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CHIS 2020 Adult CATI Questionnaire (Interviewer- Administered) Version 1.16 April 19, 2021 Adult Respondents Age 18 and Older

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CHIS 2020 Adult CATI Questionnaire (Interviewer- Administered) Version 1.16 April 19, 2021 Adult Respondents Age 18 and Older CHIS 2020 Adult CATI Questionnaire (Interviewer- administered) Version 1.16 April 19, 2021 Adult Respondents Age 18 and Older Collaborating Agencies: • UCLA Center for Health Policy Research • California Department of Health Care Services • California Department of Public Health Contact: California Health Interview Survey UCLA Center for Health Policy Research 10960 Wilshire Blvd, Suite 1550 Los Angeles, CA 90024 Telephone: (866) 275-2447 Fax: (310) 794-2686 Web: www.chis.ucla.edu Copyright © 2020 by the Regents of the University of California CHIS 2020 Adult Questionnaire Version 1.16 April 19, 2021 Table of Contents Section A: Demographic Information, Part I ......................................................................................... 6 Age ......................................................................................................................................................... 6 Gender Identity ...................................................................................................................................... 8 Ethnicity ................................................................................................................................................. 9 Race ..................................................................................................................................................... 10 Language Spoken at Home ................................................................................................................. 15 Additional Language Use ..................................................................................................................... 15 Marital Status ....................................................................................................................................... 15 Spouse/Partner .................................................................................................................................... 15 Section B: Health Conditions ............................................................................................................... 20 General Health ..................................................................................................................................... 20 Asthma ................................................................................................................................................. 20 Diabetes ............................................................................................................................................... 21 Hypertension ........................................................................................................................................ 22 Heart Disease ...................................................................................................................................... 22 Section CV: COVID-19 ........................................................................................................................... 23 Section C: Health Behaviors ................................................................................................................ 29 Dietary Intake ....................................................................................................................................... 29 Cigarette Use ....................................................................................................................................... 30 Influences on Health ............................................................................................................................ 38 Section D: General Health, Disability, and Sexual Health ................................................................. 39 Height and Weight ............................................................................................................................... 39 Disability ............................................................................................................................................... 39 Sexual Partners ................................................................................................................................... 40 Sexual Orientation ............................................................................................................................... 41 Registered Domestic Partner ............................................................................................................... 42 Pre-Exposure Prophylaxis ................................................................................................................... 42 HIV Testing .......................................................................................................................................... 43 Section F: Mental Health ....................................................................................................................... 44 K6 Mental Health Assessment ............................................................................................................. 44 Repeated K6 ........................................................................................................................................ 45 Sheehan Scale ..................................................................................................................................... 47 Access & Utilization ............................................................................................................................. 48 Stigma .................................................................................................................................................. 50 Three-Item Loneliness Scale ............................................................................................................... 51 Mental Health and Technology ............................................................................................................ 52 2 CHIS 2020 Adult Questionnaire Version 1.16 April 19, 2021 Section G: Demographic Information, Part II...................................................................................... 54 Country of Birth (Self, Parents) ............................................................................................................ 54 Living with Parents ............................................................................................................................... 57 Paid Child Care .................................................................................................................................... 57 Educational Attainment ........................................................................................................................ 58 Veteran Status ..................................................................................................................................... 60 Employment (Spouse/Partner) ............................................................................................................ 64 Section H: Health Insurance ................................................................................................................. 65 Usual Source of Care ........................................................................................................................... 65 Medi-Cal Coverage .............................................................................................................................. 69 Employer-Based Coverage .................................................................................................................. 69 Private Coverage ................................................................................................................................. 70 AIM, MRMIP, Family PACT, HEALTHY KIDS, Other Government Coverage .................................... 77 Other Coverage ................................................................................................................................... 77 Indian Health Service Participation ...................................................................................................... 79 Spouse’s Insurance Coverage Type & Eligibility ................................................................................. 80 High Deductible Health Plans .............................................................................................................. 93 Coverage over Past 12 Months ........................................................................................................... 94 Reasons for Lack of Coverage ............................................................................................................ 97 Hospitalizations .................................................................................................................................. 103 Medical Debt ...................................................................................................................................... 103 Section I: Child Adolescent Health Insurance .................................................................................. 106 Child’s Health Insurance .................................................................................................................... 106 Medi-Cal Coverage (Child) ................................................................................................................ 107 Employer-Based Coverage (Child) ...................................................................................................
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