MEC Hand Cards

Att_3g_MEC-CAPI DRQ_ Hand Cards 072718.docx

National Health and Nutrition Examination Survey

MEC Hand Cards

OMB: 0920-0950

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Attachment 3g

Mobile Exam Center (MEC)

Computer Assisted Personal Interview (CAPI)

& Dietary Recall (DRQ) Hand Cards



Table of Contents

MEC CAPI Hand Cards 3

Dietary Recall (DRQ) Hand Cards 17















MEC CAPI Hand Cards





Shape1

SXQ1




  1. Lesbian or gay


  1. Straight, that is, not lesbian or gay


  1. Bisexual


  1. Something else


  1. I don’t know the answer



Shape2

SXQ2





  1. Gay


  1. Straight, that is, not gay


  1. Bisexual


  1. Something else


I don’t know the answer

























Shape3

DPQ1




Not at all


Several days


More than half the days


Nearly every day

































SMQ1

Cigarette




Pipe




Cigar, or little cigar, or cigarillo




Water pipe or Hookah





ALQ1




12 ounces of beer







5 ounces of wine




1.5 ounces of hard liquor


Shape4

ALQ2






Per Week

Per Month

Per Year

Every day

2-3 times/month

7-11 times/last year

Nearly every day

Once/month

3-6 times/last year

3-4 times/week


1-2 times/last year

2 times/week



Once a week


Never in the last year











RHQ1

Pregnancy




Breastfeeding


Total or Partial Hysterectomy (Surgery to Remove Uterus/Womb)

Shape5

Menopause / Change of Life

Shape11 Shape10 Shape9 Shape6 Shape8 Shape7

Night sweats



Loss of libido



Mood swings



Sleep issues



Hot flashes



Vaginal dryness




Other

Shape12

Medical Conditions (medical treatment, medication)

Excessive exercise


Something else?




RHQ.3




    1. BIRTH CONTROL PILLS


    1. PATCH (Ortho EvraTM, XulaneTM)


    1. VAGINAL RING (NuvaRingTM)


    1. INJECTABLE (shot given every 1-3 months of Depo-ProveraTM, LunelleTM)


    1. HORMONAL IMPLANT (ImplanonTM, NexplanonTM)


    1. CONDOMS OR RUBBERS (male or female condoms)


    1. IUD (Intraueterine device, coil, loop, ParaGardTM, MirenaTM, KyleenaTM, LilettaTM, SkylaTM)


    1. DIAPHRAGM, CERVICAL CAP (FemCap) or SPONGE (TodayTM sponge)


    1. SPERMICIDE FOAM, JELLY, CREAM, SUPPOSITORY


    1. NATURAL FAMLIY PLANNING (rhythms method, StandardDays, CycleBeads, safe period by temperature or cervical mucus test)


    1. STERILIZATION (tubes tied, tubal ligation, partner’s vasectomy)


    1. WITHDRAWAL (pulling out)


    1. EMERGENCY CONTRACEPTION (pills taken within 3-5 days after sexual intercourse such as Plan BTM, PrevenTM, EllaTM, Next ChoiceTM, Morning after pills)


    1. ABSTINENCE











RHQ2 (front)





RHQ2 (BACK)





Shape13

KIQ1





Less than once a month


A few times a month


A few times a week


Every day and/or night



































Shape14

WHQ2







Shape15 EXAMPLES OF FROZEN MEALS AND FROZEN PIZZAS















































DMQ8



Examples of what we learned when matching NHANES data to other data sources such as Medicare and Medicaid:


  • How housing environment may affect the levels of lead in children’s blood

  • Higher vitamin D in the blood lowers the risk of broken bones

  • Consuming high amount of sugar can increase the risk of heart diseases

  • People who live or work with smokers have a higher risk of heart attack

  • Adults who exercise, eat healthy diets, and do not smoke have a lower chance of dying 





























Dietary Recall (DRQ) Hand Cards



Fish



Breaded fish products

Tuna-canned or fresh

Bass

Catfish

Cod

Flatfish

Haddock

Mackerel

Perch

Pike

Pollock

Porgy

Salmon

Sardines

Sea Bass

Shark

Swordfish

Trout

Walleye

Other type of fish

















Shellfish



Clams

Crab

Crayfish (crawfish)

Lobster

Mussels

Oysters

Scallops

Shrimp

Other shellfish (for example, octopus, squid)



















EXAMPLES OF AN ALCOHOLIC DRINK

ALQ1



12 ounces of beer







5 ounces of wine




1.5 ounces of hard liquor





File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorFrenk, Steven M. (CDC/OPHSS/NCHS)
File Modified0000-00-00
File Created2021-01-14

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