YHEA-100 [] | Section: Health |
Now I would like to ask you some questions about your health.
In general, how is your health?
| 1 Excellent |
| 2 Very good |
| 3 Good |
| 4 Fair |
| 5 Poor |
YHEA-SAQ-000B [] | Section: Health |
Approximately what is your weight?
YHEA-610 [] | Section: Health |
In a typical week, how many hours total do you use a computer?
| 1 None |
| 2 Less than 1 hour a week |
| 3 1 to 3 hours a week |
| 4 4 to 6 hours a week |
| 5 7 to 9 hours a week |
| 6 10 hours or more a week |
YHEA-620 [] | Section: Health |
In a typical week, how many hours do you watch television?
| 1 Less than 2 hours per week |
| 2 3 to 10 hours a week |
| 3 11 to 20 hours a week |
| 4 21 to 30 hours a week |
| 5 31 to 40 hours a week |
| 6 More than 40 hours a week |
YHEA-650 [] | Section: Health |
On a typical week night, how many hours of sleep do you usually get?
YHEA-PRISONCHECK [] | Section: Health |
[{PRISONSECURE}]==1
COMMENT: R's interview is in insecure prison environment
If Answer = 1 Then Go To YHEA-1005
YHEA-810 [] | Section: Health |
During the past 30 days, how many times did you drive a car or other vehicle when you had been drinking alcohol?
| 1 0 times |
| 2 1 time |
| 3 2 or 3 times |
| 4 4 or 5 times |
| 5 6 or more times |
| 6 I DID NOT DRIVE IN THE PAST 30 DAYS |
YHEA-820 [] | Section: Health |
During the past 30 days, how many times did you ride in a car or other vehicle driven by someone who had been drinking alcohol?
| 1 0 times |
| 2 1 time |
| 3 2 or 3 times |
| 4 4 or 5 times |
| 5 6 or more times |
| 6 I HAVE NOT BEEN A PASSENGER IN THE PAST 30 DAYS |
YHEA-1005 [] | Section: Health |
[{YHEA_LIMTXT1}] limited in the kind of work you [{YHEA_LIMTXT2}] do on a job for pay because of your health?
YHEA-1006 [] | Section: Health |
[{YHEA_LIMTXT1}] limited in the amount of work you [{YHEA_LIMTXT2}] do on a job for pay because of your health?
YHEA-1890A [] | Section: Health |
During the past 12 months, how many times were you physically injured or ill so that you missed at least one full day of usual activities such as work or school?
(INTERVIEWER: USE CATEGORIES TO PROBE IF NEEDED.)
| 1 NONE |
| 2 1 TIME |
| 3 2 TIMES |
| 4 3 TIMES |
| 5 4 OR MORE TIMES |
YHEA-1892 [] | Section: Health |
During the past 12 months, how many times did you have an emotional, mental or psychiatric problem so that you missed at least one full day of usual activities such as work or school?
(INTERVIEWER: USE CATEGORIES TO PROBE IF NEEDED.)
| 1 NONE |
| 2 1 TIME |
| 3 2 TIMES |
| 4 3 TIMES |
| 5 4 OR MORE TIMES |
YHEA-1893 [] | Section: Health |
How many times did you miss work because you were just not feeling right – for example, you were ‘too blue' to get up in the morning, or feeling too anxious to conduct your usual activities? Please do not include times that you missed work that you've already told me about.
(INTERVIEWER: USE CATEGORIES TO PROBE IF NEEDED.)
| 1 NONE |
| 2 1 TIME |
| 3 2 TIMES |
| 4 3 TIMES |
| 5 4 OR MORE TIMES |
YHEA-1910 [] | Section: Health |
Do you have any kind of health care coverage, including health insurance, prepaid plans such as HMOs, or government plans such as Medicaid?
YHEA-1912 [] | Section: Health |
(INTERVIEWER: IF R PROVIDES NAMES OF HMOs OR INSURANCE COMPANIES, PROBE FOR THE SOURCE OF FUNDING.)
What is the source of your primary health or hospitalization plan? Is it from a policy from your current or previous employer, [/a policy from your spouse or partner] a policy bought directly from a medical insurance company, is it Medicaid or an alternative Medicaid provider, or is it from some other source?
USE CATEGORIES TO PROBE IF NEEDED.
| 1 POLICY FROM YOUR CURRENT EMPLOYER |
| 2 POLICY FROM A PREVIOUS EMPLOYER |
| 3 POLICY FROM SPOUSE'S OR PARTNER'S CURRENT EMPLOYER |
| 4 POLICY FROM SPOUSE'S OR PARTNER'S PREVIOUS EMPLOYER |
| 8 POLICY FROM YOUR PARENTS OR ANOTHER FAMILY MEMBER |
| 5 POLICY YOU OR YOUR SPOUSE OR PARTNER BOUGHT DIRECTLY FROM MEDICAL INSURANCE COMPANY |
| 9 POLICY YOU OR YOUR SPOUSE OR PARTNER BOUGHT THROUGH A HEALTH INSURANCE EXCHANGE OR MARKETPLACE |
| 6 MEDICAID OR MEDICAID PROVIDER/MEDI-CAL/MEDICAL ASSIST/WELFARE/MEDICAL SERVICE |
| 7 OTHER (SPECIFY) |
YHEA-1913 [] | Section: Health |
Who else in your family is covered by this plan?
(SELECT ALL THAT APPLY.)
USE CATEGORIES TO PROBE IF NEEDED.
| 1 SPOUSE |
| 2 PARTNER |
| 3 RESIDENTIAL CHILDREN |
| 4 YOUR NON-RESIDENTIAL BIOLOGICAL/ADOPTED CHILDREN |
| 5 YOUR SPOUSE/PARTNER'S NON-RESIDENTIAL BIOLOGICAL/ADOPTED CHILDREN |
| 6 OTHER DEPENDENTS |
| 7 YOUR PARENTS OR SIBLINGS |
| 99 NO OTHER PERSON |
YHEA-1914 [] | Section: Health |
([YHEA-1910] == 0 || [{YHEAINSSOURCE}] != 3) && ([{KEY_MARSTAT}] ==1 || [{YOUTH_PARTNER}]==1)
COMMENT: R has no health insurance Or R is not covered by spouse/partner's current employer AND R has a spouse or partner
If Answer = 1 Then Go To YHEA-1915
YHEA-1915 [] | Section: Health |
Can you obtain coverage from a health plan from your [spouse/partner]?
YHEA-1917 [] | Section: Health |
[YHEA-1910] == 1
COMMENT: R currently has health insurance
If Answer = 1 Then Go To YHEA-1920
YHEA-1920 [] | Section: Health |
Since [{LINTDATE~X}], was there any time that you did not have any health insurance or coverage?
YHEA-1930 [] | Section: Health |
Since [{LINTDATE~X}], was there any time that you had health coverage?
YHEA-1940A [] | Section: Health |
In the past twelve months, have you visited a doctor for a routine checkup?
YHEA-SAQ-282B [] | Section: Health |
The next questions ask about how often you felt things during the past month. For each statement, please indicate whether you have felt this way all, most, some or none of the time.
YHEA-SAQ-282C [] | Section: Health |
How much of the time during the last month have you been a very nervous person?
(INTERVIEWER: USE CATEGORIES TO PROBE IF NEEDED.)
| 1 ALL OF THE TIME |
| 2 MOST OF THE TIME |
| 3 SOME OF THE TIME |
| 4 NONE OF THE TIME |
YHEA-SAQ-282D [] | Section: Health |
How much of the time during the last month have you felt calm and peaceful?
(INTERVIEWER: USE CATEGORIES TO PROBE IF NEEDED.)
| 1 ALL OF THE TIME |
| 2 MOST OF THE TIME |
| 3 SOME OF THE TIME |
| 4 NONE OF THE TIME |
YHEA-SAQ-282E [] | Section: Health |
How much of the time during the last month have you felt downhearted and blue?
(INTERVIEWER: USE CATEGORIES TO PROBE IF NEEDED.)
| 1 ALL OF THE TIME |
| 2 MOST OF THE TIME |
| 3 SOME OF THE TIME |
| 4 NONE OF THE TIME |
YHEA-SAQ-282F [] | Section: Health |
How much of the time during the last month have you been a happy person?
(INTERVIEWER: USE CATEGORIES TO PROBE IF NEEDED.)
| 1 ALL OF THE TIME |
| 2 MOST OF THE TIME |
| 3 SOME OF THE TIME |
| 4 NONE OF THE TIME |
YHEA-SAQ-282G [] | Section: Health |
How much of the time during the last month have you felt so down in the dumps that nothing could cheer you up?
(INTERVIEWER: USE CATEGORIES TO PROBE IF NEEDED.)
| 1 ALL OF THE TIME |
| 2 MOST OF THE TIME |
| 3 SOME OF THE TIME |
| 4 NONE OF THE TIME |