Social Determinants of Health Survey

The All of Us Research Program’s Social Determinants of Health Survey (SDOH) was launched in November 2021 to collect information from participants about various social and environmental factors of their everyday life. These factors include neighborhood safety, food and housing security, and experiences with discrimination and stress. Participant responses will provide health researchers with critical data to better understand how SDOH impact individuals’ health outcomes based on their social and living settings.

People around here are willing to help their neighbors.

Original source question text
People around here are willing to help their neighbors.

From which existing source was this question derived?
Social Cohesion Neighborhood Scale

Year of Original Source
2016

Brief Description
The Social Cohesion Neighborhood Scale was developed in partnership between academic researchers and local neighborhood groups to assess perceptions of neighborhood cohesion in the Birmingham, Alabama region. The scale was originally included in a survey administered to 90 neighborhood residents in 2016.

URL
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5684777/

People in my neighborhood generally get along with each other.

Original source question text
People in my neighborhood generally get along with each other.

From which existing source was this question derived?
Social Cohesion Neighborhood Scale

Year of Original Source
2016

Brief Description
The Social Cohesion Neighborhood Scale was developed in partnership between academic researchers and local neighborhood groups to assess perceptions of neighborhood cohesion in the Birmingham, Alabama region. The scale was originally included in a survey administered to 90 neighborhood residents in 2016.

URL
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5684777/

People in my neighborhood can be trusted.

Original source question text
People in my neighborhood can be trusted.

From which existing source was this question derived?
Social Cohesion Neighborhood Scale

Year of Original Source
2016

Brief Description
The Social Cohesion Neighborhood Scale was developed in partnership between academic researchers and local neighborhood groups to assess perceptions of neighborhood cohesion in the Birmingham, Alabama region. The scale was originally included in a survey administered to 90 neighborhood residents in 2016.

URL
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5684777/

People in my neighborhood share the same values.

Original source question text
People in my neighborhood share the same values.

From which existing source was this question derived?
Social Cohesion Neighborhood Scale

Year of Original Source
2016

Brief Description
The Social Cohesion Neighborhood Scale was developed in partnership between academic researchers and local neighborhood groups to assess perceptions of neighborhood cohesion in the Birmingham, Alabama region. The scale was originally included in a survey administered to 90 neighborhood residents in 2016.

URL
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5684777/

There is a lot of graffiti in my neighborhood.

Original source question text
There is a lot of graffiti in my neighborhood.

From which existing source was this question derived?
Ross-Mirowsky Perceived Neighborhood Disorder Scale

Year of Original Source
1995

Brief Description
The Ross-Mirowsky Perceived Neighborhood Disorder Scale was developed to assess the relationship between perceived neighborhood order and disorder. The scale was originally part of the 1995 Survey of Community, Crime and Health, which was administered to select Illinois-based households.

URL
https://www.ojp.gov/ncjrs/virtual-library/abstracts/disorder-and-decay-concept-and-measurement-perceived-neighborhood

My neighborhood is noisy.

Original source question text
My neighborhood is noisy.

From which existing source was this question derived?
Ross-Mirowsky Perceived Neighborhood Disorder Scale

Year of Original Source
1995

Brief Description
The Ross-Mirowsky Perceived Neighborhood Disorder Scale was developed to assess the relationship between perceived neighborhood order and disorder. The scale was originally part of the 1995 Survey of Community, Crime and Health, which was administered to select Illinois-based households.

URL
https://www.ojp.gov/ncjrs/virtual-library/abstracts/disorder-and-decay-concept-and-measurement-perceived-neighborhood

Vandalism is common in my neighborhood.

Original source question text
Vandalism is common in my neighborhood.

From which existing source was this question derived?
Ross-Mirowsky Perceived Neighborhood Disorder Scale

Year of Original Source
1995

Brief Description
The Ross-Mirowsky Perceived Neighborhood Disorder Scale was developed to assess the relationship between perceived neighborhood order and disorder. The scale was originally part of the 1995 Survey of Community, Crime and Health, which was administered to select Illinois-based households.

URL
https://www.ojp.gov/ncjrs/virtual-library/abstracts/disorder-and-decay-concept-and-measurement-perceived-neighborhood

There are a lot of abandoned buildings in my neighborhood.

Original source question text
There are a lot of abandoned buildings in my neighborhood.

From which existing source was this question derived?
Ross-Mirowsky Perceived Neighborhood Disorder Scale

Year of Original Source
1995

Brief Description
The Ross-Mirowsky Perceived Neighborhood Disorder Scale was developed to assess the relationship between perceived neighborhood order and disorder. The scale was originally part of the 1995 Survey of Community, Crime and Health, which was administered to select Illinois-based households.

URL
https://www.ojp.gov/ncjrs/virtual-library/abstracts/disorder-and-decay-concept-and-measurement-perceived-neighborhood

My neighborhood is clean.

Original source question text
My neighborhood is clean.

From which existing source was this question derived?
Ross-Mirowsky Perceived Neighborhood Disorder Scale

Year of Original Source
1995

Brief Description
The Ross-Mirowsky Perceived Neighborhood Disorder Scale was developed to assess the relationship between perceived neighborhood order and disorder. The scale was originally part of the 1995 Survey of Community, Crime and Health, which was administered to select Illinois-based households.

URL
https://www.ojp.gov/ncjrs/virtual-library/abstracts/disorder-and-decay-concept-and-measurement-perceived-neighborhood

People in my neighborhood take good care of their houses and apartments.

Original source question text
People in my neighborhood take good care of their houses and apartments.

From which existing source was this question derived?
Ross-Mirowsky Perceived Neighborhood Disorder Scale

Year of Original Source
1995

Brief Description
The Ross-Mirowsky Perceived Neighborhood Disorder Scale was developed to assess the relationship between perceived neighborhood order and disorder. The scale was originally part of the 1995 Survey of Community, Crime and Health, which was administered to select Illinois-based households.

URL
https://www.ojp.gov/ncjrs/virtual-library/abstracts/disorder-and-decay-concept-and-measurement-perceived-neighborhood

There are too many people hanging around on the streets near my home.

Original source question text
There are too many people hanging around on the streets near my home.

From which existing source was this question derived?
Ross-Mirowsky Perceived Neighborhood Disorder Scale

Year of Original Source
1995

Brief Description
The Ross-Mirowsky Perceived Neighborhood Disorder Scale was developed to assess the relationship between perceived neighborhood order and disorder. The scale was originally part of the 1995 Survey of Community, Crime and Health, which was administered to select Illinois-based households.

URL
https://www.ojp.gov/ncjrs/virtual-library/abstracts/disorder-and-decay-concept-and-measurement-perceived-neighborhood

There is a lot of crime in my neighborhood.

Original source question text
There is a lot of crime in my neighborhood.

From which existing source was this question derived?
Ross-Mirowsky Perceived Neighborhood Disorder Scale

Year of Original Source
1995

Brief Description
The Ross-Mirowsky Perceived Neighborhood Disorder Scale was developed to assess the relationship between perceived neighborhood order and disorder. The scale was originally part of the 1995 Survey of Community, Crime and Health, which was administered to select Illinois-based households.

URL
https://www.ojp.gov/ncjrs/virtual-library/abstracts/disorder-and-decay-concept-and-measurement-perceived-neighborhood

There is too much drug use in my neighborhood.

Original source question text
There is too much drug use in my neighborhood.

From which existing source was this question derived?
Ross-Mirowsky Perceived Neighborhood Disorder Scale

Year of Original Source
1995

Brief Description
The Ross-Mirowsky Perceived Neighborhood Disorder Scale was developed to assess the relationship between perceived neighborhood order and disorder. The scale was originally part of the 1995 Survey of Community, Crime and Health, which was administered to select Illinois-based households.

URL
https://www.ojp.gov/ncjrs/virtual-library/abstracts/disorder-and-decay-concept-and-measurement-perceived-neighborhood

There is too much alcohol use in my neighborhood.

Original source question text
There is too much alcohol use in my neighborhood.

From which existing source was this question derived?
Ross-Mirowsky Perceived Neighborhood Disorder Scale

Year of Original Source
1995

Brief Description
The Ross-Mirowsky Perceived Neighborhood Disorder Scale was developed to assess the relationship between perceived neighborhood order and disorder. The scale was originally part of the 1995 Survey of Community, Crime and Health, which was administered to select Illinois-based households.

URL
https://www.ojp.gov/ncjrs/virtual-library/abstracts/disorder-and-decay-concept-and-measurement-perceived-neighborhood

I’m always having trouble with my neighbors.

Original source question text
I’m always having trouble with my neighbors.

From which existing source was this question derived?
Ross-Mirowsky Perceived Neighborhood Disorder Scale

Year of Original Source
1995

Brief Description
The Ross-Mirowsky Perceived Neighborhood Disorder Scale was developed to assess the relationship between perceived neighborhood order and disorder. The scale was originally part of the 1995 Survey of Community, Crime and Health, which was administered to select Illinois-based households.

URL
https://www.ojp.gov/ncjrs/virtual-library/abstracts/disorder-and-decay-concept-and-measurement-perceived-neighborhood

In my neighborhood, people watch out for each other.

Original source question text
In my neighborhood, people watch out for each other.

From which existing source was this question derived?
Ross-Mirowsky Perceived Neighborhood Disorder Scale

Year of Original Source
1995

Brief Description
The Ross-Mirowsky Perceived Neighborhood Disorder Scale was developed to assess the relationship between perceived neighborhood order and disorder. The scale was originally part of the 1995 Survey of Community, Crime and Health, which was administered to select Illinois-based households.

URL
https://www.ojp.gov/ncjrs/virtual-library/abstracts/disorder-and-decay-concept-and-measurement-perceived-neighborhood

My neighborhood is safe.

Original source question text
My neighborhood is safe.

From which existing source was this question derived?
Ross-Mirowsky Perceived Neighborhood Disorder Scale

Year of Original Source
1995

Brief Description
The Ross-Mirowsky Perceived Neighborhood Disorder Scale was developed to assess the relationship between perceived neighborhood order and disorder. The scale was originally part of the 1995 Survey of Community, Crime and Health, which was administered to select Illinois-based households.

URL
https://www.ojp.gov/ncjrs/virtual-library/abstracts/disorder-and-decay-concept-and-measurement-perceived-neighborhood

What is the main type of housing in your neighborhood?

Original source question text
What is the main type of housing in your neighborhood?

From which existing source was this question derived?
PANES International Prevalence Study (IPS) on Physical Activity

Year of Original Source
2002

Brief Description
The International Physical Activity Questionnaire (IPAQ) was developed as a tool for comparing physical activity prevalence across the international community. for international surveillance. The questionnaire was originally included in a study of 20 countries from 2002-2004 and administered to over 52,000 participants.

URL
https://pubmed.ncbi.nlm.nih.gov/19335883/

Many shops, stores, markets or other places to buy things I need are within easy walking distance of my home. Would you say that you…

Original source question text
Many shops, stores, markets or other places to buy things I need are within easy walking distance of my home. Would you say that you…

From which existing source was this question derived?
PANES International Prevalence Study (IPS) on Physical Activity

Year of Original Source
2002

Brief Description
The International Physical Activity Questionnaire (IPAQ) was developed as a tool for comparing physical activity prevalence across the international community. for international surveillance. The questionnaire was originally included in a study of 20 countries from 2002-2004 and administered to over 52,000 participants.

URL
https://pubmed.ncbi.nlm.nih.gov/19335883/

It is within a 10-15 minute walk to a transit stop (such as bus, train, trolley, or tram) from my home. Would you say that you…

Original source question text
It is within a 10-15 minute walk to a transit stop (such as bus, train, trolley, or tram) from my home. Would you say that you…

From which existing source was this question derived?
PANES International Prevalence Study (IPS) on Physical Activity

Year of Original Source
2002

Brief Description
The International Physical Activity Questionnaire (IPAQ) was developed as a tool for comparing physical activity prevalence across the international community. for international surveillance. The questionnaire was originally included in a study of 20 countries from 2002-2004 and administered to over 52,000 participants.

URL
https://pubmed.ncbi.nlm.nih.gov/19335883/

There are sidewalks on most of the streets in my neighborhood. Would you say that you…

Original source question text
There are sidewalks on most of the streets in my neighborhood. Would you say that you…

From which existing source was this question derived?
PANES International Prevalence Study (IPS) on Physical Activity

Year of Original Source
2002

Brief Description
The International Physical Activity Questionnaire (IPAQ) was developed as a tool for comparing physical activity prevalence across the international community. for international surveillance. The questionnaire was originally included in a study of 20 countries from 2002-2004 and administered to over 52,000 participants.

URL
https://pubmed.ncbi.nlm.nih.gov/19335883/

There are facilities to bicycle in or near my neighborhood, such as special lanes, separate paths or trails, shared use paths for cycles and pedestrians. Would you say that you…

Original source question text
There are facilities to bicycle in or near my neighborhood, such as special lanes, separate paths or trails, shared use paths for cycles and pedestrians. Would you say that you…

From which existing source was this question derived?
PANES International Prevalence Study (IPS) on Physical Activity

Year of Original Source
2002

Brief Description
The International Physical Activity Questionnaire (IPAQ) was developed as a tool for comparing physical activity prevalence across the international community. for international surveillance. The questionnaire was originally included in a study of 20 countries from 2002-2004 and administered to over 52,000 participants.

URL
https://pubmed.ncbi.nlm.nih.gov/19335883/

My neighborhood has several free or low-cost recreation facilities, such as parks, walking trails, bike paths, recreation centers, playgrounds, public swimming pools, etc. Would you say that you…

Original source question text
My neighborhood has several free or low-cost recreation facilities, such as parks, walking trails, bike paths, recreation centers, playgrounds, public swimming pools, etc. Would you say that you…

From which existing source was this question derived?
PANES International Prevalence Study (IPS) on Physical Activity

Year of Original Source
2002

Brief Description
The International Physical Activity Questionnaire (IPAQ) was developed as a tool for comparing physical activity prevalence across the international community. for international surveillance. The questionnaire was originally included in a study of 20 countries from 2002-2004 and administered to over 52,000 participants.

URL
https://pubmed.ncbi.nlm.nih.gov/19335883/

The crime rate in my neighborhood makes it unsafe to go on walks at night. Would you say that you…

Original source question text
The crime rate in my neighborhood makes it unsafe to go on walks at night. Would you say that you…

From which existing source was this question derived?
PANES International Prevalence Study (IPS) on Physical Activity

Year of Original Source
2002

Brief Description
The International Physical Activity Questionnaire (IPAQ) was developed as a tool for comparing physical activity prevalence across the international community. for international surveillance. The questionnaire was originally included in a study of 20 countries from 2002-2004 and administered to over 52,000 participants.

URL
https://pubmed.ncbi.nlm.nih.gov/19335883/

The crime rate in my neighborhood makes it unsafe to go on walks during the day. Would you say that you…

Original source question text
The crime rate in my neighborhood makes it unsafe to go on walks during the day. Would you say that you…

From which existing source was this question derived?
PANES International Prevalence Study (IPS) on Physical Activity

Year of Original Source
2002

Brief Description
The International Physical Activity Questionnaire (IPAQ) was developed as a tool for comparing physical activity prevalence across the international community. for international surveillance. The questionnaire was originally included in a study of 20 countries from 2002-2004 and administered to over 52,000 participants.

URL
https://pubmed.ncbi.nlm.nih.gov/19335883/

Choose the answer that best describes how often you can find support if you need it. Someone to help you if you were confined to bed

Original source question text
Someone to help you if you were confined to bed

From which existing source was this question derived?
RAND MOS Social Support Survey Instrument

Year of Original Source
1993

Brief Description
The Social Support Survey instrument was developed for patients in the Medical Outcomes Study (MOS), a two-year study of patients with chronic conditions.

URL
https://www.rand.org/health-care/surveys_tools/mos/social-support.html

Choose the answer that best describes how often you can find support if you need it. Someone to take you to the doctor if you need it

Original source question text
Someone to take you to the doctor if you needed it

From which existing source was this question derived?
RAND MOS Social Support Survey Instrument

Year of Original Source
1993

Brief Description
The Social Support Survey instrument was developed for patients in the Medical Outcomes Study (MOS), a two-year study of patients with chronic conditions.

URL
https://www.rand.org/health-care/surveys_tools/mos/social-support.html

Choose the answer that best describes how often you can find support if you need it. Someone to prepare your meals if you were unable to do it yourself

Original source question text
Someone to prepare your meals if you were unable to do it yourself

From which existing source was this question derived?
RAND MOS Social Support Survey Instrument

Year of Original Source
1993

Brief Description
The Social Support Survey instrument was developed for patients in the Medical Outcomes Study (MOS), a two-year study of patients with chronic conditions.

URL
https://www.rand.org/health-care/surveys_tools/mos/social-support.html

Choose the answer that best describes how often you can find support if you need it. Someone to help with daily chores if you were sick

Original source question text
Someone to help with daily chores if you were sick

From which existing source was this question derived?
RAND MOS Social Support Survey Instrument

Year of Original Source
1993

Brief Description
The Social Support Survey instrument was developed for patients in the Medical Outcomes Study (MOS), a two-year study of patients with chronic conditions.

URL
https://www.rand.org/health-care/surveys_tools/mos/social-support.html

Choose the answer that best describes how often you can find support if you need it. Someone to have a good time with

Original source question text
Someone to have a good time with

From which existing source was this question derived?
RAND MOS Social Support Survey Instrument

Year of Original Source
1993

Brief Description
The Social Support Survey instrument was developed for patients in the Medical Outcomes Study (MOS), a two-year study of patients with chronic conditions.

URL
https://www.rand.org/health-care/surveys_tools/mos/social-support.html

Choose the answer that best describes how often you can find support if you need it. Someone to turn to for suggestions about how to deal with a personal problem

Original source question text
Someone to turn to for suggestions about how to deal with a personal problem

From which existing source was this question derived?
RAND MOS Social Support Survey Instrument

Year of Original Source
1993

Brief Description
The Social Support Survey instrument was developed for patients in the Medical Outcomes Study (MOS), a two-year study of patients with chronic conditions.

URL
https://www.rand.org/health-care/surveys_tools/mos/social-support.html

Choose the answer that best describes how often you can find support if you need it. Someone who understands your problems

Original source question text
Someone who understands your problems

From which existing source was this question derived?
RAND MOS Social Support Survey Instrument

Year of Original Source
1993

Brief Description
The Social Support Survey instrument was developed for patients in the Medical Outcomes Study (MOS), a two-year study of patients with chronic conditions.

URL
https://www.rand.org/health-care/surveys_tools/mos/social-support.html

Choose the answer that best describes how often you can find support if you need it. Someone to love and make you feel wanted

Original source question text
Someone to love and make you feel wanted

From which existing source was this question derived?
RAND MOS Social Support Survey Instrument

Year of Original Source
1993

Brief Description
The Social Support Survey instrument was developed for patients in the Medical Outcomes Study (MOS), a two-year study of patients with chronic conditions.

URL
https://www.rand.org/health-care/surveys_tools/mos/social-support.html

Choose the answer that is true for you. I lack companionship

Original source question text
I lack companionship

From which existing source was this question derived?
UCLA Loneliness Scale

Year of Original Source
1978

Brief Description
The UCLA Loneliness Scale was originally developed as a 20-item scale designed to measure one’s feelings of loneliness and social connection.

URL
https://pubmed.ncbi.nlm.nih.gov/660402/

Choose the answer that is true for you. There is no one I can turn to

Original source question text
There is no one I can turn to

From which existing source was this question derived?
UCLA Loneliness Scale

Year of Original Source
1978

Brief Description
The UCLA Loneliness Scale was originally developed as a 20-item scale designed to measure one’s feelings of loneliness and social connection.

URL
https://pubmed.ncbi.nlm.nih.gov/660402/

Choose the answer that is true for you. I am an outgoing person

Original source question text
I am an outgoing person

From which existing source was this question derived?
UCLA Loneliness Scale

Year of Original Source
1978

Brief Description
The UCLA Loneliness Scale was originally developed as a 20-item scale designed to measure one’s feelings of loneliness and social connection.

URL
https://pubmed.ncbi.nlm.nih.gov/660402/

Choose the answer that is true for you. I feel left out

Original source question text
I feel left out

From which existing source was this question derived?
UCLA Loneliness Scale

Year of Original Source
1978

Brief Description
The UCLA Loneliness Scale was originally developed as a 20-item scale designed to measure one’s feelings of loneliness and social connection.

URL
https://pubmed.ncbi.nlm.nih.gov/660402/

Choose the answer that is true for you. I feel isolated from others

Original source question text
I feel isolated from others

From which existing source was this question derived?
UCLA Loneliness Scale

Year of Original Source
1978

Brief Description
The UCLA Loneliness Scale was originally developed as a 20-item scale designed to measure one’s feelings of loneliness and social connection.

URL
https://pubmed.ncbi.nlm.nih.gov/660402/

Choose the answer that is true for you. I can find companionship when I want it

Original source question text
I can find companionship when I want it

From which existing source was this question derived?
UCLA Loneliness Scale

Year of Original Source
1978

Brief Description
The UCLA Loneliness Scale was originally developed as a 20-item scale designed to measure one’s feelings of loneliness and social connection.

URL
https://pubmed.ncbi.nlm.nih.gov/660402/

Choose the answer that is true for you. I am unhappy being so withdrawn

Original source question text
I am unhappy being so withdrawn

From which existing source was this question derived?
UCLA Loneliness Scale

Year of Original Source
1978

Brief Description
The UCLA Loneliness Scale was originally developed as a 20-item scale designed to measure one’s subjective feelings of loneliness and social connection.

URL
https://pubmed.ncbi.nlm.nih.gov/660402/

Choose the answer that is true for you. People are around me but not with me

Original source question text
People are around me but not with me

From which existing source was this question derived?
UCLA Loneliness Scale

Year of Original Source
1978

Brief Description
The UCLA Loneliness Scale was originally developed as a 20-item scale designed to measure one’s subjective feelings of loneliness and social connection.

URL
https://pubmed.ncbi.nlm.nih.gov/660402/

In your day-to-day life, how often do any of these happen to you? You are treated with less courtesy than other people are.

Original source question text
You are treated with less courtesy than other people are

From which existing source was this question derived?
The Everyday Discrimination Scale

Year of Original Source
1997

Brief Description
The Everyday Discrimination Scale was developed to assess perceived discrimination in everyday societal life.

URL
https://pubmed.ncbi.nlm.nih.gov/22013026/

This item is also asked specifically in reference to medical settings.

In your day-to-day life, how often do any of these happen to you? You are treated with less respect than other people are.

Original source question text
You are treated with less respect than other people are

From which existing source was this question derived?
The Everyday Discrimination Scale

Year of Original Source
1997

Brief Description
The Everyday Discrimination Scale was developed to assess perceived discrimination in everyday societal life.

URL
https://pubmed.ncbi.nlm.nih.gov/22013026/

This item is also asked specifically in reference to medical settings.

In your day-to-day life, how often do any of these happen to you? You receive poorer service than other people at restaurants or stores.

Original source question text
You receive poorer service than other people at restaurants or stores.

From which existing source was this question derived?
The Everyday Discrimination Scale

Year of Original Source
1997

Brief Description
The Everyday Discrimination Scale was developed to assess perceived discrimination in everyday societal life.

URL
https://pubmed.ncbi.nlm.nih.gov/22013026/

In your day-to-day life, how often do any of these happen to you? People act as if they think you are not smart.

Original source question text
People act as if they think you are not smart.

From which existing source was this question derived?
The Everyday Discrimination Scale

Year of Original Source
1997

Brief Description
The Everyday Discrimination Scale was developed to assess pereceived discrimination in everyday societal life.

URL
https://pubmed.ncbi.nlm.nih.gov/22013026/

In your day-to-day life, how often do any of these happen to you? People act as if they are afraid of you.

Original source question text
People act as if they are afraid of you.

From which existing source was this question derived?
The Everyday Discrimination Scale

Year of Original Source
1997

Brief Description
The Everyday Discrimination Scale was developed to assess pereceived discrimination in everyday societal life.

URL
https://pubmed.ncbi.nlm.nih.gov/22013026/

In your day-to-day life, how often do any of these happen to you? People act as if they think you are dishonest.

Original source question text
People act as if they think you are dishonest.

From which existing source was this question derived?
The Everyday Discrimination Scale

Year of Original Source
1997

Brief Description
The Everyday Discrimination Scale was developed to assess pereceived discrimination in everyday societal life.

URL
https://pubmed.ncbi.nlm.nih.gov/22013026/

In your day-to-day life, how often do any of these happen to you? People act as if they’re better than you are.

Original source question text
People act as if they’re better than you are.

From which existing source was this question derived?
The Everyday Discrimination Scale

Year of Original Source
1997

Brief Description
The Everyday Discrimination Scale was developed to assess pereceived discrimination in everyday societal life.

URL
https://pubmed.ncbi.nlm.nih.gov/22013026/

In your day-to-day life, how often do any of these happen to you? You are called names or insulted.

Original source question text
You are called names or insulted.

From which existing source was this question derived?
The Everyday Discrimination Scale

Year of Original Source
1997

Brief Description
The Everyday Discrimination Scale was developed to assess pereceived discrimination in everyday societal life.

URL
https://pubmed.ncbi.nlm.nih.gov/22013026/

In your day-to-day life, how often do any of these happen to you? You are threatened or harassed.

Original source question text
You are threatened or harassed.

From which existing source was this question derived?
The Everyday Discrimination Scale

Year of Original Source
1997

Brief Description
The Everyday Discrimination Scale was developed to assess pereceived discrimination in everyday societal life.

URL
https://pubmed.ncbi.nlm.nih.gov/22013026/

What do you think is the main reason for these experiences? Select all that apply.

Original source question text
What do you think is the main reason for these experiences? Select all that apply.

From which existing source was this question derived?
The Everyday Discrimination Scale

Year of Original Source
1997

Brief Description
The Everyday Discrimination Scale was developed to assess pereceived discrimination in everyday societal life.

URL
https://pubmed.ncbi.nlm.nih.gov/22013026/

This question appears if the participant has experienced any of the items in the discrimination module.

How often do any of these happen to you when you go to a doctor’s office or other health care provider? You are treated with less courtesy than other people.

Original source question text
You are treated with less courtesy than other people are

From which existing source was this question derived?
Discrimination in Medical Settings

Year of Original Source
2011

Brief Description
A modified version of the Everyday Discrimination Scale was adapted by researchers for use specific to measuring perceived discrimination within the health care setting. The adapted version was originally deployed to over 70 participants in a Chicago-based academic medical care center.

URL
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3350778/

How often do any of these happen to you when you go to a doctor’s office or other health care provider? You are treated with less respect than other people.

Original source question text
You are treated with less respect than other people are

From which existing source was this question derived?
Discrimination in Medical Settings

Year of Original Source
2011

Brief Description
A modified version of the Everyday Discrimination Scale was adapted by researchers for use specific to measuring perceived discrimination within the health care setting. The adapted version was originally deployed to over 70 participants in a Chicago-based academic medical care center.

URL
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3350778/

How often do any of these happen to you when you go to a doctor’s office or other health care provider? You receive poorer service than others.

Original source question text
You receive poorer service than others.

From which existing source was this question derived?
Discrimination in Medical Settings

Year of Original Source
2011

Brief Description
A modified version of the Everyday Discrimination Scale was adapted by researchers for use specific to measuring percieved discrimination within the health care setting. The adapted version was originally deployed to over 70 participants in a Chicago-based academic medical care center.

URL
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3350778/

How often do any of these happen to you when you go to a doctor’s office or other health care provider? A doctor or nurse acts if he or she thinks you are not smart.

Original source question text
A doctor or nurse acts if he or she thinks you are not smart.

From which existing source was this question derived?
Discrimination in Medical Settings

Year of Original Source
2011

Brief Description
A modified version of the Everyday Discrimination Scale was adapted by researchers for use specific to measuring percieved discrimination within the health care setting. The adapted version was originally deployed to over 70 participants in a Chicago-based academic medical care center.

URL
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3350778/

How often do any of these happen to you when you go to a doctor’s office or other health care provider? A doctor or nurse acts as if he or she is afraid of you.

Original source question text
A doctor or nurse acts as if he or she is afraid of you.

From which existing source was this question derived?
Discrimination in Medical Settings

Year of Original Source
2011

Brief Description
A modified version of the Everyday Discrimination Scale was adapted by researchers for use specific to measuring percieved discrimination within the health care setting. The adapted version was originally deployed to over 70 participants in a Chicago-based academic medical care center.

URL
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3350778/

How often do any of these happen to you when you go to a doctor’s office or other health care provider? A doctor or nurse acts as if he or she is better than you.

Original source question text
A doctor or nurse acts as if he or she is better than you.

From which existing source was this question derived?
Discrimination in Medical Settings

Year of Original Source
2011

Brief Description
A modified version of the Everyday Discrimination Scale was adapted by researchers for use specific to measuring percieved discrimination within the health care setting. The adapted version was originally deployed to over 70 participants in a Chicago-based academic medical care center.

URL
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3350778/

How often do any of these happen to you when you go to a doctor’s office or other health care provider? You feel like a doctor or nurse is not listening to what you were saying.

Original source question text
You feel like a doctor or nurse is not listening to what you were saying.

From which existing source was this question derived?
Discrimination in Medical Settings

Year of Original Source
2011

Brief Description
A modified version of the Everyday Discrimination Scale was adapted by researchers for use specific to measuring percieved discrimination within the health care setting. The adapted version was originally deployed to over 70 participants in a Chicago-based academic medical care center.

URL
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3350778/

Within the past 12 months, we worried whether our food would run out before we got money to buy more.

Original source question text
Within the past 12 months, we worried whether our food would run out before we got money to buy more.

From which existing source was this question derived?
Children’s HealthWatch Hunger Vital Sign^TM

Year of Original Source
2010

Brief Description
The Hunger Vital Sign^TM is a 2-question screening tool developed to identify households at risk of food insecurity. It is based on the U.S. Household Food Security Survey.

URL
http://childrenshealthwatch.org/public-policy/hunger-vital-sign/

Within the past 12 months, the food we bought just didn’t last and we didn’t have money to get more.

Original source question text
Within the past 12 months, the food we bought just didn’t last and we didn’t have money to get more.

From which existing source was this question derived?
Children’s HealthWatch Hunger Vital Sign^TM

Year of Original Source
2010

Brief Description
The Hunger Vital Sign^TM is a 2-question screening tool developed to identify households at risk of food insecurity. It is based on the U.S. Household Food Security Survey.

URL
http://childrenshealthwatch.org/public-policy/hunger-vital-sign/

In the last 12 months, how many times have you or your family moved from one home to another?

Original source question text
In the last 12 months, how many times have you or your family moved from one home to another?

From which existing source was this question derived?
Health Begins Upstream Risk Screening Tool

Year of Original Source
2015

Brief Description
The Health Begins Upstream Risks Screening Tool was designed to assess elements of social determinants of health across 5 domains (economic stability, education, social & community context, neighborhood & physical environment, and food).

URL
https://healthbegins.org/

Think about the place you live. Do you have problems with any of the following (check all that apply)?

Original source question text
Think about the place you live. Do you have problems with any of the following (check all that apply)?

From which existing source was this question derived?
Accountable Health Communities Health-Related Social Needs Screening Tool

Year of Original Source
2017

Brief Description
The Accountable Health Communities Model Health-Related Social Needs screening tool was created to identify unmet health-related social needs including housing and food insecurity.

URL
https://innovation.cms.gov/innovation-models/ahcm

In the last month, how often have you been upset because of something that happened unexpectedly?

Original source question text
In the last month, how often have you been upset because of something that happened unexpectedly?

From which existing source was this question derived?
Cohen’s Perceived Stress Scale

Year of Original Source
1983

Brief Description
The Perceived Stress Scale is a classic and widely-used instrument for assessing one’s perceived levels of stress specific to life events within a one month timeframe.

URL
https://pubmed.ncbi.nlm.nih.gov/6668417/

In the last month, how often have you felt that you were unable to control the important things in your life?

Original source question text
In the last month, how often have you felt that you were unable to control the important things in your life?

From which existing source was this question derived?
Cohen’s Perceived Stress Scale

Year of Original Source
1983

Brief Description
The Perceived Stress Scale is a classic and widely-used instrument for assessing one’s perceived levels of stress specific to life events within a one month timeframe.

URL
https://pubmed.ncbi.nlm.nih.gov/6668417/

In the last month, how often have you felt nervous and “stressed”?

Original source question text
In the last month, how often have you felt nervous and “stressed”?

From which existing source was this question derived?
Cohen’s Perceived Stress Scale

Year of Original Source
1983

Brief Description
The Perceived Stress Scale is a classic and widely-used instrument for assessing one’s perceived levels of stress specific to life events within a one month timeframe.

URL
https://pubmed.ncbi.nlm.nih.gov/6668417/

In the last month, how often have you felt confident about your ability to handle your personal problems?

Original source question text
In the last month, how often have you felt confident about your ability to handle your personal problems?

From which existing source was this question derived?
Cohen’s Perceived Stress Scale

Year of Original Source
1983

Brief Description
The Perceived Stress Scale is a classic and widely-used instrument for assessing one’s perceived levels of stress specific to life events within a one month timeframe.

URL
https://pubmed.ncbi.nlm.nih.gov/6668417/

In the last month, how often have you felt that things were going your way?

Original source question text
In the last month, how often have you felt that things were going your way?

From which existing source was this question derived?
Cohen’s Perceived Stress Scale

Year of Original Source
1983

Brief Description
The Perceived Stress Scale is a classic and widely-used instrument for assessing one’s perceived levels of stress specific to life events within a one month timeframe.

URL
https://pubmed.ncbi.nlm.nih.gov/6668417/

In the last month, how often have you found that you could not cope with all the things that you had to do?

Original source question text
In the last month, how often have you found that you could not cope with all the things that you had to do?

From which existing source was this question derived?
Cohen’s Perceived Stress Scale

Year of Original Source
1983

Brief Description
The Perceived Stress Scale is a classic and widely-used instrument for assessing one’s perceived levels of stress specific to life events within a one month timeframe.

URL
https://pubmed.ncbi.nlm.nih.gov/6668417/

In the last month, have you often have you been able to control irritations in your life?

Original source question text
In the last month, have you often have you been able to control irritations in your life?

From which existing source was this question derived?
Cohen’s Perceived Stress Scale

Year of Original Source
1983

Brief Description
The Perceived Stress Scale is a classic and widely-used instrument for assessing one’s perceived levels of stress specific to life events within a one month timeframe.

URL
https://pubmed.ncbi.nlm.nih.gov/6668417/

In the last month, how often have you felt that you were on top of things?

Original source question text
In the last month, how often have you felt that you were on top of things?

From which existing source was this question derived?
Cohen’s Perceived Stress Scale

Year of Original Source
1983

Brief Description
The Perceived Stress Scale is a classic and widely-used instrument for assessing one’s perceived levels of stress specific to life events within a one month timeframe.

URL
https://pubmed.ncbi.nlm.nih.gov/6668417/

In the last month, how often have you been angered because of things that were outside of your control?

Original source question text
In the last month, how often have you been angered because of things that were outside of your control?

From which existing source was this question derived?
Cohen’s Perceived Stress Scale

Year of Original Source
1983

Brief Description
The Perceived Stress Scale is a classic and widely-used instrument for assessing one’s perceived levels of stress specific to life events within a one month timeframe.

URL
https://pubmed.ncbi.nlm.nih.gov/6668417/

In the last month, how often have you felt difficulties were piling up so high that you could not overcome them?

Original source question text
In the last month, how often have you felt difficulties were piling up so high that you could not overcome them?

I feel God’s (or a higher power’s) presence

Original source question text
I feel God’s presence

From which existing source was this question derived?
Brief Multidimensional Measure of Religiousness/Spirituality – Daily Spiritual Experiences Scale Short Form

Year of Original Source
1997

Brief Description
The Brief Multidimensional Measure of Religiousness/Spirituality – Daily Spiritual Experiences Scale Short Form, originally released in 1997, includes six items meant to measure the impact of religion and spirituality on everyday life.

URL
https://fetzer.org/resources/multidimensional-measurement-religiousnessspirituality-use-health-research

I find strength and comfort in my religion

Original source question text
I find strength and comfort in my religion

I feel deep inner peace or harmony

Original source question text
I feel deep inner peace or harmony

I desire to be closer to or in union with God (or a higher power)

Original source question text
I desire to be closer to or in union with God

I feel God’s (or a higher power’s) love for me, directly or through others

Original source question text
I feel God’s love for me, directly or through others

I am spiritually touched by the beauty of creation

Original source question text
I am spiritually touched by the beauty of creation

How often do you go to religious meetings or services?

Original source question text
How often do you go to religious meetings or services?

From which existing source was this question derived?
Nurses Health Study

Year of Original Source
1992

Brief Description
The Nurses’ Health Study, led by researchers at Harvard University, is a study meant to assess and understand risk factors for major chronic diseases in women. Questionnaire-based methods have been developed to assess a variety of factors including diet and physical activity.

URL
https://www.nurseshealthstudy.org/researchers

Do you speak a language other than English at home?

Original source question text
Does this person speak a language other than English at home?

From which existing source was this question derived?
California Health Interview Survey

Year of Original Source
2021

Brief Description
The California Health Interview Survey (CHIS) is conducted on a continuous basis by researchers at the UCLA Center for Health Policy Research. Originally launched in 2001, it is the largest state-based phone and email administered survey in the U.S. and covers items related to a variety of health topics.

URL
https://healthpolicy.ucla.edu/chis/design/Pages/questionnairesEnglish.aspx

options and variations noted below:

Since you speak a language other than English at home, we are interested in your own thoughts about how well you speak English. Would you say you speak English…
- Original source question text: Since you speak a language other than English at home, we are interested in your own opinion of how well you speak English. Would you say you speak English…
- From which existing source was this question derived? California Health Interview Survey
- Year of Original Source: 2021
- Brief Description: The California Health Interview Survey (CHIS) is conducted on a continuous basis by researchers at the UCLA Center for Health Policy Research. Originally launched in 2001, it is the largest state-based phone and email administered survey in the U.S. and covers items related to a variety of health topics
- URL: https://healthpolicy.ucla.edu/chis/design/Pages/questionnairesEnglish.aspx