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    Sage appendix ind Sage appendix ind Document Transcript

    • Appendices
    • STUDY ON GLOBAL AGEING AND ADULT HEALTH APPENDICES KISH Tables, Cards, Response Scales CONTENTSSection PageHOUSEHOLD QUESTIONNAIRE: SECTION 0100: TABLES _____________ 1-3HOUSEHOLD QUESTIONNAIRE: SECTION 0200: TABLES _____________ 4-8HOUSEHOLD QUESTIONNAIRE: SECTION 0450: KISH TABLES _____________ 9HOUSEHOLD QUESTIONNAIRE: SECTION 0500: CARDS _____________ 10-21INDIVIDUAL QUESTIONNAIRE: SECTION 3000: CARDS _____________ 22-32INDIVIDUAL QUESTIONNAIRE: RESPONSE SCALES _____________ 33-38 STUDY ON GLOBAL AGEING AND ADULT HEALTH - APPENDICES
    • STUDY ON GLOBAL AGEING AND ADULT HEALTH A) HOUSEHOLD QUESTIONNAIRE SECTION 0100 AND SECTION 0200SAMPLING INFORMATION AND GEOCODING/GPS INFORMATION
    • APPENDIX A0100A - Administrative Divisions - Names and CodesQ0105a: First Administrative Level Unit NameQ0105b: First Administrative Level Unit CodeQ0106a: Second Administrative Level Unit NameQ0106b: Second Administrative Level Unit Name1st_Level_Names 1st_Level_Codes 2nd_Level_Names 2nd_Level_CodesASSAM XIN004 Barpeta XIN004001ASSAM XIN004 Cachar XIN004003ASSAM XIN004 Darrang XIN004004ASSAM XIN004 Dibrugarh XIN004007ASSAM XIN004 Goalpara XIN004008ASSAM XIN004 Golaghat XIN004009ASSAM XIN004 Kamrup XIN004012ASSAM XIN004 Karbi Anglong XIN004013ASSAM XIN004 Karimganj XIN004014ASSAM XIN004 Kokrajhar XIN004015ASSAM XIN004 Lakhimpur XIN004016ASSAM XIN004 Marigaon XIN004017ASSAM XIN004 Nagaon XIN004018ASSAM XIN004 Nalbari XIN004019ASSAM XIN004 Sibsagar XIN004021ASSAM XIN004 Tinsukia XIN004023KARNATAKA XIN017 Bangalore XIN017002KARNATAKA XIN017 Bangalore Rural XIN017003KARNATAKA XIN017 Belgaum XIN017004KARNATAKA XIN017 Bellary XIN017005KARNATAKA XIN017 Bijapur XIN017007KARNATAKA XIN017 Chitradurga XIN017010KARNATAKA XIN017 Dakshina Kannada XIN017011KARNATAKA XIN017 Dharwad XIN017013KARNATAKA XIN017 Gulbarga XIN017015KARNATAKA XIN017 Hassan XIN017016KARNATAKA XIN017 Kodagu XIN017018KARNATAKA XIN017 Mandya XIN017021KARNATAKA XIN017 Mysore XIN017022KARNATAKA XIN017 Raichur XIN017023KARNATAKA XIN017 Tumkur XIN017025KARNATAKA XIN017 Udupi XIN017026KARNATAKA XIN017 Uttara Kannada XIN017027MAHARASHTRA XIN021 Ahmadnagar XIN021001MAHARASHTRA XIN021 Akola XIN021002MAHARASHTRA XIN021 Aurangabad XIN021004MAHARASHTRA XIN021 Bhandara XIN021005MAHARASHTRA XIN021 Buldana XIN021007MAHARASHTRA XIN021 Dhule XIN021009MAHARASHTRA XIN021 Jalgaon XIN021013MAHARASHTRA XIN021 Kolhapur XIN021015MAHARASHTRA XIN021 Mumbai XIN021017MAHARASHTRA XIN021 Mumbai (Suburban) XIN021018MAHARASHTRA XIN021 Nagpur XIN021019MAHARASHTRA XIN021 Nanded XIN021020MAHARASHTRA XIN021 Osmanabad XIN021023MAHARASHTRA XIN021 Parbhani XIN021024STUDY ON GLOBAL AGEING AND ADULT HEALTH - SAMPLING INFORMATION 1
    • 1st_Level_Names 1st_Level_Codes 2nd_Level_Names 2nd_Level_CodesMAHARASHTRA XIN021 Pune XIN021025MAHARASHTRA XIN021 Raigarh XIN021026MAHARASHTRA XIN021 Ratnagiri XIN021027MAHARASHTRA XIN021 Sangli XIN021028MAHARASHTRA XIN021 Satara XIN021029MAHARASHTRA XIN021 Sindhudurg XIN021030MAHARASHTRA XIN021 Solapur XIN021031MAHARASHTRA XIN021 Thane XIN021032MAHARASHTRA XIN021 Yavatmal XIN021035RAJASTHAN XIN029 Ajmer XIN029001RAJASTHAN XIN029 Alwar XIN029002RAJASTHAN XIN029 Banswara XIN029003RAJASTHAN XIN029 Barmer XIN029005RAJASTHAN XIN029 Bharatpur XIN029006RAJASTHAN XIN029 Bhilwara XIN029007RAJASTHAN XIN029 Bikaner XIN029008RAJASTHAN XIN029 Chittaurgarh XIN029010RAJASTHAN XIN029 Churu XIN029011RAJASTHAN XIN029 Dhaulpur XIN029013RAJASTHAN XIN029 Ganganagar XIN029015RAJASTHAN XIN029 Jaipur XIN029017RAJASTHAN XIN029 Jalor XIN029019RAJASTHAN XIN029 Jhunjhunun XIN029021RAJASTHAN XIN029 Jodhpur XIN029022RAJASTHAN XIN029 Kota XIN029024RAJASTHAN XIN029 Nagaur XIN029025RAJASTHAN XIN029 Pali XIN029026RAJASTHAN XIN029 Sikar XIN029029RAJASTHAN XIN029 Udaipur XIN029032UTTAR PRADESH XIN033 Agra XIN033001UTTAR PRADESH XIN033 Aligarh XIN033002UTTAR PRADESH XIN033 Allahabad XIN033003UTTAR PRADESH XIN033 Azamgarh XIN033006UTTAR PRADESH XIN033 Bahraich XIN033008UTTAR PRADESH XIN033 Ballia XIN033009UTTAR PRADESH XIN033 Barabanki XIN033012UTTAR PRADESH XIN033 Bareilly XIN033013UTTAR PRADESH XIN033 Basti XIN033014UTTAR PRADESH XIN033 Budaun XIN033016UTTAR PRADESH XIN033 Bulandshahr XIN033017UTTAR PRADESH XIN033 Chitrakoot XIN033019UTTAR PRADESH XIN033 Deoria XIN033020UTTAR PRADESH XIN033 Etah XIN033021UTTAR PRADESH XIN033 Etawah XIN033022UTTAR PRADESH XIN033 Faizabad XIN033023UTTAR PRADESH XIN033 Farrukhabad XIN033024UTTAR PRADESH XIN033 Fatehpur XIN033025UTTAR PRADESH XIN033 Firozabad XIN033026UTTAR PRADESH XIN033 Gautam Buddha Nagar XIN033027UTTAR PRADESH XIN033 Ghaziabad XIN033028UTTAR PRADESH XIN033 Gonda XIN033030UTTAR PRADESH XIN033 Hamirpur XIN033032UTTAR PRADESH XIN033 Jaunpur XIN033036UTTAR PRADESH XIN033 Jhansi XIN033037STUDY ON GLOBAL AGEING AND ADULT HEALTH - SAMPLING INFORMATION 2
    • 1st_Level_Names 1st_Level_Codes 2nd_Level_Names 2nd_Level_CodesUTTAR PRADESH XIN033 Kanpur Dehat XIN033040UTTAR PRADESH XIN033 Kheri XIN033043UTTAR PRADESH XIN033 Lucknow XIN033046UTTAR PRADESH XIN033 Maharajganj XIN033047UTTAR PRADESH XIN033 Mainpuri XIN033049UTTAR PRADESH XIN033 Mathura XIN033050UTTAR PRADESH XIN033 Mau XIN033051UTTAR PRADESH XIN033 Meerut XIN033052UTTAR PRADESH XIN033 Mirzapur XIN033053UTTAR PRADESH XIN033 Moradabad XIN033054UTTAR PRADESH XIN033 Pratapgarh XIN033057UTTAR PRADESH XIN033 Rae Bareli XIN033058UTTAR PRADESH XIN033 Saharanpur XIN033060UTTAR PRADESH XIN033 Siddharthnagar XIN033065UTTAR PRADESH XIN033 Sitapur XIN033066UTTAR PRADESH XIN033 Sonbhadra XIN033067UTTAR PRADESH XIN033 Sultanpur XIN033068UTTAR PRADESH XIN033 Unnao XIN033069UTTAR PRADESH XIN033 Varanasi XIN033070WEST BENGAL XIN035 Bankura XIN035001WEST BENGAL XIN035 Barddhaman XIN035002WEST BENGAL XIN035 Birbhum XIN035003WEST BENGAL XIN035 Darjiling XIN035005WEST BENGAL XIN035 Haora XIN035006WEST BENGAL XIN035 Hugli XIN035007WEST BENGAL XIN035 Jalpaiguri XIN035008WEST BENGAL XIN035 Koch Bihar XIN035009WEST BENGAL XIN035 Calcutta XIN035010WEST BENGAL XIN035 Maldah XIN035011WEST BENGAL XIN035 Medinipur XIN035012WEST BENGAL XIN035 Murshidabad XIN035013WEST BENGAL XIN035 Nadia XIN035014WEST BENGAL XIN035 North Twenty Four Parganas XIN035015WEST BENGAL XIN035 Puruliya XIN035016WEST BENGAL XIN035 South Twenty Four Parganas XIN035017WEST BENGAL XIN035 Uttar Dinajpur XIN035018STUDY ON GLOBAL AGEING AND ADULT HEALTH - SAMPLING INFORMATION 3
    • APPENDIX A0200A - Administrative Divisions - Geographic ExtensionQ0203: latitudeQ0204: Longitude Latitude LongitudeIn order to be correct GPS measure for each household have to present latitude and longitudewithin the range presented in this document according to the State and District in which theyare located.STATE: ASSAM Latitude, From To Longitude, From ToDistricts N/S Deg. Min. N/S Deg. Min. E/W Deg. Min. E/W Deg. Min.Barpeta N 26 1.211 N 26 51.651 E 090 36.679 E 091 21.832Cachar N 24 20.759 N 25 9.798 E 092 20.986 E 093 18.827Darrang N 26 9.947 N 26 58.462 E 091 40.713 E 092 27.413Dibrugarh N 27 3.691 N 27 43.744 E 094 30.740 E 095 32.177Goalpara N 25 50.694 N 26 16.778 E 090 3.305 E 091 7.766Golaghat N 25 46.326 N 26 50.443 E 093 14.584 E 094 12.608Kamrup N 25 40.888 N 26 51.185 E 090 56.759 E 092 13.265Karbi Anglong N 25 29.284 N 26 38.970 E 092 5.516 E 093 57.061Karimganj N 24 11.866 N 24 55.135 E 092 7.994 E 092 37.771Kokrajhar N 26 17.390 N 26 56.929 E 089 44.294 E 090 59.090Lakhimpur N 26 44.255 N 27 33.257 E 093 39.119 E 094 38.402Marigaon N 26 0.261 N 26 31.553 E 091 53.264 E 092 36.893Nagaon N 25 39.323 N 26 42.732 E 092 20.555 E 093 22.392Nalbari N 26 5.729 N 26 55.133 E 091 9.899 E 091 43.634Sibasagar N 26 39.055 N 27 15.984 E 094 20.775 E 095 29.222Tinsukia N 27 9.653 N 28 2.014 E 095 11.215 E 096 4.126STUDY ON GLOBAL AGEING AND ADULT HEALTH - GEOCODING/GPS INFORMATION 4
    • STATE: KARNATAKA Latitude, From To Longitude, From ToDistricts N/S Deg. Min. N/S Deg. Min. E/W Deg. Min. E/W Deg. Min.Bangalore N 12 37.127 N 13 16.650 E 077 20.626 E 077 52.177Banglore Rural N 12 11.883 N 13 32.812 E 077 0.511 E 078 0.905Belgaum N 15 17.540 N 16 59.335 E 074 4.841 E 075 30.473Bellary N 14 31.176 N 15 51.739 E 075 36.752 E 077 11.822Bijapur N 16 5.549 N 17 29.534 E 075 14.743 E 076 30.941Chitradurga N 13 30.581 N 15 0.349 E 075 58.405 E 077 4.445Dakshin Kannada N 12 24.877 N 13 13.095 E 074 43.357 E 075 42.809Dharwad N 14 59.397 N 15 43.650 E 074 39.622 E 075 36.375Gulbarga N 16 9.640 N 17 48.674 E 076 0.170 E 077 45.723Hassan N 12 27.096 N 13 34.789 E 075 29.782 E 076 41.505Kodagu N 11 52.690 N 12 51.606 E 075 19.153 E 076 13.958Mandya N 12 10.057 N 13 6.051 E 076 15.025 E 077 22.874Mysore N 11 41.360 N 12 41.048 E 075 51.109 E 077 11.276Raichur N 15 26.588 N 16 35.758 E 076 10.586 E 077 39.098Tumkur N 12 41.794 N 14 22.575 E 076 16.777 E 077 32.537Udupi N 12 56.151 N 13 59.970 E 074 31.853 E 075 14.197Uttar Kannada N 13 52.471 N 15 34.184 E 074 2.405 E 075 8.325STATE: MAHARASHTRA Latitude, From To Longitude, From ToDistricts N/S Deg. Min. N/S Deg. Min. E/W Deg. Min. E/W Deg. Min.Ahmadnagar N 18 17.083 N 20 1.680 E 073 34.520 E 075 37.450Akola N 20 13.406 N 21 17.126 E 076 39.020 E 077 40.908Aurangabad N 19 20.902 N 20 43.958 E 074 32.483 E 075 59.183Bhandara N 20 35.226 N 21 36.086 E 079 22.634 E 080 8.122Buldana N 19 46.736 N 21 21.757 E 075 52.285 E 076 52.885Dhule N 20 35.569 N 21 41.780 E 073 48.142 E 075 14.291Jalgaon N 20 13.635 N 21 27.687 E 074 42.698 E 076 27.603Kolhapur N 15 41.638 N 17 13.085 E 073 37.966 E 074 48.472Mumbai N 18 51.148 N 19 18.293 E 072 43.586 E 073 0.529Mumbai (Suburb) N 18 51.148 N 19 18.293 E 072 43.586 E 073 0.529Nagpur N 20 30.725 N 21 44.041 E 078 11.369 E 079 41.484Nanded N 18 12.498 N 19 56.668 E 076 52.353 E 078 27.812Osmanabad N 17 33.862 N 18 43.781 E 075 13.233 E 076 50.522Parbhani N 18 41.970 N 19 56.668 E 076 9.941 E 077 9.461Pune N 17 52.120 N 19 25.908 E 073 17.263 E 075 11.554Raigarh N 17 48.239 N 19 10.138 E 072 45.226 E 073 44.051Ratnagiri N 16 27.632 N 18 5.407 E 072 58.988 E 073 55.825Sangli N 16 39.864 N 17 40.396 E 073 39.338 E 075 45.121Satara N 17 2.646 N 18 13.254 E 073 30.486 E 074 59.566Sindhudurg N 15 32.943 N 16 38.315 E 073 15.634 E 074 16.117Solapur N 17 4.330 N 18 36.460 E 074 34.466 E 076 28.873Thane N 18 57.599 N 20 15.005 E 072 36.502 E 073 50.959Yavatmal N 19 22.931 N 20 43.548 E 077 14.988 E 079 11.477STUDY ON GLOBAL AGEING AND ADULT HEALTH - GEOCODING/GPS INFORMATION 5
    • STATE: RAJASTHAN Latitude, From To Longitude, From ToDistricts N/S Deg. Min. N/S Deg. Min. E/W Deg. Min. E/W Deg. Min.Ajmer N 25 36.086 N 27 1.207 E 073 51.341 E 075 24.424Alwar N 27 0.460 N 28 15.879 E 076 3.811 E 077 15.645Banswara N 23 0.776 N 23 58.300 E 073 54.419 E 074 50.204Barmer N 24 36.847 N 26 33.065 E 070 1.842 E 072 54.044Bharatpur N 26 39.605 N 27 51.991 E 076 49.535 E 077 48.887Bhilwara N 24 58.183 N 26 0.406 E 073 57.789 E 075 30.865Bikaner N 27 8.396 N 29 5.888 E 071 50.914 E 074 14.728Chittaurgarh N 23 29.411 N 25 15.714 E 074 8.690 E 075 52.032Churu N 27 21.475 N 29 2.387 E 073 35.506 E 075 43.463Dhaulpur N 26 18.722 N 26 59.651 E 077 10.580 E 078 19.266Ganganagar N 28 40.686 N 30 14.793 E 072 35.476 E 074 36.790Jaipur N 26 23.510 N 27 54.143 E 074 51.973 E 076 19.992Jalor N 24 33.917 N 25 51.002 E 071 8.187 E 073 8.131Jhunjhunu N 27 35.471 N 28 33.696 E 074 58.474 E 076 8.653Jodhpur N 25 48.418 N 27 39.849 E 071 43.957 E 073 55.338Kota N 24 29.639 N 25 53.433 E 075 33.972 E 076 37.641Nagaur N 26 21.874 N 27 45.154 E 073 2.234 E 075 25.064Pali N 24 42.131 N 26 30.286 E 072 42.352 E 074 27.248Sikar N 27 4.643 N 28 14.938 E 074 37.391 E 076 8.686Udaipur N 23 45.587 N 25 9.017 E 072 57.100 E 074 35.777STUDY ON GLOBAL AGEING AND ADULT HEALTH - GEOCODING/GPS INFORMATION 6
    • STATE: UTTAR PRADESH Latitude, From To Longitude, From ToDistricts N/S Deg. Min. N/S Deg. Min. E/W Deg. Min. E/W Deg. Min.Agra N 26 41.858 N 27 26.619 E 077 22.201 E 078 54.824Aligarh N 27 31.801 N 28 14.373 E 077 25.839 E 078 38.205Allahabad N 24 45.731 N 25 47.496 E 081 28.104 E 082 23.952Azamgarh N 25 36.442 N 26 29.987 E 082 35.742 E 083 29.401Bahraich N 26 58.808 N 28 27.413 E 080 59.032 E 081 50.723Ballia N 25 30.745 N 26 15.794 E 083 33.947 E 084 39.593Barabanki N 26 27.842 N 27 22.993 E 080 51.966 E 081 53.137Bareilly N 27 57.635 N 28 55.316 E 078 55.666 E 079 49.772Basti N 26 29.683 N 27 13.262 E 082 8.180 E 083 0.899Budaun N 27 35.560 N 28 32.490 E 078 12.491 E 079 32.645Bulandshahr N 28 0.823 N 28 45.961 E 077 34.154 E 078 30.574Chitrakoot N 24 50.700 N 25 34.754 E 080 38.509 E 081 36.862Deoria N 26 3.663 N 26 48.531 E 083 24.605 E 084 15.172Etah N 27 15.604 N 28 3.851 E 078 5.977 E 079 18.700Etawah N 26 22.587 N 27 2.526 E 078 42.848 E 079 24.712Faizabad N 26 21.820 N 26 53.744 E 081 34.020 E 082 30.076Farrukhabad N 27 6.223 N 27 45.142 E 079 2.975 E 079 46.916Fatehpur N 25 21.754 N 26 14.684 E 080 10.361 E 081 23.093Firozabad N 26 51.324 N 27 32.359 E 078 10.176 E 078 53.584Gautambudh Nagar N 28 3.294 N 28 43.375 E 077 17.952 E 077 49.044Ghaziabad N 28 31.354 N 28 59.387 E 077 10.006 E 078 14.792Gonda N 26 42.567 N 27 27.806 E 081 27.818 E 082 39.844Hamirpur N 25 20.930 N 26 11.157 E 079 19.292 E 080 23.495Jaunpur N 25 20.761 N 26 13.001 E 082 3.843 E 083 8.094Jhansi N 25 3.661 N 25 59.335 E 078 15.066 E 079 28.687Kanpur Dehat N 26 1.467 N 26 54.644 E 079 27.830 E 080 13.543Kheri N 27 35.585 N 28 44.194 E 079 58.693 E 081 21.714Lucknow N 26 26.155 N 27 11.503 E 080 29.233 E 081 15.567Maharajganj N 26 52.095 N 27 31.434 E 083 6.876 E 083 54.193Mainpuri N 26 52.676 N 27 29.816 E 078 40.276 E 079 27.575Mathura N 27 11.273 N 28 0.538 E 077 13.512 E 078 13.919Mau N 25 45.040 N 26 19.864 E 083 6.427 E 083 51.323Meerut N 28 42.243 N 29 18.701 E 077 22.311 E 078 10.345Mirzapur N 24 32.492 N 25 18.961 E 082 2.327 E 083 14.460Moradabad N 28 16.229 N 29 18.094 E 078 20.449 E 079 2.644Pratapgarh N 25 30.381 N 26 11.741 E 081 16.277 E 082 25.654Rae Bareli N 25 45.257 N 26 37.501 E 080 38.683 E 081 39.592Saharanpur N 29 32.445 N 30 27.418 E 077 4.025 E 077 59.001Sidharthnagar N 26 57.307 N 27 32.817 E 082 24.913 E 083 21.879Sitapur N 27 2.249 N 27 55.947 E 080 14.811 E 081 27.344Sonbhadra N 23 49.738 N 24 56.387 E 082 28.926 E 083 35.695Sultanpur N 25 54.871 N 26 41.951 E 081 28.003 E 082 43.114Unnao N 26 3.848 N 27 3.953 E 080 0.422 E 081 5.138Varanasi N 25 7.178 N 25 37.751 E 082 37.572 E 083 13.559STUDY ON GLOBAL AGEING AND ADULT HEALTH - GEOCODING/GPS INFORMATION 7
    • STATE: WEST BENGAL Latitude, From To Longitude, From ToDistricts N/S Deg. Min. N/S Deg. Min. E/W Deg. Min. E/W Deg. Min.Bankura N 22 34.298 N 23 40.774 E 086 32.413 E 087 49.426Barddhaman N 22 53.224 N 23 54.628 E 086 45.359 E 088 28.525Birbhum N 23 29.998 N 24 37.960 E 087 3.064 E 088 3.752Calcutta N 22 23.782 N 22 42.686 E 088 13.099 E 088 31.910Darjiling N 26 23.990 N 27 15.726 E 087 56.440 E 088 56.405Haora N 22 9.785 N 22 48.955 E 087 47.369 E 088 24.581Hugli N 22 32.593 N 23 15.868 E 087 28.083 E 088 33.035Jalpaiguri N 26 18.146 N 27 2.096 E 088 19.997 E 089 53.275Koch Bihar N 25 54.910 N 26 34.754 E 088 36.572 E 089 53.077Maldah N 24 38.580 N 25 35.239 E 087 42.719 E 088 29.870Medinipur N 21 34.142 N 22 59.379 E 086 30.508 E 088 14.627Murshidabad N 23 40.772 N 24 52.850 E 087 46.582 E 088 47.086Nadia N 22 50.210 N 24 8.073 E 088 4.593 E 088 51.269North24 Parganas N 22 5.186 N 23 17.693 E 088 17.565 E 089 8.379Puruliya N 22 39.269 N 23 44.509 E 085 46.558 E 086 57.208South24 Parganas N 21 28.121 N 22 39.010 E 087 59.858 E 089 9.845Uttar Dinajpur N 25 13.177 N 26 32.984 E 087 43.855 E 088 34.644STUDY ON GLOBAL AGEING AND ADULT HEALTH - GEOCODING/GPS INFORMATION 8
    • STUDY ON GLOBAL AGEING AND ADULT HEALTH A) HOUSEHOLD QUESTIONNAIRE SECTION 0450 KISH TABLES
    • Q0450KISH TABLES Selection Table A Selection Table D If the number of Interview the person If the number of Interview the person eligible persons is: numbered: eligible persons is: numbered:1 1 1 12 1 2 23 1 3 24 1 4 35 1 5 46 or + 1 6 or + 4 Selection Table B1 Selection Table E1 If the number of Interview the person If the number of Interview the person eligible persons is: numbered: eligible persons is: numbered:1 1 1 12 1 2 23 1 3 34 1 4 35 2 5 36 or + 2 6 or + 5 Selection Table B2 Selection Table E2 If the number of Interview the person If the number of Interview the person eligible persons is: numbered: eligible persons is: numbered:1 1 1 12 1 2 23 1 3 34 2 4 45 2 5 56 or + 2 6 or + 5 Selection Table C Selection Table F If the number of Interview the person If the number of Interview the person eligible persons is: numbered: eligible persons is: numbered:1 1 1 12 1 2 23 2 3 34 2 4 45 3 5 56 or + 3 6 or + 6 STUDY ON GLOBAL AGEING AND ADULT HEALTH - KISH TABLES 9
    • STUDY ON GLOBAL AGEING AND ADULT HEALTH A) HOUSEHOLD QUESTIONNAIRE SECTION 0500 HOUSING CARDS
    • Appendix A0500AQ0506/Q0506a: What is the main source of drinking water for members of this household?1. Piped water into dwelling - pipe connections 2. Piped water to yard/plot - yard tap3. Public tap/standpipe - woman filling a jerrycan at a 3. Public tap/standpipe - boy at a standpost standpost3. Public tap/standpipe - man at a standpost 3. Public tap/standpipe - hand washing at a public standpost STUDY ON GLOBAL AGEING AND ADULT HEALTH - HOUSING: WATER 10
    • Appendix A0500AQ0506/Q0506a: What is the main source of drinking water for members of this household?3. Public tap/standpipe - public standpost 3. Public tap/standpipe - woman loading water onto back at a standpost4. Tube well / borehole - woman filling a bucket from a 4. Tube well / borehole - woman using an India Mark II handpump handpump5. Protected dug well - covered well, hexagonal, Africa 5. Protected dug well - drawing water from a well STUDY ON GLOBAL AGEING AND ADULT HEALTH - HOUSING: WATER 11
    • Appendix A0500AQ0506/Q0506a: What is the main source of drinking water for members of this household?5. Protected dug well - drawing water from a protected well 5. Protected dug well - upgraded well6. Unprotected dug well - open well 6. Unprotected dug well - open well6. Unprotected dug well - open well 7. Protected spring - with access steps STUDY ON GLOBAL AGEING AND ADULT HEALTH - HOUSING: WATER 12
    • Appendix A0500AQ0506/Q0506a: What is the main source of drinking water for members of this household?7. Protected spring - spring box on a hillside 7. Protected spring - collecting water7. Protected spring - washing at a spring 8. Unprotected spring9. Rainwater collection 9. Rainwater collection STUDY ON GLOBAL AGEING AND ADULT HEALTH - HOUSING: WATER 13
    • Appendix A0500AQ0506/Q0506a: What is the main source of drinking water for members of this household?9. Rainwater collection 9. Rainwater collection10. Bottled water - bottle of water 10. Bottled water - bottles of water10. Bottled water - pouring water from a bottle into a cup 11. Small scale vendor - selling water at a kiosk STUDY ON GLOBAL AGEING AND ADULT HEALTH - HOUSING: WATER 14
    • Appendix A0500AQ0506/Q0506a: What is the main source of drinking water for members of this household?11. Small scale vendor - water vendor with cycle cart 11. Small scale vendor - water vending from a kiosk12. Tanker truck - JEK water tanker 12. Tanker truck - water tanker13. Surface water - collecting water from a river 13. Surface water - child using an access platform to collect water from a pond STUDY ON GLOBAL AGEING AND ADULT HEALTH - HOUSING: WATER 15
    • Appendix A0500AQ0506/Q0506a: What is the main source of drinking water for members of this household?13. Surface water - man and a woman by the edge of a lake 13. Surface water - fenced13. Surface water - fenced 13. Surface water - fenced STUDY ON GLOBAL AGEING AND ADULT HEALTH - HOUSING: WATER 16
    • Appendix A0500BQ0508: What type of toilet facility do members of your household usually use?1. Flush/pour flush to piped sewer system 1. Flush/pour flush to piped sewer system2. Flush/pour flush to septic tank 2. Flush/pour flush to septic tank3. Flush/pour flush to pit latrine - pour-flush latrine 1 3. Flush/pour flush to pit latrine - pour-flush latrine 2 STUDY ON GLOBAL AGEING AND ADULT HEALTH - HOUSING: SANITATION 17
    • Appendix A0500BQ0508: What type of toilet facility do members of your household usually use?4. Flush/pour flush to other location 5. Flush/pour flush to unknown place/not sure A flush/pour flush to elsewhere refers to excreta A flush/pour flush to unknown place/not sure/DK being deposited in or nearby the household should be considered improved, as it is likely that environment (not in to pit, septic tank, or sewer); the toilet is connected to a covered pit, septic tank excreta may be flushed to the street, yard/plot, open or sewer pipes. sewer, a ditch, a drainage way or other location.6. Ventilated improved pit latrine (VIP) - VIP latrine 6. Ventilated improved pit latrine (VIP) - VIP latrine offset6. Ventilated improved pit latrine (VIP) - Spiral VIP latrine, 6. Ventilated improved pit latrine (VIP) - Spiral VIP latrine, blockwood with vent pipe STUDY ON GLOBAL AGEING AND ADULT HEALTH - HOUSING: SANITATION 18
    • Appendix A0500BQ0508: What type of toilet facility do members of your household usually use?7. Pit latrine with slab - simple pit latrine (with hole cover) 7. Pit latrine with slab - simple pit latrine with seat and seat cover8. Pit latrine without slab/open pit - simple pit latrine 8. Pit latrine without slab/open pit - simple pit latrine8. Pit latrine without slab/open pit - open pit with logs 9. Composting toilet - compost latrine STUDY ON GLOBAL AGEING AND ADULT HEALTH - HOUSING: SANITATION 19
    • Appendix A0500BQ0508: What type of toilet facility do members of your household usually use?10. Bucket latrine 11. Hanging toilet/hanging latrine - overhanging latrine 111. Hanging toilet/hanging latrine - overhanging latrine 2 12. No facilities or bush or field - open defecation12. No facilities or bush or field - child with diarrhoea 12. No facilities or bush or field - man squatting STUDY ON GLOBAL AGEING AND ADULT HEALTH - HOUSING: SANITATION 20
    • Appendix A0500CQ0511: In this household, is food cooked on an open fire, anopen or closed stove?1. Open fire Open fire Open fire Open fire with hood2. Open stove Open stove with chimney Open stove with chimney3. Closed stove Closed stove with chimney STUDY ON GLOBAL AGEING AND ADULT HEALTH - HOUSING: FUEL 21
    • STUDY ON GLOBAL AGEING AND ADULT HEALTH B) INDIVIDUAL QUESTIONNAIRE SECTION 3000 RISK FACTORS CARDS
    • Appendix A3000AQ3004a-Q3004eList of Tobacco Products• Cigarettes• Cigarillos• Cigars• Cheroots• Chuttas• Bidis• Goza / Hookah• Local tobacco products (each country to add to the list)• Local tobacco products (each country to add to the list)• Local tobacco products (each country to add to the list) STUDY ON GLOBAL AGEING AND ADULT HEALTH - RISK FACTORS AND PREVENTIVE 22 HEALTH BEHAVIOURS
    • Appendix A3000B Q3009a-Q3009g Alcohol Consumption1 standard bottle 1 single measure 1 medium size 1 measure ofof regular beer of spirits (30ml) glass of wine aperitif (60ml)(285ml) (120ml) Note: net alcohol content of a standard drink is generally 10g. of ethanol depending on the country. Countries will adapt this measure according to their own standards and will report this measure if different from the standard mentioned above For South Africa only: Card on alcohol standard drink adapted to South Africa Use the example below to help you understand what a standard unit or a standard drink is: One standard drink: A small glass of liqueur or aperitif A single tot of spirits (e.g. 25ml at 30%) (e.g. 25ml at 43%) Carton of ordinary 1 can of ordinary beer 1 glass of wine commercial sorghum beer (e.g. 340ml at 5%) (e.g. 120ml at 12%) (e.g. 500ml at 3%) STUDY ON GLOBAL AGEING AND ADULT HEALTH - RISK FACTORS AND PREVENTIVE 23 HEALTH BEHAVIOURS
    • Appendix A3000BQ3009a-Q3009gAlcohol ConsumptionFor Russian Federation only: Drinks 1 standard portion =1 glass /bank of beer pile 1 wine-glass 1 wine-glass (285ml) (30ml) (120ml) (50ml) (the portion contains 8-13 г ethyl spirit)Alcoholic equivalents:Wine:1 wine-glass of wine (dry) 1 portion1 bottle of wine (dry) (0,7 l) 6 portions1 wine-glass of wine (fortified) 2 portions1 glass of wine (fortified) 3 portions1 bottle of wine (fortified) (0,7 l) 10 portionsBeer:1 bottle/bank of beer (import) 1 portion1 bottle of beer (0,5 l) 2 portionsBox of beer 24 portionsLiquors dessert (20-30˚):1 wine-glass (50 ml) 1 portionSpirits/ vodka/home-distilled vodka (40˚):1 pile (30 ml) 1 portion1 pile (100 ml) 3 portions1 glass (200 ml) 6 portions1 pint (3/4 bottles) 12 portions1 bottle (0,5 l) 20 portions1 bottle (0,7 l) 24 portions STUDY ON GLOBAL AGEING AND ADULT HEALTH - RISK FACTORS AND PREVENTIVE 24 HEALTH BEHAVIOURS
    • Appendix A3000CQ3012-Q3013Diet (Typical Fruit and Vegetables and Serving Sizes) VEGETABLES 1 Serving = Examples are considered to be:Raw green leafy vegetables 1 cup Spinach, salad, etc.Other vegetables, cooked or chopped ½ cup Tomatoes, carrots, pumpkin, corn,raw Chinese cabbage, fresh beans, onion, etc.Vegetable juice ½ cup FRUIT 1 Serving = Examples Is considered to be:Apple, banana, orange 1 medium size pieceChopped, cooked, canned fruit ½ cupFruit juice ½ cup Juice from fruit, not artificially flavouredServing size One standard serving = 80 grams (translated into different units of cups depending on type of vegetable and standard cup measures available in the country).WHO The World Health Organization recommends at least:Recommendation • 400 grams of vegetables and fruits per day, or • Five servings of 80 grams each. Note: Tubers such as potatoes and cassava, however, are not included in this recommendation STUDY ON GLOBAL AGEING AND ADULT HEALTH - RISK FACTORS AND PREVENTIVE 25 HEALTH BEHAVIOURS
    • Appendix A3000DQ3016-Q3031Typical Physical Activities WORK RELATED PHYSICAL ACTIVITY LEISURE/ SPARE TIME RELATED PHYSICAL ACTIVITY MODERATE VIGOROUS MODERATE VIGOROUS Intensity Activities Intensity Activities Intensity Activities Intensity ActivitiesMakes you breathe somewhat harder Makes you breathe much harder Makes you breathe somewhat harder Makes you breathe much harder than normal than normal than normal than normalExamples: Examples: Examples: Examples• Cleaning (vacuuming, mopping, • Forestry (cutting, chopping, carrying • Cycling • Soccer polishing, scrubbing, sweeping, wood) • Jogging • Rugby ironing) • Sawing hardwood • Dancing • Tennis• Washing (beating and brushing • Ploughing • Horse-riding • High-impact aerobics carpets, wringing clothes (by hand) • Cutting crops (sugar cane) • Tai chi • Aqua aerobics• Gardening • Gardening (digging) • Yoga • Ballet dancing• Milking cows (by hand) • Grinding (with pestle) • Pilates • Fast swimming• Planting and harvesting crops • Labouring (shovelling sand) • Low-impact aerobics• Digging dry soil (with spade) • Loading furniture (stoves, fridge) • Cricket• Weaving • Instructing spinning (fitness)• Woodwork (chiselling, sawing • Instructing sports aerobics softwood) • Sorting postal parcels (fast pace)• Mixing cement (with shovel) • Cycle rickshaw driving• Labouring (pushing loaded wheelbarrow, operating jackhammer)• Walking with load on head• Drawing water• Tending animals STUDY ON GLOBAL AGEING AND ADULT HEALTH - RISK FACTORS AND PREVENTIVE HEALTH BEHAVIOURS 26
    • Appendix A3000DQ3016. Does your work involve vigorous-intensity activity that causes large increases inbreathing or heart rate, like [heavy lifting, digging or chopping wood] for at least 10 minutescontinuously?1. Drawing a cart 2. Cycle rickshaw driving3. Chopping, digging 4. Grinding (with pestle)5. Heavy lifting STUDY ON GLOBAL AGEING AND ADULT HEALTH - RISK FACTORS AND PREVENTIVE HEALTH 27 BEHAVIOURS: PHYSICAL ACTIVITY
    • Appendix A3000DQ3019. Does your work involve moderate-intensity activity that causes small increases inbreathing or heart rate, such as brisk walking [or carrying light loads] cleaning, cooking, washingclothes, for at least 10 minutes continuously?1. Shopping 2. Carrying a light load3. Walking with load on head 4. Cleaning - sweeping5. Washing clothes 6. Ironing clothes7. GardeningSTUDY ON GLOBAL AGEING AND ADULT HEALTH - RISK FACTORS AND PREVENTIVE HEALTH 28 BEHAVIOURS: PHYSICAL ACTIVITY
    • Appendix A3000DQ3025. Do you do any vigorous-intensity sports, fitness or recreational (leisure) activities thatcause large increases in breathing or heart rate like [running, or football] for at least 10 minutescontinuously?1. Fast swimming 2. Running3. Playing badminton 4. Playing football5. Cycling STUDY ON GLOBAL AGEING AND ADULT HEALTH - RISK FACTORS AND PREVENTIVE HEALTH 29 BEHAVIOURS: PHYSICAL ACTIVITY
    • Appendix A3000DQ3028. Do you do any moderate-intensity sports, fitness or recreational (leisure) activities thatcauses a small increase in breathing or heart rate, such as brisk walking [cycling or swimming]for at least 10 minutes at a time?1. Brisk walking 2.Cycling3. Swimming 4. Playing table-tennis STUDY ON GLOBAL AGEING AND ADULT HEALTH - RISK FACTORS AND PREVENTVE HEALTH 30 BEHAVIOURS: PHYSICAL ACTIVITY
    • Appendix A3000DQ3031. How much time do you usually spend sitting or reclining on a typical day?1. Getting to and from places 2. Watching television3. Working at a computer 4. Sitting at a desk5. Reading 11. Sitting passenger STUDY ON GLOBAL AGEING AND ADULT HEALTH - RISK FACTORS AND PREVENTIVE HEALTH 31 BEHAVIOURS: PHYSICAL ACTIVITY
    • Appendix A3000DQ3031. How much time do you usually spend sitting or reclining on a typical day?7. Driving a car 8. Listening to music9. Cooking 10. Playing cards STUDY ON GLOBAL AGEING AND ADULT HEALTH - RISK FACTORS AND PREVENTIVE HEALTH 32 BEHAVIOURS: PHYSICAL ACTIVITY
    • STUDY ON GLOBAL AGEING AND ADULT HEALTH B) INDIVIDUAL QUESTIONNAIRE RESPONSE SCALES CARDS
    • RESPONSE SCALES1000 - Socio-Demographic Characteristics Use options for questions Q1022 / Q1023 / Q1024 1 In a different household in same community/locality/neighbourhood 2 In another city in this state/province 3 In another rural area in this state/province 4 In another city outside this state/province but in country 5 In another rural area in this state but in country 6 Outside the country STUDY ON GLOBAL AGEING AND ADULT HEALTH - RESPONSE SCALES 33
    • RESPONSE SCALES2000 - Health 1 2 3 4 5 Very good Good Moderate Bad Very bad 1 2 3 4 5 None Mild Moderate Severe Extreme/ Cannot do STUDY ON GLOBAL AGEING AND ADULT HEALTH - RESPONSE SCALES 34
    • RESPONSE SCALES5000 - Health Care Utilisation Use options for questions Q5003a/Q5008b/Q5016a/Q5017a/Q5029c/Q5037c 1 Communicable disease (infections, malaria, tuberculosis, HIV) 2 Maternal and perinatal conditions (pregnancy) 3 Nutritional deficiencies 4 Acute conditions-(diarrhoea, fever, flu, headache, cough, other) 5 Injury 6 Surgery 7 Sleep problems 8 Occupation/work related condition/injury 9 Chronic pain in your joints/arthritis (joints, back, neck) 10 Diabetes or related complications 11 Problems with your heart including unexplained pain in chest 12 Problems with your mouth, teeth or swallowing 13 Problems with your breathing 14 High blood pressure / hypertension 15 Stroke/sudden paralysis of one side of body 16 Generalized pain (stomach, muscle or other nonspecific pain) 17 Depression or anxiety 18 Cancer 87 Other, specify STUDY ON GLOBAL AGEING AND ADULT HEALTH - RESPONSE SCALES 35
    • RESPONSE SCALES5000 - Health Care Utilisation 1 2 3 4 5 Very good Good Moderate Bad Very bad STUDY ON GLOBAL AGEING AND ADULT HEALTH - RESPONSE SCALES 36
    • RESPONSE SCALES6000 - Social Cohesion 1 2 3 4 5 Never Once or twice Once or twice Once or twice Daily per year per month per week 1 2 3 4 5 To a very To a great Neither great To a small To a verygreat extent extent nor small extent extent small extent 1 2 3 4 5 Completely Very safe Moderately Slightly Not safe safe safe safe at all 1 2 3 4 5 Very Interested Neither Uninterested Very interested interested nor uninterested uninterested 1 2 3 4 5 Unlimited A lot of say Some say Little say No say say at all 1 2 3 4 5 Completely Very Moderately Slightly Not free free free free free at all STUDY ON GLOBAL AGEING AND ADULT HEALTH - RESPONSE SCALES 37
    • RESPONSE SCALES7000 - Subjective Well-Being and Quality of Life 1 2 3 4 5Completely Mostly Moderately A little Not at all 1 2 3 4 5 Very Satisfied Neither Dissatisfied Very satisfied satisfied nor dissatisfied dissatisfied 1 2 3 4 5 Never Almost never Sometimes Fairly often Very often 1 2 3 4 5 Very good Good Moderate Bad Very bad 1 2 3 4 5Very happy Happy Neither happy Unhappy Very unhappy nor unhappy STUDY ON GLOBAL AGEING AND ADULT HEALTH - RESPONSE SCALES 38