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pdf2019 MCBS Community Questionnaire
Variable Name
MR Screen Name
NAQ -NICOTINE AND ALCOHOL USE
Question Type
Question Text/Description
Code List
Routing
NICOTINE AND ALCOHOL USE QUESTIONNAIRE SPECIFICATIONS
CRITERIA
INTTYPE=C001, C002, C003, C004, C005, C006
SPALIVE=1
SEASON=FALL
SPPROXY=SP or PROXY
Other: N/A
PLACEMENT
Administer after HFQ.
CIGINT
CIG100
NA1
no entry
These next questions are about cigarette smoking.
BOX NA1
routing
If SP previously reported smoking cigarettes (sample_person.P_CIG100=1), go to NA3-CIGNOW.
Else go to NA2-CIG100.
NA2
yes/no
[Have you/Has (SP)] smoked at least 100 cigarettes in [your/his/her] entire life?
(1) YES
(2) NO
(-8) DON’T KNOW
(-9) REFUSED
(1) NA3-CIGNOW
(2) NA4-SMKLSINT
(-8) NA4-SMKLSINT
(-9) NA4-SMKLSINT
(1) EVERY DAY
(2) SOME DAYS
(3) NOT AT ALL
(-8) DON'T KNOW
(-9) REFUSED
NA4-SMKLSINT
CIGNOW
NA3
code one
[Do you/Does (SP)] now smoke cigarettes every day, some days, or not at all?
SMKLSINT
NA4
no entry
The next questions are about “smokeless” tobacco such as snuff, dip, chewing tobacco, or “snus.”
BOX NA2
routing
If SP previously reported using smokeless tobacco (sample_person.P_SMKLSONE=1), go to NA6-SMKLSNOW.
Else go to NA5-SMKLSONE.
SMKLSONE
NA5
yes/no
[Have you/Has (SP)] ever used “smokeless” tobacco, even once?
(1) NA6-SMKLSNOW
(2) NA7-CIGARINT
(-8) NA7-CIGARINT
(-9) NA7-CIGARINT
(1) EVERY DAY
(2) SOME DAYS
(3) NOT AT ALL
(-8) DON'T KNOW
(-9) REFUSED
NA7-CIGARINT
NA6
code one
[Do you/Does (SP)] now use smokeless tobacco every day, some days, or not at all?
CIGARINT
NA7
no entry
The next questions are about smoking cigars. By cigars we mean any kind, including big cigars, cigarillos, and
even little cigars that look like cigarettes.
routing
If SP never reported smoking cigars (sample_person.P_CIGARONE^=1), go to NA8-CIGARONE.
Else if SP previously reported smoking cigars (sample_person.P_CIGARONE=1) and smoked less than 50 cigars
(sample_person.P_CIGAR50^=1), go to NA9-CIGAR50.
Else if SP previously reported smoking cigars (sample_person.P_CIGARONE=1) and smoked more than 50
cigars (sample_person.P_CIGAR50=1), go to NA10-CIGARNOW.
CIGARONE
NA8
yes/no
[Have you/Has (SP)] ever smoked a cigar EVEN ONE TIME?
CIGAR50
NA9
yes/no
[Have you/Has (SP)] smoked at least 50 cigars in [your/his/her] entire life?
CIGARNOW
NA10
yes/no
[Do you/Does (SP)] now smoke cigars every day, some days, or not at all?
PIPEINT
NA11
no entry
The next questions on tobacco products are about using a pipe to smoke tobacco.
BOX NA4
routing
If SP previously reported smoking tobacco in a pipe (sample_person.P_PIPEONE=1), go to NA13-PIPENOW.
Else go to NA12-PIPEONE.
PIPEONE
NA12
yes/no
BOX NA2
(1) YES
(2) NO
(-8) DON’T KNOW
(-9) REFUSED
SMKLSNOW
BOX NA3
BOX NA1
[Have you/Has (SP)] ever smoked tobacco in a pipe, even once?
BOX NA3
(1) YES
(2) NO
(-8) DON’T KNOW
(-9) REFUSED
(1) YES
(2) NO
(-8) DON’T KNOW
(-9) REFUSED
(1) EVERY DAY
(2) SOME DAYS
(3) NOT AT ALL
(-8) DON'T KNOW
(-9) REFUSED
(1) NA9-CIGAR50
(2) NA11-PIPEINT
(-8) NA11-PIPEINT
(-9) NA11-PIPEINT
NA10-CIGARNOW
NA11-PIPEINT
BOX NA4
(1) YES
(2) NO
(-8) DON’T KNOW
(-9) REFUSED
(1) NA13-PIPENOW
(2) NA14-ECIGINT
(-8) NA14-ECIGINT
(-9) NA14-ECIGINT
Page 1 of 3
2019 MCBS Community Questionnaire
Variable Name
MR Screen Name
NAQ -NICOTINE AND ALCOHOL USE
Question Type
Question Text/Description
Code List
Routing
(1) EVERY DAY
(2) SOME DAYS
(3) NOT AT ALL
(-8) DON'T KNOW
(-9) REFUSED
NA14-ECIGINT
PIPENOW
NA13
code one
[Do you/Does (SP)] now smoke tobacco in a pipe every day, some days, or not at all?
ECIGINT
NA14
no entry
The next questions are about electronic cigarettes, often called e-cigarettes. E-cigarettes look like regular
cigarettes, but are battery-powered and produce vapor instead of smoke.
BOX NA5
routing
If SP previously reported using e-cigarettes (sample_person.P_ECIGONE=1), go to NA16-ECIGNOW.
Else go to NA15-ECIGONE.
ECIGONE
NA15
yes/no
[Have you/Has (SP)] ever used an e-cigarette, even once?
ECIGNOW
NA16
code one
[Do you/Does (SP)] now use e-cigarettes every day, some days, or not at all?
BOX NA5
(1) YES
(2) NO
(-8) DON’T KNOW
(-9) REFUSED
(1) EVERY DAY
(2) SOME DAYS
(3) NOT AT ALL
(-8) DON'T KNOW
(-9) REFUSED
(1) NA16-ECIGNOW
(2) BOX NA5B
(-8) BOX NA5B
(-9) BOX NA5B
BOX NA5B
IF ROUND= FALL 2018 ROUND 82 AND [NA3-CIGNOW=(1) EVERY DAY OR (2) SOME DAYS OR NA10CIGARNOW=(1) EVERY DAY OR (2) SOME DAYS OR NA13-PIPENOW=(1) EVERY DAY OR (2) SOME
DAYS OR NA16-ECIGNOW=(1) EVERY DAY OR (2) SOME DAYS THEN GO TO NA25-BDOCSMOK.
ELSE IF SP IS IN THE BASELINE INTERVIEW (sample_person.INTTYPE=3) AND [NA3-CIGNOW=(1) EVERY
DAY OR (2) SOME DAYS OR NA10-CIGARNOW=(1) EVERY DAY OR (2) SOME DAYS OR NA13PIPENOW=(1) EVERY DAY OR (2) SOME DAYS OR NA16-ECIGNOW=(1) EVERY DAY OR (2) SOME DAYS
THEN GO TO NA25-BDOCSMOK.
BOX NA5B
ELSE IF P_DOCSMOK ^= YES 0 AND [NA3-CIGNOW=(1) EVERY DAY OR (2) SOME DAYS OR NA10CIGARNOW=(1) EVERY DAY OR (2) SOME DAYS OR NA13-PIPENOW=(1) EVERY DAY OR (2) SOME
DAYS OR NA16-ECIGNOW=(1) EVERY DAY OR (2) SOME DAYS, THEN GO TO NA26-CDOCSMOK.
ELSE GO TO NA17-ALCINT.
NA25
Has a doctor or other health professional ever talked to [you/(SP)] about [your/his/her] smoking?
(1) YES
(2) NO
(-8) DON’T KNOW
(-9) REFUSED
CDOCSMOK
NA26
Since (SAMPLE_PERSON.DATE_FALLRND) has a doctor or other health professional talked to [you/(SP)]
about [your/his/her] smoking?
(1) YES
(2) NO
(-8) DON’T KNOW
(-9) REFUSED
ALCINT
NA17
BDOCSMOK
BOX NA6
no entry
The next questions are about drinking alcoholic beverages. Included are liquor (such as whiskey or gin), beer,
wine, wine coolers, and any other type of alcoholic beverage.
routing
If SP reported having more than 12 alcoholic drinks in one year (sample_person.P_ALCYEAR=1), go to NA20ALC12MN.
Else go to NA18-ALCYEAR.
NA17-ALCINT
NA17-ALCINT
BOX NA6
BOX NA7
SHOWCARD NA1
ALCYEAR
ALCLIFE
NA18
yes/no
(1) YES
(2) NO
In any one year, [have you/has (SP)] had at least 12 drinks of any type of alcoholic beverage? By a drink, I mean a (-8) DON'T KNOW
12 oz. beer, a 5 oz. glass of wine, or one and a half ounces of liquor.
(-9) REFUSED
BOX NA7
routing
If SP reported having more than 12 alcoholic drinks in his/her lifetime (ALCYEAR=1 or
sample_person.P_ALCLIFE=1), go to NA20-ALC12MN.
Else go to NA19-ALCLIFE.
NA19
yes/no
In [your/(SP)’s] entire life, [have you/has (he/she)] had at least 12 drinks of any type of alcoholic beverage?
BOX NA7
(1) YES
(2) NO
(-8) DON'T KNOW
(-9) REFUSED
(1) NA20-ALC12MN
(2) BOX ENDNAQ
(-8) BOX ENDNAQ
(-9) BOX ENDNAQ
(1) [continuous response]
(-8) DON'T KNOW
(-9) REFUSED
[996] NEVER / DOES NOT DRINK
NA20-ALC12MNU
In the past 12 months, how often did [you/(SP)] drink any type of alcoholic beverage?
[PROBE IF NECESSARY: How many days per week, per month, or per year did [you/(SP]) drink?]
ALC12MN
NA20
numeric
[ENTER QUANTITY AND UNIT.]
[FOR RESPONSES OF DON'T KNOW OR REFUSED, ENTER DON'T KNOW/REFUSED FOR BOTH
QUANTITY AND UNIT OF ALCOHOLIC BEVERAGES.]
Page 2 of 3
2019 MCBS Community Questionnaire
Variable Name
ALC12MNU
MR Screen Name
NAQ -NICOTINE AND ALCOHOL USE
Question Type
NA20
quantity unit
BOX NA9
routing
Question Text/Description
Code List
Routing
(1) WEEK
(2) MONTH
(3) YEAR
(-8) DON'T KNOW
(-9) REFUSED
BOX NA9
If the SP didn't drink in the last 12 months (NA20 -ALC12MN = 996), go to NA23 - ALPERDAY.
Else go to NA21 - ALCDAY.
SHOWCARD NA1
ALCDAY
NA21
numeric
In the past 12 months, on those days that [you/(SP)] drank alcoholic beverages, on the average, how many drinks
did [you/he/she] have? (By a drink, I mean a 12 oz. beer, a 5 oz. glass of wine, or one and a half ounces of liquor.) (1) [continuous response]
(-8) DON'T KNOW
[ENTER NUMBER OF DRINKS.]
(-9) REFUSED
[ENTER '1' IF LESS THAN 1 DRINK.]
[ENTER '95' IF 95 OR MORE DRINKS.]
NA22-ALCNDAY
In the past 12 months, on how many days did [you/(SP)] have [5/4] or more drinks of any alcoholic beverage?
PROBE IF NECESSARY: How many days per week, per month, or per year did [you/(SP)] have [5/4] or more
drinks in a single day?
ALCNDAY
(1) [continuous response]
(-8) DON'T KNOW
(-9) REFUSED
[996] NONE
NA22-ALCNDAYU
quantity unit
(1) WEEK
(2) MONTH
(3) YEAR
(-8) DON'T KNOW
(-9) REFUSED
NA23-ALPERDAY
NA23
yes/no
Was there ever a time or times in [your/(SP)'s] life when [you/he/she] drank [5/4] or more drinks of any kind of
alcoholic beverage almost every day?
(1) YES
(2) NO
(-8) DON'T KNOW
(-9) REFUSED
BOX NA8
BOX NA8
routing
If the SP didn't drink in the last 12 months (NA20 -ALC12MN = 996), go to BOX ENDNAQ.
Else go to NA24 - ALC2HRS.
(1) [continuous response]
(-8) DON'T KNOW
(-9) REFUSED
BOX ENDNAQ
NA22
numeric
[ENTER QUANTITY AND UNIT.]
[FOR RESPONSES OF DON'T KNOW OR REFUSED, ENTER DON'T KNOW/REFUSED FOR BOTH
QUANTITY AND UNIT OF ALCOHOLIC BEVERAGES.]
ALCNDAYU
ALPERDAY
NA22
During the past 30 days, that is, since [DATEFILL], how many times did [you/(SP)] drink [5/4] or more drinks of
any kind of alcohol in about two hours?
ALC2HRS
NA24
numeric
Considering all types of alcoholic beverages, DURING THE PAST 30 DAYS, how many times did you have [5 or
more/4 or more] drinks on an occasion?
[ENTER QUANTITY.]
[ENTER '0' FOR NEVER.]
[ENTER '95' IF 95 OR MORE TIMES.]
BOX ENDNAQ
routing
GO TO SCQ.
Page 3 of 3
| File Type | application/pdf |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |