CHIS 2020 Adult CAWI Questionnaire (Self- administered) Version 1.18 August 24, 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 1.18 August 24, 2021 Table of Contents Section A: Demographic Information, Part I ......................................................................................... 6 Age ......................................................................................................................................................... 6 Gender Identity ...................................................................................................................................... 7 Ethnicity ................................................................................................................................................. 8 Race ....................................................................................................................................................... 9 Language Spoken at Home ................................................................................................................. 13 Additional Language Use ..................................................................................................................... 13 Marital Status ....................................................................................................................................... 14 Spouse/Partner .................................................................................................................................... 14 Adult Roster ......................................................................................................................................... 15 Section B: Health Conditions ............................................................................................................... 19 General Health ..................................................................................................................................... 19 Asthma ................................................................................................................................................. 19 Hypertension ........................................................................................................................................ 21 Heart Disease ...................................................................................................................................... 21 Section CV: COVID-19 ........................................................................................................................... 22 Section C: Health Behaviors ................................................................................................................ 27 Dietary Intake ....................................................................................................................................... 27 Cigarette Use ....................................................................................................................................... 27 Influences on Health ............................................................................................................................ 34 Section D: General Health, Disability, and Sexual Health ................................................................. 35 Height and Weight ............................................................................................................................... 35 Disability ............................................................................................................................................... 35 Partners ............................................................................................................................................... 35 Sexual Orientation ............................................................................................................................... 36 Registered Domestic Partner ............................................................................................................... 37 HIV Testing .......................................................................................................................................... 38 Section F: Mental Health ....................................................................................................................... 39 K6 Mental Health Assessment ............................................................................................................. 39 Repeated K6 ........................................................................................................................................ 39 Sheehan Scale ..................................................................................................................................... 41 Access & Utilization ............................................................................................................................. 42 Stigma .................................................................................................................................................. 44 Three-Item Loneliness Scale ............................................................................................................... 44 Mental Health and Technology ............................................................................................................ 45 2 CHIS 2020 Adult Questionnaire Version 1.18 August 24, 2021 Section G: Demographic Information, Part II...................................................................................... 47 Birth (Self, Parents) .............................................................................................................................. 47 Citizenship and Immigration ................................................................................................................ 48 Living with Parents ............................................................................................................................... 48 Teen Permission .................................................................................................................................. 49 Paid Child Care .................................................................................................................................... 52 Educational Attainment ........................................................................................................................ 52 Veteran Status ..................................................................................................................................... 53 Employment ......................................................................................................................................... 54 Employment (Spouse/Partner) ............................................................................................................ 57 Section H: Health Insurance ................................................................................................................. 58 Usual Source of Care ........................................................................................................................... 58 Emergency Room Visits....................................................................................................................... 58 Medicare Coverage .............................................................................................................................. 58 Medi-Cal Coverage .............................................................................................................................. 61 Employer-Based Coverage .................................................................................................................. 61 Private Coverage ................................................................................................................................. 61 CHAMPUS/CHAMPVA, TRICARE, VA Coverage ............................................................................... 67 AIM, MRMIP, Family PACT, HEALTHY KIDS, Other Government Coverage .................................... 67 Other Coverage ................................................................................................................................... 68 Indian Health Service Participation ...................................................................................................... 70 Spouse’s Insurance Coverage Type & Eligibility ................................................................................. 71 Managed-Care Plan Characteristics .................................................................................................... 79 High Deductible Health Plans .............................................................................................................. 80 Coverage over Past 12 Months ........................................................................................................... 81 Reasons for Lack of Coverage ...........................................................................................................