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National Longitudinal Study of Adolescent to Adult Health (Add Health), 1994-2008 [Restricted Use] (ICPSR 35249)

Released/updated on: 2014-06-24
Geographic coverage: United States
The National Longitudinal Study of Adolescent to Adult Health (Add Health) is a longitudinal study of a nationally representative sample of adolescents in grades 7-12 in the United States during the 1994-95 school year. The Add Health cohort has been followed into young adulthood with four in-home interviews, the most recent in 2008, when the sample was aged 24-32. Add Health combines longitudinal survey data on respondents' social, economic, psychological and physical well-being with contextual data on the family, neighborhood, community, school, friendships, peer groups, and romantic relationships, providing unique opportunities to study how social environments and behaviors in adolescence are linked to health and achievement outcomes in young adulthood. The fourth wave of interviews expanded the collection of biological data in Add Health to understand the social, behavioral, and biological linkages in health trajectories as the Add Health cohort ages through adulthood.
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National Longitudinal Study of Adolescent to Adult Health (Add Health), 1994-2025 [Public Use] (ICPSR 21600)

Released/updated on: 2026-03-03
Geographic coverage: United States
Time period: 1994-01-01--2025-01-01

Downloads of Add Health require submission of the following information, which is shared with the original producer of Add Health: supervisor name, supervisor email, and reason for download. A Data Guide for this study is available as a web page and for download.

The National Longitudinal Study of Adolescent to Adult Health (Add Health), 1994-2018 [Public Use] is a longitudinal study of a nationally representative sample of U.S. adolescents in grades 7 through 12 during the 1994-1995 school year. The Add Health cohort was followed into young adulthood with four in-home interviews, the most recent conducted in 2008 when the sample was aged 24-32. Add Health combines longitudinal survey data on respondents' social, economic, psychological, and physical well-being with contextual data on the family, neighborhood, community, school, friendships, peer groups, and romantic relationships.

Add Health Wave I data collection took place between September 1994 and December 1995, and included both an in-school questionnaire and in-home interview. The in-school questionnaire was administered to more than 90,000 students in grades 7 through 12, and gathered information on social and demographic characteristics of adolescent respondents, education and occupation of parents, household structure, expectations for the future, self-esteem, health status, risk behaviors, friendships, and school-year extracurricular activities. All students listed on a sample school's roster were eligible for selection into the core in-home interview sample. In-home interviews included topics such as health status, health-facility utilization, nutrition, peer networks, decision-making processes, family composition and dynamics, educational aspirations and expectations, employment experience, romantic and sexual partnerships, substance use, and criminal activities. A parent, preferably the resident mother, of each adolescent respondent interviewed in Wave I was also asked to complete an interviewer-assisted questionnaire covering topics such as inheritable health conditions, marriages and marriage-like relationships, neighborhood characteristics, involvement in volunteer, civic, and school activities, health-affecting behaviors, education and employment, household income and economic assistance, parent-adolescent communication and interaction, parent's familiarity with the adolescent's friends and friends' parents.

Add Health data collection recommenced for Wave II from April to August 1996, and included almost 15,000 follow-up in-home interviews with adolescents from Wave I. Interview questions were generally similar to Wave I, but also included questions about sun exposure and more detailed nutrition questions. Respondents were asked to report their height and weight during the course of the interview, and were also weighed and measured by the interviewer.

From August 2001 to April 2002, Wave III data were collected through in-home interviews with 15,170 Wave I respondents (now 18 to 26 years old), as well as interviews with their partners. Respondents were administered survey questions designed to obtain information about family, relationships, sexual experiences, childbearing, and educational histories, labor force involvement, civic participation, religion and spirituality, mental health, health insurance, illness, delinquency and violence, gambling, substance abuse, and involvement with the criminal justice system. High School Transcript Release Forms were also collected at Wave III, and these data comprise the Education Data component of the Add Health study.

Wave IV in-home interviews were conducted in 2008 and 2009 when the original Wave I respondents were 24 to 32 years old. Longitudinal survey data were collected on the social, economic, psychological, and health circumstances of respondents, as well as longitudinal geographic data. Survey questions were expanded on educational transitions, economic status and financial resources and strains, sleep patterns and sleep quality, eating habits and nutrition, illnesses and medications, physical activities, emotional content and quality of current or most recent romantic/cohabiting/marriage relationships, and maltreatment during childhood by caregivers. Dates and circumstances of key life events occurring in young adulthood were also recorded, including a complete marriage and cohabitation history, full pregnancy and fertility histories from both men and women, an educational history of dates of degrees and school attendance, contact with the criminal justice system, military service, and various employment events, including the date of first and current jobs, with respective information on occupation, industry, wages, hours, and benefits. Finally, physical measurements and biospecimens were also collected at Wave IV, and included anthropometric measures of weight, height and waist circumference, cardiovascular measures such as systolic blood pressure, diastolic blood pressure, and pulse, metabolic measures from dried blood spots assayed for lipids, glucose, and glycosylated hemoglobin (HbA1c), measures of inflammation and immune function, including High sensitivity C-reactive protein (hsCRP) and Epstein-Barr virus (EBV).

Wave V data collection took place from 2016 to 2018, when the original Wave I respondents were 33 to 43 years old. For the first time, a mixed mode survey design was used. In addition, several experiments were embedded in early phases of the data collection to test response to various treatments. A similar range of data was collected on social, environmental, economic, behavioral, and health circumstances of respondents, with the addition of retrospective child health and socio-economic status questions. Physical measurements and biospecimens were again collected at Wave V, and included most of the same measures as at Wave IV.

The overall goal of Wave VI was to better understand life course trajectories, determinants, and consequences of critical dimensions of aging, health, and health disparities among U.S. early midlife adults. Data collection took place from 2022 to 2025, with participants between the ages of 39 and 51, with an average age of 44. Beyond longitudinal survey measures, newly added questions included those on cumulative stress, discrimination, despair, work-life balance, memory, physical limitations, and caregiving. Continuing from previous waves, home exams collected physical measurements and biospecimens with most of the same measures as Wave V.

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National Longitudinal Study of Adolescent to Adult Health (Add Health) Parent Study: Public Use, [United States], 2015-2017 (ICPSR 37375)

Released/updated on: 2020-08-10
Geographic coverage: United States
Time period: 2015-01-01--2017-01-01

The National Longitudinal Study of Adolescent to Adult Health (Add Health) Parent Study Public Use collection includes data gathered as part of the Add Health longitudinal survey of adolescents. The original Add Health survey is a longitudinal study of a nationally representative sample of adolescents in grades 7-12 in the United States during the 1994-1995 school year. In Wave 1 of the Add Health Study (1994-1995), a parent of each Add Health Sample Member (AHSM) was interviewed. The Add Health Parent Study gathered social, behavioral, and health survey data in 2015-2017 from the parents of Add Health Sample members who were originally interviewed at Wave 1 (1994-1995). Wave 1 Parents were asked about their adolescent children, their relationships with them, and their own health.

The Add Health Parent Study interview is a comprehensive survey of Add Health parents' family relations, education, religious beliefs, physical and mental health, social support, and community involvement experiences. In addition, survey data contains cognitive assessments, a medications log linked to a medications database lookup table, and household financial information collection. The survey also includes permission for administrative data linkages and includes data from a Family Health History Leave-Behind questionnaire. Interviews were conducted with parents' spouse/partner when available.

Research domains targeted in the survey and research questions that may be addressed using the Add Health Parent Study data include:

  • Health Behaviors and Risks Many health conditions and behaviors run in families; for example, cardiovascular disease, obesity and substance abuse. How are health risks and behaviors transmitted across generations or clustered within families? How can we use information on the parents' health and health behavior to better understand the determinants of their (adult) children's health trajectories?
  • Cognitive Functioning and Non-Cognitive Personality Traits What role does the intergenerational transmission of personality and locus of control play in generating intergenerational persistence in education, family status, income and health? How do the personality traits of parents and children, and how they interact, influence the extent and quality of intergenerational relationships and the prevalence of assistance across generations?
  • Decision-Making, Expectations, and Risk Preferences Do intergenerational correlations in risk preferences represent intergenerational transmission of preferences? If so, are the transmission mechanisms a factor in biological and environmental vulnerabilities? Does the extent of genetic liability vary in response to both family-specific and generation-specific environmental pressures?
  • Family Support, Relationship Quality and Ties of Obligation How does family complexity affect intergenerational obligations and the strength of relationship ties? As parents near retirement: What roles do they play in their children's lives and their children in their lives? What assistance are they providing to their adult children and grandchildren? What do they receive in return? And how do these ties vary with divorce, remarriage and familial estrangement?
  • Economic Status and Capacities What are the economic capacities of the parents' generation as they reach their retirement years? How have fared through the wealth and employment shocks of the Great Recession? Are parents able to provide for their own financial need? And, do they have the time and financial resources to help support their children and grandchildren and are they prepared to do so?