National Center for Health Statistics National Health and Nutrition Examination Survey OP96S002.

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Presentation transcript:

National Center for Health Statistics National Health and Nutrition Examination Survey OP96S002

National Health and Nutrition Examination Survey (NHANES) Objective To assess the health and nutritional status of adults and children in the United States OP96S022

National Health and Nutrition Examination Surveys NHES I years NHES II years NHES III years NHANES I years NHANES II mo.-74 years HHANES mo.-74 years NHANES III mo. + NHANES1999-All ages SurveyDatesAges OP96S025

NHANES topics Cardiovascular disease Diabetes, lower extremity disease Bone status, osteoporosis Oral health Vision Hearing and balance Fitness and strength OP96S035

NHANES topics Nutrition Anthropometry Mental health Risk behaviors Reproductive health Environmental exposures Infectious diseases OP96S036

NHANES survey methods Eligible population Civilian, non-institutionalized household population All states and D.C. All ages OP96S030

NHANES sample design Oversample African Americans Mexican Americans Adolescents aged Older persons aged 60+ Pregnant women Low income whites OP96S031

Stage 4 SPs Stage 1 Counties Stage 2 Segments Stage 3 Households OP96S017

NHANES information flow Advance letter Screening In-home interview Exam Biologic Specimens LabNCHSParticipant Informed consent OP96S032

OP96S033

OP96S034

Pentop handheld computer Field interviews OP96S038

NHANES Mobile Exam Center OP96S041

NHANES mobile examination centers Standard environment Standard equipment Standard specimen collection Standard staff procedures Automated data collection Minimal site-specific error OP96S043

NHANES Mobile Examination Center (MEC)staff Physician Dentist Dietary interviewers (2) Private health interviewers (2) Health technicians (3) Phlebotomist (1) Manager Coordinator OP96S046

Health Examination Exam duration 1-4 hours Remuneration $100 Several examinations, private health interviews Participants receive exam findings OP96S053

On day of examPreliminary report of findings; referrals 1-2 weeksNotification of abnormal values - (letter sent by mail) NHANES report of findings Time after examReport OP96S047

4 weeksSexually transmitted disease test reporting (self-initiated telephone reporting, toll-free line) weeksFinal report of findings (sent by mail) NHANES report of findings Time after examReport OP96S048

NHANES key response rates Current total Interviewed MEC examined Percent

ISIS architecture h i Household interviews Westat home office T1 NCHS Labs & graders T1 MEC 64kb Field office National Frame Relay Network OP96S049

Data release process QA/QC Editing/cleanup Weighting Data preparation Documentation Confidentiality review OP96S053

NHANES data dissemination Public use files NHANES available on internet as of June 21, 2002 Plan for release in 2004 and release in 2006 OP96S054

NHANES web site OP96S058

Reports and Data Briefs 1999 NHANES Blood and hair mercury levels Blood lead levels Folate status in women Prevalence of overweight National report on human exposures to environmental chemicals OP96S053