HHID Household Identifier
Section: B Level: Respondent CAI Reference: Q9001
Type: Character Width: 6 Decimals: 0
................................................................................
234 000000-099000. Household Identification Number
PN Person Number
Section: B Level: Respondent CAI Reference: Q9002
Type: Character Width: 3 Decimals: 0
................................................................................
124 010. Respondent Person Identification Number
1 011. Respondent Person Identification Number
51 020. Respondent Person Identification Number
26 030. Respondent Person Identification Number
32 040. Respondent Person Identification Number
CSUBHH 1994 Sub-household Identifier
Section: B Level: Respondent CAI Reference: Q9003
Type: Character Width: 1 Decimals: 0
................................................................................
231 0. 1994 Sub-Household Identification Number
1 1. 1994 Sub-Household Identification Number
2 2. 1994 Sub-Household Identification Number
PSUBHH 1996 Sub-household Identifier
Section: B Level: Respondent CAI Reference: Q9004
Type: Character Width: 1 Decimals: 0
................................................................................
232 3. 1996 Sub-Household Identification Number
2 4. 1996 Sub-Household Identification Number
PPN_SP 1996 Spouse / Partner Person Number
Section: B Level: Respondent CAI Reference: Q9005
Type: Character Width: 3 Decimals: 0
................................................................................
65 010. Spouse Person Identification Number
10 011. Spouse Person Identification Number
67 020. Spouse Person Identification Number
15 030. Spouse Person Identification Number
17 040. Spouse Person Identification Number
60 Blank. No Spouse
P787 B0x.INTRO
Section: B Level: Respondent CAI Reference: Q787
Type: Character Width: 1 Decimals: 0
B0x.
Next I would like to ask you some questions about
[Q95-PREV WAVE IW MONTH] 's
IF Q370 IS (1)
health since
[Q95-PREV WAVE IW MONTH]
[Q96.] .
ELSE
health during the last two years.
END
User note: This preamble variable has been included in this data set in
order to document questionnaire flow; all data values are blanks.
................................................................................
234 Blank. No Data Collected
P788 B5.CANCER
Section: B Level: Respondent CAI Reference: Q788
Type: Numeric Width: 1 Decimals: 0
B5.
IF Q370 IS (1)
WAVE 1:
[Q111-PREV WAVE CANCER V225]
END
IF Q370 IS (NE1)
Did a doctor ever say that (he/she) had cancer or a
malignant tumor, excluding minor skin cancers?
ELSE Q111 IS (1)
Our records from (his/her) last interview in
[Q95-PREV WAVE IW MONTH]
[Q96-PREV WAVE IW YEAR]
show that (he/she) had had cancer.
IWER: PRESS 1 THEN PRESS ENTER UNLESS R VOLUNTARILY
DISPUTES W1 RECORD.
ELSE
Since we talked to (him/her) in
[Q95-PREV WAVE IW MONTH]
[Q96-PREV WAVE IW YEAR] ,
did a doctor say that (he/she) had a cancer or
malignant tumor, excluding minor skin cancer?
END
................................................................................
98 1. YES
1 3. [VOL] DISPUTES W1 RECORD
134 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
P790 B5b. PAST CANCER TREATED
Section: B Level: Respondent CAI Reference: Q790
Type: Numeric Width: 1 Decimals: 0
B5b.
Did (he/she) receive treatment for cancer
IF Q370 IS (1)
since
[Q95-PREV WAVE IW MONTH]
[Q96-PREV WAVE IW YEAR]
ELSE
in the two years preceding (his/her) death?
END
................................................................................
77 1. YES
21 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
136 Blank. INAP (Inapplicable); [Q788:B5] IS (NE 1)
P791M1 B5c. CANCER TREATMENT
Section: B Level: Respondent CAI Reference: Q791
Type: Numeric Width: 1 Decimals: 0
B5c.
IF Q370 IS (NE1)
During the last two years,
ELSE
Since
[Q95-PREV WAVE IW MONTH]
[Q96-PREV WAVE IW YEAR] ,
END
what sort of treatments did (he/she) receive for cancer?
CHOOSE ALL THAT APPLY
User Note: Six mentions were allowed, maximum used was four.
................................................................................
46 1. CHEMOTHERAPY OR MEDICATION
9 2. SURGERY OR BIOPSY
12 3. RADIATION/ X-RAY
5 4. MEDICATIONS/TREATMENT FOR SYMPTOMS (PAIN, NAUSEA, RASHES)
2 5. NONE
1 7. OTHER, SPECIFY
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
157 Blank. INAP (Inapplicable); [Q788:B5] IS (NE 1); [Q789] IS (NE 1) AND
[Q790:B5b] IS (5) AND [Q111:PREV WAVE CANCER V225] IS (1);
[Q790:B5b] IS (NE 1) AND [Q111:PREV WAVE CANCER V225] IS (1);
[Q790:B5b] IS (NE 1) AND [Q111:PREV WAVE CANCER V225] IS (NE 1)
P791M2 B5c. CANCER TREATMENT
Section: B Level: Respondent CAI Reference: Q791
Type: Numeric Width: 1 Decimals: 0
B5c.
IF Q370 IS (NE1)
During the last two years,
ELSE
Since
[Q95-PREV WAVE IW MONTH]
[Q96-PREV WAVE IW YEAR] ,
END
what sort of treatments did (he/she) receive for cancer?
CHOOSE ALL THAT APPLY
User Note: Six mentions were allowed, maximum used was four.
................................................................................
3 1. CHEMOTHERAPY OR MEDICATION
13 2. SURGERY OR BIOPSY
20 3. RADIATION/ X-RAY
12 4. MEDICATIONS/TREATMENT FOR SYMPTOMS (PAIN, NAUSEA, RASHES)
5. NONE
7. OTHER, SPECIFY
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
186 Blank. INAP (Inapplicable); [Q788:B5] IS (NE 1); [Q789] IS (NE 1) AND
[Q790:B5b] IS (5) AND [Q111:PREV WAVE CANCER V225] IS (1);
[Q790:B5b] IS (NE 1) AND [Q111:PREV WAVE CANCER V225] IS (1);
[Q790:B5b] IS (NE 1) AND [Q111:PREV WAVE CANCER V225] IS (NE 1)
P791M3 B5c. CANCER TREATMENT
Section: B Level: Respondent CAI Reference: Q791
Type: Numeric Width: 1 Decimals: 0
B5c.
IF Q370 IS (NE1)
During the last two years,
ELSE
Since
[Q95-PREV WAVE IW MONTH]
[Q96-PREV WAVE IW YEAR] ,
END
what sort of treatments did (he/she) receive for cancer?
CHOOSE ALL THAT APPLY
User Note: Six mentions were allowed, maximum used was four.
................................................................................
2 1. CHEMOTHERAPY OR MEDICATION
8 2. SURGERY OR BIOPSY
9 3. RADIATION/ X-RAY
9 4. MEDICATIONS/TREATMENT FOR SYMPTOMS (PAIN, NAUSEA, RASHES)
5. NONE
7. OTHER, SPECIFY
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
206 Blank. INAP (Inapplicable); [Q788:B5] IS (NE 1); [Q789] IS (NE 1) AND
[Q790:B5b] IS (5) AND [Q111:PREV WAVE CANCER V225] IS (1);
[Q790:B5b] IS (NE 1) AND [Q111:PREV WAVE CANCER V225] IS (1);
[Q790:B5b] IS (NE 1) AND [Q111:PREV WAVE CANCER V225] IS (NE 1)
P791M4 B5c. CANCER TREATMENT
Section: B Level: Respondent CAI Reference: Q791
Type: Numeric Width: 1 Decimals: 0
B5c.
IF Q370 IS (NE1)
During the last two years,
ELSE
Since
[Q95-PREV WAVE IW MONTH]
[Q96-PREV WAVE IW YEAR] ,
END
what sort of treatments did (he/she) receive for cancer?
CHOOSE ALL THAT APPLY
User Note: Six mentions were allowed, maximum used was four.
................................................................................
1. CHEMOTHERAPY OR MEDICATION
3 2. SURGERY OR BIOPSY
3. RADIATION/ X-RAY
12 4. MEDICATIONS/TREATMENT FOR SYMPTOMS (PAIN, NAUSEA, RASHES)
5. NONE
1 7. OTHER, SPECIFY
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
218 Blank. INAP (Inapplicable); [Q788:B5] IS (NE 1); [Q789] IS (NE 1) AND
[Q790:B5b] IS (5) AND [Q111:PREV WAVE CANCER V225] IS (1);
[Q790:B5b] IS (NE 1) AND [Q111:PREV WAVE CANCER V225] IS (1);
[Q790:B5b] IS (NE 1) AND [Q111:PREV WAVE CANCER V225] IS (NE 1)
P791M5 B5c. CANCER TREATMENT
Section: B Level: Respondent CAI Reference: Q791
Type: Numeric Width: 1 Decimals: 0
B5c.
IF Q370 IS (NE1)
During the last two years,
ELSE
Since
[Q95-PREV WAVE IW MONTH]
[Q96-PREV WAVE IW YEAR] ,
END
what sort of treatments did (he/she) receive for cancer?
CHOOSE ALL THAT APPLY
User Note: Six mentions were allowed, maximum used was four.
................................................................................
1. CHEMOTHERAPY OR MEDICATION
2. SURGERY OR BIOPSY
3. RADIATION/ X-RAY
4. MEDICATIONS/TREATMENT FOR SYMPTOMS (PAIN, NAUSEA, RASHES)
5. NONE
7. OTHER, SPECIFY
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
234 Blank. INAP (Inapplicable); [Q788:B5] IS (NE 1); [Q789] IS (NE 1) AND
[Q790:B5b] IS (5) AND [Q111:PREV WAVE CANCER V225] IS (1);
[Q790:B5b] IS (NE 1) AND [Q111:PREV WAVE CANCER V225] IS (1);
[Q790:B5b] IS (NE 1) AND [Q111:PREV WAVE CANCER V225] IS (NE 1)
P797 B5g. CANCER START
Section: B Level: Respondent CAI Reference: Q797
Type: Numeric Width: 3 Decimals: 0
B5g.
In which organ or part of (his/her) body did (his/her)
cancer(s) start?
RECORD FOR ALL CANCERS.
P800 B5j.DATE RECENT CANCER
Section: B Level: Respondent CAI Reference: Q800
Type: Numeric Width: 2 Decimals: 0
B5j.
In what month and year was (his/her) (most recent)
cancer diagnosed?
MONTH:
YEAR:
................................................................................
13 1. JAN
1 2. FEB
6 3. MAR
8 4. APR
5 5. MAY
11 6. JUN
5 7. JUL
8 8. AUG
6 9. SEP
4 10. OCT
7 11. NOV
5 12. DEC
8 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
147 Blank. INAP (Inapplicable); [Q788:B5] IS (NE 1); [Q789] IS (NE 1) AND
[Q790:B5b] IS (5) AND [Q111:PREV WAVE CANCER V225] IS (1)
P801 B5k.YEAR RECENT CANCER
Section: B Level: Respondent CAI Reference: Q801
Type: Numeric Width: 4 Decimals: 0
................................................................................
80 1989-1996. Range of Values
7 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
147 Blank. INAP (Inapplicable); [Q788:B5] IS (NE 1); [Q789] IS
(NE 1) AND [Q790:B5b] IS (5) AND [Q111:PREV WAVE
CANCER V225] IS (1)
P805 B6. LUNG
Section: B Level: Respondent CAI Reference: Q805
Type: Numeric Width: 1 Decimals: 0
B6.
IF Q370 IS (1)
WAVE 1:
[Q112-PREV WAVE LUNG V235]
END
IF Q370 IS (NE1)
Not including asthma, did a doctor ever say that
(he/she) had chronic lung disease such as chronic
bronchitis or emphysema?
DO NOT INCLUDE ASTHMA
ELSE Q112 IS (1)
Our records from (his/her) last interview in
[Q95-PREV WAVE IW MONTH]
[Q96-PREV WAVE IW YEAR]
show that (he/she) had a chronic lung disease, such as
chronic bronchitis or emphysema.
IWER: PRESS 1 THEN PRESS ENTER UNLESS R VOLUNTARILY
DISPUTES W1 RECORD.
ELSE
Not including asthma, did a doctor say since we talked
to (him/her) that (he/she) had a chronic lung disease,
such as chronic bronchitis or emphysema?
DO NOT INCLUDE ASTHMA
END
................................................................................
59 1. YES
7 3. [VOL] DISPUTES W1 RECORD
166 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
P811 B6c. LUNG OXYGEN
Section: B Level: Respondent CAI Reference: Q811
Type: Numeric Width: 1 Decimals: 0
B6c.
Was (he/she) receiving oxygen for (his/her) lung condition?
................................................................................
25 1. YES
34 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
175 Blank. INAP (Inapplicable); [Q805:B6] IS (3 OR 5 OR DK OR RF)
P815 B7. HEART CONDITION
Section: B Level: Respondent CAI Reference: Q815
Type: Numeric Width: 1 Decimals: 0
B7.
IF Q370 IS (1)
WAVE 1:
[Q113-PREV WAVE HEART V244/245/252]
END
IF Q370 IS (NE1)
Did a doctor ever say that (he/she) had a heart
attack, coronary heart disease, angina, congestive
heart failure, or other heart problems?
ELSE Q113 IS (1)
Our records from (his/her) interview in
[Q95-PREV WAVE IW MONTH]
[Q96-PREV WAVE IW YEAR]
show that (he/she) had a heart problem.
IWER: PRESS 1 THEN PRESS ENTER UNLESS R VOLUNTARILY
DISPUTES W1 RECORD.
ELSE
Since (his/her) interview in
[Q95-PREV WAVE IW MONTH]
[Q96-PREV WAVE IW YEAR] did a doctor say
that (he/she) had a heart attack, coronary heart disease,
angina, congestive heart failure, or other heart problems?
END
................................................................................
100 1. YES
7 3. [VOL] DISPUTES W1 RECORD
127 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
P821 B7d. HEART ATTACK
Section: B Level: Respondent CAI Reference: Q821
Type: Numeric Width: 1 Decimals: 0
B7d.
Had (he/she) had a heart attack or myocardial infarction
IF Q370 IS (1)
since
[Q95-PREV WAVE IW MONTH]
[Q96-PREV WAVE IW YEAR] ?
ELSE
in the past two years?
END
................................................................................
33 1. YES
65 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
134 Blank. INAP (Inapplicable); [Q815:B7] IS (3 OR 5 OR DK OR RF)
P825 B7g.DATE RECENT HEARTATTACK
Section: B Level: Respondent CAI Reference: Q825
Type: Numeric Width: 2 Decimals: 0
B7g.
In what month and year was (his/her) (most recent) heart attack?
MONTH:
YEAR:
................................................................................
3 1. JAN
2 2. FEB
2 3. MAR
2 4. APR
2 5. MAY
2 6. JUN
3 7. JUL
4 8. AUG
1 9. SEP
4 10. OCT
4 11. NOV
12. DEC
4 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
201 Blank. INAP (Inapplicable); [Q815:B7] IS (3 OR 5 OR DK OR RF);
[Q821:B7d] IS (5 OR DK OR RF)
P826 B7y.YEAR RECENT HEARTATTACK
Section: B Level: Respondent CAI Reference: Q826
Type: Numeric Width: 4 Decimals: 0
................................................................................
31 1993-1996. Range of Values
2 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
201 Blank. INAP (Inapplicable); [Q815:B7] IS (3 OR 5 OR DK OR
RF)
P830 B7k. CONGESTIVE HEART
Section: B Level: Respondent CAI Reference: Q830
Type: Numeric Width: 1 Decimals: 0
B7k.
IF Q113 IS (1)
Since we talked to (him/her) in
[Q95-PREV WAVE IW MONTH]
[Q96-PREV WAVE IW YEAR] ,
did a doctor say that
ELSE Q370 IS (NE1)
In the last two years did a doctor say that
ELSE
Did a doctor ever say that
END
(he/she) had congestive heart failure?
................................................................................
32 1. YES
65 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
134 Blank. INAP (Inapplicable); [Q815:B7] IS (3 OR 5 OR DK OR RF)
P833 B7p.HEART TREATMENT
Section: B Level: Respondent CAI Reference: Q833
Type: Numeric Width: 1 Decimals: 0
B7p.
IF Q370 IS (1)
Since
[Q95-PREV WAVE IW MONTH]
[Q96-PREV WAVE IW YEAR]
ELSE
In the past two years
END
did (he/she) have a special test or treatment of (his/her)
heart where tubes were inserted into (his/her) veins or
arteries (cardiac cathetarization, coronary angiogram or
angioplasty)?
................................................................................
12 1. YES
18 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
202 Blank. INAP (Inapplicable); [Q815:B7] IS (3 OR 5 OR DK OR RF);
[Q830:B7k] IS (NE 1)
P834 B7q. HEART SURGERY
Section: B Level: Respondent CAI Reference: Q834
Type: Numeric Width: 1 Decimals: 0
B7q.
IF Q370 IS (1)
Since
[Q95-PREV WAVE IW MONTH]
[Q96-PREV WAVE IW YEAR]
ELSE
In the past two years
END
did (he/she) have surgery on (his/her) heart?
................................................................................
4 1. YES
96 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
134 Blank. INAP (Inapplicable); [Q815:B7] IS (3 OR 5 OR DK OR RF)
P835 B9. STROKE
Section: B Level: Respondent CAI Reference: Q835
Type: Numeric Width: 1 Decimals: 0
B9.
IF Q370 IS (1)
WAVE 1:
[Q114-PREV WAVE STROKE V254]
END
IF Q370 IS (NE1)
Did a doctor ever say that (he/she) had a stroke?
ELSE Q114 IS (1)
Our records from (his/her) last interview in
[Q95-PREV WAVE IW MONTH]
[Q96-PREV WAVE IW YEAR] show
that (he/she) had had a stroke.
IWER: PRESS 1 THEN PRESS ENTER UNLESS R VOLUNTARILY
DISPUTES W1 RECORD.
ELSE
Since (his/her) interview in
[Q95-PREV WAVE IW MONTH]
[Q96-PREV WAVE IW YEAR] did a doctor say
that (he/she) had a stroke?
END
................................................................................
36 1. YES
1 2. [VOL] POSSIBLE OR TIA
1 3. [VOL] DISPUTES W1 RECORD
194 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
P845 B9j. ANOTHER STROKE-2YR
Section: B Level: Respondent CAI Reference: Q845
Type: Numeric Width: 1 Decimals: 0
B9j.
Since
[Q95-PREV WAVE IW MONTH]
[Q96-PREV WAVE IW YEAR] , did a doctor say that (he/she)
had another stroke?
................................................................................
4 1. YES
20 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
210 Blank. INAP (Inapplicable); [Q835:B9] IS (3 OR 5 OR DK OR RF);
[Q114:PREV WAVE STROKE V254] IS (NE 1)
P846 B9M.DATE RECENT STROKE
Section: B Level: Respondent CAI Reference: Q846
Type: Numeric Width: 2 Decimals: 0
B9m.
In what month and year was (his/her) (most recent) stroke?
MONTH:
YEAR:
................................................................................
1. JAN
2. FEB
3. MAR
2 4. APR
5. MAY
1 6. JUN
7. JUL
2 8. AUG
2 9. SEP
2 10. OCT
4 11. NOV
3 12. DEC
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
218 Blank. INAP (Inapplicable); [Q835:B9] IS (3 OR 5 OR DK OR RF);
[Q845:B9j] IS (5 OR DK OR RF) OR [Q835:B9] IS (2)
P847 B9n.YEAR RECENT STROKE
Section: B Level: Respondent CAI Reference: Q847
Type: Numeric Width: 4 Decimals: 0
................................................................................
16 1993-1996. Range of Values
9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
218 Blank. INAP (Inapplicable); [Q835:B9] IS (3 OR 5 OR DK OR
RF); [Q845:B9j] IS (5 OR DK OR RF) OR [Q835:B9] IS
(2)
P850 B12. FALL
Section: B Level: Respondent CAI Reference: Q850
Type: Numeric Width: 1 Decimals: 0
B12.
Did (he/she) fall down
IF Q370 IS (1)
since
[Q95-PREV WAVE IW MONTH]
[Q96-PREV WAVE IW YEAR] ?
ELSE
in the last two years?
END
................................................................................
7 1. YES
9 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
218 Blank. INAP (Inapplicable); [Q835:B9] IS (3 OR 5 OR DK OR RF);
[Q845:B9j] IS (5 OR DK OR RF) OR [Q835:B9] IS (2)
P851 B12a.TIMES FALL
Section: B Level: Respondent CAI Reference: Q851
Type: Numeric Width: 2 Decimals: 0
B12a.
How many times did (he/she) fall
IF Q370 IS (1)
since
[Q95-PREV WAVE IW MONTH]
[Q96-PREV WAVE IW YEAR] ?
ELSE
in the last two years?
END
# TIMES:
................................................................................
6 0-20. Range of Values
1 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
227 Blank. INAP (Inapplicable); [Q835:B9] IS (3 OR 5 OR DK OR
RF); [Q845:B9j] IS (5 OR DK OR RF) OR [Q835:B9] IS
(2); [Q850:B12] IS (NE 1)
P856 B12b. INJURE
Section: B Level: Respondent CAI Reference: Q856
Type: Numeric Width: 1 Decimals: 0
B12b.
In (any of these falls/that fall), did (he/she) injure
(him/her)self seriously enough to need medical treatment?
................................................................................
2 1. YES
5 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
227 Blank. INAP (Inapplicable); [Q835:B9] IS (3 OR 5 OR DK OR RF);
[Q845:B9j] IS (5 OR DK OR RF) OR [Q835:B9] IS (2); [Q850:B12]
IS (NE 1)
P859 B13. BROKEN HIP
Section: B Level: Respondent CAI Reference: Q859
Type: Numeric Width: 1 Decimals: 0
B13.
IF Q370 IS (NE1)
Did (he/she) ever fracture (his/her) hip?
ELSE
WAVE 1:
[Q118-PREV WAVE BROKEN HIP V277]
Did (he/she) fracture (his/her) hip since we talked in
[Q95-PREV WAVE IW MONTH]
[Q96-PREV WAVE IW YEAR] ?
END
................................................................................
2 1. YES
14 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
218 Blank. INAP (Inapplicable); [Q835:B9] IS (3 OR 5 OR DK OR RF);
[Q845:B9j] IS (5 OR DK OR RF) OR [Q835:B9] IS (2)
P866 B18. PAIN
Section: B Level: Respondent CAI Reference: Q866
Type: Numeric Width: 1 Decimals: 0
B18.
Was (he/she) often troubled with pain between
[Q95-PREV WAVE IW MONTH]
[Q96-PREV WAVE IW YEAR] and
when (he/she) died?
................................................................................
6 1. YES
10 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
218 Blank. INAP (Inapplicable); [Q835:B9] IS (3 OR 5 OR DK OR RF);
[Q845:B9j] IS (5 OR DK OR RF) OR [Q835:B9] IS (2)
P867 B18a. DEGREE PAIN
Section: B Level: Respondent CAI Reference: Q867
Type: Numeric Width: 1 Decimals: 0
B18a.
When the pain was at its worst, was it mild, moderate
or severe?
................................................................................
2 1. MILD
1 2. MODERATE
2 3. SEVERE
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
228 Blank. INAP (Inapplicable); [Q835:B9] IS (3 OR 5 OR DK OR RF);
[Q845:B9j] IS (5 OR DK OR RF) OR [Q835:B9] IS (2); [Q866:B18]
IS (NE 1)
P868 B18b. DEGREE PAIN MOST
Section: B Level: Respondent CAI Reference: Q868
Type: Numeric Width: 1 Decimals: 0
B18b.
How bad was the pain most of the time: mild, moderate
or severe?
................................................................................
1. MILD
2 2. MODERATE
1 3. SEVERE
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
230 Blank. INAP (Inapplicable); [Q835:B9] IS (3 OR 5 OR DK OR RF);
[Q845:B9j] IS (5 OR DK OR RF) OR [Q835:B9] IS (2); [Q866:B18]
IS (NE 1); [Q867:B18a] IS (1)
P870 B19. OTHER HEALTH
Section: B Level: Respondent CAI Reference: Q870
Type: Numeric Width: 1 Decimals: 0
B19.
Did (he/she) have any other major health problems
which you haven`t told me about?
IF YES, SPECIFY ON NEXT SCREEN
................................................................................
3 1. YES
13 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
218 Blank. INAP (Inapplicable); [Q835:B9] IS (3 OR 5 OR DK OR RF);
[Q845:B9j] IS (5 OR DK OR RF) OR [Q835:B9] IS (2)
P873M1M B19a. MENTION HEALTH - MASKED
Section: B Level: Respondent CAI Reference: Q873
Type: Numeric Width: 3 Decimals: 0
B19a.
What was that?
................................................................................
1 101-103. Cancers and tumors; skin conditions
111-119. Musculoskeletal system and connective tissue
121-129. Heart, circulatory and blood conditions
131-139. Allergies; hayfever; sinusitis; tonsillitis
1 141-149. Endocrine, metabolic and nutritional conditions
1 151-159. Digestive system (stomach, liver, gallbladder,
kidney, bladder)
161-169. Neurological and sensory conditions
171-179. Reproductive system and prostate conditions
181-189. Emotional and psychological conditions
191-196. Miscellaneous
595-597. Other symptoms
990. No text displayed
997. Other health condition
998. DK (Don’t Know)
999. RF
231 Blank. INAP (Inapplicable); [Q835:B9] IS (3 OR 5 OR DK OR
RF); [Q845:B9j] IS (5 OR DK OR RF) OR [Q835:B9] IS
(2); [Q870:B19] IS (NE 1)
P875 B20. SMOKE CIG
Section: B Level: Respondent CAI Reference: Q875
Type: Numeric Width: 1 Decimals: 0
B20.
Did (he/she) smoke cigarettes in the last two years
of (his/her) life?
................................................................................
6 1. YES
10 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
218 Blank. INAP (Inapplicable); [Q835:B9] IS (3 OR 5 OR DK OR RF);
[Q845:B9j] IS (5 OR DK OR RF) OR [Q835:B9] IS (2)
P876 B20a. # CIG-PACKS
Section: B Level: Respondent CAI Reference: Q876
Type: Numeric Width: 3 Decimals: 0
B20a.
About how many cigarettes or packs did (he/she) usually smoke
in a day?
PROBE A RANGE
CIGARETTES/DAY:
PACKS/DAY:
................................................................................
4 0-100. Range of Values
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
230 Blank. INAP (Inapplicable); [Q835:B9] IS (3 OR 5 OR DK OR
RF); [Q845:B9j] IS (5 OR DK OR RF) OR [Q835:B9] IS
(2); [Q875:B20] IS (5 OR DK OR RF)
P877 B20b. PACKS
Section: B Level: Respondent CAI Reference: Q877
Type: Numeric Width: 1 Decimals: 0
................................................................................
2 1-5. Range of Values
98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
232 Blank. INAP (Inapplicable); [Q835:B9] IS (3 OR 5 OR DK OR
RF); [Q845:B9j] IS (5 OR DK OR RF) OR [Q835:B9] IS
(2); [Q875:B20] IS (5 OR DK OR RF); [Q876:B20a] IS
(1-100 OR DK OR RF OR Over Limit)
P882 B21.ALCOHOL
Section: B Level: Respondent CAI Reference: Q882
Type: Numeric Width: 1 Decimals: 0
B21.
Did (he/she) ever drink any alcoholic beverages such as beer,
wine, or liquor in the last two years of (his/her) life?
................................................................................
113 1. YES
3. [VOL] NEVER HAVE USED ALCOHOL
120 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
P888 B22a. CHANGE WEIGHT
Section: B Level: Respondent CAI Reference: Q888
Type: Numeric Width: 1 Decimals: 0
B22a.
Did
[Q371-R FIRST NAME] gain or lose ten or more pounds
in the last 12 months of (his/her) life?
................................................................................
33 1. YES, GAINED
121 2. YES, LOST
2 3. Yes, gained and lost
77 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
P889 B23ax.DIF BREATHING
Section: B Level: Respondent CAI Reference: Q889
Type: Numeric Width: 1 Decimals: 0
B23ax.
Was there a period of at least one month during the last
year of (his/her) life when (he/she) had the following
problems:
Difficulty breathing?
................................................................................
128 1. YES
2 3. [VOL] ON RESPIRATOR
102 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
P890 B23bx.NO APPETITE
Section: B Level: Respondent CAI Reference: Q890
Type: Numeric Width: 1 Decimals: 0
B23bx.
(Was there a period of at least one month during the last
year of (his/her) life when (he/she) had)
Very little appetite or desire for food?
................................................................................
128 1. YES
3 3. [VOL] IV FLUIDS OR FEEDING TUBE
101 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
P891 B23cx.FREQ VOMITING
Section: B Level: Respondent CAI Reference: Q891
Type: Numeric Width: 1 Decimals: 0
B23cx.
(Was there a period of at least one month during the last
year of (his/her) life when (he/she) had)
Frequent vomiting?
................................................................................
37 1. YES
195 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
P892 B23dx.CONTROL ARM/LEG
Section: B Level: Respondent CAI Reference: Q892
Type: Numeric Width: 1 Decimals: 0
B23dx.
(Was there a period of at least one month during the last
year of (his/her) life when (he/she) had)
Difficulty controlling (his/her) arms and legs?
................................................................................
87 1. YES
147 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
P893 B23ex.DEPRESSION
Section: B Level: Respondent CAI Reference: Q893
Type: Numeric Width: 1 Decimals: 0
B23ex.
(Was there a period of at least one month during the last
year of (his/her) life when (he/she) had)
Depression?
................................................................................
119 1. YES
114 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
P894 B23fx.CONFUSION
Section: B Level: Respondent CAI Reference: Q894
Type: Numeric Width: 1 Decimals: 0
B23fx.
(Was there a period of at least one month during the last
year of (his/her) life when (he/she) had)
Periodic confusion?
................................................................................
81 1. YES
153 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
P895 B23m.SEVERE FATIGUE
Section: B Level: Respondent CAI Reference: Q895
Type: Numeric Width: 1 Decimals: 0
B23m.
(Was there a period of at least one month during the last
year of (his/her) life when (he/she) had)
Severe fatigue or exhaustion?
................................................................................
149 1. YES
83 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
P896 B23hx.DIF TO AWAKE
Section: B Level: Respondent CAI Reference: Q896
Type: Numeric Width: 1 Decimals: 0
B23hx.
(Was there a period of at least one month during the last
year of (his/her) life when (he/she) had)
Difficulty being aroused or awakened, or loss of consciousness?
................................................................................
46 1. YES
188 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
P897 B23n.PERSISTENT COUGH
Section: B Level: Respondent CAI Reference: Q897
Type: Numeric Width: 1 Decimals: 0
B23n.
(Was there a period of at least one month during the last
year of (his/her) life when (he/she) had)
Persistent wheezing, cough, or bringing up phlegm?
................................................................................
90 1. YES
144 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
P898 B23kx.UNCONTROLLED TEMPER
Section: B Level: Respondent CAI Reference: Q898
Type: Numeric Width: 1 Decimals: 0
B23kx.
(Was there a period of at least one month during the last
year of (his/her) life when (he/she) had)
Uncontrolled outbursts of temper?
................................................................................
47 1. YES
187 5. NO
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
P899 B23mx.LOSS OF CONTROL
Section: B Level: Respondent CAI Reference: Q899
Type: Numeric Width: 1 Decimals: 0
B23mx.
(Was there a period of at least one month during the last
year of (his/her) life when (he/she) had)
Loss of control of bowel or bladder?
................................................................................
66 1. YES
165 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
PQNR Surveycraft Case Number
Section: B Level: Respondent CAI Reference: Q9012
Type: Numeric Width: 3 Decimals: 0
................................................................................
234 0-250. Surveycraft Case Number
PVERSION 1996 EXIT RELEASE VERSION NUMBER
Section: B Level: Respondent CAI Reference: Q9013
Type: Numeric Width: 1 Decimals: 0
................................................................................
234 1. Release Version 1
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