Hypertension Component
2009 Questionnaire
Survey Introduction (XINT)
General health (XGEN)
Confirmation of high blood pressure diagnosis (XCNH)
Blood pressure measurement (XBMH)
Medication use (XMEH)
Health care utilization (XHUH)
Clinical recommendations (XCLH)
Self-management (XSMH)
Self-monitoring of blood pressure (XMOH)
Information and training (XINH)
Administration (XADM)
Survey Introduction (XINT)
XINT_BEG
Standard block
External variables required:
FNAME: first name of specific respondent from sample file
LNAME: last name of specific respondent from sample file
DOXINT: do block flag, from the sample file
Screen display:
Display on header bar FNAME and LNAME separated by a space
XINT_R01
This survey is conducted under the authority of the Statistics Act in collaboration with the Public Health Agency of Canada. The purpose of this survey is to collect information on Canadians with chronic health conditions. Data from the survey will help inform public health programs and health professionals, with the aim of improving health outcomes for Canadians with chronic conditions. You may remember recently completing the Canadian Community Health Survey - this is a follow-up to that survey.
INTERVIEWER: Press <1> to continue.
(DK, RF are not allowed)
XINT_R02
Your answers will be kept strictly confidential and used only for statistical purposes. While participation is voluntary, your assistance is essential if the results are to be accurate.
(Registration #: STC/HLT-082-75437)
INTERVIEWER: Press <1> to continue
(DK, RF are not allowed)
XINT_END
General health (XGEN)
XGEN_BEG
Content block
External variable required:
FNAME: first name of specific respondent from sample file
LNAME: last name of specific respondent from sample file
SEX: sex of respondent (1=male, 2=female) from sample file
DOXGEN: do block flag, from the sample file
Screen display:
Display on header bar FNAME and LNAME separated by a space
XGEN_C01
If DOXGEN = 1, go to XGEN_R01.
Otherwise, go to XGEN_END.
XGEN_R01
I would like to start with some general background questions.
INTERVIEWER: Press <1> to continue
(DK, RF are not allowed)
XGEN_Q01
In general, would you say your health is:
INTERVIEWER: Read categories to respondent.
1 …excellent?
2 …very good?
3 …good?
4 …fair?
5 …poor?
DK, RF
XGEN_Q02
Compared to one year ago, how would you say your health is now?
Is it:
INTERVIEWER: Read categories to respondent.
1 …much better now than 1 year ago?
2 …somewhat better now (than 1 year ago)?
3 …about the same as 1 year ago?
4 …somewhat worse now (than 1 year ago)?
5 …much worse now (than 1 year ago)?
DK, RF
XGEN_Q03
How satisfied are you with your life in general?
INTERVIEWER: Read categories to respondent.
1 Very satisfied
2 Satisfied
3 Neither satisfied nor dissatisfied
4 Dissatisfied
5 Very dissatisfied
DK, RF
XGEN_Q04
In general, would you say your mental health is:
INTERVIEWER: Read categories to respondent.
1 …excellent?
2 …very good?
3 …good?
4 …fair?
5 …poor?
DK, RF
XGEN_Q05
Thinking about the amount of stress in your life, would you say that most days are:
INTERVIEWER: Read categories to respondent.
1 not at all stressful?
2 not very stressful?
3 a bit stressful?
4 quite a bit stressful?
5 extremely stressful?
DK, RF
XGEN_END
Confirmation of high blood pressure diagnosis (XCNH)
XCNH_BEG
Content block
External variables required:
FNAME: first name of specific respondent from sample file
LNAME: last name of specific respondent from sample file
DOXCNH: do block flag, from the sample file
SEX: sex of respondent (1=male, 2=female) from sample file
CURRAGE: current age of respondent from SRC block
Screen display:
Display on header bar FNAME and LNAME separated by a space
XCNH_C01
If DOXCNH = 1, go to XCNH_R01.
Otherwise, go to XCNH_END.
XCNH_R01
Now I would like to ask some questions about high blood pressure.
INTERVIEWER: Press <1> to continue.
(DK, RF are not allowed)
XCNH_Q01
To begin, do you have high blood pressure that has been diagnosed by a health professional?
1 Yes (Go to XCNH_C03)
2 No
(DK, RF are not allowed)
XCNH_Q02
Have you ever been diagnosed with high blood pressure?
1 Yes (Go to XCNH_C03)
2 No(Go to XCNH_R06)
(DK, RF are not allowed)
XCNH_C03
If SEX = 2, go to XCNH_Q03.
Otherwise, go to XCNH_Q05.
XCNH_Q03
Were you pregnant when you were first diagnosed with high blood pressure?
1 Yes(Go to XCNH_Q04)
2 No (Go to XCNH_Q05)
DK, RF (Go to XCNH_Q04)
XCNH_Q04
Other than during pregnancy, has a health professional ever told you that you have high blood pressure?
1 Yes
2 No (Go to XCNH_R06)
DK, RF (Go to XCNH_R06)
XCNH_Q05
How old were you when you were first diagnosed with high blood pressure?
INTERVIEWER: Maximum is ^CURRAGE. If necessary, ask (Do you know the approximate age in years?).
Enter the age when a doctor or other health professional first made the diagnosis of high blood pressure. Encourage the respondent to give their best estimate - try not to accept 'Don't Know' as a response as this is important information. Probe if necessary.
(MIN: 0) (MAX: 130)
DK, RF
Go to XCNH_D03
XCNH_E05A
An unusual value has been entered. Please confirm.
Note:
Trigger soft edit if XCNH_Q05 < 10.
XCNH_E05B
The age at which the respondent was first diagnosed with hypertension is invalid. Please return and correct.
Note:
Trigger hard edit if XCNH_Q05 > CURRAGE.
XCNH_R06
You have said that you do not have high blood pressure (or have pregnancy-induced high blood pressure only). Since this survey applies only to people with high blood pressure, (excluding pregnancy-induced high blood pressure,) you are not eligible to participate in today's survey. Thank you for your time.
XCNH_D03
If XCNH_Q02 = 2 or (Sex = 2 and XCNH_Q04 = 2, DK, RF), DOXBMH = 2.
If XCNH_Q02 = 2 or (Sex = 2 and XCNH_Q04 = 2, DK, RF), DOXGEH = 2.
If XCNH_Q02 = 2 or (Sex = 2 and XCNH_Q04 = 2, DK, RF), DOXMEH = 2.
If XCNH_Q02 = 2 or (Sex = 2 and XCNH_Q04 = 2, DK, RF), DOXHUH = 2.
If XCNH_Q02 = 2 or (Sex = 2 and XCNH_Q04 = 2, DK, RF), DOXCLH = 2.
If XCNH_Q02 = 2 or (Sex = 2 and XCNH_Q04 = 2, DK, RF), DOXSMH = 2.
If XCNH_Q02 = 2 or (Sex = 2 and XCNH_Q04 = 2, DK, RF), DOXMOH = 2.
If XCNH_Q02 = 2 or (Sex = 2 and XCNH_Q04 = 2, DK, RF), DOXINH = 2.
If XCNH_Q02 = 2 or (Sex = 2 and XCNH_Q04 = 2, DK, RF), DOXADM = 2.
Note:
This derived variable is to set the "DOMODULE" condition to "2" for all proceeding modules If XCNH_Q02 = 2 or (Sex = 2 and XCNH_Q04 = 2, DK, RF). Otherwise the "DOMODULE" condition for each module stays as is.
XCNH_D07
If XCNH_Q02 = 2 or (Sex = 2 and XCNH_Q04 = 2, DK, RF), auto code final to 40 (outside of sample).
XCNH_END
Blood pressure measurement (XBMH)
XBMH_BEG
Content block
External variables required:
FNAME: first name of respondent from the sample file
LNAME: last name of respondent from the sample file
DOXBMH: do block flag, from the sample file
XCNH_Q01 from XCNH block
XCNH_Q02 from XCNH block
Screen display:
Display on header bar FNAME and LNAME separated by a space
XBMH_C01
If DOXBMH = 1, go to XBMH_R01.
Otherwise, go to XBMH_END.
XBMH_R01
Now some questions about having your blood pressure measured by a health professional.
INTERVIEWER: Press <1> to continue.
(DK, RF are not allowed)
XBMH_Q01
When was the last time you had your blood pressure measured by a health professional?
Was it:
INTERVIEWER: Read categories to respondent.
1 …less than 1 month ago?
2 …1 month to less than 3 months ago?
3 …3 months to less than 6 months ago?
4 …6 months to less than 1 year ago?
5 …1 year to less than 2 years ago?
6 …2 or more years ago?
7 Never had blood pressure measured by a health professional
DK
RF (Go to XBMH_END)
XBMH_E02
Inconsistent answers have been entered. The respondent has never had blood pressure measured by a health professional but previously reported that he/she had been diagnosed with high blood pressure by a health professional. Please confirm.
Note:
Trigger soft edit if (XCNH_Q01 = 1 or XCNH_Q02 = 1) and XBMH_Q01 = 7.
XBMH_C02
If XBMH_Q01 = 7, go to XBMH_R10.
Otherwise, go to XBMH_Q02.
XBMH_Q02
The last time your blood pressure was measured by a health professional, were you told that your blood pressure was:
INTERVIEWER: Read categories to respondent.
1 …well-controlled (normal, fine, ok)?
2 …borderline?
3 …high?
4 …low?
5 Health professional did not say
DK, RF
XBMH_Q03
A blood pressure reading is made up of two numbers, for example, "120 over 80". The last time your blood pressure was measured by a health professional, were you told your blood pressure in numbers?
1Yes
2No (Go to XBMH_Q06)
DK, RF (Go to XBMH_Q06)
XBMH_Q04
What was your systolic pressure, that is, the top or higher number, the last time your blood pressure was measured by a health professional?
1 Respondent provided exact value (Go to XBMH_N04A)
2 Respondent provided a range(Go to XBMH_N04B)
DK, RF
Go to XBMH_Q05
XBMH_N04A
INTERVIEWER: Enter the systolic value provided by respondent.
Systolic measure
(MIN: 1) (MAX: 300)
DK, RF
XBMH_N04B
INTERVIEWER: Enter the range of systolic values provided by respondent. Do not enter more than one range. If respondent gives a range that exceeds a single category (for example, "between 120 and 140") probe for the range that best describes the blood pressure value.
01 Less than 100
02 Between 100 and 109
03 Between 110 and 119
04 Between 120 and 129
05 Between 130 and 139
06 Between 140 and 149
07 Between 150 and 159
08 Between 160 and 169
09 Between 170 and 179
10 180 or over
DK, RF
XBMH_Q05
What was your diastolic pressure, that is, the bottom or lower number, the last time your blood pressure was measured by a health professional?
1 Respondent provided exact value (Go to XBMH_N05A)
2 Respondent provided a range (Go to XBMH_N05B)
DK, RF
Go to XBMH_Q06
XBMH_N05A
INTERVIEWER: Enter the diastolic value provided by respondent.
Diastolic measure
(MIN: 1) (MAX: 150)
DK, RF
XBMH_N05B
INTERVIEWER: Enter the range of diastolic values provided by respondent. Do notenter more than one range. If respondent gives a range that exceedsa single category (for example, "between 60 and 80") probe for therange that best describes the blood pressure value.
1 Less than 50
2 Between 50 and 59
3 Between 60 and 69
4 Between 70 and 79
5 Between 80 and 89
6 Between 90 and 99
7 Between 100 and 109
8 Between 110 and 119
9 120 or over
DK, RF
XBMH_Q06
Has a health professional ever discussed a target rate for your blood pressure, thatis, the blood pressure level that is best for you?
1 Yes
2 No (Go to XBMH_Q09)
DK, RF (Go to XBMH_Q09)
XBMH_Q07
What is your target systolic pressure (that is the top or higher number)?
1 Respondent provided exact value(Go to XBMH_N07A)
2 Respondent provided a range (Go to XBMH_N07B)
DK, RF
Go to XBMH_Q08
XBMH_N07A
INTERVIEWER: Enter the systolic value provided by respondent.
Systolic measure
(MIN: 1) (MAX: 300)
DK, RF
Go to XBMH_Q08
XBMH_N07B
INTERVIEWER: Enter the range of systolic values provided by respondent. Do notenter more than one range. If respondent gives a range that exceedsa single category (for example, "between 120 and 140") probe for therange that best describes the blood pressure value.
01 Less than 100
02 Between 100 and 109
03 Between 110 and 119
04 Between 120 and 129
05 Between 130 and 139
06 Between 140 and 149
07 Between 150 and 159
08 Between 160 and 169
09 Between 170 and 179
10 180 or over
11 Less than 130
12 Less than 140
DK, RF
XBMH_Q08
What is your target diastolic pressure (that is, the bottom or lower number)?
1 Respondent provided exact value (Go to XBMH_N08A)
2 Respondent provided a range(Go to XBMH_N08B)
DK, RF (Go to XBMH_Q09)
XBMH_N08A
INTERVIEWER: Enter the diastolic value provided by respondent.
Diastolic measure
(MIN: 1) (MAX: 150)
DK, RF
Go to XBMH_Q09
XBMH_N08B
INTERVIEWER: Enter the range of diastolic values provided by respondent. Do notenter more than one range. If respondent gives a range that exceedsa single category (for example, "between 60 and 80") probe for therange that best describes the blood pressure value.
01 Less than 50
02 Between 50 and 59
03 Between 60 and 69
04 Between 70 and 79
05 Between 80 and 89
06 Between 90 and 99
07 Between 100 and 109
08 Between 110 and 119
09 120 or over
10 Less than 80
11 Less than 90
DK, RF
XBMH_Q09
Do you feel that you have a plan to control your blood pressure?
1 Yes
2 No
DK, RF
Go to XBMH_END
XBMH_R10
You have said that you have not had your blood pressure measured by a doctor orhealth professional. Since this survey applies only to people with high bloodpressure that has been diagnosed by a doctor or other health professional, you arenot eligible to participate in today's survey. Thank you for your time.
XBMH_D10
If XBMH_Q01 = 7, DOXMEH = 2.
If XBMH_Q01 = 7, DOXHUH = 2.
If XBMH_Q01 = 7, DOXCLH = 2.
If XBMH_Q01 = 7, DOXSMH = 2.
If XBMH_Q01 = 7, DOXMOH = 2.
If XBMH_Q01 =7, DOXINH = 2.
If XBMH_Q01 =7, DOXADM = 2.
Note:
This derived variable is to set the "DOMODULE" condition to "2" for all proceedingmodules if XBMH_Q01 = 7. Otherwise the "DOMODULE" condition for each modulestays as is.
XBMH_D11
If XBMH_Q01 = 7, autocode final to 40 (outside of sample).
XBMH_END
Medication use (XMEH)
XMEH_BEG
Content block
External variables required:
FNAME: first name of respondent from sample file
LNAME: last name of respondent from sample file
DOXMEH: do block flag, from the sample file
Screen display: Display on header bar FNAME and LNAME separated by a space
XMEH_C01
If DOXMEH = 1, go to XMEH_R01.
Otherwise, go to XMEH_END.
XMEH_R01
The next few questions are about medications that have been prescribed by adoctor or other health professional.
INTERVIEWER: Press <1> to continue.
(DK, RF are not allowed)
XBMH_Q01
Currently, are you taking any prescription medications, including medications takenfor high blood pressure?
INTERVIEWER: Include over-the-counter medications such as low-dose aspirin if themedication was prescribed by a doctor or health professional.
1 Yes
2 No(Go to XMEH_Q05)
DK, RF (Go to XMEH_END)
XMEH_Q02
Currently, how many different types of prescription medications are you taking?
INTERVIEWER: Read categories to respondent. Include medications taken for hypertension.
1 One
2 Two
3 Three or four
4 Five to nine
5 Ten or more
DK, RF
XMEH_Q03
In total, how many times throughout the day do you take prescription medications?
INTERVIEWER: Read categories to respondent.
1 Less than once a day (e.g. weekly, monthly)
2 Once a day
3 Twice a day
4 Three times a day
5 Four or more times a day
DK, RF
XMEH_C04A
If XMEH_Q02 = 1, go to XMEH_Q04A.
Otherwise, go to XMEH_Q04B.
XMEH_Q04A
Do you take this medication for your high blood pressure?
1 Yes (Go to XMEH_D06)
2 No (Go to XMEH_Q05)
DK, RF (Go to XMEH_END)
XMEH_Q04B
Currently, how many of these medications are you taking for your high blood pressure?
(MIN: 0) (MAX: 10)
DK, RF
XMEH_E04B
An unusual value has been entered. Please confirm.
Note:
Trigger soft edit if XMEH_Q04B > 5.
XMEH_E04C
Respondent reported more hypertension medications than total medications. Pleasereturn and correct.
Note:
Trigger hard edit if or (XMEH_Q02 = 2 and XMEH_Q04B > 2) or (XMEH_Q02 = 3 and XMEH_Q04B > 4) or (XMEH_Q02 = 4 and XMEH_Q04B > 9)
XMEH_C05
If XMEH_Q04B = 0, go to XMEH_Q05.
Otherwise, go to XMEH_D06.
XMEH_Q05
What are the reasons that you are not currently taking any prescription medicationsfor your high blood pressure?
INTERVIEWER: Mark all that apply.
1 No medication prescribed from a doctor or health professional
2 Do not want to take medication at this time
3 Side-effects caused by medication
4 Medication not working
5 Ran out of medication
6 Too costly / financial constraints
7 Blood pressure controlled without medication
8 Other
DK, RF
Go to XMEH_END
XMEH_D06
If XMEH_Q04A = 1 or XMEH_Q04B = 1, DT_MEDICATION = "medication".
Otherwise,DT_MEDICATION = "medications".
If XMEH_ Q04A= 1 or XMEH_Q04B = 1, DT_IT = "it".
Otherwise,DT_IT = "them".
XMEH_Q06
In total, how many times throughout the day do you take your blood pressuremedications?
INTERVIEWER: Read categories to respondent.
1 Less than once a day (e.g. weekly, monthly)
2 Once a day
3 Twice a day
4 Three times a day
5 Four or more times a day
DK, RF
XMEH_Q07
Thinking about how often you take your blood pressure medication, on average,would you say you:
INTERVIEWER: Read categories to respondent.
1 … take ^DT_IT as often as prescribed?
2 … take ^DT_IT more often than prescribed?
3 … take ^DT_IT less often than prescribed?
4 … occasionally miss a dose?
5 … do not take the ^DT_MEDICATION at all.
DK, RF
XMEH_C08
If XMEH_Q07 = 5, go to XMEH_Q09.
Otherwise, go to XMEH_Q08.
XMEH_Q08
Thinking about the dosage of your blood pressure ^DT_MEDICATION, on average, would you say you take:
INTERVIEWER: Read categories to respondent.
1 … the same dosage as prescribed?
2 … a higher dosage than prescribed?
3 … a lower dosage than prescribed?
4 … do not take the ^DT_MEDICATION at all.
DK, RF
XMEH_C09A
If XMEH_Q07 and XMEH_Q08 = 1, go to XMEH_END.
Otherwise, go to XMEH_C09B.
XMEH_C09B
If XMEH_Q07 and XMEH_Q08 = DK or RF, go to XMEH_END.
Otherwise, go to XMEH_Q09.
XMEH_Q09
What are the reasons that you are not taking your blood pressure ^DT_MEDICATIONexactly as prescribed?
INTERVIEWER: Mark all that apply.
01 Forget to take medication
02 Side-effects caused by medication
03 Medication not working
04 Ran out of medication
05 Too expensive
06 Blood pressure controlled without medication
07 Feels ok without medication / doesn’t need medication
08 Not confident in the prescribed treatment
09 Do not know how to take medication properly
10 Other
DK, RF
XMEH_END
Health care utilization (XHUH)
XHUH_BEG
Content block
External variables required:
FNAME: first name of respondent from sample file
LNAME: last name of respondent from sample file
DOXHUH: do block flag, from the sample file
Screen display: Display on header bar FNAME and LNAME separated by a space
XHUH_C01
If DOXHUH = 1, go to XHUH_Q01.
Otherwise, go to XHUH_END.
XHUH_Q01
Which of the following health professionals or practitioners do you consider mostresponsible for treating your high blood pressure?
INTERVIEWER: Read categories to respondent.
1 Family doctor or general practitioner
2 Other medical doctor or specialist
3 Nurse or nurse practitioner
4 Pharmacist
5 Other health professional
6 No health professional responsible for treating high blood pressure
DK
RF (Go to XHUH_END)
XHUH_R02
Now I’d like to ask a few questions about your contacts with various healthprofessionals about your high blood pressure during the past 12 months.
INTERVIEWER: Press <1> to continue.
(DK, RF are not allowed)
XMEH_Q02
In the past 12 months, have you seen or talked to any of the following healthprofessionals about your high blood pressure:
… a family doctor or general practitioner?
INTERVIEWER: Include both face-to-face and telephone contacts.
1 Yes
2 No
DK, RF
XHUH_Q03
In the past 12 months, have you seen, or talked to:
… any other medical doctor or specialist about your high blood pressure?
INTERVIEWER: Include both face-to-face and telephone contacts.
1 Yes
2 No
DK, RF
XHUH_Q04
(In the past 12 months, have you seen, or talked to:)
… a nurse or nurse practitioner about your high blood pressure?
INTERVIEWER: Include both face-to-face and telephone contacts.
1 Yes
2 No
DK, RF
XHUH_Q05
(In the past 12 months, have you seen, or talked to:)
… a pharmacist about your high blood pressure?
INTERVIEWER: Include both face-to-face and telephone contacts.
1 Yes
2 No
DK, RF
XHUH_Q06
(In the past 12 months, have you seen, or talked to:)
… a complementary or alternative health care practitioner such as a massagetherapist, a naturopath or herbalist about your high blood pressure?
INTERVIEWER: Include both face-to-face and telephone contacts.
1 Yes
2 No
DK, RF
XHUH_Q07
In the past 12 months, have you seen, or talked to:
… any other health professional about your high blood pressure?
INTERVIEWER: Include both face-to-face and telephone contacts.
1 Yes - Specify (Go to XHUH_S07)
2 No (Go to XHUH_END)
DK, RF (Go to XHUH_END)
XHUH_S07
INTERVIEWER: Specify.
(80 spaces)
(DK, RF are not allowed).
XHUH_END
Clinical recommendations (XCLH)
XCLH_BEG
Content block
External variables required:
FNAME: first name of respondent from sample file
LNAME: first name of respondent from sample file
DOXCLH: do block flag, from the sample file
XMEH_Q01: from XMEH module
XMEH_Q04A: from XMEH module
XMEH_Q04B: from XMEH module
Screen display: Display on header bar FNAME and LNAME separated by a space
XCLH_C01
If DOCLH = 1, go to CLH_R01.
Otherwise, go to CLH_END.
XCLH_R01
The next questions are about things that a doctor or other health professional mayhave suggested to help control your blood pressure.
You may feel that some of these questions do not apply to you, but it is important that we ask the same questions of everyone.
INTERVIEWER: Press <1> to continue.
(DK, RF are not allowed)
XCLH_C01A
If XMEH_Q04A = 1 or XMEH_Q04B > 0, pre-fill XCLH_Q01 with Yes, go to XCLH_Q02.
Otherwise, go to XCLH_C01B
XCLH_C01B
If XMEH_Q01 = 2 or XMEH_Q04A = 2 or XMEH_Q04B = 0, go to XCLH_Q01.
Otherwise, go to XCLH_Q02.
XCLH_Q01
Has a doctor or other health professional ever suggested:
… taking prescription medication to help you control your blood pressure?
1 Yes
2 No
DK, RF
XCLH_Q02
Has a doctor or other health professional ever suggested:
… limiting your daily salt intake to help you control your blood pressure?
1 Yes
2 No
DK, RF
XCLH_Q03
Has a doctor or other health professional ever suggested:
… eating certain foods such as fruits and vegetables, fish or lean meats, foods highin fibre or foods low in fat to help you control your blood pressure?
1 Yes
2 No
DK, RF
XCLH_Q04
(Has a doctor or other health professional ever suggested:)
… participating in physical activity or exercise to help you control your blood
pressure?
1 Yes
2 No
DK, RF
XCLH_Q05
(Has a doctor or other health professional ever suggested:)
… controlling or losing weight to help you control your blood pressure?
1 Yes
2 No
DK, RF
XCLH_Q06
Has a doctor or other health professional ever suggested:
… quitting or cutting down smoking to help you control your blood pressure?
1 Yes
2 No
3 Not applicable - does not smoke
DK, RF
XCLH_Q07
(Has a doctor or other health professional ever suggested:)
… limiting alcohol consumption to help you control your blood pressure?
1 Yes
2 No
3 Not applicable - does not drink
DK, RF
XCLH_Q08
Has a doctor or other health professional ever suggested:
… reducing your level of stress to help you control your blood pressure?
1 Yes
2 No
DK, RF
XCLH_END
Self-management (XSMH)
XSMH_BEG
Content block
External variables required:
FNAME: first name of respondent from sample file
LNAME: first name of respondent from sample file
SEX: sex of respondent (1=male, 2=female) from sample file
DOXSMH: do block flag, from the sample file
Screen display:
Display on header bar FNAME and LNAME separated by a space
XSMH_C01
If DOXSMH = 1, go to XSMH_R01.
Otherwise, go to XSMH_END.
XSMH_R01
The next questions are about things that people might do as a result of beingdiagnosed with high blood pressure.
INTERVIEWER: Press <1> to continue.
(DK, RF are not allowed)
XSMH_Q01A
As a result of being diagnosed with high blood pressure, did you ever limit your dailysalt intake to help control your blood pressure?
1 Yes
2 No (Go to XSMH_Q02)
DK (Go to XSMH_Q03A)
RF (Go to XSMH_END)
XSMH_Q01B
Are you still doing this:
INTERVIEWER: Read categories to respondent.
1 …all the time? (Go to XSMH_Q03A)
2 …most of the time? (Go to XSMH_Q03A)
3 …some of the time? (Go to XSMH_Q03A)
4 …none of the time?
DK, RF (Go to XSMH_Q03A)
XSMH_Q02
What are the reasons that you are not limiting your daily salt intake to help controlyour blood pressure?
INTERVIEWER: Mark all that apply.
01 Lack of will power / self-discipline
02 Does not like to eat foods low in salt
03 Time constraints (too busy, family responsibilities, work schedule, etc.)
04 Already eating foods low in salt for other reasons
05 Too costly / financial constraints
06 Taking medication to control blood pressure
07 Does not think that limiting salt is important
08 Does not know that limiting salt is recommended
09 Other
10 No reason for not limiting salt intake
DK, RF
XSMH_Q03A
As a result of being diagnosed with high blood pressure, did you ever change thetype of foods you eat, for example choosing more fruits and vegetables, fish or leanmeats, foods high in fibre or foods low in fat to help control your blood pressure?
1 Yes
2 No (Go to XSMH_Q04)
DK, RF (Go to XSMH_Q05)
XSMH_Q03B
Are you still doing this:
INTERVIEWER: Read categories to respondent.
1 …all the time? (Go to XSMH_Q05)
2 …most of the time? (Go to XSMH_Q05)
3 …some of the time? (Go to XSMH_Q05)
4 …none of the time?
DK, RF (Go to XSMH_Q05)
XSMH_Q04
What are the reasons that you are not choosing these types of foods, (that is, fruits and vegetables, fish or lean meats, foods high in fibre or foods low in fat) to help control your blood pressure?
INTERVIEWER: Mark all that apply.
01 Lack of will power / self-discipline
02 Does not like to eat these types of foods
03 Time constraints (too busy, family responsibilities, work schedule, etc.)
04 Already eating these types of foods for other reasons
05 Too costly / financial constraints
06 Taking medication to control blood pressure
07 Does not think that eating these types of foods is important
08 Does not know that eating these types of foods is recommended
09 Other
10 No reason for not choosing certain types of food
DK, RF
XSMH_Q05
Do you read food labels for the nutritional information?
INTERVIEWER: Read categories to respondent.
1 Often
2 Sometimes
3 Never
DK, RF
XSMH_Q06
Are you responsible for choosing the groceries for your household?
1 Yes
2 No
DK, RF
XSMH_Q07A
As a result of being diagnosed with high blood pressure, did you ever exercise orparticipate in physical activities to help control your blood pressure?
1 Yes
2 No (Go to XSMH_Q08)
DK, RF(Go to XSMH_Q09A)
XSMH_Q07B
Are you still doing this:
INTERVIEWER: Read categories to respondent.
1 …all the time?(Go to XSMH_Q09A)
2 …most of the time? (Go to XSMH_Q09A)
3 …some of the time? (Go to XSMH_Q09A)
4 …none of the time?
DK, RF (Go to XSMH_Q09A)
XSMH_Q08
What are the reasons that you are not exercising or participating in physicalactivities to help control your blood pressure?
INTERVIEWER: Mark all that apply.
01 Lack of will power / self-discipline
02 Does not like to exercise
03 Time constraints (too busy, family responsibilities, work schedule, etc.)
04 Already doing physical activities or exercise for other reasons
05 Physical condition or a health problem
06 Too costly / financial constraints
07 Not available in area
08 Taking medication to control blood pressure
09 Does not think that exercise is important
10 Does not know that exercise is safe / recommended
11 Other
12 No reason for not exercising
DK, RF
XSMH_Q09A
As a result of being diagnosed with high blood pressure, did you ever try to controlyour weight or lose weight to help control your blood pressure?
1 Yes
2 No (Go to XSMH_Q10)
DK, RF (Go to XSMH_Q11A)
XSMH_Q09B
Are you still doing this:
INTERVIEWER: Read categories to respondent.
1 …all the time? (Go to XSMH_Q11A)
2 …most of the time?(Go to XSMH_Q11A)
3 …some of the time? (Go to XSMH_Q11A)
4 …none of the time?
DK, RF(Go to XSMH_Q11A)
XSMH_Q10
What are the reasons that you are not trying to control your weight or lose weight tohelp control your blood pressure?
INTERVIEWER: Mark all that apply.
01 Does not need to control / lose weight - already a healthy weight
02 Lack of will power / self-discipline
03 Does not want to control / lose weight
04 Tried to control / lose weight - didn’t work
05 Time constraints (too busy, family responsibilities, work schedule, etc.)
06 Already controlling / losing weight for other reasons
07 Disability / health problem other than high blood pressure makes it hard to control / lose weight
08 Too costly / financial constraints
09 Taking medication to control blood pressure
10 Does not think that weight control / weight loss is important
11 Does not know that weight control / weight loss is safe or recommended
12 Other
13 No reason for not trying to control / lose weight
DK, RF
XSMH_Q11A
At any time since you were first diagnosed with high blood pressure, did you smoke?
INTERVIEWER: Include cigarettes, cigars and pipes.
1 Yes
2 No (Go to XSMH_D13A)
DK, RF (Go to XSMH_D13A)
XSMH_Q11B
As a result of being diagnosed with high blood pressure, did you ever quit smoking or cut down on smoking to help control your blood pressure?
1 Yes
2 No (Go to XSMH_Q12)
DK, RF (Go to XSMH_D13A)
XSMH_Q11C
Are you still doing this:
INTERVIEWER: Read categories to respondent.
1 …all the time? (Go to XSMH_D13A)
2 …most of the time? (Go to XSMH_D13A)
3 …some of the time? (Go to XSMH_D13A)
4 …none of the time?
DK, RF (Go to XSMH_D13A)
XSMH_Q12
What are the reasons that you are not trying to quit smoking or cut down on smoking to help control your blood pressure?
INTERVIEWER: Mark all that apply.
01 Does not want to quit / cut down on smoking
02 Lack of will power / self-discipline
03 Tried to quit / cut down on smoking – didn’t work
04 Time constraints (too busy, family responsibilities, work schedule, etc.)
05 Already quit /cut down on smoking for other reasons
06 Taking medication to control blood pressure
07 Does not think that quitting / cutting down on smoking is important
08 Does not know that quitting / cutting down on smoking is recommended
09 Other
10 No reason for not quitting / cutting down on smoking
DK, RF
XSMH_D13A
If SEX = female, DT_DRINK = "9".
Otherwise, DT_DRINK = "14".
XSMH_Q13A
At any time since you were first diagnosed with high blood pressure, did you ever regularly drink more than ^DT_DRINK drinks a week? When we use the word"drink" it means: one bottle or can of beer or a glass of draft, one glass of wine or a wine cooler, or one drink or cocktail with 1 and a 1/2 ounces of liquor.
1 Yes
2 No (Go to XSMH_END)
DK, RF (Go to XSMH_END)
XSMH_Q13B
As a result of being diagnosed with high blood pressure, did you stop drinking or limit your alcohol consumption to help control your blood pressure?
1 Yes
2 No (Go to XSMH_Q14)
DK, RF (Go to XSMH_END)
XSMH_Q13C
Are you continuing to maintain this change in your alcohol consumption:
INTERVIEWER: Read categories to respondent.
1 …all the time?(Go to XSMH_END)
2 …most of the time? (Go to XSMH_END)
3 …some of the time? (Go to XSMH_END)
4 …none of the time?
DK, RF (Go to XSMH_END)
XSMH_Q14
What are the reasons that you are not limiting your alcohol consumption to help control your blood pressure?
INTERVIEWER: Mark all that apply.
01 Does not want to stop / limit alcohol consumption
02 Believes alcohol is good for health
03 Lack of will power / self-discipline
04 Tried to stop drinking / limit alcohol consumption didn’t work
05 Time constraints (too busy, family responsibilities, work schedule, etc.)
06 Already stopped drinking / limiting alcohol consumption for other reasons
07 Addiction to alcohol or drugs
08 Taking medication to control blood pressure
09 Does not think that limiting alcohol consumption is important
10 Does not know that limiting alcohol consumption is recommended
11 Health professional did not recommend limiting alcohol consumption
12 Other
13 No reason for not limiting alcohol consumption
DK, RF
XSMH_END
Self-monitoring of blood pressure (XMOH)
XMOH_BEG
Content block
External variables required:
FNAME: first name of respondent from sample file
LNAME: first name of respondent from sample file
DOXMOH: do block flag, from the sample file
Screen display:
Display on header bar FNAME and LNAME separated by a space
XMOH_C01
If DOXMOH = 1, go to XMOH_R01.
Otherwise, go to XMOH_END.
XMOH_R01
The next few questions are about blood pressure monitoring you may do yourself outside of a health professional’s office or medical clinic.
INTERVIEWER: Press <1> to continue.
(DK, RF are not allowed)
XMOH_Q01
How often do you monitor your own blood pressure outside of a health professional’s office or medical clinic?
INTERVIEWER: Read categories to respondent.
1 Daily
2 Weekly
3 Monthly
4 Three to four times a year
5 Once a year
6 Less than once a year
7 Do not monitor own blood pressure
DK (Go to XMOH_Q06)
RF (Go to XMOH_END)
XMOH_Q02
Has a doctor or other health professional ever shown you how to correctly use a blood pressure measurement device?
1 Yes
2 No
DK, RF
XMOH_C02
If XMOH_Q01 = 7, go to XMOH_Q06.
Otherwise, go to XMOH_Q03.
XMOH_Q03
Where do you measure your own blood pressure?
INTERVIEWER: Mark all that apply.
1 At home
2 Pharmacy
3 Workplace
4 Gym or fitness facility
5 Other
DK, RF
XMOH_Q04
Do you share the blood pressure measurements you get from taking your own blood pressure with a doctor or health professional?
1 Yes
2 No
DK, RF
XMOH_Q05
After measuring your blood pressure, if you consider it to be too high, what do you do?
INTERVIEWER: Mark all that apply.
1 Contact a doctor or other health professional
2 Continue to monitor your blood pressure to see if it is consistently
3 Make changes to your lifestyle (e.g. diet, exercise, lose weight, etc.)
4 Rest
5 Go to the hospital emergency room
6 Increase your medication
7 Do nothing
8 Other
9 Not applicable - blood pressure has never been too high
DK, RF
XMOH_Q06
In general, do you consider your blood pressure to be:
INTERVIEWER: Read categories to respondent.
1 …well-controlled (normal, fine, ok)?
2 …borderline?
3 …high?
4 …low?
DK, RF
XMOH_END
Information and training (XINH)
XINH_BEG
Content block
External variables required:
FNAME: first name of respondent from sample file
LNAME: first name of respondent from sample file
DOXINH: do block flag, from the sample file
Screen display:
Display on header bar FNAME and LNAME separated by a space
XINH_C01
If DOXINH = 1, go to XINH_R01.
Otherwise, go to XINH_END.
XINH_R01
The next few questions are about information or training you may have received to help you control your blood pressure.
INTERVIEWER: Press <1> to continue.
(DK, RF are not allowed)
XINH_Q01
Have you ever received information or training to help you control your blood pressure from any of the following people:
INTERVIEWER: Read categories to respondent. Mark all that apply.
1 …a family doctor or general practitioner?
2 …a medical specialist?
3 …a nurse or nurse practitioner?
4 …a pharmacist?
5 …a complementary or alternative health care practitioner?
6 …a family member or friend (other than a health care professional)?
7 …any other?
DK, RF
XINH_Q02
Have you ever received information or training to help you control your blood pressure in any of the following ways:
INTERVIEWER: Read categories to respondent. Mark all that apply.
1 …a book, pamphlet, or brochure?
2 …a CD, DVD, or video tape?
3 …a package insert included with medication?
4 …advice given during a medical appointment?
5 …a support group?
6 …a course or class?
7 …the media, for example, television, radio, newspapers or magazines?
8 …Internet?
9 …any other?
DK, RF
XINH_Q03
How would you like to receive information or training in the future?
INTERVIEWER: Read categories to respondent. Mark all that apply.
1 Book, pamphlet, or brochure
2 CD, DVD, or video tape
3 Package insert included with medication
4 Advice given during a medical appointment
5 Support group
6 Course or class
7 Media, for example, television, radio, newspapers, or magazines
8 Internet
9 Other
DK,RF
XINH_Q04
Have you ever received information to help you control your blood pressure on any of the following topics:
…the emotional impact of having high blood pressure, for example how to deal with your emotions or stress?
1 Yes
2 No
DK, RF
XINH_Q05
Have you ever received information on:
… where to receive support to help you cope with your high blood pressure, for example support groups or self-management programs?
1 Yes
2 No
DK, RF
XINH_Q06
(Have you ever received information on:)
… the correct use of prescription blood pressure medication?
INTERVIEWER: Include any prescription medications, including over-the-counter medications such as low-dose aspirin if the medications were prescribed by a doctor or health professional.
1 Yes
2 No
DK, RF
XINH_Q07
(Have you ever received information on:)
…where to find additional information to help you control your blood pressure?
1 Yes
2 No
DK, RF
XINH_Q08
Overall, do you feel that you have enough information to help you control your blood pressure?
1 Yes
2 No
DK, RF
XINH_END
Administration (XADM)
XADM_BEG
Content block
External variables required:
FNAME: first name of respondent from household block
LNAME: last name of respondent from the sample file
DOXADM: do block flag, from the sample file
SMPLPROVE: province from the sample file.
PROVE: province from SRC block.
Screen display: Display on header bar FNAME and LNAME separated by a space
XADM_C01
If DOXADM = 1, go to XADM_D01.
Otherwise, go to XADM_END.
XADM_D01
If SMPLPROVE = 24, QUEBECHNE = "Statistics Canada and the "Institute de laStatistique du Québec"".
Otherwise, QUEBECHNE = "Statistics Canada and your provincial ministry of health"
XADM_R01A
In 2008, you responded to the Canadian Community Health Survey. At that time, yougave permission for ^QUEBECHNE to link information from that survey to your healthservices information. You also gave us your provincial health number to assist inlinking this information.
INTERVIEWER: Your health services information includes your past and continuinguse of health services, such as visits to hospitals, clinics and doctors'offices.
Press <1> to continue.
(DK, RF are not allowed)
XADM_R01B
In order to reduce the number of questions on today’s survey, Statistics Canadawould like to link information from this interview with your information from the2008 Canadian Community Health Survey.
INTERVIEWER: Press <1> to continue.
(DK, RF are not allowed)
XADM_Q01
The linked information will be kept strictly confidential and used only for statisticalpurposes.
Do we have your permission?
1 Yes
2 No(Go to XADM_R03)
DK, RF (Go to XADM_R03)
XADM_D02
If PROVE = 24, SHAREE =", provincial ministries of health and the "Institute de la Statistique du Québec"".
Otherwise,SHAREE = "and provincial ministries of health".
XADM_R02
Statistics Canada would like your permission to share the linked survey data, that isyour information from today’s interview and your information from the Canadian Community Health Survey, with the Public Health Agency of Canada, Health Canada ^SHAREE.
INTERVIEWER: The Public Health Agency of Canada is a federal governmentdepartment responsible for promoting and protecting the health andsafety of Canadians.
Press<1> to continue.
(DK, RF are not allowed)
XADM_Q02
Information from both surveys will be kept confidential and used only for statistical purposes.
Do you agree to share the linked information?
INTERVIEWER: Personal identifiers such as name, address, telephone number, and health numberwill not be provided to the Public Health Agency of Canada or to Health Canada.
1 Yes (Go to XADM_END)
2 No (Go to XADM_R04)
DK, RF (Go to XADM_R04)
XADM_R03
Although you do not agree to link the information collected in today’s interview tothe 2008Canadian Community Health Survey, we would like your permission toshare only the information collected today with the Public Health Agency of Canada,Health Canada ^SHAREE.
INTERVIEWER: The Public Health Agency of Canada is a federal government department responsible for promoting and protecting the health and safety of Canadians.
Press<1> to continue.
(DK, RF are not allowed)
XADM_Q03
Your personal identifiers such as name, address and telephone number will not beshared. All information will be kept confidential and used only for statisticalpurposes.
Do you agree to share the information from today’s interview?
INTERVIEWER: The information that is shared will not be linked to their previousCanadian Community Health Survey interview or to administrative data.
1 Yes
2 No
DK, RF
Go to XADM_END
XADM_R04
Although you do not agree to share the linked survey information, we would likeyour permission to share only the information collected in today’s interview with thePublic Health Agency of Canada, Health Canada ^SHAREE.
INTERVIEWER: The Public Health Agency of Canada is a federal governmentdepartment responsible for promoting and protecting the health andsafety of Canadians.
Press <1> to continue.
(DK, RF are not allowed)
XADM_Q04
Your personal identifiers such as name, address and telephone number will not beshared. All information will be kept confidential and used only for statisticalpurposes.
Do you agree to share the information from today’s interview?
INTERVIEWER: The information that is shared will not be linked to their previousCanadian Community Health Survey interview or to administrative data.
1 Yes
2 No
DK, RF
XADM_END