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CHIS 2007 Adult Questionnaire Version 5.2 February 10, 2011

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CHIS 2007 Adult Questionnaire Version 5.2 February 10, 2011 CHIS 2007 Adult Questionnaire Version 5.2 February 10, 2011 CHIS 2007 Adult Questionnaire Version 5.2 February 10, 2011 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 Public Health Institute 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 OMB Approval Number: 0925-0578 Copyright © 2007-2008 by the Regents of the University of California CHIS 2007 Adult Questionnaire Version 5.2 February 10, 2011 Table of Contents for the CHIS 2007 Adult Questionnaire SECTION A – DEMOGRAPHIC INFORMATION, PART I ...........................................................5 Age ........................................................................................................................................................................... 5 Gender ...................................................................................................................................................................... 6 Ethnicity .................................................................................................................................................................... 6 Race ......................................................................................................................................................................... 7 Marital Status .......................................................................................................................................................... 13 SECTION B –HEALTH CONDITIONS ....................................................................................... 14 General Health........................................................................................................................................................ 14 Asthma .................................................................................................................................................................... 14 Diabetes .................................................................................................................................................................. 16 Gestational Diabetes .............................................................................................................................................. 18 Hypertension ........................................................................................................................................................... 18 Heart Disease ......................................................................................................................................................... 18 Flu Shot .................................................................................................................................................................. 19 Colon Cancer Screening ........................................................................................................................................ 19 Elderly Falls ............................................................................................................................................................ 21 SECTION C – HEALTH BEHAVIORS ....................................................................................... 24 Moderate and Vigorous Physical Activity ............................................................................................................... 24 Dietary Intake .......................................................................................................................................................... 26 Tobacco Use, Secondhand Smoke ........................................................................................................................ 27 Alcohol Use ............................................................................................................................................................. 28 SECTION D – GENERAL HEALTH, DISABILITY, AND SEXUAL HEALTH ............................. 30 Height and Weight .................................................................................................................................................. 30 Disability ................................................................................................................................................................. 30 Sexual Partners, Sexual Orientation ...................................................................................................................... 32 HIV testing, Other STI Testing ................................................................................................................................ 33 Infertility, Male Response ....................................................................................................................................... 34 SECTION E – WOMEN’S HEALTH ........................................................................................... 35 Age at Menarche .................................................................................................................................................... 35 Pregnancy and Infertility (Female Response) ........................................................................................................ 35 Hysterectomy .......................................................................................................................................................... 36 Pap Smear .............................................................................................................................................................. 36 HPV ........................................................................................................................................................................ 38 Emergency Contraception ...................................................................................................................................... 41 Mammography ........................................................................................................................................................ 41 Hormone Replacement Therapy ............................................................................................................................ 42 SECTION F – MENTAL HEALTH .............................................................................................. 43 Mental Health Assessment ..................................................................................................................................... 43 Access & Utilization ................................................................................................................................................ 47 A - 2 CHIS 2007 Adult Questionnaire Version 5.2 February 10, 2011 SECTION G – DEMOGRAPHIC INFORMATION, PART II ........................................................ 51 Country of Birth ....................................................................................................................................................... 51 Language Spoken at Home .................................................................................................................................... 53 Additional Language Use ....................................................................................................................................... 54 Citizenship and Immigration ................................................................................................................................... 55 Child and Teen Selection ....................................................................................................................................... 56 Paid Child Care, Cost ............................................................................................................................................. 57 Educational Attainment ........................................................................................................................................... 58 SECTION H – HEALTH INSURANCE ....................................................................................... 61 Usual Source of Care ............................................................................................................................................. 61 Emergency Room Visits ......................................................................................................................................... 61 Medicare coverage, Medicare supplemental plan .................................................................................................. 62 Medi-Cal coverage.................................................................................................................................................. 66 Healthy Families coverage ..................................................................................................................................... 67 Employer-based coverage ...................................................................................................................................... 67 Private Coverage .................................................................................................................................................... 68 Availability of Employer-based
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