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CHIS 2017-2018 Adult Questionnaire Version 2.17

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CHIS 2017-2018 Adult Questionnaire Version 2.17 CHIS 2017-2018 Adult Questionnaire Version 2.17 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 © 2017-2018 by the Regents of the University of California CHIS 2017 – 2018 Adult Questionnaire Version 2.17 December 22, 2017 TABLE OF CONTENTS SECTION A: DEMOGRAPHIC INFORMATION, PART I ........................................................ 6 Age ......................................................................................................................................................... 6 Gender ................................................................................................................................................... 8 Ethnicity ................................................................................................................................................. 8 Race ....................................................................................................................................................... 9 SECTION B_HEALTH CONDITIONS ....................................................................................15 General Health ..................................................................................................................................... 15 Asthma ................................................................................................................................................. 15 Diabetes ............................................................................................................................................... 21 Hypertension ........................................................................................................................................ 24 Heart Disease ...................................................................................................................................... 25 SECTION C - HEALTH BEHAVIORS ....................................................................................26 Walking for Transportation and Leisure ............................................................................................... 26 Dietary Intake ....................................................................................................................................... 28 Access to Fresh and Affordable Foods ................................................................................................ 30 Cigarette Use ....................................................................................................................................... 31 SECTION D - GENERAL HEALTH, DISABILITY, AND SEXUAL HEALTH ..........................39 Height and Weight ............................................................................................................................... 39 Disability ............................................................................................................................................... 39 Sexual Partners ................................................................................................................................... 40 Sexual Orientation ............................................................................................................................... 40 Registered Domestic Partner ............................................................................................................... 41 Gender Identity .................................................................................................................................... 41 Pre-Exposure Prophylaxis ................................................................................................................... 43 HIV Testing .......................................................................................................................................... 43 SECTION E - WOMEN'S HEALTH ........................................................................................45 Pregnancy Status ................................................................................................................................. 45 SECTION F - MENTAL HEALTH ..........................................................................................47 K6 Mental Health Assessment ............................................................................................................. 47 Repeated K6 ........................................................................................................................................ 48 Sheehan Scale ..................................................................................................................................... 50 Access & Utilization ............................................................................................................................. 51 Stigma .................................................................................................................................................. 54 Three-Item Loneliness Scale ............................................................................................................... 55 DEMOGRAPHIC INFORMATION, PART II ...........................................................................55 Country of Birth (Self, Parents) ............................................................................................................ 55 Japanese-American Generational Status ............................................................................................ 58 2 CHIS 2017 – 2018 Adult Questionnaire Version 2.17 December 22, 2017 Language Spoken at Home ................................................................................................................. 59 Additional Language Use ..................................................................................................................... 59 Citizenship and Immigration ................................................................................................................ 59 Spouse/Partner .................................................................................................................................... 60 Living with Parents ............................................................................................................................... 61 Paid Child Care .................................................................................................................................... 65 Educational Attainment ........................................................................................................................ 65 Veteran Status ..................................................................................................................................... 67 Employment ......................................................................................................................................... 67 Employment (Spouse/Partner) ............................................................................................................ 70 SECTION H - HEALTH INSURANCE ....................................................................................72 Usual Source of Care........................................................................................................................... 72 Emergency Room Visits....................................................................................................................... 72 Medicare Coverage .............................................................................................................................. 73 Medi-Cal Coverage .............................................................................................................................. 79 Employer-Based Coverage .................................................................................................................. 79 Private Coverage ................................................................................................................................. 80 Employer Offer of Health Insurance .................................................................................................... 86 CHAMPUS/CHAMP-VA, TRICARE, VA Coverage ............................................................................. 87 AIM, MRMIP, Family PACT, HEALTHY KIDS, Other Government Coverage .................................... 87 Other Coverage ................................................................................................................................... 88 Indian Health Service Participation ...................................................................................................... 90 Spouse’s Insurance Coverage Type & Eligibility ................................................................................. 90 Managed-Care Plan Characteristics .................................................................................................. 100 High Deductible Health Plans ............................................................................................................ 103 Coverage over Past 12 Months ........................................................................................................
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