Behavioral Risk
Factor Surveillance System
Indiana Statewide Survey
Data, 2010
Table of
Contents
Preface
Introduction:
Tables:
Core 01: Health Status
C01.01 Would you say that in general your health is:
(GENHLTH)
Core 02: Healthy Days—Health-Related Quality of Life
C02.01
Now thinking about your physical health, which includes physical illness and
injury, for how many days during the past 30 days was your physical health not
good? (PHYSHLTH)
C02.02
Now thinking about your mental health, which includes stress, depression, and
problems with emotions, for how many days during the past 30 days was your
mental health not good? (MENTHLTH)
C02.03
During the past 30 days, for about how many days did poor physical or mental
health keep you from doing your usual activities, such as self-care, work, or
recreation? (POORHLTH)
Core 03: Health Care Access
C03.01
Do you have any kind of health care coverage, including health insurance,
prepaid plans such as HMOs, or government plans such as Medicare? (HLTHPLAN)
C03.02
Do you have one person you think of as your personal doctor or health care
provider? (PERSDOC2)
C03.03
Was there a time in the past 12 months when you needed to see a doctor but could
not because of cost? (MEDCOST)
C03.04
About how long has it been since you last visited a doctor for a routine
checkup? [A routine checkup is a general physical exam, not an exam for a
specific injury, illness, or condition.] (CHECKUP1)
Core 04: Sleep
C04.01
During the past 30 days, for about how many days have you felt you did not get
enough rest or sleep? (QLREST2)
Core 05: Exercise
C05.01
During the past month, other than your regular job, did you participate in any
physical activities or exercises such as running, calisthenics, golf, gardening,
or walking for exercise? (EXERANY2)
Core 06: Diabetes
C06.01
Have you ever been told by a doctor that you have diabetes? (DIABETE2)
Module 02: Diabetes
M02.01
How old were you when you were told you have diabetes? (DIABAGE2)
M02.02
Are you now taking insulin? (INSULIN)
M02.03
About how often do you check your blood for glucose or sugar? Include times when
checked by a family member or friend, but do NOT include times when checked by a
health professional. (BLDSUGAR)
M02.04
About how often do you check your feet for any sores or irritations? Include
times when checked by a family member or friend, but do NOT include times when
checked by a health professional. (FEETCHK2)
M02.05
About how many times in the past 12 months have you seen a doctor, nurse, or
other health professional for your diabetes? (DOCTDIAB)
M02.06
A test for 'A one C' measures the average level of blood sugar over the past
three months. About how many times in the past 12 months has a health
professional checked you for 'A one C'? (CHKHEMO3)
M02.07
About how many times in the past 12 months has a health professional checked
your feet for any sores or irritations? (FEETCHK)
M02.08
When was the last time you had an eye exam in which the pupils were dilated?
This would have made you temporarily sensitive to bright light. (EYEEXAM)
M02.09
Has a doctor ever told you that diabetes has affected your eyes or that you had
retinopathy? (DIABEYE)
M02.10
Have you ever taken a course or class in how to manage your diabetes yourself? (DIABEDU)
Core 07: Oral Health
C07.01
How long has it been since you last visited a dentist or a dental clinic for any
reason? Include visits to dental specialists, such as orthodontists. (LASTDEN3)
C07.02
How many of your permanent teeth have been removed because of tooth decay or gum
disease? Include teeth lost to infection, but do not include teeth lost for
other reasons, such as injury or orthodontics. (RMVTETH3)
C07.03
How long has it been since you had your teeth cleaned by a dentist or dental
hygienist? (DENCLEAN)
Core 08: Cardiovascular Disease Prevalence
C08.01
(Ever told) you had a heart attack, also called a myocardial infarction?
(CVDINFR4)
C08.02
(Ever told) you had angina or coronary heart disease? (CVDCRHD4)
C08.03
(Ever told) you had a stroke. (CVDSTRK3)
Core 09: Asthma
C09.01
Have you ever been told by a doctor, nurse, or other health professional that
you had asthma? (ASTHMA2)
C09.02
Do you still have asthma? (ASTHNOW)
Core 10: Disability
C10.01
Are you limited in any way in any activities because of physical, mental, or
emotional problems? (QLACTLM2)
C10.02
Do you now have any health problem that requires you to use special equipment,
such as a cane, a wheelchair, a special bed, or a special telephone? (USEEQUIP)
Core 11: Tobacco Use
C11.01
Have you smoked at least 100 cigarettes in your entire life? (SMOKE100)
C11.02
Do you now smoke cigarettes every day, some days, or not at all? (SMOKDAY2)
C11.03
During the past 12 months, have you stopped smoking for one day or longer
because you were trying to quit smoking? (STOPSMK2)
C11.04
How long has it been since you last smoked cigarettes regularly? (LASTSMK1)
C11.05
Do you currently use chewing tobacco, snuff, or snus every day, some days, or
not at all? (Snus (Swedish for snuff) is a moist smokeless tobacco) (USENOW3)
Core 12: Demographics
C12.05
Have you ever served on active duty in the United States Armed Forces, either in
the regular military or in a National Guard or military reserve unit? Active
duty does not include training. (VETERAN2)
C12.13
What county do you live in? (CTYCODE)
C12.18A
Do you have a cell phone for personal use? Please include cell phones used for
both business and personal use (CPDEMO1)
C12.18B
Do you share a cell phone for personal use (at least one-third of the time) with
other adults? (CPDEMO2)
C12.18C
Do you usually share this cell phone (at least one-third of the time) with any
other adults? (CPDEMO3)
C12.18D Thinking about all the phone calls that you receive on your landline or cell
phone, what percent, between 0 and 100, are received on your cell phone?
(CPDEMO4)
C12.20
To your knowledge, are you now pregnant? (PREGNANT)
Core 13: Alcohol Consumption
C13.01
During the past 30 days, have you had at least one drink of any alcoholic
beverage such as beer, wine, a malt beverage or liquor? (DRNKANY4)
C13.02
During the past 30 days, how many days per week or per month did you have at
least one drink of any alcoholic beverage? (ALCDAY4)
C13.03
One drink is equivalent to a 12-ounce beer, a 5-ounce glass of wine, or a drink
with one shot of liquor. During the past 30 days, on the days when you drank,
about how many drinks did you drink on the average? (AVEGRNK2)
C13.04
Considering all types of alcoholic beverages, how many times during the past 30
days did you have 5 or more drinks for men or 4 or more drinks for women on an
occasion? (DRNK3GE5)
C13.05
During the past 30 days, what is the largest number of drinks you had on any
occasion? (MAXDRNKS)
Core 14: Immunization
C14.01
A flu shot is an influenza vaccine injected into your arm. During the past 12
months, have you had a seasonal flu shot? (FLUSHOT4)
C14.03
The seasonal flu vaccine sprayed in the nose is also called FluMist™. During the
past 12 months, have you had a seasonal flu vaccine that was sprayed in your
nose? (FLUSPRY3)
C14.05
A pneumonia shot or pneumococcal vaccine is usually given only once or twice in
a person´s lifetime and is different from the flu shot. Have you ever had a
pneumonia shot? (PNEUVAC3)
Core 15: Falls
C15.01
In the past 3 months, how many times have you fallen? (FALL3MN2)
C15.02
How many of these falls caused an injury? By an injury, we mean the fall caused
you to limit your regular activities for at least a day or to go see a doctor.
(FALLINJ2)
Core 16: Seatbelt Use
C16.01
How often do you use seat belts when you drive or ride in a car? Would you say—
(SEATBELT)
Core 17: Drinking and Driving
C17.01
During the past 30 days, how many times have you driven when you’ve had perhaps
too much to drink? (DRNKDRI2)
Core 18: Women’s Health
C18.01
A mammogram is an x-ray of each breast to look for breast cancer. Have you ever
had a mammogram? (HADMAM)
C18.02
How long has it been since you had your last mammogram? (HOWLONG)
C18.03
A clinical breast exam is when a doctor, nurse, or other health professional
feels the breast for lumps. Have you ever had a clinical breast exam? (PROFEXAM)
C18.04
How long has it been since your last breast exam? (LENGEXAM)
C18.05
A Pap test is a test for cancer of the cervix. Have you ever had a Pap test?
(HADPAP2)
C18.06
How long has it been since you had your last Pap test? (LASTPAP2)
C18.07
Have you had a hysterectomy? (A hysterectomy is an operation to remove the
uterus (womb).) (HADHYST2)
Core 19: Prostate Cancer Screening
C19.01
A Prostate-Specific Antigen test, also called a PSA test, is a blood test used
to check men for prostate cancer. Have you ever had a PSA test? (PSATEST)
C19.02
How long has it been since you had your last PSA test? (PSATIME)
C19.03
A digital rectal exam is an exam in which a doctor, nurse or other health
professional places a gloved finger into the rectum to feel the ... prostate
gland. Have you ever had a digital rectal exam? (DIGRECEX)
C19.04
How long has it been since your last digital rectal exam? (DRETIME)
C19.05
Have you ever been told by a doctor, nurse, or other health professional that
you had prostate cancer? (PROSTATE)
Core 20: Colorectal Cancer Screening
C20.01
A blood stool test is a test that may use a special kit at home to determine
whether the stool contains blood. Have you ever had this test using a home kit?
(BLDSTOOL)
C20.02
How long has it been since you had your last blood stool test using a home kit?
(LSTBLDS3)
C20.03
Sigmoidoscopy and colonoscopy are exams in which a tube is inserted in the
rectum to view the colon for signs of cancer or other health problems. Have you
ever had either of these exams? (HADSIGM3)
C20.04
For a SIGMOIDOSCOPY, a flexible tube is inserted into the rectum to look for
problems. A COLONOSCOPY is similar, but uses a longer tube, and you are usually
given medication through a needle in your arm to make you. (HADSGCO1)
C20.05
How long has it been since you had your last sigmoidoscopy or colonoscopy?
(LASTSIG3)
Core 21: HIV/AIDS
C21.01
Have you ever been tested for HIV? Do not count tests you may have had as part
of a blood donation. Include testing fluid from your mouth. (HIVTST5)
C21.03
Where did you have your last HIV test — at a private doctor or HMO office, at a
counseling and testing site, at a hospital, at a clinic, in a jail or prison, at
a drug treatment facility, at home, or somewhere else? (WHRTST8)
C21.04
Was it a rapid test where you could get your results within a couple of hours? (HIVRDTST)
C21.05
I am going to read you a list. When I am done, please tell me if any of the
situations apply to you. You do not need to tell me which one. [Risk factors for
HIV.] (HIVRISK2)
Core 22: Emotional Support and Life Satisfaction
C22.01
How often do you get the social and emotional support you need? (EMTSUPRT)
C22.02
In general, how satisfied are you with your life? (LSATISFY)
Calculated Variables and Risk Factors:
CLV01.01 Adults with good or better health (_RFHLTH)
CLV03.01 Respondents aged 18-64 that have any form of health care coverage
(_HCVU65)
CLV05.01 Adults that report doing physical activity or exercise during the past
30 days other than their regular job (_TOTINDA)
CLV07.01 Adults aged 18+ that have had permanent teeth extracted (_EXTETH2)
CLV07.02 Adults aged 65+ who have had all their natural teeth extracted
(_ALTETH2)
CLV07.03 Adults that have visited a dentist, dental hygienist or dental clinic
within the past year (_DENVST1)
CLV09.01 Adults who have ever been told they have asthma (_LTASTHM)
CLV09.02 Adults who have been told they currently have asthma (_CASTHMA)
CLV09.03 Computed asthma status (_ASTHMST)
CLV11.01 Four-level smoker status: Everyday smoker, Someday smoker, Former
smoker, Non-smoker (_SMOKER3)
CLV11.02 Adults who are current smokers (_RFSMOK3)
CLV12.18 Three-categories of Body Mass Index (BMI) (_BMI4CAT)
CLV12.19 Adults who have a body mass index greater than 25.00 (Overweight or
Obese) (_RFBMI4)
CLV13.01 Drink-occasions-per-day (DROCDY2_)
CLV13.02 Binge drinkers (males having five or more drinks on one occasion,
females having four or more drinks on one occasion) (_RFBING4)
CLV13.03 Calculated total number of alcoholic beverages consumed per day
(_DRNKDY3)
CLV13.05 Heavy drinkers (adult men having more than two drinks per day and adult
women having more than one drink per day) (_RFDRHV3)
CLV13.06 Adult Men that are Heavy drinkers (having more than two drinks per day)
(_RFDRMN3)
CLV13.07 Adult Women that are Heavy drinkers (having more than one drink per
day) (_RFDRWM3)
CLV14.01 Adults aged 65+ who have had a flu shot within the past year (_FLSHOT4)
CLV14.02 Adults aged 65+ who have ever had a pneumonia vaccination (_PNEUMO2)
CLV16.01 Always or Nearly Always Wear Seat Belts Calculated Variable (_RFSEAT2)
CLV16.02 Always Wear Seat Belts Calculated Variable (_RFSEAT3)
CLV18.01 Women respondents aged 40+ that have had a mammogram in the past two
years (_RFMAM2Y)
CLV18.02 Women respondents aged 50+ that have had a mammogram in the past two
years (_MAM502Y)
CLV18.03 Women respondents aged 18+ that have had a pap test in the past three
years (_RFPAP32)
CLV19.01 Male respondents aged 40+ that have had a PSA test in the past 2 years
(_RFPSA2Y)
CLV20.01 Respondents aged 50+ that have had a blood stool test within the past
two years (_RFBLDS2)
CLV20.02 Respondents aged 50 or older that have had a sigmoidoscopy or
colonoscopy (_RFSIGM2)
CLV21.01 Adults aged 18-64 that have ever been tested for HIV (_AIDTST2)
Module 01: Pre-Diabetes
M01.01
Have you had a test for high blood sugar or diabetes within the past three
years? (PDIABTST)
M01.02
Have you ever been told by a doctor or other health professional that you have
pre-diabetes or borderline diabetes? (PREDIAB1)
Module 09: Arthritis Burden
M09.01
Have you ever been told by a doctor or other health professional that you have
some form of arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia?
(HAVARTH2)
Module 14: Cancer Survivorship
M14.01
Have you EVER been told by a doctor, nurse, or other health professional that
you had cancer? [e.g., a nurse practitioner, a physicians assistant, a social
worker, etc.] (CNCRHAVE)
M14.02
How many different types of cancer have you had? (CNCRDIFF)
M14.03
At what age were you told that you had cancer? [First diagnosis of cancer?] (CNCRAGE)
M14.04
What type of cancer was it? [Your most recent diagnoses of cancer, what type of
cancer was it?] (CNCRTYPE)
M14.05
Are you currently receiving treatment for cancer? By treatment, we mean surgery,
radiation therapy, chemotherapy, or chemotherapy pills. (CSRVTRT)
M14.06
What type of doctor provides the majority of your health care? (CSRVDOC)
M14.07
Did any doctor, nurse, or other health professional EVER give you a written
summary of all the cancer treatments that you received? (CSRVSUM)
M14.08
Have you EVER received instructions from a doctor, nurse, or other health
professional about where you should return or who you should see for routine
cancer check-ups after completing treatment for cancer? (CSRVRTRN)
M14.09
Were these instructions written down or printed on paper for you? (CSRVINST)
M14.10
With your most recent diagnosis of cancer, did you have health insurance that
paid for all or part of your cancer treatment? ['Health insurance' also includes
Medicare, Medicaid, or other types of state health programs.] (CSRVINSR)
M14.11
Were you EVER denied health insurance or life insurance coverage because of your
cancer? (CSRVDEIN)
M14.12
Did you participate in a clinical trial as part of your cancer treatment? (CSRVCLIN)
M14.13
Do you currently have physical pain caused by your cancer or cancer treatment? (CSRVPAIN)
M14.14
Is your pain currently under control? (CSRVCTRL)
Module 17: Anxiety and Depression
M17.01
Over the last 2 weeks, how many days have you had little interest or pleasure in
doing things? (ADPLEASR)
M17.02
Over the last 2 weeks, how many days have you felt down, depressed or hopeless?
(ADDOWN)
M17.03
Over the last 2 weeks, how many days have you had trouble falling asleep or
staying asleep or sleeping too much? (ADSLEEP)
M17.04
Over the last 2 weeks, how many days have you felt tired or had little energy? (ADENERGY)
M17.05
Over the last 2 weeks, how many days have you had a poor appetite or eaten too
much? (ADEAT1)
M17.06
Over the last 2 weeks, how many days have you felt bad about yourself or that
you were a failure or had let yourself or your family down? (ADFAIL)
M17.07
Over the last 2 weeks, how many days have you had trouble concentrating on
things, such as reading the newspaper or watching the TV? (ADTHINK)
M17.08
Over the last 2 weeks, how many days have you moved or spoken so slowly that
other people could have noticed? Or the opposite – being so fidgety or restless
that you were moving around a lot more than usual? (ADMOVE)
M17.09
Has a doctor or other healthcare provider EVER told you that you had an anxiety
disorder (including acute stress disorder, anxiety, generalized anxiety
disorder, obsessive-compulsive disorder, panic disorder, phobia,
posttraumatic stress disorder, or social anxiety disorder)? (ADANXEV)
M17.10
Has a doctor or other healthcare provider EVER told you that you have a
depressive disorder (including depression, major depression, dysthymia, or minor
depression)? (ADDEPEV)
Module 24: Childhood Asthma Prevalence
M24.01
Has a doctor, nurse or other health professional EVER said that the child has
asthma? (CASTHDX2)
M24.02
Does the child still have asthma? (CASTHNO2)
Module 25: Childhood Immunization
M25.01
During the past 12 months, has the child had a seasonal flu vaccination? [There
are two types of flu vaccinations. One is a shot and the other is a spray in the
nose.] (FLUSHCH2)
Appendices:
Appendix A
- Healthy
People 2020 in Indiana
Background
Progress
Appendix B - 2010 Behavioral Risk Factor Surveillance Survey Questionnaire