tonsils or adenoids removed during the past 12 months, enter condition causing remaval in item C.

Make na entry in item C far cold; flu; red, sare, ar strep throa~ or ‘“virus” reportedin answer to question 32.

63

-.

4

5

6

32e. Does OIIYOMS in the family NOW harm -

I

O. Palsy w cwobml pelsy?

If “Yes, ” esk 32b and c.1

------------------------ ------ -.

b, Who Is this? Entar in item C. LP. Paralysis of any kind?!------------------------------ -.

c. Does OflyOl1081s0havo . . . ?

1

Q. Curvature of tlm spin.?

Conditions O-W am impairments. I------------------------ ------ -.

Conditions.Y ●td Z affect the

1

R. REPEATEO trewblc with Imck or spins?newaus system.

1

------------------------------ --

S. $a~~R:UBLE with felltn arch-s or

. ------------------------------ --

IT.A .Iubfaet? I

~32s. DURING TN E PAST 12MoNTHS, did

H

L. Oomaged heort VOiVOS?

anyana In tfm fomi Iy (you, yeur --, ------------- ------ ----------- --

StO.) hsvo - M. Tachycardia w rapid hasrt?

If ‘“Yes,” ask 32b snd c.------------------------------ --

N. Heort murmur?b. Who was this? Enter in itam C. ------------------------------ --

0. Any other heart trouble?c. During the pest 12 months did enyone -------- ---- __

●lse have . . .?P. Anwrysm?

Conditions affecting the hesrt ------------------------------ --●nd circulatory system.

Q. Any blood clots?

330. DURING THE PAST 12 mTHS, did●nyeno in tfm family heve -

If “Yes,”’ ask 32b ●nd G

b. Who was this? Enter In item C.

c. Dwi~ the pest 12 months, did anyems●lss have . . . ?

Make no entry in item C for cold; flu;red, swe, or strep throst; or “virus”reported in ●tswer to question 32.

Conditions ●ffecting therespiratory system.

1J. ~wnar, c st, w Srawth of tho

ibmrechia tubo w lung?-------- ------- ---------------

IK. Emphyseme?------------------------------

IL. Pkwisy?---------------- -------------.

IM.TUbSfSUtOSiS?------------------------------N. Absecss af the lung?

--

--

--

U. PERMANENT stiffnass w any dcfwmityof tha beck, foot, or lag? (Permmrentstiffness - joints will not move ●t●ll)

------------------------------V. PERMANENT stiffnass or any deformity

of tho fingam, hand, w arm?---------------- --------------

W. Mental rotwdation?------------------------------

X. Any condition caused by an old accidorrtor i+rry? If “Yes,’” ask: What IS tha

.__Cea*li9aL --------------------

Y. Epilepsy?--------------------- ---------

Z. REPEATEO convulsions, soizums, wblackouts?

--,

--,

--,

---

--,

R. Gangrene?

I---------------- -------------- ---

S. VaricOsO vains?______________________________

T. Hcmwrhoids w piles?------------------------------

---

--,

U. Phlebitis or thrembophlebitis?

J------------------------- ----- ---

V. Any ethw condition affactingbleed e irculation? I

O.Tumor, cyst, or grewth of thethroat, larynx, w tmchsa?

I

------------------------------ ---

P. Any wark.mlated mspimtwy condltlwtsuch as dust on tfra lungs,silicosis or pnw.me.se.ni.o. sis?

------------------------------

Q. During tfm post 12 months did anyorm in*. fomily Itevo arty ethsr ms imtery,

{!?%::~:$~%%::t’%s ? - Wheiwas th~ condition? (Enter in item C)

,---

.

.

64

“

“

13. Comparod to oth.r parsons --’s ago, wauld you say that his health is exc.llwst, goad, fair, e? poor? 33. 1E2G3F4P

Mark box(es) from item C.1 ❑ t + Bad D~yS

BD ~~ 2 ❑ !+ HosPicsl Stays

3 ❑ No S-d D~yS

14. During rho post 12 months (that IC sineo (date) o year ago), ABOUT haw nwny days did 3~ o ❑ None

lllrms er in@y koop -- In bod 011 ar most of tho cloy? 1 ❑ I-7

(lnclud~ th- ~ys in the post 2 w**ks.) (Include *ho cloys while a @ont in a hespitol.) z I-J S-30(Was It mar. than 7 days ar loss then 7 cloys?)

(Wes It mere then 30 days or Icss than SO days?)3a31-l SO(l-6manths)

(Was It mare then helf tho year ar Iaas than half the yaar?)4 ❑ 181+ (6 manths +)

Far persans 17 years or over, show who responded for (or wes present during the

RI❑ Raspanded far s.lf.entirely

●sking af) Questions 4-34. R ,~R.s,andsd for salfQMYIf persons reeponded for self, show whether entirely or psrtly, For persons under

Q’s 4-34 l? show who responded faf them,Pcrson_was raspondmt

‘OOTNOTES

.

.

65

.

CONDITION 1

1. Pcrssn number Name of condition

I

Z Whendid -- last SC* or tai k te a doctor abeut his . . .?I ❑ In interview t ❑ Pasr 2 wks. (I!em C) so 2-4 yrSo

week ZQ 2 wks.-6 mos. CO 5+ yrs.(Reosk 2)

sn Over 6-12 mos. 70 Never

40 I yr. SD DK if Dr. seenon Dl( when Dr. seen—

Examine “Nama of condition” enwy and msrk

~, ❑ Color blindness (NC) ❑ On Card C (A2)ig Accident or injury (A2) ❑ Neither (30)

If “’Doctor not talked to,” wsnscribe entry from item 1.If “Doctor talked to;’ ●sk

30, What dld the doctor say it was? - Did ho give It a madicsl nsmo?

------- -------- -------------- ------- -------- -----Do not ssk for Cancer u On Card C (A2)

b. What was the cauea of . . .?❑ Accident or injury (AZ)

------- --------- ------- --------------------- -----If the entry in 3a or 3b includes the words:

Allmsnt Condition Dlsofdor RuptureAtmmio cy9t Gr.viih TroubleAsthma Dsf_et Mess la Tumor

}

Ask C:Atmck DISCOS* Problom ulcer

c. What kind of . , . is it?

---------------------- ----------------------- ----For aller:y or stroke, ask:

d. How doos fho allergy (stroke) affect him?

---------------------------- ---------------------If in 3a-d there is an impairment or any of the following entries:

Abse,ss Dwlm,o ParalysisAche (oxcopthesd ●r ed @mwth RuptvmBlccdine HsmenfIoso Swo(ness)Blood clot fnfectlon Stlff(mas)E8if Inflmmatisn Tumor

I

Ask eCencw Neumisla UlcerCrempo(*XC*? Neurltls Varlcss. wins

menstnml) ●al” Wcak(twsa )cy** Pal Sy

●. What port of the body is effected?Specify

Show dre following detait:Haad . . . . . . . . . . . ...0... . . . . . . . . . . . . . . . . . . . skull, iCOlp, faceEaek/splna/vor*bmo . . . . . . . . . . . . . . . . . . . . . . . ..up~.. mlddla, lews,Sod a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..ICfr w,lgh,Ear . . . . . . . . . . . . . . . . . . . . . . . . . . . ..lnnsr erourgr. l.ft. rl~t. or borh

Eye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..l. f...lght.o. ~~~~Arm . . . . . . . . . . . . shouldor,uppsr,●lbew, lower or wrist; f.ft, rleht, or bothHand . . . . . . , . . . . . . . . . . . . cntlrs handor flnewa e+; Iaft, right, or bothLag . . . . . . . . . . . . . . . . hip, Upwr, Imco, tOWOF, o? ankle; tdt, right, w ka?hFoti. . . . . . . . . . . . . . . . . . cntim feet, arch, or toss only; Idr, right, or barb

Except for eyes, ears, or Internal organs, ask if thara ara any ofthe following entrias in 3a-d:

ldectis4 Sor@ SSssrwas

f. What rt of the (part of body In 3e) is offoeted by tha (hrfectforr/Tsese eeroncss) - the skin, muscle, bena, or semo ath.r pert? SPOClfY~

------- ------- ------- ------- ------- ------- ------.Ask If there are any of “tha following enules in 3a-d:

Tumor Cyst Growth

g. Ie this (tumer/cyet/growth) mellgnent or benign?

I ❑ ~il~nant 2 I_J Banien eaDK

— —~. During the pest 2 waake, did his . . . ceusa hire

te cut down en tho thin~s ho ueuelly doss? tY z N (9)

5. Durin thet period, how many daye did ho cut1down or ee much ae e dey?

L C&ring that 2.week pariod, how nreny do s did. . . 1keep him in bod all or most of t ● day?

_ Days00❑ None (9)

_ Days00CI None

Ask if 17+ years:

7. How meny deye did his . . . koop him from work_Days (9)

during thet 2.wcok period? (For femsles): notcounting work around tho houec? 00❑ None (9)

Ask if 6-16 years:L How many daye did his . . . ktop him from _ Days

schael during thet 2.wo*k poried? oe❑ None

?. When dd -- firet notico hie . . .?I ❑ Last week 4D 2 weeks-3 months2❑ Week before ~Cl Over 3-12 months

so Past 2 weeks-DK which e ❑ More than 12 months ago

(Woe it during tho poet 12 months or befer~ thet time?)(Wee it during the poet 3 nrontheor bsforo thet time?)(Woe it durinq the peet 2 weeks or before thet time?)

I ❑ Not en oye cond. (AA) s a First eye cond. (6+ yrs.)

A3 2 ❑ First ●yo cond. (lo)

(under 6) (AA) 4 ~ Not first aye cond. (AA)

O. Cmt -.. see wall ●nough to read ordinery news~per print

()

WITH GLASSES with hia Iefi ●ye?. .ot Y 2N

right ●yO?. ..!Y ZtfL J

FOOTNOTES

,..

.

.

66

.

.

t

f ❑ Missing extremity (144)

4A~A4 ❑ kcident.r injury ❑ Other (NC)

s ❑ Condition in C2 has ● letter w source, Doctor seen (11) 170. Did the accident happwt during tho pest 2 years ar beferc that time?

4 ❑ Condition in C2 has ● Ictter ●s source, Doctor not seen (IS) ❑ During the past 2 years ❑ Before 2 years (180)----- -------------------- ------ ------ ----- ----- ---

la, Deas -- NOW teke any rnadicino w treetmmtt !Y b. When did tha accident heppen?

for hie . . .? 2 N (f2) ❑ Last week-------- -------- --------- .------- -------- -------- Q Over 3-12 manths

b. Wee any af this m-dlclno or troatmsnt rocommondad I Y❑ Week befare m I -2 years

by ● doater? 2N ❑ 2 waake-3 months

2. Has ha war hed surgery fer this cenditlan? lY I&. At tha ttma af tha accidant what part af tho bady wae hurt?

2N Whet kind of iniury was it? Anythin~ ●lw?

3. Wae he ●var hwpitslis.d far this canditian?

4, Durln~ tha past 12 manthe, abwt haw nreny timae has-- e-n ~ ~lked to a doeter about hle , . .?

(Do not awnt vleits whilo a patiwtt in a hospital.)::=,: ~

If accident happened more than 3 months ●go, ask:

56. About haw merry deys durin~ tha peat 12 months hestfsla aonditien kapt him in bed all ar most af tha dey? _

b. What pert af tho body is affactad naw?Daye Haw is his -- affoctad? Is ha affactsd in any ethar way?

ooa ❑ None Part(s) of body-------- -------- -------- -------- --------- --------- Present effecrs

Ask if 17+ yaare:

b. Abwt hew many de s during tha pest 12 nsenthe hoe _\

Daystftie condition kept im from work?

------------------- ------------------------------------

Far femaies; Not counting work araund tho hausa? oao a Nane

6a. How often does his . . . bather him - ail af the time, often, 19. Whare did the accidorrt happan?anaa in o while, w never? I ❑ At home (inside house)

I 0 All the time 2 i_J Often s ❑ Once in a while , z •l At home (adjacent premises)

a ❑ Naver (16c) o ❑ Other - Specifys ❑ Street and hi;hwoy (includes roadway and public sidewalk)● ❑ Farm

--------------------------------------- -----------b. Whan it deea bother him, is ho bethored a great daai, some, or very Iitflo?

s n industrial piace (includes premises)

I ❑ Graat deal 2 ❑ Some s ❑ Very iittle13❑ Schooi (inciudes premises)~ ❑ place of recreation and sports, except at school

4 a Other - Specify a ❑ Other - Specifyi

------------------------------ --------------------

❑ Ail the time in 16a OR condition list 4 asked (A4)20. Was -- .at work at his iab ar business whan the accident happened?

c. Deaa -- still havo thi e canditien? lY 3 ❑ While in Armed Services

I Y (A4) N ZN----------- ----------- --------------------------- .

4 ❑ Under 17 at time of accident

d. Is this cetrdition completoiy cured ar ie it undw centroi? 21s. Was o car, truck. bus, or othor motor vdriclo

2 ❑ Cured s ❑ Under control (A4) invalvad in tho accidant in any way? lY z N (NC)-------------------------------------------------

4 ❑ Other - Spacify (A4)b. Was more than one vohielo invoivod?----------- ------------------------ ------------- Y N

●. About hew long did -- hava this csditian befeta it wae cured?--------------------------------------------------

o ❑ Lass than ona month — Months — Yeors c. Was it (either one) moving at tha tima? lY 2N I

“

.

67

..

7. WFFKC nnmm Vlwr< PACF 1, I P-,,-. mu-b.- ------- --”, -.. ..”. .- , -“- . . . .. --,. . . . . . . . . .

Eorlier, you teld mc that -- had soon or telkcd te a doctor durirq tlw past 2 weeks. 2*

{

77770 Las! wokOR

!o. On what (other) dates durins thet 2.week period did -- visit or talk to o dotter?tats ❑ Wwk bcfom

i’mii --oiY-------- ----------------------- ------- -------- --------- ----, .- .------- --- ------------------------------- -

b. Wore thera any othor doctor visits for him during that pwiod?Y (Reuk 2a 4rld b) N (Ask 3-U Iar

b. each v181t)

L Wlwro did hc sco tho doctor on ths (date,,h eta 3. 0 Q Whjla lnoa;lsnc in hospital fN@xt W)

clinic, hospitei, doctor’s offlco, or somo et ●r place? 1❑ Ooctor’s Offico (grow Pracclcc ordoctw’s clinlc)

if Hospital: Was it tht outpatient clinicor tho ●msr~ncy room?

2 ❑ T@lcphona3 m HosPitd Oucpatiw Clinic

If Clinic Was it o hospitcl outpetlont 4 ❑ Homa

clinic, a company clinic, or SOMQothor s ❑ HosPiIal Emar:awy Room

kind of clinic? 6 ❑ Company or Industry Clinic

7 ❑ Othar (Stmcllyj ~

1. Was the doctor a gen~ral practitioner or a spocldist? 4. ot 0 *Q?*I Pfactitioncr ❑ SPuiali4t -

What kind d spcrlalist IS ha?7

i. Durin9 this visit (call) did ..- actwllY SC. (talk to) the doctor? 5. lY 2N

io. Why did ha visit (call) tho doctor on (date) ? 6*.

Write in reasonI I_J Dlss. or treatmanc @c)

Mark appropriate box(es) a ❑ Oenaral chackufa(6b)

20 Pre w Postrmttl cam

40 EY@ ●xam. (clmsscd

}

(yv~t5 n Irmnunizmion

6 ❑ Othw---------------------- ---------------------- --------------------- --- --- ------------------------- -------

b. Was this fer any spacific condition? b. Y (Enter cmcfltlan In 6a N (Next W)●nd Cirmge to “Wag.or lrcatrwrrl’”)--------- -------------- ----------------------- -------- ---------------- --- ------------------------- -------

Mark box or ask O Conditionrepormdin 6a

c. For whet cemdition dld -- visit (call) fho doctor on~? c.

‘OOTNOTES

PI A Condition page is required for the condition in question 6, If there is no Condition page, enter condition in item C ●ndfill a pete for it after completing columns for all required doctor visits.

.

.

.

.

08

HOSPITAL PAGE 1. Person numbar.. ---- . ..—. ..-—Y.u said ~at -- was in tfr. hospital (nursing homo) during the past yaar. Mc+MII 0s [a Yaw

.uSE YOUR CALENDAR

~.n did -- .n~r me hospital (rruming home) (the last tire.)? Make sure the YEAR is cmrect 2. 19_

Name

What is the rtarncand address af this haspital (nursing hama)?Str*ac

3.

City (or county) smm

How many nights was -- in the hospital (nursing home)? 4. Ni#ht#

Campleta S from entrias in 2 and 4: if not cleer, ask tha questions.●, Hew many of fhaso ..- nights WQM during tho past 12 months? s= Nishts

-------- -------- -------- ---------------------------- --------- -------- ---- -------- -------- -------- -------

b. Hew many ●f thas~ -- nights waro durht~ tho pest 2 weeks? b, — Ni:hts------- --------- --------- ------------------------------------------- . ---- --------- ------------ ------ ----

a. Was -- still In tho hospital (nursing homo) last Sunday night far this hospitolisation (stay)? c. Y N

. ~er whet Cenditlon did -- ●nter the haspital (nursing home) - do yeu know #to medical name? 6s ~ Normaldalivary a Narmsl ●tblnh

If madicel name unknown, anter en ●dequate description. Cendltian

Far del Ivery ask:

11 Shaw CAUSE, KIND, and

---------------- ------- ----- ---Causa ❑ On Cerd C ❑ Aec. Or Irrjo

Was this a normal dtllvery? If “NO,”” ask: 1 PART OF 800Y in same

Far nawborn, ask: What was tlm matter? ; detail as required for the ------------ -- .. ------,- ------- -.Kind

Wes tho baby normal at birth?Condition page.I --------- ------ ------------ ----! Psrt of body

I

‘b. Wera eny apamtlons performed on -- during this stay ot tlm hospital (nursing home)? ?a. Y O N (Next HOSP)-------- ------------------------------------------------------------ ---- ---------- -------- ----- ----- ----

b. What was tho neme of the aporotian? h

If nama of opamtion is nat known, dascribe what was done.------- ------- --------- ------- -------- ------------ ------------------ --- ----------- -------- -------- ----Y (oasorlba)~ N

c. Any ●ther epamtiorrs durin~ this stay? G

‘OOTNOTES

P2 [ A Condition page is required if there is an entry of “’I” O; more nights in Sb. If there is no Condition page, entercondition in item C and fill a page for it after completing columns for all required hospitalizations.

. .

..

.

Mark box or ask: ❑ Undar 17 (NP)

------------------------------------------------------------------------------- -- --_-p::- _Jnfp-a-n. Abeut how tell is -- without shoas? la.

b. About hew much deaa -- weigh without shoos? b. _ Pounds

Mark box or aak: ❑ Undar 17 (NP)

n. What IS tho hlghost grado or year -- attsndod In school? 2.. oomNma(3)

Elam: I 2 3 4 S6 78

High: 9 10 II 12

Cella;a:l 2 3 4 5 6+--------------------- -------------- ------- ------- --------------------- --------- ---- ------- -------------

b. Did --fhrlshtho-- grado (y@Et)? b, ,y 2N

------------------- ------------------------------------------------------ ~: lYs. Did -- EVER sarva on actlvo duty In the Armed Forcos af tbe Unitsd Stetos? 2 N (NP) # DK (NP)--------------------

b. who” did -- $or”~?Vlauwm Era (Aua. ‘64-APdl ‘7S) . . . . . , VN

b. I VN s PVN

Circle cwJe in dascandln~ order of prloriw. Thus, ifKe+aan War (Juna “50-Jan. ‘SS). , . . . . . , KW

person aswved In Vlemam and in Korea, circle VN.WorldWwil~Sapt. ‘40-JuIY ’47),,., .,.WIYII 2 KW #os

World War I (April ‘17-Nov. ’18) . . . . . . . W/lPost Vlatnam (May “7s to prasant) . . . . . , PVN

3 Wwll # DK

Othar Sawica(all othcrpdc&) . . . . . ..0S------------------------------------------------------------------------------- -_ -:-y:-_--_-----_---

C. Waa -- EVER an actlva member of ❑ National Guard or military wsarvo unit? c. lY z N (NP) s DK (NP)------------------------------- --------- ----=-------------------------- -------- ---- --------------------

d. was ALf. af --’s activ. @ stwico ralatad ta Natianal Guard or military rescwo training? d, ,y ZN s DK

Hand Card R - Mark box or ask: ❑ Undw17(NP)

rn..Plea~~iv~metha numbar ofthogreupor groupa which describes --’sracial background. 4a. I 2 3 4 s-spelly~

“@rcle all that apply.I - Alauc, Eskimo or American Indian

2- Asian or Pacif Ic Is Iandar

3 - Slack

4 -Whita

S - Anothw aroup not I Is tad - P/ei?se WOONY----------------------------- ----------------------------------- ---------------- ---- --------------------

If multiple entries esk: 1234S - SPSOIIYF

b. Which af thasa groups, thot is, (entries in 4?) weuld yw soy BEST doacriboa --’s racial background? b.

Hand Card O - Mark box or aslc ❑ Undw 17 (NP)

M. Are any of those groups --’s national origin or ❑ncostsy? 50. ,y

(W.r. did --lS anc.sfera cow from?)2 N (NP)

---------------------------------------------- ----------------------- ---------- ---

b. Pleaso givt me tho number of the graup.-------------------

b. ICircle all that apply.

I - PuertoRlcen 4- tixicmra 7- Othsr L8tln American 1234 S678

2- Cuban S- Maxlcan.Amarican 8-OtlrarSpanish

3- Mexican 6- Chicano

.

,

.

.

70

Mark box or ask: u Under 17 04P)

------------------------------------------------------------------------------ s ._’_: -!’! --___:_ !____da. Did -- work at any timo lost wook swthe wook before - not counting work around tho houso?

b. Evan though -- did not work during those 2 wcoks, doos -- have o lob or business? b. ty 2N------------------------------------------------------------------------------ --- -------------------

c. Wos -- looking for work or on Ioyoff from o lob? e, tY 2 N (7)------- ------------------------------------------------- ----------------------- --- .----------.-----.-

d, Which - Iooklng for work or on layoff from a \ob? d. t U LookIn; 3 ~ Bo:h

2 ~ Lsyoff

isk far ●l I 7a, For whom did -- work? Nama of campany, business, organization, or other empioyer 7a. Employar

●rsons with!<ye5,,

16m b, or c. ---------------------------------------------- -----------------------’ “--- “Tn~~,~,~--------------b. What kind of business or Industry Is this? For example, TV and radio manufacturing,

f“Yos” ln6cb.

retsi I shoe store, State Lobor Dept., farmniy, questions● through 7e -------------------------------------------------------------------- . __

pply tO this c. What kind of work wos ..- doing? For example, electrical engineer, stock clerk, typist, farmer c.7sz&@&l

.-- . . -._.

●rson’s LASTill-time civilianlb, --------------------------------------------------------------------d. What were--’ ‘- ‘-Ohms------””” -------s most important activities ordutios? For exampie, types, keeps account books, d.

files, sells csrs, operates printing press, finishes concrete

--------------------------------------------------------------------- --- -------------------Complete from entries in 7a-d: ifnot clear ask

●. Was -- an ●mployoc of PRIVATE company, -- self.amploycd in OWN busirross,brssincss, or indjviduol for wegcs,

●. Class of workerprofessional practica, or farm?

solary, orcommtsston? . . . . . . . . . . . P If not farm, ash lsthebu~inass tCj P 5r_jl

--a FED ERALgov*rnmoat employee?.. . Fincorporated? Yes ...<... I 2CJF 6~sE

--a STATE govcrnmwst omployoo? . . . . . SNo (or farm).. SE

3C]S 7UWP-- working WITHOUT PAY in family

-- a LOCAL govcrnmont ●mployce? . . . . . L business c.r farm? . . . . . . . . . . . WP 4~L 8 ~] NEV

‘. .. . .. . ..’ ... .. . . . .... ,.

8a. l’htro is a national program call-d Madicaid which pays for~eolth carefor parsans in rrcod. (In this State it is also called_.During the past 12 manths, has anyorm in this family raceived

Y

haolth coro which has been ar will ba paid far by Madicaid (ar_)? N (9)

b. Who was this? Mark “Medicaid” box in person’s column. 8b. 1 ❑ Medicaid-. ------h ----- -“

c. Anyone ●1SC?

N

)a. Dees anyorw in tha family now havo a Medicaid (or—) cord which Iaakslik~ this? Shaw Medicaid card.

YN (10)

--------- --------------------------------------------------------------------- -,,b. Who is. this? Mark “Card” box in person’s calumn. 9 b. 1 ~ Card

------------------------------------------------------------------------------ - ,- _____ _______

c. Anyano ●ISC? Y (Re.ask 9b and c)N------------------------------------------------------------------------------ - .+ .+-. -,.,..-,.. - .+--------------- .

If “Card,”’ ask:

d. May I piwsse SC. --’s (and --) card(s)?G Medicaid card .eenF

d. 1 ~! Current

Mark appropriate box(es) in person’s column.2 ~ ! Expired

3 ~ No card seen

E ~ Other card seen7

(Specify)

--

.

71

Hand Card L000A O*DG

10. Which of thos~ income groups represents your total cembinod famiIy income for tho past”12 months -ollg B

10.07a H

that ia, yours, your --’s, ●tc.? Irmludc irmomo frem all SOUM*S such as wagas, salorics, social021-JC 00(-J I

wcwity or rotiramwrt bmmfits, help from rolativos, mnt from proporty, and so ferth. 03DD o,OJ

040E 10 I=JK

OSOF

ha. Which (other) family membora racsived some Incwrm during tho post 12 months? 1la.Mark “Income” box In person’a column.------- ----------------------- ------- ------------------ ------- --------- ------- 0 Income

b. Did any other faml Iy mcmbom reccivo any incomo durins the past 12 months? Y (Reaskllaandb)N

Ifonlyone person wltft’’lncome’’ baxmarked, go to 13. OODA 060G

lf20rmore persons with’’lncame’’ boxmarkad, ask 12 for each. 010’9 070H

12. Wichefthoso lnc*megraupe wpre*nts --'~ incemeforth* past 12months? 12. 021--JC oaal

OSOD o$OJ

0413E IOOK

oaa F

13.. D... anyorm in this family rec.iva aesistanco through the “Aid teFamilies with Dapondent Children” Program, sometim*acall*d

Y. l., ~~~E:g:-o::-A-D-c:z ----------------------------- ----------------------------------N (14)

b. Which (othor) family m.mbors or. Included in the AFDC assi stanco paymant?

--- ------- -~---.- q---<13b.

Mark “AFDC” box in person’s coiumn.1 I_J AFDC

-------------------------- ---------- -------------------------- ---------------- ---

c. Am any other fomiIy marnbomincluded in this program? Y (Reask 13b and c).“.. -..... -—— —— . .

N

140. Dees anyane in tfm family receiv? the “Supplemental Security Income”or “SS1” geld-colered check?

Y

N (15) t--------------------------- --------------------------------------------------- --- k---------- . . . . . . . . .

b. % rOCCiVaS thie chock? Mark “SS1’Obox in Persan’s column. 14b.

1 I-J Ssl

-------------------- ---------------------------- ------------------------ ------ --- . . . . . ..”.. ”-”.. ”” .. ”----------,

c. Anyone ●l se? Y (Re~sk 14b and c)

N* t

15a. Doos onywm in tho family roceivo any (otbor) incom* from Secial %curity? Y

N (CH)

----------------------- ---------------- -------------------------- ------------- --- -------- ---..——.b. Who is this? Mark ““Social Security” box in person’s column. lsb,

1 (_J Social Swuricy

------------- ----------------------- -------------------------- ---------------- --- ----- ..-----”.----__--

C. Anyone ●lse? Y (Reosk 15b and c)

N

CH Mark box. CH~ No child .ndar 18 In

fzml ly (HH page,!

❑ Other (Ch//d /fea/fhSupplement)

.

.

72

*r ,

EIf this questionnaire is for anEXTRA unit, ●nter Control Number

If in AREA SEGMENT. LISTING SHEETalso enter for FIRST unit ShWt number

of original sample unit .—+ listed cm property ~

TABLE X - LIVING WARTERS DETERMINATIONS AT LISTED ADDRESS

LOCATION OF UNIT ● If Iistcd. mt- lf outside Area Segment Ac. tkso USE OR CHARACTERISTICS CLASSIFICATION

WhamU* tkcsa quormcx Ioeatad? sha and Iinc. baundwy. merk bOX below, (Specifj location)

Enter exact description or location, e.g., basement;numb STOP STOP md -14. ft. md

quarrors for -ErO OCCUPIED ALL QUARTERS

2nd floor, rearth,ll ma roup

N - Not a SCPCIC1OHit -

c*ntinu* intro. ● Go to next line of Table X, JAfter entering description or location: if additional quarters of pooplo Oo thssa quortam in Add OCCWMIS to

.isw for De *. occupants

● in Area Secnwmt. so to (3)determined.

(Speclfj facotionl hewe: *is questiomtoir.,

me originol sampla of *as. (Specify

40. ● In other type of !%cmats, unit. OR If “’Yes,” fill(COmplele 0 s arate

one line for focation) q“arrwrs Direct acc.ss %

- If Iiwin; qu~ters ●re not within the same

Complote kitchen questic.nndre

● If unlistad, ● @ to Hcusehold pa$e. each group. liV- and ●at withspecific sample ●ddress (-d zt,ucture. if - And Asmm

f,om tlw Ou*si& facilili.s for MSeach unrelated pe,son

Permit %Sment) - STOP TABLE Xmat 9. or Probe page.

or family grwp.J

29 ●ml, soally Othwr group

r

question 1 (as applicable).or through o unit o+? ._. _ —______________

- Otherwise. go to (3)of people?

b 4). * commonhall? S.pmtot* unit-- And author

rvps of *}

W in**,. i*_ .n ~

-nt, so * (501 s*parOt* qvesliulnmim,

1) (2) (3) (4) (5) (6) (7) (8) (9)

Yes - Go to (9) NoI S_ L— ❑ Outside segment boundary Yea No and circle N Yes No Yes No N HU OT

Yes - Go to (9) Noz S— L— ❑ Outside segment boundary Yes No and circle N Yes No Yes No N Hi) oT

Yes - Go to (9) No) S— L— ❑ Outaide segment baundary Yes No and circle N Yes No Yes No N HU OT

NOTE: Be sure to continue interview for original sample unit.

FOOTNOTES

O.M.B. No. WRISW Approval Expires March 31, WE

pMwHIS-l(CH) (1661) NOTICE: information contained on this form which would permit identifiition ofany indwidual or establishment has bean collected with a guarantee that it will beheldin strict confidence, will be usad only for purposes statad for this study, and will not

U.S. DEPARTMENTOFCOMMERCE be disclosed or released to others without the consent of the individual or theBUREAU OF THE CENSUS

ACTING AS COLLECTING AGENT FOR THEestablishment in accordance with section W(d) of the Public Health Service Act (42USC 242m).

U.S. PUBLICHEALTHSERVICE

1. 2. R.O. Number 3. Sample

1981 CHILD HEALTH SUPPLEMENT Book —of—books

NATIONAL HEALTH INTERVIEW SURVEY4. ~:~trol number

ISagmant 1Sarial

/I

I I5. Interviewer’s 6. Sample child ; Age J Person

code First name i numberI Yrs. ~l—

I _ Mos. I

~.Final status of interview

I •l Supplement completed

2Cl Refused . . . . . . . . . . . . . . . . . . . . . . . . .

3 ❑ Eligible respondent not available . . . .

4 D No eligible respondent in HH . . . . . . .

}

Explain in footnotes

D Other noninterview reason . . . . . . . . .

COMPLETE REMAINING ITEMS ON HH PAGE OF HIS-1.

➤BEGIN CALLBACK INTERVIEW WITH CHECK ITEM 61 ON PAGE4.

‘OOTNOTES

!

.

.

.

74

.

“!

.

. . . . .. . . . . . . . . . . . . . -------

The next questions will be used to study the heelth of the Nation’s children.

/frnore than one chi/d in farni/y read: The only child 1will ask the rest of my questions about is ---

(These questions will go much more quickly if we can do them alone.)Arrange to conduct supplement in private if possible.

Ask or verify for each HH member. ~Pe~H;:yLwRelationshipto sample child

1. How is (Name on H/S-1) related to - -?II

/fparentask: is (Name of Parent) -- biological ~1

(natural). adoptive, step, or foster parent? II

2If brotherlsisterask: Is (Name of sibling) -- Ifull, helf, step, adoptive, or foster I 3(brother/sister)? I

I

Enter “sample child” on appropriate line. I 4I

Enter “unrelated” for persons not related to the II 5

sample child. 1I 6III 7-1II

8

II 9III 10

I I ❑ Biolog’ al mother in HH and available (Section B,I paged?I 2 ❑ Sample child6t yearsold AND biological father

CHECKI in HH and available (Section B, page 4)

ITEM Al pMark first appropriate box. I 3 ❑ Biologicalmother not in HH, only one adult relative

I in HH (Section B, page 4)I 4 •l Biological mother in HH not available (2)I 5 •l Biologicalmother not in HH, 2+I adult relatives in HH (2)I

2. (Besides (Biological mother)) which family Imember knows the moat about the health-related ~mattars of - -? I Personnumber(s)

I1. 2 a Biologicalmother in HH not available (arrange

callbackand complete remaining items onI

CHECKI HIS-1, HH page)

ITEM A2 ➤ Mark firstappropriatebox, I 3 ❑ Biological father or person in 2 availableI (Section B, page 4)I 4 ❑ Biological father or person in 2 not availableII (arrangecallback and completa remainingI items on HIS-1, HH page)

)OTNOTES

75

Section B. CHILD CARE1

I •l Same respondent as HIS-1/ J

CHECK Mark box and enterperson numberPerson number (92)

ITEM B1 ➤ of respondent. !2 Cl New respondent v

IP;son number (INTRO)

INTRO - I will be asking questionsabout --- These questions wili be used to study the heaith of theNation’s chiidran.

(These questions will go much more quickly if we can do them alone.)Arrange to conduct supplement in private if possible.

CHECKITE ~ *2> Refer to age of sample child.

I

I I O Under 15 years old (B3)

I 2 ❑ 15+ years old (3)

CHECK : I ❑ Only 1 related HH member 12+ years old (2)ITEM ~3 ➤ Refer to liH composition on HIS-1.

2 ❑ 2 + related HH members 12+ years old /1),tI. Which family member, that is, (Re/ated HH

members 12+), spends the most time taking I

cara of - -? I Person numberI

●. Not counting OCCASIONAL sitters, who (else)takes caie of -- ? Include day care centers, /

I ❑ Related HH member(s)

nurseries, sittars, or anyone alse who takes carei

IS❑ Child cares for selfof ---

----- ----- ----- ----- - ------ --1 2 ❑ Unrelated HH member(s) Indicate

Donor include regular school. zI

I

I

I }

each personIf non HH member, ask: is this person related Person number(s) . or place on 4

or unrelated to -- ? separate lint3 IJ Related non HH member(s) . . . . . . . in column 440 Unrelated non HH member(s) . . . . . of the Child

Care Table,slJDay Care/Nursery . . . . . . . . . . . . . . . then ask 2b.

b. Again, not counting OCCASIONAL sitters, doas I

●nyono else take care of -- either in this home /or somo othor place? Y (Reask 2a and b) N

Iz

Who usuaily takes -- to the doctor for II_J HH member

checkups or other nonemergancy visits? IA7

IPerson number

/ 31 ❑ Non HH member - Specifyb?

III

33 •l Chiid takes selfI1

I 44❑ Never went to doctor. I

OOTNOTES

.

.

76

.

.

.

Section B. CHILD CARE – Continued

CHILD CARE TABLEAsk questions 5 through 7 for first caretaker before proceeding to next caretaker

1. CARETAKER 5. Does (Caretaker in 4) 6. Is this (other place) in 7. On the averaga, abouttake care of -- in someone’s home or how many hours perthis home or some some other place? week does (Caretakerin 4)

. other place? take care of – – (in thishome/outside this home)i

I •l Sitter (Unrelated) I ❑ IThis home only (7) I ❑ Someone’s home

z ❑ Sitter (Related) – 8 ❑ Some other place only 8 IJ Some other place –Specify ~ So Both Specify ~

Hours/week inthis home

3 ❑ Day care center(7) Hours/week

4 ❑ Nursery (7) outside this home

1 ❑ Sitter (Unrelated) I OThis home only /7) I IJ Someone’s homez ❑ Sitter (Related) – 8 ❑ SOftW other plaCe only

Specify ~a ❑ Some other place –

3nBoth Specify ~Hours/week in

this home

3 •l Day care center(7) Hours/week

4 •l Nursery (7) outside this home

I ❑ Sitter (Unrelated) 1❑ This home only (7) I ❑ Someone’s home

2 ❑ Sitter (Related) – e IJ Some other place onlySpecify ~

8 ❑ Some other plaCe –

3Cl130th Specify ~Hours/week in

this home


~ •l Nursery (7) outside this home

I Q Sitter (Unrelated) I ❑ IThishome only (7) 1Q Someone’s home

2 ❑ Sitter (Related) – 8 •l Some other place onlySpecify ~

E❑ Some other place -3 D Both Specify ~

Hours/week mthis home


4 •l Nursery (7) outside this home

77

>>

Section C. RELATIONSHIPS AND RESIDENTIAL MOBILITY

CHECKI I ❑ Biological mother in HH (C2)

ITEM Cl ➤ Refer to question 1,page 3 of CHS. } 8 ❑ Other (1)I

la. Has -- ever lived with –– biological mother [for at least 3 months? I lY 2 N (2) 9DK (2)

b. How long has it been since – - last livedI

with her for at least 3 months? I

1

{

1 Q Days

2 ❑ Weeks

3 ❑ Months/ Number

4 I_J YearsI

I

) Is –- biological mother now living orII 1❑ Living

““ deceased?2 ❑ DeceasedI

1(C2)

I9CIDK . . . . . . .

—1. How often does - – see her? I

I 1❑ Every day.

I z ❑ Almost every dayI s IJ Severai times a week

I 4 ❑ About once a week

I 5 ❑ 2 or 3 timesa month

I 6 ❑ About once a monthI T❑ Less than once a monthI

o •l NeverIII

CHECK I I ❑ Biological father in HH (7)

ITEM C2 ➤ Refer to question 1,page 3 of CHS. :8❑ Other (4)

I

la. Has – - ever Iivad with - – biological father ~for at least 3 months? I lY 2 N (5) 9DK (5)

I1

b. How long has it been since – - last lived1

Iwith him for at least 3 months7 I

I

I1II [

I ❑ Days

2 ❑ Weeks

Number 3 IJ Months

4 •l YearsII

i. Is –– biological father now living or Ideceased? I I ❑ Living

I2 ❑ DeceasedI

II )

(7)9DD K.......

Ij. How often does – – see him? I

I ❑ Every dayI z ~ Almost every dayI1 s ❑ Several times a weekII 4 ❑ About once a weekI 5 IJ 2 or 3 times a monthI1 6 ❑ About once a monthII 7 ❑ Less than once a month!I o ❑ Never

. .

.

.

7a

,

Section C. RELATIONSHIPS AND RESIDENTIAL MOBILITY – continued— —I

7a. How many children has -- (Biological mother) I ‘ •l Only one (C3)EVER had? Do not count miscarriages or Istillbirths. I

I Number

I

b . Of those (Number in 7a) children, was – – born ~ I O Firstfirst (or) second (or third, etc.)? I 2 •l Second

I3 ❑ Third

I4 ❑ Fourth

II 5 •l FifthI 11 Other – SpecifyII

z’

I1I

CHECK1❑ Biological mother in HH (9)

Refer to question 1, page 3 of CHS or /TEM C3 ➤ to question 2 on page 6 of CHS.

2 ❑ Biological mother deceased or DK (72)I 3 ❑ .Biological mother not in HH (8)II

8, !S -- biological mother now marriad, I

widowed, divorced, separated or rrever 1 I ❑ Married

married? 2 ❑ WidowedII 4 ❑ DivorcedII 5 ❑ Separated1I 3 ❑ Never marriedII 1

(12)9CIDK . . . . . . . . .

I

9. How many times altogether has – – I(Biological mother) been married? I o❑ Never married (12)

III NumberI

Ask 10a – c about each marriage before II MARRIAGE

proceeding to next marriage. I 1StOa. In what year was – – (Biological mother)

2nd 3rd[

married (the (first/second/third) time)?/ 19 19 19I Yr. began Yr. began Yr. beganI

If nowmarriedand this is last or only marriage, go to question 12. ~

If nowseparatedand this is last or only marriage, go to I

quastion 11.! 19 19 19

b. In what year did this marriage end?I Yr. ended Yr. ended Yr. ended

For divorce and annulment, record legal end. 1

/f now widowed or divorced and this is /ast or only I

marriage, go to question 12. I ❑ Death 1❑ Death I ❑ Death

c. Was this marriage ended by death, divorca, orI

4 ❑ Divorce 4 ❑ Divorce 4 ❑ DivorceIannulment? I 5 ❑ Annulment 5 ❑ Annulment 5 D Annulment

1. How long has she been separated?IIII

III

II

{

1 ❑ Days

2 ❑ Weeks

Number 3 g Months

4 C Years

2. In what month and year didI

—– move Ito this home? 0000❑ Lived here since birth (C4)

III j 19I Month Year1

. .

79

-.

Section C. RELATIONSHIPS AND RESIDENTIAL MOBILITY – Continued13. About how many miles from here is the 1

Ihome -- lived in before -- movad to 000❑ Less than 1 mileIthis home? I

I

Range acceptable I MilesI

14. How many times has — -ever movad? III

II

Number

CHECKITEM C4 p

II ❑ Respondent is biological mother or

I biological father (Section D, page 9)

I 8 ❑ Other (15)

15, How long has -- lived with yOU? II (I ❑ DaysI

I

I{

2 ❑ WeeksNumber 3 ❑ Months

4 ❑ Years

FOOTNOTES

.

ao

.

.

Section D. BREASTFEEDING

cHEc K ➤ ~e~ertoage ofsmp/e child.ITEM D1

I5 ❑ Under 6 months old (1)

I 6 ❑ 6+ months old (2)

10 h – - being breastfed at the present time? III I Y (D2) 2N

2, Was -- ever breastfed? II

;lY 2 N (D4)

I

3. How old was -- when- - completely stopped Ibreastfeeding? I WI ❑ Still breastfeeding

I

{

I ❑ Days

2 ❑ Weeks/ Number1

3 D Months

I

CHECK6❑ 6+ years old (Section F, page 14)

ITEM D2 ➤Mark first appropriate box.

I 2 •l Respondent not biological mother (D3)

/ I •l Respondent is biological mother (4)

4. While breastfeeding --, did you ever take,I

any birth control pills?I lY 2NI

I

CHECKI ❑ 3+ years old (Section E, page 10)

ITEM D3 ➤ Refer to age of sample child. I 2 ❑ Under 6 months old (5a)

I s ❑ Other (5b)

5a. Hss -- ever been given any formula or regular milk? ~I lY 2 N (D4)!

b. HOW old was - – when -- was first fedformula or regular milk on a daily basis? / 000❑ Never on a daily basis

I

I {

2 ❑ WeeksNumber

3❑ Months

/ I ❑ 3+ years old (Section E, page 10)

~~~c~a ➤ Refer to age of sample child. 2 ❑ Under 6 months old (6a)Ia❑ Other (b)

1

6a. Has –– ever been given any solid food, such as I

commercially prepared strained and junior foods, ~ lY z N (Section E, page 10)“table foods,” or any other non-liquid foods? I

b. HOW old was -- when - – started eating1

solid food (such as strained fooda or any otherOC+Il_J Never on a daily basis

Inon-liquid foods) on a daily basis? I ( I ❑ Days

I

II

[

2 ❑ WeeksNumber

3 ❑ MonthsI

FOOTNOTES

.

81

Sectian E. MOTOR AND SOCIAL DEVELOPMENT------ . . . . .. . . . . . . . . . . . . ------ ---- . . . .. . . . . .I

I •l Under 2 years old

~T~~cfl ➤ R8ff3r to age of sample child.I

I)

(INTRO)2 •l 2-4 years old

3 Cl 5+ years old (Section F, page 14)I

INTRO - Now Iwould like to ask a few questions about various things children do at different ages.

ISequences

CHECK :,1.E~ E* ➤ Refer to age of semp/e chi/d. Age 1 2

I (Mark only one)Descending Ascending order

order beginning beginning with

After marking the appropriate box, go ~with question question

number- number-to the list of questions and circle thecorresponding question numbers. I

I •l Under 4 monthsi

6 7

tAsk first sequence of questions unti/ ~ .five consecutive “Yes” responses are ,

2 ❑ 4 months 8given, then ask second sequence of

9I

questions until five consecutive “No” Iresponses are given. One or more of Ithe five consecutive “No” responses / 3 •! 5 months 10 11may have bean given at the beginningof the first sequence, thus requiring

k

less than five consecutive “No”responses in the second sequence. 4 •l 6 months 12 13

r

After completing second sequence, go/ 5 •l 7months 14

to Cheek Item E3. If 10consecutive15

“No” responses are given in the first ~sequence, go to Check {tern E3 without Iasking any further questions in the list. I 6 ❑ 8 months 16 17

t1

7 •l 9 monthsI 18 19

a •l 10 months 20 21

L

I9 ❑ 11 months 22 23

I

I

lo D12–14 months 24 25I

I

IllU15-?7 months 28 29

I

I

lzCj18-23 monthsI 33 34

I

I1302 years 36 37

IIIII 14 l_J3years 41 42I)II 15t14 years 44 45I

.

.

82

.

.

.

Section E. MOTOR AND SOCIAL DEVELOPMENT – Continued

1. When lying on -- stomach, has –– everII

turned - -head from side to side? lY 2N . 9 DKI

2. Have –- eyes ever followed a moving object at all? ~ I Y 2N 9 DK

3. When lying on –– stomach on a flat surface Idid -- ever lift - — head off the surface for a ~ 1Y 2N 9 DKmoment?

I

4. Have -- eyes ever followed a moving objectell the way from one side to another? / lY 2N 9 DK

5a. HasI

-- ever smiled at someone when thaytalked 1 , yto or smiled at -- without being touched? ! 2N 9 DK

b. If “Yes, “A: HOW old was -- when --I

first smiled at someone when they talked to I

I {

2 IJ Weeksor smiled at - -?

Number3 IJ Months

6. kVVe: lying on -- stomach, has -- ever ~-- head AND chest from the surface I

while resting - – weight on -- lower arms lY 2N 9 DKor bends? /

7. While lying on – - back and being pulled up “ ~to a sitting position, did - — ever hold - –head stiffly so that it DID NOT hang back as ~ 1y 2N 9 DK-- was pulled up? I

i

8. Has -- Iever laughed out loud without being I

tickled or touched? I lY 2N 9 DK

9. Has — - ever turned -- HEAD around to I

look at something? lY 2N 9 DKI

0. Has -- ever held in one hand a moderate size I , yobiect such as a block or a rattle? 2N 9 DK

I

1. Has-– ever looked around with -- eyes for ia toy which was lost or not nearby? lY 2N 9 DK

8

2a. Has - — ever rolled over on — — own ONI

PURPOSE?I lY 2N 9 DKI

b. If “Yes, “&Isk:How old was – - when -- first /rolled over? I

I{

2 ❑ .Weeks

Number3 •l Months

3. Has -- ever been pulled from a sitting to aII

standing position and supported – – ownweight with legs stretched out? I lY 2N 9 DK

I1

4. Has I-- ever sat alone with no help except for I

leaning forward on – - hands or with just a Ilittle help from someone else? lY 2N 9 DK

I

1

5, Has --1

ever seemed to enjoy looking in the Imirror at (himself/herself)? I lY 2N 9 DK

I

6a. Has - — ever said any recognizable words, I

such as “mama” or “dada”’? IlY 2N 9 DK

1

b. If “Yes, “ask: How old was -- when – – first ~said any recognizable words?

II (

2 ❑ Weeks

Number 3 •l Months

I

83

Section E. MOTOR AND SOCIAL DEVELOPMENT - Continued17a. Has -- ever crawled when left lying on

-- stomach?

1

IlY 9 DK

b. If “Yes, “ask: How old was – - when - – first . \I I

2 ❑ Weekscraw[ed? Number 3n Months

18. Did –– ever sit for 10 minutes without any Isupport at all? I lY ZN 9 DK

I

19. Has -- ever pulled (himself/herself) to a standing ;position without help from another person? lY ZN 9 DK

I

20. Has1

-- ever recognized –– own name when Isomeone said it? I lY ZN 9 DK

I

21. Has — - ever picked up small objects, such as II

raisins or cookie crumbs, using only -- thumb Iand first finger? I lY 2N 9 DK

I

22a. Has -- ever waved good-bye without help\I

from another person7 lY ZN 9 DK1

b. If “Yes, “ask: How old was – - when - – first ~

II (

2 •l Weekswaved good-bye?

Number 3 ❑ Months

ii3a. Has –- ever stood alone on -- feet for 10 Iseconds or more without holding on to I

anything or another person7II lY ZN 9 DKI

b. /f “Yes, “ask: How old was – - when - – first Istood alone7 I I

20 Weeks

Number 3 •l Months

24. Has -–1

said 2 recognizable words besides I“mama” and “dada”? I lY ZN 9 DK

I

25. Has — — ever walked at least 2 staps with1I

one hand held or holding on to somathing? lY ZN 9 DKz

26. Has –- ever shown by – - behavior that –– knows{the names of some common objects when somebody I , yelse names them out loud?

2N 9 DKII

27. Has -– ever crawled up at least 2 stairs or steps? ~ , y ZN 9 DK

28. Has – – ever said the name of a familiar obiect, Isuch as a ball? lY ZN 9 DK

I

29a. Has – – aver walkad at least 2 steps withoutholding onto anything or another person?

II lY ZN 9 DK

b. /f “Yes, “ask: How old was - – when – – II {

2 ❑ Weeksfirst walked at least 2 steps7 Number 3❑ Months

1 \—

30. Has –– ever shown that —— wanted something ~without crying orwhining7 It may have been by

I lY ZNpointing, pulling, or making pleasant sounds.

9 DK1I

31. Has–– ever made a line with a crayon or pencil? ~ , y2N 9 DK

1

32. Has –– ever run? II lY ZN 9 DK

33. Did -–[

ever walk up at least 2 stairs with one hand Ibald or holding the railing7 I lY ZN 9 DK

I34. Has — — ever let someone know, without crying, I

that –– was bothared by – – pants or diapers ~ 1ybeing wet or soiled?

ZN 9 DKI

35. Has - — ever fed (himsalf/herself) with a spoon or Ifork without spilling much? lY ZN 9 DKt,

“

.

.

84

.

Section E. MOTOR AND SOCIAL DEVELOPMENT – Continued36. Has -- ever walked upstairs by (himself/herself) ~ , ~ , ~ ~

without holding onto a rail? 9DKI1

37. Has – – ever spoken in a partial sentence of 3 I

words or more? I lY 2N 9DK

38, Has – – ever said – – first and last names I

together without someone’s help? IlY 2N 9DK

Nickname may be used for first name. II

39. Hss - – ever walked up stairs by (himself/herself) with ~no help, stepping on each step with only one foot? lY 2N 9DK

I

. I 40. Has -- ever counted 3 obiects correctlv? I lY 2N 9DK I,,

“,,

.

41. Has-– ever pedaled a tricycle at least 10 feet? [ I Y 2N 9DK

42. Does – - know — — own age AND sex?II lY 2N 9DK

43. Has – –1

evar washed and dried - — hands without I

any help except for turning the water on and off? ! lY 2N 9DK

44, Has –– ever done a.somersault without helpI

from anybody?I lYI

2N 9DK1

45. Has -- ever drawn a picture of a man or woman \with at least 2 parts of the body besides a head? , 1y 2N 9DK

46. Has -- ever gone to the toilet alone? I lY 2N 9t)K

47. Has -- ever played with several children at the ~. .

same time? lY 2N 9DKI

48, Has –- ever said the names of at least 4 colors? I lY 2N 9DK

49. Hes -- ever dressed (himself/herself) without \any help except for tying shoes (and buttoning , 1y 2N 9DKthe back of dresses)? I

1

50. Has – – ever counted out loud up to 10? I lY 2N 9DK

II

CHECKI ❑ Under 2 years old (51a)

ITEM ~3 ➤ Refer to age of sample child. I 2 (J 2 years old (51b)

I 3 ❑ 3+ years old (E4)

51a. Are any of - — teeth in yet, that is, have anyI

teeth broken through the gums?I

lY 2 N (E4)

b, How old was -- when the first tooth cameI

in (that is, broke through the gums)?

{

2 ❑ WeeksNumber 3 ❑ Months

I

CHECKrf.EM Ed ➤ Refer to age of sample child,

II 1 ❑ Und’er 1 year old (Section F, page 14)

I z ❑ 1–3 years old (52a)I 3 ❑ 4 years old (52b)I

52a, Except for occasional accidents. is -- completelytoilet trained? (That is, does – – go to the bathroom ~ I yby (himself/herself) when –– needs to?)

2 N (Section F, page 14J

I

b. How old was - – when — - was completely I

toilet trained?I 000❑ Not completely toilet trainedII

II {

3Cl MonthsNumber d❑ Years

85

Section F. BIRTH

In studying the health of children, it is important to heve information about their birth.

ICHECK

b Refer to question 1, page 3 of CHS.I 1 ❑ Biological mother in HH (F2)

ITEM F1 I z ❑ Biological mother not in HH (7)I

1. How old was -– biological mother when I—- was born? Years

I

CHECKI

b Refer to question 1, page 3 of CHS. I I ❑ Biological father in HH (F3)

ITEM F2 I 2 ❑ Biological father not in HH (2)I

2. How old was -- biological father when1I

— - was born? I YearsII

CHECK, ❑ Respondent is biological mother

1

ITEM F3 bor biological father (3)I

I 8 ❑ Other (9)1

3a, Was –- born in a hospital or some other place?,1 I ❑ Hospital (3b)II ❑ Other – Specify (4);

:I

b. How many nights was -- (Biological mother] in the ~hospital during this stay? on NoneI

II NightsI

C. How many nights was -- in the hospital during1

this stay?I o ~ NoneIII Nights1

4a. How much did -- weigh at birth? II 9999 c DK

Probe for ounces if not reported. I1I . Lbs. oz. (5)I

b. Did—

-- weigh more than 5 1/2 pounds or less? I ❑ More than 5 1/2 Ibs.12 ❑ Less than 5 1/2 Ibs.

I 7!Z!DK . . . . . . . . . . . . .I I(51

——C. Did – —weigh more than 9 pounds or less? I

I 3 ~ More than glbs<I

4 ~ Less than 9 Ibs.I1 9CIDK,

5a. Was - – born about when expectad, or was Iit earlier or later? I U Earlier than expectedI

2 m When expected (6)

3 ❑ Later than expected

9 ~ DK (6)

b. About ho~o~n~h (earlier/later) than expected -was — — I

II

{

I ~ Days

Range acceptable 2 ~ WeeksNumber - .3 ~ Months

I

6. How many hours was – - iBiological mother) in labor? ~—. oo’fl None (8a)

I1 . Hours

CHECKb

rRefer to age of sample child.

I [~ Under 6 years old (7a)

ITEM F41

2 ~ 6+ years old (11)1

.

“

.

86

. .‘.”,.

.,

., .. . . .

I

*

,.w

.)

.

Section F, BIRTH - Continued

7a. Now I’m going to ask about medicine, shots, andI

gas given during labor AND delivary. First I’ll askII

about LABOR. While (Bio/ogica/ morher) was inLABOR, was she given any medicine, shots, or gas? \

Read if necessary: Labor begins with the onset ofII lY 2 N f8a)

contractions that lead to delivery. Do not include false I

labor but do include medication to induce labor. I

b. How was it given to (~iologicalmother) during labor? ; I Cl SpinalWas it a spinal shot, some other type of shot, gas, or ,some other method?

2 ❑ Other shot/1. V.II 3 n GasI

s ❑ Some other method - Specify ~IIII

c. Was (Biological mother) given anything else during labor? I—..I Y (Reask 7b and c) NI

8a. While (Biological mother) was in DELlVERY, was she ~given any medicine, shots, or gas? I

IRead if necessary: Delivery begins when the baby I lY z N (9)starts to show, or the doctor starts to use forceps .1

or to operete in the case of a caesarean section. I

I

b, How was it given to (Biological mother) duringII

delivery? Was it a spinal shot, some other type ofI •l Spinal

I

shot, gas, or some othar mathod? 2 ❑ Other shot/1.V.I

3 ❑ GasI8 ❑ Some other method – Specify ~

I

I.1

c, Was (Bio/ogica/ mother) given a;ything else during I

delivery? Y (Reask 8b and c)IN

I

9a, Was -- delivared by caesarean section?II1

IlY 2 N (70)

b. Why was tha caesarean~erformed?IIIIII }

(1 Ic)

10. Was -– born head first or feet first? I I ❑ Head first1

2 G Feet firstI E❑ Other way –I Specify ~II

Ila. Was it a normal delivery or were thare any I

complications or problems?I

1 ~ Normal delivery (12)I! 2 ❑ Complications/problems

b, What was the matter? -I1

II

I————-—.

c. (Besides the caesarean section ) Were there anyII

other problems during delivery? I Y (Reask 1lb and c) N,

87

,

Section F. BIRTH – Continued1

2a. Including any condition not known about immediately Iafter delivery but found out about later, was there lY 2 N (13)anything (else) wrong with -- when — - was born? J

b. What (else) was wrong with -- ? II

/

/I

c. Was there anything else wrong with – - ? I

I Y (Reask 12b and c) N

3a. Did -- receiva any newborn cara in an intensiveII

care unit, premature nursery, or any other type ofspecial care facility? I lY 2 N (/3)

b. How many nights did -- stay in theI

00Q Nonespecial care facility? I

I NightsI

CHECKI

b

❑ Male (14)

ITEM F5Refer to sex of sample child. :

I ❑ Female (Section G, page 17)

$. Was -- ever circumcised? I

/ IY 2N 9 DK

‘OOTNOTES

.

*

8e

.,~..7

:.

. .

. .

.’

,,

! .:

. .

. .

..:

. .

‘..

.

. ., .

.

. .-.

.’

. .

.

.

. .

. .,.

Section G. PRENATAL CARE I1

CHECKE

I ❑ Under 6 years old AND biological mother

ITEM GI; respondent (1)

I 8 ❑ other (Section H, page 21)

10 The next set of questions is about the health care you ~may have received during your pregnancy with — —. I

How many weeks pregnant were you when you first ~ Weeksthought you were pregnant with -- ? I

b.

c.

d,

Did you see ortalkto a doctor to find out if you Iwere ~reanant? I lY 2 N (2c).-How many weeks or months pregnant were you

1I

when you first saw or talked to a doctor to find out if I

I {

2 •l Weeksyou were pregnant? Number 3 ❑ Months

including routine checkups, did you see or talk to Ia doctor about your pregnancy at any (other) time iduring that pregnancy? lY 2 N (3)

IIf “Yes” in 2a, go to 3.

How many weeks or months pregnant were youwhen you first saw a doctor about your pregnancy?

I

II Number {

2 ❑ Weeks

3 ❑ Months

I

3a. How much did you weigh just before you becamepregnant with – –? I Pounds

b. Altogether, how many pounds did you either gain I

or lose during that pregnancy? I

I {

I ❑“ Gained

Pounds 2 ❑ Lost

c. How many months pregnant were you when I— - was born? Months

I

~ NOTE - 4a-h are conditions that may occur during pregnancy. \

1.

a,

b.

c.

d,

e.

f.

9.

h.

At any time during your pregnancy with -–, did iyou have: I

A urinary tract infection? lY 2NI

Measles? II lY 2 N (4c)

/f “yes,” ask; Was it German measles, somatimesl________________ -------------

known as Rubella or 3-day measles, OR was it Red \ 1❑ German/ Rubella 13-daymeasles, sometimes known as 8-day measles? 2 ❑ Red18-day

;3 ❑ 8oth

At any time during your pregnancy with ––, did I

you have:I

Hypertension or high blood pressure?I lY 2NI

Preeclampsia, eciampsia (eek-lamp-see-ah),1I lY 2 N (4e)

or convulsions?l’---------------- -------------

/f “Yes,” ask Which was it, preeclampsia, eclampsia, ~ I •l Preeclampsiaor convulsions? I 2 ❑ Ectampsia

I3 •l Convulsions

At any time during your pregnancy with – –, did I

you have:II

An embolism or blood clot?II lY 2N

Abnormal position of the placenta? II lY 2N1

Abnormal position of the cord? II lY 2N1

Vaginal bleeding? II lY 2N

89

Section G. PRENATAL CARE - Continued

5a. At any tima during your pregnancy with --,I

did you have -High sugar~ Sugar in the urine? Diabetas?

1in the blood?

I (It (21 (31

I ‘t (5b and c) I Y (5b and c) I Y (5b and c)

2 N (Next column) 2 N (Next column) 2 N (6)

b. When did you FIRST notica it - was it during ~ 1 •l During I El During I fJ Duringyour pregnancy with -- or before? I

I 2 •l Before 2 •l Before 20 Before

Ic.. Did you have the (Condition) for at least 3 months I , y

after -- was born?)

(5a)lY

}(5a)

lY

; 2N )(6)

2N 2N

6. Do you NOW hava diabetes or sugar diabetes? /I lY 2NI

7a. At anytime during your pregnancy with --, ;did you stay in a hospital overnight? Do not ,count the hospitalization for -- birth. Y O N (8)1

I

b. How many times? I

I NumberII

c, For what (other) conditions did you stay in a Ihospital overnight? I

II

,

I

d. Any other conditions? IiI Y (Reask 7C and d) NI

e. Altogether, how many NIGHTS did you stay in \a hospital f or (Conditions in 7c) ? I

I Nights

)8a, (Not including the times you stayed overnight in I

the hospital, ) Did a doctor ever tell you to remain \in bad for one or more weeks during your IY 2 N (9)pregnancy?

II

b, For what (other) conditions did the doctor tell Iyou to remain in bed for one or more weeks? I

IIII1II

c. Any other conditions?II

Y (Reask &?band c) NI

d. Altogether, how long did you stay in bed Ifor(Conditionsin 8b)during your pregnancy I

6I

I {

I Cl Dayswith -- ? (Do not include tima spent inthe hospital.)

2 ~ WeeksI Number

3 g Months

9. DURING your pregnancy with -–, about how I 00 Cl Nonemany cigarettes a day did you usually smoke? ;

I

II Number

.

.

.

90

.,

. .

. ../ :.

. ,’

:,..

.

. .

,.

... .

M

B

Section G. PRENATAL CARE - Continued

lOa. At any time during your pregnancy with I

--, did you take tranquilizers?II lY 2N(11)I

Hand card T I I CEvery dayI

b. Which number on that card best describes how I 2 ❑ Nearly every dayoften you took tranquilizers DURING yourpregnancy? I 3 0 Once or twice a week

I 4 I_J2 or 3 times a monthII 5 n About once a monthII 6 i_JLess than once a monthI

Ila. Had you ever had a miscarriage before you Ibecame pregnant with – -? 1

I lY 2 N (Section H, page 21)11

b, How many? III NumberI

c. How long before — — was born did you have the ~(most recent of those) miscarriage(s)? I

II {

3C Months

Number 4Q Years

IFOOTNOTES

.,

Section H. HOSPITALIZATIONS AND SURGERYla. Since -– 1

was born, how many differant timas [ 00Cl None (3)has -- stayed in the hospital overnight? DO I

not include the hospitalization whan - — wasborn, ;

I Number of timesI

b. During any of these hospitalizations was - – Itreated for diabetes or sugar diabetes? I

I lY 2 N (2)

c. Does — - take insulin shots? I

I lY 2NI

2a. Was surgery of any kind or wera any operations ~performed on – - during any stays in the Ihospital? Include bone sattings and stitchas.

lY 2 N (3)

b. What are the namas of these surgeries or Ioperations? 1.

If name is not known, describe what was done. I

II

c. Any others? I

/ Y (Reask 2b and c) N

3a. (Excluding the operations performed on —-while ~-- was an overnight patient in the hospital) 1Has -- EVER had any (other) surgery or lY 2 N (Section I, page 22)operations? Include bone settings and stitches. ~

b. What are the names of these surgeries or I

operations? I

If name is not known, describe what was done. “ ~I

II

c. Any others? II Y (Reask 3b and c) N!

FOOTNOTES

.

*.

,,’

~,. “’:t,,.

, ..

..:

.

,. “,.

“.

.

.,,>.

,.... .

.’

Section ! . SUPPLEMENTAL CONDITION LISTSome of the following conditions were asked about earlier, but tell me whether or not –- EVERhad anyof these conditions aven if they have been mentioned before.If “Yes,” enter conditon and number in Item 1of Section J.

Did -- EVER have - Did -- EVER hava -

1, Hepatitis? 33. Palsy or cerebral palsy?. ---- ----- ----- -- —-— -- —-- -—-—- -—-. -— —-— ----- -— --- -— —-— -— —--- —---- .---

2. Yallow jaundica? 34, Paralysis of any kind?---- ---- -— -- -— -- —--- ---— ---- -- -—- ----- -— —-- ----- --——- ----- ----- ---

3, Any other Iivar trouble? * * 35. Mental retardation?---- ---- ---- -——- ---- -— -- ---- -— --—

4. Colitis?----— ----- -—-—- ----- ----- —---- .---

36. Epilepsy?---- ---- ---- —--- ---- ----- ---— —- --— ____ ____ ____ ____ ____ ____ ____ __ __5. Any other bowel trouble? * ● 37. REPEATED convulsions, seizures, or----- --__— —---— _____ _____ _____ ___6. An ulcer?

blackouts?----- _____ ----- --- —.- ----- ----- ---- ___ --— --— -.. ———- -—- -—— —-— -—- —-- .--—

7, A hernia or rupture? 38. Migraine?---— ----- -——- --—— -—-— ——-— —--- —.- -—----- ----- ----- ----- -..,. __— ___— —.. .. _8. Any other condition of the digestive 39. FREQUENT or SEVERE headaches7

--—- ---= ———- -— -- ---— —--- -— -- ---- —-system7 * * 40. Menmgitis7---- ____ ---- ____ ____ _____ ____ __ _ _. -. ---- —--- —--— ---- ---- ——-- —--- ---- ——

9. Asthma? 41. Chores (ko-raa-uh) or St. Vitus’ dance?----- ------ ----- _____ _____ _____ ___10. Hay fevar or allergies?

---- —--- —-—- -- ---—- ----- ----- -.. --42. Nephritis?---- ---- —--- —--- ---- ---— ----- —- --- ____ ____ ____ ____ ____ ____ ____ __. . __

11. Tonsillitis or enlargement of the tonsils 43. Urinary tract infaction7or adenoids? * --——- ------ ----- ----- ---- ---- ---- --

----- ------ ----- ------ ___ ..: __ ---- ---- 44. Any other kidney trouble7 ● ●

12. Tuberculosis ---- ---- --—- ---- ---- ---- --- ----- --------- ----- _____ ______ _-. __.. ______ ___ 45. Diabetes7

13, Pneumonia? ---— ---- --- --—- --—- —-—- --—- -. ..-. ------ ---- ---- —--— ——-- --—- ---— -- _——

14, Any other respiratory, lung, or pulmonary46. Goiter or other thyroid troubie7------ ----— -- —-- —---- ----- ----- .- --

condition? * * 47. Cystic fibrosis7---- ---- ---- —--- ---- ---- ---- ---- - -------- _____ _____ _____ .. .. .. ______ ,---

15. Arthritis of any kind or rheumatism 48. Anemia or sickle cell anemia?----- ---—- ----- -- —-- —---— -— -,-- -- -—------ _____ ----- ______ ------ ------- ---

16. Curvature of the spine? 49. A heart murmur?-— -- .-- —- -— -- —--— --—- -—-— ---- ---- ---------- ------ _____ ------ -.. ._. . _-

17, Clubfoot7 50. Cancer of any kind?---- ---- ---- ____ -. -... . . . . ----

18. Any other condition affecting the bone,cartilage, muscle or tendon7 * ● .— - —L-. ——- ——. ------ _____ ----- _____ . .. . .. . . . .. .. . . —--—- ----- -------- --

19. Eczema or psoriasis (so-rye-uh-sis)? 53. High blood pressure?---— —--— ---- —--- -.—------ ____ ____ ____ ____ ._ ___ ----- . ..,, . ——- -—- --- ---- -—. -

20. TROUBLE with acne7 52. Rheumatic fever?——- --- - --- —--- -—- —-- —- . —--- ---- -. -------- ---- ____ ____ ----- . . .. . . . _- ___

21. Any kind of skin allergy? 53. Rheumatic heart disease?---- —- ------ ----— ------.. —------ _____ __ .- _.. _____ .. _____ .___

---- -. ----

22. Any other kind of skin trouble? ● “ 54. &o;g&~t;iheart disease?--——— ----- —--—- —-.-—- ------------- ----- ----- . . . . . .. ___ -_. . __

--—- -.. --—

23. REPEATED ear inactions? 55. Any other heart trouble? ● ●

---- ____ ____ ____ ---- --- -. ._,. -- ,,24. Deafness in one or both ears?

---- ---- ---- ____ _____ .. ___ . . .. . . . .. _25. Any other trouble hearing with one or

--—— -— -- —--— --—- ---- -.= -. —-— .-—-

both ears? ● *’56. Does – - NOW have - a missing fingar.

---- ---- ---- ---- __. . . .. . . . - __ hand, or arm, toe, foot, or ieg726. Blindness in one or both eyes7

----- -- —-- ----- —--—- ---- —-—- ---- .- --

----- _____ _____ ______ .- .. ____ ------ _ -.27. Cataracts7

57. PERMANENT stiffness or any deformity------ ____ ____ ____ __, of the back, foot, or leg7 (Permanent

28, Any other trouble seeing w>thoneorboth- -‘“-- _ _ _ _ _WfWl: K!!WY!’! W-WK% !!”! ------ ---eyes even when wearing glasses7 ● ● 58. PERMANENT stiffness or any deformity------- _____ _____ ------ ----- ______ ___

29. A cleft palate or harelip? of the fingers, hand, or arm?------ ----- _____ ______ . . ... .._ . . .. ---— ---- ---- ---- ----- ---- ---- -- ---

30. Stammering or stuttering? 59. Did -- EVER heve any other health----- ----- _____ _____ . .. . . . . . . . . ___

31. Any other speach defect7 * ●

problem which lasted for at least 3_____ _____ _____ _____

32. Autism or has - – ever been’autist~c? - - ‘“-months which you have not mentioned?If “Yes, “ask.’ What was the condition?

Make no entry in Section J for cold; flu; grippe; red, sore, or strep throat; or “virus”.

* 1, How many times did – – have, . ,?.VZ+ , enter m Section J.

If only 1 time, ask:2. How long did it last? – If 1month or longer, enter in Section J. If less than 1 month, do not record.

,------- ----- ----- __ . . .. ----- _ .. — —--- —-—— --—- ---— ---- ---- ---- . . . ..** Did this condition last for at least 3 months? jf-’’Yes~” enter in Section J.

If “No,” do not record unless it is an obvious permanent condition which be$wr less than 3 months ago.

93

Section J. SUPPLEMENTAL CONDITIONS

CONDITION 1

1. kern number Name of condition

For allergy ask:2. How does the allergy sffect -– ?

For an impairment or ulcer, ask:3. What part of the body is affectad by(ConditionJ?

Show the followinra datail:Head (skull, scalg,~ace)Back/spine/vertebrae (upper, middle, lower)Side (left or right)Ear (inner or outeu left, right, or both)Eye (left, right, or both)Arm (shoutier, upper, elbow, lower or wrist; left, right or both)Hsnd (entire hand or fingers only; left, right, or both)Leg (hip, upper, knea, lower, or ankle; left, right, or both)Foot (entire foot, arch, or toes only; left, right, or both)

la. When waa (Condition) first noticed? II 4 ❑ 3 monthsories~ [6)

(Waa it during the paat 12 months Ior before that time?] , 5 ❑ ovsr3_ 12~~nths /6)

(Waa it during the paat 3 monthsor before thet tima?)

I 6 ❑ More than t2 rs’tontltsago

b. How oid waa -- when 0 I_J ::rttm from 56,57, orthis waa first noticed?O❑ !_esathan 1 month 5. Did -- have this condition

~ 3 ❑ Monthsstmtyh:i~rne during the past 12

Numbar ~ 4Dyears [ I Y 2 N (6b)

0 ❑ Condition from 56,57, ~b. is this condition compietalyor 58 (NC) curad or is it under control?

$a. Does -- still hava thisi

2 ❑ Curedcondition?

13 ❑ Undar control

1 Y (NC) N 4 ❑ Other - Specify

CONDITION 3

1. item numbar Name of condition

For allergy ask:L How does the allergy affect –- 7

For an impairment or ulcer, ask:3. What part of the body h affectad by(Condition)7

Show the following detail:Head (akuli, scalp, face)Back/spine/venebrae (upper, middle, lower)Side (left or right)Ear (inner or o~tec left, right, or both)Eye (left, ri~ht, or both)Arm (shou~ar: upper, elbow, lower or wrist: left, right or both)Hand (entire hand or fingers only; left, right, or both)Leg (hip, upper, knee, lower, or ankle; left, right, or both)Foot (entire foot, arch, or teas only; left, right, or both)

la. When was (Condif/on)first noticed? ~ q@ 3 ~onth5 or less (6J.—

[Was it during the paat 3 monthsor before that time?)

[Was it during tha paat 12 monthsI 5 ❑ 0ver3- 12months /6)

I 6 ❑ Mora than 12monthsagoor befora that time?)

b. How old was -- when I 0a&fld#t from 56,57, orthis was firat noticed?O G Less than 1 month 5. Did -- have this condition

{

3 @ Monthsat any tima during the paat 12months?

Number 4 C Yeara lY 2 N (6b)—

0 U Condition from 56,57, ~b. Is this condition ccmpiataiyor 58 (NC) curad cr is it undar control?

ia. Does -- still have thisI

2 ~ Curedcondition?

[I 3 ❑ Under control

1 Y (NC) N I 4 Q Other - Spec/fy

CONDITION 21. Item number Name of condition

1

For allergy ask:!. How does the allergy affact –- ?

For an impairment or ulcer, ask:L What part of the body is affacted by(Condition)7

Show the following detail:Head (skull, scal!z face)Back/spins/vertebraa (upper, middle, Iowar)Side (left or right)Ear (innar or outefi left, right, or both)Eye (left, right, or both)Arm (shoulder, upper, elbow, lower or wrist; left, right or both)Hand (antire bend or fingera only; left, right, or both)Leg (hip, uppar, knee, lower, or ankle; left, right, or both)Foot (antire foot, arch, or toes onlv; left, riqht, or both)

la. Whan was (Condition) first noticad?II 4 ❑ 3 monthsor less /6)

(Was itduring the paat 12 monthsor befora thet tima?) / 5 D 0ver3- 12months {6)

(Was it during tha paat 3 months I 60 Mora than 12 monthsagoor before that tima?) I

b. How oid was -- when 0 ❑ ::rxikvt from 56,57, orthis waa first noticad?O❑ Less than 1 month 5. Did –- hava this condition

{

3 ❑ Monthsatenytime duringtha past12months?

Number 4 ❑ years lY 2 N (6b)

0 U Condition from 66,57, , b. is this condition compietalyor 58 [NC) cured or is it undar controi?

la. Doss –- still have thisI 2 ❑ Cured

condition? II

3 ❑ Under control

.1 Y (NC) N 4 ❑ Other - Specify _1

CONDITION 4

item number Nemo of condition

For allergy ask:!. How does tha aiiargy affect -– ?

For an impairment or ulcer, ask:1, What part of tha body is affectad by(Condition)?

Show the following detail:Head (skull, scalp, face)Back/spins/vertebrae (uppar, middle, Iowar)Side (left or right)Ear (inner or outer; left, right, or both)Eva Oaft, right, or both)Arm [shoulder, upper, elbow, lowar or wrist; left, right or both]Hand (antire hand or fingers only; left, right, or both)Leg (hip, upper, knee, lower, or ankle; left, rtght, or both)Foot (entire foot, arch, or toes onlv; left, riaht, or both)

a. When was (Condition) first noticad?I

(Waa it during the past 3 months1 41-J

cr befora that time?) ; 5cl(Was it during tha paat 12 months

or bafora that tima?l I 60

3 monthsor less (6)

Over3-12 months /6)

More than 12monthsago

b. How old was -- when o G $ml!&n from 56, 57, orthis was first noticad?O❑ &.s than 1 month 5. Did –– have this condition

(

3 ❑ Monthsat anytime during the past 12months?

— 4 •l YearsNumbar lY 2 N (6bJ

0 G Condition irom 50,57, ~b. Is this condition compiateiyor 5B (NCJ cured or is it under controi?

Ia. Does-- atiil have this 2 ❑ Cured

condition?I

3 ~ Under controlI

1 Y (NC) N I 4 D Other - Spec/fy

>... . .

.

*

.

94

,.;.’!

,., ..,, .

..”

. .

. . .

.

*

*

●

,.

●

,

Section K. WEIGHT. EYES, AND TEETH—-—. .—18.For -- height, would you say -- k I

I ❑ Underweight (lc)underweight, about the right weight, oroverweight? 1❑ About the right weight (K 1)

II ❑ OverweightI

b, Would you say -- is axtremely overweight, Isomewhat overweight, or only a little

2 ❑ Extremely overweightIoverweight? I 3 •l Somewhat overweight

II I

(Kl)4 ❑ Only a little overweight

I

c. Would you say — — is extremely underweight,II

somewhat underweight, or only a little5 •l Extremely underweight

I

underweight? 6 G Somewhat underweight!I 7 •l Only a little underweightII

CHECK,TE ~ K, ➤ Refer toage of sarnp/e chi/d.

o ❑ Under 3 years old (Section L, page 26)II ❑ 3+ years old (2)

t

la, Does - – wear glasses or contact lenses?III lY 2 N (3)[

b. Which does – – wear? I ❑ Both glasses and contactsI 2 •l Glasses onlyII 3 El Contacts only,

la. Has – – ever had -- teeth straightened or had ~braces or bands on the teeth? 1 Y (4) 2N

I

b. Would you say -–1

teeth need to be straightenad? II lY 2NI

—- . 1c, Has a doctor or dentist ever said that — - teeth I

need to be straightened? I IY 2NI

ta. Does – – have any fillings in – – teeth?I

IY o N (Section L, page 26)

——— Ib. How many teeth NOW have fillings?

Range acceptable – Exclude baby or other teeth II Number

child no longer has. I

OOTNOTES

. .

.

Section L. MEDICINE USE

NOTE – Ask la– k before asking 2-5.-. --— ---- ---— -—-— -— -- -—.

Hand calendar

The next few questions refer to the useof medicines, pills, or ointments.

1. During the 2 weeks outlined in red onthat calendar, did – - take or use any:

II

Ia. Pain reiievere such as

;Y14aspirin (or Tylenol and ,the like)?

1

b. Cough medicines (such/as Vicks, Robitussin, or , ~ N

Phenergan Expectorant Iand the like)? I

c. Any other medicines or Iremedies for colds? IYN

d. Asthma or allergy pills ;or medicines (such aa , ~ ~Banadryl, Dimetapp, or ,Sudafed and the like)? I

e. Topical Steroids (such as ~hydrocortisone cream or j y Nvaiisona and the like)?

NOTE - Ask2-5, only for those questions in la- k which were answerad “Yes.”------ --

1----------

1. Did anyone 4. Did a doctorget a recommendprescription that - – takefrom a dec- or use thatorfor -- (Medication)7to take oruse thelMedicationR

------ ------Hand card T

i.Which number onthat card bestdescribes howoften -- took orused the(Medication) duringthe past 3 months?

---- --- --—!. What is the

main healthproblem forwhich -— tookor used the(Medication)?

.

●

●

✎

✎

123456

1234561Y(5) 2 N I’f 2N

1

1Y(5) 2 N I IY 2N 123456,

I1Y(5) 2 N IY 2N 123456

123456IY(5) 2 N I l’f 2N

f. Other skin ointments or /salves (such as DesitinCalomine Lotion “aseiine ~ Y N

or Clearasil and t’he like)? ‘/

123456

123456

IY(5) 2 N Iy 2N

g. Laxatives or any other [medici;:es or remedies for Ithe stomach (such as Ex- j y NLax, Rolaids, Colace. orDonnatal and the like]? /

h. Vitamins or minerals? IIYN

IY(5) 2 N Iy 2N

123456I

i. Tranquilizers orII

sedatives (such as lYNValium, Chloral Hydrate, jor Seconal and the Iikej? ,

I’f(5) 2 N Iy 2N 123456

123456j. Antibiotics (such as \

Penicillin, Tetracycline, , Y NAmpicillin and the like)? I

1Y(5) 2 N Iy 2N

ik. Are there any other pills, ~

ointments, or othertypas of medicines that ; y N- – has taken or usedduring that2-week :

period? - SpecifyII

Any others? II

K1II

IK2 I

I1I

K3 I

1Y(5) 2 N ly 2N 123456

123456

1Y(5) 2 N I lY 2N 123456

96 ●

.’. .,.,: .

. ..

*

,W

. .

.

●

● ✎

.,:

Section M. SCHOOL..

CHECK r . .ITEM M 1 ~ Refer to age of sample child.

1I o’Q Under 5 years old (Section N, page 31)I

I ❑ 5 years old (1)II 2 ❑ 6 + years old (M2)

1. What was -- doing most of the past 12months – 1going to school or doing something alse? I I ❑ Going to school (3)

I

I 2 ❑ Something elseI

2. In terms of health would –– be able to go to school? ~lY 2 N (6)

I

3a. Does (Would) – – have to go to a certain type Iof school because of -- health? I 1 Y (6) 2N

!

b. k (Would) – - (be) limited in school attendance ;because of -- health? I I Y (6) 2 N (M3)

1

CHECK1

bRefer to age of sample child and/or to

o G Under 17 years old (M3)

ITEM M2 SCHOOL box on HIS-1.I !Q Ii’ years old and SCHOOL box marked (M3)

, 2 ❑ 17 years old and SCHOOL box not marked (4)1

4. In terms of health would -- be able to go to school? ]lY 2 N (6)

5a. Would -- have to go to a certain type ofschool because of -- health? I 1 Y (6) 2N

b. Would ;e;l~heplimited in school attendance because --—.

of -- lY 2 N (M3)

6a. What is the MAIN condition which causes -- to I

( not be able to go to school?

[

have to go to a certain type of school? I

be limited in school attendance? )...— .—

b. When was this condition first noticed?

(Was it during the past 3 months or before that time?) ~L, D;ring ?he past 3 months~ Over 3 monthsI

CHECKb

~~ SCHOOL box marked (8)Refer to SCHOOL box on HIS- 1and/or to ! ‘ _.ITEM M3 question 1, above. : Going to school in Q1 (8):-

18 ~ Other [7)I

7. Has –– ever attended school?

lY 2 N (Section N, page 31)

3. ls–– NOW either going to school or onvacation from school? I U Goitig to school

2 LU Gn vacation from school

c;. - Neither ( 17)

). What grade{

is—— in now?will – - be in? }

21~j Nursery school

! }(Section N, page 31 }

22 ~ Kindergarten

If child is between grades, enter grade promoted to.-.—. — — Grsde

Da. Does -– go to a special class or get special help in ~school because of a disability or health problem? ~v (12) 2N

——-. .__...— ..---- . .. . . ————b, Do you think that – - needs to attend a special class

or get special help in school because of a disability or , : ‘{ (12) 2 N (12)health problem?

97

:’”.’ ..,

Section M. SCHOOL - ContinuedI

Ila. Why did -- stop going to school? II

o❑ Neverwent - health reasons

I }

(Section N,I Id Never went - other reasons page 31)

120 GraduatedI

I 3 ❑ Health problemII 4 ❑ Dropped outII 8 ❑ Other - Specify ~IIIIiI

b. How long ago did -- stop going to school? I1II I •l Less than 12 monthsI 2 •l 12 months - less than 2 years (13)II 3 •l 2+ years (13)II

12. During the past 12months, that is, since f12month date) {a year ago, about how many days was -- absent , 00❑ Nonefrom school because of illness? IRange acceptable

DaysI1

13a. Has -- repeated any grades for any reasons? II lY 2 N (14)I

b. What grade or grades did - – repeat?II1 Grade(s)I,

C, Why did -- repeat the (Grades in 73b) grade(s)? II ❑ Academic failureI

I s ❑ Immature/acted too youngII 3 ❑ Frequently absentI

4 ❑ Moved into more difficult schoolII 8 •l Other - Specify ~III

d. Any other reesons? II Y (Reask 13c and d) NI

14a. Has -- ever been suspended, excluded, or expailad ~from school? lY

1.2 N ( 14d)

b. How many times has this happened? II NumberII

c. How long ago was the last time? IIIIIII {

I ❑ Days

2 @ Weeks

Number 3 ❑ Months

4 ❑ Years

d. Not counting routine conferences, has anyonefrom - – school ever asked someone to come in Ito talk about problems -- was having? I lY 2 N (M4)

Ie. How long ago was the last time? [

I[I

II

I

{

I ~ Days

2 ❑ Weeks

Number 3 ~ Months

d Cl YearsI

.-..

.

.

.

98

,,, .”,

,>

!,.

-.. .

.. w.

Section M. SCHOOL – Continued

CHECKItem M4 b

Refer to question 8, page 270f CHS.I I ❑ In school or on vacation (15)I

o ❑ Neither (Section N, page 31)I

15. $farall what kind of student would you say – - is now?\one of the best in the class, above the middle, in

I ❑ One of the best--t$uyjddle, below the middle, or near the bottom of the ~ 2 ❑ Above the middle

I 3 ❑ In the middleII 4 ❑ Below the middle

5 ❑ Near the bottomII

16. How do you feel –-’ is doing in school? Is -– doing ~really well, doing about as well as — — can, or could , 1 ❑ Doing really well-- be doing better? I 2 ❑ Doing about as well as he/she can

I

I 3 ❑ Could be doing betterI

FOOTNOTES

.

..

99

Section N. BEHAWOR1

CHECK1

b Refer to age of sample child. I I Cl Under 3 years old (Section P, page 34)

ITEM N1 I a0 3+ years old (1)

la. During the past twelve months has -- ever Iwet the bed? I lY 2 N (2)

Ib. About how many times has this happaned? I

IRange acceptable I Number

I!. Does -- now suck -- thumb or fingars either

I

during the day or at night? / ,y 2Nt

la. Has -- ever run away from horn.? (Disappeared Iat a time when you thought this is what -- might ~be doing, and stayed away so long that you had to , I Y 2 N (4)start saarching or looking for - -.) I

b. How many times has -- run away? II NumberI

c. How old was -- tha (last) time -- ran aw~y? ~

1I

Years

1. Does -- take any medicines or drugs to halp Icontrol activity or bahavior? I

lY 2N/

;a. Has --1

ever seen a psychiatrist, psychologist, Ior psychoanalyst about any emotional, mental. or I , ybehavior problem? 1

2 N (5d)

b. h -- still saeing this person? II I ‘i (Section O, 2N

ipage 32)

c. When was the last time -- saw this person? III I Cl More than 12 months ago

/ 8 Cl Within past 12 months (Section O, page 32)

d. During the past 12 months, have you felt, or has I

anyone suggested that -- naeded help for any ~ I y 2Namotional, mental, or behavior problem?

I .

00 TNOTES

.

s

100

. ,.. .,., ,.,.

, ,:.:-.

. ..

,.

.

.

.

;

9

Section O. BEHAVIOR PROBLEMS INDEX1

CHECK I I ❑ Under 4 yeersold (Section P, page 34),~EM ~1 ➤Refer to age of samp/e child. I

2 ❑ 4 t years old (INTRO)I

Hand card B I

INTRO – Now I am going to read some statements ~that describe behavior problems many children have. I

Please tell me whether each statement has been I

OFTEN true, SOMETIMES true, or NOT true of -- jduring the past 3 months.

I

The first statement is: “Has sudden changes in mood ~or feelings.” Has that been O~EN true, SOMETIMES ,true, or NOT true of – - in the past 3 months? I

Record response and continue with statement 2.I Often true I SometimesI true Not true

Read list repeating categories and/or time reference I (A) (B) (c)

as needed.1III

1.Has sudden changes in mood or feelings. la 20 30I!

2, Feels or complains that no one loves – –. II In 20 30II

3. Is rather high strung, tense, or nervous. II 10 2cl 30I

I

4, Cheats or tells lies.,II 10 20 3KIII

5. Is too fearful or anxious. II 10 20 30I

6. Argues too much. III In 2CI 30

7, Has difficulty concentrating, cannot pay ,

attention for long.II 10 20 3ilI

8. Is easily confused, seems to be in a fog.I 10 20 30I

9, Bullies, or is cruel or mean to others. III lCI 20 30,

10. Is disobedient at home, II1. 10 20 30

11, Is disobedient at school. II

1 lo 2CI 30!

12. Does not seem to feel sorry after – – Imisbehaves. I

10 20 30II

13. Has trouble getting along with other children. [

tcl1 20 30

14, Has trouble getting along with teachers. II

10 2CI 30I1

15. Is impulsive, or acts without thinking. II 10 20 301

I 1

16, Feels worthless or inferior, I

I

I10 I 20 I 30I

101

Section O. BEHAVIOR PROBLEMS INDEX - Continued I

I Often true

I (A)

I

17. Is not liked by other children, I 10

I18, Hes a lot of difficulty getting - – mind off I

certein thoughts, has obsessions. laII

19. Is restless or overly active, cannot sit still. I

I 1!2I

20. Is stubborn, sullen, or irritable. 1I

InI. .21. Has a very strong temper and loses it easily. [

I 1!2I

22. Is unhappy, sad or depressed. I

I 10

23. Is withdrawn, does not get involved with others. ~

I lU

If child is 12+ years old, go to 29. 1

f

24. Breaks things on purpose, deliberately I

destroys – –la

own or others’ things. I25. Clings to adults. I

II 1!3

I

26. Cries too much. II1 10II

27. Demends a lot of attention. II

10I

28. Is too dependent on others.

In

If child is under 12 years old, go to Section P, page 3. /

29. Feels others are out to get -–. I 10,

30. Hangs around with kids who get into trouble. ~1

10

I

31. Is secretive, keeps things to (himself/herself), [

I 10

32. Worries too much. II

10I!

‘OOTNOTES

Sometimestrue I Not true I

20

20 I 30

=-t+

20 30

20 30

20 30

20 I 31ZI I2CI I 30 I

20I

30

20 30

-=-b-l2EI I 30 I

.

●

102

,.. .;,,4

.,.. . ...’

. .,:

..

.. ,

,,.

9

Section P. SOCIAL EFFECTS OF ILL HEALTH

1. A chiid’s illness or disability may cause probiemsII

for other members of tha famiiy. Teii ma if any of Itho following things have EVER happenadbecausa of a heaith probiem of – -. I

Beceuse of a heaith probiem of --: II

●. Has the famiiy moved to a different home? I lY 2N

b. Has a family member not been able to take a job? I

I lYI 2N

c. Has a family member quit or changed jobs? ,II

I lY 2NI

d. Hes a family member been forced to take a jobwhen ha or she otherwisa would not have?

II

lY 2N1

e. Has a famiiy member left home? III lY 2N

f. Has a famiiy member gotten a divorca 1or legal separation? I

II lY 2N

Because of a health problem of – –: Ig. Has the family baen under severe probiems I

making ends meet?I lY 2NI

h. Has the famiiy or any famiiy member made some I

(other) major change in regular ways of life?III IY 2 N (PI),

i. What (other) changes were made?.

IIIII

I

j. Were any other changes made? III Y (Reask liandj) NII

CHECKITEM pl ➤ R8f8ftoq(k?sfh~la dIOW?.

II ❑ “N” in 1a above (Section Q, page 35)I

I 8 ❑ Other (Z)I

. When the family moved because of -- health ‘~probiem, was it to be nearer to certain special 1 ❑ Near servicesservices that were needed, was it because the

I

famiiy could not afford to stay where it was, orI 2 ❑ Could not afford

was it for some other reason? I 8 ❑ Other – Specify~

Mark the most appropriate box.II

OOTNOTES

103

Section Q. SLEEP AND SEAT BELTSI

CHECKI

F Refer to age of sample child.lnUnderl yearold (7d)

ITEMQ1 I Zal+ years old (la)I

If respondent asks, question 1refers to sleeping I o •l No usual timepatterns on school Uays and mghts. I

I l“DBefore8 p.m.la. About what time does -- usually go to bed I

( /f5+.’ on school nights)?2 ❑ 8–8:59 p.m.

I 3 ❑ 19-9:59p. m,II 4 •l 10–10:59p. m.II 5 D 11 –12 midnightI

6 ❑ After midnight

b. About how many hours doss –– usually SLEEP ]each night?

I ❑ Less than 5 hours

2 ❑ 5-6 hours:

3 a7-8 hoursI 4 ❑ 9-10 hoursII 5 ❑ 11+ hoursI

c. Does —— usually take naps during the day? I

I lY 2 N (2)1

d. Counting daily naps and night-time sleep, about Ihow many hours in all does – - usually sleep

I ❑ Less than 8 hours

each day? I 2 lJ8-9 hours$I 3 I_J 10–11 hoursII 4 ❑ 12—14 hoursI 5 ❑ 15+ hoursI

2a. During the past 12 months has –– walked in I

— — sleep?I 4 ❑ Child does not walk (3)III lY 2 N (3)

b. About how many times has –- walked in –– Isleep during the past 12 months?

Range acceptableI TimesI!

3a. Does – - usually sleep in one room or in 4different rooms? [ I •l One room

I 2 ❑ Different roomsI

b. Does — — usually sleep in a room aiona or Ishare a room? I I IJ Alone [4)

II 2 •l SharesIII I ❑ Brother(s)

c. Who (else) usually sleaps in the room with - —? I2 ❑ Sister(s)

I3 •l FatherI

I 4 ❑ MotherII a ❑ Other(s)II

d. Anyone else? II Y (Reask 3C and d) N1

4. When riding in a car, does —— wear a seat belt or Irestraint all or most of the time, some of the I •l All/most of time

time, once in a while, or never? I2 ❑ Some of the timeI

I 3 ❑ Once in a whileII o Q NeverI

b COMPLETEITEM 70N PAGE 10Ft7HS.

●

104

CARD C

Carrdiiierts rapwwd for which ~wtians 3a-3t rrwd trot be wktd:

Acne Hemorrhoids or piles (any kind)

Appendicitis Hernia (ary type)

Arterlosclemsis Kidney stones

Arthritis (srry kind) Laryngitis

Athlete’s foot tlig:sine (any kind)

Bronchitis (any kind) t%mps

Bunlans Normal delivery

Bursitis Phlebitis (Thromtmphlebitis)

Gilusss Pneumonia

Chickenpox Pregnancy

Cold Sciatica

Ccms Sinus (any kind)

croup Strep (Streptococcus) throat

Diabetes (m,y type) Tonsillitis

Epilepsy (any kind) Ulcer (duodensl, strmrsch, lmpticor gastric tmly)

GsllstMesVssectomy

GaiterWats

Hardening of the arteriesWhwpinf cough

Hay fever

CARD E2

Show datail in qtmstion 3e, Condition page and/or quastion 6, Hospitol page forthasa IMPAIRMENTS.

Deafness

Trouble hesrin~

Othar ●ar conditiur

Blindness

Trouble saain;

Othar eye condition

Mlssin; hand - all or part

Missing arm - all or pw

Misain; fwt - all or part

Missing Ie; - all or part

Trouble, stiffnaaa or wry defonniay of - fact, leg, fin$$rs, arm, or bsck

CARD I

Under S1,OOO(including loss) . . . . . . . . . . . . .. Group A

SI.IY20- SI.999 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Group B

S2,000- S 2,999 . . . . . . . . . . . . . . . . . . . . . . . . . .. Group C

s3,000- s 3,999 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Group D

S4,0W2-S 4,959 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Grwp E

S5,000- SS,999 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Group F

S6,000- S 6,999 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. GrouPG

S7,000- S 9,999 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Qou PH

SIO,OOO- S14,999 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Group I

S15,000- S24.599 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. GrouPJ

S25,0tY3 and over . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Grcup K

CARD B

OFTEN TRUE in the past 3 months

SOMETIMES TRUE in the past 3 months

NOT TRUE in the past 3 months

105

CARD O

I. Pusrto Rica-1 5. tlsxican-Amsrican

2. Cubsn 6. Chicsno

3. Fkxicm 7. Other Latin American

4. Msxicalo 8. Other Spsnish

106

CAROT

1, Every day

2. Nearly every day

3. Once w twice a week .

4.2 or 3 times a month

5. About once a month

6. Less then once a mwth

CARD R

1. Aleut, Eskimo or American Indian

2. Asisn or Pacific Islsnder

3. Black

4. Whits

S. Anothsr troup not Iistsd - S*ify

* U.S. GOVRRNMSNTPRINTING OFFICE:1982-381-161:520

. .

United States, 1981 · 2019-06-11 · United States, 1981 Incidence of acute conditions, number of...

Documents

Transcript of United States, 1981 · 2019-06-11 · United States, 1981 Incidence of acute conditions, number of...