Questionnaire: YAdult Round 19: YAdult2000



Q14-1-a

***********************SECTION 14 HEALTH******************************************  
  
Now I would like to ask you some questions about your general state of health.

Go To:
Q14-1

Lead-In: Q13-0 [Default], Q13-16 [Default]



Q14-1

([flag indicating whether R sworn into active military since date of last interview(1)]=1) or ([flag indicating if R has done any work for pay since date of last interview] = 1);  
  
/* Machine check: Is R on active duty or reported at least one employer in Section 7? */

1   CONDITION APPLIES    ...(Go To Q14-1a)
0   CONDITION DOES NOT APPLY

If Answer =1     Then Go To: Q14-1a
Go To:
Q14-1b

Lead-In: Q14-1-a [Default]



Q14-1a

Are you limited in the kind of work you do on a job for pay because of your health?

1   Yes    ...(Go To Q14-6b)
0   No

Go To:
Q14-2a

Lead-In: Q14-1 [1:1]

View Help Screen



Q14-1b

Would you be limited in the kind or amount of work you could do on a job for pay because of your health?

1   Yes    ...(Go To Q14-6b)
0   No

Go To:
Q14-2a

Lead-In: Q14-1 [Default]

View Help Screen



Q14-2a

Do you have any physical, emotional, or mental conditions that limit your ability to attend school regularly or do regular school work?

1   Yes    ...(Go To Q14-6b)
0   No

Go To:
Q14-5a

Lead-In: Q14-1a [Default], Q14-1b [Default]



Q14-5a

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?

1   Yes    ...(Go To Q14-6b)
0   No

Go To:
Q14-10g

Lead-In: Q14-2a [Default]



Q14-6b

([gender of the R]=1);

1   CONDITION APPLIES    ...(Go To Q14-8a)
0   CONDITION DOES NOT APPLY

If Answer =1     Then Go To: Q14-8a
Go To:
Q14-6c

Lead-In: Q14-1a [1:1], Q14-1b [1:1], Q14-2a [1:1], Q14-5a [1:1]



Q14-6c

([flag indicating if R is pregnant]=1);  
  
/*check if YA is preg from sect 12*/

1   CONDITION APPLIES    ...(Go To Q14-7)
0   CONDITION DOES NOT APPLY

If Answer =1     Then Go To: Q14-7
Go To:
Q14-8a

Lead-In: Q14-6b [Default]



Q14-7

Is your limitation entirely due to your current pregnancy?

1   Yes    ...(Go To Q14-10g)
0   No

Go To:
Q14-8a

Lead-In: Q14-6c [1:1]

View Help Screen



Q14-8a

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 differculty 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) Veneral Disease
(34) Other (SPECIFY)

Go To:
Q14-8c

Lead-In: Q14-6c [Default], Q14-7 [Default], Q14-6b [1:1]



Q14-8c

([number of R's illnesses] >1);

1   CONDITION APPLIES
0   CONDITION DOES NOT APPLY    ...(Go To Q14-10Ea)

If Answer =0     Then Go To: Q14-10Ea
Go To:
Q14-10B

Lead-In: Q14-8a [Default]



Q14-10B

Which ONE of these health conditions would you say is the main cause of your limitation?  

INTERVIEWER: IF R CHOSE ONLY ONE IN Q14-8b, SELECT IT AND CONTINUE

Refer to Roster: SICK
NAME ID
# . .
# . .

 

SaveSym: illness
Go To:
Q14-10Ea

Lead-In: Q14-8c [Default]



Q14-10Ea

For how long have you had this limitation, [illness name] (other than a pregnancy)?

1   SELECT TO ENTER MONTHS    ...(Go To Q14-10Fa)
2   SELECT TO ENTER YEARS    ...(Go To Q14-10Fb)
0   IF VOLUNTEERED: "ALL MY LIFE"

Go To:
Q14-10g

Lead-In: Q14-10B [Default], Q14-8c [0:0]



Q14-10Fa

(How long have you had this limitation, [illness name] (other than pregnancy)?)

Enter Answer: 

 

HardMax: 99 SoftMax: 24
HardMin: 0 SoftMin: 1
Go To:
Q14-10g

Lead-In: Q14-10Ea [1:1]



Q14-10Fb

(How long have you had this limitation, [illness name] (other than pregnancy)?)

Enter Answer: 

 

HardMax: yadult.age SoftMax: yadult.age
HardMin: 0 SoftMin: 1
Go To:
Q14-10g

Lead-In: Q14-10Ea [2:2]



Q14-10g

How would you describe your present health? Is it...

1   Poor
2   Fair
3   Good
4   Very Good
5   Excellent

Go To:
Q14-11

Lead-In: Q14-5a [Default], Q14-10Ea [Default], Q14-10Fa [Default], Q14-10Fb [Default], Q14-7 [1:1]



Q14-11

During the past 12 months have you had any accidents or injuries that required medical attention?

1   Yes    ...(Go To Q14-11-aa)
0   No

Go To:
Q14-13

Lead-In: Q14-10g [Default]



Q14-11-aa

How many such accidents or injuries requiring medical attention have you had in the past 12 months?

Enter Answer: 

 

SaveSym: accident_num
HardMax: 99 SoftMax: 20
HardMin: 0 SoftMin: 0
If Answer =0     Then Go To: Q14-13
Go To:
Q14-11-b

Lead-In: Q14-11 [1:1]



Q14-11-b

Did any of these accidents or injuries require hospitalization?

1   Yes    ...(Go To Q14-11-Loop-Begin)
0   No

Go To:
Q14-13

Lead-In: Q14-11-aa [Default]



Q14-11-Loop-Begin

Repeat([Loop counter for accidents/injuries]);  
  
/*start loop about accidents*/

Go To:
Q14-11-ab

Lead-In: Q14-11-b [1:1]



Q14-11-ab

([Loop counter for accidents/injuries]);  
  
/*check to see if this is the first loop through*/

1   CONDITION APPLIES    ...(Go To Q14-11a)
0   CONDITION DOES NOT APPLY

If Answer =1     Then Go To: Q14-11a
Go To:
Q14-11b

Lead-In: Q14-11-Loop-Begin [Default]



Q14-11a

How many such accidents or injuries requiring hospitalization have you had in the past 12 months?

Enter Answer: 

 

SaveSym: accident_num
HardMax: 99 SoftMax: 20
HardMin: 0 SoftMin: 0
If Answer =0     Then Go To: Q14-11-Loop-End
If Answer >=-2 and Answer <=-1     Then Go To: Q14-11-Loop-End
Go To:
Q14-11b

Lead-In: Q14-11-ab [1:1]



Q14-11b

Thinking of your [label to differentiate between R's most recent accident and any previous accidents()] accident or injury in what month and year did it occur?

Enter Date:       
 MonYear

 

HardMax: curdate4 SoftMax:
HardMin: 01/1999 SoftMin:
Go To:
Q14-11c

Lead-In: Q14-11-ab [Default], Q14-11a [Default]



Q14-11c

What was the cause of the [label to differentiate between R's most recent accident and any previous accidents()] accident or injury?

(INTERVIEWER: CODE WITHOUT READING CATEGORIES)

(RECORD VERBATIM AND CODE ONLY ONE)

(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/CIGARRETTE/OVEN/STOVE    (25) JUMP/FALL ACCIDENT, I.E. OFF FURNITURE/OTHER OBJECT
(26) "TEMPER" INJURIES, I.E. FELL, KICKED FURNITURE, ETC.(15) OTHER (SPECIFY)

SaveSym: cause()
Go To:
Q14-11d

Lead-In: Q14-11b [Default]



Q14-11d

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)

Go To:
Q14-11e

Lead-In: Q14-11c [Default]



Q14-11e

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)

SaveSym: place()
Go To:
Q14-11-Loop-End

Lead-In: Q14-11d [Default]



Q14-11-Loop-End

UNTIL ([Loop counter for accidents/injuries], ([Loop counter for accidents/injuries]=[accident_num]) or ([accident_num]<=0));

Go To:
Q14-13

Lead-In: Q14-11e [Default], Q14-11a [-2:-1], Q14-11a [0:0]



Q14-13

([gender of the R]=1);  
  
  
/* Check to see if R is male; if so branch over menses */

1   CONDITION APPLIES    ...(Go To Q14-14d)
0   CONDITION DOES NOT APPLY

If Answer =1     Then Go To: Q14-14d
Go To:
Q14-13a

Lead-In: Q14-11 [Default], Q14-11-b [Default], Q14-11-Loop-End [Default], Q14-11-aa [0:0]



Q14-13a

SYMBOLEXIST ([whether R has had menses]);  
  
  
/* set symbol for next question */

If Answer =1     Then Go To: Q14-13b
Go To:
Q14-14a

Lead-In: Q14-13 [Default]



Q14-13b

([whether R has had menses]=1);  
  
/* Check to see if menses information has already been collected. */

1   CONDITION APPLIES    ...(Go To Q14-14d)
0   CONDITION DOES NOT APPLY

If Answer =1     Then Go To: Q14-14d
Go To:
Q14-14a

Lead-In: Q14-13a [1:1]



Q14-14a

Have you ever had a menstrual period?

1   Yes
0   No    ...(Go To Q14-14d)

If Answer =-1     Then Go To: Q14-14d
Go To:
Q14-14b

Lead-In: Q14-13a [Default], Q14-13b [Default]



Q14-14b

How old were you when you had your first menstrual period.

(ENTER AGE:)

Enter Answer: 

 

HardMax: 99 SoftMax: 99
HardMin: 0 SoftMin: 0
If Answer =-1     Then Go To: Q14-14d
Go To:
Q14-14c

Lead-In: Q14-14a [Default]



Q14-14c

In what month and year did you have your first period?

(ENTER MONTH AND YEAR:)

Enter Date:       
 MonYear

 

HardMax: curdate4 SoftMax:
HardMin: birthdate4 SoftMin:
Go To:
Q14-14d

Lead-In: Q14-14b [Default]



Q14-14d

([living arrangement of R]=19) or ([living arrangement of R]=20) or ([flag indicating if R's mother lives in R's household]>0 and [flag indicating if R's father resides in R's household]>0) or ([flag indicating if R's mother lives in R's household]>0 and [flag indicating if R's father resides in R's household]=0);  
  
/* IS R IN HH WITH BOTH PARENTS OR WITH MOTHER ONLY? */

1   CONDITION APPLIES    ...(Go To Q14-20)
0   CONDITION DOES NOT APPLY

If Answer =1     Then Go To: Q14-20
Go To:
Q14-15

Lead-In: Q14-14c [Default], Q14-13 [1:1], Q14-13b [1:1], Q14-14a [0:0], Q14-14a [-1:-1], Q14-14b [-1:-1]



Q14-15

In the past 12 months have you had any illnesses that required medical attention or treatment?

1   Yes    ...(Go To Q14-15a)
0   No

Go To:
Q14-16

Lead-In: Q14-14d [Default]



Q14-15a

How many such illnesses have you had in the past 12 months?

(ENTER NUMBER OF ILLNESSES:)

Enter Answer: 

 

HardMax: 99 SoftMax: 99
HardMin: 0 SoftMin: 0
Go To:
Q14-16

Lead-In: Q14-15 [1:1]



Q14-16

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

Go To:
Q14-17

Lead-In: Q14-15 [Default], Q14-15a [Default]



Q14-17

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

Go To:
Q14-20

Lead-In: Q14-16 [Default]



Q14-20

How tall are you?

(ENTER NUMBER OF FEET:)

(INTERVIEWER: ENTER NUMBER OF INCHES ON NEXT SCREEN)

Enter Answer: 

 

HardMax: 8 SoftMax: 6
HardMin: 0 SoftMin: 3
Go To:
Q14-20a

Lead-In: Q14-17 [Default], Q14-14d [1:1]



Q14-20a

(How tall are you?)

(ENTER NUMBER OF INCHES:)

Enter Answer: 

 

HardMax: 11 SoftMax: 11
HardMin: 0 SoftMin: 0
Go To:
Q14-21

Lead-In: Q14-20 [Default]



Q14-21

How much do you weigh?

(ENTER NUMBER OF POUNDS)

Enter Answer: 

 

HardMax: 999 SoftMax: 300
HardMin: 70 SoftMin: 70
Go To:
Q14-21a

Lead-In: Q14-20a [Default]



Q14-21a

(([living arrangement of R]=19) or ([living arrangement of R]=20) or ([flag indicating if R's mother lives in R's household]>0 and [flag indicating if R's father resides in R's household]>0) or ([flag indicating if R's mother lives in R's household]>0 and [flag indicating if R's father resides in R's household]=0)) and ([R's age]<21);  
  
/* IS R IN HH WITH BOTH PARENTS OR WITH MOTHER ONLY AND UNDER AGE 21? */

1   CONDITION APPLIES    ...(Go To Q15-0A)
0   CONDITION DOES NOT APPLY

Go To: Q14-22

Lead-In: Q14-21 [Default]



Q14-22

Now we have a couple of questions about health care plans.

First, is your health care now covered by health insurance provided either by an employer 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.)

1   Yes
0   No    ...(Go To Q14-24)

Go To:
Q14-23

Lead-In: Q14-21a [Default]



Q14-23

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   Respondent's Parent's policy
2   Respondent/spouse/partner policy bought directly from insurance company
3   Respondent's employer policy
4   Spouse/partner employer policy
5   Other (SPECIFY)

Go To:
Q14-24

Lead-In: Q14-22 [Default]



Q14-24

There is a national program called Medicaid (or Medi-Cal/Medical Assistance/Welfare/Medical Servies) 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?

1   Yes
0   No

DefNext: Q15-0A
 

Lead-In: Q14-23 [Default], Q14-22 [0:0]