Table of Contents

Component Description

The preventive aspirin use questionnaire (RXQASA_L) data file provides personal interview data on low-dose aspirin taken to prevent heart attacks, strokes, and cancer. Cardiovascular disease (CVD) remains the leading cause of death in the United States. Low-dose aspirin might be considered for primary prevention of CVD among select adults aged 40-70 years who are at higher CVD risk but not at increased bleeding risk (Arnett DK et. al., 2019). Increasing aspirin use among individuals who are at high risk for CVD is one of the key Public Health objectives in the U.S. (Frieden & Berwick, 2011).

Eligible Sample

All survey participants aged 40 year and older in the NHANES August 2021─August 2023 sample are included in this dataset.

Survey participants between 20 and 39 years of age who reported having a history of coronary heart disease, heart attack, angina, and/or stroke were also eligible. Data obtained from this small subgroup are only available through the NCHS Research Data Center.

Interview Setting and Mode of Administration

These questions were asked in the home or on the phone, by trained interviewers using the Computer-Assisted Personal Interview (CAPI) system. 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 respondent selected the language of interview (English or Spanish) or requested to use an interpreter.

The NHANES August 2021-August 2023 questionnaires are available 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. Interviewers were required to audio-record interviews. The recorded interviews were reviewed by interviewer supervisors and NCHS staff.

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.

Analytic Notes

The analysis of NHANES August 2021–August 2023 RXQASA 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 RXQASA data are merged with the MEC examination data or laboratory full sample data, the MEC examination weights should be used for analyses. If RXQASA data are merged with laboratory subsample data, subsample weights should be used for analyses.

Please also refer to the NHANES Analytic Guidelines and the on-line NHANES Tutorial for 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 40 YEARS - 150 YEARS

RXQ510 - Dr told to take daily low-dose aspirin?

Variable Name:
RXQ510
SAS Label:
Dr told to take daily low-dose aspirin?
English Text:
Doctors and other health care providers sometimes recommend that {you take/SP takes) a low-dose aspirin each day to prevent heart attacks, strokes, or cancer. {Have you/Has SP} ever been told to do this?
English Instructions:
INTERVIEWER INSTRUCTION: IF THE RESPONDENT VOLUNTEERS THEY HAVE BEEN TOLD TO TAKE AN ASPIRIN EVERY OTHER DAY OR 'REGULARLY' FOR THESE REASONS, CODE "YES".
Target:
Both males and females 40 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 2049 2049
2 No 3654 5703 RXQ520
7 Refused 0 5703 RXQ520
9 Don't know 9 5712 RXQ520
. Missing 13 5725

RXQ515 - Followed advice, took low-dose aspirin?

Variable Name:
RXQ515
SAS Label:
Followed advice, took low-dose aspirin?
English Text:
{Are you/Is SP} now following this advice?
Target:
Both males and females 40 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 1300 1300 End of Section
2 No 641 1941 End of Section
3 Sometimes 51 1992 End of Section
4 Stopped aspirin use due to side effects 55 2047 End of Section
7 7 1 2048
9 Don't know 1 2049
. Missing 3676 5725

RXQ520 - Taking low-dose aspirin on your own?

Variable Name:
RXQ520
SAS Label:
Taking low-dose aspirin on your own?
English Text:
On {your/SP's} own, {are you/is SP} now taking a low-dose aspirin each day to prevent heart attacks, strokes, or cancer?
Target:
Both males and females 40 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 203 203
2 No 3459 3662
7 Refused 0 3662
9 Don't know 1 3663
. Missing 2062 5725