Behavioral Risk Factor Surveillance System
Indiana Statewide Survey Data, 2016
Table of Contents
Core 01: Health Status
C01.01 Would you say that in general your health is:
Core 02: Healthy Days—Health-Related Quality of Life
Core 03: Health Care Access
C03.02 Do you have one person you think of as your personal doctor or health care provider?
Core 04: Exercise
Core 05: Sleep
C05.01 On
average, how many hours of sleep do you get in a 24-hour period?
Core 06: Chronic Health Conditions
C06.01 Ever told you that you had a heart attack also called a myocardial infarction?
C06.02 Ever told you had angina or coronary heart disease?
C06.03 Ever told you had a stroke?
C06.04 Ever told you had asthma?
C06.05 Do you still have asthma?
C06.06 Ever told you had skin cancer?
C06.07 Ever told you had any other types of cancer?
C06.12 Ever told you have diabetes?
C06.13 How old were you when you were told you have diabetes?
Core 07: Dental Care
C07.01 How long has it
been since you last visited a dentist or a dental clinic for any reason?
C07.02 How many of your
permanent teeth have been removed because of tooth decay or gum disease?
Core 08: Demographics
C08.08 Do you own or rent
your home?
C08.09 What
county do you live in?
C08.22 Are you deaf or have serious difficulty hearing?
C08.23 Are you
blind or do you have serious difficulty seeing, even when wearing glasses?
C08.25 Do you have serious difficulty walking or climbing stairs?
C08.26 Do you have difficulty dressing or bathing?
Core 08: Tobacco Use
C09.01 Have you smoked at least 100 cigarettes in your entire life?
C09.02 Do you now smoke cigarettes every day, some days, or not at all?
C09.04 How long has it been since you last smoked a cigarette, even one or two puffs?
Core 10: E-Cigarettes
Core 11: Alcohol Consumption
C11.04 During the past 30 days, what is the largest number of drinks you had on any occasion?
Core 12: Immunization
C12.04 Since 2005, have
you had a tetanus shot?
Core 13: Falling
C13.01 In the past 12 months, how many times have you fallen?
C13.02 How many of these falls caused an injury?
Core 14: Seat Belts
C14.01 How often do you use seat
belts when you drive or ride in a car?
Core 15: Drinking and Driving
Core 16: Mammogram
C16.02 How long has it been since you had your last
mammogram?
C16.03 A Pap test is a test for
cancer of the cervix. Have you ever had a Pap test?
C16.04 How long has it been since you had your last Pap test?
C16.06 How long has it been since you had your last HPV test?
C16.07 Have you had a hysterectomy?
Core 17: PSA
C17.03 Has a doctor, nurse, or other
health professional ever recommended that you have a PSA test?
C17.04 Have you ever had a PSA test?
C17.05 How long has it been since you had your last PSA test?
C17.06 What was the main reason you
had this PSA test?
Core 18: Blood-stool?
C18.02 How long has it been since you had your last blood
stool test using a home kit?
C18.04 Was your most recent exam a sigmoidoscopy
or colonoscopy?
C18.05 How long has it been since you had your last
sigmoidoscopy or colonoscopy?
Core 19: HIV
Calculated Variables and Risk Factors:
CLV01.01
Adults with good or better health
CLV02.01
Three-level not good physical health status: 0 days, 1-13 days, 14-30 days
CLV02.02 Three-level not good mental health status: 0 days, 1-13 days, 14-30 days
CLV03.01 Respondents aged 18-64 that have any form of health care coverage
CLV05.01 Respondents who
have ever reported having coronary heart disease or myocardial infarction
CLV06.02 Adults who have
ever been told they have asthma
CLV06.03 Adults who have
been told they currently have asthma
CLV06.04
Computed asthma status
CLV06.05 Respondents
that have had a doctor diagnose them as having some form of arthritis
CLV07.01 Adults aged 18+
who have had permanent teeth extracted
CLV07.02 Adults aged 65+
who have had all their natural teeth extracted
CLV07.03 Adults who have
visited a dentist, dental hygienist or dental clinic within the past year
CLV08.19 Four-level
categories of Body Mass Index (BMI)
CLV08.20 Adults who have
a body mass index greater than 25.00 (overweight or obese)
CLV09.01 Four-level
smoker status: every day smoker, someday smoker, former smoker, never smoked
CLV09.02 Adults who are
current smokers
CLV10.01 Four-level
e-cigarette smoker status
CLV10.02 Adults who
are current e-cigarette users
CLV11.01 Adults who
reported having had at least one drink of alcohol in the past 30 days
CLV12.01 Adults aged 65+
years who have had a flu shot within the past year
CLV12.02 Adults aged 65+
years who have ever had a pneumonia vaccination
CLV14.01 Always or nearly always wear seat belts
CLV14.02 Always wear seat belts
CLV16.01 Women
respondents aged 40+ who have had a mammogram in the past two years
CLV16.02 Women
respondents aged 50-74 who have had a mammogram in the past two years
CLV16.03 Women
respondents aged 21-65 who have had a pap test in the past three years
CLV17.01 Male
respondents aged 40+ that have had a PSA test in the past two years
CLV18.01 Respondents
aged 50-75 that have had a blood stool test within the past year
CLV18.02 Respondents
aged 50-75 who have had a colonoscopy in the past 10 years
CLV18.03 Respondents
aged 50-75 that have had a blood stool test within the past three years
CLV18.04 Respondents aged
50-75 that have had a sigmoidoscopy within the past five years
CLV18.06 Respondents
aged 50-75 who have fully met the USPSTF recommendation
CLV19.01 Adults who have
ever been tested for HIV
Module 07: Memory Loss
Module 08: Sugar-Sweetened
Drinks?
Module 17: Cancer
M17.01 How many different types of cancer have you had?
M17.02 At what age were you told that you had cancer?
M17.03 What type of cancer was it?
M17.05 What type of doctor provides
the majority of your health care?
M17.08 Were these instructions written down or printed on
paper for you?
M17.09 Were you ever denied health insurance or life
insurance coverage because of your cancer?
M17.10 Did you participate in a
clinical trial as part of your cancer treatment?
M17.11 Do you currently have physical pain caused by your
cancer or cancer treatment?
M17.12 Is your pain currently under
control?
Module 21: Sexual Orientation and
Gender Identity
M21.01 Do you consider
yourself to be (sexual orientation)?
M21.02
Do you consider yourself to be transgender?
Module 23: Asthma
M23.01 Has
a doctor, nurse or other health professional ever said that the child has
asthma?
M23.02 Does the child still have asthma?
Appendices:
Appendix A - Healthy
People 2020 in Indiana
Appendix
B - 2016 Behavioral Risk Factor Surveillance
Survey Questionnaire