IDENTIFIERS

x

x

x

x

x

x

x

x

x

Person

x

x

x

x

x

x

x

x

x

Family

x

x

Reporting unit

x

x

Health Insurance Eligibility Unit

x (d)

x (c)

Establishment

x

x

Policyholder

x

x

Condition

x (e)

x

Panel

x (b)

x (e)

x (b)

x (b)

x (f)

Year indicator

x

SURVEY ADMINISTRATION AND ELIGIBILITY STATUS

Eligibility, response status

x

x (a)

x

Interview date

x

Reference period dates

x

x (a)

x

Respondent identifier

x

x

Language of interview

x (d)

x (c)

DEMOGRAPHICS

Census region

x

x

MSA status

x

x

Age

x

x

Month, year of birth

x

x

Sex

x

x

Race

x

x

Race/ethnicity

x

x

Hispanic ancestry

x

x

Education

x

x

Veteran status

x

Current military service

x (aa)

x

Honorable discharge

x (z)

Student status, age 17-23

x (b)

x

FAMILY RELATIONSHIPS

Marital status

x

x

Parent identifiers

x

Spouse identifier

x

x

Reference person identifier

x

x

Relationship to reference person

x

x

Family size

x

x (b)

Reporting unit size

x

x

Type of reporting unit

x

x

HEALTH STATUS AND ATTITUDES

Height and weight, age 0-17

x (g)

Body Mass Index, children

Health status, age 0-17

x

Health practices - preventive care

 x (i)

x (j)

Health practices -alternative care

x (k)

x (j)

x (a)

Perceived health status

x

x

Perceived mental health status

x

x

ICD-9 diagnosis codes

x (l)

x

ICD-9 procedure codes

x

Modified clinical classification codes

x

Specifics about condition

x

Immunizations, age 0-6

x (g)

Dental chekups, frequency

x (i)

ADL/IADL difficulties

x

x

Use of assistive equipment/ devices

x

x

Limitations, adults

x

x

Limitations, children

x

Social problems, age 5-17

x

Special education/therapies, age 5-17

x

Vision, hearing

x

Pregnancy, births

x (a)

Disability days

x (n)

x (o)

Child care provisions

x (p)

x (j)

Self-Administered Questionnaire (SAQ) variables

x (q)

SAQ:   SF12 Scores

x (q)

Parent-Administered Questionnaire (PAQ) variables¹

x (r)

Diabetes Care Survey (DCS) variables

x (q)

ACCESS TO CARE

Usual source of care (USC)

x (n)

x (o)

Characteristics of USC

x (n)

x (o)

Reasons for no USC

x (n)

x (o)

Barriers to care

x (n)

x (o)

Born in US

x (w)

LONG TERM CARE

Activity limitations

x (e)

Limitations in functioning

x (e)

Hearing or vision impairments

x (e)

Use of special equipment

x (e)

CAREGIVER

ID potential caregiver (if MEPS)

x (e)

Type of care

x (e)

Time care provided

x (e)

Characteristics of potential caregiver

x (e)

EMPLOYMENT

Job ID

x

x

Employment status

x

x

x

x

Wage rate

x

x

x

Income from job

x (a)

x

Hours worked per week

x

x

x

Job start date

x

x

Job stop date

x

# of employees

x

x

x

Union membership

x

x

x (a)

Industry, occupation codes

x

x

Other job characteristics

x

x

x (a)

Job change, reason

x

Change in wages, full/part time

x

Job benefits

x

x

x (a)

Retirement status

x

x

x (a)

Reason not working

x

x

Start, end times

x

x

Self employed or not

x

x

x

INCOME

Poverty status

Total person income

Sources of income

Income source imp flags

Income tax filing status

Income tax information

Food stamps recipients

INSURANCE

Health insurance from employment

x

x

x

x

Characteristics of plan

x

Source of payment for premium

x

Satisfaction with plan

x

Medicare coverage @ interview

x (a)

x

Medicare coverage @ interview, 12/31

x (q)

x (s)

Medicare coverage each month

x

CHAMPUS/ VA coverage @ interview

x (a)

x

CHAMPUS/ VA/TRICARE coverage @ interview, round, 12/31

x (q)

x (s)

CHAMPUS/ VA/TRICARE  coverage each month

x

Medicaid coverage in ref  period

x (a)

x (t)

Medicaid coverage interview, 12/31

x (q)

x (s)

Medicaid coverage each month

x

Public coverage in ref period

x (a)

x

Public coverage interview, round or 12/31

x (q)

x (s)

Public coverage each month

x

Private coverage in ref period

x (a)

x

Private coverage interview, round or 12/31

x (q)

x (s)

Private coverage each month

x

Private coverage at interview

Insured/un-insured in ref period

x (a)

x

Insured interview, round, 12/31

x (q)

x (x)

Insured/un-insured each month

x

Duration w/out insurance

x (q)

x (s)

Pre-existing conditions, exclusions

x (q)

x (s)

Sources of private insurance

x (a)

x (t)

Sources of private insurance each month

x

Policyholder of plan

x (a)

Policyholder of plan each month

x

HMO/managed care enrollment

x (a)

x (j)

x

Medicaid HMO/gate-keeper coverage - round, 12/31

x (s)

Private HMO/gate-keeper coverage - round, 12/31

x (s)

Abstracted plan information

x

Types of private insurance and benefits

Out-of-pocket premium for private insurance²

Experience with private plans

Dental Insurance

x (d)

x (c)

Prescription Drug Insurance

x (d)

x (c)

HEALTH CARE UTILIZATION

# office-based provider visits

x

x

# office-based physician visits

x

# office-based nonphysician visits

x

# office-based visits to specific providers: chiropractors, nurse practitioners, optometrists, physician assistants, physical/occupational therapists

x

# outpatient department visits

x

x

# outpatient physician visits

x

# outpatient nonphysician visits

x

# emergency room visits

x

x

# zero-night hospital stays

x

# hospital inpatient stays

x

x

# nights spent in hospital

x

# home health events

x

# months with home health care

x (a)

# home health provider days

x

# agency home health provider days

x (b)

# non-agency home health provider days

x (b)

# informal home health provider days

x (b)

# prescribed medicine purchases

x

x (b)

# dental visits

x

x

# orthodontist visits

x

# alternative care visits

x (k)

TOTAL CHARGES, TOTAL EXPENDITURES, and EXPENDITURES by SOURCE OF PAYMENT ³

All

x

Office-based

x

Office-based physician

x

Office-based nonphysician

x

Office-based chiropractor

x

Office-based nurse practitioner

x

Office-based optometrist

x

Office-based physician assistant

x

Office-based physical/occupa-tional therapist

x

Outpatient department

x

Outpatient facility

x

Outpatient physician

x

Outpatient nonphysician

x

Emergency room facility

x

Emergency room physician

x

Zero-night stay facility

x

Zero-night stay physician

x

Hospital discharge facility

x

Hospital discharge physician

x

Dental care visit

x

General dentist

x

Orthodontist

x

Home health agency

x

Home health nonagency

x

Glasses/contact lenses

x

Other equipment/supplies

x

Alternative care (total expenditures)

x

Prescribed medicines (expenditures only)

x

SAMPLING WEIGHTS AND VARIANCE ESTIMATION

Person weight

Family weight

SAQ weight

PAQ weight

Diabetes care supplement weight

Stratum