Description
For persons age 18+ included in the NHIS during survey years 1986 to 2004 who provided sufficient data for linking (MORTELIG) and whose final vital status was judged deceased (MORTSTAT), MORTUCOD reports the underlying cause of death. This information was determined by NCHS based on probabilistic matches of survey participants' NHIS records to National Death Index (NDI) records.
MORTUCOD is a recode created by NCHS to classify underlying cause of death in 113 categories. Deaths that occurred prior to 1999 are coded based on the 9th revision of the International Statistical Classification of Diseases, Injuries, and Causes of Death (ICD-9). Deaths that occurred from 1999 forward are coded based on the 10th revision of the International Statistical Classification of Diseases, Injuries, and Causes of Death (ICD-10).
Weights for Mortality Data
Because adult survey participants who provided insufficient data for linking may differ from those who provided enough data for linking, ignoring the ineligible adult respondents (IHIS code 3 in MORTELIG) could lead to biased mortality analysis. To correct this bias, NCHS developed eligibility-adjusted weights: MORTWT, available for 1986-2004, for use with variables from the NHIS person files, and MORTWTSA, available for 1997-2004, for use with variables from the sample adult files. When analyzing NHIS variables from the person files in conjunction with MORTUCOD, users should employ MORTWT (rather than the standard person weight, PERWEIGHT). When analyzing variables from the sample adult files in conjunction with MORTUCOD, users should employ MORTWTSA (rather than the standard sample weight, SAMPWEIGHT).
For further information on the NDI and the creation of the mortality variables, see the variable description for MORTELIG and the technical documents from NCHS on the creation and analysis of the NHIS Linked Mortality Files.
Related Variables
Other mortality variables included in IHIS are the following:
- MORTDODY (Year of death)
- MORTDODQ (Quarter of death)
- MORTDIAB (Multiple cause of death flag, diabetes as a contributing factor)
- MORTHIPFX (Multiple cause of death flag, hip fracture as a contributing factor)
- MORTHYPR (Multiple cause of death flag, hypertension as a contributing factor)
- MORTCMS (Mortality status obtained from Centers for Medicaid and Medicare Services)
- MORTNDI (Mortality match with National Death Index)
- MORTSSA (Mortality status obtained from Social Security Administration)
Comparability
MORTUCOD is largely comparable over time. As noted above, deaths occurring prior to 1999 are based on the 9th revision of the International Statistical Classification of Diseases, Injuries, and Causes of Death (ICD-9); deaths occurring from 1999 forward are coded based on the 10th revision (ICD-10).
Universe
- 1986-2004: All persons age 18+ eligible for mortality follow-up, assumed dead, and whose assumed cause of death was not unknown.
Codes and Frequencies
Availability
- 1986-2004
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Weights
- 1986-2004 : MORTWT
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