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Accessing and Using NCHS Data:
An Overview and Demonstration of NCHS Data Access Tools
2006 NCHS Data Users ConferenceHands-On Session 66
July 12, 2006
Ann Aikin
FASTATS A – Z
Reports, such as Health, U.S. and Advanced Data
Data Warehouse
Data Highlights
Health E-Stats
Accessing NCHS Data: Let Me Count the Ways…
Beyond 20/20 Tables: Health Data for All Ages and Trends in Health and Aging
Healthy People DATA 2010
CDC WONDER
WISQARS
Combined Health Data Sources
Accessing Data Sets (public use):
Accessing NCHS Data: Let Me Count the Ways…
ASCII Data Sets (complete public use file) SETS (complete public use file, with
documentation and software to access files) Data Resource Center for Child and
Adolescent Health Online Query Tool (data from two SLAITS surveys--National Survey of Children with Special Health Care Needs and National Survey of Children's Health)
Research Data Center (a fee-based service that provides access to confidential data and data access for those needing assistance)
Information to Help Access Data Listservs NCHS Definitions NCHS Survey Measures Catalog: Children and
Adolescent Mental Health Coming Soon! Ambulatory Care Drug Database System
Technical Reports and Data Documentation!
Other Published Reports, such as Series Reports…
Accessing NCHS Data: Let Me Count the Ways…
Overview of NCHS Data Access Tools
Tool Ease Level AvailableBeyond 20/20 Health Data for All Ages,
Trends in Health and Aging
CDC Wonder Mortality, Natality
DATA2010 Healthy People Objectives
WISQARS Injury Data
Child and Adolescent Health Online Query Tool
National Survey of Children's Health, National Survey of
Children with Special Health Care Needs
SETS Selected NCHS sets: Over 80 Available!
Health Insurance CoverageTo provide a complete picture of the uninsured population, the National Health Interview Survey (NHIS) tracks:persons who currently lack coverage; persons uninsured at any time in the previous year; persons who have experienced lack of coverage for more than a year.
Health care surveys also report health insurance measures, such as the National Ambulatory Care Survey (NAMCS), which reports expected source of payment from doctor visits.
Health Insurance Coverage: From the NHIS—Lack of CoverageData are released from NHIS
In ASCII (raw data files) On the Internet, as an Early Release In publications (forthcoming) In Data2010, as a Healthy People 2010 Objective In a customizable table on the Health Data for All Ages site (update to 2004 forthcoming) Other sources, such as Health, United States, FASTSTATS etc…
NHIS Early Release: Percentage of persons of all ages without health insurance coverage at the time of interview: United States, 1997–2005 From: Early
Release of Selected
Estimates Based on Data From the
2005 National Health Interview
Survey, Lack of health
insurance coverage and
type of coverage,
Figure 1.1. http://www.cdc.gov/nchs/data/nhis/earlyrelease/200606_01.pdf
Health Insurance Coverage: NHIS data in Health, U.S.
Health Data for All Ages also provides health insurance statistics
In this pretabulated table, NHIS data years are combined to make the statistics more reliable and
more useful for breakdowns by age, sex, race/ethnicity and geography.
Health Insurance…Expected Source of Payment from Health
Care SurveysData are released from the health care surveys
In ASCII (raw data files) On the Internet, as a Health E Stat In publications, such as Advanced Data Other sources, such as Trends in Health and Aging, Health, United States, FASTSTATS etc…
Health E-Stat Release of Doctor Visit Data: Percent Distribution of
Ambulatory Care Visits by Setting Type, According to Expected Source of
Payment, 2004
From: Health E-Stat, “Ambulatory Medical Care Utilization Estimates for 2004” Accessed on July 1, 2006.
Prescription Drug Use
Prescription drug use is in the rise in America…In 1999-2002, 45 percent of Americans used a prescription drug in the last month, while 18 percent used three or more; and use among
seniors is much higher.
NCHS Statistics on Prescription Drugs To find out more about drug use in America, we will use the following data tools:
National Survey of Children’s Health Data Resource Tool to find statistics on children’s use of prescription drugs
Trends in Health and Aging to find statistics on the distribution of drug mentions in doctor offices
Ambulatory Care Drug Database System to find the number of drug mentions for a specific drug
WISCARS to find the number of drug-related adverse effect deaths
Prescription Drug Use in SLAITS National Survey of Children’s Health
Prescription Drug Use in SLAITS National Survey of Children’s Health
Child and Adolescent Health Measurement Initiative (2005). National Survey of
Children’s Health, Data Resource Center on Child and Adolescent Health website.
Retrieved 06/30/2006 from www.nschdata.org.
Prescription Drug Use in SLAITS National Survey of Children’s Health
Distribution of Drug Mentions … by Patient's Age, Sex, and Race. United States, Selected Years, 1989-2002. NAMCS, NHCS (NAD02a)
Centers for Disease Control and Prevention. National Center for Health Statistics.
Trends in Health and Aging. http://www.cdc.gov/nchs/hdi.htm. June 30, 2006.
Using WISQARS for Adverse Drug Deaths
(Fatal Injuries) Statistics
Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS). June 30,
2006. Available from URL: www.cdc.gov/ncipc/wisqars.
Using WISQARS for Adverse Drug Deaths
(Fatal Injuries) StatisticsStep 1:
For our example, we will choose “All Intents”
Using WISQARS for Adverse Drug Deaths
(Fatal Injuries) StatisticsStep 2:
For our example, we will choose “Drugs, adverse effects” in the Adverse Effects injury category
Using WISQARS for Adverse Drug Deaths
(Fatal Injuries) StatisticsStep 3:
For our example, we will choose the default settings for geography, race,
Hispanic origin, sex and Output Options. For years, we will choose “1999 to 2003.”
Using WISQARS for Adverse Drug Deaths
(Fatal Injuries) StatisticsSteps 4 and 5:
Under Advanced Options, we will select the age groups “20-24 and 60-64” and we will leave the age-adjusted default to the year
2000. We will also select output group 1 to “Age Group”
Using WISQARS for Adverse Drug Deaths
(Fatal Injuries) StatisticsOutput Table:
Using the Ambulatory Care Drug Database System to Find the Number of Drug Mentions
for a Specific Drug
Using the Ambulatory Care Drug Database System to Find the Number of Drug Mentions
for a Specific Drug- LOPRESSOR, a Beta Blocker
Used by Heart PatientsStep 1: Type in the name of the drug in the drug
name box.
Step 2: You can also select the 2-digit) NDC Class Category 05 and the Prescription
Status of Prescription
Drug.
Step 3: Select the
Search Database button.
Using the Ambulatory Care Drug Database System to Find the Number of Drug Mentions
for a Specific Drug- LOPRESSOR, a Beta Blocker
Used by Heart Patients
In 2004, there were over 4 million drug mentions for Lopressor. If you click
any of the highlighted words, you will bring up the drug characteristics
information.
Using the Ambulatory Care Drug Database System to Find the Number of Drug Mentions
for a Specific Drug- LOPRESSOR, a Beta Blocker
Used by Heart Patients
Using CDC Wonder to Create Parkinson’s Disease Table
Using CDC Wonder to Create Parkinson’s Disease Table
Step 1
For this example, we will leave the defaults for area, population, and
years
Using CDC Wonder to Create Parkinson’s Disease Table
Step 2
Click the box to age-adjust to year 2000. Please note WONDER provides more information on
age-adjustment.
Using CDC Wonder to Create Parkinson’s Disease Table
Step 3: Selecting Cause of Death
Type in “Parkinson” and hit the Keyword Search button.
Select the Keyword Search button and
Using CDC Wonder to Create Parkinson’s Disease Table
Step 3: Selecting Cause of Death
Select G20 and G21, per
NVSR 54 #13 Table 9, page 29, the codes used
for Parkinson’sDisease. Hit the “Move Individual
Codes” button.
Using CDC Wonder to Create Parkinson’s Disease Table
Steps 4 and 5
In step 4, summarize the data by ‘Year” and keep the defaults for step
5.
Using CDC Wonder to Create Parkinson’s Disease Table
Output table:
Cesarean Delivery Statistics: Healthy People Objectives, Health Data for
All Ages, and SETSLowering the cesarean rate in the United States has been a
goal for the past 25 years. Separate objectives were
formulated for low-risk women giving birth for the first time (a subset of all women having a
first birth) and for low-risk women who had a prior
cesarean birth. The objectives set a target of 15 percent for
cesarean delivery and 63 percent for repeat cesarean
delivery.
From: National Vital Statistics Reports, Vol. 54, No. 4, September 22, 2005, Table 1. Cesarean rates for first births to low-risk women by age and race and Hispanic origin of mother: United States… page 6.
Healthy People Objectives--Cesarean Delivery
Step 1: Type in “cesarean” in the keyword box and the button. The Healthy People Objectives with the word “cesarean” will
appear in the objective box below. In this case, there were two objectives with cesarean:
Objective 16-09a and 16-09b.
Healthy People Objectives--Cesarean Delivery
Step 2: Choose the Submit button and the 16-09a table with the base line year and
percent, the data years 1998-2005 and the 2010 target will appear.
Health Data for All Ages produces a table on cesarean rates for low-
risk women
Customizing the Cesarean Deliveries Table for To Show Only
Prior Cesarean Deliveries
Step 1: Click on the Cesarean cell.
Step 2: Deselect the default selections by choosing the button. Select “Prior Cesarean” from the list. Choose the table button and the table will only show prior cesarean deliveries.
Customizing for Specific Locations
Step 3: To further customize the table, I would only like to look at Maryland, Washington DC, and Virginia. To do this, you need to select Location, deselect the defaults, and
check the appropriate boxes for the locations I want to view. Select the table icon
again to view your selections.
Looking at Race and Ethnicity
Step 4: To look at specific race and ethnicity, we want to further customize our table view. To do this, we need to physically drag and drop the Race/Ethnicity cell into the Cesarean cell. (The Cesarean cell the moves to the old position). Move the cells so the order is Maternal Age, Race/Ethnicity, Location.
Prior Cesarean Delivery among Low-Risk Women in Maryland, the District of Columbia, and Virginia by Race and Ethnicity for All Ages
Prior Cesarean Delivery among Low-Risk Women in Maryland, the District of Columbia, and Virginia by Race and Ethnicity for All Ages
These data can also be charted or
exported. To chart, select the chart button and then the printer friendly button.
Using SETS to Create a Cesarean Delivery Table
To match estimates published in our reports,
such as the Trends in Cesarean Rates for First
Births and Repeat Cesarean Rates for Low-
Risk Women: United States, 1990-2003. From: National Vital Statistics
Reports, Vol. 54, No. 4, September 22, 2005, Table 1. Cesarean rates for first births to low-risk women by age and race and Hispanic origin of mother: United States… page 6.
Using SETS to Create a Cesarean Delivery Table—
Getting StartedStep 2:
Choose the correct drive, and the NCHS
folder.
Step 3: Choose the Nata2003
file.
Step 4: Accept the
usage requirements
.
Step 1: Open the SETS folder and the
SETS Interface.
Using SETS to Create a Cesarean Delivery Table—
Getting Started
Step 3: From the menu, go to Table and Assist.
Step 2: Choose the 2003 Natality File in the Data
Folder…and Tabulate data.
Step 1: Go to file, and select Open, and Set.
Using SETS to Create a Cesarean Delivery Table– Selecting only U.S. Born
Residents1. Go to Records and the choose Select. Click Assist. 2. Double click on the empty Field box. Add choose
4. Choose RESTATUS (Resident Status) from the list and Select. Choose the =! Operator from the pull down list and double click on
the Code box and choose 4 (FOREIGN RESIDENTS).
3. Type “foreign” in the search box and choose OK.
5. Go back to the list of Field boxes…
Using SETS to Create a Cesarean Delivery Table– Selecting only Low Risk
Pregnanciesfull-term pregnancy (at least 37 completed weeks of gestation
RGEST3=, or “37 Weeks and over”),
singleton pregnancy (not a multiple pregnancy ),
safe fetal presentation (head in a downward position in
the birth canal).
6. To look at only low risk pregnancy, we need to select the our records:
Please note: RESTATUS =! 4 was selected previously. We also need to select “Detailed Total Birth Order” or RTBO = 01 (first birth) to recreate the Table 1 in the report, which only includes first births.
7. Accept the record selection and choose Select, when prompted.
Using SETS to Create a Cesarean Delivery Table-
Recoding a FieldTo create the age groups
used in the table, we need to create a recode in SETS. To do this:
1. Go to Recodes and Create.
2. Type in the file name of your recode and save to your hard drive (c) and go to Recode and Assist.
3. Double click on the Based on field box, and4. Type in age and choose OK. Choose RMAGE9, or Age of Mother Recode 9 and choose the Select button.
Using SETS to Create a Cesarean Delivery Table-
Creating a Recode1. Type in a new recode
name, and double click the first codes box (agerecode).
2. Choose codes 1 and 2 and Select. Type in an optional category label, such as, “Under age 20 years.”
3. Double click on the second code box and choose code 3.
4. Continue this process until you’ve created 6 categories to match the ones in the publication.
Using SETS to Create a Cesarean Delivery Table-
Creating a Recode5. Go to Recodes and select
Attach.
6. Your age recode will now show up in the fields and recodes list.
Using SETS to Create a Cesarean Delivery Table
Step 1: Go to Table and Assist. This brings up the Table Assistance
template.
Step 2: Select your age recode and the RDELMTH field by highlighting it and selecting the Add button. So they
appear in the Table fields box to the
right.
Using SETS to Create a Cesarean Delivery Table
Step 3. Go to the Nesting options table (2), leave the defaults and go to table 3, Generate Statements.
Step 4. Choose the Generate button and go to the Begin tabulation table (4). Select
the Begin button.
Using SETS to Create a Cesarean Delivery Table
The table from SETS matches the table
produced in the NVSR report!
Using SETS to Create a Cesarean Delivery Table with
our Age Recode
How would you create this table in SETS?
In SETS, you can also browse the data….
or chart and export your data
or create and edit your own data sets using the SETS Designer Kit
and Editor
For more information, please see
www.cdc.gov/nchs/sets.htm
Now It’s Your Turn! Can You….
Find the age-adjusted rate for Drug-Induced Deaths (Healthy People Objective, 26-03)
Using DATA2010, create a table for Healthy People Objective 26-03 for the District of
Columbia
Now It’s Your Turn! Can You….
Can you find the percent of children (ages 0-17) uninsured in two parent households and mother-only households for the District of
Columbia and the US using the Data Resource Center’s National Survey of
Children’s Health?
Hint: Select Healthy People 2010 Goals, and Goal #1 (Access to Quality Health Services). Then choose Objective 1-1 (% of children
uninsured)
Now It’s Your Turn! Can You….
Find the death rate for Parkinson’s disease?
Using Trends in Health and Aging, chart the trends in death rates from 1981-2003. Can you also customize the chart so it shows the
trends by sex?
Hint: go to the mortality folder, and choose the second table, Death Rates by Age, Sex, Race, and Underlying Cause. United States, 1981-
2003 (NMR03a)
Now It’s Your Turn! Can You….
Find the number of vaginal births in the District of Columbia for 2003? For extra
credit…can you tell me how many of primary c-sections in DC there were in 2003? What
about the total number of births to white and black mothers in DC in 2003?
Hints: To create this table, you will need to use the field “STRESEXP” or expanded State of Residence. Don’t forget to exclude foreign
residents before you create the table! When you go to create the table, you will want to run a table using the field “RDELMTH” or the
method of delivery recode.
Contact Information
Ann Aikin (NCHS Data Tools Specialist)[email protected]
Avay Dolberry (SETS Specialist)[email protected]
919.541.2700
Phyllis Chappell (Beyond 20/20 Specialist)[email protected]
919.541.4466Connie Banks (Beyond 20/20 and SETS Specialist)
Susan Temple (Beyond 20/20 and SETS Specialist)[email protected]
919.541.4923