Section
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Content
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Source
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Rotating core
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Detailed adult employment
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If working at or had a paid
job or business last week, if working in a family business not
for pay, if doing seasonal/contract work, or if not currently
working but had a paid job or business in past 12 months:
For whom do/did you work at
your main job/business? (name of company, employer, etc.)
Industry (kind of business)
(open-ended)
Occupation (kind of work)
(open-ended)
Most important activities on
the job (open-ended)
Supervisory status
Work category (private sector, government employee,
self-employed, etc.)
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On 1997-2017 NHIS. Minor revisions were made to “read if
necessary” text based on more recent questions in the
American Community Survey. These six questions are part of a
sequence needed to properly code occupational history.
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Injuries (INJ)
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Injury questions were on 1997-2017 NHIS. These new injury
questions were developed using input from technical expert panels
consisting of experts from government and academia and cognitive
testing (see Jamoom and Massey, 2019). Results from cognitive
testing of NHIS sample child questions also informed the design
the sample adult injury questions (report forthcoming). The new
sample adult injury questions separate out repetitive strain and
acute injuries for adults. The injury questions also include
information about the seriousness of the injury, treatment of the
injury, where the injury occurred, what activities the respondents
were engaged in when injured and the impact of the injuries on the
respondents’ work, school, or usual activities. Overall,
these questions provide detail about the injuries that can help
characterize the nature of injuries and inform injury prevention
efforts.
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Physical activity (PHY)
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The next questions are about
physical activities such as exercise, sports, or physically
active hobbies that you may do in your LEISURE time. We are
interested in two types of physical activity --- moderate and
vigorous-intensity. Moderate-intensity activities cause moderate
increases in breathing or heart rate whereas vigorous-intensity
activities cause large increases in breathing or heart rate. How
often do you do MODERATE-INTENSITY LEISURE-TIME physical
activities?
How often do you do
VIGOROUS-INTENSITY LEISURE-TIME physical activities?
Including activities that you
mentioned earlier, how often do you do LEISURE-TIME physical
activities specifically designed to STRENGTHEN your muscles such
as sit-ups, push-ups, or lifting weights?
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On 1997-2017 NHIS. Minor modifications to were made to questions
to better match new physical activity guidelines released in 2018.
Also made minor changes to examples of muscle strengthening.
Healthy People 2020 used NHIS data for Physical Activity goals and
will likely use the data for Healthy People 2030.
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Walking for transportation
and leisure (WLK)
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In the past 7 days, did you
walk for transportation?
In the past 7 days, how many
days did you walk for transportation?
On average, how many times per
day did you walk for transportation?
On average, how long did those
walks take?
Sometimes you may walk for fun,
relaxation, exercise, or to walk the dog. In the past 7 days, did
you walk for any of these reasons?
In the past 7 days, how many
days did you walk for leisure or exercise?
On average, how many times per
day did you walk for leisure or exercise?
On average, how long did those walks take?
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Adapted from questions asked in the 2015 NHIS cancer supplement.
Cognitive testing during August of 2019 was used to make it easier
for respondents to answer by first asking number of days and then
asking number of times per day (report forthcoming). These
questions were additionally modified to account for new Physical
Activity Guidelines which did not require a minimum of 10 minutes
to qualify as exercise.
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Fatigue (FGE)
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On 2010-2018 NHIS. Questions have not changed since the submission
of the revision package. These questions were developed as part of
the Washington Group on disability statistics extended set to
measure functioning related disability in adults.
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Sleep (SLP)
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On average, how many hours
of sleep do you get in a 24-hour period?
During the past 30 days, how
often did you wake up feeling well-rested?
During the past 30 days, how
often did you have trouble falling asleep?
How often did you have trouble
staying asleep?
How often did you take any
medication to help you fall asleep or stay asleep?
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Adapted from questions on the 2013-2018 NHIS. See Wheeler and
Massey (2018) for cognitive testing. These questions are used to
study the relationship between sleep and health and establish
guidelines for the amount of sleep for adults. Healthy People
2020 used NHIS data to measure the adequate sleep objective.
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Alcohol use (ALC)
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If yes:
If none:
If any:
If average is
less than 5 (if male) or 4 (if female):
If average is
greater than or equal to 5 (if male) or 4 (if female), or if yes,
had 5/4 or more drinks in one day in past 12 months:
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NHIS has included similar alcohol use questions since 1997 that we
have adapted for the redesign. Questions can be used to measure
the alcohol drinking status of adults as well as whether an adult
engages in excessive alcohol use such as binge drinking as a
health risk behavior.
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Smoking history and cessation (CIH)
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How old were you when you
FIRST started to smoke fairly regularly?
During the past 12 months, have
you stopped smoking for more than one day BECAUSE YOU WERE TRYING
TO QUIT SMOKING?
How long has it been since you
quit smoking cigarettes?
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Adapted from questions on 1997-2017 NHIS. See Massey et al. (2018)
for cognitive testing. These questions are used to understand
smoking cessation among adults in the U.S. Healthy People 2020
used NHIS data to measure cigarette smoking history and smoking
cessation objectives.
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Content of care
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In the past 12 months, has a
doctor, dentist, or other health professional ADVISED you about
ways to stop smoking or prescribed medication to help you quit?
In the past 12 months, has a
doctor, dentist, or other health professional ADVISED you to stop
or cut down on your drinking?
During the past 12 months, has
a doctor or other health professional ADVISED you to…Increase
the amount of physical activity or exercise you get?
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This content was derived from USPSTF
recommendations and has been moved to the smoking, alcohol, and
Diabetes prevention sections to improve the flow of the
questionnaire.
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Sponsored Content
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Diabetes Sponsored Content from (NIDDK, NIH)
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Has your mother, father,
brother, or sister EVER been told by a doctor or other health
professional that they have diabetes?
When was the last time you had
a blood test for high blood sugar or diabetes by a doctor, nurse,
or other health professional?
During the past 12 months, has
a doctor or other health professional ADVISED you to ...Increase
the amount of physical activity or exercise you get?
During the past 12 months, has
a doctor or other health professional ADVISED you to ...Reduce
the amount of fat or calories in your diet?
During the past 12 months, has
a doctor or other health professional ADVISED you
to...Participate in a weight loss program?
Are you now...Increasing your
physical activity or exercise?
Are you now...Reducing the
amount of fat or calories in your diet?
Are you now...Participating in
a weight loss program?
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Adapted from questions that were included in the 2016-2018 NHIS.
See Dunston et al. (2015) for cognitive testing. These questions
are used to assess diabetes risk and assist in diabetes related
monitoring and prevention efforts.
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Cancer Sponsored Content – lung cancer from (NCI, NIH)
and (NCCDPHP, CDC)
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When you last smoked FAIRLY
REGULARLY, how many cigarettes did you usually smoke per day?
What is the average number of
cigarettes that you smoked daily during the longest period that
you smoked?
The following questions are
about CT scans. During this test, you lie down on your back and
are moved through an open, donut-shaped x-ray machine. Have you
EVER HAD a CT scan?
Were any of the CT scans of
your chest area?
The next question is only about
CT scans to check or screen for lung cancer, sometimes called
low-dose CT scans. Were any of the CT scans of your chest area
done mainly to check or screen for lung cancer?
When did you have your MOST RECENT CT scan of your chest
area done mainly to check or screen for lung cancer?
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These questions were adapted from the 2015 NHIS cancer supplement
and underwent cognitive testing in August of 2019 (report
forthcoming). These questions are used to measure the extent to
which respondents are being appropriately screened for lung cancer
according to USPSTF guidelines. This requires knowing pack-year
smoking history of the respondents and screening techniques that
are used.
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Cancer Sponsored Content – skin cancer from (NCI, NIH)
and (NCCDPHP, CDC)
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After several months of not
being in the sun, if you THEN went out into the sun without
sunscreen or protective clothing for one hour, which of these
would happen to your skin? Would you get a severe sunburn with
blisters, have a moderate sunburn with peeling, burn mildly with
some or no darkening or tanning, turn darker without sunburn, or
would nothing happen to your skin?
When you go outside on a sunny
day, for more than one hour, how often do you...Stay in the
shade?
When you go outside on a sunny
day, for more than one hour, how often do you...Wear a hat that
shades your face, ears AND neck such as a hat with a wide brim
all around?
When you go outside on a sunny
day, for more than one hour, how often do you...Wear a
long-sleeved shirt?
When you go outside on a sunny
day, for more than one hour, how often do you...Use sunscreen?
When spending time outdoors,
how often do you try to get some sun for the purpose of
developing a tan?
During the past 12 months, did
you ever have a sunburn?
During the past 12 months, how
many times have you had a sunburn?
During the past 12 months, how many times have you used an
indoor tanning device such as a sunlamp, sunbed, or tanning
booth?
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These questions were adapted from the 2015 NHIS cancer supplement.
The questions are used to measure various aspects of sun safety
such as how often respondents are exposed to the sun, whether they
take any precautions to prevent sun burns, and activities they
engage in that might lead to increased risk of exposure to the
sun.
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Cancer Sponsored Content – perceptions of walking
environment from (NCI, NIH) and (NCCDPHP, CDC)
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The next questions are about
where you live. How often does the walking you reported earlier
take place near your home?
Where you live, are there
roads, sidewalks, paths or trails where you can walk?
Where you live... Are there
shops, stores, or markets that you can walk to?
Where you live... Are there bus
or transit stops that you can walk to?
Where you live... Are there
places like movies, libraries, or places of worship that you can
walk to?
Where you live... Are there
places that you can walk to that help you relax, clear your mind,
and reduce stress?
Where you live, do most streets
have sidewalks?
Where you live... Does traffic
make it unsafe for you to walk?
Where you live... Does crime
make it unsafe for you to walk?
Where you live... Do dogs or
other animals make it unsafe for you to walk?
How often does the weather make
you less likely to walk?
How often are there people walking within sight of your
home?
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These questions were adapted from the 2015 NHIS cancer supplement.
The lead in question for this section underwent cognitive testing
in August of 2019 (report forthcoming) to help incorporate these
questions in the redesigned instrument. The questions are used to
measure people’s perceptions of their environment for
walking. For example, the questions measure whether there are
places for respondents to walk to in their neighborhood, whether
there are any barriers to prevent them from walking in their
neighborhood, and subsequently whether these barriers prevent the
ability to exercise.
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Asthma Sponsored Content from (NHLBI, NIH), (NIOSH, CDC), and
(NCEH, CDC).
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During the past 12 months,
have you stayed overnight in a hospital because of your asthma?
During the past 12 months, how
many days were you UNABLE to work or get work done around the
house because of your asthma?
During the past 3 months, have
you used the kind of PRESCRIPTION asthma inhaler that gives QUICK
relief from asthma symptoms during an attack?
Are you NOW taking a preventive
asthma medication every day, most days, some days, or never?
Have you ever been TOLD BY a doctor or other health
professional that your asthma was caused by, or your symptoms
were made worse by, any job you ever had?
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These questions were adapted from the 2013 and 2018 asthma NHIS
supplements that were used to measure Healthy People objectives.
These questions are used to better understand treatment of asthma
and the relationship between work conditions and asthma.
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Age of onset limitation Sponsored Content from (ACL, HHS).
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You said that you have difficulty with [WALKING OR
CLIMBING STAIRS, COMMUNICATING, REMEMBERING OR CONCENTRATING,
SELF-CARE, OR DOING ERRANDS ALONE]. Did this difficulty begin
before age 22?
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This question was developed with the Administration for Community
Living, HHS, and will be used to identify developmental
disabilities in adults. The question underwent cognitive testing
in the fall of 2019 (report forthcoming).
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Replacement questions in pain management sponsored by (NCIPC,
CDC)
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Over the past three months,
did you use any of the following to manage your
pain?...Over-the-counter medications such as aspirin, Tylenol,
Advil, or Aleve?
Over the past three months, did
you use any of the following to manage your pain?…A pain
reliever [fill: other than an opioid/ ] prescribed by a doctor,
dentist, or other health professional?
Over the past three months, did you use any of the
following to manage your pain?... Other forms of exercise, such
as walking, swimming, bike riding, stretching, or strength
training?
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These questions are replacing 3 questions from the pain management
module that was fielded in 2019. We found a high percentage of
respondents selecting “other” for pain management
strategy. Review of case notes from the instrument found that
including these three new pain management strategies will provide
more complete data about pain management strategies.
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Body measurements (BMI) (age 10-17)
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Parent-reported height
Parent-reported weight
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This has been adapted from the NHIS sample adult interview. These
two questions can be used to calculate a child’s BMI which
can be used to identify children who are overweight or obese.
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Physical activity (PHY) (age 6-17)
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In the past 12 months, did
SAMPLE CHILD play or participate on a sports team or club or take
sports lessons either at school or in the community?
In the past 12 months, did
SAMPLE CHILD take a Physical Education, PE, or gym class?
In a typical week during the
school year, how often does SAMPLE CHILD exercise, play a sport,
or participate in physical activity for at least 60 minutes a
day?
In a typical week during the
school year, how often does SAMPLE CHILD do exercises to
strengthen or tone HIS/HER muscles, such as push-ups, sit-ups, or
weight lifting?
In a typical week during the
school year, how often does SAMPLE CHILD walk for at least 10
minutes at a time?
In a typical week during the school year, how often does
SAMPLE CHILD bike for at least 10 minutes at a time?
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Content from national surveys, including National Survey of
Children’s Health and Youth Risk Behavior Survey. Sample
Child physical activity questions went through multiple rounds of
cognitive testing in September of 2017 (see Massey et al. 2018)
and in August of 2019 (cognitive test report forthcoming). These
questions are used to measure various aspects of physical activity
in children and the impact on health and are meant to be in line
with HHS Physical Activity guidelines.
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Neighborhood characteristics (NHC) (age 6-17)
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Are there roads, sidewalks,
paths or trails near HIS/HER home where SAMPLE CHILD can walk or
ride a bicycle?
Where SAMPLE CHILD lives... Are
there parks or playgrounds close enough for SAMPLE CHILD to walk
or bike to?
Where SAMPLE CHILD lives does
traffic make it unsafe for SAMPLE CHILD to walk or ride a
bicycle, even with an adult?
Where SAMPLE CHILD lives... Does crime make it unsafe for
SAMPLE CHILD to walk or ride a bicycle, even with an adult?
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Content adapted from 2015 cancer supplement on NHIS. The questions
are used to measure parental perceptions of the child’s
neighborhood environment. For example, the questions measure
whether there are place/conditions children to exercise outdoors
in their neighborhood and whether there are any barriers to
prevent them from doing these activities neighborhood, and
possibly limiting the ability to exercise.
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Sleep (SLP) (age 2-17)
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In a typical CHOOLWEEK, how
often does SAMPLE CHILD wake up well-rested?
In a typical SCHOOLWEEK, how
often does SAMPLE CHILD have difficulty getting out of bed in the
morning?
In a typical SCHOOLWEEK... How
often does SAMPLE CHILD complain about being tired during the
day?
In a typical SCHOOLWEEK... How
often does SAMPLE CHILD nap or fall asleep during the day, such
as in school, watching TV, or riding in a car?
In a typical SCHOOLWEEK, how
often did HE/SHE go to bed at the same time?
In a typical SCHOOLWEEK, how often did SAMPLE CHILD wake
up at the same time?
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Content from national surveys, including National Survey of
Children’s Health and Youth Risk Behavior Survey, and
adapted content from sample adult interview. Sample Child sleep
questions went through multiple rounds of cognitive testing in
September of 2017 (see Massey et al. 2018) and in August of 2019
(cognitive test report forthcoming).
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Screen time (SED) (age 2-17)
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On most weekdays, does SAMPLE CHILD spend more than 2
hours a day in front of a TV, computer, cellphone or other
electronic device watching programs, playing games, accessing the
internet, or using social media?
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We researched content from national surveys, including National
Survey of Children’s Health and Youth Risk Behavior Survey,
and American Academy of Pediatric recommendations to develop
questions on screen time that have been associated with poorer
mental and physical health. Sample Child sleep questions went
through multiple rounds of cognitive testing in September of 2017
(see Massey et al. 2018) and in August of 2019 (cognitive test
report forthcoming). One question was retained to measure how many
children fall within the American Academy of Pediatrics
recommendation for screen time.
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Sample Child Injury (INJ) and Traumatic Brain Injury (TBI)
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(Past 3 months) Any accident
or injury where any part of child’s body was hurt
Any injuries serious enough to
limit activities for 24 hours
(Past 3 months) Number of times
injured
(Past 3 months) any injury at
home
(Past 3 months) Any injury
while child was at school or daycare
(Past 3 months) Any injury
while child was playing sports or exercising (age 3-17)
(Past 3 months) Any injury a
result of a fall or falling
Any fall occur while you were
at home
Any fall occur while you were
at school or daycare
(Past 3 months) Any injury from
motor vehicle crash
Was child a driver, passenger,
bicyclist, pedestrian, or doing something else when this
occurred?
(Past 3 months) Saw doctor or
health professional about any of these injuries
(Past 3 months) Any ER visit
because of an injury
(Past 3 months) Any overnight
hospitalization because of an injury
(Past 3 months) injuries result
in broken bones
(Past 3 months) injuries
require stitches or staples
(Past 3 months) Number of days
of school or daycare missed because of injuries
Miss any days of school in
future because of injury
As a result of a blow or jolt
to the head, did SAMPLE CHILD ever get knocked out or lose
consciousness?
As a result of a blow or jolt
to the head, was SAMPLE CHILD ever dazed or have a gap in his/her
memory?
As a result of a blow or jolt
to the head, did SAMPLE CHILD ever have headaches, vomiting,
blurred vision, or changes in mood or behavior?
As a result of a blow or jolt
to the head, did SAMPLE CHILD ever get medical care from a doctor
or other health care provider?
Did a doctor or other health care provider ever tell you
that SAMPLE CHILD had a concussion or brain injury?
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Injury questions were on 1997-2017 NHIS. These new injury
questions were developed using input from technical expert panels
consisting of experts from government and academia and cognitive
testing in August of 2019 (report forthcoming). The new injury
questions ask about acute injuries that children experience and
separate questions on traumatic brain injury. The injury questions
also include information about the seriousness of the injury,
treatment of the injury, where the injury occurred, what
activities the respondents were engaged in when injured and the
impact of the injuries on the sample child such as whether the
child missed school due to the injury. Overall, these questions
provide detail about the injuries that can help characterize the
nature of injuries and inform injury prevention efforts.
The traumatic brain injury questions
were based on versions of the questions being developed for the
National Survey of Children’s Health. These questions were
adapted for an interviewer-administered survey and were
cognitively tested in August of 2019 (report forthcoming).
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Sponsored Content
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Asthma Sponsored Content from (NHLBI, NIH), (NIOSH, CDC), and
(NCEH, CDC).
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During the past 12 months,
has SAMPLE CHILD stayed overnight in a hospital because of
HIS/HER asthma?
During the past 12 months, how
many days of DAYCARE OR SCHOOL did SAMPLE CHILD miss because of
HIS/HER asthma?
During the past 12 months, has
SAMPLE CHILD used the kind of PRESCRIPTION asthma inhaler that
gives QUICK relief from asthma symptoms during an attack?
Is SAMPLE CHILD NOW taking a preventive asthma medication
every day, some days, most days, or never?
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These questions were adapted from the 2013 and 2018 asthma NHIS
supplements. These questions are used to better understand
treatment of asthma in children.
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