FIRST ANNUAL REPORT
VOLUME I: DATA COLLECTION
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ENVIRONMENTAL AND FAMILIAL DETERMINANTS OF
CHRONIC RESPIRATORY DISEASE IN ADOLESCENTS
FIRST ANNUAL REPORT
VOLUME I: DATA COLLECTION
Prepared for the
Environmental Protection Agency
Research Triangle Park
North Carolina 27711
under Contract No. 68-02-0793
By
Copley International Corporation
7817 Herschel Avenue
Lajolla, California 92037
October, 1974
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ACKNOWLEDGMENTS
Copley International Corporation gratefully acknowledges the cooperation of
the officials and teachers of the Covina Valley Unified School District, the Garden
Grove Unified School District, and the Vista Unified School District, as well as the
many private citizens in the Southern California area who gave generously of their
time by participating in the studies described in this report. Without their whole-
hearted cooperation, this report would not have been possible.
Copley International Corporation is grateful to Dr. C. Ray Thompson of the
University of California, Riverside, for the air monitoring support that he and his
staff provided in connection with the performance of the contract studies.
Copley International Corporation is especially grateful to Dr. Robert S.
Chapman and Mr. Dennis E. House of the Environmental Protection Agency for
their counsel and assistance in the conduct of the study.
The work upon which this report is based was performed pursuant to Con-
tract No. 68-02-0793 with the Environmental Protection Agency.
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CONTRIBUTIONS
The overall responsibility for this study was undertaken by Mr. R. David
Flesh of Copley International Corporation. Ms. Joyce G. Revlett, Project Coordi-
nator, served as principal author. Others who contributed to this report included
Ms. Marian O. Doscher, Senior Industrial Economist; Mr. Stanley C. Schroeder,
Survey Analyst; and Ms. Linda E. Hanson, Manuscript Typist.
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TABLE OF CONTENTS
Page
ACKNOWLEDGMENTS . . . ii
CONTRIBUTIONS iii
LIST OF TABLES vi
LIST OF FIGURES vii
LIST OF APPENDICES viii
INTRODUCTION 1
OUTLINE OF THE STUDIES 3
Studies Already Undertaken 3
Studies to be Undertaken 5
STUDY LOCATIONS - 6
HEALTH DATA COLLECTION UNDERTAKEN 13
Pilot Study 13
Phase 1 18
Sample Selection 18
Family Health Study Questionnaire Distribution 22
Administration of Student Health Study Questionnaires .... 25
Conduct of Pulmonary Function Tests and Collection of
Alveolar Breath Samples 26
Data Analysis 30
Family Health Study Questionnaire Non-Respondent
Callbacks 34
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TABLE OF CONTENTS (CONT'D)
Page
AIR MONITORING FACILITIES 37
CONCLUDING COMMENTS 38
APPENDICES
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LIST OF TABLES
Table Page
1 Key population characteristics of the study locations 13
2 Numbers of students who completed Student Health Study. Ques -
tionnaires, performed pulmonary function tests, and provided
alveolar breath samples in the pilot study 16
3 Numbers of Family Health Study Questionnaires distributed and
returned in the pilot study by method of distribution 17
4 Number of students enrolled in physical education classes in
which the project activities were conducted 22
5 Number of Family Health Study Questionnaires distributed and
returned, by community and grade 24
6 Number of Student Health Study Questionnaires completed, by
sex 26
7 Numbers of students who performed pulmonary function tests
and provided alveolar breath samples 28
8 Number of non-respondents selected and callbacks made, by
category of non-response, by community 37
9 Pollutants measured and methods of measurement used in the
CHESS air monitoring stations . . . 38
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LIST OF FIGURES
Figure Page
1 Los Angeles Metropolitan Area - Urban Portion (map) . 9
2 City of Covina 10
3 City of Garden Grove 11
4 City of Vista 12
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LIST OF APPENDICES
Appendix
A Family Health Study Questionnaire - Pilot Study
B Student Health Study Questionnaire - Pilot Study
C Student Health Study Questionnaire - Phase 1
D Family Health Study Questionnaire - Phase 1
E High School Pulmonary Function Test Report Form
F " Pulmonary Function Testing Time Schedule
G Questionnaire Administration and Pulmonary Function Testing Schedule
H Instructions for Administering Student Questionnaires
I Technical Instructions for Operating Tape Recorders in Pulmonary
Function Testing
J Pulmonary Function Testing Instructions
K Supplemental Coding Instructions
L Information to be Cross-Linked to Student Health Study Questionnaire
M Instructions for Coding Student Health Study Questionnaires
N Instructions for Coding Family Health Study Questionnaires
O Instructions for Making Non-Respondent Callbacks
P Non-Respondent Callback Dialogue
Q Non-Respondent Callback Response Sheet
R Formats for Tables to be Developed From Student Health Study Questionnaires
S Formats for Tables to be Developed From Student Health Study Questionnaires
T Formats for Tables to be Developed From the Pulmonary Function Tests
and the Alveolar Carbon Monoxide Assays
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ENVIRONMENTAL AND FAMILIAL DETERMINANTS OF
CHRONIC RESPIRATORY DISEASE IN ADOLESCENTS
FIRST ANNUAL REPORT
VOLUME I: DATA COLLECTION
INTRODUCTION
In May 1973, Copley International Corporation (CIC) was awarded a contract
(No. 68-02-0793) by the Environmental Protection Agency (EPA) to participate in the
first of a series of epidemic logic studies to be conducted in the Los Angeles Basin.
Funding for this study was provided through an interagency agreement between the
EPA and the National Heart and Lung Institute. The overall project involves a co-
hort of intermediate and high school adolescents who are examined for selected
personal, environmental, and familial respiratory disease risk factors. The project
is designed to achieve two goals:
(1) To determine the prevalence of chronic respiratory disease
and related risk factors in intermediate and high school ado-
lescents and their families residing in neighborhoods of
exposure to documented high, intermediate, and low levels
of oxidants and oxides of nitrogen.
(2) To determine the impact of these risk factors on a cohort of
adolescents reexamined after two years at a time when a sig-
nificant portion of the index subjects will have initiated the
cigarette smoking habit.
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The major hypotheses to be tested are whether:
(1) Cigarette smoking is associated with increased prevalence
of chronic respiratory disease symptoms and with impair-
ments in ventilatory function in adolescents.
(2) Persistent exposure to oxidants and oxides of nitrogen is
associated with increased prevalence of chronic respiratory
disease symptoms and with impairments in ventilatory
function in adolescents.
(3) Combined exposure to smoking and to oxidants and oxides
of nitrogen is associated with greater increases in preva-
lance of chronic respiratory disease symptoms and greater
impairments in ventilatory function than exposure to either
factor alone.
CIC's primary responsibility under the contract was to measure selected
health characteristics of persons residing in the Southern California communities
of Covina, Garden Grove, and Vista. The health characteristics of major interest
were chronic respiratory disease in adolescents, chronic respiratory disease in
parents, and ventilatory function in adolescents. Chronic respiratory disease
information was obtained through the administration of questionnaires. Ventilatory
function was measured by one-second forced expiratory volume (FEV^ Q) and forced
vital capacity (FVC). Additional CIC responsibilities included critiques of the data
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collection procedures designed by the EPA and reduction of the data collected dur-
ing the course of the field work.
Simultaneous measurements of ambient air characteristics in the same
communities were the responsibility of the University of California, Riverside
(UCR), under a separate contract with the EPA. Rockwell International Science
Center (RI) was responsible for obtaining and measuring student alveolar carbon
monoxide assays under subcontract to CIC. This latter work was done to determine
if such assays would provide an objective and accurate indication of cigarette smok-
ing frequency in adolescents. In adults, alveolar carbon monoxide levels are known
to be highly correlated with cigarette smoking frequency.
This volume covers the progress achieved by CIC in performing its project
responsibilities during the first contract year. It is divided into five sections: an
outline of the studies already undertaken and those to be undertaken in subsequent
years, a description of the study locations, the details of data collection surround-
ing the studies already undertaken, a description of the supporting air monitoring
facilities, and concluding comments.
OUTLINE OF THE STUDIES
CIC participated in two separate studies during the first year of the awarded
contract, with two additional studies scheduled during the second and third contract
years. Brief descriptions of the studies are given in the following subsections.
Studies Already Undertaken
Pilot Study
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Purpose:
Description:
Phase I
Purpose:
Description:
To identify and correct problems associated
with the wording of the questionnaires, the use
of physiologic test equipment and the logistics
of data collection.
Administration of questionnaires and pulmonary
function and breath sample tests to 300 eighth,
ninth, and tenth graders in the community,
followed by editing of the completed question-
naires and the hand tallying of the results.
To identify and evaluate selected personal,
environmental, and familial respiratory disease
risk factors to determine if children living in
high pollution communities experience greater
prevalence of chronic respiratory diseases and
have poorer ventilatory performance than chil-
dren living in low pollution communities.
Self-administered questionnaires were distributed
to approximately 3,000 eighth, ninth, and tenth
graders and their families in three communities
in Southern California. Students were also tested
for pulmonary function performance and alveolar
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carbon monoxide determinations were made. All
data were computerized and analyzed.
Studies to be Undertaken
Phase 2. In the second phase to be conducted in a subsequent year, sub-
samples of families with adolescents having selected chronic respiratory disease
risk factors will be studied more intensively utilizing pulmonary function tests,
serum studies, and more detailed family and medical histories. The specific risk
factors to be examined include a high frequency of acute lower respiratory disease,
diminished serum -alpha -1-antitrypsin, depressed pulmonary function, and a strong
family history of chronic respiratory disease. These subsamples will be matched
with families having adolescents without evidence of respiratory impairment. Iden-
tical studies will be performed on both sets of subsamples in each of the communities
selected to represent a gradient of oxidants and oxides of nitrogen. Data from these
studies would be used to assess the familial influence on adolescents' respiratory
impairments.
Phase 3. In the third phase to be conducted the following year, adolescents
initially studied and still attending high school will be reexamined. A portion of
this cohort will have initiated the cigarette smoking habit over the two year interval.
Data obtained from the baseline and follow-up examinations will be analyzed to test
the hypothesis that childhood exposure to oxidants and oxides of nitrogen adds to
the risk of developing chronic respiratory symptoms when the smoking habit is
initiated. In addition, the initial hypothesis examined in Phase 1 will be retested.
The contribution of other measured personal and familial risk factors to the onset
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or progress of symptoms and respiratory function status will also be quantified.
STUDY LOCATIONS
The first step leading to the conduct of the studies was the selection of com-
munities representative of a pollutant gradient. It seemed logical to utilize the
same communities in the Los Angeles Basin which were selected in 1971 by the
EPA for use in their Community Health and Environmental Surveillance System
(CHESS) program, which focuses on elementary school children and their families.
Covina, Garden Grove, and Thousand Oaks were initially considered by the EPA
for the CHESS program on the basis of published information about maximum oxidant
concentrations, climatic variations, and population characteristics. Final selection
was made after the EPA measured ozone levels in these communities and confirmed
that they are representative of a pollutant gradient. Major benefits to the three
phase studies of adolescents from using these communities were that:
(1) CHESS air monitoring stations had been erected in the com-
munities and were expected to continue operating throughout
the period during which the adolescent studies are to be
conducted.
(2) Because of the CHESS program, in which CIC serves EPA as
a data collection contractor, cordial working relationships
had already been established between CIC and the school
districts in the communities.
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The Garden Grove Unified School District and the Covina Valley Unified
School District both agreed to cooperate in the study of adolescents in the same
manner that they have in the CHESS program. Once again, Covina Valley would
not allow access to enrollment information other than class lists, but would dis-
tribute the necessary packet of information to children of families living within the
3.2 km (2.0 mile) radius of the CHESS air monitoring station located in that city.
Dealing with the Oxnard Union High School District, which held authority
over Thousand Oaks High School, posed two major problems. First, space avail-
able for nori-instructional use at Thousand Oaks High School is severely limited.
This is because the school was designed to accommodate a maximum of 1,800
students, but, because of a long term lack of building funds, the school is forced
to accommodate 2,700 students and thereby operates at 50 percent overcapacity.
Thus, it was the policy of the school district that the study could be conducted on
designated school days only after instruction had been completed, but not during
regular classroom hours. Second, it is the policy of the school district to require
informed consent from parents before permitting students to participate in any but
normal school activities. The consequence of these policies was that, unlike any
of the other schools in the study, participation of Thousand Oaks High School stu-
dents would be on a totally voluntary basis. Bias in the study results could have
arisen from this intractable situation.
Because of these problems, representatives of the Vista Unified School
District were contacted to learn if it would be possible to conduct the study in
Vista instead of Thousand Oaks. This change was deemed feasible since Vista,
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like Thousand Oaks, was selected by the EPA as an area of low pollution for use in
the CHESS program and, like all CHESS communities, has a CHESS air monitoring
station operating within its boundaries. The Vista school district offered their full
cooperation.
The Southern California communities finally chosen for inclusion in the
study are listed below according to pollutant gradient designation:
High oxidant community: Covina, California
Intermediate oxidant community: Garden Grove, California
Low oxidant community: Vista, California
As can be seen in Figure 1, the three communities form a rough geographic
triangle of the following intercity mileage distances:
Vista to Covina: 125 miles
Covina to Garden Grove: 35 miles
Garden Grove, California: 75 miles
As mentioned above, population characteristics were also considered by the
EPA in the choice of communities. The comparability of those communities selected,
with Vista substituted for Thousand Oaks, is demonstrated by the following informa-
tion taken from Bureau of the Census reports:
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L.OS AESJQEL.ES
METROPOLiTAN AREA
URBAN PORTION
Thousand Oaks
15 Miles
\n -i i ** &••**""' " ,^5;v "II '! "J
Garden Grove
Vista
75 Miles
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I
I—'
o
0 1/4 1/2 3^4
Scale in Miles
0 0.8
I
I
1.6
Scale in Kilometers
Figure 2.
CO VINA
Air monitorin;
Covina H.S
Walton Jr .
Jr. High
Source: University of California, Riverside
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Figure 3.
GARDEN GROVE
Walton
Inter T
mediate
Air monitoring
station
Garden Grove
High School
Garden Grc
Westminster
1/4 1/2 3/4
Scale in Miles
0.8
Source: University of California, Riverside
Scale in Kilometers
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Air monitoring
Washington- station
Jr. High
Scale in Miles
0.8
1.6
Source: University of California, Riverside
Scale in Kilometers
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Table 1. Key population characteristics of the study locations.
Characteristics
Population
White race (%)
No . of families
No . of persons per family
Median family income ($/year)
Median age (years)
Median no . years of school completed
Owner occupied housing (%)
Median rent paid ($/month)
Median home value
Covina
30,380
98.1
7,794
3.9
11,958
27.4
12.4
60.9
120
24,000
Community
Garden Grove
122,524
97.9
30,817
4.0
11,793
24.9
12.4
65.1
141
23,900
Vista
24,688
96.8
6,839
3.6
8,989
31.8
12.3
65.3
119
20,500
Source: Bureau of the Census. 1970 General Population Characteristics PC(1)-B6,
1970 General Social and Economic Characteristics PC(1)-C6, Detailed
Housing Characteristics HC(I)-B6, General Housing Characteristics
HC(1)-A6.
It is noted that Vista has a slightly older population with a somewhat lower
family income level. In general, however, all three communities can be described
as being white, middle income communities.
HEALTH DATA COLLECTION UNDERTAKEN
Pilot Study
Permission to conduct the pilot study in Hare Intermediate School and Rancho
Alamitos High School and Phase 1 in Walton Intermediate School and Garden Grove
High School was obtained from the Garden Grove Unified School District. The Hare
and Rancho Alamitos_Schools were chosen for the pilot study because they were
close to, yet not within, the 3.2 km (2.0 mile) radius around the air monitoring
station in Garden Grove. It was determined that the families in this area would
have approximately the same socioeconomic characteristics as those families
living inside the 3.2 km (2.0 mile) radius study area.
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Approximately 100 students each were chosen from the eighth grade classes
in Hare Intermediate School and ninth and tenth grade classes in Rancho Alamitos
High School. The names of students attending the chosen classes were obtained,
and the necessary questionnaires and pulmonary function test report forms were
prepared during mid-May 1973. Samples of the Student Health Study Questionnaire
and Family Health Study Questionnaire used in the pilot study are included in this
report as Appendices A and B.
Hare Intermediate School (8th Grade). Student Health Study Questionnaires
were administered to two eighth grade physical education classes on May 29, 1973.
At the time of questionnaire administration, each student was also given a packet of
material and asked to deliver it to his or her parents. Each packet contained four
items:
(1) A Family Health Study Questionnaire.
(2) A letter instructing the parents to complete the questionnaire
and have their eighth grade child return it to school.
(3) A return envelope in which the completed questionnaire was
to be placed.
(4) A parental consent form for adolescent pulmonary function
tests.
On June 1, 1973, pulmonary function tests were conducted in the same clas-
ses where the questionnaires had been administered. Five professional interviewers
were employed and trained to serve as pulmonary function testing team members
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and to collect alveolar breath samples. All of the interviewers employed for these
purposes had previous pulmonary function testing experience under the CHESS pro-
gram.
The students of these classes were asked to carry reminder letters home to
their parents in order to increase the response rate for the Family Health Study
Questionnaires.
Rancho Alamitos High School (9th and 10th Grades). Student Health Study
Questionnaires were administered to three ninth grade health education classes on
May 30, 1973, and packets were distributed. However, the letters of instruction
asked that the parents mail the completed questionnaires to the CIC project office.
Student Health Study Questionnaires were also administered to three tenth
grade western civilization classes. For these classes pulmonary function test
parental consent forms, Family Health Study Questionnaires, letters of instruction,
and return envelopes were mailed directly to the parents. The letters of instruc-
tion asked that the completed questionnaires be mailed to the CIC project office.
Pulmonary function tests were then conducted in the ninth and tenth grade
classes on May 31, 1973. The students were asked to carry home reminder letters
to their parents.
Table 2 shows the numbers of students who completed Student Health Study
Questionnaires, performed pulmonary function tests (FEV^Q and FVC), and pro-
vided alveolar breath samples during the pilot study.
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Table 2. Numbers of students who completed Student Health Study Question-
naires, performed pulmonary function tests, and provided alveolar breath samples
in the pilot study.
Number of Students Who
Scholastic
Level
(Grade)
Eighth
Ninth
Tenth
Total for all grades
Completed Student
Health Study
Questionnaires
91
89
80
260
Performed
Pulmonary
Function Tests
66
75
46
187
Provided Alveolar
Breath Samples
41
71
40
152
The differences in the totals for each grade were due to three factors:
(1) Variations in class attendance. The questionnaires were
administered on days prior to conducting the other tasks.
(2) Variations in the number of refusals. Almost all students
completed the questionnaires, whereas some of them refused
to participate in the other activities.
(3) Differences in testing time. Less time was needed to ad-
minister the questionnaires than to conduct the other tasks.
Table 3 relates the response rates achieved with the Family Health Study
Questionnaires in the pilot study.
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Table 3. Numbers of Family Health Study Questionnaires distributed and returned
in the pilot study by method of distribution.
Method of Distributing Number Number Response
and Returning Questionnaires Distributed Returned Rate
Eighth grade child takes questionnaire
home and brings it back to school 113 64 57%
Ninth grade child takes questionnaire
home; parents mail it to GIG 96 45 47%
GIG mails questionnaire to parents;
parents mail it back 88 41
The Student Health Study Questionnaires and Family Health Study Question-
naires completed during the pilot study were coded and hand tallied. Critiques of
the effectiveness of the questionnaires to obtain necessary information were supplied
to the EPA. Suggestions for proposed changes in the wording and administration of
the questionnaires and administration of the pulmonary function testing procedures
were made so that these corrections could be incorporated before the first phase of
the study was begun. Tabulated results from the Family and Student Health Study
Questionnaires were transferred to the appropriate set of Family or Student table
formats which were supplied to the EPA (see Appendices R, S, and T for examples
of the table formats).
Major decisions arising from conduct of the pilot study were as follows:
(1) Changes were made to certain questions, particularly in the
Student Health Study Questionnaire.
(2) The method of distributing the Family Health Study Question-
naires, whereby the child takes the questionnaire home and
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brings it back to school, was adopted for use in all grades
in Phase 1.
(3) Alveolar carbon monoxide determinations of student breath
samples were arranged to be made at the schools during
Phase 1, rather than at the GIG project office as had been
done during the pilot study. This was decided for two rea-
sons, both related to the fact that only 156 mylar breath
sample bags could be obtained in time for the field work.
First, on-site determinations would avoid the lengthy
transit time between most of the schools and the project
office. This would permit most bags to be used twice each
day and thus assure that GIG could meet the testing schedule
preferred by the school districts, viz., that one entire
grade — approximately 333 students — be tested each
day. Second, on-site determinations reduced the chance
of damaging the already short supply of bags by minimizing
the number of times they would have to be handled.
Phase 1
Sample Selection. Meetings with representatives of the CovLna Valley and
Vista Unified School Districts were conducted, and the superintendents of each of
the districts agreed to participate. No formal request to the respective school
boards was necessary. Permission to conduct Phase 1 in Garden Grove schools had
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been obtained before the pilot studies. Three schools in Vista, two in Covina, and
two in Garden Grove were selected in which adolescents were to be recruited for
participation in the study. The selection was made to satisfy the following con-
straints as nearly as possible:
(1) That 1,000 eighth grade, 1,000 ninth grade, and 1,000 tenth
grade students be included in the study.
(2) That these intermediate and high school ad9lescents and their
families reside within a 3.2 km (2.0 mile) radius of an EPA
CHESS air monitoring station (one such station is located in
each of the communities chosen for the study).
(3) That as few schools as possible be involved so as to minimize
the impact on normal school activities, especially classroom
instruction.
The first of these constraints is a provision of the initial plan of study. On
a local scale, this meant a quota of about 333 students per grade per community.
The second constraint was instituted to insure that accurate estimates of study
participants1 pollution doses could be made. The final constraint was fixed by the
school districts to limit the intrusion of outsiders into the educational and admini-
strative processes for which they are responsible.
Students from the three grades were recruited from physical education
classes, and all project activities involving the students were conducted in those
classes for two reasons:
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(1) Physical education classes are presently the only classes
required of all intermediate and high school adolescents by
the State of California. By using such classes, it was expected
that a reasonable cross-section of adolescents at the desired
grade levels could be easily attained. Typically, students are
randomly assigned to these classes.
(2) All aspects of the study — particularly the pulmonary function
testing and alveolar breath sampling, which involve physical
exertion and unusual looking equipment and which might pro-
duce some commotion among young people — could be done
in quarters such as gymnasiums normally located well away
•)
from classrooms.
There were two situations in which not all students of a given grade in a
community were recruited. The first situation was encountered in Vista where,
unlike Covina and Garden Grove, not all students in selected schools lived within
a 3.2 km (2.0 mile) radius of an air monitoring station. In this situation, CIC
screened student address lists provided by the Vista schools and designated for
recruitment only those students who lived within this radius. As a consequence,
in Vista, whole classes could not be recruited. The second situation was encoun-
tered in Covina and Garden Grove where the total numbers of ninth graders far
exceeded the qupta of 333 per grade per community. In these situations, succes-
sive physical education classes were used, beginning with those scheduled earliest
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in the morning and ending with those in which the cumulative number of students
enrolled in those classes equaled at least 333. The likelihood of bias in the study
results arising from not recruiting all of the ninth graders was considered remote
for three reasons:
(1) The students were assigned randomly to the physical educa-
tion classes.
(2) The classes were virtually identical in terms of program
structure.
(3) A very large sample size (at least 80 percent) of these ninth
graders would be included in the study.
The number of students enrolled in the classes in which the project activi-
ties were conducted is given in Table 4.
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Table 4. Number of students enrolled in physical education classes in which the
project activities were conducted.
Number of
Community/School Grade Students
Covina
Traweek Junior High School 8 318
Covina High School 9 337
Covina High School 10 ' . 255
Total 910
Garden Grove
Walton Intermediate School 8 292
Garden Grove High School 9 349
' Garden Grove High School 10 303
Total 944
Vista
Lincoln Junior High School 8 314*
Washington Junior High School 9 310*
Vista High School 10 343*
967
Total for all communitie s 2,821
*Numbers shown include only those students found to live within a 3.2 km (2.0 mile)
radius of the EPA CHESS air monitoring station in Vista.
These numbers total 924 eighth graders, 996 ninth graders, and 901 tenth
graders. The deficiencies of these totals from 1,000 per grade are primarily
associated with the third constraint which was imposed by the school districts.
Family Health Study Questionnaire Distribution. The pilot study determined
that the highest rate of response could be expected by both sending the questionnaires
home and having them returned by the students. Packets, each containing a letter
of instruction and a Family Health Study Questionnaire, were given to the students
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in the Vista schools on November 20, 1973, and to the students in the Covina and
Garden Grove schools on November 27, 1973. The distribution was actually
handled by the teachers. The students were asked to have their parents complete
the questionnaires and to return the completed questionnaires to their physical
education classes. A copy of the Family Health Study Questionnaire used in Phase 1
is included in this report as Appendix D.
With a hope of increasing the rate of response, CIC sent a preliminary
letter by mail to the parents of these students about a week before the distribution.
The letter explained the purpose of the study (".. .to relate the health of intermed-
iate and high school students and their families to the environment.") and urged the
parents to cooperate in completing the forthcoming questionnaire. As a further
effort to increase the rate of response, the students were given a reminder letter
to deliver to their parents about a week following the distribution of the question-
naires.
The rate of response attained in each school is given in Table 5. It was
impossible to break down the total number of questionnaires returned to Covina
High School and Garden Grove High School between ninth and tenth graders because
of those which were returned blank by respondents.
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Table 5. Number of Family Health Study Questionnaires distributed and returned,
by community and grade.
Community /School
Covina
Traweek Jr . High School
Covina High School
Covina High School
Total
Garden Grove
Walton Intermediate School
Garden Grove High School
Garden Grove High School
Total
Vista
Lincoln Jr . High School
Washington Jr . High School
Vista High School
Total
Total for all communities
Grade
8
9
10
8
9
10
8
9
10
No. of
Question-
naires
Distributed
318
337
255
910
292
349
303
944
314
310
343
967
2,821
No. of
Completed
Question-
naires
Returned*
197
203
184
584
141
135
104
380
213
177
202
592
1,556
Percent of
Completed
Question-
naires
Returned
62%
60
72
64%
48%
39
34
40%
• 68%
57
59
61%
55%
Total No .
Question-
naires
Returned**
197
391
588
145
242
387"
220
179
205
604
1.579
Percent of
Question-
naires
Returned
.62%
66
65%
50%
37
41%
70%
58
60
62%
56%
*Includes duplicate questionnaires which had been returned by siblings.
**Includes refusals only. Blank questionnaires were omitted since they included
refusals, duplicates, and students who had moved or were absent on the day the
questionnaires were sent home.
In the above table, the category entitled "Number of Completed Question-
naires Returned" is somewhat understated. This inaccuracy arose because
information which would have allowed only one questionnaire to be sent to each
household was not available from the schools. Therefore, a questionnaire was
sent home with each student. Instructions were included requesting that the house-
hold return only one completed questionnaire. Respondents receiving more than
one questionnaire because the household contained two or more students of study
area schools were asked to return the extra questionnaire(s). Many households
-24-
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did not return the extra questionnaires or returned them without identification.
The latter could not be distinguished from blank questionnaires returned by the
schools because of student absences. Several methods were attempted to ascertain
the actual number of eligible students represented by responding households so that
accurate completion ratios could be determined. All of these efforts were unsuc-
cessful, however.
Administration of Student Health Study Questionnaires. CIC interviewers
administered these questionnaires to a total of 2,299 students over a two week
period from November 26 through December 6, 1973. Questionnaires were admin-
istered in physical education classes according to instructions (dated May 1973)
prepared by the EPA (see Appendix H). The number of questionnaires completed
per grade per community is shown in Table 6.
-25-
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Table 6. Number of Student Health Study Questionnaires completed, by sex.
Community/School
Covina
Traweek Junior High School
Covina High School
Covina High School
Total
Garden Grove
Walton Intermediate School
Garden Grove High School
Garden Grove High School
Total
Vista
Lincoln Junior High School
Washington Junior High School
Vista High School
Total
Total for all communities
Conduct of Pulmonary Function
Grade
8
9
10
8
9
10
8
9
10
Tests
Males
152
132
112
396
120
180
136
436
140
130
90
360
1,192
and Collection
Females
157
158
77
392
127
122
91
340
128
132
115
375
1,107
of Alveolar
Total
309
290
189
788
247
302
227
776
268
262
205
735
2,299
Breath Sam
pies. Eight professional interviewers were employed by CIC to serve as pulmonary
function testing team members and to collect alveolar breath samples. At least half
of the interviewers employed for these purposes had previous pulmonary function
testing experience in connection with the CHESS program. A training session for
these people was conducted in Garden Grove on November 28, 1973, at which time
assignments were made to two teams. Each team consisted of a technician (or team
leader), a height taker, a recorder, and a breath collector. The.responsibilities of
each team member were described and carried out in accordance with sets of instruc -
-26-
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tions, dated November 1973, prepared by the EPA Project Officer (see Appendices I
and J for PFT instructions). Representatives of Rockwell International provided on-
site measurements of the concentrations of carbon monoxide in breath samples at
the training session and, on subsequent dates, at the selected schools.
Pulmonary Function Testing was accomplished by using a 12-liter dry rolling
seal spirometer manufactured by Cardiopulmonary Instruments, Inc. * The spiro -
meter was in series with a digital readout unit designed by EPA engineers and a
Metrodata Model 620 Data Logger, * which recorded traces of FVC on magnetic
tape. The linearity of each spirometer and readout unit was verified several times
before each class was tested. The carbon monoxide content of the alveolar breath
samples was determined using a Bendix Model 8501-SFA carbon monoxide analyzer.*
Digital volume versus time traces of test results from all students were collected.
From these traces, FEV^ Q and FVC were extracted.
Each student was trained in the FVC maneuver and individually assisted by
a trained technician during testing. After full inspiration, students were required
to sustain forced expiration for a period of six seconds for each valid test. Each
student performed three valid tests. For alveolar carbon monoxide determinations,
each student took two deep breaths, then held a third breath for 20 seconds before
providing the sample. During the testing procedure, race codes were recorded on
pulmonary function test report forms when race was obvious by visual inspection
(see Appendix E for a sample of the PFT report form).
*Mention of brand name does not imply endorsement by CIC or the EPA.
-27-
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Pulmonary function tests were conducted with 2,111 students, and alveolar
breath samples were collected from 2,027 students during the two week period of
November 29 through December 13, 1973. The number of students who participated
in these activities per grade per community is given in Table 7. (See Appendices
F and G for pulmonary function testing and questionnaire administration schedules.)
Table 7. Numbers of students who performed pulmonary function tests and pro-
vided alveolar breath samples.
Number of Students Who
Performed Pulmonary
Function Tests
Community /School
Co vina
Traweek Jr . High School
Covina High School
Covina High School
Total
Garden Grove
Walton Intermediate School
Garden Grove Higli School
Garden Grove Higli School
Total
Vista
Lincoln Jr . High School
Washington Jr . High School
Vista High School
Total
Total for all communities
Grade
8
9
10
8
' 9
10
8
9
10
Males
152
130
99
381
123
164
115
402
115
81
125
321
1,104
Females
148
142
83
373
128
116
88
332
94
91
111
296
1,001
Total
300
272
182
754
251
280
203
734
209
172
236
617
2, 105
Number of Students
Who Provided Alveolar
Breath Samples
Males
141
150
97
388
117
160
111
388
86
81
120
287
1,063
Females
151
121
79
351
128
114
90
332
88
87
109
284
967
Total
292
271
176
739
245
274
201
720
174
168
229
571
2,030
In each grade, a larger number of students performed pulmonary function
tests than provided alveolar breath samples. There were several reasons for this
difference, including fear on the part of some students that the analyses of the
breath samples would be sent to the schools or to their parents and would be used
to identify students who smoked.
-28-
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In all schools, the number of students who performed pulmonary function
tests and provided alveolar breath samples was less than the number which filled
out Student Health Study Questionnaires. This, in turn, was less than the number
of students eligible for the study. A number of factors was responsible,, including
the following:
(1) Several teachers (especially substitute teachers) failed to
send some or all of their students from their physical edu-
cation classrooms to the gymnasiums or to the sites where
the pulmonary function testing was actually being conducted.
When students did not arrive for testing at appointed times,
the classes were located, the teachers were informed, and
the students were sent to the testing sites. However, in these
cases, the lost time resulted in lower completion rates.
(2) Nearly fifty tenth graders at Garden Grove High School were
absent from their physical education classes to take part in a
two-week driver's education course. In spite of efforts to
minimize such situations, CIC encountered several last-minute
school schedule changes which had not been mentioned by school
officials when the testing schedule was prepared and which
reduced the number of students available to be tested.
(3) Fifty ninth graders in early morning classes at Washington
Junior High School were not given pulmonary function tests or
-29-
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asked to provide breath samples due to a breakdown in the
vehicle that transported the team members to Vista.
(4) Absenteeism among students reduced completion rates an
average of 5 percent.
>
Table 7 also shows the breakdown, by sex, of students who completed pul-
monary function tests and provided alveolar breath samples.
Data Analysis. Although the EPA supplied blank table formats to be used
after the data had been computerized, CIC was responsible for all data reduction.
A DECsystem-10, operated by Copley Computer Services, Inc. (CCSI), was used
for this purpose. Several software packages were investigated before one was
chosen which could handle not only the data reduction, but also the computer linkage
of pulmonary function testing results and the alveolar breath sample analyses with
the Family and Health Study Questionnaire data. Software alternatives which were
considered after consultation with various representatives of the EPA and CCSI
Included the CCSI Survey System, CROSSTABS (Cambridge Computer Associates,
Inc.), DATATEXT (Cambridge Computer Associates, Inc.), and SPSS (Statistical
Package for the Social Sciences from the University of Pittsburgh). Only the SPSS
is specifically designed for social science analyses and was available for the DEC-
system-10 at the time the service was needed. It is written in FORTRAN and was
well suited for this adolescent study. Thus, it was chosen from among the others
for use in this project.
The SPSS data processing program was received by CCSI from the University
-30-
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of Pittsburgh in December 1973. The package was installed on the DECsystem-10
and was tested in various modes. Eighteen Student Health Study Questionnaires
were cross-tabulated into six output tables with good results.
Upon completion of the data collection activities, the Family Health Study
Questionnaires were coded for input to the DECsystem-10. A cross-link sheet (a
page containing data attached to Student Health Study Questionnaires) was designed
to enable maximum linkage of data between Student Health Study Questionnaires,
Family Health Study Questionnaires, pulmonary function test report forms, and
alveolar breath data (see Appendix). Copies of the pulmonary function test report
forms were sent to the EPA so that FEVj^Q and FVC data could be height- and age-
adjusted before being added to the cross -link sheet.
Coding of the Family Health Study Questionnaire and the Student Health Study
Questionnaires was undertaken in December 1973. The forms used in recording
FEVj^Q data (High School Pulmonary Function Test forms) were edited. Lists
were received from Rockwell International, giving the concentrations of carbon
monoxide in the breath samples and in the ambient air at the times the breath
samples were collected. As the Family Health Study Questionnaires were coded,
specific information was transferred to a cross-link sheet (one cross-link sheet
was completed for each sibling) to be attached to the appropriate Student Health
Study Questionnaire later. The alveolar CO sample data were also recorded on
this sheet (or sheets in the case of siblings). (See Appendices K, M, and N for
questionnaire coding instructions and Appendix L for a copy of the cross-link sheet.)
Training sessions were conducted by CCSI for CIC personnel regarding SPSS
-31-
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orientation and usage in preparation for entering the questionnaires onto the com-
puter. Data preparation, through the use of Text Editor Correlator (TECO), was
demonstrated and discussed in depth with key personnel. In January 1974, CIC
personnel began entering the data from the Family Health Study Questionnaires
onto computer disks. CIC personnel concluded entering these data in March 1974.
Computer statements (uniform abbreviations used in analysis which label
all variables such as community and smoking years) were written and entered onto
the computer. Thus, the data were adjusted and labeled using the Family Health
Study Questionnaire and the Student Health Study Questionnaire to create categories
for analysis which Would match the categories on the table formats which had been
supplied by the EPA. (Examples of the table formats appear in this report as
Appendices R, S, and T.) Prior to analyzing the findings, frequency distributions
were run providing details of the total number of responses to each question on the
questionnaire. This facilitated the discovery and investigation of any answers which
were not within the limits of the codable responses on the questionnaires. The fre-
quency distribution also included a listing of all respondent identification numbers
in numerical order so that any possible duplicate numbers could be located and
corrected. At that time, it was possible to assign new identification numbers to
students who may have inadvertently been assigned one number on their Student
Health Study Questionnaire and a different number on their High School Pulmonary
Function Test Report form or their alveolar breath sample bag. A complete listing
of all data on the computer, by questionnaire number, was also printed to discover
and correct possible questionnaire answers which were unlikely or impossible,
-32-
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such as a 15-year-old who reported living in the city for 20 years. The listing also
provided a master record of all data entered on the computer. From this listing,
command files were created for each table to be compiled, using the computer
statements to generate a command. These commands are based on the variables
which would need to be related to one another for each particular table, e .g., age
by sex by community. Thus, it becomes possible to cross-tabulate not only factors
within tables, but also an entire table with another variable without regenerating
the initial computer command for that table. An example of this would be cross-
tabulating a table combining fathers' and mothers' smoking habits with a factor
representing a community.
Chronic respiratory disease severity ratings of students, computed on the
basis of severity and duration of phlegm and cough symptoms in students, were
recomputed based on an 11-point scale instead of a former 7-point scale. This
was necessitated by the expansion of the Student Health Study Questionnaire format
after the pilot study, thereby requiring the rerunning of several groups of tables
which use the severity ratings; Likewise, all appropriate student table formats
were physically expanded to accommodate the resulting larger volume of data.
The new ratings made it necessary to retabulate existing student data to reflect
the changes. Tables dealing with student smoking history (number of cigarettes
currently or formerly smoked per day) also had to be reconstructed to handle the
increased number of response categories in the Student Health Study Questionnaire.
Missing data on students' race were compiled by transferring race responses
from the High School Pulmonary Function Test Report forms onto the Student Health
-33-
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Study Questionnaire cross-link sheets. Using this procedure, GIG personnel were
able to increase the race response rate on Student Health Study Questionnaire cross-
link sheets by 36 percent.
Table preparation from the computer data was begun in April 1974. Tables
to be developed from the student questionnaires were scheduled to be completed
first. A total of 40 out of 44 tables (representing 560 pages) were finished by the
middle of June. The remaining four tables could not be completed due to the lack
of a "smoking dose" definition.
In June, after receipt of the height- and age-adjusted FEV and FVC scores
from the EPA, the second and third sets of tables were completed. The second set,
concerning the data from the Family Health Study Questionnaires, consisted of 28
tables representing 168 pages. The third set of EPA tables, which were developed
from the pulmonary function tests and the alveolar carbon.monoxide assays, were
also completed in June. This 31-table set consisted of 324 pages.
As requested by the EPA on the table formats, lists of student identification
numbers were also distributed by computer according to:
(1) Lower respiratory disease history
(2) Severity ratings (see Appendix R, pp. 2-4)
(3) Chronic respiratory severity ratings (see Appendix R, pp. 2-4)
Family Health Study Questionnaire Non-Respondent Callbacks. In June
1974, it was decided that non-respondent callbacks should be made in an attempt to
discover if there was any difference between non-respondents and persons who orig-
inally completed the questionnaires. A random sample well in excess of 100 non-
-34-
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respondents in Garden Grove and all of the non-respondents in Vista and Covina were
selected as possible contacts in an effort to complete 100 Family Health Study Ques-
tionnaires from each community. Garden Grove non-respondents were randomly
selected from a set of computerized mailing labels. For Garden Grove High School
these labels had both addresses and phone numbers on them, so no additional infor-
v
mation was necessary. In Walton Junior High School, the labels recorded only names
and addresses, so telephone numbers had to be obtained from the directory before
calling could proceed. A total of 214 names was used to obtain the 100 completed
questionnaires.
Non-respondents in Vista had to be selected using the original class lists due
to the 3.2 km (2.0 mile) radius restriction. These names, in turn, were matched
to a set of mailing labels obtained from the school district in order to secure parents'
names and addresses. Once addresses were found, the phone numbers could be
sought in the local telephone directories. A total of 354 names was needed to obtain
the necessary 100 completed questionnaires.
Contacting Covina non-respondents was a challenging task because of the
Covina Valley Unified School District's policy against releasing school records.
Having only student class lists to work with, CIC personnel attempted to locate
possible non-respondent names in the local telephone directory, often calling sev-
eral families with the same surname in an effort to locate a student's parents.
Here, the names of 357 students whose families did not respond were used
in an effort to obtain 100 completed interviews in that community. By a simple
matching of surnames, these students were matched to a possible 1,000 families
-35-
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listed in the telephone directory. This did not represent the total number of possible
names but only a starting point, as interviewers initially took only a section of list-
ings for such common surnames as "Smith" and "Johnson." (For example, there are
3,380 listings under "Smith" in the telephone directory.) In the.process of elimina-
tion, 502 of these were determined to be outside the school attendance areas, 225
families were contacted but had no student with that given name, and 88 phone num-
bers had no answer or were not in service. The remainder of the families were not
contacted because the desired number of interviews had been completed.
The callback sample lists were given to trained telephone interviewers along
with questionnaires and instructions. A copy of the callback sheet, interviewer -
instructions, and an introductory dialogue are included as Appendices O, P, and Q
to this report. Table 8 shows the breakdown of non-respondent callbacks made in
each community.
-36-
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Table 8. Number of non-respondents selected and callbacks made, by category of
non-response, by community.
Number of Non -Respondents,
By Community
Category of Non -Response
Common names not used
No address
No phone
No answer/Couldn't reach eligible respondent
Moved/No such number /etc .
Total not contacted
No English spoken
Refused
Total refused
Returned original questionnaire
Never received a questionnaire
Received a questionnaire, but don't know
what happened to it
Refused originally, burcompleted question-
naire over the phone
Don't know/Miscellaneous
Total completed by phone
Total sample
Vista
--
41
149
21
13
224
9
20
29
40
27
23
9
2
101
354
Garden Grove
--
__
30
45
24
99
--
12
12
48
23
23 1 :
* ' **" - . '1;
4
4
103
214
Covina
21
__
177* >
44
242
1
13
14
30
38
18
2
13
101
357
*Families with surnames for which no addresses within the school attendance areas
could be located in the telephone directory.
AIR MONITORING FACILITIES
The air monitoring facilities used for this study are the same as those used
in support of the CHESS program. When this project was undertaken, maintenance
of the air monitoring facilities was the responsibility of the University of California,
Riverside (UCR). Air monitoring shelters and equipment were furnished by the EPA
and were identical at all sites. The shelters were.air conditioned, prefabricated
aluminum structures enclosed by chain link fences and serviced daily by UCR per-
-37-
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sonnel. Table 9 summarizes the pollutants measured and the methods of measure-
ment utilized in the CHESS air monitoring stations during the periods of the pilot
study and Phase 1 study.
Table 9. Pollutants measured and methods of measurement used in the CHESS air
monitoring stations.
Sampling
Pollutant Measured Method of Measurement Frequency
Total suspended particulates High volume samplers 24 hours
Total respirable particulates
(Ca. 5u diameter) Cyclone samplers 24 hours
Suspended sulfates (SOx) High volume samplers - 24 hours
Suspended nitrates High volume samplers 24 hours
SC>2 Coulometric Continuous
NC-2 and NO Chemiluminescence Continuous
CO Non-dispersive infrared photometry Continuous
Hydrocarbons Flame ionization Continuous
Ozone Chemiluminescence Continuous
Prefilled bubblers and preweighted filters were shipped to California and
returned to the EPA for analysis. For quality control purposes, periodic calibra-
tion of continuous analyzers was performed at the stations by EPA personnel. The
outputs of the ozone and S02 analyzers were recorded on magnetic tape by the data
set. The nitrogen oxides analyzers had three outputs: NO, NO2 and NO plus NO2-
They were recorded on magnetic tape which had to be sent to North Carolina to be
read.
CONCLUDING COMMENTS
The pilot study and Phase 1 were completed during the first contract year.
Phases 2 and 3 are scheduled to be completed in the second and third years. In the
first phase, standardized chronic respiratory disease questionnaires, pulmonary
-38-
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function tests, determination of alveolar carbon monoxide, and a medical and family
history of pertinent disease factors were obtained from adolescents. Chronic res-
piratory symptom prevalence in parents and acute lower respiratory symptom
frequency in siblings were ascertained at the same time. The analysis of these
data is presented in a separate report prepared by the EPA.
-39-
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APPENDIX
-------
Pilot Study OMB 158-R0019
Expires 8/31/73
APPENDIX A
January 26, 1973
FAMILY HEALTH STUDY
QUESTIONNAIRE
Name of Head of Household
(First Name) (Last Name).
Street
City Zip Code
Telephone
THE INFORMATION IN THIS QUESTIONNIARE
WILL BE HELD IN STRICT CONFIDENCE. ALL
RESULTS WILL BE SUMMARIZED FOR GROUPS
OF PEOPLE. NO INFORMATION ABOUT
INDIVIDUAL PERSONS WILL BE RELEASED.
-Al-
-------
INSTRUCTIONS FOR ANSWERING FAMILY
HEALTH STUDY QUESTIONNAIRE
1. READ QUESTIONS CAREFULLY BEFORE ANSWERING.
2. CHOOSE THE ANSWERS WHICH SEEM MOST APPROPRIATE. PLACE CHECK
MARKS ON THE LINES WHICH CORRESPOND TO YOUR ANSWERS.- WHERE A
NUMBER IS CALLED FOR, WRITE THE APPROPRIATE NUMBER ON THE LINE.
3. USE A LEAD PENCIL ONLY. DO NOT USE INK.
4. ERASE ALL MISTAKES COMPLETELY.
5. ANY REMARKS CAN BE WRITTEN ON THE BACK OF THE PAGES.
-A2-
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I. HEALTH QUESTIONS ABOUT THE MOTHER AND FATHER
NOTE: THE QUESTIONS IN THIS SECTION SHOULD BE ANSWERED FOR
BOTH PARENTS BY THE MOTHER (OR FEMALE GUARDIAN). ANSWER THE
QUESTIONS IN THIS SECTION ONLY FOR PARENTS (OR GUARDIANS)
LIVING IN THE HOME.
1.
2.
3.
Do you usually cough first thing
in the morning?
(Count two or more coughs upon
arising, or when you first go out
of doors, or., if you are a smoker,
when you smoke the first cigarette
of the day. Do not count clearing
the throat.)
la. If "YES", do you cough like this
on" most days during any three-
month period each year?
Ib. If "YES" to Question la, have
you coughed like this for the
last two years or more?
Do you usually cough at some time
during the day or night?
(Do not count an occasional cough.)
2a. If "YES", do you cough like this
on most days or nights during
any three-month period each year?
2b. If "YES" to Question 2a, have
you coughed like this for the
last two years or more?
Do you usually bring up phlegm
(thick fluid) from your chest first
thing in the morning?
(Count phlegm whether swallowed or
expelled, upon arising, or when you
first go out of doors, or, if you
are a smoker, when you smoke the
first cigarette of the day. Do .not
count phlegm from the nose.)
3a. If "YES", do you bring up phlegm
like this on most mornings durinqr
any three-month period each year?
3b. If "YES" to Question 3a, have you
brought up phlegm like this for
the last t.wn vpar<; nr mnrp?
Mother
(or Female
Guardian)
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
Father
(or Male
Guardian)
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
-NO
YES
NO
YES
NO
YES
NO
-A3-
-------
4.
5.
6.
7.
8.
9.
10.
-
Do you usually bring up phlegm from
your chest at some time during the
day or night?
4a. If "YES", do you bring up phlegm
like this on most days or
nights during any three-month
period each year?
4b. If "YES" to Question 4a, have
you brought up phlegm like this
for the last two years or more?
In the past three years, have you had
a period of cough and phlegm lasting
for three weeks or more?
(This question refers only to periods
of more than usual cough and phlegm.)
Do you get short of breath walking on
level ground at an ordinary pace?
Have you ever smoked a pipe or
cigar?
7a. If "YES", do (did) you inhale
the smoke?
Have you ever smoked cigarettes?
8a. If "YES", do (did) you inhale
the smoke?
Do you smoke cigarettes now?
Have you smoked as many as five
packs of cigarettes, that is, as
many as 100 cigarettes, during
Mother •
(or Female
Guardian)
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
•
NO
Father
(or Male
Guardian)
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
your entire life?
-A4
-------
Mother Father
(or Female (or Male
Guardian) Guardian)
11.. If you are a current cigarette smoker
(or an ex-cigarette smoker), how many
cigarettes do (did) you smoke per day?
eLess than 1/2 pack per'day (1-5
cigarettes per day)
•About 1/2 pack per day (6-15
cigarettes per day)
•About 1 pack per day (16-25
cigarettes per day)
• »About 1 1/2 packs per day (26-34
cigarettes per day
•About 2 packs per day (35 or more
cigarettes per day)
12. If you are a current cigarette smoker
(or an ex-cigarette smoker), how old Yrs. Yrs.
were you when you first started
smoking?
13. If you are an ex-cigarette smoker,
how old were you when you last gave Yrs. Yrs,
up smoking?
14. At your job, are you now or have you YES YES
been frequently exposed to irritating
smoke, dust, or fumes? NO • NO
14a. If "YES", what kind of irritant
are (were) you exposed to?
(For example: coal dust, cutting
oils, asbestos, mine dust,
smelter fumes, raw cotton dust,
foundry dust)
14b. If "YES", how long have you been
(were you) exposed?
Hess than 1 year
ol to 5 years
«6 to 10 years
•More than 10 years
-A5-
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II. QUESTIONS ABOUT THE HEALTH OF CHILDREN IN THE HOUSEHOLD
WRITE AT THE TOP OF EACH COLUMN THE NAME AND AGE OF EACH CHILD
IN THE HOUSEHOLD. THEN, IN EACH CHILD'S COLUMN CHECK ONE BOX
TO ANSWER EACH OF THE FOLLOWING QUESTIONS.
- Name :
i
l.'Has your child been
diagnosed by a doctor
for pneumonia during
the last three years?
2. Has your child been
diagnosed by a doctor
for an attack of croup
.during the last three
: years?
3. Has your child been
diagnosed by a doctor
for an attack of
bronchitis during the
last three years?
4. Has your child been in
the hospital for any of
the illnesses above
during the last three
years?
5. Has your child been
diagnosed by a doctor
during the last three
years for any chest
illness other than the
three above?
6. What is the full name
and address of the
doctor who takes care
of your child or, if
you take your child to
a clinic for medical
care, what is the name
and address of the
clinic?
1st CHILD
_No
Yes, Once
Yes, Twice
Yes, more
than twice
_flo
Yes, Once
Yes, Twice
Yes, more
than twice
_No
Yes, Once
Yes, Twice
Yes, more
than twice
_No
Yes, Once
Yes, Twice
Yes, more
than twice
_No
Yes, Once
Yes, Twice
Yes, more ]
than twice
... .
2nd CHILD
_No
Yes, Once
Yes, Twice
Yes, more
than twice
_No
Yes, Once
Yes, Twice
Yes, more
than twice
_No
Yes, Once
Yes, Twice
Yes, more
than twice
_No
Yes, Once
Yes, Twice
Yes, more
than twice
__No
Yes, Once
Yes, Twice
Yes, more
than twice
3rd CHILD
_No
Yes, Once
Yes, Twice
Yes, more
than twice
_Jo
Yes, Once
Yes, Twice
Yes, more
than twice
_No
Yes, Once
Yes, Twice
Yes, more
than twice
_No
Yes, Once
Yes, Twice
Yes, more
than twice
_No
Yes, Once
Yes, Twice
Yes, more
than twice
4th CHILD
_No
Yes, Once
Yes, Twice
Yes, more
than twice
_No
Yes, Once
YP<:, Twir.p
Yes, more
than twice
_No
Yes, Once
Yes, Twice
Yes, more
than twice
_No
Yes, Once
Yes, Twice
Yes, more
than twice
_No
Yes, Once
J_Yes, Twice
Yes, more
than twice
' -A6-
-------
IF YOU HAVE MORE THAN FOUR CHILDREN IN THE HOUSEHOLD, CONTINUE ON THIS PAGE.
Name:
}'. Has your "child -been
diagnosed by a doctor
for pneumonia during
the last three years?
2. Has your child been
diagnosed by a doctor
for an attack of croup_
during the last three
years?
3. Has your child been
diagnosed by a doctor
for an attack of
bronchitis during the
last three years?
4. Has your child been in
the hospital for any of
the illnesses above
during the last three
years?
5. Has your child been
diagnosed by a doctor
during the last three
years for any chest
illness other than the
three above?
6. What is the full name
anH aHrlrP<:
-------
IF YOU HAVE MORE THAN EIGHT CHILDREN IN THE HOUSEHOLD, CONTINUE ON THIS PAGE.
PLEASE CHECK THE SMALL BOX BELOW IF THERE ARE MORE THAN TWELVE CHILDREN IN
THE HOUSEHOLD.
Nams:
1. Has your child "been
diagnosed by a doctor
for pneumonia during
the last three years?
2. Has your child been
diagnosed by a doctor
for an attack of croup
during the last three
years?
3. Has your child been
diagnosed by a doctor
for an attack of
bronchitis during the
last three years?
4. Has your child been in
the hospital for any of
the illnesses above
during the last three
years?
5. Has your. child been
diagnosed by a doctor
during the last three
years for any chest
illness other than the
three above?
6. What is the full name
and address of the
doctor who takes care
of your child or, if
you take your child to
a clinic for medical
care, what is the name
and address of the
clinic?
9th CHILD
_No
Yes, Once
Yes, Twice
Yes, more
than twice
_No
Yes, Once
•Yes, Twice
Yes, more
than twice
_No
Yes, Once
Yes, Twice
Yes, more
than twice
_No
Yes, Once
Yes, Twice
Yes, more
than twice
.__No
Yes, Once
Yes, Twice
Yes, more
than twice
10th CHILD
__No
Yes, Once
Yes, Twice
Yes, more
than twice
_No
Yes, Once
Yes, Twice
Yes, more
than twice
_No
Yes, Once
Yes, Twice
Yes, more
than twice
_No
Yes, Once
Yes, Twice
Yes, more
than twice
_No
Yes, Once
Yes, Twice
Yes, more
than twice
llth CHILD
_No
Yes, Once
Yes, Twice
Yes, more
than twice
_No
Yes, Once
Yes, Twice
Yes, more
than twice
__No
Yes, Once
Yes, Twice
Yes, more
than twice
_No
Yes, Once
Yes, Twice
Yes, more
than twice
_No
Yes, Once
Yes, Twice
Yes, more
than twice
-
12th CHILD
_No
Yes, Once
Yes, Twice
Yes, more
than twice
_No
Yes, Once
Yes, Twine
Yes, more
than twice
_No
Yes, Once
Yes, Twice
Yes, more
than twice
_No
Yes, Once
Yes, Twice
Yes, more
than twice
_No
Yes, Once
Yes, Twice
Yes, more
than twice
-A8-
-------
III. GENERAL QUESTIONS ABOUT THE HOUSEHOLD
1. What educational level has been completed by the mother (or female
guardian)?
(Check one line only.)
. Elementary school College graduate
Part of high school Graduate school, including
_High school graduate advanced' and Passional degrees
Part of colleae Trade' technical> or business
part or college school beyond high school
2. What educational level has been completed by the father (or male
guardian)?
Elementary school College graduate
Part of high school Graduate school, including
_High school graduate advanced and Passional degrees
Part nf rnllpnp Trade, technical, or business
Hart OT college school beyond Mgh $chool
3. Which of the following best describes the family?
American Indian Oriental
Mexican American or " White
Spanish American _0ther, including mixed
Black
4. How many years has the family lived in your present city or town?
Years
Check the line below if the family has always lived in your present
city or town.
5. Where did the family last live before moving to your present city or
town?
City State
5a. How many years did the family live there?
; Years .
| • • I 1 LM^^TTJ..
-A9-
-------
6. How many rooms are there in your living quarters?
(Count all rooms except bathrooms, porches, balconies, halls,
foyers, and half rooms.)
Rooms
7. Do you plan to move within the next year?
Yes
No
8. Do you ordinarily use a gas stove for cooking in your home?
Yes
No
9. Do you use an unyented gas heater in your home?
Yes
No
-A10-
-------
IV. CENSUS OF HOUSEHOLD
IN THE FIRST COLUMN BELOW, WRITE THE FIRST AND MIDDLE NAMES OF EACH PERSON
LIVING IN THE HOUSEHOLD. WRITE THE LAST NAME FOR PERSONS WHOSE LAST NAME IS
DIFFERENT FROM THAT ON THE COVER OF THIS QUESTIONNAIRE.
Name
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
4.
5.
Age
Month &
year of
birth
Mo. Yr.
Sex
M = ivale
F = female
Position in Household
(Check the appropriate box.)
Father
or male
guardian
Mother
or female
guardian
-All-
Children
-
Others (foster
children, gram
parents, etc.)
-------
WRITE IN THE FIRST COLUMN BELOW THE FIRST NAME OF EACH PERSON IN THE
HOUSEHOLD WHO HAS ASTHMA, CHRONIC HEART DISEASE, AND/OR CHRONIC LUNG
DISEASE, THAT HAS BEEN DIAGNOSED BY A DOCTOR. CHECK THE APPROPRIATE
BOX OR BOXES FOR EACH PERSON.
NAME
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
CHRONIC
HEART
DISEASE
CHRONIC
LUNG
DISEASE
ASTHMA
(at any
time in
life)
IF THIS PERSON HAS
ASTHMA, HAS THE
ASTHMA BEEN ACTIVE IN
THE LAST 12 MONTHS?
YES
NO
-A12-
-------
Pilot Study OMB 158-R0019
Expires 8/31/73
APPENDIX B
January 26, 1973
STUDENT HEALTH STUDY
QUESTIONNAIRE
Your Name
First Name Last Name
Your Age Years
THE INFORMATION IN THIS QUESTIONNAIRE WILL BE
HELD IN STRICT CONFIDENCE. ALL RESULTS WILL
BE SUMMARIZED FOR GROUPS OF PEOPLE. NO
INFORMATION ABOUT INDIVIDUAL PERSONS WILL BE
RELEASED.
-Bl-
-------
INSTRUCTIONS FOR ANSWERING STUDENT HEALTH STUDY QUESTIONNAIRE
1. PLEASE THINK CAREFULLY ABOUT EVERY QUESTION BEFORE ANSWERING.
2. CHOOSE THE ANSWERS WHICH SEEM MOST APPROPRIATE. PLACE CHECK
MARKS ON THE LINES WHICH CORRESPOND TO YOUR ANSWERS. ANSWER
"YES" OR "NO" WHENEVER YOU CAN. WHERE A NUMBER IS CALLED FOR,
WRITE THE APPROPRIATE NUMBER ON THE LINE.
3. USE A LEAD PENCIL ONLY. DO NOT USE INK.
4. ERASE ALL MISTAKES COMPLETELY.
-B2-
-------
Do you usually cough first thing in the morning?
(Cough two or more coughs upon arising, or when you
first go outdoors or, if you are a smoker, when you
smoke the first cigarette of the day. Do not count
an occasional cough
Yes
No
la. If "YES," have you ever coughed like this on
most mornings for three months in a row?
_. Yes
No
2. Do you usually cough at some time during the day or night?
(Do not count an occasional cough.)
Yes
No
2a. If "YES," have you ever coughed like this on
most days or nights for three months in a row?
Yes
No
Do you usually bring up phlegm (thick fluid) from your
chest first thing in the morning?
(Count phlegm, whether swallowed or expelled, upon arising,
or when you first go outdoors or, if you are a smoker, when
you smoke the first cigarette of the day. Do not count
phlegm from the nose.)
Yes
No'
3a. If "YES," have you ever brought up phlegm like this on
most mornings for three months in a row.
. Yes
No
-B3-
-------
4. Do you usually bring up phlegm from your chest at some
time during the day or night?
Yes
No
4a. If "YES," have you ever brought up phlegm like this
on most days or nights for three months in a row?
Yes .
No
5. In the past three years, have you ever had a period of
cough and phlegm lasting for three weeks or more?
(This question refers only to periods of more than
u_sua| cough and phlegm.)
No
Yes, 1 period
Yes, 2 or more periods
6. Do you get short of breath walking on level ground
at an ordinary pace?
' Yes
No
7. During the last three years, has a doctor said
that you had pneumonia?
No
Yes, once
Yes, twice
Yes, more than twice
-B4-
-------
8. During the last three years, has a doctor said that you
had bronchitis?
No
Yes, once
Yes, twice
Yes, more than twice
9. During the last three years, have you been in the hospital
for pneumonia, bronchitis, or some other illness of the chest?
No
Yes, once
Yes, twice
Yes, more than twice
10. During the past three years, has a doctor said that you had
any illness of the chest other than pneumonia or bronchitis?
No
Yes, once
Yes, twice
Yes, more than twice
lOa. If "YES", which illness(es) did the doctor say
you had?
(Write in the illness(es) the doctor said you had.)
1.
2.
3.
-B5-
-------
11. In the last twelve months, how many times have you had a
cold or the flu?
(Write in the correct number.)
Times
12. Do you have asthma?
Yes
No
12a. If "YES", to Question 12, how many asthma attacks
have you had in the past year?
Attacks
12b. If "YES", to Question 12, when you have an asthma
attack, which of the following symptoms do you get?
(You may check more than one line.)
1. Shortness of breath
2. Wheezing in the chest
3. Fever
4. More than usual phlegm from the chest
12c. If "YES", to Question 12, has your asthma been
diagnosed by a doctor?
• Yes
No
13. Have you ever smoked cigarettes?
Yes
No
13a. If "YES", do (did) you inahle the smoke?
Yes
No
14. Do you smoke cigarettes now?
Yes
No
-B6-
-------
15. Have you smoked as many as five packs of cigarettes,
that is, as many as 100 cigarettes, during your entire
life?
Yes
No
16. If you now smoke cigarettes (or used to smoke cigarettes),
how many cigarettes do (did) you smoke per day?
"1. Less than 1/2 pack per day (1-5 cigarettes
per day)
2. About 1/2 pack per day (6-15 cigarettes
per day)
3. About 1 pack per day (16-20 cigarettes
per day)
4. More than 1 pack per day (more than 20
cigarettes per day)
17. If you have ever smoked cigarettes, how old were you when
you first started smoking?
(Write in the correct age.)
Years
18. If you have given up smoking, how old were you when you
last gave it up?
(Write in the correct age.)
Years
19. How many years have you lived in your present city or
town?
(Write in the correct number of years.)
Years
20. When were you born?
Month Day Year
-B7-
-------
Phase I OMB 158-R0019
APPENDIX G
STUDENT HEALTH STUDY
QUESTIONNAIRE
Your Name
First Name Last Name
Your Date of Birth
Month Day Year
Your Sex (check one) ( ) ( )
Male Female
THE INFORMATION IN THIS QUESTIONNAIRE
WILL BE HELD IN STRICT CONFIDENCE. ALL
RESULTS WILL BE SUMMARIZED FOR GROUPS
OF PEOPLE. NO INFORMATION ABOUT
INDIVIDUAL PERSONS WILL BE RELEASED.
-Cl-
-------
INSTRUCTIONS FOR ANSWERING STUDENT HEALTH
STUDY QUESTIONNAIRE
1. READ EACH QUESTION CAREFULLY.
2. PLEASE THINK CAREFULLY ABOUT EVERY QUESTION BEFORE
ANSWERING. YOU WILL BE GIVEN ALL THE TIME YOU NEED.
3.' FOR EACH QUESTION, CHOOSE THE ANSWER WHICH SEEMS MOST
APPROPRIATE. PLACE CHECK MARKS ON THE LINES WHICH
CORRESPOND TO YOUR ANSWERS. ANSWER "YES" OR "NO"
WHENEVER YOU CAN. WHERE A NUMBER IS CALLED FOR, WRITE
THE APPROPRIATE NUMBER ON THE LINE.
4. USE A LEAD PENCIL ONLY. DO NOT USE INK. IF YOU DO NOT HAVE
A PENCIL, ASK THE PROCTOR FOR ONE.
5. PLEASE ERASE ALL MISTAKES COMPLETELY.
6. FEEL FREE TO ASK QUESTIONS ABOUT ANYTHING YOU DO NOT
UNDERSTAND.
-C2-
-------
Do you usually cough first thing in the morning? (Count two or
more coughs upon arising, or when you first go outdoors or,
if you are a smoker, when you smoke the first cigarette of
the day. Do not count an occasional cough.)
Yes
No
la. If "Yes" to Question 1, have you ever coughed like this
on most mornings for one whole month?
Yes
No
Ib. If "Yes"' to Question la, have you ever coughed like this
on most mornings for three months in a row?
Yes
No
2. Do you usually cough at some time during the day or night
(Do not count an occasional cough.)
Yes
No
2a. If "Yes" to Question 2, have you ever coughed like this
on most days or nights for one whole month9
Yes
No
2b. If "Yes" to Question 2a, have you ever coughed like this
on most days or nights for three months in a row?
Yes
No
-G3-
GO ON TO THE NEXT PAGE
DO NOT
WRITE IN
THIS SPACE
-------
Do you usually bring up phlegm (thick fluid) from your chest
first thing in the morning? (Count phlegm, whether swallowed
or expelled, upon arising, or when you first go outdoors or,
if you are a smoker, when you smoke the first cigarette of
the day. Do not count phlegm from the nose. )
Yes
No
3a. If "Yes" to Question 3, have you ever brought up phlegm
like this on most mornings for one whole month?
Yes
No
3b. If "Yes" to Question 3a, have you ever brought up phlegm
like this on most mornings for three months in a row?
Yes
No
4. Do you usually bring up phlegm from your chest at some time
during the day or night?
Yes
No
4a. If "Yes" to Question 4, have you ever brought up phlegm
like this on most days or nights for one whole month?
Yes
No
4b. If "Yes" to Question 4a, have you ever brought up phlegm
like this on most days or nights, for three months in a
row?
Yes
No
-C4-
GO ON TO THE NEXT PAGE
DO NOT
WRITE IN
THIS SPACE
-------
5. In the past three years, have you ever had a period of cough
and phlegm lasting for three weeks or more?
(This question refers only to periods of more than usual
cough and phlegm.)
No
Yes, 1 period
Yes, 2 or more periods
6. Do you get short of breath walking on level ground at an
ordinary pace?
Yes
No
7. During the last three years, has a doctor said that you had
pneumonia ?
No
Yes, once
Yes, twice
Yes, more than twice
8. During the last three years, has a doctor said that you had
bronchitis ?
No
Yes, once
Yes, twice
Yes, more than twice
9. During the last three years, have you been in the hospital
for pneumonia or bronchitis ?
No
Yes, once
Yes, twice
Yes, more than twice
-C5-
GO ON TO THE NEXT PAGE
DO NOT
WRITE IN
THIS SPACE
7.
8.
9.
-------
10. During the past three years, has a doctor said that you had
any illness of the chest other than pneumonia or bronchitis?
No
Yes, Once
Yes, Twice
Yes, More than twice
lOa. If "Yes" which illness(es) did the doctor say you had?
(Write in the illness(es) the doctor said you had.)
1.
2.
3.
11. In the last 12 months, about how many times have you had a
cold or the flu? (Write in the correct number.)
About
Times
12. Do you have asthma?
_Yes
No
12a. If "Yes" to Question 12. how many asthma attacks
have you had in the past year ?
Attacks
12b. If "Yes", to Question 12, when you have an asthma
attack, which of the following symptoms do you get?
(You may check more than one line. )
1. Shortness of breath
/ •• • - • •- •—••-
2. Wheezing in the chest
3. Fever
4. More than usual phlegm from the chest
12c. If "Yes", to Question 12, has your asthma been
diagnosed by a doctor?
Yes
No
-C6-
GO ON TO THE NEXT PAGE
DO NOT
WRITE IN
THIS SPACE
10.
12.
13.
14.
15.
16..
17.
18.
19.
20.
-------
13. Have you ever smoked cigarettes?
Yes
No
13a. If "Yes", do (did) you inhale the smoke?
Yes
'No
14. Do you smoke cigarettes now?
Yes
No
15. All told, during your entire life, have you smoked as many
as five packs of cigarettes, that is, as many as 100
cigarettes ?
Yes
No
16. IF YOU SMOKE CIGARETTES NOW, how many cigarettes do
you smoke per day? (Check one line only.)
_Less than 1/2 pack per day (1-5 cigarettes per day)
_About 1/2 pack per day (6-14 cigarettes per day)
_About 1 pack per day (15-25 cigarettes per day)
_About 1 and 1/2 packs per day (26-34 cigarettes
per day)
_About 2 packs per day (35 or more cigarettes
per day)
-G7-
GO ON TO THE NEXT PAGE
DO NOT
WRITE IN
THIS SPACE
21.
22.
23.
24.
-------
17. (If you answered Question 16, do not answer this question.)
IF YOU HAVE GIVEN UP SMOKING, how many cigarettes
did you smoke per day? (Check one line only.)
JLess than 1/2 pack per day (1-5 cigarettes per day)
_About 1/2 pack per day (6-14 cigarettes per day)
_About 1 pack per day (15-25 cigarettes per day)
_About 1 and 1/2 packs per day (26-34 cigarettes
per day)
About 2 packs per day (35 or more cigarettes
per day)
18.
IF YOU HAVE EVER SMOKED CIGARETTES, how old were
you when you first started smoking?
(Write in the correct age.)
Years
19. IF YOU HAVE GIVEN UP SMOKING, how old were you the
last time you gave it up?
(Write in the correct age. )
Years
20. How many years have you lived in your present city or
town? (Write in the correct number of years. )
Years
21. How old are you now?
Years ' •
THANK YOU FOR YOUR HELP.
-C8-
DONOT
WRITE IN
THIS SPACE
25.
26.
27.
28.
29.
-------
Phase I OMB 158-ROO19
APPENDIX D
FAMILY HEALTH STUDY QUESTIONNAIRE
Name of Head of Household
First Name Last Name
Street
City Zip Code_
Telephone
THE INFORMATION IN THIS QUESTIONNAIRE
WILL BE HELD IN STRICT CONFIDENCE. ALL
RESULTS WILL BE SUMMARIZED FOR GROUPS
OF PEOPLE. NO INFORMATION ABOUT
INDIVIDUAL PERSONS WILL BE RELEASED.
-Dl-
-------
INSTRUCTIONS FOR ANSWERING FAMILY HEALTH
STUDY QUESTIONNAIRE
.1. IF POSSIBLE, ALL QUESTIONS SHOULD BE ANSWERED BY THE
MOTHER, OR FEMALE GUARDIAN, OF THE STUDENT WHO BROUGHT
THIS QUESTIONNAIRE HOME FROM SCHOOL.
2. PLEASE READ QUESTIONS CAREFULLY BEFORE ANSWERING.
3. CHOOSE THE ANSWERS WHICH SEEM MOST APPROPRIATE. PLACE
CHECK MARKS ON THE LINES WHICH CORRESPOND TO YOUR
ANSWERS. WHERE A NUMBER IS CALLED FOR, WRITE THE
APPROPRIATE NUMBER ON THE LINE.
4. USE A LEAD PENCIL ONLY. DO NOT USE INK.
5. PLEASE ERASE ALL MISTAKES COMPLETELY.
6. ANY REMARKS CAN BE WRITTEN ON THE BACK OF THIS
QUESTIONNAIRE.
THANK YOU FOR YOUR COOPERATION.
-D2-
-------
I. HEALTH QUESTIONS ABOUT THE MOTHER AND FATHER
NOTE: THE QUESTIONS IN THIS SECTION SHOULD BE ANSWERED
FOR BOTH PARENTS BY THE MOTHER (OR FEMALE GUARDIAN).
ANSWER THE QUESTIONS IN THIS SECTION ONLY FOR PARENTS
(OR GUARDIANS) LIVING IN THE HOME.
Do you usually cough first thing in the
morning?
(Count two or more couglis'upoh aiismg, or
when you first go out of doors, or, if you are
a smoker, when you smoke the first cigarette
of the day. Do not count clearing the throat.)
la. If ' 'YES'', do you cough like this on
most days during any three month period
of the year?
Ib. If' 'YES'' to Question la, have you
coughed like this for the last two years
or more?
2. Do you usually cough at some time during
the day or night?
(Do not count an occasional cough.)
2a. If' 'YES' ',do you cough like this on
most days or nights during any three
month period of the year?
2b. If ' 'YES'' to Question 2a. have you
coughed like this for the last two
years or more?
3. Do you usually bring up phlegm (thick
fluid) from your chest first thing in the
morning?
(Count phlegm whether swallowed or expelled,
upon arising, or when you first go out of doors,
or, if you are a smoker, when you smoke the
first cigarette of the day. Do not count
phlegm from the nose.)
3a. If ' 'YES'', do you bring up phlegm like
this on most mornings during any three
month period of the year?
3b. If' 'YES'' to Question 3a, have you
brought up phlegm like this for the
last two years or more?
Mother
(or Female
Guardian)
.Yes
.No
_Yes
_No •
.Yes
_No
_Yes
_No
_Yes
.No
_Yes
.No
_Yes
No
_Yes
.No
^Yes
No
Father
(or Male
Guardian)
.Yes
.No
_Yes
.No
-Yes
No
_!Yes
_No
_Yes
No
_Yes
_No
.Yes
No
_Yes
No
-D3-
DO NOT WRITE
IN THIS SPACE
1..
2.
3..
6..
-------
3
4. Do you usually bring up phlegm from your
chest at some time during the day or night?
. 4a. If "YES", do you bring up phlegm
like this on most days or nights
during any tnree month period of
the year?
4b. If • 'YES' 'to Question 4a, have you
brought up phlegm like this for the
last two years or more?
5. In the past three years, have you had a period of
cough and phlegm lasting for three weeks or
more?
(This question refers only to periods of more
than usual cough and phleem.)
6. Do you get short of breath walking on level ground
at an ordinary pace?
7. Have you ever smoked a pipe or cigar?
7a. If ' 'YES' ', do (did) you inhale the smoke?
8. Have you ever smoked cigarettes?
8a. If ' 'YES* ', do (did) you inhale the smoke?
9. Do you smoke cigarettes now?
10. All told^have you smoked as many as five
packs of cigarettes, Ui.it is, as many as
100 cigarettes, during your entire life9
Mother
(or Female
Guardian
Yes
No
Yes
No
.Yes
No
Yes
No
YRS
Nn
Yes
Nn
Yes
No
Yes
No
L- Yes
No
Yes
No
Yes
_No
Father
(or Male
Guardian)
Yes
No
Yes
No
Yes
No
Yes
No
Yes
Nn
Yes
Nn
No
Yes
No
Yes
No
Yes
No
Yes
No
r\j
DO NOT WRITE
IN'THIS SPACE
7 14,
8 15,
10 17...
11. 18,.
12. 19.
13 20.
-------
4
11. If you are a current cigarette smoker (or an
ex-cigarette smoker), how many cigarettes
do (did) you smoke per day?
OLess than 1/2 pack per day (1-5 cigarettes
per day)
•About 1/2 pack per day (6-14 cigarettes
_ /3n
©About 1 pack per day( 15-25 cigarettes
per day)
•About l'/z packs per day (26-34 cigarettes
OAbout 2 packs per day (35 or more
cigarettes per day)
12. If you are a current cigarette smoker (or an
ex-cigarette smoker), how old were you
when you first started smoking?
13. If you are an ex-cigarette smoker, how old
were you when you last gave up smoking?
14. At your job, are you now or have you been
frequently exposed to irritating smoke,
dust, or fumes'
14a, If ' 'YES' ', what kind of irritant are
(were) you exposed to?
(For example: coal dust, cutting oils,
asbestos, mine dust, smelter fumes.
raw cotton dust, foundry dust)
14b. If ' 'YES* ', how long have you been
(were you) exposed?
©Less than 1 year
•6 to 10 years
-D5-
Mother
(or Female
Guardian)
Yrs.
Yrs.
Yes
No
Father
(or Male
Guardian)
Yrs.
Yrs.
Yes
No
DO NOT WRITE
IN THIS SPACE
21. _
22...
23...
24...
25...
26..
27..
28.,.
29. _
30.
31..
32..
34...
36.-
38."..
39...
40..
-------
II. QUESTIONS ABOUT THE HEALTH OF CHILDREN IN THE HOUSEHOLD
WRITE AT THE TOP OF EACH COLUMN THE NAME OF EACH CHILD IN THE
HOUSEHOLD. THEN, IN EACH CHILD'S COLUMN CHECK ONE BOX TO
ANSWER EACH OF THE FOLLOWING QUESTIONS, PLEASE START WITH THE
OLDEST CHILD AND WORK TO THE YOUNGEST.
1.
2.
3.
4.
6.
DO NOT WRITE
IN THIS SPACE
Has your child been
diagnosed by a doctor
for pneumonia during
the last three years'?
Has your child been
diagnosed by a doctor
for an attack of eroup
during the last three
years?
Has your child been
diagnosed by a doctor
for an attack of
bronchitis during the
last three years?
Has your child been in
the hospital for any of
the illnesses above
during the last three
years'?
Has your child been
diagnosed by a doctor
during the last three
years for any chest
illness other than the
three above?
What is the full name
and addiess of the
doctor who takes care
of your child or, if
you take your child to
a clinic for medical
care what is the
name and address of
the clinic?
Name of
Oldest Child
Nn
Yes.Once
or more
Nn
Yes.Once
Yes, Twice
or more
No
Yes.Once
YPR Twir.fi
or more
No
Yes.Once
Yes. Twice
or more
Nn
Yes.Once
Yes, Twice
or more
Name of
2nd Child
Nn
Yes.Once
or more
No
Yes.Once
Yes, Twice
or more
No
Yes.Once
Yes.Twice
or more
No
Yes.Once
Yes.Twice
or more
Nn
Yes.Once
Yes.Twice
or more
Name of
3rd Child
Nn
Yes.Once
or more
Nn
Yes, Once
Yes.Twice
or more
No
Yes.Once
Yes.Twice
or more
Nn
Yes.Once
YP.S, Twice
or more
Nn
Yes.Once
YesrTwicf!
-D6-
DO NOT WRITE
IN THIS SPACE
41...
.49.
57..
42.,
.50.
.58.
43.
.51..
59.
44,.
52.
.60.
45.
.53..
61.
46.
54..
62.
47..
48..
.55..
56.
.63.
64.
-------
IF YOU HAVE MORE THAN THREE CHILDREN IN THE HOUSEHOLD,
CONTINUE ON THIS PAGE.
1.
2.
3.
6.
DO NOT WRITE
IN THIS SPACE
•
Has your child been
diagnosed by a doctor
for pneumonia during
the last three years'?
Has your child been
diagnosed by a doctor
for an attack of croup
during the last three
years'?
Has your child been
diagnosed by a doctor
for an attack of
bronchitis during the
last three years'?
Has your child been in
the hospital for any of
the illnesses above
during the last three
years?'
Has your child been
diagnosed by a doctor
during the last three
years for any chest
illness other than the
three above1?
What is the full name
and address of the
doctor who takes care
of your child or, if
you take your child to
a clinic for medical
care what is the
name and address of
the clinic?
Name of
4th Child
No
Yes.Once
Vpo Tu/inp
or more
No
Yes.Once
Yes, Twice
or more •
,No
Yes.Once
YP.S Twice
or more
No
Yes.Once
Yes.Twice
or more
Nn
Yes.Once
Yes.Twice
or more
Name of
5th Child
Nn
Yes.Once
or more
No
Yes.Once
Yes.Twice
or more
No
Yes.Once
Yes.Twice
or more
_No
Yes.Once
Yes.Twice
or more
No
Yes.Once
Yes.Twice
or more
Name of
6th Child
No
Yes.Once
Vp
-------
1.
3.
4.
5.
IF YOU HAVE MORE THAN SIX CHILDREN IN THE HOUSEHOLD.
CONTINUE ON THIS PAGE.
2.
6.
DO NOT WRITE
IN THIS SPACE
Has your child been
diagnosed by a doctor
for pneumonia during
the last three veai's?
diagnosed by a doctor
for an attack of croup
during the last three
years?
Has your child been
diagnosed by a doctor
for an attack of
bronchitis during the
last three years''
Has your child been in
the hospital for any of
the illnesses above
during the last three
years"
Has your child been
diagnosed by a doctor
during the last three
years for any chest
illness othei than the
three above?
What, is the full name
and address of the
doctor who takes care
of your child 01 , if
you take your child to
a clinic tor medical
care, what is the
name and address of
the clinic1'
Name of
7th Child
Nn
Yes.Once
VPQ TWIPP
or more
Nn
Yes, Once
Yes, Twice
. or more
,No
Yes.Once
VPR Twice
or more
/Nn
Yes.Once
Yes.Twice
or more
. Nn
Yes.Once
Yes.Twice
or more
Name ot
8th Child
Nn
Yes.Once
or more
No
Yes.Once
Yes.Twice
or more
Nn
Yes.Once
Yes.Twice
or more
_No
Yes.Once
Yes.Twicej
or more |
Nn
Yes.Once
Yes.Twice
nr mnrp
Name of
9th Child
Nn
Yes.Once
Vpo T'u/iPp
or more
Nn
Yes, Once
Yes.Twice
or more
Nn
Yes.Once
YostTwice
or more
Nn
Yes.Once
Yes.Twice
or more
Nn
Yes.Once
YesrTwine
-D8-
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IN THIS SPACE
89..
97..
105.,
90.
.98 106..
91.
.99.
167..
92.
.100. 108..
93.
101 109.
94.
.102 110.
-------
3.
IF YOU HAVE MORE THAN NINE CHILDREN IN THE HOUSEHOLD
CONTINUE ON THIS PAGE.
PLEASE CHECK THE SMALL BOX BELOW IS THERE ARE MORE
THAN TWELVE CHILDREN IN THE HOUSEHOLD.
1.
2.
5.
6.
DO NOT WRITE
IN THIS SPACE
Has your child been
diagnosed by a doctor
for pneumonia during
the last three years'?
Has your child been
diagnosed by a doctor
for an attack of croup
during the last three
years'
Has your child been
diagnosed by a doctor
for an attack of
bronchitis during the
last three years'?
Has your child been in
the hospital for any of
the illnesses above
during the last three
years?'
Has your child been
diagnosed by a doctor
during the last three
years for any chest
illness other than the
three above1?
What is the full name
and address of the
doctor who takes care
of your child or, if
you take your child to
a clinic for medical
care, what is the
name and address of
the clinic1?
Name of
10th Child
No
Yes.Once
Yes.Twice
or more
No
Yes.Once
Yes.Twice
or more
Nn
Yes.Once
VPS Twice
or more
No
Yes.Once
Yes.Twice
or more
. No
Yes.Once
Yes.Twice
or more
Name of
llth Child
No
Yes.Once
Yes.Twice
or more
No
Yes.Once
Yes.Twice
or more
No
Yes.Once
Yes.Twice
or more
Nn
Yes.Once
Yes.Twice
01 more
Nn
Yes.Once
Yes.Twice
or more
Name of
12th Child
No
Yes.Once
Yes.Twice
or more
No
Yes, Once
Yes.Twice
or more
NO
Yes, Once
Yes.Twice
or more
Nn
Yes.Once
Yes.Twice
or more
No
Yes.Once
YesrTwice
or more
-D9-
DO NOT WRITE
IN THIS SPACE
113.
.121.
129.
114.
.122..
130..
115.
.123..
.131.
,116.
.124..
.132.
117.
.125..
118.
.126..
.134.
119..
120.
.127..
.128..
.135.
.136.
-------
III. GENERAL QUESTIONS ABOUT THE HOUSEHOLD
1. What is the last .school level completed by the mojhe.r (or female guardian)''
(Check one line only.)
_ Elementary school
_Part of high school
_Bigh school graduate
_Part of college
_College graduate
Graduate school, including
"advanced and professional degrees
Trade, technical, or business
"school beyond high school
2. What is the last school level completed by the father (or male guardian)?
(Check one line only).
.Elementary School
_College graduate
_Part of high school
_High school graduate
_Part of college
jGraduate school, including
advanced and professional degrees
JTrade, technical, or business
school beyond high school
3. Which of the following best describes the family"?
(Check one line only.)
.American Indian
_Mexican American or
Spanish American
_Black
.Oriental
_White
_0ther, including mixed
4. How many years has your family lived in your present city or town?
Years
Check the line below if your family has always lived in your present
city or town.
5. Where did your family last live before moving to your present city or town?
Ctt.y_
Stare
5a.
'A' many years did your family live theio?
_ Years
-D10
DO NOT WRITE
IN THIS SPACE
137.
138.
139.
140.
141.
142.
-------
10
6. How many rooms are there in your living quarters?
(Count all rooms except bathrooms, porches, balconies, halls,
foyers, and half rooms.)
Rooms
7. Do you plan to move within the next year?
Yes
No
8. What kind of stove do you ordinarily use for cooking in your home?
Gas
.Electric
.Other
9. Do you use an unvented gas heater in your home?
Yes
-Dll-
DO NOT WRITE
IN THIS SPACE
143.^
144.
145.
146.
-------
11
IV. CENSUS OF HOUSEHOLD
IN THE FIRST COLUMN BELOW, WRITE THE FIRST AND MIDDLE NAMES OF
EACH PERSON LIVING IN THE HOUSEHOLD. ALSO WRITE THE LAST NAME
FOR PERSONS WHOSE LAST NAMES ARE DIFFERENT FROM THAT ON
THE COVER OF THIS QUESTIONNAIRE.
Name
1.
2.
3.
4.
5. .
6.
7.
8.
Age
in
Years
Sex
M = male
F = female
Position in Household
(Check the appropriate box.)
Father
or male
Guardian
Mother
or female
Guardian
Children
Other
(Including
foster
children and
Grandparents)
147
148..
149.
150 151.
153
154.
155.
156 157.
159.
160
161
162 163.
165.
166., .
167
168 169.
171
172.
173.
174 175
177.
178.
179.
180 181.
183.
184.
185.
186. 187
189.
190.
191.
192 193.
-D12-
DO NOT WRITE
IN THIS SPACE
.152..
.158,
.164.
.176.
.182.
.188.
.194.
-------
12
IF THERE ARE MORE THAN EIGHT PERSONS IN THE HOUSEHOLD,
CONTINUE ON THIS PAGE.
•
Name
9.
10.
11.
12.
13.
14.
15.
16.
If there are more than 16
Age
in
Years
persons
Sex
M = male
F = female
Position in Household j
(Check the appropriate box.)
T
Father
or male
Guardian
Mother
or female
Guardian
Children
•
Other
(Including
foster
children and
Grandparents)
in the household, please check the small box below.
-DIS-
DO NOT WRITE
IN THIS SPACE
195._
196._
197.
198..
201..
202 %.
203..
204..
207.-
208.,
209..
210..
213..
214..
215..
216._
219..
220. _
221. _
?22..
.199..
.200..
. 205..
.206..
_2H..
.212..
.217.
.218.
.223..
229..
235.
.224..
.230..
.236..
240..
241.
242.
-------
13
IN THE FIRST COLUMN BELOW, WRITE THE FIRST NAME OF EACH PERSON
IN THE HOUSEHOLD WHO HAS ASTHMA, CHRONIC HEART DISEASE. AND/OR
CHRONIC LUNG DISEASE. THAT HAS BEEN DIAGNOSED BY A DOCTOR.
CHECK THE APPROPRIATE BOX OR BOXES FOR EACH PERSON.
Name
1.
2.
3.
4.
5.
6.
7.
8.
If more than eight people
Chronic Lun^ Disease or
Age
in years
Chronic
Heart
Disease
•
Chronic
Lung
Disease
Asthma
(a!, any
time in
life)
If This Person Has
Asthma, Has The
Asthma Been Active in
The Last, Two Years?
Yes
No
f;
in the household have Chronic Heart Disease,
Asthma, Please check the small box below.
-D14-
DO NOT WRITE
IN THIS SPACE
243.
249.-
255..
261.
267.
273..
279.
285.
.244..
245._
246. __
247 _
-250._
251._
252. _
253._
_256._
257.._
258. _
259.-
. 262._
263._
264...
26 5_
_268._
269. _
270._
271. _
_274._
275._
276._
277..
. 280..
281..
282._
283..
.286..
287._
288._
289..
248.
254.
260.
266.
. 272.,
.278.
.284.
.290.
-------
APPENDIX E
HIGH SCHOOL PULMONARY FUNCTION TEST REPORT
SCHOOL,
MO. DAY " ~7ET HR.
PAGE
OF
TEAM
MACHINES
SPIROMETER
TEMPERATURE CALIBRATION (LITERS)
START DIAL READOUT
1.00
2.00
3.00
STOP
SYMPTOM CODE
1. NO RESPIRATOJJY $_YMPTO,MS
2. COUGH, COLDL.SORE THROAT
3.. ASTHMA.
4. BOTH 2 AND3 POSITIVE
ID.
NAMEfLAST, FIRST)
COMMENTS
DATE OF
BIRTH
MO.
YR.
tu
U
<
a:
:
X
tu
to
HEIGHT
•
*
•
«
%
«
•
;
»
•
«
»
HEEL
HOT.
•
%
•
»
•
»
v
*
•
•
•
%
t
SYMP-
TOMS
R
T
R
T
R
T
R
T
R
T
R
T
R
T
R
T
R
T
'FEV.,
FEV.,
FEV.,
MAX.
FEV.,
-
«
•
«
•
«
•
ft
•
•
•
•
%
*
•
•
•
•
AVE.
MAX.
FEV.,
%
.
»
*
t
t
•
•
•
•
•
•
«
%
•
•
•
FVC
FVC
FVC
MAX
FVC
•
.
'
•
•
•
i
•
•
4
1
•
»
t
%
4
4
*
AVE.
MAX.
FVC
•
.
%
•
•
•
•
•
•
•
•
•
•
«
•
4
*
•
ALVE-
OLAR '
CO(PPM)
I
w
-------
APPENDIX F
NHLI ADOLESCENT COHORT STUDY
Pulmonary Function Testing Time Schedule
School
VISTA .-
Lincoln Jr . High School
(Testing Periods: 1-4,
6 & 7)
Washington Jr. High School
(Testing Periods: 2-5,
7 & S)
Vista High School
(Testing Periods: 1-5)
GARDEN GROVE
Walton Intermediate School
(Testing Periods: 1-6)
Garden Grove High School*
(Testing Periods: 2-7)
CO VINA
Traweek Junior High School
(Testing Periods: 1-6)
Covina High School
(Testing Periods: 1-6)
Period 1
7:40 - 8:35
7:40 - 8:25
8:00 - 8:55
8:30 - 9:25
7:05 - 7:55
8:20 - 9:10
8:00 " 8:55
Period 2
8:40 - 9:25
8:30 - 9:15
9:02 - 10:01
9:30 - 10:15
8:00 - 8:50
9:15 - 10:05
9:00 - 9:55
Period 3
9:30 - 10:15
9:20 - 10:05
10:08 - 11:03
10:20 - 11:05
8:55 - 9:45
10:25 - 11:15
10:15 - 11:10
Period 4
10:20 - 11:05
10:10 - 10:55
11:11 - 12:07
11:10 - 11:55
10:00 - 10:55
11:20 - 12:10
Boys A
11:45 - 12:40
Girls B
11:15 - 12:10
Period 5
11:10 - 11:55
11:00 - 11:45
Period 4A '
11:44 - 12:39
11:55 - 12:30
11:00 - 11:50
Boys A
12:10 - 12:40
Girls B
12:15 - 1:05
12:45 - 1:40
Period 6
11:50 - 12:35
11:50 - 12:35
Period 5
12:48 - 1:43
12:30 - 1:15
11:50 - 12:20
1:40 - 2:30
1:45 - 2:40
' Period 7
12:40 - 1:25
12:40 - 1:25
Period 6
1:50 - 2:45
1:20 - 2:05
12:25 - 1:15
Period 8
1:30 - 2:15
1:30 - 2:15
1:20 - 2:10
Period 9
2:15 -3:05
••
* Telephone Garden Grove High School early Monday, December 3, to determine whether above schedule will be used, or whether Pep Assembly or Double Assembly
schedule will be substituted.
-------
APPENDIX G
NHU ADOLESCENT COHORT STUDY
Questionnaire Administration and Pulmonary Function Testing Schedule
Day/Date
Q
Monday, November 26
Tuesday, November 27
Wednesday, November 28
Thursday, November 29
Monday, December 3
Tuesday, . December 4
Wednesday, December 5
Thursday, December 6
Monday, December 10
Tuesday, December 11
Wednesday, December 12
Thursday, December 13
Community
Vista
Vista
Vista
Garden Grove
Vista
Covina
Garden Grove
Vista
Covina
Garden Grove
Vista
Covina
Garden Grove
Garden Grove
Covina
Covina
Garden Grove
Covina
Garden Grove
School
Task
Lincoln Junior High School
Washington Junior High School
Vista High School
Garden Grove Unified School District Hdqtrs ,
Lincoln Junior High School
Traweek Junior High School
Walton Intermediate School
Washington Junior High School
Covina High School
Garden Grove High School
Vista High school
Covina High School
Garden Grove High School
Walton Intermediate School
Traweek Junior High School
Covina High School
Garden Grove High School
Covina High School
Garden Grove High School
QA (8th & 9th grades)
QA (8th & 9th grades)
QA.
PFT Training Session
PFT (8th & 9th grades)
QA
QA
PFT (8th & 9th grades)
QA-(9th grade)
QA (9th grade)
PFT
QA (10th grade)
QA(10th grade)
PFT
PFT
PFT (9th grade)
PFT (9th grade)
PFT (10th grade)
PFT (10th grade)
-------
APPENDIX H
NHLI ADOLESCENT COHORT STUDY
Instructions for Administering Student Questionnaires
(May 25, 1973)
A. Introduction to the Group
1. Before starting your introduction, you must know exactly how many
students are in the group. Use only the exact number of question-
naires that you will need.
2 . Introduce yourself by name.
3 . State the name of your organization (Copley International Corporation)
4. State that your organization is studying the health of students . The
study is interested both in their health now and in their health over
the last few years .
5. In this period you will give a questionnaire (or booklet of questions)
to each student to fill out for himself. The questions are about his
health now and his health over the last few years .
6. There are 21 questions in all.
7. All the questions are important} and you want everyone to answer
all the questions as accurately as possible.
8. Tell the students to write their names and dates of birth on the front
page.
9. Cover the instructions on the second page, point by point:
a. Tell the students to answer every question, and to think
carefully about each question before answering it.
b. Tell the students to put check marks on the lines for the
right answers, and, for questions that call for numbers,
to write the correct numbers on the lines provided.
-HI-
-------
c. Tell the students to use pencils and not to use pens.
d. Tell the students to erase all their mistakes completely.
10. Remind the students to take all the time they need with every
question. They can have this whole period to fill out the
questionnaire, if they need it.
11. Everyone will be asked to stay for at least 15 minutes.
12. Assure the students of confidentiality. Their answers will not be
given oul to anyone, so they have nothing to lose by answering
every question accurately (avoid using words like "honestly" —
you are not questioning the students' honesty).
13. Determine one door only through which students will be allowed to
leave the room. Tell the students to leave through that door when
they are finished. Tell the students to give their questionnaires to
you as they leave.
14. State that you will be back in a few days to do some breathing tests
with the students. These tests will also be part of the health study.
15. Thank the students for helping in the study.
B. Questions that Might Arise
1. Students may ask why you want their names. Answer that without
their names, there is no way to relate their questionnaire infor-
mation to their breathing test information.
2. Students may not know what phlegm is. Answer that phlegm is the
thick fluid that comes up from the chest when one coughs, as with
a chest cold.
3. Students may not know what bronchitis is. Answer this question
by stating bronchitis symptoms--cough with thick fluid from the
, chest (phlegm), fever, often a sore chest, often some difficulty
breathing. Describe the treatment, penicillin pills or penicillin
shots (the word "penicillin" will probably be better recognized
than the word "antibiotics").
- H2-
-------
C. Collecting Questionnaires
1. Stand at the door and be sure to collect a questionnaire from
each and every student as he leaves the room.
2. Be sure that you know where students are supposed to go after
filling out questionnaires.
-H3-
-------
APPENDIX I
NHLI ADOLESCENT COHORT STUDY
Technical Instructions for Operating
Tape Recorders in Pulmonary Function Testing
(May 29, 1973)
A. Procedure to be Used at the Beginning of Testing for each Group
Prior to testing any subject, the following events,in the sequence listed,
must take place. This is to insure proper identifiaction of the subject
on the tapes and forms which are used during the tests.
1. Recorder gives the technician the Area ID number, Town ID number,
and Grade ID number which have been entered on the forms.
2. The technician will then enter these numbers on the recorder using
the thumbwheel switches marked AREA, TOWN, and GRADE.
3. Enter 000 on ttye EC-22 using the thumbwheel switches on the EC-22.
4. Set the tape recorder on channel 01 using the two-digit thumb-
wheel switches on the tape recorder marked "channel select."
5. Push the time set button in.
C. Turn the tape recorder on by moving the switch on the EC-22.
marked Rmt ON-OFF to the ON position.
7. While the tape recorder is operating, observe the nixie readout.
The readout should, read numbers OXX where XX are the Area and Town
ID numbers.
8. Allow the recorder to run for at least one second.
9. Turn the tape recorder off by moving the Rmt switch on the
EC-22 to the OFF position.
10. This concludes the sequence of events for A. The instrument is
now ready for recording PFT values.
11. No changes need be made for AREA, TOWN, and GRADE until the start
of a new grade. liXCEPTION: Some groups may contain students from
more than one grai^e. Be alert to this possibility.
B. Sequence of Events During the Testing of Subjects.
1. A three-digit ID nxynber will have been assigned to each subject
to be tested, starting with 001, and continuing to as many numbers as
necessary.
2. The recorder will call out to the technician the three-digit ID number
of the subject.
-II-
-------
2.
3. The technician will then:
a. enter the three-digit ID number on the EC-22}
b. select channel 19 on the tape recorder}
\
c. turn the tape recorder on and observe the nixie readout for
channel 19; and
d. turn the recorder OFF when channel 19 is observed, to be reading
the subject's ID number.
4. Begin testing the subject.
5. As the subject starts to inhale, start the tape recorder and allow
it to run until the subject stops exhaling. At this time stop the tape
recorder.
6. Clear the spirometer to zero, and continue with further tests on the
same subject using 4 and 5 above.
Note: All tests (good or bad) will be recorded. No identification
digits are changed during the testing of the same subject.
7. New Subject
The technician and recorder will follow the sequence of events listed in
subparagraphs if 2, and 3 of paragraph B.
8. New Grade
The technician and recorder will follow the sequence of events listed in
paragraphs A and B.
C. Procedure for Changing the Tape Cartridge.
1. It as desirable to record the complete group on the same tape. A check
must be made after each group to insure that sufficient tape is remaining
to complete the group.
2. Changing the Cartridge.
a. Turn the tape recorder off (move the RMT switch on the EC-22 to
OFF).
b. Push the release handle on the recorder all the way up.
c. Remove the cartridge by pulling straight out.
d. Record on the label 6f the tape cartridge the Area code and
Town code.
e. Place a new cartridge in the recorder.
f. Push the release handle all the way down. You should feel it lock.
-12-
-------
3.
Note: If the cartridge is not in the proper position and not pushed all
the way in, the release handle cannot be pushed all the way down and locked,
3. Information Required on New Tapes
a. Start at paragraph A and enter in sequence the information for
all of paragraph A.
b. After completing the steps in Paragraph A, the tape cecorder will
be ready for recording pulmonary function tests.
c. For testing, follow the procedures in paragraph B.
-13-
-------
APPENDIX J
May 1973
Pulmonary Function Testing Instructions
For Teams Testing in High Schools
Teams which test high school students will be responsible for
collecting two major items of data from each student, a pulmonary
.function test and a plastic bag full of alveolar air. The pulmonary
function test will be the total volume of air that the student can
forcefully exhale, from maximum inspiration to maximum expiration.
This volume is often called the forced vital capacity (FVC). As you
test, a tape recorder will record the entire trace of expired volume
vs. time. At the same time, a digital readout instrument will display
the volume of air which the student has exhaled in the first second of
the FVC. This measurement is formally called the one-second forced
expiratory volume, or FEV-,. The FEV, is the only measurement that will
be displayed during the time of testing.
The other data item to be collected from each student is a plastic
bag full of alveolar air. This is obtained simply by instructing the
student to exhale into a two-way valve which routes the first 300 cc. or
so of expired air past the bag, and which routes the rest of the expired
air (true alveolar air) into the bag. This air will be analyzed, after
testing, for carbon monoxide content.
There are four members on each team, the team leader (technician),
the height taker (and interviewer), the recorder, and the breath collector.
Smooth ar.c effective testing will require close cooperation among all
members. The following instructions will describe the responsibilities of
each team member, and will summarize the working of the team as a whole.
A. Technician
You have the following major responsibilities:
1. To insure that spirometers are properly calibrated before
each group you test;
2. To be sure, before each group, that enough tape is in the
tape recorder to cover that group (Have three extra reels on
hand);
3. To give a short introduction to each group, in which you
explain the proper testing procedure and demonstrate the use
of the spirometer; and
4. To lead each student individually through his pulmonary
function tests.
-Ji-
-------
1. Introduction to the Group
a. Be sure that the group is sitting and attentive .
before you begin your introduction. In the introduction;
you must cover every point in the following instructions.
b. Introduce the team by name to the class. Also state
the name of the organization you represent.
c. Explain that your organization is studying the
health of students in Southern California, and that
this school is part of the study.
d. State that an important measurement of anyone's
health is the amount of air that can be taken into and
blown out of the lungs. You will be measuring this-
amount in each student today, with an instrument called
a spirometer (or breath meter). At this point show the
spirometer to the class and explain that it will contain
all the air they blow into it. Explain that the other
two instruments will record the amount of air that each
person was able to blow. (The only actual measurement
you will see will be the amount of air exhaled in the
first second, the FEV,.)
e. Explain the requirements of the test:
(1) Maximum inspiration before expiration;
(2) Placement of the mouthpiece in the mouth
before expiration begins (the teeth should
lightly touch the top and bottom of the mouth-
piece, and the lips must be fully sealed around
it).
(3) Expiration, with no air leakage from the
• mouthpiece, as forceful and as complete as is
absolutely possible. Every student must blow
as f.ard as he can until there is not one bit
of cir left to blow out. This -point is the
most important of your introduction.
f. Now demonstrate the proper testing procedure to the group:
(1) Hold the mouthpiece alongside your head before .
inspiring;
(2) From a position of resting expiration, (not from
ful't expiration) take as deep a breath as you
' posribly can;
(3) Place the mouthpiece in your mouth in a way that
makes the proper placement obvious to the group;
-J2-
-------
(4) Make a forced expiration into the spirometer
for as long as you can. It is very important
that you continue to exhale for at least five
seconds, to give the students a clear idea of
how long they will have'to blow. (You will find
that this test is quite difficult, and, to avoid
light-headedness, you may want to stop exhaling
after three or four seconds. In any case, you
must not release the mouthpiece for at least
five seconds.)
g. Explain that you want three good tests from each student.
The recorder will call each one individually. Explain that
the student will go first to the height-taker, who will
measure their height and ask them how they feel today. Then
they will come to you for testing. When their testing is
finished, they will go to the breath sampler, who will
. collect a sample of expired air from each of them.
h. Repeat that each student must take his deepest possible
breath, and blow it as hard and long as absolutely possible
into the spirometer.
2. Testing the Individual Student
a. During the entire period of testing, you must be
supportive and encouraging, to insure maximal effort by
students.
b. Be sure that you know the student's name before you
start testing him. Using the proper thumb switches on
the tape recorder, dial his six-digit ID number before
testing starts.
c. As the student is making his maximum inspiration,
start the tape rolling by depressing the tape starter
switch. You must allow two seconds to let the tape
achieve full speed. The tape will roll only while the
switch ij depressed, so be sure to keep it depressed
throughout testing,
d. The student must blow as hard as he can for at least
five seconds. This will require constant encouragement
from you to "keep blowing—hard". You must use either
a stopwatch or a sweep second hand to insure that
expiration has been long enough.
e. You are to report FEV\ values from three valid tests
to the recorder. You must be sure of several things
before accepting a test as valid and reporting a value.
-J3-
-------
(1) The student has followed the proper sequence:
he is standing, with full freedom of motion, and
not leaning on anything; he holds the mouthpiece
alongside his head; he takes his deepest possible
breath from a position of resting expiration (You.
can insure this by telling him to take his deep
breath at the proper time); he holds his breath
while placing the mouthpiece in his mouth; he
expires as forcefully and completely as possible,
for at least five seconds.
(2) There has been no leakage of air from around
the mouthpiece.
(3) The student has exhaled continuously for five
full seconds. Probably, some students will try
to take a small inspiration or two near the end
of expiration. This will make a test invalid,
' and require repeating it.
f. Never ask a student to perform the test more than five
times.
g. Replace the mouthpiece before each new student's testing,
using clean tissue paper to remove the used mouthpiece.
Do not give used mouthpieces to students.
B. Height Taker (Interviewer)
1. You will be the first member of the testing team'that the
student encounters. Be cordial but businesslike.
2. Measure each student's height by having him stand straight
on the platform, with heels together and touching the pole.
Measure his height and round it to the nearest half inch. Report
the rounded height to the recorder.
3. Be sure to notice every student's heels. When a student is
wearing heels which are visibly higher than normal, report this
fact to the recorder immediately after reporting the student's
height.
\
. 4. Ask each child about symptoms: (1) "Do you have a cold,
cough, or sore throat today?" (2) "Do you have asthma's" Ask
these questions verbatim and report the correct symptom code
number to the reporter.
-J4-
-------
The symptom code is as follows:
Code Number - Symptoms
1 No symptoms
2 Cold, cough, or sore throat
today only
3 Asthma only
4 •• Has either a cold, cough, or
sore throat and asthma.
4. Send the student on to the team leader.
C. Recorder
1. Use only pencil.
2. Call out students' names, one by one, in the order in
which they appear on the Pulmonary Function Test Report Form.
Do not call names which have a red R beside them.
3. Record height and symptom code number as told to you by
the height-taker. For every student who has visibly high heels,
enter a "0.5" in the "Heel Height" column. Note that, for
height and heel height entries, the decimal points have been
pre-printed.
«.
4. Record FEV-, values, as told to you by the technician, for
each student. Enter these values in the columns marked "FEV-,".
Enter them for each student only in the row labelled "R" (for
readout). In the rows labelled "T" (for tape), FEV, and FVC
values from the tape recorder will be entered at a later time.
5. If a student is absent, draw a line through his row on the
form. If he is permanently absent (moved, transferred, etc.),
enter an "8" in the "Comments" column. If he is temporarily
absent, enter a "9". If a student has been unable to complete
his tests for any reason, such as apprehension or confusion,
enter an "inc." in the/'Comments" column.
\
P."'Breath Collector
1. .You will be provided with plastic bags previously labelled
with each student's name and six-digit ID number. Be sure that
you know the student's name before collecting his breath sample.
-J5-
-------
2. Before collecting a breath sample from a student, be sure
of the following things:
a. The seal between the small bag and the two-way
valve is airtight;
b. The small bag has no leaks; '
c. The large bag has no leaks;
d. The screw valve on the large bag is open (turned
fully to the left);
e. The seals of the plastic hose with the two-way
valve, and with the large bag, are airtight;
' f. A fresh mouthpiece is placed airtightly on the
two-way valve.
'3. The student should be sitting down for breath collection.
4. Instruct the student to take a deep breath before he places
the mouthpiece in his mouth. A maximum inspiration is not
necessary.
5. Instruct the student to hold his breath for 20 seconds.
This time interval permits full equilibration of gases between
the lungs and the blood.
6. Instruct the student to place the mouthpiece in his mouth in
the same way he did for his previous test.
7. Instruct the student to exhale as much air as he can through
the mouthpiece, with no leakage of air from around it. This
exhalation, unlike his previous ones, should not be forced. You
should collect at least two liters of air in the bag.
8. After collecting the breath sample, detach the hose from the
large bag and screw the screw valve closed (all the way to the
right).
9. Wring the small bag completely empty. There is no need to
replace tlris bag unless it has developed a leak.
^
10. Remove the mouthpiece and throw it away.
. Summary of Sequence
i
1. Team leader introduces the team to the group, and explains and
demonstrates the proper testing procedure. The introduction
emphasizes maximum inhalation, and forced exhalation for as long
as is absolutely possible.
2. Recorder calls out the students' names, one by one. The students
go first to the height taker, who determines height, symptom code number,
and the presence of high heels, and reports them to the recorder. '
'-J6-
-------
3. The student goes to the team leader and is tested until
three valid FVC tests are obtained.
4. The student goes to the breath collector, who collects
a bag full of air from the lungs.
F. Suggestions
1. Height taker
a. Be sure that no student walks into the
top piece of the height stand.
b. Sometimes it will be obvious that a student
has a cough, or a runny or stuffy nose. In
this case, consider the answer to your first
question as "yes", no matter what the student
answers.
2. Recorder
a. Be sure not to get confused. You will
usually find yourself entering height and
symptom code number for one student at the
same time as you are entering FEV, values for
the previous student on the list.
b. Don't call too many names too quickly. If
you do, a line will form in front of the team
leader and add to confusion.
c. You can often help the team leader in
judging whether a test is valid or not, since
you will have a different angle of vision to
the testing. Thus it is important for you to
. know the proper testing procedure.
3. Team Leader
a. Always use judgment, and do not spend an
unreasonable amount of time with any student.
The FVC test is a fairly difficult one, and you
should not press to get three valid tests right
away. Occasionally, if circumstances permit,
it will'be best to thank the student, ask him to
sit down and relax, and call him back later.
Rarely, a student will simply be unable to grasp
the testing procedure, or to exhale for five
seconds. You should thank him for his effort
and send him to the breath collector.
b. Again, be sure that you know the student's
correct ID number before dialing it into the
1 tape recorder.
-J7-
-------
4. Breath Collector
a. Your major concern will be that the student
blows into the right bag. This will be essential
for correctly linking breath analyses to ques-
tionnaire information.
b. Be sure to have at least 10 small bags on
hand.
5. Whole Team
a. Record the splrometer temperature at the
' beginning and end of every three pages of Pulmonary
Function Test Report forms (every 27 students).
b. Calibrate, and record calibration values, once
for every six pages of the Test Report forms (54
students). If you test in individual classrooms,
calibrate once every other class.
c. At the end of the day, enter each student's
maximum FEV, in his "Max. FEV" column. Enter the
arithmetic mean of his two highest FEV readings
in his "Ave. Max. FEV" column. Remember to enter
these values only in the row labelled "R" (for
readout).
d. Remember that you are dealing with high-school
students, and that a businesslike manner will best
promote valid test results. A businesslike manner
will also help to maintain a cordial working
relationship with the schools.
-J8-
-------
APPENDIX K
NHLI ADOLESCENT COHORT STUDY
Supplemental Coding Instructions
1. Divide Family Health Questionnaires by community.
2. Arrange each of the above groups in alphabetical order.
3 . Open each questionnaire to the Census page . Transfer to the front
(bottom of page) the names of all children who might be study participants
(i.e., ages 13-17) . When a child's last name differs from the parent's,
make a cross-reference sheet on 8-1/2 x 11 paper indicating adolescent's
name and parents, i .e., Arthur Johnson - see John Smith.
4. Divide Student Health Questionnaires by community.
5. Comparing Students Qs to Parent Qs, pull all student Qs for those students
who brought back the questionnaire (the student name that appears at the
top of the Parent Q) .
6. For the remaining Student Qs, compare to Parent Qs to determine if they
are listed on the Parent Q . If so, record that student's I .D. number on
Parent Q below that of sibling who brought back the completed questionnaire
Make out new insert sheet.
-Kl-
-------
APPENDIX L
January 7, 1974
Information to bo Cross-Linked to Student Health Study Questionnaire
Student's
Student's
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
Name .
ID If
(Ql)~l
(Q2)
(Q3)
(Q4).
(Q6) '
(QDl
(Q2)
(Q3)
(Q4)
(Q6)
40.
Mother
41.
Father
42.
Total
43.
9 Slbl
44.
* Sibl
45.
// Sibl
46.
# Sibl
47.
1 Sibl
.48.
49.
50.
Mother's CRD
51.
52.
53.
Father's CRD
54.
55.
's Smoking
. 56.
7s Smoking
57.
tfof Siblings
•
CO
ings <1 yr. "u>
59.
ings 1-4 yrs. • Cf.
oO.
.. . _ fl
ings 5-8 yrs. "'•
62.
Mother's Education
Father's Education
Ethnic Group
# of Rooms in House
Gas Stove
Unvented Gas Heater
Total # of People
Maximum FEV-j
Maximum FVC
*
Al
•
ings 9-12 yrs. Student's Sex
63.
ings 13-16 yrs.
K/I
i Siblings>17 yrs.
Max. FEV]
Max. PVC
in Household
H n i n h f IL
- n u ii y [ i L a
Age
Adjusted
Across all
age groups
*J
veolar CO
•«^
Height &
Age
Adjusted
— — witmn year
of age
-------
APPENDIX M
NHLI ADOLESCENT COHORT STUDY
Instructions for Coding Student Questionnaires
Put Student I.D.# from pulmonary
function testing sheet onto
appropriate student questionnaire.
Q.l-4, Col
Q.5,
Q.6,
1.
2.
3.
4.
5.
6.
7.
8.
0.
.1-4
1 no,
1 yes
1 yes
1 yes
1 yes
1 yes
1 yes
1 yes
Blank
According to
la blank, Ib blank
, la no, Ib no /blank
, la yes, Ib no
, la yes, Ib yes
, la blank, Ib blank
, la yes , Ib blank
, la blank, Ib yes
, la blank, Ib no
entirely
this pattern, as soon as we find a "no" answer to a question,
we assume the remaining answers in that question are "blank" whether
they
CoL.5
1.
2.
3.
0.
Col .6
1.
2.
0.
're answered "no, " 'yes, " or left blank.
No
Yes,
Yes,
Blank
Yes
No
Blank
1 period
2 or more periods
Q.7r10, Col.7-10
1. No
2 . Yes, once
3 . Yes, twice
4 . Yes, more than twice
0. Blank
Q.lOa, Col.11, 12, 13
1. Asthma
2. Chest cold
3. Influenza/flu
4. TB
5. Whooping cough
6. Croup
7. Bronchial pneumonia
8. Histoplasmosis
9. Coccidioidomycosis
10. Pneumothorax or spontaneous collapsed
lung
11. Cystic Fibrosis
12. Chronic Bronchitis
13. Emphysema
14. Other - write out
15. O.K.
16 . Allergic conditions not reported as asthm
Code up to three illnesses, code blanks O's .
(If answer is "yes" and they list bronchitis or pneumonia, change answer to "no,
-Ml-
-------
Q.ll, Col.14
Code corresponding number . Code 99 for "0 ". Code "0 " for blanks .
If range, take middle number (ex: 1-3 - use 2) . If adjacent numbers,
take higher number (ex: 3 or 4.- use 4) . Code 800 for other non-numerical
answers (ex: many, several, etc.) . Code 500 for Don't Know.
Q.12, Col.15
1. Yes 3. O.K.
2. No 0. Blank
Q.12a, Col.16
Code corresponding number . Code 99 for "0 ". Code "0 " for blanks .
If range, take middle number (ex: 1-3,- use 2) . If adjacent numbers,
take higher number (ex: 3 or 4 - use 4) . Code O's in Col. 17-18 .
Code 800 for any other answer . Code 500 for Don't Know.
Q.12b, Col.19
1. Shortness of breath 4. Fever
2 . Wheezing in the chest 8 . More than usual phlegm from the chest
Note: For any combination of the above, simply add the numbers together (ex:
wheezing and fever = 6, wheezing and shortness of breath and phlegm = 11) .
Q.12c, Col.20
1. Yes 3. O.K.
2. No 0. Blank
Q.13, Col.21
1. 13 no, 13a no (or yes or blank) (If answer to first part is no, assume 13a
to be blank)
2 . 13 yes, 13a no
3 . 13 yes, 13a yes 0. Blank
4 . 13 yes, 13a Blank
" i
Q.14, Col .22
1. Yes
2. No
0. Blank
-M2-
-------
Q.15, Col .23
1. Yes (If blank and "yes" to Q .13, change answer to "yes .")
2 . No (If blank and "no" to Q .12, change answer to "no.")
0 . Blank (If blank and Q . 13 is blank, code "0.")
Q.16, 17, Co.24, 25
1. Less than 1/2 pack
2 . About 1/2 pack
3 . One pack
4. 1-1/2 pack
5. About 2 packs
0. Blank
Q.18-21, Col .26-29
Code corresponding number . Code 0 's for blanks .
In Q .20, Less Than 1 year = 100
Note: In Q .19, make sure the answers are logical (ex: 2 years would
probably mean he gave up smoking two years ago, not when he
was 2 years old) .
-M3-
-------
APPENDIX N
NHLI ADOLESCENT COHORT STUDY
Instructions for Coding Family Questionnaires
I.
Question
Number
Column
Number
Mother
Father
1-4
1-3
7
4-6
14
In upper right corner on
front page of questionnaire
code # or #'s from all student
questionnaires in the same
family.
1
1. No-
2. Yes
3. Yes
4. Yes
5. Yes
6. Yes
7. Yes
8. Yes
0. Entirely Blank
According to this pattern, as soon as we find a "no" answer
to a question, we assume the remaining answers in that
question are "blank" whether they're answered "no, "
or left blank.
5,6
8
9
15
16
1. Yes
2. No
0. Entirely blank
7,8 10 17
H?8
J-O
9 12 19
TO 13 20
-
1.
2.
3.
4.
0.
1.
2.
0.
1.
2.
0.
7 or 8
No
Yes
Yes
Yes
Blank
Yes
No
Blank
Yes
No
Blank
7a or 8a ' •
Blank (or yes or no)
Yes
No
Blank
(If blank and "yes" to Q8, change answer to "yes.")
(if blank and "no" to Q8, change answer to "no.")
(If blank and Q8 is blank, code "0".)
-Nl-
-------
Question Column
Number. ; Number
Mother Father
11
21
31
1. Less than 1/2 pack
2. 1/2 pack
3. 1 pack
4. 1-1/2 packs
5. 2 packs
0. Blank
Q .40 & 41 on Insert Sheet'
0. Blank
1. Lifetime non-smoker
2. Ex-smoker
3 . Smoker - less than 1/2 pack
4. Smoker - 1/2 pack
5 . Smoker - 1 pack
6. Smoker - 1-1/2 packs
7. Smoker - 2+ packs
8 . Smoker - no amount given
12
22-25 32-35 Col. 22 & 32 List exact age. Code "0" if no age is given.
Col. 23-25 & 33-35
Code "0"'s.
13
26-29 36-39
Code same as Q12. Code "0" if no age is given.
NOTE: Be careful on this one. Some people put down how long
ago it was they quit smoking e.g. 2 years, instead of how old
they were when they quit. In this case, we can simply subtract
the two to get the correct age. All other responses in Q12 & 13
must be coded as they are, even if they don't seem to make sense.
When in doubt, ASK.
14 30 40
14 14a
1 . No Blank
2. Yes Acceptable irritant
3. Yes Acceptable irritant
4. Yes Acceptable irritant
5. Yes Acceptable irritant
6. Yes Unacceptable irritant
7. Yes Unacceptable irritant
8. Yes Unacceptable irritant
9. -Yes Unacceptable irritant
10. Yes Blank
11. Yes Acceptable irritant
12. •„ Yes Unacceptable irritant
13. Yes Blank
14. Yes Blank
15. Yes Blank
16. Yes Blank
0. Blank
This pattern assumes that if 14 is "no, "
that is disregarded.
14b
Blank
Less than 1 year
1-5 years
6-10 years
Over 10 years
Less than 1 year
1-5 years
6-10 years
Over 10 years
Blank
Blank
Blank
Less than 1 year
1-5 years
6-10 years
Over 10 years
everything after
-N2-
-------
II.
Question
Number Column Number
41,
65,
89,
113,
1-5 42-
66-
90-
49,
73,
97,
121,
46,
70,
94,
114-118,
57,
81,
105,
129
50-
74-
List
number of each, child corresponding to number
of same child on
(41
corresponds
57 is 3rd oldest,
54,
78,
98-102,
122-126,
58-
82-
62,
86,
106-110,
130-134
1.
2.
3.
0.
census (page 11 or 12)
to oldest child, 49 is 2nd
etc.)
No
Once
Twice
Blank
oldest,
47- 48, 55- 56, 63- 64
(bottom 71- 72, 79- 80, 87- 88,
of pp. 95- 96, 103-104, 111-112
5-8) 119-120, 127-128, 135-136
Code all O's
Disregard
III.
Question
Number
Column
Number
1, 2 137-138 1.
2.
3.
4.
5.
6.
0.
3 139 1.
2.
3.
4.
5.
6.
0.
Elementary
Part high school
High school graduate
Part college/trade school
College graduate
Graduate school
Blank
Indian
Mexican
Black
Oriental
White
Other
Blank
-N3-
-------
Question Column
Number Number
4 140 Code exact number of years. Code "0" for blank.
Code "99" for "always lived here, " even if number of years is given.
5 141-142 0. Blank
1. Los Angeles County
2. Orange County
3. Ventura County
4. San Bernardino County
5. Riverside County
6. San Diego County
7. Imperial County
8. Santa Barbara County
9. San Francisco County and Bay Area
(Marin, Contra Costa, Alameda, Santa Clara & San Mateo Counties)
10. Sacramento City
11. Fresno City
12. Bakersfield City
13. Other Southern California
14. Other Northern California
lir City - More than 200, 000
16. City- 50,000-200,000 , ~ .„„,.*.
n n-4. * i^ ™^ r^ ™« > Outside California
17. City or town - 10,000-50,000
18. Rural area - Less than 10,000
99. Always lived in city or town of present residence (don't use in Column 14
5a Code exact number of years. Code "0" for blank.
Code 99 for "always lived here."
6 143 Code corresponding number.
Code "0" for blank.
7 144 1. Yes
2. No
3. DK/Maybe
0. Blank
8 145 1. Gas
2. Electric
3. Other
0. Blank
9 146 Always code "0"
-N4-
-------
IV.
Question Column
Number Number
1-16 147, 153, etc. Code exact age.
148r 150, Leave columns entirely blank. Code nothing in these blanks.
154-156, etc.
151, 157, etc. 1. Male
2. Female
0. Blank
152, 158, etc. 1. Father
2. Mother
3. Child
4. Other
5. Blank (If blank, try to determine position from
other information given,)
V.
1-8 243-249, etc. Code number of individual's row from page 11 or 12.
(Code individual's name, even if no other information is given
for them.)
244, 250, etc. Code exact age
245-247, Leave columns entirely blank. Code nothing in these blanks.
251-253, etc.
248, 254, etc. 1. Heart 9. Heart/asthma/no
2. Heart/lung 10. Asthma/yes
3. Heart/lung/asthma/yes 11. Asthma/no
4. Heart/lung/asthma/no 12. Asthma/blank
5. Lung 13. Heart/asthma/blank
6. Lung/asthma/yes 14. Lung/asthma/blank
7. Lung/asthma/no 15. Heart/lung/asthma/blank
8. Heart/asthma/yes
-N5-
-------
APPENDIX O
NHLI ADOLESCENT COHORT STUDY
Instructions for Non-Respondent Callbacks
(June, 1974)
1. There is a flysheet for every non-respondent to be called. One blank on the
left side of the flysheet should be checked for each non-respondent. There
should be a completed questionnaire for every flysheet that has the "question-
naire completed on phone" blank checked (#9). Staple the appropriate flysheets
to the completed questionnaires.
2. The questions are to be answered only by the mother or father. If neither is
available, ask when a callback should be made. If respondent is not reached
after 3 callbacks, check #5, "eligible respondent not available, " and drop.
3. Ultimately, we would like to have 100 completed questionnaires from Covina,
Garden Grove, and Vista. Count partially completed questionnaires as being
completed.
4. Keep careful records! If in doubt as to where to place a non-respondent, check
#10, "other, " and list circumstances fully.
5. The following questions are to be asked and constitute-a completed questionnaire:
Section I: All questions except Q12 and Q13.
Section II: None.
Section III: Ql, Q2, Q4, Q5, Q6, and Q8.
Section IV: First 2 pages only (no_ medical questions).
O1-
-------
APPENDIX P
NHLI ADOLESCENT COHORT STUDY
Non-Respondent Callback Telephone Dialogue
(June, 1974)
Hello, I'm calling from Copley International Corporation. We are
conducting a follow-up survey as part of a health study we conducted in
last winter. Do you remember when your son or daughter
(community)
brought a family health questionnaire home from school? They were sent home
with the 8th, 9th, and 10th grade students of and schools.
(school) (school)
Do you recall returning the questionnaire? Yes No
(IF YES) Our records indicate we do not have a completed questionnaire
for your family, and we are interested in obtaining health information from as
many parents as possible and so we are calling a few families. May I ask you a
few questions about your family's health?
(IF NO) Do you remember why you did not return the questionnaire? (if
cooperative...) Because we are interested in obtaining health information from
as many parents as possible, may I ask you a few questions about your family's
health?
Information about the study
A study of general family health characteristics
Interviewing 3, 000 families in the Southern California area
Sponsored by the Environmental Protection Agency
Approved by the local school board
-PI-
-------
APPENDIX Q
NHLI ADOLESCENT COHORT STUDY
Non-Respondent Callback Sheet
Name
Address
Phone Number
1. Wrong phone #, # has been reassigned, computer error, etc.
2. Moved, no such #, referral # (recording)
3. Misunderstood, hung-up during introduction, etc.
4. No Answer 123
5. Elgible respondent not available. Respondent can be reached:
1 '_ 2 3
6. No English spoken
7. Refused to return questionnaire or answer questions on phone.
State reasons given.
8. Have already returned a questionnaire
9. Questionnaire completed on phone
10. Other - Explain
-Ql-
-------
APPENDIX R
NHL I ADOLESCENT COHORT STUDY
Formats for Tables to be Developed
from the Student Health Study Questionnaire
Robert Ch?pnian
Dennis House
Carl Hayes -
August 3, 1973
i
IMPORTANT; IN ALL CELLS OF ALL TABLES, SAMPLE SIZES AND PERCENTAGES
WITHIN ROWS ARE REQUIRED, UNLESS OTHERWISE STATED.
SAMPLE SIZES AND STANDARD DEVIATIONS ARE ABSOLUTELY NECESSARY
IN ALL CELLS OF ALL TABLES DEALING WITH SEVERITY RATINGS, MEAN
SYMPTOM SCORES. MEAN SEVERITY SCORES, RESPIRATORY ILLNESS PREVALENCES,
AND THE PROPORTION OF PEOPLE REPORTING ANY CHRONIC RESPIRATORY SYMPTOXS,
RESULTS FROM EACH STUDY AREA (CALIFORNIA, ETC.) MUST BE TABULATED
SEPARATELY.
California Community Designations are as follows:
Community 1 - Thousand Oaks
Community 2 - Garden Grove
Community 3 - Covina
-Rl-
-------
EXPLANATION OF CHRONIC RESPIRATORY
SYMPTOM SEVERITY RATINGS IN ADOLESCENTS
4/2/74 - Robert Chapman
Explanation of Symbols:
+) means the question was answered "YES"
) means the question was answered "NO"
Severity
Rating Symptoms
0. None
1. Cough present for less than one month, phlegm absent
[Q^ and/or Q20, Qla0, Q2a0» Q30» Q40> Q60orQ]
Pi
Phlegm' present for less than one month, cough absent
[Q-,0, Q2G, Q3 and/or Q4® , Q3aQ, Q4a0» PG©
2. Cough present for less than one month, and phlegm
present for less than one month
[Qj and/or Q20, Qla0, Q2a-O' % and/or ^4©' Q3aQ'
3. Cough present for more than one month; phlegm absent
or present for less than one month.
[Q1 and/or Q2©, Q]a and/or .Q2a©, Q^Oor©, Q2b©orQ,
Q4g)or0, Q3a©, Q4aQ, Q6©or©"] .
4. • Phlegm present for more than one month; cough absent
or present for less than one month
[0^0(^0, Q20or0, Qla0. Q2a0' Q3 and/or ^4© »
Q3a and/or Q4a©. Q3b©orQ, Q4b0or0, Q6©or0]
-R2-
-------
Severity ;
Rating Symptoms
5. Cough present for more than one month but less
than three months; phlegm present for more than
one month but less than three months, without
shortness of breath
[Q1 and/or Q2©, Q]a and/or Q2a©> Qlb©> Q2b©
Q3 and/or Q40, Q3a and/or Q4a©> Q3b©« Q4b0
6. Cough present for more than one month but less
than three months; phlegm present for more than
one month but less than three months, with
• shortness of breath
[Q1 and/or Q2©, Qla and/or Q2a0 Qlb©> Q2b©>
Q3 and/or Q4©, Q3a and/or Q4a© Q3b©5 Q4b0,
7. " Cough present for three months; phlegm present
for more than one month but less than three
months, without shortness of breath
[Q1 and/or Q2©, Qla and/or Q2a®» Qib and/or
Q2b©> Q3 and/or Q4©, Q3a and/or Q4a©,
OB.
Phlegm present for three months; cough present for
more than one month but less than three months,
without shortness of breath
[Q1 and/or Q2©, Q]a and/or Q2aQ, QlbQ,
Q2bO, Q3 and/or Q40, Q3a and/or Q4a©,
Q3b and/or Q4b©, Q6©]
-R3
-------
Severity
Rating Symptoms
8. Cough present for three months; phlegm present for
more than one month but less than three months,
with shortness of breath
[Q1 and/or Q2©, Qla and/or Q2a©, Qlb and/or 02fc)<£
Q3 and/or Q40, Q3a and/or Q4a©> Q3b©> Q4b©»
OR
Phlegm present for three months; cough present for
more than one month but less than three months,
with shortness of breath
[Q1 and/or Q2(+), Q]a and/or Q2a©, Qlb © Q2b
Q3 and/or Q4©, Q3a and/or Q4a©> Q3b and/or
' Q4b©> Q6©]
9. . Cough present for three1 months , phlegm present for
three months, without shortness of breath
[Q1 and/or Q20, Qla and/or Q2a©> Qlb and/or
Q2b©» Q3 and/or Q40, Q3a and/or Q4a©,
Q3b and/or Q4b0, Q6Q]
10. Cough present for three months, phlegm present
for three months, with shortness of breath
[Q1 and/or Q2©, Qla and/or Q2a0, Qlb and/or
Q2b0, Q3 and/or Q4©, Q2a and/or Q3a©,
Q3band/or Q4
-R4-
i
-------
New Definitions of Mean Symptom Score, Mean Severity Score, Respiratory
Illness Prevalence, and Proportion of People who have Respiratory
Symptoms, for Adolescents.
These definitions are consistent with the 11-point CRD symptom
severity rating scale for adolescents, of 4/2/74.
Mean Symptom Score - For any group, the mean symptom score is the total
of all severity ratings (0 through 10) in that group, divided by the total
number of people in that group.
Mean Severity Score - The mean severity score deals with people who
have chronic respiratory symptoms (severity ratings 1 through 10 only).
In a group, the mean severity score is the total of severity ratings
for these people only, divided by the total number of people in the group
who have a severity rating of 1 or greater.
N.B.- Since the severity rating for "no symptoms" is zero, the sum of
severity ratings for the total group will equal the sum of severity
..ratings for only those who have respiratory symptoms. Thus, division
of this sum by the total number of people in the group will yield the
mean symptom score; and divison of the same sum by the number of people
who have a severity rating of 1 or greater will yield the mean severity
score.
Proportion of People Reporting any Respiratory Symptoms - This proportion
is equal to the number of people in a group who report any respiratory
symptoms (ratings 1 through 10), divided by the total number of people
in that group (ratings zero through 10).
Respiratory Illness Prevalence - Respiratory illness prevalence in a group
is the number of people in that group who have cough and phlegm for three
months (ratings 9 and 10), divided by the total number of people in that
group (ratings zero through 10).
-R5-
-------
TABLE IS
QUESTIONNAIRE DISTRIBUTION .AN!) RETDHM RP ADOLESCENT GIRLS,
DISTRIBUTED BY COMMUNITY
Community
Number Selected for
Questionnaire Administration
Number Administered
Questionnaire .
.Number Completinq
Questionnaire
1
2
3
Total
'Prepare same table for boys,
-------
TABLE 2$
STUDY POPULATION OF ADOLESCE!!!" GIRLS,
DISTRIBUTED BY CONMUiWY AMD AGF
Community
1
2
3
Total
Age (Years)
<13
13
14
15
16
>17
Total
'Prepare same table for boys.
'In each cell, include the cell size and .the ratio of cell size to
row total. '
-R7-
-------
TABLE 3S
STUDY POPULATION OF ADOLESCENT GIRLS,
DISTRIBUTED BY COMMUNITY, AGE, AND CIGARETTE SMOKING HABITS
("e may have to control 'or ethnic nroun.)
Communi ty
1
2
Age
<13
13
14
15
16
Overall
<13
• 13
'14 '
15
16
Overall
.Smoking Habits •
Non-Smoker
'
Ex-Smoker
Quit >1
Year Ago
Quit <1
Year Ago
•
Smoker (Ciqarettes/day)
1-5
6-14
lS-,5
<
26-34
*35
Total
50
oo
-------
TABLE 3S (Continued)
STUDY POPULATION OF ADOLESCENT GIRLS,
DISTRIBUTED BY COMMUNITY, AGE, ANO CIGARETTE SMOKING HABITS
("e nay have to control 'or et^c nroun.)
Community
3
Overall
Age
<13
13
14.
15
16
Overall
<13
13
'14 '
15
16
Overall
Smoking Habits
Non-Smoker
•
-
*
Ex-Smoker
Quit >1
Year Ago
• •
Quit <1
Year Ago
t
'
Smoker (Ciqarettes/dav)
1-5
6-14
15-PF
26-34
-
£35
^
Total
•
50
\O
I
'Prepare same table for boys.
-------
TABLE 45
(This table requires linkage between questionnaires)
STUDY POPULATION OF ADOLESCENT GIRLS,
DISTRIBUTED BY COMMUNITY AND MOTHER'S EDUCATION
Community
1
2
3 • .
Total
Mother's Education Category
Category 1
Category 2
Category 3
•
Category 4
• '
Category 5
Category 6
Total 7
o
I
'Prepare same table for boys.
'Prepare tables for girls and boys separately, distributed by father's education.
. *In each cell, include the cell size and the ratio of the cell size to the row total.
-------
TABLE 5S
(This table requires linkage between questionnaires.)
STUDY POPULATION OF ADOLESCENT GIRLS,
DISTRIBUTED BY COMMUNITY AND ETHNIC GROUP
Community
1
2
3
Total
American
Indian
;
Mexican or Spanish
American
-
Black
•
Oriental
White
Other
Total
•Prepare same table for boys.
'In each cell, include the cell size and the ratio of the cell size to the row total
-------
TABLE 6S
STUDY POPULATION OF ADOLESCENT GIRLS,
DISTRIBUTED BY LENGTH OF RESIDENCE IN PRESENT COMMUNITY (IN YEARS),
AND BY AGE (IN YEARS)
Community
1
-
2
Student's
Age
<13
13
14
15.
16"
*17.
Overall
<13
13
14
15
16
£17
Overall
Lenath" of Residence (Years }
<1
.
1
2
•
3
4
5
6
-
.
7
8
9
10
n
12.
13
V
14
15
-
>16
Total
10
-------
TABLE 6S (continued)
STUDY POPULATION OF ADOLESCENT GIRLS,
DISTRIBUTED BY LENGTH OF RESIDENCE IN PRESENT COMMUNITY (IN YEARS),
AND BY AGE (IN YEARS)
Community
3
Overall
Student's
Age
<13
13
14
15.
16
>T7
Overall
<13
13
14
15
16
£17
Overall
Lenoth of Residence (Years)
<1
1
2
•-
3
-
4
5
6
-
7
8
•
9
10
n
12
--
13
rfn
14
*
15
•
-
>16
Total
»
I—•
CO
'Prepare same table for boys.
'In -each cell, include the cell size and the ratio of the cell size to the row total
-------
TABLE 75
DISTRIBUTION QF ASTHMA*,
BY COMMUNITY, IN ADOLESCENT GIRLS
(We may have to control for ethnic group.)
Community
1
2
3
Total
1 . Reported
No Asthma ,
Number of Adolescent'
2. Reported Asthma
but are not true
a^ i htmri re;
, Who
3. Are True
Asthmatics
Total of
Columns 1
and 2 and 3
'Prepare same table for boys.
'In each cell, include the cell size and the ratio of the cell size to the row
total.
*Consider as true asthmatics only those adolescents who have at 1 east
wheezing and shortness of breath, and whose asthma has been diagnosed
by a doctor.
-R14-
-------
TABLE 8S
NUMBER OF ASTHMATIC* ADOLESCENT GIRI.S EXPERIENCING ASTHMA ATTACKS IN PAST YEAR,
DISTRIBUTED BY COMMUNITY AND NUMBER OF ATTACH
(We may have to control for ethnic aroup.)
Community
1
2
3
Total
0
1
2
3
.
4
5
6
7
8
9
10
n
12
13
14
15
16
17
18
19
Number of Attacks in Past Year
20
21
22
23
2*
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
t
48
49
50
>51
.
Total
cn
i
*Consider as asthmatics only those adolescents who have at least wheezing and shortness of breath, and whose asthma has been diaqnosed by a doctor.
"Prepare same table for boys.
•Tn par.h cell, include the cell size and the ratio of the cell size to the row total.
-------
TABLE 9S
NUMBER OF NON-ASJHM_ATIC* ADOLESCENT GIRLS,
DISTRIBUTED BY COMMUNITY AND"NUMBER OF EPISODES OF COLD OR FLU
IN LAST 12 MOUTHS
Community
1
2
' 3
Total
Number
0
1
2
•
3
4
5
6
of
•- —
ED is oc
8
9
t™ —
les
TO
11
12
>/!3
Total
*Dclete all girls who report the presence of asthma, whether they are
asthmatics or not.
'In each cell, include the cell size and the ratio of the cell size to
the row total.
'Prepare same table for all girls who reported the presence of asthma,
but are not true asthmatics.
'Prepare same table for girls who are true asthmatics only.
'Prepare same tables for boys.
-R16-
-------
TABLE IPS
LOUER RESPIRATORY DISEASE HISTORY •
IN ALL ADOLESCENT GIRLS,
DISTRIBUTED BY COMMUNITY AND ILLNESS
(We may have to control for ethnic groups,)
Number of girls reporting:
Bronchitis only: once
twice
more than twice
Pneumonia only: once
twice
more than twice
Other chest illness only
Pneumonia and bronchitis once
each only
Pneumonia once and bronchitis
twice or more
Pneumonia twice or more and
bronchitis once
Pneumonia twice or more and
bronchitis twice or more
Hospitalization and bronchitis,
no pneumonia
Hospitalization and pneumonia,
no bronchitis
Hospitalization and bronchtis,
and pneumonia
Other chest illness and bronchitis,
with no pneumonia and no hospitalization
Other chest illness and pneumonia and
no bronchitis and no hospitalization
Other chest illness and bronchitis and
pneumonia and no hospitalization
Other chest illness and bronchitis and
pneumonia and hospitalization
Subtotal
None of the above
Total
Community
1
2
.-
3
Total
•Prepare same table for all boys
•Prepare same tables for non-asthmatic girls and non-asthmatic boys separately.
' Prepare same tables for truly asthmatic girls and truly asthmatic boys separately.
• • In each cell, include the cell size and the ratio of the cell size to the row total. For each
community, we will need a list of ID numbers of students who fall into each category on this table.
-RJ7-
-------
TABLE IIS
DURATION OF COUGH DISTRIBUTED BY DURATION OF PHLEGM PRODUCTION
IN NON-ASTHMATIC- ADOLESCENT GIRLS
In this table, include sample sizes only, no percentages.
(We may have Lo control this table for girls' smoking and ethnic groups.)
Duration of Cough (Questions 1 and 2)
'Duration •
of phlegm
(Questions
3 and 4)
No Phlegm
Phlegm
Present
less than
1 month
Phlegm
present 1
month but
not 3 months
Phlegm
3 months
Column
Totals
No Cough
Cough less
than 1 month
Cough 1 mon{
but not 3
h Cough
3 months
Rev;
Totals
Grand
Total
Delete only true asthmatics.
'Prepare same table for each community separately, and for all communities
combined.
'Prepare these tables For boys.
-R18-
-------
TABLE 125
CHROIilC RESPIRATORY SYMPTOM SEVCRHY RATP.'GS
IN NON-ASTHMATIC* ADOLESCENT GIRLS WHO ARE LITETIfE HON-SMOKERS
. DISTRIBUTED DY AGE AMI) COmiMTTY
(We moy h:.vc to control this table for girls' smoking
and ethnic cjrouos.)
CoiiKiunity
1
2
3
Overall
Age
<13
13
14
15
16
>17
Overall
<13
V3
14
15
16
>1?
Overall
<13
13
14
15
16
}V
Overall
<13
13
14
15
16
XI7
Overall
fiunibar of Girls with Severity Ratinq
0
1
-
,
2
3
4
5
6
7
8
9
10
Total
*0elete true asthmatics only.
'i.i each cell, include the cell size and the ratio of the cell size to the
row total. •
'Prepare same table separately for qirls who are ex-smokers, and for pirls v:ho
are smokers.
.'Prepare same tables for boys.
'For each community, v/e will need a list of students who fall into each severity
rating catepory.
-R19-
-------
TABLE 13S
NUMBER OP NON-ASTIIHMIC1 ADOLESCENT GIRLS WITH EACH SEVERITY RATING,
' DISTRIBUTED BY COi:iUNIlV Aflt) DURATION OF Cl'WTTE SMOKING (IN YEARS)
(1
Community
1
2
3
Ovcra.ll '
Number with
Severity Rating
0
1
2
3
4
5
6
7
8
9
10
Overall
0
1
2
3
4
5
6
7
8
9
10
Overall
0
1
2
3
4
5
6
7
8
9
10
Overall
0
]
• . . 2
3
4
5
6
7
a
9
10
Over.ill
e-ffjy_have- to_ccn t-jxl— £or_£lhaic_n
Duration of Srolin
Never
Sn,oked*
<1+*
1
/
2
3
4
coup.,
P__(YP
5
)
ars)
6
7
8
s
9
>)0
Total
IDelctc true asthmatics only.
'In each cell, include ihc cell size ond the ratio of the cell size to the rov *ot"1
'Prepare same table for hoys.
*In the "Never Smored" cotcQory, put ill prqile who answer Ou'-stion 13 "Ho."
"In the "•'! ve.ir" calrrjory. inclu.Ie those who answer Que'.tion 1G "Yes", hut who do not anvwi
»r/(l.ii,'j f,,- ^uo'.tioii', 17 or 18.
-R20-
-------
TAniE 14S
NUMBER Or IION-ASTIi;iATIC*ADOLrSClNT G1PIS WITH r&rn <:FVFDrTV.D/\TTMr
DISTRIBUTED BY COMMUNITY AND LINGTII Of TIME SINCE QUITTING SMOKING (IN'YEARS)
(l.'c may have to control for ethnic qroup.)
Community
1
2
-
3
Overall
Severity
Ratinq
0
1
2
3
4
5
6
7
8
9
10
"Overall
0
1
2
3
4
5
6
7
8
9 '
10
Overall
0
1
2
3
4
5'
6
7
8
9
10
Overall
0
1
2
3
4
5
6
7
8
9
10
Overall
I Number of Years Since OniUinq Sinoklnq
.tevr
Smoked
/
Snoke
Now
<1
1
2
3
4
5
•
6
7
-
8
9
,
•
>in
Total
.*Delete true asthmatics only.
'Prepare same table for hoys.
'In each cell, include the cell size and the ratio of the cell size to the row total.
-R21-
-------
TABLE 15S
NUMBER OF NON-ASTHMATIC* ADOLESCENT GIRLS WITH EACH SEVERITY RATING
DISTRIBUTED BY COMMUNJTY AND LIFETIME SMOKING DOSE (IN PACK YEARS)'
(We may have to control for ethnic group.)
Community
1
2
3
Overall
Severity
Rating
• o
1
2
3
4
5
6
Overall
0
1
2
3
4
5
6
Overall
o-
1
2
3
4
5
6
Overall
0
1
2
3
4
5
6
Overall
_Jj
0
t
•
.ffiJ
<1
inis
l
.
•
L_Sj
2
pole
3
'
ns-
4
t
i
i
JQosfij
5; 6
;Ra.c
7
kJ
8
_eflj
9
:sX_
?10
•
Total
•
*Delete true asthmatics only.
'Prepare same table for boys.
rati° of the cel1 S1'ze ^ the
-R22-
-------
TABLE 16S
RESPIRATORY
ILLNESS PREVALENCE SCORES IN NON-ASTHMATIC* ADOLESCENT GIRLS,
DISTRIBUTED BY COMMUNITY, SMOKING STATUS, AND BY AGE (IN YEARS)
(We may have to control for ethnic group.)
Community
1
2
3
Overall
Symptom
Score
Smo'ki ng
Status
Non-smoker
Ex-Smoker
Smoker
Overall
Non-Smoker
Ex-Smoker
Smoker
Overall
Non-Smoker
Cx-^mnkpr
Smoker
Overall
Non-Smoker
Ex-Smoker-
Smoker
Overall
'Mean 'Symptom Scores by Age
<13
t
,
13
•
14
15
16
*17
•
-- j
!
Overall
Symptom
Score
•
*Delete true asthmatics only.
'Prepare similar tables, for girls, of mean severity scores (ratings 1 through
6 only) and respiratory illness prevalence rates** (ratings 5 and 6 only).
**Respiratory illness prevalence in a group is the number of people in
that group with severity ratings 5 and 6, divided-by the total number of
people in that group.
'In all cells, include sample sizes and standard deviations. -
'Prepare these three tables for boys.
'Prepare these three tables for truly asthmatic girls.
'Prepare these three tables for truly asthmatic boys.
-R23-
-------
TABLE 17S
PROPORTION OF NON-ASTHMATIC* ADOLESCENT GIRLS
REPORTING ANY CHRONIC RESPIRATORY SYMPTOMS (RATINGS 1 THROUGH 10),
DISTRIBUTED BY COMMUNITY, SMOKING STATUS, AND BY AGE (IN YEARS)
* * »
(We may have to control this table for ethnic group.)
Community
1
2
3
Column
froportion
Smoking
Status
Non-Smoker
Ex-Smoker
Smoker
Overall
Non-Smoker
Ex-Smoker
Smoker
Overall
Non-Smoker
Ex-Smoker
Smoker
Overall
Non-Smoker
Ex-Smoker
Smoker '
Overall
Age (Years)
<13
-
13
«
14
15
16
>A1
.
Row
Proportion
.
(.
*Delete true asthmatics only.
*In each coll, the proportion of girls is the number of qirls who report any
symptoms (ratings 1 through 6) in that cell, divided by the total number
of girls in that cell (ratinqs 0 through 6).
*In all cells, include denominators and standard deviations.
'Prepare same table for boys.
'Prepare sarre table for truly asthmatic girls.
'Prepare same table for truly asthmatic boys.
-R24-
-------
TABLE 135
MEANS.YMPTOM \SCORES FOR KOM-ASIFIMATIC.* ADOLESCENT GTRLS
DISTRIBUTED BrCOMMUNITY, BY SKOKi!!<; - SPECIFIC CIGARETTE SnOKIW HISTORY,
AMP BY ASF
(We may have to control for ethnic qroun.)
to
en
i
Community
1
«
2
1
i
Age
<13
13
14 '
• 15
16
*17'
Overall
' <13
13
14
15
16
*17
Overall
Mean Syp.Dtom Score by Sr.okina
Non-Smoker
'
-
Fx-Si'ioker
Quit Ouit
>1 Yr. <1 Yr
Aao :Aqo
Smo'/er • (c.i
-------
TABLE IBS (Continued)
MEAN SYMPTOM . SCORES FOR NQM-ASTHMATIC* APOLFSCENT GIRLS,
DISTRIBUTED BY" COMMUNITY, BY SMOKING - SPECIFIC CIGARETTE SMOKING HIS
AND BY r\t\£
•
(We may have to control for ethnic qrouo.)
HISTORY,
Community
3
Overall
\
•
Age
<13 .
13 .
14
15 •
16
>M .
Overall
<13
13
14
15
16
£17
Overall
•
Non-Smoker
•
tfean S
Ex-Sri
r(U 1 1
>1 Yr.
AGO
•
yr.ip tom
nker
Quit
<1 Yr
Ano
Score by
1-5 --.
Sir.okina
6-14
Smoker
15-.25
•
•
(Cisrs/dav)
26-34
^35
•
Overall
1
i
•
•
•
,
I
ja
ts3
"elete true asthmatics only.
:'reoare s.imilar tables, for airls, for mean severity score, respiratory illness nrevalence, anH orooortion
>-eporting any chronic respiratory-symptoms.
'repare these four tables for adolescent boys.
-------
COPLEY, 00 NOT PREPARE THIS TABLE UflLESS INSTRUCT! H TO DO SO.
TABLE
MEAN SY'17
Overall
<13
13
14
15
16
^7
Overa 1 1
Cinarette Smokino History
Non-Smoker
«
-
tx -Smoker
SrnoKPr
Overall
-R27-
-------
COPLEY, DO NOT PREPARE THIS TABLE UNLESS INSTRUCTED TO DO SO.
TABLE 19S (Continued)
MEAN SYMPTOM SCORES IN ^i-ASTIr,AT_IC* AD01 ESCFNT H1RLS,
DISTRIBUTED BY COu'iUINTY, "W'CTnARETTE SMOKING HISTORY,
• AND BY AGE
(He may have to control for ethnic qrouo.)
Community
Overall
Age
<13
13
14
15
16
>M
Overall
Ciqarette Smokina II
Non-Sinoker
'
-
Ex-Smoker
story
Sf.ioker
-
Overall
v
^Delete true asthmatics o'nly.
'In all cells, inclucte sample sizes and standard deviations.
'Prepare similar tables, for girls, of moan severity scores, respiratory
illness prevalences, and proportion reporting any chronic respiratory
symptoms.
'Prepare these four tables for adolescent boys.
-R28-
-------
50
to
• TABLE 20$
MEAN SYMPTOM SCORES IN NON-ASTHMATIC* ADOLESCENT GIRLS,
DISTRIBUTED BY COMMUNITY AN'D DURATION OF CIGARETTE SMOKING_(YEARS)
•(We may have to control for ethnic qrouo.)
Community
1
2
• 3
Total
Duration of Smoking (Years)
Never Smoked
10
Dvovall
•
'•'Delete only true asthmatics.
'For girls, prepare same tables for mean severity score, resoiratory illness prevalence, anH proportion
reporting any chronic respiratory symptoms.
^- fnr hnvs .
In all cells, include sample sizes and standard deviations.
-------
MEAN SYMPTOM SCORES IN NON-ASTHMATIC* ADOLESCENT GIRLS,
DISTRIBUTED BY COMMUNITY AND LENGTH OF TI^F SINCE QUITTING SMOKING (IN YEARS)
Community
1
2
3
Total
Number of Years Since 0;.r
Never
Smoked
Smoke
Mow
<1
•1
2
•
3
4
5
ttinq Smokinq
5
7
8 .[ 9
1
MO
Overall
I
50
CO
o
I
*Delete only true asthmatics.
'Prepare same table for girls' mean severity scores,, respiratory illness prevalence, and prooortion
renortinq any chronic resoiratory symptoms.
'Prepare same four tables for boys.
'In all cells, include sample sizes and standard deviations,
-------
TABLE 22S
MEAN SYMPTOM SCORE IN NON-ASTf:MATIC*AnPLESCENT GIRLS,
DISTRIBUTED BY COMMUNITY AND LIFETIME SMOKING HOSE (IN PACK-YEARS)
Community
1
2
3
Overall
Smokinn Dose (Pack-Years )
0
i i » "
1
2
i
3 4
5
6
7
i i
8
9
>10
Overall
.
*Daletc only true asthmatics.
'For girls, prepare same table for mean severity scores, resoiratory illness
prevalence rates, and proportion reporting any chronic respiratory symptoms.
'Prepare these four tables for boys.
'In all cells, include sample sizes and standard deviations.
-R31-
-------
TABLE 23S
MEAN SYMPTOM SCORE IN NON-ASTHMATIC* ADOLESCENT GIRLS WHO SMOj^OJRRENTLY.,
DISTRIBUTED BY COMMUNITY AND LIFETIME SMOKIfK. !JOSE~(TF"PACK-YEARS)
(Vie may have to control for ethnic aro'jo.)
Community
1
2
3
Overall
Smokina Dose (Pack-Years)
<1
1
2
3 ! 4
5 ! 6 i 7 L 8 J 9
>10
Overall
*Delete only true asthmatics. •
'For girls, prepare same table for mean severity scores, chronic respiratory
illness prevalence rates, and proportion reporting any chronic respiratory
symptoms.
'Prepare these four tables for boys.
'In all cells, include 'senile sizes and standard deviations.
-R32-
-------
TABLE 24S
MEAN SYMPTOM SCORE IN NON-ASTHMATIC* ADOLESCENT GIRLS WHO'SAVE QUIT SWKIMG.
DISTRIBUTED BY COMMUNITY AND LIFETIME SMOKING OOST"(IN"PACK-YEARS)
(He may have to control for ethnic group.)
Community
1
2
3
Overall
Smokinn Dose (Pack-Y
<1
1
?.
3 \ 4
5
6
10
Overall
>
*Delete only true asthmatics.
Tor girls, prepare same table for mean severity scores, chronic respiratory
illness prevalence rates, and proportion reporting any chronic respiratory
symptoms.
:Prepare these four tables for boys.
'In all cells, include sample sizes and standard deviations.
-R33-
-------
TABLE 25S (Requires linkage between questionnaires.)
CHRONIC RESPIRATORY SYMPTOM SEVERITY PATIMfiS
IN NON-ASTHMATIC ADOLESCENT GIRLS WHO ARE LIFETII-^N'QN-SHOKERS,
DISTRIBUTED BY COMMUNITY AND MOTHER'S CIGARETTE~SMOIUMr, HISTORY.
(We may have to control for ethnic qroun.)
Community
: 1
2
•
1 3
Column
Total
Mother's
Smoking
History
Non-Smoker
Ex-Smoker
Smoker {Cios/
1-5 day)
6-14
15-2'5
26-34
>35
Non-Smoker
. Ex-Smoker
Smoker (Cias/
1-5 daV>
6-14
15-25
26-34
•>K
Non-Smoker
Ex-Smoker
Smoker (Cias/
1-5 day)
6-14
15-25
2fi-34
>35
Non-Smoker .
Ex-Smoker
"No. of Non-Smokina Girls
with Severity Ratinq
0
Smoker (Cias/ .
1-5 day)
6-14
15-25
26-34
>35
1
•
l
2
3
4
5
t
6
7
8
9
10
f-t
a
&
*Delete true asthmatics only.
•In each cell, include cell size and ratio of cell size to row total.
'Prepare similar table for girls' severity ratinas, distributed by father's
smoking history.
'Prepare similar tables for boys' severity ratio, distributed by mother's
smoking history.
'Prepare similar tables for boys' severity ratings, distributed by father's
smoking history.
-R34-
-------
TABLE 26S (requires Unlace between questionnaires.)
CHRONIC RFSPIFATORY SY'PTO-1 SITFR1TY RATINGS 1H «,VI-",STHMATir* AmUSCFIIT KIR'S
KHO ARE EX- SPOKES . DISTRIBUTED DY CO:i:-,UMTY AI.'O KCTHLR'S CIW^fTE S'flKlMC HIST'IRY
(l-'e may have to control for elhnir qroup.)
. Conmunity
1
*
2
3 "
1
Col unn
Total
"other's Smokino
History
Mon-5nol:er
Ex-Sir.oker
Siroker (Cios/dav)
1-5
6-14
15-25
26-34
>35
Kon-Sn,oker
Ex-Smoker
S:r.ol.er (Cms/day)
1-5
6-14
15-25
26-34
>35
Kon-Smoker
Fx-SmoS.er
S.'.okcr (Cins/day)
1-5
R-H
15-25
26-34
>35
i'!on-Sn;oker
Ex-Smoker
Smoker (Cias/day)
1-5
6-14
15-25
26-34
•>35
Ex-Smokers
Quit >1 year ago
0
1
2
•
3
4
JL
LJ. 7 S
^-^•^
',
"I
T—
9
r
10
Quit < I yc.ir aijo
0
....
1
-
"•
,
2
_L
"**' ~'
4
- - — .-
5
— »-_
0
—
7
8
9
10
Row
Total
*De1ete trus asthmatics only.
'In each cell, include cell size only, no percentages.
•Prepare similar table for qirls1 severity ratings, distributed by fathers' snoHnn.history.
'Prepare sane table for boys' severity r.itinns, distributed by motl">r<;' wokintj history.
'Prepare sano table for boys' severity r.itinn, distributed by fathers' smokinq history.
-R35-
-------
Ttllr in (itemjtrci 11.1.™ *ct»een u
OrKfl'JtC BrslMMTWrf ms»Tr.i "V!;rl?f fuT'—.s IN tint nS71l"A7ir* ArriirtrrMT '•.IPIS
WO MC CUttEX? S>jKEK. OlSTRIWTiO I»T CWKWiITt AMJKOTHU'I CIGAJtnit iWJfclltt H1STOBT
'tl'e ».y fcave to control for ethnic urow.)
:»*»<&
1
1 ..
»
GO
0\ .
1
C-.lira
7iu*.
'olWl feQfcfn?
Kljtory
^
1r~r
I
LL " ~ "T ' '
•. ; •• -:'«/.'i/)
*-s ' •
:-:=
T-|
:
.
|
•.;
1 .
•} | i
S™l^»r
!
.
! i
. t
••• : '
•!-;s - i
:«,:« •
.is
1 -.-...:-. .,
',!,-:.. i
• • • ': -.,•:•/! •
'- i
Khh —
r-T7n ' —
(~~."r 1 — »•
» *•• i
'..-.-, i
i,; • i
i •" '1
;
—
-
_
__
. 1
I 1
p
""T"
i
-
1
i
1
. 1
1
1
-I--'
| :
j
-_J
-jrjuAi
I
! ;
1
,1 • •
.'.* H i5-2$
i |
~]
\i
-_i—
i
-
r
1
i
i i i ! '
•
1
i
!
i
—
-^
•
i
L_
i
|l
|
li
1
J_j
i 1
i i ; i
il
i
H i
]'
"Pi
r'<
|
M 1
-
.!
1
— (--< 1— ~j-«
t
! t
....
.. :
r
-u-
1
-h
i
i
i. i
_!
i
"1
— i
|
1
i
.
r-
\ —
.
H
—
i
r
I
u
1—
T
\
I
i!
1
-( —
.
—
—
t
_
24-34
i!
— 1 —
,
b
L
; —
--
»M
|i
-
(-
r
i
i —
|_
i
•
--
—
!
;
i
How
Tou»
»
1
!
i
I
i
i —
^
1-
1
I
' i
• I
-i •
l~
'
1
•^•e-.l lr.« »-.:'-i:l« only. .-
•to ei.1! cell. lnc!i.;e cell ilze only. »n percentage!
US1. for bo,i' l««'lt/ '«l";«. «t.
utlt fw to/.' .««'<•/ "ll^i UlUrltoUJ b, f.0-.en' «1|», hl.tory.
-------
!*SLLZflS
CHRONIC RESPIRATORY SYWW MVf9ITY WTI'
IN I!OH-ASTH"AI1C* NfL'Wf GIRLS WO Af!r I irrrl'
DISTRIBUTED BY C^er
q. Mother snot-er
h. Mother snoker
1. Roth SP-oVers
Humher
with S
o — r
i
of Non-^mnUnn Rirls
svcrfty kfltino:
2
i
s
\
i
i
1
(•
7
B
10
t
Row
fouls
•Pcletc only true 4-;thMtlc!.
•In ««ch ctl). Include toll jlit «"d "tlo of cell
•trtftrt imc t^blc for boyi.
«(jc to row tot"'.
-R37-
-------
1AIUE ?95 (Requires linkage petwecn questionnaires)
CHRONIC RESPIRATORY SYMPTOM SEVERITY RATIIT.S
IN KON-ASIM;WTIC* AWICSCLUT r.ifis urn ARE FX-V
DISTRIBUTED BY COOTJN1TY AIID PARENTS' COKUlr.ED CIGARETTE
(We may have to control for ethnic qroup.)
HISTORT
Community
1
2 •
,
3
otumn
totals
Parents
Smoking C
a. Both non-snokers
b. Kothcr non-STcVer
Father ex-sr-oker
c. Kothcr non-s~oker
Father smoker
d. Kothcr cx-sir.oker
Father non-smoker
e. Both ex-snokers
f. Kbther cx-inoker
Father smoker
g. Kothcr sroker
Father non-smoker
h. Kothcr snxjicer
Father ex-sroker
t. Both smokers
a. Both non-srokers
t>. f'tother non-smoker .
Father ex-snoker
c. Mother non-sn'oker
Father sroker
d. Mother ex-srooker
Father non-snoker
e. Both ex-sr..okers
f. Mother ex-smoker
Father smoker
g. Mother snioker
Father non-smoker
h. Mot'.er sr-o^er
i. Both smokers
8. Both non-snorers
b. Kother non-smoker
Father ex-snoker
C. Mother non-sncker
Father sroVer
d. Mother ex-smoker
Father non-sroker
e. Both ex-snokers
f. Kother ex-smoker
Father sroker
g. Mother smoker
Father non-siroker
h. Kothcr srroker
1. Both smokers
a. Both non-srokers
b. Kothcr non-smoVer
Father ex-snoker
C. Mother non-sr,oker
Father smoVcr
d. Mother ex-smoker
Father non-snokor
e. Both ex-smoVcrs
f. Mother ex-siro^cr
father $rTv>^er
g. Kothcr sfroVer
Father non-SPK)Ver
h. Mother smoVer
Father cx-^nokrr
1. Both snoVers
Ex-Smokers
U >1 Year At;o - Qult-fl Year A
*•
•
7
8T 9
1C 0
I 2 J I 4 5-
|
1
I
ro
8 1 9 Bow
1l«jl-
,
•
.•Delete true tslhnutlci only.
'In f^ch cell. Include cell size only, no percentages.
*Prep«i« tame table for boys.
-R38-
-------
llntanc between questionnaires)
CHRONIC KSPIPATOPY SYR-WI sfvcuiiv
In riOB-ASiiiKATtc* Accitsciiir MRIS '.HO APS
DISTRIOUHO BY COKU'IITY AM> BY PAPCNIS' cmarti
(We my have to control for ethnic group.)
tocnunlty
'
'
;
'
.
t
•
3
.
Column
Touls
Sn
'arcnti*
Snoklng T-3
History 0 ! 3 4(S 6 7
{
I. Both non-sfo>ers
>. Esther non-s~o*cr
Father ex-sraker
C. Mother non-smoker
d. llothcr ex-sr.o>cr
e. Both ex-sro.-er$
T. Eith-r ex-snokcr
Father sror-or
). Mother iraVcr
father non-jnotcr
h. liother sn-oker
Father cx-SToker
1. Both snokcr$
a. Both non-snoVers
father ex-srnkcr
c. I'tOth^r non-snot-cr
fjthor ?rotcr
d. f'other ex-inokcr
fjther ron-sroker
«. Both ex-snotcrs
'. ftother ex-sn-oker
father vol-or
g. Mother srx>k*r
Father f.an-iroker
h. Hothcr sroVtr
father ex-irot-er
, Both sror-crj
». Bslh non-srroVers
>. Csther non-trover
cf Tother nnn-si^cber
Father sroVer
e. Eoth ex-sr-oVcrs
f . ('.other ex-S"oker
Father snokcr
g. Kother snoker
h. Mother snofcer
t. BotJi six^ers
b, )*othar non-sroker
C. t'other non-ir-oker
d. l"ot*ier ex-s-oker
fither non-snoker _ _
e. Eoth ex-s-oVers
f. tot her ex-sroker
Father i'-iker _ _ _
5. t'other srokcr
Father ncn-sixVer
h. Mother iruker
.father ex-sr-oker
wkers (C1()S/Ody)
I ft • U
3 9p 3 L 2 3 4,S 6 7 3 111 U I 2
-- -
1
rr r n Mirr
i
1
"
1
t" " "t"
-_L_.
HH
"" " 1 -
.. _. j_ _P . -, r -
IT
il_
— ft " "
-H
._ IL ... .
— 1 1 Ll- -1 — l-l 1 ' — I I i i .,i i
1
S - 2^
5671. , .g
'
•
2n
1 2
--
3 4
1J
--
0
—
> a>
0
-
-
1
-
—
-
-
-
i
-
-
-
-
3
-
-
t
-
-
-
-
-
'
-
-
-
-
0
-
7
-
-
-
a
-
-
--
•i
-
-
-
--
-
ji1
-
-
i
-
'Delete only true Mlnnjllcl.
•In tieh cell. Include cell slie only, no percentnes.
•Prepare ««-« t«ble for hoys.
-R39-
-------
TAP.ir 31S (Requires ),in(,?ne retuecn questionnaires'
CHRONIC RFSI'IRUORY SYITTO'I SFVfRlTY RATINGS
IN NON-ASTIKIAriC AUDI fSClHT C.IRL1) WHO ARC LIFETlt'L tiPN-
AT ICAST O'ir (u uiiir.i PARINIS cmu'niiLY SWFS nwnr.s.
DISTRIBUTED BY CtraifllTY AND PARLtllS1 COIWiCD S'MKIIIfi FRFQUMtt RATING
Community
1
2
3
Column
Totals
Pai cuts' Combined
Sniokinq Frequency
Rating'
1
2
3
4
5
6
7
, 8
9
10
Overall
1
t
3
4
•5
6
7
8
9
10
Overall
1
2
3
4
5.
6
7
8
9
10
Overall
1
2 '
3 '
4
5
6
7
8
9
10
Overall
Number of Hoii-SiroUnn Girls With
Sovcritv Riitini'
0
-
•
1
2
...
3
.
1
•
S
6
(
• -
7
S
9
10
Row
Touts
'
•fDelete only true asthmatics.
•Parents' conbined smoking freouency rating is to bp conputed only for parents
who currently smo(-e cigarettes. Frequency ratings are assigned as follows:
No. of Cigarettes/Day
1-5
6-14
15-25
26-34
>35
Coirputc tho parents' combined smoking frequency rating by adding the mother's
rating to the father's ratiny.
'In each cell, include the coll size and the ratio of the cell size to the row
total.
'Prepare same table for boys.
-R40-
-------
TADIE 3?S (Requires linkage between questionnaires)
CHRONIC RESPIRATORY SYMPTOM SEVERITY RATINGS
JN NON-ASTH.'WTIC* ADOI.rSCF.NT GIRLS I/I 10 ARE EX-SftflKERS,
AT I EAST ONE OF WHOSE PARENTS CURRENTLY SNOK.rS CIGARETTES.
DISTRIBUTED BY COIWUNITY AND PARENTS1 COMBINED SHOKINf, fRFfWCNCY RATING
(We nay have to control for ethnic group.)
Coimiuni ty
1
t
.
2
3
i
i
Column
Totals
Parents'
Combined
Smoking
Frcq. Rating
1
2
3
4
5
• 6
7
8
9
10
Overall
1 '
2
3
4
5
6
7
8
9
10
Overall
1
2
3
4
5
6
7
8
9
10
Overall
1
2
3
4
5
6
7
8
9
10
Overall
Ex-Smokers
Quit >1 Year Ago
0
1
•
'i
3
4
7 9
10 o ;
Quit 4 1 Year Ago
2 j
4
5
*Delote only true osthrnatics.
'In each cell, include cell size only, no percentages.
'Prepare same tnblo for boys.
-R41-
6
7
3
,
)
1
•
t—
I
9
10
Row
Totals
—
—
-------
TABLE 33S (Requires linkage between questionnaires)
CHRONIC RESPIRATORY SYMPTOM SEVERITY RATINGS In NON-ASTI"WIC AOTLF.SCFHT GIPLS WHO S'tlKE CURRENTLY.
AT LEAST ONE OF WHOSE PARENTS SMOKES CIGARETTES, OISTRIBlfTED BY TOJUNITY A.'.'D PA3FNTS' COK3I1ED SHORING FREQUENCY RATING1
(He ray have to control for ethnic group.)
Smokers (Clgs/Day)
Corr.uni ty
1
• 3
.
Colurcn
• Totals
Parents' Combined
Sroking Frequency
Rating
1
2
3
4
5
6 '
7
9
10
Overall
1
2
3
4
5
6
7
8
10
Overall
I
2
3
4
5
6
7
3
9
10
Overall
T
Z
3
4
S
S
;
9 . .
Overall
U
-
1
—
-
1
I
-•;
j.
4
5
—
—
6
7
8
'
—
ID
U
1
2
-
3
6
4
1 ;
5
0
15-25
789100j|23l 5 6 789 10 0
1
1
_|- j 1 1 " |~ '
1
D-^I 1-
1
~T
i
•
i
i
i
i
I i
26-34 - ^35
l-lSSTi .1CJI 31 5 67
L_
1
----.-. -U
-— -+- ~r -
—T—i — |— r— i H — 1
i
i •
! i
1
i
1 i 1
i i
!
: i
_L
i
S 9
1
1 f
1
0 Total
|
!
"In each cell, include cell size only, no percentages.
'Prepare sir* table for boys.
-------
TABLE 34S (Requires linkage between questionnaires)
MEAN SYMPTOM SCORES IN NON-ASTHMATIC* ADOLESCENT GIRLS
WHO ARE LJFFTJMF
pv DADCMTCI CMOI/TMC UTcrnnrrc
(We may have to control for ethnic group.)
Father's
Smoking
History
Overall
Non-Smoker
Ex-Smoker
Smoker
(Cigs/Day):
1-5
6-14
15-25
25-24
>35
Mother's Smoking History
Smoker (Cigs/Day)
Non-Smoker
.
«
tx-smoker
•
l-b
6-14
15-25
•
26-34
>35
Overall
•
*Delete only true asthmatics
'In each cell, include the mean symptom score, its standard deviation, and cell
size, no percentages.
"For^girls, prepare this table for each of the following categories separately:
'Ex smokers who quit >1 year ago.
'Ex-smokers who quit <1 year ago.
'All ex-smokers.
'Current smokers who smoke 1-5 cigarettes per day.
'Current smokers who smoke 6-14 cigarettes per day.
'Current smokers who smoke 15-25 cigarettes per day.
'Current smokers who smoke >25 cigarettes per day.
'For girls, prepare similar tables for mean severity score, respiratory illness
prevalence rates and the proportion reporting any chronic respiratory symptoms.
'Prepare these tables for each community separately, and for all communities combined!
'Prepare same tables for boys.
-R43-
-------
T/\DLE_3^S (Requires linkage between questionnaires)
(cornss directly from Table 34S)
Mean Symptom Scores in Mpn-^rLh-ratiC" Adolescent Girls,
Distributed by Coifd.: unity and iiothors"' Cigc>relte Smoking History
(Control for girls' smoking history)
(We may have to control for ethnic group)
Mothers' Smoking History
Coitimun i ty Non - Sino ke r
1
2
3
Overall
'
Ex-Smoker
Current Smoker (Cigs/day)
1-5 ! 6-14 15-25 ; 26-34 | ?35
I
j
• i
j j
i
- i
i
i
i
i
i
— . t
i
Overall
|
!
*Delete only true asthmatics.
oln each cell, include mean symptom score, its standard deviation and the sample
size, no percentages.
(.•Prepare similar tables, for girls, of mean severity scores, respiratory illness
prevalence rates, and the proportion reporting any chronic respiratory symptoms.
oPrepare same cables for girls, by fathers' cigarette smoking history.
oPrepare same tables for boys.-
-R44-
-------
TABLE 36S (Requires linkage between questionnaires)
(comes directly from Table 34S)
Mean Symptom Scores in Non-Asthmatic* Adolescent Girls at
Least One of Whose Parents Currently Smokes Cigarettes, Distributed by
Community and Parents' Combined Smoking Frequency Rating
(Control for Girls' Smoking History)
(We may have to control for ethnic group)
Coirniunity
1
2
3
Overall
Parents'
i i •>
\ , i
3
,., . ., -,
Combined Smoking Frequency Rating \ '
4
t
|
.
5
6
•
7 | 8
•
u YCI a I i
9 ! 10 :
t
; i j
i i ,
1*1 ;
; '
I }
i 'i
i i
i ;
*Deletc- only true asthmatics.
oln e?ch cell, include sample size, mean symptom score, and standard deviation,
no percentages.
©For girls, prepare similar tables for mean severity scores, and respiratory illness
prevalence rates, and the proportion reporting any chronic respiratory symptoms.
oPrepare same tables for boys.
-R45-
-------
COPLEY, DO NOT PREPARE THIS TABLE UNLESS INSTRUCTED TO DO SO.
TABLE 37S (Requires linkage between questionnaires)
(Comes directly from Table 28S)
Y NON-ASTHMATIC ADOLESCENT GIRLS WHO AR£
COMMUNITY AND PARENTS' COMBINED CIGARE
MEAN SYMP..., .
DISTRlB
(Control for girls' smoking. We may have to control for ethnic aroup.)
Community
1
2
3
Overall
Parents' Combined Smoking Habits
Both Non-
Smoke rs
:
Mother Non-Smoker
Father Ex-Smoker
Mother Non-Smoker
Father Smoker
Mother Ex-Smoker
Father Non-Smoker
Both Ex-
Smokers
Mother Ex-Smoker
Father Smoker
nother Smoker
Father Non-Smoker
Mother Smoker
Father Ex-Smoker
Both
Smokers
Overall
-
o\
I
*Delete only true asthmatics.
Tn each cell, include cell size, mean symptom scores and its standard deviation, no percentages.
'For girls, prepare similar tables for mean severity scores, respiratory illness prevalence rates, and the proportion reporting any chronic
resoiratorv symptoms. . - ' ,
•Prepare same tables separately for girls who are ex-smokers (from Table 29S) and for girls who are current smokers (from Table 30S}.'
'Prepare same tables for boys.
-------
COPLEY, DO NOT PREPARE THIS TABLE UNLESS INSTRUCTED TO DO SO.
TABLE 38$ (Requires linkage between
questionnaires)
•Table: Non-Asthmatic* Adolescent Girls Who Have
Chronic Respiratory Symptom Severity Rating of 0, and Who Are Non-Smokers,
Distributed by Both Parents' Chronic Respiratory Symptom Severity Ratings
'(We may have to control for ethnic group.)
Father's
Severity
Rating
0
1
2
3
4
5
6
7
8
Column Totals
Mothers' Severity Rating
0
1
•
2
'
3
.
4
5
6
7
•
8
Row
Totals
*Delete only true asthmatics.
oln each cell, include the cell size, the ratio of the cell size to the row total,
and the ratio of the cell size to the column total.
©Prepare separate tables for girls with severity rating 1, 2, 3, 4, 5 and 6.
oFor girls, prepare these tables separately for each of the following girls'
smoking categories:
oEx-smokers who quit XI year ago
oEx-smokers who quit <1 year ago
oAll ex-smokers
©Current smokers who smoke 1-5 cigarettes/day
oCurrent smokers who smoke 6-14 cigarettes/day
oCurrent smokers who smoke 15-25 cigarettes/day
oCurrent smokers who smoke >25 cigarettes/day
©All current smokers
©Prepare these tables for each community separately, and for all communities combined.
ePrepare same tables for boys.
-R47-
-------
TABLE 3Q,s (Requires Linkage between questionnaires)
Chronic Respiratory Symptom Severity Ratings in Non-Asthmatic*
Adolescent Cirls Who Are Lifetime Non-Smokers, Distributed By
Community and Mothers' Chronic Res'piratcry Symptom Severity Ratings
(Separate tables for Girls' Smoking Categories)
(We may have to control for ethnic group.)
Community
1
2
3
Col umn
Totals
Mother's
Severity
Rating
.0
1
2
3
4
5
6
7
8
Overall
0
1
2
3
4
5
6
7
a
Overall
0
1
2 .
3
4
5
6
7
8
Overall
0
1
2
3
4
5
6
7
8
Overall
Number of Girls With Severity Rating
0
- .
1
-
.
•
"2
3
4
5
•
6
7
•
8
9
•4
*
10
Total
I
*Delete only true asthmatics,
oln each cell within each community, include the cell size and the percentage
of girls in that community, whose mothers returned questionnaires,- that the
cell size represents.
oPrepare same table for girls, distributed by father's severity ratings.
cPropare same tables for boys.
-R48-
-------
TABLE 40$ (Requires linkage between
questionnaires)
Meah Symptom Scores in Non-Asthmatic*
Adolescent Girls Who are Lifetime Non-Smokers, DistributpH hv Rnth
Chronic Respiratory Symptom Severity Ratings
(We may have to control for ethnic group.)
Father's
Severity
Rating.
0
1
2
3
4
5
6
7-
8
Column Totals
Mother's Severity Rating
0
1
2
3
•
'4
-
5
6
7
8
Row
Totals
*Delete true asthmatics only.
din each cell, include the mean symptom score, its standard deviation,
and the cell size, no percentages.
©Prepare this table separately for the following categories of girls'
smoking:
«Ex-Smokers who quit >A year ago
eEx-Smokers who quit <1 year ago
©All ex-smokers
©Current smokers who smoke 1-5 cigarettes/day.
eCurrent smokers who smoke 6-14 cigarettes/day.
eCurrent smokers who smoke 15-25"cigarettes/day. .
eCurrent smokers who smoke >25 cigarettes/day.
11 current smokers.
oFor girls, prepare these tables for mean severity scores, respiratory
illness prevalence rates, and the proportion reporting any chronic
respiratory symptoms.
cPrepare these tables for each community separately, and for
all communities combined.
©Prepare same tables for boys.
-R49-
-------
COPLEY, DO NOT PREPARE THIS TABLE UNLESS INSTRUCTED TO DO SO.
TABLE 41 c (Requires linkage between
questionnaires)
Mean Symptom Scores in N_on-Asthma tic* Adolescent Girls,
Distributed by Coir-munity and~!lotherTs Chronic Respiratory
Symptom Severity Rating
(We may have to control for ethnic group.)
Community
1
2
1
3
Overal 1
Mother's Severity Rating
0 | 1
i
i
i
i
'
2
3
.
4
5 | 6
7
8
i
Overa\l
*Delete only true asthmatics.
oln each cell, include sample size, mean symptom score, and standard deviation,
no percentages.
oFor girls, prepare similar tables for mean severity scores, respiratory
illness prevalence rates, and proportion reporting any chronic respiratory
symptoms.
oPrepare similar tables for girls, distributed by father's severity rating.
cPrepare same tables for boys.
-R50-
-------
TA'U.E 42S ("ocj'.iircs
betv;ecn
Smokinc Habits of ?»'on- Asthmatic* Adolescent Girls,
Distributed by Ccnraunity and I'.o'chers1 Smoking Habits-
(We may have to control for ethnic group.)
Community
1
2
3
Col UDil
Totals
Mother's
S-roking
Hcbits
Non-Sir.oksr
•Ex-Src'.er
Smoi.er
•"V "•''. ; I
i,'cii-b. .'!:rr
"cx-i...o.':'_jr
r.'!,"1'"';*
O/croll
i'on-b:>.o. or
cx-bi.'o.x-r
I5:.r -!.--v
Overj'il
fi'oii-Sr.'okor
tx-Si/oker
Smolcor
Overall
Nurrbcr of Girls in S:-o!a'ng Category:
fJon-Smcker
Ex-Sr
QUU 1
Ya-jr Aoo
-!:cr
C;uit •'!
Vprr ,'Vio
Smoker (Cigs/day)
1-5
6-Kt
15-25
26-34
>35
T
*
Total
-
*0elete only trua asthmatics.
oln each cell, include the cell size and the ratio of the cell size to the row total.
cPrcpare similar tables for girls' smoking habits distributed by father's smoking
habits.
oPrep'ire similar table for boys' smoking habits distributed by mothers', smoking
habits.
ePrepare similar table for boys' smoking habits distributed by fathers' -smoking
habits.
-R51-
-------
TABLE 43S
MEAN SYMPTOM SCORES IN NON-ASTHMATIC* ADOLESCENT GIPLS,
WHO ARE LIFETIME NON-SMOKERS, DISTRIBUTED BY LENGTH OF RESIDENCE IN PRESENT COMMUNITY (IN YEARS),
AND BY AGE (IN YEARS)
(We may have to control for ethnic group.)
Community
1
2
Student's
Age
<13
13
14
15
16
N*17
Overall
<13
13
14
15
16
*17
Overall
Lencith of Residence
<1
1
•
2
3
4'
•
5
•
6
•
7
8
*
9
#
Years) ' " '
10
•
n
12
13
'14-
•
15
>16
Total
50
en
to
i
-------
TABLE 43S (Continued)
MEAN SYMPTOM SCORES IN NON-ASTHMATIC* ADOLESCENT GIPLS,'
WHO ARE LIFETIME NON-SMOKERS, DISTRIBUTED BY LENGTH OF RESIDENCE IN PRESENT COMMUNITY (IN YEARS),
AND BY AGE (IN YEARS)
(We may have to control for ethnic grouo.)
«
Community
3
Overall
-
Student's
Age
<13
13
14
15
16
}17.
Ovefal 1
<13-
13
14 .
15
16
*17
Overall
Lenath of Residence
<1
1
,2
3
.'
4
f
•
5
*
.•6
.
1
7
•
8.
•
9
Years
10
•
).
11
'
12
.•
13
14
15
V
,•
>16
Total
Cn
00
*Delete only true asthmatics.
'For girls, prepare same table for mean severity score, respiratory illness prevalence, and* proportion reporting any
chronic respiratory symptoms. , , . . , . , ..••'*..
•Prepare same tables separately for girls who are ex-smokers and for girls who are current smokers.
.Prepare same tables for boys.
'In all cells, include sample sizes and standard deviations.
-------
TABLE 44S
NUMBER OF NON-ASTHMATIC* ADOLESCENT GIRLS EXPERIENCING
ONE OR MORE PERIODS OF UNUSUAL COUGH AND PHLEGM IN LAST THREE YEARS,
DISTRIBUTED BY COMMUNITY AND SMOKING STATUS
(Vie may have to control for ethnic group.)
Community
1
2
3 ;
Total
Smoking Status
Never Smoked
Quit >1
Year -Ago
*
Quit <1
Year Ago
'
Smokes Currently (Cias./dav) . -'
1-5
•
6-14
15-25
26-34
^35
Total
I
»
en
*.
i
*Delete only true asthmatics.
'Prepare thrs table for boys.
-------
NUMBER OF NON-ASTHMATIC- ADOLESCENT GIRLS
ONLY ONE PERIOD OF Uf'JSIIAL COU^H A'-'O PHlFf.': Iv !
DISTRIBUTED BY mM'OJNITY A'JH ?f'1
Year Aoo
t
Smokinn Status
Quit <1
Year Ago
.
S-.r-V:
1-5
•
:s Current"
6-14
V (Cins./
15-25
26-34
'^35
Total
'Ul
; i
^Delete only true asthmatics.
'Prepare tins table for boys.
-------
TABLE 46S
NUMBER OF NON-ASTHMATIC ADOLESCENT GIRLS EXPERIENCING
TOO OR MORE PERIODS OF UNUSUAL COUGH AND PHLEGM IN LAST THREE YEARS,
DISTRIBUTED BY COMMUNITY AND SMOKING STATUS
(We may have to control for ethnic group-.)
Community
1
?
3
Total
Smoking Status
Never Smoked
Quit >1
Year Aao
Quit <1
Year Ago
Smokes Currently (Cios./dayJ
1-5 ,
6-14
15-25
26-34
-
£.35
Total
»
en
O\
I
*Delete only true asthmatics.
'Prepare tins table for boys.
-------
lJL.il?.?. ("0-l"''t"""- 1in!'.?.f;c hetv.'een
; qucsh'cr.r,-: irc-s)
Chronic Rcspir:.Tory Symptom Severity Re tin or, in rJcn-Asth~stic*
Adolescent Girls Mo Ara Lifetime Non-Smokers, Distributed by
Co:..aT.ity uid L.'io House:.CMC,' Ucc of Cci; Appliances
(l.'e may iiave to control for ethnic group.)'
Cov.v,unity
1
2
3
Col ui.'.n
Totals
U:-e of Appliances
GP.S Stove flnn'
I'. '.• "ivj'i- •. ,f. .!•; ; Lc-i" C.i'y
U'."i ['.nvi.
I' so :!-'i::iv.r
j-r-v-.: i
C.:s i'.ovo Q.!i /'
U.'-vniiL'j'J i ;5 lioaujr 0:ily
Use :'o-ch
Use [-"r^viiGr
Ovr."] i
Cos Stove Only
Unvenlcd Gas rloater Only
U?3 BOch
Use se.itiiCi"
dvorall
G?.s Stove 0-,Ty
U.wentrd Gas lieuter Only
Use Roth
Use lleithar
Oysrsll
r;i!:-il/c.'r 01 . Girls -
Uith Severity IVitinn - -
0
1
2
3
4
S
6
7
8
9
10
Row
Totals
*Dslete true asthmatics only.
oln each cell, include the cell size and the ratio of the cell size to the row
total.
oPrepare this table separately for girls who are ex-smokers and for girls who
are smokers.
t-Prepare these tables for boys.
-R57-
-------
TABLE 4SS (Requires linkage between
questionnaires)
Mean Symptom Scores in Non-Asthmatic* Adolescent Girls,
Distributed by Coir.rnunity, the Household Use of
Gas Appliances, and Girls' Smoking History
(We may have to .control for ethnic group.)
Community
1
2
3
Overall
Girls'
Smoking
History
Non-Smoker
Ex-Smoker
Smoker
Overall
Non-Smoker
Ex-Smoker
Smoker
Overall
Non-Smoker
Ex -Smoker
Smoker
Overall
Non-Smoker
Ex-Smoker
Smoker
Overall
Use of Gas Appliances
Gas Stove
Electric Stove
-
•
•
Others
•
Overall
*Delete true asthmatics only.
oln each cell, include the cell size, the mean symptom score, and its standard
deviation.
oFor girls, prepare same tables for mean severity score, respiratory illness
prevalen.ce rates, and the proportion reporting any chronic respiratory symptoms.
oPrepare same tables for boys.
-R58-
-------
APPENDIX S
NHLI ADOLESCENT COHORT STUDY
Formats for Tables to he Developed
from the Family Health Study Ouestionnaire
Robert Chapman
Dennis House
Carl Hayes
July 23, 1973
IMPORTANT: IN ALL CELLS OF ALL TABLES, SAMPLE SIZES AND PERCENTAGES WITHIN
ROWS ARE REOUIRED, UNLESS OTHERWISE STATED.
SAMPLE SIZES AND STANDARD DEVIATIONS ARE ABSOLUTELY NFCESSA9Y
IN ALL CELLS OF ALL TABLES DEALING WITH SFVEPITY RATINGS,
SYMPTOM SCORES, MEAN SEVERITY SCARFS, RESPIRATORY DISEASE
PREVALENCE, CHRONIC BRONCHITIS PREVALENCES, AND PROPORTIONS
.OF PEOPLE WHO REPORT ANY CHRONIC RESPIRATORY SYMPTOMS.
: RESULTS FROM EACH STUDY AREA (CALIFORNIA, ETC.) MUST BE
TABULATED SEPARATELY.
California Community Designations are as follows:
Community 1 - Thousand Oaks
Community 2 - Garden Grove . ' •
Community 3 - Covina
-SI-
-------
EXPLANATION OF SEVERITY RATING
OF CHROMIC RESPIRATORY DISEASE SYMPTOMS IN PARENTS
Explanation of symbols: $ means the question has been answered "yes".
0 means the question has been answered "no".
Rating. Symptoms
0 ... .No symptoms
; [Q1 9 and Q2 9 and 03 9 and Q4 9]
1 Cough without phlegm for less than
three months per year, for one year
or more
[Q1 and/or Q2 ©, Q]a 9, Q2a 9, Q3 9 ,
Q4e]
2 Phlegm with or without cough for less
than three months per year
[01 © or 9, 02 (& or 9, 0]a 9, 02g 9, 03
and/or Q4 «, Q3a 9, Q4a 9]
3 " Cough without phlegm for roorVtnan " ''"' •
three months per year
[Q1 and/or 02 «, Q1 .and/or Q2a ©, Qlb © or
9, Q2b © or 9, Q3 © or 9, Q4 © or 9, Q,a
e,Q4ae] •' "'
4 - Phelgm without cough for more than-
three months per year, for one year
or more '
[Q1 © or 9, Q2 © or 9, Q]a 9, 02a 9, Q3
. and/or Q4 ©, Q3a and/or 04 ©, Q3b © or 9 , Q4b
© or 6]
-S2-
-------
SEVERITY RATINGS, Continued
Rating Symptoms
5 • Cough and phlenm for three months or
more per year for one year only, with-
out shortness of breath
[Q1 and/or Q2 fl, 0]a and/or 02a ©, Q3 and/or
Q4 ©, Q3a and/or Q4a 0, Q6 0]
If Q1b and/or Q2b ©, then Q3b and Q4b must be
9. If Q3b and/or Q4b
-------
TABLE IF
FAMILY HEALTH STUDY QUESTIONNAIRE DISTRIBUTION AND RETURN
Community
1
2
3
Total
Number of Families to Whom
Questionnaires Were
Distributed
Number of Families
Returning
Questionnaires
Number of Fann'l ies
Returninq Completed
Questionnaires
-------
TABLE 2F
EDUCATIONAL ATTAINMENT*.OF MOTHERS, DISTRIBUTED BY COMMUNITY
Community
1
2
3
Total
Mother's Education
Category 1
Category 2
Category 3
Category 4
Category 5
:
Category 6
Total
• •
CO
C/l
'Prepare same table for fathers.
'Compute the Spearman Rho correlation coefficient of
mother's education to father's education for ea.cn
community separately, and for all communities combined.
'Prepare a seven-by-seven matrix of mother's education
category vs. father's education category for each
community separately and for all communities combined.
.*EDUCATION CATEROFirS
»
Category Educational Levfl CcmplRted
1 Elementary School
!2 Part of H-'gh School , .''
i r
;3 • High School ' •
•4 Trade, technica", or business schj ol
beyond high school
Part of C9llege
College
1 Graduate School
-------
TABLE 2F
EDUCATIONAL ATTAINMENT.OF MOTHERS AND FATHERS
Mother's
Education
Category 1
Category 2
Category 3
Category 4
Category 5
Category 6
Total
Father's Education
Category 1
Category 2
Category 3
Category 4
Category 5
Category 6
Total
-•"•
Spearman Rho correlation coefficient:
Total
Community 1
Community 2
Community 3
-------
TABLE 3F
ETHNIC COMPOSITION OF FAMILIES IN STUDY
Community
1
2
3
Total
American
Indian
Spanish or '
Mexican
Black
Oriental
White
Other,
Incl'udinn Mixed
Total
-------
00
I
TABLE 4F
NUMBER OF FAMILIES IN STUDY COMMUNITIES,
I DISTRIBUTED BY DURATION OF RESIDENCE, IN PRESENT COMMUNITY, IN YFARS
Community
1
2
3
Total
Duration of Residence (Years) ; ,
«
1
2
3
4
5
6
-
7
8
9
10
11
-12
13
"
14
15
> 5
Total ,
-------
TABLE 5F
AGE OF MOTHERS IN EACH STUDY COMMUNITY
I
CO
Community
1
2
3
Total
i
Number of Mothers of Ape
<29
30 - 34
35 - 39
40 - 44
45 - 49
•
50 - 54
55 - 59
>60
Total
"Prepare same table for fathers.
-------
TABLE 6F
MEAN CROWDING INDEX*, DISTRIBUTED BY COMMUNITY AND EDUCATION OF MOTHERS
Community
1
2
3
Overall
Crowding Index by Mother's Education
Category 1
Category 2
Category 3
Category 4
Category 5
Category 6
-
Overall
Crowding'
Index
.
o
I
*Crowding Index is the number of people in the household, divided by the number of rooms in the lu'ino
quarters. The mean crowding index is the sum of crowding indexes appropriate to a .cell, divided ny the
number of families in that cell. . j
'Prepare sa'me table, distributed by father's education.
'In both tables, include the number of families in each cell.,
-------
• TABLE 7F
USE OF GAS APPLIANCES
Community
1
2
3
total ' -
Percentage of Families Returning Questionnaire
Who Use
1. Gas Stoves
-
2. Electric Stove
3. Other
' TOTAL
'Include samole sizes in all cells,
-Sll-
-------
For these tables, enter sample sizes only, no percentages.
TABLE 8F
FOUR-FOLD TABLE: DISTRIBUTION OF COUGH
BY TIME OF DAY FOR MOTHERS
(Combine all communities into one table.)
Cough During Day
or Night (Question 2)
Yes
No
Total
Morning Cough (Question 1)
Yes
No
Total
Grand Total
'Same table for fathers
TABLE 9F
FOUR-FOLD TABLE: DISTRIBUTION OF PHLEGM
BY TIME OF DAY FOR MOTHERS
cormiunities combined)
•
Phlegm During Day
or Night (Question 4-)
-
Yes
No
Total
Morning Phlegm (Question 3) .
Yes
No
/
Total
Grand Total
'Same table for fathers
-S12-
-------
TABLE 10F
4X4 TABLE. MOTHERS WHO RETURNED QUESTIONNAIRES,
DISTRIBUTED BY FREQUENCY OF COUGH AND FREQUENCY OF PHLEGM PRODUCTION
1
Frequency
of Phlegm
(Ques-
tions 3
and 4)
i
/
Never
Less
than 3
months
^3 mo.
for 1
year
only
>3 mo.
for >
2 yrs.
Column
Totals
Frequency of Couph (Questions 1 and 2)
Never
- - •
Less than
3 months
£3 months
for 1 year
only
.._
^3 months
for ^2 years
Row ,.
Totals
-
Grand
-Total
'For each cell, include cell size, the ratio of cell size to row
total, and the ratio of cell size to column total.
'Prepare this table for each community separately and for all
communities corr.blrsc-d.
'Prepare same tables for fathers.
-S13-
-------
TABLE 11F
STUDY POPULATION OF MOTHERS,
DISTRIBUTED BYCOMMUNITY AND CIGARETTE SMOKING HISTORY
(This table ana lable 12r may be combined into one table.)
Community
1
2
3
Total
Non-Smokers
Ex-Smokers
Smokers
Total
'Prepare same table for fathers.
-S14-
-------
TABLE 12F :
STUDY POPULATION OF MOTHERS WHO CURRENTLY SMOKE CIGARETTES,
DISTRIBUTED DY COMMUNITY AMD CIGARETTE SMOKING FREQUENCY
Community
1
2
3
Total
Number of Cigarettes Smoked Per Day
1 - 5
6 - -14
15-- 25
26 - 34
>35
Total
# of
cmoker<
."Prepare same table for fathers.
-S15-
-------
TABLE 13F
OCCUPATIONAL EXPOSURE TO RESPIRATORY IRRITANTS IN MOTHERS,
DISTRIBUTED BY COMMUNITY
Community
1
2
3
Total
Percent of Mothers Returning Questionnaires Who Have: '
No Exposure
Unconfirmed Exposure
Confirmed Exoosure
b-IU Years
i
>in Years
•*
r
Total
j
i
"Prepare same table for fathers.
'Include sample sizes in all cells. • ,
'Include in the "confirmed exposure" category only those who have been exposed to one or the
irritants listed in Question 14a, and who have been exposed for at least six years.
'Include all others who answer Question 14 ."Yes" in the "unconfirmed exposure1' category.
-------
TABLE 14F
PERCENT OF FAMILIES
HAVING ONLY ONE GUARDIAN, DISTRIBUTED BY COMMUNITY
Community
1
2
3
Total
Percent of Families Returning Questionnaires
Who Report:
Only Female Guardian
Only Male Guardian
Total
'Include sanple sizes in all cells.
-S17-
-------
TABLE 15F
CHRONIC RESPIRATORY DISEASE SEVERITY RATINGS IN MOTHERS,
DISTRIBUTED DY COM,'-UNITY
Community
1
2
3
Total
Number of Mothers with Severity Rating
0
1
2
3
4
5
6
7
8
Total
^
'Prepare same table for fathers
'For each community, we need a list of family ID-numbers, distributed by
~ h.icjhcct ssvsrit" stic o ei
-S18-
-------
TABLE 16F
MEAN SYMPTOM SCORES* (SEVERITY RATINGS 0 THROUGH 8) IN MOTHERS,
DISTRIBUTED BY COMMUNITY AND BY SMOKING HISTORY
Community
1
2
3
Overall
Symptom Score
Mean Symptom Score
Non-Smokers
Ex-Smokers
Smokers
Overall
Symntom Score
" " >
*The mean symptom score of a subgroup is the total of severity ratings
within the subgroup divided by the number of people in that subqroup.
Round off mean symptom scores to two decimal places".
"Prepare same table for fathers.
In all cells, include the sample size as well as the mean symptom score,
Also include standard deviation of each mean symptom score.
-S19-
-------
TABLE 17F
MEAN SEVERITY SCORE* (SEVERITY RATINGS 1 THROUGH 8 ONLY) IN MOTHERS,
DISTRIBUTED BY COMMUNITY AND CIGARETTE SMOKING HISTORY
Community
1
2
3
Overall
Severity
Srnrp
Non-Smokers
Ex-Smokers
Smokers
Dverall Severity
Score
*The mean severity score deals with people who have chronic respiratory
symptoms (severity ratings 1 through 8 only). In a subgroup,
mean severity score is the total of severity ratings for these people
only, divided by the total number of people in the subgroup who have
a severity rating of 1 or greater.
Round off mean=severvty scores to'two de"cimaTp1aces.
'Prepare same table for fathers.
In all cells, include sample sizes as well as mean severity scores.
Also include standard deviation of each mean severity score.
-S20-
-------
TABLE 18F
RESPIRATORY DISEASE PREVALENCE*
(SEVERITY RATIOS 5, 5, 7, M!D P O^'LY) IN MOTHERS.
DISTRIBUTED BY COMMUNITY AND CIGARETTE SMOKING HISTORY
Community
1
2
3
Overall
Prevalence
Respiratory Disease Prevalence
Non-Smokers
•
Ex-Smokers
Smokers
Overall
Prevalence
*In a subgroup, respiratory disease, prevalence is the total number
of people in the subgroup who have severity ratings 5, 6, 7, en-d
8, divided by the total number of people in that subgroup.
Round off prevalence rates to three decimal places;
'Prepare same table for fathers.
In all cells, include denominators as well as respiratory disease
prevalences. Also include standard deviation of each prevalence rate,
-S21-
-------
TABLE 19F
CHRONIC BRONCHITIS PREVALENCE*
(SEVERITY RATINGS 7 AND 8 ONLY) IN MOTHERS,
DISTRIBUTED BY CC.V.'IMITY AND CIGARETTE SMOKI'iG HISTORY
Community
1
2
3
Overal 1
Prevalence
Non-Smokers
Ex-Smokers
Smokers
Overall
Prevalence
*In a subgroup, the chronic bronchitis prevalence is the number"of
people in the subgroup with severity ratings 7 and 8, divided bv
the total number of people in the subgroup.
Round off chronic bronchitis prevalences to three decimal places.
'Prepare same table for fathers.
In all cells, include denominators as well as chronic bronchitis
prevalences. Also include standard deviation of each prevalence rate.
-S22-
-------
TABLE 20F
PROPORTION OF MOTHERS
REPORTING ANY SYMPTOMS (SEVERITY RATINGS 1 THROUGH 8),
DISTRIBUTED BY COMMUNITY AND CIGARETTE SMOKING HISTORY
Community
__ 1 __ _ .
2
3
•Overall
Proportion
Proportion vn'th Any Symptoms
Non Smoker
•
«
Ex-Smoker
Smoker
Overall
Proportion
"In each subgroup, the proportion of people reportinq any symptoms
is the ratio of the number of people in that subgroup with severity
ratings 1 through 8 to the /total number of people in that subgroup.
'In each cell, include denominator and standard deviation of the pro-
portion.
'Round off each proportion to three decimal places.
'Prepare same table for fathers.
-S23-
-------
TABLE 21F
Proportion reporting chronic respiratory symptoms in MOTHERS
WHO CURRENTLY SMOKE CIGARETTES,
DISTRIBUTED BY COMMUNITY AND CIGARETTE SMOKING FREQUENCY
Community
1
2
3
Overall
Svirotcm
Score
Number of Cigarettes Smoked Per Day
1 - 5
6 - 14
15 - 25
26 - 34
>35
Overall
Symotom
Score
'Prepare same table for mothers' mean severity scores, resoiratory
disease prevalence"; and chronic broncfiiti ^prevalence? Prepare same"
table for proportion of mothers reporting'any symptoms.
iRrepare same .tables for fathers.
*Tn all cells, include sample sizes and standard deviations.
-S24-
-------
' TABLE 22F
MEAN SYMPTOM SCORES IN MOTHERS WHO ARE NON-SMOKERS,
DISTRIBUTED BY COMMUNITY AND BY AGE (IN YEARS)
Community
1
2.
3
Overall
Symptom
Score
Mean Symptom Scores by Age
<29
30-34
•
35-39
40-44
45-49
50-54
55-59
>60
Overall
Symptom
Score
'Prepare same table "separately for mothers who are ex-smokers and mothers
who are snokers. _
'Preoare similar tables, for mothers, for mean severity scores, resniratory
disease prevalence rates, end chronic bronchitis orevalence rates. Preoare
same table for proportion of mothers reportina any symotoms.-
"Prepare these tables for fathers.
"In all cells, include sample sizes and standard deviations.
•S25-
-------
TABLE 23F
MEAN SYMPTOM SCORES IN MOTHERS WHO ARF NON-SKQKERS,
DISTRIBUTED BY COMMUNITY AND EDUCATIONAL ATTAINMENT
Community
1
2
3
Overall
Symnf-nm
^rnpp
Educational Attainment
Category 1
Category 2
Category 3
Category 4
.
Category 5
!
•
Category 6
Overall
Symptom
Score
"Prepare same table separately for mothers who are ex-smokers and mothers who are smokers.
'Prepare similar tables, for mothers, of mean severity scores, respiratory disease Srevnlences, nnd
chronic bronchitis prevalences. Prepare same table for porportion of mothers reportinn any r>vmn?::>m:;
'Prepare these tables for fathers.
'In all cells, include sample sizes and standard'deviations.
-------
TABLE 24F
MEAN SYMPTOM SCORES IN MOTHERS WHO ARE NON-SMOKERS,
DISTRIBUTED BY COMMUNITY AND LENGTH OF RESIDENCE
IN PRESENT COMMUNITY (IN YEARS)
Community
1
2
3
Overall
Symotom
, Score
Mean Symptom Scores by Length of Residence (Years)
!6
ncore
N3
'Prepare same table separately for mothers who are ex-tsmokers
smokers.
'Prepare similar tables, for mothers, of -mean severity scores, resniratorv disease nrevalpnces, a
chronic bronchitis prevalence rates. Prepare same table for porportion of mothers reoortinn any
'Prepare these tables for fathers.
'In all cells, include sample sizes and standard deviations.
-------
TABLE -25F
MEAN SYMPTOM SCORES IN MOTHERS WHO ARE NON-SMOKERS.
DISTRIBUTED BY COMMUNITY AND BY OCCUPATIONAL RESPIRATORY IRRITANTS
Community
1
2
3
Overall
Symptom Score
!
Mean Symptom Score by Occupational Exposure
Not Exposed
'
Unconfirmed Exposure
', Coi. firmed Exposure
b-iu Years
>in Years
Overall
Symptom Score
k
to
CO
>r
pn,?,re
table senarately for mothers who are ex-smokers and mothers who are smokers.
'Prepare similar tables, for mothers, of mean severity scores, respiratory disease nrevr.lrnc ^ , find
chronic bronchitis prevalence rates. Prepare same table for ooroortion of mothers reoortinn any sjr'np te-mfe ,
r
'Prepare these tables for fathers. •'
i
'In all cells, include sample sizes and standard deviations.
-------
TABLE 26F
MEAN SYMPTOM SCORES IN MOTHERS,
DISTRIBUTED BY COMMUNITY, CIGARETTE SMOKING HISTORY,
AND OCCUPATIONAL EXPOSURE TO RESPIRATORY IRRITANTS
Community
1
2
3
Overall
Symptom
Score
Occupational _ --
Exposure
Yes, confirmed
YPS, unconfirmed
ptf
Yes, confirmed
Yes, unconfirmed
Yes, confirmed
YPS, unconfirmed
Yes, confirmed
Yes, unconfirmed
No
Mean Symptom Scores by Cigarette Smoking Historv
Non-Smoker
•
i
Ex-Smoker
i
r
1
Smoker
Overall
Synptffm
Store
10
NO
I
'Prepare similar tables, for mothers, of mean severity scores, respiratory disease prevalence
rates, and chronic bronchitis prevalence rates. Prepare same table for prooortion of mothers
reporting any symptoms. r ' • .
t
"Prepare these five table for fathers.
*In all cells, include sample sizes and standard deviations.
-------
TABLE ?7F
MEAN SYMPTOM SCORES IN MOTHERS WHO ARE NON-SMOKERS,
DISTRIBUTED BY COMMUNITY, AGE, AND OCCUPATIONAL EXPOSURE
TO RESPIRATORY IRRITANTS
Community
1
2
3
Overall
Symptom
Score
Occupational
Exposure
Yes, confirmed
Yes, unconfirmed
No
Yes, confirmed
Yes, unconfirmed
No
Yes, confirmed
Yes, unconfirmed
"Jo
Yes, confirmed
Yes, unconfirmed
No
Mean Symptom Scores by Age
<29
30-34
•
35-39
40-44
45-49
50-54
55-59
i
>60
Overall
Sji'iotom
3cnr°
o
I
-------
TABLE 28F
MEAN SYMPTOM SCORES IN MOTHERS WHO ARE NON-SMOKERS,
'DISTRIBUTED BY COMMUNITY AND ETHNIC GROUPS
I
co
i—•
i
Community
1
2
3
Overall
Symptom
Score
American
Indian
Mexican or
Spanish American
Black ,
•
Oriental
White
Oth ?r
i
Overall
5ymtorn
Score
'Prepare same table separately for mothers who are ex-smokers and mothers who are smokers.
'Prepare similar tables, for mothers, of mean severity scores, respiratory disease prevalences,
chronic bronchitis prevalence rates. Preoare same table for porportion of mothers renrrtirm ^
'Prepare these tables for fathers.
'In all cells, include sample sizes and standard deviations.
-------
APPENDIX T
MHLI Adolescent Cohort Study
Formats for Tables to be Developed From the
Pulmonary Function Tests and the Alveolar Carbon Monoxide Assays
Robert S. Chapman
Dennis E. House
Carl G. Hayes
IMPORTANT: FOR ALL CELLS OF ALL TABLES,
SAMPLE SIZES AND-STANDARD DEVIATIONS
ARE ABSOLUTELY NECESSARY.
RESULTS FROM EACH STUDY AREA
(CALIFORNIA, ETC.) MUST BE
TABULATED SEPARATELY.
FOR ADJUSTMENT PURPOSES, ENTER
HEIGHT TO THE NEAREST HALF-INCH,
AND AGE IN MONTHS.
California Community Designations are as Follows:
Community 1 - Thousand Oaks
Community 2 - Garden Grove
Community 3 - Covina
August 3, 1973
-Tl-
-------
TABLE IP
Number of Students Completing Physiologic
Tests, Distributed by Gratia and Community
Corroimity
1
2
3
• Overall
Grade
8
9
10
Total
8
9
10
Total
8
9
10
Total
8
9
10
Total
i
FEV,
Test
FVC
Alveolar CO
-T2-
-------
TARLF 2P (Requires Data Linkage)
Mean Age- and Height-Adjusted+FEV, and PVC in Non-Asthmatic*
Adolescent Girlij Distributed by Reported Smoking Status
(We maj have to coiitrol Tor ethnic group.)
FEV1
FVC
Reported Smoking Status
•
Never
Smoked
Ex-Smoker
Quit >1
Year Ago
Quit <1
Year Ago
Smokes Currently (Cigs/Uay)
1-5
6-14
15-25 } '26-34
(
^35
Total
*Delet2 all girls v/'io report having asthma, whether they are true asthmatics
or not. Consider as true asthmatics only *.h"?° *-ihn r-^oort asthma, who
have at least -wheezing and shortness of breath wicii an asthma attack, and
whose asthma has been diagnosed by a doctor.'
+Use the entire sample as the basis for height- and age-adjusting. Adjust for
height in inches, for aga in months.
oPreparc this table for each community separately, and for all communities
combined.
©Prepare same table for boys.
oPrepare same tables for:
•girls who report asthma but are not true asthmatics
'girls who are true asthmatics
-------
COPLEY - DO NOT PRLPARE THIS TABU: UNLESS INSTRUCTED TO DO SO.
IABLE_JZ (Requires Data Linkage)
(Comes directly fro;n Table 2P)
Arithmetic Mean Height-, and Age-Adjusted1" FEV, and FVC in Non-Asthmatic*
Adolescent Girls, Distributed by Community and Smoking Status
(We may have to control Tor ethnic group.)
Community
1 FEV
FVC
2 f£\i} -
FVC
3 FEl^
FVC
Overall
FEV1
FVC
Smoking Status
Never Smoked
Ex-Smoker
Current Smoker
Overall
*Delete true asthmatics only.
+Adjust as for Table 2P.
©Prepare same table for boys.
oSample sizes and standard deviations are absolutely necessary.
-T4-
-------
TABLE 4P (Requires Data Linkage)
Percent!les of Height- and Age-Adjusted+FEV1 in Non-Asthmatic*
Adolescent Girls, Distributed by Community and Smoking Status
(lie may have to control for ethnic group.)
Commun i ty
1
2
3 '
Overall
Smoking Status
Never Smoked
Ex-Smoker
Smoker
Overall
Never Smoked
Ex -Smoker
Smoker
Overall
Never Smoked
Ex-Smoker
Smoker
Overall
Never Smoked
Ex-Smoker
Smoker
Overall
Percent! les
10
20
-
30
•
40
50
60
70
80
90
Number i
of
Cases
-
*Delete true asthmatics only.
H-Adjust as for Table 2P.
oPrepare same table for boys.
oSample sizes and standard deviations are absolutely necessary.
-T5-
-------
IMMJLIL (Requires Data Linkage)
Percentiles of Height- and-Age-Adjusted1" FVC in Non-Asthmatic*'
Adolescent Girls, Distributed by Community and Smoking Status
(We may have to control for ethnic group.)
Community
1
2 •
3
Overall
Smoking Status
Never Smoked
Ex-Smoker
Smoker
Overall
Never Smoked
Ex-Smoker
Smoker
Overall
Never Smoked
Ex-Smoker
Smoker
Overall ,
Never Smoked
Ex-Smoker
Smoker
Overall
Percentiles
10
20
• .
30
t
40
50
60
•
70
•
80
90
Overall
, •
1
*Delete true asthmatics only.
•••Adjust as for Table 2P.
oPrepare same table for boys.
oSample sizes and standard deviations are absolutely necessary.
-T6-
-------
Percentiles of the
TABLE 5aP (Requires Data Linkage)
Ratio of Height- and Age-Adjusted+ FEVj to FVC in Non-Asthmatic*
Adolescent BOYS Distributed by Lotr.inurnty and Smoking Status
(We may have to control for ethnic group.)
Community
1
2 •
. 3'
Overall
Smoking Status
Mover Smoked
Ex-Smoker
- Smoker
Overall
Never Smoked
Ex-Smoker
Smoker
Overall
Never Smoked
Ex-Smoker
Smoker
Overall
Never Smoked
Ex-Smoker
Smoker
Overall
Percentiles
10
20
•
on
W>U
40
50
60
-
•
70
,
80
90
Number of
Cases
*Delete true asthmatics only.
+Adjust as for Table 2P.
oPrepare same table for boys.
©Sample sizes and. standard deviations are absolutely necessary.
-T7-
-------
TABLE J>Ji (Requires Data Linkage)
Mean Height- and A^e-Adjusted1" FEV-, and FVC in Men-Asthma tic* Adolescent
Girls, Distributed by Community and Lifetime Smoking Dose (in Pack-Years)
(We may have to control for ethnic group.)
Community
1
FEV!
FVC
2
FEV1
FVC
3
FEV1
FVC
Overall
FEV]
FVC
Smoking Dose (Pack-Years)
0
-
<1
1
2
3
4
5
6
7
8
9
.
>10
Overall
*Delete true asthmatics only.
+Adjust as for Table 2P.
oPrepare same table for boys.
©Sample sizes and standard deviations are absolutely necessary.
-T8-
-------
I/\BLC_7P. (Requires Data Linkage)
"1"
Moan Height- and Age-Adjusted" FEV, and FVC in
Non-Asthmatic* Adolescent Girls Mho Have puvt Smoking,
Distributed By Coruiunity and Life-time Srp.oking~~0ose (in Pack-Years)
(We may have to control for ethnic group.)
Community
1
FF.V1
FVC
.2
FEV-,
FVC
3
FE.VI
FVC
Overall
FEY,
FVC
Smoking Dose (Pack-Years)
<1
1
2
3
4
5
6
7
8
9
>>10
Overall
i
i
. .. , — .. ._ —i
•
*Delete true asthmatics only.
•(-Adjust as for Table 2P.
oPrepare same table for boys.
oSample sizes and standard deviations are absolutely necessary.
-T9-
-------
JABLE_8P (Requires Data Linkage)
Mean Sleight- and Age-Adjusted'1" FEV-, and FVC in
Non-Asthmatic* Adolescent Girls Who Smoke Currently,
Distributed -by Community and Lifetime SmokTng uose Ttfi~Pack-Years)
• (We may have to control for ethnic group.)
Community
1
. FF.VI
FVC
2
FEV1
FVC
3
FEV1
FVC
Overall
FEV1
FVC
Smoking Dose (Pack-Years)
<1
!
1
•
2
•
3
4
»
-
5
6
7
8
9
•
>10
Overall
-
*Delete true asthmatics only.
^Adjust as for Table 2P.
©Prepare same table for boys.
oSaniple sizes and standard deviations are absolutely necessary,
-T10-
-------
TABLE 9P (Requires Data Linkage)
Arithmetic Mean Age- and Height-Adjusted'" FEV, in
Hon-Asthnv. tic" Adolescent Girls, Distributed By Community,
Chronic Respiratory Symptom Rating, and Sir.ok'ing Status
(We may have to control Tor ethnic grouo.)
Con,munity
1
2
3
(
Overal 1
i
Smoking Status
Never Smoked
Ex-Smoker
Smoker
Overall
Never Smoked
Ex-Smoker
Smoker
Overall
Never Smoked
Ex-Smoker
Smoker
Overall
Never Smoked
Ex-Smoker
Smoker
Overall
Severity Rating
0
1
2
3
4
5
6
7
8
9
10
•
Total
• t
*Peloto true asthmatics only.
•fAdjust as for Table 2P.
oPrepare same table for boys.
oSample sizes and standard deviations are absolutely necessary.
-Til-
-------
1AJ3LEJO_P (Requires Data Linkage)
Arithmetic Mean Aga- and lleighl-Adjusted'TVC in
Non-Asthiiutic* Adolescent Girls, Distributed By Community,
Chronic Respiratory Symptom Severity Rating, and Smoking Status
(We may have to control for ethnic group.)
Community
1
2
3 '
\
Overall
Smoking Status
Never Smoked
Ex-Smoker
Smoker
Overall
Never Smoked
Ex- Smoker
Smoker
Overall
Never Smoked
Ex-Smoker
Smoker
Overall
Never Smoked
Ex-Smoker
Smoker
Overall
Severity Rating
0
1
•
2
3
f.
5
6
7
8
-
.
9
10
V
Toral
*Delcte true asthmatics only.
+Adjust as for Table 2P.
cPrepare same table for boys.
.cSample sizes and standard deviations are absolutely necessary.
-T12-
-------
TABLE IIP (Requires Data Linkage)
Arithmetic Mean '['eight- and Age-Adjusted FEV-, in Non-Asthmatic*
Adolescent Girl-s, Distributed by Community,
Smoking Status, and Age (in Years)
(Vie may have to control for ethnic group.)
Community
1
2
3
Overall
Smoking Status
Never Smoked
Ex-Smoker
Smoker
Overall
Never Smoked
Ex-Smoker
Smoker
Overall
Never Smoked
Ex-Smoker
Smoker
/
Overall
Never Smoked
Ex-Smoker
Smoker
Overall
Age
<13
-
13
14
15
16
>M
Overall
*Delete true astinr.ttics only.
+Do the adjustments v/ithin each age group separately. Adjust for height in
inches> for ane in rr.-.--><-,,
Prepare same table for boys.
Sample sizes and standard deviations are absolutely necessary.
-T13-
-------
IMUL11L (Requires Data Linkage)
Arithmetic Mean Height- and Age-Adjusted FVC in
Non-Asthmatic* Adolescent. Girls, Distributed by Community,
Smoking Status, and Age (in years)
(We may have to control for ethnic group.)
Community
1
i
2
3 •
Overall
Smoking Status
Never Smoked
Ex-Smoker
Smoker
Overal 1
Never Smoked
Ex-Smoker
Smoker
Overall
Never Smoked
Ex-Smoker
Smoker
Overall
Never Smoked
Ex-Srnoker
Smoker
Overall
Age
<13
13
14
15
16
»17
Overall
*Delete true asthmatics only.
+Do the adjustments within each age group separately. Adjust for height in inches, for
age in months.
•Prepare same Table for boys.
•Sample sizes and standard deviations are absolutely necessary.
-T14-
-------
TABLE 13P (Re-quires Data Linkage)
Ratio of the FEV, to the FVC (Both Height- and Age-Adjusted)"
in Non-Asthmatic* Adolescent Girls, Distributed by Community,
"' Smoking'Status', and Age (in Years)
(We may have to control for ethnic group.)
Community
1
2
3
Overall
Smoking Status
Never Smoked
Ex- Smoker
Smoker
Overall
Never Smoked
Ex-Smoker
Smoker
Overall
Never Smoked
Ex-Smoker
• Smoker
Overall
Never Smoked
Ex-Smoker
Smoker
Overall
Age
<13
13
•
•
14
'•15 •
16
xT7
'/'/
Overall
*Delete true asthmatics only.
+Do the adjustments within each age group separately. Adjust for height in inches, for
age in months.
•Prepare same table for boys.
••Sample sizes and standard deviations are absolutely necessary.
-T15-
-------
JABLE_W (Requires Data Linkage)
Airtlractic Mean Height- and Agp-A-Jjusted FEV-, in
Mon-Asthmatic"1- Adolescent- Girls, Distributed by Coinniunity,
Smoking-Specific Smoking Status, and Age (in Years)
," (We may have to control for ethnic group.)
-T16-
-------
'TABLCJJiP (PKi'jires Data Linkage)
Arithmetic fcan Height- and Ago-Adjusted FVf^ in
Non-Asliii.ir.tic* Adolescent Girls, Distributed by CoiuHvinity,
Sniokiny-Specific Smoking Status, and Age (in Years)
(We may have to control for ethnic group.)
1
;on!T>unity
1
2
3
.Overall
t
Age •
<13
13
14
" 15
•' 16
' -M7
Overall
<13
13
14
\'j
. 16
*17
Overall
<13
13
14
T5 |
?AI
Overa 1 1
t!3
13
T7I
I't
TT
\3
TK
ID
?TT
OvernlV"
lever
GniolxCu
•
Reported Smoking Status
Ex-S'iiok'jr
QUTL >1
Year Aqo
-
'
ijjit
-------
TAD_LC_J_GP [Requires Data Linkage)
Ratio of FEV, to FVC (Both Height and Age Adjusted)1" in
Hon-Asthiivttic* Adolescent Girls, Distributed by Coiuriunity,
Smoking--Sp;)cific Smoking Status, and Age (in Years)
(We may have to-control for ethnic group.)
Community
1
2
3 '
Overall
Age •
<13
13
14
-15
16
>A'I
Overall
<13
13
14
15 „
16
*17
Overall
*13
13
14
15
15
. /
Overall
2T3
13
14
15
16
?17 '
Overall
Ncvor
Smoked
i
Reported Srioking Status
Ex-Sii'oker
Quit >"i ;Quit <1
Year Ano Year Ago
•
Smoi'.es Currently (Cigs/Day) ^.
1-5
6-14
15-25
26-34
•
~Z- 35 Overall
1.
-T18-
-------
7MJL_1Z!1 (noqinros Data Linkage)
Porcentiles of the f-'O.-'.n Height- and Age-Adjusted FE\' In
Non-Asthmatic* Adolescent; GirlG.> Distributed by Conrnunity and Age (in Years)
(We may have to control for ethnic group.)
Conuiuni ty
1
2
3
Overall
Age •
<13
13
14
15
16
?17
Overa" 1
<\3
13
14
15
16
>M
Overa' 1
30
'40 50 ! 60
i '
70
_ .. .
80
90
Overall
"ikjicco (.rue as chiiid tics only.
^Adjust as for Table IIP.
©Prepare same table for boys.
oSample sixes and standard deviations are absolutely necessary,
-T19-
-------
TA&I.C J_8P (Requires Data Linkage)
Perceritiles of tho i'.ean Height- and Age-Adjusted*
FVC in Hon-Asthmalie* Adolescent Girls, •
Distribuied by Cwrjnum'ty and Age (in Years)
(He^ay^hayc to control for ethnic group, j
Community
1
2
3
Overall
i
Age •
<13
13
14
15
16
•?I7
Overai I
•03
13
14
15
16
»'I7
Uvera 1 1
<13
13
14
Ib
16
*17
Overall
^13
13
— _ _
10
16
-^17 '
^\l
Overall
Perce.iuilos
10
•
20
•
30 '
'40
.
;
:•:
50
•
50 | 70
.... L ,
80
.
90
r==
Overall
— "••
=====
*Delete true asthmatics only.
+Adjust as for Table IIP.
•Prepare same table for boys.
oSample sizes and standard deviations are absolutely necessary.
-T20-
-------
Perc.erit.ilcjs of the Ratio of FuV, to P/C (I'oth Height- end Age- "
-------
BDJJLLQ.1 (Requires.Data Linkage)
Mean Height- and Age-AdJUG ted F1IV1 in Non-Asthmatic*1
Adolescent Girls Who Are Lifetime N'on-'jinokers, Distributed by
Mother's and Father's Chronic Respiratory Symptcm Severity Rating
. (We may have to control for ethnic group.)
•
Father's
Severity
Rating
v
0
1
2
3 '
4
5
6
7
8
Overall
Mother's Severity Rating
0
•
1
2
3
4
-
5
6
-.
7
tf
-
Overall
-
*Delete true asthmatics only.
+Adjust as for Table 2P.
oPrepare same tables separately for girls who are ex-smokers and for girls who are
smokers.
oPrepare these tables separately for each community and for all communities combined,
oPrepare these tables for boys.
^Sample sizes and standard deviations are absolutely necessary.
-T22-
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TABLE 21P (Requires Data Linkage)
Mean Height- ond Age-Adjusted* FVC in Non-Asthmatic*
Adolescent Girls Mho Are Li ret imp i|ojv^jwj<_qrs_, Distributed by
Mother's and Father's Chronic Respiratory Symptom Severity Rating
t- (Iv'c may have to control for ethnic group.)
V
Father's
Severity
Rating
0
1
2
3
4
5
6
7
8
Overall
Mother's Severity Rating
0
•
1
•
-
2
•
3
4
-
5
6
7
8
Overall
!
•
-
*Delete true asthmatics only.
+Adjust as for Table 2P.
oPrepare same tables separately for girls who are ex-smokers and for qirls who
are smokers.
oPrepare these tables separately for each community and for all communities
combined.
©Prepare these tables for boys. *
pSainple sizes and standard deviations are absolutely necessary.
-T23-
-------
(Requires Data Linkage)
Smoking-Spccific Mean Aye- and Height-Adjusted
FEV-, and Fv'C in Non-Asthmatic* Adolescent Girls,
Distributed by Community and Ethnic Group
Coiiimun i ty
1
2
3
; Overall
i —
.
Smoking
Status
N on -Smoker
Fx-Smo
Ethnic Group
Amer- can riex-bpan n-iiri • n^ •_>,,,-. -i
Indian 'A.r.er'can " '' t"'ILU
FEV,
FVC
FEV,
1
cor i
Smol'.^r
Ovcral
!
ilon-Spoker
f-.X~L-i:10K.J'r
SP ;n '.'.•'•> Y
Overal
Men -Sir
Ex-Smo
oker
ker
Smoker
Overal
1
Non-Smoker
JIx- Smoker^
Smoker
Overa
FVC; FEV.,
i
White
FVC FEV- FVC FEV^FVC
t
;
f j
I
1
Other
FEV,
FVC
.
Overi
ill
FVC
__ _ —
*Delete true asthmatics only.
+Adjust as for Table 2P.
oPrepare same table for boys.
oSample sizes and standard deviations are absolutely necessary,
-T24-
-------
TACI.£_23P_ (Requires Data Linkage)
Mean Age- and Height-Adjusted' !:VC in Non-Asthr:otic-' Adolescent Gi.rjs
Who Are Lifetime Non-Smokers one! Who Hove N_ot Been Hospitalized,
Distributed by Bronchitis and Pneumonia History
(We may have to control for ethnic group.)
\
History of
Pneumonia
(# of
Episodes)
0
1
>-2
'
Overall
History of Bronchitis (h of Episodes)
0 '
•
•
.
1
*2
•
Overall v
*Delete true asthmatics only.
•i-Question 9 on the Student Health Questionnaire has been answered "No".
H-+Adjust as for Table 2P.
oPrepare same table for girls who hove been hospitalized.
oPrcpare this table separately for girls who are ex-smokers and for girls
who are smokers.
oPrepare these tables separately for each community, and for all communities
combined.
oPrepare these tables for boys.
oSample sizes and standard deviations are absolutely necessary.
-T25-
-------
TABLC 24P (Requires Data Linkage)
'1'*
Mean Age- and Height-Adjusted'1' FEVn in Men-Asthmatic*
Adolescent. Girls Mho Are Li retime Noii^£kJ!rs_ 9ncl l-n'° Have Not_ Been
. Hospitalized,' Distributed by Broncnitis and Pneumonia History
(We may have to control for ethnic group.)
History of
Pneumonia
(# of
Episodes) -
0
T
n •
Overall
History of Bronchitis (% of Episodes)
0
i
1
>?.
Overall
, ., I
^Delete true asthmatics only.
-^Question 9 on the Student Health Questionnaire has been answered "No".
++Adjust as for Table 2P.
oPrepare same table for girls v/ho have been 'hospitalized.
oPrepare this table separately for girls who are ex-smokers and for girls
who are smokers.
oPrepare those tables separately for each community, and for all communities
combined.
oPrepare these tables for boys.
oSamplc sizes and standard deviations are absolutely necessary.
-T26-
-------
. TABLE 25P (Requires Data Linkage)
Smoking-Specific Keen Height- and Ago-Adjusted FEY, in Non-Asthmatic*
Adolescent Girls Who Are Lifetiir1* Non-Smokers,
Distributed by Mother's and Father's Cigarette"Sr,,bKing Histories
(Vie may have to control for ethnic group.)
Father's
Smoking
History
Non Smoker
Ex Smoker
Smoker
(Cigs/Day)
1-5
6-14
15-25
26-34
£35
Overall
Mother's Snoking History
Non Smoker
Ex Smoker
•
•
Smoker (Cigs/Day)
1-5
*
6-14
15-25
26-34! £35
Overall
-
*Delete true asthmatics only
+Adjust as for Table 2P. .- ,
•Prepare same tables separately for girls who are ex-smokers and for girls who
are smokers.
•Prepare same tables separately for each community and for all communities
combined.
•Prepare same tables for boys. •
bampie sizes and SLdndaru deviations are absolutely necessary.
-T27-
-------
TABLE 26P (Reouires Data Linkage)
Smoking-Speci h'c Mean Height- and Ae.e-Adjusted FVC in
Mon-Asthinatic* Adolescent Girls Uho Are Lifetime Non-Smokers,
Distributed by Mother's and Father's Ciqarstte Smoking Histories
(We may have to control for ethnic group.)
!
1
Father's
Smoking
History
Non Smoker
Ex Smoker
Smoker
(Cigs/Day)
1-5
6-14
15-25
26-34
5=35
Overall
Mother's Smoking History
Non Smoker
Ex Smoker
Smoker (Cigs/Day)
1-5
6-14! 15-25 26-34 }35
!
Overall
*Delete true asthmatics only
+Adjust as for Table 2P.
•Prepare same tables separately for girls who are ex-smokers and for girls who
are smokers.
•Prepare same tables separately for each community and for all communities
combined.
•Prepare same tables for boys.
• Sample sizes and standard deviations are absolutely necessary.
-T28-
-------
TABLE 27? (Requires Data Linkage)
0.
Mean Age- and Height-Adjusted' FEV-, in Non-Asthmatic*
Adolescent Girls Who Are Lifetime Non-smokers, Distributed by
Mother's and Father's Educational Attainment
(We may have to control for ethnic group.)
Father's
Educational
Attainment
Category 1
Category 2
Category 3
Category 4
Category 5
Category 6
Overall
Mother's Educational Attainment
Category 1
Category 2
Category 3
Category 4
Category 5
Category 6
Overall
H
*Delete true asthmatics only.
-t-Adjust as for Table 2P.
Prepare this table for each community separately, and for all communities combined.
Prepare same tables separately for girls who are ex-smokers and for girls who are smokers.
Prepare same tables for boys.
Sample sizes and standard deviations are absolutely necessary.
-------
TABLE 28P (Requires Data Linkage)'
+ <
Mean Age- and Height-Adjusted FVC in Non-Asthmatic*
Adolescent Girls Who Are Lifetime Non-Smokers, Distributed ty
Mother's and Father's Educational Attainment
(Vie may have to control for ethnic qroup.)
i
i
i
Category 1
Category 2
Category 3
Category 4
Category 5
Category 6
Overall
Mother's Educational Attainment
Category 1
Category 2
Category 3
Category 4
•
•
Category 5
Category 6
Overall "
:•
H
CO
o
*Delete true asthmatics only.
+Adjust as for Table 2P.
•Prepare this table for each community separately, and for all communities combined.
•Prepare same tables separately for girls who are ex-smokers and for girls who are smokers,
•Prepare same tables for boys.
•Sample sizes and standard deviations are absolutely necessary.
-------
(Requires -Data Linkage)
Mean Height- and Age-Adjusted FEV-, in Non-Asthmatic*
Adolescent Girls, Distributed by Community, Smoking Status, and
Length of Residence in Years, in Contain ity of Present Residence
(We may have to control for ethnic group.)
f ... ...
Community Smoking v
i Status
!
Length of Residence (Years)
-------
TABLE 30P (Requires Data Linkage)
Smoking-Spccih'c f'ean Height- and Age-Adjusted FVC in Non-Asthmatic*
Adolescent Girls, Distributed by Community, Smoking Status> and •
Length of Residence in Years, in Community of Present Residence
(We may have to control for ethnic group.)
Community
1
2
3
Overall
Smoking
Status "
Non-Smoker
Ex-Smoker
Smoker
Overall
Non -Smoker
Ex-Smoker
Smoker
Overall
Non -Smoker
Ex-Smoker
Smoker
Uvera I I
Non -Smoker
Ex-Snioker
Smoker
Overall
i
Length of Residence (Years)
<1
i
2
i
3
4
i
,
5
6
7
'
8
9 ;10
i
I
i
1 i
%
i
i
i
i
n
12
i
*
13
14
1
-------
(Requires Data Linkage)
ilean Height- and Age-Adjusted"1" FEV-, an.d FVC in
Non-Asthmatic* Adolescent Girls, Distributed by Community,
Smoking Status and Household Use of Gas Appliances
(We may have to control for ethnic group.)
Community
•
1
2
3
Overall
Smoking Status
Non -Smoker
Ex -Smoker
Smoker
Overall
Non -Smoker
Ex -Smoker
Smoker
Overall
Non -Smoker
Ex -Smoker
Smoker
Overall
Non -Smoker
Ex -Smoker
Smoker
Overall
Use of Gas Appliances
-Use G'as Stove
FEV,
FVC
ELECTRIC STOVE
FEV
FVC
Use Neither
FEV,
FVC
,
Overall
i
-T33-
-------
• TABLE 32P
Regression Coefficients for Height (in Inches) and Age (in Months),
Derived From Analysis Models Ussd to Prepare Table 2P
for FEV, end FVC, in lion-Asthmatic* Adolescent Girls and Boys
(Vie may have to control for ethnic group.)
Girls
Boys
Regression Coefficients
FEV,
Liters/Inch
v
Liters/Month
FVC
Liters/Inch
Liters/Month
' • i
.
i
i
I
*Delete true asthmatics only.
-T34-
-------
TABLE 33P.
Age-Specific Regression Coefficients for Height (in Inches)
and Age (in Months), Derived From Analysis Models Used to Prepare
Table IIP,"for FEV-j add FVC., in Non-Asthmatic* Adolescent Girls and Boys
Sex
Girls
Boys
Regression Coefficients
FEVl
Liters/Inch
Liters/Month
FVC
Liters/Inch
Liters/Month
rev, .
Liters/Inch
Liters/Month
FVC
Liters/Inch
Liters/Month
Age (Years)
<13 13
14
15
16 -Al
•
*Delete true asthmatics only.
-T35-
-------
TARL'E 3 ftp (Requires Data Linkage)
Mean Alveolar Carbon Monoxide Concentration in Adolescent Girls,
Distributed by Reported Cigarette Smokinq Status
(CO concentrations in parts per million)
Alveolar CO
Standard
, Deviation
Sample Size i
Reported Smoking Status
Never
Smoked
Ex-Smoker •
Quit jl
Year Ago
Quit <1
Year Aqo
*
•
Smokes Currently (Cigs/Day)
1-5
6-14
15-25
26-34
^
35
Overall •
•
•Prepare this table for each community separately, and for all communities combined.
'Prepare same table for boys..
'Prepare same table for girls and boys combined.
'Sample sizes and standard deviations are absolutely necessary.
-------
TABLE 35? (Requires Data Linkage)
Mean Age- and Height-Adjusted FEV, and FVC in Non-Asthmatic*
Adolescent Girls, Distributed by Alveolar Carbon Monoxide
Concentration (in parts per million)
Alveolar CO Concentration (ppm)
o .49
5-5-10.49 110.5-20.49 120.5-30.49 ! 30.5-40.49 i40.5-50.49 50.5-60.49 ! 60.5-70.49 | 70.5-80.49 U80.5
v.srai ;
H
CO
-j
t
FEV-
*Delete true asthmatics only.
•Prepare this table for each community separately, and for all communities combined.
•Prepare same tables for boys.
• Sample sizes and standard deviations are absolutely necessary.
------- |