y2k
[p. 193]

Section Y2 -- YEAR 2000 OBJECTIVES

YA -- ENVIRONMENTAL HEALTH

ITEM YA1
Adult SP status.
Begin here on Section Y2 callback.

These next questions are about this home.
Mark (X) by observation or ask.
1. Which of the following best describes your home?
Read answer categories.

1 [] Single home, duplex, townhouse
2 [] Basement, first or second floor apartment or condominium
3 [] Apartment or condominium above second floor
4 [] Trailer/Mobile home
8 [] Other -- Specify -- ____
9 [] DK

2. Does ANYONE smoke cigarettes, cigars, or pipes ANYWHERE INSIDE this home?

3. On the average, about how many days per week is there smoking ANYWHERE INSIDE this home?

4. How many smoke detectors are installed in this home?

5. Was your home built before 1950?

6. Has paint from this home EVER been analyzed for lead content?
Read if necessary: This can be done by sending paint chips to a laboratory for testing, having a measurement by an x-ray fluorescence or XRF machine or having a chemical spot test on the wall.

7. Have you ever heard of radon, a gas that is found in the air in some homes?

8. Has your household air been tested for the presence of radon?

9a. Was the radon level from that test above or below the EPA radon guidelines of 4 picocuries (pi-ko-kurees) per liter?
Read if necessary: What was the radon level from the last test BEFORE any corrective action was taken?

b. What was the radon level from that test, in picocuries per liter?

10. Has anything been done in this home to reduce the level of radon exposure?

[p. 194]

YB -- TOBACCO

These next questions are about cigarette smoking.

1. Have you smoked at least 100 cigarettes in your entire life?
If asked: approximately 5 packs

2. Around this time LAST YEAR, were you smoking cigarettes every day, some days, or not at all?

3. Do you NOW smoke cigarettes every day, some days, or not at all?

4. On the average, how many cigarettes do you now smoke a day?

5. During the past 12 months, have you quit smoking for one day or longer?

6a. On how many of the past 30 days did you smoke cigarettes?

b. On the average, when you smoked during the past 30 days, about how many cigarettes did you smoke a day?

7. Would you like to completely stop smoking cigarettes?

8. Do you use snuff now?

9. Do you use chewing tobacco now?

[p. 195]

YC -- NUTRITION

1. Are you NOW trying to lose weight, gain weight, stay about the same, or are you not trying to do anything about your weight?

HAND CARD S1. Read each category if telephone interview.
CARD S1

2. Are you currently doing any of these things to control your weight?
Mark (X) each that applies.

ITEM YC1
Refer to HIS-1.

3a. About how tall are you without shoes?

____ (Feet)
____ (Inches)

b. About how much do you weigh without shoes?
Read if SP is pregnant: Please give your usual weight before becoming pregnant.

____ (Pounds)

4a. How often do you or the person who shops for your food buy items that are labeled "low salt," or "low sodium" -- would you say always, often, sometimes, rarely, or never?

b. How often do you add salt to your food at the table -- would you say always, often, sometimes, rarely, or never? Do not include salt substitutes.

5a. When you buy a food item for the first time, how often would you say you read the INGREDIENT list on the package -- would you say always, often, sometimes, rarely, or never?

b. When you buy a food for the first time, how often would you say you read the information about calories, fat and/or cholesterol content sometimes listed on the label -- would you say always, often, sometimes, rarely, or never?

ITEM YC2
Refer to age.

6a. Do you have meals delivered to your homes by an agency or organization like Meals on Wheels?

b. Do you NEED to have meals delivered to your home by an agency or organization like Meals on Wheels?

[p. 196]

YD -- OCCUPATIONAL SAFETY AND HEALTH

ITEM YD1
Refer to "Wa/Wb" boxes in C1 on HIS-1.

ITEM YD2
Refer to 6g on page 44 or 45 on HIS-1.

These next questions are about health and safety in the work place.

1a. (You told me/I was told) that you were employed during the past two weeks. Is that correct?

b. Altogether, does your employer have 50 or more employees?

c. Does your employer have 50 or more employees at the building or location where you work?

1 [] Yes
2 [] No
9 [] DK

d. How many hours did you work at your main job during the past TWO WEEKS?

2a. During the past 2 weeks, did you drive or travel in a motor vehicle AS PART OF YOUR JOB? Do not count air travel or time spent traveling to and from work.

b. Does your employer require you to use vehicle safety devices, such as seat belts, helmets, or other types of protection? Do not count use when traveling to and from your job.

HAND CARD T1. Read all categories if telephone interview.
CARD T1

The next few questions are about smoking at work.

3. Which of these best describes the area in which you work most of the time?
Mark (X) only one.

4a. Does your employer have an official policy that restricts smoking in any way?

HAND CARD T2. Read all categories if telephone interview.
CARD T2

4b. Mark (X) only one.

HAND CARD T3. Read all categories if telephone interview.
CARD T3

4c. Mark (X) only one.

5. Does your employer offer a quit smoking program or any other help to employees who want to quit smoking?

[p. 197]

YD -- OCCUPATIONAL SAFETY AND HEALTH -- Continued

HAND CARD T4. Read each category if telephone interview.
CARD T4

6a. Which of these exercise programs are made available to you by your employer?
Anything else?
Mark (X) each that applies.

HAND CARD T5. Read each category if telephone interview.
CARD T5

b. Which of these exercise facilities are made available to you by your employer, on the premises?
Anything else?
Mark (X) each that applies.

[p. 198]

YE -- HEART DISEASE AND STROKE

These next questions are about certain health conditions.

1. Have you EVER been told by a doctor or other health professional that you had hypertension, sometimes called high blood pressure?

2. Were you told two or more DIFFERENT times that you had high blood pressure?

3a. Has a doctor or other health professional EVER advised you to go on a diet or change your eating habits to help lower your blood pressure?

b. Are you NOW following this advice?

4a. Was any medication EVER prescribed by a doctor to help you lower your blood pressure?

b. Are you NOW taking this medication?

5a. Do you NOW have high blood pressure?

b. Is this condition completely cured or is it under control?

6. About how long has it been since you had your blood pressure checked by a doctor or other health professional?

7. At that time, did the doctor or other health professional say your blood pressure was high, low, or normal?

These next questions are about blood cholesterol.

HAND CARD U1.
CARD U1

8. When was the last time you had your blood cholesterol checked by a doctor or other health professional?

[p. 199]

YE -- HEART DISEASE AND STROK E-- Continued

9a. Has a doctor or other health professional EVER advised you to go on a diet or change your eating habits to lower your cholesterol?

b. Are you NOW following this advice?

10. Have you ever been told by a doctor or other health professional that your blood cholesterol level was high?

11a. Was any medication EVER prescribed by a doctor to help lower your cholesterol level?

b. Are you NOW taking this medication?

[p. 200]

YF -- OTHER CHRONIC AND DISABLING CONDITIONS

1. Have you EVER been told by a doctor that you had diabetes? Do not include pre, potential,

Ask if female, otherwise go to 4.

2. Were you pregnant when you were first told that you had diabetes?

3. Other than during pregnancy, did a doctor EVER tell you that you had diabetes? Do not include pre, potential, or borderline diabetes.

4. Have you ever taken a course or class in how to manage your diabetes yourself?

5a. Have you ever been told by a doctor that you have asthma?

b. Have you ever taken a course or class in how to manage your asthma yourself?

[p. 201]

YG -- CLINICAL AND PREVENTIVE SERVICES

The next questions are about prevention of injury and illness.

1a. When driving or riding in the front seat of a car, do you wear a seat belt all or most of the time, some of the time, once in awhile, or never?

b. When riding in the back seat of a car, do you wear a seat belt all or most of the time, some of the time, once in awhile, or never?

2. About how long has it been since your last routine check-up by a medical doctor or other health professional?

3. During this last check-up, were you asked about --

Ask ONLY IF SP is less than 50 otherwise, skip to 4.

g. The use of contraceptives?

1 [] Yes
2 [] No
9 [] DK

4. During this last check-up, did you have --

ITEM YG1
Refer to age.

1 [] SP is (65+) (5)
8 [] Other (6)

5. During this last check-up, did you have --

[p. 202]

YG -- CLINICAL AND PREVENTIVE SERVICES -- Continued

6. During the past 12 months, have you had a flu shot?
Read if necessary: This vaccination is usually given in the fall and protects against influenza for the rest of all

7. Have you EVER had a pneumonia vaccination? This shot is given only once in a person's lifetime.

8. During the past TEN years, have you had a tetanus shot?

ITEM YG2
Refer to sex.

9. About how long has it been since you had a Pap smear test? Was it within the past year, between 1 and 3 years ago, or over 3 years ago?
Read if necessary: A Pap smear is a routine gynecologic test in which the doctor examines the cervix and sends a cell sample to the lab.

0 [] Never had a Pap smear test
1 [] Within the past year
2 [] 1 to 3 years ago
4 [] Over 3 years ago
9 [] DK

10. Have you had a hysterectomy?

ITEM YG3
Refer to age.

11. A mammogram is an x-ray taken only of the breasts by a machine that presses the breast against a plate.
About how long has it been since you had a mammogram? Was it within the past year, between 1 and 2 years ago, or over 2 years ago?

12. A breast physical exam is when the breast is felt for lumps by a doctor or medical assistant.
About how long has it been since you had a breast physical exam done by a doctor or other health care professional.

[p. 203]

YH -- MENTAL HEALTH

These next questions are about stress.

1a. During the past 2 weeks, would you say that you experienced a lot of stress, a moderate amount of stress, relatively little stress, or almost no stress at all?

b. During the past YEAR, would you say that you experienced a lot of stress, a moderate amount of stress, relatively little stress, or almost no stress at all?

2. In the past YEAR, how much effect has stress had on your health -- a lot, some, hardly any, or none?

3a. In the past year, did you think about seeking help from family or friends for any personal or emotional problems?

b. In the past year, did you think about seeking help from a therapist, counselor or self-help group for any personal or emotional problems?

ITEM YH1
Refer to 3a and b.

4. Did you actually seek any help?

1 [] Yes
2 [] No
9 [] DK

[p. 204]

YJ -- ORAL HEALTH

These next questions are about oral health.

1. During the past 12 months, that is, since (12-month date) a year ago, about how many visits did you make to a dentist?

2. Have you lost ALL of your UPPER natural teeth?

3. Have you lost ALL of your LOWER natural teeth?

4. Would you say your health in general is excellent, very good, good, fair, or poor?

ITEM YJ1
About how often did the respondent appear to answer the questions in Year 2000 Objectives (YA-YJ) accurately?

ITEM YJ2
About how often did the respondent appear to answer the questions in Year 2000 Objectives (YA-YJ) honestly?

CONTINUE WITH SECTION AI