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. 2012 Nov 3;2012:625–634.

Table 4:

Public Health Social History Elements, Axes, and Values by Statement Type.

Statement Type Element Example Values or Patterns Distribution of element usage

ALCOHOL USE (n=23) Status current, ever 17%
Temporal past <#> <timeunit>, entire life, any one year, <age in years> first drank 96%
Method oral 96%
Type beer, wine, hard liquor, malt liquor 48%
Amount ≥1 drink, ≥5 drinks (no gender difference), ≥4 drinks(woman)/ ≥5 drinks(man) 96%
Frequency <#> <days/times> / <week/month/year/past 30 days/past year/entire life>, almost everyday 52%
Certainty yes/present, no/absent, don’t know/not sure, refused 100%
Experiencer you, spouse 100%

DRUG USE (n=31) Status ever 26%
Temporal last smoked, <timeunit> since last use, last 30 days, age at first use, lifelong 71%
Method smoke, injection 35%
Type cocaine, crack, heroin, methamphetamine, marijuana, hashish, steroids, other drugs, unprescribed drugs, injection drugs 97%
Amount <#> of joints 3%
Frequency once per month, <#> times per month, <#> days in last month, <#> times of lifetime use, even once 61%
Certainty yes, no, refused, don’t know 100%
Experiencer you 100%

OCCUPATION (n=22) Status current, ever 18%
Temporal present, last week, when you were at work 41%
Method paid by salary, never worked, paid by the hour, paid by the job/task, paid some other way, looking for work, disabled, retired, employed, on layoff 18%
Type <occupation>, armed services, industry type, <activity type>, taking care of house of family member, going to school, state government employee 45%
Subtype another schedule, a rotating shift, a regular night shift, a regular daytime shift 9%
Amount <#> hours, <#> days/weeks/months/years 9%
Frequency more than 35 hours per week, less than 35 hours per week 18%
Location at all jobs and businesses, at main job or business, <employer name> 32%
Certainty yes, no, refused, don’t know 100%
Experiencer you, non-SP head, SP 91%

PHYSICAL ACTIVITY (n=8) Temporal past month, on days of activity ≥10 minutes 38%
Type any physical activity, mostly sitting or standing, mostly walking, mostly heavy labor or strenuous activity, moderate activity, vigorous activity 100%
Amount ≥10 minutes, <#:## hours:minutes> total time 75%
Frequency ≥1 time/week, <#> times/week 63%
Certainty yes/present, no/absent, don’t know/not sure, refused 100%
Experiencer you 100%
Location at work, not at work 38%

RESIDENCE (n=6) Status current 50%
Method own, rent, other arrangement without paying rent, born 67%
Type home, other (group home, stay with friends/family without rent) 17%
Location <FIPS country code>, <zip code>, USA, other country, <state abbreviation> 83%
Certainty yes/present, no/absent, don’t know/not sure, refused 67%
Experiencer you, non-SP head 100%

TOBACCO USE (n=62) Status current, past (quit), quit attempt 16%
Temporal entire life, past <#> <months/days>, <age in years> first started to smoke, <#> <days/weeks/months/years> since quit, <#> minutes after waking up 16%
Method smoke, stop smoke 77%
Type cigarettes, chewing tobacco, snuff, snus, cigar, pipe, nicotine patch/gum 71%
Subtype <UPC code>, <brand>, <filtered/unfiltered>, <mentholated/non-mentholated>, <size category>, <brand qualifiers> 15%
Amount <#> [cigarettes/average cigarettes],100,<#> or <#> puffs 19%
Frequency regularly, some days, daily, not at all, fairly regularly, <#> days/month 35%
Certainty yes/present, no/absent, don’t know/not sure, refused 85%
Experiencer you, spouse, <name>, anyone who lives here 90%
Location anywhere inside home 3%