HHID HOUSEHOLD IDENTIFIER
Section: B Level: Respondent CAI Reference: Q9001
Type: Character Width: 6 Decimals: 0
................................................................................
1348 010003-213471. Household ID
PN PERSON NUMBER
Section: B Level: Respondent CAI Reference: Q9002
Type: Character Width: 3 Decimals: 0
................................................................................
929 010. Person Number
12 011. Person Number
320 020. Person Number
2 021. Person Number
36 030. Person Number
1 031. Person Number
47 040. Person Number
1 041. Person Number
RSUBHH 2000 SUB-HOUSEHOLD IDENTIFIER
Section: B Level: Respondent CAI Reference: Q9004
Type: Character Width: 1 Decimals: 0
................................................................................
1296 3. 1st deceased respondent from a household
52 4. 2nd deceased respondent from a household
FSUBHH 1998 SUB-HOUSEHOLD IDENTIFIER
Section: B Level: Respondent CAI Reference: Q9003
Type: Character Width: 1 Decimals: 0
................................................................................
1306 0. Original sample household - no split from divorce or separation
of spouses or partners
14 1. Split household - one half of couple from SUBHH 0 and new
spouse or partner, if any
13 2. Split household - other half of couple from SUBHH 0 and new
spouse or partner, if any
15 3. 1st deceased respondent from a household
5. Split household - one half of couple from SUBHH 1 or 2
6. Split household - one half of couple from SUBHH 1 or 2
7. Reunited household - respondents from split household reunite
RPN_SP 2000 SPOUSE/PARTNER PERSON NUMBER
Section: B Level: Respondent CAI Reference: Q9005
Type: Character Width: 3 Decimals: 0
................................................................................
276 010. Spouse Person Number
14 011. Spouse Person Number
292 020. Spouse Person Number
4 021. Spouse Person Number
25 030. Spouse Person Number
34 040. Spouse Person Number
703 Blank. No Spouse at Death
RQNR SURVEYCRAFT CASE NUMBER
Section: B Level: Respondent CAI Reference: Q9006
Type: Numeric Width: 5 Decimals: 0
................................................................................
999 80001-80999. AHEAD/CODA Surveycraft Case Number
349 90001-90349. HRS/WAR BABY Surveycraft Case Number
R1166 B0.HEALTH INTRO
Section: B Level: Respondent CAI Reference: Q1166
Type: Numeric Width: 1 Decimals: 0
B0.
We want to be sure we understand any health problems that may
have preceded
[Q754-CS22Y31.R FIRST NAME]'s
IF Q530 IS (2) AND Q532 IS (1-3)
death, even though (his/her) death was unexpected.
ELSE
death.
END
The questions we will be asking are about
[Q754-CS22Y31.R FIRST NAME]'s
IF Q753 IS (1) AND Q218 IS (NE0) AND Q219 IS (NE0)
health since
[Q218-PR218.PREV WAVE IW MONTH]
[Q219.] .
ELSE
health during the last two years.
END
................................................................................
1348 Blank. No Data Collected
R1174 B5.CANCER
Section: B Level: Respondent CAI Reference: Q1174
Type: Numeric Width: 1 Decimals: 0
B5.
IF Q753 IS (1)
PREVIOUS WAVE:
[Q232-PR232.PREV WAVE CANCER]
END
IF Q753 IS (NE1)
Had a doctor ever told (him/her) that (he/she) had cancer or a
malignant tumor, excluding minor skin cancers?
ELSE Q232 IS (1)
Our records from (his/her) last interview in
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR]
show that (he/she) had cancer.
IWER: PRESS 1 THEN PRESS ENTER UNLESS R VOLUNTARILY
DISPUTES PREVIOUS WAVE RECORD.
IWER: IF R DISPUTES REPORT FROM PREVIOUS WAVE, PROBE AS
NECESSARY TO DETERMINE WHETHER R WAS SINCE
TOLD BY A DOCTOR THAT HE/SHE HAD THE CONDITION.
DESCRIBE THE SITUATION IN THE OPEN FIELD
ELSE
Since we last talked to (him/her), (that is since
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] ,)
had a doctor told (him/her) that (he/she) had cancer or a
malignant tumor, excluding minor skin cancer?
END
................................................................................
453 1. YES
3. DISPUTES PREVIOUS WAVE RECORD, BUT DID HAVE CONDITION
13 4. DISPUTES PREVIOUS WAVE RECORD, DID NOT HAVE CONDITION
875 5. NO
7 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
R1175 B5a. DOCTOR PAST CANCER
Section: B Level: Respondent CAI Reference: Q1175
Type: Numeric Width: 1 Decimals: 0
B5a.
IF Q218 IS (NE0) AND Q219 IS (NE0)
Since
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] , had (he/she) seen a doctor about
(his/her) cancer?
ELSE
In the last two years before (his/her) death, had
(he/she) seen a doctor about (his/her) cancer?
END
................................................................................
228 1. YES
63 5. NO
5 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1052 Blank. INAP (Inapplicable): [Q1174:B5] IS (NE 1 AND NE 3); [Q1174:B5]
IS (1) AND [Q232:PR232] IS (NE 1) AND [Q753:CS22Y30] IS (1)
R1176 B5b. PAST CANCER TREATED
Section: B Level: Respondent CAI Reference: Q1176
Type: Numeric Width: 1 Decimals: 0
B5b.
We want to know about any cancer treatment that may have
taken place during the past two years.
IF Q753 IS (1)
Since
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] , had (he/she) received any treatment
for cancer?
ELSE
In the two years preceding (his/her) death, had (he/she)
received any treatment for cancer?
END
................................................................................
251 1. YES
194 5. NO
9 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
894 Blank. INAP (Inapplicable): [Q1174:B5] IS (NE 1 AND NE 3)
R1177M1 B5c. CANCER TREATMENT-1
Section: B Level: Respondent CAI Reference: Q1177
Type: Numeric Width: 1 Decimals: 0
B5c.
IF Q753 IS (NE1)
During the last two years, what
ELSE Q232 IS (1)
Since
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] , what
ELSE
What
END
sort of treatments had (he/she) received for cancer?
CHOOSE ALL THAT APPLY
................................................................................
134 1. CHEMOTHERAPY OR MEDICATION
41 2. SURGERY OR BIOPSY
50 3. RADIATION/ X-RAY
15 4. MEDICATIONS/TREATMENT FOR SYMPTOMS (PAIN, NAUSEA, RASHES)
4 5. NONE
4 7. OTHER, SPECIFY
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1097 Blank. INAP (Inapplicable): [Q1174:B5] IS (NE 1 AND NE 3); [Q1175:B5a]
IS (A AND NE 1) AND [Q1176:B5b] IS (5 OR DK OR RF) AND
[Q232:PR232] IS (1); [Q1176:B5b] IS (A AND NE 1) AND
[Q232:PR232] IS (1); [Q1176:B5b] IS (A AND NE 1) AND
[Q232:PR232] IS (NE 1)
R1177M2 B5c. CANCER TREATMENT-2
Section: B Level: Respondent CAI Reference: Q1177
Type: Numeric Width: 1 Decimals: 0
B5c.
IF Q753 IS (NE1)
During the last two years, what
ELSE Q232 IS (1)
Since
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] , what
ELSE
What
END
sort of treatments had (he/she) received for cancer?
CHOOSE ALL THAT APPLY
................................................................................
20 1. CHEMOTHERAPY OR MEDICATION
25 2. SURGERY OR BIOPSY
59 3. RADIATION/ X-RAY
36 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)
1207 Blank. INAP (Inapplicable): [Q1174:B5] IS (NE 1 AND NE 3); [Q1175:B5a]
IS (A AND NE 1) AND [Q1176:B5b] IS (5 OR DK OR RF) AND
[Q232:PR232] IS (1); [Q1176:B5b] IS (A AND NE 1) AND
[Q232:PR232] IS (1); [Q1176:B5b] IS (A AND NE 1) AND
[Q232:PR232] IS (NE 1)
R1177M3 B5c. CANCER TREATMENT-3
Section: B Level: Respondent CAI Reference: Q1177
Type: Numeric Width: 1 Decimals: 0
B5c.
IF Q753 IS (NE1)
During the last two years, what
ELSE Q232 IS (1)
Since
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] , what
ELSE
What
END
sort of treatments had (he/she) received for cancer?
CHOOSE ALL THAT APPLY
................................................................................
5 1. CHEMOTHERAPY OR MEDICATION
12 2. SURGERY OR BIOPSY
17 3. RADIATION/ X-RAY
33 4. MEDICATIONS/TREATMENT FOR SYMPTOMS (PAIN, NAUSEA, RASHES)
5. NONE
4 7. OTHER, SPECIFY
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1276 Blank. INAP (Inapplicable): [Q1174:B5] IS (NE 1 AND NE 3); [Q1175:B5a]
IS (A AND NE 1) AND [Q1176:B5b] IS (5 OR DK OR RF) AND
[Q232:PR232] IS (1); [Q1176:B5b] IS (A AND NE 1) AND
[Q232:PR232] IS (1); [Q1176:B5b] IS (A AND NE 1) AND
[Q232:PR232] IS (NE 1)
R1177M4 B5c. CANCER TREATMENT-4
Section: B Level: Respondent CAI Reference: Q1177
Type: Numeric Width: 1 Decimals: 0
B5c.
IF Q753 IS (NE1)
During the last two years, what
ELSE Q232 IS (1)
Since
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] , what
ELSE
What
END
sort of treatments had (he/she) received for cancer?
CHOOSE ALL THAT APPLY
................................................................................
1 1. CHEMOTHERAPY OR MEDICATION
4 2. SURGERY OR BIOPSY
3. RADIATION/ X-RAY
18 4. MEDICATIONS/TREATMENT FOR SYMPTOMS (PAIN, NAUSEA, RASHES)
5. NONE
7. OTHER, SPECIFY
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1325 Blank. INAP (Inapplicable): [Q1174:B5] IS (NE 1 AND NE 3); [Q1175:B5a]
IS (A AND NE 1) AND [Q1176:B5b] IS (5 OR DK OR RF) AND
[Q232:PR232] IS (1); [Q1176:B5b] IS (A AND NE 1) AND
[Q232:PR232] IS (1); [Q1176:B5b] IS (A AND NE 1) AND
[Q232:PR232] IS (NE 1)
R1177M5 B5c. CANCER TREATMENT-5
Section: B Level: Respondent CAI Reference: Q1177
Type: Numeric Width: 1 Decimals: 0
B5c.
IF Q753 IS (NE1)
During the last two years, what
ELSE Q232 IS (1)
Since
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] , what
ELSE
What
END
sort of treatments had (he/she) received for cancer?
CHOOSE ALL THAT APPLY
................................................................................
1. CHEMOTHERAPY OR MEDICATION
2. SURGERY OR BIOPSY
1 3. RADIATION/ X-RAY
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)
1346 Blank. INAP (Inapplicable): [Q1174:B5] IS (NE 1 AND NE 3); [Q1175:B5a]
IS (A AND NE 1) AND [Q1176:B5b] IS (5 OR DK OR RF) AND
[Q232:PR232] IS (1); [Q1176:B5b] IS (A AND NE 1) AND
[Q232:PR232] IS (1); [Q1176:B5b] IS (A AND NE 1) AND
[Q232:PR232] IS (NE 1)
R1177M6 B5c. CANCER TREATMENT-6
Section: B Level: Respondent CAI Reference: Q1177
Type: Numeric Width: 1 Decimals: 0
B5c.
IF Q753 IS (NE1)
During the last two years, what
ELSE Q232 IS (1)
Since
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] , what
ELSE
What
END
sort of treatments had (he/she) received for cancer?
CHOOSE ALL THAT APPLY
................................................................................
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)
1348 Blank. INAP (Inapplicable): [Q1174:B5] IS (NE 1 AND NE 3); [Q1175:B5a]
IS (A AND NE 1) AND [Q1176:B5b] IS (5 OR DK OR RF) AND
[Q232:PR232] IS (1); [Q1176:B5b] IS (A AND NE 1) AND
[Q232:PR232] IS (1); [Q1176:B5b] IS (A AND NE 1) AND
[Q232:PR232] IS (NE 1)
R1186 B5j.YEAR RECENT CANCER
Section: B Level: Respondent CAI Reference: Q1186
Type: Numeric Width: 4 Decimals: 0
B5j.
In what year was (his/her) (most recent) cancer diagnosed?
YEAR:
................................................................................
356 1900-2001. Actual Value
29 9998. DK (Don't Know); NA (Not Ascertained)
2 9999. RF (Refused)
961 Blank. INAP (Inapplicable): [Q1174:B5] IS (NE 1 AND NE 3);
[Q1175:B5a] IS (A AND NE 1) AND [Q1176:B5b] IS (5 OR
DK OR RF) AND [Q232:PR232] IS (1)
R1187 B5k.MONTH RECENT CANCER
Section: B Level: Respondent CAI Reference: Q1187
Type: Numeric Width: 2 Decimals: 0
B5k.
In what month was that?
MONTH:
................................................................................
31 1. JAN
20 2. FEB
14 3. MAR
19 4. APR
9 5. MAY
23 6. JUN
14 7. JUL
14 8. AUG
16 9. SEP
18 10. OCT
11 11. NOV
12 12. DEC
23 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1124 Blank. INAP (Inapplicable): [Q1174:B5] IS (NE 1 AND NE 3); [Q1175:B5a]
IS (A AND NE 1) AND [Q1176:B5b] IS (5 OR DK OR RF) AND
[Q232:PR232] IS (1); [Q1186:B5j] IS (DK OR RF OR LT 1998)
R1191 B6. LUNG
Section: B Level: Respondent CAI Reference: Q1191
Type: Numeric Width: 1 Decimals: 0
B6.
IF Q753 IS (1)
PREVIOUS WAVE:
[Q233-PR233.PREV WAVE LUNG]
END
IF Q753 IS (NE1)
Had a doctor ever told (him/her) that (he/she) had chronic lung
disease such as chronic bronchitis or emphysema?
DO NOT INCLUDE ASTHMA
ELSE Q233 IS (1)
Our records from (his/her) interview in
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.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 PREVIOUS WAVE RECORD.
IWER: IF R DISPUTES REPORT FROM PREVIOUS WAVE, PROBE AS
NECESSARY TO DETERMINE WHETHER R WAS SINCE
TOLD BY A DOCTOR THAT HE/SHE HAD THE CONDITION.
DESCRIBE THE SITUATION IN THE OPEN FIELD.
ELSE
Since we last talked with (him/her), (that is since
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] ,)
had a doctor told (him/her) that (he/she) had chronic lung disease,
such as chronic bronchitis or emphysema?
DO NOT INCLUDE ASTHMA
END
................................................................................
299 1. YES
1 3. DISPUTES PREVIOUS WAVE RECORD, BUT DID HAVE CONDITION
17 4. DISPUTES PREVIOUS WAVE RECORD, DID NOT HAVE CONDITION
1021 5. NO
10 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
R1197 B6c. LUNG OXYGEN
Section: B Level: Respondent CAI Reference: Q1197
Type: Numeric Width: 1 Decimals: 0
B6c.
Was (he/she) receiving oxygen for (his/her) lung condition?
................................................................................
173 1. YES
126 5. NO
2 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1047 Blank. INAP (Inapplicable): [Q1191:B6] IS (NE 1 AND NE 3)
R1201 B7. HEART CONDITION
Section: B Level: Respondent CAI Reference: Q1201
Type: Numeric Width: 1 Decimals: 0
B7.
IF Q753 IS (1)
PREVIOUS WAVE:
[Q234-PR234.PREV WAVE HEART]
END
IF Q753 IS (NE1)
Did a doctor ever tell (him/her) that (he/she) had a heart attack,
coronary heart disease, angina, congestive heart
failure, or other heart problems?
ELSE Q234 IS (1)
Our records (from (his/her) interview in
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] )
show that (he/she) had a heart problem.
IWER: PRESS 1 THEN PRESS ENTER UNLESS R VOLUNTARILY
DISPUTES PREVIOUS WAVE RECORD.
IWER: IF R DISPUTES REPORT FROM PREVIOUS WAVE, PROBE AS
NECESSARY TO DETERMINE WHETHER R WAS SINCE
TOLD BY A DOCTOR THAT HE/SHE HAD THE CONDITION.
DESCRIBE THE SITUATION IN THE OPEN FIELD
ELSE
(Since (his/her) interview in
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] did a doctor tell (him/her)
that (he/she) had) A heart attack, (had) coronary heart disease,
angina, congestive heart failure, or other heart problems?
END
................................................................................
697 1. YES
1 3. DISPUTES PREVIOUS WAVE RECORD, BUT DID HAVE CONDITION
17 4. DISPUTES PREVIOUS WAVE RECORD, DID NOT HAVE CONDITION
627 5. NO
6 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
R1202 B7a. HEART MEDICATION
Section: B Level: Respondent CAI Reference: Q1202
Type: Numeric Width: 1 Decimals: 0
B7a.
Was (he/she) taking or carrying medication for (his/her)
heart problem?
................................................................................
425 1. YES
81 5. NO
9 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
833 Blank. INAP (Inapplicable): [Q1201:B7] IS (NE 1 AND NE 3);
[Q234:PR234] IS (NE 1) AND [Q753:CS22Y30] IS (1)
R1203 B7b. HEART SEEN DR
Section: B Level: Respondent CAI Reference: Q1203
Type: Numeric Width: 1 Decimals: 0
B7b.
IF Q753 IS (1)
Since
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] ,
ELSE
In the last two years,
END
had (he/she) seen a doctor for (his/her) heart problem?
................................................................................
417 1. YES
83 5. NO
15 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
833 Blank. INAP (Inapplicable): [Q1201:B7] IS (NE 1 AND NE 3);
[Q234:PR234] IS (NE 1) AND [Q753:CS22Y30] IS (1)
R1207 B7d. HEART ATTACK
Section: B Level: Respondent CAI Reference: Q1207
Type: Numeric Width: 1 Decimals: 0
B7d.
IF Q753 IS (1)
Since
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] ,
ELSE
In the past two years,
END
did (he/she) have a heart attack or myocardial infarction?
................................................................................
186 1. YES
453 5. NO
15 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
694 Blank. INAP (Inapplicable): [Q1201:B7] IS (NE 1 AND NE 3); [Q1202:B7a]
IS (5) AND [Q1203:B7b] IS (5)
R1211 B7g.YEAR RECENT HEART ATTACK
Section: B Level: Respondent CAI Reference: Q1211
Type: Numeric Width: 4 Decimals: 0
B7g.
In what year was (his/her) (most recent) heart attack?
YEAR:
................................................................................
178 1900-2001. Actual Value
8 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1162 Blank. INAP (Inapplicable): [Q1201:B7] IS (NE 1 AND NE 3);
[Q1202:B7a] IS (5) AND [Q1203:B7b] IS (5);
[Q1207:B7d] IS (NE 1)
R1212 B7h.MONTH RECENT HEART ATTACK
Section: B Level: Respondent CAI Reference: Q1212
Type: Numeric Width: 2 Decimals: 0
B7h.
In what month was that?
MONTH:
................................................................................
19 1. JAN
14 2. FEB
15 3. MAR
12 4. APR
13 5. MAY
13 6. JUN
6 7. JUL
10 8. AUG
19 9. SEP
13 10. OCT
13 11. NOV
13 12. DEC
6 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1182 Blank. INAP (Inapplicable): [Q1201:B7] IS (NE 1 AND NE 3); [Q1202:B7a]
IS (5) AND [Q1203:B7b] IS (5); [Q1207:B7d] IS (NE 1);
[Q1211:B7g] IS (DK OR RF OR LT 1998)
R1216 B7kb. CONGESTIVE HEART
Section: B Level: Respondent CAI Reference: Q1216
Type: Numeric Width: 1 Decimals: 0
B7kb.
IF Q753 IS (1)
Since we last talked to (him/her), (that is, since
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] ,)
had a doctor told (him/her) that (he/she) had congestive
heart failure?
ELSE
In the last two years had a doctor told (him/her) that
(he/she) had congestive heart failure?
END
................................................................................
261 1. YES
365 5. NO
28 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
694 Blank. INAP (Inapplicable): [Q1201:B7] IS (NE 1 AND NE 3); [Q1202:B7a]
IS (5) AND [Q1203:B7b] IS (5)
R1219 B7p.HEART TREATMENT
Section: B Level: Respondent CAI Reference: Q1219
Type: Numeric Width: 1 Decimals: 0
B7p.
IF Q753 IS (1)
Since
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.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 catheterization,
coronary angiogram or angioplasty)?
................................................................................
120 1. YES
515 5. NO
19 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
694 Blank. INAP (Inapplicable): [Q1201:B7] IS (NE 1 AND NE 3); [Q1202:B7a]
IS (5) AND [Q1203:B7b] IS (5)
R1220 B7q. HEART SURGERY
Section: B Level: Respondent CAI Reference: Q1220
Type: Numeric Width: 1 Decimals: 0
B7q.
IF Q753 IS (1)
Since
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] ,
ELSE
In the past two years,
END
did (he/she) have surgery on (his/her) heart?
................................................................................
53 1. YES
598 5. NO
3 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
694 Blank. INAP (Inapplicable): [Q1201:B7] IS (NE 1 AND NE 3); [Q1202:B7a]
IS (5) AND [Q1203:B7b] IS (5)
R1221 B9. STROKE
Section: B Level: Respondent CAI Reference: Q1221
Type: Numeric Width: 1 Decimals: 0
B9.
IF Q753 IS (1)
PREVIOUS WAVE:
[Q235-PR235.PREV WAVE STROKE]
END
IF Q753 IS (NE1)
Had a doctor ever told (him/her) that (he/she) had a stroke?
ELSE Q235 IS (1)
Our records (from (his/her) last interview in
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] ) show
that (he/she) had a stroke.
IWER: PRESS 1 THEN PRESS ENTER UNLESS R VOLUNTARILY
DISPUTES PREVIOUS WAVE RECORD.
IWER: IF R DISPUTES REPORT FROM PREVIOUS WAVE, PROBE AS
NECESSARY TO DETERMINE WHETHER R WAS SINCE
TOLD BY A DOCTOR THAT HE/SHE HAD THE CONDITION.
DESCRIBE THE SITUATION IN THE OPEN FIELD.
ELSE
(Since (his/her) interview in
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] , had a doctor told
(him/her) that (he/she) had) A stroke?
END
................................................................................
335 1. YES
41 2. [VOL] POSSIBLE STROKE OR TIA (TRANSIENT ISCHEMIC ATTACK)
1 3. DISPUTES PREVIOUS WAVE RECORD, BUT DID HAVE CONDITION
8 4. DISPUTES PREVIOUS WAVE RECORD, DID NOT HAVE CONDITION
956 5. NO
7 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
R1223 B9j. ANOTHER STROKE-2YR
Section: B Level: Respondent CAI Reference: Q1223
Type: Numeric Width: 1 Decimals: 0
B9j.
Since
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] ,
did a doctor tell (him/her) that (he/she) had another stroke?
................................................................................
83 1. YES
147 5. NO
6 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1112 Blank. INAP (Inapplicable): [Q1221:B9] IS (4 OR 5 OR DK OR RF);
[Q235:PR235] IS (NE 1) OR [Q1221:B9] IS (3)
R1224 B9m.DATE RECENT STROKE
Section: B Level: Respondent CAI Reference: Q1224
Type: Numeric Width: 2 Decimals: 0
B9m.
In what month and year was (his/her) (most recent) stroke?
MONTH:
YEAR:
................................................................................
31 1. JAN
18 2. FEB
7 3. MAR
12 4. APR
16 5. MAY
16 6. JUN
10 7. JUL
9 8. AUG
10 9. SEP
17 10. OCT
15 11. NOV
11 12. DEC
22 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
1154 Blank. INAP (Inapplicable): [Q1221:B9] IS (4 OR 5 OR DK OR RF);
[Q1223:B9j] IS (5 OR DK OR RF) OR [Q1221:B9] IS (2)
R1225 B9n.YEAR RECENT STROKE
Section: B Level: Respondent CAI Reference: Q1225
Type: Numeric Width: 4 Decimals: 0
................................................................................
171 1900-2001. Actual Value
23 9998. DK (Don't Know); NA (Not Ascertained)
9999. RF (Refused)
1154 Blank. INAP (Inapplicable): [Q1221:B9] IS (4 OR 5 OR DK OR
RF); [Q1223:B9j] IS (5 OR DK OR RF) OR [Q1221:B9] IS
(2)
R1230 B12. FALL
Section: B Level: Respondent CAI Reference: Q1230
Type: Numeric Width: 1 Decimals: 0
B12.
Had (he/she) fallen down
IF Q753 IS (1)
since
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] ?
ELSE
in the last two years?
END
................................................................................
495 1. YES
650 5. NO
13 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
190 Blank. INAP (Inapplicable): [Q1086:A21Y1] IS (LT 65)
R1231 B12a.TIMES FALL
Section: B Level: Respondent CAI Reference: Q1231
Type: Numeric Width: 2 Decimals: 0
B12a.
How many times had (he/she) fallen
IF Q753 IS (1)
since
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] ?
ELSE
in the last two years?
END
# TIMES:
................................................................................
440 0-20. Actual Value
55 98. DK (Don't Know); NA (Not Ascertained)
99. RF (Refused)
853 Blank. INAP (Inapplicable): [Q1086:A21Y1] IS (LT 65);
[Q1230:B12] IS (NE 1)
R1236 B12b. INJURE
Section: B Level: Respondent CAI Reference: Q1236
Type: Numeric Width: 1 Decimals: 0
B12b.
IF Q1231 IS (1)
In that fall, did (he/she) injure (him/her)self seriously enough
ELSE
In any of those falls, did (he/she) injure (him/her)self seriously
enough
END
to need medical treatment?
................................................................................
238 1. YES
256 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
853 Blank. INAP (Inapplicable): [Q1086:A21Y1] IS (LT 65); [Q1230:B12] IS
(NE 1)
R1239 B13. BROKEN HIP
Section: B Level: Respondent CAI Reference: Q1239
Type: Numeric Width: 1 Decimals: 0
B13.
IF Q753 IS (NE1)
Did (he/she) ever fracture (his/her) hip?
ELSE
PREVIOUS WAVE:
[Q239-PR239.PREV WAVE BROKEN HIP]
Did (he/she) fracture (his/her) hip since we talked (in
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] )?
END
................................................................................
74 1. YES
1078 5. NO
6 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
190 Blank. INAP (Inapplicable): [Q1086:A21Y1] IS (LT 65)
R1240 B14X. MEMORY-RELATED DISEASE
Section: B Level: Respondent CAI Reference: Q1240
Type: Numeric Width: 1 Decimals: 0
B14X.
IF Q753 IS (1) AND Q218 IS (NE0) AND Q219 IS (NE0)
(Since
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] ,)
END
Did a doctor ever say that (he/she) had a
memory-related disease?
................................................................................
230 1. YES
920 5. NO
8 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
190 Blank. INAP (Inapplicable): [Q1086:A21Y1] IS (LT 65)
R1241 B15X. AUTOPSY
Section: B Level: Respondent CAI Reference: Q1241
Type: Numeric Width: 1 Decimals: 0
B15X.
After (he/she) died, was an autopsy performed?
................................................................................
75 1. YES
1057 5. NO
26 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
190 Blank. INAP (Inapplicable): [Q1086:A21Y1] IS (LT 65)
R1246 B18. PAIN
Section: B Level: Respondent CAI Reference: Q1246
Type: Numeric Width: 1 Decimals: 0
B18.
Was (he/she) often troubled with pain?
IWER: WE WANT A GENERAL IDEA OF R'S PAIN LEVEL DURING THE
LAST YEAR OR SO OF LIFE.
................................................................................
718 1. YES
610 5. NO
20 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
R1248 B18b. DEGREE PAIN MOST
Section: B Level: Respondent CAI Reference: Q1248
Type: Numeric Width: 1 Decimals: 0
B18b.
How bad was the pain most of the time: mild, moderate
or severe?
................................................................................
90 1. MILD
301 2. MODERATE
309 3. SEVERE
18 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
630 Blank. INAP (Inapplicable): [Q1246:B18] IS (NE 1)
R1250 B19. OTHER HEALTH
Section: B Level: Respondent CAI Reference: Q1250
Type: Numeric Width: 1 Decimals: 0
B19.
Did (he/she) have any (other) major illnesses
IF Q480 IS (1) AND {When Q19 IS (Q474), Q26 IS (1)}
since the time of our interview in
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] ?
ELSE Q480 IS (2) AND {When Q72 IS (Q474), Q79 IS (1)}
since the time of our interview in
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR] ?
ELSE Q480 IS (1) AND {When Q19 IS (Q474), Q26 IS (NE1)}
in the two years preceding (.../...) death?
ELSE Q480 IS (2) AND {When Q72 IS (Q474), Q79 IS (NE1)}
in the two years preceding (.../...) death?
END
................................................................................
331 1. YES
1006 5. NO
11 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
R1251M1M B19a.OTHER HEALTH-SPECIFY- 1- MASKED
Section: B Level: Respondent CAI Reference: Q1251
Type: Numeric Width: 3 Decimals: 0
B19a.
What illness was that?
................................................................................
11 101-103. Cancers and tumors; skin conditions
35 111-119. Musculoskeletal system and connective tissue
41 121-129. Heart, circulatory and blood conditions
38 131-139. Allergies; hayfever; sinusitis; tonsillitis
68 141-149. Endocrine, metabolic and nutritional conditions
52 151-159. Digestive system (stomach, liver, gallbladder,
kidney, bladder)
33 161-169. Neurological and sensory conditions
4 171-179. Reproductive system and prostate conditions
10 181-189. Emotional and psychological conditions
33 191-196. Miscellaneous
2 595-597. Other symptoms
990. No text displayed
2 996. None
997. Other health condition
2 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1017 Blank. INAP (Inapplicable): [Q1250:B19] IS (NE 1)
R1251M2M B19a.OTHER HEALTH-SPECIFY- 2- MASKED
Section: B Level: Respondent CAI Reference: Q1251
Type: Numeric Width: 3 Decimals: 0
B19a.
What illness was that?
................................................................................
5 101-103. Cancers and tumors; skin conditions
12 111-119. Musculoskeletal system and connective tissue
21 121-129. Heart, circulatory and blood conditions
6 131-139. Allergies; hayfever; sinusitis; tonsillitis
12 141-149. Endocrine, metabolic and nutritional conditions
13 151-159. Digestive system (stomach, liver, gallbladder,
kidney, bladder)
19 161-169. Neurological and sensory conditions
171-179. Reproductive system and prostate conditions
2 181-189. Emotional and psychological conditions
13 191-196. Miscellaneous
1 595-597. Other symptoms
990. No text displayed
996. None
1 997. Other health condition
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1243 Blank. INAP (Inapplicable): [Q1250:B19] IS (NE 1)
R1251M3M B19a.OTHER HEALTH-SPECIFY- 3- MASKED
Section: B Level: Respondent CAI Reference: Q1251
Type: Numeric Width: 3 Decimals: 0
B19a.
What illness was that?
................................................................................
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
141-149. Endocrine, metabolic and nutritional conditions
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
996. None
997. Other health condition
998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1348 Blank. INAP (Inapplicable): [Q1250:B19] IS (NE 1)
R1258 B20. EVER SMOKE
Section: B Level: Respondent CAI Reference: Q1258
Type: Numeric Width: 1 Decimals: 0
B20.
Did (he/she) ever smoke cigarettes in the last two years
of (his/her) life?
DEFINITION: DO NOT INCLUDE PIPES OR CIGARS.
................................................................................
250 1. YES
1097 5. NO
1 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
R1260 B20a. # CIG-PACKS
Section: B Level: Respondent CAI Reference: Q1260
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:
................................................................................
108 0-100. Actual Value
19 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
1221 Blank. INAP (Inapplicable): [Q1258:B20] IS (5 OR DK OR RF)
R1261 B20b. PACKS
Section: B Level: Respondent CAI Reference: Q1261
Type: Numeric Width: 1 Decimals: 0
................................................................................
129 1-5. Actual Value
8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
1219 Blank. INAP (Inapplicable): [Q1258:B20] IS (5 OR DK OR RF);
[Q1260:B20a] IS (1-100 OR DK OR RF)
R1264 B21.ALCOHOL
Section: B Level: Respondent CAI Reference: Q1264
Type: Numeric Width: 1 Decimals: 0
B21.
IF Q753 IS (1) AND Q218 IS (GT0) AND Q219 IS (GT0)
Since
[Q218-PR218.PREV WAVE IW MONTH]
[Q219-PR219.PREV WAVE IW YEAR]
ELSE
In the two years before (he/she) died
END
did (he/she) ever drink any alcoholic beverages such as beer,
wine, or liquor?
................................................................................
349 1. YES
13 3. [VOL] NEVER HAVE USED ALCOHOL
979 5. NO
7 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
R1274 B22. WEIGHT CURRENT WAVE
Section: B Level: Respondent CAI Reference: Q1274
Type: Numeric Width: 3 Decimals: 0
B22.
About how much did (he/she) weigh at the time
of (his/her) death?
POUNDS:
................................................................................
1261 50-400. Actual Value
87 998. DK (Don't Know); NA (Not Ascertained)
999. RF (Refused)
Blank. INAP (Inapplicable)
R1275 B22a. CHANGE WEIGHT
Section: B Level: Respondent CAI Reference: Q1275
Type: Numeric Width: 1 Decimals: 0
B22a.
Did
[Q754-CS22Y31.R FIRST NAME] gain or lose ten or more pounds in the
last 2 years of (his/her) life?
................................................................................
89 1. YES, GAINED
838 2. YES, LOST
50 3. YES, GAINED AND LOST
348 5. NO
23 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
R1285 B23ax.DIF BREATHING
Section: B Level: Respondent CAI Reference: Q1285
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?
................................................................................
640 1. YES
29 3. [VOL] ON RESPIRATOR
668 5. NO
11 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
R1286 B23bx.NO APPETITE
Section: B Level: Respondent CAI Reference: Q1286
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?
................................................................................
803 1. YES
34 3. [VOL] IV FLUIDS OR FEEDING TUBE
500 5. NO
11 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
R1287 B23cx.FREQ VOMITING
Section: B Level: Respondent CAI Reference: Q1287
Type: Numeric Width: 1 Decimals: 0
(Was there a period of at least one month during the last
year of (his/her) life when (he/she) had)
Frequent vomiting?
................................................................................
160 1. YES
1177 5. NO
10 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
Blank. INAP (Inapplicable)
R1288 B23dx.CONTROL ARM/LEG
Section: B Level: Respondent CAI Reference: Q1288
Type: Numeric Width: 1 Decimals: 0
(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?
................................................................................
423 1. YES
917 5. NO
8 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
R1289 B23ex.DEPRESSION
Section: B Level: Respondent CAI Reference: Q1289
Type: Numeric Width: 1 Decimals: 0
(Was there a period of at least one month during the last
year of (his/her) life when (he/she) had)
Depression?
................................................................................
586 1. YES
730 5. NO
31 8. DK (Don't Know); NA (Not Ascertained)
1 9. RF (Refused)
Blank. INAP (Inapplicable)
R1290 B23fx.CONFUSION
Section: B Level: Respondent CAI Reference: Q1290
Type: Numeric Width: 1 Decimals: 0
(Was there a period of at least one month during the last
year of (his/her) life when (he/she) had)
Periodic confusion?
................................................................................
563 1. YES
776 5. NO
9 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
R1291 B23m.SEVERE FATIGUE
Section: B Level: Respondent CAI Reference: Q1291
Type: Numeric Width: 1 Decimals: 0
(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?
................................................................................
780 1. YES
550 5. NO
18 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
R1292 B23hx.DIF TO AWAKE
Section: B Level: Respondent CAI Reference: Q1292
Type: Numeric Width: 1 Decimals: 0
(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 wakened, or loss of
consciousness?
................................................................................
210 1. YES
1123 5. NO
15 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
R1293 B23n.PERSISTENT COUGH
Section: B Level: Respondent CAI Reference: Q1293
Type: Numeric Width: 1 Decimals: 0
(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?
................................................................................
420 1. YES
920 5. NO
8 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
R1294 B23kx.UNCONTROLLED TEMPER
Section: B Level: Respondent CAI Reference: Q1294
Type: Numeric Width: 1 Decimals: 0
(Was there a period of at least one month during the last
year of (his/her) life when (he/she) had)
Uncontrolled oubursts of temper?
................................................................................
210 1. YES
1132 5. NO
6 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
R1295 B23mx.LOSS OF CONTROL
Section: B Level: Respondent CAI Reference: Q1295
Type: Numeric Width: 1 Decimals: 0
(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?
................................................................................
545 1. YES
794 5. NO
9 8. DK (Don't Know); NA (Not Ascertained)
9. RF (Refused)
Blank. INAP (Inapplicable)
RVERSION 2000 EXIT FINAL RELEASE VERSION NUMBER
Section: B Level: Respondent CAI Reference: Q9007
Type: Numeric Width: 1 Decimals: 0
................................................................................
1348 1. First Data Release
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