Wireless Substitution: Semiannual Estimates from the NHIS ER Program Centers for Disease Control and Prevention National Center for Health Statistics Stephen.

Slides:

Advertisements

Similar presentations

Coverage Bias in Traditional Telephone Surveys of Low-Income and Young Adults Centers for Disease Control and Prevention National Center for Health Statistics.

Advertisements

The Early Release Program of the National Health Interview Survey Jeannine Schiller, M.P.H., Jane F. Gentleman, Ph.D., Eve Powell-Griner, Ph.D. National.

An Introduction to the Survey of Pathways to Diagnosis and Services, 2011 Rosa M. Avila, MSPH Centers for Disease Control and Prevention National Center.

1 Monitoring Pediatric Emergency Room Use with the National Health Interview Survey Renee M. Gindi Division of Health Interview Statistics, NCHS National.

Challenges to Surveys Non-response error –Falling response rates over time Sample coverage –Those without landline telephones excluded –Growing.

Asthma Prevalence in the United States

Exploring Multiple Dimensions of Asthma Disparities Using the Behavioral Risk Factor Surveillance System Kirsti Bocskay, PhD, MPH Office of Epidemiology.

Use of Spiritual Healing Therapy in Relation to Race and Ethnicity Catherine Simile, Ph.D. and Hanyu Ni, Ph.D. Division of Health Interview Statistics.

Uninsured On The Rise What The 2011 Colorado Health Access Survey Tells Us About Vulnerable Coloradans March 7, 2012 CHI/AHEC Conversation Series.

Center for Disease Control and Prevention National Center for Health Statistics National Health Interview Survey Source: Centers for Disease Control and.

The rich multivariate data of the National Center for Health Statistics’ National Health Interview Survey Jane F. Gentleman, Ph.D., Director Division of.

A model for understanding disparities in health and health care Scott Commins & Dr. Raymond Greenberg.

Diagnostic and Health Care Experiences of Children with Past but Not Current Diagnosis of Autism Spectrum Disorder Stephen J. Blumberg, Ph.D.

Asthma Prevalence in the United States National Center for Environmental Health Division of Environmental Hazards and Health Effects June 2014.

Methodologic Overview of Two National Data Sets Centers for Disease Control and Prevention National Center for Health Statistics Issues in Comparing Findings.

Adult Vaccination Update Walter W. Williams, M.D., M.P.H. Medical Epidemiologist, NCIRD National Adult and Influenza Immunization Summit Provider Work.

Exhibit 1. Continuously insured adults with private coverage or Medicaid rated the quality of their health care as excellent or very good at higher rates.

Trends in Health and Aging Major Trends and Patterns in Health and Aging July 2007.

Press Release FOR IMMEDIATE RELEASE:CONTACT: Roseanne Pawelec, Tuesday, July 23, 2002(617) NEARLY HALF OF ALL MASSACHUSETTS RESIDENTS OVERWEIGHT.

Aspects of the National Health Interview Survey (NHIS) Chris Moriarity National Conference on Health Statistics August 16, 2010

TABLE OF CONTENTS CHAPTER 7.0: Community Health Indicators Chart 7.1: U.S. Population Trends and Projections by Age, 1980 – 2050 Chart 7.2: U.S. Population.

A Profile of Health among Massachusetts Adults: Highlights from the Massachusetts Behavioral Risk Factor Surveillance System (BRFSS) Health Survey.

Robin A. Cohen, PhD National Center for Health Statistics National Conference on Health Statistics August 7, 2012 Financial burden of medical care: Looking.

Major Areas of Health Research Topics Using MEPS Data Access Access Use Use Expenditures Expenditures Health insurance Health insurance Health status and.

2004 Falls County Health Survey Texas Behavioral Risk Factor Surveillance System (BRFSS)

Comparative Analysis of Factors Affecting the Use of Complementary and Alternative Medicine and Prayer and Spiritual Healing by Catherine M. Simile, Patricia.

Chart 7.1: U.S. Population Trends and Projections by Age, 1980 – 2060 (1) Source: U.S. Department of Commerce, Bureau of the Census. Projections of the.

The Joint Canada/U.S. Survey of Health (JCUSH) Catherine Simile, PhD, U. S. Project Officer Division of Health Interview Statistics National Center for.

Trends in Health and Aging Major Trends and Patterns in Health of Older Hispanics in the United States October 2007.

TABLE OF CONTENTS CHAPTER 7.0: Community Health Indicators Chart 7.1: U.S. Population Trends and Projections by Age, Chart 7.2: U.S. Population.

Jacqueline Wilson Lucas, B.A., MPH Renee Gindi, Ph.D. Division of Health Interview Statistics Presented at the 2012 National Conference on Health Statistics.

TABLE OF CONTENTS CHAPTER 7.0: Community Health Indicators Chart 7.1: U.S. Population Trends and Projections by Age, 1980 – 2050 Chart 7.2: U.S. Population.

Eve Powell-Griner, PhD National Center for Health Statistics Centers for Disease Control and Prevention National Center for Health Statistics Overview.

Chart 7.1: U.S. Population Trends and Projections by Age, 1980 – 2060 (1) Source: U.S. Department of Commerce, Bureau of the Census. Projections of the.

Overview of the National Health Interview Survey Jane F. Gentleman, Ph.D. U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and.

A-50 Table 7.1: U.S. Population Trends and Projections (1) by Age, 1980 – 2050 Source: U.S. Department of Commerce, Bureau of the Census. U.S. Interim.

1 Renee M. Gindi NCHS Federal Conference on Statistical Methodology Statistical Policy Seminar December 4, 2012 Responsive Design on the National Health.

US Childhood Asthma Prevalence Estimates: The Impact of the 1997 National Health Interview Survey Redesign Lara Akinbami, MD National Center for Health.

Figure Million Uninsured Young Adults in 2007, Up by 2.3 Million in Last Eight Years Millions uninsured, adults ages 19–29 Source: Analysis of.

Poverty and Health Jennifer Madans, Kimberly Lochner, and Diane Makuc National Center for Health Statistics Centers for Disease Control and Prevention.

Robin A. Cohen, PhD National Center for Health Statistics National Conference on Health Statistics August 6, 2012 Analytic Uses of National Health Interview.

Healthy People 2010 Focus Area 1 Access to Quality Health Services Progress Review June 4, 2002.

Jane F. Gentleman, PhD Hanyu Ni, PhD U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health.

Healthy People 2010 Focus Area 6: Disability and Secondary Conditions Progress Review November 16, 2006.

Growing Challenges to State Telephone Surveys of Health Insurance Coverage: Minnesota as a Case Study Supported by a grant from the Minnesota Department.

U.S. Hispanic Population: 1999 Helping You Make Informed Decisions.

Measurement of Income in NCHS Surveys Diane M. Makuc NCHS Data Users Conference July 12, 2006 Centers for Disease Control and Prevention National Center.

Building Wave Response Rates in a Longitudinal Survey: Essential for Nonsampling Error Reduction or Last In - First Out? Steven B. Cohen Fred Rohde and.

Interviewer Effects on Paradata Predictors of Nonresponse Rachael Walsh, US Census Bureau James Dahlhamer, NCHS European Survey Research Association, 2015.

Does Inclusion of Both Partial and Complete Interviews from the Source Sampling Frame Have an Effect on Nonresponse Error and Measurement Error in a National.

Analytical Example Using NHIS Data Files John R. Pleis.

Figure 1. Total population, population 65 years and over and 75 years and over: United States, NOTE: See Data Table for data points graphed and.

F ocus Area 22 Physical Activity and Fitness Progress Review April 14, 2004.

A-50 Table 7.1: U.S. Population Trends and Projections (1) by Age, 1980 – 2050 Source: U.S. Department of Commerce, Bureau of the Census. Projections.

Trends in childhood asthma: NCHS data on prevalence, health care use and mortality Susan Lukacs, DO, MSPH Lara Akinbami, MD Infant, Child and Women’s Health.

National Health Interview Survey Early Release Program: Overview and Key Health Indicators Report Jeannine S. Schiller, M.P.H. Division of Health Interview.

Obesity and Socioeconomic Status in Adults: United States, 2005–2008 NCHS Data Brief ■ No. 50 ■ December 2010.

Using Data from the National Survey of Children with Special Health Care Needs Centers for Disease Control and Prevention National Center for Health Statistics.

Healthy People 2010 Focus Area 5 Diabetes Progress Review December 18, 2002.

The State and Local Area Integrated Telephone Survey Marcie Cynamon Chief, Survey Planning and Special Surveys Branch National Center for Health Statistics.

Presented by: Khaleel S. Hussaini PhD Bureau Chief, Public Health Statistics Division of Public Health Preparedness Judy Bass Arizona’s BRFSS Coordinator.

A-52 Table 7.1: U.S. Population Trends and Projections by Age, 1980 – 2060 (1) Source: U.S. Department of Commerce, Bureau of the Census. Projections.

OZAUKEE COUNTY COMMUNITY HEALTH SURVEY – March 2012 Commissioned by: Aurora Health Care Children’s Hospital of Wisconsin Columbia St. Mary’s Health System.

1 Assessment of Potential Bias in the National Immunization Survey (NIS) from the Increasing Prevalence of Households Without Landline Telephones Meena.

Co-occurring Mental Illness and Healthcare Utilization and Expenditures Among Adults with Obesity and Chronic Physical Illness Chan Shen, MA. MS. Usha.

Mental Health Data Available from the 2007 National Survey of Children’s Health Stephen J. Blumberg, Ph.D. Kathleen S. O’Connor, M.P.H. Presented at the.

Health Insurance among Hispanics in the United States: National Health Interview Survey, Debra L. Blackwell, Ph.D., NCHS/DHIS LaJeana Howie,

How the Affordable Care Act Has Improved Americans’ Ability to Buy Health Insurance on Their Own Findings from the Commonwealth Fund Biennial Health Insurance.

Presentation transcript:

Wireless Substitution: Semiannual Estimates from the NHIS ER Program Centers for Disease Control and Prevention National Center for Health Statistics Stephen Blumberg Julian Luke

Percentage of U.S. Households Without Landline Telephones Based on National Health Interview Survey data

Percentage of U.S. Households Without Landline Telephones Based on National Health Interview Survey data

Percentage of U.S. Households Without Landline Telephones 34% of households have only wireless telephones Based on National Health Interview Survey data

Prevalence of Wireless-Only Adults by Age 48.6% of % of % of % of % of % of 65+

Prevalence of Wireless-Only Adults by Home Ownership Status 56.0% of adults renting their home 21.2% of adults owning or buying their home

Prevalence of Wireless-Only Adults by Household Structure 77.5% of adults living with roommates 41.3% of adults living alone 35.4% of adults living with children 25.1% of adults living with related adults

Prevalence of Wireless-Only Adults by Sex 33.7% of men 30.9% of women

Prevalence of Wireless-Only Adults by Race/Ethnicity 43.3% of Hispanic adults 36.8% of Black nonHispanic adults 29.0% of White nonHispanic adults

Prevalence of Wireless-Only Adults by Household Poverty Status 51.4% of adults in poverty 39.6% of adults near poverty 28.9% of higher income adults

Prevalence of Wireless-Only Adults by Employment Status Last Week 36.8% of adults working at a job 40.8% of adults going to school 32.7% of adults keeping house 22.3% of other adults (incl. unemployed)

Prevalence of Wireless-Only Adults by Metropolitan Statistical Area Status 33.6% of adults in MSAs 27.2% of adults not in MSAs

Prevalence of Wireless-Only Adults by Geographic Region 20.6% in Northeast 35.9% in South 35.2% in Midwest 33.0% in West

Percent Distribution of Households by Telephone Status, July-December 2011 Wireless Only: 34.0% Landline with Wireless: 53.4% Landline Only: 10.2% Unknown: 0.2% Phoneless: 2.2%

Why did NCHS Begin Studying Whether Households have Wireless Telephones? In 2003, random-digit-dial telephone surveys did not call wireless telephones As more people gave up their landline telephones and lived only with wireless telephones, more people were excluded from RDD landline surveys To understand the impact of this noncoverage and how to correct it, a personal visit survey was needed to monitor the growing size and characteristics of the wireless-only population

National Health Interview Survey In-person survey of the civilian noninstitutionalized U.S. population with high annual household-level response rates Includes questions on residential telephone numbers to permit recontact of participants  2003: Added questions on working cellular telephones  2007: Added questions on relative frequency of calls received on landlines and cell phones

Coverage Bias Two factors determine the degree of coverage bias due to telephone ownership in a telephone survey:  The percentage of persons without landline telephones in the population of interest  The magnitude of the difference between persons with and without landline telephones for the variable of interest

Health Characteristics Examined Health-related behaviors  5+ alcoholic drinks in one day (past year)  Smoking (current)  Leisure-time physical activity (regularly) Health status  Excellent or very good health status  Serious psychological distress (past 30 days)  Obesity  Asthma episode (past year)  Diabetes (ever diagnosed) Health care service use  Has a usual place to go for medical care  Received influenza vaccine (past year)  Tested for HIV (ever)  Financial barrier to needed care (past year)  Uninsured (current) For these 13 estimates, preliminary weighted data were produced by the NHIS Early Release Program.

Percent of U.S. Adults with Various Health Characteristics, by Phone Status Has a landline telephone Wireless- only No telephone 5+ alcoholic drinks in 1 day Current smoker Psychological distress Health excellent / very good July – December 2011

Percent of U.S. Adults with Various Health Characteristics, by Phone Status Has a landline telephone Wireless- only No telephone Uninsured (when interviewed) Financial barriers to care Has a usual place for care Flu vaccination Ever tested for HIV July – December 2011

American Journal of Public Health, October 2009, pp

Why does NCHS Continue to Monitor Wireless Telephone Use? Most major survey research organizations now include wireless telephone numbers when conducting RDD telephone surveys Data on household telephone ownership and use are necessary to properly weight these dual-frame telephone surveys

Adding a Cell-Phone Frame Landline OnlyLandline and Wireless Wireless OnlyPhoneless Landline FrameWireless Frame Landline Frame Wireless Frame

National Health Interview Survey In-person survey of the civilian noninstitutionalized U.S. population with high annual household-level response rates Includes questions on residential telephone numbers to permit recontact of participants  2003: Added questions on working cellular telephones  2007: Added questions on relative frequency of calls received on landlines and cell phones

National Health Interview Survey In-person survey of the civilian noninstitutionalized U.S. population with high annual household-level response rates Includes questions on residential telephone numbers to permit recontact of participants “Of all the calls that your family receives, are … (1) All or almost all calls received on cell phones? (2) Some received on cell phones and some on regular phones? (3) Very few or none received on cell phones?”

Percent Distribution of Households by Telephone Status, July-December 2011 Wireless Only: 34.0% Landline with Wireless: 53.4% Landline Only: 10.2% Unknown: 0.2% Phoneless: 2.2%

Percent Distribution of Households by Telephone Status, July-December 2011 Wireless Only: 34.0% Landline Only: 10.2% Unknown: 0.2% Phoneless: 2.2% Wireless Mostly: 16.0% Landline with Some Wireless: 37.4%

Percentage of Adults Living in Wireless-Mostly Households Based on National Health Interview Survey data

Prevalence of Wireless-Mostly Adults by Home Ownership Status 13.5% of adults renting their home 19.9% of adults owning or buying their home

Prevalence of Wireless-Mostly Adults by Household Poverty Status 8.8% of adults in poverty 13.5% of adults near poverty 21.9% of higher income adults

Prevalence of Wireless-Only Adults by Age 18.9% of % of % of % of % of 65+

Prevalence of Wireless-Only Adults by Age 21.2% of % of % of 65+

Percent Distribution of Households by Telephone Status, July-December 2011 Wireless Only: 34.0% Landline Only: 10.2% Unknown: 0.2% Phoneless: 2.2% Wireless Mostly: 16.0% Landline with Some Wireless: 37.4%

Forthcoming Reports (Fall 2012) Wireless Substitution: State-level Estimates From the NHIS, Wireless Substitution: Early Release of Estimates From the NHIS, January-June 2012 Prevalence of Adults Living in Wireless-Only Households, July June 2010

For More Information… Stephen J. Blumberg, Ph.D. National Center for Health Statistics 3311 Toledo Road, Room 2112 Hyattsville, Maryland USA