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Start of C1. Health Status
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C001
Next I have some questions about your health. Would you say your health is excellent, very good, good, fair, or poor?
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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C159
I have some questions about your health. How do you appreciate your health?
I HAVE SOME QUESTIONS ABOUT YOUR HEALTH. HOW DO YOU APPRECIATE YOUR HEALTH?
1 Excellent
2 Very good
3 Good
4 Average
5 Bad
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C002
How has your health status changed since the previous interview (____year__month__date)?
HOW HAS YOUR HEALTH STATUS CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
1 Greatly improved
2 Improved
3 Same
4 Worsened
5 Greatly worsened
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C003
Have you ever received a disability diagnosis from a doctor since the previous interview (____year__month__date)?
HAVE YOU EVER RECEIVED A DISABILITY DIAGNOSIS FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
1 Yes, received a disability diagnosis
5 No, haven't received a disability diagnosis
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If Have you ever received a disability diagnosis from a doctor since the previous interview (____year__month__date)? = 1 »
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C004
What was your type of disability? Please choose all that apply.
WHAT WAS YOUR TYPE OF DISABILITY? PLEASE CHOOSE ALL THAT APPLY.
1 Physical disability
2 Disability of brain lesion
3 Visual disability
4 Hearing disability
5 Speech disability
6 Kidney dysfunction
7 Cardiac dysfunction
8 Mental disorder
9 Others
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C005
Does your health condition hamper you doing work?
DOES YOUR HEALTH CONDITION HAMPER YOU DOING WORK?
1 Yes, very much so
2 Yes, to some degree
3 No, not much
4 No, not at all
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If R DID NOT RECEIVE HIGH BP ON PREV INTERVIEW or DK or RF »
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C006
Have you ever received a diagnosis of high blood pressure from a doctor since the previous interview (____year__month__date)?
HAVE YOU EVER RECEIVED A DIAGNOSIS OF HIGH BLOOD PRESSURE FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
1 Yes
5 No
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If Have you ever received a diagnosis of high blood pressure from a doctor since the previous interview (____year__month__date)? = 1 »
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C007
When were you first diagnosed with hypertension? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]
WHEN WERE YOU FIRST DIAGNOSED WITH HYPERTENSION? (UNIT: YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.]
200600..201411
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C008
How have your symptoms of high blood pressure changed since the previous inrerview (____year__month__date)?
HOW HAVE YOUR SYMPTOMS OF HIGH BLOOD PRESSURE CHANGED SINCE THE PREVIOUS INRERVIEW (____YEAR__MONTH__DATE)?
1 Completely recovered
2 Improved
3 Same
4 Worsened
5 Greatly worsened
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If Have you ever received a diagnosis of high blood pressure from a doctor since the previous interview (____year__month__date)? != 5 »
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C009
Are you currently taking any medication or receiving treatment to lower your blood pressure?
ARE YOU CURRENTLY TAKING ANY MEDICATION OR RECEIVING TREATMENT TO LOWER YOUR BLOOD PRESSURE?
1 Yes
5 No
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C010
Does your high blood pressure limit your daily activities?
DOES YOUR HIGH BLOOD PRESSURE LIMIT YOUR DAILY ACTIVITIES?
1 Yes
5 No
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C011
Have you ever received a diagnosis of diabetes or high blood sugar from a doctor since the previous interview (____year__month__date)?
HAVE YOU EVER RECEIVED A DIAGNOSIS OF DIABETES OR HIGH BLOOD SUGAR FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
1 Yes
5 No
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If Have you ever received a diagnosis of diabetes or high blood sugar from a doctor since the previous interview (____year__month__date)? = 1 »
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C012
When were you first diagnosed with diabetes or high blood sugar? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]
WHEN WERE YOU FIRST DIAGNOSED WITH DIABETES OR HIGH BLOOD SUGAR? (UNIT: YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.]
200600..201411
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If Have you ever received a diagnosis of diabetes or high blood sugar from a doctor since the previous interview (____year__month__date)? != 5 »
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C013
How have your symptoms of diabetes or high blood sugar changed since the previous interview (____year__month__date)?
HOW HAVE YOUR SYMPTOMS OF DIABETES OR HIGH BLOOD SUGAR CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
1 Completely recovered
2 Improved
3 Same
4 Worsened
5 Greatly worsened
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C014
Are you currently taking any medication or receiving treatment to treat your diabetes or stabilize your blood sugar level?
ARE YOU CURRENTLY TAKING ANY MEDICATION OR RECEIVING TREATMENT TO TREAT YOUR DIABETES OR STABILIZE YOUR BLOOD SUGAR LEVEL?
1 Yes
5 No
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C015
Does your diabetes limit your daily activities?
DOES YOUR DIABETES LIMIT YOUR DAILY ACTIVITIES?
1 Yes
5 No
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If R DID NOT RECEIVE HIGH BP or DK or RF ON PREV INTERVIEW »
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C016
Have you ever received a diagnosis of cancer or a malignant tumor (excluding minor skin cancer) from a doctor since the previous interview (____year__month__day)?
HAVE YOU EVER RECEIVED A DIAGNOSIS OF CANCER OR A MALIGNANT TUMOR (EXCLUDING MINOR SKIN CANCER) FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DAY)?
1 Yes
5 No
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If Have you ever received a diagnosis of cancer or a malignant tumor (excluding minor skin cancer) from a doctor since the previous interview (____year__month__day)? = 1 »
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C017
When were you first diagnosed with cancer or a malignant tumor, excluding minor skin cancer? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]
WHEN WERE YOU FIRST DIAGNOSED WITH CANCER OR A MALIGNANT TUMOR, EXCLUDING MINOR SKIN CANCER? (UNIT: YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.]
200600..201411
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C018
In which organ or part of your body do you have cancer?
IN WHICH ORGAN OR PART OF YOUR BODY DO YOU HAVE CANCER?
1 Liver
2 Stomach
3 Lung
4 Colon
5 Thyroid
6 Breast
7 Cervix
8 Ovary
9 Prostate
10 Others
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If In which organ or part of your body do you have cancer? = 9 »
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C019
others, please specify.
OTHERS, PLEASE SPECIFY.
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C020
How have your symptoms of cancer or malignant tumor (excluding minor skin cancer) changed since the previous interview (____year__month__day)?
HOW HAVE YOUR SYMPTOMS OF CANCER OR MALIGNANT TUMOR (EXCLUDING MINOR SKIN CANCER) CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DAY)?
1 Completely recovered
2 Improved
3 Same
4 Worsened
5 Greatly worsened
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If Have you ever received a diagnosis of cancer or a malignant tumor (excluding minor skin cancer) from a doctor since the previous interview (____year__month__day)? != 5 »
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C021
Are you currently taking any medication to alleviate your symptoms (pain, nausea, rash, etc.) or receiving cancer treatment such as chemotherapy?
ARE YOU CURRENTLY TAKING ANY MEDICATION TO ALLEVIATE YOUR SYMPTOMS (PAIN, NAUSEA, RASH, ETC.) OR RECEIVING CANCER TREATMENT SUCH AS CHEMOTHERAPY?
1 Yes
5 No
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C022
Does your cancer limit your daily activities?
DOES YOUR CANCER LIMIT YOUR DAILY ACTIVITIES?
1 Yes
5 No
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If R DID NOT RECEIVE DIAGNOSIS OF CHRONIC LUNG DISEASE or DK or RF = PREV INTERVIEW »
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C023
Have you ever received a diagnosis of chronic lung disease, such as bronchitis or emphysema, from a doctor since the previous interview (____year__month__date)?
HAVE YOU EVER RECEIVED A DIAGNOSIS OF CHRONIC LUNG DISEASE, SUCH AS BRONCHITIS OR EMPHYSEMA, FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
1 Yes
5 No
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If Have you ever received a diagnosis of chronic lung disease, such as bronchitis or emphysema, from a doctor since the previous interview (____year__month__date)? = 1 »
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C024
When were you first diagnosed with chronic lung disease, such as bronchitis or emphysema? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]
WHEN WERE YOU FIRST DIAGNOSED WITH CHRONIC LUNG DISEASE, SUCH AS BRONCHITIS OR EMPHYSEMA? (UNIT: YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.]
200600..201411
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If Have you ever received a diagnosis of chronic lung disease, such as bronchitis or emphysema, from a doctor since the previous interview (____year__month__date)? != 5 and When were you first diagnosed with chronic lung disease, such as bronchitis or emphysema? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] !was answered »
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C025
How have your symptoms of chronic lung disease, such as bronchitis or emphysema, changed since the previous interview (____year__month__date)?
HOW HAVE YOUR SYMPTOMS OF CHRONIC LUNG DISEASE, SUCH AS BRONCHITIS OR EMPHYSEMA, CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
1 Completely recovered
2 Improved
3 Same
4 Worsened
5 Greatly worsened
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C026
Are you currently taking any medication or receiving treatment in relation to your lung disease?
ARE YOU CURRENTLY TAKING ANY MEDICATION OR RECEIVING TREATMENT IN RELATION TO YOUR LUNG DISEASE?
1 Yes
5 No
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C027
Does your lung condition limit your daily activities?
DOES YOUR LUNG CONDITION LIMIT YOUR DAILY ACTIVITIES?
1 Yes
5 No
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If R DID NOT RECEIVE DIAGNOSIS OF LIVER DISEASE or DK or RF = PREV INTERVIEW »
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C028
you ever received a diagnosis of liver disease from a doctor since the previous interview (____year__month__day)? (All types of liver disease except fatty liver)
YOU EVER RECEIVED A DIAGNOSIS OF LIVER DISEASE FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DAY)? (ALL TYPES OF LIVER DISEASE EXCEPT FATTY LIVER)
1 Yes
5 No
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If you ever received a diagnosis of liver disease from a doctor since the previous interview (____year__month__day)? (All types of liver disease except fatty liver) = 1 »
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C029
When were you first diagnosed with liver disease? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]
WHEN WERE YOU FIRST DIAGNOSED WITH LIVER DISEASE? (UNIT: YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.]
200600..201411
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If you ever received a diagnosis of liver disease from a doctor since the previous interview (____year__month__day)? (All types of liver disease except fatty liver) != 5 and When were you first diagnosed with liver disease? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] !was answered »
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C030
How have your symptoms of liver disease (All types of liver disease except fatty liver) changed since the previous interview (____year__month__date)?
HOW HAVE YOUR SYMPTOMS OF LIVER DISEASE (ALL TYPES OF LIVER DISEASE EXCEPT FATTY LIVER) CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
1 Completely recovered
2 Improved
3 Same
4 Worsened
5 Greatly worsened
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C031
Are you currently taking any medication or receiving treatment due to your liver disease?
ARE YOU CURRENTLY TAKING ANY MEDICATION OR RECEIVING TREATMENT DUE TO YOUR LIVER DISEASE?
1 Yes
5 No
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C032
Does your liver disease limit your daily activities?
DOES YOUR LIVER DISEASE LIMIT YOUR DAILY ACTIVITIES?
1 Yes
5 No
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If R DID NOT RECEIVE A DIAGNOSIS OF A HEART DISEASE or DK or RF = PREV INTERVIEW »
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C033
Have you ever received a diagnosis of a heart attack, angina pectoris, myocardial infarction, congestive heart failure or other heart disease from a doctor since the previous interview (____year__month__day)?
HAVE YOU EVER RECEIVED A DIAGNOSIS OF A HEART ATTACK, ANGINA PECTORIS, MYOCARDIAL INFARCTION, CONGESTIVE HEART FAILURE OR OTHER HEART DISEASE FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DAY)?
1 Yes
5 No
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If Have you ever received a diagnosis of a heart attack, angina pectoris, myocardial infarction, congestive heart failure or other heart disease from a doctor since the previous interview (____year__month__day)? = 1 »
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C034
were you first diagnosed with such heart disease? (unit: year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]
WERE YOU FIRST DIAGNOSED WITH SUCH HEART DISEASE? (UNIT: YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.]
200600..201411
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If Have you ever received a diagnosis of a heart attack, angina pectoris, myocardial infarction, congestive heart failure or other heart disease from a doctor since the previous interview (____year__month__day)? != 5 and Are you currently taking any medication or receiving treatment due to your heart disease? !was answered »
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C035
How have your symptoms of a heart attack, angina pectoris, myocardial infarction, congestive heart failure or any other heart disease changed since the previous interview (____year__month__date)?
HOW HAVE YOUR SYMPTOMS OF A HEART ATTACK, ANGINA PECTORIS, MYOCARDIAL INFARCTION, CONGESTIVE HEART FAILURE OR ANY OTHER HEART DISEASE CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
1 Completely recovered
2 Improved
3 Same
4 Worsened
5 Greatly worsened
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C036
Are you currently taking any medication or receiving treatment due to your heart disease?
ARE YOU CURRENTLY TAKING ANY MEDICATION OR RECEIVING TREATMENT DUE TO YOUR HEART DISEASE?
1 Yes
5 No
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C037
Does your heart disease limit your daily activities?
DOES YOUR HEART DISEASE LIMIT YOUR DAILY ACTIVITIES?
1 Yes
5 No
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If R DID NOT RECEIVE A DIAGNOSIS OF CEREBROVASCULAR DISEASE or DK or RF = PREV INTERVIEW »
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C038
Have you ever received a diagnosis of cerebrovascular disease (cerebral apoplexy, cerebral hemorrhage, cerebral infarction, etc.) from a doctor since the previous interview (____year__month__date)?
HAVE YOU EVER RECEIVED A DIAGNOSIS OF CEREBROVASCULAR DISEASE (CEREBRAL APOPLEXY, CEREBRAL HEMORRHAGE, CEREBRAL INFARCTION, ETC.) FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
1 Yes
3 Possible stroke or transient ischemic attack
5 No
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If Have you ever received a diagnosis of cerebrovascular disease (cerebral apoplexy, cerebral hemorrhage, cerebral infarction, etc.) from a doctor since the previous interview (____year__month__date)? = 1 or Have you ever received a diagnosis of cerebrovascular disease (cerebral apoplexy, cerebral hemorrhage, cerebral infarction, etc.) from a doctor since the previous interview (____year__month__date)? = 3 »
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C039
were you first diagnosed with cerebrovascular disease? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]
WERE YOU FIRST DIAGNOSED WITH CEREBROVASCULAR DISEASE? (UNIT : YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.]
200600..201411
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If Have you ever received a diagnosis of cerebrovascular disease (cerebral apoplexy, cerebral hemorrhage, cerebral infarction, etc.) from a doctor since the previous interview (____year__month__date)? != 5 and were you first diagnosed with cerebrovascular disease? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] !was answered »
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C040
How have your symptoms of cerebrovascular disease changed since the previous interview (____year__month__date)?
HOW HAVE YOUR SYMPTOMS OF CEREBROVASCULAR DISEASE CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
1 Completely recovered
2 Improved
3 Same
4 Worsened
5 Greatly worsened
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C041
Are you currently taking any medication or receiving treatment due to your cerebrovascular disease or its complications?
ARE YOU CURRENTLY TAKING ANY MEDICATION OR RECEIVING TREATMENT DUE TO YOUR CEREBROVASCULAR DISEASE OR ITS COMPLICATIONS?
1 Yes
5 No
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C042
Does your cerebrovascular disease limit your daily activities?
DOES YOUR CEREBROVASCULAR DISEASE LIMIT YOUR DAILY ACTIVITIES?
1 Yes
5 No
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If R NO PSYCHIATRIC / EMOTIONAL / NERVOUS or RF or DK »
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C043
Have you ever received a diagnosis of any emotional (depression, anxiety disorder, etc.), nervous (insomnia, too much stress, etc.), or psychiatric (mental disorder, difficulties in maintaining interpersonal relationships, etc.) problems from a doctor since the previous interview (____year__month__date)?
HAVE YOU EVER RECEIVED A DIAGNOSIS OF ANY EMOTIONAL (DEPRESSION, ANXIETY DISORDER, ETC.), NERVOUS (INSOMNIA, TOO MUCH STRESS, ETC.), OR PSYCHIATRIC (MENTAL DISORDER, DIFFICULTIES IN MAINTAINING INTERPERSONAL RELATIONSHIPS, ETC.) PROBLEMS FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
1 Yes
5 No
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If Have you ever received a diagnosis of any emotional (depression, anxiety disorder, etc.), nervous (insomnia, too much stress, etc.), or psychiatric (mental disorder, difficulties in maintaining interpersonal relationships, etc.) problems from a doctor since the previous interview (____year__month__date)? = 1 »
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C044
When were you first diagnosed with such problems? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]
WHEN WERE YOU FIRST DIAGNOSED WITH SUCH PROBLEMS? (UNIT : YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.]
200600..201411
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If Have you ever received a diagnosis of any emotional (depression, anxiety disorder, etc.), nervous (insomnia, too much stress, etc.), or psychiatric (mental disorder, difficulties in maintaining interpersonal relationships, etc.) problems from a doctor since the previous interview (____year__month__date)? != 5 and When were you first diagnosed with such problems? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] !was answered »
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C045
How have your symptoms of emotional, nervous, or psychiatric problems changed since the previous interview (____year__month__date)?
HOW HAVE YOUR SYMPTOMS OF EMOTIONAL, NERVOUS, OR PSYCHIATRIC PROBLEMS CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
1 Completely recovered
2 Improved
3 Same
4 Worsened
5 Greatly worsened
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C046
Are you currently taking tranquilizers, antidepressants, sedatives or sleeping pills or receiving psychiatric or psychological treatment?
ARE YOU CURRENTLY TAKING TRANQUILIZERS, ANTIDEPRESSANTS, SEDATIVES OR SLEEPING PILLS OR RECEIVING PSYCHIATRIC OR PSYCHOLOGICAL TREATMENT?
1 Yes
5 No
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C047
Do your emotional, nervous or psychiatric problems limit your daily activities?
DO YOUR EMOTIONAL, NERVOUS OR PSYCHIATRIC PROBLEMS LIMIT YOUR DAILY ACTIVITIES?
1 Yes
5 No
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If R DIDNT RECEIVE ARTHRITIS or RHEUMATISM or DK or RF »
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C048
Have you ever received a diagnosis of arthritis or rheumatism from a doctor since the previous interview (____year__month__date)?
HAVE YOU EVER RECEIVED A DIAGNOSIS OF ARTHRITIS OR RHEUMATISM FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
1 Yes
5 No
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If Have you ever received a diagnosis of arthritis or rheumatism from a doctor since the previous interview (____year__month__date)? = 1 »
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C049
When were you first diagnosed with arthritis or rheumatism? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]
WHEN WERE YOU FIRST DIAGNOSED WITH ARTHRITIS OR RHEUMATISM? (UNIT : YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.]
200600..201411
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If Have you ever received a diagnosis of arthritis or rheumatism from a doctor since the previous interview (____year__month__date)? != 5 and When were you first diagnosed with arthritis or rheumatism? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] !was answered »
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C050
How have your symptoms of arthritis or rheumatism changed since the previous interview (____year__month__date)?
HOW HAVE YOUR SYMPTOMS OF ARTHRITIS OR RHEUMATISM CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
1 Completely recovered
2 Improved
3 Same
4 Worsened
5 Greatly worsened
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C051
Are you currently taking any medication or receiving treatment for your arthritis or rheumatism?
ARE YOU CURRENTLY TAKING ANY MEDICATION OR RECEIVING TREATMENT FOR YOUR ARTHRITIS OR RHEUMATISM?
1 Yes
5 No
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C052
Does your arthritis or rheumatism limit your daily activities?
DOES YOUR ARTHRITIS OR RHEUMATISM LIMIT YOUR DAILY ACTIVITIES?
1 Yes
5 No
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C053
Have you ever been in a traffic accident and received medical treatment since the previous interview (____year__month__date)?
HAVE YOU EVER BEEN IN A TRAFFIC ACCIDENT AND RECEIVED MEDICAL TREATMENT SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
1 Yes
5 No
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If Have you ever been in a traffic accident and received medical treatment since the previous interview (____year__month__date)? = 1 »
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C054
When did you have the traffic accident? If you had more than two accidents, please answer about the most recent one. (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 20114 If the month is not clear, enter 201400.]
WHEN DID YOU HAVE THE TRAFFIC ACCIDENT? IF YOU HAD MORE THAN TWO ACCIDENTS, PLEASE ANSWER ABOUT THE MOST RECENT ONE. (UNIT : YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 20114 IF THE MONTH IS NOT CLEAR, ENTER 201400.]
200600..201411
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C055
Does your injury caused by the traffic accident limit your daily activities?
DOES YOUR INJURY CAUSED BY THE TRAFFIC ACCIDENT LIMIT YOUR DAILY ACTIVITIES?
1 Yes
5 No
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C056
Have you ever fallen down since the previous interview (____year__month__date)?
HAVE YOU EVER FALLEN DOWN SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
1 Yes
5 No
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If Have you ever fallen down since the previous interview (____year__month__date)? = 1 »
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C057
How many times have you had a fall accident since the previous interview (____year__month__date)? (unit : a time)_____ times
HOW MANY TIMES HAVE YOU HAD A FALL ACCIDENT SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)? (UNIT : A TIME)_____ TIMES
1..100
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C058
In your most recent fall, did you injure yourself seriously enough to need medical treatment?
IN YOUR MOST RECENT FALL, DID YOU INJURE YOURSELF SERIOUSLY ENOUGH TO NEED MEDICAL TREATMENT?
1 Yes
5 No
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C059
Have you ever fractured your hip due to a fall accident?
HAVE YOU EVER FRACTURED YOUR HIP DUE TO A FALL ACCIDENT?
1 Yes
5 No
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C060
Does your injury or fracture due to the fall limit your daily activities?
DOES YOUR INJURY OR FRACTURE DUE TO THE FALL LIMIT YOUR DAILY ACTIVITIES?
1 Yes
5 No
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C061
How much do you usually worry about falling down?
HOW MUCH DO YOU USUALLY WORRY ABOUT FALLING DOWN?
1 Not at all
3 A little bit
5 A lot
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C062
Are there any activities that you refrain from doing due to the fear of falling down?
ARE THERE ANY ACTIVITIES THAT YOU REFRAIN FROM DOING DUE TO THE FEAR OF FALLING DOWN?
1 Yes
5 No
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If R SAID DIDNT RECEIVE A DIAGNOSIS OF PROSTATE CANCER or DK or RF »
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C063
Have you ever received a diagnosis of prostate disease from a doctor since the previous interview (____year__month__date)?
HAVE YOU EVER RECEIVED A DIAGNOSIS OF PROSTATE DISEASE FROM A DOCTOR SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
1 Yes
5 No
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If Have you ever received a diagnosis of prostate disease from a doctor since the previous interview (____year__month__date)? = 1 »
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C064
When were you first diagnosed with prostate disease? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]
WHEN WERE YOU FIRST DIAGNOSED WITH PROSTATE DISEASE? (UNIT : YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.]
200600..201411
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If Have you ever received a diagnosis of prostate disease from a doctor since the previous interview (____year__month__date)? != 5 and When were you first diagnosed with prostate disease? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.] !was answered »
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C065
How have your symptoms of prostate disease changed since the previous interview (____year__month__date)?
HOW HAVE YOUR SYMPTOMS OF PROSTATE DISEASE CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
1 Completely recovered
2 Improved
3 Same
4 Worsened
5 Greatly worsened
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C066
Are you currently taking any mediation or receiving treatment for your prostate disease?
ARE YOU CURRENTLY TAKING ANY MEDIATION OR RECEIVING TREATMENT FOR YOUR PROSTATE DISEASE?
1 Yes
5 No
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C067
Does your prostate disease limit your daily activities?
DOES YOUR PROSTATE DISEASE LIMIT YOUR DAILY ACTIVITIES?
1 Yes
5 No
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If R SAID DIDNT RECEIVE A DIAGNOSIS OF URINARY INCONTINENCE or DK or RF »
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C068
The following questions may not be easy to answer. I would be grateful if you could answer them as honestly as possible. Did you ever experience urinary incontinence during the past one year?
THE FOLLOWING QUESTIONS MAY NOT BE EASY TO ANSWER. I WOULD BE GRATEFUL IF YOU COULD ANSWER THEM AS HONESTLY AS POSSIBLE. DID YOU EVER EXPERIENCE URINARY INCONTINENCE DURING THE PAST ONE YEAR?
1 Yes
5 No
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C069
How have your symptoms of urinary incontinence changed since the previous interview (____year__month__date)?
HOW HAVE YOUR SYMPTOMS OF URINARY INCONTINENCE CHANGED SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
1 Completely recovered
2 Improved
3 Same
4 Worsened
5 Greatly worsened
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| |
If The following questions may not be easy to answer. I would be grateful if you could answer them as honestly as possible. Did you ever experience urinary incontinence during the past one year? != 1 »
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C070
How many days did you experience urinary inconsistence last month? (unit : a day)____ daysDon't know Refuse to answer
HOW MANY DAYS DID YOU EXPERIENCE URINARY INCONSISTENCE LAST MONTH? (UNIT : A DAY)____ DAYSDON'T KNOW REFUSE TO ANSWER
0..31
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If How many days did you experience urinary inconsistence last month? (unit : a day)____ daysDon't know Refuse to answer was answered Don't know or How many days did you experience urinary inconsistence last month? (unit : a day)____ daysDon't know Refuse to answer was refused »
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C071
Was that more than 5 days?
WAS THAT MORE THAN 5 DAYS?
1 Yes
5 No
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If Was that more than 5 days? = 1 »
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C072
Was that more than 15 days?
WAS THAT MORE THAN 15 DAYS?
1 Yes
5 No
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C073
Did you ever use any absorbent products, such as pads, special underwear, sanitary napkins, or toilet paper?
DID YOU EVER USE ANY ABSORBENT PRODUCTS, SUCH AS PADS, SPECIAL UNDERWEAR, SANITARY NAPKINS, OR TOILET PAPER?
1 Yes
5 No
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C074
Have you ever received a diagnosis of gastritis, stomach ulcer, duodenal ulcer from a doctor?
HAVE YOU EVER RECEIVED A DIAGNOSIS OF GASTRITIS, STOMACH ULCER, DUODENAL ULCER FROM A DOCTOR?
1 Yes
5 No
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| |
If Have you ever received a diagnosis of gastritis, stomach ulcer, duodenal ulcer from a doctor? = 1 or Have you ever received a diagnosis of gastritis, stomach ulcer, duodenal ulcer from a doctor? = 5 »
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C075
were you first diagnosed with diseases of the digestive system? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]
WERE YOU FIRST DIAGNOSED WITH DISEASES OF THE DIGESTIVE SYSTEM? (UNIT : YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.]
200600..201411
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C076
Are you currently taking any mediation or receiving treatment for your diseases of the digestive system?
ARE YOU CURRENTLY TAKING ANY MEDIATION OR RECEIVING TREATMENT FOR YOUR DISEASES OF THE DIGESTIVE SYSTEM?
1 Yes
5 No
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C077
Does your diseases of the digestive system limit your daily activities?
DOES YOUR DISEASES OF THE DIGESTIVE SYSTEM LIMIT YOUR DAILY ACTIVITIES?
1 Yes
5 No
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C078
Slipped disc Have you ever received a diagnosis of a herminated cervical (lumber) disc from doctor? (Exclude backache or muscular pain.)
SLIPPED DISC HAVE YOU EVER RECEIVED A DIAGNOSIS OF A HERMINATED CERVICAL (LUMBER) DISC FROM DOCTOR? (EXCLUDE BACKACHE OR MUSCULAR PAIN.)
1 Yes
5 No
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| |
C079
When were you first diagnosed with slipped disc? (unit : year and month combined into 6 digits)[IWER: Enter the year and month using 6 digits. For example, mark 201401 for January 2014. If the month is not clear, enter 201400.]
WHEN WERE YOU FIRST DIAGNOSED WITH SLIPPED DISC? (UNIT : YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: ENTER THE YEAR AND MONTH USING 6 DIGITS. FOR EXAMPLE, MARK 201401 FOR JANUARY 2014. IF THE MONTH IS NOT CLEAR, ENTER 201400.]
200600..201411
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C080
Are you currently taking any mediation or receiving treatment for your slipped disc?
ARE YOU CURRENTLY TAKING ANY MEDIATION OR RECEIVING TREATMENT FOR YOUR SLIPPED DISC?
1 Yes
5 No
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C081
Does your diseases of your slipped disc limit your daily activities?
DOES YOUR DISEASES OF YOUR SLIPPED DISC LIMIT YOUR DAILY ACTIVITIES?
1 Yes
5 No
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C082
Now I have some questions about your eyesight. Do you usually wear glasses or corrective lens?
NOW I HAVE SOME QUESTIONS ABOUT YOUR EYESIGHT. DO YOU USUALLY WEAR GLASSES OR CORRECTIVE LENS?
1 Yes
3 Visually disabled (blind)
5 No
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| |
If Now I have some questions about your eyesight. Do you usually wear glasses or corrective lens? != 3 »
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C083
How good is your eyesight (including corrected vision)?
HOW GOOD IS YOUR EYESIGHT (INCLUDING CORRECTED VISION)?
1 Very good
2 Good
3 Fair
4 Poor
5 Very poor
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C084
How good is your eyesight (including corrected vision) for seeing things at a distance, like recognizing a friend across a street?
HOW GOOD IS YOUR EYESIGHT (INCLUDING CORRECTED VISION) FOR SEEING THINGS AT A DISTANCE, LIKE RECOGNIZING A FRIEND ACROSS A STREET?
1 Very good
2 Good
3 Fair
4 Poor
5 Very poor
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C085
How good is your eyesight (including corrected vision) for seeing things up close, like reading a newspaper?
HOW GOOD IS YOUR EYESIGHT (INCLUDING CORRECTED VISION) FOR SEEING THINGS UP CLOSE, LIKE READING A NEWSPAPER?
1 Very good
2 Good
3 Fair
4 Poor
5 Very poor
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| |
C086
Have you ever had a cataract surgery since the previous interview?
HAVE YOU EVER HAD A CATARACT SURGERY SINCE THE PREVIOUS INTERVIEW?
1 Yes
5 No
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| |
|
| |
If Have you ever had a cataract surgery since the previous interview? = 1 »
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C087
Have you had a cataract surgery on both eyes or just one?
HAVE YOU HAD A CATARACT SURGERY ON BOTH EYES OR JUST ONE?
1 One eye only
5 Both eyes
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C088
Has a doctor ever treated you for glaucoma since the previous interview?
HAS A DOCTOR EVER TREATED YOU FOR GLAUCOMA SINCE THE PREVIOUS INTERVIEW?
1 Yes
5 No
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C089
Does your eyesight limit your daily activities?
DOES YOUR EYESIGHT LIMIT YOUR DAILY ACTIVITIES?
1 Yes
5 No
|
| |
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C090
Now I have some questions about your hearing. Do you wear a hearing aid?
NOW I HAVE SOME QUESTIONS ABOUT YOUR HEARING. DO YOU WEAR A HEARING AID?
1 Yes
5 No
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| |
C091
How good is your hearing? If you use a hearing aid, answer about your hearing when you wear it.
HOW GOOD IS YOUR HEARING? IF YOU USE A HEARING AID, ANSWER ABOUT YOUR HEARING WHEN YOU WEAR IT.
1 Very good
2 Good
3 Fair
4 Poor
5 Very poor
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| |
C092
Does your hearing limit your daily activities?
DOES YOUR HEARING LIMIT YOUR DAILY ACTIVITIES?
1 Yes
5 No
|
| |
C093
Now I have some questions about your dental health. Do you wear dentures?
NOW I HAVE SOME QUESTIONS ABOUT YOUR DENTAL HEALTH. DO YOU WEAR DENTURES?
1 Yes
5 No
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| |
If Now I have some questions about body pain. In what part of your body do you feel pain? Please list all body parts in which you are currently feeling pain. (Select multiple responses, but not with 14.) = 1 »
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C097
How bad is the headache?
HOW BAD IS THE HEADACHE?
1 Mild
3 Moderate
5 Severe
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C098
How bad is the shoulder pain?
HOW BAD IS THE SHOULDER PAIN?
1 Mild
3 Moderate
5 Severe
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C099
How bad is the arm pain?
HOW BAD IS THE ARM PAIN?
1 Mild
3 Moderate
5 Severe
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C100
How bad is the wrist pain?
HOW BAD IS THE WRIST PAIN?
1 Mild
3 Moderate
5 Severe
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C101
How bad is the finger pain?
HOW BAD IS THE FINGER PAIN?
1 Mild
3 Moderate
5 Severe
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C102
How bad is the chest pain?
HOW BAD IS THE CHEST PAIN?
1 Mild
3 Moderate
5 Severe
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| |
C103
How bad is the stomachache?
HOW BAD IS THE STOMACHACHE?
1 Mild
3 Moderate
5 Severe
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| |
C104
How bad is the back pain?
HOW BAD IS THE BACK PAIN?
1 Mild
3 Moderate
5 Severe
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| |
C105
How bad is the buttocks pain?
HOW BAD IS THE BUTTOCKS PAIN?
1 Mild
3 Moderate
5 Severe
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| |
C106
How bad is the leg pain?
HOW BAD IS THE LEG PAIN?
1 Mild
3 Moderate
5 Severe
|
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|
| |
C107
How bad is the knee pain?
HOW BAD IS THE KNEE PAIN?
1 Mild
3 Moderate
5 Severe
|
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|
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| |
C108
How bad is the ankle pain?
HOW BAD IS THE ANKLE PAIN?
1 Mild
3 Moderate
5 Severe
|
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|
| |
C109
How bad is the toe pain?
HOW BAD IS THE TOE PAIN?
1 Mild
3 Moderate
5 Severe
|
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|
| |
C110
Does the pain make it difficult for you to do daily activities?
DOES THE PAIN MAKE IT DIFFICULT FOR YOU TO DO DAILY ACTIVITIES?
1 Yes
5 No
|
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| |
C111
Do you have any other disease or health problem we have not talked about so far?
DO YOU HAVE ANY OTHER DISEASE OR HEALTH PROBLEM WE HAVE NOT TALKED ABOUT SO FAR?
1 Yes
5 No
|
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|
If Do you have any other disease or health problem we have not talked about so far? = 1 THRN
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C112
What is that other disease or health problem?____________________
WHAT IS THAT OTHER DISEASE OR HEALTH PROBLEM?____________________
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C113
How much do you weigh? (unit: Kilogram)______kilograms
HOW MUCH DO YOU WEIGH? (UNIT: KILOGRAM)______KILOGRAMS
30..200
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| |
C114
Did you gain or lose 5 or more kilograms during the past one year?Past one year means previous one year period from present. Not only 2013.
DID YOU GAIN OR LOSE 5 OR MORE KILOGRAMS DURING THE PAST ONE YEAR?PAST ONE YEAR MEANS PREVIOUS ONE YEAR PERIOD FROM PRESENT. NOT ONLY 2013.
1 Yes, I gained weight
2 Yes, I lost weight
3 Yes, I gained weight and then lost it again
4 Yes, I lost weight and then gained it again
5 Changelessness
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| |
C115
How tall are you? (unit: Centimeter)______ centimeters
HOW TALL ARE YOU? (UNIT: CENTIMETER)______ CENTIMETERS
70..210
|
| |
C116
The next few questions are about exercise. Do you work out more than once a week?
THE NEXT FEW QUESTIONS ARE ABOUT EXERCISE. DO YOU WORK OUT MORE THAN ONCE A WEEK?
1 Yes
5 No
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| |
If The next few questions are about exercise. Do you work out more than once a week? = 5 »
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C117
What is the main reason that you cannot exercise regularly?
WHAT IS THE MAIN REASON THAT YOU CANNOT EXERCISE REGULARLY?
1 Too busy
2 No space or place to work out
3 Too lazy
4 Do not like exercise
5 Never thought about doing exercise
6 Others
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If What is the main reason that you cannot exercise regularly? = 6 »
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C118
If others, please specify.
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| |
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|
If The next few questions are about exercise. Do you work out more than once a week? = 1 »
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C119
How often do you work out per week? (unit : times/per week)______times / per week
HOW OFTEN DO YOU WORK OUT PER WEEK? (UNIT : TIMES/PER WEEK)______TIMES / PER WEEK
1..97
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| |
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| |
C120
How long do you work out per session? (unit : minutes)minutes
HOW LONG DO YOU WORK OUT PER SESSION? (UNIT : MINUTES)MINUTES
1..1440
|
| |
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C121
How long have you been working out regularly?
HOW LONG HAVE YOU BEEN WORKING OUT REGULARLY?
1 Less than 3 months
2 4-6 months
3 7 months-1 year
4 1-2 years
5 2-3 years
6 3-4 years
7 4-5 years
8 5-6 years
9 6-7 years
10 More than 7 years
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C122
Now I am going to ask you about the meals you had for the last two days. Did you have three meals yesterday? Choose all that apply. (Select multiple responses.)[IWER: Caution! Choose only the meals R actually had.]
NOW I AM GOING TO ASK YOU ABOUT THE MEALS YOU HAD FOR THE LAST TWO DAYS. DID YOU HAVE THREE MEALS YESTERDAY? CHOOSE ALL THAT APPLY. (SELECT MULTIPLE RESPONSES.)[IWER: CAUTION! CHOOSE ONLY THE MEALS R ACTUALLY HAD.]
1 I had breakfast
2 I had lunch
3 I had dinner
4 I did not eat anything
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| |
C123
Did you have three meals the day before yesterday? Choose all that apply. (Select multiple responses.)[IWER: Caution! Choose only the meals R actually had.]
DID YOU HAVE THREE MEALS THE DAY BEFORE YESTERDAY? CHOOSE ALL THAT APPLY. (SELECT MULTIPLE RESPONSES.)[IWER: CAUTION! CHOOSE ONLY THE MEALS R ACTUALLY HAD.]
1 I had breakfast
2 I had lunch
3 I had dinner
4 I did not eat anything
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| |
C124
Have you smoked more than 5 packs of cigarettes (100 cigarettes) in total since the previous interview (____year__month__date)?
HAVE YOU SMOKED MORE THAN 5 PACKS OF CIGARETTES (100 CIGARETTES) IN TOTAL SINCE THE PREVIOUS INTERVIEW (____YEAR__MONTH__DATE)?
1 Yes
5 No
|
| |
If Have you smoked more than 5 packs of cigarettes (100 cigarettes) in total since the previous interview (____year__month__date)? = 1 OR »
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C125
Do you smoke cigarettes now?
DO YOU SMOKE CIGARETTES NOW?
1 Yes
5 No
|
| |
|
| |
If Do you smoke cigarettes now? = 1 and R WAS NOT A SMOKER »
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C126
When did you first start smoking?(unit: : year and month combined into 6 digits)[IWER: Calculate the year and month after hearing R's response. For example, enter 201403 if R started smoking in March 2014.]
WHEN DID YOU FIRST START SMOKING?(UNIT: : YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: CALCULATE THE YEAR AND MONTH AFTER HEARING R'S RESPONSE. FOR EXAMPLE, ENTER 201403 IF R STARTED SMOKING IN MARCH 2014.]
200600..201411
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Else If Do you smoke cigarettes now? = 1 »
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C127
How many cigarettes or packs do you usually smoke in a day now? (unit: a cigarette)[IWER: One pack is 20 cigarettes. For example, mark 30 for one and a half packs]______ cigarettes / days
HOW MANY CIGARETTES OR PACKS DO YOU USUALLY SMOKE IN A DAY NOW? (UNIT: A CIGARETTE)[IWER: ONE PACK IS 20 CIGARETTES. FOR EXAMPLE, MARK 30 FOR ONE AND A HALF PACKS]______ CIGARETTES / DAYS
1..100
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| |
|
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| |
If Do you smoke cigarettes now? = 5 and R WAS A SMOKER »
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C128
When you were smoking the most, how many cigarettes or packs did you usually smoke in a day? (unit : a cigarette)[IWER: One pack is 20 cigarettes. For example, mark 30 for one and a half packs.]______cigarettes / days
WHEN YOU WERE SMOKING THE MOST, HOW MANY CIGARETTES OR PACKS DID YOU USUALLY SMOKE IN A DAY? (UNIT : A CIGARETTE)[IWER: ONE PACK IS 20 CIGARETTES. FOR EXAMPLE, MARK 30 FOR ONE AND A HALF PACKS.]______CIGARETTES / DAYS
1..200
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|
Else If Have you smoked more than 5 packs of cigarettes (100 cigarettes) in total since the previous interview (____year__month__date)? = 5 and R WAS A SMOKER »
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| |
C129
When did you stop smoking? (unit: year and month combined into 6 digits. e.g. 198903)[IWER: Calculate the year and month after hearing R's response. For example, enter 201403 if R quitted smoking in March 2014.]
WHEN DID YOU STOP SMOKING? (UNIT: YEAR AND MONTH COMBINED INTO 6 DIGITS. E.G. 198903)[IWER: CALCULATE THE YEAR AND MONTH AFTER HEARING R'S RESPONSE. FOR EXAMPLE, ENTER 201403 IF R QUITTED SMOKING IN MARCH 2014.]
200600..201411
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| |
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C130
Do you sometimes or often drink any alcoholic beverages, such as Soju, beer, Makgeolli (rice wine), or liquor?
DO YOU SOMETIMES OR OFTEN DRINK ANY ALCOHOLIC BEVERAGES, SUCH AS SOJU, BEER, MAKGEOLLI (RICE WINE), OR LIQUOR?
1 Yes
5 No
|
| |
If Do you sometimes or often drink any alcoholic beverages, such as Soju, beer, Makgeolli (rice wine), or liquor? = 5 »
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| |
If (R DRANK PREV INTERVIEW) and C130 = 5 »
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C131
When did you quit drinking? (unit: year and month combined into 6 digits. e.g. 198903)[IWER: Calculate the year and month after hearing R's response. For example, enter 201403 if R quitted smoking in March 2014.]
WHEN DID YOU QUIT DRINKING? (UNIT: YEAR AND MONTH COMBINED INTO 6 DIGITS. E.G. 198903)[IWER: CALCULATE THE YEAR AND MONTH AFTER HEARING R'S RESPONSE. FOR EXAMPLE, ENTER 201403 IF R QUITTED SMOKING IN MARCH 2014.]
200600..201411
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| |
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| |
If (R NOT DRANK PREV INTERVIEW) and C130 = 1 »
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C132
When did you start drinking? (unit: year and month combined into 6 digits)[IWER: Calculate the year and month after hearing R's response. For example, enter 201403 if R started drinking in March 2014.]
WHEN DID YOU START DRINKING? (UNIT: YEAR AND MONTH COMBINED INTO 6 DIGITS)[IWER: CALCULATE THE YEAR AND MONTH AFTER HEARING R'S RESPONSE. FOR EXAMPLE, ENTER 201403 IF R STARTED DRINKING IN MARCH 2014.]
200600..201411
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| |
|
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| |
If (R DRANK PREV INTERVIEW) and C130 = 1 »
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|
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C133
Now, I am going to ask you how often and how much you drank during the past one year. Please answer how often you drank per month, and how much you drank at a time on average. I will repeat the questions for different types of alcoholic beverages.
NOW, I AM GOING TO ASK YOU HOW OFTEN AND HOW MUCH YOU DRANK DURING THE PAST ONE YEAR. PLEASE ANSWER HOW OFTEN YOU DRANK PER MONTH, AND HOW MUCH YOU DRANK AT A TIME ON AVERAGE. I WILL REPEAT THE QUESTIONS FOR DIFFERENT TYPES OF ALCOHOLIC BEVERAGES.
1 Confirm
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| |
|
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C134
How often did you drink Soju (Korean liquor) in a month?
HOW OFTEN DID YOU DRINK SOJU (KOREAN LIQUOR) IN A MONTH?
1 None or less than once a month
2 Once a month
3 2-3 times a month
4 Once a week
5 2-3 times a week
6 4-6 times a week
7 Once a day
8 More than twice a day
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C135
How many glasses of Soju did you drink at a time? (unit: a glass)[1bottle = 6.5 glasses, a glass of Soju = 50cc] Average ______ glasses
HOW MANY GLASSES OF SOJU DID YOU DRINK AT A TIME? (UNIT: A GLASS)[1BOTTLE = 6.5 GLASSES, A GLASS OF SOJU = 50CC] AVERAGE ______ GLASSES
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C136
How often did you drink beer in a month?
HOW OFTEN DID YOU DRINK BEER IN A MONTH?
1 None or less than once a month
2 Once a month
3 2-3 times a month
4 Once a week
5 2-3 times a week
6 4-6 times a week
7 Once a day
8 More than twice a day
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If How often did you drink beer in a month? != 1 »
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C137
How many glasses of beer did you drink at a time? (unit: a glass)[IWER: If R answered a bottle, ask size of a bottle(500cc or 1.5L). And then calculate the number of glasses by a glass of beer(220cc). For example, two bottles of beer are about four glasses][1bottle = 2.5 glasses of beer, a glass of beer = 220cc]Average ______ glasses
HOW MANY GLASSES OF BEER DID YOU DRINK AT A TIME? (UNIT: A GLASS)[IWER: IF R ANSWERED A BOTTLE, ASK SIZE OF A BOTTLE(500CC OR 1.5L). AND THEN CALCULATE THE NUMBER OF GLASSES BY A GLASS OF BEER(220CC). FOR EXAMPLE, TWO BOTTLES OF BEER ARE ABOUT FOUR GLASSES][1BOTTLE = 2.5 GLASSES OF BEER, A GLASS OF BEER = 220CC]AVERAGE ______ GLASSES
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C128
When you were smoking the most, how many cigarettes or packs did you usually smoke in a day? (unit : a cigarette)[IWER: One pack is 20 cigarettes. For example, mark 30 for one and a half packs.]______cigarettes / days
WHEN YOU WERE SMOKING THE MOST, HOW MANY CIGARETTES OR PACKS DID YOU USUALLY SMOKE IN A DAY? (UNIT : A CIGARETTE)[IWER: ONE PACK IS 20 CIGARETTES. FOR EXAMPLE, MARK 30 FOR ONE AND A HALF PACKS.]______CIGARETTES / DAYS
1..200
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If How often did you drink Makgeolli (rice wine) in a month? != 1 »
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C129
When did you stop smoking? (unit: year and month combined into 6 digits. e.g. 198903)[IWER: Calculate the year and month after hearing R's response. For example, enter 201403 if R quitted smoking in March 2014.]
WHEN DID YOU STOP SMOKING? (UNIT: YEAR AND MONTH COMBINED INTO 6 DIGITS. E.G. 198903)[IWER: CALCULATE THE YEAR AND MONTH AFTER HEARING R'S RESPONSE. FOR EXAMPLE, ENTER 201403 IF R QUITTED SMOKING IN MARCH 2014.]
200600..201411
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C140
How often did you drink whisky and other liquors in a month?
HOW OFTEN DID YOU DRINK WHISKY AND OTHER LIQUORS IN A MONTH?
1 None or less than once a month
2 Once a month
3 2-3 times a month
4 Once a week
5 2-3 times a week
6 4-6 times a week
7 Once a day
8 More than twice a day
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If How often did you drink whisky and other liquors in a month? != 1 »
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C141
How many glasses of whisky or liquor did you drink at a time? (unit: a glass)[IWER: a glass of whisky = 30cc, calculate the number of a glass by size of a bottle]Average ______ glasses
HOW MANY GLASSES OF WHISKY OR LIQUOR DID YOU DRINK AT A TIME? (UNIT: A GLASS)[IWER: A GLASS OF WHISKY = 30CC, CALCULATE THE NUMBER OF A GLASS BY SIZE OF A BOTTLE]AVERAGE ______ GLASSES
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C142
How often did you drink wine in a month?
HOW OFTEN DID YOU DRINK WINE IN A MONTH?
1 None or less than once a month
2 Once a month
3 2-3 times a month
4 Once a week
5 2-3 times a week
6 4-6 times a week
7 Once a day
8 More than twice a day
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If How often did you drink wine in a month? != 1 »
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C143
How many glasses of wine did you drink at a time? (unit: a glass)[IWER: 1 bottle = 8 glasses, a glass of wine = 90cc]Average ______ glasses C.144. Have you ever felt that you should quit drinking?
HOW MANY GLASSES OF WINE DID YOU DRINK AT A TIME? (UNIT: A GLASS)[IWER: 1 BOTTLE = 8 GLASSES, A GLASS OF WINE = 90CC]AVERAGE ______ GLASSES C.144. HAVE YOU EVER FELT THAT YOU SHOULD QUIT DRINKING?
1 Yes
5 No
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C145
Has anyone complained about your drinking habit?
HAS ANYONE COMPLAINED ABOUT YOUR DRINKING HABIT?
1 Yes
5 No
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If Has anyone complained about your drinking habit? = 1 »
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C146
Have people ever annoyed you by complaining about your drinking habit?
HAVE PEOPLE EVER ANNOYED YOU BY COMPLAINING ABOUT YOUR DRINKING HABIT?
1 Yes
5 No
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C147
Have you ever felt bad or guilty about drinking?
HAVE YOU EVER FELT BAD OR GUILTY ABOUT DRINKING?
1 Yes
5 No
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If Have you ever felt bad or guilty about drinking? = 1 »
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C148
Have you ever taken a drink first thing in the morning to calm your nerves or get rid of a hangover?
HAVE YOU EVER TAKEN A DRINK FIRST THING IN THE MORNING TO CALM YOUR NERVES OR GET RID OF A HANGOVER?
1 Yes
5 No
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C149
Next I will ask you about your feelings and behavior during the last week. Please answer how often you felt or behaved in the following ways. How often did you felt that people gave you the cold shoulder in last week?
NEXT I WILL ASK YOU ABOUT YOUR FEELINGS AND BEHAVIOR DURING THE LAST WEEK. PLEASE ANSWER HOW OFTEN YOU FELT OR BEHAVED IN THE FOLLOWING WAYS. HOW OFTEN DID YOU FELT THAT PEOPLE GAVE YOU THE COLD SHOULDER IN LAST WEEK?
1 Very rarely (less than one day)
2 Sometimes (1-2 days)
3 Often (3-4 days)
4 Almost always (5-7 days)
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C150
How often did you felt sad last week?
HOW OFTEN DID YOU FELT SAD LAST WEEK?
1 Very rarely (less than one day)
2 Sometimes (1-2 days)
3 Often (3-4 days)
4 Almost always (5-7 days)
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C151
How often did you feel depressed last week?
HOW OFTEN DID YOU FEEL DEPRESSED LAST WEEK?
1 Very rarely (less than one day)
2 Sometimes (1-2 days)
3 Often (3-4 days)
4 Almost always (5-7 days)
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C152
How often did you feel tired out or low in energy last week?
HOW OFTEN DID YOU FEEL TIRED OUT OR LOW IN ENERGY LAST WEEK?
1 Very rarely (less than one day)
2 Sometimes (1-2 days)
3 Often (3-4 days)
4 Almost always (5-7 days)
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C153
How was your last week? How often did you feel pretty good?
HOW WAS YOUR LAST WEEK? HOW OFTEN DID YOU FEEL PRETTY GOOD?
1 Very rarely (less than one day)
2 Sometimes (1-2 days)
3 Often (3-4 days)
4 Almost always (5-7 days)
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C154
How often did you feel that people disliked you last week?
HOW OFTEN DID YOU FEEL THAT PEOPLE DISLIKED YOU LAST WEEK?
1 Very rarely (less than one day)
2 Sometimes (1-2 days)
3 Often (3-4 days)
4 Almost always (5-7 days)
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C155
How often did you have trouble falling asleep last week?
HOW OFTEN DID YOU HAVE TROUBLE FALLING ASLEEP LAST WEEK?
1 Very rarely (less than one day)
2 Sometimes (1-2 days)
3 Often (3-4 days)
4 Almost always (5-7 days)
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C156
How often did you feel satisfied overall last week?
HOW OFTEN DID YOU FEEL SATISFIED OVERALL LAST WEEK?
1 Very rarely (less than one day)
2 Sometimes (1-2 days)
3 Often (3-4 days)
4 Almost always (5-7 days)
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C157
How often did you feel alone last week?
HOW OFTEN DID YOU FEEL ALONE LAST WEEK?
1 Very rarely (less than one day)
2 Sometimes (1-2 days)
3 Often (3-4 days)
4 Almost always (5-7 days)
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C158
How often did you feel down, no good or worthless last week?
HOW OFTEN DID YOU FEEL DOWN, NO GOOD OR WORTHLESS LAST WEEK?
1 Very rarely (less than one day)
2 Sometimes (1-2 days)
3 Often (3-4 days)
4 Almost always (5-7 days)
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C159
I have some questions about your health. How do you appreciate your health?
I HAVE SOME QUESTIONS ABOUT YOUR HEALTH. HOW DO YOU APPRECIATE YOUR HEALTH?
1 Excellent
2 Very good
3 Good
4 Average
5 Bad
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C160
[IWER: C1. HEALTH STATUS is completed. Please press save button. How often did R receive assistance in answering section C1‐HEALTH STATUS?]
[IWER: C1. HEALTH STATUS IS COMPLETED. PLEASE PRESS SAVE BUTTON. HOW OFTEN DID R RECEIVE ASSISTANCE IN ANSWERING SECTION C1‐HEALTH STATUS?]
1 Never
2 A few times
3 Most or all of the time
4 The section was done by a proxy respondent.
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C161
If proxy responded, what is the proxy's relationship to R?
IF PROXY RESPONDED, WHAT IS THE PROXY'S RELATIONSHIP TO R?
1 Spouse
2 Mother
3 Father
6 Brother/sister
8 Son/daughter
9 Son-in-law/sister-in-law
10 Grandchild
11 Other relatives
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End of C1. Health Status
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