Case ID
Nesting Variable: Stratum
Nesting Variable: PSU
Nesting Variable: SSU
CAPI Weight
Physical Weight
Blood Weight
Urine Weight
Saliva Weight
ACASI weight. Used for SXQ and DUQ sections
CAPI WEIGHT INDICATOR
PHYSICAL WEIGHT INDICATOR
BLOOD WEIGHT INDICATOR
Urine Weight Indicator
Saliva Weight Indicator
ACASI weight indicator
INTERVIEWER INSTRUCTION: WHAT LANGUAGE I
IS THIS A PROXY INTERVIEW?
Respondent age
Age grouped in three categories
Age Group 3 Categories
Age Group 4 Categories
Age Group 5 Categories
Birth year
Highest school
Education: 3 Categories
Education four Categories
Education three Categories
Education Grouped
Marital status
Marital Status with Living With A Partner Grouped With Married
Marital Status with Living with Partner Grouped with Single
Have maiden name
Country of birth
Other country name
US Born - 50 States, DC, Puerto Rico, & territories
US Born - 50 States and DC only
State of birth
Month came to US
Year came to US
Month came to NYC
Year came to NYC
Month moved to dwelling
Year moved to dwelling
Country mother born in
Other country mother born in
Country father born in
Other country father born in
Considered Hispanic or Latino
Hispanic or Latino ancestor group
Specify SP's Hispanic/Latino Origin or Ancestry
Considered race or races
Specify SP's Race or Races
Black versus not black
Self-identified as Asian
Group best represents race
Group represents Asian ancestry
Specify SP's Asian Origin or Ancestry
General health
Timeframe of physical health not good
Timeframe of mental health not good
# of days couldn't do usual activities
# of days had pain
Physical problem limitation
Mental problem limitation
Difficulty walking
Specify employment last week
# hrs worked last week
Usually work at least 35 hrs per week
Type of employment
Offered health insurance
# hrs smell smoke at work
Main reason didn't work last week
number of days missed at work
Occupational Classification Code
Standard Occupational Classification Code
Covered by health insurance
type insurance
Plan(s) covers dental
Plan(s) covers prescriptions
Past 12 months had no insurance
How long had no insurance
Reasons no insurance
Specify other reason no health insurance
R has a place to go when sick or needs m
What kind of place does R go to most oft
How long since R saw a doctor
# of times R has seen a doctor in past 1
Were any visits in past 12 months for ba
Did R visit > 1 doctor's office in the p
Has R seen mental health professional in
Has R taken prescription medication for
Prescription medication for physical condition
Number of different prescription medications
Specify name of prescription medication
Did interviewer see prescription medication
ENTER OTHER DRUG NAME, NOT ON THE LIST
R needed health care but didn't get it
Specify type(s) of health care R needed
SPECIFY OTHER
Reason preventing needed health care
How long since dental appt
Frequency subject brushes teeth
Subject has any gum disease
# days dental floss used
# days used mouthwash
Subject has mercury fillings
# of teeth w/mercury fillings
Timeframe of BP last taken
Dx'd with hypertension
Hypertension 2 or more times
Age 1st dx'd with hypertension
Ever told need medication for hypertensi
Prescription for hypertension last 12 mo
Taking prescription meds for HBP
Intake last 30 minutes
Before I take any measurements, I need t
Arm to be measured
Cuff size
RESPONDENT SEATED
average Pulse
Reason no BP
High systolic blood pressure based on old ACC/AHA guidlines (>=140)
High systolic blood pressure based on new ACC/AHA guidlines (>=130)
High diastolic blood pressure based on old ACC/AHA guidlines (>=90)
High diastolic blood pressure based on new ACC/AHA guidlines (>=80)
HTN based on measured BP using old ACC/AHA guidelines (>=140/90)
HTN based on measured BP using new ACC/AHA guidelines (>=130/80)
HTN-measured high BP, old ACC/AHA guidelines (>=140/90) or taking meds
HTN-measured high BP, new ACC/AHA guidelines (>=130/80) or taking meds
Controlled HTN: BP<140/90. Old ACC/AHA guidelines
Controlled HTN: BP<130/80. New ACC/AHA guidelines
Hypertension told to lose weight
Controlling or losing weight now
Hypertension told eat less salt
Cutting down on salt now
Hypertension told to exercise more
Exercising more now
Ever had cholesterol checked
How long since last cholesterol check
Ever told cholesterol high
Ever prescription medication for cholest
Last 12 months prescription for choleste
Taking prescription medication for chole
Told to eat less fat cholesterol
Eating less fat cholesterol now
Told to lose weight cholesterol
Following advice to lose weight now
Told to exercise more cholesterol
Cholesterol exercising more
Comment Triglyceride
Triglyceride mg/dL
Comment LDL
LDL mg/dL, estimated
Comment HDL
HDL mg/dL, direct
Comment Cholesterol
Cholesterol, total mg/dL
High Cholesterol: Serum cholesterol => 240
High Cholesterol: Serum cholesterol => 240 OR self-report taking prescription meds
Awareness of hypercholesterolemia
Control of hypercholesterolemia
Ever dx'd with diabetes
Age dx'd with diabetes
Ever dx'd with insulin resistance
Had blood test for diabetes past 3 yrs
Now taking insulin
How long taking insulin
Specify months or years
Taking diabetic pills now
How long taking diabetic pills
Taking injectible drugs not insulin
How long taking injectible drugs not ins
Ever dx'd with diabetic retinopathy
Ever dx'd with diabetic renal disease
Diabetes last time saw nondoctor
Last time pupils dilated
Have you ever had a mastectomy and if so
Glycohemoglobin %
Comment A1c
Plasma Glucose mg/dL
Glucose SI miccromole/L
Comment Glucose
Diabetes based on Fasting Plasma Glucose >=126
Diabetes based on A1c>=6.5%
Self-Reported Diabetes
Diabetes based on FPG, A1c, or Self-Report
Previously diagnosed with Diabetes
No diabetes and No pre-diabetes
Impaired fasting glucose categorized
Prediabetes: No diabetes dx and FPG between 100 and 125
Self-Reported Pre-diabetes
Prediabetes defined by ONLY impaired fasting glucose
Prediabetes: No diabetes dx and A1c between 5.7 and 6.4
Prediabetes: No diabetes dx, A1c between 5.7 and 6.4, FPG<100
Prediabetes: No diabetes dx, A1c 5.7-6.4, AND FPG 100-125
Prediabetes: No diabetes dx AND either A1c 5.7-6.4 or FPG 100-125
Diabetes controlled (A1c<7.0%)
Diabetes controlled (A1c<7.0%) among previously diagnosed
Ever dx'd with asthma
Age first dx'd with asthma
Still have asthma
Asthma attack past 12 months
Asthma emergency room
Past 3 mos taken medication for asthma
Ever had blood transfusion
Year of first transfusion
Ever dx'd with arthritis
Age first dx'd with arthritis
Specify arthritis type
Ever dx'd with congestive heart failure
Age 1st dx'd w/congestive heart failure
Ever dx'd with coronary heart disease
Age 1st dx'd w/coronary heart disease
Ever dx'd with angina
Age first dx'd with angina
Ever dx'd with heart attack
Age first dx'd with heart attack
Ever dx'd with stroke
Age first dx'd with stroke
Ever dx'd with emphysema
Age first dx'd with emphysema
Ever dx'd with chronic bronchitis
Age 1st dx'd w/chronic bronchitis
Ever dx'd with osteoporosis
Age 1st dx'd with osteoporosis
Ever told overweight
Age first told overweight
Ever dx'd with depression
Age first dx'd with depression
Ever dx'd with anxiety
Age first dx'd with anxiety
Ever dx'd with PTSD
Age first dx'd with PTSD
Specify initial cause of PTSD
Ever told weak or failing kidneys
Had dialysis last 12 months
Ever dx'd with cancer
Specify cancer type(s)
Age bladder cancer 1st dx'd
Age blood cancer 1st dx'd
Age brain cancer 1st dx'd
Age breast cancer 1st dx'd
Age cervical cancer 1st dx'd
Age colon cancer 1st dx'd
Age esophageal cancer 1st dx'd
Age gallbladder cancer 1st dx'd
Age kidney cancer 1st dx'd
Age larynx cancer 1st dx'd
Age leukemia 1st dx'd
Age liver cancer 1st dx'd
Age lung cancer 1st dx'd
Age lymphoma 1st dx'd
Age melanoma 1st dx'd
Age oral cancer 1st dx'd
Age ovarian cancer 1st dx'd
Age prostate cancer 1st dx'd
Age rectal cancer 1st dx'd
Age non-melanoma skin cancer 1st dx'd
Age DK what kind skin cancer 1st dx'd
Age thyroid cancer 1st dx'd
Age uterine cancer 1st dx'd
Age other cancer 1st dx'd
Age DK type of cancer 1st dx'd
Any relatives with diabetes
Any relatives with asthma
Any relatives with heart attack or angin
Ever had sigmoidoscopy/colonoscopy
Specify type of examination
How long since last colonoscopy
Take aspirin daily
Used cream to lighten skin past 30 days
Ever hepatitis B vaccine
Ever pneumonia vaccine
Ever flu vaccine
Ever HPV vaccine female
Ever HPV vaccine male
How many doses
Physical activity
Mode of travel
Number of days of walking
Time spent walking
Unit of time
Time spent riding a bicycle
Unit of time for riding a bike
Daily activities
Vigorous activities
Frequency of vigorous activities
Timeframe of vigoros activities
Vigorous activities timeframe in 30 days
Unit of vigorous activities in 30 days
Moderate activities
Timeframe of moderate activities
Unit of moderate activities
Timeframe of moderate activities each ti
Unit of moderate activities each time
Physical activities for strengthening mu
Timeframe of strengthening physical acti
Unit of strengthening physical activitie
Timeframe of watching TV
Timeframe of using a computer
Activity comparisons
HP2010 Vigorous Activity goal
HP2010 Moderate Activity goal
HP2010 Phisical Activity goal
Met 2008 Physical Activity Guidelines
Self reported physically active
How healthy is your overall diet
Number of days eating from restaurants
Number of days that ate dark vegetables
Unit of days eating dark vegetables
Timeframe of eating other vegetables
Unit of eating other vegetables
Timeframe of eating fresh fruits
Unit of eating fresh fruits
Timeframe for eating poultry
Unit of eating poultry
Timeframe for eating beef
Unit of eating beef
Timeframe for eating fish/shellfish
Unit for eating fish/shellfish
Timeframe for eating tuna/swordfish
Unit for eating tuna/swordfish
Timeframe for drinking soda
Unit for drinking soda
Size of soda
Timeframe of drinking sweetened drinks
Unit of drinking sweetened drinks
Smoked at least 100 cigs, lifetime
Age began smoking regularly
Frequency of current smoking
Current Smoker
Time since quit smoking
Specify days/weeks/mos/yrs
Age last smoked regularly
# cigs smoked per day in past
# cigs smoked per day currently
# yrs smoked current amount
How soon after waking smoke 1st cig
# of days smoked in past 30 days
# of cigs smoked/day last 30 days
Used nicotine products past 5 days
Specify type of nicotine products used
Type of nicotine products used in past 5
Does anyone smoke inside home
Specify rules for smoking in home
Rules about smoking at home
Frequency smell external smoke inside ho
Frequency smell external smoke inside home
Frequency smell external smoke at work
Smoking Status (self-reported), 2 categories
Current Daily Smokers
Smoking Status (self-reported), 3 categories
Smoking Status (self-reported), 4 categories
Nicotine products used in the past 5 days
Use Cigarettes in the past 5 days
Use Pipes in the past 5 days
Use Cigars or cigarillos in the past 5 days
Use Chewing tobacco in the past 5 days
Use Snuff in the past 5 days
Use Hookah pipe in the past 5 days
Use e-cigarettes in the past 5 days
Use Nicotine patches or other nicotine product in the past 5 days
Use of Hookah pipe or e-cigarettes in the past 5 days
Alcoholic beverage quantity
Unit of beverage consumption
Average liquor consumption in past 12 mo
Alcohol usage quantity in past 30 days
Number of Residents in Household
Is that one other person a member of ^yo
number of hh menbers in family
Income received
Income from social security
Received government payment
Combined Income
Letter representing income
Income 5 Thousand Categories
Income 10 Thousand Categories
Income 20 Thousand Categories
Income 25 Thousand Categories
Income 25 Thousand Categories Modified
Census tract poverty group (6 categories) ACS 2008-2012
Census tract poverty group (4 categories) ACS 2008-2012
ZIP code neighborhood poverty group (6 categories) – ACS 2008-2012
ZIP code neighborhood poverty group (4 categories) – ACS 2008-2012
Ever been pregnant
Pregnant now
Pregnancy month
Number of times pregnant
Number of live birth pregnancy
Knowledge of gestational diabetes
Contraception used
Other contraception used
Ever had pap smear
Date of last pap smear
Ever had mammogram
Date of mammogram
These next questions ask about ^yourname
Height in feet
Height in inches
Height in meters
Height in cm
Units of weight
How much does SP weigh without clothes or shoes? Pounds
Weight status
How much did ^youname weigh a year ago
How much did SP weigh a year ago? Pounds
Lose weight
Mode of weight loss
Highest weight in pounds
Highest weight in kg
Age of heighest weight
Someone to talk
Someone to advice
Someone to love
Someone to help with chores
Someone to provide emotional support
Someone to trust
Mental health rating
past 30 days, felt nervous
past 30 days, felt hopeless
past 30 days, felt restless or fidety
past 30 days, felt depressed, no cheerin
past 30 days, felt everything an effort
past 30 days, felt worthless
past 12 months, time worse than last 30
selected month, how often felt nervous
selected month, felt hopeless
selected month, felt restless or fidety
selected month, felt depressed, no cheering up
selected month, felt everything an effort
selected month, felt worthless
selected month, difficulty remembering to do things
selected month, difficulty concentrating
selected month, difficulty getting out on own
MH problems cause difficulty getting out on own
selected month, difficulty dealing with people
MH problems cause difficulty dealing with people
selected month, difficulty social events
MH problems cause difficulty dealing with social events
selected month, difficulty household responsibilities
MH problems cause difficulty dealing with household responsibilities
selected month, difficulty school or work
MH problems cause difficulty dealing with school or work
selected month, difficulty getting daily work done
last 2 weeks had Little interest or pleasure in doing things
last 2 weeks felt down, depressed, or hopeless
last 2 weeks had Sleep problems
last 2 weeks Felt tired, had little energy
last 2 weeks had eating problems, too much/little
last 2 weeks felt bad about self/failure
last 2 weeks had trouble concentrating
last 2 weeks felt lethargic /fidgety
last 2 weeks had better off dead thoughts
PAST MONTH K6 SCORE
PAST MONTH SERIOUS PSYCHOLOGICAL DISTRESS
WORST K6 SCORE IN PAST YEAR
PAST YEAR SERIOUS PSYCHOLOGICAL DISTRESS
WHODAS SCORE
PHQ-9 score
Moderate to severe depression (based on PHQ-9 score)
Depression and previous dx
Treated for depression in the past 12 months
Distress flag
PAST YEAR SERIOUS MENTAL ILLNESS
PAST YEAR ANY MENTAL ILLNESS
PAST YEAR MODERATE MENTAL ILLNESS
PAST YEAR MILD (LOW) MENTAL ILLNESS
Ever had vaginal sex
Oral sex with female
Anal sex with female
Any sex with male
Age of first sex
Number female sexual partners, lifetime
Number females partners. last 12 months
Number vaginal sex partners, last 12 mon
Number oral sex female partners, past 12
Number anal female sex partners, last 12
Number of times, vaginal sex, past 30 da
Number of times, oral female sex, past 3
Number of times, anal female sex, past 3
Number male partners, lifetime
Number male partners, past 12 months
Number male oral sex partners, past 12 m
Number of time male oral sex, past 30 da
Number male anal sex partners, past 12 m
Number times, anal male sex, past 30 day
Sex without condom, past 12 months
Had vaginal sex, ever
Ever performed male oral sex
Ever had anal sex
Ever had sex with female
Age first had sex
Number male partners, last 12 months
Number male vaginal sex partners, past 1
Number times vaginal sex, past 30 days
Number times oral sex, past 30 days
Number times anal sex, past 30 days
Number female partners, lifetime
Number female partners, past 12 months
Number female oral sex partners, past 12
Number of times, female oral sex, past 3
Ever told, had genital warts
(Un)Circumcised
Males, sexual preference
Females, sexual preference
Self-Reported Sexual Orientation
Female: Practice oral sex in the last 30 days
Male: Practice oral sex in the last 30 days
Practice oral sex in the last 30 days
prescription pain relievers prescribed
taken prescription pain relievers, past
Took more drug than prescribed
Took prescription drug but not prescribe
How often took more than prescribed
units - took more than prescribed
past 12 months how often took prescripti
Units -- took prescription not prescribe
Past 12 months, how often mis-used presc
units mis-used prescription drug
source of prescription drugs
other source of drugs
Ever had a prescription tranquilizer
Took prescribed tranquilizer
Took prescribed tranquilizer, more than
Took unprescribed tranquilizer
Past 12 months used cocaine
Past 12 months used heroin
Past 12 months used methamphetamine
Past 12 months injected un-prescribed dr
Last time injected drug
Spent time in correctional facilities as
Use heroin in the past 12 months
Overuse or non-prescribed use of prescription pain relievers in the past 12 months
THE RESPONDENT'S HEIGHT
THE RESPONDENT'S WEIGHT
THE RESPONDENT'S WAIST CIRCUMFERENCE
DID SP HEIGHT NEED ADJUSTMENT
MEASURMENT ADJUSTMENT
REASONS FOR HEIGHT ADJUSTMENT
REASONS FOR NO HEIGHT MEASURMENT
REASONS FOR NO WEIGHT
REASON NO WAIST CIRCUMFERENCE
true height
weight
BMI 3 categories
BMI 4 categories
Physical Exam Completed Indicator
Blood Sample Collection Indicator
HAVE CONDITION OR TREATMENT
MD RESTRICTS BLOOD DRAW
ITEMS CONSUMED
Participant took any of the items listed in quesion PBD_F2
Fasting flag based on corrected information
Fasting flag only for diabetes analysis, based on corrected information
Comment Creatinine
Creatinine SI micromole/L
Creatinine (mg/dL)
Comment Lead
Lead (microgram/dL)
Exposed to lead (blood lead >=5.0 Microgram/dL)
Comment Mercury Total Blood
Mercury, Blood Microgram/L
Exposed to mercury (blood mercury >=5.0 Microgram/L)
Comment Serum Cotinine
Cotinine ng/mL
Exposed to second-hand smoke (based on serum cotinine)
Hepatitis B core antibody (anti-HBc) comment
Hepatitis B core antibody (anti-HBc)
Hepatitis B Surface antibody (anti-HBs) comment
Hepatitis B surface antibody (anti-HBs)
Hepatitis B Surface Antigen (HBsAg) comment
Hepatitis B surface antigen (HBsAg)
Hepatitis B Virus DNA (HBV DNA) Comment
Hepatitis B virus DNA (HBV DNA)
Hepatitis B positive
Hepatitis C comment
Hepatitis C Antibody (anti-HCV)
Hepatitis C RNA comment
Hepatitis C RNA (HCV-RNA)
Hepatitis C positive
MRI Past week
Fever Today
NSAIDs Past Week
Menstruation
Urine Specimen Provided
Comment Urine Albumin
Urine Albumin g/dL
Urine creatinine mg/dL
Comment UACR
Urine Albumin/Creatinine Ratio mg/g
Albuminuria: Females UACR > 25 mg/g; Males UACR > 17 mg/g
Comment Urinary Mercury
Urinary Mercury ng/mL
Saliva Specimen Collected