INTERVIEWER: ENTERING SECTION 11: HEALTH.
Q11-2 [R49610.] | Section: Health |
[[Was R working or in the military in week before survey?]]
COMMENT: MACHINE CHECK - HEALTH SECTION
If Answer >= 1 AND Answer <= 10 Then Go To Q11-4
Q11-3 [R49611.] | Section: Health |
Would your health keep you from working ON A JOB FOR PAY NOW?
Q11-4 [R49612.] | Section: Health |
(Are you/Would you be) limited in the KIND of work you (could) do on a job
for pay because of your health?
Q11-5 [R49613.] | Section: Health |
(Are you/Would you be) limited in the AMOUNT of work you (could) do because
of your health?
Q11-5A [R49614.] | Section: Health |
([Q11-3]=1) | ([Q11-4]=1)| ([Q11-5]=1)
COMMENT: Check if R has reported a health limitation.
If Answer = 1 Then Go To Q11-5B
Q11-5B [R49615.] | Section: Health |
([[Gender of the respondent]]=1)
COMMENT: Is respondent male?
If Answer = 1 Then Go To Q11-7
Q11-5C [R49616.] | Section: Health |
([Q9-61B]=1) & ([Q9-61Ca]<=9)
COMMENT: Is R currently pregnant?
If Answer = 1 Then Go To Q11-6
Q11-6 [R49617.] | Section: Health |
Is your limitation ENTIRELY due to your current pregnancy?
| 1 YES ...(Go To Q11-9) |
| 0 NO |
Q11-7 [R49618.] | Section: Health |
Since what month and year have you had this limitation (other than your
pregnancy)?
| 1 SELECT TO ENTER DATE ...(Go To Q11-8) |
| 0 IF VOLUNTEERED: 'ALL MY LIFE' |
Q11-8 [R49619.00] | Section: Health |
INTERVIEWER: ENTER DATE FROM WHICH R HAS HAD THIS LIMITATION.
Q11-9 [R49620.] | Section: Health |
How much do you weigh?
(ENTER POUNDS)
Q11-10 [R49621.] | Section: Health |
[[Total number of employers reported]]
COMMENT: DID R REPORT ANY EMPLOYERS SINCE DATE OF LAST INTERVIEW?
If Answer = 0 Then Go To Q11-78
If Answer >= 1 AND Answer <= 10 Then Go To Q11-11
Now, I would like to ask you a few questions about any injuries and
illnesses you might have received or gotten WHILE you were working on a
job.
Q11-11A [R49623.] | Section: Health |
([[recall]]=1)
COMMENT: Is R a member of the recall sample?
If Answer = 0 Then Go To Q11-12B
Q11-12A [R49624.] | Section: Health |
First, since [date of last interview], have you had an incident at any job we
previously discussed that resulted in an injury or illness to you?
(IF NECESSARY, REMIND RESPONDENT:) Remember, we are using your interview
date on [date of last interview] here instead of your interview last year.
Q11-12B [R49625.] | Section: Health |
First, since [date of last interview], have you had an incident at any job we
previously discussed that resulted in an injury or illness to you?
Q11-13 [R49626.] | Section: Health |
What is the name of the employer you were working for when the MOST RECENT
incident that resulted in an injury or illness to you occurred?
(INTERVIEWER: MOVE OR TO THE EMPLOYER R HAS NAMED AND PRESS
<ENTER>. IF THERE IS NO MATCH, ASK R WHICH EMPLOYER LISTED IS THE SAME
AS THE ONE FOR WHICH R IS REPORTING A WORK-RELATED INJURY OR ILLNESS.)
| 0 NO EMPLOYER MATCH |
| 1 1 ...(Go To Q11-15A) |
| 2 2 |
| 3 3 |
| 4 4 |
| 5 5 |
| 6 6 |
| 7 7 |
| 8 8 |
| 9 9 |
| 10 10 |
INTERVIEWER: YOU HAVE SELECTED THE EMPLOYER LISTED BELOW AS THE SAME ONE
R IS REPORTING A WORK-RELATED INJURY OR ILLNESS FOR. IF THIS
IS NOT CORRECT, RETURN TO THE PREVIOUS QUESTION BY PRESSING
THE <PAGE-UP> KEY AND SELECT THE CORRECT EMPLOYER.
EMPLOYER: [Employer for whom respondent was working when most recent incident resulting in illness/injury occurred (includes those for whom no match was made with employer worked for since last interview)].
Q11-15A [] | Section: Health |
INTERVIEWER: NO EMPLOYER MATCH WAS FOUND.
RECORD THE EMPLOYER FOR WHICH R IS REPORTING A WORK RELATED
ILLNESS.
Q11-17 [R49627.01] | Section: Health |
In what month and year did the most recent incident occur that resulted in
an injury or illness to you?
Q11-18 [R49628.] | Section: Health |
(HAND CARD AA) Which one category on this card best describes the activity
you were engaged in at the time of the incident? (CODE ONE ONLY).
| 1 Employer-directed travel |
| 2 Employer-directed training |
| 3 Meal break |
| 4 Rest break |
| 5 Personal business |
| 6 Normal work activity |
| 7 Other activity (SPECIFY) |
Q11-19 [R49629.] | Section: Health |
Did the incident result in an injury or an illness?
Q11-20 [R49630.] | Section: Health |
What part of the body was hurt or affected?
(RECORD VERBATIM.)
Q11-21 [R49631.] | Section: Health |
(PROBE:) What other part of the body was hurt or affected?
| 1 SELECT TO ENTER VERBATIM ...(Go To Q11-22) |
| 0 NO OTHER PART OF THE BODY WAS HURT OR AFFECTED |
Q11-22 [R49632.] | Section: Health |
INTERVIEWER: ENTER BELOW THE SECOND PART OF THE BODY THAT WAS HURT OR
AFFECTED.
Q11-23 [R49633.] | Section: Health |
(PROBE:) What other part of the body was hurt or affected?
| 1 SELECT TO ENTER VERBATIM ...(Go To Q11-24) |
| 0 NO OTHER PART OF THE BODY WAS HURT OR AFFECTED |
Q11-24 [R49634.] | Section: Health |
INTERVIEWER: ENTER BELOW THE THIRD PART OF THE BODY THAT WAS HURT OR
AFFECTED.
Q11-25 [R49635.] | Section: Health |
(INTERVIEWER: FOR ([First body part hurt or affected in most recent work-injury incident]) ASK:) What kind of [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")] was it?
(RECORD VERBATIM.)
Q11-26 [R49636.] | Section: Health |
[Q11-21]=1
COMMENT: is there another part of the body to ask about?
If Answer = 1 Then Go To Q11-27
Q11-27 [R49637.] | Section: Health |
(INTERVIEWER: FOR ([Second body part hurt or affected in most recent work-injury incident]) ASK:) What kind of [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")] was it?
(RECORD VERBATIM.)
Q11-28 [R49638.] | Section: Health |
[Q11-23]=1
COMMENT: is there another part of the body to ask about?
If Answer = 1 Then Go To Q11-29
Q11-29 [R49639.] | Section: Health |
(INTERVIEWER: FOR ([Third body part hurt or affected in most recent work-injury incident]) ASK:) What kind of [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")] was it?
(RECORD VERBATIM.)
Q11-30 [R49640.] | Section: Health |
Did the [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")] cause you to miss one or more scheduled days of work,
not counting the day of the incident?
Q11-31 [R49641.] | Section: Health |
Not counting the day of the incident, how many days was this?
Q11-32 [R49642.] | Section: Health |
Did the [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")] cause you ...
to be assigned to another job on a temporary basis?
Q11-33 [R49643.] | Section: Health |
Did the [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")] cause you ...
to work at your regular job less than full time?
Q11-34 [R49644.] | Section: Health |
Did the [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")] cause you ...
to work at your regular job, but be unable to perform all of the
normal duties of the job?
Q11-35 [R49645.] | Section: Health |
([Q11-32]=1)|([Q11-33]=1)|([Q11-34]=1)
COMMENT: Check if any of the three preceeding q's contain a 'yes'
If Answer = 1 Then Go To Q11-36
Q11-36 [R49646.] | Section: Health |
Not counting the day of the incident, how many days altogether was this?
Q11-37 [R49647.] | Section: Health |
Did the [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")] (also) cause you...
to be laid off?
Q11-38 [R49648.] | Section: Health |
Did the [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")] (also) cause you...
to quit?
Q11-39 [R49649.] | Section: Health |
Did the [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")] (also) cause you...
to be fired?
Q11-40 [R49650.] | Section: Health |
Did the [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")] (also) cause you...
to change occupations?
Q11-41 [R49651.] | Section: Health |
Did you lose any wages because of the [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")]?
Q11-42 [R49652.] | Section: Health |
Did you or your employer fill out a worker's compensation form for this
[Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")]?
Q11-43 [R49653.] | Section: Health |
Have you collected any worker's compensation benefits for this [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")]?
Q11-44 [R49654.] | Section: Health |
Is there a worker's compensation claim pending for this [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")]?
Q11-45 [R49655.] | Section: Health |
Is the [Did most recent work-injury incident result in illness or injury (text fill - "illness", "injury")] we've just discussed the MOST SEVERE injury or illness that
you have received or gotten since [date of last interview] while you were working at any
job we have already talked about?
Q11-46 [R49656.] | Section: Health |
What is the name of the employer you were working for when the MOST SEVERE
incident that resulted in an injury or illness to you occurred?
(INTERVIEWER: MOVE OR TO THE EMPLOYER R HAS NAMED AND PRESS
<ENTER>. IF THERE IS NO MATCH, ASK R WHICH EMPLOYER LISTED IS THE SAME
AS THE ONE FOR WHICH R IS REPORTING A WORK-RELATED INJURY OR ILLNESS.)
| 0 NO EMPLOYER MATCH |
| 1 1 ...(Go To Q11-48A) |
| 2 2 |
| 3 3 |
| 4 4 |
| 5 5 |
| 6 6 |
| 7 7 |
| 8 8 |
| 9 9 |
| 10 10 |
INTERVIEWER: YOU HAVE SELECTED THE EMPLOYER LISTED BELOW AS THE SAME ONE
R IS REPORTING A WORK-RELATED INJURY OR ILLNESS FOR. IF THIS
IS NOT CORRECT, RETURN TO THE PREVIOUS QUESTION BY PRESSING
THE <PAGE-UP> KEY AND SELECT THE CORRECT EMPLOYER.
EMPLOYER: [Employer for whom respondent was working when most severe incident resulting in illness/injury occurred (includes those for whom no match was made with employer worked for since last interview)].
Q11-48A [] | Section: Health |
INTERVIEWER: NO EMPLOYER MATCH WAS FOUND.
RECORD THE EMPLOYER FOR WHICH R IS REPORTING A WORK RELATED
ILLNESS.
Q11-50 [R49657.01] | Section: Health |
In what month and year did the incident occur that resulted in the most
severe injury or illness to you?
Q11-51 [R49658.] | Section: Health |
(HAND CARD AA) Which one category on this card best describes the activity
you were engaged in at the time of the incident? (CODE ONE ONLY.)
| 1 Employer-directed travel |
| 2 Employer-directed training |
| 3 Meal break |
| 4 Rest break |
| 5 Personal business |
| 6 Normal work activity |
| 7 Other activity (SPECIFY) |
Q11-52 [R49659.] | Section: Health |
Did the incident result in an injury or an illness?
Q11-53 [R49660.] | Section: Health |
What part of the body was hurt or affected?
(RECORD VERBATIM.)
Q11-54 [R49661.] | Section: Health |
(PROBE:) What other part of the body was hurt or affected?
| 1 SELECT TO ENTER VERBATIM ...(Go To Q11-55) |
| 0 NO OTHER PART OF THE BODY WAS HURT OR AFFECTED |
Q11-55 [R49662.] | Section: Health |
INTERVIEWER: ENTER BELOW THE SECOND PART OF THE BODY THAT WAS HURT OR
AFFECTED.
Q11-56 [R49663.] | Section: Health |
(PROBE:) What other part of the body was hurt or affected?
| 1 SELECT TO ENTER VERBATIM ...(Go To Q11-57) |
| 0 NO OTHER PART OF THE BODY WAS HURT OR AFFECTED |
INTERVIEWER: ENTER BELOW THE THIRD PART OF THE BODY THAT WAS HURT OR
AFFECTED.
Q11-58 [R49665.] | Section: Health |
(INTERVIEWER: FOR ([First body part hurt or affected in most severe work-injury incident]) ASK:) What kind of [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")] was it?
(RECORD VERBATIM.)
Q11-59 [R49666.] | Section: Health |
([Q11-54]=1)
COMMENT: check if there is another part of the body to ask about.
If Answer = 1 Then Go To Q11-60
Q11-60 [R49667.] | Section: Health |
(INTERVIEWER: FOR ([Second body part hurt or affected in most severe work-injury incident]) ASK:) What kind of [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")] was it?
(RECORD VERBATIM.)
Q11-61 [R49668.] | Section: Health |
([Q11-56]=1)
COMMENT: check if there is another part of the body to ask about.
If Answer = 1 Then Go To Q11-62
(INTERVIEWER: FOR ([Third body part hurt or affected in most severe work-injury incident]) ASK:) What kind of [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")] was it?
(RECORD VERBATIM.)
Q11-63 [R49670.] | Section: Health |
Did the [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")] cause you to miss one or more scheduled days of work,
not counting the day of the incident?
Q11-64 [R49671.] | Section: Health |
Not counting the day of the incident, how many days was this?
Q11-65 [R49672.] | Section: Health |
Did the [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")] cause you ...
to be assigned to another job on a temporary basis?
Q11-66 [R49673.] | Section: Health |
Did the [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")] cause you ...
to work at your regular job less than full time?
Q11-67 [R49674.] | Section: Health |
Did the [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")] cause you ...
to work at your regular job, but be unable to perform all of the
normal duties of the job?
Q11-68 [R49675.] | Section: Health |
([Q11-65]=1)|([Q11-66]=1)|([Q11-67]=1)
COMMENT: check if any of the three preceeding q's are answered 'yes'
If Answer = 1 Then Go To Q11-69
Q11-69 [R49676.] | Section: Health |
Not counting the day of the incident, how many days altogether was this?
Q11-70 [R49677.] | Section: Health |
Did the [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")] (also) cause you...
to be laid off?
Q11-71 [R49678.] | Section: Health |
Did the [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")] (also) cause you...
to quit?
Q11-72 [R49679.] | Section: Health |
Did the [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")] (also) cause you...
to be fired?
Q11-73 [R49680.] | Section: Health |
Did the [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")] (also) cause you...
to change occupations?
Q11-74 [R49681.] | Section: Health |
Did you lose any wages because of the [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")]?
Q11-75 [R49682.] | Section: Health |
Did you or your employer fill out a worker's compensation form for this
[Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")]?
Q11-76 [R49683.] | Section: Health |
Have you collected any worker's compensation benefits for this [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")]?
Q11-77 [R49684.] | Section: Health |
Is there a worker's compensation claim pending for this [Did most severe work-injury incident result in illness of injury (text fill - "illness", "injury")]?
Now we have a few questions about health care and hospitalization plans.
Q11-79 [R49686.] | Section: Health |
First, 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/Medi-Cal/Medical
Assistance/Welfare/Medical Services).
Q11-80A [] | Section: Health |
(HAND CARD BB) What is the source of your health or hospitalization plan?
Is it from a policy from your current or previous employer, ...
Q11-80B [R49688.00] | Section: Health |
... [a policy from (your) [Spouse/partner's name]'s current or previous
employer], a policy bought directly from a medical insurance company, is it
(Medicaid/Medi-Cal/Medical Assistance/Welfare/Medical Services), or is it
from some other source?
(READ CATEGORIES AS NECESSARY AND CODE ALL THAT APPLY.)
| 1 1. Policy from your CURRENT employer |
| 2 2. Policy from a PREVIOUS employer |
| 3 3. Policy from spouse's or partner's CURRENT employer |
| 4 4. Policy from spouse's or partner's PREVIOUS employer |
| 5 5. Policy bought directly from medical insurance company |
| 6 6. Medicaid/Medi-Cal/Medical Assist/Welfare/Medical Service |
| 7 7. Other (SPECIFY) |
Q11-81A [R49697.] | Section: Health |
In 1993, were there any months when you were NOT covered by health
insurance?
Q11-81B [R49698.09] | Section: Health |
Which months?
(MARK ALL THAT APPLY)
| 1 JANUARY |
| 2 FEBRUARY |
| 3 MARCH |
| 4 APRIL |
| 5 MAY |
| 6 JUNE |
| 7 JULY |
| 8 AUGUST |
| 9 SEPTEMBER |
| 10 OCTOBER |
| 11 NOVEMBER |
| 12 DECEMBER |
Q11-81C [R49712.] | Section: Health |
When was the most recent time you were covered by insurance?
| 1 SELECT TO ENTER DATE ...(Go To Q11-81D) |
| 0 NEVER COVERED BY HEALTH INSURANCE |
| 2 DK, PRECEDES DATE OF MARRIAGE/PARTNERSHIP |
If Answer = -2 Then Go To Q11-81E
Q11-81D [R49713.01] | Section: Health |
(When was the most recent time you were covered by insurance?)
(ENTER MONTH AND YEAR)
Q11-81E [R49714.] | Section: Health |
Can you tell me how long ago the most recent time you were covered by
insurance was?
(ENTER AMOUNT BELOW AND TIME UNIT - "WEEKS", "MONTHS", ETC. IN NEXT
SCREEN.)
Q11-81F [R49715.] | Section: Health |
(Can you tell me how long ago the most recent time you were covered by
insurance was?)
(ENTER TIME UNIT BELOW)
| 1 WEEKS |
| 2 MONTHS |
| 3 YEARS |
| 4 OTHER (SPECIFY) |
Q11-82 [R49716.] | Section: Health |
(((([[Marital status at date of last interview (code) (with possible update during survey)]]=1) | ([[Marital status at date of last interview (code) (with possible update during survey)]]=5) | ([[Marital status at date of last interview (code) (with possible update during survey)]]=4)) & ([[Flag indicating presence/absence of spouse in household]]=1)) |
([[Flag indicating presence/absence of partner in household]]=1) | ([HH5-5]=1))
COMMENT: Is current marital status "married" or "remarried" and there is a
spouse listed on the household roster or is a partner listed?
If Answer = 1 Then Go To Q11-83
Q11-83 [R49717.] | Section: Health |
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/Medi-Cal/Medical
Assistance/Welfare/Medical Services).
Q11-84A [] | Section: Health |
(HAND CARD BB) What is the source of [Spouse/partner's name]'s health or hospitalization
plan? (READ AS NECESSARY) Is it from a policy from your current or
previous employer, ...
Q11-84B [R49719.06] | Section: Health |
... a policy from [Spouse/partner's name]'s current or previous employer, a
policy bought directly from a medical insurance company, is it (Medicaid/
Medi-Cal/Medical Assistance/Welfare/Medical Services), or is it from some
other source?
(READ CATEGORIES AS NECESSARY AND CODE ALL THAT APPLY.)
| 1 1. Policy from your CURRENT employer |
| 2 2. Policy from a PREVIOUS employer |
| 3 3. Policy from spouse's or partner's CURRENT employer |
| 4 4. Policy from spouse's or partner's PREVIOUS employer |
| 5 5. Policy bought directly from medical insurance company |
| 6 6. Medicaid/Medi-Cal/Medical Assist/Welfare/Medical Service |
| 7 7. Other (SPECIFY) |
Q11-85A [R49728.] | Section: Health |
In 1993, were there any months when [Spouse/partner's name] was NOT covered by health
insurance?
Q11-85B [R49729.10] | Section: Health |
Which months?
(MARK ALL THAT APPLY)
| 1 JANUARY |
| 2 FEBRUARY |
| 3 MARCH |
| 4 APRIL |
| 5 MAY |
| 6 JUNE |
| 7 JULY |
| 8 AUGUST |
| 9 SEPTEMBER |
| 10 OCTOBER |
| 11 NOVEMBER |
| 12 DECEMBER |
Q11-85C [R49743.] | Section: Health |
When was the most recent time [Spouse/partner's name] was covered by insurance?
| 1 SELECT TO ENTER DATE ...(Go To Q11-85D) |
| 0 NEVER COVERED BY HEALTH INSURANCE |
| 2 DK, PRECEDES DATE OF MARRIAGE/PARTNERSHIP |
If Answer = -2 Then Go To Q11-85E
Q11-85D [R49744.01] | Section: Health |
(When was the most recent time [Spouse/partner's name] was covered by insurance?)
(ENTER MONTH AND YEAR)
Q11-85E [R49745.] | Section: Health |
Can you tell me how long ago the most recent time [Spouse/partner's name] was covered by
insurance was?
(ENTER AMOUNT BELOW AND TIME UNIT - "WEEKS", "MONTHS", ETC. IN NEXT
SCREEN.)
Q11-85F [R49746.] | Section: Health |
(Can you tell me how long ago the most recent time [Spouse/partner's name] was covered by
insurance was?)
(ENTER TIME UNIT BELOW)
| 1 WEEKS |
| 2 MONTHS |
| 3 YEARS |
| 4 OTHER (SPECIFY) |
| 5 DK, PRECEDES DATE OF MARRIAGE/PARTNERSHIP |
Q11-86 [R49747.] | Section: Health |
([[Usual residence of biological child(1)]]=1)|([[Usual residence of biological child(2)]]=1)|
([[Usual residence of biological child(3)]]=1)|([[Usual residence of biological child(4)]]=1)|
([[Usual residence of biological child(5)]]=1)|([[Usual residence of biological child(6)]]=1)|
([[Usual residence of biological child(7)]]=1)|([[Usual residence of biological child(8)]]=1)|
([[Usual residence of biological child(9)]]=1)|([[Usual residence of biological child(10)]]=1)
If Answer = 1 Then Go To Q11-87
Q11-86A [R49748.] | Section: Health |
([[Usual residence of biological child(11)]]=1)|([[Usual residence of biological child(12)]]=1)|
([[Usual residence of biological child(13)]]=1)|([[Usual residence of biological child(14)]]=1)|
([[Usual residence of biological child(15)]]=1)|([[Usual residence of biological child(16)]]=1)|
([[Usual residence of biological child(17)]]=1)|([[Usual residence of biological child(18)]]=1)|
([[Usual residence of biological child(19)]]=1)|([[Usual residence of biological child(20)]]=1)
If Answer = 1 Then Go To Q11-87
Q11-86B [R49749.] | Section: Health |
([[Usual residence of biological child(1)]]=9)|([[Usual residence of biological child(2)]]=9)|
([[Usual residence of biological child(3)]]=9)|([[Usual residence of biological child(4)]]=9)|
([[Usual residence of biological child(5)]]=9)|([[Usual residence of biological child(6)]]=9)|
([[Usual residence of biological child(7)]]=9)|([[Usual residence of biological child(8)]]=9)|
([[Usual residence of biological child(9)]]=9)|([[Usual residence of biological child(10)]]=9)
If Answer = 1 Then Go To Q11-87
Q11-86C [R49750.] | Section: Health |
([[Usual residence of biological child(11)]]=9)|([[Usual residence of biological child(12)]]=9)|
([[Usual residence of biological child(13)]]=9)|([[Usual residence of biological child(14)]]=9)|
([[Usual residence of biological child(15)]]=9)|([[Usual residence of biological child(16)]]=9)|
([[Usual residence of biological child(17)]]=9)|([[Usual residence of biological child(18)]]=9)|
([[Usual residence of biological child(19)]]=9)|([[Usual residence of biological child(20)]]=9)
If Answer = 1 Then Go To Q11-87
Q11-86D [R49751.] | Section: Health |
([[Usual residence of biological child(1)]]=10)|([[Usual residence of biological child(2)]]=10)|
([[Usual residence of biological child(3)]]=10)|([[Usual residence of biological child(4)]]=10)|
([[Usual residence of biological child(5)]]=10)|([[Usual residence of biological child(6)]]=10)|
([[Usual residence of biological child(7)]]=10)|([[Usual residence of biological child(8)]]=10)|
([[Usual residence of biological child(9)]]=10)| ([[Usual residence of biological child(10)]]=10)
If Answer = 1 Then Go To Q11-87
Q11-86E [R49752.] | Section: Health |
([[Usual residence of biological child(11)]]=10)|([[Usual residence of biological child(12)]]=10)|
([[Usual residence of biological child(13)]]=10)|([[Usual residence of biological child(14)]]=10)|
([[Usual residence of biological child(15)]]=10)|([[Usual residence of biological child(16)]]=10)|
([[Usual residence of biological child(17)]]=10)|([[Usual residence of biological child(18)]]=10)|
([[Usual residence of biological child(19)]]=10)|([[Usual residence of biological child(20)]]=10)
If Answer = 1 Then Go To Q11-87
Q11-87 [R49753.] | Section: Health |
(Is/Are) your (child/children) 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/Medi-Cal/Medical Assistance/Welfare/Medical Services).
Q11-88A [] | Section: Health |
(HAND CARD BB) What is the source of your (child/children)'s health or
hospitalization plan? (READ AS NECESSARY) Is it from a policy from your
current or previous employer, ...
Q11-88B [R49754.05] | Section: Health |
... [a policy from (your) [Spouse/partner's name]'s current or previous
employer], a policy bought directly from a medical insurance company, is it
(Medicaid/Medi-Cal/Medical Assistance/Welfare/Medical Services), or is it
from some other source?
(READ CATEGORIES AS NECESSARY AND CODE ALL THAT APPLY.)
| 1 1. Policy from your CURRENT employer |
| 2 2. Policy from a PREVIOUS employer |
| 3 3. Policy from spouse's or partner's CURRENT employer |
| 4 4. Policy from spouse's or partner's PREVIOUS employer |
| 5 5. Policy bought directly from medical insurance company |
| 6 6. Medicaid/Medi-Cal/Medical Assist/Welfare/Medical Service |
| 7 7. Other (SPECIFY) |
Q11-89A [R49763.] | Section: Health |
In 1993, were there any months when (any of) your child(ren) (was/were)
NOT covered by health insurance?
Q11-89B [R49764.08] | Section: Health |
Which months?
(MARK ALL THAT APPLY)
| 1 JANUARY |
| 2 FEBRUARY |
| 3 MARCH |
| 4 APRIL |
| 5 MAY |
| 6 JUNE |
| 7 JULY |
| 8 AUGUST |
| 9 SEPTEMBER |
| 10 OCTOBER |
| 11 NOVEMBER |
| 12 DECEMBER |
Q11-89C [R49778.] | Section: Health |
When was the most recent time your child(ren) (was/were) covered by
insurance?
| 1 SELECT TO ENTER DATE ...(Go To Q11-89D) |
| 0 NEVER COVERED BY HEALTH INSURANCE |
| 2 DK, PRECEDES DATE OF MARRIAGE/PARTNERSHIP |
If Answer = -2 Then Go To Q11-89E
Q11-89D [R49779.01] | Section: Health |
(When was the most recent time your child(ren) (was/were) covered by
insurance?)
(ENTER MONTH AND YEAR)
Q11-89E [R49780.] | Section: Health |
Can you tell me how long ago the most recent time your child(ren)
(was/were) covered by insurance was?
(ENTER AMOUNT BELOW AND TIME UNIT - "WEEKS", "MONTHS", ETC. IN NEXT
SCREEN.)
Q11-89F [R49781.] | Section: Health |
(Can you tell me how long ago the most recent time your child(ren)
(was/were) covered by insurance was?)
(ENTER TIME UNIT BELOW)
| 1 WEEKS |
| 2 MONTHS |
| 3 YEARS |
| 4 OTHER (SPECIFY) |
| 5 DK, PRECEDES DATE OF MARRIAGE/PARTNERSHIP |
Q11-90A [] | Section: Health |
(HAND CARD CC) 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.
Q11-90C [R49783.] | Section: Health |
(HAND CARD CC) During the past week .... I did not feel like eating; my
appetite was poor.
(INTERVIEWER: IF NECESSARY, REMIND R:) Please tell me how often you felt
this way during the past week.
| 0 Rarely/None of the Time/1 Day |
| 1 Some/A Little of the Time/1-2 Days |
| 2 Occasionally/Moderate Amount of the Time/3-4 Days |
| 3 Most/All of the Time/5-7 Days |
Q11-90G [R49784.] | Section: Health |
(HAND CARD CC) During the past week .... I had trouble keeping my mind on
what I was doing.
(INTERVIEWER: IF NECESSARY, REMIND R:) Please tell me how often you felt
this way during the past week.
| 0 Rarely/None of the Time/1 Day |
| 1 Some/A Little of the Time/1-2 Days |
| 2 Occasionally/Moderate Amount of the Time/3-4 Days |
| 3 Most/All of the Time/5-7 Days |
Q11-90H [R49785.] | Section: Health |
(HAND CARD CC) During the past week .... I felt depressed.
(INTERVIEWER: IF NECESSARY, REMIND R:) Please tell me how often you felt
this way during the past week.
| 0 Rarely/None of the Time/1 Day |
| 1 Some/A Little of the Time/1-2 Days |
| 2 Occasionally/Moderate Amount of the Time/3-4 Days |
| 3 Most/All of the Time/5-7 Days |
Q11-90I [R49786.] | Section: Health |
(HAND CARD CC) During the past week .... I felt that everything I did was
an effort.
(INTERVIEWER: IF NECESSARY, REMIND R:) Please tell me how often you felt
this way during the past week.
| 0 Rarely/None of the Time/1 Day |
| 1 Some/A Little of the Time/1-2 Days |
| 2 Occasionally/Moderate Amount of the Time/3-4 Days |
| 3 Most/All of the Time/5-7 Days |
Q11-90M [R49787.] | Section: Health |
(HAND CARD CC) During the past week .... My sleep was restless.
(INTERVIEWER: IF NECESSARY, REMIND R:) Please tell me how often you felt
this way during the past week.
| 0 Rarely/None of the Time/1 Day |
| 1 Some/A Little of the Time/1-2 Days |
| 2 Occasionally/Moderate Amount of the Time/3-4 Days |
| 3 Most/All of the Time/5-7 Days |
Q11-90T [R49788.] | Section: Health |
(HAND CARD CC) During the past week .... I felt sad.
(INTERVIEWER: IF NECESSARY, REMIND R:) Please tell me how often you felt
this way during the past week.
| 0 Rarely/None of the Time/1 Day |
| 1 Some/A Little of the Time/1-2 Days |
| 2 Occasionally/Moderate Amount of the Time/3-4 Days |
| 3 Most/All of the Time/5-7 Days |
Q11-90V [R49789.] | Section: Health |
(HAND CARD CC) During the past week .... I could not get "going".
(INTERVIEWER: IF NECESSARY, REMIND R:) Please tell me how often you felt
this way during the past week.
| 0 Rarely/None of the Time/1 Day |
| 1 Some/A Little of the Time/1-2 Days |
| 2 Occasionally/Moderate Amount of the Time/3-4 Days |
| 3 Most/All of the Time/5-7 Days |
CES-D_SCORE_7_ITEMS [R49789.10] | Section: Health |
ORIGINAL QUESTION NAME: *CREATED
7-item CES-D score
INTERVIEWER: ENTERING SECTION 12: ALCOHOL USE.
Now, we'd like to ask you some questions about drinking alcoholic
beverages, including beer, wine and liquor. Remember, as is true with all
portions of this interview, the answers you give will remain strictly
confidential and will not be associated with your name in any way...
...We also have a legal certificate of confidentiality that protects you.
Authorities cannot gain access to your replies.
Q12-1 [R49790.] | Section: Health |
CHECK ([1989 interview date])
COMMENT: Was R interviewed in 1989?
If Answer = 1 Then Go To Q12-2A
Q12-2A [R49791.] | Section: Health |
First, have you had a drink of an alcoholic beverage since [!lintdate89]?
| 1 YES ...(Go To Q12-3) |
| 0 NO |
First, have you ever had a drink of an alcoholic beverage?
| 1 YES ...(Go To Q12-3) |
| 0 NO |
Q12-3 [R49792.] | Section: Health |
Have you had any alcoholic beverages, including beer, wine, or liquor,
during the last 30 days?
| 1 YES ...(Go To Q12-4) |
| 0 NO |
Q12-4 [R49793.] | Section: Health |
(HAND CARD DD) How often have you had 6 or more drinks on one occasion
during the last 30 days? Would you say it was....(READ CATEGORIES)?
| 6 10 or more times |
| 5 8 or 9 times |
| 4 6 or 7 times |
| 3 4 or 5 times |
| 2 2 or 3 times |
| 1 Once |
| 0 Never |
Q12-5 [R49794.] | Section: Health |
During the last 30 days, on HOW MANY DAYS did you drink any alcoholic
beverages, including beer, wine, or liquor?
(ENTER NUMBER OF DAYS:)
Q12-6 [R49795.] | Section: Health |
On the days THAT YOU DRINK, about HOW MANY DRINKS do you have on the
average day? (BY A DRINK, WE MEAN THE EQUIVALENT OF A CAN OF BEER, A GLASS
OF WINE, OR A SHOT GLASS OF HARD LIQUOR.)
(ENTER NUMBER OF DRINKS:)
Now we would like to ask you some questions about experiences that many
people have had with drinking. (HAND CARD EE) We would like you to tell us
if any of these things have happened to you 3 or more times in the past
year, 2 times in the past year, 1 time in the past year, happened in your
lifetime other than in the past year, or never happened to you....
Q12-7B [R49796.] | Section: Health |
First, how often have .... you felt depressed, irritable or nervous after
drinking, or the morning after?
| 1 Happened 3 or more times in the past year |
| 2 Happened 2 times in the past year |
| 3 Happened 1 time in the past year |
| 4 Happened in lifetime other than in past year |
| 5 Never happened |
Q12-7C [R49797.] | Section: Health |
(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)
....ended up drinking much more than you intended to?
| 1 Happened 3 or more times in the past year |
| 2 Happened 2 times in the past year |
| 3 Happened 1 time in the past year |
| 4 Happened in lifetime other than in past year |
| 5 Never happened |
Q12-7D [R49798.] | Section: Health |
(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)
....found it difficult to stop drinking once you have started?
| 1 Happened 3 or more times in the past year |
| 2 Happened 2 times in the past year |
| 3 Happened 1 time in the past year |
| 4 Happened in lifetime other than in past year |
| 5 Never happened |
Q12-7E [R49799.] | Section: Health |
(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)
....driven a car after having had too much to drink?
| 1 Happened 3 or more times in the past year |
| 2 Happened 2 times in the past year |
| 3 Happened 1 time in the past year |
| 4 Happened in lifetime other than in past year |
| 5 Never happened |
Q12-7F [R49800.] | Section: Health |
(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)
....been sick or vomited after drinking, or the morning after?
| 1 Happened 3 or more times in the past year |
| 2 Happened 2 times in the past year |
| 3 Happened 1 time in the past year |
| 4 Happened in lifetime other than in past year |
| 5 Never happened |
Q12-7G [R49801.] | Section: Health |
(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)
....done things when drinking that could have caused you or someone else to
be hurt?
| 1 Happened 3 or more times in the past year |
| 2 Happened 2 times in the past year |
| 3 Happened 1 time in the past year |
| 4 Happened in lifetime other than in past year |
| 5 Never happened |
Q12-7H [R49802.] | Section: Health |
(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)
....kept on drinking for a longer period of time than you intended to?
| 1 Happened 3 or more times in the past year |
| 2 Happened 2 times in the past year |
| 3 Happened 1 time in the past year |
| 4 Happened in lifetime other than in past year |
| 5 Never happened |
Q12-7I [R49803.] | Section: Health |
(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)
....found that the same amount of alcohol had less effect than before?
| 1 Happened 3 or more times in the past year |
| 2 Happened 2 times in the past year |
| 3 Happened 1 time in the past year |
| 4 Happened in lifetime other than in past year |
| 5 Never happened |
Q12-7J [R49804.] | Section: Health |
(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)
....had a spouse or someone you lived with threaten to leave you or
actually leave you because of your drinking?
| 1 Happened 3 or more times in the past year |
| 2 Happened 2 times in the past year |
| 3 Happened 1 time in the past year |
| 4 Happened in lifetime other than in past year |
| 5 Never happened |
Q12-7K [R49805.] | Section: Health |
(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)
....wanted to or actually tried to cut down or stop drinking and found you
couldn't do it?
| 1 Happened 3 or more times in the past year |
| 2 Happened 2 times in the past year |
| 3 Happened 1 time in the past year |
| 4 Happened in lifetime other than in past year |
| 5 Never happened |
Q12-7L [R49806.] | Section: Health |
(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)
....found yourself sweating heavily or shaking after drinking, or the
morning after?
| 1 Happened 3 or more times in the past year |
| 2 Happened 2 times in the past year |
| 3 Happened 1 time in the past year |
| 4 Happened in lifetime other than in past year |
| 5 Never happened |
Q12-7M [R49807.] | Section: Health |
(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)
....given up or cut down on activities or interests like sports or
associations with friends, in order to drink?
| 1 Happened 3 or more times in the past year |
| 2 Happened 2 times in the past year |
| 3 Happened 1 time in the past year |
| 4 Happened in lifetime other than in past year |
| 5 Never happened |
Q12-7N [R49808.] | Section: Health |
(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)
....been arrested or had trouble with the police because of your drinking?
| 1 Happened 3 or more times in the past year |
| 2 Happened 2 times in the past year |
| 3 Happened 1 time in the past year |
| 4 Happened in lifetime other than in past year |
| 5 Never happened |
Q12-7O [R49809.] | Section: Health |
(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)
....found that you had to drink more than you once did to get the same
effect?
| 1 Happened 3 or more times in the past year |
| 2 Happened 2 times in the past year |
| 3 Happened 1 time in the past year |
| 4 Happened in lifetime other than in past year |
| 5 Never happened |
Q12-7P [R49810.] | Section: Health |
(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)
....stayed away from work or gone to work late because of drinking or a
hangover?
| 1 Happened 3 or more times in the past year |
| 2 Happened 2 times in the past year |
| 3 Happened 1 time in the past year |
| 4 Happened in lifetime other than in past year |
| 5 Never happened |
Q12-7Q [R49811.] | Section: Health |
(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)
....lost ties with or drifted apart from a family member or friend because
of your drinking?
| 1 Happened 3 or more times in the past year |
| 2 Happened 2 times in the past year |
| 3 Happened 1 time in the past year |
| 4 Happened in lifetime other than in past year |
| 5 Never happened |
Q12-7R [R49812.] | Section: Health |
(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)
....got into physical fights while drinking or after drinking?
| 1 Happened 3 or more times in the past year |
| 2 Happened 2 times in the past year |
| 3 Happened 1 time in the past year |
| 4 Happened in lifetime other than in past year |
| 5 Never happened |
Q12-7S [R49813.] | Section: Health |
(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)
....continued to drink alcohol even though it was a threat to your health?
| 1 Happened 3 or more times in the past year |
| 2 Happened 2 times in the past year |
| 3 Happened 1 time in the past year |
| 4 Happened in lifetime other than in past year |
| 5 Never happened |
Q12-7T [R49814.] | Section: Health |
(INTERVIEWER: IF NECESSARY, REMIND R: How often .....)
....have your chances for promotion, raises, or better jobs been hurt by
your drinking?
| 1 Happened 3 or more times in the past year |
| 2 Happened 2 times in the past year |
| 3 Happened 1 time in the past year |
| 4 Happened in lifetime other than in past year |
| 5 Never happened |
Q12-7U [R49815.] | Section: Health |
(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)
....spent a lot of time drinking, or getting over the effects of drinking?
| 1 Happened 3 or more times in the past year |
| 2 Happened 2 times in the past year |
| 3 Happened 1 time in the past year |
| 4 Happened in lifetime other than in past year |
| 5 Never happened |
Q12-7V [R49816.] | Section: Health |
(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)
....been so hungover that it interfered with doing things you were supposed
to do?
| 1 Happened 3 or more times in the past year |
| 2 Happened 2 times in the past year |
| 3 Happened 1 time in the past year |
| 4 Happened in lifetime other than in past year |
| 5 Never happened |
Q12-7W [R49817.] | Section: Health |
(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)
....kept drinking even though it caused you emotional problems?
| 1 Happened 3 or more times in the past year |
| 2 Happened 2 times in the past year |
| 3 Happened 1 time in the past year |
| 4 Happened in lifetime other than in past year |
| 5 Never happened |
Q12-7X [R49818.] | Section: Health |
(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)
....heard or seen things that weren't really there after drinking, or the
morning after?
| 1 Happened 3 or more times in the past year |
| 2 Happened 2 times in the past year |
| 3 Happened 1 time in the past year |
| 4 Happened in lifetime other than in past year |
| 5 Never happened |
Q12-7Y [R49819.] | Section: Health |
(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)
...taken a drink to keep yourself from shaking or feeling sick either after
drinking, or the morning after?
| 1 Happened 3 or more times in the past year |
| 2 Happened 2 times in the past year |
| 3 Happened 1 time in the past year |
| 4 Happened in lifetime other than in past year |
| 5 Never happened |
Q12-7Z [R49820.] | Section: Health |
(INTERVIEWER: IF NECESSARY, REMIND R: How often have you.....)
....kept drinking even though it caused you problems at home, work, or
school?
| 1 Happened 3 or more times in the past year |
| 2 Happened 2 times in the past year |
| 3 Happened 1 time in the past year |
| 4 Happened in lifetime other than in past year |
| 5 Never happened |
Q12-8 [R49821.] | Section: Health |
INTERVIEWER: WAS ANYONE ELSE PRESENT OTHER THAN SMALL CHILDREN (AGE 3 OR
UNDER) WHEN YOU ASKED THE QUESTIONS IN SECTION 12?
| 1 YES |
| 0 NO |
| 2 TELEPHONE INTERVIEW |