***********************SECTION 14 HEALTH******************************************Now I would like to ask you some questions about your general state of health.
Has a doctor, nurse or other health professional ever told you that you have asthma?
How old were you when you were first told (by a doctor, nurse, or other health professional) that you had asthma?(INTERVIEWER: ENTER AGE IN YEARS. IF LESS THEN ONE YEAR, ENTER ZERO.)
Has your biological father ever been told that he has asthma?
Has anyone smoked cigarettes or other tobacco products in your home in the past two weeks?
Have you routinely spent time in a place where you smelled cigarette smoke in the past two weeks?
[flag indicating a doctor or nurse has ever said R has asthma]==1COMMENT: MACHINE CHECK: HAS R EVER HAD ASTHMA?
Do you still have asthma?
How old were you when you last had any symptoms of asthma?(INTERVIEWER: ENTER AGE IN YEARS. IF LESS THEN ONE YEAR, ENTER ZERO.)
During the past 12 months, have you had an episode of asthma or an asthma attack?
During the past 12 months, how many times did you have an unscheduled visit to an emergency room, doctor's office, or urgent care center because of asthma? (Please do not count any visits for routine medical care.)
[flag indicating if R has done any work for pay since date of last interview]==1COMMENT: MACHINE CHECK: HAS R HAD ANY EMPLOYERS?
During the past 12 months, how many days of work did you miss due to your asthma?
[is R currently enrolled]==1COMMENT: MACHINE CHECK: IS R ENROLLED IN SCHOOL?
During the past 12 months, how many days of school did you miss due to your asthma?
During the past 12 months, how much did you limit your usual activities due to your asthma? Would you say:
Now please think about the last month. Symptoms of asthma include cough, wheezing, shortness of breath, chest tightness, and phlegm production. In the past 30 days how often did you have any asthma symptoms either during the day or at night? Would you say:
In the past 30 days, how often did your asthma symptoms make it difficult for you to stay asleep at night? Would you say:
A quick relief medication is used during an asthma attack to stop it. In the past 30 days how often have you used quick relief medicines when you have an asthma attack? (for example, Airomir, Asmol, Albuterol, Atrovent, Bricanyl, Predmix, Redipred, Respolin, Maxair, Ventolin)Would you say:
Asthma controller medications are used daily to prevent asthma attacks. Do you use a daily asthma controller medication to prevent attacks? (for example Accolate, Advair, Azmacort, Flovent, Fordile, Intal, Oxis, Seretide, Serevent, Singulair, Tilade, Vanceril)
[flag indicating whether R was sworn into active military since date of last interview]1==1 || [flag indicating if R has done any work for pay since date of last interview]==1COMMENT: Machine check: Is R on active duty or reported at least one employer in Section 7?
Are you limited in the kind of work you do on a job for pay because of your health?
View Help Screen
Would you be limited in the kind or amount of work you could do on a job for pay because of your health?
Do you have any physical, emotional, or mental conditions that limit your ability to attend school regularly or do regular school work?
Do you have any physical, emotional, or mental conditions that require frequent medical attention, regular use of medication, or the use of special equipment such as a brace, crutches, a wheelchair, special shoes, an air filter, a catheter and so on?
[Gender of Respondent]==1COMMENT: MACHINE CHECK: IF R IS MALE, SKIP PREGNANCY CHECK
[flag indicating if R is pregnant]==1COMMENT: check if YA is preg from sect 12
Is your limitation entirely due to your current pregnancy?
What is/are your health condition(s) or limitation(s)?(PROBE IF NECESSARY:) What is it called?(INTERVIEWER: CONDITIONS ARE LISTED IN ALPHABETICAL ORDER. CHOICE NUMBER 34 IS 'OTHER (SPECIFY)'- MAKE SURE TO USE THIS CHOICE IF R'S APPROPRIATE CONDITION IS NOT ON LIST.)(CODE ALL THAT APPLY WITHOUT READING CATEGORIES.)
([number of health limitations]==1)COMMENT: Did R indicate only one health limitation?
Which ONE of these health conditions would you say is the main cause of your limitation?INTERVIEWER: PROBE IF NECESSARY. CODE DON'T KNOW ONLY IF PROBING IS UNSUCCESSFUL.
How long have you had this limitation, [name of illness] (other than pregnancy)?INTERVIEWER, PLEASE CHECK TIME FRAME ON THIS PAGE, PRESS SUBMIT AND CONTINUE, AND ENTER NUMERIC ANSWER ON THE NEXT PAGE.
(How long have you had this limitation ([name of illness]) (other than pregnancy)?)
How would you describe your present health? Is it...
In a typical week, how many times do you eat fruit? (Do not count fruit juice.)
In a typical week, how many times do you eat vegetables other than french fries or potato chips?
In a typical week, how many days do you engage in exercise that lasts 30 minutes or more?
In a typical week, how many hours total do you use a computer?
On a typical weeknight, how many hours of sleep do you usually get?
During the past 12 months have you had any accidents or injuries that required medical attention?
How many such accidents or injuries requiring medical attention have you had in the past 12 months?
Did any of these accidents or injuries require hospitalization?
REPEATCOMMENT: start loop about accidents
[loop number]COMMENT: check to see if this is the first loop through
How many such accidents or injuries requiring hospitalization have you had in the past 12 months?
Thinking of your [accident_txt([ACCIDENT-LOOP1])] accident or injury in what month and year did it occur?
What was the cause of the [accident_txt([ACCIDENT-LOOP1])] accident or injury?(RECORD VERBATIM AND CODE ONLY ONE BELOW)
(INTERVIEWER: CODE ONLY ONE FROM THE FOLLOWING CATEGORIES WITHOUT READING ALOUD.)
What specific injury or conditions resulted from this accident or injury?(INTERVIEWER: READ CATEGORIES ONLY IF NECESSARY)(CODE ALL THAT APPLY)
Where did the accident or injury happen?(INTERVIEWER: READ CATEGORIES ONLY IF NECESSARY)
UNTIL (([loop number]==[ACCIDENT_NUM]) || ([ACCIDENT_NUM]<=0))
[Gender of Respondent]==1COMMENT: Check to see if R is male; if so branch over menses
VAREXIST ([whether R has had menses])COMMENT: set symbol for next question
[whether R has had menses]==1COMMENT: Check to see if menses information has already been collected.
Have you ever had a menstrual period?
How old were you when you had your first menstrual period.(ENTER AGE:)
In what month and year did you have your first period?(ENTER MONTH AND YEAR:)
([Residence of Respondent]==19) || ([Residence of Respondent]==20) || ([flag indicating if R's mother lives in R's household]>0 && [flag indicating if R's father resides in R's household]>0) || ([flag indicating if R's mother lives in R's household]>0 && [flag indicating if R's father resides in R's household]==0)COMMENT: IS R IN HH WITH BOTH PARENTS OR WITH MOTHER ONLY?
[flag indicating if will R be 21 or over as of December 31, 2004]==1COMMENT: Machine check: Is R 21 or over?
Some injuries or illnesses are not treated by a doctor or nurse. During the past 12 months, how many times were you injured or ill so that you missed at least one full day of usual activities such as work or school, but were not treated by a doctor or nurse?
When you have an illness or injury that requires medical attention, where do you usually go for medical treatment?
In the past 12 months have you had any illnesses that required medical attention or treatment?
How many such illnesses have you had in the past 12 months?(ENTER NUMBER OF ILLNESSES:)
When did you last see a doctor for treatment of an illness?(INTERVIEWER: READ CATEGORIES ONLY IF NECESSARY)
When did you last see a doctor for a routine health check-up?(INTERVIEWER: READ CATEGORIES ONLY IF NECESSARY)
How tall are you?(ENTER NUMBER OF FEET:)
How much do you weigh?(ENTER NUMBER OF POUNDS)
(([Residence of Respondent]==19) || ([Residence of Respondent]==20) || ([flag indicating if R's mother lives in R's household]>0 && [flag indicating if R's father resides in R's household]>0) || ([flag indicating if R's mother lives in R's household]>0 && [flag indicating if R's father resides in R's household]==0)) && ([age of young adult]<21)COMMENT: IS R IN HH WITH BOTH PARENTS OR WITH MOTHER ONLY AND UNDER AGE 21?
Now we have a couple of questions about health care plans.First, is your health care now covered by health insurance provided by an employer, the military, a student plan or by an individual plan that pays part or all of a hospital or doctor's bill?(PROBE IF NECESSARY:) Examples of health and hospitalization insurance plans include Blue Cross, Blue Shield, HMO.(THIS DOES NOT INCLUDE PUBLIC ASSISTANCE HEALTH CARE PROGRAMS.)
What is the source of your health plan? Is it your own policy bought directly from a medical insurance company, your parent's policy, an employer policy, or something else?
There is a national program called Medicaid (or Medi-Cal/Medical Assistance/Welfare/Medical Services) that pays for health care for persons in need. Is your health care now covered by Medicaid or one of these public assistance health care programs?