YHEA-100 [U43680.00] | 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 [U43681.00] | Section: Health |
Approximately what is your weight?
YHEA-PAIN-1 [U43682.00] | Section: Health |
In the past 30 days, have you suffered from chronic pain from an illness or medical condition?
YHEA-PAIN-2 [U43683.00] | Section: Health |
How often do you experience pain? Do you experience it...(READ LIST)
| 1 All the time |
| 2 Every day |
| 3 Most days |
| 4 Some days |
YHEA-1005 [U43684.00] | Section: Health |
[Would you be/Are you] limited in the kind of work you [(could)] do on a job for pay because of your health?
YHEA-1006 [U43685.00] | Section: Health |
[Would you be/Are you] limited in the amount of work you [(could)] do on a job for pay because of your health?
YHEA-1890A [U43686.00] | 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 [U43687.00] | 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 [U43688.00] | 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 [U43689.00] | 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 [U43690.00] | 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 |
| 5 POLICY YOU OR YOUR SPOUSE OR PARTNER BOUGHT DIRECTLY FROM MEDICAL INSURANCE COMPANY |
| 6 MEDICAID OR MEDICAID PROVIDER/MEDI-CAL/MEDICAL ASSIST/WELFARE/MEDICAL SERVICE |
| 7 OTHER (SPECIFY) |
| 8 POLICY FROM YOUR PARENTS OR ANOTHER FAMILY MEMBER |
| 9 POLICY YOU OR YOUR SPOUSE OR PARTNER BOUGHT THROUGH A HEALTH INSURANCE EXCHANGE OR MARKETPLACE |
| 10 Added in- Policy from Educational Institution |
| 11 Added in- Prison System |
| 12 Added in- Veterans Health Insurance |
| 13 Added in- Military Police |
| 999 Uncodable |
YHEA-1913 [U43691.00] | 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 [U43692.00] | 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 [U43693.00] | Section: Health |
Can you obtain coverage from a health plan from your [spouse/partner]?
YHEA-1917 [U43694.00] | Section: Health |
[YHEA-1910] == 1
COMMENT: R currently has health insurance
If Answer = 1 Then Go To YHEA-1920
YHEA-1920 [U43695.00] | Section: Health |
Since [{LINTDATE~X}], was there any time that you did not have any health insurance or coverage?
YHEA-1930 [U43696.00] | Section: Health |
Since [{LINTDATE~X}], was there any time that you had health coverage?
YHEA-1940A [U43697.00] | Section: Health |
In the past twelve months, have you visited a doctor for a routine checkup?
YHEA-AGECHECK [U43698.00] | Section: Health |
[{KEY_AGEDOL}] ==12 && [current survey round]==19
If Answer = 1 Then Go To YHEA-SAQ-282B
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 [U43699.00] | 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 [U43700.00] | 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 [U43701.00] | 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 [U43702.00] | 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 [U43703.00] | 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 |
YHEA-CHECK_PK [U43704.00] | Section: Health |
[current survey round]==19
If Answer = 1 Then Go To YHEA-PK_1
YHEA-PK_1 [U43705.00] | Section: Health |
Did you take any medication in the past 30 days such as Aspirin, Ibuprofen or prescription pain medication?
YHEA-PK_2 [U43706.00] | Section: Health |
Did you take a prescription medication?
YHEA-PK_3 [U43707.00] | Section: Health |
Did you take one you can buy over-the-counter without a prescription?
YHEA-PK_4 [U43708.00] | Section: Health |
In the past 30 days, did you use prescribed painkillers in any way the doctor did not direct you to use them, such as for pain the doctor did not prescribe them for, in greater quantities or for longer than the doctor prescribed, or without a prescription?
YHEA-CESD-1A [U43709.00] | Section: Health |
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. |
| - I had trouble keeping my mind on what I was doing. |
| - I felt depressed. |
| - I felt that everything I did was an effort. |
| - My sleep was restless. |
| - I felt sad. |
| - I could not get "going". |
| 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 |