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C1
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Now I have some questions about your health. Would you say your health is... |
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C2a
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Comparing your health now with your health two years ago, would you say your health now is... |
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C2b
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In the last two years, have you seen a doctor or medical personnel? |
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C3
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Compared with other people your age, would you say that currently your health is...? |
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C4
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Has a doctor or medical personnel (ever/in the last two years) diagnosed you with hypertension or high blood pressure? |
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C5
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Are you currently taking any medication to lower your blood pressure? |
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C6
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Has a doctor or medical personnel (ever/in the last two years) diagnosed you with diabetes? |
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C7
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Are you currently taking any oral medication in order to control your diabetes? |
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C8
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Are you currently using insulin shots? |
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C9
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Do you follow a special diet to control your diabetes? |
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C10
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In general, is your diabetes under control now? |
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C11
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How frequently do you measure your blood sugar level or urine-sugar level? |
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C12
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During the last two years, Has a doctor or medical personnel ever diagnosed you with cancer? |
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C13
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In total, how many cancers in different places or organs have you ever had? |
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C14
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What type of cancer? |
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C15
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In the last two years, have you consulted a doctor or medical personnel about your cancer? |
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C16
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In the last two years, what type of treatments have you received for your cancer? |
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C17
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Are you currently receiving treatment for your cancer? |
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C18
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In what year or at what age was your (most recent) cancer diagnosed? |
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C19
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(In the last two years/ever) Has a doctor or medical personnel told diagnosed you with a respiratory illness, such as asthma or emphysema? |
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C20a
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Are you currently taking medication or using another treatment for your respiratory illness? |
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C20c
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Are you receiving oxygen for your pulmonary disease? |
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C21
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Does this condition limit your daily activities such as household chores or your job? |
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C22a
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Has a doctor or medical personnel ever told you that you have had a heart attack? |
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C22b
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In what year or at about what age did you have your (most recent) heart attack? |
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C23
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Are you currently taking medication for your heart condition? |
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C24
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Do you carry any medicine with you for chest pain? |
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C25a
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Does this heart problem limit your daily activities such as household chores or your job? |
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C25b
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Has a doctor or medical personnel ever told you that you have had heart failure/cardiac failure/congestive heart failure, arrhythmia, or angina? |
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C26
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Has a doctor or medical personnel (ever/in the last two years) told you that you had a stroke? |
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C27
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Because of your stroke do you have...? |
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C27_1
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...weakness in the arms and/or legs, or the capacity to move them has diminished |
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C27_2
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...difficulties when speaking or eating |
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C27_3
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...difficulties with sight or vision |
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C27_4
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...difficulties when thinking or saying what you want |
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C28
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Are you currently taking any medications because of your stroke or for complications due to the stroke? |
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C29
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Are you doing physical therapy or rehabilitation because of the stroke or the complications that resulted from the stroke? |
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C30
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In what year or at about what age did you have your (most recent) stroke? |
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C31
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Has this stroke limited your daily activities such as household chores or your job? |
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C32
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Has a doctor or medical personnel ever diagnosed you with arthritis or rheumatism? |
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C33
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Do you feel pain, stiffness, or swelling in your joints? |
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C34
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Are you taking medication or are you receiving other treatment for your arthritis or rheumatism? |
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C35
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Are your daily activities such as household chores or your job limited because of your arthritis? |
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C36
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In the last 2 years, has a doctor or medical personnel told you that you have... |
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C36_1
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Kidney infection |
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C36_2
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Liver infection |
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C36_3
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Tuberculosis |
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C36_4
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Pneumonia |
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C36_5
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Herpes or Herpes Zoster? |
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C37
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Have you fallen down in the last two years? |
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C38
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Approximately how many times has this happened? |
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C39
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Have you hurt yourself in these falls badly enough to need medical treatment? |
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C40a
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Since your fiftieth birthday, have you fractured any bone(s) including your hip? |
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C40b
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In the last 10 years, have you fractured any bone(s) including your hip? |
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C40c
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Did this fracture occur in the last 2 years? |
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C41
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Do you usually wear glasses? |
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C42
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How is your vision (with glasses)? |
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C43
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Do you usually use a hearing aid or auditory device? |
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C44
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How is you hearing/auditory range (using hearing aid or auditory device)? |
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C45
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Do you often suffer from pain? |
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C46
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How is the pain the majority of the time? |
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C47
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Does this pain limit your usual activities such as household chores or your job? |
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C48
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In the last two years, have you had any of the following exams or medical procedures? |
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C48a
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Colonoscopy, sigmoidoscopy or other test for colon cancer |
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C48b
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Cholesterol blood test |
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C48c
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Tuberculosis test |
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C48d
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Diabetes test |
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C48e
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Blood pressure test |
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C48f
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Flu vaccine |
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C48g
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Pneumonia vaccine |
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C48h
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Monthly self-breast exam? |
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C48i
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Had you had a mammogram or x-ray to check for breast cancer? |
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C48j
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Have you had a pap smear to check for uterine cancer? |
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C48m
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In the last 2 years, have you had an exam or blood test to screen for prostate cancer? |
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C48k
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How old were you when you finished passing through menopause, i.e., your last menstral cycle? |
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C48k_1
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Were you... |
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C48l
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Have you had a hysterectomy, i.e., surgery to remove the womb (uterus) and ovaries, or womb (uterus) only? |
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C49
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These questions refer to how you have felt during the past week. For each question please tell me if the majority of the time: |
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C49_1
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You felt depressed? |
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C49_2
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You felt everything you did was an effort? |
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C49_3
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Had restless sleep? |
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C49_4
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Felt happy? |
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C49_5
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Felt alone? |
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C49_6
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Felt you enjoyed life? |
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C49_7
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Felt sad? |
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C49_8
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Felt tired? |
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C49_9
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Felt very energetic? |
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C50a
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In the last 2 years, have you ever felt sad, blue, or depressed for more than two weeks in a row? |
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C50b
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On average during the last two years, have you exercised or done hard physical work three or more times a week? |
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C51
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Have you ever smoked cigarettes? |
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C52
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About how old were you when you started smoking?Age or Year started smoking or Started smoking [yy] years ago...... |
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C53
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Have you smoked cigarettes in the last two years? |
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C54
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Do you smoke cigarettes now? |
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C55
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How often do you smoke? |
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C56
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About how many cigarettes or packs do you usually smoke in a day? |
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C57
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When you were smoking the most, about how many cigarettes or packs did you usually smoke in a day? |
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C58
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About how many years ago did you stop smoking? |
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C59a
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Do you ever drink any alcoholic beverages such as beer, wine, liquor, or pulque (drink made from fermented cactus sap)? |
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C59b
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In the last three months, about how many days a week have you had an alcoholic beverage? NONE, OR LESS THAN ONE PER WEEK MARK "0" AND GO TO C.64 |
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C59c
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On the days that you drank alcoholic beverages in the last three months, about how many drinks did you have per day? |
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C59d
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In the last three months, on how many days have you had four or more drinks on one occasion? |
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C59e
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During the last two years, have you had any alcoholic drinks such as beer, wine, liqour, or pulque (drink made from fermented cactus sap)? |
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C60
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(When you were drinking), have you ever felt that you should (have) cut down on the quantity of drinks you have (had)? |
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C61
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(When you were drinking), have (did) people ever annoy you by criticizing your drinking habits? |
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C62
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Have you ever felt bad or guilty about drinking? |
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C63
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Have you ever had an alcoholic drink when you woke up in the morning in order to calm your nerves or to get rid of a "hangover"? |
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C64
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Compared with two years ago, your weight.. |
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C65
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In the last two years, have you changed your diet or your exercise habits in order to gain or lose weight? |
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C66
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About how much do you weigh now? |
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C67
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About how tall are you without shoes? |
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C68
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During the last two years have you frequently had any of the following problems or inconveniences? |
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C68a
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Frequent swelling in the feet or ankles |
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C68b
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Difficulty breathing , panting or coughing, or phlegm |
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C68c
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Nausea or fainting |
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C68d
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Extreme thirst |
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C68e
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Severe fatigue or exhaustion |
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C68f
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Stomach pain, indigestion or diarrhea |
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C68g
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Incontinence when coughing, sneezing, picking something up, or exercising |
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C68h
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Incontinence when had the urge to urinate, but couldn't reach the bathroom in time |
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C68i
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Burning sensation when urinating |
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C69a
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How would you evaluate your hand strength (your dominant hand)? Would you say... |
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C69b
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How often do you have difficulty with balance? Would you say... |
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C70
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In the last two years, have you eaten less because of loss of appetite, digestive problems, and difficulties chewing or swallowing? |
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C71a
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Have you lost an extremity or part of your feet or arms due to an accident or sickness? |
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C71b
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Did this loss occur in the last 2 years? |
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C72
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Have you ever (or in the last two years) been told by a doctor or medical personnel that you suffer from a health problem caused by your job? |
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C73
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Due to sickness or injury, during the last 12 months, how many days did you stay in bed for at least half the day? |
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C74
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How often do you feel really rested when you wake up in the morning? Would you say... |
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C74a
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How often do you have difficulty falling asleep? Would you say that... |
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C74b
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How often do you wake up during the night after falling asleep? Would you say that... |
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C74c
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How often do you wake up early and are not able to go back to sleep? Would you say that... |
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C74d
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How often do you feel relaxed when you wake up in the morning? |
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C75
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INTERVIEWER: How frequently did the respondent need help to answer Section C. Health? |
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C20b
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Are you receiving oxygen for your pulmonary disease? |