Injury and Poisoning Questions on the National Health Interview Survey: 1997-present
These resources from past NHIS years are available for use by researchers, analysts, and others. For more recent study years, visit the NHIS website: https://www.cdc.gov/nchs/nhis/
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| Year | Question ID | Question | Response categories* | Universe |
|---|---|---|---|---|
| 1997-1999 | FIJ.010 | Injuries are a major health problem. In order to develop new ways to help prevent both accidental and intentional injuries, we need to know more about them. In this next set of questions, I will ask about injuries that happened in the past 3 months; Note here that we are only interested in injuries that required medical advice or treatment. DURING THE PAST THREE MONTHS, that is since {91 days before today’s date}, {were/was} {you/anyone in the family} injured seriously enough that {you/they} got medical advice or treatment? |
(1) Yes (2) No (7) Refused (9) Don’t know | All families |
| 2000-2003 | FIJ.010 | In this next set of questions, I will ask about INJURIES AND POISONINGS that happened in the PAST THREE MONTHS; that REQUIRED MEDICAL ADVICE OR TREATMENT, including calls to a poison control center. DURING THE PAST THREE MONTHS, that is since {91 days before today’s date}, {were/was} {you/anyone in the family} injured or poisoned seriously enough that {you/they} got medical advice or treatment? |
(1) Yes (2) No (7) Refused (9) Don’t know | All families |
| 2004-present | FIJ.010_01.000 | The next set of questions is about INJURIES AND POISONINGS. People can be injured or poisoned unexpectedly, accidentally or on purpose. They may have hurt themselves or others may have caused them to be hurt. DURING THE PAST THREE MONTHS, that is since [fill1: (date 91 days before today’s date)], [fill2: did you/did you or anyone in your family] have an injury where any part of [fill3: your/the] body was hurt, for example, with a [fill4: (random set of injury examples)]? |
(1) Yes (2) No (7) Refused (9) Don’t know | All families |
| 1997-1999 | FIJ.020 | Who was this? (Anyone else?) | Assigned family number of person who was injured | All persons |
| 2000-2003 | FIJ.020 | Who was this? (Anyone else?) | Assigned family number of person who was injured or poisoned | All persons |
| 2004-present | FIJ.012_00.000 | Who was this? (Anyone else?) | Assigned family number of person who was injured | All persons |
| 2004-present | FIJ.014_00.000 | DURING THE PAST THREE MONTHS, how many different times [fill: were you/was ALIAS] injured? | (01-91) 1-91 times (97) Refused (99) Don’t know | All persons injured during the past 3 months |
| 2004-present | FIJ.016_00.000 | Did [fill1: you /ALIAS] talk to or see a medical professional about [fill2: any of these injuries/this injury/your injury or injuries/his injury or injuries/her injury or injuries]? | (1) Yes (2) No (7) Refused (9) Don’t know | All persons with at least one or an unknown number of injury episodes during the past 3 months |
| 1997-1999 | FIJ.030 | How many different times in the past three months {were/was} {you/subject’s name} injured seriously enough to seek medical advice? | 01-94 times | Persons who were injured during the past 3 months |
| 2000 | FIJ.030 | How many different times in the PAST THREE MONTHS did {you/subject’s name} SEEK MEDICAL ADVICE because {you/subject’s name} {were/was} injured or poisoned? | 01-94 times | Persons who were injured and/or poisoned during the past 3 months |
| 2001-2003 | FIJ.030 | How many different times in the PAST THREE MONTHS {were/was} {you/subject’s name} injured or poisoned seriously enough to seek medical advice or treatment? | 01-94 times | Persons who were injured and/or poisoned during the past 3 months |
| 2004-present | FIJ.018_00.000 | Of [fill1: the number of times reported in question FIJ.014_00.000/all the] times that [fill2: you were/ALIAS was] injured, how many of those times was the injury serious enough that a medical professional was consulted? | (01-91) 1-91 times (97) Refused (99) Don’t know | All persons who consulted a medical professional for their injury episode(s) |
| 1997 | FIJ.040 | If only one injury: When did {subject’s name} injury happen? If more than one injury: Now I’m going to ask a few question about {subject’s name} most recent injury. When did that injury happen? We just talked about {subject’s name} injury on {recent injury date}. When did {subject’s name} injury BEFORE THAT happen? |
Month: (1) January (2) February (3) March (4) April (5) May (6) June (7) July (8) August (9) September (10) October (11) November (12) December (97) Refused (99) Don’t know Day: (01-31) 1-31 (97) Refused (99) Don’t know Year: (1996-1998) 1996-1998 (9997) Refused (9999) Don’t know |
Injury episodes for persons who had at least one injury during the past 3 months |
| 1998 | Same as 1997 | Same as 1997 | Same as 1997 except Year changed to 1997-1999 | Same as 1997 |
| 1999 | Same as 1997 | Same as 1997 | Same as 1997 except Year changed to 1998-2000 | Same as 1997 |
| 2000 | Same as 1997 | If only one injury/poisoning: Now I’m going to ask a few questions about {your/subject’s name}’s most recent injury/poisoning. When did it happen? If there are additional injuries/poisonings: We just talked about {your/subject’s name}’s injury/poisoning on {recent injury/poisoning date}. When did {your/subject’s name}’s injury/poisoning BEFORE THAT happen? |
Same as 1997 except Year changed to 1999-2001 | Injury and/or poisoning episodes for persons who had at least one injury or poisoning during the past 3 months |
| 2001 | Same as 1997 | Same as 2000 | Same as 1997 except Year changed to 2000-2002 | Same as 2000 |
| 2002 | Same as 1997 | Same as 2000 | Same as 1997 except Year changed to 2001-2003 | Same as 2000 |
| 2003 | Same as 1997 | Same as 2000 | Same as 1997 except Year changed to 2002-2004 | Same as 2000 |
| 2004 | FIJ.050_01.000 FIJ.050_02.000 FIJ.050_03.000 |
{if only 1 injury/poisoning episode for the person}: When did [fill1: your/ALIAS’s] [fill2: injury/poisoning] happen for which a medical professional was consulted? {first of multiple injury/poisoning episodes for the person}: Now I’m going to ask a few questions about the [fill3: the number of times injured/poisoned reported in question FIJ.018_00.00/FIJ.028_00.000] times [fill4: you were/ALIAS was[fill5: injured/poisoned] for which a medical professional was consulted. Starting with the most recent time, when did this [fill2: injury/poisoning] happen? {second plus of multiple injury/poisoning episodes for the person}: You just told me about [fill1: your/ALIAS’s] [fill6: (month, day of previous event)] [fill7:most recent/second most recent/third most recent/fourth most recent][fill2: injury/poisoning]. What was the date of the [fill2: injurybefore that for which a medical professional was consulted? |
Month: (1) January (2) February (3) March (4) April (5) May (6) June (7) July (8) August (9) September (10) October (11) November (12) December (97) Refused (99) Don’t know Day: (01-31) 1-31 (97) Refused (99) Don’t know Year: (2003-2005) 2003-2005 (9997) Refused (9999) Don’t know |
All medically-consulted injury/poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000 |
| 2005-present | Same as 2004 | Same as 2004 | Same as 2004 except Year changed to the year before the current survey year, the current survey year, and the year after the current survey year; for example, if the survey year is 2005 then the values for Year would be 2004-2006 | Same as 2004 |
| 2004-present | FIJ.051_01.000 FIJ.051_02.000 |
Can you tell me approximately how long ago [fill1: your/ALIAS’s] [fill2: injury/poisoning] happened? Enter number for time since event. Enter number for time period since event. |
(01-91) 1-91 (97) Refused (99) Don’t know (1) Days (2) Weeks (3) Months (7) Refused (9) Don’t know |
All medically-consulted injury/poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000, where “don’t know” is entered for the month of the episode |
| 2004-present | FIJ.052_00.000 | Was this in the beginning of [fill: month reported in question FIJ.050_01.000] the middle of [fill: month reported in question FIJ.050_01.000], or the end of [fill: month reported in question FIJ.050_01.000]? | (1) Beginning (2) Middle (3) End (7) Refused (9) Don’t know | All medically-consulted injury/poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000, where “don’t know” is entered for the day of the episode |
| 2000-2003 | FIJ.045 | Where did {you/subject’s name} receive MEDICAL ADVICE OR TREATMENT for this injury/poisoning? Anywhere else? (Mark all that apply) | (01) Did not receive medical treatment or advice (02) Phone call to doctor or health care professional (03) Phone call to poison control center (04) Visit to doctor’s office (05) Visit to clinic or outpatient department (06) Visit to emergency department (07) Visit to hospital (stayed at least one night) (97) Refused (99) Don’t know | Injury and/or poisoning episodes for persons who had at least one injury or poisoning during the past 3 months |
| 2004 | This became separate questions. The same information or similar information is now found in questions FIJ.080_1.000 – FIJ.081_00.00 | |||
| 2004-present | FIJ.080_02.000 | Did [fill1: you/ALIAS] get MEDICAL ADVICE, TREATMENT, or FOLLOW-UP CARE for this [fill2: injury/poisoning] from… An emergency vehicle, such as an ambulance or fire truck? | (1) Yes (2) No (7) Refused (9) Don’t know | All medically-consulted injury/poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000 |
| 2004-present | FIJ.080_03.000 | Did [fill1: you/ALIAS] get MEDICAL ADVICE, TREATMENT, or FOLLOW-UP CARE for this [fill2: injury/poisoning]… A visit to an emergency room? | (1) Yes (2) No (7) Refused (9) Don’t know | All medically-consulted injury/poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000 |
| 2004-present | FIJ.080_04.000 | Did [fill1: you/ALIAS] get MEDICAL ADVICE, TREATMENT, or FOLLOW-UP CARE for this [fill2: injury/poisoning]… A visit to a doctor’s office or other health clinic? | (1) Yes (2) No (7) Refused (9) Don’t know | All medically-consulted injury/poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000 |
| 2004-present | FIJ.080_05.000 | Did [fill1: you/ALIAS] get MEDICAL ADVICE, TREATMENT, or FOLLOW-UP CARE for this [fill2: injury/poisoning]… A phone call to a doctor, nurse, or other health care professional? | (1) Yes (2) No (7) Refused (9) Don’t know | All medically-consulted injury/poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000 |
| 2004-present | FIJ.080_06.000 | Did [fill1: you/ALIAS] get MEDICAL ADVICE, TREATMENT, or FOLLOW-UP CARE for this [fill2: injury/poisoning]… Any place else? | (1) Yes (2) No (7) Refused (9) Don’t know | All medically-consulted injury/poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000 |
| 2004-present | FIJ.081_00.000 | Where else did [fill1: you/ALIAS get MEDICAL ADVICE, TREATMENT, or FOLLOW-UP CARE for this [fill2: injury/poisoning]? | Verbatim response (7) Refused (9) Don’t know | All medically-consulted injury/poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01 to FIJ.028_00.000, where medical advice, treatment, or follow-care was received from some “other” place |
| 2004-present | FIJ.082_00.000 | [fill1: You/ALIAS] DID NOT receive any medical advice, treatment, or follow-up for this [fill2: injury/poisoning]. Is that correct? | (1) Yes (2) No (7) Refused (9) Don’t know | All medically-consulted injury/poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000, where no source of medical advice, treatment, or follow-up care was selected |
| 1997-1999 | FIJ.050 | At the time of the injury, what part(s) of {subject’s name} body was hurt? What kind of injury was it? Anything else? | Verbatim response. Respondents can list up to four body parts and four kinds of injuries | Injury episodes for persons who had at least one injury during the past 3 months |
| 2000-2003 | FIJ.050 | At the time, what part(s) of {your/subject’s name}’s body was/were hurt? What kind of injury/poisoning was it? Anything else? | Verbatim response. Respondents can list up to four body parts and four kinds of injuries or poisonings | Injury and/or poisoning episodes for persons who had at least one injury or poisoning during the past 3 months |
| 2004 | This became separate questions that only ask about injuries. This injury information can now be found in questions FIJ.070_00.000 – FIJ.079_00.000. | |||
| 2004-present | FIJ.070_00.000 | In this injury, what parts of [fill: your/ALIAS’s] body were hurt? (Record up to 4 responses) | (01) Ankle (02) Back (03) Buttocks (04) Chest (05) Ear (06) Elbow (07) Eye (08) Face (09) Finger/thumb (10) Foot (11) Forearm (12) Groin (13) Hand (14) Head (not face) (15) Hip (16) Jaw (17) Knee (18) Lower leg (19) Mouth (20) Neck (21) Nose (22) Shoulder (23) Stomach (24) Teeth (25) Thigh (26) Toe (27) Upper arm (28) Wrist (29) Other, specify (97) Refused (99) Don’t know | All medically-consulted injury episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000 |
| 2004-present | FIJ.071_00.000 | What other parts of the body were hurt? | Verbatim response (7) Refused (9) Don’t know | All medically-consulted injury episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01 to FIJ.028_00.000, where some “other” part of the body was hurt |
| 2004-present | FIJ.072_00.000 | In what way was [fill1: your/ALIAS’s] [fill2: first recorded response to question FIJ.070_00.000 or response to question FIJ.071_00.000] hurt? (Record up to 2 responses) | (01) Broken bone or fracture (02) Sprain, strain, or twist (03) Cut (04) Scrape (05) Bruise (06) Burn (07) Insect bite (08) Animal bite (09) Other, specify (97) Refused (99) Don’t know | All medically-consulted injury episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000, where a first body part was reported to be hurt |
| 2004-present | FIJ.073_00.000 | How was [fill1: your/ALIAS’s] [fill2: first recorded response to question FIJ.070_00.000 or response to question FIJ.071_00.000] hurt? | Verbatim response (7) Refused (9) Don’t know | All medically-consulted injury episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01 to FIJ.028_00.000, where a first body part was reported to be hurt in some “other” way |
| 2004-present | FIJ.074_00.000 | In what way was [fill1: your/ALIAS’s] [fill2: second recorded response to question FIJ.070_00.000 or response to question FIJ.071_00.000] hurt? (Record up to 2 responses) | (01) Broken bone or fracture (02) Sprain, strain, or twist (03) Cut (04) Scrape (05) Bruise (06) Burn (07) Insect bite (08) Animal bite (09) Other, specify (97) Refused (99) Don’t know | All medically-consulted injury episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000, where a second body part was reported to be hurt |
| 2004-present | FIJ.075_00.000 | How was [fill1: your/ALIAS’s] [fill2: second recorded response to question FIJ.070_00.000 or response to question FIJ.071_00.000] hurt? | Verbatim response (7) Refused (9) Don’t know | All medically-consulted injury episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01 to FIJ.028_00.000, where a second body part was reported to be hurt in some “other” way |
| 2004-present | FIJ.076_00.000 | In what way was [fill1: your/ALIAS’s] [fill2: third recorded response to question FIJ.070_00.000 or response to question FIJ.071_00.000] hurt? (Record up to 2 responses) | (01) Broken bone or fracture (02) Sprain, strain, or twist (03) Cut (04) Scrape (05) Bruise (06) Burn (07) Insect bite (08) Animal bite (09) Other, specify (97) Refused (99) Don’t know | All medically-consulted injury episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000, where a third body part was reported to be hurt |
| 2004-present | FIJ.077_00.000 | How was [fill1: your/ALIAS’s] [fill2: third recorded response to question FIJ.070_00.000 or response to question FIJ.071_00.000] hurt? | Verbatim response (7) Refused (9) Don’t know | All medically-consulted injury episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01 to FIJ.028_00.000, where a third body part was reported to be hurt in some “other” way |
| 2004-present | FIJ.078_00.000 | In what way was [fill1: your/ALIAS’s] [fill2: fourth recorded response to question FIJ.070_00.000 or response to question FIJ.071_00.000] hurt? (Record up to 2 responses) | (01) Broken bone or fracture (02) Sprain, strain, or twist (03) Cut (04) Scrape (05) Bruise (06) Burn (07) Insect bite (08) Animal bite (09) Other, specify (97) Refused (99) Don’t know | All medically-consulted injury episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000, where a fourth body part was reported to be hurt |
| 2004-present | FIJ.079_00.000 | How was [fill1: your/ALIAS’s] [fill2: fourth recorded response to question FIJ.070_00.000 or response to question FIJ.071_00.000] hurt? | Verbatim response (7) Refused (9) Don’t know | All medically-consulted injury episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01 to FIJ.028_00.000, where a fourth body part was reported to be hurt in some “other” way |
| 1997-1999 | FIJ.070 | How did {subject’s name} injury(s) happen? Please describe fully the circumstances or events leading to the injury(s), and any object, substance, or other person involved. | Verbatim response | Injury episodes for persons who had at least one injury during the past 3 months |
| 2000-2003 | FIJ.070 | How did {your/subject’s name}’s injury/poisoning happen? Please describe fully the circumstances or events leading to the injury/poisoning, and any object, substance, or other person involved. | Verbatim response | Injury and/or poisoning episodes for persons who had at least one injury or poisoning during the past 3 months |
| 2004-present | FIJ.060_00.000 | [fill1: How did [fill2: your/ALIAS’s] [fill3: injury/poisoning] on [fill4: response to questions FIJ.050_01.000 and FIJ.050_02.000 (starting with most recent if multiple)] happen?/How did this [fill3: injury/poisoning] happen?] Please describe fully the circumstances or events leading to the [fill3: injury/poisoning], and any objects, substances, or other people involved. | Verbatim response (7) Refused (9) Don’t know | All medically-consulted injury/poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01 to FIJ.028_00.000 |
| 1997-1999 | FIJ.080 | This is not a question. The FR is asked to select from a list the one that best describes the person’s injury. | (1) Vehicle as transportation, including Motor Vehicle/bicycle/motorcycle/pedestrian/train/boat/airplane (2) Gun/being shot (3) Fire/burn/scald related (4) Near drowning/water in lungs (5) Fall (6) Other (7) Refused (9) Don’t know | Injury episodes for persons who had at least one injury during the past 3 months |
| 2000-2003 | FIJ.080 | This is not a question. The FR is asked to select from a list the one that best describes the person’s injury. | (01) Transportation, including motor vehicle/bicycle/motorcycle/pedestrian/train/boat/airplane (02) Fire/burn/scald related (03) Fall (04) Poisoning (05) Overexertion/strenuous movements (06) Struck by object or person (07) Animal or insect bite (08) Cut/pierce (09) Machinery (10) Other (97) Refused (99) Don’t know | Injury and/or poisoning episodes for persons who had at least one injury or poisoning during the past 3 months |
| 2004-present | FIJ.065_00.000 | This is not a question. The FR is asked to select from a list the one that best describes the person’s injury. | (01) In a motor vehicle (02) On a bike, scooter, skateboard, skates, skis, horse, etc. (03) Pedestrian who was struck by a vehicle such as a car or bicycle (04) In a boat, train, or plane (05) Fall (06) Burned or scalded by substances such as hot objects or liquids, fire, or chemicals (07) Other (97) Refused (99) Don’t know | All medically-consulted injury episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000 |
| 2004-present | FIJ.109_00.000 | Did this accident occur on a public highway, street, or road? | (1) Yes (2) No (7) Refused (9) Don’t know | All medically-consulted injury episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000, that occurred while in a motor vehicle; while on a bike, scooter, skateboard, skis, horse, etc.; or as a pedestrian struck by a vehicle |
| 1997-2003 | FIJ.090 | {Were/Was} {you/subject’s name} injured as the driver of a vehicle, a passenger in a vehicle, a bicycle rider, or as a pedestrian? | (1) Driver of a vehicle (2) Passenger of a vehicle (3) Bicycle rider (4) Pedestrian (7) Refused (9) Don’t know | Injury episodes for persons who had at least one injury during the past 3 months caused by a vehicle used for transportation |
| 2004-present | FIJ.110_00.000 | [fill: Were you/Was ALIAS] injured as: | (1) The driver of a motor vehicle (2) A passenger in a motor vehicle (3) A pedestrian (4) A bicycle rider or tricycle rider (5) The rider of a scooter, skateboard, skates, or other non-motorized vehicle (7) Refused (9) Don’t know | All medically-consulted injury episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000, that occurred while in a motor vehicle; while on a bike, scooter, skateboard, skis, horse, etc.; or as a pedestrian struck by a vehicle |
| 1997-2002 | FIJ.100 | What type of vehicle {were/was} {you/subject’s name} in? | (01) Passenger car (02) Light truck (including pickups, vans and utility vehicles) (03) Bus (04) Large truck (05) Motorcycles (including mopeds, minibikes) (06) All terrain vehicle or ski/snow mobile (07) Farm equipment (tractor) (08) Airplane (09) Boat (10) Train (11) Other (97) Refused (99) Don’t know | Injury episodes for persons who had at least one injury during the past 3 months while a driver or passenger in a vehicle |
| 2003 | FIJ.100 | What type of vehicle {were/was} {you/subject’s name} in? | (01) Passenger car (02) Light truck (including pickups, vans and utility vehicle/SUVs) (03) Bus (04) Large truck (05) Motorcycles (including mopeds, minibikes) (06) All terrain vehicle or ski/snow mobile (07) Farm equipment (tractor) (08) Airplane (09) Boat (10) Train (11) Other (97) Refused (99) Don’t know | Injury episodes for persons who had at least one injury during the past 3 months while a driver or passenger in a vehicle |
| 2004-present | FIJ.111_00.000 | What type of vehicle {were/was} {you/subject’s name} in? | (01) Passenger car (02) Passenger truck such as a pickup truck, van or SUV (03) Bus (04) Large commercial truck such as a semi-truck, big rig, or 18 wheeler (05) Motorcycles (including mopeds and minibikes) (06) All terrain vehicle or ski/snow mobile (07) Farm equipment (such as tractor) (08) Industrial or construction vehicle (09) Other (97) Refused (99) Don’t know | All medically-consulted injury episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000, that occurred while a driver or passenger of a vehicle |
| 1997-2003 | FIJ.120 | If age is greater than 4 years: {Were/Was} {you/subject’s name} wearing a safety belt at the time of the accident? If age is less than 5 years: {Were/Was} {you/subject’s name} buckled in a car safety seat at the time of the accident? |
(1) Yes (2) No (7) Refused (9) Don’t know | Injury episodes for persons who had at least one injury during the past 3 months while a driver or passenger in a car or truck |
| 2004-present | FIJ.112_00.000 | [fill: Were you/Was ALIAS] restrained at the time of the accident? | (1) Yes (2) No (7) Refused (9) Don’t know | All medically-consulted injury episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000, that occurred while a driver or passenger of a car or truck |
| 1997-2003 | FIJ.130 | {Were/Was} {you/subject’s name} wearing a helmet at the time of the accident? | (1) Yes (2) No (7) Refused (9) Don’t know | Injury episodes for persons who had at least one injury during the past 3 months while riding a bicycle, motorcycle (including mopeds, minibikes), or an all terrain vehicle or ski/snow mobile |
| 2004-present | FIJ.113_00.000 | {Were/Was} {you/subject’s name} wearing a helmet at the time of the accident? | (1) Yes (2) No (7) Refused (9) Don’t know | All medically-consulted injury episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000, that occurred while riding a bicycle or tricycle; a scooter, skateboard, skates, or other non-motorized vehicle; a motorcycle; or an all terrain vehicle or ski/snow-mobile |
| 1997-2003 | FIJ.140 | What type of vehicle {were/was} {you/subject’s name} struck by? | (01) Passenger car (02) Light truck (including pickups, vans and utility vehicles) (03) Bus (04) Large truck (05) Motorcycle (including mopeds, minibikes) (06) All terrain vehicle or ski/snow mobile (07) Farm equipment (tractor) (08) Bicycle (09) Train (10) Boat (includes all on water vehicles) (11) Other (97) Refused (99) Don’t know | Injury episodes for persons who had at least one injury during the past 3 months that involved being struck by a vehicle while a pedestrian |
| 2004 | Question no longer included in the survey. | |||
| 1997-2003 | FIJ.150 | What was it that burned/scalded {you/subject’s name}? IF RESPONSE IS FIRE OR SMOKE ASK: What caused the fire/smoke? | (01) Cigarette, cigar, pipe (02) Cooking unit (03) Heater (04) Wiring (05) Motor vehicle battery caps, radiator caps (06) Fireworks (07) Other explosive (08) Water or steam (09) Food (10) Chemicals (11) Other (97) Refused (99) Don’t know | Injury episodes for persons who had at least one injury during the past 3 months caused by fire/burn/scald related |
| 2004 | Question no longer included in the survey. | |||
| 1997-1999 | FIJ.160 | What body of water was involved? | (1) Bathtub (2) Swimming pool (3) Lake, pond (4) Bay, ocean, sea (5) River, creek (6) Other (7) Refused (9) Don’t know | Injury episodes for persons who had at least one injury during the past 3 months that involved water |
| 2000 | Question no longer included in the survey. | |||
| 1997-1999 | FIJ.170 | How did {you/subject’s name} fall? Anything else? (Record up to 2 responses) | On or down or from: (01) Escalator (02) Stairs or steps (03) Floor/level ground (04) Curb, including sidewalk (05) Ladder or scaffolding (06) Playground equipment (07) Building or other structure (08) Chair, bed, sofa or other furniture (09) Tree (10) Toilet, commode (11) Bathtub, shower Into: (12) Swimming pool (13) Hole or other opening (14) Other (97) Refused (99) Don’t know | Injury episodes for persons who had at least one injury during the past 3 months due to a fall |
| 2000-2003 | FIJ.171 | How did {you/subject’s name} fall? Anything else? (Record up to 2 responses) | On, down, from or into: (01) Stairs, steps or escalator (02) Floor/level ground (03) Curb, including sidewalk (04) Ladder or scaffolding (05) Playground equipment (06) Building or other structure (07) Chair, bed, sofa or other furniture (08) Bathtub, shower, toilet or commode (09) Hole or other opening (10) Other (97) Refused (99) Don’t know | Injury episodes for persons who had at least one injury during the past 3 months due to a fall |
| 2004-present | FIJ.130_00.000 | How did {you/subject’s name} fall? Anything else? (Record up to 2 responses) | (01) Stairs, steps or escalator (02) Floor or level ground (03) Curb (including sidewalk) (04) Ladder or scaffolding (05) Playground equipment (06) Sports field, court, or rink (07) Building or other structure (08) Chair, bed, sofa or other furniture (09) Bathtub, shower, toilet or commode (10) Hole or other opening (11) Other (97) Refused (99) Don’t know | All medically-consulted injury episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000, due to a fall |
| 1997-2003 | FIJ.180 | What caused {you/subject’s name} to fall? Was it due to: | (1) Slipping, tripping or stumbling (2) Jumping or diving (3) Collision with/pushing, shoving by another person (4) Loss of balance/dizziness/becoming faint/seizure (5) Or something else (7) Refused (9) Don’t know | Injury episodes for persons who had at least one injury during the past 3 months due to a fall |
| 2004-present | FIJ.131_00.000 | What caused [fill: you/ALIAS] to fall? | (1) Slipping or tripping (2) Jumping or diving (3) Bumping into an object or another person (4) Being shoved or pushed by another person (5) Loss of balance or having dizziness (becoming faint or having a seizure) (6) Other (7) Refused (9) Don’t know | All medically-consulted injury episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000, due to a fall |
| 1997-1999 | FIJ.190 | What kind of gun was it? | (1) Firearm (handgun, shotgun, rifle) (2) BB or pellet gun (3) Dart gun (4) Other (7) Refused (9) Don’t know | Injury episodes for persons who had at least one injury during the past 3 months due to a gun/being shot |
| 2000 | Question no longer included in the survey. | |||
| 2000-2003 | FIJ.191 | What type of animal or insect bit {you/subject’s name}? | (01) Dog (02) Cat (03) Poisonous snake/reptile (04) Nonpoisonous snake/reptile (05) Unknown snake/reptile (06) Poisonous insect (07) Nonpoisonous insect (08) Unknown insect (09) Rodent (10) Other (97) Refused (99) Don’t know | Injury episodes for persons who had at least one injury during the past 3 months due to an animal or insect bite |
| 2004 | Question no longer included in the survey. | |||
| 1997-1999 | FIJ.200 | What {were/was} {you/subject’s name} doing when the injury(s) happened? (Record up to 2 responses) | (01) Driving (02) Working at paid job (03) Working around the house or yard (04) Attending school (05) Unpaid work (incl. housework, shopping, volunteer work) (06) Sports (organized team or individual sport such as running, biking, skating) (07) Leisure activity (excluding sports) (08) Sleeping, resting, eating, drinking (09) Cooking (10) Being cared for (hands on care from other person) (11) Other (97) Refused (99) Don’t know | Injury episodes for persons who had at least one injury during the past 3 months |
| 2000-2003 | FIJ.200 | What {were/was} {you/subject’s name} doing when the injury/poisoning happened? (Record up to 2 responses) | (01) Driving or riding in a motor vehicle (02) Working at paid job (03) Working around the house or yard (04) Attending school (05) Unpaid work (incl. housework, shopping, volunteer work) (06) Sports (organized team or individual sport such as running, biking, skating) (07) Leisure activity (excluding sports) (08) Sleeping, resting, eating, drinking (09) Cooking (10) Being cared for (hands on care from other person) (11) Other (97) Refused (99) Don’t know | Injury and/or poisoning episodes for persons who had at least one injury or poisoning during the past 3 months |
| 2004-present | FIJ.150_00.000 | What activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: injury/poisoning]? (Record up to 2 responses) | (01) Driving or riding in a motor vehicle (02) Working at a paid job (03) Working around the house or yard (04) Attending school (05) Unpaid work (such as volunteer work) (06) Sports and exercise (07) Leisure activity (excluding sports) (08) Sleeping, resting, eating, or drinking (09) Cooking (10) Being cared for (hands-on care from other person) (11) Other, please specify (97) Refused (99) Don’t know | All medically-consulted injury/poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000 |
| 2004-present | FIJ.151_00.000 | What other activity [fill1: were you/was ALIAS] involved in at the time of the [fill2: inury/poisoning]? | Verbatim response (7) Refused (9) Don’t know | All medically-consulted injury/poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01 to FIJ.028_00.000, involving some “other” activity at the time |
| 1997-1998 | FIJ.220 | Where (were/was} {you/subject’s name} when the injury(s) happened? (Record up to 2 responses) | (01) Home (inside) (02) Home (outside) (03) School (not residential) (04) Child care center or preschool (05) Residential institution (excl. hospital) (06) Health care facility (incl. hospital) (07) Street/highway (08) Parking lot (09) Sport facility, ath. field or playground (10) Trade and service areas (restaurant, store, bank, gas station) (11) Farm (12) Park/recreation area (fields, bike or jog path) (13) River/lake/stream/ocean (14) Swimming pool (15) Industrial or construction area (16) Mine/quarry (17) Other public building (18) Other (97) Refused (99) Don’t know | Injury episodes for persons who had at least one injury during the past 3 months |
| 1999 | FIJ.220 | Where (were/was} {you/subject’s name} when the injury(s) happened? (Record up to 2 responses) | (01) Home (inside) (02) Home (outside) (03) School (not residential) (04) Child care center or preschool (05) Residential institution (excl. hospital) (06) Health care facility (incl. hospital) (07) Street/highway (08) Parking lot (09) Sport facility, ath. field or playground (10) Trade and service areas (shopping center, restaurant, store, bank, gas station) (11) Farm (12) Park/recreation area (fields, bike or jog path) (13) River/lake/stream/ocean (14) Swimming pool (15) Industrial or construction area (16) Mine/quarry (17) Other public building (18) Other (97) Refused (99) Don’t know | Injury episodes for persons who had at least one injury during the past 3 months |
| 2000-2003 | FIJ.221 | Where (were/was} {you/subject’s name} when the injury/poisoning happened? (Record up to 2 responses) | (01) Home (inside) (02) Home (outside) (03) School (not residential) (04) Child care center or preschool (05) Residential institution (excl. hospital) (06) Health care facility (incl. hospital) (07) Street/highway (08) Parking lot (09) Sport facility, ath. field or playground (10) Trade and service areas (shopping center, restaurant, store, bank, gas station) (11) Farm (12) Park/recreation area (fields, bike or jog path) (13) River/lake/stream/ocean (14) Industrial or construction area (15) Other public building (16) Other (97) Refused (99) Don’t know | Injury and/or poisoning episodes for persons who had at least one injury or poisoning during the past 3 months |
| 2004-present | FIJ.160_00.000 | Where (were/was} {you/subject’s name} when the injury/poisoning happened? (Record up to 2 responses) | (01) Home (inside) (02) Home (outside) (03) School (not residential) (04) Child care center or preschool (05) Residential institution (excl. hospital) (06) Health care facility (incl. hospital) (07) Street/highway (08) Sidewalk (09) Parking lot (10) Sport facility, athletic field, or playground (11) Shopping center, restaurant, store, bank, gas station, or other place of business (12) Farm (13) Park/recreation area (include bike or jog path) (14) River, lake, stream, or ocean (15) Industrial or construction area (16) Other public building (17) Other (97) Refused (99) Don’t know | All medically-consulted injury/poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000 |
| 1997-1999 | FIJ.240 | {Were/Was} {you/subject’s name} hospitalized for at least one night as a result of this injury/these injuries? | (1) Yes (2) No (7) Refused (9) Don’t know | Injury episodes for persons who had at least one injury during the past 3 months |
| 2000-2003 | No longer a separate question. Now included as a response category for question FIJ.045 | |||
| 2004-present | FIJ.090_00.000 | F1[fill1: Were you/Was ALIAS] hospitalized for at least one night as a result of this [fill2: injury/poisoning]? | (1) Yes (2) No (7) Refused (9) Don’t know | All medically-consulted injury/poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000 |
| 1997-1999 | FIJ.250 | How many nights {were/was} {you/subject’s name} in the hospital? | (01-94) 1-94 nights (95) 95+ nights (97) Refused (99) Don’t know | Injury episodes for persons who had at least one injury during the past 3 months that resulted in hospitalization |
| 2000-2003 | FIJ.047 | How many nights {were/was} {you/subject’s name} in the hospital? | (01-94) 1-94 nights (95) 95+ nights (97) Refused (99) Don’t know | Injury and/or poisoning episodes for persons who had at least one injury or poisoning during the past 3 months that resulted in hospitalization |
| 2004-present | FIJ.091_00.000 | How many nights {were/was} {you/subject’s name} in the hospital? | (01-94) 1-94 nights (95) 95+ nights (97) Refused (99) Don’t know | All medically-consulted injury/poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000, resulting in hospitalization |
| 2004-present | FIJ.170_00.000 | At the time of this [fill1: injury/poisoning], [fill2: were you/was ALIAS] employed full-time, part-time, or not employed? | (1) Full-time (2) Part-time (3) Not employed (7) Refused (9) Don’t know | All medically-consulted injury/poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000 to persons 13 years of age or older |
| 1997-1999 | FIJ.260 | As a result of this injury/these injuries, how much work did{you/subject’s name} miss? | (0) None (1) Less than 1 day (2) 1 to 5 days (3) Six or more days (6) Not employed at the time of the injury (7) Refused (9) Don’t know | Injury episodes for persons > 13 years who had at least one injury during the past 3 months |
| 2000-2003 | FIJ.260 | As a result of this injury/poisoning, how much work did {you/subject’s name} miss? | (1) Not employed at the time of the injury/poisoning (2) None (3) Less than 1 day (4) 1 to 5 days (5) Six or more days (7) Refused (9) Don’t know | Injury and/or poisoning episodes for persons > 13 years who had at least one injury or poisoning during the past 3 months |
| 2004-present | FIJ.171_00.000 | As a result of this [fill1: injury/poisoning], how many days of work did [fill2: you/ALIAS] miss? | (1) None (2) Less than one day (3) One to five days (4) Six or more days (7) Refused (9) Don’t know | All medically-consulted injury/poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000 to persons 13 years of age or older, where the person was employed at the time |
| 2004-present | FIJ.180_00.000 | At the time of this [fill1: injury/poisoning], [fill2: were you/was ALIAS] a full-time student, part-time student or not a student? | (1) Full-time (2) Part-time (3) Not a student (7) Refused (9) Don’t know | All medically-consulted injury/poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000 to persons 5 years of age or older |
| 1997-1999 | FIJ.270 | As a result of this injury/these injuries, how much school did {you/subject’s name} miss? | (0) None (1) Less than 1 day (2) 1 to 5 days (3) Six or more days (6) Not in school at the time of the injury (7) Refused (9) Don’t know | Injury episodes for persons > 4 years who had at least one injury during the past 3 months |
| 2000-2003 | FIJ.270 | As a result of this injury/poisoning, how much school did {you/subject’s name} miss? | (1) Not in school at the time of the injury/poisoning (2) None (3) Less than 1 day (4) 1 to 5 days (5) Six or more days (7) Refused (9) Don’t know | Injury and/or poisoning episodes for persons > 4 years who had at least one injury or poisoning during the past 3 months |
| 2004-present | FIJ.181_00.000 | As a result of this [fill1: injury/poisoning], how many days of school did [fill2: you/ALIAS] miss? | (1) None (2) Less than one day (3) One to five days (4) Six or more days (7) Refused (9) Don’t know | All medically-consulted injury/poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000 to persons 5 years of age or older, where the person was a student at the time |
| 1997-1999 | FIJ.280 | As a result of this injury/theses injuries {do/does}{you/subject’s name} now need the help of other persons with {your/his/her} personal care needs, such as eating, bathing, dressing or getting around this home? | (1) Yes (2) No (7) Refused (9) Don’t know | Injury episodes for persons > 4 years who had at least one injury during the past 3 months |
| 2000-2003 | FIJ.280 | As a result of this injury/poisoning {do/does}{you/subject’s name} now need the help of other persons with {your/his/her} personal care needs, such as eating, bathing, dressing, or getting around this home? | (1) Yes (2) No (7) Refused (9) Don’t know | Injury and/or poisoning episodes for persons > 4 years who had at least one injury or poisoning during the past 3 months |
| 2004 | Question no longer included in the survey. | |||
| 1997-1999 | FIJ.285 | Do you expect {you/subject’s name} will need this help for a total of 6 months or longer? | (1) Yes (2) No (7) Refused (9) Don’t know | Injury episodes for persons > 4 years who had at least one injury during the past 3 months that caused ADL limitations |
| 2000-2003 | FIJ.285 | Do you expect {you/subject’s name} will need this help for a total of 6 months or longer? | (1) Yes (2) No (7) Refused (9) Don’t know | Injury and/or poisoning episodes for persons > 4 years who had at least one injury or poisoning during the past 3 months that caused ADL limitations |
| 2004 | Question no longer included in the survey. | |||
| 1997-1999 | FIJ.290 | As a result of this injury/these injuries {do/does} {you/subject’s name} now need the help of other persons in handling routine needs such as everyday household chores, doing necessary business, shopping or getting around for other purposes? | (1) Yes (2) No (7) Refused (9) Don’t know | Injury episodes for persons > 4 years who had at least one injury during the past 3 months |
| 2000-2003 | FIJ.290 | As a result of this injury/poisoning {do/does} {you/subject’s name} now need the help of other persons in handling routine needs such as everyday household chores, doing necessary business, shopping or getting around for other purposes? | (1) Yes (2) No (7) Refused (9) Don’t know | Injury and/or poisoning episodes for persons > 4 years who had at least one injury or poisoning during the past 3 months |
| 2004 | Question no longer included in the survey. | |||
| 1997-1999 | FIJ.295 | Do you expect {you/subject’s name} will need this help for a total of 6 months or longer? | (1) Yes (2) No (7) Refused (9) Don’t know | Injury episodes for persons > 4 years who had at least one injury during the past 3 months that caused IADL limitations |
| 2000-2003 | FIJ.295 | Do you expect {you/subject’s name} will need this help for a total of 6 months or longer? | (1) Yes (2) No (7) Refused (9) Don’t know | Injury and/or poisoning episodes for persons > 4 years who had at least one injury or poisoning during the past 3 months that caused IADL limitations |
| 2004 | Question no longer included in the survey. | |||
| 1997-1999 | FIJ.300 | The next questions are about POISONING, which includes coming into contact with harmful substances, and overdose or wrong use of any drug or medication. Do not include any illnesses such as poison ivy or food poisoning. DURING THE PAST THREE MONTHS, that is since {91 days before today’s date}, did {you/anyone in the family} have a poisoning that caused someone to seek medical advice or treatment, including calls to a poison control center? | (1) Yes (2) No (7) Refused (9) Don’t know | All families |
| 2000-2003 | FIJ.010 | In this next set of questions, I will ask about INJURIES AND POISONINGS that happened in the PAST THREE MONTHS; that REQUIRED MEDICAL ADVICE OR TREATMENT, including calls to a poison control center. DURING THE PAST THREE MONTHS, that is since {91 days before today’s date}, {were/was} {you/anyone in the family} injured or poisoned seriously enough that {you/they} got medical advice or treatment? |
(1) Yes (2) No (7) Refused (9) Don’t know | All families |
| 2004-present | FIJ.020_00.000 | DURING THE PAST THREE MONTHS, that is since [fill1: (date 91 days before today’s date)], [fill2: were you/was anyone in your family] poisoned by swallowing or breathing in a harmful substance such as bleach, carbon monoxide, or too many pills or drugs? Do not include food poisoning, sun poisoning, or poison ivy rashes. | (1) Yes (2) No (7) Refused (9) Don’t know | All families |
| 1997-1999 | FIJ.310 | Who was this? (Anyone else?) | Assigned family number of person who was poisoned | All persons |
| 2000-2003 | FIJ.020 | Who was this? (Anyone else?) | Assigned family number of person who was injured or poisoned | All persons |
| 2004-present | FIJ.022_00.000 | Who was this? (Anyone else?) | Assigned family number of person who was poisoned | All persons |
| 2004-present | FIJ.024_00.000 | DURING THE PAST THREE MONTHS, how many different times [fill: were you/was ALIAS] poisoned? Do not include food poisoning, sun poisoning, or poison ivy rashes. | (01-91) 1-91 times (97) Refused (99) Don’t know | All persons poisoned during the past 3 months |
| 2004-present | FIJ.026_00.000 | Did [fill1: you /ALIAS] talk to or see a medical professional about [fill2: any of these poisonings/this poisoning/your poisoning or poisonings/his poisoning or poisonings/her poisoning or poisonings]? | (1) Yes (2) No (7) Refused (9) Don’t know | All persons with at least one or an unknown number of poisoning episodes during the past 3 months |
| 1997-1999 | FIJ.320 | How many different times in the PAST THREE MONTHS {were/was}{you/subject’s name} poisoned? | (01-94) 1-94 times (95) 95+ times (97) Refused (99) Don’t know | Persons who were poisoned during the past 3 months |
| 2000 | FIJ.030 | How many different times in the PAST THREE MONTHS did {you/subject’s name} SEEK MEDICAL ADVICE because {you/subject’s name} {were/was} injured or poisoned? | 01-94 times | Persons who were injured and/or poisoned during the past 3 months |
| 2001-2003 | FIJ.030 | How many different times in the PAST THREE MONTHS {were/was} {you/subject’s name} injured or poisoned seriously enough to seek medical advice or treatment? | 01-94 times | Persons who were injured and/or poisoned during the past 3 months |
| 2004-present | FIJ.028_00.000 | Of [fill1: the number of times reported in question FIJ.024_00.000/all the] times that [fill2: you were/ALIAS was] poisoned, how many of those times was the poisoning serious enough that a medical professional was consulted? | (01-91) 1-91 times (97) Refused (99) Don’t know | All persons who consulted a medical professional for their poisoning episode(s) |
| 1997 | FIJ.330 | If only one poisoning: When did {subject’s name} poisoning happen? If more than one poisoning: Now I’m going to ask a few question about {subject’s name} most recent poisoning. When did that poisoning happen? We just talked about {subject’s name} poisoning on {recent poisoning date}. When did {subject’s name} poisoning BEFORE THAT happen? |
Month: (1) January (2) February (3) March (4) April (5) May (6) June (7) July (8) August (9) September (10) October (11) November (12) December (97) Refused (99) Don’t know Day: (01-31) 1-31 (97) Refused (99) Don’t know Year: (1996-1998) 1996-1998 (9997) Refused (9999) Don’t know |
Poison episodes for persons who had at least onepoisoning during the past 3 months |
| 1998 | Same as 1997 | Same as 1997 | Same as 1997 except Year changed to 1997-1999 | Same as 1997 |
| 1999 | Same as 1997 | Same as 1997 | Same as 1997 except Year changed to 1998-2000 | Same as 1997 |
| 2000 | FIJ.040 | If only one injury/poisoning: Now I’m going to ask a few questions about {your/subject’s name}’s most recent injury/poisoning. When did it happen? If there are additional injuries/poisonings: We just talked about {your/subject’s name}’s injury/poisoning on {recent injury/poisoning date}. When did {your/subject’s name}’s injury/poisoning BEFORE THAT happen? |
Same as 1997 except Year changed to 1999-2001 | Injury and/or poisoning episodes for persons who had at least one injury or poisoning during the past 3 months |
| 2001 | Same as 2000 | Same as 2000 | Same as 1997 except Year changed to 2000-2002 | Same as 2000 |
| 2002 | Same as 2000 | Same as 2000 | Same as 1997 except Year changed to 2001-2003 | Same as 2000 |
| 2003 | Same as 2000 | Same as 2000 | Same as 1997 except Year changed to 2002-2004 | Same as 2000 |
| 2004 | FIJ.050_01.000 FIJ.050_02.000 FIJ.050_03.000 |
{if only 1 injury/poisoning episode for the person}: When did [fill1: your/ALIAS’s] [fill2: injury/poisoning] happen for which a medical professional was consulted? {first of multiple injury/poisoning episodes for the person}: Now I’m going to ask a few questions about the [fill3: the number of times injured/poisoned reported in question FIJ.018_00.00/FIJ.028_00.000] times [fill4: you were/ALIAS was[fill5: injured/poisoned] for which a medical professional was consulted. Starting with the most recent time, when did this [fill2: injury/poisoning] happen? {second plus of multiple injury/poisoning episodes for the person}: You just told me about [fill1: your/ALIAS’s] [fill6: (month, day of previous event)] [fill7:most recent/second most recent/third most recent/fourth most recent][fill2: injury/poisoning]. What was the date of the [fill2: injurybefore that for which a medical professional was consulted? |
Month: (1) January (2) February (3) March (4) April (5) May (6) June (7) July (8) August (9) September (10) October (11) November (12) December (97) Refused (99) Don’t know Day: (01-31) 1-31 (97) Refused (99) Don’t know Year: (2003-2005) 2003-2005 (9997) Refused (9999) Don’t know |
All medically-consulted injury/poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000 |
| 2005-present | Same as 2004 | Same as 2004 | Same as 2004 except Year changed to the year before the current survey year, the current survey year, and the year after the current survey year; for example, if the survey year is 2005 then the values for Year would be 2004-2006 | Same as 2004 |
| 1997-1999 | FIJ.340 | Did {you/subject’s name} poisoning result from: | (1) A drug or medical substance used mistakenly or in overdose (2) A harmful or toxic solid or liquid substance (3) Inhaling gases or vapors (4) Eating a poisonous plant or other substance mistaken for food (5) A venomous animal or plant (6) Something else (7) Refused (9) Don’t know | Poison episodes for persons who had at least one poisoning during the past 3 months |
| 2000-2003 | FIJ.195 | Did {you/subject’s name} poisoning result from: | (01) A drug or medical substance used mistakenly or in overdose (02) A harmful or toxic solid or liquid substance (03) Inhaling gases or vapors (04) Eating a poisonous plant or other substance mistaken for food (05) A venomous animal or plant (06) Food poisoning (07) Allergic reaction (08) Something else (97) Refused (99) Don’t know | Poison episodes for persons who had at least one poisoning during the past 3 months |
| 2004-present | FIJ.140_00.000 | What did [fill: your/ALIAS’s] poisoning result from? | (01) Swallowing a drug or medical substance mistakenly or in overdose (02) Swallowing or touching a harmful solid or liquid substance (03) Inhaling harmful gases or vapors (04) Eating a poisonous plant or other substance mistaken for food (05) Being bitten by a poisonous animal (06) Other, specify (7) Refused (9) Don’t know | All medically-consulted poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000 |
| 2004-present | FIJ.141_00.000 | How did [fill: your/ALIAS’s] poisoning occur? | Verbatim response (7) Refused (9) Don’t know | All medically-consulted poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01 to FIJ.028_00.000, involving some “other” cause of the poisoning |
| 1997-1999 | FIJ.350 | Not a question. Description of how the poisoning happened | Verbatim response | Poison episodes for persons who had at least one poisoning during the past 3 months |
| 2000-2003 | FIJ.070 | How did {your/subject’s name}’s injury/poisoning happen? Please describe fully the circumstances or events leading to the injury/poisoning, and any object, substance, or other person involved. | Verbatim response | Injury and/or poisoning episodes for persons who had at least one injury or poisoning during the past 3 months |
| 2004-present | FIJ.060_00.000 | [fill1: How did [fill2: your/ALIAS’s] [fill3: injury/poisoning] on [fill4: response to questions FIJ.050_01.000 and FIJ.050_02.000 (starting with most recent if multiple)] happen?/How did this [fill3: injury/poisoning] happen?] Please describe fully the circumstances or events leading to the [fill3: injury/poisoning], and any objects, substances, or other people involved. | Verbatim response (7) Refused (9) Don’t know | All medically-consulted injury/poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01 to FIJ.028_00.000 |
| 1997-1999 | FIJ.360 | Did you or did someone else call a poison control center for advice in treating {subject’s name} poisoning? | (1) Yes (2) No (7) Refused (9) Don’t know | Poison episodes for persons who had at least one poisoning during the past 3 months |
| 2000-2003 | Combined with injury question. No longer a separate question. Now included as a response category for question FIJ.045 | |||
| 2004-present | FIJ.080_01.000 | Did [fill: you/ALIASget MEDICAL ADVICE, TREATMENT, or FOLLOW-UP CARE for this poisoning from.. A phone call to a poison control center? | (1) Yes (2) No (7) Refused (9) Don’t know | All medically-consulted poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000 |
| 1997-1999 | FIJ.370 | {Were/Was} {you/subject’s name} hospitalized for at least one night as a result of this poisoning? | (1) Yes (2) No (7) Refused (9) Don’t know | Poison episodes for persons who had at least one poisoning during the past 3 months |
| 2000-2003 | Combined with injury question. No longer a separate question. Now included as a response category for question FIJ.045 | |||
| 2004-present | FIJ.090_00.000 | F1[fill1: Were you/Was ALIAS] hospitalized for at least one night as a result of this [fill2: injury/poisoning]? | (1) Yes (2) No (7) Refused (9) Don’t know | All medically-consulted injury/poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000 |
| 1997-1999 | FIJ.380 | How many nights {were/was} {you/subject’s name} in the hospital? | (01-94) 1-94 nights (95) 95+ nights (97) Refused (99) Don’t know | Poison episodes for persons who had at least one poisoning during the past 3 months that resulted in hospitalization |
| 2000-2003 | FIJ.047 | How many nights {were/was} {you/subject’s name} in the hospital? | (01-94) 1-94 nights (95) 95+ nights (97) Refused (99) Don’t know | Injury and/or poisoning episodes for persons who had at least one injury or poisoning during the past 3 months that resulted in hospitalization |
| 2004-present | FIJ.091_00.000 | How many nights {were/was} {you/subject’s name} in the hospital? | (01-94) 1-94 nights (95) 95+ nights (97) Refused (99) Don’t know | All medically-consulted injury/poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000, resulting in hospitalization |
| 1997-1999 | FIJ.400 | As a result of this poisoning, how much work did {you/subject’s name} miss? | (0) None (1) Less than 1 day (2) 1 to 5 days (3) Six or more days (6) Not employed at the time of the poisoning (7) Refused (9) Don’t know | Poison episodes for persons > 13 years who had at least one poisoning during the past 3 months |
| 2000-2003 | FIJ.260 | As a result of this injury/poisoning, how much work did {you/subject’s name} miss? | (1) Not employed at the time of the injury/poisoning (2) None (3) Less than 1 day (4) 1 to 5 days (5) Six or more days (7) Refused (9) Don’t know | Injury and/or poisoning episodes for persons > 13 years who had at least one injury or poisoning during the past 3 months |
| 2004-present | FIJ.171_00.000 | As a result of this [fill1: injury/poisoning], how many days of work did [fill2: you/ALIAS] miss? | (1) None (2) Less than one day (3) One to five days (4) Six or more days (7) Refused (9) Don’t know | All medically-consulted injury/poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000 to persons 13 years of age or older, where the person was employed at the time |
| 1997-1999 | FIJ.410 | As a result of this poisoning, how many days of school did {you/subject’s name} miss? | (0) None (1) Less than 1 day (2) 1 to 5 days (3) Six or more days (6) Not in school at the time of the poisoning (7) Refused (9) Don’t know | Poison episodes for persons > 4 years who had at least one poisoning during the past 3 months |
| 2000-2003 | FIJ.270 | As a result of this injury/poisoning, how much school did {you/subject’s name} miss? | (1) Not in school at the time of the injury/poisoning (2) None (3) Less than 1 day (4) 1 to 5 days (5) Six or more days (7) Refused (9) Don’t know | Injury and/or poisoning episodes for persons > 4 years who had at least one injury or poisoning during the past 3 months |
| 2004-present | FIJ.181_00.000 | As a result of this [fill1: injury/poisoning], how many days of school did [fill2: you/ALIAS] miss? | (1) None (2) Less than one day (3) One to five days (4) Six or more days (7) Refused (9) Don’t know | All medically-consulted injury/poisoning episodes that reportedly occurred during the past 3 months based on responses to family level questions FIJ.010_01.000 to FIJ.028_00.000 to persons 5 years of age or older, where the person was a student at the time |
* The response categories listed are those found in the questionnaire. During the editing process, an additional category of “Not ascertained” (8, 98, 998, or 9998) was added to account for persons who did not select any of the response categories associated with the question.