new immigrant survey spouse codebook section d –...

NIS-2003-2 Section D Codebook 1 Last Updated April 10, 2014

New Immigrant Survey Spouse Codebook

Section D – Health1 R00001.00 [PU_ID] Survey Round: R2 SAMPLING UNIT IDENTIFICATION CODE - ORIGINAL SAMPLE Sampling Unit Identification Code UNIVERSE: ALL; 1811 000820 TO 936320: 000820 to 936320 Respondent Case Number ------- 1811 Refusal(-1) 0 Don't Know(-2) 0 TOTAL =========> 1811 Min: 000220 Max: 936320 Lead In: None. Default Next Question: R00003.00 -------------------------------------------------------------------------------- R00468.00 [D_ST] Survey Round: R2 TIME: START SECTION D TIME(0) UNIVERSE: ALL SAMPLE TYPES; COMMENT: Beginning of health section ------- 1799 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 1799 MISSING 12 Lead In: C_ET[Default] Default Next Question: D1

1 Descriptive statistics were automatically generated for those variables with amounts. Several questions collect information about amounts in different units, periods of time, currencies, etc. Descriptive statistics for these variables won't provide a good description of the data and further calculations will be needed.


-------------------------------------------------------------------------------- R00469.00 [D1] Survey Round: R2 HEALTH-R SELF-RATING Next I have some questions about your health. Would you say your health is excellent, very good, good, fair, or poor? UNIVERSE: ALL SAMPLE TYPES; 423 1 EXCELLENT 464 2 VERY GOOD 564 3 GOOD 283 4 FAIR 58 5 POOR ------- 1792 Refusal(-1) 3 Don't Know(-2) 4 TOTAL = = = ==> 1799 MISSING 12 Lead In: D_ST[Default] Default Next Question: D2_CHECK -------------------------------------------------------------------------------- R00470.00 [D2_CHECK]2 Survey Round: R2 CHK: R1 HEALTH ANSWERED? [R1-D2: Health in R1] =1 OR [R1-D2: Health in R1] =2 OR [R1-D2: Health in R1] =3 OR [R1-D2: Health in R1] =-1 OR [R1-D2: Health in R1] =-2 UNIVERSE: ALL SAMPLE TYPES; 1586 1: CONDITION APPLIES (Go To D2) 213 2: CONDITION DOESN'T APPLY ------- 1799 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 1799 MISSING 12 Lead In: D1[Default] Default Next Question: D2A --------------------------------------------------------------------------------

2 Some respondents who had answered D2 in R1 were incorrectly sent to D2A instead of D2. Due to an input error in this flag, not everyone received D2 was in R1; 452 cases that were in R1 received the D2A question instead.


R00471.00 [D2] Survey Round: R2 COMPARISON OF R CURRENT OVERALL HEALTH CONDITION WITH R1 Compared with your health on [Month and Year, R1], would you say that your health is better now, about the same, or worse? UNIVERSE: ALL SAMPLE TYPES; 235 1 BETTER 1091 2 ABOUT SAME 251 3 WORSE ------- 1577 Refusal(-1) 2 Don't Know(-2) 7 TOTAL = = = ==> 1586 MISSING 225 Lead In: D2_CHECK[1:1] Default Next Question: D4_CHECK -------------------------------------------------------------------------------- R00472.00 [D2A] Survey Round: R2 HEALTH CHANGE COMPARED TO A YEAR AGO Compared with your health a year ago, would you say that your heath is better now, about the same or worse? UNIVERSE: ALL SAMPLE TYPES; 31 1 BETTER 166 2 ABOUT SAME 14 3 WORSE ------- 211 Refusal(-1) 0 Don't Know(-2) 2 TOTAL = = = ==> 213 MISSING 1598 Lead In: D2_CHECK[Default] Default Next Question: D4_CHECK -------------------------------------------------------------------------------- R00473.00 [D4_CHECK] Survey Round: R2 CHK: R REPORTED HIGH BLOOD PRESSURE R1? [R1-D4: Respondent reported high blood pressure in R1]


UNIVERSE: ALL SAMPLE TYPES; 156 1: YES (Go To D4B) 1429 2: NO ------- 1585 Refusal(-1) 1 Don't Know(-2) 0 TOTAL = = = ==> 1586 MISSING 225 Lead In: D2[Default] D2A[Default] Default Next Question: D4A_CHECK -------------------------------------------------------------------------------- R00474.00 [D4A_CHECK] Survey Round: R2 CHK: R DIDN'T REPORT HBP IN R1 [R1-D4: Respondent reported high blood pressure in R1] =2 OR [R1-D4: Respondent reported high blood pressure in R1] =-1 OR [R1-D4: Respondent reported high blood pressure in R1] =-2 UNIVERSE: ALL SAMPLE TYPES; 1430 1: CONDITION APPLIES (Go To D4A) 213 2: CONDITION DOESN'T APPLY ------- 1643 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 1643 MISSING 168 Lead In: D4_CHECK[Default] Default Next Question: D4 -------------------------------------------------------------------------------- R00475.00 [D4] Survey Round: R2 HEALTH--DOCTOR EVER TOLD R IF HAD HIGH BLOOD PRESSURE/HYPERTENSION Has a doctor ever told you that you have high blood pressure or hypertension? INTERVIEWER INSTRUCTION: IT MUST BE A DIAGNOSED CONDITION. UNIVERSE: ALL SAMPLE TYPES; 34 1 YES (Go To D5) 179 2 NO ------- 213


Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 213 MISSING 1598 Lead In: D4A_CHECK[Default] Default Next Question: D8_CHECK -------------------------------------------------------------------------------- R00476.00 [D4A] Survey Round: R2 DOCTOR EVER TOLD R IF HAD HIGH BLOOD PRESSURE/HYPERTENSION SINCE R1 Since [Month and Year, R1], has a doctor told you that you have high blood pressure or hypertension? INTERVIEWER INSTRUCTION: IT MUST BE A DIAGNOSED CONDITION. UNIVERSE: ALL SAMPLE TYPES; 140 1 YES (Go To D5) 1279 2 NO ------- 1419 Refusal(-1) 4 Don't Know(-2) 7 TOTAL = = = ==> 1430 MISSING 381 Lead In: D4A_CHECK[1:1] Default Next Question: D8_CHECK -------------------------------------------------------------------------------- R00477.00 [D4B] Survey Round: R2 R HAD HBP IN R1-DOES R HAVE IT NOW? Our records from [Month and Year, R1] show that you have had high blood pressure or hypertension. Is that correct? INTERVIEWER INSTRUCTION: IT MUST BE A DIAGNOSED CONDITION. UNIVERSE: ALL SAMPLE TYPES; 138 1 YES-INFO CORRECT (Go To D6) 1 2 DISPUTES, BUT NOW HAS CONDITION (Go To D5) 16 3 DISPUTES, DOESN’T HAVE CONDITION ------- 155 Refusal(-1) 1 Don't Know(-2) 0 TOTAL = = = ==> 156 MISSING 1655 Lead In: D4_CHECK[1:1]


Default Next Question: D8_CHECK -------------------------------------------------------------------------------- R00478.00 [D5] Survey Round: R2 HEALTH-HOW LONG HAS R HAD HIGH BLOOD PRESSURE - LENGTH How long have you had this condition? INTERVIEWER INSTRUCTION: HOW LONG SINCE IT WAS DIAGNOSED. UNIVERSE: ALL SAMPLE TYPES; 2 0 104 1 TO 4 38 5 TO 8 7 9 TO 14 7 15 TO 19 3 20 TO 24 1 25 TO 29 3 30 TO 34 ------- 165 Refusal(-1) 0 Don't Know(-2) 10 TOTAL = = = ==> 175 MISSING 1636 Min: 0 Max: 30 Mean: 5.13 Lead In: D4A[1:1] D4B[2:2] D4[1:1] Default Next Question: D5A -------------------------------------------------------------------------------- R00479.00 [D5A] Survey Round: R2 HEALTH-HOW LONG HAS R HAD HIGH BLOOD PRESSURE - TIME UNIT INTERVIEWER: UNIT OF TIME FOR PREVIOUS ANSWER (YEARS, MONTHS, ETC.). UNIVERSE: ALL SAMPLE TYPES; 128 1 YEARS 32 2 MONTHS 4 3 WEEKS 1 4 DAYS ------- 165 Refusal(-1) 0 Don't Know(-2) 10 TOTAL = = = ==> 175 MISSING 1636 Lead In: D5[Default]


Default Next Question: D6 -------------------------------------------------------------------------------- R00480.00 [D6] Survey Round: R2 HEALTH - HOW MUCH DOES CONDITION LIMIT NORMAL ACTIVTIES? How much does this condition limit your normal daily activities? -- A lot, somewhat, just a little, or not at all? UNIVERSE: ALL SAMPLE TYPES; 14 1 A LOT 31 3 SOMEWHAT 76 5 JUST A LITTLE 189 7 NOT AT ALL ------- 310 Refusal(-1) 1 Don't Know(-2) 2 TOTAL = = = ==> 313 MISSING 1498 Lead In: D5A[Default] D4B[1:1] Default Next Question: D7 -------------------------------------------------------------------------------- R00481.00 [D7] Survey Round: R2 HEALTH - TAKING ANY MEDICATION TO LOWER HIGH BLOOD PRESSURE? In order to lower your blood pressure, are you now taking any medication? UNIVERSE: ALL SAMPLE TYPES; 223 1 YES 90 2 NO ------- 313 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 313 MISSING 1498 Lead In: D6[Default] Default Next Question: D7A -------------------------------------------------------------------------------- R00482.00 [D7A] Survey Round: R2 HEALTH - BLOOD PRESSURE UNDER CONTROL? Is your blood pressure generally under control?


UNIVERSE: ALL SAMPLE TYPES; 295 1 YES 13 2 NO ------- 308 Refusal(-1) 1 Don't Know(-2) 4 TOTAL = = = ==> 313 MISSING 1498 Lead In: D7[Default] Default Next Question: D7B_CHECK -------------------------------------------------------------------------------- R00483.00 [D7B_CHECK] Survey Round: R2 CHK: R HAD HBP IN R1? [R1-D4: Respondent reported high blood pressure in R1] UNIVERSE: ALL SAMPLE TYPES; 139 1: YES (Go To D7B) 140 2: NO ------- 279 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 279 MISSING 1532 Lead In: D7A[Default] Default Next Question: D8_CHECK -------------------------------------------------------------------------------- R00484.00 [D7B] Survey Round: R2 HEALTH- STATUS OF HIGH BLOOD PRESSURE SINCE R1 Since [Month and Year, R1], has your high blood pressure gotten better, worse, or stayed about the same? UNIVERSE: ALL SAMPLE TYPES; 42 1 BETTER 83 2 ABOUT SAME 11 3 WORSE ------- 136 Refusal(-1) 1 Don't Know(-2) 2


TOTAL = = = ==> 139 MISSING 1672 Lead In: D7B_CHECK[1:1] Default Next Question: D8_CHECK -------------------------------------------------------------------------------- R00485.00 [D8_CHECK] Survey Round: R2 CHK: REPORTED DIABETES IN R1? [R1-D8: Respondent reported being diabetic during R1] UNIVERSE: ALL SAMPLE TYPES; 54 1: YES (Go To D8B) 1529 2: NO ------- 1583 Refusal(-1) 1 Don't Know(-2) 2 TOTAL = = = ==> 1586 MISSING 225 Lead In: D4A[Default] D4B[Default] D7B_CHECK[Default] D4[Default] D7B[Default] Default Next Question: D8A_CHECK -------------------------------------------------------------------------------- R00486.00 [D8A_CHECK] Survey Round: R2 CHK: R DIDN'T REPORT DIABETES IN R1? [R1-D8: Respondent reported being diabetic during R1] =2 OR [R1-D8: Respondent reported being diabetic during R1] =-1 OR [R1-D8: Respondent reported being diabetic during R1] =-2 UNIVERSE: ALL SAMPLE TYPES; 1532 1: CONDITION APPLIES (Go To D8A) 213 2: CONDITION DOESN'T APPLY ------- 1745 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 1745 MISSING 66 Lead In: D8_CHECK[Default] Default Next Question: D8 -------------------------------------------------------------------------------- R00487.00 [D8] Survey Round: R2 HEALTH - DOCTOR EVER TOLD R IF HAD DIABETES OR HIGH BLOOD SUGAR?


Has a doctor ever told you that you have diabetes or high blood sugar? UNIVERSE: ALL SAMPLE TYPES; 16 1 YES (Go To D9) 196 2 NO ------- 212 Refusal(-1) 0 Don't Know(-2) 1 TOTAL = = = ==> 213 MISSING 1598 Lead In: D8A-CHECK[Default] Default Next Question: D13_CHECK -------------------------------------------------------------------------------- R00488.00 [D8A] Survey Round: R2 HEALTH - DOCTOR EVER TOLD R IF HAD DIABETES OR HIGH BLOOD SUGAR SINCE R1? Since [Month and Year, R1], has a doctor told you that you have diabetes or high blood sugar? UNIVERSE: ALL SAMPLE TYPES; 62 1 YES (Go To D9) 1464 2 NO ------- 1526 Refusal(-1) 3 Don't Know(-2) 3 TOTAL = = = ==> 1532 MISSING 279 Lead In: D8A_CHECK[1:1] Default Next Question: D13_CHECK -------------------------------------------------------------------------------- R00489.00 [D8B] Survey Round: R2 HEALTH - R CONFIRMS REPORT OF DIABETES IN R1? Our records from [Month and Year, R1] show that you have had diabetes or high blood sugar. UNIVERSE: ALL SAMPLE TYPES; 45 1 YES-INFO CORRECT (Go To D10) 0 2 DISPUTES, BUT NOW HAS CONDITION 9 3 DISPUTES, DOESN’T HAVE CONDITION ------- 54


Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 54 MISSING 1757 Lead In: D8_CHECK[1:1] Default Next Question: D13_CHECK -------------------------------------------------------------------------------- R00490.00 [D9] Survey Round: R2 HEALTH - HOW LONG HAS R HAD DIABETES OR HIGH BLOOD SUGAR - LENGTH How long have you had this condition? INTERVIEWER INSTRUCTION: HOW LONG SINCE IT WAS DIAGNOSED. UNIVERSE: ALL SAMPLE TYPES; 39 1 TO 4 20 5 TO 8 8 9 TO 14 3 15 TO 19 2 20 TO 24 ------- 72 Refusal(-1) 0 Don't Know(-2) 4 TOTAL = = = ==> 76 MISSING 1735 Min: 1 Max: 24 Mean: 5.49 Lead In: D8[1:1] D8A[1:1] Default Next Question: D9A -------------------------------------------------------------------------------- R00491.00 [D9A] Survey Round: R2 HEALTH - HOW LONG HAS R HAD DIABETES OR HIGH BLOOD SUGAR - TIME UNIT INTERVIEWER: TIME UNIT FOR PREVIOUS ANSWER (YEARS, MONTHS, ETC.) UNIVERSE: ALL SAMPLE TYPES; UNIT: 51 1 YEARS 23 2 MONTHS 0 3 WEEKS 0 4 DAYS ------- 74 Refusal(-1) 0


Don't Know(-2) 2 TOTAL = = = ==> 76 MISSING 1735 Lead In: D9[Default] Default Next Question: D10 -------------------------------------------------------------------------------- R00492.00 [D10] Survey Round: R2 HEALTH - HOW MUCH DOES DIABETES OR HIGH BLOOD SUGAR LIMIT NORMAL ACTIVITIES? How much does this condition limit your normal daily activities? -- A lot, somewhat, just a little, or not at all? UNIVERSE: ALL SAMPLE TYPES; 11 1 A LOT 15 3 SOMEWHAT 31 5 JUST A LITTLE 64 7 NOT AT ALL ------- 121 Refusal(-1) 0 Don't Know(-2) 2 TOTAL = = = ==> 123 MISSING 1688 Lead In: D9A[Default] D8B[1:1] Default Next Question: D11 -------------------------------------------------------------------------------- R00493.00 [D11] Survey Round: R2 HEALTH - TAKING ANY MEDICATION THAT YOU SWALLOW FOR DIABETES? In order to treat or control your diabetes, are you now taking medication that you swallow? UNIVERSE: ALL SAMPLE TYPES; 79 1 YES 43 2 NO ------- 122 Refusal(-1) 0 Don't Know(-2) 1 TOTAL = = = ==> 123 MISSING 1688 Lead In: D10[Default] Default Next Question: D12 --------------------------------------------------------------------------------


R00494.00 [D12] Survey Round: R2 HEALTH - USING INSULIN OR A PUMP FOR DIABETES? Are you now using insulin shots or a pump? UNIVERSE: ALL SAMPLE TYPES; 19 1 YES 103 2 NO ------- 122 Refusal(-1) 0 Don't Know(-2) 1 TOTAL = = = ==> 123 MISSING 1688 Lead In: D11[Default] Default Next Question: D12A -------------------------------------------------------------------------------- R00495.00 [D12A] Survey Round: R2 HEALTH - HAS R LOST WEIGHT SINCE R1? In order to treat or control your diabetes, have you lost weight since [Month and Year, R1]? UNIVERSE: ALL SAMPLE TYPES; 67 1 YES 53 2 NO ------- 120 Refusal(-1) 0 Don't Know(-2) 3 TOTAL = = = ==> 123 MISSING 1688 Lead In: D12[Default] Default Next Question: D12B -------------------------------------------------------------------------------- R00496.00 [D12B] Survey Round: R2 HEALTH - IS R ON A SPECIAL DIET? Are you following a special diet? UNIVERSE: ALL SAMPLE TYPES; 75 1 YES


47 2 NO ------- 122 Refusal(-1) 0 Don't Know(-2) 1 TOTAL = = = ==> 123 MISSING 1688 Lead In: D12A[Default] Default Next Question: D12C -------------------------------------------------------------------------------- R00497.00 [D12C] Survey Round: R2 HEALTH - IS R'S DIABETES UNDER CONTROL? Is your diabetes generally under control? UNIVERSE: ALL SAMPLE TYPES; 108 1 YES 13 2 NO ------- 121 Refusal(-1) 0 Don't Know(-2) 2 TOTAL = = = ==> 123 MISSING 1688 Lead In: D12B[Default] Default Next Question: D12D_CHECK -------------------------------------------------------------------------------- R00498.00 [D12D_CHECK] Survey Round: R2 CHK: HAS R REPORTED DIABETES R1? [R1-D8: Respondent reported being diabetic during R1] UNIVERSE: ALL SAMPLE TYPES; 45 1: YES (Go To D12D) 62 2: NO ------- 107 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 107 MISSING 1704 Lead In: D12C[Default] Default Next Question: D13_CHECK --------------------------------------------------------------------------------


R00499.00 [D12D] Survey Round: R2 HEALTH - STATUS OF R1 DIABETES BETTER/WORSE/SAME? Since [Month and Year, R1] has your diabetes gotten better, worse, or stayed about the same? UNIVERSE: ALL SAMPLE TYPES; 9 1 BETTER 26 2 ABOUT SAME 10 3 WORSE ------- 45 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 45 MISSING 1766 Lead In: D12D_CHECK[1:1] Default Next Question: D13_CHECK -------------------------------------------------------------------------------- R00500.00 [D13_CHECK] Survey Round: R2 CHK: HAS R REPORTED CANCER R1? [R1-D13: Respondent reported cancer during R1] UNIVERSE: ALL SAMPLE TYPES; 11 1: YES (Go To D13B) 1571 2: NO ------- 1582 Refusal(-1) 1 Don't Know(-2) 3 TOTAL = = = ==> 1586 MISSING 225 Lead In: D12D[Default] D12D_CHECK[Default] D8A[Default] D8B[Default] D8[Default] Default Next Question: D13A_CHECK -------------------------------------------------------------------------------- R00501.00 [D13A_CHECK] Survey Round: R2 CHK: NO CANCER AT R1? [R1-D13: Respondent reported cancer during R1] =2 OR [R1-D13: Respondent reported cancer during R1] =-1 OR [R1-D13: Respondent reported cancer during R1] =-2


UNIVERSE: ALL SAMPLE TYPES; 1575 1: CONDITION APPLIES (Go To D13A) 213 2: CONDITION DOESN'T APPLY ------- 1788 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 1788 MISSING 23 Lead In: D13_CHECK[Default] Default Next Question: D13 -------------------------------------------------------------------------------- R00502.00 [D13] Survey Round: R2 HAVE CANCER Has a doctor ever told you that you have cancer or a malignant tumor, excluding minor skin cancer? INTERVIEWER: IT MUST BE A DIAGNOSED CONDITION. UNIVERSE: ALL SAMPLE TYPES; 3 1 YES (Go To D14) 210 2 NO ------- 213 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 213 MISSING 1598 Lead In: D13A_CHECK[Default] Default Next Question: D19_CHECK -------------------------------------------------------------------------------- R00503.00 [D13A] Survey Round: R2 HAD CANCER SINCE R1? Since [Month and Year, R1] has a doctor told you that you have cancer or a malignant tumor, excluding minor skin cancer? UNIVERSE: ALL SAMPLE TYPES; 13 1 YES (Go To D14) 1557 2 NO ------- 1570


Refusal(-1) 3 Don't Know(-2) 2 TOTAL = = = ==> 1575 MISSING 236 Lead In: D13A_CHECK[1:1] Default Next Question: D19_CHECK -------------------------------------------------------------------------------- R00504.00 [D13B] Survey Round: R2 HEALTH - CONFIRM STATUS OF R1 CANCER Our records from [Month and Year, R1] show that you have had cancer. UNIVERSE: ALL SAMPLE TYPES; 8 1 YES-INFO CORRECT (Go To D14B) 0 2 DISPUTES, BUT NOW HAS CONDITION 2 3 DISPUTES, DOESN’T HAVE CONDITION ------- 10 Refusal(-1) 0 Don't Know(-2) 1 TOTAL = = = ==> 11 MISSING 1800 Lead In: D13_CHECK[1:1] Default Next Question: D19_CHECK -------------------------------------------------------------------------------- R00505.00 [D14] Survey Round: R2 HOW LONG HAD CANCER How long have you had or did you have this condition? INTERVIEWER INSTRUCTION: HOW LONG SINCE IT WAS DIAGNOSED. UNIVERSE: ALL SAMPLE TYPES; 8 1 TO 4 3 5 TO 8 2 15 TO 19 1 20 TO 24 1 30 TO 34 ------- 15 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 15 MISSING 1796 Min: 1 Max: 30 Mean: 7.73


Lead In: D13[1:1] D13A[1:1] Default Next Question: D14A -------------------------------------------------------------------------------- R00506.00 [D14A] Survey Round: R2 TIME UNIT OF CANCER INTERVIEWER: UNIT OF TIME FOR PREVIOUS ANSWER YEARS, MONTHS, ETC. UNIVERSE: ALL SAMPLE TYPES; UNIT: 7 1 YEARS 8 2 MONTHS 0 3 WEEKS 0 4 DAYS ------- 15 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 15 MISSING 1796 Lead In: D14[Default] Default Next Question: D14_DKREFCK -------------------------------------------------------------------------------- R00508.00 [D14B] Survey Round: R2 HAS R SEEN A DOCTOR ABOUT R'S CANCER SINCE R1? Since [Month and Year, R1] have you seen a doctor about your cancer? UNIVERSE: ALL SAMPLE TYPES; 23 1 YES 0 2 NO ------- 23 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 23 MISSING 1788 Lead In: D14_DKREFCK[Default] D13B[1:1] Default Next Question: D15 --------------------------------------------------------------------------------


R00509.00 [D15] Survey Round: R2 LIMIT ACTIVITY CANCER How much does this condition limit your normal daily activities? -- A lot, somewhat, just a little, or not at all? UNIVERSE: ALL SAMPLE TYPES; 3 1 A LOT 3 3 SOMEWHAT 7 5 JUST A LITTLE 11 7 NOT AT ALL ------- 24 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 24 MISSING 1787 Lead In: D14B[Default] Default Next Question: D16 -------------------------------------------------------------------------------- R00510.00 [D16] Survey Round: R2 TREATMENT FOR CANCER SINCE R1 Since [Month and Year, R1], did you receive treatment for cancer? UNIVERSE: ALL SAMPLE TYPES; 13 1 YES (Go To D17) 11 2 NO ------- 24 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 24 MISSING 1787 Lead In: D15[Default] Default Next Question: D17K -------------------------------------------------------------------------------- R00511.00 [D17_1] Survey Round: R2 TREATMENT FOR CANCER SINCE R1 = CHEMOTHERAPY OR MEDICATION Since [Month and Year, R1], what sort of treatments have you received for cancer?


INTERVIEWER: PLEASE SELECT ALL THAT APPLY. UNIVERSE: ALL SAMPLE TYPES; RESPONSE CHOICE: "CHEMOTHERAPY OR MEDICATION" 6 1 SELECTED 7 2 NOT SELECTED ------- 13 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 13 MISSING 1798 Lead In: D16[1:1] Default Next Question: D17J_CHECK -------------------------------------------------------------------------------- R00512.00 [D17_2] Survey Round: R2 TREATMENT FOR CANCER SINCE R1-SURGERY OR BIOPSY Since [Month and Year, R1], what sort of treatments have you received for cancer? INTERVIEWER: PLEASE SELECT ALL THAT APPLY. UNIVERSE: ALL SAMPLE TYPES; RESPONSE CHOICE: "SURGERY OR BIOPSY" 11 1 SELECTED 2 2 NOT SELECTED ------- 13 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 13 MISSING 1798 Lead In: D16[1:1] Default Next Question: D17J_CHECK -------------------------------------------------------------------------------- R00513.00 [D17_3] Survey Round: R2 TREATMENT FOR CANCER SINCE R1-RADIATION/X-RAY Since [Month and Year, R1], what sort of treatments have you received for cancer? INTERVIEWER: PLEASE SELECT ALL THAT APPLY.


UNIVERSE: ALL SAMPLE TYPES; RESPONSE CHOICE: "RADIATION/ X-RAY" 3 1 SELECTED 10 2 NOT SELECTED ------- 13 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 13 MISSING 1798 Lead In: D16[1:1] Default Next Question: D17J_CHECK -------------------------------------------------------------------------------- R00514.00 [D17_4] Survey Round: R2 REATMENT FOR CANCER SINCE R1-MEDICATIONS OR TREATMENT FOR SYMPTOMS Since [Month and Year, R1], what sort of treatments have you received for cancer? INTERVIEWER: PLEASE SELECT ALL THAT APPLY. UNIVERSE: ALL SAMPLE TYPES; RESPONSE CHOICE: "MEDICATIONS/ TREATMENT FOR SYMPTOMS (PAIN, NAUSEA, RASHES)" 3 1 SELECTED 10 2 NOT SELECTED ------- 13 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 13 MISSING 1798 Lead In: D16[1:1] Default Next Question: D17J_CHECK ------------------------------------------------------------------------------ R00515.00 [D17_5] Survey Round: R2 TREATMENT FOR CANCER SINCE R1-NONE Since [Month and Year, R1], what sort of treatments have you received for cancer? INTERVIEWER: PLEASE SELECT ALL THAT APPLY. UNIVERSE: ALL SAMPLE TYPES;


RESPONSE CHOICE: "NONE" 0 1 SELECTED 13 2 NOT SELECTED ------- 13 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = = => 13 MISSING 1798 Lead In: D16[1:1] Default Next Question: D17J_CHECK -------------------------------------------------------------------------------- R00516.00 [D17_97] Survey Round: R2 TREATMENT FOR CANCER SINCE R1-OTHER Since [Month and Year, R1], what sort of treatments have you received for cancer? INTERVIEWER: PLEASE SELECT ALL THAT APPLY. UNIVERSE: ALL SAMPLE TYPES; RESPONSE CHOICE: "OTHER SPECIFY" 1 1 SELECTED 12 2 NOT SELECTED ------- 13 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 13 MISSING 1798 Lead In: D16[1:1] Default Next Question: D17J_CHECK -------------------------------------------------------------------------------- R00517.00 [D17OS] Survey Round: R2 SPECIFY CANCER TREATMENT D17 OTHER(SPECIFY) [MAX=30] UNIVERSE: ALL SAMPLE TYPES; Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 1 MISSING 1810


Lead In: D17_97[1:1] Default Next Question: D17J_CHECK -------------------------------------------------------------------------------- R00518.00 [D17J_CHECK] Survey Round: R2 CHK: HAS R REPORTED CANCER R1? [R1-D13: Respondent reported cancer during R1] UNIVERSE: ALL SAMPLE TYPES; 1 1: YES (Go To D17J) 11 2: NO ------- 12 Refusal(-1) 1 Don't Know(-2) 0 TOTAL = = = ==> 13 MISSING 1798 Lead In: D17[Default] D17OS[Default] Default Next Question: D17K -------------------------------------------------------------------------------- R00519.00 [D17J] Survey Round: R2 STATUS OF R1 CANCER SINCE R1? Since [Month and Year, R1], has the cancer gotten worse, better or stayed about the same? UNIVERSE: ALL SAMPLE TYPES; 1 1 BETTER 0 2 ABOUT SAME 0 3 WORSE ------- 1 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 1 MISSING 1810 Lead In: D17J_CHECK[1:1] Default Next Question: D17K -------------------------------------------------------------------------------- R00520.00 [D17K] Survey Round: R2 HAD CANCER SINCE R1? Since [Month and Year, R1], has a doctor told you that you had a new cancer or


malignant tumor, excluding minor skin cancer? INTERVIEWER: IT MUST BE A DIAGNOSED CONDITION. UNIVERSE: ALL SAMPLE TYPES; 2 1 YES (Go To D18) 21 2 NO ------- 23 Refusal(-1) 0 Don't Know(-2) 1 TOTAL = = = ==> 24 MISSING 1787 Lead In: D17J_CHECK[Default] D17J[Default] D16[Default] Default Next Question: D18B -------------------------------------------------------------------------------- R00521.00 [D18_M] Survey Round: R2 MONTH MOST RECENT CANCER DIAGNOSED In what month and year was your most recent cancer diagnosed? MONTH: UNIVERSE: ALL SAMPLE TYPES; 1 1: January 1 3: March ------- 2 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 2 MISSING 1809 Lead In: D17K[1:1] Default Next Question: D18B -------------------------------------------------------------------------------- R00522.00 [D18_Y] Survey Round: R2 YEAR MOST RECENT CANCER DIAGNOSED In what month and year was your most recent cancer diagnosed? YEAR: UNIVERSE: ALL SAMPLE TYPES; 2 2000 TO 2010: 2000+ ------- 2 Refusal(-1) 0 Don't Know(-2) 0


TOTAL = = = ==> 2 MISSING 1809 Min: 2006 Max: 2008 Mean: 2007 Lead In: D17K[1:1] Default Next Question: D18B -------------------------------------------------------------------------------- R00523.00 [D18B] Survey Round: R2 STILL HAVE CANCER? Do you still have cancer? UNIVERSE: ALL SAMPLE TYPES; 2 1 YES 21 2 NO ------- 23 Refusal(-1) 0 Don't Know(-2) 1 TOTAL = = = ==> 24 MISSING 1787 Lead In: D18[Default] D17K[Default] Default Next Question: D19_CHECK -------------------------------------------------------------------------------- R00524.00 [D19_CHECK] Survey Round: R2 CHK: HAS R REPORTED LUNG PROBLEMS IN R1? [R1-D19: Respondent reported lung disease in R1.] UNIVERSE: ALL SAMPLE TYPES; 7 1: YES (Go To D19A2) 1576 2: NO ------- 1583 Refusal(-1) 1 Don't Know(-2) 2 TOTAL = = = ==> 1586 MISSING 225 Lead In: D13[Default] D18B[Default] D13B[Default] D13A[Default] Default Next Question: D19A1_CHECK -------------------------------------------------------------------------------- R00525.00 [D19A1_CHECK] Survey Round: R2 CHK: NO LUNG DISEASE AT R1?


[R1-D19: Respondent reported lung disease in R1.] =2 OR [R1-D19: Respondent reported lung disease in R1.] =-1 OR [R1-D19: Respondent reported lung disease in R1.] =-2 UNIVERSE: ALL SAMPLE TYPES; 1579 1: CONDITION APPLIES (Go To D19A1) 213 2: CONDITION DOESN'T APPLY ------- 1792 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 1792 MISSING 19 Lead In: D19_CHECK[Default] Default Next Question: D19A -------------------------------------------------------------------------------- R00526.00 [D19A] Survey Round: R2 HAVE CHRONIC LONG DISEASE Has a doctor ever told you that you have chronic lung disease such as chronic bronchitis or emphysema? INTERVIEWER: IT MUST BE A DIAGNOSED CONDITION- DO NOT INCLUDE ASTHMA. UNIVERSE: ALL SAMPLE TYPES; 5 1 YES (Go To D20) 208 2 NO ------- 213 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 213 MISSING 1598 Lead In: D19A1_CHECK[Default] Default Next Question: D24_CHECK -------------------------------------------------------------------------------- R00527.00 [D19A1] Survey Round: R2 HAVE CHRONIC LONG DISEASE SINCE R1 Since [Month and Year, R1], has a doctor told you that you have chronic lung disease, such as chronic bronchitis or emphysema? INTERVIEWER: DO NOT INCLUDE ASTHMA. UNIVERSE: ALL SAMPLE TYPES;


15 1 YES (Go To D20) 1559 2 NO ------- 1574 Refusal(-1) 4 Don't Know(-2) 1 TOTAL = = = ==> 1579 MISSING 232 Lead In: D19A1_CHECK[1:1] Default Next Question: D24_CHECK -------------------------------------------------------------------------------- R00528.00 [D19A2] Survey Round: R2 CONFIRM R1 LUNG DISEASE Our records from [Month and Year, R1] show that you have had a chronic lung disease, such as chronic bronchitis or emphysema. INTERVIEWER: DO NOT INCLUDE ASTHMA. UNIVERSE: ALL SAMPLE TYPES; 6 1 YES-INFO CORRECT (Go To D19B) 0 2 DISPUTES, BUT NOW HAS CONDITION 1 3 DISPUTES, DOESN’T HAVE CONDITION ------- 7 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 7 MISSING 1804 Lead In: D19_CHECK[1:1] Default Next Question: D24_CHECK -------------------------------------------------------------------------------- R00529.00 [D19B] Survey Round: R2 STATUS OF CHRONIC LUNG DISEASE SINCE R1 Since [Month and Year, R1], has this condition gotten better, worse, or stayed about the same? UNIVERSE: ALL SAMPLE TYPES; 5 1 BETTER 1 2 ABOUT SAME 0 3 WORSE ------- 6


Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 6 MISSING 1805 Lead In: D19A2[1:1] Default Next Question: D21 -------------------------------------------------------------------------------- R00530.00 [D20] Survey Round: R2 HOW LONG HAD CHRONIC LUNG DISEASE How long have you had this condition? INTERVIEWER: HOW LONG SINCE IT WAS DIAGNOSED? UNIVERSE: ALL SAMPLE TYPES; 9 1 TO 4 3 5 TO 8 2 9 TO 14 2 20 TO 24 2 30 TO 34 ------- 18 Refusal(-1) 0 Don't Know(-2) 1 TOTAL = = = ==> 19 MISSING 1792 Min: 1 Max: 34 Mean: 9.28 Lead In: D19A[1:1] D19A1[1:1] Default Next Question: D20A -------------------------------------------------------------------------------- R00531.00 [D20A] Survey Round: R2 UNIT D20 INTERVIEWER: UNIT OF TIME FOR PREVIOUS ANSWER YEARS, MONTHS, ETC. UNIVERSE: ALL SAMPLE TYPES; UNIT: 14 1 YEARS 3 2 MONTHS 1 3 WEEKS 0 4 DAYS ------- 18 Refusal(-1) 0


Don't Know(-2) 1 TOTAL = = = ==> 19 MISSING 1792 Lead In: D20[Default] Default Next Question: D21 -------------------------------------------------------------------------------- R00532.00 [D21] Survey Round: R2 LIMIT ACTIVITY CHRONIC LUNG DISEASE How much does this condition limit your normal daily activities? -- A lot, somewhat, just a little, or not at all? UNIVERSE: ALL SAMPLE TYPES; 5 1 A LOT 4 3 SOMEWHAT 7 5 JUST A LITTLE 10 7 NOT AT ALL ------- 26 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 26 MISSING 1785 Lead In: D20A[Default] D19B[Default] Default Next Question: D22 -------------------------------------------------------------------------------- R00533.00 [D22] Survey Round: R2 TAKE MEDICATION FOR LUNG CONDITION Are you now taking medication or other treatment for your lung condition? UNIVERSE: ALL SAMPLE TYPES; 11 1 YES 15 2 NO ------- 26 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 26 MISSING 1785 Lead In: D21[Default] Default Next Question: D23 --------------------------------------------------------------------------------


R00534.00 [D23] Survey Round: R2 LUNG CONDITION LIMIT USUAL ACTIVITY Does your lung condition limit your usual activities, such as household chores or work? UNIVERSE: ALL SAMPLE TYPES; 7 1 YES 19 2 NO ------- 26 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 26 MISSING 1785 Lead In: D22[Default] Default Next Question: D23_CHECK -------------------------------------------------------------------------------- R00535.00 [D23_CHECK] Survey Round: R2 CHK: LUNG DISEASE AT R1? [R1-D19: Respondent reported lung disease in R1.] UNIVERSE: ALL SAMPLE TYPES; 6 1: YES (Go To D23B) 15 2: NO ------- 21 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 21 MISSING 1790 Lead In: D23[Default] Default Next Question: D24_CHECK -------------------------------------------------------------------------------- R00536.00 [D23B] Survey Round: R2 STATUS OF LUNG DISEASE SINCE R1 Since [Month and Year, R1] has your lung disease gotten better, worse or stayed about the same? UNIVERSE: ALL SAMPLE TYPES;


5 1 BETTER 1 2 ABOUT SAME 0 3 WORSE ------- 6 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 6 MISSING 1805 Lead In: D23_CHECK[1:1] Default Next Question: D24_CHECK -------------------------------------------------------------------------------- R00537.00 [D24_CHECK] Survey Round: R2 CHK: HAS R REPORTED HEART PROBLEMS IN R1? [R1-D24: Respondent reported heart problems in R1] UNIVERSE: ALL SAMPLE TYPES; 29 1: YES (Go To D24B) 1554 2: NO ------- 1583 Refusal(-1) 1 Don't Know(-2) 2 TOTAL = = = ==> 1586 MISSING 225 Lead In: D23B[Default] D19A[Default] D19A1[Default] D19A2[Default] D23_CHECK[Default] Default Next Question: D24A_CHECK -------------------------------------------------------------------------------- R00538.00 [D24A_CHECK] Survey Round: R2 CHK: HAS R NOT REPORTED HEART PROBLEMS IN R1? [R1-D24: Respondent reported heart problems in R1] =2 OR [R1-D24: Respondent reported heart problems in R1] =-1 OR [R1-D24: Respondent reported heart problems in R1] =-2 UNIVERSE: ALL SAMPLE TYPES; 1557 1: CONDITION APPLIES (Go To D24A) 213 2: CONDITION DOESN'T APPLY ------- 1770 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 1770 MISSING 41


Lead In: D24_CHECK[Default] Default Next Question: D24 -------------------------------------------------------------------------------- R00539.00 [D24] Survey Round: R2 HAVE HEART PROBLEM Has a doctor ever told you that you had a heart attack, have coronary heart disease, angina, congestive heart failure or other heart problems? INTERVIEWER: PLEASE READ SLOWLY. UNIVERSE: ALL SAMPLE TYPES; 8 1 YES (Go To D25) 205 2 NO ------- 213 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 213 MISSING 1598 Lead In: D24A_CHECK[Default] Default Next Question: D43_CHECK -------------------------------------------------------------------------------- R00540.00 [D24A] Survey Round: R2 HAVE HEART PROBLEM SINCE R1? Since [Month and Year, R1] has a doctor told you that you have had a heart attack, (have) coronary heart disease, angina, congestive heart failure, or other heart problems? UNIVERSE: ALL SAMPLE TYPES; 28 1 YES (Go To D25) 1526 2 NO ------- 1554 Refusal(-1) 3 Don't Know(-2) 0 TOTAL = = = ==> 1557 MISSING 254 Lead In: D24A_CHECK[1:1] Default Next Question: D43_CHECK --------------------------------------------------------------------------------


R00541.00 [D24B] Survey Round: R2 CONFIRM STATUS OF R1 HEART PROBLEM? Our records from [Month and Year, R1] show that you had a heart problem. UNIVERSE: ALL SAMPLE TYPES; 23 1 YES-INFO CORRECT (Go To D25) 0 2 DISPUTES, BUT NOW HAS CONDITION (Go To D25) 4 3 DISPUTES, DOESN’T HAVE CONDITION ------- 27 Refusal(-1) 1 Don't Know(-2) 1 TOTAL = = = ==> 29 MISSING 1782 Lead In: D24_CHECK[1:1] Default Next Question: D43_CHECK -------------------------------------------------------------------------------- R00542.00 [D25] Survey Round: R2 LIMIT ACTIVITY HEART PROBLEM How much does this condition limit your normal daily activities? -- A lot, somewhat, just a little, or not at all? UNIVERSE: ALL SAMPLE TYPES; 9 1 A LOT 13 3 SOMEWHAT 13 5 JUST A LITTLE 22 7 NOT AT ALL ------- 57 Refusal(-1) 0 Don't Know(-2) 2 TOTAL = = = ==> 59 MISSING 1752 Lead In: D24B[1:2] D24A[1:1] D24[1:1] Default Next Question: D26 -------------------------------------------------------------------------------- R00543.00 [D26] Survey Round: R2 TAKE MEDICATION FOR HEART PROBLEM Are you now taking or carrying medication for your heart problem?


UNIVERSE: ALL SAMPLE TYPES; 36 1 YES 23 2 NO ------- 59 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 59 MISSING 1752 Lead In: D25[Default] Default Next Question: D26A_CHECK -------------------------------------------------------------------------------- R00544.00 [D26A_CHECK] Survey Round: R2 CHK: HAS RREPORTED HEART PROBLEMS IN R1? [R1-D24: Respondent reported heart problems in R1] UNIVERSE: ALL SAMPLE TYPES; 23 1: CONDITION APPLIES (Go To D26A_CHECK2) 28 2: CONDITION DOESN'T APPLY ------- 51 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 51 MISSING 1760 Lead In: D26[Default] Default Next Question: D27_CHECK -------------------------------------------------------------------------------- R00545.00 [D26A_CHECK2] Survey Round: R2 CHK: HAS R EVER REPORTED A HEART PROBLEM? [D24, D24A, D24B R REPORTED HEART PROBLEMS] UNIVERSE: ALL SAMPLE TYPES; 23 1: YES ------- 23 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 23 MISSING 1788 Lead In: D26A_CHECK[1:1]


Default Next Question: D26A -------------------------------------------------------------------------------- R00546.00 [D26A] Survey Round: R2 SEEN DR FOR HEART PROBLEMS SINCE R1? Since [Month and Year, R1], have you seen a doctor for your heart problem? UNIVERSE: ALL SAMPLE TYPES; 17 1 YES 6 2 NO ------- 23 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 23 MISSING 1788 Lead In: D26A_CHECK2[Default] Default Next Question: D26B -------------------------------------------------------------------------------- R00547.00 [D26B] Survey Round: R2 STATUS OF HEART PROBLEMS SINCE R1 Since [Month and Year, R1] has this condition gotten better, worse, or stayed about the same? UNIVERSE: ALL SAMPLE TYPES; 5 1 BETTER 15 2 ABOUT SAME 3 3 WORSE ------- 23 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 23 MISSING 1788 Lead In: D26A[Default] Default Next Question: D27_CHECK -------------------------------------------------------------------------------- R00548.00 [D27_CHECK] Survey Round: R2 CHK: HAS R REPORTED ON HEART PROBLEMS IN R1? [R1-D24: Respondent reported heart problems in R1] =1 OR [R1-D24: Respondent reported heart problems in R1] =2 OR


[R1-D24: Respondent reported heart problems in R1] =-1 OR [R1-D24: Respondent reported heart problems in R1] =-2 UNIVERSE: ALL SAMPLE TYPES; 51 1: CONDITION APPLIES (Go To D27A) 8 2: CONDITION DOESN'T APPLY ------- 59 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 59 MISSING 1752 Lead In: D26A_CHECK[Default] D26B[Default] Default Next Question: D27B -------------------------------------------------------------------------------- R00549.00 [D27A] Survey Round: R2 HAD HEART ATTACK SINCE R1? Since [Month and Year, R1], have you had a heart attack or myocardial infarction? UNIVERSE: ALL SAMPLE TYPES; 4 1 YES (Go To D28_CHECK) 47 2 NO ------- 51 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 51 MISSING 1760 Lead In: D27_CHECK[1:1] Default Next Question: D32 -------------------------------------------------------------------------------- R00550.00 [D27B] Survey Round: R2 EVER HAD HEART ATTACK Have you ever had a heart attack or myocardial infarction? UNIVERSE: ALL SAMPLE TYPES; 1 1 YES (Go To D28_CHECK) 7 2 NO ------- 8 Refusal(-1) 0


Don't Know(-2) 0 TOTAL = = = ==> 8 MISSING 1803 Lead In: D27_CHECK[Default] Default Next Question: D32 -------------------------------------------------------------------------------- R00551.00 [D28_CHECK] Survey Round: R2 CHK: HAS R REPORTED HEART ATTACK(S) IN R1? [R1-D27: Respondent reported heart attack in R1] UNIVERSE: ALL SAMPLE TYPES; 1 2: NO ------- 1 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 1 MISSING 1810 Lead In: D27B[1:1] D27A[1:1] Default Next Question: D28 -------------------------------------------------------------------------------- R00552.00 [D28_M] Survey Round: R2 MONTH FIRST HEART ATTACK In what month and year was your FIRST heart attack? MONTH: UNIVERSE: ALL SAMPLE TYPES; 1 1: January 1 7: July 1 9: September ------- 3 Refusal(-1) 0 Don't Know(-2) 2 TOTAL = = = ==> 5 MISSING 1806 Lead In: D28_CHECK[Default] Default Next Question: D29 -------------------------------------------------------------------------------- R00553.00 [D28_Y] Survey Round: R2 YEAR FIRST HEART ATTACK


In what month and year was your FIRST heart attack? YEAR: UNIVERSE: ALL SAMPLE TYPES; 4 2000 TO 2010: 2000+ ------- 4 Refusal(-1) 0 Don't Know(-2) 1 TOTAL = = = ==> 5 MISSING 1806 Min: 2002 Max: 2008 Mean: 2005.75 Lead In: D28_CHECK[Default] Default Next Question: D29 -------------------------------------------------------------------------------- R00554.00 [D29] Survey Round: R2 NOW TAKE MEDICATION HEART ATTACK Are you now taking or carrying medication because of your heart attack? UNIVERSE: ALL SAMPLE TYPES; 4 1 YES 1 2 NO ------- 5 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 5 MISSING 1806 Lead In: D28[Default] Default Next Question: D30_CHECK -------------------------------------------------------------------------------- R00555.00 [D30_CHECK] Survey Round: R2 CHK: HAS R REPORTED HEART ATTACK(S) IN R1? [R1-D27: Respondent reported heart attack in R1] UNIVERSE: ALL SAMPLE TYPES; 1 2: NO ------- 1 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 1 MISSING 1810


Lead In: D29[Default] Default Next Question: D30 -------------------------------------------------------------------------------- R00556.00 [D30] Survey Round: R2 HAD MORE THAN ONE HEART ATTACK Have you had more than one heart attack? UNIVERSE: ALL SAMPLE TYPES; 2 1 YES (Go To D31) 3 2 NO ------- 5 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 5 MISSING 1806 Lead In: D30_CHECK[Default] Default Next Question: D32 -------------------------------------------------------------------------------- R00557.00 [D31_M] Survey Round: R2 MONTH MOST RECENT HEART ATTACK In what month and year was your most recent heart attack? MONTH: UNIVERSE: ALL SAMPLE TYPES; 1 1: January 1 10: October ------- 2 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 2 MISSING 1809 Lead In: D30[1:1] Default Next Question: D32 -------------------------------------------------------------------------------- R00558.00 [D31_Y] Survey Round: R2 YEAR MOST RECENT HEART ATTACK In what month and year was your most recent heart attack? YEAR: UNIVERSE: ALL SAMPLE TYPES;


2 2000 TO 2010: 2000+ ------- 2 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 2 MISSING 1809 Min: 2006 Max: 2007 Mean: 2006.5 Lead In: D30[1:1] Default Next Question: D32 -------------------------------------------------------------------------------- R00559.00 [D32] Survey Round: R2 HAD ANGINA SINCE R1 Since [Month and Year, R1] have you had any angina or chest pains due to your heart? UNIVERSE: ALL SAMPLE TYPES; 22 1 YES (Go To D33) 37 2 NO ------- 59 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 59 MISSING 1752 Lead In: D27A[Default] D31[Default] D27B[Default] D30[Default] Default Next Question: D35 -------------------------------------------------------------------------------- R00560.00 [D33] Survey Round: R2 TAKE OR CARRY MEDICATION BECAUSE OF ANGINA Are you now taking or carrying medications because of angina or chest pain? UNIVERSE: ALL SAMPLE TYPES; 13 1 YES 9 2 NO ------- 22 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 22 MISSING 1789 Lead In: D32[1:1] Default Next Question: D34


-------------------------------------------------------------------------------- R00561.00 [D34] Survey Round: R2 LIMIT ACTIVITY ANGINA Are you limiting your usual activities because of your angina? UNIVERSE: ALL SAMPLE TYPES; 11 1 YES 11 2 NO ------- 22 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 22 MISSING 1789 Lead In: D33[Default] Default Next Question: D35 -------------------------------------------------------------------------------- R00562.00 [D35] Survey Round: R2 HAVE CONGESTIVE HEART FAILURE (CHF) SINCE R1 Since [Month and Year, R1] has a doctor told you that you have congestive heart failure? UNIVERSE: ALL SAMPLE TYPES; 8 1 YES (Go To D36) 49 2 NO ------- 57 Refusal(-1) 0 Don't Know(-2) 2 TOTAL = = = ==> 59 MISSING 1752 Lead In: D34[Default] D32[Default] Default Next Question: D39 -------------------------------------------------------------------------------- R00563.00 [D36] Survey Round: R2 ADMITTED TO HOSPITAL OVERNIGHT DUE TO D35 Since [Month and Year, R1] have you been admitted to the hospital overnight because of it (congestive heart failure)? UNIVERSE: ALL SAMPLE TYPES;


2 1 YES (Go To D37) 6 2 NO ------- 8 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 8 MISSING 1803 Lead In: D35[1:1] Default Next Question: D38 -------------------------------------------------------------------------------- R00564.00 [D37] Survey Round: R2 IN U.S. D35 Was this in the United States? UNIVERSE: ALL SAMPLE TYPES; 2 1 YES 0 2 NO ------- 2 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 2 MISSING 1809 Lead In: D36[1:1] Default Next Question: D38 -------------------------------------------------------------------------------- R00565.00 [D38] Survey Round: R2 TAKE MEDICATION FOR CONGESTIVE HEART FAILURE Are you taking or carrying any medication for congestive heart failure? UNIVERSE: ALL SAMPLE TYPES; 7 1 YES 1 2 NO ------- 8 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 8 MISSING 1803 Lead In: D37[Default] D36[Default] Default Next Question: D39 --------------------------------------------------------------------------------


R00566.00 [D39] Survey Round: R2 HAD TEST OF HEART WITH TUBES Since [Month and Year, R1] have you had a special test or treatment of your heart where tubes were inserted into your veins or arteries such as cardiac catheterization, coronary angiogram or angioplasty? UNIVERSE: ALL SAMPLE TYPES; 17 1 YES (Go To D40) 42 2 NO ------- 59 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 59 MISSING 1752 Lead In: D35[Default] D38[Default] Default Next Question: D41 -------------------------------------------------------------------------------- R00567.00 [D40] Survey Round: R2 IN U.S. HAD TEST OF HEART WITH TUBES Was this in the United States? UNIVERSE: ALL SAMPLE TYPES; 17 1 YES 0 2 NO ------- 17 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 17 MISSING 1794 Lead In: D39[1:1] Default Next Question: D41 -------------------------------------------------------------------------------- R00568.00 [D41] Survey Round: R2 HAD SURGERY ON HEART Since [Month and Year, R1] have you had surgery on your heart? UNIVERSE: ALL SAMPLE TYPES;


10 1 YES (Go To D42) 48 2 NO ------- 58 Refusal(-1) 0 Don't Know(-2) 1 TOTAL = = = ==> 59 MISSING 1752 Lead In: D39[Default] D40[Default] Default Next Question: D43_CHECK -------------------------------------------------------------------------------- R00569.00 [D42] Survey Round: R2 HAD SURGERY ON HEART IN U.S. Was this in the United States? UNIVERSE: ALL SAMPLE TYPES; 10 1 YES 0 2 NO ------- 10 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 10 MISSING 1801 Lead In: D41[1:1] Default Next Question: D43_CHECK -------------------------------------------------------------------------------- R00570.00 [D43_CHECK] Survey Round: R2 CHK: DID R REPORT PREVIOUS STROKE IN R1? R1-D43=YES? [R1-D43: R reported having suffered a stroke in R1] UNIVERSE: ALL SAMPLE TYPES; 2 1: YES (Go To D43B) 1584 2: NO ------- 1586 Refusal(-1) 1 Don't Know(-2) 3 TOTAL = = = ==> 1590 MISSING 221 Lead In: D24[Default] D24B[Default] D42[Default] D24A[Default] D41[Default] Default Next Question: D43A_CHECK


-------------------------------------------------------------------------------- R00571.00 [D43A_CHECK] Survey Round: R2 CHK: R DIDN'T REPORT STROKE IN R1? R1D43=NO, RF, DK? [R1-D43: R reported having suffered a stroke in R1] =2 OR [R1-D43: R reported having suffered a stroke in R1] =-1 OR [R1-D43: R reported having suffered a stroke in R1] =-2 UNIVERSE: ALL SAMPLE TYPES; 1588 1: CONDITION APPLIES (Go To D43A) 209 2: CONDITION DOESN'T APPLY ------- 1797 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 1797 MISSING 14 Lead In: D43_CHECK[Default] Default Next Question: D43 -------------------------------------------------------------------------------- R00572.00 [D43] Survey Round: R2 HAD A STROKE Has a doctor ever told you that you had a stroke? UNIVERSE: ALL SAMPLE TYPES; 1 1 YES (Go To D44) 208 2 NO ------- 209 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 209 MISSING 1602 Lead In: D43A_CHECK[Default] Default Next Question: D50_CHECK -------------------------------------------------------------------------------- R00573.00 [D43A] Survey Round: R2 HAD A STROKE SINCE R1? Since [Month and Year, R1] has a doctor told you that you have had a stroke? UNIVERSE: ALL SAMPLE TYPES;


6 1 YES (Go To D44) 1577 2 NO ------- 1583 Refusal(-1) 4 Don't Know(-2) 1 TOTAL = = = ==> 1588 MISSING 223 Lead In: D43A_CHECK[1:1] Default Next Question: D50_CHECK -------------------------------------------------------------------------------- R00574.00 [D43B] Survey Round: R2 CONFIRM PREVIOUS STROKE R1? Our records from [Month and Year, R1] show that you had a stroke. UNIVERSE: ALL SAMPLE TYPES; 2 1 YES-INFO CORRECT 0 2 DISPUTES, BUT NOW HAS CONDITION 0 3 DISPUTES, DOESN’T HAVE CONDITION ------- 2 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 2 MISSING 1809 Lead In: D43_CHECK[1:1] Default Next Question: D44 -------------------------------------------------------------------------------- R00575.00 [D44] Survey Round: R2 SEEN DOCTOR BECAUSE OF STROKE SINCE R1 Since [Month and Year, R1], have you seen a doctor because of this or any other stroke? UNIVERSE: ALL SAMPLE TYPES; 5 1 YES (Go To D45) 4 2 NO ------- 9 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 9 MISSING 1802


Lead In: D43B[Default] D43[1:1] D43A[1:1] Default Next Question: D46 -------------------------------------------------------------------------------- R00576.00 [D45] Survey Round: R2 IN U.S. SEEN DOCTOR? Was this in the United States? UNIVERSE: ALL SAMPLE TYPES; 5 1 YES 0 2 NO ------- 5 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 5 MISSING 1806 Lead In: D44[1:1] Default Next Question: D46 -------------------------------------------------------------------------------- R00577.00 [D46] Survey Round: R2 HAD MORE THAN ONE STROKE Have you had more than one stroke? UNIVERSE: ALL SAMPLE TYPES; 3 1 YES 6 2 NO ------- 9 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 9 MISSING 1802 Lead In: D45[Default] D44[Default] Default Next Question: D47 -------------------------------------------------------------------------------- R00578.00 [D47] Survey Round: R2 HAVE REMAINING PROBLEMS DUE TO STROKE Do you still have any remaining problems because of your [stroke(s)]? UNIVERSE: ALL SAMPLE TYPES;


3 1 YES 6 2 NO ------- 9 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 9 MISSING 1802 Lead In: D46[Default] Default Next Question: D48 -------------------------------------------------------------------------------- R00579.00 [D48] Survey Round: R2 TAKE MEDICATION DUE TO STROKE Are you now taking any medications because of your [stroke(s)] or [their/its] complications? UNIVERSE: ALL SAMPLE TYPES; 6 1 YES 3 2 NO ------- 9 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 9 MISSING 1802 Lead In: D47[Default] Default Next Question: D48A_CHECK -------------------------------------------------------------------------------- R00580.00 [D48A_CHECK] Survey Round: R2 CHK: HAS R REPORTED STROKE IN R1? [R1-D43: R reported having suffered a stroke in R1] UNIVERSE: ALL SAMPLE TYPES; 2 1: YES (Go To D48A) 6 2: NO ------- 8 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 8 MISSING 1803 Lead In: D48[Default]


Default Next Question: D49 -------------------------------------------------------------------------------- R00581.00 [D48A] Survey Round: R2 SEEN DOCTOR BECAUSE OF STROKE Since [Month and Year, R1] has a doctor told you that you had another stroke? UNIVERSE: ALL SAMPLE TYPES; 0 1 YES 2 2 NO ------- 2 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 2 MISSING 1809 Lead In: D48A_CHECK[1:1] Default Next Question: D50_CHECK -------------------------------------------------------------------------------- R00582.00 [D49_M] Survey Round: R2 MONTH MOST RECENT STROKE In what month and year was your [most recent] stroke? MONTH: UNIVERSE: ALL SAMPLE TYPES; 1 6: June 1 7: July 1 10: October 1 12: December ------- 4 Refusal(-1) 0 Don't Know(-2) 3 TOTAL = = = ==> 7 MISSING 1804 Min: 6 Max: 12 Mean: 8.75 Lead In: D48A_CHECK[Default] Default Next Question: D50_CHECK -------------------------------------------------------------------------------- R00583.00 [D49_Y] Survey Round: R2 YEAR MOST RECENT STROKE


In what month and year was your [most recent] stroke? YEAR: UNIVERSE: ALL SAMPLE TYPES; 6 2000 TO 2010: 2000+ ------- 6 Refusal(-1) 0 Don't Know(-2) 1 TOTAL = = = ==> 7 MISSING 1804 Min: 2004 Max: 2008 Mean: 2005.67 Lead In: D48A_CHECK[Default] Default Next Question: D50_CHECK -------------------------------------------------------------------------------- R00584.00 [D50_CHECK] Survey Round: R2 CHK: HAS R PREVIOUSLY REPORTED PSYCH PROBLEMS IN R1? [R1-D50: R reported psych problems in R1] UNIVERSE: ALL SAMPLE TYPES; 37 1: YES (Go To D50B) 1549 2: NO ------- 1586 Refusal(-1) 1 Don't Know(-2) 3 TOTAL = = = ==> 1590 MISSING 221 Lead In: D43[Default] D49[Default] D48A[Default] D43A[Default] Default Next Question: D50A_CHECK -------------------------------------------------------------------------------- R00585.00 [D50A_CHECK] Survey Round: R2 CHK: HAS R NOT REPORTED PSYCH PROBLEMS IN R1? [R1-D50: R reported psych problems in R1] =2 OR [R1-D50: R reported psych problems in R1] =-1 OR [R1-D50: R reported psych problems in R1] =-2 UNIVERSE: ALL SAMPLE TYPES; 1553 1: CONDITION APPLIES (Go To D50A) 209 2: CONDITION DOESN'T APPLY ------- 1762 Refusal(-1) 0


Don't Know(-2) 0 TOTAL = = = ==> 1762 MISSING 49 Lead In: D50_CHECK[Default] Default Next Question: D50 -------------------------------------------------------------------------------- R00586.00 [D50] Survey Round: R2 HAD EMOTIONAL PROBLEM Have you ever had or has a doctor ever told you that you have any emotional, nervous, or psychiatric problems? UNIVERSE: ALL SAMPLE TYPES; 6 1 YES (Go To D51) 203 2 NO ------- 209 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 209 MISSING 1602 Lead In: D50A_CHECK[Default] Default Next Question: D54 -------------------------------------------------------------------------------- R00587.00 [D50A] Survey Round: R2 HAD EMOTIONAL PROBLEM SINCE R1? Since [Month and Year, R1] have you had or has a doctor told you that you have any emotional, nervous, or psychiatric problems? UNIVERSE: ALL SAMPLE TYPES; 36 1 YES (Go To D51) 1513 2 NO ------- 1549 Refusal(-1) 4 Don't Know(-2) 0 TOTAL = = = ==> 1553 MISSING 258 Lead In: D50A_CHECK[1:1] Default Next Question: D54 -------------------------------------------------------------------------------- R00588.00 [D50B] Survey Round: R2


CONFIRM STATUS OF R1 MENTAL/EMOTIONAL PROBLEMS When we last talked with you on [Month and Year, R1] you said that you have had some emotional, nervous, or psychiatric problems. UNIVERSE: ALL SAMPLE TYPES; 29 1 YES-INFO CORRECT (Go To D50D) 0 2 DISPUTES, BUT NOW HAS CONDITION 7 3 DISPUTES, DOESN’T HAVE CONDITION ------- 36 Refusal(-1) 0 Don't Know(-2) 1 TOTAL = = = ==> 37 MISSING 1774 Lead In: D50_CHECK[1:1] Default Next Question: D54 -------------------------------------------------------------------------------- R00589.00 [D50D] Survey Round: R2 STATUS OF MENTAL/EMOTIONAL PROBLEMS SINCE R1 Since [Month and Year, R1], have these problems gotten better, worse, or stayed about the same? UNIVERSE: ALL SAMPLE TYPES; 12 1 BETTER 15 2 ABOUT SAME 1 3 WORSE ------- 28 Refusal(-1) 0 Don't Know(-2) 1 TOTAL = = = ==> 29 MISSING 1782 Lead In: D50B[1:1] Default Next Question: D51 -------------------------------------------------------------------------------- R00590.00 [D51] Survey Round: R2 GET PSYCHIATRIC TREATMENT Do you now get psychiatric or psychological treatment for your problems? UNIVERSE: ALL SAMPLE TYPES; 30 1 YES 40 2 NO -------


70 Refusal(-1) 1 Don't Know(-2) 0 TOTAL = = = ==> 71 MISSING 1740 Lead In: D50D[Default] D50[1:1] D50A[1:1] Default Next Question: D52_CHECK -------------------------------------------------------------------------------- R00591.00 [D52_CHECK] Survey Round: R2 CHK: HAS R REPORTED PSYCH PROBLEMS IN R1? [R1-D50: R reported psych problems in R1] UNIVERSE: ALL SAMPLE TYPES; 29 1: YES (Go To D53) 36 2: NO ------- 65 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 65 MISSING 1746 Lead In: D51[Default] Default Next Question: D52 -------------------------------------------------------------------------------- R00592.00 [D52] Survey Round: R2 HOW LONG HAD PSYCHIATRIC CONDITION How long have you had or did you have this condition? INTERVIEWER INSTRUCTION: HOW LONG SINCE IT WAS DIAGNOSED. UNIVERSE: ALL SAMPLE TYPES; 17 1 TO 4 10 5 TO 8 5 9 TO 14 4 15 TO 19 1 25 TO 29 1 50 TO 54 ------- 39 Refusal(-1) 1 Don't Know(-2) 2 TOTAL = = = ==> 42 MISSING 1769


Min: 1 Max: 2003 Mean: 58.77 Lead In: D52_CHECK[Default] Default Next Question: D52A -------------------------------------------------------------------------------- R00593.00 [D52A] Survey Round: R2 UNIT D52 INTERVIEWER: UNIT OF TIME FOR PREVIOUS ANSWER (YEARS, MONTHS, ETC.) UNIVERSE: ALL SAMPLE TYPES; UNIT: 32 1 YEARS 7 2 MONTHS 0 3 WEEKS 1 4 DAYS ------- 40 Refusal(-1) 1 Don't Know(-2) 1 TOTAL = = = ==> 42 MISSING 1769 Lead In: D52[Default] Default Next Question: D53 -------------------------------------------------------------------------------- R00594.00 [D53] Survey Round: R2 LIMIT ACTIVITY PSYCHIATRIC CONDITION How much does this condition limit your normal daily activities? -- A lot, somewhat, just a little, or not at all? UNIVERSE: ALL SAMPLE TYPES; 7 1 A LOT 16 3 SOMEWHAT 21 5 JUST A LITTLE 26 7 NOT AT ALL ------- 70 Refusal(-1) 1 Don't Know(-2) 0 TOTAL = = = ==> 71 MISSING 1740 Lead In: D52A[Default] D52_CHECK[1:1] Default Next Question: D54 --------------------------------------------------------------------------------


R00595.00 [D54] Survey Round: R2 TAKE TRANQUILIZERS Do you now take tranquilizers, antidepressants, or pills for nerves? UNIVERSE: ALL SAMPLE TYPES; 70 1 YES 1722 2 NO ------- 1792 Refusal(-1) 5 Don't Know(-2) 2 TOTAL = = = ==> 1799 MISSING 12 Lead In: D53[Default] D50B[Default] D50[Default] D50A[Default] Default Next Question: D55_CHECK -------------------------------------------------------------------------------- R00596.00 [D55_CHECK] Survey Round: R2 CHK: HAS R REPORTED ARTHRITIS IN R1? [R1-D55 R Reported Arthritis in R1] UNIVERSE: ALL SAMPLE TYPES; 72 1: YES (Go To D55B) 1509 2: NO ------- 1581 Refusal(-1) 1 Don't Know(-2) 3 TOTAL = = = ==> 1585 MISSING 226 Lead In: D54[Default] Default Next Question: D55A_CHECK -------------------------------------------------------------------------------- R00597.00 [D55A_CHECK] Survey Round: R2 CHK: HAS R PREVIOUSLY NOT REPORTED ARTHRITIS IN R1? [R1-D55 R Reported Arthritis in R1] =2 OR [R1-D55 R Reported Arthritis in R1] =-1 OR [R1-D55 R Reported Arthritis in R1] =-2 UNIVERSE: ALL SAMPLE TYPES;


1513 1: CONDITION APPLIES (Go To D55A) 213 2: CONDITION DOESN'T APPLY ------- 1726 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 1726 MISSING 85 Lead In: D55_CHECK[Default] Default Next Question: D55 -------------------------------------------------------------------------------- R00598.00 [D55] Survey Round: R2 HAD ARTHRITIS Have you ever had, or has a doctor ever told you that you have arthritis or rheumatism? UNIVERSE: ALL SAMPLE TYPES; 15 1 YES (Go To D56) 197 2 NO ------- 212 Refusal(-1) 0 Don't Know(-2) 1 TOTAL = = = ==> 213 MISSING 1598 Lead In: D55A_CHECK[Default] Default Next Question: D59_CHECK -------------------------------------------------------------------------------- R00599.00 [D55A] Survey Round: R2 HAD ARTHRITIS SINCE R1 Since [Month and Year, R1], have you had, or has a doctor told you that you have arthritis or rheumatism? UNIVERSE: ALL SAMPLE TYPES; 69 1 YES (Go To D56) 1436 2 NO ------- 1505 Refusal(-1) 4 Don't Know(-2) 4 TOTAL = = = ==> 1513 MISSING 298 Lead In: D55A_CHECK[1:1]


Default Next Question: D59_CHECK -------------------------------------------------------------------------------- R00600.00 [D55B] Survey Round: R2 CONFIRM STATUS OF PREVIOUS ARTHRITIS SINCE R1? Our records from [Month and Year, R1] show that you have had, or a doctor has told you that you have arthritis or rheumatism. UNIVERSE: ALL SAMPLE TYPES; 56 1 YES-INFO CORRECT (Go To D57) 0 2 DISPUTES, BUT NOW HAS CONDITION 15 3 DISPUTES, DOESN’T HAVE CONDITION ------- 71 Refusal(-1) 1 Don't Know(-2) 0 TOTAL = = = ==> 72 MISSING 1739 Lead In: D55_CHECK[1:1] Default Next Question: D59_CHECK -------------------------------------------------------------------------------- R00601.00 [D56] Survey Round: R2 HOW LONG HAD ARTHRITIS How long have you had this condition? INTERVIEWER INSTRUCTION: HOW LONG SINCE IT WAS DIAGNOSED. UNIVERSE: ALL SAMPLE TYPES; 45 1 TO 4 18 5 TO 8 8 9 TO 14 2 15 TO 19 2 20 TO 24 1 30 TO 34 ------- 76 Refusal(-1) 0 Don't Know(-2) 5 TOTAL = = = ==> 81 MISSING 1730 Min: 1 Max: 30 Mean: 5.25 Lead In: D55[1:1] D55A[1:1] Default Next Question: D56A --------------------------------------------------------------------------------


R00602.00 [D56A] Survey Round: R2 UNIT D56 INTERVIEWER: UNIT OF TIME FOR PREVIOUS ANSWER YEARS, MONTHS, ETC. UNIVERSE: ALL SAMPLE TYPES; UNIT: 63 1 YEARS 15 2 MONTHS 0 3 WEEKS 0 4 DAYS ------- 78 Refusal(-1) 0 Don't Know(-2) 3 TOTAL = = = ==> 81 MISSING 1730 Lead In: D56[Default] Default Next Question: D57 -------------------------------------------------------------------------------- R00603.00 [D57] Survey Round: R2 LIMIT ACTIVITY ARTHRITIS How much does this condition limit your normal daily activities? -- A lot, somewhat, just a little, or not at all? UNIVERSE: ALL SAMPLE TYPES; 18 1 A LOT 19 3 SOMEWHAT 61 5 JUST A LITTLE 42 7 NOT AT ALL ------- 140 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 140 MISSING 1671 Lead In: D56A[Default] D55B[1:1] Default Next Question: D58 -------------------------------------------------------------------------------- R00604.00 [D58] Survey Round: R2


TAKE MEDICATION FOR ARTHRITIS Are you currently taking any medication or other treatments for your arthritis or rheumatism? UNIVERSE: ALL SAMPLE TYPES; 59 1 YES 81 2 NO ------- 140 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 140 MISSING 1671 Lead In: D57[Default] Default Next Question: D58B_CHECK -------------------------------------------------------------------------------- R00605.00 [D58B_CHECK] Survey Round: R2 CHK: R REPORTED ARTHRITIS IN R1 [R1-D55 R Reported Arthritis in R1] UNIVERSE: ALL SAMPLE TYPES; 56 1: YES (Go To D58B) 69 2: NO ------- 125 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 125 MISSING 1686 Lead In: D58[Default] Default Next Question: D59_CHECK -------------------------------------------------------------------------------- R00606.00 [D58B] Survey Round: R2 STATUS OF ARTHRITIS SINCE R1 Since [Month and Year, R1] has your arthritis or rheumatism gotten better, worse or stayed about the same? UNIVERSE: ALL SAMPLE TYPES; 21 1 BETTER 25 2 ABOUT SAME 9 3 WORSE -------


55 Refusal(-1) 1 Don't Know(-2) 0 TOTAL = = = ==> 56 MISSING 1755 Lead In: D58B_CHECK[1:1] Default Next Question: D59_CHECK -------------------------------------------------------------------------------- R00607.00 [D59_CHECK] Survey Round: R2 CHK: HAS R REPORTED ASTHMA IN R1? [R1-D59 Reported Asthma in R1] UNIVERSE: ALL SAMPLE TYPES; 74 1: YES (Go To D59B) 1509 2: NO ------- 1583 Refusal(-1) 1 Don't Know(-2) 2 TOTAL = = = ==> 1586 MISSING 225 Lead In: D58B_CHECK[Default] D55A[Default] D58B[Default] D55B[Default] D55[Default] Default Next Question: D59A_CHECK -------------------------------------------------------------------------------- R00608.00 [D59A_CHECK] Survey Round: R2 CHK: HAS R NOT REPORTED ASTHMA IN R1? [R1-D59 Reported Asthma in R1] =2 OR [R1-D59 Reported Asthma in R1] =-1 OR [R1-D59 Reported Asthma in R1] =-2 UNIVERSE: ALL SAMPLE TYPES; 1512 1: CONDITION APPLIES (Go To D59A) 213 2: CONDITION DOESN'T APPLY ------- 1725 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 1725 MISSING 86 Lead In: D59_CHECK[Default] Default Next Question: D59 --------------------------------------------------------------------------------


R00609.00 [D59] Survey Round: R2 HAD ASTHMA Have you ever had or has a doctor ever told you that you have asthma? UNIVERSE: ALL SAMPLE TYPES; 12 1 YES (Go To D60) 201 2 NO ------- 213 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 213 MISSING 1598 Lead In: D59A_CHECK[Default] Default Next Question: D63 -------------------------------------------------------------------------------- R00610.00 [D59A] Survey Round: R2 HAD ASTHMA SINCE R1? Since [Month and Year, R1] have you had or has a doctor told you that you have asthma? UNIVERSE: ALL SAMPLE TYPES; 18 1 YES (Go To D60) 1486 2 NO ------- 1504 Refusal(-1) 5 Don't Know(-2) 3 TOTAL = = = ==> 1512 MISSING 299 Lead In: D59A_CHECK[1:1] Default Next Question: D63 -------------------------------------------------------------------------------- R00611.00 [D59B] Survey Round: R2 STATUS OF PREVIOUS ASTHMA FROM R1? Our records from [Month and Year, R1] show that you have had asthma. UNIVERSE: ALL SAMPLE TYPES;


68 1 YES-INFO CORRECT (Go To D61) 0 2 DISPUTES, BUT NOW HAS CONDITION 6 3 DISPUTES, DOESN’T HAVE CONDITION ------- 74 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 74 MISSING 1737 Lead In: D59_CHECK[1:1] Default Next Question: D63 -------------------------------------------------------------------------------- R00612.00 [D60] Survey Round: R2 YEARS ASTHMA About how many years have you had or did you have this condition? INTERVIEWER INSTRUCTION: HOW LONG SINCE IT WAS DIAGNOSED. UNIVERSE: ALL SAMPLE TYPES; 10 1 TO 4 9 5 TO 8 2 9 TO 14 2 15 TO 19 4 30 TO 34 1 35 TO 39 ------- 28 Refusal(-1) 0 Don't Know(-2) 2 TOTAL = = = ==> 30 MISSING 1781 Min: 1 Max: 35 Mean: 10.21 Lead In: D59[1:1] D59A[1:1] Default Next Question: D60A -------------------------------------------------------------------------------- R00613.00 [D60A] Survey Round: R2 UNIT D60 INTERVIEWER: UNIT OF TIME FOR PREVIOUS ANSWER YEARS, MONTHS, ETC. UNIT: UNIVERSE: ALL SAMPLE TYPES; 24 1 YEARS 3 2 MONTHS 1 3 WEEKS


0 4 DAYS ------- 28 Refusal(-1) 0 Don't Know(-2) 2 TOTAL = = = ==> 30 MISSING 1781 Lead In: D60[Default] Default Next Question: D61 -------------------------------------------------------------------------------- R00614.00 [D61] Survey Round: R2 CURRENTLY HAVE ASTHMA Do you currently have asthma? UNIVERSE: ALL SAMPLE TYPES; 47 1 YES (Go To D62) 49 2 NO ------- 96 Refusal(-1) 0 Don't Know(-2) 2 TOTAL = = = ==> 98 MISSING 1713 Lead In: D60A[Default] D59B[1:1] Default Next Question: D63 -------------------------------------------------------------------------------- R00615.00 [D62] Survey Round: R2 LIMIT ACTIVITY ASTHMA How much does this condition limit your normal daily activities? -- A lot, somewhat, just a little, or not at all? UNIVERSE: ALL SAMPLE TYPES; 3 1 A LOT 5 3 SOMEWHAT 14 5 JUST A LITTLE 25 7 NOT AT ALL ------- 47 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 47 MISSING 1764 Lead In: D61[1:1]


Default Next Question: D62B_CHECK -------------------------------------------------------------------------------- R00616.00 [D62B_CHECK] Survey Round: R2 CHK: R REPORTED ASTHMA IN R1 [R1-D59 Reported Asthma in R1] UNIVERSE: ALL SAMPLE TYPES; 33 1: YES (Go To D62B) 10 2: NO ------- 43 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 43 MISSING 1768 Lead In: D62[Default] Default Next Question: D63 -------------------------------------------------------------------------------- R00617.00 [D62B] Survey Round: R2 STATUS OF ASTHMA SINCE R1 Since [Month and Year, R1], has your asthma gotten better, worse, or stayed about the same? UNIVERSE: ALL SAMPLE TYPES; 7 1 BETTER 23 2 ABOUT SAME 3 3 WORSE ------- 33 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 33 MISSING 1778 Lead In: D62B_CHECK[1:1] Default Next Question: D63 -------------------------------------------------------------------------------- R00618.00 [D63] Survey Round: R2 WEAR GLASSES Do you normally wear glasses or corrective contact lenses? UNIVERSE: ALL SAMPLE TYPES;


830 1 YES 964 2 NO ------- 1794 Refusal(-1) 4 Don't Know(-2) 1 TOTAL = = = ==> 1799 MISSING 12 Lead In: D59[Default] D59A[Default] D62B_CHECK[Default] D62B[Default] D59B[Default] D61[Default] Default Next Question: D64 -------------------------------------------------------------------------------- R00619.00 [D64] Survey Round: R2 HOW IS EYESIGHT Is your eyesight excellent, very good, good, fair, or poor [using your glasses or corrective lenses as usual]? UNIVERSE: ALL SAMPLE TYPES; 412 1 EXCELLENT 483 2 VERY GOOD 601 3 GOOD 244 4 FAIR 50 5 POOR 1 6 (VOL) LEGALLY BLIND ------- 1791 Refusal(-1) 3 Don't Know(-2) 5 TOTAL = = = ==> 1799 MISSING 12 Lead In: D63[Default] Default Next Question: D65 -------------------------------------------------------------------------------- R00620.00 [D65] Survey Round: R2 WEAR HEARING AID Do you ever wear a hearing aid? UNIVERSE: ALL SAMPLE TYPES; 14 1 YES 1782 2 NO ------- 1796


Refusal(-1) 3 Don't Know(-2) 0 TOTAL = = = ==> 1799 MISSING 12 Lead In: D64[Default] Default Next Question: D66 -------------------------------------------------------------------------------- R00621.00 [D66] Survey Round: R2 HOW IS HEARING Is your hearing excellent, very good, good, fair, or poor [using your hearing aid as usual]? UNIVERSE: ALL SAMPLE TYPES; 568 1 EXCELLENT 498 5 VERY GOOD 561 6 GOOD 144 7 FAIR 22 9 POOR ------- 1793 Refusal(-1) 3 Don't Know(-2) 3 TOTAL = = = ==> 1799 MISSING 12 Lead In: D65[Default] Default Next Question: D67 -------------------------------------------------------------------------------- R00622.00 [D67] Survey Round: R2 TROUBLED WITH PAIN Are you often troubled with pain? UNIVERSE: ALL SAMPLE TYPES; 254 1 YES (Go To D68) 1539 2 NO ------- 1793 Refusal(-1) 4 Don't Know(-2) 2 TOTAL = = = ==> 1799 MISSING 12 Lead In: D66[Default] Default Next Question: D69A --------------------------------------------------------------------------------


R00623.00 [D68] Survey Round: R2 HOW BAD IS PAIN How bad is the pain most of the time: mild, moderate or severe? UNIVERSE: ALL SAMPLE TYPES; 93 1 MILD 117 2 MODERATE 43 3 SEVERE ------- 253 Refusal(-1) 0 Don't Know(-2) 1 TOTAL = = = ==> 254 MISSING 1557 Lead In: D67[1:1] Default Next Question: D69 -------------------------------------------------------------------------------- R00624.00 [D69] Survey Round: R2 PAIN MAKES ACTIVITY DIFFICULT Does the pain make it difficult for you to do your usual activities, such as household chores or work? UNIVERSE: ALL SAMPLE TYPES; 144 1 YES 108 2 NO ------- 252 Refusal(-1) 0 Don't Know(-2) 2 TOTAL = = = ==> 254 MISSING 1557 Lead In: D68[Default] Default Next Question: D69A -------------------------------------------------------------------------------- R00625.00 [D69A] Survey Round: R2 HAD A FLU SHOT SINCE R1? Since [Month and Year, R1], have you had any of the following medical tests or procedures? A flu shot?


UNIVERSE: ALL SAMPLE TYPES; 710 1 YES 1070 2 NO ------- 1780 Refusal(-1) 5 Don't Know(-2) 14 TOTAL = = = ==> 1799 MISSING 12 Lead In: D69[Default] D67[Default] Default Next Question: D69B -------------------------------------------------------------------------------- R00626.00 [D69B] Survey Round: R2 HAD A CHOLESTEROL TEST SINCE R1? (INTERVIEWER READ IF NECESSARY: Since [Month and Year, R1], have you had any of the following medical tests or procedures?) A blood test for cholesterol? UNIVERSE: ALL SAMPLE TYPES; 1221 1 YES 559 2 NO ------- 1780 Refusal(-1) 5 Don't Know(-2) 14 TOTAL = = = ==> 1799 MISSING 12 Lead In: D69A[Default] Default Next Question: D70_CHECK -------------------------------------------------------------------------------- R00627.00 [D70_CHECK] Survey Round: R2 CHK: IS R MALE OR FEMALE? [RESPONDENT_GENDER] UNIVERSE: ALL SAMPLE TYPES; 928 1: MALE 868 2: FEMALE (Go To D70) ------- 1796 Refusal(-1) 0


Don't Know(-2) 0 TOTAL = = = ==> 1796 MISSING 15 Lead In: D69B[Default] Default Next Question: D73 -------------------------------------------------------------------------------- R00628.00 [D70] Survey Round: R2 CHECK BREASTS MONTHLY Do you check your breasts for lumps monthly? UNIVERSE: ALL SAMPLE TYPES; 489 1 YES 378 2 NO ------- 867 Refusal(-1) 0 Don't Know(-2) 1 TOTAL = = = ==> 868 MISSING 943 Lead In: D70_CHECK[2:2] Default Next Question: D71 -------------------------------------------------------------------------------- R00629.00 [D71] Survey Round: R2 HAVE MAMMOGRAM SINCE R1 Did you have a mammogram or x-ray of the breast, to search for cancer since [Month and Year, R1]? UNIVERSE: ALL SAMPLE TYPES; 438 1 YES 428 2 NO ------- 866 Refusal(-1) 0 Don't Know(-2) 2 TOTAL = = = ==> 868 MISSING 943 Lead In: D70[Default] Default Next Question: D72 -------------------------------------------------------------------------------- R00630.00 [D72] Survey Round: R2 HAVE PAP SMEAR SINCE R1


(Since [Month and Year, R1], have you had any of the following medical tests or procedures?) A PAP smear? UNIVERSE: ALL SAMPLE TYPES; 686 1 YES 178 2 NO ------- 864 Refusal(-1) 0 Don't Know(-2) 4 TOTAL = = = ==> 868 MISSING 943 Lead In: D71[Default] Default Next Question: D74_CHECK -------------------------------------------------------------------------------- R00631.00 [D73] Survey Round: R2 HAD EXAMINATION OF PROSTATE SINCE R1 (INTERVIEWER READ IF NECESSARY: Since [Month and Year, R1], have you had any of the following medical tests or procedures?) An examination of your prostate to screen for cancer? UNIVERSE: ALL SAMPLE TYPES; 331 1 YES 584 2 NO ------- 915 Refusal(-1) 5 Don't Know(-2) 11 TOTAL = = = ==> 931 MISSING 880 Lead In: D70_CHECK[Default] Default Next Question: D74_CHECK -------------------------------------------------------------------------------- R00632.00 [D74_CHECK] Survey Round: R2 CHK: RECEIVED R1 SMOKING QUESTIONS? [R1-D74: R Ever Smoked] =1 OR [R1-D74: R Ever Smoked] =2 OR [R1-D74: R Ever Smoked] =-1 OR [R1-D74: R Ever Smoked] =-2


UNIVERSE: ALL SAMPLE TYPES; 1586 1: CONDITION APPLIES (Go To D75) 213 2: CONDITION DOESN'T APPLY ------- 1799 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 1799 MISSING 12 Lead In: D72[Default] D73[Default] Default Next Question: D74 -------------------------------------------------------------------------------- R00633.00 [D74] Survey Round: R2 HAVE YOU EVER SMOKED CIGARETTES? Have you ever smoked cigarettes? INTERVIEWER: BY SMOKING WE MEAN MORE THAN 100 CIGARETTES IN YOUR LIFETIME. DO NOT INCLUDE PIPES OR CIGARS. UNIVERSE: ALL SAMPLE TYPES; 57 1 YES (Go To D75) 156 2 NO ------- 213 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 213 MISSING 1598 Lead In: D74_CHECK[Default] Default Next Question: D81 -------------------------------------------------------------------------------- R00634.00 [D75] Survey Round: R2 DO YOU SMOKE CIGARETTES NOW? Do you smoke cigarettes now? UNIVERSE: ALL SAMPLE TYPES; 146 1 YES (Go To D76) 1494 2 NO ------- 1640 Refusal(-1) 3 Don't Know(-2) 0


TOTAL = = = ==> 1643 MISSING 168 Lead In: D74_CHECK[1:1] D74[1:1] Default Next Question: D77_CHECK -------------------------------------------------------------------------------- R00635.00 [D76] Survey Round: R2 HOW MANY CIGARETTES OR PACKS DO USUALLY SMOKE IN A DAY NOW? About how many cigarettes or packs do you usually smoke in a day now? INTERVIEWER: PLEASE PROBE FOR A SPECIFIC NUMBER ENTER NUMBER HERE AND ANSWER UNIT CIGARETTES PER DAY OR PACKETS PER DAY BELOW. UNIVERSE: ALL SAMPLE TYPES; 4 0 36 1 9 2 14 3 7 4 3 5 13 6 2 7 5 8 31 10 17 11 TO 20 1 21 TO 30 ------- 142 Refusal(-1) 0 Don't Know(-2) 4 TOTAL = = = ==> 146 MISSING 1665 Min: 0 Max: 30 Mean: 6.11 Lead In: D75[1:1] Default Next Question: D76A -------------------------------------------------------------------------------- R00636.00 [D76A] Survey Round: R2 UNIT D76 UNIT OF USE FOR PREVIOUS ANSWER # OF CIGARETTES PER DAY OR NUMBER OF PACKS PER DAY. UNIVERSE: ALL SAMPLE TYPES; 115 1 CIGARETTES 29 2 PACKS ------- 144


Refusal(-1) 0 Don't Know(-2) 2 TOTAL = = = ==> 146 MISSING 1665 Lead In: D76[Default] Default Next Question: D77_CHECK -------------------------------------------------------------------------------- R00637.00 [D77_CHECK] Survey Round: R2 CHK: RECEIVED R1 SMOKING QUESTIONS? [R1-D74: R Ever Smoked] =1 OR [R1-D74: R Ever Smoked] =2 OR [R1-D74: R Ever Smoked] =-1 OR [R1-D74: R Ever Smoked] =-2 UNIVERSE: ALL SAMPLE TYPES; 1586 1: CONDITION APPLIES (Go To D81) 57 2: CONDITION DOESN'T APPLY ------- 1643 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 1643 MISSING 168 Lead In: D76A[Default] D75[Default] Default Next Question: D77 -------------------------------------------------------------------------------- R00638.00 [D77] Survey Round: R2 HOW OLD WERE YOU WHEN YOU STARTED SMOKING? About how old were you when you started smoking? INTERVIEWER: IF LESS THAN ONE YEAR, CHOOSE ANSWER "STARTED SMOKING X YEARS AGO". UNIVERSE: ALL SAMPLE TYPES; 46 1 YEARS OLD 7 2 YEAR STARTED SMOKING 2 3 STARTED SMOKING "X" YEARS AGO ------- 55 Refusal(-1) 1 Don't Know(-2) 1 TOTAL = = = ==> 57 MISSING 1754 Lead In: D77_CHECK[Default]


Default Next Question: D77A -------------------------------------------------------------------------------- R00639.00 [D77A] Survey Round: R2 YEARS D77 INTERVIEWER: ENTER "0"IF LESS THAN ONE YEAR UNIVERSE: ALL SAMPLE TYPES; DIGITS: 7 9 TO 14 25 15 TO 19 16 20 TO 24 3 25 TO 29 1 40 TO 44 1 45 TO 49 1 1800 TO 9999: Gave Year ------- 54 Refusal(-1) 1 Don't Know(-2) 2 TOTAL = = = ==> 57 MISSING 1754 Min: 9 Max: 1980 Mean: 54.87 Lead In: D77[Default] Default Next Question: D78 -------------------------------------------------------------------------------- R00640.00 [D78] Survey Round: R2 HOW MANY CIGARETTES A DAY WHEN SMOKED MOST When you were smoking the most, about how many cigarettes or packs did you usually smoke in a day? INTERVIEWER: PROBE A RANGE IF DON'T KNOW. ENTER NUMBER HERE AND ANSWER UNIT (CIGARETTES PER DAY OR PACKS PER DAY) BELOW. UNIVERSE: ALL SAMPLE TYPES; 1 0 24 1 3 2 8 3 2 5 3 6 1 7 2 8 7 10 3 11 TO 20 -------


54 Refusal(-1) 1 Don't Know(-2) 2 TOTAL = = = ==> 57 MISSING 1754 Min: 0 Max: 15 Mean: 4.07 Lead In: D77A[Default] Default Next Question: D78A -------------------------------------------------------------------------------- R00641.00 [D78A] Survey Round: R2 UNIT D78 INTERVIEWER: UNIT OF USE FOR PREVIOUS ANSWER # OF CIGARETTES PER DAY OR NUMBER OF PACKS PER DAY. PROBE AND ENTER A COMMENT IF COMBINED ANSWER IS MORE THAN 3 PACKS A DAY. UNIVERSE: ALL SAMPLE TYPES; UNIT: 36 1 CIGARETTES 17 2 PACKS ------- 53 Refusal(-1) 1 Don't Know(-2) 3 TOTAL = = = ==> 57 MISSING 1754 Lead In: D78[Default] Default Next Question: D79 -------------------------------------------------------------------------------- R00642.00 [D79] Survey Round: R2 HOW OLD WERE YOU WHEN YOU WERE SMOKING THE MOST? When you were smoking the most, about how old were you? INTERVIEWER: IF LESS THAN ONE YEAR AGO, CHOOSE ANSWER, "WAS SMOKING THE MOST 'X' YEARS AGO." UNIVERSE: ALL SAMPLE TYPES; 47 1 YEARS OLD 2 2 YEAR SMOKED MOST 3 3 SMOKED MOST "X" YEARS AGO ------- 52 Refusal(-1) 1


Don't Know(-2) 4 TOTAL = = = ==> 57 MISSING 1754 Lead In: D78A[Default] Default Next Question: D79A -------------------------------------------------------------------------------- R00643.00 [D79A] Survey Round: R2 YEARS D79 ENTER "0" IF LESS THAN ONE YEAR. UNIVERSE: ALL SAMPLE TYPES; 1 2 1 9 13 10 TO 19 21 20 TO 29 9 30 TO 39 4 45 TO 49 ------- 49 Refusal(-1) 2 Don't Know(-2) 6 TOTAL = = = ==> 57 MISSING 1754 Min: 2 Max: 45 Mean: 23.61 Lead In: D79[Default] Default Next Question: D79A_PICKCHK -------------------------------------------------------------------------------- R00644.00 [D79A_PICKCHK] Survey Round: R2 CHK: R CURRENTLY SMOKES CIGARETTES [D75] UNIVERSE: ALL SAMPLE TYPES; 11 1: YES (Go To D81) 46 2: NO ------- 57 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 57 MISSING 1754 Lead In: D79A[Default] Default Next Question: D80 --------------------------------------------------------------------------------


R00645.00 [D80] Survey Round: R2 HOW MANY YEARS AGO DID YOU STOP SMOKING? About how many years ago did you stop smoking? INTERVIEWER: IF LESS THAN ONE YEAR AGO, CHOOSE ANSWER, "STOPPED SMOKING X YEARS AGO." UNIVERSE: ALL SAMPLE TYPES; 5 1 YEARS OLD 25 2 YEAR STOPPED SMOKING 12 3 STOPPED SMOKING "X" YEARS AGO ------- 42 Refusal(-1) 3 Don't Know(-2) 0 TOTAL = = = ==> 45 MISSING 1766 Lead In: D79A_PICKCHK[Default] Default Next Question: D80A -------------------------------------------------------------------------------- R00646.00 [D80A] Survey Round: R2 YEARS D80 INTERVIEWER: ENTER "0" IF LESS THAN ONE YEAR. UNIVERSE: ALL SAMPLE TYPES; DIGITS: 6 1 TO 4 9 5 TO 8 10 9 TO 14 4 15 TO 19 1 20 TO 24 3 25 TO 29 2 30 TO 34 1 50 TO 999 5 1800 TO 9999: GAVE YEAR ------- 41 Refusal(-1) 3 Don't Know(-2) 1 TOTAL = = = ==> 45 MISSING 1766 Min: 1 Max: 2009 Mean: 254.41


Lead In: D80[Default] Default Next Question: D81 -------------------------------------------------------------------------------- R00647.00 [D81] Survey Round: R2 DRINK ALCOHOLIC BEVERAGES Do you ever drink any alcoholic beverages such as beer, wine, or liquor? INTERVIEWER: REFERS TO CURRENT ALCOHOL CONSUMPTION. UNIVERSE: ALL SAMPLE TYPES; 876 1 YES (Go To D82) 917 2 NO ------- 1793 Refusal(-1) 3 Don't Know(-2) 2 TOTAL = = = ==> 1798 MISSING 13 Lead In: D74[Default] D80A[Default] D79A_PICKCHK[1:1] D77_CHECK[1:1] Default Next Question: D84_CHECK -------------------------------------------------------------------------------- R00648.00 [D82] Survey Round: R2 HOW MANY DAYS HAD ALCOHOL LAST 3 MONTHS In the last three months, on average, how many days per week have you had any alcohol to drink? (For example, beer, wine, or any drink containing liquor.) INTERVIEWER: EXACT NUMBER OF DAYS. USE ZERO FOR NONE OR LESS THAN ONCE A WEEK. UNIVERSE: ALL SAMPLE TYPES; 256 0 (Go To D85) 248 1 137 2 90 3 39 4 24 5 14 6 31 7 ------- 839 Refusal(-1) 1 (Go To D85) Don't Know(-2) 36 (Go To D85) TOTAL = = = ==> 876 MISSING 935 Min: 0 Max: 7 Mean: 1.63


Lead In: D81[1:1] Default Next Question: D83 -------------------------------------------------------------------------------- R00649.00 [D83] Survey Round: R2 HOW MANY DAYS HAD FOUR OR MORE DRINKS In the last three months, on how many days have you had four or more drinks on one occasion? INTERVIEWER: USE ZERO FOR NONE. UNIVERSE: ALL SAMPLE TYPES; 340 0 89 1 57 2 19 3 23 4 9 5 9 6 3 7 2 8 6 10 7 11 TO 20 2 21 TO 30 4 31 TO 9999999: 31+ ------- 570 Refusal(-1) 0 Don't Know(-2) 13 TOTAL = = = ==> 583 MISSING 1228 Min: 0 Max: 50 Mean: 1.51 Lead In: D82[Default] Default Next Question: D85 -------------------------------------------------------------------------------- R00650.00 [D84_CHECK] Survey Round: R2 CHK: DID R REPORT ON ALCOHOL USE IN R1? [R1-D81: Respondent reported alcohol use in R1] =1 OR [R1-D81: Respondent reported alcohol use in R1] =2 OR [R1-D81: Respondent reported alcohol use in R1] =-1 OR [R1-D81: Respondent reported alcohol use in R1] =-2 UNIVERSE: ALL SAMPLE TYPES; 815 1: CONDITION APPLIES (Go To D86)


107 2: CONDITION DOESN'T APPLY ------- 922 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 922 MISSING 889 Lead In: D81[Default] Default Next Question: D84 -------------------------------------------------------------------------------- R00651.00 [D84] Survey Round: R2 EVER DRUNK ALCOHOLIC BEVERAGES Have you ever drunk alcoholic beverages? UNIVERSE: ALL SAMPLE TYPES; 29 1 YES (Go To D85) 78 2 NO ------- 107 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 107 MISSING 1704 Lead In: D84_CHECK[Default] Default Next Question: D86 -------------------------------------------------------------------------------- R00652.00 [D85] Survey Round: R2 EVER FELT SHOULD CUT DOWN ON DRINKING Have you ever felt that you should cut down on drinking? UNIVERSE: ALL SAMPLE TYPES; 122 1 YES 769 2 NO ------- 891 Refusal(-1) 2 Don't Know(-2) 12 TOTAL = = = ==> 905 MISSING 906 Lead In: D83[Default] D84[1:1] D82[-2:0] Default Next Question: D86 --------------------------------------------------------------------------------


R00653.00 [D86] Survey Round: R2 HOW OFTEN LIGHT PHYSICAL ACTIVITY The next few questions are about exercise. How often do you participate in light physical exercise such as walking, dancing, gardening, golfing, bowling etc.? INTERVIEWER: ENTER NUMBER HERE AND TIME UNIT FOR HOW OFTEN R EXERCISES BELOW. UNIVERSE: ALL SAMPLE TYPES; 277 0 206 1 271 2 267 3 107 4 130 5 40 6 420 7 2 10 3 11 TO 20 1 21 TO 30 2 31 TO 9999999: 31+ ------- 1726 Refusal(-1) 4 Don't Know(-2) 67 TOTAL = = = ==> 1797 MISSING 14 Min: 0 Max: 50 Mean: 3.48 Lead In: D84[Default] D85[Default] D84_CHECK[1:1] Default Next Question: D86A -------------------------------------------------------------------------------- R00654.00 [D86A] Survey Round: R2 UNIT D86 UNIVERSE: ALL SAMPLE TYPES; UNIT: 1575 1 PER WEEK 57 2 PER MONTH 10 3 PER YEAR 102 4 OTHER PERIOD (SPECIFY) (Go To D86AOS) ------- 1744


Refusal(-1) 4 Don't Know(-2) 49 TOTAL = = = ==> 1797 MISSING 14 Lead In: D86[Default] Default Next Question: D87 -------------------------------------------------------------------------------- R00655.00 [D86AOS] Survey Round: R2 SPECIFY D86A OTHER(SPECIFY) [MAX=80] UNIVERSE: ALL SAMPLE TYPES; Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 89 MISSING 1722 Lead In: D86A[4:4] Default Next Question: D87 -------------------------------------------------------------------------------- R00656.00 [D87] Survey Round: R2 HOW OFTEN VIGOROUS PHYSICAL ACTIVITY? How often do you participate in vigorous physical exercise or sports such as aerobics, running, swimming, or bicycling? INTERVIEWER: ENTER NUMBER HERE AND TIME UNIT FOR HOW OFTEN EXERCISES BELOW. UNIVERSE: ALL SAMPLE TYPES; 936 0 244 1 192 2 158 3 72 4 48 5 16 6 61 7 2 10 4 11 TO 20 4 31 TO 9999999: 31+ ------- 1737 Refusal(-1) 5 Don't Know(-2) 55 TOTAL = = = ==> 1797 MISSING 14 Min: 0 Max: 96 Mean: 1.45


Lead In: D86AOS[Default] D86A[Default] Default Next Question: D87A -------------------------------------------------------------------------------- R00657.00 [D87A] Survey Round: R2 UNIT D87 UNIVERSE: ALL SAMPLE TYPES; 1218 1 PER WEEK 140 2 PER MONTH 67 3 PER YEAR 265 4 OTHER PERIOD (SPECIFY) (Go To D87AOS) ------- 1690 Refusal(-1) 11 Don't Know(-2) 96 TOTAL = = = ==> 1797 MISSING 14 Lead In: D87[Default] Default Next Question: D88 -------------------------------------------------------------------------------- R00658.00 [D87AOS] Survey Round: R2 SPECIFY D87A OTHER(SPECIFY) [MAX=30] UNIVERSE: ALL SAMPLE TYPES; Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 200 MISSING 1611 Lead In: D87A[4:4] Default Next Question: D88 -------------------------------------------------------------------------------- R00659.00 [D88] Survey Round: R2 FELT SAD OR DEPRESSED During the past 12 months, was there ever a time when you felt sad, blue, or depressed for two weeks or more in a row? UNIVERSE: ALL SAMPLE TYPES; 168 1 YES (Go To D89) 1620 2 NO


2 3 (VOLUNTARY) DID NOT FEEL DEPRESSED BECAUSE ON ANTI-DEPRESSANT MEDICATION ------- 1790 Refusal(-1) 3 Don't Know(-2) 4 TOTAL = = = ==> 1797 MISSING 14 Lead In: D87AOS[Default] D87A[Default] Default Next Question: D102 -------------------------------------------------------------------------------- R00660.00 [D89] Survey Round: R2 TWO WEEK PERIOD WHEN FEELINGS WERE WORST Please think of the two-week period during the past 12 months when these feelings were worst. During that time did the feelings of being sad, blue, or depressed usually last all day long, most of the day, about half the day, or less than half the day? UNIVERSE: ALL SAMPLE TYPES; 52 1 ALL DAY LONG (Go To D90) 23 2 MOST OF THE DAY (Go To D90) 44 3 ABOUT HALF THE DAY 43 4 LESS THAN HALF THE DAY ------- 162 Refusal(-1) 0 Don't Know(-2) 6 TOTAL = = = ==> 168 MISSING 1643 Lead In: D88[1:1] Default Next Question: D102 -------------------------------------------------------------------------------- R00661.00 [D90] Survey Round: R2 TWO WEEK PERIOD IN U.S. Was that two-week period in the United States? UNIVERSE: ALL SAMPLE TYPES; 73 1 YES (Go To D91) 2 2 NO ------- 75 Refusal(-1) 0 Don't Know(-2) 0


TOTAL = = = ==> 75 MISSING 1736 Lead In: D89[1:2] Default Next Question: D90Amo -------------------------------------------------------------------------------- R00662.00 [D90Amo] Survey Round: R2 IN WHAT COUNTRY FELT SAD In what country was that? UNIVERSE: ALL SAMPLE TYPES; 1 94 LATIN AMERICA AND THE CARIBBEAN 1 218 UNITED STATES ------- 2 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 2 MISSING 1809 Lead In: D90[Default] Default Next Question: D91 -------------------------------------------------------------------------------- R00663.00 [D91] Survey Round: R2 FEEL THIS WAY EVERY DAY During those two weeks, did you feel this way every day, almost every day, or less often than that? UNIVERSE: ALL SAMPLE TYPES; 34 1 EVERY DAY (Go To D92) 27 2 ALMOST EVERY DAY (Go To D92) 14 3 LESS OFTEN THAN THAT ------- 75 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 75 MISSING 1736 Lead In: D90Amo[Default] D90[1:1] Default Next Question: D102 -------------------------------------------------------------------------------- R00664.00 [D92] Survey Round: R2 DURING 2 WKS LOST INTEREST IN MOST THINGS


During those two weeks, did you lose interest in most things? INTERVIEWER: IF R SAYS USUALLY NO INTEREST IN THINGS: REPEAT Q ADDING: "more than is usual for you". UNIVERSE: ALL SAMPLE TYPES; 41 1 YES 19 2 NO ------- 60 Refusal(-1) 0 Don't Know(-2) 1 TOTAL = = = ==> 61 MISSING 1750 Lead In: D91[1:2] Default Next Question: D93 -------------------------------------------------------------------------------- R00665.00 [D93] Survey Round: R2 LOSE INTEREST Thinking about those same two weeks, did you ever feel more tired out or low in energy than is usual for you? UNIVERSE: ALL SAMPLE TYPES; 53 1 YES 6 2 NO ------- 59 Refusal(-1) 0 Don't Know(-2) 2 TOTAL = = = ==> 61 MISSING 1750 Lead In: D92[Default] Default Next Question: D94 -------------------------------------------------------------------------------- R00666.00 [D94] Survey Round: R2 LOSE APPETITE During those same two weeks, did you lose your appetite? UNIVERSE: ALL SAMPLE TYPES; 46 1 YES 14 2 NO ------- 60


Refusal(-1) 0 Don't Know(-2) 1 TOTAL = = = ==> 61 MISSING 1750 Lead In: D93[Default] Default Next Question: D95 -------------------------------------------------------------------------------- R00667.00 [D95] Survey Round: R2 WEEKS HAVE TROUBLE FALLING ASLEEP Did you have more trouble falling asleep than you usually do during those two weeks? UNIVERSE: ALL SAMPLE TYPES; 53 1 YES (Go To D96) 8 2 NO ------- 61 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 61 MISSING 1750 Lead In: D94[Default] Default Next Question: D97 -------------------------------------------------------------------------------- R00668.00 [D96] Survey Round: R2 D95 HAPPEN HOW OFTEN Did that happen every night, nearly every night, or less often during those two weeks? UNIVERSE: ALL SAMPLE TYPES; 27 1 EVERY NIGHT 17 2 NEARLY EVERY NIGHT 8 3 LESS OFTEN ------- 52 Refusal(-1) 0 Don't Know(-2) 1 TOTAL = = = ==> 53 MISSING 1758 Lead In: D95[1:1] Default Next Question: D97 --------------------------------------------------------------------------------


R00669.00 [D97] Survey Round: R2 HAVE TROUBLE CONCENTRATING During that same two-week period did you have a lot more trouble concentrating than usual? UNIVERSE: ALL SAMPLE TYPES; 49 1 YES 12 2 NO ------- 61 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 61 MISSING 1750 Lead In: D95[Default] D96[Default] Default Next Question: D98 -------------------------------------------------------------------------------- R00670.00 [D98] Survey Round: R2 FEEL DOWN ON SELF People sometimes feel down on themselves, and no good or worthless. During that two-week period, did you feel this way? UNIVERSE: ALL SAMPLE TYPES; 43 1 YES 18 2 NO ------- 61 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 61 MISSING 1750 Lead In: D97[Default] Default Next Question: D99 -------------------------------------------------------------------------------- R00671.00 [D99] Survey Round: R2 THINK ABOUT DEATH Did you think a lot about death - either your own, someone else's, or death in general - during those two weeks?


UNIVERSE: ALL SAMPLE TYPES; 27 1 YES 33 2 NO ------- 60 Refusal(-1) 0 Don't Know(-2) 1 TOTAL = = = ==> 61 MISSING 1750 Lead In: D98[Default] Default Next Question: D102 -------------------------------------------------------------------------------- R00672.00 [D102] Survey Round: R2 HAVE PHYSICAL CONDITION THAT LIMITS WORK Do you have any physical or nervous condition that limits the type of work or the amount of work you can do? UNIVERSE: ALL SAMPLE TYPES; 84 1 YES (Go To D103) 1704 2 NO ------- 1788 Refusal(-1) 4 Don't Know(-2) 5 TOTAL = = = ==> 1797 MISSING 14 Lead In: D91[Default] D89[Default] D99[Default] D88[Default] Default Next Question: D104_CHECK -------------------------------------------------------------------------------- R00673.00 [D103] Survey Round: R2 CONDITION KEEP FROM DOING SOME WORK Does this condition keep you from doing some types of work? UNIVERSE: ALL SAMPLE TYPES; 69 1 YES 15 2 NO ------- 84 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 84 MISSING 1727 Lead In: D102[1:1]


Default Next Question: D104_CHECK -------------------------------------------------------------------------------- R00674.00 [D104_CHECK] Survey Round: R2 CHK: R HAS R1 HEALTH HISTORY? [R1-D104: Respondent reported on health history (under age 17) in R1]>=1 OR [R1-D104: Respondent reported on health history (under age 17) in R1] =-1 OR [R1-D104: Respondent reported on health history (under age 17) in R1] =-2 UNIVERSE: ALL SAMPLE TYPES; 1585 1: CONDITION APPLIES (Go To D112_CHECK) 212 2: CONDITION DOESN'T APPLY ------- 1797 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 1797 MISSING 14 Lead In: D102[Default] D103[Default] Default Next Question: D104 -------------------------------------------------------------------------------- R00675.00 [D104] Survey Round: R2 HEALTH WHILE GROWING UP Consider your health while you were growing up, from birth to age 16. Would you say that your health during that time was excellent, very good, good, fair, or poor? UNIVERSE: ALL SAMPLE TYPES; 105 1 EXCELLENT 47 2 VERY GOOD 45 3 GOOD 12 4 FAIR 2 5 POOR ------- 211 Refusal(-1) 0 Don't Know(-2) 1 TOTAL = = = ==> 212 MISSING 1599 Lead In: D104_CHECK[Default] Default Next Question: D105 --------------------------------------------------------------------------------


R00676.00 [D105] Survey Round: R2 MISS SCHOOL DUE TO HEALTH Because of a health condition, did you ever miss school for one month or more? UNIVERSE: ALL SAMPLE TYPES; 10 1 YES (Go To D106mo) 201 2 NO ------- 211 Refusal(-1) 0 Don't Know(-2) 1 TOTAL = = = ==> 212 MISSING 1599 Lead In: D104[Default] Default Next Question: D107 -------------------------------------------------------------------------------- R00677.00 [D106mo] Survey Round: R2 MOST SERIOUS HEALTH CONDITION CAUSE D105 What was the most serious health condition that caused this problem? UNIVERSE: ALL SAMPLE TYPES;

1 4 APPENDICITIS

1 9 BROKEN LIMB

1 11 OTHER BROKEN BONE

1 13 COLD OR FLU

2 39 MEASLES/CHICKEN POX/MUMPS

1 40 MENINGITIS

1 46 OTHER RESPIRATORY INFECTION

2 99 UNKNOWN ------

10 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 10 MISSING 1801 Lead In: D105[1:1] Default Next Question: D107 --------------------------------------------------------------------------------


R00678.00 [D107] Survey Round: R2 SPORTS RESTRICTED FOR THREE MONTHS Because of a health condition, were your sports or physical activities ever restricted for three months or more? UNIVERSE: ALL SAMPLE TYPES; 14 1 YES (Go To D108) 197 2 NO ------- 211 Refusal(-1) 0 Don't Know(-2) 1 TOTAL = = = ==> 212 MISSING 1599 Lead In: D105[Default] D106[Default] Default Next Question: D110 -------------------------------------------------------------------------------- R00679.00 [D108] Survey Round: R2 MOST SERIOUS HEALTH CONDITION CAUSE D107 What was the most serious health condition that caused this problem? UNIVERSE: ALL SAMPLE TYPES;

3 9 BROKEN LIMB

1 13 COLD OR FLU

1 23 FEMALE REPRODUCTIVE PROBLEMS

1 29 HEART/CARDIOVASCULAR PROBLEMS

1 32 HERNIA

1 40 MENINGITIS

1 41 MENTAL HEALTH PROBLEMS

4 52 SURGERY

1 99 UNKNOWN --------

14 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 14 MISSING 1797 Lead In: D107[1:1] Default Next Question: D109 --------------------------------------------------------------------------------


R00680.00 [D109] Survey Round: R2 HOW OLD HAD HEALTH CONDITION D107 About how old were you when you had this serious health condition? UNIVERSE: ALL SAMPLE TYPES; 1 1 TO 4 4 9 TO 14 4 15 TO 19 1 20 TO 24 2 30 TO 34 2 35 TO 39 ------- 14 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 14 MISSING 1797 Min: 1 Max: 36 Mean: 19.71 Lead In: D108[Default] Default Next Question: D110 -------------------------------------------------------------------------------- R00681.00 [D110] Survey Round: R2 CONFINED TO BED DUE TO HEALTH Because of a health condition, were you ever confined to bed or home one month or more? UNIVERSE: ALL SAMPLE TYPES; 20 1 YES (Go To D111mo) 192 2 NO ------- 212 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 212 MISSING 1599 Lead In: D107[Default] D109[Default] Default Next Question: D112_CHECKmo --------------------------------------------------------------------------------


R00682.00 [D111mo] Survey Round: R2 MOST SERIOUS HEALTH CONDITION CAUSED D110 What was the most serious health condition that caused this problem? UNIVERSE: ALL SAMPLE TYPES;

1 9 BROKEN LIMB

1 13 COLD OR FLU

1 18 DIABETES

1 21 EYE/VISION PROBLEMS

3 23 FEMALE REPRODUCTIVE PROBLEMS

2 29 HEART/CARDIOVASCULAR PROBLEMS

1 30 HEPATITIS

2 34 INTESTINAL INFECTION/DIGESTIVE PROBLEMS

1 39 MEASLES/CHICKEN POX/MUMPS

1 40 MENINGITIS

1 51 SPRAIN/TEAR/DISLOCATION

2 52 SURGERY

2 99 UNKNOWN -------

19 Refusal(-1) 1 Don't Know(-2) 0 TOTAL = = = ==> 20 MISSING 1791 Lead In: D110[1:1] Default Next Question: D112_CHECKmo -------------------------------------------------------------------------------- R00683.00 [D112_CHECKmo] Survey Round: R2 CHK: R COUNTRY OF BIRTH [THE RESPONDENT'S COUNTRY OF BIRTH] UNIVERSE: ALL SAMPLE TYPES;

11 38 CANADA

78 44 CHINA, PEOPLES REPUBLIC

26 47 COLOMBIA

18 55 CUBA

13 62 DOMINICAN REPUBLIC

89 65 EL SALVADOR

17 69 ETHIOPIA

46 88 GUATEMALA


15 92 HAITI

178 98 INDIA

11 105 JAMAICA

31 111 KOREA

218 135 MEXICO

16 152 NIGERIA

21 163 PERU

72 164 PHILIPPINES

56 166 POLAND

26 172 RUSSIA

21 215 UKRAINE

17 217 UNITED KINGDOM

334 218 UNITED STATES

51 224 VIETNAM

139 301 EUROPE & CENTRAL ASIA

110 302 EAST ASIA, SOUTH ASIA & THE PACIFIC

76 305 LATIN AMERICA & THE CARIBBEAN

55 306 AFRICAN SUB-SAHARAN

44 307 MIDDLE EAST & NORTH AFRICA

3 308 OCEANIA -------

1792 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 1792 MISSING 19 Lead In: D111mo[Default] D110[Default] D104_CHECK[1:1] Default Next Question: D112 -------------------------------------------------------------------------------- R00684.00 [D112] Survey Round: R2 COMPARE CURRENT HEALTH TO PEOPLE IN HOME COUNTRY If you compared your current health to people in your home country, how would you rate it - excellent, very good, good, fair, or poor? UNIVERSE: ALL SAMPLE TYPES; 299 1 EXCELLENT 377 2 VERY GOOD 516 3 GOOD 186 4 FAIR 37 5 POOR ------- 1415 Refusal(-1) 2 Don't Know(-2) 46 TOTAL = = = ==> 1463 MISSING 348


Lead In: D112_CHECKmo[Default] Default Next Question: D114 -------------------------------------------------------------------------------- R00685.00 [D114] Survey Round: R2 COMPARE SIMILARITY IN DIET Using a scale from 1 to 10 where 10 indicates exactly the same and 1 means completely different, how would you compare the similarity in the diet in the food you now normally eat in the United States with the food you normally ate in your home country? UNIVERSE: ALL SAMPLE TYPES; 184 1 28 2 67 3 42 4 245 5 67 6 145 7 215 8 77 9 325 10 TO 99999999999: 10+ ------- 1395 Refusal(-1) 3 Don't Know(-2) 65 TOTAL = = = ==> 1463 MISSING 348 Min: 1 Max: 10 Mean: 6.39 Lead In: D112[Default] Default Next Question: D115 -------------------------------------------------------------------------------- R00686.00 [D115] Survey Round: R2 RARELY ATE BEFORE U.S. Is there something you eat a lot now that you rarely ate before you came to the United States? UNIVERSE: ALL SAMPLE TYPES; 723 1 YES (Go To D116) 714 2 NO ------- 1437 Refusal(-1) 5 Don't Know(-2) 21


TOTAL = = = ==> 1463 MISSING 348 Lead In: D114[Default] Default Next Question: D117 -------------------------------------------------------------------------------- R00687.00 [D116] Survey Round: R2 MOST IMPORTANT NEW FOOD D115 Please tell me the most important thing that you eat a lot now that you rarely ate before you came to the United States? UNIVERSE: ALL SAMPLE TYPES; Refusal(-1) 1 Don't Know(-2) 7 TOTAL = = = ==> 723 MISSING 1088 Lead In: D115[1:1] Default Next Question: D117 -------------------------------------------------------------------------------- R00688.00 [D117] Survey Round: R2 ATE RARELY BEFORE U.S. Is there something you ate regularly before coming to the United States that you rarely eat now? UNIVERSE: ALL SAMPLE TYPES; 636 1 YES (Go To D118) 793 2 NO ------- 1429 Refusal(-1) 4 Don't Know(-2) 30 TOTAL = = = ==> 1463 MISSING 348 Lead In: D116[Default] D115[Default] Default Next Question: D119 -------------------------------------------------------------------------------- R00689.00 [D118] Survey Round: R2 MOST IMPORTANT THING RARELY EAT NOW Please tell me the most important thing that you ate regularly before coming to the United States that you rarely eat now? UNIVERSE: ALL SAMPLE TYPES;


Refusal(-1) 0 Don't Know(-2) 5 TOTAL = = = ==> 636 MISSING 1175 Lead In: D117[1:1] Default Next Question: D119 -------------------------------------------------------------------------------- R00690.00 [D119] Survey Round: R2 USUAL SOURCE OF HEALTH CARE IN U.S. Is there a place that you USUALLY go when you are sick or need advice about your health? UNIVERSE: ALL SAMPLE TYPES; 1234 1 YES 543 2 THERE IS NO PLACE (Go To D122_1) 11 3 THERE'S MORE THAN ONE PLACE ------- 1788 Refusal(-1) 3 Don't Know(-2) 6 TOTAL = = = ==> 1797 MISSING 14 Lead In: D118[Default] D117[Default] D112_CHECKmo[218:218] Default Next Question: D120 -------------------------------------------------------------------------------- R00691.00 [D120] Survey Round: R2 CHANGE SOURCE OF HEALTH CARE AFTER PERMANENT RESIDENCE What kind of place do you go to most often - a clinic, doctor's office, emergency room, or some other place? UNIVERSE: ALL SAMPLE TYPES; 328 1 CLINIC, OR HEALTH CENTER 816 2 DOCTOR'S OFFICE OR HMO 32 3 HOSPITAL EMERGENCY ROOM 31 4 HOSPITAL OUT-PATIENT DEPARTMENT 28 5 SOME OTHER PLACE 9 6 DOESN'T GO TO ONE PLACE MOST OFTEN ------- 1244 Refusal(-1) 5 Don't Know(-2) 5 TOTAL = = = ==> 1254 MISSING 557 Lead In: D119[Default]


Default Next Question: D122_1 -------------------------------------------------------------------------------- R00692.00 [D122_1] Survey Round: R2 HAS R EVER RECEIVED HEALTH TREATMENT- ACUPUNCTURE SINCE R1? ACUPUNCTURE? UNIVERSE: ALL SAMPLE TYPES; 100 1 YES 1672 2 NO ------- 1772 Refusal(-1) 3 Don't Know(-2) 21 TOTAL = = = ==> 1796 MISSING 15 Lead In: D120[Default] D119[2:2] Default Next Question: D122_2 -------------------------------------------------------------------------------- R00693.00 [D122_2] Survey Round: R2 HAS R EVER RECEIVED HEALTH TREATMENT - CHIROPRACTIC CARE SINCE R1? CHIROPRACTIC CARE? UNIVERSE: ALL SAMPLE TYPES; 254 1 YES 1527 2 NO ------- 1781 Refusal(-1) 3 Don't Know(-2) 12 TOTAL = = = ==> 1796 MISSING 15 Lead In: D122_1[Default] Default Next Question: D122_3 -------------------------------------------------------------------------------- R00694.00 [D122_3] Survey Round: R2 HAS R EVER RECEIVED HEALTH TREATMENT - MASSAGE THERAPY SINCE R1? MASSAGE THERAPY? UNIVERSE: ALL SAMPLE TYPES;


304 1 YES 1488 2 NO ------- 1792 Refusal(-1) 3 Don't Know(-2) 1 TOTAL = = = ==> 1796 MISSING 15 Lead In: D122_2[Default] Default Next Question: D122_5 -------------------------------------------------------------------------------- R00695.00 [D122_5] Survey Round: R2 HAS R EVER RECEIVED HEALTH TREATMENT - TRAINING OR PRACTICE OF MEDITATION, IMAGERY, OR RELAXATION TECHNIQUES SINCE R1? TRAINING OR PRACTICE OF MEDITATION, IMAGERY, OR RELAXATION TECHNIQUES? UNIVERSE: ALL SAMPLE TYPES; 127 1 YES 1664 2 NO ------- 1791 Refusal(-1) 3 Don't Know(-2) 2 TOTAL = = = ==> 1796 MISSING 15 Lead In: D122_3[Default] Default Next Question: D122A_1 -------------------------------------------------------------------------------- R00696.00 [D122A_1] Survey Round: R2 HAS R RECEIVED HOMEOPATHIC TREATMENT SINCE R1? HOMEOPATHIC TREATMENT? UNIVERSE: ALL SAMPLE TYPES; 66 1 YES 1700 2 NO ------- 1766 Refusal(-1) 3 Don't Know(-2) 27 TOTAL = = = ==> 1796 MISSING 15 Lead In: D122_5[Default] Default Next Question: D122A_2


-------------------------------------------------------------------------------- R00697.00 [D122A_2] Survey Round: R2 DID RESPONDENT UNDERGO SPIRITUAL HEALING SINCE R1? SPIRITUAL HEALING OR PRAYER? UNIVERSE: ALL SAMPLE TYPES; 309 1 YES 1474 2 NO ------- 1783 Refusal(-1) 4 Don't Know(-2) 9 TOTAL = = = ==> 1796 MISSING 15 Lead In: D122A_1[Default] Default Next Question: D122A_3 -------------------------------------------------------------------------------- R00698.00 [D122A_3] Survey Round: R2 HAS R USED ANY TRADITIONAL MEDICINES SINCE R1? TRADITIONAL MEDICINE, SUCH AS CHINESE, AYURVEDIC, AMERICAN INDIAN, ETC.? UNIVERSE: ALL SAMPLE TYPES; 170 1 YES 1614 2 NO ------- 1784 Refusal(-1) 3 Don't Know(-2) 9 TOTAL = = = ==> 1796 MISSING 15 Lead In: D122A_2[Default] Default Next Question: D129mo -------------------------------------------------------------------------------- R00699.00 [D129mo] Survey Round: R2 HOW MUCH WEIGH Now we'd like to ask you about your weight. Do you prefer KILOGRAMS for this, or POUNDS? UNIT: UNIVERSE: ALL SAMPLE TYPES;


202 1 KILOGRAMS (Go To D129M_1mo) 1578 2 POUNDS ------- 1780 Refusal(-1) 8 Don't Know(-2) 8 TOTAL = = = ==> 1796 MISSING 15 Lead In: D122A_3[Default] Default Next Question: D129E_1mo -------------------------------------------------------------------------------- R00700.00 [D129M_1mo] Survey Round: R2 WEIGHT IN KILOGRAMS Using kilograms, about how much do you weigh? Digits: UNIVERSE: ALL SAMPLE TYPES; 14 1 TO 50 182 51 TO 100 4 101 TO 150 ------- 200 Refusal(-1) 0 Don't Know(-2) 2 TOTAL = = = ==> 202 MISSING 1609 Min: 43 Max: 116 Mean: 69.5148515 Lead In: D129mo[1:1] Default Next Question: D129M_3mo -------------------------------------------------------------------------------- R00701.00 [D129M_3mo] Survey Round: R2 HAS R GAINED OR LOST 4.5 OR MORE KILOS IN THE PAST 2 YEARS? Have you gained or lost 4.5 or more kilograms in the last 2 years? UNIVERSE: ALL SAMPLE TYPES; 49 1 YES, GAINED 28 2 YES, LOST 18 3 YES, GAINED AND LOST 104 5 NO ------- 199 Refusal(-1) 0 Don't Know(-2) 3 TOTAL = = = ==> 202 MISSING 1609


Lead In: D129M_1mo[Default] Default Next Question: D130mo -------------------------------------------------------------------------------- R00702.00 [D129E_1mo] Survey Round: R2 WEIGHT IN POUNDS Using POUNDS, about how much do you weigh? Digits: UNIVERSE: ALL SAMPLE TYPES; 16 51 TO 100 15 101 TO 150 730 151 TO 200 165 201 TO 250 31 251 TO 300

4 301 TO 350 ------- 1543 Refusal(-1) 15 Don't Know(-2) 18 TOTAL = = = ==> 1594 MISSING 217 Min: 94 Max: 295 Mean: 161.0605395 Lead In: D129mo[Default] Default Next Question: D129E_3mo -------------------------------------------------------------------------------- R00703.00 [D129E_3mo] Survey Round: R2 HAS R GAINED OR LOST OVER 10 POUNDS IN THE PAST 2 YEARS? Have you gained or lost ten or more pounds in the last 2 years? UNIVERSE: ALL SAMPLE TYPES; 459 1 YES, GAINED 267 2 YES, LOST 122 3 YES, GAINED AND LOST 725 5 NO ------- 1573 Refusal(-1) 9 Don't Know(-2) 12 TOTAL = = = ==> 1594 MISSING 217 Lead In: D129E_1mo[Default] Default Next Question: D130 --------------------------------------------------------------------------------


R00704.00 [D130mo] Survey Round: R2 UNIT TALL Next we'd like to ask you about your height. Do you prefer to use METERS AND CENTIMETERS for this, or FEET AND INCHES? UNIVERSE: ALL SAMPLE TYPES; 457 1 METERS AND CENTIMETERS 1331 2 FEET AND INCHES (Go To D130E_1mo) ------- 1788 Refusal(-1) 1 Don't Know(-2) 7 TOTAL = = = ==> 1796 MISSING 15 Lead In: D129E_3mo[Default] D129M_3mo[Default] Default Next Question: D130M_1mo -------------------------------------------------------------------------------- R00705.00 [D130M_1mo] Survey Round: R2 UNIT TALL -- METERS Using meters and centimeters, about how tall are you? INTERVIEWER: IF R ANSWERS IN FEET AND INCHES, PLEASE BACK UP AND SELECT “FEET AND INCHES PREFERRED.” IF R GIVES DECIMALS, PLEASE USE 2 DECIMAL PLACES MAXIMUM. UNIVERSE: ALL SAMPLE TYPES; 457 1 TO 4 ------- 457 Refusal(-1) 7 Don't Know(-2) 1 TOTAL = = = ==> 465 MISSING 1346 Min: 1 Max: 2 Mean: 0.9548387 Lead In: D130mo[Default] Default Next Question: D130M_2mo -------------------------------------------------------------------------------- R00706.00 [D130M_2mo] Survey Round: R2 HOW TALL-- CENTIMETERS UNIVERSE: ALL SAMPLE TYPES; DIGITS:


1 0

1 1 TO 4

1 5 TO 8

1 20 TO 24

1 30 TO 34

1 35 TO 39

2 40 TO 44

5 45 TO 49

53 50 TO 52

61 55 TO 59

96 60 TO 64

100 65 TO 69

69 70 TO 74

35 75 TO 79

18 80 TO 84

10 85 TO 89

1 90 TO 94

1 95 TO 99 ------

457 Refusal(-1) 1 Don't Know(-2) 7 TOTAL = = = ==> 465 MISSING 1346 Min: 0 Max: 95 Mean: 62.8967742 Lead In: D130M_1mo[Default] Default Next Question: D_ET -------------------------------------------------------------------------------- R00707.00 [D130E_1mo] Survey Round: R2 HOW TALL-- FEET Using feet and inches, about how tall are you? DIGITS: INTERVIEWER: R ANSWERS IN METERS AND CENTIMETERS, PLEASE BACK UP AND SELECT “METERS AND CENTIMETERS PREFERRED". UNIVERSE: ALL SAMPLE TYPES; 22 1 TO 4 1306 5 TO 8 ------- 1328 Refusal(-1) 0 Don't Know(-2) 3 TOTAL = = = ==> 1331 MISSING 480


Min: 4 Max: 1 Mean: 5.0879038 Lead In: D130mo[2:2] Default Next Question: D130E_2mo -------------------------------------------------------------------------------- R00708.00 [D130E_2mo] Survey Round: R2 HEIGHT -- INCHES UNIVERSE: ALL SAMPLE TYPES; 131 0 463 1 TO 4 518 5 TO 8 214 9 TO 14 ------- 1326 Refusal(-1) 0 Don't Know(-2) 5 TOTAL = = = ==> 1331 MISSING 480 Min: 0 Max: 11.25 Mean: 4.9829076 Lead In: D130E_1mo[Default] Default Next Question: D_ET -------------------------------------------------------------------------------- R00709.00 [D_ET] Survey Round: R2 TIME: END SECTION D TIME(0) UNIVERSE: ALL SAMPLE TYPES; ------- 1796 Refusal(-1) 0 Don't Know(-2) 0 TOTAL = = = ==> 1796 MISSING 15 Lead In: D130E_2mo[Default] D130M_2mo[Default] Default Next Question: E_ST --------------------------------------------------------------------------------

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