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2001 BRFSS Topics for Nationwide
| CDC - Core Sections* | |
| *(Results for the core questions related to Diabetes and Disability are included with the module of the same name.) | |
| CDC - Optional Modules | |
| Risk Factors and Derived Variables | |
Health Status
- Would you say that in general your health is:
- 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?
- 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?
- 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?
Health Care Access
- Do you have any kind of health care coverage, including health insurance, prepaid plans such as HMOs, or government plans such as Medicare?
- During the past 12 months, was there any time that you did not have any health insurance or coverage?
- Do you have one person you think of as your personal doctor or health care provider?
Exercise
Hypertension Awareness
- Have you ever been told by a doctor, nurse, or other health professional that you have high blood pressure?
- Are you currently taking medicine for your high blood pressure?
Cholesterol Awareness
- Blood cholesterol is a fatty substance found in the blood. Have you ever had your blood cholesterol checked?
- About how long has it been since you last had your blood cholesterol checked?
- Have you ever been told by a doctor, nurse, or other health professional that your blood cholesterol is high?
- Cholesterol check within the last five years
Asthma
Arthritis
- During the past 12 months, have you had pain, aching, stiffness or swelling in or around a joint?
- Were these symptoms present on most days for at least one month?
- Are you now limited in any way in any activities because of joint symptoms?
- Have you ever seen a doctor, nurse, or other health professional for these joint symptoms?
- Have you ever been told by a doctor that you have arthritis?
- Are you currently being treated by a doctor for arthritis?
Immunization
- During the past 12 months, have you had a flu shot?
- Have you ever had a pneumonia shot? This shot is usually given only once or twice in a person's lifetime and is different from the flu shot. It is also called the pneumococcal vaccine.
Tobacco Use
- Have you smoked at least 100 cigarettes in your entire life?
- Do you now smoke cigarettes everyday, some days, or not at all?
- During the past 12 months, have you stopped smoking for one day or longer because you were trying to quit smoking?
- Smoking Status
- Current Smoker
Alcohol Consumption
- A drink of alcohol is 1 can or bottle of beer, 1 glass of wine, 1 can or bottle of wine cooler, 1 cocktail, or 1 shot of liquor. During the past 30 days, how often have you had at least one drink of any alcoholic beverage?
- On the days when you drank, about how many drinks did you drink on the average?
- Considering all types of alcoholic beverages, how many times during the past 30 days did you have 5 or more drinks on an occasion?
- Drinking alcohol in the past 30 days
- Binge Drinking
- Heavy Drinking
Firearms
Disability
- Are you limited in any way in any activities because of physical, mental, or emotional problems?
- 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?
Physical Activity
- When you are at work, which of the following best describes what you do? Would you say:
- Now, thinking about the moderate physical activities you do when you are not working (if employed or self-employed) in a usual week, do you do moderate activities for at least 10 minutes at a time, such as brisk walking, bicycling, vacuuming, gardening, or anything else that causes small increases in breathing or heart rate?
- How many days per week do you do these moderate activities for at least 10 minutes at a time?
- On days when you do moderate activities for at least 10 minutes at a time, how much total time per day do you spend doing these activities?
- Now thinking about the vigorous physical activities you do (when you are not working, if employed or self-employed) in a usual week, do you do vigorous activities for at least 10 minutes at a time, such as running, aerobics, heavy yard work, or anything else that causes large increases in breathing or heart rate?
- How many days per week do you do these vigorous activities for at least 10 minutes at a time?
- On days when you do vigorous activities for at least 10 minutes at a time, how much total time per day do you spend doing these activities?
- Moderate Physical Activity
- Vigorous Physical Activity
- Leisure Time Physical Activity
- Physical Activity Recommendation Status
Prostate Cancer Screening
- 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?
- How long has it been since you had your last PSA test?
- 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 size, shape, and hardness of the prostate gland. Have you ever had a digital rectal exam?
- How long has it been since you had your last digital rectal exam?
- Have you ever been told by a doctor, nurse, or other health professional that you had prostate cancer?
- Has your father, brother, son, or grandfather ever been told by a doctor, nurse, or health professional that he had prostate cancer?
Colorectal Cancer Screening
- 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?
- How long has it been since you had your last blood stool test using a home kit?
- Sigmoidoscopy and colonoscopy are exams in which a tube is inserted in the rectum to view the bowel for signs of cancer or other health problems. Have you ever had either of these exams?
- How long has it been since you had your last sigmoidoscopy or colonoscopy?
HIV/AIDS
- I'm going to read two statements about HIV, the virus that causes AIDS. After I read each one, please tell me whether you think it is true or false, or if you don't know.
- How effective do you think these treatments are helping persons with HIV to live longer? Would you say:
- How important do you think it is for people to know their HIV status by getting tested? Would you say:
- As far as you know, have you ever been tested for HIV? Do not count tests you may have had as part of a blood donation.
- What was the main reason you had your test for HIV?
- Where did you have the HIV test?
- In the past 12 months has a doctor, nurse, or other health professional talked to you about preventing sexually transmitted diseases through condom use?
Diabetes
- Have you ever been told by a doctor that you have diabetes?
- How old were you when you were told you have diabetes?
- Are you now taking insulin?
- Are you now taking diabetes pills?
- 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.
- 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.
- Have you ever had any sores or irritations on your feet that took more than four weeks to heal?
- About how many times in the last year have you seen a doctor, nurse, or other health professional for your diabetes?
- A test for hemoglobin '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 doctor, nurse, or other health professional checked you for hemoglobin 'A one C'?
- About how many times in the last year has a health professional checked your feet for any sores or irritations?
- 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.
- Has a doctor ever told you that diabetes has affected your eyes or that you had retinopathy?
- Have you ever taken a course or class in how to manage your diabetes yourself?
Oral Health
- How long has it been since you last visited a dentist or a dental clinic for any reason?
- How many of your permanent teeth have been removed because of tooth decay or gum disease? Do not include teeth lost for other reasons, such as injury or orthodontics.
- How long has it been since you had your teeth cleaned by a dentist or dental hygienist?
- What is the main reason you have not visited the dentist in the past year?
- Do you have any kind of insurance coverage that pays for some or all of your routine dental care, including dental insurance, prepaid plans such as HMOs, or government plans such as Medicaid?
Heart Attack or Stroke
- Which of the following do you think is a symptom of a heart attack. For each, tell me yes, no, or you're not sure.
- Do you think pain or discomfort in the jaw, neck, or back are symptoms of a heart attack?
- Do you think feeling weak, lightheaded, or faint are symptoms of a heart attack?
- Do you think chest pain or discomfort are symptoms of a heart attack?
- Do you think sudden trouble seeing in one or both eyes is a symptom of a heart attack?
- Do you think pain or discomfort in the arms or shoulder are symptoms of a heart attack?
- Do you think shortness of breath is a symptom of a heart attack?
- Which of the following do you think is a symptom of a stroke. For each, tell me yes, no, or you're not sure
- Do you think sudden confusion or trouble speaking are symptoms of a stroke?
- Do you think sudden numbness or weakness of face, arm, or leg, especially on one side, are symptoms of a stroke?
- Do you think sudden trouble seeing in one or both eyes is a symptom of a stroke?
- Do you think sudden chest pain or discomfort are symptoms of a stroke?
- Do you think sudden trouble walking, dizziness, or loss of balance are symptoms of a stroke?
- Do you think severe headache with no known cause is a symptom of a stroke?
- If you thought someone was having a heart attack or a stroke, what is the first thing you would do?
Cardiovascular Disease
- To lower your risk of developing heart disease or stroke, are you....
- Within the past 12 months, has a doctor, nurse, or other health professional told you to...
- Has a doctor, nurse, or other health professional ever told you that you had any of the following?
- History of Any Cardiovascular Diseases (heart attack or coronary heart disease or stroke)
- At what age did you have your first heart attack?
- At what age did you have your first stroke?
- After you left the hospital following your heart attack or stroke, did you go to any kind of outpatient rehabilitation? This is sometimes called "rehab."
- Do you take aspirin daily or every other day?
- Do you have a health problem or condition that makes taking aspirin unsafe for you?
- Why do you take aspirin...
Fruits and Vegetables
- How often do you drink fruit juices such as orange, grapefruit, or tomato?
- Not counting juice, how often do you eat fruit?
- How Often Do You Eat Green Salad?
- How often do you eat potatoes not including French fries, fried potatoes, or potato chips?
- How Often Do You Eat Carrots?
- Not counting carrots, potatoes, or salad, how many servings of vegetables do you usually eat?
- Fruit and Vegetable Consumption per day
Folic Acid
- Do you currently take any vitamin pills or supplements?
- Are any of these a multivitamin?
- Do any of the vitamin pills or supplements you take contain folic acid?
- Some health experts recommend that women take 400 micrograms of the B vitamin folic acid, for which of the following reasons....
- Taking multivitamins or vitamin pills/supplements containing folic acid
- Daily taking multivitamins or vitamin pills/supplements containing folic acid
- Currently taking multivitamins or vitamin pills/supplements containing folic acid - FEMALES, Age 18-44
- Daily consumption of multivitamins or vitamin pills/supplements containing folic acid - FEMALES, Age 18-44
Tobacco Indicators
- How old were you the first time you smoked a cigarette, even one or two puffs?
- How old were you when you first started smoking cigarettes regularly?
- About how long has it been since you last smoked cigarettes regularly?
- In the past 12 months, have you seen a doctor, nurse, or other health professional to get any kind of care for yourself?
- In the past 12 months, has a doctor, nurse, or other health professional advised you to quit smoking?
- Which statement best describes the rules about smoking inside your home?
- Which of the following best describes your place of works' official smoking policy for indoor public or common areas, such as lobbies, rest rooms, and lunchrooms?
- Which of the following best describes your place of works' official smoking policy for work areas?
- Worksites prohibit smoking in both public and work areas
Other Tobacco Products
- Have you ever used or tried any smokeless tobacco products such as chewing tobacco or snuff?
- Do you currently use chewing tobacco or snuff every day, some days, or not at all?
- Have you ever smoked a cigar, even one or two puffs?
- Do you now smoke cigars every day, some days, or not at all?
- Have you ever smoked tobacco in a pipe, even one or two puffs?
- Do you now smoke a pipe every day, some days, or not at all?
- A bidi is a flavored cigarette from India.. Have you ever smoked a bidi, even one or two puffs?
- Do you now smoke bidis every day, some days, or not at all?
- Smokeless Tobacco Use Status
Risk Factors
- Body Mass Index Grouping-Underweight, Recommended Range, Overweight and Obese
- Overweight or Obese
- Cholesterol check within the last five years
- Smoking Status
- Current Smoker
- Smokeless Tobacco Use Status
- Worksites prohibit smoking in both public and work areas
- Drinking alcohol in the past 30 days
- Binge Drinking
- Heavy Drinking
- Moderate Physical Activity
- Vigorous Physical Activity
- Leisure Time Physical Activity
- Physical Activity Recommendation Status
- History of Any Cardiovascular Diseases (heart attack or coronary heart disease or stroke)
- Fruit and Vegetable Consumption per day
- Currently taking multivitamins or vitamin pills/supplements containing folic acid
- Daily consumption of multivitamins or vitamin pills/supplements containing folic acid
- Currently taking multivitamins or vitamin pills/supplements containing folic acid - FEMALES, Age 18-44
- Daily consumption of multivitamins or vitamin pills/supplements containing folic acid - FEMALES, Age 18-44
Page Last Updated Wednesday March 14 2012