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SSAGA Cover Page and Demographics

719 Shared Subjects

Semi-Structured Assessment For the Genetics of Alcoholism
Clinical Assessments
Demographics
07/16/2020
ssaga_cover_demo01
07/16/2020
View Change History
01
Query Element Name Data Type Size Required Description Value Range Notes Aliases
subjectkey GUID Required The NDAR Global Unique Identifier (GUID) for research subject NDAR*
src_subject_id String 20 Required Subject ID how it's defined in lab/project hcpa_id, subject
interview_age Integer Required Age in months at the time of the interview/test/sampling/imaging. 0::1440 Age is rounded to chronological month. If the research participant is 15-days-old at time of interview, the appropriate value would be 0 months. If the participant is 16-days-old, the value would be 1 month.
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY
sex String 20 Required Sex of subject at birth
M;F; O; NR
M = Male; F = Female; O=Other; NR = Not reported dm1, gender
site String 101 Recommended Site Study Site
aescode Integer Recommended Staff code number of person completing this form 999= Missing Data
time_assess String 20 Recommended Time of day the assessment was taken. Hour:minutes
stoptime String 10 Recommended Stop time
q44_daterev Date Recommended Date Reviewed
dode String 10 Recommended Date of Data Entry
fspgod String 70 Recommended Subject's gender OTHER describe dm2
equest30 String 15 Recommended What is your height? (Please give your best estimate.)
weight String 50 Recommended weight -5=item seen but not answered; -999=data not submitted (incomplete)
dawba_p2_d String 10 Recommended Diet/Weight/Body - What was your highest weight ever?
past_wt String 50 Recommended How long ago were you at your highest weight?
dem_10_state String 150 Recommended In which state were respondent born?
dm5b String 15 Recommended In what state do you currently live? (Code state of physical (not legal) residence)
nimh_rv_dem_07 String 3 Recommended First three digits of ZIP code
fh07 Integer Recommended 7. Subject adopted 0;1;9
dm7 Integer Recommended Are you a twin or other multiple? 1;5 1 = No; 5 = Yes
ethnicity String 30 Recommended Ethnicity of participant
Hispanic or Latino; Not Hispanic or Latino; Unknown
race String 30 Recommended Race of study subject
American Indian/Alaska Native; Asian; Hawaiian or Pacific Islander; Black or African American; White; More than one race; Unknown or not reported; Other Non-White; Other
fsprg String 150 Recommended In your own words, to which race(s) or racial group(s) do you belong?
mat_grandma_cntry String 255 Recommended Biological Maternal Grandmother country and/ or tribe
mat_grandfa_cntry String 255 Recommended Biological Maternal Grandfather country and/ or tribe
pat_grandma_cntry String 255 Recommended Biological Paternal Grandmother country and/ or tribe
pat_grandfa_cntry String 255 Recommended Biological Paternal Grandfather country and/ or tribe
dm8b_1_1 String 100 Recommended Country of Origin: Maternal Grandmother's Father
dm8b_2_1 String 100 Recommended Country of Origin: Maternal Grandfather's Father
dm8b_3_1 String 100 Recommended Country of Origin: Paternal Grandmother's Father
dm8b_4_1 String 100 Recommended Country of Origin: Paternal Grandfather's Father
dm8b_1_2 String 100 Recommended Country of Origin: Maternal Grandmother's Mother
dm8b_2_2 String 100 Recommended Country of Origin: Maternal Grandfather's Mother
dm8b_3_2 String 100 Recommended Country of Origin: Paternal Grandmother's Mother
dm8b_4_2 String 100 Recommended Country of Origin: Paternal Grandfather's Mother
area5_explain String 360 Recommended Church, religion or spiritual orientation? Explain briefly
dm8c_1 Integer Recommended Does your religion have rules forbidding the use of any alcohol? 1;5 1 = No; 5 = Yes
dm8d Integer Recommended In the past twelve months, how many times did you attend religious services?
das1ms String 200 Recommended Marital status dm9
dm9_wyr String 10 Recommended What year were you widowed?
dm9_age Integer Recommended If widowed, specify age in years
dm10 Integer Recommended Have you ever lived with someone (else) for at least a year as though you were married? DO NOT COUNT INDIVIDUALS R HAS MARRIED. 1;5 1 = No; 5 = Yes
qa18 Integer Recommended Section A - Demographics. A18. How many times have you been legally married? #=TIMES dm11
dm11_year_1 Integer Recommended How many times have you been legally married? Year of marriage 1
dm11_year_2 Integer Recommended How many times have you been legally married? Year of marriage 2
dm11_year_3 Integer Recommended How many times have you been legally married? Year of marriage 3
dm11_year_4 Integer Recommended How many times have you been legally married? Year of marriage 4
dm11_year_5 Integer Recommended How many times have you been legally married? Year of marriage 5
dm11_year_6 Integer Recommended How many times have you been legally married? Year of marriage 6
dm11_year_7 Integer Recommended How many times have you been legally married? Year of marriage 7
dm11_year_8 Integer Recommended How many times have you been legally married? Year of marriage 8
dm11_year_9 Integer Recommended How many times have you been legally married? Year of marriage 9
dm11_year_10 Integer Recommended How many times have you been legally married? Year of marriage 10
qa18a Integer Recommended Section A - Demographics. A18. How many times have you been legally married? A. How old were you when you first got married? IF STILL IN FIRST MARRIAGE (A18=01 AND A17=1) #=AGE
dm11_age_2 Integer Recommended How many times have you been legally married? Age at marriage 2
dm11_age_3 Integer Recommended How many times have you been legally married? Age at marriage 3
dm11_age_4 Integer Recommended How many times have you been legally married? Age at marriage 4
dm11_age_5 Integer Recommended How many times have you been legally married? Age at marriage 5
dm11_age_6 Integer Recommended How many times have you been legally married? Age at marriage 6
dm11_age_7 Integer Recommended How many times have you been legally married? Age at marriage 7
dm11_age_8 Integer Recommended How many times have you been legally married? Age at marriage 8
dm11_age_9 Integer Recommended How many times have you been legally married? Age at marriage 9
dm11_age_10 Integer Recommended How many times have you been legally married? Age at marriage 10
qa19 Integer Recommended Section A - Demographics. A19. How many times have you been divorced? dm12
dm12_year_1 Integer Recommended How many times have you been divorced? Year of divorce 1
dm12_year_2 Integer Recommended How many times have you been divorced? Year of divorce 2
dm12_year_3 Integer Recommended How many times have you been divorced? Year of divorce 3
dm12_year_4 Integer Recommended How many times have you been divorced? Year of divorce 4
dm12_year_5 Integer Recommended How many times have you been divorced? Year of divorce 5
dm12_year_6 Integer Recommended How many times have you been divorced? Year of divorce 6
dm12_year_7 Integer Recommended How many times have you been divorced? Year of divorce 7
dm12_year_8 Integer Recommended How many times have you been divorced? Year of divorce 8
dm12_year_9 Integer Recommended How many times have you been divorced? Year of divorce 9
dm12_year_10 Integer Recommended How many times have you been divorced? Year of divorce 10
qa19a Integer Recommended Section A - Demographics. A19. How many times have you been divorced? A. How old were you when you were divorced (the first time)?
dm12_age_2 Integer Recommended How many times have you been divorced? Age at divorce 2
dm12_age_3 Integer Recommended How many times have you been divorced? Age at divorce 3
dm12_age_4 Integer Recommended How many times have you been divorced? Age at divorce 4
dm12_age_5 Integer Recommended How many times have you been divorced? Age at divorce 5
dm12_age_6 Integer Recommended How many times have you been divorced? Age at divorce 6
dm12_age_7 Integer Recommended How many times have you been divorced? Age at divorce 7
dm12_age_8 Integer Recommended How many times have you been divorced? Age at divorce 8
dm12_age_9 Integer Recommended How many times have you been divorced? Age at divorce 9
dm12_age_10 Integer Recommended How many times have you been divorced? Age at divorce 10
dm13 Integer Recommended (Other than when you separated just before a divorce,) have you and your partner(s) ever separated for 3 days or longer because of not getting along? 1;5 1 = No; 5 = Yes
dm13a Integer Recommended How many times did you and your partner separate for 3 days or longer because of not getting along? Count all marriage and live-in situations
dm13b Integer Recommended How old were you the last time you and your partner separated for 3 days or longer because of not getting along?
pregnancy_no Integer Recommended 1. How many times have you/ (child)'s mother been pregnant? dm14
fs_v2_subject_curr_pregnant String 2 Recommended Full Screener (Visit 2): Is the subject currently pregnant? (Y=Yes; N=No; NA=Not Provided)
Y;N;NA
Y = Yes; N = No; NA = Not provided
dm14b Integer Recommended How many stillbirths and miscarriages have you had?
qa22 Integer Recommended Section A - Demographics. A22. How many children have you (fathered/given birth to)? That is, not including adopted, foster, or step children. #=# CHILDREN dm14_kidnum
bio_childgender_1 String 50 Recommended Biological child 1 gender
Male; Female
bio_childgender_2 String 50 Recommended Biological child 2 gender
Male; Female
bio_childgender_3 String 50 Recommended Biological child gender
Male; Female
bio_childgender_4 String 50 Recommended Biological child gender
Male; Female
bio_childgender_5 String 50 Recommended Biological child gender
Male; Female
bio_childgender_6 String 50 Recommended Biological child gender
Male; Female
bio_childgender_7 String 50 Recommended Biological child gender
Male; Female
childgen String 2 Recommended Child gender M;F M=Male; F= Female
dm14c_child_1_parent_age Integer Recommended Parent's age at birth of biological child 1
dm14c_child_2_parent_age Integer Recommended Parent's age at birth of biological child 2
dm14c_child_3_parent_age Integer Recommended Parent's age at birth of biological child 3
dm14c_child_4_parent_age Integer Recommended Parent's age at birth of biological child 4
dm14c_child_5_parent_age Integer Recommended Parent's age at birth of biological child 5
dm14c_child_6_parent_age Integer Recommended Parent's age at birth of biological child 6
dm14c_child_7_parent_age Integer Recommended Parent's age at birth of biological child 7
dm14c_child_8_parent_age Integer Recommended Parent's age at birth of biological child 8
bkgrnd_education String 1,020 Recommended Subject's education (school and preschool) dm15
sh_hs Integer Recommended Subject has a High School Diploma
0;1
1=Yes; 0=No dm15a
test_ged Integer Recommended Did you pass a high school equivalency test?
0;1;9
0 = No; 1 = Yes; 9 = Missing dm15b
dm15c Integer Recommended Did you graduate from the last school you attended? 1;5 1 = No; 5 = Yes
dm15d_high_sch Integer Recommended When did you graduate from High School?
dm15d_ged Integer Recommended When did you graduate from your GED program?
dm15d_college Integer Recommended When did you graduate from College?
dm15d_grad Integer Recommended When did you graduate from Graduate School?
dm15d_tech Integer Recommended When did you graduate from Technical School?
dm15d_high_sch_age Integer Recommended At what age did you graduate from High School?
dm15d_ged_age Integer Recommended At what age did you graduate from your GED program?
dm15d_college_age Integer Recommended At what age did you graduate from College?
dm15d_grad_age Integer Recommended At what age did you graduate from Graduate School?
dm15d_tech_age Integer Recommended At what age did you graduate from Technical School?
ed_1_y Integer Recommended Are you currently in school?
0;1;77;88;-99
0= No; 1= Yes; 77= Refused; 88= Missing; -99= NA dm15e
dm15f Integer Recommended What is the highest grade in school your mother completed? 0::17;9999 0 = Unschooled ; 1 = 1ST ; 2 = 2ND ; 3 = 3RD ; 4 = 4TH ; 5 = 5TH ; 6 = 6TH ; 7 = 7TH ; 8 = 8TH ; 9 = 9TH ; 10 = 10TH ; 11 = 11TH ; 12 = 12TH ; 13 = TECHNICAL SCHOOL OR 1 YR COLLEGE ; 14 = 2 YRS COLLEGE ; 15 = 3 YRS COLLEGE ; 16 = 4 YRS COLLEGE: B.A., B.S ; 17 = GRADUATE SCHOOL: M.A., M.S., J.D., M.D., Ph.D ; 9999 = Don't know
dm15g Integer Recommended What is the highest grade in school your father completed? 0::17;9999 0 = Unschooled ; 1 = 1ST ; 2 = 2ND ; 3 = 3RD ; 4 = 4TH ; 5 = 5TH ; 6 = 6TH ; 7 = 7TH ; 8 = 8TH ; 9 = 9TH ; 10 = 10TH ; 11 = 11TH ; 12 = 12TH ; 13 = TECHNICAL SCHOOL OR 1 YR COLLEGE ; 14 = 2 YRS COLLEGE ; 15 = 3 YRS COLLEGE ; 16 = 4 YRS COLLEGE: B.A., B.S ; 17 = GRADUATE SCHOOL: M.A., M.S., J.D., M.D., Ph.D ; 9999 = Don't know
dm__16 Float Recommended Now I want to ask you about work for pay. In the past twelve months, how many months have you been employed? COUNT SELF-EMPLOYMENT OR SALARIED. IF NONE, CODE 0. IF LESS THAN 1 MONTH, CODE 1. dm16
eo4 Integer Recommended Are you currently working at a job or business for pay
0;1;9
0=No; 1=Yes; 9 = Missing dm17
a2b_yn Integer Recommended Do you do any of the following kinds of work? Working a full-time paying job?
0;1
0 = No; 1 = Yes dm17a
annual_fam_inc String 200 Recommended What was your best estimate of the total income of all family members from all sources, before taxes, in last year? PX011101_Annual_Family_Income (Combined family income means your income PLUS the income of all family members living in the household, including cohabitating partners, and armed forces members living at home) 99 = no data; 99999 = Unsure; -999999 = Do Not know or Do not want to say dm17b
household_number_in_house Integer Recommended Number of people living in primary residence for subject (proband) dm17c
baseline_n_001 Integer Recommended Have you ever served on active duty in the United States Armed Forces, either in the regular military or in a National Guard or military reserve unit?
0::4; -888; -999
0=No; 1=Yes; 3=DontKnow; 4=Refused; -888=Not Applicable; -999=Missing;
dm18a Integer Recommended If you have ever been on active duty in the military, What kind of discharge did you have? OTHER THAN HONORABLE INCLUDES WITHOUT HONOR AND UNDESIRABLE. 0::6 0 = Still in the military; 1 = Honorable; 2 = General; 3 = Medical; 4 = Other than honorable; 6 = Dishonorable
demo_militrank String 75 Recommended What was/is your highest military rank?
dm18b2_branch String 60 Recommended If you have ever been on active duty in the military, in which branch did you serve?
comments_misc String 4,000 Recommended Miscellaneous comments on study, interview, methodology relevant to this form data dm_notes
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