sage appendix ind

Appendices

Section

1-3

4-8

10-21

9

_____________ 22-32

_____________

_____________INDIVIDUAL QUESTIONNAIRE: RESPONSE SCALES 33-38

STUDY ON GLOBAL AGEING AND ADULT HEALTH

CONTENTS

Page

APPENDICES KISH Tables, Cards, Response Scales

INDIVIDUAL QUESTIONNAIRE: SECTION 3000: CARDS

HOUSEHOLD QUESTIONNAIRE: SECTION 0100: TABLES

HOUSEHOLD QUESTIONNAIRE: SECTION 0200: TABLES

_____________

_____________

_____________HOUSEHOLD QUESTIONNAIRE: SECTION 0500: CARDS

HOUSEHOLD QUESTIONNAIRE: SECTION 0450: KISH TABLES

STUDY ON GLOBAL AGEING AND ADULT HEALTH - APPENDICES


A) HOUSEHOLD QUESTIONNAIRE

SECTION 0100 AND SECTION 0200

SAMPLING INFORMATION AND GEOCODING/GPS INFORMATION

STUDY ON GLOBAL AGEING AND ADULT HEALTH - SAMPLING INFORMATION 1

APPENDIX A0100A - Administrative Divisions - Names and Codes Q0105a: First Administrative Level Unit Name Q0105b: First Administrative Level Unit Code Q0106a: Second Administrative Level Unit Name Q0106b: Second Administrative Level Unit Name 1st_Level_Names 1st_Level_Codes 2nd_Level_Names 2nd_Level_Codes ASSAM XIN004 Barpeta XIN004001 ASSAM XIN004 Cachar XIN004003 ASSAM XIN004 Darrang XIN004004 ASSAM XIN004 Dibrugarh XIN004007 ASSAM XIN004 Goalpara XIN004008 ASSAM XIN004 Golaghat XIN004009 ASSAM XIN004 Kamrup XIN004012 ASSAM XIN004 Karbi Anglong XIN004013 ASSAM XIN004 Karimganj XIN004014 ASSAM XIN004 Kokrajhar XIN004015 ASSAM XIN004 Lakhimpur XIN004016 ASSAM XIN004 Marigaon XIN004017 ASSAM XIN004 Nagaon XIN004018 ASSAM XIN004 Nalbari XIN004019 ASSAM XIN004 Sibsagar XIN004021 ASSAM XIN004 Tinsukia XIN004023 KARNATAKA XIN017 Bangalore XIN017002 KARNATAKA XIN017 Bangalore Rural XIN017003 KARNATAKA XIN017 Belgaum XIN017004 KARNATAKA XIN017 Bellary XIN017005 KARNATAKA XIN017 Bijapur XIN017007 KARNATAKA XIN017 Chitradurga XIN017010 KARNATAKA XIN017 Dakshina Kannada XIN017011 KARNATAKA XIN017 Dharwad XIN017013 KARNATAKA XIN017 Gulbarga XIN017015 KARNATAKA XIN017 Hassan XIN017016 KARNATAKA XIN017 Kodagu XIN017018 KARNATAKA XIN017 Mandya XIN017021 KARNATAKA XIN017 Mysore XIN017022 KARNATAKA XIN017 Raichur XIN017023 KARNATAKA XIN017 Tumkur XIN017025 KARNATAKA XIN017 Udupi XIN017026 KARNATAKA XIN017 Uttara Kannada XIN017027 MAHARASHTRA XIN021 Ahmadnagar XIN021001 MAHARASHTRA XIN021 Akola XIN021002 MAHARASHTRA XIN021 Aurangabad XIN021004 MAHARASHTRA XIN021 Bhandara XIN021005 MAHARASHTRA XIN021 Buldana XIN021007 MAHARASHTRA XIN021 Dhule XIN021009 MAHARASHTRA XIN021 Jalgaon XIN021013 MAHARASHTRA XIN021 Kolhapur XIN021015 MAHARASHTRA XIN021 Mumbai XIN021017 MAHARASHTRA XIN021 Mumbai (Suburban) XIN021018 MAHARASHTRA XIN021 Nagpur XIN021019 MAHARASHTRA XIN021 Nanded XIN021020 MAHARASHTRA XIN021 Osmanabad XIN021023 MAHARASHTRA XIN021 Parbhani XIN021024


1st_Level_Names 1st_Level_Codes 2nd_Level_Names 2nd_Level_Codes MAHARASHTRA XIN021 Pune XIN021025 MAHARASHTRA XIN021 Raigarh XIN021026 MAHARASHTRA XIN021 Ratnagiri XIN021027 MAHARASHTRA XIN021 Sangli XIN021028 MAHARASHTRA XIN021 Satara XIN021029 MAHARASHTRA XIN021 Sindhudurg XIN021030 MAHARASHTRA XIN021 Solapur XIN021031 MAHARASHTRA XIN021 Thane XIN021032 MAHARASHTRA XIN021 Yavatmal XIN021035 RAJASTHAN XIN029 Ajmer XIN029001 RAJASTHAN XIN029 Alwar XIN029002 RAJASTHAN XIN029 Banswara XIN029003 RAJASTHAN XIN029 Barmer XIN029005 RAJASTHAN XIN029 Bharatpur XIN029006 RAJASTHAN XIN029 Bhilwara XIN029007 RAJASTHAN XIN029 Bikaner XIN029008 RAJASTHAN XIN029 Chittaurgarh XIN029010 RAJASTHAN XIN029 Churu XIN029011 RAJASTHAN XIN029 Dhaulpur XIN029013 RAJASTHAN XIN029 Ganganagar XIN029015 RAJASTHAN XIN029 Jaipur XIN029017 RAJASTHAN XIN029 Jalor XIN029019 RAJASTHAN XIN029 Jhunjhunun XIN029021 RAJASTHAN XIN029 Jodhpur XIN029022 RAJASTHAN XIN029 Kota XIN029024 RAJASTHAN XIN029 Nagaur XIN029025 RAJASTHAN XIN029 Pali XIN029026 RAJASTHAN XIN029 Sikar XIN029029 RAJASTHAN XIN029 Udaipur XIN029032 UTTAR PRADESH XIN033 Agra XIN033001 UTTAR PRADESH XIN033 Aligarh XIN033002 UTTAR PRADESH XIN033 Allahabad XIN033003 UTTAR PRADESH XIN033 Azamgarh XIN033006 UTTAR PRADESH XIN033 Bahraich XIN033008 UTTAR PRADESH XIN033 Ballia XIN033009 UTTAR PRADESH XIN033 Barabanki XIN033012 UTTAR PRADESH XIN033 Bareilly XIN033013 UTTAR PRADESH XIN033 Basti XIN033014 UTTAR PRADESH XIN033 Budaun XIN033016 UTTAR PRADESH XIN033 Bulandshahr XIN033017 UTTAR PRADESH XIN033 Chitrakoot XIN033019 UTTAR PRADESH XIN033 Deoria XIN033020 UTTAR PRADESH XIN033 Etah XIN033021 UTTAR PRADESH XIN033 Etawah XIN033022 UTTAR PRADESH XIN033 Faizabad XIN033023 UTTAR PRADESH XIN033 Farrukhabad XIN033024 UTTAR PRADESH XIN033 Fatehpur XIN033025 UTTAR PRADESH XIN033 Firozabad XIN033026 UTTAR PRADESH XIN033 Gautam Buddha Nagar XIN033027 UTTAR PRADESH XIN033 Ghaziabad XIN033028 UTTAR PRADESH XIN033 Gonda XIN033030 UTTAR PRADESH XIN033 Hamirpur XIN033032 UTTAR PRADESH XIN033 Jaunpur XIN033036 UTTAR PRADESH XIN033 Jhansi XIN033037


1st_Level_Names 1st_Level_Codes 2nd_Level_Names 2nd_Level_Codes UTTAR PRADESH XIN033 Kanpur Dehat XIN033040 UTTAR PRADESH XIN033 Kheri XIN033043 UTTAR PRADESH XIN033 Lucknow XIN033046 UTTAR PRADESH XIN033 Maharajganj XIN033047 UTTAR PRADESH XIN033 Mainpuri XIN033049 UTTAR PRADESH XIN033 Mathura XIN033050 UTTAR PRADESH XIN033 Mau XIN033051 UTTAR PRADESH XIN033 Meerut XIN033052 UTTAR PRADESH XIN033 Mirzapur XIN033053 UTTAR PRADESH XIN033 Moradabad XIN033054 UTTAR PRADESH XIN033 Pratapgarh XIN033057 UTTAR PRADESH XIN033 Rae Bareli XIN033058 UTTAR PRADESH XIN033 Saharanpur XIN033060 UTTAR PRADESH XIN033 Siddharthnagar XIN033065 UTTAR PRADESH XIN033 Sitapur XIN033066 UTTAR PRADESH XIN033 Sonbhadra XIN033067 UTTAR PRADESH XIN033 Sultanpur XIN033068 UTTAR PRADESH XIN033 Unnao XIN033069 UTTAR PRADESH XIN033 Varanasi XIN033070 WEST BENGAL XIN035 Bankura XIN035001 WEST BENGAL XIN035 Barddhaman XIN035002 WEST BENGAL XIN035 Birbhum XIN035003 WEST BENGAL XIN035 Darjiling XIN035005 WEST BENGAL XIN035 Haora XIN035006 WEST BENGAL XIN035 Hugli XIN035007 WEST BENGAL XIN035 Jalpaiguri XIN035008 WEST BENGAL XIN035 Koch Bihar XIN035009 WEST BENGAL XIN035 Calcutta XIN035010 WEST BENGAL XIN035 Maldah XIN035011 WEST BENGAL XIN035 Medinipur XIN035012 WEST BENGAL XIN035 Murshidabad XIN035013 WEST BENGAL XIN035 Nadia XIN035014 WEST BENGAL XIN035 North Twenty Four Parganas XIN035015 WEST BENGAL XIN035 Puruliya XIN035016 WEST BENGAL XIN035 South Twenty Four Parganas XIN035017 WEST BENGAL XIN035 Uttar Dinajpur XIN035018

STUDY ON GLOBAL AGEING AND ADULT HEALTH - GEOCODING/GPS INFORMATION

4

APPENDIX A0200A - Administrative Divisions - Geographic Extension Q0203: latitude Q0204: Longitude

In order to be correct GPS measure for each household have to present latitude and longitude within the range presented in this document according to the State and District in which they are located. STATE: ASSAM Latitude, From To Longitude, From To Districts 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 21.832 Cachar N 24 20.759 N 25 9.798 E 092 20.986 E 093 18.827 Darrang N 26 9.947 N 26 58.462 E 091 40.713 E 092 27.413 Dibrugarh N 27 3.691 N 27 43.744 E 094 30.740 E 095 32.177 Goalpara N 25 50.694 N 26 16.778 E 090 3.305 E 091 7.766 Golaghat N 25 46.326 N 26 50.443 E 093 14.584 E 094 12.608 Kamrup N 25 40.888 N 26 51.185 E 090 56.759 E 092 13.265 Karbi Anglong N 25 29.284 N 26 38.970 E 092 5.516 E 093 57.061 Karimganj N 24 11.866 N 24 55.135 E 092 7.994 E 092 37.771 Kokrajhar N 26 17.390 N 26 56.929 E 089 44.294 E 090 59.090 Lakhimpur N 26 44.255 N 27 33.257 E 093 39.119 E 094 38.402 Marigaon N 26 0.261 N 26 31.553 E 091 53.264 E 092 36.893 Nagaon N 25 39.323 N 26 42.732 E 092 20.555 E 093 22.392 Nalbari N 26 5.729 N 26 55.133 E 091 9.899 E 091 43.634 Sibasagar N 26 39.055 N 27 15.984 E 094 20.775 E 095 29.222 Tinsukia N 27 9.653 N 28 2.014 E 095 11.215 E 096 4.126

Latitude Longitude


5

STATE: KARNATAKA Latitude, From To Longitude, From To Districts 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 52.177 Banglore Rural N 12 11.883 N 13 32.812 E 077 0.511 E 078 0.905 Belgaum N 15 17.540 N 16 59.335 E 074 4.841 E 075 30.473 Bellary N 14 31.176 N 15 51.739 E 075 36.752 E 077 11.822 Bijapur N 16 5.549 N 17 29.534 E 075 14.743 E 076 30.941 Chitradurga N 13 30.581 N 15 0.349 E 075 58.405 E 077 4.445 Dakshin Kannada N 12 24.877 N 13 13.095 E 074 43.357 E 075 42.809 Dharwad N 14 59.397 N 15 43.650 E 074 39.622 E 075 36.375 Gulbarga N 16 9.640 N 17 48.674 E 076 0.170 E 077 45.723 Hassan N 12 27.096 N 13 34.789 E 075 29.782 E 076 41.505 Kodagu N 11 52.690 N 12 51.606 E 075 19.153 E 076 13.958 Mandya N 12 10.057 N 13 6.051 E 076 15.025 E 077 22.874 Mysore N 11 41.360 N 12 41.048 E 075 51.109 E 077 11.276 Raichur N 15 26.588 N 16 35.758 E 076 10.586 E 077 39.098 Tumkur N 12 41.794 N 14 22.575 E 076 16.777 E 077 32.537 Udupi N 12 56.151 N 13 59.970 E 074 31.853 E 075 14.197 Uttar Kannada N 13 52.471 N 15 34.184 E 074 2.405 E 075 8.325

STATE: MAHARASHTRA Latitude, From To Longitude, From To Districts 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 37.450 Akola N 20 13.406 N 21 17.126 E 076 39.020 E 077 40.908 Aurangabad N 19 20.902 N 20 43.958 E 074 32.483 E 075 59.183 Bhandara N 20 35.226 N 21 36.086 E 079 22.634 E 080 8.122 Buldana N 19 46.736 N 21 21.757 E 075 52.285 E 076 52.885 Dhule N 20 35.569 N 21 41.780 E 073 48.142 E 075 14.291 Jalgaon N 20 13.635 N 21 27.687 E 074 42.698 E 076 27.603 Kolhapur N 15 41.638 N 17 13.085 E 073 37.966 E 074 48.472 Mumbai N 18 51.148 N 19 18.293 E 072 43.586 E 073 0.529 Mumbai (Suburb) N 18 51.148 N 19 18.293 E 072 43.586 E 073 0.529 Nagpur N 20 30.725 N 21 44.041 E 078 11.369 E 079 41.484 Nanded N 18 12.498 N 19 56.668 E 076 52.353 E 078 27.812 Osmanabad N 17 33.862 N 18 43.781 E 075 13.233 E 076 50.522 Parbhani N 18 41.970 N 19 56.668 E 076 9.941 E 077 9.461 Pune N 17 52.120 N 19 25.908 E 073 17.263 E 075 11.554 Raigarh N 17 48.239 N 19 10.138 E 072 45.226 E 073 44.051 Ratnagiri N 16 27.632 N 18 5.407 E 072 58.988 E 073 55.825 Sangli N 16 39.864 N 17 40.396 E 073 39.338 E 075 45.121 Satara N 17 2.646 N 18 13.254 E 073 30.486 E 074 59.566 Sindhudurg N 15 32.943 N 16 38.315 E 073 15.634 E 074 16.117 Solapur N 17 4.330 N 18 36.460 E 074 34.466 E 076 28.873 Thane N 18 57.599 N 20 15.005 E 072 36.502 E 073 50.959 Yavatmal N 19 22.931 N 20 43.548 E 077 14.988 E 079 11.477


6

STATE: RAJASTHAN Latitude, From To Longitude, From To Districts 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 24.424 Alwar N 27 0.460 N 28 15.879 E 076 3.811 E 077 15.645 Banswara N 23 0.776 N 23 58.300 E 073 54.419 E 074 50.204 Barmer N 24 36.847 N 26 33.065 E 070 1.842 E 072 54.044 Bharatpur N 26 39.605 N 27 51.991 E 076 49.535 E 077 48.887 Bhilwara N 24 58.183 N 26 0.406 E 073 57.789 E 075 30.865 Bikaner N 27 8.396 N 29 5.888 E 071 50.914 E 074 14.728 Chittaurgarh N 23 29.411 N 25 15.714 E 074 8.690 E 075 52.032 Churu N 27 21.475 N 29 2.387 E 073 35.506 E 075 43.463 Dhaulpur N 26 18.722 N 26 59.651 E 077 10.580 E 078 19.266 Ganganagar N 28 40.686 N 30 14.793 E 072 35.476 E 074 36.790 Jaipur N 26 23.510 N 27 54.143 E 074 51.973 E 076 19.992 Jalor N 24 33.917 N 25 51.002 E 071 8.187 E 073 8.131 Jhunjhunu N 27 35.471 N 28 33.696 E 074 58.474 E 076 8.653 Jodhpur N 25 48.418 N 27 39.849 E 071 43.957 E 073 55.338 Kota N 24 29.639 N 25 53.433 E 075 33.972 E 076 37.641 Nagaur N 26 21.874 N 27 45.154 E 073 2.234 E 075 25.064 Pali N 24 42.131 N 26 30.286 E 072 42.352 E 074 27.248 Sikar N 27 4.643 N 28 14.938 E 074 37.391 E 076 8.686 Udaipur N 23 45.587 N 25 9.017 E 072 57.100 E 074 35.777


7

STATE: UTTAR PRADESH Latitude, From To Longitude, From To Districts 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 54.824 Aligarh N 27 31.801 N 28 14.373 E 077 25.839 E 078 38.205 Allahabad N 24 45.731 N 25 47.496 E 081 28.104 E 082 23.952 Azamgarh N 25 36.442 N 26 29.987 E 082 35.742 E 083 29.401 Bahraich N 26 58.808 N 28 27.413 E 080 59.032 E 081 50.723 Ballia N 25 30.745 N 26 15.794 E 083 33.947 E 084 39.593 Barabanki N 26 27.842 N 27 22.993 E 080 51.966 E 081 53.137 Bareilly N 27 57.635 N 28 55.316 E 078 55.666 E 079 49.772 Basti N 26 29.683 N 27 13.262 E 082 8.180 E 083 0.899 Budaun N 27 35.560 N 28 32.490 E 078 12.491 E 079 32.645 Bulandshahr N 28 0.823 N 28 45.961 E 077 34.154 E 078 30.574 Chitrakoot N 24 50.700 N 25 34.754 E 080 38.509 E 081 36.862 Deoria N 26 3.663 N 26 48.531 E 083 24.605 E 084 15.172 Etah N 27 15.604 N 28 3.851 E 078 5.977 E 079 18.700 Etawah N 26 22.587 N 27 2.526 E 078 42.848 E 079 24.712 Faizabad N 26 21.820 N 26 53.744 E 081 34.020 E 082 30.076 Farrukhabad N 27 6.223 N 27 45.142 E 079 2.975 E 079 46.916 Fatehpur N 25 21.754 N 26 14.684 E 080 10.361 E 081 23.093 Firozabad N 26 51.324 N 27 32.359 E 078 10.176 E 078 53.584 Gautambudh Nagar N 28 3.294 N 28 43.375 E 077 17.952 E 077 49.044 Ghaziabad N 28 31.354 N 28 59.387 E 077 10.006 E 078 14.792 Gonda N 26 42.567 N 27 27.806 E 081 27.818 E 082 39.844 Hamirpur N 25 20.930 N 26 11.157 E 079 19.292 E 080 23.495 Jaunpur N 25 20.761 N 26 13.001 E 082 3.843 E 083 8.094 Jhansi N 25 3.661 N 25 59.335 E 078 15.066 E 079 28.687 Kanpur Dehat N 26 1.467 N 26 54.644 E 079 27.830 E 080 13.543 Kheri N 27 35.585 N 28 44.194 E 079 58.693 E 081 21.714 Lucknow N 26 26.155 N 27 11.503 E 080 29.233 E 081 15.567 Maharajganj N 26 52.095 N 27 31.434 E 083 6.876 E 083 54.193 Mainpuri N 26 52.676 N 27 29.816 E 078 40.276 E 079 27.575 Mathura N 27 11.273 N 28 0.538 E 077 13.512 E 078 13.919 Mau N 25 45.040 N 26 19.864 E 083 6.427 E 083 51.323 Meerut N 28 42.243 N 29 18.701 E 077 22.311 E 078 10.345 Mirzapur N 24 32.492 N 25 18.961 E 082 2.327 E 083 14.460 Moradabad N 28 16.229 N 29 18.094 E 078 20.449 E 079 2.644 Pratapgarh N 25 30.381 N 26 11.741 E 081 16.277 E 082 25.654 Rae Bareli N 25 45.257 N 26 37.501 E 080 38.683 E 081 39.592 Saharanpur N 29 32.445 N 30 27.418 E 077 4.025 E 077 59.001 Sidharthnagar N 26 57.307 N 27 32.817 E 082 24.913 E 083 21.879 Sitapur N 27 2.249 N 27 55.947 E 080 14.811 E 081 27.344 Sonbhadra N 23 49.738 N 24 56.387 E 082 28.926 E 083 35.695 Sultanpur N 25 54.871 N 26 41.951 E 081 28.003 E 082 43.114 Unnao N 26 3.848 N 27 3.953 E 080 0.422 E 081 5.138 Varanasi N 25 7.178 N 25 37.751 E 082 37.572 E 083 13.559


8

STATE: WEST BENGAL Latitude, From To Longitude, From To Districts 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 49.426 Barddhaman N 22 53.224 N 23 54.628 E 086 45.359 E 088 28.525 Birbhum N 23 29.998 N 24 37.960 E 087 3.064 E 088 3.752 Calcutta N 22 23.782 N 22 42.686 E 088 13.099 E 088 31.910 Darjiling N 26 23.990 N 27 15.726 E 087 56.440 E 088 56.405 Haora N 22 9.785 N 22 48.955 E 087 47.369 E 088 24.581 Hugli N 22 32.593 N 23 15.868 E 087 28.083 E 088 33.035 Jalpaiguri N 26 18.146 N 27 2.096 E 088 19.997 E 089 53.275 Koch Bihar N 25 54.910 N 26 34.754 E 088 36.572 E 089 53.077 Maldah N 24 38.580 N 25 35.239 E 087 42.719 E 088 29.870 Medinipur N 21 34.142 N 22 59.379 E 086 30.508 E 088 14.627 Murshidabad N 23 40.772 N 24 52.850 E 087 46.582 E 088 47.086 Nadia N 22 50.210 N 24 8.073 E 088 4.593 E 088 51.269 North24 Parganas N 22 5.186 N 23 17.693 E 088 17.565 E 089 8.379 Puruliya N 22 39.269 N 23 44.509 E 085 46.558 E 086 57.208 South24 Parganas N 21 28.121 N 22 39.010 E 087 59.858 E 089 9.845 Uttar Dinajpur N 25 13.177 N 26 32.984 E 087 43.855 E 088 34.644



SECTION 0450

KISH TABLES

Q0450

KISH TABLES

Selection Table A Selection Table DIf the number of

eligible persons is:Interview the person

numbered:If the number of


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 E1If the number of




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 E2If the number of




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 FIf the number of




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



SECTION 0500

HOUSING

CARDS

STUDY ON GLOBAL AGEING AND ADULT HEALTH - HOUSING: WATER 10

Appendix A0500A Q0506/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 tap

3. Public tap/standpipe - woman filling a jerrycan at a standpost

3. Public tap/standpipe - boy at a standpost

3. Public tap/standpipe - man at a standpost 3. Public tap/standpipe - hand washing at a public standpost


Appendix A0500A Q0506/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 standpost

4. Tube well / borehole - woman filling a bucket from a handpump

4. Tube well / borehole - woman using an India Mark II handpump

5. Protected dug well - covered well, hexagonal, Africa 5. Protected dug well - drawing water from a well


Appendix A0500A Q0506/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 well

6. Unprotected dug well - open well 6. Unprotected dug well - open well

6. Unprotected dug well - open well 7. Protected spring - with access steps


Appendix A0500A Q0506/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 water

7. Protected spring - washing at a spring 8. Unprotected spring

9. Rainwater collection 9. Rainwater collection


Appendix A0500A Q0506/Q0506a: What is the main source of drinking water for members of this household? 9. Rainwater collection 9. Rainwater collection

10. Bottled water - bottle of water 10. Bottled water - bottles of water

10. Bottled water - pouring water from a bottle into a cup 11. Small scale vendor - selling water at a kiosk


Appendix A0500A Q0506/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 kiosk

12. Tanker truck - JEK water tanker 12. Tanker truck - water tanker

13. Surface water - collecting water from a river 13. Surface water - child using an access platform to collect water from a pond


Appendix A0500A Q0506/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 - fenced

13. Surface water - fenced 13. Surface water - fenced

STUDY ON GLOBAL AGEING AND ADULT HEALTH - HOUSING: SANITATION 17

Appendix A0500B Q0508: 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 system

2. Flush/pour flush to septic tank 2. Flush/pour flush to septic tank

3. Flush/pour flush to pit latrine - pour-flush latrine 1 3. Flush/pour flush to pit latrine - pour-flush latrine 2


Appendix A0500B Q0508: 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 being deposited in or nearby the household environment (not in to pit, septic tank, or sewer); excreta may be flushed to the street, yard/plot, open sewer, a ditch, a drainage way or other location.

A flush/pour flush to unknown place/not sure/DK should be considered improved, as it is likely that the toilet is connected to a covered pit, septic tank or sewer pipes.

6. Ventilated improved pit latrine (VIP) - VIP latrine 6. Ventilated improved pit latrine (VIP) - VIP latrine offset

6. Ventilated improved pit latrine (VIP) - Spiral VIP latrine, blockwood

6. Ventilated improved pit latrine (VIP) - Spiral VIP latrine, with vent pipe


Appendix A0500B Q0508: 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 cover

8. Pit latrine without slab/open pit - simple pit latrine 8. Pit latrine without slab/open pit - simple pit latrine

8. Pit latrine without slab/open pit - open pit with logs 9. Composting toilet - compost latrine


Appendix A0500B Q0508: What type of toilet facility do members of your household usually use? 10. Bucket latrine 11. Hanging toilet/hanging latrine - overhanging latrine 1

11. Hanging toilet/hanging latrine - overhanging latrine 2 12. No facilities or bush or field - open defecation

12. 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: FUEL 21

Appendix A0500C Q0511: In this household, is food cooked on an open fire, an open or closed stove? 1. Open fire 2. Open stove 3. Closed stove

Open fire with hood

Open stove with chimney Open stove with chimney

Closed stove with chimney

Open fire

Open fire


B) INDIVIDUAL QUESTIONNAIRE

SECTION 3000

RISK FACTORS

CARDS

STUDY ON GLOBAL AGEING AND ADULT HEALTH - RISK FACTORS AND PREVENTIVE HEALTH BEHAVIOURS

22

Appendix A3000A

Q3004a-Q3004e

List of Tobacco Products

• Cigarettes

• Cigarillos

• Cigars

• Cheroots

• Chuttas

• Bidis

• Goza / Hookah

• Local tobacco products (each country to add to the list)




23

Appendix A3000B

Q3009a-Q3009g

Alcohol Consumption

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 single tot of spirits (e.g. 25ml at 43%)

A small glass of liqueur or aperitif (e.g. 25ml at 30%)

1 can of ordinary beer (e.g. 340ml at 5%)

1 glass of wine (e.g. 120ml at 12%)

Carton of ordinary commercial sorghum beer (e.g. 500ml at 3%)

1 standard bottle of regular beer (285ml)

1 measure of aperitif (60ml)

1 medium size glass of wine (120ml)

1 single measure of spirits (30ml)


24

Appendix A3000B

Q3009a-Q3009g

Alcohol Consumption

For 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 portion 1 bottle of wine (dry) (0,7 l) 6 portions 1 wine-glass of wine (fortified) 2 portions 1 glass of wine (fortified) 3 portions 1 bottle of wine (fortified) (0,7 l) 10 portions Beer: 1 bottle/bank of beer (import) 1 portion 1 bottle of beer (0,5 l) 2 portions Box of beer 24 portions Liquors dessert (20-30˚): 1 wine-glass (50 ml) 1 portion Spirits/ vodka/home-distilled vodka (40˚): 1 pile (30 ml) 1 portion 1 pile (100 ml) 3 portions 1 glass (200 ml) 6 portions 1 pint (3/4 bottles) 12 portions 1 bottle (0,5 l) 20 portions 1 bottle (0,7 l) 24 portions


25

Appendix A3000C

Q3012-Q3013

Diet (Typical Fruit and Vegetables and Serving Sizes)

VEGETABLES are considered to be:

1 Serving = Examples

Raw green leafy vegetables

1 cup

Spinach, salad, etc.

Other vegetables, cooked or chopped raw

½ cup

Tomatoes, carrots, pumpkin, corn, Chinese cabbage, fresh beans, onion, etc.

Vegetable juice

½ cup

FRUIT Is considered to be:

1 Serving = Examples

Apple, banana, orange

1 medium size piece

Chopped, cooked, canned fruit

½ cup

Fruit juice

½ cup

Juice from fruit, not artificially flavoured

Serving 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 Recommendation

The World Health Organization recommends at least: • 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 HEALTH BEHAVIOURS 26

Appendix A3000D

Q3016-Q3031

Typical Physical Activities

WORK RELATED PHYSICAL ACTIVITY LEISURE/ SPARE TIME RELATED PHYSICAL ACTIVITY MODERATE

Intensity Activities Makes you breathe somewhat harder

than normal

VIGOROUS Intensity Activities

Makes you breathe much harder than normal

MODERATE Intensity Activities

Makes you breathe somewhat harder than normal

VIGOROUS Intensity Activities

Makes you breathe much harder than normal

Examples: • Cleaning (vacuuming, mopping,

polishing, scrubbing, sweeping, ironing)

• Washing (beating and brushing carpets, wringing clothes (by hand)

• Gardening • Milking cows (by hand) • Planting and harvesting crops • Digging dry soil (with spade) • Weaving • Woodwork (chiselling, sawing

softwood) • Mixing cement (with shovel) • Labouring (pushing loaded

wheelbarrow, operating jackhammer)

• Walking with load on head • Drawing water • Tending animals

Examples: • Forestry (cutting, chopping, carrying

wood) • Sawing hardwood • Ploughing • Cutting crops (sugar cane) • Gardening (digging) • Grinding (with pestle) • Labouring (shovelling sand) • Loading furniture (stoves, fridge) • Instructing spinning (fitness) • Instructing sports aerobics • Sorting postal parcels (fast pace) • Cycle rickshaw driving

Examples: • Cycling • Jogging • Dancing • Horse-riding • Tai chi • Yoga • Pilates • Low-impact aerobics • Cricket

Examples • Soccer • Rugby • Tennis • High-impact aerobics • Aqua aerobics • Ballet dancing • Fast swimming

STUDY ON GLOBAL AGEING AND ADULT HEALTH - RISK FACTORS AND PREVENTIVE HEALTH BEHAVIOURS: PHYSICAL ACTIVITY

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Appendix A3000D Q3016. Does your work involve vigorous-intensity activity that causes large increases in breathing or heart rate, like [heavy lifting, digging or chopping wood] for at least 10 minutes continuously? 1. Drawing a cart 2. Cycle rickshaw driving

3. Chopping, digging 4. Grinding (with pestle)

5. Heavy lifting

STUDY ON GLOBAL AGEING AND ADULT HEALTH - RISK FACTORS AND PREVENTIVE HEALTH 28 BEHAVIOURS: PHYSICAL ACTIVITY

Appendix A3000D Q3019. Does your work involve moderate-intensity activity that causes small increases in breathing or heart rate, such as brisk walking [or carrying light loads] cleaning, cooking, washing clothes, for at least 10 minutes continuously? 1. Shopping 2. Carrying a light load

3. Walking with load on head 4. Cleaning - sweeping

5. Washing clothes 6. Ironing clothes

7. Gardening


29

Appendix A3000D Q3025. Do you do any vigorous-intensity sports, fitness or recreational (leisure) activities that cause large increases in breathing or heart rate like [running, or football] for at least 10 minutes continuously? 1. Fast swimming 2. Running

3. Playing badminton 4. Playing football

5. Cycling

STUDY ON GLOBAL AGEING AND ADULT HEALTH - RISK FACTORS AND PREVENTVE HEALTH BEHAVIOURS: PHYSICAL ACTIVITY

30

Appendix A3000D Q3028. Do you do any moderate-intensity sports, fitness or recreational (leisure) activities that causes 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.Cycling

3. Swimming 4. Playing table-tennis


31

Appendix A3000D Q3031. How much time do you usually spend sitting or reclining on a typical day? 1. Getting to and from places 2. Watching television

3. Working at a computer 4. Sitting at a desk

5. Reading 11. Sitting passenger


32

Appendix A3000D Q3031. How much time do you usually spend sitting or reclining on a typical day? 7. Driving a car 8. Listening to music

9. Cooking 10. Playing cards


B) INDIVIDUAL QUESTIONNAIRE

RESPONSE SCALES

CARDS

RESPONSE SCALES

1000 - Socio-Demographic Characteristics

Use options for questionsQ1022 / Q1023 / Q1024

1 In a different household in same community/locality/neighbourhood2 In another city in this state/province3 In another rural area in this state/province4 In another city outside this state/province but in country5 In another rural area in this state but in country6 Outside the country

STUDY ON GLOBAL AGEING AND ADULT HEALTH - RESPONSE SCALES 33

RESPONSE SCALES

2000 - Health

1 2 3 4 5Very good Good Moderate Bad Very bad

1 2 3 4 5None Mild Moderate Severe Extreme/

Cannot do


RESPONSE SCALES

5000 - Health Care Utilisation

Use options for questionsQ5003a/Q5008b/Q5016a/Q5017a/Q5029c/Q5037c

1 Communicable disease (infections, malaria, tuberculosis, HIV)2 Maternal and perinatal conditions (pregnancy)3 Nutritional deficiencies4 Acute conditions-(diarrhoea, fever, flu, headache, cough, other)5 Injury6 Surgery7 Sleep problems8 Occupation/work related condition/injury9 Chronic pain in your joints/arthritis (joints, back, neck)

10 Diabetes or related complications11 Problems with your heart including unexplained pain in chest12 Problems with your mouth, teeth or swallowing13 Problems with your breathing14 High blood pressure / hypertension15 Stroke/sudden paralysis of one side of body16 Generalized pain (stomach, muscle or other nonspecific pain)17 Depression or anxiety18 Cancer87 Other, specify


RESPONSE SCALES

5000 - Health Care Utilisation



RESPONSE SCALES

6000 - Social Cohesion

1 2 3 4 5Never Once or twice Once or twice Once or twice Daily

per year per month per week

1 2 3 4 5To a very To a great Neither great To a small To a very

great extent extent extent small extent

1 2 3 4 5Completely Very safe Moderately Slightly Not safe

safe safe safe at all

1 2 3 4 5Very Interested Neither Uninterested Very

interested interested nor uninteresteduninterested

1 2 3 4 5Unlimited A lot of say Some say Little say No say

say at all

1 2 3 4 5Completely Very Moderately Slightly Not free

free free free free at all

nor small extent


RESPONSE SCALES

7000 - Subjective Well-Being and Quality of Life

1 2 3 4 5Completely Mostly Moderately A little Not at all

1 2 3 4 5Very Satisfied Neither Dissatisfied Very

satisfied satisfied nor dissatisfieddissatisfied

1 2 3 4 5Never Almost never Sometimes Fairly often Very often


1 2 3 4 5Very happy Happy Neither happy Unhappy Very unhappy

nor unhappy


sage appendix ind

Documents

global ageing

individual questionnaire

adult health appendices

household questionnairesection

geocodinggps information