The NHANES program suspended field operations in March 2020 due to the coronavirus disease 2019 (COVID-19) pandemic. As a result, data collection for the NHANES 2019-2020 cycle was not completed and the collected data are not nationally representative. Therefore, data collected from 2019 to March 2020 were combined with data from the NHANES 2017-2018 cycle to form a nationally representative sample of NHANES 2017-March 2020 pre-pandemic data. These data are available to the public. Please refer to the Analytic Notes section for more details on the use of the data.
Topics included in the Audiometry questionnaire data file (P_AUQ) are:
All survey participants aged 1 year and older in the NHANES 2017-March 2020 pre-pandemic sample are included in this dataset. The initial question (AUQ054) was for all participants aged 1 years and older. The rest of the questions were for participants aged 6-19 and 70 years and older. Please review the target age group for each variable in the codebook.
These questions were asked, in the home, by trained interviewers using the Computer-Assisted Personal Interview (CAPI) system. Hand cards showing response categories were also used for some questions. When necessary, household interviewers read the hand cards to survey participants. 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 participants who could not answer the questions themselves.
The NHANES 2017-2018 and 2019-2020 audiometry questionnaires are available on the NHANES website.
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.
Frequency counts were checked, “skip” patterns were verified, and the reasonableness of question responses was reviewed. All information collected in the audiometry questionnaire section is released to the public, except for the other cause of hearing loss specified in a text entry field (AUQ410OS). All other causes were reviewed, and some were assigned to appropriate causes of hearing loss variables (AUQ410a--AUQ410i). As the nature of self-reported data, the responses to some questions reflect the participants’ knowledge and may not be reasonable for a few cases.
The COVID-19 pandemic required suspension of NHANES 2019-2020 field operations in March 2020 after data was collected in 18 of the 30 survey locations in the 2019-2020 sample. Because the collected data from 18 locations were not nationally representative, these data were combined with data from the previous cycle (2017-2018) to create a 2017-March 2020 pre-pandemic data file. The resulting sample weights in the demographic file should be used to calculate estimates from the combined cycles. The sample weights are not appropriate for independent analyses of the 2019-2020 data and will not yield nationally representative results for either the 2017-2018 data alone or the 2019-March 2020 data alone. Please refer to the NHANES website for additional information for the NHANES 2017-March 2020 pre-pandemic data, and for the previous 2017-2018 public use data file with specific weights for that 2-year cycle.
The analysis of NHANES 2017–March 2020 pre-pandemic audiometry questionnaire data must be conducted using the appropriate survey design variables, sample weights, and the basic demographic variables. Interview weights should only be used if questionnaire data are analyzed by themselves. However, if AUQ data are merged with the MEC examination data (for example the Audiometry examination or laboratory data), the MEC examination weights should be used for analyses.
When combining AUQ data from different survey cycles, please note that there are target age changes and question changes (add, drop, and modify) between survey cycles. Please see the questionnaire and read the documentation for each survey cycle before analyzing AUQ data from different survey cycles.
Other related datasets, including Audiometry, Tympanometry, Wideband Absorbance, and Acoustic Reflex examination data for NHANES participants are available in the Audiometry section of the Examination data files.
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.
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Excellent | 7275 | 7275 | |
2 | Good | 5204 | 12479 | |
3 | A little trouble | 1541 | 14020 | |
4 | Moderate hearing trouble | 661 | 14681 | |
5 | A lot of trouble | 273 | 14954 | |
6 | Deaf | 26 | 14980 | |
77 | Refused | 0 | 14980 | |
99 | Don't know | 6 | 14986 | |
. | Missing | 0 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Yes | 1817 | 1817 | AUQ395 |
2 | No | 923 | 2740 | |
7 | Refused | 1 | 2741 | |
9 | Don't know | 51 | 2792 | |
. | Missing | 12194 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Yes | 626 | 626 | AUQ395 |
2 | No | 334 | 960 | |
7 | Refused | 1 | 961 | |
9 | Don't know | 14 | 975 | |
. | Missing | 14011 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Yes | 270 | 270 | AUQ395 |
2 | No | 73 | 343 | |
7 | Refused | 0 | 343 | |
9 | Don't know | 6 | 349 | |
. | Missing | 14637 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Yes | 49 | 49 | |
2 | No | 25 | 74 | |
7 | Refused | 0 | 74 | |
9 | Don't know | 5 | 79 | |
. | Missing | 14907 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Before age 1 year old | 26 | 26 | |
2 | Between 2 and 5 years old | 52 | 78 | |
3 | Between 6 and 19 years old | 139 | 217 | |
4 | Between 20 and 39 years old | 75 | 292 | |
5 | Between 40 and 59 years old | 130 | 422 | |
6 | Between 60 and 69 years old | 204 | 626 | |
7 | 70 years and older | 358 | 984 | |
8 | No hearing loss | 18 | 1002 | |
77 | Refused | 0 | 1002 | |
99 | Don't know | 26 | 1028 | |
. | Missing | 13958 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Genetic/Hereditary causes | 101 | 101 | |
77 | Refused | 1 | 102 | |
99 | Don't know | 48 | 150 | |
. | Missing | 14836 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
2 | Ear infections (including fluid in ears) | 156 | 156 | |
. | Missing | 14830 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
3 | Ear diseases (Otosclerosis, Menieres, Tumor) | 26 | 26 | |
. | Missing | 14960 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
4 | Illness/Infections (Measles, Meningitis, Mumps) | 34 | 34 | |
. | Missing | 14952 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
5 | Drugs/Medications | 9 | 9 | |
. | Missing | 14977 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
6 | Head or neck injury/trauma | 29 | 29 | |
. | Missing | 14957 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
7 | Loud brief explosive noise/sounds | 152 | 152 | |
. | Missing | 14834 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
8 | Noise exposure, long-term (machinery, etc.) | 297 | 297 | |
. | Missing | 14689 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
9 | Aging, getting older | 532 | 532 | |
. | Missing | 14454 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
10 | Other causes | 41 | 41 | |
. | Missing | 14945 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Yes | 217 | 217 | |
2 | No | 811 | 1028 | |
7 | Refused | 1 | 1029 | |
9 | Don't know | 0 | 1029 | |
. | Missing | 13957 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Yes | 2813 | 2813 | |
2 | No | 2818 | 5631 | AUQ144 |
7 | Refused | 0 | 5631 | AUQ144 |
9 | Don't know | 28 | 5659 | AUQ144 |
. | Missing | 9327 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Yes | 1287 | 1287 | |
2 | No | 1483 | 2770 | |
7 | Refused | 0 | 2770 | |
9 | Don't know | 43 | 2813 | |
. | Missing | 12173 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Yes | 377 | 377 | |
2 | No | 2410 | 2787 | |
7 | Refused | 1 | 2788 | |
9 | Don't know | 25 | 2813 | |
. | Missing | 12173 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Less than a year ago | 1451 | 1451 | |
2 | 1 year to 4 years ago | 1541 | 2992 | |
3 | 5 to 9 years ago | 622 | 3614 | |
4 | Ten or more years ago | 560 | 4174 | |
5 | Never | 1276 | 5450 | |
7 | Refused | 4 | 5454 | |
9 | Don't know | 205 | 5659 | |
. | Missing | 9327 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Yes | 321 | 321 | |
2 | No | 5338 | 5659 | AUQ630 |
7 | Refused | 0 | 5659 | AUQ630 |
9 | Don't know | 0 | 5659 | AUQ630 |
. | Missing | 9327 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | A hearing aid | 310 | 310 | |
7 | Refused | 0 | 310 | AUQ435 |
9 | Don't know | 0 | 310 | AUQ435 |
. | Missing | 14676 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
2 | A personal sound amplifier | 13 | 13 | |
. | Missing | 14973 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
3 | A Cochlear implant | 4 | 4 | |
. | Missing | 14982 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Less than 1 hour a day | 18 | 18 | AUQ435 |
2 | 1 to 3 hours a day | 30 | 48 | AUQ435 |
3 | 4 to 7 hours a day | 55 | 103 | AUQ435 |
4 | 8 or more hours per day | 195 | 298 | AUQ435 |
5 | Never | 23 | 321 | AUQ435 |
7 | Refused | 0 | 321 | AUQ435 |
9 | Don't know | 0 | 321 | AUQ435 |
. | Missing | 14665 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Yes | 84 | 84 | |
2 | No | 5253 | 5337 | |
7 | Refused | 0 | 5337 | |
9 | Don't know | 1 | 5338 | |
. | Missing | 9648 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Yes | 689 | 689 | |
2 | No | 2328 | 3017 | AUQ460 |
7 | Refused | 0 | 3017 | AUQ460 |
9 | Don't know | 3 | 3020 | AUQ460 |
. | Missing | 11966 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Speech-language | 471 | 471 | |
77 | Refused | 0 | 471 | |
99 | Don't know | 0 | 471 | |
. | Missing | 14515 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
2 | Reading | 291 | 291 | |
. | Missing | 14695 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
3 | Hearing or listening skills | 72 | 72 | |
. | Missing | 14914 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
4 | Intellectual disability | 96 | 96 | |
. | Missing | 14890 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
5 | Movement or mobility difficulties | 81 | 81 | |
. | Missing | 14905 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
6 | Other developmental or disability problems | 158 | 158 | |
. | Missing | 14828 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Yes | 62 | 62 | |
2 | No | 2952 | 3014 | End of Section |
7 | Refused | 0 | 3014 | End of Section |
9 | Don't know | 6 | 3020 | End of Section |
. | Missing | 11966 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Less than 1 year | 24 | 24 | End of Section |
2 | 1 to 2 years | 11 | 35 | End of Section |
3 | 3 to 4 years | 7 | 42 | End of Section |
4 | 5 or more years | 19 | 61 | End of Section |
7 | Refused | 0 | 61 | End of Section |
9 | Don't know | 1 | 62 | End of Section |
. | Missing | 14924 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Always | 182 | 182 | |
2 | Usually | 331 | 513 | |
3 | About half the time | 510 | 1023 | |
4 | Seldom | 875 | 1898 | |
5 | Never | 733 | 2631 | |
7 | Refused | 0 | 2631 | |
9 | Don't know | 6 | 2637 | |
. | Missing | 12349 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Always | 98 | 98 | |
2 | Usually | 160 | 258 | |
3 | About half the time | 273 | 531 | |
4 | Seldom | 591 | 1122 | |
5 | Never | 1510 | 2632 | |
7 | Refused | 2 | 2634 | |
9 | Don't know | 3 | 2637 | |
. | Missing | 12349 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Always | 54 | 54 | |
2 | Usually | 76 | 130 | |
3 | About half the time | 150 | 280 | |
4 | Seldom | 368 | 648 | |
5 | Never | 1985 | 2633 | |
7 | Refused | 2 | 2635 | |
9 | Don't know | 2 | 2637 | |
. | Missing | 12349 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Yes | 970 | 970 | |
2 | No | 1663 | 2633 | |
7 | Refused | 0 | 2633 | |
9 | Don't know | 4 | 2637 | |
. | Missing | 12349 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Yes | 475 | 475 | |
2 | No | 2156 | 2631 | AUQ300 |
7 | Refused | 1 | 2632 | AUQ300 |
9 | Don't know | 5 | 2637 | AUQ300 |
. | Missing | 12349 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Less than three months | 69 | 69 | |
2 | Three months to a year | 66 | 135 | |
3 | 1 to 4 years | 94 | 229 | |
4 | 5 to 9 years | 57 | 286 | |
5 | Ten or more years | 182 | 468 | |
7 | Refused | 0 | 468 | |
9 | Don't know | 7 | 475 | |
. | Missing | 14511 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Almost always | 195 | 195 | |
2 | At least once a day | 64 | 259 | |
3 | At least once a week | 71 | 330 | |
4 | At least once a month | 49 | 379 | |
5 | Less frequently than once a month | 91 | 470 | |
7 | Refused | 0 | 470 | |
9 | Don't know | 5 | 475 | |
. | Missing | 14511 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Yes | 69 | 69 | |
2 | No | 398 | 467 | |
7 | Refused | 0 | 467 | |
9 | Don't know | 8 | 475 | |
. | Missing | 14511 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Yes | 157 | 157 | |
2 | No | 314 | 471 | |
7 | Refused | 0 | 471 | |
9 | Don't know | 4 | 475 | |
. | Missing | 14511 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | No problem | 122 | 122 | |
2 | A small problem | 186 | 308 | |
3 | A moderate problem | 123 | 431 | |
4 | A big problem | 29 | 460 | |
5 | A very big problem | 13 | 473 | |
7 | Refused | 0 | 473 | |
9 | Don't know | 2 | 475 | |
. | Missing | 14511 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Yes | 255 | 255 | |
2 | No | 216 | 471 | |
7 | Refused | 0 | 471 | |
9 | Don't know | 4 | 475 | |
. | Missing | 14511 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Yes | 1044 | 1044 | |
2 | No | 1592 | 2636 | AUQ330 |
7 | Refused | 1 | 2637 | AUQ330 |
9 | Don't know | 0 | 2637 | AUQ330 |
. | Missing | 12349 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | 1 to less than 100 rounds | 479 | 479 | |
2 | 100 to less than 1000 rounds | 245 | 724 | |
3 | 1000 to less than 10,000 rounds | 203 | 927 | |
4 | 10,000 to less than 50,000 rounds | 64 | 991 | |
5 | 50,000 rounds or more | 28 | 1019 | |
7 | Refused | 2 | 1021 | |
9 | Don't know | 23 | 1044 | |
. | Missing | 13942 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Always | 257 | 257 | |
2 | Usually | 93 | 350 | |
3 | About half the time | 82 | 432 | |
4 | Seldom | 109 | 541 | |
5 | Never | 499 | 1040 | |
7 | Refused | 1 | 1041 | |
9 | Don't know | 3 | 1044 | |
. | Missing | 13942 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Yes | 753 | 753 | |
2 | No | 1742 | 2495 | AUQ370 |
3 | Never worked | 139 | 2634 | AUQ370 |
7 | Refused | 0 | 2634 | AUQ370 |
9 | Don't know | 3 | 2637 | AUQ370 |
. | Missing | 12349 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Less than 3 months | 65 | 65 | |
2 | 3 to 11 months | 65 | 130 | |
3 | 1 to 2 years | 84 | 214 | |
4 | 3 to 4 years | 70 | 284 | |
5 | 5 to 9 years | 83 | 367 | |
6 | 10 to 14 years | 71 | 438 | |
7 | 15 or more years | 313 | 751 | |
77 | Refused | 0 | 751 | |
99 | Don't know | 2 | 753 | |
. | Missing | 14233 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Yes | 461 | 461 | |
2 | No | 290 | 751 | AUQ370 |
7 | Refused | 0 | 751 | AUQ370 |
9 | Don't know | 2 | 753 | AUQ370 |
. | Missing | 14233 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Less than 3 months | 28 | 28 | |
2 | 3 to 11 months | 33 | 61 | |
3 | 1 to 2 years | 54 | 115 | |
4 | 3 to 4 years | 48 | 163 | |
5 | 5 to 9 years | 62 | 225 | |
6 | 10 to 14 years | 33 | 258 | |
7 | 15 or more years | 196 | 454 | |
8 | Not exposed | 1 | 455 | |
77 | Refused | 0 | 455 | |
99 | Don't know | 6 | 461 | |
. | Missing | 14525 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Yes | 296 | 296 | |
2 | No | 2339 | 2635 | AUQ380 |
7 | Refused | 0 | 2635 | AUQ380 |
9 | Don't know | 2 | 2637 | AUQ380 |
. | Missing | 12349 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Less than 1 year | 86 | 86 | |
2 | 1 to 2 years | 40 | 126 | |
3 | 3 to 4 years | 30 | 156 | |
4 | 5 or more years | 137 | 293 | |
7 | Refused | 0 | 293 | |
9 | Don't know | 3 | 296 | |
. | Missing | 14690 | 14986 |
Code or Value | Value Description | Count | Cumulative | Skip to Item |
---|---|---|---|---|
1 | Always | 123 | 123 | |
2 | Usually | 104 | 227 | |
3 | About half the time | 67 | 294 | |
4 | Seldom | 158 | 452 | |
5 | Never | 1572 | 2024 | |
6 | No noise exposure past 12 months | 613 | 2637 | |
77 | Refused | 0 | 2637 | |
99 | Don't know | 0 | 2637 | |
. | Missing | 12349 | 14986 |