MEPS HC-141: 2011 Full Year Population Characteristics
February 2013
Agency for Healthcare Research and Quality
Center for Financing, Access, and Cost Trends
540 Gaither Road
Rockville, MD 20850
(301) 427-1406
Table of Contents
A. Data Use Agreement
B. Background
1.0 Household Component
2.0 Medical Provider Component
3.0 Survey Management and Data Collection
C. Technical and Programming Information
1.0 General Information
2.0 Data File Information
2.1 Codebook Structure
2.2 Reserved Codes
2.3 Codebook Format
2.4 Variable Naming
2.5 File Contents
2.5.1 Survey Administration Variables (DUID-RURSLT53)
2.5.2 Navigating the MEPS Data with Information on Person Disposition Status
2.5.3 Demographic Variables (AGE31X-DAPID53X)
2.5.4 Person-Level Condition Variables (RTHLTH31-ADHDAGED)
2.5.4.1 Perceived Health Status and Pregnancy Indicator
2.5.4.2 Priority Condition Variables (HIBPDX-ADHDAGED)
2.5.5 Health Status Variables (IADLHP31-DSPRX53)
2.5.5.1 IADL and ADL Limitations
2.5.5.2 Functional and Activity Limitations
2.5.5.3 Vision Problems
2.5.5.4 Hearing Problems
2.5.5.5 Any Limitation Rounds 3, 4, and 5 (Panel 15) / Rounds 1, 2, and 3 (Panel 16)
2.5.5.6 Child Health and Preventive Care
2.5.5.7 Preventive Care Variables
2.5.5.8 2011 Self-Administered Questionnaire (SAQ)
2.5.5.9 Diabetes Care Survey (DCS)
2.5.6 Disability Days Indicator Variables (DDNWRK31-OTHNDD53)
2.5.7 Access to Care Variables (ACCELI42-PMDLPR42)
2.5.7.1 United States Residency
2.5.7.2 Family Members’ Origins and Preferred Languages
2.5.7.3 Family Members’ Usual Source of Health Care
2.5.7.4 Characteristics of Usual Source of Health Care Providers
2.5.7.5 Access to and Satisfaction with the Provider
2.5.7.6 Access to Medical Treatment, Dental Treatment, and Prescription Medicines
2.5.7.7 Editing the Access to Care Variables
2.5.7.8 Recoding of Additional Other Specify Text Items
2.5.8 Employment Variables (EMPST31-YNOINS53)
2.5.9 Health Insurance Variables (TRIJA11X-RTPLNT42)
2.5.9.1 Monthly Health Insurance Indicators (TRIJA11X-INSDE11X)
2.5.9.2 Summary Insurance Coverage Indicators (PRVEV11-INSURC11)
2.5.9.3 FY 2011 PUF Managed Care Variables (TRIST31X-PRDRNP11)
2.5.9.4 Flexible Spending Accounts (FSAGT31-FSAAMT31)
2.5.9.5 Unedited Health Insurance Variables (PREVCOVR-INSENDYY)
2.5.9.6 Health Insurance Coverage Variables – At Any Time/At Interview Date/At 12-31 Variables (TRICR31X - EVRUNAT)
2.5.9.7 Dental and Prescription Drug Private Insurance Variables (DENTIN31-PMDINS11)
2.5.9.8 Prescription Drug Usual Third Party Payer Variables (PMEDUP31-PMEDPP53)
2.5.9.9 Experiences with Public Plans Variables (GDCPBM42 - RTPLNT42)
2.5.10 Person-Level Medical Utilization Variables (OBTOTV11 - HHINFD11)
2.5.10.1 Medical Provider Visits (i.e., Office-Based Visits)
2.5.10.2 Hospital Events
2.5.10.3 Dental Care Visits
2.5.10.4 Home Health Care
2.5.11 Changes in Variable List
2.6 Linking to Other Files
2.6.1 Event and Condition Files
2.6.2 National Health Interview Survey
2.6.3 Longitudinal Analysis
3.0 Survey Sample Information
3.1 Background on Sample Design and Response Rates
3.1.1 References
3.1.2 MEPS--Linked to the National Health Interview Survey
3.1.3 Sample Weights and Variance Estimation
3.2 The MEPS Sampling Process and Response Rates: An Overview
3.2.1 Response Rates
3.2.2 Panel 16 Response Rates
3.2.3 Panel 15 Response Rates
3.2.4 Combined Panel Response
3.2.5 Oversampling
3.3 Background on Person-Level Estimation Using this MEPS Public Use Release
3.3.1 Overview
3.3.2 Developing Person-Level Estimates
3.4 Details on Person-Level Weights Construction
3.4.1 Overview
3.4.2 MEPS Panel 15
3.4.3 MEPS Panel 16
3.4.4 Raking
3.4.5 The Final Non-Poverty Adjusted Weight for 2011
3.4.6 A Note on MEPS Population Estimates
3.4.7 Coverage
3.5 No Family, SAQ, or DCS Weights on this Public Use File
3.6 Variance Estimation
3.7 Using MEPS Data for Trend Analysis
D. Variable-Source Crosswalk
Individual identifiers have been removed from the
micro-data contained in these files. Nevertheless, under sections 308 (d) and
903 (c) of the Public Health Service Act (42 U.S.C. 242m and 42 U.S.C. 299 a-1),
data collected by the Agency for Healthcare Research and Quality (AHRQ) and/or
the National Center for Health Statistics (NCHS) may not be used for any purpose
other than for the purpose for which they were supplied; any effort to determine
the identity of any reported cases is prohibited by law.
Therefore in accordance with the above referenced
Federal Statute, it is understood that:
- No one is to use the data in this data set in any way except
for statistical reporting and analysis; and
- If the identity of any person or establishment should be
discovered inadvertently, then (a) no use will be made of this
knowledge, (b) the Director Office of Management AHRQ will be
advised of this incident, (c) the information that would
identify any individual or establishment will be safeguarded or
destroyed, as requested by AHRQ, and (d) no one else will be
informed of the discovered identity; and
- No one will attempt to link this data set with individually
identifiable records from any data sets other than the Medical
Expenditure Panel Survey or the National Health Interview
Survey.
By using these data you signify your agreement to
comply with the above stated statutorily based requirements with the knowledge
that deliberately making a false statement in any matter within the jurisdiction
of any department or agency of the Federal Government violates Title 18 part 1
Chapter 47 Section 1001 and is punishable by a fine of up to $10,000 or up to 5
years in prison.
The Agency for Healthcare Research and Quality
requests that users cite AHRQ and the Medical Expenditure Panel Survey as the
data source in any publications or research based upon these data.
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The Medical Expenditure Panel Survey (MEPS) provides
nationally representative estimates of health care use, expenditures, sources of
payment, and health insurance coverage for the U.S. civilian
noninstitutionalized population. The MEPS Household Component (HC) also provides
estimates of respondents’ health status, demographic and socio-economic
characteristics, employment, access to care, and satisfaction with health care.
Estimates can be produced for individuals, families, and selected population
subgroups. The panel design of the survey, which includes 5 Rounds of interviews
covering 2 full calendar years, provides data for examining person level changes
in selected variables such as expenditures, health insurance coverage, and
health status. Using computer assisted personal interviewing (CAPI) technology,
information about each household member is collected, and the survey builds on
this information from interview to interview. All data for a sampled household
are reported by a single household respondent.
The MEPS-HC was initiated in 1996. Each year a new
panel of sample households is selected. Because the data collected are
comparable to those from earlier medical expenditure surveys conducted in 1977
and 1987, it is possible to analyze long-term trends. Each annual MEPS-HC sample
size is about 15,000 households. Data can be analyzed at either the person or
event level. Data must be weighted to produce national
estimates.
The set of households selected for each panel of the
MEPS HC is a subsample of households participating in the previous year’s
National Health Interview Survey (NHIS) conducted by the National Center for
Health Statistics. The NHIS sampling frame provides a nationally representative
sample of the U.S. civilian noninstitutionalized population and reflects an
oversample of Blacks and Hispanics. In 2006, the NHIS implemented a new sample
design, which included Asian persons in addition to households with Black and
Hispanic persons in the oversampling of minority populations. MEPS further
oversamples additional policy relevant sub-groups such as low income households.
The linkage of the MEPS to the previous year’s NHIS provides additional data for
longitudinal analytic purposes.
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Upon completion of the household CAPI interview and
obtaining permission from the household survey respondents, a sample of medical
providers are contacted by telephone to obtain information that household
respondents can not accurately provide. This part of the MEPS is called the
Medical Provider Component (MPC) and information is collected on dates of
visits, diagnosis and procedure codes, charges and payments. The Pharmacy
Component (PC), a subcomponent of the MPC, does not collect charges or diagnosis
and procedure codes but does collect drug detail information, including National
Drug Code (NDC) and medicine name, as well as date filled and sources and
amounts of payment. The MPC is not designed to yield national estimates. It is
primarily used as an imputation source to supplement/replace household reported
expenditure information.
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MEPS HC and MPC data are collected under the authority
of the Public Health Service Act. Data are collected under contract with Westat,
Inc. (MEPS HC) and Research Triangle Institute (MEPS MPC). Data sets and summary
statistics are edited and published in accordance with the confidentiality
provisions of the Public Health Service Act and the Privacy Act. The National
Center for Health statistics (NCHS) provides consultation and technical
assistance.
As soon as data collection and editing are completed,
the MEPS survey data are released to the public in staged releases of summary
reports, micro data files, and tables via the MEPS Web site: meps.ahrq.gov. Selected data can be
analyzed through MEPSnet, an on-line interactive tool designed to give data
users the capability to statistically analyze MEPS data in a menu-driven
environment.
Additional information on MEPS is available from the
MEPS project manager or the MEPS public use data manager at the Center for
Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality,
540 Gaither Road, Rockville, MD 20850 (301-427-1406).
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This documentation describes the 2011 full-year
population characteristics data file from the Medical Expenditure Panel Survey
Household Component (MEPS HC). Released as an ASCII file (with related SAS,
SPSS, and Stata programming statements and data user information) and a SAS
transport dataset, this public use file provides information collected on a
nationally representative sample of the civilian noninstitutionalized population
of the United States for calendar year 2011. The file contains 1,160 variables
and has a logical record length of 2,414 with an additional 2-byte carriage
return/line feed at the end of each record.
This file consists of MEPS survey data obtained in
Rounds 3, 4, and 5 of Panel 15 and Rounds 1, 2, and 3 of Panel 16, the rounds
for the MEPS panels covering calendar year 2011, and contains variables
pertaining to survey administration, demographics, person-level conditions,
health status, disability days, quality of care, employment, health insurance,
patient satisfaction, and person-level medical care use counts. The 2011
full-year expenditure and income data will be forthcoming.
The following documentation offers a brief overview of
the types and levels of data provided, content and structure of the files, and
programming information. It contains the following sections:
- Data File Information
- Survey Sample Information
- Variable-Source Crosswalk
Both weighted and unweighted frequencies of all the
variables included in the 2011 full-year population characteristics data file
are provided in the accompanying codebook file.
A database of all MEPS products released to date and a
variable locator indicating the major MEPS data items on public use files that
have been released to date can be found at the following link on the MEPS Web
site: meps.ahrq.gov.
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This public use dataset contains variables and
frequency distributions associated with 35,313 persons who participated in the
MEPS Household Component of the Medical Expenditure Panel Survey in 2011. These
persons received a positive person-level weight, a family-level weight, or both
(some participating persons belonged to families characterized as family-level
nonrespondents while some members of participating families were not eligible
for a person-level weight). Note that persons who will have a positive family
weight but not a positive person weight have been placed on this public use file
to maintain consistency in terms of file structure with the upcoming public use
file with expenditure and income data. Those will be the only records without a
positive person weight appearing on this file.
Note that unlike some previous MEPS Population
Characteristic files, family weights are not included on this release. As
indicated above, all persons included on this file that do not have positive
person weights will have a positive family weight on the final 2011 Consolidated
PUF: HC-147.
These 35,313 persons were part of one of the two MEPS
panels for whom data were collected in 2011: Rounds 3, 4, and 5 of Panel 15 or
Rounds 1, 2, and 3 of Panel 16. Of these persons, 33,622 were assigned a positive
person-level weight. The codebook provides both weighted and unweighted frequencies
for each variable on the dataset. In conjunction with the person-level weight variable
(PERWT11P) provided on this file, data for persons with a positive person-level weight
can be used to make estimates for the civilian noninstitutionalized U.S. population
for 2011.
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2.1 Codebook Structure
The codebook and data file sequence lists variables in
the following order:
- Unique person identifiers and survey administration variables
- Geographic variables
- Demographic variables
- Person-level priority condition variables
- Health status variables
- Disability days variables
- Access to care variables
- Employment variables
- Health insurance variables
- Medical usage count variables
- Weight and variance estimation variables
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2.2 Reserved Codes
The following reserved code values are used:
Value |
Definition |
-1 INAPPLICABLE |
Question was not asked due to skip pattern |
-2 DETERMINED IN PREVIOUS ROUND |
Question was not asked in round because there
was no change in current main job since previous round |
-7 REFUSED |
Question was asked and respondent refused to answer question |
-8 DK |
Question was asked and respondent did not know answer |
-9 NOT ASCERTAINED |
Interviewer did not record the data |
-10 HOURLY WAGE >= $75.00 |
Hourly wage was top-coded for confidentiality |
-13 INITIAL WAGE IMPUTED |
Hourly wage was previously imputed so an
updated wage is not included in this file |
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2.3 Codebook Format
This codebook describes an ASCII data set and provides
the following programming identifiers for each variable:
Identifier |
Description |
Name |
Variable name (maximum of 8 characters) |
Description |
Variable descriptor (maximum 40 characters) |
Format |
Number of bytes |
Type |
Type of data: numeric (indicated by NUM) or character (indicated by CHAR) |
Start |
Beginning column position of variable in record |
End |
Ending column position of variable in record |
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2.4 Variable Naming
In general, variable names reflect the content of the
variable, with an eight-character limitation. Edited variables end in an X and
are so noted in the variable label. The last two characters in round-specific
variables denote the rounds of data collection, Round 3, 4, or 5 of Panel 15 and
Round 1, 2, or 3 of Panel 16. Unless otherwise noted, variables that end in "11"
represent status as of December 31, 2011.
Variables contained in this delivery were derived
either from the questionnaire itself or from the CAPI. The source of each
variable is identified in the section of the documentation entitled "Section D.
Variable-Source Crosswalk." Sources for each variable are indicated in one of
four ways: (1) variables derived from CAPI or assigned in sampling are so
indicated; (2) variables derived from complex algorithms associated with
reenumeration are labeled "RE Section"; (3) variables that are collected by one
or more specific questions in the instrument have those question numbers listed
in the Source column; and (4) variables constructed from multiple questions
using complex algorithms are labeled "Constructed."
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2.5 File Contents
Users of MEPS data should be aware that the survey
collects data for all sample persons who were in the survey target population at
any time during the survey period. In other words, a small proportion of
individuals in MEPS analytic files are not members of the survey target
population (i.e., civilian noninstitutionalized) for the entire survey period.
These persons include those who had periods during which they lived in an
institution (e.g., nursing home or prison), were in the military, or lived out
of the country, as well as those who were born (or adopted) into MEPS sample
households or died during the year. They are considered sample persons for the
survey and are included in MEPS data files with positive person weights, but no
data were collected for the periods they were not in-scope and their annual data
for variables like health care utilization, expenditures, and insurance coverage
reflect only the part of the year they were in-scope for the survey. Persons who
are in-scope for only part of the year should not be confused with
non-respondents. Sample persons who are classified as non-respondents to one or
more rounds of data collection (i.e., initial non-respondents and drop outs over
time) are not included in MEPS annual files, and survey weights for full-year
respondents are inflated through statistical adjustment procedures to compensate
for both full and part-year nonresponse (see Section 3.0 "Survey Sample
Information" for more information). For more details about the identification
and analytic considerations regarding sample persons who are in-scope only part
of the year, see meps.ahrq.gov/about_meps/hc_sample.shtml.
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2.5.1 Survey Administration Variables (DUID-RURSLT53)
The survey administration variables contain
information related to conducting the interview, household and family
composition, and person-level and RU-level status codes. Data for the survey
administration variables were derived from the sampling process, the CAPI
programs, or were computed based on information provided by the respondent in
the reenumeration section of the questionnaire. Most survey administration
variables on this file are asked during every round of the MEPS interview. They
describe data for Rounds 3/1, 4/2, 5/3 status and status as of December 31,
2011. Variable names ending in "xy" represent variables relevant to Round "x" of
Panel 15 or Round "y" of Panel 16. For example, RULETR53 is a variable relevant
to Round 5 of Panel 15 or Round 3 of Panel 16, depending on the panel in which
the person was included. The variable PANEL indicates the panel in which the
person participated.
The December 31, 2011 variables were developed in two
ways. Those used in the construction of eligibility, in-scope, and the
end reference date were based on an exact date. The remaining variables were
constructed using data from specific rounds, if available. If data were missing
from the target round but were available in another round, data from that other
round were used in the variable construction. If no valid data were available
during any round of data collection, an appropriate reserved code was assigned.
Dwelling Units, Reporting Units, and Families
The definitions of Dwelling Units (DUs) in the MEPS
Household Survey are generally consistent with the definitions employed for the
National Health Interview Survey (NHIS). The Dwelling Unit ID (DUID) is a
five-digit random ID number assigned after the case was sampled for MEPS. A
person number (PID) uniquely identifies each person within the DU. The variable
DUPERSID is the combination of the variables DUID and PID.
PANEL is a constructed variable used to specify the
panel number for the person. PANEL will indicate either Panel 15 or Panel 16 for
each person on the file. Panel 15 is the panel that started in 2010, and Panel
16 is the panel that started in 2011.
A Reporting Unit (RU) is a person or group of persons
in the sampled DU who are related by blood, marriage, adoption, foster care, or
other family association. Each RU was interviewed as a single entity for MEPS.
Thus, the RU serves chiefly as a family-based "survey" operations unit rather
than an analytic unit. Members of each RU within the DU are identified in the
pertinent three rounds by the round-specific variables RULETR31, RULETR42, and
RULETR53. End-of-year status (as of December 31, 2011 or the last round they
were in the survey) is indicated by the RULETR11 variable. Regardless of the
legal status of their association, two persons living together as a "family"
unit were treated as a single RU if they chose to be so identified. Examples of
different types of RUs are:
- A married daughter and her husband living with her parents
in the same DU constitute a single RU;
- A husband and wife and their unmarried daughter, age 18, who
is living away from home while at college constitute two RUs;
and
- Three unrelated persons living in the same DU would each
constitute a distinct RU (a total of three RUs).
Unmarried college students (less than 24 years of age)
who usually live in the sampled household but were living away from home and
going to school at the time of the Round 3/1 MEPS interview were treated as a RU
separate from that of their parents for the purpose of data collection.
The round-specific variables RUSIZE31, RUSIZE42,
RUSIZE53, and the end-of-year status variable RUSIZE11 indicate the number of
persons in each RU, treating students as single RUs separate from their parents.
Thus, students are not included in the RUSIZE count of their parents’ RU.
However, for many analytic objectives, the student RUs would be combined with
their parents’ RU, treating the combined entity as a single family. Family
identifier and size variables are described below and include students with
their parents’ RU.
The round-specific variables FAMID31, FAMID42,
FAMID53, and the end-of-year status variable FAMID11 identify a family (i.e.,
persons related to one another by blood, marriage, adoption, foster care, or
self-identified as a single unit) for each round and as of December 31, 2011.
The FAMID variables differ from the RULETR variables only in that student RUs
are combined with their parents’ RU.
One other family identifier, FAMIDYR, is provided on
this file. The annualized family ID letter, FAMIDYR, identifies eligible members
of the eligible annualized families within a DU. In order to identify a person’s
family affiliation, users must create a unique set of FAMID variables by
concatenating the DU identifier and the FAMID variable. Instructions for
creating family estimates are described in Section 3.5.
The round-specific variables FAMSZE31, FAMSZE42,
FAMSZE53, and the end-of-year status variable FAMSZE11 indicate the number of
persons associated with a single family unit after students are linked to their
associated parent RUs for analytical purposes. Family-level analyses should use
the FAMSZE variables.
Note that the variables RUSIZE31, RUSIZE42, RUSIZE53,
RUSIZE11, FAMSZE31, FAMSZE42, FAMSZE53, and FAMSZE11 exclude persons who are
ineligible for data collection (i.e., those where ELGRND31 NE 1, ELGRND42 NE 1,
ELGRND53 NE 1 or ELGRND11 NE 1); analysts should exclude ineligible persons in a
given round from all family-level analyses for that round.
The round-specific variables RURSLT31, RURSLT42, and
RURSLT53 indicate the RU response status for each round. Users should note that
the values for RURSLT31 differ from those for RURSLT42 and RURSLT53.
The values for RURSLT31 include the following:
Value |
Definition |
-1 |
Inapplicable |
60 |
Complete with RU member |
61 |
Complete with proxy--all RU members deceased |
62 |
Complete with proxy--all RU members institutionalized or deceased |
63 |
Complete with proxy--other |
72 |
RU institutionalized in prior round; Still institutionalized—R3 only |
80 |
Entire RU merged with other RU |
81 |
Entire RU deceased before 1/1/11 |
82 |
Entire RU is military before 1/1/11 |
83 |
Entire RU institutionalized before 1/1/11 |
84 |
Entire RU left U.S. before 1/1/11 |
85 |
Entire RU is ineligible before 1/1/11; Multi-reason |
86 |
Entire RU is ineligible; Non-Key NHIS study |
87 |
Reenumeration complete; No eligible RU member; Ineligible RU |
88 |
Unavailable during field period |
89 |
Too ill; No proxy |
90 |
Physically/Mentally incompetent; No proxy |
91 |
Final Refusal |
92 |
Final Breakoff |
93 |
Unable to locate |
94 |
Entire RU is military or left U.S. after 1/1/11 |
95 |
Entire RU institutionalized after 1/1/11; No proxy |
96 |
Entire RU deceased after 1/1/11; No proxy |
97 |
Reenumeration complete; No RU member; Non-Response |
98 |
RU moved too far to interview |
99 |
Final other Non-Response |
The values for RURSLT42 and RURSLT53 include the
following:
Value |
Definition |
-1 |
Inapplicable |
60 |
Complete with RU member |
61 |
Complete with proxy--all RU members deceased |
62 |
Complete with proxy--all RU members institutionalized or deceased |
63 |
Complete with proxy--other |
70 |
Entire RU merged with other RU |
71 |
Reenumeration complete; No eligible RU member; Ineligible RU |
72 |
RU institutionalized in prior round; Still institutionalized |
88 |
Unavailable during field period |
89 |
Too ill; No proxy |
90 |
Physically/Mentally incompetent; No proxy |
91 |
Final Refusal |
92 |
Final Breakoff |
93 |
Unable to locate |
94 |
Entire RU is military or left U.S. after 1/1/11 |
95 |
Entire RU institutionalized after 1/1/11; No proxy |
96 |
Entire RU deceased after 1/1/11; No proxy |
97 |
Reenumeration complete; No RU member; Non-Response |
98 |
RU moved too far to interview |
99 |
Final other Non-Response |
Standard or primary RUs are the original RUs from
NHIS. A new RU is one created when members of the household leave the primary RU
and are followed according to the rules of the survey. A student RU is an
unmarried college student (under 24 years of age) who is considered a usual
member of the household, but was living away from home while going to school,
and was treated as a Reporting Unit (RU) separate from his or her parents’ RU
for the purpose of data collection. RUCLAS11 was set based on the RUCLAS values
from Rounds 3/1, 4/2, and 5/3. If the person was present in the responding RU in
Round 5/3, then RUCLAS11 was set to RUCLAS53. If the person was not present in a
responding RU in Round 5/3 but was present in Round 4/2, then RUCLAS11 was set
to RUCLAS42. If the person was not present in either Rounds 4/2 or 5/3 but was
present in Round 3/1, then RUCLAS11 was set to RUCLAS31. If the person was not
linked to a responding RU during any round, then RUCLAS11 was set to -9.
Geographic Variables
The round-specific variables REGION31, REGION42,
REGION53, and the end-of-year status variable REGION11 indicate the Census
region for the RU. REGION11 indicates the region for the 2011 portion of Round
5/3. For most analyses, REGION11 should be used.
The values and states for each region include the
following:
Value |
Label |
States |
1 |
Northeast |
Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont |
2 |
Midwest |
Indiana, Illinois, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin |
3 |
South |
Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, and West Virginia |
4 |
West |
Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, and Wyoming |
The round-specific variables MSA31, MSA42, and MSA53
and the end-of-year status variable MSA11 indicate whether or not the RU is
found in a Metropolitan Statistical Area and reflect the most recent definitions
of metropolitan statistical areas established by Office of Management and Budget
(OMB), including the most recent updates. These updates are based on the
application of the 2000 Standards for Defining Metropolitan Statistical Areas of
OMB to Census Bureau population estimates for July 1, 2004 and July 1, 2005. For
MEPS data releases prior to 2004 the MSA variables were coded in compliance with
the definition of metropolitan statistical areas based on application of OMB
standards to Census 1990 data. MSA31, MSA42, and MSA53 indicate the MSA status
at the time of Rounds 3/1, 4/2, and 5/3 interviews. MSA11 indicates the MSA
status for the 2011 portion of Round 5/3. For most analyses, analysts should use
MSA11 rather than MSA31, MSA42, or MSA53.
Reference Period Dates
The reference period is the period of time for which
data were collected in each round for each person. The reference period dates
were determined during the interview for each person by the CAPI program. The
round-specific beginning reference period dates are included for each person.
These variables include BEGRFM31, BEGRFD31, BEGRFY31, BEGRFM42, BEGRFD42,
BEGRFY42, BEGRFM53, BEGRFD53, and BEGRFY53. The reference period for Round 1 for
most persons began on January 1, 2011 and ended on the date of the Round 1
interview. For RU members who joined later in Round 1, the beginning Round 1
reference date was the date the person entered the RU. For all subsequent
rounds, the reference period for most persons began on the date of the previous
round’s interview and ended on the date of the current round’s interview.
Persons who joined after the previous round’s interview had their beginning
reference date for the round set to the day they joined the RU.
The round-specific ending reference period dates for
Rounds 3/1, 4/2, and 5/3 as well as the end-of-year reference period end date
variables are also included for each person. These variables include ENDRFM31,
ENDRFD31, ENDRFY31, ENDRFM42, ENDRFD42, ENDRFY42, ENDRFM53, ENDRFD53, ENDRFY53,
ENDRFM11, ENDRFD11, and ENDRFY11. For most persons in the sample, the date of
the round’s interview is the reference period end date. Note that the end date
of the reference period for a person is prior to the date of the interview if
the person was deceased during the round, left the RU, was institutionalized
prior to that round’s interview, or left the RU to join the military. In 2011,
fielding of Round 1 was accelerated and accounts for substantially shorter Round
1 reference periods.
Reference Person Identifiers
The round-specific variables REFPRS31, REFPRS42, and
REFPRS53 and the end-of-year status variable REFPRS11 identify the reference
person for Rounds 3/1, 4/2 and 5/3, and as of December 31, 2011 (or the last
round they were in the survey). In general, the reference person is defined as
the household member 16 years of age or older who owns or rents the home. If
more than one person meets this description, the household respondent identifies
one from among them. If the respondent is unable to identify a person fitting
this definition, the questionnaire asks for the head of household and this
person is then considered the reference person for that RU. This information is
collected in the reenumeration section of the CAPI questionnaire.
Respondent Identifiers
The respondent is the person who answered the
interview questions for the Reporting Unit (RU). The round-specific variables
RESP31, RESP42, and RESP53 and the end-of-year status variable RESP11 identify
the respondent for Rounds 3/1, 4/2, and 5/3 and as of December 31, 2011 (or the
last round they were in the survey). Only one respondent is identified for each
RU. In instances where the interview was completed in more than one session,
only the first respondent is indicated.
There are two types of respondents. The respondent can
be either an RU member or a non-RU member proxy. The round-specific variables
PROXY31, PROXY42, and PROXY53 and the end-of-year status variable PROXY11
identify the type of respondent for Rounds 3/1, 4/2, 5/3 and as of December 31,
2011 (or the last round they were in the survey).
Language of Interview
The language of interview variable (INTVLANG) is a
summary value of the round-specific RU-level information section question,
(RS02), which asks the interviewer to record the language in which the interview
was completed: English, Spanish, Both English and Spanish, Other Language. Given
the first round that the person was part of the study and the person’s
associated RU for that round, INTVLANG is assigned the interview language value
reported for the person’s RU for the round.
Person Status
A number of variables describe the various components
reflecting each person’s status for each round of data collection. These
variables provide information about a person’s in-scope status, Keyness status,
eligibility status, and disposition status. These variables include: KEYNESS,
INSCOP31, INSCOP42, INSCOP53, INSCOP11, INSC1231, INSCOPE, ELGRND31, ELGRND42,
ELGRND53, ELGRND11, PSTATS31, PSTATS42, and PSTATS53. These variables are set
based on sampling information and responses provided in the reenumeration
section of the CAPI questionnaire.
Through the reenumeration section of the CAPI
questionnaire, each member of a RU was classified as "Key" or "Non-Key",
"in-scope" or "out-of-scope", and "eligible" or "ineligible" for MEPS data
collection. To be included in the set of persons used in the derivation of MEPS
person-level estimates, a person had to be a member of the civilian
noninstitutionalized population for at least one day during 2011. Because a
person’s eligibility for the survey might have changed since the NHIS interview,
a sampling reenumeration of household membership was conducted at the start of
each round’s interview. Only persons who were "in-scope" sometime during the
year, were "Key", and responded for the full period in which they were in-scope
were assigned positive person-level weights and thus are to be used in the
derivation of person-level national estimates from the MEPS.
Note: If analysts want to subset to infants born
during 2011, then newborns should be identified using AGE11X = 0 rather than
PSTATSxy = 51.
In-scope
The round-specific variables INSCOP31, INSCOP42, and
INSCOP53 indicate a person’s in-scope status for Rounds 3/1, 4/2, and 5/3.
INSCOP11, INSC1231, and INSCOPE indicate a person’s in-scope status for the
portion of Round 5/3 that covers 2011, the person’s in-scope status as of
12/31/11, and whether a person was ever in-scope during the calendar year 2011.
A person was considered as in-scope during a round or a referenced time period
if he or she was a member of the U.S. civilian, noninstitutionalized population
at some time during that round or that time period. The values of these
variables taken in conjunction allow one to determine in-scope status over time
(for example, becoming in-scope in the middle of a round, as would be the case
for newborns).
These variables may contain the following values and
corresponding labels:
Value |
Definition |
0 |
Incorrectly listed, or on NHIS roster but out-of-scope prior to January 1, 2011 |
1 |
Person is in-scope for the whole reference period |
2 |
Person is in-scope at the start of the RU reference period, but not at the end of the RU reference period |
3 |
Person is not in-scope at the start of RU reference period, but is in-scope at the end of the RU reference period. (For example, the person is in-scope from the date the person joined the RU or the person was in the military in the previous round, but is no longer in the military in the current round) |
4 |
Person is in-scope during the reference period, but neither at the reference start date nor on the reference end date. (For example, person leaves an institution, goes into community, and then dies) |
5 |
Person is out-of-scope for all of the reference period during which he or she is in an RU member. (For example, the person is in the military) |
6 |
Person is out-of-scope for the entire reference period and is not a member of the RU during this time period and was in-scope and an RU member in an earlier round |
7 |
Person is not in an RU, joined in a later round (or joined the RU after December 31, 2011 for INSCOP11) |
8 |
RU Non-response and Key persons who left an RU with no tracing info and so a new RU was not formed |
9 |
Person is not a member of an RU during this time period, and was an RU member in an earlier round |
Keyness
The term "Keyness" is related to an individual’s
chance of being included in MEPS. A person is Key if that person is linked for
sampling purposes to the set of NHIS sampled households designated for inclusion
in MEPS. Specifically, a Key person was either a member of a responding NHIS
household at the time of interview, or joined a family associated with such a
household after being out-of-scope at the time of the NHIS (examples of the
latter situation include newborns and those returning from military service, an
institution, or residence in a foreign country).
A non-Key person is one whose chance of selection for
the NHIS (and MEPS) was associated with a household eligible but not sampled for
the NHIS and who later became a member of a MEPS Reporting Unit. MEPS data
(e.g., utilization and income) were collected for the period of time a non-Key
person was part of the sampled unit to provide information for family-level
analyses. However, non-Key persons who leave a sample household unaccompanied by
a Key, in-scope member were not followed for subsequent interviews. Non-Key
individuals do not receive sample person-level weights and thus do not
contribute to person-level national estimates.
The variable KEYNESS indicates a person’s Keyness
status. This variable is not round specific. Instead, it is set at the time the
person enters MEPS, and the person’s Keyness status never changes. Once a person
is determined to be Key, that person will always be Key.
It should be pointed out that a person might be Key
even though not part of the civilian, noninstitutionalized portion of the U.S.
population. For example, a person in the military may have been living with his
or her civilian spouse and children in a household sampled for NHIS. The person
in the military would be considered a Key person for MEPS; however, such a
person would not be eligible to receive a person-level sample weight if he or
she was never in-scope during 2011.
Eligibility
The eligibility of a person for MEPS pertains to
whether or not data were to be collected for that person. All of the Key
in-scope persons of a sampled RU were eligible for data collection. The only
non-Key persons eligible for data collection were those who happened to be
living in an RU with at least one Key, in-scope person. Their eligibility
continued only for the time that they were living with at least one such person.
The only out-of-scope persons eligible for data collection were those who were
living with Key in-scope persons, again only for the time they were living with
such a person. Only military persons can meet this description (for example, a
person on full-time active duty military, living with a spouse who is Key).
A person may be classified as eligible for an entire
round or for some part of a round. For persons who are eligible for only part of
a round (for example, persons may have been institutionalized during a round),
data were collected for the period of time for which that person was classified
as eligible. The round-specific variables ELGRND31, ELGRND42, ELGRND53 and the
end-of-year status variable ELGRND11 indicate a person’s eligibility status for
Rounds 3/1, 4/2 and 5/3 and as of December 31, 2011.
Person Disposition Status
The round-specific variables PSTATS31, PSTATS42, and
PSTATS53 indicate a person’s response and eligibility status for each round of
interviewing. The PSTATSxy variables indicate the reasons for either continuing
or terminating data collection for each person in the MEPS. Using this variable,
one could identify persons who moved during the reference period, died, were
born, institutionalized or who were in the military. Analysts should note that
PSTATS53 provides a summary for all of Round 5/3, including transitions that
occurred after 2011.
The following codes specify the value labels for the
PSTATSxy variables.
Value |
Definition |
-1 |
The person was not fielded during the round or the RU was non-response |
0 |
Incorrectly listed in RU at NHIS - applies to MEPS Round 1 only |
11 |
Person in original RU , not full-time active military duty |
12 |
Person in original RU, full-time active military duty, out-of-scope for whole reference period |
13 |
Full-time student living away from home, but associated with sampled RU |
14 |
The person is full-time active military duty during round, is in-scope for part of the reference period and is in the RU at the end of the reference period |
21 |
The person remains in a health care institution for the whole round - Rounds 4/2 and 5/3 only |
22 |
The person leaves an institution (health care or non-health care) and rejoins the community - Rounds 4/2 and 5/3 only |
23 |
The person leaves an institution and dies – Rounds 4/2 and 5/3 only |
24 |
The person dies in a health care institution during the round (former RU member) - Rounds 4/2 and 5/3 only |
31 |
Person from original RU, dies during reference period |
32 |
Went to health care institution during reference period |
33 |
Went to non-healthcare institution during reference period |
34 |
Moved from original RU, outside U.S. (not as student) |
35 |
Moved from original RU, to a military facility while on full-time active military duty |
36 |
Went to institution (type unknown) during reference period |
41 |
Moved from the original RU, to new RU within U.S. (new RUs include RUs originally classified as "Student RU" but which converted to "New RU") |
42 |
The person joins RU and is not full-time military during round |
43 |
The person’s disposition as to why the person is not in the RU is unknown or the person moves and it is unknown whether the person moved inside or outside the U.S. |
44 |
The person leaves an RU and joins an existing RU and is not both in the military and coded as in-scope during the round |
51 |
Newborn in reference period |
61 |
Died prior to reference period (not eligible)-Round 3/1 only |
62 |
Institutionalized prior to reference period (not eligible)-Round 3/1 only |
63 |
Moved outside U.S., prior to reference period (not eligible)-Round 3/1 only |
64 |
Full-time military, living on a military facility, moved prior to reference period (not eligible)-Round 3/1 only |
71 |
Student under 24 living away at school in grades 1-12 (Non-Key) |
72 |
Person is dropped from the RU roster as ineligible: the person is a non-Key student living away or the person is not related to reference person or the RU is the person’s residence only during the school year |
73 |
Not Key and not full-time military, moved without someone Key and in-scope (not eligible) |
74 |
Moved as full-time military but not to a military facility and without someone Key and in-scope (not eligible this round) |
81 |
Person moved from original RU, full-time student living away from home, did not respond |
Return To Table Of Contents
2.5.2 Navigating the MEPS Data with Information on
Person Disposition Status
Since the variables PSTATS31, PSTATS42, and PSTATS53
indicate the reasons for either continuing or terminating data collection for
each person in MEPS, these variables can be used to explain the beginning and
ending dates for each individual’s reference period of data collection, as well
as which sections in the instrument each individual did not receive. By using
the information included in the following table, analysts will be able to
determine for each individual which sections of the MEPS questionnaire collected
data elements for that person.
Some individuals have a reference period that spans an
entire round, while other individuals may have data collected only for a portion
of the round. When an individual’s reference period does not coincide with the
RU reference period, the individual’s start date may be a later date, or the end
date may be an earlier date, or both. In addition, some individuals have
reference period information coded as "Inapplicable" (e.g., for individuals who
were not actually in the household). The information in this table indicates the
beginning and ending dates of reference periods for persons with various values
of PSTATS31, PSTATS42, and PSTATS53. The actual dates for each individual can be
found in the following variables included on this file: BEGRFM31, BEGRFM42,
BEGRFM53, BEGRFD31, BEGRFD42, BEGRFD53, BEGRFY31, BEGRFY42, BEGRFY53, ENDRFM31,
ENDRFM42, ENDRFM53, ENDRFD31, ENDRFD42, ENDRFD53, ENDRFY31, ENDRFY42, ENDRFY53,
ENDRFM11, ENDRFD11, and ENDRFY11.
The table below also describes the section or sections
of the questionnaire that were NOT asked for each value of PSTATS31,
PSTATS42, and PSTATS53. For example, the Condition Enumeration (CE) and
Preventive Care (AP) sections have questions that are not asked for deceased
persons. The Closing section (CL) also contains some questions or question
rosters (see CL07A, CL35 through CL37, CL48 through CL50, CL54, CL58, and CL64)
that exclude certain persons depending on whether the person died, became
institutionalized, or otherwise left the RU; however, no one is considered to
have skipped the entire section. Some questions or sections (e.g., Health Status
(HE), Employment (RJ, EM, EW)) are skipped if individuals are not within a
certain age range. Since the PSTATS variables do not address skip patterns based
on age, analysts will need to use the appropriate age variables.
Please note that the end reference date shown below
for PSTATS53 reflects the Round 5/3 reference period rather than the portion of
Round 5/3 that occurred during 2011.
PSTATS Value |
PSTATS Description |
Sections in the instrument which persons with this PSTATS value do NOT receive |
Begin Reference Date |
End Reference Date |
-1 |
The person was not fielded during the round or the RU was non-response |
ALL sections |
Inapplicable |
Inapplicable |
0 |
Incorrectly listed in RU at NHIS - Round 1 only |
ALL sections after RE |
Inapplicable |
Inapplicable |
11 |
Person in original household, not FT active military duty (Person is in the same RU as the previous round) |
-- |
PSTATS31:
January 1, 2011
PSTATS42 and
PSTATS53: Prior
round interview date |
Interview date |
12 |
Person in original household, FT active military duty, out-of-scope for whole reference period. |
-- |
PSTATS31:
January 1, 2011
PSTATS42 and
PSTATS53: Prior
round interview date |
Interview date |
13 |
FT student living away from home, but associated with sampled household |
-- |
PSTATS31:
January 1, 2011
PSTATS42 and
PSTATS53: Prior
round interview date |
Interview date |
14 |
The person is FT active military duty during round and is in-scope for part of the reference
period and is in the RU at the end of the reference period |
-- |
PSTATS31:
January 1, 2011
PSTATS42 and
PSTATS53: Prior
round interview date |
PSTATS31: Interview date PSTATS42 and PSTATS53: If the person is living w/ someone Key and in-scope,
then the interview date. If not living w/ someone who is Key and in-scope, then the date the person joined the military |
21 |
The person remains in a health care institution for the whole round - Rounds 4/2 and 5/3 only |
All sections after RE |
Inapplicable |
Inapplicable |
22 |
The person leaves a health care institution and rejoins the community - Rounds 4/2 and 5/3 only |
-- |
Date rejoined the community |
Interview date |
23 |
The person leaves a health care institution, goes into community and then dies - Rounds 4/2 and 5/3 only |
PE - Priority Conditions Enumeration
Part of CE - Condition Enumeration:
Skip CE1 to-CE5 HE - Health Status
AC - Access to Care Part of AP - Preventive Care: Skip AP12 to AP22 |
Date rejoined the community |
Date of Death |
24 |
The person dies in a health care institution during the round (former household member) - Rounds 4/2 and 5/3 only |
All sections after RE |
Inapplicable |
Inapplicable |
31 |
Person from original household, dies during reference period |
PE - Priority Conditions Enumeration
Part of CE - Condition Enumeration:
Skip CE1 to CE5 HE - Health Status AC - Access to Care Part of AP - Preventive Care: Skip AP12 to AP22 |
PSTATS31:
January 1, 2011
PSTATS42 and
PSTATS53: Prior
round interview date |
Date of Death |
32 |
Went to healthcare institution during reference period |
Access to Care (AC) |
PSTATS31:
January 1, 2011
PSTATS42 and
PSTATS53: Prior
round interview date |
Date institutionalized |
33 |
Went to non-healthcare institution during reference period |
Access to Care (AC) |
PSTATS31:
January 1, 2011
PSTATS42 and
PSTATS53: Prior
round interview date |
Date institutionalized |
34 |
Moved from original household, outside US |
-- |
PSTATS31:
January 1, 2011
PSTATS42 and
PSTATS53: Prior
round interview date |
Date left the RU |
35 |
Moved from original household, to a military facility while on FT active military duty |
-- |
PSTATS31:
January 1, 2011
PSTATS42 and
PSTATS53: Prior
round interview date |
Date left the RU |
36 |
Went to institution (type unknown) during reference period |
Access to Care (AC) |
PSTATS31:
January 1, 2011
PSTATS42 and
PSTATS53: Prior
round interview date |
Date institutionalized |
41 |
Moved from the original household, to new household within US (new households include RUs originally
classified as a student RU but which converted to a new RU; these are individuals in an RU that has split from an RU
since the previous round) |
-- |
PSTATS31:
January 1, 2011
PSTATS42 and
PSTATS53: Prior
round interview date |
Interview date |
42 |
The person joins household and is not full-time military during round |
-- |
The later date of
January 1, 2011
and the date the person joined the RU |
Interview date |
43 |
The person’s disposition as to why the person is not in the RU is unknown or the person
moves and it is unknown whether the person moved inside or outside the U.S. |
All sections after RE |
Inapplicable |
Inapplicable |
44 |
The person leaves an RU and joins an existing RU and is not both in the military and
coded as in-scope during the round |
-- |
PSTATS31:
January 1, 2011
PSTATS42 and
PSTATS53: Prior
round interview
date of the RU the person has joined. This may not be the interview date of the RU that the person came from |
Interview date |
51 |
Newborn in reference period |
Questions where age must be > 1 Health Status (HE), Disability days (DD) Employment (RJ/EM/EW) |
PSTATS31:
January 1, 2011 if
born prior to 2011.
The date of birth if
born in 2011.
PSTATS42 and
PSTATS53: The later
of the Prior round interview date and
date of birth |
Interview date |
61 |
Died prior to reference period (not eligible)--Round 3/1 only |
All sections after RE |
Inapplicable |
Inapplicable |
62 |
Institutionalized prior to reference period (not eligible)--Round 3/1 only |
All sections after RE |
Inapplicable |
Inapplicable |
63 |
Moved outside U.S., prior to reference period (not eligible)--Round 3/1 only |
All sections after RE |
Inapplicable |
Inapplicable |
64 |
FT military, moved prior to reference period (not eligible)--Round 3/1 only |
All sections after RE |
Inapplicable |
Inapplicable |
71 |
Student under 24 living away at school in grades 1 through 12 (Non-Key) |
-- |
PSTATS31:
January 1, 2011
PSTATS42 and
PSTATS53: Prior round interview date |
Interview date |
72 |
Person is dropped from the RU roster as ineligible: the person is a Non-Key student living away
or the person is not related to reference person or the RU is the person’s residence only during the school year |
All sections after RE |
Inapplicable |
Inapplicable |
73 |
Not Key and not full-time military, moved w/o someone Key and in-scope (not eligible) |
All sections after RE |
Inapplicable |
Inapplicable |
74 |
Moved as full-time military but not to a military facility and w/o someone Key and in-scope (not eligible) |
All sections after RE |
Inapplicable |
Inapplicable |
81 |
Person moved from original household, FT student living away from home, did not respond |
No data were collected |
Inapplicable |
Inapplicable |
Return To Table Of Contents
2.5.3 Demographic Variables (AGE31X-DAPID53X)
General Information
Demographic variables provide information about the
demographic characteristics of each person from the MEPS-HC. The characteristics
include age, sex, race, ethnicity, marital status, educational attainment, and
military service. As noted below, some variables have edited and imputed values.
Most demographic variables on this file were asked during every round of the
MEPS interview. These variables describe data for Rounds 3, 4, and 5 of Panel 15
(the panel that started in 2010); Rounds 1, 2 and 3 of Panel 16 (the panel that
started in 2011); and status as of December 31, 2011. Demographic variables that
are round-specific are identified by names including numbers "xy", where x and y
refer to Round numbers of Panel 15 and Panel 16 respectively. Thus, for example,
AGE31X represents the age data relevant to Round 3 of Panel 15 or Round 1 of
Panel 16. As mentioned in Section 2.5.1 "Survey Administration Variables", the
variable PANEL indicates the panel from which the data were derived. A value of
15 indicates Panel 15 data and a value of 16 indicates Panel 16 data. The
remaining demographic variables on this file are not round-specific.
The variables describing demographic status of the
person as of December 31, 2011 were developed in two ways. First, the age
variable (AGE11X) represents the exact age, calculated from date of birth and
indicates age status as of 12/31/11. For the remaining December 31st
variables [i.e., related to marital status (MARRY11X, SPOUID11, SPOUIN11),
student status (FTSTU11X), and the relationship to reference persons
(RFREL11X)], the following algorithm was used: data were taken from Round 5/3
counterpart if non-missing; else, if missing, data were taken from the Round 4/2
counterpart; else from the Round 3/1 counterpart. If no valid data were
available during any of these rounds of data collection, the algorithm assigned
the missing value (other than -1 "Inapplicable") from the first round that the
person was part of the study. When all three rounds were set to –1, a value of
–9 "Not Ascertained" was assigned.
Age
Date of birth and age for each RU member were asked or
verified during each MEPS interview (DOBMM, DOBYY, AGE31X, AGE42X, AGE53X). If
date of birth was available, age was calculated based on the difference between
date of birth and date of interview. Inconsistencies between the calculated age
and the age reported during the CAPI interview were reviewed and resolved. For
purposes of confidentiality, the variables AGE31X, AGE42X, AGE53X and AGE11X
were top-coded at 85 years.
When date of birth was not provided but age was
provided (either from the MEPS interviews or the 2009-2010 NHIS data), the month
and year of birth were assigned randomly from among the possible valid options.
For any cases still not accounted for, age was imputed using:
(1) the mean age difference between MEPS participants
with certain family relationships (where available) or
(2) the mean age value for MEPS participants.
For example, a mother’s age is imputed as her child’s
age plus 26, where 26 is the mean age difference between MEPS mothers and their
children. A wife’s age is imputed as the husband’s age minus 3, where 3 is the
mean age difference between MEPS wives and husbands.
Age was imputed in this way for 43 persons on this
file. Age was determined for 33 additional persons from data in a later round.
AGELAST indicates a person’s age from the last time
the person was eligible for data collection during a specific calendar year. The
age range for this variable is between 0 and 85.
Sex
Data on the gender of each RU member (SEX) were
initially determined from the 2009 NHIS for Panel 15 and from the 2010 NHIS for
Panel 16. The SEX variable was verified and, if necessary, corrected during each
MEPS interview. The data for new RU members (persons who were not members of the
RU at the time of the NHIS interviews) were also obtained during each MEPS
round. When gender of the RU member was not available from the NHIS interviews
and was not ascertained during one of the subsequent MEPS interviews, it was
assigned in the following way. The person’s first name was used to assign gender
if obvious (no cases were resolved in this way). If the person’s first name
provided no indication of gender, then family relationships were reviewed (no
cases were resolved this way). If neither of these approaches made it possible
to determine the individual’s gender, gender was randomly assigned (5 cases were
resolved this way).
Race and Ethnicity Group
The race and the ethnic background questions were
asked for each RU member during the MEPS interview. If the information was not
obtained in Round 1, the questions were asked in subsequent rounds. It should be
noted that race/ethnicity questions in the MEPS were revised starting in 2002.
Race/ethnicity data from earlier years are not directly comparable. The
following table shows the differences:
MEPS Race and Ethnicity Variables, by Years.
FY PUFS 1996 – 2001 |
FY PUFS 2002 – current |
RACEX
1 American Indian
2 Aleut, Eskimo
3 Asian or Pacific Islander
4 Black
5 White
91 Other
HISPANX
1 Hispanic
2 Not Hispanic
RACETHNX
1 Person is Hispanic
2 Person is Black/Not Hispanic
3 Other/Not Hispanic
HISPCAT
-9 Not Ascertained
-7 Refused
1 Puerto Rican
2 Cuban
3 Mexican/Mexican American/Mexicano/Chicano
4 Other Latin American/Other Spanish
5 Non-Hispanic
|
RACEX
1 White – No other race reported
2 Black – No other race reported
3 American Indian/Alaska Native – No other race reported
4 Asian – No other race reported
5 Native Hawaiian/Pacific Islander – No other race reported
6 Multiple race reported
HISPANX
1 Hispanic
2 Not Hispanic
RACETHNX
1 Person is Hispanic
2 Person is Black – No other race reported/Not Hispanic
3 Person is Asian – No other race reported/Not Hispanic
4 Other race/Not Hispanic
HISPCAT
-9 Not Ascertained
-8 DK
-7 Refused
1 Puerto Rican
2 Cuban/Cuban American
3 Dominican
4 Mexican/Mexican American
5 Central or South American
6 Non-Hispanic
91 Other Latin American
92 Other Hispanic / Latino
RACEAX
1 Asian – No other race reported
2 Asian – Other race(s) reported
3 All other race assignments
RACEBX
1 Black – No other race reported
2 Black – Other race(s) reported
3 All other race assignments
RACEWX
1 White – No other race reported
2 White – Other race(s) reported
3 All other race assignments
|
Values for these variables were obtained based on the
following priority order. If available, data collected were used to determine
race and ethnicity. If race and/or ethnicity were not reported in the interview,
then data obtained from the originally collected NHIS data were used. If still
not ascertained, the race, and/or ethnicity were assigned based on relationship
to other members of the DU using a priority ordering that gave precedence to
blood relatives in the immediate family (this approach was used on 57 persons to
set race and 46 persons to set ethnicity).
Starting in 2002, individuals were allowed to choose
more than one race and, as a result, three new variables were constructed:
RACEBX, RACEAX, and RACEWX. RACEBX identifies individuals as being: 1) Black--no
other race reported, 2) Black--other race(s) reported, or 3) not Black. RACEAX
and RACEWX are constructed similarly but apply to Asians and Whites. All race
and ethnicity variables reflect the imputations done for RACEX and HISPANX.
RACETHNX summarizes both race and ethnicity information in a single variable.
Marital Status and Spouse ID
Current marital status was collected and/or updated
during every round of the MEPS interview. This information was obtained in RE13
and RE97 and is reported as MARRY31X, MARRY42X, MARRY53X and MARRY11X. Persons
under the age of 16 were coded as 6 "Under 16 – Inapplicable". If marital status
of a specified round differed from that of the previous round, then the marital
status of the specified round was edited to reflect a change during the Round
(e.g., married in round, divorced in round, separated in round, or widowed in
round).
In instances where there were discrepancies between
the marital statuses of two individuals within a family, other person-level
variables were reviewed to determine the edited marital status for each
individual. Thus, when one spouse was reported as married and the other spouse
reported as widowed, the data were reviewed to determine if one partner should
be coded as 8 "Widowed in Round".
Edits were performed to ensure some consistency across
rounds. First, a person could not be coded as "Never Married" after previously
being coded as any other marital status (e.g., "Widowed"). Second, a person
could not be coded as "Under 16 – Inapplicable" after being previously coded as
any other marital status. Third, a person could not be coded as "Married in
Round" after being coded as "Married" in the round immediately preceding.
Fourth, a person could not be coded as an "in Round" code (e.g., "Widowed in
Round") in two subsequent rounds. Since marital status can change across rounds
and it was not feasible to edit every combination of values across rounds,
unlikely sequences for marital status across the round-specific variables do
exist.
The person identifier for each individual’s spouse is
reported in SPOUID31, SPOUID42, SPOUID53, and SPOUID11. These are the PIDs
(within each family) of the person identified as the spouse during Round 3/1,
Round 4/2, and Round 5/3 and as of December 31, 2011, respectively. If no spouse
was identified in the household, the variable was coded as 995 "No Spouse in
Household". Those with unknown marital status are coded as 996 "Marital Status
Unknown". Persons under the age of 16 are coded as 997 "Less than 16 Years Old".
The SPOUIN31, SPOUIN42, SPOUIN53, and SPOUIN11
variables indicate whether a person’s spouse was present in the RU during Round
3/1, Round 4/2, Round 5/3 and as of December 31, 2011 respectively. If the
person had no spouse in the household, the value was coded as 2 "Not Married/No
Spouse". For persons under the age of 16 the value was coded as 3 "Under 16 –
Inapplicable".
The SPOUID and SPOUIN variables were obtained from
RE76A, where the respondent was asked to identify how each pair of persons in
the household was related. Analysts should note that this information was
collected in a set of questions separate from the questions that asked about
marital status. While editing was performed to ensure that SPOUID and SPOUIN are
consistent within each round, there was no consistency check between these
variables and marital status in a given round. Apparent discrepancies between
marital status and spouse information may be due to any of the following causes:
- Ambiguity as to when during a round a change in marital
status occurred. This is a result of relationship information
being asked for all persons living in the household at any time
during the round, while marital status is asked as of the
interview date (e.g., If one spouse died during the reference
period, the surviving spouse’s marital status would be "Widowed
in Round", but SPOUIN and SPOUID for the same round would
indicate that a spouse was present).
- Valid discrepancies in the case of persons who are married
but not living with their spouse, or separating but still living
together.
- Discrepancies that cannot be explained for either of the
previous reasons.
Student Status and Educational Attainment
The variables FTSTU31X, FTSTU42X, FTSTU53X and
FTSTU11X indicate whether the person was a full-time student at the interview
date (or 12/31/11 for FTSTU11X). These variables have valid values for all
persons between the ages of 17 - 23 inclusive. When this question was asked
during Round 1 of Panel 16, it was based on age as of the 2010 NHIS interview
date.
Number of years of education completed is indicated in
the variable EDUCYR. Information was obtained from question RE103. Children who
are 5 years of age or older and who never attended school were coded as 0;
children under the age of 5 years were coded as -1 "Inapplicable" regardless of
whether they attended school. However, among the cases coded as –1
"Inapplicable", there is no distinction between those who were under the age of
five and others who were inapplicable, such as persons who may be
institutionalized for an entire round. EDUCYR is based on the first round in
which the number of years of education is collected for a person. The user
should note that EDUCYR is an unedited variable and minimal data cleaning was
performed on this variable.
The variable HIDEG, indicating highest degree of
education, was obtained from three questions: highest grade completed (RE103),
high school diploma (RE104), and highest degree (RE105). Persons under 16 years
of age were coded as 8 "Under 16 – Inapplicable". In cases where the response to
the highest degree question was "No Degree" and the response to the highest
grade question was 13 through 17 "1 or More Years of College", the variable
HIDEG was coded as 3 "High School Diploma". If highest grade completed was
"Refused" or "Don’t Know" for those with a "No Degree" response for the highest
degree question, the variable HIDEG was coded as 1 "No Degree". HIDEG is based
on the first round in which the highest degree was collected for a person. The
user should note that HIDEG is an unedited variable and minimal data cleaning
was performed on this variable.
A new education question was introduced at RE103 in
Panel 15 Round 5 and Panel 16 Round 3, and was asked only of new RU members. RU
members from previous rounds have their education data recorded in EDUCYR and
HIDEG, but education data for new RU members is recorded in the new constructed
variable EDUYRDEG (Year of Education or Highest Degree) whose categories
describe the detailed level of education at the time of the interview.
Categories for EDUYRDEG include: less than 1st grade, grades 1 to 12, GED or
equivalent, high school diploma, some college with no degree, technical
associate degree, academic associate degree, bachelor’s degree, master’s degree,
professional school, doctorate degree, and less than 5 years old. The user
should note that EDUYRDEG is an unedited variable and minimal data cleaning was
performed on this variable.
To relate or recode EDUCYR and HIDEG with EDUYRDEG, a
fourth variable was created, EDRECODE (Education Recode). Each person will have
a positive value for either the old variables (EDUCYR and HIDEG) or for the new
variable (EDUYRDEG) but not both, and each person will have a value in EDRECODE.
EDRECODE represents a broader classification of education, combining the old and
new education question designs. EDRECODE is a discreet variable from 0 "Less
than 1st Grade" to 16 "Master, Doctorate, or Other Professional Degree." Some
levels of education have been grouped such as ‘GED’ and ‘high school graduate’;
‘some college’ and ‘associate degree’; ‘four years of college’ and ‘bachelor’s
degree’; and ‘master’s’, doctorate’, and ‘other professional degree’. Persons
who are less than 5 years old will be coded -1 (Inapplicable).
Military Service and Honorable Discharge
Information on active duty military status was
collected during each round of the MEPS interview. Persons currently on
full-time active duty status are identified in the variables ACTDTY31, ACTDTY42,
and ACTDTY53. Those under 16 years of age were coded as 3 "Under 16 –
Inapplicable", and those over the age of 59 were coded as 4 "Over 59 –
Inapplicable".
Persons who have been honorably discharged from active
duty in the Armed Forces are identified by HONRDC31, HONRDC42, and HONRDC53.
Those 16 years of age and under are coded as 3 "16 or Younger – Inapplicable",
and those over 16 and currently serving on full-time active duty in the military
are coded as 4 "Now Active Duty".
Relationship to the Reference Person within Reporting Units
For each Reporting Unit (RU), the person who owns or
rents the DU is usually defined as the reference person. For student RUs, the
student is defined as the reference person. (For additional information on
reference persons, see the documentation on survey administration variables.)
The variables RFREL31X, RFREL42X, RFREL53X, and RFREL11X indicate the
relationship of each individual to the reference person of the Reporting Unit
(RU) in a given round. For the reference person, this variable has the value
"Self"; for all other persons in the RU, relationship to the reference person is
indicated by codes representing "Husband/Spouse", "Wife/Spouse", "Son",
"Daughter", "Female Partner", "Male Partner", etc. A code of 91, meaning "Other
Related, Specify", was used to indicate rarely observed relationship
descriptions such as "Mother of Partner". If the relationship of an individual
to the reference person was not ascertained during the round-specific interview,
relationships between other RU members were used, where possible, to assign a
relationship to the reference person. If MEPS data from calendar year 2011 were
not sufficient to identify the relationship of an individual to the reference
person, relationship variables from the 2010 MEPS or NHIS data were used to
assign a relationship. In the event that a meaningful value could not be
determined or data were missing, the relationship variable was assigned a
missing value code.
If the relationship of two individuals indicated they
were spouses, but both had marital status indicating they were not married,
their relationship was changed to non-marital partners. In addition, the
relationship variables were edited to insure that they did not change across
rounds for RUs in which the reference person did not change, with the exception
of relationships identified as partner, spouse, or foster relationships.
Parent Identifiers
The variables MOPID31X, MOPID42X, MOPID53X and
DAPID31X, DAPID42X DAPID53X are round-specific and are used to identify the
parents (biological, adopted, or step) of the person represented on that record.
Beginning in 2010, these data and documentation of the data will be included in
the full year consolidated file (HC-147).
Return To Table Of Contents
2.5.4 Person-Level Condition Variables (RTHLTH31-ADHDAGED)
2.5.4.1 Perceived Health Status and Pregnancy Indicator
Perceived health status (RTHLTH31, RTHLTH42, and
RTHLTH53) and perceived mental health status (MNHLTH31, MNHLTH42, and MNHLTH53)
were collected in the Priority Conditions Enumeration (PE) section. The target
persons of the questions are all current or institutionalized persons regardless
of age. These questions (PE00A and PE00B) asked the respondent to rate each
person in the family according to the following categories: excellent, very
good, good, fair, and poor.
Respondents were asked if anyone had been pregnant
during the round ("Since (start date) has anyone in the family been pregnant at
any time?"). If it was reported that someone had been pregnant, questions about
pregnancy were asked about female persons aged 15 through 55. Males, and females
who were younger than 16 or older than 44 (for confidentiality purposes), were
coded as "Inapplicable" (-1). PREGNT31 indicates if the person was pregnant in
Round 3 of Panel 15 or Round 1 of Panel 16, PREGNT42 indicates if the person was
pregnant in Round 4 of Panel 15 or Round 2 of Panel 16, and PREGNT53 indicates
whether the person was pregnant in Round 5 of Panel 15 or Round 3 of Panel 16.
Return To Table Of Contents
2.5.4.2 Priority Condition Variables (HIBPDX-ADHDAGED)
The PE section was asked in its entirety in Round 1
for all current or institutionalized persons, and in Rounds 2 and 4 for only new
RU members. In Rounds 3 and 5, the specific condition questions (except joint
pain and chronic bronchitis) were asked only if the person had not reported the
condition in a previous round; the joint pain and chronic bronchitis questions
were asked in Rounds 3 and 5 for all current or institutionalized persons aged
18 or older, regardless of Round 1, Round 2, and Round 4 responses.
Priority condition variables whose names end in "DX"
indicate whether the person was ever diagnosed with the condition. For chronic
bronchitis, joint pain, and some asthma follow-up questions (ASSTIL##, ASATAK##,
and ASTHEP## described below), variables ending in "31" reflect data obtained in
Round 3 of Panel 15 and Round 1 or 2 of Panel 16 and variables ending in "53"
reflect data obtained in Round 4 or 5 of Panel 15 and Round 3 of Panel 16. For
asthma treatment variables (ASACUT53 through ASWNFL53), the data were obtained
in Round 5 of Panel 15 and Round 3 of Panel 16.
Before 2007, the DX variables contained a "53" suffix
because they reflected data collected only in Rounds 3 and 5 in the Priority
Conditions Supplement (PC) section. Beginning in 2007, the suffix was removed
because the data were collected in all rounds. Diagnoses data (except attention
deficit hyperactivity disorder/attention deficit disorder and asthma) were
collected for persons over 17 years of age. If edited age is within range for
the variable to be set, but the source data are missing because person’s age in
CAPI is not within range, the constructed variable is set to "Not Ascertained"
(-9). Additionally, if the person was 17 in Round 1, turned 18 in Round 2, and
was not a current or institutionalized RU member in Round 3, the source data are
missing per design. However, the DX variables are set to "Not Ascertained" (-9)
as the person was old enough to be asked the PE questions within the data year.
Following the same pattern, attention deficit hyperactivity disorder/attention
deficit disorder is asked of persons age 5 to 17 and asthma is asked of persons
of all ages. Exceptions to this pattern are the variables JTPAIN31, JTPAIN53,
CHBRON31, and CHBRON53 which are described in greater detail below.
Questions were asked regarding the following
conditions:
- High blood pressure, including multiple diagnoses
- Heart disease (including coronary heart disease, angina,
myocardial infarction, and other unspecified heart disease)
- Stroke
- Emphysema
- Chronic Bronchitis
- High cholesterol, including the age of diagnosis
- Cancer
- Diabetes
- Joint pain
- Arthritis
- Asthma
- Attention Deficit Hyperactivity Disorder/Attention Deficit
Disorder (ADHD/ADD)
These conditions were selected because of their
relatively high prevalence, and because generally accepted standards for
appropriate clinical care have been developed. This information thus supplements
other information on medical conditions that is gathered in other parts of the
interview.
Condition data were collected at the person-by-round
level (indicating if the person was ever diagnosed with the condition) and at
the condition level. If the person reported having been diagnosed with a
condition, the person-by-round variable was set to ‘1’ (Yes) and a condition
record for that medical condition was created.
Editing of these variables focused on checking that
skip patterns were consistent.
High Blood Pressure
Questions about high blood pressure (hypertension)
were asked only of persons aged 18 or older. Consequently, persons aged 17 or
younger were coded as "Inapplicable" (-1) on these variables. HIBPDX ascertained
whether the person had ever been diagnosed as having high blood pressure (other
than during pregnancy). Those who had received this diagnosis were also asked if
they had been told on two or more different visits that they had high blood
pressure (BPMLDX). The age of diagnosis for high blood pressure (HIBPAGED) is
included in this file. This variable is top-coded to 85 years of age.
Heart Disease
Heart disease questions were asked only of persons
aged 18 or older. Consequently, persons aged 17 or younger were coded as
"Inapplicable" (-1) on all the variables in this set.
CHDDX – asked if the person had ever been diagnosed as
having coronary heart disease
ANGIDX – asked if the person had ever been diagnosed
as having angina, or angina pectoris
MIDX – asked if the person had ever been diagnosed as
having a heart attack, or myocardial infarction
OHRTDX – asked if the person had ever been diagnosed
with any other kind of heart disease or condition
The age of diagnosis for coronary heart disease
(CHDAGED), angina (ANGIAGED), heart attack or myocardial infarction (MIAGED),
and other kind of heart disease (OHRTAGED) are included in this file. These
variables are top-coded to 85 years of age.
Stroke
STRKDX asked if the person (aged 18 or older) had ever
been diagnosed as having had a stroke or transient ischemic attack (TIA or
ministroke). Persons aged 17 or younger were coded as "Inapplicable" (-1). The
age of diagnosis for stroke or TIA (STRKAGED) is included in this file. This
variable is top-coded to 85 years of age.
Emphysema
EMPHDX asked if the person (aged 18 or older) had ever
been diagnosed with emphysema. Persons aged 17 or younger were coded as
"Inapplicable" (-1). The age of diagnosis for emphysema (EMPHAGED) is included
in this file. This variable is top-coded to 85 years of age.
Chronic Bronchitis
CHBRON31 and CHBRON53 asked if the person (aged 18 or
older) has had chronic bronchitis in the last 12 months. Persons aged 17 or
younger were coded as "Inapplicable" (-1).
High Cholesterol
Questions about high cholesterol were asked of persons
aged 18 or older. Consequently, persons aged 17 or younger were coded as
"Inapplicable" (-1) on these variables. CHOLDX ascertained whether the person
had ever been diagnosed as having high cholesterol. Through 2007, a person-level
variable (CHLAGE) indicated the age of diagnosis for high cholesterol on the
Person-Level Use PUF. The age of diagnosis for high cholesterol (CHOLAGED) is
included in this file. This variable is top-coded to 85 years of age.
Cancer
Questions about cancer were asked only of persons aged
18 or older. Consequently, persons aged 17 or younger were coded as
"Inapplicable" (-1) on these variables. CANCERDX ascertained whether the person
had ever been diagnosed as having cancer or a malignancy of any kind. If the
person answered "Yes" they were asked at PE22 what type of cancer was diagnosed.
CABLADDR, CABLOOD, CABONE, CABRAIN, CABREAST, CACERVIX, CACOLON, CAESOPH,
CAGALLBL, CAKIDNEY, CALARYNX, CALEUKEM, CALIVER, CALUNG, CALYMPH, CAMELANO,
CAMOUTH, CAOTHER, CAOVARY, CAPANCRS, CAPROSTA, CARECTUM, CASKINNM, CASKINDK,
CAMUSCLE, CASTOMCH, CATESTIS, CATHROAT, CATHYROD, CAUTERUS indicate selection of
cancer of the bladder, blood, bone, brain, breast, cervix, colon, esophagus,
gallbladder, kidney, or larynx; leukemia; cancer of the liver or lung; lymphoma
or melanoma; cancer of the mouth/tongue/lip, other type of cancer, cancer of the
ovary, pancreas, prostate, rectum, skin; soft tissue, muscle, or fat; stomach,
testis, throat, thyroid, or uterus. Cancer of the cervix, ovary, or uterus could
not be reported for males, and cancer of the prostate or testis could not be
reported for females. The age of diagnosis for each cancer is included in this
file. These variables are top-coded to 85 years of age.
In 2011, the variable labels for CASKINDK (Cancer
Diagnosed – Skin-DK Kind (>17)) and SKDKAGED (Age of Diagnosis-Skin-DK Kind
Cancer) were changed from DK Kind to Unknown Type.
Starting in 2011, variables were added to this file
that indicate whether each reported cancer was in remission. These variables,
BLDRREMS, BLODREMS, BONEREMS, BRAIREMS, BRSTREMS, CERVREMS, COLOREMS, ESPHREMS,
GLBLREMS, KIDNREMS, LRNXREMS, LEUKREMS, LIVRREMS, LUNGREMS, LYMPREMS, MELAREMS,
MOUTREMS, MUSCREMS, OTHRREMS, OVRYREMS, PANCREMS, PRSTREMS, RECTREMS, SKNMREMS,
SKDKREMS, STOMREMS, TSTSREMS, THRTREMS, THYRREMS, UTERREMS, were collected at
PE25, "Is (person)’s (condition) in remission, that is, the (condition) is under
control?"
Recoding of Cancer Variables
Specific cancer diagnosis variables with a frequency
count of fewer than four were removed from the file for confidentiality reasons,
and the corresponding variable CAOTHER, indicating diagnosis of a cancer that is
not counted individually, was recoded to Yes (1) as necessary. The age of
diagnosis for other cancer, OTHRAGED, was recoded to the highest age among ages
of diagnosis for other cancer reported and the cancers that were dropped from
the file. If CAOTHER was No (2) prior to dropping rare cancers, then the
remission variable for other cancer, OTHRREMS, was recoded with the value of the
dropped cancer remission variable. The age of diagnosis variables and remission
variables were not released on the 2011 public use file for those specific
cancer diagnosis variables that were not released for confidentiality reasons.
The variable CABREAST, which indicates diagnosis of
breast cancer, was recoded to inapplicable (-1) for males for confidentiality
reasons. The corresponding value of the general cancer diagnosis variable,
CANCERDX, was recoded to not ascertained (-9), and the corresponding values of
remaining specific cancer variables, and their ages of diagnosis and remission
variables, were recoded to not applicable (-1).
Diabetes
DIABDX indicates whether each person (aged 18 or
older) had ever been diagnosed with diabetes (excluding gestational diabetes).
Persons aged 17 or younger were coded as "Inapplicable" (-1). The age of
diagnosis for diabetes (DIABAGED) is included in this file. This variable is
top-coded to 85 years of age.
REFDIAB allows the respondent to indicate that
diabetes was reported in the PE section in error (REFDIAB = 2). Respondents were
not prompted to confirm or deny the report of diabetes; REFDIAB was set to "2"
(Person Does Not Have Diabetes) only if the respondent offered the information,
and DIABDX is set to "No" (2).
Each person said to have received a diagnosis of
diabetes was asked to complete a special self-administered questionnaire. The
documentation for this questionnaire appears in the Diabetes Care Survey (DCS)
section of the full year consolidated file documentation.
Joint Pain
JTPAIN31 and JTPAIN53 asked if the person (aged 18 or
older) had experienced pain, swelling, or stiffness around a joint in the last
12 months. This question is not intended to be used as an indicator of a
diagnosis of arthritis.
Arthritis
ARTHDX asked if the person (aged 18 or older) had ever
been diagnosed with arthritis. Persons aged 17 or younger were coded as
"Inapplicable" (-1). Those who said "Yes" were asked a follow up question to
determine the type of arthritis. ARTHTYPE indicates if the diagnosis was for
Rheumatoid Arthritis (1), Osteoarthritis (2), or non-specific arthritis (3). The
age of diagnosis for arthritis (ARTHAGED) is included in this file. This
variable is top-coded to 85 years of age.
Asthma
ASTHDX indicates whether a person had ever been
diagnosed with asthma. The age of diagnosis for asthma (ASTHAGED) is included in
this file. This variable is top-coded to 85 years of age.
Those who said "Yes" were asked additional questions.
ASSTIL31 and ASSTIL53 asked if the person still had asthma. ASATAK31 and
ASATAK53 asked whether the person had experienced an episode of asthma or an
asthma attack in the past 12 months. If the person did not experience an asthma
attack in the past 12 months, a follow-up question (ASTHEPIS31, ASTHEPIS53)
asked when the last asthma episode or asthma attack occurred.
Additional follow-up questions regarding asthma
medication used for quick relief (ASACUT53), preventive medicine (ASPREV53), and
peak flow meters (ASPKFL53) were asked. These questions were asked if the person
reported having been diagnosed with asthma (ASTHDX = 1). ASACUT53 asked whether
the person had used the kind of prescription inhaler that you breathe in through
your mouth that gives quick relief from asthma symptoms. ASPREV53 asked whether
the person had ever taken the preventive kind of asthma medicine used every day
to protect the lungs and prevent attacks, including both oral medicine and
inhalers. ASPKFL53 indicates whether the person with asthma had a peak flow
meter at home.
Persons who said "Yes" to ASACUT53 were asked whether
they had used more than three canisters of this type of inhaler in the past 3
months (ASMRCN53). Persons who said "Yes" to ASPREV53 were asked whether they
now took this kind of medication daily or almost daily (ASDALY53). Persons who
said "Yes" to ASPKFL53 were asked if they ever used the peak flow meter
(ASEVFL53). Those persons who said "Yes" to ASEVFL53 were asked when they last
used the peak flow meter (ASWNFL53).
Because the asthma diagnosis variable reflects three
rounds of data in Panel 16, it may appear that there are discrepancies between
the diagnosis variable and the follow-up variables. If a person reported asthma
in the PE section in Round 3, ASATAK31 and ASSTIL31 will be set to
"Inapplicable" (-1) as the person had not reported asthma in Round 1 or 2. If a
person reported asthma in the PE section in Round 1 or 2 but was not a current
RU member in Round 3, the 53 asthma variables will be set to "Inapplicable" (-1)
as the Round 3 follow-up data were not collected for the person.
Attention Deficit Hyperactivity Disorder/Attention
Deficit Disorder
ADHDADDX asked if persons aged 5 through 17 had ever
been diagnosed as having Attention Deficit Hyperactivity Disorder or Attention
Deficit Disorder. Persons younger than 5 or older than 17 were coded as
"Inapplicable" (-1). The age of diagnosis for attention deficit hyperactivity
disorder/attention deficit disorder (ADHDAGED) is included in this file.
Return To Table Of Contents
2.5.5 Health Status Variables (IADLHP31-DSPRX53)
Due to the overlapping panel design of the MEPS (Round
3 for Panel 15 overlapped with Round 1 for Panel 16, Round 4 for Panel 15
coincided with Round 2 for Panel 16 and Round 5 for Panel 15 occurred at the
same time as Round 3 for Panel 16), data from overlapping rounds have been
combined across panels. Thus, any variable ending in "31" reflects data obtained
in Round 3 of Panel 15 and Round 1 of Panel 16. Analogous comments apply to
variables ending in "42" and "53". Health status variables whose names end in
"11" indicate a full-year measurement.
This data release incorporates information from
calendar year 2011. However, health status data obtained in Round 3 of both
Panel 15 and Panel 16 are included in variables that have names ending in "31"
and "53" respectively. For persons in Panel 15, Round 3 extended from 2010 into
2011. Therefore, for these people, some information from late 2010 is included
for variables that have names ending in "31". For persons in Panel 16, Round 3
extended from 2011 into 2012. Therefore, for these people, some information from
early 2012 is included for variables that have names ending in "53". Note that
for most Panel 15 persons, the Round 5 reference period ends on December 31,
2011; however, the Round 5 interview actually occurs in 2012. Round 5
respondents receive an instruction at the start of the Health Status (HE)
section of CAPI to limit information about health status and limitations to the
period ending on December 31, 2011. Nevertheless, if respondents forget or
ignore this reference period instruction, some information collected in this
section in Round 5 (variables ending in "53") might reflect circumstances in
early 2012. Further, health status questions asked in the Preventive Care (AP)
section of CAPI in Round 5 do not contain a similar explicit instruction that
the reference period ends on December 31, 2011, although this is stated at the
start of the overall interview. Hence, in these sections, respondents may also
be providing health status information that pertains to 2012.
Health status variables in this data release can be
classified into several conceptually distinct sets:
- IADL (Instrumental Activities of Daily Living) and ADL
(Activities of Daily Living) limitations
- Functional limitations and activity limitations
- Vision problems
- Hearing problems
- Any limitations
- Child health and preventive care
- Preventive care
- Self-administered questionnaire
- Diabetes care survey
IADL and ADL limitations were measured in all rounds.
Functional and activity limitations were measured in Rounds 3 and 5 for Panel 15
and Rounds 1 and 3 for Panel 16. Vision, hearing, and children’s health status
were measured in Round 4 for Panel 15 and Round 2 for Panel 16. Preventive care
was measured in Round 5 of Panel 15 and Round 3 of Panel 16. The
self-administered questionnaire was distributed in Round 4 of Panel 15 and Round
2 of Panel 16. The diabetes care supplement was distributed in Round 5 of Panel
15 and Round 3 of Panel 16.
In general, health status variables involved the
construction of person-level variables based on information collected in the
health status section of the questionnaire. Many health status questions were
initially asked at the family-level to ascertain if anyone in the household had
a particular problem or limitation. These were followed up with questions to
determine which household member had each problem or limitation. All
information ascertained at the family-level has been brought to the person-level
for this file. Logical edits were performed in constructing the person-level
variables to assure that family-level and person-level values were consistent.
Particular attention was given to cases where missing values were reported at
the family-level to ensure that appropriate information was carried to the
person-level.
Inapplicable cases occurred when a question was never
asked because of a skip pattern in the survey (e.g., individuals who were 13
years of age or older were not asked some follow-up verification questions;
individuals older than 17 were not asked questions pertaining to children’s
health status). Inapplicable cases are coded as -1. In addition, deceased
persons were coded as "Inapplicable" (-1).
Each of the sets of variables listed above will be
described in turn.
Return To Table Of Contents
2.5.5.1 IADL and ADL Limitations
IADL Help
The Instrumental Activities of Daily Living (IADL)
Help or Supervision variables (IADLHP31, IADLHP42, and IADLHP53) were each
constructed from a series of three questions administered in the health status
section of the interview. The initial question (HE01) determined if anyone in
the family received help or supervision with IADLs such as using the telephone,
paying bills, taking medications, preparing light meals, doing laundry, or going
shopping. If the response was "Yes", a follow-up question (HE02) was asked to
determine which household member(s) received this help or supervision. For
persons under age 13, a final verification question (HE03) was asked to confirm
that the IADL help or supervision was the result of an impairment or physical or
mental health problem. If the response to the final verification question was
"No", IADLHP31, IADLHP42, and IADLHP53 were coded "No" for persons under the age
of 13.
If no one in the family was identified as receiving
help or supervision with IADLs, all members of the family were coded as
receiving no IADL help or supervision. In cases where the response to the
family-level question was "Refused" (-7), "Don’t Know" (-8), or "Not
Ascertained" (-9), all persons were coded according to the family-level
response. In cases where the response to the family-level question (HE01) was
"Yes" but no specific individuals were identified in the follow-up question as
having IADL difficulties, all persons were coded as "Don’t Know" (-8).
The Duration of IADL Condition variables (IADL3M31,
IADL3M42 and IADL3M53) were constructed from a follow-up question (HE03A) in the
health status section of the interview. For each person who received IADL help
or supervision due to an impairment or physical or mental health problem
(IADLHP## is coded "Yes"), HE03A was asked to determine whether the person was
expected to need help or supervision with these activities for at least three
more months. For persons coded "No" (2), "Refused" (-7), "Don’t Know" (-8), or
"Not Ascertained" (-9) for IADLHP##, IADL3M## was coded "Inapplicable" (-1).
ADL Help
The Activities of Daily Living (ADL) Help or
Supervision variables (ADLHLP31, ADLHLP42, and ADLHLP53) were each constructed
in the same manner as the IADL help variables, but using questions HE04-HE06.
Coding conventions for missing data were the same as for the IADL variables.
The Duration of ADL Condition variables (ADL3MO31,
ADL3MO42 and ADL3MO53) were constructed from a follow-up question (HE06A) in the
health status section of the interview. For each person who received ADL help or
supervision due to an impairment or physical or mental health problem (ADLHLP##
is coded "Yes"), HE06A was asked to determine whether the person was expected to
need help or supervision with these activities for at least three more months.
For persons coded "No" (2), "Refused" (-7), "Don’t Know" (-8), or "Not
Ascertained" (-9) for ADLHLP##, ADL3MO## was coded "Inapplicable" (-1).
Return To Table Of Contents
2.5.5.2 Functional and Activity Limitations
Functional Limitations
A series of questions pertained to functional
limitations, which are defined as difficulty in performing certain specific
physical actions. WLKLIM31 and WLKLIM53 were the filter questions, depending on
the round. These variables were derived from a question (HE09) that was asked at
the family-level: "Does anyone in the family have difficulties walking, climbing
stairs, grasping objects, reaching overhead, lifting, bending or stooping, or
standing for long periods of time?" If the answer was "No", then all family
members were coded as "No" (2) on WLKLIM31 or WLKLIM53. If the answer was "Yes",
then the specific persons who had any of these difficulties were identified and
coded as "Yes" (1), and remaining family members were coded as "No" (2). If the
response to the family-level question was "Don’t Know" (-8), "Refused" (-7),
"Not Ascertained" (-9), or "Inapplicable" (-1), then the corresponding missing
value code was applied to each family member’s value for WLKLIM31 or WLKLIM53.
If the answer to HE09 was "Yes" (1) but no specific individual was named as
experiencing such difficulties, then each family member was assigned "Don’t
Know" (-8). Deceased persons were assigned a -1 code ("Inapplicable") for
WLKLIM31 or WLKLIM53.
For Rounds 3 (Panel 15) and 1 (Panel 16), if WLKLIM31
was coded "Yes" (1) for any family member, a subsequent series of questions was
administered. The series of questions for which WLKLIM31 served as a filter is
as follows:
LFTDIF31 – difficulty lifting 10 pounds
STPDIF31 – difficulty walking up 10 steps
WLKDIF31 – difficulty walking 3 blocks
MILDIF31 – difficulty walking a mile
STNDIF31 – difficulty standing 20 minutes
BENDIF31 – difficulty bending or stooping
RCHDIF31 – difficulty reaching over head
FNGRDF31 – difficulty using fingers to grasp
WLK3MO31 – expected to have difficulty with any of
these activities for at least 3 more months
This series of questions was asked separately for each
person whose response to WLKLIM31 was coded "Yes" (1). The series of questions
was not asked for other individual family members whose response to WLKLIM31 was
"No" (2). In addition, this series was not asked about family members who were
less than 13 years of age, regardless of their status on WLKLIM31. These
questions were not asked about deceased family members. In such cases (i.e.,
WLKLIM31 = 2, or age < 13, or PSTATS31 = 23, 24, or 31), each question in the
series was coded as "Inapplicable" (-1). Finally, if responses to WLKLIM31 were
"Refused" (-7), "Don’t Know" (-8), "Not Ascertained" (-9), or otherwise
"Inapplicable" (-1), then each question in this series was coded as
"Inapplicable" (-1).
Analysts should note that WLKLIM31 was asked of all
household members, regardless of age. For the subsequent series of questions,
however, persons less than 13 years old were skipped and coded as
"Inapplicable". Therefore, it is possible for someone age 12 or younger to have
a code of "Yes" (1) on WLKLIM31, and also to have codes of "Inapplicable" on the
subsequent series of questions.
For Rounds 5 (Panel 15) and 3 (Panel 16), the
corresponding filter question was WLKLIM53.
The series of questions for which WLKLIM53 served as a
filter is as follows:
LFTDIF53 – difficulty lifting 10 pounds
STPDIF53 – difficulty walking up 10 steps
WLKDIF53 – difficulty walking 3 blocks
MILDIF53 – difficulty walking a mile
STNDIF53 – difficulty standing 20 minutes
BENDIF53 – difficulty bending or stooping
RCHDIF53 – difficulty reaching over head
FNGRDF53 – difficulty using fingers to grasp
WLK3MO53 – expected to have difficulty with any of
these activities for at least 3 more months
Editing conventions were the same for this "53" series
of variables as they were for the corresponding "31" series described above.
Use of Assistive Technology and Social/Recreational
Limitations
The variables indicating use of assistive technology
(AIDHLP31 and AIDHLP53, from question HE07) and social/recreational limitations
(SOCLIM31 and SOCLIM53, from question HE22) were collected initially at the
family-level. If there was a "Yes" (1) response to the family-level question, a
second question identified the specific individual(s) to whom the "Yes" response
pertained. Each individual identified as having the difficulty was coded "Yes"
(1) for the appropriate variable; all remaining family members were coded "No".
If the family-level response was "Refused" (-7), "Don’t Know" (-8), or "Not
Ascertained" (-9), all persons were coded with the family-level response. In
cases where the family-level response was "Yes" but no specific individual was
identified as having difficulty, all family members were coded as "Don’t Know"
(-8).
Work, Housework, and School Limitations
The variables indicating any limitation in work,
housework, or school (ACTLIM31 and ACTLIM53) were constructed using questions
HE19-HE20. Specifically, information was collected initially at the
family-level. If there was a "Yes" (1) response to the family-level question
(HE19), a second question (HE20) identified the specific individual(s) to whom
the "Yes" (1) response pertained. Each individual identified as having a
limitation was coded "Yes" (1) for the appropriate variable; all remaining
family members were coded "No" (2). If the family-level response was "Refused"
(-7), "Don’t Know" (-8), or "Not Ascertained" (-9), all persons were coded with
the family-level response. In cases where the family-level response was "Yes"
(1) but no specific individual was identified as having difficulty, all family
members were coded as "Don’t Know" (-8). Persons less than five years old were
coded as "Inapplicable" (-1) on ACTLIM31 and ACTLIM53.
For Round 3 (Panel 15) or Round 1 (Panel 16), if
ACTLIM31 was "Yes" (1) and the person was 5 years of age or older, a follow-up
question (HE20A) was asked to identify the specific limitation or limitations
for each person. These included working at a job (WRKLIM31), doing housework
(HSELIM31), or going to school (SCHLIM31). Respondents could answer "Yes" (1) or
"No" (2) to each activity; thus a person could report limitations in multiple
activities. WRKLIM31, HSELIM31, and SCHLIM31 have values of "Yes" (1) or "No"
(2) only if ACTLIM31 was "Yes" (1); each variable was coded as "Inapplicable"
(-1) if ACTLIM31 was "No" (2). When ACTLIM31 was "Refused" (-7), these variables
were all coded as "Refused" (-7); when ACTLIM31 was "Don’t Know" (-8), these
variables were all coded as "Don’t Know" (-8); and when ACTLIM31 was "Not
Ascertained" (-9), these variables were all coded as "Not Ascertained" (-9). If
a person was under 5 years old or was deceased, WRKLIM31, HSELIM31, and SCHLIM31
were each coded as "Inapplicable" (-1).
An additional question (UNABLE31) was asked if the
person was completely unable to work at a job, do housework, or go to school.
Those persons who were coded "No" (2), "Refused" (-7), "Don’t Know" (-8), or
"Not Ascertained" (-9) on ACTLIM31, were under 5 years of age, or were deceased
were coded as "Inapplicable" (-1) on UNABLE31. UNABLE31 was asked once for
whichever set of WRKLIM31, HSELIM31, and SCHLIM31 the person had limitations; if
a person was limited in more than one of these three activities, UNABLE31 did
not specify if the person was completely unable to perform all of them, or
only some of them.
For Rounds 5 (Panel 15) or 3 (Panel 16) corresponding
variables were ACTLIM53, WRKLIM53, HSELIM53, SCHLIM53, and UNABLE53. Editing
conventions were the same as those described above.
Cognitive Limitations
The variables indicating any cognitive limitation
(COGLIM31 or COGLIM53, depending on the round) were collected at the
family-level as a three-part question (HE24-01 to HE24-03), asking if any of the
adults in the family (1) experience confusion or memory loss, (2) have problems
making decisions, or (3) require supervision for their own safety. If a "Yes"
response was obtained to any item, the persons affected were identified in HE25,
and COGLIM31 or COGLIM53 was coded as "Yes" (1). Remaining family members not
identified were coded as "No" (2) for COGLIM31 or COGLIM53.
If responses to HE24-01 through HE24-03 were all "No",
or if two of three were "No" (2) and the remaining was "Refused" (-7), "Don’t
Know" (-8), or "Not Ascertained" (-9), all family members were coded as "No"
(2). If responses to the three questions were combinations of "Don’t Know" (-8),
"Refused" (-7), and missing, all persons were coded as "Don’t Know" (-8). If the
response to any of the three questions was "Yes" (1) but no individual was
identified in HE25, all persons were coded as "Don’t Know" (-8).
The cognitive limitations variables (COGLIM31 and
COGLIM53) reflect whether any of the three component questions is "Yes"
(1). Family members with one, two, or three specific cognitive limitations
cannot be distinguished. In addition, because the question asked specifically
about adult family members, all persons less than 18 years of age are coded as
"Inapplicable" (-1) on this question.
Return To Table Of Contents
2.5.5.3 Vision Problems
A series of questions (HE26 to HE32) provides
information on visual impairment. These questions were asked of all household
members, regardless of age. Deceased RU members were coded as "Inapplicable"
(-1).
WRGLAS42 indicates whether a person wears eyeglasses
or contact lenses. This variable was based on two questions, HE26 and HE27. The
initial question (HE26) determined if anyone in the family wore eyeglasses or
contact lenses. If the response was "Yes" (1), a follow-up question (HE27) was
asked to determine which household member(s) wore eyeglasses or contact lenses.
If the family-level response was "Don’t Know" (-8), "Refused" (-7), or "Not
Ascertained" (-9), all persons were coded with the family-level response. In
cases where the family-level response was "Yes" (1) but no specific individual
was identified as wearing glasses or contact lenses, all family members were
coded as "Don’t Know" (-8).
SEEDIF42 indicates whether anyone in the family had
difficulty seeing (with glasses or contacts, if used). This variable was based
on two questions, HE28 and HE29. The initial question (HE28) determined if
anyone in the family had difficulty seeing. If the response was "Yes" (1), a
follow-up question (HE29) was asked to determine which household member(s) had a
visual impairment. If the family-level response was "Don’t Know" (-8), "Refused"
(-7), or "Not Ascertained" (-9), all persons were coded with the family-level
response. In cases where the family-level response was "Yes" (1) but no specific
individual was identified as having difficulty seeing, all family members were
coded as "Don’t Know" (-8).
Three subsequent questions were asked only of
individuals who had difficulty seeing (i.e., SEEDIF42 was "Yes" (1)). Persons
with no visual impairment were coded as "Inapplicable" (-1) for these questions,
as were persons with "Don’t Know" (-8), "Refused" (-7), or "Not Ascertained"
(-9) responses to SEEDIF42. The three subsequent questions are summarized in the
three subsequent variables. BLIND42 determined if a person with difficulty
seeing was blind. For persons who were not blind (BLIND42 was "No" (2)),
READNW42 asked whether the person could see well enough to read ordinary
newspaper print (with glasses or contacts, if used); persons who were blind were
not asked this question and were coded "Inapplicable" (-1). For persons who
could not read ordinary newspaper print (READNW42 was "No" (2)), RECPEP42 asked
if the person could see well enough to recognize familiar people standing two or
three feet away. Persons who were blind or who could read newsprint were not
asked this question and were coded "Inapplicable" (-1).
VISION42 summarizes the pattern of responses to the
set of visual impairment questions. Codes for VISION42 are as follows:
Value |
Definition |
-1 |
All component variables are "Inapplicable" (SEEDIF42 was -1 and BLIND42 was -1 and READNW42 was -1 and RECPEP42 was -1) |
-9 |
One or more component variables was "Refused" (-7), "Don’t know" (-8), or "Not ascertained" (-9) |
1 |
No difficulty seeing (SEEDIF42 was "No" (2)) |
2 |
Some difficulty seeing, can read newsprint (SEEDIF42 was "Yes" (1) and BLIND42 was "No" (2) and READNW42 was "Yes" (1)) |
3 |
Some difficulty seeing, cannot read newsprint, can recognize familiar people (SEEDIF42 was "Yes" (1) and BLIND42 was "No" (2) and READNW42 was "No" (2) and RECPEP42 was "Yes" (1)) |
4 |
Some difficulty seeing, cannot read newsprint, cannot recognize familiar people but is not blind (SEEDIF42 was "Yes" (1) and BLIND42 was "No" (2) and READNW42 was "No" (2) and RECPEP42 was "No" (2)) |
5 |
Blind (SEEDIF42 was "Yes" (1) and BLIND42 was "Yes" (1)) |
Return To Table Of Contents
2.5.5.4 Hearing Problems
A series of questions (HE33 to HE39) provides
information on hearing impairment. These questions were asked of all household
members, regardless of age. Deceased RU members were coded "Inapplicable" (-1).
HEARAD42 indicates whether a person wears a hearing
aid. This variable was based on two questions, HE33 and HE34. The initial
question (HE33) determined if anyone in the family wore a hearing aid. If the
response was "Yes", a follow-up question (HE34) was asked to determine which
household member(s) wore a hearing aid. If the family-level response was "Don’t
Know" (-8), "Refused" (-7), or "Not Ascertained" (-9), all persons were coded
with the family-level response. In cases where the family-level response was
"Yes" but no specific individual was identified as wearing a hearing aid, all
family members were coded as "Don’t Know" (-8).
HEARDI42 indicates whether a person had difficulty
hearing (with a hearing aid, if used). This variable is based on two questions,
HE35 and HE36. The initial question (HE35) determined if anyone in the family
had difficulty hearing. If the response was "Yes", a follow-up question (HE36)
was asked to determine which household member had an aural impairment. If the
family-level response was "Don’t Know" (-8), "Refused" (-7), or "Not
Ascertained" (-9), all persons were coded with the family-level response. In
cases where the family-level response was "Yes" but no specific individual was
identified as having difficulty hearing, all family members were coded as "Don’t
Know" (-8).
Three subsequent questions were asked only of
individuals who had difficulty hearing (i.e., HEARDI42 was "Yes" (1)). Persons
with no hearing impairment were coded as "Inapplicable" (-1) for these
questions, as were persons with "Don’t Know" (-8), "Refused" (-7), or "Not
Ascertained" (-9) responses to HEARDI42. The three subsequent questions are
summarized in the three subsequent variables. DEAF42 determined if a person with
difficulty hearing was deaf. For persons who were not deaf (DEAF42 was "No"
(2)), HEARMO42 asked whether the person could hear well enough to hear most of
the things people say (with a hearing aid, if used); persons who were deaf were
not asked this question and were coded as "Inapplicable" (-1). For persons who
could not hear most things people say (HEARMO42 was "No" (2)), HEARSM42 asked if
the person could hear well enough to hear some of the things that people say.
Persons who were deaf or who could hear most conversation were not asked this
question and were coded as "Inapplicable" (-1).
HEARNG42 summarizes the pattern of responses to the
set of hearing impairment questions. Codes for HEARNG42 are as follows:
Value |
Definition |
-1 |
All component variables are "Inapplicable" (HEARDI42 was -1 and DEAF42 was -1 and HEARMO42 was -1 and HEARSM42 was -1) |
-9 |
One or more component variables was "Refused" (-7), "Don’t know" (-8), or "Not ascertained" (-9) |
1 |
No difficulty hearing (HEARDI42 was "No" (2)) |
2 |
Some difficulty hearing, can hear most things people say (HEARDI42 was "Yes" (1) and DEAF42 was "No" (2) and HEARMO42 was "Yes" (1)) |
3 |
Some difficulty hearing, cannot hear most things people say, can hear some things people say (HEARDI42 was "Yes" (1) and DEAF42 was "No" (2) and HEARMO42 was "No" (2) and HEARSM42 was "Yes" (1)) |
4 |
Some difficulty hearing, cannot hear most things people say, cannot hear some things people say but is not deaf (HEARDI42 was "Yes" (1) and DEAF42 was "No" (2) and HEARMO42 was "No" (2) and HEARSM42 was "No" (2)) |
5 |
Deaf (HEARDI42 was "Yes" (1) and DEAF42 was "Yes" (1)) |
Return To Table Of Contents
2.5.5.5 Any Limitation Rounds 3, 4, and 5 (Panel 15) /
Rounds 1, 2, and 3 (Panel 16)
ANYLIM11 summarizes whether a person has any IADL,
ADL, functional, activity, or sensory limitations in any of the pertinent
rounds. This variable was derived based on data from Rounds 3, 4, and 5 (Panel
15) or Rounds 1, 2, and 3 (Panel 16). ANYLIM11 was built using the component
variables IADLHP31, IADLHP42, IADLHP53, ADLHLP31, ADLHLP42, ADLHLP53, WLKLIM31,
WLKLIM53, ACTLIM31, ACTLIM53, SEEDIF42, and HEARDI42. (The latter two variables,
discussed above, indicate any visual or hearing impairment, respectively.) If
any of these components was coded "Yes", then ANYLIM11 was coded "Yes" (1). If
all components were coded "No", then ANYLIM11 was coded "No" (2). If all the
components were "Inapplicable" (-1), then ANYLIM11 was coded as "Inapplicable"
(-1). If all the components had missing value codes (i.e., -7, -8, -9, or -1),
ANYLIM11 was coded as "Not Ascertained" (-9). If some components were "No" and
others had missing value codes, ANYLIM11 was coded as "Not Ascertained" (-9).
The exception to this latter rule was for children younger than five years old,
who were not asked questions that are the basis for ACTLIM31 or ACTLIM53; for
these RU members, if all other components were "No", then ANYLIM11 was coded as
"No" (2). The variable label for ANYLIM11 departs slightly from conventions.
Typically, variables that end in "11" refer only to 2011. However, some of the
variables used to construct ANYLIM11 were assessed in 2012, so some information
from early 2012 is incorporated into this variable.
Return To Table Of Contents
2.5.5.6 Child Health and Preventive Care
Questions were asked about each child (under the age
of 18, excluding deceased children) in the applicable age subgroups to which
they pertained. For the Child Supplement variables, a code of "Inapplicable"
(-1) was assigned if a person was deceased, was not in the appropriate Round 2
or 4, or was not in the applicable age subgroup as of the interview date. This
public use dataset contains variables and frequency distributions from the child
health and preventive care section associated with 10,443 children who were
eligible for the child health and preventive care section. Children were
eligible for this section when PSTATS42 was not equal to 23, 24, 31 (Deceased)
and 0 <= AGE42X <= 17. Of these children, 9,417 were assigned a positive
person-level weight for 2011 (PERWT11P > 0). Cases not eligible for the child
health and preventive care section should be excluded from estimates made with
the child health and preventive care section. Questions in this section that
previously had been in the Parent Administered Questionnaire (PAQ) in 2000 may
produce slightly different estimates starting in 2001 due to the change in mode
from a self-administered parent questionnaire in 2000 to an interviewer
administered questionnaire starting in 2001.
Children’s General Health Status Questions (ages 0 - 17)
Several questions from the General Health Subscale of
the Child Health Questionnaire were asked about all children ages 0 through 17.
The questions asked starting in 2001 are slightly different from the questions
asked in previous years. A key reference for the Child Health Questionnaire is:
Landgraf JM, Abaetz L., Ware JE. The CHQ User’s
Manual. First Edition. Boston, MA: The Health Institute, New England Medical
Center, 1996.
Five questions asked for ratings of the child’s health
on a 5-point scale, ranging from "Definitely True" (1) to "Definitely False"
(5). These questions were:
LSHLTH42 – child seems less healthy than other children
NEVILL42 – child has never been seriously ill
SICEAS42 – child usually catches whatever is going around
HLTHLF42 – expect child will have a healthy life
WRHLTH42 – worry more than is usual about child’s health
Children with Special Health Care Needs Screener (ages
0 - 17)
The Children with Special Health Care Needs (CSHCN)
Screener instrument was developed through a national collaborative process as
part of the Child and Adolescent Health Measurement Initiative (CAHMI)
coordinated by the Foundation for Accountability. A key reference for this
screener instrument is:
Bethel CD, Read D, Stein REK, Blumberg SJ, Wells N,
Newacheck PW. Identifying Children with Special Health Care Needs: Development
and Evaluation of a Short Screening Instrument. Ambulatory Pediatrics
Volume 2, No. 1, January-February 2002, pp 38-48.
These questions are asked about children ages 0 –17
and were asked in the 2000 PAQ. In general, the CSHCN screener identifies
children with activity limitation or need or use of more health care or other
services than is usual for most children of the same age. When a response to a
gate question was set to "No" (2), "Refused" (-7), "Don’t Know" (-8), or "Not
Ascertained" (-9), follow-up variables based on the gate question were coded as
"Inapplicable" (-1).
The variable CSHCN42 identifies children with special
health care needs, and was created using the CSHCN screener questions according
to the specifications in the reference above. The CSHCN screener questions
consist of a series of question-sequences about the following five health
consequences: the need or use of medicines prescribed by a doctor; the need or
use of more medical care, mental health, or education services than is usual for
most children; being limited or prevented in doing things most children can do;
the need or use of special therapy such as physical, occupational, or speech
therapy; and the need or use of treatment or counseling for emotional,
developmental, or behavioral problems. Parents who responded "yes" to any of the
"initial" questions in the five-question sequences were then asked to respond to
up to two follow-up questions about whether the health consequence was
attributable to a medical, behavioral, or other health condition lasting or
expected to last at least 12 months. Children with positive responses to at
least one of the five health consequences along with all of the follow-up
questions were identified as having a Special Health Care Need. Children with a
"no" response for at least one question for each of the five question-sequences
were considered NOT to have a Special Health Care Need. Those children whose
"special health care need" status could not be determined (due to missing data
for any of the questions) were coded as "Unknown". More information about the
CSHCN screener questions can be obtained from (www.facct.org).
The CSHCN screener questions were:
CHPMED42 – child needs or uses prescribed medicines
CHPMHB42 – prescribed medicines were because of a
medical, behavioral, or other health condition
CHPMCN42 – health condition that causes a person to
need prescribed medicines has lasted or is expected to last for at least 12
months
CHSERV42 – child needs or uses more medical care,
mental health, or education services than is usual for most children of the same
age
CHSRHB42 – child needs or uses more medical and other
service because of a medical, behavioral, or other health condition
CHSRCN42 – health condition that causes a person to
need or use more medical and other services has lasted or is expected to last
for at least 12 months
CHLIMI42 – child is limited or prevented in any way in
ability to do the things most children of the same age can do
CHLIHB42 – child is limited in the ability to do the
things most children can do because of a medical, behavioral, or other health
condition
CHLICO42 – health condition that causes a person to be
limited in the ability to do the things most children can do has lasted or is
expected to last for at least 12 months
CHTHER42 – child needs or gets special therapy such as
physical, occupational, or speech therapy
CHTHHB42 – child needs or gets special therapy because
of a medical, behavioral, or other health condition
CHTHCO42 – health condition that causes a person to
need or get special therapy has lasted or is expected to last for at least 12
months
CHCOUN42 – child has an emotional, developmental, or
behavioral problem for which he or she needs or gets treatment or counseling
CHEMPB42 – problem for which a person needs or gets
treatment or counseling is a condition that has lasted or is expected to last
for at least 12 months
CSHCN42 – identifies children with special health care
needs
Columbia Impairment Scale (ages 5 - 17)
These questions inquired about possible child
behavioral problems and were asked in previous years. Respondents were asked to
rate on a scale from 0 to 4, where "0" indicates "No Problem" and "4" indicates
"A Very Big Problem", how much of a problem the child has with thirteen
specified activities. A key reference for the Columbia Impairment Scale is:
Bird HR, Andrews H, et. al. "Global Measures of
Impairment for Epidemiologic and Clinical Use with Children and Adolescents."
International Journal of Methods in Psychiatric Research, vol. 6, 1996, pp.
295-307.
Certain questions in this series were coded to "Asked,
but Inapplicable" (99) when the question was not applicable for a specific
child. For example, if a child’s mother was deceased, a question about how much
of a problem a child has getting along with his/her mother would be set to
"Asked, but Inapplicable" (99). Similarly, the question about problems getting
along with siblings would be set to "Asked, but Inapplicable" (99) for children
with no siblings. Variables in this set include:
MOMPRO42 – getting along with mother
DADPRO42 – getting along with father
UNHAP42 – feeling unhappy or sad
SCHLBH42 – (his/her) behavior at school
HAVFUN42 – having fun
ADUPRO42 – getting along with adults
NERVAF42 – feeling nervous or afraid
SIBPRO42 – getting along with brothers and sisters
KIDPRO42 – getting along with other kids
SPRPRO42 – getting involved in activities like sports or hobbies
SCHPRO42 – (his/her) schoolwork
HOMEBH42 – (his/her) behavior at home
TRBLE42 – staying out of trouble
CAHPS® (Consumer Assessment of Healthcare Providers
and Systems) ages 0 - 17
The health care quality measures were taken from the
health plan version of CAHPS®, an AHRQ sponsored family of survey instruments
designed to measure quality of care from the consumer’s perspective, and were
asked in the 2000 PAQ. All of the CAHPS® variables refer to events experienced
in the last 12 months. The variables included from the CAHPS® are:
CHILCR42 – whether a person had an illness, injury, or
condition that needed care right away from a clinic, emergency room, or doctor’s
office
CHILWW42 – how often a person got care as soon as was
needed (coded as "-1 Inapplicable" when CHILCR42 = 2, -7, -8, or -9)
CHRTCR42 – whether any appointments were made
CHRTWW42 – how often a person got an appointment for
health care as soon as was needed (coded as "-1 Inapplicable" when CHRTCR42 = 2,
-7, -8, or -9)
CHAPPT42 – how many times a person went to a doctor’s
office or clinic for health care
CHNDCR42 – whether the parent or a doctor believed the
person needed any care, tests or treatment (coded as "-1 Inapplicable" when
CHAPPT42 = 0, -7, -8, or -9)
CHENEC42 – how often it was easy to get a person the
care, tests or treatment that the parent or a doctor believed necessary (coded
as "-1 Inapplicable" when CHAPPT42 = 0, -7, -8, or -9 or when CHNDCR42 = 2, -7,
-8, or -9).
CHLIST42 – how often a person’s doctors or other
health providers listened carefully to the parent (coded as "-1 Inapplicable"
when CHAPPT42 = 0, -7, -8, or -9)
CHEXPL42 – how often a person’s doctors or other
health providers explained things in a way the parent could understand (coded as
"-1 Inapplicable" when CHAPPT42 = 0, -7, -8, or -9)
CHRESP42 – how often a person’s doctors or other
health providers showed respect for what the parent had to say (coded as "-1
Inapplicable" when CHAPPT42 = 0, -7, -8, or -9)
CHPRTM42 – how often doctors or other health providers
spent enough time with a person (coded as "-1 Inapplicable" when CHAPPT42 = 0,
-7, -8, or -9)
CHHECR42 – rating of health care from 0 to 10 where 0
=Worst health care possible and 10=Best health care possible (coded as
"-1 Inapplicable" when CHAPPT42 = 0, -7, -8, or -9)
CHSPEC42 – whether a person needed to see a specialist
CHEYRE42 – how often it was easy to see a specialist
(coded as "-1 Inapplicable" when CHSPEC42 = 2, -7, -8, or -9).
Child Preventive Care (age range depends on question)
A series of questions was asked about amounts and
types of preventive care a child may receive when going to see a doctor or other
health provider. Questions are asked of children of different age groups
depending on the nature of the questions. When a response to a gate question was
set to "No" (2), "Refused" (-7), "Don’t Know" (-8), or "Not Ascertained" (-9),
follow-up variables based on the gate question were coded as "Inapplicable"
(-1). Variables in this set include:
MESHGT42 – doctor or other health provider ever
measured child’s height (0 – 17)
WHNHGT42 – when doctor or other health provider
measured child’s height (0 – 17)
MESWGT42 – doctor or other health provider ever
measured child’s weight (0 – 17)
WHNWGT42 – when doctor or other health provider
measured child’s weight (0 – 17)
CHBMIX42 – child’s Body Mass Index (BMI) as based on
child’s reported height and weight (6 – 17)
MESVIS42 – doctor or other health provider ever
checked child’s vision (3 – 6)
MESBPR42 – Doctor or other health provider ever
checked child’s blood pressure (2 – 17)
WHNBPR42 – when doctor or other health provider
checked child’s blood pressure (2 – 17)
DENTAL42 – doctor or other health provider ever
advised a dental checkup (2 – 17)
WHNDEN42 – when doctor or other health provider
advised a dental checkup (2 – 17)
EATHLT42 – doctor or other health provider ever given
advice about child’s eating healthy (2 – 17)
WHNEAT42 – when doctor or other health provider gave
advice about eating healthy (2 – 17)
PHYSCL42 – doctor or other health provider ever given
advice about the amount and kind of exercise, sports or physically active
hobbies the child should have (2 – 17)
WHNPHY42 – when doctor or other health provider gave
advice about exercise (2 – 17)
SAFEST42 – doctor or other health provider ever given
advice about using a safety seat when child rides in the car (weight <= 40
pounds or age 0 - 4 if weight is missing)
WHNSAF42 – when doctor or other health provider gave
advice about using a safety seat (weight <= 40 pounds or age 0 - 4 if weight is
missing)
BOOST42 – doctor or other health provider ever given
advice about using a booster seat when child rides in the car (weight between 41
and 80 pounds or age > 4 and age <= 9 if weight is missing)
WHNBST42 – when doctor or other health provider gave
advice about using a booster seat (weight between 41 and 80 pounds or age > 4
and age <= 9 if weight is missing)
LAPBLT42 – doctor or other health provider ever given
advice about using lap and shoulder belts when child rides in the car (weight >
80 pounds or age > 9 if weight is missing)
WHNLAP42 – when doctor or other health provider gave
advice about using lap and shoulder belts (weight > 80 pounds or age > 9 if
weight is missing)
HELMET42 – doctor or other health provider ever given
advice about the child’s using a helmet when riding a bicycle or motorcycle (2 –
17)
WHNHEL42 – when doctor or other health provider gave
advice about the child’s using a helmet when riding a bicycle or motorcycle (2 –
17)
NOSMOK42 – doctor or other health provider ever given
advice about how smoking in the house can be bad for child’s health (0 – 17)
WHNSMK42 – when doctor or other health provider gave
advice about how smoking in the house can be bad for the child’s health (0 – 17)
TIMALN42 – during last health care visit, doctor or
other health provider spent any time alone with the child (12 – 17)
Beginning in 2001, due to confidentiality concerns and
restrictions, the variables HGTFT42, HGTIN42, WGTLB42 and WGTOZ42, were dropped
from the Full-Year file. Instead, a Body Mass Index (BMI) variable, CHBMIX42, is
calculated and included for children 6-17 years old. Due to a high percentage of
missing height data for children ages 5 and under (34%), all children 5 and
under were given a "-1 Inapplicable" code for the variable CHBMIX42. CHBMIX42 is
included in the 2011 file and on the above list. Please note: analysts can have
access to the height and weight variables and/or can construct a BMI variable of
their own through the MEPS Data Center. To access information on the MEPS Data
Center including an application, please go to the following Web address:
meps.ahrq.gov/data_stats/onsite_datacenter.jsp.
The steps used to calculate the BMI for children 6-17
are as follows:
- Construct child height and weight variables HGTFT42,
HGTIN42, WGTLB42, and WGTOZ42 based on collected data
- Create a preliminary data set containing height, weight, sex
and age data
- Generate a preliminary child BMI using the preliminary data
set and the procedure for calculating the BMI for children as
described on the Centers for Disease Control and Prevention (www.cdc.gov)
Web site
- Create the child BMI variable CHBMIX42 using the preliminary
child BMI, setting all deceased persons, all persons over 17
years old, and all persons 5 years old or younger to
Inapplicable (-1)
Note that for FY 2011, child height and weight were
not top-coded prior to the construction of the preliminary data set. Where
height in feet was > 0 and height in inches was missing, the mid-point value for
height in inches (6 inches) was assigned to HGTIN42 for use in the calculation
of the child BMI. Where height in feet was 0 and height in inches was missing,
the preliminary child BMI was set to "Not Ascertained" (-9).
For cases where weight in pounds was between 1 and 20
and weight in ounces was missing (WGTOZ42 in (-7, -8, -9)), the mid-point value
for weight in ounces (8 ounces) was assigned to WGTOZ42 for use in the
calculation of the child BMI. Where weight in pounds was 0 and weight in ounces
was missing, the preliminary child BMI was set to "Not Ascertained" (-9).
This use of the mid-points for inches and ounces
ensures that children who have feet but not inches in height and/or pounds but
not ounces in weight are included in the BMI calculation.
As indicated in step 2 above, a preliminary SAS data
set containing height, weight, sex, and age data for children 6-17 years old in
FY 2011 was created. Two SAS programs were downloaded from the Centers for
Disease Control and Prevention Web site for the purpose of calculating the BMI
for children (step 3). These programs used the preliminary data set of children
to generate a preliminary child BMI based on the 2000 CDC growth charts (www.cdc.gov/growthcharts).
These programs used the following formula to calculate the preliminary BMI for
children:
Weight in Kilograms / [(Height in Centimeters/100)]2
Note that weight in pounds and ounces was converted to
weight in kilograms in the preliminary data set. Similarly, height in feet and
inches was converted to height in centimeters in the preliminary data set.
As indicated in step 4 above, the child BMI variable
CHBMIX42 was calculated using this preliminary BMI from step 3. Deceased
persons, persons > 17 years old, and children younger than 6 years old were set
to Inapplicable (-1) for CHBMIX42. Children 6-17 years old with a missing value
for height in feet (HGTFT42 is "Refused" (–7), "Don’t Know" (-8), or "Not
Ascertained" (-9)) and/or weight in pounds (WGTLB42 is "Refused" (–7), "Don’t
Know" (-8), or "Not Ascertained" (-9)) were set to Not Ascertained (-9) for
CHBMIX42. Children whose height in feet was 0 and height in inches was missing
(HGTIN42 is "Refused" (-7), "Don’t Know" (-8), or "Not Ascertained" (-9)) were
set to "Not Ascertained" (-9) for CHBMIX42. Children whose weight in pounds was
0 and weight in ounces was missing (WGTOZ42 is "Refused" (-7), "Don’t Know"
(-8), or "Not Ascertained" (-9)) were set to "Not Ascertained" (-9) for
CHBMIX42. All other children 6-17 years old have a calculated BMI for FY 2011.
CHBMIX42 is not top- or bottom-coded or edited.
Return To Table Of Contents
2.5.5.7 Preventive Care Variables
For each person, excluding deceased persons, a series
of questions was asked about the receipt of preventive care or screening
examinations. Questions varied in the applicable age or gender subgroups to
which they pertained. The list of preventive care variables, along with their
applicable subgroup is as follows:
DENTCK53 – on average, frequency of dental check-up
Age > 1; both genders
BPCHEK53 – how long since last blood pressure check
Age > 17; both genders
BPMONT53 – how many months since last blood pressure
check
Age > 17; both genders; BPCHEK53 is "Within Past Year" (1) or "Within Past 2
Years" (2)
CHOLCK53 – about how long since last blood cholesterol
check by doctor or health professional
Age >17; both genders
CHECK53 – how long since last routine check-up by
doctor or other health professional for assessing overall health
Age >17; both genders
NOFAT53 – has a doctor or other health professional
ever advised the person to eat fewer high fat or high cholesterol foods
Age > 17; both genders
EXRCIS53 – has a doctor advised the person to exercise
more
Age > 17; both genders
FLUSHT53 – how long since last flu vaccination
Age >17; both genders
ASPRIN53 – does the person take aspirin frequently
Age > 17; both genders
NOASPR53 – is taking aspirin unsafe due to a medical
condition
Age > 17; both genders; ASPRIN53 is "No" (2), "Refused" (-7), "Don’t Know" (-8),
or "Not Ascertained" (-9)
STOMCH53 – is taking aspirin unsafe due to a
stomach-related reason or something else
Age > 17; both genders; NOASPR53=1 (taking aspirin is not safe)
LSTETH53 – has person lost all natural (permanent)
teeth
Age >17; both genders
PSA53 – how long since last prostate specific antigen
(PSA) test
Age >39; males only
HYSTER53 – had a hysterectomy
Age >17; females only
PAPSMR53 – how long since last pap smear test
Age >17; females only
BRSTEX53 – how long since last breast exam
Age >17; females only
MAMOGR53 – how long since last mammogram
Age >29; females only
BSTST53 – when last blood stool test using the home
kit
Age >39; both genders
BSTSRE53 – reason for blood stool test
Age >39; BSTST53 indicates person had a blood stool test
CLNTST53 – when last colonoscopy
Age >39; both genders
CLNTRE53 – reason for colonoscopy
Age >39; CLNTST53 indicates person had a colonoscopy
SGMTST53 – when last sigmoidoscopy
Age >39; both genders
SGMTRE53 – reason for sigmoidoscopy
Age >39; SGMTST53 indicates person had a sigmoidoscopy
PHYEXE53 – currently spends half hour or more in
moderate to vigorous physical activity at least five times a week
Age>17; both genders
BMINDX53 – Adult Body Mass Index (BMI) as based on
reported height and weight
Age > 17; both genders
SEATBE53 – wears seat belt when drives or rides in a car
Age >15; both genders
For each of the variables above, a code of
"Inapplicable" (-1) was assigned if the person was deceased or if the person did
not belong to the applicable subgroups.
A Body Mass Index (BMI) variable, BMINDX53, is
calculated for adults 18 years of age or older. Please note: analysts can have
access to the height and weight variables and/or construct a BMI variable of
their own through the MEPS Data Center. To access information on the MEPS Data
Center including an application, please go to the following Web address:
meps.ahrq.gov/data_stats/onsite_datacenter.jsp.
BMI categories for adults are the following:
- Underweight = BMI is less than 18.5,
- Normal Weight = BMI is between 18.5 – 24.9 inclusive,
- Overweight = BMI is between 25.0 – 29.9 inclusive, and
- Obesity = BMI greater than or equal to 30.0
The following formula used to calculate the BMI for
adults was taken from the Centers for Disease Control and Prevention (www.cdc.gov)
Web site:
BMI = [Weight in Pounds / (Height in Inches)2
] * 703
The steps used to calculate the BMI for adults are as follows:
- Construct adult height, weight and weight estimate variables
HGHTFT53, HGHTIN53, WEIGHT53 and WGTEST53
- Create the building block variable ADHGTIN, indicating total
height in inches for adults => 18 years old
- Create the temporary variable MIDWGT, indicating the
mid-point value of a person’s estimate of weight (WGTEST53)
- Create the adult BMI variable BMINDX53 using the building
block and the temporary variable, setting all deceased persons
and all persons < 18 years old to Inapplicable (-1)
Adult height and weight were not top- or bottom-coded
prior to the construction of the adult BMI.
The building block variable ADHGTIN was calculated as
[(HGHTFT53 * 12) + (HGHTIN53)] to indicate total adult height in inches, step 2.
Note that ADHGTIN was created for programming efficiency only and is not
included in this data release. For cases where height in feet was > 0 (HGHTFT53
> 0) and height in inches was missing (HGHTIN53 in (-7, -8, -9)), the mid-point
value for height in inches (6 inches) was used in the calculation of total
height in inches [ADHGTIN = (HGHTFT53 * 12) + 6]. This use of the mid-point for
inches ensures that adults who have feet but not inches in height are included
in the BMI calculation. ADHGTIN was set to Not Ascertained (-9) for all cases
where adult height in feet was "Refused", "Don’t Know", or "Not Ascertained"
(HGHTFT53 in (-7, -8, -9)). Deceased persons and persons whose age was less than
18 years old were set to Inapplicable (-1) for ADHGTIN.
The temporary variable MIDWGT was calculated to
indicate the mid-point value of person’s estimate of weight (WGTEST53), step 3.
Note that MIDWGT was created for programming efficiency only and is not included
in this data release.
The adult BMI variable BMINDX53 was calculated (step
4) using the building block variable ADHGTIN and adult weight in pounds
(WEIGHT53) as follows:
BMINDX53 = [WEIGHT53 / (ADHGTIN)2 ] * 703
For adults whose weight in pounds was "Don’t Know"
(WEIGHT53 = -8) and whose estimate of weight was > 0 (WGTEST53 between 1 and 6),
MIDWGT was used in the calculation of BMINDX53:
BMINDX53 = [MIDWGT / (ADHGTIN)2 ] * 703
BMINDX53 was set to "Not Ascertained" (-9) for adults
whose weight in pounds was "Refused" or "Not Ascertained" (WEIGHT53 in (-7,
-9)). BMINDX53 was set to "Not Ascertained" (-9) for adults whose weight in
pounds was "Don’t Know" (-8) and whose estimate of weight was "Refused", "Don’t
Know", or "Not Ascertained" (WGTEST53 in (-7, -8, -9)). BMINDX53 was set to "Not
Ascertained" (-9) for adults whose total height in inches was "Not Ascertained"
(ADHGTIN = -9). Deceased persons and persons whose age was less than 18 years
old were set to "Inapplicable" (-1) for BMINDX53.
BMINDX53 is not top- or bottom-coded or edited.
Return To Table Of Contents
2.5.5.8 2011 Self-Administered Questionnaire (SAQ)
The 2011 Self-Administered Questionnaire (SAQ) is a
paper-and-pencil questionnaire fielded during Panel 15 Round 4 and Panel 16
Round 2 of the 2011 Medical Expenditure Panel Survey (MEPS). These data and
documentation of the data will be included only in the full year consolidated
file (HC-147).
Return To Table Of Contents
2.5.5.9 Diabetes Care Survey (DCS)
The Diabetes Care Survey (DCS) is a self-administered
paper-and-pencil questionnaire fielded during Panel 15, Round 5 and Panel 16,
Round 3. These data and documentation of the data will be included only in the
full year consolidated file (HC-147).
Return To Table Of Contents
2.5.6 Disability Days Indicator Variables (DDNWRK31-OTHNDD53)
The Disability Days (DD) section of the core interview
contains questions about time lost from work or school and days spent in bed
because of a physical illness or injury, or a mental or emotional problem. Data
were collected on each individual in the household. These questions were
repeated in each round of interviews; this file contains data from Rounds 3, 4,
and 5 of the MEPS Panel 15, initiated in 2010, and Rounds 1, 2, and 3 of the
MEPS Panel 16, initiated in 2011. The number at the end of the variable name
(31, 42, or 53) identifies the rounds in which the information was collected.
The reference period for these questions is the time
period between the beginning of the panel or the previous interview date and the
current interview date. In order to establish the length of a round, analysts
are referred to the variables that indicate the beginning date and ending date
of each round (BEGRFD##, BEGRFM##, BEGRFY##, ENDRFD##, ENDRFM##, and ENDRFY##).
Analysts should be aware that Round 3 is conducted across years. The disability
days variables reflect only the data pertinent to the calendar year (i.e., the
current delivery year of 2011). In making these calculations, responses obtained
during the interview may cause constructed ‘days in bed’ variables (such as
WKINBD or SCLINBD) to exceed ‘missed days’ variables (DDNWRK or DDNSCL);
consequently, for these cases, constructed ‘days in bed’ variables were edited
to ‘missed days’ value. There are 16 such cases in 2011. Previously, some data
from Round 3 pertained to the following year. Analysts who are interested in
examining disability days data across years can link to other person-level PUFs
using the DUPERSID.
The flow of the disability days section relies on the
person’s age as of the interview date. Therefore, the round-specific constructed
age variables (AGE31X, AGE42X, and AGE53X) are used to construct the comparable
round-specific disability days PUF variables. Due to the age-specific nature of
the disability days section, age data from other rounds are not used should the
person’s age for the round be missing.
The variables DDNWRK31, DDNWRK42, and DDNWRK53
represent the number of times the person lost a half-day or more from work
because of illness, injury, or mental or emotional problems during Rounds 31,
42, and 53, respectively. A response of "no work days lost" was coded zero; if
the person did not work, these variables were coded -1 (Inapplicable). The
analyst should note that there are cases where EMPST## = 1 or 2 (has current job
or job to return to) where DDNOWORK indicates work around the house only. This
is because the responses to the disability days questions are independent of the
responses to the employment questions. Persons who were less than 16 years old
or whose age is missing (AGE##X is set to -1) were not asked about work days
lost, thus these variables are also coded -1 (Inapplicable).
WKINBD31, WKINBD42, and WKINBD53 represent the number
of work days lost during each round in which the person spent at least half of
the day in bed. These questions were asked only of persons aged 16 and over.
Persons aged 15 or younger and persons whose age is missing received a code of
-1 (Inapplicable). If a respondent answered the preceding work loss question
with "zero days" or "does not work", then the corresponding WKINBD question was
coded as -1 (Inapplicable).
DDNSCL31, DDNSCL42, and DDNSCL53 indicate the number
of times that a person missed a half-day or more of school during Rounds 31, 42,
or 53, respectively. These questions were asked of persons aged 3 to 22; persons
aged less than 3 or older than 22 and persons whose age is missing did not
receive these questions and are coded as -1 on these variables (in a small
number of cases this was not done for the 1996 data, the analyst will need to
make this edit when doing longitudinal analyses). A code of -1 may also indicate
that the person does not attend school. The analyst should be aware that there
was no attempt to reconcile school days lost with the time of year (e.g., summer
vacation). In order to establish time of year, analysts are referred to the
variables that indicate the beginning date and ending date of each round
(BEGRFD##, BEGRFM##, BEGRFY##, ENDRFD##, ENDRFM##, and ENDRFY##).
SCLNBD31, SCLNBD42, and SCLNBD53 represent the number
of school days lost during each round in which the individual spent at least a
half-day in bed. Persons aged less than 3 or older than 22 and persons whose age
is missing did not receive these questions and are coded as -1 on these
variables (in a small number of cases this was not done for the 1996 data, the
analyst will need to make this edit when doing longitudinal analyses). If a
respondent answered the preceding school days lost question with "zero days" or
"does not attend school", then the corresponding SCLNBD question is coded as -1
(Inapplicable).
DDBDYS31, DDBDYS42, and DDBDYS53 represent additional
days, other than school or work days, in which the person spent at least half a
day in bed, because of a physical illness, injury or a mental or emotional
problem. These are the only indicators of disability days for persons who do not
work or go to school. This question was not asked of children less than one year
of age and persons whose age is missing (coded -1).
A final set of variables indicate if an individual
took a half-day or more off from work to care for the health problems of another
individual in the family. OTHDYS31, OTHDYS42, and OTHDYS53 indicate if a person
missed work because of someone else’s illness, injury, or health care needs, for
example to take care of a sick child or relative. These variables each have
three possible answers: yes - missed work to care for another (coded 1); no –
did not miss work to care for another (coded 2); or the person does not work
(coded 2), based on responses to the DDNWRK variable for the same round. Persons
younger than 16 and persons whose age is missing were not asked these questions
and are coded as -1 (in a small number of cases this was not done for the 1996
data, the analyst will need to make this edit when doing longitudinal analyses).
OTHNDD31, OTHNDD42, and OTHNDD53 indicate the number
of days during each round in which work was lost because of another’s health
problem. Persons younger than 16, those whose age is missing, those who do not
work, and those who answer "no" to OTHDYS are skipped out of OTHNDD and receive
codes of -1.
Note that, because disability days variables use only
those Round 3 data pertinent to the data year, it is possible to have a person
report missing work to care for the health problems of another individual
(OTHDYS## = 1) but report no days missed (OTHNDD## = 0). This combination
indicates that the person did not miss those work days during the data year. For
OTHDYS31, a value of ‘0’ indicates that the person missed no work during the
2011 portion of Panel 15 Round 3 (i.e. any missed work days reported here
occurred in the 2010 portion of Panel 15 Round 3). For OTHDYS53, a value of ‘0’
indicates that the person missed no work during the 2011 portion of Panel 16
Round 3 (i.e. any missed work days reported here occurred in the 2012 portion of
Panel 16 Round 3).
Editing was done on these variables to preserve the
skip patterns. No imputation was done for those with missing data.
Return To Table Of Contents
2.5.7 Access to Care Variables (ACCELI42-PMDLPR42)
The variables ACCELI42 through PMDLPR42 describe data
from the Access to Care (AC) section of the MEPS HC questionnaire, which was
administered in Panel 15 Round 4 and Panel 16 Round 2. This supplement serves a
number of purposes in the MEPS HC by gathering information on five main topic
areas: family members’ origins and preferred languages; family members’ usual
source of health care; characteristics of usual source of health care providers;
satisfaction with and access to the usual source of health care provider; and access
to medical treatment, dental treatment, and prescription medicines. The
variable ACCELI42 indicates whether persons were eligible to receive the access
to care questions. Persons with ACCELI42 set to ‘-1’ (Inapplicable) should be
excluded from estimates made with the access to care data.
Return To Table Of Contents
2.5.7.1 United States Residency
The AC section ascertains whether a person was born in
the United States (USBORN42) and, if not, how long they have lived in the United
States (USLIVE42). These questions were previously asked only if a language
other than English was spoken in the home (AC01), not all members of the
household were comfortable speaking English, and only of those persons selected
at AC02A as being uncomfortable speaking English. Because of this narrow
population, these variables were not included in the 2005 or 2006 person-level
files. Beginning in 2007, they are asked of all RU members regardless of
language most often spoken in the home or whether all household members are
comfortable speaking English.
In 2002 to 2004, the variable indicating how long a
person has lived in the United States was USLGLV42 and reported a range of
years. Beginning in 2007, and because the response is now collected as a
specific number of years, the names of the source variable and the constructed
variable have changed to reflect the reporting change.
The variable USLIVE42 was top-coded to 85 years to
ensure confidentiality. This top-code value is based on the top-code value for
edited age (AGE##X). Persons who reported living in the United States for 86
years or more had USLIVE42 set to 85.
Return To Table Of Contents
2.5.7.2 Family Members’ Origins and Preferred
Languages
The AC section ascertains what language is most often
spoken at home (LANGHM42). All households eligible for the AC section were asked
whether all members of the household are comfortable conversing in English
(ENGCMF42). If not all persons in the household are comfortable conversing in
English, the AC section asks which persons are not comfortable conversing in
English (ENGSPK42).
Analysts examining 2002 data should note that, in
2002, the variable ENGSPK42 indicated the persons who were comfortable
speaking English. Due to a change to the survey in 2003, ENGSPK42 now indicates
those persons who are not comfortable speaking English. Therefore,
ENGSPK42 = 1 (YES) in 2002 is the same as ENGSPK42 = 2 (NO) in 2003 through the
present, and ENGSPK42 = 2 (NO) in 2002 is the same as ENGSPK42 = 1 (YES) in 2003
through the present.
Return To Table Of Contents
2.5.7.3 Family Members’ Usual Source of Health Care
For each individual family member, the AC section
ascertains whether there is a particular doctor’s office, clinic, health center,
or other place that the individual usually goes to if he/she is sick or needs
advice about his/her health (HAVEUS42).
YNOUSC42 indicates the main reason why a person does
not have a usual source of care (USC) provider. For those family members who do
not have a USC provider, question AC07 ascertains the main reason why. The
variable YNOUSC42 has the following possible values:
1 = Seldom or Never Sick
2 = Recently Moved to Area
3 = Don’t Know Where to Go
4 = USC in Area Not Available
5 = Can’t Find Provider Who Speaks Language
6 = Goes Different Places for Diff Needs
7 = Just Changed Insurance Plans
8 = Don’t Use Docs/Treat Self
9 = Cost of Medical Care
10 = No Health Insurance
91 = Other Reason
These values reflect the answer categories given at
AC07. If persons choose ‘91’ (Other Reason) at AC07, they are asked at AC07OV to
provide a verbal explanation of what the main reason is that they do not have a
USC provider. These "text strings" can be recoded to one of the existing
categorical values listed above or, if the frequency of the response warrants
it, additional categorical values. Recoding is described in greater detail
below.
Family members without a USC provider are then asked
AC08, which ascertains whether there are any additional reasons why. The person
may choose one or more reasons. A variable is constructed for each reason why:
NOREAS42 = No Other Reason
SELDSI42 = Seldom or Never Sick
NEWARE42 = Recently Moved to Area
DKWHRU42 = Don’t Know Where to Go
USCNOT42 = USC in Area Not Available
PERSLA42 = Can’t Find Provider Who Speaks Language
DIFFPL42 = Goes Different Places For Diff Needs
INSRPL42 = Just Changed Insurance Plans
MYSELF42 = Don’t Use Docs/Treat Self
CARECO42 = Cost of Medical Care
NOHINS42 = No Health Insurance
OTHREA42 = Other Reason
These variables reflect the answer categories given at
AC08. If persons choose ‘91’ (Other Reason) at AC08, they are asked at AC08OV to
provide a verbal explanation of what the additional reason is that they do not
have a USC provider. These "text strings" can be recoded to one of the existing
yes/no variables listed above or, if the frequency of response warrants it, an
additional yes/no variable. Recoding is described in greater detail below.
Return To Table Of Contents
2.5.7.4 Characteristics of Usual Source of Health Care
Providers
The AC section collects information about the
different characteristics of each unique USC provider for a given family. If a
person does not have a USC provider (HAVEUS42 is set to ‘2’ (No), ‘-7’
(Refused), ‘-8’ (Don’t Know) or ‘-9’ (Not Ascertained)), then these variables
are set to ‘-1’ (Inapplicable).
The basis for the AC provider questions is PROVTY42.
This variable indicates whether the person’s provider is a facility (1), a
person (2), or a person-in-facility (3). PROVTY42 is a copy of PROVTYPE
(Provider Type) for persons who have a USC provider. Depending on how PROVTY42
is set, persons are asked about the provider’s location, the provider’s personal
characteristics (e.g., race), the provider’s accessibility, and the person’s
satisfaction with the provider.
Provider Location
Two variables indicate the location of the provider.
For facility or person-in-facility type providers, PLCTYP42 indicates whether
the person’s facility is a Hospital Clinic/Outpatient Department (1), a Hospital
Emergency Room (2), or a Non-Hospital Place (3). According to CAPI flow, persons
do not report the type of facility for person-type providers. Therefore, if
PROVTY42 is set to ‘2’ (Person), PLCTYP42 is set to ‘-1’ (Inapplicable). For all
provider types, including person-type, LOCATN42 indicates whether the person’s
provider is located in an Office (1), a Hospital but Not the Emergency Room (2),
or a Hospital Emergency Room (3).
Personal Characteristics of Providers
For person and person-in-facility type providers,
TYPEPE42 indicates what type of doctor or other medical provider the person’s
provider is. The possible values include:
1 = MD – General/Family Practice
2 = MD – Internal Medicine
3 = MD – Pediatrics
4 = MD – OB/Gyn
5 = MD – Surgery
6 = MD – Other
7 = Chiropractor
8 = Nurse
9 = Nurse Practitioner
10 = Physician’s Assistant
11 = Other Non-MD Provider
12 = Unknown
13 = MD - Cardiologist
14 = Doctor of Osteopathy
15 = MD – Endocrinologist
16 = MD – Gastroenterologist
17 = MD – Geriatrician
18 = MD – Nephrologist
19 = MD – Oncologist
20 = MD – Pulmonologist
21 = MD – Rheumatologist
22 = Psychiatrist / Psychologist
23 = MD – Neurologist
24 = Alternative Care Provider
TYPEPE42 is constructed using variables collected at
several questions: AC15 "Is provider a medical doctor?" (PROV.MEDTYPE); AC16 "Is
provider a nurse, nurse practitioner, physician’s assistant, midwife, or some
other kind of person?" (PROV.OTHTYPE); and AC17 "What is provider’s specialty?"
(PROV.MDSPECLT). If persons choose ‘91’ (Other) at AC16 or AC17, they are asked
at AC16OV or AC17OV, respectively, to provide a verbal explanation of the type
of provider or medical doctor. These "text strings" can be recoded to one of the
existing categorical values listed above or, if the frequency of the response
warrants it, additional categorical values. Recoding is described in greater
detail below.
The AC section also collects demographic information
about person and person-in-facility type providers (PROVTY42 = 2 or 3). Six
variables indicate the provider’s race: WHITPR42 (white), BLCKPR42
(Black/African American), ASIANP42 (Asian), NATAMP42 (Indian/ Native
American/Alaska Native), PACISP42 (Other Pacific Islander) and OTHRCP42 (Other
Race). The person may choose more than one race for a single provider. These
variables reflect the answer categories given at AC19. If persons choose ‘91’
(Some Other Race) at AC19, they are asked AC19OV to provide a verbal explanation
of the provider’s race. These "text strings" can be recoded to one of the
existing yes/no variables listed above or, if the frequency of response warrants
it, an additional yes/no variable. Recoding is described in greater detail
below.
In addition to the race variables, two other
demographic variables are created: HSPLAP42 indicates whether the provider is
Hispanic or Latino, and GENDRP42 indicates whether the provider is Male (1) or
Female (2).
Using Constructed Variables to Describe the Usual
Source of Care Provider
These variables describing a person’s USC provider can
be used in combination to present a broader picture of the provider. For
example, a person-in-facility provider with a particular person named who is a
white, Hispanic, female pediatrician, with no other race specified; and whose
location is in an office in a hospital is coded as:
PROVTY42 = 3
PLCTYP42 = 1
TYPEPE42 = 3
HSPLAP42 = 1
WHITPR42 = 1
BLCKPR42 = 2
ASIANP42 = 2
NATAMP42 = 2
PACISP42 = 2
OTHRCP42 = 2
GENDRP42 = 2
LOCATN42 = 1
Return To Table Of Contents
2.5.7.5 Access to and Satisfaction with the Provider
The AC section collects information regarding the
person’s ability to access the USC provider as well as the person’s satisfaction
with the USC provider.
Access to the Provider
Two variables describe the person’s method of
traveling to the USC provider. GOTOUS42 indicates how the person travels to the
USC provider: ‘Drives’ (1), ‘Is Driven’ (2), ‘Taxi, Bus, Train, Other Public
Transportation’ (3), ‘Walks’ (4), or ‘Some Other Way’ (5). TMTKUS42 indicates
how long it takes the person to travel to the USC provider: ‘Less Than 15
Minutes’ (1), ‘15 to 30 Minutes’ (2), ‘31 to 60 Minutes’ (3), ‘61 to 90 Minutes’
(4), ‘91 Minutes to 120 Minutes’ (5), or ‘More than 120 Minutes’ (6).
OFFHOU42, DFTOUS42, PHNREG42, and AFTHOU42 assess
aspects of the provider that may make it difficult for the person to get in
contact with the USC provider. OFFHOU42 indicates whether the provider has
office hours at night or on the weekend. The remaining three variables reflect
the person’s rating of the difficulty of accessing the USC provider by travel
(DFTOUS42), by phone (PHNREG42), and after hours (AFTHOU42). The person has the
following choices: ‘Very Difficult’ (1), ‘Somewhat Difficult’ (2), ‘Not Too
Difficult’ (3), or ‘Not at All Difficult’ (4).
Satisfaction with the Provider
These variables reflect the person’s confidence in,
and satisfaction with, the USC provider. Four different facets of the person’s
level of confidence in the USC provider are examined: Is the provider the person
or place family members would go to for new health problems (MINORP42),
preventive health care (PREVEN42), referrals to other health professionals
(REFFRL42), or ongoing health problems (ONGONG42). The person’s level of
satisfaction with the USC provider is examined in five ways: Does the USC
provider: usually ask about prescription medications and treatments other
doctors may give them (TREATM42), ask about and show respect for medical,
traditional, and alternative treatments that the person is happy with
(RESPCT42), ask the person to help make decisions between a choice of treatments
(DECIDE42), present and explain all options to the person (EXPLOP42), and speak
the person’s language or provide translator services (LANGPR42) if the person is
uncomfortable conversing in English (ENGSPK42 = 1).
Prior to 2003, all household members who shared a USC
provider and where at least one RU member with that USC provider had LANGHM42
(AC01 PERS LANGUAGE PRFERNCE AT HOME-R4/2) set to either 2 (SPANISH) or 3
(ANOTHER LANGUAGE) had LANGPR42 set. Starting in 2003, only those persons who
are not comfortable speaking English (ENGSPK42 (AC02A NOT COMFRTBLE SPEAKING
ENGLISH-R4/2) = 1) have LANGPR42 set.
Return To Table Of Contents
2.5.7.6 Access to Medical Treatment, Dental Treatment,
and Prescription Medicines
Finally, the access to care supplement gathers
information on family members’ abilities to receive treatment and receive it
without delay. These questions are split into three sections inquiring about
medical, dental, and prescription medicine treatments. Each section inquires
whether the person was unable to receive treatment (MDUNAB42, DNUNAB42,
PMUNAB42) or was delayed in receiving treatment (MDDLAY42, DNDLAY42, PMDLAY42).
A value of ‘1’ (Yes) for these two sets of variables indicates that the person
needed treatment but was unable to receive it or was delayed in receiving it. A
value of ‘2’ (No) for these two sets of variables indicates that either the
person did not need treatment or the person needed treatment and was able to
receive it without delay. If the person was unable to receive treatment, he/she
was asked why (MDUNRS42, DNUNRS42, PMUNRS42). Persons were also asked why they
were delayed in receiving treatment (MDDLRS42, DNDLRS42, PMDLRS42). Possible
reasons include:
1 = Could Not Afford Care
2 = Ins Co Would Not Approve/Cover/Pay
3 = Doctor Refused Family Ins Plan
4 = Problems Getting To Doctor’s Office
5 = Different Language
6 = Could Not Get Time Off Work
7 = DK Where To Go To Get Care
8 = Was Refused Services
9 = Could Not Get Child Care
10 = Did Not Have Time or Took Too Long
91 = Other
Finally, persons were also asked how much of a problem
not receiving treatment (MDUNPR42, DNUNPR42, PMUNPR42) or being delayed in
receiving treatment (MDDLPR42, DNDLPR42, PMDLPR42) was.
Return To Table Of Contents
2.5.7.7 Editing the Access to Care Variables
Editing consisted primarily of logical editing for
consistency with skip patterns. Other editing included the construction of new
response values and new variables describing the recoding of several "other
specify" text items into existing or new categorical values, which are described
below.
In previous years, not all variables or categories
that appear in the access to care section of the HC questionnaire are included
on the file, as some small cell sizes have been suppressed to maintain
respondent confidentiality. No variable or category was suppressed in 2011.
Return To Table Of Contents
2.5.7.8 Recoding of Additional Other Specify Text
Items
For access to care items AC07, AC08, AC16, AC17, and
AC19, the "other specify" text responses were reviewed and coded as an existing
or new value for the related categorical variable (for AC07, AC16, and AC17), or
coded as an existing or new "yes/no" variable (for items AC08 and AC19). Note
that, starting in 2005, additional categories and variables are retained for low
frequency responses to allow for pooling data. In 2009, No Health Insurance was
added as category 10 at AC07 and AC08 for the main reason and for another reason
why a person does not have a usual source of care. In order to distinguish
between category 10 selected within CAPI (No Health Insurance) and category 10
in recoding (Other Insurance Related Reason), the recoding category for Other
Insurance Related Reason was updated to category 24. In order to compare 2011
data with data previous to 2009, users can compare a combination of the 2011
CAPI categeory 10 and recoding category 24 with the previous recoding category
10.
The following are the additional codes or variables
which were created from these other specify text responses.
For item AC07 ("What is the main reason person does
not have a usual source of health care") - the following additional values were
available for the variable YNOUSC42:
11 = Job-Related Reasons
12 = Looking for a New Doctor
13 = Doctor is Located Elsewhere
14 = Don’t Like/Don’t Trust Doctors
15 = Health-Related Reasons
16 = Newborn-No Doctor Yet
17 = Self, Relative, or Friend is a Doctor
19 = Care Available on Job
20 = Will Not Go to the Doctor
21 = Problems with Time and Transportation
22 = Person Goes to a Hospital, Clinic, or Emergency Room
23 = Uses Alternative Care
24 = Other Insurance Related Reason
For item AC08 ("What are the other reasons person does
not have a usual source of health care") – the following additional variables were constructed:
OTHINS42 = For Other Insurance Reasons;
JOBRSN42 = For Job-Related Reasons;
NEWDOC42 = Is Looking for a Doctor;
DOCELS42 = Doctor is Located Elsewhere;
NOLIKE42 = Does Not Like Doctor;
HEALTH42 = Health-Related Reasons;
KNOWDR42 = The Person Knows or is A Doctor;
ONJOB42 = Works with Medical Personnel;
NOGODR42 = Person Will Not Go to the Doctor;
TRANS42 = The Person Had Problems Finding Transportation or Time;
CLINIC42 = The Person Goes to a Hospital, Clinic, or Emergency Room;
NOHINS42 = No Health Insurance.
OTHTYPE and MDSPECLT are used to construct the
variable TYPEPE42. Unlike the other recoded variables, these variables’ text
strings can be recoded to each other’s categories. For example, for persons who
indicate that their USC provider is not a medical doctor (PROV.MEDTYPE = 2), the
other type of USC provider is other (PROV.OTHTYPE = 91), and the text string
collected is "GYNECOLOGIST", TYPEPE42 would be set to ‘4’ (MD – OB/GYN) instead
of ‘11’ (OTHER NON-MD PROVIDER.)
Text responses at AC19 were not coded as new responses
or new variables.
Return To Table Of Contents
2.5.8 Employment Variables (EMPST31-YNOINS53)
Employment questions were asked of all persons 16
years and older at the time of the interview. Employment variables consist of
person-level indicators such as employment status and job-related variables such
as hourly wage. All job-specific variables refer to a person’s current main job.
The current main job, defined by the respondent, indicates the
main source of employment.
Most employment variables pertain to the round
interview date. The round dates are indicated by two numbers following the
variable name; the first number representing the round for Panel 15 persons, the
second number representing the round for Panel 16 persons. For example, EMPST31
refers to employment status on the Round 3 interview date for Panel 15 persons
and employment status on the Round 1 interview date for Panel 16 persons.
With the exception of some health insurance and wage
variables, no attempt has been made to logically edit any employment variables.
When missing, values were imputed for certain persons’ hourly wages. Due to
confidentiality concerns, hourly wages greater than or equal to $75.00 were
top-coded to -10 and the number of employees variable was top-coded at 500. With
the exception of a variable indicating whether the employer has more than one
location (MORE), all employer-specific variables refer to the establishment that
is the location of a person’s current main job.
The MEPS employment section used dependent
interviewing in Rounds 2 through 5. If employment status and certain job
characteristics did not change from the previous round, as identified in the
Review of Employment (RJ) section, the respondent was skipped through the main
employment section. A code of "–2" is used to indicate that the information in
question was obtained in a previous round. For example, if the HRWG42X (Round 4
interview date hourly wage for Panel 15 persons or Round 2 interview date hourly
wage for Panel 16 persons) is coded as "–2", refer to HRWG31X (Round 3 interview
date hourly wage for Panel 15 persons or Round 1 interview date hourly wage for
Panel 16 persons) for the value for HRWG42X. Note that there may be a value for
the Round 3/1 hourly wage or there may be an "Inapplicable" code (-1). The "–2"
value for HRWG42X indicates that the person was skipped past the question at the
time of the subsequent interview. To determine who should be skipped through
various employment questions, certain information, such as employment status,
had to be asked in every round and, thus, "-2" codes do not apply to employment
status. Additionally, information on whether the person currently worked at more
than one job or whether the person held health insurance from a current main
employer was asked in every round, and, therefore, those variables also have no
"–2" codes.
For Panel 15 persons who have a current main job in
Round 3 that continues from Round 1 or 2, the "–2" code is not sufficient for
those variables that the person was skipped past at the time of the interview.
This is because the Panel 15 Round 1 and 2 data are not included on this release
and therefore there are no data to refer to. For such persons, the values for
the variables for these skipped questions are copied from the Round 1 or 2
constructed variable on the 2010 Full Year Public Use Release, depending on the
round in which the job first became the current main job. The accompanying
variable RNDFLG31 indicates the round in which these data were collected. For
example, if the person has a Round 3 current main job that continues from Round
2 and was first reported as the current main job in Round 2, HRWG31X will be a
copy of the HRWG42X variable from the 2010 Full Year Public Use Release and
RNDFLG31 will be "2", indicating the round in which the job was first reported
as the current main job.
Employment Status (EMPST31, EMPST42, and EMPST53)
Employment status was asked for all persons age 16 or
older. Allowable responses to the employment status questions were as follows:
- "currently employed" if the person had a job at the
interview date;
- "has a job to return to" if the person did not work during
the reference period but had a job to return to as of the
interview date;
- "employed during the reference period" if the person had no
job at the interview date but did work during the round;
- "not employed with no job to return to" if the person did
not have a job at the interview date, did not work during the
reference period, and did not have a job to which he or she
could return.
These responses were mutually exclusive. A current
main job was defined for persons who either reported that they were currently
employed and identified a current main job or who reported and identified a job
to return to. Therefore, job-specific information such as hourly wage exists for
persons not presently working at the interview date but who have a job to return
to as of the interview date.
The analyst should note that there are cases where
EMPST## = 1 or 2 (has current job or job to return to) where DDNOWORK indicates
work around the house only. This is because the responses to the disability days
questions are independent of the responses to the employment questions.
Data Collection Round for Round 3/1 CMJ (RNDFLG31)
As mentioned above, for Panel 15, if a person’s Round
3 current main job (CMJ) is a continuation CMJ from Round 2 or Round 1, the
value of most "31" variables will be copied forward from the variable
representing the round in which the job was first reported as the CMJ. For
persons in Panel 15, RNDFLG31 indicates the round in which the Round 3 CMJ was
first reported as the CMJ and provides a timeframe for the reported wage
information and other job details. RNDFLG31 is used with many "31" variables to
indicate the round on which the reported information is based.
RNDFLG31 is set to "Inapplicable" (–1) for persons in
either panel who are under age 16 or who do not have a CMJ in Panel 15 Round 3
or Panel 16 Round 1. For persons who are part of Panel 15, RNDFLG31 is also set
to "Inapplicable" (–1) if the person is out-of-scope in the 2011 portion of
Round 3. For persons who are part of Panel 16, RNDFLG31 is also set to
"Inapplicable" (–1) if the person is out-of-scope in Round 1. For persons who
are part of Panel 15, other values for RNDFLG31 are set as follows:
1 = continuing Round 3 CMJs reported first in Round 1;
2 = continuing Round 3 CMJs reported first in Round 2;
3 = jobs newly reported as current main in Round 3;
-9 = Round 3 CMJ is a continuation CMJ (wage information
and other details were not collected in Round 3) but the Round 2 CMJ record
either does not exist or is not the same job. This can occur in rare instances
because corrections made to a person’s record in a current file cannot be made
to that record in an earlier file due to data base processing constraints.
Corrections are made based on respondent comments in subsequent rounds that
affect employment information previously reported.
For persons who are part of Panel 16 and reported a
Round 1 CMJ, RNDFLG31 is set to "1" indicating that the job information
represented in the "31" variables was collected in Round 1.
Self-Employed (SELFCM31, SELFCM42, and SELFCM53)
Information on whether an individual was self-employed
at the current main job was obtained for all persons who reported a current main
job. Certain questions, namely those regarding benefits and hourly wage, were
not asked of the self-employed. Variables constructed from these questions
indicate whether the establishment reported by wage earners (those not
self-employed) as the main source of employment offered any of the following
benefits:
- Paid leave to visit a doctor (PAYDR31, PAYDR42, and PAYDR53)
- Paid sick leave (SICPAY31, SICPAY42, and SICPAY53)
- Paid vacation (PAYVAC31, PAYVAC42, and PAYVAC53)
- Pension plan (RETPLN31, RETPLN42, and RETPLN53)
For persons who were self-employed at their current
main job, these benefits variables were coded as "Inapplicable" (-1).
Additionally, information on whether the firm had more than one business
location (MORE31, MORE42, and MORE53) and whether the establishment was a
private for-profit, nonprofit, or a government entity (JOBORG31, JOBORG42, and
JOBORG53) was not applicable for self-employed persons. Conversely, the
variables that identify whether a business was incorporated, a proprietorship,
or a partnership (BSNTY31, BSNTY42, and BSNTY53) applied only to those who were
self-employed at their current main job.
Hourly wage (HRWG31X, HRWG42X, HRWG53X), Wage Update
Variable (DIFFWG31, DIFFWG42, DIFFWG53), and Updated Hourly Wage (NHRWG31,
NHRWG42, NHRWG53)
Hourly wage was asked of all persons who reported a
current main job that was not self-employment (SELFCM). HRWG31/42/53X provide
the wage amount reported initially for a person’s current main job. If a current
main job continues into subsequent rounds DIFFWG31/42/53 indicate if the wage
has changed since the previous round. If the job continues and there is a
different wage at that job, NHRWG31/42/53 indicate the new wage amount.
Some wage information was logically edited for
consistency. Edits were performed under three circumstances:
- in cases where a respondent updated a wage, indicating as
the reason for the change that the amount reported in a previous
round was in error, and then provided the corrected amount for
the previous round
- in some cases where wages reported as less than $1.00 per
hour are updated in a subsequent round to greater than $1.00,
and the wage increased by a factor of 10 or 100 (for example, if
a Round 4 wage is updated to $20.00, the Round 3 wage of $0.20
could logically be updated to $20.00); in some of these cases,
additional comments may have also indicated an error
- in some cases where wages changed substantially from round
to round and a keying error was evident (for example, ‘the
number of hours on which the salary is based’ is updated from
‘40’ to ‘4’; the ‘4’ could logically be updated to ‘40’)
In all cases that result in an edit, a complete review
of wage and employment history is performed; in some cases, comparisons are made
to employment at similar establishments within the MEPS as well as to data
reported and summarized by the Bureau of Labor Statistics.
The initial hourly wage variables (HRWG31X, HRWG42X,
HRWG53X) on this file should be considered along with their accompanying
variables – HRHOW31, HRHOW42, and HRHOW53 – which indicate how the respective
round hourly wage was constructed. Hourly wage could be derived, as applicable,
from a large number of source variables. In the simplest case, hourly wage was
reported directly by the respondent. For other persons, construction of the
hourly wage was based upon salary, the time period on which the salary was
based, and the number of hours worked per time period. If the number of hours
worked per time period was not available, a value of 40 hours per week was
assumed, as identified in the HRHOW variable.
The initial hourly wage variable HRWG31/42/53X was
imputed using a weighted sequential hot-deck procedure for those identified as
having a current main job who were not self-employed and who did not know their
wage or refused to report a wage. Hourly wage for persons for whom employment
status was not known was coded as "Not Ascertained" (-9). Additionally, wages
were imputed for wage earners reporting a wage range and not a specific value.
For each of these persons, a value was imputed from other persons on the file
who did report a specific value that fell within the reported range. The
variables HRWGIM31, HRWGIM42, and HRWGIM53 identify persons whose wages were
imputed. Note that wages were imputed only for persons with a positive person
and/or positive family weight.
The variable DIFFWG31/42/53 indicates whether a
person’s wage amount was different in the current round at a continuing, current
main job. NHRWG31/42/53 contains the updated wage amount in cases where a person
indicates a change in wages (DIFFWG = 1). While the question regarding wage
changes pertains to the primary wage at the main job, occasionally respondents
update a person’s supplemental wage at the main job. In these cases, users
should note that HRWG31/42/53X and NHRWG31/42/53 may not differ. Users may wish
to refer to the 2011 Full-Year Jobs PUF to obtain the reason for the wage change
by linking on DUPERSID for the appropriate round.
For all Panel 16 Round 1 persons, DIFFWG31 and NHRWG31
are set to ‘inapplicable’ because this was the first round that wages could be
reported for those persons. In Rounds 2 through 5, no imputation was performed
on NHRWG31/42/53. Instead, where an updated wage amount is ‘not known’ or is
‘refused,’ NHRWG31/42/53 is set to ‘not ascertained.’ For persons whose hourly
wage variable HRWG31/42/53X was imputed and the respondent provides an updated
wage amount in a subsequent round, the new wage, NHRWG31/42/53, is not
presented. Instead, NHRWG31/42/53 is set to ‘-13’ to indicate that the initial
HRWG31/42/53X was imputed. Users may wish to refer to the 2011 Full-Year Jobs
PUF to obtain updated wage amounts for these jobs.
For reasons of confidentiality, the hourly wage
variables were top-coded. A value of –10 indicates that the hourly wage was
greater than or equal to $75.00. As of Full-Year 2004, the wage top-code process
used the highest reported wage on the file for an individual regardless of
whether it was reported in an HRWG31/42/53X or NHRWG31/42/53X variable. Prior to
Full-Year 2004, only the initial reported wage in Rounds 3 or 1 (HRWG31X) was
used to calculate the wage top-code amount. Also beginning with the 2004 file,
all wages for a person were top-coded if any wage variable was above the
top-code amount.
In order to protect the confidentiality of persons
across deliveries, the same top-code amount used in this Full-Year Use file was
also applied to the Full-Year 2011 Jobs file. Because a person can have other
jobs besides a current main job which are included in the corresponding 2011
Full Year Jobs PUF, wages at these other jobs were reviewed in the top-coding
process. In some cases for these persons, wages reported at the current main job
were below the top-code amount while the wage at another job had to be
top-coded. To further protect the confidentiality of such persons across
deliveries, wages reported at all jobs in the Full-Year 2011 Jobs PUF were
top-coded and the wages at their current main job (HRWG31/42/53X and
NHRWG31/42/53) included in this file were also top-coded.
Health Insurance (HELD31X, HELD42X, HELD53X, OFFER31X,
OFFER42X, OFFER53X, CHOIC31, CHOIC42, CHOIC53, DISVW31X, DISVW42X, DISVW53X,
OFREMP31, OFREMP42, OFREMP53, YNOINS31, YNOINS42, YNOINS53)
There are several employment-related health insurance
measures included in this release: health insurance held at a current main job
(HELD31X, HELD42X, HELD53X), health insurance offered through a current main job
(OFFER31X, OFFER42X, OFFER53X), and a choice of health plans available through
the current main job (CHOIC31, CHOIC42, CHOIC53).
Several persons indicated that they held health
insurance through a current main job in the employment section and then denied
this coverage later in the interview in the health insurance section. Employment
section health insurance HELD variables were edited for consistency to match the
health insurance measures obtained in the health insurance section. To allow for
easy identification of these individuals, round-specific flag variables were
constructed (DISVW31X, DISVW42X, DISVW53X).
Responses in the employment section for health
insurance held were recoded to be consistent with the variables in the health
insurance section of the survey. Due to questionnaire skip patterns, the
responses to health insurance offered were affected by editing the HELD
variable. For example, if a person responded that health insurance was held from
a current main job, the question relating to whether health insurance was
offered was skipped. For persons who responded in the employment section that
they held health insurance coverage and then disavowed the coverage in the
health insurance section, it could not be ascertained whether they were offered
a policy. These individuals are coded as –9 for the OFFER variables.
In the first round in which a person is reported as
having a specific CMJ, MEPS asks if the person holds health insurance through
that job. If the person does not hold insurance, then a follow-up question is
asked as to whether the person was offered insurance (but declined coverage).
However, if a person does hold insurance, then that person is skipped over the
offered question and the offer variable (OFFER31X, OFFER42X, OFFER53X) is
automatically set to "Yes" (1).
In the rounds after a CMJ is initially reported, the
"held" question is asked again in each interview (whether a person now holds
insurance). This is to determine if there has been any change in coverage. For
persons with a continuing job who did not have coverage in the current round,
the respondent is asked if the person was offered insurance. This current round
information can also affect the setting of the DISVW variable as well.
In addition to this modification to OFFER, MEPS
includes several clarifying questions regarding insurance availability to the
jobholder through an employer. When a respondent indicates that the jobholder
neither held nor was offered health insurance at the job, the respondent is
asked if any other employees at the job were offered health insurance.
The variable OFREMP31/42/53 indicates whether an employer offered health
insurance to other employees at a firm. If a respondent indicates that other
employees were eligible for health insurance, a follow-up question is asked to
determine the reason the jobholder was not eligible for coverage. This
information is contained in the YNOINS31/42/53 variable. The questions related
to both of these variables are asked when a job is initially reported and also
for subsequent rounds in which the job continues, as applicable.
Data users should note that OFREMP31/42/53 is
automatically set to ‘1’ in cases where HELD and OFFER are ‘1,’ thus indicating
that the jobholder has health insurance coverage through the employer, that
coverage is offered to the employee, and that the employer offers insurance to
its employees.
The employment-related insurance variables, HELD,
OFFER, DISVW, OFREMP, and YNOINS, for each round are logically edited for
consistency.
Hours (HOUR31, HOUR42, HOUR53)
The hours measure refers to usual hours worked per
week at the current main job. Note that, in cases where the respondent estimated
hours worked per week at 35 hours or more, HOUR31, HOUR42, and HOUR53 were set
to ‘40.’
Temporary (TEMPJB31, TEMPJB42, TEMPJB53) and Seasonal
(SSNLJB31, SSNLJB42, SSNLJB53) Jobs
The temporary job variables (TEMPJB31, TEMPJB42,
TEMPJB53) indicate whether a current main job lasts for only a limited amount of
time or until the completion of a project.
The seasonal job variables (SSNLJB31, SSNLJB42,
SSNLJB53) indicate whether the CMJ is only available during certain times of the
year. SSNLJB is "YES" (‘1’) if the job is only available during certain times of
the year, SSNLJB is "NO" (‘2’) if the job is year round. Teachers and other
school personnel who work only during the school year are considered to work
year round.
Both variables are set on current main jobs whether a
person is self-employed or not. Both are constructed based on questions that are
round-specific, i.e., the questions are asked when a job is newly reported and
when it is reviewed in subsequent rounds, even when the job ends in that round.
Number of Employees (NUMEMP31, NUMEMP42, NUMEMP53)
NUMEMP indicates the number of employees at the
location of the person’s current main job. Due to confidentiality concerns, this
variable indicating the number of employees at the establishment has been
top-coded at 500 or more employees. For persons who reported a categorical size,
a median estimated size from donors within the reported range is used.
Other Employment Variables
Information about industry and occupation types for a
person’s current main job at the interview date is also contained in this
release. Based on verbatim text fields collected during the interview, numeric
industry and occupation codes are assigned by trained coders at the Bureau of
the Census. Beginning in 2010, Census uses 2007 Census Industry and 2010 Census
Occupation Coding schemes instead of the 2003 versions used from FY2002 through
FY2009. Both coding schemes were developed for the Bureau’s Current Population
Survey and American Community Survey. Users should note that coding schemes are
comparable for the FY2002 through FY2009 data files. Earlier versions of Census
coding schemes were used on files prior to FY2002.
Current main jobs were initially coded at the 4-digit
level for both industry and occupation. Then, for confidentiality reasons, these
codes were condensed into broader groups for release on the file. INDCAT31,
INDCAT42, and INDCAT53 represent the condensed industry codes for a person’s
current main job at the interview date. OCCCAT31, OCCCAT42, and OCCCAT53
represent the condensed occupation codes for a person’s current main job at the
interview date.
This release incorporates crosswalks showing how the
detailed 2007 Census industry and 2010 Census occupation codes were collapsed
into the condensed codes on the file, in both HTML and PDF formats. The schemes
used in this file can be linked directly to the 2007 North American Industry
Code System (NAICS) and the 2010 Standard Occupation Code scheme (SOC) by going
to the Bureau of the Census website where a variety of additional crosswalks is
also available:
www.census.gov/hhes/www/ioindex.
Information indicating whether a person belonged to a
labor union (UNION31, UNION42, and UNION53) is also contained in this release.
The day, month, and year that the current main job
started for Rounds 3, 4, and 5 of Panel 15 and Rounds 1, 2, and 3 of Panel 16
are provided in this release (STJBDD31, STJBMM31, STJBYY31, STJBDD42, STJBMM42,
STJBYY42, STJBDD53, STJBMM53, and STJBYY53).
There are two measures included in this release that
relate to a person’s work history over a lifetime. One indicates whether a
person ever retired from a job as of the Round 5 interview date for Panel 15
persons or the Round 3 interview date for Panel 16 persons (EVRETIRE). The other
indicates whether a person ever worked for pay as of the Round 5 interview date
for Panel 15 persons or the Round 3 interview date for Panel 16 persons
(EVRWRK). The latter was asked of everyone who indicated that they were not
working as of the round interview date. Therefore, anyone who indicated current
employment or who had a job during any of the previous or current rounds was
skipped past the question identifying whether the person ever worked for pay.
These individuals were coded as "Inapplicable" (-1). All persons who ever
reported a job and were 55 years or older as of the round interview date were
asked if they "ever retired". Since both of these variables are not round
specific, there are no "–2" codes.
This release contains variables indicating the main
reason a person did not work since the start of the reference period (NWK31,
NWK42, and NWK53). If a person was not employed at all during the reference
period (at the interview date or at any time during the reference period) but
was employed some time prior to the reference period, the person was asked to
choose from a list the main reason he or she did not work during the reference
period. The "Inapplicable" (-1) category for the NWK variables includes:
- Persons who were employed during the reference period;
- Persons who were not employed during the reference period
and who were never employed;
- Persons who were out-of-scope the entire reference period
and;
- Persons who were less than 16 years old.
A measure of whether an individual had more than one
job on the round interview date (MORJOB31, MORJOB42, and MORJOB53) is provided
on this release. In addition to those under 16 and those individuals who were
out-of-scope, the "Inapplicable" category includes those who did not report
having a current main job. Because this is not a job-specific variable, there
are no "–2" codes.
This release contains variables indicating if a
current main job changed between the third and fourth rounds for Panel 15
persons or between the first and second rounds for Panel 16 persons (CHGJ3142)
and between the fourth and fifth rounds for Panel 15 persons or between the
second and third rounds for Panel 16 persons (CHGJ4253). In addition to the
"Inapplicable", "Refused", "Don’t Know", and "Not Ascertained" categories, the
change job variables were coded to represent the following:
1 = person left previous round current main job and now
has a new current main job;
2 = person still working at the previous round’s current
main job but, as of the new round, no longer considers this job to be the
current main job and defines a new main job (previous round’s current main job
is now a current miscellaneous job);
3 = person left previous round’s current main job and
does not have a new job;
4 = person did not change current main job.
Finally, this release contains the reason given by the
respondent for the job change (YCHJ3142 and YCHJ4253). The reasons for a job
change were listed in the CAPI questionnaire and a respondent was asked to
choose the main reason from this list. In addition to those out-of-scope, those
under 16, and those not having a current main job, the "Inapplicable" category
for YCHJ3142 and YCHJ4253 includes workers who did not change jobs.
Return To Table Of Contents
2.5.9 Health Insurance Variables (TRIJA11X-RTPLNT42)
2.5.9.1 Monthly Health Insurance Indicators
(TRIJA11X-INSDE11X)
Constructed and edited variables are provided that
indicate any coverage in each month of 2011 for the sources of health insurance
coverage collected during the MEPS interviews (Panel 15, Rounds 3 through 5 and
Panel 16, Rounds 1 through 3). In Rounds 2, 3, 4, and 5, insurance that was in
effect at the previous round’s interview date was reviewed with the respondent.
Most of the insurance variables have been logically edited to address issues
that arose during such reviews in Rounds 2, 3, 4, and 5. One edit to the private
insurance variables corrects for a problem concerning covered benefits that
occurred when respondents reported a change in any of their private health
insurance plan names. Additional edits address issues of missing data on the
time period of coverage for both public and private coverage that was either
reviewed or initially reported in a given round. Additional edits, described
below, were performed on the Medicare and Medicaid or State Children’s Health
Insurance Program (SCHIP) variables to assign persons to coverage from these
sources. Observations that contain edits assigning persons to Medicare or
Medicaid/SCHIP coverage can be identified by comparing the edited and unedited
versions of the Medicare and Medicaid/SCHIP variables. Starting October 1, 2001,
persons 65 years and older have been able to retain TRICARE coverage in addition
to Medicare. Therefore, unlike in earlier MEPS public use files, persons 65
years and older do not have their reported TRICARE coverage (TRIJA11X –
TRIDE11X) overturned. TRICARE acts as a supplemental insurance for Medicare,
similar to Medigap insurance.
Public sources include Medicare, TRICARE, Medicaid,
SCHIP, and other public hospital/physician coverage. State-specific program
participation in non-comprehensive coverage (STAJA11– STADE11) was also
identified but is not considered health insurance for the purpose of this
survey.
Medicare
Medicare (MCRJA11 – MCRDE11) coverage was edited
(MCRJA11X – MCRDE11X) for persons age 65 or over. Within this age group,
individuals were assigned Medicare coverage if:
- They answered "Yes" to a follow-up question on whether they
received Social Security benefits; or
- They were covered by Medicaid/SCHIP, other public
hospital/physician coverage or Medigap coverage; or
- Their spouse was age 65 or over and covered by Medicare; or
- They reported TRICARE coverage.
Note that age (AGE##X) is checked for edited Medicare,
however date of birth is not considered. Edited Medicare is somewhat imprecise
with regard to a person’s 65th birthday.
Medicaid/SCHIP and Other Public Hospital/Physician
Coverage
Questions about other public hospital/physician
coverage were asked in an attempt to identify Medicaid or SCHIP recipients who
may not have recognized their coverage as such. These questions were asked only
if a respondent did not report Medicaid or SCHIP directly. Respondents reporting
other public hospital/physician coverage were asked follow-up questions to
determine if the coverage was through a specific Medicaid HMO or if it included
some other managed care characteristics. Respondents who identified managed care
from either path were asked if the recipient paid anything for the coverage
and/or if a government source paid for the coverage.
The Medicaid/SCHIP variables (MCDJA11– MCDDE11) have
been edited (MCDJA11X – MCDDE11X) to include persons who paid nothing for their
other public hospital/physician insurance when such coverage was through a
Medicaid HMO or reported to include some other managed care characteristics.
To assist users in further editing sources of
insurance, this file contains variables constructed from the other public
hospital/physician series that measure whether:
- The respondent reported some type of managed care and paid
something for the coverage, Other Public A Insurance (OPAJA11 –
OPADE11); and
- The respondent did not report any managed care, Other Public
B Insurance (OPBJA11 – OPBDE11).
The variables OPAJA11 – OPADE11 and OPBJA11 – OPBDE11
are provided only to assist in editing and should not be used to make separate
insurance estimates for these types of insurance categories.
Any Public Insurance in Month
The file also includes summary measures that indicate
whether or not a sample person has any public insurance in a month (PUBJA11X –
PUBDE11X). Persons identified as covered by public insurance are those reporting
coverage under TRICARE, Medicare, Medicaid or SCHIP, or other public
hospital/physician programs. Persons covered only by state-specific programs
that did not provide comprehensive coverage (STAJA11 – STADE11), for example,
the Maryland Kidney Disease Program, were not considered to have public coverage
when constructing the variables PUBJA11X – PUBDE11X.
Private Insurance
Variables identifying private insurance in general
(PRIJA11 – PRIDE11) and specific private insurance sources [such as
employer/union group insurance (PEGJA11 – PEGDE11); non-group (PNGJA11 –
PNGDE11); and other group (POGJA11 – POGDE11)] were constructed. Private
insurance sources identify coverage in effect at any time during each month of
2011. Separate variables identify covered persons and policyholders
(policyholder variables begin with the letter "H", e.g., HPEJA11 – HPEDE11).
These variables indicate coverage or policyholder status within a source and do
not distinguish between persons who are covered or are policyholders on one or
more than one policy within a given source. In some cases, the policyholder was
unable to characterize the source of insurance (PDKJA11 – PDKDE11). Covered
persons (but not policyholders) are identified when the policyholder is living
outside the RU (POUJA11 – POUDE11). An individual was considered to have private
health insurance coverage if, at a minimum, that coverage provided benefits for
hospital and physician services (including Medigap coverage). Sources of
insurance with missing information regarding the type of coverage were assumed
to contain hospital/physician coverage. Persons without private
hospital/physician insurance were not counted as privately insured. Coverage
indicated by these variables may be from any type of job where the employment
section insurance variables delivered on this file reflect only coverage through
a current main job.
Health insurance through a job or union (PEGJA11 –
PEGDE11, PRSJA11 – PRSDE11) was initially asked about in the employment section
of the interview and later confirmed in the health insurance section.
Respondents also had an opportunity to report employer and union group insurance
(PEGJA11 – PEGDE11) for the first time in the health insurance section, but this
insurance was not linked to a specific job.
All insurance reported to be through a job classified
as self-employed with firm size of 1 (PRSJA11 – PRSDE11) was initially reported
in the employment section and verified in the health insurance section. Unlike
the other employment-related variables (PEGJA11 – PEGDE11), self-employed-firm
size 1 (PRSJA11 – PRSDE11) health insurance could not be reported in the health
insurance section for the first time. The variables PRSJA11 – PRSDE11 have been
constructed to allow users to determine if the insurance should be considered
employment-related.
Private insurance that was not employment-related
(POGJA11 – POGDE11, PNGJA11 – PNGDE11, PDKJA11 – PDKDE11 and POUJA11 – POUDE11)
was reported in the health insurance section only.
Beginning in Panel 12 Round 2, the response category
"Health Insurance Purchasing Alliance" was removed from HX03 (EPRS.PURCHTYP=4)
and HX23 (EPRS.PRIVINS=2) because it was infrequently reported and it was not
clear how respondents were using this category.
Beginning in Panel 14 Round 5/Panel 15 Round 3, "High
Risk Pool" was added to the list of categories at HX03 (EPRS.PURCHTYP=10) and
HX23 (EPRS.PRIVINS=13). Beginning FY 2010, High Risk Pool was included in all
Other Group insurance categories.
Any Insurance in Month
The file also includes summary measures that indicate
whether or not a person has any insurance in a month (INSJA11X – INSDE11X).
Persons identified as insured are those reporting coverage under TRICARE,
Medicare, Medicaid, SCHIP, or other public hospital/physician or private
hospital/physician insurance (including Medigap plans). A person is considered
uninsured if not covered by one of these insurance sources.
Persons covered only by state-specific programs that
provide non-comprehensive coverage (STAJA11 – STADE11), for example, the
Maryland Kidney Disease Program, and those without hospital/physician benefits
(for example, private insurance for dental or vision care only, or for accidents
or specific diseases) were not considered to be insured when constructing the
variables INSJA11X – INSDE11X.
Return To Table Of Contents
2.5.9.2 Summary Insurance Coverage Indicators (PRVEV11
- INSURC11)
The variables PRVEV11-UNINS11 summarize health
insurance coverage for the person in 2011 for the following types of insurance:
private (PRVEV11); TRICARE (TRIEV11); Medicaid or SCHIP (MCDEV11); Medicare
(MCREV11); other public A (OPAEV11); other public B (OPBEV11). Each variable was
constructed based on the values of the corresponding 12 month-by-month health
insurance variables described above. A value of 1 indicates that the person was
covered for at least one day of at least one month during 2011. A value of 2
indicates that the person was not covered for a given type of insurance for all
of 2011. The variable UNINS11 summarizes PRVEV11-OPBEV11. Where PRVEV11-OPBEV11
are all equal to 2, then UNINS11 equals 1; person was uninsured for all of 2011.
Otherwise, UNINS11 is set to 2, not uninsured for some portion of 2011. For
persons not in scope for the full year these summary variables are based on the
period of eligibility.
For user convenience this file contains a constructed
variable INSCOV11 that summarizes health insurance coverage for the person in
2011, with the following three values:
1 = ANY PRIVATE (Person had any private insurance
coverage [including TRICARE/CHAMPVA] any time during 2011)
2 = PUBLIC ONLY (Person had only public insurance
coverage during 2011)
3 = UNINSURED (Person was uninsured during all of 2011)
INSURC11 is a new variable and summarizes health
insurance coverage for the person in 2011 using seven categories of insurance
separated by age:
1 = ANY PRIVATE (0-64) (Person is between 0 and 64
years old and is covered by private insurance or TRICARE/CHAMPVA in 2011)
2 = PUBLIC ONLY (0-64) (Person is between 0 and 64
years old and is covered by public insurance only (excluding TRICARE/CHAMPVA) in 2011)
3 = UNINSURED (0-64) (Person is between 0 and 64 years
old and is uninsured for all of 2011)
4 = EDITED MEDICARE ONLY (65+) (Person is 65 years old
or more and is covered by edited Medicare only in 2011)
5 = EDITED MEDICARE & PRIV (65+) (Person is 65 years
old or more and is covered by edited Medicare and (private insurance or
TRICARE/CHAMPVA) in 2011)
6 = EDITED MEDICARE & OTH PUB ONLY (65+) (Person is 65
years old or more and is covered by edited Medicare and (edited Medicaid/SCHIP,
Other Government (type A) or Other Government (type B)) in 2011)
7 = NO MEDICARE (65+) (Person is 65 years old or more
and is not covered by Medicare for all of 2011)
Please note that both INSCOV11 and INSURC11 categorize
TRICARE as private coverage. All other health insurance indicators included in
this data release categorize TRICARE as public coverage. If an analyst wishes to
consider TRICARE public coverage, the variable can easily be reconstructed using
the PRVEV11 and TRIEV11 variables. Also note that these categories are mutually
exclusive, with preference given to private insurance and TRICARE. Persons with
both private insurance/TRICARE and public insurance will be coded as "1" for
INSCOV11 and INSURC11.
Finally, note that out-of-scope persons are coded "2"
(No) for PRVEV11-INSCOV11. For all other health insurance variables in this data
release, including INSURC11, out-of-scope persons are coded "-1" (Inapplicable).
Return To Table Of Contents
2.5.9.3 FY 2011 PUF Managed Care Variables
(TRIST31X-PRDRNP11)
In addition to the month-by-month indicators of
coverage, there are round-specific health insurance variables indicating
coverage by an HMO or managed care plan. Managed care variables have been
constructed from information on health insurance coverage at any time in a
reference period and the characteristics of the plan. A separate set of managed
care variables has been constructed for private insurance, Medicaid/SCHIP, and
Medicare coverage. The purpose of these variables is to provide information on
managed care participation during the portion of the three rounds (i.e.,
reference periods) that fall within the same calendar year.
Managed care variables for calendar year 2011 are
based on responses to health insurance questions asked during the Round 3, 4,
and 5 interviews of Panel 15, and the Round 1, 2, and 3 interviews of Panel 16.
Each variable ends in "xy" where x and y denote the interview round for Panel 15
and Panel 16, respectively. The variables ending in "31" and "42" correspond to
the first two interviews of each panel in the calendar year. Because Round 3
interviews typically overlap the final months of one year and the beginning
months of the next year, the "31" variables for Panel 15 have been restricted to
the year 2011 portion of the reference period. Similarly, the Panel 15, Round 5
and Panel 16, Round 3 interviews have been restricted to the year 2011 portion
of these reference periods, and the corresponding managed care variables have
been given the suffix "11" (as opposed to "53") to emphasize the restricted time
frame.
Construction of the managed care variables is
straightforward, but three caveats are appropriate. First, MEPS estimates of the
number of persons in HMOs are higher than figures reported by other sources,
particularly those based on HMO industry data. The differences stem from the use
of household-reported information, which may include respondent error, to
determine HMO coverage in MEPS.
Second, the managed care questions are asked about the
last plan held by a person through his or her establishment (employer or
insurer) even though the person could have had a different plan through the
establishment at an earlier point during the interview period. As a result, in
instances where a person changed his or her establishment-related insurance, the
managed care variables describe the characteristics of the last plan held
through the establishment.
Third, the "11" versions of the managed care variables
for Panel 16 are developed from Round 3 variables that cover different time
frames. The health insurance variable for Round 3 is restricted to the same
calendar year as the Round 1 and 2 data. The Round 3 variables describing plan
type, on the other hand, overlap the next calendar year. As a consequence, the
Round 3 managed care variables may not describe the characteristics of the last
plan held in the calendar year if the person changed plans after the first of
the year.
The variables PRVHMO31/42/11 and PRVMNC31/42/11
indicate coverage by a private HMO or gatekeeper plan in Panel 16, Rounds 1 - 3,
and Panel 15, Rounds 3 - 5. The variables PRVDRL31/42/11 indicate coverage by a
private insurance source that has a book or list of doctors in Panel 16, Rounds
1 - 3, and Panel 15, Rounds 3 - 5. The variables PRDRNP31/42/11 indicate
coverage by at least one private insurance plan with a book or list of doctors
that pays for visits to non-plan doctors in Panel 16, Rounds 1 - 3, and Panel
15, Rounds 3 - 5. The variables PHMONP31/42/11 indicate coverage by at least one
private insurance source through an HMO that pays for visits to non-plan doctors
in Panel 16, Rounds 1 - 3, and Panel 15, Rounds 3 - 5. Finally, the variables
PMNCNP31/42/11 indicate coverage by at least one private insurance source
through a Gatekeeper Plan that pays for visits to non-plan doctors in Panel 16,
Rounds 1 - 3, and Panel 15, Rounds 3 - 5. The variables MCRPHO31/42/11 indicate
coverage by a Medicare managed care plan in Panel 16, Rounds 1 - 3, and Panel
15, Rounds 3 - 5. The variables MCRPD31/42/11 indicate coverage by Medicare
prescription drug benefit, also known as Part D, in Panel 16, Rounds 1 - 3, and
Panel 15, Rounds 3 - 5. The edited version of the Medicare prescription drug
coverage variables (MCRPD31/42/11X) include persons who are covered by both
edited Medicare and edited Medicaid. The variables MCDHMO31/42/11 and
MDCMC31/42/11 indicate coverage by a Medicaid or SCHIP HMO or managed care plan
in Panel 16, Rounds 1 - 3, and Panel 15, Rounds 3 - 5. For Panel 16, the "31"
version indicates coverage at any time in Round 1, the "42" version indicates
coverage at any time in Round 2, and the "11" version represents coverage at any
time during the 2011 portion of Round 3. For Panel 15, the "31" version
indicates coverage at any time during the 2011 portion of Round 3, the "42"
version indicates coverage at any time in Round 4, and the "11" version
represents coverage at any time during Round 5 (because Round 5 ends on
12/31/11).
In the health insurance section of the questionnaire,
respondents reporting private health insurance were asked to identify what types
of coverage a person had via a checklist. If the respondent selected
prescription drug or dental coverage from this checklist, variables were
constructed to indicate prescription drug or dental coverage respectively. It
should be noted, however, that in some cases respondents may have failed to
identify prescription drug or dental coverage that was included as part of a
hospital and physician plan.
TRICARE Plan Variables
Round specific variables are provided that indicate
which TRICARE plan the person was covered by for each round of 2011. These
variables indicate whether the person was covered by TRICARE Standard
(TRIST31/42/11X), TRICARE Prime (TRIPR31/42/11X), TRICARE Extra
(TRIEX31/42/11X), and TRICARE for Life (TRILI31/42/11X). Beginning in Panel 9
Rounds 4 and 5/Panel 10 Rounds 1 through 3, CHAMPVA was added to the list of
Tricare Plans collected in the instrument. Therefore, the variables TRICH42/11X
were created. The "31" version of this variable was constructed starting in
2006. It should be noted that the TRICARE Plan information was elicited from a
pick-list, code-all-that-apply question that asked which type of TRICARE plan
the person obtained. It should also be noted that the TRICARE plan question was
asked at the RU-level, that is, if any person in the RU reported coverage under
TRICARE, a follow-up question was asked to determine which TRICARE plan anyone
in the RU was covered by. After indicating the specific TRICARE plan or plans
for the RU, a second question was asked to determine who in the RU was covered
by TRICARE. In each round, each TRICARE Plan variable has five possible values:
1 = The person was covered by the applicable TRICARE
plan [Standard, Prime, Extra, For Life, or CHAMPVA].
2 = The person was covered by TRICARE, but it was not
through that particular plan [Standard, Prime, Extra, For Life, or CHAMPVA].
3 = The person was not covered by TRICARE.
-9 = The person was covered by TRICARE but the plan type
was not ascertained.
-1 = The person was out-of-scope.
Medicare Managed Care Plans, Part B, and Prescription
Drug Benefit
Persons were assigned Medicare coverage based on their
responses to the health insurance questions or through logical editing of the
survey data. A small number of persons were edited to have Medicare. For this
group coverage through a managed care plan, Part B, and coverage by prescription
drug plan questions were not asked. Since no Medicare establishment-person pair
exists for this group, the persons’ Medicare managed care, Part B, and
prescription drug benefit statuses are set to not ascertained. For those persons
who reported Medicare coverage based on their responses to the health insurance
questions, the Medicare managed care plan, Part B, and prescription drug benefit
questions were asked. Medicare managed care plan and prescription drug benefit
questions were asked for each round a person indicates Medicare coverage.
Medicare Part B questions were asked during the first report of Medicare only.
The Medicare Part B indicator for those persons who indicated not having a
Medicare card available was introduced for Panel 16 Round 2 and Panel 15 Round
4. For those persons who reported having Medicare coverage in Round 1, but did
not have a Medicare card available, Medicare Part B coverage was set to not
ascertained (-9).
The Medicare prescription drug benefit variables
(MCRPD31/42/11) have been edited (MCRPD31/42/11X) to turn on coverage for all
persons who are covered by both edited Medicare and edited Medicaid regardless
of the status on their unedited Medicare prescription drug benefit variable.
In each round, the variables MCRPHO31, MCRPHO42, and
MCRPHO11 have five possible values:
1 = The person was covered by Medicare and covered
through a Medicare Managed Care Plan.
2 = The person was covered by Medicare but not covered
through a Medicare Managed Care Plan.
3 = The person was not covered by Medicare.
-9 = The person was covered by Medicare but whether the
coverage is through a Medicare Managed Care Plan is refused, don’t know, or not
ascertained.
-1 = The person was out-of-scope.
In each round, the variables MCRPD31(X), MCRPD42(X),
and MCRPD11(X) have five possible values:
1 = The person was covered by Medicare and covered by
prescription drug benefit.
2 = The person was covered by Medicare but not covered
by prescription drug benefit.
3 = The person was not covered by Medicare.
-9 = The person was covered by Medicare but prescription
drug benefit coverage is refused, don’t know, or not ascertained.
-1 = The person was out-of-scope.
In each round, the variables MCRPB31, MCRPB42, and
MCRPB11 have five possible values:
1 = The person was covered by Medicare and covered by
Part B.
2 = The person was covered by Medicare but not covered
by Part B.
3 = The person was not covered by Medicare.
-9 = The person was covered by Medicare but Part B is
refused, don’t know, or not ascertained.
-1 = The person was out-of-scope.
Medicaid/SCHIP Managed Care Plans
Persons were assigned Medicaid or SCHIP coverage based
on their responses to the health insurance questions or through logical editing
of the survey data. The number of persons who were edited to have Medicaid or
SCHIP coverage is small. These persons indicated coverage through an Other
Government program that was identified as being in a Medicaid HMO or gatekeeper
plan that did not require premium payment from the insured party. By definition,
respondents were asked about the managed care characteristics of this insurance
coverage.
Medicaid/SCHIP HMOs
If Medicaid/SCHIP or Other Government programs were
identified as the source of hospital/physician insurance coverage, the
respondent was asked about the characteristics of the plan. The variables
MCDHMO31, MCDHMO42, and MCDHMO11 have been set to "Yes" if the plan was
identified from a list of state names or programs for Medicaid HMOs in the area,
or if an affirmative response was provided to the following question:
Under {{Medicaid/{STATE NAME FOR MEDICAID}/the program
sponsored by a state or local government agency which provides hospital and
physician benefits} (are/is) (READ NAME(S) FROM BELOW) signed up with an HMO,
that is a Health Maintenance Organization?
[With an HMO, you must generally receive care from HMO
physicians. If another doctor is seen, the expense is not covered unless you
were referred by the HMO, or there was a medical emergency.]
In subsequent rounds, for persons who had been
previously identified as covered by Medicaid, the respondent was asked whether
the name of the person’s insurance plan had changed since the previous
interview. An affirmative response triggered the previous set of questions about
managed care (name on list of Medicaid HMOs or signed up with an HMO).
In each round, the variables MCDHMO31, MCDHMO42, and
MCDHMO11 have five possible values:
1 = The person was covered by a Medicaid/SCHIP HMO.
2 = The person was covered by Medicaid/SCHIP but the
plan was not an HMO.
3 = The person was not covered by Medicaid/SCHIP.
-9 = The person was covered by Medicaid/SCHIP but the
plan type was not ascertained.
-1 = The person was out-of-scope.
Medicaid/SCHIP Gatekeeper Plans
If a person did not belong to a Medicaid/SCHIP HMO, a
third question was used to determine whether the person was in a gatekeeper
plan. The variables MCDMC31, MCDMC42, and MCDMC11 were set to "Yes" if the
respondent provided an affirmative response to the following question:
Does {{Medicaid /{STATE NAME FOR MEDICAID}} require
(READ NAME(S) BELOW) to sign up with a certain primary care doctor, group of
doctors, or with a certain clinic which they must go to for all of their routine
care?
Probe: Do not include emergency care or care from a
specialist they were referred to.
In each round, the variables MCDMC31, MCDMC42, and
MCDMC11 have five possible values:
1 = The person was covered by a Medicaid/SCHIP
gatekeeper plan.
2 = The person was covered by Medicaid/SCHIP, but it was
not a gatekeeper plan.
3 = The person was not covered by Medicaid/SCHIP.
-9 = The person was covered by Medicaid/SCHIP but the
plan type was not ascertained.
-1 = The person was out-of-scope.
Private Managed Care Plans
Persons with private insurance were identified from
their responses to questions in the health insurance section of the MEPS
questionnaire. In some cases, persons were assigned private insurance as a
result of comments collected during the interview, but data editing was minimal.
As a consequence, most persons with private insurance were asked about the
characteristics of their plan, and their responses were used to identify HMO and
gatekeeper plans.
Private HMOs
Persons with private insurance were classified as
being covered by an HMO if they met any of the three following conditions:
- The person reported that his or her insurance was purchased
directly through an HMO,
- The person reporting private insurance coverage identified
the type of insurance company as an HMO, or
- The person answered "Yes" to the following question:
Now I will ask you a few questions about how
(POLICYHOLDER)’s insurance through (ESTABLISHMENT) works for non-emergency care.
We are interested in knowing if (POLICYHOLDER)’s
(ESTABLISHMENT) plan is an HMO, that is, a health maintenance organization. With
an HMO, you must generally receive care from HMO physicians. For other doctors,
the expense is not covered unless you were referred by the HMO or there was a
medical emergency. Is (POLICYHOLDER)’s (INSURER NAME) an HMO?
In subsequent rounds, policyholders were asked whether
the name of their insurance plan had changed since the previous interview. An
affirmative response triggered the detailed question about managed care (i.e.,
was the insurer an HMO).
Some insured persons have more than one private plan.
In these cases, if the policyholder identified any plan as an HMO, the variables
PRVHMO31, PRVHMO42, and PRVHMO11 were set to "Yes." If a person had multiple
plans and one or more were identified as not being an HMO and the other(s) had
missing plan type information, the person-level variable was set to missing.
Additionally, if a person had multiple plans and none were identified as an HMO,
the person-level variable was set to "No." In each round, the variables
PRVHMO31, PRVHMO42, and PRVHMO11 have five possible values:
1 = The person was covered by a private HMO.
2 = The person was covered by private insurance, but it
was not an HMO.
3 = The person was not covered by private insurance.
-9 = The person was covered by private insurance, but
the plan type was not ascertained.
-1 = The person was out-of-scope.
Private Gatekeeper Plans
If the respondent did not report that a person
belonged to a private HMO, a follow-up question was used to determine whether
the person was in a gatekeeper plan. Persons with private insurance were
classified as being covered by a gatekeeper plan if the respondent provided an
affirmative response to the following question:
(Do/Does) (POLICYHOLDER)’s insurance plan require
(POLICYHOLDER) to sign up with a certain primary care doctor, group of doctors,
or a certain clinic which POLICYHOLDER) must go to for all of (POLICYHOLDER)’s
routine care?
Probe: Do not include emergency care or care from a
specialist you were referred to.
Some insured persons have more than one private plan.
In these cases, if the policyholder identified any plan as a gatekeeper plan,
the variables PRVMNC31, PRVMNC42, and PRVMNC11 were set to "Yes." If a person
had multiple plans and one or more were identified as not being a gatekeeper
plan and the other(s) had missing plan type information, the person-level
variable was set to missing. Additionally, if a person had multiple plans and
none were identified as a gatekeeper plan, the person-level variable was set to
"No". In each round, the variables PRVMNC31, PRVMNC42, and PRVMNC11 have five
possible values:
1 = The person was covered by a private gatekeeper plan.
2 = The person was covered by private insurance, but it
was not a gatekeeper plan.
3 = The person was not covered by private insurance.
-9 = The person was covered by private insurance, but
the plan type was not ascertained.
-1 = The person was out-of-scope.
Private Plan that has a Book or List of Doctors
If the respondent did not report that a person
belonged to a private gatekeeper plan, a follow-up question was used to
determine whether the person belonged to a plan that had a book or list of
doctors. Persons with private insurance were classified as being covered by such
a plan if the respondent provided an affirmative response to the following
question:
Is there a book or list of doctors associated with the
plan?
Some insured persons have more than one private plan.
In these cases, if the policyholder identified any plan that had a book or list
of doctors, the variables PRVDRL31, PRVDRL42, and PRVDRL11 were set to "Yes". If
a person had multiple plans and one or more were identified as not being a plan
that had a book or list of doctors and the other(s) had missing information, the
person-level variable was set to missing. Additionally, if a person had multiple
plans and none were identified as a plan that had a book or list of doctors, the
person-level variable was set to "No". In each round, the variables PRVDRL31,
PRVDRL42, and PRVDRL11 have five possible values:
1 = The person was covered by a private insurance plan
that has a book or list of doctors.
2 = The person was covered by private insurance, but it
did not have a book or list of doctors.
3 = The person was not covered by private insurance.
-9 = The person was covered by private insurance but the
plan type was not ascertained.
-1 = The person was out-of-scope.
Private HMO Plans that Pay for Visits to Non-Plan
Doctors
If the respondent reported that a person belonged to a
private HMO plan, a follow-up question was used to determine whether the person
was in a plan that pays for visits to non-plan doctors. Persons with private HMO
insurance were classified as being covered by a plan that pays for visits to
non-plan doctors if the respondent provided an affirmative response to the
following question:
Will (POLICYHOLDER)’s plan pay for any of the costs of
visits to doctors who are not associated with (POLICYHOLDER)’s plan, even
if (POLICYHOLDER) (do/does) not have a referral?
Some insured persons have more than one private plan.
In these cases, if the policyholder identified any plan as an HMO plan that pays
for visits to non-plan doctors, the variables PHMONP31, PHMONP42, and PHMONP11
were set to "Yes". If a person had multiple plans and one or more were
identified as being an HMO plan that does not pay for visits to non-plan doctors
and the other(s) had missing information, the person-level variable was set to
missing. Additionally, if a person had multiple plans and one or more were
identified as being an HMO but none were identified as an HMO plan that pays for
visits to non-plan doctors, the person-level variable was set to "No". In each
round, the variables PHMONP31, PHMONP42, and PHMONP11 have four possible values:
1 = Person was covered by at least one private insurance
source through an HMO, and the HMO pays for visits to non-plan doctors.
2 = Person was covered by at least one private insurance
source through an HMO, but the HMO does not pay for visits to non-plan doctors.
-9 = Person was covered by private insurance through an
HMO and whether the HMO covers visits to non-plan doctors was refused, don’t
know, or not ascertained.
-1 = Person was out-of-scope for the round, was not
privately insured at any time in the round, or was not covered by private
insurance through an HMO.
Private Gatekeeper Plans that Pay for Visits to
Non-Plan Doctors
If the respondent reported that a person belonged to a
private gatekeeper plan, a follow-up question was used to determine whether the
person was in a plan that pays for visits to non-plan doctors. Persons with
private gatekeeper insurance were classified as being covered by a plan that
pays for visits to non-plan doctors if the respondent provided an affirmative
response to the following question:
Will (POLICYHOLDER)’s plan pay for any of the costs of
visits to doctors who are not associated with (POLICYHOLDER)’s plan, even
if (POLICYHOLDER) (do/does) not have a referral?
Some insured persons have more than one private plan.
In these cases, if the policyholder identified any plan as a gatekeeper plan
that pays for visits to non-plan doctors, the variables PMNCNP31, PMNCNP42, and
PMNCNP11 were set to "Yes." If a person had multiple plans and one or more were
identified as being a gatekeeper plan that does not pay for visits to non-plan
doctors and the other(s) had missing information, the person level variable was
set to missing. Additionally, if a person had multiple plans and one or more was
identified as being a gatekeeper plan, but none were identified as a gatekeeper
plan that pays for visits to non-plan doctors, the person level variable was set
to "No." In each round, the variables PMNCNP31, PMNCNP42, and PMNCNP11 have four
possible values:
1 = Person was covered by at least one private insurance
source through a Gatekeeper Plan, and the plan pays for visits to non-plan
doctors.
2 = Person was covered by at least one private insurance
source through a Gatekeeper Plan, but the plan does not pay for visits to
non-plan doctors.
-9 = Person was covered by private insurance through a
Gatekeeper Plan, and whether the plan covers visits to non-plan doctors was
refused, don’t know, or not ascertained.
-1 = Person was out-of-scope for the round, was not
privately insured at any time in the round, or was not covered by private
insurance through a Gatekeeper Plan.
Private Plan that has a Book or List of Doctors that
Pays for Non-Plan Visits
If the respondent reported that a person belonged to a
plan that had a book or list of doctors, a follow-up question was used to
determine whether the person was in a plan that pays for visits to non-plan
doctors. Persons with a private insurance plan that has a book or list of
doctors were classified as being covered by a plan that pays for visits to
non-plan doctors if the respondent provided an affirmative response to the
following question:
Will (POLICYHOLDER)’s plan pay for any of the costs of
visits to doctors who are not associated with (POLICYHOLDER)’s plan, even
if (POLICYHOLDER) (do/does) not have a referral?
Some insured persons have more than one private plan.
In these cases, if the policyholder identified any plan as a plan that had a
book or list of doctors and that pays for visits to non-plan doctors, the
variables PRDRNP31, PRDRNP42, and PRDRNP11 were set to "Yes." If a person had
multiple plans and one or more were identified as being a plan that had a book
or list of doctors that does not pay for visits to non-plan doctors and the
other(s) had missing information, the person-level variable was set to missing.
Additionally, if a person had multiple plans and one or more were identified as
being a plan with a book or list of doctors, but none were identified as a plan
that had a book or list of doctors that pays for visits to non-plan doctors, the
person-level variable was set to "No." In each round, the variables PRDRNP31,
PRDRNP42, and PRDRNP11 have four possible values:
1 = Person was covered by at least one private insurance
plan with a book or list of doctors, and the plan pays for visits to non-plan
doctors.
2 = Person was covered by at least one private insurance
plan with a book or list of doctors, but the plan does not pay for visits to
non-plan doctors.
-9 = Person was covered by at least one private
insurance plan with a book or list of doctors, and whether the plan covers
visits to non-plan doctors was refused, don’t know, or not ascertained.
-1 = Person was out-of-scope for the round, was not
privately insured at any time in the round, or was not covered by any private
insurance plan with a book or list of doctors.
Return To Table Of Contents
2.5.9.4 Flexible Spending Accounts (FSAGT31-FSAAMT31)
Beginning in 2011, questions on Flexible Spending
Accounts (FSAs) were asked. Respondents in Round 1 or Round 3 were asked if any
RU members set aside pre-tax dollars of their own money to pay for out-of-pocket
health care expenses. If an RU has an FSA, then FSAGT31 was set to 1 (Yes) and
follow-up questions ascertained who has an FSA (HASFSA31) and the amount of the
FSA (FSAAMT31). When an RU has an FSA, HASFSA31 is set for each RU member to
indicate which RU member has an FSA. FSAAMT31 indicates the amount of the FSA
for each RU member who has an FSA. If no RU member has an FSA, then both
HASFSA31 and FSAAMT31 are set to -1 (Inapplicable).
Return To Table Of Contents
2.5.9.5 Unedited Health Insurance Variables
(PREVCOVR-INSENDYY)
Duration of Uninsurance
If a person was identified as being without insurance
as of January 1st in the MEPS Round 1 interview, a series of
follow-up questions was asked to determine the duration of uninsurance prior to
the start of the MEPS survey. Persons who were insured as of the MEPS Round 1
interview, and persons with a date of birth on or after December 31, 2010 or
whose age category was less than 1 year old were skipped past this loop of
questions. These questions are asked in Round 1 only.
If the person said he/she was covered by insurance in
the two years prior to the MEPS Round 1 interview (PREVCOVR), the month, year
(COVRMM, COVRYY), and type of coverage (Employer-sponsored (WASESTB), Medicare
(WASMCARE), Medicaid/SCHIP (WASMCAID), TRICARE/CHAMPVA (WASCHAMP), VA/Military
Care (WASVA), Other public (WASOTGOV, WASAFDC,WASSSI, WASSTAT1-4, WASOTHER) or
Private coverage purchased through a group, association or insurance company
(WASPRIV)) was ascertained. Note that under the types of coverage, up to 4 state
programs (WASSTAT1-4) can be listed as response options, but only the number of
programs available in the state in which the RU is located (up to 4) will be
displayed. If the state in which the RU is located has fewer than 4 state
programs available, the remaining state programs will be -1 (Inapplicable). The
only exception is if the response is Refused (-7) or Don’t Know (-8). In that
case, WASTAT1-4 are all coded with the same missing value, regardless of the
number of plans available in that specific state. Note that this is a
code-all-that-apply question, so more than one source of previous insurance can
be selected. For persons who were covered by health insurance on January 1st,
it was ascertained if they were ever without health insurance in the previous
year (NOINSBEF). The number of weeks/months without health insurance was also
ascertained (NOINSTM, NOINUNIT). For persons who reported only non-comprehensive
coverage as of January 1st, a question was asked to determine if they
had been covered by more comprehensive coverage that paid for medical and
doctors’ bills in the previous two years (MORECOVR). If they were, the most
recent month and year of coverage was ascertained (INSENDMM, INSENDYY) as was
the type of coverage (see the variable names above).
Note that these variables are unedited and have been
taken directly as they were recorded from the raw data. There may be
inconsistencies with the health insurance variables released on public use files
that indicate that an individual is uninsured in January. Out-of-scope persons
in both panels have been set to "Inapplicable" (-1) for PREVCOVR – INSENDYY. All
other persons have PREVCOVR – INSENDYY copied directly from the value of the
unedited source variable.
Persons whose January 1st insurance
coverage status could not be determined due to their reference period beginning
after January 1st were also asked the follow-up questions described
above. In these cases, persons who reported comprehensive coverage were asked if
they were ever without insurance. Those who were uninsured were asked to
determine the duration of uninsurance prior to the start of their reference
period. Those who reported only non-comprehensive coverage were asked if they
had been covered by comprehensive coverage that paid for medical and doctors’
bills in the previous two years. Coverage is determined by health insurance
status during the whole reference period or the month of January and ignores
that these persons were not in the household on January 1st.
Return To Table Of Contents
2.5.9.6 Health Insurance Coverage Variables – At Any
Time/At Interview Date/At 12-31 Variables (TRICR31X - EVRUNAT)
Constructed and edited variables are provided that
indicate health insurance coverage at any time in a given round as well as at
the MEPS interview dates and on December 31, 2011. Note that for persons who
left the RU before the MEPS interview date or before December 31st,
the variables measuring coverage at the interview date or on December 31st
represent coverage at the date the person left the RU. In addition, since Round
5 only covers the time period from the Round 4 interview date up to December 31st,
values for the December 31st variables are equivalent to those for
Round 5 variables for Panel 15 members.
The health insurance variables are constructed for the
sources of health insurance coverage collected during the MEPS interviews (Panel
15, Rounds 3 through 5 and Panel 16, Rounds 1 through 3). Note that the Medicare
variables on this file as well as the private insurance variables that indicate
the particular source of private coverage (rather than any private coverage)
only measure coverage at the interview date and on December 31st.
Users should also note that the same general editing rules were followed for the
month-by-month health insurance variables released on this public use file (see
Section 2.5.9.1 "Monthly Health Insurance Indicators" for details). Editing
programs checking for consistencies between these sets of variables were
developed in order to provide as much consistency as possible between the
round-specific indicators and the month-by-month indicators of insurance.
Public sources include Medicare, TRICARE,
Medicaid/SCHIP, and other public hospital/physician coverage. State-specific
program participation in non-comprehensive coverage was also identified but is
not considered health insurance for the purpose of this survey.
Medicare
Medicare coverage variables (MCARE31, MCARE42, MCARE53
and MCARE11) and the edited versions of these variables (MCARE31X, MCARE42X,
MCARE53X and MCARE11X) were constructed similarly to the month-by-month Medicare
variables.
Medicaid/SCHIP and Other Public Hospital/Physician
Coverage
Medicaid/SCHIP variables (MCAID31, MCAID42, MCAID53,
MCAID11) and the edited versions of these variables (MCAID31X, MCAID42X,
MCAID53X, MCAID11X, MCDAT31X, MCDAT42X, MCDAT53X, MCDAT11X) were constructed
similarly to the month-by-month Medicaid/SCHIP variables.
Other Public A variables (OTPUBA31, OTPUBA42,
OTPUBA53, OTPUBA11; and OTPAAT31, OTPAAT42, OTPAAT53, OTPAAT11) were constructed
similarly to the month-by-month Other Public variables.
Any Public Insurance
Any public insurance variables (PUB31X, PUB42X,
PUB53X, PUB11X, PUBAT31X, PUBAT42X, PUBAT53X, and PUBAT11X) and state-specific
programs that provide non-comprehensive coverage variables (STAPR31, STAPR42,
STAPR53, STAPR11, STPRAT31, STPRAT42, STPRAT53, and STPRAT11) were constructed
similarly to the month-by-month any public insurance and state-specific program
variables.
Private Insurance
Variables identifying private insurance in general
(PRIV31, PRIV42, PRIV53, PRIV11, PRIVAT31, PRIVAT42, PRIVAT53, PRIVAT11) and
specific private insurance sources (such as employer/union group insurance
[PRIEU31, PRIEU42, PRIEU53, PRIEU11]; coverage through a job classified as
self-employed with firm size of 1 [PRIS31, PRIS42, PRIS53, PRIS11]; non-group
coverage [PRING31, PRING42, PRING53, PRING11]; other group coverage [PRIOG31,
PRIOG42, PRIOG53, PRIOG11], coverage through an unknown private category
[PRIDK31, PRIDK42, PRIDK53, PRIDK11]; and coverage from a policyholder living
outside the RU [PROUT31, PROUT42, PROUT53, PROUT11]) were constructed similarly
to the month-by-month variables in Section 2.5.9.1. Variables indicating any
private insurance coverage are available for the following time periods: at any
time in a given round, at the interview date, and on December 31st.
The variables for the specific sources of private coverage are only available
for coverage on the interview dates and on December 31st.
Any Insurance in Period
Any insurance variables (INS31X, INS42X, INS53X,
INS11X, INSAT31X, INSAT42X, INSAT53X, and INSAT11X) and state-specific programs
that provide non-comprehensive coverage variables (STAPR31, STAPR42, STAPR53,
STAPR11, STPRAT31, STPRAT42, STPRAT53, and STPRAT11) were constructed similarly
to the month-by-month any insurance and state-specific program variables.
Ever Uninsured in Period
The variable EVRUNINS indicates whether a person was
ever uninsured on the interview date or on 12/31. If the person is uninsured on
the interview date/on 12/31 for any round that they were in-scope (INS##X = 2),
EVRUNINS is coded as "Yes" (1). If the person is insured on the interview
date/on 12/31 for all rounds that they were in-scope (INS##X = 1), EVRUNINS is
coded as "No" (2). The variable EVRUNAT indicates whether a person was ever
uninsured at any time in 2011. If the person is uninsured at any time in the
round for any round that they were in-scope (INSAT##X = 2), EVRUNAT is coded as
"Yes" (1). If the person is insured at any time in the round for all rounds that
they were in-scope (INSAT##X = 1), EVRUNAT is coded as "No" (2). EVRUNINS and
EVRUNAT are coded "Inapplicable" (-1) for persons who were out-of-scope for all
rounds.
Return To Table Of Contents
2.5.9.7 Dental and Prescription Drug Private Insurance
Variables (DENTIN31-PMDINS11)
Dental Private Insurance Variables
Round specific variables (DENTIN31/42/53) are provided
that indicate the person was covered by a private health insurance plan that
included at least some dental coverage for each round of 2011. It should be
noted that the information was elicited from a pick-list, code-all-that-apply,
question that asked what type of health insurance a person obtained through an
establishment. The list included: hospital and physician benefits including
coverage through an HMO, Medigap coverage, vision coverage, dental, and
prescription drugs. It is possible that some dental coverage provided by
hospital and physician plans was not independently enumerated in this question.
Users should also note that persons with missing information on dental benefits
for all reported private plans and those who reported that they did not have
dental coverage for one or more plans but had missing information on other plans
are coded as not having private dental coverage. Persons with reported dental
coverage from at least one reported private plan were coded as having private
dental coverage.
DENTIN53 reflects coverage for all of Panel 16 Round 3
where the end reference year could extend into 2012. DENTIN31 for Panel 15 Round
3 reflects coverage in 2010 and 2011 since the Round 3 reference period spans
both years. A second version of these dental coverage indicators was built to
reflect only current year coverage (DNTINS31/11).
Prescription Drug Private Insurance Variables
Round specific variables (PMEDIN31/42/53) are provided
that indicate the person was covered by a private health insurance plan that
included at least some prescription drug insurance coverage for each round of
2011. It should be noted that the information was elicited from a pick-list,
code-all-that-apply, question that asked what type of health insurance a person
obtained through an establishment. The list included: hospital and physician
benefits including coverage through an HMO, Medigap coverage, vision coverage,
dental, and prescription drugs. It is possible some prescription drug coverage
provided by hospital and physician plans was not independently enumerated in
this question. Persons with reported prescription drug coverage from at least
one reported private plan were coded as having private prescription drug
coverage. Users should note that persons with missing information on
prescription drug benefits for all reported private plans and those who reported
that they did not have prescription drug coverage for one or more plans but had
missing information on other plans are coded as not having private prescription
drug coverage.
PMEDIN53 reflects coverage for all of Panel 16 Round 3
where the end reference year could extend into 2012. PMEDIN31 for Panel 15 Round
3 reflects coverage in 2010 and 2011 since the Round 3 reference period spans
both years. A second version of these prescription drug coverage indicators was
built to reflect only current year coverage (PMDINS31/11).
Return To Table Of Contents
2.5.9.8 Prescription Drug Usual Third Party Payer
Variables (PMEDUP31-PMEDPP53)
Round specific variables are provided that indicate
whether the sample member had a usual third party payer for prescription
medications (PMEDUP31, PMEDUP42, PMEDUP53), and if so, what type of payer
(PMEDPY31, PMEDPY42, PMEDPY53). These questions were asked only of sample
members who reportedly had at least one prescription medication purchase in the
round. In each interview, if the sample member reportedly had a third party
payer, then the respondent was asked the name of the sample member’s usual third
party payer. These responses were coded into the following source of payment
categories in PMEDPY31, PMEDPY42, PMEDPY53: Private Insurance, Medicare,
Medicaid, VA/CHAMPVA, Tricare, State/Local Government, and Other. Users should
note that these questions were asked in the Charge and Payment section (CP) of
the questionnaire, and that no attempt was made to reconcile the responses with
information collected in the health insurance section of the questionnaire.
The respondent was also asked how much the sample
member paid out-of-pocket for his or her last prescription obtained in the round
(PMEDPP31, PMEDPP42, PMEDPP53). These variables are coded as inapplicable for
people with no prescription medication in the round. Prior to 2009, these
variables were named PMEDOP31, PMEDOP42, and PMEDOP53, and were asked only if
the sample member had a third party payer. The responses, in PMEDPP31, PMEDPP42,
PMEDPP53, were not edited, and no attempt was made to reconcile the responses
with more detailed information collected about out-of-pocket payments for
specific prescription medications purchased. Nonetheless, in the past for sample
members whose number of prescriptions reported by both the household and the
pharmacy matched, half of these cases had exactly the same out-of-pocket
payments for the last prescription filled; for the remaining cases, the average
discrepancy is low.
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2.5.9.9 Experiences with Public Plans Variables
(GDCPBM42 – RTPLNT42)
The variables GDCPBM42 through RTPLNT42 contain
responses to the satisfaction with plans supplement, which was administered in
the second and fourth interviews of the MEPS HC. Question wording is based on
questions in the Consumer Assessment of Healthcare Providers and Systems (CAHPS®),
an AHRQ-sponsored family of survey instruments designed to measure quality of
care from the consumer’s perspective. There are two sets of variables, one for
TRICARE/CHAMPVA and the other for Medicaid, SCHIP, or other state or local
government hospital/physician coverage, because families may have both types of
insurance. Family respondents who reported any current family member had
TRICARE/CHAMPVA in that round were asked about the family’s experiences with
TRICARE/CHAMPVA. These family- (RU-) level responses do not vary across RU
members with TRICARE/CHAMPVA at any time during the round; for RU members
without TRICARE/CHAMPVA during the round, the values are set to inapplicable.
Family respondents who reported any current family
member had Medicaid, SCHIP, or other state or local government
hospital/physician coverage in that round were asked about the family’s
experiences with that coverage. These RU-level responses do not vary across RU
members who at any time during the round had Medicaid, SCHIP, or other state or
local government hospital/physician coverage. For RU members without these types
of public insurance during the round, the values are set to inapplicable.
The variables address the following topics: difficulty
getting a personal doctor or nurse (GDCPBM42 and GDCPBT42), needing approval for
treatment and delays associated with waiting for approval (APRTRM42, APRDLM42,
APRTRT42, APRDLT42), looking for information on how plan works and problems
finding information (LKINFM42, PBINFM42, LKINFT42, PBINFT42), calling customer
service and problems getting help from customer service (CSTSVM42, PBSVCM42,
CSTSVT42, PBSVCT42), filling out paperwork for the plan and problems with the
paperwork (PPRWKM42, PBPWKM42, PPRWKT42, PBPWKT42), rating of experience with
plan (RTPLNM42 and RTPLNT42).
Variables for experiences with private plans are on
the 2011 Person Round Plan file, PUF HC-145. On that file, each person has a
separate record for each private plan, and each record has variables with the
family’s experiences with that specific plan.
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2.5.10 Person-Level Medical Utilization Variables
(OBTOTV11 – HHINFD11)
The MEPS Household Component (HC) collects data in
each round on use for office- and hospital-based care, home health care, dental
services, vision aids, and prescribed medicines. Data were collected for each
sample person at the event level (e.g., doctor visit, hospital stay) and summed
across Rounds 3 – 5 for Panel 15 (excluding 2010 events covered in Round 3) and
across Rounds 1 – 3 for Panel 16 (excluding 2012 events covered in Round 3) to
produce the annual utilization counts for 2011. This file contains utilization
variables for several categories of health care services. In general, there is
one utilization variable for each category of health care service. The
utilization variable is typically a count of the number of medical events
reported for the category. (Expenditure variables are not included on this file
and will be provided in the forthcoming full year consolidated file.)
The following sections summarize definitional,
conceptual, and analytic considerations when using the utilization variables in
this file. Separate discussions are provided for each MEPS medical service
category.
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2.5.10.1 Medical Provider Visits (i.e., Office-Based
Visits)
Medical provider visits consist of encounters that
took place primarily in office-based settings and clinics. Care provided in
other settings such as a hospital, nursing home, or a person’s home are not
included in this category.
The total number of office-based visits reported for
2011 (OBTOTV11) as well as the number of such visits to physicians (OBDRV11) and
non-physician providers (OBOTHV11) are contained in this file. For a small
proportion of sample persons, the sum of the physician and non-physician visit
variables (OBDRV11 + OBOTHV11) is less than the total number of office-based
visits variable (OBTOTV11) because OBTOTV11 contains visits where it was not
reported in the HC whether a physician or non-physician provider was seen.
Non-physician visits (OBOTHV11) include visits to the
following types of providers: chiropractors, midwives, nurses and nurse
practitioners, optometrists, podiatrists, physician’s assistants, physical
therapists, occupational therapists, psychologists, social workers, technicians,
receptionists/clerks/secretaries, or other medical providers. Separate
utilization variables are included for selected types of more commonly seen
non-physician providers including chiropractors (OBCHIR11), nurses/nurse
practitioners (OBNURS11), optometrists (OBOPTO11), physician assistants
(OBASST11), and physical or occupational therapists (OBTHER11).
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2.5.10.2 Hospital Events
Separate utilization variables for hospital care are
provided for each type of setting (outpatient department, emergency room, and
inpatient stays).
Hospital Outpatient Visits
Variables for the total number of reported visits to
hospital outpatient departments in 2011 (OPTOTV11) as well as the number of
outpatient department visits to physicians (OPDRV11) and non-physician providers
(OPOTHV11) are contained in this file. For a small proportion of sample persons,
the sum of the physician and non-physician visit variables (OPDRV11 + OPOTHV11)
is less than the total number of outpatient visits variable (OPTOTV11) because
OPTOTV11 contains visits where it was not reported whether a physican or
non-physician provider was seen.
Hospital Emergency Room Visits
The variable ERTOT11 represents a count of all
emergency room visits reported for the survey year.
Hospital Inpatient Stays
Two measures of total inpatient utilization are
provided on the file:
- IPDIS11 is the total number of hospital discharges. It
includes hospital stays where the dates of admission and
discharge were reported as identical. These "zero-night stays"
can be included or excluded from inpatient analyses at the
user’s discretion (see last paragraph of this section).
- IPNGT11 is the unimputed total number of nights spent in a
hospital by a person for all stays that end in 2011. The imputed
version will be on the forthcoming 2011 full year consolidated
file, as IPNGTD11.
Data used to construct the inpatient utilization
variables for newborns were edited to exclude stays where the newborn left the
hospital on the same day as the mother. This edit was applied because discharges
for infants without complications after birth were not consistently reported in
the survey. However, if the newborn was discharged at a later date than the
mother was discharged, then the discharge was considered a separate stay for the
newborn when constructing the utilization variables.
Some analysts may prefer to exclude "zero night stays"
from inpatient analyses and/or count these stays as ambulatory visits.
Therefore, a separate variable is provided that contains a count of the number
of inpatient events where the reported dates of admission and discharge were the
same (IPZERO11). This variable can be subtracted from IPDIS11 to exclude "zero
night stays" from inpatient utilization estimates.
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2.5.10.3 Dental Care Visits
The total number of dental care visits variable
(DVTOT11) includes those to any person(s) for dental care including general
dentists, dental hygienists, dental technicians, dental surgeons, orthodontists,
endodontists, and periodontists. Additional variables are provided for the
numbers of dental visits to general dentists (DVGEN11) and to orthodontists
(DVORTH11).
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2.5.10.4 Home Health Care
In contrast to other types of medical events where
data were collected on a per visit basis, information on home health care
utilization is collected in MEPS on a per month basis. Variables are provided
that indicate the total number of days in 2011 where home health care was
received from the following: from any type of paid or unpaid caregiver
(HHTD_R11), from agencies, hospitals, or nursing homes (HHAD_R11), from
self-employed persons (HHINDD11), and from unpaid informal caregivers not living
with the sample person (HHINFD11). The number of provider days represents the
sum across months of the number of days on which home health care was received,
with days summed across all providers seen. For example, if a person received
care in one month from one provider on two different days, then the number of
provider days would equal two. The number of provider days would also equal two
if a person received care from two different providers on the same day. However,
if a person received care from one provider two times on the same day, then the
provider days would equal 1. These variables were assigned missing values if the
number of provider days could not be computed for any month in which the
specific type of home health care was received.
HHTD_Ryy and HHAD_Ryy are the reported
household component counts of the total number of provider days where home
health care was received from any type of paid or unpaid caregiver, and from
agencies, hospitals, or nursing homes, respectively. These counts may include
duplicate providers as reported. The de-duplicated versions of these variables,
HHTOTD11 and HHAGD11, will be available on the 2011 full year consolidated file.
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2.5.11 Changes in Variable List
Following is a list of changes to the variable list
for the 2011 full-year data file.
Added
- EDUYRDEG
- EDRECODE
- BLDRREMS
- CABLOOD
- BLODAGED
- BLODREMS
- BONEREMS
- BRAIREMS
- BRSTREMS
- CERVREMS
- COLOREMS
- ESPHREMS
- KIDNREMS
- LEUKREMS
- LIVRREMS
- LRNXREMS
- LUNGREMS
- LYMPREMS
- MELAREMS
- MOUTREMS
- MUSCREMS
- OTHRREMS
- OVRYREMS
- PANCREMS
- PRSTREMS
- RECTREMS
- SKNMREMS
- SKDKREMS
- STOMREMS
- TSTSREMS
- THRTREMS
- THYRREMS
- UTERREMS
- PHYEXE53
- HEALTH42*
- INSURC11
- FSAGT31
- HASFSA31
- FSAAMT31
*HEALTH42 was excluded in 2010 because the frequencies
did not include affirmative responses.
Deleted
Label Change
- CASKINDK
From Cancer Diagnosed – Skin DK Kind
To Cancer Diagnosed – Skin Unknown Kind
- SKDKAGED
From Age of Diagnosis-Skin DK Kind Cancer
To Age of Diagnosis-Skin Unknown Type Cancer
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2.6 Linking to Other Files
2.6.1 Event and Condition Files
Records on this file can be linked to 2011 MEPS-HC
public use event and conditions files by the sample person identifier
(DUPERSID). The Panel 15 cases on this file (PANEL=15) can also be linked back
to the 2010 MEPS-HC public use event and condition files.
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2.6.2 National Health Interview Survey
The set of households selected for MEPS is a subsample
of those participating in the National Health Interview Survey (NHIS), thus,
each MEPS panel can also be linked back to the previous year’s NHIS public use
data files. For information on obtaining MEPS/NHIS link files please see
meps.ahrq.gov/data_stats/more_info_download_data_files.jsp.
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2.6.3 Longitudinal Analysis
For Panel 1 through Panel 8, panel-specific files
(called Longitudinal Weight Files) containing estimation variables to facilitate
longitudinal analysis are available for downloading in the data section of the
MEPS Web site. To create longitudinal files for these panels, it is necessary to
link data from two subsequent annual files that contain data for the first and
second years of the panel, respectively. Starting with Panel 9, it is not
necessary to link files for longitudinal analysis because Longitudinal Data
Files have been constructed and are available for downloading on the Web. For
more details or to download the data files, please see Longitudinal Weight Files
at
meps.ahrq.gov/data_stats/more_info_download_data_files.jsp
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3.1 Background on Sample Design and Response Rates
The MEPS is designed to produce estimates at the
national and regional level over time for the civilian, noninstitutionalized
population of the United States and some subpopulations of interest. The data in
this public use file pertain to calendar year 2011. The data were collected in
Rounds 1, 2, and 3 for MEPS Panel 16 and Rounds 3, 4, and 5 for MEPS Panel 15.
(Note that Round 3 for a MEPS panel is designed to overlap two calendar years,
as illustrated below.)
Variables convey the same information for this
full-year file that has been provided for the full-year files associated with
years 1996 – 2010 of MEPS.
The only utilization data that appear on this file are
those associated with health care events occurring in calendar year 2011.
All such utilization data associated with
calendar year 2011 as reported by MEPS respondents have been included in this
database for both panels and their corresponding rounds.
There were several new features to the MEPS sample
design employed for Panel 16. First, in anticipation of a self-administered
questionnaire to be given to MEPS participants with cancer, those NHIS
households eligibile for MEPS were selected for MEPS if they contained an NHIS
respondent who had been randomly selected to complete the NHIS "sampled adult"
questionnaire and, in completing that questionnaire, the respondent indicated
that s/he had some form of cancer. Second, the sample domain "Other," which is
the catchall stratum and consists mainly of households with "White" members, was
partitioned into two sample domains: those households characterized as "complete
household" respondents to the NHIS and those characterized as "partial
completes." NHIS "partial completes" typically have a lower response rate to
MEPS and for Panel 16 were sampled at a lower rate than "full completes." This
approach served to reduce survey costs, since the "partials" tend to have higher
costs in gaining survey participation, but increased sample variability due to
the resulting increased variance in sampling rates.
Finally, a small experiment was conducted in 11 PSUs,
exploring further the concept of trading a cost reduction due to a reduced field
load with an increase in variance due to subsampling. The experiment focused
primarily on learning about the complexities of implementing such an effort as
part of the MEPS data collection process across the full five rounds of MEPS.
After roughly 10 weeks of data collection in these PSUs, those households
characterized as "interim nonrespondents" and eligible for participation in this
experiment were sampled at a 50 percent rate (some nonrespondents were not
deemed eligible for this subsampling and were worked as usual). Those "interim
nonrespondents" that were sampled had their contribution to the sample doubled
(due to the 50 percent subsampling rate) while those not sampled were dropped
from MEPS entirely. Thus, the Panel 16 Round 1 response rates dicussed in the
next section will reflect counts based on doubling the contribution of the
subsampled "interim nonrespondents" and treating those "interim nonrespondents"
not subsampled as if they had never been sampled for MEPS.
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3.1.1 References
There have been some published reports on the MEPS
sample design. For detailed information on the MEPS sample design see Cohen, S.,
Sample Design of the 1997 Medical Expenditure Panel Survey Household Component.
Rockville (MD): Agency for Healthcare Research and Quality; 2000. MEPS
Methodology Report, No. 11. AHRQ Pub. No. 01-0001 and Ezzati-Rice, T.M., Rohde,
F., Greenblatt, J., (2008). Sample Design of the Medical Expenditure Panel
Survey Household Component, 1998-2007, Methodology Report, No. 22. March 2008.
Agency for Healthcare Research and Quality, Rockville, MD.
meps.ahrq.gov/data_files/publications/mr22/mr22.shtml
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3.1.2 MEPS--Linked to the National Health Interview
Survey
The responding households represented in this 2011
MEPS database are based on two separate and overlapping MEPS panels that include
a subsample of households participating in the 2009 and 2010 NHIS, both years of
which were based on the new NHIS sample design, initiated in 2006.
Whenever there is a change in sample or study design,
it is good survey practice to assess whether such a change could affect the
sample estimates. For example, increased coverage of the target populations with
an updated sample design based on data from the latest Census can improve the
accuracy of the sample estimates. MEPS estimates have been and will continue to
be evaluated to determine if an important change in the survey estimates might
be associated with a change in design.
As background, the NHIS is a complex multi-stage
sample design. A brief and simplified description of the NHIS design follows.
The first stage of sample selection is an area sample of PSUs, where PSUs
generally consist of one or more counties. Within PSUs, density strata are
formed, generally reflecting the density of minority populations for single or
groups of blocks or block equivalents that are assigned to the strata. Within
each such density stratum "supersegments" are formed, consisting of clusters of
housing units. Samples of supersegments are selected for use over a 10-year data
collection period for the NHIS. Households within supersegments are selected for
each calendar year the NHIS is carried out. In the new NHIS sample design,
Asians are oversampled in addition to Hispanics and Blacks. These features of
the NHIS complex survey design carry over to the MEPS. The only major difference
in eligibility status for housing units between NHIS and MEPS is that college
dorms represent ineligible housing units for MEPS. College aged students living
away from home during the school year were interviewed at their place of
residence for the NHIS but were identified by and linked to their parents’
household for MEPS. (There is also a person-level stage of sampling for the
NHIS, but that does not affect the MEPS sample design.)
The households (occupied Dwelling Units or DUs)
selected for MEPS Panel 15 were a subsample of the 2009 NHIS responding
households, while those in MEPS Panel 16 were a subsample of the 2010 NHIS
responding households. A MEPS household may contain one or more family units,
each consisting of one or more individuals. Analyses using MEPS data can be
undertaken using either the individual or the family as the unit of analysis.
There were 8,750 households (occupied DUs) selected
for MEPS Panel 15, of which 8,726 were eligible for fielding (college
dormitories were eliminated). They were selected as a nationally representative
subsample of the households responding to the 2009 NHIS. A subsample of 10,180
households was selected for MEPS Panel 16 from among households responding to
the 2010 NHIS, of which 10,162 were fielded in MEPS after the elimination of
college dorms.
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3.1.3 Sample Weights and Variance Estimation
In the database "MEPS HC-141: 2011 Full Year
Population Characteristics," weight variables are provided for generating MEPS
estimates of totals, means, percentages, and rates for persons and families in
the civilian noninstitutionalized population. Procedures and considerations
associated with the construction and interpretation of person and family-level
estimates using these and other variables are discussed below.
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3.2 The MEPS Sampling Process and Response Rates: An
Overview
For most MEPS panels, a sample representing about
three-eighths of the NHIS responding households is made available for use in
MEPS. This was the case for both MEPS Panel 15 and Panel 16.
Because the MEPS subsampling has to be done soon after
NHIS responding households are identified, a small percentage of the NHIS
households initially characterized as NHIS respondents are later classified as
nonrespondents for the purposes of NHIS data analysis. This actually serves to
increase the overall MEPS response rate slightly since the percentage of NHIS
households designated for use in MEPS (all those characterized initially as
respondents from the NHIS panels and quarters used by MEPS for a given year) is
slightly larger than the final NHIS household-level response rate and some NHIS
nonresponding households do participate in MEPS. However, as a result, these
NHIS nonrespondents who are MEPS participants have no NHIS data available to
link with MEPS data. Once the MEPS sample is selected from among the NHIS
households characterized as NHIS respondents, Reporting Units (RUs) representing
students living in student housing or consisting entirely of military personnel
are deleted from the sample. For the NHIS, college students living in student
housing are sampled independently from their families. For MEPS, such students
are identified through the sample selection of their parents’ RU. Removing from
MEPS those college students found in college housing sampled for the NHIS
eliminates the opportunity of multiple chances of selection for MEPS for these
students. Military personnel not living in the same RU as civilians are
ineligible for MEPS. After such exclusions, all RUs associated with households
selected from among those identified as NHIS responding households are then
fielded in the first round of MEPS.
Table 3.1 shows in Rows A, B, and C the three
informational components just discussed. Row A indicates the percentage of NHIS
households eligible for MEPS. Row B indicates the number of NHIS households
sampled for MEPS. Row C indicates the number of sampled households actually
fielded for MEPS (after dropping the students and military members discussed
above). Note that all response rates discussed here are unweighted.
Table 3.1. Sample Size and Unweighted Response Rates
for 2011 Full Year File (Panel 16 Rounds 1-3/Panel 15, Rounds 3-5)
|
Panel 15 |
Panel 16 |
2011 Combined |
A. Percentage of NHIS households designated for use in MEPS
(those initially characterized as responding)* |
84.0% |
80.6% |
|
B. Number of households sampled from the NHIS |
8,750 |
10,180 |
|
C. Number of Households sampled from the NHIS and fielded for MEPS |
8,726 |
10,162 |
|
D. Round 1 – Number of RUs eligible for interviewing |
9,258 |
10,940** |
|
E. Round 1 – Number of RUs with completed interviews |
6,802 |
8,553** |
|
F. Round 2 – Number of RUs eligible for interviewing |
6,980 |
8,821** |
|
G. Round 2 – Number of RUs with completed interviews |
6,435 |
8,349** |
|
H. Round 3 – Number of RUs eligible for interviewing |
6,566 |
8,574** |
|
I. Round 3 – Number of RUs with completed interviews |
6,261 |
8,237** |
|
J. Round 4 – Number of RUs eligible for interviewing |
6,359 |
|
|
K. Round 4 – Number of RUs with completed interviews |
6,165 |
|
|
L. Round 5 – Number of RUs eligible for interviewing |
6,192 |
|
|
M. Round 5 – Number of RUs with completed interviews |
6,078 |
|
|
Overall response rates through the Spring of 2011:
P16: A x (E/D) x (G/F) x (I/H)
P15: A x (E/D) x (G/F) x (I/H) x (K/J) x (M/L)
Combined: 0.43 x P15+ 0.57 x P16 |
51.6% (Panel 15 through Round 5) |
57.3% (Panel 16 through Round 3) |
54.9% |
*Among the panels and quarters of the NHIS allocated to MEPS,
the percentage of households that were considered to be NHIS respondents at the time the MEPS sample was selected
**Counts reflect doubled contributions from sampled "interim nonrespondents"
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3.2.1 Response Rates
In order to produce annual health care estimates for
calendar year 2011 based on the full MEPS sample data from the MEPS Panel 15 and
Panel 16, the two panels are combined. More specifically, full calendar year
2011 data collected in Rounds 3 through 5 for the MEPS Panel 15 sample are
combined with data from the first three rounds of data collection for the MEPS
Panel 16 sample (the general approach is described below).
As mentioned above, all response rates discussed here
are unweighted. To understand the calculation of MEPS response rates, some
features related to MEPS data collection should be noted. When an RU is visited
for a round of data collection, changes in RU membership are identified. Such
changes include student RUs as well as other RU members who have moved to
another location in the U.S., thus creating a new RU to be interviewed for MEPS.
Thus, the number of RUs eligible for MEPS interviewing in a given round is
determined after data collection is fully completed. The ratio of the number of
RUs completing the MEPS interview in a given round to the number of RUs
characterized as eligible to complete the interview for that round represents
the "conditional" response rate for that round expressed as a proportion. It is
"conditional" in that it pertains to the set of RUs characterized as eligible
for MEPS for that round and thus is "conditioned" on prior participation rather
than representing the overall response rate through that round. For example, in
Table 3.1, for Panel 15, Round 2 the ratio of 6,435 (Row G) to 6,980 (Row F)
multiplied by 100 represents the percentage response rate for the round (92.2
percent when computed), conditioned on the set of RUs characterized as eligible
for MEPS for that round. Taking the product of the percentage of the NHIS sample
eligible for MEPS (Row A) with the product of the ratios for a consecutive set
of MEPS rounds beginning with Round 1 produces the overall response rate through
the last MEPS round specified.
The overall unweighted response rate for the combined
sample of Panel 15 and Panel 16 for 2011 was obtained by computing the products
of the relative sample sizes and the corresponding overall panel response rates
and then summing the two products. Panel 16 represents about 57 percent of the
combined sample size while Panel 15 represents the remaining 43 percent. Thus,
the combined response rate of 54.9 percent was computed as 0.57 times 57.3, the
overall Panel 16 response rate through Round 3, plus 0.43 times 51.6, the
overall Panel 15 response rate through Round 5.
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3.2.2 Panel 16 Response Rates
For MEPS Panel 16 Round 1, 10,162 households were
fielded in 2011 (Row C of Table 3.1), a nationally representative subsample of
the households responding to the 2010 National Health Interview Survey (NHIS).
Table 3.1 shows the number of RUs eligible for
interviewing in each Round of Panel 16 as well as the number of RUs completing
the MEPS interview. Computing the individual round "conditional" response rates
as described in Section 3.2.1 and then taking the product of these three
response rates and the factor 80.6 (the percentage of the NHIS sampled
households designated for use in selecting a sample of households for MEPS)
yields an overall response rate of 57.3 percent for Panel 16 through Round 3.
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3.2.3 Panel 15 Response Rates
For MEPS Panel 15, 8,726 households were fielded in
2011 (as indicated in Row C of Table 3.1), a nationally representative subsample
of the households responding to the 2010 National Health Interview Survey
(NHIS).
Table 3.1 shows the number of RUs eligible for
interviewing and the number completing the interview for all five rounds of
Panel 15. The overall response rate for Panel 15 has been computed in a similar
fashion to that of Panel 16 but covering all five rounds of MEPS interviewing as
well the factor representing the percentage of NHIS sampled households eligible
for MEPS. The overall response rate for Panel 15 through Round 5 is 51.6
percent.
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3.2.4 Combined Panel Response
A combined panel response rate for the survey
respondents in this data set is obtained by taking a weighted average of the
panel specific response rates. The Panel 15 response rate was weighted by a
factor of 0.43 and Panel 16 was weighted by a factor of 0.57, reflecting
approximately the distribution of the overall sample between the two panels. The
resulting combined response rate for the combined panels was computed as (0.43 x
51.6) plus (0.57 x 57.3) or 54.9 percent (as shown in Table 3.1).
Return To Table Of Contents
3.2.5 Oversampling
Oversampling is a feature of the MEPS sample design,
helping to increase the precision of estimates for some subgroups of interest.
Before going into details related to MEPS, the concept of oversampling will be
discussed.
In a sample where all persons in a population are
selected with the same probability and survey coverage of the population is
high, the sample distribution is expected to be proportionate to the population
distribution. For example, if Hispanics represent 15 percent of the general
population, one would expect roughly 15 percent of the persons sampled to be
Hispanic. However, in order to improve the precision of estimates for specific
subgroups of a population, one might decide to select samples from those
subgroups at higher rates than the remainder of the population. Thus, one might
select Hispanics at twice the rate (i.e., at double the probability) of persons
not oversampled. As a result, an oversampled subgroup comprises a higher
proportion of the sample than it represents in the general population. Sample
weights ensure that population estimates are not distorted by a disproportionate
contribution from oversampled subgroups. Base sample weights for oversampled
groups will be smaller than for the portion of the population not oversampled.
For example, if a subgroup is sampled at roughly twice the rate of sample
selection for the remainder of the population not oversampled, members of the
oversampled subgroup will receive base or initial sample weights (prior to
nonresponse or poststratification adjustments) that are roughly half the size of
the group not oversampled.
As mentioned above, oversampling is implemented to
increase the sample sizes and thus improve the precision of survey estimates for
particular subgroups of the population. The "cost" of oversampling is that the
precision of estimates for the general population and subgroups not oversampled
will be reduced to some extent compared to the precision one could have achieved
if the same overall sample size were selected without any oversampling.
The oversampling of Hispanic and Black households for
the NHIS carries over to MEPS through the set of NHIS responding households
eligible for sample selection for MEPS. In the NHIS under the old sample design,
Hispanic households were oversampled at a rate of roughly 2 to 1. That is, the
probability of selecting a Hispanic household for participation in the NHIS was
roughly twice that for households in the general population that were not
oversampled. The oversampling rate for Black households under the old design was
roughly 1.5 to 1. Under the new NHIS sample design Asians, as well as Hispanics
and Blacks, are oversampled. The average oversampling rates for the three
minority groups have not yet been reported.
For Panel 15, all households in the Asian domain were
sampled with certainty. The sampling rate was about 76 percent for the Hispanic
domain, about 86 percent for the Black domain, and about 61 percent for the
"Other" domain. For Panel 16 the corresponding sampling rates for all the
domains except those characterized as "Other" were 1 (i.e., all households
assigned to those domains were included in MEPS). The "Other, complete" domain
was sampled at a rate of about 79 percent while the "Other, partial complete"
domain was sampled at a rate of about 46 percent.
Within strata (domains) for both panels, responding
NHIS households were selected for MEPS using a systematic sample selection
procedure from among those eligible. For all but those strata involving
"Others," the selection was with equal probability. Within strata involving
"Others" (for Panel 15, one stratum; for Panel 16 two strata) the selection was
with probability proportionate to size (pps) where the size measure was the
inverse of the NHIS initial probability of selection. The pps sampling was
undertaken to help reduce the variability in the MEPS weights incurred due to
the variability of the NHIS sampling rates. With the subsampling, households
that were oversampled for MEPS in calendar year 2011 were those responding
households in the NHIS identified as having members with cancer or whose
race/ethnicity was Hispanic, Black, or Asian. Again, note that not all NHIS
households where a member had cancer were identified as such – the member with
cancer had to have been randomly selected to complete the NHIS "sampled adult"
questionnaire and to have self-identified as having cancer in response to
questions from that questionnaire.
Typically, sample allocations across sample domains
change from one MEPS panel to another. The sample domains used may also vary by
panel as was the case for Panel 15 and Panel 16. When one compares unweighted
measures (e.g., response rates) between panels and years, one should take into
account such differences. If, for example, members of one domain have a lower
propensity to respond than those of another domain, then if that domain has been
allocated a higher proportion of the sample the corresponding panel may have a
lower unweighted response rate simply because of the differences in sample
allocation.
Within each domain (sample stratum) systematic samples
of the MEPS-eligible households were selected from among the NHIS household
respondents made available for MEPS sample selection purposes.
Return To Table Of Contents
3.3 Background on Person-Level Estimation Using this
MEPS Public Use Release
3.3.1 Overview
There is a single full year person-level weight
variable called PERWT11P. However, care should be taken in its application as it
permits both "point-in-time" and "range of time" estimates, depending on the
variables used to define the set of persons of interest for analysis. A
person-level weight was assigned to each record for each key, in-scope person
who responded to MEPS for the full period of time that he or she was in-scope
during 2011. A key person was either a member of a responding NHIS household at
the time of interview or joined a family associated with such a household after
being out-of-scope at the time of the NHIS (the latter circumstance includes
newborns as well as those returning from military service, an institution, or
residence in a foreign country). A person is in-scope whenever he or she is a
member of the civilian, noninstitutionalized portion of the U.S. population.
Return To Table Of Contents
3.3.2 Developing Person-Level Estimates
The data in this file can be used to develop estimates
on persons in the civilian, noninstitutionalized population at any time during
2011 and for the slightly smaller population of persons in the civilian,
noninstitutionalized population on December 31, 2011. To obtain a
cross-sectional (point-in-time) estimate for in-scope persons living in the
country on December 31, 2011, the analysis should be restricted to cases where
INSC1231=1 (the person is in-scope on December 31, 2011). The weight variable
PERWT11P must be applied to the analytic variable(s) of interest to obtain
either type of national estimate. Table 3.2 contains a summary of cases to
include and sample sizes for the two populations described above.
Table 3.2 Identifying Populations of Interest at the
Person Level and Corresponding Sample Sizes
Population of Interest |
Cases to Include |
Sample Size |
Civilian, Noninstitutionalized Population over the course of 2011 |
PERWT11P>0 |
33,622 |
Civilian, Noninstitutionalized Population on December 31, 2011 |
PERWT11P>0 and INSC1231=1 |
33,288 |
Return To Table Of Contents
3.4 Details on Person-Level Weights Construction
3.4.1 Overview
The person-level weight PERWT11P was developed in
three stages. The person-level weight for Panel 15 was created, including both
an adjustment for nonresponse over time and raking. The raking involved
controlling to several sets of marginal control totals reflecting Current
Population Survey (CPS) population estimates based on six different variables.
The person-level weight for Panel 16 was created,
also including an adjustment for nonresponse over time and raking, where the
raking established consistency with CPS population estimates based on the same
six variables. A composite weight was formed from the Panel 15 and Panel
16 weights by multiplying the panel weights by factors corresponding to the
relative sample size of the two panels. Then a final raking was undertaken on
this composite weight variable, again based on the same six variables used
previously.
Return To Table Of Contents
3.4.2 MEPS Panel 15
The person-level weight for MEPS Panel 15 was
developed using the 2010 full-year weight for an individual as a "base" weight
for survey participants present in 2010. For key, in-scope members who joined an
RU some time in 2011 after being out-of-scope in 2010, the initially assigned
person-level weight was the corresponding 2010 family weight. The weighting
process included an adjustment for person-level nonresponse over Rounds 4 and 5
as well as raking to population control totals for December 2011 for key,
responding persons in-scope on December 31, 2011. These control totals were
derived by scaling back the population distribution obtained from the March 2011
CPS to reflect the December 31, 2011 estimated population total (estimated based
on Census projections for January 1, 2011). Variables used for person-level
raking included: Census region (Northeast, Midwest, South, West); MSA status
(MSA, non-MSA); race/ethnicity (Hispanic, Black but non-Hispanic, Asian,
non-Hispanic, and other); sex; education level; and age. (Poverty status is not
included in this version of the MEPS full year database because of the time
required to process the income data collected and then assign persons to a
poverty status category). The final weight for key responding persons who were
not in-scope on December 31, 2011 but were in-scope earlier in the year was the
person weight after the nonresponse adjustment.
Return To Table Of Contents
3.4.3 MEPS Panel 16
The person-level weight for MEPS Panel 16 was
developed using the 2011 MEPS Round 1 person-level weight as a "base" weight.
For key, in-scope members who joined an RU after Round 1, the Round 1 family
weight served as a "base" weight. The weighting process included an adjustment
for nonresponse over the remaining data collection rounds in 2011 as well as
raking to the same population control figures for December 2011 used for the
MEPS Panel 15 weights for key, responding persons in-scope on December 31, 2011.
The same six variables employed for Panel 15 raking (census region, MSA status,
race/ethnicity, sex, education level, and age) were also used for Panel 16
raking. Again the final weight for key, responding persons not in-scope on
December 31, 2011 but in-scope earlier in the year was the person weight after
nonresponse adjustment.
Note that the MEPS Round 1 weights for both panels
incorporated the following components: a weight reflecting the original
household probability of selection for the NHIS and an adjustment for NHIS
nonresponse; a factor representing the proportion of the 16 NHIS panel-quarter
combinations eligible for MEPS; the oversampling of certain subgroups for MEPS
among the NHIS household respondents eligible for MEPS; ratio-adjustment to
NHIS-based national population estimates at the household (occupied DU) level;
adjustment for nonresponse at the DU-level for Round 1; and poststratification
to U.S. civilian noninstitutionalized population estimates at the family and
person level obtained from the corresponding March CPS data bases.
Return To Table Of Contents
3.4.4 Raking
Beginning with the Full Year 2002 files, "raking" has
been employed for the "Full Year" MEPS weighting to calibrate survey weights to
match designated population control totals, replacing the poststratification
process previously employed. Raking is a commonly used process for adjusting
survey weights so that estimates of subpopulation totals match more stable
figures available from independent sources. It can be thought of as
multi-dimensional poststratification that requires an iterative solution. Survey
weights are poststratified to several sets of control figures (dimensions) in a
sequential and continuous fashion until convergence is achieved. Convergence is
the state where survey weights satisfy the criteria that the sums of the survey
weights for the subgroups represented by the various dimensions are
simultaneously within a specified distance of the corresponding control figures
(e.g., within 1, 10, 100, 500, etc. of the control totals). For instance, if one
dimension in a raking effort was sex by MSA status and the specified distance
was 10, then, after convergence has been achieved, the sum of the survey weights
for males in MSA areas would be within 10 of the control figure for males in MSA
areas, etc.
Return To Table Of Contents
3.4.5 The Final Non-Poverty Adjusted Weight for 2011
Variables used in the raking of the person-level
weights to control totals derived from CPS data included: census region
(Northeast, Midwest, South, West); MSA status (MSA, non-MSA); race/ethnicity
(Hispanic, Black but non-Hispanic, Asian, and other); sex; education level; and
age. Persons included in the raking process were those in-scope on December 31,
2011. In addition, the weights of some persons out-of-scope on December 31, 2011
were poststratified. Specifically, the weights of persons out-of-scope on
December 31, 2011 that were in-scope sometime during the year and also entered a
nursing home during the year were poststratified to a corresponding control
total obtained from the 1996 MEPS Nursing Home Component. The weights of persons
who died while in-scope during 2011 were poststratified to corresponding
estimates derived using data obtained from the Medicare Current Beneficiary
Survey (MCBS) and Vital Statistics information provided by the National Center
for Health Statistics (NCHS). Separate control totals were developed for the "65
and older" and "under 65" civilian, noninstitutionalized decedent populations.
Overall, the population estimate for the civilian,
noninstitutionalized population over the course of the year (PERWT11P>0) is
311,125,758 (see Table 3.3). The estimated population total for those in-scope
on December 31, 2011 (PERWT11P>0 and INSC1231=1) is 307,567,803.
Table 3.3. Persons with a person weight for the 2011
Full Year file
|
Panel 15 |
Panel 16 |
Combined |
Population estimate (weighted total of combined sample) |
Number |
14,370 |
19,252 |
33,622 |
311,125,758 |
Return To Table Of Contents
3.4.6 A Note on MEPS Population Estimates
Beginning with the 2011 Full Year data, MEPS has
transitioned to 2010 census-based population estimates from the CPS for
poststratification and raking. CPS estimates began reflecting 2010 census-based
data in 2012, and the March 2012 CPS data serves as the basis for the 2011 MEPS
weight calibration efforts. An article discussing the impact of this transition
on CPS estimates can be found at bls.gov/cps/cps12adj.pdf.
Use of the updated population controls will have a
noticeable effect on estimated totals for some population subgroups. The article
compares some 2011 CPS estimates for those aged 16 and older "as published" with
those that would have been generated had the updated population controls been
used. Among the more noticeable increases were for the following subgroups:
those aged 55 or older (about 1.3 million more, a 1.7 percent increase); those
aged 16-24 (about a half million more, a 1.4 percent increase); Blacks (400
thousand more, a 1.4 percent increase); Hispanics (1.3 million more, a 3.8
percent increase); and Asians (1.2 million more, a 10 percent increase).
Corresponding changes can be anticipated for MEPS full year data beginning with
this 2011 MEPS PUF.
Return To Table Of Contents
3.4.7 Coverage
The target population associated with this MEPS
database is the 2011 U.S. civilian, noninstitutionalized population. However,
the MEPS sampled households are a subsample of the NHIS households interviewed
in 2009 (Panel 15) and 2010 (Panel 16). New households created after the NHIS
interviews for the respective panels and consisting exclusively of persons who
entered the target population after 2009 (Panel 15) or after 2010 (Panel 16) are
not covered by MEPS. Neither are previously out-of-scope persons who join an
existing household but are unrelated to the current household residents. Persons
not covered by a given MEPS panel thus include some members of the following
groups: immigrants; persons leaving the military; U.S. citizens returning from
residence in another country; and persons leaving institutions. Those not
covered represent only a small proportion of the MEPS target population.
Return To Table Of Contents
3.5 No Family, SAQ, or DCS Weights on this Public Use
File
Due to relatively limited opportunities for
family-level analysis with the data on this file, family weights are not
included on this file. However, family weights will be created for the Full Year
2011 MEPS public use file where expenditure and income data are provided. To
maintain consistency in terms of file structure with the upcoming public use
file with expenditure and income data, records for those persons who will have a
positive family weight but not a positive person weight have been placed on this
public use. These records will be the only records without a positive person
weight appearing on this file.
In addition, the SAQ and DCS weights that have
appeared on the initial full year files in the past are not included in this
public use file. They will be included in the subsequent full year consolidated
file.
Return To Table Of Contents
3.6 Variance Estimation
The MEPS is based on a complex sample design. To
obtain estimates of variability (such as the standard error of sample estimates
or corresponding confidence intervals) for MEPS estimates, analysts need to take
into account the complex sample design of MEPS for both person-level and
family-level analyses. Several methodologies have been developed for estimating
standard errors for surveys with a complex sample design, including the
Taylor-series linearization method, balanced repeated replication, and jackknife
replication. Various software packages provide analysts with the capability of
implementing these methodologies. Replicate weights have not been developed for
these MEPS data. Instead, the variables needed to calculate appropriate standard
errors based on the Taylor-series linearization method are included on this and
all other MEPS public use files. Software packages that permit the use of the
Taylor-series linearization method include SUDAAN, Stata, SAS (version 8.2 and
higher), and SPSS (version 12.0 and higher). For complete information on the
capabilities of each package, analysts should refer to the corresponding
software user documentation.
Using the Taylor-series linearization method, variance
estimation strata and the variance estimation PSUs within these strata must be
specified. The variables VARSTR and VARPSU on this MEPS data file serve to
identify the sampling strata and primary sampling units required by the variance
estimation programs. Specifying a "with replacement" design in one of the
previously mentioned computer software packages will provide estimated standard
errors appropriate for assessing the variability of MEPS survey estimates. It
should be noted that the number of degrees of freedom associated with estimates
of variability indicated by such a package may not appropriately reflect the
number available. For variables of interest distributed throughout the country
(and thus the MEPS sample PSUs), one can generally expect to have at least 100
degrees of freedom associated with the estimated standard errors for national
estimates based on this MEPS database.
Prior to 2002, MEPS variance strata and PSUs were
developed independently from year to year, and the last two characters of the
strata and PSU variable names denoted the rounds. However, beginning with the
2002 Point-in-Time PUF, the variance strata and PSUs were developed to be
compatible with all future PUFs until the NHIS design changed. Thus, when
pooling data across years 2002 through the Panel 11 component of the 2007 files,
the variance strata and PSU variables provided can be used without modification
for variance estimation purposes for estimates covering multiple years of data.
There were 203 variance estimation strata, each stratum with either two or three
variance estimation PSUs.
From Panel 12 of the 2007 files, a new set of variance
strata and PSUs were developed because of the introduction of a new NHIS design.
There are 165 variance strata with either two or three variance estimation PSUs
per stratum, starting from Panel 12. Therefore, there are a total of 268
(203+165) variance strata in the 2007 Full Year file as it consists of two
panels that were selected under two independent NHIS sample designs. Since both
MEPS panels in the Full Year 2008 file and beyond are based on the new NHIS
design, there are only 165 variance strata. These variance strata (VARSTR
values) have been numbered from 1001 to 1165 so that they can be readily
distinguished from those developed under the former NHIS sample design in the
event that data are pooled for several years.
If analyses call for pooling MEPS data across several
years, in order to ensure that variance strata are identified appropriately for
variance estimation purposes, one can proceed as follows:
- When pooling any year from 2002 or later, one can
use the variance strata numbering as is.
- When pooling any year from 1996 to 2001 with any
year from 2002 or later, use the H36 file.
- A new H36 file will be constructed in the future to
allow pooling of 2007 and later years with 1996 to 2006.
Return To Table Of Contents
3.7 Using MEPS Data for Trend
Analysis
MEPS began in 1996, and the utility of the survey for
analyzing health care trends expands with each additional year of data; however,
it is important to consider a variety of factors when examining trends over time
using MEPS. Statistical significance tests should be conducted to assess the
likelihood that observed trends are not attributable to sampling variation. The
length of time being analyzed should also be considered. In particular, large
shifts in survey estimates over short periods of time (e.g. from one year to the
next) that are statistically significant should be interpreted with caution
unless they are attributable to known factors such as changes in public policy,
economic conditions, or MEPS survey methodology. Looking at changes over longer
periods of time can provide a more complete picture of underlying trends.
Analysts may wish to consider using techniques to evaluate, smooth, or stabilize
analyses of trends using MEPS data such as comparing pooled time periods (e.g.
1996-97 versus 2010-2011), working with moving averages, or using modeling
techniques with several consecutive years of MEPS data to test the fit of
specified patterns over time. Finally, researchers should be aware of the impact
of multiple comparisons on Type I error. Without making appropriate allowance
for multiple comparisons, undertaking numerous statistical significance tests of
trends increases the likelihood of concluding that a change has taken place when
one has not.
Return To Table Of Contents
SURVEY ADMINISTRATION VARIABLES - PUBLIC USE
VARIABLE |
DESCRIPTION |
SOURCE |
DUID |
Dwelling Unit ID |
Assigned in Sampling |
PID |
Person Number |
Assigned in Sampling or by CAPI |
DUPERSID |
Person ID (DUID + PID) |
Assigned in Sampling |
PANEL |
Panel Number |
Constructed |
FAMID31 |
Family ID (Student Merged In) – R3/1 |
CAPI Derived |
FAMID42 |
Family ID (Student Merged In) – R4/2 |
CAPI Derived |
FAMID53 |
Family ID (Student Merged In) – R5/3 |
CAPI Derived |
FAMID11 |
Family ID (Student Merged In) – 12/31/11 |
CAPI Derived |
FAMIDYR |
Annual Family Identifier |
Constructed |
RULETR31 |
RU Letter – R3/1 |
CAPI Derived |
RULETR42 |
RU Letter – R4/2 |
CAPI Derived |
RULETR53 |
RU Letter – R5/3 |
CAPI Derived |
RULETR11 |
RU Letter as of 12/31/11 |
CAPI Derived |
RUSIZE31 |
RU Size – R3/1 |
CAPI Derived |
RUSIZE42 |
RU Size – R4/2 |
CAPI Derived |
RUSIZE53 |
RU Size – R5/3 |
CAPI Derived |
RUSIZE11 |
RU Size as of 12/31/11 |
CAPI Derived |
RUCLAS31 |
RU fielded as: Standard/New/Student – R3/1 |
CAPI Derived |
RUCLAS42 |
RU fielded as: Standard/New/Student – R4/2 |
CAPI Derived |
RUCLAS53 |
RU fielded as: Standard/New/Student – R5/3 |
CAPI Derived |
RUCLAS11 |
RU fielded as: Standard/New/Stud-12/31/11 |
CAPI Derived |
FAMSZE31 |
RU Size Including Students – R3/1 |
CAPI Derived |
FAMSZE42 |
RU Size Including Students – R4/2 |
CAPI Derived |
FAMSZE53 |
RU Size Including Students – R5/3 |
CAPI Derived |
FAMSZE11 |
RU Size Including Students as of 12/31/11 |
CAPI Derived |
FMRS1231 |
Member of Responding 12/31 Family |
Constructed |
FAMS1231 |
Family Size of Responding 12/31 Family |
Constructed |
FAMSZEYR |
Size of Responding Annualized Family |
Constructed |
FAMRFPYR |
Reference Person of Annualized Family |
Constructed |
REGION31 |
Census Region – R3/1 |
Assigned in Sampling |
REGION42 |
Census Region – R4/2 |
Assigned in Sampling |
REGION53 |
Census Region – R5/3 |
Assigned in Sampling |
REGION11 |
Census Region as of 12/31/11 |
Assigned in Sampling |
MSA31 |
MSA Status – R3/1 |
Assigned in Sampling |
MSA42 |
MSA Status – R4/2 |
Assigned in Sampling |
MSA53 |
MSA Status – R5/3 |
Assigned in Sampling |
MSA11 |
MSA Status as of 12/31/11 |
Assigned in Sampling |
REFPRS31 |
Reference Person at - R3/1 |
RE 42-45 |
REFPRS42 |
Reference Person at - R4/2 |
RE 42-45 |
REFPRS53 |
Reference Person at - R5/3 |
RE 42-45 |
REFPRS11 |
Reference Person as of 12/31/11 |
RE 42-45 |
RESP31 |
1st Respondent Indicator for R3/1 |
RE 6, 8 |
RESP42 |
1st Respondent Indicator for R4/2 |
RE 6, 8 |
RESP53 |
1st Respondent Indicator for R5/3 |
RE 6, 8 |
RESP11 |
1st Respondent Indicator as of 12/31/11 |
RE 6, 8 |
PROXY31 |
Was Respondent a Proxy in R3/1 |
RE 2 |
PROXY42 |
Was Respondent a Proxy in R4/2 |
RE 2 |
PROXY53 |
Was Respondent a Proxy in R5/3 |
RE 2 |
PROXY11 |
Was Respondent a Proxy as of 12/31/11 |
RE 2 |
INTVLANG |
Language Interview Was Completed |
RS02 |
BEGRFD31 |
R3/1 Reference Period Begin Date: Day |
CAPI Derived |
BEGRFM31 |
R3/1 Reference Period Begin Date: Month |
CAPI Derived |
BEGRFY31 |
R3/1 Reference Period Begin Date: Year |
CAPI Derived |
ENDRFD31 |
R3/1 Reference Period End Date: Day |
CAPI Derived |
ENDRFM31 |
R3/1 Reference Period End Date: Month |
CAPI Derived |
ENDRFY31 |
R3/1 Reference Period End Date: Year |
CAPI Derived |
BEGRFD42 |
R4/2 Reference Period Begin Date: Day |
CAPI Derived |
BEGRFM42 |
R4/2 Reference Period Begin Date: Month |
CAPI Derived |
BEGRFY42 |
R4/2 Reference Period Begin Date: Year |
CAPI Derived |
ENDRFD42 |
R4/2 Reference Period End Date: Day |
CAPI Derived |
ENDRFM42 |
R4/2 Reference Period End Date: Month |
CAPI Derived |
ENDRFY42 |
R4/2 Reference Period End Date: Year |
CAPI Derived |
BEGRFD53 |
R5/3 Reference Period Begin Date: Day |
CAPI Derived |
BEGRFM53 |
R5/3 Reference Period Begin Date: Month |
CAPI Derived |
BEGRFY53 |
R5/3 Reference Period Begin Date: Year |
CAPI Derived |
ENDRFD53 |
R5/3 Reference Period End Date: Day |
CAPI Derived |
ENDRFM53 |
R5/3 Reference Period End Date: Month |
CAPI Derived |
ENDRFY53 |
R5/3 Reference Period End Date: Year |
CAPI Derived |
ENDRFD11 |
2011 Reference Period End Date: Day |
RE Section |
ENDRFM11 |
2011 Reference Period End Date: Month |
RE Section |
ENDRFY11 |
2011 Reference Period End Date: Year |
RE Section |
KEYNESS |
Person Key Status |
RE Section |
INSCOP31 |
In-scope – R3/1 |
RE Section |
INSCOP42 |
In-scope – R4/2 |
RE Section |
INSCOP53 |
In-scope – R5/3 |
RE Section |
INSCOP11 |
In-scope – R5/3 Start through 12/31/11 |
RE Section |
INSC1231 |
In-scope Status on 12/31/11 |
Constructed |
INSCOPE |
Was Person Ever In-scope in 2011 |
RE Section |
ELGRND31 |
Eligibility – R3/1 |
RE Section |
ELGRND42 |
Eligibility – R4/2 |
RE Section |
ELGRND53 |
Eligibility – R5/3 |
RE Section |
ELGRND11 |
Eligibility Status as of 12/31/11 |
RE Section |
PSTATS31 |
Person Disposition Status – R3/1 |
RE Section |
PSTATS42 |
Person Disposition Status – R4/2 |
RE Section |
PSTATS53 |
Person Disposition Status – R5/3 |
RE Section |
RURSLT31 |
RU Result – R3/1 |
Assigned by CAPI |
RURSLT42 |
RU Result – R4/2 |
Assigned by CAPI |
RURSLT53 |
RU Result – R5/3 |
Assigned by CAPI |
Return To Table Of Contents
DEMOGRAPHIC VARIABLES - PUBLIC USE
VARIABLE |
DESCRIPTION |
SOURCE |
AGE31X |
Age – R3/1 (Edited/Imputed) |
RE 12, 57-66 |
AGE42X |
Age – R4/2 (Edited/Imputed) |
RE 12, 57-66 |
AGE53X |
Age – R5/3 (Edited/Imputed) |
RE 12, 57-66 |
AGE11X |
Age as of 12/31/11 (Edited/Imputed) |
RE 12, 57-66 |
AGELAST |
Person’s Age Last Time Eligible |
AGE11X, AGE42X, AGE31X |
DOBMM |
Date of Birth: Month |
RE 12, 57-66 |
DOBYY |
Date of Birth: Year |
RE 12, 57-66 |
SEX |
Sex |
RE 12, 57, 61 |
RACEX |
Race (Edited/Imputed) |
RE 101A |
RACEAX |
Asian Among Races Rptd (Edited/Imputed) |
RE 101A |
RACEBX |
Black Among Races Rptd (Edited/Imputed) |
RE 101A |
RACEWX |
White Among Races Rptd (Edited/Imputed) |
RE 101A |
RACETHNX |
Race/Ethnicity (Edited/Imputed) |
RE 98A-100A |
HISPANX |
Hispanic Ethnicity (Edited/Imputed) |
RE 98A-101A |
HISPCAT |
Specific Hispanic Ethnicity Group |
RE 98A-101A |
MARRY31X |
Marital Status – R3/1 (Edited/Imputed) |
RE 13, 97 |
MARRY42X |
Marital Status – R4/2 (Edited/Imputed) |
RE 13, 97 |
MARRY53X |
Marital Status – R5/3 (Edited/Imputed) |
RE 13, 97 |
MARRY11X |
Marital Status–12/31/11 (Edited/Imputed) |
RE 13, 97 |
SPOUID31 |
Spouse ID – R3/1 |
RE 13, 76A, 97 |
SPOUID42 |
Spouse ID – R4/2 |
RE 13, 76A, 97 |
SPOUID53 |
Spouse ID – R5/3 |
RE 13, 76A, 97 |
SPOUID11 |
Spouse ID – 12/31/11 |
RE 13, 76A, 97 |
SPOUIN31 |
Marital Status w/ Spouse Present – R3/1 |
RE 13, 76A, 97 |
SPOUIN42 |
Marital Status w/ Spouse Present – R4/2 |
RE 13, 76A, 97 |
SPOUIN53 |
Marital Status w/ Spouse Present – R5/3 |
RE 13, 76A, 97 |
SPOUIN11 |
Marital Status w/Spouse Present–12/31/11 |
RE 13, 76A, 97 |
EDUCYR |
Years of Educ When First Entered MEPS |
RE 103-105 |
EDUYRDEG |
Year of Education or Highest Degree |
RE103 |
EDRECODE |
Education Recode |
RE103 |
HIDEG |
Highest Degree When First Entered MEPS |
RE 103-105 |
FTSTU31X |
Student Status if Ages 17-23 – R3/1 |
RE 11A, 106-108 |
FTSTU42X |
Student Status if Ages 17-23 – R4/2 |
RE 11A, 106-108 |
FTSTU53X |
Student Status if Ages 17-23 – R5/3 |
RE 11A, 106-108 |
FTSTU11X |
Student Status if Ages 17-23 – 12/31/11 |
RE 11A, 106-108 |
ACTDTY31 |
Military Full-Time Active Duty – R3/1 |
RE 14, 94A-96B1 |
ACTDTY42 |
Military Full-Time Active Duty – R4/2 |
RE 14, 96B1 |
ACTDTY53 |
Military Full-Time Active Duty – R5/3 |
RE 14, 96B1 |
HONRDC31 |
Honorably Discharged from Military |
RE 18A, 96F-G |
HONRDC42 |
Honorably Discharged from Military |
RE 18A, 96G |
HONRDC53 |
Honorably Discharged from Military |
RE 18A, 96G |
RFREL31X |
Relation to Ref Pers – R3/1 (Edit/Imp) |
RE 76-77 |
RFREL42X |
Relation to Ref Pers – R4/2 (Edit/Imp) |
RE 76-77
|
RFREL53X |
Relation to Ref Pers – R5/3 (Edit/Imp) |
RE 76-77
|
RFREL11X |
Relation to Ref Pers – 12/31/11 (Edit/Imp) |
RE 76-77 |
Return To Table Of Contents
PERSON-LEVEL CONDITION VARIABLES - PUBLIC USE
VARIABLE |
DESCRIPTION |
SOURCE |
RTHLTH31 |
Perceived Health Status – RD 3/1 |
PE00A |
RTHLTH42 |
Perceived Health Status – RD 4/2 |
PE00A |
RTHLTH53 |
Perceived Health Status – RD 5/3 |
PE00A |
MNHLTH31 |
Perceived Mental Health Status – RD 3/1 |
PE00B |
MNHLTH42 |
Perceived Mental Health Status – RD 4/2 |
PE00B |
MNHLTH53 |
Perceived Mental Health Status – RD 5/3 |
PE00B |
HIBPDX |
High Blood Pressure Diag (>17) |
PE02 |
HIBPAGED |
Age of Diagnosis-High Blood Pressure |
CE03 |
BPMLDX |
Mult Diag High Blood Press (>17) |
PE04 |
CHDDX |
Coronary Hrt Disease Diag (>17) |
PE05 |
CHDAGED |
Age of Diagnosis–Coronary Heart Disease |
PE06 |
ANGIDX |
Angina Diagnosis (>17) |
PE07 |
ANGIAGED |
Age of Diagnosis-Angina |
PE08 |
MIDX |
Heart Attack (MI) Diag (>17) |
PE09 |
MIAGED |
Age of Diagnosis-Heart Attack (MI) |
PE10 |
OHRTDX |
Other Heart Disease Diag (>17) |
PE11 |
OHRTAGED |
Age of Diagnosis-Other Heart Disease |
PE12 |
STRKDX |
Stroke Diagnosis (>17) |
PE13 |
STRKAGED |
Age of Diagnosis-Stroke |
PE14 |
EMPHDX |
Emphysema Diagnosis (>17) |
PE15 |
EMPHAGED |
Age of Diagnosis-Emphysema |
PE16 |
CHBRON31 |
Chronc Bronchits Last 12 Mths (>17)–R3/1 |
PE17 |
CHBRON53 |
Chronc Bronchits Last 12 Mths (>17)–R5/3 |
PE17 |
CHOLDX |
High Cholesterol Diagnosis (>17) |
PC11A/PE19 |
CHOLAGED |
Age of Diagnosis-High Cholesterol |
PE20 |
CANCERDX |
Cancer Diagnosis (>17) |
PE21 |
CABLADDR |
Cancer Diagnosed - Bladder (>17) |
PE22 |
BLDRAGED |
Age of Diagnosis-Bladder Cancer |
PE23 |
BLDRREMS |
Bladder Cancer in Remission |
PE25 |
CABLOOD |
Cancer Diagnosed - Blood (>17) |
PE22 |
BLODAGED |
Age of Diagnosis-Blood Cancer |
PE23 |
BLODREMS |
Blood Cancer in Remission |
PE25 |
CABONE |
Cancer Diagnosed - Bone (>17) |
PE22 |
BONEAGED |
Age of Diagnosis-Bone Cancer |
PE23 |
BONEREMS |
Bone Cancer in Remission |
PE25 |
CABRAIN |
Cancer Diagnosed - Brain (>17) |
PE22 |
BRAIAGED |
Age of Diagnosis-Brain Cancer |
PE23 |
BRAIREMS |
Brain Cancer in Remission |
PE25 |
CABREAST |
Cancer Diagnosed - Breast (>17) |
PE22 |
BRSTAGED |
Age of Diagnosis-Breast Cancer |
PE23 |
BRSTREMS |
Breast Cancer in Remission |
PE25 |
CACERVIX |
Cancer Diagnosed - Cervix (>17) |
PE22 |
CERVAGED |
Age of Diagnosis-Cervical Cancer |
PE23 |
CERVREMS |
Cervical Cancer in Remission |
PE25 |
CACOLON |
Cancer Diagnosed - Colon (>17) |
PE22 |
COLOAGED |
Age of Diagnosis-Colon Cancer |
PE23 |
COLOREMS |
Colon Cancer in Remission |
PE25 |
CAESOPH |
Cancer Diagnosed – Esophogus (>17) |
PE22 |
ESPHAGED |
Age of Diagnosis-Esophogeal Cancer |
PE23 |
ESPHREMS |
Esophageal Cancer in Remission |
PE25 |
CAKIDNEY |
Cancer Diagnosed - Kidney (>17) |
PE22 |
KIDNAGED |
Age of Diagnosis-Renal Cancer |
PE23 |
KIDNREMS |
Kidney Cancer in Remission |
PE25 |
CALARYNX |
Cancer Diagnosed – Larynx (>17) |
PE22 |
LRNXAGED |
Age of Diagnosis-Laryngeal Cancer |
PE23 |
LRNXREMS |
Laryngeal Cancer in Remission |
PE25 |
CALEUKEM |
Cancer Diagnosed - Leukemia (>17) |
PE22 |
LEUKAGED |
Age of Diagnosis-Leukemia |
PE23 |
LEUKREMS |
Leukemia in Remission |
PE25 |
CALIVER |
Cancer Diagnosed – Liver (>17) |
PE22 |
LIVRAGED |
Age of Diagnosis-Liver Cancer |
PE23 |
LIVRREMS |
Liver Cancer in Remission |
PE25 |
CALUNG |
Cancer Diagnosed - Lung (>17) |
PE22 |
LUNGAGED |
Age of Diagnosis-Lung Cancer |
PE23 |
LUNGREMS |
Lung Cancer in Remission |
PE25 |
CALYMPH |
Cancer Diagnosed - Lymphoma (>17) |
PE22 |
LYMPAGED |
Age of Diagnosis-Lymphoma |
PE23 |
LYMPREMS |
Lymphoma in Remission |
PE25 |
CAMELANO |
Cancer Diagnosed - Melanoma (>17) |
PE22 |
MELAAGED |
Age of Diagnosis-Melanoma |
PE23 |
MELAREMS |
Melanoma in Remission |
PE25 |
CAMOUTH |
Cancer Diagnosed – Mouth/Lip/Tonge (>17) |
PE22 |
MOUTAGED |
Age of Diagnosis-Mouth/Lip/Tongue Cancer |
PE23 |
MOUTREMS |
Mouth/Lip/Tongue Cancer in Remission |
PE25 |
CAMUSCLE |
Cancer Diagnosed – Softtiss/Musc/Fat (>17) |
PE22 |
MUSCAGED |
Age of Diagnosis-Sfttiss/Musc/Fat Cancer |
PE23 |
MUSCREMS |
Sfttiss/Musc/Fat Cancer in Remission |
PE25 |
CAOTHER |
Cancer Diagnosed - Other (>17) |
PE22 |
OTHRAGED |
Age of Diagnosis-Other Cancer |
PE23 |
OTHRREMS |
Other Cancer in Remission |
PE25 |
CAOVARY |
Cancer Diagnosed - Ovary (>17) |
PE22 |
OVRYAGED |
Age of Diagnosis-Ovarian Cancer |
PE23 |
OVRYREMS |
Ovarian Cancer in Remission |
PE25 |
CAPANCRS |
Cancer Diagnosed – Pancreas (>17) |
PE22 |
PANCAGED |
Age of Diagnosis-Pancreatic Cancer |
PE23 |
PANCREMS |
Pancreatic Cancer in Remission |
PE25 |
CAPROSTA |
Cancer Diagnosed - Prostate (>17) |
PE22 |
PRSTAGED |
Age of Diagnosis-Prostate Cancer |
PE23 |
PRSTREMS |
Prostate Cancer in Remission |
PE25 |
CARECTUM |
Cancer Diagnosed - Rectum (>17) |
PE22 |
RECTAGED |
Age of Diagnosis-Rectal Cancer |
PE23 |
RECTREMS |
Rectal Cancer in Remission |
PE25 |
CASKINNM |
Cancer Diagnosed – Skin-Nonmelano (>17) |
PE22 |
SKNMAGED |
Age of Diagnosis-Skin-Nonmelanoma Cancer |
PE23 |
SKNMREMS |
Skin-Nonmelanoma Cancer in Remission |
PE25 |
CASKINDK |
Cancer Diagnosed – Skin-Unknown Type (>17) |
PE22 |
SKDKAGED |
Age of Diagnosis-Skin-Unknwn Type Cancer |
PE23 |
SKDKREMS |
Skin-Unknown Type Cancer in Remission |
PE25 |
CASTOMCH |
Cancer Diagnosed – Stomach (>17) |
PE22 |
STOMAGED |
Age of Diagnosis-Stomach Cancer |
PE23 |
STOMREMS |
Stomach Cancer in Remission |
PE25 |
CATESTIS |
Cancer Diagnosed – Testis (>17) |
PE22 |
TSTSAGED |
Age of Diagnosis-Testicular Cancer |
PE23 |
TSTSREMS |
Testicular Cancer in Remission |
PE25 |
CATHROAT |
Cancer Diagnosed – Throat Cancer |
PE22 |
THRTAGED |
Age of Diagnosis-Throat Cancer |
PE23 |
THRTREMS |
Throat Cancer in Remission |
PE25 |
CATHYROD |
Cancer Diagnosed - Thyroid (>17) |
PE22 |
THYRAGED |
Age of Diagnosis-Thyroid Cancer |
PE23 |
THYRREMS |
Thyroid Cancer in Remission |
PE25 |
CAUTERUS |
Cancer Diagnosed - Uterus (>17) |
PE22 |
UTERAGED |
Age of Diagnosis-Uterine Cancer |
PE23 |
UTERREMS |
Uterine Cancer in Remission |
PE25 |
DIABDX |
Diabetes Diagnosis (>17) |
PE26 |
DIABAGED |
Age of Diagnosis-Diabetes |
PE27 |
JTPAIN31 |
Joint Pain Last 12 Months (>17) – RD 3/1 |
PE28 |
JTPAIN53 |
Joint Pain Last 12 Months (>17) – RD 5/3 |
PE28 |
ARTHDX |
Arthritis Diagnosis (>17) |
PE29 |
ARTHTYPE |
Type Of Arthritis Diagnosed (>17) |
PE30 |
ARTHAGED |
Age of Diagnosis-Arthritis |
PE31 |
ASTHDX |
Asthma Diagnosis |
PE32 |
ASTHAGED |
Age of Diagnosis-Asthma |
PE33 |
ASSTIL31 |
Does Person Still Have Asthma – RD 3/1 |
PE33A |
ASSTIL53 |
Does Person Still Have Asthma - RD 5/3 |
PE33A |
ASATAK31 |
Asthma Attack Last 12 Mos– RD 3/1 |
PE34 |
ASATAK53 |
Asthma Attack Last 12 Mos– RD 5/3 |
PE34 |
ASTHEP31 |
When Was Last Episode Of Asthma – Rd 3/1 |
PE35 |
ASTHEP53 |
When Was Last Episode Of Asthma – Rd 5/3 |
PE35 |
ASACUT53 |
Used Acute Pres Inhaler Last 3 Mos-RD5/3 |
PC05A |
ASMRCN53 |
Used >3Acute Cn Pres Inh Last 3 Mos-RD5/3 |
PC05B |
ASPREV53 |
Ever Used Prev Daily Asthma Meds -RD5/3 |
PC06A |
ASDALY53 |
Now Take Prev Daily Asthma Meds - RD 5/3 |
PC06B |
ASPKFL53 |
Have Peak Flow Meter at Home – RD 5/3 |
PC08 |
ASEVFL53 |
Ever Used Peak Flow Meter - RD 5/3 |
PC08A |
ASWNFL53 |
When Last Used Peak Flow Meter - RD 5/3 |
PC08B |
ADHDADDX |
ADHD/ADD Diagnosis (5-17) |
PE36 |
ADHDAGED |
Age of Diagnosis-ADHD/ADD |
PE37 |
PREGNT31 |
Pregnant During Ref Period – RD 3/1 |
CE05B |
PREGNT42 |
Pregnant During Ref Period – RD 4/2 |
CE05B |
PREGNT53 |
Pregnant During Ref Period – RD 5/3 |
CE05B |
Return To Table Of Contents
HEALTH STATUS VARIABLES - PUBLIC USE
VARIABLE |
DESCRIPTION |
SOURCE |
IADLHP31 |
IADL Screener – RD 3/1 |
HE 2-4 |
IADLHP42 |
IADL Screener – RD 4/2 |
HE 2-4 |
IADLHP53 |
IADL Screener – RD 5/3 |
HE 2-4 |
IADL3M31 |
IADL Help 3+ Months – RD 3/1 |
HE 3A |
IADL3M42 |
IADL Help 3+ Months – RD 4/2 |
HE 3A |
IADL3M53 |
IADL Help 3+ Months – RD 5/3 |
HE 3A |
ADLHLP31 |
ADL Screener – RD 3/1 |
HE 5-6 |
ADLHLP42 |
ADL Screener – RD 4/2 |
HE 5-6 |
ADLHLP53 |
ADL Screener – RD 5/3 |
HE 5-6 |
ADL3MO31 |
ADL Help 3+ Months – RD 3/1 |
HE 6A |
ADL3MO42 |
ADL Help 3+ Months – RD 4/2 |
HE 6A |
ADL3MO53 |
ADL Help 3+ Months – RD 5/3 |
HE 6A |
AIDHLP31 |
Used Assistive Devices – RD 3/1 |
HE 7-8 |
AIDHLP53 |
Used Assistive Devices – RD 5/3 |
HE 7-8 |
WLKLIM31 |
Limitation in Physical Functioning – RD 3/1 |
HE 9-18 |
WLKLIM53 |
Limitation in Physical Functioning – RD 5/3 |
HE 9-18 |
LFTDIF31 |
Difficulty Lifting 10 Pounds – RD 3/1 |
HE 11 |
LFTDIF53 |
Difficulty Lifting 10 Pounds – RD 5/3 |
HE 11 |
STPDIF31 |
Difficulty Walking up 10 Steps – RD 3/1 |
HE 12 |
STPDIF53 |
Difficulty Walking up 10 Steps – RD 5/3 |
HE 12 |
WLKDIF31 |
Difficulty Walking 3 Blocks – RD 3/1 |
HE 13 |
WLKDIF53 |
Difficulty Walking 3 Blocks – RD 5/3 |
HE 13 |
MILDIF31 |
Difficulty Walking a Mile – RD 3/1 |
HE 14 |
MILDIF53 |
Difficulty Walking a Mile – RD 5/3 |
HE 14 |
STNDIF31 |
Difficulty Standing 20 Minutes – RD 3/1 |
HE 15 |
STNDIF53 |
Difficulty Standing 20 Minutes – RD 5/3 |
HE 15 |
BENDIF31 |
Difficulty Bending/Stooping – RD 3/1 |
HE 16 |
BENDIF53 |
Difficulty Bending/Stooping – RD 5/3 |
HE 16 |
RCHDIF31 |
Difficulty Reaching Overhead – RD 3/1 |
HE 17 |
RCHDIF53 |
Difficulty Reaching Overhead – RD 5/3 |
HE 17 |
FNGRDF31 |
Difficulty Using Fingers to Grasp – RD 3/1 |
HE 18 |
FNGRDF53 |
Difficulty Using Fingers to Grasp – RD 5/3 |
HE 18 |
WLK3MO31 |
Phys Functioning Help 3+ Months – RD 3/1 |
HE 18A |
WLK3MO53 |
Phys Functioning Help 3+ Months – RD 5/3 |
HE 18A |
ACTLIM31 |
Any Limitation Work/Housewrk/Schl – RD 3/1 |
HE 19-20 |
ACTLIM53 |
Any Limitation Work/Housewrk/Schl – RD 5/3 |
HE 19-20 |
WRKLIM31 |
Work Limitation – RD 3/1 |
HE 20A |
WRKLIM53 |
Work Limitation – RD 5/3 |
HE 20A |
HSELIM31 |
Housework Limitation – RD 3/1 |
HE 20A |
HSELIM53 |
Housework Limitation – RD 5/3 |
HE 20A |
SCHLIM31 |
School Limitation – RD 3/1 |
HE 20A |
SCHLIM53 |
School Limitation – RD 5/3 |
HE 20A |
UNABLE31 |
Completely Unable to Do Activity – RD 3/1 |
HE 21 |
UNABLE53 |
Completely Unable to Do Activity – RD 5/3 |
HE 21 |
SOCLIM31 |
Social Limitations – RD 3/1 |
HE 22-23 |
SOCLIM53 |
Social Limitations – RD 5/3 |
HE 22-23 |
COGLIM31 |
Cognitive Limitations – RD 3/1 |
HE 24-25 |
COGLIM53 |
Cognitive Limitations – RD 5/3 |
HE 24-25 |
WRGLAS42 |
Wears Glasses or Contacts – RD 4/2 |
HE 26-27 |
SEEDIF42 |
Diffclty Seeing w/Glasses/Cntcts–RD 4/2 |
HE 28-29 |
BLIND42 |
Person Is Blind – RD 4/2 |
HE 30 |
READNW42 |
Can Read Newsprnt w/Glasses/Cntcts-RD4/2 |
HE 31 |
RECPEP42 |
Can Recgnze People w/Glasses/Cntcts-R4/2 |
HE 32 |
VISION42 |
Vision Impairment (Summary) – RD 4/2 |
Constructed |
HEARAD42 |
Person Wears Hearing Aid – RD 4/2 |
HE 33-34 |
HEARDI42 |
Any Difficlty Hearing w/Hearing Aid–RD4/2 |
HE 35-36 |
DEAF42 |
Person Is Deaf – RD 4/2 |
HE 37 |
HEARMO42 |
Can Hear Most Conversation – RD 4/2 |
HE 38 |
HEARSM42 |
Can Hear Some Conversation – RD 4/2 |
HE 39 |
HEARNG42 |
Hearing Impairment (Summary) – RD 4/2 |
Constructed |
ANYLIM11 |
Any Limitation in P15R3,4,5/P16R1,2,3 |
Constructed |
LSHLTH42 |
Less Healthy than Othr Child (0-17)-R4/2 |
CS01_01 |
NEVILL42 |
Never Been Seriously Ill (0-17)-R4/2 |
CS01_02 |
SICEAS42 |
Child Gets Sick Easily (0-17)-R4/2 |
CS01_03 |
HLTHLF42 |
Child Will Have Healthy Life (0-17)-R4/2 |
CS01_04 |
WRHLTH42 |
Worry More about Health (0-17)-R4/2 |
CS01_05 |
CHPMED42 |
CSHCN: Child Needs Prescrb Med(0-17)-R4/2 |
CS03 |
CHPMHB42 |
CSHCN: Pmed for Hlth/Behv Cond (0-17)-R4/2 |
CS03OV1 |
CHPMCN42 |
CSHCN: Pmed Cond Last 12+ Mos (0-17)-R4/2 |
CS03OV2 |
CHSERV42 |
CSHCN: Chld Needs Med&Oth Serv (0-17)-R4/2 |
CS04 |
CHSRHB42 |
CSHCN: Serv for Hlth/Behv Cond(0-17)-R4/2 |
CS04OV1 |
CHSRCN42 |
CSHCN: Serv Cond Last 12+ Mos (0-17)-R4/2 |
CS04OV2 |
CHLIMI42 |
CSHCN: Limited in Any Way (0-17)-R4/2 |
CS05 |
CHLIHB42 |
CSHCN: Limt for Hlth/Behv Cond(0-17)-R4/2 |
CS05OV1 |
CHLICO42 |
CSHCN: Limit Cond Last 12+ Mos (0-17)-R4/2 |
CS05OV2 |
CHTHER42 |
CSHCN: Chld Needs Spec Therapy (0-17)-R4/2 |
CS06 |
CHTHHB42 |
CSHCN: Spec Ther for Hlth+Cond(0-17)-R4/2 |
CS06OV1 |
CHTHCO42 |
CSHCN: Ther Cond Last 12+ Mos (0-17)-R4/2 |
CS06OV2 |
CHCOUN42 |
CSHCN: Child Needs Counseling (0-17)-R4/2 |
CS07 |
CHEMPB42 |
CSHCN: Couns Prob Last 12+ Mos (0-17)-R4/2 |
CS07OV |
CSHCN42 |
CSHCN:Child w/Spec HC Needs (0-17)-R4/2 |
CS03-CS07OV |
MOMPRO42 |
Problem Getting Along w/Mom (5-17)-R4/2 |
CS08_01 |
DADPRO42 |
Problem Getting Along w/Dad (5-17)-R4/2 |
CS08_02 |
UNHAP42 |
Problem Feeling Unhappy/Sad (5-17)-R4/2 |
CS08_03 |
SCHLBH42 |
Problem Behavior at School (5-17)-R4/2 |
CS08_04 |
HAVFUN42 |
Problem Having Fun (5-17) – R4/2 |
CS08_05 |
ADUPRO42 |
Prblm Getting Along w/Adults (5-17)-R4/2 |
CS08_06 |
NERVAF42 |
Prblm Feeling Nervous/Afraid (5-17)-R4/2 |
CS08_07 |
SIBPRO42 |
Prblm Getting Along w/Sibs (5-17)-R4/2 |
CS08_08 |
KIDPRO42 |
Prblm Getting Along w/Kids (5-17)-R4/2 |
CS08_09 |
SPRPRO42 |
Problem w/Sports/Hobbies (5-17)–R4/2 |
CS08_10 |
SCHPRO42 |
Problem With Schoolwork (5-17)-R4/2 |
CS08_11 |
HOMEBH42 |
Problem w/Behavior at Home (5-17)-R4/2 |
CS08_12 |
TRBLE42 |
Prblm Stay out Of Trouble (5-17)-R4/2 |
CS08_13 |
CHILCR42 |
CAHPS:12Mos: Ill/Inj Need Care (0-17)R4/2 |
CS09A |
CHILWW42 |
CAHPS:12Mos: Ill Care Whn Needed (0-17)R4/2 |
CS10A |
CHRTCR42 |
CAHPS:12Mos: Make Apt (0-17)R4/2 |
CS11A |
CHRTWW42 |
CAHPS:12Mos: Apt Whn Needed (0-17)R4/2 |
CS12A |
CHAPPT42 |
CAHPS:12Mos: # of Off/Clin Apts (0-17)R4/2 |
CS13 |
CHNDCR42 |
CAHPS:12Mos:Need Any Care/Trt(0-17)-R4/2 |
CS14A |
CHENEC42 |
CAHPS:12Mos: Esy Get Nec Care (0-17)R4/2 |
CS14 |
CHLIST42 |
CAHPS:12Mos: Chld Dr Lsn to You (0-17)R4/2 |
CS15 |
CHEXPL42 |
CAHPS:12Mos: Chld Dr Expl Thng (0-17)R4/2 |
CS16 |
CHRESP42 |
CAHPS:12Mos: Chld’s Dr Shw Resp(0-17)R4/2 |
CS17 |
CHPRTM42 |
CAHPS:12Mos: Child Dr Engh Time(0-17)R4/2 |
CS18 |
CHHECR42 |
CAHPS:12Mos: Rate Chld Hlt Care (0-17)R4/2 |
CS19 |
CHSPEC42 |
CAHPS:12Mos: Chld Needed Spec (0-17)R4/2 |
CS20 |
CHEYRE42 |
CAHPS:12Mos: Esy w/Rfr to Spec (0-17)R4/2 |
CS21 |
MESHGT42 |
Doctor Ever Measured Height (0-17)-R4/2 |
CS22 |
WHNHGT42 |
When Doctor Measured Height (0-17)-R4/2 |
CS22OV |
MESWGT42 |
Doctor Ever Measured Weight (0-17)-R4/2 |
CS24 |
WHNWGT42 |
When Doctor Measured Weight (0-17)-R4/2 |
CS24OV |
CHBMIX42 |
Child’s Body Mass Index (6-17)-R4/2 |
Constructed |
MESVIS42 |
Doctor Checked Child’s Vision (3-6)-R4/2 |
CS26 |
MESBPR42 |
Dr Checked Blood Pressure (2-17)-R4/2 |
CS27 |
WHNBPR42 |
When Dr Checked Blood Press (2-17)-R4/2 |
CS27OV |
DENTAL42 |
Dr Advise Reg Dental Checkup (2-17)-R4/2 |
CS28 |
WHNDEN42 |
When Dr Advise Dent Checkup (2-17)-R4/2 |
CS28OV |
EATHLT42 |
Dr Advise Eat Healthy (2-17)-R4/2 |
CS29 |
WHNEAT42 |
When Dr Advise Eat Healthy (2-17)-R4/2 |
CS29OV |
PHYSCL42 |
Dr Advise Exercise (2-17)-R4/2 |
CS30 |
WHNPHY42 |
When Dr Advise Exercise (2-17)-R4/2 |
CS30OV |
SAFEST42 |
Dr Advise Chld Safety Seat (Wt<=40)-R4/2 |
CS31 |
WHNSAF42 |
When Dr Advise Safety Seat (Wt<=40)-R4/2 |
CS31OV |
BOOST42 |
Dr Advise Booster Seat (40<Wt<=80)-R4/2 |
CS32 |
WHNBST42 |
Whn Dr Advise Booster Seat(40<Wt<=80)-R4/2 |
CS32OV |
LAPBLT42 |
Dr Advise Lap/Shoulder Belt (80<Wt)-R4/2 |
CS33 |
WHNLAP42 |
Whn Dr Advise Lap/Shldr Blt (80<Wt)-R4/2 |
CS33OV |
HELMET42 |
Dr Advise Bike Helmet (2-17)-R4/2 |
CS34 |
WHNHEL42 |
When Dr Advise Bike Helmet (2-17)-R4/2 |
CS34OV |
NOSMOK42 |
Dr Advise Smkg in Home is Bad(0-17)-R4/2 |
CS35 |
WHNSMK42 |
Whn Dr Advis Smkg in Home Bad(0-17)-R4/2 |
CS35OV |
TIMALN42 |
Doctor Spend Any Time Alone (12-17)-R4/2 |
CS36 |
DENTCK53 |
How Often Dental Check-up – RD 5/3 |
AP12 |
BPCHEK53 |
Time Snce Lst Blood Pres Chk (>17) – RD 5/3 |
PC11/AP15 |
BPMONT53 |
# Mos Snce Lst Blood Pres Chk (>17) – RD 5/3 |
PC11OV/AP15OV |
CHOLCK53 |
How Lng Cholest Lst Chck (>17) – RD 5/3 |
AP16 |
CHECK53 |
How Lng Lst Routne Checkup (>17) – RD 5/3 |
AP17 |
NOFAT53 |
Restrict HGH Fat/Choles Food (>17)–RD 5/3 |
PC13_01/AP17A_01 |
EXRCIS53 |
Advised to Exercise More (>17) – RD 5/3 |
PC13_02/AP17A_02 |
FLUSHT53 |
How Lng Last Flu Vacination (>17) – RD 5/3 |
AP18 |
ASPRIN53 |
Tke Aspirn Every (Othr) Day (>17)–RD 5/3 |
PC15/AP18A |
NOASPR53 |
Taking Aspirin Unsafe (>17) – RD 5/3 |
PC16/AP18AA |
STOMCH53 |
Tke Asprn Unsafe B/C Stomch (>17) – RD 5/3 |
PC17/AP18AAA |
LSTETH53 |
Lost All Uppr And Lowr Teeth (>17) – RD 5/3 |
AP18B |
PSA53 |
How Long Since Last PSA (>39) – RD 5/3 |
AP19 |
HYSTER53 |
Had a Hysterectomy (>17) – RD 5/3 |
AP20A |
PAPSMR53 |
How Lng Lst Pap Smear Tst (>17) – RD 5/3 |
AP20 |
BRSTEX53 |
How Lng Snce Lst Breast Exam (>17) – RD 5/3 |
AP21 |
MAMOGR53 |
How Lng Snce Lst Mammogram (>29) – RD 5/3 |
AP22 |
BSTST53 |
Mst Rcnt Bld Stool Tst Hme Kit(>39)-R5/3 |
AP24 |
BSTSRE53 |
Rsn Have Bld Stool Tst (>39)-R5/2 |
AP24A |
CLNTST53 |
Most Recent Colonoscopy (>39) - R5/3 |
AP26 |
CLNTRE53 |
Rsn Have Colonoscopy (>39) – R5/3 |
AP26A |
SGMTST53 |
Most recent Sigmoidoscopy (>39) – R5/3 |
AP27 |
SGMTRE53 |
Rsn Have Sigmoidoscopy (>39) – R5/3 |
AP27A |
PHYEXE53 |
Mod/Vig Phys Exec 5X Wk (>17) – RD 5/3 |
AP28 |
BMINDX53 |
Adult Body Mass Index (> 17) - Rd 5/3 |
Constructed |
SEATBE53 |
Wears Seat Belt (>15) – RD 5/3 |
AP32 |
Return To Table Of Contents
DISABILITY DAYS VARIABLES – PUBLIC USE
VARIABLE |
DESCRIPTION |
SOURCE |
DDNWRK31 |
# Days Missed Work Due to Ill/Inj (RD31) |
DD02
DD02A |
DDNWRK42 |
# Days Missed Work Due to Ill/Inj (RD42) |
DD02 |
DDNWRK53 |
# Days Missed Work Due to Ill/Inj (RD53) |
DD02
DD02A |
WKINBD31 |
# Days Missed Work Stayed in Bed (RD31) |
DD04
DD04A |
WKINBD42 |
# Days Missed Work Stayed in Bed (RD42) |
DD04 |
WKINBD53 |
# Days Missed Work Stayed in Bed (RD53) |
DD04
DD04A |
DDNSCL31 |
# Days Missd School Due to Ill/Inj(RD31) |
DD05
DD05A |
DDNSCL42 |
# Days Missd School Due to Ill/Inj(RD42) |
DD05 |
DDNSCL53 |
# Days Missd School Due to Ill/Inj(RD53) |
DD05
DD05A |
SCLNBD31 |
# Days Missed School Stayd in Bed (RD31) |
DD07
DD07A |
SCLNBD42 |
# Days Missed School Stayd in Bed (RD42) |
DD07 |
SCLNBD53 |
# Days Missed School Stayd in Bed (RD53) |
DD07
DD07A |
DDBDYS31 |
# Oth Day Person Spent in Bed Since Start(RD31) |
DD08
DD08A |
DDBDYS42 |
# Oth Day Person Spent in Bed Since Start(RD42) |
DD08 |
DDBDYS53 |
# Oth Day Person Spent in Bed Since Start(RD53) |
DD08
DD08A |
OTHDYS31 |
Miss Any Work Day to Care for Oth (RD31) |
DD10 |
OTHDYS42 |
Miss Any Work Day to Care for Oth (RD42) |
DD10 |
OTHDYS53 |
Miss Any Work Day to Care for Oth (RD53) |
DD10 |
OTHNDD31 |
# Day Missed Work to Care for Oth (RD31) |
DD11
DD11A |
OTHNDD42 |
# Day Missed Work to Care for Oth (RD42) |
DD11 |
OTHNDD53 |
# Day Missed Work to Care for Oth (RD53) |
DD11
DD11A |
Return To Table Of Contents
ACCESS TO CARE VARIABLES - PUBLIC USE
VARIABLE |
DESCRIPTION |
SOURCE |
ACCELI42 |
Pers Eligible for Access Supplement-R4/2 |
Constructed |
LANGHM42 |
AC01 Language Spoken Most in Home-R4/2 |
AC01 |
ENGCMF42 |
AC02 Whole HH Comfrtble Speakng Eng-R4/2 |
AC02 |
ENGSPK42 |
AC02A Not Comfrtble Speakng English-R4/2 |
AC02A |
USBORN42 |
AC03 Was Person Born in US-R4/2 |
AC03 |
USLIVE42 |
AC04 # Yrs Person Lived in US-R4/2 |
AC04 |
HAVEUS42 |
AC05 Does Person Have USC Provider-R4/2 |
AC05 |
YNOUSC42 |
AC07 Main Reas Pers Doesnt Have USC-R4/2 |
AC07 |
NOREAS42 |
AC08 Oth Reas No USC:No Oth Reasons-R4/2 |
AC08 |
SELDSI42 |
AC08 Oth Reas No USC:Seldm/Nev Sick-R4/2 |
AC08 |
NEWARE42 |
AC08 Oth Reas No USC:Recently Moved-R4/2 |
AC08 |
DKWHRU42 |
AC08 Oth Reas No USC:Dk Where to Go-R4/2 |
AC08 |
USCNOT42 |
AC08 Oth Reas No USC: USC Not Avail-R4/2 |
AC08 |
PERSLA42 |
AC08 Oth Reas No USC: Language - R4/2 |
AC08 |
DIFFPL42 |
AC08 Oth Reas No USC:Diffrnt Places-R4/2 |
AC08 |
INSRPL42 |
AC08 Oth Reas No USC:Just Chngd Ins-R4/2 |
AC08 |
MYSELF42 |
AC08 Oth Reas No USC:No Doc/Trt Slf-R4/2 |
AC08 |
CARECO42 |
AC08 Oth Reas No USC:Cost Of Med Cr-R4/2 |
AC08 |
NOHINS42 |
AC08 Oth Reas No USC:No Hlth Insrnc-R4/2 |
AC08 |
OTHINS42 |
AC08 Oth Reas No USC: Ins Related-R4/2 |
AC08 |
JOBRSN42 |
AC08 Oth Reas No USC: Job Related-R4/2 |
AC08 |
NEWDOC42 |
AC08 Oth Reas No USC: Lookng for Dr-R4/2 |
AC08 |
DOCELS42 |
AC08 Oth Reas No USC: Dr Elsewhere-R4/2 |
AC08 |
NOLIKE42 |
AC08 Oth Reas No USC: Dont Like Drs-R4/2 |
AC08 |
HEALTH42 |
AC08 Oth Reas No USC: Hlth Related-R4/2 |
AC08 |
KNOWDR42 |
AC08 Oth Reas No USC: Knows/Is a Dr-R4/2 |
AC08 |
ONJOB42 |
AC08 Oth Reas No USC: Dr at Work-R4/2 |
AC08 |
NOGODR42 |
AC08 Oth Reas No USC: Wont Go to Dr-R4/2 |
AC08 |
TRANS42 |
AC08 Oth Reas No USC: Transprt/Time R4/2 |
AC08 |
CLINIC42 |
AC08: Oth Reas No USC: Hosp/ER/Clnic-R4/2 |
AC08 |
OTHREA42 |
AC08 Oth Reas No USC: Other Reason–R4/2 |
AC08 |
PROVTY42 |
Provider Type – R4/2 |
PV01, PV03, PV05, PV10 |
PLCTYP42 |
USC Type of Place – R4/2 |
AC11 |
GOTOUS42 |
AC12 How Does Pers Get to USC Prov–R4/2 |
AC12 |
TMTKUS42 |
AC13 How Long It Takes Get to USC-R4/2 |
AC13 |
DFTOUS42 |
AC14 How Difficult Is It Get to USC–R4/2 |
AC14 |
TYPEPE42 |
USC Type of Provider – R4/2 |
AC15, AC16, AC16OV,
AC17, AC17OV |
LOCATN42 |
USC Location – R4/2 |
Constructed |
HSPLAP42 |
AC18 Is Provider Hispanic or Latino–R4/2 |
AC18 |
WHITPR42 |
AC19 Is Provider White – R4/2 |
AC19 |
BLCKPR42 |
AC19 Is Provider Black/African Amer-R4/2 |
AC19 |
ASIANP42 |
AC19 Is Provider Asian – R4/2 |
AC19 |
NATAMP42 |
AC19 Is Provider Native American – R4/2 |
AC19 |
PACISP42 |
AC19 Is Provider Oth Pacific Islndr-R4/2 |
AC19 |
OTHRCP42 |
AC19 Is Provider Some Other Race – R4/2 |
AC19 |
GENDRP42 |
AC20 Is Provider Male or Female – R4/2 |
AC20 |
MINORP42 |
AC22 Go To USC For New Health Prob-R4/2 |
AC22 |
PREVEN42 |
AC22 Go To USC For Prvntve Hlt Care-R4/2 |
AC22 |
REFFRL42 |
AC22 Go To USC For Referrals – R4/2 |
AC22 |
ONGONG42 |
AC22 Go To USC For Ongoing Hlth Prb-R4/2 |
AC22 |
PHNREG42 |
AC23 How Diff Contact USC By Phone-R4/2 |
AC23 |
OFFHOU42 |
AC24 USC Has Offce Hrs Nghts/Wkends-R4/2 |
AC24 |
AFTHOU42 |
AC25 How Diff Contact USC Aft Hours-R4/2 |
AC25 |
TREATM42 |
AC26 Prov Ask About Oth Treatments-R4/2 |
AC26 |
RESPCT42 |
AC27 Prov Shows Respect For Trtmnts-R4/2 |
AC27 |
DECIDE42 |
AC28 Prov Asks Pers to Help Decide-R4/2 |
AC28 |
EXPLOP42 |
AC30 Prov Explns Options to Pers – R4/2 |
AC30 |
LANGPR42 |
AC31 Prov Speaks Person’s Language–R4/2 |
AC31 |
MDUNAB42 |
Unable To Get Necessry Medical Care–R4/2 |
AC32A, AC32, AC33 |
MDUNRS42 |
AC34 Rsn Unable Get Necsry Med Care-R4/2 |
AC34 |
MDUNPR42 |
AC35 Prb Not Getting Ncsry Med Care-R4/2 |
AC35 |
MDDLAY42 |
Delayed In Getting Necsry Med Care-R4/2 |
AC36, AC37 |
MDDLRS42 |
AC38 Rsn Dlayd Getting Nec Med Care-R4/2 |
AC38 |
MDDLPR42 |
AC39 Prb Dlayd Getting Nec Med Care-R4/2 |
AC39 |
DNUNAB42 |
Unable To Get Necessary Dental Care-R4/2 |
AC40A, AC40, AC41 |
DNUNRS42 |
AC42 Rsn Unable Get Ncsry Dent Care-R4/2 |
AC42 |
DNUNPR42 |
AC43 Prb Unable Get Ncsry Dent Care-R4/2 |
AC43 |
DNDLAY42 |
Delayed In Getting Nec Dental Care-R4/2 |
AC44, AC45 |
DNDLRS42 |
AC46 Rsn Dlayd Gettng Nec Dent Care-R4/2 |
AC46 |
DNDLPR42 |
AC47 Prb Dlayd Gettng Nec Dent Care-R4/2 |
AC47 |
PMUNAB42 |
Unable to Get Necessary Pres Med – R4/2 |
AC48A, AC48, AC49 |
PMUNRS42 |
AC50 Rsn Unable to Get Nec Pres Med-R4/2 |
AC50 |
PMUNPR42 |
AC51 Prb Unable to Get Nec Pres Med-R4/2 |
AC51 |
PMDLAY42 |
Delayed In Getting Necsry Pres Med-R4/2 |
AC52, AC53 |
PMDLRS42 |
AC54 Rsn Dlayd Getting Nec Pres Med-R4/2 |
AC54 |
PMDLPR42 |
AC55 Prb Dlayd Getting Nec Pres Med-R4/2 |
AC55 |
Return To Table Of Contents
EMPLOYMENT VARIABLES - PUBLIC USE
VARIABLE |
DESCRIPTION |
SOURCE |
EMPST31 |
Employment Status RD 3/1 |
EM 1-3; RJ 1, 6 |
EMPST42 |
Employment Status RD 4/2 |
EM 1-3; RJ 1, 6 |
EMPST53 |
Employment Status RD 5/3 |
EM 1-3; RJ 1, 6 |
RNDFLG31 |
Data Collection Round for RD 3/1 CMJ |
Constructed |
MORJOB31 |
Has More than One Job RD 3/1 Int Date |
EM 1-4, 51; RJ 1, 6; Constructed |
MORJOB42 |
Has More than One Job RD 4/2 Int Date |
EM 1-4, 51; RJ 1, 6; Constructed |
MORJOB53 |
Has More than One Job RD 5/3 Int Date |
EM 1-4, 51; RJ 1, 6; Constructed |
EVRWRK |
Ever Wrkd for Pay in Life as of 12/31/11 |
EM 1-4, 51; RJ 1, 6; Constructed |
HRWG31X |
Hourly Wage RD 3/1 CMJ (Imp) |
EW 5, 7, 11-13, 17-18, 24; EM 104, 111 |
HRWG42X |
Hourly Wage RD 4/2 CMJ (Imp) |
EW 5, 7, 11-13, 17-18, 24; EM 104, 111 |
HRWG53X |
Hourly Wage RD 5/3 CMJ (Imp) |
EW 5, 7, 11-13, 17-18, 24; EM 104, 111 |
HRWGIM31 |
HRWG31X Imputation Flag |
Constructed |
HRWGIM42 |
HRWG42X Imputation Flag |
Constructed |
HRWGIM53 |
HRWG53X Imputation Flag |
Constructed |
HRHOW31 |
How Hourly Wage Was Calculated RD 3/1 |
EM 2-3, 51, 104, 111; EW 2-24 |
HRHOW42 |
How Hourly Wage Was Calculated RD 4/2 |
EM 2-3, 51, 104, 111; EW 2-24 |
HRHOW53 |
How Hourly Wage Was Calculated RD 5/3 |
EM 2-3, 51, 104, 111; EW 2-24 |
DIFFWG31 |
Persons Wages Different this RD31 at CMJ |
RJ02 |
DIFFWG42 |
Persons Wages Different this RD42 at CMJ |
RJ02 |
DIFFWG53 |
Persons Wages Different this RD53 at CMJ |
RJ02 |
NHRWG31 |
Updated Hrly Wage RD 3/1 CMJ (Edited) |
EW 5, 7, 11-13, 17-18, 24; EM 104, 111 |
NHRWG42 |
Updated Hrly Wage RD 4/2 CMJ (Edited) |
EW 5, 7, 11-13, 17-18, 24; EM 104, 111 |
NHRWG53 |
Updated Hrly Wage RD 5/3 CMJ (Edited) |
EW 5, 7, 11-13, 17-18, 24; EM 104, 111 |
HOUR31 |
Hours Per Week at RD 3/1 CMJ |
EM 1-3, 51, 104-105, 111; EW 17 |
HOUR42 |
Hours Per Week at RD 4/2 CMJ |
EM 1-3, 51, 104-105, 111; EW 17 |
HOUR53 |
Hours Per Week at RD 5/3 CMJ |
EM 1-3, 51, 104-105, 111; EW 17 |
TEMPJB31 |
Is CMJ a Temporary Job RD 3/1 |
EM 105C, 111C; RJ 01AA, 06A |
TEMPJB42 |
Is CMJ a Temporary Job RD 4/2 |
EM 105C, 111C; RJ 01AA, 06A |
TEMPJB53 |
Is CMJ a Temporary Job RD 5/3 |
EM 105C, 111C; RJ 01AA, 06A |
SSNLJB31 |
Is CMJ a Seasonal Job RD 3/1 |
EM 105D, 111D; RJ 01AAA, 06AA |
SSNLJB42 |
Is CMJ a Seasonal Job RD 4/2 |
EM 105D, 111D; RJ 01AAA, 06AA |
SSNLJB53 |
Is CMJ a Seasonal Job RD 5/3 |
EM 105D, 111D; RJ 01AAA, 06AA |
SELFCM31 |
Self-Employed at RD 3/1 CMJ |
EM 1-3, 51; RJ 01 |
SELFCM42 |
Self-Employed at RD 4/2 CMJ |
EM 1-3, 51; RJ 01 |
SELFCM53 |
Self-Employed at RD 5/3 CMJ |
EM 1-3, 51; RJ 01 |
DISVW31X |
Disavowed Health Ins at RD 3/1 CMJ (Ed) |
EM113, 117; RJ07, 08, 08A; HX and OE Sections |
DISVW42X |
Disavowed Health Ins at RD 4/2 CMJ (Ed) |
EM113, 117; RJ07, 08, 08A; HX and OE Sections |
DISVW53X |
Disavowed Health Ins at RD 5/3 CMJ (Ed) |
EM113, 117; RJ07, 08, 08A; HX and OE Sections |
CHOIC31 |
Choice of Health Plans at RD 3/1 CMJ |
EM 1-3, 51, 96, 113-115, 124; RJ08 |
CHOIC42 |
Choice of Health Plans at RD 4/2 CMJ |
EM 1-3, 51, 96, 113-115, 124; RJ08 |
CHOIC53 |
Choice of Health Plans at RD 5/3 CMJ |
EM 1-3, 51, 96, 113-115, 124; RJ08 |
INDCAT31 |
Industry Group RD 3/1 CMJ |
EM 97-100; RJ01; Constructed |
INDCAT42 |
Industry Group RD 4/2 CMJ |
EM 97-100; RJ01; Constructed |
INDCAT53 |
Industry Group RD 5/3 CMJ |
EM 97-100; RJ01; Constructed |
NUMEMP31 |
Number of Employees at RD 3/1 CMJ |
EM 91-92, 124; RJ01 |
NUMEMP42 |
Number of Employees at RD 4/2 CMJ |
EM 91-92, 124; RJ01 |
NUMEMP53 |
Number of Employees at RD 5/3 CMJ |
EM 91-92, 124; RJ01 |
MORE31 |
RD 3/1 CMJ Firm Has More than 1 Locat |
EM 1-3, 51, 94; RJ01 |
MORE42 |
RD 4/2 CMJ Firm Has More than 1 Locat |
EM 1-3, 51, 94; RJ01 |
MORE53 |
RD 5/3 CMJ Firm Has More than 1 Locat |
EM 1-3, 51, 94; RJ01 |
UNION31 |
Union Status at RD 3/1 CMJ |
EM 1-3, 51, 96, 116; RJ01 |
UNION42 |
Union Status at RD 4/2 CMJ |
EM 1-3, 51, 96, 116; RJ01 |
UNION53 |
Union Status at RD 5/3 CMJ |
EM 1-3, 51, 96, 116; RJ01 |
NWK31 |
Reason Not Working During RD 3/1 |
EM 1-3, 101-102, 126-127, 132-133, 138-139, 141, 141OV; RJ10 |
NWK42 |
Reason Not Working During RD 4/2 |
EM 1-3, 101-102, 126-127, 132-133, 138-139, 141, 141OV; RJ10 |
NWK53 |
Reason Not Working During RD 5/3 |
EM 1-3, 101-102, 126-127, 132-133, 138-139, 141, 141OV; RJ10 |
CHGJ3142 |
Changed Job between RD 3/1 and RD 4/2 |
RJ01, 01A |
CHGJ4253 |
Changed Job between RD 4/2 and RD 5/3 |
RJ01, 01A |
YCHJ3142 |
Why Chngd Job between RD 3/1 and RD 4/2 |
RJ10, 10OV |
YCHJ4253 |
Why Chngd Job between RD 4/2 and RD 5/3 |
RJ10, 10OV |
STJBMM31 |
Month Started RD 3/1 CMJ |
EM10, 10OV, 10OV2; RJ01, 02A |
STJBDD31 |
Day Started RD 3/1 CMJ |
EM10, 10OV, 10OV2; RJ01, 01A |
STJBYY31 |
Year Started RD 3/1 CMJ |
EM10, 10OV, 10OV2; RJ01, 01A |
STJBMM42 |
Month Started RD 4/2 CMJ |
EM10, 10OV, 10OV2; RJ01, 01A |
STJBDD42 |
Day Started RD 4/2 CMJ |
EM10, 10OV, 10OV2; RJ01, 01A |
STJBYY42 |
Year Started RD 4/2 CMJ |
EM10, 10OV, 10OV2; RJ01, 01A |
STJBMM53 |
Month Started RD 5/3 CMJ |
EM10, 10OV, 10OV2; RJ01, 01A |
STJBDD53 |
Day Started RD 5/3 CMJ |
EM10, 10OV, 10OV2; RJ01, 01A |
STJBYY53 |
Year Started RD 5/3 CMJ |
EM10, 10OV, 10OV2; RJ01, 01A |
EVRETIRE |
Person Has Ever Retired |
EM 1-3, 101-102, 126-127, 132-133, 138-139, 141, 141OV; RJ 02, 10 |
OCCCAT31 |
Occupation Group RD 3/1 CMJ |
EM99-100; RJ 01, 01A; Constructed |
OCCCAT42 |
Occupation Group RD 4/2 CMJ |
EM99-100; RJ 01, 01A; Constructed |
OCCCAT53 |
Occupation Group RD 5/3 CMJ |
EM99-100; RJ 01, 01A; Constructed |
PAYVAC31 |
Paid Vacation at RD 3/1 CMJ |
EM 1-3, 51, 109; RJ 01, 02 |
PAYVAC42 |
Paid Vacation at RD 4/2 CMJ |
EM 1-3, 51, 109; RJ 01, 02 |
PAYVAC53 |
Paid Vacation at RD 5/3 CMJ |
EM 1-3, 51, 109; RJ 01, 02 |
SICPAY31 |
Paid Sick Leave at RD 3/1 CMJ |
EM 1-3, 51, 107; RJ 01, 02 |
SICPAY42 |
Paid Sick Leave at RD 4/2 CMJ |
EM 1-3, 51, 107; RJ 01, 02 |
SICPAY53 |
Paid Sick Leave at RD 5/3 CMJ |
EM 1-3, 51, 107; RJ 01, 02 |
PAYDR31 |
Paid Leave to Visit Dr RD 3/1 CMJ |
EM 1-3, 51, 107-108; RJ 01, 02 |
PAYDR42 |
Paid Leave to Visit Dr RD 4/2 CMJ |
EM 1-3, 51, 107-108; RJ 01, 02 |
PAYDR53 |
Paid Leave to Visit Dr RD 5/3 CMJ |
EM 1-3, 51, 107-108; RJ 01, 02 |
RETPLN31 |
Pension Plan at RD 3/1 CMJ |
EM 1-3, 51, 110; RJ 01, 02 |
RETPLN42 |
Pension Plan at RD 4/2 CMJ |
EM 1-3, 51, 110; RJ 01, 02 |
RETPLN53 |
Pension Plan at RD 5/3 CMJ |
EM 1-3, 51, 110; RJ 01, 02 |
BSNTY31 |
Sole Prop, Partner, Corp, RD 3/1 CMJ |
EM 1-3, 51, 94-95; RJ 01, 02 |
BSNTY42 |
Sole Prop, Partner, Corp, RD 4/2 CMJ |
EM 1-3, 51, 94-95; RJ 01, 02 |
BSNTY53 |
Sole Prop, Partner, Corp, RD 5/3 CMJ |
EM 1-3, 51, 94-95; RJ 01, 02 |
JOBORG31 |
Priv (Profit,Nonprofit) Gov RD 3/1 CMJ |
EM 1-3, 51, 96; RJ 01, 02 |
JOBORG42 |
Priv (Profit,Nonprofit) Gov RD 4/2 CMJ |
EM 1-3, 51, 96; RJ 01, 02 |
JOBORG53 |
Priv (Profit,Nonprofit) Gov RD 5/3 CMJ |
EM 1-3, 51, 96; RJ 01, 02 |
HELD31X |
Health Insur Held from RD 3/1 CMJ (Ed) |
EM117; HX, HP and OE Sections |
HELD42X |
Health Insur Held from RD 4/2 CMJ (Ed) |
EM117; HX, HP and OE Sections |
HELD53X |
Health Insur Held from RD 5/3 CMJ (Ed) |
EM117; HX, HP and OE Sections |
OFFER31X |
Health Insur Offered by RD 3/1 CMJ (Ed) |
EM113, 114, 117; RJ and HX Sections |
OFFER42X |
Health Insur Offered by RD 4/2 CMJ (Ed) |
EM113, 114, 117; RJ and HX Sections |
OFFER53X |
Health Insur Offered by RD 5/3 CMJ (Ed) |
EM113, 114, 117; RJ and HX Sections |
OFREMP31 |
Employer Offers Health Ins RD 3/1 CMJ |
EM115A, RJ08AAA |
OFREMP42 |
Employer Offers Health Ins RD 4/2 CMJ |
EM115A, RJ08AAA |
OFREMP53 |
Employer Offers Health Ins RD 5/3 CMJ |
EM115A, RJ08AAA |
YNOINS31 |
Why Not Eligible Health Ins RD 3/1 CMJ |
EM115B, RJ08AAAA |
YNOINS42 |
Why Not Eligible Health Ins RD 4/2 CMJ |
EM115B, RJ08AAAA |
YNOINS53 |
Why Not Eligible Health Ins RD 5/3 CMJ |
EM115B, RJ08AAAA |
Return To Table Of Contents
HEALTH INSURANCE VARIABLES - PUBLIC USE
MONTHLY HEALTH INSURANCE COVERAGE INDICATORS
VARIABLE |
DESCRIPTION |
SOURCE |
TRImm11X |
Covered by TRICARE/CHAMPVA in mm 11 (Ed), where mm = JA-DE |
HX12, 13, PR19-22, HQ Section |
MCRmm11 |
Covered by Medicare in mm 11, where mm = JA-DE |
HX05-07, 27, 29, 29OV |
MCRmm11X |
Covered by Medicare in mm 11 (Ed), where mm = JA-DE |
HX05-07, 27, 29, 29OV, see Section 2.5.9.1 for additional edit specifications |
MCDmm11 |
Cov by Medicaid or SCHIP in mm 11, where mm = JA-DE |
HX10-11, PR07-10 and HQ Section |
MCDmm11X |
Cov by Medicaid or SCHIP in mm 11 (Ed), where mm = JA-DE |
MCDmm11, HX14-16, 18-19, 41-43, 45, PR11-14, 23-32, 39-42 |
OPAmm11 |
Cov by Other Public A Ins in mm 11, where mm = JA-DE |
HX14-15, 41-45, PR 23-32 and HQ Section |
OPBmm11 |
Cov by Other Public B Ins in mm 11, where mm = JA-DE |
HX14-15, 41-43, PR23-30 and HQ Section |
STAmm11 |
Covered by Other State Prog in mm 11, where mm = JA-DE |
HX16-19, PR35-38 and HQ Section |
PUBmm11X |
Covr by Any Public Ins in mm 11 (Ed), where mm = JA-DE |
TRImm11X, MCRmm11X, MCDmm11X, OPAmm11, OPBmm11 |
PEGmm11 |
Covered by Empl Union Ins in mm 11, where mm = JA-DE |
HX2-4, 21-24, 48; HP, OE, HQ, EM, RJ Sections |
PDKmm11 |
Covr by Priv Ins (Source Unknwn) mm 11, where mm = JA-DE |
HX21-24, 48, HP, OE, and HQ Sections |
PNGmm11 |
Covered by Nongroup Ins in mm 11, where mm = JA-DE |
HX21-24, 48, HP, OE, and HQ Sections |
POGmm11 |
Covered by Other Group Ins in mm 11, where mm = JA-DE |
HX21-24, 48, HP, OE, and HQ Sections |
PRSmm11 |
Covered by Self-Emp-1 Ins in mm 11, where mm = JA-DE |
HX3, 4, 48, HQ, OE, RJ and EM sections |
POUmm11 |
Covered by Holder Outside of RU in mm 11, where mm = JA-DE |
HX21-24, 48, HP, OE, and HQ Sections |
PRImm11 |
Covered by Private Ins in mm 11, where mm = JA-DE |
POGmm11, PDKmm11, PEGmm11, PRSmm11, POUmm11, PNGmm11 |
HPEmm11 |
Holder of Empl Union Ins in mm 11, where mm = JA-DE |
PEGmm11, HP9, 11 |
HPDmm11 |
Holder of Priv Ins (Source Unknwn) mm 11, where mm = JA-DE |
PDKmm11; HP11 |
HPNmm11 |
Holder of Nongroup Ins in mm 11, where mm = JA-DE |
PNGmm11; HP11 |
HPOmm11 |
Holder of Other Group Ins in mm 11, where mm = JA-DE |
POGmm11; HP11 |
HPSmm11 |
Holder of Self-Emp-1 Ins in mm 11, where mm = JA-DE |
PRSmm11; HP9 |
HPRmm11 |
Holder of Private Insurance in mm 11, where mm = JA-DE |
HPEmm11, HPSmm11, HPOmm11, HPNmm11, HPDmm11 |
INSmm11X |
Covr by Hosp/Med Ins in mm 11 (Ed), where mm = JA-DE |
PUBmm11X, PRImm11 |
Return To Table Of Contents
SUMMARY HEALTH INSURANCE COVERAGE INDICATORS
VARIABLE |
DESCRIPTION |
SOURCE |
PRVEV11 |
Ever Have Private Insurance during 11 |
Constructed |
TRIEV11 |
Ever Have TRICARE/CHAMPVA during 11 |
Constructed |
MCREV11 |
Ever Have Medicare during 11 (ED) |
Constructed |
MCDEV11 |
Ever Have Medicaid/SCHIP during 11 (ED) |
Constructed |
OPAEV11 |
Ever Have Other Public A Ins during 11 |
Constructed |
OPBEV11 |
Ever Have Other Public B Ins during 11 |
Constructed |
UNINS11 |
Uninsured All of 11 |
Constructed |
INSCOV11 |
Health Insurance Coverage Indicator 11 |
Constructed |
INSURC11 |
Full Year Insurance Coverage Status 2011 |
Constructed |
Return To Table Of Contents
MANAGED CARE VARIABLES
VARIABLE |
DESCRIPTION |
SOURCE |
TRIST31X |
Covered by TRICARE Standard – R3/1 |
HX12, 12A, 13, PR19, 19A, 20-22, HQ Section |
TRIST42X |
Covered by TRICARE Standard – R4/2 |
HX12, 12A, 13, PR19, 19A, 20-22, HQ Section |
TRIST11X |
Covered by TRICARE Standard – 12/31/11 |
HX12, 12A, 13, PR19, 19A, 20-22, HQ Section |
TRIPR31X |
Covered by TRICARE Prime – R3/1 |
HX12, 12A, 13, PR19, 19A, 20-22, HQ Section |
TRIPR42X |
Covered by TRICARE Prime – R4/2 |
HX12, 12A, 13, PR19, 19A, 20-22, HQ Section |
TRIPR11X |
Covered by TRICARE Prime – 12/31/11 |
HX12, 12A, 13, PR19, 19A, 20-22, HQ Section |
TRIEX31X |
Covered by TRICARE Extra – R3/1 |
HX12, 12A, 13, PR19, 19A, 20-22, HQ Section |
TRIEX42X |
Covered by TRICARE Extra – R4/2 |
HX12, 12A, 13, PR19, 19A, 20-22, HQ Section |
TRIEX11X |
Covered by TRICARE Extra – 12/31/11 |
HX12, 12A, 13, PR19, 19A, 20-22, HQ Section |
TRILI31X |
Covered by TRICARE for Life – R3/1 |
HX12, 12A, 13, PR19, 19A, 20-22, HQ Section |
TRILI42X |
Covered by TRICARE for Life – R4/2 |
HX12, 12A, 13, PR19, 19A, 20-22, HQ Section |
TRILI11X |
Covered by TRICARE for Life – 12/31/11 |
HX12, 12A, 13, PR19, 19A, 20-22, HQ Section |
TRICH31X |
Covered by TRICARE CHAMPVA – R3/1 |
HX12, 12A, 13, PR19, 19A, 20-22, HQ Section |
TRICH42X |
Covered by TRICARE CHAMPVA – R4/2 |
HX12, 12A, 13, PR19, 19A, 20-22, HQ Section |
TRICH11X |
Covered by TRICARE CHAMPVA – 12/31/11 |
HX12, 12A, 13, PR19, 19A, 20-22, HQ Section |
MCRPD31 |
Cov By Medicare Pmed Benefit – R3/1 |
HX05-07, HX33A, HX35A, PR05, PR06B, HQ Section |
MCRPD42 |
Cov By Medicare Pmed Benefit – R4/2 |
HX05-07, HX33A, HX35A, PR05, PR06B, HQ Section |
MCRPD11 |
Cov By Medicare Pmed Benefit – 12/31/11 |
HX05-07, HX33A, HX35A, PR05, PR06B, HQ Section |
MCRPD31X |
Cov By Medicare Pmed Benefit – R3/1 (ED) |
MCARE31X, MCAID31X, MCRPD31 |
MCRPD42X |
Cov By Medicare Pmed Benefit – R4/2 (ED) |
MCARE42X, MCAID42X, MCRPD42 |
MCRPD11X |
Cov By Mcare Pmed Benefit–12/31/11(ED) |
MCARE11X, MCAID11X, MCRPD11 |
MCRPB31 |
Cov By Medicare Part B – R3/1 |
HX05-07, HX25-27 and HQ section |
MCRPB42 |
Cov By Medicare Part B – R4/2 |
HX05-07, HX25-27 and HQ section |
MCRPB11 |
Cov By Medicare Part B – 12/31/11 |
HX05-07, HX25-27 and HQ section |
MCRPHO31 |
Covered By Medicare Managed Care – R3/1 |
HX05-07, HX31-32, PR02-PR04, HQ Section |
MCRPHO42 |
Covered By Medicare Managed Care – R4/2 |
HX05-07, HX31-32, PR02-PR04, HQ Section |
MCRPHO11 |
Covered By Medicare Managed Care – 12/31/11 |
HX05-07, HX31-32, PR02-PR04, HQ Section |
MCDHMO31 |
Covered By Medicaid or SCHIP HMO – R3/1 |
HX10-11, HX14-16, HX18-19, HX41-43, HX45, PR07-10, PR11-14, PR23-32, PR39-42 and HQ Section |
MCDHMO42 |
Covered By Medicaid or SCHIP HMO – R4/2 |
HX10-11, HX14-16, HX18-19, HX41-43, HX45, PR07-10, PR11-14, PR23-32, PR39-42 and HQ Section |
MCDHMO11 |
Covred By Medicaid or SCHIP HMO – 12/31/11 |
HX10-11, HX14-16, HX18-19, HX41-43, HX45, PR07-10, PR11-14, PR23-32, PR39-42 and HQ Section |
MCDMC31 |
Cov By Mcaid/SCHIP Gatekeeper Plan-R3/1 |
MCDHMO31, HX10-11, HX14-16, HX18-19, HX41-43, HX45, PR07-10, PR11-14, PR23-32, PR39-42 and HQ Section |
MCDMC42 |
Cov By Mcaid/SCHIP Gatekeeper Plan-R4/2 |
MCDHMO42, HX10-11, HX14-16, HX18-19, HX41-43, HX45, PR07-10, PR11-14, PR23-32, PR39-42 and HQ Section |
MCDMC11 |
Cov By Mcaid/SCHIP Gtkeepr Plan-12/31/11 |
MCDHMO11, HX10-11, HX14-16, HX18-19, HX41-43, HX45, PR07-10, PR11-14, PR23-32, PR39-42 and HQ Section |
PRVHMO31 |
Covered by Private HMO – R3/1 |
MC01, HX2-4, 21-24,48; HP, OE, HQ, EM, and RJ Sections |
PRVHMO42 |
Covered by Private HMO – R4/2 |
MC01, HX2-4, 21-24,48; HP, OE, HQ, EM, and RJ Sections |
PRVHMO11 |
Covered by Private HMO –12/31/11 |
MC01, HX2-4, 21-24,48; HP, OE, HQ, EM, and RJ Sections |
PRVMNC31 |
Covered by Private Gatekeeper Plan-R3/1 |
MC01-02, HX2-4, 21-24,48; HP, OE, HQ, EM, and RJ Sections |
PRVMNC42 |
Covered by Private Gatekeeper Plan-R4/2 |
MC01-02, HX2-4, 21-24,48; HP, OE, HQ, EM, and RJ Sections |
PRVMNC11 |
Covered by Priv Gatekeeper Plan-12/31/11 |
MC01-02, HX2-4, 21-24,48; HP, OE, HQ, EM, and RJ Sections |
PRVDRL31 |
Cov by Priv Plan w/Doctor List – R3/1 |
MC01-03, HX2-4, 21-24,48; HP, OE, HQ, EM, and RJ Sections |
PRVDRL42 |
Cov by Priv Plan w/Doctor List – R4/2 |
MC01-03, HX2-4, 21-24,48; HP, OE, HQ, EM, and RJ Sections |
PRVDRL11 |
Cov by Priv Plan w/Doctor List-12/31/11 |
MC01-03, HX2-4, 21-24,48; HP, OE, HQ, EM, and RJ Sections |
PHMONP31 |
Cov by HMO-Pays Non-Plan Dr Visits-R3/1 |
PRVHMO31, HX60A, MC05, MC01-03, HX2-4, 21-24,48; HP,
OE, HQ, EM, and RJ Sections |
PHMONP42 |
Cov by HMO-Pays Non-Plan Dr Visits-R4/2 |
PRVHMO42, HX60A, MC05, MC01-03, HX2-4, 21-24,48; HP,
OE, HQ, EM, and RJ Sections |
PHMONP11 |
Cov by HMO-Pays Non-Plan Drs-12/31/11 |
PRVHMO11, HX60A, MC05, MC01-03, HX2-4, 21-24,48; HP,
OE, HQ, EM, and RJ Sections |
PMNCNP31 |
Cov by Gatekpr-Pays Non-Plan Drs-R3/1 |
PRVMNC31, MC04, MC01-03, HX2-4, 21-24,48; HP, OE, HQ,
EM, and RJ Sections |
PMNCNP42 |
Cov by Gatekpr-Pays Non-Plan Drs-R4/2 |
PRVMNC42, MC04, MC01-03, HX2-4, 21-24,48; HP, OE, HQ,
EM, and RJ Sections |
PMNCNP11 |
Cov by Gatekp-Pays Non-Plan Drs-12/31/11 |
PRVMNC11, MC04, MC01-03, HX2-4, 21-24,48; HP, OE, HQ,
EM, and RJ Sections |
PRDRNP31 |
Cov by Dr List-Pays Non-Plan Drs-R3/1 |
PRVDRL31, MC04, MC01-03, HX2-4, 21-24,48; HP, OE, HQ,
EM, and RJ Sections |
PRDRNP42 |
Cov by Dr List-Pays Non-Plan Drs-R4/2 |
PRVDRL42, MC04, MC01-03, HX2-4, 21-24,48; HP, OE, HQ,
EM, and RJ Sections |
PRDRNP11 |
Cov by Dr List-Pays Non-Plan Dr-12/31/11 |
PRVDRL11, MC04, MC01-03, HX2-4, 21-24,48; HP, OE, HQ,
EM, and RJ Sections |
Return To Table Of Contents
FLEXIBLE SPENDING ACCOUNT VARIABLES
VARIABLE |
DESCRIPTION |
SOURCE |
FSAGT31 |
Anyone in RU Have FSA - R3/1 |
HX63C |
HASFSA31 |
Person is FSA Holder - R3/1 |
HX63D |
FSAAMT31 |
FSA Total Amount for RU - R3/1 |
HX63E |
Return To Table Of Contents
DURATION OF HEALTH INSURANCE VARIABLES
VARIABLE |
DESCRIPTION |
SOURCE |
PREVCOVR |
Per Cov by Ins in Prev 2 Yrs–Panl 16 Only |
HX64 |
COVRMM |
Month Most Recently Covered–Panel 16 Only |
HX65 |
COVRYY |
Year Most Recently Covered–Panel 16 Only |
HX65 |
WASESTB |
Was Prev Ins by Empl or Union–Pnl 16 Only |
HX66, HX78 |
WASMCARE |
Was Prev Ins by Medicare–Panel 16 Only |
HX66, HX78 |
WASMCAID |
Was Prev Ins by Mcaid/SCHIP–Panel 16 Only |
HX66, HX78 |
WASCHAMP |
Was Prev Ins TRICARE/Champva–Panl 16 Only |
HX66, HX78 |
WASVA |
Was Prev Ins VA/Militar Care–Panl 16 Only |
HX66, HX78 |
WASPRIV |
Was Prev Ins Grp/Assoc/Ins Co–Pnl 16 Only |
HX66, HX78 |
WASOTGOV |
Was Prev Ins by Oth Gov Prg–Panel 16 Only |
HX66, HX78 |
WASAFDC |
Was Prev Ins by Public AFDC–Panel 16 Only |
HX66, HX78 |
WASSSI |
Was Prev Ins by SSI Program–Panel 16 Only |
HX66, HX78 |
WASSTAT1 |
Was Prev Ins by Stat Prog 1–Panel 16 Only |
HX66, HX78 |
WASSTAT2 |
Was Prev Ins by Stat Prog 2–Panel 16 Only |
HX66, HX78 |
WASSTAT3 |
Was Prev Ins by Stat Prog 3–Panel 16 Only |
HX66, HX78 |
WASSTAT4 |
Was Prev Ins by Stat Prog 4–Panel 16 Only |
HX66, HX78 |
WASOTHER |
Was Prev Ins by Oth Source–Panel 16 Only |
HX66, HX78 |
NOINSBEF |
Evr Wout Hlth Insr Prev Yr–Panel 16 Only |
HX70 |
NOINSTM |
# Wks/Mon Wout Hlth Ins Prv Yr–Pnl 16 Onl |
HX71 |
NOINUNIT |
Unit Of Time Wout Hlth Ins–Panel 16 Only |
HX71OV |
MORECOVR |
Cov by Mor Compr Pl Prev 2 Yr–Pnl 16 Only |
HX76 |
INSENDMM |
Month Most Recently Covd–Panel 16 Only |
HX77 |
INSENDYY |
Year Most Recently Covd–Panel 16 Only |
HX77 |
Return To Table Of Contents
OTHER HEALTH INSURANCE COVERAGE VARIABLES
VARIABLE |
DESCRIPTION |
SOURCE |
TRICR31X |
Cov by TRICR/CHAMV - R3/1 Int Dt (Ed) |
Constructed |
TRICR42X |
Cov by TRICR/CHAMV - R4/2 Int Dt (Ed) |
Constructed |
TRICR53X |
Cov by TRICR/CHAMV 12-31/R3 Int Dt (Ed) |
Constructed |
TRICR11X |
Cov by TRICR/CHAMV - 12/31/11 (Ed) |
Constructed |
TRIAT31X |
Any Time Cov TRICARE/CHAMPVA - R3/1 |
Constructed |
TRIAT42X |
Any Time Cov TRICARE/CHAMPVA - R4/2 |
Constructed |
TRIAT53X |
Any Time Cov TRICARE/CHAMPVA - R5/3 |
Constructed |
TRIAT11X |
Any Time Cov TRICARE/CHAMPVA - 12/31/11 |
Constructed |
MCAID31 |
Cov by Medicaid or SCHIP - R3/1 Int Dt |
Constructed |
MCAID42 |
Cov by Medicaid or SCHIP - R4/2 Int Dt |
Constructed |
MCAID53 |
Cov by Medicaid or SCHIP 12-31/R3 Int Dt |
Constructed |
MCAID11 |
Cov by Medicaid or SCHIP - 12/31/11 |
Constructed |
MCAID31X |
Cov by Medicaid/SCHIP - R3/1 Int Dt (Ed) |
Constructed |
MCAID42X |
Cov by Medicaid/SCHIP - R4/2 Int Dt (Ed) |
Constructed |
MCAID53X |
Cov Medicaid/SCHIP 12-31/R3 Int Dt (Ed) |
Constructed |
MCAID11X |
Cov by Medicaid or SCHIP - 12/31/11 (Ed) |
Constructed |
MCARE31 |
Cov by Medicare - R3/1 Int Dt |
Constructed |
MCARE42 |
Cov by Medicare - R4/2 Int Dt |
Constructed |
MCARE53 |
Cov by Medicare 12-31/R3 Int Dt |
Constructed |
MCARE11 |
Cov by Medicare - 12/31/11 |
Constructed |
MCARE31X |
Cov by Medicare - R3/1 Int Dt (Ed) |
Constructed |
MCARE42X |
Cov by Medicare - R4/2 Int Dt (Ed) |
Constructed |
MCARE53X |
Cov by Medicare 12-31/R3 Int Dt (Ed) |
Constructed |
MCARE11X |
Cov by Medicare - 12/31/11 (Ed) |
Constructed |
MCDAT31X |
Any Time Cov Medicaid or SCHIP - R3/1 |
Constructed |
MCDAT42X |
Any Time Cov Medicaid or SCHIP - R4/2 |
Constructed |
MCDAT53X |
Any Time Cov Medicaid or SCHIP - R5/3 |
Constructed |
MCDAT11X |
Any Time Cov Medicaid or SCHIP-12/31/11 |
Constructed |
OTPAAT31 |
Any Time Cov Ot Gov Mcaid/SCHIP HMO-R3/1 |
Constructed |
OTPAAT42 |
Any Time Cov Ot Gov Mcaid/SCHIP HMO-R4/2 |
Constructed |
OTPAAT53 |
Any Time Cov Ot Gov Mcaid/SCHIP HMO-R5/3 |
Constructed |
OTPAAT11 |
Any Cov Ot Gov Mcaid/SCHIP HMO-12/31/11 |
Constructed |
OTPBAT31 |
Any Cov Ot Gov Not Mcaid/SCHIP HMO-R3/1 |
Constructed |
OTPBAT42 |
Any Cov Ot Gov Not Mcaid/SCHIP HMO-R4/2 |
Constructed |
OTPBAT53 |
Any Cov Ot Gov Not Mcaid/SCHIP HMO-R5/3 |
Constructed |
OTPBAT11 |
Any Cv Ot Gv Nt Mcaid/SCHIP HMO-12/31/11 |
Constructed |
OTPUBA31 |
Cov/Pay Oth Gov Mcaid/SCHIP HMO-R3/1 Int |
Constructed |
OTPUBA42 |
Cov/Pay Oth Gov Mcaid/SCHIP HMO-R4/2 Int |
Constructed |
OTPUBA53 |
Cov/Pay Oth Gov Mcaid/SCHIP HMO 12-31/R3 |
Constructed |
OTPUBA11 |
Cov/Pay Oth Gov Mcaid/SCHIP HMO-12/31/11 |
Constructed |
OTPUBB31 |
Cov Oth Gov Not Mcaid/SCHIP HMO-R3/1 Int |
Constructed |
OTPUBB42 |
Cov Oth Gov Not Mcaid/SCHIP HMO-R4/2 Int |
Constructed |
OTPUBB53 |
Cov Oth Gov Not Mcaid/SCHIP HMO 12-31/R3 |
Constructed |
OTPUBB11 |
Cov Oth Gov Not Mcaid/SCHIP HMO-12/31/11 |
Constructed |
PRIDK31 |
Cov by Priv Ins (Dk Plan) - R3/1 Int |
Constructed |
PRIDK42 |
Cov by Priv Ins (Dk Plan) - R4/2 Int |
Constructed |
PRIDK53 |
Cov by Priv Ins (Dk Plan) 12-31/R3 Int |
Constructed |
PRIDK11 |
Cov by Priv Ins (Dk Plan) - 12/31/11 |
Constructed |
PRIEU31 |
Cov by Empl/Union Grp Ins - R3/1 Int Dt |
Constructed |
PRIEU42 |
Cov by Empl/Union Grp Ins - R4/2 Int Dt |
Constructed |
PRIEU53 |
Cov by Empl/Union Grp Ins 12-31/R3 Int |
Constructed |
PRIEU11 |
Cov by Empl/Union Grp Ins - 12/31/11 |
Constructed |
PRING31 |
Cov by Non-Group Ins - R3/1 Int Dt |
Constructed |
PRING42 |
Cov by Non-Group Ins - R4/2 Int Dt |
Constructed |
PRING53 |
Cov by Non-Group Ins 12-31/R3 Int Dt |
Constructed |
PRING11 |
Cov by Non-Group Ins - 12/31/11 |
Constructed |
PRIOG31 |
Cov by Other Group Ins - R3/1 Int Dt |
Constructed |
PRIOG42 |
Cov by Other Group Ins - R4/2 Int Dt |
Constructed |
PRIOG53 |
Cov by Other Group Ins 12-31/R3 Int Dt |
Constructed |
PRIOG11 |
Cov by Other Group Ins - 12/31/11 |
Constructed |
PRIS31 |
Cov by Self-Emp-1 Ins - R3/1 Int Dt |
Constructed |
PRIS42 |
Cov by Self-Emp-1 Ins - R4/2 Int Dt |
Constructed |
PRIS53 |
Cov by Self-Emp-1 Ins 12-31/R3 Int Dt |
Constructed |
PRIS11 |
Cov by Self-Emp-1 Ins - 12/31/11 |
Constructed |
PRIV31 |
Cov by Priv Hlth Ins - R3/1 Int Date |
Constructed |
PRIV42 |
Cov by Priv Hlth Ins - R4/2 Int Date |
Constructed |
PRIV53 |
Cov by Priv Hlth Ins 12-31/R3 Int Date |
Constructed |
PRIV11 |
Cov by Priv Hlth Ins - 12/31/11 |
Constructed |
PRIVAT31 |
Any Time Cov Private Ins - R3/1 |
Constructed |
PRIVAT42 |
Any Time Cov Private Ins - R4/2 |
Constructed |
PRIVAT53 |
Any Time Cov Private Ins - R5/3 |
Constructed |
PRIVAT11 |
Any Time Cov Private Ins - 12/31/11 |
Constructed |
PROUT31 |
Cov by Someone Out Of Ru - R3/1 Int |
Constructed |
PROUT42 |
Cov by Someone Out Of Ru - R4/2 Int |
Constructed |
PROUT53 |
Cov by Someone Out Of Ru 12-31/R3 Int Dt |
Constructed |
PROUT11 |
Cov by Someone Out Of Ru - 12/31/11 |
Constructed |
PUB31X |
Cov by Public Ins - R3/1 Int Dt (Ed) |
Constructed |
PUB42X |
Cov by Public Ins - R4/2 Int Dt (Ed) |
Constructed |
PUB53X |
Cov by Public Ins 12-31/R3 Int Dt (Ed) |
Constructed |
PUB11X |
Cov by Public Ins - 12/31/11 (Ed) |
Constructed |
PUBAT31X |
Any Time Cov by Public - R3/1 |
Constructed |
PUBAT42X |
Any Time Cov by Public - R4/2 |
Constructed |
PUBAT53X |
Any Time Cov by Public - R5/3 |
Constructed |
PUBAT11X |
Any Time Cov by Public - 12/31/11 |
Constructed |
INS31X |
Insured - R3/1 Int Date (Ed) |
Constructed |
INS42X |
Insured - R4/2 Int Date (Ed) |
Constructed |
INS53X |
Insured 12-31/R3 Int Date (Ed) |
Constructed |
INS11X |
Insured - 12/31/11 (Ed) |
Constructed |
INSAT31X |
Insured Any Time in R3/1 |
Constructed |
INSAT42X |
Insured Any Time in R4/2 |
Constructed |
INSAT53X |
Insured Any Time in R5/3 |
Constructed |
INSAT11X |
Insured Any Time in R5/R3 until 12/31/11 |
Constructed |
STAPR31 |
Cov by State-Spec Prog - R3/1 Int Dt |
Constructed |
STAPR42 |
Cov by State-Spec Prog - R4/2 Int Dt |
Constructed |
STAPR53 |
Cov by State-Spec Prog 12-31/R3 Int Dt |
Constructed |
STAPR11 |
Cov by State-Spec Prog - 12/31/11 |
Constructed |
STPRAT31 |
Any Time Coverage by State Ins - R3/1 |
Constructed |
STPRAT42 |
Any Time Coverage by State Ins - R4/2 |
Constructed |
STPRAT53 |
Any Time Coverage by State Ins - R5/3 |
Constructed |
STPRAT11 |
Any Time Cov by State Ins - 12/31/11 |
Constructed |
EVRUNINS |
Ever Uninsured in 11 Using PRIV/PUBX |
Constructed |
EVRUNAT |
Ever Uninsured in 11 Using PRIVAT/PUBATX |
Constructed |
Return To Table Of Contents
DENTAL AND PRESCRIPTION DRUG PRIVATE INSURANCE
VARIABLES
VARIABLE |
DESCRIPTION |
SOURCE |
DENTIN31 |
Dental Insurance– RD 3/1 |
HX48, OE10, OE24, OE37 |
DENTIN42 |
Dental Insurance– RD 4/2 |
HX48, OE10, OE24, OE37 |
DENTIN53 |
Dental Insurance– RD 5/3 |
HX48, OE10, OE24, OE37 |
DNTINS31 |
Dental Ins - Rd 3/1 in 11 |
HX48, OE10, OE24, OE37 |
DNTINS11 |
Dental Ins - R5/R3 until 12/31/11 |
HX48, OE10, OE24, OE37 |
PMEDIN31 |
Prescription Drug Insurance – RD 3/1 |
HX48, OE10, OE24, OE37 |
PMEDIN42 |
Prescription Drug Insurance – RD 4/2 |
HX48, OE10, OE24, OE37 |
PMEDIN53 |
Prescription Drug Insurance – RD 5/3 |
HX48, OE10, OE24, OE37 |
PMDINS31 |
Pmed Ins - Rd 3/1 in 11 |
HX48, OE10, OE24, OE37 |
PMDINS11 |
Pmed Ins - R5/R3 until 12/31/11 |
HX48, OE10, OE24, OE37 |
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THIRD PARTY PAYER VARIABLES – PUBLIC USE
VARIABLE |
DESCRIPTION |
SOURCE |
PMEDUP31 |
Has Usual 3rd Party Payer for Pmeds – R3/1 |
CP01A |
PMEDUP42 |
Has Usual 3rd Party Payer for Pmeds – R4/2 |
CP01A |
PMEDUP53 |
Has Usual 3rd Party Payer for Pmeds – R5/3 |
CP01A |
PMEDPY31 |
Usual 3rd Party Payer for Pmeds – R3/1 |
CP01B |
PMEDPY42 |
Usual 3rd Party Payer for Pmeds – R4/2 |
CP01B |
PMEDPY53 |
Usual 3rd Party Payer for Pmeds – R5/3 |
CP01B |
PMEDPP31 |
Out-of-Pocket Payment For Last PMED-R3/1 |
CP01C/CP01COV1 |
PMEDPP42 |
Out-of-Pocket Payment For Last PMED-R4/2 |
CP01C/CP01COV1 |
PMEDPP53 |
Out-of-Pocket Payment For Last PMED-R5/3 |
CP01C/CP01COV1 |
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EXPERIENCES WITH PUBLIC PLAN VARIABLES – PUBLIC USE
VARIABLE |
DESCRIPTION |
SOURCE |
GDCPBM42 |
Mcaid/SCHIP/O Pub: Prb Get Pers Doc-R4/2 |
SP24 |
APRTRM42 |
Mcaid/SCHIP/O Pub: Need Apprv 4 Trt-R4/2 |
SP25 |
APRDLM42 |
Mcaid/SCHIP/O Pub: Dly Wait 4 Apprv-R4/2 |
SP26 |
LKINFM42 |
Mcaid/SCHIP/O Pub: Look 4 Plan Info-R4/2 |
SP27 |
PBINFM42 |
Mcaid/SCHIP/O Pub: Prob Findng Info-R4/2 |
SP28 |
CSTSVM42 |
Mcaid/SCHIP/O Pub: Call Custmr Serv-R4/2 |
SP29 |
PBSVCM42 |
Mcaid/SCHIP/O Pub: Prb w Cusrvc Hlp-R4/2 |
SP30 |
PPRWKM42 |
Mcaid/SCHIP/O Pub: Comp Plan Pprwrk -R4/2 |
SP31 |
PBPWKM42 |
Mcaid/SCHIP/O Pub: Prb W Pln Pprwrk -R4/2 |
SP32 |
RTPLNM42 |
Mcaid/SCHIP O Pub: Rate Exp W Plan -R4/2 |
SP33 |
GDCPBT42 |
TRICR/CHAMV: Prob Getting Pers Doc-R4/2 |
SP35 |
APRTRT42 |
TRICR/CHAMV: Need Apprvl 4 Treatmnt-R4/2 |
SP36 |
APRDLT42 |
TRICR/CHAMV: Delay Waiting 4 Apprvl-R4/2 |
SP37 |
LKINFT42 |
TRICR/CHAMV: Info on How Plan Works-R4/2 |
SP38 |
PBINFT42 |
TRICR/CHAMV: Problem Finding Info-R4/2 |
SP39 |
CSTSVT42 |
TRICR/CHAMV: Call Customer Service-R4/2 |
SP40 |
PBSVCT42 |
TRICR/CHAMV: Prob Get Help Fr Csrvc-R4/2 |
SP41 |
PPRWKT42 |
TRICR/CHAMV: Fill Out Paperwrk 4 Pln-R4/2 |
SP42 |
PBPWKT42 |
TRICR/CHAMV: Prob w Plan Paperwork-R4/2 |
SP43 |
RTPLNT42 |
TRICR/CHAMV: Rate Experience w Plan-R4/2 |
SP44 |
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PERSON-LEVEL UTILIZATION VARIABLES - PUBLIC USE
VARIABLE |
DESCRIPTION |
SOURCE |
OBTOTV11 |
# Office-Based Provider Visits 2011 |
Constructed |
OBDRV11 |
# Office-Based Physician Visits 2011 |
Constructed |
OBOTHV11 |
# Office-Based Non-Physician Vsts 2011 |
Constructed |
OBCHIR11 |
# Office-Based Chiropractor Visits 2011 |
Constructed |
OBNURS11 |
# Off-Based Nurse/Practitioner Vsts 2011 |
Constructed |
OBOPTO11 |
# Office-Based Optometrist Visits 2011 |
Constructed |
OBASST11 |
# Office-Based Physician Ass’t Vsts 2011 |
Constructed |
OBTHER11 |
# Office-Based PT/OT Visits 2011 |
Constructed |
OPTOTV11 |
# Outpatient Dept Provider Visits 2011 |
Constructed |
OPDRV11 |
# Outpatient Dept Physician Visits 2011 |
Constructed |
OPOTHV11 |
# Outpatient Dept Non-DR Visits 2011 |
Constructed |
ERTOT11 |
# Emergency Room Visits 2011 |
Constructed |
IPZERO11 |
# Zero-Night Hospital Stays 2011 |
Constructed |
IPDIS11 |
# Hospital Discharges 2011 |
Constructed |
IPNGT11 |
# Nights in Hosp for Discharges 2011 |
Constructed |
DVTOT11 |
# Dental Care Visits 2011 |
Constructed |
DVGEN11 |
# General Dentist Visits 2011 |
Constructed |
DVORTH11 |
# Orthodontist Visits 2011 |
Constructed |
HHTD_R11 |
# Home Health Provider Days 2011 |
Constructed |
HHAD_R11 |
# Agency Home Health Provider Days 2011 |
Constructed |
HHINDD11 |
# Non-Agency Home Hlth Providr Days 2011 |
Constructed |
HHINFD11 |
# Informal Home Hlth Provider Days 2011 |
Constructed |
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WEIGHTS VARIABLES - PUBLIC USE
VARIABLE |
DESCRIPTION |
SOURCE |
PERWT11P |
Use File Person Weight |
Constructed |
VARSTR |
Variance Estimation Stratum - 2011 |
Constructed |
VARPSU |
Variance Estimation PSU - 2011 |
Constructed |
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