Section 14: Health
Q14-1-A [] | Section: Section 14: Health |
***********************SECTION 14 HEALTH******************************************
Now I would like to ask you some questions about your general state of health.
Q14A-0 [] | Section: Section 14: Health |
[flag indicating R reported having asthma at the date of last interview]==1
If Answer = 1 Then Go To Q14A-4
Q14A-1 [] | Section: Section 14: Health |
[Since date of last interview. has a doctor, nurse or other health professional/Has a doctor, nurse or other health professional ever] told you that you have asthma?
Q14A-2 [] | Section: Section 14: Health |
How old were you when you were [first/most recently] 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.)
Q14A-2A [] | Section: Section 14: Health |
[flag indicating whether R was interviewed as YA in 2004]==1 || [flag indicating whether R was interviewed as YA in 2006]==1
COMMENT: Machine Check: Was R interviewed in 2004 or 2006?
If Answer = 1 Then Go To Q14A-4
Q14A-3 [] | Section: Section 14: Health |
Has your biological father ever been told that he has asthma?
Q14A-4 [] | Section: Section 14: Health |
Has anyone smoked cigarettes or other tobacco products in your home in the past two weeks?
Q14A-5 [] | Section: Section 14: Health |
Have you routinely spent time in a place where you smelled cigarette smoke in the past two weeks?
Q14A-5A [] | Section: Section 14: Health |
[flag indicating R reported having asthma at the date of last interview]==1
COMMENT: MACHINE CHECK: HAS R EVER HAD ASTHMA?
If Answer = 1 Then Go To Q14A-6
Q14A-5B [] | Section: Section 14: Health |
[flag indicating whether R reported asthma for first time in current survey]==1
COMMENT: MACHINE CHECK: HAS R EVER HAD ASTHMA?
If Answer = 1 Then Go To Q14A-6
Q14A-6 [] | Section: Section 14: Health |
Do you still have asthma?
| 1 YES |
| 0 NO ...(Go To Q14A-7) |
| 2 NEVER HAD ASTHMA ...(Go To Q14-1) |
If Answer = -2 Then Go To Q14A-7
Q14A-7 [] | Section: Section 14: Health |
How old were you when you last had any symptoms of asthma?
(INTERVIEWER: ENTER AGE IN YEARS. IF LESS THEN ONE YEAR, ENTER ZERO.)
Q14A-7A [] | Section: Section 14: Health |
[flag indicating whether or not R still has asthma]==-2
If Answer = 1 Then Go To Q14A-8
Q14A-8 [] | Section: Section 14: Health |
During the past 12 months, have you had an episode of asthma or an asthma attack?
Q14A-9 [] | Section: Section 14: Health |
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.)
Q14A-10 [] | Section: Section 14: Health |
[flag indicating if R has done any work for pay since date of last interview]==1
COMMENT: MACHINE CHECK: HAS R HAD ANY EMPLOYERS?
If Answer = 1 Then Go To Q14A-11
Q14A-11 [] | Section: Section 14: Health |
During the past 12 months, how many days of work did you miss due to your asthma?
Q14A-12 [] | Section: Section 14: Health |
[is R currently enrolled]==1
COMMENT: MACHINE CHECK: IS R ENROLLED IN SCHOOL?
If Answer = 1 Then Go To Q14A-13
Q14A-13 [] | Section: Section 14: Health |
During the past 12 months, how many days of school did you miss due to your asthma?
Q14A-14 [] | Section: Section 14: Health |
During the past 12 months, how much did you limit your usual activities due to your asthma? Would you say:
| 1 Not at all |
| 2 A little |
| 3 A fair amount |
| 4 A moderate amount |
| 5 A lot |
Q14A-15 [] | Section: Section 14: Health |
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:
| 0 Not at any time in the past 30 days |
| 1 Less than once a week |
| 2 Once or twice a week |
| 3 More than 2 times a week, but not every day |
| 4 Every day, once per day |
| 5 Every day, more than once per day |
Q14A-15A [] | Section: Section 14: Health |
In the past 30 days, how often did your asthma symptoms make it difficult for you to stay asleep at night? Would you say:
| 0 Not at any time in the past 30 days |
| 1 Less than once a week |
| 2 Once or twice a week |
| 3 More than 2 times a week, but not every day |
| 4 Every day, once per day |
| 5 Every day, more than once per day |
Q14A-16 [] | Section: Section 14: Health |
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:
| 0 Not at any time in the past 30 days |
| 1 Less than once a week |
| 2 Once or twice a week |
| 3 More than 2 times a week, but not every day |
| 4 Every day, once per day |
| 5 Every day, more than once per day |
Q14A-17 [] | Section: Section 14: Health |
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)
| 1 YES |
| 0 NO |
| 2 USE SOMETIMES |
Q14-1 [] | Section: Section 14: Health |
[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]==1
COMMENT: Machine check: Is R on active duty or reported at least one employer in Section 7?
If Answer = 1 Then Go To Q14-1A
Q14-1A [] | Section: Section 14: Health |
Are you limited in the kind of work you do on a job for pay because of your health?
Q14-1B [] | Section: Section 14: Health |
Would you be limited in the kind or amount of work you could do on a job for pay because of your health?
Q14-2A [] | Section: Section 14: Health |
Do you have any physical, emotional, or mental conditions that limit your ability to attend school regularly or do regular school work?
Q14-5A [] | Section: Section 14: Health |
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?
Q14-6B [] | Section: Section 14: Health |
[Gender of Respondent]==1
COMMENT: MACHINE CHECK: IF R IS MALE, SKIP PREGNANCY CHECK
If Answer = 1 Then Go To Q14-8A
Q14-6C [] | Section: Section 14: Health |
[flag indicating if R is pregnant]==1
COMMENT: check if YA is preg from sect 12
If Answer = 1 Then Go To Q14-7
Q14-7 [] | Section: Section 14: Health |
Is your limitation entirely due to your current pregnancy?
Q14-8A [] | Section: Section 14: Health |
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.)
| 1 Allergic condition(s) NOT including asthma or hay fever |
2 Asthma |
3 Anemia |
| 4 Appendicitis |
5 Blood disorder or immune deficiency (other than anemia) |
6 Bronchitis |
| 7 Bunions, calluses, corns, foot problems |
8 Cancer, tumor |
9 Crippled, orthopedic handicap |
| 10 Diabetes |
11 Ear infections |
12 Epilepsy/seizures |
| 13 Gallstones |
14 Hay fever |
15 Hearing difficulty or deafness |
| 16 Heart trouble |
17 Hemorrhoids or piles |
18 Hernia |
| 19 Hyperkinesis, hyperactivity |
20 Kidney stones |
21 Laryngitis |
| 22 Learning disability (i.e. dyslexia) |
23 Mental Retardation |
24 Migraine |
| 25 Minimal brain dysfunction, minimal cerebral dysfunction, Attention deficit disorder |
26 Nervous Disorder |
27 Phlebitis |
| 28 Respiratory disorder |
29 Sciatica |
30 Sinus |
| 31 Speech Impairment |
32 Ulcer |
33 Venereal Disease |
| 34 Other (SPECIFY) |
Q14-8AA [] | Section: Section 14: Health |
INSELECTION([Q14-8A],-1)
If Answer = 1 Then Go To Q14-10G
Q14-8AB [] | Section: Section 14: Health |
INSELECTION([Q14-8A],-2)
If Answer = 1 Then Go To Q14-10EA
Q14-10AC [] | Section: Section 14: Health |
([number of health limitations]==1)
COMMENT: Did R indicate only one health limitation?
If Answer = 1 Then Go To Q14-10EA
Q14-10B [] | Section: Section 14: Health |
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.
If Answer = -2 Then Go To Q14-10EA
If Answer = -1 Then Go To Q14-10G
Q14-10EA [] | Section: Section 14: Health |
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.
| 1 SELECT TO ENTER MONTHS ...(Go To Q14-10FA) |
| 2 SELECT TO ENTER YEARS ...(Go To Q14-10FB) |
| 0 IF VOLUNTEERED: "ALL MY LIFE" |
Q14-10FA [] | Section: Section 14: Health |
(How long have you had this limitation ([name of illness]) (other than pregnancy)?)
Q14-10FB [] | Section: Section 14: Health |
(How long have you had this limitation ([name of illness]) (other than pregnancy)?)
Q14-10G [] | Section: Section 14: Health |
How would you describe your present health? Is it...
| 1 Poor |
| 2 Fair |
| 3 Good |
| 4 Very Good |
| 5 Excellent |
Q14-10H [] | Section: Section 14: Health |
In a typical week, how many times do you eat fruit? (Do not count fruit juice.)
| 1 I do not typically eat fruit |
| 2 1 to 3 times per week |
| 3 4 to 6 times per week |
| 4 1 time per day |
| 5 2 times per day |
| 6 3 times per day |
| 7 4 or more times per day |
Q14-10I [] | Section: Section 14: Health |
In a typical week, how many times do you eat vegetables other than french fries or potato chips?
| 1 I do not typically eat vegetables |
| 2 1 to 3 times per week |
| 3 4 to 6 times per week |
| 4 1 time per day |
| 5 2 times per day |
| 6 3 times per day |
| 7 4 or more times per day |
Q14-10JA [] | Section: Section 14: Health |
During a typical week (7 days), how many times on average do you do the following kinds of activities for more than 15 minutes during your free time?
Strenuous exercise where your heart beats rapidly such as running, jogging, basketball, cheerleading, vigorous cycling, rollerblading, soccer, martial arts, aerobics, etc.
| 1 0 times per week |
| 2 1 time per week |
| 3 2 or 3 times per week |
| 4 4 or 5 times per week |
| 5 6 or 7 times per week |
Q14-10JB [] | Section: Section 14: Health |
(During a typical week (7 days), how many times on average do you do the following kinds of activities for more than 15 minutes during your free time?)
Moderate exercise (exercise that is not exhausting), such as fast walking, easy bicycling, volleyball, easy swimming, etc.
| 1 0 times per week |
| 2 1 time per week |
| 3 2 or 3 times per week |
| 4 4 or 5 times per week |
| 5 6 or 7 times per week |
Q14-10JC [] | Section: Section 14: Health |
(During a typical week (7 days), how many times on average do you do the following kinds of activities for more than 15 minutes during your free time?)
Mild exercise such as yoga, bowling, golf, easy walking.
| 1 0 times per week |
| 2 1 time per week |
| 3 2 or 3 times per week |
| 4 4 or 5 times per week |
| 5 6 or 7 times per week |
Q14-10KA [] | Section: Section 14: Health |
In a typical week, how many hours total do you use a computer to do activities related to work or school?
Q14-10KB [] | Section: Section 14: Health |
In a typical week, how many hours total do you use a computer to do leisure activities?
Q14-10L [] | Section: Section 14: Health |
On a typical weeknight, how many hours of sleep do you usually get?
Q14-11 [] | Section: Section 14: Health |
During the past 12 months have you had any accidents or injuries that required medical attention?
Q14-11-AA [] | Section: Section 14: Health |
How many such accidents or injuries requiring medical attention have you had in the past 12 months?
If Answer = 0 Then Go To Q14-13
Q14-11-B [] | Section: Section 14: Health |
Did any of these accidents or injuries require hospitalization?
Q14-11-LOOP-BEGIN [] | Section: Section 14: Health |
REPEAT
COMMENT: start loop about accidents
Q14-11-AB [] | Section: Section 14: Health |
[loop number]
COMMENT: check to see if this is the first loop through
If Answer = 1 Then Go To Q14-11A
Q14-11A [] | Section: Section 14: Health |
How many such accidents or injuries requiring hospitalization have you had in the past 12 months?
If Answer >= -2 AND Answer <= -1 Then Go To Q14-11-LOOP-END
If Answer = 0 Then Go To Q14-11-LOOP-END
Q14-11B [] | Section: Section 14: Health |
Thinking of your [label to differentiate between R's most recent accident and any previous accidents([loop number])] accident or injury in what month and year did it occur?
Q14-11C_VERBATIM [] | Section: Section 14: Health |
What was the cause of the [label to differentiate between R's most recent accident and any previous accidents([loop number])] accident or injury?
(RECORD VERBATIM AND CODE ONLY ONE BELOW)
Q14-11C [] | Section: Section 14: Health |
(INTERVIEWER: CODE ONLY ONE FROM THE FOLLOWING CATEGORIES WITHOUT READING ALOUD.)
| 1 MOTOR VEHICLE ACCIDENT AS OCCUPANT |
2 MOTOR VEHICLE ACCIDENT AS PEDESTRIAN |
| 3 CYCLING |
4 FALL UNRELATED TO ATHLETICS OR SPORTS ACTIVITY |
| 5 FALL/CONTACT RELATED TO ATHLETICS/SPORTS ACTIVITY |
6 FIRE OR SMOKE |
| 7 HOT LIQUID |
8 TOY OR ITEM INTENDED FOR CHILD USE |
| 9 EQUIPMENT OR DEVICE NOT INTENDED FOR A CHILD |
10 POISONING |
| 11 SMASHED BODY PART: CAR/DOOR/WINDOW BRUISE/CONTUSION |
12 ADULT INJURED CHILD ACCIDENTLY (PULL/LIFT INJURY) |
| 13 INTENTIONAL VIOLENT INJURY |
14 "ROUGH HOUSING,"/IMPACT INJURY: WRESTLING, ETC. |
| 16 FIGHTING: BROKE BONE/NOSE, HIT IN FACE, SHOT, STABBED, ETC. |
17 STRUCK BY OBJECT FROM OTHER PERSON (INTENT UNKNOWN) |
| 18 INSECT STING OR BITE |
19 STEPPED ON SHARP OBJECT, I.E. GLASS/NAILS/METAL |
| 20 RAN INTO STATIONARY OBJECT (NOT IN HOME ENVIRONMENT) |
22 RAN INTO STATIONARY OBJECT (HOME ENVIRONMENT) |
| 21 ANIMAL BITE |
23 CUT BY SHARP OBJECT, I.E. KNIFE/GLASS/TOOL |
| 24 BURN, I.E. FROM HEATER/CIGARETTE/OVEN/STOVE |
25 JUMP/FALL ACCIDENT, I.E. OFF FURNITURE/OTHER OBJECT |
| 26 "TEMPER" INJURIES, I.E. FELL, KICKED FURNITURE, ETC. |
15 OTHER (SPECIFY) |
Q14-11D [] | Section: Section 14: Health |
What specific injury or conditions resulted from this accident or injury?
(INTERVIEWER: READ CATEGORIES ONLY IF NECESSARY)
(CODE ALL THAT APPLY)
| 1 Broken or dislocated bones |
| 2 Sprain, strain or pulled muscle |
| 3 Wound: cuts, scrape, puncture |
| 4 Head injury, concussion |
| 5 Bruise, contusion or internal bleeding |
| 6 Burn, Scald |
| 7 Illness or effect from poisons, medicine (drugs), etc.. |
| 8 Other (SPECIFY) |
Q14-11E [] | Section: Section 14: Health |
Where did the accident or injury happen?
(INTERVIEWER: READ CATEGORIES ONLY IF NECESSARY)
| 1 At home (any, not necessarily respondent's) |
| 2 School (including grounds and athletic areas) |
| 3 Place of work |
| 4 Street or highway |
| 5 Public building or space (other than streets or schools) |
| 6 Place of recreation and sports except school |
| 7 Farm or agricultural area, except farm house |
| 8 Other (SPECIFY) |
Q14-11-LOOP-END [] | Section: Section 14: Health |
UNTIL (([loop number]==[number of accidents or injuries requiring hospitalization]) || ([number of accidents or injuries requiring hospitalization]<=0))
Q14-13 [] | Section: Section 14: Health |
[Gender of Respondent]==1
COMMENT: Check to see if R is male; if so branch over menses
If Answer = 1 Then Go To Q14-14D
Q14-13A [] | Section: Section 14: Health |
VAREXIST ([whether R has had menses])
COMMENT: set symbol for next question
If Answer = 1 Then Go To Q14-13B
Q14-13B [] | Section: Section 14: Health |
[whether R has had menses]==1
COMMENT: Check to see if menses information has already been collected.
If Answer = 1 Then Go To Q14-14D
Q14-14A [] | Section: Section 14: Health |
Have you ever had a menstrual period?
If Answer = -1 Then Go To Q14-14D
Q14-14B [] | Section: Section 14: Health |
How old were you when you had your first menstrual period.
(ENTER AGE:)
If Answer = -1 Then Go To Q14-14D
Q14-14C [] | Section: Section 14: Health |
In what month and year did you have your first period?
(ENTER MONTH AND YEAR:)
Q14-14D [] | Section: Section 14: Health |
([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?
If Answer = 1 Then Go To Q14-20
Q14-14E [] | Section: Section 14: Health |
[flag indicating if will R be 21 or over as of December 31, 2008]==1
COMMENT: Machine check: Is R 21 or over?
If Answer = 1 Then Go To Q14-14F
Q14-14F [] | Section: Section 14: Health |
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?
| 1 None |
| 2 1 time |
| 3 2 times |
| 4 3 times |
| 5 4 or more times |
Q14-14G [] | Section: Section 14: Health |
When you have an illness or injury that requires medical attention, where do you usually go for medical treatment?
| 1 Private doctor's office |
| 2 Public clinic |
| 3 Private clinic |
| 4 Health maintenance organization (HMO) |
| 5 Hospital clinic, walk-in clinic |
| 6 Community health center |
| 7 Emergency room out-patient |
| 8 Other (SPECIFY) |
| 9 IF VOLUNTEERED< DO NOT SEEK TREATMENT FROM MEDICAL PERSONELL |
Q14-15 [] | Section: Section 14: Health |
In the past 12 months have you had any illnesses that required medical attention or treatment?
Q14-15A [] | Section: Section 14: Health |
How many such illnesses have you had in the past 12 months?
(ENTER NUMBER OF ILLNESSES:)
Q14-16 [] | Section: Section 14: Health |
When did you last see a doctor for treatment of an illness?
(INTERVIEWER: READ CATEGORIES ONLY IF NECESSARY)
| 1 Less than 1 month ago |
| 2 1 - 3 months ago |
| 3 4 - 6 months ago |
| 4 7 - 11 months ago |
| 5 1 year - 23 month ago (less than 2 years) ago |
| 6 2 or more years ago |
| 7 Never |
Q14-17 [] | Section: Section 14: Health |
When did you last see a doctor for a routine health check-up?
(INTERVIEWER: READ CATEGORIES ONLY IF NECESSARY)
| 1 Less than 1 month ago |
| 2 1 - 3 months ago |
| 3 4 - 6 months ago |
| 4 7 - 11 months ago |
| 5 1 year - 23 month ago (less than 2 years) ago |
| 6 2 or more years ago |
| 7 Never |
Q14-20 [] | Section: Section 14: Health |
How tall are you?
(ENTER NUMBER OF FEET:)
Q14-20A [] | Section: Section 14: Health |
Q14-21 [] | Section: Section 14: Health |
How much do you weigh?
(ENTER NUMBER OF POUNDS)
Q14-21A [] | Section: Section 14: Health |
(([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?
If Answer = 1 Then Go To Q14-25
Q14-22 [] | Section: Section 14: Health |
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.)
Q14-23 [] | Section: Section 14: Health |
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?
| 1 Your Parent's policy |
| 2 Your or your spouse/partner's policy bought directly from insurance company |
| 3 Your employer's policy |
| 4 Your spouse/partner's employer policy |
| 6 Military health insurance |
| 7 Student insurance through school, college or university |
| 8 Other relative's policy |
| 5 Other (SPECIFY) |
Q14-24 [] | Section: Section 14: Health |
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?
Q14-25 [] | Section: Section 14: Health |
Now we are going to ask you about events that you may have experienced [Since date of last interview./since you were 10 years old.]
Is there anyone that you felt especially close to who has died?
Q14-26 [] | Section: Section 14: Health |
How was the person who died related to you?
(INTERVIEWER: PLEASE SELECT ALL THAT APPLY.)
| 20 MOTHER |
21 FATHER |
| 1 STEPMOTHER |
2 STEPFATHER |
| 3 BROTHER |
4 SISTER |
| 5 GRANDMOTHER (MOTHER'S SIDE) |
6 GRANDFATHER (MOTHER'S SIDE) |
| 7 GRANDMOTHER (FATHER'S SIDE) |
8 GRANDFATHER (FATHER'S SIDE) |
| 9 STEP-GRANDMOTHER |
10 STEP-GRANDFATHER |
| 11 SPOUSE OR PARTNER |
12 AUNT |
| 13 UNCLE |
14 COUSIN |
| 15 OTHER RELATIVE (SPECIFY) |
16 FRIEND |
| 17 TEACHER |
18 OTHER NONRELATIVE - ADULT (SPECIFY) |
| 19 OTHER NONRELATIVE - CHILD (SPECIFY) |
Q14-27-LOOP-BEGIN [] | Section: Section 14: Health |
REPEAT
COMMENT: start loop about deaths of significant people
Q14-27A [] | Section: Section 14: Health |
INSELECTION([Q14-26], [loop number])
COMMENT: CHECK TO DETERMINE IF THIS RELATIONSHIP WAS CHOSEN BY RESPONDENT IN Q14-26
If Answer = 1 Then Go To Q14-28
Q14-28 [] | Section: Section 14: Health |
In what month and year did your [relationship to R([loop number])] die?
Q14-28C [] | Section: Section 14: Health |
[month of death([loop number])]==-2 || [month of death([loop number])]==-1
COMMENT: Machine Check: Did R indicate DK or refusal on month of death?
If Answer = 1 Then Go To Q14-29
Q14-28D [] | Section: Section 14: Health |
[year of death([loop number])]==-2 || [year of death([loop number])]==-1
COMMENT: Machine Check: Did R indicate DK or refusal on year of death?
If Answer = 1 Then Go To Q14-29
Q14-29 [] | Section: Section 14: Health |
About how old were you when your [relationship to R([loop number])] died?
Q14-29A-LOOP-END [] | Section: Section 14: Health |
UNTIL ( [loop number]==19)
COMMENT: End loop about deaths of significant people
Q14-30 [] | Section: Section 14: Health |
[Since date of last interview have you/Have you ever] been the victim of a violent crime, for example, physical or sexual assault, robbery or arson?
Q14-31 [] | Section: Section 14: Health |
Have you been the victim of a violent crime more than once?
Q14-32 [] | Section: Section 14: Health |
How old were you the first time [(since date of last interview)?/?] you were the victim of a violent crime?
Q14-32A [] | Section: Section 14: Health |
How old were you the most recent time you were the victim of a violent crime?
Q14-33 [] | Section: Section 14: Health |
How old were you when you were the victim of a violent crime[(since date of last interview)?/?]
Q14-34 [] | Section: Section 14: Health |
[Since date of last interview,/Since you were 10 years old,] has an adult member of your household (other than yourself), that is someone who was living in the same household as you at the time, been sent to jail or prison?
Q14-35 [] | Section: Section 14: Health |
How was the person who went to jail or prison related to you?
(INTERVIEWER: PLEASE SELECT ALL THAT APPLY.)
| 1 MOTHER |
| 2 FATHER |
| 3 STEPMOTHER |
| 4 STEPFATHER |
| 5 BROTHER |
| 6 SISTER |
| 7 GRANDMOTHER (MOTHER'S SIDE) |
| 8 GRANDFATHER (MOTHER'S SIDE) |
| 9 GRANDMOTHER (FATHER'S SIDE) |
| 10 GRANDFATHER (FATHER'S SIDE) |
| 11 STEP-GRANDMOTHER |
| 12 STEP-GRANDFATHER |
| 13 SPOUSE OR PARTNER |
| 14 AUNT |
| 15 UNCLE |
| 16 COUSIN |
| 17 OTHER RELATIVE (SPECIFY) |
| 18 OTHER NONRELATIVE (SPECIFY) |
Q14-36-LOOP-BEGIN [] | Section: Section 14: Health |
REPEAT
COMMENT: start loop about imprisonment of adults in household
Q14-36A [] | Section: Section 14: Health |
INSELECTION([Q14-35], [loop number])
COMMENT: CHECK TO DETERMINE IF THIS RELATIONSHIP WAS CHOSEN BY RESPONDENT IN Q14-35
If Answer = 1 Then Go To Q14-37
Q14-37 [] | Section: Section 14: Health |
Was your [relationship to R([loop number])] sent to jail or prison more than once while you were living in the same household?
Q14-38 [] | Section: Section 14: Health |
How old were you the first time [(since date of last interview)?/?] your [relationship to R([loop number])] was sent to jail or prison (while you living were in the same household)?
Q14-38A [] | Section: Section 14: Health |
How old were you the most recent time your [relationship to R([loop number])] was sent to jail or prison (while you living were in the same household)?
Q14-39 [] | Section: Section 14: Health |
How old were you when your [relationship to R([loop number])] was sent to jail or prison[(since date of last interview)?/?]
Q14-39A-LOOP-END [] | Section: Section 14: Health |
UNTIL ( [loop number]==18)
COMMENT: End loop about imprisonment of adults in household