Important considerations when analyzing health survey data collected using a complex sample design

Researchers often use survey data to answer important public health policy questions. Examples of common data sources used in public health research include the National Health and Nutrition Examination Survey, the National Health Interview Survey, the Medical Expenditure Panel Survey, and the National Ambulatory Medical Care Survey. All these surveys employ a complex sample design to recruit participants into the survey. When performing secondary analyses of complex sample survey data, it is necessary to remind ourselves of the key features of these designs that must be taken into account to produce valid statistical estimates.