Table 2.
Similarities in cancer screening constructs across the National Health Interview Survey (NHIS), Health Information National Trends Survey (HINTS), Behavioral Risk Factor Surveillance System (BRFSS), and California Health Interview Survey (CHIS), 2005
| Construct | NHIS | HINTS | BRFSS | CHIS | Wording same? | Response options same? | Universe same? |
|---|---|---|---|---|---|---|---|
| Clinical Breast Exam (CBE) | |||||||
| CBE ever had | ✓ | ✓ a | No | Yes | No | ||
| CBE most recent | ✓ | ✓ a | No | No | No | ||
| CBE past 12 months | ✓ | ||||||
| Mammography (Mam) | |||||||
| Mam ever had | ✓ | ✓ | ✓ a | ✓ | Yes | Yes | No. NHIS and CHIS the same |
| Mam most recent | ✓ | ✓ | ✓ a | ✓ | No. All similar; may be possible to merge | No. BRFSS and CHIS similar; NHIS could be coded to be similar to others | No. NHIS and CHIS the same |
| Mam frequency | ✓ | ✓ | Same question, CHIS has extra language | Yes. | Yes. | ||
| Mam age at first | ✓ | ||||||
| Mam main reason did not have | ✓ | ✓ | Yes. | Yes | No. | ||
| Mam main reason did have | ✓ | ✓ | No | No | No | ||
| Mam abnormal | ✓ | ✓ | No | Yes | Yes | ||
| Mam abnormal: cancer | ✓ | ||||||
| Mam abnormal: follow-up test or surgery | ✓ | ||||||
| Mam abnormal: follow-up type | ✓ | ||||||
| Mam provider recommendation (if screening off schedule) | ✓ | ✓ | No | No | Yes | ||
| Mam provider recommendation (if screening on schedule) | ✓ | ✓ | No | No | Yes | ||
| Pap Test (Pap) | |||||||
| Pap ever had | ✓ | ✓ | ✓ a | ✓ | No | Yes | Yes, if NHIS and CHIS skip cervical cancer survivors |
| Pap most recent | ✓ | ✓ | ✓ a | ✓ | No. NHIS and HINTS very similar | No. CHIS and BRFSS similar; NHIS could be coded to be similar to others | No |
| Pap frequency | ✓ | ✓ | No, but similar | Yes | Yes | ||
| Pap penultimate | ✓ | ||||||
| Pap main reason did not have | ✓ | ✓ | No, but similar | Yes | No | ||
| Pap main reason did have | ✓ | ✓ | No, but similar | No, but similar | Yes, if NHIS skips cervical cancer survivors | ||
| Pap abnormal | ✓ | ||||||
| Pap abnormal: follow-up test | ✓ | ||||||
| Pap abnormal: follow-up surgery | ✓ | ||||||
| Pap provider recommendation (if screening off schedule) | ✓ | ✓ | No, but similar | Yes | No | ||
| Pap provider recommendation (if screening on schedule) | ✓ | ||||||
| Pap intention | ✓ | ||||||
| Pap guideline knowledge | ✓ (2 items) | ||||||
| Pap willingness to extend interval | ✓ | ||||||
| Fecal Occult Blood Test (FOBT) | |||||||
| Home FOBT ever had | ✓ | ✓ | ✓ b | ✓ | No | Yes | No; CHIS and NHIS the same |
| Home FOBT most recent | ✓ | ✓ | ✓ b | ✓ | No | No. CHIS and BRFSS similar; NHIS could be coded to be similar to others | No; CHIS and NHIS the same |
| Home FOBT frequency | ✓ | ||||||
| Home FOBT main reason did not have | ✓ | ✓ | Yes | Yes | No | ||
| Home FOBT main reason did have | ✓ | ||||||
| Home FOBT abnormal | ✓ | ||||||
| Home FOBT abnormal: timing | ✓ | ||||||
| Home FOBT abnormal: follow-up type | ✓ | ||||||
| Home FOBT provider recommendation (if screening off schedule) | ✓ | ✓ | No | Yes | Yes | ||
| Home FOBT provider recommendation (if screening on schedule) | ✓ | ||||||
| Office FOBT ever had | ✓ | ||||||
| Office FOBT most recent | ✓ | ||||||
| Endoscopy (Endo) | |||||||
| Endo ever had | ✓ | ✓ | ✓ b | ✓ | No | Yes | No. CHIS and NHIS the same |
| Endo most recent | ✓ | ✓ | ✓ b | ✓ | No | No, may be possible to merge | No. CHIS and NHIS the same |
| Endo frequency | ✓ | ||||||
| Endo type | ✓ | ✓ | No | No | No | ||
| Endo main reason did not have | ✓ | ✓ | No | Yes | No | ||
| Endo main reason did have | ✓ | ||||||
| Endo provider recommendation (if screening off schedule) | ✓ | ✓ | No | Yes | No | ||
| Endo provider recommendation (if screening on schedule) | ✓ | ||||||
| Colorectal Cancer (CRC) Screening | |||||||
| CRC screening fear | ✓ | ||||||
| CRC screening benefit | ✓ | ||||||
| CRC risk reduction | ✓ | ||||||
| CRC screening test knowledge | ✓ | ||||||
| CRC screening provider recommendation | ✓ | ||||||
| Prostate-Specific Antigen Test (PSA) | |||||||
| PSA ever heard | ✓ | ✓ | Same question, CHIS has extra language | Yes | No | ||
| PSA ever had | ✓ | ✓ | ✓ c | ✓ | Yes | No; CHIS, BRFSS, and NHIS the same | No; CHIS, BRFSS, and NHIS the same |
| PSA most recent | ✓ | ✓ | ✓ c | ✓ | No; NHIS and HINTS the same | No. CHIS and BRFSS similar; NHIS could be coded to be similar to others | No; CHIS, BRFSS, and NHIS the same |
| PSA frequency | ✓ | ||||||
| PSA age at first | ✓ | ||||||
| PSA main reason did have | ✓ | ||||||
| PSA provider discussion | ✓ | ||||||
| PSA provider recommendation (for or against) | ✓ | ||||||
| PSA provider encourage questions | ✓ | ||||||
| Digital Rectal Exam (DRE) | |||||||
| DRE ever had | ✓ c | ||||||
| DRE most recent | ✓ c | ||||||
Notes: Gray columns indicate constructs that were only assessed by a single survey. For complete information about the items used to assess each construct, organized by survey, please refer to Supplemental Table 1.
a
Construct only assessed in 11 states (Arkansas, Georgia, Iowa, Maine, Mississippi, Nevada, New Jersey, Tennessee, Vermont, Virginia, Wyoming)
b
Construct only assessed in 7 states (Arizona, Florida, Georgia, Indiana, Iowa, Maine, Virginia)
c
Construct assessed by 0 states (i.e., item proposed but not adopted for use in any state surveys)