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Start of C. Physical Health
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OC001 RATE HEALTH
[F1]--HELP
NEXT I HAVE SOME QUESTIONS ABOUT YOUR HEALTH.
WOULD YOU SAY YOUR HEALTH IS EXCELLENT, VERY GOOD, GOOD, FAIR, OR POOR?
1 Excellent
2 Very good
3 Good
4 Fair
5 Poor
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OC002 COMPARE HEALTH TO PREVIOUS WAVE
[F1]--HELP
COMPARED WITH YOUR HEALTH WHEN WE TALKED WITH YOU IN ^Z092IWMOV,
^PIRVARSZ093_IWYR_V, WOULD YOU SAY THAT YOUR HEALTH IS BETTER NOW, ABOUT THE
SAME, OR WORSE?
1 Better
2 About the same
3 Worse
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OC005 HIGH BLOOD PRESSURE
[F1]--HELP
^FLC005 ^FLC005B ^FLIWER
DEF: (MEDICAL DOCTORS INCLUDE SPECIALISTS SUCH AS DERMATOLOGISTS,
PSYCHIATRISTS, OPHTHALMOLOGISTS, OSTEOPATHS, CARDIOLOGISTS,
AS WELL AS FAMILY DOCTORS, INTERNISTS AND PHYSICIANS' ASSISTANTS.
ALSO INCLUDE DIAGNOSES MADE BY NURSES AND NURSE PRACTITIONERS.)
1 Yes
3 DISPUTES PREVIOUS WAVE RECORD, BUT NOW HAS CONDITION
4 DISPUTES PREVIOUS WAVE RECORD, DOES NOT HAVE CONDITION
5 NO
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If HIGH BLOOD PRESSURE = 1 Yes or HIGH BLOOD PRESSURE = 3 DISPUTES PREVIOUS WAVE RECORD, BUT NOW HAS CONDITION »
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OC006 BLOOD PRESSURE MEDICATION
IN ORDER TO LOWER YOUR BLOOD PRESSURE, ARE YOU NOW TAKING ANY MEDICATION?
1 Yes
5 No
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OC010 DIABETES
[F1]--HELP
^FLC010 ^FLC010B ^FLIWER
DEF: (MEDICAL DOCTORS INCLUDE SPECIALISTS SUCH AS DERMATOLOGISTS,
PSYCHIATRISTS, OPHTHALMOLOGISTS, OSTEOPATHS, CARDIOLOGISTS,
AS WELL AS FAMILY DOCTORS, INTERNISTS AND PHYSICIANS' ASSISTANTS.
ALSO INCLUDE DIAGNOSES MADE BY NURSES AND NURSE PRACTITIONERS.)
1 Yes
3 DISPUTES PREVIOUS WAVE RECORD, BUT NOW HAS CONDITION
4 DISPUTES PREVIOUS WAVE RECORD, DOES NOT HAVE CONDITION
5 NO
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If DIABETES = 1 Yes or DIABETES = 3 DISPUTES PREVIOUS WAVE RECORD, BUT NOW HAS CONDITION »
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OC214 YEAR DIABETES FIRST DIAGNOSED
IN WHAT YEAR WAS YOUR DIABETES FIRST DIAGNOSED?
1900..2014
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OC011 SWALLOWED MEDICATION FOR DIABETES
IN ORDER TO TREAT OR CONTROL YOUR DIABETES, ARE YOU NOW TAKING MEDICATION
THAT YOU SWALLOW?
1 Yes
5 No
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OC012 TAKING INSULIN - DIABETES
ARE YOU NOW USING INSULIN SHOTS OR A PUMP?
1 Yes
5 No
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If TAKING INSULIN - DIABETES = 5 No »
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OC236 DOC RECOMMEND INSULIN - DIABETES
HAS A DOCTOR EVER RECOMMENDED TO YOU THAT YOU USE INSULIN?
1 Yes
5 No
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OC018 CANCER OF ANY KIND EXCLUDING SKIN
[F1]--HELP
^FLC018 ^FLC018B ^FLIWER
DEF: (MEDICAL DOCTORS INCLUDE SPECIALISTS SUCH AS DERMATOLOGISTS,
PSYCHIATRISTS, OPHTHALMOLOGISTS, OSTEOPATHS, CARDIOLOGISTS,
AS WELL AS FAMILY DOCTORS, INTERNISTS AND PHYSICIANS' ASSISTANTS.
ALSO INCLUDE DIAGNOSES MADE BY NURSES AND NURSE PRACTITIONERS.)
1 Yes
3 DISPUTES PREVIOUS WAVE RECORD, BUT NOW HAS CONDITION
4 DISPUTES PREVIOUS WAVE RECORD, DOES NOT HAVE CONDITION
5 NO
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If CANCER OF ANY KIND EXCLUDING SKIN = 1 Yes or CANCER OF ANY KIND EXCLUDING SKIN = 3 DISPUTES PREVIOUS WAVE RECORD, BUT NOW HAS CONDITION »
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OC019 R SEEN DOC CONCERNING CANCER
[F1]--HELP
^FLC019
DEF: (MEDICAL DOCTORS INCLUDE SPECIALISTS SUCH AS DERMATOLOGISTS,
PSYCHIATRISTS, OPHTHALMOLOGISTS, OSTEOPATHS, CARDIOLOGISTS,
AS WELL AS FAMILY DOCTORS, INTERNISTS AND PHYSICIANS' ASSISTANTS.
ALSO INCLUDE DIAGNOSES MADE BY NURSES AND NURSE PRACTITIONERS.)
1 Yes
5 No
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OC020 PAST CANCER TREATED
[F1]--HELP
WE WANT TO KNOW ABOUT ANY CANCER TREATMENT THAT MAY HAVE TAKEN PLACE DURING
THE LAST TWO YEARS. ^FLC020
1 Yes
5 No
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OC021M CANCER TREATMENT-TYPE
[F1]--HELP
^FLC021M SORT OF TREATMENTS HAVE YOU RECEIVED FOR CANCER?
» CHOOSE ALL THAT APPLY
1 Chemotherapy
2 Surgery
3 Radiation
4 Medications/treatment for symptoms (pain, nausea, rashes)
5 Biopsy
6 X-ray
7 Other (Specify)
8 None
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OC023 CANCER BETTER/WORSE/SAME NOW
SINCE ^Z092IWMOV, ^PIRVARSZ093_IWYR_V, HAS THE CANCER GOTTEN WORSE, BETTER
OR STAYED ABOUT THE SAME?
1 Better
2 About the same
3 Worse
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OC024 NEW CANCER EXCLUDING SKIN
SINCE ^Z092IWMOV, ^PIRVARSZ093_IWYR_V, HAS A DOCTOR TOLD YOU THAT YOU HAD A NEW
CANCER OR MALIGNANT TUMOR, EXCLUDING MINOR SKIN CANCER?
DEF: (MEDICAL DOCTORS INCLUDE SPECIALISTS SUCH AS DERMATOLOGISTS,
PSYCHIATRISTS, OPHTHALMOLOGISTS, OSTEOPATHS, CARDIOLOGISTS,
AS WELL AS FAMILY DOCTORS, INTERNISTS AND PHYSICIANS' ASSISTANTS.
ALSO INCLUDE DIAGNOSES MADE BY NURSES AND NURSE PRACTITIONERS.)
1 Yes
5 No
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If NEW CANCER EXCLUDING SKIN = 1 Yes »
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OC028 YEAR RECENT CANCER
IN WHAT YEAR WAS YOUR (MOST RECENT) CANCER DIAGNOSED?
YEAR:
1900..2014
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OC029 MONTH RECENT CANCER
IN WHAT MONTH WAS THAT?
MONTH:
1 Jan
2 Feb
3 Mar
4 Apr
5 May
6 Jun
7 Jul
8 Aug
9 Sep
10 Oct
11 Nov
12 Dec
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OC030 LUNG DISEASE
[F1]--HELP
^FLC030 ^FLC030B ^FLIWER
DEF: (MEDICAL DOCTORS INCLUDE SPECIALISTS SUCH AS DERMATOLOGISTS,
PSYCHIATRISTS, OPHTHALMOLOGISTS, OSTEOPATHS, CARDIOLOGISTS,
AS WELL AS FAMILY DOCTORS, INTERNISTS AND PHYSICIANS' ASSISTANTS.
ALSO INCLUDE DIAGNOSES MADE BY NURSES AND NURSE PRACTITIONERS.)
1 Yes
3 DISPUTES PREVIOUS WAVE RECORD, BUT NOW HAS CONDITION
4 DISPUTES PREVIOUS WAVE RECORD, DOES NOT HAVE CONDITION
5 NO
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If LUNG DISEASE = 1 Yes »
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OC031 LUNG DISEASE BETTER/WORSE/SAME
SINCE THEN, HAS THIS CONDITION GOTTEN BETTER, WORSE, OR STAYED ABOUT THE SAME?
1 Better
2 About the same
3 Worse
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If LUNG DISEASE = 1 Yes or LUNG DISEASE = 3 DISPUTES PREVIOUS WAVE RECORD, BUT NOW HAS CONDITION »
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OC032 LUNG MEDICATION
ARE YOU NOW TAKING MEDICATION OR OTHER TREATMENT FOR YOUR LUNG CONDITION?
1 Yes
5 No
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OC033 LUNG OXYGEN
ARE YOU RECEIVING OXYGEN FOR YOUR LUNG CONDITION?
1 Yes
5 No
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OC034 LUNG RESPIRATORY THERAPY
ARE YOU RECEIVING PHYSICAL OR RESPIRATORY THERAPY FOR YOUR LUNG CONDITION?
1 Yes
5 No
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OC036 HEART CONDITION
[F1]--HELP
^FLC036 ^FLC036B ^FLIWER
DEF: (MEDICAL DOCTORS INCLUDE SPECIALISTS SUCH AS DERMATOLOGISTS,
PSYCHIATRISTS, OPHTHALMOLOGISTS, OSTEOPATHS, CARDIOLOGISTS,
AS WELL AS FAMILY DOCTORS, INTERNISTS AND PHYSICIANS' ASSISTANTS.
ALSO INCLUDE DIAGNOSES MADE BY NURSES AND NURSE PRACTITIONERS.)
1 Yes
3 DISPUTES PREVIOUS WAVE RECORD, BUT NOW HAS CONDITION
4 DISPUTES PREVIOUS WAVE RECORD, DOES NOT HAVE CONDITION
5 NO
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If HEART CONDITION = 1 Yes or HEART CONDITION = 3 DISPUTES PREVIOUS WAVE RECORD, BUT NOW HAS CONDITION »
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OC037 HEART MEDICATION
ARE YOU NOW TAKING OR CARRYING MEDICATION FOR YOUR HEART PROBLEM?
1 Yes
5 No
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OC038 HAS R SEEN HEART DOCTOR
^FLC038 HAVE YOU SEEN A DOCTOR FOR YOUR HEART PROBLEM?
DEF: (MEDICAL DOCTORS INCLUDE SPECIALISTS SUCH AS DERMATOLOGISTS,
PSYCHIATRISTS, OPHTHALMOLOGISTS, OSTEOPATHS, CARDIOLOGISTS,
AS WELL AS FAMILY DOCTORS, INTERNISTS AND PHYSICIANS' ASSISTANTS.
ALSO INCLUDE DIAGNOSES MADE BY NURSES AND NURSE PRACTITIONERS.)
1 Yes
5 No
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If HEART MEDICATION != 5 No or HAS R SEEN HEART DOCTOR != 5 No »
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OC039 HEART BETTER/WORSE/SAME
SINCE ^Z092IWMOV, ^PIRVARSZ093_IWYR_V, HAS THIS CONDITION GOTTEN BETTER, WORSE,
OR STAYED ABOUT THE SAME?
1 Better
2 About the same
3 Worse
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If HEART MEDICATION != 5 No or HAS R SEEN HEART DOCTOR != 5 No or (OZ105 and OZ076 = REINTERVIEW) »
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OC040 HEART ATTACK
[F1]--HELP
^FLC038 HAVE YOU HAD A HEART ATTACK OR MYOCARDIAL INFARCTION?
1 Yes
5 No
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If HEART ATTACK = 1 Yes »
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OC041 R SEEN DOCTOR FOR HEART ATTACK
^FLC041 YOU SEEN A DOCTOR IN CONNECTION WITH YOUR HEART ATTACK?
DEF: (MEDICAL DOCTORS INCLUDE SPECIALISTS SUCH AS DERMATOLOGISTS,
PSYCHIATRISTS, OPHTHALMOLOGISTS, OSTEOPATHS, CARDIOLOGISTS,
AS WELL AS FAMILY DOCTORS, INTERNISTS AND PHYSICIANS' ASSISTANTS.
ALSO INCLUDE DIAGNOSES MADE BY NURSES AND NURSE PRACTITIONERS.)
1 Yes
5 No
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OC042 HEART ATTACK MEDICATION
[F1]--HELP ARE YOU NOW TAKING OR CARRYING MEDICATION BECAUSE OF YOUR HEART ATTACK?
1 Yes
5 No
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OC043 YR RECENT HEART ATTACK
IN WHAT YEAR WAS YOUR (MOST RECENT) HEART ATTACK?
YEAR:
1900..2014
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If YR RECENT HEART ATTACK = LESS THAN 2 YEARS AGO »
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OC044 MO RECENT HEART ATTACK
IN WHAT MONTH WAS THAT?
MONTH:
1 Jan
2 Feb
3 Mar
4 Apr
5 May
6 Jun
7 Jul
8 Aug
9 Sep
10 Oct
11 Nov
12 Dec
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OC045 ANGINA
[F1]--HELP ^FLC038 HAVE YOU HAD ANY ANGINA OR CHEST PAINS DUE TO YOUR HEART?
1 Yes
5 No
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OC046 ANGINA MEDICATION
[F1]--HELP
ARE YOU NOW TAKING OR CARRYING MEDICATIONS BECAUSE OF ANGINA OR CHEST PAIN?
1 Yes
5 No
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OC048 CONGESTIVE HEART FAILURE
[F1]--HELP
^FLC048
DEF: (MEDICAL DOCTORS INCLUDE SPECIALISTS SUCH AS DERMATOLOGISTS,
PSYCHIATRISTS, OPHTHALMOLOGISTS, OSTEOPATHS, CARDIOLOGISTS,
AS WELL AS FAMILY DOCTORS, INTERNISTS AND PHYSICIANS' ASSISTANTS.
ALSO INCLUDE DIAGNOSES MADE BY NURSES AND NURSE PRACTITIONERS.)
1 Yes
5 No
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If CONGESTIVE HEART FAILURE = 1 Yes »
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OC049 HOSPITALIZED DUE TO HEART FAILURE
^FLC038 HAVE YOU BEEN ADMITTED TO THE HOSPITAL OVERNIGHT BECAUSE OF IT
(CONGESTIVE HEART FAILURE)?
1 Yes
5 No
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OC050 CONGESTIVE HEART FAILURE MEDICATION
ARE YOU TAKING OR CARRYING ANY MEDICATION FOR CONGESTIVE HEART FAILURE?
1 Yes
5 No
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OC051 HEART TREATMENT
[F1]--HELP
^FLC038 HAVE YOU HAD A SPECIAL TEST OR TREATMENT OF YOUR HEART WHERE
TUBES WERE INSERTED INTO YOUR VEINS OR ARTERIES (CARDIAC CATHETERIZATION,
CORONARY ANGIOGRAM, ANGIOPLASTY, OR BYPASS GRAFT NOTATION)?
1 Yes
5 No
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OC052 HEART SURGERY
^FLC038 HAVE YOU HAD SURGERY ON YOUR HEART?
1 Yes
5 No
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OC053 STROKE
[F1]--HELP
^FLC053 ^FLC053B ^FLIWER
DEF: (MEDICAL DOCTORS INCLUDE SPECIALISTS SUCH AS DERMATOLOGISTS,
PSYCHIATRISTS, OPHTHALMOLOGISTS, OSTEOPATHS, CARDIOLOGISTS,
AS WELL AS FAMILY DOCTORS, INTERNISTS AND PHYSICIANS' ASSISTANTS.
ALSO INCLUDE DIAGNOSES MADE BY NURSES AND NURSE PRACTITIONERS.)
1 Yes
2 [Vol] Possible stroke or tia (transient ischemic attack)
3 DISPUTES PREVIOUS WAVE RECORD, BUT NOW HAS CONDITION
4 DISPUTES PREVIOUS WAVE RECORD, DOES NOT HAVE CONDITION
5 NO
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If STROKE = 1 Yes or STROKE = 2 [Vol] Possible stroke or tia (transient ischemic attack) or STROKE = 3 DISPUTES PREVIOUS WAVE RECORD, BUT NOW HAS CONDITION »
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OC054 R SEEN DOCTOR FOR STROKE
^FLC054 HAVE YOU SEEN A DOCTOR BECAUSE OF THIS OR ANY OTHER STROKE?
DEF: (MEDICAL DOCTORS INCLUDE SPECIALISTS SUCH AS DERMATOLOGISTS,
PSYCHIATRISTS, OPHTHALMOLOGISTS, OSTEOPATHS, CARDIOLOGISTS,
AS WELL AS FAMILY DOCTORS, INTERNISTS AND PHYSICIANS' ASSISTANTS.
ALSO INCLUDE DIAGNOSES MADE BY NURSES AND NURSE PRACTITIONERS.)
1 Yes
5 No
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OC055 STROKE PROBLEMS
DO YOU STILL HAVE ANY REMAINING PROBLEMS BECAUSE OF YOUR STROKE(S)?
1 Yes
5 No
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If R SEEN DOCTOR FOR STROKE != 5 No or STROKE PROBLEMS != 5 No »
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OC060 STROKE MEDICATION
[F1]--HELP
ARE YOU NOW TAKING ANY MEDICATIONS BECAUSE OF YOUR STROKE OR ITS COMPLICATIONS?
1 Yes
5 No
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OC061 STROKE THERAPY
[F1]--HELP
ARE YOU RECEIVING PHYSICAL OR OCCUPATIONAL THERAPY BECAUSE OF YOUR STROKE OR ITS
COMPLICATIONS?
1 Yes
5 No
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OC062 ANOTHER STROKE SINCE PREVIOUS WAVE
SINCE ^Z092IWMOV, ^PIRVARSZ093_IWYR_V, HAS A DOCTOR TOLD YOU THAT YOU HAD ANOTHER STROKE?
DEF: (MEDICAL DOCTORS INCLUDE SPECIALISTS SUCH AS DERMATOLOGISTS,
PSYCHIATRISTS, OPHTHALMOLOGISTS, OSTEOPATHS, CARDIOLOGISTS,
AS WELL AS FAMILY DOCTORS, INTERNISTS AND PHYSICIANS' ASSISTANTS.
ALSO INCLUDE DIAGNOSES MADE BY NURSES AND NURSE PRACTITIONERS.)
1 Yes
5 No
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If ANOTHER STROKE SINCE PREVIOUS WAVE = 1 Yes »
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OC064 MOST RECENT STROKE-YEAR
IN WHAT YEAR WAS YOUR MOST RECENT STROKE?
YEAR:
1900..2014
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If MOST RECENT STROKE-YEAR = LESS THAN 2 YEARS AGO »
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OC063 MOST RECENT STROKE-MONTH
IN WHAT MONTH WAS THAT?
MONTH:
1 Jan
2 Feb
3 Mar
4 Apr
5 May
6 Jun
7 Jul
8 Aug
9 Sep
10 Oct
11 Nov
12 Dec
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OC065 EMOTIONAL/PSYCHIATRIC PROBLEMS
[F1]--HELP
^FLC065 ^FLC065B ^FLIWER
DEF: (MEDICAL DOCTORS INCLUDE SPECIALISTS SUCH AS DERMATOLOGISTS,
PSYCHIATRISTS, OPHTHALMOLOGISTS, OSTEOPATHS, CARDIOLOGISTS,
AS WELL AS FAMILY DOCTORS, INTERNISTS AND PHYSICIANS' ASSISTANTS.
ALSO INCLUDE DIAGNOSES MADE BY NURSES AND NURSE PRACTITIONERS.)
1 Yes
3 DISPUTES PREVIOUS WAVE RECORD, BUT NOW HAS CONDITION
4 DISPUTES PREVIOUS WAVE RECORD, DOES NOT HAVE CONDITION
5 NO
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If EMOTIONAL/PSYCHIATRIC PROBLEMS = 1 Yes or EMOTIONAL/PSYCHIATRIC PROBLEMS = 3 DISPUTES PREVIOUS WAVE RECORD, BUT NOW HAS CONDITION »
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OC067 PSYCHIATRIC TREATMENT
DO YOU NOW GET PSYCHIATRIC OR PSYCHOLOGICAL TREATMENT FOR YOUR PROBLEMS?
1 Yes
5 No
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OC070 ARTHRITIS
[F1]--HELP
^FLC070 ^FLC070B ^FLIWER
DEF: (MEDICAL DOCTORS INCLUDE SPECIALISTS SUCH AS DERMATOLOGISTS,
PSYCHIATRISTS, OPHTHALMOLOGISTS, OSTEOPATHS, CARDIOLOGISTS,
AS WELL AS FAMILY DOCTORS, INTERNISTS AND PHYSICIANS' ASSISTANTS.
ALSO INCLUDE DIAGNOSES MADE BY NURSES AND NURSE PRACTITIONERS.)
1 Yes
3 DISPUTES PREVIOUS WAVE RECORD, BUT NOW HAS CONDITION
4 DISPUTES PREVIOUS WAVE RECORD, DOES NOT HAVE CONDITION
5 NO
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If ARTHRITIS = 1 Yes or ARTHRITIS = 3 DISPUTES PREVIOUS WAVE RECORD, BUT NOW HAS CONDITION »
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OC071 ARTHRITIS BETTER/WORSE/SAME
SINCE ^Z092IWMOV, ^PIRVARSZ093_IWYR_V, HAS THIS ARTHRITIS GOTTEN BETTER, WORSE, OR STAYED
ABOUT THE SAME?
1 Better
2 About the same
3 Worse
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OC076 ARTHRITIS JOINT REPLACE
^FLC072 HAVE YOU HAD SURGERY OR ANY JOINT REPLACEMENT BECAUSE OF ARTHRITIS?
1 Yes
5 No
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If ARTHRITIS JOINT REPLACE = 1 Yes »
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OC218 ARTHRITIS JOINT REPLACE- TYPE
(WHICH DID YOU HAVE: JOINT REPLACEMENT, SURGERY NOT INVOLVING JOINT REPLACEMENT, OR BOTH?)
1 Joint replacement
2 Surgery without joint replacement
3 Both
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OC077M WHICH JOINT
WHICH JOINT WAS (REPLACED/AFFECTED)?
» SELECT ALL THAT APPLY
1 Hip(s)
2 Knee(s)
3 Hand/wrist area
4 Foot/ankle area
5 Shoulder(s)
6 Spine
7 Other (Specify)
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OC219 ARTHRITIS TYPE- OSTEOARTHRITIS
WHICH TYPE OR TYPES OF ARTHRITIS DO YOU HAVE?
» READ OUT EACH IN TURN AND CODE ALL THAT APPLY
DO YOU HAVE OSTEOARTHRITIS?
DEF: (OSTEOARTHRITIS IS ALSO CALLED DEGENERATIVE OR `WEAR AND TEAR` ARTHRITIS)
1 Yes
5 No
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OC220 ARTHRITIS TYPE- RHEUMATOID
(WHICH TYPE OR TYPES OF ARTHRITIS DO YOU HAVE?)
» READ OUT EACH IN TURN AND CODE ALL THAT APPLY
(DO YOU HAVE) RHEUMATOID ARTHRITIS?
DEF: (RHEUMATOID ARTHRITIS IS SOMETIMES CALLED AUTOIMMUNE ARTHRITIS)
1 Yes
5 No
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OC221 ARTHRITIS TYPE- GOUT/LUPUS
(WHICH TYPE OR TYPES OF ARTHRITIS DO YOU HAVE?)
» READ OUT EACH IN TURN AND CODE ALL THAT APPLY
(DO YOU HAVE) GOUT OR LUPUS?
1 Yes
5 No
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OC222 ARTHRITIS TYPE- RELATED TO INJURY
(WHICH TYPE OR TYPES OF ARTHRITIS DO YOU HAVE?)
» READ OUT EACH IN TURN AND CODE ALL THAT APPLY
(DO YOU HAVE) ARTHRITIS RELATED TO A PREVIOUS INJURY?
1 Yes
5 No
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OC240 HAS HAD SHINGLES
[F1]--HELP
^FLC240?
1 Yes
5 No
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OC246 SHINGLES VACCINE
[F1]--HELP
HAVE YOU EVER HAD THE SHINGLES VACCINE?
1 Yes
5 No
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If R CURRENT AGE CALCULATION > 65 »
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OC079 FALLEN IN PAST TWO YEARS
HAVE YOU FALLEN DOWN ^FLC079?
1 Yes
5 No
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If FALLEN IN PAST TWO YEARS = 1 Yes »
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OC080 NUMBER TIMES FALLEN
HOW MANY TIMES HAVE YOU FALLEN ^FLC079?
# TIMES:
0..50
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OC081 INJURY DUE TO FALL
^FLC081 TO NEED MEDICAL TREATMENT?
1 Yes
5 No
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OC082 BROKEN HIP
[F1]--HELP
^FLC082
1 Yes
5 No
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OC087 INCONTINENCE
[F1]--HELP
THIS MIGHT NOT BE EASY TO TALK ABOUT, BUT DURING THE LAST 12 MONTHS,
HAVE YOU LOST ANY AMOUNT OF URINE BEYOND YOUR CONTROL?
1 Yes
5 No
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If INCONTINENCE = 1 Yes »
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OC088 INCONTINENCE # DAYS
ON ABOUT HOW MANY DAYS IN THE LAST MONTH HAVE YOU LOST ANY URINE?
» DO NOT PROBE DK/RF
USE 31 FOR 'EVERY DAY'
0..31
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If INCONTINENCE # DAYS was not answered »
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OC089 INCONTINENCE 5 DAYS DK-1
WAS THAT MORE THAN 5 DAYS?
1 Yes
5 No
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If INCONTINENCE 5 DAYS DK-1 = 1 Yes »
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OC090 INCONTINENCE 15 DAYS DK-2
MORE THAN 15 DAYS?
1 Yes
5 No
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OC095 RATE EYESIGHT
[F1]--HELP
IS YOUR EYESIGHT EXCELLENT, VERY GOOD, GOOD, FAIR, OR POOR USING GLASSES OR
CORRECTIVE LENSES AS USUAL?
1 Excellent
2 Very good
3 Good
4 Fair
5 Poor
6 [Vol] legally blind
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If RATE EYESIGHT != 6 [Vol] legally blind »
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OC096 RATE DISTAL VISION
[F1]--HELP
HOW GOOD IS YOUR EYESIGHT FOR SEEING THINGS AT A DISTANCE, LIKE RECOGNIZING A FRIEND ACROSS THE STREET, USING GLASSES OR CORRECTIVE LENSES AS USUAL?
(IS IT EXCELLENT, VERY GOOD, GOOD, FAIR, OR POOR?)
1 Excellent
2 Very good
3 Good
4 Fair
5 Poor
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OC097 RATE NEAR VISION
[F1]--HELP
HOW GOOD IS YOUR EYESIGHT FOR SEEING THINGS UP CLOSE, LIKE READING ORDINARY NEWSPAPER PRINT, USING GLASSES OR CORRECTIVE LENSES AS USUAL?
(IS IT EXCELLENT, VERY GOOD, GOOD, FAIR, OR POOR?)
1 Excellent
2 Very good
3 Good
4 Fair
5 Poor
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If R CURRENT AGE CALCULATION > 65 »
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OC098 Cataract surgery
[F1]--HELP
^FLC098
1 Yes
5 No
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If Cataract surgery = 1 Yes »
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OC099 CATARACT SURGERY ON ONE OR BOTH EYES
HAVE YOU HAD CATARACT SURGERY ON BOTH EYES, OR JUST ONE?
1 One eye only
2 Both eyes
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OC100 CATARACT IMPLANT LENS
DID THE CATARACT SURGERY (ON EITHER EYE) INCLUDE IMPLANTING A LENS?
1 Yes
5 No
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OC101 GLAUCOMA
HAS A DOCTOR EVER TREATED YOU FOR GLAUCOMA?
DEF: (MEDICAL DOCTORS INCLUDE SPECIALISTS SUCH AS DERMATOLOGISTS,
PSYCHIATRISTS, OPHTHALMOLOGISTS, OSTEOPATHS, CARDIOLOGISTS,
AS WELL AS FAMILY DOCTORS, INTERNISTS AND PHYSICIANS' ASSISTANTS.
ALSO INCLUDE DIAGNOSES MADE BY NURSES AND NURSE PRACTITIONERS.)
1 Yes
5 No
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OC237 LOST PERMANENT TEETH
THIS NEXT QUESTION IS ABOUT YOUR TEETH.
HAVE YOU LOST ALL OF YOUR UPPER AND LOWER NATURAL PERMANENT TEETH?
1 Yes
5 No
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If OZ090 != YES or DIFFERENT RESPONDENT FROM PREV IW = 1 Yes »
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OC102 WEAR HEARING AID
DO YOU EVER WEAR A HEARING AID?
1 Yes
5 No
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OC103 RATE HEARING
[F1]--HELP
IS YOUR HEARING EXCELLENT, VERY GOOD, GOOD, FAIR, OR POOR ^FLC103?
1 Excellent
2 Very good
3 Good
4 Fair
5 Poor
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OC083 TROUBLE FALLING ASLEEP
HOW OFTEN DO YOU HAVE TROUBLE FALLING ASLEEP?
WOULD YOU SAY MOST OF THE TIME, SOMETIMES, OR RARELY OR NEVER?
1 Most of the time
2 Sometimes
3 Rarely or never
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OC084 TROUBLE WAKING UP DURING NIGHT
[F1]--HELP
HOW OFTEN DO YOU HAVE TROUBLE WITH WAKING UP DURING THE NIGHT?
(WOULD YOU SAY MOST OF THE TIME, SOMETIMES, OR RARELY OR NEVER?)
1 Most of the time
2 Sometimes
3 Rarely or never
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OC085 TROUBLE WAKING UP TOO EARLY
HOW OFTEN DO YOU HAVE TROUBLE WITH WAKING UP TOO EARLY AND NOT BEING ABLE TO FALL ASLEEP AGAIN?
(WOULD YOU SAY MOST OF THE TIME, SOMETIMES, OR RARELY OR NEVER?)
1 Most of the time
2 Sometimes
3 Rarely or never
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OC086 FEEL RESTED IN MORNING
HOW OFTEN DO YOU FEEL REALLY RESTED WHEN YOU WAKE UP IN THE MORNING?
WOULD YOU SAY MOST OF THE TIME, SOMETIMES, OR RARELY OR NEVER?
1 Most of the time
2 Sometimes
3 Rarely or never
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OC232 MEDICATIONS TO SLEEP
IN THE PAST TWO WEEKS, HAVE YOU TAKEN ANY MEDICATIONS OR USED OTHER TREATMENTS TO HELP YOU SLEEP?
1 Yes
5 No
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If MEDICATIONS TO SLEEP = 1 Yes »
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OC233 SLEEP MEDICATIONS RECOMMENDED BY DOCTOR
WERE THESE MEDICATIONS OR OTHER TREATMENTS RECOMMENDED TO YOU BY A DOCTOR?
1 Yes
5 No
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OC104 TROUBLED WITH PAIN
[F1]--HELP
ARE YOU OFTEN TROUBLED WITH PAIN?
1 Yes
5 No
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|
If TROUBLED WITH PAIN = 1 Yes »
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OC105 DEGREE PAIN MOST OF TIME
HOW BAD IS THE PAIN MOST OF THE TIME: MILD, MODERATE OR SEVERE?
1 Mild
2 Moderate
3 Severe
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OC106 DOES PAIN LIMIT ACTIVITIES
[F1]--HELP
DOES THE PAIN MAKE IT DIFFICULT FOR YOU TO DO YOUR USUAL ACTIVITIES
SUCH AS HOUSEHOLD CHORES OR WORK?
1 Yes
5 No
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OC107 OTHER MEDICAL CONDITIONS
[F1]--HELP
ARE THERE ANY MEDICAL DISEASES OR CONDITIONS THAT ARE IMPORTANT TO YOUR
HEALTH NOW, THAT WE HAVE NOT TALKED ABOUT?
1 Yes
5 No
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If OTHER MEDICAL CONDITIONS = 1 Yes »
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OC108 OTHER MEDICAL CONDITIONS - SPECIFY
(WHAT ARE THEY?)
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OC109 PREVENTATIVE FLU SHOT SINCE PREV WAVE
^FLC109
THE FOLLOWING MEDICAL TESTS OR PROCEDURES?
A FLU SHOT?
» A FLU SHOT MAY NOW BE GIVEN BY A MIST IN THE NOSE
1 Yes
5 No
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OC110 CHOLESTEROL TEST SINCE PREV WAVE
( ^FLC109 THE FOLLOWING MEDICAL TESTS OR PROCEDURES?)
A BLOOD TEST FOR CHOLESTEROL?
1 Yes
5 No
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OC112 MAMMOGRAM/XRAY OF BREAST SINCE PREV WAVE
( ^FLC109 THE FOLLOWING MEDICAL TESTS OR PROCEDURES?)
» (IF R IS FEMALE) DID YOU HAVE A MAMMOGRAM OR X-RAY OF THE BREAST, ^FLC112?
1 Yes
5 No
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OC113 PAP SMEAR SINCE PREV WAVE
[F1]--HELP
( ^FLC109 THE FOLLOWING MEDICAL TESTS OR PROCEDURES?)
» (IF R IS FEMALE) A PAP SMEAR?
1 Yes
5 No
|
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|
If OA007 != 1 and PROXY/SELF INTERVIEW = 1 »
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OC249 HAD HYSTERECTOMY
HAVE YOU EVER HAD A HYSTERECTOMY, THAT IS, SURGERY TO REMOVE YOUR
UTERUS OR WOMB?
1 Yes
5 No
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OC250 HOW OLD HYSTERECTOMY
HOW OLD WERE YOU WHEN YOU HAD YOUR HYSTERECTOMY?
1..120
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|
If HOW OLD HYSTERECTOMY > 45 »
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OC251 HYSTERECTOMY AFTER LAST MENSTRUAL PERIOD
DID YOU HAVE YOUR HYSTERECTOMY AFTER YOUR LAST MENSTRUAL PERIOD,
THAT IS, AFTER YOU WENT THROUGH MENOPAUSE?
1 Yes
5 No
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If R CURRENT AGE CALCULATION <= 55 or HAD HYSTERECTOMY = 1 Yes »
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OC253 HOW OLD FINISHED MENOPAUSE
ABOUT HOW OLD WERE YOU WHEN YOU FINISHED GOING THROUGH MENOPAUSE,
THAT IS, HAD YOUR LAST MENSTRUAL PERIOD?
» IF R IS STILL HAVING MENSTRUAL PERIODS, ENTER 97.
0..97
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OC252 PHASE OF MENOPAUSE
REGARDING MENOPAUSE, DO YOU THINK YOU ARE WITHOUT A SIGN, JUST
BEGINNING, IN THE MIDDLE, NEAR THE END, OR ALL THROUGH?
1 Without a sign
2 Just beginning
3 In the middle
4 Near the end
5 All through
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OC253 HOW OLD FINISHED MENOPAUSE
ABOUT HOW OLD WERE YOU WHEN YOU FINISHED GOING THROUGH MENOPAUSE,
THAT IS, HAD YOUR LAST MENSTRUAL PERIOD?
» IF R IS STILL HAVING MENSTRUAL PERIODS, ENTER 97.
0..97
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OC254 MENOPAUSE END-OLDER/YOUNGER THAN 50
WERE YOU OLDER THAN AGE 50, YOUNGER THAN 50, OR WHAT?
1 Older than age 50
3 About age 50
5 Younger than 50
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OC255 MENOPAUSE END-OLDER/YOUNGER THAN 45
WERE YOU OLDER THAN AGE 45, YOUNGER THAN 45, OR WHAT?
1 Older than age 45
3 About age 45
5 Younger than 45
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OC256 MENOPAUSE END-OLDER/YOUNGER THAN 55
WERE YOU OLDER THAN AGE 55, YOUNGER THAN 55, OR WHAT?
1 Older than age 55
3 About age 55
5 Younger than 55
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OC114 PROSTATE EXAM SINCE PREV WAVE
( ^FLC109 THE FOLLOWING MEDICAL TESTS OR PROCEDURES?)
» (IF R IS MALE) A PSA BLOOD TEST OR OTHER EXAMINATION TO SCREEN FOR PROSTATE CANCER?
1 Yes
5 No
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OC223 HOW OFTEN VIGOROUS ACTIVITY
[F1]--HELP
WE WOULD LIKE TO KNOW THE TYPE AND AMOUNT OF PHYSICAL ACTIVITY INVOLVED IN YOUR DAILY LIFE.
HOW OFTEN DO YOU TAKE PART IN SPORTS OR ACTIVITIES THAT ARE VIGOROUS, SUCH AS RUNNING OR
JOGGING, SWIMMING, CYCLING, AEROBICS OR GYM WORKOUT, TENNIS, OR DIGGING WITH A SPADE OR
SHOVEL: MORE THAN ONCE A WEEK, ONCE A WEEK, ONE TO THREE TIMES A MONTH, OR HARDLY EVER OR
NEVER?
1 More than once a week
2 Once a week
3 One to three times a month
4 Hardly ever or never
7 (Vol) every day
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OC224 HOW OFTEN MODERATE ACTIVITY
[F1]--HELP
AND HOW OFTEN DO YOU TAKE PART IN SPORTS OR ACTIVITIES THAT ARE MODERATELY ENERGETIC, SUCH AS GARDENING, CLEANING THE
CAR, WALKING AT A MODERATE PACE, DANCING, FLOOR OR STRETCHING EXERCISES: (MORE THAN ONCE A WEEK, ONCE A WEEK, ONE TO
THREE TIMES A MONTH, OR HARDLY EVER OR NEVER)?
1 More than once a week
2 Once a week
3 One to three times a month
4 Hardly ever or never
7 (Vol) every day
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OC225 HOW OFTEN MILD ACTIVITY
[F1]--HELP
AND HOW OFTEN DO YOU TAKE PART IN SPORTS OR ACTIVITIES THAT ARE MILDLY ENERGETIC, SUCH AS VACUUMING, LAUNDRY, HOME REPAIRS: (MORE
THAN ONCE A WEEK, ONCE A WEEK, ONE TO THREE TIMES A MONTH, OR HARDLY EVER OR NEVER)?
1 More than once a week
2 Once a week
3 One to three times a month
4 Hardly ever or never
7 (Vol) every day
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OC116 EVER SMOKE
[F1]--HELP
HAVE YOU EVER SMOKED CIGARETTES?
DEF: (BY SMOKING WE MEAN MORE THAN 100 CIGARETTES IN YOUR LIFETIME. DO NOT
INCLUDE PIPES OR CIGARS.)
1 Yes
5 No
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OC117 SMOKE CIGARETTES NOW
[F1]--HELP
DO YOU SMOKE CIGARETTES NOW?
1 Yes
5 No
|
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If SMOKE CIGARETTES NOW = 1 Yes »
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OC118 NUM CIGARETTES SMOKED PER DAY
ABOUT HOW MANY CIGARETTES OR PACKS DO YOU USUALLY SMOKE IN A DAY NOW?
» PROBE A RANGE. THERE ARE 20 CIGARETTES IN A PACK.
» THIS QUESTION REFERS TO CIGARETTE SMOKING ONLY. IF R SMOKES CIGARS OR PIPES,
ENTER THE TYPE AND AMOUNT SMOKED IN AN F2 COMMENT.
CIGARETTES PER DAY:
OR
PACKS PER DAY:
0..100
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If NUM CIGARETTES SMOKED PER DAY was assigned an EMPTY value »
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OC119 NUM PACKS SMOKED PER DAY
(ABOUT HOW MANY CIGARETTES OR PACKS DO YOU USUALLY SMOKE IN A DAY NOW?)
» PROBE A RANGE. THERE ARE 20 CIGARETTES IN A PACK.
» THIS QUESTION REFERS TO CIGARETTE SMOKING ONLY. IF R SMOKES CIGARS OR PIPES, ENTER THE TYPE AND AMOUNT SMOKED IN AN F2 COMMENT.
CIGARETTES PER DAY:
OR
PACKS PER DAY:
1..5
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OC120 AGE START SMOKING
^FLC120
ABOUT HOW OLD WERE YOU WHEN YOU STARTED SMOKING?
YEARS OLD:
OR
YEAR STARTED SMOKING:
OR
STARTED SMOKING YEARS AGO:
»IF R SAYS NEVER SMOKED, ENTER '95'
0..96
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|
If AGE START SMOKING != 95 »
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OC121 YR STARTED SMOKING
(ABOUT HOW OLD WERE YOU WHEN YOU STARTED SMOKING?)
YEARS OLD:
OR
YEAR STARTED SMOKING:
OR
STARTED SMOKING YEARS AGO:
1880..2014
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OC122 YRS AGO STARTED SMOKING
(ABOUT HOW OLD WERE YOU WHEN YOU STARTED SMOKING?)
YEARS OLD:
OR
YEAR STARTED SMOKING:
OR
STARTED SMOKING YEARS AGO:
0..96
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|
If AGE START SMOKING != 95 and SMOKE CIGARETTES NOW != 1 Yes »
|
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OC123 NUM CIGS PER DAY- WHEN SMOKED MOST
^FLC123
WHEN YOU WERE SMOKING THE MOST, ABOUT HOW MANY CIGARETTES OR PACKS DID YOU USUALLY
SMOKE IN A DAY?
»IF R SAYS NEVER SMOKED, ENTER '95'
» PROBE A RANGE. THERE ARE 20 CIGARETTES IN A PACK.
» THIS QUESTION REFERS TO CIGARETTE SMOKING ONLY. IF R SMOKES CIGARS OR PIPES,
ENTER THE TYPE AND AMOUNT SMOKED IN AN F2 COMMENT.
CIGARETTES PER DAY:
OR
PACKS PER DAY:
0..100
|
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If NUM CIGS PER DAY- WHEN SMOKED MOST was assigned an EMPTY value »
|
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OC124 NUM PACKS PER DAY- WHEN SMOKED MOST
(WHEN YOU WERE SMOKING THE MOST, ABOUT HOW MANY CIGARETTES OR PACKS DID
YOU USUALLY SMOKE IN A DAY?)
» PROBE A RANGE. THERE ARE 20 CIGARETTES IN A PACK.
» THIS QUESTION REFERS TO CIGARETTE SMOKING ONLY. IF R SMOKES CIGARS OR PIPES, ENTER THE TYPE AND
AMOUNT SMOKED IN AN F2 COMMENT.
CIGARETTES PER DAY:
OR
PACKS PER DAY:
1..5
|
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|
|
If NUM CIGS PER DAY- WHEN SMOKED MOST != 995 »
|
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OC125 YRS AGO STOP SMOKING
ABOUT HOW MANY YEARS AGO DID YOU STOP SMOKING?
» ENTER ‘95Â’ IF R SAYS NEVER SMOKED
» ENTER '96' IF LESS THAN ONE YEAR
YEARS AGO:
OR
YEAR STOPPED SMOKING:
OR
AGE WHEN STOPPED SMOKING:
1..96
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If YRS AGO STOP SMOKING was assigned an EMPTY value »
|
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OC126 YR STOP SMOKING
(ABOUT HOW MANY YEARS AGO DID YOU STOP SMOKING?)
» ENTER '96' IF LESS THAN ONE YEAR
YEARS AGO:
OR
YEAR STOPPED SMOKING:
OR
AGE WHEN STOPPED SMOKING:
1880..2014
|
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|
If YR STOP SMOKING was assigned an EMPTY value »
|
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OC127 AGE STOP SMOKING
(ABOUT HOW MANY YEARS AGO DID YOU STOP SMOKING?)
» ENTER '96' IF LESS THAN ONE YEAR
YEARS AGO:
OR
YEAR STOPPED SMOKING:
OR
AGE WHEN STOPPED SMOKING:
0..96
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OC128 EVER DRINK ALCOHOL
[F1]--HELP
DO YOU EVER DRINK ANY ALCOHOLIC BEVERAGES SUCH AS BEER, WINE, OR LIQUOR?
1 Yes
3 [Vol] never have used alcohol
5 No
|
|
If EVER DRINK ALCOHOL = 1 Yes »
|
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OC129 NUMBER DAYS PER WEEK- DRINK ALCOHOL
IN THE LAST THREE MONTHS, ON AVERAGE, HOW MANY DAYS PER WEEK HAVE YOU HAD
ANY ALCOHOL TO DRINK? (FOR EXAMPLE, BEER, WINE, OR ANY DRINK CONTAINING LIQUOR.)
» USE 0 FOR NONE OR LESS THAN ONCE A WEEK
1 - 6
7 EVERY DAY
DAYS:
0..7
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If NUMBER DAYS PER WEEK- DRINK ALCOHOL != 0 or NUMBER DAYS PER WEEK- DRINK ALCOHOL was not answered »
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OC130 NUMBER DRINKS- PER DAY
[F1]--HELP
IN THE LAST THREE MONTHS, ON THE DAYS YOU DRINK, ABOUT HOW MANY DRINKS DO YOU HAVE?
# DRINKS:
0..15
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OC131 BINGE DRINKING
[F1]--HELP
IN THE LAST THREE MONTHS, ON HOW MANY DAYS HAVE YOU HAD FOUR OR MORE DRINKS
ON ONE OCCASION?
» USE ZERO FOR NONE
AMOUNT:
0..92
|
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|
If EVER DRINK ALCOHOL != 1 Yes »
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OC134 HAD 12+ DRINKS OF ALCOHOL OVER ENTIRE LIFE
IN YOUR ENTIRE LIFE, HAVE YOU HAD AT LEAST 12 DRINKS OF ANY TYPE OF ALCOHOLIC BEVERAGE?
1 Yes
2 Yes assigned prior wave
5 No
6 No assigned prior wave
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If HAD 12+ DRINKS OF ALCOHOL OVER ENTIRE LIFE = 1 Yes »
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OC135 R FELT NEED TO CUT DOWN DRINKING
[F1]--HELP
HAVE YOU EVER FELT THAT YOU SHOULD CUT DOWN ON DRINKING?
1 Yes
5 No
|
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|
If EVER DRINK ALCOHOL = 1 Yes or HAD 12+ DRINKS OF ALCOHOL OVER ENTIRE LIFE = 1 Yes »
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OC136 FELT ANNOYED BY CRITICISM ABOUT DRINKING
[F1]--HELP
HAVE PEOPLE EVER ANNOYED YOU BY CRITICIZING YOUR DRINKING?
1 Yes
5 No
|
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OC137 GUILT OVER DRINKING
[F1]--HELP
HAVE YOU EVER FELT BAD OR GUILTY ABOUT DRINKING?
1 Yes
5 No
|
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OC138 EVER DRINK IN THE MORNING
[F1]--HELP
HAVE YOU EVER TAKEN A DRINK FIRST THING IN THE MORNING TO STEADY YOUR NERVES OR GET
RID OF A HANGOVER?
1 Yes
5 No
|
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OC139 WEIGHT IN POUNDS
[F1]--HELP
ABOUT HOW MUCH DO YOU WEIGH?
»ENTER 400 IF R REPORTS A WEIGHT OF 400 OR MORE
POUNDS:
50..400
|
|
OC140 WEIGHT GAIN/LOSS 10 LBS. SINCE PREV WAVE
HAVE YOU GAINED OR LOST TEN OR MORE POUNDS IN THE LAST 2 YEARS?
» IF R ANSWERS 'YES', PROBE FOR WHETHER R GAINED, LOST OR BOTH GAINED AND LOST 10 OR MORE POUNDS.
1 Yes, gained
2 Yes, lost
3 Yes, gained and lost
5 No
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OC226 MOST EVER WEIGH- POUNDS
UP TO THE PRESENT TIME, WHAT IS THE MOST YOU HAVE EVER WEIGHED?
^FLC226
» ENTER WEIGHT IN POUNDS
»ENTER 400 IF R REPORTS A WEIGHT OF 400 OR MORE
NUMBER OF POUNDS:
50..400
|
|
If MOST EVER WEIGH- POUNDS was answered »
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OC228 MOST EVER WEIGH- WHAT AGE
[F1]--HELP
HOW OLD WERE YOU THEN? (IF YOU DON'T KNOW YOUR EXACT AGE, PLEASE MAKE YOUR BEST GUESS.)
0..120
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OC141 HEIGHT FEET
[F1]--HELP
ABOUT HOW TALL ARE YOU?
FEET:
3..7
|
|
If HEIGHT FEET was answered »
|
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OC142 HEIGHT INCHES
(ABOUT HOW TALL ARE YOU?)
» RECORD TO THE QUARTER OF AN INCH. FOR EXAMPLE, RECORD 7 1/4 INCHES AS 7.25. RECORD 7 INCHES AS 7.00
INCHES:
0..12
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OC143 SWELLING FEET/ANKLES
[F1]--HELP
^FLC143 PERSISTENT SWELLING IN YOUR FEET OR ANKLES?
1 Yes
5 No
|
|
OC144 SHORTNESS OF BREATH
[F1]--HELP
( ^FLC143) SHORTNESS OF BREATH WHILE AWAKE?
1 Yes
5 No
|
|
OC145 EVER BEEN DIZZY
[F1]--HELP
( ^FLC143) PERSISTENT DIZZINESS OR LIGHTHEADEDNESS?
1 Yes
5 No
|
|
OC146 BACK PAIN OR PROBLEMS
[F1]--HELP
( ^FLC143) BACK PAIN OR PROBLEMS?
1 Yes
5 No
|
|
OC147 PERSISTENT HEADACHE
[F1]--HELP
( ^FLC143) HAVE YOU HAD PERSISTENT HEADACHES?
1 Yes
5 No
|
|
OC148 SEVERE FATIGUE
[F1]--HELP
( ^FLC143) SEVERE FATIGUE OR EXHAUSTION?
1 Yes
5 No
|
|
OC149 PERSISTENT COUGH/WHEEZE/PHLEGM
[F1]--HELP
( ^FLC143) PERSISTENT WHEEZING, COUGH, OR BRINGING UP PHLEGM?
1 Yes
5 No
|
|
OC229 DAYS IN BED
[F1]--HELP
ASIDE FROM ANY HOSPITAL OR NURSING HOME STAYS, ABOUT HOW MANY DAYS DID YOU STAY IN BED MORE THAN HALF THE DAY BECAUSE OF ILLNESS OR INJURY DURING THE LAST MONTH?
» USE ZERO FOR NONE
0..31
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OC150 FELT DEPRESSED IN PAST YR
[F1]--HELP
DURING THE LAST 12 MONTHS, WAS THERE EVER A TIME WHEN YOU FELT SAD, BLUE,
OR DEPRESSED FOR TWO WEEKS OR MORE IN A ROW?
1 Yes
3 [Vol] did not feel depressed because on anti-depressant medication
5 No
|
|
If FELT DEPRESSED IN PAST YR = 1 Yes »
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OC151 DEPRESSED WHAT PORTION OF DAY
[F1]--HELP
PLEASE THINK OF THE TWO-WEEK PERIOD DURING THE LAST 12 MONTHS WHEN THESE
FEELINGS WERE WORST. DURING THAT TIME DID THE FEELINGS OF BEING SAD, BLUE,
OR DEPRESSED USUALLY LAST ALL DAY LONG, MOST OF THE DAY, ABOUT HALF THE DAY,
OR LESS THAN HALF THE DAY?
1 All day long
2 Most of the day
3 About half the day
4 Less than half the day
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|
If DEPRESSED WHAT PORTION OF DAY = 1 All day long or DEPRESSED WHAT PORTION OF DAY = 2 Most of the day »
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OC152 DEPRESSED EVERY DAY
[F1]--HELP
DURING THOSE TWO WEEKS, DID YOU FEEL THIS WAY EVERY DAY, ALMOST EVERY DAY,
OR LESS OFTEN THAN THAT?
1 Every day
2 Almost every day
3 Less often
|
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|
If DEPRESSED EVERY DAY = 1 Every day or DEPRESSED EVERY DAY = 2 Almost every day »
|
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OC153 LOSS OF INTEREST
[F1]--HELP
DURING THOSE TWO WEEKS, DID YOU LOSE INTEREST IN MOST THINGS?
» IF R SAYS USUALLY NO INTEREST IN THINGS, REPEAT Q ADDING: '...MORE THAN
IS USUAL FOR YOU.'
1 Yes
5 No
|
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OC154 FEELING TIRED
[F1]--HELP
THINKING ABOUT THOSE SAME TWO WEEKS, DID YOU EVER FEEL MORE TIRED OUT OR
LOW IN ENERGY THAN IS USUAL FOR YOU?
1 Yes
5 No
|
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OC155 LOSE APPETITE
[F1]--HELP
DURING THOSE SAME TWO WEEKS, DID YOU LOSE YOUR APPETITE?
1 Yes
5 No
|
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|
If LOSE APPETITE != 1 Yes »
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OC156 APPETITE INCREASE
DID YOUR APPETITE INCREASE DURING THOSE SAME TWO WEEKS?
1 Yes
5 No
|
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OC157 TROUBLE FALL ASLEEP
DID YOU HAVE MORE TROUBLE FALLING ASLEEP THAN YOU USUALLY DO DURING THOSE TWO WEEKS?
1 Yes
5 No
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If TROUBLE FALL ASLEEP = 1 Yes »
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OC158 FREQ OF TROUBLE FALLING ASLEEP
DID THAT HAPPEN EVERY NIGHT, NEARLY EVERY NIGHT, OR LESS OFTEN DURING THOSE TWO WEEKS?
1 Every night
2 Nearly every night
3 Less often
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OC159 TROUBLE CONCENTRATING
DURING THAT SAME TWO-WEEK PERIOD, DID YOU HAVE A LOT MORE TROUBLE CONCENTRATING
THAN USUAL?
1 Yes
5 No
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OC160 FEELING DOWN ON YOURSELF
PEOPLE SOMETIMES FEEL DOWN ON THEMSELVES, AND NO GOOD OR WORTHLESS. DURING THAT
TWO-WEEK PERIOD, DID YOU FEEL THIS WAY?
1 Yes
5 No
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OC161 THOUGHTS ABOUT DEATH
DID YOU THINK A LOT ABOUT DEATH -- EITHER YOUR OWN, SOMEONE ELSE'S, OR DEATH IN
GENERAL -- DURING THOSE TWO WEEKS?
1 Yes
5 No
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If CHECKPOINT DEPRESSION = 1 »
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OC163 DEPRESSION EPISODE LASTED-WEEKS
[F1]--HELP
TO REVIEW, YOU HAD TWO WEEKS IN A ROW DURING THE LAST 12 MONTHS WHEN YOU WERE
SAD, BLUE, OR DEPRESSED AND ALSO HAD SOME OTHER FEELINGS OR PROBLEMS LIKE -
» READ UP TO THE FIRST 3 'YES' RESPONSES TO C153 - C161
^FLC153PROB
^FLC154PROB
^FLC155PROB
^FLC156PROB
^FLC157PROB
^FLC159PROB
^FLC160PROB
^FLC161PROB
ABOUT HOW MANY WEEKS ALTOGETHER -- OUT OF 52 -- DID YOU FEEL THIS WAY DURING THE
LAST 12 MONTHS?
WEEKS:
OR
MONTHS:
OR
ENTIRE YEAR:
0..52
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OC164 DEPRESSION EPISODE LASTED-MONTHS
(TO REVIEW, YOU HAD TWO WEEKS IN A ROW DURING THE LAST 12 MONTHS WHEN YOU WERE SAD,
BLUE, OR DEPRESSED AND ALSO HAD SOME OTHER FEELINGS OR PROBLEMS LIKE -
» READ UP TO THE FIRST 3 'YES' RESPONSES TO C153 - C161
^FLC153PROB
^FLC154PROB
^FLC155PROB
^FLC156PROB
^FLC157PROB
^FLC159PROB
^FLC160PROB
^FLC161PROB
ABOUT HOW MANY WEEKS ALTOGETHER -- OUT OF 52 -- DID YOU FEEL THIS WAY DURING THE LAST 12 MONTHS?)
WEEKS:
OR
MONTHS:
OR
ENTIRE YEAR:
0..12
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OC165 DEPRESSION EPISODE LASTED-ENTIRE YEAR
(TO REVIEW, YOU HAD TWO WEEKS IN A ROW DURING THE LAST 12 MONTHS WHEN YOU WERE SAD,
BLUE, OR DEPRESSED AND ALSO HAD SOME OTHER FEELINGS OR PROBLEMS LIKE -
» READ UP TO THE FIRST 3 'YES' RESPONSES TO C153 - C161
^FLC153PROB
^FLC154PROB
^FLC155PROB
^FLC156PROB
^FLC157PROB
^FLC159PROB
^FLC160PROB
^FLC161PROB
ABOUT HOW MANY WEEKS ALTOGETHER -- OUT OF 52 -- DID YOU FEEL THIS WAY DURING THE
LAST 12 MONTHS?)
WEEKS:
OR
MONTHS:
OR
ENTIRE YEAR:
1 Entire year
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If DEPRESSION EPISODE LASTED-WEEKS != 52 and DEPRESSION EPISODE LASTED-MONTHS != 12 and DEPRESSION EPISODE LASTED-ENTIRE YEAR != 1 Entire year »
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OC166 MOST RECENT MO- SAD/DEPRESSED
[F1]--HELP
THINK ABOUT THE MOST RECENT TIME WHEN YOU HAD TWO WEEKS IN A ROW WHEN YOU FELT THIS
WAY. IN WHAT MONTH WAS THIS (DURING THE LAST 12 MONTHS)?
» RECORD MOST RECENT MONTH
MONTH:
1 Jan
2 Feb
3 Mar
4 Apr
5 May
6 Jun
7 Jul
8 Aug
9 Sep
10 Oct
11 Nov
12 Dec
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If DEPRESSION EPISODE LASTED-WEEKS != 52 and DEPRESSION EPISODE LASTED-MONTHS != 12 and DEPRESSION EPISODE LASTED-ENTIRE YEAR != 1 Entire year and DEPRESSED EVERY DAY != 1 Every day and DEPRESSED EVERY DAY != 2 Almost every day and DEPRESSED WHAT PORTION OF DAY != 1 All day long and DEPRESSED WHAT PORTION OF DAY != 2 Most of the day »
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OC167 LOSE INTEREST- CIDI
[F1]--HELP
DURING THE LAST 12 MONTHS, WAS THERE EVER A TIME LASTING TWO WEEKS OR MORE
WHEN YOU LOST INTEREST IN MOST THINGS LIKE HOBBIES, WORK, OR ACTIVITIES THAT
USUALLY GIVE YOU PLEASURE?
1 Yes
3 [Vol] Not feel loss of interest because on anti-depressant medication
5 No
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If LOSE INTEREST- CIDI = 1 Yes »
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OC168 LOSE INTEREST OFTEN- CIDI
[F1]--HELP
PLEASE THINK OF THE TWO-WEEK PERIOD DURING THE LAST 12 MONTHS WHEN YOU HAD THE
MOST COMPLETE LOSS OF INTEREST IN THINGS. DURING THAT TWO-WEEK PERIOD, DID THE
LOSS OF INTEREST USUALLY LAST ALL DAY LONG, MOST OF THE DAY, ABOUT HALF THE DAY,
OR LESS THAN HALF THE DAY?
1 All day long
2 Most of the day
3 About half the day
4 Less than half the day
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If LOSE INTEREST OFTEN- CIDI = 1 All day long or LOSE INTEREST OFTEN- CIDI = 2 Most of the day »
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OC169 LOSE INTEREST DYSFUNCTION- CIDI
[F1]--HELP
DID YOU FEEL THIS WAY EVERY DAY, ALMOST EVERY DAY, OR LESS OFTEN DURING THE
TWO WEEKS?
1 Every day
2 Almost every day
3 Less often
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If LOSE INTEREST DYSFUNCTION- CIDI = 1 Every day or LOSE INTEREST DYSFUNCTION- CIDI = 2 Almost every day »
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OC170 FEELING TIRED- CIDI
[F1]--HELP
DURING THOSE TWO WEEKS, DID YOU FEEL TIRED OUT OR LOW ON ENERGY ALL THE TIME?
1 Yes
5 No
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OC171 LOST APPETITE- CIDI
[F1]--HELP
DURING THOSE SAME TWO WEEKS, DID YOU LOSE YOUR APPETITE?
1 Yes
5 No
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If LOST APPETITE- CIDI != 1 Yes »
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OC172 APPETITE INCREASE- CIDI
[F1]--HELP
DID YOUR APPETITE INCREASE DURING THOSE SAME TWO WEEKS?
1 Yes
5 No
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OC173 TROUBLE FALLING ASLEEP- CIDI
[F1]--HELP
DURING THOSE SAME TWO WEEKS, DID YOU HAVE MORE TROUBLE FALLING ASLEEP THAN
YOU USUALLY DO?
1 Yes
5 No
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If TROUBLE FALLING ASLEEP- CIDI = 1 Yes »
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OC174 FREQUENCY OF SLEEP TROUBLE- CIDI
[F1]--HELP
DID THAT HAPPEN EVERY NIGHT, NEARLY EVERY NIGHT, OR LESS OFTEN DURING THOSE
TWO WEEKS?
1 Every night
2 Nearly every night
3 Less often
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OC175 TROUBLE CONCENTRATE- CIDI
[F1]--HELP
DURING THOSE TWO WEEKS, DID YOU HAVE MORE TROUBLE CONCENTRATING THAN USUAL?
1 Yes
5 No
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OC176 FEELING DOWN ON ONESELF- CIDI
[F1]--HELP
PEOPLE SOMETIMES FEEL DOWN ON THEMSELVES, NO GOOD OR WORTHLESS. DID YOU FEEL
THIS WAY DURING THAT TWO-WEEK PERIOD?
1 Yes
5 No
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OC177 INTEREST IN DEATH- CIDI
DID YOU THINK A LOT ABOUT DEATH DURING THOSE TWO WEEKS --EITHER YOUR OWN,
SOMEONE ELSE'S, OR DEATH IN GENERAL?
1 Yes
5 No
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If REVIEW CHECKPOINT- SECTION C = 1 »
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OC179 DEPRESSION EPISODE LASTED-WEEKS-CIDI
[F1]--HELP
TO REVIEW, YOU HAD TWO WEEKS IN A ROW DURING THE LAST 12 MONTHS WHEN YOU
LOST INTEREST IN MOST THINGS LIKE HOBBIES, WORK, OR ACTIVITIES THAT USUALLY
GIVE YOU PLEASURE, AND ALSO HAD SOME OTHER FEELINGS OR PROBLEMS LIKE -
» READ UP TO THE FIRST 3 'YES' RESPONSES TO C170 - C177
^FLC170PROB
^FLC171PROB
^FLC172PROB
^FLC173PROB
^FLC175PROB
^FLC176PROB
^FLC177PROB
ABOUT HOW MANY WEEKS ALTOGETHER--OUT OF 52--DID YOU FEEL THIS WAY DURING THE LAST 12 MONTHS?
WEEKS:
OR
MONTHS:
OR
ENTIRE YEAR:
0..52
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OC180 DEPRESSION EPISODE LASTED-MONTHS-CIDI
(TO REVIEW, YOU HAD TWO WEEKS IN A ROW DURING THE LAST 12 MONTHS WHEN YOU LOST INTEREST
IN MOST THINGS LIKE HOBBIES, WORK, OR ACTIVITIES THAT USUALLY GIVE YOU PLEASURE, AND ALSO
HAD SOME OTHER FEELINGS OR PROBLEMS LIKE -
» READ UP TO THE FIRST 3 'YES' RESPONSES TO C170 - C177
^FLC170PROB
^FLC171PROB
^FLC172PROB
^FLC173PROB
^FLC175PROB
^FLC176PROB
^FLC177PROB
ABOUT HOW MANY WEEKS ALTOGETHER--OUT OF 52--DID YOU FEEL THIS WAY DURING THE LAST 12 MONTHS?)
WEEKS:
OR
MONTHS:
OR
ENTIRE YEAR:
0..12
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OC181 DEPRESSION EPISODE LASTED-ENTIRE YR-CIDI
(TO REVIEW, YOU HAD TWO WEEKS IN A ROW DURING THE LAST 12 MONTHS WHEN YOU LOST INTEREST
IN MOST THINGS LIKE HOBBIES, WORK, OR ACTIVITIES THAT USUALLY GIVE YOU PLEASURE, AND ALSO
HAD SOME OTHER FEELINGS OR PROBLEMS LIKE -
» READ UP TO THE FIRST 3 'YES' RESPONSES TO C170 - C177
^FLC170PROB
^FLC171PROB
^FLC172PROB
^FLC173PROB
^FLC175PROB
^FLC176PROB
^FLC177PROB
ABOUT HOW MANY WEEKS ALTOGETHER--OUT OF 52--DID YOU FEEL THIS WAY DURING THE LAST 12 MONTHS?)
WEEKS:
OR
MONTHS:
OR
ENTIRE YEAR:
1 Entire year
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If DEPRESSION EPISODE LASTED-WEEKS-CIDI != 52 and DEPRESSION EPISODE LASTED-MONTHS-CIDI != 12 and DEPRESSION EPISODE LASTED-ENTIRE YR-CIDI != 1 Entire year »
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OC182 REVIEW LOSS OF INTEREST- MOST RECENT MO
[F1]--HELP
THINK ABOUT THE MOST RECENT TIME WHEN YOU HAD TWO WEEKS IN A ROW WHEN YOU
FELT THIS WAY. IN WHAT MONTH WAS THIS (DURING THE LAST 12 MONTHS)?
MONTH:
1 Jan
2 Feb
3 Mar
4 Apr
5 May
6 Jun
7 Jul
8 Aug
9 Sep
10 Oct
11 Nov
12 Dec
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OC183 ASSIST SECTION C - HEALTH
» HOW OFTEN DID R RECEIVE ASSISTANCE WITH ANSWERS IN SECTION C - HEALTH?
1 Never
2 A few times
3 Most or all of the time
4 The section was done by a proxy reporter
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End of C. Physical Health
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