The Changing Lives of Older Couples Study

Wave I Control Follow-up Survey

CODEBOOK

Facesheet

VAR #

1001 FS. Seq.#/CASE ID

1002 FS. Respondent # -- 1st 4 digits (CLOC ID#)

1003 FS. Respondent # -- last 2 digits, preprinted as 61

[V1004: BUILD 6-digit Respondent ID# (V1002+V1003)]

1005 FS. Result Code

01. Complete I'v

03. Complete Telephone I'v

05. Partial I'v

07. Partial Telephone I'v

1006 FS. Respondent "history": 2 digits

Code 1st 2-digit # precoded on Facesheet

1007 FS. Matched Case ID # -- first 4 digits

1008 FS. Matched Case ID#, preprinted as 11

[V1009: BUILD 6-digit ID# (V1007+V1008)]

1010 FS. "History" of person to whom R is matched: 2 digits

Code last 2-digit # precoded on Facesheet

1011 FS1. INTERVIEWER's ID# (4 digits from label)

1012 FS2. Interview No.: (2 digits from box)

99. NA

1013 FS3. Date of Interview--MONTH

Code MONTH (01-12)

1014 FS3. Date of Interview--DAY

Code DAY (01-31)

1015 FS3. Date of Interview--YEAR

Code 4-digit YEAR (1988-1995)

1016 FS4. Length of Interview

Code # of MINS (001-240)

SECTION A: HOUSEHOLD LISTING

A1. First, I need to list all the people who live here. I don't need names, just the age, sex and relationship to you for each person. Let's start with you. How old are you?

Now I need the age, sex and relationship to you of any other adults and children who live here.

1101 A1. SUMMARY # Persons in HOUSEHOLD

┌──────────────┐

│0 in 1105-1131├─────01. One ┌──────────────┐

└──────────────┘ │Code # persons│

┌──────────────┐ │listed in grid│

│0 in 1108-1131├─────02. Two │(01-20). │

└──────────────┘ └──────────────┘

┌──────────────┐

│0 in 1111-1131├─────03. Three

└──────────────┘

┌──────────────┐

│0 in 1114-1131├─────04. Four

└──────────────┘

┌──────────────┐

│0 in 1117-1131├─────05. Five

└──────────────┘

┌──────────────┐

│0 in 1120-1131├─────06. Six

└──────────────┘

┌──────────────┐

│0 in 1123-1131├─────07. Seven

└──────────────┘

┌──────────────┐

│0 in 1126-1131├─────08. Eight

└──────────────┘

┌──────────────┐

│0 in 1129-1131├─────09. Nine

└──────────────┘

10. Ten

20. Twenty

99. NA

1102(#1) A1(a). MEMBERS OF THE HOUSEHOLD BY RELATIONSHIP TO RESPONDENT

1105(#2)

1108(#3) Partner/Spouse

1111(#4)

1114(#5) 01. RESPONDENT

1117(#6) 02. Spouse of R

1120(#7) 03. Partner of R

1123(#8)

1126(#9) Child

1129(#10)

10. Child(ren), NA sex (incl. foster child/stepchild)

11. Son (incl. adopted)

12. Daughter (incl. adopted)

13. Stepson (incl. partner's son)

14. Stepdaughter (incl. partner's daughter)

15. Son-in-law (incl. daughter's partner)

16. Daughter-in-law (incl. son's partner)

17. Foster son

18. Foster daughter

Parent/Grandparent

20. Parent, NA sex ("parents" code 21, 22)

21. Father (incl. adoptive father)

22. Mother (incl. adoptive mother)

23. Stepfather

24. Stepmother

25. Father-in-law (incl. partner's father); ("my in-laws" code 25 and 26)

26. Mother-in-law (incl. partner's mother)

27. Grandparent; great-grandparent, NA sex

28. Grandfather; great-grandfather

29. Grandmother; great-grandmother

Sibling/Sibling-in-law

31. Brother

32. Sister

33. Stepbrother

34. Stepsister

35. Brother-in-law

36. Sister-in-law

1102(#1) A1(a). Continued

1105(#2)

1108(#3) Other Relatives

1111(#4)

1114(#5) 40. Grandchild/great grandchild, NA sex

1117(#6) 41. Grandson; great grandson

1120(#7) 42. Granddaughter; great granddaughter

1123(#8) 43. Nephew

1126(#9) 44. Niece

1129(#10) 45. Uncle; great-uncle

46. Aunt; great-aunt

47. Cousin

48. Other "in-laws"

┌─────────┐

│Make Card├────────49. Other relative

└─────────┘

Unrelated Persons

62. Housemate/roommate

63. Household employee; live-in sitter; housekeeper

64. Friend

66. Person related to R's partner (exc. child or parent)

67. Roomer; boarder

┌─────────┐

│Make Card├────────97. Other unrelated person

└─────────┘

98. DK

99. NA

00. Inap, no further persons in HU

1103(#1) A1(b). SEX

1106(#2)

1109(#3) 1. Male

1112(#4) 2. Female

1115(#5)

1118(#6) 9. NA

1121(#7)

1124(#8) 0. Inap, no further persons listed

1127(#9)

1130(#10)

1104(#1) A1(c). AGE

1107(#2)

1110(#3) Code AGE (01-97)

1113(#4)

1116(#5) 01. One year or less

1119(#6)

1122(#7) 97. 97 years or more

1125(#8)

1128(#9) 98. DK

1131(#10) 99. NA

[V1132-V1133: BUILD = 0]

SECTION C: PARENTING

VAR #

The next questions are about children.

1501 C1. Do you have any children who are not living here with you at the present time? Please include adopted children or

stepsons and stepdaughters not living here.

1. YES

┌─────────┐

│0 in 1502├──────── 5. NO, NO CHILDREN ELSEWHERE

└─────────┤

└─────────9. NA

1502 C1a. How many do not live with you?

Code NUMBER (01-20)

98. DK

99. NA

00. Inap, 5 or 9 in 1501

1503 C2. Altogether, how many living children do you have? Again, please include any adopted children or stepsons and

stepdaughters you may have.

Code NUMBER (01-20), except:

98. DK

99. NA

┌──────────────┐

│0 in 1504-1525├─────00. NONE

└──────────────┘

1504 C2a. INTERVIEWER CHECKPOINT

1. R ONLY HAS ONE CHILD

┌─────────┐

│0 in 1505├─────────2. ALL OTHERS

└─────────┘

0. Inap, 00 in 1503

1505 C2b. Is this a son or daughter?

1. SON

2. DAUGHTER

9. NA

0. Inap, 00 in 1503; 2 in 1504

1506 C3. INTERVIEWER CHECKPOINT

┌──────────────┐

│0 in 1507-1510├─────1. R HAS NO CHILDREN LIVING ELSEWHERE

└──────────────┘

2. R HAS ONLY ONE CHILD LIVING ELSEWHERE

3. R HAS MORE THAN ONE CHILD LIVING ELSEWHERE

9. NA

0. Inap, 00 in 1503

1507 C4/C5. Think about your (son/daughter/children) who (does/do) not live with you. Does (he/she/how many of your children)

live within an hour's drive of here?

01. YES (to C4); One (to C5)

02-20.

96. NO (to C4); NONE (to C5)

98. DK

99. NA

00. Inap, 00 in 1503; 1 in 1506

1508 C4a/C5a. (RB, P. 1) In the past 12 months, how often did you have

contact with your (son/daughter/at least one of your children) who (doesn't/do not) live with you, either in person, by phone or by mail. Would you say more than once a week, about once a week, 1 to 3 times a month, less than

once a month or never?

1. MORE THAN ONCE A WEEK

2. ABOUT ONCE A WEEK

3. 1 TO 3 TIMES A MONTH

4. LESS THAN ONCE A MONTH

5. NEVER

8. DK

9. NA

0. Inap, 00 in 1503; 1 in 1506

[V1509-V1510: BUILD = 0]

1511 C6. INTERVIEWER CHECKPOINT

1. R HAS ONLY ONE CHILD

2. R HAS TWO OR MORE CHILDREN

0. Inap, 00 in 1503

1512 C7/C16. (RB, P. 2) How much do your children make you feel loved

and cared for? Would you say a great deal, quite a bit,

some, a little, or not at all?

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

0. Inap, 00 in 1503

1513 C8/C17. (RB, STILL ON P. 2) How much do you feel they make too

many demands on you? (Would you say a great deal, quite a

bit, some, a little, or not at all?)

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

0. Inap, 00 in 1503

1514 C9/C18. (RB, STILL ON P. 2) How much do you feel you make too

many demands on your children? (Would you say a great

deal, quite a bit, some, a little, or not at all?)

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

0. Inap, 00 in 1503

1515 C10/C19. (RB, STILL ON P. 2) How much are they willing to listen

when you need to talk about your worries or problems(--a

great deal, quite a bit, some, a little, or not at all)?

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

0. Inap, 00 in 1503

1516 C11/C20. (RB, STILL ON P. 2) How much are they critical of you or

what you do? (Would you say a great deal, quite a bit,

some, a little, or not at all?)

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

0. Inap, 00 in 1503

1517 C12/C21. (RB, P. 3) At this point in your life, how satisfied are

you with being a parent--are you completely, very,

somewhat, not very, or not at all satisfied?

1. COMPLETELY SATISFIED

2. VERY SATISFIED

3. SOMEWHAT SATISFIED

4. NOT VERY SATISFIED

5. NOT AT ALL SATISFIED

8. DK

9. NA

0. Inap, 00 in 1503

1518 C13/C22. Not using the booklet--How often do you feel bothered or

upset as a parent--almost always, often, sometimes,

rarely, or never?

1. ALMOST ALWAYS

2. OFTEN

3. SOMETIMES

4. RARELY

5. NEVER

8. DK

9. NA

0. Inap, 00 in 1503

1519 C14a/C23a. (RB, P. 4) How much do your children depend on you for

emotional support? Would you say a lot, some, a little or

not at all?

1. A LOT ┌───────────────┐

2. SOME │USE SAME CODE │

3. A LITTLE │FOR V1520-1524 │

4. NOT AT ALL └───────────────┘

8. DK

9. NA

0. Inap, 00 in 1503

1520 C14b/C23b. How much do they depend on you for help or advice with

financial and legal matters?

1521 C14c/C23c. How much do they depend on you for help with errands,

babysitting or other chores?

1522 C14d/C23d. How much do you depend on your children for emotional

support?

1523 C14e/C23e. How much do you depend on them for help or advice with

financial and legal matters?

1524 C14f/C23f. How much do you depend on them for help with errands or

other chores?

1525 C15/C24. (RB, P. 5) At this point in your life, how often do you

and any of your children have unpleasant conflicts or disagreements? Would you say more than once a week, about once a week, 1 to 3 times a month, less than once a month,

or never?

1. MORE THAN ONCE A WEEK

2. ABOUT ONCE A WEEK

3. 1 TO 3 TIMES A MONTH

4. LESS THAN ONCE A MONTH

5. NEVER

8. DK

9. NA

0. Inap, 00 in 1503

1526 C25. How many grandchildren do you have, if any?

01. ONE

02-40.

98. DK

99. NA

┌─────────┐

│0 in 1527├─────────00. NONE

└─────────┘

1527 C25a/C25b. (RB,[STILL ON]P. 5) How often do you see your

(grandchild/grandchildren)? (Would you say more than once a week, about once a week, 1 to 3 times a month, less than

once a month, or never?)

1. MORE THAN ONCE A WEEK

2. ABOUT ONCE A WEEK

3. 1 TO 3 TIMES A MONTH

4. LESS THAN ONCE A MONTH

5. NEVER

8. DK

9. NA

0. Inap, 00 in 1526

Now I would like to ask you some questions about your relationships with your relatives and friends. Please think of all your close family members, (including children,) as well as other friends and relatives.

SECTION D: SOCIAL SUPPORT

1528 D1. Is there anyone in your life with whom you can really

share your very private feelings and concerns?

1. YES

┌──────────────┐

│0 in 1529-1540├─────5. NO

└──────────────┤

├─────8. DK

└─────9. NA

1529 D1a. How many such people are there?

Code NUMBER (01-95)

98. DK

99. NA

00. Inap, 5, 8-9 in 1528

[V1530-V1540: BUILD = 0]

1541 D7. (RB, P. 6) The next questions are about friends and relatives other than your (husband/wife) or your children. On the whole, how much do your friends and relatives make you feel loved and cared for? Would you say a great deal,

quite a bit, some, a little, or not at all?

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

1542 D8. (RB, STILL ON P. 6) How much do you feel your friends and relatives make too many demands on you? (Would you say a

great deal, quite a bit, some, a little, or not at all?)

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

1543 D9. (RB, STILL ON P. 6) How much are your friends and relatives willing to listen when you need to talk about your worries or problems(--a great deal, quite a bit,

some, a little, or not at all)?

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

1544 D10. (RB, STILL ON P. 6) How much are they critical of you or what you do? (Would you say a great deal, quite a bit,

some, a little, or not at all?)

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

SECTION F: COPING WITH PROBLEMS

VAR #

[V1701-V1716: BUILD = 0]

1717 F4. (RB, P. 7) During the past month, have you been bothered by having to plan or fix meals and eat on your own? Would you say no, never; yes, but rarely; yes, sometimes; or

yes, often?

1. NO, NEVER

┌─────────┐

│0 in 1718├─────────2. YES, BUT RARELY

└─────────┼─────────3. YES, SOMETIMES

└─────────4. YES, OFTEN

8. DK

9. NA

1718 F4a. Have you ever been bothered by having to plan or fix meals or eat on your own around the house since your

(husband/wife) died?

1. YES

5. NO

8. DK

9. NA

0. Inap, 2-4 in 1717

1719 F5. (RB, STILL ON P. 7) During the past month, have you experienced problems keeping up with things around the house such as cleaning, paying bills, maintenance of your home and car or doing laundry? (Would you say no, never;

yes, but rarely; yes, sometimes; or yes, often?)

1. NO, NEVER

┌─────────┐

│0 in 1720├─────────2. YES, BUT RARELY

└─────────┼─────────3. YES, SOMETIMES

└─────────4. YES, OFTEN

8. DK

9. NA

1720 F5a. Have you ever had any problem with keeping up with things

around the house since your (husband/wife) died?

1. YES

5. NO

8. DK

9. NA

0. Inap, 2-4 in 1719

1721 F6. (RB, STILL ON P. 7) During the past month, have you been bothered by having to handle such things as your (husband's/wife's) estate, arranging for credit or dealing with insurance companies or agencies like Blue Cross or Social Security? (Would you say no, never; yes, but

rarely; yes, sometimes; or yes, often?)

1. NO, NEVER

┌─────────┐

│0 in 1722├─────────2. YES, BUT RARELY

└─────────┼─────────3. YES, SOMETIMES

└─────────4. YES, OFTEN

8. DK

9. NA

1722 F6a. Have you ever been bothered by any of these problems since

your (husband/wife) died?

1. YES

5. NO

8. DK

9. NA

0. Inap, 2-4 in 1721

1723 F7. (RB, STILL ON P. 25) During the past month, have you been troubled by having to make major decisions without your (husband/wife), such as decisions about major purchases or whether or not to move? (Would you say no, never; yes,

but rarely; yes, sometimes; or yes, often?)

1. NO, NEVER

┌──────────────┐

│0 in 1724-1725├─────2. YES, BUT RARELY

└──────────────┼─────3. YES, SOMETIMES

└─────4. YES, OFTEN

8. DK

9. NA

1724 F7a. Have you had to make any major decisions since your

(husband's/wife's) death?

1. YES

┌─────────┐

│0 in 1725├─────────5. NO

└─────────┤

├─────────8. DK

└─────────9. NA

0. Inap, 2-4 in 1723

1725 F7b. Have you ever been bothered by having to make major

decisions since your (husband/wife) died?

1. YES

5. NO

8. DK

9. NA

0. Inap, 2-4 in 1723; 5, 8-9 in 1724

[V1726-V1728: BUILD = 0]

SECTION G: MARRIAGE

VAR #

[V1801-V1839: BUILD = 0]

1840 G1. Please tell me a little about what your (husband/wife) was like. (GIVE RESPONDENT TIME TO GIVE A FULL ANSWER: DO NOT

PROBE.)

Summarize R's answer to G1 using following code. Ignore "neutral" mentions if any positive or negative mentions given.

11. Clearly positive mentions only

31. Mixed positive and negative mentions

51. Clearly negative mentions only

71. Neutral mentions only--no clearly positive or negative mentions given

96. Refused; doesn't want to/can't talk about spouse

┌─────────┐

│Make Card├────────97. Other

└─────────┘

98. DK

99. NA

1841 G2. Next, I have some questions about your marriage and your relationship with your (husband/wife). In what year did you and your (husband/wife) get married? (IF DK: How long

have you been married?)--YEAR WHEN MARRIED

Code YEAR WHEN MARRIED (1930-1995)

9998. DK

9999. NA

0000. Inap, YEAR not given

1842 G2. In what year did you and your (husband/wife) get married?

--# YEARS OF MARRIAGE

Code # YEARS OF MARRIAGE (01-65)

98. DK

99. NA

00. Inap, # YEARS not given

1843 G3. (RB, P. 6) How much does your (husband/wife) make you feel loved and cared for? Would you say a great deal, quite a bit, some, a little, or not at all? Just give me

the number from the booklet.

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

1844 G4. (RB, STILL ON P. 6) How much do you feel (he/she) makes too many demands on you? (Would you say a great deal,

quite a bit, some, a little, or not at all?)

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

1845 G5. (RB, STILL ON P. 6) How much is (he/she) willing to listen when you need to talk about your worries or problems--(a

great deal, quite a bit, some, a little, or not at all)?

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

1846 G6. (RB, STILL ON P. 6) How much are you willing to listen when your (husband/wife) needs to talk about (his/her) worries or problems--(a great deal, quite a bit, some, a

little, or not at all)?

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

1847 G7. (RB, STILL ON P. 6) How much do you think you make your (husband/wife) feel loved and cared for?--(a great deal,

quite a bit, some, a little, or not at all)?

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

1848 G8. (RB, P. 8) How often would you say you and your (husband/wife) typically have unpleasant disagreements or conflicts? Would you say more than once a week, about once a week, 1 to 3 times a month, less than once a month,

or never?

1. MORE THAN ONCE A WEEK

2. ABOUT ONCE A WEEK

3. 1 TO 3 TIMES A MONTH

4. LESS THAN ONCE A MONTH

5. NEVER

8. DK

9. NA

1849 G9. (RB, P. 9) Please tell me how true the next two statements are. My (husband/wife) does not treat me as well as I deserve to be treated. Is this very true,

somewhat true, a little true, or not true at all?

1. VERY TRUE

2. SOMEWHAT TRUE

3. A LITTLE TRUE

4. NOT TRUE AT ALL

8. DK

9. NA

1850 G10. (RB, STILL ON P. 28) I do not treat my (husband/wife) as well as (he/she) deserves to be treated. (Is this very

true, somewhat true, a little true, or not true at all?)

1. VERY TRUE

2. SOMEWHAT TRUE

3. A LITTLE TRUE

4. NOT TRUE AT ALL

8. DK

9. NA

SECTION H: SELF DESCRIPTION

VAR #

H1. (RB, STILL ON P. 9) Please tell me how true the following statements are as they apply to you now.

1901 H1. On the whole I am satisfied with myself. (Is this very true, somewhat, a little, or not true at all as it applies

to you?)

1. VERY TRUE ┌───────────────┐

2. SOMEWHAT TRUE │USE SAME CODE │

3. A LITTLE TRUE │FOR V1902-1908 │

4. NOT TRUE AT ALL └───────────────┘

8. DK

9. NA

1902 H2. At times I think I am no good at all.

1903 H3. I wish I could have more respect for myself.

1904 H4. All in all, I am inclined to feel that I am a failure.

1905 H5. I feel I am a person of worth, at least equal with others.

1906 H6. I have never worried about having a painful disease.

1907 H7. Funerals sometimes upset me.

1908 H8. I am afraid of dying of cancer.

[V1909-V1952: BUILD = 0]

SECTION J: HEALTH AND LIMITATION OF ACTIVITIES

VAR #

2001 J1. (RB, P. 10) The next questions are about your health. In general, how satisfied are you with your health ‑‑completely, very, somewhat, not very, or not at all

satisfied?

1. COMPLETELY SATISFIED

2. VERY SATISFIED

3. SOMEWHAT SATISFIED

4. NOT VERY SATISFIED

5. NOT AT ALL SATISFIED

8. DK

9. NA

J2. We'd like to know if you have experienced any of the following health problems during the last 6 months.

2002 J2a. Have you had arthritis or rheumatism?

1. YES ┌──────────────┐

5. NO │USE SAME CODE │

│FOR V2003-2009│

8. DK └──────────────┘

9. NA

2003 J2b. During the last 6 months, have you had a lung disease?

2004 J2c. Have you had hypertension, sometimes called high blood

pressure, or have you taken medication for it?

2005 J2d. Have you had a heart attack or other heart trouble during

the last 6 months?

2006 J2e. Have you had diabetes or high blood sugar, or have you

taken medication for it?

2007 J2f. Have you had a stroke during the last 6 months?

2010 J3. Have you had cancer or a malignant tumor of any kind, or

have you been treated for it in the past 6 months?

1. YES

┌──────────────┐

│0 in 2011-2013├───5. NO

└──────────────┤

├───8. DK

└───9. NA

2011 J3a. What kind of cancer or malignant tumor did you have? (In

2012 what part of your body did it start?)

2013

01. "Abdomen"--NFS 33. Melanoma

02. Adrenal gland 95. Metastasized; "all over"

03. "Arm"--NFS 34. Mouth; oral

04. "Back"--NFS 08. Myeloma (multiple)

05. Bladder 35. "Neck"--NFS

06. "Blood"--NFS 36. Nose; nasal

07. Bone; cartilage 37. Ovary

08. Bone marrow 38. Pancreas; ampulla of

09. Brain; astrocytoma Vater

10. Breast 39. "Pelvis"--NFS

11. Bronchia; bronchus 40. Penis

12. Bowel 41. Prostate

12. Rectum

13. Cervix 33. Skin--melanoma; black

12. Colon mole

14. Ear 42. Skin--basal cell

15. Endometrium 43. Skin (other or NA which)

16. Esophagus incl. any body part with

17. "Extremities"--NFS skin cancer

18. Eye 44. Spine

19. "Face"--NFS 45. Spleen

20. "Female organs"--NFS 46. Stomach

21. Gallbladder

22. Gastrointestinal 47. Testicles

48. Throat

23. "Head"--NFS 49. Thyroid; goiter on neck

24. Hip 50. Tongue

25. Hodgkins 51. Trachea

26. Jaw 52. Urethra/ureter

27. Kidney; renal 15. Uterus/womb

28. Larynx; vocal cords 53. Vagina

29. "Leg"--NFS 54. Vulva; labia

06. Leukemia ┌─────────┐

30. Lip │Make Card├─97. Other

31. Liver └─────────┘

11. Lung; "chest"--NFS 98. DK

32. Lymph nodes/glands; 99. NA

"glands behind the

ear"; "nodes"; 00. Inap, 5, 8-9 in 2010;

lymphoma (exc. 25) no further mentions

2014 J4. In the past 6 months, have you had any major health

problems that I haven't asked you about?

1. YES

┌──────────────┐

│0 in 2015-2017├───5. NO

└──────────────┤

├───8. DK

└───9. NA

2015 J4a. What are they?

2016

2017 Use HEALTH CONDITION MASTER CODE

000. Inap, 5, 8-9 in 2014; no further mention

2018 J5. INTERVIEWER CHECKPOINT

┌──────────────┐

│0 in 2201-2255├───1. R ANSWERS "NO" TO ALL QUESTIONS IN J2a-h,J3 AND J4

└──────────────┘

2. ALL OTHERS

SECTION J: HEALTH AND LIMITATION OF ACTIVITIES

VAR #

MARK THE BOX NEXT TO ALL PREPRINTED CONDITIONS IN THE GRID TO WHICH R ANSWERED "YES" IN J2a-h,J3 AND J4. IF MORE THAN 5, ASK J6-9a ONLY FOR FIRST 5 CONDITIONS.

2201 J5. SUMMARY

Code # of columns filled in for J2a-h, J3a and J4a, including supplement pages, if any (01-14).

┌──────────────┐

│0 in 2211-2255├───01. One

└──────────────┘

┌──────────────┐

│0 in 2220-2255├───02. Two

└──────────────┘

┌──────────────┐

│0 in 2229-2255├───03. Three

└──────────────┘

┌──────────────┐

│0 in 2238-2255├───04. Four

└──────────────┘

┌──────────────┐

│0 in 2247-2255├───05. Five

└──────────────┘

06. Six

14. Fourteen

99. NA (see Supervisor before using)

00. Inap, 1 in 2018

┌────────────────────────────────────────────────────────────┐

│NOTE: The name of a "SPECIFY" condition must be matched to │

│its order of mention at J4a (p.26). E.g., if "gout" was the│

│3rd condition coded at J4a, and it appears as a "SPECIFY" on│

│a supplement page, the code for condition type is 13. │

└────────────────────────────────────────────────────────────┘

2202(#1) CONDITION TYPE (from top of column)

2211(#2)

2220(#3) 01. (J2a) ARTHRITIS/RHEUMATISM

2229(#4) 02. (J2b) LUNG DISEASE

2238(#5) 03. (J2c) HYPERTENSION/HIGH BLOOD PRESSURE

2247(#6) 04. (J2d) HEART TROUBLE

05. (J2e) DIABETES/HIGH BLOOD SUGAR

06. (J2f) STROKE

07. (J2g) BROKEN OR FRACTURED BONES

08. (J2h) LOSS OF URINE BEYOND CONTROL

09. (J3a) CANCER

11. (J4a) SPECIFY--1st mention at J4a, p.26

12. (J4b) SPECIFY--2nd mention at J4a, p.26

13. (J4c) SPECIFY--3rd mention at J4a, p.26

00. Inap, 1 in 2018; no further conditions

2203(#1) J6. Were you hospitalized during the last 12 months for

2212(#2) (CONDITION)?

2221(#3)

2230(#4) 1. YES

2239(#5) 5. NO

2248(#6)

8. DK

9. NA

0. Inap, 1 in 2018; no further conditions

2204(#1) J7. Did (CONDITION) start in the last 12 months or was it

2213(#2) going on before that?

2222(#3) ┌─────────┐

2231(#4) │0 in ├───1. STARTED IN LAST 6 MONTHS

2240(#5) │J8-J9a │

2249(#6) │for this │

│condition│

└─────────┘

┌─────────┐

│0 in next├───2. GOING ON BEFORE

│2 vars │

└─────────┼───8. DK

└───9. NA

0. Inap, 1 in 2018; no further conditions

2205(#1) J7a. In what month did it start? (RECORD YEAR, ALSO.)--MONTH

2214(#2)

2223(#3) Code MONTH (01-12)

2232(#4)

2241(#5) 98. DK

2250(#6) 99. NA

00. Inap, 1 in 2018; 2, 8-9 in J7 for this condition;

no further conditions

2206(#1) J7a. In what month did it start? (RECORD YEAR, ALSO.)--YEAR

2215(#2)

2224(#3) Code YEAR (1987-1995)

2233(#4)

2242(#5) 9998. DK

2251(#6) 9999. NA

0000. Inap, 1 in 2018; 2, 8-9 in J7 for this condition;

no further conditions

2207(#1) J8. In the past 12 months, has your (CONDITION) become better,

2216(#2) stayed about the same, or become worse?

2225(#3)

2234(#4) 1. BETTER

2243(#5) 2. SAME

2252(#6) 3. WORSE

8. DK

9. NA

0. Inap, 1 in 2018; 1 in J7 for this condition;

no further conditions

2208(#1) J9. Did your (CONDITION) start since we last interviewed you

2217(#2) in (MONTH, YEAR <SEE COVERSHEET>), or was it going on

2226(#3) before that?

2235(#4) ┌──────┐

2244(#5) │0 in ├─1. BEFORE

2253(#6) │next │

│2 vars│

└──────┘

2. AFTER

8. DK

9. NA

0. Inap, 1 in 2018; 1 in J7 for this condition;

no further conditions

2209(#1) J9a. In about what month and year did it start?--MONTH

2218(#2)

2227(#3) Code MONTH (01-12)

2236(#4)

2245(#5) 98. DK

2254(#6) 99. NA

00. Inap, 1 in 2018; 1 in J7 or J9 for this condition;

no further conditions

2210(#1) J9a. In about what month and year did it start?--YEAR

2219(#2)

2228(#3) Code YEAR (1987-1995)

2237(#4)

2246(#5) 9998. DK

2255(#6) 9999. NA

0000. Inap, 1 in 2018; 1 in J7 or J9 for this condition;

no further conditions

SECTION J: HEALTH AND LIMITATION OF ACTIVITIES

VAR #

2301 J10. Are you currently in bed or in a chair for most or all of

the day because of your health?

1. YES

5. NO

9. NA

2302 J11. Do you currently have any difficulty bathing by yourself?

1. YES

┌─────────┐

│0 in 2303├────────5. NO

└─────────┤

└────────9. NA

2303 J11a. How much difficulty do you have bathing by yourself--a

little, some, a lot, or can't you do this on your own?

1. A LITTLE

2. SOME

┌──────────────┐

│0 in 2304-2311├───3. A LOT

└──────────────┴───4. CANNOT DO

8. DK

9. NA

0. Inap, 5 or 9 in 2302

2304 J12. INTERVIEWER CHECKPOINT

┌──────────────┐

│0 in 2305-2311├───1. R ANSWERED "YES" (BOX WITH DOUBLE LINE) TO J10

└──────────────┘

2. ALL OTHERS

0. Inap, 3-4 in 2303

2305 J13. Do you currently have any difficulty climbing a few

flights of stairs because of your health?

1. YES

3. VOLUNTEERED: AGE IS ONLY LIMITATION

┌─────────┐

│0 in 2306├────────5. NO

└─────────┤

├────────8. DK

└────────9. NA

0. Inap, 3-4 in 2303; 1 in 2304

2306 J13a. How much difficulty do you have--a little, some, a lot, or

can't you do this at all?

1. A LITTLE

2. SOME

3. A LOT

4. CANNOT DO

8. DK

9. NA

0. Inap, 3-4 in 2303; 1 in 2304; 5, 8-9 in 2305

2307 J14. Do you currently have any difficulty walking several

blocks because of your health?

1. YES

3. VOLUNTEERED: AGE IS ONLY LIMITATION

┌─────────┐

│0 in 2308├────────5. NO

└─────────┤

├────────8. DK

└────────9. NA

0. Inap, 3-4 in 2303; 1 in 2304

2308 J14a. How much difficulty do you have--a little, some, a lot, or

can't you do this at all?

1. A LITTLE

2. SOME

3. A LOT

4. CANNOT DO

8. DK

9. NA

0. Inap, 3-4 in 2303; 1 in 2304; 5, 8-9 in 2307

2309 J15. INTERVIEWER CHECKPOINT

┌──────────────┐

│0 in 2310-2311├───1. R ANSWERED "A LOT" OR "CANNOT DO" (BOXES WITH DOUBLE

└──────────────┘ LINES) TO EITHER J13a OR J14a

2. ALL OTHERS

0. Inap, 3-4 in 2303; 1 in 2304

2310 J16. Would you currently have any difficulty doing heavy work around the house such as shoveling snow or washing walls,

because of your health?

1. YES

3. VOLUNTEERED: AGE IS ONLY LIMITATION

┌─────────┐

│0 in 2311├────────5. NO

└─────────┤

├────────8. DK

└────────9. NA

0. Inap, 3-4 in 2303; 1 in 2304 or 2309

2311 J16a. How much difficulty would you have--a little, some, a lot,

or couldn't you do this at all?

1. A LITTLE

2. SOME

3. A LOT

4. COULD NOT DO

8. DK

9. NA

0. Inap, 3-4 in 2303; 1 in 2304 or 2309; 5, 8-9 in 2310

2312 J17. How would you rate your health at the present time? Would

you say it is excellent, very good, good, fair, or poor?

1. EXCELLENT

2. VERY GOOD

3. GOOD

4. FAIR

5. POOR

8. DK

9. NA

2313 J18. How much are your daily activities limited in any way by your health or health-related problems--a great deal,

quite a bit, some, a little, or not at all?

1. A GREAT DEAL

2. QUITE A BIT

3. SOME

4. A LITTLE

5. NOT AT ALL

8. DK

9. NA

2314 J19. On how many days out of the past 30 did you take

medication to help you sleep?

Code DAYS (01-30), except:

98. DK

99. NA

00. NONE

[V2315: BUILD = 0]

2316 J21. (Not counting medication to help you sleep,) On how many days out of the past 30 did you take any medication to

make you feel more relaxed and calm?

Code DAYS (01-30), except:

98. DK

99. NA

00. NONE

[V2317: BUILD = 0]

2318 J23. How many hours of sleep do you usually get in a 24-hour

period, including naps?

Code number of HOURS (01-16)

98. DK

99. NA

2319 J24. About how much do you weigh?

Code number of POUNDS (060-399)

998. DK

999. NA

2320 J25. Do you smoke cigarettes now?

1. YES

┌─────────┐

│0 in 2321├────────5. NO

└─────────┤

└────────9. NA

2321 J25a. On the average, how many cigarettes or packs do you

usually smoke in a day?

Code number of CIGARETTES (01-95) ┌───────────────┐

│Convert # │

95. 95 or more │packs: 1 pack │

│= 20 cigarettes│

98. DK └───────────────┘

99. NA

00. Inap, 5 or 9 in 2320

2322 J26. Do you ever drink beer, wine, or liquor?

1. YES

┌──────────────┐

│0 in 2323-2324├───5. NO

└──────────────┤

└───9. NA

1323 J26a. During the last 30 days, on how many days did you drink

beer, wine or liquor?

Code number of DAYS PER MONTH (01-30)

┌─────────┐

│0 in 2324├────────96. NONE

└─────────┘

98. DK ┌────────────────┐

99. NA │Convert to days/│

│month: 1 day/wk │

00. Inap, 5 or 9 in 2322 │= 4.3 days/month│

└────────────────┘

2324 J26b. On days that you drink, how many cans of beer, glasses of

wine, or drinks of liquor do you usually have?

Code NUMBER of DRINKS (01-20) ┌───────────────┐