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National Mortality Followback Survey, 1993

Resource Type
Dataset : administrative records data, medical records, survey data
  • United States Department of Health and Human Services. Centers for Disease Control and Prevention. National Center for Health Statistics
Other Title
  • Version 1 (Subtitle)
Collective Title
  • National Mortality Followback Survey Series
Publication Date
Free Keywords
accidents; causes of death; death records; demographic characteristics; disabilities; disease; health; health care access; health services utilization; homicide; injuries; medical care; medical history; mortality rates; population trends; risk factors; suicide; vital statistics
  • Abstract

    The National Mortality Followback Survey (NMFS) Program, begun in the 1960s by the National Center for Health Statistics (NCHS), uses a sample of United States residents who die in a given year, supplementing information derived from the death certificate with information from the next of kin or another person familiar with the decedent's life history. This information, sometimes enhanced by administrative records, is collected in order to study the etiology of disease, demographic trends in mortality, and other health issues. The 1993 National Mortality Followback Survey (NMFS) sampled individuals aged 15 years and over who died in 1993. Forty-nine of the 50 state vital registration areas, as well as the independent vital registration areas of the District of Columbia and New York City, granted approval to sample their death certificates. (South Dakota declined to participate due to a state law restricting the use of death certificate information.) A sample of 22,957 death certificates from 1993 was then drawn. To obtain reliable numbers for important population subgroups, such as persons under age 35, women, and the Black population, death certificates from those subgroups were oversampled. The 1993 NMFS survey focused on five subject areas: (1) socioeconomic differentials in mortality, (2) associations between risk factors and cause of death (use of tobacco, alcohol, drugs, firearms, motor vehicles), (3) disability (medical condition and cognitive functioning during the last year of life), (4) access and utilization of health care facilities during the last year of life (number of doctor visits, days bedridden, nursing home experiences, use of assistive medical devices, availability of health insurance), and (5) reliability of certain items reported on the death certificate. Demographic variables include age, gender, race, marital status, birthplace, education, occupation and industry, and income and assets. The 1993 NMFS survey differed from the previous mortality followback surveys in several ways: First, it emphasized deaths due to homicide, suicide, and unintentional injury. Second, the subject areas were considerably broader (many previously-surveyed subject areas, however, are included for trend analysis). This survey was also the first to acquire national-level information from medical examiners and coroners. Finally, the complexity of the questionnaire necessitated telephone or in-person interviews. The 1993 NMFS was designed in collaboration with other agencies of the Public Health Service, Department of Health and Human Services, and the National Highway Traffic Safety Administration.
  • Table of Contents


    • DS1: Dataset
Temporal Coverage
  • Time period: 1993
Geographic Coverage
  • United States
Sampled Universe
United States residents aged 15 years and over who died in 1993, excluding South Dakota residents.
Stratified sampling design
Collection Mode
  • The SAS file is a concatenated file of separate NCHS-provided SAS program files. It includes a SAS input statement, variable list and labels, and programs that output unweighted frequencies and weighted frequencies, plus a sample Sudaan program (a type of SAS statistical package).

    Per agreement with NCHS, ICPSR distributes the data file and text of the technical documentation for this collection as prepared by NCHS. The SAS program file has been altered to correct syntax errors and a processor's note has been added to the codebook to document these changes.

2005-02-21 The SAS program file has been altered to correct syntax errors and a processor's note has been added to the codebook to document these changes.
This study is freely available to ICPSR member institutions via web download.
Alternative Identifiers
  • 2900 (Type: ICPSR Study Number)
  • Lo, Celia C., Howell, Rebecca J., Cheng, Tyrone C.. Racial disparities in age at time of homicide victimization: A test of the multiple disadvantage model. Journal of Interpersonal Violence.30, (1), 152-167.2015.
    • ID: 10.1177/0886260514532720 (DOI)
  • Castle, K., Duberstein, P.R., Meldrum, S., Conner, K.R., Conwell, Y.. Risk factors for suicide in Blacks and Whites: An analysis of data from the 1993 National Mortality Followback Survey. American Journal of Psychiatry.161, 452-458.2004.
    • ID: 10.1176/appi.ajp.161.3.452 (DOI)
  • Dahlberg, Linda L., Ikeda, Robin M., Kresnow, Marcie-jo. Guns in the Home and Risk of a Violent Death in the Home: Findings from a National Study. American Journal of Epidemiology.160, (10), 929-936.2004.
    • ID: 10.1093/aje/kwh309 (DOI)
  • Freedman, Vicki A., Martin, Linda G.. Commentary on Trends in Scores on Tests of Cognitive Ability in the Elderly U.S. Population, 1993-2000 and Author's Reply. Journals of Gerontology, Series B: Psychological Sciences and Social Sciences.58B, (6), S347-S349.2003.
    • ID: 10.1093/geronb/58.6.S347 (DOI)
  • Greiner, K. Allen, Ahluwalia, Jasjit S.. Hospice usage by minorities in the last year of life: Results from the National Mortality Followback Survey. Journal of the American Geriatrics Society.51, (7), 970-978.2003.
    • ID: 10.1046/j.1365-2389.2003.51310.x (DOI)
  • Kung, H.C., Pearson, J.L., Liu, X.. Risk factors for male and female suicide decedents ages15-64 in the United States. Results from the 1993 National Mortality Followback Survey. Social Psychiatry and Psychiatric Epidemiology.38, 419-426.2003.
    • ID: 10.1007/s00127-003-0656-x (DOI)
  • Wiebe, Douglas J.. Firearms in U.S. homes as a risk factor for unintentional gunshot fatality. Accident Analysis and Prevention.35, (5), 711-716.2003.
    • ID: 10.1016/S0001-4575(02)00049-0 (DOI)
  • Wiebe, Douglas J.. Homicide and suicide risks associated with firearms in the home: A national case-control study. Annals of Emergency Medicine.41, (6), 771-782.2003.
    • ID: 10.1067/mem.2003.187 (DOI)
  • Wiebe, Douglas J., Sorenson, S.B.. Studying homicide in the home and how guns are kept. Injury Prevention.8, (4), 345 -2002.
    • ID: 10.1136/ip.8.4.345 (DOI)
  • Cook, Philip J., Ludwig, Jens. Gun Violence: The Real Costs. New York, NY: Oxford University Press. 2000.
  • Liao, Youlian, McGee, Daniel L., Cao, Guichan, Cooper, Richard S.. Quality of the Last Year of Life of Older Adults: 1996 vs 1993. JAMA, The Journal of the American Medical Association.283, (4), 512-518.2000.
    • ID: 10.1001/jama.283.4.512 (DOI)
  • Wiebe, Douglas James. Lifestyle Risk Factors for Homicide. Dissertation, University of California, Irvine. 2000.

Update Metadata: 2015-08-05 | Issue Number: 6 | Registration Date: 2015-06-15

United States Department of Health and Human Services. Centers for Disease Control and Prevention. National Center for Health Statistics (2000): National Mortality Followback Survey, 1993. Version 1. National Mortality Followback Survey Series. Version: v1. ICPSR - Interuniversity Consortium for Political and Social Research. Dataset.