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CHIS 2017 Adult Questionnaire October 2, 2019 Adult Respondents Age 18 and Older

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CHIS 2017 Adult Questionnaire October 2, 2019 Adult Respondents Age 18 and Older CHIS 2017 Adult Questionnaire Version 2.20 October 2, 2019 CHIS 2017 Adult Questionnaire October 2, 2019 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 © 2017 by the Regents of the University of California 1 CHIS 2017 Adult Questionnaire Version 2.20 October 2, 2019 TABLE OF CONTENTS Section A: Demographic Information, Part I ....................................................................... 6 Age ............................................................................................................................................................................................. 6 Gender ........................................................................................................................................................................................ 7 Ethnicity ..................................................................................................................................................................................... 8 Race ............................................................................................................................................................................................ 8 Section B: Health Conditions ............................................................................................ 13 General Health .......................................................................................................................................................................... 13 Asthma ...................................................................................................................................................................................... 14 Allergy Symptoms (Imperial County) ...................................................................................................................................... 14 Diabetes .................................................................................................................................................................................... 19 Hypertension ............................................................................................................................................................................. 21 Heart Disease ............................................................................................................................................................................ 22 Section C : Health Behaviors ............................................................................................ 22 Walking for Transportation and Leisure ................................................................................................................................... 22 Dietary Intake ........................................................................................................................................................................... 24 Access to Fresh and Affordable Foods ..................................................................................................................................... 26 Cigarette Use ............................................................................................................................................................................ 27 E-Cigarette Use ........................................................................................................................................................................ 29 Marijuana Use .......................................................................................................................................................................... 30 Opioid Use ................................................................................................................................................................................ 32 Section D: General Health, Disability, and Sexual Health ............................................. 33 Height and Weight .................................................................................................................................................................... 33 Disability .................................................................................................................................................................................. 34 Sexual Partners ......................................................................................................................................................................... 34 Sexual Orientation .................................................................................................................................................................... 35 Registered ................................................................................................................................................................................. 35 Domestic Partner ...................................................................................................................................................................... 35 Gender Identity ......................................................................................................................................................................... 36 Pre-Exposure Prophylaxis_ADULT ......................................................................................................................................... 37 HIV Testing .............................................................................................................................................................................. 37 Section E: Women's Health ............................................................................................... 39 Pregnancy Status....................................................................................................................................................................... 39 Postpartum Care ....................................................................................................................................................................... 39 Section F: Mental Health ................................................................................................... 40 K6 Mental Health Assessment .................................................................................................................................................. 40 Repeated K6 ............................................................................................................................................................................. 42 Sheehan Scale ........................................................................................................................................................................... 43 Access & Utilization ................................................................................................................................................................. 44 Stigma ....................................................................................................................................................................................... 46 2 CHIS 2017 Adult Questionnaire Version 2.20 October 2, 2019 Three-Item Loneliness Scale .................................................................................................................................................... 47 Section G: Demographic Information, Part II ................................................................ 47 Country of Birth (Self, Parents) ................................................................................................................................................ 47 Japanese-American Generational Status ................................................................................................................................... 49 Language Spoken at Home ....................................................................................................................................................... 50 Additional Language Use ......................................................................................................................................................... 50 Citizenship and Immigration .................................................................................................................................................... 51 Spouse/Partner .......................................................................................................................................................................... 51 Living with Parents ................................................................................................................................................................... 52 Paid Child Care ......................................................................................................................................................................... 54 Educational Attainment ............................................................................................................................................................ 55 Veteran Status ..........................................................................................................................................................................
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