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Selected National Surveys and Statistics

To view these surveys, use the following links to jump to a
specific survey, or scroll through the entire list below the links


To learn about surveillance activities not listed here,
please refer to Nutrition Monitoring in the United States.

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Behavioral Risk Factor
Child Nutrition Programs: Published Studies and Summaries
Child Stats.Gov
Continuing Survey of Food Intake by Individuals (CSFII),1989-91 (also see What We Eat in America survey)

Federal Weight-related Surveillance Data

Legal Services of Northern California
National Health and Nutrition Examination (NHANES)
Nutrition Monitoring in the United States, The Directory of Federal and State Nutrition Monitoring and Related Research Activities
Pediatric Nutrition Surveillance System (PedNSS)
Pregnancy Nutrition Surveillance System (PNSS)
Pregnancy Risk Assessment Monitoring System (PRAMS)
School Health Policies and Programs Study (SHPPS)
Selected Metropolitan/Micropolitan Area Risk Trends from the Behavioral Risk Factor Surveillance System (SMART BRFSS)
WHAT WE EAT IN AMERICA survey (CSFII and DHKS 1994-96 and 1998)
Youth Risk Behavior Survey (YRBS) & National Alternative High and School Youth Risk Behavior Survey (ALT-YRBS)
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Behavioral Risk Factor Surveillance System (BRFSS)

Description: BRFSS is a state-based telephone survey used to assess the prevalence of personal health practices that are related to the leading causes of death. The survey has been conducted annually since 1984, with modules for assessment of fruit and vegetable consumption added in 1990. THe BRFSS is administered and supported by the Division of Adult and Community Health at the CDC.

Population Monitored: Adults (aged 18+) in every state are selected by random digit dialing and surveyed by phone. Currently, each state completes between 125 and 625 interviews a month, totaling more than 150,000 completed interviews nation-wide each year.

Used to assess:
  • Anthropometric measures
  • Alcohol and tobacco use
  • Weight control practices
  • Health status (selected measures)
  • Cholesterol screening practices, awareness and treatment
  • Fruit & vegetable consumption
Results:
For more information on the survey or to view local, state and national level prevalence and trend data, visit: http://www.cdc.gov/brfss/
Child Nutrition Programs: Published Studies & Summaries

The Food and Nutrition Service (FNS) administers the 15 food assistance programs of the U.S. Department of Agriculture. The Office of Analysis Nutrition & education (OANE) conducts studies and analysis to inform policymaking and management of FNS programs, and coordinate program-related nutrition policy and services.

Selected reports based on OANE research include:
  • The School Nutrition Dietary Assessment Study: Summary of Findings (1993)
  • Eating Breakfast: Effects of the School Breakfast Program (1998)
  • School Nutrition Dietary Assessment Study II (2001)
  • Children's Diets in the Mid-1990's: Dietary Intake and It's Relationship with School Meal Participation (2001)

These and other child nutrition studies (1992 - 2004) are available on the FNS website at http://www.fns.usda.gov/oane/MENU/Published/CNP/CNP.HTM#SNDAIIFull and http://www.fns.usda.gov/oane/default.htm

ChildStats.Gov

This searchable web site offers access to federal and state statistics and reports on children and their families. Reports of the Federal Interagency Forum on Child and Family Statistics include America's Children: Key National Indicators of Well-Being, the annual Federal monitoring report on the status of the Nation's children.

Stats and reports include: 
  • population and family characteristics
  • economic security
  • health
  • behavior and social environment
  • education
To view or order reports, visit http://childstats.gov/.

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Continuing Survey of Food Intake by Individuals (CSFII) & Diet and Health Knowledge Survey (DHKS), 1989-91

Description: The 1989-91 CSFII was designed to measure what Americans eat and drink. The DHKS, conducted as a telephone follow-up, is designed to improve understanding of links between individual’s knowledge and attitudes to his or her dietary behavior as indicated by food intake information. Individuals provided 3 consecutive days of dietary data: day 1 data were in-home interviews using 1-day dietary recall, day 2 and 3 were collected using self-administered 2-day dietary records. Individuals who were identified as the main meal planners/preparers in the CSFII were contacted by telephone 6 weeks after collection of the dietary data and asked to answer a series of questions about knowledge and attitudes toward diet, health, and food safety.

Population surveyed: Children under age 6 by proxy, children and adolescents, and adults: 3-day dietary data collected for 15,192 individuals, dietary intake data for 11,912 individuals, and diet and health information for 5,730 individuals identified as main meal planners/preparers.

The data set contains 1000+ variables on household and individual:
  • Diet
  • Health/disease status
  • Health knowledge
  • Demographics
Results:

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Federal Weight-related Surveillance Data

National Health and Nutrition Examination Survey (NHANES)
http://www.cdc.gov/nchs/nhanes.htm

The CDC growth charts:
http://www.cdc.gov/growthcharts/

Youth Risk Behavior Surveillance System (YRBSS)
http://www.cdc.gov/nccdphp/dash/yrbs/index.htm
Includes Youth Online interactive access to reports and graphs, 2001 - 2003

Pediatric Nutrition Surveillance System (PedNSS)
http://www.cdc.gov/nccdphp/dnpa/pednss.htm

School Health Polices and Programs Study
http://www.cdc.gov/nccdphp/dash/shpps/index.htm

Continuing Survey of Food Intakes by Individuals
http://www.ars.usda.gov/Services/docs.htm?docid=7797

CDC Wonder B an integrated information and communication system for public health. Free registration, interactive access.
http://wonder.cdc.gov/

Data 2010 - accessible via CDC Wonder
Contains the most recent monitoring data for tracking Healthy People 2010. Interactive access, easy to use http://wonder.cdc.gov/

Health, United States
An annual publication from the National Center for Health Statistics , trend tables updated on the Web.http://www.cdc.gov/nchs/hus.htm

Data Ferrett -. Free interactive tool sponsored by government statistical agencies http://ferret.bls.census.gov/cgi-bin/ferret

Fedstats -- the gateway to statistics from over 100 federal agencies
http://www.fedstats.gov/

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Legal Services of Northern California

California statistics/data, as well as national statistics/data. http://www.lsnc.net/statistics.html

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National Health and Nutrition Examination Survey (NHANES):

Description: BRFSS is a state-based telephone survey used to assess

Description: NHANES is series of surveys, begun in 1960, designed to collect information about the health and diet of people across the United States. NHANES combines telephone and home interviews with health tests (physical examinations and laboratory tests) conducted in a mobile examination center. The current NHANES began in April 1999 and will be a continuous survey, visiting 15 U.S. locations a year.

Population monitored: Approximately 5,000 civilian, non-institutionalized persons ages 2 months and older are surveyed annually.

Used to assess:
Household & family level:
Individual level:
Socio-demographics Socio-demographic characteristics
Household characteristics Health status and history (many variables)
Occupation Dietary Supplement and Medicine Use
Food Security Dietary Behavior and Nutrition (assessed by 24-hour recall and 1-month food frequency)
Health insurance Physical Activity and Fitness
Pesticide use Occupation
Smoking Social Support
  Weight History
Results:
More information: www.cdc.gov/nchs/nhanes.htm
Nutrition Monitoring in the United States, The Directory of Federal and State Nutrition Monitoring and Related Research Activities

This is a comprehensive 267 page guide that lists and describes survey, surveillance, and research activities on national and state levels. The Directory is designed for researchers, reporters, and the public, and includes links directly to the Federal and State sources included in the Directory.

The Directory is organized into five major areas:
  • Nutrition and related health measures
  • Food supply determinations
  • Food composition and nutrient data bases
  • Knowledge, attitudes, and behavior assessments
  • Food and Nutrient consumption

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Pediatric Nutrition Surveillance System (PedNSS)
Description: Begun in 1973, PedNSS is intended to provide a framework for tabulating and interpreting state-specific information on the nutritional characteristics of low-income children. The survey is program-based and uses already available data collected from health, nutrition, and food assistance programs for infants and children [i.e. Women, Infants, and Children Supplemental Food Program (WIC); Early Periodic Screening, Diagnosis and Treatment (EPSDT); and clinics funded by Maternal and Child Health Program (MCH) Block Grants]. Participating entities submit data to CDC on a monthly basis. CDC provides assistance to the participants on using and interpreting their data. CDC encourages the PedNSS participants to distribute appropriate sections of the summaries to individual counties, clinics, and programs.

Population Monitored: Low-income children ~ birth-17 years of age, with emphasis on birth-5 years of age ~ served by public health programs. As of 1997, 44 states, the District of Colombia, and 5 tribal governments were participating in PedNSS.

Data collected:
  • Socio-demographic variables
  • Birth weight
  • Anthropometric indices (height/length, weight)
  • Iron status (hemoglobin and/or hematocrit)
  • Breastfeeding

Results:
State and National level results are available for 1997 with trend hightlights from 1989-97 in the report entitled Pediatric Nutrition Surveillance, 1997. The Executive Summary and Full Report are available on-line: http://www.cdc.gov/nccdphp/dnpa/pednss.htm

More information: For more information and the 2003 PedNSS Summary Report visi thttp://www.cdc.gov/pednss/index.htm
Pregnancy Nutrition Surveillance System (PNSS)
Description: PNSS is designed as a program-based surveillance system, based on data collected from health, nutrition, and food assistance programs for pregnant women, such as the Special Supplemental Food Program for Women, Infants, and Children (WIC) and prenatal clinics funded by Maternal and Child Health Program (MCH) Block Grants. PNSS has been conducted continuously since 1978. Participating entities submit information to CDC on a quarterly basis. The data are returned to states/agencies via annual data summaries.
Population monitored: Low income, high-risk pregnant women who participate in publicly-funded prenatal nutrition and food assistance programs. As of 1996, 22 states, the District of Columbia, and 2 tribal goernments were contributing records. Most records (97%) came from WIC agencies.
Used to assess:
  • Socio-demographics
  • Prenatal risk factors
  • Infant feeding practices
  • Birth outcomes

Results:
More information and the 2002 Pregnancy Nutrition Surveillance System data are presented at: http://www.cdc.gov/pednss/index.htm

Pregnancy Risk Assessment Monitoring System (PRAMS)

Description: PRAMS is a CDC surveillance system used by 32 states to collect state-specific, population-based data on maternal attitudes, behaviors and experiences prior to, during, and immediately following pregnancy. Selected women are first contacted by mail. If there is no response to repeated mailings, women are contacted and interviewed by telephone. Data collection procedures and instruments are standardized to allow comparisons between states.

Population monitored: Women who have had a recent live birth, drawn from the state's birth certificate file. Each participating state samples between 1,300 and 3,400 women per year. Women from some groups are sampled at a higher rate to ensure adequate data are available in smaller but higher risk populations.

Used to monitor:
The questionnaire includes core questions that are asked by all the states and state-specific questions that are chosen or developed by individual states. The core portion of the questionnaire addresses:
  • Attitudes and feelings about the most recent pregnancy
  • Content and source of prenatal care
  • Maternal alcohol and tobacco consumption
  • Physical abuse before and during pregnancy
  • Pregnancy-related morbidity
  • Infant health care
  • Maternal living conditions
  • Mother's knowledge of pregnancy-related health issues, such as adverse effects of tobacco and alcohol; benefits of folic acid; and risks of HIV
Results: PRAMS publications for 1995, 1996, 1997, 1998 can be accessed at http://www.cdc.gov/nccdphp/drh/srv_prams.htm#8
School Health Policies and Programs Study (SHPPS)

Description: The School Health Policies and Programs Study (SHPPS) is a national survey periodically (1994 and 2000 to date) conducted to assess school health policies and programs at the state, district, school, and classroom levels. Data are collected by self-administered mail questionnaires and computer-assisted personal interviews in all 50 states and the District of Columbia. The study is sponsored by the Centers for Disease Control and Prevention (CDC).

Population surveyed: State, district, school, and classroom personnel who are responsible for school health policies and programs. In 1994, 79% of schools nation-wide responded. In 2000, 71% of schools responded.
SHPPS 2000 will assess:
  • Health education
  • Physical education and activity
  • Health services
  • Nutrition services
  • School policy and environment
  • Mental health and social services
  • Faculty and staff health promotion
  • Family and community involvement
Results:
SHPPS 2000: Summaries of state and national level results are available on-line at: http://www.cdc.gov/nccdphp/dash/shpps/. SHPPS 2000 datasets are available by contacting the CDC at
(888) 231-6405 or HealthyYouth@cdc.gov
SHPPS 1994: National level results are available on-line in the form of an overview report and topical fact sheets: http://www.cdc.gov/nccdphp/dash/shpps.
Please refer to the website below for an overview of the study, fact sheets summarizing the results of each component, and ordering formation for copies of the study results published in the Journal of School Health Supplement, Volume 71, Number 7, September 2001.
For additional information on SHPPS, contact the
Centers for Disease Control and Prevention (CDC), National Center for Chronic Disease Prevention and Health Promotion, Division of Adolescent and School Health, 4770 Buford Highway, NE, Mailstop K-33, Atlanta, GA 30341-3717, (888) 231-6405.

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Selected Metropolitan/Micropolitan Area Risk Trends from the Behavioral Risk Factor Surveillance System (SMART BRFSS)

Description: CDC Launches SMART Project. Due to an increased demand for localized health information, the Centers for Disease Control and Prevention (CDC) announced the release of a new data analysis Selected Metropolitan/Micropolitan Area Risk Trends from the Behavioral Risk Factor Surveillance System (SMART BRFSS) The new analysis includes health data from 98 selected micropolitan and metropolitan areas regarding health issues such as diabetes, obesity, smoking, and overall health status. Statistically, a metropolitan area is a group of counties that includes one urban area of at least 50,000 people. A micropolitan area is a group of counties with an urban cluster of at least 10,000 people but not 50,000. SMART BRFSS marks the first time that health officials have had access to local-level data on health status that are comparable across the nation.

More information: http://www.cdc.gov/brfss/

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What We Eat In America Survey, 1994-96, 1998
(CSFII and DHKS 1994-96, 1998)

Description: USDA's 10th nationwide survey is called the 1994-96, 1998 Continuing Survey of Food Intakes by Individuals (CSFII). In 1994-96, the Diet and Health Knowledge Survey (DHKS) was conducted as a follow-up telephone survey to the CSFII. The CSFII and DHKS together are popularly known as the What We Eat in America survey. In 1998, dietary data were collected from children birth through 9 years of age using the same methods as in 1994-96.

Population surveyed: The survey sample was scientifically selected to be representative of the U.S. population. In each year, approximately 5,500 participants were surveyed in 62 geographical areas across the country. Proxy interviews were conducted for children under 6 years of age. Children 6 to 11 years of age were asked to provide their own food intake information assisted by an adult household member.
Survey measured many variables related to:
  • Dietary intake, nutrition knowledge and attitudes
  • Health/disease status, knowledge and attitudes
  • Socio-demographic information

Results:
Microdata from the survey may be ordered on CD- ROM. Table sets of food and nutrient intakes can be viewed as pdf documents. http://www.barc.usda.gov/bhnrc/foodsurvey/

More information: http://www.barc.usda.gov/bhnrc/foodsurvey/home.htm
Youth Risk Behavior Surveillance System (YRBSS)

Description: YRBSS is a national surveillance system designed to monitor six categories of priority health risk behaviors among youth and young adults. The YRBSS includes a national school-based survey conducted by CDC, as well as territorial, state, and local school-based surveys conducted by education and health agencies.

Population monitored:

National: a nationally representative sample of students in grades
9 - 12. 15,349 questionnaires were completed in 144 schools (66% overall response).

State and local: The data were weighted for surveys from 22 states and 14 large cities (each had an overall response rate of >60% and appropriate documentation). Weighted data from the majority of these states and cities can be generalized to all public school students in grades 9--12 in the respective jurisdiction. For surveys that did not have an overall response rate of >60% and appropriate documentation, the data were not weighted. Unweighted data from 11 states and 2 large cities apply only to students participating in the survey.

The YRBSS survey monitors:
  • Tobacco use
  • Behaviors that contribute to unintentional and intentional injuries
  • Alcohol and other drug use
  • Sexual behaviors that contribute to unintended pregnancy and sexually transmitted diseases
  • Unhealthy dietary behaviors
  • Physical inactivity

Recent results:
Youth Risk Behavior Surveillance – United States, 1999
: A report summarizing results from the national survey, 33 state surveys, and 16 local surveys conducted among high school students during February--May 1999. http://www.cdc.gov/nccdphp/dash/yrbs/

Previous results:
Reports summarizing results are also available for YRBS 1993, 1995, and 1997, 2001 and 2003. Data files and documentation can be downloaded and/or ordered. http://www.cdc.gov/HealthyYouth/yrbs/data/index.htm

National Alternative High School Youth Risk Behavior Survey
(ALT-YRBS)

ALT-YRBS is one component of the YRBSS (described above); it was conducted in 1998 to measure priority health-risk behaviors among students at alternative high schools. A report summarizing the results from the 1998 ALT-YRBS can be viewed at http://www.cdc.gov/mmwr/preview/mmwrhtml/ss4807a1.htm

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