0938-0568 (CMS-P-0015A) Attachment A - R82 NAQ (1-29-18)

Nicotine and Alcohol (NAQ)
Variable Name
MR Screen Name
CIGINT
NA1
BOX NA1

Question type
no entry
routing

Question text/description
These next questions are about cigarette smoking.
If SP previously reported smoking cigarettes (sample_person.P_CIG100=1), go to NA3-CIGNOW.
Else go to NA2-CIG100.

CIG100

NA2

yes/no

[Have you/Has (SP)] smoked at least 100 cigarettes in [your/his/her] entire life?

CIGNOW

NA3

code one

[Do you/Does (SP)] now smoke cigarettes every day, some days, or not at all?

SMKLSINT

NA4

no entry

The next questions are about “smokeless” tobacco such as snuff, dip, chewing tobacco, or “snus.”

BOX NA2

routing

If SP previously reported using smokeless tobacco (sample_person.P_SMKLSONE=1), go to NA6-SMKLSNOW.
Else go to NA5-SMKLS1.

SMKLSONE

NA5

yes/no

[Have you/Has (SP)] ever used “smokeless” tobacco, even once?

SMKLSNOW

NA6

code one

[Do you/Does (SP)] now use smokeless tobacco every day, some days, or not at all?

CIGARINT

NA7

no entry

BOX NA3

routing

Code list

(1) YES
(2) NO
(-8) DON’T KNOW
(-9) REFUSED
(1) EVERY DAY
(2) SOME DAYS
(3) NOT AT ALL
(-8) DON'T KNOW
(-9) REFUSED

(1) YES
(2) NO
(-8) DON’T KNOW
(-9) REFUSED
(1) EVERY DAY
(2) SOME DAYS
(3) NOT AT ALL
(-8) DON'T KNOW
(-9) REFUSED

The next questions are about smoking cigars. By cigars we mean any kind, including big cigars, cigarillos, and
even little cigars that look like cigarettes.
If SP never reported smoking cigars (sample_person.P_CIGARONE^=1), go to NA8-CIGARONE.
Else if SP previously reported smoking cigars (sample_person.P_CIGARONE=1) and smoked less than 50 cigars
(sample_person.P_CIGAR50^=1), go to NA9-CIGAR50.
Else if SP previously reported smoking cigars (sample_person.P_CIGARONE=1) and smoked more than 50
cigars (sample_person.P_CIGAR50=1), go to NA10-CIGARNOW.

CIGARONE

NA8

yes/no

[Have you/Has (SP)] ever smoked a cigar EVEN ONE TIME?

CIGAR50

NA9

yes/no

[Have you/Has (SP)] smoked at least 50 cigars in [your/his/her] entire life?

CIGARNOW

NA10

yes/no

[Do you/Does (SP)] now smoke cigars every day, some days, or not at all?

PIPEINT

NA11

no entry

The next questions on tobacco products are about using a pipe to smoke tobacco.

BOX NA4

routing

If SP previously reported smoking tobacco in a pipe (sample_person.P_PIPEONE=1), go to NA13-PIPENOW.
Else go to NA12-PIPEONE.

(1) YES
(2) NO
(-8) DON’T KNOW
(-9) REFUSED
(1) YES
(2) NO
(-8) DON’T KNOW
(-9) REFUSED
(1) EVERY DAY
(2) SOME DAYS
(3) NOT AT ALL
(-8) DON'T KNOW
(-9) REFUSED

Nicotine and Alcohol (NAQ)
Variable Name
MR Screen Name

Question type

Question text/description

PIPEONE

NA12

yes/no

[Have you/Has (SP)] ever smoked tobacco in a pipe, even once?

PIPENOW

NA13

code one

[Do you/Does (SP)] now smoke tobacco in a pipe every day, some days, or not at all?

ECIGINT

NA14

no entry

BOX NA5

routing

Code list
(1) YES
(2) NO
(-8) DON’T KNOW
(-9) REFUSED
(1) EVERY DAY
(2) SOME DAYS
(3) NOT AT ALL
(-8) DON'T KNOW
(-9) REFUSED

The next questions are about electronic cigarettes, often called e-cigarettes. E-cigarettes look like regular
cigarettes, but are battery-powered and produce vapor instead of smoke.
If SP previously reported using e-cigarettes (sample_person.P_ECIGONE=1), go to NA16-ECIGNOW.
Else go to NA15-ECIGONE.

ECIGONE

NA15

yes/no

[Have you/Has (SP)] ever used an e-cigarette, even once?

ECIGNOW

NA16

code one

[Do you/Does (SP)] now use e-cigarettes every day, some days, or not at all?

(1) YES
(2) NO
(-8) DON’T KNOW
(-9) REFUSED
(1) EVERY DAY
(2) SOME DAYS
(3) NOT AT ALL
(-8) DON'T KNOW
(-9) REFUSED

IF ROUND= FALL 2018 ROUND 82 AND [NA3-CIGNOW=(1) EVERY DAY OR (2) SOME DAYS OR NA10CIGARNOW=(1) EVERY DAY OR (2) SOME DAYS OR NA13-PIPENOW=(1) EVERY DAY OR (2) SOME DAYS OR
NA16-ECIGNOW=(1) EVERY DAY OR (2) SOME DAYS OR NA16-EGICNOW= (1) EVERY DAY OR (2) SOME DAYS]
THEN GO TO NA25-BDOCSMOK.
ELSE IF SP IS IN THE BASELINE INTERVIEW (sample_person.INTTYPE=3) AND [NA3-CIGNOW=(1) EVERY DAY OR
(2) SOME DAYS OR NA10-CIGARNOW=(1) EVERY DAY OR (2) SOME DAYS OR NA13-PIPENOW=(1) EVERY DAY
OR (2) SOME DAYS OR NA16-ECIGNOW=(1) EVERY DAY OR (2) SOME DAYS OR NA16-EGICNOW= (1) EVERY
DAY OR (2) SOME DAYS] THEN GO TO NA25-BDOCSMOK.

BOX NA5B

ELSE IF P_DOCSMOK=0 AND [NA3-CIGNOW=(1) EVERY DAY OR (2) SOME DAYS OR NA10-CIGARNOW=(1)
EVERY DAY OR (2) SOME DAYS OR NA13-PIPENOW=(1) EVERY DAY OR (2) SOME DAYS OR NA16-ECIGNOW=(1)
EVERY DAY OR (2) SOME DAYS OR NA16-EGICNOW= (1) EVERY DAY OR (2) SOME DAYS] THEN GO TO NA26CDOCSMOK.
ELSE GO TO NA17-ALCINT

BDOCSMOK

NA25

CDOCSMOK

NA26

ALCINT

NA17

no entry

(1) YES
(2) NO
Has a doctor or other health professional ever talked to [you/(SP)] about your smoking?
(-8) DON’T KNOW
(-9) REFUSED
(1) YES
Since (SAMPLE_PERSON.DATE_FALLRND) has a doctor or other health professional talked to [you/(SP)] about (2) NO
your smoking?
(-8) DON’T KNOW
(-9) REFUSED
The next questions are about drinking alcoholic beverages. Included are liquor (such as whiskey or gin), beer,
wine, wine coolers, and any other type of alcoholic beverage.

Nicotine and Alcohol (NAQ)
Variable Name
MR Screen Name
BOX NA6

ALCYEAR

ALCLIFE

Question type
routing

NA18

yes/no

BOX NA7

routing

NA19

yes/no

Question text/description
If SP reported having more than 12 alcoholic drinks in one year (sample_person.P_ALCYEAR=1), go to NA20ALC12MN.
Else go to NA18-ALCYEAR.
SHOWCARD NA1
In any one year, [have you/has (SP)] had at least 12 drinks of any type of alcoholic beverage? By a drink, I
mean a 12 oz. beer, a 5 oz. glass of wine, or one and a half ounces of liquor.
If SP reported having more than 12 alcoholic drinks in his/her lifetime (ALCYEAR=1 or
sample_person.P_ALCLIFE=1), go to NA20-ALC12MN.
Else go to NA19-ALCLIFE.
In [your/(SP)’s] entire life, [have you/has (he/she)] had at least 12 drinks of any type of alcoholic beverage?

Code list

(1) YES
(2) NO
(-8) DON'T KNOW
(-9) REFUSED

(1) YES
(2) NO
(-8) DON'T KNOW
(-9) REFUSED

In the past 12 months, how often did [you/(SP)] drink any type of alcoholic beverage?
[PROBE IF NECESSARY: How many days per week, per month, or per year did [you/(SP]) drink?]
ALC12MN

NA20

numeric

[ENTER QUANTITY AND UNIT.]

(1) [continuous response]
(-8) DON'T KNOW
(-9) REFUSED
[996] NEVER / DOES NOT DRINK

[FOR RESPONSES OF DON'T KNOW OR REFUSED, ENTER DON'T KNOW/REFUSED FOR BOTH QUANTITY AND
UNIT OF ALCOHOLIC BEVERAGES.]

ALC12MNU

ALCDAY

NA20

quantity unit

BOX NA9

routing

NA21

numeric

(1) WEEK
(2) MONTH
(3) YEAR
(-8) DON'T KNOW
(-9) REFUSED
If the SP didn't drink in the last 12 months (NA20 -ALC12MN = 996), go to NA23 - ALPERDAY.
Else go to NA21 - ALCDAY.
SHOWCARD NA1
In the past 12 months, on those days that [you/(SP)] drank alcoholic beverages, on the average, how many
drinks did [you/he/she] have? (By a drink, I mean a 12 oz. beer, a 5 oz. glass of wine, or one and a half ounces
(1) [continuous response]
of liquor.)
(-8) DON'T KNOW
(-9) REFUSED
[ENTER NUMBER OF DRINKS.]
[ENTER '1' IF LESS THAN 1 DRINK.]
[ENTER '95' IF 95 OR MORE DRINKS.]

Nicotine and Alcohol (NAQ)
Variable Name
MR Screen Name

Question type

Question text/description

Code list

In the past 12 months, on how many days did [you/(SP)] have [5/4] or more drinks of any alcoholic beverage?
PROBE IF NECESSARY: How many days per week, per month, or per year did [you/(SP)] have [5/4] or more
drinks in a single day?
ALCNDAY

NA22

numeric

ALCNDAYU

NA22

quantity unit

ALPERDAY

NA23

yes/no

BOX NA8

routing

NA24

numeric

ALC2HRS

[ENTER QUANTITY AND UNIT.]
[ENTER '0' FOR NONE.]
[FOR RESPONSES OF DON'T KNOW OR REFUSED, ENTER DON'T KNOW/REFUSED FOR BOTH QUANTITY AND
UNIT OF ALCOHOLIC BEVERAGES.]

(1) [continuous response]
(-8) DON'T KNOW
(-9) REFUSED

(1) WEEK
(2) MONTH
(3) YEAR
(-8) DON'T KNOW
(-9) REFUSED
(1) YES
Was there ever a time or times in [your/(SP)'s] life when [you/he/she] drank [5/4] or more drinks of any kind (2) NO
of alcoholic beverage almost every day?
(-8) DON'T KNOW
(-9) REFUSED
If the SP didn't drink in the last 12 months (NA20 -ALC12MN = 996), go to BOX ENDNAQ.
Else go to NA24 - ALC2HRS.
During the past 30 days, that is, since [DATEFILL], how many times did [you/(SP)] drink [5/4] or more drinks of
any kind of alcohol in about two hours?
(1) [continuous response]
(-8) DON'T KNOW
[ENTER QUANTITY.]
(-9) REFUSED
[ENTER '0' FOR NEVER.]
[ENTER '95' IF 95 OR MORE TIMES.]