Appendix A.
National Health Interview Survey (NHIS) measures used in analysis with detailed International Classification of Functioning, Disability, and Health (ICF) codes and definitions, NHIS 2009
| NHIS measure used in analysis |
ICF Chapter Heading (sub-chapter) |
First branching level |
ICF code |
Remaining branching levels→ ICF definition |
|---|---|---|---|---|
|
Social
participation restriction |
Activities and Participation (9) |
Community, social, and civic life |
d910; d920 |
Community, social, and civic life→ Community Life; Recreation and Leisure |
| Impairments | ||||
|
Severe joint pain
(≥7/10) |
Body Functions (2) |
Sensory functions and pain |
b28016 | Pain→ Sensation of pain→ Pain in joints |
| Body Mass Index (BMI) | Body Functions (5) |
Functions of the digestive, metabolic and endocrine systems |
b530 | Functions related to the digestive system→ Weight maintenance functions |
| Number of selected comorbid conditions (max 10) | ||||
| Hypertension | Body Functions (4) |
Functions of the cardiovascular, haematological, immuniological, and respiratory systems |
b 415 | Functions of the cardiovascular system→ Blood vessel functions |
| Heart disease (coronary heart disease, angina, myocardial infarction, other heart disease) |
Body Functions (4) |
Functions of the cardiovascular, haematological, immuniological, and respiratory systems |
b 410 | Functions of the cardiovascular system→ Heart functions |
| Stroke | Body Functions (4) |
Functions of the cardiovascular, haematological, immuniological, and respiratory systems |
b 415 | Functions of the cardiovascular system→ Blood vessel functions |
| Emphysema | Body Functions (4) | Functions of the respiratory system |
b 440 | Respiratory functions |
| Asthma | Body Functions (4) |
Functions of the respiratory system |
b 440 | Respiratory functions |
| Cancer | All Body Functions and Body Structures |
b---; s--- | Because cancer can affect virtually any body structure and influence function and because we queried regarding any type of cancer, this item cannot be further classified |
|
| Diabetes | Body Functions (5) |
Functions of the digestive, metabolic, and endocrine systems |
b 540 | Functions related to metabolism and the endocrine system→ General metabolic function |
| Chronic bronchitis |
Body Functions (4) |
Functions of the respiratory system |
b 440 | Respiratory functions |
| Weak/failing kidneys |
Body Functions (6) |
Genitourinary and reproductive functions |
b 610; b6100 |
Urinary excretory functions→ Filtration of urine by the kidneys |
| Liver disease | Body Functions (5) |
Functions of the digestive, metabolic, and endocrine systems |
b 515 | Functions related to the digestive system→ Digestive functions |
|
Serious
Psychological Distress |
Body Functions (1) |
Mental functions | b 152 | Specific mental functions→ Emotional functions |
|
Sleep in 24 hour
period |
Body Functions (1) |
Mental functions | b1340 | Global mental functions→ Sleep functions→ Amount of sleep |
|
Limitations
(defined as “very difficult” or “cannot do”) | ||||
| Carry/lift something as heavy as 10 pounds |
Activities and Participation (4) |
Mobility | d4300; d4301; d4302 |
Carrying, moving and handling objects→ Lifting and carrying objects→ Lifting; Carrying in the hands; Carrying in the arms |
| Climb up 10 steps without resting |
Activities and Participation (4) |
Mobility | d4551 | Carrying, moving, and handling objects→ Walking and moving → Moving around→ Climbing (e.g., climbing steps or stairs) |
| Grasp/handle small objects with your fingers |
Activities and Participation (4) |
Mobility | d440; d4401; d4402 |
Carrying, moving, and handling objects→ Fine hand use→ Grasping; Manipulating |
| Push/pull large objects (living room chair) |
Activities and Participation (4) |
Mobility | d4451; d4450 |
Carrying, moving, and handling objects→ Hand and arm use→ Pushing; Pulling |
| Reach up over your head |
Activities and Participation (4) |
Mobility | d4458 | Carrying, moving, and handling objects→ Hand and arm use→ Hand and arm use, other specified |
| Sit for about 2 hours |
Activities and Participation (4) |
Mobility | d4153 | Changing and maintaining body position→ Maintaining a body position→ Maintaining a sitting position |
| Stand or be on your feet for about 2 hours |
Activities and Participation (4) |
Mobility | d4154 | Changing and maintaining body position→ Maintaining a body position→ Maintaining a standing position |
| Stoop, bend, or kneel |
Activities and Participation (4) |
Mobility | d4106; d4105; d4102 |
Changing and maintaining body position→ Changing basic body position→ Shifting the body’s centre of gravity; Bending; Kneeling |
| Walk ¼ mile or 3 city blocks |
Activities and Participation (4) |
Mobility | d4500 | Walking and moving→ Walking→ Walking short distances |
| Environmental Factors | ||||
| Homeownership | Environmental (1) |
Products and technology |
e1651 | Assets→ Tangible assets (e.g., houses and land) |
|
Household size (#
people in household) |
Environmental (2) |
Natural environment and human-made changes to environment |
e2151 | Population→ Population density |
| Marital status | Environmental (3) |
Support and relationships |
e310 | Immediate family (e.g., related by marriage; spouse) |
|
Medical office
visits in the past year |
Environmental (5) |
Services, systems, and policies |
e5800 | Health services, systems, and policies→ Health services (e.g., primary care services, acute care, rehabilitation, and long- term care services) |
| Health insurance | Environmental (1) |
Products and technology |
e1658 | Assets→ Assets, other specified |
|
Delayed
healthcare due to cost (yes) |
Environmental (1) |
Products and technology |
e1650 | Assets→ Financial assets |
|
Received
government assistance last calendar year (yes) |
Environmental (5) |
Services, systems, and policies |
e5700 | Social security services, systems, and policies→ Social security services (e.g., public assistance) |
|
Income-to-poverty
ratio |
Environmental (1) |
Products and technology |
e1650 | Assets→ Financial assets |
|
Most educated
household adult |
Environmental (1) |
Products and technology |
e1652 | Assets→ Intangible assets (e.g., knowledge and skills) |
|
Personal factors-not classified due to substantial social and cultural variance associated with them; “Contextual factors that relate to the individual such as age, gender, social status, life experiences and so on, which are not currently classified in ICF but which users may incorporate in their applications of the classification (5).” | ||||
| Age (years) | ||||
| Sex | ||||
| Race/ethnicity | ||||
| Education | ||||
| Employment status | ||||
| Current smoker | ||||
| Physical activity level-aerobic | ||||
| >2 hours homeless or in jail | ||||
| Retrieve health information from internet | ||||