Questionnaires

PCaP Baseline Questionnaire and Citation

HCaP-NC is PCaP subjects from NC who were followed for on average 5 years after diagnosis.

HCaP-NC Year 1 Follow-up

HCaP-NC Year 2 Follow-up

HCaP-NC Year 3 Follow-up

  1. Background characteristics: self-described race and ethnicity, marital status, religion, education, income, tobacco use, physical activity;
  2. Occupation: current employment, occupation and industry; longest and second longest occupation and industry; military service; occupations associated with pesticide use;
  3. Family history: prostate cancer in first- and second-degree relatives;
  4. Health status: general health (SF-12©) and comorbid conditions;
  5. Health care: usual sources of care, health insurance, traditional health beliefs, perceived access and quality of care;
  6. Prostate cancer diagnosis and screening history: PSA tests, digital rectal exams, urinary and sexual symptoms, previous prostate biopsies;
  7. Medication Survey: All prescription and over-the-counter medications and supplements used in the prior 2 weeks (transcribed by study nurses);
  8. Non-steroidal anti-inflammatory drugs (NSAIDs): Frequency and duration of use for prescription and over-the-counter NSAIDs taken during the past 5 years at least once a month for one week or longer, with product name show cards to aid recall;
  9. Vitamins and supplements (including herbal products);
  10. The diet history questionnaire (DHQ) was developed by the National Cancer Institute and modified by PCaP Project 3 investigators to include Southern foods. Questionnaire responses were linked to the updated DHQ Nutrient Database through the NCI-developed Diet*Calc software to estimate intake of fatty acid and antioxidant micronutrients, including omega-3 and omega-6 polyunsaturated fatty acids, carotenoids, and tocopherols.
  11. Rapid estimate of adult literacy questionnaire.
  12. Post-Katrina survey (administered in LA only).