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Dataset: Established Populations for Epidemiologic Studies of the Elderly - Piedmont Health Survey of the Elderly, Fourth In-Person Survey (Piedmont - EPESE)

Basic Information
Dataset Full Name Established Populations for Epidemiologic Studies of the Elderly - Piedmont Health Survey of the Elderly, Fourth In-Person Survey
Dataset Acronym Piedmont - EPESE

The Piedmont Epidemiologic Studies of the Elderly is a part of a multiyear study sponsored by the National Institute on Aging. ** This Piedmont EPESE data was gathered in a unique seventh follow-up (forth in-person interview) performed between May 1996 and November 1997 not performed for the other EPESE locations. This "extra" 7th wave data is not included in the main EPESE data. See the Established Populations for Epidemiologic Studies of the Elderly (EPESE) data directory entry for more information on the previous 6 waves performed at all 4 EPESE sites (including Piedmont).

The objectives of the EPESE project were to identify predictors of mortality, hospitalization, and admission in long-term care facilities and to examine risk factors for chronic diseases and disabilities.

The study design includes an initial baseline household interview and follow-up in a sample of non- institutionalized older adults of 65 years of the following counties of North Carolina: Durham, Warren, Franklin, Granville, and Vance. Unique to the Piedemont EPESE is the initial baseline sample included an oversampling of African Americans (accounting for 54% of the sample).

Key Terms Aging, Chronic diseases, Epidemiology, Hospitalization, Long-term care, African American
Study Design Longitudinal
Data Type(s) Clinical
Sponsoring Agency/Entity

National Institutes of Health (NIH)

National Institute on Aging (NIA)

Health Conditions/Disability Measures
Health Condition(s)

Arthritis, Blood disorder, Body mass index (BMI)/obesity, Cancer, Cardiovascular conditions, Depression, Diabetes, Eye diseases, Heart attack, Orthopedic conditions, Osteoporosis, Parkinson's disease, Stroke

Disability Measures Ambulatory disability, Cognitive disability, Communication impairment, Functional limitations (ADLs and/or IADLs), Hearing disability, Independent living disability, Physical disability, Self-care disability, Special equipment use/assistive technology, Visual disability
Measures/Outcomes of Interest
Topics Income, Education, Marital status, Children, Employment, Religion, Social functioning, Physical functioning, Health-related problems, Health habits, Use of Dental, Hospital, and Nursing Home services, Older American Resources and Services (OARS Clinical variables: Height, Weight
Sample Population Non-institutionalized persons 65 years of age and older (at baseline, 1986-1987)
Sample Size/Notes 7th follow-up (1996-1997): 1,766
Unit of Observation Individual
Continent(s) North America

United States

Geographic Coverage Durham, Warren, Franklin, Granville, and Vance counties in the Central Piedmont area of North Carolina
Geographic Specificity Individual level
Special Population(s)

Aging/Older people

Data Collection
Data Collection Mode In-person interview
Years Collected 1996-1997
Data Collection Frequency Unique 7th EPESE follow-up (see main EPESE summary for information on other EPESE sites and prior Piedmont EPESE waves 1-6)
Strengths and Limitations

Piedmont EPESE was the only EPESE site that oversampled African-American population. Sample includes a diverse population from both rural and urban households. Physiological measures included blood pressure, glucose and albumin tests of urine specimens. Data supplemented by hospital and state data system health service records and death certificate information.

Attrition for reasons other than death was minimal.

Limitations Sample not nationally representative. Most health and disability information based on self-reports.
Data Details
Primary Website


Data Access

Data archived on ADDEP at ICPSR:


Data Access Requirements Data Use agreement, No cost
Summary Tables/Reports NA
Data Components NA
Similar/Related Dataset(s)

Established Populations for Epidemiologic Studies of the Elderly (EPESE)

Hispanic Established Populations for Epidemiologic Studies of the Elderly (Hispanic - EPESE) 

Selected Papers
Other Papers Judith C. Hays and Linda K. George. The Life-Course Trajectory toward Living Alone: Racial Differences. Research on Aging 2002 24: 283. http://journals.sagepub.com/doi/abs/10.1177/0164027502243001

Data documentation archived on ADDEP at ICPSR (codebook, user guide):




Related Repositories

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The Rehabilitation Research Cross-dataset Variable Catalog has been developed through the Center for Large Data Research & Data Sharing in Rehabilitation (CLDR). The Center for Large Data Research and Data Sharing in Rehabilitation involves a consortium of investigators from the University of Texas Medical Branch, Cornell University's Yang Tan Institute (YTI), and the University of Michigan. The CLDR is funded by NIH - National Institute of Child Health and Human Development, through the National Center for Medical Rehabilitation Research, the National Institute for Neurological Disorders and Stroke, and the National Institute of Biomedical Imaging and Bioengineering. (P2CHD065702).

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