• Component Description
• Eligible Sample
• Interview Setting and Mode of Administration
• Quality Assurance & Quality Control
• Data Processing and Editing
• Analytic Notes
• Codebook
  • SEQN - Respondent sequence number
  • DBQ010 - Ever breastfed or fed breastmilk
  • DBD030 - Age stopped breastfeeding(days)
  • DBD041 - Age first fed formula(days)
  • DBD050 - Age stopped receiving formula(days)
  • DBD055 - Age started other than breastmilk/fomula
  • DBD061 - Age first fed milk(days)
  • DBQ073A - Type of milk first fed - whole milk
  • DBQ073B - Type of milk first fed - 2% milk
  • DBQ073C - Type of milk first fed - 1% milk
  • DBQ073D - Type of milk first fed - fat free milk
  • DBQ073E - Type of milk first fed - soy milk
  • DBQ073U - Type of milk first fed - other
  • DBD085 - CHECK ITEM
  • DBQ700 - How healthy is the diet
  • DBQ197 - Past 30 day milk product consumption
  • DBQ223A - You drink whole or regular milk
  • DBQ223B - You drink 2% fat milk
  • DBQ223C - You drink 1% fat milk
  • DBQ223D - You drink fat free/skim milk
  • DBQ223E - You drink soy milk
  • DBQ223U - You drink another type of milk
  • DBD225 - CHECK ITEM
  • DBQ229 - Regular milk use 5 times per week
  • DBQ235A - How often drank milk age 5-12
  • DBQ235B - How often drank milk age 13-17
  • DBQ235C - How often drank milk age 18-35
  • DBD265a - CHECK ITEM
  • DBQ301 - Community/Government meals delivered
  • DBQ330 - Eat meals at Community/Senior center
  • DBD355 - CHECK ITEM
  • DBQ360 - Attend kindergarten thru high school
  • DBQ370 - School serves school lunches
  • DBD381 - # of times/week get school lunch
  • DBQ390 - School lunch free, reduced or full price
  • DBQ400 - School serve complete breakfast each day
  • DBD411 - # of times/week get school breakfast
  • DBQ421 - School breakfast free/reduced/full price
  • DBQ422 - CHECK ITEM
  • DBQ424 - Summer program meal free/reduced price
  • DBD895 - # of meals not home prepared
  • DBD900 - # of meals from fast food or pizza place
  • DBD905 - # of ready-to-eat foods in past 30 days
  • DBD910 - # of frozen meals/pizza in past 30 days
  • DBQ715a - CHECK ITEM
  • CBQ596 - Heard of My Plate
  • CBQ606 - Looked up My Plate on internet
  • CBQ611 - Tried My Plate plan
  • CBQ505 - Eat at fast food/pizza places
  • CBQ535 - Saw nutrition info on fast food menu
  • CBQ540 - Used nutrition info to choose fast foods
  • CBQ545 - Would use fast food nutrition info
  • CBQ550 - Eat at restaurants w/ waiter
  • CBQ552 - Is it a chain-restaurant?
  • CBQ580 - Saw nutrition info on restaurant menu
  • CBQ585 - Used nutrition info in restaurant
  • CBQ590 - Would use restaurant nutrition info

National Health and Nutrition Examination Survey

2013-2014 Data Documentation, Codebook, and Frequencies

Diet Behavior & Nutrition (DBQ_H)

Data File: DBQ_H.xpt

First Published: November 2015

Last Revised: NA

Component Description

The Diet Behavior and Nutrition (variable name prefix DBQ) section provides personal interview data on various dietary behavior and nutrition related topics. Many of the questions were included in NHANES II (1976-80), Hispanic HANES (1982-84), NHANES III (1988-94), and NHANES 1999-2010. Topics included in the section are:

• Breastfeeding and other childhood feeding practices (≤ 6 yrs);
• Current milk consumption pattern and types of milk (≥ 1 yr);
• Milk consumption pattern throughout life span (≥ 20 yrs);
• Community or government meal program participation for seniors  (≥ 60 yrs);
• School meal program participation (4-19 yrs);
• Self-appraised healthfulness level of one’s own diet (≥ 16 yrs);
• Frequency of getting meals prepared away from home (≥ 1 yr);
• Frequency of meals got from fast-food or pizza places (≥ 1 yr);
• Use of convenience foods (≥ 1 yr);
• Awareness of My Plate program (≥ 16 yrs); and
• Use of nutrition information on restaurant menus (≥ 16 yrs).

The Flexible Consumer Behavior Survey (FCBS) module was first added to NHANES in 2007. This module was developed in collaboration with the Economic Research Service (ERS) of the U.S. Department of Agriculture (USDA). It is designed to collect information on people’s knowledge, attitudes, and beliefs toward nutrition and food choices. The original FCBS module has two elements: a core set of questions asked in the household interview, and a supplementary module asked as a telephone follow-up interview with focuses specifically designed for each 2-year data collection cycle. Starting 2011, data collection for the FCBS supplementary module was discontinued.

The core set of 2013-2014 FCBS module collects information on individual participant’s food choices, such as getting meals prepared away from home, meals got from fast-food or pizza places, use of convenience foods or ready-to-eat meals bought in stores, the awareness of My Plate program, and the use of nutrition information on restaurant menus. These data are included as part of the present DBQ section.

The core set of 2013-2014 FCBS module also includes questions at participant’s family level. For example, family monthly income and family assets, food expenditures, as well as family’s participation on federal food assistance programs. The family food expenditures data are released in the Consumer Behavior (CBQ) section, while the monthly income and family assets data are included in the Income (INQ), and food program participation data are included in the Food Security (FSQ) sections.

Similar to other datasets in the NHANES 2013-2014 release cycle, all FCBS related data files can be linked by the respondent sequence number (SEQN). The complete 2013-2014 FCBS questionnaire is available at the NHANES website. For more information on the other FCBS related data, refer to the documentations accompanying the datasets.

Eligible Sample

The target age groups for questions in this section vary by the topic. For example, the questions pertaining to infant nutrition and breastfeeding were asked of proxy respondents for children 6 years of age and younger; and senior meal program participation questions were asked of respondents 60 years of age and older. Please review the questionnaire and codebook carefully. Frequency counts were verified during the preparation of the file.

Interview Setting and Mode of Administration

Questions on the frequencies of getting meals prepared away from home (DBD895), meals from fast-food or pizza places (DBD900), and use of convenience foods (DBD905 and DBD910) were answered by participants 12-15 years old, at the mobile examination center (MEC), using the Audio Computer Assisted Self-Interview (ACASI) system. The same questions were asked of participants 1-11 years and of participants 16 years and older, in the home, by trained interviewers using the Computer Assisted Personal Interview (CAPI) system. All other questions in this section were asked in the home, as well.

Hand cards showing response categories were also used for some questions. When necessary, the interviewers read the hand cards to respondents. Persons 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. All of the data was reviewed by the NHANES field office staff for accuracy and completeness.

Data Processing and Editing

Frequency counts were checked, “skip” patterns were verified, and the reasonableness of question responses was reviewed. Edits were made to some variables to ensure the completeness, consistency, and analytic usefulness of the data. Edits were also made, when necessary, to address data disclosure concerns. When a variable was modified globally, as part of the editing process, the third letter in the variable name was changed from a Q (i.e., DBQ) to a D (i.e., DBD). For example, some data were collected using two variables (a number variable and a unit of measure variable), but combined into a single variable for data release purposes.

DBD020, DBD030, DBD041, DBD050, DBD055, and DBD061 (Breastfeeding and other childhood feeding practices)
This information was collected using two-part (number and unit) questions to allow respondents to report the age of interest in days, weeks, months, or years. The released variables were edited to standardize the reported age to number of days, using the following conversion factors: 7 days/week, 30.4 days/month and 365 days/year.

DBD895 (Frequency of getting meals prepared away from home)
Respondents were asked how many times they had gotten meals that were prepared away from home in the past 7 days. If the frequency was reported as "never," the value was re-coded as zero. If the frequency was reported more than 21 times per week, the value was re-coded as “5555.”

DBD900 (Frequency of getting meals from fast food or pizza places)
Respondents were asked how many times they had gotten meals from fast food or pizza places in the past 7 days. If the frequency was reported as "never," the value was re-coded as zero. If the frequency was reported more than 21 times per week, the value was re-coded as “5555.”

DBD905 and DBD910 (Use of convenience foods)
This information was collected using two-part (number and unit) questions to allow respondents to report the frequency of interest as either per day, per week, or per month. The released variables were edited to standardize the reported frequency to number of times in the last 30 days. If the frequency was reported as "never," the value was re-coded as zero.

Analytic Notes

DBD895, DBD900, DBD905, and DBD910 (Frequency of getting meals prepared away from home, frequency of meals got from fast-food or pizza places, and use of convenience foods)
These questions were asked as part of household interview for participants 1-11 (proxy interview used) and 16 or more years of age, the interview sample weights may be used in their analysis. However, if the data is joined with other data from the Mobile Examination Center (MEC), the exam sample weights should be used. Analysis of these questions for 12 to 15 year olds should use the exam sample weights because the questions were asked in the MEC for this age group.

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.

Codebook and Frequencies