ARIC Data Book. Cohort, Exam 3. AFU Medical History Form. Data set name: AMHA02
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1 Page 1 of 22 AFU Medical History Form Data set name: AMHA02 Instructions: This form asks about a variety of health issues. It should be completed during the appropriate annual follow-up call. Whenever numerical responses are required, enter the number so that the last digit appears in the rightmost box. Enter leading zeros where necessary to fill all boxes. AMHA1 Has a doctor ever said you had diabetes, or sugar in the blood? Q N No [skip to Q2] 15 U Unknown [skip to Q2] 1778 Y Yes 310 Missing AMHA1A At what age were you first told you had diabetes? Q1a 1693 Range 2-72 ( median=53 mean=51.8 std=11.0 ) Missing 2. Has a doctor ever said that you had any of the following AMHA2A Kidney stones? Q2a N No 27 U Unknown 1120 Y Yes 315 Missing AMHA2B Any other kidney disease, apart from a temporary infection? Q2b N No [skip to Q2d] 22 U Unknown [skip to Q2d] 236 Y Yes 319 Missing
2 Page 2 of 22 AMHA2C Have you ever had a kidney transplant or been treated with dialysis for more than 6 months? Q2c 198 N No 35 Y Yes Missing AMHA2D Has a doctor ever said you had hepatitis Q2d N No 34 U Unknown 374 Y Yes 315 Missing AMHA2E Cirrhosis or other chronic liver disease? Q2e N No 14 U Unknown 69 Y Yes 313 Missing AMHA2F A thyroid disease, such as hypo- or hyperthyroidism or a goiter? Q2f N No 26 U Unknown 1326 Y Yes 320 Missing AMHA3 Have you ever been diagnosed by a doctor as having gallstones or a gallbladder attack? Q N No [skip to Q4] 1812 Y Yes 312 Missing
3 Page 3 of 22 AMHA3A At what age were you first told you had a gallbladder problem? Q3a 1744 Range 9-74 ( median=50 mean=47.6 std=12.5 ) Missing AMHA3B Has your gallbladder been removed? Q3b 333 N No [skip to Q5] 15 U Unknown 1455 Y Yes Missing AMHA4 Have you ever had a test, for example ultrasound or x-ray, to check for gallstones? Q N No 143 U Unknown 1138 Y Yes 2122 Missing AMHA5 Have you ever had a head injury which led you to see a physician or seek hospital care? Q N No [skip to Q6] 1586 Y Yes 315 Missing AMHA5A How many times has this happened? Q5a Missing
4 Page 4 of 22 AMHA5B How many of these head injuries resulted in your losing consciousness, no matter how briefly? Q5b Missing AMHA5C In what year was your last head injury for which you sought medical care? Q5c 1538 Range ( median=68 mean=68.0 std=18.9 ) Missing AMHA6 During your lifetime, have you ever used aspirin, or a medicine containing aspirin, on a regular basis? This does not include Tylenol Q N No [skip to Q9] 34 U Unknown [skip to Q9] 4165 Y Yes 318 Missing AMHA6A When did you first take aspirin, or a medicine continuing aspirin, on a regular basis? Q6a 4019 Range ( median=90 mean=86.0 std=11.2 ) Missing AMHA7 Please think back about the time when you FIRST came to the ARIC clinic on [date]. At that time, were you taking aspirin, or a medicine containing aspirin, on a regular basis? Q N No [skip to Q8] 149 U Unknown [skip to Q8] 1193 Y Yes Missing
5 Page 5 of 22 AMHA7A At that time, which were you taking--aspirin alone or a medicine containing aspirin? Q7a 999 A Aspirin [skip to Q7d] 179 O Other Missing AMHA7B What was the brand name? Q7b 181 Present Text suppressed Missing AMHA7C Code Q7c 154 Range ( median=55703 mean= std= ) Missing AMHA7D Can you recall what strength of aspirin was in the pill? Was it baby, regular, or extra strength? Q7d 117 B Baby (Less than 300 milligrams) 20 D Don't Know 132 E Extra Strength (500 milligrams or more) 918 R Regular ( milligrams) Missing AMHA7E How many days a week, on average, were you taking aspirin, or a medicine containing aspirin on [date]? Q7e Missing
6 Page 6 of 22 AMHA7F How many pills were you taking per week, on average? Q7f 1170 Range 1-99 ( median=7 mean=10.8 std=11.1 ) Missing AMHA8 Are you NOW taking aspirin, or a medicine containing aspirin, on a regular basis? Q N No [skip to Q9] 6 U Unknown 3079 Y Yes [skip to Q9] Missing AMHA8A When did you stop taking aspirin, or a medicine containing aspirin, on a regular basis? Q8a 821 Range ( median=91 mean=86.6 std=9.9 ) Missing AMHA9 Gender of Participant Q F Female 6352 M Male 311 Missing AMHA10 Except aspirin or Tylenol, have you ever used other nonsteroidal anti-inflammatory drugs or arthritis medicines on a regular basis? Examples include Ibuprofen, Advil, Nuprin, Motrin, Nasprosyn, Feldene and Clinoril. Q N No [skip to Q13 (Female)] 50 U Unknown [skip to Q20 (Male)] 2506 Y Yes 323 Missing AMHA10A When did you start taking that medicine on a regular basis? Q10a 2417 Range ( median=92 mean=89.7 std=6.0 ) Missing
7 Page 7 of 22 AMHA11 Please think back about the time when you FIRST came to the ARIC clinic on [date]. At that time, were you taking a nonsteroidal anti-inflammatory or arthritis medication on a regular basis? Q N No [skip to Q12] 122 U Unknown [skip to Q12] 525 Y Yes Missing AMHA11A What was the brand name of the medicine you were taking at that time? Q11a 230 I Ibuprofen or Advil 282 O Other 1 ` Missing AMHA11B If *Other*, specify: Q11b 288 Present Text suppressed Missing AMHA11C Code Q11c 241 Range ( median= mean= std= ) Missing AMHA11D How many pills per week were you taking, on average, on [FIRST clinic date]? Q11d 4 B 1 tablet per week 49 C 2-5 tablets per week 458 D 6 or more tablets per week Missing
8 Page 8 of 22 AMHA12 Are you now taking a nonsteroidal anti-inflammatory or arthritis medication on a regular basis? Q N No 14 U Unknown [skip to Q13] 1501 Y Yes [skip to Q13] Missing AMHA12A When did you stop taking that medicine on a regular basis? Q12a 747 Range ( median=93 mean=91.1 std=5.3 ) Missing AMHA13 [IF MALE, SKIP TO ITEM 20] Have you ever been pregnant? Q N No [skip to Q15] 7575 Y Yes 6679 Missing AMHA13A How old were you when you first become pregnant? Q13a 7546 Range ( median=21 mean=21.4 std=4.2 ) 7281 Missing AMHA14 Have you ever giving birth? Q N No [skip to Q15] 7453 Y Yes 7251 Missing AMHA14A How old were you when your first child was born? Q14a 7426 Range ( median=21 mean=22.0 std=4.2 ) 7401 Missing
9 Page 9 of 22 AMHA14B What is the total number of months, adding together all children that you breast fed? Q14b 7349 Range ( median=0 mean=6.7 std=14.6 ) 7478 Missing AMHA15 Have you ever had a mammogram, an x-ray like examination of your breast? Q N No [skip to Q16] 7194 Y Yes 6688 Missing AMHA15A In what year was your last mammogram? Q15a 7060 Range ( median=94 mean=93.4 std=2.4 ) 7767 Missing AMHA16 Have you ever had a breast biopsy, by surgery or needle, to remove and examine a small piece of breast tissue? Q N No 1860 Y Yes 6692 Missing AMHA17 Have you ever had a mastectomy or lumpectomy to remove part or all of a breast? Q N No [skip to Q18] 725 Y Yes 6694 Missing AMHA17A Which breast(s) Q17a 117 B Both 305 L Left only 250 R Right only Missing
10 Page 10 of 22 AMHA18 Have you ever had breast cancer? Q N No [skip to Q19] 302 Y Yes 6693 Missing AMHA18A Which breast(s) Q18a 17 B Both 147 L Left only 135 R Right only Missing AMHA19 Has your mother, a full sister, or a child had cancer in both breasts? Q N No 76 U Unknown 220 Y Yes 6699 Missing AMHA20 Have you ever had chemotherapy or radiation treatment for any kind of cancer? Q N No 16 U Unknown 519 Y Yes 332 Missing AMHA21 Have you ever had a sigmoidoscopy or colonoscopy to detect an abnormality in your colon, large intestine or rectum? Q N No 124 U Unknown 4947 Y Yes 327 Missing
11 Page 11 of 22 AMHA22 Have you ever had a stool test for blood to detect cancer of the colon or rectum? Q N No 122 U Unknown 7857 Y Yes 331 Missing AMHA23 Have you ever been diagnosed by a doctor as having a polyp or noncancerous tumor of the colon or rectum? Q N No 63 U Unknown 1352 Y Yes 328 Missing "The next questions ask about diabetes and cancer in your family. Only full blood relatives should be considered. Do not count half or adopted relatives." AMHA24 Did your mother ever have diabetes, or sugar in the blood? Q N No [skip to Q25] 530 U Unknown [skip to Q25] 2860 Y Yes 329 Missing AMHA24A Did this start before or after the age of 30? Q24a 2658 A After 49 B Before 148 U Unknown Missing AMHA25 Did your mother ever have cancer? Q N No [skip to Q26] 474 U Unknown [skip to Q26] 3218 Y Yes 330 Missing
12 Page 12 of 22 AMHA25A What types or location of cancer(s)? Q25a 3130 Present Text suppressed Missing AMHA25B What types or location of cancer(s)? Q25b 252 Present Text suppressed Missing AMHA25C At approximately what age was the (first) cancer diagnosed? Q25c 3022 Range 0-97 ( median=66.5 mean=65.21 std=13.84 ) Missing AMHA26 Did your father ever have diabetes, or sugar in the blood? Q N No [skip to Q27] 849 U Unknown [skip to Q27] 1589 Y Yes 331 Missing AMHA26A Did this start before or after the age of 30? Q26a 1462 A After 34 B Before 88 U Unknown Missing AMHA27 Did your father ever have cancer? Q N No 872 U Unknown 3228 Y Yes 331 Missing
13 Page 13 of 22 AMHA27A What types or location of cancer? Q27a 3159 Present Text suppressed Missing AMHA27B What types or location of cancer? Q27b 239 Present Text suppressed Missing AMHA27C At approximately what age was the (first) cancer diagnosis? Q27c 3040 Range ( median=70 mean=67.9 std=11.6 ) Missing AMHA28 How many full sisters did you have, living or dead? Q Missing
14 Page 14 of 22 AMHA28A How many sisters, if any, had diabetes, or sugar in the blood? Q28a Range 0-10 ( median=0 mean=0.2 std=0.6 ) 4089 Missing AMHA28B How many sisters had cancer? Q28b Missing Would you please provide the types or locations of cancer in your sisters and the age the first cancer was first diagnosed. AMHA28C Location Of Cancer - Sister Q28c 1988 Present Text suppressed Missing AMHA28D Age First Diagnosed - Sister Q28d 1901 Range 2-86 ( median=54 mean=52.7 std=13.2 ) Missing AMHA28E Location Of Cancer - Sister Q28e 294 Present Text suppressed Missing
15 Page 15 of 22 AMHA28F Age First Diagnosed - Sister Q28f 281 Range ( median=55 mean=54.3 std=12.4 ) Missing AMHA28G Location Of Cancer - Sister Q28g 50 Present Text suppressed Missing AMHA28H Age First Diagnosed - Sister Q28h 45 Range ( median=55 mean=56.4 std=12.5 ) Missing AMHA28I Location Of Cancer - Sister Q28i 10 Present Text suppressed Missing AMHA28J Age First Diagnosed - Sister Q28j Missing AMHA28K Location Of Cancer - Sister Q28k 3 Present Text suppressed Missing
16 Page 16 of 22 AMHA28L Age First Diagnosed - Sister Q28l Missing AMHA28M Location Of Cancer - Sister Q28m 1 Present Text suppressed Missing AMHA28N Age First Diagnosed - Sister Q28n Missing AMHA28O Location Of Cancer - Sister Q28o Missing AMHA28P Age First Diagnosed - Sister Q28p Missing AMHA28Q Location Of Cancer - Sister Q28q Missing AMHA28R Age First Diagnosed - Sister Q28r Missing
17 Page 17 of 22 AMHA28S For how many of your brothers do you feel you really know their medical history? Q28s Missing AMHA29 How many full brothers did you have, living or dead Q Missing
18 Page 18 of 22 AMHA29A How many brothers, if any, had diabetes, or sugar in the blood? Q29a Missing AMHA29B How many brothers had cancer? Q29b Missing AMHA29C Location Of Cancer - Brother Q29c 1752 Present Text suppressed Missing AMHA29D Age First Diagnosed - Brother Q29d 1687 Range 2-90 ( median=59 mean=57.1 std=12.0 ) Missing
19 Page 19 of 22 AMHA29E Location Of Cancer - Brother Q29e 291 Present Text suppressed Missing AMHA29F Age First Diagnosed - Brother Q29f 279 Range ( median=60 mean=59.4 std=10.7 ) Missing AMHA29G Location Of Cancer - Brother Q29g 63 Present Text suppressed Missing AMHA29H Age First Diagnosed - Brother Q29h 59 Range ( median=60 mean=59.6 std=10.9 ) Missing AMHA29I Location Of Cancer - Brother Q29i 15 Present Text suppressed Missing
20 Page 20 of 22 AMHA29J Age First Diagnosed - Brother Q29j Missing AMHA29K Location Of Cancer - Brother Q29k 2 Present Text suppressed Missing AMHA29L Age First Diagnosed - Brother Q29l Missing AMHA29M Location Of Cancer - Brother Q29m 1 Present Text suppressed Missing AMHA29N Age First Diagnosed - Brother Q29n Missing
21 Page 21 of 22 AMHA29O Location Of Cancer - Brother Q29o 1 Present Text suppressed Missing AMHA29P Age First Diagnosed - Brother Q29p Missing AMHA29Q Location Of Cancer - Brother Q29q Missing AMHA29R Age First Diagnosed - Brother Q29r Missing AMHA29S For how many of your brothers do you feel you really know their medical history? Q29s Range 0-12 ( median=1 mean=1.6 std=1.7 ) 4037 Missing AMHA30 Do you have a brother or a sister diagnosed as having high blood pressure? Q N No 1501 U Unknown 5347 Y Yes 398 Missing AMHA31 Date Of Data Collection Q Range 01/02/ /14/ Missing
22 Page 22 of 22 AMHA32 Method Of Data Collection Q32 18 C Computer P Paper 320 Missing AMHA33 Code Number Of Data Collector Q Present Text suppressed 322 Missing AMHACY Contact Year AMHAFLAG Indicator For Presence Of Form ID Aric Participant ID Present Text suppressed
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