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HRS 2003 Diabetes Study
» Section A: General Background
Section A: General Background
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Proxy interview/who responded
Age at interview
Place of birth
No of children
No of grandchildren
No of siblings
Family financial transfers
Proximity to children
Contact with family/friends
Informal care received
Informal care provided
Self-reported health status
Other functional limitations
Doctor diagnosed diseases
Physical activity or exercise
Nursing home stay
Other medical care
Public health insurance
Private health insurance
Long-term care insurance
Income from employer or private pension/annuity
Income from public pension or disability
Income from unemployment or other government transfers
Income from private transfers
Investment retirement accounts
Stocks and bonds
Checking and savings
Mortgages and home loans
Total non-housing wealth
Current paid work
Labor force status
Current working hours
Current job characteristics
Current job tenure
When last job ended
Prob of receiving inheritance
Prob of leaving bequest
Prob of working full-time
Prob of work limiting health problem
Public pension receipt
Private pension receipt
Current job pension plan
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Section B: Sources of Diabetes Care
Module items (25)
Section A: General Background Module of 2003 Mail Survey On Diabetes
Would you say your health is: (Mark one.) (qxa1)
At what age were you told by a doctor that you had diabetes? (years old)
Which type of diabetes did your doctor say that you have? (Mark one.)
At the time your diabetes was first diagnosed, were you covered by health insurance?
At the time your diabetes was first diagnosed, did you have any coverage for prescription drugs?
At the time your diabetes was first diagnosed, were you working for pay?
Are you currently working for pay?
In your opinion, has your diabetes kept you from promotions, better jobs, or other advancement in your work?
How old were you when you stopped working? (years old)
In your opinion, did your diabetes cause you to quit work sooner than you would have otherwise?
How much do you weigh now? (lbs)
How much did you weigh when you were about 50 years old? (lbs)
Up to the present time, what is the most you have ever weighed? (Women: Do not include any times when you were pregnant.) (lbs)
How old were you then? (years old)
Thinking about your life in general, do you agree or disagree with these statements? (Circle one answer for each line.) I am satisfied with my life
Thinking about your life in general, do you agree or disagree with these statements? (Circle one answer for each line.) I have little control over the things that happen to me
I live life one day at a time and don't think much about the future.
I can do just about anything I set out to do.
Sometimes I feel that I'm being pushed around in life.
I often feel hopeless about the future.
Taking care of myself now will have a big payoff later.
The following statements are about how important diabetes is compared with other things you are dealing with in your life. How much do you agree or disagree with the following statements? (Circle one answer for each line.) Taking care of my diabetes is my top priority right now.
I have other health problems that are more important than diabetes.
I have many more important things in my life than diabetes to take care of now.
I feel confident in my ability to manage my diabetes.