Background
Methods
Inclusion and exclusion criteria
Variable inclusion
Variables | Labels | Categories | |
---|---|---|---|
died | Died during MEPS panels | ||
meps | Entry year to the MEPS | ||
racex | Race | ||
agey1x | Age as of 12/31 | ||
regiony1 | Census region as of 12/31 | ||
ttlpy1x | Person’s total income | ||
educyr | Years of education when first entered MEPS | ||
sex | Sex | ||
First-year variables | Second-year variables | ||
adappt2 | adappt4 | Last 12 months: numbers of visits to medical office for care | CAHPS |
adcape2 | adcape4 | Last 4 weeks: felt calm/peaceful | SF-12v2 |
adclim2 | adclim4 | Health limits climbing stairs | SF-12v2 |
addaya2 | addaya4 | Health limits in moderate activities | SF-12v2 |
addown2 | addown4 | Last 4 weeks: felt downhearted or depressed | SF-12v2 |
addprs2 | addprs4 | Last 2 weeks: felt down/depressed/hopeless | Patient Health Questionnaire |
addrbp2 | addrbp4 | Last 2 years: whether physician checked blood pressure | General Health |
adefrt2 | adefrt4 | Last 30 days: how often everything was an effort | Non-specific Psychological Distress |
adexpl2 | adexpl4 | Last 12 months: doctor explained in a way that was understandable | CAHPS |
adgenh2 | adgenh4 | Health in general | SF-12v2 |
adhecr2 | adhecr4 | Last 12 months: rating of health care | CAHPS |
adhope2 | adhope4 | Last 30 days: how often felt hopeless | Non-specific Psychological Distress |
adilcr2 | adilcr4 | Last 12 months: illness/injury needing immediate care | CAHPS |
adilww2 | adilww4 | Last 12 months: got care when needed in case of illness/injury | CAHPS |
adinsa2 | adinsa4 | Do not need health insurance | Attitudes about Health |
adinsb2 | adinsb4 | Health insurance not worth cost | Attitudes about Health |
adintr2 | adintr4 | Last 2 weeks: little interest in things | Patient Health Questionnaire |
adlist2 | adlist4 | Last 12 months: doctor listened to you | CAHPS |
admals2 | admals4 | Last 4 weeks: as result of mental problems, accomplished less than you would like | SF-12v2 |
admwlm2 | admwlm4 | Last 4 weeks: as result of mental problems, did work or other activities less carefully than usual | SF-12v2 |
adndcr2 | adndcr4 | Last 12 months: need any care, test, treatment | CAHPS |
adnerv2 | adnerv4 | Last 30 days: how often felt nervous | Non-specific Psychological Distress |
adnrgy2 | adnrgy4 | Last 4 weeks: had a lot of energy | SF-12v2 |
adnsmk2 | adnsmk4 | Last 12 months: doctor advised to quit smoking | General Health |
adover2 | adover4 | Can overcome illness without medical help | Attitudes about Health |
adpain2 | adpain4 | Last 4 weeks: pain limits normal work | SF-12v2 |
adpals2 | adpals4 | Last 4 weeks: as result of physical health, accomplished less than would like | SF-12v2 |
adprtm2 | adprtm4 | Last 12 months: doctor spent enough time with you | CAHPS |
adprx2 | adprx4 | Relationship of proxy to adult | |
adpwlm2 | adpwlm4 | Last 4 weeks: as result of physical health, limited in kind of work or other activities | SF-12v2 |
adresp2 | adresp4 | Last 12 months: doctor showed respect | CAHPS |
adrest2 | adrest4 | Last 30 days: how often felt restless | Non-specific Psychological Distress |
adrisk2 | adrisk4 | More likely to take risks | Attitudes about Health |
adrtcr2 | adrtcr4 | Last 12 months: made appointment for routine medical care | CAHPS |
adrtww2 | adrtww4 | Last 12 months: got medical appointment when wanted | CAHPS |
adsad2 | adsad4 | Last 30 days: how often felt sad | Non-specific Psychological Distress |
adsmok2 | adsmok4 | Currently smoke | General Health |
adsoca2 | adsoca4 | Last 4 weeks: health stopped social activity | SF-12v2 |
adspec2 | adspec4 | Last 12 months: needed to see specialist | General Health |
adwrth2 | adwrth4 | Last 30 days: how often felt worthless | Non-specific Psychological Distress |
k6sum2 | k6sum4 | Last 30 days: overall rating of feelings | Kessler Index |
mcs2 | mcs4 | Mental component summary | SF-12v2 |
pcs2 | pcs4 | Physical component summary | SF-12v2 |
phq22 | phq24 | Last 2 weeks: overall rating of feelings | Patient Health Questionnaire |
Bayesian network
Layers of variables
Model development process
Bayesian network implementation
Correlations between variables and cross-group comparisons
Results
Year | N | Age (years) | (95% CI) | Education (years) | (95% CI) | Female (%) | Race/ethnicity (%) | Regions (%) | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
White | Black | Asian | American Indians/Alaska natives | Native Hawaiian/Pacific islanders | Multiple races | Northeast | Midwest | South | West | |||||||
2004 | 6414 | 43.80 | (43.40 to 44.20) | 7.41 | (7.32 to 7.50) | 54.58% | 81.03% | 11.83% | 0.86% | 4.23% | 0.44% | 1.62% | 14.76% | 21.02% | 39.87% | 24.35% |
2005 | 6246 | 44.51 | (44.10 to 44.92) | 7.47 | (7.39 to 7.56) | 54.00% | 79.35% | 14.35% | 0.78% | 3.86% | 0.26% | 1.41% | 14.49% | 21.81% | 36.95% | 26.75% |
2006 | 6182 | 44.49 | (44.08 to 44.90) | 7.48 | (7.40 to 7.57) | 53.87% | 79.25% | 13.52% | 0.74% | 4.63% | 0.37% | 1.49% | 14.17% | 22.45% | 37.53% | 25.85% |
2007 | 4542 | 44.11 | (43.63 to 44.59) | 7.52 | (7.42 to 7.61) | 52.77% | 78.49% | 12.53% | 0.59% | 6.36% | 0.37% | 1.65% | 15.24% | 21.07% | 37.98% | 25.72% |
2008 | 7231 | 42.91 | (42.53 to 43.28) | 7.45 | (7.37 to 7.53) | 53.93% | 72.67% | 17.78% | 1.02% | 6.60% | 0.25% | 1.67% | 14.58% | 20.20% | 38.45% | 26.77% |
2009 | 6597 | 44.59 | (44.19 to 45.00) | 7.41 | (7.33 to 7.49) | 52.87% | 73.44% | 16.77% | 0.97% | 7.49% | 0.24% | 1.09% | 14.22% | 21.56% | 38.08% | 26.15% |
2010 | 5979 | 44.23 | (43.81 to 44.66) | 7.38 | (7.30 to 7.46) | 53.05% | 71.57% | 17.41% | 0.92% | 7.88% | 0.74% | 1.49% | 15.52% | 21.34% | 37.18% | 25.96% |
2011 | 7832 | 44.12 | (43.75 to 44.50) | 7.38 | (7.31 to 7.45) | 53.20% | 72.50% | 17.71% | 0.00% | 7.12% | 0.00% | 2.67% | 15.12% | 21.02% | 37.12% | 26.75% |
All | 51,023 | 44.07 | (43.93 to 44.22) | 7.43 | (7.40 to 7.46) | 53.56% | 75.80% | 15.44% | 0.73% | 6.05% | 0.32% | 1.67% | 14.75% | 21.28% | 37.89% | 26.08% |