The NHIS is an annual, in-person, household interview, designed to produce data representative of the civilian, non-institutionalized population of the US [29]. The sample consists of approximately 106,000 persons, in approximately 43,000 households in over 300 primary sampling units. The first part of the survey collects basic demographic and health data on all members of the household. A sample adult and child are then selected from each household to complete a more detailed interview that assesses illness, health-care utilization, and socioeconomic and demographic factors. All households selected into the sample are visited by interviewers to introduce the study and conduct a brief interview to determine eligibility. Data on race and ethnicity are collected at this initial contact. The NHIS invites a higher percentage of African-Americans and Hispanics to participate than the percentage of these two groups in the US population. Interview response rates were calculated for sample adults for whom demographic information was obtained during the initial contact. The NHIS neither conducts public outreach nor provides financial incentives.