03-05-2010, 04:06 PM
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03-11-2010, 06:48 AM
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Thanks for info on the resources available nan03 (I do apologize if I got your username wrong). However, most of the resources are in the southern or western side of the city. Do you have any info on what is available on the north-side. We might have to move eventually in the next couple of years to somewhere in that arena so that we can utilize more of those resources.
My son was going full time to ABA at Shape of Behavior till he turned 3 this year and started PPCD at Conroe ISD. So far we have been tremendously pleased with his school. He still has his ABA but after PPCD everyday. Unfortunately it looks like Shape wants to move from their location to another one which is going to be quite further & riddled with traffic. The only other ABA place I know in our locality closes at 3pm and that's when he closes from PPCD so wouldn't be able to go there after school. It's just frustrating that because of the proposed move of his ABA, he's not going to be able to get a full 3 hours/day after school because I'm going to have to spend at least 60-75 mins on the total to and fro journey. I'm also looking into finding really good and motivated ABA therapists for in-home sessions.
But I guess, more importantly right now his GI issues are a predominant factor in determining behavior, attending and compliance issues that he's not gaining as much as he could from all the money I'm spending on ABA, speech and OT. And the most of the mainstream GI doctors seem totally oblivious to possible autistic colitis and are not willing to listen, learn or research.
03-23-2010, 08:10 PM
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LAM1010,
You may have mentioned this in another blog. I was wondering if you have tried a probiotic for your son. It is worth doing some research and consult physician, if not. My GI doctor and ped both approved of it. It worked wonders for my son. He is in the spectrum. We also had a lot of problems with bloating and constipation. In addition, the GFCF diet, dairy free, soy free, eliminating artificial colors and flavors, genetically modified foods, preservatives, MSG and fast foods. Most of the above is not healty for anybody and sometimes difficult to digest. Initially, the diet seemed to help, but over time he seemed to become malnourished and exhibit more sensory issues. The elimination diet deffinitely seemed to strengthen his immune system and allergies. Finally, we reintroduced wheat occassionally and a few other things just to get something in him. He is a very picky eater and has some oral sensory aversions. We continue to stay free of casein and dairy, artificial preserv., MSG, modified foods, artificial colors, and fast foods. A pediatric nutritionist who is familiar with GI issues may be valuable if you have not already consulted one. We use a few supplements and use hemp milk as a substitute for milk. Things have been pretty complicated, but like many others have stated, you have to do exactly what works for your child. Hang in there! Continue to be patient. I hope this was helpful to someone.
03-27-2010, 01:29 AM
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Reputation: 65
Thanks for the info ayi. My son is on a probiotic as well as other supplements. We tried GFCF for 6 months but didn't have much luck with that. He drinks almond or rice milk. It's pretty tough but I am determined to see him through all the stages until we get it right. Thx.
03-27-2010, 07:37 AM
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My child was in therapy for a while because we thought that it was autism but therapy seemed to help but not a whole lot. So we had them tested (blood work) for any allergies and found out about their celiac disease gene. Once we went gluten free for a week or two our child was doing things we thought we'd never see, riding a bike, saying words, etc, etc. It has been a yr now and we are so pleased with the progress. I truly believe that diet plays an intricate part in our bodies. Check it out, couldn't hurt.
04-03-2010, 10:25 AM
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Reputation: 14
my girlfriend has a son who is mildly Autisitc, and she has been raising him on her own without help. I am trying to help her out, but I seem to getting in the way. I would like to know where I could get help to learn more about being a parent of an utistic child. I have experience with special needs education, but never been a parent of a child with special needs. SOMEBODY HEEEEELP!!!!
05-13-2010, 11:34 PM
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Reputation: 13
GI issues
Hi LAM1010,
I am a mother of 12 yrs autistic kid. My son had a lot of pain, doubling over and someone trying to hurt him very badly kind of pain comes to mind. We tried to get help, tests for celiac disease, endoscopy etc were done. First of all none of these help came easy. Our dictors didn't had a clue about the problem and after all the above tests, blood tests and poop tests ruled out anything was wrong they stopped listening and thought I was crazy or something. Only my husband and mostly I know what he/we went thru. We went to the best child specialist for GI in chicago out of pocket and a six week course of prescription ZANTAC fixed the problem. Thanks to the doc and to god my son could sleep thru night. What was happening with him was acid reflux and was aggravated because of late dx. Hope this help u and other parents going thru this issue.
Quote:
Originally Posted by
LAM1010
Ok. So I have decided to give it a shot and go to Austin. My son is on the Gfcf diet but he still has plenty of gut issues which I think are precursors for some of the behavioral issues. I have decided to see a gastroenterologists who specializes in autistic kids because I can't stand to see him double over in pain or toe-walk to alleviate stomach discomfort. He had issues with C. diff bacteria last fall and his pediatrician decided not to prescribe antibiotics because it would make it worse. He was barely 2 and everythg he ate then went straight through him and came out undigested (sorry to be so graphic).
I guess ABA helps but the child has to feel well for ABA and other therapies to work. Who knows maybe once we get his gut issues under control he might be able to focus and get involved more and possibly start to speak.
And to think that some physicians believe that GI issues and autism are not linked. Maybe not for all kids but for some it is a definite factor.
06-09-2010, 02:01 AM
72 posts, read
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Reputation: 65
We did try Prevacid (a proton-pump blocker which also reduces acid and reflux) twice a day for a week. That didn't help much but I guess we probably didn't stick with it long enough. Because he's orally defensive giving him meds can be traumatic so we normally try and disguise it in his only source of nutrition - MILK.
Oh! and before I forget, we went through a whole battery of GI tests (endoscopy, uuper and lower GI with follow-through, rectal biopsy) a couple of months ago at Texas Children's Hosp and they found nothing conclusive except that his gut is full of a lot of liquid (for someone who was fasting for about 11 hours from the night before) and the loops of the GI tract are aligned in an unusual way. The GI doctor doesn't know what to make of that so referred us to a surgeon who did a biopsy (check for a nerve disorder). the GI surgeon found nothing and when I called to get the results he was absolutely rude and acted as though I was an ignorant mother who had wasted his time. This is the same pediatric surgeon (at Texas Children's Hosp)who operated on my son and saved his life when he had a bowel intussusception at 3months old but the scan showed nothing and no one knew what to do so he decided to open up his stomach and see what was going on. So I had a lot of respect for him and his judgement until now. I guess all these mainstream doctors are frustrated that they still can't find the answers to the intriguing gastrointestinal issues that plaque autistic children and they are taking their frustrations on the poor relentless mothers.
I was enraged and almost blurted out that I had a doctorate in 2 western countries and was not an ignorant mother suffering from Munchausen Syndrome but I had to calm down and remember that this was not about me but about my little boy and I refused to be distracted by his bigotry.
So I guess now I am a bit cynical when I'm told Texas Children has the best care for autism kids. I would say they have relatively good care depending on whether they have answers for your problem. And before you all think that I'm generalizing, this is my 3rd encounter with a mainstream GI doctor/surgeon who seems to think that if Miralax, probiotics, pediasure and GFCF diet doesn't work then the fault is mine!!!
Last edited by LAM1010; 06-09-2010 at 02:04 AM ..
Reason: grammatical mistake
07-12-2010, 11:43 PM
72 posts, read
211,180 times
Reputation: 65
Just wanted to throw this in for those folks with autistic kids or kids with sensitive stomachs. Try Vital jr. It's a new product from the makers of Pediasure but the fats, carbohydrates and proteins are broken down already and easier to digest. PM if you have questions. I am trying to provide feedback for similar Houstonian Moms who are seeking solutions (biomedical, diet and therapy-based) inthe Houston area for their kids.
07-07-2012, 11:30 PM
72 posts, read
211,180 times
Reputation: 65
Hello,
It has been a few months since I posted anything related to the subject matter but I do a few questions and would appreciate some feedback and insight.
Dilemma: We are now considering relocating from the Spring/Woodlands area to Katy in the next 6-7 months. The only reason for this proposed move is because it appears there are more services for autism in that area than there is within our current location of Conroe ISD. We have heard some good things about the ECAP program in Katy ISD but I have been unable to find anything specific about which schools offer them and how thorough is the program.
We have visited the Katy area a lot in the last few weeks viewing homes. We like Westin Homes style of property but lot sizes seem really tight in the area. The fence line for most of their homes was only about 4-5 feet from the house. We live currently live in a great property which we purchased new 5 years ago and has even appreciated a bit since purchase. The fear that if we move to the Katy area, we may end up having to settle for lesser home which would be fine if we could live close to one of the best elementary school with quality autism programs. On the other hand, if we make the move and find that for the most part, what the public schools offer isn't all that then we would have lost out.
My son is currently 5.5 years has been in PPCD since he was 3 years and ECI from 16 months. He is a bit more verbal now but hasn't got much of spontaneous speech or language. He is very hyperactive and we have been potty training for about a year now. He is eating much better now (we attended a feeding clinic in Austin for 5 days last August) and his GI issues is on the mend. He is in a full day ABA program for the summer and gets speech three times a week, also for this summer period. He's made some modest gains which is more than he did in PPCD for the last 2 years. We aren't sure what to do for the fall as he starts kindergarten and we are debating whether to continue the full day ABA and speech for another year. I also have a 4.5 year old son who is typical.
I guess I would like to know if anyone can name a few elementary schools in Katy ISD which are so good for autistic kids that it is worth moving to the Katy area. I would like him to eventually go to Monarch also if need be but the fees are quite expensive and I want to be sure I can afford to pay for at least 2-3 years straight before sending him there especially since their hours of operation and required parental involvement makes it difficult for both parents to be working parents.
Thank you in advance for your insights.
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Median number of rooms in houses and condos
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Urban houses (%)
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Housing units in structures - 1, detached (%)
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Housing units in structures - Mobile home (%)
Housing units in structures - Boat, RV, van, etc. (%)
House/condo owner moved in on average (years ago)
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Most Common Occupations - Food preparation and serving related occupations (%)
Most Common Occupations - Building and grounds cleaning and maintenance occupations (%)
Most Common Occupations - Personal care and service occupations (%)
Most Common Occupations - Sales and office occupations (%)
Most Common Occupations - Sales and related occupations (%)
Most Common Occupations - Office and administrative support occupations (%)
Most Common Occupations - Natural resources, construction, and maintenance occupations (%)
Most Common Occupations - Farming, fishing, and forestry occupations (%)
Most Common Occupations - Construction and extraction occupations (%)
Most Common Occupations - Installation, maintenance, and repair occupations (%)
Most Common Occupations - Production, transportation, and material moving occupations (%)
Most Common Occupations - Production occupations (%)
Most Common Occupations - Transportation occupations (%)
Most Common Occupations - Material moving occupations (%)
People in Group quarters - Institutionalized population (%)
People in Group quarters - Correctional institutions (%)
People in Group quarters - Federal prisons and detention centers (%)
People in Group quarters - Halfway houses (%)
People in Group quarters - Local jails and other confinement facilities (including police lockups) (%)
People in Group quarters - Military disciplinary barracks (%)
People in Group quarters - State prisons (%)
People in Group quarters - Other types of correctional institutions (%)
People in Group quarters - Nursing homes (%)
People in Group quarters - Hospitals/wards, hospices, and schools for the handicapped (%)
People in Group quarters - Hospitals/wards and hospices for chronically ill (%)
People in Group quarters - Hospices or homes for chronically ill (%)
People in Group quarters - Military hospitals or wards for chronically ill (%)
People in Group quarters - Other hospitals or wards for chronically ill (%)
People in Group quarters - Hospitals or wards for drug/alcohol abuse (%)
People in Group quarters - Mental (Psychiatric) hospitals or wards (%)
People in Group quarters - Schools, hospitals, or wards for the mentally retarded (%)
People in Group quarters - Schools, hospitals, or wards for the physically handicapped (%)
People in Group quarters - Institutions for the deaf (%)
People in Group quarters - Institutions for the blind (%)
People in Group quarters - Orthopedic wards and institutions for the physically handicapped (%)
People in Group quarters - Wards in general hospitals for patients who have no usual home elsewhere (%)
People in Group quarters - Wards in military hospitals for patients who have no usual home elsewhere (%)
People in Group quarters - Juvenile institutions (%)
People in Group quarters - Long-term care (%)
People in Group quarters - Homes for abused, dependent, and neglected children (%)
People in Group quarters - Residential treatment centers for emotionally disturbed children (%)
People in Group quarters - Training schools for juvenile delinquents (%)
People in Group quarters - Short-term care, detention or diagnostic centers for delinquent children (%)
People in Group quarters - Type of juvenile institution unknown (%)
People in Group quarters - Noninstitutionalized population (%)
People in Group quarters - College dormitories (includes college quarters off campus) (%)
People in Group quarters - Military quarters (%)
People in Group quarters - On base (%)
People in Group quarters - Barracks, unaccompanied personnel housing (UPH), (Enlisted/Officer), ;and similar group living quarters for military personnel (%)
People in Group quarters - Transient quarters for temporary residents (%)
People in Group quarters - Military ships (%)
People in Group quarters - Group homes (%)
People in Group quarters - Homes or halfway houses for drug/alcohol abuse (%)
People in Group quarters - Homes for the mentally ill (%)
People in Group quarters - Homes for the mentally retarded (%)
People in Group quarters - Homes for the physically handicapped (%)
People in Group quarters - Other group homes (%)
People in Group quarters - Religious group quarters (%)
People in Group quarters - Dormitories (%)
People in Group quarters - Agriculture workers' dormitories on farms (%)
People in Group quarters - Job Corps and vocational training facilities (%)
People in Group quarters - Other workers' dormitories (%)
People in Group quarters - Crews of maritime vessels (%)
People in Group quarters - Other nonhousehold living situations (%)
People in Group quarters - Other noninstitutional group quarters (%)
Residents speaking English at home (%)
Residents speaking English at home - Born in the United States (%)
Residents speaking English at home - Native, born elsewhere (%)
Residents speaking English at home - Foreign born (%)
Residents speaking Spanish at home (%)
Residents speaking Spanish at home - Born in the United States (%)
Residents speaking Spanish at home - Native, born elsewhere (%)
Residents speaking Spanish at home - Foreign born (%)
Residents speaking other language at home (%)
Residents speaking other language at home - Born in the United States (%)
Residents speaking other language at home - Native, born elsewhere (%)
Residents speaking other language at home - Foreign born (%)
Class of Workers - Employee of private company (%)
Class of Workers - Self-employed in own incorporated business (%)
Class of Workers - Private not-for-profit wage and salary workers (%)
Class of Workers - Local government workers (%)
Class of Workers - State government workers (%)
Class of Workers - Federal government workers (%)
Class of Workers - Self-employed workers in own not incorporated business and Unpaid family workers (%)
House heating fuel used in houses and condos - Utility gas (%)
House heating fuel used in houses and condos - Bottled, tank, or LP gas (%)
House heating fuel used in houses and condos - Electricity (%)
House heating fuel used in houses and condos - Fuel oil, kerosene, etc. (%)
House heating fuel used in houses and condos - Coal or coke (%)
House heating fuel used in houses and condos - Wood (%)
House heating fuel used in houses and condos - Solar energy (%)
House heating fuel used in houses and condos - Other fuel (%)
House heating fuel used in houses and condos - No fuel used (%)
House heating fuel used in apartments - Utility gas (%)
House heating fuel used in apartments - Bottled, tank, or LP gas (%)
House heating fuel used in apartments - Electricity (%)
House heating fuel used in apartments - Fuel oil, kerosene, etc. (%)
House heating fuel used in apartments - Coal or coke (%)
House heating fuel used in apartments - Wood (%)
House heating fuel used in apartments - Solar energy (%)
House heating fuel used in apartments - Other fuel (%)
House heating fuel used in apartments - No fuel used (%)
Armed forces status - In Armed Forces (%)
Armed forces status - Civilian (%)
Armed forces status - Civilian - Veteran (%)
Armed forces status - Civilian - Nonveteran (%)
Fatal accidents locations in years 2005-2021
Fatal accidents locations in 2005
Fatal accidents locations in 2006
Fatal accidents locations in 2007
Fatal accidents locations in 2008
Fatal accidents locations in 2009
Fatal accidents locations in 2010
Fatal accidents locations in 2011
Fatal accidents locations in 2012
Fatal accidents locations in 2013
Fatal accidents locations in 2014
Fatal accidents locations in 2015
Fatal accidents locations in 2016
Fatal accidents locations in 2017
Fatal accidents locations in 2018
Fatal accidents locations in 2019
Fatal accidents locations in 2020
Fatal accidents locations in 2021
Alcohol use - People drinking some alcohol every month (%)
Alcohol use - People not drinking at all (%)
Alcohol use - Average days/month drinking alcohol
Alcohol use - Average drinks/week
Alcohol use - Average days/year people drink much
Audiometry - Average condition of hearing (%)
Audiometry - People that can hear a whisper from across a quiet room (%)
Audiometry - People that can hear normal voice from across a quiet room (%)
Audiometry - Ears ringing, roaring, buzzing (%)
Audiometry - Had a job exposure to loud noise (%)
Audiometry - Had off-work exposure to loud noise (%)
Blood Pressure & Cholesterol - Has high blood pressure (%)
Blood Pressure & Cholesterol - Checking blood pressure at home (%)
Blood Pressure & Cholesterol - Frequently checking blood cholesterol (%)
Blood Pressure & Cholesterol - Has high cholesterol level (%)
Consumer Behavior - Money monthly spent on food at supermarket/grocery store
Consumer Behavior - Money monthly spent on food at other stores
Consumer Behavior - Money monthly spent on eating out
Consumer Behavior - Money monthly spent on carryout/delivered foods
Consumer Behavior - Income spent on food at supermarket/grocery store (%)
Consumer Behavior - Income spent on food at other stores (%)
Consumer Behavior - Income spent on eating out (%)
Consumer Behavior - Income spent on carryout/delivered foods (%)
Current Health Status - General health condition (%)
Current Health Status - Blood donors (%)
Current Health Status - Has blood ever tested for HIV virus (%)
Current Health Status - Left-handed people (%)
Dermatology - People using sunscreen (%)
Diabetes - Diabetics (%)
Diabetes - Had a blood test for high blood sugar (%)
Diabetes - People taking insulin (%)
Diet Behavior & Nutrition - Diet health (%)
Diet Behavior & Nutrition - Milk product consumption (# of products/month)
Diet Behavior & Nutrition - Meals not home prepared (#/week)
Diet Behavior & Nutrition - Meals from fast food or pizza place (#/week)
Diet Behavior & Nutrition - Ready-to-eat foods (#/month)
Diet Behavior & Nutrition - Frozen meals/pizza (#/month)
Drug Use - People that ever used marijuana or hashish (%)
Drug Use - Ever used hard drugs (%)
Drug Use - Ever used any form of cocaine (%)
Drug Use - Ever used heroin (%)
Drug Use - Ever used methamphetamine (%)
Health Insurance - People covered by health insurance (%)
Kidney Conditions-Urology - Avg. # of times urinating at night
Medical Conditions - People with asthma (%)
Medical Conditions - People with anemia (%)
Medical Conditions - People with psoriasis (%)
Medical Conditions - People with overweight (%)
Medical Conditions - Elderly people having difficulties in thinking or remembering (%)
Medical Conditions - People who ever received blood transfusion (%)
Medical Conditions - People having trouble seeing even with glass/contacts (%)
Medical Conditions - People with arthritis (%)
Medical Conditions - People with gout (%)
Medical Conditions - People with congestive heart failure (%)
Medical Conditions - People with coronary heart disease (%)
Medical Conditions - People with angina pectoris (%)
Medical Conditions - People who ever had heart attack (%)
Medical Conditions - People who ever had stroke (%)
Medical Conditions - People with emphysema (%)
Medical Conditions - People with thyroid problem (%)
Medical Conditions - People with chronic bronchitis (%)
Medical Conditions - People with any liver condition (%)
Medical Conditions - People who ever had cancer or malignancy (%)
Mental Health - People who have little interest in doing things (%)
Mental Health - People feeling down, depressed, or hopeless (%)
Mental Health - People who have trouble sleeping or sleeping too much (%)
Mental Health - People feeling tired or having little energy (%)
Mental Health - People with poor appetite or overeating (%)
Mental Health - People feeling bad about themself (%)
Mental Health - People who have trouble concentrating on things (%)
Mental Health - People moving or speaking slowly or too fast (%)
Mental Health - People having thoughts they would be better off dead (%)
Oral Health - Average years since last visit a dentist
Oral Health - People embarrassed because of mouth (%)
Oral Health - People with gum disease (%)
Oral Health - General health of teeth and gums (%)
Oral Health - Average days a week using dental floss/device
Oral Health - Average days a week using mouthwash for dental problem
Oral Health - Average number of teeth
Pesticide Use - Households using pesticides to control insects (%)
Pesticide Use - Households using pesticides to kill weeds (%)
Physical Activity - People doing vigorous-intensity work activities (%)
Physical Activity - People doing moderate-intensity work activities (%)
Physical Activity - People walking or bicycling (%)
Physical Activity - People doing vigorous-intensity recreational activities (%)
Physical Activity - People doing moderate-intensity recreational activities (%)
Physical Activity - Average hours a day doing sedentary activities
Physical Activity - Average hours a day watching TV or videos
Physical Activity - Average hours a day using computer
Physical Functioning - People having limitations keeping them from working (%)
Physical Functioning - People limited in amount of work they can do (%)
Physical Functioning - People that need special equipment to walk (%)
Physical Functioning - People experiencing confusion/memory problems (%)
Physical Functioning - People requiring special healthcare equipment (%)
Prescription Medications - Average number of prescription medicines taking
Preventive Aspirin Use - Adults 40+ taking low-dose aspirin (%)
Reproductive Health - Vaginal deliveries (%)
Reproductive Health - Cesarean deliveries (%)
Reproductive Health - Deliveries resulted in a live birth (%)
Reproductive Health - Pregnancies resulted in a delivery (%)
Reproductive Health - Women breastfeeding newborns (%)
Reproductive Health - Women that had a hysterectomy (%)
Reproductive Health - Women that had both ovaries removed (%)
Reproductive Health - Women that have ever taken birth control pills (%)
Reproductive Health - Women taking birth control pills (%)
Reproductive Health - Women that have ever used Depo-Provera or injectables (%)
Reproductive Health - Women that have ever used female hormones (%)
Sexual Behavior - People 18+ that ever had sex (vaginal, anal, or oral) (%)
Sexual Behavior - Males 18+ that ever had vaginal sex with a woman (%)
Sexual Behavior - Males 18+ that ever performed oral sex on a woman (%)
Sexual Behavior - Males 18+ that ever had anal sex with a woman (%)
Sexual Behavior - Males 18+ that ever had any sex with a man (%)
Sexual Behavior - Females 18+ that ever had vaginal sex with a man (%)
Sexual Behavior - Females 18+ that ever performed oral sex on a man (%)
Sexual Behavior - Females 18+ that ever had anal sex with a man (%)
Sexual Behavior - Females 18+ that ever had any kind of sex with a woman (%)
Sexual Behavior - Average age people first had sex
Sexual Behavior - Average number of female sex partners in lifetime (males 18+)
Sexual Behavior - Average number of female vaginal sex partners in lifetime (males 18+)
Sexual Behavior - Average age people first performed oral sex on a woman (18+)
Sexual Behavior - Average number of woman performed oral sex on in lifetime (18+)
Sexual Behavior - Average number of male sex partners in lifetime (males 18+)
Sexual Behavior - Average number of male anal sex partners in lifetime (males 18+)
Sexual Behavior - Average age people first performed oral sex on a man (18+)
Sexual Behavior - Average number of male oral sex partners in lifetime (18+)
Sexual Behavior - People using protection when performing oral sex (%)
Sexual Behavior - Average number of times people have vaginal or anal sex a year
Sexual Behavior - People having sex without condom (%)
Sexual Behavior - Average number of male sex partners in lifetime (females 18+)
Sexual Behavior - Average number of male vaginal sex partners in lifetime (females 18+)
Sexual Behavior - Average number of female sex partners in lifetime (females 18+)
Sexual Behavior - Circumcised males 18+ (%)
Sleep Disorders - Average hours sleeping at night
Sleep Disorders - People that has trouble sleeping (%)
Smoking-Cigarette Use - People smoking cigarettes (%)
Taste & Smell - People 40+ having problems with smell (%)
Taste & Smell - People 40+ having problems with taste (%)
Taste & Smell - People 40+ that ever had wisdom teeth removed (%)
Taste & Smell - People 40+ that ever had tonsils teeth removed (%)
Taste & Smell - People 40+ that ever had a loss of consciousness because of a head injury (%)
Taste & Smell - People 40+ that ever had a broken nose or other serious injury to face or skull (%)
Taste & Smell - People 40+ that ever had two or more sinus infections (%)
Weight - Average height (inches)
Weight - Average weight (pounds)
Weight - Average BMI
Weight - People that are obese (%)
Weight - People that ever were obese (%)
Weight - People trying to lose weight (%)