Codes and Frequencies
For sample adults whose biological father ever had cancer of any kind (BFHCAN), BFESCAN reports whether the respondent's biological father ever had esophagus cancer.
Beginning in 2015, details about esophagus cancer (and several other cancer types) were suppressed because of low frequencies of these types of cancer among family members. Cancers of the esophagus, larynx-windpipe, mouth/tongue/lip, and throat-pharynx are not available separately on the NHIS public use files to protect confidentiality; incidence of these cancer types for the sample adult's biological father all combined in BFHNCAN, which reports if the sample adult's biological father was diagnosed with head and neck cancer.
BFESCAN is one of a series of related variables in the "Family History" section of the 2000, 2005, and 2010 Cancer Modules. In all years, this section begins with the general comment:
According to the 2000 and 2005 Field Representative's Manuals, the purpose of this and other family cancer history questions is to "determine the prevalence of cancer in families in the population" to "allow a greater understanding of how data obtained from genetics clinics can be applied to the general population." The 2010 and later Manuals provide a similar rationale, stating that the collection of this data "will allow analysts a greater understanding of how family history relates to cancer.
The Manuals for all three years define "biological" relatives as people related by blood. Thus, a respondent's biological father is a father related to the respondent by blood (i.e., not a stepfather, adoptive father, foster father, or father-in-law).
BFESCAN is fully comparable between 2005 and 2010.
BFESCAN is largely comparable between 2000 and 2005/2010, though there may be some difference in the meaning of "refused," "not ascertained," and "don't know" as used in 2000 compared to the meanings of those terms in 2005 and 2010.
The Survey Descriptions for all three years caution that while "all sample adults were to be asked the questions in the Cancer Control Module, some persons did not complete the supplement." However, whereas in 2000, persons who answered less than 50 percent of the questions in the supplement had a value of "not ascertained" automatically inserted in the appropriate fields of the Cancer Control Module file, in both 2005 and 2010, persons who answered none of the questions in the supplement had a value of "not ascertained" automatically inserted in the appropriate fields of the Cancer Control Module file.
- 2000; 2005; 2010: Sample adults age 18+ whose father ever had cancer.
- 2000, 2005, 2010
- 2000, 2005, 2010 : SAMPWEIGHT