2012 National Conference on Health Statistics Jacqueline Wilson Lucas, B.A., M.P.H., National Center for Health Statistics Division of Health Interview.

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Presentation transcript:

2012 National Conference on Health Statistics Jacqueline Wilson Lucas, B.A., M.P.H., National Center for Health Statistics Division of Health Interview Statistics A Brief History of the National Health Interview Survey and Plans for Its Future

Early health surveys in the U.S. Focused on control of infectious disease, mortality Not a source of continuous health data on health, morbidity Revealed the need for quantifiable data on disease prevalence, disability, health behaviors, and health care utilization National Health Survey

National Health Interview Survey (NHIS) Created by 1956 National Health Survey Act, Public Law 652; signed by President Eisenhower Went into the field first time: July 1957 Represents noninstitutionalized civilian U.S. population Fielded continuously (noted exceptions)

How has the NHIS changed over time?

Changes in survey content/structure Then… Detailed medical care use Family unit health characteristics …Now Health status, health- related behaviors, general access to and utilization of health care Each family member + sample child + sample adult

Changes in sample/survey design Then… Estimates only for total national population Ask about individual body systems …Now Estimates for subpopulation groups to assess health disparities through oversampling More holistic approach – mental health, functioning, quality of life

Changes in data collection procedures Then… Paper and pencil questionnaire Collect race/ethnicity by observation, then only for adults …Now Computer Assisted Personal Interview (CAPI) Collect detailed respondent-reported race and ethnicity, including multiple race

Changes to selected questionnaire items Then… Income questions with high non- response Missing data on SSN, critical for linkage to other data …Now Testing of new methodology led to lower non-response on income Collect last 4 digits of SSN

Other survey changes Then… Relative stability in sample sizes in early years; gradual decline Only more recent years of data available online …Now After sample cuts (except 2005), recent increases for state- based estimates Release of public use microdata files back to

What’s next for the NHIS?

Selected 2012 NHIS Supplements TopicSponsorApprox # of minutes Complementary & Alternative Medicine (Adult & Child) NIH/NCCAM6 Internet & Usage* ASPE1 Food Security *USDA2 Enhanced Health Care Access and Utilization - ACA* HHS5 * Also to be fielded in 2013

Selected 2013 NHIS Supplements TopicSponsorApprox # of minutes Hepatitis CNCHHSTP/CDC1 EpilepsyNCCDPHP/CDC1 ArthritisNCCDPHP/CDC3 Asthma (adult and child) NCEH/CDC, NIAID & NHLBI/NIH 3 ABCs of Heart Disease and Stroke Prevention* NCHS/CDC1 * Also fielded in 2012

More future plans for the NHIS Web-based query system for use with in- house and public use data Sample redesign in 2016 Field testing of A-CASI technology for possible use in survey Exploration of collecting limited biomarker data

For more information: NHIS Website: Survey content Data releases Data from Early Release program Much more!