Questionnaire Public Report11/29/2022 01:06:07 PM
Cohort:National Longitudinal Survey of Youth 1979
Round:NLSY79 Round 30
Instrument :R30 Youth Main Field
  1. Health



Q11-INTRO []Section: Health

Now we'd like to ask you some questions about your health.

Default Next:Q11-1AAA


Q11-1AAA []Section: Health

([total number of employers reported] >= 1)

COMMENT: Is there at least one employer listed?

If Answer = 1 Then Go To
Q11-1B

Default Next:Q11-4
Lead-In:Q11-INTRO [Default]


Q11-1B []Section: Health

[is this job current?(1)]==1

COMMENT: STATUS (Merged,%datevar%,1 WAS R WORKING IN WEEK BEFORE INTERVIEW WEEK?

If Answer = 1 Then Go To
Q11-4

Default Next:Q11-3
Lead-In:Q11-1AAA [1:1]


Q11-3 []Section: Health

Would your health keep you from working on a job for pay now?

 1   YES   ...(Go To Q11-5A)
 0   NO

Default Next:Q11-4
Lead-In:Q11-1B [Default]


Q11-4 []Section: Health

[Are you/Would you be] limited in the kind of work you [(could)] do on a job for pay because of your health?

 1   YES
 0   NO


Q11-5 []Section: Health

[Are you/Would you be] limited in the amount of work you [(could)] do because of your health?

 1   YES
 0   NO

Default Next:Q11-5A
Lead-In:Q11-4 [Default]


Q11-5A []Section: Health

(([Would your health keep you from working now?]==1) || ([Limited in kind of work due to accident or injury?]==1) || ([Limited in amount of work due to accident or injury?]==1))

COMMENT: Check if R has reported a health limitation which affects work.

If Answer = 1 Then Go To
Q11-7

Default Next:PAIN_1
Lead-In:Q11-3 [1:1], Q11-5 [Default]


Q11-7 []Section: Health

Since what month and year have you had this limitation?

 1   SELECT TO ENTER DATE   ...(Go To Q11-8)
 0   IF VOLUNTEERED: 'ALL MY LIFE'

Default Next:PAIN_1
Lead-In:Q11-5A [1:1]


Q11-8 []Section: Health

INTERVIEWER: ENTER DATE FROM WHICH R HAS HAD THIS LIMITATION.

  
MonthYearDay 

Default Next:PAIN_1
Lead-In:Q11-7 [1:1]


PAIN_1 []Section: Health

In the past 30 days, have you suffered from chronic pain from an illness or medical condition?

 1   YES   ...(Go To PAIN_2)
 0   NO

Default Next:Q11-CARE-CHECK
Lead-In:Q11-5A [Default], Q11-7 [Default], Q11-8 [Default]


PAIN_2 []Section: Health

How often do you experience pain? Do you experience it...? (READ LIST)

 6   All the time
 5   Daily
 4   Several times a week
 3   Approximately once a week
 2   Several times a month
 1   Approximately once a month
 0   Less often than once a month

Default Next:Q11-CARE-CHECK
Lead-In:PAIN_1 [1:1]


Q11-CARE-CHECK []Section: Health

RECCOUNT([Final Household Roster])

COMMENT: copy all the people from the info sheet to the roster

If Answer = 0 Then Go To
Q11-9

Default Next:Q11-CARE-1
Lead-In:PAIN_1 [Default], PAIN_2 [Default]


Q11-CARE-1 []Section: Health

Is anyone in your household (besides you) disabled or chronically ill?

 1   YES   ...(Go To Q11-CARE-2)
 0   NO

Default Next:Q11-CARE-4
Lead-In:Q11-CARE-CHECK [Default]


Q11-CARE-2 []Section: Health

Which household member is this?

(INTERVIEWER: PROBE IF THERE IS MORE THAN ONE HOUSEHOLD MEMBER: "Is there anyone else?")

 0   0 1   1
 2   2 3   3
 4   4 5   5
 6   6 7   7
 8   8 9   9
 10   10 11   11
 12   12 13   13
 14   14 15   15
 16   16 17   17
 18   18 19   19
 20   20

Default Next:Q11-CARE-3
Lead-In:Q11-CARE-1 [1:1]


Q11-CARE-3 []Section: Health

Do you regularly spend time helping or taking care of [this person/these people]?

 1   YES   ...(Go To Q11-CARE-3B)
 0   NO

Default Next:Q11-CARE-4
Lead-In:Q11-CARE-2 [Default]


Q11-CARE-3B []Section: Health

About how many hours per week do you spend doing this?

ENTER # OF HOURS 

Default Next:Q11-CARE-3C
Lead-In:Q11-CARE-3 [1:1]


Q11-CARE-3C []Section: Health

Are you paid for helping or taking care of [this person/these people]?

 1   YES   ...(Go To Q11-CARE-3D)
 0   NO

Default Next:Q11-CARE-4
Lead-In:Q11-CARE-3B [Default]


Q11-CARE-3D []Section: Health

Who pays you for providing this care?

 1   CARE RECIPIENT
 2   ANOTHER FAMILY MEMBER
 3   GOVERNMENT PROGRAM
 4   OTHER

Default Next:Q11-CARE-3E
Lead-In:Q11-CARE-3C [1:1]


Q11-CARE-3E []Section: Health

Did you report this care earlier when we were asking about your jobs in the employment section?

 1   YES
 0   NO

Default Next:Q11-CARE-4
Lead-In:Q11-CARE-3D [Default]


Q11-CARE-4 []Section: Health

Do you regularly spend time helping or taking care of a relative or friend who does not live in your household?

 1   YES   ...(Go To Q11-CARE-4B)
 0   NO

Default Next:Q11-9
Lead-In:Q11-CARE-1 [Default], Q11-CARE-3 [Default], Q11-CARE-3C [Default], Q11-CARE-3E [Default]


Q11-CARE-4B []Section: Health

About how many hours per week do you spend doing this?

ENTER # OF HOURS 

Default Next:Q11-CARE-4C
Lead-In:Q11-CARE-4 [1:1]


Q11-CARE-4C []Section: Health

Are you paid for helping or taking care of this relative or friend?

 1   YES   ...(Go To Q11-CARE-4D)
 0   NO

Default Next:Q11-9
Lead-In:Q11-CARE-4B [Default]


Q11-CARE-4D []Section: Health

Who pays you for providing this care?

 1   CARE RECIPIENT
 2   ANOTHER FAMILY MEMBER
 3   GOVERNMENT PROGRAM
 4   OTHER

Default Next:Q11-CARE-4E
Lead-In:Q11-CARE-4C [1:1]


Q11-CARE-4E []Section: Health

Did you report this care earlier when we were asking about your jobs in the employment section?

 1   YES
 0   NO

Default Next:Q11-9
Lead-In:Q11-CARE-4D [Default]


Q11-9 []Section: Health

How much do you weigh?

(ENTER POUNDS)

 

Default Next:Q11-GENHLTH_RNDCHK1
Lead-In:Q11-CARE-CHECK [0:0], Q11-CARE-4 [Default], Q11-CARE-4C [Default], Q11-CARE-4E [Default]


Q11-GENHLTH_RNDCHK1 []Section: Health

[{ROUND}]==29

If Answer = 1 Then Go To
Q11-GENHLTH-PRV1

Default Next:Q11-GENHLTH_1A_1
Lead-In:Q11-9 [Default]


Q11-GENHLTH_1A_1 []Section: Health

How often do you do vigorous activities for at least 10 minutes that cause heavy sweating or large increases in breathing or heart rate?

 1   MORE THAN ONCE A WEEK
 2   ONCE A WEEK
 3   ONE TO THREE TIMES A MONTH
 4   HARDLY EVER OR NEVER
 7   EVERY DAY
 9   UNABLE TO DO THIS ACTIVITY


Q11-GENHLTH_2A_1A []Section: Health

How often do you do light or moderate activities for at least 10 minutes that cause only light sweating or slight to moderate increase in breathing or heart rate?

 1   MORE THAN ONCE A WEEK
 2   ONCE A WEEK
 3   ONE TO THREE TIMES A MONTH
 4   HARDLY EVER OR NEVER
 7   EVERY DAY
 9   UNABLE TO DO THIS ACTIVITY

Default Next:Q11-GENHLTH_3A_1A
Lead-In:Q11-GENHLTH_1A_1 [Default]


Q11-GENHLTH_3A_1A []Section: Health

How often do you do physical activities specifically designed to strengthen your muscles such as lifting weights or doing calisthenics? (Include all such activities even if you have mentioned them before.)

 1   MORE THAN ONCE A WEEK
 2   ONCE A WEEK
 3   ONE TO THREE TIMES A MONTH
 4   HARDLY EVER OR NEVER
 7   EVERY DAY
 9   UNABLE TO DO THIS ACTIVITY


Q11-GENHLTH-PRV1 []Section: Health

Do you have a health care provider that you can see when you are sick or need advice about your health?

 1   YES
 0   NO

Default Next:Q11-GENHLTH_4A
Lead-In:Q11-GENHLTH_RNDCHK1 [1:1], Q11-GENHLTH_3A_1A [Default]


Q11-GENHLTH_4A []Section: Health

About how long has it been since your last general physical exam or routine checkup by a medical doctor or other health professional? Do not include a visit about a specific problem.

Has it been...(READ CATEGORIES AS NECESSARY)?

 0   Never
 1   A year ago or less
 2   More than 1 year but not more than 2 years
 3   More than 2 years but not more than 3 years
 4   More than 3 years but not more than 5 years
 5   Over 5 years ago

Default Next:Q11-COVID_1-REV
Lead-In:Q11-GENHLTH-PRV1 [Default]


Q11-COVID_1-REV []Section: Health

Have you ever tested positive for COVID-19 (using a rapid point-of-care-test, self-test, or laboratory test) or been told by a doctor or other health care provider that you have or had COVID-19?

 1   YES
 0   NO

Default Next:Q11-COVID_2_VAC
Lead-In:Q11-GENHLTH_4A [Default]


Q11-COVID_2_VAC []Section: Health

Have you received a COVID-19 vaccine?

INTERVIEWER: SELECT 'YES' IF R RECEIVED ONE OR MORE DOSES OF A COVID-19 VACCINE.

 1   YES   ...(Go To Q11-COVID_2_VACNUM)
 0   NO

Default Next:Q11-GENHLTH_4B
Lead-In:Q11-COVID_1-REV [Default]


Q11-COVID_2_VACNUM []Section: Health

How many COVID-19 vaccine doses have you received, including any booster doses?

ENTER NUMBER: 

Default Next:Q11-GENHLTH_4B
Lead-In:Q11-COVID_2_VAC [1:1]


Q11-GENHLTH_4B []Section: Health

[RESPONDENT GENDER]

If Answer = 1 Then Go To
Q11-GENHLTH_4C_M

Default Next:Q11-GENHLTH_4C_F
Lead-In:Q11-COVID_2_VAC [Default], Q11-COVID_2_VACNUM [Default]


Q11-GENHLTH_4C_M []Section: Health

During the past 24 months, that is since [{refdate_24mo~X}], have you had any of the following medical tests or procedures?

 - A blood test for cholesterol?
 - A blood test for diabetes or blood sugar levels?
 - Have you had your blood pressure measured?
 1   YES
 0   NO

Default Next:Q11-GENHLTH_4D_M
Lead-In:Q11-GENHLTH_4B [1:1]


Q11-GENHLTH_4D_M []Section: Health

Are you currently taking...

 - ...aspirin regularly to lower the risk of a heart attack or other cardiovascular event?
 - ...any medications to control your blood sugar level?
 - ...any medications to control your blood pressure?
 1   YES
 0   NO

Default Next:Q11-GENHLTH_4E_M
Lead-In:Q11-GENHLTH_4C_M [Default]


Q11-GENHLTH_4E_M []Section: Health

During the past 24 months, that is since [{refdate_24mo~X}], have you seen or talked to either of the following types of doctors?

 - A dentist for a routine check-up or exam?
 - An optician or opthamologist for a routine eye exam?
 1   YES
 0   NO

Default Next:Q11-GENHLTH_4F
Lead-In:Q11-GENHLTH_4D_M [Default]


Q11-GENHLTH_4C_F []Section: Health

During the past 24 months, that is since [{refdate_24mo~X}], have you had any of the following medical tests or procedures?

 - A blood test for cholesterol?
 - A blood test for diabetes or blood sugar levels?
 - Have you had your blood pressure measured?
 1   YES
 0   NO

Default Next:Q11-GENHLTH_4D_F
Lead-In:Q11-GENHLTH_4B [Default]


Q11-GENHLTH_4D_F []Section: Health

Are you currently taking..

 - ...aspirin regularly to lower the risk of a heart attack or other cardiovascular event?
 - ...any medications to control your blood sugar level?
 - ...any medications to control your blood pressure?
 - ...any hormone replacement therapy or "HRT" medications?
 - ...any prescription medication to treat or lower the risk of developing osteoporosis?
 1   YES
 0   NO

Default Next:Q11-GENHLTH_M_CHECK
Lead-In:Q11-GENHLTH_4C_F [Default]


Q11-GENHLTH_M_CHECK []Section: Health

[{PREV_MENOPAUSE}]== 1

COMMENT: R has reported date of menopause

If Answer = 1 Then Go To
Q11-GENHLTH_4E_F

Default Next:Q11-GENHLTH_M1
Lead-In:Q11-GENHLTH_4D_F [Default]


Q11-GENHLTH_M1 []Section: Health

Have you had a menstrual period in the past 12 months?

 1   YES   ...(Go To Q11-GENHLTH_4E_F)
 0   NO

Default Next:Q11-GENHLTH_M2
Lead-In:Q11-GENHLTH_M_CHECK [Default]


Q11-GENHLTH_M2 []Section: Health

How old were you when you had your last period?

 1   ENTER AGE   ...(Go To Q11-GENHLTH_M2A)
 2   NEVER HAD A PERIOD

Default Next:Q11-GENHLTH_4E_F
Lead-In:Q11-GENHLTH_M1 [Default]


Q11-GENHLTH_M2A []Section: Health

(How old were you when you had your last period?)

 

Default Next:Q11-GENHLTH_M3
Lead-In:Q11-GENHLTH_M2 [1:1]


Q11-GENHLTH_M3 []Section: Health

What is the reason that your period stopped at that age?

 1   Menopause
 2   Hysterectomy (that is, surgery to remove your uterus and/or ovaries)
 3   Medical conditions or treatments such as estrogen blockers or chemotherapy
 4   OTHER (SPECIFY)

Default Next:Q11-GENHLTH_4E_F
Lead-In:Q11-GENHLTH_M2A [Default]


Q11-GENHLTH_4E_F []Section: Health

During the past 24 months, that is since [{refdate_24mo~X}], have you seen or talked to any of the following types of doctors?

 - An obstetrician, gynecologist or other doctor who specializes in women's health?
 - A dentist for a routine check-up or exam?
 - An optician or ophthalmologist for a routine eye exam?
 1   YES
 0   NO

Default Next:Q11-GENHLTH_4F
Lead-In:Q11-GENHLTH_M_CHECK [1:1], Q11-GENHLTH_M1 [1:1], Q11-GENHLTH_M2 [Default], Q11-GENHLTH_M3 [Default]


Q11-GENHLTH_4F []Section: Health

Are you currently taking any medications to control or lower your cholesterol level?

 1   YES
 0   NO

Default Next:PK_1
Lead-In:Q11-GENHLTH_4E_M [Default], Q11-GENHLTH_4E_F [Default]


PK_1 []Section: Health

Did you take any pain medication in the past 30 days, such as Aspirin, Ibuprofen or prescription pain medications?

 1   YES
 0   NO   ...(Go To Q11-GENHLTH_5A_1)

Default Next:PK_2
Lead-In:Q11-GENHLTH_4F [Default]


PK_2 []Section: Health

Did you take a prescription pain medication or did you take one you can buy over-the-counter without a prescription?

COMMENT: NLSY79.RND30.FIELD_QUEX.1.02: added the word "pain"

 1   PRESCRIPTION
 2   OVER-THE-COUNTER   ...(Go To Q11-GENHLTH_5A_1)
 3   BOTH
 4   NOT SURE

Default Next:PK_3
Lead-In:PK_1 [Default]


PK_3 []Section: Health

In the past 30 days, did you use prescribed painkillers in any way the doctor did not direct you to use them, such as for pain the doctor did not prescribe them for, in greater quantities or for longer than the doctor prescribed, or without a prescription?

 1   YES
 0   NO

Default Next:Q11-GENHLTH_5A_1
Lead-In:PK_2 [Default]


Q11-GENHLTH_5A_1 []Section: Health

Do you have any of your own, natural teeth?

 1   YES
 0   NO   ...(Go To Q11-GENHLTH_6A)

Default Next:Q11-GENHLTH_RNDCHK2
Lead-In:PK_1 [0:0], PK_2 [2:2], PK_3 [Default]


Q11-GENHLTH_RNDCHK2 []Section: Health

[{ROUND}]==29

COMMENT: this is round 29

If Answer = 1 Then Go To
Q11-GENHLTH_7A_CHECK

Default Next:Q11-GENHLTH_5A_2
Lead-In:Q11-GENHLTH_5A_1 [Default]


Q11-GENHLTH_5A_2 []Section: Health

During a usual week, how many times do you....

...Brush your teeth?

# OF TIMES PER WEEK: 


Q11-GENHLTH_5A_3 []Section: Health


...Use dental floss?

# OF TIMES PER WEEK: 

Default Next:Q11-GENHLTH_6A
Lead-In:Q11-GENHLTH_5A_2 [Default]


Q11-GENHLTH_6A []Section: Health

Are you now trying to lose weight, gain weight, stay about the same, or are you not trying to do anything about your weight?

 1   Lose weight
 2   Gain weight
 3   Stay about the same
 4   Not trying to do anything

Default Next:Q11-GENHLTH_7A_CHECK
Lead-In:Q11-GENHLTH_5A_1 [0:0], Q11-GENHLTH_5A_3 [Default]


Q11-GENHLTH_7A_CHECK []Section: Health

[{ROUND}]==30

COMMENT: this is round 30

If Answer = 1 Then Go To
Q11-GENHLTH_7C_1

Default Next:Q11-GENHLTH_7A
Lead-In:Q11-GENHLTH_RNDCHK2 [1:1], Q11-GENHLTH_6A [Default]


Q11-GENHLTH_7A []Section: Health

When you buy a food item for the first time, how often would you say you read the nutritional information sometimes listed on the label - would you say always, often, sometimes, rarely or never?

 0   Don't buy food
 1   Always
 2   Often
 3   Sometimes
 4   Rarely
 5   Never


Q11-GENHLTH_7B []Section: Health

When you buy a food item for the first time, how often would you say you read the ingredient list on the package - (would you say always, often, sometimes, rarely or never)?

 0   Don't buy food
 1   Always
 2   Often
 3   Sometimes
 4   Rarely
 5   Never

Default Next:Q11-GENHLTH_7C_1
Lead-In:Q11-GENHLTH_7A [Default]


Q11-GENHLTH_7C_1 []Section: Health

In the past seven days, how many times did you...

...Eat food from a fast food restaurant such as McDonalds, Kentucky Fried Chicken, Pizza Hut, or Taco Bell?

# TIMES: 


Q11-GENHLTH_7C_2 []Section: Health

(INTERVIEWER: ENTER "PER DAY" OR "PER WEEK".)

 1   Per day
 2   Per week

Default Next:Q11-GENHLTH_7D_CHECK
Lead-In:Q11-GENHLTH_7C_1 [Default]


Q11-GENHLTH_7D_CHECK []Section: Health

[{ROUND}]==30

COMMENT: this is round 30

If Answer = 1 Then Go To
Q11-GENHLTH_7E_1

Default Next:Q11-GENHLTH_7D_1
Lead-In:Q11-GENHLTH_7C_2 [Default]


Q11-GENHLTH_7D_1 []Section: Health

(In the past seven days, how many times did you...)

...Eat a snack between meals?

# TIMES: 


Q11-GENHLTH_7D_2 []Section: Health

(INTERVIEWER: ENTER "PER DAY" OR "PER WEEK".)

 1   Per day
 2   Per week

Default Next:Q11-GENHLTH_7E_1
Lead-In:Q11-GENHLTH_7D_1 [Default]


Q11-GENHLTH_7E_1 []Section: Health

In the past seven days, how many times did you...

...Skip a meal?

# TIMES: 


Q11-GENHLTH_7E_2 []Section: Health

(INTERVIEWER: ENTER "PER DAY" OR "PER WEEK".)

 1   Per day
 2   Per week

Default Next:Q11-GENHLTH_7F_1
Lead-In:Q11-GENHLTH_7E_1 [Default]


Q11-GENHLTH_7F_1 []Section: Health

(In the past seven days, how many times did you...)

...Have a soft drink or soda that contained sugar? (Do not include diet soft drinks or sodas, or carbonated water.)

# TIMES: 


Q11-GENHLTH_7F_2 []Section: Health

(INTERVIEWER: ENTER "PER DAY" OR "PER WEEK".)

 1   Per day
 2   Per week

Default Next:Q11-GENHLTH_7G_1
Lead-In:Q11-GENHLTH_7F_1 [Default]


Q11-GENHLTH_7G_1 []Section: Health

In the past seven days, how many times did you eat vegetables, not including potatoes?

 1   I HAVE NOT EATEN VEGETABLES IN THE PAST SEVEN DAYS
 2   1 TO 3 TIMES IN THE PAST SEVEN DAYS
 3   4 TO 6 TIMES IN THE PAST SEVEN DAYS
 4   1 TIME PER DAY
 5   2 TIMES PER DAY
 6   3 TIMES PER DAY
 7   4 OR MORE TIMES PER DAY

Default Next:Q11-GENHLTH_7H_1
Lead-In:Q11-GENHLTH_7F_2 [Default]


Q11-GENHLTH_7H_1 []Section: Health

In the past seven days, how many times did you eat fruit? (Do not count fruit juice.)

 1   I HAVE NOT EATEN FRUIT IN THE PAST SEVEN DAYS
 2   1 TO 3 TIMES IN THE PAST SEVEN DAYS
 3   4 TO 6 TIMES IN THE PAST SEVEN DAYS
 4   1 TIME PER DAY
 5   2 TIMES PER DAY
 6   3 TIMES PER DAY
 7   4 OR MORE TIMES PER DAY

Default Next:Q11-HLTHPLN-INTCHK
Lead-In:Q11-GENHLTH_7G_1 [Default]


Q11-HLTHPLN-INTCHK []Section: Health

[any spouse/partner to ask about insurance?]==1

If Answer = 1 Then Go To
Q11-HLTHPLN-INTRO

Default Next:Q11-79
Lead-In:Q11-GENHLTH_7H_1 [Default]


Q11-HLTHPLN-INTRO []Section: Health

The next questions are about health insurance. We would first like to find out about your own health insurance coverage. We will then ask about coverage of [{spintro}].

Default Next:Q11-79
Lead-In:Q11-HLTHPLN-INTCHK [1:1]


Q11-79 []Section: Health

Are you covered by any kind of health insurance or some other kind of health care plan? (Include health insurance obtained through employment or purchased directly as well as government programs like Medicaid that provide medical care or help pay medical bills.)

(PROBE IF NECESSARY:) Examples of health and hospitalization insurance plans include Blue Cross, Blue Shield, [Medicaid or a Medicaid alternative plan such as [name of state Medicaid Program]].

 1   YES   ...(Go To Q11-80B)
 0   NO

Default Next:Q11-80F
Lead-In:Q11-HLTHPLN-INTCHK [Default], Q11-HLTHPLN-INTRO [Default]


Q11-80B []Section: Health

(INTERVIEWER: IF R PROVIDES NAMES OF HMOs OR INSURANCE COMPANIES, PROBE FOR THE SOURCE OF FUNDING.)

What is the source of your primary health insurance or hospitalization plan? Is it from a policy from your current or previous employer, [your husband/wife/partner] a policy bought directly from a medical insurance company, a government sponsored plan, is it Medicaid or an alternative Medicaid provider, is it from Medicare, or is it from some other source?

 1   POLICY FROM R'S CURRENT EMPLOYER
 2   POLICY FROM R'S PREVIOUS EMPLOYER
 3   POLICY FROM SPOUSE'S OR PARTNER'S CURRENT EMPLOYER
 4   POLICY FROM SPOUSE'S OR PARTNER'S PREVIOUS EMPLOYER
 5   POLICY R OR R'S SPOUSE OR PARTNER BOUGHT DIRECTLY FROM A MEDICAL INSURANCE COMPANY
 6   MEDICAID OR MEDICAID PROVIDER/MEDI-CAL/MEDICAL ASSIST/WELFARE/MEDICAL SERVICE
 8   MEDICARE
 9   MILITARY HEALTH CARE SUCH AS TRICARE, CHAMPUS or CHAMPVA
 10   OTHER STATE-SPONSORED OR GOVERNMENT PLANS SUCH AS THE AFFORDABLE CARE PLAN (ACA), OBAMA CARE, TRUMP CARE OR THE AMERICAN HEALTH CARE ACT
 11   IF VOLUNTEERED: BOTH MEDICARE AND MEDICAID
 7   OTHER (SPECIFY)

Default Next:Q11-80B-CHECK
Lead-In:Q11-79 [1:1]


Q11-80B-CHECK []Section: Health

[spouse in hh?]==1 || [partner in hh?]==1

COMMENT: Is there a spouse listed on the household roster

If Answer = 1 Then Go To
Q11-80B_1

Default Next:Q11-80F
Lead-In:Q11-80B [Default]


Q11-80B_1 []Section: Health

Is [Spouse/partner's name] covered by this plan?

 1   YES
 0   NO

Default Next:Q11-80F
Lead-In:Q11-80B-CHECK [1:1]


Q11-80F []Section: Health

Have you (or your employer) set up a health savings account, medical savings account, or health-related flexible savings account to help pay your health care expenses?

 1   YES
 0   NO

Default Next:Q11-HLTHPLN-3CHK
Lead-In:Q11-79 [Default], Q11-80B-CHECK [Default], Q11-80B_1 [Default]


Q11-HLTHPLN-3CHK []Section: Health

[r covered by health plan?] < 1

COMMENT: /* Respondent reports no health insurance coverage, or coverage not specified in response categories. */

If Answer = 1 Then Go To
Q11-80G

Default Next:Q11-HLTHPLN-5CHK
Lead-In:Q11-80F [Default]


Q11-80G []Section: Health

There is a program called Medicaid that pays for health care for persons in need. In [RESPONDENT STATE] it is also called [Medicaid or a Medicaid alternative plan such as [name of state Medicaid Program]]. Are you covered by Medicaid?

(INTERVIEWER: GENERALLY, IF R OR EMPLOYER DO NOT HAVE TO PAY, THE INSURANCE IS MEDICAID OR A MEDICAID ALTERNATIVE. PLEASE SEE HELP SCREEN FOR LIST OF MEDICAID ALTERNATIVE PROVIDERS AND PLANS FOR [RESPONDENT STATE].)

 1   YES   ...(Go To Q11-HLTHPLN-5CHK)
 0   NO

Default Next:Q11-81C_1
Lead-In:Q11-HLTHPLN-3CHK [1:1]


Q11-81C_1 []Section: Health

Not including single service plans, about how long has it been since you last had health care coverage?

 0   6 months or less
 1   More than 6 months, but less than 1 year
 2   More than 1 year, but not more than 3 years
 3   More than 3 years
 4   Never

Default Next:Q11-81G
Lead-In:Q11-80G [Default]


Q11-HLTHPLN-5CHK []Section: Health

[r covered by health plan?]==1

COMMENT: /* Respondent reports some type of health insurance */

If Answer = 1 Then Go To
Q11-81A

Default Next:Q11-HLTHPLN-6CHK
Lead-In:Q11-80G [1:1], Q11-HLTHPLN-3CHK [Default]


Q11-81A []Section: Health

In the past 12 months, have you ever been without coverage?

 1   YES   ...(Go To Q11-81G)
 0   NO

Default Next:Q11-HLTHPLN-6CHK
Lead-In:Q11-HLTHPLN-5CHK [1:1]


Q11-HLTHPLN-6CHK []Section: Health

([r covered by health plan?]==0 || [been without coverage in past 12 months?]==1)

COMMENT: Respondent reports no health insurance coverage or coverage not specified in response categories or some non-coverage in the last 12 months

If Answer = 1 Then Go To
Q11-81G

Default Next:Q11-HLTHPLN-7CHK
Lead-In:Q11-HLTHPLN-5CHK [Default], Q11-81A [Default]


Q11-81G []Section: Health

What are the reasons you (do/did) not have health insurance?

(INTERVIEWER: SELECT ALL THAT APPLY.)

 1   PERSON IN FAMILY WITH HEALTH INSURANCE LOST JOB OR CHANGED EMPLOYERS
 2   GOT DIVORCED OR SEPARATED/DEATH OF SPOUSE OR PARTNER
 3   EMPLOYER DOES NOT OFFER COVERAGE/OR NOT ELIGIBLE FOR COVERAGE
 4   COST IS TOO HIGH
 5   INSURANCE COMPANY REFUSED COVERAGE
 6   FEMALE ONLY - MEDICAID/MEDICAL PLAN STOPPED AFETER PREGNANCY
 7   LOST MEDICAID/MEDICAL PLAN BECAUSE OF NEW JOB OR INCREASE IN INCOME
 8   LOST MEDICAID (OTHER)
 9   OTHER (SPECIFY)

Default Next:Q11-HLTHPLN-7CHK
Lead-In:Q11-81A [1:1], Q11-HLTHPLN-6CHK [1:1], Q11-81C_1 [Default]


Q11-HLTHPLN-7CHK []Section: Health

[any spouse/partner to ask about insurance?]==1

COMMENT: Respondent reported a spouse

If Answer = 1 Then Go To
Q11-HLTHPLN-7CHKA

Default Next:Q11-CESD
Lead-In:Q11-HLTHPLN-6CHK [Default], Q11-81G [Default]


Q11-HLTHPLN-7CHKA []Section: Health

VAREXIST([Q11-80B_1])

If Answer = 1 Then Go To
Q11-HLTHPLN-7CHKB

Default Next:Q11-83
Lead-In:Q11-HLTHPLN-7CHK [1:1]


Q11-HLTHPLN-7CHKB []Section: Health

[{SPOPAR_COVERED}]==1

COMMENT: Spouse/partner covered by R's primary health care

If Answer = 1 Then Go To
Q11-CESD

Default Next:Q11-83
Lead-In:Q11-HLTHPLN-7CHKA [1:1]


Q11-83 []Section: Health

Is [Spouse/partner's name] covered by any kind of health insurance or some other kind of health care plan? (Include health insurance obtained through employment or purchased directly as well as government programs like Medicaid that provide medical care or help pay medical bills.)

(PROBE IF NECESSARY:) Examples of health and hospitalization insurance plans include Blue Cross, Blue Shield, [Medicaid or a Medicaid alternative plan such as [name of state Medicaid Program]].

 1   YES   ...(Go To Q11-84B)
 0   NO

Default Next:Q11-CESD
Lead-In:Q11-HLTHPLN-7CHKA [Default], Q11-HLTHPLN-7CHKB [Default]


Q11-84B []Section: Health

(INTERVIEWER: IF R PROVIDES NAMES OF HMOs OR INSURANCE COMPANIES, PROBE FOR THE SOURCE OF FUNDING.)

What is the source of [Spouse/partner's name]'s primary health insurance or hospitalization plan? Is it from a policy from your current or previous employer, [your husband/wife/partner] a policy bought directly from a medical insurance company, a government sponsored plan, is it Medicaid or an alternative Medicaid provider, or is it from some other source?

(PROBE IF NECESSARY:) Examples of health and hospitalization insurance plans include Blue Cross, Blue Shield, [Medicaid or a Medicaid alternative plan such as [name of state Medicaid Program]].

 1   POLICY FROM R'S CURRENT EMPLOYER
 2   POLICY FROM R'S PREVIOUS EMPLOYER
 3   POLICY FROM SPOUSE'S OR PARTNER'S CURRENT EMPLOYER
 4   POLICY FROM SPOUSE'S OR PARTNER'S PREVIOUS EMPLOYER
 5   POLICY R OR R'S SPOUSE OR PARTNER BOUGHT DIRECTLY FROM A MEDICAL INSURANCE COMPANY
 6   MEDICAID OR MEDICAID PROVIDER/MEDI-CAL/MEDICAL ASSIST/WELFARE/MEDICAL SERVICE
 8   MEDICARE
 9   MILITARY HEALTH CARE SUCH AS TRICARE, CHAMPUS or CHAMPVA
 10   OTHER STATE-SPONSORED OR GOVERNMENT PLANS SUCH AS THE AFFORDABLE CARE PLAN (ACA), OBAMA CARE, TRUMP CARE OR THE AMERICAN HEALTH CARE ACT
 11   IF VOLUNTEERED: BOTH MEDICARE AND MEDICAID
 7   OTHER (SPECIFY)

Default Next:Q11-CESD
Lead-In:Q11-83 [1:1]


Q11-CESD []Section: Health

Now I am going to read a list of the ways that you might have felt or behaved recently. After each statement, please tell me how often you felt this way during the past week.

During the past week.....

 - I did not feel like eating; my appetite was poor.
 - I felt that I could not shake off the blues, even with help from my family or friends.
 - I had trouble keeping my mind on what I was doing.
 - I felt depressed.
 - I felt that everything I did was an effort.
 - My sleep was restless.
 - I felt lonely.
 - I felt sad.
 - I could not get "going".
 0   None at all or less than 1 day
 1   1-2 days
 2   3-4 Days
 3   5-7 Days

Default Next:Q11-LONE
Lead-In:Q11-HLTHPLN-7CHKB [1:1], Q11-HLTHPLN-7CHK [Default], Q11-83 [Default], Q11-84B [Default]


Q11-LONE []Section: Health

For these next statements, please tell me how often you feel this way - hardly ever, some of the time, or often?

 - How much of the time do you feel that you lack companionship?
 - How much of the time do you feel left out?
 - How much of the time do you feel isolated from others?
 - How much of the time do you feel that there are people who really understand you?
 - How much of the time do you feel that there are people you can turn to?
 1   hardly ever or never
 2   some of the time
 3   often

Default Next:TRAINING_JUMP_IDCHK1_STOP4
Lead-In:Q11-CESD [Default]


TRAINING_JUMP_IDCHK1_STOP4 []Section: Health

([NORC id number] >= 722200) && ([NORC id number] < 722400) ||
([NORC id number] >= 744400) && ([NORC id number] < 744600) ||
([NORC id number] >= 766600) && ([NORC id number] < 766800)

If Answer = 1 Then Go To
NIL

Default Next:Q11-H60-2
Lead-In:Q11-LONE [Default]


Q11-H60-2 []Section: Health

(([{birthdate~Y}] == 1961) ||([{birthdate~Y}] == 1962)) ||
(([{birthdate~Y}] >= 1959) && (([{birthdate~Y}] <= 1960)) && (([last round R completed] == 28)))
|| (([{birthdate~Y}] <= 1958) && ([last round R completed] < 28))

If Answer = 1 Then Go To
H60-DS-INTRO

Default Next:Q13-1A
Lead-In:TRAINING_JUMP_IDCHK1_STOP4 [Default]


H60-DS-INTRO []Section: Health

Now we have a few questions about other health behaviors.

Default Next:H60-CIG_CHK1
Lead-In:Q11-H60-2 [1:1]


H60-CIG_CHK1 []Section: Health

[r smoked 100 cigarettes in lifetime] == 1

If Answer = 1 Then Go To
H60-CIG_CHK2

Default Next:H60-DS-2
Lead-In:H60-DS-INTRO [Default]


H60-DS-2 []Section: Health

Have you smoked at least 100 cigarettes in your entire life? Please include both regular cigarettes and electronic cigarettes in your answer.

 1   YES
 0   NO   ...(Go To H60-Q12-CHK1)

Default Next:H60-CIG_CHK2
Lead-In:H60-CIG_CHK1 [Default]


H60-CIG_CHK2 []Section: Health

[r ever smoked daily] == 1

COMMENT: /* R has smoked daily */

If Answer = 1 Then Go To
H60-DS-5

Default Next:H60-DS-3A
Lead-In:H60-CIG_CHK1 [1:1], H60-DS-2 [Default]


H60-DS-3A []Section: Health

Have you ever smoked cigarettes or electronic cigarettes daily?

 1   YES   ...(Go To H60-DS-5)
 0   NO

Default Next:H60-Q12-CHK1
Lead-In:H60-CIG_CHK2 [Default]


H60-DS-5 []Section: Health

Do you now smoke cigarettes or electronic cigarettes daily, occasionally or not at all?

 1   DAILY
 2   OCCASIONALLY   ...(Go To H60-CIG_CHK3)
 3   NOT AT ALL   ...(Go To H60-CIG_CHK3)

Default Next:H60-DS-7
Lead-In:H60-CIG_CHK2 [1:1], H60-DS-3A [1:1]


H60-CIG_CHK3 []Section: Health

[{lastsmoke_daily_rpt}] == 1

COMMENT: /* R has reported time last smoked daily */

If Answer = 1 Then Go To
H60-Q12-CHK1

Default Next:H60-DS-6A
Lead-In:H60-DS-5 [2:3]


H60-DS-6A []Section: Health

How long has it been since you last smoked cigarettes daily?

(ENTER IN YEARS, MONTHS, OR WEEKS)

 


H60-DS-6B []Section: Health

 1   ANSWERED IN WEEKS
 2   ANSWERED IN MONTHS
 3   ANSWERED IN YEARS

Default Next:H60-Q12-CHK1
Lead-In:H60-DS-6A [Default]


H60-DS-7 []Section: Health

How many cigarettes do you smoke per day?

ENTER # OF CIGARETTES PER DAY: 

Default Next:H60-Q12-CHK1
Lead-In:H60-DS-5 [Default]


H60-Q12-CHK1 []Section: Health

[type of dwelling unit] == 7

If Answer = 0 Then Go To
H60-Q12-3

Default Next:Q11-H60DIENER
Lead-In:H60-DS-2 [0:0], H60-CIG_CHK3 [1:1], H60-DS-3A [Default], H60-DS-6B [Default], H60-DS-7 [Default]


H60-Q12-3 []Section: Health

Have you had any alcoholic beverages, including beer, wine, or liquor, during the last 30 days?

 1   YES
 0   NO   ...(Go To Q11-H60DIENER)

Default Next:H60-Q12-5
Lead-In:H60-Q12-CHK1 [0:0]


H60-Q12-5 []Section: Health

During the last 30 days, on how many days did you drink any alcoholic beverages, including beer, wine, or liquor?

ENTER NUMBER OF DAYS: 

Default Next:H60-Q12-6
Lead-In:H60-Q12-3 [Default]


H60-Q12-6 []Section: Health

On the days that you drink, about how many drinks do you have on the average day? By a drink, we mean the equivalent of a can of beer, a glass of wine, or a shot glass of hard liquor.

 

Default Next:H60-Q12-4
Lead-In:H60-Q12-5 [Default]


H60-Q12-4 []Section: Health

How often have you had 6 or more drinks on one occasion during the last 30 days? Would you say it was...(READ CATEGORIES)?

 0   Never in the last 30 days
 1   Less often than once a week
 2   1 or 2 times per week
 3   3 or 4 times per week
 4   5 or 6 times per week
 5   Everyday

Default Next:Q11-H60DIENER
Lead-In:H60-Q12-6 [Default]


Q11-H60DIENER []Section: Health

I will read you five statements that you may agree or disagree with. Please tell me whether you strongly agree, agree, slightly agree, neither agree nor disagree, slightly disagree, disagree, or strongly disagree with each one.

 - In most ways my life is close to my ideal.
 - The conditions of my life are excellent.
 - I am satisfied with my life.
 - So far I have gotten the important things I want in life.
 - If I could live my life over, I would change almost nothing.
 7   STRONGLY AGREE
 6   AGREE
 5   SLIGHTLY AGREE
 4   NEITHER AGREE NOR DISAGREE
 3   SLIGHTLY DISAGREE
 2   DISAGREE
 1   STRONGLY DISAGREE

Default Next:Q11-H60GAD-7
Lead-In:H60-Q12-3 [0:0], H60-Q12-CHK1 [Default], H60-Q12-4 [Default]


Q11-H60GAD-7 []Section: Health

Over the last 2 weeks, how often have you been bothered by the following problems - not at all, on several days, on more than half the days, or nearly every day?

(INTERVIEWER: REPEAT CATEGORIES ONLY IF NECESSARY)

 - Feeling nervous, anxious or on edge
 - Not being able to stop or control worrying
 - Worrying too much about different things
 - Trouble relaxing
 - Being so restless that it is hard to sit still
 - Becoming easily annoyed or irritable
 - Feeling afraid as if something awful might happen
 0   NOT AT ALL
 1   SEVERAL DAYS
 2   MORE THAN HALF THE DAYS
 3   NEARLY EVERY DAY

Default Next:Q11-H60BPARCHK1
Lead-In:Q11-H60DIENER [Default]


Q11-H60BPARCHK1 []Section: Health

[Is bio father alive]

If Answer = 0 Then Go To
Q11-H60BPARCHK2

Default Next:Q11-H60BPAR-1
Lead-In:Q11-H60GAD-7 [Default]


Q11-H60BPAR-1 []Section: Health

This next series of questions asks about your biological parents' health.

Is your biological father still alive?

 1   YES   ...(Go To Q11-H60BPAR-4)
 0   NO

If Answer >= -2 AND Answer <= -1 Then Go To
Q11-H60BPARCHK2

Default Next:Q11-H60BPAR-2
Lead-In:Q11-H60BPARCHK1 [Default]


Q11-H60BPAR-2 []Section: Health

What caused your biological father's death?

 1   HEART DISEASE
 7   STROKE
 3   CANCER
 8   DEMENTIA (e.g., ALZHEIMER'S DISEASE)
 11   LIVER DISEASE (e.g., CIRRHOSIS)
 9   PNEUMONIA/FLU
 5   LUNG DISEASE (e.g., COPD, EMPHYSEMA)
 4   OLD AGE
 2   ACCIDENT OR INJURY
 10   SUICIDE
 15   CORONAVIRUS/COVID-19
 6   OTHER (SPECIFY)


Q11-H60BPAR-3 []Section: Health

How old was he when he died?

ENTER AGE: 

Default Next:Q11-H60BPAR-4
Lead-In:Q11-H60BPAR-2 [Default]


Q11-H60BPAR-4 []Section: Health

[Did/Does] your father have any major health problems?

 1   YES   ...(Go To Q11-H60BPAR-5)
 0   NO

Default Next:Q11-H60BPARCHK2
Lead-In:Q11-H60BPAR-1 [1:1], Q11-H60BPAR-3 [Default]


Q11-H60BPAR-5 []Section: Health

What [{are/were_fath}] these problems?

Enter 

Default Next:Q11-H60BPARCHK2
Lead-In:Q11-H60BPAR-4 [1:1]


Q11-H60BPARCHK2 []Section: Health

[biological mother alive]

If Answer = 0 Then Go To
Q11-H60SF12-1

Default Next:Q11-H60BPAR-6
Lead-In:Q11-H60BPARCHK1 [0:0], Q11-H60BPAR-1 [-2:-1], Q11-H60BPAR-4 [Default], Q11-H60BPAR-5 [Default]


Q11-H60BPAR-6 []Section: Health

Is your biological mother still alive?

 1   YES   ...(Go To Q11-H60BPAR-9)
 0   NO

If Answer >= -2 AND Answer <= -1 Then Go To
Q11-H60SF12-1

Default Next:Q11-H60BPAR-7
Lead-In:Q11-H60BPARCHK2 [Default]


Q11-H60BPAR-7 []Section: Health

What caused your biological mother's death?

 1   HEART DISEASE
 7   STROKE
 3   CANCER
 8   DEMENTIA (e.g., ALZHEIMER'S DISEASE)
 11   LIVER DISEASE (e.g., CIRRHOSIS)
 9   PNEUMONIA/FLU
 5   LUNG DISEASE (e.g., COPD, EMPHYSEMA)
 4   OLD AGE
 2   ACCIDENT OR INJURY
 10   SUICIDE
 15   CORONAVIRUS/COVID-19
 6   OTHER (SPECIFY)


Q11-H60BPAR-8 []Section: Health

How old was she when she died?

ENTER AGE: 

Default Next:Q11-H60BPAR-9
Lead-In:Q11-H60BPAR-7 [Default]


Q11-H60BPAR-9 []Section: Health

[Did/Does] your mother have any major health problems?

 1   YES   ...(Go To Q11-H60BPAR-10)
 0   NO

Default Next:Q11-H60SF12-1
Lead-In:Q11-H60BPAR-6 [1:1], Q11-H60BPAR-8 [Default]


Q11-H60BPAR-10 []Section: Health

What [{are/were_moth}] these problems?

 

Default Next:Q11-H60SF12-1
Lead-In:Q11-H60BPAR-9 [1:1]


Q11-H60SF12-1 []Section: Health

Next I will be asking you more specific questions about your health. This information will help keep track of how you feel and how well you are able to do your usual activities.

If you are unsure about how to answer, please give the best answer you can.

Default Next:Q11-H60SF12-2
Lead-In:Q11-H60BPARCHK2 [0:0], Q11-H60BPAR-6 [-2:-1], Q11-H60BPAR-9 [Default], Q11-H60BPAR-10 [Default]


Q11-H60SF12-2 []Section: Health

In general, would you say your health is ....

 1   Excellent
 2   Very Good
 3   Good
 4   Fair
 5   Poor

Default Next:Q11-H60SF12-3
Lead-In:Q11-H60SF12-1 [Default]


Q11-H60SF12-3 []Section: Health

The following items are activities you might do during a typical day. Does your health limit you in these activities?

......Moderate activities, such as moving a table, pushing a vacuum cleaner, bowling or playing golf?

 3   Yes, Limited a Lot
 2   Yes, Limited a Little
 1   No, Not Limited at All


Q11-H60SF12-3B []Section: Health

..... Climbing several flights of stairs?

 3   Yes, Limited a Lot
 2   Yes, Limited a Little
 1   No, Not Limited at All

Default Next:Q11-H60SF12-4
Lead-In:Q11-H60SF12-3 [Default]


Q11-H60SF12-4 []Section: Health

During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of your physical health?

..... Accomplished less than you would like?

 1   YES
 0   NO


Q11-H60SF12-4B []Section: Health

.... Were limited in the kind of work or other activities?

 1   YES
 0   NO

Default Next:Q11-H60SF12-5
Lead-In:Q11-H60SF12-4 [Default]


Q11-H60SF12-5 []Section: Health

During the past 4 weeks, have you had any of the following problems with your work or other regular daily activities as a result of any emotional problems (such as feeling depressed or anxious)?

.... Accomplished less than you would like?

 1   YES
 0   NO


Q11-H60SF12-5B []Section: Health

.... Didn't do work or other activities as carefully as usual?

 1   YES
 0   NO

Default Next:Q11-H60SF12-6
Lead-In:Q11-H60SF12-5 [Default]


Q11-H60SF12-6 []Section: Health

During the past 4 weeks, how much did pain interfere with your normal work (including both work outside of the home and housework)?

 1   Not at all
 2   A little bit
 3   Moderately
 4   Quite a bit
 5   Extremely

Default Next:Q11-H60SF12-7
Lead-In:Q11-H60SF12-5B [Default]


Q11-H60SF12-7 []Section: Health

Thinking only of the past 4 weeks, please give the one answer that comes closest to the way you have been feeling. How often during the past 4 weeks....

.... have you felt calm and peaceful?

 1   All the time
 2   Most of the time
 3   A good bit of the time
 4   Some of the time
 5   A little of the time
 6   None of the time

Default Next:Q11-H60SF12-7B
Lead-In:Q11-H60SF12-6 [Default]


Q11-H60SF12-7B []Section: Health

.... Did you have a lot of energy?

 1   All the time
 2   Most of the time
 3   A good bit of the time
 4   Some of the time
 5   A little of the time
 6   None of the time

Default Next:Q11-H60SF12-7C
Lead-In:Q11-H60SF12-7 [Default]


Q11-H60SF12-7C []Section: Health

.... Have you felt down-hearted and blue?

 1   All the time
 2   Most of the time
 3   A good bit of the time
 4   Some of the time
 5   A little of the time
 6   None of the time

Default Next:Q11-H60SF12-8
Lead-In:Q11-H60SF12-7B [Default]


Q11-H60SF12-8 []Section: Health

During the past 4 weeks, how much of the time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives, etc.)?

 1   All the time
 2   Most of the time
 3   A good bit of the time
 4   Some of the time
 5   A little of the time
 6   None of the time

Default Next:Q11-H60CHRC_CHK1
Lead-In:Q11-H60SF12-7C [Default]


Q11-H60CHRC_CHK1 []Section: Health

[blood pressure problems reported during 40+ Health Module]==1 || [{h50_bp_ht}]==1

COMMENT: R has previously reported high pressure

If Answer = 1 Then Go To
Q11-H60CHRC-1B

Default Next:Q11-H60CHRC-1
Lead-In:Q11-H60SF12-8 [Default]


Q11-H60CHRC-1 []Section: Health

Has a doctor ever told you that you have high blood pressure or hypertension?

 1   YES   ...(Go To Q11-H60CHRC-1A)
 0   NO

Default Next:Q11-H60CHRC_CHK2
Lead-In:Q11-H60CHRC_CHK1 [Default]


Q11-H60CHRC-1A []Section: Health

In what month and year was that first diagnosed?

  
MonthYearDay 

Default Next:Q11-H60CHRC_CHK2
Lead-In:Q11-H60CHRC-1 [1:1]


Q11-H60CHRC-1B []Section: Health

Do you have high blood pressure or hypertension at the present time?

 1   YES
 0   NO

Default Next:Q11-H60CHRC_CHK2
Lead-In:Q11-H60CHRC_CHK1 [1:1]


Q11-H60CHRC_CHK2 []Section: Health

[r report diabetes/high blood sugar in 40+ Health Module]==1 || [{h50_diabetes_hbs}]==1

COMMENT: R has previously reported diabetes

If Answer = 1 Then Go To
Q11-H60CHRC-2B

Default Next:Q11-H60CHRC-2
Lead-In:Q11-H60CHRC-1 [Default], Q11-H60CHRC-1A [Default], Q11-H60CHRC-1B [Default]


Q11-H60CHRC-2 []Section: Health

Has a doctor ever told you that you have diabetes or high blood sugar?

 1   YES   ...(Go To Q11-H60CHRC-2A)
 0   NO

Default Next:Q11-H60CHRC-2B
Lead-In:Q11-H60CHRC_CHK2 [Default]


Q11-H60CHRC-2A []Section: Health

In what month and year was that first diagnosed?

  
MonthYearDay 

Default Next:Q11-H60CHRC-2B
Lead-In:Q11-H60CHRC-2 [1:1]


Q11-H60CHRC-2B []Section: Health

[Has/Since (date of 50+ Health Module) has] a doctor ever told you that you had skin cancer?

 1   YES
 0   NO

Default Next:Q11-H60CHRC-3
Lead-In:Q11-H60CHRC_CHK2 [1:1], Q11-H60CHRC-2 [Default], Q11-H60CHRC-2A [Default]


Q11-H60CHRC-3 []Section: Health

[Has/Since (date of 50+ Health Module) has] a doctor ever told you that you have cancer or malignant tumor of any kind except skin cancer?

 1   YES   ...(Go To Q11-H60CHRC-3A)
 0   NO

Default Next:Q11-H60CHRC_CHK4
Lead-In:Q11-H60CHRC-2B [Default]


Q11-H60CHRC-3A []Section: Health

How many such cancers have you [Had/had since (date of 50+ Health Module)]?

ENTER # CANCERS: 
If Answer >= -2 AND Answer <= 0 Then Go To
Q11-H60CHRC_CHK4

Default Next:Q11-H60-CHRC-3AB
Lead-In:Q11-H60CHRC-3 [1:1]


Q11-H60-CHRC-3AB []Section: Health

REPEAT

Default Next:Q11-H60CHRC-3B
Lead-In:Q11-H60CHRC-3A [Default]


Q11-H60CHRC-3B []Section: Health

In what month and year was [{Q11-H60-text_sub}] cancer diagnosed?

ENTER MONTH AND YEAR:  
MonthYearDay 

Default Next:Q11-H60CHRC-3C
Lead-In:Q11-H60-CHRC-3AB [Default]


Q11-H60CHRC-3C []Section: Health

In which organ or part of your body did this cancer occur?

 

Default Next:Q11-H60CHRC-3D
Lead-In:Q11-H60CHRC-3B [Default]


Q11-H60CHRC-3D []Section: Health

Do you currently have any such cancer?

 1   YES
 0   NO

Default Next:Q11-H60CHRC-3DB-LOOP-END
Lead-In:Q11-H60CHRC-3C [Default]


Q11-H60CHRC-3DB-LOOP-END []Section: Health

UNTIL ([{Q11-H60-LOOP3}]==[Number of cancers R reported] || [Number of cancers R reported]==0)

Default Next:Q11-H60CHRC_CHK4
Lead-In:Q11-H60CHRC-3D [Default]


Q11-H60CHRC_CHK4 []Section: Health

[r report non-asthma/chronic lung problems in 40+ Health Module]==1 || [{h50_nonasthma_chroniclung}]==1

COMMENT: R has previously reported chronic lung condition

If Answer = 1 Then Go To
Q11-H60CHRC-5

Default Next:Q11-H60CHRC-4
Lead-In:Q11-H60CHRC-3A [-2:0], Q11-H60CHRC-3 [Default], Q11-H60CHRC-3DB-LOOP-END [Default]


Q11-H60CHRC-4 []Section: Health

Not including asthma, has a doctor ever told you that you have chronic lung disease such as chronic bronchitis or emphysema?

 1   YES   ...(Go To Q11-H60CHRC-4B)
 0   NO

Default Next:Q11-H60CHRC-5
Lead-In:Q11-H60CHRC_CHK4 [Default]


Q11-H60CHRC-4B []Section: Health

In what month and year was your chronic lung disease diagnosed?

ENTER MONTH AND YEAR:  
MonthYearDay 

Default Next:Q11-H60CHRC-5
Lead-In:Q11-H60CHRC-4 [1:1]


Q11-H60CHRC-5 []Section: Health

[Has/Since (date of 50+ Health Module) has] a doctor ever told you that you had a heart attack, coronary heart disease, angina, congestive heart failure, or other heart problems?

 1   YES   ...(Go To Q11-H60CHRC-5A)
 0   NO

Default Next:Q11-H60CHRC-7
Lead-In:Q11-H60CHRC_CHK4 [1:1], Q11-H60CHRC-4 [Default], Q11-H60CHRC-4B [Default]


Q11-H60CHRC-5A []Section: Health

[Had/had since (date of 50+ Health Module)] you have a heart attack or myocardial infarction?

 1   YES   ...(Go To Q11-H60CHRC-5B)
 0   NO

Default Next:Q11-H60CHRC-5C
Lead-In:Q11-H60CHRC-5 [1:1]


Q11-H60CHRC-5B []Section: Health

In what month and year did you have your [last] heart attack or myocardial infarction?

ENTER MONTH AND YEAR:  
MonthYearDay 

Default Next:Q11-H60CHRC-5C
Lead-In:Q11-H60CHRC-5A [1:1]


Q11-H60CHRC-5C []Section: Health

Do you currently have any angina or chest pains due to your heart?

 1   YES
 0   NO

Default Next:Q11-H60CHRC-6
Lead-In:Q11-H60CHRC-5A [Default], Q11-H60CHRC-5B [Default]


Q11-H60CHRC-6 []Section: Health

Has a doctor ever told you that you have congestive heart failure?

 1   YES   ...(Go To Q11-H60CHRC-6A)
 0   NO

Default Next:Q11-H60CHRC-7
Lead-In:Q11-H60CHRC-5C [Default]


Q11-H60CHRC-6A []Section: Health

In what month and year was your congestive heart failure?

ENTER MONTH AND YEAR:  
MonthYearDay 

Default Next:Q11-H60CHRC-7
Lead-In:Q11-H60CHRC-6 [1:1]


Q11-H60CHRC-7 []Section: Health

[Has/Since (date of 50+ Health Module) has] a doctor ever told you that you had a stroke?

 1   YES   ...(Go To Q11-H60CHRC-7A)
 0   NO

Default Next:Q11-H60CHRC-7B
Lead-In:Q11-H60CHRC-5 [Default], Q11-H60CHRC-6 [Default], Q11-H60CHRC-6A [Default]


Q11-H60CHRC-7A []Section: Health

In what month and year did you last have a stroke?

  
MonthYearDay 

Default Next:Q11-H60CHRC-7B
Lead-In:Q11-H60CHRC-7 [1:1]


Q11-H60CHRC-7B []Section: Health

[Has/Since (date of 50+ Health Module) has] a doctor ever diagnosed you as suffering from depression?

 1   YES   ...(Go To Q11-H60CHRC-7C)
 0   NO

Default Next:Q11-H60CHRC-7E
Lead-In:Q11-H60CHRC-7 [Default], Q11-H60CHRC-7A [Default]


Q11-H60CHRC-7C []Section: Health

In what month and year was your depression diagnosed?

  
MonthYearDay 


Q11-H60CHRC-7D []Section: Health

During the last 12 months, have you suffered from depression?

 1   YES
 0   NO

Default Next:Q11-H60CHRC-7E
Lead-In:Q11-H60CHRC-7C [Default]


Q11-H60CHRC-7E []Section: Health

Has a doctor ever diagnosed you as suffering from anxiety?

 1   YES   ...(Go To Q11-H60CHRC-7F)
 0   NO

Default Next:Q11-H60CHRC_CHK6
Lead-In:Q11-H60CHRC-7B [Default], Q11-H60CHRC-7D [Default]


Q11-H60CHRC-7F []Section: Health

In what year and month was your anxiety diagnosed?

  
MonthYearDay 

Default Next:Q11-H60CHRC-7G
Lead-In:Q11-H60CHRC-7E [1:1]


Q11-H60CHRC-7G []Section: Health

During the last 12 months, have you suffered from anxiety?

 1   YES
 0   NO

Default Next:Q11-H60CHRC_CHK6
Lead-In:Q11-H60CHRC-7F [Default]


Q11-H60CHRC_CHK6 []Section: Health

[r report psychiatric problems during 40+ Health Module]==1 || [{h50_psychiatric}]==1

COMMENT: R has previously reported psychiatric problem

If Answer = 1 Then Go To
Q11-H60CHRC_CHK7

Default Next:Q11-H60CHRC-8
Lead-In:Q11-H60CHRC-7E [Default], Q11-H60CHRC-7G [Default]


Q11-H60CHRC-8 []Section: Health

Has a doctor ever told you that you had emotional, nervous, or psychiatric problems other than depression or anxiety?

 1   YES   ...(Go To Q11-H60CHRC-8A)
 0   NO

Default Next:Q11-H60CHRC_CHK7
Lead-In:Q11-H60CHRC_CHK6 [Default]


Q11-H60CHRC-8A []Section: Health

In what month and year were your emotional, nervous or psychiatric problems diagnosed?

  
MonthYearDay 


Q11-H60CHRC-8B []Section: Health

During the last 12 months, have you had any emotional, nervous, or psychiatric problems?

 1   YES
 0   NO

Default Next:Q11-H60CHRC_CHK7
Lead-In:Q11-H60CHRC-8A [Default]


Q11-H60CHRC_CHK7 []Section: Health

[r report arthritis during 40+ Health Module]==1 || [{h50_arthritis}]==1

COMMENT: R has previously reported arthritis

If Answer = 1 Then Go To
Q11-H60CHRC-9B

Default Next:Q11-H60CHRC-9
Lead-In:Q11-H60CHRC_CHK6 [1:1], Q11-H60CHRC-8 [Default], Q11-H60CHRC-8B [Default]


Q11-H60CHRC-9 []Section: Health

Have you ever had, or has a doctor ever told you that you have, arthritis or rheumatism?

 1   YES   ...(Go To Q11-H60CHRC-9A)
 0   NO

Default Next:Q11-H60CHRC-9B
Lead-In:Q11-H60CHRC_CHK7 [Default]


Q11-H60CHRC-9A []Section: Health

In what month and year was your arthritis or rheumatism diagnosed?

 1   ENTER MONTH AND YEAR   ...(Go To Q11-H60CHRC-9AB)
 0   NEVER DIAGNOSED

Default Next:Q11-H60CHRC-9B
Lead-In:Q11-H60CHRC-9 [1:1]


Q11-H60CHRC-9AB []Section: Health

(In what month and year was your arthritis or rheumatism diagnosed?)

  
MonthYear 

Default Next:Q11-H60CHRC-9B
Lead-In:Q11-H60CHRC-9A [1:1]


Q11-H60CHRC-9B []Section: Health

Do you sometimes have pain, stiffness, or swelling in your joints?

 1   YES
 0   NO

Default Next:Q11-H60CHRC-9C
Lead-In:Q11-H60CHRC_CHK7 [1:1], Q11-H60CHRC-9 [Default], Q11-H60CHRC-9A [Default], Q11-H60CHRC-9AB [Default]


Q11-H60CHRC-9C []Section: Health

[Has/Since (date of 50+ Health Module) has] a doctor ever told you that you had osteoporosis?

 1   YES   ...(Go To Q11-H60CHRC-9D)
 0   NO

Default Next:Q11-H60CHRC-10
Lead-In:Q11-H60CHRC-9B [Default]


Q11-H60CHRC-9D []Section: Health

In what month and year was your osteoporosis diagnosed?

  
MonthYearDay 

Default Next:Q11-H60CHRC-10
Lead-In:Q11-H60CHRC-9C [1:1]


Q11-H60CHRC-10 []Section: Health

Has a doctor ever told you that you have Alzheimer's Disease?

 1   YES   ...(Go To Q11-H60CHRC-10A)
 0   NO

Default Next:Q11-H60CHRC-11
Lead-In:Q11-H60CHRC-9C [Default], Q11-H60CHRC-9D [Default]


Q11-H60CHRC-10A []Section: Health

In what month and year was your Alzheimer's diagnosed?

  
MonthYearDay 

Default Next:Q11-H60CHRC-10B
Lead-In:Q11-H60CHRC-10 [1:1]


Q11-H60CHRC-10B []Section: Health

Are you currently taking medication for your Alzheimer's?

 1   YES
 0   NO

Default Next:Q11-H60CHRC-11
Lead-In:Q11-H60CHRC-10A [Default]


Q11-H60CHRC-11 []Section: Health

Has a doctor ever told you that you have dementia, senility or any other serious memory impairment?

 1   YES   ...(Go To Q11-H60CHRC-11A)
 0   NO

Default Next:Q11-H60FL-1
Lead-In:Q11-H60CHRC-10 [Default], Q11-H60CHRC-10B [Default]


Q11-H60CHRC-11A []Section: Health

In what month and year was your dementia, senility, or memory impairment diagnosed?

  
MonthYearDay 

Default Next:Q11-H60FL-1
Lead-In:Q11-H60CHRC-11 [1:1]


Q11-H60FL-1 []Section: Health

Do you currently use any special equipment to aid you in your usual activities? By this we mean things such as hearing aids, wheelchairs, scooters, canes, protheses, or special telephones. Please do not include eyeglasses or false teeth.

 1   YES
 0   NO

Default Next:Q11-H60FL-2A
Lead-In:Q11-H60CHRC-11 [Default], Q11-H60CHRC-11A [Default]


Q11-H60FL-2A []Section: Health

We are interested in how much difficulty people have with various activities because of a health or physical problem. Do you have any difficulty with...

Running about a mile?

 1   YES
 0   NO   ...(Go To Q11-H60FL-2E)
 6   CAN'T DO
 7   DON'T DO

Default Next:Q11-H60FL-2B
Lead-In:Q11-H60FL-1 [Default]


Q11-H60FL-2B []Section: Health

Do you have any difficulty with..

walking several blocks?

 1   YES
 0   NO   ...(Go To Q11-H60FL-2E)
 6   CAN'T DO
 7   DON'T DO

Default Next:Q11-H60FL-2C
Lead-In:Q11-H60FL-2A [Default]


Q11-H60FL-2C []Section: Health

Do you have any difficulty with..

Walking one block?

 1   YES
 0   NO   ...(Go To Q11-H60FL-2E)
 6   CAN'T DO
 7   DON'T DO

Default Next:Q11-H60FL-2D
Lead-In:Q11-H60FL-2B [Default]


Q11-H60FL-2D []Section: Health

Do you have any difficulty with...

Walking across a room?

 1   YES
 0   NO
 6   CAN'T DO
 7   DON'T DO

Default Next:Q11-H60FL-2E
Lead-In:Q11-H60FL-2C [Default]


Q11-H60FL-2E []Section: Health

Do you have any difficulty with..

Sitting for about 2 hours?

 1   YES
 0   NO
 6   CAN'T DO
 7   DON'T DO


Q11-H60FL-2F []Section: Health

Do you have any difficulty with..

Getting up from a chair after sitting for long periods?

 1   YES
 0   NO
 6   CAN'T DO
 7   DON'T DO

Default Next:Q11-H60FL-2G
Lead-In:Q11-H60FL-2E [Default]


Q11-H60FL-2G []Section: Health

Do you have any difficulty with..

Climbing several flights of stairs without resting?

 1   YES
 0   NO   ...(Go To Q11-H60FL-2I)
 6   CAN'T DO
 7   DON'T DO

Default Next:Q11-H60FL-2H
Lead-In:Q11-H60FL-2F [Default]


Q11-H60FL-2H []Section: Health

Do you have any difficulty with..

Climbing one flight of stairs without resting?

 1   YES
 0   NO
 6   CAN'T DO
 7   DON'T DO

Default Next:Q11-H60FL-2I
Lead-In:Q11-H60FL-2G [Default]


Q11-H60FL-2I []Section: Health

Do you have any difficulty with..

Lifting or carrying weights over 10 pounds, like a heavy bag of groceries?

 1   YES
 0   NO
 6   CAN'T DO
 7   DON'T DO

Default Next:Q11-H60-2J
Lead-In:Q11-H60FL-2G [0:0], Q11-H60FL-2H [Default]


Q11-H60-2J []Section: Health

Do you have any difficulty with..

Stooping, kneeling, or crouching?

 1   YES
 0   NO
 6   CAN'T DO
 7   DON'T DO

Default Next:Q11-H60FL-2K
Lead-In:Q11-H60FL-2I [Default]


Q11-H60FL-2K []Section: Health

Do you have any difficulty with..

Picking up a dime from a table?

 1   YES
 0   NO
 6   CAN'T DO
 7   DON'T DO

Default Next:Q11-H60FL-2L
Lead-In:Q11-H60-2J [Default]


Q11-H60FL-2L []Section: Health

Do you have any difficulty with..

Reaching or extending your arms above shoulder level?

 1   YES
 0   NO
 6   CAN'T DO
 7   DON'T DO

Default Next:Q11-H60FL-2M
Lead-In:Q11-H60FL-2K [Default]


Q11-H60FL-2M []Section: Health

Do you have any difficulty with..

Pulling or pushing large objects like a living room chair?

 1   YES
 0   NO
 6   CAN'T DO
 7   DON'T DO

Default Next:Q11-H60-10_A
Lead-In:Q11-H60FL-2L [Default]


Q11-H60-10_A []Section: Health

How tall are you?

(INTERVIEWER: IF R ANSWERS ONLY IN FEET OR ONLY IN INCHES, LEAVE OTHER FIELD BLANK.)

ENTER FEET: 


Q11-H60-10_B []Section: Health

ENTER INCHES: 

Default Next:Q11-H60SLP-1
Lead-In:Q11-H60-10_A [Default]


Q11-H60SLP-1 []Section: Health

How much sleep do you usually get at night (or in your main sleep period) on weekdays or workdays?

ENTER # HOURS: 


Q11-H60SLP-1B []Section: Health

ENTER # MINUTES: 

Default Next:Q11-H60SLP-2
Lead-In:Q11-H60SLP-1 [Default]


Q11-H60SLP-2 []Section: Health

How much sleep do you usually get at night (or in your main sleep period) on weekends or your nonworkdays?

ENTER # HOURS: 


Q11-H60SLP-2B []Section: Health

ENTER # MINUTES: 

Default Next:Q11-H60SLP-5
Lead-In:Q11-H60SLP-2 [Default]


Q11-H60SLP-5 []Section: Health

How often do you…

 - have trouble falling asleep?
 - wake up during the night and have trouble going back to sleep?
 - wake up too early in the morning and be unable to get back to sleep?
 1   Almost always (4+ times per week)
 2   Often (2-3 times per week)
 3   Sometimes (2-4 times per month)
 4   Rarely or never (once a month or less)

Default Next:Q11-H60SLP-6-REV
Lead-In:Q11-H60SLP-2B [Default]


Q11-H60SLP-6-REV []Section: Health

Have you ever been told by a doctor or other health professional that you have sleep apnea?

 1   YES   ...(Go To Q11-H60SLP-6B-REV)
 0   NO

Default Next:Q11-H60OPEN-1
Lead-In:Q11-H60SLP-5 [Default]


Q11-H60SLP-6B-REV []Section: Health

In the past year, have you had any treatments for your sleep apnea?

 1   YES
 0   NO

Default Next:Q11-H60OPEN-1
Lead-In:Q11-H60SLP-6-REV [1:1]


Q11-H60OPEN-1 []Section: Health

Is there anything else you want to tell us about your health?

 1   YES   ...(Go To Q11-H60OPEN-1A)
 0   NO

Default Next:Q13-1A
Lead-In:Q11-H60SLP-6-REV [Default], Q11-H60SLP-6B-REV [Default]


Q11-H60OPEN-1A []Section: Health

(INTERVIEWER: RECORD VERBATIM RESPONSE.)

 

Default Next:Q13-1A
Lead-In:Q11-H60OPEN-1 [1:1]