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pdf2023 MCBS Community Questionnaire
Variable Name
MR Screen Name Question Type
NAQ-NICOTINE AND ALCOHOL USE
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
NA1
no entry
These next questions are about cigarette smoking.
BOX NA1
BOX NA1
routing
If SP previously reported smoking cigarettes (sample_person.P_CIG100=1), go to NA3-CIGNOW.
Else go to NA2-CIG100.
CIG100
NA2
yes/no
[Have you/Has (SP)] smoked at least 100 cigarettes in [your/(SP)'s] entire life?
(1) YES
(2) NO
(-8) DON’T KNOW
(-9) REFUSED
(1) NA3-CIGNOW
(2) NA4-SMKLSINT
(-8) NA4-SMKLSINT
(-9) NA4-SMKLSINT
CIGNOW
NA3
code one
[Do you/Does (SP)] now smoke cigarettes every day, some days, or not at all?
(1) EVERY DAY
(2) SOME DAYS
(3) NOT AT ALL
(-8) DON'T KNOW
(-9) REFUSED
NA4-SMKLSINT
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) YES
(2) NO
(-8) DON’T KNOW
(-9) REFUSED
(1) NA6-SMKLSNOW
(2) NA7-CIGARINT
(-8) NA7-CIGARINT
(-9) NA7-CIGARINT
SMKLSNOW
NA6
code one
[Do you/Does (SP)] now use smokeless tobacco every day, some days, or not at all?
(1) EVERY DAY
(2) SOME DAYS
(3) NOT AT ALL
(-8) DON'T KNOW
(-9) REFUSED
NA7-CIGARINT
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.
BOX NA2
BOX NA3
Page 1 of 5
2023 MCBS Community Questionnaire
Variable Name
NAQ-NICOTINE AND ALCOHOL USE
MR Screen Name Question Type
Question Text/Description
BOX NA3
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
CIGAR50
NA9
CIGARNOW
PIPEINT
PIPEONE
Code List
Routing
[Have you/Has (SP)] ever smoked a cigar EVEN ONE TIME?
(1) YES
(2) NO
(-8) DON’T KNOW
(-9) REFUSED
(1) NA9-CIGAR50
(2) NA11-PIPEINT
(-8) NA11-PIPEINT
(-9) NA11-PIPEINT
yes/no
[Have you/Has (SP)] smoked at least 50 cigars in [your/(SP)'s] entire life?
(1) YES
(2) NO
(-8) DON’T KNOW
(-9) REFUSED
NA10-CIGARNOW
NA10
yes/no
[Do you/Does (SP)] now smoke cigars every day, some days, or not at all?
(1) EVERY DAY
(2) SOME DAYS
(3) NOT AT ALL
(-8) DON'T KNOW
(-9) REFUSED
NA11-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.
NA12
yes/no
[Have you/Has (SP)] ever smoked tobacco in a pipe, even once?
(1) YES
(2) NO
(-8) DON’T KNOW
(-9) REFUSED
(1) NA13-PIPENOW
(2) NA14-ECIGINT
(-8) NA14-ECIGINT
(-9) NA14-ECIGINT
(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.
BOX NA4
BOX NA5
Page 2 of 5
2023 MCBS Community Questionnaire
NAQ-NICOTINE AND ALCOHOL USE
Variable Name
MR Screen Name Question Type
Question Text/Description
Code List
Routing
ECIGONE
NA15
yes/no
[Have you/Has (SP)] ever used an e-cigarette, even once?
(1) YES
(2) NO
(-8) DON’T KNOW
(-9) REFUSED
(1) NA16-ECIGNOW
(2) BOX NA5B
(-8) BOX NA5B
(-9) BOX NA5B
ECIGNOW
NA16
code one
[Do you/Does (SP)] now use e-cigarettes every day, some days, or not at all?
(1) EVERY DAY
(2) SOME DAYS
(3) NOT AT ALL
(-8) DON'T KNOW
(-9) REFUSED
BOX NA5B
IF SP IS IN THE BASELINE INTERVIEW (sample_person.INTTYPE=3) AND [NA3-CIGNOW=(1) EVERY DAY OR
(2) SOME DAYS OR NA10-CIGARNOW=(1) EVERY DAY OR (2) SOME DAYS OR NA13-PIPENOW=(1) EVERY
DAY OR (2) SOME DAYS OR NA16-ECIGNOW=(1) EVERY DAY OR (2) SOME DAYS THEN GO TO NA25BDOCSMOK.
BOX NA5B
routing
ELSE IF P_DOCSMOK ^= 1 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.
BDOCSMOK
NA25
yes/no
Has a doctor or other health professional ever talked to [you/(SP)] about [your/(SP)'s] smoking?
(1) YES
(2) NO
(-8) DON’T KNOW
(-9) REFUSED
NA17-ALCINT
CDOCSMOK
NA26
yes/no
Since (SAMPLE_PERSON.DATE_FALLRND) has a doctor or other health professional talked to [you/(SP)] about
[your/(SP)'s] smoking?
(1) YES
(2) NO
(-8) DON’T KNOW
(-9) REFUSED
NA17-ALCINT
ALCINT
NA17
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.
BOX NA7
routing
If SP reported having more than 12 alcoholic drinks in his/her lifetime (sample_person.P_ALCLIFE=1), go to NA20ALC12MN.
Else go to NA19-ALCLIFE.
NA19
yes/no
In [your/(SP)’s] entire life, [have you/has (SP)] had at least 12 drinks of any type of alcoholic beverage?
ALCLIFE
BOX NA7
(1) YES
(2) NO
(-8) DON'T KNOW
(-9) REFUSED
(1) NA20-ALC12MN
(2) BOX ENDNAQ
(-8) BOX ENDNAQ
(-9) BOX ENDNAQ
Page 3 of 5
2023 MCBS Community Questionnaire
Variable Name
MR Screen Name Question Type
NAQ-NICOTINE AND ALCOHOL USE
Question Text/Description
Code List
Routing
(1) [continuous response]
(-8) DON'T KNOW
(-9) REFUSED
[996] NEVER / DOES NOT DRINK
NA20-ALC12MNU
(1) WEEK
(2) MONTH
(3) YEAR
(-8) DON'T KNOW
(-9) REFUSED
BOX NA9
(1) [continuous response]
(-8) DON'T KNOW
(-9) REFUSED
NA22-ALCNDAY
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.]
ALC12MNU
NA20
quantity unit
BOX NA9
routing
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/(SP)] have? (By a drink, I mean a 12 oz. beer, a 5 oz. glass of wine, or one and a half ounces of liquor.)
[ENTER NUMBER OF DRINKS.]
[ENTER '1' IF LESS THAN 1 DRINK.]
[ENTER '95' IF 95 OR MORE DRINKS.]
In the past 12 months, on how many days did [you/(SP)] have [5/4] or more drinks of any alcoholic beverage?
ALCNDAY
NA22
numeric
ALCNDAYU
NA22
quantity unit
ALPERDAY
NA23
yes/no
PROBE IF NECESSARY: How many days per week, per month, or per year did [you/(SP)] have [5/4] or more drinks
(1) [continuous response]
in a single day?
(-8) DON'T KNOW
(-9) REFUSED
[ENTER QUANTITY AND UNIT.]
[996] NONE
[FOR RESPONSES OF DON'T KNOW OR REFUSED, ENTER DON'T KNOW/REFUSED FOR BOTH QUANTITY
AND UNIT OF ALCOHOLIC BEVERAGES.]
Was there ever a time or times in [your/(SP)'s] life when [you/(SP)] drank [5/4] or more drinks of any kind of
alcoholic beverage almost every day?
NA22-ALCNDAYU
(1) WEEK
(2) MONTH
(3) YEAR
(-8) DON'T KNOW
(-9) REFUSED
NA23-ALPERDAY
(1) YES
(2) NO
(-8) DON'T KNOW
(-9) REFUSED
BOX NA8
Page 4 of 5
2023 MCBS Community Questionnaire
Variable Name
NAQ-NICOTINE AND ALCOHOL USE
MR Screen Name Question Type
Question Text/Description
BOX NA8
If the SP didn't drink in the last 12 months (NA20 -ALC12MN = 996), go to BOX ENDNAQ.
Else go to NA24 - ALCTIME
routing
Considering all types of alcoholic beverages, DURING THE PAST 30 DAYS, how many times did [you/SP] have [5
or more/4 or more] drinks on an occasion?
ALCTIME
NA24
numeric
BOX ENDNAQ
routing
[ENTER QUANTITY.]
[ENTER '0' FOR NEVER.]
[ENTER '95' IF 95 OR MORE TIMES.]
Code List
Routing
(1) [continuous response]
(-8) DON'T KNOW
(-9) REFUSED
BOX ENDNAQ
GO TO SCQ.
Page 5 of 5
| File Type | application/pdf |
| File Title | Medicare Current Beneficiary Survey Section Specifications for NAQ |
| Subject | Medicare beneficiaries, MCBS community questionnaire, 2023, Nicotine and alcohol use, NAQ |
| Author | NORC |
| File Modified | 2023-08-21 |
| File Created | 2023-08-15 |