Redesigned Adult Questionnaire

National Health Interview Survey

Att 3 - Redes Q Adult Section 071618

Re-Designed Adult Questionnaire

OMB: 0920-0214

Document [pdf]
Download: pdf | pdf
Attachment 3 - Redesigned Questionnaire Adult Section
Form Approved
OMB No. 0920-0214
Exp. Date: 12/31/2020
Assurance of confidentiality – We take your privacy very seriously. All information that relates to or describes
identifiable characteristics of individuals, a practice, or an establishment will be used only for statistical purposes.
NCHS staff, contractors, and agents will not disclose or release responses in identifiable form without the consent of
the individual or establishment in accordance with section 308(d) of the Public Health Service Act (42 U.S.C.
242m(d)) and the Confidential Information Protection and Statistical Efficiency Act of 2002 (CIPSEA, Title 5 of Public
Law 107-347). In accordance with CIPSEA, every NCHS employee, contractor, and agent has taken an oath and is
subject to a jail term of up to five years, a fine of up to $250,000, or both if he or she willfully discloses ANY
identifiable information about you. In addition, NCHS complies with the Federal Cybersecurity Enhancement Act of
2015 (6 U.S.C. §§ 151 & 151 note). This law requires the federal government to protect federal computer networks
by using computer security programs to identify cybersecurity risks like hacking, internet attacks, and other security
weaknesses. If information sent through government networks triggers a cyber threat indicator, the information may
be intercepted and reviewed for cyber threats by computer network experts working for, or on behalf of, the
government.
Notice – Public reporting burden of this collection of information is estimated to average 42 minutes per response,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data
needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a
person is not required to respond to a collection of information unless it displays a currently valid OMB control
number. Send comments regarding this burden estimate or any other aspect of this collection of information,
including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road, MS
D-74, Atlanta, GA 30333. ATTN: PRA (0920-0214).

Survey: NHIS Bridge
Section:

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Spider Version 1.6.2

COVER SHEET

Adult
Blaise Item-Level Specifications Report
Items contained in this report:
- VFY
- HIS
- HYP
- CHL
- CVC
- ASP
- AST
- CAN
- DIB
- CON
- BMI
- VIS
- HEA
- MOB
- COM
- COG
- UPP
- SOC
- INS
- PAY
- DNC
- UTZ
- PMD
- PRV
- IMS
- PTC
- MHC
- ANX
- DEP
- PHQ
- GAD
- PAI
- CIG
- OTB
- ORN
- MAR
- VET
- NAT
- SCH
Printed On: Wednesday, October 4, 2017

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- EMP
- FEM
- INC
- FOO
- FDS
- HOU
- REC
- TEL
- LNK
- Content that rotates in other years

Last Modified: Tuesday, September 26, 2017

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Adult

Block

Adult
Description: Sample Adult Block
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe:
Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe Description: A Sample Adult 18+ was selected and
not all household members have a URE (usual residence elsewhere) and
not all minors in the household and
not all ages guessed and
not all household members in the armed forces
Array:
Block Instructions:

Last Modified: Thursday, February 16, 2017

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Blaise Item-Level Specifications Report
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VFY

Block

Adult.VFY
Description: Sample Adult Verification
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Tuesday, September 19, 2017

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Spider Version 1.6.2

AVAIL_A

Field

Adult.VFY.AVAIL_A
Description: Sample Adult Available
Form Pane Label: Sample Adult available
SAS Name: AVAIL_A
Tag Name: Adult.VFY.AVAIL_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: (GEN.ASTAT=2 or GEN.CBSTAT_A=1)
Universe Description: The Sample Adult section has not been started or completed or has a callback setup
Question Text:

Read if necessary:
The next questions are about ^SANAME
^Awayschool ^IshesheArethey_A ^stayinghere available now?
The next questions must be answered by ^SANAME. Probe as necessary to
determine the availability of ^SANAME.
If Sample Adult refuses to participate enter CTRL-R.

Fills: SANAME
Instructions: Sample Adult's name

Fills: Awayschool
Instructions: If Sample Adult is away at school, fill: Earlier, you said ^SANAME is living away
at school or college.

Fills: IshesheArethey_A
Instructions: If SEX_A=1 fill: "Is he"
If SEX_A=2 fill: "Is she"
If SEX_A IN ('DK'. 'RF") fill: "Are they"

Fills: stayinghere
Instructions: If ONOFFCAMPUS IN (1,DK,RF) fill: staying here and

Last Modified: Tuesday, September 19, 2017

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Type: Enumerated
Length: 1
Answer List: TSADULT_A
Value:

Mnemonic:

Description:

1

Available

2

Not Available or not able to answer right now

3

Physical or mental condition prohibits responding
Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: if AVAIL_A=RF, store 7 in GEN.ASTAT
if AVAIL_A=RF and (GEN.CSTAT=0 or GEN.CSTAT=6),
GEN.OUTCOME
if AVAIL_A=RF and GEN.CSTAT=5, store 203 in GEN.OUTCOME
if AVAIL_A=RF and GEN.CSTAT=1, store 201 in GEN.OUTCOME

store

215

IN

Array:
Skip Instructions: <1> if Roster.HHC.tblNAME.bPerson[PX_A].ONOFFCAMPUS IN (1,RF,DK) [goto
VFYONCAMP_A]
else[goto VFYALL_A]
<2> [goto bCallback.ARRANGE_CALLBACK] then if there is a Sample child and they
have
not
been
interviewed
[goto
Child.VFY.VFYINTRO_C]
elseif
GEN.OUTCOME=203[goto BCK.THANKS_SUF] else [goto BCK.THANKS_INSUF]
<3> [goto PROXY_A]
 if there is a SC [goto Child.VFY.VFYINTRO_C]
elseif GEN.OUTCOME=203[goto BCK.THANKS_SUF]
else [goto BCK.THANKS_INSUF]

Last Modified: Thursday, September 7, 2017

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PROXY_A

Field

Adult.VFY.PROXY_A
Description: Proxy Available
Form Pane Label: Proxy Available
SAS Name: PROXY_A
Tag Name: Adult.VFY.PROXY_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: AVAIL_A=3
Universe Description: The Sample Adult's physical or mental condition prohibits responding.
Question Text:

Proxy interviews can be done for sample adults that have a mental or physical
condition that prevents them from responding for themselves.
Is a family member or caregiver that is knowledgeable about ^SANAME's health
available?

Fills: SANAME
Instructions: Sample Adult's name

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto PROXYREL_A]

Last Modified: Thursday, September 7, 2017

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<2,RF,DK> [goto PROXYCALL_A]

Last Modified: Thursday, September 7, 2017

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Blaise Item-Level Specifications Report
Spider Version 1.6.2

PROXYREL_A

Field

Adult.VFY.PROXYREL_A
Description: Proxy's Relationship to Sample Adult
Form Pane Label: Proxy Relationship to SA
SAS Name: PROXYREL_A
Tag Name: Adult.VFY.PROXYREL_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: PROXY_A=1
Universe Description: Knowledgeable proxy is available.
Question Text: What is this person's relationship to ^SANAME?

Fills: SANAME
Instructions: Sample Adult's name

Type: Enumerated
Length: 1
Answer List: TPROXYREL_A
Value:

Mnemonic:

Description:

1

Relative who lives in household

2

Relative who doesn't live in household

3

Other nonrelative who lives in household

4

Other nonrelative who does not live in household
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,3> [goto PROXYLNO_A]
<2,4,DK,RF> [goto VFYALL_A]

Last Modified: Thursday, September 7, 2017

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Spider Version 1.6.2

PROXYLNO_A

Field

Adult.VFY.PROXYLNO_A
Description: Proxy line number
Form Pane Label: Proxy line number
SAS Name: PROXYLNO_A
Tag Name: Adult.VFY.PROXYLNO_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: PROXYREL_A IN (1,3)
Universe Description: Sample adult proxy is a relative or non relative who lives in the household
Question Text:

Select the person in this household who is the proxy for ^SANAME.

Fills: SANAME
Instructions: Sample Adult's name

Type: Classification
Length: 2
Don't Know
Refuse
Empty
x On Input
x On Output
Store Instructions: If PROXYLNO_A=HHRESP, set HHRESPSA_FLG=1
elseif PROXYLNO_A ne HHRESP, set HHRESPSA_FLG=blank
Array:
Special Instructions: Include everyone in the household who is 18+ in the answer list, except the sample
adult
Skip Instructions: <1-25>[goto VFYALL_A]

Last Modified: Friday, September 8, 2017

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Blaise Item-Level Specifications Report
Spider Version 1.6.2

PROXYCALL_A

Field

Adult.VFY.PROXYCALL_A
Description: Arrange Proxy Callback
Form Pane Label: Arrange Proxy Callback
SAS Name: PROXYCALL_A
Tag Name: Adult.VFY.PROXYCALL_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: PROXY_A IN (2,RF,DK)
Universe Description: Knowledgeable proxy is not available.
Question Text: Can a callback with someone knowledgeable about ^SANAME's health be
arranged?

Fills: SANAME
Instructions: Sample Adult's name

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
Don't Know
Refuse
Empty
x On Input
x On Output
Store Instructions: if PROXYCALL_A=2, store 2 in GEN.CBSTAT_A
Array:
Skip Instructions: <1> [goto bCallback.ARRANGE_CALLBACK], then
if there is a Sample child and they have not been interviewed

Last Modified: Friday, September 8, 2017

[goto

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Child.VFY.VFYINTRO_C]
else [goto BCK.THANKS_CB]
<2> if there is a Sample child and they have not been interviewed then [goto
Child.VFY.VFYINTRO_C] else [goto BCK.THANKS_SUF]

Last Modified: Tuesday, September 12, 2017

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Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

VFYONCAMP_A

Field

Adult.VFY.VFYONCAMP_A
Description: On or off campus
Form Pane Label: On or off campus
SAS Name: VFYONCAMP_A
Tag Name: Adult.VFY.VFYONCAMP_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: Roster.HHC.tblNAME.bPerson.ONOFFCAMPUS IN (1,RF,DK) and AVAIL_A=1
Universe Description: Sample Adults living in on-campus housing
Question Text: I want to confirm some information.
Do you live in on-campus housing or off-campus housing?

Type: Enumerated
Length: 1
Answer List: TCAMPUS
Value:

Mnemonic:

Description:

1

On campus

2

Off campus
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: Store GEN.ASTAT=6 if VFYONCAMP_A=2
Array:
Skip Instructions: <1,RF,DK> [goto VFYALL_A]
<2> [goto NOMORE_A]

Last Modified: Thursday, September 7, 2017

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Spider Version 1.6.2

VFYALL_A

Field

Adult.VFY.VFYALL_A
Description: Verify sex, age, national origin, race
Form Pane Label: Verify sex, age, national origin, race
SAS Name: VFYALL_A
Tag Name: Adult.VFY.VFYALL_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: AVAIL_A=1 or PROXY_A=1
Universe Description: Sample adults 18+ and someone is available to continue the interview
Question Text: ^Verifyintro
I have recorded ^yoursexis, you are ^AGE_A, ^NATORG_A, ^RACE_A. Would
you like to make any changes to this ^additionalinfo_A?
If respondent wants information on which other race they are listed as read
^RACESP_A.
If respondent "refuses" or says "don't know", enter "2" for "no."

Fills: Verifyintro
Instructions: If VFYONCAMP_A=empty "I want to confirm some information."
else fill nothing

Fills: yoursexis
Instructions: If GEN.SEX_FINAL=1 fill "your sex is male"
If GEN.SEX_FINAL=2 fill "your sex is female"
If GEN.SEX_FINAL=DK and GEN.HHRESPSA_FLG=1 fill "you do not know your
sex"
If GEN.SEX_FINAL=RF and GEN.HHRESPSA_FLG=1 fill "you do not wish to
provide your sex"
If GEN.SEX_FINAL IN (DK,RF) and GEN.HHRESPSA_FLG ne 1 fill "your sex
was not provided"
Â

Fills: AGE_A
Instructions: If GEN.AGE_FINAL ne RF, DK fill with age
Last Modified: Thursday, September 7, 2017

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Blaise Item-Level Specifications Report
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If GEN.AGE_FINAL IN (RF, DK) fill "18 and over"

Fills: NATORG_A
Instructions: If NATORG_FINAL=1 fill: "you are of Hispanic origin"
If NATORG_FINAL=2 fill: "you are not of Hispanic origin"
If NATORG_FINAL=DK fill: "you do not know if you are of Hispanic origin"
If NATORG_FINAL=RF fill: "you do not wish to provide your Hispanic origin"
Â

Fills: RACE_A
Instructions: If race or races are selected for Sample Adult fill: "you are
^RACEFILLAND_A."
If DK fill "you do not know your race."
If RF fill: "you do not wish to provide your race."

Fills: additionalinfo_A
Instructions: See attachment for fill instructions

Fills: RACESP_A
Instructions: fill with what is in Roster.HHC.tblRACE.bPerson.RACE_SP for the Sample Adult

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
Don't Know
Refuse
Empty
x On Input
x On Output
Store Instructions: store GEN.SEX_FINAL[PX_A]=SEX
store AGETEMP_A=AGE
store GEN.NATO_FINAL[PX_A]=NATORG

Last Modified: Thursday, September 7, 2017

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store GEN.RACE_FINAL[PX_A]=RACE
Array:
Skip Instructions: <1> [goto VFYDEM_A]
<2> [goto BMONTH_A]

Last Modified: Thursday, September 21, 2017

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Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

VFYDEM_A

Field

Adult.VFY.VFYDEM_A
Description: Which (sex, age, national origin, race) is not correct
Form Pane Label: Which is incorrect
SAS Name: VFYDEM_A
Tag Name: Adult.VFY.VFYDEM_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: VFYALL_A=1
Universe Description: Sample Adults 18+ would like to change demographic information
Question Text:

Read if necessary: What should I change?
Mark all that apply, separate with commas.

Type: Set
Max Number of Values: 4
Length: 1
Answer List: TDEMOPART
Value:

Mnemonic:

Description:

1

Sex

2

Age

3

Hispanic Origin

4

Race
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: If 1 NOT IN VFYDEM_A and GEN.SEX_FINAL[PX_A] IN (DK,RF) [goto
SEXGUESS_A]
elseif 1 IN VFYDEM_A [goto NEWSEX_A]

Last Modified: Thursday, September 21, 2017

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elseif 2 IN VFYDEM_A [goto NEWAGE_A]
elseif 3 IN VFYDEM_A [goto NEWNATORG_A]
elseif 4 IN VFYDEM_A [goto NEWRACE_A]
 If GEN.SEX_FINAL[PX_A] IN (DK,RF) [goto SEXGUESS_A]
else[goto BMONTH_A]

Last Modified: Thursday, September 21, 2017

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Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

VFYDEM01_A

Field

Adult.VFY.VFYDEM01_A
Description: Sex is not correct
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: VFYALL_A=1
Universe Description: Sample Adults 18+ would like to change sex information
Question Text: ***Post processing variable***

Type: Enumerated
Length: 1
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

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Spider Version 1.6.2

VFYDEM02_A

Field

Adult.VFY.VFYDEM02_A
Description: Age is not correct
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: VFYALL_A=1
Universe Description: Sample Adults 18+ would like to change age information
Question Text: ***Post processing variable***

Type: Enumerated
Length: 1
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

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Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

VFYDEM03_A

Field

Adult.VFY.VFYDEM03_A
Description: National origin is not correct
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: VFYALL_A=1
Universe Description: Sample Adults 18+ would like to change national origin information
Question Text: ***Post processing variable***

Type: Enumerated
Length: 1
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

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Spider Version 1.6.2

VFYDEM04_A

Field

Adult.VFY.VFYDEM04_A
Description: Race is not correct
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: VFYALL_A=1
Universe Description: Sample Adults 18+ would like to change race information
Question Text: ***Post processing variable***

Type: Enumerated
Length: 1
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

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Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

NEWSEX_A

Field

Adult.VFY.NEWSEX_A
Description: New Sex of Sample Adult
Form Pane Label: New sex of Sample Adult
SAS Name: NEWSEX_A
Tag Name: Adult.VFY.NEWSEX_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 1 IN VFYDEM_A
Universe Description: Respondent said his/her sex is not correct
Question Text: Are you male or female?

Type: Enumerated
Length: 1
Answer List: TSEX
Value:

Mnemonic:

Description:

1

Male

2

Female
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: if NEWSEX_A IN (1,2), store GEN.SEX_FINAL[PX_A]=NEWSEX_A
Array:
Skip Instructions: if GEN.SEX_FINAL[PX_A]=DK,RF and NEWSEX_A=DK,RF [goto SEXGUESS_A]
elseif 2 IN VFYDEM_A [goto NEWAGE_A]
elseif 3 IN VFYDEM_A [goto NEWNATORG_A]
elseif 4 IN VFYDEM_A [goto NEWRACE_A]
else [goto BMONTH_A]

Last Modified: Thursday, September 21, 2017

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Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SEXGUESS_A

Field

Adult.VFY.SEXGUESS_A
Description: Guess of Sample adult's sex
Form Pane Label: Sex guess
SAS Name: SEXGUESS_A
Tag Name: Adult.VFY.SEXGUESS_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL IN (DK,RF) and NEWSEX_A IN (RF,DK)
Universe Description: Sample adults for whom there is no sex provided by the household respondent and
did not give a sex when asked to verify information
Question Text:

Enter your best guess of ^SANAME's sex.

Fills: SANAME
Instructions: Sample Adult's name

Type: Enumerated
Length: 1
Answer List: TSEX
Value:

Mnemonic:

Description:

1

Male

2

Female
Don't Know
Refuse
Empty
On Input
On Output
Array:
Skip Instructions: <1,2>
if 2 IN VFYDEM_A [goto NEWAGE_A]
elseif 3 IN VFYDEM_A [goto NEWNATORG_A]
elseif 4 IN VFYDEM_A [goto NEWRACE_A]

Last Modified: Thursday, September 21, 2017

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else [goto BMONTH_A]

Last Modified: Thursday, September 21, 2017

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Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

NEWAGE_A

Field

Adult.VFY.NEWAGE_A
Description: New Age of Sample Adult
Form Pane Label: New age
SAS Name: NEWAGE_A
Tag Name: Adult.VFY.NEWAGE_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 2 IN VFYDEM_A
Universe Description: Sample Adult 18+ said his/her age is not correct
Question Text: How old are you?
Enter age.

Type: Integer
Length: 3
Min:
Max:
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: If NEWAGE_A not IN (RF,DK,empty) store AGETEMP_A=NEWAGE_A
Array:
Skip Instructions: <0-120, RF, DK> if 3 IN VFYDEM_A [goto NEWNATORG_A]
elseif 4 IN VFYDEM_A [goto NEWRACE_A]
else [goto BMONTH_A]

Last Modified: Monday, September 11, 2017

Page 26 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

AGETEMP_A

Field

Adult.VFY.AGETEMP_A
Description: Temporary storage variable for AGE and NEWAGE
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text:

Type: Integer
Length: 1
Min:
Max:
Don't Know
Refuse
Empty
On Input
On Output
Store Instructions: Store AGETEMP_A=hhc.tblAGE.bPerson.AGE
If NEWAGE_A not IN (RF,DK,empty) store AGETEMP_A=NEWAGE_A
By default this variable will be filled with age reported at HHC. If a valid age is given at
NEWAGE_A, AGETEMP_A value will be replaced with value reported at NEWAGE_A.
Array:

Last Modified: Thursday, September 21, 2017

Page 27 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

NEWNATORG_A

Field

Adult.VFY.NEWNATORG_A
Description: New Hispanic or Latino Origin of Sample Adult
Form Pane Label: New Hispanic origin
SAS Name: NEWNATORG_A
Tag Name: Adult.VFY.NEWNATORG_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 3 IN VFYDEM_A
Universe Description: Sample Adult 18+ said his/her Hispanic Origin is not correct
Question Text: Do you consider yourself to be Hispanic or Latino?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: if NEWNATORG_A IN (1,2) store GEN.NATO_FINAL[PX_A]=NEWNATORG_A
Array:
Skip Instructions: <1,2,RF,DK> if 4 IN VFYDEM_A [goto NEWRACE_A]
else [goto BMONTH_A]

Last Modified: Thursday, September 21, 2017

Page 28 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

NEWRACE_A

Field

Adult.VFY.NEWRACE_A
Description: New Race of Sample Adult
Form Pane Label: New race
SAS Name: NEWRACE_A
Tag Name: Adult.VFY.NEWRACE_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 4 IN VFYDEM_A
Universe Description: Sample Adult 18+ said his/her race is not correct
Question Text: What race or races do you consider yourself to be? Please select 1 or more of
these categories:
White, Black/African American, American Indian, Alaska Native, Native
Hawaiian, Other Pacific Islander, Asian, or some other race?
Enter all that apply, separate with commas.

Type: Set
Max Number of Values:
Length: 1
Answer List: TRACE
Value:

Mnemonic:

Description:

1

White

2

Black/African American

3

American Indian

4

Alaska Native

5

Native Hawaiian

6

Other Pacific Islander

7

Asian

8

Some other race
x Don't Know
x Refuse
Empty

Last Modified: Thursday, September 21, 2017

Page 29 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x On Input
x On Output
Store Instructions: If NEWRACE_A not IN (DK,RF) store GEN.RACE_FINAL[PX_A]=NEWRACE_A
Array:
Skip Instructions: <1-8,DK,RF> [goto BMONTH_A]

Last Modified: Thursday, September 21, 2017

Page 30 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

NEWRACE01_A

Field

Adult.VFY.NEWRACE01_A
Description: New Race of Sample Adult - White
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 4 IN VFYDEM_A
Universe Description: Sample Adult 18+ said his/her race is not correct
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: TRACE
Value:

Mnemonic:

Description:

1

White

2

Black/African American

3

American Indian

4

Alaska Native

5

Native Hawaiian

6

Other Pacific Islander

7

Asian

8

Some other race
x Don't Know
x Refuse
Empty
On Input
x On Output
Store Instructions: If NEWRACE_A not IN (DK,RF) store GEN.RACE_FINAL[PX_A]=NEWRACE_A
Array:

Last Modified: Thursday, September 21, 2017

Page 31 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

NEWRACE02_A

Field

Adult.VFY.NEWRACE02_A
Description: New Race of Sample Adult - Black/African American
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 4 IN VFYDEM_A
Universe Description: Sample Adult 18+ said his/her race is not correct
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: TRACE
Value:

Mnemonic:

Description:

1

White

2

Black/African American

3

American Indian

4

Alaska Native

5

Native Hawaiian

6

Other Pacific Islander

7

Asian

8

Some other race
x Don't Know
x Refuse
Empty
On Input
x On Output
Store Instructions: If NEWRACE_A not IN (DK,RF) store GEN.RACE_FINAL[PX_A]=NEWRACE_A
Array:

Last Modified: Thursday, September 21, 2017

Page 32 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

NEWRACE03_A

Field

Adult.VFY.NEWRACE03_A
Description: New Race of Sample Adult - American Indian
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 4 IN VFYDEM_A
Universe Description: Sample Adult 18+ said his/her race is not correct
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: TRACE
Value:

Mnemonic:

Description:

1

White

2

Black/African American

3

American Indian

4

Alaska Native

5

Native Hawaiian

6

Other Pacific Islander

7

Asian

8

Some other race
x Don't Know
x Refuse
Empty
On Input
x On Output
Store Instructions: If NEWRACE_A not IN (DK,RF) store GEN.RACE_FINAL[PX_A]=NEWRACE_A
Array:

Last Modified: Thursday, September 21, 2017

Page 33 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

NEWRACE04_A

Field

Adult.VFY.NEWRACE04_A
Description: New Race of Sample Adult - Alaska Native
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 4 IN VFYDEM_A
Universe Description: Sample Adult 18+ said his/her race is not correct
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: TRACE
Value:

Mnemonic:

Description:

1

White

2

Black/African American

3

American Indian

4

Alaska Native

5

Native Hawaiian

6

Other Pacific Islander

7

Asian

8

Some other race
x Don't Know
x Refuse
Empty
On Input
x On Output
Store Instructions: If NEWRACE_A not IN (DK,RF) store GEN.RACE_FINAL[PX_A]=NEWRACE_A
Array:

Last Modified: Thursday, September 21, 2017

Page 34 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

NEWRACE05_A

Field

Adult.VFY.NEWRACE05_A
Description: New Race of Sample Adult - Native Hawaiian
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 4 IN VFYDEM_A
Universe Description: Sample Adult 18+ said his/her race is not correct
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: TRACE
Value:

Mnemonic:

Description:

1

White

2

Black/African American

3

American Indian

4

Alaska Native

5

Native Hawaiian

6

Other Pacific Islander

7

Asian

8

Some other race
x Don't Know
x Refuse
Empty
On Input
x On Output
Store Instructions: If NEWRACE_A not IN (DK,RF) store GEN.RACE_FINAL[PX_A]=NEWRACE_A
Array:

Last Modified: Thursday, September 21, 2017

Page 35 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

NEWRACE06_A

Field

Adult.VFY.NEWRACE06_A
Description: New Race of Sample Adult - Other Pacific Islander
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 4 IN VFYDEM_A
Universe Description: Sample Adult 18+ said his/her race is not correct
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: TRACE
Value:

Mnemonic:

Description:

1

White

2

Black/African American

3

American Indian

4

Alaska Native

5

Native Hawaiian

6

Other Pacific Islander

7

Asian

8

Some other race
x Don't Know
x Refuse
Empty
On Input
x On Output
Store Instructions: If NEWRACE_A not IN (DK,RF) store GEN.RACE_FINAL[PX_A]=NEWRACE_A
Array:

Last Modified: Thursday, September 21, 2017

Page 36 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

NEWRACE07_A

Field

Adult.VFY.NEWRACE07_A
Description: New Race of Sample Adult - Asian
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 4 IN VFYDEM_A
Universe Description: Sample Adult 18+ said his/her race is not correct
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: TRACE
Value:

Mnemonic:

Description:

1

White

2

Black/African American

3

American Indian

4

Alaska Native

5

Native Hawaiian

6

Other Pacific Islander

7

Asian

8

Some other race
x Don't Know
x Refuse
Empty
On Input
x On Output
Store Instructions: If NEWRACE_A not IN (DK,RF) store GEN.RACE_FINAL[PX_A]=NEWRACE_A
Array:

Last Modified: Thursday, September 21, 2017

Page 37 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

NEWRACE08_A

Field

Adult.VFY.NEWRACE08_A
Description: New Race of Sample Adult - Some other race
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 4 IN VFYDEM_A
Universe Description: Sample Adult 18+ said his/her race is not correct
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: TRACE
Value:

Mnemonic:

Description:

1

White

2

Black/African American

3

American Indian

4

Alaska Native

5

Native Hawaiian

6

Other Pacific Islander

7

Asian

8

Some other race
x Don't Know
x Refuse
Empty
On Input
x On Output
Store Instructions: If NEWRACE_A not IN (DK,RF) store GEN.RACE_FINAL[PX_A]=NEWRACE_A
Array:

Last Modified: Monday, September 18, 2017

Page 38 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DOB_COUNT_A

Field

Adult.VFY.DOB_COUNT_A
Description: Counter used to loop back to recollect DOB one time.
Form Pane Label:
SAS Name: DOB_COUNT_A
Tag Name: DOB_COUNT_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Instrument Storage Variable***

Type: Integer
Length: 1
Min:
Max:
Don't Know
Refuse
Empty
On Input
On Output
Array:
Special Instructions: Add 1 to counter if VFYDOB_A=2.

Last Modified: Thursday, September 21, 2017

Page 39 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

BMONTH_A

Field

Adult.VFY.BMONTH_A
Description: Month of birth
Form Pane Label: Month of birth
SAS Name: BMONTH_A
Tag Name: Adult.VFY.BMONTH_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: (AVAIL_A=1 or PROXY_A=1) and DOB_COUNT_A lt 2
Universe Description: Sample adults 18+ and someone is available to continue the interview and date of
birth was verified as incorrect fewer than 2 times
Question Text:

1 of 3
What is your date of birth?
Please give month, day, and year for the date of birth.
Enter month of birth.

Type: Enumerated
Length: 2
Answer List: T_MONTH
Value:

Mnemonic:

Description:

1

January

2

February

3

March

4

April

5

May

6

June

7

July

8

August

9

September

10

October

11

November

12

December

Last Modified: Thursday, September 21, 2017

Page 49 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-12,RF,DK> [goto BDAY_A]

Last Modified: Thursday, September 21, 2017

Page 41 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

BDAY_A

Field

Adult.VFY.BDAY_A
Description: Day of birth
Form Pane Label: Day of birth
SAS Name: BDAY_A
Tag Name: Adult.VFY.BDAY_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: (AVAIL_A=1 or PROXY_A=1) and DOB_COUNT_A lt 2
Universe Description: Sample adults 18+ and someone is available to continue the interview and date of
birth was verified as incorrect fewer than 2 times
Question Text:

2 of 3
Enter day of birth.

Type: Integer
Length: 2
Min: 1
Max: 31
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-31,RF,DK> Only allow valid days for month entered. if days not valid [goto
ERR_BDAY_A]
else [goto BYEAR_A]

Last Modified: Friday, July 21, 2017

Page 42 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR_BDAY_A

Check

Adult.VFY.ERR_BDAY_A
Description: Invalid day for selected month hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: Invalid dates for the month entered
Universe Description:
Text: {check ERR_BDAY_A}
^BDAY_A is not a valid day for ^BMONTH_A.

Check Instructions: February - 1-29 valid
April - 1-30 valid
June- 1-30 valid
September- 1-30 valid
November- 1-30 valid
else 1-31 valid
Type: Hard
Fills: BDAY_A
Instructions: Fill value from BDAY_A
Fills: BMONTH_A
Instructions: Fill value from BMONTH_A

Last Modified: Monday, September 11, 2017

Page 43 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

BYEAR_A

Field

Adult.VFY.BYEAR_A
Description: Year of birth
Form Pane Label: Year of birth
SAS Name: BYEAR_A
Tag Name: Adult.VFY.BYEAR_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: (AVAIL_A=1 or PROXY_A=1) and DOB_COUNT_A lt 2
Universe Description: Sample adults 18+ and someone is available to continue the interview and date of
birth was verified as incorrect fewer than 2 times
Question Text:

3 of 3
Enter year of birth.
If year of birth is before 1900, enter 1900.

Type: Integer
Length: 4
Min: 1900
Max: 2030
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: If BYEAR_A NOT IN (RF, DK), calculate AGE_CALC_A and if applicable
AGE_CALCMINUS1_A first before continuing with the rest of these store instructions.
If AGETEMP_A eq AGE_CALC_A,
store GEN.AGE_FINAL[PX_A]=AGE_CALC_A
If age recorded at HHC or NEWAGE_A matches the age calculated from the date of
birth, age calculated from the date of birth will be stored in AGE_FINAL.
elseif AGE_CALCMINUS1_A ne empty and AGETEMP_A ne AGE_CALC_A and
Last Modified: Monday, September 11, 2017

Page 44 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

AGETEMP_A=AGE_CALCMINUS1_A,
store GEN.AGE_FINAL[PX_A]=AGE_CALCMINUS1_A
If age recorded at HHC or NEWAGE_A doesn't match the first calculated age
(AGE_CALC_A) but matches the second age calculated (AGE_CALCMINUS1_A) from
date of birth, the second age calculated from the date of birth will be stored in
AGE_FINAL.
elseif VFYDOB_A eq 1 and AGETEMP_A ne AGE_CALC_A and AGETEMP_A ne
AGE_CALCMINUS1_A,
store GEN.AGE_FINAL[PX_A]=AGE_CALC_A
If respondent has verified their date of birth as correct, the age calculated from the date
of birth will be stored in AGE_FINAL (AGE_CALC_A will always be the greater age).
elseif AGETEMP_A IN('DK','RF') and AGE_CALC_A ne empty,
store GEN.AGE_FINAL[PX_A]=AGE_CALC_A
If a valid age was not provided in HHC or NEWAGE_A, but at least a valid birth year
was reported so that an age could be calculated, the age calculated from date or birth
will be stored in AGE_FINAL.
elseif AGETEMP_A IN (DK,RF) and BYEAR_A is valid,
store GEN.AGE_FINAL[PX_A]=AGE_CALC_A
If age was verified as correct and no age given at HHC and valid birth year was
provided, age calculated from the date of birth will be stored in AGE_FINAL.
else AGE_CALC_A eq empty,
store GEN.AGE_FINAL[PX_A]= AGETEMP_A
If a valid age can't be calculated (no valid year provided), store the value collected at
either HHC or NEWAGE_A in AGE_FINAL.
Array:
Skip Instructions: <1900-current year,RF,DK>
if (BYEAR_A gt current year) or (BYEAR_A=current year and BMONTH_A gt current
month) or (BYEAR_A=current year and BMONTH_A=current month and BDAY_A gt
current day) [goto ERR_BYEAR_A]
elseif BDAY_A=29 and BMONTH_A=2 and (BYEAR=2000 or BYEAR_A/4 remainder
ne 0) [goto ERR_BDAYLEAP_A]
elseif AGETEMP_A in ('RF','DK') AND
HHRESPA_FLG=empty [goto AGE18UP_A]

BYEAR_A

in

('RF','DK') and

elseif ((AGE_CALC_A ne AGETEMP_A) AND (AGE_CALCMINUS1_A ne empty and
AGE_CALCMINUS1_A ne AGETEMP_A)) AND DOB_COUNT ne 1 [goto VFYDOB_A]

Last Modified: Monday, September 11, 2017

Page 45 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

elseif
(AGETEMP_A
eq
AGE_CALC_A
or
AGE_CALCMINUS1_A)
DOB_COUNT=1
if GEN.AGE_FINAL[PX_A] lt 18 [goto NOMORE_A]
elseif NATO_FINAL=1 [goto HISPTYPE_A]
elseif RACE_FINAL=6 [goto PITYPE_A]
elseif RACE_FINAL=7 [goto ASIANTYPE_A]
elseif RACE_FINAL=8 [goto RACEOTHER_A]
elseif RACE_FINAL has multiple values selected [goto MLTRACE_A]
else [goto next section]

Last Modified: Thursday, May 18, 2017

or

Page 46 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR_BDAYLEAP_A

Check

Adult.VFY.ERR_BDAYLEAP_A
Description: Invalid day for selected month hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: Invalid dates for the month entered
Universe Description:
Text: {check ERR_BDAY_A}
^BDAY_A is not a valid day for ^BMONTH_A.

Check Instructions: February - 1-28 valid, except leap year where 1-29 valid
Type: Hard
Fills: BDAY_A
Instructions: Fill value from BDAY_A
Fills: BMONTH_A
Instructions: Fill value from BMONTH_A

Last Modified: Thursday, August 10, 2017

Page 47 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR_YEAR_A

Check

Adult.VFY.ERR_YEAR_A
Description: Future date hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: (BYEAR_A>current year) or (BYEAR_A=current year and BMONTH_A>current month)
or (BYEAR_A=current year and BMONTH_A=current month and BDAY_A>current
day)
Universe Description: Birthday is in the future
Text: {check ERR_BYEAR_A}
Future date invalid

Check Instructions:
Type: Hard

Last Modified: Monday, September 11, 2017

Page 48 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

AGE_CALC_A

Field

Adult.VFY.AGE_CALC_A
Description: Calculate age based on birth year given.
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: BYEAR_A not in (RF,DK)
Universe Description: A valid birth year is given
Question Text:

Type: Integer
Length: 3
Min:
Max:
Don't Know
Refuse
Empty
On Input
On Output
Array:
Special Instructions: Calculate age (AGE_CALC_A) against current date using the following values:
-Month: if BMONTH_A = DK, RF then use 1, else use BMONTH_A
-Day: if BDAY_A = DK, RF then use 1, else use BDAY_A
-Year: use BYEAR_A

Calculate younger age (AGE_CALCMINUS1_A):
The younger age is calculated only if we are unable to accurately calculate
respondent's age due to incomplete DOB Month and/or Day information OR interview
month is same as birth month and birth day is unknown.
BYEAR_A <> DK, RF AND (BMONTH_A = DK, RF OR (BMONTH_A = Current
Last Modified: Monday, September 11, 2017

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Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Month AND BDAY_A = DK, RF))
Calculate age against current date using the following values:
-Month: Use 1
-Day: Use 1
-Year: use BYEAR_A + 1
(The reasoning behind this is that we need to use a future date that is definitely past
the respondent's birthdate. Rather than using the last day of the month or the first day
of the next month, it's easier just to use the first day of the next year.)

Last Modified: Tuesday, September 26, 2017

Page 50 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

AGE18UP_A

Field

Adult.VFY.AGE18UP_A
Description: Over 18 or not
Form Pane Label: Guess Age
SAS Name: AGE18UP_A
Tag Name: VFY.AGE18UP_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: AGETEMP_A
IN
(RF,DK)
GEN.HHRESPSA_FLG=empty

and

BYEAR_A

IN

(RF,DK)

and

Universe Description: No age collected and can't determine age based upon date of birth because a year
was not given and the household respondent is not the sample adult
Question Text:

An age has not been collected and we are unable to determine an age based upon
the date of birth.
Are you 18 years of age or older?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: Store GEN.ASTAT=6 if AGE18UP_A IN (2,RF,DK)
Array:
Skip Instructions: <1> [goto AGEGUESS_A]

Last Modified: Tuesday, September 26, 2017

Page 51 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

<2,RF,DK> [goto NOMORE_A]

Last Modified: Monday, September 11, 2017

Page 52 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

AGEGUESS_A

Field

Adult.VFY.AGEGUESS_A
Description: Guess age of Sample Adult
Form Pane Label: Guess Age
SAS Name: AGEGUESS_A
Tag Name: VFY.AGEGUESS_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: AGE18UP_A=1
Universe Description: Sample Adult says they are at least 18 years old
Question Text:

An age has not been collected and we are unable to determine an age based upon
the date of birth.
What is your best guess at ^ALIASNAME's age?

Fills: ALIASNAME
Instructions: Fill value from ALIAS

Type: Integer
Length: 3
Min: 18
Max: 120
Don't Know
Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <18-120> if GEN.NATO_FINAL[PX_A] =1 [goto HISPTYPE_A]
elseif GEN.RACE_FINAL[PX_A] =6 [goto PITYPE_A]
elseif GEN.RACE_FINAL[PX_A] =7 [goto ASIANTYPE_A]
elseif GEN.RACE_FINAL[PX_A] =8 [goto RACEOTHER_A]
elseif GEN.RACE_FINAL[PX_A] has multiple values selected [goto MLTRACE_A]
Last Modified: Monday, September 11, 2017

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Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

else [goto next section]

Last Modified: Monday, September 11, 2017

Page 54 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

VFYDOB_A

Field

Adult.VFY.VFYDOB_A
Description: Verify birthday when not matched with given age
Form Pane Label: Verify date of birth
SAS Name: VFYDOB_A
Tag Name: Adult.VFY.VFYDOB_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: (AGETEMP_A ne AGE_CALC_A) AND (AGE_CALCMINUS1_A ne empty and
AGETEMP_A ne AGE_CALCMINUS1_A)
Universe Description: Sample Adults whose age provided in either HHC or NEWAGE_A does not match
either age calculated from date of birth information.
Question Text: There is a difference between the age the computer calculated from your date
of birth of ^AGEDOB_A_fill and the age I had previously recorded of
^TEMPAGE_A.
I recorded your ^dateofbirth

Fills: AGEDOB_A_fill
Instructions: Fill one age calculated from AGE_CALC_A as "(age)"
Fill two ages calculated from AGE_CALC_A and AGE_CALCMINUS1_A as
"(age) or (age)"

Fills: TEMPAGE_A
Instructions: fill value of TEMPAGE_A

Fills: dateofbirth
Instructions: If BDAY_A, BMONTH,A and BYEAR_A are all valid, fill: "date of birth as
^BMONTH_A ^BDAY_A ^BYEAR_A, is that correct?"
If only BMONTH_A and BYEAR_A are valid, fill: "date of birth as ^BMONTH_A
^BYEAR_A, is that correct?"
If only BDAY_A and BYEAR_A are valid, fill: "year of birth as ^BYEAR_A, is that
correct?"
If only BYEAR_A is valid, fill: "year of birth as ^BYEAR_A, is that correct?"

Type: Enumerated
Last Modified: Monday, September 11, 2017

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Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
Don't Know
x Refuse
x Empty
On Input
On Output
Store Instructions: <1> store GEN.AGE_FINAL[PX_A]=AGE_CALC_A
<2> add 1 to DOB_COUNT_A
 store GEN.AGE_FINAL[PX_A]=AGETEMP_A
Array:
Special Instructions: If VFYDOB_A = 2 and DOB_COUNT_A le 1, empty BMONTH_A,
BDAY_A,
BYEAR_A, and VFYDOB_A and go back to BMONTH_A
(we will only loop back to recollect DOB fields 1 time if there is a discrepancy)
**See AGE_SCENARIOS rearrange.xlsx for more information (attached below)
Skip Instructions: <1,RF,DK> if GEN.AGE_FINAL[PX_A] lt 18 [goto NOMORE_A]
elseif GEN.NATO_FINAL[PX_A]=1 [goto HISPTYPE_A]
elseif GEN.RACE_FINAL[PX_A] = 6 [goto PITYPE_A]
elseif GEN.RACE_FINAL[PX_A] = 7 [goto ASIANTYPE_A]
elseif GEN.RACE_FINAL[PX_A] = 8 [goto RACEOTHER_A]
elseif multiple races are selected [goto MLTRACE_A]
elseif GEN.RACE_FINAL[PX_A] not IN (6,7,8) and no more than 1 race is selected
[goto next section]
<2> if DOB_COUNT_A le 1 [goto BMONTH_A]
else if GEN.AGE_FINAL[PX_A] lt 18 [goto NOMORE_A]
elseif GEN.NATO_FINAL[PX_A]=1 [goto HISPTYPE_A]
elseif GEN.RACE_FINAL[PX_A] = 6 [goto PITYPE_A]
elseif GEN.RACE_FINAL[PX_A] = 7 [goto ASIANTYPE_A]
elseif GEN.RACE_FINAL[PX_A] = 8 [goto RACEOTHER_A]
elseif multiple races are selected [goto MLTRACE_A]
elseif GEN.RACE_FINAL[PX_A] not IN (6,7,8) and no more than 1 race is selected
[goto next section]

Last Modified: Monday, September 11, 2017

Page 56 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

NOMORE_A

Field

Adult.VFY.NOMORE_A
Description: Person age changed and is now too young to be Sample Adult or Sample Adult lives
in college and lives off campus
Form Pane Label: Not eligible
SAS Name: NOMORE_A
Tag Name: Adult.VFY.NOMORE_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] lt 18 or VFYONCAMP_A=2 or AGE18UP_A IN (2,RF,DK)
Universe Description: Sample adult whose age is now less than 18 or lives off campus or says they are
under 18 or refuse/don't know if they are over 18
Question Text:

^SANAME is no longer the sample adult for this family. End this interview and begin
the Sample Child Interview. If there is no Sample Child or the Sample Child interview
has been completed, EXIT
Not everyone in our survey is asked all questions. I have all the information
that I need about you at this time.
Enter 1 to Continue.

Fills: SANAME
Instructions: Sample Adult's name

Type: Enumerated
Length: 1
Answer List: tContinue
Value:
1

Mnemonic:

Description:
Enter 1 to Continue
Don't Know
Refuse
Empty
x On Input
x On Output

Last Modified: Monday, September 11, 2017

Page 57 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Store Instructions: if (GEN.CSTAT=0 or GEN.CSTAT=6), store 233 IN GEN.OUTCOME
elseif GEN.CSTAT=5, store 203 in GEN.OUTCOME
elseif GEN.CSTAT=1, store 201 in GEN.OUTCOME
else store 215 in GEN.OUTCOME
Array:
Skip Instructions: <1> if there is a Sample Child that has not been
Child.VFY.VFYINTRO_C]
else if GEN.OUTCOME IN 215 [goto BCK.THANKS_INSUF]
else [goto BCK.THANKS_SUF]

Last Modified: Thursday, September 21, 2017

interviewed

[goto

Page 58 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HISPTYPE_A

Field

Adult.VFY.HISPTYPE_A
Description: Sample Adult's Hispanic Ancestry
Form Pane Label: Hispanic origin
SAS Name: HISPTYPE_A
Tag Name: Adult.VFY.HISPTYPE_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.NATO_FINAL[PX_A]=1
Universe Description: Respondent is of Hispanic Origin
Question Text: What is your Hispanic or Latino ancestry or origin, such as Mexican, Mexican
American, ^CHICANOA, Central or South American, Puerto Rican, Cuban,
Dominican (Republic), or Other Hispanic, ^LATINOA, or Spanish -- and if you
have more than one, tell me all of them.
Enter all that apply, separate with commas.

Fills: CHICANOA
Instructions: If SEX_FINAL = 1 fill: "Chicano"
if SEX_FINAL = 2,DK,RF fill "Chicano or Chicana"

Fills: LATINOA
Instructions: If SEX_FINAL= 1 fill: "Latino"
if SEX_FINAL = 2,DK,RF fill "Latino or Latina"

Type: Set
Max Number of Values:
Length: 1
Answer List: THISPTYPE
Value:

Mnemonic:

Description:

1

Mexican, Mexcian American, or Chicano(a)

2

Central American

3

South American

4

Puerto Rican

Last Modified: Thursday, September 21, 2017

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Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

5

Cuban

6

Dominican (Republic)

7

Other Hispanic, Latino(a), or Spanish (specifiy)
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <7> [goto HISPOTH_A]
<1-6,DK,RF>
if GEN.RACE_FINAL[PX_A]=6 [goto PITYPE_A]
elseif GEN.RACE_FINAL[PX_A]=7 [goto ASIANTYPE_A]
elseif GEN.RACE_FINAL[PX_A]=8 [goto RACEOTHER_A]
elseif GEN.RACE_FINAL[PX_A] has multiple values selected [goto MLTRACE_A]
else [goto next section]

Last Modified: Thursday, September 21, 2017

Page 60 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HISPTYPE01_A

Field

Adult.VFY.HISPTYPE01_A
Description: Sample Adult's Hispanic Ancestry - Mexican, Mexcian American, or Chicano(a)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.NATO_FINAL[PX_A]=1
Universe Description: Respondent is of Hispanic Origin
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: THISPTYPE
Value:

Mnemonic:

Description:

1

Mexican, Mexcian American, or Chicano(a)

2

Central American

3

South American

4

Puerto Rican

5

Cuban

6

Dominican (Republic)

7

Other Hispanic, Latino(a), or Spanish (specifiy)
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 61 of 895

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Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HISPTYPE02_A

Field

Adult.VFY.HISPTYPE02_A
Description: Sample Adult's Hispanic Ancestry - Central American
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.NATO_FINAL[PX_A]=1
Universe Description: Respondent is of Hispanic Origin
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: THISPTYPE
Value:

Mnemonic:

Description:

1

Mexican, Mexcian American, or Chicano(a)

2

Central American

3

South American

4

Puerto Rican

5

Cuban

6

Dominican (Republic)

7

Other Hispanic, Latino(a), or Spanish (specifiy)
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 62 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HISPTYPE03_A

Field

Adult.VFY.HISPTYPE03_A
Description: Sample Adult's Hispanic Ancestry - South American
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.NATO_FINAL[PX_A]=1
Universe Description: Respondent is of Hispanic Origin
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: THISPTYPE
Value:

Mnemonic:

Description:

1

Mexican, Mexcian American, or Chicano(a)

2

Central American

3

South American

4

Puerto Rican

5

Cuban

6

Dominican (Republic)

7

Other Hispanic, Latino(a), or Spanish (specifiy)
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 63 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HISPTYPE04_A

Field

Adult.VFY.HISPTYPE04_A
Description: Sample Adult's Hispanic Ancestry - Puerto Rican
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.NATO_FINAL[PX_A]=1
Universe Description: Respondent is of Hispanic Origin
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: THISPTYPE
Value:

Mnemonic:

Description:

1

Mexican, Mexcian American, or Chicano(a)

2

Central American

3

South American

4

Puerto Rican

5

Cuban

6

Dominican (Republic)

7

Other Hispanic, Latino(a), or Spanish (specifiy)
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 64 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HISPTYPE05_A

Field

Adult.VFY.HISPTYPE05_A
Description: Sample Adult's Hispanic Ancestry - Cuban
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.NATO_FINAL[PX_A]=1
Universe Description: Respondent is of Hispanic Origin
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: THISPTYPE
Value:

Mnemonic:

Description:

1

Mexican, Mexcian American, or Chicano(a)

2

Central American

3

South American

4

Puerto Rican

5

Cuban

6

Dominican (Republic)

7

Other Hispanic, Latino(a), or Spanish (specifiy)
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 65 of 895

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Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HISPTYPE06_A

Field

Adult.VFY.HISPTYPE06_A
Description: Sample Adult's Hispanic Ancestry - Dominican (Republic)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.NATO_FINAL[PX_A]=1
Universe Description: Respondent is of Hispanic Origin
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: THISPTYPE
Value:

Mnemonic:

Description:

1

Mexican, Mexcian American, or Chicano(a)

2

Central American

3

South American

4

Puerto Rican

5

Cuban

6

Dominican (Republic)

7

Other Hispanic, Latino(a), or Spanish (specifiy)
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 66 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HISPTYPE07_A

Field

Adult.VFY.HISPTYPE07_A
Description: Sample Adult's Hispanic Ancestry - Other Hispanic, Latino(a), or Spanish (specifiy)
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.NATO_FINAL[PX_A]=1
Universe Description: Respondent is of Hispanic Origin
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: THISPTYPE
Value:

Mnemonic:

Description:

1

Mexican, Mexcian American, or Chicano(a)

2

Central American

3

South American

4

Puerto Rican

5

Cuban

6

Dominican (Republic)

7

Other Hispanic, Latino(a), or Spanish (specifiy)
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 67 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HISPOTH_A

Field

Adult.VFY.HISPOTH_A
Description: Verbatim for other type of Hispanic of Sample Adult
Form Pane Label: Other Hispanic origin
SAS Name: HISPOTH_A
Tag Name: Adult.VFY.HISPOTH_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: HISPTYPE_A=7
Universe Description: Respondent is of Other Hispanic Origin
Help Screen: H_CENTRALSOUTHAM
Question Text: ?[F1]
What is your Hispanic or Latino ancestry or origin? If you have more than one
tell me all of them.
If any of the following are mentioned, backup to previous screen and correct the
entry.
Mexican
Mexican American
Chicano/Chicana
Central American (REFER TO HELP SCREEN)
South American (REFER TO HELP SCREEN)
Puerto Rican
Cuban/Cuban American
Dominican (Republic)

Type: String
Length: 80
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions:  if GEN.RACE_FINAL[PX_A]=6 [goto PITYPE_A]
Last Modified: Thursday, September 21, 2017

Page 68 of 895

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Blaise Item-Level Specifications Report
Spider Version 1.6.2

elseif GEN.RACE_FINAL[PX_A]=7 [goto ASIANTYPE_A]
elseif GEN.RACE_FINAL[PX_A]=8 [goto RACEOTHER_A]
elseif GEN.RACE_FINAL[PX_A] has multiple values selected [goto MLTRACE_A]
else [goto next section]

Last Modified: Thursday, September 21, 2017

Page 69 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PITYPE_A

Field

Adult.VFY.PITYPE_A
Description: Sample Adult's type of Pacific Islander
Form Pane Label: Pacific Islander origin
SAS Name: PITYPE_A
Tag Name: Adult.VFY.PITYPE_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.RACE_FINAL[PX_A]=6
Universe Description: Respondent identifies race as Pacific Islander
Question Text: I have recorded that you are Pacific Islander. What specific ethnic group or
groups are you-- such as Guamanian or Chamorro, Samoan, or other Pacific
Islander? If you are more than one, tell me all of them.
Enter all that apply, separate with commas.

Type: Set
Max Number of Values:
Length: 1
Answer List: TNHPITYPE
Value:

Mnemonic:

Description:

1

Guamanian or Chamorro

2

Samoan

3

Other Pacific Islander
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-3,RF,DK> if GEN.RACE_FINAL[PX_A]=7 [goto ASIANTYPE_A]
elseif GEN.RACE_FINAL[PX_A]=8 [goto RACEOTHER_A]
elseif GEN.RACE_FINAL[PX_A] has multiple values selected [goto MLTRACE_A]

Last Modified: Thursday, September 21, 2017

Page 70 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

else [goto next section]

Last Modified: Thursday, September 21, 2017

Page 71 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PITYPE01_A

Field

Adult.VFY.PITYPE01_A
Description: Sample Adult's type of Pacific Islander - Guamanian or Chamorro
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.RACE_FINAL[PX_A]=6
Universe Description: Respondent identifies race as Pacific Islander
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: TNHPITYPE
Value:

Mnemonic:

Description:

1

Guamanian or Chamorro

2

Samoan

3

Other Pacific Islander
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 72 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PITYPE02_A

Field

Adult.VFY.PITYPE02_A
Description: Sample Adult's type of Pacific Islander - Samoan
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.RACE_FINAL[PX_A]=6
Universe Description: Respondent identifies race as Pacific Islander
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: TNHPITYPE
Value:

Mnemonic:

Description:

1

Guamanian or Chamorro

2

Samoan

3

Other Pacific Islander
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 73 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PITYPE03_A

Field

Adult.VFY.PITYPE03_A
Description: Sample Adult's type of Pacific Islander - Other Pacific Islander
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.RACE_FINAL[PX_A]=6
Universe Description: Respondent identifies race as Pacific Islander
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: TNHPITYPE
Value:

Mnemonic:

Description:

1

Guamanian or Chamorro

2

Samoan

3

Other Pacific Islander
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 74 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ASIANTYPE_A

Field

Adult.VFY.ASIANTYPE_A
Description: Sample Adult's type of Asian Ethnicity
Form Pane Label: Asian origin
SAS Name: ASIANTYPE_A
Tag Name: Adult.VFY.ASIANTYPE_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.RACE_FINAL[PX_A]=7
Universe Description: Sample Adult identifies race as Asian
Question Text: I have recorded that you are Asian. What specific ethnic group or groups are
you-- such as Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese,
or Other Asian? If you are more than one, tell me all of them.
Enter all that apply, separate with commas.

Type: Set
Max Number of Values:
Length: 1
Answer List: TASIATYPE
Value:

Mnemonic:

Description:

1

Asain Indian

2

Chinese

3

Filipino

4

Japanese

5

Korean

6

Vietnamese

7

Other Asian
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 75 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <7> [goto ASIANOTHER_A]
<1-6,RF,DK>
elseif GEN.RACE_FINAL[PX_A]=8 [goto RACEOTHER_A]
elseif GEN.RACE_FINAL[PX_A] has multiple values selected [goto MLTRACE_A]
else [goto next section]

Last Modified: Thursday, September 21, 2017

Page 76 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ASIANTYPE01_A

Field

Adult.VFY.ASIANTYPE01_A
Description: Sample Adult's type of Asian Ethnicity - Asain Indian
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.RACE_FINAL[PX_A]=7
Universe Description: Sample Adult identifies race as Asian
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: TASIATYPE
Value:

Mnemonic:

Description:

1

Asain Indian

2

Chinese

3

Filipino

4

Japanese

5

Korean

6

Vietnamese

7

Other Asian
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 77 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ASIANTYPE02_A

Field

Adult.VFY.ASIANTYPE02_A
Description: Sample Adult's type of Asian Ethnicity - Chinese
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.RACE_FINAL[PX_A]=7
Universe Description: Sample Adult identifies race as Asian
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: TASIATYPE
Value:

Mnemonic:

Description:

1

Asain Indian

2

Chinese

3

Filipino

4

Japanese

5

Korean

6

Vietnamese

7

Other Asian
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 78 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ASIANTYPE03_A

Field

Adult.VFY.ASIANTYPE03_A
Description: Sample Adult's type of Asian Ethnicity - Filipino
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.RACE_FINAL[PX_A]=7
Universe Description: Sample Adult identifies race as Asian
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: TASIATYPE
Value:

Mnemonic:

Description:

1

Asain Indian

2

Chinese

3

Filipino

4

Japanese

5

Korean

6

Vietnamese

7

Other Asian
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 79 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ASIANTYPE04_A

Field

Adult.VFY.ASIANTYPE04_A
Description: Sample Adult's type of Asian Ethnicity - Japanese
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.RACE_FINAL[PX_A]=7
Universe Description: Sample Adult identifies race as Asian
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: TASIATYPE
Value:

Mnemonic:

Description:

1

Asain Indian

2

Chinese

3

Filipino

4

Japanese

5

Korean

6

Vietnamese

7

Other Asian
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 80 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ASIANTYPE05_A

Field

Adult.VFY.ASIANTYPE05_A
Description: Sample Adult's type of Asian Ethnicity - Korean
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.RACE_FINAL[PX_A]=7
Universe Description: Sample Adult identifies race as Asian
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: TASIATYPE
Value:

Mnemonic:

Description:

1

Asain Indian

2

Chinese

3

Filipino

4

Japanese

5

Korean

6

Vietnamese

7

Other Asian
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 81 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ASIANTYPE06_A

Field

Adult.VFY.ASIANTYPE06_A
Description: Sample Adult's type of Asian Ethnicity - Vietnamese
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.RACE_FINAL[PX_A]=7
Universe Description: Sample Adult identifies race as Asian
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: TASIATYPE
Value:

Mnemonic:

Description:

1

Asain Indian

2

Chinese

3

Filipino

4

Japanese

5

Korean

6

Vietnamese

7

Other Asian
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 82 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ASIANTYPE07_A

Field

Adult.VFY.ASIANTYPE07_A
Description: Sample Adult's type of Asian Ethnicity - Other Asian
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.RACE_FINAL[PX_A]=7
Universe Description: Sample Adult identifies race as Asian
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: TASIATYPE
Value:

Mnemonic:

Description:

1

Asain Indian

2

Chinese

3

Filipino

4

Japanese

5

Korean

6

Vietnamese

7

Other Asian
x Don't Know
x Refuse
Empty
On Input
x On Output
Array:

Last Modified: Tuesday, September 12, 2017

Page 83 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ASIANOTHER_A

Field

Adult.VFY.ASIANOTHER_A
Description: Asian other specify
Form Pane Label: Other Asian origin
SAS Name: ASIANOTHER_A
Tag Name: Adult.VFY.ASIANOTHER_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: ASIANTYPE_A=7
Universe Description: Respondent identifies as other Asian
Question Text: What is your specific Asian ethnic group or groups? If you have more than 1
tell me all of them.
If any of the following are mentioned, backup to previous screen and correct the
entry.
(Asian) Indian
Chinese
Filipino
Japanese
Korean
Vietnamese

Type: String
Length: 80
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions:  if GEN.RACE_FINAL[PX_A]=8 [goto RACEOTHER_A]
elseif GEN.RACE_FINAL[PX_A] has multiple values selected [goto MLTRACE_A]
else [goto next section]

Last Modified: Tuesday, September 12, 2017

Page 84 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

RACEOTHER_A

Field

Adult.VFY.RACEOTHER_A
Description: Other race specify
Form Pane Label: Other race specify
SAS Name: RACEOTHER_A
Tag Name: Adult.VFY.RACEOTHER_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.RACE_FINAL[PX_A]=8
Universe Description: Respondent identifies as some other race
Question Text: What other race or races do you consider yourself to be?

Type: String
Length: 80
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions:  if multiple responses to GEN.RACE_FINAL[PX_A] [goto
MLTRACE_A]
else [goto next section]

Last Modified: Tuesday, September 12, 2017

Page 85 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MLTRACE_A

Field

Adult.VFY.MLTRACE_A
Description: Multiple races
Form Pane Label: Multiple races
SAS Name: MLTRACE_A
Tag Name: Adult.VFY.MLTRACE_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: Sample Adults with more than 1 race in GEN.RACE_FINAL[PX_A]
Universe Description: Person identified as having multiple races
Question Text: Which one of these groups, that is ^RACELISTOR_A would you say BEST
represents your race?

Fills: RACELISTOR_A
Instructions: Fill categories marked at the RACE screen. Add the word "or" before the last
category. For category 8, display "some other race" and not the text in
RACE_SP

Type: Enumerated
Length: 2
Answer List: TRACE
Value:

Mnemonic:

Description:

1

White

2

Black/African American

3

American Indian

4

Alaska Native

5

Native Hawaiian

6

Other Pacific Islander

7

Asian

8

Some other race
x Don't Know
x Refuse
Empty

Last Modified: Tuesday, September 12, 2017

Page 86 of 895

Survey: NHIS Bridge
Section: Adult.VFY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x On Input
x On Output
Array:
Special Instructions: In the answer list, display
GEN.RACE_FINAL[PX_A]

the

codes

and

categories

marked

in

Skip Instructions: <1-8,RF,DK> [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 87 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HIS

Block

Adult.HIS
Description: Health Status
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Tuesday, October 3, 2017

Page 88 of 895

Survey: NHIS Bridge
Section: Adult.HIS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PHSTAT_A

Field

Adult.HIS.PHSTAT_A
Description: General health status
Form Pane Label: General health status
SAS Name: PHSTAT_A
Tag Name: Adult.HIS.PHSTAT_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Would you say your health in general is excellent, very good, good, fair, or
poor?

Type: Enumerated
Length: 1
Answer List: TPHSTAT
Value:

Mnemonic:

Description:

1

Excellent

2

Very Good

3

Good

4

Fair

5

Poor
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-5,RF,DK> [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 89 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HYP

Block

Adult.HYP
Description: Hypertension
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Wednesday, September 27, 2017

Page 90 of 895

Survey: NHIS Bridge
Section: Adult.HYP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HYPINTRO_A

Field

Adult.HYP.HYPINTRO_A
Description: Introduction to conditions section.
Form Pane Label: Conditions introduction
SAS Name: HYPINTRO_A
Tag Name: Adult.HYP.HYPINTRO_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Now I am going to ask you about certain medical conditions.
Enter 1 to continue.

Type: Enumerated
Length: 1
Answer List: tContinue
Value:

Mnemonic:

1

Description:
Enter 1 to Continue
Don't Know
Refuse
Empty
On Input
On Output

Array:
Skip Instructions: <1> [goto HYPEV_A]

Last Modified: Wednesday, September 27, 2017

Page 91 of 895

Survey: NHIS Bridge
Section: Adult.HYP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HYPEV_A

Field

Adult.HYP.HYPEV_A
Description: Ever had hypertension
Form Pane Label: Ever had hypertension
SAS Name: HYPEV_A
Tag Name: Adult.HYP.HYPEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Have you EVER been told by a doctor or other health professional that you had
...Hypertension, also called high blood pressure?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto HYPDIF_A]
<2,RF,DK> [goto next section]

Last Modified: Wednesday, September 27, 2017

Page 92 of 895

Survey: NHIS Bridge
Section: Adult.HYP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HYPDIF_A

Field

Adult.HYP.HYPDIF_A
Description: Hypertension, two + vists
Form Pane Label: Hypertension, two + vists
SAS Name: HYPDIF_A
Tag Name: Adult.HYP.HYPDIF_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: HYPEV_A='1'
Universe Description: Sample Adults 18+ who were told they had hypertension
Question Text: Were you told on two or more DIFFERENT visits that you had hypertension,
also called high blood pressure?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto HYP12M_A]
<2,RF,DK> [goto HYPMED_A]

Last Modified: Wednesday, September 27, 2017

Page 93 of 895

Survey: NHIS Bridge
Section: Adult.HYP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HYP12M_A

Field

Adult.HYP.HYP12M_A
Description: Hypertension, past 12m
Form Pane Label: Hypertension, past 12m
SAS Name: HYP12M_A
Tag Name: Adult.HYP.HYP12M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: HYPDIF_A='1'
Universe Description: Sample Adults 18+ who were ever told they had hypertension (2+ visits)
Question Text: During the past 12 months, have you had hypertension, also called high blood
pressure?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto HYPMED_A]

Last Modified: Wednesday, September 27, 2017

Page 94 of 895

Survey: NHIS Bridge
Section: Adult.HYP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HYPMED_A

Field

Adult.HYP.HYPMED_A
Description: Now taking high blood pressure medication
Form Pane Label: High blood pressure meds
SAS Name: HYPMED_A
Tag Name: Adult.HYP.HYPMED_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: HYPEV_A = '1'
Universe Description: Sample Adults 18+ who have been told they have hypertension
Question Text: Are you NOW taking any medication prescribed by a doctor for your high blood
pressure?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 95 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CHL

Block

Adult.CHL
Description: Cholesterol
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Wednesday, September 27, 2017

Page 96 of 895

Survey: NHIS Bridge
Section: Adult.CHL

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CHLEV_A

Field

Adult.CHL.CHLEV_A
Description: Ever had high cholesterol
Form Pane Label: Ever had high cholesterol
SAS Name: CHLEV_A
Tag Name: Adult.CHL.CHLEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Have you EVER been told by a doctor or other health professional that you had
high cholesterol?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto CHL12M_A]
<2,RF,DK> [goto next section]

Last Modified: Wednesday, September 27, 2017

Page 97 of 895

Survey: NHIS Bridge
Section: Adult.CHL

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CHL12M_A

Field

Adult.CHL.CHL12M_A
Description: High cholesterol, past 12m
Form Pane Label: High cholesterol, past 12m
SAS Name: CHL12M_A
Tag Name: Adult.CHL.CHL12M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: CHLEV_A='1'
Universe Description: Sample Adults 18+ who were ever told they had high cholesterol
Question Text: During the past 12 months, have you had high cholesterol?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto CHLMED_A]

Last Modified: Wednesday, September 27, 2017

Page 98 of 895

Survey: NHIS Bridge
Section: Adult.CHL

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CHLMED_A

Field

Adult.CHL.CHLMED_A
Description: Cholesterol medication-now
Form Pane Label: Cholesterol medication-now
SAS Name: CHLMED_A
Tag Name: Adult.CHL.CHLMED_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: CHLEV_A='1'
Universe Description: Sample Adults 18+ who were ever told they had high cholesterol
Question Text: Are you NOW taking any medication prescribed by a doctor to help lower your
cholesterol?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 99 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CVC

Block

Adult.CVC
Description: Cardiovascular Conditions
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Wednesday, September 27, 2017

Page 100 of 895

Survey: NHIS Bridge
Section: Adult.CVC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CHDEV_A

Field

Adult.CVC.CHDEV_A
Description: Ever had coronary heart disease
Form Pane Label: Ever had coronary heart disease
SAS Name: CHDEV_A
Tag Name: Adult.CVC.CHDEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Have you EVER been told by a doctor or other health professional that you had
...Coronary heart disease?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto ANGEV_A]

Last Modified: Wednesday, September 27, 2017

Page 101 of 895

Survey: NHIS Bridge
Section: Adult.CVC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ANGEV_A

Field

Adult.CVC.ANGEV_A
Description: Ever had angina
Form Pane Label: Ever had angina
SAS Name: ANGEV_A
Tag Name: Adult.CVC.ANGEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: Have you EVER been told by a doctor or other health
professional that you had
...Angina, also called angina pectoris?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto MIEV_A]

Last Modified: Wednesday, September 27, 2017

Page 102 of 895

Survey: NHIS Bridge
Section: Adult.CVC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MIEV_A

Field

Adult.CVC.MIEV_A
Description: Ever had a heart attack
Form Pane Label: Ever had a heart attack
SAS Name: MIEV_A
Tag Name: Adult.CVC.MIEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: Have you EVER been told by a doctor or other health
professional that you had
...A heart attack, also called myocardial infarction?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto STREV_A]

Last Modified: Wednesday, September 27, 2017

Page 103 of 895

Survey: NHIS Bridge
Section: Adult.CVC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

STREV_A

Field

Adult.CVC.STREV_A
Description: Ever had a stroke
Form Pane Label: Ever had a stroke
SAS Name: STREV_A
Tag Name: Adult.CVC.STREV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: Have you EVER been told by a doctor or other health
professional that you had
...A stroke?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Tuesday, August 29, 2017

Page 104 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ASP

Block

Adult.ASP
Description: Aspirin
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL=40-120
Universe Description: 40+ years old
Array:
Block Instructions:

Last Modified: Wednesday, September 27, 2017

Page 105 of 895

Survey: NHIS Bridge
Section: Adult.ASP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ASPMEDEV_A

Field

Adult.ASP.ASPMEDEV_A
Description: Told to take low-dose aspirin
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Told to take low-dose aspirin
ASPMEDEV_A
Adult.ASP.ASPMEDEV_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(GEN.AGE_FINAL=40-120)

Universe:
Universe Description: Sample Adults 40+
Question Text: Has a doctor or other health professional EVER told you to take a low-dose
aspirin each day to prevent or control heart disease?
If the respondent volunteers they have been told to take an aspirin every other day
or "regularly" for these reasons, enter 1 for "yes."

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto ASPMEDNOWN_A]
<2,RF,DK> [goto ASPONOWN_A]

Last Modified: Wednesday, September 27, 2017

Page 106 of 895

Survey: NHIS Bridge
Section: Adult.ASP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ASPMEDNOWN_A

Field

Adult.ASP.ASPMEDNOWN_A
Description: Now following aspirin advice
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Now following aspirin advice
ASPMEDNOWN_A
Adult.ASP.ASPMEDNOWN_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(GEN.AGE_FINAL=40-120)

Universe: ASPMEDEV_A=1
Universe Description: Sample Adults 40+ who have ever been advised to take a low-dose aspirin every day
to prevent or control heart disease
Question Text: Are you NOW following this advice?
If the respondent provides an answer such as "sometimes," "occasionally," or "from
time to time," enter '1' for "yes."

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,RF,DK> [goto next section]
<2> [goto ASPMEDSTP_A]

Last Modified: Wednesday, September 27, 2017

Page 107 of 895

Survey: NHIS Bridge
Section: Adult.ASP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ASPMEDSTP_A

Field

Adult.ASP.ASPMEDSTP_A
Description: Advise to stop taking aspirin
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Advise to stop taking aspirin
ASPMEDSTP_A
Adult.ASP.ASPMEDSTP_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(GEN.AGE_FINAL=40-120)

Universe: ASPMEDNOWN_A=2
Universe Description: Sample Adults 40+ who have ever been advised to take aspirin every day, but are not
currently following that advice
Question Text: Did a doctor or other health professional advise you to stop taking a low-dose
aspirin every day?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Wednesday, September 27, 2017

Page 108 of 895

Survey: NHIS Bridge
Section: Adult.ASP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ASPONOWN_A

Field

Adult.ASP.ASPONOWN_A
Description: Taking low dose-aspirin on own
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Taking low dose-aspirin on own
ASPONOWN_A
Adult.ASP.ASPONOWN_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(GEN.AGE_FINAL=40-120)

Universe: ASPMEDEV_A IN (2,RF,DK)
Universe Description: Sample Adults 40+ who have not been advised to take aspirin every day or
refused/don't know if they have been advised to take aspirin every day
Question Text: On your own, are you now taking a low-dose aspirin each day to prevent or
control heart disease?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 109 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

AST

Block

Adult.AST
Description: Asthma
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Wednesday, September 27, 2017

Page 110 of 895

Survey: NHIS Bridge
Section: Adult.AST

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ASEV_A

Field

Adult.AST.ASEV_A
Description: Ever had asthma
Form Pane Label: Ever had asthma
SAS Name: ASEV_A
Tag Name: Adult.AST.ASEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Have you EVER been told by a doctor or other health professional that you had
asthma?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto ASTILL_A]
<2,RF,DK> [goto next section]

Last Modified: Wednesday, September 20, 2017

Page 111 of 895

Survey: NHIS Bridge
Section: Adult.AST

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ASTILL_A

Field

Adult.AST.ASTILL_A
Description: Still have asthma
Form Pane Label: Still have asthma
SAS Name: ASTILL_A
Tag Name: Adult.AST.ASTILL_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: ASEV_A='1'
Universe Description: Sample Adults 18+ who were ever told they have asthma
Question Text: Do you still have asthma?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto ASAT12M_A]

Last Modified: Wednesday, September 20, 2017

Page 112 of 895

Survey: NHIS Bridge
Section: Adult.AST

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ASAT12M_A

Field

Adult.AST.ASAT12M_A
Description: Asthma episode
Form Pane Label: Asthma episode
SAS Name: ASAT12M_A
Tag Name: Adult.AST.ASAT12M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: ASEV_A='1'
Universe Description: Sample Adults 18+ who were ever told they had asthma
Question Text: During the past 12 months, have you had an episode of asthma or an asthma
attack?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto ASER12M_A]

Last Modified: Wednesday, September 20, 2017

Page 113 of 895

Survey: NHIS Bridge
Section: Adult.AST

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ASER12M_A

Field

Adult.AST.ASER12M_A
Description: Asthma ER visit
Form Pane Label: Asthma ER visit
SAS Name: ASER12M_A
Tag Name: Adult.AST.ASER12M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: ASEV_A='1'
Universe Description: Sample Adults 18+ who were ever told they had asthma
Question Text: During the past 12 months, have you had to visit an emergency room or urgent
care center because of asthma?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 114 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CAN

Block

Adult.CAN
Description: Cancer
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Wednesday, May 3, 2017

Page 115 of 895

Survey: NHIS Bridge
Section: Adult.CAN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CANEV_A

Field

Adult.CAN.CANEV_A
Description: Ever had cancer
Form Pane Label: Ever had cancer
SAS Name: CANEV_A
Tag Name: Adult.CAN.CANEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Have you EVER been told by a doctor or other health professional that you had
...Cancer or a malignancy of any kind?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto CANKIND1_A]]
<2,RF,DK> [goto next section]

Last Modified: Thursday, September 21, 2017

Page 116 of 895

Survey: NHIS Bridge
Section: Adult.CAN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CANKIND1_A

Field

Adult.CAN.CANKIND1_A
Description: First kind of cancer
Form Pane Label: First kind of cancer
SAS Name: CANKIND1_A
Tag Name: Adult.CAN.CANKIND1_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: CANEV_A=1
Universe Description: Sample Adults 18+ who were ever told they had cancer
Question Text: What kind of cancer was it?
Enter code for the first kind of cancer.

Type: Enumerated
Length: 1
Answer List: TCANKIND1_A
Value:

Mnemonic:

Description:

1

Bladder

2

Blood

3

Bone

4

Brain

5

Breast

6

Cervix/Cervical

7

Colon

8

Esophagus/Esophageal

9

Gallbladder

10

Kidney

11

Larynx-trachea

12

Leukemia

13

Liver

14

Lung

15

Lymphoma

16

Melanoma

Last Modified: Thursday, September 21, 2017

Page 117 of 895

Survey: NHIS Bridge
Section: Adult.CAN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

17

Mouth/tongue/lip

18

Ovary/Ovarian

19

Pancreas/Pancreatic

20

Prostate

21

Rectum/Rectal

22

Skin (non-melanoma)

23

Skin (don't know what kind)

24

Soft tissue (muscle or fat)

25

Stomach

26

Testis/Testicular

27

Throat - pharynx

28

Thyroid

29

Uterus/Uterine

30

Other
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Special Instructions: If GEN.SEX_FINAL[PX_A]=1, grey out answer numbers 6, 18, 29
If GEN.SEX_FINAL[PX_A]=2, grey out answer numbers 20, 26
Skip Instructions: If SEX_FINAL[PX_A]=1 and CANKIND1_A IN ('6','18','29')[goto ERR1_ CANKIND_A]
elseif SEX_FINAL[PX_A]=2 and CANKIND1_A IN ('20','26')[goto ERR2_
CANKIND_A]
<1-30,RF,DK> [goto CANAGE1_A]

Last Modified: Friday, June 2, 2017

Page 118 of 895

Survey: NHIS Bridge
Section: Adult.CAN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR1_ CANKIND_A

Check

Adult.CAN.ERR1_ CANKIND_A
Description: CANKIND_A male hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: SEX_FINAL=1 and (CANKIND1_A=6 or 18 or 29) or (CANKIND21_A=6 or 18 or 29)
or (CANKIND3_A=6 or 18 or 29)
Universe Description:
Text: {check ERR1_CANKIND_A}
Code 6 or 18 or 29 is unavailable for males.

Check Instructions:
Type: Hard

Last Modified: Friday, June 2, 2017

Page 119 of 895

Survey: NHIS Bridge
Section: Adult.CAN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR2_ CANKIND_A

Check

Adult.CAN. ERR2_ CANKIND_A
Description: CANKIND_A female hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: SEX_FINAL=2 and (CANKIND1_A=20 or 26) or (CANKIND2_A=20 or 26) or
(CANKIND3_A=20 or 26)
Universe Description:
Text: {check ERR2_CANKIND_A}
Code 20 or 26 is unavailable for females.

Check Instructions:
Type: Hard

Last Modified: Thursday, September 21, 2017

Page 120 of 895

Survey: NHIS Bridge
Section: Adult.CAN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CANAGE1_A

Field

Adult.CAN.CANAGE1_A
Description: Age diagnosed-first cancer
Form Pane Label: Age diagnosed-first cancer
SAS Name: CANAGE1_A
Tag Name: Adult.CAN.CANAGE1_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: CANEV_A=1
Universe Description: Sample Adults 18+ who were ever told they had cancer
Question Text: How old were you when ^CANKIND1 was first diagnosed?

Fills: CANKIND1
Instructions: If CANKIND1_A = RF,DK fill "this cancer";
else fill "bladder cancer" if CANKIND1_A = 1;
else fill "blood cancer" if CANKIND1_A = 2;
else fill "bone cancer" if CANKIND1_A = 3;
else fill "brain cancer" if CANKIND1_A = 4;
else fill "breast cancer" if CANKIND1_A = 5;
else fill "cervical cancer" if CANKIND1_A = 6;
else fill "colon cancer" if CANKIND1_A = 7;
else fill "esophageal cancer" if CANKIND1_A = 8;
else fill "gallbladder cancer" if CANKIND1_A = 9;
else fill "kidney cancer" if CANKIND1_A = 10;
else fill "larynx-trachea cancer" if CANKIND1_A = 11;
else fill "leukemia" if CANKIND1_A = 12;
else fill "liver cancer" if CANKIND1_A = 13;
else fill "lung cancer" if CANKIND1_A = 14;
else fill "lymphoma" if CANKIND1_A = 15;
else fill "melanoma" if CANKIND1_A = 16;
else fill "mouth/tongue/lip cancer" if CANKIND1_A = 17;
else fill "ovarian cancer" if CANKIND1_A = 18;
else fill "pancreatic cancer" if CANKIND1_A = 19;
else fill "prostate cancer" if CANKIND1_A = 20;
else fill "rectal cancer" if CANKIND1_A = 21;
else fill "skin (non-melanoma) cancer" if CANKIND1_A = 22;
else fill "skin (don't know what kind)" cancer if CANKIND1_A = 23;
else fill "soft tissue (muscle or fat) cancer" if CANKIND1_A = 24;
else fill "stomach cancer" if CANKIND1_A = 25;
Last Modified: Thursday, September 21, 2017

Page 121 of 895

Survey: NHIS Bridge
Section: Adult.CAN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

else fill "testicular cancer" if CANKIND1_A = 26;
else fill "throat/pharynx cancer" if CANKIND1_A = 27;
else fill "thyroid cancer" if CANKIND1_A = 28;
else fill "uterine cancer" if CANKIND1_A = 29;
else fill "other cancer" if CANKIND1_A = 30

Type: Integer
Length: 3
Min: 1
Max: 120
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-120,RF,DK> [goto CANKIND2_A]
If number in CANAGE1_A gt GEN.AGE_FINAL[PX_A] [goto ERR_CANAGE1_A]

Last Modified: Friday, June 2, 2017

Page 122 of 895

Survey: NHIS Bridge
Section: Adult.CAN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR_CANAGE1_A

Check

Adult.CAN.ERR_CANAGE1_A
Description: CANAGE1_A years with cancer greater than age hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: If AGE_FINAL=valid and value in CANAGE1_A gt AGE_FINAL
Universe Description:
Text: {check ERR_CANAGE1_A}
^CANAGE1_A years old is older than age ^SA_AGE.
Please correct.

Check Instructions:
Type: Hard
Fills: CANAGE1_A
Instructions: Fill value from CANAGE1_A
Fills: SA_AGE
Instructions: Fill GEN.AGE_FINAL[PX_A] value for sample adult

Last Modified: Thursday, September 21, 2017

Page 123 of 895

Survey: NHIS Bridge
Section: Adult.CAN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CANKIND2_A

Field

Adult.CAN.CANKIND2_A
Description: Second kind of cancer
Form Pane Label: Second kind of cancer
SAS Name: CANKIND2_A
Tag Name: Adult.CAN.CANKIND2_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: CANEV_A='1'
Universe Description: Sample Adults 18+ who were ever told they had cancer
Question Text: What other kind of cancer did you have?
Enter code for the second kind of cancer.
Enter '96' for no more.

Type: Enumerated
Length: 1
Answer List: TCANKIND2_A
Value:

Mnemonic:

Description:

1

Bladder

2

Blood

3

Bone

4

Brain

5

Breast

6

Cervix/Cervical

7

Colon

8

Esophagus/Esophageal

9

Gallbladder

10

Kidney

11

Larynx-trachea

12

Leukemia

13

Liver

14

Lung

Last Modified: Thursday, September 21, 2017

Page 124 of 895

Survey: NHIS Bridge
Section: Adult.CAN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

15

Lymphoma

16

Melanoma

17

Mouth/tongue/lip

18

Ovary/Ovarian

19

Pancreas/Pancreatic

20

Prostate

21

Rectum/Rectal

22

Skin (non-melanoma )

23

Skin (don't know what kind)

24

Soft tissue (muscle or fat )

25

Stomach

26

Testis/Testicular

27

Throat - pharynx

28

Thyroid

29

Uterus/Uterine

30

Other

96

No more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Special Instructions: gray out value selected at CANKIND1_A in the answer codes
Skip Instructions: If SEX_FINAL[PX_A]=1 and CANKIND2_A IN ('6','18','29') [goto ERR1_ CANKIND_A]
elseif SEX_FINAL[PX_A]=2 and CANKIND2_A IN ('20','26') [goto ERR2_ CANKIND_A]
elseif CANKIND2_A=1-30 and CANKIND1_A=same value as CANKIND2_A [goto
ERR_CANKIND2_A]
<1-30,DK> [goto CANAGE2_A]
<96,RF> [goto next section]

Last Modified: Wednesday, April 26, 2017

Page 125 of 895

Survey: NHIS Bridge
Section: Adult.CAN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR_CANKIND2_A

Check

Adult.CAN.ERR_CANKIND2_A
Description: Previously selected category hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: CANKIND2_A=1-30 and CANKIND1_A=same value as CANKIND2_A
Universe Description: Type of cancer selected for the second kind of cancer is the same type of cancer that
was selected at the first kind of cancer
Text: {check ERR_CANKIND2_A}
Cannot select previously selected answer.
Please correct.

Check Instructions:
Type: Hard

Last Modified: Tuesday, September 26, 2017

Page 126 of 895

Survey: NHIS Bridge
Section: Adult.CAN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CANAGE2_A

Field

Adult.CAN.CANAGE2_A
Description: Age diagnosed-second cancer
Form Pane Label: Age diagnosed-second cancer
SAS Name: CANAGE2_A
Tag Name: Adult.CAN.CANAGE2_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: CANKIND2_A=01-30,DK
Universe Description: Sample Adults 18+ who selected a second kind of cancer or don't know the second
kind of cancer
Question Text: How old were you when ^CANKIND2 was first diagnosed?

Fills: CANKIND2
Instructions: If CANKIND2_A = R,D fill "this cancer";
else fill "bladder cancer" if CANKIND2_A = 1;
else fill "blood cancer" if CANKIND2_A = 2;
else fill "bone cancer" if CANKIND2_A = 3;
else fill "brain cancer" if CANKIND2_A = 4;
else fill "breast cancer" if CANKIND2_A = 5;
else fill "cervical cancer" if CANKIND2_A = 6;
else fill "colon cancer" if CANKIND2_A = 7;
else fill "esophageal cancer" if CANKIND2_A = 8;
else fill "gallbladder cancer" if CANKIND2_A = 9;
else fill "kidney cancer" if CANKIND2_A = 10;
else fill "larynx-trachea cancer" if CANKIND2_A = 11;
else fill "leukemia" if CANKIND2_A = 12;
else fill "liver cancer" if CANKIND2_A = 13;
else fill "lung cancer" if CANKIND2_A = 14;
else fill "lymphoma" if CANKIND2_A = 15;
else fill "melanoma" if CANKIND2_A = 16;
else fill "mouth/tongue/lip cancer" if CANKIND2_A = 17;
else fill "ovarian cancer" if CANKIND2_A = 18;
else fill "pancreatic cancer" if CANKIND2_A = 19;
else fill "prostate cancer" if CANKIND2_A = 20;
else fill "rectal cancer" if CANKIND2_A = 21;
else fill "skin (non-melanoma) cancer" if CANKIND2_A = 22;
else fill "skin (don't know what kind)" cancer if CANKIND2_A = 23;
else fill "soft tissue (muscle or fat) cancer" if CANKIND2_A = 24;
Last Modified: Tuesday, September 26, 2017

Page 127 of 895

Survey: NHIS Bridge
Section: Adult.CAN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

else fill "stomach cancer" if CANKIND2_A = 25;
else fill "testicular cancer" if CANKIND2_A = 26;
else fill "throat/pharynx cancer" if CANKIND2_A = 27;
else fill "thyroid cancer" if CANKIND2_A = 28;
else fill "uterine cancer" if CANKIND2_A = 29;
else fill "other cancer" if CANKIND2_A = 30

Type: Integer
Length: 3
Min: 1
Max: 120
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-120,RF,DK> [goto CANKIND3_A]
If CANAGE2_A gt GEN.AGE_FINAL[PX_A] [goto ERR_CANAGE2_A]

Last Modified: Friday, June 2, 2017

Page 128 of 895

Survey: NHIS Bridge
Section: Adult.CAN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR_CANAGE2_A

Check

Adult.CAN.ERR_CANAGE2_A
Description: CANAGE2_A age greater than years with cancer hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: If AGE_FINAL=valid and value in CANAGE2_A gt AGE_FINAL
Universe Description:
Text: {check ERR_CANAGE2_A}
 ^CANAGE2_A years old is older than age ^SA_AGE.
Please correct.

Check Instructions:
Type: Hard
Fills: CANAGE2_A
Instructions: Fill value from CANAGE2_A
Fills: SA_AGE
Instructions: Fill GEN.AGE_FINAL[PX_A] value for sample adult

Last Modified: Thursday, September 21, 2017

Page 120 of 895

Survey: NHIS Bridge
Section: Adult.CAN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CANKIND3_A

Field

Adult.CAN.CANKIND3_A
Description: Third kind of cancer
Form Pane Label: Third kind of cancer
SAS Name: CANKIND3_A
Tag Name: Adult.CAN.CANKIND3_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: CANKIND2_A=01-30,DK
Universe Description: Sample Adults 18+ who selected a second kind of cancer or don't know the second
kind of cancer
Question Text: What other kind of cancer did you have?
Enter code for the third kind of cancer.
Enter '96' for no more.

Type: Enumerated
Length: 1
Answer List: TCANKIND2_A
Value:

Mnemonic:

Description:

1

Bladder

2

Blood

3

Bone

4

Brain

5

Breast

6

Cervix/Cervical

7

Colon

8

Esophagus/Esophageal

9

Gallbladder

10

Kidney

11

Larynx-trachea

12

Leukemia

13

Liver

14

Lung

Last Modified: Thursday, September 21, 2017

Page 130 of 895

Survey: NHIS Bridge
Section: Adult.CAN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

15

Lymphoma

16

Melanoma

17

Mouth/tongue/lip

18

Ovary/Ovarian

19

Pancreas/Pancreatic

20

Prostate

21

Rectum/Rectal

22

Skin (non-melanoma )

23

Skin (don't know what kind)

24

Soft tissue (muscle or fat )

25

Stomach

26

Testis/Testicular

27

Throat - pharynx

28

Thyroid

29

Uterus/Uterine

30

Other

96

No more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Special Instructions: gray out value selected at CANKIND1_A and CANKIND2_A in the answer codes
Skip Instructions: If SEX=1 and CANKIND3_A IN ('6','18','29') [goto ERR1_CANKIND_A]
elseif SEX=2 and CANKIND3_A IN ('20','26') [goto ERR2_CANKIND_A]
elseif CANKIND3_A=1-30 and (CANKIND1_A=same value as CANKIND3_A
CANKIND2_A=same value as CANKIND3_A) [goto ERR_CANKIND3_A]
<1-30,DK>[goto CANAGE3_A]
<96,RF> [goto next section]

Last Modified: Wednesday, April 26, 2017

or

Page 131 of 895

Survey: NHIS Bridge
Section: Adult.CAN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR_CANKIND3_A

Check

Adult.CAN.ERR_CANKIND3_A
Description: Previously selected answer hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: CANKIND3_A=1-30 and (CANKIND1_A=same
CANKIND2_A=same value as CANKIND3_A)

value

as

CANKIND3_A

or

Universe Description: Type of cancer selected for the third kind of cancer is the same as the type of cancer
that was selected for the second or first kind of cancer
Text: {check ERR_CANKIND3_A}
Cannot select previously selected answer.
Please correct.

Check Instructions:
Type: Hard

Last Modified: Thursday, September 21, 2017

Page 132 of 895

Survey: NHIS Bridge
Section: Adult.CAN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CANAGE3_A

Field

Adult.CAN.CANAGE3_A
Description: Age diagnosed-third cancer
Form Pane Label: Age diagnosed-third cancer
SAS Name: CANAGE3_A
Tag Name: Adult.CAN.CANAGE3_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: CANKIND3_A=01-30,DK
Universe Description: Sample Adults 18+ who selected a third kind of cancer or don't know the third kind of
cancer
Question Text: How old were you when ^CANKIND3 was first diagnosed?

Fills: CANKIND3
Instructions: If CANKIND3_A = R,D fill "this cancer";
else fill "bladder cancer" if CANKIND3_A = 1;
else fill "blood cancer" if CANKIND3_A = 2;
else fill "bone cancer" if CANKIND3_A = 3;
else fill "brain cancer" if CANKIND3_A = 4;
else fill "breast cancer" if CANKIND3_A = 5;
else fill "cervical cancer" if CANKIND3_A = 6;
else fill "colon cancer" if CANKIND3_A = 7;
else fill "esophageal cancer" if CANKIND3_A = 8;
else fill "gallbladder cancer" if CANKIND3_A = 9;
else fill "kidney cancer" if CANKIND3_A = 10;
else fill "larynx-trachea cancer" if CANKIND3_A = 11;
else fill "leukemia" if CANKIND3_A = 12;
else fill "liver cancer" if CANKIND3_A = 13;
else fill "lung cancer" if CANKIND3_A = 14;
else fill "lymphoma" if CANKIND3_A = 15;
else fill "melanoma" if CANKIND3_A = 16;
else fill "mouth/tongue/lip cancer" if CANKIND3_A = 17;
else fill "ovarian cancer" if CANKIND3_A = 18;
else fill "pancreatic cancer" if CANKIND3_A = 19;
else fill "prostate cancer" if CANKIND3_A = 20;
else fill "rectal cancer" if CANKIND3_A = 21;
else fill "skin (non-melanoma) cancer" if CANKIND3_A = 22;
else fill "skin (don't know what kind)" cancer if CANKIND3_A = 23;
else fill "soft tissue (muscle or fat) cancer" if CANKIND3_A = 24;
Last Modified: Thursday, September 21, 2017

Page 133 of 895

Survey: NHIS Bridge
Section: Adult.CAN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

else fill "stomach cancer" if CANKIND3_A = 25;
else fill "testicular cancer" if CANKIND3_A = 26;
else fill "throat/pharynx cancer" if CANKIND3_A = 27;
else fill "thyroid cancer" if CANKIND3_A = 28;
else fill "uterine cancer" if CANKIND3_A = 29;
else fill "other cancer" if CANKIND3_A = 30

Type: Integer
Length: 3
Min: 1
Max: 120
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-120,DK,RF> [goto CANMORE_A]

Last Modified: Friday, June 2, 2017

Page 134 of 895

Survey: NHIS Bridge
Section: Adult.CAN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR_CANAGE3_A

Check

Adult.CAN.ERR_CANAGE3_A
Description: CANAGE3_A age with cancer greater than age
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: If AGE_FINAL=valid and value in CANAGE3_A gt AGE_FINAL
Universe Description:
Text: {check ERR_CANAGE3_A}
^CANAGE3_A years old is older than age ^SA_AGE.
Please correct.

Check Instructions:
Type: Hard
Fills: CANAGE3_A
Instructions: Fill value from CANAGE3_A
Fills: SA_AGE
Instructions: Fill GEN.AGE_FINAL[PX_A] value for sample adult

Last Modified: Thursday, September 21, 2017

Page 135 of 895

Survey: NHIS Bridge
Section: Adult.CAN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CANMORE_A

Field

Adult.CAN.CANMORE_A
Description: Other kinds of cancer
Form Pane Label: Other kinds of cancer
SAS Name: CANMORE_A
Tag Name: Adult.CAN.CANMORE_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: CANKIND3_A=01-30,DK
Universe Description: Sample Adults 18+ who selected a third kind of cancer or don't know the third kind of
cancer
Question Text: Did you have any other kinds of cancer?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Thursday, September 21, 2017

Page 136 of 895

Survey: NHIS Bridge
Section: Adult.CAN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CANKIND01

Field

Adult.CAN.CANKIND01
Description: Bladder cancer
Form Pane Label:
SAS Name: CANKIND01
Tag Name: Adult.CANKIND01
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post-processing variable***

Type: Integer
Length: 1
Min:
Max:
Don't Know
Refuse
Empty
On Input
x On Output
Store Instructions: If CANKIND1_A=01 or CANKIND2_A=01 or CANKIND3_A=01, set CANKIND01=1
Array:

Last Modified: Tuesday, February 14, 2017

Page 137 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DIB

Block

Adult.DIB
Description: Diabetes
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Wednesday, September 20, 2017

Page 138 of 895

Survey: NHIS Bridge
Section: Adult.DIB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PREDIB_A

Field

Adult.DIB.PREDIB_A
Description: Ever had prediabetes
Form Pane Label: Ever had prediabetes
SAS Name: PREDIB_A
Tag Name: Adult.DIB.PREDIB_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Has a doctor or other health professional EVER told you that you had
prediabetes or borderline diabetes?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> If GEN.SEX_FINAL[PX_A]=2 [goto GESDIB_A]
elseif GEN.SEX_FINAL[PX_A]=1,RF,DK [goto DIBEV_A]

Last Modified: Wednesday, September 20, 2017

Page 139 of 895

Survey: NHIS Bridge
Section: Adult.DIB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

GESDIB_A

Field

Adult.DIB.GESDIB_A
Description: Gestational diabetes
Form Pane Label: Ever had gestational diabetes
SAS Name: GESDIB_A
Tag Name: Adult.DIB.GESDIB_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: SEX_FINAL[PX_A]=2
Universe Description: Female Sample Adults 18+
Question Text: Has a doctor or other health professional EVER told you that you had
gestational diabetes, a type of diabetes that occurs ONLY during pregnancy?
Read if necessary: Gestational diabetes is diabetes that you did not have prior to
being pregnant and goes away after you are pregnant. Pregnant women are usually
screened for gestational diabetes during the 24th to 28th week of pregnancy.

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto DIBEV_A]

Last Modified: Wednesday, September 20, 2017

Page 140 of 895

Survey: NHIS Bridge
Section: Adult.DIB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DIBEV_A

Field

Adult.DIB.DIBEV_A
Description: Ever had diabetes
Form Pane Label: Ever had diabetes
SAS Name: DIBEV_A
Tag Name: Adult.DIB.DIBEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: ^NOTPREGDM a doctor or other health professional EVER told you that you
had
diabetes?

Fills: NOTPREGDM
Instructions: If GESDIB_A ne 1 AND PREDIB_A ne 1: "Has"
If GESDIB_A=1 AND PREDIB_A ne 1: "Not including gestational diabetes, has"
If PREDIB_A=1 AND GESDIB_A ne 1: "Not including prediabetes, has"
If GESDIB_A=1 AND PREDIB_A=1: "Not including prediabetes or gestational
diabetes, has"
Â

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output

Last Modified: Wednesday, September 20, 2017

Page 141 of 895

Survey: NHIS Bridge
Section: Adult.DIB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Array:
Skip Instructions: <1> [goto DIBAGE_A]
<2,RF,DK> [goto next section]

Last Modified: Wednesday, September 13, 2017

Page 142 of 895

Survey: NHIS Bridge
Section: Adult.DIB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DIBAGE_A

Field

Adult.DIB.DIBAGE_A
Description: Age diabetes diagnosed
Form Pane Label: Age diabetes diagnosed
SAS Name: DIBAGE_A
Tag Name: Adult.DIB.DIBAGE_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: DIBEV_A=1
Universe Description: Sample Adults 18+ who were told they had diabetes
Question Text: How old were you when a doctor or other health professional FIRST told you
that you had diabetes ^NOTPREGDM2?

Fills: NOTPREGDM2
Instructions: If GESDIB_A ne 1 AND PREDIB_A ne 1: NO FILL
If GESDIB_A=1 AND PREDIB_A ne 1: "not including gestational diabetes"
If PREDIB_A=1 AND GESDIB_A ne 1: "not including prediabetes"
If GESDIB_A=1 AND PREDIB_A=1: "not including prediabetes or gestational
diabetes"

Type: Integer
Length: 3
Min: 1
Max: 120
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: If DIBAGE_A gt GEN.AGE_FINAL[PX_A] [goto ERR_DIBAGE_A]
<1-120,RF,DK> [goto DIBPILL_A]

Last Modified: Friday, June 2, 2017

Page 143 of 895

Survey: NHIS Bridge
Section: Adult.DIB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR_ DIBAGE_A

Check

Adult.DIB.ERR_ DIBAGE_A
Description: DIBAGE_A age greater than SA age hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: If AGE_FINAL=valid and value in DIBAGE_A gt AGE_FINAL
Universe Description:
Text: {check ERR_DIBAGE_A}
 ^DIBAGE_A years old is older than your age ^SA_AGE.
 Please correct.

Check Instructions:
Type: Hard
Fills: DIBAGE_A
Instructions: Fill value from DIBAGE_A
Fills: SA_AGE
Instructions: Fill GEN.AGE_FINAL[PX_A] value for sample adult

Last Modified: Wednesday, September 13, 2017

Page 144 of 895

Survey: NHIS Bridge
Section: Adult.DIB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DIBPILL_A

Field

Adult.DIB.DIBPILL_A
Description: Taking diabetic pills
Form Pane Label: Taking diabetic pills
SAS Name: DIBPILL_A
Tag Name: Adult.DIB.DIBPILL_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: DIBEV_A=1
Universe Description: Sample Adults 18+ who were told they had diabetes
Question Text: Are you NOW taking diabetic pills to lower your blood sugar? These are
sometimes called oral agents or oral hypoglycemic agents.

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-2,RF,DK> [goto DIBINS_A]

Last Modified: Wednesday, September 13, 2017

Page 145 of 895

Survey: NHIS Bridge
Section: Adult.DIB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DIBINS_A

Field

Adult.DIB.DIBINS_A
Description: Taking insulin
Form Pane Label: Taking insulin
SAS Name: DIBINS_A
Tag Name: Adult.DIB.DIBINS_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: DIBEV_A='1'
Universe Description: Sample Adults 18+ who were told they had diabetes
Question Text: Insulin can be taken by shot or pump. Are you NOW taking insulin?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-2,RF,DK> [goto DIBTYPE_A]

Last Modified: Wednesday, September 13, 2017

Page 146 of 895

Survey: NHIS Bridge
Section: Adult.DIB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DIBTYPE_A

Field

Adult.DIB.DIBTYPE_A
Description: Diabetes type
Form Pane Label: Diabetes type
SAS Name: DIBTYPE_A
Tag Name: Adult.DIB.DIBTYPE_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: DIBEV_A=1
Universe Description: Sample Adults 18+ who were told they had diabetes
Question Text: What type of diabetes do you have? Is it Type 1, Type 2, or some other type?

Type: Enumerated
Length: 1
Answer List: TDIBTYPE_A
Value:

Mnemonic:

Description:

1

Type 1

2

Type 2

3

Other type of diabetes
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-3,RF,DK> [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 147 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CON

Block

Adult.CON
Description: Other Chronic Conditions
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Wednesday, May 3, 2017

Page 148 of 895

Survey: NHIS Bridge
Section: Adult.CON

Blaise Item-Level Specifications Report
Spider Version 1.6.2

COPDEV_A

Field

Adult.CON.COPDEV_A
Description: Ever had COPD
Form Pane Label: Ever had COPD
SAS Name: COPDEV_A
Tag Name: Adult.CON.COPDEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Have you EVER been told by a doctor or other health professional that you had
...Chronic Obstructive Pulmonary Disease or COPD, emphysema or chronic
bronchitis?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto ARTHEV_A]

Last Modified: Wednesday, August 30, 2017

Page 149 of 895

Survey: NHIS Bridge
Section: Adult.CON

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ARTHEV_A

Field

Adult.CON.ARTHEV_A
Description: Ever had arthritis
Form Pane Label: Ever had arthritis
SAS Name: ARTHEV_A
Tag Name: Adult.CON.ARTHEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: Have you EVER been told by a doctor or other health
professional that you had
...Some form of arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia
(fy-bro-my-AL-jee-uh)?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto DEMENEV_A]

Last Modified: Wednesday, August 30, 2017

Page 159 of 895

Survey: NHIS Bridge
Section: Adult.CON

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DEMENEV_A

Field

Adult.CON.DEMENEV_A
Description: Ever had dementia
Form Pane Label: Ever had dementia
SAS Name: DEMENEV_A
Tag Name: Adult.CON.DEMENEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: Have you EVER been told by a doctor or other health
professional that you had
...Dementia, including Alzheimer's disease?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto ANXEV_A]

Last Modified: Wednesday, August 30, 2017

Page 151 of 895

Survey: NHIS Bridge
Section: Adult.CON

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ANXEV_A

Field

Adult.CON.ANXEV_A
Description: Ever had anxiety disorder
Form Pane Label: Ever had anxiety disorder
SAS Name: ANXEV_A
Tag Name: Adult.CON.ANXEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: Have you EVER been told by a doctor or other health
professional that you had
...Any type of anxiety disorder?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto DEPEV_A]

Last Modified: Wednesday, August 30, 2017

Page 152 of 895

Survey: NHIS Bridge
Section: Adult.CON

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DEPEV_A

Field

Adult.CON.DEPEV_A
Description: Ever had depression
Form Pane Label: Ever had depression
SAS Name: DEPEV_A
Tag Name: Adult.CON.DEPEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: Have you EVER been told by a doctor or other health
professional that you had
...Any type of depression?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 153 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

BMI

Block

Adult.BMI
Description: Current pregnant, height, weight
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Wednesday, September 13, 2017

Page 154 of 895

Survey: NHIS Bridge
Section: Adult.BMI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PREGNOW_A

Field

Adult.BMI.PREGNOW_A
Description: Pregnant now
Form Pane Label: Pregnant now
SAS Name: PREGNOW
Tag Name: Adult.BMI.PREGNOW
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL[PX_A]=2
and
((GEN.AGE_FINAL[PX_A]
ge
GEN.AGE_FINAL[PX_A] le 49) or GEN.AGE_FINAL[PX_A] IN (DK,RF))

18

and

Universe Description: Female Sample Adults 18-49 or age is don't know or refused
Question Text: Are you currently pregnant?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto WEIGHTLB_A]

Last Modified: Wednesday, August 30, 2017

Page 155 of 895

Survey: NHIS Bridge
Section: Adult.BMI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

WEIGHTLB_A

Field

Adult.BMI.WEIGHTLB_A
Description: Weight in lbs
Form Pane Label: Weight in lbs
SAS Name: WEIGHTLB_A
Tag Name: Adult.BMI.WEIGHTLB_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: ^PREGWEIGH
Enter M to record metric measurements.
If ^SANAME's weight is less than 50 pounds, enter 50. If ^SANAME's weight is
greater than 500 pounds, enter 500.

Fills: PREGWEIGH
Instructions: If SEX=2 AND PREGNOW=1: "How much did you weigh before your
pregnancy?"
else: "How much do you weigh without clothes or shoes?"

Fills: SANAME
Instructions: Sample Adult's name

Type: String
Length: 3
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: If WEIGHTLB_A lt 50 or WEIGHTLB_A gt 500 [goto ERR1_WEIGHTLB_A]
Last Modified: Wednesday, August 30, 2017

Page 156 of 895

Survey: NHIS Bridge
Section: Adult.BMI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

elseif ((GEN.SEX_FINAL[PX_A]=1 and (WEIGHTLB_A lt 113 or WEIGHTLB_A gt
316)) or (GEN.SEX_FINAL[PX_A]=2 and (WEIGHTLB_A lt 96 or WEIGHTLB_A gt
293)) or (GEN.SEX_FINAL[PX_A] IN (RF,DK) and (WEIGHTLB_A lt 96 or
WEIGHTLB_A gt 316))) [goto ERR2_WEIGHTLB_A]
<50-500,RF,DK> [goto HEIGHTFT_A]
 [goto WEIGHTKG_A]

Last Modified: Wednesday, August 30, 2017

Page 157 of 895

Survey: NHIS Bridge
Section: Adult.BMI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR1_WEIGHTLB_A

Check

Adult.BMI.ERR1_WEIGHTLB_A
Description: SA weight pounds hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: (WEIGHTLB_A lt 50 or WEIGHTLB_A gt 500) or WEIGHTLB_A not IN (M, DK, RF)
Universe Description: Weight is less than 50lbs or weight is greater than 500lbs or entered something other
than "M", don't know, or refused.
Text: {check ERR1_WEIGHTLB_A}
Weight is out of range. Only "50-500" or "M" or "Don't know/Refused" allowed in this
field.

Check Instructions:
Type: Hard

Last Modified: Wednesday, August 30, 2017

Page 158 of 895

Survey: NHIS Bridge
Section: Adult.BMI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR2_WEIGHTLB_A

Check

Adult.BMI.ERR2_WEIGHTLB_A
Description: SA weight pounds soft edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: ((GEN.SEX_FINAL[PX_A]=1 and (WEIGHTLB_A lt 113 or WEIGHTLB_A gt 316)) or
(GEN.SEX_FINAL[PX_A]=2 and (WEIGHTLB_A lt 96 or WEIGHTLB_A gt 293)) or
(GEN.SEX_FINAL[PX_A] IN (DK,RF) and (WEIGHTLB_A lt 96 or WEIGHTLB_A gt
316)))
Universe Description:
Text: {signal ERR2_WEIGHTLB_A}
 Please verify that the weight was entered correctly. Probe only if necessary.

Check Instructions:
Type: Soft

Last Modified: Wednesday, August 30, 2017

Page 159 of 895

Survey: NHIS Bridge
Section: Adult.BMI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

WEIGHTKG_A

Field

Adult.BMI.WEIGHTKG_A
Description: Weight in kg
Form Pane Label: Weight in kg
SAS Name: WEIGHTKG_A
Tag Name: Adult.BMI.WEIGHTKG_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: WEIGHTLB_A=M
Universe Description: Sample Adults 18+ who choose to give their weight in metric measurements
Question Text: ^PREGWEIGH
Enter weight in kilograms.
If ^SANAME's weight is less than 23 kilograms, enter 23. If ^SANAME's weight is
greater than 226 kilograms, enter 226.

Fills: PREGWEIGH
Instructions: If SEX=2 AND PREGNOW=1: "How much did you weigh before your
pregnancy?"
else: "How much do you weigh without clothes or shoes?"

Fills: SANAME
Instructions: Sample Adult's name

Type: Integer
Length: 3
Min:
Max:
x Don't Know
x Refuse
Empty
x On Input
x On Output

Last Modified: Wednesday, August 30, 2017

Page 160 of 895

Survey: NHIS Bridge
Section: Adult.BMI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Array:
Skip Instructions: If WEIGHTKG_A lt 23 or WEIGHTKG_A gt 226 [goto ERR1_WEIGHTKG_A]
elseif ((GEN.SEX_FINAL[PX]=1 and (WEIGHTKG_A lt 51 or WEIGHTKG_A gt 143))
or (GEN.SEX_FINAL[PX]=2 and (WEIGHTKG_A lt 43 or WEIGHTKG_A gt 133)) or
(GEN.SEX_FINAL[PX] IN (RF,DK) and (WEIGHTKG_A lt 43 or WEIGHTKG_A gt
143)))[goto ERR2_WEIGHTKG_A]
<23-226,RF,DK> [goto HEIGHTM_A]

Last Modified: Wednesday, August 30, 2017

Page 161 of 895

Survey: NHIS Bridge
Section: Adult.BMI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR1_WEIGHTKG_A

Check

Adult.BMI.ERR1_WEIGHTKG_A
Description: SA weight KG hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: (WEIGHTKG_A lt 23 or WEIGHTKG_A gt 226)
Universe Description: Weight is less than 23kg or weight is greater than 226kg
Text: {check ERR1_WEIGHTKG_A}
Weight is out of range (23-226).
Please correct.

Check Instructions:
Type: Hard

Last Modified: Wednesday, August 30, 2017

Page 162 of 895

Survey: NHIS Bridge
Section: Adult.BMI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR2_WEIGHTKG_A

Check

Adult.BMI.ERR2_WEIGHTKG_A
Description: SA weight KG soft edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: ((GEN.SEX_FINAL[PX]=1 and (WEIGHTKG_A lt 51 or WEIGHTKG_A gt 143)) or
(GEN.SEX_FINAL[PX]=2 and (WEIGHTKG_A lt 43 or WEIGHTKG_A gt 133)) or
(GEN.SEX_FINAL[PX] IN (RF,DK) and (WEIGHTKG_A lt 43 or WEIGHTKG_A gt
143)))
Universe Description:
Text: {signal ERR2_WEIGHTKG_A}
Please verify that the weight was entered correctly. Probe only if necessary.

Check Instructions:
Type: Soft

Last Modified: Wednesday, September 13, 2017

Page 163 of 895

Survey: NHIS Bridge
Section: Adult.BMI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HEIGHTFT_A

Field

Adult.BMI.HEIGHTFT_A
Description: Height in feet
Form Pane Label: Height in feet
SAS Name: HEIGHTFT_A
Tag Name: Adult.BMI.HEIGHTFT_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adult 18+
Question Text: How tall are you without shoes?
Enter M to record metric measurements.
If ^SANAME's height is less than 2 feet, enter 2. If ^SANAME's height is greater
than 7 feet, enter 7.

Fills: SANAME
Instructions: Sample Adult's name

Type: String
Length: 1
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: If HEIGHTFT_A NE <2-7,RF,DK,M> [goto ERR1_ HEIGHTFT_A]
If HEIGHTFT_A = <2,3> [goto ERR2_ HEIGHTFT_A]
<2-7> [goto HEIGHTIN_A]
 [goto next section]
 [goto HEIGHTM_A]

Last Modified: Wednesday, August 30, 2017

Page 164 of 895

Survey: NHIS Bridge
Section: Adult.BMI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR1_HEIGHTFT_A

Check

Adult.BMI.ERR1_HEIGHTFT_A
Description: Hard edit for height in feet
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: HEIGHTFT_A NE <2-7,RF,DK,M>
Universe Description: Height is not 2ft-7ft, Refused, Don't know, or Metric
Text: {check ERR1_HEIGHTFT_A}
Only 2-7, Don't Know/Refused or M allowed in this field.
Please correct.

Check Instructions:
Type: Hard

Last Modified: Wednesday, August 30, 2017

Page 165 of 895

Survey: NHIS Bridge
Section: Adult.BMI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR2_HEIGHTFT_A

Check

Adult.BMI.ERR2_HEIGHTFT_A
Description: Soft edit to verify height in feet
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: HEIGHTFT_A IN (2,3)
Universe Description:
Text: {signal ERR2_HEIGHTFT_A}
Respondent's height in feet is ^HEIGHTFT?
Please verify.

Check Instructions:
Type: Soft
Fills: HEIGHTFT
Instructions: Fill value from HEIGHTFT_A

Last Modified: Wednesday, September 13, 2017

Page 166 of 895

Survey: NHIS Bridge
Section: Adult.BMI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HEIGHTIN_A

Field

Adult.BMI.HEIGHTIN_A
Description: Height in inches
Form Pane Label: Height in inches
SAS Name: HEIGHTIN_A
Tag Name: Adult.BMI.HEIGHTIN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: HEIGHTFT_A=2-7
Universe Description: Sample Adult 18+ and height is 2-7ft
Question Text:

Enter inches.
Enter '0' if exactly ^HEIGHTFT feet tall.

Fills: HEIGHTFT
Instructions: Fill value from HEIGHTFT_A

Type: Integer
Length: 2
Min: 0
Max: 11
x Don't Know
x Refuse
x Empty
x On Input
x On Output
Array:
Special Instructions: Create AHTINCH_A prior to skip to error messages
Skip Instructions:  [goto ERR1_HEIGHTIN_A]
If ((GEN.SEX_FINAL[PX_A]=1 and (AHTINCH_A lt 61 or AHTINCH_A gt 75)) or
(GEN.SEX_FINAL[PX_A]=2 and (AHTINCH_A lt 56 or AHTINCH_A gt 69)) or
(GEN.SEX_FINAL[PX_A] IN (DK,RF) and (AHTINCH_A lt 56 or AHTINCH_A gt
75)))[goto ERR2_HEIGHTIN_A]
Last Modified: Wednesday, September 13, 2017

Page 167 of 895

Survey: NHIS Bridge
Section: Adult.BMI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

<0-11,RF,DK> [goto next section]

Last Modified: Wednesday, September 13, 2017

Page 168 of 895

Survey: NHIS Bridge
Section: Adult.BMI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

AHTINCH_A

Field

Adult.BMI.AHTINCH_A
Description: Total height in inches
Form Pane Label:
SAS Name: AHTINCH_A
Tag Name: Adult.AHTINCH_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Instrument storage variable**

Type: Integer
Length: 2
Min: 24
Max: 95
Don't Know
Refuse
Empty
x On Input
x On Output
Store Instructions: If HEIGHTFT_A = M, Refused or Don't know, do not calculate a value for
AHTINCH_A
Create variable AHTINCH_A as follows:
(HEIGHTFT_A * 12) + HEIGHTIN_A = AHTINCH_A
If HEIGHTIN_A = Refused or Don't know, use '0' for HEIGHTIN_A when calculating
AHTINCH_A
Array:

Last Modified: Monday, August 7, 2017

Page 169 of 895

Survey: NHIS Bridge
Section: Adult.BMI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR1_HEIGHTIN_A

Check

Adult.BMI.ERR1_HEIGHTIN_A
Description: SA height inches hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: HEIGHTIN_A=empty
Universe Description:
Text: {check ERR1_HEIGHTIN_A}
 If ^HEIGHTFT feet exactly, enter "0"; otherwise enter number of inches.

Check Instructions:
Type: Hard
Fills: HEIGHTFT
Instructions: Fill value from HEIGHTFT_A

Last Modified: Wednesday, August 30, 2017

Page 170 of 895

Survey: NHIS Bridge
Section: Adult.BMI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR2_HEIGHTIN_A

Check

Adult.BMI.ERR2_HEIGHTIN_A
Description: SA height inches soft edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: ((GEN.SEX_FINAL[PX_A]=1 and (AHTINCH_A lt 61 or AHTINCH_A gt 75)) or
(GEN.SEX_FINAL[PX_A]=2 and (AHTINCH_A lt 56 or AHTINCH_A gt 69)) or
(GEN.SEX_FINAL[PX_A] IN (DK,RF) and (AHTINCH_A lt 56 or AHTINCH_A gt 75)))
Universe Description:
Text: {signal ERR2_HEIGHTIN_A}
 Please verify that the height was entered correctly. Probe only if necessary.

Check Instructions:
Type: Soft

Last Modified: Wednesday, September 13, 2017

Page 171 of 895

Survey: NHIS Bridge
Section: Adult.BMI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HEIGHTM_A

Field

Adult.BMI.HEIGHTM_A
Description: Height in meters
Form Pane Label: Height in meters
SAS Name: HEIGHTM_A
Tag Name: Adult.BMI.HEIGHTM_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: HEIGHTFT_A=M
Universe Description: Sample Adults 18+ who choose to give their height in metric measurements
Question Text: How tall are you without shoes?
Enter height in metric.
If the height is given in centimeters, press '0' at meters and enter the measure in
centimeters (241 centimeters maximum).

Type: Integer
Length: 1
Min: 0
Max: 2
x Don't Know
x Refuse
x Empty
x On Input
x On Output
Array:
Skip Instructions:  [goto ERR_ HEIGHTM_A]
<0-2> [goto HEIGHTCM_A]
 [goto next section]

Last Modified: Monday, August 7, 2017

Page 172 of 895

Survey: NHIS Bridge
Section: Adult.BMI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR_HEIGHTM_A

Check

Adult.BMI.ERR_HEIGHTM_A
Description: Height in meters hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: HEIGHTM_A=empty
Universe Description: Height in meters is empty
Text: {check ERR_HEIGHTM_A}
 If height is being given in centimeters only, enter "0"; otherwise enter number of
meters.

Check Instructions:
Type: Hard

Last Modified: Wednesday, September 13, 2017

Page 173 of 895

Survey: NHIS Bridge
Section: Adult.BMI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HEIGHTCM_A

Field

Adult.BMI.HEIGHTCM_A
Description: Height in centimeters
Form Pane Label: Height in centimeters
SAS Name: HEIGHTCM_A
Tag Name: Adult.BMI.HEIGHTCM_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: HEIGHTM_A=0-2
Universe Description: Sample Adults 18+ who entered 0 to 2 meters for height
Question Text:

Enter centimeters.
Enter height in metric.
If ^SANAME's height is greater than 241 centimeters, enter 241.

Fills: SANAME
Instructions: Sample Adult's name

Type: Integer
Length: 3
Min:
Max:
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Special Instructions: Create AHTCM_A prior to skip to error messages
Skip Instructions: If (HEIGHTM_A=2 and HEIGHTCM_A gt 41) or (HEIGHTM_A=1 and HEIGHTCM_A
gt 141) [goto ERR1_ HEIGHTCM_A]
elseif ((GEN.SEX_FINAL[PX_A]=1 and (AHTCM_A lt 156 or AHTCM_A gt 192)) or
Last Modified: Wednesday, September 13, 2017

Page 174 of 895

Survey: NHIS Bridge
Section: Adult.BMI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

(GEN.SEX_FINAL[PX_A]=2 and (AHTCM_A lt 143 or AHTCM_A gt 176)) or
(GEN.SEX_FINAL[PX_A] IN (DK,RF) and (AHTCM_A lt 143 or AHTCM_A gt
192)))[goto ERR2_ HEIGHTCM_A]
<0-241,RF,DK> [goto next section]

Last Modified: Wednesday, September 13, 2017

Page 175 of 895

Survey: NHIS Bridge
Section: Adult.BMI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

AHTCM_A

Field

Adult.BMI.AHTCM_A
Description: Total height in centimeters
Form Pane Label:
SAS Name: AHTCM_A
Tag Name: Adult.AHTCM_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Instrument storage variable**

Type: Integer
Length: 3
Min: 61
Max: 241
Don't Know
Refuse
Empty
On Input
On Output
Store Instructions: If HEIGHTM_A = Refused or Don't know, do not calculate a value for AHTCM_A
Create variable AHTCM_A as follows:
(HEIGHTM_A * 100) + HEIGHTCM_A = AHTCM_A
If HEIGHTCM_A = Refused or Don't know use '0' for HEIGHTCM_A when calculating
AHTCM_A
Array:

Last Modified: Wednesday, August 30, 2017

Page 176 of 895

Survey: NHIS Bridge
Section: Adult.BMI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR1_HEIGHTCM_A

Check

Adult.BMI.ERR1_HEIGHTCM_A
Description: SA height in CM hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: ((HEIGHTM_A=2 and HEIGHTCM_A gt 41) or (HEIGHTM_A=1 and HEIGHTCM_A
gt 141) or (HEIGHTCM_A gt 241))
Universe Description:
Text: {check ERR1_HEIGHTCM_A}
Total height exceeds maximum allowed.
Please correct.

Check Instructions:
Type: Hard

Last Modified: Wednesday, August 30, 2017

Page 177 of 895

Survey: NHIS Bridge
Section: Adult.BMI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR2_HEIGHTCM_A

Check

Adult.BMI.ERR2_HEIGHTCM_A
Description: SA height in CM soft edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: ((GEN.SEX_FINAL[PX_A]=1 and (AHTCM_A lt 156 or AHTCM_A gt 192)) or
(GEN.SEX_FINAL[PX_A]=2 and (AHTCM_A lt 143 or AHTCM_A gt 176)) or
(GEN.SEX_FINAL[PX_A] IN (DK,RF) and (AHTCM_A lt 143 or AHTCM_A gt 192)))
Universe Description:
Text: {signal ERR2_HEIGHTCM_A}
 Please verify that the height was entered correctly. Probe only if necessary.

Check Instructions:
Type: Soft

Last Modified: Tuesday, February 14, 2017

Page 178 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

VIS

Block

Adult.VIS
Description: Vision
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Wednesday, September 13, 2017

Page 179 of 895

Survey: NHIS Bridge
Section: Adult.VIS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

WEARGLSS_A

Field

Adult.VIS.WEARGLSS_A
Description: Wear glasses/contact lenses
Form Pane Label: Wear glasses/contact lenses
SAS Name: WEARGLSS_A
Tag Name: Adult.VIS.WEARGLSS_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Do you wear glasses or contact lenses?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto VISIONDF_A]

Last Modified: Wednesday, September 13, 2017

Page 189 of 895

Survey: NHIS Bridge
Section: Adult.VIS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

VISIONDF_A

Field

Adult.VIS.VISIONDF_A
Description: Difficulty seeing
Form Pane Label: Difficulty seeing
SAS Name: VISIONDF_A
Tag Name: Adult.VIS.VISIONDF_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Do you have difficulty ^AGLASSCNTS? Would you say no difficulty, some
difficulty, a lot of difficulty, or are you unable to do this?

Fills: AGLASSCNTS
Instructions: If WEARGLSS_A=1 fill "seeing, even when wearing glasses or contact lenses";
else fill "seeing" Â

Type: Enumerated
Length: 1
Answer List: TDIFFICULTY
Value:

Mnemonic:

Description:

1

No difficulty

2

Some difficulty

3

A lot of difficulty

4

Cannot do at all/Unable to do
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4,RF,DK> [goto next section]

Last Modified: Wednesday, July 12, 2017

Page 181 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HEA

Block

Adult.HEA
Description: Hearing
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Wednesday, May 3, 2017

Page 182 of 895

Survey: NHIS Bridge
Section: Adult.HEA

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HEARAID_A

Field

Adult.HEA.HEARAID_A
Description: Use hearing aid
Form Pane Label: Use hearing aid
SAS Name: HEARAID_A
Tag Name: Adult.HEA.HEARAID_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Do you use a hearing aid?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto HEARAIDFR_A]
<2,RF,DK> [goto HEARINGDF_A]

Last Modified: Wednesday, September 20, 2017

Page 183 of 895

Survey: NHIS Bridge
Section: Adult.HEA

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HEARAIDFR_A

Field

Adult.HEA.HEARAIDFR_A
Description: How often use hearing aid
Form Pane Label: How often use hearing aid
SAS Name: HEARAIDFR_A
Tag Name: Adult.HEA.HEARAIDFR_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: HEARAID_A=1
Universe Description: Sample Adults 18+ who use a hearing aid
Question Text: How often do you use your hearing aid(s)? Would you say all of the time, some
of the time, rarely, or never?

Type: Enumerated
Length: 1
Answer List: THEARAIDFR_A
Value:

Mnemonic:

Description:

1

All of the time

2

Some of the time

3

Rarely

4

Never
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4,RF,DK> [goto HEARINGDF_A]

Last Modified: Tuesday, September 12, 2017

Page 184 of 895

Survey: NHIS Bridge
Section: Adult.HEA

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HEARINGDF_A

Field

Adult.HEA.HEARINGDF_A
Description: Difficulty hearing
Form Pane Label: Difficulty hearing
SAS Name: HEARINGDF_A
Tag Name: Adult.HEA.HEARINGDF_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Do you have difficulty hearing^HEARAID? Would you say no difficulty, some
difficulty, a lot of difficulty, or are you unable to do this?

Fills: HEARAID
Instructions: If HEARAID_A=1, fill: ", even when using your hearing aid(s)"
else NO FILL

Type: Enumerated
Length: 1
Answer List: TDIFFICULTY
Value:

Mnemonic:

Description:

1

No difficulty

2

Some difficulty

3

A lot of difficulty

4

Cannot do at all/Unable to do
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4,RF,DK> [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 185 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MOB

Block

Adult.MOB
Description: Mobility
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Wednesday, May 3, 2017

Page 186 of 895

Survey: NHIS Bridge
Section: Adult.MOB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DIFF_A

Field

Adult.MOB.DIFF_A
Description: Difficulty walking/steps
Form Pane Label: Walking/steps
SAS Name: DIFF_A
Tag Name: Adult.MOB.DIFF_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Do you have difficulty walking or climbing steps? Would you say no difficulty,
some difficulty, a lot of difficulty, or are you unable to do this?

Type: Enumerated
Length: 1
Answer List: TDIFFICULTY
Value:

Mnemonic:

Description:

1

No difficulty

2

Some difficulty

3

A lot of difficulty

4

Cannot do at all/Unable to do
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4,RF,DK> [goto EQUIP_A]

Last Modified: Wednesday, May 3, 2017

Page 187 of 895

Survey: NHIS Bridge
Section: Adult.MOB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

EQUIP_A

Field

Adult.MOB.EQUIP_A
Description: Use equipment to get around
Form Pane Label: Equipment
SAS Name: EQUIP_A
Tag Name: Adult.MOB.EQUIP_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Do you use any equipment or receive help for getting around?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto CANEWLKR_A]
<2,RF,DK> [goto WLKDF100_A]

Last Modified: Wednesday, September 20, 2017

Page 188 of 895

Survey: NHIS Bridge
Section: Adult.MOB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

WLK100_A

Field

Adult.MOB.WLK100_A
Description: Difficulty walking 100 yards
Form Pane Label: Walking 100 yards
SAS Name: WLK100_A
Tag Name: Adult.MOB.WLK100_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: EQUIP_A IN (2,RF,DK)
Universe Description: Sample Adults 18+ who do not use equipment or receive help for getting around
Question Text: Do you have difficulty walking 100 yards on level ground, that would be about
the length of one football field or one city block? Would you say no difficulty,
some difficulty, a lot of difficulty, or are you unable to do this?

Type: Enumerated
Length: 1
Answer List: TDIFFICULTY
Value:

Mnemonic:

Description:

1

No difficulty

2

Some difficulty

3

A lot of difficulty

4

Cannot do at all/Unable to do
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-3,RF,DK> [goto WLK13M_A]
<4> [goto STEPS_A]

Last Modified: Wednesday, September 20, 2017

Page 189 of 895

Survey: NHIS Bridge
Section: Adult.MOB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

WLK13M_A

Field

Adult.MOB.WLK13M_A
Description: Difficulty walking 1/3 mile
Form Pane Label: Walking 1/3 mile
SAS Name: WLK13M_A
Tag Name: Adult.MOB.WLK13M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: WLK100_A IN (1,2,3,RF,DK)
Universe Description: Sample Adults 18+ who have no difficulty, some difficulty, or a lot of difficulty walking
100 yards
Question Text: Do you have difficulty walking a third of a mile on level ground, that would be
the length of five football fields or five city blocks?
Read if necessary: Would you say no difficulty, some difficulty, a lot of difficulty, or
are you unable to do this?

Type: Enumerated
Length: 1
Answer List: TDIFFICULTY
Value:

Mnemonic:

Description:

1

No difficulty

2

Some difficulty

3

A lot of difficulty

4

Cannot do at all/Unable to do
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4,RF,DK> [goto STEPS_A]

Last Modified: Wednesday, September 20, 2017

Page 190 of 895

Survey: NHIS Bridge
Section: Adult.MOB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

STEPS_A

Field

Adult.MOB.STEPS_A
Description: Difficulty walking steps
Form Pane Label: Walking steps
SAS Name: STEPS_A
Tag Name: Adult.MOB.STEPS_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: WLKDF100_A=4 or WLKDF500_A IN (1,2,3,4,RF,DK)
Universe Description: Sample Adults 18+ who cannot walk 100 yards on level ground, or have no difficulty,
some difficulty, a lot of difficulty, or cannot walk 1/3 of a mile or on level ground or
refused or don't know
Question Text: Do you have difficulty walking up or down 12 steps?
Read if necessary: Would you say no difficulty, some difficulty, a lot of difficulty, or
are you unable to do this?

Type: Enumerated
Length: 1
Answer List: TDIFFICULTY
Value:

Mnemonic:

Description:

1

No difficulty

2

Some difficulty

3

A lot of difficulty

4

Cannot do at all/Unable to do
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4,RF,DK> [goto next section]

Last Modified: Wednesday, September 20, 2017

Page 191 of 895

Survey: NHIS Bridge
Section: Adult.MOB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CANEWLKR_A

Field

Adult.MOB.CANEWLKR_A
Description: Use cane or walker
Form Pane Label: Cane/walker
SAS Name: CANEWLKR_A
Tag Name: Adult.MOB.CANEWLKR_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: EQUIP_A=1
Universe Description: Sample Adults 18+ who use equipment or receive help for getting around
Question Text: Do you use any of the following...
...Cane or walker?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto WCHAIR_A]

Last Modified: Wednesday, September 20, 2017

Page 192 of 895

Survey: NHIS Bridge
Section: Adult.MOB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

WCHAIR_A

Field

Adult.MOB.WCHAIR_A
Description: Use wheelchair/scooter
Form Pane Label: Wheelchair/scooter
SAS Name: WCHAIR_A
Tag Name: Adult.MOB.WCHAIR_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: EQUIP_A=1
Universe Description: Sample Adults 18+ who use equipment or receive help for getting around
Question Text:

Read if necessary: Do you use any of the following?
...Wheelchair or scooter?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto PERASST_A]

Last Modified: Wednesday, September 20, 2017

Page 193 of 895

Survey: NHIS Bridge
Section: Adult.MOB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PERASST_A

Field

Adult.MOB.PERASST_A
Description: Use someone's assistance
Form Pane Label: Assistance
SAS Name: PERASST_A
Tag Name: Adult.MOB.PERASST_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: EQUIP_A=1
Universe Description: Sample Adults 18+ who use equipment or receive help for getting around
Question Text:

Read if necessary: Do you use any of the following?
...Someone's assistance?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto NOEQWLK100_A]

Last Modified: Wednesday, September 20, 2017

Page 194 of 895

Survey: NHIS Bridge
Section: Adult.MOB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

NOEQWLK100_A

Field

Adult.MOB.NOEQWLK100_A
Description: Difficulty walking 100 yards without aid
Form Pane Label: 100 yards without aid
SAS Name: NOEQWLK100_A
Tag Name: Adult.MOB.NOEQWLK100_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: EQUIP_A=1
Universe Description: Sample Adults 18+ who use equipment or receive help for getting around
Question Text: Do you have difficulty walking 100 yards on level ground, that would be about
the length of one football field or one city block, without the use of your aid?
Would you say no difficulty, some difficulty, a lot of difficulty, or are you unable
to do this?

Type: Enumerated
Length: 1
Answer List: TDIFFICULTY
Value:

Mnemonic:

Description:

1

No difficulty

2

Some difficulty

3

A lot of difficulty

4

Cannot do at all/Unable to do
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-3,RF,DK> [goto NOEQWLK13M_A]
<4> [goto NOEQSTEPS_A]

Last Modified: Wednesday, September 20, 2017

Page 195 of 895

Survey: NHIS Bridge
Section: Adult.MOB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

NOEQWLK13M_A

Field

Adult.MOB.NOEQWLK13M_A
Description: Difficulty walking 1/3 mile without aid
Form Pane Label: 1/3 mile without aid
SAS Name: NOEQWLK13M_A
Tag Name: Adult.MOB.NOEQWLK13M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: EQUIP_A=1 and NOEQWLK100_A IN (1,2,3,RF,DK)
Universe Description: Sample Adults 18+ who use equipment or receive help for getting around and who have
no difficulty, some difficulty, or a lot of difficulty walking 100 yards without the use of
their aid
Question Text: Do you have difficulty walking a third of a mile on level ground, that would be
the length of five football fields or five city blocks, without the use of your aid?
Read if necessary: Would you say no difficulty, some difficulty, a lot of difficulty, or
are you unable to do this?

Type: Enumerated
Length: 1
Answer List: TDIFFICULTY
Value:

Mnemonic:

Description:

1

No difficulty

2

Some difficulty

3

A lot of difficulty

4

Cannot do at all/Unable to do
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4,RF,DK> [goto NOEQSTEPS_A]

Last Modified: Wednesday, September 13, 2017

Page 196 of 895

Survey: NHIS Bridge
Section: Adult.MOB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

NOEQSTEPS_A

Field

Adult.MOB.NOEQSTEPS_A
Description: Difficulty walking steps without equipment
Form Pane Label: Steps without aid
SAS Name: NOEQSTEPS_A
Tag Name: Adult.MOB.NOEQSTEPS_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: EQUIP_A=1
and
(1,2,3,4,RF,DK))

(NOEQWLKDF100_A=4

or

NOEQWLKDF500_A

IN

Universe Description: Sample Adults 18+ who use equipment and cannot walk 100 yards on level ground
without their equipment, or have no difficulty, some difficulty, a lot of difficulty, or cannot
walk 1/3 of a mile on level ground without their equipment or refused or don't know
Question Text: Do you have difficulty walking up or down 12 steps without your aid?
Read if necessary: Would you say no difficulty, some difficulty, a lot of difficulty, or
are you unable to do this?

Type: Enumerated
Length: 1
Answer List: TDIFFICULTY
Value:

Mnemonic:

Description:

1

No difficulty

2

Some difficulty

3

A lot of difficulty

4

Cannot do at all/Unable to do
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 13, 2017

Page 197 of 895

Survey: NHIS Bridge
Section: Adult.MOB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <1-4,RF,DK> if WCHAIR_A ne 1 [goto EQWLKDF100_A] else [goto next section]

Last Modified: Wednesday, September 20, 2017

Page 198 of 895

Survey: NHIS Bridge
Section: Adult.MOB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

EQWLK100_A

Field

Adult.MOB.EQWLK100_A
Description: Difficulty walking 100 yards with aid
Form Pane Label: 100 yards with aid
SAS Name: EQWLK100_A
Tag Name: Adult.MOB.EQWLK100_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: EQUIP_A=1 and WCHAIR_A IN (2,RF,DK)
Universe Description: Sample Adults 18+ who use equipment or receive help for getting around but do not
use a wheelchair or scooter
Question Text: Do you have difficulty walking 100 yards on level ground, that would be about
the length of one football field or one city block, WHEN USING your aid?
Read if necessary: Would you say no difficulty, some difficulty, a lot of difficulty, or
are you unable to do this?

Type: Enumerated
Length: 1
Answer List: TDIFFICULTY
Value:

Mnemonic:

Description:

1

No difficulty

2

Some difficulty

3

A lot of difficulty

4

Cannot do at all/Unable to do
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-3,RF,DK> [goto EQWLK13M_A]
<4> [goto EQSTEPS_A]

Last Modified: Wednesday, September 20, 2017

Page 199 of 895

Survey: NHIS Bridge
Section: Adult.MOB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

EQWLK13M_A

Field

Adult.MOB.EQWLK13M_A
Description: Difficulty walking 1/3 mile with aid
Form Pane Label: 1/3 mile with aid
SAS Name: EQWLK13M_A
Tag Name: Adult.MOB.EQWLK13M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: EQUIP_A=1 and WCHAIR_A ne 1 and EQWLK100_A IN (1,2,3,RF,DK)
Universe Description: Sample Adults 18+ who use equipment or receive help for getting around but do not use
a wheelchair or scooter, and have no difficulty, some difficulty, or a lot of difficulty
walking 100 yards, when using their aid
Question Text: Do you have difficulty walking a third of a mile on level ground, that would be
the length of five football fields or five city blocks, WHEN USING your aid?
Read if necessary: Would you say no difficulty, some difficulty, a lot of difficulty, or
are you unable to do this?

Type: Enumerated
Length: 1
Answer List: TDIFFICULTY
Value:

Mnemonic:

Description:

1

No difficulty

2

Some difficulty

3

A lot of difficulty

4

Cannot do at all/Unable to do
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4,RF,DK> [goto EQSTEPS_A]

Last Modified: Wednesday, September 13, 2017

Page 200 of 895

Survey: NHIS Bridge
Section: Adult.MOB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

EQSTEPS_A

Field

Adult.MOB.EQSTEPS_A
Description: Difficulty walking steps with equipment
Form Pane Label: Steps with aid
SAS Name: EQSTEPS_A
Tag Name: Adult.MOB.EQSTEPS_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: EQUIP_A=1 and WCHAIR_A ne 1 and (EQWLKDF100_A=4 or EQWLKDF500_A IN
(1,2,3,4,RF,DK))
Universe Description: Sample Adults 18+ who use equipment or receive help for getting around but do not use
a wheelchair or scooter and cannot walk 100 yards on level ground when using an aid,
or have no difficulty, some difficulty, a lot of difficulty, or cannot walk 1/3 of a mile on
level ground when using an aid or refused or don't know
Question Text: Do you have difficulty walking up or down 12 steps WHEN USING your aid?
Read if necessary: Would you say no difficulty, some difficulty, a lot of difficulty, or
are you unable to do this?

Type: Enumerated
Length: 1
Answer List: TDIFFICULTY
Value:

Mnemonic:

Description:

1

No difficulty

2

Some difficulty

3

A lot of difficulty

4

Cannot do at all/Unable to do
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 13, 2017

Page 201 of 895

Survey: NHIS Bridge
Section: Adult.MOB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <1-4,RF,DK> [goto next section]

Last Modified: Wednesday, September 13, 2017

Page 202 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

COM

Block

Adult.COM
Description: Communication
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Wednesday, May 3, 2017

Page 203 of 895

Survey: NHIS Bridge
Section: Adult.COM

Blaise Item-Level Specifications Report
Spider Version 1.6.2

COMDIFF_A

Field

Adult.COM.COMDIFF_A
Description: Difficulty communicating
Form Pane Label: Difficulty communicating
SAS Name: COMDIFF_A
Tag Name: Adult.COM.COMDIFF_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Using your usual language, do you have difficulty communicating, for example,
understanding or being understood?
Read if necessary: Would you say no difficulty, some difficulty, a lot of difficulty, or
are you unable to do this?

Type: Enumerated
Length: 1
Answer List: TDIFFICULTY
Value:

Mnemonic:

Description:

1

No difficulty

2

Some difficulty

3

A lot of difficulty

4

Cannot do at all/Unable to do
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4,RF,DK> [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 204 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

COG

Block

Adult.COG
Description: Cognition
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Wednesday, May 3, 2017

Page 205 of 895

Survey: NHIS Bridge
Section: Adult.COG

Blaise Item-Level Specifications Report
Spider Version 1.6.2

COGMEMDFF_A

Field

Adult.COG.COGMEMDFF_A
Description: Difficulty remembering/concentrating
Form Pane Label: Remembering/concentrating
SAS Name: COGMEMDFF_A
Tag Name: Adult.COG.COGMEMDFF_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Do you have difficulty remembering or concentrating?
Read if necessary: Would you say no difficulty, some difficulty, a lot of difficulty, or
are you unable to do this?

Type: Enumerated
Length: 1
Answer List: TDIFFICULTY
Value:

Mnemonic:

Description:

1

No difficulty

2

Some difficulty

3

A lot of difficulty

4

Cannot do at all/Unable to do
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,RF,DK> [goto next section]
<2-4> [goto COGTYPEDFF_A]

Last Modified: Wednesday, September 13, 2017

Page 206 of 895

Survey: NHIS Bridge
Section: Adult.COG

Blaise Item-Level Specifications Report
Spider Version 1.6.2

COGTYPEDFF_A

Field

Adult.COG.COGTYPEDFF_A
Description: Remembering/Concentrating or both
Form Pane Label: Which one or both
SAS Name: COGTYPEDFF_A
Tag Name: Adult.COG.COGTYPEDFF_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: COGMEMDFF_A IN (2,3,4)
Universe Description: Sample Adults 18+ who have some difficulty, a lot of difficulty, or are unable to
remember or concentrate
Question Text: Do you have difficulty remembering or concentrating or both?

Type: Enumerated
Length: 1
Answer List: TCOGTYPEDFF_A
Value:

Mnemonic:

Description:

1

Difficulty remembering only

2

Difficulty concentrating only

3

Difficulty with both remembering and concentrating
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,3> [goto COGFRQDFF_A]
<2,RF,DK> [goto next section]

Last Modified: Wednesday, September 13, 2017

Page 207 of 895

Survey: NHIS Bridge
Section: Adult.COG

Blaise Item-Level Specifications Report
Spider Version 1.6.2

COGFRQDFF_A

Field

Adult.COG.COGFRQDFF_A
Description: Difficulty remembering-how often
Form Pane Label: Remembering-how often
SAS Name: COGFRQDFF_A
Tag Name: Adult.COG.COGFRQDFF_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: COGTYPEDFF_A IN (1,3)
Universe Description: Sample Adults 18+ who have difficulty remembering or remembering and
concentrating
Question Text: How often do you have difficulty remembering? Would you say sometimes,
often or all of the time?

Type: Enumerated
Length: 1
Answer List: TCOGFRQDFF_A
Value:

Mnemonic:

Description:

1

Sometimes

2

Often

3

All of the time
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-3,RF,DK> [goto COGAMTDFF_A]

Last Modified: Wednesday, September 13, 2017

Page 208 of 895

Survey: NHIS Bridge
Section: Adult.COG

Blaise Item-Level Specifications Report
Spider Version 1.6.2

COGAMTDFF_A

Field

Adult.COG.COGAMTDFF_A
Description: Difficulty remembering-how much
Form Pane Label: Remembering-how much
SAS Name: COGAMTDFF_A
Tag Name: Adult.COG.COGAMTDFF_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: COGTYPEDFF_A IN (1,3)
Universe Description: Sample Adults 18+ who have difficulty remembering or remembering and
concentrating
Question Text: Do you have difficulty remembering a few things, a lot of things, or almost
everything?

Type: Enumerated
Length: 1
Answer List: TCOGAMTDFF_A
Value:

Mnemonic:

Description:

1

A few things

2

A lot of things

3

Almost everything
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-3,RF,DK> [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 209 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

UPP

Block

Adult.UPP
Description: Self-care and Upper Body
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Wednesday, May 3, 2017

Page 210 of 895

Survey: NHIS Bridge
Section: Adult.UPP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

UPPSLFCR_A

Field

Adult.UPP.UPPSLFCR_A
Description: Difficulty with self care
Form Pane Label: Difficulty with self care
SAS Name: UPPSLFCR_A
Tag Name: Adult.UPP.UPPSLFCR_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Do you have difficulty with self care, such as washing all over or dressing?
Would you say no difficulty, some difficulty, a lot of difficulty, or are you unable
to do this?

Type: Enumerated
Length: 1
Answer List: TDIFFICULTY
Value:

Mnemonic:

Description:

1

No difficulty

2

Some difficulty

3

A lot of difficulty

4

Cannot do at all/Unable to do
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4,RF,DK> [goto UPPRAISE_A]

Last Modified: Wednesday, May 3, 2017

Page 211 of 895

Survey: NHIS Bridge
Section: Adult.UPP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

UPPRAISE_A

Field

Adult.UPP.UPPRAISE_A
Description: Difficulty raising soda bottle
Form Pane Label: Difficulty raising soda bottle
SAS Name: UPPRAISE_A
Tag Name: Adult.UPP.UPPRAISE_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Do you have difficulty raising a 2 liter bottle of water or soda from waist to eye
level?
Read if necessary: Would you say no difficulty, some difficulty, a lot of difficulty, or
are you unable to do this?

Type: Enumerated
Length: 1
Answer List: TDIFFICULTY
Value:

Mnemonic:

Description:

1

No difficulty

2

Some difficulty

3

A lot of difficulty

4

Cannot do at all/Unable to do
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4,RF,DK> [goto UPPOBJCT_A]

Last Modified: Wednesday, May 3, 2017

Page 212 of 895

Survey: NHIS Bridge
Section: Adult.UPP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

UPPOBJCT_A

Field

Adult.UPP.UPPOBJCT_A
Description: Difficulty using hands and fingers
Form Pane Label: Difficulty using hands and fingers
SAS Name: UPPOBJCT_A
Tag Name: Adult.UPP.UPPOBJCT_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Do you have difficulty using your hands and fingers, such as picking up small
objects, for example, a button or pencil, or opening or closing containers or
bottles?
Read if necessary: Would you say no difficulty, some difficulty, a lot of difficulty, or
are you unable to do this?

Type: Enumerated
Length: 1
Answer List: TDIFFICULTY
Value:

Mnemonic:

Description:

1

No difficulty

2

Some difficulty

3

A lot of difficulty

4

Cannot do at all/Unable to do
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4,RF,DK> [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 213 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SOC

Block

Adult.SOC
Description: Social Functioning
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Monday, June 5, 2017

Page 214 of 895

Survey: NHIS Bridge
Section: Adult.SOC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SOCERRNDS_A

Field

Adult.SOC.SOCERRNDS_A
Description: Difficulty doing errands alone
Form Pane Label: Errands alone
SAS Name: SOCERRNDS_A
Tag Name: Adult.SOC.SOCERRNDS_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Because of a physical, mental, or emotional condition, do you have difficulty
doing errands alone such as visiting a doctor's office or shopping?
Read if necessary: Would you say no difficulty, some difficulty, a lot of difficulty, or
are you unable to do this?

Type: Enumerated
Length: 1
Answer List: TDIFFICULTY
Value:

Mnemonic:

Description:

1

No difficulty

2

Some difficulty

3

A lot of difficulty

4

Cannot do at all/Unable to do
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4,RF,DK> [goto SOCSCLPAR_A]

Last Modified: Wednesday, May 3, 2017

Page 215 of 895

Survey: NHIS Bridge
Section: Adult.SOC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SOCSCLPAR_A

Field

Adult.SOC.SOCSCLPAR_A
Description: Difficulty participating in social activities
Form Pane Label: Social activities
SAS Name: SOCSCLPAR_A
Tag Name: Adult.SOC.SOCSCLPAR_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Because of a physical, mental, or emotional condition, do you have difficulty
participating in social activities such as visiting friends, attending clubs and
meetings, or going to parties?
Read if necessary: Would you say no difficulty, some difficulty, a lot of difficulty, or
are you unable to do this?

Type: Enumerated
Length: 1
Answer List: TDIFFICULTY
Value:

Mnemonic:

Description:

1

No difficulty

2

Some difficulty

3

A lot of difficulty

4

Cannot do at all/Unable to do
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4,RF,DK> [goto SOCWRKNOW_A]

Last Modified: Wednesday, May 3, 2017

Page 216 of 895

Survey: NHIS Bridge
Section: Adult.SOC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SOCWRKNOW_A

Field

Adult.SOC.SOCWRKNOW_A
Description: Kept from working due to health problem
Form Pane Label: Kept from working
SAS Name: SOCWRKNOW_A
Tag Name: Adult.SOC.SOCWRKNOW_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Does a physical, mental, or emotional problem NOW keep you from working at
a job or business?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto next section]
<2,RF,DK> goto SOCWRKLIM_A]

Last Modified: Wednesday, September 13, 2017

Page 217 of 895

Survey: NHIS Bridge
Section: Adult.SOC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SOCWRKLIM_A

Field

Adult.SOC.SOCWRKLIM_A
Description: Work limited due to health problem
Form Pane Label: Work limited
SAS Name: SOCWRKLIM_A
Tag Name: Adult.SOC.SOCWRKLIM_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: SOCWRKNOW_A IN (2,RF,DK)
Universe Description: Sample Adults 18+ who do not have a physical, mental, emotional problem now
keeping them from working at a job or business, or don't know or refused
Question Text: Are you limited in the kind OR amount of work you can do because of a
physical, mental or emotional problem?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Monday, March 20, 2017

Page 218 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INS

Block

Adult.INS
Description: Health Insurance
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Wednesday, September 27, 2017

Page 219 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HICOV_A

Field

Adult.INS.HICOV_A
Description: Have health insurance
Form Pane Label: Have health insurance
SAS Name: HICOV_A
Tag Name: Adult.INS.HICOV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: The next questions are about health insurance. Include health insurance
obtained through employment or purchased directly as well as government
programs like Medicare, Medicaid and the Children's Health Insurance Program
that provide medical care or help pay medical bills. Are you covered by any
kind of health insurance or some other kind of health care plan?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: <2> store 10 in HIKIND_A
Array:
Skip Instructions: <1,RF,DK> [goto HIKIND_A]
<2> if GEN.AGE_FINAL[PX_A] ge 65 [goto MCAREPRB_A]
else [goto MCAIDPRB_A]

Last Modified: Monday, September 25, 2017

Page 220 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HIKIND_A

Field

Adult.INS.HIKIND_A
Description: Kind(s) of health insurance
Form Pane Label: Kind(s) of health insurance
SAS Name: HIKIND_A
Tag Name: Adult.INS.HIKIND_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: HICOV_A IN (1,RF,DK)
Universe Description: Sample Adults 18+ covered by any kind of health insurance or health care coverage
or refused/don't know if they have insurance or health care coverage.
Question Text: What kinds of health insurance or health care coverage do you have? Is
it...Private health insurance, Medicare, Medigap, Medicaid, Children's Health
Insurance Program or CHIP, military related health care including TRICARE,
CHAMPUS, VA health care and CHAMP-VA, Indian Health Service, a
state-sponsored health plan, or an other government program?
Enter all that apply, separate with commas.

Type: Set
Max Number of Values:
Length: 2
Answer List: THIKIND
Value:

Mnemonic:

Description:

1

Private health insurance

2

Medicare

3

Medigap

4

Medicaid

5

Children's Health Insurance Program (CHIP)

6

Military related health care: TRICARE (CHAMPUS) / VA health care /
CHAMP-VA

7

Indian Health Service

8

State-sponsored health plan

9

Other government program

10

No coverage of any type

Last Modified: Monday, September 25, 2017

Page 221 of 895

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Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: If HIKIND_A=3, also store 2 in HIKIND_A (NCHS assumes those that report Medigap
have Medicare)
Array:
Special Instructions: This field may already be set to 10 if HICOV_A=2.
Skip Instructions: if more than 1 answer selected and (<10> IN HIKIND_A) [goto ERR1_HIKIND_A]
elseif GEN.AGE_FINAL[PX_A] ge 65 and (<2> NOT IN HIKIND_A) [goto
MCAREPRB_A]
elseif (GEN.AGE_FINAL[PX_A] lt 65 or GEN.AGE_FINAL[PX_A] IN (RF,DK)) and
(<10> IN HIKIND_A) [goto MCAIDPRB_A]
else [goto SINCOVDE_A]

Last Modified: Monday, July 31, 2017

Page 222 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR1_HIKIND_A

Check

Adult.INS.ERR1_HIKIND_A
Description: Selecting no coverage and other categories hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: if more than 1 answer selected at HIKIND_A and (<10> in HIKIND_A)
Universe Description:
Text: {check ERR1_HIKIND_A}
Cannot mark "no coverage of any kind" and another type. Please correct.

Check Instructions:
Type: Hard

Last Modified: Monday, September 25, 2017

Page 223 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HIKIND01_A

Field

Adult.INS.HIKIND01_A
Description: Kind(s) of health insurance - private health insurance
Form Pane Label:
SAS Name: HIKIND01_A
Tag Name: Adult.INS.HIKIND01_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post Processing Variable***

Type: Set
Max Number of Values:
Length: 2
Don't Know
Refuse
Empty
On Input
x On Output
Array:

Last Modified: Monday, September 25, 2017

Page 224 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HIKIND02_A

Field

Adult.INS.HIKIND02_A
Description: Kind(s) of health insurance - Medicare
Form Pane Label:
SAS Name: HIKIND02_A
Tag Name: Adult.INS.HIKIND02_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post Processing Variable***

Type: Set
Max Number of Values:
Length: 2
Don't Know
Refuse
Empty
On Input
x On Output
Array:

Last Modified: Monday, September 25, 2017

Page 225 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HIKIND03_A

Field

Adult.INS.HIKIND03_A
Description: Kind(s) of health insurance - Medigap
Form Pane Label:
SAS Name: HIKIND03_A
Tag Name: Adult.INS.HIKIND03_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post Processing Variable***

Type: Set
Max Number of Values:
Length: 2
Don't Know
Refuse
Empty
On Input
x On Output
Array:

Last Modified: Monday, September 25, 2017

Page 226 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HIKIND04_A

Field

Adult.INS.HIKIND04_A
Description: Kind(s) of health insurance - Medicaid
Form Pane Label:
SAS Name: HIKIND04_A
Tag Name: Adult.INS.HIKIND04_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post Processing Variable***

Type: Set
Max Number of Values:
Length: 2
Don't Know
Refuse
Empty
On Input
x On Output
Array:

Last Modified: Monday, September 25, 2017

Page 227 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HIKIND05_A

Field

Adult.INS.HIKIND05_A
Description: Kind(s) of health insurance - CHIP
Form Pane Label:
SAS Name: HIKIND05_A
Tag Name: Adult.INS.HIKIND05_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post Processing Variable***

Type: Set
Max Number of Values:
Length: 2
Don't Know
Refuse
Empty
On Input
x On Output
Array:

Last Modified: Monday, September 25, 2017

Page 228 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HIKIND06_A

Field

Adult.INS.HIKIND06_A
Description: Kind(s) of health insurance - military related health care
Form Pane Label:
SAS Name: HIKIND06_A
Tag Name: Adult.INS.HIKIND06_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post Processing Variable***

Type: Set
Max Number of Values:
Length: 2
Don't Know
Refuse
Empty
On Input
x On Output
Array:

Last Modified: Monday, September 25, 2017

Page 229 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HIKIND07_A

Field

Adult.INS.HIKIND07_A
Description: Kind(s) of health insurance - Indian health service
Form Pane Label:
SAS Name: HIKIND07_A
Tag Name: Adult.INS.HIKIND07_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post Processing Variable***

Type: Set
Max Number of Values:
Length: 2
Don't Know
Refuse
Empty
On Input
x On Output
Array:

Last Modified: Monday, September 25, 2017

Page 230 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HIKIND08_A

Field

Adult.INS.HIKIND08_A
Description: Kind(s) of health insurance - State-sponsored health plan
Form Pane Label:
SAS Name: HIKIND08_A
Tag Name: Adult.INS.HIKIND08_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post Processing Variable***

Type: Set
Max Number of Values:
Length: 2
Don't Know
Refuse
Empty
On Input
x On Output
Array:

Last Modified: Monday, September 25, 2017

Page 231 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HIKIND09_A

Field

Adult.INS.HIKIND09_A
Description: Kind(s) of health insurance - Other government program
Form Pane Label:
SAS Name: HIKIND09_A
Tag Name: Adult.INS.HIKIND09_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post Processing Variable***

Type: Set
Max Number of Values:
Length: 2
Don't Know
Refuse
Empty
On Input
x On Output
Array:

Last Modified: Monday, September 25, 2017

Page 232 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HIKIND10_A

Field

Adult.INS.HIKIND10_A
Description: Kind(s) of health insurance - No coverage of any type
Form Pane Label:
SAS Name: HIKIND10_A
Tag Name: Adult.INS.HIKIND10_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post Processing Variable***

Type: Set
Max Number of Values:
Length: 2
Don't Know
Refuse
Empty
On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 233 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MCAREPRB_A

Field

Adult.INS.MCAREPRB_A
Description: Covered by Medicare
Form Pane Label: Covered by Medicare
SAS Name: MCAREPRB_A
Tag Name: Adult.INS.MCAREPRB_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] ge 65 and (02 NOT IN HIKIND_A)
Universe Description: Sample Adults 65+ who have not indicated they had Medicare in HIKIND_A
Question Text: Are you covered by Medicare?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto SINCOVDE_A]

Last Modified: Wednesday, September 27, 2017

Page 234 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MCAIDPRB_A

Field

Adult.INS.MCAIDPRB_A
Description: Covered by Medicaid
Form Pane Label: Covered by Medicaid
SAS Name: MCAIDPRB_A
Tag Name: Adult.INS.MCAIDPRB_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: (GEN.AGE_FINAL[PX_A] lt 65 or GEN.AGE_FINAL IN (RF,DK)) and HIKIND_A IN
(10,RF,DK)
Universe Description: Sample Adults 18-64 who have indicated they are uninsured, refused, or don't know
their type of health insurance
Question Text: There is a program called Medicaid that pays for health care for persons in
need. ^STATEMA Are you covered by Medicaid?

Fills: STATEMA
Instructions: if STMEDICAID ne empty, fill: "In ^STATENAME it is also called
^STMEDICAID."
else fill: blank

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 235 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <1,2,RF,DK> [goto SINCOVDE_A]

Last Modified: Wednesday, September 27, 2017

Page 236 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SINCOVDE_A

Field

Adult.INS.SINCOVDE_A
Description: Single service plan-dental
Form Pane Label: Dental
SAS Name: SINCOVDE_A
Tag Name: Adult.INS.SINCOVDE_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Are you covered by a separate plan that only pays for dental services?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto SINCOVVS_A]

Last Modified: Wednesday, September 27, 2017

Page 237 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SINCOVVS_A

Field

Adult.INS.SINCOVVS_A
Description: Single service plan-vision
Form Pane Label: Vision
SAS Name: SINCOVVS_A
Tag Name: Adult.INS.SINCOVVS_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Are you covered by a separate plan that only pays for vision services?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto SINCOVRX_A]

Last Modified: Wednesday, September 27, 2017

Page 238 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SINCOVRX_A

Field

Adult.INS.SINCOVRX_A
Description: Single service plan-prescriptions
Form Pane Label: Prescriptions
SAS Name: SINCOVRX_A
Tag Name: Adult.INS.SINCOVRX_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Are you covered by a separate plan that only pays for prescriptions?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto HICHANGE_A]

Last Modified: Wednesday, September 27, 2017

Page 239 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HICHANGE_A

Field

Adult.INS.HICHANGE_A
Description: Confirm coverage types
Form Pane Label: Confirm coverage types
SAS Name: HICHANGE_A
Tag Name: Adult.INS.HICHANGE_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: I have recorded you are ^COVEREDA. Is this correct?

Fills: COVEREDA
Instructions: if HIKIND_A=10,R,D and (MCAIDPRB_A=2,R,D or MCAREPRB_A= 2,R,D)
and SINCOVDE_A=2,R,DÂ and SINCOVVS_A=2,R,DÂ and
SINCOVRX_A=2,R,DÂ fill: "not covered by health insurance"
else fill: "covered by ^HITYPEA"

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,RF,DK>
if 02 in HIKIND_A or MCAREPRB_A=1[goto MCPART_A]

Last Modified: Wednesday, September 27, 2017

Page 240 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

else if 04 in HIKIND_A or MCAIDPRB_A=1[goto MACHMN_A]
else if 01 in HIKIND_A [goto SET_INSPRI_FLAG]
else if 03 in HIKIND_A [goto SET_INSPRI_FLAG]
else if 05 in HIKIND_A [goto CHNAME_A]
else if 08 in HIKIND_A [goto OPNAME_A]
else if 09 in HIKIND_A [goto OGNAME_A]
else if 06 in HIKIND_A [goto MILSPC_A]
else if 07 in HIKIND_A [goto HINOTYR_A]
else [goto HILAST_A]
<2> [goto ERR1_HICHANGE_A]

Last Modified: Monday, July 31, 2017

Page 241 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR1_HICHANGE_A

Check

Adult.INS.ERR1_HICHANGE_A
Description:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: HICHANGE_A=2
Universe Description:
Text: {check ERR1_HICHANGE_A}
Press Enter to go back to HIKIND_A and update coverage.

Check Instructions:
Type: Hard

Last Modified: Wednesday, September 27, 2017

Page 242 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MCPART_A

Field

Adult.INS.MCPART_A
Description: Type of Medicare coverage
Form Pane Label: Type of Medicare coverage
SAS Name: MCPART_A
Tag Name: Adult.INS.MCPART_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 02 IN HIKIND_A or MCAREPRB_A=1
Universe Description: Sample Adults 18+ with Medicare
Question Text: What type of Medicare coverage do you have? Is it Part A - hospital insurance,
Part B - medical insurance, or both?

Type: Enumerated
Length: 1
Answer List: TMCPART
Value:

Mnemonic:

Description:

1

Part A- hospital only

2

Part B- medical only

3

Both Part A and Part B
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-3,RF,DK> [goto MCCHOICE_A]

Last Modified: Wednesday, September 27, 2017

Page 243 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MCCHOICE_A

Field

Adult.INS.MCCHOICE_A
Description: Medicare Advantage plan
Form Pane Label: Medicare Advantage plan
SAS Name: MCCHOICE_A
Tag Name: Adult.INS.MCCHOICE_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 02 IN HIKIND_A or MCAREPRB_A=1
Universe Description: Sample Adults 18+ with Medicare
Question Text: Are you enrolled in a Medicare Advantage plan?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto MCHMO_A]

Last Modified: Wednesday, September 27, 2017

Page 244 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MCHMO_A

Field

Adult.INS.MCHMO_A
Description: Medicare HMO
Form Pane Label: Medicare HMO
SAS Name: MCHMO_A
Tag Name: Adult.INS.MCHMO_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 02 IN HIKIND_A or MCAREPRB_A=1
Universe Description: Sample Adults 18+ with Medicare
Question Text: Are you under a Medicare managed care arrangement, such as an HMO, that is,
a Health Maintenance Organization?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto MCANAME_A]
<2,RF,DK> if MCCHOICE_A=1 [goto MCANAME_A]
elseif MCCHOICE_A IN (2,RF,DK) [goto MCPARTD_A]

Last Modified: Wednesday, September 27, 2017

Page 245 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MCANAME_A

Field

Adult.INS.MCANAME_A
Description: Name of Medicare HMO
Form Pane Label: Name of Medicare HMO
SAS Name: MCANAME_A
Tag Name: Adult.INS.MCANAME_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: MCCHOICE_A=1 or MCHMO_A=1
Universe Description: Sample Adults 18+ with a Medicare Advantage plan or a Medicare managed care
arrangement
Question Text: What is the name of your Medicare Advantage or Medicare HMO plan?

Type: String
Length: 80
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions:  [goto MCPARTD_A]

Last Modified: Wednesday, September 27, 2017

Page 246 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MCPARTD_A

Field

Adult.INS.MCPARTD_A
Description: Medicare Part D
Form Pane Label: Medicare Part D
SAS Name: MCPARTD_A
Tag Name: Adult.INS.MCPARTD_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 02 IN HIKIND_A or MCAREPRB_A=1
Universe Description: Sample Adults 18+ with Medicare
Question Text: Are you enrolled in Medicare Part D, also known as the Medicare Prescription
Drug Plan?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK>
if 04 in HIKIND_A or MCAIDPRB_A=1 [goto MACHMN_A]
elseif 01 in HIKIND_A [goto SET_INSPRI_FLAG]
elseif 03 in HIKIND_A [goto SET_INSPRI_FLAG]
elseif 05 in HIKIND_A [goto CHNAME_A]
elseif 08 in HIKIND_A [goto OPNAME_A]
elseif 09 in HIKIND_A [goto OGNAME_A]
elseif 06 in HIKIND_A [goto MILSPC_A]

Last Modified: Wednesday, September 27, 2017

Page 247 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

else [goto HINOTYR_A]

Last Modified: Wednesday, September 27, 2017

Page 248 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MACHMN_A

Field

Adult.INS.MACHMN_A
Description: Name of Medicaid plan
Form Pane Label: Name of Medicaid plan
SAS Name: MACHMN_A
Tag Name: Adult.INS.MACHMN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 04 IN HIKIND_A or MCAIDPRB_A=1
Universe Description: Sample Adults 18+ with Medicaid coverage
Question Text: The next questions are about Medicaid coverage. What is the name of your
Medicaid health plan?

Type: String
Length: 80
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions:  [goto MAXCHNG_A]

Last Modified: Wednesday, September 27, 2017

Page 249 of 895

Survey: NHIS Bridge
Section: Adult.INS

MAXCHNG_A

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Field

Adult.INS.MAXCHNG_A
Description: Medicaid through Marketplace
Form Pane Label: Medicaid through Marketplace
SAS Name: MAXCHNG_A
Tag Name: Adult.INS.MAXCHNG_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 04 IN HIKIND_A or MCAIDPRB_A=1
Universe Description: Sample Adults 18+ with Medicaid coverage
Question Text: Was your Medicaid obtained through Healthcare.gov or the ^MARKETPLACE?

Fills: MARKETPLACE
Instructions: If no state specified below, fill Health Insurance Marketplace
If state specified below fill:
    If CA then fill Health Insurance Marketplace, such as Covered
California
    If CO then fill Health Insurance Marketplace, such as Connect for
Health Colorado
    If CT then fill Health Insurance Marketplace, such as Access Health CT
   If DC then fill Health Insurance Marketplace, such as DC Health Link
    If HI then fill Health Insurance Marketplace, such as Hawaii Health
Connector
    If ID then fill Health Insurance Marketplace, such as Your Health Idaho
    If KY then fill Health Insurance Marketplace, such as KYnect
    If MA then fill Health Insurance Marketplace, such as Health Connector
    If MD then fill Health Insurance Marketplace, such as Maryland Health
Connection
    If MN then fill Health Insurance Marketplace, such as MNsure
    If NM then fill Health Insurance Marketplace, such as New Mexico
Health Connections
    If MS then fill Health Insurance Marketplace, such as One, Mississippi
    If NV then fill Health Insurance Marketplace, such as Nevada Health
Link
    If NY then fill Health Insurance Marketplace, such as New York State of
Health
    If OR then fill Health Insurance Marketplace, such as Cover Oregon
    If RI then fill Health Insurance Marketplace, such as HealthSource RI
    If VT then fill Health Insurance Marketplace, such as Vermont Health
Connect
Last Modified: Wednesday, September 27, 2017

Page 250 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

    If WA then fill Health Insurance Marketplace, such as Washington
Healthplanfinder
    If UT then fill Health Insurance Marketplace, or through Avenue H

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto MAPREM_A]

Last Modified: Wednesday, September 27, 2017

Page 251 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MAPREM_A

Field

Adult.INS.MAPREM_A
Description: Pay Medicaid premium
Form Pane Label: Pay Medicaid premium
SAS Name: MAPREM_A
Tag Name: Adult.INS.MAPREM_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 04 IN HIKIND_A or MCAIDPRB_A=1
Universe Description: Sample Adults 18+ with Medicaid coverage
Question Text: A health insurance premium is the amount you or a family member pay each
month for health care coverage. Do you or a family member pay a premium for
this Medicaid plan?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto MADEDUC_A]

Last Modified: Wednesday, September 27, 2017

Page 252 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MADEDUC_A

Field

Adult.INS.MADEDUC_A
Description: Medicaid deductible
Form Pane Label: Medicaid deductible
SAS Name: MADEDUC_A
Tag Name: Adult.INS.MADEDUC_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 04 IN HIKIND_A or MCAIDPRB_A=1
Universe Description: Sample Adults 18+ with Medicaid coverage
Question Text: A deductible is the amount you have to pay for health care before your health
insurance or health coverage plan will start paying your medical bills. Does
your health plan have an annual deductible?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto MAHDHP_A]
<2,RF,DK>
if 01 in HIKIND_A [goto SET_INSPRI_FLAG]
else if 03 in HIKIND_A [goto SET_INSPRI_FLAG]
else if 05 in HIKIND_A [goto CHNAME_A]
else if 08 in HIKIND_A [goto OPNAME_A]
else if 09 in HIKIND_A [goto OGNAME_A]

Last Modified: Wednesday, September 27, 2017

Page 253 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

else if 06 in HIKIND_A [goto MILSPC_A]
else [goto HINOTYR_A]

Last Modified: Wednesday, September 27, 2017

Page 254 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MAHDHP_A

Field

Adult.INS.MAHDHP_A
Description: Medicaid HDHP
Form Pane Label: Medicaid HDHP
SAS Name: MAHDHP_A
Tag Name: Adult.INS.MAHDHP_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: MADEDUC_A=1
Universe Description: Sample Adults 18+ with Medicaid coverage who have a deductible
Question Text: Is the annual deductible for medical care for this plan less than ^HDHPDED or
^HDHPDED or more? If there is a separate deductible for prescription drugs,
hospitalization, or out-of-network care, do not include those deductible
amounts here.

Fills: HDHPDED
Instructions: fill: $1,300

Type: Enumerated
Length: 1
Answer List: TDeduct
Value:

Mnemonic:

Description:

1

Less than ^HDHPDED

2

^HDHPDED or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK>
if 01 in HIKIND_A [goto SET_INSPRI_FLAG]

Last Modified: Wednesday, September 27, 2017

Page 255 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

elseif 03 in HIKIND_A [goto SET_INSPRI_FLAG]
elseif 05 in HIKIND_A [goto CHNAME_A]
elseif 08 in HIKIND_A [goto OPNAME_A]
elseif 09 in HIKIND_A [goto OGNAME_A]
elseif 06 in HIKIND_A [goto MILSPC_A]
else [goto HINOTYR_A]

Last Modified: Wednesday, September 27, 2017

Page 256 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INSPRI_FLG_A

Field

Adult.INS.INSPRI_FLG_A
Description: Sample Adult has private health insurance and Sample Child has private health
insurance flag
Form Pane Label:
SAS Name: INSPRI_FLG_A
Tag Name: Adult.INSPRI_FLG_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Instrument Flag***

Type: Integer
Length: 1
Min: 1
Max: 1
Don't Know
Refuse
x Empty
x On Input
x On Output
Store Instructions: if 01 IN HIKIND_A and 01 IN Child.INS.HIKIND_C then set INSPRI_FLG_A=1
else empty
Array:

Last Modified: Wednesday, September 27, 2017

Page 257 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INSPRI1_FLG1_A

Field

Adult.INS.INSPRI1_FLG1_A
Description: Sample Child is not the policy holder of his/her private plan OR Sample Child's private
plan covers others or don't know/refused if it covers others flag
Form Pane Label:
SAS Name: INSPRI1_FLG1_A
Tag Name: Adult.INSPRI1_FLG1_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Instrument Flag***

Type: Integer
Length: 1
Min: 1
Max: 1
Don't Know
Refuse
x Empty
x On Input
x On Output
Array:
Special Instructions: if (Child.INS.bPlan[1].POLHLD_C=2
(1,RF,DK)) set INSPRI1_FLG1_A=1
else empty

Last Modified: Wednesday, September 27, 2017

or

Child.INS.bPlan[1].PRPLCOV_C

IN

Page 258 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INSPRI1_FLG2_A

Field

Adult.INS.INSPRI1_FLG2_A
Description: Name of first private health plan was provided for Sample Child flag
Form Pane Label:
SAS Name: INSPRI1_FLG2_A
Tag Name: Adult.INSPRI1_FLG2_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Instrument Flag***

Type: Integer
Length: 1
Min:
Max: 1
Don't Know
Refuse
x Empty
x On Input
x On Output
Store Instructions: if Child.INS.HIPNAM1_C NOT IN (RF,DK) set INSPRI1_FLG2_A=1
else empty
Array:

Last Modified: Wednesday, September 27, 2017

Page 259 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INSPRI1_FLG3_A

Field

Adult.INS.INSPRI1_FLG3_A
Description: The source and who pays for the Sample Child's coverage are not refused or don't
know for the first plan flag
Form Pane Label:
SAS Name: INSPRI1_FLG3_A
Tag Name: Adult.INSPRI1_FLG3_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Instrument Flag***

Type: Integer
Length: 1
Min:
Max: 1
Don't Know
Refuse
x Empty
x On Input
x On Output
Store Instructions: if (Child.INS.bPlan[1].PLNWRK_C IN (1,2,3,4,5) and Child.INS.bPlan[1].PLNPAY_C
IN (1,2,3,4,5,6)) set INSPRI1_FLG3_A=1
else empty
Array:

Last Modified: Wednesday, September 27, 2017

Page 260 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INSPRI2_FLG2_A

Field

Adult.INS.INSPRI2_FLG2_A
Description: Sample Child is covered by more than 1 private health insurance plan flag
Form Pane Label:
SAS Name: INSPRI2_FLG2_A
Tag Name: Adult.INSPRI2_FLG2_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Instrument Flag***

Type: Integer
Length: 1
Min:
Max: 1
Don't Know
Refuse
x Empty
x On Input
x On Output
Store Instructions: if Child.INS.MORPLAN_C=1 set INSPRI2_FLG2_A=1
else empty
Array:

Last Modified: Wednesday, September 27, 2017

Page 261 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INSPRI2_FLG3_A

Field

Adult.INS.INSPRI2_FLG3_A
Description: Sample Child is not the policy holder of the second private plan OR Sample Child's
first private plan covers others or don't know/refused if it covers others FLAG
Form Pane Label:
SAS Name: INSPRI2_FLG3_A
Tag Name: Adult.INSPRI2_FLG3_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Instrument Flag***

Type: Integer
Length: 1
Min:
Max: 1
Don't Know
Refuse
x Empty
x On Input
x On Output
Store Instructions: if (Child.INS.bPlan[2].POLHLD_C=2
(1,RF,DK)) set INSPRI2_FLG3_A=1
else empty

or

Child.INS.bPlan[2].PRPLCOV_C

IN

Array:

Last Modified: Wednesday, September 27, 2017

Page 262 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INSPRI2_FLG4_A

Field

Adult.INS.INSPRI2_FLG4_A
Description: Sample Child respondent provided a name for the second private plan FLAG
Form Pane Label:
SAS Name: INSPRI2_FLG4_A
Tag Name: Adult.INSPRI2_FLG4_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Instrument Flag***

Type: Integer
Length: 1
Min:
Max: 1
Don't Know
Refuse
x Empty
x On Input
x On Output
Store Instructions: if Child.INS.HIPNAM2_C NOT IN (RF,DK) set INSPRI2_FLG4_A=1
else empty
Array:

Last Modified: Wednesday, September 27, 2017

Page 263 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INSPRI2_FLG5_A

Field

Adult.INS.INSPRI2_FLG5_A
Description: The source of and who pays for the Sample Child's coverage are not refused or don't
know for the second plan FLAG
Form Pane Label:
SAS Name: INSPRI2_FLG5_A
Tag Name: Adult.INSPRI2_FLG5_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Instrument Flag***

Type: Integer
Length: 1
Min:
Max:
Don't Know
Refuse
x Empty
x On Input
x On Output
Store Instructions: if (Child.INS.bPlan[2].PLNWRK_C IN (1,2,3,4,5) and Child.INS.bPlan[2].PLNPAY_C
IN (1,2,3,4,5,6)) set INSPRI2_FLG5_A=1
else empty
Array:

Last Modified: Wednesday, September 13, 2017

Page 264 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SET_INSPRI_FLAG

Field

Adult.INS.SET_INSPRI_FLAG
Description: Set INS flags procedure and skips
Form Pane Label:
SAS Name: SET_INSPRI_FLAG
Tag Name: Adult.SET_INSPRI_FLAG
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 01 IN HIKIND_A or 03 in HIKIND_A
Universe Description: Sample Adult 18+ who has private health insurance or Medigap
Question Text: ***Instrument Procedure***

Type: Integer
Length: 1
Min: 1
Max: 1
Don't Know
Refuse
x Empty
x On Input
On Output
Array:
Special Instructions: INSPRI_FLG_A=1 if HIKIND_A=01 and Child.INS.HIKIND_C=01.
INSPRI1_FLG1_A=1
if
(Child.INS.bPlan[1].POLHLD_C=2
Child.INS.bPlan[1].PRPLCOV_C IN (1,RF,DK))
INSPRI1_FLG2_A=1 if Child.INS.HIPNAM1_C NOT IN (RF,DK)
INSPRI1_FLG3_A=1 if (Child.INS.bPlan[1].PLNWRK_C IN (1,2,3,4,5)
Child.INS.bPlan[1].PLNPAY_C IN (1,2,3,4,5,6))
INSPRI2_FLG2_A=1 if Child.INS.MORPLAN_C=1
INSPRI2_FLG3_A=1
if
(Child.INS.bPlan[2].POLHLD_C=2
Child.INS.bPlan[2].PRPLCOV_C IN (1,RF,DK))
INSPRI2_FLG4_A=1 if Child.INS.HIPNAM2_C NOT IN (RF,DK)
INSPRI2_FLG5_A=1 if (Child.INS.bPlan[2].PLNWRK_C IN (1,2,3,4,5)
Child.INS.bPlan[2]PLNPAY_C IN (1,2,3,4,5,6))
Last Modified: Wednesday, September 13, 2017

or

and

or

and

Page 265 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: If INSPRI1_FLG1_A=1 and INSPRI1_FLG2_A=1 and INSPRI1_FLG3_A=1 and
INSPRI_FLG_A=1 and SAMEFAM_FLG=1 [goto PLANNAME1_A]
elseif INSPRI2_FLG2_A=1 and INSPRI2_FLG3_A=1 and INSPRI2_FLG4_A=1 and
INSPRI2_FLG5_A=1 and INSPRI_FLG_A=1 and SAMEFAM_FLG=1 [goto
PLANNAME2_A]
else [goto HIPNAM1_A]

Last Modified: Friday, September 29, 2017

Page 266 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PLANNAME1 _A

Field

Adult.INS.PLANNAME1 _A
Description: Covered by same plan-plan 1
Form Pane Label: Covered by same plan-plan 1
SAS Name: PLANNAME1 _A
Tag Name: Adult.INS.PLANNAME1 _A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: INSPRI1_FLG1_A=1 and INSPRI1_FLG2_A=1
INSPRI_FLG_A=1 and SAMEFAM_FLG=1

and

INSPRI1_FLG3_A=1

and

Universe Description: Sample Adults 18+ with private health insurance coverage, where the Sample Child
interview has already been conducted, the Sample Child is in the same family, and the
Sample Child also had private health insurance, and the first private plan is not self
only coverage, a plan name was not don't know or refused, and the source and who
pays for the coverage is not don't know or refused.
Question Text: Earlier I recorded that ^SCNAME was covered by ^HIPNAM1_C. Are you
covered by this same plan as ^SCNAME?

Fills: SCNAME
Instructions: Fill ALIAS of HHSTAT_C=1

Fills: HIPNAM1_C
Instructions: fill value from Child.INS.HIPNAM1_C

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty

Last Modified: Friday, September 29, 2017

Page 267 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x On Input
x On Output
Array:
Skip Instructions: <1> if Child.INS.bPlan[1].POLHLD_C ne 1 [goto POLHLDA1_A],
if Child.INS.bPlan[1].POLHLD_C=1 [goto PRPOLHP1_A]
<2,RF,DK>
if
INSPRI2_FLG2_A=1
and
INSPRI2_FLG3_A=1
INSPRI2_FLG4_A=1 and INSPRI2_FLG5_A=1 [goto PLANNAME2_A]
else [goto HIPNAM1_A]

Last Modified: Wednesday, September 27, 2017

and

Page 268 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

POLHLDA1_A

Field

Adult.INS.POLHLDA1_A
Description: Policyholder for Plan 1
Form Pane Label: Policyholder for Plan 1
SAS Name: POLHLDA1_A
Tag Name: Adult.INS.POLHLDA1_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: PLANNAME1_A=1 and Child.INS.bPlan[1].POLHLD_C IN (2,RF,DK)
Universe Description: Sample Adults 18+ with a shared private health plan with the Sample Child, where
the child is not the policyholder for their first private plan or refused or don't know.
Question Text: Health insurance plans are usually obtained in one person's name even if other
family members are covered by that plan. That person is called the
policyholder. Are you the policyholder for ^HIPNAM1_C?

Fills: HIPNAM1_C
Instructions: fill value from Child.INS.HIPNAM1_C

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> if INSPRI2_FLG2_A=1 and INSPRI2_FLG3_A=1 and INSPRI2_FLG4_A=1 and
INSPRI2_FLG5_A=1 [goto PLANNAME2_A]

Last Modified: Wednesday, September 27, 2017

Page 269 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

else [goto MORPLAN_A]
<2,RF,DK> [goto PRPOLHP1_A]

Last Modified: Wednesday, September 13, 2017

Page 270 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PRPOLHP1_A

Field

Adult.INS.PRPOLHP1_A
Description: Relation to policyholder-Plan 1
Form Pane Label: Relation to policyholder-Plan 1
SAS Name: PRPOLHP1_A
Tag Name: Adult.INS.PRPOLHP1_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: PLANNAME1_A=1 and (Child.INS.bPlan[1].POLHLD_C=1 or POLHLDA1_A IN
(2,RF,DK))
Universe Description: Sample Adults 18+ with a shared private health plan with the Sample Child, where the
Sample child is the policyholder or the Sample Adult is not the policyholder for the first
plan or refused or don't know.
Question Text: How are you related to the policyholder for ^HIPNAM1_C? Are you the
policyholder's child, spouse, former spouse, or are you related in some other
way?

Fills: HIPNAM1_C
Instructions: fill value from Child.INS.HIPNAM1_C

Type: Enumerated
Length: 1
Answer List: TPRPOLH_A
Value:

Mnemonic:

Description:

1

Child

2

Spouse

3

Former spouse

4

Some other relationship
x Don't Know
x Refuse
Empty
x On Input
x On Output

Last Modified: Wednesday, September 13, 2017

Page 271 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Array:
Skip Instructions: <1-4,RF,DK>
if
INSPRI2_FLG2_A=1
and
INSPRI2_FLG3_A=1
INSPRI2_FLG4_A=1 and INSPRI2_FLG5_A=1 [go to PLANNAME2_A]
else [goto MORPLAN_A]

Last Modified: Friday, September 29, 2017

and

Page 272 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PLANNAME2_A

Field

Adult.INS.PLANNAME2_A
Description: Covered by same plan-plan 2
Form Pane Label: Covered by same plan-plan 2
SAS Name: PLANNAME2_A
Tag Name: Adult.INS.PLANNAME2_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: INSPRI2_FLG2_A=1 and INSPRI2_FLG3_A=1 and INSPRI2_FLG4_A=1
INSPRI2_FLG5_A=1 and INSPRI_FLG_A=1 and SAMEFAM_FLG=1

and

Universe Description: Sample Adults 18+ with private health insurance coverage, where the Sample Child
interview has already been conducted, the Sample Child is in the same family, and the
Sample Child also had private health insurance, and listed two plans. The second
private plan is not self only coverage, a plan name was not don't know or refused, and
the source and who pays for the coverage is not don't know or refused.
Question Text: Earlier I recorded that ^SCNAME was covered by a second plan: ^HIPNAM2_C.
Are you covered by this same plan as ^SCNAME?

Fills: SCNAME
Instructions: Fill ALIAS of HHSTAT_C=1

Fills: HIPNAM2_C
Instructions: fill value from Child.INS.HIPNAM2_C

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty

Last Modified: Friday, September 29, 2017

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Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x On Input
x On Output
Array:
Skip Instructions: <1> if Child.INS.bPlan[2].POLHLD_C ne 1 [goto POLHLDA2_A],
if Child.INS.bPlan[2].POLHLD_C=1 [goto PRPOLHP2_A]
<2,RF,DK> if PLANNAME1_A IN(2,RF,DK,empty) [goto HIPNAM1_A]
else [goto MORPLAN_A]

Last Modified: Wednesday, September 27, 2017

Page 274 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

POLHLDA2_A

Field

Adult.INS.POLHLDA2_A
Description: Policyholder for Plan 2
Form Pane Label: Policyholder for Plan 2
SAS Name: POLHLDA2_A
Tag Name: Adult.INS.POLHLDA2_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: PLANNAME2_A=1 and Child.INS.bPlan[2].POLHLD_C IN (2,RF,DK)
Universe Description: Sample Adults 18+ with a shared private health plan with the Sample Child, where
the child is not the policyholder for their second private plan or refused or don't know.
Question Text:

Read if necessary: Health insurance plans are usually obtained in one person's
name even if other family members are covered by that plan. That person is called
the policyholder.
Are you the policyholder for ^HIPNAM2_C?

Fills: HIPNAM2_C
Instructions: fill value from Child.INS.HIPNAM2_C

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

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Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <1> if PLANNAME1_A IN (2,RF,DK,empty) [goto MORPLAN_A]
elseif 05 in HIKIND_A [goto CHNAME_A]
elseif 08 in HIKIND_A [goto OPNAME_A]
elseif 09 in HIKIND_A [goto OGNAME_A]
elseif 06 in HIKIND_A [goto MILSPC_A]
else [goto HINOTYR_A]
<2,RF,DK>[goto PRPOLHP2_A]

Last Modified: Friday, September 29, 2017

Page 276 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PRPOLHP2_A

Field

Adult.INS.PRPOLHP2_A
Description: Relation to policyholder-Plan 2
Form Pane Label: Relation to policyholder-Plan 2
SAS Name: PRPOLHP2_A
Tag Name: Adult.INS.PRPOLHP2_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: PLANNAME2_A=1 and (Child.INS.bPlan[2].POLHLD_C=1 or POLHLDA2_A IN
(2,RF,DK))
Universe Description: Sample Adults 18+ with a shared private health plan with the Sample Child, where the
Sample Child is the policy holder for the second plan or the Sample Adult is not the
policyholder for the second plan or refused or don't know.
Question Text: How are you related to the policyholder for ^HIPNAM2_C? Are you the
policyholder's child, spouse, former spouse, or are you related in some other
way?

Fills: HIPNAM2_C
Instructions: fill value from Child.INS.HIPNAM2_C

Type: Enumerated
Length: 1
Answer List: TPRPOLH_A
Value:

Mnemonic:

Description:

1

Child

2

Spouse

3

Former spouse

4

Some other relationship
x Don't Know
x Refuse
Empty
x On Input
x On Output

Last Modified: Friday, September 29, 2017

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Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Array:
Skip Instructions: <1-4,RF,DK> if PLANNAME1_A IN (2,RF,DK,empty) [goto MORPLAN_A]
elseif 05 in HIKIND_A [goto CHNAME_A]
elseif 08 in HIKIND_A [goto OPNAME_A]
elseif 09 in HIKIND_A [goto OGNAME_A]
elseif 06 in HIKIND_A [goto MILSPC_A]
else [goto HINOTYR_A]

Last Modified: Wednesday, September 27, 2017

Page 278 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HIPNAM1_A

Field

Adult.INS.HIPNAM1_A
Description: Name of private health plan
Form Pane Label: Name of private health plan
SAS Name: HIPNAM1_A
Tag Name: Adult.INS.HIPNAM1_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 03 IN HIKIND_A or (01 IN HIKIND_A and PLANNAME1_A IN (2,RF,DK,empty) and
PLANNAME2_A IN (2,RF,DK,empty))
Universe Description: Sample Adults 18+ enrolled in a Medigap plan or private health insurance and the
sample adult did not share or refused or did not know if they shared or did not have a
value for both of the two listed private plans for the sample child

Question Text: It is important that we record the complete and accurate name of each private
health insurance plan. What is the COMPLETE name of your plan? Do NOT
include plans that only provide extra cash while in the hospital or plans that
pay for only one type of service such as long term care, accidents, or dental
care.
Read if necessary: Do you have a health plan card or something with the plan
name on it?

Type: String
Length: 80
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions:  [goto MORPLAN_A]

Last Modified: Wednesday, September 27, 2017

Page 279 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MORPLAN_A

Field

Adult.INS.MORPLAN_A
Description: More private plans
Form Pane Label: More private plans
SAS Name: MORPLAN_A
Tag Name: Adult.INS.MORPLAN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: HIPNAM1_A ne empty or ((PLANNAME1_A=1 and PLANNAME2_A=2,RF,DK,empty)
or (PLANNAME1_A=2,RF,DK,empty and PLANNAME2_A=1))
Universe Description: Sample Adults 18+ enrolled in a private health plan where the name of the plan was
given or don't know or refused or the sample adult only shared one private plan with
the Sample Child.
Question Text: Are you covered by any other private health insurance plans?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto HIPNAM2_A]
<2,RF,DK>
if (PLANNAME1_A=1 or PLANNAME2_A=1) then
if 05 in HIKIND_A [goto CHNAME_A]
elseif 08 in HIKIND_A [goto OPNAME_A]
elseif 09 in HIKIND_A [goto OGNAME_A]

Last Modified: Wednesday, September 27, 2017

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Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

elseif 06 in HIKIND_A [goto MILSPC_A]
else [goto HINOTYR_A]
else [goto bPlan[1].POLHLD_A]

Last Modified: Wednesday, September 27, 2017

Page 281 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HIPNAM2_A

Field

Adult.INS.HIPNAM2_A
Description: Name of private health plan
Form Pane Label: Name of private health plan
SAS Name: HIPNAM2_A
Tag Name: Adult.INS.HIPNAM2_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: MORPLAN_A=1
Universe Description: Sample Adults 18+ with a second private health insurance plan
Question Text: What is the name of that private health insurance plan?
Read if necessary: Do you have a health plan card or something with the plan
name on it?

Type: String
Length: 80
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions:  [goto bPlan[1].POLHLD_A]

Last Modified: Tuesday, March 21, 2017

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Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

bPlan

Block

Adult.INS.bPlan
Description:
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: HIPNAM1_A ne empty or HIPNAM2_A ne empty
Universe Description:
Array:
Block Instructions: If HIPNAM1_A ne empty then ask bPlan[1]
If HIPNAM2_A ne empty then ask bPlan[2]

Last Modified: Friday, September 29, 2017

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Section: Adult.INS.bPlan

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PlanNum

Field

Adult.INS.bPlan.PlanNum
Description: Stores the number of the plan
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Stores the number of the plan
PlanNum
Adult.PlanNum
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(HIPNAM1_A ne empty or HIPNAM2_A ne empty)

Universe:
Universe Description:
Question Text: ***Storage Variable***

Type: Integer
Length: 1
Min: 1
Max: 2
Don't Know
Refuse
Empty
On Input
On Output
Array:

Last Modified: Wednesday, September 13, 2017

Page 284 of 895

Survey: NHIS Bridge
Section: Adult.INS.bPlan

Blaise Item-Level Specifications Report
Spider Version 1.6.2

POLHLD_A

Field

Adult.INS.bPlan.POLHLD_A
Description: Policyholder for private plan
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Policyholder for private plan
POLHLD_A
Adult.INS.POLHLD_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(HIPNAM1_A ne empty or HIPNAM2_A ne empty)

Universe:
Universe Description: Sample Adults 18+ with private health insurance coverage where a plan name was
given or refused or don't know.
Question Text: I am going to ask you some questions about ^FIRSTPLANA. Health insurance
plans are usually obtained in one person's name even if other family members
are covered by that plan. That person is called the policyholder. Are you the
policyholder for ^THISPLANA?

Fills: FIRSTPLANA
Instructions: if PlanNum=1 then
   if HIPNAM1_A IN (RF,DK) and HIPNAM2_A= empty fill: "your plan"
   elseif HIPNAM1_A IN (RF,DK) fill: "your first plan"
   else fill: "your ^HIPNAM1_A plan"
if PlanNum=2 then
  if HIPNAM2_A IN (RF,DK) fill: "your second plan"
   else fill: "your ^HIPNAM2_A plan"

Fills: THISPLANA
Instructions: if PlanNum=1 then
   if HIPNAM1_A IN (RF,DK) fill: "this plan"
   else fill: "^HIPNAM1_A"
if PlanNum=2 then
  if HIPNAM2_A IN (RF,DK) fill: "this plan"
   Else fill: "^HIPNAM2_A"

Type: Enumerated
Length: 1

Last Modified: Wednesday, September 13, 2017

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Section: Adult.INS.bPlan

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty

x On Input
x On Output
Array:
Skip Instructions: <1,RF,DK> [goto PRPLCOV_A]
<2> [goto PRPOLH_A]

Last Modified: Wednesday, September 27, 2017

Page 286 of 895

Survey: NHIS Bridge
Section: Adult.INS.bPlan

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PRPLCOV_A

Field

Adult.INS.bPlan.PRPLCOV_A
Description: Plan coverage for others
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Plan coverage for others
PRPLCOV_A
Adult.INS.PRPLCOV_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(HIPNAM1_A ne empty or HIPNAM2_A ne empty)

Universe: POLHLD_A=1,RF,DK
Universe Description: Sample Adults 18+ with private health insurance coverage where a plan name was
given or refused or don't know and where the Sample Adult is the policyholder or
refused or don't know
Question Text: Does this plan cover someone other than yourself?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto PLNWRK_A]

Last Modified: Wednesday, September 27, 2017

Page 287 of 895

Survey: NHIS Bridge
Section: Adult.INS.bPlan

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PRPOLH_A

Field

Adult.INS.bPlan.PRPOLH_A
Description: Relation to policyholder
Form Pane Label:
SAS Name: PRPOLH_A
Tag Name: Adult.INS.PRPOLH_A
Inherited Universe: (GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(HIPNAM1_A ne empty or HIPNAM2_A ne empty)
Universe: HHSTAT_A='1' and POLHLD_A='2'
Universe Description: Sample Adults 18+ with private health insurance who are not the policyholder
Question Text: How are you related to the policyholder? Are you the policyholder's child,
spouse, former spouse, or are you related in some other way?

Type: Enumerated
Length: 1
Answer List: TPRPOLH_A
Value:

Mnemonic:

Description:

1

Child

2

Spouse

3

Former spouse

4

Some other relationship
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4,RF,DK> [goto PLNWRK_A]

Last Modified: Thursday, September 14, 2017

Page 288 of 895

Survey: NHIS Bridge
Section: Adult.INS.bPlan

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PLNWRK_A

Field

Adult.INS.bPlan.PLNWRK_A
Description: How plan obtained
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

How plan obtained
PLNWRK_A
Adult.INS.PLNWRK_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(HIPNAM1_A ne empty or HIPNAM2_A ne empty)

Universe:
Universe Description: Sample Adults 18+ with private health insurance coverage where a plan name was
given or refused or don't know.
Question Text: Which one of these categories best describes how this plan was obtained? Was
it obtained through an employer or union, purchased directly, obtained through
Healthcare.gov or the Affordable Care Act, also known as Obamacare, obtained
through a state or local government or community program or obtained in
some other way?

Type: Enumerated
Length: 1
Answer List: TPLNWRK
Value:

Mnemonic:

Description:

1

Through an employer or union

2

Purchased directly

3

Through Healthcare.gov or the Affordable Care Act, also known as Obamacare

4

Through a state or local government or community program

5

Other
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Thursday, September 14, 2017

Page 289 of 895

Survey: NHIS Bridge
Section: Adult.INS.bPlan

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <1,3> [goto PLNPAY_A]
<2,4,RF,DK> [goto PLNEXCHG_A]
<5> [goto PLNWKSP_A]

Last Modified: Thursday, September 14, 2017

Page 290 of 895

Survey: NHIS Bridge
Section: Adult.INS.bPlan

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PLNEXCHG_A

Field

Adult.INS.bPlan.PLNEXCHG_A
Description: Obtained through Marketplace
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Obtained through Marketplace
PLNEXCHG_A
Adult.INS.PLNEXCHG_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(HIPNAM1_A ne empty or HIPNAM2_A ne empty)

Universe: PLNWRK_A IN (2,4,5,RF,DK)
Universe Description: Sample Adults 18+ with private health insurance coverage where a plan name was
given or refused or don't know that is directly purchased, or obtained through a state,
local, government or community program, or obtained another way, or refused/don't
know how obtained
Question Text: Was the plan obtained through Healthcare.gov or the ^MARKETPLACE?

Fills: MARKETPLACE
Instructions: If no state specified below, fill Health Insurance Marketplace
If state specified below fill:
    If CA then fill Health Insurance Marketplace, such as Covered
California
    If CO then fill Health Insurance Marketplace, such as Connect for
Health Colorado
    If CT then fill Health Insurance Marketplace, such as Access Health CT
   If DC then fill Health Insurance Marketplace, such as DC Health Link
    If HI then fill Health Insurance Marketplace, such as Hawaii Health
Connector
    If ID then fill Health Insurance Marketplace, such as Your Health Idaho
    If KY then fill Health Insurance Marketplace, such as KYnect
    If MA then fill Health Insurance Marketplace, such as Health Connector
    If MD then fill Health Insurance Marketplace, such as Maryland Health
Connection
    If MN then fill Health Insurance Marketplace, such as MNsure
    If NM then fill Health Insurance Marketplace, such as New Mexico
Health Connections
    If MS then fill Health Insurance Marketplace, such as One, Mississippi
    If NV then fill Health Insurance Marketplace, such as Nevada Health
Link
    If NY then fill Health Insurance Marketplace, such as New York State of
Health
Last Modified: Thursday, September 14, 2017

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Section: Adult.INS.bPlan

Blaise Item-Level Specifications Report
Spider Version 1.6.2

    If OR then fill Health Insurance Marketplace, such as Cover Oregon
    If RI then fill Health Insurance Marketplace, such as HealthSource RI
    If VT then fill Health Insurance Marketplace, such as Vermont Health
Connect
    If WA then fill Health Insurance Marketplace, such as Washington
Healthplanfinder
    If UT then fill Health Insurance Marketplace, or through Avenue H

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto PLNPAY_A]

Last Modified: Thursday, September 14, 2017

Page 292 of 895

Survey: NHIS Bridge
Section: Adult.INS.bPlan

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PLNPAY_A

Field

Adult.INS.bPlan.PLNPAY_A
Description: Who pays for plan
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Who pays for plan
PLNPAY_A
Adult.INS.PLNPAY_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(HIPNAM1_A ne empty or HIPNAM2_A ne empty)

Universe:
Universe Description: Sample Adults 18+ with private health insurance coverage where a plan name was
given or refused or don't know.
Question Text: Who pays for this health insurance plan?
Enter all that apply, separate with commas.

Type: Set
Max Number of Values:
Length: 1
Answer List: TPLNPAY
Value:

Mnemonic:

Description:

1

Self or family (living in the household)

2

Employer or union

3

Someone outside the household

4

Medicare

5

Medicaid

6

Other government program
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Thursday, September 14, 2017

Page 293 of 895

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Section: Adult.INS.bPlan

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: if <1> IN PLNPAY_A [goto HICOSTN_A]
else if <2-6> IN PLNPAY_A or PLNPAY_A IN (DK,RF)[goto PRDEDUC_A]

Last Modified: Friday, September 15, 2017

Page 294 of 895

Survey: NHIS Bridge
Section: Adult.INS.bPlan

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HICOSTN_A

Field

Adult.INS.bPlan.HICOSTN_A
Description: Premium amount-number
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Premium amount-number
HICOSTN_A
Adult.INS.HICOSTN_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(HIPNAM1_A ne empty or HIPNAM2_A ne empty)

Universe: 1 IN PLNPAY_A
Universe Description: Sample Adults 18+ with private health insurance coverage where a plan name was
given or refused or don't know who paid for by self or family
Question Text: How much ^DOYOUFAM currently spend for health insurance premiums for
^FIRSTPLANA? Please include payroll deductions for premiums.

Fills: DOYOUFAM
Instructions: if PCNT_A=1 fill 'do you', else fill 'does your family'

Fills: FIRSTPLANA
Instructions: if PlanNum=1 then
   if HIPNAM1_A IN (RF,DK) and HIPNAM2_A= empty fill: "your plan"
   elseif HIPNAM1_A IN (RF,DK) fill: "your first plan"
   else fill: "your ^HIPNAM1_A plan"
if PlanNum=2 then
  if HIPNAM2_A IN (RF,DK) fill: "your second plan"
   else fill: "your ^HIPNAM2_A plan"

Type: Integer
Length: 5
Min: 1
Max: 99995
x Don't Know
x Refuse
Empty

Last Modified: Friday, September 15, 2017

Page 295 of 895

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Section: Adult.INS.bPlan

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x On Input
x On Output
Store Instructions: If RF, store RF in HICOSTT_A. If DK, store DK in HICOSTT_A.
Array:
Skip Instructions: <20000-99995> [goto ERR1_HICOSTN_A]
<1-19999> [goto HICOSTT_A]
 [goto PRDEDUC_A]

Last Modified: Monday, July 31, 2017

Page 296 of 895

Survey: NHIS Bridge
Section: Adult.INS.bPlan

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR1_HICOSTN_A

Check

Adult.INS.bPlan.ERR1_HICOSTN_A
Description:
Inherited Universe: (GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(HIPNAM1_A ne empty or HIPNAM2_A ne empty)
Universe: if HICOSTN_A ge 20000
Universe Description:
Text: {signal ERR1_HICOSTN_A}
[^HICOSTN_A] is unusually high. Please verify.  Make corrections if
necessary.
Â

Check Instructions:
Type: Soft
Fills: HICOSTN_A
Instructions: fill value from HICOSTN_A

Last Modified: Friday, September 15, 2017

Page 297 of 895

Survey: NHIS Bridge
Section: Adult.INS.bPlan

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HICOSTT_A

Field

Adult.INS.bPlan.HICOSTT_A
Description: Premium amount-time period
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Premium amount-time period
HICOSTT_A
Adult.INS.HICOSTT_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(HIPNAM1_A ne empty or HIPNAM2_A ne empty)

Universe: HICOSTN_A IN (1-99995)
Universe Description: Sample Adults 18+ with private health insurance coverage where a plan name was
given or refused or don't know who gave a premium amount.
Question Text:

Enter time period for premium payments.

Type: Enumerated
Length: 1
Answer List: THICOSTT
Value:

Mnemonic:

Description:

1

Once a week

2

Once every 2 weeks

3

Once a month

4

Twice a month

5

Every two months

6

Quarterly (every 3 months)

7

Once a year

8

Twice a year
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Friday, September 15, 2017

Page 298 of 895

Survey: NHIS Bridge
Section: Adult.INS.bPlan

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <1-8,RF,DK> [goto PRDEDUC_A]

Last Modified: Friday, September 15, 2017

Page 299 of 895

Survey: NHIS Bridge
Section: Adult.INS.bPlan

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PRDEDUC_A

Field

Adult.INS.bPlan.PRDEDUC_A
Description: Plan deductible
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Plan deductible
PRDEDUC_A
Adult.INS.PRDEDUC_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(HIPNAM1_A ne empty or HIPNAM2_A ne empty)

Universe:
Universe Description: Sample Adults 18+ with private health insurance plans where a plan name was given
or refused or don't know.
Question Text: A deductible is the amount you have to pay for health care before your health
insurance or health coverage plan will start paying your medical bills. Does
your health plan have an annual deductible?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto PRHDHP_A]
<2,RF,DK> [goto PRRXCOV_A]

Last Modified: Friday, September 15, 2017

Page 300 of 895

Survey: NHIS Bridge
Section: Adult.INS.bPlan

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PRHDHP_A

Field

Adult.INS.bPlan.PRHDHP_A
Description: High deductible
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

High deductible
PRHDHP_A
Adult.INS.PRHDHP_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(HIPNAM1_A ne empty or HIPNAM2_A ne empty)

Universe: PRDEDUC_A=1
Universe Description: Sample Adults 18+ with private health insurance coverage where a plan name was
given or refused or don't know with a deductible
Question Text: Is the ^FAM_A annual deductible for medical care for this plan less than
^HDHPAMT_A, or ^HDHPAMT_A or more? If there is a separate deductible for
prescription drugs, hospitalization, or out-of-network care, do not include those
deductible amounts here.

Fills: FAM_A
Instructions: if POLHLD_A=2 or PRPLCOV_A=1, fill 'family'.
Else no fill.

Fills: HDHPAMT_A
Instructions: if POLHLD_A=2 or PRPLCOV_A=1, fill '$2,600'.
Else fill ^HDHPDED.

Type: Enumerated
Length: 1
Answer List: TPRHDHP_A
Value:

Mnemonic:

Description:

1

Less than ^HDHPAMT_A

2

^HDHPAMT_A or more
x Don't Know
x Refuse

Last Modified: Friday, September 15, 2017

Page 301 of 895

Survey: NHIS Bridge
Section: Adult.INS.bPlan

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto PRRXCOV_A]
<2,RF,DK> [goto HSAHRA_A]

Last Modified: Friday, September 15, 2017

Page 302 of 895

Survey: NHIS Bridge
Section: Adult.INS.bPlan

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HSAHRA_A

Field

Adult.INS.bPlan.HSAHRA_A
Description: Health savings account
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Health savings account
HSAHRA_A
Adult.INS.HSAHRA_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(HIPNAM1_A ne empty or HIPNAM2_A ne empty)

Universe: PRHDHP_A=2,RF,DK
Universe Description: Sample Adults 18+ with private health insurance coverage where a plan name was
given or refused or don't know with a high deductible
Question Text: There are special accounts or funds that can be used to pay for medical
expenses, sometimes referred to as Health Savings Accounts (HSAs), Health
Reimbursement Accounts (HRAs), Personal Care accounts, Personal Medical
funds, or Choice funds. These are DIFFERENT from Flexible Spending
Accounts. Do you have one of these accounts or funds with this plan?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto PRRXCOV_A]

Last Modified: Friday, September 15, 2017

Page 303 of 895

Survey: NHIS Bridge
Section: Adult.INS.bPlan

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PRRXCOV_A

Field

Adult.INS.bPlan.PRRXCOV_A
Description: Plan pays for prescriptions
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Plan pays for prescriptions
PRRXCOV_A
Adult.INS.PRRXCOV_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(HIPNAM1_A ne empty or HIPNAM2_A ne empty)

Universe:
Universe Description: Sample Adults 18+ with private health insurance coverage where the name of the
plan was given or refused or don't know.
Question Text: Does the plan pay for any of the costs for medications prescribed by a doctor?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto PRDNCOV_A]

Last Modified: Friday, September 15, 2017

Page 304 of 895

Survey: NHIS Bridge
Section: Adult.INS.bPlan

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PRDNCOV_A

Field

Adult.INS.bPlan.PRDNCOV_A
Description: Plan pays for dental care
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Plan pays for dental care
PRDNCOV_A
Adult.INS.PRDNCOV_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(HIPNAM1_A ne empty or HIPNAM2_A ne empty)

Universe:
Universe Description: Sample Adults 18+ with private health insurance coverage where the plan name was
given or refused or don't know.
Question Text: Does the plan pay for any of the costs for dental care?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto PRVSCOV_A]

Last Modified: Friday, September 15, 2017

Page 305 of 895

Survey: NHIS Bridge
Section: Adult.INS.bPlan

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PRVSCOV_A

Field

Adult.INS.bPlan.PRVSCOV_A
Description: Plan pays for vision care
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Plan pays for vision care
PRVSCOV_A
Adult.INS.PRVSCOV_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(HIPNAM1_A ne empty or HIPNAM2_A ne empty)

Universe:
Universe Description: Sample Adults 18+ with private health insurance coverage where a plan name was
given or refused or don't know.
Question Text: Does the plan pay for any of the costs for routine vision care, such as glasses
and contact lenses?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> If there is another plan [goto bPlan for next plan]
elseif 05 in HIKIND_A [goto CHNAME_A]
elseif 08 in HIKIND_A [goto OPNAME_A]
elseif 09 in HIKIND_A [goto OGNAME_A]
elseif 06 in HIKIND_A [goto MILSPC_A]
else [goto HINOTYR_A]

Last Modified: Wednesday, September 27, 2017

Page 306 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

POLHLD1_A

Field

Adult.INS.POLHLD1_A
Description: Policyholder for private plan 1
Form Pane Label:
SAS Name: POLHLD_A
Tag Name: Adult.INS.POLHLD_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ with private health insurance coverage where a plan name was
given or refused or don't know.
Question Text: ***Post processing variable***

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 307 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

POLHLD2_A

Field

Adult.INS.POLHLD2_A
Description: Policyholder for private plan 2
Form Pane Label:
SAS Name: POLHLD2_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ with private health insurance coverage where a plan name was
given or refused or don't know.
Question Text: ***Post processing variable***

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 308 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PRPLCOV1_A

Field

Adult.INS.PRPLCOV1_A
Description: Plan coverage for others - plan 1
Form Pane Label:
SAS Name: PRPLCOV1_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post processing variable***

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 309 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PRPLCOV2_A

Field

Adult.INS.PRPLCOV2_A
Description: Plan coverage for others - plan 2
Form Pane Label:
SAS Name: PRPLCOV2_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post processing variable***

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 310 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PRPOLH1_A

Field

Adult.INS.PRPOLH1_A
Description: Relation to policyholder - plan 1
Form Pane Label:
SAS Name: PRPOLH1_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: How are you related to the policyholder? Are you the policyholder's child,
spouse, former spouse, or are you related in some other way?

Type: Enumerated
Length: 1
Answer List: TPRPOLH_A
Value:

Mnemonic:

Description:

1

Child

2

Spouse

3

Former spouse

4

Some other relationship
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 311 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PRPOLH2_A

Field

Adult.INS.PRPOLH2_A
Description: Relation to policyholder - plan 2
Form Pane Label:
SAS Name: PRPOLH2_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: How are you related to the policyholder? Are you the policyholder's child,
spouse, former spouse, or are you related in some other way?

Type: Enumerated
Length: 1
Answer List: TPRPOLH_A
Value:

Mnemonic:

Description:

1

Child

2

Spouse

3

Former spouse

4

Some other relationship
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 312 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PLNWKSP1_A

Field

Adult.INS.PLNWKSP1_A
Description: Plan obtained-specify - plan 1
Form Pane Label:
SAS Name: PLNWKSP1_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post processing variable***

Type: String
Length: 80
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 313 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PLNWKSP2_A

Field

Adult.INS.PLNWKSP2_A
Description: Plan obtained-specify - plan 2
Form Pane Label:
SAS Name: PLNWKSP2_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post processing variable***

Type: String
Length: 80
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 314 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PLNEXCHG1_A

Field

Adult.INS.PLNEXCHG1_A
Description: Obtained through Marketplace - plan 1
Form Pane Label:
SAS Name: PLNEXCHG1_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post processing variable***

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 315 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PLNEXCHG2_A

Field

Adult.INS.PLNEXCHG2_A
Description: Obtained through Marketplace - plan 2
Form Pane Label:
SAS Name: PLNEXCHG2_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post processing variable***

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 316 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PLN1PAY_A

Field

Adult.INS.PLN1PAY_A
Description: Who pays for plan 1
Form Pane Label:
SAS Name: PLN1PAY_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ with private health insurance coverage where a plan name was
given or refused or don't know.
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: TPLNPAY
Value:

Mnemonic:

Description:

1

Self or family (living in the household)

2

Employer or union

3

Someone outside the household

4

Medicare

5

Medicaid

6

Other government program
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 317 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PLN1PAY1_A

Field

Adult.INS.PLN1PAY1_A
Description: Plan 1 - Paid for by Self or family
Form Pane Label:
SAS Name: PLN1PAY1_A
Tag Name: Adult.PLN1PAY1_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post Processing Variable***

Type: Set
Max Number of Values:
Length: 1
Don't Know
Refuse
Empty
On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 318 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PLN1PAY2_A

Field

Adult.INS.PLN1PAY2_A
Description: Plan 1 - Paid for by employer or union
Form Pane Label:
SAS Name: PLN1PAY2_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post Processing Variable***

Type: Set
Max Number of Values:
Length: 1
Don't Know
Refuse
Empty
On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 319 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PLN1PAY3_A

Field

Adult.INS.PLN1PAY3_A
Description: Plan 1 - Paid for by someone outside the household
Form Pane Label:
SAS Name: PLN1PAY3_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post Processing Variable***

Type: Set
Max Number of Values:
Length: 1
Don't Know
Refuse
Empty
On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 320 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PLN1PAY4_A

Field

Adult.INS.PLN1PAY4_A
Description: Plan 1 - Paid for by Medicare
Form Pane Label:
SAS Name: PLN1PAY4_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post Processing Variable***

Type: Set
Max Number of Values:
Length: 1
Don't Know
Refuse
Empty
On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 321 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PLN1PAY5_A

Field

Adult.INS.PLN1PAY5_A
Description: Plan 1 - Paid for by Medicaid
Form Pane Label:
SAS Name: PLN1PAY5_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post Processing Variable***

Type: Set
Max Number of Values:
Length: 1
Don't Know
Refuse
Empty
On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 322 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PLN1PAY6_A

Field

Adult.INS.PLN1PAY6_A
Description: Plan 1 - Paid for by other government program
Form Pane Label:
SAS Name: PLN1PAY6_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post Processing Variable***

Type: Set
Max Number of Values:
Length: 1
Don't Know
Refuse
Empty
On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 323 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PLN2PAY_A

Field

Adult.INS.PLN2PAY_A
Description: Who pays for plan 2
Form Pane Label:
SAS Name: PLN2PAY_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ with private health insurance coverage where a plan name was
given or refused or don't know.
Question Text: ***Post processing variable***

Type: Set
Max Number of Values:
Length: 1
Answer List: TPLNPAY
Value:

Mnemonic:

Description:

1

Self or family (living in the household)

2

Employer or union

3

Someone outside the household

4

Medicare

5

Medicaid

6

Other government program
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 324 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PLN2PAY1_A

Field

Adult.INS.PLN2PAY1_A
Description: Plan 2 - Paid for by Self or family
Form Pane Label:
SAS Name: PLN2PAY1_A
Tag Name: Adult.PLN2PAY1_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post Processing Variable***

Type: Set
Max Number of Values:
Length: 1
Don't Know
Refuse
Empty
On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 325 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PLN2PAY2_A

Field

Adult.INS.PLN2PAY2_A
Description: Plan 2 - Paid for by employer or union
Form Pane Label:
SAS Name: PLN2PAY2_A
Tag Name: Adult.PLN2PAY2_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post Processing Variable***

Type: Set
Max Number of Values:
Length: 1
Don't Know
Refuse
Empty
On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 326 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PLN2PAY3_A

Field

Adult.INS.PLN2PAY3_A
Description: Plan 2 - Paid for by someone outside the household
Form Pane Label:
SAS Name: PLN2PAY3_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post Processing Variable***

Type: Set
Max Number of Values:
Length: 1
Don't Know
Refuse
Empty
On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 327 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PLN2PAY4_A

Field

Adult.INS.PLN2PAY4_A
Description: Plan 2 - Paid for by Medicare
Form Pane Label:
SAS Name: PLN2PAY4_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post Processing Variable***

Type: Set
Max Number of Values:
Length: 1
Don't Know
Refuse
Empty
On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 328 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PLN2PAY5_A

Field

Adult.INS.PLN2PAY5_A
Description: Plan 2 - Paid for by Medicaid
Form Pane Label:
SAS Name: PLN2PAY5_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post Processing Variable***

Type: Set
Max Number of Values:
Length: 1
Don't Know
Refuse
Empty
On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 329 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PLN2PAY6_A

Field

Adult.INS.PLN2PAY6_A
Description: Plan 2 - Paid for by other government program
Form Pane Label:
SAS Name: PLN2PAY6_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post Processing Variable***

Type: Set
Max Number of Values:
Length: 1
Don't Know
Refuse
Empty
On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 330 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HICOSTN1_A

Field

Adult.INS.HICOSTN1_A
Description: Premium amount-number Plan 1
Form Pane Label:
SAS Name: HICOSTN1_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 1 IN PLNPAY_A
Universe Description: Sample Adults 18+ with private health insurance coverage where a plan name was
given or refused or don't know who paid for by self or family
Question Text: ***Post processing variable***

Type: Integer
Length: 5
Min: 1
Max: 99995
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: If RF, store RF in HICOSTT_A. If DK, store DK in HICOSTT_A.
Array:

Last Modified: Wednesday, September 27, 2017

Page 331 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HICOSTN2_A

Field

Adult.INS.HICOSTN2_A
Description: Premium amount-number Plan 2
Form Pane Label:
SAS Name: HICOSTN2_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ with private health insurance coverage where a plan name was
given or refused or don't know who paid for by self or family
Question Text: ***Post processing variable***

Type: Integer
Length: 5
Min: 1
Max: 99995
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 332 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HICOSTT1_A

Field

Adult.INS.HICOSTT1_A
Description: Premium amount-time period Plan 1
Form Pane Label:
SAS Name: HICOSTT1_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post processing variable***

Type: Enumerated
Length: 1
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 333 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HICOSTT2_A

Field

Adult.INS.HICOSTT2_A
Description: Premium amount-time period Plan 2
Form Pane Label:
SAS Name: HICOSTT2_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post processing variable***

Type: Enumerated
Length: 1
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 334 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PRDEDUC1_A

Field

Adult.INS.PRDEDUC1_A
Description: Plan deductible - Plan 1
Form Pane Label:
SAS Name: PRDEDUC1_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ with private health insurance plans where a plan name was given
or refused or don't know.
Question Text: ***Post processing variable***

Type: Enumerated
Length: 1
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 335 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PRDEDUC2_A

Field

Adult.INS.PRDEDUC2_A
Description: Plan deductible - Plan 2
Form Pane Label:
SAS Name: PRDEDUC2_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ with private health insurance plans where a plan name was given
or refused or don't know.
Question Text: ***Post processing variable***

Type: Enumerated
Length: 1
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 336 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PRHDHP1_A

Field

Adult.INS.PRHDHP1_A
Description: High deductible - plan 1
Form Pane Label:
SAS Name: PRHDHP1_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post processing variable***

Type: Enumerated
Length: 1
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 337 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PRHDHP2_A

Field

Adult.INS.PRHDHP2_A
Description: High deductible - plan 2
Form Pane Label:
SAS Name: PRHDHP2_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post processing variable***

Type: Enumerated
Length: 1
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 338 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HSAHRA1_A

Field

Adult.INS.HSAHRA1_A
Description: Health savings account - plan 1
Form Pane Label:
SAS Name: HSAHRA1_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post processing variable***

Type: Enumerated
Length: 1
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 339 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HSAHRA2_A

Field

Adult.INS.HSAHRA2_A
Description: Health savings account - plan 2
Form Pane Label:
SAS Name: HSAHRA1_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post processing variable***

Type: Enumerated
Length: 1
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 340 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PRRXCOV1_A

Field

Adult.INS.PRRXCOV1_A
Description: Plan pays for prescriptions - plan 1
Form Pane Label:
SAS Name: PRRXCOV1_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ with private health insurance coverage where the name of the
plan was given or refused or don't know
Question Text: ***Post processing variable***

Type: Enumerated
Length: 1
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 341 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PRRXCOV2_A

Field

Adult.INS.PRRXCOV2_A
Description: Plan pays for prescriptions - plan 2
Form Pane Label:
SAS Name: PRRXCOV2_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ with private health insurance coverage where the name of the
plan was given or refused or don't know
Question Text: ***Post processing variable***

Type: Enumerated
Length: 1
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 342 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PRDNCOV1_A

Field

Adult.INS.PRDNCOV1_A
Description: Plan pays for dental care - plan 1
Form Pane Label:
SAS Name: PRDNCOV1_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ with private health insurance coverage where the plan name was
given or refused or don't know.
Question Text: ***Post processing variable***

Type: Enumerated
Length: 1
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 343 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PRDNCOV2_A

Field

Adult.INS.PRDNCOV2_A
Description: Plan pays for dental care - plan 2
Form Pane Label:
SAS Name: PRDNCOV2_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ with private health insurance coverage where the plan name was
given or refused or don't know.
Question Text: ***Post processing variable***

Type: Enumerated
Length: 1
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 344 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PRVSCOV1_A

Field

Adult.INS.PRVSCOV1_A
Description: Plan pays for vision care - plan 1
Form Pane Label:
SAS Name: PRVSCOV1_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ with private health insurance coverage where a plan name was
given or refused or don't know.
Question Text: ***Post processing variable***

Type: Enumerated
Length: 1
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 345 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PRVSCOV2_A

Field

Adult.INS.PRVSCOV2_A
Description: Plan pays for vision care - plan 2
Form Pane Label:
SAS Name: PRVSCOV2_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ with private health insurance coverage where a plan name was
given or refused or don't know.
Question Text: ***Post processing variable***

Type: Enumerated
Length: 1
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Wednesday, September 27, 2017

Page 346 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CHNAME_A

Field

Adult.INS.CHNAME_A
Description: Name of CHIP plan
Form Pane Label: Name of CHIP plan
SAS Name: CHNAME_A
Tag Name: Adult.INS.CHNAME_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 05 IN HIKIND_A
Universe Description: Sample Adults 18+ with a CHIP plan
Question Text: Earlier I recorded that you are covered by the Children's Health Insurance
Program or CHIP. What is the name of the plan?

Type: String
Length: 80
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions:  [goto CHXCHNG_A]

Last Modified: Wednesday, September 27, 2017

Page 347 of 895

Survey: NHIS Bridge
Section: Adult.INS

CHXCHNG_A

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Field

Adult.INS.CHXCHNG_A
Description: CHIP through Marketplace
Form Pane Label: CHIP through Marketplace
SAS Name: CHXCHNG_A
Tag Name: Adult.INS.CHXCHNG_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 05 IN HIKIND_A
Universe Description: Sample Adults 18+ with a CHIP plan
Question Text: Was your CHIP plan obtained through Healthcare.gov or the ^MARKETPLACE?

Fills: MARKETPLACE
Instructions: If no state specified below, fill Health Insurance Marketplace
If state specified below fill:
    If CA then fill Health Insurance Marketplace, such as Covered
California
    If CO then fill Health Insurance Marketplace, such as Connect for
Health Colorado
    If CT then fill Health Insurance Marketplace, such as Access Health CT
   If DC then fill Health Insurance Marketplace, such as DC Health Link
    If HI then fill Health Insurance Marketplace, such as Hawaii Health
Connector
    If ID then fill Health Insurance Marketplace, such as Your Health Idaho
    If KY then fill Health Insurance Marketplace, such as KYnect
    If MA then fill Health Insurance Marketplace, such as Health Connector
    If MD then fill Health Insurance Marketplace, such as Maryland Health
Connection
    If MN then fill Health Insurance Marketplace, such as MNsure
    If NM then fill Health Insurance Marketplace, such as New Mexico
Health Connections
    If MS then fill Health Insurance Marketplace, such as One, Mississippi
    If NV then fill Health Insurance Marketplace, such as Nevada Health
Link
    If NY then fill Health Insurance Marketplace, such as New York State of
Health
    If OR then fill Health Insurance Marketplace, such as Cover Oregon
    If RI then fill Health Insurance Marketplace, such as HealthSource RI
    If VT then fill Health Insurance Marketplace, such as Vermont Health
Connect
Last Modified: Wednesday, September 27, 2017

Page 348 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

    If WA then fill Health Insurance Marketplace, such as Washington
Healthplanfinder
    If UT then fill Health Insurance Marketplace, or through Avenue H

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto CHPREM_A]

Last Modified: Wednesday, September 27, 2017

Page 349 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CHPREM_A

Field

Adult.INS.CHPREM_A
Description: Pay CHIP premium
Form Pane Label: Pay CHIP premium
SAS Name: CHPREM_A
Tag Name: Adult.INS.CHPREM_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 05 IN HIKIND_A
Universe Description: Sample Adults 18+ with a CHIP plan
Question Text: A health insurance premium is the amount you or a family member pays each
month for health care coverage. Do you or a family member pay a premium for
this CHIP plan?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto CHDEDUC_A]

Last Modified: Wednesday, September 27, 2017

Page 350 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CHDEDUC_A

Field

Adult.INS.CHDEDUC_A
Description: CHIP deductible
Form Pane Label: CHIP deductible
SAS Name: CHDEDUC_A
Tag Name: Adult.INS.CHDEDUC_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 05 IN HIKIND_A
Universe Description: Sample Adults 18+ with a CHIP plan
Question Text: A deductible is the amount you have to pay for health care before your health
insurance or health coverage plan will start paying your medical bills. Does
your health plan have an annual deductible?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto CHHDHP_A]
<2,RF,DK> if 08 in HIKIND_A [goto OPNAME_A]
elseif 09 in HIKIND_A [goto OGNAME_A]
elseif 06 in HIKIND_A [goto MILSPC_A]
else [goto HINOTYR_A]

Last Modified: Wednesday, September 27, 2017

Page 351 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CHHDHP_A

Field

Adult.INS.CHHDHP_A
Description: CHIP HDHP
Form Pane Label: CHIP HDHP
SAS Name: CHHDHP_A
Tag Name: Adult.INS.CHHDHP_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 05 IN HIKIND_A and CHDEDUC_A=1
Universe Description: Sample Adults 18+ with a CHIP plan who have a deductible
Question Text: Is the annual deductible for medical care for this plan less than ^HDHPDED or
^HDHPDED or more? If there is a separate deductible for prescription drugs,
hospitalization, or out-of-network care, do not include those deductible
amounts here.

Fills: HDHPDED
Instructions: fill: $1,300

Type: Enumerated
Length: 1
Answer List: TDeduct
Value:

Mnemonic:

Description:

1

Less than ^HDHPDED

2

^HDHPDED or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> if 08 in HIKIND_A [goto OPNAME_A]
elseif 09 in HIKIND_A [goto OGNAME_A]

Last Modified: Wednesday, September 27, 2017

Page 352 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

elseif 06 in HIKIND_A [goto MILSPC_A]
else [goto HINOTYR_A]

Last Modified: Wednesday, September 27, 2017

Page 353 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

OPNAME_A

Field

Adult.INS.OPNAME_A
Description: Name of state plan
Form Pane Label: Name of state plan
SAS Name: OPNAME_A
Tag Name: Adult.INS.OPNAME_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 08 IN HIKIND_A
Universe Description: Sample Adults 18+ with a state-sponsored plan
Question Text: Earlier I recorded that you are covered by a state-sponsored plan. What is the
name of the plan?

Type: String
Length: 80
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions:  [goto OPXCHNG_A]

Last Modified: Wednesday, September 27, 2017

Page 354 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

OPXCHNG_A

Field

Adult.INS.OPXCHNG_A
Description: State plan through Marketplace
Form Pane Label: State plan through Marketplace
SAS Name: OPXCHNG_A
Tag Name: Adult.INS.OPXCHNG_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 08 IN HIKIND_A
Universe Description: Sample Adults 18+ with a state-sponsored plan
Question Text: Was your state-sponsored plan obtained through Healthcare.gov or the
^MARKETPLACE?

Fills: MARKETPLACE
Instructions: If no state specified below, fill Health Insurance Marketplace
If state specified below fill:
    If CA then fill Health Insurance Marketplace, such as Covered
California
    If CO then fill Health Insurance Marketplace, such as Connect for
Health Colorado
    If CT then fill Health Insurance Marketplace, such as Access Health CT
   If DC then fill Health Insurance Marketplace, such as DC Health Link
    If HI then fill Health Insurance Marketplace, such as Hawaii Health
Connector
    If ID then fill Health Insurance Marketplace, such as Your Health Idaho
    If KY then fill Health Insurance Marketplace, such as KYnect
    If MA then fill Health Insurance Marketplace, such as Health Connector
    If MD then fill Health Insurance Marketplace, such as Maryland Health
Connection
    If MN then fill Health Insurance Marketplace, such as MNsure
    If NM then fill Health Insurance Marketplace, such as New Mexico
Health Connections
    If MS then fill Health Insurance Marketplace, such as One, Mississippi
    If NV then fill Health Insurance Marketplace, such as Nevada Health
Link
    If NY then fill Health Insurance Marketplace, such as New York State of
Health
    If OR then fill Health Insurance Marketplace, such as Cover Oregon
    If RI then fill Health Insurance Marketplace, such as HealthSource RI
    If VT then fill Health Insurance Marketplace, such as Vermont Health
Last Modified: Wednesday, September 27, 2017

Page 355 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Connect
    If WA then fill Health Insurance Marketplace, such as Washington
Healthplanfinder
    If UT then fill Health Insurance Marketplace, or through Avenue H

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto OPPREM_A]

Last Modified: Wednesday, September 27, 2017

Page 356 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

OPPREM_A

Field

Adult.INS.OPPREM_A
Description: Premium for state plan
Form Pane Label: Premium for state plan
SAS Name: OPPREM_A
Tag Name: Adult.INS.OPPREM_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 08 IN HIKIND_A
Universe Description: Sample Adults 18+ with a state-sponsored plan
Question Text: A health insurance premium is the amount you or a family member pays each
month for health care coverage. Do you or a family member pay a premium for
this state-sponsored plan?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto OPDEDUC_A]

Last Modified: Wednesday, September 27, 2017

Page 357 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

OPDEDUC_A

Field

Adult.INS.OPDEDUC_A
Description: State plan deductible
Form Pane Label: State plan deductible
SAS Name: OPDEDUC_A
Tag Name: Adult.INS.OPDEDUC_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 08 IN HIKIND_A
Universe Description: Sample Adults 18+ with a state-sponsored plan
Question Text: A deductible is the amount you have to pay for health care before your health
insurance or health coverage plan will start paying your medical bills. Does
your health plan have an annual deductible?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1>[goto OPHDHP_A]
<2,RF,DK> if 09 in HIKIND_A [goto OGNAME_A]
elseif 06 in HIKIND_A [goto MILSPC_A]
else [goto HINOTYR_A]

Last Modified: Wednesday, September 27, 2017

Page 358 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

OPHDHP_A

Field

Adult.INS.OPHDHP_A
Description: State plan HDHP
Form Pane Label: State plan HDHP
SAS Name: OPHDHP_A
Tag Name: Adult.INS.OPHDHP_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 08 IN HIKIND_A and OPDEDUC_A=1
Universe Description: Sample Adults 18+ with a state-sponsored plan with a deductible
Question Text: Is the annual deductible for medical care for this plan less than ^HDHPDED or
^HDHPDED or more? If there is a separate deductible for prescription drugs,
hospitalization, or out-of-network care, do not include those deductible
amounts here.

Fills: HDHPDED
Instructions: fill: $1,300

Type: Enumerated
Length: 1
Answer List: TDeduct
Value:

Mnemonic:

Description:

1

Less than ^HDHPDED

2

^HDHPDED or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> if 09 in HIKIND_A [goto OGNAME_A]
elseif 06 in HIKIND_A [goto MILSPC_A]

Last Modified: Wednesday, September 27, 2017

Page 359 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

else [goto HINOTYR_A]

Last Modified: Wednesday, September 27, 2017

Page 360 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

OGNAME_A

Field

Adult.INS.OGNAME_A
Description: Name of government program plan
Form Pane Label: Name of government program plan
SAS Name: OGNAME_A
Tag Name: Adult.INS.OGNAME_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 09 IN HIKIND_A
Universe Description: Sample Adults 18+ who have an other government plan
Question Text: Earlier I recorded that you are covered by an other government program. What
is the name of the plan?

Type: String
Length: 80
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions:  [goto OGXCHNG_A]

Last Modified: Wednesday, September 27, 2017

Page 361 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

OGXCHNG_A

Field

Adult.INS.OGXCHNG_A
Description: Government plan through Marketplace
Form Pane Label: Government plan through Marketplace
SAS Name: OGXCHNG_A
Tag Name: Adult.INS.OGXCHNG_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 09 IN HIKIND_A
Universe Description: Sample Adults 18+ who have an other government plan
Question Text: Was your other government plan obtained through Healthcare.gov or the
^MARKETPLACE?

Fills: MARKETPLACE
Instructions: If no state specified below, fill Health Insurance Marketplace
If state specified below fill:
    If CA then fill Health Insurance Marketplace, such as Covered
California
    If CO then fill Health Insurance Marketplace, such as Connect for
Health Colorado
    If CT then fill Health Insurance Marketplace, such as Access Health CT
   If DC then fill Health Insurance Marketplace, such as DC Health Link
    If HI then fill Health Insurance Marketplace, such as Hawaii Health
Connector
    If ID then fill Health Insurance Marketplace, such as Your Health Idaho
    If KY then fill Health Insurance Marketplace, such as KYnect
    If MA then fill Health Insurance Marketplace, such as Health Connector
    If MD then fill Health Insurance Marketplace, such as Maryland Health
Connection
    If MN then fill Health Insurance Marketplace, such as MNsure
    If NM then fill Health Insurance Marketplace, such as New Mexico
Health Connections
    If MS then fill Health Insurance Marketplace, such as One, Mississippi
    If NV then fill Health Insurance Marketplace, such as Nevada Health
Link
    If NY then fill Health Insurance Marketplace, such as New York State of
Health
    If OR then fill Health Insurance Marketplace, such as Cover Oregon
    If RI then fill Health Insurance Marketplace, such as HealthSource RI
    If VT then fill Health Insurance Marketplace, such as Vermont Health
Last Modified: Wednesday, September 27, 2017

Page 362 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Connect
    If WA then fill Health Insurance Marketplace, such as Washington
Healthplanfinder
    If UT then fill Health Insurance Marketplace, or through Avenue H

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto OGPREM_A]

Last Modified: Wednesday, September 27, 2017

Page 363 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

OGPREM_A

Field

Adult.INS.OGPREM_A
Description: Premium for government plan
Form Pane Label: Premium for government plan
SAS Name: OGPREM_A
Tag Name: Adult.INS.OGPREM_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 09 IN HIKIND_A
Universe Description: Sample Adults 18+ who have an other government plan
Question Text: A health insurance premium is the amount you or a family member pays each
month for health care coverage. Do you or a family member pay a premium for
this plan?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto OGDEDUC_A]

Last Modified: Wednesday, September 27, 2017

Page 364 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

OGDEDUC_A

Field

Adult.INS.OGDEDUC_A
Description: Other government deductible
Form Pane Label: Other government deductible
SAS Name: OGDEDUC_A
Tag Name: Adult.INS.OGDEDUC_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 09 IN HIKIND_A
Universe Description: Sample Adults 18+ with an other government plan
Question Text: A deductible is the amount you have to pay for health care before your health
insurance or health coverage plan will start paying your medical bills. Does
your health plan have an annual deductible?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto OGHDHP_A]
<2,RF,DK> if 06 in HIKIND_A [goto MILSPC_A]
else [goto HINOTYR_A]

Last Modified: Wednesday, September 27, 2017

Page 365 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

OGHDHP_A

Field

Adult.INS.OGHDHP_A
Description: Other government HDHP
Form Pane Label: Other government HDHP
SAS Name: OGHDHP_A
Tag Name: Adult.INS.OGHDHP_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 09 IN HIKIND_A and OGDEDUC_A=1
Universe Description: Sample Adults 18+ with an other government plan with a deductible
Question Text: Is the annual deductible for medical care for this plan less than ^HDHPDED or
^HDHPDED or more? If there is a separate deductible for prescription drugs,
hospitalization, or out-of-network care, do not include those deductible
amounts here.

Fills: HDHPDED
Instructions: fill: $1,300

Type: Enumerated
Length: 1
Answer List: TDeduct
Value:

Mnemonic:

Description:

1

Less than ^HDHPDED

2

^HDHPDED or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> if 06 in HIKIND_A [goto MILSPC_A]
else [goto HINOTYR_A]

Last Modified: Thursday, September 28, 2017

Page 366 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MILSPC_A

Field

Adult.INS.MILSPC_A
Description: Types of military health care
Form Pane Label: Types of military health care
SAS Name: MILSPC_A
Tag Name: Adult.INS.MILSPC_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 06 IN HIKIND_A
Universe Description: Sample Adults 18+ with military related health care
Question Text: Earlier I recorded that you are covered by military related health care. What
types of military related health care are you covered by?
Enter all that apply, separate with commas.

Type: Set
Max Number of Values:
Length: 1
Answer List: TMILSPC_A
Value:

Mnemonic:

Description:

1

VA health care

2

TRICARE (CHAMPUS)

3

CHAMP-VA (do not include CHAMPUS)
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-3,RF,DK> [goto HINOTYR_A]

Last Modified: Thursday, September 28, 2017

Page 367 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MILSPC1_A

Field

Adult.INS.MILSPC1_A
Description: Types of military health care - VA health care
Form Pane Label:
SAS Name: MILSMILSPC1_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post Processing Variable***

Type: Set
Max Number of Values:
Length: 1
Don't Know
Refuse
Empty
On Input
x On Output
Array:

Last Modified: Thursday, September 28, 2017

Page 368 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MILSPC2_A

Field

Adult.INS.MILSPC2_A
Description: Types of military health care - TRICARE
Form Pane Label:
SAS Name: MILSPC2_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post Processing Variable***

Type: Set
Max Number of Values:
Length: 1
Don't Know
Refuse
Empty
On Input
x On Output
Array:

Last Modified: Thursday, September 28, 2017

Page 369 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MILSPC3_A

Field

Adult.INS.MILSPC3_A
Description: Types of military health care - CHAMP-VA
Form Pane Label:
SAS Name: MILSPC3_A
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Post Processing Variable***

Type: Set
Max Number of Values:
Length: 1
Don't Know
Refuse
Empty
On Input
x On Output
Array:

Last Modified: Thursday, September 28, 2017

Page 370 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HILAST_A

Field

Adult.INS.HILAST_A
Description: Length since last health coverage
Form Pane Label: Length since last health coverage
SAS Name: HILAST_A
Tag Name: Adult.INS.HILAST_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 10 IN HIKIND_A and (MCAIDPRB_A IN (2,RF,DK) or MCAREPRB_A IN (2,RF,DK))
Universe Description: Sample Adults 18+ without known health insurance and answered no, refused or
don't know to the Medicare probe or the Medicaid probe.
Question Text: How long has it been since you last had health care coverage that paid for
doctor's visits or hospital stays?

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yrNEVER
Value:

Mnemonic:

Description:

0

Never

1

Within the past year (anytime less than 12 months ago)

2

Within the last 2 years (1 year but less than 2 years ago)

3

Within the last 3 years (2 years but less than 3 years ago)

4

Within the last 5 years (3 years but less than 5 years ago)

5

Within the last 10 years (5 years but less than 10 years ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto HILASTMY_A]

Last Modified: Thursday, September 28, 2017

Page 371 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

<2,3> [goto HISTOPJOB_A]
<4,5,6,0,RF,DK> [goto RSNHICOST_A]

Last Modified: Friday, September 29, 2017

Page 372 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HILASTMY_A

Field

Adult.INS.HILASTMY_A
Description: Number of months without coverage
Form Pane Label: Number of months without coverage
SAS Name: HILASTMY_A
Tag Name: Adult.INS.HILASTMY_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: HILAST_A=1
Universe Description: Sample Adults 18+ without known health insurance who last had insurance at some
time within the last 12 months
Question Text: In the past 12 months, how many months were you without coverage?
If less than 1 month, enter '1'.

Type: Integer
Length: 2
Min: 1
Max: 12
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-12,RF,DK> [goto HISTOPJOB_A]

Last Modified: Friday, September 29, 2017

Page 373 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HISTOPJOB_A

Field

Adult.INS.HISTOPJOB_A
Description: Reasons no insurance - retired/lost job
Form Pane Label: Retired/lost job
SAS Name: HISTOPJOB_A
Tag Name: Adult.INS.HISTOPJOB_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: HILAST_A IN (1,2,3)
Universe Description: Sample Adults 18+ who have been uninsured for less than 3 years
Question Text: Think about the last time that you did have health care coverage that paid for
doctor's visits or hospital stays. I am going to read a list of reasons why
someone might no longer be enrolled in coverage. Please tell me, yes or no, if
this is a reason why you are no longer enrolled in your last health care plan.
You or the policyholder retired, lost a job, or changed employers?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto HISTOPMISS_A]

Last Modified: Friday, September 29, 2017

Page 374 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HISTOPMISS_A

Field

Adult.INS.HISTOPMISS_A
Description: Reasons no insurance - missed deadline
Form Pane Label: Missed deadline
SAS Name: HISTOPMISS_A
Tag Name: Adult.INS.HISTOPMISS_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: HILAST_A IN (1,2,3)
Universe Description: Sample Adults 18+ who have been uninsured for less than 3 years
Question Text:

Read if necessary: Are you no longer enrolled in your last health care plan
because...
You missed a deadline for signing up or paying for the coverage?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto HISTOPAGE_A]

Last Modified: Friday, September 29, 2017

Page 375 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HISTOPAGE_A

Field

Adult.INS.HISTOPAGE_A
Description: Reasons no insurance - age/left school
Form Pane Label: Age/left school
SAS Name: HISTOPAGE_A
Tag Name: Adult.INS.HISTOPAGE_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: HILAST_A IN (1,2,3)
Universe Description: Sample Adults 18+ who have been uninsured for less than 3 years
Question Text:

Read if necessary: Are you no longer enrolled in your last health care plan
because...
You became ineligible because of your age or because you left school?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto HISTOPCOST_A]

Last Modified: Friday, September 29, 2017

Page 376 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HISTOPCOST_A

Field

Adult.INS.HISTOPCOST_A
Description: Reasons no insurance - cost increase
Form Pane Label: Cost increase
SAS Name: HISTOPCOST_A
Tag Name: Adult.INS.HISTOPCOST_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: HILAST_A IN (1,2,3)
Universe Description: Sample Adults 18+ who have been uninsured for less than 3 years
Question Text:

Read if necessary: Are you no longer enrolled in your last health care plan
because...
The cost for your coverage increased?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto HISTOPELIG_A]

Last Modified: Friday, September 29, 2017

Page 377 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HISTOPELIG_A

Field

Adult.INS.HISTOPELIG_A
Description: Reasons no insurance - not eligible Medicaid
Form Pane Label: Not eligible Medicaid
SAS Name: HISTOPELIG_A
Tag Name: Adult.INS.HISTOPELIG_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: HILAST_A IN (1,2,3)
Universe Description: Sample Adults 18+ who have been uninsured for less than 3 years
Question Text:

Read if necessary: Are you no longer enrolled in your last health care plan
because...
You had Medicaid or other public coverage, but were no longer eligible?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto RSNHICOST_A]

Last Modified: Friday, September 29, 2017

Page 378 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

RSNHICOST_A

Field

Adult.INS.RSNHICOST_A
Description: Reasons no insurance - not affordable
Form Pane Label: Not affordable
SAS Name: RSNHICOST_A
Tag Name: Adult.INS.RSNHICOST_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 10 IN HIKIND_A and (MCAIDPRB_A IN (2,RF,DK) or MCAREPRB_A IN (2,RF,DK))
Universe Description: Sample Adults 18+ without known health insurance and answered no, refused or
don't know to the Medicare probe or the Medicaid probe.
Question Text: There are many reasons why people do not have health insurance coverage.
Are you currently uninsured because coverage is not affordable?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto RSNHIWANT_A]

Last Modified: Friday, September 29, 2017

Page 379 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

RSNHIWANT_A

Field

Adult.INS.RSNHIWANT_A
Description: Reasons no insurance - do not need/want
Form Pane Label: Do not need/want
SAS Name: RSNHIWANT_A
Tag Name: Adult.INS.RSNHIWANT_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 10 IN HIKIND_A and (MCAIDPRB_A IN (2,RF,DK) or MCAREPRB_A IN (2,RF,DK))
Universe Description: Sample Adults 18+ without known health insurance and answered no, refused or
don't know to the Medicare probe or the Medicaid probe.
Question Text: There are other reasons that people do not have health insurance coverage.
^PLUSCOSTA you currently uninsured because...
...you do not need or want coverage?

Fills: PLUSCOSTA
Instructions: if REASNHICOST_A = 1 then fill 'In addition to cost, are'. Else fill 'Are'

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto RSNHIELIG_A]

Last Modified: Friday, September 29, 2017

Page 380 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

RSNHIELIG_A

Field

Adult.INS.RSNHIELIG_A
Description: Reasons no insurance - not eligible
Form Pane Label: Not eligible
SAS Name: RSNHIELIG_A
Tag Name: Adult.INS.RSNHIELIG_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 10 IN HIKIND_A and (MCAIDPRB_A IN (2,RF,DK) or MCAREPRB_A IN (2,RF,DK))
Universe Description: Sample Adults 18+ without known health insurance and answered no, refused or
don't know to the Medicare probe or the Medicaid probe
Question Text:

Read if necessary: There are other reasons that people do not have health
insurance coverage. ^PLUSCOSTA you currently uninsured because...
...you are not eligible for coverage?

Fills: PLUSCOSTA
Instructions: if REASNHICOST_A = 1 then fill 'In addition to cost, are'. Else fill 'Are'

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto RSNHICONF_A]

Last Modified: Friday, September 29, 2017

Page 381 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

RSNHICONF_A

Field

Adult.INS.RSNHICONF_A
Description: Signing up difficult
Form Pane Label: Reasons no insurance - signing up difficult
SAS Name: RSNHICONF_A
Tag Name: Adult.INS.RSNHICONF_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 10 IN HIKIND_A and (MCAIDPRB_A IN (2,RF,DK) or MCAREPRB_A IN (2,RF,DK))
Universe Description: Sample Adults 18+ without known health insurance and answered no, refused or
don't know to the Medicare probe or the Medicaid probe
Question Text:

Read if necessary: There are other reasons that people do not have health
insurance coverage. ^PLUSCOSTA you currently uninsured because...
...the process of signing up for coverage is too difficult or confusing?

Fills: PLUSCOSTA
Instructions: if REASNHICOST_A = 1 then fill 'In addition to cost, are'. Else fill 'Are'

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto RSNHIMEET_A]

Last Modified: Friday, September 29, 2017

Page 382 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

RSNHIMEET_A

Field

Adult.INS.RSNHIMEET_A
Description: Cannot find plan
Form Pane Label: Reasons no insurance - cannot find plan
SAS Name: RSNHIMEET_A
Tag Name: Adult.INS.RSNHIMEET_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 10 IN HIKIND_A and (MCAIDPRB_A IN (2,RF,DK) or MCAREPRB_A IN (2,RF,DK))
Universe Description: Sample Adults 18+ without known health insurance and answered no, refused or
don't know to the Medicare probe or the Medicaid probe
Question Text:

Read if necessary: There are other reasons that people do not have health
insurance coverage. ^PLUSCOSTA you currently uninsured because...
...you cannot find a plan that meets your needs?

Fills: PLUSCOSTA
Instructions: if REASNHICOST_A = 1 then fill 'In addition to cost, are'. Else fill 'Are'

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto RSNHIWAIT_A]

Last Modified: Friday, September 29, 2017

Page 383 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

RSNHIWAIT_A

Field

Adult.INS.RSNHIWAIT_A
Description: Not started
Form Pane Label: Reasons no insurance - not started
SAS Name: RSNHIWAIT_A
Tag Name: Adult.INS.RSNHIWAIT_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 10 IN HIKIND_A and (MCAIDPRB_A IN (2,RF,DK) or MCAREPRB_A IN (2,RF,DK))
Universe Description: Sample Adults 18+ without known health insurance and answered no, refused or
don't know to the Medicare probe or the Medicaid probe
Question Text:

Read if necessary: There are other reasons that people do not have health
insurance coverage. ^PLUSCOSTA you currently uninsured because...
...you applied for coverage but it has not started yet?

Fills: PLUSCOSTA
Instructions: if REASNHICOST_A = 1 then fill 'In addition to cost, are'. Else fill 'Are'

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto RSNHIOTH_A]

Last Modified: Friday, September 29, 2017

Page 384 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

RSNHIOTH_A

Field

Adult.INS.RSNHIOTH_A
Description: Another reason
Form Pane Label: Reasons no insurance - another reason
SAS Name: RSNHIOTH_A
Tag Name: Adult.INS.RSNHIOTH_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 10 IN HIKIND_A and (MCAIDPRB_A IN (2,RF,DK) or MCAREPRB_A IN (2,RF,DK))
Universe Description: Sample Adults 18+ without known health insurance and answered no, refused or
don't know to the Medicare probe or the Medicaid probe
Question Text: Is there another reason that you currently do not have health insurance
coverage?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto RSNHIOTHSP_A]
<2,RF,DK> [goto next section]

Last Modified: Friday, September 29, 2017

Page 385 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

RSNHIOTHSP_A

Field

Adult.INS.RSNHIOTHSP_A
Description: Other reason for no insurance
Form Pane Label: Other reason for no insurance
SAS Name: RSNHIOTHSP_A
Tag Name: Adult.INS.RSNHIOTHSP_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: RSNHIOTH_A=1
Universe Description: Sample Adults 18+ who have another reason for not having coverage
Question Text: What is your other reason for not having coverage?

Type: String
Length: 80
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions:  [goto next section]

Last Modified: Friday, September 15, 2017

Page 386 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HINOTYR_A

Field

Adult.INS.HINOTYR_A
Description: Time without insurance, past 12m
Form Pane Label: Time without insurance
SAS Name: HINOTYR_A
Tag Name: Adult.INS.HINOTYR_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 01<=HIKIND_A<=09 or (MCAIDPRB_A=1 or MCAREPRB_A=1)
Universe Description: Sample Adults 18+ with known health insurance coverage or responded yes to the
medicare probe or medicaid probe
Question Text: In the past 12 months, was there any time when you did NOT have ANY health
insurance or coverage?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto HINOTMYR_A]
<2,RF,DK> [goto next section]

Last Modified: Friday, September 15, 2017

Page 387 of 895

Survey: NHIS Bridge
Section: Adult.INS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HINOTMYR_A

Field

Adult.INS.HINOTMYR_A
Description: Number of months without coverage
Form Pane Label: Months without coverage
SAS Name: HINOTMYR_A
Tag Name: Adult.INS.HINOTMYR_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: 01<=HIKIND_A<=09 or (MCAIDPRB_A=1 or MCAREPRB_A=1) and HINOTYR_A=1
Universe Description: Sample Adults 18+ with known health insurance coverage and did not have health
insurance for some period of time in the past 12 months
Question Text: In the past 12 months, about how many months were you without coverage?
If less than 1 month, enter '1'.

Type: Integer
Length: 2
Min: 1
Max: 12
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-12,RF,DK> [goto next section]

Last Modified: Thursday, March 30, 2017

Page 388 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PAY

Block

Adult.PAY
Description: Difficulty Paying for Insurance
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions: PAYWORRY_A is asked in adult section even if already asked in child section
because it is not a family level question.

Last Modified: Monday, September 18, 2017

Page 389 of 895

Survey: NHIS Bridge
Section: Adult.PAY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PAYINTRO_A

Field

Adult.PAY.PAYINTRO_A
Description: Introduction to PAY section.
Form Pane Label: PAY introduction
SAS Name: PAYINTRO_A
Tag Name: Adult.PAY.PAYINTRO_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: (SAMEFAM_FLG=1 and PAY_FLG_C=blank) or (SAMEFAM_FLG=1
PAY_FLG_C=2 and SARESPSC_FLG ne 1) or (SAMEFAM_FLG ne 1)

and

Universe Description: Sample Adults 18+ living in same family as the Sample Child when the Sample Child
PAY section has not been completed
or Sample Adults living in same family as Sample Child when the Sample Child
respondent is not the Sample Adult and the Sample Child respondent answered don't
or refused to PAYBILL12M_C and PAYNOBLLNW_C
or Sample adults living in different families than the Sample Child
Question Text: Now I am going to ask you about your medical bills. Include bills for doctors,
dentists, hospitals, therapists, medication, equipment, and nursing home or
home care.
Enter '1' to continue.

Type: Enumerated
Length: 1
Answer List: tContinue
Value:

Mnemonic:

1

Description:
Enter 1 to Continue
Don't Know
Refuse
Empty
x On Input
On Output

Array:
Skip Instructions: <1> [goto PAYBLL12M_A]
Last Modified: Thursday, September 21, 2017

Page 390 of 895

Survey: NHIS Bridge
Section: Adult.PAY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PAYBLL12M_A

Field

Adult.PAY.PAYBLL12M_A
Description: Problems paying medical bills
Form Pane Label: Problems paying medical bills
SAS Name: PAYBLL12M_A
Tag Name: Adult.PAY.PAYBLL12M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: (SAMEFAM_FLG=1 and PAY_FLG_C=blank) or (SAMEFAM_FLG=1
PAY_FLG_C=2 and SARESPSC_FLG ne 1) or (SAMEFAM_FLG ne 1)

and

Universe Description: Sample Adults 18+ living in same family as the Sample Child when the Sample Child
PAY section has not been completed
or Sample Adults living in same family as Sample Child when the Sample Child
respondent is not the Sample Adult and the Sample Child respondent answered don't
or refused to PAYBILL12M_C and PAYNOBLLNW_C
or Sample adults living in different families than the Sample Child
Question Text: In the past 12 months did ^youanyone have problems paying or were unable to
pay any medical bills? Include bills for doctors, dentists, hospitals, therapists,
medication, equipment, nursing home or home care.

Fills: youanyone
Instructions: If GEN.PCNT_A=1 fill "you"; else fill "anyone in the family"

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input

Last Modified: Thursday, September 21, 2017

Page 391 of 895

Survey: NHIS Bridge
Section: Adult.PAY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x On Output
Store Instructions: Store PAY_FLG_A=1 if PAYBLL12M_A IN (1,2)
else store PAY_FLG_A=2 if PAYBLL12M_A IN (DK,RF)
Array:
Skip Instructions: <1,RF,DK> [goto PAYNOBLLNW_A]
<2> [goto PAYWORRY_A]

Last Modified: Friday, September 29, 2017

Page 392 of 895

Survey: NHIS Bridge
Section: Adult.PAY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PAYNOBLLNW_A

Field

Adult.PAY.PAYNOBLLNW_A
Description: unable to pay medical bills
Form Pane Label: Unable to pay medical bills
SAS Name: PAYNOBLLNW_A
Tag Name: Adult.PAY.PAYNOBLLNW_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:

((SAMEFAM_FLG=1 and PAY_FLG_C=blank) or (SAMEFAM_FLG=1 and
PAY_FLG_C=2 and SARESPSC_FLG ne 1) or (SAMEFAM_FLG ne 1)) and
PAYBLL12M_A IN (1,RF,DK)

Universe Description: Sample Adults 18+ where anyone in the family has difficulty playing medical bills or don't
know or refused and Sample Adult is living in same family as the Sample Child when
the Sample Child PAY section has not been completed
or Sample Adults living in same family as Sample Child when the Sample Child
respondent is not the Sample Adult and the Sample Child respondent answered don't
or refused to PAYBILL12M_C and PAYNOBLLNW_C
or Sample adults living in different families than the Sample Child AND who said
they/anyone in their family has problems paying their medical bills or don't know or
refuse to answer if they/anyone in their family has problems paying bills
Question Text: ^DoyouDoesanyoneinfam currently have any medical bills that you are unable
to pay at all?

Fills: DoyouDoesanyoneinfam
Instructions: If GEN.PCNT_A=1 fill "Do you"; else fill "Does anyone in your family"

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse

Last Modified: Friday, September 29, 2017

Page 393 of 895

Survey: NHIS Bridge
Section: Adult.PAY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Empty
x On Input
x On Output
Store Instructions: Store PAY_FLG_A=1 if PAYNOBLLNW_A IN (1,2)
Array:
Skip Instructions: <1,2,RF,DK> [goto PAYWORRY_A]

Last Modified: Monday, September 18, 2017

Page 394 of 895

Survey: NHIS Bridge
Section: Adult.PAY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PAYWORRY_A

Field

Adult.PAY.PAYWORRY_A
Description: Worried about medical bills
Form Pane Label: Worried about medical bills
SAS Name: PAYWORRY_A
Tag Name: Adult.PAY.PAYWORRY_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: If you get sick or have an accident, how worried are you that you will be able to
pay your medical bills? Are you very worried, somewhat worried, or not at all
worried?

Type: Enumerated
Length: 1
Answer List: TAWORPAY
Value:

Mnemonic:

Description:

1

Very worried

2

Somewhat worried

3

Not at all worried
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-3,RF,DK> [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 395 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DNC

Block

Adult.DNC
Description: Dental Care
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Monday, September 18, 2017

Page 396 of 895

Survey: NHIS Bridge
Section: Adult.DNC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DNCINTRO_A

Field

Adult.DNC.DNCINTRO_A
Description: Dental care introduction
Form Pane Label: Dental care introduction
SAS Name: DNCINTRO_A
Tag Name: Adult.DNC.DNCINTRO_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: These next questions ask about your dental care.
Enter 1 to continue.

Type: Enumerated
Length: 1
Answer List: tContinue
Value:

Mnemonic:

1

Description:
Enter 1 to Continue
Don't Know
Refuse
Empty
On Input
On Output

Array:
Skip Instructions: <1> [goto DENPREV_A]

Last Modified: Monday, September 18, 2017

Page 397 of 895

Survey: NHIS Bridge
Section: Adult.DNC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DENPREV_A

Field

Adult.DNC.DENPREV_A
Description: Time since last dental cleaning
Form Pane Label: Time since last dental cleaning
SAS Name: DENPREV_A
Tag Name: Adult.DNC.DENPREV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: About how long has it been since you last had a dental examination or
cleaning?
Read if necessary: Include cleanings from all types of dental care providers such as
dentists, orthodontists, oral surgeons, dental hygienists, and all other dental
specialists.

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yrNEVER
Value:

Mnemonic:

Description:

0

Never

1

Within the past year (anytime less than 12 months ago)

2

Within the last 2 years (1 year but less than 2 years ago)

3

Within the last 3 years (2 years but less than 3 years ago)

4

Within the last 5 years (3 years but less than 5 years ago)

5

Within the last 10 years (5 years but less than 10 years ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Monday, September 18, 2017

Page 398 of 895

Survey: NHIS Bridge
Section: Adult.DNC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <1> [goto DENDL12M_A]
<0,2-6,RF,DK> [goto DENLONG_A]

Last Modified: Monday, September 18, 2017

Page 399 of 895

Survey: NHIS Bridge
Section: Adult.DNC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DENLONG_A

Field

Adult.DNC.DENLONG_A
Description: Time since last saw dentist
Form Pane Label: Time since last saw dentist
SAS Name: DENLONG_A
Tag Name: Adult.DNC.DENLONG_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: DENPREV_A IN (0,2,3,4,5,6,RF,DK)
Universe Description: Sample Adults 18+ who have never seen a dentist for an exam or cleaning or have seen
a dentist for an exam or cleaning more than 1 year ago or refused or didn't know when
they last saw a dentist for an exam or cleaning
Question Text: About how long has it been since you last saw a dentist or other dental care
provider for any reason?
Read if necessary: Include all types of dental care providers such as dentists,
orthodontists, oral surgeons, dental hygienists, and all other dental specialists.

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yrNEVER
Value:

Mnemonic:

Description:

0

Never

1

Within the past year (anytime less than 12 months ago)

2

Within the last 2 years (1 year but less than 2 years ago)

3

Within the last 3 years (2 years but less than 3 years ago)

4

Within the last 5 years (3 years but less than 5 years ago)

5

Within the last 10 years (5 years but less than 10 years ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output

Last Modified: Monday, September 18, 2017

Page 499 of 895

Survey: NHIS Bridge
Section: Adult.DNC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Array:
Skip Instructions: <0-6,RF,DK> [goto DENDL12M_A]

Last Modified: Monday, September 18, 2017

Page 401 of 895

Survey: NHIS Bridge
Section: Adult.DNC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DENDL12M_A

Field

Adult.DNC.DENDL12M_A
Description: Delay dental care-cost
Form Pane Label: Delayed dental care
SAS Name: DENDL12M_A
Tag Name: Adult.DNC.DENDL12M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: During the past 12 months, have you delayed getting dental care because of the
cost?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto DENNG12M_A]

Last Modified: Monday, September 18, 2017

Page 402 of 895

Survey: NHIS Bridge
Section: Adult.DNC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DENNG12M_A

Field

Adult.DNC.DENNG12M_A
Description: Needed but not received dental care
Form Pane Label: Needed dental care
SAS Name: DENNG12M_A
Tag Name: Adult.DNC.DENNG12M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: During the past 12 months, was there any time when you needed dental care,
but did not get it because of the cost?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Wednesday, June 14, 2017

Page 403 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

UTZ

Block

Adult.UTZ
Description: Utilization
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Tuesday, September 19, 2017

Page 404 of 895

Survey: NHIS Bridge
Section: Adult.UTZ

Blaise Item-Level Specifications Report
Spider Version 1.6.2

UTZINTRO_A

Field

Adult.UTZ.UTZINTRO_A
Description: Introduction to utilization section.
Form Pane Label: UTZ introduction
SAS Name: UTZINTRO_A
Tag Name: Adult.UTZ.UTZINTRO_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Now that we finished talking about dental care, I would like to ask you about
other health care.
Enter '1' to continue.

Type: Enumerated
Length: 1
Answer List: tContinue
Value:

Mnemonic:

1

Description:
Enter 1 to Continue
Don't Know
Refuse
Empty
On Input
On Output

Array:
Skip Instructions: <1> [goto LASTDR_A]

Last Modified: Tuesday, September 19, 2017

Page 405 of 895

Survey: NHIS Bridge
Section: Adult.UTZ

Blaise Item-Level Specifications Report
Spider Version 1.6.2

LASTDR_A

Field

Adult.UTZ.LASTDR_A
Description: Time since seen doctor
Form Pane Label: Time since seen doctor
SAS Name: LASTDR_A
Tag Name: Adult.UTZ.LASTDR_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: About how long has it been since you last saw any doctor or other health
professional about your health?
Read if necessary: Include doctors seen while a patient in a hospital.
Read if necessary: Do not include dental care.

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yrNEVER
Value:

Mnemonic:

Description:

0

Never

1

Within the past year (anytime less than 12 months ago)

2

Within the last 2 years (1 year but less than 2 years ago)

3

Within the last 3 years (2 years but less than 3 years ago)

4

Within the last 5 years (3 years but less than 5 years ago)

5

Within the last 10 years (5 years but less than 10 years ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Tuesday, September 19, 2017

Page 406 of 895

Survey: NHIS Bridge
Section: Adult.UTZ

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <0-6,RF,DK> [goto USUALPL_A]

Last Modified: Tuesday, September 19, 2017

Page 407 of 895

Survey: NHIS Bridge
Section: Adult.UTZ

Blaise Item-Level Specifications Report
Spider Version 1.6.2

USUALPL_A

Field

Adult.UTZ.USUALPL_A
Description: Usual place of care
Form Pane Label: Usual place of care
SAS Name: USUALPL_A
Tag Name: Adult.UTZ.USUALPL_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Is there a place that you USUALLY go to if you are sick?

Type: Enumerated
Length: 1
Answer List: TUSUALPL
Value:

Mnemonic:

Description:

1

Yes

2

There is NO place

3

There is MORE THAN ONE place
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,3,RF,DK> [goto USPLKIND_A]
<2> if UTZ_ROT_FLG=1 [goto WELLVIS_A] else [goto URGENT12M_A]

Last Modified: Tuesday, September 19, 2017

Page 408 of 895

Survey: NHIS Bridge
Section: Adult.UTZ

Blaise Item-Level Specifications Report
Spider Version 1.6.2

USPLKIND_A

Field

Adult.UTZ.USPLKIND_A
Description: Place of usual care
Form Pane Label: Place of usual care
SAS Name: USPLKIND_A
Tag Name: Adult.UTZ.USPLKIND_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: USUALPL_A IN('1','3','RF','DK')
Universe Description: Sample Adults 18+ with 1+ usual place of care or who don't know or refused to
answer if they have a usual place of care
Question Text: What kind of place ^ISITGOMSTOFT - a doctor's office or health center; a
walk-in clinic, urgent care center, or retail clinic in a pharmacy or grocery store;
an emergency room; a VA Medical Center or VA outpatient clinic; or some other
place?
Read if necessary: A doctor's office or health center is a place where you see the
same doctor or the same group of doctors every visit, where you usually need to
make an appointment ahead of time, and where your medical records are on file.
Read if necessary: Walk-in clinics, urgent care centers, and retail clinics are places
where you do not need to make an appointment ahead of time, and do not usually
see the same health care provider.

Fills: ISITGOMSTOFT
Instructions: If USUALPL_A=1 fill "is it"; else fill "do you go to most often"

Type: Enumerated
Length: 1
Answer List: TPLACEKIND_A
Value:

Mnemonic:

Description:

1

A doctor's office or health center

2

Walk-in clinic, urgent care center, or retail clinic in a pharmacy or grocery store

3

Emergency room

4

A VA Medical Center or VA outpatient clinic

Last Modified: Tuesday, September 19, 2017

Page 409 of 895

Survey: NHIS Bridge
Section: Adult.UTZ

Blaise Item-Level Specifications Report
Spider Version 1.6.2

5

Some other place

6

Does not go to one place most often
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-6,RF,DK> if UTZ_ROT_FLG=1 [goto WELLVIS_A] else [goto URGENT12M_A]

Last Modified: Tuesday, September 19, 2017

Page 410 of 895

Survey: NHIS Bridge
Section: Adult.UTZ

Blaise Item-Level Specifications Report
Spider Version 1.6.2

WELLVIS_A

Field

Adult.UTZ.WELLVIS_A
Description: Time since wellness visit
Form Pane Label: Time since wellness visit
SAS Name: WELLVIS_A
Tag Name: Adult.UTZ.WELLVIS_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: UTZ_ROT_FLG=1
Universe Description: Sample Adults 18+ and UTZ is in rotation
Question Text: About how long has it been since you last saw a doctor or other health
professional for a "wellness visit," physical examination, preventive care, or
general purpose check-up?
Read if necessary: This kind of visit typically includes: blood pressure, cholesterol,
and blood sugar checks, height and weight measurements, and vaccinations. The
doctor or other health professional may also discuss topics related to your health
such as smoking, alcohol use, diet and exercise. These visits are usually scheduled
in advance and occur when you are not sick or injured.
Read if necessary: If a wellness exam was combined with a sick care visit, include
this visit.

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yrNEVER
Value:

Mnemonic:

Description:

0

Never

1

Within the past year (anytime less than 12 months ago)

2

Within the last 2 years (1 year but less than 2 years ago)

3

Within the last 3 years (2 years but less than 3 years ago)

4

Within the last 5 years (3 years but less than 5 years ago)

5

Within the last 10 years (5 years but less than 10 years ago)

6

10 years ago or more

Last Modified: Tuesday, September 19, 2017

Page 411 of 895

Survey: NHIS Bridge
Section: Adult.UTZ

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0> [goto URGENT12M_A]
<1-6,RF,DK> [goto WELLKIND_A]

Last Modified: Tuesday, September 19, 2017

Page 412 of 895

Survey: NHIS Bridge
Section: Adult.UTZ

Blaise Item-Level Specifications Report
Spider Version 1.6.2

WELLKIND_A

Field

Adult.UTZ.WELLKIND_A
Description: Place for last wellness visit
Form Pane Label: Place for last wellness visit
SAS Name: WELLKIND_A
Tag Name: Adult.UTZ.WELLKIND_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: WELLVIS_A=1-6,DK,RF and UTZ_ROT_FLG=1
Universe Description: Sample Adults 18+ who ever had a preventive visit or did not know or refused and
UTZ is in rotation
Question Text: At what kind of place did you go to for your most recent "wellness visit,"
physical examination, preventive care, or general purpose check-up - a doctor's
office or health center; a walk-in clinic, urgent care center, or retail clinic in a
pharmacy or grocery store; an emergency room; a VA Medical Center or VA
outpatient clinic; or some other place?
Read if necessary: A doctor's office or health center is a place where you see the
same doctor or the same group of doctors every visit, where you usually need to
make an appointment ahead of time, and where your medical records are on file.
Read if necessary: Walk-in clinics, urgent care centers, and retail clinics are places
where you do not need to make an appointment ahead of time, and do not usually
see the same health care provider.
Read if necessary: If a wellness exam was combined with a sick care visit, include
this visit.

Type: Enumerated
Length: 1
Answer List: TPLACEKINDILL_A
Value:

Mnemonic:

Description:

1

A doctor's office or health center

2

Walk-in clinic, urgent care center, or retail clinic in a pharmacy or grocery store

3

Emergency room

4

A VA Medical Center or VA outpatient clinic

Last Modified: Tuesday, September 19, 2017

Page 413 of 895

Survey: NHIS Bridge
Section: Adult.UTZ

Blaise Item-Level Specifications Report
Spider Version 1.6.2

5

Some other place
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-5,RF,DK> [goto URGENT12M_A]

Last Modified: Tuesday, September 19, 2017

Page 414 of 895

Survey: NHIS Bridge
Section: Adult.UTZ

Blaise Item-Level Specifications Report
Spider Version 1.6.2

URGENT12M_A

Field

Adult.UTZ.URGENT12M_A
Description: Times visited walk-in clinic
Form Pane Label: Times visited walk-in clinic
SAS Name: URGENT12M_A
Tag Name: Adult.UTZ.URGENT12M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: During the past 12 months, how many times have you gone to a walk-in clinic
such as an urgent care center, or clinic in a pharmacy or grocery store about
your health?
Enter 96 if number is 96 or greater.
Read if necessary: Walk-in clinics, urgent care centers, and retail clinics are places
where you do not need to make an appointment ahead of time, and do not usually
see the same health care provider.

Type: Integer
Length: 2
Min: 0
Max: 96
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-96,RF,DK> [goto EMERGE12M_A]

Last Modified: Thursday, September 21, 2017

Page 415 of 895

Survey: NHIS Bridge
Section: Adult.UTZ

Blaise Item-Level Specifications Report
Spider Version 1.6.2

EMERGE12M_A

Field

Adult.UTZ.EMERGE12M_A
Description: Times visited hospital ER
Form Pane Label: Times visited hospital ER
SAS Name: EMERGE12M_A
Tag Name: Adult.UTZ.EMERGE12M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: During the past 12 months, how many times have you gone to a HOSPITAL
EMERGENCY ROOM about your health?
Read if necessary: This includes emergency room visits that resulted in a hospital
admission.
Enter 96 if number of times is 96 or more.

Type: Integer
Length: 2
Min: 0
Max: 96
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-96,RF,DK> [goto HOSPONGT_A]

Last Modified: Thursday, September 21, 2017

Page 416 of 895

Survey: NHIS Bridge
Section: Adult.UTZ

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HOSPONGT_A

Field

Adult.UTZ.HOSPONGT_A
Description: Number of times hospitalized overnight
Form Pane Label: Hospitalized overnight
SAS Name: HOSPONGT_A
Tag Name: Adult.UTZ.HOSPONGT_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: During the past 12 months, have you been hospitalized overnight?
^PAST12MER_A

Fills: PAST12MER_A
Instructions: If ((EMERGE12M_A ge 01 and EMERGE12M_A le 96) or EMERGE12M_A IN
(RF,DK): Fill: "Do not include an overnight stay in the emergency room."

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto MEDDL12M_A]

Last Modified: Thursday, September 21, 2017

Page 417 of 895

Survey: NHIS Bridge
Section: Adult.UTZ

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MEDDL12M_A

Field

Adult.UTZ.MEDDL12M_A
Description: Delayed medical care due to cost
Form Pane Label: Delayed medical care
SAS Name: MEDDL12M_A
Tag Name: Adult.UTZ.MEDDL12M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: During the past 12 months, have you delayed getting medical care because of
the cost?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto MEDNG12M_A]

Last Modified: Thursday, September 21, 2017

Page 418 of 895

Survey: NHIS Bridge
Section: Adult.UTZ

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MEDNG12M_A

Field

Adult.UTZ.MEDNG12M_A
Description: Needed medical care
Form Pane Label: Needed medical care
SAS Name: MEDNG12M_A
Tag Name: Adult.UTZ.MEDNG12M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: During the past 12 months, was there any time when you needed medical care,
but did not get it because of the cost?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 419 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PMD

Block

Adult.PMD
Description: Prescription Medication
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Thursday, June 1, 2017

Page 420 of 895

Survey: NHIS Bridge
Section: Adult.PMD

Blaise Item-Level Specifications Report
Spider Version 1.6.2

RX12M_A

Field

Adult.PMD.RX12M_A
Description: Prescribed medication
Form Pane Label: Prescribed medication
SAS Name: RX12M_A
Tag Name: Adult.PMD.RX12M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: During the past 12 months, were you prescribed medication by a doctor or
other health professional?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto RXSK12M_A]
<2,DK,RF> [goto RXDG12M_A]

Last Modified: Thursday, June 1, 2017

Page 421 of 895

Survey: NHIS Bridge
Section: Adult.PMD

Blaise Item-Level Specifications Report
Spider Version 1.6.2

RXSK12M_A

Field

Adult.PMD.RXSK12M_A
Description: Skipped medication
Form Pane Label: Skipped medication
SAS Name: RXSK12M_A
Tag Name: Adult.PMD.RXSK12M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: RX12M_A='1'
Universe Description: Sample Adults 18+ who had been prescribed medication in the past 12 months
Question Text: During the past 12 months, were any of the following true for you?
...You skipped medication doses to save money.

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,DK,RF> [goto RXLS12M_A]

Last Modified: Thursday, June 1, 2017

Page 422 of 895

Survey: NHIS Bridge
Section: Adult.PMD

Blaise Item-Level Specifications Report
Spider Version 1.6.2

RXLS12M_A

Field

Adult.PMD.RXLS12M_A
Description: Took less medication
Form Pane Label: Took less medication
SAS Name: RXLS12M_A
Tag Name: Adult.PMD.RXLS12M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: RX12M_A='1'
Universe Description: Sample Adults 18+ who had been prescribed medication in the past 12 months
Question Text:

Read if necessary: During the past 12 months, were any of the following true for
you?
...You took less medication to save money.

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto RXDL12M_A]

Last Modified: Thursday, June 1, 2017

Page 423 of 895

Survey: NHIS Bridge
Section: Adult.PMD

Blaise Item-Level Specifications Report
Spider Version 1.6.2

RXDL12M_A

Field

Adult.PMD.RXDL12M_A
Description: Delayed filling prescription
Form Pane Label: Delayed filling prescription
SAS Name: RXDL12M_A
Tag Name: Adult.PMD.RXDL12M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: RX12M_A='1'
Universe Description: Sample Adults 18+ who had been prescribed medication in the past 12 months
Question Text:

Read if necessary: During the past 12 months, were any of the following true for
you?
...You delayed filling a prescription to save money.

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto RXDG12M_A]

Last Modified: Monday, August 7, 2017

Page 424 of 895

Survey: NHIS Bridge
Section: Adult.PMD

Blaise Item-Level Specifications Report
Spider Version 1.6.2

RXDG12M_A

Field

Adult.PMD.RXDG12M_A
Description: Needed prescriptions, past 12m
Form Pane Label: Needed prescriptions
SAS Name: RXDG12M_A
Tag Name: Adult.PMD.RXDG12M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: During the past 12 months, was there any time when you needed prescription
medication, but did not get it because of the cost?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Monday, July 17, 2017

Page 425 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PRV

Block

Adult.PRV
Description: Preventive screening w/ supplement
Tab Name: Preventative Screening Supplement
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Thursday, September 21, 2017

Page 426 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

BPLAST_A

Field

Adult.PRV.BPLAST_A
Description: Last time blood pressure checked
Form Pane Label: Blood pressure checked
SAS Name: BPLAST_A
Tag Name: Adult.PRV.BPLAST_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: When was the last time you had your blood pressure checked by a doctor,
nurse, or other health professional?

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yrNEVER
Value:

Mnemonic:

Description:

0

Never

1

Within the past year (anytime less than 12 months ago)

2

Within the last 2 years (1 year but less than 2 years ago)

3

Within the last 3 years (2 years but less than 3 years ago)

4

Within the last 5 years (3 years but less than 5 years ago)

5

Within the last 10 years (5 years but less than 10 years ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-6,RF,DK> [goto CHOLLAST_A]

Last Modified: Thursday, September 21, 2017

Page 427 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CHOLLAST_A

Field

Adult.PRV.CHOLLAST_A
Description: Last time cholesterol checked
Form Pane Label: Cholesterol checked
SAS Name: CHOLLAST_A
Tag Name: Adult.PRV.CHOLLAST_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: When was the last time you had your blood cholesterol checked by a doctor,
nurse, or other health professional?

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yrNEVER
Value:

Mnemonic:

Description:

0

Never

1

Within the past year (anytime less than 12 months ago)

2

Within the last 2 years (1 year but less than 2 years ago)

3

Within the last 3 years (2 years but less than 3 years ago)

4

Within the last 5 years (3 years but less than 5 years ago)

5

Within the last 10 years (5 years but less than 10 years ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-6,RF,DK> [goto DIABLAST_A]

Last Modified: Friday, August 11, 2017

Page 428 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DIABLAST_A

Field

Adult.PRV.DIABLAST_A
Description: Last time blood sugar test
Form Pane Label: Blood sugar test
SAS Name: DIABLAST_A
Tag Name: Adult.PRV.DIABLAST_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: When was the last time you had a blood test for high blood sugar or diabetes
by a doctor, nurse, or other health professional?

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yrNEVER
Value:

Mnemonic:

Description:

0

Never

1

Within the past year (anytime less than 12 months ago)

2

Within the last 2 years (1 year but less than 2 years ago)

3

Within the last 3 years (2 years but less than 3 years ago)

4

Within the last 5 years (3 years but less than 5 years ago)

5

Within the last 10 years (5 years but less than 10 years ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-6,RF,DK> if GEN.AGE_FINAL[PX_A] ge 40 [goto COLORECTEV_A]
elseif (GEN.SEX_FINAL[PX_A]=1 and (GEN.AGE_FINAL[PX_A]

Last Modified: Friday, August 11, 2017

lt

40

or

Page 429 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

GEN.AGE_FINAL[PX_A] IN (DK,RF)) or GEN.SEX_FINAL[PX_A] IN (DK,RF) [goto
next section]
elseif (GEN.SEX_FINAL[PX_A]=2 and (GEN.AGE_FINAL[PX_A] lt 40 or
GEN.AGE_FINAL[PX_A] IN (DK,RF)) [goto CERVICEV_A]

Last Modified: Friday, August 11, 2017

Page 430 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

COLORECTEV_A

Field

Adult.PRV.COLORECTEV_A
Description: Colonoscopy or sigmoidoscopy
Form Pane Label: Colonoscopy or sigmoidoscopy
SAS Name: COLORECTEV_A
Tag Name: Adult.PRV.COLORECTEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] ge 40
Universe Description: Sample Adults 40+
Question Text: These next questions are about colorectal cancer screening. There are several
different kinds of tests to check for colon cancer. Colonoscopy
(colon-OS-copy) and sigmoidoscopy (sigmoid-OS-copy) are exams in which a
doctor inserts a tube into the rectum to look for polyps or cancer. Have you
ever had either of these exams?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto COLORECTYP_A]
<2,RF,DK> [goto COLOROTH_A]

Last Modified: Friday, August 11, 2017

Page 431 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

COLORECTYP_A

Field

Adult.PRV.COLORECTYP_A
Description: Colonoscopy or sigmoidoscopy or both
Form Pane Label: Colon or sigmoid or both
SAS Name: COLORECTYP_A
Tag Name: Adult.PRV.COLORECTYP_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] ge 40 and COLORECTEV_A='1'
Universe Description: Sample Adults 40+ who have had either a colonoscopy or sigmoidoscopy
Question Text: For a colonoscopy, the doctor checks the entire colon, and you are given
medication through a needle in your arm to make you sleepy, and told to have
someone take you home. For a sigmoidoscopy, the doctor checks only part of
the colon and you are fully awake. Have you ever had a colonoscopy, a
sigmoidoscopy, or both?

Type: Enumerated
Length: 1
Answer List: TCOLORECTYP_A
Value:

Mnemonic:

Description:

1

Colonoscopy

2

Sigmoidoscopy

3

Both
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,3> [goto COLWHEN_A]
<2> [goto SIGWHEN_A]
 [goto COLSIGWHEN_A]
 [goto COLOROTH_A]

Last Modified: Friday, August 11, 2017

Page 432 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

COLWHEN_A

Field

Adult.PRV.COLWHEN_A
Description: Most recent colonoscopy
Form Pane Label: Most recent colonoscopy
SAS Name: COLWHEN_A
Tag Name: Adult.PRV.COLWHEN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] ge 40 and COLORECTYP_A IN (1,3)
Universe Description: Sample Adults 40+ who have ever had a colonoscopy or both a colonoscopy and a
sigmoidoscopy
Question Text: When did you have your MOST RECENT colonoscopy?

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yr
Value:

Mnemonic:

Description:

1

Within the past year (anytime less than 12 months ago)

2

Within the past 2 years (1 year but less than 2 years ago)

3

Within the past 3 years (2 years but less than 3 years ago)

4

Within the past 5 years (3 years but less than 5 years ago)

5

Within the past 10 years (5 years but less than 10 year ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-6,RF,DK> [goto COLREASON_A]

Last Modified: Thursday, September 21, 2017

Page 433 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

COLREASON_A

Field

Adult.PRV.COLREASON_A
Description: why did you have a colonoscopy
Form Pane Label: Why colonoscopy
SAS Name: COLREASON_A
Tag Name: ADULT.PRV.COLREASON_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] ge 40 and COLORECTYP_A IN (1,3)
Universe Description: Sample Adults 40+ who ever had a colonoscopy or both a colonoscopy and a
sigmoidoscopy
Question Text: What was the MAIN reason you had this colonscopy - was it part of a routine
exam, because of a problem, as a follow-up test of an earlier test or screening
exam, or some other reason?

Type: Enumerated
Length: 1
Answer List: TCOLREASON
Value:

Mnemonic:

Description:

1

Part of a routine exam

2

Because of a problem

3

Follow-up test of an earlier test or screening exam

4

Other reason
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4,RF,DK> [goto COLPAY_A]

Last Modified: Thursday, September 21, 2017

Page 434 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

COLPAY_A

Field

Adult.PRV.COLPAY_A
Description: how much did you pay for most recent colonoscopy?
Form Pane Label: Pay colonoscopy
SAS Name: COLPAY_A
Tag Name: ADULT.PRV.COLPAY_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] ge 40 and COLORECTYP_A IN (1,3)
Universe Description: Sample Adults 40+ who ever had a colonoscopy or both a colonoscopy and a
sigmoidoscopy
Question Text: How much did you pay out of pocket for your most recent colonoscopy -- was it
NONE, PART, or ALL of the cost?

Type: Enumerated
Length: 1
Answer List: TPRVPAY
Value:

Mnemonic:

Description:

1

None of the cost

2

Part of the cost

3

All of the cost
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-3,RF,DK> if COLORECTYP_A=3 [goto SIGWHEN_A]
else [goto COLOROTH_A]

Last Modified: Thursday, September 21, 2017

Page 435 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

COLSIGWHEN_A

Field

Adult.PRV.COLSIGWHEN_A
Description: Most recent colonoscopy or sigmoidoscopy
Form Pane Label: Most recent colon or sigmoid
SAS Name: COLSIGWHEN_A
Tag Name: Adult.PRV.COLSIGWHEN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL ge 40 and COLORECTYP_A=DK
Universe Description: Sample Adults 40+ who have ever had a colonoscopy or sigmoidoscopy but do not
know which type
Question Text: When was your MOST RECENT colonoscopy or sigmoidoscopy?

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yr
Value:

Mnemonic:

Description:

1

Within the past year (anytime less than 12 months ago)

2

Within the past 2 years (1 year but less than 2 years ago)

3

Within the past 3 years (2 years but less than 3 years ago)

4

Within the past 5 years (3 years but less than 5 years ago)

5

Within the past 10 years (5 years but less than 10 year ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-6,RF,DK> [goto COLOROTH_A]

Last Modified: Thursday, September 21, 2017

Page 436 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SIGWHEN_A

Field

Adult.PRV.SIGWHEN_A
Description: Most recent sigmoidoscopy
Form Pane Label: Most recent sigmoidoscopy
SAS Name: SIGWHEN_A
Tag Name: Adult.PRV.SIGWHEN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] ge 40 and COLORECTYP_A IN (2,3)
Universe Description: Sample Adults 40+ who have ever had a sigmoidoscopy
Question Text: When was your MOST RECENT sigmoidoscopy?

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yr
Value:

Mnemonic:

Description:

1

Within the past year (anytime less than 12 months ago)

2

Within the past 2 years (1 year but less than 2 years ago)

3

Within the past 3 years (2 years but less than 3 years ago)

4

Within the past 5 years (3 years but less than 5 years ago)

5

Within the past 10 years (5 years but less than 10 year ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-6,RF,DK> [goto COLOROTH_A]

Last Modified: Thursday, September 21, 2017

Page 437 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

COLOROTH_A

Field

Adult.PRV.COLOROTH_A
Description: OTHER kind of test for colorectal cancer
Form Pane Label: Other kind of test
SAS Name: COLOROTH_A
Tag Name: Adult.PRV.COLOROTH_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] ge 40
Universe Description: Sample Adults 40+
Question Text: Have you ever had any OTHER kind of test for colorectal cancer, such as a
virtual colonoscopy, CT colonography, or a blood stool test?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto CTHEARD_A]
<2,RF,DK> if ((COLWHEN_A IN (1-5) or SIGWHEN_A IN (1-4) or COLSIGWHEN_A
IN (1-4) and GEN.SEX_FINAL[PX_A]=1) [goto PSATEST_A]
elseif ((COLWHEN_A IN (1-5) or SIGWHEN_A IN (1-4) or COLSIGWHEN_A IN (14) and GEN.SEX_FINAL[PX_A]=2) [goto CERVICEV_A]
elseif ((COLWHEN_A IN (1-5) or SIGWHEN_A IN
(1-4) or COLSIGWHEN_A IN
(1-4) and GEN.SEX_FINAL[PX_A] IN (RF,DK)) [goto next section]
else [goto COLPROBLEM_A]

Last Modified: Thursday, September 21, 2017

Page 438 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CTHEARD_A

Field

Adult.PRV.CTHEARD_A
Description: Have you ever heard of CT colonography or virtual colonoscopy?
Form Pane Label: Heard of CT colonography
SAS Name: CTHEARD_A
Tag Name: ADULT.PRV.CTHEARD_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] ge 40 and COLOROTH_A=1
Universe Description: Sample Adults 40+ who ever had any other tests for colorectal cancer
Question Text: CT colonography, sometimes called virtual colonoscopy, is a new type of test
that looks for cancer in the colon. Unlike regular colonoscopies, you do not
need medication to make you sleepy during the test. In this new test, your
colon is filled with air and you are moved through a donut-shaped X-ray
machine as you lie on your back and then your stomach.
Before today, HAD YOU EVER HEARD of CT colonography or virtual
colonoscopy?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto CTCOLEV_A]
<2,RF,DK> [goto FITTOLD_A]

Last Modified: Thursday, September 21, 2017

Page 439 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CTCOLEV_A

Field

Adult.PRV.CTCOLEV_A
Description: Ever had colonography/virtual colonoscopy
Form Pane Label: Ever had CT colonography
SAS Name: CTCOLEV_A
Tag Name: Adult.PRV.CTCOLEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] ge 40 and CTHEARD_A=1
Universe Description: Sample Adults 40+ who have ever heard of CT colonography or virtual colonoscopy
Question Text: Have you ever had a CT colonography or virtual colonoscopy?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto CTCOLWHEN_A]
<2,RF,DK> [goto FITTOLD_A]

Last Modified: Thursday, September 21, 2017

Page 440 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CTCOLWHEN_A

Field

Adult.PRV.CTCOLWHEN_A
Description: Most recent colonography/virtual colonoscopy
Form Pane Label: Most recent colonography
SAS Name: CTCOLWHEN_A
Tag Name: Adult.PRV.CTCOLWHEN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] ge 40 and CTCOLEV_A=1
Universe Description: Sample Adults 40+ who have had a CT colonography or virtual colonscopy
Question Text: When was your most recent CT colonography or virtual colonoscopy?

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yr
Value:

Mnemonic:

Description:

1

Within the past year (anytime less than 12 months ago)

2

Within the past 2 years (1 year but less than 2 years ago)

3

Within the past 3 years (2 years but less than 3 years ago)

4

Within the past 5 years (3 years but less than 5 years ago)

5

Within the past 10 years (5 years but less than 10 year ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-6,RF,DK> [goto FITTOLD_A]

Last Modified: Thursday, September 21, 2017

Page 441 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FITTOLD_A

Field

Adult.PRV.FITTOLD_A
Description: Ever heard of FIT test
Form Pane Label: Ever heard of FIT test
SAS Name: FITTOLD_A
Tag Name: ADULT.PRV.FITTOLD_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] ge 40 and COLOROTH_A=1
Universe Description: Sample Adults 40+ who ever had any other tests for colorectal cancer
Question Text: The following questions are about the blood stool or occult blood test, fecal
immunochemical or FIT test. These are tests to determine whether you have
blood in your stool or bowel movement. These tests can be done at home
using a kit. You use a stick or brush to obtain a small amount of stool at home
and send it back to the doctor or lab.
Has a doctor or other health professional EVER told you about these tests for
blood in the stool to check for colon cancer?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto FITHEV_A]

Last Modified: Thursday, September 21, 2017

Page 442 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FITHEV_A

Field

Adult.PRV.FITHEV_A
Description: Ever had home blood stool test
Form Pane Label: Ever had FIT test
SAS Name: FITHEV_A
Tag Name: Adult.PRV.FITHEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] ge 40 and COLOROTH_A='1'
Universe Description: Sample Adults 40+ who ever had any other tests for colorectal cancer
Question Text: Have you ever had a blood stool or FIT test, using a HOME test kit?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto FITHWHEN_A]
<2,RF,DK> if ((COLWHEN_A IN (1-5) or SIGWHEN_A IN (1-4) or CTCOLWHEN_A IN
(1-4)) or COLSIGWHEN_A IN (1-4) and GEN.SEX_FINAL[PX_A]=1) [goto
PSATEST_A]
elseif ((COLWHEN_A IN (1-5) or SIGWHEN_A IN (1-4) or CTCOLWHEN_A IN (1-4))
or COLSIGWHEN_A IN (1-4) and GEN.SEX_FINAL[PX_A]=2) [goto CERVICEV_A]
if ((COLWHEN_A IN (1-5) or SIGWHEN_A IN (1-4) or CTCOLWHEN_A in (1-4)) or
COLSIGWHEN_A IN (1-4) and GEN.SEX_FINAL[PX_A] IN (RF,DK)) [goto next
section]

Last Modified: Thursday, September 21, 2017

Page 443 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

else [goto COLPROBLEM_A]

Last Modified: Thursday, September 21, 2017

Page 444 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FITHWHEN_A

Field

Adult.PRV.FITHWHEN_A
Description: Most recent home blood stool test
Form Pane Label: Most recent FIT test
SAS Name: FITHWHEN_A
Tag Name: Adult.PRV.FITHWHEN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] ge 40 and FITHEV_A=1
Universe Description: Sample Adults 40+ who have ever had a home blood stool or FIT test
Question Text: When was your most recent blood stool or FIT test, using a home test kit?

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yr
Value:

Mnemonic:

Description:

1

Within the past year (anytime less than 12 months ago)

2

Within the past 2 years (1 year but less than 2 years ago)

3

Within the past 3 years (2 years but less than 3 years ago)

4

Within the past 5 years (3 years but less than 5 years ago)

5

Within the past 10 years (5 years but less than 10 year ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-6,DK,RF> [goto COLOGUARD_A]

Last Modified: Thursday, September 21, 2017

Page 445 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

COLOGUARD_A

Field

Adult.PRV.COLOGUARD_A
Description: ever had cologuard?
Form Pane Label: Ever had Cologuard
SAS Name: COLOGUARD_A
Tag Name: ADULT.PRV.COLOGUARD_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] ge 40 and FITHEV_A=1
Universe Description: Sample Adults 40+ who ever had a home FIT test
Question Text: Cologuard is a new type of stool test for colon cancer. Unlike other stool tests,
Cologuard looks for changes in DNA in addition to checking for blood in your
stool. The Cologuard test is shipped to your home in a box that includes a
container for your stool sample.
Have you ever had a Cologuard test?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto FITCOLG_A]
<2,RF,DK> if ((COLWHEN_A IN (1-5) or SIGWHEN_A IN (1-4) or CTCOLWHEN_A IN
(1-4)
or
or
COLSIGWHEN_A
IN
(1-4)
or
FITHWHEN_A=1)
and
GEN.SEX_FINAL[PX_A]=1) [goto PSATEST_A]

Last Modified: Thursday, September 21, 2017

Page 446 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

elseif ((COLWHEN_A IN (1-5) or SIGWHEN_A IN (1-4) or CTCOLWHEN_A IN (1-4) or
or COLSIGWHEN_A IN (1-4) or FITHWHEN_A=1) and GEN.SEX_FINAL[PX_A]=2)
[goto CERVICEV_A]
elseif ((COLWHEN_A IN (1-5) or SIGWHEN_A IN (1-4) or CTCOLWHEN_A IN (1-4) or
or COLSIGWHEN_A IN (1-4) or FITHWHEN_A=1) and GEN.SEX_FINAL[PX_A] in
(RF,DK)) [goto next section]
else [goto COLPROBLEM_A]

Last Modified: Thursday, September 21, 2017

Page 447 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FITCOLG_A

Field

Adult.PRV.FITCOLG_A
Description: was blood stool/FIT part of Cologuard test?
Form Pane Label: FIT part of Cologuard
SAS Name: FITCOLG_A
Tag Name: Adult.PRV.FITCOLG_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] ge 40 and COLOGUARD_A=1
Universe Description: Sample Adults 40+ who ever had a Cologuard
Question Text: Was the blood stool or FIT test you reported earlier conducted as part of a
Cologuard test?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto CGUARDWHEN_A]
<2,RF,DK> if ((COLWHEN_A IN (1-5) or SIGWHEN_A IN (1-4) or CTCOLWHEN_A IN
(1-4)
or
COLSIGWHEN_A
IN
(1-4)
or
FITHWHEN_A=1)
and
GEN.SEX_FINAL[PX_A]=1 [goto PSATEST_A]
elseif ((COLWHEN_A IN (1-5) or SIGWHEN_A IN (1-4) or CTCOLWHEN_A IN (1-4) or
COLSIGWHEN_A IN (1-4) or FITHWHEN_A=1) and GEN.SEX_FINAL[PX_A]=2)
[goto CERVICEV_A]
elseif ((COLWHEN_A in (1-5) or SIGWHEN_A IN (1-4) or CTCOLWHEN_A IN (1-4)

Last Modified: Thursday, September 21, 2017

Page 448 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

or or COLSIGWHEN_A IN (1-4) or FITHWHEN_A=1) and GEN.SEX_FINAL[PX_A] IN
(RF,DK) [goto next section]
else [goto COLPROBLEM_A]

Last Modified: Thursday, September 21, 2017

Page 449 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CGUARDWHEN_A

Field

Adult.PRV.CGUARDWHEN_A
Description: When was your last Cologuard?
Form Pane Label: Most recent Cologuard
SAS Name: CGUARDWHEN_A
Tag Name: ADULT.PRV.CGUARDWHEN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] ge 40 and FITCOLG_A=1
Universe Description: Sample Adults 40+ who ever had a Cologuard as part of the FIT test
Question Text: When did you have your most recent Cologuard test?

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yr
Value:

Mnemonic:

Description:

1

Within the past year (anytime less than 12 months ago)

2

Within the past 2 years (1 year but less than 2 years ago)

3

Within the past 3 years (2 years but less than 3 years ago)

4

Within the past 5 years (3 years but less than 5 years ago)

5

Within the past 10 years (5 years but less than 10 year ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-6,RF,DK> if ((COLWHEN_A IN (1-5) or SIGWHEN_A IN (1-4) or CTCOLWHEN_A
IN
(1-4)
or
COLSIGWHEN_A
IN
(1-4)
or
FITHWHEN_A=1)
and
GEN.SEX_FINAL[PX_A]=1) [goto PSATEST_A]
elseif ((COLWHEN_A IN (1-5) or SIGWHEN_A IN (1-4) or CTCOLWHEN_A IN (1-4)
or COLSIGWHEN_A IN (1-4) or FITHWHEN_A=1) and GEN.SEX_FINAL[PX_A]=2)

Last Modified: Thursday, September 21, 2017

Page 450 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

[goto CERVICEV_A]
else if ((COLWHEN_A IN (1-5) or SIGWHEN_A IN (1-4) or CTCOLWHEN_A IN (1-4)
or COLSIGWHEN_A IN (1-4) or FITHWHEN_A=1) and GEN.SEX_FINAL[PX_A] IN
(RF,DK)) [goto next section]
else [goto COLPROBLEM_A]

Last Modified: Thursday, September 21, 2017

Page 451 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

COLPROBLEM_A

Field

Adult.PRV.COLPROBLEM_A
Description: did doctor recommend you be tested to look for problems in colon/rectum
Form Pane Label: DR recommend colon test
SAS Name: COLPROBLEM_A
Tag Name: ADULT.PRV.COLPROBLEM_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] ge 40 and GEN.AGE_FINAL ge 40 and COLORECTEV_A
IN (1,2,RF,DK) and COLWHEN_A IN (empty,6,RF,DK) and SIGWHEN_A IN
(empty,5,6,RF,DK) and COLSIGWHEN_A IN (empty,5,6,RF,DK) and CTCOLWHEN_A
IN (empty,5,6,RF,DK) and FITHWHEN_A IN (empty,2,3,4,5,6,RF,DK)
Universe Description: Sample adults 40+ who never had a colonoscopy or had a colonoscopy over 10 years
ago, or don't know or refused when they had a colonoscopy,
and never had a sigmoidoscopy or had a sigmoidoscopy over 5 years ago, or don't
know or refused when they had a sigmoidoscopy,
or had a sigmoidoscopy or colonoscopy but don't know which over 5 years ago,
and never had a CT colonography or had a CT colonography over 5 years ago, or don't
know or refused when they had a CT colonography,
and never had a FIT test or had a FIT test over one year ago, or don't know or refused
when they had a FIT test
Question Text: In the past 12 MONTHS, did a doctor or other health professional RECOMMEND
that you be tested to look for problems in your colon or rectum?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty

Last Modified: Thursday, September 21, 2017

Page 452 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x On Input
x On Output
Array:
Skip Instructions: <1> [goto COLKIND_A]
<2,RF,DK> if GEN.SEX_FINAL[PX_A]=1 [goto PSATEST_A]
elseif GEN.SEX_FINAL[PX_A]=2 [goto CERVICEV_A]
elseif GEN.SEX_FINAL[PX_A] IN (RF,DK) [goto next section]

Last Modified: Thursday, September 21, 2017

Page 453 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

COLKIND_A

Field

Adult.PRV.COLKIND_A
Description: Which colon tests were recommended?
Form Pane Label: Which colon test
SAS Name: COLKIND_A
Tag Name: ADULT.PRV.COLKIND_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] ge 40 and COLPROBLEM_A=1
Universe Description: Sample Adults 40+ who had another type of colon test recommended
Question Text: Which tests to check for colon cancer did the doctor or other health
professional recommend to you? Possible tests include stool blood or fecal
occult blood or FIT test; sigmoidoscopy; colonoscopy; CT colonography or
virtual colonoscopy; or other.
Enter all that apply, separate with commas.

Type: Set
Max Number of Values:
Length: 1
Answer List: TCOLKIND
Value:

Mnemonic:

Description:

1

Stool blood test/fecal occult blood/FIT test

2

Sigmoidoscopy

3

Colonoscopy

4

CT colonography/virtual colonoscopy

5

Other
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 454 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <1,2,RF,DK> if GEN.SEX_FINAL[PX_A]=1 [goto PSATEST_A]
elseif GEN.SEX_FINAL[PX_A]=2 [goto CERVICEV_A]
elseif GEN.SEX_FINAL[PX_A] IN (RF,DK) [goto next section]

Last Modified: Thursday, September 21, 2017

Page 455 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PSATEST_A

Field

Adult.PRV.PSATEST_A
Description: ever had a PSA test
Form Pane Label: Ever had PSA test
SAS Name: PSATEST_A
Tag Name: Adult.PRV.PSATEST_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL[PX_A]=1 and GEN.AGE_FINAL[PX_A] ge 40
Universe Description: Male Sample Adults 40+
Question Text: A PSA test is a blood test to detect prostate cancer. It is also called a
prostate-secific antigen test. Have you EVER HAD a PSA test?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto PSAWHEN_A]
<2,RF,DK> [goto PSAADVANT_A}

Last Modified: Thursday, September 21, 2017

Page 456 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PSAWHEN_A

Field

Adult.PRV.PSAWHEN_A
Description: when had most recent PSA test
Form Pane Label: Most recent PSA test
SAS Name: PSAWHEN_A
Tag Name: ADULT.PRV.PSAWHEN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL[PX_A]=1 and GEN.AGE_FINAL[PX_A] ge 40 and PSATEST_A=1
Universe Description: Male Sample Adults 40+ who ever had a PSA test
Question Text: When did you have your MOST RECENT PSA test?

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yr
Value:

Mnemonic:

Description:

1

Within the past year (anytime less than 12 months ago)

2

Within the past 2 years (1 year but less than 2 years ago)

3

Within the past 3 years (2 years but less than 3 years ago)

4

Within the past 5 years (3 years but less than 5 years ago)

5

Within the past 10 years (5 years but less than 10 year ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-6,RF,DK> [goto PSAREASON_A]

Last Modified: Thursday, September 21, 2017

Page 457 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PSAREASON_A

Field

Adult.PRV.PSAREASON_A
Description: reason had a PSA test
Form Pane Label: Reason had PSA test
SAS Name: PSAREASON_A
Tag Name: ADULT.PRV.PSAREASON_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL[PX_A]=1 and GEN.AGE_FINAL[PX_A] ge 40 and PSATEST_A=1
Universe Description: Male Sample Adults 40+ who ever had a PSA test
Question Text: What was the MAIN reason you had this PSA test - was it part of a rountine
exam, because of a problem, or some other reason?

Type: Enumerated
Length: 1
Answer List: TPSABEXAMWHY
Value:

Mnemonic:

Description:

1

Part of a routine exame

2

Because of a problem

3

Other reason
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-3,RF,DK> [goto PSASUGGEST_A]

Last Modified: Thursday, September 21, 2017

Page 458 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PSASUGGEST_A

Field

Adult.PRV.PSASUGGEST_A
Description: who suggested PSA test
Form Pane Label: Who suggested PSA test
SAS Name: PSASUGGEST_A
Tag Name: ADULT.PRV.PSASUGGEST_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL[PX_A]=1 and GEN.AGE_FINAL[PX_A] ge 40 and PSATEST_A=1
Universe Description: Male Sample Adults 40+ who ever had a PSA test
Question Text: Who first suggested this PSA test: you, your doctor, or someone else?

Type: Enumerated
Length: 1
Answer List: TPSASUGGEST
Value:

Mnemonic:

Description:

1

Self

2

Doctor

3

Someone else
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-3,RF,DK> [goto PSA5YR_A]

Last Modified: Thursday, September 21, 2017

Page 459 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PSA5YR_A

Field

Adult.PRV.PSA5YR_A
Description: How many PSA tests in the past 5 years?
Form Pane Label: PSA tests 5 years
SAS Name: PSA5YR_A
Tag Name: ADULT.PRV.PSA5YR_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL[PX_A]=1 and GEN.AGE_FINAL[PX_A] ge 40 and PSATEST_A=1
Universe Description: Male Sample Adults 40+ who ever had a PSA test
Question Text: How many PSA tests have you had in the past 5 years?
Enter 0 for none.
Enter '95' for 95 or more.

Type: Integer
Length: 2
Min: 0
Max: 95
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-95,RF,DK> [goto PSAADVANT_A]

Last Modified: Thursday, September 21, 2017

Page 460 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PSAADVANT_A

Field

Adult.PRV.PSAADVANT_A
Description: Did a doctor talk to you about advantages of PSA
Form Pane Label: Advantages of PSA test
SAS Name: PSAADVANT_A
Tag Name: ADULT.PRV.PSAADVANT_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL[PX_A]=1 and GEN.AGE_FINAL[PX_A] ge 40
Universe Description: Male Sample Adults 40+
Question Text: Did a doctor EVER talk with you about the advantages of the PSA test?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto PSADISADV_A]

Last Modified: Thursday, September 21, 2017

Page 461 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PSADISADV_A

Field

Adult.PRV.PSADISADV_A
Description: did a doctor ever talk to you about the disadvantages of the PSA test?
Form Pane Label: Disadvantages of PSA test
SAS Name: PSADISADV_A
Tag Name: ADULT.PRV.PSADISADV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL[PX_A]=1 and GEN.AGE_FINAL[PX_A] ge 40
Universe Description: Male Sample Adults 40+
Question Text: Did a doctor EVER talk with you about the disadvantages of the PSA test?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Thursday, September 21, 2017

Page 462 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CERVICEV_A

Field

Adult.PRV.CERVICEV_A
Description: Ever had cervical cancer screening test
Form Pane Label: Ever had cervical cancer test
SAS Name: CERVICEV_A
Tag Name: Adult.PRV.CERVICEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL[PX_A]=2
Universe Description: Female Sample Adults 18+
Question Text: There are two different kinds of tests to check for cervical cancer. One is a Pap
smear or Pap test and the other is the HPV test.
Have you ever had a test to check for cervical cancer?
Read if necessary: These are routine tests for women in which a doctor or other
health professional takes a sample from the cervix with a swab or brush and sends it
to the lab.

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto CERVICWHEN_A]
<2> [goto CERVICNOT_A]

Last Modified: Thursday, September 21, 2017

Page 463 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

 [goto HYSTEV_A]

Last Modified: Thursday, September 21, 2017

Page 464 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CERVICWHEN_A

Field

Adult.PRV.CERVICWHEN_A
Description: When was most recent cervical cancer test
Form Pane Label: Most recent cervical cancer test
SAS Name: CERVICWHEN_A
Tag Name: Adult.PRV.CERVICWHEN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL[PX_A]=2 and CERVICEV_A=1
Universe Description: Female Sample Adults 18+ who have ever had a cervical cancer test
Question Text: When did you have your MOST RECENT test to check for cervical cancer?

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yr
Value:

Mnemonic:

Description:

1

Within the past year (anytime less than 12 months ago)

2

Within the past 2 years (1 year but less than 2 years ago)

3

Within the past 3 years (2 years but less than 3 years ago)

4

Within the past 5 years (3 years but less than 5 years ago)

5

Within the past 10 years (5 years but less than 10 year ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-6,RF,DK> [goto PAPTEST_A]

Last Modified: Thursday, September 21, 2017

Page 465 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PAPTEST_A

Field

Adult.PRV.PAPTEST_A
Description: pap test at most recent cervical cancer screening
Form Pane Label: Pap test at screening
SAS Name: PAPTEST_A
Tag Name: ADULT.PRV.PAPTEST_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL[PX_A]=2 and CERVICEV_A=1
Universe Description: Female Sample Adults 18+ who ever had a cervical cancer test
Question Text: At your most recent cervical cancer screening, did you have a Pap test?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto HPVTEST_A]

Last Modified: Thursday, September 21, 2017

Page 466 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HPVTEST_A

Field

Adult.PRV.HPVTEST_A
Description: hpv test at most recent cervical cancer screening
Form Pane Label: HPV test at screening
SAS Name: PAPTEST_A
Tag Name: ADULT.PRV.PAPTEST_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL[PX_A]=2 and CERVICEV_A=1
Universe Description: Female Sample Adults 18+ who ever had a cervical cancer test
Question Text: At your most recent cervical cancer screening, did you have an HPV test?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> if CERVICWHEN_A IN (1,2,3,4) [goto CERVICRES_A]
if CERVICWHEN_A IN (5,6) [goto CERVICNOT_A]
if CERVICWHEN_A IN (RF,DK) [goto HYSTEV_A]

Last Modified: Thursday, September 21, 2017

Page 467 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CERVICRES_A

Field

Adult.PRV.CERVICRES_A
Description: abnormal pap in past 5 years
Form Pane Label: Abnormal cervical cancer test
SAS Name: CERVICRES_A
Tag Name: ADULT.PRV.CERVICRES_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL[PX_A]=2 and CERVICWHEN_A IN (1,2,3,4)
Universe Description: Female Sample Adults 18+ who had a cervical cancer test within the past 5 years.
Question Text: In the PAST 5 years, did you have a cervical cancer screening test that required
follow-up to check for cancer or precancerous cells?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto HYSTEV_A]

Last Modified: Thursday, September 21, 2017

Page 468 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CERVICNOT_A

Field

Adult.PRV.CERVICNOT_A
Description: why did not get a pap/hpv test in past 5 years
Form Pane Label: Reason no PAP/HPV test
SAS Name: CERVICNOT_A
Tag Name: Adult.PRV.CERVICNOT_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL[PX_A]=2 and (CERVICEV_A=2 or CERVICWHEN IN (5,6))
Universe Description: Female Sample Adults who never had a cervical cancer test or had their last cervical
cancer test more than 5 years ago.
Question Text: What is the MAIN REASON that you have ^never5yearsPAPHPV?
Do not read choices, select answer category based on respondent's answer.

Fills: never5yearsPAPHPV
Instructions: If CERVICEV_A=2 fill "NEVER had a test to check for cervical cancer"
If CERVICEV_A=1 and CERVICWHEN_A IN (5,6) fill: "NOT had a test to check
for cervical cancer in the last 5 years"

Type: Enumerated
Length: 2
Answer List: TPAPHPVNOT
Value:

Mnemonic:

Description:

1

No reason/never thought about it

2

Didn't need it/didn't know I needed this type of test

3

Doctor didn't order it/didn't say I needed it

4

Haven't had any problems

5

Put it off/didn't get around to it

6

Too expensive/no insurance/cost

7

Too painful, unpleasant, or embarrassing

8

Had hysterectomy

9

Don't have a doctor

10

Had HPV vaccine

Last Modified: Thursday, September 21, 2017

Page 469 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

11

Other
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-11,RF,DK> [goto HYSTEV_A]

Last Modified: Thursday, September 21, 2017

Page 470 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HYSTEV_A

Field

Adult.PRV.HYSTEV_A
Description: Had hysterectomy
Form Pane Label: Had hysterectomy
SAS Name: HYSTEV_A
Tag Name: Adult.PRV.HYSTEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL[PX_A]=2
Universe Description: Female Sample Adults 18+
Question Text: Have you had a hysterectomy?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> if GEN.AGE_FINAL ge 30 [goto MAMEV_A]
elseif GEN.AGE_FINAL lt 30 or GEN.AGE_FINAL IN (DK,RF) [goto next section]

Last Modified: Thursday, September 21, 2017

Page 471 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MAMEV_A

Field

Adult.PRV.MAMEV_A
Description: Ever had mammogram
Form Pane Label: Ever had mammogram
SAS Name: MAMEV_A
Tag Name: Adult.PRV.MAMEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] ge 30 and GEN.SEX_FINAL[PX_A]=2
Universe Description: Female Sample Adults 30+
Question Text: Have you EVER HAD a mammogram?
Read if necessary: A mammogram is an x-ray taken only of the breast by a
machine that presses against the breast.

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto MAMWHEN_A]
<2,RF,DK> [goto BREASTEXAM_A]

Last Modified: Thursday, September 21, 2017

Page 472 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MAMWHEN_A

Field

Adult.PRV.MAMWHEN_A
Description: Most recent mammogram
Form Pane Label: Most recent mammogram
SAS Name: MAMWHEN_A
Tag Name: Adult.PRV.MAMWHEN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A]
MAMEV_A='1'

ge

'030'

and

GEN.SEX_FINAL[PX_A]='2'

and

Universe Description: Female Sample Adults 30+ who have had a mammogram
Question Text: When did you have your MOST RECENT mammogram?

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yr
Value:

Mnemonic:

Description:

1

Within the past year (anytime less than 12 months ago)

2

Within the past 2 years (1 year but less than 2 years ago)

3

Within the past 3 years (2 years but less than 3 years ago)

4

Within the past 5 years (3 years but less than 5 years ago)

5

Within the past 10 years (5 years but less than 10 year ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-6,RF,DK> [goto MAMREASON_A]

Last Modified: Thursday, September 21, 2017

Page 473 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MAMREASON_A

Field

Adult.PRV.MAMREASON_A
Description: Reason for mammogram
Form Pane Label: Reason for mammogram
SAS Name: MAMREASON_A
Tag Name: Adult.PRV.MAMREASON_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL[PX_A]=2 and GEN.AGE_FINAL[PX_A] ge 30 and MAMEV_A=1
Universe Description: Female Sample Adults 30+ who have ever had a mammogram
Question Text: What was the MAIN reason you had this mammogram -- was it part of a routine
exam, because of a problem, because of a family or personal history of cancer,
or some other reason?

Type: Classification
Length: 1
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4,RF,DK> [goto MAMAGE1ST_A]

Last Modified: Thursday, September 21, 2017

Page 474 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MAMAGE1ST_A

Field

Adult.PRV.MAMAGE1ST_A
Description: age of first mammogram
Form Pane Label: Age of first mammogram
SAS Name: MAMAGE1ST_A
Tag Name: Adult.PRV.MAMAGE1ST_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL[PX_A]=2 and GEN.AGE_FINAL[PX_A] ge 30 and MAMEV_A=1
Universe Description: Female Sample Adults age 30 or older who ever had a mammogram
Question Text: About how old were you when you had your first mammogram?

Type: Enumerated
Length: 1
Answer List: Tmamagegroups
Value:

Mnemonic:

Description:

1

Under 30 years

2

30-39

3

40-49

4

50-59

5

60 years or older
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Special Instructions: If GEN.AGE_FINAL LT 60, gray out answer category 5
If GEN.AGE_FINAL LT 50, gray out answer categories 4,5
If GEN.AGE_FINAL LT 40, gray out answer categories 3,4,5
Skip Instructions: if((GEN.AGE_FINAL[PX_A]
(GEN.AGE_FINAL[PX_A]
lt

Last Modified: Thursday, September 21, 2017

lt
50

60
and

and
MAMAGE1ST_A=5)
MAMAGE1ST_A
IN
(4,5))

or
or

Page 475 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

(GEN.AGE_FINAL[PX_A]
lt
40
and
MAMAGE1ST_A
IN
ERR_MAMAGE1ST_A]
<1-3> [goto MAMWHY1ST_A]
<4,5> [goto BREASTEXAM_A]
 if GEN.AGE_FINAL[PX_A] lt 50 [goto MAMWHY1ST_A]
else [goto BREASTEXAM_A]

Last Modified: Monday, July 17, 2017

(3,4,5)))[goto

Page 476 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR_MAMAGE1ST_A

Check

Adult.PRV.ERR_MAMAGE1ST_A
Description: Non-selectable answer chosen hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: ((GEN.AGE_FINAL LT 60 and MAMAGE1ST_A=5) or (GEN.AGE_FINAL LT 50 and
MAMAGE1ST_A IN (4,5)) or (GEN.AGE_FINAL LT 40 and MAMAGE1ST_A IN
(3,4,5)))
Universe Description:
Text: {check ERR_MAMAGE1ST_A}
That selection is not valid at this time.
Please correct.

Check Instructions:
Type: Hard

Last Modified: Thursday, September 21, 2017

Page 477 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MAMWHY1ST_A

Field

Adult.PRV.MAMWHY1ST_A
Description: reason had first mammogram at age lt 50
Form Pane Label: Reason mammogram age lt 50
SAS Name: MAMWHY1ST_A
Tag Name: Adult.PRV.MAMWHY1ST_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL[PX_A]=2 and GEN.AGE_FINAL[PX_A] ge 30 and (MAMAGE1ST_A
IN (1,2,3) OR (MAMAGE1ST_A IN (RF,DK) AND GEN.AGE_FINAL[PX_A] lt 50))
Universe Description: Female Sample adults 30+ who had their first mammogram under age 50 or don't
know or refused to say when they had their first mammogram and are under age 50.
Question Text: What was the MAIN REASON you had your first mammogram?
Put response into correct category below.

Type: Enumerated
Length: 1
Answer List: Tmamfirstreason
Value:

Mnemonic:

Description:

1

Because of a breast problem

2

My healthcare provider told me I was high-risk

3

Family history of breast cancer

4

Part of a routine exam

5

I requested it

6

Other reason
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 478 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <1-6,RF,DK> [goto BREASTEXAM_A]

Last Modified: Thursday, September 21, 2017

Page 479 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

BREASTEXAM_A

Field

Adult.PRV.BREASTEXAM_A
Description: ever had breast exam from health professional
Form Pane Label: Ever had breast exam
SAS Name: BREASTEXAM_A
Tag Name: Adult.PRV.BREASTEXAM_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL[PX_A]=2 and GEN.AGE_FINAL[PX_A] ge 30
Universe Description: Female sample adults 30+
Question Text: Have you EVER HAD a breast exam done by a doctor or other health
professional to check for lumps or other signs of breast cancer?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto BEXAMWHEN_A]
<2,RF,DK> [goto next section]

Last Modified: Thursday, September 21, 2017

Page 480 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

BEXAMWHEN_A

Field

Adult.PRV.BEXAMWHEN_A
Description: When was you last breast exam?
Form Pane Label: Most recent breast exam
SAS Name: BEXAMWHEN_A
Tag Name: Adult.PRV.BEXAMWHEN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL[PX_A]=2
BREASTEXAM_A=1

and

GEN.AGE_FINAL[PX_A]

ge

30

and

Universe Description: Female Sample Adults 30+ who have ever had a breast exam
Question Text: When did you have your MOST RECENT breast exam?

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yr
Value:

Mnemonic:

Description:

1

Within the past year (anytime less than 12 months ago)

2

Within the past 2 years (1 year but less than 2 years ago)

3

Within the past 3 years (2 years but less than 3 years ago)

4

Within the past 5 years (3 years but less than 5 years ago)

5

Within the past 10 years (5 years but less than 10 year ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-6,RF,DK> [goto BEXAMREAS_A]

Last Modified: Thursday, September 21, 2017

Page 481 of 895

Survey: NHIS Bridge
Section: Adult.PRV

Blaise Item-Level Specifications Report
Spider Version 1.6.2

BEXAMREAS_A

Field

Adult.PRV.BEXAMREAS_A
Description: Why did you have breast exam?
Form Pane Label: Reason breast exam
SAS Name: BEXAMREAS_A
Tag Name: PRV.ADULT.BEXAMREAS_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL[PX_A]=2
BREASTEXAM_A=1

and

GEN.AGE_FINAL[PX_A]

ge

30

and

Universe Description: Female Sample Adults 30+ who ever had a breast exam
Question Text: What was the MAIN REASON you had this breast exam -- was it part of a routine
exam, because of a problem, or some other reason?

Type: Enumerated
Length: 1
Answer List: TPSABEXAMWHY
Value:

Mnemonic:

Description:

1

Part of a routine exame

2

Because of a problem

3

Other reason
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-3,RF,DK> [goto next section]

Last Modified: Friday, June 30, 2017

Page 482 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

IMS

Block

Adult.IMS
Description: Immunization with 2018R/2019 supplements
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Friday, August 11, 2017

Page 483 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PREGFLUYR_A

Field

Adult.IMS.PREGFLUYR_A
Description: Was SA pregnant last flu season
Form Pane Label: Pregnant last flu season
SAS Name: PREGFLUYR_A
Tag Name: Adult.IMS.PREGFLUYR_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:

GEN.SEX_FINAL[PX_A]=2
and
((GEN.AGE_FINAL[PX_A]=18-49
or
GEN.AGE_FINAL[PX_A] IN (DK,RF)) and (Adult.BMI.PREGNOW_A IN (2,DK) OR
(Adult.BMI.PREGNOW_A=1 and GEN.INTERVIEW_MONTH IN (4,5,6,7)))

Universe Description: Female sample adults 18-49 years or age is don't know or refused and who are not
currently pregnant or don't know if they are currently pregnant or who are currently
pregnant and the interview occurred between April-July.
Question Text: Were you pregnant any time ^AUGUSTYEAR?

Fills: AUGUSTYEAR
Instructions: If INTERVIEW_MONTH=1-3 "since August 1st, ^LASTYEAR"
If INTERVIEW_MONTH=4-7 "from August ^LASTYEAR through March ^YEAR"
If INTERVIEW_MONTH=8-12 "since August 1st, ^YEAR"

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Friday, August 11, 2017

Page 484 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <1,2,DK> [goto LIVEBIRTH_A]
 [goto SHTFLU12M_A]

Last Modified: Friday, August 11, 2017

Page 485 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

LIVEBIRTH_A

Field

Adult.IMS.LIVEBIRTH_A
Description: Any live births
Form Pane Label: Any live births
SAS Name: LIVEBIRTH_A
Tag Name: Adult.IMS.LIVEBIRTH_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL=2 and (GEN.AGE_FINAL[PX_A] le 49 or GEN.AGE_FINAL[PX_A]
IN (DK,RF)) and Adult.BMI.PREGNOW_A ne RF and PREGFLUYR_A ne RF
Universe Description: Female sample adults aged 18-49 of age or age is don't know or refused who did not
refuse to answer if they are currently pregnant or if they were pregnant in between
August and March.
Question Text: During the past 12 months, did you have a pregnancy that ended in a live birth?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto SHTFLU12M_A]

Last Modified: Friday, July 7, 2017

Page 486 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SHTFLU12M_A

Field

Adult.IMS.SHTFLU12M_A
Description: Flu vaccine
Form Pane Label: Flu vaccine
SAS Name: SHTFLU12M_A
Tag Name: Adult.IMM.SHTFLU12M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: There are two types of flu vaccinations. One is a shot and the other is a spray,
mist, or drop in the nose. During the past 12 months, have you had a flu
vaccination?
Read if necessary: A flu vaccination is usually given in the fall and protects against
influenza for the flu season.

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto SHTFLUM_A]
<2,RF,DK> [goto SHTPNUEV_A]

Last Modified: Wednesday, July 5, 2017

Page 487 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SHTFLUM_A

Field

Adult.IMS.SHTFLUM_A
Description: Month of last flu vaccine
Form Pane Label: Month of last flu vaccine
SAS Name: SHTFLUM_A
Tag Name: Adult.IMS.SHTFLUM_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: SHTFLU12M_A=1
Universe Description: Sample Adults 18+ who had a flu shot in the past 12 months
Question Text:

1 of 2
During what month and year did you receive your most recent flu vaccine?

Type: Enumerated
Length: 2
Answer List: T_MONTH
Value:

Mnemonic:

Description:

1

January

2

February

3

March

4

April

5

May

6

June

7

July

8

August

9

September

10

October

11

November

12

December
x Don't Know
x Refuse
Empty

Last Modified: Wednesday, July 5, 2017

Page 488 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x On Input
x On Output
Array:
Skip Instructions: <1-12,DK> [goto SHTFLUY_A]

if
Adult.BMI.PREGNOW_A=1
and
(1,2,3,8,9,10,11,12) [goto FLUPREG_A]
elseif PREGFLUYR_A=1 [goto FLUPREG2_A]
else [goto SHTPNUEV_A]

Last Modified: Monday, July 17, 2017

GEN.INTERVIEW_MONTH

IN

Page 489 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SHTFLUY_A

Field

Adult.IMS.SHTFLUY_A
Description: Year of last flu vaccine
Form Pane Label: Year of last flu vaccine
SAS Name: SHTFLUY_A
Tag Name: Adult.IMS.SHTFLUY_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: SHTFLUM_A IN (1-12,DK)
Universe Description: Sample Adults 18+ who gave a month for their last flu shot or who didn't know the
month
Question Text:

2 of 2
Enter year of most recent flu vaccine.

Type: Integer
Length: 4
Min: 1900
Max: 2030
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: 
if SHTFLUM_A and SHTFLUY_A = a future date [goto ERR1_SHTFLUY_A]
elseif SHTFLUM_A and SHTFLUY_A = a date before 12 months ago [goto
ERR2_SHTFLUY_A]
elseif PREGNOW_A=1 and GEN.INTERVIEW_MONTH IN (1,2,3,8,9,10,11,12) [goto
FLUPREG_A]
elseif PREGFLUYR_A=1 [goto FLUPREG2_A]
else [goto SHTPNUEV_A]

Last Modified: Thursday, July 27, 2017

Page 490 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR1_SHTFLUY_A

Check

Adult.IMS.ERR1_SHTFLUY_A
Description: Future date hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: SHTFLUM_A + SHTFLUY_A= future date
Universe Description: Future date
Text: {check ERR1_SHTFLUY_A}
Future date invalid.
Please correct.
Â

Check Instructions:
Type: Hard

Last Modified: Thursday, July 27, 2017

Page 491 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR2_SHTFLUY_A

Check

Adult.IMS.ERR2_SHTFLUY_A
Description: Date > 12 months ago hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: SHTFLUM_A + SHTFLUY_A= a date before 12 months ago
Universe Description:
Text: {check ERR2_SHTFLUY_A}
Date more than 12 months ago.
Please correct.
Â

Check Instructions: allow jump back to SHTFLU12M_A
Type: Hard

Last Modified: Friday, August 11, 2017

Page 492 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FLUPREG_A

Field

Adult.IMS.FLUPREG_A
Description: Was flu shot before or during pregnancy
Form Pane Label: Flu shot before/during pregnancy
SAS Name: FLUPREG_A
Tag Name: Adult.IMS.FLUPREG_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL[PX_A]=2
and
(GEN.AGE_FINAL[PX_A]=18-49
GEN.AGE_FINAL[PX_A] IN (DK,RF)) and Adult.BMI.PREGNOW_A=1
SHTFLU12M_A=1 and GEN.INTERVIEW_MONTH IN (1,2,3,8,9,10,11,12)

or
and

Universe Description: Female Sample Adults 18-49 (or don't know or refuse their age) who are currently
pregnant and received a flu vaccination in the past 12 months and the interview takes
place in Jan-March or Aug-Dec.
Question Text: Did you get a flu vaccination before or during your current pregnancy?

Type: Enumerated
Length: 1
Answer List: TbeforeduringPREG
Value:

Mnemonic:

Description:

1

Before pregnancy

2

During pregnancy
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto SHTPNUEV_A]

Last Modified: Friday, August 11, 2017

Page 493 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FLUPREG2_A

Field

Adult.IMS.FLUPREG2_A
Description: earlier pregnancy and flu vaccine
Form Pane Label: Earlier pregnancy and flu vaccine
SAS Name: FLUPREG2_A
Tag Name: Adult.IMS.FLUPREG2_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL[PX_A]=2
and
(GEN.AGE_FINAL[PX_A]=18-49
or
GEN.AGE_FINAL[PX_A] IN (DK,RF)) and PREGFLUYR_A=1 and SHTFLU12M_A=1
Universe Description: Female sample adults 18-49 years of age who reported a pregnancy during AugustMarch and received a flu vaccination in the past 12 months.
Question Text: Earlier you said you were pregnant sometime ^AUGUSTYEAR. Did you get a
flu vaccination before, during, or after your pregnancy?

Fills: AUGUSTYEAR
Instructions: If INTERVIEW_MONTH=1-3 "since August 1st, ^LASTYEAR"
If INTERVIEW_MONTH=4-7 "from August ^LASTYEAR through March ^YEAR"
If INTERVIEW_MONTH=8-12 "since August 1st, ^YEAR"

Type: Enumerated
Length: 1
Answer List: TbeforeduringafterPREG
Value:

Mnemonic:

Description:

1

Before pregnancy

2

During pregnancy

3

After pregnancy
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Friday, August 11, 2017

Page 494 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <1-3,RF,DK> [goto SHTPNUEV_A]

Last Modified: Friday, August 11, 2017

Page 495 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SHTPNUEV_A

Field

Adult.IMS.SHTPNUEV_A
Description: Ever had pneumonia shot
Form Pane Label: Ever had pneumonia shot
SAS Name: SHTPNUEV_A
Tag Name: Adult.IMS.SHTPNUEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: A pneumonia shot is also known as pneumococcal vaccine. Have you ever had
a pneumonia shot?
Read if neccessary: There are two types of pneumonia shots: polysaccharide, also
know as Pneumovax®, and conjugate, also known as Prevnar®.

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto SHTPNEUNB_A]
<2,RF,DK> if GEN.AGE_FINAL[PX_A] ge 50 [goto SHTSHINGLE_A]
else if (GEN.AGE_FINAL[PX_A] le 49 or GEN.AGE_FINAL[PX_A] IN (DK,RF)) and

Last Modified: Friday, August 11, 2017

Page 496 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

LIVEBIRTH_A=1 [goto TDAPPREG_A]
else [goto SHTTETANUS_A]

Last Modified: Friday, August 11, 2017

Page 497 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SHTPNEUNB_A

Field

Adult.IMS.SHTPNEUNB_A
Description: number of pneumonia shots
Form Pane Label: Number of pneumonia shots
SAS Name: SHTPNEUNB_A
Tag Name: ADULT.IMS.SHTPNEUNB_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: SHTPNUEV_A=1
Universe Description: Sample Adults who ever had a pneumonia shot
Question Text: How many pneumonia shots have you ever had?

Type: Enumerated
Length: 1
Answer List: TPSHOTS
Value:

Mnemonic:

Description:

1

One pneumonia shot

2

Two pneumonia shots

3

More than two pneumonia shots
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,3,RF,DK> if GEN.AGE_FINAL[PX_A] ge 50 [goto SHTSHINGLE_A]
elseif LIVEBIRTH_A=1 [goto TDAPPREG_A]
else [goto SHTTETANUS_A]

Last Modified: Friday, August 11, 2017

Page 498 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SHTSHINGLE_A

Field

Adult.IMS.SHTSHINGLE_A
Description: ever had a shingles vaccination
Form Pane Label: Shingles vaccination
SAS Name: SHTSHINGLE_A
Tag Name: Adult.IMS.SHTSHINGLE_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] ge 50
Universe Description: Sample Adult's age is 50 or over
Question Text: Shingles is an illness that results in a rash or blisters on the skin, and is
usually painful. There are two vaccines now available for shingles; Zostavax ®,
which requires 1 shot, and Shingrix®, a new vaccine which requires 2 shots.
Have you had a vaccine for shingles?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto ZOSTAVAX_A]
<2,RF,DK> [goto SHTTETANUS_A]

Last Modified: Friday, August 11, 2017

Page 499 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ZOSTAVAX_A

Field

Adult.IMS.ZOSTAVAX_A
Description: Ever had Zostavax
Form Pane Label: Zostavax
SAS Name: ZOSTAVAX_A
Tag Name: ADULT.IMS.ZOSTAVAX_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: AGE_FINAL[PX_A] ge 50 and SHTSHINGLE_A=1
Universe Description: Sample adults age 50 or older who ever had a vaccine for shingles
Question Text: Have you ever had Zostavax®, the shingles vaccine that requires one shot?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto ZOSTAVAXYR_A]
<2,RF,DK> [goto SHINGRIX_A]

Last Modified: Friday, August 11, 2017

Page 500 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ZOSTAVAXYR_A

Field

Adult.IMS.ZOSTAVAXYR_A
Description: When was most recent Zostavax shot
Form Pane Label: Most recent Zostavax shot
SAS Name: ZOSTAVAXYR_A
Tag Name: ADULT.IMS.ZOSTAVAXYR_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: AGE_FINAL[PX_A] ge 50 and ZOSTAVAX_A=1
Universe Description: Sample Adults age 50 or older who had Zostavax vaccine
Question Text: What year did you get your most recent Zostavax® shot?

Type: Integer
Length: 4
Min: 1900
Max: 2030
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1900-2030> if future date [goto ERR1_ZOSTAVAXYR_A]
elseif date before birth [goto ERR2_ZOSTAVAXYR_A]
else [goto SHINGRIX_A]
 [goto ZOSTAWHEN_A]

Last Modified: Thursday, July 27, 2017

Page 501 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR1_ZOSTAVAXYR_A

Check

Adult.IMS.ERR1_ZOSTAVAXYR_A
Description: Future date hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: ZOSTAVAXYR_A= future date
Universe Description: Future date
Text: {check ERR1_ZOSTAVAXYR_A}
Future date invalid.
Please correct.
Â

Check Instructions:
Type: Hard

Last Modified: Thursday, July 27, 2017

Page 502 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR2_ZOSTAVAXYR_A

Check

Adult.IMS.ERR2_ZOSTAVAXYR_A
Description: Date of most recent Zostavax shot is prior to Sample Adult's birth - hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: ZOSTAVAXYR_A= a date before Sample Adult's birth
Universe Description: Date of most recent Zostavax shot is prior to Sample Adult's birth
Text: {check ERR2_ZOSTAVAXYR_A}
Date of most recent Zostavax® shot is prior to Sample Adult's birth.
Please correct.

Check Instructions:
Type: Hard

Last Modified: Friday, August 11, 2017

Page 503 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ZOSTAWHEN_A

Field

Adult.IMS.ZOSTAWHEN_A
Description: was Zostavax in 2018 or before 2018
Form Pane Label: Zostavax in 2018 or before
SAS Name: ZOSTAWHEN_A
Tag Name: ADULT.IMS.ZOSTAWHEN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] ge 50 and ZOSTAVAXYR_A IN (DK,RF)
Universe Description: Sample Adults aged 50 and older who don't know or refused the year they had a
Zostavax vaccination
Question Text: Was it in 2018 or before 2018?

Type: Enumerated
Length: 1
Answer List: Tbefore2018
Value:

Mnemonic:

Description:

1

In 2018

2

Before 2018
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto SHINGRIX_A]

Last Modified: Friday, August 11, 2017

Page 504 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SHINGRIX_A

Field

Adult.IMS.SHINGRIX_A
Description: Ever had Shingrix vaccination
Form Pane Label: Ever had Shingrix vaccination
SAS Name: SHINGRIX_A
Tag Name: ADULT.IMS.SHINGRIX_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] ge 50 and SHTSHINGLE_A=1
Universe Description: Sample Adults who had a shingles vaccine
Question Text: Have you ever had Shingrix®, the new shingles vaccine which requires 2
shots?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto SHINGRIXNB_A]
<2,RF,DK> else [goto SHTTETANUS_A]

Last Modified: Thursday, September 21, 2017

Page 505 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SHINGRIXNB_A

Field

Adult.IMS.SHINGRIXNB_A
Description: How many Shingrix shots
Form Pane Label: How many Shingrix shots
SAS Name: SHINGRIXNB_A
Tag Name: ADULT.IMS.SHINGRIXNB_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] GE 50 and SHINGRIX_A=1
Universe Description: Sample Adults aged 50 or older who had a Shingrix vaccine
Question Text: How many Shringrix® shots have you ever had?

Type: Enumerated
Length: 1
Answer List: TSHINGRIXNB
Value:

Mnemonic:

Description:

1

One Shingrix shot

2

Two Shingrix shots
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto SHINGRIXYR_A]

Last Modified: Friday, August 11, 2017

Page 506 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SHINGRIXYR_A

Field

Adult.IMS.SHINGRIXYR_A
Description: What year did you get your most recent Shingrix shot
Form Pane Label: Year Shingrix shot
SAS Name: SHINGRIXYR_A
Tag Name: ADULT.IMS.SHINGRIXYR_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] ge 50 and SHINGRIX_A=1
Universe Description: Sample Adults aged 50 or older who had a Shingrix vaccine
Question Text: What year did you get your most recent Shingrix® shot?

Type: Integer
Length: 4
Min: 1900
Max: 2030
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1900-2030> if future date [goto ERR1_SHINGRIXYR_A]
elseif date prior to birth [goto ERR2_SHINGRIXYR_A]
else [goto SHTTETANUS_A]
 [goto SHINGWHEN_A]

Last Modified: Thursday, July 27, 2017

Page 507 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR1_SHINGRIXYR_A

Check

Adult.IMS.ERR1_SHINGRIXYR_A
Description: Future date hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: SHINGRIXYR_A= future date
Universe Description: Future date
Text: {check ERR1_SHINGRIXYR_A}
Future date invalid.
Please correct.
Â

Check Instructions:
Type: Hard

Last Modified: Thursday, July 27, 2017

Page 508 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR2_SHINGRIXYR_A

Check

Adult.IMS.ERR2_SHINGRIXYR_A
Description: Date of most recent Shingrix shot is prior to Sample Adult's birth - hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: SHINGRIXYR_A= a date before Sample Adult's birth
Universe Description: Date of most recent Shingrix shot is prior to Sample Adult's birth
Text: {check ERR2_SHINGRIXYR_A}
Date of most recent Shingrix® shot is prior to Sample Adult's birth.
Please correct.

Check Instructions:
Type: Hard

Last Modified: Friday, August 11, 2017

Page 509 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SHINGWHEN_A

Field

Adult.IMS.SHINGWHEN_A
Description: was last Shingrix in 2018 or before 2018
Form Pane Label: Shingrix in 2018 or before
SAS Name: SHINGWHEN_A
Tag Name: ADULT.IMS.SHINGWHEN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] ge 50 and SHINGRIXYR_A IN (DK,RF)
Universe Description: Sample Adults aged 50 and older who had a Shingrix vaccination and don't know or
refused the year they had it.
Question Text: Was it in 2018 or before 2018?

Type: Enumerated
Length: 1
Answer List: Tbefore2018
Value:

Mnemonic:

Description:

1

In 2018

2

Before 2018
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto SHTTETANUS_A]

Last Modified: Friday, August 11, 2017

Page 519 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

TDAPPREG_A

Field

Adult.IMS.TDAPPREG_A
Description: have a Tdap booster shot
Form Pane Label: Tdap booster shot
SAS Name: TDAPPREG_A
Tag Name: ADULT.IMS.TDAPPREG_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL[PX_A]=2
and
(GEN.AGE_FINAL[PX_A]
GEN.AGE_FINAL[PX_A] IN (DK,RF)) and LIVEBIRTH_A=1

le

49

or

Universe Description: Female sample adults aged 18-49 or age is don't know or refused who had a live birth
in the past 12 months.
Question Text: A Tdap vaccination is a tetanus booster shot that also includes pertussis
(per-TUH-sis) or whooping cough vaccine. Earlier you said that you had a
pregnancy that ended in a live birth during the past 12 months. Did you receive
a Tdap vaccine during this pregnancy?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> if GEN.AGE_FINAL[PX_A] NOT IN (DK,RF) [goto SHTHPV_A] else [goto
WORKHEALTH_A]
<2,DK,RF> [goto SHTTETANUS_A]

Last Modified: Friday, August 11, 2017

Page 511 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SHTTETANUS_A

Field

Adult.IMS.SHTTETANUS_A
Description: Tentanus in past 10 years
Form Pane Label: Tentanus in past 10 years
SAS Name: SHTTETANUS_A
Tag Name: ADULT.IMS.SHTTETANUS_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: TDAPPREG_A ne 1
Universe Description: Sample Adults 18+ who did not have a TDAP vaccine during a recent pregnancy
Question Text: Have you receieved a tetanus shot in the past 10 years?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto SHTTDAP_A]
<2,DK,RF> if GEN.AGE_FINAL[PX_A] le 64 [goto SHTHPV_A]
else [goto WORKHEALTH_A]

Last Modified: Monday, September 18, 2017

Page 512 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SHTTDAP_A

Field

Adult.IMS.SHTTDAP_A
Description: What kind of tetanus shot
Form Pane Label: What kind of tetanus shot
SAS Name: SHTTDAP_A
Tag Name: ADULT.IMS.SHTTDAP_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: SHTTETANUS_A=1
Universe Description: Sample Adults 18+ who had a tetanus shot in the past 10 years
Question Text: There are currently two types of tetanus shots available. One is the TD or
tetanus-diphtheria vaccine and the others are called Tdap or Adacel ® or
Boostrix®. They are similar except the Tdap shot also includes a pertussis
(per-TUH-sis) or whooping cough vaccine. Thinking back to your most recent
tetanus shot, did your health care provider tell you or did the vaccine
information sheet say the vaccine included the pertussis or whooping cough
vaccine?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,DK,RF> if GEN.AGE_FINAL[PX_A] le 64 [goto SHTHPV_A] else [goto
WORKHEALTH_A]

Last Modified: Thursday, July 27, 2017

Page 513 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SHTHPV_A

Field

Adult.IMS.SHTHPV_A
Description: ever had an hpv shot
Form Pane Label: Ever had an hpv shot
SAS Name: ever had an hpv shot
Tag Name: ADULT.IMS.SHTHPV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL le 64
Universe Description: Sample Adults 18-64
Question Text: Have you ever received an HPV shot or vaccine?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto SHTHPVAGE_A]
<2,RF,DK> [goto WORKHEALTH_A]

Last Modified: Wednesday, September 6, 2017

Page 514 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SHTHPVAGE_A

Field

Adult.IMS.SHTHPVAGE_A
Description: Age at first HPV vaccine
Form Pane Label: Age at first HPV vaccine
SAS Name: SHTHPVAGE_A
Tag Name: ADULT.IMS.SHTHPVAGE_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL[PX_A] le 64 and SHTHPV_A=1
Universe Description: Sample Adults 18-64 who had an HPV shot
Question Text: How old were you when you received your first HPV shot?

Type: Integer
Length: 2
Min: 1
Max: 64
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-64,RF,DK>
if
HPVAGE_A
ERR1_SHTHPVAGE_A]
else [goto WORKHEALTH_A]

Last Modified: Thursday, July 27, 2017

gt

GEN.AGE_FINAL[PX_A]

[goto

Page 515 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR1_SHTHPVAGE_A

Check

Adult.IMS.ERR1_SHTHPVAGE_A
Description: Age reported last vaccine is before birth
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL < SHTHPVAGE_A
Universe Description: Age reported at first HPV vaccine is greater than current age
Text: {check ERR1_SHTHPVAGE_A}
Age reported at first HPV vaccine is greater than current age.
Please correct.
Â

Check Instructions:
Type: Hard

Last Modified: Monday, July 17, 2017

Page 516 of 895

Survey: NHIS Bridge
Section: Adult.IMS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

WORKHEALTH_A

Field

Adult.IMS.WORKHEALTH_A
Description: currently volunteer or work in health care
Form Pane Label: Work in health care
SAS Name: WORKHEALTH_A
Tag Name: ADULT.IMS.WORKHEALTH_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Do you currently volunteer or work in a hospital, medical clinic, doctor's office,
dentist office, nursing home, or some other health care facility? This includes
emergency responders and public safety personnel, part-time and unpaid work
in a health care facility, as well as professional nursing or medical care
provided in the home.

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
On Input
On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 517 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PTC

Block

Adult.PTC
Description: Physical and other therapeutic care
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Thursday, June 1, 2017

Page 518 of 895

Survey: NHIS Bridge
Section: Adult.PTC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

EYEEX12M_A

Field

Adult.PTC.EYEEX12M_A
Description: Had eye exam, past 12m
Form Pane Label: Had eye exam, past 12m
SAS Name: EYEEX12M_A
Tag Name: Adult.PTC.EYEEX12M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: During the past 12 months, have you had an eye exam from an eye specialist
such as an optometrist, ophthalmologist, or eye doctor?

Type: Enumerated
Length: 2
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto THERA12M_A]

Last Modified: Thursday, September 21, 2017

Page 519 of 895

Survey: NHIS Bridge
Section: Adult.PTC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

THERA12M_A

Field

Adult.PTC.THERA12M_A
Description: Receive physical therapy, past 12m
Form Pane Label: Received therapy
SAS Name: THERA12M_A
Tag Name: Adult.PTC.THERA12M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: During the past 12 months, did you receive physical therapy, speech therapy,
rehabilitative therapy, or occupational therapy?
Read if necessary: Do not include mental health therapy.

Type: Enumerated
Length: 2
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto HOMEHC12M_A]

Last Modified: Thursday, September 21, 2017

Page 529 of 895

Survey: NHIS Bridge
Section: Adult.PTC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HOMEHC12M_A

Field

Adult.PTC.HOMEHC12M_A
Description: Receive care at home, past 12m
Form Pane Label: Received care at home
SAS Name: HOMEHC12M_A
Tag Name: Adult.PTC.HOMEHC12M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: During the past 12 months did you receive care at home from a nurse or other
health professional?

Type: Enumerated
Length: 2
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 521 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MHC

Block

Adult.MHC
Description: Mental Health Care
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Thursday, June 1, 2017

Page 522 of 895

Survey: NHIS Bridge
Section: Adult.MHC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MHRX_A

Field

Adult.MHC.MHRX_A
Description: Medications for emotions
Form Pane Label: Medications for emotions
SAS Name: MHRX_A
Tag Name: Adult.MHC.MHRX_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: During the past 12 months, did you take any prescription medication to help
you with your emotions, concentration, behavior or mental health?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto MHTHRPY_A]

Last Modified: Thursday, June 1, 2017

Page 523 of 895

Survey: NHIS Bridge
Section: Adult.MHC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MHTHRPY_A

Field

Adult.MHC.MHTHRPY_A
Description: Receive counseling/therapy
Form Pane Label: Receive counseling/therapy
SAS Name: MHTHRPY_A
Tag Name: Adult.MHC.MHTHRPY_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: During the past 12 months, did you receive counseling, therapy, or other
non-medication treatment from a mental health professional such as a
psychiatrist, psychologist, psychiatric nurse, or clinical social worker?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,RF,DK> [goto MHTPYNOW_A]
<2> [goto MHTHDLY_A]

Last Modified: Thursday, September 21, 2017

Page 524 of 895

Survey: NHIS Bridge
Section: Adult.MHC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MHTPYNOW_A

Field

Adult.MHC.MHTPYNOW_A
Description: Currently receiving counseling
Form Pane Label: Currently receiving counseling
SAS Name: MHTPYNOW_A
Tag Name: Adult.MHC.MHTPYNOW_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: MHTHRPY_A=1,RF,DK
Universe Description: Sample Adults 18+ who have received, or refused to answer or don't know if they have
received counseling, therapy or other non-medication treatment from a mental health
professional in the past 12 months
Question Text: Are you currently receiving counseling or therapy or other non-medication from
a mental health professional?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto MHTHDLY_A]

Last Modified: Thursday, September 21, 2017

Page 525 of 895

Survey: NHIS Bridge
Section: Adult.MHC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MHTHDLY_A

Field

Adult.MHC.MHTHDLY_A
Description: Delayed counseling
Form Pane Label: Delayed counseling
SAS Name: MHTHDLY_A
Tag Name: Adult.MHC.MHTHDLY_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: During the past 12 months, have you delayed getting counseling, therapy, or
other non-medication treatment from a mental health professional because of
the cost?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto MHTHND_A]

Last Modified: Thursday, September 21, 2017

Page 526 of 895

Survey: NHIS Bridge
Section: Adult.MHC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MHTHND_A

Field

Adult.MHC.MHTHND_A
Description: Needed counseling
Form Pane Label: Needed counseling
SAS Name: MHTHND_A
Tag Name: Adult.MHC.MHTHND_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: During the past 12 months, was there any time when you needed counseling,
therapy, or other non-medication treatment from a mental health professional,
but did not get it because of the cost?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 527 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ANX

Block

Adult.ANX
Description: Anxiety
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Thursday, June 1, 2017

Page 528 of 895

Survey: NHIS Bridge
Section: Adult.ANX

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ANXFREQ_A

Field

Adult.ANX.ANXFREQ_A
Description: How often worried/nervous/anxious
Form Pane Label: Worried/nervous/anxious
SAS Name: ANXFREQ_A
Tag Name: Adult.ANX.ANXFREQ_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: How often do you feel worried, nervous or anxious? Would you say daily,
weekly, monthly, a few times a year, or never?
If respondent asks whether they are to answer about their emotional states after
taking mood-regulating medications, say: "Please answer based on your usual use of
medication."

Type: Enumerated
Length: 1
Answer List: THOWOFTEN
Value:

Mnemonic:

Description:

1

Daily

2

Weekly

3

Monthly

4

A few times a year

5

Never
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-5,RF,DK> [goto ANXMED_A]

Last Modified: Thursday, June 1, 2017

Page 529 of 895

Survey: NHIS Bridge
Section: Adult.ANX

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ANXMED_A

Field

Adult.ANX.ANXMED_A
Description: Take medication for worry
Form Pane Label: Take medication for worry
SAS Name: ANXMED_A
Tag Name: Adult.ANX.ANXMED_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Do you take medication for these feelings?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,RF,DK> [goto ANXLEVEL_A]
<2> if ANXFREQ_A=5 [goto next section]
else [goto ANXLEVEL_A]

Last Modified: Friday, July 28, 2017

Page 530 of 895

Survey: NHIS Bridge
Section: Adult.ANX

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ANXLEVEL_A

Field

Adult.ANX.ANXLEVEL_A
Description: Level of worry/nerves/anxiety
Form Pane Label: How worried/nervous/anxious
SAS Name: ANXLEVEL_A
Tag Name: Adult.ANX.ANXLEVEL_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: (ANXFREQ_A IN('1','2','3','4','RF','DK')) or (ANXMED_A IN('1','RF','DK'))
Universe Description: Sample Adults 18+ who feel worried, anxious, or nervous daily, weekly, monthly, a few
times a year or don't know or refused how often OR who do take medication for these
feelings or don't know or refused if they take medication for these feelings
Question Text: Thinking about the last time you felt worried, nervous or anxious, how would
you describe the level of these feelings? Would you say a little, a lot, or
somewhere in between?

Type: Enumerated
Length: 1
Answer List: TLITTLELOT_A
Value:

Mnemonic:

Description:

1

A little

2

A lot

3

Somewhere in between a little and a lot
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-3,RF,DK> [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 531 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DEP

Block

Adult.DEP
Description: Depression
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Thursday, June 1, 2017

Page 532 of 895

Survey: NHIS Bridge
Section: Adult.DEP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DEPFREQ_A

Field

Adult.DEP.DEPFREQ_A
Description: How often depressed
Form Pane Label: How often depressed
SAS Name: DEPFREQ_A
Tag Name: Adult.DEP.DEPFREQ_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: How often do you feel depressed? Would you say daily, weekly, monthly, a few
times a year, or never?
If respondent asks whether they are to answer about their emotional states after
taking mood-regulating medications, say: "Please answer based on your usual use of
medication."

Type: Enumerated
Length: 1
Answer List: THOWOFTEN
Value:

Mnemonic:

Description:

1

Daily

2

Weekly

3

Monthly

4

A few times a year

5

Never
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-5,RF,DK> [goto DEPMED_A]

Last Modified: Thursday, June 1, 2017

Page 533 of 895

Survey: NHIS Bridge
Section: Adult.DEP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DEPMED_A

Field

Adult.DEP.DEPMED_A
Description: Take medication for depression
Form Pane Label: Take medication for depression
SAS Name: DEPMED_A
Tag Name: Adult.DEP.DEPMED_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Do you take medication for depression?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,RF,DK> [goto DEPLEVEL_A]
<2> if DEPFREQ_A=5 [goto next section]
else [goto DEPLEVEL_A]

Last Modified: Thursday, June 1, 2017

Page 534 of 895

Survey: NHIS Bridge
Section: Adult.DEP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DEPLEVEL_A

Field

Adult.DEP.DEPLEVEL_A
Description: How depressed
Form Pane Label: How depressed
SAS Name: DEPLEVEL_A
Tag Name: Adult.DEP.DEPLEVEL_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: (DEPFREQ_A IN('1','2','3','4','RF','DK')) or (DEPMED_A IN('1','RF','DK'))
Universe Description: Sample Adults 18+ who feel depressed daily, weekly, monthly, a few times a year or
refused or don't know how often they feel depressed OR who do take medication or
refused or don't know if they take medication for depression.
Question Text: Thinking about the last time you felt depressed, how depressed did you feel?
Would you say a little, a lot, or somewhere in between?

Type: Enumerated
Length: 1
Answer List: TLITTLELOT_A
Value:

Mnemonic:

Description:

1

A little

2

A lot

3

Somewhere in between a little and a lot
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-3,RF,DK> [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 535 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PHQ

Block

Adult.PHQ
Description: PHQ-8 Depression
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Tuesday, June 20, 2017

Page 536 of 895

Survey: NHIS Bridge
Section: Adult.PHQ

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PHQ81_A

Field

Adult.PHQ.PHQ81_A
Description: Little interest in things
Form Pane Label: Little interest in things
SAS Name: PHQ81_A
Tag Name: Adult.PHQ.PHQ81_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Over the last two weeks, how often have you been bothered by any of the
following problems
...Little interest or pleasure in doing things?
Would you say not at all, several days, more than half the days, or nearly every
day?

Type: Enumerated
Length: 1
Answer List: TPHQGAD_A
Value:

Mnemonic:

Description:

0

Not at all

1

Several days

2

More than half the days

3

Nearly every day
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-3,RF,DK> [goto PHQ82_A]

Last Modified: Friday, June 2, 2017

Page 537 of 895

Survey: NHIS Bridge
Section: Adult.PHQ

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PHQ82_A

Field

Adult.PHQ.PHQ82_A
Description: Feeling down
Form Pane Label: Feeling down
SAS Name: PHQ82_A
Tag Name: Adult.PHQ.PHQ82_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Over the last two weeks, how often have you been bothered by
...Feeling down, depressed, or hopeless?
Would you say not at all, several days, more than half the days, or nearly every
day?

Type: Enumerated
Length: 1
Answer List: TPHQGAD_A
Value:

Mnemonic:

Description:

0

Not at all

1

Several days

2

More than half the days

3

Nearly every day
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-3,RF,DK> [goto PHQ83_A]

Last Modified: Friday, June 2, 2017

Page 538 of 895

Survey: NHIS Bridge
Section: Adult.PHQ

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PHQ83_A

Field

Adult.PHQ.PHQ83_A
Description: Trouble with sleeping
Form Pane Label: Trouble with sleeping
SAS Name: PHQ83_A
Tag Name: Adult.PHQ.PHQ83_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: Over the last two weeks, how often have you been bothered by
...Trouble falling or staying asleep, or sleeping too much?
Read if necessary: Would you say not at all, several days, more than half the days,
or nearly every day?

Type: Enumerated
Length: 1
Answer List: TPHQGAD_A
Value:

Mnemonic:

Description:

0

Not at all

1

Several days

2

More than half the days

3

Nearly every day
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-3,RF,DK> [goto PHQ84_A]

Last Modified: Friday, June 2, 2017

Page 539 of 895

Survey: NHIS Bridge
Section: Adult.PHQ

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PHQ84_A

Field

Adult.PHQ.PHQ84_A
Description: Feeling tired
Form Pane Label: Feeling tired
SAS Name: PHQ84_A
Tag Name: Adult.PHQ.PHQ84_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: Over the last two weeks, how often have you been bothered by
...Feeling tired or having little energy?
Read if necessary: Would you say not at all, several days, more than half the days,
or nearly every day?

Type: Enumerated
Length: 1
Answer List: TPHQGAD_A
Value:

Mnemonic:

Description:

0

Not at all

1

Several days

2

More than half the days

3

Nearly every day
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-3,RF,DK> [goto PHQ85_A]

Last Modified: Friday, June 2, 2017

Page 540 of 895

Survey: NHIS Bridge
Section: Adult.PHQ

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PHQ85_A

Field

Adult.PHQ.PHQ85_A
Description: Poor appetite
Form Pane Label: Poor appetite
SAS Name: PHQ85_A
Tag Name: Adult.PHQ.PHQ85_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: Over the last two weeks, how often have you been bothered by
...Poor appetite or overeating?
Read if necessary: Would you say not at all, several days, more than half the days,
or nearly every day?

Type: Enumerated
Length: 1
Answer List: TPHQGAD_A
Value:

Mnemonic:

Description:

0

Not at all

1

Several days

2

More than half the days

3

Nearly every day
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-3,RF,DK> [goto PHQ86_A]

Last Modified: Thursday, August 31, 2017

Page 541 of 895

Survey: NHIS Bridge
Section: Adult.PHQ

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PHQ86_A

Field

Adult.PHQ.PHQ86_A
Description: Feeling bad about self
Form Pane Label: Feeling bad about self
SAS Name: PHQ86_A
Tag Name: Adult.PHQ.PHQ86_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: Over the last two weeks, how often have you been bothered by
...Feeling bad about yourself, or that you are a failure, or have let yourself or
your family down?
Read if necessary: Would you say not at all, several days, more than half the days,
or nearly every day?

Type: Enumerated
Length: 1
Answer List: TPHQGAD_A
Value:

Mnemonic:

Description:

0

Not at all

1

Several days

2

More than half the days

3

Nearly every day
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Thursday, August 31, 2017

Page 542 of 895

Survey: NHIS Bridge
Section: Adult.PHQ

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <0-3,RF,DK> [goto PHQ87_A]

Last Modified: Friday, June 2, 2017

Page 543 of 895

Survey: NHIS Bridge
Section: Adult.PHQ

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PHQ87_A

Field

Adult.PHQ.PHQ87_A
Description: Trouble concentrating
Form Pane Label: Trouble concentrating
SAS Name: PHQ87_A
Tag Name: Adult.PHQ.PHQ87_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: Over the last two weeks, how often have you been bothered by
...Trouble concentrating on things, such as reading the newspaper or watching
television?
Read if necessary: Would you say not at all, several days, more than half the days,
or nearly every day?

Type: Enumerated
Length: 1
Answer List: TPHQGAD_A
Value:

Mnemonic:

Description:

0

Not at all

1

Several days

2

More than half the days

3

Nearly every day
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-3,RF,DK> [goto PHQ88_A]

Last Modified: Friday, June 2, 2017

Page 544 of 895

Survey: NHIS Bridge
Section: Adult.PHQ

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PHQ88_A

Field

Adult.PHQ.PHQ88_A
Description: Drawing notice
Form Pane Label: Drawing notice
SAS Name: PHQ88_A
Tag Name: Adult.PHQ.PHQ88_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: Over the last two weeks, how often have you been bothered by
...Moving or speaking so slowly that other people could have noticed? Or the
opposite, being so fidgety or restless that you have been moving around a lot
more than usual?
Read if necessary: Would you say not at all, several days, more than half the days,
or nearly every day?

Type: Enumerated
Length: 1
Answer List: TPHQGAD_A
Value:

Mnemonic:

Description:

0

Not at all

1

Several days

2

More than half the days

3

Nearly every day
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Friday, June 2, 2017

Page 545 of 895

Survey: NHIS Bridge
Section: Adult.PHQ

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <0-3,RF,DK> [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 546 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

GAD

Block

Adult.GAD
Description: GAD-7 Anxiety
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Friday, June 2, 2017

Page 547 of 895

Survey: NHIS Bridge
Section: Adult.GAD

Blaise Item-Level Specifications Report
Spider Version 1.6.2

GAD71_A

Field

Adult.GAD.GAD71_A
Description: Felt nervous
Form Pane Label: Felt nervous
SAS Name: GAD71_A
Tag Name: Adult.GAD.GAD71_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Over the last two weeks, how often have you been bothered by the following
problems
Feeling nervous, anxious, or on edge?
Would you say not at all, several days, more than half the days, or nearly every
day?

Type: Enumerated
Length: 1
Answer List: TPHQGAD_A
Value:

Mnemonic:

Description:

0

Not at all

1

Several days

2

More than half the days

3

Nearly every day
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-3,RF,DK> [goto GAD72_A]

Last Modified: Friday, June 2, 2017

Page 548 of 895

Survey: NHIS Bridge
Section: Adult.GAD

Blaise Item-Level Specifications Report
Spider Version 1.6.2

GAD72_A

Field

Adult.GAD.GAD72_A
Description: Can't stop worrying
Form Pane Label: Can't stop worrying
SAS Name: GAD72_A
Tag Name: Adult.GAD.GAD72_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: Over the last two weeks, how often have you been bothered by
...Not being able to stop or control worrying?
Read if necessary: Would you say, not at all, several days, more than half the days,
or nearly every day?

Type: Enumerated
Length: 1
Answer List: TPHQGAD_A
Value:

Mnemonic:

Description:

0

Not at all

1

Several days

2

More than half the days

3

Nearly every day
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-3,RF,DK> [goto GAD73_A]

Last Modified: Friday, June 2, 2017

Page 549 of 895

Survey: NHIS Bridge
Section: Adult.GAD

Blaise Item-Level Specifications Report
Spider Version 1.6.2

GAD73_A

Field

Adult.GAD.GAD73_A
Description: Worrying about things
Form Pane Label: Worrying about things
SAS Name: GAD73_A
Tag Name: Adult.GAD.GAD73_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: Over the last two weeks, how often have you been bothered by
...Worrying too much about different things?
Read if necessary: Would you say, not at all, several days, more than half the days,
or nearly every day?

Type: Enumerated
Length: 1
Answer List: TPHQGAD_A
Value:

Mnemonic:

Description:

0

Not at all

1

Several days

2

More than half the days

3

Nearly every day
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-3,RF,DK> [goto GAD74_A]

Last Modified: Friday, June 2, 2017

Page 550 of 895

Survey: NHIS Bridge
Section: Adult.GAD

Blaise Item-Level Specifications Report
Spider Version 1.6.2

GAD74_A

Field

Adult.GAD.GAD74_A
Description: Trouble relaxing
Form Pane Label: Trouble relaxing
SAS Name: GAD74_A
Tag Name: Adult.GAD.GAD74_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: Over the last two weeks, how often have you been bothered by
...Trouble relaxing?
Read if necessary: Would you say, not at all, several days, more than half the days,
or nearly every day?

Type: Enumerated
Length: 1
Answer List: TPHQGAD_A
Value:

Mnemonic:

Description:

0

Not at all

1

Several days

2

More than half the days

3

Nearly every day
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-3,RF,DK> [goto GAD75_A]

Last Modified: Friday, June 2, 2017

Page 551 of 895

Survey: NHIS Bridge
Section: Adult.GAD

Blaise Item-Level Specifications Report
Spider Version 1.6.2

GAD75_A

Field

Adult.GAD.GAD75_A
Description: Can't sit still
Form Pane Label: Can't sit still
SAS Name: GAD75_A
Tag Name: Adult.GAD.GAD75_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: Over the last two weeks, how often have you been bothered by
...Being so restless that it's hard to sit still?
Read if necessary: Would you say, not at all, several days, more than half the days,
or nearly every day?

Type: Enumerated
Length: 1
Answer List: TPHQGAD_A
Value:

Mnemonic:

Description:

0

Not at all

1

Several days

2

More than half the days

3

Nearly every day
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-3,RF,DK> [goto GAD76_A]

Last Modified: Friday, June 2, 2017

Page 552 of 895

Survey: NHIS Bridge
Section: Adult.GAD

Blaise Item-Level Specifications Report
Spider Version 1.6.2

GAD76_A

Field

Adult.GAD.GAD76_A
Description: Easily annoyed
Form Pane Label: Easily annoyed
SAS Name: GAD76_A
Tag Name: Adult.GAD.GAD76_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: Over the last two weeks, how often have you been bothered by
...Becoming easily annoyed or irritable?
Read if necessary: Would you say, not at all, several days, more than half the days,
or nearly every day?

Type: Enumerated
Length: 1
Answer List: TPHQGAD_A
Value:

Mnemonic:

Description:

0

Not at all

1

Several days

2

More than half the days

3

Nearly every day
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-3,RF,DK> [goto GAD77_A]

Last Modified: Friday, June 2, 2017

Page 553 of 895

Survey: NHIS Bridge
Section: Adult.GAD

Blaise Item-Level Specifications Report
Spider Version 1.6.2

GAD77_A

Field

Adult.GAD.GAD77_A
Description: Feeling afraid
Form Pane Label: Feeling afraid
SAS Name: GAD77_A
Tag Name: Adult.GAD.GAD77_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: Over the last two weeks, how often have you been bothered by
...Feeling afraid as if something awful might happen?
Read if necessary: Would you say, not at all, several days, more than half the days,
or nearly every day?

Type: Enumerated
Length: 1
Answer List: TPHQGAD_A
Value:

Mnemonic:

Description:

0

Not at all

1

Several days

2

More than half the days

3

Nearly every day
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-3,RF,DK> [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 554 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PAI

Block

Adult.PAI
Description: Chronic Pain
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Thursday, September 21, 2017

Page 555 of 895

Survey: NHIS Bridge
Section: Adult.PAI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PAIFRQ3M_A

Field

Adult.PAI.PAIFRQ3M_A
Description: How often had pain
Form Pane Label: How often had pain
SAS Name: PAIFRQ3M_A
Tag Name: Adult.PAI.PAIFRQ3M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: In the past three months, how often did you have pain? Would you say never,
some days, most days, or every day?
If respondent asks whether they are to answer about their pain when taking their
medications, say: "Please answer based on your usual use of medication."

Type: Enumerated
Length: 1
Answer List: THOWOFTDAYS
Value:

Mnemonic:

Description:

1

Never

2

Some days

3

Most days

4

Every day
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,RF,DK> [goto next section]
<2,3,4> [goto PAIAMNT_A]

Last Modified: Thursday, September 21, 2017

Page 556 of 895

Survey: NHIS Bridge
Section: Adult.PAI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PAIAMNT_A

Field

Adult.PAI.PAIAMNT_A
Description: How much pain last time
Form Pane Label: How much pain last time
SAS Name: PAIAMNT_A
Tag Name: Adult.PAI.PAIAMNT_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: PAIFRQ3M_A IN (2,3,4)
Universe Description: Sample Adults 18+ who had pain some days, most days, or every day in the past 3
months
Question Text: Thinking about the last time you had pain, how much pain did you have? Would
you say a little, a lot, or somewhere in between?

Type: Enumerated
Length: 1
Answer List: TLITTLELOT_A
Value:

Mnemonic:

Description:

1

A little

2

A lot

3

Somewhere in between a little and a lot
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-3,RF,DK>
if SOC.SOCWRKLIM_A=1
PAIWKLM_A]
else [goto PAIWKLM3M_A]

Last Modified: Thursday, September 21, 2017

or

SOC.SOCWRKNOW=1,

[goto

Page 557 of 895

Survey: NHIS Bridge
Section: Adult.PAI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PAIWKLM_A

Field

Adult.PAI.PAIWKLM_A
Description: Pain limits work
Form Pane Label: Pain limits work
SAS Name: PAIWKLM_A
Tag Name: Adult.PAI.PAIWKLM_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: PAINFRQ3M_A
IN
('2','3',4')
SOC.SOCWRKNOW_A='1')

and

(SOC.SOCWRKLIM_A='1'

or

Universe Description: Sample Adults 18+ who had pain some days, most days, or every day in the past 3
months, and who are limited in the kind or amount of work they can do because of a
physical, mental, or emotional problem or who are unable to work because of a
physical, mental, or emotional problem
Question Text: Earlier you indicated that you are ^LIMNOWORK because of a physical, mental,
or emotional problem. Are you ^LIMNOWORK because of your pain?

Fills: LIMNOWORK
Instructions: If SOCWRKLIM_A='1', fill: "limited in the kind or amount of work you can do"
elseif SOCWRKNOW_A='1', fill: "unable to work"

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 558 of 895

Survey: NHIS Bridge
Section: Adult.PAI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <1-2,RF,DK> [goto PAIWKLM3M_A]

Last Modified: Thursday, September 21, 2017

Page 559 of 895

Survey: NHIS Bridge
Section: Adult.PAI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PAIWKLM3M_A

Field

Adult.PAI.PAIWKLM3M_A
Description: How often pain limits life/work
Form Pane Label: How often pain limits life/work
SAS Name: PAIWKLM3M_A
Tag Name: Adult.PAI.PAIWKLM3M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: PAINFRQ3M_A IN ('2','3','4')
Universe Description: Sample Adults 18+ who had pain some days, most days, or every day in the past 3
months
Question Text: Over the past three months, how often did your pain limit your life or work
activities? Would you say never, some days, most days, or every day?

Type: Enumerated
Length: 1
Answer List: THOWOFTDAYS
Value:

Mnemonic:

Description:

1

Never

2

Some days

3

Most days

4

Every day
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4,RF,DK> [goto PAIAFFM3M_A]

Last Modified: Thursday, September 21, 2017

Page 560 of 895

Survey: NHIS Bridge
Section: Adult.PAI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PAIAFFM3M_A

Field

Adult.PAI.PAIAFFM3M_A
Description: How often pain impacts family
Form Pane Label: How often pain impacts family
SAS Name: PAIAFFM3M_A
Tag Name: Adult.PAI.PAIAFFM3M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: PAINFRQ3M_A IN ('2','3','4')
Universe Description: Sample Adults 18+ who had pain some days, most days, or every day in the past 3
months
Question Text: Over the past three months, how often did YOUR pain affect your family and
significant others? Would you say never, some days, most days, or every day?

Type: Enumerated
Length: 1
Answer List: THOWOFTDAYS
Value:

Mnemonic:

Description:

1

Never

2

Some days

3

Most days

4

Every day
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4,RF,DK> [goto PAIMNG3M_A]

Last Modified: Thursday, September 21, 2017

Page 561 of 895

Survey: NHIS Bridge
Section: Adult.PAI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PAIMNG3M_A

Field

Adult.PAI.PAIMNG3M_A
Description: Manage pain
Form Pane Label: Manage pain
SAS Name: PAIMNG3M_A
Tag Name: Adult.PAI.PAIMNG3M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: PAIFRQ3M_A IN ('2','3','4')
Universe Description: Sample Adults 18+ who had pain some days, most days, or every day in the past 3
months
Question Text: Over the past three months, to what extent were you able to manage your pain
so that you can do the things you enjoy doing? Would you say a little, a lot, or
somewhere in between?

Type: Enumerated
Length: 1
Answer List: TLITTLELOT_A
Value:

Mnemonic:

Description:

1

A little

2

A lot

3

Somewhere in between a little and a lot
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-3,RF,DK> [goto PAIBACK3M_A]

Last Modified: Thursday, September 21, 2017

Page 562 of 895

Survey: NHIS Bridge
Section: Adult.PAI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PAIBACK3M_A

Field

Adult.PAI.PAIBACK3M_A
Description: Back pain
Form Pane Label: Back pain
SAS Name: PAIBACK3M_A
Tag Name: Adult.PAI.PAIBACK3M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: PAINFRQ3M_A IN ('2','3','4')
Universe Description: Sample Adults 18+ who had pain some days, most days, or every day in the past 3
months
Question Text: Over the past three months, how much have you been bothered by
...Back pain? Would you say not at all, a little, a lot, or somewhere in between?

Type: Enumerated
Length: 1
Answer List: TNOLITTLELOT_A
Value:

Mnemonic:

Description:

1

Not at all

2

A little

3

A lot

4

Somewhere in between a little and a lot
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4,RF,DK> [goto PAIULMB3M_A]

Last Modified: Thursday, September 21, 2017

Page 563 of 895

Survey: NHIS Bridge
Section: Adult.PAI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PAIULMB3M_A

Field

Adult.PAI.PAIULMB3M_A
Description: Pain in hands
Form Pane Label: Pain in hands
SAS Name: PAIULMB3M_A
Tag Name: Adult.PAI.PAIULMB3M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: PAINFRQ3M_A IN ('2','3','4')
Universe Description: Sample Adults 18+ who had pain some days, most days, or every day in the past 3
months
Question Text:

Read if necessary: Over the past three months, how much have you been bothered
by
...Pain in your hands, arms, or shoulders?
Read if necessary: Would you say not at all, a little, a lot, or somewhere in
between?

Type: Enumerated
Length: 1
Answer List: TNOLITTLELOT_A
Value:

Mnemonic:

Description:

1

Not at all

2

A little

3

A lot

4

Somewhere in between a little and a lot
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 564 of 895

Survey: NHIS Bridge
Section: Adult.PAI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <1-4,RF,DK> [goto PAILLMB3M_A]

Last Modified: Thursday, September 21, 2017

Page 565 of 895

Survey: NHIS Bridge
Section: Adult.PAI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PAILLMB3M_A

Field

Adult.PAI.PAILLMB3M_A
Description: Pain in hips
Form Pane Label: Pain in hips
SAS Name: PAILLMB3M_A
Tag Name: Adult.PAI.PAILLMB3M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: PAINFRQ3M_A IN ('2','3','4')
Universe Description: Sample Adults 18+ who had pain some days, most days, or every day in the past 3
months
Question Text:

Read if necessary: Over the past three months, how much have you been bothered
by
...Pain in your hips, knees, or feet?
Read if necessary: Would you say not at all, a little, a lot, or somewhere in
between?

Type: Enumerated
Length: 1
Answer List: TNOLITTLELOT_A
Value:

Mnemonic:

Description:

1

Not at all

2

A little

3

A lot

4

Somewhere in between a little and a lot
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 566 of 895

Survey: NHIS Bridge
Section: Adult.PAI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <1-4,RF,DK> [goto PAIHDFC3M_A]

Last Modified: Thursday, September 21, 2017

Page 567 of 895

Survey: NHIS Bridge
Section: Adult.PAI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PAIHDFC3M_A

Field

Adult.PAI.PAIHDFC3M_A
Description: Migraine
Form Pane Label: Migraine
SAS Name: PAIHDFC3M_A
Tag Name: Adult.PAI.PAIHDFC3M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: PAINFRQ3M_A IN ('2','3','4')
Universe Description: Sample Adults 18+ who had pain some days, most days, or every day in the past 3
months
Question Text:

Read if necessary: Over the past three months, how much have you been bothered
by
...Headache, migraine, or facial pain?
Read if necessary: Would you say not at all, a little, a lot, or somewhere in
between?

Type: Enumerated
Length: 1
Answer List: TNOLITTLELOT_A
Value:

Mnemonic:

Description:

1

Not at all

2

A little

3

A lot

4

Somewhere in between a little and a lot
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 568 of 895

Survey: NHIS Bridge
Section: Adult.PAI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <1-4,RF,DK> [goto PAIAPG3M_A]

Last Modified: Thursday, September 21, 2017

Page 569 of 895

Survey: NHIS Bridge
Section: Adult.PAI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PAIAPG3M_A

Field

Adult.PAI.PAIAPG3M_A
Description: Abdominal pain
Form Pane Label: Abdominal pain
SAS Name: PAIAPG3M_A
Tag Name: Adult.PAI.PAIAPG3M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: PAINFRQ3M_A IN ('2','3','4')
Universe Description: Sample Adults 18+ who had pain some days, most days, or every day in the past 3
months
Question Text:

Read if necessary: Over the past three months, how much have you been bothered
by
...Abdominal, pelvic, or genital pain?
Read if necessary: Would you say not at all, a little, a lot, or somewhere in
between?

Type: Enumerated
Length: 1
Answer List: TNOLITTLELOT_A
Value:

Mnemonic:

Description:

1

Not at all

2

A little

3

A lot

4

Somewhere in between a little and a lot
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 570 of 895

Survey: NHIS Bridge
Section: Adult.PAI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <1-4,RF,DK> [goto PAITOOTH_A]

Last Modified: Thursday, September 21, 2017

Page 571 of 895

Survey: NHIS Bridge
Section: Adult.PAI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PAITOOTH3M_A

Field

Adult.PAI.PAITOOTH3M_A
Description: Toothache/jaw pain
Form Pane Label: Toothache/jaw pain
SAS Name: PAITOOTH3M_A
Tag Name: Adult.PAI.PAITOOTH3M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: PAINFRQ3M_A IN ('2','3','4')
Universe Description: Sample Adults 18+ who had pain some days, most days, or every day in the past 3
months
Question Text:

Read if necessary: Over the past three months, how much have you been bothered
by
...Toothache or jaw pain?
Read if necessary: Would you say not at all, a little, a lot, or somewhere in
between?

Type: Enumerated
Length: 1
Answer List: TNOLITTLELOT_A
Value:

Mnemonic:

Description:

1

Not at all

2

A little

3

A lot

4

Somewhere in between a little and a lot
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 572 of 895

Survey: NHIS Bridge
Section: Adult.PAI

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <1-4,RF,DK> [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 573 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CIG

Block

Adult.CIG
Description: Cigarettes and E-cigarettes
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Thursday, September 21, 2017

Page 574 of 895

Survey: NHIS Bridge
Section: Adult.CIG

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CIGINTRO_A

Field

Adult.CIG.CIGINTRO_A
Description: Introduction to CIG section.
Form Pane Label: CIG introduction
SAS Name: CIGINTRO_A
Tag Name: Adult.CIG.CIGINTRO_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: These next questions are about cigarette smoking.
Enter '1' to continue.

Type: Enumerated
Length: 1
Answer List: tContinue
Value:

Mnemonic:

1

Description:
Enter 1 to Continue
Don't Know
Refuse
Empty
On Input
On Output

Array:
Skip Instructions: <1> [goto SMKEV_A]

Last Modified: Thursday, September 21, 2017

Page 575 of 895

Survey: NHIS Bridge
Section: Adult.CIG

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SMKEV_A

Field

Adult.CIG.SMKEV_A
Description: Ever smoked 100 cigarettes
Form Pane Label: Ever smoked 100 cigarettes
SAS Name: SMKEV_A
Tag Name: Adult.CIG.SMKEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Have you smoked at least 100 cigarettes in your ENTIRE LIFE?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto SMKNOW_A]
<2,RF,DK> [goto ECIGEV_A]

Last Modified: Thursday, September 21, 2017

Page 576 of 895

Survey: NHIS Bridge
Section: Adult.CIG

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SMKNOW_A

Field

Adult.CIG.SMKNOW_A
Description: Now smoke cigarettes
Form Pane Label: Now smoke cigarettes
SAS Name: SMKNOW_A
Tag Name: Adult.CIG.SMKNOW_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: SMKEV_A='1'
Universe Description: Sample Adults 18+ who ever smoked 100 cigarettes
Question Text: Do you NOW smoke cigarettes every day, some days or not at all?

Type: Enumerated
Length: 1
Answer List: TEverySomeNot_A
Value:

Mnemonic:

Description:

1

Every day

2

Some days

3

Not at all
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto CIGNOW_A]
<2> [goto SMK30D_A]
<3,RF,DK> [goto ECIGEV_A]

Last Modified: Thursday, September 21, 2017

Page 577 of 895

Survey: NHIS Bridge
Section: Adult.CIG

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CIGNOW_A

Field

Adult.CIG.CIGNOW_A
Description: Number of cigarettes a day
Form Pane Label: Number of cigarettes a day
SAS Name: CIGNOW_A
Tag Name: Adult.CIG.CIGNOW_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: SMKNOW_A='1'
Universe Description: Sample Adults 18+ who are current every day smokers
Question Text: On average, about how many cigarettes do you NOW smoke a day?
Enter 1 if less than 1 cigarette.
Enter 95 if 95 or more cigarettes.

Type: Integer
Length: 2
Min: 1
Max: 95
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-95,RF,DK> [goto ECIGEV_A]

Last Modified: Thursday, September 21, 2017

Page 578 of 895

Survey: NHIS Bridge
Section: Adult.CIG

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SMK30D_A

Field

Adult.CIG.SMK30D_A
Description: Number of days smoked in last month
Form Pane Label: Number of days smoked
SAS Name: SMK30D_A
Tag Name: Adult.CIG.SMK30D_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: SMKNOW_A='2'
Universe Description: Sample Adults 18+ who are current some day smokers
Question Text: On how many of the PAST 30 DAYS did you smoke a cigarette?
Enter 0 for None.

Type: Integer
Length: 2
Min: 0
Max: 30
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0> [goto ECIGEV_A]
<1-30,RF,DK> [goto CIG30D_A]

Last Modified: Thursday, September 21, 2017

Page 579 of 895

Survey: NHIS Bridge
Section: Adult.CIG

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CIG30D_A

Field

Adult.CIG.CIG30D_A
Description: Number of cigarettes past month
Form Pane Label: Number of cigarettes
SAS Name: CIG30D_A
Tag Name: Adult.CIG.CIG30D_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: SMK30D_A=1-30,DK,RF
Universe Description: Sample Adults 18+ who have smoked any time in the past 30 days, or refused or did
not know
Question Text: On average, when you smoked during the PAST 30 DAYS, about how many
cigarettes did you smoke a day?
Enter 1 if less than 1.
Enter 95 if 95 or more cigarettes.

Type: Integer
Length: 2
Min: 1
Max: 95
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-95,DK,RF> [goto ECIGEV_A]

Last Modified: Thursday, September 21, 2017

Page 580 of 895

Survey: NHIS Bridge
Section: Adult.CIG

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ECIGEV_A

Field

Adult.CIG.ECIGEV_A
Description: Ever used e-cigarettes
Form Pane Label: Ever used e-cigarettes
SAS Name: ECIGEV_A
Tag Name: Adult.CIG.ECIGEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: The next question is about electronic cigarettes or e-cigarettes. You may also
know them as vape-pens, hookah-pens, e-hookahs, or e-vaporizers. Some look
like cigarettes, and others look like pens or small pipes. These are
battery-powered, usually contain liquid nicotine, and produce vapor instead of
smoke.
Have you EVER used an e-cigarette EVEN ONE TIME?
Read if necessary: E-cigarettes and similar products can be bought as one-time,
disposable products, as re-usable kits with a cartridge, or with refillable chambers.
These usually contain a liquid, often called an "e-liquid" or "e-juice." Popular brands
include NJOY, BLU, LOGIC, and VUSE.

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 581 of 895

Survey: NHIS Bridge
Section: Adult.CIG

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <1> [goto ECIGNOW_A]
<2,RF,DK> [goto next section]

Last Modified: Thursday, September 21, 2017

Page 582 of 895

Survey: NHIS Bridge
Section: Adult.CIG

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ECIGNOW_A

Field

Adult.CIG.ECIGNOW_A
Description: Now use e-cigarettes
Form Pane Label: Now use e-cigarettes
SAS Name: ECIGNOW_A
Tag Name: Adult.CIG.ECIGNOW_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: ECIGEV_A='1'
Universe Description: Sample Adults 18+ who have ever used e-cigarettes
Question Text: Do you now use e-cigarettes every day, some days, or not at all?

Type: Enumerated
Length: 1
Answer List: TEverySomeNot_A
Value:

Mnemonic:

Description:

1

Every day

2

Some days

3

Not at all
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-3,RF,DK> [goto next section]

Last Modified: Thursday, June 15, 2017

Page 583 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

OTB

Block

Adult.OTB
Description: Other Tobacco
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Thursday, September 21, 2017

Page 584 of 895

Survey: NHIS Bridge
Section: Adult.OTB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CIGAREV_A

Field

Adult.OTB.CIGAREV_A
Description: Ever smoked cigar
Form Pane Label: Ever smoked cigar
SAS Name: CIGAREV_A
Tag Name: Adult.OTB.CIGAREV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample adults 18+
Question Text: Have you ever smoked a regular cigar, cigarillo, or a little filtered cigar EVEN
ONE TIME?
Read if necessary: "Cigarillos" are medium cigars that sometimes are sold with
plastic or wooden tips. Some common brands are Black and Mild, Swisher Sweets,
Dutch Masters and Phillies Blunts. Cigarillos are usually sold individually or in packs
of 5 or fewer. Little filtered cigars look like cigarettes and are usually brown in color.
Like cigarettes, little filtered cigars have a spongy filter and are sold in packs of 20.
Some common brands are Prime Time and Winchester.
Read if necessary: Do not include electronic cigars or e-cigars.

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 585 of 895

Survey: NHIS Bridge
Section: Adult.OTB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <1> [goto CIGARCUR_A]
<2,RF,DK> [goto PIPEEV_A]

Last Modified: Tuesday, July 25, 2017

Page 586 of 895

Survey: NHIS Bridge
Section: Adult.OTB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CIGARCUR_A

Field

Adult.OTB.CIGARCUR_A
Description: Now smoke cigars
Form Pane Label: Now smoke cigars
SAS Name: CIGARCUR_A
Tag Name: Adult.OTB.CIGARCUR_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: CIGAREV_A=1
Universe Description: Sample adults 18+ who have ever smoked a regular cigar, cigarillo, or filtered cigar
Question Text: Do you now smoke regular cigars, cigarillos, or little filtered cigars every day,
some days, or not at all?

Type: Enumerated
Length: 1
Answer List: TEverySomeNot_A
Value:

Mnemonic:

Description:

1

Every day

2

Some days

3

Not at all
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,RF,DK> [go to PIPEEV_A]
<2,3> [go to CIGAR30D_A]

Last Modified: Tuesday, July 25, 2017

Page 587 of 895

Survey: NHIS Bridge
Section: Adult.OTB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CIGAR30D_A

Field

Adult.OTB.CIGAR30D_A
Description: How many days smoked cigar, past 30d
Form Pane Label: Days smoked cigar
SAS Name: CIGAR30D_A
Tag Name: Adult.OTB.CIGAR30D_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: CIGARCUR_A IN (2,3)
Universe Description: Sample adults 18+ who now smoke a regular cigar, cigarillo, or little filtered cigar
some days or not at all
Question Text: On how many of the PAST 30 DAYS have you smoked a regular cigar, cigarillo,
or little filtered cigar?

Type: Integer
Length: 2
Min: 0
Max: 30
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-30,RF,DK> [goto PIPEEV_A]

Last Modified: Tuesday, July 25, 2017

Page 588 of 895

Survey: NHIS Bridge
Section: Adult.OTB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PIPEEV_A

Field

Adult.OTB.PIPEEV_A
Description: Ever smoked pipe
Form Pane Label: Ever smoked pipe
SAS Name: PIPEEV_A
Tag Name: Adult.OTB.PIPEEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample adults 18+
Question Text: Have you EVER smoked a pipe filled with tobacco - either a regular pipe, water
pipe, or hookah EVEN ONE TIME?
Read if necessary: A hookah is a type of water pipe. It is sometimes called a
"narghile" (NAR-ge-lee) pipe. Do not include electronic hookah or e-hookahs.
Read if necessary: Do not include electronic pipes or e-pipes.
Read if necessary: Do not include pipes filled with substances other than tobacco.

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto PIPECUR_A]

Last Modified: Tuesday, July 25, 2017

Page 589 of 895

Survey: NHIS Bridge
Section: Adult.OTB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

<2,RF,DK> [goto SMOKELSEV_A]

Last Modified: Tuesday, July 25, 2017

Page 590 of 895

Survey: NHIS Bridge
Section: Adult.OTB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PIPECUR_A

Field

Adult.OTB.PIPECUR_A
Description: Now smoked pipe
Form Pane Label: Now smoked pipe
SAS Name: PIPECUR_A
Tag Name: Adult.OTB.PIPECUR_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: PIPEEV_A=1
Universe Description: Sample adults 18+ who have ever smoked a regular pipe, water pipe or hookah filled
with tobacco
Question Text: Do you now smoke pipes filled with tobacco - either regular pipes, water pipes,
or hookahs, every day, some days, or not at all?
Read if necessary: Do not include pipes filled with substances other than tobacco.

Type: Enumerated
Length: 1
Answer List: TEverySomeNot_A
Value:

Mnemonic:

Description:

1

Every day

2

Some days

3

Not at all
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-3,RF,DK> [goto SMOKELSEV_A]

Last Modified: Tuesday, July 25, 2017

Page 591 of 895

Survey: NHIS Bridge
Section: Adult.OTB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SMOKELSEV_A

Field

Adult.OTB.SMOKELSEV_A
Description: Ever used smokeless tobacco
Form Pane Label: Ever used smokeless tobacco
SAS Name: SMOKELSEV_A
Tag Name: Adult.OTB.SMOKELSEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample adults 18+
Question Text: Smokeless tobacco products are placed in the mouth or nose and can include
chewing tobacco, snuff, dip, snus (SNOOSE), or dissolvable tobacco.
Have you ever used smokeless tobacco products EVEN ONE TIME?
Read if necessary: Do not include nicotine replacement therapy products such as
patch, gum, lozenge, or spray, which are considered smoking cessation treatments.

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto SMOKELSCUR_A]
<2,RF,DK> [goto next section]

Last Modified: Tuesday, July 25, 2017

Page 592 of 895

Survey: NHIS Bridge
Section: Adult.OTB

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SMOKELSCUR_A

Field

Adult.OTB.SMOKELSCUR_A
Description: Now use smokeless tobacco
Form Pane Label: Now use smokeless tobacco
SAS Name: SMOKELSCUR_A
Tag Name: Adult.OTB.SMOKELSCUR_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: SMOKELSEV_A=1
Universe Description: Sample adults 18+ who have ever used smokeless tobacco products
Question Text: Do you NOW use smokeless tobacco products every day, some days, or not at
all?

Type: Enumerated
Length: 1
Answer List: TEverySomeNot_A
Value:

Mnemonic:

Description:

1

Every day

2

Some days

3

Not at all
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-3,RF,DK> [goto next section]

Last Modified: Wednesday, February 22, 2017

Page 593 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ORN

Block

Adult.ORN
Description: Sexual Orientation
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Wednesday, June 21, 2017

Page 594 of 895

Survey: NHIS Bridge
Section: Adult.ORN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ORIENT_A

Field

Adult.ORN.ORIENT_A
Description: Sexual orientation
Form Pane Label: Sexual orientation
SAS Name: ORIENT_A
Tag Name: Adult.ORN.ORIENT_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Do you think of yourself as ^gaylesbian; straight, that is, not ^gaylesbian;
bisexual; something else; or you don't know the answer?

Fills: gaylesbian
Instructions: If SEX=1 fill "gay"; else if SEX='2',RF,DK fill "lesbian or gay"

Type: Enumerated
Length: 1
Answer List: TORIENT_A
Value:

Mnemonic:

Description:

1

^GayLesbian

2

Straight, that is, not ^gaylesbian

3

Bisexual

4

Something else

5

I don't know the answer
Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-5,RF> [goto next section]

Last Modified: Tuesday, September 26, 2017

Page 595 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MAR

Block

Adult.MAR
Description: Marital Status
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: MAR_FLG_A[PX_A] ne empty or (MAR_FLG_A[PX_A]=1 and SARESPSC_FLG ne
1)
Universe Description: We do not have a marital status for the Sample Adult or we do have a marital status
from the Sample Child PAR and the Sample Adult is not the Sample Child respondent
Array:
Block Instructions:

Last Modified: Friday, September 22, 2017

Page 596 of 895

Survey: NHIS Bridge
Section: Adult.MAR

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MARITAL_A

Field

Adult.MAR.MARITAL_A
Description: Marital status
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Marital status
MARITAL_A
Adult.MAR.MARITAL_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(MAR_FLG_A[PX_A] ne empty or (MAR_FLG_A[PX_A]=1 and SARESPSC_FLG ne
1))

Universe:
Universe Description: Sample Adults 18+
Question Text: The next questions are about marriage and cohabitation. Are you now married,
living with a partner together as an unmarried couple, or neither?
If respondent says both married and living with partner, enter living with partner.

Type: Enumerated
Length: 1
Answer List: TMARITALSA_A
Value:

Mnemonic:

Description:

1

Married

2

Living with a partner together as an umarried couple

3

Neither
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: Store MAR_FLG_A[PX_A]=1 if MARITAL_A=1
Array:
Skip Instructions: <1> [goto SPOUSLIV_A]

Last Modified: Friday, September 22, 2017

Page 597 of 895

Survey: NHIS Bridge
Section: Adult.MAR

Blaise Item-Level Specifications Report
Spider Version 1.6.2

<2> if GEN.PCNT16PLUSNOSC=1
PARTNERWHO_A]
<3,RF,DK> [goto EVRMARRIED_A]

Last Modified: Friday, September 22, 2017

[got

ERR1_MARITAL_A]

else

[goto

Page 598 of 895

Survey: NHIS Bridge
Section: Adult.MAR

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR1_MARITAL_A

Check

Adult.MAR.ERR1_MARITAL_A
Description: One person eligible to be living with a partner in household soft edit
Inherited Universe: (GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(MAR_FLG_A[PX_A] ne empty or (MAR_FLG_A[PX_A]=1 and SARESPSC_FLG ne
1))
Universe: MARITAL_A=2 and GEN.PCNT16PLUSNOSC=1
Universe Description: SA reports he/she is living with a partner but SA is the only person eligible to be living
with a partner on the household roster
Text: {signal ERR1_MARITAL_A}
Respondent is the only person 16 or older on the household roster. There is no one
else eligible to select.

Check Instructions:
Type: Soft
Skip Instructions: Correct: [goto MARITAL_A]
Suppress: [goto EVRMARRIED_A]

Last Modified: Tuesday, September 26, 2017

Page 599 of 895

Survey: NHIS Bridge
Section: Adult.MAR

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SPOUSLIV_A

Field

Adult.MAR.SPOUSLIV_A
Description: Spouse live here
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Spouse live here
SPOUSLIV_A
Adult.MAR.SPOUSLIV_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(MAR_FLG_A[PX_A] ne empty or (MAR_FLG_A[PX_A]=1 and SARESPSC_FLG ne
1))

Universe: MARITAL_A='1'
Universe Description: Sample Adults 18+ who are married
Question Text: Does your spouse live here?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> if GEN.PCNT16PLUSNOSC=1
SPOUSWHO_A]
<2> [goto SPOUSEP_A]
 [goto next section]

Last Modified: Friday, September 22, 2017

[goto

ERR1_SPOUSLIV_C]

else

[goto

Page 600 of 895

Survey: NHIS Bridge
Section: Adult.MAR

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR1_SPOUSLIV_A

Check

Adult.MAR.ERR1_SPOUSLIV_A
Description: Only one person eligible to be married in household soft edit
Inherited Universe: (GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(MAR_FLG_A[PX_A] ne empty or (MAR_FLG_A[PX_A]=1 and SARESPSC_FLG ne
1))
Universe: MARITAL_A=1 and SPOULIV_A=1 and GEN.PCNT16PLUSNOSC=1
Universe Description: SA is married and says spouse lives in household but SA is the only person eligible to
be married on the household roster
Text: {signal ERR1_SPOUSLIV_A}
Respondent is the only person 16 or older on the household roster. There is no one
else eligible to select.

Check Instructions:
Type: Soft
Skip Instructions: Correct: [goto SPOUSLIV_A]
Suppress: [goto next section]

Last Modified: Thursday, September 28, 2017

Page 601 of 895

Survey: NHIS Bridge
Section: Adult.MAR

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SPOUSWHO_A

Field

Adult.MAR.SPOUSWHO_A
Description: Which person in HH is spouse
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Which person in HH is spouse/partner
SPOUSWHO_A
Adult.MAR.SPOUSWHO_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(MAR_FLG_A[PX_A] ne empty or (MAR_FLG_A[PX_A]=1 and SARESPSC_FLG ne
1))

Universe: SPOUSLIV_A='1'
Universe Description: Sample Adults 18+ with spouse in household
Question Text: Which person is your spouse?
^HHROSTER16UP_A
Enter line number of spouse.

Fills: HHROSTER16UP_A
Instructions: Fill roster of persons in household where GEN.AGE_FINAL GE 16 or
GEN.AGE18PLUS[PX]=1. Do not include sample adult.
Show LNO and ALIASNAME for each person. List one person per line.

Type: Integer
Length: 2
Min: 01
Max: 25
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: Store MAR_FLG_A[person selected at SPOUSWHO_A]=1

Last Modified: Thursday, September 28, 2017

Page 602 of 895

Survey: NHIS Bridge
Section: Adult.MAR

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Array:
Skip Instructions: <1-25> [goto SPOUSSEX_A]
 [goto next section]

Last Modified: Thursday, August 10, 2017

Page 603 of 895

Survey: NHIS Bridge
Section: Adult.MAR

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SPOUSSEX_A

Field

Adult.MAR.SPOUSSEX_A
Description: Confirm gender of spouse
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Confirm gender of spouse
SPOUSSEX_A
Adult.MAR.SPOUSSEX_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(MAR_FLG_A[PX_A] ne empty or (MAR_FLG_A[PX_A]=1 and SARESPSC_FLG ne
1))

Universe: SPOUSWHO_A ge '1' and SPOUSWHO_A le '25'
Universe Description: Sample Adults 18+ with spouse in household who entered a line number for their
spouse
Question Text: I previously recorded ^SPOUSENAME's ^spousesex? Is this correct?

Fills: SPOUSENAME
Instructions: Fill name of spouse selected at SPOUSWHO_A

Fills: spousesex
Instructions: if GEN.SEX_FINAL[person selected at SPOUSWHO_A]=1, fill "sex is male"
if GEN.SEX_FINAL[person selected at SPOUSWHO_A]=2, fill "sex is female"
if GEN.SEX_FINAL[person selected at SPOUSWHO_A] IN (DK,RF), fill "sex was
not provided"

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty

Last Modified: Thursday, August 10, 2017

Page 604 of 895

Survey: NHIS Bridge
Section: Adult.MAR

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x On Input
x On Output
Array:
Skip Instructions: <1,RF,DK> [goto next section]
<2> [goto SPOUNEWSEX_A]

Last Modified: Thursday, September 21, 2017

Page 605 of 895

Survey: NHIS Bridge
Section: Adult.MAR

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SPOUNEWSEX_A

Field

Adult.MAR.SPOUNEWSEX_A
Description: New gender of spouse
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

New gender of spouse
SPOUNEWSEX_A
Adult.MAR.SPOUNEWSEX_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(MAR_FLG_A[PX_A] ne empty or (MAR_FLG_A[PX_A]=1 and SARESPSC_FLG ne
1))

Universe: SPOUSSEX_A=2
Universe Description: Sample Adults 18+ with spouse with incorrect sex
Question Text: Is ^SPOUSENAME male or female?

Fills: SPOUSENAME
Instructions: Fill name of spouse selected at SPOUSWHO_A

Type: Enumerated
Length: 1
Answer List: TSEX
Value:

Mnemonic:

Description:

1

Male

2

Female
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: if SPOUNEWSEX_A IN (1,2), store
SPOUSWHO_A]=SPOUNEWSEX_A

GEN.SEX_FINAL[person

selected

at

Array:

Last Modified: Thursday, September 21, 2017

Page 606 of 895

Survey: NHIS Bridge
Section: Adult.MAR

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Tuesday, September 26, 2017

Page 607 of 895

Survey: NHIS Bridge
Section: Adult.MAR

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SPOUSEP_A

Field

Adult.MAR.SPOUSEP_A
Description: Separated from spouse
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Separated from spouse
SPOUSEP_A
Adult.MAR.SPOUSEP_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(MAR_FLG_A[PX_A] ne empty or (MAR_FLG_A[PX_A]=1 and SARESPSC_FLG ne
1))

Universe: SPOUSLIV_A=2
Universe Description: Sample Adults 18+ whose spouse does not live in the household or said refused/don't
know to whether their spouse lived in the household
Question Text: Does your spouse not live here because you and your spouse are legally
separated?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Thursday, September 28, 2017

Page 608 of 895

Survey: NHIS Bridge
Section: Adult.MAR

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PARTNERWHO_A

Field

Adult.MAR.PARTNERWHO_A
Description: Which person in HH is partner
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Which person in HH is partner
PARTNERWHO_A
Adult.MAR.PARTNERWHO_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(MAR_FLG_A[PX_A] ne empty or (MAR_FLG_A[PX_A]=1 and SARESPSC_FLG ne
1))

Universe: MARITAL_A=2
Universe Description: Sample Adults 18+ who are living with unmarried partner in household
Question Text: Which person is your partner?
^HHROSTER16UP_A
Enter line number of partner.

Fills: HHROSTER16UP_A
Instructions: Fill roster of persons in household where GEN.AGE_FINAL GE 16 or
GEN.AGE18PLUS[PX]=1. Do not include sample adult.
Show LNO and ALIASNAME for each person. List one person per line.

Type: String
Length: 2
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: Store MAR_FLG_A[person selected at PARTNERWHO_A]=3
Array:
Skip Instructions: <1-25> [goto PARTNERSEX_A]
Last Modified: Thursday, September 28, 2017

Page 609 of 895

Survey: NHIS Bridge
Section: Adult.MAR

Blaise Item-Level Specifications Report
Spider Version 1.6.2

 [goto EVRMARRIED_A]

Last Modified: Thursday, September 21, 2017

Page 610 of 895

Survey: NHIS Bridge
Section: Adult.MAR

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PARTNERSEX_A

Field

Adult.MAR.PARTNERSEX_A
Description: Confirm gender of partner
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Confirm gender of partner
PARTNERSEX_A
Adult.MAR.PARTNERSEX_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(MAR_FLG_A[PX_A] ne empty or (MAR_FLG_A[PX_A]=1 and SARESPSC_FLG ne
1))

Universe: PARTNERWHO_A ge '1' and PARTNERWHO_A le '25'
Universe Description: Sample Adults 18+ with partner in household who entered a line number for their
partner
Question Text: I previously recorded ^PARTNERNAME's ^partnersex. Is this correct?

Fills: PARTNERNAME
Instructions: Fill name of partner selected at PARTNERWHO_A

Fills: partnersex
Instructions: if GEN.SEX_FINAL[person selected at PARTNERWHO_A]=1, fill "sex is male"
if GEN.SEX_FINAL[person selected at PARTNERWHO_A]=2, fill "sex is female"
if GEN.SEX_FINAL[person selected at PARTNERWHO_A] IN (DK,RF), fill "sex
was not provided"

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty

Last Modified: Thursday, September 21, 2017

Page 611 of 895

Survey: NHIS Bridge
Section: Adult.MAR

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x On Input
x On Output
Array:
Skip Instructions: <1,RF,DK> [goto EVRMARRIED_A]
<2> [goto PARTNEWSEX_A]

Last Modified: Thursday, September 21, 2017

Page 612 of 895

Survey: NHIS Bridge
Section: Adult.MAR

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PARTNEWSEX_A

Field

Adult.MAR.PARTNEWSEX_A
Description: New gender of partner
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

New gender of partner
PARTNEWSEX_A
Adult.MAR.PARTNEWSEX_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(MAR_FLG_A[PX_A] ne empty or (MAR_FLG_A[PX_A]=1 and SARESPSC_FLG ne
1))

Universe: PARTNERSEX_A=2
Universe Description: Sample Adults 18+ with partner with incorrect sex
Question Text: Is ^PARTNERNAME male or female?

Fills: PARTNERNAME
Instructions: Fill name of partner selected at PARTNERWHO_A

Type: Enumerated
Length: 1
Answer List: TSEX
Value:

Mnemonic:

Description:

1

Male

2

Female
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: if PARTNEWSEX_A IN (1,2), store
PARTNERWHO_A]=PARTNEWSEX_A

GEN.SEX_FINAL[person

selected

at

Array:

Last Modified: Thursday, September 21, 2017

Page 613 of 895

Survey: NHIS Bridge
Section: Adult.MAR

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <1,2,RF,DK> [goto EVRMARRIED_A]

Last Modified: Thursday, September 28, 2017

Page 614 of 895

Survey: NHIS Bridge
Section: Adult.MAR

Blaise Item-Level Specifications Report
Spider Version 1.6.2

EVRMARRIED_A

Field

Adult.MAR.EVRMARRIED_A
Description: Ever been married
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Ever been married
EVRMARRIED_A
Adult.MAR.EVRMARRIED_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(MAR_FLG_A[PX_A] ne empty or (MAR_FLG_A[PX_A]=1 and SARESPSC_FLG ne
1))

Universe: MARITAL_A IN ('2','3','RF,'DK)
Universe Description: Sample Adults 18+ who are living with unmarried partner or who are not married or
living with an unmarried partner or refused or don't know
Question Text: Have you ever been married?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: Store MAR_FLG_A[PX_A]=1 if MARITAL_A IN (2,3,RF,DK) and EVRMARRIED=2
Store MAR_FLG_A[PX_A]=2 if EVRMARRIED_A IN (RF,DK) or (MARITAL_A IN
(RF,DK) and EVRMARRIED_A=1)
Array:
Skip Instructions: <1> if MARITAL_A=2 [goto LEGALSTAT_A]
elseif MARITAL_A=3 [goto WIDIVSEP_A]

Last Modified: Thursday, September 28, 2017

Page 615 of 895

Survey: NHIS Bridge
Section: Adult.MAR

Blaise Item-Level Specifications Report
Spider Version 1.6.2

else [goto next section]
<2,RF,DK> [goto next section]

Last Modified: Friday, September 22, 2017

Page 616 of 895

Survey: NHIS Bridge
Section: Adult.MAR

Blaise Item-Level Specifications Report
Spider Version 1.6.2

LEGALSTAT_A

Field

Adult.MAR.LEGALSTAT_A
Description: Current legal marital status
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Current legal marital status
LEGALSTAT_A
Adult.MAR.LEGALSTAT_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(MAR_FLG_A[PX_A] ne empty or (MAR_FLG_A[PX_A]=1 and SARESPSC_FLG ne
1))

Universe: EVRMARRIED_A='1' and MARITAL_A='2'
Universe Description: Sample Adults 18+ who are living with a partner but have been married
Question Text: What is your current legal marital status? Are you married, widowed, divorced,
or separated?

Type: Enumerated
Length: 1
Answer List: TLEGALSTAT_A
Value:

Mnemonic:

Description:

1

Married

2

Widowed

3

Divorced

4

Separated
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: Store MAR_FLG_A[PX_A]=1 if MARITAL_A=2 and EVRMARRIED_A=1 and
LEGALSTAT_A IN (1,2,3,4)
Store MAR_FLG_A[PX_A]=2 if LEGALSTAT_A IN (RF,DK)
Array:

Last Modified: Friday, September 22, 2017

Page 617 of 895

Survey: NHIS Bridge
Section: Adult.MAR

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <1-4,RF,DK> [goto next section]

Last Modified: Friday, September 22, 2017

Page 618 of 895

Survey: NHIS Bridge
Section: Adult.MAR

Blaise Item-Level Specifications Report
Spider Version 1.6.2

WIDIVSEP_A

Field

Adult.MAR.WIDIVSEP_A
Description: Widowed, divorced, or separated
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Widowed, divorced, or separated
WIDIVSEP_A
Adult.MAR.WIDIVSEP_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(MAR_FLG_A[PX_A] ne empty or (MAR_FLG_A[PX_A]=1 and SARESPSC_FLG ne
1))

Universe: EVRMARRIED_A='1' and MARITAL_A='3'
Universe Description: Sample Adults 18+ who are neither living with a partner nor married, but have been
married
Question Text: Are you widowed, divorced, or separated?

Type: Enumerated
Length: 1
Answer List: TWIDIVSEP
Value:

Mnemonic:

Description:

1

Widowed

2

Divorced

3

Separated
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: Store MAR_FLG_A[PX_A]=1 if MARITAL_A=3 and EVRMARRIED_A=1 and
WIDIVSEP_A IN (1,2,3)
Store MAR_FLG_A[PX_A]=2 if WIDIVSEP_A IN (RF,DK)
Array:
Skip Instructions: <1-3,RF,DK> [goto next section]

Last Modified: Wednesday, February 22, 2017

Page 619 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

VET

Block

Adult.VET
Description: Veterans Status
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Thursday, September 21, 2017

Page 620 of 895

Survey: NHIS Bridge
Section: Adult.VET

Blaise Item-Level Specifications Report
Spider Version 1.6.2

AFVET_A

Field

Adult.VET.AFVET_A
Description: Ever serve active duty
Form Pane Label: Ever serve active duty
SAS Name: AFVET_A
Tag Name: Adult.VET.AFVET_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Did you ever serve on active duty in the U.S. Armed Forces, military Reserves,
or National Guard? Active duty does not include training for the Reserves or
National Guard, but DOES include activation, for example, for service in the
U.S. or in a foreign country, in support of military or humanitarian operations.

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto COMBAT_A]
<2,RF,DK> [goto next section]

Last Modified: Thursday, September 21, 2017

Page 621 of 895

Survey: NHIS Bridge
Section: Adult.VET

Blaise Item-Level Specifications Report
Spider Version 1.6.2

COMBAT_A

Field

Adult.VET.COMBAT_A
Description: Ever served abroad during armed conflict
Form Pane Label: Ever served abroad
SAS Name: COMBAT_A
Tag Name: Adult.VET.COMBAT_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: AFVET_A='1'
Universe Description: Sample Adults 18+ who have ever served in the armed forces
Question Text: Did you ever serve in a foreign country during a time of armed conflict or on a
humanitarian or peace-keeping mission?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto VADISB_A]

Last Modified: Thursday, September 21, 2017

Page 622 of 895

Survey: NHIS Bridge
Section: Adult.VET

Blaise Item-Level Specifications Report
Spider Version 1.6.2

VADISB_A

Field

Adult.VET.VADISB_A
Description: Have VA disability
Form Pane Label: Have VA disability
SAS Name: VADISB_A
Tag Name: Adult.VET.VADISB_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: AFVET_A='1'
Universe Description: Sample Adults 18+ who have ever served in the armed forces
Question Text: Do you have a VA service-connected disability rating?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto VAHOSP_A]

Last Modified: Thursday, September 21, 2017

Page 623 of 895

Survey: NHIS Bridge
Section: Adult.VET

Blaise Item-Level Specifications Report
Spider Version 1.6.2

VAHOSP_A

Field

Adult.VET.VAHOSP_A
Description: Care at VA facility
Form Pane Label: Care at VA facility
SAS Name: VAHOSP_A
Tag Name: Adult.VET.VAHOSP_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: AFVET_A='1'
Universe Description: Sample Adults 18+ who have ever served in the armed forces
Question Text: During the past 12 months, did you receive any care at a Veteran's Health
Administration facility or receive any other health care paid for by the VA?
Read if necessary: VHA facilities include VA hospitals, VA medical centers, VA
outpatient clinics, and VA nursing homes.

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 624 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

NAT

Block

Adult.NAT
Description: Nativity
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Wednesday, September 27, 2017

Page 625 of 895

Survey: NHIS Bridge
Section: Adult.NAT

Blaise Item-Level Specifications Report
Spider Version 1.6.2

NATUSBORN_A

Field

Adult.NAT.NATUSBORN_A
Description: Born in U.S. or U.S. territory
Form Pane Label: Born in U.S. or U.S. territory
SAS Name: NATUSBORN_A
Tag Name: Adult.NAT.NATUSBORN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Were you born in the United States or a United States territory?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: If NATUSBORN_A=1, store "1" in CITIZEN_A
Array:
Skip Instructions: <1> [goto NATSTBORN_A]
<2> [goto NATUSYR_A]
 [goto next section]

Last Modified: Wednesday, September 27, 2017

Page 626 of 895

Survey: NHIS Bridge
Section: Adult.NAT

Blaise Item-Level Specifications Report
Spider Version 1.6.2

NATSTBORN_A

Field

Adult.NAT.NATSTBORN_A
Description: State or U.S. territory of birth
Form Pane Label: State or U.S. territory of birth
SAS Name: NATSTBORN_A
Tag Name: Adult.NAT.NATSTBORN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: NATUSBORN_A='1'
Universe Description: Sample Adults 18+ born in the United States or U.S. territory
Question Text: In what state or U.S. territory were you born?

Type: String
Length: 2
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Special Instructions: Answer codes should be in the form of a lookup table. Table should include all 50 states,
American Samoa, Guam, Northern Mariana Islands, Puerto Rico, and U.S. Virgin
Islands.
Skip Instructions: <1-56,RF,DK> [goto next section]

Last Modified: Wednesday, September 27, 2017

Page 627 of 895

Survey: NHIS Bridge
Section: Adult.NAT

Blaise Item-Level Specifications Report
Spider Version 1.6.2

NATUSYR_A

Field

Adult.NAT.NATUSYR_A
Description: Year came to U.S.
Form Pane Label: Year came to U.S.
SAS Name: NATUSYR_A
Tag Name: Adult.NAT.NATUSYR_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: NATUSBORN_A='2'
Universe Description: Sample Adults 18+ not born in the United States or U.S. territory
Question Text: In what year did you come to the United States to stay?

Type: Integer
Length: 4
Min: 1900
Max: 2030
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1900-Current Year,RF,DK> if NATUSYR_A is a
ERR1_NATUSYR_A]
if NATUSYR_A lt VFY.BYEAR_A [goto ERR2_NATUSYR_A]
else [goto CITIZEN_A]

Last Modified: Wednesday, May 31, 2017

future

year

[goto

Page 628 of 895

Survey: NHIS Bridge
Section: Adult.NAT

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR1_NATUSYR_A

Check

Adult.NAT.ERR1_NATUSYR_A
Description: Future year hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: NATUSYR_A = future year
Universe Description:
Text: {check ERR1_NATUSYR_A}
Future year invalid. Please correct.

Â

Check Instructions:
Type: Hard

Last Modified: Wednesday, June 14, 2017

Page 629 of 895

Survey: NHIS Bridge
Section: Adult.NAT

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR2_NATUSYR_A

Check

Adult.NAT.ERR2_NATUSYR_A
Description: Year prior to birth hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: NATUSYR_A LT VFY.BYEAR_A
Universe Description: Year of naturalization is prior to year of birth
Text: {check ERR2_NATUSYR_A}
Year is prior to date of birth. Please correct.

Check Instructions:
Type: Hard

Last Modified: Friday, August 4, 2017

Page 630 of 895

Survey: NHIS Bridge
Section: Adult.NAT

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CITIZEN_A

Field

Adult.NAT.CITIZEN_A
Description: Citizen of the United States
Form Pane Label: Citizen of the United States
SAS Name: CITIZEN_A
Tag Name: Adult.NAT.CITIZEN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: NATUSBORN_A='2'
Universe Description: Sample Adults 18+ not born in the United States or U.S. territory
Question Text: Are you a citizen of the United States?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
On Input
On Output
Array:
Skip Instructions: <1> [goto NATCTZN_A]
<2,RF,DK> [goto next section]

Last Modified: Wednesday, June 21, 2017

Page 631 of 895

Survey: NHIS Bridge
Section: Adult.NAT

Blaise Item-Level Specifications Report
Spider Version 1.6.2

NATCTZN_A

Field

Adult.NAT.NATCTZN_A
Description: How U.S. citizen
Form Pane Label: How U.S. citizen
SAS Name: NATCTZN_A
Tag Name: Adult.NAT.NATCTZN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: NATUSBORN_A='2' and CITIZEN_1='1'
Universe Description:

Sample Adults 18+ not born in the United States or a United States territory but are
U.S. citizens

Question Text: Were you born abroad to an American parent, born abroad and adopted by an
American parent, or did you become a U.S. citizen by naturalization?

Type: Enumerated
Length: 1
Answer List: TNATCTZN
Value:

Mnemonic:

Description:

1

Born abroad to American parent

2

Born abroad and adopted by an American parent

3

Became U.S. citizen by naturalization
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-3,RF,DK> [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 632 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SCH

Block

Adult.SCH
Description: Schooling
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Friday, September 1, 2017

Page 633 of 895

Survey: NHIS Bridge
Section: Adult.SCH

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SCHCURENR_A

Field

Adult.SCH.SCHCURENR_A
Description: Currently in school
Form Pane Label: Currently in school
SAS Name: SCHCURENR_A
Tag Name: Adult.SCH. SCHCURENR_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Are you currently enrolled in or attending school?
Read if necessary: School includes high school, college, trade school, and
professional school. Students may be enrolled part-time or full-time.

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto SCHDYSMSS_A]
<2,RF,DK> [goto next section]

Last Modified: Wednesday, June 21, 2017

Page 634 of 895

Survey: NHIS Bridge
Section: Adult.SCH

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SCHDYSMSS_A

Field

Adult.SCH.SCHDYSMSS_A
Description: Days of school missed
Form Pane Label: Days of school missed
SAS Name: SCHDYSMSS_A
Tag Name: Adult.SCH.SCHDYSMSS_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: SCHCURENR_A='1'
Universe Description: Sample Adults 18+ who are currently enrolled in school
Question Text: During the past 12 months, about how many days of schools did you miss
because of illness, injury, or disability?

Type: Integer
Length: 2
Min: 0
Max: 365
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-99,RF,DK> [goto next section]
<100-365> [goto ERR1_SCHDYSMSS_A]

Last Modified: Wednesday, March 29, 2017

Page 635 of 895

Survey: NHIS Bridge
Section: Adult.SCH

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR1_SCHDYSMSS_A

Check

Adult.SCH.ERR1_SCHDYSMSS_A
Description: Missed 100-365 days
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: SCHDYSMSS_A=100-365
Universe Description: Sample adult missed 100 to 365 days of school
Text: {signal ERR1_SCHDYSMSS_A}
^SCHDYSMSS_A is an unusually large number. Did you miss ^SCHDYSMSS_A
days of school because of illness, injury, or disability?
 Please verify.

Check Instructions:
Type: Soft
Fills: SCHDYSMSS_A
Instructions: Fill value from SCHDYSSMSS_A

Last Modified: Wednesday, March 1, 2017

Page 636 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

EMP

Block

Adult.EMP
Description: Employment
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Monday, August 14, 2017

Page 637 of 895

Survey: NHIS Bridge
Section: Adult.EMP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

EMPLASTWK_A

Field

Adult.EMP.EMPLASTWK_A
Description: Work last week
Form Pane Label: Work last week
SAS Name: EMPLASTWK_A
Tag Name: Adult.EMP.EMPLASTWK_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: LAST WEEK, did you work for pay at a job or business?
If the respondent says ^heshetheywork, but not for pay, at a family-owned job or
business, enter '1' for yes.

Fills: heshetheywork
Instructions: elseif GEN.SEX_FINAL=1 fill "he works"
elseif GEN.SEX_FINAL=2 fill "she works"
elseif GEN.SEX_FINAL=DK,RF fill "they work"

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: Set GEN.EMP_FLG_A=2 if EMPLASTWK_A IN (DK,RF)
Set GEN.EMP_FLG_A=1 if EMPLASTWK_A IN (1,2)

Last Modified: Monday, August 14, 2017

Page 638 of 895

Survey: NHIS Bridge
Section: Adult.EMP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Array:
Skip Instructions: <1> [goto EMPWRKHRS_A]
<2> [goto EMPNOWRK_A]
 [goto next section]

Last Modified: Friday, July 21, 2017

Page 639 of 895

Survey: NHIS Bridge
Section: Adult.EMP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

EMPNOWRK_A

Field

Adult.EMP.EMPNOWRK_A
Description: Temporily absent from work last week
Form Pane Label: Temporily absent from work
SAS Name: EMPNOWRK_A
Tag Name: Adult.EMP.EMPNOWRK_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: EMPLASTWK_A=2
Universe Description: Sample Adults 18+ who were not working for pay at a job or business last week
Question Text: Did you have a job or business LAST WEEK, but were temporarily absent due
to illness, vacation, family or maternity leave, or some other reason?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto EMPWRKHRS_A]
<2> [goto EMPRSNOWK_A]
 [goto next section]

Last Modified: Tuesday, August 1, 2017

Page 640 of 895

Survey: NHIS Bridge
Section: Adult.EMP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

EMPWRKHRS_A

Field

Adult.EMP.EMPWRKHRS_A
Description: Hours worked per week
Form Pane Label: Hours worked per week
SAS Name: EMPWRKHRS_A
Tag Name: Adult.EMP.EMPWRKHRS_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: (EMPLASTWK_A=1 or EMPNOWRK_A=1)
Universe Description: Sample Adults 18+ who were working at or were on temporary leave from a paid job
or business last week
Question Text: How many hours ^LASTUSUAL in total at ALL jobs or businesses?

Fills: LASTUSUAL
Instructions: If EMPLASTWK_A=1 fill "did you work LAST WEEK" else if EMPNOWRK_A=1
fill "do you USUALLY work per week"

Type: Integer
Length: 3
Min: 1
Max: 168
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <001-034> if EMPNOWRK_A =1 [goto EMPPDSKLV_A]
elseif EMPLASTWK_A =1 [goto EMPWKFT_A]
<035-094> [goto EMPPDSKLV_A]
<095-168> [goto ERR_EMPWRKHRS_A], then [goto EMPPDSKLV_A]
 [goto EMPWKFT_A]

Last Modified: Tuesday, August 1, 2017

Page 641 of 895

Survey: NHIS Bridge
Section: Adult.EMP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR_EMPWRKHRS_A

Check

Adult.EMP.ERR_EMPWRKHRS_A
Description: Hours worked last week/usually work per week unusually high
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: EMPWRKHRS_A=95-168
Universe Description: 95-168 hours worked last week/usually work per week
Text: {signal ERR_EMPWRKHRS_A}
^EMPWRKHRS_A hours is unusually high. Please verify.  Make corrections if
necessary.

Check Instructions:
Type: Soft
Fills: EMPWRKHRS_A
Instructions: Fill value from EMPWRKHRS_A

Last Modified: Friday, July 21, 2017

Page 642 of 895

Survey: NHIS Bridge
Section: Adult.EMP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

EMPWKFT_A

Field

Adult.EMP.EMPWKFT_A
Description: Work 35+ hours per week
Form Pane Label: Work 35+ hours per week
SAS Name: EMPWKFT_A
Tag Name: Adult.EMP.EMPWKFT_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: (EMPWRKHRS_A=R,D or (EMPWRKHRS_A=1-34 and EMPLASTWK_A=1))
Universe Description: Sample Adults 18+ who were working for pay at a job or business last week and who
worked less than 35 hours last week; or who refused or didn't know how many hours
they worked last week.
Question Text: Do you USUALLY work 35 hours or more per week in total at ALL jobs or
businesses?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto EMPPDSKLV_A]

Last Modified: Friday, July 21, 2017

Page 643 of 895

Survey: NHIS Bridge
Section: Adult.EMP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

EMPRSNOWK_A

Field

Adult.EMP.EMPRSNOWK_A
Description: Main reason not working
Form Pane Label: Main reason not working
SAS Name: EMPRSNOWK_A
Tag Name: Adult.EMP.EMPRSNOWK_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: EMPNOWRK_A=2
Universe Description: Sample Adults 18+ who were not working for pay, and were not on temporary leave
from a job or business last week
Question Text: What is the MAIN reason you were not working for pay at a job or business last
week?
Probe if necessary.

Type: Enumerated
Length: 1
Answer List: TEMPRSNOWK_A
Value:

Mnemonic:

Description:

1

Can't find work, laid off, looking for work

2

Seasonal/contract work

3

Retired

4

Unable to work for health reasons/disabled

5

Taking care of house or family

6

Going to school

7

Working at job or business but not for pay

8

Other
x Don't Know
x Refuse
Empty
x On Input
x On Output

Last Modified: Friday, July 21, 2017

Page 644 of 895

Survey: NHIS Bridge
Section: Adult.EMP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Array:
Skip Instructions: <1,3,4,5,6,8,RF,DK> [goto EMPLSTWRK_A]
<2,7> [goto EMPPDSKLV_A]

Last Modified: Monday, August 28, 2017

Page 645 of 895

Survey: NHIS Bridge
Section: Adult.EMP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

EMPLSTWRK_A

Field

Adult.EMP.EMPLSTWRK_A
Description: Last time worked
Form Pane Label: Last time worked
SAS Name: EMPLSTWRK_A
Tag Name: Adult.EMP.EMPLSTWRK_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: EMPRSNOWK_A IN (1,3,4,5,6,8,RF,DK)
Universe Description: Sample Adults 18+ whose main reason for not working last week was because they
couldn't find work, were retired, unable to work for health reasons, taking care of the
house/family, going to school, or some other reason, or refused or didn't know the main
reason they were not working last week.
Question Text: When was the last time you worked for pay at a job or business, even if only for
a few days?

Type: Enumerated
Length: 1
Answer List: TEMPLSTWRK_A
Value:

Mnemonic:

Description:

1

Within the past 12 months

2

1-5 years ago

3

Over 5 years ago

4

Never worked
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto EMPDYSMSS_A]
<2-4,RF,DK> [goto next section]

Last Modified: Wednesday, September 6, 2017

Page 646 of 895

Survey: NHIS Bridge
Section: Adult.EMP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

EMPPDSKLV_A

Field

Adult.EMP.EMPPDSKLV_A
Description: Paid sick leave
Form Pane Label: Paid sick leave
SAS Name: EMPPDSKLV_A
Tag Name: Adult.EMP.EMPPDSKLV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: EMPLASTWK_A=1 or EMPNOWRK_A=1 or EMPRSNOWK_A IN (2,7)
Universe Description: Sample Adults 18+ who reported working last week; or who were not working last week
because they were temporarily abset; or who work, but not for pay, at a family-owned
job or business
Question Text: Regarding your job or work ^LASTWK, is paid sick leave available if you need
it?

Fills: LASTWK
Instructions: if EMPWRKHRS_A=1-168,RF,DK, fill: "last week"
else fill: blank

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto EMPOFFHI_A]

Last Modified: Wednesday, September 6, 2017

Page 647 of 895

Survey: NHIS Bridge
Section: Adult.EMP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

EMPOFFHI_A

Field

Adult.EMP.EMPOFFHI_A
Description: Health insurance offered
Form Pane Label: Health insurance offered
SAS Name: EMPOFFHI_A
Tag Name: Adult.EMP.EMPOFFHI_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: EMPLASTWK_A=1 or EMPNOWRK_A=1 or EMPRSNOWK_A IN (2,7)
Universe Description: Sample Adults 18+ who reported working last week; or who were not working last week
because they were temporarily abset; or who work, but not for pay, at a family-owned
job or business
Question Text: Regarding your job or work ^LASTWK, was health insurance offered to you
through your workplace?

Fills: LASTWK
Instructions: if EMPWRKHRS_A=1-168,RF,DK, fill: "last week"
else fill: blank

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto EMPDYSMSS_A]

Last Modified: Thursday, August 31, 2017

Page 648 of 895

Survey: NHIS Bridge
Section: Adult.EMP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

EMPDYSMSS_A

Field

Adult.EMP.EMPDYSMSS_A
Description: Days missed work, past 12m
Form Pane Label: Days missed work
SAS Name: EMPDYSMSS_A
Tag Name: Adult.EMP.EMPDYSMSS_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: EMPOFFHI_A IN (1,2,RF,DK) or EMPLSTWRK_A=1
Universe Description: Sample Adults 18+ who were offered health insurance through the workplace, were not
offered health insurance through the workplace, or who refused or did not know if they
were offered health insurance through the workplace, or Sample Adults 18+ who are
not currently working but who had some period of employment in the past 12 months.
Question Text: During the past 12 months, about how many days of work did you miss
because of illness, injury or disability?
Read if necessary: Do not include family or ^paternitymaternity leave.

Fills: paternitymaternity
Instructions: If GEN.SEX_FINAL=1 fill "paternity" else if GEN.SEX_FINAL=2 fill "maternity"
else if GEN.SEX_FINAL=DK,RF fill "maternity or paternity"

Type: Integer
Length: 3
Min: 0
Max: 366
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-119,RF,DK> [goto next section]

Last Modified: Thursday, August 31, 2017

Page 649 of 895

Survey: NHIS Bridge
Section: Adult.EMP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

<120-366> [goto ERR_EMPDYSMSS_A], then [goto next section]

Last Modified: Tuesday, August 1, 2017

Page 650 of 895

Survey: NHIS Bridge
Section: Adult.EMP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR_EMPDYSMSS_A

Check

Adult.EMP.ERR_EMPDYSMSS_A
Description: Days of work missed in the past 12 months unusually high
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: EMPDYSMSS_A=120-366
Universe Description: 120-366 days of work missed in the past 12 months
Text: {signal ERR_EMPDYSMSS_A}
^EMPDYSMSS_A days is unusually high. Please verify.  Make corrections if
necessary.

Check Instructions:
Type: Soft
Fills: EMPDYSMSS_A
Instructions: Fill value from EMPDYSMSS_A

Last Modified: Thursday, March 30, 2017

Page 651 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FEM

Block

Adult.FEM
Description: Employment of family members
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: PCNT18UP_A GT 1
AND
((SAMEFAM_FLG ne 1)
OR (SAMEFAM_FLG=1 and FEM_FLG_C=blank)
OR (SAMEFAM_FLG=1 and FEM_FLG_C=2 and SARESPSC_FLG ne 1))
Universe Description: If Sample Adult lives in a family with at least one other adult AND
(Sample Child and Sample Adult are not in the same family
OR Sample Child and Sample Adult are in the same family AND Sample Child FEM
section has not been completed
OR the Sample Adult and Sample Child are in the same family and every question
asked in the Sample Child FEM section was answered with RF/DK and the person
answering the SC interview and the SA are different people.
Array:
Block Instructions:

Last Modified: Thursday, September 21, 2017

Page 652 of 895

Survey: NHIS Bridge
Section: Adult.FEM

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FEMINTRO_A

Field

Adult.FEM.FEMINTRO_A
Description: Adult Family Employment Intro
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Adult Family Employment Intro
FEMINTRO_A
Adult.FEM.FEMINTRO_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(PCNT18UP_A GT 1
AND
((SAMEFAM_FLG ne 1)
OR (SAMEFAM_FLG=1 and FEM_FLG_C=blank)
OR (SAMEFAM_FLG=1 and FEM_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe:
Universe Description:

If Sample Adult lives in a family with at least one other adult AND
(Sample Child and Sample Adult are not in the same family
OR Sample Child and Sample Adult are in the same family AND Sample Child FEM
section has not been completed
OR the Sample Adult and Sample Child are in the same family and every question
asked in the Sample Child FEM section was answered with RF/DK and the person
answering the SC interview and the SA are different people.

Question Text: Now I'm going to ask you about some of the other members of your family.
Enter '1' to continue.

Type: Enumerated
Length: 1
Answer List: tContinue
Value:
1

Mnemonic:

Description:
Enter 1 to Continue
Don't Know
Refuse
Empty
On Input
On Output

Last Modified: Thursday, September 21, 2017

Page 653 of 895

Survey: NHIS Bridge
Section: Adult.FEM

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Array:
Skip Instructions: <1>[goto tblFEM_A]

Last Modified: Thursday, July 20, 2017

Page 654 of 895

Survey: NHIS Bridge
Section: Adult.FEM

Blaise Item-Level Specifications Report
Spider Version 1.6.2

tblFEM_A

Block

Adult.FEM.tblFEM_A
Description:
Tab Name:
Fly Over Name:
Universe Type: While
Inherited Universe: (GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(PCNT18UP_A GT 1
AND
((SAMEFAM_FLG ne 1)
OR (SAMEFAM_FLG=1 and FEM_FLG_C=blank)
OR (SAMEFAM_FLG=1 and FEM_FLG_C=2 and SARESPSC_FLG ne 1)))
Universe:
Universe Description:

If Sample Adult lives in a family with at least one other adult AND
(Sample Child and Sample Adult are not in the same family
OR Sample Child and Sample Adult are in the same family AND Sample Child FEM
section has not been completed
OR the Sample Adult and Sample Child are in the same family and every question
asked in the Sample Child FEM section was answered with RF/DK and the person
answering the SC interview and the SA are different people.

Array:
Block Instructions: Ask employment questions of all adults 18+ in the sample adult's family who are not
the sample adult before going to next section

Last Modified: Friday, September 15, 2017

Page 655 of 895

Survey: NHIS Bridge
Section: Adult.FEM.tblFEM_A

Blaise Item-Level Specifications Report
Spider Version 1.6.2

bPerson

Block

Adult.FEM.tblFEM_A.bPerson
Description:
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: (GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(PCNT18UP_A GT 1
AND
((SAMEFAM_FLG ne 1)
OR (SAMEFAM_FLG=1 and FEM_FLG_C=blank)
OR (SAMEFAM_FLG=1 and FEM_FLG_C=2 and SARESPSC_FLG ne 1)))
Universe:

Universe Description:

GEN.HHSTAT_A[PX]
ne
'1'
and
(GEN.AGE_FINAL[PX]
ge
18
Roster.HHC.tblAGE.bPerson.AGE18[PX]=2
Roster.HHC.tblAGE.bPerson.AGEGUESS[PX]=2) and FAMILYA_FLG[PX]=1

or
or

If Sample Adult lives in a family with at least one other adult AND
(Sample Child and Sample Adult are not in the same family
OR Sample Child and Sample Adult are in the same family AND Sample Child FEM
section has not been completed
OR the Sample Adult and Sample Child are in the same family and every question
asked in the Sample Child FEM section was answered with RF/DK and the person
answering the SC interview and the SA are different people.

Array: x
Number of Elements: 25
Block Instructions:

Last Modified: Thursday, March 30, 2017

Page 656 of 895

Survey: NHIS Bridge
Section: Adult.FEM.tblFEM_A.bPerson

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PX

Field

Adult.FEM.tblFEM_A.bPerson.PX
Description: line number of person
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

line number of person
PX
Adult.PX
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
((PCNT18UP_A GT 1
AND
((SAMEFAM_FLG ne 1)
OR (SAMEFAM_FLG=1 and FEM_FLG_C=blank)
OR (SAMEFAM_FLG=1 and FEM_FLG_C=2 and SARESPSC_FLG ne 1))) AND
(GEN.HHSTAT_A[PX]
ne
'1'
and
(GEN.AGE_FINAL[PX]
ge
18
or
Roster.HHC.tblAGE.bPerson.AGE18[PX]=2
or
Roster.HHC.tblAGE.bPerson.AGEGUESS[PX]=2) and FAMILYA_FLG[PX]=1))

Universe:
Universe Description:
Question Text: ***Storage Variable***

Type: Integer
Length: 2
Min: 1
Max: 25
Don't Know
Refuse
Empty
On Input
On Output
Array:

Last Modified: Thursday, September 21, 2017

Page 657 of 895

Survey: NHIS Bridge
Section: Adult.FEM.tblFEM_A.bPerson

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FEMWORK_A

Field

Adult.FEM.tblFEM_A.bPerson.FEMWORK_A
Description: Other family members work
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Other family members work
FEMWORK_A
Adult.FEM.FEMWORK_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
((PCNT18UP_A GT 1
AND
((SAMEFAM_FLG ne 1)
OR (SAMEFAM_FLG=1 and FEM_FLG_C=blank)
OR (SAMEFAM_FLG=1 and FEM_FLG_C=2 and SARESPSC_FLG ne 1))) AND
(GEN.HHSTAT_A[PX]
ne
'1'
and
(GEN.AGE_FINAL[PX]
ge
18 or
Roster.HHC.tblAGE.bPerson.AGE18[PX]=2
or
Roster.HHC.tblAGE.bPerson.AGEGUESS[PX]=2) and FAMILYA_FLG[PX]=1))

Universe:
Universe Description: If Sample Adult lives in a family with at least one other adult AND
(Sample Child and Sample Adult are not in the same family
OR Sample Child and Sample Adult are in the same family AND Sample Child FEM
section has not been completed
OR the Sample Adult and Sample Child are in the same family and every question
asked in the Sample Child FEM section was answered with RF/DK and the person
answering the SC interview and the SA are different people.
Question Text: Does ^ALIASNAME work for pay at a job or business?
If the respondent says ^heshetheywork, but not for pay, at a family-owned job or
business, enter '1' for yes.

Fills: ALIASNAME
Instructions: Fill value from ALIAS

Fills: heshetheywork
Instructions: elseif GEN.SEX_FINAL=1 fill "he works"
elseif GEN.SEX_FINAL=2 fill "she works"
elseif GEN.SEX_FINAL=DK,RF fill "they work"

Last Modified: Thursday, September 21, 2017

Page 658 of 895

Survey: NHIS Bridge
Section: Adult.FEM.tblFEM_A.bPerson

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: Store GEN.FEM_FLG_A=2 if FEMWORK_A IN (DK,RF) for first person in sample
adult family asked FEMWORK_A
Store GEN.FEM_FLG_A=1 if FEMWORK_A IN (1,2) for any person in sample adult
family asked FEMWORK_A
Array:
Skip Instructions: <1> [goto FEMWKFT_A]
<2,DK,RF> if there is another adult in the family [goto FEMLSTWK_A] for the next
adult 18+
else [goto next section]

Last Modified: Thursday, September 21, 2017

Page 659 of 895

Survey: NHIS Bridge
Section: Adult.FEM.tblFEM_A.bPerson

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FEMWKFT_A

Field

Adult.FEM.tblFEM_A.bPerson.FEMWKFT_A
Description: Other family work 35+ hours per week
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Other family work 35+ hours per week
FEMWKFT_A
Adult.FEM.FEMWKFT_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
((PCNT18UP_A GT 1
AND
((SAMEFAM_FLG ne 1)
OR (SAMEFAM_FLG=1 and FEM_FLG_C=blank)
OR (SAMEFAM_FLG=1 and FEM_FLG_C=2 and SARESPSC_FLG ne 1))) AND
(GEN.HHSTAT_A[PX]
ne
'1'
and
(GEN.AGE_FINAL[PX]
ge
18 or
Roster.HHC.tblAGE.bPerson.AGE18[PX]=2
or
Roster.HHC.tblAGE.bPerson.AGEGUESS[PX]=2) and FAMILYA_FLG[PX]=1))

Universe: FEMLSTWK_A[PX]=1
Universe Description:

If Sample Adult lives in a family with at least one other adult AND
(Sample Child and Sample Adult are not in the same family
OR Sample Child and Sample Adult are in the same family AND Sample Child FEM
section has not been completed
OR the Sample Adult and Sample Child are in the same family and every question
asked in the Sample Child FEM section was answered with RF/DK and the person
answering the SC interview and the SA are different people.

Question Text: Does ^ALIASNAME usually work 35 hours or more in total at ^hishertheir
job(s)?

Fills: ALIASNAME
Instructions: Fill value from ALIAS

Fills: hishertheir
Instructions: If GEN.SEX_FINAL=1 fill "his"; else if GEN.SEX_FINAL=2 fill "her"; else if
GEN.SEX_FINAL IN (DK, RF) fill "their"

Type: Enumerated
Length: 1

Last Modified: Thursday, September 21, 2017

Page 660 of 895

Survey: NHIS Bridge
Section: Adult.FEM.tblFEM_A.bPerson

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,DK,RF> if another adult in the family [goto FEMWORK_A] for the next adult 18+
else [goto next section]

Last Modified: Thursday, March 30, 2017

Page 661 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INC

Block

Adult.INC
Description: Family Income
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: ((SAMEFAM_FLG=1 and INC_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and INC_FLG_C=2 and SARESPSC_FLG ne 1))
Universe Description: Sample Adult and Sample Child are in the same family and the Sample Child INC section
has not been completed OR the Sample Adult and Sample Child are not in the same
family OR the Sample Adult and the Sample Child are in the same family and the
person who answered the Sample Child questions is not the Sample Adult and every
question asked in the Sample Child income section was don't know or refused
Array:
Block Instructions:

Last Modified: Thursday, September 21, 2017

Page 662 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INCINTRO_A

Field

Adult.INC.INCINTRO_A
Description: Income intro
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Income intro
INCINTRO_A
Adult.INC.INCINTRO_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG=1 and INC_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and INC_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe:
Universe Description: Sample Adults 18+ and Sample Adult and Sample Child are in the same family and
the Sample Child INC section has not been completed
OR the Sample Adult and Sample Child are not in the same family
OR Sample Adult and Sample Child are in the same family, Sample Child respondent
answered all questions asked in the INC section with dk/rf and Sample Adult is not the
Sample Child respondent
Question Text: The next questions are about your total ^FAMILY income in ^LASTYEAR
BEFORE TAXES.
Income is important in analyzing the health information we collect. For
example, with this information, we can learn whether people with higher
incomes use certain types of medical services more or less often than those
with lower incomes. Please be assured that, like all other information you have
provided, these answers will not be disclosed by NCHS or its agents, which
includes the U.S. Census Bureau.
Enter '1' to continue.

Fills: FAMILY
Instructions: If PCNT_A > 1 fill "family"

Fills: LASTYEAR
Instructions: Fill year prior to current year

Type: Enumerated
Length: 1
Last Modified: Thursday, September 21, 2017

Page 663 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Answer List: tContinue
Value:

Mnemonic:

Description:

1

Enter 1 to Continue
Don't Know
Refuse
Empty
On Input
On Output
Array:
Special Instructions: Do not allow Refused/Don't know
Skip Instructions: <1> [goto INCWRKO_A]

Last Modified: Tuesday, August 1, 2017

Page 664 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INCWRKO_A

Field

Adult.INC.INCWRKO_A
Description: Income from wages
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Income from wages
INCWRKO_A
Adult.INC.INCWRKO_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG=1 and INC_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and INC_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe:
Universe Description: Sample Adults 18+ and Sample Adult and Sample Child are in the same family and
the Sample Child INC section has not been completed
OR the Sample Adult and Sample Child are not in the same family
OR Sample Adult and Sample Child are in the same family, Sample Child respondent
answered all questions asked in the INC section with dk/rf and Sample Adult is not the
Sample Child respondent
Question Text: In ^LASTYEAR, did ^YOUFAM18YRS receive income from wages, salaries,
commissions, bonuses, tips, or self-employment?

Fills: LASTYEAR
Instructions: Fill year prior to current year

Fills: YOUFAM18YRS
Instructions: If PCNT18UP_A=1 fill "you" else if PCNT18UP_A GT 1 fill "you or any family
members 18 or older"

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No

Last Modified: Tuesday, August 1, 2017

Page 665 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: Store INC_FLG_A=1 if INCWRKO_A IN ('1','2')
else Store INC_FLG_A=2 if INCWRKO_A IN ('DK','RF')
Array:
Skip Instructions: <1,2,RF,DK> [goto INCINTER_A]

Last Modified: Tuesday, August 1, 2017

Page 666 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INCINTER_A

Field

Adult.INC.INCINTER_A
Description: Income from accounts
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Income from accounts
INCINTER_A
Adult.INC.INCINTER_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG=1 and INC_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and INC_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe:
Universe Description: Sample Adults 18+ and Sample Adult and Sample Child are in the same family and the
Sample Child INC section has not been completed OR the Sample Adult and Sample
Child are not in the same family OR Sample Adult and Sample Child are in the same
family, Sample Child respondent answered all questions asked in the INC section with
dk/rf and Sample Adult is not the Sample Child respondent
Question Text: In ^LASTYEAR, did ^YOUFAMHERE receive income from interest-bearing
accounts or investments, dividends from stocks or mutual funds, net rental
income, royalty income, or income from estates and trusts?

Fills: LASTYEAR
Instructions: Fill year prior to current year

Fills: YOUFAMHERE
Instructions: If PCNT_A=1 fill "you" else if PCNT_A GT 1 fill "you or any family members"

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know

Last Modified: Tuesday, August 1, 2017

Page 667 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x Refuse
Empty
x On Input
x On Output
Store Instructions: Store INC_FLG_A=1 if INCINTER_A IN ('1','2')
Array:
Skip Instructions: <1,2,RF,DK> [goto INCSSRR_A]

Last Modified: Wednesday, September 6, 2017

Page 668 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INCSSRR_A

Field

Adult.INC.INCSSRR_A
Description: Income from SS/Railroad Retirement
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Income from SS/Railroad Retirement
INCSSRR_A
Adult.INC.INCSSRR_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG=1 and INC_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and INC_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe:
Universe Description: Sample Adults 18+ and Sample Adult and Sample Child are in the same family and the
INC section has not been completed OR the Sample Adult and Sample Child are not
in the same family OR Sample Adult and Sample Child are in the same family, Sample
Child respondent answered all questions asked in the INC section with dk/rf and
Sample Adult is not the Sample Child respondent
Question Text:

Read if necessary: In ^LASTYEAR, did ^YOUFAMHERE receive...
Income from Social Security or Railroad Retirement?

Fills: LASTYEAR
Instructions: Fill year prior to current year

Fills: YOUFAMHERE
Instructions: If PCNT_A=1 fill "you" else if PCNT_A GT 1 fill "you or any family members"

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know

Last Modified: Wednesday, September 6, 2017

Page 669 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x Refuse
Empty
x On Input
x On Output
Store Instructions: Store INC_FLG_A=1 if INCSSRR_A IN ('1','2')
Array:
Skip Instructions: <1,2,RF,DK> [goto INCSSISSDI_A]

Last Modified: Friday, August 11, 2017

Page 670 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INCSSISSDI_A

Field

Adult.INC.INCSSISSDI_A
Description: Family income from SSDI
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Family income from SSDI
INCSSISSDI_A
Adult.INC.INCSSISSDI_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG=1 and INC_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and INC_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe:
Universe Description: Sample Adults 18+ and Sample Adult and Sample Child are in the same family and the
INC section has not been completed OR the Sample Adult and Sample Child are not
in the same family OR Sample Adult and Sample Child are in the same family, Sample
Child respondent answered all questions asked in the INC section with dk/rf and
Sample Adult is not the Sample Child respondent
Question Text:

Read if necessary: In ^LASTYEAR, did ^YOUFAMHERE receive...
Supplemental Security Income, SSI, or Social Security Disability Income, SSDI?

Fills: LASTYEAR
Instructions: Fill year prior to current year

Fills: YOUFAMHERE
Instructions: If PCNT_A=1 fill "you" else if PCNT_A GT 1 fill "you or any family members"

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know

Last Modified: Friday, August 11, 2017

Page 671 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x Refuse
Empty
x On Input
x On Output
Store Instructions: Store INC_FLG_A=1 if INCSSISSDI_A IN ('1','2')
Array:
Skip Instructions: <1> if GEN.PCNT_A gt 1 [goto SSISSDISA_A]
elseif GEN.PCNT_A='1' and GEN.AGE_FINAL[PX_A] le 64 [goto SSDISELF_A]
elseif GEN.PCNT_A='1' and GEN.AGE_FINAL[PX_A] gt 64 [goto INCWELF_A]
<2,RF,DK> [goto INCWELF_A]

Last Modified: Wednesday, August 23, 2017

Page 672 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SSISSDISA_A

Field

Adult.INC.SSISSDISA_A
Description: Own income from SSDI
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Own income from SSDI
SSISSDISA_A
Adult.INC.SSISSDISA_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG=1 and INC_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and INC_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe: GEN.PCNT_A gt 1 and INCSSISSDI_A='1'
Universe Description: Sample Adults 18+ with more than one person in the family where someone in the family
gets SSI or SSDI and Sample Adult and Sample Child are in the same family and the
Sample Child INC section has not been completed OR the Sample Adult and Sample
Child are not in the same family OR Sample Adult and Sample Child are in the same
family, Sample Child respondent answered all questions asked in the INC section with
dk/rf and Sample Adult is not the Sample Child respondent
Question Text: In ^LASTYEAR, did YOU receive Supplemental Security Income, SSI, or Social
Security Disability Income, SSDI?

Fills: LASTYEAR
Instructions: Fill year prior to current year

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input

Last Modified: Wednesday, August 23, 2017

Page 673 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x On Output
Array:
Skip Instructions: <1> if GEN.AGE_FINAL[PX_A] le 64 [goto SSDISELF_A] else [goto INCWELF_A]
<2,RF,DK> [goto INCWELF_A]

Last Modified: Wednesday, September 6, 2017

Page 674 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SSDISELF_A

Field

Adult.INC.SSDISELF_A
Description: Whether SA receives SSDI for disability
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

SSDI for disability
SSDISELF_A
Adult.INC.SSDISELF_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG=1 and INC_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and INC_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe: GEN.AGE_FINAL[PX_A] lt 65 and (SSISSDISA_A=1 or (INCSSISSDI_A='1' and
GEN.PCNT_A=1))
Universe Description: Sample adults less than 65 who reported own income from SSDI and Sample Child and
Sample Adult are in the same family and the INC section has not been completed OR
the Sample Adult and Sample Child are not in the same family OR Sample Adult and
Sample Child are in the same family, Sample Child respondent answered all questions
asked in the INC section with dk/rf and Sample Adult is not the Sample Child
respondent
Question Text: Do you get SSDI because of YOUR OWN disability?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto INCWELF_A]

Last Modified: Tuesday, August 1, 2017

Page 675 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INCWELF_A

Field

Adult.INC.INCWELF_A
Description: Income from public assistance
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Income from public assistance
INCWELF_A
Adult.INC.INCWELF_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG=1 and INC_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and INC_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe:
Universe Description: Sample Adults 18+ and Sample Adult and Sample Child are in the same family and the
Sample Child INC section has not been completed OR the Sample Adult and Sample
Child are not in the same family OR Sample Adult and Sample Child are in the same
family, Sample Child respondent answered all questions asked in the INC section with
dk/rf and Sample Adult is not the Sample Child respondent
Question Text: In ^LASTYEAR, did ^YOUFAMHERE receive...
Any public assistance or welfare payments from the state or local welfare
office?

Fills: LASTYEAR
Instructions: Fill year prior to current year

Fills: YOUFAMHERE
Instructions: If PCNT_A=1 fill "you" else if PCNT_A GT 1 fill "you or any family members"

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No

Last Modified: Tuesday, August 1, 2017

Page 676 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: Store INC_FLG_A=1 if INCWELF_A IN ('1','2')
Array:
Skip Instructions: <1,2,RF,DK> [goto INCRETIRE_A]

Last Modified: Tuesday, August 1, 2017

Page 677 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INCRETIRE_A

Field

Adult.INC.INCRETIRE_A
Description: Income from retirement
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Income from retirement
INCRETIRE_A
Adult.INC.INCRETIRE_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG=1 and INC_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and INC_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe:
Universe Description: Sample Adults 18+ and Sample Adult and Sample Child are in the same family and the
Sample Child INC section has not been completed OR the Sample Adult and Sample
Child are not in the same family OR Sample Adult and Sample Child are in the same
family, Sample Child respondent answered all questions asked in the INC section with
dk/rf and Sample Adult is not the Sample Child respondent
Question Text:

Read if necessary: In ^LASTYEAR, did ^YOUFAMHERE receive...
Income from retirement, survivor, or disability pensions?

Fills: LASTYEAR
Instructions: Fill year prior to current year

Fills: YOUFAMHERE
Instructions: If PCNT_A=1 fill "you" else if PCNT_A GT 1 fill "you or any family members"

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know

Last Modified: Tuesday, August 1, 2017

Page 678 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x Refuse
Empty
x On Input
x On Output
Store Instructions: Store INC_FLG_A=1 if INCRETIRE_A IN ('1','2')
Array:
Skip Instructions: <1,2,RF,DK> [goto INCOTHR_A]

Last Modified: Tuesday, August 1, 2017

Page 679 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INCOTHR_A

Field

Adult.INC.INCOTHR_A
Description: Income from other sources
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Income from other sources
INCOTHR_A
Adult.INC.INCOTHR_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG=1 and INC_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and INC_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe:
Universe Description: Sample Adults 18+ and Sample Adult and Sample Child are in the same family and the
Sample Child INC section has not been completed OR the Sample Adult and Sample
Child are not in the same family OR Sample Adult and Sample Child are in the same
family, Sample Child respondent answered all questions asked in the INC section with
dk/rf and Sample Adult is not the Sample Child respondent
Question Text:

Read if necessary: In ^LASTYEAR, did ^YOUFAMHERE receive...
Any other sources of income such as Veterans' (VA) payments, unemployment
compensation, child support, or alimony?

Fills: LASTYEAR
Instructions: Fill year prior to current year

Fills: YOUFAMHERE
Instructions: If PCNT_A=1 fill "you" else if PCNT_A GT 1 fill "you or any family members"

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No

Last Modified: Tuesday, August 1, 2017

Page 680 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: Store INC_FLG_A=1 if INCOTHR_A IN ('1','2')
Array:
Skip Instructions: <1,2,RF,DK> [goto INCTOTAL_A]

Last Modified: Wednesday, September 6, 2017

Page 681 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INCTOTAL_A

Field

Adult.INC.INCTOTAL_A
Description: Total family income
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Total family income
INCTOTAL_A
Adult.INC.INCTOTAL_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG=1 and INC_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and INC_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe:
Universe Description: Sample Adults 18+ and Sample Adult and Sample Child are in the same family and the
Sample Child INC section has not been completed OR the Sample Adult and Sample
Child are not in the same family OR Sample Adult and Sample Child are in the same
family, Sample Child respondent answered all questions asked in the INC section with
dk/rf and Sample Adult is not the Sample Child respondent
Question Text: ^INCALLFAM
What is your best estimate of ^TOTALINCOME from all sources, before taxes,
in ^LASTYEAR?

Enter '999995' if the reported income is greater than $999,995.

Fills: INCALLFAM
Instructions: IF PCNT_A GT 1 fill "When answering this next question, please remember to
include your income PLUS the income of all family members living in this
household."

Fills: TOTALINCOME
Instructions: If PCNT_A=1 fill "your total income" else if PCNT_A GT 1 fill "the total income
of all family members"

Fills: LASTYEAR
Instructions: Fill year prior to current year

Last Modified: Wednesday, September 6, 2017

Page 682 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Type: Integer
Length: 6
Min: 0
Max: 999995
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: Store INC_FLG_A=1 if INCTOTAL_A not IN (blank,'DK','RF')
Array:
Skip Instructions: <0-999> [goto ERR1_INCTOTAL_A]
<250001-999995> [goto ERR2_INCTOTAL_A]
<1000-250000> [goto next section]
 [for the time being, goto next section] NOTE TO PROGRAMMERS: Once the
poverty threshold data are available in October 2017 the remaining section will be
reviewed and updated

Last Modified: Tuesday, August 1, 2017

Page 683 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR1_INCTOTAL_A

Check

Adult.INC.ERR1_INCTOTAL_A
Description: Income low soft edit
Inherited Universe: (GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG=1 and INC_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and INC_FLG_C=2 and SARESPSC_FLG ne 1)))
Universe: INCTOTAL_A=0-999
Universe Description:
Text: {signal ERR1_INCTOTAL_A}
 Do not read to the respondent.
^INCTOTAL_A is unusually low. Make corrections if necessary.
Â

Check Instructions:
Type: Soft
Fills: INCTOTAL_A
Instructions: Fill value from INCTOTAL_A

Last Modified: Tuesday, August 1, 2017

Page 684 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR2_INCTOTAL_A

Check

Adult.INC.ERR2_INCTOTAL_A
Description: Income high soft edit
Inherited Universe: (GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG=1 and INC_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and INC_FLG_C=2 and SARESPSC_FLG ne 1)))
Universe: INCTOTAL_A=250001-999995
Universe Description:
Text: {signal ERR2_INCTOTAL_A}
 Do not read to the respondent.
^INCTOTAL_A is unusually high. Make corrections if necessary.

Check Instructions:
Type: Soft
Fills: INCTOTAL_A
Instructions: Fill value from INCTOTAL_A

Last Modified: Monday, April 10, 2017

Page 685 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INC250PCT_A

Field

Adult.INC.INC250PCT_A
Description: Income 250% poverty
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Income 250% poverty
INC250PCT_A
Adult.INC.INC250PCT_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG=1 and INC_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and INC_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe: INCTOTAL_A IN (DK,RF)
Additional conditions TBD in October
Universe Description: Sample Adult 18+ who don't know or refuse the total family income and Sample Adult
and Sample Child are in the same family and the Sample Child INC section has not
been completed OR the Sample Adult and Sample Child are not in the same family OR
Sample Adult and Sample Child are in the same family, Sample Child respondent
answered all questions asked in the INC section with dk/rf and Sample Adult is not the
Sample Child respondent
Question Text: Was your total ^FAMILY income from all sources less than ^250POVERTY or
^250POVERTY or more?

Fills: FAMILY
Instructions: If PCNT_A > 1 fill "family"

Fills: 250POVERTY
Instructions: TBD

Type: Enumerated
Length: 1
Answer List: TINC250PCT_A
Value:

Mnemonic:

Description:

1

Less than ^250POVERTY

2

^250POVERTY or more

Last Modified: Monday, April 10, 2017

Page 686 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: Store INC_FLG_A=1 if INC250PCT_A IN ('1','2')
Array:
Skip Instructions: <1> [goto INC138PCT_A]
<2> if there are 1 or 2 people in the family [goto INC75K_A]
else if there are 4, 7,8, or 9 people in the family [goto INC400PCT_A]
else if there are 3, 5 or, 6 people in the family then [goto INC100K_A]
 [goto next section]

Last Modified: Monday, April 10, 2017

Page 687 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INC138PCT_A

Field

Adult.INC.INC138PCT_A
Description: Income 138% poverty
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Income 138% poverty
INC138PCT_A
Adult.INC.INC138PCT_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG=1 and INC_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and INC_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe: INCTOTAL IN (DK,RF)
Additional conditions TBD in October
Universe Description: Sample Adult 18+ answered refused or don't know for total family income and Sample
Adult and Sample Child are in the same family and the Sample Child INC section has
not been completed OR the Sample Adult and Sample Child are not in the same family
OR Sample Adult and Sample Child are in the same family, Sample Child respondent
answered all questions asked in the INC section with dk/rf and Sample Adult is not the
Sample Child respondent
Question Text: Was your total ^FAMILY income from all sources less than ^138POVERTY or
^138POVERTY or more?

Fills: FAMILY
Instructions: If PCNT_A > 1 fill "family"

Fills: 138POVERTY
Instructions: TBD

Type: Enumerated
Length: 1
Answer List: TINC138PCT_A
Value:

Mnemonic:

Description:

1

Less than ^138POVERTY

2

^138POVERTY or more

Last Modified: Monday, April 10, 2017

Page 688 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: Store INC_FLG_A=1 if INC138PCT_A IN ('1','2')
Array:
Skip Instructions: <1> [goto INC100PCT_A]
<2> [goto INC200PCT_A]
 [goto next section]

Last Modified: Monday, April 10, 2017

Page 689 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INC100PCT_A

Field

Adult.INC.INC100PCT_A
Description: Income 100% poverty
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Income 100% poverty
INC100PCT_A
Adult.INC.INC100PCT_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG=1 and INC_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and INC_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe: INCTOTAL IN (DK,RF)
Additional conditions TBD in October
Universe Description: Sample Adult 18+ answered refused or don't know for total family income and Sample
Adult and Sample Child are in the same family and the Sample Child INC section has
not been completed OR the Sample Adult and Sample Child are not in the same family
OR Sample Adult and Sample Child are in the same family, Sample Child respondent
answered all questions asked in the INC section with dk/rf and Sample Adult is not the
Sample Child respondent
Question Text: Was your total ^FAMILY income from all sources less than ^100POVERTY or
^100POVERTY or more?

Fills: FAMILY
Instructions: If PCNT_A > 1 fill "family"

Fills: 100POVERTY
Instructions: TBD

Type: Enumerated
Length: 1
Answer List: TINC100PCT_A
Value:

Mnemonic:

Description:

1

Less than ^100POVERTY

2

^100POVERTY or more

Last Modified: Monday, April 10, 2017

Page 690 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: Store INC_FLG_A=1 if INC100PCT_A IN ('1','2')
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Monday, April 10, 2017

Page 691 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INC200PCT_A

Field

Adult.INC.INC200PCT_A
Description: Income 200% poverty
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Income 200% poverty
INC200PCT_A
Adult.INC.INC200PCT_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG=1 and INC_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and INC_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe: INCTOTAL IN ('DK','RF')
Additional conditions TBD in October
Universe Description: Sample Adult 18+ answered refused or don't know for total family income and Sample
Adult and Sample Child are in the same family and the Sample Child INC section has
not been completed OR the Sample Adult and Sample Child are not in the same family
OR Sample Adult and Sample Child are in the same family, Sample Child respondent
answered all questions asked in the INC section with dk/rf and Sample Adult is not the
Sample Child respondent
Question Text: Was your total ^FAMILY income from all sources less than ^200POVERTY or
^200POVERTY or more?

Fills: FAMILY
Instructions: If PCNT_A > 1 fill "family"

Fills: 200POVERTY
Instructions: TBD

Type: Enumerated
Length: 1
Answer List: TINC200PCT_A
Value:

Mnemonic:

Description:

1

Less than ^200POVERTY

2

^200POVERTY or more

Last Modified: Monday, April 10, 2017

Page 692 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: Store INC_FLG_A=1 if INC200PCT_A IN ('1','2')
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Monday, April 10, 2017

Page 693 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INC75K_A

Field

Adult.INC.INC75K_A
Description: Income over/under 75K
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Income over/under 75K
INC75K_A
Adult.INC.INC75K_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG=1 and INC_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and INC_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe: INCTOTAL IN (DK,RF)
Additional conditions TBD in October
Universe Description: Sample Adult 18+ answered refused or don't know for total family income and Sample
Adult and Sample Child are in the same family and the Sample Child INC section has
not been completed OR the Sample Adult and Sample Child are not in the same family
OR Sample Adult and Sample Child are in the same family, Sample Child respondent
answered all questions asked in the INC section with dk/rf and Sample Adult is not the
Sample Child respondent
Question Text: Was your total ^FAMILY income from all sources less than $75,000 or $75,000
or more?

Fills: FAMILY
Instructions: If PCNT_A > 1 fill "family"

Type: Enumerated
Length: 1
Answer List: TINC75K
Value:

Mnemonic:

Description:

1

Less than $75,000

2

$75,000 or more
x Don't Know
x Refuse
Empty

Last Modified: Monday, April 10, 2017

Page 694 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x On Input
x On Output
Store Instructions: Store INC_FLG_A=1 if IN75K_A IN ('1','2')
Array:
Skip Instructions: <1> [goto INC400PCT_A]
<2> [goto INC100K_A]
 [goto next section]

Last Modified: Monday, April 10, 2017

Page 695 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INC100K_A

Field

Adult.INC.INC100K_A
Description: Income over/under 100K
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Income over/under 100K
INC100K_A
Adult.INC.INC100K_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG=1 and INC_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and INC_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe: INCTOTAL IN (DK,RF)
Additional conditions TBD in October
Universe Description: Sample Adult 18+ answered refused or don't know for total family income and Sample
Adult and Sample Child are in the same family and the Sample Child INC section has
not been completed OR the Sample Adult and Sample Child are not in the same family
OR Sample Adult and Sample Child are in the same family, Sample Child respondent
answered all questions asked in the INC section with dk/rf and Sample Adult is not the
Sample Child respondent
Question Text: Was your total ^FAMILY income from all sources less than $100,000 or
$100,000 or more?

Fills: FAMILY
Instructions: If PCNT_A > 1 fill "family"

Type: Enumerated
Length: 1
Answer List: TINC100K
Value:

Mnemonic:

Description:

1

Less than $100,000

2

$100,000 or more
x Don't Know
x Refuse
Empty

Last Modified: Monday, April 10, 2017

Page 696 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x On Input
x On Output
Store Instructions: Store INC_FLG_A=1 if INC100K_A IN ('1','2')
Array:
Skip Instructions: <1> if there are 1, 2, 5, or 6 people in the family [goto next section]
else if there are 3 people in the family [goto INC400PCT_A]
<2> if there are 1, 2, or 3 people in the family [goto INC150K_A]
elseif there are 5 or 6 people in the family [goto INC400PCT_A]

Last Modified: Monday, April 10, 2017

Page 697 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INC400PCT_A

Field

Adult.INC.INC400PCT_A
Description: Income 400% poverty
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Income 400% poverty
INC400PCT_A
Adult.INC.INC400PCT_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG=1 and INC_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and INC_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe: INCTOTAL IN (DK,RF)
Additional conditions TBD in October
Universe Description: Sample Adult 18+ answered refused or don't know for total family income and Sample
Adult and Sample Child are in the same family and the Sample Child INC section has
not been completed OR the Sample Adult and Sample Child are not in the same family
OR Sample Adult and Sample Child are in the same family, Sample Child respondent
answered all questions asked in the INC section with dk/rf and Sample Adult is not the
Sample Child respondent
Question Text: Was your total ^FAMILY income from all sources less than ^400POVERTY or
^400POVERTY or more?

Fills: FAMILY
Instructions: If PCNT_A > 1 fill "family"

Fills: 400POVERTY
Instructions: TBD

Type: Enumerated
Length: 1
Answer List: TINC400PCT_A
Value:

Mnemonic:

Description:

1

Less than ^400POVERTY

2

^400POVERTY or more

Last Modified: Monday, April 10, 2017

Page 698 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: Store INC_FLG_A=1 if INC400PCT_A IN ('1','2')
Array:
Skip Instructions: <1> if there are 9 or more people in the family then [goto INC150K_A]
else [goto next section]
<2> if there are 1, 2, 3, 7, or 8 people in the family [goto next section]
else if there are 4, 5, or 6 people in the family [goto INC150K_A]
 [goto next section]

Last Modified: Monday, April 10, 2017

Page 699 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

INC150K_A

Field

Adult.INC.INC150K_A
Description: Income over/under 150K
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Income over/under 150K
INC150K_A
Adult.INC.INC150K_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG=1 and INC_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and INC_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe: INCTOTAL IN (DK,RF)
Additional conditions TBD in October
Universe Description: Sample Adult 18+ answered refused or don't know for total family income and Sample
Adult and Sample Child are in the same family and the Sample Child INC section has
not been completed OR the Sample Adult and Sample Child are not in the same family
OR Sample Adult and Sample Child are in the same family, Sample Child respondent
answered all questions asked in the INC section with dk/rf and Sample Adult is not the
Sample Child respondent
Question Text: Was your total ^FAMILY income from all sources less than $150,000 or
$150,000 or more?

Fills: FAMILY
Instructions: If PCNT_A > 1 fill "family"

Type: Enumerated
Length: 1
Answer List: TINC150K_A
Value:

Mnemonic:

Description:

1

Less than $150,000

2

$150,000 or more
x Don't Know
x Refuse
Empty

Last Modified: Monday, April 10, 2017

Page 700 of 895

Survey: NHIS Bridge
Section: Adult.INC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x On Input
x On Output
Store Instructions: Store INC_FLG_A=1 if INC150K_A IN ('1','2')
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Tuesday, May 23, 2017

Page 701 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FOO

Block

Adult.FOO
Description: Food Related Programs
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: (SAMEFAM_FLG=1 and FOO_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and FOO_FLG_C=2 and SARESPSC_FLG NE 1)
Universe Description: Sample Adult and Sample Child are in the same family and the child FOO section has
not been completed OR the Sample Adult and Sample Child are not in the same family
OR Sample Adult and Sample Child are in the same family and Sample child
respondent answered refused or don't know to all questions in the sample child FOO
section and the sample child respondent is not the sample adult respondent.
Array:
Block Instructions:

Last Modified: Friday, September 1, 2017

Page 702 of 895

Survey: NHIS Bridge
Section: Adult.FOO

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FSNAP12M_A

Field

Adult.FOO.FSNAP12M_A
Description: Receive food stamps, past 12m
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Receive food stamps, past 12m
FSNAP12M_A
Adult.FOO.FSNAP12M_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
((SAMEFAM_FLG=1 and FOO_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and FOO_FLG_C=2 and SARESPSC_FLG NE 1))

Universe:
Universe Description: Sample Adults 18+ and Sample Adult and Sample Child are in the same family and the
FOO section has not been completed OR the Sample Adult and Sample Child are not
in the same family OR Sample Adult and Sample Child are in the same family and
Sample Child FOO section was asked to someone other than the Sample Adult
respondent and this person answered all questions asked in the FOO section with RF
or DK.
Question Text: At any time IN THE LAST 12 MONTHS did ^YOUFAMLVHERE_A receive
^FSSNAPNM?
Read if necessary: This program puts money on a SNAP EBT card that you can
only use to buy food.

Fills: YOUFAMLVHERE_A
Instructions: If PCNT_A=1, fill: "you"; else PCNT_A GT 1, fill: "any family members living
here"
Â

Fills: FSSNAPNM
Instructions: (**When updating** If the state program name is "Food Stamp Program", then
just fill "food stamp benefits";
else, fill state name for the family's state of residence (COV.ST) along with "or
food stamp benefits" as listed below.)Â
If AL then fill "Food Assistance Program or food stamp benefits"
If AK then fill "food stamp benefits"
If AZ then fill "Nutrition Assistance or food stamp benefits"
If AR then fill "SNAP or food stamp benefits"
If CA then fill "CalFresh"
Last Modified: Friday, September 1, 2017

Page 703 of 895

Survey: NHIS Bridge
Section: Adult.FOO

Blaise Item-Level Specifications Report
Spider Version 1.6.2

If CO then fill "Food Assistance Program or food stamp benefits"
If CT then fill "SNAP or food stamp benefits"
If DE then fill "Food Supplement Program or food stamp benefits"
If DC then fill "SNAP or food stamp benefits"
If FL then fill "Food Assistance Program or food stamp benefits"
If GA then fill "food stamp benefits"
If HI then fill "SNAP or food stamp benefits"
If ID then fill "food stamp benefits"
If IL then fill "SNAP or food stamp benefits"
If IN then fill "SNAP or food stamp benefits"
If IA then fill "Food Assistance Program and food stamp benefits"
If KS then fill "Food Assistance Program and food stamp benefits"
If KY then fill "SNAP or food stamp benefits"
If LA then fill "SNAP or food stamp benefits"
If ME then fill "Food Supplement Program or food stamp benefits"
If MD then fill "Food Supplement Program or food stamp benefits"
If MA then fill "SNAP or food stamp benefits"
If MI then fill "Food Assistance Program or food stamp benefits"
If MN then fill "SNAP or food stamp benefits"
If MS then fill "SNAP or food stamp benefits"
If MO then fill "food stamp benefits"
If MT then fill "SNAP or food stamp benefits"
If NE then fill "SNAP or food stamp benefits"
If NV then fill "SNAP or food stamp benefits"
If NH then fill "food stamp benefits"
If NJ then fill "SNAP"
If NM then fill "SNAP or food stamp benefits"
If NY then fill "SNAP or food stamp benefits"
If NC then fill "Food and Nutrition Services or food stamp benefits"
If ND then fill "SNAP or food stamp benefits"
If OH then fill "Food Assistance Program or food stamp benefits"
If OK then fill "SNAP or food stamp benefits"
If OR then fill "SNAP or food stamp benefits"
If PA then fill "SNAP or food stamp benefits"
If RI then fill "SNAP or food stamp benefits"
If SC then fill "SNAP or food stamp benefits"
If SD then fill "SNAP or food stamp benefits"
If TN then fill "SNAP"
If TX then fill "SNAP or food stamp benefits"
If UT then fill "SNAP"
If VT then fill "3SquaresVT or food stamp benefits"
If VA then fill "SNAP or food stamp benefits"
If WAÂ then fill "Basic Food or food stamp benefits"
If WV then fill "SNAP or food stamp benefits"
If WI then fill "FoodShare Wisconsin or food stamp benefits"
If WY then fill "SNAP or food stamp benefits"

Last Modified: Friday, September 1, 2017

Page 704 of 895

Survey: NHIS Bridge
Section: Adult.FOO

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: Store FOO_FLG_A=1 if FSNAP12M_A IN (1,2)
Store FOO_FLG_A=2 if FSNAP12M_A IN (DK,RF)
Array:
Skip Instructions: <1> [goto FSNAP30D_A]
<2,RF,DK> if PCNTF1255_A ge 1 or PCNTC05_A ge 1 [goto FWIC12M_A]
else if PCNTC517_A ge 1 [goto FLUNCH12M_A]
else [goto next section]

Last Modified: Tuesday, September 19, 2017

Page 705 of 895

Survey: NHIS Bridge
Section: Adult.FOO

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FSNAP30D_A

Field

Adult.FOO.FSNAP30D_A
Description: Receive food stamps, past 30d
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Receive food stamps, past 30d
FSNAP30D_A
Adult.FOO.FSNAP30D_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
((SAMEFAM_FLG=1 and FOO_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and FOO_FLG_C=2 and SARESPSC_FLG NE 1))

Universe: FSNAP12M_A='1'
Universe Description: Sample Adults 18+ living in families where someone received food stamps in the last
12 months AND Sample Adult and Sample Child are in the same family and the FOO
section has not been completed OR the Sample Adult and Sample Child are not in the
same family OR Sample Adult and Sample Child are in the same family and Sample
child respondent answered refused or don't know to all questions in the sample child
FOO section and the sample child respondent is not the sample adult respondent.
Question Text: Did ^YOUFAMLVHERE_A receive ^FSSNAPNM in the LAST 30 days?

Fills: YOUFAMLVHERE_A
Instructions: If PCNT_A=1, fill: "you"; else PCNT_A GT 1, fill: "any family members living
here"
Â

Fills: FSSNAPNM
Instructions: (**When updating** If the state program name is "Food Stamp Program", then
just fill "food stamp benefits";
else, fill state name for the family's state of residence (COV.ST) along with "or
food stamp benefits" as listed below.)Â
If AL then fill "Food Assistance Program or food stamp benefits"
If AK then fill "food stamp benefits"
If AZ then fill "Nutrition Assistance or food stamp benefits"
If AR then fill "SNAP or food stamp benefits"
If CA then fill "CalFresh"
If CO then fill "Food Assistance Program or food stamp benefits"
If CT then fill "SNAP or food stamp benefits"
If DE then fill "Food Supplement Program or food stamp benefits"
Last Modified: Tuesday, September 19, 2017

Page 706 of 895

Survey: NHIS Bridge
Section: Adult.FOO

Blaise Item-Level Specifications Report
Spider Version 1.6.2

If DC then fill "SNAP or food stamp benefits"
If FL then fill "Food Assistance Program or food stamp benefits"
If GA then fill "food stamp benefits"
If HI then fill "SNAP or food stamp benefits"
If ID then fill "food stamp benefits"
If IL then fill "SNAP or food stamp benefits"
If IN then fill "SNAP or food stamp benefits"
If IA then fill "Food Assistance Program and food stamp benefits"
If KS then fill "Food Assistance Program and food stamp benefits"
If KY then fill "SNAP or food stamp benefits"
If LA then fill "SNAP or food stamp benefits"
If ME then fill "Food Supplement Program or food stamp benefits"
If MD then fill "Food Supplement Program or food stamp benefits"
If MA then fill "SNAP or food stamp benefits"
If MI then fill "Food Assistance Program or food stamp benefits"
If MN then fill "SNAP or food stamp benefits"
If MS then fill "SNAP or food stamp benefits"
If MO then fill "food stamp benefits"
If MT then fill "SNAP or food stamp benefits"
If NE then fill "SNAP or food stamp benefits"
If NV then fill "SNAP or food stamp benefits"
If NH then fill "food stamp benefits"
If NJ then fill "SNAP"
If NM then fill "SNAP or food stamp benefits"
If NY then fill "SNAP or food stamp benefits"
If NC then fill "Food and Nutrition Services or food stamp benefits"
If ND then fill "SNAP or food stamp benefits"
If OH then fill "Food Assistance Program or food stamp benefits"
If OK then fill "SNAP or food stamp benefits"
If OR then fill "SNAP or food stamp benefits"
If PA then fill "SNAP or food stamp benefits"
If RI then fill "SNAP or food stamp benefits"
If SC then fill "SNAP or food stamp benefits"
If SD then fill "SNAP or food stamp benefits"
If TN then fill "SNAP"
If TX then fill "SNAP or food stamp benefits"
If UT then fill "SNAP"
If VT then fill "3SquaresVT or food stamp benefits"
If VA then fill "SNAP or food stamp benefits"
If WAÂ then fill "Basic Food or food stamp benefits"
If WV then fill "SNAP or food stamp benefits"
If WI then fill "FoodShare Wisconsin or food stamp benefits"
If WY then fill "SNAP or food stamp benefits"

Type: Enumerated
Length: 1
Last Modified: Tuesday, September 19, 2017

Page 707 of 895

Survey: NHIS Bridge
Section: Adult.FOO

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> if PCNTF1255_A GE 1 or PCNTC05_A GE 1 [goto FWIC12M_A]
else if PCNTC517_A GE 1 [goto FLUNCH12M_A];
else [goto next section]

Last Modified: Monday, April 10, 2017

Page 708 of 895

Survey: NHIS Bridge
Section: Adult.FOO

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FWIC12M_A

Field

Adult.FOO.FWIC12M_A
Description: Receive WIC benefits, past 12m
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Receive WIC benefits, past 12m
FWIC12M_A
Adult.FOO.FWIC12M_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
((SAMEFAM_FLG=1 and FOO_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and FOO_FLG_C=2 and SARESPSC_FLG NE 1))

Universe: (PCNTF1255_A GE 1 or PCNTC05_A GE 1)
Universe Description: Sample Adults 18+ living in families with females 12-55 years of age or children 0-5
years of age and Sample Adult and Sample Child are in the same family and the FOO
section has not been completed OR the Sample Adult and Sample Child are not in the
same family OR Sample Adult and Sample Child are in the same family and Sample
child respondent answered refused or don't know to all questions in the sample child
FOO section and the sample child respondent is not the sample adult respondent.
Question Text: At any time during the last 12 months did ^YOUFAMLVHERE_A receive
benefits from the WIC program, that is, the Women, Infants, and Children
program?

Fills: YOUFAMLVHERE_A
Instructions: If PCNT_A=1, fill: "you"; else PCNT_A GT 1, fill: "any family members living
here"
Â

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know

Last Modified: Monday, April 10, 2017

Page 709 of 895

Survey: NHIS Bridge
Section: Adult.FOO

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x Refuse
Empty
x On Input
x On Output
Store Instructions: Store FOO_FLG_A=1 if FWIC12M_A IN ('1','2')
Array:
Skip Instructions: <1,2,RF,DK> if PCNTC517_A GE 1 [goto FLUNCH12M_A]
else [goto next section]

Last Modified: Tuesday, August 8, 2017

Page 710 of 895

Survey: NHIS Bridge
Section: Adult.FOO

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FLUNCH12M_A

Field

Adult.FOO.FLUNCH12M_A
Description: Receive free/reduced meals at school
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Free/reduced meals at school
FLUNCH12M_A
Adult.FOO.FLUNCH12M_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
((SAMEFAM_FLG=1 and FOO_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and FOO_FLG_C=2 and SARESPSC_FLG NE 1))

Universe: PCNTC517_A GE 1
Universe Description: Sample Adults living in families with children between the ages of 5-17 and Sample
Adult and Sample Child are in the same family and the FOO section has not been
completed OR the Sample Adult and Sample Child are not in the same family OR
Sample Adult and Sample Child are in the same family and Sample child respondent
answered refused or don't know to all questions in the sample child FOO section and
the sample child respondent is not the sample adult respondent.
Question Text: At any time in the last 12 months, did ^SCCHILDFAM_A receive free or
reduced-cost breakfasts or lunches at school?
Read if necessary: The National School Lunch Program and the School Breakfast
Program provide cash assistance to states to operate breakfast and lunch programs
in schools and residential childcare institutions. The programs provide low-cost or
free breakfasts and lunches to low-income children in kindergarten through 12th
grade.

Fills: SCCHILDFAM_A
Instructions: if PCNT517_A=1, fill: ^ALIASNAME of child in Sample Adult family,
elseif PCNT517_AÂ gt 1, fill "any child in your family",

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No

Last Modified: Tuesday, August 8, 2017

Page 711 of 895

Survey: NHIS Bridge
Section: Adult.FOO

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: Store FOO_FLG_A =1 if FLUNCH12M_A IN ('1','2')
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Friday, June 23, 2017

Page 712 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FDS

Block

Adult.FDS
Description: Food Security
Tab Name: Food Security
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: ((SAMEFAM_FLG ne 1)
OR (SAMEFAM_FLG=1 and FDS_FLG_C=blank)
OR (SAMEFAM_FLG=1 and FDS_FLG_C=2 and SARESPSC_FLG ne 1))
Universe Description: Sample Child and Sample Adult are not in the same family
OR Sample Child and Sample Adult are in the same family AND Sample Child FDS
section has not been completed
OR the Sample Adult and Sample Child are in the same family and every question
asked in the Sample Child FDS section was answered with RF/DK and the person
answering the SC interview and the SA are different people.
Array:
Block Instructions:

Last Modified: Thursday, September 21, 2017

Page 713 of 895

Survey: NHIS Bridge
Section: Adult.FDS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FDSINTRO_A

Field

Adult.FDS.FDSINTRO_A
Description: Intro to Food Security Supplement
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Intro to Food Security
FDSINTRO_A
Adult.FDS.FDSINTRO_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG ne 1)
OR (SAMEFAM_FLG=1 and FDS_FLG_C=blank)
OR (SAMEFAM_FLG=1 and FDS_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe:
Universe Description: Sample Child and Sample Adult are not in the same family
OR Sample Child and Sample Adult are in the same family AND Sample Child FDS
section has not been completed
OR the Sample Adult and Sample Child are in the same family and every question
asked in the Sample Child FDS section was answered with RF/DK and the person
answering the SC interview and the SA are different people.
Question Text: These next questions are about whether ^youyourfamily_A ^waswere always
able to afford the food you needed in the last 30 days. I'm going to read you
several statements that people have made about their food situation. For these
statements, please tell me whether the statement was often true, sometimes
true, or never true for ^youyourfamily_A in the last 30 days.
Enter '1' to continue.

Fills: youyourfamily_A
Instructions: If PCNT_A=1 "you"
else "your family"

Fills: waswere
Instructions: If PCNT_A=1 "were"
else "was"

Type: Enumerated
Length: 1

Last Modified: Thursday, September 21, 2017

Page 714 of 895

Survey: NHIS Bridge
Section: Adult.FDS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Answer List: tContinue
Value:

Mnemonic:

1

Description:
Enter 1 to Continue
Don't Know
Refuse
Empty
x On Input
x On Output

Array:
Skip Instructions: <1> [goto FDSRUNOUT_A]

Last Modified: Thursday, September 21, 2017

Page 715 of 895

Survey: NHIS Bridge
Section: Adult.FDS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FDSRUNOUT_A

Field

Adult.FDS.FDSRUNOUT_A
Description: Worry food would run out
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Worry food would run out
FDSRUNOUT_A
Adult.FDS.FDSRUNOUT_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG ne 1)
OR (SAMEFAM_FLG=1 and FDS_FLG_C=blank)
OR (SAMEFAM_FLG=1 and FDS_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe:
Universe Description: The Sample Child and Sample Adult are not in the same family
OR Sample Child and Sample Adult are in the same family AND Sample Child FDS
section has not been completed
OR the Sample Adult and Sample Child are in the same family and every question
asked in the Sample Child FDS section was answered with RF/DK and the person
answering the SC interview and the SA are different people.
Question Text: The first statement is "^IWe_A worried whether ^myour_A food would run out
before ^Iwe_A got money to buy more." Was that often true, sometimes true,
or never true for ^youyourfamily_A in the last 30 days?

Fills: IWe_A
Instructions: If PCNT_A=1 fill: "I"
else fill:Â "We"

Fills: myour_A
Instructions: If PCNT_A=1 fill: "my"
else fill: "our"

Fills: Iwe_A
Instructions: If PCNT_A=1 fill "I"
else fill "we"

Fills: youyourfamily_A
Instructions: If PCNT_A=1 "you"
Last Modified: Thursday, September 21, 2017

Page 716 of 895

Survey: NHIS Bridge
Section: Adult.FDS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

else "your family"

Type: Enumerated
Length: 1
Answer List: TTRUE
Value:

Mnemonic:

Description:

1

Often true

2

Sometimes true

3

Never true
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: Store FDS_FLG_A=1 if FDSRUNOUT_A IN ('1','2','3')
Store FDS_FLG_A=2 if FDSRUNOUT_A IN ('DK','RF')
Array:
Skip Instructions: <1-3,RF,DK> [goto FDSLAST_A]

Last Modified: Thursday, September 21, 2017

Page 717 of 895

Survey: NHIS Bridge
Section: Adult.FDS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FDSLAST_A

Field

Adult.FDS.FDSLAST_A
Description: Food didn't last
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Food didn't last
FDSLAST_A
Adult.FDS.FDSLAST_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG ne 1)
OR (SAMEFAM_FLG=1 and FDS_FLG_C=blank)
OR (SAMEFAM_FLG=1 and FDS_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe:
Universe Description: The Sample Child and Sample Adult are not in the same family
OR Sample Child and Sample Adult are in the same family AND Sample Child FDS
section has not been completed
OR the Sample Adult and Sample Child are in the same family and every question
asked in the Sample Child FDS section was answered with RF/DK and the person
answering the SC interview and the SA are different people.
Question Text: "The food that ^Iwe_A bought just didn't last, and ^Iwe_A didn't have money to
get more." Was that often true, sometimes true, or never true for
^youyourfamily_A in the last 30 days?

Fills: Iwe_A
Instructions: If PCNT_A=1 fill "I"
else fill "we"

Fills: youyourfamily_A
Instructions: If PCNT_A=1 "you"
else "your family"

Type: Enumerated
Length: 1
Answer List: TTRUE
Value:
1

Mnemonic:

Description:
Often true

Last Modified: Thursday, September 21, 2017

Page 718 of 895

Survey: NHIS Bridge
Section: Adult.FDS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

2

Sometimes true

3

Never true
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: Store FDS_FLG_A=1 if FDSLAST_A IN ('1','2','3')
Array:
Skip Instructions: <1-3,RF,DK> [goto FDSBALANCE_A]

Last Modified: Thursday, September 21, 2017

Page 719 of 895

Survey: NHIS Bridge
Section: Adult.FDS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FDSBALANCE_A

Field

Adult.FDS.FDSBALANCE_A
Description: Couldn't afford to eat balance meals
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Afford balance meals
FDSBALANCE_A
Adult.FDS.FDSBALANCE_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG ne 1)
OR (SAMEFAM_FLG=1 and FDS_FLG_C=blank)
OR (SAMEFAM_FLG=1 and FDS_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe:
Universe Description: The Sample Child and Sample Adult are not in the same family
OR Sample Child and Sample Adult are in the same family AND Sample Child FDS
section has not been completed
OR the Sample Adult and Sample Child are in the same family and every question
asked in the Sample Child FDS section was answered with RF/DK and the person
answering the SC interview and the SA are different people.
Question Text: ^IWe_A couldn't afford to eat balanced meals." Was that often true, sometimes
true, or never true for ^youyourfamily_A in the last 30 days?

Fills: IWe_A
Instructions: If PCNT_A=1 fill: "I"
else fill:Â "We"

Fills: youyourfamily_A
Instructions: If PCNT_A=1 "you"
else "your family"

Type: Enumerated
Length: 1
Answer List: TTRUE
Value:

Mnemonic:

Description:

1

Often true

2

Sometimes true

Last Modified: Thursday, September 21, 2017

Page 720 of 895

Survey: NHIS Bridge
Section: Adult.FDS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

3

Never true
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: Store FDS_FLG_A=1 if FDSBALANCE_A IN ('1','2','3')
Array:
Skip Instructions: <1-2> [goto FDSSKIP_A]
<3,RF,DK> if FDSRUNOUT_A IN (1,2) OR FDSLAST_A IN (1,2) [goto FDSSKIP_A];
else [goto next section]

Last Modified: Thursday, September 21, 2017

Page 721 of 895

Survey: NHIS Bridge
Section: Adult.FDS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FDSSKIP_A

Field

Adult.FDS.FDSSKIP_A
Description: cut the size of meals or skip meals
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Cut the size or skip meals
FDSSKIP_A
Adult.FDS.FDSSKIP_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG ne 1)
OR (SAMEFAM_FLG=1 and FDS_FLG_C=blank)
OR (SAMEFAM_FLG=1 and FDS_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe: FDSRUNOUT_A IN (1,2) or FDSLAST_A IN (1,2) or FDSBALANCE_A IN (1,2)
Universe Description: The Sample Child and Sample Adult are not in the same family
OR Sample Child and Sample Adult are in the same family AND Sample Child FDS
section has not been completed
OR the Sample Adult and Sample Child are in the same family and every question
asked in the Sample Child FDS section was answered with RF/DK and the person
answering the SC interview and the SA are different people and respondent answered
often true or sometimes true to FDSRUNOUT_A or FDSLAST_A or FDSBALANCE_A.
Question Text: In the last 30 days, did ^youorother_A ever cut the size of your meals or skip
meals because there wasn't enough money for food?

Fills: youorother_A
Instructions: If PCNT18UP_A=1: fill "you"
else "you or other adults in your family"

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know

Last Modified: Thursday, September 21, 2017

Page 722 of 895

Survey: NHIS Bridge
Section: Adult.FDS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto FDSSKIPDAYS_A]
<2,RF,DK> [goto FDSLESS_A]

Last Modified: Thursday, September 21, 2017

Page 723 of 895

Survey: NHIS Bridge
Section: Adult.FDS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FDSSKIPDAYS_A

Field

Adult.FDS.FDSSKIPDAYS_A
Description: How many days did you/adults in the family cut the size of meals or skip meals
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

How many days
FDSSKIPDAYS_A
Adult.FDS.FDSSKIPDAYS_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG ne 1)
OR (SAMEFAM_FLG=1 and FDS_FLG_C=blank)
OR (SAMEFAM_FLG=1 and FDS_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe: FDSSKIP_A=1
Universe Description: The Sample Child and Sample Adult are not in the same family
OR Sample Child and Sample Adult are in the same family AND Sample Child FDS
section has not been completed
OR the Sample Adult and Sample Child are in the same family and every question
asked in the Sample Child FDS section was answered with RF/DK and the person
answering the SC interview and the SA are different people and respondent said that
they or other adults in their family cut the size of their meals or skipped meals due to
cost.
Question Text: In the last 30 days, how many days did this happen?

Type: Integer
Length: 2
Min: 1
Max: 30
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-30,RF,DK> [goto FDSLESS_A]

Last Modified: Thursday, September 21, 2017

Page 724 of 895

Survey: NHIS Bridge
Section: Adult.FDS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FDSLESS_A

Field

Adult.FDS.FDSLESS_A
Description: eat less than should
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Eat less than should
FDSLESS_A
Adult.FDS.FDSLESS_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG ne 1)
OR (SAMEFAM_FLG=1 and FDS_FLG_C=blank)
OR (SAMEFAM_FLG=1 and FDS_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe: FDSRUNOUT_A IN (1,2) or FDSLAST_A IN (1,2) or FDSBALANCE_A IN (1,2)
Universe Description: The Sample Child and Sample Adult are not in the same family
OR Sample Child and Sample Adult are in the same family AND Sample Child FDS
section has not been completed
OR the Sample Adult and Sample Child are in the same family and every question
asked in the Sample Child FDS section was answered with RF/DK and the person
answering the SC interview and the SA are different people and respondent answered
often true or sometimes true that in the last 30 days they worried that food would run
out before they got money to buy more, or that the food that was bought didn't last and
they didn't have money to get more or couldn't afford to eat balanced meals.
Question Text: In the last 30 days, did ^youorother_A ever eat less than you felt you should
because there wasn't enough money for food?

Fills: youorother_A
Instructions: If PCNT18UP_A=1: fill "you"
else "you or other adults in your family"

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No

Last Modified: Thursday, September 21, 2017

Page 725 of 895

Survey: NHIS Bridge
Section: Adult.FDS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto FDSHUNGRY_A]

Last Modified: Thursday, September 21, 2017

Page 726 of 895

Survey: NHIS Bridge
Section: Adult.FDS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FDSHUNGRY_A

Field

Adult.FDS.FDSHUNGRY_A
Description: ever hungry because not enough money for food
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Ever hungry
FDSHUNGRY_A
Adult.FDS.FDSHUNGRY_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG ne 1)
OR (SAMEFAM_FLG=1 and FDS_FLG_C=blank)
OR (SAMEFAM_FLG=1 and FDS_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe: FDSRUNOUT_A IN (1,2) or FDSLAST_A IN (1,2) or FDSBALANCE_A IN (1,2)
Universe Description: The Sample Child and Sample Adult are not in the same family
OR Sample Child and Sample Adult are in the same family AND Sample Child FDS
section has not been completed
OR the Sample Adult and Sample Child are in the same family and every question
asked in the Sample Child FDS section was answered with RF/DK and the person
answering the SC interview and the SA are different people and respondent answered
often true or sometimes true that in the last 30 days they worried that food would run
out before they got money to buy more, or that the food that was bought didn't last and
they didn't have money to get more or couldn't afford to eat balanced meals.
Question Text: In the last 30 days, were ^youorother_A ever hungry but didn't eat because
there wasn't enough money for food?

Fills: youorother_A
Instructions: If PCNT18UP_A=1: fill "you"
else "you or other adults in your family"

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No

Last Modified: Thursday, September 21, 2017

Page 727 of 895

Survey: NHIS Bridge
Section: Adult.FDS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto FDSWEIGHT_A]

Last Modified: Thursday, September 21, 2017

Page 728 of 895

Survey: NHIS Bridge
Section: Adult.FDS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FDSWEIGHT_A

Field

Adult.FDS.FDSWEIGHT_A
Description: lose weight because not enough money for food
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Lose weight
FDSWEIGHT_A
Adult.FDS.FDSWEIGHT_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG ne 1)
OR (SAMEFAM_FLG=1 and FDS_FLG_C=blank)
OR (SAMEFAM_FLG=1 and FDS_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe: FDSRUNOUT_A IN (1,2) or FDSLAST_A IN (1,2) or FDSBALANCE_A IN (1,2)
Universe Description: The Sample Child and Sample Adult are not in the same family
OR Sample Child and Sample Adult are in the same family AND Sample Child FDS
section has not been completed
OR the Sample Adult and Sample Child are in the same family and every question
asked in the Sample Child FDS section was answered with RF/DK and the person
answering the SC interview and the SA are different people and respondent answered
often true or sometimes true that in the last 30 days they worried that food would run
out before they got money to buy more, or that the food that was bought didn't last and
they didn't have money to get more or couldn't afford to eat balanced meals.
Question Text: In the last 30 days, did ^youorother_A lose weight because there wasn't
enough money for food?

Fills: youorother_A
Instructions: If PCNT18UP_A=1: fill "you"
else "you or other adults in your family"

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No

Last Modified: Thursday, September 21, 2017

Page 729 of 895

Survey: NHIS Bridge
Section: Adult.FDS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto FDSNOTEAT_A]
<2,RF,DK> if FDSSKIP_A=1 or FDSLESS_A=1 or FDSHUNGRY_A=1
FDSNOTEAT_A]; else [goto next section]

Last Modified: Thursday, September 21, 2017

[goto

Page 730 of 895

Survey: NHIS Bridge
Section: Adult.FDS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FDSNOTEAT_A

Field

Adult.FDS.FDSNOTEAT_A
Description: not eat for a whole day
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

Not eat for day
FDSNOTEAT_A
Adult.FDS.FDSNOTEAT_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG ne 1)
OR (SAMEFAM_FLG=1 and FDS_FLG_C=blank)
OR (SAMEFAM_FLG=1 and FDS_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe: (FDSSKIP_A=1 or FDSLESS_A=1 or FDSHUNGRY_A=1 or FDSWEIGHT_A=1)
Universe Description: The Sample Child and Sample Adult are not in the same family
OR Sample Child and Sample Adult are in the same family AND Sample Child FDS
section has not been completed
OR the Sample Adult and Sample Child are in the same family and every question
asked in the Sample Child FDS section was answered with RF/DK and the person
answering the SC interview and the SA are different people and respondent answered
they cut the size of the meals, skipped meals, were hungry but didn't eat, or lost weight
in the last 30 days because there wasn't enough money for food.
Question Text: In the last 30 days, did ^youorother_A ever not eat for a whole day because
there wasn't enough money for food?

Fills: youorother_A
Instructions: If PCNT18UP_A=1: fill "you"
else "you or other adults in your family"

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know

Last Modified: Thursday, September 21, 2017

Page 731 of 895

Survey: NHIS Bridge
Section: Adult.FDS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto FDSNEDAYS_A]
<2,RF,DK> [goto next section]

Last Modified: Thursday, September 21, 2017

Page 732 of 895

Survey: NHIS Bridge
Section: Adult.FDS

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FDSNEDAYS_A

Field

Adult.FDS.FDSNEDAYS_A
Description: how many days not eat
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe:

How many days
FDSNEDAYS_A
Adult.FDS.FDSNEDAYS_A
(GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT
gt GEN.PCNTAGEGUESS and not all household members in the armed forces) AND
(((SAMEFAM_FLG ne 1)
OR (SAMEFAM_FLG=1 and FDS_FLG_C=blank)
OR (SAMEFAM_FLG=1 and FDS_FLG_C=2 and SARESPSC_FLG ne 1)))

Universe: FDSNOTEAT_A=1
Universe Description: The Sample Child and Sample Adult are not in the same family
OR Sample Child and Sample Adult are in the same family AND Sample Child FDS
section has not been completed
OR the Sample Adult and Sample Child are in the same family and every question
asked in the Sample Child FDS section was answered with RF/DK and the person
answering the SC interview and the SA are different people and respondent didn't eat
for a whole day in last 30 days because there wasn't enough money for food
Question Text: In the last 30 days, how many days did this happen?

Type: Integer
Length: 2
Min: 1
Max: 30
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-30,RF,DK> [goto next section]

Last Modified: Thursday, March 30, 2017

Page 733 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HOU

Block

Adult.HOU
Description: Housing
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions: Ask HOUYRSLIV_A to Sample Adult even if Sample Child HOU section has been
asked

Last Modified: Thursday, March 30, 2017

Page 734 of 895

Survey: NHIS Bridge
Section: Adult.HOU

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HOUYRSLIV_A

Field

Adult.HOU.HOUYRSLIV_A
Description: Length of time in house/apartment
Form Pane Label: Length of time in house/apartment
SAS Name: HOUYRSLIV_A
Tag Name: Adult.HOU.HOUYRSLIV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: About how long have you lived in this house/apartment?

Type: Enumerated
Length: 1
Answer List: TTIMEHOUSE_A
Value:

Mnemonic:

Description:

1

Less than 1 year

2

1 to 3 years

3

4 to 10 years

4

11 to 20 years

5

More than 20 years
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-5,RF,DK> if ((SAMEFAM_FLG=1 and HOU_FLG_C=blank) or (SAMEFAM_FLG
ne 1) or (SAMEFAM_FLG=1 and HOU_FLG_C=2 and SARESPSC_FLG ne 1))[goto
HOUTENURE_A]
else [goto next section]

Last Modified: Thursday, August 31, 2017

Page 735 of 895

Survey: NHIS Bridge
Section: Adult.HOU

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HOUTENURE_A

Field

Adult.HOU.HOUTENURE_A
Description: Residence owned/rented
Form Pane Label: Residence owned/rented
SAS Name: HOUTENURE_A
Tag Name: Adult.HOU.HOUTENURE_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: ((SAMEFAM_FLG=1 and HOU_FLG_C=blank) or (SAMEFAM_FLG ne 1) or
(SAMEFAM_FLG=1 and HOU_FLG_C=2 and SARESPSC_FLG ne 1)
Universe Description: Sample Adults 18+ and Sample Adult and Sample Child are in the same family and the
HOU section has not been completed OR the Sample Adult and Sample Child are not
in the same family OR Sample Adult and Sample Child are in the same family and
Sample child respondent answered refused or don't know to all questions in the sample
child HOU section and the sample child respondent is not the sample adult respondent.
Question Text: Is this house/apartment owned or rented by you ^SOMEFAM_A?
If house has a mortgage, record as owned.

Fills: SOMEFAM_A
Instructions: If PCNT18UP_A=1 fill: blank
If PCNT18UP_A gt 1 fill: "or someone in your family"

Type: Enumerated
Length: 1
Answer List: THOUTENURE
Value:

Mnemonic:

Description:

1

Owned or being bought

2

Rented

3

Other arrangement
x Don't Know
x Refuse
Empty

Last Modified: Thursday, August 31, 2017

Page 736 of 895

Survey: NHIS Bridge
Section: Adult.HOU

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x On Input
x On Output
Store Instructions: Set HOU_FLG_A=2 if HOUTENURE_A IN ('DK','RF')
Set HOU_FLG_A=1 if HOUTENURE_A IN ('1','2','3')
Array:
Skip Instructions: <1,3,RF,DK> [goto next section]
<2> [goto HOUGVASST_A]

Last Modified: Wednesday, May 10, 2017

Page 737 of 895

Survey: NHIS Bridge
Section: Adult.HOU

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HOUGVASST_A

Field

Adult.HOU.HOUGVASST_A
Description: Paying lower rent
Form Pane Label: Paying lower rent
SAS Name: HOUGVASST_A
Tag Name: Adult.HOU.HOUGVASST_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:

HOUTENURE_A=2 and
(SAMEFAM_FLG ne 1)
SARESPSC_FLG ne 1))

((SAMEFAM_FLG=1 and HOU_FLG_C=blank) or
or (SAMEFAM_FLG=1 and HOU_FLG_C=2 and

Universe Description: Sample Adults 18+ with a house/apartment that is being rented AND Sample Adult and
Sample Child are in the same family and the house/apartment is being owned/rented
and the HOU section has not been completed OR the Sample Adult and Sample Child
are not in the same family section
Question Text: Are you ^yourfam paying lower rent because the Federal, State, or local
government is paying part of the cost?
Read if necessary: Federal, State, or Local government housing programs for
persons with low income may take many forms. Government housing assistance
could come from monetary assistance to help pay rent, a program called "Section 8,"
direct payments to landlords, vouchers, or other types of assistance from a local
housing authority. Living in public housing is considered housing assistance from the
government.

Fills: yourfam
Instructions: if PCNT18UP_A=1, fill blank, else if PCNT18UP_A GT 1 fill "or anyone in your
family"

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No

Last Modified: Wednesday, May 10, 2017

Page 738 of 895

Survey: NHIS Bridge
Section: Adult.HOU

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Wednesday, March 1, 2017

Page 739 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

REC

Block

Adult.REC
Description: Person's name
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Thursday, September 21, 2017

Page 740 of 895

Survey: NHIS Bridge
Section: Adult.REC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

LNKFNAME_A

Field

Adult.REC.LNKFNAME_A
Description: First name
Form Pane Label: First name
SAS Name: LNKFNAME_A
Tag Name: Adult.REC.LNKFNAME_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: What is your full name?
Enter first name.

Type: String
Length: 20
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions:  [goto LINKMNAME_A]

Last Modified: Thursday, September 21, 2017

Page 741 of 895

Survey: NHIS Bridge
Section: Adult.REC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

LNKMNAME_A

Field

Adult.REC.LNKMNAME_A
Description: Middle name
Form Pane Label: Middle name
SAS Name: LNKMNAME_A
Tag Name: Adult.REC.LNKMNAME_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Enter middle name.

Type: String
Length: 20
x Don't Know
x Refuse
x Empty
x On Input
x On Output
Array:
Skip Instructions:  [goto LINKLNAME_A]

Last Modified: Thursday, September 21, 2017

Page 742 of 895

Survey: NHIS Bridge
Section: Adult.REC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

LNKLNAME_A

Field

Adult.REC.LNKLNAME_A
Description: Last name
Form Pane Label: Last name
SAS Name: LNKLNAME_A
Tag Name: Adult.REC.LNKLNAME_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Enter last name.

Type: String
Length: 20
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions:  [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 743 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

TEL

Block

Adult.TEL
Description: Telephone Use
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Thursday, September 21, 2017

Page 744 of 895

Survey: NHIS Bridge
Section: Adult.TEL

Blaise Item-Level Specifications Report
Spider Version 1.6.2

TELCURWRK_A

Field

Adult.TEL.TELCURWRK_A
Description: house has non-cell phone
Form Pane Label:
SAS Name: TELCURWRK_A
Tag Name: Adult.TEL.TELCURWRK_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: ((SAMEFAM_FLG=1 and TELCURWRK_C=empty) or ((SAMEFAM_FLG=1 and
TELCURWRK_C IN (DK,RF) and SARESPSC_FLG ne 1) or (SAMEFAM_FLG ne 1))
Universe Description: Sample Adults 18+ where the Sample Adult and Sample Child are in the same family
but TELCURWRK_C has not been asked OR Sample Adult and Sample Child are in
the same family, TELCURWRK_C was answered don't know or refused and the
Sample Adult is not the Sample Child Respondent or where the Sample Adult does not
live in same family as Sample Child
Question Text: Is there at least one telephone INSIDE your home that is currently working and
is not a cell phone?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto TELCEL_A]

Last Modified: Thursday, September 28, 2017

Page 745 of 895

Survey: NHIS Bridge
Section: Adult.TEL

Blaise Item-Level Specifications Report
Spider Version 1.6.2

TELCEL_A

Field

Adult.TEL.TELCEL_A
Description: Cell phone
Form Pane Label: Cell phone
SAS Name: TELCEL_A
Tag Name: Adult.TEL.TELCEL_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Do you have a working cell phone?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: If collecting a phone number after this question, store line number of telephone #
selected at PHONE_CONTACT in TLNO_TEL_SA.
Array:
Skip Instructions: <1> if TELCURWRK_A=1 or (TELCURWRK_C=1 and SAMEFAM_FLG=1)[goto
PHONEUSE_A]
else[goto TLNO_TEL_SA]
<2,RF,DK>
if
(SAMEFAM_FLG=1
and
PHONELIVE_C=empty)
or
(SAMEFAM_FLG=1 and PHONELIVE_C IN (DK,RF) and SARESPSC_A ne 1) or

Last Modified: Thursday, September 28, 2017

Page 746 of 895

Survey: NHIS Bridge
Section: Adult.TEL

Blaise Item-Level Specifications Report
Spider Version 1.6.2

(SAMEFAM_FLG ne 1)) and PCNT_A gt 1 [goto PHONELIVE_A]
else [goto TLNO_TEL_SA]

Last Modified: Thursday, September 28, 2017

Page 747 of 895

Survey: NHIS Bridge
Section: Adult.TEL

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PHONELIVE_A

Field

Adult.TEL.PHONELIVE_A
Description: Cell phone in HH
Form Pane Label: Cell phone in HH
SAS Name: PHONELIVE_A
Tag Name: Adult.TEL.PHONELIVE_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: TELCEL_A IN (2,RF,DK) and (SAMEFAM_FLG=1 and PHONELIVE_C=blank) or
(SAMEFAM_FLG=1 and PHONELIVE_C IN (DK,RF) and SARESPSC_A ne 1) or
(SAMEFAM_FLG ne 1)) and PCNT_A gt 1
Universe Description: Sample Adults 18+ in a family with at least one other person without working cell phones
where Sample Adult does not live in same family as Sample Child or Sample Adult and
Sample Child are in the same family but PHONELIVE_C has not been asked OR
Sample Adult and Sample Child are in the same family, PHONELIVE_C was answered
dk/rf and the Sample Adult is not the Sample Child Respondent.
Question Text: Do you live with anyone who has a working cell phone?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: Store line number of telephone # selected at PHONE_CONTACT in TLNO_TEL_SA.
Array:
Skip Instructions: <1,2,RF,DK> [goto TLNO_TEL_SA]

Last Modified: Thursday, September 28, 2017

Page 748 of 895

Survey: NHIS Bridge
Section: Adult.TEL

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PHONEUSE_A

Field

Adult.TEL.PHONEUSE_A
Description: Calls received
Form Pane Label: Calls received
SAS Name: PHONEUSE_A
Tag Name: Adult.TEL.PHONEUSE_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: TELCEL_A='1'
and
(TELCURWRK_A='1'))

((SAMEFAM_FLG=1

and

TELCURWRK_C='1')

or

Universe Description: Sample Adults 18+ with working personal cell phone and who said they have a working
land-line in household or in the same family as sample child respondent who said they
have a working landline in the household.
Question Text: Of all the telephone calls that you receive, are all or almost all calls received on
cell phones, some received on cell phones and some on regular phones, or
very few or none received on cell phones?

Type: Enumerated
Length: 1
Answer List: TPHONEUSE_A
Value:

Mnemonic:

Description:

1

All or almost all calls received on cell phones

2

Some received on cell phones and some on regular phones

3

Very few or none on cell phones
x Don't Know
x Refuse
Empty
x On Input
x On Output
Store Instructions: Store line number of telephone # selected at PHONE_CONTACT in TLNO_TEL_SA.
Array:
Skip Instructions: <1-3,RF,DK> [goto TLNO_TEL_SA]

Last Modified: Thursday, September 28, 2017

Page 749 of 895

Survey: NHIS Bridge
Section: Adult.TEL

Blaise Item-Level Specifications Report
Spider Version 1.6.2

TLNO_TEL_SA

Field

Adult.TEL.TLNO_TEL_SA
Description: Line number of telephone number selected at PHONE_CONTACT for the Sample
Adult
Form Pane Label:
SAS Name:
Tag Name:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Question Text: ***Storage Variable***

Type: Integer
Length: 2
Min: 0
Max: 10
x Don't Know
x Refuse
Empty
On Input
On Output
Store Instructions: Store line number of telephone # selected at PHONE_CONTACT.
Array:
Special Instructions: Call instrument procedure prcCollectContact to collect a phone number. This uses
the bCollectContact block.
Pass the following parameters into the procedure:
IN_SECTION_COLLECTED = (TEL_SA)
IN_LNO_CONTACT = PX_A
Skip Instructions: [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 750 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

LNK

Block

Adult.LNK
Description: Linkage
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Thursday, September 21, 2017

Page 751 of 895

Survey: NHIS Bridge
Section: Adult.LNK

Blaise Item-Level Specifications Report
Spider Version 1.6.2

LNKINTRO_A

Field

Adult.LNK.LNKINTRO_A
Description: Linkage intro
Form Pane Label: Linkage intro
SAS Name: LNKINTRO_A
Tag Name: Adult.LNK.LNKINTRO_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Help Screen: H_LNKINTRO_A
Question Text: ?[F1]
We would like the last four digits of your Social Security Number
^medicarenum. This information will help us link your survey data with
health-related records of other government agencies, and allow us to conduct
additional research without taking up your time with more questions. The
National Center for Health Statistics (NCHS) uses this information for research
purposes only. Providing this information is voluntary. There will be no effect
on your benefits if you do not provide this information. Federal laws authorize
us to ask for this information. Like all other information you have provided,
your answer to this question will not be disclosed by NCHS or its agents, which
includes the U.S. Census Bureau.
Read if necessary: The specific federal laws protecting your privacy and the
confidentiality of your data are the Public Health Service Act (Title 42, U.S.C., Section
242m(d)), the Confidential Information Protection and Statistical Efficiency Act (Title 5
of Public Law 107-347), and the Privacy Act of 1974 (5 U.S.C. § 552a). In addition,
NCHS complies with the Federal Cybersecurity Enhancement Act of 2015 (6 U.S.C.
§§ 151 & 151 note), which requires the federal government to protect federal
computer networks by using computer security programs to identify cybersecurity
risks like hacking, internet attacks, and other security weaknesses.
Enter '1' to continue.

Fills: medicarenum
Instructions: If INS.HIKIND_A=2 or INS.MCAREPRB_A=1, fill ", and the last four numbers and
any letters of your Medicare number"
else, fill nothing

Last Modified: Thursday, September 21, 2017

Page 752 of 895

Survey: NHIS Bridge
Section: Adult.LNK

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Type: Enumerated
Length: 1
Answer List: tContinue
Value:

Mnemonic:

1

Description:
Enter 1 to Continue
Don't Know
Refuse
Empty
x On Input
x On Output

Array:
Skip Instructions: <1> [goto SSN4_A]

Last Modified: Thursday, September 21, 2017

Page 753 of 895

Survey: NHIS Bridge
Section: Adult.LNK

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SSN4_A

Field

Adult.LNK.SSN4_A
Description: Last four SSN
Form Pane Label: Last four SSN
SAS Name: SSN4_A
Tag Name: Adult.LNK.SSN4_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Help Screen: H_LNKINTRO_A
Question Text: ?[F1]
What are the last four digits of your Social Security Number?
Read if necessary: Providing this information is voluntary. There will be no effect on
your benefits if you do not provide this information. Federal laws authorize us to ask
for this information. Like all other information you have provided, your answer to this
question will not be disclosed by NCHS or its agents, which includes the U.S. Census
Bureau.
Read if asked about specific laws: The specific federal laws protecting your privacy
and the confidentiality of your data are the Public Health Service Act, which is Title
42, U.S.C., Section 242m(d); the Confidential Information Protection and Statistical
Efficiency Act, which is Title 5 of Public Law 107-347; and the Privacy Act of 1974,
which is 5 U.S.C. § 552a. In addition, NCHS complies with the Federal
Cybersecurity Enhancement Act of 2015 (6 U.S.C. §§ 151 & 151 note), which
requires the federal government to protect federal computer networks by using
computer security programs to identify cybersecurity risks like hacking, internet
attacks, and other security weaknesses.
Enter 'N' for no Social Security Number.

Type: String
Length: 4
x Don't Know
x Refuse
Empty

Last Modified: Thursday, September 21, 2017

Page 754 of 895

Survey: NHIS Bridge
Section: Adult.LNK

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x On Input
x On Output
Array:
Skip Instructions: if SSN4_A=Child.LNK.SSN4_C [goto ERR1_SSN4_A]
elseif SSN4_A=000-999 [goto ERR2_SSN4_A]
elseif SSN4_A NOT IN (N,RF,DK,000-999,0001-9999) [goto ERR3_SSN4_A]
elseif <0001-9999> if Adult.INS.HIKIND_A=2 or Adult.INS.MCAREPRB_A=1 [goto
MCN04_A] else [goto next section]
 if Adult.INS.HIKIND_A=2 or Adult.INS.MCAREPRB_A=1 [goto
MCN04_A] else [goto RLINK_A]

Last Modified: Monday, August 21, 2017

Page 755 of 895

Survey: NHIS Bridge
Section: Adult.LNK

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR1_SSN4_A

Check

Adult.LNK.ERR1_SSN4_A
Description: SA and SC SSN the same soft edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: SSN4_A=Child.LNK.SSN4_C
Universe Description: The sample adult and the sample child's last four digits are the same
Text: {signal ERR1_SSN4_A}
The last four digits of ^SANAME's Social Security Number are the same as the last
four digits of ^SCNAME's Social Security Number. Please verify.

Check Instructions: First goto change Sample Adult's SSN at SSN4_A
Second goto change Sample Child's SSN at SSN4_C
Type: Soft
Fills: SANAME
Instructions: Sample Adult's name
Fills: SCNAME
Instructions: Fill ALIAS of HHSTAT_C=1

Last Modified: Monday, August 21, 2017

Page 756 of 895

Survey: NHIS Bridge
Section: Adult.LNK

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR2_SSN4_A

Check

Adult.LNK.ERR2_SSN4_A
Description: Entered less than four digits hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: SSN4_A=000-999
Universe Description: Entered less than four digits
Text: {check ERR2_SSN4_A}
 You must enter all four of the last four digits of the Social Security Number.
Please correct.

Check Instructions:
Type: Hard

Last Modified: Monday, August 21, 2017

Page 757 of 895

Survey: NHIS Bridge
Section: Adult.LNK

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR3_SSN4_A

Check

Adult.LNK.ERR3_SSN4_A
Description: SSN last four digits are 0000 or a letter other than N hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: SSN4_A NOT IN (N,RF,DK,000-999,0001-9999)
Universe Description: SSN last four digits are 0000 or a letter other than N
Text: {check ERR3_SSN4_A}
The last 4 digits of a SSN should be between 0001-9999.
For a respondent who does not want to provide the SSN, enter 'Ctrl D' or 'Ctrl R' for
'Don't Know' or 'Refused.'
If a respondent does not have a SSN, enter 'N'.
Please correct.

Check Instructions:
Type: Hard

Last Modified: Thursday, September 21, 2017

Page 758 of 895

Survey: NHIS Bridge
Section: Adult.LNK

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MCNO4_A

Field

Adult.LNK.MCNO4_A
Description: Medicare number
Form Pane Label: Medicare number
SAS Name: MCNO4_A
Tag Name: Adult.LNK.MCNO4_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: (INS.HIKIND_A=2 or INS.MCAREPRB_A=1)
Universe Description: Sample adults 18+ who have Medicare
Help Screen: H_MCN04_A
Question Text: ?[F1]
1 of 2
What are the last four numbers and any letters of your Medicare or Health
Insurance Claim Number?
Read if necessary: Providing this information is voluntary. There will be no effect on
your benefits if you do not provide this information. Federal laws authorize us to ask
for this information. Like all other information you have provided, your answer to this
question will not be disclosed by NCHS or its agents, which includes the U.S. Census
Bureau.
Read if asked about specific laws: The specific federal laws protecting your privacy
and the confidentiality of your data are the Public Health Service Act, which is Title
42, U.S.C., Section 242m(d); the Confidential Information Protection and Statistical
Efficiency Act, which is Title 5 of Public Law 107-347; and the Privacy Act of 1974,
which is 5 U.S.C. § 552a. In addition, NCHS complies with the Federal
Cybersecurity Enhancement Act of 2015 (6 U.S.C. §§ 151 & 151 note), which
requires the federal government to protect federal computer networks by using
computer security programs to identify cybersecurity risks like hacking, internet
attacks, and other security weaknesses.
Reports from memory are acceptable if the Medicare card (or some other form of
documentation) is not available.
Enter the last four numbers.

Type: Integer
Length: 4
Last Modified: Thursday, September 21, 2017

Page 759 of 895

Survey: NHIS Bridge
Section: Adult.LNK

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Min: 0001
Max: 9999
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0001-9999> [goto MCLET_A]
 [goto RLINK_A]

Last Modified: Thursday, September 21, 2017

Page 760 of 895

Survey: NHIS Bridge
Section: Adult.LNK

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MCLET_A

Field

Adult.LNK.MCLET_A
Description: Medicare letters
Form Pane Label: Medicare letters
SAS Name: MCLET_A
Tag Name: Adult.LNK.MCLET_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: (INS.HIKIND_A=2 or INS.MCAREPRB_A=1) and MCNO4_A ne IN (DK,RF)
Universe Description: Sample adults 18+ who have Medicare and reported the last four numbers of the
Medicare number
Question Text:

2 of 2
Enter the letters that appear after the claim number.

Type: String
Length: 2
x Don't Know
x Refuse
x Empty
x On Input
x On Output
Array:
Special Instructions: This answer code has an "Empty" value. Put an alphabetic mask on the field. Do not
allow numbers.
Skip Instructions:  if SSN4_A IN (0001-9999) [goto next section]
else if SSN4_A IN (N,RF,DK) [goto RLINK_A]

Last Modified: Friday, September 29, 2017

Page 761 of 895

Survey: NHIS Bridge
Section: Adult.LNK

Blaise Item-Level Specifications Report
Spider Version 1.6.2

RLINK_A

Field

Adult.LNK.RLINK_A
Description: Link without SSN/Medicare Numbers
Form Pane Label: Link without SSN/Medicare
SAS Name: RLINK_A
Tag Name: Adult.LNK.RLINK_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: (MCNO4_A=RF,DK or SSN4_A=N,RF,DK)
Universe Description: Sample adults 18+ who answered refused or don't know at last 4 of Medicare number
or answered no SSN or refused or don't know last 4 digits of SSN
Help Screen: H_LNKINTRO_A
Question Text: ?[F1]
May we try to link your survey data without a ^SSNMEDNUM?
Read if necessary: Any data obtained are protected by strict federal laws, including
the Public Health Service Act, which is Title 42, U.S.C., Section 242m(d); the
Confidential Information Protection and Statistical Efficiency Act, which is Title 5 of
Public Law 107-347; and the Privacy Act of 1974, which is 5 U.S.C. § 552a. In
addition, NCHS complies with the Federal Cybersecurity Enhancement Act of 2015 (6
U.S.C. §§ 151 & 151 note), which requires the federal government to protect
federal computer networks by using computer security programs to identify
cybersecurity risks like hacking, internet attacks, and other security weaknesses.

Fills: SSNMEDNUM
Instructions: if (SSN4_A IN (N,RF,DK) and ((Adult.INS.HIKIND_A ne 2Â and
Adult.INS.MCAREPRB_A ne 1) or (Adult.INS.MCN04_A ge 0001 and
Adult.INS.MCNUM_A le 9999))) fill= "social security number"
elseif ((SSN4_A ge 0001 and SSN4_A le 9999) and (Adult.INS.HIKIND_AÂ =
2Â or Adult.INS.MCAREPRB_A =1) and (Adult.INS.MCN04_AÂ IN (RF, DK))) fill =
"Medicare or Health Insurance Claim Number"
else fill = "social security number, Medicare or Health Insurance Claim Number"
Â

Type: Enumerated
Length: 1
Answer List: TYESNO
Last Modified: Friday, September 29, 2017

Page 762 of 895

Survey: NHIS Bridge
Section: Adult.LNK

Value:

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK>[goto next section]

Last Modified: Tuesday, February 14, 2017

Page 763 of 895

Survey: NHIS Bridge
Section: Adult

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Content that rotates in other years

Block

Adult.Content that rotates in other years
Description:
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Wednesday, February 15, 2017

Page 764 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FGE

Block

Adult.Content that rotates in other years.FGE
Description: Fatigue
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Tuesday, March 14, 2017

Page 765 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.FGE

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FGEFRQTRD_A

Field

Adult.Content that rotates in other years.FGE.FGEFRQTRD_A
Description: How often tired, past 3m
Form Pane Label: How often tired, past 3m
SAS Name: FGEFRQTRD_A
Tag Name: Adult.FGE.FGEFRQTRD_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: (AGE GE '018' and AGE not IN ('RF','DK'))
Universe Description: Sample Adults 18+
Question Text: IN THE PAST 3 MONTHS, how often did you feel very tired or exhausted?
Would you say never, some days, most days, or every day?

Type: Enumerated
Length: 1
Answer List: THOWOFTDAYS
Value:

Mnemonic:

Description:

1

Never

2

Some days

3

Most days

4

Every day
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> goto [next section]
<2-4,RF,DK> [goto FGELNGTRD_A]

Last Modified: Tuesday, March 14, 2017

Page 766 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.FGE

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FGELNGTRD_A

Field

Adult.Content that rotates in other years.FGE.FGELNGTRD_A
Description: How long tiredness lasted
Form Pane Label: How long tiredness lasted
SAS Name: FGELNGTRD_A
Tag Name: Adult.FGE.FGELNGTRD_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who felt very tired or exhausted some days, most days, every day,
or refused or don't know how often they felt very tired or exhausted in the past 3 months
Question Text: Thinking about the last time you felt very tired or exhausted, how long did it
last? Would you say some of the day, most of the day, or all of the day?

Type: Enumerated
Length: 1
Answer List: TFGELNGTRD_A
Value:

Mnemonic:

Description:

1

Some of the day

2

Most of the day

3

All of the day
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-3,RF,DK> [goto FGELEVTRD_A]

Last Modified: Tuesday, March 14, 2017

Page 767 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.FGE

FGELEVTRD_A

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Field

Adult.Content that rotates in other years.FGE.FGELEVTRD_A
Description: Level of tiredness
Form Pane Label: Level of tiredness
SAS Name: FGELEVTRD_A
Tag Name: Adult.FGE.FGELEVTRD_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who felt very tired or exhausted some days, most days, every day,
or refused or don't know how often they felt very tired or exhausted in the past 3 months
Question Text: Thinking about the last time you felt this way, how would you describe the level
of tiredness? Would you say a little, a lot, or somewhere in between?

Type: Enumerated
Length: 1
Answer List: TLITTLELOT_A
Value:

Mnemonic:

Description:

1

A little

2

A lot

3

Somewhere in between a little and a lot
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-3,RF,DK> [goto next section]

Last Modified: Wednesday, February 15, 2017

Page 768 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CIH

Block

Adult.Content that rotates in other years.CIH
Description: Cigarette History
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Tuesday, March 14, 2017

Page 769 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.CIH

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SMKAGE_A

Field

Adult.Content that rotates in other years.CIH.SMKAGE_A
Description: Age started smoking regularly
Form Pane Label: Age started smoking regularly
SAS Name: SMKAGE_A
Tag Name: Adult.CIH.SMKAGE_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who ever smoked 100 cigarettes
Question Text: How old were you when you FIRST started to smoke fairly regularly?
Enter '6' if less than 6 years old.
Enter '95' if 95 years old or older.
Enter '96' if never smoked regularly.

Type: Integer
Length: 2
Min: 6
Max: 96
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <6-95,96,RF,DK> if SMKNOW_A= 1,2 [goto SMKQT12M_A]

Last Modified: Tuesday, March 14, 2017

Page 779 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.CIH

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SMKQTN_A

Field

Adult.Content that rotates in other years.CIH.SMKQTN_A
Description: Time since quitting smoking-number
Form Pane Label: Time since quitting smoking-number
SAS Name: SMKQTN_A
Tag Name: Adult.CIH.SMKQTN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who quit smoking
Question Text:

1 of 2
How long has it been since you quit smoking cigarettes?
Enter number for time since quit smoking.
Enter '95' for 95 years old or older.

Type: Integer
Length: 2
Min: 1
Max: 95
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-95> [goto SMKQTTP_A]
 if ECIGEV2_A =1 [goto QTECIGF_A]
else [goto next section]

Last Modified: Friday, March 3, 2017

Page 771 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.CIH

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SMKQTTP_A

Field

Adult.Content that rotates in other years.CIH.SMKQTTP_A
Description: Time since quitting smoking-time period
Form Pane Label: Time since quitting smoking-time period
SAS Name: SMKQTTP_A
Tag Name: Adult.CIH.SMKQTTP_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who quit smoking
Question Text:

2 of 2
Enter time period for time since quit smoking.

Type: Enumerated
Length: 1
Answer List: TDAYSWEEKSMONTHSYEARS
Value:

Mnemonic:

Description:

1

Day(s)

2

Week(s)

3

Month(s)

4

Year(s)
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4> if ECIGEV2_A =1 [goto QTECIGF_A]
else [goto next section]
<4> [if SMKQTN_A gt (AGE - 15) [goto ERR1_ SMKQTTP_A ]
if (SMKAGE_A + SMKQTN_A gt AGE) [goto ERR2_SMKQTTP_A]

Last Modified: Tuesday, March 14, 2017

Page 772 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.CIH

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SMKQT12M_A

Field

Adult.Content that rotates in other years.CIH.SMKQT12M_A
Description: Stopped smoking for 1+ day, past 12m
Form Pane Label: Stopped smoking for 1+ day, past 12m
SAS Name: SMKQT12M_A
Tag Name: Adult.CIH.SMKQT12M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who are every day or someday smokers
Question Text: During the PAST 12 MONTHS, have you stopped smoking for more than one
day BECAUSE YOU WERE TRYING TO QUIT SMOKING?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> if ECIGEV2_A=1 [goto SMKQT12M_A]
else [goto next section]

Last Modified: Tuesday, March 14, 2017

Page 773 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.CIH

Blaise Item-Level Specifications Report
Spider Version 1.6.2

QTECIGF_A

Field

Adult.Content that rotates in other years.CIH.QTECIGF_A
Description: Use e-cigarettes to quit smoking
Form Pane Label: Use e-cigarettes to quit smoking
SAS Name: QTECIGF_A
Tag Name: Adult.CIH.QTECIGF_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who are former smokers and have ever used e-cigarettes
Question Text: Thinking back to when you stopped smoking completely, did you use
e-cigarettes to help you quit smoking regular cigarettes?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Tuesday, March 14, 2017

Page 774 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.CIH

Blaise Item-Level Specifications Report
Spider Version 1.6.2

QTECIGC_A

Field

Adult.Content that rotates in other years.CIH.QTECIGC_A
Description: Use e-cigarettes when trying to quit
Form Pane Label: Use e-cigarettes when trying to quit
SAS Name: QTECIGC_A
Tag Name: Adult.CIH.QTECIGC_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who are current smokers and tried to quit in the last year and
have ever used e-cigarettes
Question Text: Thinking back to the last time you tried to quit smoking, did you use
e-cigarettes to help you quit smoking regular cigarettes?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Wednesday, February 15, 2017

Page 775 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years

PHY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Block

Adult.Content that rotates in other years.PHY
Description: Physical Activity
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Tuesday, March 14, 2017

Page 776 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PHY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PHYINTRO_A

Field

Adult.Content that rotates in other years.PHY.PHYINTRO_A
Description: Introduction to PHY section.
Form Pane Label: PHY introduction
SAS Name: PHYINTRO_A
Tag Name: Adult.PHY.PHYINTRO_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: The next questions are about physical activities such as exercise, sports, and
physically active hobbies that you may do in your LEISURE time.
Enter '1' to continue.

Type: Enumerated
Length: 1
Answer List: tContinue
Value:

Mnemonic:

1

Description:
Enter 1 to Continue
Don't Know
Refuse
Empty
On Input
On Output

Array:
Skip Instructions: <1> [goto MODN_A]

Last Modified: Tuesday, March 14, 2017

Page 777 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PHY

MODN_A

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Field

Adult.Content that rotates in other years.PHY.MODN_A
Description: Moderate PA-number
Form Pane Label: Moderate PA-number
SAS Name: MODN_A
Tag Name: Adult.PHY.MODN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

1 of 2
How often do you do MODERATE-INTENSITY LEISURE-TIME physical activities
for AT LEAST 10 MINUTES that cause SMALL increases in breathing or heart
rate?
If necessary, prompt with: How many times per day, per week, per month, or per
year do you do these activities?
Enter number for moderate leisure-time physical activities.
Enter '0' for Never.
Enter '996' if unable to do this type of activity.

Type: Enumerated
Length: 3
Answer List: TMODN_A
Value:

Mnemonic:

Description:

1-995

1-995 times

996

Unable to do
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Tuesday, March 14, 2017

Page 778 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PHY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <1-995> [goto MODTP_A]
<0,996,RF,DK> [goto VIGN_A]

Last Modified: Friday, March 3, 2017

Page 779 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PHY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MODTP_A

Field

Adult.Content that rotates in other years.PHY.MODTP_A
Description: Moderate PA-time period
Form Pane Label: Moderate PA-time period
SAS Name: MODTP_A
Tag Name: Adult.PHY.MODTP_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who do moderate physical activities
Question Text:

2 of 2
Enter time period for moderate leisure-time physical activities.

Type: Enumerated
Length: 1
Answer List: TPERDAYWEEKMONTHYEAR
Value:

Mnemonic:

Description:

1

Per day

2

Per week

3

Per month

4

Per year
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4> [goto MODLN_A]
if (MODN_A gt <4> and MODTP_A eq <1>) or (MODN_A gt <28> and MODTP_A eq
<2>) or (MODN_A gt <31> and MODTP_A eq <3>) or (MODN_A gt <365> and
MODTP_A eq <4>) [goto ERR_MODN_A]
 [goto VIGN_A]

Last Modified: Monday, March 6, 2017

Page 780 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PHY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR_MODTP_A

Check

Adult.Content that rotates in other years.PHY.ERR_MODTP_A
Description: Unusually high soft edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: if (MODN_A gt <4> and MODTP_A eq <1>) or (MODN_A gt <28> and MODTP_A eq
<2>) or (MODN_A gt <31> and MODTP_A eq <3>) or (MODN_A gt <365> and
MODTP_A eq <4>)
Universe Description:
Text: {signal ERR_MODTP_A}
^MODN_A times per ^MODTP_A is unusually high. Â
 Please verify.

Check Instructions:
Type: Soft
Fills: MODN_A
Instructions: Fill value from MODN_A
Fills: MODTP_A
Instructions: Fill value from MODTP_A

Last Modified: Tuesday, March 14, 2017

Page 781 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PHY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MODLN_A

Field

Adult.Content that rotates in other years.PHY.MODLN_A
Description: Length of moderate PA-number
Form Pane Label: Length of moderate PA-number
SAS Name: MODLN_A
Tag Name: Adult.PHY.MODLN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who do moderate physical activities
Question Text:

1 of 2
About how long do you do these moderate leisure-time physical activities each
time?
Enter number for length of moderate leisure-time physical activities.

Type: Enumerated
Length: 3
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-995> [goto MODLTP_A]
 [goto VIGN_A]

Last Modified: Friday, March 3, 2017

Page 782 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PHY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MODLTP_A

Field

Adult.Content that rotates in other years.PHY.MODLTP_A
Description: Length of moderate PA-time period
Form Pane Label: Length of moderate PA-time period
SAS Name: MODLTP_A
Tag Name: Adult.PHY.MODLTP_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who do moderate physical activities
Question Text:

2 of 2
Enter time period for length of moderate leisure-time physical activities.

Type: Enumerated
Length: 1
Answer List: TMODLTP_A
Value:

Mnemonic:

Description:

1

Minutes

2

Hours
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2> [goto VIGN_A]
if MODLN_A lt <10> and MODLTP_A eq <1> [goto ERR1_MODLTP_A]
if MODLN_A gt <90> and MODLTP_A eq <1> or if MODLN_A gt <2> and
MODLTP_A eq <2> [goto ERR2_ MODLTP_A]
 [goto STRN_A]

Last Modified: Monday, March 6, 2017

Page 783 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PHY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR1_MODLTP_A

Check

Adult.Content that rotates in other years.PHY.ERR1_MODLTP_A
Description: Activity less than 10 minutes hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: if MODLN_A LT <10> and MODLTP_A IN <1>
Universe Description:
Text: {check ERR1_MODLTP_A}
 Question asked for activities lasting at least 10 minutes.
 Please correct.

Check Instructions:
Type: Hard

Last Modified: Monday, March 6, 2017

Page 784 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PHY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR2_MODLTP_A

Check

Adult.Content that rotates in other years.PHY.ERR2_MODLTP_A
Description: Unusually high soft edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: if MODLN_A gt <90> and MODLTP_A eq <1> or if MODLN_A gt <2> and
MODLTP_A eq <2>
Universe Description:
Text: {check ERR2_MODLTP_A}
 ^MODLN_A ^MODLTP_A is unusually high.
 Please verify.

Check Instructions:
Type: Soft
Fills: MODLN_A
Instructions: Fill value from MODLN_A
Fills: MODLTP_A
Instructions: FIll value from MODLTP_A

Last Modified: Tuesday, March 14, 2017

Page 785 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PHY

VIGN_A

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Field

Adult.Content that rotates in other years.PHY.VIGN_A
Description: Vigorous PA-number
Form Pane Label: Vigorous PA-number
SAS Name: VIGN_A
Tag Name: Adult.PHY.VIGN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

1 of 2
How often do you do VIGOROUS-INTENSITY LEISURE-TIME physical activities
for AT LEAST 10 MINUTES that cause LARGE increases in breathing or heart
rate?
Read if necessary: How many times per day, per week, per month, or per year do
you do these activities?
Enter number for vigorous leisure-time physical activities.
Enter '0' for Never.
Enter '996' if unable to do this type of activity.

Type: Enumerated
Length: 3
Answer List: TMODN_A
Value:

Mnemonic:

Description:

1-995

1-995 times

996

Unable to do
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0,996,RF,DK> [goto STRN_A]

Last Modified: Tuesday, March 14, 2017

Page 786 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PHY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

<1-995> [goto VIGTP_A]

Last Modified: Friday, March 3, 2017

Page 787 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PHY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

VIGTP_A

Field

Adult.Content that rotates in other years.PHY.VIGTP_A
Description: Vigorous PA-time period
Form Pane Label: Vigorous PA-time period
SAS Name: VIGTP_A
Tag Name: Adult.PHY.VIGTP_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who do vigorous physical activities
Question Text:

2 of 2
Enter time period for vigorous leisure-time physical activities.

Type: Enumerated
Length: 1
Answer List: TPERDAYWEEKMONTHYEAR
Value:

Mnemonic:

Description:

1

Per day

2

Per week

3

Per month

4

Per year
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4> [goto VIGLN_A]
if (VIGN_A gt <4> and VIGTP_A eq <1>) or (VIGN_A gt <28> and VIGTP_A eq <2>)
or (VIGN_A gt <31> and VIGTP_A eq <3>) or (VIGN_A gt <365> and VIGTP_A eq
<4>) [goto ERR1_ VIGTP_A]

Last Modified: Monday, March 6, 2017

Page 788 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PHY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR1_VIGTP_A

Check

Adult.Content that rotates in other years.PHY.ERR1_VIGTP_A
Description: Unusually high soft edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: if (VIGN_A gt <4> and VIGTP_A eq <1>) or (VIGN_A gt <28> and VIGTP_A eq <2>)
or (VIGN_A gt <31> and VIGTP_A eq <3>) or (VIGN_A gt <365> and VIGTP_A eq
<4>)
Universe Description:
Text: {signal ERR1_VIGTP_A}
^VIGN_A times per ^VIGTP_A is unusually high.
 Please verify.

Check Instructions:
Type: Soft
Fills: VIGN_A
Instructions: fill value from VIGN_A
Fills: VIGTP_A
Instructions: fill value from VIGTP_A

Last Modified: Tuesday, March 14, 2017

Page 789 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PHY

VIGLN_A

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Field

Adult.Content that rotates in other years.PHY.VIGLN_A
Description: Length of vigorous PA-number
Form Pane Label: Length of vigorous PA-number
SAS Name: VIGLN_A
Tag Name: Adult.PHY.VIGLN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who do vigorous physical activities
Question Text:

1 of 2
About how long do you do these vigorous leisure-time physical activities each
time?
Enter number for length of vigorous leisure-time physical activities.

Type: Integer
Length: 3
Min: 1
Max: 995
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-995>[goto VIGLTP_A]
[goto STRN_A]

Last Modified: Friday, March 3, 2017

Page 790 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PHY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

VIGLTP_A

Field

Adult.Content that rotates in other years.PHY.VIGLTP_A
Description: Length of vigorous PA-time period
Form Pane Label: Length of vigorous PA-time period
SAS Name: VIGLTP_A
Tag Name: Adult.PHY.VIGLTP_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who do vigorous physical activities
Question Text:

2 of 2
Enter time period for length of vigorous leisure-time physical activities.

Type: Enumerated
Length: 1
Answer List: TMODLTP_A
Value:

Mnemonic:

Description:

1

Minutes

2

Hours
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2> [goto STRN_A]
if VIGLN_A lt <10> and VIGLTP_A eq <1> [goto ERR1_VIGLTP_A]
if (VIGLN_A gt <90> and VIGLTP_A eq <1>) or if VIGLN_A gt <2> and VIGLTP_A eq
<2> [goto ERR2_VIGLTP_A]

Last Modified: Monday, March 6, 2017

Page 791 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PHY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR1_VIGLTP_A

Check

Adult.Content that rotates in other years.PHY.ERR1_VIGLTP_A
Description: Activity less than 10 minutes hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: if VIGLN_A lt <10> and VIGLTP_A eq <1>
Universe Description:
Text: {check ERR1_VIGLTP_A}
 Question asked for activities lasting at least 10 minutes.
 Please correct.

Check Instructions:
Type: Hard

Last Modified: Monday, March 6, 2017

Page 792 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PHY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR2_VIGLTP_A

Check

Adult.Content that rotates in other years.PHY.ERR2_VIGLTP_A
Description: Unusually high soft edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: if (VIGLN_A gt <90> and VIGLTP_A eq <1>) or if VIGLN_A gt <2> and VIGLTP_A eq
<2>
Universe Description:
Text: {signal ERR2_VIGLTP_A}
^VIGLN_A ^VIGLNTP_A is unusually high. Â
 Please verify.

Check Instructions:
Type: Soft
Fills: VIGLN_A
Instructions: Fill value from VIGLN_A
Fills: VIGLNTP_A
Instructions: Fill value from VIGLNTP_A

Last Modified: Tuesday, March 14, 2017

Page 793 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PHY

STRN_A

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Field

Adult.Content that rotates in other years.PHY.STRN_A
Description: Strengthening PA-number
Form Pane Label: Strengthening PA-number
SAS Name: STRN_A
Tag Name: Adult.PHY.STRN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

1 of 2
Including activities that you mentioned earlier, how often do you do
LEISURE-TIME physical activities specifically designed to STRENGTHEN your
muscles such as lifting weights?
Read if necessary: How many times per day, per week, per month, or per year do
you do these activities?
Enter number for strengthening activities.
Enter '0' for Never.
Enter '996' for Unable to do this type activity.

Type: Enumerated
Length: 3
Answer List: TMODN_A
Value:

Mnemonic:

Description:

1-995

1-995 times

996

Unable to do
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-995> [goto STRTP_A]

Last Modified: Tuesday, March 14, 2017

Page 794 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PHY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

<0, 996,RF,DK> [goto next section]

Last Modified: Friday, March 3, 2017

Page 795 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PHY

STRTP_A

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Field

Adult.Content that rotates in other years.PHY.STRTP_A
Description: Strengthening PA-time period
Form Pane Label: Strengthening PA-time period
SAS Name: STRTP_A
Tag Name: Adult.PHY.STRTP_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who do strengthening activities
Question Text:

2 of 2
Enter time period for strengthening activities.

Type: Enumerated
Length: 1
Answer List: TPERDAYWEEKMONTHYEAR
Value:

Mnemonic:

Description:

1

Per day

2

Per week

3

Per month

4

Per year
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4> [goto next section]
if (STRN_A gt <4> & STRTP_A = <1>) or (STRN_A gt <28> & STRTP_A = <2>) or
(STRN_A gt <31> & STRTP_A = <3>) or (STRN_A gt <365> & STRTP_A = <4>)
[goto ERR_STRTP_A]

Last Modified: Monday, March 6, 2017

Page 796 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PHY

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR_STRTP_A

Check

Adult.Content that rotates in other years.PHY.ERR_STRTP_A
Description: Unusually high soft edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: if (STRN_A gt <4> & STRTP_A = <1>) or (STRN_A gt <28> & STRTP_A = <2>) or
(STRN_A gt <31> & STRTP_A = <3>) or (STRN_A gt <365> & STRTP_A = <4>)
Universe Description:
Text: {signal ERR_STRTP_A}
^STRN_A times per ^STRTP_A is unusually high.
 Please verify.

Check Instructions:
Type: Soft
Fills: STRN_A
Instructions: Fill value from STRN_A
Fills: STRTP_A
Instructions: Fill value from STRTP_A

Last Modified: Wednesday, February 15, 2017

Page 797 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years

WLK

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Block

Adult.Content that rotates in other years.WLK
Description: Walking
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Tuesday, March 14, 2017

Page 798 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.WLK

Blaise Item-Level Specifications Report
Spider Version 1.6.2

WLK_A

Field

Adult.Content that rotates in other years.WLK.WLK_A
Description: Walk transportation, past 7d
Form Pane Label: Walk transportation, past 7d
SAS Name: WLK_A
Tag Name: Adult.WLK.WLK_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who do not say they are unable to walk or climb steps
Question Text: The next questions are about walking for transportation. I will ask you
separately about walking for other reasons like relaxation or exercise.
DURING THE PAST 7 DAYS, did you walk to get some place that took you at
least 10 minutes?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto WLKN_A]
<2,RF,DK> [goto WLKEX_A]
<3> [goto next section]

Last Modified: Tuesday, March 14, 2017

Page 799 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.WLK

Blaise Item-Level Specifications Report
Spider Version 1.6.2

WLKN_A

Field

Adult.Content that rotates in other years.WLK.WLKN_A
Description: How many times transportation walk, past 7d
Form Pane Label: How many times transportation walk, past 7d
SAS Name: WLKN_A
Tag Name: Adult.WLK.WLKN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who are able to walk and have walked for transportation in the
past 7 days
Question Text: IN THE PAST 7 DAYS, how many times did you do that?
Read if necessary: Walk for at least 10 minutes to get some place.

Type: Integer
Length: 2
Min: 1
Max: 94
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-94> [goto WLKLN_A]
 [goto WLKEX_A]

Last Modified: Tuesday, March 14, 2017

Page 800 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.WLK

Blaise Item-Level Specifications Report
Spider Version 1.6.2

WLKLN_A

Field

Adult.Content that rotates in other years.WLK.WLKLN_A
Description: Walk transportation-number
Form Pane Label: Walk transportation-number
SAS Name: WLKLN_A
Tag Name: Adult.WLK.WLKLN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who have walked for transportation at least once in the past week
Question Text:

1 of 2
[How long did that walk take?/ On average, how long did those walks take?]
Enter number for length of walk for transportation.

Type: Integer
Length: 3
Min: 1
Max: 995
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-995> [goto WLKLTP_A] if WLKLN_A = 'R', 'D' store 'R', 'D' in WLKLTP_A
 [goto WLKEX_A]

Last Modified: Friday, March 3, 2017

Page 801 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.WLK

Blaise Item-Level Specifications Report
Spider Version 1.6.2

WLKLTP_A

Field

Adult.Content that rotates in other years.WLK.WLKLTP_A
Description: Walk transportation-time period
Form Pane Label: Walk transportation-time period
SAS Name: WLKLTP_A
Tag Name: Adult.WLK.WLKLTP_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who have walked for transportation at least once in the past week
and gave a number for the first part of this two-part question
Question Text:

2 of 2
Enter time period for length of walking for transportation.

Type: Enumerated
Length: 1
Answer List: TMODLTP_A
Value:

Mnemonic:

Description:

1

Minutes

2

Hours
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto AD14A] and
If WLKLN_A = 'R', 'D' store 'R', 'D' in WLKLTP_A; if WLKLN_A gt <24> and
WLKLTP_A = <2> [goto ERR1_ WLKLTP_A]
(If WLKLN_A gt <90> and WLKLTP_A eq <1> ) or ( if WLKLN_A gt <2> and
WLKLTP_A eq <2> ) [goto ERR2_ WLKLTP_A]

Last Modified: Tuesday, March 14, 2017

Page 802 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.WLK

Blaise Item-Level Specifications Report
Spider Version 1.6.2

WLKEX_A

Field

Adult.Content that rotates in other years.WLK.WLKEX_A
Description: Walk leisure, past 7d
Form Pane Label: Walk leisure, past 7d
SAS Name: WLKEX_A
Tag Name: Adult.WLK.WLKEX_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: AD11A='1'
Universe Description: Sample Adults 18+ who are able to walk
Question Text: Sometimes you may walk for fun, relaxation, exercise, or to walk the dog.
DURING THE PAST 7 DAYS, did you walk for at least 10 minutes for any of
these reasons? Please do not include walking for transportation.

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto WLKEXN_A]
<2,RF,DK> [goto next section]

Last Modified: Tuesday, March 14, 2017

Page 803 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.WLK

Blaise Item-Level Specifications Report
Spider Version 1.6.2

WLKEXN_A

Field

Adult.Content that rotates in other years.WLK.WLKEXN_A
Description: How many times leisure walk, past 7d
Form Pane Label: How many times leisure walk, past 7d
SAS Name: WLKEXN_A
Tag Name: Adult.WLK.WLKEXN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: ('01' <= AD12A<= '94')
Universe Description: Sample Adults 18+ who have walked for leisure in the past 7 days
Question Text: IN THE PAST 7 DAYS, how many times did you do that?

Type: Integer
Length: 2
Min: 1
Max: 94
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-94> [goto WLKEXLN_A]
 [goto next section]

Last Modified: Tuesday, March 14, 2017

Page 804 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.WLK

Blaise Item-Level Specifications Report
Spider Version 1.6.2

WLKEXLN_A

Field

Adult.Content that rotates in other years.WLK.WLKEXLN_A
Description: Walk leisure-number
Form Pane Label: Walk leisure-number
SAS Name: WLKEXLN_A
Tag Name: Adult.WLK.WLKEXLN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: ('01' <= AD12A<= '94')
Universe Description: Sample Adults 18+ who have walked for leisure at least once in the past week.
Question Text:

1 of 2
[How long did that walk take?/On average, how long did those walks take?]
Enter number for length of walk for fun, relaxation, or exercise.

Type: Integer
Length: 3
Min: 1
Max: 995
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-995> [goto WLKEXLTP_A]  [goto next section] and if AD16ANO = 'R', 'D'
store 'R', 'D' in WLKEXLTP_A

Last Modified: Friday, March 3, 2017

Page 805 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.WLK

Blaise Item-Level Specifications Report
Spider Version 1.6.2

WLKEXLTP_A

Field

Adult.Content that rotates in other years.WLK.WLKEXLTP_A
Description: Walk leisure-time period
Form Pane Label: Walk leisure-time period
SAS Name: WLKEXLTP_A
Tag Name: Adult.WLK.WLKEXLTP_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: AD11A NE '3'
Universe Description: Sample Adults 18+ who have walked for leisure at least once in the past week and
gave a number for the first part of this two-part question
Question Text:

2 of 2
Enter time period for length of walking for fun, relaxation, or exercise.

Type: Enumerated
Length: 1
Answer List: TWLKEXLTP_A
Value:

Mnemonic:

Description:

1

Minutes

2

Hours

x

Don''t know)
Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: If WLKEXLN_A gt <24> and WLKEXLTP_A eq <2> [goto ERR1_ WLKEXLTP_A]
(IF WLKEXLN_A gt <90> and WLKEXLTP_A eq <1> ) or ( if WLKEXLN_A gt <2> and
WLKEXLTP_A eq <2> ) [goto ERR2_ WLKEXLTP_A]
<1,2,RF,DK>[goto next section]
if WLKEXLN_A= 'R', 'D' store 'R', 'D' in WLKEXLTP_A

Last Modified: Wednesday, February 15, 2017

Page 806 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ALC

Block

Adult.Content that rotates in other years.ALC
Description: Alcohol Use
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Tuesday, March 14, 2017

Page 807 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.ALC

ALCINTRO_A

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Field

Adult.Content that rotates in other years.ALC.ALCINTRO_A
Description: Introduction to ALC section.
Form Pane Label: ALC introduction
SAS Name: ALCINTRO_A
Tag Name: Adult.ALC.ALCINTRO_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: The next questions are about drinking alcoholic beverages. Alcohol includes
beer, wine, wine coolers, liquors such as vodka, whiskey or rum, mixed drinks
or cocktails with alcohol, and any other type of alcoholic drink.
Enter '1' to continue.

Type: Enumerated
Length: 1
Answer List: tContinue
Value:

Mnemonic:

1

Description:
Enter 1 to Continue
Don't Know
Refuse
Empty
On Input
On Output

Array:
Skip Instructions: <1> [goto DRKLIFE_A]

Last Modified: Tuesday, March 14, 2017

Page 808 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.ALC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DRKLIFE_A

Field

Adult.Content that rotates in other years.ALC.DRKLIFE_A
Description: At least one drink in lifetime
Form Pane Label: At least one drink in lifetime
SAS Name: DRKLIFE_A
Tag Name: Adult.ALC.DRKLIFE_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: These next questions are about drinking alcoholic beverages.
Alcohol includes beer, wine, wine coolers, liquors such as vodka, whiskey or
rum, mixed drinks or cocktails with alcohol, and any other type of alcoholic
drink.
In your ENTIRE LIFE, have you had at least 1 drink of any kind of alcohol, not
counting small tastes or sips?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,RF,DK> [goto DRK12MN_A]
<2> [goto next section]

Last Modified: Tuesday, March 14, 2017

Page 809 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.ALC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DRK12MN_A

Field

Adult.Content that rotates in other years.ALC.DRK12MN_A
Description: Days drank-number
Form Pane Label: Days drank-number
SAS Name: DRK12MN_A
Tag Name: Adult.ALC.DRK12MN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: DRKLIFE_A='1'
Universe Description: Sample Adults 18+ who have had at least 1 drink in their entire life
Question Text:

1 of 2
During the past 12 months, how many days per week, per month or per year did
you drink any type of alcoholic beverage?
Enter number for how often alcoholic beverages were consumed in the past 12
months. Then enter category of response (week, month, year).
Enter '0' for Never.

Type: Enumerated
Length: 3
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0> [goto DRKANYR_A]
<1-365> [goto DRK12MTP_A]
 [goto BEV12M_A]

Last Modified: Friday, March 3, 2017

Page 810 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.ALC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DRK12MTP_A

Field

Adult.Content that rotates in other years.ALC.DRK12MTP_A
Description: Days drank-time period
Form Pane Label: Days drank-time period
SAS Name: DRK12MTP_A
Tag Name: Adult.ALC.DRK12MTP_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: DRKLIFE_A='1'
Universe Description: Sample Adults 18+ who have had at least 1 drink in their entire life
Question Text:

2 of 2
Enter time period for how often alcoholic beverages were consumed in the past
year.

Type: Enumerated
Length: 1
Answer List: TDRK12MTP_A
Value:

Mnemonic:

Description:

1

Per week

2

Per month

3

Per year
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-3,RF,DK> [goto BEV12M_A]

Last Modified: Tuesday, March 14, 2017

Page 811 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.ALC

DRKANYR_A

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Field

Adult.Content that rotates in other years.ALC.DRKANYR_A
Description: At least 12 drinks in a year
Form Pane Label: At least 12 drinks in a year
SAS Name: DRKANYR_A
Tag Name: Adult.ALC.DRKANYR_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: DRKLIFE_A='1'
Universe Description: Sample Adults 18+ who have had at least 1 drink in their entire life; but who have not
had a drink in the past 12 months
Question Text: In ANY ONE YEAR, have you had at least 12 drinks of any type of alcoholic
beverage?
Read if necessary: One drink is equivalent to a 12-ounce beer, a 5-ounce glass of
wine, or a drink with one shot (1.5 ounces) of liquor. A 40 ounce beer would count as
3 drinks, or a cocktail drink with 2 shots would count as 2 drinks.

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Tuesday, March 14, 2017

Page 812 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.ALC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

BEV12M_A

Field

Adult.Content that rotates in other years.ALC.BEV12M_A
Description: How many drinks
Form Pane Label: How many drinks
SAS Name: BEV12M_A
Tag Name: Adult.ALC.BEV12M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who drank at least once in the past year
Question Text: When counting number of drinks, one drink is equal to a 12-ounce beer, a
5-ounce glass of wine, or one shot or 1.5 ounces of liquor. A larger 40 ounce
beer would count as 3 drinks, or a cocktail drink with 2 shots would count as 2
drinks.
DURING THE PAST 12 MONTHS, on those days that you drank alcoholic
beverages, on average, how many DRINKS did you have?
Enter '1' if less than 1 drink.
Enter '95' if 95 or more drinks.

Type: Integer
Length: 2
Min: 1
Max: 95
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-3,RF,DK> [goto HDRK12M_A]
<4> if SEX=2 [goto DRK30D_A]
else if SEX=1 [goto HDRK12M_A]
<5-95,RF,DK> [goto DRK30D_A]
<10-95> [goto ERR_ BEV12M_A]

Last Modified: Monday, March 6, 2017

Page 813 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.ALC

ERR_BEV12M_A

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Check

Adult.Content that rotates in other years.ALC.ERR_BEV12M_A
Description:
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Text: {signal ERR_BEV12M_A}
If they respond more than 20, remind respondent we are asking for number of
drinks in a day, rather than the number of days they drank. This is in NHANES soft
edit, and we are waiting to get the exact wording from them.

Check Instructions:
Type: Soft

Last Modified: Tuesday, March 14, 2017

Page 814 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.ALC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HDRK12M_A

Field

Adult.Content that rotates in other years.ALC.HDRK12M_A
Description: Ever had 4/5 drinks in a day
Form Pane Label: Ever had 4/5 drinks in a day
SAS Name: HDRK12M_A
Tag Name: Adult.ALC.HDRK12M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who drank at least once in the past year; and who drank less than
5+/4+ drinks in a day on average.
Question Text: DURING THE PAST 12 MONTHS, did you ever have {5 or more, if male; 4 or
more, if female} drinks in a day?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto DRK30D_A]
<2,RF,DK> [goto next section]

Last Modified: Tuesday, March 14, 2017

Page 815 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.ALC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DRK30D_A

Field

Adult.Content that rotates in other years.ALC.DRK30D_A
Description: Had drink, past 30 days
Form Pane Label: Had drink, past 30 days
SAS Name: DRK30D_A
Tag Name: Adult.ALC.DRK30D_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who have had at least 1 drink in the past year and drank 5+/4+
drinks in a day in the last year.
Question Text: The next question will ask you about ONLY the past 30 days.
DURING THE PAST 30 DAYS, did you have at least one drink of any type of
alcoholic beverage?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,RF,DK> [goto HDRK30DN_A]
<2> [goto next section]

Last Modified: Tuesday, March 14, 2017

Page 816 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.ALC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HDRK30DN_A

Field

Adult.Content that rotates in other years.ALC.HDRK30DN_A
Description: Ever had 4/5 drinks on an occasion, past 30d
Form Pane Label: Ever had 4/5 drinks on an occasion, past 30d
SAS Name: HDRK30DN_A
Tag Name: Adult.ALC.HDRK30DN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who drank in the past 30 days
Question Text: DURING THE PAST 30 DAYS, how many times did you have [5 or more/4 or
more] drinks on an occasion?
Enter '0' if none.
Enter '60' if 60 or more times.

Type: Integer
Length: 2
Min: 0
Max: 60
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-60,RF,DK> [goto next section]

Last Modified: Wednesday, February 15, 2017

Page 817 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years

COC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Block

Adult.Content that rotates in other years.COC
Description: Content of Care
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Tuesday, March 14, 2017

Page 818 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.COC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SMKTLK_A

Field

Adult.Content that rotates in other years.COC.SMKTLK_A
Description: Advised by doctor about quitting, past 12m
Form Pane Label: Advised by doctor about quitting, past 12m
SAS Name: SMKTLK_A
Tag Name: Adult.COC.SMKTLK_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: (AMDLONG IN ('1','2','RF','DK') or ADNLONG IN ('1','2','RF','DK')) and
((CIGCUR1 IN ('1','2') or PIPECUR1 IN ('1','2') or ECIGCUR1 IN ('1','2')
or SMKLSCUR IN ('1','2')) or (SMKEV='1' and
(SMKNO
Universe Description: Sample Adults 18+ who have seen a doctor or other health professional in the past year
and are current cigarette smokers or former cigarette smokers who have quit in the
past 12 months
Question Text: In the past 12 months, has a doctor, dentist, or other health professional
ADVISED you about ways to quit using tobacco or prescribed medication to
help you quit?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto DRKTLK_A]

Last Modified: Tuesday, March 14, 2017

Page 819 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.COC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DRKTLK_A

Field

Adult.Content that rotates in other years.COC.DRKTLK_A
Description: Advised by doctor to cut drinking, past 12m
Form Pane Label: Advised by doctor to cut drinking, past 12m
SAS Name: DRKTLK_A
Tag Name: Adult.COC.DRKTLK_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: (AMDLONG IN ('1','2','RF','DK') or ADNLONG IN ('1','2','RF','DK')) and
((CIGCUR1 IN ('1','2') or PIPECUR1 IN ('1','2') or ECIGCUR1 IN ('1','2')
or SMKLSCUR IN ('1','2')) or (SMKEV='1' and
(SMKNO
Universe Description: Sample Adults 18+ who have seen a doctor or other health professional in the past
year and have had 1 or more drinks in the past 12 months
Question Text: In the past 12 months, has a doctor, dentist, or other health professional
ADVISED you to stop or cut down on your drinking?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto EXCTLK_A]

Last Modified: Tuesday, March 14, 2017

Page 820 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.COC

Blaise Item-Level Specifications Report
Spider Version 1.6.2

EXCTLK_A

Field

Adult.Content that rotates in other years.COC.EXCTLK_A
Description: Advised to increase exercise, past 12m
Form Pane Label: Advised to increase exercise, past 12m
SAS Name: EXCTLK_A
Tag Name: Adult.COC.EXCTLK_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who have seen a doctor or other health professional in the past
year
Question Text: In the past 12 months, has a doctor or other health professional ADVISED you
to increase the amount of exercise you get?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Wednesday, February 15, 2017

Page 821 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years

SLP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Block

Adult.Content that rotates in other years.SLP
Description: Sleep
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Tuesday, March 14, 2017

Page 822 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.SLP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SLPH_A

Field

Adult.Content that rotates in other years.SLP.SLPH_A
Description: Hours of weekday sleep
Form Pane Label: Hours of weekday sleep
SAS Name: SLPH_A
Tag Name: Adult.SLP.SLPH_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

1 of 2
Including naps, how much sleep do you usually get in a 24 hour period...on a
weekday or work day?
Enter the number of hours.

Type: Integer
Length: 2
Min: 0
Max: 24
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-23> [goto SLPM_A]
<24,RF,DK> [goto SLPWEH_A]

Last Modified: Friday, March 3, 2017

Page 823 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.SLP

SLPM_A

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Field

Adult.Content that rotates in other years.SLP.SLPM_A
Description: Minutes of weekday sleep
Form Pane Label: Minutes of weekday sleep
SAS Name: SLPM_A
Tag Name: Adult.SLP.SLPM_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

2 of 2
Enter minutes of sleep.

Type: Integer
Length: 2
Min: 0
Max: 59
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-59,RF,DK> [goto SLPWEH_A]

Last Modified: Tuesday, March 14, 2017

Page 824 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.SLP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SLPWEH_A

Field

Adult.Content that rotates in other years.SLP.SLPWEH_A
Description: Hours of weekend sleep
Form Pane Label: Hours of weekend sleep
SAS Name: SLPWEH_A
Tag Name: Adult.SLP.SLPWEH_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

1 of 2
Including naps, how much sleep do you usually get in a 24 hour period...on a
weekend or non-work day?
Enter number of hours.

Type: Integer
Length: 2
Min: 0
Max: 24
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-23> [goto SLPWEM_A]
<24,RF,DK> [goto SLPREST_A]

Last Modified: Friday, March 3, 2017

Page 825 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.SLP

SLPWEM_A

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Field

Adult.Content that rotates in other years.SLP.SLPWEM_A
Description: Minutes of weekend sleep
Form Pane Label: Minutes of weekend sleep
SAS Name: SLPWEM_A
Tag Name: Adult.SLP.SLPWEM_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

2 of 2
Enter the number of minutes.

Type: Integer
Length: 2
Min: 0
Max: 59
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-59,RF,DK> [goto SLPREST_A]

Last Modified: Tuesday, March 14, 2017

Page 826 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.SLP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SLPREST_A

Field

Adult.Content that rotates in other years.SLP.SLPREST_A
Description: Wake up well rested, past 30d
Form Pane Label: Wake up well rested, past 30d
SAS Name: SLPREST_A
Tag Name: Adult.SLP.SLPREST_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: During the past 30 days, how often did you wake up feeling well-rested? Would
you say never, some days, most days, or every day?

Type: Enumerated
Length: 1
Answer List: THOWOFTDAYS
Value:

Mnemonic:

Description:

1

Never

2

Some days

3

Most days

4

Every day
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4,RF,DK> [goto SLPFLL_A]

Last Modified: Tuesday, March 14, 2017

Page 827 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.SLP

SLPFLL_A

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Field

Adult.Content that rotates in other years.SLP.SLPFLL_A
Description: Trouble falling asleep, past 30d
Form Pane Label: Trouble falling asleep, past 30d
SAS Name: SLPFLL_A
Tag Name: Adult.SLP.SLPFLL_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: During the past 30 days, how often did you have trouble falling asleep? Would
you say never, some days, most days, or every day?

Type: Enumerated
Length: 1
Answer List: THOWOFTDAYS
Value:

Mnemonic:

Description:

1

Never

2

Some days

3

Most days

4

Every day
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4,RF,DK> [goto SLPSTY_A]

Last Modified: Tuesday, March 14, 2017

Page 828 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.SLP

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SLPSTY_A

Field

Adult.Content that rotates in other years.SLP.SLPSTY_A
Description: Trouble staying asleep, past 30d
Form Pane Label: Trouble staying asleep, past 30d
SAS Name: SLPSTY_A
Tag Name: Adult.SLP.SLPSTY_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: During the past 30 days, how often did you have trouble staying asleep?
Would you say never, some days, most days, or every day? [FR NOTE: Include
waking up too early]

Type: Enumerated
Length: 1
Answer List: THOWOFTDAYS
Value:

Mnemonic:

Description:

1

Never

2

Some days

3

Most days

4

Every day
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4,RF,DK> [goto SLPMED_A]

Last Modified: Tuesday, March 14, 2017

Page 829 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.SLP

SLPMED_A

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Field

Adult.Content that rotates in other years.SLP.SLPMED_A
Description: Take medication for sleep, past 30d
Form Pane Label: Take medication for sleep, past 30d
SAS Name: SLPMED_A
Tag Name: Adult.SLP.SLPMED_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: During the past 30 days, how often did you take any medication to help you fall
asleep or stay asleep? Include both prescribed and over-the-counter
medications. Would you say never, some days, most days, or every day?

Type: Enumerated
Length: 1
Answer List: THOWOFTDAYS
Value:

Mnemonic:

Description:

1

Never

2

Some days

3

Most days

4

Every day
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4,RF,DK> [goto next section]

Last Modified: Wednesday, February 15, 2017

Page 830 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years

Blaise Item-Level Specifications Report
Spider Version 1.6.2

EMD

Block

Adult.Content that rotates in other years.EMD
Description: Employment details
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Tuesday, March 14, 2017

Page 831 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.EMD

EMDWHOWRK_A

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Field

Adult.Content that rotates in other years.EMD.EMDWHOWRK_A
Description: For whom worked
Form Pane Label: For whom worked
SAS Name: EMDWHOWRK_A
Tag Name: Adult.EMD.EMDWHOWRK_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who were working at or had a paid job or business last week; or who
have seasonal/contract work; or who work, but not for pay, at a family-owned job or
business; or who did not have a job or business last week but had a job or business i
Question Text: [if EMPLASTWK_A =1 or EMPNOWRK_A =1 or EMPRSNOWK_A =04:] For whom
do you work at your MAIN job or business? [For those with more than one
MAIN job or business,] where did you work for the most amount of time last
week? (Name of company, business, organization or employer)
else if EMPRSNOWK_A =03 or EMPLSTWK_A =1: Thinking about the MAIN job
you held in the past 12 months, for whom did you work? (Name of company,
business, organization or employer)

Type: String
Length: 90
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions:  [goto EMDKINDIND_A]

Last Modified: Tuesday, March 14, 2017

Page 832 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.EMD

Blaise Item-Level Specifications Report
Spider Version 1.6.2

EMDKINDIND_A

Field

Adult.Content that rotates in other years.EMD.EMDKINDIND_A
Description: Kind of business or industry
Form Pane Label: Kind of business or industry
SAS Name: EMDKINDIND_A
Tag Name: Adult.EMD.EMDKINDIND_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who were working at or had a paid job or business last week; or who
have seasonal/contract work; or who work, but not for pay, at a family-owned job or
business; or who did not have a job or business last week but had a job or business i
Question Text: What kind of business or industry [is/was] this? (For example: TV and radio
mgt., retail shoe store, State Department of Labor)

Type: String
Length: 90
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions:  [goto EMDKINDWRK_A]

Last Modified: Tuesday, March 14, 2017

Page 833 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.EMD

EMDKINDWRK_A

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Field

Adult.Content that rotates in other years.EMD.EMDKINDWRK_A
Description: Kind of work doing
Form Pane Label: Kind of work doing
SAS Name: EMDKINDWRK_A
Tag Name: Adult.EMD.EMDKINDWRK_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who were working at or had a paid job or business last week; or who
have seasonal/contract work; or who work, but not for pay, at a family-owned job or
business; or who did not have a job or business last week but had a job or business i
Question Text: What kind of work ^AREWERE you doing? (For example: farming, mail clerk,
computer specialist.)

Fills: AREWERE
Instructions: ?

Type: String
Length: 90
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions:  [goto EMDIMPACT_A]

Last Modified: Tuesday, March 14, 2017

Page 834 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.EMD

Blaise Item-Level Specifications Report
Spider Version 1.6.2

EMDIMPACT_A

Field

Adult.Content that rotates in other years.EMD.EMDIMPACT_A
Description: Most important job activiites
Form Pane Label: Most important job activiites
SAS Name: EMDIMPACT_A
Tag Name: Adult.EMD.EMDIMPACT_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who were working at or had a paid job or business last week; or who
have seasonal/contract work; or who work, but not for pay, at a family-owned job or
business; or who did not have a job or business last week but had a job or business i
Question Text: What ^AREWERE your most important activities on this job or business? (For
example: sells cars, keeps account books, operates printing press.)

Fills: AREWERE
Instructions: ?

Type: String
Length: 90
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions:  [goto EMDSPRVIS_A]

Last Modified: Tuesday, March 14, 2017

Page 835 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.EMD

Blaise Item-Level Specifications Report
Spider Version 1.6.2

EMDSPRVIS_A

Field

Adult.Content that rotates in other years.EMD.EMDSPRVIS_A
Description: Supervise other employees
Form Pane Label: Supervise other employees
SAS Name: EMDSPRVIS_A
Tag Name: Adult.EMD.EMDSPRVIS_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who were working at or had a paid job or business last week; or who
have seasonal/contract work; or who work, but not for pay, at a family-owned job or
business; or who did not have a job or business last week but had a job or business i
Question Text: ^DoyouDidyou supervise other employees as part of your job?

Fills: DoyouDidyou
Instructions: No Fill Instructions Found

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto EMDWRKCAT_A]

Last Modified: Tuesday, March 14, 2017

Page 836 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.EMD

Blaise Item-Level Specifications Report
Spider Version 1.6.2

EMDWRKCAT_A

Field

Adult.Content that rotates in other years.EMD.EMDWRKCAT_A
Description: Type of main job
Form Pane Label: Type of main job
SAS Name: EMDWRKCAT_A
Tag Name: Adult.EMD.EMDWRKCAT_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who were working at or had a paid job or business last week; or who
have seasonal/contract work; or who work, but not for pay, at a family-owned job or
business; or who did not have a job or business last week but had a job or business i
Question Text: Which of these BEST describes your MAIN job [or work situation?/or business
in the past 12 months?]

Type: Enumerated
Length: 1
Answer List: TEMDWRKCAT_A
Value:

Mnemonic:

Description:

1

Employee of a PRIVATE company for wages

2

A FEDERAL government employee

3

A STATE government employee

4

A LOCAL government employee

5

Self-employed in OWN business, professional practice or farm

6

Working WITHOUT PAY in a family-owned business or farm
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-6,RF,DK> [goto EMDPDSKLV_A]

Last Modified: Tuesday, March 14, 2017

Page 837 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.EMD

EMDPDSKLV_A

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Field

Adult.Content that rotates in other years.EMD.EMDPDSKLV_A
Description: Paid sick leave on job
Form Pane Label: Paid sick leave on job
SAS Name: EMDPDSKLV_A
Tag Name: Adult.EMD.EMDPDSKLV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who were working at or had a paid job or business last week; or who
have seasonal/contract work; or who work, but not for pay, at a family-owned job or
business; or who did not have a job or business last week but had a job or business i
Question Text: Do/did you have paid sick leave on [this MAIN job or business?/ your MAIN job
or business in the past 12 months?]

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto EMDOFFHI_A]

Last Modified: Tuesday, March 14, 2017

Page 838 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.EMD

Blaise Item-Level Specifications Report
Spider Version 1.6.2

EMDOFFHI_A

Field

Adult.Content that rotates in other years.EMD.EMDOFFHI_A
Description: Health insurance through job
Form Pane Label: Health insurance through job
SAS Name: EMDOFFHI_A
Tag Name: Adult.EMD.EMDOFFHI_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+ who were working at or had a paid job or business last week; or who
have seasonal/contract work; or who work, but not for pay, at a family-owned job or
business; or who did not have a job or business last week but had a job or business i
Question Text: Regarding your MAIN job or business [in the past 12 months], was health
insurance offered to you through your workplace?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto EMPDYSMSS_A]

Last Modified: Wednesday, February 15, 2017

Page 839 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years

RCN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Block

Adult.Content that rotates in other years.RCN
Description: Rotating Conditions
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Tuesday, March 14, 2017

Page 840 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.RCN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

AHAYFYR_A

Field

Adult.Content that rotates in other years.RCN.AHAYFYR_A
Description: Hay fever, past 12m
Form Pane Label: Hay fever, past 12m
SAS Name: AHAYFYR_A
Tag Name: Adult.RCN.AHAYFYR_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: During the past 12 months, have you been told by a doctor or other health
professional that you had
...Hay fever or seasonal allergies?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto ARSPALYR_A]

Last Modified: Tuesday, March 14, 2017

Page 841 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.RCN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ARSPALYR_A

Field

Adult.Content that rotates in other years.RCN.ARSPALYR_A
Description: Respiratory allergy, past 12m
Form Pane Label: Respiratory allergy, past 12m
SAS Name: ARSPALYR_A
Tag Name: Adult.RCN.ARSPALYR_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: During the past 12 months, have you had
...Any other kind of respiratory allergy?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto ADGALYR_A]

Last Modified: Tuesday, March 14, 2017

Page 842 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.RCN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ADGALYR_A

Field

Adult.Content that rotates in other years.RCN.ADGALYR_A
Description: Food/digestive allergy, past 12m
Form Pane Label: Food/digestive allergy, past 12m
SAS Name: ADGALYR_A
Tag Name: Adult.RCN.ADGALYR_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: During the past 12 months, have you had
...Any kind of food or digestive allergy?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto ASKNALYR_A]

Last Modified: Tuesday, March 14, 2017

Page 843 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.RCN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ASKNALYR_A

Field

Adult.Content that rotates in other years.RCN.ASKNALYR_A
Description: Eczema/Skin allergy, past 12m
Form Pane Label: Eczema/Skin allergy, past 12m
SAS Name: ASKNALYR_A
Tag Name: Adult.RCN.ASKNALYR_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: During the past 12 months, have you had
...Eczema or any kind of skin allergy?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Tuesday, March 14, 2017

Page 844 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.RCN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

KIDWKEV_A

Field

Adult.Content that rotates in other years.RCN.KIDWKEV_A
Description: Ever had weak/failing kidneys
Form Pane Label: Ever had weak/failing kidneys
SAS Name: KIDWKEV_A
Tag Name: Adult.RCN.KIDWKEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: Have you EVER been told by a doctor or other health
professional that you had
......Weak or failing kidneys?
Read if necessary: Do not include kidney stones, bladder infections or
incontinence.

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto HEPEV_A]

Last Modified: Tuesday, March 14, 2017

Page 845 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.RCN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HEPEV_A

Field

Adult.Content that rotates in other years.RCN.HEPEV_A
Description: Ever had hepatitis
Form Pane Label: Ever had hepatitis
SAS Name: HEPEV_A
Tag Name: Adult.RCN.HEPEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: Have you EVER been told by a doctor or other health
professional that you had
...Hepatitis?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto LIVEV_A]

Last Modified: Tuesday, March 14, 2017

Page 846 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.RCN

Blaise Item-Level Specifications Report
Spider Version 1.6.2

LIVEV_A

Field

Adult.Content that rotates in other years.RCN.LIVEV_A
Description: Ever had cirrhosis/liver condition
Form Pane Label: Ever had cirrhosis/liver condition
SAS Name: LIVEV_A
Tag Name: Adult.RCN.LIVEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: Have you EVER been told by a doctor or other health
professional that you had
...Cirrhosis or any other chronic or long-term liver condition?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto ARTHEV_A]

Last Modified: Tuesday, February 14, 2017

Page 847 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years

HEA - Rotate

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Block

Adult.Content that rotates in other years.HEA - Rotate
Description: Hearing - Rotate
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Tuesday, March 14, 2017

Page 848 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.HEA - Rotate

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HEARQTRM_A

Field

Adult.Content that rotates in other years.HEA - Rotate.HEARQTRM_A
Description: Hearing conversation in quiet room
Form Pane Label: Hearing conversation in quiet room
SAS Name: HEARQTRM_A
Tag Name: Adult.HEA.HEARQTRM_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: HEARINGDF_A IN ('1','2','3','RF','DK')
Universe Description: Sample Adults 18+ who have no difficulty, some difficulty, a lot of difficulty, or refused
or don't know if they have difficulty hearing, even when using a hearing aid
Question Text: Do you have difficulty hearing what is said in a conversation with one other
person in a quiet room ^HEARAID? Would you say no difficulty, some
difficulty, a lot of difficulty, or are you unable to do this?

Fills: HEARAID
Instructions: If HEARAID_A=1, fill: ", even when using your hearing aid(s)"
else NO FILL

Type: Enumerated
Length: 1
Answer List: TDIFFICULTY
Value:

Mnemonic:

Description:

1

No difficulty

2

Some difficulty

3

A lot of difficulty

4

Cannot do at all/Unable to do
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:

Last Modified: Tuesday, March 14, 2017

Page 849 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.HEA - Rotate

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Skip Instructions: <1-3,RF,DK> [goto HEARNYRM_A]
<4> [goto next section]

Last Modified: Tuesday, March 14, 2017

Page 850 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.HEA - Rotate

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HEARNYRM_A

Field

Adult.Content that rotates in other years.HEA - Rotate.HEARNYRM_A
Description: Hearing conversation in noisy room
Form Pane Label: Hearing conversation in noisy room
SAS Name: HEARNYRM_A
Tag Name: Adult.HEA.HEARNYRM_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: HEARQTRM_A IN ('1','2','3','RF','DK')
Universe Description: Sample Adults 18+ who have no difficulty, some difficulty, a lot of difficulty, or refuse or
don't know if they have difficulty hearing what is said in a conversation with one other
person in a quiet room (even when wearing their hearing aid(s))
Question Text: Do you have difficulty hearing what is said in a conversation with one other
person in a noisier room ^HEARAID? Would you say no difficulty, some
difficulty, a lot of difficulty, or are you unable to do this?

Fills: HEARAID
Instructions: If HEARAID_A=1, fill: ", even when using your hearing aid(s)"
else NO FILL

Type: Enumerated
Length: 1
Answer List: TDIFFICULTY
Value:

Mnemonic:

Description:

1

No difficulty

2

Some difficulty

3

A lot of difficulty

4

Cannot do at all/Unable to do
x Don't Know
x Refuse
Empty
x On Input
x On Output

Last Modified: Tuesday, March 14, 2017

Page 851 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.HEA - Rotate

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Array:
Skip Instructions: <1-4,RF,DK>[goto next section]

Last Modified: Tuesday, February 14, 2017

Page 852 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years

Blaise Item-Level Specifications Report
Spider Version 1.6.2

COM - Rotate

Block

Adult.Content that rotates in other years.COM - Rotate
Description: Communication (from Adult Rotate Block)
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Tuesday, March 14, 2017

Page 853 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.COM - Rotate

COMUSESL_A

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Field

Adult.Content that rotates in other years.COM - Rotate.COMUSESL_A
Description: Use sign language
Form Pane Label: Use sign language
SAS Name: COMUSESL_A
Tag Name: Adult.COM.COMUSESL_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Do you use sign language?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Wednesday, July 5, 2017

Page 854 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years

Blaise Item-Level Specifications Report
Spider Version 1.6.2

IMM (Core)

Block

Adult.Content that rotates in other years.IMM (Core)
Description: Immunization
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Thursday, June 1, 2017

Page 855 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.IMM (Core)

SHTFLU12M_A

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Field

Adult.Content that rotates in other years.IMM (Core).SHTFLU12M_A
Description: Flu vaccine
Form Pane Label: Flu vaccine
SAS Name: SHTFLU12M_A
Tag Name: Adult.IMM.SHTFLU12M_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: There are two types of flu vaccinations. One is a shot and the other is a spray,
mist, or drop in the nose. DURING THE PAST 12 MONTHS, have you had a flu
vaccination?
Read if necessary: A flu vaccination is usually given in the fall and protects against
influenza for the flu season.

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto SHTFLUM_A]
<2,RF,DK> [goto SHTPNUEV_A]

Last Modified: Thursday, June 1, 2017

Page 856 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.IMM (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SHTFLUM_A

Field

Adult.Content that rotates in other years.IMM (Core).SHTFLUM_A
Description: Month of last flu vaccine
Form Pane Label: Month of last flu vaccine
SAS Name: SHTFLUM_A
Tag Name: Adult.IMM.SHTFLUM_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: SHTFLU12M_A='1'
Universe Description: Sample Adults 18+ who have had a flu shot in the past 12 months
Question Text:

1 of 2
During what month and year did you receive your most recent flu vaccine?

Type: Enumerated
Length: 2
Answer List: T_MONTH
Value:

Mnemonic:

Description:

1

January

2

February

3

March

4

April

5

May

6

June

7

July

8

August

9

September

10

October

11

November

12

December
x Don't Know
x Refuse
Empty

Last Modified: Thursday, June 1, 2017

Page 857 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.IMM (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x On Input
x On Output
Array:
Skip Instructions: <1-12,DK> [goto SHTFLUY_A]
 [goto SHTPNUEV_A]

Last Modified: Thursday, June 1, 2017

Page 858 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.IMM (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SHTFLUY_A

Field

Adult.Content that rotates in other years.IMM (Core).SHTFLUY_A
Description: Year of last flu vaccine
Form Pane Label: Year of last flu vaccine
SAS Name: SHTFLUY_A
Tag Name: Adult.IMM.SHTFLUY_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: SHTFLUM_A IN (1-12,'DK')
Universe Description: Sample Adults 18+ who gave a month for their last flu shot or who didn't know the
month
Question Text:

2 of 2
Enter year of most recent flu vaccine.

Type: Integer
Length: 4
Min: 1900
Max: 2030
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions:  [goto SHTPNUEV_A]
if SHTFLUM_A and SHTFLUY_A = a future date [goto ERR1_SHTFLUY_A]
if SHTFLUM_A and SHTFLUY_A = a date before 12 months ago [goto
ERR2_SHTFLUY_A]

Last Modified: Monday, March 6, 2017

Page 859 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.IMM (Core)

ERR1_SHTFLUY_A

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Check

Adult.Content that rotates in other years.IMM (Core).ERR1_SHTFLUY_A
Description: Future date hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: SHTFLUM_A + SHTFLUY_A= future date
Universe Description: Future date
Text: {check ERR1_SHTFLUY_A}
Future date invalid.
Â

Check Instructions:
Type: Hard

Last Modified: Monday, March 6, 2017

Page 869 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.IMM (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

ERR2_SHTFLUY_A

Check

Adult.Content that rotates in other years.IMM (Core).ERR2_SHTFLUY_A
Description: Date > 12 months ago hard edit
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: SHTFLUM_A + SHTFLUY_A= a date before 12 months ago
Universe Description:
Text: {check ERR2_SHTFLUY_A}
Date more than 12 months ago

Check Instructions:
Type: Hard

Last Modified: Thursday, June 1, 2017

Page 861 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.IMM (Core)

SHTPNUEV_A

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Field

Adult.Content that rotates in other years.IMM (Core).SHTPNUEV_A
Description: Ever had pneumonia shot
Form Pane Label: Ever had pneumonia shot
SAS Name: SHTPNUEV_A
Tag Name: Adult.IMM.SHTPNUEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Have you EVER had a pneumonia shot?
Read if necessary: 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.

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> [goto next section]

Last Modified: Monday, July 17, 2017

Page 862 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PRV (Core)

Block

Adult.Content that rotates in other years.PRV (Core)
Description: Preventive screening
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Thursday, June 1, 2017

Page 863 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PRV (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

BPLAST_A

Field

Adult.Content that rotates in other years.PRV (Core).BPLAST_A
Description: Last time blood pressure checked
Form Pane Label: Last time blood pressure checked
SAS Name: BPLAST_A
Tag Name: Adult.PRV.BPLAST_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: When was the last time you had your blood pressure checked by a doctor,
nurse, or other health professional?

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yrNEVER
Value:

Mnemonic:

Description:

0

Never

1

Within the past year (anytime less than 12 months ago)

2

Within the last 2 years (1 year but less than 2 years ago)

3

Within the last 3 years (2 years but less than 3 years ago)

4

Within the last 5 years (3 years but less than 5 years ago)

5

Within the last 10 years (5 years but less than 10 years ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-6,RF,DK> [goto CHOLLAST_A]

Last Modified: Thursday, June 1, 2017

Page 864 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PRV (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CHOLLAST_A

Field

Adult.Content that rotates in other years.PRV (Core).CHOLLAST_A
Description: Last time cholesterol checked
Form Pane Label: Last time cholesterol checked
SAS Name: CHOLLAST_A
Tag Name: Adult.PRV.CHOLLAST_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: When was the last time you had your blood cholesterol checked by a doctor,
nurse, or other health professional?

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yrNEVER
Value:

Mnemonic:

Description:

0

Never

1

Within the past year (anytime less than 12 months ago)

2

Within the last 2 years (1 year but less than 2 years ago)

3

Within the last 3 years (2 years but less than 3 years ago)

4

Within the last 5 years (3 years but less than 5 years ago)

5

Within the last 10 years (5 years but less than 10 years ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-6,RF,DK> [goto DIABLAST_A]

Last Modified: Tuesday, June 20, 2017

Page 865 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PRV (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

DIABLAST_A

Field

Adult.Content that rotates in other years.PRV (Core).DIABLAST_A
Description: Last time blood sugar test
Form Pane Label: Last time blood sugar test
SAS Name: DIABLAST_A
Tag Name: Adult.PRV.DIABLAST_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: When was the last time you had a blood test for high blood sugar or diabetes?

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yrNEVER
Value:

Mnemonic:

Description:

0

Never

1

Within the past year (anytime less than 12 months ago)

2

Within the last 2 years (1 year but less than 2 years ago)

3

Within the last 3 years (2 years but less than 3 years ago)

4

Within the last 5 years (3 years but less than 5 years ago)

5

Within the last 10 years (5 years but less than 10 years ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <0-6,RF,DK> if GEN.AGE_FINAL ge 040 [goto COLORECTEV]
elseif GEN.SEX_FINAL=1 and GEN.AGE_FINAL lt 40 [goto next section]
elseif GEN.SEX_FINAL=2 and GEN.AGE_FINAL lt 40 [goto PAPEV_A]

Last Modified: Tuesday, June 20, 2017

Page 866 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PRV (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

COLORECTEV_A

Field

Adult.Content that rotates in other years.PRV (Core).COLORECTEV_A
Description: Colonoscopy or sigmoidoscopy
Form Pane Label: Colonoscopy or sigmoidoscopy
SAS Name: COLORECTEV_A
Tag Name: Adult.PRV.COLORECTEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL GE '040' and GEN.AGE_FINAL not IN ('RF','DK')
Universe Description: Sample Adults 40+
Question Text: These next questions are about colorectal cancer screening. There are several
different kinds of tests to check for colon cancer. Colonoscopy
(colon-OS-copy) and sigmoidoscopy (sigmoid-OS-copy) are exams in which a
doctor inserts a tube into the rectum to look for polyps or cancer. Have you
ever had either of these exams?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto COLORECTYP_A]
<2,RF,DK> [goto COLOROTH_A]

Last Modified: Tuesday, June 20, 2017

Page 867 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PRV (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

COLORECTYP_A

Field

Adult.Content that rotates in other years.PRV (Core).COLORECTYP_A
Description: Colonoscopy or sigmoidoscopy or both
Form Pane Label: Colon or sigmoid or both
SAS Name: COLORECTYP_A
Tag Name: Adult.PRV.COLORECTYP_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: (GEN.AGE_FINAL GE '040' and GEN.AGE_FINAL not IN ('RF','DK')) and
COLORECTEV_A='1'
Universe Description: Sample Adults 40+ who have had either a colonoscopy or sigmoidoscopy
Question Text: For a colonoscopy, the doctor checks the entire colon, and you are given
medication through a needle in your arm to make you sleepy, and told to have
someone take you home. For a sigmoidoscopy, the doctor checks only part of
the colon and you are fully awake. Have you ever had a colonoscopy, a
sigmoidoscopy, or both?

Type: Enumerated
Length: 1
Answer List: TCOLORECTYP_A
Value:

Mnemonic:

Description:

1

Colonoscopy

2

Sigmoidoscopy

3

Both
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,3> [goto COLWHEN_A]
<2> [goto SIGWHEN_A]
 [goto BOTHWHEN_A]

Last Modified: Tuesday, June 20, 2017

Page 868 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PRV (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

 [goto COLOROTH_A]

Last Modified: Tuesday, June 20, 2017

Page 869 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PRV (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

COLWHEN_A

Field

Adult.Content that rotates in other years.PRV (Core).COLWHEN_A
Description: Most recent colonoscopy
Form Pane Label: Most recent colonoscopy
SAS Name: COLWHEN_A
Tag Name: Adult.PRV.COLWHEN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: (GEN.AGE_FINAL ge '040'
COLORECTYP_A IN ('1','3')

and

GEN.AGE_FINAL

not

IN

('RF','DK'))

and

Universe Description: Sample Adults 40+ who have ever had a colonoscopy or both a colonoscopy and a
sigmoidoscopy
Question Text: When was your most recent colonoscopy?

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yr
Value:

Mnemonic:

Description:

1

Within the past year (anytime less than 12 months ago)

2

Within the past 2 years (1 year but less than 2 years ago)

3

Within the past 3 years (2 years but less than 3 years ago)

4

Within the past 5 years (3 years but less than 5 years ago)

5

Within the past 10 years (5 years but less than 10 year ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-5> if GEN.SEX_FINAL=2 [goto PAPEV_A]
elseif GEN.SEX_FINAL=1 [goto next section]
<6,RF,DK> if COLORECTYP_A=3 [goto SIGWHEN_A]

Last Modified: Tuesday, June 20, 2017

Page 870 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PRV (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

elseif COLORECTYP_A=1 [goto COLOROTH_A]

Last Modified: Tuesday, June 20, 2017

Page 871 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PRV (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

BOTHWHEN_A

Field

Adult.Content that rotates in other years.PRV (Core).BOTHWHEN_A
Description: Most recent colonoscopy or sigmoidoscopy
Form Pane Label: Colonoscopy or sigmoidoscopy
SAS Name: BOTHWHEN_A
Tag Name: Adult.PRV.BOTHWHEN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL GE
COLORECTYP_A='DK'

'040'

and

AGE_FINAL

not

IN

('RF','DK')

and

Universe Description: Sample Adults 40+ who have ever had a colonoscopy or sigmoidoscopy but do not
know which type
Question Text: When was your most recent colonoscopy or sigmoidoscopy?

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yr
Value:

Mnemonic:

Description:

1

Within the past year (anytime less than 12 months ago)

2

Within the past 2 years (1 year but less than 2 years ago)

3

Within the past 3 years (2 years but less than 3 years ago)

4

Within the past 5 years (3 years but less than 5 years ago)

5

Within the past 10 years (5 years but less than 10 year ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4> if GEN.SEX_FINAL=2 [goto PAPEV_A]
elseif GEN.SEX_FINAL=1 [goto next section]
<5,6,RF,DK> [goto COLOROTH_A]

Last Modified: Tuesday, June 20, 2017

Page 872 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PRV (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SIGWHEN_A

Field

Adult.Content that rotates in other years.PRV (Core).SIGWHEN_A
Description: Most recent sigmoidoscopy
Form Pane Label: Most recent sigmoidoscopy
SAS Name: SIGWHEN_A
Tag Name: Adult.PRV.SIGWHEN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL ge '040' and GEN.AGE_FINAL not IN ('RF','DK') and
(COLORECTYP_A='2' or (COLORECTYP_A='3' and COLWHEN_A IN ('6',DK,RF)))
Universe Description: Sample Adults 40+ who have ever had a sigmoidoscopy but not a colonoscopy or who
have ever had a colonoscopy and a sigmoidoscopy and the most recent colonoscopy
was 10 years ago or more
Question Text: When was your most recent sigmoidoscopy?

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yr
Value:

Mnemonic:

Description:

1

Within the past year (anytime less than 12 months ago)

2

Within the past 2 years (1 year but less than 2 years ago)

3

Within the past 3 years (2 years but less than 3 years ago)

4

Within the past 5 years (3 years but less than 5 years ago)

5

Within the past 10 years (5 years but less than 10 year ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-4> if GEN.SEX_FINAL=2 [goto PAPEV_A]
elseif GEN.SEX_FINAL=1 [goto next section]

Last Modified: Tuesday, June 20, 2017

Page 873 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PRV (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

<5,6,RF,DK> [goto COLOROTH_A]

Last Modified: Tuesday, June 20, 2017

Page 874 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PRV (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

COLOROTH_A

Field

Adult.Content that rotates in other years.PRV (Core).COLOROTH_A
Description: OTHER kind of test for colorectal cancer
Form Pane Label: OTHER kind of test
SAS Name: COLOROTH_A
Tag Name: Adult.PRV.COLOROTH_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: (GEN.AGE_FINAL ge '040' and GEN.AGE_FINAL not IN ('RF','DK')) and
(COLORECTEV_A IN ('2',RF,DK) or COLORECTYP=RF or SIGWHEN_A
IN('5','6',RF,DK) or (COLWHEN_A IN ('6',RF,DK) and COLORECTYP_A=1) or
BOTHWHEN_A IN ('5','6',RF,DK))
Universe Description: Sample Adults 40+ who
have never had a colonoscopy/sigmoidoscopy or don't know or refused to answer
whether they had a colonoscopy/sigmoidoscopy
OR who said they had the exams but refused to say which type
OR if time since most recent sigmoidoscopy is greater than 5 years or don't know or
refused
OR time since most recent colonoscopy is more than 10 years or don't know or
refused and only had a colonoscopy
OR time since most recent colonoscopy or sigmoidoscopy test (type unknown) is
more than 5 years or don't know or refused
Question Text: Have you ever had any OTHER kind of test for colorectal cancer, such as a
virtual colonoscopy, CT colonography, or a blood stool test?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty

Last Modified: Tuesday, June 20, 2017

Page 875 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PRV (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

x On Input
x On Output
Array:
Skip Instructions: <1> [goto CTCOLEV_A]
<2,RF,DK> if GEN.SEX_FINAL=2 [goto PAPEV_A]
else [goto next section]

Last Modified: Tuesday, June 20, 2017

Page 876 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PRV (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CTCOLEV_A

Field

Adult.Content that rotates in other years.PRV (Core).CTCOLEV_A
Description: Ever had colonography/virtual colonoscopy
Form Pane Label: Ever had colonography/virtual colonoscopy
SAS Name: CTCOLEV_A
Tag Name: Adult.PRV.CTCOLEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL GE
COLOROTH_A='1'

'040'

and

GEN.AGE_FINAL

not

IN

('RF','DK')

and

Universe Description: Sample Adults 40+ who have EVER had another test for colon cancer
Question Text: CT colonography, sometimes called virtual colonoscopy, is a new type of test
that looks for cancer in the colon. Unlike regular colonoscopies, you do not
need medication to make you sleepy during the test. In this new test, your
colon is filled with air and you are moved through a donut-shaped X-ray
machine as you lie on your back and then your stomach.
Have you ever had a CT colonography or virtual colonoscopy?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto CTCOLWHEN_A]
<2,RF,DK> [goto FITHEV_A]

Last Modified: Tuesday, June 20, 2017

Page 877 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PRV (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

CTCOLWHEN_A

Field

Adult.Content that rotates in other years.PRV (Core).CTCOLWHEN_A
Description: Most recent colonography/virtual colonoscopy
Form Pane Label: Most recent colonography
SAS Name: CTCOLWHEN_A
Tag Name: Adult.PRV.CTCOLWHEN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL
CTCOLEV_A='1'

GE

'040'

and

GEN.AGE_FINAL

not

IN

('RF','DK')

and

Universe Description: Sample Adults 40+ who have had a CT colonography or virtual colonscopy.
Question Text: When was your most recent CT colonography or virtual colonoscopy?

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yr
Value:

Mnemonic:

Description:

1

Within the past year (anytime less than 12 months ago)

2

Within the past 2 years (1 year but less than 2 years ago)

3

Within the past 3 years (2 years but less than 3 years ago)

4

Within the past 5 years (3 years but less than 5 years ago)

5

Within the past 10 years (5 years but less than 10 year ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-6,DK,RF> [goto FITHEV_A]

Last Modified: Tuesday, June 20, 2017

Page 878 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PRV (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FITHEV_A

Field

Adult.Content that rotates in other years.PRV (Core).FITHEV_A
Description: Ever had home blood stool test
Form Pane Label: Ever had home blood stool test
SAS Name: FITHEV_A
Tag Name: Adult.PRV.FITHEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL GE
COLOROTH_A='1'

'040'

and

GEN.AGE_FINAL

not

IN

('RF','DK')

and

Universe Description: Sample Adults 40+ who have EVER had another test for colon cancer
Question Text: The following questions are about the blood stool or occult blood test, fecal
immunochemical or FIT test. These are tests to determine whether you have
blood in your stool or bowel movement and can be done at home using a kit.
You use a stick or brush to obtain a small amount of stool at home and send it
back to the doctor or lab.
Have you ever had a blood stool or FIT test, using a HOME test kit?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto FITHWHEN_A]
<2,RF,DK> [goto FITDEV_A]

Last Modified: Tuesday, June 20, 2017

Page 879 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PRV (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FITHWHEN_A

Field

Adult.Content that rotates in other years.PRV (Core).FITHWHEN_A
Description: Most recent home blood stool test
Form Pane Label: Most recent home blood stool test
SAS Name: FITHWHEN_A
Tag Name: Adult.PRV.FITHWHEN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL
FITHEV_A='1'

GE

'040'

and

GEN.AGE_FINAL

not

IN

('RF','DK')

and

Universe Description: Sample Adults 40+ who have EVER had a home blood stool or FIT test
Question Text: When was your most recent blood stool or FIT test, using a home test kit?

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yr
Value:

Mnemonic:

Description:

1

Within the past year (anytime less than 12 months ago)

2

Within the past 2 years (1 year but less than 2 years ago)

3

Within the past 3 years (2 years but less than 3 years ago)

4

Within the past 5 years (3 years but less than 5 years ago)

5

Within the past 10 years (5 years but less than 10 year ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-6,DK,RF> [goto FITDEV_A]

Last Modified: Tuesday, June 20, 2017

Page 880 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PRV (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FITDEV_A

Field

Adult.Content that rotates in other years.PRV (Core).FITDEV_A
Description: Ever had office blood stool test
Form Pane Label: Ever had office blood stool test
SAS Name: FITDEV_A
Tag Name: Adult.PRV.FITDEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL GE
COLOROTH_A='1'

'040'

and

GEN.AGE_FINAL

not

IN

('RF','DK')

and

Universe Description: Sample Adults 40+ who have EVER had another test for colon cancer
Question Text: Have you ever had a blood stool or FIT test in which your doctor or other health
professional collected a stool sample during an office visit?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto FITDWHEN_A]
<2,RF,DK> if GEN.SEX_FINAL=2 [goto PAPEV_A]
elseif GEN.SEX_FINAL=1 [goto next section]

Last Modified: Tuesday, June 20, 2017

Page 881 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PRV (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

FITDWHEN_A

Field

Adult.Content that rotates in other years.PRV (Core).FITDWHEN_A
Description: Most recent office blood stool test
Form Pane Label: Most recent office blood stool test
SAS Name: FITDWHEN_A
Tag Name: Adult.PRV.FITDWHEN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL
FITDEV_A='1'

GE

'040'

and

GEN.AGE_FINAL

not

IN

('RF','DK')

and

Universe Description: Sample Adults 40+ who have EVER had an office-based blood stool test
Question Text: When was your most recent office visit for a blood stool or FIT test?

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yr
Value:

Mnemonic:

Description:

1

Within the past year (anytime less than 12 months ago)

2

Within the past 2 years (1 year but less than 2 years ago)

3

Within the past 3 years (2 years but less than 3 years ago)

4

Within the past 5 years (3 years but less than 5 years ago)

5

Within the past 10 years (5 years but less than 10 year ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-6,RF,DK> if GEN.SEX_FINAL=2 [goto PAPEV_A]
if GEN.SEX_FINAL=1 [goto next section]

Last Modified: Tuesday, June 20, 2017

Page 882 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PRV (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PAPEV_A

Field

Adult.Content that rotates in other years.PRV (Core).PAPEV_A
Description: Ever had Pap test
Form Pane Label: Ever had Pap test
SAS Name: PAPEV_A
Tag Name: Adult.PRV.PAPEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL='2'
Universe Description: Female Sample Adults 18+
Question Text: Have you ever had a Pap smear or Pap test?
Read if necessary: A Pap smear or Pap test is a routine test for women in which the
doctor examines the cervix, takes a cell sample from the cervix with a small stick or
brush, and sends it to the lab.

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto PAPWHEN_A]
<2,RF,DK> [goto HYSTEV_A]

Last Modified: Thursday, June 1, 2017

Page 883 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PRV (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

PAPWHEN_A

Field

Adult.Content that rotates in other years.PRV (Core).PAPWHEN_A
Description: Most recent pap test
Form Pane Label: Most recent pap test
SAS Name: PAPWHEN_A
Tag Name: Adult.PRV.PAPWHEN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL='2' and PAPEV_A='1'
Universe Description: Female Sample Adults 18+ who have ever had a pap smear
Question Text: When did you have your MOST RECENT PAP smear?

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yr
Value:

Mnemonic:

Description:

1

Within the past year (anytime less than 12 months ago)

2

Within the past 2 years (1 year but less than 2 years ago)

3

Within the past 3 years (2 years but less than 3 years ago)

4

Within the past 5 years (3 years but less than 5 years ago)

5

Within the past 10 years (5 years but less than 10 year ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-6,RF,DK> [goto HYSTEV_A]

Last Modified: Tuesday, June 20, 2017

Page 884 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PRV (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HYSTEV_A

Field

Adult.Content that rotates in other years.PRV (Core).HYSTEV_A
Description: Had hysterectomy
Form Pane Label: Had hysterectomy
SAS Name: HYSTEV_A
Tag Name: Adult.PRV.HYSTEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.SEX_FINAL='2'
Universe Description: Female Sample Adults 18+
Question Text: Have you had a hysterectomy?

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1,2,RF,DK> if GEN.AGE_FINAL ge 30 [goto MAMEV_A]
elseif GEN.AGE_FINAL lt 30 [goto next section]

Last Modified: Tuesday, June 20, 2017

Page 885 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PRV (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MAMEV_A

Field

Adult.Content that rotates in other years.PRV (Core).MAMEV_A
Description: Ever had mammogram
Form Pane Label: Ever had mammogram
SAS Name: MAMEV_A
Tag Name: Adult.PRV.MAMEV_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL ge
GEN.SEX_FINAL='2'

'030'

and

GEN.AGE_FINAL

not

IN

('RF','DK'))

and

Universe Description: Female Sample Adults 30+
Question Text: Have you EVER HAD a mammogram?
Read if necessary: A mammogram is an x-ray taken only of the breast by a
machine that presses against the breast.

Type: Enumerated
Length: 1
Answer List: TYESNO
Value:

Mnemonic:

Description:

1

Yes

2

No
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto MAMWHEN_A]
<2,RF,DK> [goto next section]

Last Modified: Tuesday, June 20, 2017

Page 886 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.PRV (Core)

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MAMWHEN_A

Field

Adult.Content that rotates in other years.PRV (Core).MAMWHEN_A
Description: Most recent mammogram
Form Pane Label: Most recent mammogram
SAS Name: MAMWHEN_A
Tag Name: Adult.PRV.MAMWHEN_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe: GEN.AGE_FINAL ge '030' and GEN.AGE_FINAL
GEN.SEX_FINAL='2' and MAMEV_A='1'

not

IN

('RF','DK')

and

Universe Description: Female Sample Adults 30+ who have had a mammogram
Question Text: When did you have your MOST RECENT mammogram?

Type: Enumerated
Length: 1
Answer List: TTIME1yrto10yr
Value:

Mnemonic:

Description:

1

Within the past year (anytime less than 12 months ago)

2

Within the past 2 years (1 year but less than 2 years ago)

3

Within the past 3 years (2 years but less than 3 years ago)

4

Within the past 5 years (3 years but less than 5 years ago)

5

Within the past 10 years (5 years but less than 10 year ago)

6

10 years ago or more
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-6,RF,DK> [goto next section]

Last Modified: Tuesday, February 14, 2017

Page 887 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years

AMH

Blaise Item-Level Specifications Report
Spider Version 1.6.2

Block

Adult.Content that rotates in other years.AMH
Description: not mentioned in sequence list
Tab Name:
Fly Over Name:
Universe Type: If
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description:
Array:
Block Instructions:

Last Modified: Tuesday, March 14, 2017

Page 888 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.AMH

Blaise Item-Level Specifications Report
Spider Version 1.6.2

MHINTRO_A

Field

Adult.Content that rotates in other years.AMH.MHINTRO_A
Description: Continue
Form Pane Label: Continue
SAS Name: MHINTRO_A
Tag Name: Adult.AMH.MHINTRO_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: Now I am going to ask you some questions about feelings you may have
experienced over the PAST 30 DAYS.

Type: String
Length: 1
Don't Know
Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1> [goto SAD_A]

Last Modified: Tuesday, March 14, 2017

Page 889 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.AMH

Blaise Item-Level Specifications Report
Spider Version 1.6.2

SAD_A

Field

Adult.Content that rotates in other years.AMH.SAD_A
Description: Sad, past 30 days
Form Pane Label: Sad, past 30 days
SAS Name: SAD_A
Tag Name: Adult.AMH.SAD_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text: DURING THE PAST 30 DAYS, how often did you feel
...So sad that nothing could cheer you up?

Type: Enumerated
Length: 1
Answer List: TALLMOSTSOMEALITTLENONE
Value:

Mnemonic:

Description:

1

ALL of the time

2

MOST of the time

3

SOME of the time

4

A LITTLE of the time

5

NONE of the time
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-5,RF,DK> [goto NERVOUS_A]

Last Modified: Tuesday, March 14, 2017

Page 890 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.AMH

Blaise Item-Level Specifications Report
Spider Version 1.6.2

NERVOUS_A

Field

Adult.Content that rotates in other years.AMH.NERVOUS_A
Description: Nervous, past 30 days
Form Pane Label: Nervous, past 30 days
SAS Name: NERVOUS_A
Tag Name: Adult.AMH.NERVOUS_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: During the PAST 30 DAYS, how often did you feel
...Nervous?

Type: Enumerated
Length: 1
Answer List: TALLMOSTSOMEALITTLENONE
Value:

Mnemonic:

Description:

1

ALL of the time

2

MOST of the time

3

SOME of the time

4

A LITTLE of the time

5

NONE of the time
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-5,RF,DK> [goto RESTLESS_A]

Last Modified: Tuesday, March 14, 2017

Page 891 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.AMH

Blaise Item-Level Specifications Report
Spider Version 1.6.2

RESTLESS_A

Field

Adult.Content that rotates in other years.AMH.RESTLESS_A
Description: Restless, past 30 days
Form Pane Label: Restless, past 30 days
SAS Name: RESTLESS_A
Tag Name: Adult.AMH.RESTLESS_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: During the PAST 30 DAYS, how often did you feel
...Restless or fidgety?

Type: Enumerated
Length: 1
Answer List: TALLMOSTSOMEALITTLENONE
Value:

Mnemonic:

Description:

1

ALL of the time

2

MOST of the time

3

SOME of the time

4

A LITTLE of the time

5

NONE of the time
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-5,RF,DK> [goto HOPELESS_A]

Last Modified: Tuesday, March 14, 2017

Page 892 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.AMH

Blaise Item-Level Specifications Report
Spider Version 1.6.2

HOPELESS_A

Field

Adult.Content that rotates in other years.AMH.HOPELESS_A
Description: Hopeless, past 30 days
Form Pane Label: Hopeless, past 30 days
SAS Name: HOPELESS_A
Tag Name: Adult.AMH.HOPELESS_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: During the PAST 30 DAYS, how often did you feel
...Hopeless?

Type: Enumerated
Length: 1
Answer List: TALLMOSTSOMEALITTLENONE
Value:

Mnemonic:

Description:

1

ALL of the time

2

MOST of the time

3

SOME of the time

4

A LITTLE of the time

5

NONE of the time
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-5,RF,DK> [goto EFFORT_A]

Last Modified: Tuesday, March 14, 2017

Page 893 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.AMH

Blaise Item-Level Specifications Report
Spider Version 1.6.2

EFFORT_A

Field

Adult.Content that rotates in other years.AMH.EFFORT_A
Description: Effort, past 30 days
Form Pane Label: Effort, past 30 days
SAS Name: EFFORT_A
Tag Name: Adult.AMH.EFFORT_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: During the PAST 30 DAYS, how often did you feel
...That everything was an effort?

Type: Enumerated
Length: 1
Answer List: TALLMOSTSOMEALITTLENONE
Value:

Mnemonic:

Description:

1

ALL of the time

2

MOST of the time

3

SOME of the time

4

A LITTLE of the time

5

NONE of the time
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-5,RF,DK> [goto WORTHLESS_A]

Last Modified: Tuesday, March 14, 2017

Page 894 of 895

Survey: NHIS Bridge
Section: Adult.Content that rotates in other years.AMH

Blaise Item-Level Specifications Report
Spider Version 1.6.2

WORTHLESS_A

Field

Adult.Content that rotates in other years.AMH.WORTHLESS_A
Description: Worthless, past 30 days
Form Pane Label: Worthless, past 30 days
SAS Name: WORTHLESS_A
Tag Name: Adult.AMH.WORTHLESS_A
Inherited Universe: GEN.PX_A gt 0 and GEN.PCNT gt 0 and GEN.PCNT18PLUS gt 0 and GEN.PCNT gt
GEN.PCNTAGEGUESS and not all household members in the armed forces
Universe:
Universe Description: Sample Adults 18+
Question Text:

Read if necessary: During the PAST 30 DAYS, how often did you feel
...Worthless?

Type: Enumerated
Length: 1
Answer List: TALLMOSTSOMEALITTLENONE
Value:

Mnemonic:

Description:

1

ALL of the time

2

MOST of the time

3

SOME of the time

4

A LITTLE of the time

5

NONE of the time
x Don't Know
x Refuse
Empty
x On Input
x On Output
Array:
Skip Instructions: <1-5,RF,DK> [goto next section]

Last Modified: Tuesday, March 14, 2017

Page 895 of 895

Prescription Opioid Questions in Prescription Drug Module
OPD12M_A. These next questions are about the use of prescription pain relievers called opioids. When
answering these questions, please do not include over-the-counter pain relievers such as aspirin, Tylenol, Advil,
or Aleve.
During the past 12 months, have you taken any opioid pain relievers prescribed by a doctor, dentist, or other
health professional? Examples include hydrocodone, Vicodin, Norco, Lortab, oxycodone, OxyContin, Percocet,
and Percodan. If you are not sure, please tell me the name of the drug and I can look it up.
1 Yes
2 No
7 Refused
9 Don’t know
Universe: Sample adults 18+ who were prescribed medication in the past 12 months
Skip instructions:
<1> goto OPD3M_A
<2,7,9> goto next section
OPD3M_A. During the past 3 months, have you taken any opioid pain relievers prescribed by a doctor, dentist,
or other health professional?
1 Yes
2 No
7 Refused
9 Don’t know
Universe: Sample adults 18+ who were taking a prescription opioid in the past 12 months
Skip instructions:
<1> goto OPDACUTE_A
<2,7,9> goto next section
OPDACUTE_A. During the past 3 months, did you take a prescription opioid to treat short-term or acute pain,
such as pain due to a broken bone or muscle sprain, pain from dental work, or pain following surgery?
1 Yes
2 No
7 Refused
9 Don’t know
Universe: Sample adults 18+ who were taking a prescription opioid in the past 3 months
Skip instructions: goto OPDCHRONIC_A

OPDCHRONIC_A. During the past 3 months, did you take a prescription opioid to treat long-term or chronic pain,
such as low back pain, frequent headaches or migraines, or joint pain or arthritis?
1 Yes
2 No
7 Refused
9 Don’t know
Universe: Sample adults 18+ who were taking a prescription opioid in the past 3 months
Skip instructions:
<1> goto OPDFREQ_A
<2,7,9> goto next section

OPDFREQ_A. During the past 3 months, how often did you take a prescription opioid? Would you say some days,
most days, or every day?
1 Some days
2 Most days
3 Every day
7 Refused
9 Don’t know
Universe: Sample adults 18+ who were taking a prescription opioid in the past 3 months to treat long-term
or chronic pain
Skip instructions: goto next section

Pain Management Questions For Rotating Pain Module
PAIPHYSTPY_A. Over the past three months, did you use any of the following to manage your pain?
… Physical therapy, rehabilitative therapy, or occupational therapy?
1 Yes
2 No
7 Refused
9 Don’t know
Universe: Sample adults 18+ who had pain some days, most days, or every day in the past 3 months
Skip instructions: goto PAICHIRO_A

PAICHIRO_A. READ IF NECESSARY: Over the past three months, did you use any of the following to manage your
pain?
…Spinal manipulation or other forms of chiropractic care?
1 Yes
2 No
7 Refused
9 Don’t know
Universe: Sample adults 18+ who had pain some days, most days, or every day in the past 3 months
Skip instructions: goto PAITALKTPY_A
PAITALKTPY_A. READ IF NECESSARY: Over the past three months, did you use any of the following to manage
your pain?
…Talk therapies such as cognitive-behavioral therapy (CBT)?
1 Yes
2 No
7 Refused
9 Don’t know
Universe: Sample adults 18+ who had pain some days, most days, or every day in the past 3 months
Skip instructions: goto PAIPROGRAM_A
PAIPROGRAM_A. READ IF NECESSARY: Over the past three months, did you use any of the following to manage
your pain?
…A chronic pain self-management program or workshop?
1 Yes
2 No
7 Refused
9 Don’t know
Universe: Sample adults 18+ who had pain some days, most days, or every day in the past 3 months
Skip instructions: goto PAIGROUP_A

PAIGROUP_A. READ IF NECESSARY: Over the past three months, did you use any of the following to manage your
pain?
…Chronic pain support groups?
1 Yes
2 No
7 Refused
9 Don’t know
Universe: Sample adults 18+ who had pain some days, most days, or every day in the past 3 months
Skip instructions: goto PAIYOGA_A
PAIYOGA_A. READ IF NECESSARY: Over the past three months, did you use any of the following to manage your
pain?
…Yoga or tai chi?
1 Yes
2 No
7 Refused
9 Don’t know
Universe: Sample adults 18+ who had pain some days, most days, or every day in the past 3 months
Skip instructions: goto PAIMASSAGE_A
PAIMASSAGE_A. READ IF NECESSARY: Over the past three months, did you use any of the following to manage
your pain?
…Massage?
1 Yes
2 No
7 Refused
9 Don’t know
Universe: Sample adults 18+ who had pain some days, most days, or every day in the past 3 months
Skip instructions: goto PAIMEDIATE_A

PAIMEDIATE_A. READ IF NECESSARY: Over the past three months, did you use any of the following to manage
your pain?
…Meditation, guided imagery, or other relaxation techniques?
1 Yes
2 No
7 Refused
9 Don’t know
Universe: Sample adults 18+ who had pain some days, most days, or every day in the past 3 months
Skip instructions: goto next question in chronic pain module [PAIMNG3M_A]
Arthritis Questions in Rotating Pain Module
The next questions refer to your joints. Please do NOT include the back or neck.
ARTHRITIS_1. DURING THE PAST 30 DAYS, have you had any symptoms of pain, aching, or stiffness in or around
a joint?
1 Yes
2 No
7 Refused
9 Don’t know
UniverseText: Sample adults 18+
Skip instructions:
<1> ARTHRITIS_2
<2,7,9> goto ARTHRITIS_3
ARTHRITIS_2. Please think about the past 30 days, keeping in mind all of your joint pain or aching and whether
or not you have taken medication. DURING THE PAST 30 DAYS, how bad was your joint pain ON AVERAGE?
Please answer on a scale of 0 to 10 where 0 is no pain or aching and 10 is pain or aching as bad as it can be.
00-10 0-10
97 Refused
99 Don't know
UniverseText: Sample adults who have had any symptoms of pain, aching, or stiffness in or around a joint
during the past 30 days
Skip instructions: goto ARTHRITIS_3

ARTHRITIS_3. Earlier, you said that a doctor or other health professional had told you that you have some form
of arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia (fy-bro-my-AL-jee-uh). Are you now limited in any
way in any of your usual activities because of arthritis or joint symptoms?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample adults 18+ with joint pain or arthritis
Skip instructions: goto ARTHRITIS_4
ARTHRITIS_4. In this next question we are referring to work for pay. Do arthritis or joint symptoms now affect
whether you work, the type of work you do, or the amount of work you do?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample adults 18+ with joint pain or arthritis
Skip instructions: goto ARTHRITIS_5
ARTHRITIS_5. Has a doctor or other health professional EVER suggested losing weight to help your arthritis or
joint symptoms?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample adults 18+ with joint pain or arthritis
Skip instructions: goto ARTHRITIS_6
ARTHRITIS_6. Has a doctor or other health professional EVER suggested physical activity or exercise to help your
arthritis or joint symptoms?
1 Yes
2 No
7 Refused
9 Don't know
UniverseText: Sample adults 18+ with joint pain or arthritis
Skip instructions: goto next section

Diabetes Continuous Insulin Use Questions in Diabetes Core Module
DIBINS2. Thinking back to when you were first diagnosed with diabetes, how long was it before you started
taking insulin?
1 Less than 1 month
2 1 month to less than 6 months
3 6 months to less than 1 year
4 year or more
7 Refused
9 Don't know
UniverseText: Sample adults 18+ with diabetes who have ever taken insulin by shot or pump
Skip: 1-4,R,D goto DIBINS3
DIBINS3. Since you started taking insulin, have you ever stopped taking it for more than 6 months?
1 Yes
2 No
7 Refused
9 Don’t know
UniverseText: Sample adults 18+ with diabetes who have ever taken insulin by shot or pump
Skip:
<1> if DIBINS2 = 1,2,3 [goto DIBINS4]; else goto next section.
<2,7,9> goto next section
DIBINS4. Was this only during the first year after you were diagnosed with diabetes?
1 Yes
2 No
7 Refused
9 Don’t know
UniverseText: Sample adults 18+ who started taking insulin within a year of being diagnosed with diabetes
and stopped taking it for more than six months
Skip:
<1,2,7,9> goto next section

Biometric Questions
We are considering new ways to collect information on America’s health in the future. These would be in
addition to this survey and you would be paid for the extra time and effort.
BIOMETRIC_1. How willing would you be to have a nurse come to your home to measure your height, weight,
and blood pressure? Would you say definitely willing, somewhat willing, somewhat unwilling, or definitely
unwilling?
1 Definitely willing
2 Somewhat willing
3 Somewhat unwilling
4 Definitely unwilling
7 Refused
9 Don't know
UniverseText: Sample adults 18+
Skip: goto BIOMETRIC_2
BIOMETRIC_2. How willing would you be to go to a local health clinic to have your height, weight and blood
pressure taken? Would you say definitely willing, somewhat willing, somewhat unwilling, or definitely
unwilling?
1 Definitely willing
2 Somewhat willing
3 Somewhat unwilling
4 Definitely unwilling
7 Refused
9 Don't know
UniverseText: Sample adults 18+
Skip: goto BIOMETRIC_3
BIOMETRIC_3. How willing would you be to have a nurse come to your home to collect a sample of your blood?
[READ IF NECESSARY: Would you say definitely willing, somewhat willing, somewhat unwilling, or definitely
unwilling?]

1 Definitely willing
2 Somewhat willing
3 Somewhat unwilling
4 Definitely unwilling
7 Refused
9 Don't know
UniverseText: Sample adults 18+
Skip: goto BIOMETRIC_4

BIOMETRIC_4. How willing would you be to go to a local health clinic to give a sample of your blood? [READ IF
NECESSARY: Would you say definitely willing, somewhat willing, somewhat unwilling, or definitely unwilling?]
1 Definitely willing
2 Somewhat willing
3 Somewhat unwilling
4 Definitely unwilling
7 Refused
9 Don't know
UniverseText: Sample adults 18+
Skip: goto BIOMETRIC_5
Another way to collect information in the future is to get it from medical records. Medical records include your
medical history, such as laboratory test results, clinical notes, and current list of medications.
BIOMETRIC_5. How willing would you be to give us permission to directly contact your doctors or other health
professionals and get your health information from your medical records? Would you say definitely willing,
somewhat willing, somewhat unwilling, or definitely unwilling?
1 Definitely willing
2 Somewhat willing
3 Somewhat unwilling
4 Definitely unwilling
7 Refused
9 Don't know
UniverseText: Sample adults 18+
Skip: goto BIOMETRIC_6
BIOMETRIC_6. We could also provide you with an electronic device to wear on your wrist to monitor your heart
rate, physical activity, and sleep for one week. How willing would you be to wear this electronic device and
provide the data from the device to us?
1 Definitely willing
2 Somewhat willing
3 Somewhat unwilling
4 Definitely unwilling
7 Refused
9 Don't know
UniverseText: Sample adults 18+
Skip: goto next section

Respondent burden questions
Last, we have a few questions about your experience with this survey.
BURDEN_1. How burdensome was this survey to you?
1 Not at all burdensome
2 A little burdensome
3 Moderately burdensome
4 Very burdensome
5 Extremely burdensome
7 Refused
9 Don’t know
UniverseText: Sample adults 18+
Skip: goto BURDEN_2
BURDEN_2. How difficult or easy was it for you to answer the questions in this survey?
1 Very easy
2 Somewhat easy
3 Somewhat difficult
4 Very difficult
7 Refused
9 Don’t know
UniverseText: Sample adults 18+
Skip: goto BURDEN_3
BURDEN_3. How sensitive were the questions in this survey?
1 Not at all sensitive
2 A little sensitive
3 Moderately sensitive
4 Very sensitive
5 Extremely sensitive
7 Refused
9 Don’t know
UniverseText: Sample adults 18+
Skip: goto next section


File Typeapplication/pdf
AuthorLessem, Sarah (CDC/OPHSS/NCHS)
File Modified2018-07-16
File Created2018-06-18

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