Study of the Health of Adults

SECTION B. [USE OF PRESCRIPTION, NON-PRESCRIPTION MEDICINE]{.underline}

ASK B9-B10 FOR EACH DRUG MENTIONED IN B8.

+----------------------------+-----------------+----------------------+
| B8.                        | B9.             | B10.                 |
|                            |                 |                      |
| Before two years ago, did  | How old were    | How old were you     |
| you ever take:             | you when you    | when you stopped     |
|                            | first started   | taking (DRUG)? (IF   |
|                            | taking (DRUG)?  | NEVER STOPPED,       |
|                            |                 | CIRCLE 00.)          |
+----------------------------+-----------------+----------------------+
| [YES]{.underline}          | \_\_\_\_\       | # NEVER              |
| [NO]{.underline}           | _\_\_\_\_\_\_\_ |                      |
|                            |                 | [                    |
| a\. Phenobarbitol? . . . . | AGE             | STOPPED]{.underline} |
| . . . . . . . 1 2          |                 |                      |
|                            |                 | \_\_                 |
|                            |                 | \_\_\_\_\_\_\_\_\_\_ |
|                            |                 | 00                   |
|                            |                 |                      |
|                            |                 | AGE                  |
+----------------------------+-----------------+----------------------+
| b\. Potassium chloride? .  | \_\_\_\_\       | \_\_                 |
| . . . . . . 1 2            | _\_\_\_\_\_\_\_ | \_\_\_\_\_\_\_\_\_\_ |
|                            |                 | 00                   |
|                            | AGE             |                      |
|                            |                 | AGE                  |
+----------------------------+-----------------+----------------------+

B11. Before two years ago, did you ever take any medications to lower
the cholesterol level in the blood?

Yes 1

No 2 (B15)

DON'T KNOW 8 (B15)

ASK B13-B14 FOR EACH DRUG MENTIONED IN B12.

+----------------------------+-----------------+----------------------+
| B12.                       | B13.            | B14.                 |
|                            |                 |                      |
| What are the names of the  | How old were    | How old were you     |
| cholesterol- lowering      | you when you    | when you stopped     |
| drugs you used?            | first started   | taking (DRUG)? (IF   |
|                            | taking (DRUG)?  | NEVER STOPPED,       |
|                            |                 | CIRCLE 00.)          |
+----------------------------+-----------------+----------------------+
| a\.                        | \_\_\_\_\       | # NEVER STOPPED      |
| \_\_\_\_\_\_\_             | _\_\_\_\_\_\_\_ |                      |
| \_\_\_\_\_\_\_\_\_\_\_\_\_ |                 | \_\_                 |
| \_\_\_\_\_\_\_\_\_\_\_\_\_ | AGE             | \_\_\_\_\_\_\_\_\_\_ |
|                            |                 | 00                   |
|                            |                 |                      |
|                            |                 | AGE                  |
+----------------------------+-----------------+----------------------+
| b\.                        | \_\_\_\_\       | \_\_                 |
| \_\_\_\_\_\_\_             | _\_\_\_\_\_\_\_ | \_\_\_\_\_\_\_\_\_\_ |
| \_\_\_\_\_\_\_\_\_\_\_\_\_ |                 | 00                   |
| \_\_\_\_\_\_\_\_\_\_\_\_\_ | AGE             |                      |
|                            |                 | AGE                  |
+----------------------------+-----------------+----------------------+
| c\.                        | \_\_\_\_\       | \_\_                 |
| \_\_\_\_\_\_\_             | _\_\_\_\_\_\_\_ | \_\_\_\_\_\_\_\_\_\_ |
| \_\_\_\_\_\_\_\_\_\_\_\_\_ |                 | 00                   |
| \_\_\_\_\_\_\_\_\_\_\_\_\_ | AGE             |                      |
|                            |                 | AGE                  |
+----------------------------+-----------------+----------------------+

B15. Before two years ago, did you ever take any laxatives on a regular
basis?

Yes 1

No 2 (B18)

DON'T KNOW 8 (B18)

B16. How old were you when you first started using laxatives on a
regular basis?

\_\_\_\_\_\_\_\_\_\_\_

AGE

DK 98

B17. How old were you when you stopped using laxatives on a regular
basis? (IF NEVER STOPPED, CIRCLE 00.)

\_\_\_\_\_\_\_\_\_\_\_

AGE

DON'T KNOW 98

NEVER STOPPED 00

IF YES TO B18, ASK B19-B21.

+-------------------+--------------+-----------------+-----------------+
| B18.              | B19.         | B20.            | B21.            |
|                   |              |                 |                 |
| Before two years  | How old were | How old were    | What was the    |
| ago, did you ever | you when you | you when you    | name of the     |
| take medication   | first        | stopped taking  | medication for  |
| for: (READ LIST)  | started      | this            | (CONDITION)     |
|                   | taking       | medication?     | that you took   |
|                   | medication   |                 | for the longest |
|                   | for          |                 | period of time? |
|                   | (CONDITION)? |                 |                 |
+-------------------+--------------+-----------------+-----------------+
| [Yes]{.underline} | \_\_\_\_\_\_ | ## NEVER        | \_\_\_\_\       |
| [No]{.underline}  | \_\_\_\_\_\_ |                 | _\_\_\_\_\_\_\_ |
|                   |              | ### STOPPED     | \_\_\_\_\_\_\_\ |
| a\. Dissolving 1  | AGE          |                 | _\_\_\_\_\_\_\_ |
| 2                 |              | \_\_\_\         | \_\_\_\_\_\_\_\ |
|                   |              | _\_\_\_\_\_\_\_ | _\_\_\_\_\_\_\_ |
| gallstones?       |              | 00              | \_\_\_\_\_\_\_\ |
|                   |              |                 | _\_\_\_\_\_\_\_ |
|                   |              | AGE             |                 |
|                   |              |                 | \|\_\           |
|                   |              |                 | _\|\_\_\|\_\_\| |
+-------------------+--------------+-----------------+-----------------+
| b\. High blood 1  | \_\_\_\_\_\_ | \_\_\_\         | \_\_\_\_\       |
| 2                 | \_\_\_\_\_\_ | _\_\_\_\_\_\_\_ | _\_\_\_\_\_\_\_ |
|                   |              | 00              | \_\_\_\_\_\_\_\ |
| pressure?         | AGE          |                 | _\_\_\_\_\_\_\_ |
|                   |              | AGE             | \_\_\_\_\_\_\_\ |
|                   |              |                 | _\_\_\_\_\_\_\_ |
|                   |              |                 | \_\_\_\_\_\_\_\ |
|                   |              |                 | _\_\_\_\_\_\_\_ |
|                   |              |                 |                 |
|                   |              |                 | \|\_\           |
|                   |              |                 | _\|\_\_\|\_\_\| |
+-------------------+--------------+-----------------+-----------------+
| c\. Diabetes? 1 2 | \_\_\_\_\_\_ | \_\_\_\         | \_\_\_\_\       |
|                   | \_\_\_\_\_\_ | _\_\_\_\_\_\_\_ | _\_\_\_\_\_\_\_ |
|                   |              | 00              | \_\_\_\_\_\_\_\ |
|                   | AGE          |                 | _\_\_\_\_\_\_\_ |
|                   |              | AGE             | \_\_\_\_\_\_\_\ |
|                   |              |                 | _\_\_\_\_\_\_\_ |
|                   |              |                 | \_\_\_\_\_\_\_\ |
|                   |              |                 | _\_\_\_\_\_\_\_ |
|                   |              |                 |                 |
|                   |              |                 | \|\_\           |
|                   |              |                 | _\|\_\_\|\_\_\| |
+-------------------+--------------+-----------------+-----------------+
| d\. Tuberculosis? | \_\_\_\_\_\_ | \_\_\_\         | \_\_\_\_\       |
| 1 2               | \_\_\_\_\_\_ | _\_\_\_\_\_\_\_ | _\_\_\_\_\_\_\_ |
|                   |              | 00              | \_\_\_\_\_\_\_\ |
|                   | AGE          |                 | _\_\_\_\_\_\_\_ |
|                   |              | AGE             | \_\_\_\_\_\_\_\ |
|                   |              |                 | _\_\_\_\_\_\_\_ |
|                   |              |                 | \_\_\_\_\_\_\_\ |
|                   |              |                 | _\_\_\_\_\_\_\_ |
|                   |              |                 |                 |
|                   |              |                 | \|\_\           |
|                   |              |                 | _\|\_\_\|\_\_\| |
+-------------------+--------------+-----------------+-----------------+
| e\. A peptic      | \_\_\_\_\_\_ | \_\_\_\         | \_\_\_\_\       |
| ulcer 1 2         | \_\_\_\_\_\_ | _\_\_\_\_\_\_\_ | _\_\_\_\_\_\_\_ |
|                   |              | 00              | \_\_\_\_\_\_\_\ |
| or a duodenal     | AGE          |                 | _\_\_\_\_\_\_\_ |
|                   |              | AGE             | \_\_\_\_\_\_\_\ |
| ulcer?            |              |                 | _\_\_\_\_\_\_\_ |
|                   |              |                 | \_\_\_\_\_\_\_\ |
|                   |              |                 | _\_\_\_\_\_\_\_ |
|                   |              |                 |                 |
|                   |              |                 | \|\_\           |
|                   |              |                 | _\|\_\_\|\_\_\| |
+-------------------+--------------+-----------------+-----------------+
| f\. A stomach 1 2 | \_\_\_\_\_\_ | \_\_\_\         | \_\_\_\_\       |
|                   | \_\_\_\_\_\_ | _\_\_\_\_\_\_\_ | _\_\_\_\_\_\_\_ |
| ulcer?            |              | 00              | \_\_\_\_\_\_\_\ |
|                   | AGE          |                 | _\_\_\_\_\_\_\_ |
|                   |              | AGE             | \_\_\_\_\_\_\_\ |
|                   |              |                 | _\_\_\_\_\_\_\_ |
|                   |              |                 | \_\_\_\_\_\_\_\ |
|                   |              |                 | _\_\_\_\_\_\_\_ |
|                   |              |                 |                 |
|                   |              |                 | \|\_\           |
|                   |              |                 | _\|\_\_\|\_\_\| |
+-------------------+--------------+-----------------+-----------------+