A New Source of Health Information for Illinois
Survey Content

Survey Instruments
IHS Adult Supplement
IHS Youth Core
IHS Adolescent Supplement

 Topic Overview Adult
(Ages 18+)
Youth
(Ages 0-17)
Adolescent
Supplement
(Ages 12-17)
 Demographics      
    Age, gender, race/ethnicity, primary language BRFSS ü  
    Marital status, household composition

BRFSS

   
    Education level BRFSS    
    County of residence, zip code, number phone lines per
    household
BRFSS    
    Veteran status BRFSS    
    Attended school last week     ü
 Chronic Health Conditions      
    General health BRFSS ü  
    Asthma BRFSS ü  
    Diabetes BRFSS ü  
    Heart attack, angina, coronary artery disease

ü,BRFSS

   
    Cancer, prostate cancer BRFSS    
    Birth weight, prematurely, NICU/specialty care use   ü  
    ADHD, screening, treatment   ü  
    Autism/Asberger's, treatment   ü  
    Seizures, treatment   ü  
    Hay fever/breathing, skin allergies, food allergies, 
    treatment
  ü  
 Acute Health Conditions      
    Frequent headaches, stomach pains, growing pains,
    treatment, burden
  ü  
    Serious injury, frequency, cause, effect   ü  
    Infectious disease, past 12 months   ü  
    Bed time, wake time, snore frequency, nap frequency   ü ü
    Days school missed due to health problem     ü
 Disability      
    Hearing, vision problems   ü  
    Treatment for hearing, vision problems   ü  
    Fall frequency, severity BRFSS    
    Limitations, special equipment use BRFSS    
    Learning problems, treatment   ü  
    Physical developmental delay, speech delay, treatment,
    burden
  ü  
 Mental Health      
    Mental health status, emotional support, life satisfaction ü    
    Depression/anxiety ü ü  
    Behavior/conduct problems, treatment   ü  
    Conduct disorder screen     ü
    Perceived need, use of mental health services ü   ü
    Parental perceived need of mental health services     ü
    Use of alcohol/drug services ü    
    Emotional functioning   ü ü
    Ever incarcerated ü    
 Women's Health      
    Pregnancy status BRFSS    
    Pap test screening BRFSS    
    Mammogram screening, breast exam BRFSS    
    Hysterectomy, ever BRFSS    
 Disease Prevention      
    Flu, shot, why no flu shot, pneumonia shot BRFSS    
    Hepatitis B vaccine, risk factors BRFSS    
    Sigmoidoscopy, colonoscopy, screening BRFSS    
    PSA screening, digital rectal exam BRFSS    
    Up to date with immunization, ever refused
    immunizations, why refuse
  ü  
    Missed well child visits, past 2 years   ü  
    Ever screened for lead, treatment   ü  
 Injury Prevention      
    Bike helmet use ü ü ü
    Seat belt use BRFSS ü  
    Car/booster seat use, front seat riding   ü  
    In car with driver who has been drinking, age of driver     ü
    Guns in home, stored in locked place, handguns ü    
 Health Behaviors      
    Height & weight, perception of weight BRFSS, ü ü ü
    Perception of height   ü  
    Trying to change weight ü   ü
    Diet/exercise/other to change weight     ü
    Perception of physical activity   ü  
    Physical activity, past 7 days ü ü ü
    Number of days of physical activity in past 7   ü ü
    Exercise activities sponsored by school, PE required     ü
    Steroid or HGH use to build muscle     ü
    Dietary intake-fruit, vegetables, fast food, high sugar ü ü ü
    Dietary intake-milk, soda, juice   ü ü
    Smoking status BRFSS   ü
    Alcohol consumption, drinking while driving BRFSS   ü
    Age at first drink     ü
    Marijuana, cocaine, meth, other drug use ü   ü
    Inhalant, injection drugs, prescription durg use     ü
    Age at first drug use, use past 30 days     ü
    HIV/AIDS testing BRFSS    
    Age at first sexual intercourse, oral sex frequency, age at 
    first oral sex
    ü
    Sexual orientation, pregnancy/STD prevention     ü
    Ever pregnant or got someone pregnant     ü
    STD/HIV testing, past 12 months     ü
 Interpersonal Violence      
    Carried weapon, number days, on school property     ü
    Felt unsafe at school, frequency past 30 days     ü
    Physical fight frequency, physical fight with gang member     ü
    Boyfriend, girlfriend physical violence     ü
 Health Care Utilization and Access      
    Usual source of care & visits to medical doctor, ED visits, why ED BRFSS, ü ü  
    Health insurance, coverage past 12 months

 ü,BRFSS

ü  
    Delayed care, reasons why delayed, what delayed ü ü  
    Dental visits, oral health status BRFSS    
    Health care w/o parental knowledge     ü
    Language barriers   ü  
 Employment, Household Income and Program Participation      
    Employment status BRFSS   ü
    Income BRFSS    
    Program participation-TANF, food stamps, WIC, SSI, Social 
    Security
ü ü  
    Free or reduced school lunch   ü  
 Child Care      
    Past child care, where   ü  
    Pay for child care, trouble paying, help paying   ü  
 Adult Supervision      
    Adult presence after school     ü
    Parental knowledge about where to go at night, free time,
    afternoons
    ü
    Plans after high school    

ü

    Internet access

    ü
 Neighborhood Environment      
    Neighborhood safety, cohesion     ü