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MORTHIPFX
Hip fracture flag from multiple cause of death (MCOD)

Codes and Frequencies



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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) as of December 2006, MORTHIPFX indicates whether, in addition to the underlying cause of death (MORTUCOD), hip fracture was listed as a contributing cause of death. This information was determined by NCHS based on probabilistic matches of survey participants' NHIS records to National Death Index (NDI) records. Hip fracture was classified based on an ICD-9 code of E820 for 1986-1998 and on an ICD-10 code of S70-S722 for 1999-2004. This variable is not available for NHIS participants in the 2005 or later surveys, or for decedents who died after December 2006.

Use of Weights with 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 (IPUMS NHIS code 3 in MORTELIG) could lead to biased mortality analysis. To correct this bias, NCHS developed eligibility-adjusted weights: MORTWT, available for 1986-2009, for use with variables from the NHIS person files, and MORTWTSA, available for 1997-2009, for use with variables from the sample adult files. When analyzing NHIS variables from the person files in conjunction with mortality variables, users should employ MORTWT (rather than the standard person weight, PERWEIGHT). When analyzing variables from the sample adult files in conjunction with mortality variables, users should employ MORTWTSA (rather than the standard sample weight, SAMPWEIGHT).

Related Variables 

MORTHIPFX was one of three multiple cause of death flags that indicate whether specific health conditions were listed as contributing causes of death (in addition to the underlying cause of death). MORTDIAB indicates whether diabetes was listed as a contributing cause of death; MORTHYPR indicates whether hypertension was listed as a contributing cause of death.

For other mortality variables included in IPUMS NHIS, please refer to the MORTSTAT variable description.

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.

Comparability

MORTHIPFX is largely comparable across years. As noted above, hip fracture was classified based on an ICD-9 code of E820 for 1986-1998, and based on an ICD-10 code of S720-S722 for 1999-forward.

Universe

  • 1986-2004: All persons age 18+ eligible for mortality follow-up and assumed dead with known cause of death

Availability

  • 1986-2004

Weights