United States Land Line And Cell Phone Codebook Report. CHILD Asthma Call-Back Survey

Transcription

1 ACBS_2013_CHILD_PUBLIC_LLCP United States 2013 Land Line And Cell Phone Codebook Report CHILD Asthma Call-Back Survey April 29, 2015 STATE FIPS CODE Column: 1-2 Description: STATE FIPS CODE. SAS Variable Name: _STATE 9 Connecticut Indiana Michigan Mississippi Montana Nebraska New Jersey Texas Utah Washington

2 MONTH NAME OF SOURCE FILE ASTHMA CALL-BACK Column: 3-4 Description: FILE MONTH ASTHMA CALL-BACK SURVEY SAS Variable Name: FMONTH_F 1 January February March April May June July August September October November December MONTH OF ASTHMA CALL-BACK INTERVIEW Column: Description: MONTH OF ASTHMA CALL-BACK INTERVIEW SAS Variable Name: IMONTH_F 1 January February March April May June July August September October November December DAY OF ASTHMA CALL-BACK INTERVIEW Column: SAS Variable Name: IDAY_F Description: DAY OF ASTHMA CALL-BACK INTERVIEW HIDDEN Page 2 of 130 April 29, 2015

3 YEAR OF ASTHMA CALL-BACK INTERVIEW Column: Description: YEAR OF ASTHMA CALL-BACK INTERVIEW ASTHMA CALL-BACK SURVEY SAS Variable Name: IYEAR_F 2013 Interview year Interview year INTERVIEWER ID OF ASTHMA CALL-BACK Column: SAS Variable Name: INTVID_F Description: INTERVIEWER ID OF ASTHMA CALL-BACK HIDDEN DISPOSITION OF ASTHMA CALL-BACK Column: SAS Variable Name: DISPCODE_F Description: DISPOSITION OF ASTHMA CALL-BACK 1100 Complete ANNUAL SEQUENCE NUMBER Column: SAS Variable Name: SEQNO Description: ANNUAL SEQUENCE NUMBER HIDDEN NUMBER OF ATTEMPTS OF ASTHMA CALL-BACK Column: SAS Variable Name: NATTMPTS_F Description: NUMBER OF ATTEMPTS OF ASTHMA CALL-BACK HIDDEN PERMIT TO CALL BACK FROM BRFSS Column: 39 SAS Variable Name: CALLBACK Description: PERMIT TO CALL BACK FROM BRFSS 1 Yes Page 3 of 130 April 29, 2015

4 ARE YOU SAMPLE PERSON Column: 40 Description: Q1.1 Are you [sample person s first name or initials]? SAS Variable Name: MKP_NAME 1 Yes No MAY I SPEAK WITH PERSON Column: 41 Description: Q1.2 May I speak with [sample person's first name or initials]? SAS Variable Name: MKP_PERS 1 Yes BLANK Not asked or missing 915 CHECK CORRECT PERSON ON PHONE Column: 42 SAS Variable Name: REPEAT FOR THOSE WHO DISAGREE WITH BRFSS ASTHMA STATUS: Check if correct person from core survey is on phone. Description: Q2.0 Is this [sample person's name] and are you [sample person's age] years old? (IF YES, CONTINUE WITH Q2.1) 1 Yes BLANK Not asked or missing 914 EVER HAVE ASTHMA INCONSISTENT WITH BRFSS Column: 43 SAS Variable Name: EVER_ASTH FOR THOSE WHO DISAGREE WITH BRFSS ASTHMA STATUS: I would like to repeat the questions from the previous survey now to make sure [child's name] qualifies for this study. Description: Q2.1 Have you ever been told by a doctor or other health professional that [child's name] had asthma? 1 Yes BLANK Not asked or missing 914 STILL HAVE ASTHMA INCONSISTENT WITH BRFSS Column: 44 SAS Variable Name: CUR_ASTH FOR THOSE WHO DISAGREE WITH BRFSS ASTHMA STATUS: I would like to repeat the questions from the previous survey now to make sure [child's name] qualifies for this study. Description: Q2.2 Does [he/she] still have asthma? 1 Yes No Don t know/not sure BLANK Not asked or missing 914 Page 4 of 130 April 29, 2015

5 RELATIONSHIP TO CHILD FROM QUESTION Column: 45 Description: Q2.3 What is your relationship to the child? ASTHMA CALL-BACK SURVEY SAS Variable Name: RELATION 1 Mother (Birth/Adoptive/Step) Father (Birth/Adoptive/Step) Brother/Sister (Step/Foster/Half/Adoptive) Grandparent (Father/Mother) Unrelated BLANK Not asked or missing 618 LEGAL GUARDIAN Column: 46 Description: Q2.4 Are you the legal guardian for [child's name]? SAS Variable Name: GUARDIAN 1 Yes BLANK Not asked or missing 938 PERMISSION TO COMBINE THE ANSWER WITH BRFSS Column: 47 SAS Variable Name: PERMISS Description: Q2.5 May we combine your answers to this survey with your answers from the survey you did a few weeks ago? 1 Yes Don t know/not sure AGE AT ASTHMA DIAGNOSIS Column: SAS Variable Name: AGEDX Description: Q3.1 How old was [child's name] when a doctor or other health professional first said [he/she] had asthma? 1-17 Age in years Don t know Less than 1 year old Refused Page 5 of 130 April 29, 2015

6 TIME SINCE DIAGNOSIS Column: 51 Description: Q3.2 How long ago was that? Was it... [READ CATEGORIES] SAS Variable Name: INCIDNT 1 Within the past 12 months One to five years ago More than 5 years ago Don t know LAST TALKED TO A DOCTOR Column: SAS Variable Name: LAST_MD Description: Q3.3 How long has it been since you last talked to a doctor or other health professional about [child's name]'s asthma? This could have been in a doctor's office, the hospital, an emergency room or urgent care center. 4 Within the past year One year to less than 3 years ago Three years to five years ago More than five years ago Don t know Never LAST TOOK ASTHMA MEDICATION Column: Description: Q3.4 How long has it been since [he/she] last took asthma medication? SAS Variable Name: LAST_MED 1 Less than 1 day ago days ago week to less than 3 months ago months to less than 1 year ago year to less than 3 years ago years to 5 years ago More than 5 years ago Don t know Never Page 6 of 130 April 29, 2015

7 LAST HAD ANY SYMPTOMS OF ASTHMA Column: Description: Q3.5 How long has it been since [he/she] last had any symptoms of asthma? SAS Variable Name: LASTSYMP 1 Less than 1 day ago days ago week to less than 3 months ago months to less than 1 year ago year to less than 3 years ago years to 5 years ago More than 5 years ago Don t know Never SYMPTOM DAYS Column: SAS Variable Name: SYMP_30D Description: Q4.1 During the past 30 days, on how many days did [child's name] have any symptoms of asthma? 1-29 Days Every day No symptoms past one year, skip filled Don't know No symptoms in the past 30 days Symptoms 3 months to 1 year ago, skip filled CONSTANT SYMPTOMS Column: SAS Variable Name: DUR_30D Description: Q4.2 Does [he/she] have symptoms all the time? "All the time means symptoms that continue throughout the day. It does not mean symptoms for a little while each day. 1 Yes No Last symptoms one+ years ago, skip filled Refused Last symptoms 3 months - 1 year ago, skip filled No symptoms 'SYMP_30D' skip filled 'SYMP_30D' skip filled Don't know 'SYMP_30D' skip filled Page 7 of 130 April 29, 2015

8 NIGHT SYMPTOMS Column: SAS Variable Name: ASLEEP30 Description: Q4.3 During the past 30 days, on how many days did symptoms of asthma make it difficult for [him/her] to stay asleep? 1-30 Days/Nights No symptoms past one year, skip filled Don't know None Refused Symptoms 3 months to 1 year ago, skip filled No symptoms in the past 30 days, skip filled SYMPTOM FREE DAYS Column: SAS Variable Name: SYMPFREE Description: Q4.4 During the past two weeks, on how many days was [child's name] completely symptom-free, that is no coughing, wheezing, or other symptoms of asthma? 1-14 Days/Nights Don t know None ASTHMA EPISODE OR ATTACK Column: 68 SAS Variable Name: EPIS_12M Description: Q4.5 During the past 12 months, has [he/she] had an episode of asthma or an asthma attack? 1 Yes No No symptoms past 1 year, skip filled Don't know Refused NUMBER OF EPISODES/ATTACKS Column: SAS Variable Name: EPIS_TP Description: Q4.6 During the past three months, how many asthma episodes or attacks has [he/she] had? Episodes No symptoms past 1 year, skip filled Don't know None No episode/asthma attack past year, skip filled Page 8 of 130 April 29, 2015

9 DURATION OF ATTACK Column: Description: Q4.7 How long did [his/her] most recent asthma episode or attack last? SAS Variable Name: DUR_ASTH Minutes Hours Days Weeks No symptoms past 1 year, skip filled Don't know Refused No episode/asthma attack past year, skip filled TYPICAL ATTACK Column: SAS Variable Name: COMPASTH Description: Q4.8 Compared with other episodes or attacks, was this most recent attack shorter, longer, or about the same? 1 Shorter Longer About the same The most recent attack was actually the first attack No symptoms past year, skip filled Don't know No episode/asthma attack past year, skip filled INSURANCE Column: 79 SAS Variable Name: INS1 Description: Q5.1 Do you have any kind of health care coverage, including health insurance, prepaid plans such as HMOs, or government plans such as Medicare or Medicaid? 1 Yes No Don t know/not sure Refused Page 9 of 130 April 29, 2015

10 TYPE OF INSURANCE COVERAGE Column: 80 SAS Variable Name: INS_TYP Description: Q5.2 What kind of health care coverage does [child's name] have? Is it paid through the parent s employer, or is it Medicaid, Medicare, Children's Health Insurance Program (CHIP), or some other type of insurance? 1 Parent s employer Medicaid/Medicare CHIP replace with state specific name Other No insurance at time of interview, skip filled Don t know Refused INSURANCE OR COVERAGE GAP Column: 81 SAS Variable Name: INS2 Description: Q5.3 During the past 12 months, was there any time that [he/she] did not have any health insurance or coverage? 1 Yes No No insurance at time of interview, skip filled Don't know HAD A FLU SHOT Column: 82 A flu shot is an influenza vaccine injected in your arm. Description: Q5.4 During the past 12 months, did [child's name] have a flu shot? SAS Variable Name: FLU_SHOT 1 Yes No Don t know/not sure HAD A FLU VACCINE SPRAY Column: 83 SAS Variable Name: FLU_SPRAY A flu vaccine that is sprayed in the nose is called FluMist. Description: Q5.5 During the past 12 months, did [he/she] have a flu vaccine that was sprayed in [his/her] nose? 1 Yes No Don t know/not sure Page 10 of 130 April 29, 2015

11 ACTIVITY LIMITATION Column: 84 SAS Variable Name: ACT_DAYS30 Description: Q5.6 During just the past 30days, would you say [child's name] limited [his/her] usual activities due to asthma not at all, a little, a moderate amount, or a lot? 1 Not at all A little A moderate amount A lot No current asthma, nothing happened past year, skip filled Don't know Refused NUMBER OF ROUTINE CHECKUPS PAST 12 MONTHS Column: SAS Variable Name: NER_TIME Description: Q5.7 During the past 12 months how many times did [he/she] see a doctor or other health professional for a routine checkup for [his/her] asthma? Number No current asthma, nothing happened past year, skip filled No MD visit past year, skip filled Don't know None Refused EMERGENCY ROOM VISIT Column: 88 SAS Variable Name: ER_VISIT An urgent care center treats people with illnesses or injuries that must be addressed immediately and cannot wait for a regular medical appointment. Description: Q5.8 During the past 12 months, has [child's name] had to visit an emergency room or urgent care center because of [his/her] asthma? 1 Yes No No current asthma, nothing happened past year, skip filled No MD visit past year, skip filled Don't know Page 11 of 130 April 29, 2015

12 NUMBER OF EMERGENCY ROOM VISITS Column: SAS Variable Name: ER_TIMES Description: Q5.9 During the past 12 months, how many times did [he/she] visit an emergency room or urgent care center because of [his/her] asthma? Number No current asthma, nothing happened past year, skip filled No MD visit past year, skip filled MD visit, no ER visit past year, skip filled Don't know NUMBER OF URGENT VISITS Column: SAS Variable Name: URG_TIME Description: Q5.10 During the past 12 months, how many times did [child's name] see a doctor or other health professional for urgent treatment of worsening asthma symptoms or for an asthma episode or attack? Number No current asthma, nothing happened past year, skip filled No MD visit past year, skip filled Don't know None HOSPITAL VISIT Column: 95 SAS Variable Name: HOSP_VST Description: Q5.11 During the past 12 months, that is since [one year ago today], has [child's name] had to stay overnight in a hospital because of [his/her] asthma? Do not include an overnight stay in the emergency room. 1 Yes No MD visit, no symptoms past year, skip filled No current asthma, nothing happened past year, skip filled No MD visit past year, skip filled NUMBER OF HOSPITAL VISITS Column: SAS Variable Name: HOSPTIME Description: Q5.12 During the past 12 months, how many different times did [he/she] stay in any hospital overnight or longer because of [his/her] asthma? Times MD visit, no symptoms past year, skip filled MD visit, symptoms, no hospital visit past year, skip filled No current asthma, nothing happened past year, skip filled No MD visit past year, skip filled Page 12 of 130 April 29, 2015

13 HOSPITAL FOLLOW-UP Column: SAS Variable Name: HOSPPLAN Description: Q5.13 The last time [he/she] left the hospital, did a health professional talk with you or [child's name] about how to prevent serious attacks in the future? 1 Yes No MD visit, no symptoms past year, skip filled No current asthma, nothing happened past year, skip filled No MD visit past year, skip filled MD visit, symptoms, no hospital visit past year, skip filled EVER TAUGHT RECOGNIZE EARLY SIGN OR SYMPTOMS Column: 101 Has a doctor or other health professional ever taught you or [child's name]... Description: Q how to recognize early signs or symptoms of an asthma episode? SAS Variable Name: TCH_SIGN 1 Yes No Don t know/not sure EVER TAUGHT WHAT TO DO DURING ASTHMA EPISODE OR ATTACK Column: 102 Has a doctor or other health professional ever taught you or [child's name]... Description: Q what to do during an asthma episode or attack? SAS Variable Name: TCH_RESP 1 Yes No Don t know/not sure EVER TAUGHT HOW TO USE A PEAK FLOW Column: 103 SAS Variable Name: TCH_MON A peak flow meter is a hand held device that measures how quickly [child's name] can blow air out of [his/her] lungs. Has a doctor or other health professional ever taught you or [child's name]... Description: Q how to use a peak flow meter to adjust [his/her] daily medications? 1 Yes No Don t know/not sure Refused Page 13 of 130 April 29, 2015

14 EVER GIVEN AN ASTHMA ACTION PLAN Column: 104 SAS Variable Name: MGT_PLAN An asthma action plan, or asthma management plan, is a form with instructions about when to change the amount or type of medicine, when to call the doctor for advice, and when to go to the emergency room. Description: Q6.4 Has a doctor or other health professional EVER given you or [child's name] an asthma action plan? 1 Yes No Don t know/not sure EVER TAKEN A COURSE TO MANAGE ASTHMA Column: 105 SAS Variable Name: MGT_CLAS Description: Q6.5 Have you or [child's name] ever taken a course or class on how to manage [his/her] asthma? 1 Yes No Don t know/not sure AIR CLEANER USED Column: 106 SAS Variable Name: AIRCLEANER An air cleaner or purifier can filter out pollutants like dust, pollen, mold and chemicals. It can be attached to the furnace or free standing. It is not, however, the same as a normal furnace filter. Description: Q7.1 Is an air cleaner or purifier regularly used inside [child's name]'s home? 1 Yes No Don t know/not sure DEHUMIDIFIER USED Column: 107 Description: Q7.2 Is a dehumidifier regularly used to reduce moisture inside [his/her] home? SAS Variable Name: DEHUMID 1 Yes No Don t know/not sure Refused Page 14 of 130 April 29, 2015

15 EXHAUST FAN USED Column: 108 SAS Variable Name: KITC_FAN Description: Q7.3 Is an exhaust fan that vents to the outside used regularly when cooking in the kitchen in [his/her] home? 1 Yes No Don t know/not sure Refused GAS USED Column: 109 Description: Q7.4 Is gas used for cooking in [his/her] home? SAS Variable Name: COOK_GAS 1 Yes No Don t know/not sure SAW OR SMELLED MOLD PAST 30 DAYS Column: 110 SAS Variable Name: ENV_MOLD Description: Q7.5 In the past 30 days, has anyone seen or smelled mold or a musty odor inside [his/her] home? Do not include mold on food. 1 Yes No Don t know/not sure INDOOR PETS Column: 111 SAS Variable Name: ENV_PETS Description: Q7.6 Does [child's name]'s home have pets such as dogs, cats, hamsters, birds, or other feathered or furry pets that spend time indoors? 1 Yes No Page 15 of 130 April 29, 2015

16 PETS ALLOWED IN BEDROOM Column: 112 Description: Q7.7 Is the pet allowed in [his/her] bedroom? ASTHMA CALL-BACK SURVEY SAS Variable Name: PETBEDRM 1 Yes No Some are/some aren't No pets, skip coded SAW COCKROACH INSIDE CHILD'S HOME PAST 30 DAYS Column: 113 SAS Variable Name: C_ROACH Description: Q7.8 In the past 30 days, has anyone seen a cockroach inside [child's name]'s home? 1 Yes No SAW MICE OR RATS INSIDE CHILD'S HOME PAST 30 DAYS Column: 114 SAS Variable Name: C_RODENT Description: Q7.9 In the past 30 days, has anyone seen mice or rats inside [his/her] home? Do not include mice or rats kept as pets. 1 Yes No FIREPLACE OR WOOD STOVE USED Column: 115 SAS Variable Name: WOOD_STOVE Description: Q7.10 Is a wood burning fireplace or wood burning stove used in [child's name]'s home? 1 Yes No Don t know/not sure GAS APPLIANCE USED Column: 116 SAS Variable Name: GAS_STOVE Description: Q7.11 Are unvented gas logs, unvented gas fireplace, or unvented gas stoves used in [his/her] home? 1 Yes No Don t know/not sure Refused Page 16 of 130 April 29, 2015

17 ANYONE SMOKED INSIDE CHILD'S HOME Column: 117 Description: Q7.12 In the past week, has anyone smoked inside [his/her] home? SAS Variable Name: S_INSIDE 1 Yes No Don t know/not sure EVER ADVISED CHANGE THINGS IN CHILD'S HOME Column: 118 SAS Variable Name: MOD_ENV Description: Q7.13 Has a health professional ever advised you to change things in [his/her] home, school, or work to improve [his/her] asthma? 1 Yes No Don t know/not sure USE A MATTRESS COVER Column: 119 SAS Variable Name: MATTRESS Description: Q7.14 Does [he/she] use a mattress cover that is made especially for controlling dust mites? 1 Yes No Don t know/not sure USE A PILLOW COVER Column: 120 SAS Variable Name: E_PILLOW Description: Q7.15 Does [he/she] use a pillow cover that is made especially for controlling dust mites? 1 Yes No Don t know/not sure CARPETING OR RUGS IN CHILD'S BEDROOM Column: 121 SAS Variable Name: CARPET Description: Q7.16 Does [he/she] have carpeting or rugs in [his/her] bedroom? This does not include throw rugs small enough to be laundered. 1 Yes No Page 17 of 130 April 29, 2015

18 WASH WATER TEMPERATURE Column: 122 Description: Q7.17 Are [his/her] sheets and pillowcases washed in cold, warm, or hot water? SAS Variable Name: HOTWATER 1 Cold Warm Hot Varies Don t know/not sure Refused USE AN EXHAUST FAN IN CHILD'S BATHROOM Column: 123 SAS Variable Name: BATH_FAN Description: Q7.18 In [child's name]'s bathroom, does [he/she] regularly use an exhaust fan that vents to the outside? 1 Yes No or No fan Don t know/not sure EVER USED OVER-THE-COUNTER MEDICATION Column: 124 SAS Variable Name: OTC The next set of questions is about medications for asthma. The first few questions are very general, but later questions are very specific to [child's name]'s medication use. Description: Q8.1 Over-the-counter medication can be bought without a doctor s order. Has [child's name] ever used over-the-counter medication for [his/her] asthma? 1 Yes No Never took asthma medication, skip filled Don't know EVER USED PRESCRIPTION INHALER Column: 125 Description: Q8.2 Has [he/she] ever used a prescription inhaler? SAS Variable Name: INHALERE 1 Yes No Never took asthma medication, skip filled Page 18 of 130 April 29, 2015

19 PROFESSIONAL INHALER INSTRUCTION Column: 126 Description: Q8.3 Did a health professional show [him/her] how to use the inhaler? SAS Variable Name: INHALERH 1 Yes No Never took asthma medication, skip filled Never used prescription inhaler, skip filled Don't know INHALER USE WATCHED Column: 127 Description: Q8.4 Did a doctor or other health professional watch [him/her] use the inhaler? SAS Variable Name: INHALERW 1 Yes No Never took asthma medication, skip filled Never used prescription inhaler, skip filled Don't know MEDICATION IN HAND Column: 128 SAS Variable Name: SCR_MED1 Now I am going to ask questions about specific prescription medications [child's name] may have taken for asthma in the past 3 months. I will be asking for the name, amount, and how often [he/she] takes each medicine. Description: Q8.5 It will help to get [child's name]'s medicines so you can read the labels. Can you please go get the asthma medicines while I wait on the phone? 1 Yes No Respondent knows the meds No asthma med. past 3 months, skip filled Never took asthma medication, skip filled Don't know HAVE ALL THE MEDICATIONS Column: Description: Q8.7 Do you have all the medications? SAS Variable Name: SCR_MED3 1 Yes, I have all the medications Yes, I have some of the medications but not all No No asthma med. past 3 months, skip filled Never took asthma medication, skip filled Know or no handy asthma medicines, skip filled Page 19 of 130 April 29, 2015

20 TAKEN PRESCRIPTION INHALER PAST 3 MONTHS Column: 131 SAS Variable Name: INH_SCR Description: Q8.8 In the past 3 months has [child's name] taken prescription asthma medicine using an inhaler? 1 Yes, inhaler in past 3 months No inhaler in past 3 months No asthma med. past 3 months, skip filled Never took asthma medication, skip filled Asthma med. past 3 months, never used inhaler, skip filled Don't know TAKEN MEDICATION IN PILL PAST 3 MONTHS Column: 132 SAS Variable Name: PILLS Description: Q8.20 In the past 3 months, has [he/she] taken any prescription medicine in pill form for [his/her] asthma? 1 Yes No No asthma med. past 3 months, skip filled Never took asthma medication, skip filled Don't know TAKEN MEDICATION IN SYRUP PAST 3 MONTHS Column: 133 SAS Variable Name: SYRUP Description: Q8.23 In the past 3 months, has [he/she] taken prescription asthma medication in syrup form? 1 Yes No No asthma med. past 3 months, skip filled Never took asthma medication, skip filled Don't know TAKEN MEDICATION WITH A NEBULIZER PAST 3 MONTHS Column: 134 SAS Variable Name: NEB_SCR A nebulizer is a small machine with a tube and facemask or mouthpiece that [child's name] breathes through continuously. Description: Q8.25 In the past 3 months, were any of [child's name]'s prescription asthma medicines used with a nebulizer? 1 Yes No No asthma med. past 3 months, skip filled Never took asthma medication, skip filled Don't know Page 20 of 130 April 29, 2015

21 NEBULIZER AT HOME Column: 135 SAS Variable Name: NEB_PLCA I am going to read a list of places where [child's name] might have used a nebulizer. Please answer "yes" if [he/she] used a nebulizer in the place I mention; otherwise answer "no." In the past 3 months, did [child's name] use a nebulizer... Description: Q8.26a... at home? 1 Yes No No asthma med. past 3 months, skip filled Never took asthma medication, skip filled No neb. in past 3 months, skip filled NEBULIZER AT DOCTOR'S OFFICE Column: 136 In the past 3 months, did [child's name] use a nebulizer... Description: Q8.26b... at a doctor s office? SAS Variable Name: NEB_PLCB 1 Yes No No asthma med. past 3 months, skip filled Never took asthma medication, skip filled Don t know No neb. in past 3 months, skip filled NEBULIZER IN EMERGENCY ROOM Column: 137 In the past 3 months, did [child's name] use a nebulizer... Description: Q8.26c... in an emergency room? SAS Variable Name: NEB_PLCC 1 Yes No No asthma med. past 3 months, skip filled Never took asthma medication, skip filled No neb. in past 3 months, skip filled NEBULIZER AT WORK OR SCHOOL Column: 138 In the past 3 months, did [child's name] use a nebulizer... Description: Q8.26d... at work (or a school)? SAS Variable Name: NEB_PLCD 1 Yes No No asthma med. past 3 months, skip filled Never took asthma medication, skip filled Don t know No neb. in past 3 months, skip filled Page 21 of 130 April 29, 2015

22 NEBULIZER AT ANY OTHER PLACE Column: 139 In the past 3 months, did [child's name] use a nebulizer... Description: Q8.26e... at any other place? SAS Variable Name: NEB_PLCE 1 Yes No No asthma med. past 3 months, skip filled Never took asthma medication, skip filled No neb. in past 3 months, skip filled COST BARRIER: PRIMARY CARE DOCTOR Column: 140 SAS Variable Name: ASMDCOST Description: Q9.1 Was there a time in the past 12 months when [child's name] needed to see [his/her] primary care doctor for asthma but could not because of the cost? 1 Yes No No current asthma, skip filled Don't know COST BARRIER: SPECIALIST Column: 141 SAS Variable Name: ASSPCOST Description: Q9.2 Was there a time in the past 12 months when [child's name] was referred to a specialist for [his/her] asthma care but could not go because of the cost? 1 Yes No No current asthma, skip filled Don't know COST BARRIER: MEDICATION Column: 142 SAS Variable Name: ASRXCOST Description: Q9.3 Was there a time in the past 12 months when [he/she] needed medication for [his/her] asthma, but you could not buy it because of the cost? 1 Yes No No current asthma, skip filled Don't know Page 22 of 130 April 29, 2015

23 CURRENT GO TO SCHOOL OUTSIDE HOME Column: 143 SAS Variable Name: SCH_STAT Next, we are interested in things that might affect [child s name]'s asthma when [he/she] is not at home. Description: Q10.1 Does [child s name] currently go to school or preschool outside the home? 1 Yes No REASON NOT IN SCHOOL NOW Column: 144 SAS Variable Name: NO_SCHL Description: Q10.2 What is the main reason [he/she] is not now in school? [READ RESPONSE CATEGORIES] 1 Not old enough Home schooled Unable to attend for health reason On vacation or break Other Now goes to outside school, skip filled Don t know/not sure GONE TO SCHOOL OUTSIDE HOME PAST 12 MONTHS Column: 145 Description: Q10.3 Has [child s name] gone to school in the past 12 months? SAS Variable Name: SCHL_12 1 Yes No Home school, skip filled Not old enough for school, skip filled Now goes to outside school, skip filled Don't know WHAT GRADE WAS CHILD IN LAST TIME Column: Description: Q10.4 What grade was [he/she] in the last time [he/she] was in school? SAS Variable Name: SCHGRADE 1-12 Grade No school past year, skip filled Not old enough for school, skip filled Kindergarten Don't know Preschool Refused Page 23 of 130 April 29, 2015

24 HOW MANY DAYS MISSED SCHOOL Column: SAS Variable Name: MISS_SCHL Description: Q10.5 During the past 12 months, about how many days of school did [he/she] miss because of [his/her] asthma? Days No school past year, skip filled Not old enough for school, skip filled No current asthma, skip filled Don't know None WRITTEN ASTHMA ACTION PLAN IN SCHOOL Column: 151 SAS Variable Name: SCH_APL An asthma action plan, or asthma management plan, is a form with instructions about when to change the amount or type of medicine, when to call the doctor for advice, and when to go to the emergency room. Description: Q10.6 Does [child s name] have a written asthma action plan or asthma management plan on file at school? 1 Yes No Home school, skip filled No school past year, skip filled Not old enough for school, skip filled No current asthma, skip filled Don't know ASTHMA MEDICATION ALLOWED WITH CHILD IN SCHOOL Column: 152 SAS Variable Name: SCH_MED Description: Q10.7 Does the school [he/she] goes to allow children with asthma to carry their medication with them while at school? 1 Yes No Home school, skip filled No school past year, skip filled Not old enough for school, skip filled No current asthma, skip filled Don't know Page 24 of 130 April 29, 2015

25 PETS IN CLASSROOM Column: 153 SAS Variable Name: SCH_ANML Description: Q10.8 Are there any pets such as dogs, cats, hamsters, birds or other feathered or furry pets in [his/her] classroom? 1 Yes No Home school, skip filled No school past year, skip filled Not old enough for school, skip filled Don't know AWARE OF MOLD PROBLEM IN SCHOOL Column: 154 Description: Q10.9 Are you aware of any mold problems in [child s name]'s school? SAS Variable Name: SCH_MOLD 1 Yes No Home school, skip filled No school past year, skip filled Not old enough for school, skip filled Don't know GO TO DAYCARE OUTSIDE HOME Column: 155 Description: Q10.10 Does [child s name] go to day care outside [his/her] home? SAS Variable Name: DAYCARE 1 Yes No Home school, skip filled Over age ten, skip filled Don't know WENT TO DAYCARE PAST 12 MONTHS Column: 156 Description: Q10.11 Has [he/she] gone to daycare in the past 12 months? SAS Variable Name: DAYCARE1 1 Yes No Home school, skip filled Goes to daycare now, skip filled Over age ten, skip filled Don't know Page 25 of 130 April 29, 2015

26 DAYS MISSED DAYCARE BECAUSE OF ASTHMA Column: SAS Variable Name: MISS_DCAR Description: Q10.12 During the past 12 months, about how many days of daycare did [he/she] miss because of [his/her] asthma? Days No current asthma, skip filled No daycare past year, skip filled Over age ten, skip filled Don't know Zero Home school, skip filled WRITTEN ASTHMA ACTION PLAN IN DAYCARE Column: 161 SAS Variable Name: DCARE_APL Description: Q10.13 Does [child s name] have a written asthma action plan or asthma management plan on file at the daycare [he/she] went to last? 1 Yes No Home school, skip filled No current asthma, skip filled No daycare past year, skip filled Over age ten, skip filled Don't know PETS IN DAYCARE Column: 162 SAS Variable Name: DCARE_ANML Description: Q10.14 Are there any pets such as dogs, cats, hamsters, birds, or other feathered or furry pets in [his/her] room at daycare? 1 Yes No Home school, skip filled No daycare past year, skip filled Over age ten, skip filled Don't know Page 26 of 130 April 29, 2015

27 AWARE OF MOLD PROBLEM IN DAYCARE Column: 163 Description: Q10.15 Are you aware of any mold problems in [his/her] daycare? SAS Variable Name: DCARE_MLD 1 Yes No Home school, skip filled No daycare past year, skip filled Over age ten, skip filled Don't know SMOKING ALLOWED IN DAYCARE Column: 164 Description: Q10.16 Is smoking allowed at [his/her] daycare? SAS Variable Name: DCARE_SMK 2 No Home school, skip filled No daycare past year, skip filled Over age ten, skip filled Don't know USED HERBS TO CONTROL ASTHMA Column: 165 SAS Variable Name: CAM_HERB Sometimes people use methods other than prescription medications to help treat or control their asthma. These methods are called non-traditional, complementary, or alternative healthcare. In the past 12 months, has [he/she] used... to control asthma? Description: Q herbs... 1 Yes No No current asthma, skip filled USED VITAMINS TO CONTROL ASTHMA Column: 166 Description: Q vitamins... SAS Variable Name: CAM_VITA 1 Yes No No current asthma, skip filled Page 27 of 130 April 29, 2015

28 USED ACUPUNCTURE TO CONTROL ASTHMA Column: 167 Description: Q acupuncture... ASTHMA CALL-BACK SURVEY SAS Variable Name: CAM_PUNC 1 Yes No No current asthma, skip filled USED ACUPRESSURE TO CONTROL ASTHMA Column: 168 Description: Q acupressure... SAS Variable Name: CAM_PRES 1 Yes No No current asthma, skip filled USED AROMATHERAPY TO CONTROL ASTHMA Column: 169 Description: Q aromatherapy... SAS Variable Name: CAM_AROM 1 Yes No No current asthma, skip filled USED HOMEOPATHY TO CONTROL ASTHMA Column: 170 Description: Q homeopathy... SAS Variable Name: CAM_HOME 1 Yes No No current asthma, skip filled Don't know USED REFLEXOLOGY TO CONTROL ASTHMA Column: 171 Description: Q reflexology... SAS Variable Name: CAM_REFL 1 Yes No No current asthma, skip filled Page 28 of 130 April 29, 2015

29 USED YOGA TO CONTROL ASTHMA Column: 172 Description: Q yoga... ASTHMA CALL-BACK SURVEY SAS Variable Name: CAM_YOGA 1 Yes No No current asthma, skip filled Don't know USED BREATHING TO CONTROL ASTHMA Column: 173 Description: Q breathing techniques... SAS Variable Name: CAM_BR 1 Yes No No current asthma, skip filled Don't know USED NATUROPATHY TO CONTROL ASTHMA Column: 174 Description: Q naturopathy... SAS Variable Name: CAM_NATR 1 Yes No No current asthma, skip filled Don't know OTHER ALTERNATIVE CARE TO CONTROL ASTHMA Column: 175 SAS Variable Name: CAM_OTHR Description: Q11.11 Besides the types I have just asked about, has [child's name] used any other type of alternative care for [his/her] asthma in the past 12 months? 1 Yes No No current asthma, skip filled Don't know Page 29 of 130 April 29, 2015

30 TEXT FOR OTHER TYPE CARE Column: Description: Q11.12 What else has [child's name] used? ASTHMA CALL-BACK SURVEY Type: CHAR SAS Variable Name: CAM_TEXT BLANK 900 HIDDEN Text field - up to 100 characters HEIGHT OF CHILD Type: CHAR Column: SAS Variable Name: HEIGHT1 Description: Q12.1 How tall is [child s name]? HIDDEN WEIGHT OF CHILD Type: CHAR Column: SAS Variable Name: WEIGHT1 Description: Q12.2 How much does [he/she] weigh? HIDDEN BIRTH WEIGHT Type: CHAR Column: SAS Variable Name: BIRTHW1 Description: Q12.3 How much did [he/she] weigh at birth (in pounds)? HIDDEN WHETHER BIRTH WEIGHT LESS THAN 5.5 POUNDS Column: 290 Description: Q12.4 At birth, did [child s name] weigh less than 5 ½ pounds? SAS Variable Name: BIRTHRF 1 Yes No Don't know Refused BLANK Have reported birth weight 895 Page 30 of 130 April 29, 2015

31 LANGUAGE IDENTIFIER Column: Description: Language identifier: Language in which the interview was conducted. SAS Variable Name: QSTLANG_F 1 English Spanish PERSON SELECTED TO CALL BACK FROM BRFSS Column: 383 SAS Variable Name: ADLTCHLD Description: Which person in the household was selected as the focus of the call-back? 2 Children ASTHMA CALL-BACK SCRIPT TEST Column: 384 Description: ASTHMA CALL-BACK SCRIPT TEST SAS Variable Name: CALLBACK_VER 1 Callback using Protocol (2 weeks) BLANK Not asked or missing 308 END OF THE RAW CALL BACK DATA Column: 385 SAS Variable Name: END_OF_FILE Description: END OF THE RAW CALL BACK DATA 1 Yes EVER HAVE ASTHMA COMBINED BRFSS AND CALL BACK Column: 386 SAS Variable Name: _EVER_ASTH_C Description: EVER HAVE ASTHMA COMBINED BRFSS ( ASTHMA2 ) AND CALL BACK (EVER_ASTH) 1 Yes Page 31 of 130 April 29, 2015

32 STILL HAVE ASTHMA COMBINED BRFSS AND CALL BACK Column: 387 SAS Variable Name: _CUR_ASTH_C Description: STILL HAVE ASTHMA COMBINED BRFSS (ASTHNOW) AND CALL BACK (CUR_ASTH) 1 Yes No Don t know/not sure RELATIONSHIP TO CHILD COMBINED BRFSS Column: 388 Description: RELATIONSHIP TO CHILD COMBINED BRFSS SAS Variable Name: RELATED 1 Parents Guardian Other relative FLAG FOR AGE, AGEDX, INCIDNT INCONSISTENCY Column: 389 Description: FLAG FOR AGE, AGEDX, INCIDNT INCONSISTENCY SAS Variable Name: FLAG1 0 AGE, AGEDX, and INCIDNT are consistent AGEDX is greater than AGE AGE, AGEDX, and INCIDNT are inconsistent ADVAIR (+ A. DISKUS) Column: 390 Description: ADVAIR (+ A. DISKUS) SAS Variable Name: INHALER_ID_1 1 Yes No AEROBID Column: 391 Description: AEROBID SAS Variable Name: INHALER_ID_2 1 Yes No Page 32 of 130 April 29, 2015

33 ALBUTEROL (+ A. SULFATE OR SALBUTAMOL) Column: 392 Description: ALBUTEROL (+ A. SULFATE OR SALBUTAMOL) ASTHMA CALL-BACK SURVEY SAS Variable Name: INHALER_ID_3 1 Yes No ALUPENT Column: 393 SAS Variable Name: INHALER_ID_4 Description: ALUPENT ATROVENT Column: 394 SAS Variable Name: INHALER_ID_5 Description: ATROVENT AZMACORT Column: 395 SAS Variable Name: INHALER_ID_6 Description: AZMACORT BECLOMETHASONE DIPROPIONATE Column: 396 SAS Variable Name: INHALER_ID_7 Description: BECLOMETHASONE DIPROPIONATE BECLOVENT Column: 397 SAS Variable Name: INHALER_ID_8 Description: BECLOVENT Page 33 of 130 April 29, 2015

34 BITOLTEROL Column: 398 SAS Variable Name: INHALER_ID_9 Description: BITOLTEROL BUDESONIDE Column: 399 SAS Variable Name: INHALER_ID_11 Description: BUDESONIDE COMBIVENT Column: 400 SAS Variable Name: INHALER_ID_12 Description: COMBIVENT CROMOLYN Column: 401 SAS Variable Name: INHALER_ID_13 Description: CROMOLYN FLOVENT Column: 402 Description: FLOVENT SAS Variable Name: INHALER_ID_14 1 Yes No FLOVENT ROTADISK Column: 403 Description: FLOVENT ROTADISK SAS Variable Name: INHALER_ID_15 1 Yes No Page 34 of 130 April 29, 2015

35 FLUNISOLIDE Column: 404 SAS Variable Name: INHALER_ID_16 Description: FLUNISOLIDE FLUTICASONE Column: 405 Description: FLUTICASONE SAS Variable Name: INHALER_ID_17 1 Yes No IPRATROPIUM BROMIDE Column: 406 SAS Variable Name: INHALER_ID_19 Description: IPRATROPIUM BROMIDE MAXAIR Column: 407 Description: MAXAIR SAS Variable Name: INHALER_ID_20 1 Yes No METAPROTERONOL Column: 408 SAS Variable Name: INHALER_ID_21 Description: METAPROTERONOL Page 35 of 130 April 29, 2015

36 NEDOCROMIL Column: 409 SAS Variable Name: INHALER_ID_22 Description: NEDOCROMIL PIRBUTEROL Column: 410 SAS Variable Name: INHALER_ID_23 Description: PIRBUTEROL PROVENTIL Column: 411 Description: PROVENTIL SAS Variable Name: INHALER_ID_24 1 Yes No PULMICORT FLEXHALER Column: 412 Description: PULMICORT FLEXHALER SAS Variable Name: INHALER_ID_25 1 Yes No SALMETEROL Column: 413 SAS Variable Name: INHALER_ID_26 Description: SALMETEROL SEREVENT Column: 414 SAS Variable Name: INHALER_ID_27 Description: SEREVENT Page 36 of 130 April 29, 2015

37 TERBUTALINE (+ T. SULFATE) Column: 415 SAS Variable Name: INHALER_ID_28 Description: TERBUTALINE (+ T. SULFATE) TORNALATE Column: 416 SAS Variable Name: INHALER_ID_30 Description: TORNALATE TRIAMCINOLONE ACETONIDE Column: 417 SAS Variable Name: INHALER_ID_31 Description: TRIAMCINOLONE ACETONIDE VANCERIL Column: 418 Description: VANCERIL SAS Variable Name: INHALER_ID_32 1 Yes No VENTOLIN Column: 419 Description: VENTOLIN SAS Variable Name: INHALER_ID_33 1 Yes No Page 37 of 130 April 29, 2015

38 FORADIL Column: 420 SAS Variable Name: INHALER_ID_34 Description: FORADIL FORMOTEROL Column: 421 SAS Variable Name: INHALER_ID_35 Description: FORMOTEROL QVAR Column: 422 Description: QVAR SAS Variable Name: INHALER_ID_36 1 Yes No LEVALBUTEROL TARTRATE Column: 423 SAS Variable Name: INHALER_ID_37 Description: LEVALBUTEROL TARTRATE XOPENEX HFA Column: 424 Description: XOPENEX HFA SAS Variable Name: INHALER_ID_38 1 Yes No Page 38 of 130 April 29, 2015

39 MOMETASONE FUROATE Column: 425 Description: MOMETASONE FUROATE ASTHMA CALL-BACK SURVEY SAS Variable Name: INHALER_ID_39 1 Yes No ASMANEX (TWISTHALER) Column: 426 Description: ASMANEX (TWISTHALER) SAS Variable Name: INHALER_ID_40 1 Yes No PRO-AIR HFA Column: 427 Description: PRO-AIR HFA SAS Variable Name: INHALER_ID_41 1 Yes No SYMBICORT Column: 428 Description: SYMBICORT SAS Variable Name: INHALER_ID_42 1 Yes No ALVESCO Column: 429 Description: ALVESCO SAS Variable Name: INHALER_ID_43 1 Yes No Page 39 of 130 April 29, 2015

40 DULERA Column: 430 Description: DULERA ASTHMA CALL-BACK SURVEY SAS Variable Name: INHALER_ID_44 1 Yes No DON T KNOW/REFUSED Column: 431 Description: DON T KNOW/REFUSED SAS Variable Name: INHALER_ID_ Yes No OTHER INHALER Column: 432 SAS Variable Name: OTHER_INHALER Description: NEW OTHER PRESCRIPTION INHALER PILL ACCOLATE Column: 433 Description: PILL ACCOLATE SAS Variable Name: PILLS_ID_1 1 Yes No PILL AEROLATE Column: 434 SAS Variable Name: PILLS_ID_2 Description: PILL AEROLATE Page 40 of 130 April 29, 2015

41 PILL ALBUTEROL Column: 435 Description: PILL ALBUTEROL ASTHMA CALL-BACK SURVEY SAS Variable Name: PILLS_ID_3 1 Yes No PILL ALUPENT Column: 436 SAS Variable Name: PILLS_ID_4 Description: PILL ALUPENT PILL CHOLEDYL (OXTRIPHYLLINE) Column: 437 SAS Variable Name: PILLS_ID_5 Description: PILL CHOLEDYL (OXTRIPHYLLINE) PILL DELTASONE Column: 438 SAS Variable Name: PILLS_ID_7 Description: PILL DELTASONE PILL ELIXOPHYLLIN Column: 439 SAS Variable Name: PILLS_ID_8 Description: PILL ELIXOPHYLLIN PILL MEDROL Column: 440 SAS Variable Name: PILLS_ID_11 Description: PILL MEDROL Page 41 of 130 April 29, 2015

42 PILL METAPREL Column: 441 SAS Variable Name: PILLS_ID_12 Description: PILL METAPREL PILL METAPROTERONOL Column: 442 SAS Variable Name: PILLS_ID_13 Description: PILL METAPROTERONOL PILL METHYLPREDNISOLONE Column: 443 SAS Variable Name: PILLS_ID_14 Description: PILL METHYLPREDNISOLONE PILL MONTELUKAST Column: 444 Description: PILL MONTELUKAST SAS Variable Name: PILLS_ID_15 1 Yes No PILL PEDIAPRED Column: 445 SAS Variable Name: PILLS_ID_17 Description: PILL PEDIAPRED PILL PREDNISOLONE Column: 446 Description: PILL PREDNISOLONE SAS Variable Name: PILLS_ID_18 1 Yes No Page 42 of 130 April 29, 2015

43 PILL PREDNISONE Column: 447 Description: PILL PREDNISONE SAS Variable Name: PILLS_ID_19 1 Yes No PILL PROVENTIL Column: 448 SAS Variable Name: PILLS_ID_21 Description: PILL PROVENTIL PILL RESPID Column: 449 SAS Variable Name: PILLS_ID_23 Description: PILL RESPID PILL SINGULAIR Column: 450 Description: PILL SINGULAIR SAS Variable Name: PILLS_ID_24 1 Yes No PILL SLO-PHYLLIN Column: 451 SAS Variable Name: PILLS_ID_25 Description: PILL SLO-PHYLLIN Page 43 of 130 April 29, 2015

44 PILL SLO-BID Column: 452 SAS Variable Name: PILLS_ID_26 Description: PILL SLO-BID PILL THEO-24 Column: 453 SAS Variable Name: PILLS_ID_28 Description: PILL THEO-24 PILL THEOCHRON Column: 454 SAS Variable Name: PILLS_ID_30 Description: PILL THEOCHRON PILL THEOCLEAR Column: 455 SAS Variable Name: PILLS_ID_31 Description: PILL THEOCLEAR PILL THEODUR Column: 456 SAS Variable Name: PILLS_ID_32 Description: PILL THEODUR PILL THEO-DUR Column: 457 SAS Variable Name: PILLS_ID_33 Description: PILL THEO-DUR Page 44 of 130 April 29, 2015