Justification for change

National Health Interview Survey

Nonsubstantive Change to

OMB No. 0920-0214

(Expires 08/31/2014)

Contact:

Project Officer: Marcie Cynamon

Division of Health Interview Statistics

National Center for Health Statistics

Centers for Disease Control and Prevention (CDC)

Department of Health and Human Services

3311 Toledo Road

Hyattsville, MD 20782

Telephone: 301-458-4174

Email: [email protected]

August 29, 2011

National Health Interview Survey (NHIS)

A1. Circumstances making the collection of information necessary

This request is for a nonsubstantive change to an approved data collection (OMB No. 0920-0214) (expires 08/31/2014), the National Health Interview Survey (NHIS). On August 25, 2011, OMB approved the NHIS through the 2013 data collection, including the estimated sample size and estimated annual burden. The approved supporting statement included permission to modify selected sections of the 2012 and 2013 surveys through a nonsubstantive change clearance request. Questions/modules cycle in and out of the survey on a periodic basis to collect new and/or updated information as needed. There is no anticipated change in burden.

Changes

This change request seeks approval to:

• cycle out questions on fitness center use fielded in 2011; and to

• cycle in for 2012 questions on communication disorders, child balance, ABCS of heart disease and stroke prevention, COPD, tobacco, flu vaccination coverage during pregnancy, internet and email usage, and complementary medicine.

The new questions for the 2012 NHIS are in Attachment 1.

A2. Purpose and use of information collection

Adult and Child Communication Disorders (Voice, Swallowing, Speech, and Language):  The child and adult questions on voice, swallowing, speech and language problems are part of the Healthy People 2020 Objectives, under the topic of Hearing and other Sensory and Communication Disorders.  These questions are sponsored by the National Institute on Deafness and other Communication Disorders (NIDCD, NIH).   The questions address the following objectives:

 

 - Increase the proportion of persons with communication disorders of voice, swallowing speech or language seeing a speech-language pathologist (SLP) for evaluation or treatment.

 

 - Increase the proportion of persons with communication disorders of voice, swallowing speech or language participating in rehabilitation services.

 

 - Increase the proportion of young children with phonological disorders, language delay, or other developmental language problems participating in speech-language or other intervention services.

 

 - Increase the proportion of persons with communication disorders of voice, swallowing speech or language in the past 12 months whose personal or social functioning at home, school, or work improved after participation in speech-language therapy or other rehabilitative or intervention services.

 

 - Increase the proportion of persons with hearing loss and other sensory or communication disorders using Internet resources for health care information, guidance, or advice in the past 12 months.

 

Child Balance:  The child balance supplement questions have been added to address the Healthy People 2020 Objective to: Increase the proportion of children who have tried recommended methods for treating their balance or dizziness problems.  These questions are sponsored by the National Institute on Deafness and other Communication Disorders (NIDCD, NIH).  

 

ABCS of Heart Disease and Stroke Prevention:  Four questions on aspirin use have been added to address the CDC ABCS initiative to focus on appropriate aspirin therapy (the "A" in ABCS).  The other focus areas - Blood pressure control, Cholesterol control, and Smoking cessation are addressed in the NHIS core.  More in-depth supplement questions may be added on these topics in future years.

 

COPD core question:  This question will be a permanent core question from 2012 onward.  In prior years, the NHIS collected data on chronic bronchitis and emphysema (items from which a measure of COPD can be developed) but did not address Chronic Obstructive Pulmonary Disease directly.  In future years, the questions on chronic bronchitis and emphysema may be dropped. 

 

Tobacco:  These questions are sponsored by the Food and Drug Administration (FDA) and have been added to the NHIS to address annual prevalence of (1) smokeless tobacco use, (2) smoked tobacco other than cigarettes, and (3) quitting all tobacco.

 

Pregnancy Flu Questions:  These questions, sponsored by the National Center for Immunization and Respiratory Diseases (NCIRD, CDC), aim to better monitor the influenza vaccination coverage among pregnant women.  Three new questions have been added, asking women aged 18-49 about pregnancy anytime during the influenza vaccination period (August through March) and the timing of vaccination relative to the course of their pregnancy.

 

Internet and Email Usage:  A small set of questions, sponsored by the Assistant Secretary for Planning and Evaluation (ASPE), was added to identify Internet capability of Sample Adult respondents and obtain their email addresses for future health-related web based surveys.  These data will contribute to the improvement of HHS data and analytical capacity for evaluation.

 

Child and Adult Complementary Medicine (CAM):  These supplements are sponsored by the National Center for Alternative and Complementary Medicine (NCCAM, NIH).  The purpose is to expand knowledge of alternative medicine services.  Questions focus on types of alternative therapies, the reasons they are used, and the role of health insurance in payment for services.  Additional questions on health conditions have been added to the Adult and Child core questionnaire to expand the range of conditions for which CAM may have been used. This module was last fielded in 2007.

A8. Consultation Outside the Agency

No consultation beyond those listed in previous submissions.

Attachments

Attachment 1. Supplements--2012 New Questions

4