DDI_LKA_2021_STEPS_v01_M Melanie Cowan Development Data Group 2024-04-26 NADA Identical to a metadata (LKA_2021_STEPS_v01) published on WHO NCD microdata repository (http://extranet.who.int/ncdsmicrodata/index.php/catalog). Some of the metadata fields have been edited. STEPwise Survey for Non Communicable Diseases Risk Factor 2021 STEPS 2021 LKA_2021_STEPS_v01_M MetadataEditor Other Household Survey [hh/oth] Public-use dataset noncommunicable diseases risk factors health surveys tobacco use alcohol use diet nutrition salt physical activity blood pressure cervical cancer overweight obesity diabetes hypertension cardiovascular disease blood glucose cholesterol cotinine STEPS Sri Lanka National Sample survey data [ssd] Face-to-face [f2f] NCD Surveillance Team lka2021 National public-use dataset 6267 303 unique record ID stratum Sector 1 urban 2 rural 3 estate psu age for analysis sex Men Women yrs of education highest level of education 1 No schooling 2 Up to grade 5 3 Passed grade 6-10 4 Passed G.C.E. O/L 5 Passed G.C.E. A/L 6 Degree and above 88 Refused ethnicity 1 Sinhala 2 Sri Lankan Tamil 3 Indian Tamil 4 Sri Lankan Moor 5 Malay 6 Burgher 7 Other 88 Refused marital status 1 Never married 2 Currently married 3 Separated 4 Divorced 5 Widowed 6 Co-habitating 88 Refused Main activity 1 Engaged in economic activity 2 Seeking for and available to work 3 Student 4 Household activities 5 Retired 6 Unable to work 7 Other Employment status at the main occupation? 1 Government employee 2 Semi government employee 3 Private sector employee 4 Employer 5 Own account worker 6 Contributing family worker Sysmiss no of people <1 year living in hh no of people 1-4 years living in hh no of people 5-17 year living in hh no of people >=18 year living in hh current smoking 1 yes 2 no current daily smoking 1 yes 2 no Sysmiss age started smoking time since started smoking time since started smoking - unit of time 77 years manufactured cigs smoked per day manufactured cigs smoked per week Beedee smoked per day Beedee smoked per week Suruttu smoked per day Suruttu smoked per week other smoked per day other smoked per week Usually do you buy cigarettes in packets or separately? 1 Packets 2 Separately 3 Sysmiss stop smoking attempt in past 12 mos 1 yes 2 no Sysmiss advised by MD to stop smoking 1 yes 2 no 3 no visit in past 12 mos Sysmiss past smoking 1 yes 2 no Sysmiss past daily smoking 1 yes 2 no Sysmiss age quit smoking time since quitting smoking time since quitting smoking - unit of time 77 years current smokeless tobacco use 1 yes 2 no current daily smokeless tobacco use 1 yes 2 no Sysmiss Chewing tobacco with betel times used per day Chewing tobacco with betel times used per week Snuff by nose times used per day Snuff by nose times used per week Sysmiss Chewing tobacco times used per day Chewing tobacco times used per week Babul times used per day Babul times used per week Other types of smokeless tobacco times used per day Other types of smokeless tobacco times used per day ever used smokeless 1 yes 2 no Sysmiss ever used smokeless daily 1 yes 2 no Sysmiss exposed to smoke in home 1 yes 2 no Sysmiss exposed to smoke at work 1 yes 2 no 3 don't work in closed area Sysmiss Do you currently chew areca nut? 1 yes 2 no Sysmiss On average, how many times a day/week do you chew areca nut? X5type daily weekly ever drank alcohol 1 yes 2 no Sysmiss How old were you, when you consumed alcohol for the first time? X7type 77 years What was the occasion you consumed alcohol for the first time? 1 Wedding 2 Sport or musical events 3 With friends 4 After exam 5 Funeral house 6 Other Social occasion Sysmiss What was the type of alcohol you consumed /used during the first time? 1 beer 2 wine 3 arrack 4 kassippu 5 whisky 6 toddy 7 other Sysmiss drank alcohol in past 12 mos 1 yes 2 no Sysmiss The most important reason to stop alcohol 1 Health reason 2 Family pressure 3 Too expensive 4 Just wanted to stop 5 Religious 6 other Sysmiss freq drinking in past 12 mos 1 Daily 2 5-6 days per week 3 3-4 days per week 4 1-2 days per week 5 1-3 days per month 6 Less than once a month 7 Never Sysmiss drank alcohol in past 30 days 1 yes 2 no Sysmiss What is the type of alcohol do you usually consume? 1 beer 2 wine 3 arrack 4 kassippu 5 whisky 6 toddy 7 other Sysmiss number drinking occasions past 30 days average number drinks per occasion past 30 days largest number drinks past 30 days times drank 6+ drinks in single occasion past 30 days number of drinks consumed last Monday number of drinks consumed last Tuesday number of drinks consumed last Wednesday number of drinks consumed last Thursday number of drinks consumed last Friday number of drinks consumed last Saturday number of drinks consumed last Sunday drank undeclared alcohol in past 7 days 1 yes 2 no Sysmiss number of homebrewed spirits in past 7 days number of homebrewed beer or wine in past 7 days 1 3 Sysmiss number of drinks from over the border in past 7 days 1 2 3 10 Sysmiss number of drinks of alcohol not intended for consumption in past 7 days 2 Sysmiss number of drinks of other untaxed alcohol in past 7 days 1 2 3 6 8 15 Sysmiss unable to stop drinking in past 12 mos 1 Daily or almost daily 2 Weekly 3 Monthly 4 Less than monthly 5 Never Sysmiss failed to do what was expected due to drinking in past 12 mos 1 Daily or almost daily 2 Weekly 3 Monthly 4 Less than monthly 5 Never Sysmiss needing drink first thin in morning in past 12 mos 1 Daily or almost daily 2 Weekly 3 Monthly 4 Less than monthly 5 Never Sysmiss family problems or problems with your partner due to someone else's drinking 1 Yes, more than monthly 2 Yes, monthly 3 Yes, several times but less than monthly 4 Yes, once or twice 5 No Sysmiss During last 12 months, have you driven a vehicle after intake or influence of al 1 yes 2 no 3 I don't drive Sysmiss During last 12 months, have your vehicle been stopped/ checked by traffic police 1 yes 2 no Sysmiss During last 12 months, have you/anyone caught/fined by traffic police in the cas 1 yes 2 no Sysmiss alcohol advertisments on internet and social media 1 yes 2 no 3 not applicable Sysmiss alcohol advertisments on cinema from other countries 1 yes 2 no 3 not applicable Sysmiss alcohol advertisments on magazines 1 yes 2 no 3 not applicable Sysmiss alcohol advertisments on international TV 1 yes 2 no 3 not applicable Sysmiss seen actors using phrase or actions promoting alcohol? 1 I do not watch television, videos, or movies 2 never 3 At least once a week 4 At least 2-3 days a week 5 At least 4 days a week 6 Always (Almost Daily per week) Sysmiss anti-alcohol messages on television 1 yes 2 no 3 not applicable Sysmiss anti-alcohol messages on printed media 1 yes 2 no 3 not applicable Sysmiss anti-alcohol messages on billboards, posters 1 yes 2 no 3 not applicable Sysmiss anti-alcohol messages on movies 1 yes 2 no 3 not applicable Sysmiss anti-alcohol messages on internet and social media 1 yes 2 no 3 not applicable Sysmiss alcohol consumption in public 1 yes 2 no Sysmiss habit of eating fruits 1 yes 2 no Sysmiss days fruit eaten per week servings fruit eaten per day habit of eating vegetables 1 yes 2 no Sysmiss days veg eaten per week servings veg eaten per day recommended no. of fruits and veg 1 DK 2 0-2 3 3-4 4 ≥5 Sysmiss reason that stops you from eating the recommended daily servings of Fruits 1 none 2 My choice of fruits are not locally available 3 Uncertainty about the safety of the food 4 Too expensive /Can't afford 5 Do not like the taste of fruits 6 I don't think it is necessary 7 My family doesn't like it 8 other Sysmiss reason that stops you from eating the recommended daily servings of vegetables 1 none 2 My choice of vegetables are not locally available 3 Uncertainty about the safety of the food 4 Too expensive /Can't afford 5 Do not like the taste of vegetables 6 I don't think it is necessary 7 My family doesn't like it 8 other 9 Sysmiss What type of oil or fat is most often used for meal preparation in your househol 1 Coconut oil 2 Soya oil 3 Vegetable oil 4 Palm oil 5 Sunflower oil 6 Gingerly oil 7 Olive oil 8 Corn oil 9 Ghee 10 Butter 11 Margarine 12 other 13 14 77 Sysmiss meals eaten on average in a typical week - breakfast meals eaten on average in a typical week - lunch meals eaten on average in a typical week - dinner days eaten fast food adding salt when eating 1 Always 2 Often 3 Sometimes 4 Rarely 5 Never 77 Don't know Sysmiss eating processed foods high in salt 1 Always 2 Often 3 Sometimes 4 Rarely 5 Never 77 Don't know Sysmiss salt crystals consumed in grams salt powder consumed in grams how much salt consumed 1 Far too much 2 Too much 3 Just the right amount 4 Too little 5 Far too little 77 Don't know Sysmiss importance lowering salt 1 Very important 2 Somewhat important 3 Not at all important 77 Don't know Sysmiss salt a person should consume every day 1 ≤1tsp 2 2tsp 3 3tsp 4 DK 77 Sysmiss too much salt can harm your healt too much salt - increases BP 1 yes 2 no 77 don't know Sysmiss too much salt - chronic kidney disease 1 yes 2 no 77 don't know Sysmiss too much salt - Astma 1 yes 2 no 77 don't know Sysmiss too much salt - Cancer 1 yes 2 no 77 don't know Sysmiss limit processed food consumption 1 yes 2 no Sysmiss look at salt content on labels 1 yes 2 no Sysmiss buy low salt alternative 1 yes 2 no Sysmiss no salt into rice during cooking 1 yes 2 no Sysmiss avoid eating out 1 yes 2 no Sysmiss do other things to control salt intake 1 yes 2 no Sysmiss days drinking SSB 1 2 3 4 5 6 7 Sysmiss mostly used type (volume) of sugary drink/ soda on one of those days? 1 175ml 2 350ml 3 450ml 4 500ml 5 1.0 l 6 1.5 l 7 2.0 l Sysmiss bottles of SSB type do you take each time days do you usually consume sweeten fruit juice 1 2 3 4 5 6 7 Sysmiss days do you usually drink sweetened milk or malted drinks 1 2 3 4 5 6 7 Sysmiss How many 180 ml packet do you drink each time you drink sweetened milk or malted 1 2 3 4 5 6 7 Sysmiss How much sugar do you think a person should consume every day in order to be hea 1 ≤6tsp (25g) 2 7-8 tsp (30-40g) 3 9-10 tsp (45-50g) 77 DK Sysmiss ever seen a colour circle on sweet beverage bottle/can 1 yes 2 no Sysmiss What does the colour circle indicate? 1 Amount of salt 2 Amount of the sugar in the beverage 3 Whether this is good for your health 77 DK Sysmiss How many milk/tea/coffees do you drink per day? How many teaspoons of sugar do you add /take to one cup of milk /tea/coffee? 1 one 2 two 3 three 4 more than three 5 Not using sugar but use other sweet meats/dates or jaggery 6 Non-sugar sweeteners such as Canderel, Solo 7 none Sysmiss vig activity at work 1 yes 2 no Sysmiss vig activity at work: days per week vig activity at work: hours per day vig activity at work: mins per day mod activity at work 1 yes 2 no Sysmiss mod activity at work: days per week mod activity at work: hours per day mod activity at work: mins per day active transport 1 yes 2 no Sysmiss active transport: days per week active transport: hours per day active transport: mins per day vig leisure activity 1 yes 2 no Sysmiss vig leisure activity: days per week vig leisure activity: hours per day 1 2 3 4 5 6 8 9 12 Sysmiss vig leisure activity: mins per day mod leisure activity 1 yes 2 no Sysmiss mod leisure activity: days per week mod leisure activity: hours per day 1 2 3 4 5 6 7 8 9 10 Sysmiss mod leisure activity: mins per day sedentary time: hours per day sedentary time: mins per day In a typical day, how many hours of continuous sleep do you get at night? BP measured 1 yes 2 no Sysmiss told had high BP 1 yes 2 no Sysmiss told had high BP in past 12 mos 1 yes 2 no Sysmiss Have you ever taken drugs/medication for raised blood pressure prescribe by a do 1 yes 2 no Sysmiss taken meds for high BP 1 yes 2 no Sysmiss Where do you usually go for treatment and care advice for your raised blood pres 1 yes 2 no 3 4 Sysmiss Where do you usually get your drugs for raised blood pressure? 1 yes 2 no 3 4 Sysmiss What is the most important reason you are not currently taking medications? 1 yes 2 no 3 4 5 6 Sysmiss seen trad'l healer for high BP 1 yes 2 no Sysmiss taking trad'l meds for high BP 1 yes 2 no Sysmiss gluc measured 1 yes 2 no Sysmiss told had high gluc 1 yes 2 no Sysmiss told had high gluc in past 12 mos 1 yes 2 no Sysmiss Have you ever taken drugs/medication for raised blood sugar prescribe by a docto 1 yes 2 no Sysmiss taken meds for high gluc 1 yes 2 no Sysmiss Where do you usually go for treatment and care advice for your raised blood suga 1 yes 2 no 3 4 5 Sysmiss Where do you usually get your drugs for raised blood sugar? 1 yes 2 no 3 4 5 Sysmiss What is the most important reason you are not currently taking medications? 1 yes 2 no 3 4 5 6 Sysmiss taking insulin for high gluc 1 yes 2 no Sysmiss seen trad'l healer for high gluc 1 yes 2 no Sysmiss taking trad'l meds for high gluc 1 yes 2 no Sysmiss When you were pregnant, have you ever told by a doctor or other health worker th 1 yes 2 no 3 Sysmiss chol measured 1 yes 2 no Sysmiss told had high chol 1 yes 2 no Sysmiss told had high chol in past 12 mos 1 yes 2 no Sysmiss Have you ever taken drugs/medication for raised total cholesterol prescribe by a 1 yes 2 no Sysmiss taken meds for high chol 1 yes 2 no Sysmiss Where do you usually go for treatment and care advice for your raised total chol 1 yes 2 no 3 4 6 Sysmiss Where do you usually get your drugs for raised total cholesterol? 1 yes 2 no 3 4 6 Sysmiss What is the most important reason you are not currently taking medications? 1 yes 2 no 3 4 5 6 Sysmiss seen trad'l healer for high chol 1 yes 2 no Sysmiss taking trad'l meds for high chol 1 yes 2 no Sysmiss had heart attack or stroke 1 yes 2 no Sysmiss Have you ever had a stroke? 1 yes 2 no Sysmiss currently taking aspirin 1 yes 2 no Sysmiss currently taking statins 1 yes 2 no Sysmiss visited doctor in past 12 mos 1 yes 2 no Sysmiss advised to not smoke 1 yes 2 no Sysmiss advised to not use chewing tobacco 1 yes 2 no Sysmiss advised to reduce salt 1 yes 2 no Sysmiss advised to eat fruit/veg 1 yes 2 no Sysmiss advised to reduce fat 1 yes 2 no Sysmiss advised to do pa 1 yes 2 no Sysmiss advised to lose weight 1 yes 2 no Sysmiss advised to eat fewer sugary beverages 1 yes 2 no Sysmiss Have you heard about Healthy Lifestyle clinics? 1 yes 2 no Sysmiss Do you know which of the following people can receive services from HLC? (x65a-g 1 1 2 1 2 3 1 2 3 4 1 2 3 4 5 6 1 2 3 4 5 6 77 1 2 3 4 6 1 2 3 4 6 5 77 1 2 3 5 4 6 1 2 3 6 1 2 4 1 2 4 5 1 2 4 5 6 1 2 4 5 6 3 1 2 4 6 1 2 6 1 2 6 5 1 3 2 1 3 2 4 5 6 1 3 2 4 6 1 4 2 1 5 6 2 4 1 5 6 4 2 1 6 2 1 6 5 4 2 2 1 2 1 3 2 1 3 4 5 6 2 1 3 4 6 5 2 1 4 2 1 6 2 3 2 3 4 5 2 3 6 2 4 2 4 3 2 5 2 6 2 6 3 2 6 3 1 2 6 4 5 3 3 1 2 4 5 6 3 2 1 3 2 1 5 6 4 3 2 6 3 4 3 4 5 6 3 6 3 6 5 4 4 2 4 3 4 5 4 5 6 4 6 4 6 5 4 77 44622 5 5 4 5 4 2 3 5 4 6 5 6 5 6 4 6 6 1 2 3 6 2 6 2 1 6 2 3 6 3 6 3 2 4 5 6 3 4 5 1 2 6 4 6 5 6 5 2 6 5 4 6 5 4 2 3 6 77 77 77 4 77 6 can receive services from HLC - Children under 5 years 1 yes 2 no Sysmiss can receive services from HLC - Pregnant Women 1 yes 2 no Sysmiss can receive services from HLC - Adolescents 1 yes 2 no Sysmiss can receive services from HLC - women only ≥35 yrs 1 yes 2 no Sysmiss can receive services from HLC - Men only ≥35 yrs 1 yes 2 no Sysmiss can receive services from HLC - Men and women >35 yrs 1 yes 2 no Sysmiss can receive services from HLC - DK 1 yes 2 no Sysmiss services provided by HLC - BP checking 1 yes 2 no Sysmiss services provided by HLC - testing for diabetes 1 yes 2 no Sysmiss services provided by HLC - testing for breast cancer 1 yes 2 no Sysmiss services provided by HLC - testing for cervical cancer 1 yes 2 no Sysmiss services provided by HLC - testing for raised colesterol 1 yes 2 no Sysmiss services provided by HLC - treatment for heart disease 1 yes 2 no Sysmiss Have you ever attended a HLC? 1 yes 2 no Sysmiss How useful were the services provided at HLC on a scale of 1-10? 1 3 4 5 6 7 8 9 10 Sysmiss cerv cancer screening 1 yes 2 no 77 don't know Sysmiss Do you know how to do a breast self-examination to detect any lumps in the breas 1 yes 2 no 77 don't know Sysmiss How often do you carry out self-examination of the breast with the intention to 1 Never 2 Atleast once a month 3 Every 3-6 months 4 Every year Sysmiss When did last you have breast examination by a health care worker? 1 Never 2 Within last one year 3 Within last three years 4 More than three years 5 Cannot remember Sysmiss Household has electricity 1 yes 2 no Household has Solar power 1 yes 2 no Household has Clock/Watch 1 yes 2 no Household has Radio 1 yes 2 no Household has Television 1 yes 2 no Household has Telephone landline 1 yes 2 no Household has Basic Mobile phone 1 yes 2 no Household has Smart Phone 1 yes 2 no Household has Internet facility 1 yes 2 no Household has Refrigerator 1 yes 2 no Household has Laptop/Computer/Tablet 1 yes 2 no Household has Washing machine 1 yes 2 no Household has Rice cooker 1 yes 2 no Household has Bicycle 1 yes 2 no Household has Motor cycle/ scooter 1 yes 2 no Household has Trishaw 1 yes 2 no Household has Tractor / land master 1 yes 2 no Household has Car/van/jeep 1 yes 2 no Household has Bus/lorry/truck 1 yes 2 no Household has Boat with a motor 1 yes 2 no Household has Almirah or wardrobe 1 yes 2 no What is the main source of drinking water for members of your household? 1 Protected well 2 Semi protected well 3 Unprotected well 4 Tap within unit 5 Tap within premises but outside unit 6 Tap outside premises 7 Rural water supply project 8 Tube well 9 Bowser 10 River/Tank/Streams/Spring 11 Rain water 12 Bottle water 13 other What is the main source of water for cooking, handwashing etc? 1 Protected well 2 Semi protected well 3 Unprotected well 4 Tap within unit 5 Tap within premises but outside unit 6 Tap outside premises 7 Rural water supply project 8 Tube well 9 Bowser 10 River/Tank/Streams/Spring 11 Rain water 12 Bottle water 13 other What kind of toilet facility do members of your household usually use? 1 Flush to piped sewer system 2 Flush to septic tank 3 Flush to pit latrine 4 Flush to somewhere else 5 Flush, don't know where 6 Ventilated improved pit latrine 7 Pit latrine with slab 8 Pit latrine without slab/ open pit 9 Composting toilet 10 Bucket toilet 11 No facility/bush/field 12 other Do you share this toilet with other households? 1 yes 2 no Sysmiss What is the main source of lighting for your household? 1 National grid electricity 2 Rural hydro power electricity 3 Kerosene 4 Solar power 5 other What is the main source of fuel used in your household for cooking? 1 Electricity 2 Gas (Lp) 3 Kerosene 4 Wood 5 Saw Dust / Rice Husk /Charcoal 6 other What is the main material of the floor? 1 Terrazzo/Tile/Granite 2 Cement 3 Mud 4 Wood 5 Sand 6 Concrete 7 other What is the main material of the roof? 1 Tiles 2 Asbestos 3 Concrete 4 Zink Aluminium Sheet 5 Metal Sheet 6 Cadjan/Palmyrah/Straw 7 other What is the main material of the wall? 1 Bricks 2 Cement Blocks/Stone 3 Cabook 4 Pressed Soil Bricks 5 Mud 6 Cadjan/Plamyrah 7 Plank/Metal Sheet 8 Other How many perches of agricultural land do members of this household own? Does this household own Cows/Bulls /Buffalos, Goats, Chickens or Pigs as of toda 1 yes 2 no Sysmiss How many Cows/Bulls /BUFFALOS does this household own How many goats does this household own 1 2 3 4 5 6 7 8 10 12 14 15 17 20 Sysmiss How many chickens does this household own How many pigs does this household own How many other animals does this household own Is this house owned by a household member, or is it rented or leased, or is it o 1 Owned By A Household Member 2 Rent/Lease-Gvt.Owned 3 Rent/Lease-Pvt.Owned 4 Occupied Free Of Rent 5 Encroached 6 Others Sysmiss estimated household income (range) 1 Under 10,000 2 10,000 to 19,999 3 20,000 to 39,999 4 40,000 to 64,999 5 65,000 and over 6 77 Don't know 88 Refused q_wealthquintile 1 2 3 4 5 BP reading 1: systolic BP reading 1: diastolic heart rate reading 1 BP reading 2: systolic BP reading 2: diastolic heart rate reading 2 BP reading 3: systolic BP reading 3: diastolic heart rate reading 3 height (cm) weight (kg) waist circumference (cm) Cotinine 10 1 positive 2 negative 3 DK Sysmiss Cotinine 200 1 positive 2 negative 3 DK Sysmiss took raised BP meds in past 2 weeks 1 yes 2 no Sysmiss pregnant 1 yes 2 no Sysmiss fasting blood glucose (mg/dl) total cholesterol (mg/dl) ate/drank in past 12 hours (fasting status) 1 yes 2 no Sysmiss Random blood glucose (mg/dl) took insulin today 1 yes 2 no Sysmiss chol meds taken in past 2 weeks 1 yes 2 no Sysmiss fasting prior to urine collection 1 yes 2 no Sysmiss urinary potasium (mmol/l) urinary sodium (mmol/l) urinary creatinine (mg/dl) final analysis weight for step 1 variables (interview) final analysis weight for step 2 variables (physical measures) final analysis weight for step 3 variables (biochemical measures) ageranges for which survey was designed 18-29 30-44 45-59 60-69