AHEAD - WAVE SECTION B - HEALTH - PAGE 6
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1 AHEAD - WAVE SECTION B - HEALTH - PAGE 6 B1. Next I have some questions about your health. Would you say your health is excellent, very good, good, fair, or poor? 1.EXCELLENT 2.VERY GOOD 3.GOOD 4.FAIR 5.POOR B2. Compared with 1 year ago, would you say that your health is better now, about the same, or worse than it was then? 1.BETTER 2.SAME 3.WORSE B3. Has a doctor ever told you that you have high blood pressure or hypertension? 2.NO B4. Do you have diabetes? GO TO B5 B4a. Are you now using medication that you swallow to treat or control your diabetes? B4b. Are you now using insulin injections?
2 AHEAD - WAVE SECTION B - HEALTH - PAGE 7 B5. Has a doctor ever told you that you have cancer or a malignant tumor, excluding minor skin cancers? GO TO B6 B5a. In which organ or part of your body did your (most recent) cancer start? ORGAN: B5b. During the last 12 months, what sort of treatments have you received for cancer? [IWER: CHOOSE ALL THAT APPLY] 1.CHEMOTHERAPY/MEDICATION 2.SURGERY OR BIOPSY 3.RADIATION/X-RAY 4.OTHER (SPECIFY) 6.NONE B6. Not including asthma, has a doctor ever told you that you have chronic lung disease such as chronic bronchitis or emphysema? GO TO B7 B6a. Does your condition limit your usual activities such as household chores? B7. Has a doctor ever told you that you had a heart attack, coronary heart disease, angina, congestive heart failure, or other heart problems? GO TO B8
3 AHEAD - WAVE SECTION B - HEALTH - PAGE 8 B7a. Have you had a heart attack in the past five years? [IWER: INCLUDES MYOCARDIAL INFARCTION] B7b. Have you recently had any angina or chest pains due to your heart? B8. Has a doctor ever told you that you had a stroke? 2.[VOLUNTEERED] POSSIBLE OR TIA GO TO B9 B8a. Do you still have any remaining health problems because of your stroke? B9. Have you ever seen a doctor for emotional, nervous, or psychiatric problems? GO TO B10 B9a. Have you had any of these problems in the last 12 months? B10. During the last 12 months, have you seen a doctor specifically for arthritis or rheumatism?
4 AHEAD - WAVE SECTION B - HEALTH - PAGE 9 B11. Have you fallen down in the last 12 months? GO TO B12 B11a. In that fall, did you injure yourself seriously enough to need medical treatment? B12. Have you ever fractured your hip? B13. Have you ever had surgical replacement of a joint? GO TO B14 B13a. Which joint was that? [IWER: SELECT ALL THAT APPLY] 1.HIP(S) 2.KNEE(S) 7.OTHER (SPECIFY) B14. The next question might not be easy to talk about, but it is very important for research on health and aging. During the last 12 months, have you lost any amount of urine beyond your control? GO TO B15
5 AHEAD - WAVE SECTION B - HEALTH - PAGE 10 B14a. On about how many days in the last month have you lost any urine? NUMBER OF DAYS: 97.EVERY DAY B14b. Do you ever use any absorbent products such as pads, special garments, sanitary napkins, or toilet paper for your urine loss condition? B15. Do you usually wear glasses or contact lenses? B15a. (With your glasses,) Is your eyesight excellent, very good, good, fair, or poor? 1.EXCELLENT 2.VERY GOOD 3.GOOD 4.FAIR 5.POOR 6.[VOL] LEGALLY BLIND B15b. Have you ever had cataract surgery? B16. Do you ever wear a hearing aid? B16a. (With your hearing aid) Is your hearing excellent, very good, good, fair, or poor? 1.EXCELLENT 2.VERY GOOD 3.GOOD 4.FAIR 5.POOR
6 AHEAD - WAVE SECTION B - HEALTH - PAGE 11 B17. Are you often bothered with pain? GO TO B18 B17a. During the last 12 months, has pain often kept you from doing things you wanted to do? B18. Do you have any other major health problems which you haven't told me about? [IWER: IF YES, SPECIFY ON NEXT SCREEN] GO TO B19 B18a. What is that? SPECIFY: B19. How would you describe yourself; as a current smoker, as a former smoker, or as someone who has never smoked? 1.CURRENT SMOKER 2.FORMER SMOKER 3.NEVER SMOKED GO TO B20 B19a. About how many cigarettes or packs do you usually smoke in a day now? [IWER: PROBE A RANGE] CIGARETTES/DAY: PACKS/DAY:
7 AHEAD - WAVE SECTION B - HEALTH - PAGE 12 B20. Do you ever drink any alcoholic beverages such as beer, wine, or liquor? GO TO B21 B20a. In general, do you have less than one drink a day, one or two drinks a day, three or four drinks a day, or five or more drinks a day? 1.LESS THAN 1 A DAY A DAY A DAY 4.5 OR MORE A DAY B21. At any time in your life, have you ever felt that you should cut down on drinking? B22. About how much do you weigh? WEIGHT: B23. About how tall are you? FEET: INCHES: BRANCHPOINT: IF PROXY INTERVIEW, GO TO SECTION PC
8 AHEAD - WAVE SECTION B - HEALTH - PAGE 13 B24. Now think about the past week and the feelings you have experienced. Please answer yes or no to the following statements. Much of the time during the past week, I felt depressed. (Would you say yes or no?) B24a. I felt that everything I did was an effort. B24b. My sleep was restless. B24c. I was happy. B24d. I felt lonely. B24e. I felt interested in things. B24f. I enjoyed life. B24g. I felt sad. B24h. I could not "get going." B24j. I had a lot of energy. GO TO SECTION C
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