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 ..........................................................................................................................................................................