National Health and Nutrition Examination Survey (NHANES) data on race, socioeconomic status, and leukocyte telomere length from the 1999-2000 and 2001-2002 survey waves.

data(NHANES)

Format

A dataset with 5,298 observations (rows) of 29 variables (columns):

SEQN

Numeric: Respondent Sequence Number

iWTMEC4YR

Numeric: 1/WTMEC4YR (Full Sample 4 Year Probability of Selection)

WTMEC4YR

Numeric: Full Sample 4 Year Interview Weight

SDMVPSU

Numeric: Masked Variance Pseudo-PSU

SDMVSTRA

Numeric: Masked Variance Pseudo-Stratum

TELOMEAN

Numeric: Mean T/S Ratio (See Details)

lTELOMEAN

Numeric: log(TELOMEAN)

RACE_2CAT

Numeric: 0 = Non-Hispanic White, 1 = Non-Hispanic Black (0/1 Coded for Current Functionality)

AGE

Numeric: Age at Screening (Years)

SEX

Factor w/ 2 Levels: Self-Reported Sex - Male, Female

EDUC_3CAT

Factor w/ 3 Levels: Education - High School or GED, Some College, College Graduate

MARTL_3CAT

Factor w/ 3 Levels: Marital Status - Never Married, Widowed/Divorced/Separated, Married/Living with Partner

HHSIZE_3CAT

Factor w/ 5 Levels: Household Size - 1 Person, 2 People, 3 People, 4 People, 5+ People

HHINC_5CAT

Factor w/ 5 Levels: Annual Household Income - $0 - $20,000, $20,000 - $35,000, $35,000 - $55,000, $55,000 - $75,000, $75,000+

PIR

Factor w/ 3 Levels: Family Poverty-Income Ratio Category - < 1.3, 1.3 <= PIR < 3.5, >= 3.5

EMPSTAT_4CAT

Factor w/ 4 Levels: Employment Status - Full-Time, Part-Time, Retired, Not Working

OCC_5CAT

Factor w/ 5 Levels: Occupation Category - No Work, Low Blue Collar, High Blue Collar, Low White Collar, High White Collar

WIC_2CAT

Factor w/ 2 Levels: WIC Utilization - No WIC, Received WIC

FDSEC_3CAT

Factor w/ 3 Levels: Food Security Status - Food Secure, Marginally Food Secure, Food Insecure

HOD_4CAT

Factor w/ 4 Levels: Home Type - Family Home Detached, Family Home Attached, Apartment, Other

OWNHOME_2CAT

Factor w/ 2 Levels: Home Ownership - Does Not Own Home, Owns Home

HIQ_2CAT

Factor w/ 2 Levels: Insurance Status - Not Insured, Insured

LBXWBCSI

Numeric: White Blood Cell Count (SI)

LBXLYPCT

Numeric: Lymphocyte Percent (%)

LBXMOPCT

Numeric: Monocyte Percent (%)

LBXNEPCT

Numeric: Segmented Neutrophils Percent (%)

LBXEOPCT

Numeric: Eosinophils Percent (%)

LBXBAPCT

Numeric: Basophils Percent (%)

LBXBPB_LOD

Numeric: Blood Lead Concentration (ug/dL; LOD = 0.3 ug/dL; Imputed by LOD / sqrt(2))

Source

<https://www.cdc.gov/nchs/nhanes/index.htm>

Details

Our initial sample consisted of 7,839 participants in the 1999-2002 NHANES waves with laboratory measures recorded, including telomere length, lTELOMEAN, which was assayed via quantitative polymerase chain reaction (PCR; see Cawthorn, 2002). Our primary endpoint is the log-transformed mean ratio of an individual's telomere length to a standard reference DNA sample across all leukocyte cell types (mean T/S), TELOMEAN. We focus on the 1999-2002 NHANES waves, as they featured 4-year adjusted survey weights, WTMEC4YR, designed for aggregating data across cohorts. Among the initial 7,839 participants, 5,308 (67.7%) self-identified as either non-Hispanic White or non-Hispanic Black. Excluding those participants without our outcome of interest, our final analytic sample contained 5,298 Non-Hispanic White or Non-Hispanic Black identifying participants with measured telomere length. Race, RACE_2CAT, is our variable of interest. We further included study participant age, sex, and blood cell composition to account for known differences in these factors, as well as twelve indicators of SES. Ten of these, namely marital status, education level, household income, insurance status, Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) usage, household size, home ownership, home type, food security status, and an individual’s poverty income ratio (PIR), were extracted directly from the NHANES demographic and occupation questionnaires. Occupation category was constructed by mapping occupation group codes in the NHANES 1999-2002 occupation questionnaire to the national statistics socioeconomic job classifications, and employment status was derived from three occupational measures: type of work done last week, hours worked last week at all jobs, and main reason for not working last week (see Rehkopf et al., 2008, Rose et al., 2005).

References

Richard M Cawthon. Telomere measurement by quantitative pcr. Nucleic acids research, 30(10):e47–e47, 2002.

David H Rehkopf, Lisa F Berkman, Brent Coull, and Nancy Krieger. The non-linear risk of mortality by income level in a healthy population: Us national health and nutrition examination survey mortality follow-up cohort, 1988–2001. BMC Public Health, 8(1):1–11, 2008.

David Rose, David J Pevalin, and Karen O’Reilly. The National Statistics Socio-economic Classification: origins, development and use. Palgrave Macmillan, 2005.

Examples

data(NHANES)