Table of Contents

Component Description

The Hospital Utilization and Access to Care section (variable name prefix HUQ) provides survey participant level interview data on self-reported health status and access to health care topics.

Eligible Sample

All survey participants respond to this section. HUQ020 was asked of participants 1 year and older. HUQ090 was asked of participants 4 years and older.

Interview Setting and Mode of Administration

The Hospital Utilization and Access to Care questionnaire was done before the physical examination, in the home, using the Computer-Assisted Personal Interviewing-CAPI (interviewer administered) system. Participants 16 years of age and older and emancipated minors were interviewed directly. A proxy provided information for survey participants who were under 16 years of age and for individuals who could not answer the questions themselves.

Quality Assurance & Quality Control

The CAPI system is programmed with built-in consistency checks to reduce data entry errors. CAPI also uses online help screens to assist interviewers in defining key terms used in the questionnaire.

Data Processing and Editing

The data were reviewed for completeness, consistency, and illogical values.

Analytic Notes

HUQ010: This identical question is asked in the Current Health Status section of the Mobile Examination Center (MEC) CAPI Interview questionnaire (HSD010). There is a small difference in administration of the two questions: participants age 12-15 have proxy responses in the household questionnaire but provide self-reported responses for the MEC interview. Many participants of all ages gave different responses to this question in the household compared to the MEC, so analysts should consider which of the two versions of the question to use in analyses.

For NHANES 2001-2002, there wasn’t a limit to the number of responses that could be given for HUQ080 (number of overnight hospitalizations in past 12 months). In all other cycles of the continuous NHANES, the derived question, HUD080, had an upper limit of "6 or more." Data users will need to recode HUQ080 to make it comparable to HUD080 when comparing the 2001-2002 data to the other 2-year cycles.

Although these data were collected as part of the household questionnaire, if they are merged with the MEC exam data, exam sample weights should be used for the analyses.

Please refer to the NHANES Analytic Guidelines and the on-line NHANES Tutorial for further details on the use of sample weights and other analytic issues. Both of these are available on the NHANES website. A list of variable names by survey period is presented in Appendix 1.

Codebook and Frequencies

SEQN - Respondent sequence number

Variable Name:
SEQN
SAS Label:
Respondent sequence number
English Text:
Respondent sequence number.
Target:
Both males and females 0 YEARS - 150 YEARS

HUQ010 - General health condition

Variable Name:
HUQ010
SAS Label:
General health condition
English Text:
{First/Next} I have some general questions about {your/SP's} health. Would you say {your/SP's} health in general is . . .
English Instructions:
CAPI INSTRUCTION: DISPLAY "FIRST" IF SP AGE IS >= 16 YEARS.
Target:
Both males and females 0 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Excellent, 2530 2530
2 Very good, 2551 5081
3 Good, 3121 8202
4 Fair, or 1277 9479
5 Poor? 275 9754
7 Refused 1 9755
9 Don't know 1 9756
. Missing 0 9756

HUQ015 - CHECK ITEM

Variable Name:
HUQ015
English Instructions:
CHECK ITEM HUQ.015: IF SP AGE >= 1, CONTINUE. OTHERWISE, GO TO HUQ.030.
Target:
Both males and females 0 YEARS - 150 YEARS

HUQ020 - Health now compared with 1 year ago

Variable Name:
HUQ020
SAS Label:
Health now compared with 1 year ago
English Text:
Compared with 12 months ago, would you say {your/SP's} health is now . . .
Target:
Both males and females 1 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Better, 1793 1793
2 Worse, or 794 2587
3 About the same? 6773 9360
7 Refused 1 9361
9 Don't know 2 9363
. Missing 393 9756

HUQ030 - Routine place to go for healthcare

Variable Name:
HUQ030
SAS Label:
Routine place to go for healthcare
English Text:
Is there a place that {you/SP} usually {go/goes} when {you are/he/she is} sick or {you/s/he} need{s} advice about {your/his/her} health?
English Instructions:
CAPI INSTRUCTION: IF SP AGE < 12, DISPLAY "YOU" IN THE FOURTH DISPLAY AND DON'T DISPLAY THE "S" IN THE FIFTH DISPLAY.
Target:
Both males and females 0 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 8634 8634
2 There is no place 1074 9708 HUQ050
3 There is more than one place 48 9756
7 Refused 0 9756 HUQ050
9 Don't know 0 9756 HUQ050
. Missing 0 9756

HUQ040 - Type place most often go for healthcare

Variable Name:
HUQ040
SAS Label:
Type place most often go for healthcare
English Text:
What kind of place {do you/does SP} go to most often: is it a clinic, doctor's office, emergency room, or some other place?
Target:
Both males and females 0 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Clinic or health center 2147 2147
2 Doctor's office or HMO 6035 8182
3 Hospital emergency room 260 8442
4 Hospital outpatient department 152 8594
5 Some other place 87 8681
7 Refused 1 8682
9 Don't know 0 8682
. Missing 1074 9756

HUQ050 - #times receive healthcare over past year

Variable Name:
HUQ050
SAS Label:
#times receive healthcare over past year
English Text:
{During the past 12 months, how/How} many times {have you/has SP} seen a doctor or other health care professional about {your/his/her} health at a doctor's office, a clinic, hospital emergency room, at home or some other place? Do not include times {you were/s/he was} hospitalized overnight.
English Instructions:
CAPI INSTRUCTION: DISPLAY "12 MONTHS" ONLY IF SP'S AGE IS >= 1.
Target:
Both males and females 0 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
0 None 1297 1297
1 1 2017 3314 HUQ071
2 2 to 3 2969 6283 HUQ071
3 4 to 9 2397 8680 HUQ071
4 10 to 12 529 9209 HUQ071
5 13 or more 537 9746 HUQ071
77 Refused 1 9747 HUQ071
99 Don't know 9 9756 HUQ071
. Missing 0 9756

HUQ060 - How long since last healthcare visit

Variable Name:
HUQ060
SAS Label:
How long since last healthcare visit
English Text:
About how long has it been since {you/SP} last saw or talked to a doctor or other health care professional about {your/his/her} health? Include doctors seen while {you were} {he/she was} a patient in a hospital. Has it been . . .
Target:
Both males and females 0 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 6 months or less, 76 76
2 More than 6 months, but not more than 1 year ago, 86 162
3 More than 1 year, but not more than 3 years ago, 737 899
4 More than 3 years, or 353 1252
5 Never? 36 1288
7 Refused 0 1288
9 Don't know 9 1297
. Missing 8459 9756

HUQ071 - Overnite hospital patient in last year

Variable Name:
HUQ071
SAS Label:
Overnite hospital patient in last year
English Text:
{During the past 12 months, were you/{Was/was} SP} a patient in a hospital overnight? Do not include an overnight stay in the emergency room.
English Instructions:
CAPI INSTRUCTION: DISPLAY "12 MONTHS" ONLY IF SP'S AGE IS >= 1. DISPLAY "WAS SP" WITH LEADING CAPS, IF SP'S AGE IS <1.
Target:
Both males and females 0 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 949 949
2 No 8805 9754 HUQ085
7 Refused 1 9755 HUQ085
9 Don't know 1 9756 HUQ085
. Missing 0 9756

HUD080 - #times overnite hospital patient/last yr

Variable Name:
HUD080
SAS Label:
#times overnite hospital patient/last yr
English Text:
How many different times did {you/SP} stay in any hospital overnight or longer {during the past 12 months}? (Do not count total number of nights, just total number of hospital admissions for stays which lasted 1 or more nights.)
English Instructions:
CAPI INSTRUCTION: DISPLAY "12 MONTHS" ONLY IF SP'S AGE IS >= 1. ENTER NUMBER.
Target:
Both males and females 0 YEARS - 150 YEARS
Hard Edits:
1 to 6
Code or Value Value Description Count Cumulative Skip to Item
1 to 5 Range of Values 932 932
6 6 times or more 17 949
77777 Refused 0 949
99999 Don't know 0 949
. Missing 8807 9756

HUQ085 - CHECK ITEM

Variable Name:
HUQ085
English Instructions:
BOX 2. CHECK ITEM HUQ.085: IF SP AGE >= 4, CONTINUE. OTHERWISE, GO TO END OF SECTION.
Target:
Both males and females 0 YEARS - 150 YEARS

HUQ090 - Seen mental health professional/past yr

Variable Name:
HUQ090
SAS Label:
Seen mental health professional/past yr
English Text:
During the past 12 months, that is since {DISPLAY CURRENT MONTH} of {DISPLAY LAST YEAR}, {have you/has SP} seen or talked to a mental health professional such as a psychologist, psychiatrist, psychiatric nurse or clinical social worker about {your/his/her} health?
Target:
Both males and females 4 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 663 663
2 No 7921 8584
7 Refused 2 8586
9 Don't know 1 8587
. Missing 1169 9756

Appendix 1

Variable Names by Survey Period for HUQ
1999-2000 2001-2002 2003-2004 2005-2006 2007-2008 2009-2010 2011-2012 Label
HUQ010 HUQ010 HUQ010 HUQ010 HUQ010 HUQ010 HUQ010 General health condition
HUQ020 HUQ020 HUQ020 HUQ020 HUQ020 HUQ020 HUQ020 Health now compared with 1 year ago
HUQ030 HUQ030 HUQ030 HUQ030 HUQ030 HUQ030 HUQ030 Routine place to go for healthcare
HUQ040 HUQ040 HUQ040 HUQ040 HUQ040 HUQ040 HUQ040 Type place most often go for healthcare
HUQ050 HUQ050 HUQ050 HUQ050 HUQ050 HUQ050 HUQ050 #times receive healthcare over past year
HUQ060 HUQ060 HUQ060 HUQ060 HUQ060 HUQ060 HUQ060 How long since last healthcare visit
HUQ070 NA NA NA NA NA NA Overnight hospital patient in last year
NA HUD070 NA NA NA NA NA Overnight hospital patient in last year
NA NA HUQ071 HUQ071 HUQ071 HUQ071 HUQ071 Overnite hospital patient in last year
NA HUQ080 NA NA NA NA NA #Times overnite hospital patient/last yr
HUD080 NA HUD080 HUD080 HUD080 HUD080 HUD080 #times overnite hospital patient/last yr
NA HUQ082 HUQ082 NA NA NA NA In long term care facility last 12 month
NA HUQ084 HUQ084 NA NA NA NA Total # of days in long term facility
NA HUQ086 HUQ086 NA NA NA NA Non SP HH member in care fac overnight
NA HUQ088A HUQ088A NA NA NA NA Acute care facility
NA HUQ088B HUQ088B NA NA NA NA Long term care facility
NA HUQ088C HUQ088C NA NA NA NA Rehabilitation facility
HUQ090 HUQ090 HUQ090 HUQ090 HUQ090 HUQ090 HUQ090 Seen mental health professional/past yr