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

COMMENT: Is there at least one employer listed?

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

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

(INTERVIEWER: ENTERING HEALTH SECTION)

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

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

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

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

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

([r gender]=1)

COMMENT: Is respondent male?

([time unit for time next child planned]=1) AND ([number of months r plans to have next child]<=9)

COMMENT: Is R currently pregnant?

Is your limitation entirely due to your current pregnancy?

Since what month and year have you had this limitation [" "/Other than your pregnancy]?

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

How much do you weigh?

(ENTER POUNDS)

How often do you do vigorous activities for at least 10 minutes that cause heavy sweating or large increases in breathing or heart rate? (INTERVIEWER: IF R UNABLE TO DO THIS TYPE OF ACTIVITY, ENTER "996". IF R NEVER DOES THIS TYPE OF ACTIVITY, ENTER "0".)

SELECT TIME UNIT:

About how long do you do these vigorous activities each time?

SELECT MINUTES/HOURS:

How often do you do light or moderate activities for at least 10 minutes that cause only light sweating or slight to moderate increase in breathing or heart rate? (INTERVIEWER: IF R UNABLE TO DO THIS TYPE OF ACTIVITY, ENTER "996". IF R NEVER DOES THIS TYPE OF ACTIVITY, ENTER "0".)

TIME UNIT:

About how long do you do these light or moderate activities each time?

TIME UNIT:

How often do you do physical activities specifically designed to strengthen your muscles such as lifting weights or doing calisthenics? (Include all such activities even if you have mentioned them before.) (INTERVIEWER: IF R UNABLE TO DO THIS TYPE OF ACTIVITY, ENTER "996". IF R NEVER DOES THIS TYPE OF ACTIVITY, ENTER "0".)

TIME UNIT:

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

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

During this last check-up, were you asked about...

....your diet and eating habits?

(During this last check-up, were you asked about...)

....the amount of physical activity or exercise you get?

(During this last check-up, were you asked about...)

....whether you smoke cigarettes or use other forms of tobacco?

(During this last check-up, were you asked about...)

....how much and how often you drink alcohol?

(During this last check-up, were you asked about...)

....whether you use marijuana, cocaine, or other drugs?

([r gender])

COMMENT: Gender of R

During the past 12 months, that is since [12 months before reference date], have you seen or talked to a doctor who specializes in women's health (an obstetrician/gynecologist) about your own health?

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

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

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

Now we have a few questions about health care and hospitalization plans.

Are you covered by any kind of private or governmental health or hospitalization plans or health maintenance organization (HMO) plans?

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

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

Do you have one health plan or more than one?

SYMBOLEXIST ([stop date of employer(1)])

COMMENT: Was any employer reported?

([total number of employers reported] > 0 and [stop date of employer(1)] = [1998 int (current) date])

COMMENT: Is R currently employed?

([spouse/partner employed in 2001] = 1 or [spouse/partner employed in 2001] = 0 or [spouse/partner employed in 2001] = 2)

COMMENT: Was R's spouse/partner employed in past calendar year?

{r_healthplan_text1}

Does your current employer pay for any part of the cost of this plan?

Does your current employer pay the total cost of the premiums for this health plan, or do you also have to contribute toward the cost?

([spouse/partner employed in 2001] = 1 or [spouse/partner employed in 2001] = 0 or [spouse/partner employed in 2001] = 2)

COMMENT: Was R's spouse/partner employed in past calendar year?

{r_healthplan_text1}

Does {spar3}'s current employer pay for any part of the cost of this health plan?

Does [Spouse/partner's name]'s current employer pay the total cost of the premiums for this health plan, or does [Spouse/partner's name] also have to contribute toward the cost?

{r_healthplan_text1}

Do you or other family members pay the total cost of the premiums for this health plan?

Even though you or other family members pay the full cost of this health plan, is it purchased through a former employer of you or another family member?

Is this health plan paid for through a government program, such as Medicaid?

Does a former employer of yours [or] [Spouse/partner's name]'s pay for any part of the cost of this health plan?

Does this former employer pay the total cost of the premiums for this health plan, or do you and your family also have to contribute toward the cost?

Who pays the cost of the premiums for this health plan?

(INTERVIEWER: ENTER VERBATIM)

I want to ask you about your primary insurance plan. That is the plan that pays most of the cost of your doctor and hospital bills.

Is this plan either a Health Maintenance Organization, HMO, network or Point of Service plan?

Is this a Preferred Provider Organization or a PPO? That is, do you get increased benefits or lower co-pay if you use a participating provider?

Does this plan require you to get authorization from a primary care provider before seeing a medical specialist?

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

Since [Date of last interview], was there any time when you were not covered by health insurance?

(((([marital status code]=1) OR ([marital status code]=5) OR ([marital status code]=4)) AND ([spouse in hh?]=1)) OR ([partner in hh?]=1))

COMMENT: Is current marital status "married" or "remarried" and there is a spouse listed on the household roster or is a partner listed?

Is [Spouse/partner's name] covered by any kind of private or governmental health or hospitalization plans or health maintenance organization (HMO) plans?

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

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

Does [Spouse/partner's name] have one health plan or more than one?

([spouse/partner employed in 2001] = 1 or [spouse/partner employed in 2001] = 0 or [spouse/partner employed in 2001] = 2)

COMMENT: Was R's spouse/partner employed in past calendar year?

SYMBOLEXIST ([stop date of employer(1)])

COMMENT: Were any employers reported?

([total number of employers reported] > 0 and [stop date of employer(1)] = [1998 int (current) date])

COMMENT: Is R currently employed?

{sp_healthplan_text1}

Does {spar3}'s current employer pay for any part of the cost of this plan?

Does [Spouse/partner's name]'s current employer pay the total cost of the premiums for this health plan, or does [s/he] also have to contribute toward the cost?

SYMBOLEXIST ([stop date of employer(1)])

COMMENT: Was any employer reported?

([total number of employers reported] > 0 and [stop date of employer(1)] = [1998 int (current) date])

COMMENT: Is R currently employed?

{sp_healthplan_text1}

Does your current employer pay for any part of the cost of {spar3}'s health plan?

Does your current employer pay the total cost of the premiums for this health plan, or do you also have to contribute toward the cost?

{sp_healthplan_text1}

Do you {sp_or} {spar3} or other family members pay the total cost of the premiums for this health plan?

Even though you [or] [Spouse/partner's name] or other family members pay the full cost of this health plan, is it purchased through a former employer of you [or] [Spouse/partner's name] or another family member?

Is this health plan paid for through a government program, such as Medicaid?

Does a former employer of yours [or] [Spouse/partner's name]'s pay for any part of the cost of this health plan?

Does this former employer pay the total cost of the premiums for this health plan, or do you [or] [Spouse/partner's name] and your family also have to contribute toward the cost?

Who pays the cost of the premiums for this health plan?

(INTERVIEWER: ENTER VERBATIM)

([total bio children reported] > 0)

COMMENT: ANY BIOLOGICAL CHILDREN REPORTED?

{childins_intro} covered by any kind of private or governmental health or hospitalization plans or health maintenance organization (HMO) plans?

(PROBE IF NECESSARY:) Examples of health and hospitalization insurance plans include {CHIP.NAME}, Blue Cross, Blue Shield, Medicaid/Welfare/Public Medical Insurance.

(Does/Do) your child(ren) have one health plan or more than one?

SYMBOLEXIST ([stop date of employer(1)])

COMMENT: Was any employer reported?

([total number of employers reported] > 0 and [stop date of employer(1)] = [1998 int (current) date])

COMMENT: Is R currently employed?

([spouse/partner employed in 2001] = 1 or [spouse/partner employed in 2001] = 0 or [spouse/partner employed in 2001] = 2)

COMMENT: Was R's spouse/partner employed in past calendar year?

{ch_healthplan_text1}

Does your current employer pay for any part of the cost of your (child's/childrens') health plan?

Does your current employer pay the total cost of the premiums for this health plan, or do you also have to contribute toward the cost?

([spouse/partner employed in 2001] = 1 or [spouse/partner employed in 2001] = 0 or [spouse/partner employed in 2001] = 2)

COMMENT: Was R's spouse/partner employed in past calendar year?

{ch_healthplan_text1}

Does {spar3}'s current employer pay for any part of the cost of your (child's/childrens') health plan?

Does [Spouse/partner's name]'s current employer pay the total cost of the premiums for this health plan, or does [Spouse/partner's name] also have to contribute toward the cost?

{ch_healthplan_text1}

Do you or other family members pay the total cost of the premiums for your (child's/childrens') health plan?

Even though you or other family members pay the full cost of this health plan, is it purchased through a former employer of you or another family member?

Is (child's/childrens') health plan paid for through a government program, such as Medicaid?

Does a former employer of yours [or] [Spouse/partner's name]'s pay for any part of the cost of this health plan?

Does this former employer pay the total cost of the premiums for this health plan, or do you and your family also have to contribute toward the cost?

Who pays the cost of the premiums for (child's/childrens') health plan?

(INTERVIEWER: ENTER VERBATIM)

([R's age] >= 40)

([r complete 40+ health module?]=1)

COMMENT: Did this respondent go through the extended health questions in round 18 or round 19? If yes, skip out

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

During the past week.....

I did not feel like eating; my appetite was poor.

During the past week.....

I felt that I could not shake off the blues, even with help from my family or friends.

During the past week....

I had trouble keeping my mind on what I was doing.

During the past week....

I felt depressed.

During the past week....

I felt that everything I did was an effort.

During the past week....

My sleep was restless.

During the past week....

I felt lonely.

During the past week....

I felt sad.

During the past week....

I could not get "going".

CESD - SCORE

I would like to know about your most recent visit(s) to a health care professional.

When was the last time you visited a health care professional for any reason?

(ENTER MONTH AND YEAR)

When did you last visit a health care professional for a general physical exam?

(ENTER MONTH AND YEAR)

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

Is your biological father still alive?

What caused your biological father's death?

How old was he when he died?

(ENTER AGE)

{Did/doesswitch} your father have any major health problems?

What [are/were] these problems?

What (are/were) these problems?

What (are/were) these problems?

What (are/were) these problems?

What (are/were) these problems?

Is your biological mother still alive?

What caused your biological mother's death?

How old was she when she died?

(ENTER AGE)

{did/doesswitch} your mother have any major health problems?

What [are/were] these problems?

What (are/were) these problems?

What (are/were) these problems?

What (are/were) these problems?

What (are/were) these problems?

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

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

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

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

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

..... Climbing several flights of stairs?

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

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

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

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

.... Accomplished less than you would like?

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

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

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

.... have you felt calm and peaceful?

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

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

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

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

In what month and year was that first diagnosed?

(ENTER MONTH AND YEAR)

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

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

In what month and year was that first diagnosed?

(ENTER MONTH AND YEAR)

Has a doctor ever told you that you have cancer or malignant tumor of any kind except skin cancer?

How many such cancers have you had?

(ENTER AMOUNT)

REPEAT([Q11-loop3 counter])

In what month and year was [most recent/next most recent] cancer diagnosed?

(ENTER MONTH AND YEAR)

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

Do you currently have any such cancer?

UNTIL ([Q11-loop3 counter],([Q11-loop3 counter]=[Number of cancers R reported]) or ([Number of cancers R reported]=0))

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

Has a doctor ever told you that you had a heart attack, coronary heart disease, angina, congestive heart failure, or other heart problems?

Did you have a heart attack or myocardial infarction?

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

(ENTER MONTH AND YEAR)

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

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

In what month and year was your congestive heart failure?

(ENTER MONTH AND YEAR)

Do you currently have congestive heart failure?

Has a doctor ever told you that you had a stroke?

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


(ENTER MONTH AND YEAR)

Has a doctor ever told you that you had emotional, nervous, or psychiatric problems?

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

(ENTER MONTH AND YEAR)

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

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

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

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

(ENTER MONTH AND YEAR)

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

Do you have any of the following health problems? (other than problems discussed earlier)

Asthma? (Shortness of breath or chronic cough?)

(Do you have any of the following health problems? (other than problems discussed earlier))

Problems with your back?

(Do you have any of the following health problems? (other than problems discussed earlier))

Problems with your feet and legs?

(Do you have any of the following health problems? (other than problems discussed earlier))

Kidney or bladder problems?

(Do you have any of the following health problems? (other than problems discussed earlier))

Stomach or intestinal ulcers?

(Do you have any of the following health problems? (other than problems discussed earlier))

High cholesterol?

(Do you have any of the following health problems? (other than problems discussed earlier))

Pain or pressure in your chest, palpitation or pounding heart, or heart trouble?

(Do you have any of the following health problems? (other than problems discussed earlier))


Low blood pressure?

(Do you have any of the following health problems? (other than problems discussed earlier))

Chronic or frequent colds, sinus problems, hay fever or allergies?

(Do you have any of the following health problems? (other than problems discussed earlier))

Frequent indigestion, stomach, liver or intestinal trouble, gall bladder trouble or gallstones?

(Do you have any of the following health problems? (other than problems discussed earlier))

Depression or excessive worry or nervous trouble of any kind?

(Do you have any of the following health problems? (other than problems discussed earlier))

Swollen or painful joints, frequent cramps in your legs or bursitis? (arthritis and rheumatism already addressed)

(Do you have any of the following health problems? (other than problems discussed earlier))

Lameness or paralysis (including polio)?

(Do you have any of the following health problems? (other than problems discussed earlier))

Scarlet fever, rheumatic fever, tuberculosis, jaundice or hepatitis?

(Do you have any of the following health problems? (other than problems discussed earlier))

Frequent or severe headaches, dizziness or fainting spells?

(Do you have any of the following health problems? (other than problems discussed earlier))

Eye trouble, other than glasses or contacts?

(Do you have any of the following health problems? (other than problems discussed earlier))

Ear, nose, or throat trouble?

(Do you have any of the following health problems? (other than problems discussed earlier))

Severe tooth or gum trouble?

(Do you have any of the following health problems? (other than problems discussed earlier))

Skin diseases?

(Do you have any of the following health problems? (other than problems discussed earlier))

Thyroid trouble or goiter?

(Do you have any of the following health problems? (other than problems discussed earlier))

Neuritis?

(Do you have any of the following health problems? (other than problems discussed earlier))

Epilepsy or fits?

(Do you have any of the following health problems? (other than problems discussed earlier))

Frequent trouble sleeping?

(Do you have any of the following health problems? (other than problems discussed earlier))

Frequent urinary tract infections? (other than kidney problems discussed earlier)

(Do you have any of the following health problems? (other than problems discussed earlier))

Osteoporosis?

(Do you have any of the following health problems? (other than problems discussed earlier))

Ulcer?

(Do you have any of the following health problems? (other than problems discussed earlier))

Hardening of the arteries?

(Do you have any of the following health problems? (other than problems discussed earlier))

Anemia?

([r gender]=2)

(Do you have any of the following health problems? (other than problems discussed earlier))

Have you ever had a change in menstrual patterns?

Have you had a fracture or broken bone in the last 10 years?

In what year did you last break a bone?

(ENTER YEAR)

Have you ever been unconscious due to a head injury?

Do you spend more than 10 minutes a day on your own health problems or conditions, such as preparing and taking medicines, applying treatments, taking care of surgical problems or doing any kind of rehabilitation?

On average, how many minutes a day do you spend on this?

(ENTER NUMBER OF MINUTES)

Do you wear eyeglasses or contact lenses?

{glasses_text} your eyesight excellent, very good, good, fair or poor?

Do you wear a hearing aid?

How often do you usually wear a hearing aid - almost always, often, sometimes or almost never?

{hearing_txt} Is your hearing excellent, very good, good, fair or poor?