Section HC [HEALTH CONDITIONS] Sequence: 3. Would you say that in general {your/sp s} health is excellent, very good, good, fair, or poor?

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1 NHATS Round Section HC [HEALTH CONDITIONS] Sequence: 3 HCPRE HCPRE T ON FILE Let s start with some questions about {your/sp s} health. PRESS AND ENTER TO CONTINUE HC hchealth R HC OVERALL HEALTH CONDITION Would you say that in general {your/sp s} health is excellent, very good, good, fair, or poor? EXCELLENT VERY GOOD GOOD FAIR POOR HC hcdisescn hcdisescn hcdisescn3 hcdisescn4 hcdisescn5 hcdisescn6 hcdisescn7 hcdisescn8 hcdisescn9 hcdisescn0 R HC SP HAD HEART ATTACK R HC SP HAS HEART DISEASE R HC SP HAS HIGH BLOOD PRESS R HC SP HAS ARTHRITIS R HC SP HAS OSTEOPOROSIS R HC SP HAS DIABETES R HC SP HAS LUNG DISEASE R HC SP HAD STROKE R HC SP HAS DEMENTIA OR ALZH R HC SP HAS CANCER DIPLAY INSTRUCTIONS: Use Same Question Stem display If at HCa, do not display question text in brackets. Otherwise, display question text in brackets. {[}I will read a list of some diseases and conditions that a doctor may have said {you have/sp has}. Please tell me if a doctor ever told {you/him/her} that {you/he/she} had{]} Page of 4 NHATS Round :: HC

2 {variable text [a-j]} RESPONSE [] a. a heart attack or myocardial infarction? RESPONSE [] b. any heart disease including angina or congestive heart failure? RESPONSE [3] c. high blood pressure or hypertension? RESPONSE [4] d. arthritis (including osteo or rheumatoid arthritis)? RESPONSE [5] e. osteoporosis or thinning of the bones? RESPONSE [6] f. diabetes? RESPONSE [7] g. lung disease, such as emphysema, asthma, or chronic bronchitis? RESPONSE [8] h. a stroke? RESPONSE [9] i. dementia or Alzheimer s Disease? RESPONSE [0] j. cancer? Array the responses and Variable text columns in the panel. Display variable text in the a-j sequence until all rows have been displayed BOX HC3 BOXHC3 T ON FILE If HCj = (,CANCER), go to HC3. Otherwise, go to BOX HC4. HC3 hccancerty R HC3 SP HAD SKIN CANCER hccancerty (Sensitive) hccancerty3 (Sensitive) hccancerty4 (Sensitive) hccancerty5 (Sensitive) hccancerty6 (Sensitive) hccancerty7 (Sensitive) hccancerty8 (Sensitive) R HC3 SP HAD BREAST CANCER R HC3 SP HAD PROSTATE CANCER R HC3 SP HAD BLADDER CANCER (from HC3b) R HC3 SP HAD CRV OVRN UTRN CNCR (from HC3b) R HC3 SP HAD COLON CANCER (from HC3b) R HC3 SP HAD KIDNEY CANCER (from HC3b) R HC3 SP HAD OTHER CANCER If IS4= (SP is male), display prostate cancer, and response code 3. Was that skin cancer, breast cancer, {prostate cancer,} or some other type? SELECT ALL THAT APPLY Page of 4 NHATS Round :: HC

3 3 9 CODE ALL THAT APPLY SKIN CANCER BREAST CANCER {PROSTATE CANCER} OTHER TYPE OF CANCER (SPECIFY) BOX HC4 BOX HC4 BOX HC4 BOX HC4 BOX HC4 PROGRAMMER INSTUCTIONS: Allow code all that apply HC3B HC3B T ON FILE SPECIFY TYPE OF CANCER IF NEEDED: What type of cancer was this? ENTER TEXT Length 5 BOXHC4 BOXHC4 T ON FILE If HCi = (), go to HC4. Otherwise, go to HC5. HC4 hcdementage R HC4 AGE TOLD HAD DEMENTIA How old {were you/was SP} when {you were/{he/she} was} told {you have/{he/she} had} dementia or Alzheimer s disease? IF NEEDED: If you are not sure, just give me your best guess. ENTER AGE Range 40 to 0 PROGRAMMER INSTRUCTIONS Range 40-0 Compare age entry to SP s calculated age today. If age entry>sp s current age, display error message CONFIRMED RESPONSE. AGE ENTERED IS GREATER THAN SP S CURRENT AGE. HC5 hcbrokebon hcbrokebon R HC5A SP BROKEN OR FRACT HIP R HC5B SP OTHR BRKN FRACT BONE Page 3 of 4 NHATS Round :: HC

4 Use Same Question Stem display. If at HC5a, do not display question text in brackets. Otherwise, display question text in brackets. {[}Since age 50 has a doctor told {you/sp} that {you have/{he/she} has}{]} {variable text [a-b]} RESPONSE [] a. a broken or fractured hip? RESPONSE [] b. other broken or fractured bones? Array the responses and Variable text columns in the panel. Display variable text in the a-b sequence until all rows have been displayed. HC6 hcserdisill R HC6 SP OTHR SER DIS ILLNES Is there another serious disease or illness that I have not asked about that a doctor has told {you/sp} that {you have/{he/she} has}? HC7 HC7 HC7 HC6A HC6A T ON FILE What is that (serious disease or illness)? ENTER TEXT Length 75 Field length 75. Page 4 of 4 NHATS Round :: HC

5 HC7 hchosptstay R HC7 SP HOSP STAY LAST MOS Display last months in bold underlined text. {Have you/has SP} had an overnight hospital stay within the last months, that is since {CURRENT MONTH AND YEAR - YEAR}? CODE HC9PRE HC9PRE HC9PRE Display month as word. HC8 hchosovrnht R HC8 SP NUM OF HOSP STAYS Display "last months" in bold underlined text. How many separate overnight hospital stays {have you/has SP} had (in the last months)? By hospital stay, we mean a time when {you/sp} stayed at least one night in the hospital. Range Soft Range to 365 to Numeric field length 3. Hard range -365 Soft range - HC9PRE HC9PRE T ON FILE Next I have a few questions about any types of surgery {you/sp} may have had. PRESS AND ENTER TO CONTINUE HC9A hckneesurg R HC9A HAD KNEE SURGERY Items HC9a-HC3c should be displayed as a grid with four columns in the response area: Page 5 of 4 NHATS Round :: HC

6 st: Item text nd: Yes/no response to surgery (a) 3rd: Yes/no if surgery was in last months (b) 4th: If not in last months, age at last surgery {Have you/has SP} ever had any of the following types of surgery? Knee repair or replacement? HC0A HC0A HC0A HC9B hcknesrgyr R HC9B KNEE SURGERY IN MNTHS Spell out month name in question text. Did {you/sp} have knee surgery in the last months, that is since {CURRENT MONTH, DAY, AND YEAR - YEAR}? HC0A HC0A HC0A HC9C hcageknesur R HC9C AGE AT LAST KNEE SURGERY How old {were you/was SP} the last time {you/he/she} had knee repair or replacement surgery? IF NEEDED: If you are not sure, just give me your best guess. ENTER AGE Range 8 to 0 Range 8-0 Compare age entry to SP s calculated age today. If age entry>sp s current age, display error message CONFIRM RESPONSE. AGE ENTERED IS GREATER THAN SP S CURRENT AGE. HC0A hchipsurg R HC0A HIP REPAIR OR REPLACMNT Page 6 of 4 NHATS Round :: HC

7 [{Have you/has SP} ever had] hip repair or replacement surgery? HCA HCA HCA HC0B hchipsrgyr R HC0B HIP SURG IN MNTHS Spell out month name in question text. Did {you/sp} have hip surgery in the last months, that is since {CURRENT MONTH, DAY, AND YEAR - YEAR}? HCA HCA HCA HC0C hcagehipsur R HC0C AGE AT LAST HIP SURGERY How old {were you/was SP} the last time {you/he/she} had hip repair or replacement surgery? IF NEEDED: If you are not sure, just give me your best guess. ENTER AGE Range 40 to 0 Range 40-0 Compare age entry to SP s calculated age today. If age entry>sp s current age, display error message CONFIRM RESPONSE. AGE ENTERED IS GREATER THAN SP S CURRENT AGE. HCA hccatarsurg R HCA HAD CATARACT SURGERY [{Have you/has SP} ever had] cataract surgery? Page 7 of 4 NHATS Round :: HC

8 HCA HCA HCA HCB hccatrsrgyr R HCB CATER SURG IN MNTHS Spell out month name in question text. Did {you/sp} have cataract surgery in the last months, that is since {CURRENT MONTH, DAY, AND YEAR - YEAR}? HCA HCA HCA HCC hcagecatsur R HCC AGE AT LAST CATRCT SURG How old {were you/was SP} the last time {you/he/she} had cataract surgery? IF NEEDED: If you are not sure, just give me your best guess. ENTER AGE Range 40 to 0 PROGRAMMER INSTRUCTIONS Range 40-0 Compare age entry to SP s calculated age today. If age entry>sp s current age, display error message CONFIRM RESPONSE. AGE ENTERED IS GREATER THAN SP S CURRENT AGE". HCA hcbckspnsur R HCA HAD BACK OR SPINE SURGR [{Have you/has SP} ever had] back or spine surgery? HC3A Page 8 of 4 NHATS Round :: HC

9 HC3A HC3A HCB hcbacksrgyr R HCB BCK SPNE SURGR MNTHS Spell out month name in question text. Did {you/sp} have back or spine surgery in the last months, that is since {CURRENT MONTH, DAY, AND YEAR - YEAR}? HC3A HC3A HC3A HCC hcagebcksrg R HCC AGE AT LAST BACK SURGRY How old {were you/was SP} the last time {you/he/she} had back or spine surgery? IF NEEDED: If you are not sure, just give me your best guess. ENTER AGE Range 0 to 0 PROGRAMMER INSTRUCTIONS Range 0-0 Compare age entry to SP s calculated age today. If age entry>sp s current age, display error message CONFIRM RESPONSE. AGE ENTERED IS GREATER THAN SP S CURRENT AGE". HC3A hcheartsurg R HC3A HAD HEART SURGERY [{Have you/has SP} ever had] heart surgery of any kind, including a bypass, valve surgery or a stent? HC4PRE HC4PRE HC4PRE HC3B hchartsrgyr R HC3B HEART SURGERY MONTHS Page 9 of 4 NHATS Round :: HC

10 Spell out month name in question text. Did {you/sp} have heart surgery in the last months, that is since {CURRENT MONTH, DAY, AND YEAR - YEAR}? HC4PRE HC4PRE HC4PRE HC3C hcagehrtsrg R HC3C AGE LAST HEART SURGERY How old {were you/was SP} the last time {you/he/she} had heart surgery? IF NEEDED: If you are not sure, just give me your best guess. ENTER AGE Range Soft Range to 0 0 to 80 PROGRAMMER INSTRUCTIONS Hard range -0 Soft range 0-80 Compare age entry to SP s calculated age today. If age entry>sp s current age, display error message CONFIRM RESPONSE. AGE ENTERED IS GREATER THAN SP S CURRENT AGE. HC4PRE HC4PRE T ON FILE These next few questions are about falling down. By falling down we mean any fall, slip, or trip in which you lose your balance and land on the floor or ground or at a lower level. PRESS AND ENTER TO CONTINUE HC4 hcfllsinmth R HC4 FALL DOWN IN LAST MONTH Display "last month" in bold underlined text. In the last month, {have you/has SP} fallen down? Page 0 of 4 NHATS Round :: HC

11 HC5 hcworryfall R HC5 WORRIED ABOT FALLNG DOWN Display "last month" in bold underlined text. In the last month, did {you/sp} worry about falling down? BOX HC7 BOX HC7 BOX HC7 HC6 hcworrylimt R HC6 WORRY EVR LIMT ACTIVTIES Display "last month" in bold underlined text. In the last month, did this worry ever limit {your/sp s} activities? BOX HC7 BOX HC7 T ON FILE If HC4 = (), go to HC8. Otherwise, go to HC7. HC7 hcfaleninyr R HC7 FALLEN DOWN IN MONTHS Display "last months" in bold underlined text. In the last months {have you/has SP} fallen down? IF NEEDED: By falling down we mean any fall, slip, or trip in which you lose your balance and land on the floor or ground or at a lower level. Page of 4 NHATS Round :: HC

12 HC9 HC9 HC9 HC8 hcmultifall R HC8 FALLEN DWN MORE THN ONCE Display "last months" in bold underlined text. In the last months, {have you/has SP} fallen down more than one time? HC9 hcdepresan hcdepresan hcdepresan3 hcdepresan4 R HC9A SP LITTLE INTERST PLEAS R HC9B SP DOWN DEPRES HOPELESS R HC9C SP NERVOUS ANXIOUS R HC9D SP UNABLE TO STOP WORRY Use Same Question Stem display If at HC9a, do not display question text in brackets. Otherwise, display question text in brackets.. SHOW CARD HC {[}Over the last month, how often {have you/has SP} {]} {variable text [a-d]} RESPONSE [] a. had little interest or pleasure in doing things? RESPONSE [] b. felt down, depressed, or hopeless? RESPONSE [3] c. felt nervous, anxious, or on edge? RESPONSE [4] d. been unable to stop or control worrying? {[}Not at all, several days, more than half the days, or nearly every day?{]} 3 4 T AT ALL SEVERAL DAYS MORE THAN HALF THE DAYS NEARLY EVERY DAY Page of 4 NHATS Round :: HC

13 Array the responses and Variable text columns in the panel. Display 'variable text' in the a-d sequence until all rows have been displayed. HC0PRE HC0PRE T ON FILE The next few questions are about how {you have/sp has} been sleeping. PRESS AND ENTER TO CONTINUE HC0 hcaslep30mn R HC0 OVER 30 MIN FALL ASLEEP Display "last month" in bold underlined text. SHOW CARD HC In the last month how often did it take {you/sp} more than 30 minutes to fall asleep? Would you say every night, most nights, some nights, rarely, or never? EVERY NIGHT (7 NIGHTS A WEEK) MOST NIGHTS (5-6 NIGHTS A WEEK) SOME NIGHTS (-4 NIGHTS A WEEK) RARELY (ONCE A WEEK OR LESS) NEVER HC hctrbfalbck R HC TROBLE FALLNG BCK ASLEEP Display "last month" in bold underlined text. SHOW CARD HC3 (In the last month) on nights when {you/sp} woke up before {you/he/she} wanted to get up, how often did {you/he/she} have trouble falling back asleep? Would you say every night, most nights, some nights, rarely, or never? EVERY NIGHT MOST NIGHTS SOME NIGHTS RARELY NEVER DON T WAKE UP/T A PROBLEM Page 3 of 4 NHATS Round :: HC

14 HC hcsleepmed R HC OFTN MEDICATE HELP SLEEP Display "last month" in bold underlined text. SHOW CARD HC3 (In the last month) how often did {you/sp} take medication to help {you/him/her} sleep? Would you say every night, most nights, some nights, rarely, or never? Go to Section HT HOUSING TYPE EVERY NIGHT (7 NIGHTS A WEEK) MOST NIGHTS (5-6 NIGHTS A WEEK) SOME NIGHTS (-4 NIGHTS A WEEK) RARELY (ONCE A WEEK OR LESS) NEVER Page 4 of 4 NHATS Round :: HC

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