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For more information on prescription drug data<br />

collection and coding in NHANES, see: http://<br />

www.cdc.gov/nchs/nhanes/nhanes1999-2000/<br />

RXQ_DRUG.htm.<br />

For more information on NHANES III prescription drug<br />

data collection and coding, see: ftp://ftp.cdc.gov/pub/<br />

Health_Statistics/NCHS/nhanes/nhanes3/2A/<br />

pupremed.pdf. (Also see Appendix I, National Health and<br />

Nutrition Examination Survey [NHANES].)<br />

Drug abuse—See Appendix II, Illicit drug use.<br />

Education—Several approaches to defining educational<br />

categories are used in Health, United States.<br />

National Health Interview Survey (NHIS)—Starting in 1997,<br />

the NHIS questionnaire was changed to ask, ‘‘What is the<br />

highest level of school [person] has completed or the<br />

highest degree received?’’ Responses were used to<br />

categorize adults according to educational credentials<br />

(i.e., no high school diploma or general educational<br />

development high school equivalency diploma [GED];<br />

high school diploma or GED; some college, no bachelor's<br />

degree; bachelor's degree or higher).<br />

Prior to 1997, the education variable in NHIS was<br />

measured by asking, ‘‘What is the highest grade or year<br />

of regular school [person] has ever attended?’’ and ‘‘Did<br />

[person] finish the grade/year?’’ Responses were used to<br />

categorize adults according to years of education<br />

completed (i.e., less than 12, 12, 13–15, or 16 years or<br />

more).<br />

Data from the 1996 and 1997 NHIS were used to<br />

compare distributions of educational attainment for<br />

adults aged 25 and over, using categories based on<br />

educational credentials (1997) and categories based on<br />

years of education completed (1996). A larger<br />

percentage of persons reported some college than<br />

13–15 years of education, and a correspondingly smaller<br />

percentage reported high school diploma or GED than<br />

12 years of education. In 1997, 19% of adults reported no<br />

high school diploma, 31% a high school diploma or GED,<br />

26% some college, and 24% a bachelor's degree or<br />

higher. In 1996, 18% of adults reported less than 12 years<br />

of education, 37% reported 12 years, 20% reported<br />

13–15 years, and 25% reported 16 or more years of<br />

education.<br />

National Health and Nutrition Examination Survey<br />

(NHANES)—In 1988–1994 (NHANES III) the questionnaire<br />

asked, ‘‘What is the highest grade or year of regular<br />

school [person] has completed?’’ Responses were used<br />

to categorize adults according to educational credentials<br />

(i.e., no high school diploma or general educational<br />

development high school equivalency diploma [GED];<br />

high school diploma or GED; some college, no bachelor's<br />

degree; bachelor's degree or higher). Starting with<br />

1999–2000 data, the questionnaire was changed to ask,<br />

‘‘What is the highest grade or level of school [you<br />

have/(person) has] completed or the highest degree [you<br />

have/(person) has] received?’’ For data on children,<br />

education is based on the level of education completed<br />

by the head of the household. The question asked is,<br />

‘‘What is the highest grade or level of school [you<br />

have/(person) has] completed or the highest degree [you<br />

have/(person) has] received?’’<br />

Emergency department—According to the National<br />

Hospital Ambulatory Medical Care Survey, an emergency<br />

department is a hospital facility that is staffed 24 hours a day<br />

and provides unscheduled outpatient services to patients<br />

whose condition requires immediate care. Emergency<br />

services provided under the ‘‘hospital as landlord’’<br />

arrangement were also eligible. An emergency department<br />

was in scope if it was staffed 24 hours a day. If an in-scope<br />

emergency department had an emergency service area that<br />

was open less than 24 hours a day, then that area was<br />

included under the emergency department. If a hospital had<br />

an emergency department that was staffed less than 24<br />

hours a day, that department was considered an outpatient<br />

clinic. (Also see Appendix II, Emergency department or<br />

emergency room visit; Outpatient department.)<br />

Emergency department or emergency room visit—<br />

Starting with the 1997 National Health Interview Survey,<br />

respondents to the Sample Adult questionnaire and the<br />

Sample Child questionnaire (generally a parent) were asked<br />

about the number of visits to hospital emergency rooms<br />

during the past 12 months, including visits that resulted in<br />

hospitalization. In the National Hospital Ambulatory Medical<br />

Care Survey, an emergency department visit is a direct<br />

personal exchange between a patient and a physician or<br />

other health care provider working under the physician's<br />

supervision, for the purpose of seeking care and receiving<br />

personal health services. (Also see Appendix II, Emergency<br />

department; Injury-related visit.)<br />

Employer costs for employee compensation—Employer<br />

costs for employee compensation is a measure of the<br />

average cost, per employee hour worked, to employers for<br />

wages, salaries, and benefits. Wages and salaries are defined<br />

as the hourly straight-time wage rate or, for workers not paid<br />

on an hourly basis, straight-time earnings divided by the<br />

corresponding hours. Straight-time wage and salary rates<br />

are total earnings before payroll deductions, excluding<br />

premium pay for work in addition to the regular work<br />

schedule (e.g., overtime, weekends, and holidays), shift<br />

differentials, and nonproduction bonuses such as<br />

discretionary holiday bonuses and lump-sum payments<br />

provided in lieu of wage increases. Production bonuses,<br />

incentive earnings, commission payments, and cost-of-living<br />

adjustments are included in straight-time wage and salary<br />

rates. Benefits covered are paid leave (paid vacations,<br />

holidays, sick leave, and other leave), supplemental pay<br />

(premium pay for overtime, weekends, or holidays), shift<br />

differentials, nonproduction bonuses, insurance benefits<br />

(life, health, and short- and long-term disability), retirement<br />

Health, United States, 2014 Appendix II. Definitions and Methods 409

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