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CDC OPTIONAL MODULES: Back to topics
EMERGING ISSUES:
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RISK FACTORS AND DERIVED
VARIABLES (Located within the corresponding section)
CDC
CORE SECTIONS:
HEALTH STATUS
Would you say in general that your
health is excellent, very good, good, fair or poor?
RISK FACTORS / CREATED VARIABLES
Risk factor for fair and poor health
HEALTHY DAYS Back to topics
Now thinking about your
physical health, which includes physical illness and injury, for
how many days during the past 30 days was your physical health not
good?
Now thinking about your
mental health, which includes stress, depression, and problems with
emotions, for how many days during the past 30 days was your mental
health not good?
During the past 30 days,
for about how many days did poor physical or mental health keep
you from doing your usual activities, such as self-care, work or
recreation?
HEALTH CARE ACCESS Back to topics
Do you have any kind
of health care coverage, including health insurance, prepaid plans
such as HMOS, or government plans such as Medicare?
Do you have one person
you think of as your personal doctor or health care provider?
Was there a time in the
past 12 months when you needed to see a doctor but could not because
of cost?
About how long has it been since you last
visited a doctor for a routine checkup?
RISK FACTORS / CREATED VARIABLES
Adults aged 18-64 who have health care coverage
SLEEP
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During the past 30 days, for about how
many days have you felt you did not get enough rest or sleep?
EXERCISE
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During the past month,
other than your regular job, did you participate in any physical
activities or exercises such as running, calisthenics, golf, gardening,
or walking for exercise?
RISK FACTORS / CREATED VARIABLES
Adults that report
doing physical activity or exercise during the past 30 days other than their regular job.
DIABETES
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Have you ever been told by a doctor that you have diabetes?
HYPERTENSION AWARENESS
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Have you ever been told by a doctor, nurse or other health
professional that you have high blood pressure?
Are you currently taking medicine for your high blood pressure?
RISK FACTORS / CREATED VARIABLES
Adults who have
been told they have high blood pressure by a doctor, nurse or other health professional.
CHOLESTEROL AWARENESS
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Blood cholesterol is a fatty substance found in the blood. Have
you ever had your blood cholesterol checked?
About how long has it been since you last had your blood
cholesterol checked?
Have you ever been told by a doctor, nurse or other health
professional that your blood cholesterol is high?
RISK FACTORS / CREATED VARIABLES
Cholesterol check within the past five years
Adults who have had their cholesterol checked and have been
told by a doctor, nurse or other health professional that it was high.
ASTHMA
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Have you ever been told by a doctor, nurse or other health
professional that you had asthma?
Do you still have asthma?
RISK FACTORS / CREATED VARIABLES
Adults who have ever been told they have asthma (Lifetime
Asthma Prevalence)
Asthma status
Adults who have been told they currently have asthma (Current
Asthma Prevalence)
CARDIOVASCULAR DISEASE PREVALENCE
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Has a doctor, nurse or other health professional ever told you
that you have had a heart attack, also called a myocardial infarction?
Has a doctor, nurse or other health professional ever told you
that you have angina or coronary heart disease?
Has a doctor, nurse or other health professional ever told you
that you have had a stroke?
TOBACCO USE
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Have you smoked at least 100 cigarettes in your entire life?
Do you now smoke cigarettes every day, some days or not at all?
During the past 12 months, have you stopped smoking for one day
or longer because you were trying to quit smoking?
How long has it been since you last smoked cigarettes regularly?
Do you currently use chewing tobacco, snuff, or snus every day,
some days, or not at all?
RISK FACTORS / CREATED VARIABLES
Four level computed smoking status
Risk factor for smoking
VETERAN STATUS
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Have you ever served on active duty in the United States Armed
Forces, either in the regular military or in a National Guard or Military Reserve Unit?
CAREGIVER STATUS
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During the past month, did you provide regular care or
assistance to a friend or family member who has a health problem, long-term illness or disability?
DISABILITY
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Are you limited in any way in any activities because of
physical, mental, or emotional problems?
Do you now have any health problem that requires you to use
special equipment, such as a cane, a wheelchair, a special bed or a special telephone? Include
occasional use or use in certain circumstances
ALCOHOL CONSUMPTION
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During the past 30 days, have you had at least one drink of any
alcoholic beverage such as beer, wine, a malt beverage or liquor?
During the past 30 days, how many days per week or per month did
you have at least one drink of any alcoholic beverage?
On days when you drank, about how many drinks did you drink on
the average?
Considering all types of alcoholic beverages, how many times
during the past 30 days did you have 5 or more drinks on an occasion?
During the past 30 days, what is the largest number of drinks
you had on any occasion?
RISK FACTORS / CREATED VARIABLES
At risk for binge drinking.
At risk for heavy alcohol consumption
Heavy Drinking Among Men
Heavy Drinking Among Women
IMMUNIZATION
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During the past 12 months, have you had a flu shot?
During the past 12 months, have you had a flu vaccine that was
sprayed into your nose?
Have you ever had a pneumonia shot? This shot is usually given
only once or twice in a person’s lifetime and is different from the flu shot. It is also
called the pneumocoocal vaccine.
RISK FACTORS / CREATED VARIABLES
Risk factor for respondents aged 65 or older that did not have
a flu shot within the past 12 months.
Risk factor for respondents aged 65 or older that have never
had a pneumonia shot.
ARTHRITIS BURDEN
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Have you ever been told by a doctor or other health professional
that you have some form of arthritis, rheumatoid arthritis, gout, lupus or fibromyalgia?
Are you limited in any way in any of your usual activities
because of arthritis or joint symptoms?
Do arthritis or joint symptoms now affect whether you work, the
type of work you do or the amount of work you do?
During the past 30 days, to what extent has your arthritis or
joint symptoms interfered with your normal social activities, such as going shopping, to the
movies, or to religious or social gatherings?
On a scale of 0 to 10 where 0 is no pain or aching and 10 is as
bad as it can be. DURING THE PAST 30 DAYS, how bad was your joint pain ON AVERAGE?
FRUITS AND VEGETABLES
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How often do you drink fruit juices such as orange, grapefruit
of tomato?
Not counting juice, how often do you eat fruit?
How often do you eat green salad?
How often do you eat potatoes not including French fries, fried
potatoes or potato chips?
How often do you eat carrots?
Not counting carrots, potatoes or salad, how many servings of
vegetables do you usually eat?
RISK FACTORS / CREATED VARIABLES
Summary index for fruits and vegetables
Consumed five or more servings of fruits and vegetables per day
PHYSICAL ACTIVITY
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When you are at work, which of the following best describes what
you do?
Now thinking about moderate physical activities you do in a usual
week, do you do moderate activities for at least 10 minutes at a time, such as brisk walking,
bicycling, vacuuming, gardening, or anything else that causes some increase in breathing or heart
rate?
How many days of the week do you do these moderate activities
for at least 10 minutes at a time?
On days when you do moderate activities for at least 10 minutes
at a time, how much total time per day do you spend doing these activities?
Now, thinking about the vigorous physical activities you do in a
usual week, do you do vigorous activities for at least 10 minutes at a times, such as running,
aerobics, heavy yard work, or anything else that causes large increases in breathing or heart rate?
How many days per week do you do these vigorous activities for
at least 10 minutes at a time?
On days when you do vigorous activities for at least 10 minutes
at a time, how much total time per day do you spend doing these activities?
RISK FACTORS / CREATED VARIABLES
3 level moderate physical activity category
Moderate Physical Activity Risk Factor
3 level vigorous physical activity category
Vigorous Physical Activity Risk Factor
5 level physical activity category
Physical Activity Recommendation Status
Adults that have reported participating in physical activity or
exercise
HIV/AIDS
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Have you ever been tested for HIV? Do not count tests you may
have had as part of a blood donation.
Not including blood donations, in what month and year was your
last HIV test? Include saliva tests.
Where did you have your last HIV test- at a private doctor or HMO
office, at a counseling and testing site, at a hospital, at a clinic, in a jail or prison, at home
or somewhere else?
Was it a rapid test where you could get your results within a
couple of hours?
RISK FACTORS / CREATED VARIABLES
Adults aged 18-64 that have ever been tested for HIV
CANCER SURVIVORS
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Have you ever been told by a doctor, nurse, or other health
professional that you had cancer?
How many different types of cancer have you had?
At what age were you told that you had cancer? OR At what age
was your first diagnosis of cancer?
What type of cancer was it? OR With your most recent diagnoses
of cancer, what type of cancer was it?
EMOTIONAL SUPPORT AND LIFE SATISFACTION
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How often do you get the social and emotional support you need?
Would you say....
In general, how satisfied are you with your life? Would you
say...
OBESITY VARIABLES
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Four categories of Body Mass Index
Risk factor for overweight or obese
CDC OPTIONAL MODULES
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DIABETES
How old were you when you were told you have diabetes?
Are you now taking insulin?
About how often do you check your blood for glucose or sugar?
Include times when checked by a family member or friend, but do not include times when checked by a
health professional.
About how often do you check your feet for any sores or
irritations? Include times when checked by a family member or friend, but do not include times when
checked by a health professional.
About how many times in the past 12 months have you seen a
doctor, nurse, or other health professional for your diabetes?
A test for "A one C" measures the average level of
blood sugar over the past three months. About how many times in the past 12 months has a doctor,
nurse, or other health professional checked you for hemoglobin "A one C"?
About how many times in the past 12 months has a health
professional checked your feet for any sores or irritations?
When was the last time you had an eye exam in which the pupils
were dilated? This would have made you temporarily sensitive to bright light.
Has a doctor ever told you that diabetes has affected your eyes
or that you had retinopathy?
Have you ever taken a course or class in how to manage your
diabetes yourself
ACTIONS TO CONTROL HIGH BLOOD PRESSURE
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Are you changing your eating habits to help lower or control
your high blood pressure?
Are you cutting down on salt to help lower or control your high
blood pressure?
Are you reducing alcohol use to help lower or control your high
blood pressure?
Are you exercising to help lower or control your high blood
pressure?
Has a doctor or other health professional ever advised you to
change your eating habits to help lower or control your high blood pressure?
Has a doctor or other health professional ever advised you to
cut down on salt to help lower or control your high blood pressure?
Has a doctor or other health professional ever advised you to
reduce alcohol use to help lower or control your high blood pressure?
Has a doctor or other health professional ever advised you to
exercise to help lower or control your high blood pressure?
Has a doctor or other health professional ever advised you to
take medication to help lower or control your high blood pressure?
Were you told on two or more different visits to a doctor or
other health professional that you had high blood pressure?
CARDIOVASCULAR HEALTH
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After you left the hospital following your heart attack did you
go to any kind of outpatient rehabilitation? This is sometimes called "Rehab".
After you left the hospital following your stroke did you go to
any kind of outpatient rehabilitation? This is sometimes called "Rehab".
Do you take aspirin daily or every other day?
Do you have a health problem or condition that makes taking
aspirin unsafe for you?
MENTAL ILLNESS AND STIGMA
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About how often during the past 30 days did you feel nervous?
During the past 30 days, about how often did you feel hopeless?
During the past 30 days, about how often did you feel restless
or fidgety?
During the past 30 days, about how often did you feel so
depressed that nothing could cheer you up?
During the past 30 days, about how often did you feel that
everything was an effort?
During the past 30 days, about how often did you feel worthless?
During the past 30 days, for about how many days did a mental
health condition or emotional problem keep you from doing your work or other usual activities?
Are you now taking medicine or receiving treatment from a doctor
or other health professional for any type of mental health condition or emotional problem?
Treatment can help people with mental illness lead normal lives.
Do you agree slightly or strongly, or disagree slightly or strongly?
People are generally caring and sympathetic to people with
mental illness. Do you agree slightly or strongly, or disagree slightly or strongly?
ARTHRITIS MANAGEMENT
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Thinking about your arthritis or joint symptoms, which of the
following best describes you today?
Has a doctor or other health professional ever suggested losing
weight to help with your arthritis or joint symptoms?
Has a doctor or other health professional ever suggested
physical activity or exercise to help your arthritis or joint symptoms?
Have you ever taken an educational course or class to teach you
how to manage problems related to your arthritis or joint symptoms?
HEART ATTACK AND STROKE
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Do you think pain or discomfort in the jaw, neck, or back are
symptoms of a heart attack?
Do you think feeling weak, lightheaded, or faint are symptoms of
a heart attack?
Do you think chest pain or discomfort are symptoms of a heart
attack?
Do you think sudden trouble seeing in one or both eyes is a
symptom of a heart attack?
Do you think pain or discomfort in the arms or shoulder are
symptoms of a heart attack?
Do you think shortness of breath is a symptom of a heart attack?
Do you think sudden confusion or trouble speaking are symptoms
of a stroke?
Do you think sudden numbness or weakness of face, arm or leg,
especially on one side, are symptoms of a stroke?
Do you think sudden trouble seeing in one or both eyes is a
symptom of stroke?
Do you think sudden chest pain or discomfort are symptoms of a
stroke?
Do you think sudden trouble walking, dizziness, or loss of
balance are symptoms of a stroke?
Do you think severe headache with no known cause is a symptom of
a stroke?
If you thought someone was having a heart attack or a stroke,
what is the first thing you would do?
SOCIAL CONTEXT
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Do you own or rent your home?
How often in the past 12 months would you say you were worried
or stressed about having enough money to pay your rent/mortgage?
How often in the past 12 months would you say you were worried
or stressed about having enough money to buy nutritious meals?
At your main job or business, how are you generally paid for the
work you do?
About how many hours do you work per week on all of your jobs
and businesses combined?
Thinking about the last time you worked, at your main job or
business, how were you generally paid for the work you do?
Thinking about the last time you worked, about how many hours
did you work per week at all of your jobs and businesses combined?
Did you vote in the last presidential election? The November
2008 election between Barack Obama and John McCain?
EMERGING ISSUES Back to topics
PANDEMIC FLU
(January - February 2009)
What do you think is the most effective one thing you can do to
prevent getting sick from the flu?
What do you think is the most effective thing to do to prevent
spreading the flu to people when you are sick?
If there is a pandemic flu outbreak and you do not get the
pandemic flu vaccination, what do you think your chances are of getting sick with the pandemic
flu?
If there was a pandemic flu outbreak, how likely are you to get a
pandemic flu vaccination if it was available to you?
If public health officials recommended that everyone go to a
particular public place such as a local school, fire station, or sports stadium to get
vaccinated to prevent the spread of pandemic flu, would you…
Imagine an outbreak of pandemic flu in the U.S. in the next year.
What would be the most important one thing you would want to know?
During a pandemic flu outbreak in the U.S., what would be your
one most preferred source for getting information about the pandemic flu?*
Excluding vaccination, what is the one most likely thing you
would do if a pandemic flu outbreak were reported IN YOUR STATE?*
If public health officials recommended that everyone stay at home
for a month because of a serious outbreak of pandemic flu in your community, are you very likely,
somewhat likely, somewhat unlikely, or very unlikely to stay home for a month?
Please tell me if you currently work in any of these fields:
Emergency medical services, law enforcement, fire services, or in the manufacture of pandemic
vaccines or anti-virals, public health, healthcare provider, home health, or in a nursing home.
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