Terms Relating to Hospitalization
Hospifal dis&ar~e.--A hospital discharge is the completion of any continuous period of stay of 1 night American Hospital Association; (2) named in the listing of hospitals in the Directories of the American Osteo
pathic Hospital Association; or (3) named in the annual inventory of non-Federal hospitals submitted by the States to the Health Care Facilities Service, Health Services and Mental Health Administration, in con-junction with the Hill-Burton program.
Shwt-stay hospital. -A short-stay hospital is one
(See definition of “Hospital discharge.“)
Length of hospital stay.-The length of hospital
Terms Relating to Physician Visits
Physician visit.-A physician visit is defined as consultation with a physician, in person or by tele
phone, for examination, diagnosis, treatment, or ad-vice. The visit is considered to be a physician visit if the service is provided directly by the physician or by a nurse or other person acting under a physician’s su
pervision, For the purpose of this definition, “physi
cian” includes doctors of medicine and osteopathic physicians. The term “doctor” is used in the interview single procedure (e.g., smallpox vaccination) when this single service was administered identically to all per-sons who were at the place for this purpose. Hence obtaining a chest X-ray in a tuberculosis chest X-ray trailer is not included as a physician visit. However, a special chest X-ray given in a physician’s office or in an outpatient clinic is considered to be a physician visit.
If a physician is called to a house to see more than one person, the call is considered to be a separate physician visit for each person about whom the physi
cian was consulted.
A physician visit is associated with the person about whom the advice was sought, even if that person did not actually see or consult the physician. For example, if a mother consults a physician about one of her children, the physician visit is ascribed to the child.
2. Office is defined as the office of a physician in private practice only. This may be an office in the physician’s home, an individual office in an office building, or a suite of offices occupied by several physicians. For purposes of this survey, physicians connected with prepayment-group-practice plans are considered to be in
cludes emergency or first-aid rooms located in such places if treatment was received there
Terms Relating to Conditions
Condition.-A morbidity condition, or simply a condition, is any entry on the questionnaire which medically attended, whether they resulted in disability, or whether they were acute or chronic; or according to the type of disease, injury, impairment, or symptom reported. For the purposes of each published report or set of tables, only those conditions recorded on the questionnaire which satisfy certain stated criteria are included.
Conditions except impairments are coded by type according to the Eighth Revision International Clas
sification of Diseases, Adapted for Use in the United States (ICDA), with certain modifications adopted to make the code more suitable for a household interview survey.
Chronic condition..-A condition is considered to be chronic if (1) the condition is described by the re
Tuberculosis Kidney stones
Repeated attacks of sinus Arthritis or rheumatism
trouble Mental illness
Rheumatic fever Diabetes
Hardening of the arteries Thyroid trouble or goiter High blood pressure Any allergy
Heart trouble Epilepsy
Stroke Cancer
Trouble with varicose veins Hernia or rupture Hemorrhoids or piles Prostate trouble Deafness or serious Paralysis of any kind
trouble with hearing Repeated trouble with Serious trouble with see- back or spine
ing, even when wearing Club foot
glasses Permanent stiffness or
Cleft palate deformity of the foot, Any speech defect leg, fingers, arm, or Missing fingers, hand, or back
arm-toes, foot, or leg Condition present since
Palsy birth
Impaimzent.--Impairments are chronic or per
manent defects, usually static in nature, resulting from disease, injury, or congenital malformation. They represent decrease or loss of ability to perform various functions, particularly those of the musculo
skeletal system and the sense organs. All impairments are classified by means of a special supplementary code for impairments. Hence code numbers for impair
ments in the International Classification of Diseases are not used. In the Supplementary Code impairments are grouped according to the type of functional impair
ment and etiology. The impairment classification is shown in Vital and Health Statistics, Series 10, No. 48.=
Terms Relating to Persons Injured
Injwy condition.--An injury condition, or simply an injury, is a condition of the type that is classified according to the nature of injury code numbers (N800-N999) in the International Classification of Diseases.
In addition to fractures, lacerations, contusions, burns, and so forth, which are commonly thought of as injuries, this group of codes includes effects of exposure, such as sunburn; adverse reactions to immunization and other medical procedures; and poisonings. Unless otherwise specified, the term injury is used to cover all of these.
Since a person may sustain more than one injury and workers and other persons differ, a different set in a single accident, e.g., a broken leg and laceration of criteria is used for each group. There is a general of the scalp, the number of injury conditions may ex- similarity between them, however, as will be seen in ceed the number of persons injured. the following descriptions of the four categories:
Statistics of acute injury conditions include only
those injuries which involved at least 1 full day of re- PWSOTLS unable to carry on major activity for stricted activity or medical attendance, their ,g~oup (major activity refers to ability to
Person itQured.--A person injured is one who has work, keep house, or go to school)
sustained one or more injuries in an accident or in Preschool children: inability to take part in some type of nonaccidental violence (see definition of ordinary play with other
“Injury condition”). Each time a person is involved children.
in an accident or in nonaccidental violence causing School-age children: inability to go to school.
injury that results in at least 1 full day of restricted Housewives: inability to do any house
activity or medical attention he is included in the sta- work,
tistics as a separate “person injured,” hence one per- Workers and all
son may be included more than once. other persons: inability to work at a job
The number of persons injured is not equivalent to or business.
the number of “accidents” for several reasons: (1) the
Persons limited in amount or kind of major ac
term “accident” as commonly used may not involve
in-jury at all; (2) more than one injured person may be in- tivity pmformed (major activity refers to volved in a single accident, so the number of accidents ability to work, keep house, or go to school) resulting in injury would be less than the number of Preschool children: Iimited in amount or kind persons injured in accidents; and (3) the term “accident” of play with other children, ordinarily implies an accidental origin, whereas “per- e.g., need special rest pe
sons injured” as used in the Interview Survey includes riods, cannot play strenu
ous games, or cannot play persons whose injuries resulted from certain
non-for long periods at a time.
accidental violence.
The number of persons injured in a specified School-age children: limited to certain types of schools or in school at-time interval is always equal to or less than the
tendance, e.g., need spe
incidence of injury conditions since one person may
cial schools or special incur more than one injury in a single accident.
Class of accident. -Injuries, injured persons, and teaching,
full
cannot go to school time or for resulting days of disability may be grouped according
long periods at a time.
to class of accident. This is a broad classification of
Housewives: limited in amount or kind the types of events which, resulted in personal injuries.
of housework, i.e., cannot Most of these events are accidents in the usual sense
lift children, wash or iron, of the word, but some are other kinds of mishap, such
or do housework for long as overexposure to the sun or adverse reactions to
periods at a time.
medical procedures, and others are nonaccidental
vio-Workers and all lence, such as attempted suicide. The classes of
acci-other persons: limited in amount or kind dents are: (1) moving motor vehicle accidents, (2) acci
dents occurring while at work, (3) home accidents, and of work, e.g., need spe
cial working aids or spe
(4) other accidents. These categories are not mutually
cial rest periods at work, exclusive, For example, a person may be injured in a
cannot work full time or moving motor vehicle accident which occurred while
the person was at home or at work, The accident class for long periods at a time, or cannot do strenuous
“motor vehicle” includes “home-motor vehicle” and
work.
“while at work-motor vehicle.” Similarly, the classes
“while at work” and “home” include duplicated counts,,
e.g., “motor vehicle-while at work” is included under 3. Persons limited but not in major activity
“while at’work.” (major activity refers to ability to work, keep
house, or go to school)
Terms Relating to Disability Preschool children: not classified in this cate
gory.
Chronic activity limitation.-Persons are classi- School-agechildren: not limited in going to fied into four categories according to the extent to school but limited in par-which their activities are limited at present asa result ticipation in athletics or
of chronic conditions. Since the usual activities of other extracurricular ac
preschool children, school-age children, housewives, tivities.
71
Housewives: clubs, hobbies, civic proj
ects, or shopping.
not limited in regular work activities but limit
ed in other activities such as church, clubs, hobbies, civic projects, sports, or games.
4. Persons not limited in activities Includes per-sons with chronic conditions whose activities are not limited in any of the ways described
Disability days.-Short-term disability days are classified according to whether they are days of re
stricted activity, bed days, hospital days, work-loss days, or school-loss days. All hospital days are, by
Restricted-activity &Y.-A day of restricted ac
tivity is one on which a person substantially reduces the amount of activity normal for that day because of a specific illness or injury. The type of reduction varies with the age and occupation of the individual as well as with the day of the week or season of the year. Re
stricted activity covers the range from substantial reduction to complete inactivity for the entire day.
employed persons” under “Demographic and Economic:
Terms.“)
Terms Relating to Hospital Insurance
Heizlth insurance. -Health insurance is any plar
For the Health Interview Survey, health insuranct excludes the following kinds of plans: (1) plans limiteo to the “dread diseases” such as cancer and polio (2:’
free care such as public assistance, public welfare and medicaid, care given free of charge to veterans, care given under Uniformed Services Dependents Medi
cal Care Program, care given under the Crippled services such as operating room, laboratory tests, and X-rays.
Demographic and Economic Terms
Age. - The age recorded for each person is the persons are included with white unless definitely known to be Indian or of another race.
Income of family OY of unrelated individuals.--Each member of a family is classified according to the total
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--- income of the familv of which he is a member. Within
the household all persons related to each other by blood, marriage, or adoption constitute a family. Un
related individuals are classified according to their own income.
W ’idowed and divorced include, respectively, all persons who said they were either widowed or legally divorced.
Living arrangement.-The four categories of living arrangements shown in this report are as follows:
Living alone .-Living alone is defined as persons living in one-member households.
Living with nonrelatives.- Living with nonrelatives is defined as persons living in a household with another person or persons, none of whom are re
lated to him by blood, marriage, or adoption.
Living with relatives-marvied.-This category includes married persons who are living in a household with another person or persons, of whom one or more are related to him by blood, marriage, or adoption. Persons with common-law marriages are considered to be married. For purposes of this category “married” excludes widowed, divorced, or separated. Persons whose only marriage was annulled are counted as “never married.”
Living with relatives -other.-This category in
cludes persons who are widowed, divorced, sepa
Geographic region ,-For the purpose of classifying the population by geographic area, the States are grouped into four regions. These regions, which cor
respond to those used by the U.S. Bureau of the Census, are as follows:
Region States Included
Northeast Maine, New Hampshire, Vermont, Massachusetts, Rhode Island, Connecticut, New York, New Jersey, Pennsylvania
North Central Michigan, Ohio, Indiana, Illinois, Wisconsin, Minnesota, Iowa, Missouri; North Dakota, South Dakota, Nebraska, Kansas
South _______ -___ Delaware, Maryland, District of
Columbia, Virginia, West Virginia, North Carolina, South Carolina, Georgia, Florida, Kentucky, Tennessee, Alabama, Mississippi, Arkansas, Louisiana, Oklahoma, Texas
West _________-_ Montana, Idaho, Wyoming, Colorado,
New Mexico, Arizona, Utah, Nevada, Alaska, Washington, Oregon, California, Hawaii
Area of residence.--The place of residence of a member of the civilian, noninstitutional population is classified as inside a standard metropolitan statistical area (SMSA) or outside an SMSA and either farm or nonfarm.
Standard metvopolitan statistical areas.--The def
initions and titles of SMSA’s are established by the U.S. Office of Management and Budget with the advice of the Federal Committee on Standard Metropolitan Statistical Areas. There were 212 SMSA’s defined for the 1960 Decennial Census.
The definition of an individual SMSA involves two considerations: first, a city or cities of specified population which constitute the central city and identify the county in which it is located as the central county; and, second, economic and social relationships with contiguous counties (except in New England) which are metropolitan in character so that the periphery of the specific metropolitan area may be determined. SMSA’s are not limited by State boundaries.
’ 73
Farm and nonfarm residence.-The population residing outside SMSA’s is subdivided into the farm population, which comprises all non-SMSA residents living on farms, and the nonfarm pop
ulation, which comprises the remaining outside-SMSA population. The farm population includes pers.ons living on places of 10 acres or more from which sales of farm products amounted to
$50 or more during the previous 12 months or on places of less than 10 acres from which sales of farm products amounted to $250 or more during the preceding 12 months. Other persons living outside an SMSA were classified as nonfarm if their household paid rent for the house but their rent did not include any land used for farming.
Sales of farm products refer to the gross receipts from the sale of field crops, vegetables, fruits, nuts, livestock and livestock products (milk, wool, etc.), poultry and poultry products, and nursery and forest products produced on the place and sold at any time during the preceding 12 months.
Currently employed persons. --Persons 17 years of age and over who reported that at any time during the 2-week period covered by the interview they either worked at or had a job or business are currently em
ployed. Current employment includes paid work as an employee of someone else; self-employment in busi
ness, farming, or professional practice; and unpaid work in a family business or farm. Persons who were temporarily absent from a job or business becauseof a temporary illness, vacation, strike, or bad weather
are considered as currently employed if they expectec!
to work as soon as the particular event causing tht absence no longer existed.
Free-lance workers are considered as currently employed if they had a definite arrangement with one employer or more to work for pay according to i weekly or monthly schedule, either full time or par1 time.
Excluded from the currently employed population are persons who have no definite employment schedule, but work only when their services are needed. Also excluded from the currently employed population art (1) persons receiving revenue from an enterprise bui not participating in its operation, (2) persons doing:
housework or charity work for which they receive no pay, (3) seasonal workers during the portion of tht year they were not working, and (4) persons who wert not working, even though having a job or business, but were on layoff or looking for work.
The number of currently employed persons esti
mated from the Health Interview Survey (HIS) will differ from the estimates prepared from the Current Popu
lation Survey (CPS) of the U.S. Bureau of the Census for several reasons. In addition to sampling variability they include three primary conceptual differences, namely: (1) HIS estimates are for persons 17 years oi age and over; CPS estimates are for persons 16 years af age and over. (2) HIS uses a P-week reference period, while CPS uses a l-week reference period.
(3) HIS is a continuing survey with separate samples taken weekly; CPS is a monthly sample taken for the survey week which includes the 12th of the month.
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Eighth Revision International Classification Condition for which hospifali2ed of Diseases, Adapted for Use in the
United States ICDA, Code Numbers1 Infective and parasitic diseases--- 000-136
Malignant neoplasms--- 140-209 Diabetesand unspecified neoplasms--- 210-239 Benign
mellitus--- 250 Other endocrine, nutritional, and metabolic
disorders--- 240-246, 251-264, 265.0, 265.2, 265.9, 266-279 Mental and personality disorders and
deficien-ties--- 290-304, 305.0, 305.3, 305.5, 305.6, 306-309 780.6, 781.5, 785.6, 786.2, 790.0, 790.2, x14-x19
Cerebrovascular disease--- 430-438
Diseases of the eye and visual impairments---- 360-378, 744, 781.0-781.2, x00-X05 Other diseases of riervous system and sense
organs, except paralysis---b--- 320-323, 330-342, 345-348, 349.0, 349.5-349.9, 350-358, 380-387, 745-O-745.3, 781.3, 781.4 781.7, X06-X13
Diseases of the heart riot elsewhere
classi-fied--- 390-398, 402, 404, 410-429, 782.1, 782.2, 782.4
H$fz;tensive disease not elsewhere
classi-400, 401, 403 Varicose veins excluding hemorrhoids--- 454. 456 Hemorrhoids--- 455.
Other circulatory diseases--- 440-453, 457, 458, 782.0, 782.3, 782.5-782.9 Upper respiratory conditions--- 460-465, 500-508
Other respiratory conditions--- 466-493, 510-519, 783, X36 Ulcer of stomach and duodenum--- 531-534
Appendicitis (all
forms)---Hernia of abdominal cavity---
:;:-5”;:
Diseases of the gallbladder--- 5741576
Other digestive system conditions--- 520.3, 520.4, 520.6-520.9, 521.0-521.5, 521.7-521.9, 522, 523, 525-530, 535-537, 560-573, Male genital disorders--- ;;;J;4, 785.0-785.5, 785.7, 785.8 Female breast and genital disorders--- 610-629
Other genitourinary system conditions--- 580-599, (610, 611 male) 786.0, 786.1, 786.3-786.7,
Deliveries--- -___ - -_________-_ 650-661 789, X37, X38 Complications of pregnancy and the puerperium- 630-645, 670-678 Diseases of the skin and cellular tissue not
elsewhere classified--- ___- --_ 680-709
Arthritis (all forms) 710-715
Conditions of bones and joints not elsewhere
classified--- 720-723, 725, 728, 729, N800.9-N829.9: X70-Other conditions of the musculoskeletal system x79
not elsewhere classified--- 716-718, 730-734, 787, X20-X34, X80-X89 Fractures and dislocations,. current--- N800-N83g3
Other current injuries--- N840-N99g3
All other conditions and observations--- All other ICDA and X-Code numbers BPO
'Conditionsrxccpt impnirmcnts codedaccordingto the InternationalClassificationof DiseasesAdaptedIvith certainItiodifications;im
pairm~W~RIOcodndaccordingto a special supplementnr~ classification referred to as the “X-Code.” Xumhers preceded by the I etter ‘3” refer to this wprrinl supnlomentary classification. The impawment classification is shown in Vital and Health Statistics, Series 10, NO. 46. If the rendition? inrludrrl io an KY,\ number are equivalent to those included in an X-Code category, the ICI% number is not used.
L’ llith .O in thn 4th digit.
:\nthvr than .!I in tho 4th digit.
ooo-75
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APPENDIX III. QUESTIONNAIRE
The items below show the exact content and wording of the basic questionnaire used in the nationwide survey of the U.S. National
The items below show the exact content and wording of the basic questionnaire used in the nationwide survey of the U.S. National