Table of Contents

Component Description

The NHANES 2017-2018 Kidney Conditions – Urology File (variable name prefix KIQ_U) provides personal interview data on kidney disease, kidney stones, urinary incontinence, and nocturia.

Questions KIQ.005 “How often do you have urinary leakage? Would you say …” and KIQ.010 “How much urine do you lose each time? Would you say…” comprise the Incontinence Severity Index (Sandvik, 2000). This index, based on information about frequency in four levels and amount of leakage in three levels, can be multiplied to obtain an index value (1-12). The four-level severity index is based on the following index values: 1-2, slight; 3-6, moderate; 8-9, severe; 10-12, very severe.

Eligible Sample

All participants aged 20 years and older were eligible.

Interview Setting and Mode of Administration

Questions on kidney disease, dialysis, kidney stones, and passing a kidney stone (KIQ022, KIQ025, KIQ026, KID029) were asked in the home, by trained interviewers, using the Computer-Assisted Personal Interview (CAPI) system.

Questions on urinary incontinence (KIQ005, KIQ010, KIQ042, KIQ430, KIQ044, KIQ450, KIQ046, KIQ470, KIQ050, KIQ052) and nocturia (KIQ480) were asked at the Mobile Examination Center, by trained interviewers, using the CAPI system as part of the MEC interview. Both proxy interviewers and interpreters were permitted for these questions.

For details on the administration of the KIQ_U section, please refer to the NHANES 2017-2018 Interviewer Procedures Manual and the MEC Interviewer Procedures Manual on the NHANES website.

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

Frequency counts were verified during the preparation of the file.

Analytic Notes

Missing data

Although KIQ005 – KIQ480 were targeted to all participants 20 years and older, data for these questions are missing for 12% of participants who completed the household interview but did not complete the MEC CAPI.

Appropriate sample weights

Interview weight: KIQ022- KIQ029
Examination weight: KIQ005-KIQ480

The interview weight should be used when an analysis uses data only from the household interview. If an analysis uses data from the MEC (MEC interview, examination, or laboratory data) exclusively, or in conjunction with the household interview data, the examination weight should be used.

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.

References

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 20 YEARS - 150 YEARS

KIQ022 - Ever told you had weak/failing kidneys?

Variable Name:
KIQ022
SAS Label:
Ever told you had weak/failing kidneys?
English Text:
{Have you/Has SP} ever been told by a doctor or other health professional that {you/s/he} had weak or failing kidneys? Do not include kidney stones, bladder infections, or incontinence.
Target:
Both males and females 20 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 223 223
2 No 5337 5560 KIQ026
7 Refused 0 5560 KIQ026
9 Don't know 9 5569 KIQ026
. Missing 0 5569

KIQ025 - Received dialysis in past 12 months?

Variable Name:
KIQ025
SAS Label:
Received dialysis in past 12 months?
English Text:
In the past 12 months, {have you/has SP} received dialysis (either hemodialysis or peritoneal dialysis)?
Target:
Both males and females 20 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 19 19
2 No 204 223
7 Refused 0 223
9 Don't know 0 223
. Missing 5346 5569

KIQ026 - Ever had kidney stones?

Variable Name:
KIQ026
SAS Label:
Ever had kidney stones?
English Text:
{Have you/Has SP} ever had kidney stones?
Target:
Both males and females 20 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 554 554
2 No 5004 5558 KIQ005
7 Refused 0 5558 KIQ005
9 Don't know 11 5569 KIQ005
. Missing 0 5569

KIQ029 - Pass kidney stone in past 12 months?

Variable Name:
KIQ029
SAS Label:
Pass kidney stone in past 12 months?
English Text:
In the past 12 months {have you/has SP} passed a kidney stone?
Target:
Both males and females 20 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 96 96
2 No 450 546
7 Refused 0 546
9 Don't know 8 554
. Missing 5015 5569

KIQ005 - How often have urinary leakage?

Variable Name:
KIQ005
SAS Label:
How often have urinary leakage?
English Text:
Many people have leakage of urine. The next few questions ask about urine leakage. How often {do you/does SP} have urinary leakage? Would {you/s/he} say . . .
English Instructions:
CAPI INSTRUCTION: HELP SCREEN: Other terms for urinary leakage are not being able to hold your urine until you can reach a toilet, not being able to control your bladder, loss of urine control.
Target:
Both males and females 20 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Never 3153 3153 KIQ042
2 Less than once a month 537 3690
3 A few times a month 497 4187
4 A few times a week 307 4494
5 Every day and/or night 373 4867
7 Refused 4 4871 KIQ042
9 Don't know 8 4879 KIQ042
. Missing 690 5569

KIQ010 - How much urine lose each time?

Variable Name:
KIQ010
SAS Label:
How much urine lose each time?
English Text:
How much urine {do you/does SP} lose each time? Would {you/s/he} say . . .
Target:
Both males and females 20 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Drops 1164 1164
2 Small splashes 366 1530
3 More 180 1710
7 Refused 2 1712
9 Don't know 2 1714
. Missing 3855 5569

KIQ042 - Leak urine during physical activities?

Variable Name:
KIQ042
SAS Label:
Leak urine during physical activities?
English Text:
During the past 12 months, {have you/has SP} leaked or lost control of even a small amount of urine with an activity like coughing, lifting or exercise?
Target:
Both males and females 20 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 1211 1211
2 No 3655 4866 KIQ044
7 Refused 4 4870 KIQ044
9 Don't know 8 4878 KIQ044
. Missing 691 5569

KIQ430 - How frequently does this occur?

Variable Name:
KIQ430
SAS Label:
How frequently does this occur?
English Text:
How frequently does this occur? Would {you/s/he} say this occurs . . .
Target:
Both males and females 20 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Less than once a month 497 497
2 A few times a month 353 850
3 A few times a week 197 1047
4 Every day and/or night 160 1207
7 Refused 2 1209
9 Don't know 0 1209
. Missing 4360 5569

KIQ044 - Urinated before reaching the toilet?

Variable Name:
KIQ044
SAS Label:
Urinated before reaching the toilet?
English Text:
During the past 12 months, {have you/has SP} leaked or lost control of even a small amount of urine with an urge or pressure to urinate and {you/he/she} couldn't get to the toilet fast enough?`
Target:
Both males and females 20 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 1315 1315
2 No 3549 4864 KIQ046
7 Refused 5 4869 KIQ046
9 Don't know 8 4877 KIQ046
. Missing 692 5569

KIQ450 - How frequently does this occur?

Variable Name:
KIQ450
SAS Label:
How frequently does this occur?
English Text:
How frequently does this occur? Would {you/s/he} say this occurs. . .
Target:
Both males and females 20 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Less than once a month 583 583
2 A few times a month 391 974
3 A few times a week 212 1186
4 Every day and/or night 127 1313
7 Refused 0 1313
9 Don't know 2 1315
. Missing 4254 5569

KIQ046 - Leak urine during nonphysical activities

Variable Name:
KIQ046
SAS Label:
Leak urine during nonphysical activities
English Text:
During the past 12 months, {have you/has SP} leaked or lost control of even a small amount of urine without an activity like coughing, lifting, or exercise, or an urge to urinate?
Target:
Both males and females 20 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 476 476
2 No 4385 4861 KIQ048A
7 Refused 5 4866 KIQ048A
9 Don't know 10 4876 KIQ048A
. Missing 693 5569

KIQ470 - How frequently does this occur?

Variable Name:
KIQ470
SAS Label:
How frequently does this occur?
English Text:
How frequently does this occur? Would {you/s/he} say this occurs . . .
Target:
Both males and females 20 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Less than once a month 142 142
2 A few times a month 122 264
3 A few times a week 99 363
4 Every day and/or night 112 475
7 Refused 0 475
9 Don't know 1 476
. Missing 5093 5569

KIQ048A - CHECK ITEM

Variable Name:
KIQ048A
English Instructions:
BOX 1. CHECK ITEM: IF 'YES' (CODE '1') IN KIQ042 OR KIQ044 OR KIQ046, CONTINUE WITH KIQ050. OTHERWISE, GO TO KIQ480.
Target:
Both males and females 20 YEARS - 150 YEARS

KIQ050 - How much did urine leakage bother you?

Variable Name:
KIQ050
SAS Label:
How much did urine leakage bother you?
English Text:
During the past 12 months, how much did {your/her/his} leakage of urine bother {you/her/him}? Please select one of the following choices:
Target:
Both males and females 20 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Not at all 695 695
2 Only a little 656 1351
3 Somewhat 367 1718
4 Very much 164 1882
5 Greatly 148 2030
7 Refused 1 2031
9 Don't know 1 2032
. Missing 3537 5569

KIQ052 - How much were daily activities affected?

Variable Name:
KIQ052
SAS Label:
How much were daily activities affected?
English Text:
During the past 12 months, how much did {your/her/his} leakage of urine affect {your/her/his} day-to-day activities? Please select one of the following choices:
Target:
Both males and females 20 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Not at all 1404 1404
2 Only a little 357 1761
3 Somewhat 170 1931
4 Very much 64 1995
5 Greatly 35 2030
7 Refused 2 2032
9 Don't know 0 2032
. Missing 3537 5569

KIQ480 - How many times urinate in night?

Variable Name:
KIQ480
SAS Label:
How many times urinate in night?
English Text:
During the past 30 days, how many times per night did {you/SP} most typically get up to urinate, from the time {you/s/he} went to bed at night until the time {you/he/she} got up in the morning. Would {you/s/he} say
Target:
Both males and females 20 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
0 0 1288 1288
1 1 1869 3157
2 2 941 4098
3 3 480 4578
4 4 155 4733
5 5 or more 133 4866
7 Refused 1 4867
9 Don't know 9 4876
. Missing 693 5569