| Q12-A [Y05532.00] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-0E) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-0E [] | Section: Fertility |
([[marital status code ]]=1) & ([[Gender of the respondent]]=1)
COMMENT: is respondent married and is male
| | 1 CONDITION APPLIES ...(Go To Q12-1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-0F [] | Section: Fertility |
([[marital status code ]]!=1) & ([[Gender of the respondent]]=1)
COMMENT: is respondent not married and is male
| | 1 CONDITION APPLIES ...(Go To Q12-1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-1 [] | Section: Fertility |
*************************SECTION 12 FERTILITY*******************************
In order to make future plans for schools, housing, hospitals, and medical
care, information is needed about the number of children people have.
We know that some of these questions may not apply to you, but we need to
ask the same questions of all our respondents in order to be complete.
| Q12-1A [Y05533.00] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-2 [] | Section: Fertility |
This year however, we will be VERIFYING information about any BIOLOGICAL
children you have had and collecting information on any new BIOLOGICAL
children you may have had using the date of your LAST interview
([date of last interview]).
| Q12-2A [] | Section: Fertility |
So, we are first going to VERIFY our records of BIOLOGICAL children that
you have had, if any, PRIOR TO [date of last interview] (the date of your LAST
interview).
| Q12-6.1 [] | Section: Fertility |
CHECK ([Name of biological child(1)])
COMMENT: Is there a child to check
| | 1 CONDITION APPLIES ...(Go To Q12-6A.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6A.1 [] | Section: Fertility |
([[Status of biological child (code)(1)]] = 99)
COMMENT: If the child is deleted, we don't want to ask about the name
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-6B.1) |
| Q12-6B.1 [] | Section: Fertility |
STRCMP ([Name of biological child(1)],"(MISSING NAME)",14)
COMMENT: Is the first child's name missing?
| | 1 CONDITION APPLIES ...(Go To Q12-6C.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6C.1 [] | Section: Fertility |
INTERVIEWER: THIS CHILD'S NAME IS MISSING. ENTER THE CORRECT FIRST NAME,
MIDDLE INITIAL (IF A NAME EXISTS) AND LAST NAME.
CHILD'S BIRTHDATE: [Birth date of biological child (1)]
CHILD'S ID NUMBER: [biological child id(1)]
| Q12-6D.1 [] | Section: Fertility |
CHECK ([Birth date of biological child (1)])
COMMENT: Is there first child's birthdate recorded?
| | 1 CONDITION APPLIES ...(Go To Q12-6.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6E.1 [] | Section: Fertility |
INTERVIEWER: THIS CHILD'S BIRTHDATE IS MISSING. ENTER THE CORRECT
BIRTHDATE.
CHILD'S NAME: [Name of biological child(1)]
CHILD'S ID NUMBER: [biological child id(1)]
| Q12-6.2 [] | Section: Fertility |
CHECK ([Name of biological child(2)])
COMMENT: Is there another child to check
| | 1 CONDITION APPLIES ...(Go To Q12-6A.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6A.2 [] | Section: Fertility |
([[Status of biological child (code)(2)]] = 99)
COMMENT: If the child is deleted, we don't want to ask about the name
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-6B.2) |
| Q12-6B.2 [] | Section: Fertility |
STRCMP ([Name of biological child(2)],"(MISSING NAME)",14)
COMMENT: Is the second child's name missing?
| | 1 CONDITION APPLIES ...(Go To Q12-6C.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6C.2 [] | Section: Fertility |
INTERVIEWER: THIS CHILD'S NAME IS MISSING. ENTER THE CORRECT FIRST NAME,
MIDDLE INITIAL (IF A NAME EXISTS) AND LAST NAME.
CHILD'S BIRTHDATE: [Birth date of biological child (2)]
CHILD'S ID NUMBER: [biological child id(2)]
| Q12-6D.2 [] | Section: Fertility |
CHECK ([Birth date of biological child (2)])
COMMENT: Is there second child's birthdate recorded?
| | 1 CONDITION APPLIES ...(Go To Q12-6.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6E.2 [] | Section: Fertility |
INTERVIEWER: THIS CHILD'S BIRTHDATE IS MISSING. ENTER THE CORRECT
BIRTHDATE.
CHILD'S NAME: [Name of biological child(2)]
CHILD'S ID NUMBER: [biological child id(2)]
| Q12-6.3 [] | Section: Fertility |
CHECK ([Name of biological child(3)])
COMMENT: Is there another child to check
| | 1 CONDITION APPLIES ...(Go To Q12-6A.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6A.3 [] | Section: Fertility |
([[Status of biological child (code)(3)]] = 99)
COMMENT: If the child is deleted, we don't want to ask about the name
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-6B.3) |
| Q12-6B.3 [] | Section: Fertility |
STRCMP ([Name of biological child(3)],"(MISSING NAME)",14)
COMMENT: Is the third child's name missing?
| | 1 CONDITION APPLIES ...(Go To Q12-6C.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6C.3 [] | Section: Fertility |
INTERVIEWER: THIS CHILD'S NAME IS MISSING. ENTER THE CORRECT FIRST NAME,
MIDDLE INITIAL (IF A NAME EXISTS) AND LAST NAME.
CHILD'S BIRTHDATE: [Birth date of biological child (3)]
CHILD'S ID NUMBER: [biological child id(3)]
| Q12-6D.3 [] | Section: Fertility |
CHECK ([Birth date of biological child (3)])
COMMENT: Is there third child's birthdate recorded?
| | 1 CONDITION APPLIES ...(Go To Q12-6.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6E.3 [] | Section: Fertility |
INTERVIEWER: THIS CHILD'S BIRTHDATE IS MISSING. ENTER THE CORRECT
BIRTHDATE.
CHILD'S NAME: [Name of biological child(3)]
CHILD'S ID NUMBER: [biological child id(3)]
| Q12-6.4 [] | Section: Fertility |
CHECK ([Name of biological child(4)])
COMMENT: Is there another child to check
| | 1 CONDITION APPLIES ...(Go To Q12-6A.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6A.4 [] | Section: Fertility |
([[Status of biological child (code)(4)]] = 99)
COMMENT: If the child is deleted, we don't want to ask about the name
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-6B.4) |
| Q12-6B.4 [] | Section: Fertility |
STRCMP ([Name of biological child(4)],"(MISSING NAME)",14)
COMMENT: Is the fourth child's name missing?
| | 1 CONDITION APPLIES ...(Go To Q12-6C.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6C.4 [] | Section: Fertility |
INTERVIEWER: THIS CHILD'S NAME IS MISSING. ENTER THE CORRECT FIRST NAME,
MIDDLE INITIAL (IF A NAME EXISTS) AND LAST NAME.
CHILD'S BIRTHDATE: [Birth date of biological child (4)]
CHILD'S ID NUMBER: [biological child id(4)]
| Q12-6D.4 [] | Section: Fertility |
CHECK ([Birth date of biological child (4)])
COMMENT: Is there fourth child's birthdate recorded?
| | 1 CONDITION APPLIES ...(Go To Q12-6.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6E.4 [] | Section: Fertility |
INTERVIEWER: THIS CHILD'S BIRTHDATE IS MISSING. ENTER THE CORRECT
BIRTHDATE.
CHILD'S NAME: [Name of biological child(4)]
CHILD'S ID NUMBER: [biological child id(4)]
| Q12-6.5 [] | Section: Fertility |
CHECK ([Name of biological child(5)])
COMMENT: Is there another child to check
| | 1 CONDITION APPLIES ...(Go To Q12-6A.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6A.5 [] | Section: Fertility |
([[Status of biological child (code)(5)]] = 99)
COMMENT: If the child is deleted, we don't want to ask about the name
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-6B.5) |
| Q12-6B.5 [] | Section: Fertility |
STRCMP ([Name of biological child(5)],"(MISSING NAME)",14)
COMMENT: Is the fifth child's name missing?
| | 1 CONDITION APPLIES ...(Go To Q12-6C.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6C.5 [] | Section: Fertility |
INTERVIEWER: THIS CHILD'S NAME IS MISSING. ENTER THE CORRECT FIRST NAME,
MIDDLE INITIAL (IF A NAME EXISTS) AND LAST NAME.
CHILD'S BIRTHDATE: [Birth date of biological child (5)]
CHILD'S ID NUMBER: [biological child id(5)]
| Q12-6D.5 [] | Section: Fertility |
CHECK ([Birth date of biological child (5)])
COMMENT: Is there fifth child's birthdate recorded?
| | 1 CONDITION APPLIES ...(Go To Q12-6.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6E.5 [] | Section: Fertility |
INTERVIEWER: THIS CHILD'S BIRTHDATE IS MISSING. ENTER THE CORRECT
BIRTHDATE.
CHILD'S NAME: [Name of biological child(5)]
CHILD'S ID NUMBER: [biological child id(5)]
| Q12-6.6 [] | Section: Fertility |
CHECK ([Name of biological child(6)])
COMMENT: Is there another child to check
| | 1 CONDITION APPLIES ...(Go To Q12-6A.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6A.6 [] | Section: Fertility |
([[Status of biological child (code)(6)]] = 99)
COMMENT: If the child is deleted, we don't want to ask about the name
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-6B.6) |
| Q12-6B.6 [] | Section: Fertility |
STRCMP ([Name of biological child(6)],"(MISSING NAME)",14)
COMMENT: Is the sixth child's name missing?
| | 1 CONDITION APPLIES ...(Go To Q12-6C.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6C.6 [] | Section: Fertility |
INTERVIEWER: THIS CHILD'S NAME IS MISSING. ENTER THE CORRECT FIRST NAME,
MIDDLE INITIAL (IF A NAME EXISTS) AND LAST NAME.
CHILD'S BIRTHDATE: [Birth date of biological child (6)]
CHILD'S ID NUMBER: [biological child id(6)]
| Q12-6D.6 [] | Section: Fertility |
CHECK ([Birth date of biological child (6)])
COMMENT: Is there sixth child's birthdate recorded?
| | 1 CONDITION APPLIES ...(Go To Q12-6.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6E.6 [] | Section: Fertility |
INTERVIEWER: THIS CHILD'S BIRTHDATE IS MISSING. ENTER THE CORRECT
BIRTHDATE.
CHILD'S NAME: [Name of biological child(6)]
CHILD'S ID NUMBER: [biological child id(6)]
| Q12-6.7 [] | Section: Fertility |
CHECK ([Name of biological child(7)])
COMMENT: Is there another child to check
| | 1 CONDITION APPLIES ...(Go To Q12-6A.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6A.7 [] | Section: Fertility |
([[Status of biological child (code)(7)]] = 99)
COMMENT: If the child is deleted, we don't want to ask about the name
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-6B.7) |
| Q12-6B.7 [] | Section: Fertility |
STRCMP ([Name of biological child(7)],"(MISSING NAME)",14)
COMMENT: Is the seventh child's name missing?
| | 1 CONDITION APPLIES ...(Go To Q12-6C.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6C.7 [] | Section: Fertility |
INTERVIEWER: THIS CHILD'S NAME IS MISSING. ENTER THE CORRECT FIRST NAME,
MIDDLE INITIAL (IF A NAME EXISTS) AND LAST NAME.
CHILD'S BIRTHDATE: [Birth date of biological child (7)]
CHILD'S ID NUMBER: [biological child id(7)]
| Q12-6D.7 [] | Section: Fertility |
CHECK ([Birth date of biological child (7)])
COMMENT: Is there seventh child's birthdate recorded?
| | 1 CONDITION APPLIES ...(Go To Q12-6.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6E.7 [] | Section: Fertility |
INTERVIEWER: THIS CHILD'S BIRTHDATE IS MISSING. ENTER THE CORRECT
BIRTHDATE.
CHILD'S NAME: [Name of biological child(7)]
CHILD'S ID NUMBER: [biological child id(7)]
| Q12-6.8 [] | Section: Fertility |
CHECK ([Name of biological child(8)])
COMMENT: Is there another child to check
| | 1 CONDITION APPLIES ...(Go To Q12-6A.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6A.8 [] | Section: Fertility |
([[Status of biological child (code)(8)]] = 99)
COMMENT: If the child is deleted, we don't want to ask about the name
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-6B.8) |
| Q12-6B.8 [] | Section: Fertility |
STRCMP ([Name of biological child(8)],"(MISSING NAME)",14)
COMMENT: Is the eighth child's name missing?
| | 1 CONDITION APPLIES ...(Go To Q12-6C.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6C.8 [] | Section: Fertility |
INTERVIEWER: THIS CHILD'S NAME IS MISSING. ENTER THE CORRECT FIRST NAME,
MIDDLE INITIAL (IF A NAME EXISTS) AND LAST NAME.
CHILD'S BIRTHDATE: [Birth date of biological child (8)]
CHILD'S ID NUMBER: [biological child id(8)]
| Q12-6D.8 [] | Section: Fertility |
CHECK ([Birth date of biological child (8)])
COMMENT: Is there eighth child's birthdate recorded?
| | 1 CONDITION APPLIES ...(Go To Q12-6.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6E.8 [] | Section: Fertility |
INTERVIEWER: THIS CHILD'S BIRTHDATE IS MISSING. ENTER THE CORRECT
BIRTHDATE.
CHILD'S NAME: [Name of biological child(8)]
CHILD'S ID NUMBER: [biological child id(8)]
| Q12-6.9 [] | Section: Fertility |
CHECK ([Name of biological child(9)])
COMMENT: Is there another child to check
| | 1 CONDITION APPLIES ...(Go To Q12-6A.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6A.9 [] | Section: Fertility |
([[Status of biological child (code)(9)]] = 99)
COMMENT: If the child is deleted, we don't want to ask about the name
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-6B.9) |
| Q12-6B.9 [] | Section: Fertility |
STRCMP ([Name of biological child(9)],"(MISSING NAME)",14)
COMMENT: Is the ninth child's name missing?
| | 1 CONDITION APPLIES ...(Go To Q12-6C.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6C.9 [] | Section: Fertility |
INTERVIEWER: THIS CHILD'S NAME IS MISSING. ENTER THE CORRECT FIRST NAME,
MIDDLE INITIAL (IF A NAME EXISTS) AND LAST NAME.
CHILD'S BIRTHDATE: [Birth date of biological child (9)]
CHILD'S ID NUMBER: [biological child id(9)]
| Q12-6D.9 [] | Section: Fertility |
CHECK ([Birth date of biological child (9)])
COMMENT: Is there ninth child's birthdate recorded?
| | 1 CONDITION APPLIES ...(Go To Q12-6.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6E.9 [] | Section: Fertility |
INTERVIEWER: THIS CHILD'S BIRTHDATE IS MISSING. ENTER THE CORRECT
BIRTHDATE.
CHILD'S NAME: [Name of biological child(9)]
CHILD'S ID NUMBER: [biological child id(9)]
| Q12-6.10 [] | Section: Fertility |
CHECK ([Name of biological child(10)])
COMMENT: Is there another child to check
| | 1 CONDITION APPLIES ...(Go To Q12-6A.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6A.10 [] | Section: Fertility |
([[Status of biological child (code)(10)]] = 99)
COMMENT: If the child is deleted, we don't want to ask about the name
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-6B.10) |
| Q12-6B.10 [] | Section: Fertility |
STRCMP ([Name of biological child(10)],"(MISSING NAME)",14)
COMMENT: Is the tenth child's name missing?
| | 1 CONDITION APPLIES ...(Go To Q12-6C.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6C.10 [] | Section: Fertility |
INTERVIEWER: THIS CHILD'S NAME IS MISSING. ENTER THE CORRECT FIRST NAME,
MIDDLE INITIAL (IF A NAME EXISTS) AND LAST NAME.
CHILD'S BIRTHDATE: [Birth date of biological child (10)]
CHILD'S ID NUMBER: [biological child id(10)]
| Q12-6D.10 [] | Section: Fertility |
CHECK ([Birth date of biological child (10)])
COMMENT: Is there tenth child's birthdate recorded?
| | 1 CONDITION APPLIES ...(Go To Q12-8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-6E.10 [] | Section: Fertility |
INTERVIEWER: THIS CHILD'S BIRTHDATE IS MISSING. ENTER THE CORRECT
BIRTHDATE.
CHILD'S NAME: [Name of biological child(10)]
CHILD'S ID NUMBER: [biological child id(10)]
| Q12-8 [Y05534.00] | Section: Fertility |
([[Total number of biological children listed in BIOCHILD roster]] > 0)
COMMENT: Does R have any biological children preprinted on the CRF? Checks status because new kids are not preprinted.
| | 1 CONDITION APPLIES ...(Go To Q12-8A) |
| | 0 CONDITION DOES NOT APPLY |
| Default Next: | Q12-14B |
| Lead-In: | Q12-6D.10 [1:1], Q12-6.1 [Default], Q12-6.2 [Default], Q12-6.3 [Default], Q12-6.4 [Default], Q12-6.5 [Default], Q12-6.6 [Default], Q12-6.7 [Default], Q12-6.8 [Default], Q12-6.9 [Default], Q12-6.10 [Default], Q12-6A.10 [Default], Q12-6E.10 [Default] |
| Q12-8A [] | Section: Fertility |
Our records from our interview on [date of last interview] show that you have
(had/given birth to) (a child/children) named (READ FULL NAMES OF CHILDREN
BELOW) as of [date of last interview] ... (PRESS <ENTER> TO CONTINUE.)
| Q12-8B [Y05535.00] | Section: Fertility |
Is that correct?
| | 1 YES--INFORMATION CORRECT |
| | 0 NO--INFORMATION INCORRECT ...(Go To Q12-10) |
| Q12-10 [Y05536.00] | Section: Fertility |
INTERVIEWER: DOES R HAVE CHILDREN ON THE BIOLOGICAL CHILD ROSTER THAT SHOULD NOT BE LISTED THERE?
| Q12-12 [] | Section: Fertility |
([[Check for number of biological children on BIOCHILD roster as of date of last interview]] = 1)
COMMENT: Have the old statuses been copied out already? If so, skip the copy.
| | 1 CONDITION APPLIES ...(Go To Q12-13.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-13.1 [] | Section: Fertility |
CHECK([Name of biological child(1)])
COMMENT: Is there a child to check?
| | 1 CONDITION APPLIES ...(Go To Q12-13A.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-13A.1 [] | Section: Fertility |
([[Status of biological child (code)(1)]]=97)
COMMENT: Is this child a new child? If so, skip out.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-13B.1) |
| Q12-13B.1 [] | Section: Fertility |
([[Status of biological child (code)(1)]]=99)
COMMENT: Is this child a deleted child? If so, skip.
| | 1 CONDITION APPLIES ...(Go To Q12-13C.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-13C.1 [] | Section: Fertility |
INTERVIEWER: [Name of biological child(1)] IS DELETED. IS THIS CORRECT?
| Q12-13D.1 [] | Section: Fertility |
INTERVIEWER: DOES [Name of biological child(1)] NEED TO BE DELETED?
| Q12-13.2 [] | Section: Fertility |
CHECK([Name of biological child(2)])
COMMENT: Is there another child to check?
| | 1 CONDITION APPLIES ...(Go To Q12-13A.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-13A.2 [] | Section: Fertility |
([[Status of biological child (code)(2)]]=97)
COMMENT: Is this child a new child? If so, skip out.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-13B.2) |
| Q12-13B.2 [] | Section: Fertility |
([[Status of biological child (code)(2)]]=99)
COMMENT: Is this child a deleted child?
| | 1 CONDITION APPLIES ...(Go To Q12-13C.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-13C.2 [] | Section: Fertility |
INTERVIEWER: [Name of biological child(2)] IS DELETED. IS THIS CORRECT?
| Q12-13D.2 [] | Section: Fertility |
INTERVIEWER: DOES [Name of biological child(2)] NEED TO BE DELETED?
| Q12-13.3 [] | Section: Fertility |
CHECK([Name of biological child(3)])
COMMENT: Is there another child to check?
| | 1 CONDITION APPLIES ...(Go To Q12-13A.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-13A.3 [] | Section: Fertility |
([[Status of biological child (code)(3)]]=97)
COMMENT: Is this child a new child? If so, skip out.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-13B.3) |
| Q12-13B.3 [] | Section: Fertility |
([[Status of biological child (code)(3)]]=99)
COMMENT: Is this child a deleted child? If so, skip.
| | 1 CONDITION APPLIES ...(Go To Q12-13C.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-13C.3 [] | Section: Fertility |
INTERVIEWER: [Name of biological child(3)] IS DELETED. IS THIS CORRECT?
| Q12-13D.3 [] | Section: Fertility |
INTERVIEWER: DOES [Name of biological child(3)] NEED TO BE DELETED?
| Q12-13.4 [] | Section: Fertility |
CHECK([Name of biological child(4)])
COMMENT: Is there another child to check?
| | 1 CONDITION APPLIES ...(Go To Q12-13A.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-13A.4 [] | Section: Fertility |
([[Status of biological child (code)(4)]]=97)
COMMENT: Is this child a new child? If so, skip out.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-13B.4) |
| Q12-13B.4 [] | Section: Fertility |
([[Status of biological child (code)(4)]]=99)
COMMENT: Is this child a deleted child? If so, skip.
| | 1 CONDITION APPLIES ...(Go To Q12-13C.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-13C.4 [] | Section: Fertility |
INTERVIEWER: [Name of biological child(4)] IS DELETED. IS THIS CORRECT?
| Q12-13D.4 [] | Section: Fertility |
INTERVIEWER: DOES [Name of biological child(4)] NEED TO BE DELETED?
| Q12-13.5 [] | Section: Fertility |
CHECK([Name of biological child(5)])
COMMENT: Is there another child to check?
| | 1 CONDITION APPLIES ...(Go To Q12-13A.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-13A.5 [] | Section: Fertility |
([[Status of biological child (code)(5)]]=97)
COMMENT: Is this child a new child? If so, skip out.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-13B.5) |
| Q12-13B.5 [] | Section: Fertility |
([[Status of biological child (code)(5)]]=99)
COMMENT: Is this child a deleted child? If so, skip.
| | 1 CONDITION APPLIES ...(Go To Q12-13C.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-13C.5 [] | Section: Fertility |
INTERVIEWER: [Name of biological child(5)] IS DELETED. IS THIS CORRECT?
| Q12-13D.5 [] | Section: Fertility |
INTERVIEWER: DOES [Name of biological child(5)] NEED TO BE DELETED?
| Q12-13.6 [] | Section: Fertility |
CHECK([Name of biological child(6)])
COMMENT: Is there another child to check?
| | 1 CONDITION APPLIES ...(Go To Q12-13A.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-13A.6 [] | Section: Fertility |
([[Status of biological child (code)(6)]]=97)
COMMENT: Is this child a new child? If so, skip out.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-13B.6) |
| Q12-13B.6 [] | Section: Fertility |
([[Status of biological child (code)(6)]]=99)
COMMENT: Is this child a deleted child? If so, skip.
| | 1 CONDITION APPLIES ...(Go To Q12-13C.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-13C.6 [] | Section: Fertility |
INTERVIEWER: [Name of biological child(6)] IS DELETED. IS THIS CORRECT?
| Q12-13D.6 [] | Section: Fertility |
INTERVIEWER: DOES [Name of biological child(6)] NEED TO BE DELETED?
| Q12-13.7 [] | Section: Fertility |
CHECK([Name of biological child(7)])
COMMENT: Is there another child to check?
| | 1 CONDITION APPLIES ...(Go To Q12-13A.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-13A.7 [] | Section: Fertility |
([[Status of biological child (code)(7)]]=97)
COMMENT: Is this child a new child? If so, skip out.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-13B.7) |
| Q12-13B.7 [] | Section: Fertility |
([[Status of biological child (code)(7)]]=99)
COMMENT: Is this child a deleted child? If so, skip.
| | 1 CONDITION APPLIES ...(Go To Q12-13C.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-13C.7 [] | Section: Fertility |
INTERVIEWER: [Name of biological child(7)] IS DELETED. IS THIS CORRECT?
| Q12-13D.7 [] | Section: Fertility |
INTERVIEWER: DOES [Name of biological child(7)] NEED TO BE DELETED?
| Q12-13.8 [] | Section: Fertility |
CHECK([Name of biological child(8)])
COMMENT: Is there another child to check?
| | 1 CONDITION APPLIES ...(Go To Q12-13A.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-13A.8 [] | Section: Fertility |
([[Status of biological child (code)(8)]]=97)
COMMENT: Is this child a new child? If so, skip out.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-13B.8) |
| Q12-13B.8 [] | Section: Fertility |
([[Status of biological child (code)(8)]]=99)
COMMENT: Is this child a deleted child? If so, skip.
| | 1 CONDITION APPLIES ...(Go To Q12-13C.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-13C.8 [] | Section: Fertility |
INTERVIEWER: [Name of biological child(8)] IS DELETED. IS THIS CORRECT?
| Q12-13D.8 [] | Section: Fertility |
INTERVIEWER: DOES [Name of biological child(8)] NEED TO BE DELETED?
| Q12-13.9 [] | Section: Fertility |
CHECK([Name of biological child(9)])
COMMENT: Is there another child to check?
| | 1 CONDITION APPLIES ...(Go To Q12-13A.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-13A.9 [] | Section: Fertility |
([[Status of biological child (code)(9)]]=97)
COMMENT: Is this child a new child? If so, skip out.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-13B.9) |
| Q12-13B.9 [] | Section: Fertility |
([[Status of biological child (code)(9)]]=99)
COMMENT: Is this child a deleted child? If so, skip.
| | 1 CONDITION APPLIES ...(Go To Q12-13C.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-13C.9 [] | Section: Fertility |
INTERVIEWER: [Name of biological child(9)] IS DELETED. IS THIS CORRECT?
| Q12-13D.9 [] | Section: Fertility |
INTERVIEWER: DOES [Name of biological child(9)] NEED TO BE DELETED?
| Q12-13.10 [] | Section: Fertility |
CHECK([Name of biological child(10)])
COMMENT: Is there a child to check?
| | 1 CONDITION APPLIES ...(Go To Q12-13A.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-13A.10 [] | Section: Fertility |
([[Status of biological child (code)(10)]]=97)
COMMENT: Is this child a new child? If so, skip out.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-13B.10) |
| Q12-13B.10 [] | Section: Fertility |
([[Status of biological child (code)(10)]]=99)
COMMENT: Is this child a deleted child? If so, skip.
| | 1 CONDITION APPLIES ...(Go To Q12-13C.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-13C.10 [] | Section: Fertility |
INTERVIEWER: [Name of biological child(10)] IS DELETED. IS THIS CORRECT?
| Q12-13D.10 [] | Section: Fertility |
INTERVIEWER: DOES [Name of biological child(10)] NEED TO BE DELETED?
| Q12-14A [] | Section: Fertility |
CHECK ([Number of biological children before any new ones reported (first pass)])
COMMENT: Has a value already been set for totbio.counter1?
| | 1 CONDITION APPLIES ...(Go To Q12-14AB) |
| | 0 CONDITION DOES NOT APPLY |
| Default Next: | Q12-14AB |
| Lead-In: | Q12-13C.10 [1:1], Q12-13D.10 [1:1], Q12-10 [Default], Q12-13.1 [Default], Q12-13.2 [Default], Q12-13.3 [Default], Q12-13.4 [Default], Q12-13.5 [Default], Q12-13.6 [Default], Q12-13.7 [Default], Q12-13.8 [Default], Q12-13.9 [Default], Q12-13.10 [Default], Q12-13A.10 [Default], Q12-13C.10 [Default], Q12-13D.10 [Default] |
| Q12-14AB [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 1
COMMENT: Establish the starting line number into which any new biological
children are to be copied onto the BIOCHILD Roster.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-14AC [Y05537.00] | Section: Fertility |
INTERVIEWER: DOES R HAVE ANY CHILDREN WHO WERE BORN BEFORE [date of last interview] WHO ARE NOT LISTED ON THE BIOLOGICAL CHILD ROSTER, THAT SHOULD BE LISTED THERE?
| Q12-14B [] | Section: Fertility |
CHECK ([Number of biological children before any new ones reported (first pass)])
COMMENT: Has a value already been set for totbio.counter1?
| | 1 CONDITION APPLIES ...(Go To Q12-14BB) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-14BB [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 1
COMMENT: Establish the starting line number into which any new biological
children are to be copied onto the BIOCHILD Roster.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-14BC [Y05538.00] | Section: Fertility |
Our records show that you had NOT (had/given birth to) any children of your own as of [date of last interview]. Is that correct?
| | 1 YES--INFORMATION CORRECT |
| | 0 NO--INFORMATION INCORRECT ...(Go To Q12-14IA) |
| Q12-14E [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 1
COMMENT: Establish 1st line of roster for missing bio child info.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-14EA [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 2
COMMENT: Establish 2nd line of roster for missing bio child info. FILL (TYPE=SEQ,SEED=@%totbio.plus1a%,START=@%totbio.plus2a%,
STOP=@%totbio.plus5a%,INC=1,NEXT=YES);
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-14EB [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 3
COMMENT: Establish 3rd line of roster for missing bio child info. FILL (TYPE=SEQ,SEED=@%totbio.plus1a%,START=@%totbio.plus2a%,
STOP=@%totbio.plus5a%,INC=1,NEXT=YES);
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-14EC [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 4
COMMENT: Establish 4th line of roster for missing bio child info. FILL (TYPE=SEQ,SEED=@%totbio.plus1a%,START=@%totbio.plus2a%,
STOP=@%totbio.plus5a%,INC=1,NEXT=YES);
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-14ED [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 5
COMMENT: Establish 5th line of roster for missing bio child info. FILL (TYPE=SEQ,SEED=@%totbio.plus1a%,START=@%totbio.plus2a%,
STOP=@%totbio.plus5a%,INC=1,NEXT=YES);
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-14IA [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 1
COMMENT: Establish 1st line of roster for missing bio child info.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-14J [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 2
COMMENT: Establish 2nd line of roster for missing non-bio child info. FILL (TYPE=SEQ,SEED=@%totbio.plus1a%,START=@%totbio.plus2a%,
STOP=@%totbio.plus5a%,INC=1,NEXT=YES);
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-14K [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 3
COMMENT: Establish 3rd line of roster for missing bio child info. FILL (TYPE=SEQ,SEED=@%totbio.plus1a%,START=@%totbio.plus2a%,
STOP=@%totbio.plus5a%,INC=1,NEXT=YES);
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-14L [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 4
COMMENT: Establish 4th line of roster for missing bio child info. FILL (TYPE=SEQ,SEED=@%totbio.plus1a%,START=@%totbio.plus2a%,
STOP=@%totbio.plus5a%,INC=1,NEXT=YES);
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-14M [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 5
COMMENT: Establish 5th line of roster for missing bio child info. FILL (TYPE=SEQ,SEED=@%totbio.plus1a%,START=@%totbio.plus2a%,
STOP=@%totbio.plus5a%,INC=1,NEXT=YES);
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-16.1 [] | Section: Fertility |
What is the name of the first child that you have (had/given birth to) as
of [date of last interview] who we do not have listed?
(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)
| Q12-16A.1 [] | Section: Fertility |
Is [name of bio children improperly missing from roster(1)] a boy or a girl?
| Q12-16B.1 [Y05539.02] | Section: Fertility |
When was [name of bio children improperly missing from roster(1)] born?
(INTERVIEWER: IN CASE OF INVALID DATE, VERIFY CHILD'S BIRTH DATE WITH R. EXPLAIN TO RESPONDENT THAT RIGHT NOW, WE ARE ONLY COLLECTING INFORMATION ABOUT CHILDREN BORN PRIOR TO [date of last interview]. WE WILL ASK ABOUT CHILDREN BORN SINCE [date of last interview] IN A FEW MOMENTS.)
| Q12-16G.1 [] | Section: Fertility |
CHECK ([id number of bio children improperly missing from roster(1)])
COMMENT: check if the idnumber needs to be calculated (if this is the first
pass through this loop).
If Answer = 0 Then Go To Q12-16H.1
| Q12-16H.1 [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 1
COMMENT: Enter the added child's idnum.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-16I.1 [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 1
COMMENT: add one to the total number of children on the roster
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-16L.1 [Y05540.00] | Section: Fertility |
Did you have another child that was born PRIOR to [date of last interview] who we do not have listed?
| Q12-16.2 [] | Section: Fertility |
What is the name of the second child that you have (had/given birth to) as
of [date of last interview] who we do not have listed?
(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)
| Q12-16A.2 [] | Section: Fertility |
Is [name of bio children improperly missing from roster(2)] a boy or a girl?
| Q12-16B.2 [] | Section: Fertility |
When was [name of bio children improperly missing from roster(2)] born?
(INTERVIEWER: IN CASE OF INVALID DATE, VERIFY CHILD'S BIRTH DATE WITH R.
EXPLAIN TO RESPONDENT THAT RIGHT NOW, WE ARE ONLY COLLECTING
INFORMATION ABOUT CHILDREN BORN PRIOR TO [date of last interview]. WE WILL
ASK ABOUT CHILDREN BORN SINCE [date of last interview] IN A FEW MOMENTS.)
| Q12-16G.2 [] | Section: Fertility |
CHECK ([id number of bio children improperly missing from roster(2)])
COMMENT: check if the idnumber needs to be calculated (if this is the first
pass through this loop).
If Answer = 0 Then Go To Q12-16H.2
| Q12-16H.2 [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 1
COMMENT: enter the added child's idnum.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-16I.2 [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 1
COMMENT: add one to the total number of children on the roster
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-16L.2 [] | Section: Fertility |
Did you have another child that was born PRIOR to [date of last interview] who we do
not have listed?
| Q12-16.3 [] | Section: Fertility |
What is the name of the third child that you have (had/given birth to) as
of [date of last interview] who we do not have listed?
(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)
| Q12-16A.3 [] | Section: Fertility |
Is [name of bio children improperly missing from roster(3)] a boy or a girl?
| Q12-16B.3 [] | Section: Fertility |
When was [name of bio children improperly missing from roster(3)] born?
(INTERVIEWER: IN CASE OF INVALID DATE, VERIFY CHILD'S BIRTH DATE WITH R.
EXPLAIN TO RESPONDENT THAT RIGHT NOW, WE ARE ONLY COLLECTING
INFORMATION ABOUT CHILDREN BORN PRIOR TO [date of last interview]. WE WILL
ASK ABOUT CHILDREN BORN SINCE [date of last interview] IN A FEW MOMENTS.)
| Q12-16G.3 [] | Section: Fertility |
CHECK ([id number of bio children improperly missing from roster(3)])
COMMENT: check if the idnumber needs to be calculated (if this is the first
pass through this loop).
If Answer = 0 Then Go To Q12-16H.3
| Q12-16H.3 [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 1
COMMENT: enter the added child's idnum.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-16I.3 [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 1
COMMENT: add one to the total number of children on the roster
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-16L.3 [] | Section: Fertility |
Did you have another child that was born PRIOR to [date of last interview] who we do
not have listed?
| Q12-16.4 [] | Section: Fertility |
What is the name of the fourth child that you have (had/given birth to) as
of [date of last interview] who we do not have listed?
(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)
| Q12-16A.4 [] | Section: Fertility |
Is [name of bio children improperly missing from roster(4)] a boy or a girl?
| Q12-16B.4 [] | Section: Fertility |
When was [name of bio children improperly missing from roster(4)] born?
(INTERVIEWER: IN CASE OF INVALID DATE, VERIFY CHILD'S BIRTH DATE WITH R.
EXPLAIN TO RESPONDENT THAT RIGHT NOW, WE ARE ONLY COLLECTING
INFORMATION ABOUT CHILDREN BORN PRIOR TO [date of last interview]. WE WILL
ASK ABOUT CHILDREN BORN SINCE [date of last interview] IN A FEW MOMENTS.)
| Q12-16G.4 [] | Section: Fertility |
CHECK ([id number of bio children improperly missing from roster(4)])
COMMENT: check if the idnumber needs to be calculated (if this is the first
pass through this loop).
If Answer = 0 Then Go To Q12-16H.4
| Q12-16H.4 [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 1
COMMENT: enter the added child's idnum.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-16I.4 [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 1
COMMENT: add one to the total number of children on the roster
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-16L.4 [] | Section: Fertility |
Did you have another child that was born PRIOR to [date of last interview] who we do
not have listed?
| Q12-16.5 [] | Section: Fertility |
What is the name of the fifth child that you have (had/given birth to) as
of [date of last interview] who we do not have listed?
(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)
| Q12-16A.5 [] | Section: Fertility |
Is [name of bio children improperly missing from roster(5)] a boy or a girl?
| Q12-16B.5 [] | Section: Fertility |
When was [name of bio children improperly missing from roster(5)] born?
(INTERVIEWER: IN CASE OF INVALID DATE, VERIFY CHILD'S BIRTH DATE WITH R.
EXPLAIN TO RESPONDENT THAT RIGHT NOW, WE ARE ONLY COLLECTING
INFORMATION ABOUT CHILDREN BORN PRIOR TO [date of last interview]. WE WILL
ASK ABOUT CHILDREN BORN SINCE [date of last interview] IN A FEW MOMENTS.)
| Q12-16G.5 [] | Section: Fertility |
CHECK ([id number of bio children improperly missing from roster(5)])
COMMENT: check if the idnumber needs to be calculated (if this is the first
pass through this loop).
If Answer = 0 Then Go To Q12-16H.5
| Q12-16H.5 [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 1
COMMENT: enter the added child's idnum.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-16I.5 [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 1
COMMENT: add one to the total number of children on the roster
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-18D [] | Section: Fertility |
I'd like to read the information about your children from our records.
| Q12-19.1 [Y05542.00] | Section: Fertility |
(FOR EACH CHILD, READ:) Our records show that [CHILD] is a [SEX] and was born on [BIRTHDATE]. Is that correct?
(INTERVIEWER: IF ALL INFO CORRECT, HIGHLIGHT FIRST LINE USING AND KEYS AND PRESS <ENTER>. IF ANY INCORRECT INFO, HIGHLIGHT FIRST CHILD RECORD MENTIONED AND PRESS <ENTER> TO CORRECT INFO FOR THAT CHILD.)
If Answer = 1 Then Go To Q12-20
| Q12-19C.1 [Y05543.00] | Section: Fertility |
(INTERVIEWER: MARK INFORMATION THAT IS INCORRECT. IF NECESSARY PROBE:)
Is [correction to biological child's name(1)]'s name correct?
Is [correction to biological child's name(1)]'s sex correct? (GENDER=[correction to biological child's gender (text)(1)])
Is [correction to biological child's name(1)]'s birthdate correct?
(BIRTHDATE=[biological child's birthdate(1)]) (MARK ALL THAT APPLY)
| | 1 BIRTHDATE |
| | 4 NAME |
| | 5 SEX |
| | 6 OTHER (SPECIFY) |
| Q12-19E.1 [] | Section: Fertility |
([[Codes for roster items of first child needing correction (2)]] = 4)
COMMENT: Does name of first child with incorrect information need changed?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-19G.1) |
| Q12-19F.1 [] | Section: Fertility |
What is the correct name and spelling for [correction to biological child's name(1)]?
(INTERVIEWER: RECORD CORRECT NAME AND/OR SPELLING.)
| Q12-19G.1 [] | Section: Fertility |
([[Codes for roster items of first child needing correction (1)]] = 1)
COMMENT: Does bdate of first child with incorrect information need changed?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-19I.1) |
| Q12-19H.1 [] | Section: Fertility |
What is the correct birthdate for [correction to biological child's name(1)]?
(INTERVIEWER: RECORD CORRECTED BIRTHDATE.)
| Q12-19I.1 [] | Section: Fertility |
([[Codes for roster items of first child needing correction (3)]] = 5)
COMMENT: Does gender of first child with incorrect information need changed?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-19.2) |
| Q12-19J.1 [] | Section: Fertility |
(INTERVIEWER: IF NOT OBVIOUS, ASK:) What is the correct sex of
[correction to biological child's name(1)]?
(INTERVIEWER: RECORD CORRECTED GENDER.)
| Q12-19.2 [Y05544.00] | Section: Fertility |
(CONTINUE VERIFYING INFORMATION:) Our records show that [CHILD] is a [SEX] and was born on [BIRTHDATE]. Is that correct?
(INTERVIEWER: IF ALL REMAINING INFO CORRECT, HIGHLIGHT FIRST LINE AND PRESS <ENTER>. IF ANY OTHER INCORRECT INFO, HIGHLIGHT NEXT CHILD RECORD MENTIONED AND PRESS <ENTER> TO CORRECT INFO FOR THAT CHILD.)
If Answer = 1 Then Go To Q12-20
| Q12-19C.2 [Y05545.01] | Section: Fertility |
(INTERVIEWER: MARK INFORMATION THAT IS INCORRECT. IF NECESSARY PROBE:)
Is [correction to biological child's name(2)]'s name correct?
Is [correction to biological child's name(2)]'s sex correct? (GENDER=[correction to biological child's gender (text)(2)])
Is [correction to biological child's name(2)]'s birthdate correct?
(BIRTHDATE=[biological child's birthdate(2)]) (MARK ALL THAT APPLY)
| | 1 BIRTHDATE |
| | 4 NAME |
| | 5 SEX |
| | 6 OTHER (SPECIFY) |
| Q12-19E.2 [] | Section: Fertility |
([[Codes for roster items of second child needing correction(2)]] = 4)
COMMENT: Does name of second child with incorrect information need changed?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-19G.2) |
| Q12-19F.2 [] | Section: Fertility |
What is the correct name and spelling for [correction to biological child's name(2)]?
(INTERVIEWER: RECORD CORRECT NAME AND/OR SPELLING.)
| Q12-19G.2 [] | Section: Fertility |
([[Codes for roster items of second child needing correction(1)]] = 1)
COMMENT: Does bdate of second child with incorrect information need changed?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-19I.2) |
| Q12-19H.2 [] | Section: Fertility |
What is the correct birthdate for [correction to biological child's name(2)]?
(INTERVIEWER: RECORD CORRECTED BIRTHDATE.)
| Q12-19I.2 [] | Section: Fertility |
([[Codes for roster items of second child needing correction(3)]] = 5)
COMMENT: Does gender of second child with incorrect information need changed?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-19.3) |
| Q12-19J.2 [] | Section: Fertility |
(INTERVIEWER: IF NOT OBVIOUS, ASK:) What is the correct sex of
[correction to biological child's name(2)]?
(INTERVIEWER: RECORD CORRECTED GENDER.)
| Q12-19.3 [] | Section: Fertility |
(CONTINUE VERIFYING INFORMATION:) Our records show that [CHILD] is a [SEX]
and was born on [BIRTHDATE]. Is that correct?
(INTERVIEWER: IF ALL REMAINING INFO CORRECT, HIGHLIGHT FIRST LINE AND
PRESS <ENTER>. IF ANY OTHER INCORRECT INFO, HIGHLIGHT NEXT CHILD
RECORD MENTIONED AND PRESS <ENTER> TO CORRECT INFO FOR THAT CHILD.)
If Answer = 1 Then Go To Q12-20
| Q12-19C.3 [] | Section: Fertility |
(INTERVIEWER: MARK INFORMATION THAT IS INCORRECT. IF NECESSARY PROBE:)
Is [correction to biological child's name(3)]'s name correct?
Is [correction to biological child's name(3)]'s sex correct? (GENDER=[correction to biological child's gender (text)(3)])
Is [correction to biological child's name(3)]'s birthdate correct?
(BIRTHDATE=[biological child's birthdate(3)]) (MARK ALL THAT APPLY)
| | 1 BIRTHDATE |
| | 4 NAME |
| | 5 SEX |
| | 6 OTHER (SPECIFY) |
| Q12-19E.3 [] | Section: Fertility |
([[Codes for roster items of third child needing correction(2)]] = 4)
COMMENT: Does name of third child with incorrect information need changed?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-19G.3) |
| Q12-19F.3 [] | Section: Fertility |
What is the correct name and spelling for [correction to biological child's name(3)]?
(INTERVIEWER: RECORD CORRECT NAME AND/OR SPELLING.)
| Q12-19G.3 [] | Section: Fertility |
([[Codes for roster items of third child needing correction(1)]] = 1)
COMMENT: Does bdate of third child with incorrect information need changed?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-19I.3) |
| Q12-19H.3 [] | Section: Fertility |
What is the correct birthdate for [correction to biological child's name(3)]?
(INTERVIEWER: RECORD CORRECTED BIRTHDATE.)
| Q12-19I.3 [] | Section: Fertility |
([[Codes for roster items of third child needing correction(3)]] = 5)
COMMENT: Does gender of third child with incorrect information need changed?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-19.4) |
| Q12-19J.3 [] | Section: Fertility |
(INTERVIEWER: IF NOT OBVIOUS, ASK:) What is the correct sex of
[correction to biological child's name(3)]?
(INTERVIEWER: RECORD CORRECTED GENDER.)
| Q12-19.4 [] | Section: Fertility |
(CONTINUE VERIFYING INFORMATION:) Our records show that [CHILD] is a [SEX]
and was born on [BIRTHDATE]. Is that correct?
(INTERVIEWER: IF ALL REMAINING INFO CORRECT, HIGHLIGHT FIRST LINE AND
PRESS <ENTER>. IF ANY OTHER INCORRECT INFO, HIGHLIGHT NEXT CHILD
RECORD MENTIONED AND PRESS <ENTER> TO CORRECT INFO FOR THAT CHILD.)
If Answer = 1 Then Go To Q12-20
| Q12-19C.4 [] | Section: Fertility |
(INTERVIEWER: MARK INFORMATION THAT IS INCORRECT. IF NECESSARY PROBE:)
Is [correction to biological child's name(4)]'s name correct?
Is [correction to biological child's name(4)]'s sex correct? (GENDER=[correction to biological child's gender (text)(4)])
Is [correction to biological child's name(4)]'s birthdate correct?
(BIRTHDATE=[biological child's birthdate(4)]) (MARK ALL THAT APPLY)
| | 1 BIRTHDATE |
| | 4 NAME |
| | 5 SEX |
| | 6 OTHER (SPECIFY) |
| Q12-19E.4 [] | Section: Fertility |
([[Codes for roster items of fourth child needing correction(2)]] = 4)
COMMENT: Does name of fourth child with incorrect information need changed?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-19G.4) |
| Q12-19F.4 [] | Section: Fertility |
What is the correct name and spelling for [correction to biological child's name(4)]?
(INTERVIEWER: RECORD CORRECT NAME AND/OR SPELLING.)
| Q12-19G.4 [] | Section: Fertility |
([[Codes for roster items of fourth child needing correction(1)]] = 1)
COMMENT: Does bdate of fourth child with incorrect information need changed?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-19I.4) |
| Q12-19H.4 [] | Section: Fertility |
What is the correct birthdate for [correction to biological child's name(4)]?
(INTERVIEWER: RECORD CORRECTED BIRTHDATE.)
| Q12-19I.4 [] | Section: Fertility |
([[Codes for roster items of fourth child needing correction(3)]] = 5)
COMMENT: Does gender of fourth child with incorrect information need changed?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-19.5) |
| Q12-19J.4 [] | Section: Fertility |
(INTERVIEWER: IF NOT OBVIOUS, ASK:) What is the correct sex of
[correction to biological child's name(4)]?
(INTERVIEWER: RECORD CORRECTED GENDER.)
| Q12-19.5 [] | Section: Fertility |
(CONTINUE VERIFYING INFORMATION:) Our records show that [CHILD] is a [SEX]
and was born on [BIRTHDATE]. Is that correct?
(INTERVIEWER: IF ALL REMAINING INFO CORRECT, HIGHLIGHT FIRST LINE AND
PRESS <ENTER>. IF ANY OTHER INCORRECT INFO, HIGHLIGHT NEXT CHILD
RECORD MENTIONED AND PRESS <ENTER> TO CORRECT INFO FOR THAT CHILD.)
If Answer = 1 Then Go To Q12-20
| Q12-19C.5 [] | Section: Fertility |
(INTERVIEWER: MARK INFORMATION THAT IS INCORRECT. IF NECESSARY PROBE:)
Is [correction to biological child's name(5)]'s name correct?
Is [correction to biological child's name(5)]'s sex correct? (GENDER=[correction to biological child's gender (text)(5)])
Is [correction to biological child's name(5)]'s birthdate correct?
(BIRTHDATE=[biological child's birthdate(5)]) (MARK ALL THAT APPLY)
| | 1 BIRTHDATE |
| | 4 NAME |
| | 5 SEX |
| | 6 OTHER (SPECIFY) |
| Q12-19E.5 [] | Section: Fertility |
([[Codes for roster items of fifth child needing correction(2)]] = 4)
COMMENT: Does name of fifth child with incorrect information need changed?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-19G.5) |
| Q12-19F.5 [] | Section: Fertility |
What is the correct name and spelling for [correction to biological child's name(5)]?
(INTERVIEWER: RECORD CORRECT NAME AND/OR SPELLING.)
| Q12-19G.5 [] | Section: Fertility |
([[Codes for roster items of fifth child needing correction(1)]] = 1)
COMMENT: Does bdate of fifth child with incorrect information need changed?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-19I.5) |
| Q12-19H.5 [] | Section: Fertility |
What is the correct birthdate for [correction to biological child's name(5)]?
(INTERVIEWER: RECORD CORRECTED BIRTHDATE.)
| Q12-19I.5 [] | Section: Fertility |
([[Codes for roster items of fifth child needing correction(3)]] = 5)
COMMENT: Does gender of fifth child with incorrect information need changed?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-20) |
| Q12-19J.5 [] | Section: Fertility |
(INTERVIEWER: IF NOT OBVIOUS, ASK:) What is the correct sex of
[correction to biological child's name(5)]?
(INTERVIEWER: RECORD CORRECTED GENDER.)
| Q12-20 [] | Section: Fertility |
INTERVIEWER: BELOW IS YOUR CORRECTED BIOLOGICAL CHILD ROSTER AS OF
[date of last interview]. REVIEW THE ROSTER TO BE SURE THAT IT IS
CORRECT. IF THE ROSTER IS NOT CORRECT, RETURN TO THE PREVIOUS
QUESTIONS BY PRESSING THE <PG-UP> KEY AND CORRECT AS NEEDED. PRESS
<ENTER> TO CONTINUE IF ROSTER IS CORRECT.
| Q12-21B [] | Section: Fertility |
CHECK ([Number of biological children before any new ones reported (second pass)])
COMMENT: Has a value already been set for totbio.counter2?
| | 1 CONDITION APPLIES ...(Go To Q12-22AA) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-22AA [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 1
COMMENT: Establish the starting line number into which any new biological
children are to be copied onto the BIOCHILD Roster.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-22AB [Y05546.00] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-22AD) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-22AD [] | Section: Fertility |
Now I would like to ask you about any BIOLOGICAL children you have had,
if any, SINCE [date of last interview], (the date of your LAST interview).
| Q12-22B [Y05547.00] | Section: Fertility |
Please tell me if you have had any biological children since [date of last interview]?
| Q12-22BA [Y05548.00] | Section: Fertility |
How many children have you had since [date of last interview], not counting any babies who were stillborn? (IF NECESSARY READ: ....or dead at birth)?
| Q12-22DA [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 2
COMMENT: Establish 2nd line of roster for new bio child info. FILL (TYPE=SEQ,SEED=@%totbio.plus1b%,START=@%totbio.plus2b%,
STOP=@%totbio.plus5b%,INC=1,NEXT=YES);
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-22DB [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 3
COMMENT: Establish 3rd line of roster for new bio child info. FILL (TYPE=SEQ,SEED=@%totbio.plus1b%,START=@%totbio.plus2b%,
STOP=@%totbio.plus5b%,INC=1,NEXT=YES);
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-22DC [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 4
COMMENT: Establish 4th line of roster for new bio child info. FILL (TYPE=SEQ,SEED=@%totbio.plus1b%,START=@%totbio.plus2b%,
STOP=@%totbio.plus5b%,INC=1,NEXT=YES);
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-22DD [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 5
COMMENT: Establish 5th line of roster for new bio child info. FILL (TYPE=SEQ,SEED=@%totbio.plus1b%,START=@%totbio.plus2b%,
STOP=@%totbio.plus5b%,INC=1,NEXT=YES);
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-22FA [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 2
COMMENT: Establish 2nd line of roster for new bio child info. FILL (TYPE=SEQ,SEED=@%totbio.plus1b%,START=@%totbio.plus2b%,
STOP=@%totbio.plus5b%,INC=1,NEXT=YES);
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-22FB [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 3
COMMENT: Establish 3rd line of roster for new bio child info. FILL (TYPE=SEQ,SEED=@%totbio.plus1b%,START=@%totbio.plus2b%,
STOP=@%totbio.plus5b%,INC=1,NEXT=YES);
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-22FC [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 4
COMMENT: Establish 4th line of roster for new bio child info. FILL (TYPE=SEQ,SEED=@%totbio.plus1b%,START=@%totbio.plus2b%,
STOP=@%totbio.plus5b%,INC=1,NEXT=YES);
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-22FD [] | Section: Fertility |
[[Total number of biological children listed in BIOCHILD roster]] + 5
COMMENT: Establish 5th line of roster for new bio child info. FILL (TYPE=SEQ,SEED=@%totbio.plus1b%,START=@%totbio.plus2b%,
STOP=@%totbio.plus5b%,INC=1,NEXT=YES);
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-27A [Y05549.00] | Section: Fertility |
Please tell me if you have ever had any children?
| Q12-27B [Y05550.00] | Section: Fertility |
How many children have you had not counting any babies who were dead at birth?
If Answer = 0 Then Go To Q12-27BB
| Q12-27BB [Y05551.00] | Section: Fertility |
([[Number of biological children respondent had since 94 interview]] > 0)
COMMENT: Is there any child to ask about?
| | 1 CONDITION APPLIES ...(Go To Q12-28.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28.1 [] | Section: Fertility |
What did you name your 1st [baby born since date of last interview/oldest baby]
(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)
| Q12-28A.1 [Y05552.00] | Section: Fertility |
Was the baby a boy or a girl?
| Q12-28B.1 [] | Section: Fertility |
When was your child born?
| Q12-28D.1 [Y05553.00] | Section: Fertility |
CHECK ([id number of bio children born since dli(1)])
COMMENT: check if the idnumber needs to be calculated (if this is the first pass through this loop).
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-28I.1) |
| Q12-28I.1 [Y05554.00] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: Was R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-28T.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28T.1 [Y05555.00] | Section: Fertility |
([[Number of biological children respondent had since 94 interview]] > 1)
COMMENT: Is there another new child to ask about?
| | 1 CONDITION APPLIES ...(Go To Q12-28.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28T1.1 [Y05556.00] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: Was R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-29GA) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28.2 [] | Section: Fertility |
What did you name your 2nd [baby born since date of last interview/oldest baby]
(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)
| Q12-28A.2 [Y05556.01] | Section: Fertility |
Was the baby a boy or a girl?
| Q12-28B.2 [] | Section: Fertility |
When was your child born?
| Q12-28D.2 [Y05557.00] | Section: Fertility |
CHECK ([id number of bio children born since dli(2)])
COMMENT: check if the idnumber needs to be calculated (if this is the first pass through this loop).
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-28I.2) |
| Q12-28I.2 [Y05559.00] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: Was R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-28T.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28T.2 [Y05560.00] | Section: Fertility |
([[Number of biological children respondent had since 94 interview]] > 2)
COMMENT: is there another new child to ask about?
| | 1 CONDITION APPLIES ...(Go To Q12-28.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28T1.2 [Y05561.00] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: Was R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-29GA) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28.3 [] | Section: Fertility |
What did you name your 3rd [baby born since date of last interview/oldest baby]
(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)
| Q12-28A.3 [Y05561.01] | Section: Fertility |
Was the baby a boy or a girl?
| Q12-28B.3 [] | Section: Fertility |
When was your child born?
| Q12-28D.3 [Y05562.00] | Section: Fertility |
CHECK ([id number of bio children born since dli(3)])
COMMENT: check if the idnumber needs to be calculated (if this is the first pass through this loop).
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-28I.3) |
| Q12-28I.3 [Y05564.00] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: Was R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-28T.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28T.3 [] | Section: Fertility |
([[Number of biological children respondent had since 94 interview]] > 3)
COMMENT: Is there another new child to ask about?
| | 1 CONDITION APPLIES ...(Go To Q12-28.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28T1.3 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: Was R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-29GA) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28.4 [] | Section: Fertility |
What did you name your 4th [baby born since date of last interview/oldest baby]
(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)
| Q12-28A.4 [] | Section: Fertility |
Was the baby a boy or a girl?
| Q12-28B.4 [] | Section: Fertility |
When was your child born?
| Q12-28D.4 [] | Section: Fertility |
CHECK ([id number of bio children born since dli(4)])
COMMENT: check if the idnumber needs to be calculated (if this is the first
pass through this loop).
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-28I.4) |
| Q12-28I.4 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: Was R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-28T.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28T.4 [] | Section: Fertility |
([[Number of biological children respondent had since 94 interview]] > 4)
COMMENT: is there another new child to ask about?
| | 1 CONDITION APPLIES ...(Go To Q12-28.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28T1.4 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: Was R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-29GA) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28.5 [] | Section: Fertility |
What did you name your 5th [baby born since date of last interview/oldest baby]
(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)
| Q12-28A.5 [] | Section: Fertility |
Was the baby a boy or a girl?
| Q12-28B.5 [] | Section: Fertility |
When was your child born?
| Q12-28D.5 [] | Section: Fertility |
CHECK ([id number of bio children born since dli(5)])
COMMENT: check if the idnumber needs to be calculated (if this is the first
pass through this loop).
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-28I.5) |
| Q12-28I.5 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: Was R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-28T.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28T.5 [] | Section: Fertility |
([[Number of biological children respondent had since 94 interview]] > 5)
COMMENT: is there another new child to ask about?
| | 1 CONDITION APPLIES ...(Go To Q12-28.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28T1.5 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: Was R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-29GA) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28.6 [] | Section: Fertility |
What did you name your 6th [baby born since date of last interview/oldest baby]
(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)
| Q12-28A.6 [] | Section: Fertility |
Was the baby a boy or a girl?
| Q12-28B.6 [] | Section: Fertility |
When was your child born?
| Q12-28D.6 [] | Section: Fertility |
CHECK ([id number of bio children born since dli(6)])
COMMENT: check if the idnumber needs to be calculated (if this is the first
pass through this loop).
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-28I.6) |
| Q12-28I.6 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: Was R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-28T.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28T.6 [] | Section: Fertility |
([[Number of biological children respondent had since 94 interview]] > 6)
COMMENT: is there another new child to ask about?
| | 1 CONDITION APPLIES ...(Go To Q12-28.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28T1.6 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: Was R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-29GA) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28.7 [] | Section: Fertility |
What did you name your 7th [baby born since date of last interview/oldest baby]
(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)
| Q12-28A.7 [] | Section: Fertility |
Was the baby a boy or a girl?
| Q12-28B.7 [] | Section: Fertility |
When was your child born?
| Q12-28D.7 [] | Section: Fertility |
CHECK ([id number of bio children born since dli(7)])
COMMENT: check if the idnumber needs to be calculated (if this is the first
pass through this loop).
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-28I.7) |
| Q12-28I.7 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: Was R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-28T.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28T.7 [] | Section: Fertility |
([[Number of biological children respondent had since 94 interview]] > 7)
COMMENT: is there another new child to ask about?
| | 1 CONDITION APPLIES ...(Go To Q12-28.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28T1.7 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: Was R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-29GA) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28.8 [] | Section: Fertility |
What did you name your 8th [baby born since date of last interview/oldest baby]
(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)
| Q12-28A.8 [] | Section: Fertility |
Was the baby a boy or a girl?
| Q12-28B.8 [] | Section: Fertility |
When was your child born?
| Q12-28D.8 [] | Section: Fertility |
CHECK ([id number of bio children born since dli(8)])
COMMENT: check if the idnumber needs to be calculated (if this is the first
pass through this loop).
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-28I.8) |
| Q12-28I.8 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: Was R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-28T.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28T.8 [] | Section: Fertility |
([[Number of biological children respondent had since 94 interview]] > 8)
COMMENT: is there another new child to ask about?
| | 1 CONDITION APPLIES ...(Go To Q12-28.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28T1.8 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: Was R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-29GA) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28.9 [] | Section: Fertility |
What did you name your 9th [baby born since date of last interview/oldest baby]
(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)
| Q12-28A.9 [] | Section: Fertility |
Was the baby a boy or a girl?
| Q12-28B.9 [] | Section: Fertility |
When was your child born?
| Q12-28D.9 [] | Section: Fertility |
CHECK ([id number of bio children born since dli(9)])
COMMENT: check if the idnumber needs to be calculated (if this is the first
pass through this loop).
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-28I.9) |
| Q12-28I.9 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: Was R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-28T.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28T.9 [] | Section: Fertility |
([[Number of biological children respondent had since 94 interview]] > 9)
COMMENT: is there another new child to ask about?
| | 1 CONDITION APPLIES ...(Go To Q12-28.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28T1.9 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: Was R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-29GA) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-28.10 [] | Section: Fertility |
What did you name your 10th [baby born since date of last interview/oldest baby]
(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)
| Q12-28A.10 [] | Section: Fertility |
Was the baby a boy or a girl?
| Q12-28B.10 [] | Section: Fertility |
When was your child born?
| Q12-28D.10 [] | Section: Fertility |
CHECK ([id number of bio children born since dli(10)])
COMMENT: check if the idnumber needs to be calculated (if this is the first
pass through this loop).
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-28I.10) |
| Q12-28I.10 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: Was R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-29GA) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-29GA [Y05565.00] | Section: Fertility |
CHECK ([Name of biological child(2)])
COMMENT: Are there at least two children on BIOCHILD roster?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-29QB) |
| Default Next: | Q12-29I.1 |
| Lead-In: | Q12-28T1.1 [1:1], Q12-28T1.2 [1:1], Q12-28T1.3 [1:1], Q12-28T1.4 [1:1], Q12-28T1.5 [1:1], Q12-28T1.6 [1:1], Q12-28T1.7 [1:1], Q12-28T1.8 [1:1], Q12-28T1.9 [1:1], Q12-28I.10 [1:1], Q12-22FD [Default], Q12-28T1.1 [Default], Q12-28T1.2 [Default], Q12-28T1.3 [Default], Q12-28T1.4 [Default], Q12-28T1.5 [Default], Q12-28T1.6 [Default], Q12-28T1.7 [Default], Q12-28T1.8 [Default], Q12-28T1.9 [Default], Q12-28I.10 [Default] |
| Q12-29I.1 [] | Section: Fertility |
(INTERVIEWER: CHECK FOR CHILDREN WITH THE SAME BIRTHDATE. FOR EACH PAIR OR
GROUP OF NON-DELETED CHILDREN WITH THE SAME BIRTHDATE, ASK:)
Is it correct that (READ NAMES OF CHILDREN WITH SAME BIRTHDATES) are
(twins/triplets/etc.)? (ENTER R'S RESPONSE ON NEXT SCREEN. IF NO CHILDREN
HAVE SAME BIRTHDATE, ENTER NO ON NEXT SCREEN.)
| Q12-29J.1 [Y05566.00] | Section: Fertility |
INTERVIEWER: ARE THERE ANY TWINS/TRIPLETS/ETC. LISTED ON THE ROSTER OF BIOLOGICAL CHILDREN ON PREVIOUS SCREEN? ENTER R'S RESPONSE BELOW.
| | 0 NO (MORE) TWINS/TRIPLETS/ETC. ON CHILD ROSTER ...(Go To Q12-29QB) |
| | 1 ONE SET OF TWINS ON CHILD ROSTER ...(Go To Q12-29L.1) |
| | 2 ONE SET OF TRIPLETS ON CHILD ROSTER ...(Go To Q12-29O.1) |
| | 3 INCORRECT TWINS/TRIPLETS/ETC. ON CHILD ROSTER |
| Q12-29K.1 [] | Section: Fertility |
INTERVIEWER: VERIFY THE BIRTHDATE INFORMATION FOR THE CHILDREN INCORRECTLY
LISTED AS TWINS/TRIPLETS/ETC. <PGUP> AS NECESSARY TO CORRECT CHILD
INFORMATION. IF RESPONDENT CONFIRMS BIRTHDATES LISTED, EXPLAIN IN AN
INTERVIEWER COMMENT.
| Q12-29L.1 [] | Section: Fertility |
(INTERVIEWER: TO VERIFY, HIGHLIGHT THE NAME OF THE FIRST TWIN CHILD
IDENTIFIED ON THE CHILD ROSTER BELOW, AND IF SAME SEX, ASK:)
Are [CHILD NAME 1] and [CHILD NAME 2] identical twins or are they
fraternal twins? (IF NOT SAME SEX, CODE FRATERNAL.)
(PRESS <ENTER> RESPONSE ON NEXT SCREEN)
| Q12-29M.1 [Y05567.00] | Section: Fertility |
(Are [CHILD NAME 1] and [CHILD NAME 2] identical twins or are they fraternal twins?)
(INTERVIEWER: IF TWINS NOT THE SAME SEX, THEY ARE FRATERNAL.)
| Q12-29O.1 [] | Section: Fertility |
(INTERVIEWER: TO VERIFY, HIGHLIGHT THE NAME OF THE FIRST TRIPLET CHILD
IDENTIFIED ON THE CHILD ROSTER BELOW, AND IF SAME SEX, ASK:)
Are [CHILD NAME 1], [CHILD NAME 2] and [CHILD NAME 3] identical triplets or
are they fraternal triplets? (IF NOT SAME SEX, CODE FRATERNAL.)
(PRESS <ENTER> RESPONSE ON NEXT SCREEN)
| Q12-29P.1 [] | Section: Fertility |
(Are [CHILD NAME 1], [CHILD NAME 2] and [CHILD NAME 3] identical triplets
or are they fraternal triplets?)
(INTERVIEWER: IF TRIPLETS NOT THE SAME SEX, THEY ARE FRATERNAL.)
| Q12-29I.2 [] | Section: Fertility |
(INTERVIEWER: CHECK FOR CHILDREN WITH THE SAME BIRTHDATE. FOR THE NEXT
PAIR OR GROUP OF NON-DELETED CHILDREN WITH THE SAME BIRTHDATE, ASK:)
Is it correct that (READ NAMES OF CHILDREN WITH SAME BIRTHDATES) are
(twins/triplets/etc.)? (ENTER R'S RESPONSE ON NEXT SCREEN. IF NO MORE
CHILDREN HAVE SAME BIRTHDATE, ENTER NO ON NEXT SCREEN.)
| Q12-29J.2 [Y05568.00] | Section: Fertility |
INTERVIEWER: ARE THERE ANY MORE TWINS/TRIPLETS/ETC. LISTED ON THE ROSTER
OF BIOLOGICAL CHILDREN ON PREVIOUS SCREEN? ENTER R'S RESPONSE BELOW.
| | 0 NO (MORE) TWINS/TRIPLETS/ETC. ON CHILD ROSTER ...(Go To Q12-29QB) |
| | 1 ONE SET OF TWINS ON CHILD ROSTER ...(Go To Q12-29L.2) |
| | 2 ONE SET OF TRIPLETS ON CHILD ROSTER ...(Go To Q12-29O.2) |
| | 3 INCORRECT TWINS/TRIPLETS/ETC. ON CHILD ROSTER |
| Q12-29K.2 [] | Section: Fertility |
INTERVIEWER: VERIFY THE BIRTHDATE INFORMATION FOR THE CHILDREN INCORRECTLY
LISTED AS TWINS/TRIPLETS/ETC. <PGUP> AS NECESSARY TO CORRECT CHILD
INFORMATION. IF RESPONDENT CONFIRMS BIRTHDATES LISTED, EXPLAIN IN AN
INTERVIEWER COMMENT.
(SECOND SET OF TWINS/TRIPLETS)
| Q12-29L.2 [] | Section: Fertility |
(INTERVIEWER: TO VERIFY, HIGHLIGHT THE NAME OF THE FIRST TWIN CHILD
IDENTIFIED ON THE CHILD ROSTER BELOW, AND IF SAME SEX, ASK:)
Are [CHILD NAME 1] and [CHILD NAME 2] identical twins or are they
fraternal twins? (IF NOT SAME SEX, CODE FRATERNAL.)
(SECOND SET OF TWINS) (PRESS <ENTER> RESPONSE ON NEXT SCREEN)
| Q12-29M.2 [] | Section: Fertility |
(Are [CHILD NAME 1] and [CHILD NAME 2] identical twins or are they
fraternal twins?)
(INTERVIEWER: IF TWINS NOT THE SAME SEX, THEY ARE FRATERNAL.)
(SECOND SET OF TWINS)
| Q12-29O.2 [] | Section: Fertility |
(INTERVIEWER: TO VERIFY, HIGHLIGHT THE NAME OF THE FIRST TRIPLET CHILD
IDENTIFIED ON THE CHILD ROSTER BELOW, AND IF SAME SEX, ASK:)
Are [CHILD NAME 1], [CHILD NAME 2] and [CHILD NAME 3] identical triplets or
are they fraternal triplets? (IF NOT SAME SEX, CODE FRATERNAL.)
(SECOND SET OF TRIPLETS) (PRESS <ENTER> RESPONSE ON NEXT SCREEN)
| Q12-29P.2 [] | Section: Fertility |
(Are [CHILD NAME 1], [CHILD NAME 2] and [CHILD NAME 3] identical triplets
or are they fraternal triplets?)
(INTERVIEWER: IF TRIPLETS NOT THE SAME SEX, THEY ARE FRATERNAL.)
(SECOND SET OF TRIPLETS)
| Q12-29QB [] | Section: Fertility |
CHECK ([Name of biological child(1)])
COMMENT: Is there at least one child on BIOCHILD roster?
| | 1 CONDITION APPLIES ...(Go To Q12-29QD) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-29QD [] | Section: Fertility |
CHECK ([Name of biological child(2)])
COMMENT: Is there at another child on BIOCHILD roster?
| | 1 CONDITION APPLIES ...(Go To Q12-29QL) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-29QL [] | Section: Fertility |
CHECK ([Name of biological child(10)])
COMMENT: Are there 10 children on BIOCHILD roster?
| | 1 CONDITION APPLIES ...(Go To Q12-29SA.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-29QN [] | Section: Fertility |
CHECK ([Name of biological child(9)])
COMMENT: Are there 9 children on BIOCHILD roster?
| | 1 CONDITION APPLIES ...(Go To Q12-29SA.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-29QP [] | Section: Fertility |
CHECK ([Name of biological child(8)])
COMMENT: Are there 8 children on BIOCHILD roster?
| | 1 CONDITION APPLIES ...(Go To Q12-29SA.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-29QR [] | Section: Fertility |
CHECK ([Name of biological child(7)])
COMMENT: Are there 7 children on BIOCHILD roster?
| | 1 CONDITION APPLIES ...(Go To Q12-29SA.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-29QT [] | Section: Fertility |
CHECK ([Name of biological child(6)])
COMMENT: Are there 6 children on BIOCHILD roster?
| | 1 CONDITION APPLIES ...(Go To Q12-29SA.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-29QV [] | Section: Fertility |
CHECK ([Name of biological child(5)])
COMMENT: Are there 5 children on BIOCHILD roster?
| | 1 CONDITION APPLIES ...(Go To Q12-29SA.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-29QX [] | Section: Fertility |
CHECK ([Name of biological child(4)])
COMMENT: Are there 4 children on BIOCHILD roster?
| | 1 CONDITION APPLIES ...(Go To Q12-29SA.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-29QZ [] | Section: Fertility |
CHECK ([Name of biological child(3)])
COMMENT: Are there 3 children on BIOCHILD roster?
| | 1 CONDITION APPLIES ...(Go To Q12-29SA.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-29SA.1 [] | Section: Fertility |
CHECK([Name of biological child(1)])
COMMENT: Check the name field to determine if there is a child to ask about
| | 1 CONDITION APPLIES ...(Go To Q12-29SA.2) |
| | 0 CONDITION DOES NOT APPLY |
| Default Next: | Q12-29-A |
| Lead-In: | Q12-29QL [1:1], Q12-29QN [1:1], Q12-29QP [1:1], Q12-29QR [1:1], Q12-29QT [1:1], Q12-29QV [1:1], Q12-29QX [1:1], Q12-29QZ [1:1], Q12-29QB [Default], Q12-29QD [Default], Q12-29QZ [Default] |
| Q12-29SA.2 [] | Section: Fertility |
CHECK([Name of biological child(2)])
COMMENT: Check the name field to determine if there is a child to ask about
| | 1 CONDITION APPLIES ...(Go To Q12-29SA.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-29SA.3 [] | Section: Fertility |
CHECK([Name of biological child(3)])
COMMENT: Check the name field to determine if there is a child to ask about
| | 1 CONDITION APPLIES ...(Go To Q12-29SA.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-29SA.4 [] | Section: Fertility |
CHECK([Name of biological child(4)])
COMMENT: Check the name field to determine if there is a child to ask about
| | 1 CONDITION APPLIES ...(Go To Q12-29SA.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-29SA.5 [] | Section: Fertility |
CHECK([Name of biological child(5)])
COMMENT: Check the name field to determine if there is a child to ask about
| | 1 CONDITION APPLIES ...(Go To Q12-29SA.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-29SA.6 [] | Section: Fertility |
CHECK([Name of biological child(6)])
COMMENT: Check the name field to determine if there is a child to ask about
| | 1 CONDITION APPLIES ...(Go To Q12-29SA.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-29SA.7 [] | Section: Fertility |
CHECK([Name of biological child(7)])
COMMENT: Check the name field to determine if there is a child to ask about
| | 1 CONDITION APPLIES ...(Go To Q12-29SA.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-29SA.8 [] | Section: Fertility |
CHECK([Name of biological child(8)])
COMMENT: Check the name field to determine if there is a child to ask about
| | 1 CONDITION APPLIES ...(Go To Q12-29SA.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-29SA.9 [] | Section: Fertility |
CHECK([Name of biological child(9)])
COMMENT: Check the name field to determine if there is a child to ask about
| | 1 CONDITION APPLIES ...(Go To Q12-29SA.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-29SA.10 [] | Section: Fertility |
CHECK([Name of biological child(10)])
COMMENT: Check the name field to determine if there is a child to ask about
| | 1 CONDITION APPLIES ...(Go To Q12-29-A) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-29-A [] | Section: Fertility |
(INTERVIEWER: BELOW IS THE UPDATED CHILD ROSTER. IF ANY OF THE
INFORMATION IS INCORRECT PLEASE <PG-UP> AND CORRECT
THE ANSWERS TO THE PREVIOUS QUESTIONS)
| Default Next: | Q12-30.1 |
| Lead-In: | Q12-29SA.10 [1:1], Q12-29SA.1 [Default], Q12-29SA.2 [Default], Q12-29SA.3 [Default], Q12-29SA.4 [Default], Q12-29SA.5 [Default], Q12-29SA.6 [Default], Q12-29SA.7 [Default], Q12-29SA.8 [Default], Q12-29SA.9 [Default], Q12-29SA.10 [Default] |
| Q12-30.1 [Y05569.00] | Section: Fertility |
CHECK ([Name of biological child(1)])
COMMENT: Check the name field to determine if there is a child to ask about
| | 1 CONDITION APPLIES ...(Go To Q12-30C.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-30C.1 [Y05570.00] | Section: Fertility |
[[Status of biological child (code)(1)]]
COMMENT: Check the status of the child. if deceased or deleted, or adopted out skip to the next child. If the child is added, skip to appropriate question
If Answer = 5 Then Go To Q12-44.1
If Answer = 8 Then Go To Q12-44.1
If Answer = 99 Then Go To Q12-30.2
| Q12-30D.1 [Y05571.00] | Section: Fertility |
Where does [Name of biological child(1)] usually live?
| | 1 IN THIS HOUSEHOLD |
| | 2 WITH (HIS/HER) (FATHER/MOTHER) |
| | 3 WITH OTHER RELATIVES (SPECIFY) |
| | 4 WITH FOSTER CARE |
| | 5 WITH ADOPTIVE PARENTS |
| | 6 LONG TERM CARE INSTITUTION |
| | 7 AWAY AT SCHOOL |
| | 8 DECEASED ...(Go To Q12-30E.1) |
| | 9 PART-TIME WITH R, PART-TIME WITH OTHER PARENT |
| | 10 PART-TIME WITH R, PART-TIME WITH OTHER PERSON |
| | 11 OTHER (SPECIFY) |
| Q12-30DB.1 [Y05572.00] | Section: Fertility |
[[usual residence of biological child(1)]]
COMMENT: Enter code for hhiflag.
If Answer >= 2 AND Answer <= 4 Then Go To Q12-44.1
If Answer = 5 Then Go To Q12-30.2
If Answer >= 6 AND Answer <= 7 Then Go To Q12-44.1
If Answer = 8 Then Go To Q12-30E.1
If Answer = 11 Then Go To Q12-44.1
| Q12-30E.1 [Y05573.01] | Section: Fertility |
When did [Name of biological child(1)] die?
| Q12-44.1 [Y05574.00] | Section: Fertility |
[[usual residence of biological child(1)]]
COMMENT: skip according to resident status of child
If Answer = 1 Then Go To Q12-45.1
If Answer = 5 Then Go To Q12-30.2
If Answer = 8 Then Go To Q12-30.2
If Answer = 9 Then Go To Q12-47.1
If Answer = 10 Then Go To Q12-45.1
| Q12-45.1 [Y05575.00] | Section: Fertility |
Does [Name of biological child(1)]'s natural [mother/father] live in this household?
| Q12-46.1 [Y05576.00] | Section: Fertility |
Is [Name of biological child(1)]'s [mother/father] living?
| Q12-47.1 [Y05577.00] | Section: Fertility |
When did [Name of biological child(1)]'s natural [mother/father] leave the household?
| | 1 SELECT TO ENTER DATE |
| | 2 NATURAL (MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD ...(Go To Q12-50.1) |
| Q12-47A.1 [Y05578.00] | Section: Fertility |
INTERVIEWER: ENTER MONTH AND YEAR [Name of biological child(1)]'S NATURAL [mother/father] LEFT THE HOUSEHOLD.
| Q12-48.1 [Y05579.01] | Section: Fertility |
When did [Name of biological child(1)]'s natural [mother/father] die?
(INTERVIEWER: ENTER MONTH AND YEAR.)
| Q12-50.1 [Y05580.00] | Section: Fertility |
([Q12-46.1] = -1 | [Q12-46.1] = -2)
COMMENT: Did R not know whether child's other parent is living?
| | 1 CONDITION APPLIES ...(Go To Q12-30.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-50A.1 [Y05581.00] | Section: Fertility |
(HAND CARD AA) About how far from you does [Name of biological child(1)]'s [mother/father] live? Is it...
| | 1 Within 1 mile |
| | 2 1-10 Miles |
| | 3 11-100 Miles |
| | 4 101-200 Miles |
| | 5 More than 200 Miles |
| Q12-51.1 [Y05582.00] | Section: Fertility |
(HAND CARD BB) In the past 12 months, about how often has [Name of biological child(1)] seen (his/her) [mother/father]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(1)] has been separated from (his/her) [mother/father], about how often has [Name of biological child(1)] seen (his/her) [mother/father]?
| | 1 Almost every day |
| | 2 2-5 times a week |
| | 3 About once a week |
| | 4 1-3 times a month |
| | 5 7-11 times in past 12 months |
| | 6 2-6 times in past 12 months |
| | 7 Once in past 12 months |
| | 0 Never ...(Go To Q12-30.2) |
| Q12-52.1 [Y05583.00] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)
| Q12-53.1 [Y05584.00] | Section: Fertility |
(HAND CARD AA) About how far from you does [Name of biological child(1)] live? Is it....
| | 1 Within 1 mile |
| | 2 1-10 Miles |
| | 3 11-100 Miles |
| | 4 101-200 Miles |
| | 5 More than 200 Miles |
| Q12-54.1 [Y05585.00] | Section: Fertility |
(HAND CARD BB) In the past 12 months, about how often have you seen [Name of biological child(1)]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(1)] has not been living with you, about how often have you seen [Name of biological child(1)]?
| | 1 Almost every day |
| | 2 2-5 times a week |
| | 3 About once a week |
| | 4 1-3 times a month |
| | 5 7-11 times in past 12 months |
| | 6 2-6 times in past 12 months |
| | 7 Once in past 12 months |
| | 0 Never ...(Go To Q12-55A.1) |
| Q12-55.1 [Y05586.00] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)
| Q12-55A.1 [Y05587.00] | Section: Fertility |
Are you contributing money for the child's upbringing now?
| Q12-55B.1 [Y05588.00] | Section: Fertility |
Do you do this on a regular basis or once in a while?
| | 1 Regular |
| | 2 Once in a while |
| Q12-55C.1 [Y05589.00] | Section: Fertility |
How much do you give?
(INTERVIEWER : NEXT QUESTION ASKS FOR UNIT) ENTER DOLLAR AMOUNT:
| Q12-55D.1 [Y05590.00] | Section: Fertility |
Is that per week, per month or per year?
| | 4 Per Week |
| | 1 Per month |
| | 2 Per year |
| | 3 OTHER (SPECIFY) |
| Q12-56.1 [Y05591.00] | Section: Fertility |
When did [Name of biological child(1)] last live with you?
| | 1 SELECT TO ENTER DATE ...(Go To Q12-57.1) |
| | 0 NEVER LIVED WITH R |
| Q12-57.1 [Y05592.01] | Section: Fertility |
(When did [Name of biological child(1)] last live with you?)
ENTER DATE:
| Q12-58.1 [Y05593.00] | Section: Fertility |
(Were/Was) there any period(s) of more than three consecutive months when [Name of biological child(1)] did not live with you before that time?
| | 1 Yes |
| | 0 No |
| | 2 CHILD IS LESS THAN THREE MONTHS OLD |
| Q12-30.2 [Y05594.00] | Section: Fertility |
CHECK([Name of biological child(2)])
COMMENT: Check the name field to determine if there is a child to ask about
| | 1 CONDITION APPLIES ...(Go To Q12-30C.2) |
| | 0 CONDITION DOES NOT APPLY |
| Default Next: | Q12-74A-C.1 |
| Lead-In: | Q12-30C.1 [99:99], Q12-30DB.1 [5:5], Q12-44.1 [5:5], Q12-44.1 [8:8], Q12-45.1 [1:1], Q12-50.1 [1:1], Q12-51.1 [0:0], Q12-48.1 [Default], Q12-52.1 [Default], Q12-56.1 [Default], Q12-58.1 [Default] |
| Q12-30C.2 [] | Section: Fertility |
[[Status of biological child (code)(2)]]
COMMENT: Check the status of the child. if deceased or deleted, or adopted out
skip to the next child. If the child is added, skip to appropriate
question
If Answer = 5 Then Go To Q12-44.2
If Answer = 8 Then Go To Q12-44.2
If Answer = 99 Then Go To Q12-30.3
| Q12-30D.2 [Y05596.00] | Section: Fertility |
Where does [Name of biological child(2)] usually live?
| | 1 IN THIS HOUSEHOLD |
| | 2 WITH (HIS/HER) (FATHER/MOTHER) |
| | 3 WITH OTHER RELATIVES (SPECIFY) |
| | 4 WITH FOSTER CARE |
| | 5 WITH ADOPTIVE PARENTS |
| | 6 LONG TERM CARE INSTITUTION |
| | 7 AWAY AT SCHOOL |
| | 8 DECEASED ...(Go To Q12-30E.2) |
| | 9 PART-TIME WITH R, PART-TIME WITH OTHER PARENT |
| | 10 PART-TIME WITH R, PART-TIME WITH OTHER PERSON |
| | 11 OTHER (SPECIFY) |
| Q12-30DB.2 [Y05597.00] | Section: Fertility |
[[usual residence of biological child(2)]]
COMMENT: Enter code for hhiflag.
If Answer >= 2 AND Answer <= 4 Then Go To Q12-44.2
If Answer = 5 Then Go To Q12-30.3
If Answer >= 6 AND Answer <= 7 Then Go To Q12-44.2
If Answer = 8 Then Go To Q12-30E.2
If Answer = 11 Then Go To Q12-44.2
| Q12-30E.2 [Y05598.00] | Section: Fertility |
When did [Name of biological child(2)] die?
| Q12-44.2 [Y05599.00] | Section: Fertility |
[[usual residence of biological child(2)]]
COMMENT: skip according to resident status of child
If Answer = 1 Then Go To Q12-45.2
If Answer = 5 Then Go To Q12-30.3
If Answer = 8 Then Go To Q12-30.3
If Answer = 9 Then Go To Q12-47.2
If Answer = 10 Then Go To Q12-45.2
| Q12-45.2 [Y05600.00] | Section: Fertility |
Does [Name of biological child(2)]'s natural [mother/father] live in this household?
| Q12-46.2 [Y05601.00] | Section: Fertility |
Is [Name of biological child(2)]'s [mother/father] living?
| Q12-47.2 [Y05602.00] | Section: Fertility |
When did [Name of biological child(2)]'s natural [mother/father] leave the household?
| | 1 SELECT TO ENTER DATE |
| | 2 NATURAL (MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD ...(Go To Q12-50.2) |
| Q12-47A.2 [Y05603.01] | Section: Fertility |
INTERVIEWER: ENTER MONTH AND YEAR [Name of biological child(2)]'S NATURAL [mother/father] LEFT THE HOUSEHOLD.
| Q12-48.2 [Y05604.01] | Section: Fertility |
When did [Name of biological child(2)]'s natural [mother/father] die?
(INTERVIEWER: ENTER MONTH AND YEAR.)
| Q12-50.2 [Y05605.00] | Section: Fertility |
([Q12-46.2] = -1 | [Q12-46.2] = -2)
COMMENT: Did R not know whether child's other parent is living?
| | 1 CONDITION APPLIES ...(Go To Q12-30.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-50A.2 [Y05606.00] | Section: Fertility |
(HAND CARD AA) About how far from you does [Name of biological child(2)]'s [mother/father] live? Is it...
| | 1 Within 1 mile |
| | 2 1-10 Miles |
| | 3 11-100 Miles |
| | 4 101-200 Miles |
| | 5 More than 200 Miles |
| Q12-51.2 [Y05607.00] | Section: Fertility |
(HAND CARD BB) In the past 12 months, about how often has [Name of biological child(2)] seen (his/her) [mother/father]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(2)] has been separated from (his/her) [mother/father], about how often has [Name of biological child(2)] seen (his/her) [mother/father]?
| | 1 Almost every day |
| | 2 2-5 times a week |
| | 3 About once a week |
| | 4 1-3 times a month |
| | 5 7-11 times in past 12 months |
| | 6 2-6 times in past 12 months |
| | 7 Once in past 12 months |
| | 0 Never ...(Go To Q12-30.3) |
| Q12-52.2 [Y05608.00] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)
| Q12-53.2 [Y05609.00] | Section: Fertility |
(HAND CARD AA) About how far from you does [Name of biological child(2)] live? Is it....
| | 1 Within 1 mile |
| | 2 1-10 Miles |
| | 3 11-100 Miles |
| | 4 101-200 Miles |
| | 5 More than 200 Miles |
| Q12-54.2 [Y05610.00] | Section: Fertility |
(HAND CARD BB) In the past 12 months, about how often have you seen [Name of biological child(2)]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(2)] has not been living with you, about how often have you seen [Name of biological child(2)]?
| | 1 Almost every day |
| | 2 2-5 times a week |
| | 3 About once a week |
| | 4 1-3 times a month |
| | 5 7-11 times in past 12 months |
| | 6 2-6 times in past 12 months |
| | 7 Once in past 12 months |
| | 0 Never ...(Go To Q12-55A.2) |
| Q12-55.2 [Y05611.00] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)
| Q12-55A.2 [Y05612.00] | Section: Fertility |
Are you contributing money for the child's upbringing now?
| Q12-55B.2 [Y05613.00] | Section: Fertility |
Do you do this on a regular basis or once in a while?
| | 1 Regular |
| | 2 Once in a while |
| Q12-55C.2 [Y05614.00] | Section: Fertility |
How much do you give?
(INTERVIEWER : NEXT QUESTION ASKS FOR UNIT) ENTER DOLLAR AMOUNT:
| Q12-55D.2 [Y05615.00] | Section: Fertility |
Is that per week, per month or per year?
| | 4 Per Week |
| | 1 Per month |
| | 2 Per year |
| | 3 OTHER (SPECIFY) |
| Q12-56.2 [Y05616.00] | Section: Fertility |
When did [Name of biological child(2)] last live with you?
| | 1 SELECT TO ENTER DATE ...(Go To Q12-57.2) |
| | 0 NEVER LIVED WITH R |
| Q12-57.2 [Y05617.01] | Section: Fertility |
(When did [Name of biological child(2)] last live with you?)
ENTER DATE:
| Q12-58.2 [Y05618.00] | Section: Fertility |
(Were/Was) there any period(s) of more than three consecutive months when [Name of biological child(2)] did not live with you before that time?
| | 1 Yes |
| | 0 No |
| | 2 CHILD IS LESS THAN THREE MONTHS OLD |
| Q12-30.3 [Y05619.00] | Section: Fertility |
CHECK ([Name of biological child(3)])
COMMENT: Check the name field to determine if there is a child to ask about
| | 1 CONDITION APPLIES ...(Go To Q12-30C.3) |
| | 0 CONDITION DOES NOT APPLY |
| Default Next: | Q12-74A-C.1 |
| Lead-In: | Q12-30C.2 [99:99], Q12-30DB.2 [5:5], Q12-44.2 [5:5], Q12-44.2 [8:8], Q12-45.2 [1:1], Q12-50.2 [1:1], Q12-51.2 [0:0], Q12-48.2 [Default], Q12-52.2 [Default], Q12-56.2 [Default], Q12-58.2 [Default] |
| Q12-30C.3 [] | Section: Fertility |
[[Status of biological child (code)(3)]]
COMMENT: Check the status of the child. if deceased or deleted, or adopted out skip to the next child. If the child is added, skip to appropriate question
If Answer = 5 Then Go To Q12-44.3
If Answer = 8 Then Go To Q12-44.3
If Answer = 99 Then Go To Q12-30.4
| Q12-30D.3 [Y05621.00] | Section: Fertility |
Where does [Name of biological child(3)] usually live?
| | 1 IN THIS HOUSEHOLD |
| | 2 WITH (HIS/HER) (FATHER/MOTHER) |
| | 3 WITH OTHER RELATIVES (SPECIFY) |
| | 4 WITH FOSTER CARE |
| | 5 WITH ADOPTIVE PARENTS |
| | 6 LONG TERM CARE INSTITUTION |
| | 7 AWAY AT SCHOOL |
| | 8 DECEASED ...(Go To Q12-30E.3) |
| | 9 PART-TIME WITH R, PART-TIME WITH OTHER PARENT |
| | 10 PART-TIME WITH R, PART-TIME WITH OTHER PERSON |
| | 11 OTHER (SPECIFY) |
| Q12-30DB.3 [] | Section: Fertility |
[[usual residence of biological child(3)]]
COMMENT: Enter code for hhiflag.
If Answer >= 2 AND Answer <= 4 Then Go To Q12-44.3
If Answer = 5 Then Go To Q12-30.4
If Answer >= 6 AND Answer <= 7 Then Go To Q12-44.3
If Answer = 8 Then Go To Q12-30E.3
If Answer = 11 Then Go To Q12-44.3
| Q12-30E.3 [] | Section: Fertility |
When did [Name of biological child(3)] die?
| Q12-44.3 [Y05623.00] | Section: Fertility |
[[usual residence of biological child(3)]]
COMMENT: skip according to resident status of child
If Answer = 1 Then Go To Q12-45.3
If Answer = 5 Then Go To Q12-30.4
If Answer = 8 Then Go To Q12-30.4
If Answer = 9 Then Go To Q12-47.3
If Answer = 10 Then Go To Q12-45.3
| Q12-45.3 [Y05624.00] | Section: Fertility |
Does [Name of biological child(3)]'s natural [mother/father] live in this household?
| Q12-46.3 [Y05625.00] | Section: Fertility |
Is [Name of biological child(3)]'s [mother/father] living?
| Q12-47.3 [Y05626.00] | Section: Fertility |
When did [Name of biological child(3)]'s natural [mother/father] leave the household?
| | 1 SELECT TO ENTER DATE |
| | 2 NATURAL (MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD ...(Go To Q12-50.3) |
| Q12-47A.3 [Y05627.01] | Section: Fertility |
INTERVIEWER: ENTER MONTH AND YEAR [Name of biological child(3)]'S NATURAL [mother/father] LEFT THE HOUSEHOLD.
| Q12-48.3 [] | Section: Fertility |
When did [Name of biological child(3)]'s natural [mother/father] die?
(INTERVIEWER: ENTER MONTH AND YEAR.)
| Q12-50.3 [Y05628.00] | Section: Fertility |
([Q12-46.3] = -1 | [Q12-46.3] = -2)
COMMENT: Did R not know whether child's other parent is living?
| | 1 CONDITION APPLIES ...(Go To Q12-30.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-50A.3 [Y05629.00] | Section: Fertility |
(HAND CARD AA) About how far from you does [Name of biological child(3)]'s [mother/father] live? Is it...
| | 1 Within 1 mile |
| | 2 1-10 Miles |
| | 3 11-100 Miles |
| | 4 101-200 Miles |
| | 5 More than 200 Miles |
| Q12-51.3 [Y05630.00] | Section: Fertility |
(HAND CARD BB) In the past 12 months, about how often has [Name of biological child(3)] seen (his/her) [mother/father]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(3)] has been separated from (his/her) [mother/father], about how often has [Name of biological child(3)] seen (his/her) [mother/father]?
| | 1 Almost every day |
| | 2 2-5 times a week |
| | 3 About once a week |
| | 4 1-3 times a month |
| | 5 7-11 times in past 12 months |
| | 6 2-6 times in past 12 months |
| | 7 Once in past 12 months |
| | 0 Never ...(Go To Q12-30.4) |
| Q12-52.3 [Y05631.00] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)
| Q12-53.3 [Y05632.00] | Section: Fertility |
(HAND CARD AA) About how far from you does [Name of biological child(3)] live? Is it....
| | 1 Within 1 mile |
| | 2 1-10 Miles |
| | 3 11-100 Miles |
| | 4 101-200 Miles |
| | 5 More than 200 Miles |
| Q12-54.3 [Y05633.00] | Section: Fertility |
(HAND CARD BB) In the past 12 months, about how often have you seen [Name of biological child(3)]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(3)] has not been living with you, about how often have you seen [Name of biological child(3)]?
| | 1 Almost every day |
| | 2 2-5 times a week |
| | 3 About once a week |
| | 4 1-3 times a month |
| | 5 7-11 times in past 12 months |
| | 6 2-6 times in past 12 months |
| | 7 Once in past 12 months |
| | 0 Never ...(Go To Q12-55A.3) |
| Q12-55.3 [Y05634.00] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)
| Q12-55A.3 [Y05635.00] | Section: Fertility |
Are you contributing money for the child's upbringing now?
| Q12-55B.3 [Y05636.00] | Section: Fertility |
Do you do this on a regular basis or once in a while?
| | 1 Regular |
| | 2 Once in a while |
| Q12-55C.3 [Y05637.00] | Section: Fertility |
How much do you give?
(INTERVIEWER : NEXT QUESTION ASKS FOR UNIT) ENTER DOLLAR AMOUNT:
| Q12-55D.3 [Y05638.00] | Section: Fertility |
Is that per week, per month or per year?
| | 4 Per Week |
| | 1 Per month |
| | 2 Per year |
| | 3 OTHER (SPECIFY) |
| Q12-56.3 [Y05639.00] | Section: Fertility |
When did [Name of biological child(3)] last live with you?
| | 1 SELECT TO ENTER DATE ...(Go To Q12-57.3) |
| | 0 NEVER LIVED WITH R |
| Q12-57.3 [Y05640.00] | Section: Fertility |
(When did [Name of biological child(3)] last live with you?)
ENTER DATE:
| Q12-58.3 [Y05641.00] | Section: Fertility |
(Were/Was) there any period(s) of more than three consecutive months when [Name of biological child(3)] did not live with you before that time?
| | 1 Yes |
| | 0 No |
| | 2 CHILD IS LESS THAN THREE MONTHS OLD |
| Q12-30.4 [Y05642.00] | Section: Fertility |
CHECK ([Name of biological child(4)])
COMMENT: Check the name field to determine if there is a child to ask about
| | 1 CONDITION APPLIES ...(Go To Q12-30C.4) |
| | 0 CONDITION DOES NOT APPLY |
| Default Next: | Q12-74A-C.1 |
| Lead-In: | Q12-30C.3 [99:99], Q12-30DB.3 [5:5], Q12-44.3 [5:5], Q12-44.3 [8:8], Q12-45.3 [1:1], Q12-50.3 [1:1], Q12-51.3 [0:0], Q12-48.3 [Default], Q12-52.3 [Default], Q12-56.3 [Default], Q12-58.3 [Default] |
| Q12-30C.4 [] | Section: Fertility |
[[Status of biological child (code)(4)]]
COMMENT: Check the status of the child. if deceased or deleted, or adopted out skip to the next child. If the child is added, skip to appropriate question
If Answer = 5 Then Go To Q12-44.4
If Answer = 8 Then Go To Q12-44.4
If Answer = 99 Then Go To Q12-30.5
| Q12-30D.4 [Y05644.00] | Section: Fertility |
Where does [Name of biological child(4)] usually live?
| | 1 IN THIS HOUSEHOLD |
| | 2 WITH (HIS/HER) (FATHER/MOTHER) |
| | 3 WITH OTHER RELATIVES (SPECIFY) |
| | 4 WITH FOSTER CARE |
| | 5 WITH ADOPTIVE PARENTS |
| | 6 LONG TERM CARE INSTITUTION |
| | 7 AWAY AT SCHOOL |
| | 8 DECEASED ...(Go To Q12-30E.4) |
| | 9 PART-TIME WITH R, PART-TIME WITH OTHER PARENT |
| | 10 PART-TIME WITH R, PART-TIME WITH OTHER PERSON |
| | 11 OTHER (SPECIFY) |
| Q12-30DB.4 [] | Section: Fertility |
[[usual residence of biological child(4)]]
COMMENT: Enter code for hhiflag.
If Answer >= 2 AND Answer <= 4 Then Go To Q12-44.4
If Answer = 5 Then Go To Q12-30.5
If Answer >= 6 AND Answer <= 7 Then Go To Q12-44.4
If Answer = 8 Then Go To Q12-30E.4
If Answer = 11 Then Go To Q12-44.4
| Q12-30E.4 [] | Section: Fertility |
When did [Name of biological child(4)] die?
| Q12-44.4 [Y05646.00] | Section: Fertility |
[[usual residence of biological child(4)]]
COMMENT: skip according to resident status of child
If Answer = 1 Then Go To Q12-45.4
If Answer = 5 Then Go To Q12-30.5
If Answer = 8 Then Go To Q12-30.5
If Answer = 9 Then Go To Q12-47.4
If Answer = 10 Then Go To Q12-45.4
| Q12-45.4 [Y05647.00] | Section: Fertility |
Does [Name of biological child(4)]'s natural [mother/father] live in this household?
| Q12-46.4 [Y05648.00] | Section: Fertility |
Is [Name of biological child(4)]'s [mother/father] living?
| Q12-47.4 [Y05649.00] | Section: Fertility |
When did [Name of biological child(4)]'s natural [mother/father] leave the household?
| | 1 SELECT TO ENTER DATE |
| | 2 NATURAL (MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD ...(Go To Q12-50.4) |
| Q12-47A.4 [] | Section: Fertility |
INTERVIEWER: ENTER MONTH AND YEAR [Name of biological child(4)]'S NATURAL [mother/father] LEFT THE HOUSEHOLD.
| Q12-48.4 [] | Section: Fertility |
When did [Name of biological child(4)]'s natural [mother/father] die?
(INTERVIEWER: ENTER MONTH AND YEAR.)
| Q12-50.4 [] | Section: Fertility |
([Q12-46.4] = -1 | [Q12-46.4] = -2)
COMMENT: Did R not know whether child's other parent is living?
| | 1 CONDITION APPLIES ...(Go To Q12-30.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-50A.4 [Y05651.00] | Section: Fertility |
(HAND CARD AA) About how far from you does [Name of biological child(4)]'s [mother/father] live? Is it...
| | 1 Within 1 mile |
| | 2 1-10 Miles |
| | 3 11-100 Miles |
| | 4 101-200 Miles |
| | 5 More than 200 Miles |
| Q12-51.4 [Y05652.00] | Section: Fertility |
(HAND CARD BB) In the past 12 months, about how often has [Name of biological child(4)] seen (his/her) [mother/father]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(4)] has been separated from (his/her) [mother/father], about how often has [Name of biological child(4)] seen (his/her) [mother/father]?
| | 1 Almost every day |
| | 2 2-5 times a week |
| | 3 About once a week |
| | 4 1-3 times a month |
| | 5 7-11 times in past 12 months |
| | 6 2-6 times in past 12 months |
| | 7 Once in past 12 months |
| | 0 Never ...(Go To Q12-30.5) |
| Q12-52.4 [Y05653.00] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)
| Q12-53.4 [Y05654.00] | Section: Fertility |
(HAND CARD AA) About how far from you does [Name of biological child(4)] live? Is it....
| | 1 Within 1 mile |
| | 2 1-10 Miles |
| | 3 11-100 Miles |
| | 4 101-200 Miles |
| | 5 More than 200 Miles |
| Q12-54.4 [Y05655.00] | Section: Fertility |
(HAND CARD BB) In the past 12 months, about how often have you seen [Name of biological child(4)]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(4)] has not been living with you, about how often have you seen [Name of biological child(4)]?
| | 1 Almost every day |
| | 2 2-5 times a week |
| | 3 About once a week |
| | 4 1-3 times a month |
| | 5 7-11 times in past 12 months |
| | 6 2-6 times in past 12 months |
| | 7 Once in past 12 months |
| | 0 Never ...(Go To Q12-55A.4) |
| Q12-55.4 [Y05656.00] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)
| Q12-55A.4 [Y05657.00] | Section: Fertility |
Are you contributing money for the child's upbringing now?
| Q12-55B.4 [] | Section: Fertility |
Do you do this on a regular basis or once in a while?
| | 1 Regular |
| | 2 Once in a while |
| Q12-55C.4 [] | Section: Fertility |
How much do you give?
(INTERVIEWER : NEXT QUESTION ASKS FOR UNIT) ENTER DOLLAR AMOUNT:
| Q12-55D.4 [] | Section: Fertility |
Is that per week, per month or per year?
| | 4 Per Week |
| | 1 Per month |
| | 2 Per year |
| | 3 OTHER (SPECIFY) |
| Q12-56.4 [Y05658.00] | Section: Fertility |
When did [Name of biological child(4)] last live with you?
| | 1 SELECT TO ENTER DATE ...(Go To Q12-57.4) |
| | 0 NEVER LIVED WITH R |
| Q12-57.4 [Y05659.00] | Section: Fertility |
(When did [Name of biological child(4)] last live with you?)
ENTER DATE:
| Q12-58.4 [Y05660.00] | Section: Fertility |
(Were/Was) there any period(s) of more than three consecutive months when [Name of biological child(4)] did not live with you before that time?
| | 1 Yes |
| | 0 No |
| | 2 CHILD IS LESS THAN THREE MONTHS OLD |
| Q12-30.5 [Y05661.00] | Section: Fertility |
CHECK ([Name of biological child(5)])
COMMENT: Check the name field to determine if there is a child to ask about
| | 1 CONDITION APPLIES ...(Go To Q12-30C.5) |
| | 0 CONDITION DOES NOT APPLY |
| Default Next: | Q12-74A-C.1 |
| Lead-In: | Q12-30C.4 [99:99], Q12-30DB.4 [5:5], Q12-44.4 [5:5], Q12-44.4 [8:8], Q12-45.4 [1:1], Q12-50.4 [1:1], Q12-51.4 [0:0], Q12-48.4 [Default], Q12-52.4 [Default], Q12-56.4 [Default], Q12-58.4 [Default] |
| Q12-30C.5 [] | Section: Fertility |
[[Status of biological child (code)(5)]]
COMMENT: Check the status of the child. if deceased or deleted, or adopted out skip to the next child. If the child is added, skip to appropriate question
If Answer = 5 Then Go To Q12-44.5
If Answer = 8 Then Go To Q12-44.5
If Answer = 99 Then Go To Q12-30.6
| Q12-30D.5 [Y05663.00] | Section: Fertility |
Where does [Name of biological child(5)] usually live?
| | 1 IN THIS HOUSEHOLD |
| | 2 WITH (HIS/HER) (FATHER/MOTHER) |
| | 3 WITH OTHER RELATIVES (SPECIFY) |
| | 4 WITH FOSTER CARE |
| | 5 WITH ADOPTIVE PARENTS |
| | 6 LONG TERM CARE INSTITUTION |
| | 7 AWAY AT SCHOOL |
| | 8 DECEASED ...(Go To Q12-30E.5) |
| | 9 PART-TIME WITH R, PART-TIME WITH OTHER PARENT |
| | 10 PART-TIME WITH R, PART-TIME WITH OTHER PERSON |
| | 11 OTHER (SPECIFY) |
| Q12-30DB.5 [] | Section: Fertility |
[[usual residence of biological child(5)]]
COMMENT: Enter code for hhiflag.
If Answer >= 2 AND Answer <= 4 Then Go To Q12-44.5
If Answer = 5 Then Go To Q12-30.6
If Answer >= 6 AND Answer <= 7 Then Go To Q12-44.5
If Answer = 8 Then Go To Q12-30E.5
If Answer = 11 Then Go To Q12-44.5
| Q12-30E.5 [] | Section: Fertility |
When did [Name of biological child(5)] die?
| Q12-44.5 [Y05665.00] | Section: Fertility |
[[usual residence of biological child(5)]]
COMMENT: skip according to resident status of child
If Answer = 1 Then Go To Q12-45.5
If Answer = 5 Then Go To Q12-30.6
If Answer = 8 Then Go To Q12-30.6
If Answer = 9 Then Go To Q12-47.5
If Answer = 10 Then Go To Q12-45.5
| Q12-45.5 [Y05666.00] | Section: Fertility |
Does [Name of biological child(5)]'s natural [mother/father] live in this household?
| Q12-46.5 [Y05667.00] | Section: Fertility |
Is [Name of biological child(5)]'s [mother/father] living?
| Q12-47.5 [Y05668.00] | Section: Fertility |
When did [Name of biological child(5)]'s natural [mother/father] leave the household?
| | 1 SELECT TO ENTER DATE |
| | 2 NATURAL (MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD ...(Go To Q12-50.5) |
| Q12-47A.5 [] | Section: Fertility |
INTERVIEWER: ENTER MONTH AND YEAR [Name of biological child(5)]'S NATURAL [mother/father] LEFT THE HOUSEHOLD.
| Q12-48.5 [] | Section: Fertility |
When did [Name of biological child(5)]'s natural [mother/father] die?
(INTERVIEWER: ENTER MONTH AND YEAR.)
| Q12-50.5 [] | Section: Fertility |
([Q12-46.5] = -1 | [Q12-46.5] = -2)
COMMENT: Did R not know whether child's other parent is living?
| | 1 CONDITION APPLIES ...(Go To Q12-30.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-50A.5 [Y05670.00] | Section: Fertility |
(HAND CARD AA) About how far from you does [Name of biological child(5)]'s [mother/father] live? Is it...
| | 1 Within 1 mile |
| | 2 1-10 Miles |
| | 3 11-100 Miles |
| | 4 101-200 Miles |
| | 5 More than 200 Miles |
| Q12-51.5 [Y05671.00] | Section: Fertility |
(HAND CARD BB) In the past 12 months, about how often has [Name of biological child(5)] seen (his/her) [mother/father]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(5)] has been separated from (his/her) [mother/father], about how often has [Name of biological child(5)] seen (his/her) [mother/father]?
| | 1 Almost every day |
| | 2 2-5 times a week |
| | 3 About once a week |
| | 4 1-3 times a month |
| | 5 7-11 times in past 12 months |
| | 6 2-6 times in past 12 months |
| | 7 Once in past 12 months |
| | 0 Never ...(Go To Q12-30.6) |
| Q12-52.5 [Y05672.00] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)
| Q12-53.5 [] | Section: Fertility |
(HAND CARD AA) About how far from you does [Name of biological child(5)] live? Is it....
| | 1 Within 1 mile |
| | 2 1-10 Miles |
| | 3 11-100 Miles |
| | 4 101-200 Miles |
| | 5 More than 200 Miles |
| Q12-54.5 [] | Section: Fertility |
(HAND CARD BB) In the past 12 months, about how often have you seen [Name of biological child(5)]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(5)] has not been living with you, about how often have you seen [Name of biological child(5)]?
| | 1 Almost every day |
| | 2 2-5 times a week |
| | 3 About once a week |
| | 4 1-3 times a month |
| | 5 7-11 times in past 12 months |
| | 6 2-6 times in past 12 months |
| | 7 Once in past 12 months |
| | 0 Never ...(Go To Q12-55A.5) |
| Q12-55.5 [] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)
| Q12-55A.5 [] | Section: Fertility |
Are you contributing money for the child's upbringing now?
| Q12-55B.5 [] | Section: Fertility |
Do you do this on a regular basis or once in a while?
| | 1 Regular |
| | 2 Once in a while |
| Q12-55C.5 [] | Section: Fertility |
How much do you give?
(INTERVIEWER : NEXT QUESTION ASKS FOR UNIT) ENTER DOLLAR AMOUNT:
| Q12-55D.5 [] | Section: Fertility |
Is that per week, per month or per year?
| | 4 Per Week |
| | 1 Per month |
| | 2 Per year |
| | 3 OTHER (SPECIFY) |
| Q12-56.5 [] | Section: Fertility |
When did [Name of biological child(5)] last live with you?
| | 1 SELECT TO ENTER DATE ...(Go To Q12-57.5) |
| | 0 NEVER LIVED WITH R |
| Q12-57.5 [] | Section: Fertility |
(When did [Name of biological child(5)] last live with you?)
ENTER DATE:
| Q12-58.5 [] | Section: Fertility |
(Were/Was) there any period(s) of more than three consecutive months when [Name of biological child(5)] did not live with you before that time?
| | 1 Yes |
| | 0 No |
| | 2 CHILD IS LESS THAN THREE MONTHS OLD |
| Q12-30.6 [Y05673.00] | Section: Fertility |
CHECK ([Name of biological child(6)])
COMMENT: Check the name field to determine if there is a child to ask about
| | 1 CONDITION APPLIES ...(Go To Q12-30C.6) |
| | 0 CONDITION DOES NOT APPLY |
| Default Next: | Q12-74A-C.1 |
| Lead-In: | Q12-30C.5 [99:99], Q12-30DB.5 [5:5], Q12-44.5 [5:5], Q12-44.5 [8:8], Q12-45.5 [1:1], Q12-50.5 [1:1], Q12-51.5 [0:0], Q12-48.5 [Default], Q12-52.5 [Default], Q12-56.5 [Default], Q12-58.5 [Default] |
| Q12-30C.6 [] | Section: Fertility |
[[Status of biological child (code)(6)]]
COMMENT: Check the status of the child. if deceased or deleted, or adopted out skip to the next child. If the child is added, skip to appropriate question
If Answer = 5 Then Go To Q12-44.6
If Answer = 8 Then Go To Q12-44.6
If Answer = 99 Then Go To Q12-30.7
| Q12-30D.6 [Y05675.00] | Section: Fertility |
Where does [Name of biological child(6)] usually live?
| | 1 IN THIS HOUSEHOLD |
| | 2 WITH (HIS/HER) (FATHER/MOTHER) |
| | 3 WITH OTHER RELATIVES (SPECIFY) |
| | 4 WITH FOSTER CARE |
| | 5 WITH ADOPTIVE PARENTS |
| | 6 LONG TERM CARE INSTITUTION |
| | 7 AWAY AT SCHOOL |
| | 8 DECEASED ...(Go To Q12-30E.6) |
| | 9 PART-TIME WITH R, PART-TIME WITH OTHER PARENT |
| | 10 PART-TIME WITH R, PART-TIME WITH OTHER PERSON |
| | 11 OTHER (SPECIFY) |
| Q12-30DB.6 [] | Section: Fertility |
[[usual residence of biological child(6)]]
COMMENT: Enter code for hhiflag.
If Answer >= 2 AND Answer <= 4 Then Go To Q12-44.6
If Answer = 5 Then Go To Q12-30.7
If Answer >= 6 AND Answer <= 7 Then Go To Q12-44.6
If Answer = 8 Then Go To Q12-30E.6
If Answer = 11 Then Go To Q12-44.6
| Q12-30E.6 [] | Section: Fertility |
When did [Name of biological child(6)] die?
| Q12-44.6 [Y05677.00] | Section: Fertility |
[[usual residence of biological child(6)]]
COMMENT: Does sixth biological child live in household or with another person part time?
If Answer = 1 Then Go To Q12-45.6
If Answer = 5 Then Go To Q12-30.7
If Answer = 8 Then Go To Q12-30.7
If Answer = 9 Then Go To Q12-47.6
If Answer = 10 Then Go To Q12-45.6
| Q12-45.6 [Y05678.00] | Section: Fertility |
Does [Name of biological child(6)]'s natural [mother/father] live in this household?
| Q12-46.6 [Y05679.00] | Section: Fertility |
Is [Name of biological child(6)]'s [mother/father] living?
| Q12-47.6 [Y05680.00] | Section: Fertility |
When did [Name of biological child(6)]'s natural [mother/father] leave the household?
| | 1 SELECT TO ENTER DATE |
| | 2 NATURAL (MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD ...(Go To Q12-50.6) |
| Q12-47A.6 [] | Section: Fertility |
INTERVIEWER: ENTER MONTH AND YEAR [Name of biological child(6)]'S NATURAL [mother/father] LEFT THE HOUSEHOLD.
| Q12-48.6 [] | Section: Fertility |
When did [Name of biological child(6)]'s natural [mother/father] die?
(INTERVIEWER: ENTER MONTH AND YEAR.)
| Q12-50.6 [] | Section: Fertility |
([Q12-46.6] = -1 | [Q12-46.6] = -2)
COMMENT: Did R not know whether child's other parent is living?
| | 1 CONDITION APPLIES ...(Go To Q12-30.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-50A.6 [Y05682.00] | Section: Fertility |
(HAND CARD AA) About how far from you does [Name of biological child(6)]'s [mother/father] live? Is it...
| | 1 Within 1 mile |
| | 2 1-10 Miles |
| | 3 11-100 Miles |
| | 4 101-200 Miles |
| | 5 More than 200 Miles |
| Q12-51.6 [Y05683.00] | Section: Fertility |
(HAND CARD BB) In the past 12 months, about how often has [Name of biological child(6)] seen (his/her) [mother/father]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(6)] has been separated from (his/her) [mother/father], about how often has [Name of biological child(6)] seen (his/her) [mother/father]?
| | 1 Almost every day |
| | 2 2-5 times a week |
| | 3 About once a week |
| | 4 1-3 times a month |
| | 5 7-11 times in past 12 months |
| | 6 2-6 times in past 12 months |
| | 7 Once in past 12 months |
| | 0 Never ...(Go To Q12-30.7) |
| Q12-52.6 [Y05684.00] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)
| Q12-53.6 [] | Section: Fertility |
(HAND CARD AA) About how far from you does [Name of biological child(6)] live? Is it....
| | 1 Within 1 mile |
| | 2 1-10 Miles |
| | 3 11-100 Miles |
| | 4 101-200 Miles |
| | 5 More than 200 Miles |
| Q12-54.6 [] | Section: Fertility |
(HAND CARD BB) In the past 12 months, about how often have you seen [Name of biological child(6)]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(6)] has not been living with you, about how often have you seen [Name of biological child(6)]?
| | 1 Almost every day |
| | 2 2-5 times a week |
| | 3 About once a week |
| | 4 1-3 times a month |
| | 5 7-11 times in past 12 months |
| | 6 2-6 times in past 12 months |
| | 7 Once in past 12 months |
| | 0 Never ...(Go To Q12-55A.6) |
| Q12-55.6 [] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)
| Q12-55A.6 [] | Section: Fertility |
Are you contributing money for the child's upbringing now?
| Q12-55B.6 [] | Section: Fertility |
Do you do this on a regular basis or once in a while?
| | 1 Regular |
| | 2 Once in a while |
| Q12-55C.6 [] | Section: Fertility |
How much do you give?
(INTERVIEWER : NEXT QUESTION ASKS FOR UNIT) ENTER DOLLAR AMOUNT:
| Q12-55D.6 [] | Section: Fertility |
Is that per week, per month or per year?
| | 4 Per Week |
| | 1 Per month |
| | 2 Per year |
| | 3 OTHER (SPECIFY) |
| Q12-56.6 [] | Section: Fertility |
When did [Name of biological child(6)] last live with you?
| | 1 SELECT TO ENTER DATE ...(Go To Q12-57.6) |
| | 0 NEVER LIVED WITH R |
| Q12-57.6 [] | Section: Fertility |
(When did [Name of biological child(6)] last live with you?)
ENTER DATE:
| Q12-58.6 [] | Section: Fertility |
(Were/Was) there any period(s) of more than three consecutive months when [Name of biological child(6)] did not live with you before that time?
| | 1 Yes |
| | 0 No |
| | 2 CHILD IS LESS THAN THREE MONTHS OLD |
| Q12-30.7 [] | Section: Fertility |
CHECK ([Name of biological child(7)])
COMMENT: Check the name field to determine if there is a child to ask about
If Answer = 1 Then Go To Q12-30C.7
| Default Next: | Q12-74A-C.1 |
| Lead-In: | Q12-30C.6 [99:99], Q12-30DB.6 [5:5], Q12-44.6 [5:5], Q12-44.6 [8:8], Q12-45.6 [1:1], Q12-50.6 [1:1], Q12-51.6 [0:0], Q12-48.6 [Default], Q12-52.6 [Default], Q12-56.6 [Default], Q12-58.6 [Default] |
| Q12-30C.7 [] | Section: Fertility |
[[Status of biological child (code)(7)]]
COMMENT: Check the status of the child. if deceased or deleted, or adopted out skip to the next child. If the child is added, skip to appropriate question
If Answer = 5 Then Go To Q12-44.7
If Answer = 8 Then Go To Q12-44.7
If Answer = 99 Then Go To Q12-30.8
| Q12-30D.7 [] | Section: Fertility |
Where does [Name of biological child(7)] usually live?
| | 1 IN THIS HOUSEHOLD |
| | 2 WITH (HIS/HER) (FATHER/MOTHER) |
| | 3 WITH OTHER RELATIVES (SPECIFY) |
| | 4 WITH FOSTER CARE |
| | 5 WITH ADOPTIVE PARENTS |
| | 6 LONG TERM CARE INSTITUTION |
| | 7 AWAY AT SCHOOL |
| | 8 DECEASED ...(Go To Q12-30E.7) |
| | 9 PART-TIME WITH R, PART-TIME WITH OTHER PARENT |
| | 10 PART-TIME WITH R, PART-TIME WITH OTHER PERSON |
| | 11 OTHER (SPECIFY) |
| Q12-30DB.7 [] | Section: Fertility |
[[usual residence of biological child(7)]]
COMMENT: Enter code for hhiflag.
If Answer >= 2 AND Answer <= 4 Then Go To Q12-44.7
If Answer = 5 Then Go To Q12-30.8
If Answer >= 6 AND Answer <= 7 Then Go To Q12-44.7
If Answer = 8 Then Go To Q12-30E.7
If Answer = 11 Then Go To Q12-44.7
| Q12-30E.7 [] | Section: Fertility |
When did [Name of biological child(7)] die?
| Q12-44.7 [] | Section: Fertility |
[[usual residence of biological child(7)]]
COMMENT: skip according to resident status of child
| | 1 CONDITION APPLIES ...(Go To Q12-45.7) |
| | 0 CONDITION DOES NOT APPLY |
If Answer = 5 Then Go To Q12-30.8
If Answer = 8 Then Go To Q12-30.8
If Answer = 9 Then Go To Q12-47.7
If Answer = 10 Then Go To Q12-45.7
| Q12-45.7 [] | Section: Fertility |
Does [Name of biological child(7)]'s natural [mother/father] live in this household?
| Q12-46.7 [] | Section: Fertility |
Is [Name of biological child(7)]'s [mother/father] living?
| Q12-47.7 [] | Section: Fertility |
When did [Name of biological child(7)]'s natural [mother/father] leave the household?
If Answer = 2 Then Go To Q12-50.7
| Q12-47A.7 [] | Section: Fertility |
INTERVIEWER: ENTER MONTH AND YEAR [Name of biological child(7)]'S NATURAL [mother/father] LEFT THE HOUSEHOLD.
| Q12-48.7 [] | Section: Fertility |
When did [Name of biological child(7)]'s natural [mother/father] die?
(INTERVIEWER: ENTER MONTH AND YEAR.)
| Q12-50.7 [] | Section: Fertility |
([Q12-46.7] = -1 | [Q12-46.7] = -2)
COMMENT: Did R not know whether child's other parent is living?
| | 1 CONDITION APPLIES ...(Go To Q12-30.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-50A.7 [] | Section: Fertility |
(HAND CARD AA) About how far from you does [Name of biological child(7)]'s [mother/father] live? Is it...
| | 1 Within 1 mile |
| | 2 1-10 Miles |
| | 3 11-100 Miles |
| | 4 101-200 Miles |
| | 5 More than 200 Miles |
| Q12-51.7 [] | Section: Fertility |
(HAND CARD BB) In the past 12 months, about how often has [Name of biological child(7)] seen (his/her) [mother/father]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(7)] has been separated from (his/her) [mother/father], about how often has [Name of biological child(7)] seen (his/her) [mother/father]?
| | 1 Almost every day |
| | 2 2-5 times a week |
| | 3 About once a week |
| | 4 1-3 times a month |
| | 5 7-11 times in past 12 months |
| | 6 2-6 times in past 12 months |
| | 7 Once in past 12 months |
| | 0 Never ...(Go To Q12-30.8) |
| Q12-52.7 [] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)
| Q12-53.7 [] | Section: Fertility |
(HAND CARD AA) About how far from you does [Name of biological child(7)] live? Is it....
| | 1 Within 1 mile |
| | 2 1-10 Miles |
| | 3 11-100 Miles |
| | 4 101-200 Miles |
| | 5 More than 200 Miles |
| Q12-54.7 [] | Section: Fertility |
(HAND CARD BB) In the past 12 months, about how often have you seen [Name of biological child(7)]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(7)] has not been living with you, about how often have you seen [Name of biological child(7)]?
| | 1 Almost every day |
| | 2 2-5 times a week |
| | 3 About once a week |
| | 4 1-3 times a month |
| | 5 7-11 times in past 12 months |
| | 6 2-6 times in past 12 months |
| | 7 Once in past 12 months |
| | 0 Never ...(Go To Q12-55A.7) |
| Q12-55.7 [] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)
| Q12-55A.7 [] | Section: Fertility |
Are you contributing money for the child's upbringing now?
| Q12-55B.7 [] | Section: Fertility |
Do you do this on a regular basis or once in a while?
| | 1 Regular |
| | 2 Once in a while |
| Q12-55C.7 [] | Section: Fertility |
How much do you give?
(INTERVIEWER : NEXT QUESTION ASKS FOR UNIT) ENTER DOLLAR AMOUNT:
| Q12-55D.7 [] | Section: Fertility |
Is that per week, per month or per year?
| | 4 Per Week |
| | 1 Per month |
| | 2 Per year |
| | 3 OTHER (SPECIFY) |
| Q12-56.7 [] | Section: Fertility |
When did [Name of biological child(7)] last live with you?
| | 1 SELECT TO ENTER DATE ...(Go To Q12-57.7) |
| | 0 NEVER LIVED WITH R |
| Q12-57.7 [] | Section: Fertility |
(When did [Name of biological child(7)] last live with you?)
ENTER DATE:
| Q12-58.7 [] | Section: Fertility |
(Were/Was) there any period(s) of more than three consecutive months when [Name of biological child(7)] did not live with you before that time?
| | 1 Yes |
| | 0 No |
| | 2 CHILD IS LESS THAN THREE MONTHS OLD |
| Q12-30.8 [] | Section: Fertility |
CHECK ([Name of biological child(8)])
COMMENT: Check the name field to determine if there is a child to ask about
If Answer = 1 Then Go To Q12-30C.8
| Default Next: | Q12-74A-C.1 |
| Lead-In: | Q12-30C.7 [99:99], Q12-30DB.7 [5:5], Q12-44.7 [5:5], Q12-44.7 [8:8], Q12-45.7 [1:1], Q12-50.7 [1:1], Q12-51.7 [0:0], Q12-48.7 [Default], Q12-52.7 [Default], Q12-56.7 [Default], Q12-58.7 [Default] |
| Q12-30C.8 [] | Section: Fertility |
[[Status of biological child (code)(8)]]
COMMENT: Check the status of the child. if deceased or deleted, or adopted out skip to the next child. If the child is added, skip to appropriate question
If Answer = 5 Then Go To Q12-44.8
If Answer = 8 Then Go To Q12-44.8
If Answer = 99 Then Go To Q12-30.9
| Q12-30D.8 [] | Section: Fertility |
Where does [Name of biological child(8)] usually live?
| | 1 IN THIS HOUSEHOLD |
| | 2 WITH (HIS/HER) (FATHER/MOTHER) |
| | 3 WITH OTHER RELATIVES (SPECIFY) |
| | 4 WITH FOSTER CARE |
| | 5 WITH ADOPTIVE PARENTS |
| | 6 LONG TERM CARE INSTITUTION |
| | 7 AWAY AT SCHOOL |
| | 8 DECEASED ...(Go To Q12-30E.8) |
| | 9 PART-TIME WITH R, PART-TIME WITH OTHER PARENT |
| | 10 PART-TIME WITH R, PART-TIME WITH OTHER PERSON |
| | 11 OTHER (SPECIFY) |
| Q12-30DB.8 [] | Section: Fertility |
[[usual residence of biological child(8)]]
COMMENT: Enter code for hhiflag.
If Answer >= 2 AND Answer <= 4 Then Go To Q12-44.8
If Answer = 5 Then Go To Q12-30.9
If Answer >= 6 AND Answer <= 7 Then Go To Q12-44.8
If Answer = 8 Then Go To Q12-30E.8
If Answer = 11 Then Go To Q12-44.8
| Q12-30E.8 [] | Section: Fertility |
When did [Name of biological child(8)] die?
| Q12-44.8 [] | Section: Fertility |
[[usual residence of biological child(8)]]
COMMENT: skip according to resident status of child
| | 1 CONDITION APPLIES ...(Go To Q12-45.8) |
| | 0 CONDITION DOES NOT APPLY |
If Answer = 5 Then Go To Q12-30.9
If Answer = 8 Then Go To Q12-30.9
If Answer = 9 Then Go To Q12-47.8
If Answer = 10 Then Go To Q12-45.8
| Q12-45.8 [] | Section: Fertility |
Does [Name of biological child(8)]'s natural [mother/father] live in this household?
| Q12-46.8 [] | Section: Fertility |
Is [Name of biological child(8)]'s [mother/father] living?
| Q12-47.8 [] | Section: Fertility |
When did [Name of biological child(8)]'s natural [mother/father] leave the household?
| | 1 SELECT TO ENTER DATE |
| | 2 NATURAL (MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD ...(Go To Q12-50.8) |
| Q12-47A.8 [] | Section: Fertility |
INTERVIEWER: ENTER MONTH AND YEAR [Name of biological child(8)]'S NATURAL [mother/father] LEFT THE HOUSEHOLD.
| Q12-48.8 [] | Section: Fertility |
When did [Name of biological child(8)]'s natural [mother/father] die?
(INTERVIEWER: ENTER MONTH AND YEAR.)
| Q12-50.8 [] | Section: Fertility |
([Q12-46.8] = -1 | [Q12-46.8] = -2)
COMMENT: Did R not know whether child's other parent is living?
| | 1 CONDITION APPLIES ...(Go To Q12-30.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-50A.8 [] | Section: Fertility |
(HAND CARD AA) About how far from you does [Name of biological child(8)]'s [mother/father] live? Is it...
| | 1 Within 1 mile |
| | 2 1-10 Miles |
| | 3 11-100 Miles |
| | 4 101-200 Miles |
| | 5 More than 200 Miles |
| Q12-51.8 [] | Section: Fertility |
(HAND CARD BB) In the past 12 months, about how often has [Name of biological child(8)] seen (his/her) [mother/father]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(8)] has been separated from (his/her) [mother/father], about how often has [Name of biological child(8)] seen (his/her) [mother/father]?
| | 1 Almost every day |
| | 2 2-5 times a week |
| | 3 About once a week |
| | 4 1-3 times a month |
| | 5 7-11 times in past 12 months |
| | 6 2-6 times in past 12 months |
| | 7 Once in past 12 months |
| | 0 Never ...(Go To Q12-30.9) |
| Q12-52.8 [] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)
| Q12-53.8 [] | Section: Fertility |
(HAND CARD AA) About how far from you does [Name of biological child(8)] live? Is it....
| | 1 Within 1 mile |
| | 2 1-10 Miles |
| | 3 11-100 Miles |
| | 4 101-200 Miles |
| | 5 More than 200 Miles |
| Q12-54.8 [] | Section: Fertility |
(HAND CARD BB) In the past 12 months, about how often have you seen [Name of biological child(8)]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(8)] has not been living with you, about how often have you seen [Name of biological child(8)]?
| | 1 Almost every day |
| | 2 2-5 times a week |
| | 3 About once a week |
| | 4 1-3 times a month |
| | 5 7-11 times in past 12 months |
| | 6 2-6 times in past 12 months |
| | 7 Once in past 12 months |
| | 0 Never ...(Go To Q12-55A.8) |
| Q12-55.8 [] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)
| Q12-55A.8 [] | Section: Fertility |
Are you contributing money for the child's upbringing now?
| Q12-55B.8 [] | Section: Fertility |
Do you do this on a regular basis or once in a while?
| | 1 Regular |
| | 2 Once in a while |
| Q12-55C.8 [] | Section: Fertility |
How much do you give?
(INTERVIEWER : NEXT QUESTION ASKS FOR UNIT) ENTER DOLLAR AMOUNT:
| Q12-55D.8 [] | Section: Fertility |
Is that per week, per month or per year?
| | 4 Per Week |
| | 1 Per month |
| | 2 Per year |
| | 3 OTHER (SPECIFY) |
| Q12-56.8 [] | Section: Fertility |
When did [Name of biological child(8)] last live with you?
| | 1 SELECT TO ENTER DATE ...(Go To Q12-57.8) |
| | 0 NEVER LIVED WITH R |
| Q12-57.8 [] | Section: Fertility |
(When did [Name of biological child(8)] last live with you?)
ENTER DATE:
| Q12-58.8 [] | Section: Fertility |
(Were/Was) there any period(s) of more than three consecutive months when [Name of biological child(8)] did not live with you before that time?
| | 1 Yes |
| | 0 No |
| | 2 CHILD IS LESS THAN THREE MONTHS OLD |
| Q12-30.9 [] | Section: Fertility |
CHECK ([Name of biological child(9)])
COMMENT: Check the name field to determine if there is a child to ask about
If Answer = 1 Then Go To Q12-30C.9
| Default Next: | Q12-74A-C.1 |
| Lead-In: | Q12-30C.8 [99:99], Q12-30DB.8 [5:5], Q12-44.8 [5:5], Q12-44.8 [8:8], Q12-45.8 [1:1], Q12-50.8 [1:1], Q12-51.8 [0:0], Q12-48.8 [Default], Q12-52.8 [Default], Q12-56.8 [Default], Q12-58.8 [Default] |
| Q12-30C.9 [] | Section: Fertility |
[[Status of biological child (code)(9)]]
COMMENT: Check the status of the child. if deceased or deleted, or adopted out skip to the next child. If the child is added, skip to appropriate question
If Answer = 5 Then Go To Q12-44.9
If Answer = 8 Then Go To Q12-44.9
If Answer = 99 Then Go To Q12-30.10
| Q12-30D.9 [] | Section: Fertility |
Where does [Name of biological child(9)] usually live?
| | 1 IN THIS HOUSEHOLD |
| | 2 WITH (HIS/HER) (FATHER/MOTHER) |
| | 3 WITH OTHER RELATIVES (SPECIFY) |
| | 4 WITH FOSTER CARE |
| | 5 WITH ADOPTIVE PARENTS |
| | 6 LONG TERM CARE INSTITUTION |
| | 7 AWAY AT SCHOOL |
| | 8 DECEASED ...(Go To Q12-30E.9) |
| | 9 PART-TIME WITH R, PART-TIME WITH OTHER PARENT |
| | 10 PART-TIME WITH R, PART-TIME WITH OTHER PERSON |
| | 11 OTHER (SPECIFY) |
| Q12-30DB.9 [] | Section: Fertility |
[[usual residence of biological child(9)]]
COMMENT: Enter code for hhiflag.
If Answer >= 2 AND Answer <= 4 Then Go To Q12-44.9
If Answer = 5 Then Go To Q12-30.10
If Answer >= 6 AND Answer <= 7 Then Go To Q12-44.9
If Answer = 8 Then Go To Q12-30E.9
If Answer = 11 Then Go To Q12-44.9
| Q12-30E.9 [] | Section: Fertility |
When did [Name of biological child(9)] die?
| Q12-44.9 [] | Section: Fertility |
[[usual residence of biological child(9)]]
COMMENT: skip according to resident status of child
| | 1 CONDITION APPLIES ...(Go To Q12-45.9) |
| | 0 CONDITION DOES NOT APPLY |
If Answer = 5 Then Go To Q12-30.10
If Answer = 8 Then Go To Q12-30.10
If Answer = 9 Then Go To Q12-47.9
If Answer = 10 Then Go To Q12-45.9
| Q12-45.9 [] | Section: Fertility |
Does [Name of biological child(9)]'s natural [mother/father] live in this household?
| Q12-46.9 [] | Section: Fertility |
Is [Name of biological child(9)]'s [mother/father] living?
| Q12-47.9 [] | Section: Fertility |
When did [Name of biological child(9)]'s natural [mother/father] leave the household?
| | 1 SELECT TO ENTER DATE |
| | 2 NATURAL (MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD ...(Go To Q12-50.9) |
| Q12-47A.9 [] | Section: Fertility |
INTERVIEWER: ENTER MONTH AND YEAR [Name of biological child(9)]'S NATURAL [mother/father] LEFT THE HOUSEHOLD.
| Q12-48.9 [] | Section: Fertility |
When did [Name of biological child(9)]'s natural [mother/father] die?
(INTERVIEWER: ENTER MONTH AND YEAR.)
| Q12-50.9 [] | Section: Fertility |
([Q12-46.9] = -1 | [Q12-46.9] = -2)
COMMENT: Did R not know whether child's other parent is living?
| | 1 CONDITION APPLIES ...(Go To Q12-30.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-50A.9 [] | Section: Fertility |
(HAND CARD AA) About how far from you does [Name of biological child(9)]'s [mother/father] live? Is it...
| | 1 Within 1 mile |
| | 2 1-10 Miles |
| | 3 11-100 Miles |
| | 4 101-200 Miles |
| | 5 More than 200 Miles |
| Q12-51.9 [] | Section: Fertility |
(HAND CARD BB) In the past 12 months, about how often has [Name of biological child(9)] seen (his/her) [mother/father]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(9)] has been separated from (his/her) [mother/father], about how often has [Name of biological child(9)] seen (his/her) [mother/father]?
| | 1 Almost every day |
| | 2 2-5 times a week |
| | 3 About once a week |
| | 4 1-3 times a month |
| | 5 7-11 times in past 12 months |
| | 6 2-6 times in past 12 months |
| | 7 Once in past 12 months |
| | 0 Never ...(Go To Q12-30.10) |
| Q12-52.9 [] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)
| Q12-53.9 [] | Section: Fertility |
(HAND CARD AA) About how far from you does [Name of biological child(9)] live? Is it....
| | 1 Within 1 mile |
| | 2 1-10 Miles |
| | 3 11-100 Miles |
| | 4 101-200 Miles |
| | 5 More than 200 Miles |
| Q12-54.9 [] | Section: Fertility |
(HAND CARD BB) In the past 12 months, about how often have you seen [Name of biological child(9)]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(9)] has not been living with you, about how often have you seen [Name of biological child(9)]?
| | 1 Almost every day |
| | 2 2-5 times a week |
| | 3 About once a week |
| | 4 1-3 times a month |
| | 5 7-11 times in past 12 months |
| | 6 2-6 times in past 12 months |
| | 7 Once in past 12 months |
| | 0 Never ...(Go To Q12-55A.9) |
| Q12-55.9 [] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)
| Q12-55A.9 [] | Section: Fertility |
Are you contributing money for the child's upbringing now?
| Q12-55B.9 [] | Section: Fertility |
Do you do this on a regular basis or once in a while?
| | 1 Regular |
| | 2 Once in a while |
| Q12-55C.9 [] | Section: Fertility |
How much do you give?
(INTERVIEWER : NEXT QUESTION ASKS FOR UNIT) ENTER DOLLAR AMOUNT:
| Q12-55D.9 [] | Section: Fertility |
Is that per week, per month or per year?
| | 4 Per Week |
| | 1 Per month |
| | 2 Per year |
| | 3 OTHER (SPECIFY) |
| Q12-56.9 [] | Section: Fertility |
When did [Name of biological child(9)] last live with you?
| | 1 SELECT TO ENTER DATE ...(Go To Q12-57.9) |
| | 0 NEVER LIVED WITH R |
| Q12-57.9 [] | Section: Fertility |
(When did [Name of biological child(9)] last live with you?)
ENTER DATE:
| Q12-58.9 [] | Section: Fertility |
(Were/Was) there any period(s) of more than three consecutive months when [Name of biological child(9)] did not live with you before that time?
| | 1 Yes |
| | 0 No |
| | 2 CHILD IS LESS THAN THREE MONTHS OLD |
| Q12-30.10 [] | Section: Fertility |
CHECK ([Name of biological child(10)])
COMMENT: Check the name field to determine if there is a child to ask about
If Answer = 1 Then Go To Q12-30C.10
| Default Next: | Q12-74A-C.1 |
| Lead-In: | Q12-30C.9 [99:99], Q12-30DB.9 [5:5], Q12-44.9 [5:5], Q12-44.9 [8:8], Q12-45.9 [1:1], Q12-50.9 [1:1], Q12-51.9 [0:0], Q12-48.9 [Default], Q12-52.9 [Default], Q12-56.9 [Default], Q12-58.9 [Default] |
| Q12-30C.10 [] | Section: Fertility |
[[Status of biological child (code)(10)]]
COMMENT: Check the status of the child. if deceased or deleted, or adopted out skip to the next child. If the child is added, skip to appropriate question
If Answer = 5 Then Go To Q12-44.10
If Answer = 8 Then Go To Q12-44.10
If Answer = 99 Then Go To Q12-74A-C.1
| Q12-30D.10 [] | Section: Fertility |
Where does [Name of biological child(10)] usually live?
| | 1 IN THIS HOUSEHOLD |
| | 2 WITH (HIS/HER) (FATHER/MOTHER) |
| | 3 WITH OTHER RELATIVES (SPECIFY) |
| | 4 WITH FOSTER CARE |
| | 5 WITH ADOPTIVE PARENTS |
| | 6 LONG TERM CARE INSTITUTION |
| | 7 AWAY AT SCHOOL |
| | 8 DECEASED ...(Go To Q12-30E.10) |
| | 9 PART-TIME WITH R, PART-TIME WITH OTHER PARENT |
| | 10 PART-TIME WITH R, PART-TIME WITH OTHER PERSON |
| | 11 OTHER (SPECIFY) |
| Q12-30DB.10 [] | Section: Fertility |
[[usual residence of biological child(10)]]
COMMENT: Enter code for hhiflag.
If Answer >= 2 AND Answer <= 4 Then Go To Q12-44.10
If Answer = 5 Then Go To Q12-74A-C.1
If Answer >= 6 AND Answer <= 7 Then Go To Q12-44.10
If Answer = 8 Then Go To Q12-30E.10
If Answer = 11 Then Go To Q12-44.10
| Q12-30E.10 [] | Section: Fertility |
When did [Name of biological child(10)] die?
| Q12-44.10 [] | Section: Fertility |
[[usual residence of biological child(10)]]
COMMENT: skip according to resident status of child
| | 1 CONDITION APPLIES ...(Go To Q12-45.10) |
| | 0 CONDITION DOES NOT APPLY |
If Answer = 5 Then Go To Q12-74A-C.1
If Answer = 8 Then Go To Q12-74A-C.1
If Answer = 9 Then Go To Q12-47.10
If Answer = 10 Then Go To Q12-45.10
| Q12-45.10 [] | Section: Fertility |
Does [Name of biological child(10)]'s natural [mother/father] live in this household?
| Q12-46.10 [] | Section: Fertility |
Is [Name of biological child(10)]'s [mother/father] living?
| Q12-47.10 [] | Section: Fertility |
When did [Name of biological child(10)]'s natural [mother/father] leave the household?
| | 1 SELECT TO ENTER DATE |
| | 2 NATURAL (MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD ...(Go To Q12-50.10) |
| Q12-47A.10 [] | Section: Fertility |
INTERVIEWER: ENTER MONTH AND YEAR [Name of biological child(10)]'S NATURAL [mother/father] LEFT THE HOUSEHOLD.
| Q12-48.10 [] | Section: Fertility |
When did [Name of biological child(10)]'s natural [mother/father] die?
(INTERVIEWER: ENTER MONTH AND YEAR.)
| Q12-50.10 [] | Section: Fertility |
([Q12-46.10] = -1 | [Q12-46.10] = -2)
COMMENT: Did R not know whether child's other parent is living?
| | 1 CONDITION APPLIES ...(Go To Q12-74A-C.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-50A.10 [] | Section: Fertility |
(HAND CARD AA) About how far from you does [Name of biological child(10)]'s [mother/father] live? Is it...
| | 1 Within 1 mile |
| | 2 1-10 Miles |
| | 3 11-100 Miles |
| | 4 101-200 Miles |
| | 5 More than 200 Miles |
| Q12-51.10 [] | Section: Fertility |
(HAND CARD BB) In the past 12 months, about how often has [Name of biological child(10)] seen (his/her) [mother/father]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(10)] has been separated from (his/her) [mother/father], about how often has [Name of biological child(10)] seen (his/her) [mother/father]?
| | 1 Almost every day |
| | 2 2-5 times a week |
| | 3 About once a week |
| | 4 1-3 times a month |
| | 5 7-11 times in past 12 months |
| | 6 2-6 times in past 12 months |
| | 7 Once in past 12 months |
| | 0 Never ...(Go To Q12-74A-C.1) |
| Q12-52.10 [] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)
| Q12-53.10 [] | Section: Fertility |
(HAND CARD AA) About how far from you does [Name of biological child(10)] live? Is it....
| | 1 Within 1 mile |
| | 2 1-10 Miles |
| | 3 11-100 Miles |
| | 4 101-200 Miles |
| | 5 More than 200 Miles |
| Q12-54.10 [] | Section: Fertility |
(HAND CARD BB) In the past 12 months, about how often have you seen [Name of biological child(10)]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child(10)] has not been living with you, about how often have you seen [Name of biological child(10)]?
| | 1 Almost every day |
| | 2 2-5 times a week |
| | 3 About once a week |
| | 4 1-3 times a month |
| | 5 7-11 times in past 12 months |
| | 6 2-6 times in past 12 months |
| | 7 Once in past 12 months |
| | 0 Never ...(Go To Q12-55A.10) |
| Q12-55.10 [] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)
| Q12-55A.10 [] | Section: Fertility |
Are you contributing money for the child's upbringing now?
| Q12-55B.10 [] | Section: Fertility |
Do you do this on a regular basis or once in a while?
| | 1 Regular |
| | 2 Once in a while |
| Q12-55C.10 [] | Section: Fertility |
How much do you give?
(INTERVIEWER : NEXT QUESTION ASKS FOR UNIT) ENTER DOLLAR AMOUNT:
| Q12-55D.10 [] | Section: Fertility |
Is that per week, per month or per year?
| | 4 Per Week |
| | 1 Per month |
| | 2 Per year |
| | 3 OTHER (SPECIFY) |
| Q12-56.10 [] | Section: Fertility |
When did [Name of biological child(10)] last live with you?
| | 1 SELECT TO ENTER DATE ...(Go To Q12-57.10) |
| | 0 NEVER LIVED WITH R |
| Q12-57.10 [] | Section: Fertility |
(When did [Name of biological child(10)] last live with you?)
ENTER DATE:
| Q12-58.10 [] | Section: Fertility |
(Were/Was) there any period(s) of more than three consecutive months when [Name of biological child(10)] did not live with you before that time?
| | 1 Yes |
| | 0 No |
| | 2 CHILD IS LESS THAN THREE MONTHS OLD |
| Q12-74A-C.1 [Y05685.00] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-74A-D.1) |
| | 0 CONDITION DOES NOT APPLY |
| Default Next: | Q12-74.1 |
| Lead-In: | Q12-30C.10 [99:99], Q12-30DB.10 [5:5], Q12-44.10 [5:5], Q12-44.10 [8:8], Q12-45.10 [1:1], Q12-50.10 [1:1], Q12-51.10 [0:0], Q12-30.2 [Default], Q12-30.3 [Default], Q12-30.4 [Default], Q12-30.5 [Default], Q12-30.6 [Default], Q12-30.7 [Default], Q12-30.8 [Default], Q12-30.9 [Default], Q12-30.10 [Default], Q12-48.10 [Default], Q12-52.10 [Default], Q12-56.10 [Default], Q12-58.10 [Default] |
| Q12-74A-D.1 [Y05686.00] | Section: Fertility |
([[Number of biological children respondent had since 94 interview]] >= 1)
COMMENT: Are there any new children to ask about?
| | 1 CONDITION APPLIES ...(Go To Q12-74-A.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-74.1 [Y05687.00] | Section: Fertility |
Now I'd like to ask you some questions about [your/the] pregnancy(ies) that led to the birth of your [child/children]
(INTERVIEWER: HIGHLIGHT NAME OF THE CHILD WHO WAS FIRST BORN.)
| Q12-74-A.1 [Y05688.00] | Section: Fertility |
Now I'd like to ask you some questions about [your/the] pregnancy(ies) since [date of last interview] which ended in (a) live birth(s).
(INTERVIEWER: HIGHLIGHT NAME OF THE FIRST CHILD BORN SINCE [date of last interview]. IF CHILD IS A TWIN, HIGHLIGHT NAME OF FIRST TWIN LISTED AND PRESS <ENTER> TO CONTINUE.)
| Q12-74A.1 [Y05689.00] | Section: Fertility |
INTERVIEWER: DID THIS PREGNANCY RESULT IN THE BIRTH OF TWINS? USE <PGUP> IF NECESSARY TO CHECK THE ROSTER.
| Q12-76F.1 [Y05690.00] | Section: Fertility |
[[Gender of the respondent]]
COMMENT: check gender
If Answer = 1 Then Go To Q12-78M.1
| Q12-77F.1 [Y05691.01] | Section: Fertility |
When did you become pregnant with [Name of child from pregnancy 1]? What month and year?
| Q12-78F.1 [Y05692.00] | Section: Fertility |
(HAND CARD CC) Just before you became pregnant with [Name of child from pregnancy 1], did you use any methods such as the ones listed on this card to keep from getting pregnant?
| Q12-79F.1 [Y05693.00] | Section: Fertility |
Had you stopped all methods before you became pregnant?
| Q12-80F.1 [Y05694.00] | Section: Fertility |
Was the reason you [blank/were not/stopped] using any methods because you yourself wanted to become pregnant?
| Q12-81F.1 [Y05695.00] | Section: Fertility |
Just before you became pregnant that time, did you want to become pregnant when you did? (IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82F.1 [Y05696.00] | Section: Fertility |
And what about your spouse or partner when you became pregnant that time, did he want to have (a/another) baby? (IF NO, PROBE:) Did he want to have (a/another) baby but not at that time, or did he want to have (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-78M.1 [Y05697.00] | Section: Fertility |
(HAND CARD CC) Just before [Name of child from pregnancy 1]'s mother became pregnant with [Name of child from pregnancy 1], did you use any methods such as the ones listed on this card to keep from getting pregnant?
| Q12-79M.1 [Y05698.00] | Section: Fertility |
Had you stopped all methods before [Name of child from pregnancy 1]'s mother became pregnant?
| Q12-80M.1 [Y05699.00] | Section: Fertility |
Was the reason you [blank/were not/stopped] using any methods because you yourself wanted [Name of child from pregnancy 1]'s mother to become pregnant?
| Q12-81M.1 [Y05700.00] | Section: Fertility |
Just before [Name of child from pregnancy 1]'s mother became pregnant that time, did you want her to become pregnant when she did? (IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82M.1 [Y05701.00] | Section: Fertility |
And what about [Name of child from pregnancy 1]'s mother when she became pregnant that time -- did she want to have (a/another) baby? (IF NO, PROBE: ) Did she want to have (a/another) baby but not at that time, or did she want to have (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82N.1 [Y05702.00] | Section: Fertility |
([[Gender of the respondent]]=1)
COMMENT: check if male
| | 1 CONDITION APPLIES ...(Go To Q12-157B1.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-83.1 [Y05703.00] | Section: Fertility |
During your pregnancy with [Name of child from pregnancy 1], did you make any visits to a doctor or nurse for prenatal care, that is, to be examined or talk about your pregnancy?
| Q12-84.1 [Y05704.00] | Section: Fertility |
When did you first visit a doctor or nurse for prenatal care -- during which month of your pregnancy?
(ENTER MONTH NUMBER)
| Q12-85.1 [Y05705.00] | Section: Fertility |
Did you drink any alcoholic beverages, including beer, wine, or liquor, during the 12 months before [Name of child from pregnancy 1] was born?
| Q12-86.1 [Y05706.00] | Section: Fertility |
(HAND CARD DD) How often did you usually drink alcoholic beverages during (your/that) pregnancy? Did you drink ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-87.1 [Y05707.00] | Section: Fertility |
Did you smoke tobacco cigarettes at all during the 12 months before [Name of child from pregnancy 1] was born?
| Q12-88.1 [Y05708.00] | Section: Fertility |
On the average, how many cigarettes did you smoke during (your/that) pregnancy? Did you smoke 2 or more packs a day? Did you smoke 1 pack or more but less than 2 packs a day, or less than 1 pack a day?
| | 3 2 or more packs a day |
| | 2 1 or more but less than 2 |
| | 1 Less than 1 pack a day |
| | 0 (IF VOLUNTEERED:) DID NOT SMOKE DURING THAT PERIOD |
| Q12-89.1 [Y05709.00] | Section: Fertility |
Did you use marijuana or hashish at all during the 12 months before [Name of child from pregnancy 1] was born?
| Q12-90.1 [Y05710.00] | Section: Fertility |
(HAND CARD DD) On the average, how many times did you usually use marijuana or hashish during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-91.1 [Y05711.00] | Section: Fertility |
Did you use any form of cocaine at all during the 12 months before [Name of child from pregnancy 1] was born?
| Q12-92.1 [] | Section: Fertility |
(HAND CARD DD) On the average, how many times did you usually use any form of cocaine during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-93.1 [Y05712.00] | Section: Fertility |
During (your/that) pregnancy, did you take a vitamin/mineral supplement?
| Q12-94.1 [Y05713.00] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the amount of calories in the food you ate?
| Q12-95.1 [Y05714.00] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the amount of salt you used?
| Q12-96.1 [Y05715.00] | Section: Fertility |
During (your/that) pregnancy, did you use diuretics (fluid or water pills) to help eliminate water?
| Q12-97.1 [Y05716.00] | Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your smoking?
| Q12-98.1 [Y05717.00] | Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your alcohol intake?
| Q12-99A.1 [Y05718.00] | Section: Fertility |
([Q12-93.1]=1)
COMMENT: Did R take a vitamin/mineral supplement during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-99B.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-99B.1 [Y05719.00] | Section: Fertility |
Did you take a vitamin/mineral supplement based on a doctor's or nurse's suggestion?
| Q12-100A.1 [Y05720.00] | Section: Fertility |
([Q12-94.1]=1)
COMMENT: Did R cut down on the amount of calories his/her food during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-100B.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-100B.1 [Y05721.00] | Section: Fertility |
Did you cut down on the amount of calories in the food you ate based on a doctor's or nurse's suggestion?
| Q12-101A.1 [Y05722.00] | Section: Fertility |
([Q12-95.1]=1)
COMMENT: Did R cut down on the amount of salt he/she used during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-101B.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-101B.1 [Y05723.00] | Section: Fertility |
Did you cut down on the amount of salt you used based on a doctor's or nurse's suggestion?
| Q12-102A.1 [Y05724.00] | Section: Fertility |
([Q12-96.1]=1)
COMMENT: Did R use diuretics (fluid or water pills) to help eliminate water during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-102B.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-102B.1 [Y05725.00] | Section: Fertility |
Did you use diuretics (fluid or water pills) to help eliminate water based on a doctor's or nurse's suggestion?
| Q12-103A.1 [Y05726.00] | Section: Fertility |
([Q12-97.1]=1)
COMMENT: Did R reduce or stop his/her smoking during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-103B.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-103B.1 [Y05727.00] | Section: Fertility |
Did you reduce or stop your smoking based on a doctor's or nurse's suggestion?
| Q12-104A.1 [Y05728.00] | Section: Fertility |
([Q12-98.1]=1)
COMMENT: Did R reduce or stop his/her alcohol intake during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-104B.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-104B.1 [Y05729.00] | Section: Fertility |
Did you reduce or stop your alcohol intake based on a doctor's or nurse's suggestion?
| Q12-105.1 [Y05730.00] | Section: Fertility |
Based on either your last menstrual period date or your doctor's or clinc's information, was [Name of child from pregnancy 1] born within one week of the expected (due) date?
| Q12-106A.1 [Y05731.00] | Section: Fertility |
Was the baby born early or late?
| Q12-106B.1 [Y05732.00] | Section: Fertility |
How many weeks [early/late] was the baby?
(IF "1 1/2 WEEKS" ROUND UP TO "2".)
| Q12-107.1 [Y05733.00] | Section: Fertility |
Was a cesarean section done? (IF NECESSARY, PROBE:) Was the baby delivered by an incision in your abdomen?
| Q12-108.1 [Y05734.00] | Section: Fertility |
Was this your first cesarean section, or did you have one before?
| | 1 First cesarean |
| | 0 Had cesarean(s) before |
| Q12-109.1 [Y05735.00] | Section: Fertility |
What was your weight just before you delivered?
| Q12-110.1 [Y05736.00] | Section: Fertility |
What was your weight just before you became pregnant with [Name of child from pregnancy 1]?
| Q12-111.1 [Y05737.00] | Section: Fertility |
(([[Respondent's weight before delivering (pregnancy 1)]] >= 0) & ([[Respondent's weight before becoming pregnant (pregnancy 1)]] >= 0))
COMMENT: Are both the weight at delivery and the pre-pregnancy weight real numbers (not DK or REFUSALS)?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-118A.1) |
| Q12-112.1 [Y05738.00] | Section: Fertility |
([[Respondent's weight before delivering (pregnancy 1)]] - [[Respondent's weight before becoming pregnant (pregnancy 1)]])
COMMENT: Subtract weight at time of delivery from weight before pregnancy.
If Answer = 0 Then Go To Q12-116.1
| Q12-113.1 [Y05739.00] | Section: Fertility |
([[Respondent's weight before delivering (pregnancy 1)]] < [[Respondent's weight before becoming pregnant (pregnancy 1)]])
COMMENT: Did R lose weight during pregnancy (weight at delivery is less than weight before pregnancy)?
| Q12-114A.1 [] | Section: Fertility |
([[weight before pregnancy minus weight at time of delivery (pregnancy 1) ]]*(-1))
COMMENT: R lost weight during first pregnancy. Change to positive number for question text.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-114B.1 [Y05740.00] | Section: Fertility |
Does that mean that you lost [Respondent's weight gain/loss during pregnancy 1] pounds during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.1 ([Respondent's weight before delivering (pregnancy 1)]) AND Q12-110.1 ([Respondent's weight before becoming pregnant (pregnancy 1)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-115.1 [Y05741.00] | Section: Fertility |
Does that mean that you gained [Respondent's weight gain/loss during pregnancy 1] pounds during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.1 ([Respondent's weight before delivering (pregnancy 1)]) AND Q12-110.1 ([Respondent's weight before becoming pregnant (pregnancy 1)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-116.1 [Y05742.00] | Section: Fertility |
Does that mean that you did not gain or lose any weight during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.1 ([Respondent's weight before delivering (pregnancy 1)]) AND Q12-110.1 ([Respondent's weight before becoming pregnant (pregnancy 1)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-117.1 [] | Section: Fertility |
Did you gain or lose weight during your pregnancy with [Name of child from pregnancy 1]?
| Q12-117A.1 [] | Section: Fertility |
How much weight did you [gain/lose]?
(ENTER NUMBER OF POUNDS)
| Q12-118A.1 [Y05743.00] | Section: Fertility |
How much did [Name of child from pregnancy 1] weigh at birth?
(ENTER NUMBER OF POUNDS AND PRESS <ENTER> TO ENTER OUNCES.)
If Answer = -2 Then Go To Q12-118C.1
| Q12-118B.1 [Y05744.00] | Section: Fertility |
(How much did [Name of child from pregnancy 1] weigh at birth?)
(ENTER NUMBER OF OUNCES.)
| Q12-118C.1 [Y05745.00] | Section: Fertility |
Did [Name of child from pregnancy 1] weigh more than 5 1/2 pounds or less?
| Q12-119.1 [Y05746.00] | Section: Fertility |
What was [Name of child from pregnancy 1]'s length at birth?
| Q12-119A.1 [Y05747.00] | Section: Fertility |
INTERVIEWER: DID R INDICATE THAT THE LENGTH OF THE BABY WAS AN ESTIMATE?
| Q12-120.1 [Y05748.00] | Section: Fertility |
How long did your baby stay in the hospital?
| | 1 SELECT TO ENTER NUMBER OF DAYS |
| | 0 BABY/RESPONDENT DID NOT STAY IN HOSPITAL ...(Go To Q12-123.1) |
| Q12-120A.1 [Y05749.00] | Section: Fertility |
(How long did your baby stay in the hospital?)
(ENTER NUMBER OF DAYS:)
If Answer = 0 Then Go To Q12-123.1
| Q12-121.1 [Y05750.00] | Section: Fertility |
Did you leave the hospital at the same time as your baby or did you leave earlier or later?
| Q12-122A.1 [Y05751.00] | Section: Fertility |
How many days earlier?
| Q12-122B.1 [] | Section: Fertility |
How many days later?
| Q12-123.1 [Y05752.00] | Section: Fertility |
In [Name of child from pregnancy 1]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured?
| Q12-124.1 [] | Section: Fertility |
When you took [Name of child from pregnancy 1] to a clinic, hospital, or doctor the first time because [he/she] was sick or injured, what was the nature of [his/her] illness or injury?
(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF ILLNESS OR INJURY DESCRIBED HERE.)
| Q12-124A.1 [Y05753.00] | Section: Fertility |
(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)
(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-125.1 [Y05754.15] | Section: Fertility |
(HAND CARD EE) Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [first illness of child from pregnancy 1].
(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY
RECORDED IN 12-124.1.)
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-126.1 [Y05755.00] | Section: Fertility |
How many months old was [Name of child from pregnancy 1] when you took [him/her] to a clinic, hospital or doctor the first time for (this) [first illness of child from pregnancy 1]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)
| Q12-127.1 [Y05756.00] | Section: Fertility |
In [Name of child from pregnancy 1]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [first illness of child from pregnancy 1]?
If Answer = 1 Then Go To Q12-129.1
| Q12-128.1 [Y05757.00] | Section: Fertility |
In [Name of child from pregnancy 1]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [first illness of child from pregnancy 1]?
| Q12-129.1 [Y05758.08] | Section: Fertility |
(HAND CARD FF) Please look at this card. In [Name of child from pregnancy 1]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [first illness of child from pregnancy 1], where did you take (him/her)?
(CODE ALL THAT APPLY)
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-130B.1 [Y05759.00] | Section: Fertility |
([[Codes for places took child for main illness in first year
(pregnancy 1)(9)]] = 9)
COMMENT: Was child from first pregnancy admitted to hospital for first illness in first year of life?
| | 1 CONDITION APPLIES ...(Go To Q12-131.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-131.1 [Y05760.00] | Section: Fertility |
When [Name of child from pregnancy 1] was admitted to the hospital, was surgery necessary?
| Q12-132.1 [Y05761.00] | Section: Fertility |
Did you have to take time off from work?
| Q12-133.1 [Y05762.00] | Section: Fertility |
In [Name of child from pregnancy 1]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured with a different illness or injury than the one we have just talked about?
| Q12-134.1 [] | Section: Fertility |
What was the nature of this other illness or injury?
(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF
ILLNESS OR INJURY DESCRIBED HERE.)
| Q12-134A.1 [Y05763.00] | Section: Fertility |
(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)
(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-135.1 [Y05764.15] | Section: Fertility |
(HAND CARD EE) Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [second illness of child from pregnancy 1].
(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY
RECORDED IN 12-134.1.)
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-136.1 [Y05765.00] | Section: Fertility |
How many months old was [Name of child from pregnancy 1] when you took (him/her) to a clinic, hospital or doctor the first time for (this) [second illness of child from pregnancy 1]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)
| Q12-137.1 [Y05766.00] | Section: Fertility |
In [Name of child from pregnancy 1]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [second illness of child from pregnancy 1]?
If Answer = 1 Then Go To Q12-139.1
| Q12-138.1 [Y05767.00] | Section: Fertility |
In [Name of child from pregnancy 1]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [second illness of child from pregnancy 1]?
| Q12-139.1 [Y05768.03] | Section: Fertility |
(HAND CARD FF) Please look at this card. In [Name of child from pregnancy 1]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [second illness of child from pregnancy 1], where did you take (him/her)?
(CODE ALL THAT APPLY)
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-140B.1 [] | Section: Fertility |
([[Codes for places took child for other illness in first year
(pregnancy 1)(9)]] = 9)
COMMENT: Was child from first pregnancy admitted to hospital for second illness in first year of life?
| | 1 CONDITION APPLIES ...(Go To Q12-141.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-141.1 [] | Section: Fertility |
When [Name of child from pregnancy 1] was admitted to the hospital, was surgery necessary?
| Q12-142.1 [] | Section: Fertility |
Did you have to take time off from work?
| Q12-143.1 [Y05769.00] | Section: Fertility |
Now we are going to discuss well baby care.
In [Name of child from pregnancy 1]'s first year, did you take (him/her) to a clinic or doctor for well baby care when (he/she) was not sick?
| Q12-144.1 [Y05770.05] | Section: Fertility |
How many months old was [Name of child from pregnancy 1] when you took (him/her) to a clinic or doctor for well baby care the first time?..... How old was (he/she) the next time?
(INTERVIEWER: CONTINUE TO ASK UNTIL THE LAST TIME IS CODED. MARK ALL THAT APPLY.)
| | 1 01 - ONE MONTH OLD |
| | 2 02 - TWO MONTHS OLD |
| | 3 03 - THREE MONTHS OLD |
| | 4 04 - FOUR MONTHS OLD |
| | 5 05 - FIVE MONTHS OLD |
| | 6 06 - SIX MONTHS OLD |
| | 7 07 - SEVEN MONTHS OLD |
| | 8 08 - EIGHT MONTHS OLD |
| | 9 09 - NINE MONTHS OLD |
| | 10 10 - TEN MONTHS OLD |
| | 11 11 - ELEVEN MONTHS OLD |
| | 12 12 - TWELVE MONTHS OLD |
| Q12-146A.1 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 1)(1)]] = 1)
COMMENT: Was first child taken for well baby care in his first month?
| | 1 CONDITION APPLIES ...(Go To Q12-146B.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-146B.1 [Y05772.00] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 1] for well baby care when (he/she) was 1 month old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-147A.1 [Y05773.00] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 1)(2)]] = 2)
COMMENT: Was first child taken for well baby care in his second month?
| | 1 CONDITION APPLIES ...(Go To Q12-147B.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-147B.1 [Y05774.00] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 1] for well baby care when (he/she) was 2 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-148A.1 [Y05775.00] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 1)(3)]] = 3)
COMMENT: Was first child taken for well baby care in his third month?
| | 1 CONDITION APPLIES ...(Go To Q12-148B.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-148B.1 [Y05776.00] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 1] for well baby care when (he/she) was 3 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-149A.1 [Y05777.00] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 1)(4)]] = 4)
COMMENT: Was first child taken for well baby care in his fourth month?
| | 1 CONDITION APPLIES ...(Go To Q12-149B.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-149B.1 [Y05778.00] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 1] for well baby care when (he/she) was 4 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-150A.1 [Y05779.00] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 1)(5)]] = 5)
COMMENT: Was first child taken for well baby care in his fifth month?
| | 1 CONDITION APPLIES ...(Go To Q12-150B.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-150B.1 [Y05780.00] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 1] for well baby care when (he/she) was 5 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-151A.1 [Y05781.00] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 1)(6)]] = 6)
COMMENT: Was first child taken for well baby care in his sixth month?
| | 1 CONDITION APPLIES ...(Go To Q12-151B.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-151B.1 [Y05782.00] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 1] for well baby care when (he/she) was 6 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-152A.1 [Y05783.00] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 1)(7)]] = 7)
COMMENT: Was first child taken for well baby care in his seventh month?
| | 1 CONDITION APPLIES ...(Go To Q12-152B.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-152B.1 [Y05784.00] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 1] for well baby care when (he/she) was 7 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-153A.1 [Y05785.00] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 1)(8)]] = 8)
COMMENT: Was first child taken for well baby care in his eighth month?
| | 1 CONDITION APPLIES ...(Go To Q12-153B.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-153B.1 [Y05786.00] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 1] for well baby care when (he/she) was 8 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-154A.1 [Y05787.00] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 1)(9)]] = 9)
COMMENT: Was first child taken for well baby care in his ninth month?
| | 1 CONDITION APPLIES ...(Go To Q12-154B.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-154B.1 [Y05788.00] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 1] for well baby care when (he/she) was 9 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-155A.1 [Y05789.00] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 1)(10)]] = 10)
COMMENT: Was first child taken for well baby care in his tenth month?
| | 1 CONDITION APPLIES ...(Go To Q12-155B.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-155B.1 [Y05790.00] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 1] for well baby care when (he/she) was 10 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-156A.1 [Y05791.00] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 1)(11)]] = 11)
COMMENT: Was first child taken for well baby care in his eleventh month?
| | 1 CONDITION APPLIES ...(Go To Q12-156B.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-156B.1 [Y05792.00] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 1] for well baby care when (he/she) was 11 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-157A.1 [Y05793.00] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 1)(12)]] = 12)
COMMENT: Was first child taken for well baby care in his twelveth month?
| | 1 CONDITION APPLIES ...(Go To Q12-157B.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157B.1 [Y05794.00] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 1] for well baby care when (he/she) was 12 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-157B1.1 [Y05795.00] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-157BB.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157BA.1 [Y05796.00] | Section: Fertility |
([Q12-30D.1] = 5) | ([Q12-30D.1] = 8)
COMMENT: if child is adopted out or deceased
| | 1 CONDITION APPLIES ...(Go To Q12-158.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157BB.1 [Y05797.00] | Section: Fertility |
([[hhi flag of child from pregnancy 1]] = 5) | ([[hhi flag of child from pregnancy 1]] = 8)
COMMENT: if child is adopted out or deceased
| | 1 CONDITION APPLIES ...(Go To Q12-158.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157C.1 [] | Section: Fertility |
Now, we have a few questions about health care plans. First, is [Name of child from pregnancy 1]'s health insurance provided either by an employer or by an individual plan that pays part of or all of a hospital bill?...........
| Q12-157CA.1 [Y05798.00] | Section: Fertility |
.....(PROBE IF NECESSARY) Examples of health and hospitalization insurance plan include Blue Cross, Blue Shield, HMO.
[THIS DOES NOT INCLUDE PUBLIC ASSISTANCE HEALTH CARE PROGRAMS.]
| Q12-157D.1 [Y05799.00] | Section: Fertility |
(HAND CARD GG) What is the source of [Name of child from pregnancy 1]'s health plan? Is it your own policy bought directly from a medical insurance company, your parent's policy, an employer policy, or something else?
| | 1 Respondent's Parent's policy |
| | 2 Respondent/spouse/partner policy bought directly from insurance company |
| | 3 Respondent's employer policy |
| | 4 Spouse/partner employer policy |
| | 5 Other (SPECIFY) |
| Q12-157E.1 [Y05800.00] | Section: Fertility |
There is a national program called Medicaid (Medi-Cal/Medical Assistance /Welfare/Medical Services) that pays for health care for persons in need. Is [Name of child from pregnancy 1]'s health care now covered by Medicaid or one of these public assistance health care programs?
| Q12-158.1 [Y05801.00] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-158B.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-158A.1 [Y05802.00] | Section: Fertility |
CHECK ([Name of biological child(2)])
COMMENT: check if to loop again 2nd time
| | 1 CONDITION APPLIES ...(Go To Q12-158C.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-158B.1 [Y05803.00] | Section: Fertility |
([[Total new births since last expanded fertility interview]] >= 2)
COMMENT: Did R report at least 2 new children since last NICHD interview?
| | 1 CONDITION APPLIES ...(Go To Q12-158C.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-158C.1 [Y05804.00] | Section: Fertility |
([[live-birth pregnancy result in multiple births?(1)]] >= 1)
COMMENT: Did this pregnancy result in a multiple birth?
| | 1 CONDITION APPLIES ...(Go To Q12-74B.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-74A-C.2 [Y05805.00] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-74-A.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-74.2 [Y05806.00] | Section: Fertility |
Now I'd like to ask you some questions about [your/the] pregnancy(ies) that led to the birth of your [child/children]
(INTERVIEWER: HIGHLIGHT NAME OF THE CHILD WHO WAS SECOND BORN.)
| Q12-74-A.2 [Y05807.00] | Section: Fertility |
Now I'd like to ask you some questions about [your/the] pregnancy(ies) since [date of last interview] which ended in (a) live birth(s).
(INTERVIEWER: HIGHLIGHT NAME OF THE SECOND CHILD BORN SINCE [date of last interview]. IF CHILD IS A TWIN, HIGHLIGHT NAME OF FIRST TWIN LISTED AND PRESS <ENTER> TO CONTINUE.)
| Q12-74A.2 [Y05808.00] | Section: Fertility |
INTERVIEWER: DID THIS PREGNANCY RESULT IN THE BIRTH OF TWINS? USE <PGUP> IF NECESSARY TO CHECK THE ROSTER.
| Q12-74B.2 [] | Section: Fertility |
INTERVIEWER: HIGHLIGHT NAME OF THE NEXT CHILD WHO WAS BORN FROM THIS
PREGNANCY SINCE [date of last interview].
| Q12-76E.2 [Y05809.00] | Section: Fertility |
([[live-birth pregnancy result in multiple births?(1)]] >= 1)
COMMENT: Did this pregnancy result in a multiple birth?
| | 1 CONDITION APPLIES ...(Go To Q12-76EA.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-76EA.2 [Y05810.00] | Section: Fertility |
([[Gender of the respondent]]=1)
COMMENT: check if male
If Answer = 1 Then Go To Q12-157B1.2
| Q12-76F.2 [Y05811.00] | Section: Fertility |
[[Gender of the respondent]]
COMMENT: check gender
If Answer = 1 Then Go To Q12-78M.2
| Q12-77F.2 [Y05812.01] | Section: Fertility |
When did you become pregnant with [Name of child from pregnancy 2]? What month and year?
| Q12-78F.2 [Y05813.00] | Section: Fertility |
(HAND CARD CC) Just before you became pregnant with [Name of child from pregnancy 2], did you use any methods such as the ones listed on this card to keep from getting pregnant?
| Q12-79F.2 [Y05814.00] | Section: Fertility |
Had you stopped all methods before you became pregnant?
| Q12-80F.2 [Y05815.00] | Section: Fertility |
Was the reason you [blank/were not/stopped] using any methods because you yourself wanted to become pregnant?
| Q12-81F.2 [Y05816.00] | Section: Fertility |
Just before you became pregnant that time, did you want to become pregnant when you did? (IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82F.2 [Y05817.00] | Section: Fertility |
And what about your spouse or partner when you became pregnant that time, did he want to have (a/another) baby? (IF NO, PROBE:) Did he want to have (a/another) baby but not at that time, or did he want to have (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-78M.2 [Y05818.00] | Section: Fertility |
(HAND CARD CC) Just before [Name of child from pregnancy 2]'s mother became pregnant with [Name of child from pregnancy 2], did you use any methods such as the ones listed on this card to keep from getting pregnant?
| Q12-79M.2 [Y05819.00] | Section: Fertility |
Had you stopped all methods before [Name of child from pregnancy 2]'s mother became pregnant?
| Q12-80M.2 [Y05820.00] | Section: Fertility |
Was the reason you [blank/were not/stopped] using any methods because you yourself wanted [Name of child from pregnancy 2]'s mother to become pregnant?
| Q12-81M.2 [Y05821.00] | Section: Fertility |
Just before [Name of child from pregnancy 2]'s mother became pregnant that time, did you want her to become pregnant when she did? (IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82M.2 [Y05822.00] | Section: Fertility |
And what about [Name of child from pregnancy 2]'s mother when she became pregnant that time -- did she want to have (a/another) baby? (IF NO, PROBE ) Did she want to have (a/another) baby but not at that time, or did she want to have (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82N.2 [Y05823.00] | Section: Fertility |
([[Gender of the respondent]]=1)
COMMENT: check if male
| | 1 CONDITION APPLIES ...(Go To Q12-157B1.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-83.2 [Y05824.00] | Section: Fertility |
During your pregnancy with [Name of child from pregnancy 2], did you make any visits to a doctor or nurse for prenatal care, that is, to be examined or talk about your pregnancy?
| Q12-84.2 [Y05825.00] | Section: Fertility |
When did you first visit a doctor or nurse for prenatal care -- during which month of your pregnancy?
(ENTER MONTH NUMBER)
| Q12-85.2 [Y05826.00] | Section: Fertility |
Did you drink any alcoholic beverages, including beer, wine, or liquor, during the 12 months before [Name of child from pregnancy 2] was born?
| Q12-86.2 [Y05827.00] | Section: Fertility |
(HAND CARD DD) How often did you usually drink alcoholic beverages during (your/that) pregnancy? Did you drink ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-87.2 [Y05828.00] | Section: Fertility |
Did you smoke tobacco cigarettes at all during the 12 months before [Name of child from pregnancy 2] was born?
| Q12-88.2 [Y05829.00] | Section: Fertility |
On the average, how many cigarettes did you smoke during (your/that) pregnancy? Did you smoke 2 or more packs a day? Did you smoke 1 pack or more but less than 2 packs a day, or less than 1 pack a day?
| | 3 2 or more packs a day |
| | 2 1 or more but less than 2 |
| | 1 Less than 1 pack a day |
| | 0 (IF VOLUNTEERED:) DID NOT SMOKE DURING THAT PERIOD |
| Q12-89.2 [Y05830.00] | Section: Fertility |
Did you use marijuana or hashish at all during the 12 months before [Name of child from pregnancy 2] was born?
| Q12-90.2 [] | Section: Fertility |
(HAND CARD DD) On the average, how many times did you usually use marijuana or hashish during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-91.2 [Y05831.00] | Section: Fertility |
Did you use any form of cocaine at all during the 12 months before [Name of child from pregnancy 2] was born?
| Q12-92.2 [] | Section: Fertility |
(HAND CARD DD) On the average, how many times did you usually use any form
of cocaine during (your/that) pregnancy? Did you use it ... (READ
CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-93.2 [Y05832.00] | Section: Fertility |
During (your/that) pregnancy, did you take a vitamin/mineral supplement?
| Q12-94.2 [Y05833.00] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the amount of calories in the food you ate?
| Q12-95.2 [Y05834.00] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the amount of salt you used?
| Q12-96.2 [Y05835.00] | Section: Fertility |
During (your/that) pregnancy, did you use diuretics (fluid or water pills) to help eliminate water?
| Q12-97.2 [Y05836.00] | Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your smoking?
| Q12-98.2 [Y05837.00] | Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your alcohol intake?
| Q12-99A.2 [Y05838.00] | Section: Fertility |
([Q12-93.2]=1)
COMMENT: Did R take a vitamin/mineral supplement during second pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-99B.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-99B.2 [Y05839.00] | Section: Fertility |
Did you take a vitamin/mineral supplement based on a doctor's or nurse's suggestion?
| Q12-100A.2 [] | Section: Fertility |
([Q12-94.2]=1)
COMMENT: Did R cut down on the amount of calories his/her food during second pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-100B.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-100B.2 [] | Section: Fertility |
Did you cut down on the amount of calories in the food you ate based on a doctor's or nurse's suggestion?
| Q12-101A.2 [] | Section: Fertility |
([Q12-95.2]=1)
COMMENT: Did R cut down on the amount of salt he/she used during second pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-101B.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-101B.2 [] | Section: Fertility |
Did you cut down on the amount of salt you used based on a doctor's or nurse's suggestion?
| Q12-102A.2 [] | Section: Fertility |
([Q12-96.2]=1)
COMMENT: Did R use diuretics (fluid or water pills) to help eliminate water during second pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-102B.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-102B.2 [] | Section: Fertility |
Did you use diuretics (fluid or water pills) to help eliminate water based on a doctor's or nurse's suggestion?
| Q12-103A.2 [Y05840.00] | Section: Fertility |
([Q12-97.2]=1)
COMMENT: Did R reduce or stop his/her smoking during second pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-103B.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-103B.2 [Y05841.00] | Section: Fertility |
Did you reduce or stop your smoking based on a doctor's or nurse's suggestion?
| Q12-104A.2 [Y05842.00] | Section: Fertility |
([Q12-98.2]=1)
COMMENT: Did R reduce or stop his/her alcohol intake during second pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-104B.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-104B.2 [Y05843.00] | Section: Fertility |
Did you reduce or stop your alcohol intake based on a doctor's or nurse's suggestion?
| Q12-105.2 [Y05844.00] | Section: Fertility |
Based on either your last menstrual period date or your doctor's or clinc's information, was [Name of child from pregnancy 2] born within one week of the expected (due) date?
| Q12-106A.2 [Y05845.00] | Section: Fertility |
Was the baby born early or late?
| Q12-106B.2 [Y05846.00] | Section: Fertility |
How many weeks [early/late] was the baby?
(IF "1 1/2 WEEKS" ROUND UP TO "2".)
| Q12-107.2 [Y05847.00] | Section: Fertility |
Was a cesarean section done? (IF NECESSARY, PROBE:) Was the baby delivered by an incision in your abdomen?
| Q12-108.2 [Y05848.00] | Section: Fertility |
Was this your first cesarean section, or did you have one before?
| | 1 First cesarean |
| | 0 Had cesarean(s) before |
| Q12-109.2 [Y05849.00] | Section: Fertility |
What was your weight just before you delivered?
| Q12-110.2 [Y05850.00] | Section: Fertility |
What was your weight just before you became pregnant with [Name of child from pregnancy 2]?
| Q12-111.2 [] | Section: Fertility |
(([[Respondent's weight before delivering (pregnancy 2)]] >= 0) & ([[Respondent's weight before becoming pregnant (pregnancy 2)]] >= 0))
COMMENT: Are both the weight at delivery and the pre-pregnancy weight real numbers (not DK or REFUSALS)?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-118A.2) |
| Q12-112.2 [Y05852.00] | Section: Fertility |
([[Respondent's weight before delivering (pregnancy 2)]] - [[Respondent's weight before becoming pregnant (pregnancy 2)]])
COMMENT: Subtract weight at time of delivery from weight before pregnancy.
If Answer = 0 Then Go To Q12-116.2
| Q12-113.2 [] | Section: Fertility |
([[Respondent's weight before delivering (pregnancy 2)]] < [[Respondent's weight before becoming pregnant (pregnancy 2)]])
COMMENT: Did R lose weight during pregnancy (weight at delivery is less than weight before pregnancy)?
| Q12-114A.2 [] | Section: Fertility |
([[Q12-112.2]]*(-1))
COMMENT: R lost weight during second pregnancy. Change to positive number for question text.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-114B.2 [] | Section: Fertility |
Does that mean that you lost [Respondent's weight gain/loss during pregnancy 2] pounds during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.2 ([Respondent's weight before delivering (pregnancy 2)]) AND Q12-110.2 ([Respondent's weight before becoming pregnant (pregnancy 2)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-115.2 [Y05854.00] | Section: Fertility |
Does that mean that you gained [Respondent's weight gain/loss during pregnancy 2] pounds during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.2 ([Respondent's weight before delivering (pregnancy 2)]) AND Q12-110.2 ([Respondent's weight before becoming pregnant (pregnancy 2)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-116.2 [] | Section: Fertility |
Does that mean that you did not gain or lose any weight during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.2 ([Respondent's weight before delivering (pregnancy 2)]) AND Q12-110.2 ([Respondent's weight before becoming pregnant (pregnancy 2)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-117.2 [] | Section: Fertility |
Did you gain or lose weight during your pregnancy with [Name of child from pregnancy 2]?
| Q12-117A.2 [] | Section: Fertility |
How much weight did you [gain/lose]?
(ENTER NUMBER OF POUNDS)
| Q12-118A.2 [Y05855.00] | Section: Fertility |
How much did [Name of child from pregnancy 2] weigh at birth?
(ENTER NUMBER OF POUNDS AND PRESS <ENTER> TO ENTER OUNCES.)
If Answer = -2 Then Go To Q12-118C.2
| Q12-118B.2 [Y05856.00] | Section: Fertility |
(How much did [Name of child from pregnancy 2] weigh at birth?)
(ENTER NUMBER OF OUNCES.)
| Q12-118C.2 [] | Section: Fertility |
Did [Name of child from pregnancy 2] weigh more than 5 1/2 pounds or less?
| Q12-119.2 [Y05858.00] | Section: Fertility |
What was [Name of child from pregnancy 2]'s length at birth?
| Q12-119A.2 [Y05859.00] | Section: Fertility |
INTERVIEWER: DID R INDICATE THAT THE LENGTH OF THE BABY WAS AN ESTIMATE?
| Q12-120.2 [Y05860.00] | Section: Fertility |
How long did your baby stay in the hospital?
| | 1 SELECT TO ENTER NUMBER OF DAYS |
| | 0 BABY/RESPONDENT DID NOT STAY IN HOSPITAL ...(Go To Q12-123.2) |
| Q12-120A.2 [Y05861.00] | Section: Fertility |
(How long did your baby stay in the hospital?)
(ENTER NUMBER OF DAYS:)
If Answer = 0 Then Go To Q12-123.2
| Q12-121.2 [Y05862.00] | Section: Fertility |
Did you leave the hospital at the same time as your baby or did you leave earlier or later?
| Q12-122A.2 [] | Section: Fertility |
How many days earlier?
| Q12-122B.2 [] | Section: Fertility |
How many days later?
| Q12-123.2 [Y05863.00] | Section: Fertility |
In [Name of child from pregnancy 2]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured?
| Q12-124.2 [] | Section: Fertility |
When you took [Name of child from pregnancy 2] to a clinic, hospital, or doctor the first time because [he/she] was sick or injured, what was the nature of [his/her] illness or injury?
(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF
ILLNESS OR INJURY DESCRIBED HERE.)
| Q12-124A.2 [Y05864.00] | Section: Fertility |
(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)
(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-125.2 [Y05865.15] | Section: Fertility |
(HAND CARD EE) Please look at this card and tell me which of these symptom or conditions occurred with (the/a) [first illness of child from pregnancy 2].
(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY
RECORDED IN 12-124.2.)
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-126.2 [Y05866.00] | Section: Fertility |
How many months old was [Name of child from pregnancy 2] when you took [him/her] to a clinic, hospital or doctor the first time for (this) [first illness of child from pregnancy 2]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)
| Q12-127.2 [Y05867.00] | Section: Fertility |
In [Name of child from pregnancy 2]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [first illness of child from pregnancy 2]?
If Answer = 1 Then Go To Q12-129.2
| Q12-128.2 [] | Section: Fertility |
In [Name of child from pregnancy 2]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [first illness of child from pregnancy 2]?
| Q12-129.2 [Y05868.00] | Section: Fertility |
(HAND CARD FF) Please look at this card. In [Name of child from pregnancy 2]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [first illness of child from pregnancy 2], where did you take (him/her)?
(CODE ALL THAT APPLY)
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-130B.2 [] | Section: Fertility |
([[Codes for places took child for main illness in first year
(pregnancy 2)(9)]] = 9)
COMMENT: Was child from second pregnancy admitted to hospital for first illness in first year of life?
| | 1 CONDITION APPLIES ...(Go To Q12-131.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-131.2 [] | Section: Fertility |
When [Name of child from pregnancy 2] was admitted to the hospital, was surgery necessary?
| Q12-132.2 [] | Section: Fertility |
Did you have to take time off from work?
| Q12-133.2 [Y05869.00] | Section: Fertility |
In [Name of child from pregnancy 2]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured with a different illness or injury than the one we have just talked about?
| Q12-134.2 [] | Section: Fertility |
What was the nature of this other illness or injury?
(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF
ILLNESS OR INJURY DESCRIBED HERE.)
| Q12-134A.2 [] | Section: Fertility |
(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE
OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.) (IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-135.2 [] | Section: Fertility |
(HAND CARD EE) Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [second illness of child from pregnancy 2].
(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY
RECORDED IN 12-134.2.)
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-136.2 [] | Section: Fertility |
How many months old was [Name of child from pregnancy 2] when you took (him/her) to a clinic, hospital or doctor the first time for (this) [second illness of child from pregnancy 2]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)
| Q12-137.2 [] | Section: Fertility |
In [Name of child from pregnancy 2]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [second illness of child from pregnancy 2]?
If Answer = 1 Then Go To Q12-139.2
| Q12-138.2 [] | Section: Fertility |
In [Name of child from pregnancy 2]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [second illness of child from pregnancy 2]?
| Q12-139.2 [] | Section: Fertility |
(HAND CARD FF) Please look at this card. In [Name of child from pregnancy 2]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [second illness of child from pregnancy 2], where did you take (him/her)?
(CODE ALL THAT APPLY)
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-140B.2 [] | Section: Fertility |
([[Codes for places took child for other illness in first year
(pregnancy 2)(9)]] = 9)
COMMENT: Was child from second pregnancy admitted to hospital for second illness in first year of life?
| | 1 CONDITION APPLIES ...(Go To Q12-141.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-141.2 [] | Section: Fertility |
When [Name of child from pregnancy 2] was admitted to the hospital, was surgery necessary?
| Q12-142.2 [] | Section: Fertility |
Did you have to take time off from work?
| Q12-143.2 [Y05870.00] | Section: Fertility |
Now we are going to discuss well baby care.
In [Name of child from pregnancy 2]'s first year, did you take (him/her) to a clinic or doctor for well baby care when (he/she) was not sick?
| Q12-144.2 [Y05871.08] | Section: Fertility |
How many months old was [Name of child from pregnancy 2] when you took (him/her) to a clinic or doctor for well baby care the first time?..... How old was (he/she) the next time?
(INTERVIEWER: CONTINUE TO ASK UNTIL THE LAST TIME IS CODED. MARK ALL THAT APPLY.)
| | 1 01 - ONE MONTH OLD |
| | 2 02 - TWO MONTHS OLD |
| | 3 03 - THREE MONTHS OLD |
| | 4 04 - FOUR MONTHS OLD |
| | 5 05 - FIVE MONTHS OLD |
| | 6 06 - SIX MONTHS OLD |
| | 7 07 - SEVEN MONTHS OLD |
| | 8 08 - EIGHT MONTHS OLD |
| | 9 09 - NINE MONTHS OLD |
| | 10 10 - TEN MONTHS OLD |
| | 11 11 - ELEVEN MONTHS OLD |
| | 12 12 - TWELVE MONTHS OLD |
| Q12-146A.2 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 2)(1)]] = 1)
COMMENT: Was second child taken for well baby care in his/her first month?
| | 1 CONDITION APPLIES ...(Go To Q12-146B.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-146B.2 [Y05873.00] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 2] for well baby care when (he/she) was 1 month old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-147A.2 [Y05874.00] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 2)(2)]] = 2)
COMMENT: Was second child taken for well baby care in his/her second month?
| | 1 CONDITION APPLIES ...(Go To Q12-147B.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-147B.2 [Y05875.00] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 2] for well baby care when (he/she) was 2 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-148A.2 [Y05876.00] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 2)(3)]] = 3)
COMMENT: Was second child taken for well baby care in his/her third month?
| | 1 CONDITION APPLIES ...(Go To Q12-148B.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-148B.2 [Y05877.00] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 2] for well baby care when (he/she) was 3 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-149A.2 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 2)(4)]] = 4)
COMMENT: Was second child taken for well baby care in his/her fourth month?
| | 1 CONDITION APPLIES ...(Go To Q12-149B.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-149B.2 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 2] for well baby care when (he/she) was 4 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-150A.2 [Y05878.00] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 2)(5)]] = 5)
COMMENT: Was second child taken for well baby care in his/her fifth month?
| | 1 CONDITION APPLIES ...(Go To Q12-150B.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-150B.2 [Y05879.00] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 2] for well baby care when (he/she) was 5 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-151A.2 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 2)(6)]] = 6)
COMMENT: Was second child taken for well baby care in his/her sixth month?
| | 1 CONDITION APPLIES ...(Go To Q12-151B.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-151B.2 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 2] for well baby care when (he/she) was 6 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-152A.2 [Y05880.00] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 2)(7)]] = 7)
COMMENT: Was second child taken for well baby care in his/her seventh month?
| | 1 CONDITION APPLIES ...(Go To Q12-152B.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-152B.2 [Y05881.00] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 2] for well baby care when (he/she) was 7 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-153A.2 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 2)(8)]] = 8)
COMMENT: Was second child taken for well baby care in his/her eighth month?
| | 1 CONDITION APPLIES ...(Go To Q12-153B.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-153B.2 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 2] for well baby care when (he/she) was 8 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-154A.2 [Y05882.00] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 2)(9)]] = 9)
COMMENT: Was second child taken for well baby care in his/her ninth month?
| | 1 CONDITION APPLIES ...(Go To Q12-154B.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-154B.2 [Y05883.00] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 2] for well baby care when (he/she) was 9 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-155A.2 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 2)(10)]] = 10)
COMMENT: Was second child taken for well baby care in his/her tenth month?
| | 1 CONDITION APPLIES ...(Go To Q12-155B.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-155B.2 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 2] for well baby care when (he/she) was 10 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-156A.2 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 2)(11)]] = 11)
COMMENT: Was second child taken for well baby care in his/her eleventh month?
| | 1 CONDITION APPLIES ...(Go To Q12-156B.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-156B.2 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 2] for well baby care when (he/she) was 11 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-157A.2 [Y05884.00] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 2)(12)]] = 12)
COMMENT: Was second child taken for well baby care in his/her twelveth month?
| | 1 CONDITION APPLIES ...(Go To Q12-157B.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157B.2 [Y05885.00] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 2] for well baby care when (he/she) was 12 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-157B1.2 [Y05886.00] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-157BB.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157BA.2 [Y05887.00] | Section: Fertility |
([Q12-30D.2] = 5) | ([Q12-30D.2] = 8)
COMMENT: if child is adopted out or deceased
| | 1 CONDITION APPLIES ...(Go To Q12-158.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157BB.2 [Y05888.00] | Section: Fertility |
([[hhi flag of child from pregnancy 2]] = 5) | ([[hhi flag of child from pregnancy 2]] = 8)
COMMENT: if child is adopted out or deceased
| | 1 CONDITION APPLIES ...(Go To Q12-158.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157C.2 [] | Section: Fertility |
Now, we have a few questions about health care plans. First, is [Name of child from pregnancy 2]'s health insurance provided either by an employer or by an individual plan that pays part of or all of a hospital bill?...........
| Q12-157CA.2 [Y05889.00] | Section: Fertility |
.....(PROBE IF NECESSARY) Examples of health and hospitalization insurance plan include Blue Cross, Blue Shield, HMO. [THIS DOES NOT INCLUDE PUBLIC ASSISTANCE HEALTH CARE PROGRAMS.]
| Q12-157D.2 [Y05890.00] | Section: Fertility |
(HAND CARD GG) What is the source of [Name of child from pregnancy 2]'s health plan? Is it your own policy bought directly from a medical insurance company, your parent's policy, an employer policy, or something else?
| | 1 Respondent's Parent's policy |
| | 2 Respondent/spouse/partner policy bought directly from insurance company |
| | 3 Respondent's employer policy |
| | 4 Spouse/partner employer policy |
| | 5 Other (SPECIFY) |
| Q12-157E.2 [Y05891.00] | Section: Fertility |
There is a national program called Medicaid (Medi-Cal/Medical Assistance /Welfare/Medical Services) that pays for health care for persons in need. Is [Name of child from pregnancy 2]'s health care now covered by Medicaid or one of these public assistance health care programs?
| Q12-158.2 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-158B.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-158A.2 [] | Section: Fertility |
CHECK ([Name of biological child(3)])
COMMENT: check if to loop again 2nd time
If Answer = 1 Then Go To Q12-158C.2
| Q12-158B.2 [] | Section: Fertility |
([[Total new births since last expanded fertility interview]] >= 3)
COMMENT: Did R report at least 3 new children since last NICHD interview?
| | 1 CONDITION APPLIES ...(Go To Q12-158C.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-158C.2 [] | Section: Fertility |
([[live-birth pregnancy result in multiple births?(2)]] >= 1)
COMMENT: Did this pregnancy result in a multiple birth?
| | 1 CONDITION APPLIES ...(Go To Q12-74B.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-74A-C.3 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-74-A.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-74.3 [] | Section: Fertility |
Now I'd like to ask you some questions about [your/the] pregnancy(ies) that led to the birth of your [child/children]
(INTERVIEWER: HIGHLIGHT NAME OF THE CHILD WHO WAS THIRD BORN.)
| Q12-74-A.3 [] | Section: Fertility |
Now I'd like to ask you some questions about [your/the] pregnancy(ies) since [date of last interview] which ended in (a) live birth(s).
(INTERVIEWER: HIGHLIGHT NAME OF THE THIRD CHILD BORN SINCE [date of last interview]. IF CHILD IS A TWIN, HIGHLIGHT NAME OF FIRST TWIN LISTED AND PRESS <ENTER> TO CONTINUE.)
| Q12-74A.3 [] | Section: Fertility |
INTERVIEWER: DID THIS PREGNANCY RESULT IN THE BIRTH OF TWINS? USE <PGUP> IF NECESSARY TO CHECK THE ROSTER.
| Q12-74B.3 [] | Section: Fertility |
INTERVIEWER: HIGHLIGHT NAME OF THE NEXT CHILD WHO WAS BORN FROM THIS PREGNANCY SINCE [date of last interview].
| Q12-76E.3 [] | Section: Fertility |
([[live-birth pregnancy result in multiple births?(2)]] >= 1)
COMMENT: Did this pregnancy result in a multiple birth?
| | 1 CONDITION APPLIES ...(Go To Q12-76EA.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-76EA.3 [] | Section: Fertility |
([[Gender of the respondent]]=1)
COMMENT: check if male
| | 1 CONDITION APPLIES ...(Go To Q12-157B1.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-76F.3 [] | Section: Fertility |
[[Gender of the respondent]]
COMMENT: check gender
If Answer = 1 Then Go To Q12-78M.3
| Q12-77F.3 [] | Section: Fertility |
When did you become pregnant with [Name of child from pregnancy 3]? What month and year?
| Q12-78F.3 [] | Section: Fertility |
(HAND CARD CC) Just before you became pregnant with [Name of child from pregnancy 3], did you use any methods such as the ones listed on this card to keep from getting pregnant?
| Q12-79F.3 [] | Section: Fertility |
Had you stopped all methods before you became pregnant?
| Q12-80F.3 [] | Section: Fertility |
Was the reason you [blank/were not/stopped] using any methods because you yourself wanted to become pregnant?
| Q12-81F.3 [] | Section: Fertility |
Just before you became pregnant that time, did you want to become pregnant when you did? (IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82F.3 [] | Section: Fertility |
And what about your spouse or partner when you became pregnant that time, did he want to have (a/another) baby? (IF NO, PROBE:) Did he want to have (a/another) baby but not at that time, or did he want to have (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-78M.3 [] | Section: Fertility |
(HAND CARD CC) Just before [Name of child from pregnancy 3]'s mother became pregnant with [Name of child from pregnancy 3], did you use any methods such as the ones listed on this card to keep from getting pregnant?
| Q12-79M.3 [] | Section: Fertility |
Had you stopped all methods before [Name of child from pregnancy 3]'s mother became pregnant?
| Q12-80M.3 [] | Section: Fertility |
Was the reason you [blank/were not/stopped] using any methods because you yourself wanted [Name of child from pregnancy 3]'s mother to become pregnant?
| Q12-81M.3 [] | Section: Fertility |
Just before [Name of child from pregnancy 3]'s mother became pregnant that time, did you want her to become pregnant when she did? (IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82M.3 [] | Section: Fertility |
And what about [Name of child from pregnancy 3]'s mother when she became pregnant that time -- did she want to have (a/another) baby? (IF NO, PROBE ) Did she want to have (a/another) baby but not at that time, or did she want to have (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82N.3 [] | Section: Fertility |
([[Gender of the respondent]]=1)
COMMENT: check if male
| | 1 CONDITION APPLIES ...(Go To Q12-157B1.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-83.3 [] | Section: Fertility |
During your pregnancy with [Name of child from pregnancy 3], did you make any visits to a doctor or nurse for prenatal care, that is, to be examined or talk about your pregnancy?
| Q12-84.3 [] | Section: Fertility |
When did you first visit a doctor or nurse for prenatal care -- during which month of your pregnancy?
(ENTER MONTH NUMBER)
| Q12-85.3 [] | Section: Fertility |
Did you drink any alcoholic beverages, including beer, wine, or liquor, during the 12 months before [Name of child from pregnancy 3] was born?
| Q12-86.3 [] | Section: Fertility |
(HAND CARD DD) How often did you usually drink alcoholic beverages during (your/that) pregnancy? Did you drink ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-87.3 [] | Section: Fertility |
Did you smoke tobacco cigarettes at all during the 12 months before [Name of child from pregnancy 3] was born?
| Q12-88.3 [] | Section: Fertility |
On the average, how many cigarettes did you smoke during (your/that) pregnancy? Did you smoke 2 or more packs a day? Did you smoke 1 pack or more but less than 2 packs a day, or less than 1 pack a day?
| | 3 2 or more packs a day |
| | 2 1 or more but less than 2 |
| | 1 Less than 1 pack a day |
| | 0 (IF VOLUNTEERED:) DID NOT SMOKE DURING THAT PERIOD |
| Q12-89.3 [] | Section: Fertility |
Did you use marijuana or hashish at all during the 12 months before [Name of child from pregnancy 3] was born?
| Q12-90.3 [] | Section: Fertility |
(HAND CARD DD) On the average, how many times did you usually use marijuana or hashish during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-91.3 [] | Section: Fertility |
Did you use any form of cocaine at all during the 12 months before [Name of child from pregnancy 3] was born?
| Q12-92.3 [] | Section: Fertility |
(HAND CARD DD) On the average, how many times did you usually use any form of cocaine during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-93.3 [] | Section: Fertility |
During (your/that) pregnancy, did you take a vitamin/mineral supplement?
| Q12-94.3 [] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the amount of calories in the food you ate?
| Q12-95.3 [] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the amount of salt you used?
| Q12-96.3 [] | Section: Fertility |
During (your/that) pregnancy, did you use diuretics (fluid or water pills) to help eliminate water?
| Q12-97.3 [] | Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your smoking?
| Q12-98.3 [] | Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your alcohol intake?
| Q12-99A.3 [] | Section: Fertility |
([Q12-93.3]=1)
COMMENT: Did R take a vitamin/mineral supplement during third pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-99B.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-99B.3 [] | Section: Fertility |
Did you take a vitamin/mineral supplement based on a doctor's or nurse's suggestion?
| Q12-100A.3 [] | Section: Fertility |
([Q12-94.3]=1)
COMMENT: Did R cut down on the amount of calories his/her food during third pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-100B.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-100B.3 [] | Section: Fertility |
Did you cut down on the amount of calories in the food you ate based on a doctor's or nurse's suggestion?
| Q12-101A.3 [] | Section: Fertility |
([Q12-95.3]=1)
COMMENT: Did R cut down on the amount of salt he/she used during third pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-101B.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-101B.3 [] | Section: Fertility |
Did you cut down on the amount of salt you used based on a doctor's or nurse's suggestion?
| Q12-102A.3 [] | Section: Fertility |
([Q12-96.3]=1)
COMMENT: Did R use diuretics (fluid or water pills) to help eliminate water during third pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-102B.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-102B.3 [] | Section: Fertility |
Did you use diuretics (fluid or water pills) to help eliminate water based on a doctor's or nurse's suggestion?
| Q12-103A.3 [] | Section: Fertility |
([Q12-97.3]=1)
COMMENT: Did R reduce or stop his/her smoking during third pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-103B.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-103B.3 [] | Section: Fertility |
Did you reduce or stop your smoking based on a doctor's or nurse's suggestion?
| Q12-104A.3 [] | Section: Fertility |
([Q12-98.3]=1)
COMMENT: Did R reduce or stop his/her alcohol intake during third pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-104B.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-104B.3 [] | Section: Fertility |
Did you reduce or stop your alcohol intake based on a doctor's or nurse's suggestion?
| Q12-105.3 [] | Section: Fertility |
Based on either your last menstrual period date or your doctor's or clinc's information, was [Name of child from pregnancy 3] born within one week of the expected (due) date?
| Q12-106A.3 [] | Section: Fertility |
Was the baby born early or late?
| Q12-106B.3 [] | Section: Fertility |
How many weeks [early/late] was the baby?
(IF "1 1/2 WEEKS" ROUND UP TO "2".)
| Q12-107.3 [] | Section: Fertility |
Was a cesarean section done? (IF NECESSARY, PROBE:) Was the baby delivered by an incision in your abdomen?
| Q12-108.3 [] | Section: Fertility |
Was this your first cesarean section, or did you have one before?
| | 1 First cesarean |
| | 0 Had cesarean(s) before |
| Q12-109.3 [] | Section: Fertility |
What was your weight just before you delivered?
| Q12-110.3 [] | Section: Fertility |
What was your weight just before you became pregnant with [Name of child from pregnancy 3]?
| Q12-111.3 [] | Section: Fertility |
(([[Respondent's weight before delivering (pregnancy 3)]] >= 0) & ([[Respondent's weight before becoming pregnant (pregnancy 3)]] >= 0))
COMMENT: Are both the weight at delivery and the pre-pregnancy weight real numbers (not DK or REFUSALS)?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-118A.3) |
| Q12-112.3 [] | Section: Fertility |
([[Respondent's weight before delivering (pregnancy 3)]] - [[Respondent's weight before becoming pregnant (pregnancy 3)]])
COMMENT: Subtract weight at time of delivery from weight before pregnancy.
If Answer = 0 Then Go To Q12-116.3
| Q12-113.3 [] | Section: Fertility |
([[Respondent's weight before delivering (pregnancy 3)]] < [[Respondent's weight before becoming pregnant (pregnancy 3)]])
COMMENT: Did R lose weight during pregnancy (weight at delivery is less than weight before pregnancy)?
| Q12-114A.3 [] | Section: Fertility |
([[Q12-112.3]]*(-1))
COMMENT: R lost weight during third pregnancy. Change to positive number for question text.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-114B.3 [] | Section: Fertility |
Does that mean that you lost [Respondent's weight gain/loss during pregnancy 3] pounds during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.3 ([Respondent's weight before delivering (pregnancy 3)]) AND Q12-110.3 ([Respondent's weight before becoming pregnant (pregnancy 3)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-115.3 [] | Section: Fertility |
Does that mean that you gained [Respondent's weight gain/loss during pregnancy 3] pounds during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.3 ([Respondent's weight before delivering (pregnancy 3)]) AND Q12-110.3 ([Respondent's weight before becoming pregnant (pregnancy 3)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-116.3 [] | Section: Fertility |
Does that mean that you did not gain or lose any weight during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.3 ([Respondent's weight before delivering (pregnancy 3)]) AND Q12-110.3 ([Respondent's weight before becoming pregnant (pregnancy 3)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-117.3 [] | Section: Fertility |
Did you gain or lose weight during your pregnancy with [Name of child from pregnancy 3]?
| Q12-117A.3 [] | Section: Fertility |
How much weight did you [gain/lose]?
(ENTER NUMBER OF POUNDS)
| Q12-118A.3 [] | Section: Fertility |
How much did [Name of child from pregnancy 3] weigh at birth?
(ENTER NUMBER OF POUNDS AND PRESS <ENTER> TO ENTER OUNCES.)
| Q12-118B.3 [] | Section: Fertility |
(How much did [Name of child from pregnancy 3] weigh at birth?)
(ENTER NUMBER OF OUNCES.)
| Q12-119.3 [] | Section: Fertility |
What was [Name of child from pregnancy 3]'s length at birth?
| Q12-119A.3 [] | Section: Fertility |
INTERVIEWER: DID R INDICATE THAT THE LENGTH OF THE BABY WAS AN ESTIMATE?
| Q12-120.3 [] | Section: Fertility |
How long did your baby stay in the hospital?
| | 1 SELECT TO ENTER NUMBER OF DAYS |
| | 0 BABY/RESPONDENT DID NOT STAY IN HOSPITAL ...(Go To Q12-123.3) |
| Q12-120A.3 [] | Section: Fertility |
(How long did your baby stay in the hospital?)
(ENTER NUMBER OF DAYS:)
If Answer = 0 Then Go To Q12-123.3
| Q12-121.3 [] | Section: Fertility |
Did you leave the hospital at the same time as your baby or did you leave earlier or later?
| Q12-122A.3 [] | Section: Fertility |
How many days earlier?
| Q12-122B.3 [] | Section: Fertility |
How many days later?
| Q12-123.3 [] | Section: Fertility |
In [Name of child from pregnancy 3]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured?
| Q12-124.3 [] | Section: Fertility |
When you took [Name of child from pregnancy 3] to a clinic, hospital, or doctor the first time because [he/she] was sick or injured, what was the nature of [his/her] illness or injury?
(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF
ILLNESS OR INJURY DESCRIBED HERE.)
| Q12-124A.3 [] | Section: Fertility |
(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)
(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-125.3 [] | Section: Fertility |
(HAND CARD EE) Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [first illness of child from pregnancy 3].
(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY
RECORDED IN 12-124.3.)
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-126.3 [] | Section: Fertility |
How many months old was [Name of child from pregnancy 3] when you took [him/her] to a clinic, hospital or doctor the first time for (this) [first illness of child from pregnancy 3]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)
| Q12-127.3 [] | Section: Fertility |
In [Name of child from pregnancy 3]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [first illness of child from pregnancy 3]?
If Answer = 1 Then Go To Q12-129.3
| Q12-128.3 [] | Section: Fertility |
In [Name of child from pregnancy 3]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [first illness of child from pregnancy 3]?
| Q12-129.3 [] | Section: Fertility |
(HAND CARD FF) Please look at this card. In [Name of child from pregnancy 3]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [first illness of child from pregnancy 3], where did you take (him/her)?
(CODE ALL THAT APPLY)
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-130B.3 [] | Section: Fertility |
([[Codes for places took child for main illness in first year
(pregnancy 3)(9)]] = 9)
COMMENT: Was child from third pregnancy admitted to hospital for first illness in first year of life?
| | 1 CONDITION APPLIES ...(Go To Q12-131.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-131.3 [] | Section: Fertility |
When [Name of child from pregnancy 3] was admitted to the hospital, was surgery necessary?
| Q12-132.3 [] | Section: Fertility |
Did you have to take time off from work?
| Q12-133.3 [] | Section: Fertility |
In [Name of child from pregnancy 3]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured with a different illness or injury than the one we have just talked about?
| Q12-134.3 [] | Section: Fertility |
What was the nature of this other illness or injury?
(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF
ILLNESS OR INJURY DESCRIBED HERE.)
| Q12-134A.3 [] | Section: Fertility |
(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)
(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-135.3 [] | Section: Fertility |
(HAND CARD EE) Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [second illness of child from pregnancy 3].
(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY
RECORDED IN 12-134.3.)
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-136.3 [] | Section: Fertility |
How many months old was [Name of child from pregnancy 3] when you took (him/her) to a clinic, hospital or doctor the first time for (this) [second illness of child from pregnancy 3]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)
| Q12-137.3 [] | Section: Fertility |
In [Name of child from pregnancy 3]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [second illness of child from pregnancy 3]?
If Answer = 1 Then Go To Q12-139.3
| Q12-138.3 [] | Section: Fertility |
In [Name of child from pregnancy 3]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [second illness of child from pregnancy 3]?
| Q12-139.3 [] | Section: Fertility |
(HAND CARD FF) Please look at this card. In [Name of child from pregnancy 3]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [second illness of child from pregnancy 3], where did you take (him/her)?
(CODE ALL THAT APPLY)
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-140B.3 [] | Section: Fertility |
([[Codes for places took child for other illness in first year
(pregnancy 3)(9)]] = 9)
COMMENT: Was child from third pregnancy admitted to hospital for second illness in first year of life?
| | 1 CONDITION APPLIES ...(Go To Q12-141.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-141.3 [] | Section: Fertility |
When [Name of child from pregnancy 3] was admitted to the hospital, was surgery necessary?
| Q12-142.3 [] | Section: Fertility |
Did you have to take time off from work?
| Q12-143.3 [] | Section: Fertility |
Now we are going to discuss well baby care.
In [Name of child from pregnancy 3]'s first year, did you take (him/her) to a clinic or doctor for well baby care when (he/she) was not sick?
| Q12-144.3 [] | Section: Fertility |
How many months old was [Name of child from pregnancy 3] when you took (him/her) to a clinic or doctor for well baby care the first time?.....
How old was (he/she) the next time?
(INTERVIEWER: CONTINUE TO ASK UNTIL THE LAST TIME IS CODED. MARK ALL THAT APPLY.)
| | 1 01 - ONE MONTH OLD |
| | 2 02 - TWO MONTHS OLD |
| | 3 03 - THREE MONTHS OLD |
| | 4 04 - FOUR MONTHS OLD |
| | 5 05 - FIVE MONTHS OLD |
| | 6 06 - SIX MONTHS OLD |
| | 7 07 - SEVEN MONTHS OLD |
| | 8 08 - EIGHT MONTHS OLD |
| | 9 09 - NINE MONTHS OLD |
| | 10 10 - TEN MONTHS OLD |
| | 11 11 - ELEVEN MONTHS OLD |
| | 12 12 - TWELVE MONTHS OLD |
| Q12-146A.3 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 3)(1)]] = 1)
COMMENT: Was third child taken for well baby care in first month?
| | 1 CONDITION APPLIES ...(Go To Q12-146B.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-146B.3 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 3] for well baby care when (he/she) was 1 month old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-147A.3 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 3)(2)]] = 2)
COMMENT: Was third child taken for well baby care in second month?
| | 1 CONDITION APPLIES ...(Go To Q12-147B.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-147B.3 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 3] for well baby care when (he/she) was 2 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-148A.3 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 3)(3)]] = 3)
COMMENT: Was thrid child taken for well baby care in third month?
| | 1 CONDITION APPLIES ...(Go To Q12-148B.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-148B.3 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 3] for well baby care when (he/she) was 3 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-149A.3 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 3)(4)]] = 4)
COMMENT: Was third child taken for well baby care in fourth month?
| | 1 CONDITION APPLIES ...(Go To Q12-149B.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-149B.3 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 3] for well baby care when (he/she) was 4 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-150A.3 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 3)(5)]] = 5)
COMMENT: Was third child taken for well baby care in fifth month?
| | 1 CONDITION APPLIES ...(Go To Q12-150B.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-150B.3 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 3] for well baby care when (he/she) was 5 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-151A.3 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 3)(6)]] = 6)
COMMENT: Was third child taken for well baby care in sixth month?
| | 1 CONDITION APPLIES ...(Go To Q12-151B.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-151B.3 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 3] for well baby care when (he/she) was 6 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-152A.3 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 3)(7)]] = 7)
COMMENT: Was third child taken for well baby care in seventh month?
| | 1 CONDITION APPLIES ...(Go To Q12-152B.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-152B.3 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 3] for well baby care when (he/she) was 7 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-153A.3 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 3)(8)]] = 8)
COMMENT: Was third child taken for well baby care in eighth month?
| | 1 CONDITION APPLIES ...(Go To Q12-153B.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-153B.3 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 3] for well baby care when (he/she) was 8 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-154A.3 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 3)(9)]] = 9)
COMMENT: Was third child taken for well baby care in ninth month?
| | 1 CONDITION APPLIES ...(Go To Q12-154B.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-154B.3 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 3] for well baby care when (he/she) was 9 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-155A.3 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 3)(10)]] = 10)
COMMENT: Was third child taken for well baby care in tenth month?
| | 1 CONDITION APPLIES ...(Go To Q12-155B.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-155B.3 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 3] for well baby care when (he/she) was 10 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-156A.3 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 3)(11)]] = 11)
COMMENT: Was third child taken for well baby care in eleventh month?
| | 1 CONDITION APPLIES ...(Go To Q12-156B.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-156B.3 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 3] for well baby care when (he/she) was 11 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-157A.3 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 3)(12)]] = 12)
COMMENT: Was third child taken for well baby care in twelveth month?
| | 1 CONDITION APPLIES ...(Go To Q12-157B.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157B.3 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 3] for well baby care when (he/she) was 12 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-157B1.3 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-157BB.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157BA.3 [] | Section: Fertility |
([Q12-30D.3] = 5) | ([Q12-30D.3] = 8)
COMMENT: if child is adopted out or deceased
| | 1 CONDITION APPLIES ...(Go To Q12-158.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157BB.3 [] | Section: Fertility |
([[id of child from pregnancy 3]] = 5) | ([[id of child from pregnancy 3]] = 8)
COMMENT: if child is adopted out or deceased
| | 1 CONDITION APPLIES ...(Go To Q12-158.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157C.3 [] | Section: Fertility |
Now, we have a few questions about health care plans. First, is [Name of child from pregnancy 3]'s health insurance provided either by an employer or by an individual plan that pays part of or all of a hospital bill?...........
| Q12-157CA.3 [] | Section: Fertility |
.....(PROBE IF NECESSARY) Examples of health and hospitalization insurance plan include Blue Cross, Blue Shield, HMO.
[THIS DOES NOT INCLUDE PUBLIC ASSISTANCE HEALTH CARE PROGRAMS.]
| Q12-157D.3 [] | Section: Fertility |
(HAND CARD GG) What is the source of [Name of child from pregnancy 3]'s health plan? Is it your own policy bought directly from a medical insurance company, your parent's policy, an employer policy, or something else?
| | 1 Respondent's Parent's policy |
| | 2 Respondent/spouse/partner policy bought directly from insurance company |
| | 3 Respondent's employer policy |
| | 4 Spouse/partner employer policy |
| | 5 Other (SPECIFY) |
| Q12-157E.3 [] | Section: Fertility |
There is a national program called Medicaid (Medi-Cal/Medical Assistance /Welfare/Medical Services) that pays for health care for persons in need. Is [Name of child from pregnancy 3]'s health care now covered by Medicaid or one of these public assistance health care programs?
| Q12-158.3 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-158B.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-158A.3 [] | Section: Fertility |
CHECK ([Name of biological child(4)])
COMMENT: check if to loop again 3rd time
If Answer = 1 Then Go To Q12-158C.3
| Q12-158B.3 [] | Section: Fertility |
([[Total new births since last expanded fertility interview]] >= 4)
COMMENT: Did R report at least 4 new children since last NICHD interview?
| | 1 CONDITION APPLIES ...(Go To Q12-158C.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-158C.3 [] | Section: Fertility |
([[live-birth pregnancy result in multiple births?(3)]] >= 1)
COMMENT: Did this pregnancy result in a multiple birth?
| | 1 CONDITION APPLIES ...(Go To Q12-74B.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-74A-C.4 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-74-A.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-74.4 [] | Section: Fertility |
Now I'd like to ask you some questions about [your/the] pregnancy(ies) that led to the birth of your [child/children]
(INTERVIEWER: HIGHLIGHT NAME OF THE CHILD WHO WAS FOURTH BORN.)
| Q12-74-A.4 [] | Section: Fertility |
Now I'd like to ask you some questions about [your/the] pregnancy(ies) since [date of last interview] which ended in (a) live birth(s).
(INTERVIEWER: HIGHLIGHT NAME OF THE FOURTH CHILD BORN SINCE [date of last interview]. IF CHILD IS A TWIN, HIGHLIGHT NAME OF FIRST TWIN LISTED AND PRESS <ENTER> TO CONTINUE.)
| Q12-74A.4 [] | Section: Fertility |
INTERVIEWER: DID THIS PREGNANCY RESULT IN THE BIRTH OF TWINS? USE <PGUP> IF NECESSARY TO CHECK THE ROSTER.
| Q12-74B.4 [] | Section: Fertility |
INTERVIEWER: HIGHLIGHT NAME OF THE NEXT CHILD WHO WAS BORN FROM THIS
PREGNANCY SINCE [date of last interview].
| Q12-76E.4 [] | Section: Fertility |
([[live-birth pregnancy result in multiple births?(3)]] >= 1)
COMMENT: Did this pregnancy result in a multiple birth?
| | 1 CONDITION APPLIES ...(Go To Q12-76EA.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-76EA.4 [] | Section: Fertility |
([[Gender of the respondent]]=1)
COMMENT: check if male
| | 1 CONDITION APPLIES ...(Go To Q12-157B1.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-76F.4 [] | Section: Fertility |
[[Gender of the respondent]]
COMMENT: check gender
If Answer = 1 Then Go To Q12-78M.4
| Q12-77F.4 [] | Section: Fertility |
When did you become pregnant with [Name of child from pregnancy 4]? What month and year?
| Q12-78F.4 [] | Section: Fertility |
(HAND CARD CC) Just before you became pregnant with [Name of child from pregnancy 4], did you use any methods such as the ones listed on this card to keep from getting pregnant?
| Q12-79F.4 [] | Section: Fertility |
Had you stopped all methods before you became pregnant?
| Q12-80F.4 [] | Section: Fertility |
Was the reason you [blank/were not/stopped] using any methods because you yourself wanted to become pregnant?
| Q12-81F.4 [] | Section: Fertility |
Just before you became pregnant that time, did you want to become pregnant when you did? (IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82F.4 [] | Section: Fertility |
And what about your spouse or partner when you became pregnant that time, did he want to have (a/another) baby? (IF NO, PROBE:) Did he want to have (a/another) baby but not at that time, or did he want to have (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-78M.4 [] | Section: Fertility |
(HAND CARD CC) Just before [Name of child from pregnancy 4]'s mother became pregnant with [Name of child from pregnancy 4], did you use any methods such as the ones listed on this card to keep from getting pregnant?
| Q12-79M.4 [] | Section: Fertility |
Had you stopped all methods before [Name of child from pregnancy 4]'s mother became pregnant?
| Q12-80M.4 [] | Section: Fertility |
Was the reason you [blank/were not/stopped] using any methods because you yourself wanted [Name of child from pregnancy 4]'s mother to become pregnant?
| Q12-81M.4 [] | Section: Fertility |
Just before [Name of child from pregnancy 4]'s mother became pregnant that time, did you want her to become pregnant when she did? (IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82M.4 [] | Section: Fertility |
And what about [Name of child from pregnancy 4]'s mother when she became pregnant that time -- did she want to have (a/another) baby? (IF NO, PROBE ) Did she want to have (a/another) baby but not at that time, or did she want to have (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82N.4 [] | Section: Fertility |
([[Gender of the respondent]]=1)
COMMENT: check if male
| | 1 CONDITION APPLIES ...(Go To Q12-157B1.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-83.4 [] | Section: Fertility |
During your pregnancy with [Name of child from pregnancy 4], did you make any visits to a doctor or nurse for prenatal care, that is, to be examined or talk about your pregnancy?
| Q12-84.4 [] | Section: Fertility |
When did you first visit a doctor or nurse for prenatal care -- during which month of your pregnancy?
(ENTER MONTH NUMBER)
| Q12-85.4 [] | Section: Fertility |
Did you drink any alcoholic beverages, including beer, wine, or liquor, during the 12 months before [Name of child from pregnancy 4] was born?
| Q12-86.4 [] | Section: Fertility |
(HAND CARD DD) How often did you usually drink alcoholic beverages during (your/that) pregnancy? Did you drink ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-87.4 [] | Section: Fertility |
Did you smoke tobacco cigarettes at all during the 12 months before [Name of child from pregnancy 4] was born?
| Q12-88.4 [] | Section: Fertility |
On the average, how many cigarettes did you smoke during (your/that) pregnancy? Did you smoke 2 or more packs a day? Did you smoke 1 pack or more but less than 2 packs a day, or less than 1 pack a day?
| | 3 2 or more packs a day |
| | 2 1 or more but less than 2 |
| | 1 Less than 1 pack a day |
| | 0 (IF VOLUNTEERED:) DID NOT SMOKE DURING THAT PERIOD |
| Q12-89.4 [] | Section: Fertility |
Did you use marijuana or hashish at all during the 12 months before [Name of child from pregnancy 4] was born?
| Q12-90.4 [] | Section: Fertility |
(HAND CARD DD) On the average, how many times did you usually use marijuana
or hashish during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-91.4 [] | Section: Fertility |
Did you use any form of cocaine at all during the 12 months before [Name of child from pregnancy 4] was born?
| Q12-92.4 [] | Section: Fertility |
(HAND CARD DD) On the average, how many times did you usually use any form of cocaine during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-93.4 [] | Section: Fertility |
During (your/that) pregnancy, did you take a vitamin/mineral supplement?
| Q12-94.4 [] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the amount of calories in the food you ate?
| Q12-95.4 [] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the amount of salt you used?
| Q12-96.4 [] | Section: Fertility |
During (your/that) pregnancy, did you use diuretics (fluid or water pills) to help eliminate water?
| Q12-97.4 [] | Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your smoking?
| Q12-98.4 [] | Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your alcohol intake?
| Q12-99A.4 [] | Section: Fertility |
([Q12-93.4]=1)
COMMENT: Did R take a vitamin/mineral supplement during fourth pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-99B.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-99B.4 [] | Section: Fertility |
Did you take a vitamin/mineral supplement based on a doctor's or nurse's suggestion?
| Q12-100A.4 [] | Section: Fertility |
([Q12-94.4]=1)
COMMENT: Did R cut down on the amount of calories his/her food during fourth pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-100B.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-100B.4 [] | Section: Fertility |
Did you cut down on the amount of calories in the food you ate based on a doctor's or nurse's suggestion?
| Q12-101A.4 [] | Section: Fertility |
([Q12-95.4]=1)
COMMENT: Did R cut down on the amount of salt he/she used during fourth pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-101B.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-101B.4 [] | Section: Fertility |
Did you cut down on the amount of salt you used based on a doctor's or nurse's suggestion?
| Q12-102A.4 [] | Section: Fertility |
([Q12-96.4]=1)
COMMENT: Did R use diuretics (fluid or water pills) to help eliminate water during fourth pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-102B.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-102B.4 [] | Section: Fertility |
Did you use diuretics (fluid or water pills) to help eliminate water based on a doctor's or nurse's suggestion?
| Q12-103A.4 [] | Section: Fertility |
([Q12-97.4]=1)
COMMENT: Did R reduce or stop his/her smoking during fourth pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-103B.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-103B.4 [] | Section: Fertility |
Did you reduce or stop your smoking based on a doctor's or nurse's suggestion?
| Q12-104A.4 [] | Section: Fertility |
([Q12-98.4]=1)
COMMENT: Did R reduce or stop his/her alcohol intake during fourth pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-104B.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-104B.4 [] | Section: Fertility |
Did you reduce or stop your alcohol intake based on a doctor's or nurse's suggestion?
| Q12-105.4 [] | Section: Fertility |
Based on either your last menstrual period date or your doctor's or clinc's information, was [Name of child from pregnancy 4] born within one week of the expected (due) date?
| Q12-106A.4 [] | Section: Fertility |
Was the baby born early or late?
| Q12-106B.4 [] | Section: Fertility |
How many weeks [early/late] was the baby?
(IF "1 1/2 WEEKS" ROUND UP TO "2".)
| Q12-107.4 [] | Section: Fertility |
Was a cesarean section done? (IF NECESSARY, PROBE:) Was the baby delivered by an incision in your abdomen?
| Q12-108.4 [] | Section: Fertility |
Was this your first cesarean section, or did you have one before?
| | 1 First cesarean |
| | 0 Had cesarean(s) before |
| Q12-109.4 [] | Section: Fertility |
What was your weight just before you delivered?
| Q12-110.4 [] | Section: Fertility |
What was your weight just before you became pregnant with [Name of child from pregnancy 4]?
| Q12-111.4 [] | Section: Fertility |
(([[Respondent's weight before delivering (pregnancy 4)]] >= 0) & ([[Respondent's weight before becoming pregnant (pregnancy 4)]] >= 0))
COMMENT: Are both the weight at delivery and the pre-pregnancy weight real numbers (not DK or REFUSALS)?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-118A.4) |
| Q12-112.4 [] | Section: Fertility |
([[Respondent's weight before delivering (pregnancy 4)]] - [[Respondent's weight before becoming pregnant (pregnancy 4)]])
COMMENT: Subtract weight at time of delivery from weight before pregnancy.
If Answer = 0 Then Go To Q12-116.4
| Q12-113.4 [] | Section: Fertility |
([[Respondent's weight before delivering (pregnancy 4)]] < [[Respondent's weight before becoming pregnant (pregnancy 4)]])
COMMENT: Did R lose weight during pregnancy (weight at delivery is less than weight before pregnancy)?
| Q12-114A.4 [] | Section: Fertility |
([[Q12-112.4]]*(-1))
COMMENT: R lost weight during fourth pregnancy. Change to positive number for question text.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-114B.4 [] | Section: Fertility |
Does that mean that you lost [Respondent's weight gain/loss during pregnancy 4] pounds during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.4 ([Respondent's weight before delivering (pregnancy 4)]) AND Q12-110.4 ([Respondent's weight before becoming pregnant (pregnancy 4)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-115.4 [] | Section: Fertility |
Does that mean that you gained [Respondent's weight gain/loss during pregnancy 4] pounds during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.4 ([Respondent's weight before delivering (pregnancy 4)]) AND Q12-110.4 ([Respondent's weight before becoming pregnant (pregnancy 4)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-116.4 [] | Section: Fertility |
Does that mean that you did not gain or lose any weight during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.4 ([Respondent's weight before delivering (pregnancy 4)]) AND Q12-110.4 ([Respondent's weight before becoming pregnant (pregnancy 4)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-117.4 [] | Section: Fertility |
Did you gain or lose weight during your pregnancy with [Name of child from pregnancy 4]?
| Q12-117A.4 [] | Section: Fertility |
How much weight did you [gain/lose]?
(ENTER NUMBER OF POUNDS)
| Q12-118A.4 [] | Section: Fertility |
How much did [Name of child from pregnancy 4] weigh at birth?
(ENTER NUMBER OF POUNDS AND PRESS <ENTER> TO ENTER OUNCES.)
| Q12-118B.4 [] | Section: Fertility |
(How much did [Name of child from pregnancy 4] weigh at birth?)
(ENTER NUMBER OF OUNCES.)
| Q12-119.4 [] | Section: Fertility |
What was [Name of child from pregnancy 4]'s length at birth?
| Q12-119A.4 [] | Section: Fertility |
INTERVIEWER: DID R INDICATE THAT THE LENGTH OF THE BABY WAS AN ESTIMATE?
| Q12-120.4 [] | Section: Fertility |
How long did your baby stay in the hospital?
| | 1 SELECT TO ENTER NUMBER OF DAYS |
| | 0 BABY/RESPONDENT DID NOT STAY IN HOSPITAL ...(Go To Q12-123.4) |
| Q12-120A.4 [] | Section: Fertility |
(How long did your baby stay in the hospital?)
(ENTER NUMBER OF DAYS:)
If Answer = 0 Then Go To Q12-123.4
| Q12-121.4 [] | Section: Fertility |
Did you leave the hospital at the same time as your baby or did you leave earlier or later?
| Q12-122A.4 [] | Section: Fertility |
How many days earlier?
| Q12-122B.4 [] | Section: Fertility |
How many days later?
| Q12-123.4 [] | Section: Fertility |
In [Name of child from pregnancy 4]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured?
| Q12-124.4 [] | Section: Fertility |
When you took [Name of child from pregnancy 4] to a clinic, hospital, or doctor the first time because [he/she] was sick or injured, what was the nature of [his/her] illness or injury?
(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF
ILLNESS OR INJURY DESCRIBED HERE.)
| Q12-124A.4 [] | Section: Fertility |
(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)
(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-125.4 [] | Section: Fertility |
(HAND CARD EE) Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [first illness of child from pregnancy 4].
(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY
RECORDED IN 12-124.4.)
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-126.4 [] | Section: Fertility |
How many months old was [Name of child from pregnancy 4] when you took [him/her] to a clinic, hospital or doctor the first time for (this) [first illness of child from pregnancy 4]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)
| Q12-127.4 [] | Section: Fertility |
In [Name of child from pregnancy 4]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [first illness of child from pregnancy 4]?
If Answer = 1 Then Go To Q12-129.4
| Q12-128.4 [] | Section: Fertility |
In [Name of child from pregnancy 4]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [first illness of child from pregnancy 4]?
| Q12-129.4 [] | Section: Fertility |
(HAND CARD FF) Please look at this card. In [Name of child from pregnancy 4]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [first illness of child from pregnancy 4], where did you take (him/her)?
(CODE ALL THAT APPLY)
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-130B.4 [] | Section: Fertility |
([[Codes for places took child for main illness in first year
(pregnancy 4)(9)]] = 9)
COMMENT: Was child from first pregnancy admitted to hospital for first illness in first year of life?
| | 1 CONDITION APPLIES ...(Go To Q12-131.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-131.4 [] | Section: Fertility |
When [Name of child from pregnancy 4] was admitted to the hospital, was surgery necessary?
| Q12-132.4 [] | Section: Fertility |
Did you have to take time off from work?
| Q12-133.4 [] | Section: Fertility |
In [Name of child from pregnancy 4]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured with a different illness or injury than the one we have just talked about?
| Q12-134.4 [] | Section: Fertility |
What was the nature of this other illness or injury?
(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF
ILLNESS OR INJURY DESCRIBED HERE.)
| Q12-134A.4 [] | Section: Fertility |
(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)
(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-135.4 [] | Section: Fertility |
(HAND CARD EE) Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [second illness of child from pregnancy 4].
(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY
RECORDED IN 12-134.4.)
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-136.4 [] | Section: Fertility |
How many months old was [Name of child from pregnancy 4] when you took (him/her) to a clinic, hospital or doctor the first time for (this) [second illness of child from pregnancy 4]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)
| Q12-137.4 [] | Section: Fertility |
In [Name of child from pregnancy 4]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [second illness of child from pregnancy 4]?
If Answer = 1 Then Go To Q12-139.4
| Q12-138.4 [] | Section: Fertility |
In [Name of child from pregnancy 4]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [second illness of child from pregnancy 4]?
| Q12-139.4 [] | Section: Fertility |
(HAND CARD FF) Please look at this card. In [Name of child from pregnancy 4]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [second illness of child from pregnancy 4], where did you take (him/her)?
(CODE ALL THAT APPLY)
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-140B.4 [] | Section: Fertility |
([[Codes for places took child for other illness in first year
(pregnancy 4)(9)]] = 9)
COMMENT: Was child from first pregnancy admitted to hospital for second illness in first year of life?
| | 1 CONDITION APPLIES ...(Go To Q12-141.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-141.4 [] | Section: Fertility |
When [Name of child from pregnancy 4] was admitted to the hospital, was surgery necessary?
| Q12-142.4 [] | Section: Fertility |
Did you have to take time off from work?
| Q12-143.4 [] | Section: Fertility |
Now we are going to discuss well baby care.
In [Name of child from pregnancy 4]'s first year, did you take (him/her) to a clinic or doctor for well baby care when (he/she) was not sick?
| Q12-144.4 [] | Section: Fertility |
How many months old was [Name of child from pregnancy 4] when you took (him/her) to a clinic or doctor for well baby care the first time?..... How old was (he/she) the next time?
(INTERVIEWER: CONTINUE TO ASK UNTIL THE LAST TIME IS CODED. MARK ALL THAT APPLY.)
| | 1 01 - ONE MONTH OLD |
| | 2 02 - TWO MONTHS OLD |
| | 3 03 - THREE MONTHS OLD |
| | 4 04 - FOUR MONTHS OLD |
| | 5 05 - FIVE MONTHS OLD |
| | 6 06 - SIX MONTHS OLD |
| | 7 07 - SEVEN MONTHS OLD |
| | 8 08 - EIGHT MONTHS OLD |
| | 9 09 - NINE MONTHS OLD |
| | 10 10 - TEN MONTHS OLD |
| | 11 11 - ELEVEN MONTHS OLD |
| | 12 12 - TWELVE MONTHS OLD |
| Q12-146A.4 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 4)(1)]] = 1)
COMMENT: Was first child taken for well baby care in his first month?
| | 1 CONDITION APPLIES ...(Go To Q12-146B.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-146B.4 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 4] for well baby care when (he/she) was 1 month old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-147A.4 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 4)(2)]] = 2)
COMMENT: Was first child taken for well baby care in his second month?
| | 1 CONDITION APPLIES ...(Go To Q12-147B.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-147B.4 [] | Section: Fertility |
(HAND CARD W) When you took [Name of child from pregnancy 4] for well baby care when (he/she) was 2 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-148A.4 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 4)(3)]] = 3)
COMMENT: Was first child taken for well baby care in his third month?
| | 1 CONDITION APPLIES ...(Go To Q12-148B.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-148B.4 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 4] for well baby care when (he/she) was 3 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-149A.4 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 4)(4)]] = 4)
COMMENT: Was first child taken for well baby care in his fourth month?
| | 1 CONDITION APPLIES ...(Go To Q12-149B.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-149B.4 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 4] for well baby care when (he/she) was 4 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-150A.4 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 4)(5)]] = 5)
COMMENT: Was first child taken for well baby care in his fifth month?
| | 1 CONDITION APPLIES ...(Go To Q12-150B.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-150B.4 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 4] for well baby care when (he/she) was 5 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-151A.4 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 4)(6)]] = 6)
COMMENT: Was first child taken for well baby care in his sixth month?
| | 1 CONDITION APPLIES ...(Go To Q12-151B.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-151B.4 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 4] for well baby care when (he/she) was 6 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-152A.4 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 4)(7)]] = 7)
COMMENT: Was first child taken for well baby care in his seventh month?
| | 1 CONDITION APPLIES ...(Go To Q12-152B.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-152B.4 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 4] for well baby care when (he/she) was 7 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-153A.4 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 4)(8)]] = 8)
COMMENT: Was first child taken for well baby care in his eighth month?
| | 1 CONDITION APPLIES ...(Go To Q12-153B.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-153B.4 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 4] for well baby care when (he/she) was 8 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-154A.4 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 4)(9)]] = 9)
COMMENT: Was first child taken for well baby care in his ninth month?
| | 1 CONDITION APPLIES ...(Go To Q12-154B.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-154B.4 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 4] for well baby care when (he/she) was 9 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-155A.4 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 4)(10)]] = 10)
COMMENT: Was first child taken for well baby care in his tenth month?
| | 1 CONDITION APPLIES ...(Go To Q12-155B.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-155B.4 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 4] for well baby care when (he/she) was 10 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-156A.4 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 4)(11)]] = 11)
COMMENT: Was first child taken for well baby care in his eleventh month?
| | 1 CONDITION APPLIES ...(Go To Q12-156B.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-156B.4 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 4] for well baby care when (he/she) was 11 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-157A.4 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 4)(12)]] = 12)
COMMENT: Was first child taken for well baby care in his twelveth month?
| | 1 CONDITION APPLIES ...(Go To Q12-157B.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157B.4 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 4] for well baby care when (he/she) was 12 months old, where did you take (him/her)? Was it a....
(READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-157B1.4 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-157BB.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157BA.4 [] | Section: Fertility |
([Q12-30D.4] = 5) | ([Q12-30D.4] = 8)
COMMENT: if child is adopted out or deceased
| | 1 CONDITION APPLIES ...(Go To Q12-158.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157BB.4 [] | Section: Fertility |
([[id of child from pregnancy 4]] = 5) | ([[id of child from pregnancy 4]] = 8)
COMMENT: if child is adopted out or deceased
| | 1 CONDITION APPLIES ...(Go To Q12-158.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157C.4 [] | Section: Fertility |
Now, we have a few questions about health care plans. First, is [Name of child from pregnancy 4]'s health insurance provided either by an employer or by an individual plan that pays part of or all of a hospital bill?...........
| Q12-157CA.4 [] | Section: Fertility |
.....(PROBE IF NECESSARY) Examples of health and hospitalization insurance
plan include Blue Cross, Blue Shield, HMO.
[THIS DOES NOT INCLUDE PUBLIC ASSISTANCE HEALTH CARE PROGRAMS.]
| Q12-157D.4 [] | Section: Fertility |
(HAND CARD GG) What is the source of [Name of child from pregnancy 4]'s health plan? Is it your own policy bought directly from a medical insurance company, your parent's policy, an employer policy, or something else?
| | 1 Respondent's Parent's policy |
| | 2 Respondent/spouse/partner policy bought directly from insurance company |
| | 3 Respondent's employer policy |
| | 4 Spouse/partner employer policy |
| | 5 Other (SPECIFY) |
| Q12-157E.4 [] | Section: Fertility |
There is a national program called Medicaid (Medi-Cal/Medical Assistance /Welfare/Medical Services) that pays for health care for persons in need. Is [Name of child from pregnancy 4]'s health care now covered by Medicaid or one of these public assistance health care programs?
| Q12-158.4 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-158B.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-158A.4 [] | Section: Fertility |
CHECK ([Name of biological child(5)])
COMMENT: check if to loop again 2nd time
If Answer = 1 Then Go To Q12-158C.4
| Q12-158B.4 [] | Section: Fertility |
([[Total new births since last expanded fertility interview]] >= 5)
COMMENT: Did R report at least 2 new children since last NICHD interview?
| | 1 CONDITION APPLIES ...(Go To Q12-158C.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-158C.4 [] | Section: Fertility |
([[live-birth pregnancy result in multiple births?(4)]] >= 1)
COMMENT: Did this pregnancy result in a multiple birth?
| | 1 CONDITION APPLIES ...(Go To Q12-74B.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-74A-C.5 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-74-A.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-74.5 [] | Section: Fertility |
Now I'd like to ask you some questions about [your/the] pregnancy(ies) that led to the birth of your [child/children]
(INTERVIEWER: HIGHLIGHT NAME OF THE CHILD WHO WAS FIFTH BORN.)
| Q12-74-A.5 [] | Section: Fertility |
Now I'd like to ask you some questions about [your/the] pregnancy(ies) since [date of last interview] which ended in (a) live birth(s).
(INTERVIEWER: HIGHLIGHT NAME OF THE FIFTH CHILD BORN SINCE [date of last interview]. IF CHILD IS A TWIN, HIGHLIGHT NAME OF FIRST TWIN LISTED AND PRESS <ENTER> TO CONTINUE.)
| Q12-74A.5 [] | Section: Fertility |
INTERVIEWER: DID THIS PREGNANCY RESULT IN THE BIRTH OF TWINS? USE <PGUP> IF NECESSARY TO CHECK THE ROSTER.
| Q12-74B.5 [] | Section: Fertility |
INTERVIEWER: HIGHLIGHT NAME OF THE NEXT CHILD WHO WAS BORN FROM THIS
PREGNANCY SINCE [date of last interview].
| Q12-76E.5 [] | Section: Fertility |
([[live-birth pregnancy result in multiple births?(4)]] >= 1)
COMMENT: Did this pregnancy result in a multiple birth?
| | 1 CONDITION APPLIES ...(Go To Q12-76EA.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-76EA.5 [] | Section: Fertility |
([[Gender of the respondent]]=1)
COMMENT: check if male
| | 1 CONDITION APPLIES ...(Go To Q12-157B1.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-76F.5 [] | Section: Fertility |
[[Gender of the respondent]]
COMMENT: check gender
If Answer = 1 Then Go To Q12-78M.5
| Q12-77F.5 [] | Section: Fertility |
When did you become pregnant with [Name of child from pregnancy 5]? What month and year?
| Q12-78F.5 [] | Section: Fertility |
(HAND CARD CC) Just before you became pregnant with [Name of child from pregnancy 5], did you use any methods such as the ones listed on this card to keep from getting pregnant?
| Q12-79F.5 [] | Section: Fertility |
Had you stopped all methods before you became pregnant?
| Q12-80F.5 [] | Section: Fertility |
Was the reason you [blank/were not/stopped] using any methods because you yourself wanted to become pregnant?
| Q12-81F.5 [] | Section: Fertility |
Just before you became pregnant that time, did you want to become pregnant when you did?
(IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82F.5 [] | Section: Fertility |
And what about your spouse or partner when you became pregnant that time, did he want to have (a/another) baby?
(IF NO, PROBE:) Did he want to have (a/another) baby but not at that time, or did he want to have (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-78M.5 [] | Section: Fertility |
(HAND CARD CC) Just before [Name of child from pregnancy 5]'s mother became pregnant with [Name of child from pregnancy 5], did you use any methods such as the ones listed on this card to keep from getting pregnant?
| Q12-79M.5 [] | Section: Fertility |
Had you stopped all methods before [Name of child from pregnancy 5]'s mother became pregnant?
| Q12-80M.5 [] | Section: Fertility |
Was the reason you [blank/were not/stopped] using any methods because you yourself wanted [Name of child from pregnancy 5]'s mother to become pregnant?
| Q12-81M.5 [] | Section: Fertility |
Just before [Name of child from pregnancy 5]'s mother became pregnant that time, did you want her to become pregnant when she did?
(IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82M.5 [] | Section: Fertility |
And what about [Name of child from pregnancy 5]'s mother when she became pregnant that time -- did she want to have (a/another) baby?
(IF NO, PROBE ) Did she want to have (a/another) baby but not at that time, or did she want to have (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82N.5 [] | Section: Fertility |
([[Gender of the respondent]]=1)
COMMENT: check if male
| | 1 CONDITION APPLIES ...(Go To Q12-157B1.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-83.5 [] | Section: Fertility |
During your pregnancy with [Name of child from pregnancy 5], did you make any visits to a doctor or nurse for prenatal care, that is, to be examined or talk about your pregnancy?
| Q12-84.5 [] | Section: Fertility |
When did you first visit a doctor or nurse for prenatal care -- during which month of your pregnancy?
(ENTER MONTH NUMBER)
| Q12-85.5 [] | Section: Fertility |
Did you drink any alcoholic beverages, including beer, wine, or liquor, during the 12 months before [Name of child from pregnancy 5] was born?
| Q12-86.5 [] | Section: Fertility |
(HAND CARD DD) How often did you usually drink alcoholic beverages during (your/that) pregnancy? Did you drink ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-87.5 [] | Section: Fertility |
Did you smoke tobacco cigarettes at all during the 12 months before [Name of child from pregnancy 5] was born?
| Q12-88.5 [] | Section: Fertility |
On the average, how many cigarettes did you smoke during (your/that) pregnancy? Did you smoke 2 or more packs a day? Did you smoke 1 pack or more but less than 2 packs a day, or less than 1 pack a day?
| | 3 2 or more packs a day |
| | 2 1 or more but less than 2 |
| | 1 Less than 1 pack a day |
| | 0 (IF VOLUNTEERED:) DID NOT SMOKE DURING THAT PERIOD |
| Q12-89.5 [] | Section: Fertility |
Did you use marijuana or hashish at all during the 12 months before [Name of child from pregnancy 5] was born?
| Q12-90.5 [] | Section: Fertility |
(HAND CARD DD) On the average, how many times did you usually use marijuana or hashish during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-91.5 [] | Section: Fertility |
Did you use any form of cocaine at all during the 12 months before [Name of child from pregnancy 5] was born?
| Q12-92.5 [] | Section: Fertility |
(HAND CARD DD) On the average, how many times did you usually use any form of cocaine during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-93.5 [] | Section: Fertility |
During (your/that) pregnancy, did you take a vitamin/mineral supplement?
| Q12-94.5 [] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the amount of calories in the food you ate?
| Q12-95.5 [] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the amount of salt you used?
| Q12-96.5 [] | Section: Fertility |
During (your/that) pregnancy, did you use diuretics (fluid or water pills) to help eliminate water?
| Q12-97.5 [] | Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your smoking?
| Q12-98.5 [] | Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your alcohol intake?
| Q12-99A.5 [] | Section: Fertility |
([Q12-93.5]=1)
COMMENT: Did R take a vitamin/mineral supplement during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-99B.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-99B.5 [] | Section: Fertility |
Did you take a vitamin/mineral supplement based on a doctor's or nurse's suggestion?
| Q12-100A.5 [] | Section: Fertility |
([Q12-94.5]=1)
COMMENT: Did R cut down on the amount of calories his/her food during first
pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-100B.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-100B.5 [] | Section: Fertility |
Did you cut down on the amount of calories in the food you ate based on a doctor's or nurse's suggestion?
| Q12-101A.5 [] | Section: Fertility |
([Q12-95.5]=1)
COMMENT: Did R cut down on the amount of salt he/she used during first
pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-101B.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-101B.5 [] | Section: Fertility |
Did you cut down on the amount of salt you used based on a doctor's or nurse's suggestion?
| Q12-102A.5 [] | Section: Fertility |
([Q12-96.5]=1)
COMMENT: Did R use diuretics (fluid or water pills) to help eliminate water
during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-102B.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-102B.5 [] | Section: Fertility |
Did you use diuretics (fluid or water pills) to help eliminate water based on a doctor's or nurse's suggestion?
| Q12-103A.5 [] | Section: Fertility |
([Q12-97.5]=1)
COMMENT: Did R reduce or stop his/her smoking during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-103B.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-103B.5 [] | Section: Fertility |
Did you reduce or stop your smoking based on a doctor's or nurse's suggestion?
| Q12-104A.5 [] | Section: Fertility |
([Q12-98.5]=1)
COMMENT: Did R reduce or stop his/her alcohol intake during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-104B.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-104B.5 [] | Section: Fertility |
Did you reduce or stop your alcohol intake based on a doctor's or nurse's suggestion?
| Q12-105.5 [] | Section: Fertility |
Based on either your last menstrual period date or your doctor's or clinic's information, was [Name of child from pregnancy 5] born within one week of the expected (due) date?
| Q12-106A.5 [] | Section: Fertility |
Was the baby born early or late?
| Q12-106B.5 [] | Section: Fertility |
How many weeks [early/late] was the baby?
(IF "1 1/2 WEEKS" ROUND UP TO "2".)
| Q12-107.5 [] | Section: Fertility |
Was a cesarean section done?
(IF NECESSARY, PROBE:) Was the baby delivered by an incision in your abdomen?
| Q12-108.5 [] | Section: Fertility |
Was this your first cesarean section, or did you have one before?
| | 1 First cesarean |
| | 0 Had cesarean(s) before |
| Q12-109.5 [] | Section: Fertility |
What was your weight just before you delivered?
| Q12-110.5 [] | Section: Fertility |
What was your weight just before you became pregnant with [Name of child from pregnancy 5]?
| Q12-111.5 [] | Section: Fertility |
(([[Respondent's weight before delivering (pregnancy 5)]] >= 0) & ([[Respondent's weight before becoming pregnant (pregnancy 5)]] >= 0))
COMMENT: Are both the weight at delivery and the pre-pregnancy weight real
numbers (not DK or REFUSALS)?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-118A.5) |
| Q12-112.5 [] | Section: Fertility |
([[Respondent's weight before delivering (pregnancy 5)]] - [[Respondent's weight before becoming pregnant (pregnancy 5)]])
COMMENT: Subtract weight at time of delivery from weight before pregnancy.
If Answer = 0 Then Go To Q12-116.5
| Q12-113.5 [] | Section: Fertility |
([[Respondent's weight before delivering (pregnancy 5)]] < [[Respondent's weight before becoming pregnant (pregnancy 5)]])
COMMENT: Did R lose weight during pregnancy (weight at delivery is less than
weight before pregnancy)?
| Q12-114A.5 [] | Section: Fertility |
([[Q12-112.5]]*(-1))
COMMENT: R lost weight during first pregnancy. Change to positive number for
question text.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-114B.5 [] | Section: Fertility |
Does that mean that you lost [Respondent's weight gain/loss during pregnancy 5] pounds during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.5 ([Respondent's weight before delivering (pregnancy 5)]) AND Q12-110.5 ([Respondent's weight before becoming pregnant (pregnancy 5)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-115.5 [] | Section: Fertility |
Does that mean that you gained [Respondent's weight gain/loss during pregnancy 5] pounds during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.5 ([Respondent's weight before delivering (pregnancy 5)]) AND Q12-110.5 ([Respondent's weight before becoming pregnant (pregnancy 5)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-116.5 [] | Section: Fertility |
Does that mean that you did not gain or lose any weight during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.5 ([Respondent's weight before delivering (pregnancy 5)]) AND Q12-110.5 ([Respondent's weight before becoming pregnant (pregnancy 5)]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-117.5 [] | Section: Fertility |
Did you gain or lose weight during your pregnancy with [Name of child from pregnancy 5]?
| Q12-117A.5 [] | Section: Fertility |
How much weight did you [gain/lose]?
(ENTER NUMBER OF POUNDS)
| Q12-118A.5 [] | Section: Fertility |
How much did [Name of child from pregnancy 5] weigh at birth?
(ENTER NUMBER OF POUNDS AND PRESS <ENTER> TO ENTER OUNCES.)
| Q12-118B.5 [] | Section: Fertility |
(How much did [Name of child from pregnancy 5] weigh at birth?)
(ENTER NUMBER OF OUNCES.)
| Q12-119.5 [] | Section: Fertility |
What was [Name of child from pregnancy 5]'s length at birth?
| Q12-119A.5 [] | Section: Fertility |
INTERVIEWER: DID R INDICATE THAT THE LENGTH OF THE BABY WAS AN ESTIMATE?
| Q12-120.5 [] | Section: Fertility |
How long did your baby stay in the hospital?
| | 1 SELECT TO ENTER NUMBER OF DAYS |
| | 0 BABY/RESPONDENT DID NOT STAY IN HOSPITAL ...(Go To Q12-123.5) |
| Q12-120A.5 [] | Section: Fertility |
(How long did your baby stay in the hospital?)
(ENTER NUMBER OF DAYS:)
If Answer = 0 Then Go To Q12-123.5
| Q12-121.5 [] | Section: Fertility |
Did you leave the hospital at the same time as your baby or did you leave earlier or later?
| Q12-122A.5 [] | Section: Fertility |
How many days earlier?
| Q12-122B.5 [] | Section: Fertility |
How many days later?
| Q12-123.5 [] | Section: Fertility |
In [Name of child from pregnancy 5]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured?
| Q12-124.5 [] | Section: Fertility |
When you took [Name of child from pregnancy 5] to a clinic, hospital, or doctor the first time because [he/she] was sick or injured, what was the nature of [his/her] illness or injury?
(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF ILLNESS OR INJURY DESCRIBED HERE.)
| Q12-124A.5 [] | Section: Fertility |
(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)
(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-125.5 [] | Section: Fertility |
(HAND CARD EE) Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [first illness of child from pregnancy 5].
(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY RECORDED IN 12-124.5.)
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-126.5 [] | Section: Fertility |
How many months old was [Name of child from pregnancy 5] when you took [him/her] to a clinic, hospital or doctor the first time for (this) [first illness of child from pregnancy 5]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)
| Q12-127.5 [] | Section: Fertility |
In [Name of child from pregnancy 5]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [first illness of child from pregnancy 5]?
If Answer = 1 Then Go To Q12-129.5
| Q12-128.5 [] | Section: Fertility |
In [Name of child from pregnancy 5]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [first illness of child from pregnancy 5]?
| Q12-129.5 [] | Section: Fertility |
(HAND CARD FF) Please look at this card. In [Name of child from pregnancy 5]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [first illness of child from pregnancy 5], where did you take (him/her)?
(CODE ALL THAT APPLY)
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-130B.5 [] | Section: Fertility |
([[Codes for places took child for main illness in first year
(pregnancy 5)(9)]] = 9)
COMMENT: Was child from first pregnancy admitted to hospital for first illness
in first year of life?
| | 1 CONDITION APPLIES ...(Go To Q12-131.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-131.5 [] | Section: Fertility |
When [Name of child from pregnancy 5] was admitted to the hospital, was surgery necessary?
| Q12-132.5 [] | Section: Fertility |
Did you have to take time off from work?
| Q12-133.5 [] | Section: Fertility |
In [Name of child from pregnancy 5]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured with a different illness or injury than the one we have just talked about?
| Q12-134.5 [] | Section: Fertility |
What was the nature of this other illness or injury?
(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF
ILLNESS OR INJURY DESCRIBED HERE.)
| Q12-134A.5 [] | Section: Fertility |
(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)
(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-135.5 [] | Section: Fertility |
(HAND CARD EE) Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [second illness of child from pregnancy 5].
(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY RECORDED IN 12-134.5.)
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-136.5 [] | Section: Fertility |
How many months old was [Name of child from pregnancy 5] when you took (him/her) to a clinic, hospital or doctor the first time for (this) [second illness of child from pregnancy 5]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)
| Q12-137.5 [] | Section: Fertility |
In [Name of child from pregnancy 5]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [second illness of child from pregnancy 5]?
If Answer = 1 Then Go To Q12-139.5
| Q12-138.5 [] | Section: Fertility |
In [Name of child from pregnancy 5]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [second illness of child from pregnancy 5]?
| Q12-139.5 [] | Section: Fertility |
(HAND CARD FF) Please look at this card. In [Name of child from pregnancy 5]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [second illness of child from pregnancy 5], where did you take (him/her)?
(CODE ALL THAT APPLY)
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-140B.5 [] | Section: Fertility |
([[Codes for places took child for other illness in first year
(pregnancy 5)(9)]] = 9)
COMMENT: Was child from first pregnancy admitted to hospital for second illness
in first year of life?
| | 1 CONDITION APPLIES ...(Go To Q12-141.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-141.5 [] | Section: Fertility |
When [Name of child from pregnancy 5] was admitted to the hospital, was surgery necessary?
| Q12-142.5 [] | Section: Fertility |
Did you have to take time off from work?
| Q12-143.5 [] | Section: Fertility |
Now we are going to discuss well baby care.
In [Name of child from pregnancy 5]'s first year, did you take (him/her) to a clinic or doctor for well baby care when (he/she) was not sick?
| Q12-144.5 [] | Section: Fertility |
How many months old was [Name of child from pregnancy 5] when you took (him/her) to a clinic or doctor for well baby care the first time?.....
How old was (he/she) the next time?
(INTERVIEWER: CONTINUE TO ASK UNTIL THE LAST TIME IS CODED. MARK ALL THAT APPLY.)
| | 1 01 - ONE MONTH OLD |
| | 2 02 - TWO MONTHS OLD |
| | 3 03 - THREE MONTHS OLD |
| | 4 04 - FOUR MONTHS OLD |
| | 5 05 - FIVE MONTHS OLD |
| | 6 06 - SIX MONTHS OLD |
| | 7 07 - SEVEN MONTHS OLD |
| | 8 08 - EIGHT MONTHS OLD |
| | 9 09 - NINE MONTHS OLD |
| | 10 10 - TEN MONTHS OLD |
| | 11 11 - ELEVEN MONTHS OLD |
| | 12 12 - TWELVE MONTHS OLD |
| Q12-146A.5 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 5)(1)]] = 1)
COMMENT: Was first child taken for well baby care in his first month?
| | 1 CONDITION APPLIES ...(Go To Q12-146B.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-146B.5 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 5] for well baby care when (he/she) was 1 month old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-147A.5 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 5)(2)]] = 2)
COMMENT: Was first child taken for well baby care in his second month?
| | 1 CONDITION APPLIES ...(Go To Q12-147B.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-147B.5 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 5] for well baby care when (he/she) was 2 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-148A.5 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 5)(3)]] = 3)
COMMENT: Was first child taken for well baby care in his third month?
| | 1 CONDITION APPLIES ...(Go To Q12-148B.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-148B.5 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 5] for well baby care when (he/she) was 3 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-149A.5 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 5)(4)]] = 4)
COMMENT: Was first child taken for well baby care in his fourth month?
| | 1 CONDITION APPLIES ...(Go To Q12-149B.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-149B.5 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 5] for well baby care when (he/she) was 4 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-150A.5 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 5)(5)]] = 5)
COMMENT: Was first child taken for well baby care in his fifth month?
| | 1 CONDITION APPLIES ...(Go To Q12-150B.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-150B.5 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 5] for well baby care when (he/she) was 5 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-151A.5 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 5)(6)]] = 6)
COMMENT: Was first child taken for well baby care in his sixth month?
| | 1 CONDITION APPLIES ...(Go To Q12-151B.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-151B.5 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 5] for well baby care when (he/she) was 6 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-152A.5 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 5)(7)]] = 7)
COMMENT: Was first child taken for well baby care in his seventh month?
| | 1 CONDITION APPLIES ...(Go To Q12-152B.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-152B.5 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 5] for well baby care when (he/she) was 7 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-153A.5 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 5)(8)]] = 8)
COMMENT: Was first child taken for well baby care in his eighth month?
| | 1 CONDITION APPLIES ...(Go To Q12-153B.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-153B.5 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 5] for well baby care when (he/she) was 8 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-154A.5 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 5)(9)]] = 9)
COMMENT: Was first child taken for well baby care in his ninth month?
| | 1 CONDITION APPLIES ...(Go To Q12-154B.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-154B.5 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 5] for well baby care when (he/she) was 9 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-155A.5 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 5)(10)]] = 10)
COMMENT: Was first child taken for well baby care in his tenth month?
| | 1 CONDITION APPLIES ...(Go To Q12-155B.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-155B.5 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 5] for well baby care when (he/she) was 10 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-156A.5 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 5)(11)]] = 11)
COMMENT: Was first child taken for well baby care in his eleventh month?
| | 1 CONDITION APPLIES ...(Go To Q12-156B.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-156B.5 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 5] for well baby care when (he/she) was 11 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-157A.5 [] | Section: Fertility |
([[Ages in months of baby when taken for first year well baby care (pregnancy 5)(12)]] = 12)
COMMENT: Was first child taken for well baby care in his twelveth month?
| | 1 CONDITION APPLIES ...(Go To Q12-157B.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157B.5 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 5] for well baby care when (he/she) was 12 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-157B1.5 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-157BB.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157BA.5 [] | Section: Fertility |
([Q12-30D.5] = 5) | ([Q12-30D.5] = 8)
COMMENT: if child is adopted out or deceased
| | 1 CONDITION APPLIES ...(Go To Q12-158.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157BB.5 [] | Section: Fertility |
([[id of child from pregnancy 5]] = 5) | ([[id of child from pregnancy 5]] = 8)
COMMENT: if child is adopted out or deceased
| | 1 CONDITION APPLIES ...(Go To Q12-158.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157C.5 [] | Section: Fertility |
Now, we have a few questions about health care plans. First, is [Name of child from pregnancy 5]'s health insurance provided either by an employer or by an individual plan that pays part of or all of a hospital bill?...........
| Q12-157CA.5 [] | Section: Fertility |
.....(PROBE IF NECESSARY) Examples of health and hospitalization insurance plan include Blue Cross, Blue Shield, HMO. [THIS DOES NOT INCLUDE PUBLIC ASSISTANCE HEALTH CARE PROGRAMS.]
| Q12-157D.5 [] | Section: Fertility |
(HAND CARD GG) What is the source of [Name of child from pregnancy 5]'s health plan? Is it your own policy bought directly from a medical insurance company, your parent's policy, an employer policy, or something else?
| | 1 Respondent's Parent's policy |
| | 2 Respondent/spouse/partner policy bought directly from insurance company |
| | 3 Respondent's employer policy |
| | 4 Spouse/partner employer policy |
| | 5 Other (SPECIFY) |
| Q12-157E.5 [] | Section: Fertility |
There is a national program called Medicaid (Medi-Cal/Medical Assistance/Welfare/Medical Services) that pays for health care for persons in need. Is [Name of child from pregnancy 5]'s health care now covered by Medicaid or one of these public assistance health care programs?
| Q12-158.5 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-158B.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-158A.5 [] | Section: Fertility |
CHECK ([Name of biological child(6)])
COMMENT: check if to loop again 2nd time
If Answer = 1 Then Go To Q12-158C.5
| Q12-158B.5 [] | Section: Fertility |
([[Total new births since last expanded fertility interview]] >= 6)
COMMENT: Did R report at least 2 new children since last NICHD interview?
| | 1 CONDITION APPLIES ...(Go To Q12-158C.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-158C.5 [] | Section: Fertility |
([[live-birth pregnancy result in multiple births?(5)]] >= 1)
COMMENT: Did this pregnancy result in a multiple birth?
| | 1 CONDITION APPLIES ...(Go To Q12-74B.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-74A-C.6 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-74-A.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-74.6 [] | Section: Fertility |
Now I'd like to ask you some questions about [your/the] pregnancy(ies) that led to the birth of your [child/children]
(INTERVIEWER: HIGHLIGHT NAME OF THE CHILD WHO WAS SIXTH BORN.)
| Q12-74-A.6 [] | Section: Fertility |
Now I'd like to ask you some questions about [your/the] pregnancy(ies) since [date of last interview] which ended in (a) live birth(s).
(INTERVIEWER: HIGHLIGHT NAME OF THE SIXTH CHILD BORN SINCE [date of last interview]. IF CHILD IS A TWIN, HIGHLIGHT NAME OF FIRST TWIN LISTED AND PRESS <ENTER> TO CONTINUE.)
| Q12-74A.6 [] | Section: Fertility |
INTERVIEWER: DID THIS PREGNANCY RESULT IN THE BIRTH OF TWINS? USE <PGUP> IF NECESSARY TO CHECK THE ROSTER.
| Q12-74B.6 [] | Section: Fertility |
INTERVIEWER: HIGHLIGHT NAME OF THE NEXT CHILD WHO WAS BORN FROM THIS PREGNANCY SINCE [date of last interview].
| Q12-76E.6 [] | Section: Fertility |
([[live-birth pregnancy result in multiple births?(5)]] >= 1)
COMMENT: Did this pregnancy result in a multiple birth?
| | 1 CONDITION APPLIES ...(Go To Q12-76EA.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-76EA.6 [] | Section: Fertility |
([[Gender of the respondent]]=1)
COMMENT: check if male
| | 1 CONDITION APPLIES ...(Go To Q12-157B1.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-76F.6 [] | Section: Fertility |
[[Gender of the respondent]]
COMMENT: check gender
If Answer = 1 Then Go To Q12-78M.6
| Q12-77F.6 [] | Section: Fertility |
When did you become pregnant with [Name of child from pregnancy 6]? What month and year?
| Q12-78F.6 [] | Section: Fertility |
(HAND CARD CC) Just before you became pregnant with [Name of child from pregnancy 6], did you use any methods such as the ones listed on this card to keep from getting pregnant?
| Q12-79F.6 [] | Section: Fertility |
Had you stopped all methods before you became pregnant?
| Q12-80F.6 [] | Section: Fertility |
Was the reason you [blank/were not/stopped] using any methods because you yourself wanted to become pregnant?
| Q12-81F.6 [] | Section: Fertility |
Just before you became pregnant that time, did you want to become pregnant when you did?
(IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82F.6 [] | Section: Fertility |
And what about your spouse or partner when you became pregnant that time, did he want to have (a/another) baby?
(IF NO, PROBE:) Did he want to have (a/another) baby but not at that time, or did he want to have (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-78M.6 [] | Section: Fertility |
(HAND CARD CC) Just before [Name of child from pregnancy 6]'s mother became pregnant with [Name of child from pregnancy 6], did you use any methods such as the ones listed on this card to keep from getting pregnant?
| Q12-79M.6 [] | Section: Fertility |
Had you stopped all methods before [Name of child from pregnancy 6]'s mother became pregnant?
| Q12-80M.6 [] | Section: Fertility |
Was the reason you [blank/were not/stopped] using any methods because you yourself wanted [Name of child from pregnancy 6]'s mother to become pregnant?
| Q12-81M.6 [] | Section: Fertility |
Just before [Name of child from pregnancy 6]'s mother became pregnant that time, did you want her to become pregnant when she did?
(IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82M.6 [] | Section: Fertility |
And what about [Name of child from pregnancy 6]'s mother when she became pregnant that time -- did she want to have (a/another) baby?
(IF NO, PROBE ) Did she want to have (a/another) baby but not at that time, or did she want to have (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82N.6 [] | Section: Fertility |
([[Gender of the respondent]]=1)
COMMENT: check if male
| | 1 CONDITION APPLIES ...(Go To Q12-157B1.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-83.6 [] | Section: Fertility |
During your pregnancy with [Name of child from pregnancy 6], did you make any visits to a doctor or nurse for prenatal care, that is, to be examined or talk about your pregnancy?
| Q12-84.6 [] | Section: Fertility |
When did you first visit a doctor or nurse for prenatal care -- during which month of your pregnancy?
(ENTER MONTH NUMBER)
| Q12-85.6 [] | Section: Fertility |
Did you drink any alcoholic beverages, including beer, wine, or liquor, during the 12 months before [Name of child from pregnancy 6] was born?
| Q12-86.6 [] | Section: Fertility |
(HAND CARD DD) How often did you usually drink alcoholic beverages during (your/that) pregnancy? Did you drink ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-87.6 [] | Section: Fertility |
Did you smoke tobacco cigarettes at all during the 12 months before [Name of child from pregnancy 6] was born?
| Q12-88.6 [] | Section: Fertility |
On the average, how many cigarettes did you smoke during (your/that) pregnancy? Did you smoke 2 or more packs a day? Did you smoke 1 pack or more but less than 2 packs a day, or less than 1 pack a day?
| | 3 2 or more packs a day |
| | 2 1 or more but less than 2 |
| | 1 Less than 1 pack a day |
| | 0 (IF VOLUNTEERED:) DID NOT SMOKE DURING THAT PERIOD |
| Q12-89.6 [] | Section: Fertility |
Did you use marijuana or hashish at all during the 12 months before [Name of child from pregnancy 6] was born?
| Q12-90.6 [] | Section: Fertility |
(HAND CARD DD) On the average, how many times did you usually use marijuana or hashish during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-91.6 [] | Section: Fertility |
Did you use any form of cocaine at all during the 12 months before [Name of child from pregnancy 6] was born?
| Q12-92.6 [] | Section: Fertility |
(HAND CARD DD) On the average, how many times did you usually use any form of cocaine during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-93.6 [] | Section: Fertility |
During (your/that) pregnancy, did you take a vitamin/mineral supplement?
| Q12-94.6 [] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the amount of calories in the food you ate?
| Q12-95.6 [] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the amount of salt you used?
| Q12-96.6 [] | Section: Fertility |
During (your/that) pregnancy, did you use diuretics (fluid or water pills) to help eliminate water?
| Q12-97.6 [] | Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your smoking?
| Q12-98.6 [] | Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your alcohol intake?
| Q12-99A.6 [] | Section: Fertility |
([Q12-93.6]=1)
COMMENT: Did R take a vitamin/mineral supplement during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-99B.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-99B.6 [] | Section: Fertility |
Did you take a vitamin/mineral supplement based on a doctor's or nurse's suggestion?
| Q12-100A.6 [] | Section: Fertility |
([Q12-94.6]=1)
COMMENT: Did R cut down on the amount of calories his/her food during first
pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-100B.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-100B.6 [] | Section: Fertility |
Did you cut down on the amount of calories in the food you ate based on a doctor's or nurse's suggestion?
| Q12-101A.6 [] | Section: Fertility |
([Q12-95.6]=1)
COMMENT: Did R cut down on the amount of salt he/she used during first
pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-101B.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-101B.6 [] | Section: Fertility |
Did you cut down on the amount of salt you used based on a doctor's or nurse's suggestion?
| Q12-102A.6 [] | Section: Fertility |
([Q12-96.6]=1)
COMMENT: Did R use diuretics (fluid or water pills) to help eliminate water
during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-102B.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-102B.6 [] | Section: Fertility |
Did you use diuretics (fluid or water pills) to help eliminate water based on a doctor's or nurse's suggestion?
| Q12-103A.6 [] | Section: Fertility |
([Q12-97.6]=1)
COMMENT: Did R reduce or stop his/her smoking during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-103B.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-103B.6 [] | Section: Fertility |
Did you reduce or stop your smoking based on a doctor's or nurse's suggestion?
| Q12-104A.6 [] | Section: Fertility |
([Q12-98.6]=1)
COMMENT: Did R reduce or stop his/her alcohol intake during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-104B.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-104B.6 [] | Section: Fertility |
Did you reduce or stop your alcohol intake based on a doctor's or nurse's suggestion?
| Q12-105.6 [] | Section: Fertility |
Based on either your last menstrual period date or your doctor's or clinic's information, was [Name of child from pregnancy 6] born within one week of the expected (due) date?
| Q12-106A.6 [] | Section: Fertility |
Was the baby born early or late?
| Q12-106B.6 [] | Section: Fertility |
How many weeks [early/late] was the baby?
(IF "1 1/2 WEEKS" ROUND UP TO "2".)
| Q12-107.6 [] | Section: Fertility |
Was a cesarean section done?
(IF NECESSARY, PROBE:) Was the baby delivered by an incision in your abdomen?
| Q12-108.6 [] | Section: Fertility |
Was this your first cesarean section, or did you have one before?
| | 1 First cesarean |
| | 0 Had cesarean(s) before |
| Q12-109.6 [] | Section: Fertility |
What was your weight just before you delivered?
| Q12-110.6 [] | Section: Fertility |
What was your weight just before you became pregnant with [Name of child from pregnancy 6]?
| Q12-111.6 [] | Section: Fertility |
(([[Q12-109.6]] >= 0) & ([[Q12-110.6]] >= 0))
COMMENT: Are both the weight at delivery and the pre-pregnancy weight real
numbers (not DK or REFUSALS)?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-118A.6) |
| Q12-112.6 [] | Section: Fertility |
([[Q12-109.6]] - [[Q12-110.6]])
COMMENT: Subtract weight at time of delivery from weight before pregnancy.
If Answer = 0 Then Go To Q12-116.6
| Q12-113.6 [] | Section: Fertility |
([[Q12-109.6]] < [[Q12-110.6]])
COMMENT: Did R lose weight during pregnancy (weight at delivery is less than
weight before pregnancy)?
| Q12-114A.6 [] | Section: Fertility |
([[Q12-112.6]]*(-1))
COMMENT: R lost weight during first pregnancy. Change to positive number for
question text.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-114B.6 [] | Section: Fertility |
Does that mean that you lost [Respondent's weight gain/loss during pregnancy 6] pounds during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.6 ([Q12-109.6]) AND Q12-110.6 ([Q12-110.6]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-115.6 [] | Section: Fertility |
Does that mean that you gained [Respondent's weight gain/loss during pregnancy 6] pounds during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.6 ([Q12-109.6]) AND Q12-110.6 ([Q12-110.6]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-116.6 [] | Section: Fertility |
Does that mean that you did not gain or lose any weight during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.6 ([Q12-109.6]) AND Q12-110.6 ([Q12-110.6]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-117.6 [] | Section: Fertility |
Did you gain or lose weight during your pregnancy with [Name of child from pregnancy 6]?
| Q12-117A.6 [] | Section: Fertility |
How much weight did you [gain/lose]?
(ENTER NUMBER OF POUNDS)
| Q12-118A.6 [] | Section: Fertility |
How much did [Name of child from pregnancy 6] weigh at birth?
(ENTER NUMBER OF POUNDS AND PRESS <ENTER> TO ENTER OUNCES.)
| Q12-118B.6 [] | Section: Fertility |
(How much did [Name of child from pregnancy 6] weigh at birth?)
(ENTER NUMBER OF OUNCES.)
| Q12-119.6 [] | Section: Fertility |
What was [Name of child from pregnancy 6]'s length at birth?
| Q12-119A.6 [] | Section: Fertility |
INTERVIEWER: DID R INDICATE THAT THE LENGTH OF THE BABY WAS AN ESTIMATE?
| Q12-120.6 [] | Section: Fertility |
How long did your baby stay in the hospital?
| | 1 SELECT TO ENTER NUMBER OF DAYS |
| | 0 BABY/RESPONDENT DID NOT STAY IN HOSPITAL ...(Go To Q12-123.6) |
| Q12-120A.6 [] | Section: Fertility |
(How long did your baby stay in the hospital?)
(ENTER NUMBER OF DAYS:)
If Answer = 0 Then Go To Q12-123.6
| Q12-121.6 [] | Section: Fertility |
Did you leave the hospital at the same time as your baby or did you leave earlier or later?
| Q12-122A.6 [] | Section: Fertility |
How many days earlier?
| Q12-122B.6 [] | Section: Fertility |
How many days later?
| Q12-123.6 [] | Section: Fertility |
In [Name of child from pregnancy 6]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured?
| Q12-124.6 [] | Section: Fertility |
When you took [Name of child from pregnancy 6] to a clinic, hospital, or doctor the first time because [he/she] was sick or injured, what was the nature of [his/her] illness or injury?
(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF ILLNESS OR INJURY DESCRIBED HERE.)
| Q12-124A.6 [] | Section: Fertility |
(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)
(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-125.6 [] | Section: Fertility |
(HAND CARD EE) Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [first illness of child from pregnancy 6].
(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY RECORDED IN 12-124.6.)
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-126.6 [] | Section: Fertility |
How many months old was [Name of child from pregnancy 6] when you took [him/her] to a clinic, hospital or doctor the first time for (this) [first illness of child from pregnancy 6]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)
| Q12-127.6 [] | Section: Fertility |
In [Name of child from pregnancy 6]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [first illness of child from pregnancy 6]?
If Answer = 1 Then Go To Q12-129.6
| Q12-128.6 [] | Section: Fertility |
In [Name of child from pregnancy 6]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [first illness of child from pregnancy 6]?
| Q12-129.6 [] | Section: Fertility |
(HAND CARD FF) Please look at this card. In [Name of child from pregnancy 6]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [first illness of child from pregnancy 6], where did you take (him/her)?
(CODE ALL THAT APPLY)
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-130B.6 [] | Section: Fertility |
([[Q12-129.6-CODEALL(9)]] = 9)
COMMENT: Was child from first pregnancy admitted to hospital for first illness
in first year of life?
| | 1 CONDITION APPLIES ...(Go To Q12-131.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-131.6 [] | Section: Fertility |
When [Name of child from pregnancy 6] was admitted to the hospital, was surgery necessary?
| Q12-132.6 [] | Section: Fertility |
Did you have to take time off from work?
| Q12-133.6 [] | Section: Fertility |
In [Name of child from pregnancy 6]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured with a different illness or injury than the one we have just talked about?
| Q12-134.6 [] | Section: Fertility |
What was the nature of this other illness or injury?
(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF
ILLNESS OR INJURY DESCRIBED HERE.)
| Q12-134A.6 [] | Section: Fertility |
(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)
(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-135.6 [] | Section: Fertility |
(HAND CARD EE) Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [second illness of child from pregnancy 6].
(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY RECORDED IN 12-134.6.)
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-136.6 [] | Section: Fertility |
How many months old was [Name of child from pregnancy 6] when you took (him/her) to a clinic, hospital or doctor the first time for (this) [second illness of child from pregnancy 6]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)
| Q12-137.6 [] | Section: Fertility |
In [Name of child from pregnancy 6]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [second illness of child from pregnancy 6]?
If Answer = 1 Then Go To Q12-139.6
| Q12-138.6 [] | Section: Fertility |
In [Name of child from pregnancy 6]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [second illness of child from pregnancy 6]?
| Q12-139.6 [] | Section: Fertility |
(HAND CARD FF) Please look at this card. In [Name of child from pregnancy 6]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [second illness of child from pregnancy 6], where did you take (him/her)?
(CODE ALL THAT APPLY)
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-140B.6 [] | Section: Fertility |
([[Q12-139.6-CODEALL(9)]] = 9)
COMMENT: Was child from first pregnancy admitted to hospital for second illness
in first year of life?
| | 1 CONDITION APPLIES ...(Go To Q12-141.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-141.6 [] | Section: Fertility |
When [Name of child from pregnancy 6] was admitted to the hospital, was surgery necessary?
| Q12-142.6 [] | Section: Fertility |
Did you have to take time off from work?
| Q12-143.6 [] | Section: Fertility |
Now we are going to discuss well baby care.
In [Name of child from pregnancy 6]'s first year, did you take (him/her) to a clinic or doctor for well baby care when (he/she) was not sick?
| Q12-144.6 [] | Section: Fertility |
How many months old was [Name of child from pregnancy 6] when you took (him/her) to a clinic or doctor for well baby care the first time?.....
How old was (he/she) the next time?
(INTERVIEWER: CONTINUE TO ASK UNTIL THE LAST TIME IS CODED. MARK ALL THAT APPLY.)
| | 1 01 - ONE MONTH OLD |
| | 2 02 - TWO MONTHS OLD |
| | 3 03 - THREE MONTHS OLD |
| | 4 04 - FOUR MONTHS OLD |
| | 5 05 - FIVE MONTHS OLD |
| | 6 06 - SIX MONTHS OLD |
| | 7 07 - SEVEN MONTHS OLD |
| | 8 08 - EIGHT MONTHS OLD |
| | 9 09 - NINE MONTHS OLD |
| | 10 10 - TEN MONTHS OLD |
| | 11 11 - ELEVEN MONTHS OLD |
| | 12 12 - TWELVE MONTHS OLD |
| Q12-146A.6 [] | Section: Fertility |
([[Q12-144.6-CODEALL(1)]] = 1)
COMMENT: Was first child taken for well baby care in his first month?
| | 1 CONDITION APPLIES ...(Go To Q12-146B.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-146B.6 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 6] for well baby care when (he/she) was 1 month old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-147A.6 [] | Section: Fertility |
([[Q12-144.6-CODEALL(2)]] = 2)
COMMENT: Was first child taken for well baby care in his second month?
| | 1 CONDITION APPLIES ...(Go To Q12-147B.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-147B.6 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 6] for well baby care when (he/she) was 2 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-148A.6 [] | Section: Fertility |
([[Q12-144.6-CODEALL(3)]] = 3)
COMMENT: Was first child taken for well baby care in his third month?
| | 1 CONDITION APPLIES ...(Go To Q12-148B.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-148B.6 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 6] for well baby care when (he/she) was 3 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-149A.6 [] | Section: Fertility |
([[Q12-144.6-CODEALL(4)]] = 4)
COMMENT: Was first child taken for well baby care in his fourth month?
| | 1 CONDITION APPLIES ...(Go To Q12-149B.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-149B.6 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 6] for well baby care when (he/she) was 4 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-150A.6 [] | Section: Fertility |
([[Q12-144.6-CODEALL(5)]] = 5)
COMMENT: Was first child taken for well baby care in his fifth month?
| | 1 CONDITION APPLIES ...(Go To Q12-150B.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-150B.6 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 6] for well baby care when (he/she) was 5 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-151A.6 [] | Section: Fertility |
([[Q12-144.6-CODEALL(6)]] = 6)
COMMENT: Was first child taken for well baby care in his sixth month?
| | 1 CONDITION APPLIES ...(Go To Q12-151B.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-151B.6 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 6] for well baby care when (he/she) was 6 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-152A.6 [] | Section: Fertility |
([[Q12-144.6-CODEALL(7)]] = 7)
COMMENT: Was first child taken for well baby care in his seventh month?
| | 1 CONDITION APPLIES ...(Go To Q12-152B.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-152B.6 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 6] for well baby care when (he/she) was 7 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-153A.6 [] | Section: Fertility |
([[Q12-144.6-CODEALL(8)]] = 8)
COMMENT: Was first child taken for well baby care in his eighth month?
| | 1 CONDITION APPLIES ...(Go To Q12-153B.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-153B.6 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 6] for well baby care when (he/she) was 8 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-154A.6 [] | Section: Fertility |
([[Q12-144.6-CODEALL(9)]] = 9)
COMMENT: Was first child taken for well baby care in his ninth month?
| | 1 CONDITION APPLIES ...(Go To Q12-154B.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-154B.6 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 6] for well baby care when (he/she) was 9 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-155A.6 [] | Section: Fertility |
([[Q12-144.6-CODEALL(10)]] = 10)
COMMENT: Was first child taken for well baby care in his tenth month?
| | 1 CONDITION APPLIES ...(Go To Q12-155B.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-155B.6 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 6] for well baby care when (he/she) was 10 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-156A.6 [] | Section: Fertility |
([[Q12-144.6-CODEALL(11)]] = 11)
COMMENT: Was first child taken for well baby care in his eleventh month?
| | 1 CONDITION APPLIES ...(Go To Q12-156B.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-156B.6 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 6] for well baby care when (he/she) was 11 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-157A.6 [] | Section: Fertility |
([[Q12-144.6-CODEALL(12)]] = 12)
COMMENT: Was first child taken for well baby care in his twelveth month?
| | 1 CONDITION APPLIES ...(Go To Q12-157B.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157B.6 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 6] for well baby care when (he/she) was 12 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-157B1.6 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-157BB.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157BA.6 [] | Section: Fertility |
([Q12-30D.6] = 5) | ([Q12-30D.6] = 8)
COMMENT: if child is adopted out or deceased
| | 1 CONDITION APPLIES ...(Go To Q12-158.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157BB.6 [] | Section: Fertility |
([[id of child from pregnancy 6]] = 5) | ([[id of child from pregnancy 6]] = 8)
COMMENT: if child is adopted out or deceased
| | 1 CONDITION APPLIES ...(Go To Q12-158.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157C.6 [] | Section: Fertility |
Now, we have a few questions about health care plans. First, is [Name of child from pregnancy 6]'s health insurance provided either by an employer or by an individual plan that pays part of or all of a hospital bill?...........
| Q12-157CA.6 [] | Section: Fertility |
.....(PROBE IF NECESSARY) Examples of health and hospitalization insurance plan include Blue Cross, Blue Shield, HMO. [THIS DOES NOT INCLUDE PUBLIC ASSISTANCE HEALTH CARE PROGRAMS.]
| Q12-157D.6 [] | Section: Fertility |
(HAND CARD GG) What is the source of [Name of child from pregnancy 6]'s health plan? Is it your own policy bought directly from a medical insurance company, your parent's policy, an employer policy, or something else?
| | 1 Respondent's Parent's policy |
| | 2 Respondent/spouse/partner policy bought directly from insurance company |
| | 3 Respondent's employer policy |
| | 4 Spouse/partner employer policy |
| | 5 Other (SPECIFY) |
| Q12-157E.6 [] | Section: Fertility |
There is a national program called Medicaid (Medi-Cal/Medical Assistance/Welfare/Medical Services) that pays for health care for persons in need. Is [Name of child from pregnancy 6]'s health care now covered by Medicaid or one of these public assistance health care programs?
| Q12-158.6 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-158B.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-158A.6 [] | Section: Fertility |
CHECK ([Name of biological child(7)])
COMMENT: check if to loop again 2nd time
If Answer = 1 Then Go To Q12-158C.6
| Q12-158B.6 [] | Section: Fertility |
([[Total new births since last expanded fertility interview]] >= 7)
COMMENT: Did R report at least 2 new children since last NICHD interview?
| | 1 CONDITION APPLIES ...(Go To Q12-158C.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-158C.6 [] | Section: Fertility |
([[live-birth pregnancy result in multiple births?(6)]] >= 1)
COMMENT: Did this pregnancy result in a multiple birth?
| | 1 CONDITION APPLIES ...(Go To Q12-74B.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-74A-C.7 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-74-A.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-74.7 [] | Section: Fertility |
Now I'd like to ask you some questions about [your/the] pregnancy(ies) that led to the birth of your [child/children]
(INTERVIEWER: HIGHLIGHT NAME OF THE CHILD WHO WAS SEVENTH BORN.)
| Q12-74-A.7 [] | Section: Fertility |
Now I'd like to ask you some questions about [your/the] pregnancy(ies) since [date of last interview] which ended in (a) live birth(s).
(INTERVIEWER: HIGHLIGHT NAME OF THE SEVENTH CHILD BORN SINCE [date of last interview]. IF CHILD IS A TWIN, HIGHLIGHT NAME OF FIRST TWIN LISTED AND PRESS <ENTER> TO CONTINUE.)
| Q12-74A.7 [] | Section: Fertility |
INTERVIEWER: DID THIS PREGNANCY RESULT IN THE BIRTH OF TWINS? USE <PGUP> IF NECESSARY TO CHECK THE ROSTER.
| Q12-74B.7 [] | Section: Fertility |
INTERVIEWER: HIGHLIGHT NAME OF THE NEXT CHILD WHO WAS BORN FROM THIS PREGNANCY SINCE [date of last interview].
| Q12-76E.7 [] | Section: Fertility |
([[live-birth pregnancy result in multiple births?(6)]] >= 1)
COMMENT: Did this pregnancy result in a multiple birth?
| | 1 CONDITION APPLIES ...(Go To Q12-76EA.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-76EA.7 [] | Section: Fertility |
([[Gender of the respondent]]=1)
COMMENT: check if male
| | 1 CONDITION APPLIES ...(Go To Q12-157B1.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-76F.7 [] | Section: Fertility |
[[Gender of the respondent]]
COMMENT: check gender
If Answer = 1 Then Go To Q12-78M.7
| Q12-77F.7 [] | Section: Fertility |
When did you become pregnant with [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)]? What month and year?
| Q12-78F.7 [] | Section: Fertility |
(HAND CARD CC) Just before you became pregnant with [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)], did you use any methods such as the ones listed on this card to keep from getting pregnant?
| Q12-79F.7 [] | Section: Fertility |
Had you stopped all methods before you became pregnant?
| Q12-80F.7 [] | Section: Fertility |
Was the reason you [blank/were not/stopped] using any methods because you yourself wanted to become pregnant?
| Q12-81F.7 [] | Section: Fertility |
Just before you became pregnant that time, did you want to become pregnant when you did?
(IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82F.7 [] | Section: Fertility |
And what about your spouse or partner when you became pregnant that time, did he want to have (a/another) baby?
(IF NO, PROBE:) Did he want to have (a/another) baby but not at that time, or did he want to have (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-78M.7 [] | Section: Fertility |
(HAND CARD CC) Just before [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)]'s mother became pregnant with [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)], did you use any methods such as the ones listed on this card to keep from getting pregnant?
| Q12-79M.7 [] | Section: Fertility |
Had you stopped all methods before [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)]'s mother became pregnant?
| Q12-80M.7 [] | Section: Fertility |
Was the reason you [blank/were not/stopped] using any methods because you yourself wanted [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)]'s mother to become pregnant?
| Q12-81M.7 [] | Section: Fertility |
Just before [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)]'s mother became pregnant that time, did you want her to become pregnant when she did?
(IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82M.7 [] | Section: Fertility |
And what about [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)]'s mother when she became pregnant that time -- did she want to have (a/another) baby?
(IF NO, PROBE ) Did she want to have (a/another) baby but not at that time, or did she want to have (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82N.7 [] | Section: Fertility |
([[Gender of the respondent]]=1)
COMMENT: check if male
| | 1 CONDITION APPLIES ...(Go To Q12-157B1.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-83.7 [] | Section: Fertility |
During your pregnancy with [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)], did you make any visits to a doctor or nurse for prenatal care, that is, to be examined or talk about your pregnancy?
| Q12-84.7 [] | Section: Fertility |
When did you first visit a doctor or nurse for prenatal care -- during which month of your pregnancy?
(ENTER MONTH NUMBER)
| Q12-85.7 [] | Section: Fertility |
Did you drink any alcoholic beverages, including beer, wine, or liquor, during the 12 months before [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)] was born?
| Q12-86.7 [] | Section: Fertility |
(HAND CARD DD) How often did you usually drink alcoholic beverages during (your/that) pregnancy? Did you drink ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-87.7 [] | Section: Fertility |
Did you smoke tobacco cigarettes at all during the 12 months before [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)] was born?
| Q12-88.7 [] | Section: Fertility |
On the average, how many cigarettes did you smoke during (your/that) pregnancy? Did you smoke 2 or more packs a day? Did you smoke 1 pack or more but less than 2 packs a day, or less than 1 pack a day?
| | 3 2 or more packs a day |
| | 2 1 or more but less than 2 |
| | 1 Less than 1 pack a day |
| | 0 (IF VOLUNTEERED:) DID NOT SMOKE DURING THAT PERIOD |
| Q12-89.7 [] | Section: Fertility |
Did you use marijuana or hashish at all during the 12 months before [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)] was born?
| Q12-90.7 [] | Section: Fertility |
(HAND CARD DD) On the average, how many times did you usually use marijuana or hashish during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-91.7 [] | Section: Fertility |
Did you use any form of cocaine at all during the 12 months before [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)] was born?
| Q12-92.7 [] | Section: Fertility |
(HAND CARD DD) On the average, how many times did you usually use any form of cocaine during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-93.7 [] | Section: Fertility |
During (your/that) pregnancy, did you take a vitamin/mineral supplement?
| Q12-94.7 [] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the amount of calories in the food you ate?
| Q12-95.7 [] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the amount of salt you used?
| Q12-96.7 [] | Section: Fertility |
During (your/that) pregnancy, did you use diuretics (fluid or water pills) to help eliminate water?
| Q12-97.7 [] | Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your smoking?
| Q12-98.7 [] | Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your alcohol intake?
| Q12-99A.7 [] | Section: Fertility |
([Q12-93.7]=1)
COMMENT: Did R take a vitamin/mineral supplement during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-99B.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-99B.7 [] | Section: Fertility |
Did you take a vitamin/mineral supplement based on a doctor's or nurse's suggestion?
| Q12-100A.7 [] | Section: Fertility |
([Q12-94.7]=1)
COMMENT: Did R cut down on the amount of calories his/her food during first
pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-100B.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-100B.7 [] | Section: Fertility |
Did you cut down on the amount of calories in the food you ate based on a doctor's or nurse's suggestion?
| Q12-101A.7 [] | Section: Fertility |
([Q12-95.7]=1)
COMMENT: Did R cut down on the amount of salt he/she used during first
pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-101B.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-101B.7 [] | Section: Fertility |
Did you cut down on the amount of salt you used based on a doctor's or nurse's suggestion?
| Q12-102A.7 [] | Section: Fertility |
([Q12-96.7]=1)
COMMENT: Did R use diuretics (fluid or water pills) to help eliminate water
during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-102B.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-102B.7 [] | Section: Fertility |
Did you use diuretics (fluid or water pills) to help eliminate water based on a doctor's or nurse's suggestion?
| Q12-103A.7 [] | Section: Fertility |
([Q12-97.7]=1)
COMMENT: Did R reduce or stop his/her smoking during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-103B.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-103B.7 [] | Section: Fertility |
Did you reduce or stop your smoking based on a doctor's or nurse's suggestion?
| Q12-104A.7 [] | Section: Fertility |
([Q12-98.7]=1)
COMMENT: Did R reduce or stop his/her alcohol intake during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-104B.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-104B.7 [] | Section: Fertility |
Did you reduce or stop your alcohol intake based on a doctor's or nurse's suggestion?
| Q12-105.7 [] | Section: Fertility |
Based on either your last menstrual period date or your doctor's or clinic's information, was [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)] born within one week of the expected (due) date?
| Q12-106A.7 [] | Section: Fertility |
Was the baby born early or late?
| Q12-106B.7 [] | Section: Fertility |
How many weeks [early/late] was the baby?
(IF "1 1/2 WEEKS" ROUND UP TO "2".)
| Q12-107.7 [] | Section: Fertility |
Was a cesarean section done?
(IF NECESSARY, PROBE:) Was the baby delivered by an incision in your abdomen?
| Q12-108.7 [] | Section: Fertility |
Was this your first cesarean section, or did you have one before?
| | 1 First cesarean |
| | 0 Had cesarean(s) before |
| Q12-109.7 [] | Section: Fertility |
What was your weight just before you delivered?
| Q12-110.7 [] | Section: Fertility |
What was your weight just before you became pregnant with [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)]?
| Q12-111.7 [] | Section: Fertility |
(([[Q12-109.7]] >= 0) & ([[Q12-110.7]] >= 0))
COMMENT: Are both the weight at delivery and the pre-pregnancy weight real
numbers (not DK or REFUSALS)?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-118A.7) |
| Q12-112.7 [] | Section: Fertility |
([[Q12-109.7]] - [[Q12-110.7]])
COMMENT: Subtract weight at time of delivery from weight before pregnancy.
If Answer = 0 Then Go To Q12-116.7
| Q12-113.7 [] | Section: Fertility |
([[Q12-109.7]] < [[Q12-110.7]])
COMMENT: Did R lose weight during pregnancy (weight at delivery is less than
weight before pregnancy)?
| Q12-114A.7 [] | Section: Fertility |
([[Q12-112.7]]*(-1))
COMMENT: R lost weight during first pregnancy. Change to positive number for
question text.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-114B.7 [] | Section: Fertility |
Does that mean that you lost [Respondent's weight gain loss during pregnancy (pregnancy 7)] pounds during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.7 ([Q12-109.7]) AND Q12-110.7 ([Q12-110.7]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-115.7 [] | Section: Fertility |
Does that mean that you gained [Respondent's weight gain loss during pregnancy (pregnancy 7)] pounds during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.7 ([Q12-109.7]) AND Q12-110.7 ([Q12-110.7]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-116.7 [] | Section: Fertility |
Does that mean that you did not gain or lose any weight during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.7 ([Q12-109.7]) AND Q12-110.7 ([Q12-110.7]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-117.7 [] | Section: Fertility |
Did you gain or lose weight during your pregnancy with [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)]?
| Q12-117A.7 [] | Section: Fertility |
How much weight did you [gain/lose]?
(ENTER NUMBER OF POUNDS)
| Q12-118A.7 [] | Section: Fertility |
How much did [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)] weigh at birth?
(ENTER NUMBER OF POUNDS AND PRESS <ENTER> TO ENTER OUNCES.)
| Q12-118B.7 [] | Section: Fertility |
(How much did [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)] weigh at birth?)
(ENTER NUMBER OF OUNCES.)
| Q12-119.7 [] | Section: Fertility |
What was [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)]'s length at birth?
| Q12-119A.7 [] | Section: Fertility |
INTERVIEWER: DID R INDICATE THAT THE LENGTH OF THE BABY WAS AN ESTIMATE?
| Q12-120.7 [] | Section: Fertility |
How long did your baby stay in the hospital?
| | 1 SELECT TO ENTER NUMBER OF DAYS |
| | 0 BABY/RESPONDENT DID NOT STAY IN HOSPITAL ...(Go To Q12-123.7) |
| Q12-120A.7 [] | Section: Fertility |
(How long did your baby stay in the hospital?)
(ENTER NUMBER OF DAYS:)
If Answer = 0 Then Go To Q12-123.7
| Q12-121.7 [] | Section: Fertility |
Did you leave the hospital at the same time as your baby or did you leave earlier or later?
| Q12-122A.7 [] | Section: Fertility |
How many days earlier?
| Q12-122B.7 [] | Section: Fertility |
How many days later?
| Q12-123.7 [] | Section: Fertility |
In [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured?
| Q12-124.7 [] | Section: Fertility |
When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)] to a clinic, hospital, or doctor the first time because [he/she] was sick or injured, what was the nature of [his/her] illness or injury?
(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF ILLNESS OR INJURY DESCRIBED HERE.)
| Q12-124A.7 [] | Section: Fertility |
(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)
(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-125.7 [] | Section: Fertility |
(HAND CARD EE) Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [Main illness for which child born since last expanded fertility interview was taken to clinic, first time (pregnancy 7)].
(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY RECORDED IN 12-124.7.)
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-126.7 [] | Section: Fertility |
How many months old was [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)] when you took [him/her] to a clinic, hospital or doctor the first time for (this) [Main illness for which child born since last expanded fertility interview was taken to clinic, first time (pregnancy 7)]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)
| Q12-127.7 [] | Section: Fertility |
In [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [Main illness for which child born since last expanded fertility interview was taken to clinic, first time (pregnancy 7)]?
If Answer = 1 Then Go To Q12-129.7
| Q12-128.7 [] | Section: Fertility |
In [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [Main illness for which child born since last expanded fertility interview was taken to clinic, first time (pregnancy 7)]?
| Q12-129.7 [] | Section: Fertility |
(HAND CARD FF) Please look at this card. In [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [Main illness for which child born since last expanded fertility interview was taken to clinic, first time (pregnancy 7)], where did you take (him/her)?
(CODE ALL THAT APPLY)
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-130B.7 [] | Section: Fertility |
([[Q12-129.7-CODEALL(9)]] = 9)
COMMENT: Was child from first pregnancy admitted to hospital for first illness
in first year of life?
| | 1 CONDITION APPLIES ...(Go To Q12-131.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-131.7 [] | Section: Fertility |
When [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)] was admitted to the hospital, was surgery necessary?
| Q12-132.7 [] | Section: Fertility |
Did you have to take time off from work?
| Q12-133.7 [] | Section: Fertility |
In [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured with a different illness or injury than the one we have just talked about?
| Q12-134.7 [] | Section: Fertility |
What was the nature of this other illness or injury?
(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF ILLNESS OR INJURY DESCRIBED HERE.)
| Q12-134A.7 [] | Section: Fertility |
(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)
(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-135.7 [] | Section: Fertility |
(HAND CARD EE) Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [Main illness for which child born since last expanded fertility interview was taken to clinic, other time (pregnancy 7)].
(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY RECORDED IN 12-134.7.)
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-136.7 [] | Section: Fertility |
How many months old was [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)] when you took (him/her) to a clinic, hospital or doctor the first time for (this) [Main illness for which child born since last expanded fertility interview was taken to clinic, other time (pregnancy 7)]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)
| Q12-137.7 [] | Section: Fertility |
In [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [Main illness for which child born since last expanded fertility interview was taken to clinic, other time (pregnancy 7)]?
If Answer = 1 Then Go To Q12-139.7
| Q12-138.7 [] | Section: Fertility |
In [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [Main illness for which child born since last expanded fertility interview was taken to clinic, other time (pregnancy 7)]?
| Q12-139.7 [] | Section: Fertility |
(HAND CARD FF) Please look at this card. In [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [Main illness for which child born since last expanded fertility interview was taken to clinic, other time (pregnancy 7)], where did you take (him/her)?
(CODE ALL THAT APPLY)
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-140B.7 [] | Section: Fertility |
([[Q12-139.7-CODEALL(9)]] = 9)
COMMENT: Was child from first pregnancy admitted to hospital for second illness
in first year of life?
| | 1 CONDITION APPLIES ...(Go To Q12-141.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-141.7 [] | Section: Fertility |
When [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)] was admitted to the hospital, was surgery necessary?
| Q12-142.7 [] | Section: Fertility |
Did you have to take time off from work?
| Q12-143.7 [] | Section: Fertility |
Now we are going to discuss well baby care.
In [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)]'s first year, did you take (him/her) to a clinic or doctor for well baby care when (he/she) was not sick?
| Q12-144.7 [] | Section: Fertility |
How many months old was [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)] when you took (him/her) to a clinic or doctor for well baby care the first time?.....
How old was (he/she) the next time?
(INTERVIEWER: CONTINUE TO ASK UNTIL THE LAST TIME IS CODED. MARK ALL THAT APPLY.)
| | 1 01 - ONE MONTH OLD |
| | 2 02 - TWO MONTHS OLD |
| | 3 03 - THREE MONTHS OLD |
| | 4 04 - FOUR MONTHS OLD |
| | 5 05 - FIVE MONTHS OLD |
| | 6 06 - SIX MONTHS OLD |
| | 7 07 - SEVEN MONTHS OLD |
| | 8 08 - EIGHT MONTHS OLD |
| | 9 09 - NINE MONTHS OLD |
| | 10 10 - TEN MONTHS OLD |
| | 11 11 - ELEVEN MONTHS OLD |
| | 12 12 - TWELVE MONTHS OLD |
| Q12-146A.7 [] | Section: Fertility |
([[Q12-144.7-CODEALL(1)]] = 1)
COMMENT: Was first child taken for well baby care in his first month?
| | 1 CONDITION APPLIES ...(Go To Q12-146B.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-146B.7 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)] for well baby care when (he/she) was 1 month old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-147A.7 [] | Section: Fertility |
([[Q12-144.7-CODEALL(2)]] = 2)
COMMENT: Was first child taken for well baby care in his second month?
| | 1 CONDITION APPLIES ...(Go To Q12-147B.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-147B.7 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)] for well baby care when (he/she) was 2 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-148A.7 [] | Section: Fertility |
([[Q12-144.7-CODEALL(3)]] = 3)
COMMENT: Was first child taken for well baby care in his third month?
| | 1 CONDITION APPLIES ...(Go To Q12-148B.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-148B.7 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)] for well baby care when (he/she) was 3 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-149A.7 [] | Section: Fertility |
([[Q12-144.7-CODEALL(4)]] = 4)
COMMENT: Was first child taken for well baby care in his fourth month?
| | 1 CONDITION APPLIES ...(Go To Q12-149B.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-149B.7 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)] for well baby care when (he/she) was 4 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-150A.7 [] | Section: Fertility |
([[Q12-144.7-CODEALL(5)]] = 5)
COMMENT: Was first child taken for well baby care in his fifth month?
| | 1 CONDITION APPLIES ...(Go To Q12-150B.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-150B.7 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)] for well baby care when (he/she) was 5 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-151A.7 [] | Section: Fertility |
([[Q12-144.7-CODEALL(6)]] = 6)
COMMENT: Was first child taken for well baby care in his sixth month?
| | 1 CONDITION APPLIES ...(Go To Q12-151B.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-151B.7 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)] for well baby care when (he/she) was 6 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-152A.7 [] | Section: Fertility |
([[Q12-144.7-CODEALL(7)]] = 7)
COMMENT: Was first child taken for well baby care in his seventh month?
| | 1 CONDITION APPLIES ...(Go To Q12-152B.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-152B.7 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)] for well baby care when (he/she) was 7 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-153A.7 [] | Section: Fertility |
([[Q12-144.7-CODEALL(8)]] = 8)
COMMENT: Was first child taken for well baby care in his eighth month?
| | 1 CONDITION APPLIES ...(Go To Q12-153B.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-153B.7 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)] for well baby care when (he/she) was 8 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-154A.7 [] | Section: Fertility |
([[Q12-144.7-CODEALL(9)]] = 9)
COMMENT: Was first child taken for well baby care in his ninth month?
| | 1 CONDITION APPLIES ...(Go To Q12-154B.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-154B.7 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)] for well baby care when (he/she) was 9 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-155A.7 [] | Section: Fertility |
([[Q12-144.7-CODEALL(10)]] = 10)
COMMENT: Was first child taken for well baby care in his tenth month?
| | 1 CONDITION APPLIES ...(Go To Q12-155B.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-155B.7 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)] for well baby care when (he/she) was 10 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-156A.7 [] | Section: Fertility |
([[Q12-144.7-CODEALL(11)]] = 11)
COMMENT: Was first child taken for well baby care in his eleventh month?
| | 1 CONDITION APPLIES ...(Go To Q12-156B.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-156B.7 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)] for well baby care when (he/she) was 11 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-157A.7 [] | Section: Fertility |
([[Q12-144.7-CODEALL(12)]] = 12)
COMMENT: Was first child taken for well baby care in his twelveth month?
| | 1 CONDITION APPLIES ...(Go To Q12-157B.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157B.7 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)] for well baby care when (he/she) was 12 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-157B1.7 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-157BB.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157BA.7 [] | Section: Fertility |
([Q12-30D.7] = 5) | ([Q12-30D.7] = 8)
COMMENT: if child is adopted out or deceased
| | 1 CONDITION APPLIES ...(Go To Q12-158.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157BB.7 [] | Section: Fertility |
([[ id of child resulting from pregnancy since last expanded fertilityinterview (pregnancy 7)]] = 5) | ([[ id of child resulting from pregnancy since last expanded fertilityinterview (pregnancy 7)]] = 8)
COMMENT: if child is adopted out or deceased
| | 1 CONDITION APPLIES ...(Go To Q12-158.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157C.7 [] | Section: Fertility |
Now, we have a few questions about health care plans. First, is [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)]'s health insurance provided either by an employer or by an individual plan that pays part of or all of a hospital bill?...........
| Q12-157CA.7 [] | Section: Fertility |
.....(PROBE IF NECESSARY) Examples of health and hospitalization insurance plan include Blue Cross, Blue Shield, HMO. [THIS DOES NOT INCLUDE PUBLIC ASSISTANCE HEALTH CARE PROGRAMS.]
| Q12-157D.7 [] | Section: Fertility |
(HAND CARD GG) What is the source of [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)]'s health plan? Is it your own policy bought directly from a medical insurance company, your parent's policy, an employer policy, or something else?
| | 1 Respondent's Parent's policy |
| | 2 Respondent/spouse/partner policy bought directly from insurance company |
| | 3 Respondent's employer policy |
| | 4 Spouse/partner employer policy |
| | 5 Other (SPECIFY) |
| Q12-157E.7 [] | Section: Fertility |
There is a national program called Medicaid (Medi-Cal/Medical Assistance/Welfare/Medical Services) that pays for health care for persons in need. Is [Name of child from pregnancy since last expanded fertility interview (pregnancy 7)]'s health care now covered by Medicaid or one of these public assistance health care programs?
| Q12-158.7 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-158B.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-158A.7 [] | Section: Fertility |
CHECK ([Name of biological child(8)])
COMMENT: check if to loop again 2nd time
If Answer = 1 Then Go To Q12-158C.7
| Q12-158B.7 [] | Section: Fertility |
([[Total new births since last expanded fertility interview]] >= 8)
COMMENT: Did R report at least 2 new children since last NICHD interview?
| | 1 CONDITION APPLIES ...(Go To Q12-158C.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-158C.7 [] | Section: Fertility |
([[live-birth pregnancy result in multiple births?(7)]] >= 1)
COMMENT: Did this pregnancy result in a multiple birth?
| | 1 CONDITION APPLIES ...(Go To Q12-74B.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-74A-C.8 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-74-A.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-74.8 [] | Section: Fertility |
Now I'd like to ask you some questions about [your/the] pregnancy(ies) that led to the birth of your [child/children]
(INTERVIEWER: HIGHLIGHT NAME OF THE CHILD WHO WAS EIGHTH BORN.)
| Q12-74-A.8 [] | Section: Fertility |
Now I'd like to ask you some questions about [your/the] pregnancy(ies) since [date of last interview] which ended in (a) live birth(s).
(INTERVIEWER: HIGHLIGHT NAME OF THE EIGHTH CHILD BORN SINCE [date of last interview]. IF CHILD IS A TWIN, HIGHLIGHT NAME OF FIRST TWIN LISTED AND PRESS <ENTER> TO CONTINUE.)
| Q12-74A.8 [] | Section: Fertility |
INTERVIEWER: DID THIS PREGNANCY RESULT IN THE BIRTH OF TWINS? USE
<PGUP> IF NECESSARY TO CHECK THE ROSTER.
| Q12-74B.8 [] | Section: Fertility |
INTERVIEWER: HIGHLIGHT NAME OF THE NEXT CHILD WHO WAS BORN FROM THIS
PREGNANCY SINCE [date of last interview].
| Q12-76E.8 [] | Section: Fertility |
([[live-birth pregnancy result in multiple births?(7)]] >= 1)
COMMENT: Did this pregnancy result in a multiple birth?
| | 1 CONDITION APPLIES ...(Go To Q12-76EA.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-76EA.8 [] | Section: Fertility |
([[Gender of the respondent]]=1)
COMMENT: check if male
| | 1 CONDITION APPLIES ...(Go To Q12-157B1.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-76F.8 [] | Section: Fertility |
[[Gender of the respondent]]
COMMENT: check gender
If Answer = 1 Then Go To Q12-78M.8
| Q12-77F.8 [] | Section: Fertility |
When did you become pregnant with [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)]? What month and year?
| Q12-78F.8 [] | Section: Fertility |
(HAND CARD CC) Just before you became pregnant with [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)], did you use any methods such as the ones listed on this card to keep from getting pregnant?
| Q12-79F.8 [] | Section: Fertility |
Had you stopped all methods before you became pregnant?
| Q12-80F.8 [] | Section: Fertility |
Was the reason you [blank/were not/stopped] using any methods because you yourself wanted to become pregnant?
| Q12-81F.8 [] | Section: Fertility |
Just before you became pregnant that time, did you want to become pregnant when you did? (IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82F.8 [] | Section: Fertility |
And what about your spouse or partner when you became pregnant that time, did he want to have (a/another) baby? (IF NO, PROBE:) Did he want to have (a/another) baby but not at that time, or did he want to have (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-78M.8 [] | Section: Fertility |
(HAND CARD CC) Just before [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)]'s mother became pregnant with [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)], did you use any methods such as the ones listed on this card to keep from getting pregnant?
| Q12-79M.8 [] | Section: Fertility |
Had you stopped all methods before [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)]'s mother became pregnant?
| Q12-80M.8 [] | Section: Fertility |
Was the reason you [blank/were not/stopped] using any methods because you yourself wanted [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)]'s mother to become pregnant?
| Q12-81M.8 [] | Section: Fertility |
Just before [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)]'s mother became pregnant that time, did you want her to become pregnant when she did? (IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82M.8 [] | Section: Fertility |
And what about [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)]'s mother when she became pregnant that time -- did she want to have (a/another) baby? (IF NO, PROBE ) Did she want to have (a/another) baby but not at that time, or did she want to have (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82N.8 [] | Section: Fertility |
([[Gender of the respondent]]=1)
COMMENT: check if male
| | 1 CONDITION APPLIES ...(Go To Q12-157B1.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-83.8 [] | Section: Fertility |
During your pregnancy with [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)], did you make any visits to a doctor or nurse for prenatal care, that is, to be examined or talk about your pregnancy?
| Q12-84.8 [] | Section: Fertility |
When did you first visit a doctor or nurse for prenatal care -- during which month of your pregnancy?
(ENTER MONTH NUMBER)
| Q12-85.8 [] | Section: Fertility |
Did you drink any alcoholic beverages, including beer, wine, or liquor, during the 12 months before [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)] was born?
| Q12-86.8 [] | Section: Fertility |
(HAND CARD DD) How often did you usually drink alcoholic beverages during (your/that) pregnancy? Did you drink ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-87.8 [] | Section: Fertility |
Did you smoke tobacco cigarettes at all during the 12 months before [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)] was born?
| Q12-88.8 [] | Section: Fertility |
On the average, how many cigarettes did you smoke during (your/that) pregnancy? Did you smoke 2 or more packs a day? Did you smoke 1 pack or more but less than 2 packs a day, or less than 1 pack a day?
| | 3 2 or more packs a day |
| | 2 1 or more but less than 2 |
| | 1 Less than 1 pack a day |
| | 0 (IF VOLUNTEERED:) DID NOT SMOKE DURING THAT PERIOD |
| Q12-89.8 [] | Section: Fertility |
Did you use marijuana or hashish at all during the 12 months before [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)] was born?
| Q12-90.8 [] | Section: Fertility |
(HAND CARD DD) On the average, how many times did you usually use marijuana or hashish during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-91.8 [] | Section: Fertility |
Did you use any form of cocaine at all during the 12 months before [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)] was born?
| Q12-92.8 [] | Section: Fertility |
(HAND CARD DD) On the average, how many times did you usually use any form of cocaine during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-93.8 [] | Section: Fertility |
During (your/that) pregnancy, did you take a vitamin/mineral supplement?
| Q12-94.8 [] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the amount of calories in the food you ate?
| Q12-95.8 [] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the amount of salt you used?
| Q12-96.8 [] | Section: Fertility |
During (your/that) pregnancy, did you use diuretics (fluid or water pills) to help eliminate water?
| Q12-97.8 [] | Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your smoking?
| Q12-98.8 [] | Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your alcohol intake?
| Q12-99A.8 [] | Section: Fertility |
([Q12-93.8]=1)
COMMENT: Did R take a vitamin/mineral supplement during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-99B.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-99B.8 [] | Section: Fertility |
Did you take a vitamin/mineral supplement based on a doctor's or nurse's suggestion?
| Q12-100A.8 [] | Section: Fertility |
([Q12-94.8]=1)
COMMENT: Did R cut down on the amount of calories his/her food during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-100B.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-100B.8 [] | Section: Fertility |
Did you cut down on the amount of calories in the food you ate based on a doctor's or nurse's suggestion?
| Q12-101A.8 [] | Section: Fertility |
([Q12-95.8]=1)
COMMENT: Did R cut down on the amount of salt he/she used during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-101B.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-101B.8 [] | Section: Fertility |
Did you cut down on the amount of salt you used based on a doctor's or nurse's suggestion?
| Q12-102A.8 [] | Section: Fertility |
([Q12-96.8]=1)
COMMENT: Did R use diuretics (fluid or water pills) to help eliminate water during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-102B.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-102B.8 [] | Section: Fertility |
Did you use diuretics (fluid or water pills) to help eliminate water based on a doctor's or nurse's suggestion?
| Q12-103A.8 [] | Section: Fertility |
([Q12-97.8]=1)
COMMENT: Did R reduce or stop his/her smoking during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-103B.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-103B.8 [] | Section: Fertility |
Did you reduce or stop your smoking based on a doctor's or nurse's suggestion?
| Q12-104A.8 [] | Section: Fertility |
([Q12-98.8]=1)
COMMENT: Did R reduce or stop his/her alcohol intake during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-104B.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-104B.8 [] | Section: Fertility |
Did you reduce or stop your alcohol intake based on a doctor's or nurse's suggestion?
| Q12-105.8 [] | Section: Fertility |
Based on either your last menstrual period date or your doctor's or clinc's information, was [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)] born within one week of the expected (due) date?
| Q12-106A.8 [] | Section: Fertility |
Was the baby born early or late?
| Q12-106B.8 [] | Section: Fertility |
How many weeks [early/late] was the baby?
(IF "1 1/2 WEEKS" ROUND UP TO "2".)
| Q12-107.8 [] | Section: Fertility |
Was a cesarean section done? (IF NECESSARY, PROBE:) Was the baby delivered by an incision in your abdomen?
| Q12-108.8 [] | Section: Fertility |
Was this your first cesarean section, or did you have one before?
| | 1 First cesarean |
| | 0 Had cesarean(s) before |
| Q12-109.8 [] | Section: Fertility |
What was your weight just before you delivered?
| Q12-110.8 [] | Section: Fertility |
What was your weight just before you became pregnant with [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)]?
| Q12-111.8 [] | Section: Fertility |
(([[Q12-109.8]] >= 0) & ([[Q12-110.8]] >= 0))
COMMENT: Are both the weight at delivery and the pre-pregnancy weight real numbers (not DK or REFUSALS)?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-118A.8) |
| Q12-112.8 [] | Section: Fertility |
([[Q12-109.8]] - [[Q12-110.8]])
COMMENT: Subtract weight at time of delivery from weight before pregnancy.
If Answer = 0 Then Go To Q12-116.8
| Q12-113.8 [] | Section: Fertility |
([[Q12-109.8]] < [[Q12-110.8]])
COMMENT: Did R lose weight during pregnancy (weight at delivery is less than weight before pregnancy)?
| Q12-114A.8 [] | Section: Fertility |
([[Q12-112.8]]*(-1))
COMMENT: R lost weight during first pregnancy. Change to positive number for question text.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-114B.8 [] | Section: Fertility |
Does that mean that you lost [Respondent's weight gain loss during pregnancy (pregnancy 8)] pounds during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.8 ([Q12-109.8]) AND Q12-110.8 ([Q12-110.8]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-115.8 [] | Section: Fertility |
Does that mean that you gained [Respondent's weight gain loss during pregnancy (pregnancy 8)] pounds during your
pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.8 ([Q12-109.8]) AND Q12-110.8 ([Q12-110.8]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-116.8 [] | Section: Fertility |
Does that mean that you did not gain or lose any weight during your
pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.8 ([Q12-109.8]) AND Q12-110.8 ([Q12-110.8]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-117.8 [] | Section: Fertility |
Did you gain or lose weight during your pregnancy with [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)]?
| Q12-117A.8 [] | Section: Fertility |
How much weight did you [gain/lose]?
(ENTER NUMBER OF POUNDS)
| Q12-118A.8 [] | Section: Fertility |
How much did [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)] weigh at birth?
(ENTER NUMBER OF POUNDS AND PRESS <ENTER> TO ENTER OUNCES.)
| Q12-118B.8 [] | Section: Fertility |
(How much did [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)] weigh at birth?)
(ENTER NUMBER OF OUNCES.)
| Q12-119.8 [] | Section: Fertility |
What was [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)]'s length at birth?
| Q12-119A.8 [] | Section: Fertility |
INTERVIEWER: DID R INDICATE THAT THE LENGTH OF THE BABY WAS AN ESTIMATE?
| Q12-120.8 [] | Section: Fertility |
How long did your baby stay in the hospital?
| | 1 SELECT TO ENTER NUMBER OF DAYS |
| | 0 BABY/RESPONDENT DID NOT STAY IN HOSPITAL ...(Go To Q12-123.8) |
| Q12-120A.8 [] | Section: Fertility |
(How long did your baby stay in the hospital?)
(ENTER NUMBER OF DAYS:)
If Answer = 0 Then Go To Q12-123.8
| Q12-121.8 [] | Section: Fertility |
Did you leave the hospital at the same time as your baby or did you leave earlier or later?
| Q12-122A.8 [] | Section: Fertility |
How many days earlier?
| Q12-122B.8 [] | Section: Fertility |
How many days later?
| Q12-123.8 [] | Section: Fertility |
In [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured?
| Q12-124.8 [] | Section: Fertility |
When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)] to a clinic, hospital, or doctor the first time because [he/she] was sick or injured, what was the nature of [his/her] illness or injury?
(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF
ILLNESS OR INJURY DESCRIBED HERE.)
| Q12-124A.8 [] | Section: Fertility |
(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE
OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.) (IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-125.8 [] | Section: Fertility |
(HAND CARD EE) Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [Main illness for which child born since last expanded fertility interview was taken to clinic, first time (pregnancy 8)].
(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY RECORDED IN 12-124.8.)
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-126.8 [] | Section: Fertility |
How many months old was [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)] when you took [him/her] to a clinic, hospital or doctor the first time for (this) [Main illness for which child born since last expanded fertility interview was taken to clinic, first time (pregnancy 8)]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)
| Q12-127.8 [] | Section: Fertility |
In [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [Main illness for which child born since last expanded fertility interview was taken to clinic, first time (pregnancy 8)]?
If Answer = 1 Then Go To Q12-129.8
| Q12-128.8 [] | Section: Fertility |
In [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [Main illness for which child born since last expanded fertility interview was taken to clinic, first time (pregnancy 8)]?
| Q12-129.8 [] | Section: Fertility |
(HAND CARD FF) Please look at this card. In [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [Main illness for which child born since last expanded fertility interview was taken to clinic, first time (pregnancy 8)], where did you take (him/her)?
(CODE ALL THAT APPLY)
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-130B.8 [] | Section: Fertility |
([[Q12-129.8-CODEALL(9)]] = 9)
COMMENT: Was child from first pregnancy admitted to hospital for first illness in first year of life?
| | 1 CONDITION APPLIES ...(Go To Q12-131.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-131.8 [] | Section: Fertility |
When [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)] was admitted to the hospital, was surgery necessary?
| Q12-132.8 [] | Section: Fertility |
Did you have to take time off from work?
| Q12-133.8 [] | Section: Fertility |
In [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured with a different illness or injury than the one we have just talked about?
| Q12-134.8 [] | Section: Fertility |
What was the nature of this other illness or injury?
(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF ILLNESS OR INJURY DESCRIBED HERE.)
| Q12-134A.8 [] | Section: Fertility |
(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)
(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-135.8 [] | Section: Fertility |
(HAND CARD EE) Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [Main illness for which child born since last expanded fertility interview was taken to clinic, other time (pregnancy 8)].
(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY RECORDED IN 12-134.8.)
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-136.8 [] | Section: Fertility |
How many months old was [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)] when you took (him/her) to a clinic, hospital or doctor the first time for (this) [Main illness for which child born since last expanded fertility interview was taken to clinic, other time (pregnancy 8)]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)
| Q12-137.8 [] | Section: Fertility |
In [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [Main illness for which child born since last expanded fertility interview was taken to clinic, other time (pregnancy 8)]?
If Answer = 1 Then Go To Q12-139.8
| Q12-138.8 [] | Section: Fertility |
In [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [Main illness for which child born since last expanded fertility interview was taken to clinic, other time (pregnancy 8)]?
| Q12-139.8 [] | Section: Fertility |
(HAND CARD FF) Please look at this card. In [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [Main illness for which child born since last expanded fertility interview was taken to clinic, other time (pregnancy 8)], where did you take (him/her)?
(CODE ALL THAT APPLY)
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-140B.8 [] | Section: Fertility |
([[Q12-139.8-CODEALL(9)]] = 9)
COMMENT: Was child from first pregnancy admitted to hospital for second illness
in first year of life?
| | 1 CONDITION APPLIES ...(Go To Q12-141.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-141.8 [] | Section: Fertility |
When [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)] was admitted to the hospital, was surgery necessary?
| Q12-142.8 [] | Section: Fertility |
Did you have to take time off from work?
| Q12-143.8 [] | Section: Fertility |
Now we are going to discuss well baby care.
In [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)]'s first year, did you take (him/her) to a clinic or doctor for well baby care when (he/she) was not sick?
| Q12-144.8 [] | Section: Fertility |
How many months old was [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)] when you took (him/her) to a
clinic or doctor for well baby care the first time?..... How old was (he/she) the next time?
(INTERVIEWER: CONTINUE TO ASK UNTIL THE LAST TIME IS CODED. MARK ALL THAT APPLY.)
| | 1 01 - ONE MONTH OLD |
| | 2 02 - TWO MONTHS OLD |
| | 3 03 - THREE MONTHS OLD |
| | 4 04 - FOUR MONTHS OLD |
| | 5 05 - FIVE MONTHS OLD |
| | 6 06 - SIX MONTHS OLD |
| | 7 07 - SEVEN MONTHS OLD |
| | 8 08 - EIGHT MONTHS OLD |
| | 9 09 - NINE MONTHS OLD |
| | 10 10 - TEN MONTHS OLD |
| | 11 11 - ELEVEN MONTHS OLD |
| | 12 12 - TWELVE MONTHS OLD |
| Q12-146A.8 [] | Section: Fertility |
([[Q12-144.8-CODEALL(1)]] = 1)
COMMENT: Was first child taken for well baby care in his first month?
| | 1 CONDITION APPLIES ...(Go To Q12-146B.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-146B.8 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)] for well baby care when (he/she) was 1 month old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-147A.8 [] | Section: Fertility |
([[Q12-144.8-CODEALL(2)]] = 2)
COMMENT: Was first child taken for well baby care in his second month?
| | 1 CONDITION APPLIES ...(Go To Q12-147B.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-147B.8 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)] for well baby care when (he/she) was 2 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-148A.8 [] | Section: Fertility |
([[Q12-144.8-CODEALL(3)]] = 3)
COMMENT: Was first child taken for well baby care in his third month?
| | 1 CONDITION APPLIES ...(Go To Q12-148B.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-148B.8 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)] for well baby care when (he/she) was 3 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-149A.8 [] | Section: Fertility |
([[Q12-144.8-CODEALL(4)]] = 4)
COMMENT: Was first child taken for well baby care in his fourth month?
| | 1 CONDITION APPLIES ...(Go To Q12-149B.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-149B.8 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)] for well baby care when (he/she) was 4 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-150A.8 [] | Section: Fertility |
([[Q12-144.8-CODEALL(5)]] = 5)
COMMENT: Was first child taken for well baby care in his fifth month?
| | 1 CONDITION APPLIES ...(Go To Q12-150B.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-150B.8 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)] for well baby care when (he/she) was 5 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-151A.8 [] | Section: Fertility |
([[Q12-144.8-CODEALL(6)]] = 6)
COMMENT: Was first child taken for well baby care in his sixth month?
| | 1 CONDITION APPLIES ...(Go To Q12-151B.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-151B.8 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)] for well baby care when (he/she) was 6 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-152A.8 [] | Section: Fertility |
([[Q12-144.8-CODEALL(7)]] = 7)
COMMENT: Was first child taken for well baby care in his seventh month?
| | 1 CONDITION APPLIES ...(Go To Q12-152B.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-152B.8 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)] for well baby care when (he/she) was 7 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-153A.8 [] | Section: Fertility |
([[Q12-144.8-CODEALL(8)]] = 8)
COMMENT: Was first child taken for well baby care in his eighth month?
| | 1 CONDITION APPLIES ...(Go To Q12-153B.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-153B.8 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)] for well baby care when (he/she) was 8 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-154A.8 [] | Section: Fertility |
([[Q12-144.8-CODEALL(9)]] = 9)
COMMENT: Was first child taken for well baby care in his ninth month?
| | 1 CONDITION APPLIES ...(Go To Q12-154B.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-154B.8 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)] for well baby care when (he/she) was 9 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-155A.8 [] | Section: Fertility |
([[Q12-144.8-CODEALL(10)]] = 10)
COMMENT: Was first child taken for well baby care in his tenth month?
| | 1 CONDITION APPLIES ...(Go To Q12-155B.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-155B.8 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)] for well baby care when (he/she) was 10 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-156A.8 [] | Section: Fertility |
([[Q12-144.8-CODEALL(11)]] = 11)
COMMENT: Was first child taken for well baby care in his eleventh month?
| | 1 CONDITION APPLIES ...(Go To Q12-156B.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-156B.8 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)] for well baby care when (he/she) was 11 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-157A.8 [] | Section: Fertility |
([[Q12-144.8-CODEALL(12)]] = 12)
COMMENT: Was first child taken for well baby care in his twelveth month?
| | 1 CONDITION APPLIES ...(Go To Q12-157B.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157B.8 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)] for well baby care when (he/she) was 12 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-157B1.8 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-157BB.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157BA.8 [] | Section: Fertility |
([Q12-30D.8] = 5) | ([Q12-30D.8] = 8)
COMMENT: if child is adopted out or deceased
| | 1 CONDITION APPLIES ...(Go To Q12-158.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157BB.8 [] | Section: Fertility |
([[ id of child resulting from pregnancy since last expanded fertilityinterview (pregnancy 8)]] = 5) | ([[ id of child resulting from pregnancy since last expanded fertilityinterview (pregnancy 8)]] = 8)
COMMENT: if child is adopted out or deceased
| | 1 CONDITION APPLIES ...(Go To Q12-158.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157C.8 [] | Section: Fertility |
Now, we have a few questions about health care plans. First, is [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)]'s health insurance provided either by an employer or by an individual plan that pays part of or all of a hospital bill?...........
| Q12-157CA.8 [] | Section: Fertility |
.....(PROBE IF NECESSARY) Examples of health and hospitalization insurance plan include Blue Cross, Blue Shield, HMO. [THIS DOES NOT INCLUDE PUBLIC ASSISTANCE HEALTH CARE PROGRAMS.]
| Q12-157D.8 [] | Section: Fertility |
(HAND CARD GG) What is the source of [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)]'s health plan? Is it your own policy bought directly from a medical insurance company, your parent's policy, an employer policy, or something else?
| | 1 Respondent's Parent's policy |
| | 2 Respondent/spouse/partner policy bought directly from insurance company |
| | 3 Respondent's employer policy |
| | 4 Spouse/partner employer policy |
| | 5 Other (SPECIFY) |
| Q12-157E.8 [] | Section: Fertility |
There is a national program called Medicaid (Medi-Cal/Medical Assistance/Welfare/Medical Services) that pays for health care for persons in need. Is [Name of child from pregnancy since last expanded fertility interview (pregnancy 8)]'s health care now covered by Medicaid or one of these public assistance health care programs?
| Q12-158.8 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-158B.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-158A.8 [] | Section: Fertility |
CHECK ([Name of biological child(9)])
COMMENT: check if to loop again 2nd time
If Answer = 1 Then Go To Q12-158C.8
| Q12-158B.8 [] | Section: Fertility |
([[Total new births since last expanded fertility interview]] >= 9)
COMMENT: Did R report at least 2 new children since last NICHD interview?
| | 1 CONDITION APPLIES ...(Go To Q12-158C.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-158C.8 [] | Section: Fertility |
([[live-birth pregnancy result in multiple births?(8)]] >= 1)
COMMENT: Did this pregnancy result in a multiple birth?
| | 1 CONDITION APPLIES ...(Go To Q12-74B.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-74A-C.9 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-74-A.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-74.9 [] | Section: Fertility |
Now I'd like to ask you some questions about [your/the] pregnancy(ies) that led to the birth of your [child/children]
(INTERVIEWER: HIGHLIGHT NAME OF THE CHILD WHO WAS NINTH BORN.)
| Q12-74-A.9 [] | Section: Fertility |
Now I'd like to ask you some questions about [your/the] pregnancy(ies) since [date of last interview] which ended in (a) live birth(s).
(INTERVIEWER: HIGHLIGHT NAME OF THE NINTH CHILD BORN SINCE [date of last interview]. IF CHILD IS A TWIN, HIGHLIGHT NAME OF FIRST TWIN LISTED AND PRESS <ENTER> TO CONTINUE.)
| Q12-74A.9 [] | Section: Fertility |
INTERVIEWER: DID THIS PREGNANCY RESULT IN THE BIRTH OF TWINS? USE <PGUP> IF NECESSARY TO CHECK THE ROSTER.
| Q12-74B.9 [] | Section: Fertility |
INTERVIEWER: HIGHLIGHT NAME OF THE NEXT CHILD WHO WAS BORN FROM THIS PREGNANCY SINCE [date of last interview].
| Q12-76E.9 [] | Section: Fertility |
([[live-birth pregnancy result in multiple births?(8)]] >= 1)
COMMENT: Did this pregnancy result in a multiple birth?
| | 1 CONDITION APPLIES ...(Go To Q12-76EA.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-76EA.9 [] | Section: Fertility |
([[Gender of the respondent]]=1)
COMMENT: check if male
| | 1 CONDITION APPLIES ...(Go To Q12-157B1.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-76F.9 [] | Section: Fertility |
[[Gender of the respondent]]
COMMENT: check gender
If Answer = 1 Then Go To Q12-78M.9
| Q12-77F.9 [] | Section: Fertility |
When did you become pregnant with [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)]? What month and year?
| Q12-78F.9 [] | Section: Fertility |
(HAND CARD CC) Just before you became pregnant with [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)], did you use any methods such as the ones listed on this card to keep from getting pregnant?
| Q12-79F.9 [] | Section: Fertility |
Had you stopped all methods before you became pregnant?
| Q12-80F.9 [] | Section: Fertility |
Was the reason you [blank/were not/stopped] using any methods because you yourself wanted to become pregnant?
| Q12-81F.9 [] | Section: Fertility |
Just before you became pregnant that time, did you want to become pregnant when you did? (IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82F.9 [] | Section: Fertility |
And what about your spouse or partner when you became pregnant that time, did he want to have (a/another) baby? (IF NO, PROBE:) Did he want to have (a/another) baby but not at that time, or did he want to have (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-78M.9 [] | Section: Fertility |
(HAND CARD CC) Just before [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)]'s mother became pregnant with [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)], did you use any methods such as the ones listed on this card to keep from getting pregnant?
| Q12-79M.9 [] | Section: Fertility |
Had you stopped all methods before [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)]'s mother became pregnant?
| Q12-80M.9 [] | Section: Fertility |
Was the reason you [blank/were not/stopped] using any methods because you yourself wanted [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)]'s mother to become pregnant?
| Q12-81M.9 [] | Section: Fertility |
Just before [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)]'s mother became pregnant that time, did you want her to become pregnant when she did? (IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82M.9 [] | Section: Fertility |
And what about [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)]'s mother when she became pregnant that time -- did she want to have (a/another) baby? (IF NO, PROBE ) Did she want to have (a/another) baby but not at that time, or did she want to have (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82N.9 [] | Section: Fertility |
([[Gender of the respondent]]=1)
COMMENT: check if male
| | 1 CONDITION APPLIES ...(Go To Q12-157B1.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-83.9 [] | Section: Fertility |
During your pregnancy with [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)], did you make any visits to a doctor or nurse for prenatal care, that is, to be examined or talk about your pregnancy?
| Q12-84.9 [] | Section: Fertility |
When did you first visit a doctor or nurse for prenatal care -- during which month of your pregnancy?
(ENTER MONTH NUMBER)
| Q12-85.9 [] | Section: Fertility |
Did you drink any alcoholic beverages, including beer, wine, or liquor, during the 12 months before [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)] was born?
| Q12-86.9 [] | Section: Fertility |
(HAND CARD DD) How often did you usually drink alcoholic beverages during (your/that) pregnancy? Did you drink ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-87.9 [] | Section: Fertility |
Did you smoke tobacco cigarettes at all during the 12 months before [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)] was born?
| Q12-88.9 [] | Section: Fertility |
On the average, how many cigarettes did you smoke during (your/that) pregnancy? Did you smoke 2 or more packs a day? Did you smoke 1 pack or more but less than 2 packs a day, or less than 1 pack a day?
| | 3 2 or more packs a day |
| | 2 1 or more but less than 2 |
| | 1 Less than 1 pack a day |
| | 0 (IF VOLUNTEERED:) DID NOT SMOKE DURING THAT PERIOD |
| Q12-89.9 [] | Section: Fertility |
Did you use marijuana or hashish at all during the 12 months before [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)] was born?
| Q12-90.9 [] | Section: Fertility |
(HAND CARD DD) On the average, how many times did you usually use marijuana or hashish during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-91.9 [] | Section: Fertility |
Did you use any form of cocaine at all during the 12 months before [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)] was born?
| Q12-92.9 [] | Section: Fertility |
(HAND CARD DD) On the average, how many times did you usually use any form of cocaine during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-93.9 [] | Section: Fertility |
During (your/that) pregnancy, did you take a vitamin/mineral supplement?
| Q12-94.9 [] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the amount of calories in the food you ate?
| Q12-95.9 [] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the amount of salt you used?
| Q12-96.9 [] | Section: Fertility |
During (your/that) pregnancy, did you use diuretics (fluid or water pills) to help eliminate water?
| Q12-97.9 [] | Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your smoking?
| Q12-98.9 [] | Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your alcohol intake?
| Q12-99A.9 [] | Section: Fertility |
([Q12-93.9]=1)
COMMENT: Did R take a vitamin/mineral supplement during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-99B.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-99B.9 [] | Section: Fertility |
Did you take a vitamin/mineral supplement based on a doctor's or nurse's suggestion?
| Q12-100A.9 [] | Section: Fertility |
([Q12-94.9]=1)
COMMENT: Did R cut down on the amount of calories his/her food during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-100B.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-100B.9 [] | Section: Fertility |
Did you cut down on the amount of calories in the food you ate based on a doctor's or nurse's suggestion?
| Q12-101A.9 [] | Section: Fertility |
([Q12-95.9]=1)
COMMENT: Did R cut down on the amount of salt he/she used during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-101B.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-101B.9 [] | Section: Fertility |
Did you cut down on the amount of salt you used based on a doctor's or nurse's suggestion?
| Q12-102A.9 [] | Section: Fertility |
([Q12-96.9]=1)
COMMENT: Did R use diuretics (fluid or water pills) to help eliminate water during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-102B.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-102B.9 [] | Section: Fertility |
Did you use diuretics (fluid or water pills) to help eliminate water based on a doctor's or nurse's suggestion?
| Q12-103A.9 [] | Section: Fertility |
([Q12-97.9]=1)
COMMENT: Did R reduce or stop his/her smoking during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-103B.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-103B.9 [] | Section: Fertility |
Did you reduce or stop your smoking based on a doctor's or nurse's suggestion?
| Q12-104A.9 [] | Section: Fertility |
([Q12-98.9]=1)
COMMENT: Did R reduce or stop his/her alcohol intake during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-104B.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-104B.9 [] | Section: Fertility |
Did you reduce or stop your alcohol intake based on a doctor's or nurse's suggestion?
| Q12-105.9 [] | Section: Fertility |
Based on either your last menstrual period date or your doctor's or clinc's information, was [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)] born within one week of the expected (due) date?
| Q12-106A.9 [] | Section: Fertility |
Was the baby born early or late?
| Q12-106B.9 [] | Section: Fertility |
How many weeks [early/late] was the baby?
(IF "1 1/2 WEEKS" ROUND UP TO "2".)
| Q12-107.9 [] | Section: Fertility |
Was a cesarean section done? (IF NECESSARY, PROBE:) Was the baby delivered by an incision in your abdomen?
| Q12-108.9 [] | Section: Fertility |
Was this your first cesarean section, or did you have one before?
| | 1 First cesarean |
| | 0 Had cesarean(s) before |
| Q12-109.9 [] | Section: Fertility |
What was your weight just before you delivered?
| Q12-110.9 [] | Section: Fertility |
What was your weight just before you became pregnant with [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)]?
| Q12-111.9 [] | Section: Fertility |
(([[Q12-109.9]] >= 0) & ([[Q12-110.9]] >= 0))
COMMENT: Are both the weight at delivery and the pre-pregnancy weight real numbers (not DK or REFUSALS)?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-118A.9) |
| Q12-112.9 [] | Section: Fertility |
([[Q12-109.9]] - [[Q12-110.9]])
COMMENT: Subtract weight at time of delivery from weight before pregnancy.
If Answer = 0 Then Go To Q12-116.9
| Q12-113.9 [] | Section: Fertility |
([[Q12-109.9]] < [[Q12-110.9]])
COMMENT: Did R lose weight during pregnancy (weight at delivery is less than weight before pregnancy)?
| Q12-114A.9 [] | Section: Fertility |
([[Q12-112.9]]*(-1))
COMMENT: R lost weight during first pregnancy. Change to positive number for question text.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-114B.9 [] | Section: Fertility |
Does that mean that you lost [Respondent's weight gain loss during pregnancy (pregnancy 9)] pounds during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.9 ([Q12-109.9]) AND Q12-110.9 ([Q12-110.9]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-115.9 [] | Section: Fertility |
Does that mean that you gained [Respondent's weight gain loss during pregnancy (pregnancy 9)] pounds during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.9 ([Q12-109.9]) AND Q12-110.9 ([Q12-110.9]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-116.9 [] | Section: Fertility |
Does that mean that you did not gain or lose any weight during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.9 ([Q12-109.9]) AND Q12-110.9 ([Q12-110.9]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
| Q12-117.9 [] | Section: Fertility |
Did you gain or lose weight during your pregnancy with [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)]?
| Q12-117A.9 [] | Section: Fertility |
How much weight did you [gain/lose]?
(ENTER NUMBER OF POUNDS)
| Q12-118A.9 [] | Section: Fertility |
How much did [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)] weigh at birth?
(ENTER NUMBER OF POUNDS AND PRESS <ENTER> TO ENTER OUNCES.)
| Q12-118B.9 [] | Section: Fertility |
(How much did [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)] weigh at birth?)
(ENTER NUMBER OF OUNCES.)
| Q12-119.9 [] | Section: Fertility |
What was [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)]'s length at birth?
| Q12-119A.9 [] | Section: Fertility |
INTERVIEWER: DID R INDICATE THAT THE LENGTH OF THE BABY WAS AN ESTIMATE?
| Q12-120.9 [] | Section: Fertility |
How long did your baby stay in the hospital?
| | 1 SELECT TO ENTER NUMBER OF DAYS |
| | 0 BABY/RESPONDENT DID NOT STAY IN HOSPITAL ...(Go To Q12-123.9) |
| Q12-120A.9 [] | Section: Fertility |
(How long did your baby stay in the hospital?)
(ENTER NUMBER OF DAYS:)
If Answer = 0 Then Go To Q12-123.9
| Q12-121.9 [] | Section: Fertility |
Did you leave the hospital at the same time as your baby or did you leave earlier or later?
| Q12-122A.9 [] | Section: Fertility |
How many days earlier?
| Q12-122B.9 [] | Section: Fertility |
How many days later?
| Q12-123.9 [] | Section: Fertility |
In [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured?
| Q12-124.9 [] | Section: Fertility |
When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)] to a clinic, hospital, or doctor the first time because [he/she] was sick or injured, what was the nature of [his/her] illness or injury?
(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF
ILLNESS OR INJURY DESCRIBED HERE.)
| Q12-124A.9 [] | Section: Fertility |
(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-125.9 [] | Section: Fertility |
(HAND CARD EE) Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [Main illness for which child born since last expanded fertility interview was taken to clinic, first time (pregnancy 9)].
(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY RECORDED IN 12-124.9.)
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-126.9 [] | Section: Fertility |
How many months old was [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)] when you took [him/her] to a clinic, hospital or doctor the first time for (this) [Main illness for which child born since last expanded fertility interview was taken to clinic, first time (pregnancy 9)]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)
| Q12-127.9 [] | Section: Fertility |
In [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [Main illness for which child born since last expanded fertility interview was taken to clinic, first time (pregnancy 9)]?
If Answer = 1 Then Go To Q12-129.9
| Q12-128.9 [] | Section: Fertility |
In [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [Main illness for which child born since last expanded fertility interview was taken to clinic, first time (pregnancy 9)]?
| Q12-129.9 [] | Section: Fertility |
(HAND CARD FF) Please look at this card. In [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [Main illness for which child born since last expanded fertility interview was taken to clinic, first time (pregnancy 9)], where did you take (him/her)?
(CODE ALL THAT APPLY)
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-130B.9 [] | Section: Fertility |
([[Q12-129.9-CODEALL(9)]] = 9)
COMMENT: Was child from first pregnancy admitted to hospital for first illness in first year of life?
| | 1 CONDITION APPLIES ...(Go To Q12-131.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-131.9 [] | Section: Fertility |
When [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)] was admitted to the hospital, was surgery necessary?
| Q12-132.9 [] | Section: Fertility |
Did you have to take time off from work?
| Q12-133.9 [] | Section: Fertility |
In [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured with a different illness or injury than the one we have just talked about?
| Q12-134.9 [] | Section: Fertility |
What was the nature of this other illness or injury?
(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF
ILLNESS OR INJURY DESCRIBED HERE.)
| Q12-134A.9 [] | Section: Fertility |
(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.)(IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-135.9 [] | Section: Fertility |
(HAND CARD EE) Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [Main illness for which child born since last expanded fertility interview was taken to clinic, other time (pregnancy 9)].
(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY RECORDED IN 12-134.9.)
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-136.9 [] | Section: Fertility |
How many months old was [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)] when you took (him/her) to a clinic, hospital or doctor the first time for (this) [Main illness for which child born since last expanded fertility interview was taken to clinic, other time (pregnancy 9)]?(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)
| Q12-137.9 [] | Section: Fertility |
In [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [Main illness for which child born since last expanded fertility interview was taken to clinic, other time (pregnancy 9)]?
If Answer = 1 Then Go To Q12-139.9
| Q12-138.9 [] | Section: Fertility |
In [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [Main illness for which child born since last expanded fertility interview was taken to clinic, other time (pregnancy 9)]?
| Q12-139.9 [] | Section: Fertility |
(HAND CARD FF) Please look at this card. In [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [Main illness for which child born since last expanded fertility interview was taken to clinic, other time (pregnancy 9)], where did you take (him/her)?
(CODE ALL THAT APPLY)
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-140B.9 [] | Section: Fertility |
([[Q12-139.9-CODEALL(9)]] = 9)
COMMENT: Was child from first pregnancy admitted to hospital for second illness in first year of life?
| | 1 CONDITION APPLIES ...(Go To Q12-141.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-141.9 [] | Section: Fertility |
When [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)] was admitted to the hospital, was surgery necessary?
| Q12-142.9 [] | Section: Fertility |
Did you have to take time off from work?
| Q12-143.9 [] | Section: Fertility |
Now we are going to discuss well baby care.
In [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)]'s first year, did you take (him/her) to a clinic or doctor for well baby care when (he/she) was not sick?
| Q12-144.9 [] | Section: Fertility |
How many months old was [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)] when you took (him/her) to a clinic or doctor for well baby care the first time?..... How old was (he/she) the next time?
(INTERVIEWER: CONTINUE TO ASK UNTIL THE LAST TIME IS CODED. MARK ALL THAT APPLY.)
| | 1 01 - ONE MONTH OLD |
| | 2 02 - TWO MONTHS OLD |
| | 3 03 - THREE MONTHS OLD |
| | 4 04 - FOUR MONTHS OLD |
| | 5 05 - FIVE MONTHS OLD |
| | 6 06 - SIX MONTHS OLD |
| | 7 07 - SEVEN MONTHS OLD |
| | 8 08 - EIGHT MONTHS OLD |
| | 9 09 - NINE MONTHS OLD |
| | 10 10 - TEN MONTHS OLD |
| | 11 11 - ELEVEN MONTHS OLD |
| | 12 12 - TWELVE MONTHS OLD |
| Q12-146A.9 [] | Section: Fertility |
([[Q12-144.9-CODEALL(1)]] = 1)
COMMENT: Was first child taken for well baby care in his first month?
| | 1 CONDITION APPLIES ...(Go To Q12-146B.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-146B.9 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)] for well baby care when (he/she) was 1 month old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-147A.9 [] | Section: Fertility |
([[Q12-144.9-CODEALL(2)]] = 2)
COMMENT: Was first child taken for well baby care in his second month?
| | 1 CONDITION APPLIES ...(Go To Q12-147B.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-147B.9 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)] for well baby care when (he/she) was 2 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-148A.9 [] | Section: Fertility |
([[Q12-144.9-CODEALL(3)]] = 3)
COMMENT: Was first child taken for well baby care in his third month?
| | 1 CONDITION APPLIES ...(Go To Q12-148B.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-148B.9 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)] for well baby care when (he/she) was 3 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-149A.9 [] | Section: Fertility |
([[Q12-144.9-CODEALL(4)]] = 4)
COMMENT: Was first child taken for well baby care in his fourth month?
| | 1 CONDITION APPLIES ...(Go To Q12-149B.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-149B.9 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)] for well baby care when (he/she) was 4 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-150A.9 [] | Section: Fertility |
([[Q12-144.9-CODEALL(5)]] = 5)
COMMENT: Was first child taken for well baby care in his fifth month?
| | 1 CONDITION APPLIES ...(Go To Q12-150B.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-150B.9 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)] for well baby care when (he/she) was 5 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-151A.9 [] | Section: Fertility |
([[Q12-144.9-CODEALL(6)]] = 6)
COMMENT: Was first child taken for well baby care in his sixth month?
| | 1 CONDITION APPLIES ...(Go To Q12-151B.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-151B.9 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)] for well baby care when (he/she) was 6 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-152A.9 [] | Section: Fertility |
([[Q12-144.9-CODEALL(7)]] = 7)
COMMENT: Was first child taken for well baby care in his seventh month?
| | 1 CONDITION APPLIES ...(Go To Q12-152B.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-152B.9 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)] for well baby care when (he/she) was 7 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-153A.9 [] | Section: Fertility |
([[Q12-144.9-CODEALL(8)]] = 8)
COMMENT: Was first child taken for well baby care in his eighth month?
| | 1 CONDITION APPLIES ...(Go To Q12-153B.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-153B.9 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)] for well baby care when (he/she) was 8 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-154A.9 [] | Section: Fertility |
([[Q12-144.9-CODEALL(9)]] = 9)
COMMENT: Was first child taken for well baby care in his ninth month?
| | 1 CONDITION APPLIES ...(Go To Q12-154B.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-154B.9 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)] for well baby care when (he/she) was 9 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-155A.9 [] | Section: Fertility |
([[Q12-144.9-CODEALL(10)]] = 10)
COMMENT: Was first child taken for well baby care in his tenth month?
| | 1 CONDITION APPLIES ...(Go To Q12-155B.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-155B.9 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)] for well baby care when (he/she) was 10 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-156A.9 [] | Section: Fertility |
([[Q12-144.9-CODEALL(11)]] = 11)
COMMENT: Was first child taken for well baby care in his eleventh month?
| | 1 CONDITION APPLIES ...(Go To Q12-156B.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-156B.9 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)] for well baby care when (he/she) was 11 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-157A.9 [] | Section: Fertility |
([[Q12-144.9-CODEALL(12)]] = 12)
COMMENT: Was first child taken for well baby care in his twelveth month?
| | 1 CONDITION APPLIES ...(Go To Q12-157B.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157B.9 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)] for well baby care when (he/she) was 12 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-157B1.9 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-157BB.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157BA.9 [] | Section: Fertility |
([Q12-30D.9] = 5) | ([Q12-30D.9] = 8)
COMMENT: if child is adopted out or deceased
| | 1 CONDITION APPLIES ...(Go To Q12-158.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157BB.9 [] | Section: Fertility |
([[ id of child resulting from pregnancy since last expanded fertilityinterview (pregnancy 9)]] = 5) | ([[ id of child resulting from pregnancy since last expanded fertilityinterview (pregnancy 9)]] = 8)
COMMENT: if child is adopted out or deceased
| | 1 CONDITION APPLIES ...(Go To Q12-158.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157C.9 [] | Section: Fertility |
Now, we have a few questions about health care plans. First, is [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)]'s health insurance provided either by an employer or by an individual plan that pays part of or all of a hospital bill?...........
| Q12-157CA.9 [] | Section: Fertility |
.....(PROBE IF NECESSARY) Examples of health and hospitalization insurance plan include Blue Cross, Blue Shield, HMO. [THIS DOES NOT INCLUDE PUBLIC ASSISTANCE HEALTH CARE PROGRAMS.]
| Q12-157D.9 [] | Section: Fertility |
(HAND CARD GG) What is the source of [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)]'s health plan? Is it your own policy bought directly from a medical insurance company, your parent's policy, an employer policy, or something else?
| | 1 Respondent's Parent's policy |
| | 2 Respondent/spouse/partner policy bought directly from insurance company |
| | 3 Respondent's employer policy |
| | 4 Spouse/partner employer policy |
| | 5 Other (SPECIFY) |
| Q12-157E.9 [] | Section: Fertility |
There is a national program called Medicaid (Medi-Cal/Medical Assistance /Welfare/Medical Services) that pays for health care for persons in need. Is [Name of child from pregnancy since last expanded fertility interview (pregnancy 9)]'s health care now covered by Medicaid or one of these public assistance health care programs?
| Q12-158.9 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-158B.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-158A.9 [] | Section: Fertility |
CHECK ([Name of biological child(10)])
COMMENT: check if to loop again 2nd time
If Answer = 1 Then Go To Q12-158C.9
| Q12-158B.9 [] | Section: Fertility |
([[Total new births since last expanded fertility interview]] >= 10)
COMMENT: Did R report at least 2 new children since last NICHD interview?
| | 1 CONDITION APPLIES ...(Go To Q12-158C.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-158C.9 [] | Section: Fertility |
([[live-birth pregnancy result in multiple births?(9)]] >= 1)
COMMENT: Did this pregnancy result in a multiple birth?
| | 1 CONDITION APPLIES ...(Go To Q12-74B.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-74A-C.10 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-74-A.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-74.10 [] | Section: Fertility |
Now I'd like to ask you some questions about [your/the] pregnancy(ies) that led to the birth of your [child/children]
(INTERVIEWER: HIGHLIGHT NAME OF THE CHILD WHO WAS TENTH BORN.)
| Q12-74-A.10 [] | Section: Fertility |
Now I'd like to ask you some questions about [your/the] pregnancy(ies) since [date of last interview] which ended in (a) live birth(s).
(INTERVIEWER: HIGHLIGHT NAME OF THE TENTH CHILD BORN SINCE [date of last interview]. IF CHILD IS A TWIN, HIGHLIGHT NAME OF FIRST TWIN LISTED AND PRESS <ENTER> TO CONTINUE.)
| Q12-74A.10 [] | Section: Fertility |
INTERVIEWER: DID THIS PREGNANCY RESULT IN THE BIRTH OF TWINS? USE <PGUP> IF NECESSARY TO CHECK THE ROSTER.
| Q12-74B.10 [] | Section: Fertility |
INTERVIEWER: HIGHLIGHT NAME OF THE NEXT CHILD WHO WAS BORN FROM THIS PREGNANCY SINCE [date of last interview].
| Q12-76E.10 [] | Section: Fertility |
([[live-birth pregnancy result in multiple births?(9)]] >= 1)
COMMENT: Did this pregnancy result in a multiple birth?
| | 1 CONDITION APPLIES ...(Go To Q12-76EA.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-76EA.10 [] | Section: Fertility |
([[Gender of the respondent]]=1)
COMMENT: check if male
| | 1 CONDITION APPLIES ...(Go To Q12-157B1.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-76F.10 [] | Section: Fertility |
[[Gender of the respondent]]
COMMENT: check gender
If Answer = 1 Then Go To Q12-78M.10
| Q12-77F.10 [] | Section: Fertility |
When did you become pregnant with [Name of child from pregnancy 10]? What month and year?
| Q12-78F.10 [] | Section: Fertility |
(HAND CARD CC) Just before you became pregnant with [Name of child from pregnancy 10], did you use any methods such as the ones listed on this card to keep from getting pregnant?
| Q12-79F.10 [] | Section: Fertility |
Had you stopped all methods before you became pregnant?
| Q12-80F.10 [] | Section: Fertility |
Was the reason you [blank/were not/stopped] using any methods because you yourself wanted to become pregnant?
| Q12-81F.10 [] | Section: Fertility |
Just before you became pregnant that time, did you want to become pregnant when you did? (IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82F.10 [] | Section: Fertility |
And what about your spouse or partner when you became pregnant that time, did he want to have (a/another) baby? (IF NO, PROBE:) Did he want to have (a/another) baby but not at that time, or did he want to have (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-78M.10 [] | Section: Fertility |
(HAND CARD CC) Just before [Name of child from pregnancy 10]'s mother became pregnant with [Name of child from pregnancy 10], did you use any methods such as the ones listed on this card to keep from getting pregnant?
| Q12-79M.10 [] | Section: Fertility |
Had you stopped all methods before [Name of child from pregnancy 10]'s mother became pregnant?
| Q12-80M.10 [] | Section: Fertility |
Was the reason you [blank/were not/stopped] using any methods because you yourself wanted [Name of child from pregnancy 10]'s mother to become pregnant?
| Q12-81M.10 [] | Section: Fertility |
Just before [Name of child from pregnancy 10]'s mother became pregnant that time, did you want her to become pregnant when she did? (IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82M.10 [] | Section: Fertility |
And what about [Name of child from pregnancy 10]'s mother when she became pregnant that time -- did she want to have (a/another) baby? (IF NO, PROBE ) Did she want to have (a/another) baby but not at that time, or did she want to have (none/no more) at all?
| | 1 Yes |
| | 2 Didn't matter |
| | 3 No--not at that time |
| | 4 No--(none/no more) at all |
| Q12-82N.10 [] | Section: Fertility |
([[Gender of the respondent]]=1)
COMMENT: check if male
| | 1 CONDITION APPLIES ...(Go To Q12-157B1.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-83.10 [] | Section: Fertility |
During your pregnancy with [Name of child from pregnancy 10], did you make any visits to a doctor or nurse for prenatal care, that is, to be examined or talk about your pregnancy?
| Q12-84.10 [] | Section: Fertility |
When did you first visit a doctor or nurse for prenatal care -- during which month of your pregnancy?
(ENTER MONTH NUMBER)
| Q12-85.10 [] | Section: Fertility |
Did you drink any alcoholic beverages, including beer, wine, or liquor, during the 12 months before [Name of child from pregnancy 10] was born?
| Q12-86.10 [] | Section: Fertility |
(HAND CARD DD) How often did you usually drink alcoholic beverages during (your/that) pregnancy? Did you drink ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-87.10 [] | Section: Fertility |
Did you smoke tobacco cigarettes at all during the 12 months before [Name of child from pregnancy 10] was born?
| Q12-88.10 [] | Section: Fertility |
On the average, how many cigarettes did you smoke during (your/that) pregnancy? Did you smoke 2 or more packs a day? Did you smoke 1 pack or more but less than 2 packs a day, or less than 1 pack a day?
| | 3 2 or more packs a day |
| | 2 1 or more but less than 2 |
| | 1 Less than 1 pack a day |
| | 0 (IF VOLUNTEERED:) DID NOT SMOKE DURING THAT PERIOD |
| Q12-89.10 [] | Section: Fertility |
Did you use marijuana or hashish at all during the 12 months before [Name of child from pregnancy 10] was born?
| Q12-90.10 [] | Section: Fertility |
(HAND CARD DD) On the average, how many times did you usually use marijuana or hashish during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-91.10 [] | Section: Fertility |
Did you use any form of cocaine at all during the 12 months before [Name of child from pregnancy 10] was born?
| Q12-92.10 [] | Section: Fertility |
(HAND CARD DD) On the average, how many times did you usually use any form of cocaine during (your/that) pregnancy? Did you use it ... (READ CATEGORIES)...?
| | 7 Every day |
| | 6 Nearly every day |
| | 5 3 or 4 days a week |
| | 4 1 or 2 days a week |
| | 3 3 or 4 days a month |
| | 2 About once a month |
| | 1 Less than once a month |
| | 0 Never |
| Q12-93.10 [] | Section: Fertility |
During (your/that) pregnancy, did you take a vitamin/mineral supplement?
| Q12-94.10 [] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the amount of calories in the food you ate?
| Q12-95.10 [] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the amount of salt you used?
| Q12-96.10 [] | Section: Fertility |
During (your/that) pregnancy, did you use diuretics (fluid or water pills) to help eliminate water?
| Q12-97.10 [] | Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your smoking?
| Q12-98.10 [] | Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your alcohol intake?
| Q12-99A.10 [] | Section: Fertility |
([Q12-93.10=1)
COMMENT: Did R take a vitamin/mineral supplement during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-99B.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-99B.10 [] | Section: Fertility |
Did you take a vitamin/mineral supplement based on a doctor's or nurse's suggestion?
| Q12-100A.10 [] | Section: Fertility |
([Q12-94.10]=1)
COMMENT: Did R cut down on the amount of calories his/her food during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-100B.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-100B.10 [] | Section: Fertility |
Did you cut down on the amount of calories in the food you ate based on a doctor's or nurse's suggestion?
| Q12-101A.10 [] | Section: Fertility |
([Q12-95.10]=1)
COMMENT: Did R cut down on the amount of salt he/she used during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-101B.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-101B.10 [] | Section: Fertility |
Did you cut down on the amount of salt you used based on a doctor's or nurse's suggestion?
| Q12-102A.10 [] | Section: Fertility |
([Q12-96.10]=1)
COMMENT: Did R use diuretics (fluid or water pills) to help eliminate water during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-102B.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-102B.10 [] | Section: Fertility |
Did you use diuretics (fluid or water pills) to help eliminate water based on a doctor's or nurse's suggestion?
| Q12-103A.10 [] | Section: Fertility |
([Q12-97.10]=1)
COMMENT: Did R reduce or stop his/her smoking during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-103B.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-103B.10 [] | Section: Fertility |
Did you reduce or stop your smoking based on a doctor's or nurse's suggestion?
| Q12-104A.10 [] | Section: Fertility |
([Q12-98.10]=1)
COMMENT: Did R reduce or stop his/her alcohol intake during first pregnancy?
| | 1 CONDITION APPLIES ...(Go To Q12-104B.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-104B.10 [] | Section: Fertility |
Did you reduce or stop your alcohol intake based on a doctor's or nurse's suggestion?
| Q12-105.10 [] | Section: Fertility |
Based on either your last menstrual period date or your doctor's or clinc's information, was [Name of child from pregnancy 10] born within one week of the expected (due) date?
| Q12-106A.10 [] | Section: Fertility |
Was the baby born early or late?
| Q12-106B.10 [] | Section: Fertility |
How many weeks [early/late] was the baby?
(IF "1 1/2 WEEKS" ROUND UP TO "2".)
| Q12-107.10 [] | Section: Fertility |
Was a cesarean section done? (IF NECESSARY, PROBE:) Was the baby delivered by an incision in your abdomen?
| Q12-108.10 [] | Section: Fertility |
Was this your first cesarean section, or did you have one before?
| | 1 First cesarean |
| | 0 Had cesarean(s) before |
| Q12-109.10 [] | Section: Fertility |
What was your weight just before you delivered?
| Q12-110.10 [] | Section: Fertility |
What was your weight just before you became pregnant with [Name of child from pregnancy 10]?
| Q12-111.10 [] | Section: Fertility |
(([[Q12-109.10]] >= 0) & ([[Q12-110.10]] >= 0))
COMMENT: Are both the weight at delivery and the pre-pregnancy weight real numbers (not DK or REFUSALS)?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-118A.10) |
| Q12-112.10 [] | Section: Fertility |
([[Q12-109.10]] - [[Q12-110.10]])
COMMENT: Subtract weight at time of delivery from weight before pregnancy.
If Answer = 0 Then Go To Q12-116.10
| Q12-113.10 [] | Section: Fertility |
([[Q12-109.10]] < [[Q12-110.10]])
COMMENT: Did R lose weight during pregnancy (weight at delivery is less than weight before pregnancy)?
| Q12-114A.10 [] | Section: Fertility |
([[Q12-112.10]]*(-1))
COMMENT: R lost weight during first pregnancy. Change to positive number for question text.
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-114B.10 [] | Section: Fertility |
Does that mean that you lost [Respondent's weight gain/loss during pregnancy 10] pounds during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.10 ([Q12-109.10]) AND Q12-110.10 ([Q12-110.10]) IF INCORRECT.)
| Q12-115.10 [] | Section: Fertility |
Does that mean that you gained [Respondent's weight gain/loss during pregnancy 10] pounds during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.10 ([Q12-109.10]) AND Q12-110.10 ([Q12-110.10]) IF INCORRECT.)
| Q12-116.10 [] | Section: Fertility |
Does that mean that you did not gain or lose any weight during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109.10 ([Q12-109.10]) AND Q12-110.10 ([Q12-110.10]) IF INCORRECT.)
| Q12-117.10 [] | Section: Fertility |
Did you gain or lose weight during your pregnancy with [Name of child from pregnancy 10]?
| Q12-117A.10 [] | Section: Fertility |
How much weight did you [gain/lose]?
(ENTER NUMBER OF POUNDS)
| Q12-118A.10 [] | Section: Fertility |
How much did [Name of child from pregnancy 10] weigh at birth?
(ENTER NUMBER OF POUNDS AND PRESS <ENTER> TO ENTER OUNCES.)
| Q12-118B.10 [] | Section: Fertility |
(How much did [Name of child from pregnancy 10] weigh at birth?)
(ENTER NUMBER OF OUNCES.)
| Q12-119.10 [] | Section: Fertility |
What was [Name of child from pregnancy 10]'s length at birth?
| Q12-119A.10 [] | Section: Fertility |
INTERVIEWER: DID R INDICATE THAT THE LENGTH OF THE BABY WAS AN ESTIMATE?
| Q12-120.10 [] | Section: Fertility |
How long did your baby stay in the hospital?
| | 1 SELECT TO ENTER NUMBER OF DAYS |
| | 0 BABY/RESPONDENT DID NOT STAY IN HOSPITAL ...(Go To Q12-123.10) |
| Q12-120A.10 [] | Section: Fertility |
(How long did your baby stay in the hospital?)
(ENTER NUMBER OF DAYS:)
If Answer = 0 Then Go To Q12-123.10
| Q12-121.10 [] | Section: Fertility |
Did you leave the hospital at the same time as your baby or did you leave earlier or later?
| Q12-122A.10 [] | Section: Fertility |
How many days earlier?
| Q12-122B.10 [] | Section: Fertility |
How many days later?
| Q12-123.10 [] | Section: Fertility |
In [Name of child from pregnancy 10]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured?
| Q12-124.10 [] | Section: Fertility |
When you took [Name of child from pregnancy 10] to a clinic, hospital, or doctor the first time because [he/she] was sick or injured, what was the nature of [his/her] illness or injury?
(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF
ILLNESS OR INJURY DESCRIBED HERE.)
| Q12-124A.10 [] | Section: Fertility |
(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.) (IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-125.10 [] | Section: Fertility |
(HAND CARD EE) Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [first illness of child from pregnancy 10].
(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY RECORDED IN 12-124.10)
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-126.10 [] | Section: Fertility |
How many months old was [Name of child from pregnancy 10] when you took [him/her] to a clinic, hospital or doctor the first time for (this) [first illness of child from pregnancy 10]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)
| Q12-127.10 [] | Section: Fertility |
In [Name of child from pregnancy 10]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [first illness of child from pregnancy 10]?
If Answer = 1 Then Go To Q12-129.10
| Q12-128.10 [] | Section: Fertility |
In [Name of child from pregnancy 10]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [first illness of child from pregnancy 10]?
| Q12-129.10 [] | Section: Fertility |
(HAND CARD FF) Please look at this card. In [Name of child from pregnancy 10]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [first illness of child from pregnancy 10], where did you take (him/her)?
(CODE ALL THAT APPLY)
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-130B.10 [] | Section: Fertility |
([[Q12-129.10-CODEALL(9)]] = 9)
COMMENT: Was child from first pregnancy admitted to hospital for first illness in first year of life?
| | 1 CONDITION APPLIES ...(Go To Q12-131.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-131.10 [] | Section: Fertility |
When [Name of child from pregnancy 10] was admitted to the hospital, was surgery necessary?
| Q12-132.10 [] | Section: Fertility |
Did you have to take time off from work?
| Q12-133.10 [] | Section: Fertility |
In [Name of child from pregnancy 10]'s first year, did you take (him/her) to a clinic, hospital, or doctor because (he/she) was sick or injured with a different illness or injury than the one we have just talked about?
| Q12-134.10 [] | Section: Fertility |
What was the nature of this other illness or injury?
(INTERVIEWER: RECODE VERBATIM. PRESS <ENTER> TO CONTINUE FOR CODING OF
ILLNESS OR INJURY DESCRIBED HERE.)
| Q12-134A.10 [] | Section: Fertility |
(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY. PRESS <ENTER> TO CODE OTHER SYMPTOMS MENTIONED FOR THIS ILLNESSES OR INJURIES.) (IF MORE THAN ONE ILLNESS OR INJURY MENTIONED, PROBE:) What was the main illness or injury?
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-135.10 [] | Section: Fertility |
(HAND CARD EE) Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [second illness of child from pregnancy 10].
(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY
RECORDED IN 12-134.10)
| | 1 Fever |
| | 2 Cold |
| | 3 Sore throat |
| | 4 Pneumonia |
| | 5 Ear infection |
| | 6 Vomiting, diarrhea, or dehydration |
| | 7 Rash |
| | 15 Broken bone |
| | 16 Burn |
| | 8 Other accident or poisoning |
| | 9 Convulsions |
| | 10 Jaundice |
| | 11 Feeding problems (food allergy, formula tolerance, etc.) |
| | 12 Meningitis |
| | 13 Asthma or bronchitis |
| | 14 Other (SPECIFY) |
| | 0 None |
| Q12-136.10 [] | Section: Fertility |
How many months old was [Name of child from pregnancy 10] when you took (him/her) to a clinic, hospital or doctor the first time for (this) [second illness of child from pregnancy 10]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)
| Q12-137.10 [] | Section: Fertility |
In [Name of child from pregnancy 10]'s first year, altogether how many visits were made to a clinic, hospital, or doctor because (he/she) had (that) [second illness of child from pregnancy 10]?
If Answer = 1 Then Go To Q12-139.10
| Q12-138.10 [] | Section: Fertility |
In [Name of child from pregnancy 10]'s first year, how many months old was (he/she) the last time you took (him/her) to a clinic or doctor for (that) [second illness of child from pregnancy 10]?
| Q12-139.10 [] | Section: Fertility |
(HAND CARD FF) Please look at this card. In [Name of child from pregnancy 10]'s first year, when you took (him/her) to a clinic, hospital, or doctor because (he/she) had (that) [second illness of child from pregnancy 10], where did you take (him/her)?
(CODE ALL THAT APPLY)
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-140B.10 [] | Section: Fertility |
([[Q12-139.10-CODEALL(9)]] = 9)
COMMENT: Was child from first pregnancy admitted to hospital for second illness in first year of life?
| | 1 CONDITION APPLIES ...(Go To Q12-141.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-141.10 [] | Section: Fertility |
When [Name of child from pregnancy 10] was admitted to the hospital, was surgery necessary?
| Q12-142.10 [] | Section: Fertility |
Did you have to take time off from work?
| Q12-143.10 [] | Section: Fertility |
Now we are going to discuss well baby care.
In [Name of child from pregnancy 10]'s first year, did you take (him/her) to a clinic or doctor for well baby care when (he/she) was not sick?
| Q12-144.10 [] | Section: Fertility |
How many months old was [Name of child from pregnancy 10] when you took (him/her) to a clinic or doctor for well baby care the first time?..... How old was (he/she) the next time?
(INTERVIEWER: CONTINUE TO ASK UNTIL THE LAST TIME IS CODED. MARK ALL THAT APPLY.)
| | 1 01 - ONE MONTH OLD |
| | 2 02 - TWO MONTHS OLD |
| | 3 03 - THREE MONTHS OLD |
| | 4 04 - FOUR MONTHS OLD |
| | 5 05 - FIVE MONTHS OLD |
| | 6 06 - SIX MONTHS OLD |
| | 7 07 - SEVEN MONTHS OLD |
| | 8 08 - EIGHT MONTHS OLD |
| | 9 09 - NINE MONTHS OLD |
| | 10 10 - TEN MONTHS OLD |
| | 11 11 - ELEVEN MONTHS OLD |
| | 12 12 - TWELVE MONTHS OLD |
| Q12-146A.10 [] | Section: Fertility |
([[Q12-144.10-CODEALL(7)]] = 1)
COMMENT: Was first child taken for well baby care in his first month?
| | 1 CONDITION APPLIES ...(Go To Q12-146B.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-146B.10 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 10] for well baby care when (he/she) was 1 month old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-147A.10 [] | Section: Fertility |
([[Q12-144.10-CODEALL(2)]] = 2)
COMMENT: Was first child taken for well baby care in his second month?
| | 1 CONDITION APPLIES ...(Go To Q12-147B.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-147B.10 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 10] for well baby care when (he/she) was 2 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-148A.10 [] | Section: Fertility |
([[Q12-144.10-CODEALL(3)]] = 3)
COMMENT: Was first child taken for well baby care in his third month?
| | 1 CONDITION APPLIES ...(Go To Q12-148B.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-148B.10 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 10] for well baby care when (he/she) was 3 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-149A.10 [] | Section: Fertility |
([[Q12-144.10-CODEALL(4)]] = 4)
COMMENT: Was first child taken for well baby care in his fourth month?
| | 1 CONDITION APPLIES ...(Go To Q12-149B.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-149B.10 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 10] for well baby care when (he/she) was 4 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-150A.10 [] | Section: Fertility |
([[Q12-144.10-CODEALL(7)]] = 5)
COMMENT: Was first child taken for well baby care in his fifth month?
| | 1 CONDITION APPLIES ...(Go To Q12-150B.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-150B.10 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 10] for well baby care when (he/she) was 5 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-151A.10 [] | Section: Fertility |
([[Q12-144.10-CODEALL(7)]] = 6)
COMMENT: Was first child taken for well baby care in his sixth month?
| | 1 CONDITION APPLIES ...(Go To Q12-151B.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-151B.10 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 10] for well baby care when (he/she) was 6 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-152A.10 [] | Section: Fertility |
([[Q12-144.10-CODEALL(7)]] = 7)
COMMENT: Was first child taken for well baby care in his seventh month?
| | 1 CONDITION APPLIES ...(Go To Q12-152B.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-152B.10 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 10] for well baby care when (he/she) was 7 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-153A.10 [] | Section: Fertility |
([[Q12-144.10-CODEALL(10)]] = 8)
COMMENT: Was first child taken for well baby care in his eighth month?
| | 1 CONDITION APPLIES ...(Go To Q12-153B.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-153B.10 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 10] for well baby care when (he/she) was 8 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-154A.10 [] | Section: Fertility |
([[Q12-144.10-CODEALL(10)]] = 9)
COMMENT: Was first child taken for well baby care in his ninth month?
| | 1 CONDITION APPLIES ...(Go To Q12-154B.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-154B.10 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 10] for well baby care when (he/she) was 9 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-155A.10 [] | Section: Fertility |
([[Q12-144.10-CODEALL(10)]] = 10)
COMMENT: Was first child taken for well baby care in his tenth month?
| | 1 CONDITION APPLIES ...(Go To Q12-155B.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-155B.10 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 10] for well baby care when (he/she) was 10 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-156A.10 [] | Section: Fertility |
([[Q12-144.10-CODEALL(11)]] = 11)
COMMENT: Was first child taken for well baby care in his eleventh month?
| | 1 CONDITION APPLIES ...(Go To Q12-156B.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-156B.10 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 10] for well baby care when (he/she) was 11 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-157A.10 [] | Section: Fertility |
([[Q12-144.10-CODEALL(12)]] = 12)
COMMENT: Was first child taken for well baby care in his twelveth month?
| | 1 CONDITION APPLIES ...(Go To Q12-157B.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157B.10 [] | Section: Fertility |
(HAND CARD FF) When you took [Name of child from pregnancy 10] for well baby care when (he/she) was 12 months old, where did you take (him/her)? Was it a.... (READ CATEGORIES AS NECESSARY)?
| | 1 Private doctor's office |
| | 2 Public clinic |
| | 3 Private clinic |
| | 4 Health maintenance organization (HMO) |
| | 5 Hospital clinic, walk-in clinic |
| | 6 Community health center |
| | 7 Emergency room out-patient |
| | 8 Other (SPECIFY) |
| | 9 Hospital admission |
| Q12-157B1.10 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES ...(Go To Q12-157BB.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157BA.10 [] | Section: Fertility |
([Q12-30D.10] = 5) | ([Q12-30D.10] = 8)
COMMENT: if child is adopted out or deceased
| | 1 CONDITION APPLIES ...(Go To Q12-158.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157BB.10 [] | Section: Fertility |
([[hhi flag of child from pregnancy 10]] = 5) | ([[hhi flag of child from pregnancy 10]] = 8)
COMMENT: if child is adopted out or deceased
| | 1 CONDITION APPLIES ...(Go To Q12-158.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-157C.10 [] | Section: Fertility |
Now, we have a few questions about health care plans. First, is [Name of child from pregnancy 10]'s health insurance provided either by an employer or by an individual plan that pays part of or all of a hospital bill?...........
| Q12-157CA.10 [] | Section: Fertility |
.....(PROBE IF NECESSARY) Examples of health and hospitalization insurance plan include Blue Cross, Blue Shield, HMO. [THIS DOES NOT INCLUDE PUBLIC ASSISTANCE HEALTH CARE PROGRAMS.]
| Q12-157D.10 [] | Section: Fertility |
(HAND CARD GG) What is the source of [Name of child from pregnancy 10]'s health plan? Is it your own policy bought directly from a medical insurance company, your parent's policy, an employer policy, or something else?
| | 1 Respondent's Parent's policy |
| | 2 Respondent/spouse/partner policy bought directly from insurance company |
| | 3 Respondent's employer policy |
| | 4 Spouse/partner employer policy |
| | 5 Other (SPECIFY) |
| Q12-157E.10 [] | Section: Fertility |
There is a national program called Medicaid (Medi-Cal/Medical Assistance/Welfare/Medical Services) that pays for health care for persons in need. Is [Name of child from pregnancy 10]'s health care now covered by Medicaid or one of these public assistance health care programs?
| Q12-158.10 [] | Section: Fertility |
([[flag indicating whether R was interviewed as YA in 1994]] = 1)
COMMENT: R interviewed in 1994?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-158C.10 [] | Section: Fertility |
([[live-birth pregnancy result in multiple births?(10)]] >= 1)
COMMENT: Did this pregnancy result in a multiple birth?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY |
| Q12-160 [Y05892.00] | Section: Fertility |
[[Gender of the respondent]]
COMMENT: check the gender of the respondent
If Answer = 1 Then Go To Q12-170
| Default Next: | Q12-160A |
| Lead-In: | Q12-158A.1 [Default], Q12-158B.1 [Default], Q12-158A.2 [Default], Q12-158B.2 [Default], Q12-158A.3 [Default], Q12-158B.3 [Default], Q12-158A.4 [Default], Q12-158B.4 [Default], Q12-158A.5 [Default], Q12-158B.5 [Default], Q12-158A.6 [Default], Q12-158B.6 [Default], Q12-158A.7 [Default], Q12-158B.7 [Default], Q12-158A.8 [Default], Q12-158B.8 [Default], Q12-158A.9 [Default], Q12-158B.9 [Default], Q12-158C.10 [Default] |
| Q12-160A [Y05893.00] | Section: Fertility |
([[Number of biological children respondent had since 94 interview]] > 0)
COMMENT: Were any children born since last interview?
| | 1 CONDITION APPLIES ...(Go To Q12-161.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-161.1 [Y05894.00] | Section: Fertility |
CHECK ([Name of biological child(1)])
COMMENT: Is there a first child to check?
| | 1 CONDITION APPLIES ...(Go To Q12-161A.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-161A.1 [] | Section: Fertility |
([[Status of biological child (code)(1)]] = 99)
COMMENT: Has this child been deleted?
| | 1 CONDITION APPLIES ...(Go To Q12-161.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-162.1 [Y05895.00] | Section: Fertility |
([[Status of biological child (code)(1)]] = 97)
COMMENT: Is this a new child since last NICHD year or is first feeding question pre-printed?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-161.2) |
| Q12-164.1 [Y05897.00] | Section: Fertility |
When [Name of biological child(1)] was an infant, did you BREAST FEED (him/her) at all?
| Q12-165.1 [Y05898.00] | Section: Fertility |
How many weeks old was [Name of biological child(1)] when you quit BREAST FEEDING (him/her) altogether?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-165A.1) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-165B.1) |
| | 0 STILL BREAST FEEDING |
| Q12-165A.1 [Y05899.00] | Section: Fertility |
(How many weeks old was [Name of biological child(1)] when you quit BREAST FEEDING (him/her) altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-165B.1 [Y05900.00] | Section: Fertility |
(How many months old was [Name of biological child(1)] when you quit BREAST FEEDING (him/her) altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-166.1 [Y05901.00] | Section: Fertility |
How many weeks old was [Name of biological child(1)] when you began feeding (him/her) FORMULA on a daily basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-166A.1) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-166B.1) |
| | 0 FROM BIRTH |
| | 95 (DO/DID) NOT FORMULA FEED ...(Go To Q12-167.1) |
| Q12-166A.1 [Y05902.00] | Section: Fertility |
(How many weeks old was [Name of biological child(1)] when you began feeding (him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-166B.1 [Y05903.00] | Section: Fertility |
(How many months old was [Name of biological child(1)] when you began feeding (him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY FULL OR HALF MONTHS.)
| Q12-166C.1 [Y05904.05] | Section: Fertility |
What are the main reasons that you chose to use formula?
(RECORD VERBATIM AND CODE ALL THAT APPLY)
| | 1 CONVENIENCE |
| | 2 NEED TO RETURN TO WORK |
| | 3 DOCTOR'S ADVICE |
| | 4 NOT INTERESTED IN BREASTFEEDING |
| | 5 HUSBAND AGAINST BREASTFEEDING |
| | 6 GOT SAMPLE FROM HOSPITAL |
| | 7 NO LACTATION CONSULTANT |
| | 8 SORE NIPPLES |
| | 9 BABY NOT GETTING ENOUGH |
| | 10 OTHER (SPECIFY) |
| Q12-166D.1 [Y05905.00] | Section: Fertility |
How many weeks old was [Name of biological child(1)] when you stopped feeding (him/her) FORMULA on a daily basis?
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY FULL OR HALF MONTHS.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-166E.1) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-166F.1) |
| | 0 STILL FEEDING FORMULA |
| Q12-166E.1 [Y05906.00] | Section: Fertility |
(How many weeks old was [Name of biological child(1)] when you stopped feeding (him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-166F.1 [Y05907.00] | Section: Fertility |
(How many months old was [Name of biological child(1)] when you stopped feeding (him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY FULL OR HALF MONTHS.)
| Q12-167.1 [Y05908.00] | Section: Fertility |
How many weeks old was [Name of biological child(1)] when (he/she) began drinking COW'S MILK on a regular basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-167A.1) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-167B.1) |
| | 0 FROM BIRTH |
| | 95 HAS NOT BEGUN YET |
| Q12-167A.1 [Y05909.00] | Section: Fertility |
(How many weeks old was [Name of biological child(1)] when he/she began drinking COW'S MILK on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-167B.1 [Y05910.00] | Section: Fertility |
(How many months old was [Name of biological child(1)] when (he/she) began drinking COW'S MILK on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY FULL OR HALF MONTHS.)
| Q12-168.1 [Y05911.00] | Section: Fertility |
([Q12-164.1]=1) | ([Q12-166.1]=0) | ([Q12-167.1]=0)
COMMENT: check if breastfeed OR formula from birth OR cows milk from birth
| | 1 CONDITION APPLIES ...(Go To Q12-169.1) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-168A.1 [Y05912.00] | Section: Fertility |
How (was/is) [Name of biological child(1)] fed at birth?
| | 1 Intravenous feeding |
| | 2 Evaporated milk |
| | 3 Other (SPECIFY) |
| Q12-169.1 [] | Section: Fertility |
Now we would like you to think about solid food. Solid food is any food other than milk or formula, like cereal or fruit whether it is commercially prepared, like Gerbers, or prepared at home.
| Q12-169A.1 [Y05913.00] | Section: Fertility |
How many weeks old was [Name of biological child(1)] when (he/she) first ate SOLID FOOD on a daily basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-169B.1) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-169C.1) |
| | 0 FROM BIRTH |
| | 95 HAS NOT BEGUN YET |
| Q12-169B.1 [Y05914.00] | Section: Fertility |
(How many weeks old was [Name of biological child(1)] when he/she first ate SOLID FOOD on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-169C.1 [Y05915.00] | Section: Fertility |
(How many months old was [Name of biological child(1)] when (he/she) first ate SOLID FOOD on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY FULL OR HALF MONTHS.)
| Q12-161.2 [Y05916.00] | Section: Fertility |
CHECK ([Name of biological child(2)])
COMMENT: Is there a second child to check?
| | 1 CONDITION APPLIES ...(Go To Q12-161A.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-161A.2 [] | Section: Fertility |
([[Status of biological child (code)(2)]] = 99)
COMMENT: Has this child been deleted?
| | 1 CONDITION APPLIES ...(Go To Q12-161.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-162.2 [Y05917.00] | Section: Fertility |
([[Status of biological child (code)(2)]] = 97)
COMMENT: Is this a new child since last NICHD year or is first feeding question pre-printed?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-161.3) |
| Q12-164.2 [Y05919.00] | Section: Fertility |
When [Name of biological child(2)] was an infant, did you BREAST FEED (him/her) at all?
| Q12-165.2 [Y05920.00] | Section: Fertility |
How many weeks old was [Name of biological child(2)] when you quit BREAST FEEDING (him/her) altogether?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-165A.2) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-165B.2) |
| | 0 STILL BREAST FEEDING |
| Q12-165A.2 [Y05921.00] | Section: Fertility |
(How many weeks old was [Name of biological child(2)] when you quit BREAST FEEDING (him/her) altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-165B.2 [Y05922.00] | Section: Fertility |
(How many months old was [Name of biological child(2)] when you quit BREAST FEEDING (him/her) altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-166.2 [Y05923.00] | Section: Fertility |
How many weeks old was [Name of biological child(2)] when you began feeding (him/her) FORMULA on a daily basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-166A.2) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-166B.2) |
| | 0 FROM BIRTH |
| | 95 (DO/DID) NOT FORMULA FEED ...(Go To Q12-167.2) |
| Q12-166A.2 [Y05924.00] | Section: Fertility |
(How many weeks old was [Name of biological child(2)] when you began feeding (him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-166B.2 [Y05925.00] | Section: Fertility |
(How many months old was [Name of biological child(2)] when you began feeding (him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY FULL OR HALF MONTHS.)
| Q12-166C.2 [Y05926.04] | Section: Fertility |
What are the main reasons that you chose to use formula?
(RECORD VERBATIM AND CODE ALL THAT APPLY)
| | 1 CONVENIENCE |
| | 2 NEED TO RETURN TO WORK |
| | 3 DOCTOR'S ADVICE |
| | 4 NOT INTERESTED IN BREASTFEEDING |
| | 5 HUSBAND AGAINST BREASTFEEDING |
| | 6 GOT SAMPLE FROM HOSPITAL |
| | 7 NO LACTATION CONSULTANT |
| | 8 SORE NIPPLES |
| | 9 BABY NOT GETTING ENOUGH |
| | 10 OTHER (SPECIFY) |
| Q12-166D.2 [Y05927.00] | Section: Fertility |
How many weeks old was [Name of biological child(2)] when you stopped feeding (him/her) FORMULA on a daily basis?
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY FULL OR HALF MONTHS.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-166E.2) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-166F.2) |
| | 0 STILL FEEDING FORMULA |
| Q12-166E.2 [] | Section: Fertility |
(How many weeks old was [Name of biological child(2)] when you stopped feeding (him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-166F.2 [Y05928.00] | Section: Fertility |
(How many months old was [Name of biological child(2)] when you stopped feeding (him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY FULL OR HALF MONTHS.)
| Q12-167.2 [Y05929.00] | Section: Fertility |
How many weeks old was [Name of biological child(2)] when (he/she) began drinking COW'S MILK on a regular basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-167A.2) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-167B.2) |
| | 0 FROM BIRTH |
| | 95 HAS NOT BEGUN YET |
| Q12-167A.2 [Y05930.00] | Section: Fertility |
(How many weeks old was [Name of biological child(2)] when he/she began drinking COW'S MILK on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-167B.2 [Y05931.00] | Section: Fertility |
(How many months old was [Name of biological child(2)] when (he/she) began drinking COW'S MILK on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY FULL OR HALF MONTHS.)
| Q12-168.2 [Y05932.00] | Section: Fertility |
([Q12-164.2]=1) | ([Q12-166.2]=0) | ([Q12-167.2]=0)
COMMENT: check if breastfeed OR formula from birth OR cows milk from birth
| | 1 CONDITION APPLIES ...(Go To Q12-169.2) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-168A.2 [Y05933.00] | Section: Fertility |
How (was/is) [Name of biological child(2)] fed at birth?
| | 1 Intravenous feeding |
| | 2 Evaporated milk |
| | 3 Other (SPECIFY) |
| Q12-169.2 [] | Section: Fertility |
Now we would like you to think about solid food. Solid food is any food other than milk or formula, like cereal or fruit whether it is commercially prepared, like Gerbers, or prepared at home.
| Q12-169A.2 [Y05934.00] | Section: Fertility |
How many weeks old was [Name of biological child(2)] when (he/she) first ate SOLID FOOD on a daily basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-169B.2) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-169C.2) |
| | 0 FROM BIRTH |
| | 95 HAS NOT BEGUN YET |
| Q12-169B.2 [Y05935.00] | Section: Fertility |
(How many weeks old was [Name of biological child(2)] when he/she first ate SOLID FOOD on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-169C.2 [Y05936.00] | Section: Fertility |
(How many months old was [Name of biological child(2)] when (he/she) first ate SOLID FOOD on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY FULL OR HALF MONTHS.)
| Q12-161.3 [Y05937.00] | Section: Fertility |
CHECK ([Name of biological child(3)])
COMMENT: Is there a first child to check?
| | 1 CONDITION APPLIES ...(Go To Q12-161A.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-161A.3 [] | Section: Fertility |
([[Status of biological child (code)(3)]] = 99)
COMMENT: Has this child been deleted?
| | 1 CONDITION APPLIES ...(Go To Q12-161.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-162.3 [Y05938.00] | Section: Fertility |
([[Status of biological child (code)(3)]] = 97)
COMMENT: Is this a new child since last NICHD year or is first feeding question pre-printed?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-161.4) |
| Q12-164.3 [Y05940.00] | Section: Fertility |
When [Name of biological child(3)] was an infant, did you BREAST FEED (him/her) at all?
| Q12-165.3 [Y05941.00] | Section: Fertility |
How many weeks old was [Name of biological child(3)] when you quit BREAST FEEDING (him/her) altogether?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-165A.3) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-165B.3) |
| | 0 STILL BREAST FEEDING |
| Q12-165A.3 [] | Section: Fertility |
(How many weeks old was [Name of biological child(3)] when you quit BREAST FEEDING (him/her) altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-165B.3 [Y05942.00] | Section: Fertility |
(How many months old was [Name of biological child(3)] when you quit BREAST FEEDING (him/her) altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY FULL OR HALF MONTHS.)
| Q12-166.3 [Y05943.00] | Section: Fertility |
How many weeks old was [Name of biological child(3)] when you began feeding (him/her) FORMULA on a daily basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-166A.3) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-166B.3) |
| | 0 FROM BIRTH |
| | 95 (DO/DID) NOT FORMULA FEED ...(Go To Q12-167.3) |
| Q12-166A.3 [Y05944.00] | Section: Fertility |
(How many weeks old was [Name of biological child(3)] when you began feeding (him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-166B.3 [] | Section: Fertility |
(How many months old was [Name of biological child(3)] when you began feeding (him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY FULL OR HALF MONTHS.)
| Q12-166C.3 [Y05945.07] | Section: Fertility |
What are the main reasons that you chose to use formula?
(RECORD VERBATIM AND CODE ALL THAT APPLY)
| | 1 CONVENIENCE |
| | 2 NEED TO RETURN TO WORK |
| | 3 DOCTOR'S ADVICE |
| | 4 NOT INTERESTED IN BREASTFEEDING |
| | 5 HUSBAND AGAINST BREASTFEEDING |
| | 6 GOT SAMPLE FROM HOSPITAL |
| | 7 NO LACTATION CONSULTANT |
| | 8 SORE NIPPLES |
| | 9 BABY NOT GETTING ENOUGH |
| | 10 OTHER (SPECIFY) |
| Q12-166D.3 [Y05946.00] | Section: Fertility |
How many weeks old was [Name of biological child(3)] when you stopped feeding (him/her) FORMULA on a daily basis?
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY FULL OR HALF MONTHS.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-166E.3) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-166F.3) |
| | 0 STILL FEEDING FORMULA |
| Q12-166E.3 [Y05947.00] | Section: Fertility |
(How many weeks old was [Name of biological child(3)] when you stopped feeding (him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-166F.3 [Y05948.00] | Section: Fertility |
(How many months old was [Name of biological child(3)] when you stopped feeding (him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY FULL OR HALF MONTHS.)
| Q12-167.3 [Y05949.00] | Section: Fertility |
How many weeks old was [Name of biological child(3)] when (he/she) began drinking COW'S MILK on a regular basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-167A.3) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-167B.3) |
| | 0 FROM BIRTH |
| | 95 HAS NOT BEGUN YET |
| Q12-167A.3 [Y05950.00] | Section: Fertility |
(How many weeks old was [Name of biological child(3)] when he/she began drinking COW'S MILK on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-167B.3 [Y05951.00] | Section: Fertility |
(How many months old was [Name of biological child(3)] when (he/she) began drinking COW'S MILK on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY FULL OR HALF MONTHS.)
| Q12-168.3 [Y05952.00] | Section: Fertility |
([Q12-164.3]=1) | ([Q12-166.3]=0) | ([Q12-167.3]=0)
COMMENT: check if breastfeed OR formula from birth OR cows milk from birth
| | 1 CONDITION APPLIES ...(Go To Q12-169.3) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-168A.3 [Y05953.00] | Section: Fertility |
How (was/is) [Name of biological child(3)] fed at birth?
| | 1 Intravenous feeding |
| | 2 Evaporated milk |
| | 3 Other (SPECIFY) |
| Q12-169.3 [] | Section: Fertility |
Now we would like you to think about solid food. Solid food is any food other than milk or formula, like cereal or fruit whether it is commercially prepared, like Gerbers, or prepared at home.
| Q12-169A.3 [Y05954.00] | Section: Fertility |
How many weeks old was [Name of biological child(3)] when (he/she) first ate SOLID FOOD on a daily basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-169B.3) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-169C.3) |
| | 0 FROM BIRTH |
| | 95 HAS NOT BEGUN YET |
| Q12-169B.3 [] | Section: Fertility |
(How many weeks old was [Name of biological child(3)] when he/she first ate SOLID FOOD on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-169C.3 [Y05955.00] | Section: Fertility |
(How many months old was [Name of biological child(3)] when (he/she) first ate SOLID FOOD on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY FULL OR HALF MONTHS.)
| Q12-161.4 [Y05956.00] | Section: Fertility |
CHECK ([Name of biological child(4)])
COMMENT: Is there a fourth child to check?
| | 1 CONDITION APPLIES ...(Go To Q12-161A.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-161A.4 [] | Section: Fertility |
([[Status of biological child (code)(4)]] = 99)
COMMENT: Has this child been deleted?
| | 1 CONDITION APPLIES ...(Go To Q12-161.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-162.4 [Y05957.00] | Section: Fertility |
([[Status of biological child (code)(4)]] = 97)
COMMENT: Is this a new child since last NICHD year or is first feeding question pre-printed?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-161.5) |
| Q12-164.4 [Y05959.00] | Section: Fertility |
When [Name of biological child(4)] was an infant, did you BREAST FEED (him/her) at all?
| Q12-165.4 [Y05960.00] | Section: Fertility |
How many weeks old was [Name of biological child(4)] when you quit BREAST FEEDING (him/her) altogether?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-165A.4) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-165B.4) |
| | 0 STILL BREAST FEEDING |
| Q12-165A.4 [Y05961.00] | Section: Fertility |
(How many weeks old was [Name of biological child(4)] when you quit BREAST FEEDING (him/her) altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-165B.4 [] | Section: Fertility |
(How many months old was [Name of biological child(4)] when you quit BREAST FEEDING (him/her) altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY FULL OR HALF MONTHS.)
| Q12-166.4 [Y05962.00] | Section: Fertility |
How many weeks old was [Name of biological child(4)] when you began feeding (him/her) FORMULA on a daily basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-166A.4) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-166B.4) |
| | 0 FROM BIRTH |
| | 95 (DO/DID) NOT FORMULA FEED ...(Go To Q12-167.4) |
| Q12-166A.4 [Y05963.00] | Section: Fertility |
(How many weeks old was [Name of biological child(4)] when you began feeding (him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-166B.4 [] | Section: Fertility |
(How many months old was [Name of biological child(4)] when you began feeding (him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY FULL OR HALF MONTHS.)
| Q12-166C.4 [Y05964.03] | Section: Fertility |
What are the main reasons that you chose to use formula?
(RECORD VERBATIM AND CODE ALL THAT APPLY)
| | 1 CONVENIENCE |
| | 2 NEED TO RETURN TO WORK |
| | 3 DOCTOR'S ADVICE |
| | 4 NOT INTERESTED IN BREASTFEEDING |
| | 5 HUSBAND AGAINST BREASTFEEDING |
| | 6 GOT SAMPLE FROM HOSPITAL |
| | 7 NO LACTATION CONSULTANT |
| | 8 SORE NIPPLES |
| | 9 BABY NOT GETTING ENOUGH |
| | 10 OTHER (SPECIFY) |
| Q12-166D.4 [Y05965.00] | Section: Fertility |
How many weeks old was [Name of biological child(4)] when you stopped feeding (him/her) FORMULA on a daily basis?
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY FULL OR HALF MONTHS.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-166E.4) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-166F.4) |
| | 0 STILL FEEDING FORMULA |
| Q12-166E.4 [] | Section: Fertility |
(How many weeks old was [Name of biological child(4)] when you stopped feeding (him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-166F.4 [Y05966.00] | Section: Fertility |
(How many months old was [Name of biological child(4)] when you stopped feeding (him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY FULL OR HALF MONTHS.)
| Q12-167.4 [Y05967.00] | Section: Fertility |
How many weeks old was [Name of biological child(4)] when (he/she) began drinking COW'S MILK on a regular basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-167A.4) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-167B.4) |
| | 0 FROM BIRTH |
| | 95 HAS NOT BEGUN YET |
| Q12-167A.4 [] | Section: Fertility |
(How many weeks old was [Name of biological child(4)] when he/she began drinking COW'S MILK on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-167B.4 [] | Section: Fertility |
(How many months old was [Name of biological child(4)] when (he/she) began drinking COW'S MILK on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY FULL OR HALF MONTHS.)
| Q12-168.4 [] | Section: Fertility |
([Q12-164.4]=1) | ([Q12-166.4]=0) | ([Q12-167.4]=0)
COMMENT: check if breastfeed OR formula from birth OR cows milk from birth
| | 1 CONDITION APPLIES ...(Go To Q12-169.4) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-168A.4 [] | Section: Fertility |
How (was/is) [Name of biological child(4)] fed at birth?
| | 1 Intravenous feeding |
| | 2 Evaporated milk |
| | 3 Other (SPECIFY) |
| Q12-169.4 [] | Section: Fertility |
Now we would like you to think about solid food. Solid food is any food other than milk or formula, like cereal or fruit whether it is commercially prepared, like Gerbers, or prepared at home.
| Q12-169A.4 [Y05968.00] | Section: Fertility |
How many weeks old was [Name of biological child(4)] when (he/she) first ate SOLID FOOD on a daily basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-169B.4) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-169C.4) |
| | 0 FROM BIRTH |
| | 95 HAS NOT BEGUN YET |
| Q12-169B.4 [Y05969.00] | Section: Fertility |
(How many weeks old was [Name of biological child(4)] when he/she first ate SOLID FOOD on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-169C.4 [Y05970.00] | Section: Fertility |
(How many months old was [Name of biological child(4)] when (he/she) first ate SOLID FOOD on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY FULL OR HALF MONTHS.)
| Q12-161.5 [] | Section: Fertility |
CHECK ([Name of biological child(5)])
COMMENT: Is there a first child to check?
If Answer = 1 Then Go To Q12-161A.5
| Q12-161A.5 [] | Section: Fertility |
([[Status of biological child (code)(5)]] = 99)
COMMENT: Has this child been deleted?
| | 1 CONDITION APPLIES ...(Go To Q12-161.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-162.5 [] | Section: Fertility |
([[Status of biological child (code)(5)]] = 97)
COMMENT: Is this a new child since last NICHD year or is first feeding question
pre-printed?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-161.6) |
| Q12-164.5 [] | Section: Fertility |
When [Name of biological child(5)] was an infant, did you BREAST FEED (him/her) at
all?
| Q12-165.5 [] | Section: Fertility |
How many weeks old was [Name of biological child(5)] when you quit BREAST FEEDING
(him/her) altogether?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-165A.5) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-165B.5) |
| | 0 STILL BREAST FEEDING |
| Q12-165A.5 [] | Section: Fertility |
(How many weeks old was [Name of biological child(5)] when you quit BREAST FEEDING
(him/her) altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-165B.5 [] | Section: Fertility |
(How many months old was [Name of biological child(5)] when you quit BREAST FEEDING
(him/her) altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-166.5 [] | Section: Fertility |
How many weeks old was [Name of biological child(5)] when you began feeding (him/her)
FORMULA on a daily basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-166A.5) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-166B.5) |
| | 0 FROM BIRTH |
| | 95 (DO/DID) NOT FORMULA FEED ...(Go To Q12-167.5) |
| Q12-166A.5 [] | Section: Fertility |
(How many weeks old was [Name of biological child(5)] when you began feeding (him/her)
FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-166B.5 [] | Section: Fertility |
(How many months old was [Name of biological child(5)] when you began feeding
(him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-166C.5 [] | Section: Fertility |
What are the main reasons that you chose to use formula?
(RECORD VERBATIM AND CODE ALL THAT APPLY)
| | 1 CONVENIENCE |
| | 2 NEED TO RETURN TO WORK |
| | 3 DOCTOR'S ADVICE |
| | 4 NOT INTERESTED IN BREASTFEEDING |
| | 5 HUSBAND AGAINST BREASTFEEDING |
| | 6 GOT SAMPLE FROM HOSPITAL |
| | 7 NO LACTATION CONSULTANT |
| | 8 SORE NIPPLES |
| | 9 BABY NOT GETTING ENOUGH |
| | 10 OTHER (SPECIFY) |
| Q12-166D.5 [] | Section: Fertility |
How many weeks old was [Name of biological child(5)] when you stopped feeding
(him/her) FORMULA on a daily basis?
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-166E.5) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-166F.5) |
| | 0 STILL FEEDING FORMULA |
| Q12-166E.5 [] | Section: Fertility |
(How many weeks old was [Name of biological child(5)] when you stopped feeding
(him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-166F.5 [] | Section: Fertility |
(How many months old was [Name of biological child(5)] when you stopped feeding
(him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-167.5 [] | Section: Fertility |
How many weeks old was [Name of biological child(5)] when (he/she) began drinking
COW'S MILK on a regular basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-167A.5) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-167B.5) |
| | 0 FROM BIRTH |
| | 95 HAS NOT BEGUN YET |
| Q12-167A.5 [] | Section: Fertility |
(How many weeks old was [Name of biological child(5)] when he/she began drinking
COW'S MILK on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-167B.5 [] | Section: Fertility |
(How many months old was [Name of biological child(5)] when (he/she) began drinking
COW'S MILK on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-168.5 [] | Section: Fertility |
([Q12-164.5]=1) | ([Q12-166.5]=0) | ([Q12-167.5]=0)
COMMENT: check if breastfeed OR formula from birth OR cows milk from birth
| | 1 CONDITION APPLIES ...(Go To Q12-169.5) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-168A.5 [] | Section: Fertility |
How (was/is) [Name of biological child(5)] fed at birth?
| | 1 Intravenous feeding |
| | 2 Evaporated milk |
| | 3 Other (SPECIFY) |
| Q12-169.5 [] | Section: Fertility |
Now we would like you to think about solid food. Solid food is any food
other than milk or formula, like cereal or fruit whether it is commercially
prepared, like Gerbers, or prepared at home.
| Q12-169A.5 [] | Section: Fertility |
How many weeks old was [Name of biological child(5)] when (he/she) first ate
SOLID FOOD on a daily basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-169B.5) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-169C.5) |
| | 0 FROM BIRTH |
| | 95 HAS NOT BEGUN YET |
| Q12-169B.5 [] | Section: Fertility |
(How many weeks old was [Name of biological child(5)] when he/she first ate
SOLID FOOD on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-169C.5 [] | Section: Fertility |
(How many months old was [Name of biological child(5)] when (he/she) first ate
SOLID FOOD on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-161.6 [] | Section: Fertility |
CHECK ([Name of biological child(6)])
COMMENT: Is there a first child to check?
If Answer = 1 Then Go To Q12-161A.6
| Q12-161A.6 [] | Section: Fertility |
([[Status of biological child (code)(6)]] = 99)
COMMENT: Has this child been deleted?
| | 1 CONDITION APPLIES ...(Go To Q12-161.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-162.6 [] | Section: Fertility |
([[Status of biological child (code)(6)]] = 97)
COMMENT: Is this a new child since last NICHD year or is first feeding question
pre-printed?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-161.7) |
| Q12-164.6 [] | Section: Fertility |
When [Name of biological child(6)] was an infant, did you BREAST FEED (him/her) at
all?
| Q12-165.6 [] | Section: Fertility |
How many weeks old was [Name of biological child(6)] when you quit BREAST FEEDING
(him/her) altogether?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-165A.6) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-165B.6) |
| | 0 STILL BREAST FEEDING |
| Q12-165A.6 [] | Section: Fertility |
(How many weeks old was [Name of biological child(6)] when you quit BREAST FEEDING
(him/her) altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-165B.6 [] | Section: Fertility |
(How many months old was [Name of biological child(6)] when you quit BREAST FEEDING
(him/her) altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-166.6 [] | Section: Fertility |
How many weeks old was [Name of biological child(6)] when you began feeding (him/her)
FORMULA on a daily basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-166A.6) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-166B.6) |
| | 0 FROM BIRTH |
| | 95 (DO/DID) NOT FORMULA FEED ...(Go To Q12-167.6) |
| Q12-166A.6 [] | Section: Fertility |
(How many weeks old was [Name of biological child(6)] when you began feeding (him/her)
FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-166B.6 [] | Section: Fertility |
(How many months old was [Name of biological child(6)] when you began feeding
(him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-166C.6 [] | Section: Fertility |
What are the main reasons that you chose to use formula?
(RECORD VERBATIM AND CODE ALL THAT APPLY)
| | 1 CONVENIENCE |
| | 2 NEED TO RETURN TO WORK |
| | 3 DOCTOR'S ADVICE |
| | 4 NOT INTERESTED IN BREASTFEEDING |
| | 5 HUSBAND AGAINST BREASTFEEDING |
| | 6 GOT SAMPLE FROM HOSPITAL |
| | 7 NO LACTATION CONSULTANT |
| | 8 SORE NIPPLES |
| | 9 BABY NOT GETTING ENOUGH |
| | 10 OTHER (SPECIFY) |
| Q12-166D.6 [] | Section: Fertility |
How many weeks old was [Name of biological child(6)] when you stopped feeding
(him/her) FORMULA on a daily basis?
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-166E.6) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-166F.6) |
| | 0 STILL FEEDING FORMULA |
| Q12-166E.6 [] | Section: Fertility |
(How many weeks old was [Name of biological child(6)] when you stopped feeding
(him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-166F.6 [] | Section: Fertility |
(How many months old was [Name of biological child(6)] when you stopped feeding
(him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-167.6 [] | Section: Fertility |
How many weeks old was [Name of biological child(6)] when (he/she) began drinking
COW'S MILK on a regular basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-167A.6) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-167B.6) |
| | 0 FROM BIRTH |
| | 95 HAS NOT BEGUN YET |
| Q12-167A.6 [] | Section: Fertility |
(How many weeks old was [Name of biological child(6)] when he/she began drinking
COW'S MILK on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-167B.6 [] | Section: Fertility |
(How many months old was [Name of biological child(6)] when (he/she) began drinking
COW'S MILK on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-168.6 [] | Section: Fertility |
([Q12-164.6]=1) | ([Q12-166.6]=0) | ([Q12-167.6]=0)
COMMENT: check if breastfeed OR formula from birth OR cows milk from birth
| | 1 CONDITION APPLIES ...(Go To Q12-169.6) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-168A.6 [] | Section: Fertility |
How (was/is) [Name of biological child(6)] fed at birth?
| | 1 Intravenous feeding |
| | 2 Evaporated milk |
| | 3 Other (SPECIFY) |
| Q12-169.6 [] | Section: Fertility |
Now we would like you to think about solid food. Solid food is any food
other than milk or formula, like cereal or fruit whether it is commercially
prepared, like Gerbers, or prepared at home.
| Q12-169A.6 [] | Section: Fertility |
How many weeks old was [Name of biological child(6)] when (he/she) first ate
SOLID FOOD on a daily basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-169B.6) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-169C.6) |
| | 0 FROM BIRTH |
| | 95 HAS NOT BEGUN YET |
| Q12-169B.6 [] | Section: Fertility |
(How many weeks old was [Name of biological child(6)] when he/she first ate
SOLID FOOD on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-169C.6 [] | Section: Fertility |
(How many months old was [Name of biological child(6)] when (he/she) first ate
SOLID FOOD on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-161.7 [] | Section: Fertility |
CHECK ([Name of biological child(7)])
COMMENT: Is there a first child to check?
If Answer = 1 Then Go To Q12-161A.7
| Q12-161A.7 [] | Section: Fertility |
([[Status of biological child (code)(7)]] = 99)
COMMENT: Has this child been deleted?
| | 1 CONDITION APPLIES ...(Go To Q12-161.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-162.7 [] | Section: Fertility |
([[Status of biological child (code)(7)]] = 97)
COMMENT: Is this a new child since last NICHD year or is first feeding question
pre-printed?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-161.8) |
| Q12-164.7 [] | Section: Fertility |
When [Name of biological child(7)] was an infant, did you BREAST FEED (him/her) at
all?
| Q12-165.7 [] | Section: Fertility |
How many weeks old was [Name of biological child(7)] when you quit BREAST FEEDING
(him/her) altogether?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-165A.7) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-165B.7) |
| | 0 STILL BREAST FEEDING |
| Q12-165A.7 [] | Section: Fertility |
(How many weeks old was [Name of biological child(7)] when you quit BREAST FEEDING
(him/her) altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-165B.7 [] | Section: Fertility |
(How many months old was [Name of biological child(7)] when you quit BREAST FEEDING
(him/her) altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-166.7 [] | Section: Fertility |
How many weeks old was [Name of biological child(7)] when you began feeding (him/her)
FORMULA on a daily basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-166A.7) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-166B.7) |
| | 0 FROM BIRTH |
| | 95 (DO/DID) NOT FORMULA FEED ...(Go To Q12-167.7) |
| Q12-166A.7 [] | Section: Fertility |
(How many weeks old was [Name of biological child(7)] when you began feeding (him/her)
FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-166B.7 [] | Section: Fertility |
(How many months old was [Name of biological child(7)] when you began feeding
(him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-166C.7 [] | Section: Fertility |
What are the main reasons that you chose to use formula?
(RECORD VERBATIM AND CODE ALL THAT APPLY)
| | 1 CONVENIENCE |
| | 2 NEED TO RETURN TO WORK |
| | 3 DOCTOR'S ADVICE |
| | 4 NOT INTERESTED IN BREASTFEEDING |
| | 5 HUSBAND AGAINST BREASTFEEDING |
| | 6 GOT SAMPLE FROM HOSPITAL |
| | 7 NO LACTATION CONSULTANT |
| | 8 SORE NIPPLES |
| | 9 BABY NOT GETTING ENOUGH |
| | 10 OTHER (SPECIFY) |
| Q12-166D.7 [] | Section: Fertility |
How many weeks old was [Name of biological child(7)] when you stopped feeding
(him/her) FORMULA on a daily basis?
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-166E.7) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-166F.7) |
| | 0 STILL FEEDING FORMULA |
| Q12-166E.7 [] | Section: Fertility |
(How many weeks old was [Name of biological child(7)] when you stopped feeding
(him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-166F.7 [] | Section: Fertility |
(How many months old was [Name of biological child(7)] when you stopped feeding
(him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-167.7 [] | Section: Fertility |
How many weeks old was [Name of biological child(7)] when (he/she) began drinking
COW'S MILK on a regular basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-167A.7) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-167B.7) |
| | 0 FROM BIRTH |
| | 95 HAS NOT BEGUN YET |
| Q12-167A.7 [] | Section: Fertility |
(How many weeks old was [Name of biological child(7)] when he/she began drinking
COW'S MILK on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-167B.7 [] | Section: Fertility |
(How many months old was [Name of biological child(7)] when (he/she) began drinking
COW'S MILK on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-168.7 [] | Section: Fertility |
([Q12-164.7]=1) | ([Q12-166.7]=0) | ([Q12-167.7]=0)
COMMENT: check if breastfeed OR formula from birth OR cows milk from birth
| | 1 CONDITION APPLIES ...(Go To Q12-169.7) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-168A.7 [] | Section: Fertility |
How (was/is) [Name of biological child(7)] fed at birth?
| | 1 Intravenous feeding |
| | 2 Evaporated milk |
| | 3 Other (SPECIFY) |
| Q12-169.7 [] | Section: Fertility |
Now we would like you to think about solid food. Solid food is any food
other than milk or formula, like cereal or fruit whether it is commercially
prepared, like Gerbers, or prepared at home.
| Q12-169A.7 [] | Section: Fertility |
How many weeks old was [Name of biological child(7)] when (he/she) first ate
SOLID FOOD on a daily basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-169B.7) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-169C.7) |
| | 0 FROM BIRTH |
| | 95 HAS NOT BEGUN YET |
| Q12-169B.7 [] | Section: Fertility |
(How many weeks old was [Name of biological child(7)] when he/she first ate
SOLID FOOD on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-169C.7 [] | Section: Fertility |
(How many months old was [Name of biological child(7)] when (he/she) first ate
SOLID FOOD on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-161.8 [] | Section: Fertility |
CHECK ([Name of biological child(8)])
COMMENT: Is there a first child to check?
If Answer = 1 Then Go To Q12-161A.8
| Q12-161A.8 [] | Section: Fertility |
([[Status of biological child (code)(8)]] = 99)
COMMENT: Has this child been deleted?
| | 1 CONDITION APPLIES ...(Go To Q12-161.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-162.8 [] | Section: Fertility |
([[Status of biological child (code)(8)]] = 97)
COMMENT: Is this a new child since last NICHD year or is first feeding question
pre-printed?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-161.9) |
| Q12-164.8 [] | Section: Fertility |
When [Name of biological child(8)] was an infant, did you BREAST FEED (him/her) at
all?
| Q12-165.8 [] | Section: Fertility |
How many weeks old was [Name of biological child(8)] when you quit BREAST FEEDING
(him/her) altogether?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-165A.8) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-165B.8) |
| | 0 STILL BREAST FEEDING |
| Q12-165A.8 [] | Section: Fertility |
(How many weeks old was [Name of biological child(8)] when you quit BREAST FEEDING
(him/her) altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-165B.8 [] | Section: Fertility |
(How many months old was [Name of biological child(8)] when you quit BREAST FEEDING
(him/her) altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-166.8 [] | Section: Fertility |
How many weeks old was [Name of biological child(8)] when you began feeding (him/her)
FORMULA on a daily basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-166A.8) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-166B.8) |
| | 0 FROM BIRTH |
| | 95 (DO/DID) NOT FORMULA FEED ...(Go To Q12-167.8) |
| Q12-166A.8 [] | Section: Fertility |
(How many weeks old was [Name of biological child(8)] when you began feeding (him/her)
FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-166B.8 [] | Section: Fertility |
(How many months old was [Name of biological child(8)] when you began feeding
(him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-166C.8 [] | Section: Fertility |
What are the main reasons that you chose to use formula?
(RECORD VERBATIM AND CODE ALL THAT APPLY)
| | 1 CONVENIENCE |
| | 2 NEED TO RETURN TO WORK |
| | 3 DOCTOR'S ADVICE |
| | 4 NOT INTERESTED IN BREASTFEEDING |
| | 5 HUSBAND AGAINST BREASTFEEDING |
| | 6 GOT SAMPLE FROM HOSPITAL |
| | 7 NO LACTATION CONSULTANT |
| | 8 SORE NIPPLES |
| | 9 BABY NOT GETTING ENOUGH |
| | 10 OTHER (SPECIFY) |
| Q12-166D.8 [] | Section: Fertility |
How many weeks old was [Name of biological child(8)] when you stopped feeding
(him/her) FORMULA on a daily basis?
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-166E.8) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-166F.8) |
| | 0 STILL FEEDING FORMULA |
| Q12-166E.8 [] | Section: Fertility |
(How many weeks old was [Name of biological child(8)] when you stopped feeding
(him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-166F.8 [] | Section: Fertility |
(How many months old was [Name of biological child(8)] when you stopped feeding
(him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-167.8 [] | Section: Fertility |
How many weeks old was [Name of biological child(8)] when (he/she) began drinking
COW'S MILK on a regular basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-167A.8) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-167B.8) |
| | 0 FROM BIRTH |
| | 95 HAS NOT BEGUN YET |
| Q12-167A.8 [] | Section: Fertility |
(How many weeks old was [Name of biological child(8)] when he/she began drinking
COW'S MILK on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-167B.8 [] | Section: Fertility |
(How many months old was [Name of biological child(8)] when (he/she) began drinking
COW'S MILK on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-168.8 [] | Section: Fertility |
([Q12-164.8]=1) | ([Q12-166.8]=0) | ([Q12-167.8]=0)
COMMENT: check if breastfeed OR formula from birth OR cows milk from birth
| | 1 CONDITION APPLIES ...(Go To Q12-169.8) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-168A.8 [] | Section: Fertility |
How (was/is) [Name of biological child(8)] fed at birth?
| | 1 Intravenous feeding |
| | 2 Evaporated milk |
| | 3 Other (SPECIFY) |
| Q12-169.8 [] | Section: Fertility |
Now we would like you to think about solid food. Solid food is any food
other than milk or formula, like cereal or fruit whether it is commercially
prepared, like Gerbers, or prepared at home.
| Q12-169A.8 [] | Section: Fertility |
How many weeks old was [Name of biological child(8)] when (he/she) first ate
SOLID FOOD on a daily basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-169B.8) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-169C.8) |
| | 0 FROM BIRTH |
| | 95 HAS NOT BEGUN YET |
| Q12-169B.8 [] | Section: Fertility |
(How many weeks old was [Name of biological child(8)] when he/she first ate
SOLID FOOD on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-169C.8 [] | Section: Fertility |
(How many months old was [Name of biological child(8)] when (he/she) first ate
SOLID FOOD on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-161.9 [] | Section: Fertility |
CHECK ([Name of biological child(9)])
COMMENT: Is there a first child to check?
If Answer = 1 Then Go To Q12-161A.9
| Q12-161A.9 [] | Section: Fertility |
([[Status of biological child (code)(9)]] = 99)
COMMENT: Has this child been deleted?
| | 1 CONDITION APPLIES ...(Go To Q12-161.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-162.9 [] | Section: Fertility |
([[Status of biological child (code)(9)]] = 97)
COMMENT: Is this a new child since last NICHD year or is first feeding question
pre-printed?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-161.10) |
| Q12-164.9 [] | Section: Fertility |
When [Name of biological child(9)] was an infant, did you BREAST FEED (him/her) at
all?
| Q12-165.9 [] | Section: Fertility |
How many weeks old was [Name of biological child(9)] when you quit BREAST FEEDING
(him/her) altogether?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-165A.9) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-165B.9) |
| | 0 STILL BREAST FEEDING |
| Q12-165A.9 [] | Section: Fertility |
(How many weeks old was [Name of biological child(9)] when you quit BREAST FEEDING
(him/her) altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-165B.9 [] | Section: Fertility |
(How many months old was [Name of biological child(9)] when you quit BREAST FEEDING
(him/her) altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-166.9 [] | Section: Fertility |
How many weeks old was [Name of biological child(9)] when you began feeding (him/her)
FORMULA on a daily basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-166A.9) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-166B.9) |
| | 0 FROM BIRTH |
| | 95 (DO/DID) NOT FORMULA FEED ...(Go To Q12-167.9) |
| Q12-166A.9 [] | Section: Fertility |
(How many weeks old was [Name of biological child(9)] when you began feeding (him/her)
FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-166B.9 [] | Section: Fertility |
(How many months old was [Name of biological child(9)] when you began feeding
(him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-166C.9 [] | Section: Fertility |
What are the main reasons that you chose to use formula?
(RECORD VERBATIM AND CODE ALL THAT APPLY)
| | 1 CONVENIENCE |
| | 2 NEED TO RETURN TO WORK |
| | 3 DOCTOR'S ADVICE |
| | 4 NOT INTERESTED IN BREASTFEEDING |
| | 5 HUSBAND AGAINST BREASTFEEDING |
| | 6 GOT SAMPLE FROM HOSPITAL |
| | 7 NO LACTATION CONSULTANT |
| | 8 SORE NIPPLES |
| | 9 BABY NOT GETTING ENOUGH |
| | 10 OTHER (SPECIFY) |
| Q12-166D.9 [] | Section: Fertility |
How many weeks old was [Name of biological child(9)] when you stopped feeding
(him/her) FORMULA on a daily basis?
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-166E.9) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-166F.9) |
| | 0 STILL FEEDING FORMULA |
| Q12-166E.9 [] | Section: Fertility |
(How many weeks old was [Name of biological child(9)] when you stopped feeding
(him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-166F.9 [] | Section: Fertility |
(How many months old was [Name of biological child(9)] when you stopped feeding
(him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-167.9 [] | Section: Fertility |
How many weeks old was [Name of biological child(9)] when (he/she) began drinking
COW'S MILK on a regular basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-167A.9) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-167B.9) |
| | 0 FROM BIRTH |
| | 95 HAS NOT BEGUN YET |
| Q12-167A.9 [] | Section: Fertility |
(How many weeks old was [Name of biological child(9)] when he/she began drinking
COW'S MILK on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-167B.9 [] | Section: Fertility |
(How many months old was [Name of biological child(9)] when (he/she) began drinking
COW'S MILK on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-168.9 [] | Section: Fertility |
([Q12-164.9]=1) | ([Q12-166.9]=0) | ([Q12-167.9]=0)
COMMENT: check if breastfeed OR formula from birth OR cows milk from birth
| | 1 CONDITION APPLIES ...(Go To Q12-169.9) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-168A.9 [] | Section: Fertility |
How (was/is) [Name of biological child(9)] fed at birth?
| | 1 Intravenous feeding |
| | 2 Evaporated milk |
| | 3 Other (SPECIFY) |
| Q12-169.9 [] | Section: Fertility |
Now we would like you to think about solid food. Solid food is any food
other than milk or formula, like cereal or fruit whether it is commercially
prepared, like Gerbers, or prepared at home.
| Q12-169A.9 [] | Section: Fertility |
How many weeks old was [Name of biological child(9)] when (he/she) first ate
SOLID FOOD on a daily basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-169B.9) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-169C.9) |
| | 0 FROM BIRTH |
| | 95 HAS NOT BEGUN YET |
| Q12-169B.9 [] | Section: Fertility |
(How many weeks old was [Name of biological child(9)] when he/she first ate
SOLID FOOD on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-169C.9 [] | Section: Fertility |
(How many months old was [Name of biological child(9)] when (he/she) first ate
SOLID FOOD on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-161.10 [] | Section: Fertility |
CHECK ([Name of biological child(10)])
COMMENT: Is there a first child to check?
If Answer = 1 Then Go To Q12-161A.10
| Q12-161A.10 [] | Section: Fertility |
([[Status of biological child (code)(10)]] = 99)
COMMENT: Has this child been deleted?
| | 1 CONDITION APPLIES ...(Go To Q12-170) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-162.10 [] | Section: Fertility |
([[Status of biological child (code)(10)]] = 97)
COMMENT: Is this a new child since last NICHD year or is first feeding question
pre-printed?
| | 1 CONDITION APPLIES |
| | 0 CONDITION DOES NOT APPLY ...(Go To Q12-170) |
| Q12-164.10 [] | Section: Fertility |
When [Name of biological child(10)] was an infant, did you BREAST FEED (him/her)
at all?
| | 1 Yes ...(Go To Q12-165.10) |
| | 0 No |
| | 2 BABY DIED IN HOSPITAL ...(Go To Q12-170) |
| | 3 BABY ADOPTED OUT IN HOSPITAL ...(Go To Q12-170) |
| Q12-165.10 [] | Section: Fertility |
How many weeks old was [Name of biological child(10)] when you quit BREAST FEEDING
(him/her) altogether?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-165A.10) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-165B.10) |
| | 0 STILL BREAST FEEDING |
| Q12-165A.10 [] | Section: Fertility |
(How many weeks old was [Name of biological child(10)] when you quit BREAST FEEDING
(him/her) altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-165B.10 [] | Section: Fertility |
(How many months old was [Name of biological child(10)] when you quit BREAST FEEDING
(him/her) altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-166.10 [] | Section: Fertility |
How many weeks old was [Name of biological child(10)] when you began feeding
(him/her) FORMULA on a daily basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-166A.10) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-166B.10) |
| | 0 FROM BIRTH |
| | 95 (DO/DID) NOT FORMULA FEED ...(Go To Q12-167.10) |
| Q12-166A.10 [] | Section: Fertility |
(How many weeks old was [Name of biological child(10)] when you began feeding
(him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-166B.10 [] | Section: Fertility |
(How many months old was [Name of biological child(10)] when you began feeding
(him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-166C.10 [] | Section: Fertility |
What are the main reasons that you chose to use formula?
(RECORD VERBATIM AND CODE ALL THAT APPLY)
| | 1 CONVENIENCE |
| | 2 NEED TO RETURN TO WORK |
| | 3 DOCTOR'S ADVICE |
| | 4 NOT INTERESTED IN BREASTFEEDING |
| | 5 HUSBAND AGAINST BREASTFEEDING |
| | 6 GOT SAMPLE FROM HOSPITAL |
| | 7 NO LACTATION CONSULTANT |
| | 8 SORE NIPPLES |
| | 9 BABY NOT GETTING ENOUGH |
| | 10 OTHER (SPECIFY) |
| Q12-166D.10 [] | Section: Fertility |
How many weeks old was [Name of biological child(10)] when you stopped feeding
(him/her) FORMULA on a daily basis?
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-166E.10) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-166F.10) |
| | 0 STILL FEEDING FORMULA |
| Q12-166E.10 [] | Section: Fertility |
(How many weeks old was [Name of biological child(10)] when you stopped feeding
(him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-166F.10 [] | Section: Fertility |
(How many months old was [Name of biological child(10)] when you stopped feeding
(him/her) FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-167.10 [] | Section: Fertility |
How many weeks old was [Name of biological child(10)] when (he/she) began drinking
COW'S MILK on a regular basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-167A.10) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-167B.10) |
| | 0 FROM BIRTH |
| | 95 HAS NOT BEGUN YET |
| Q12-167A.10 [] | Section: Fertility |
(How many weeks old was [Name of biological child(10)] when he/she began drinking
COW'S MILK on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-167B.10 [] | Section: Fertility |
(How many months old was [Name of biological child(10)] when (he/she)
began drinking COW'S MILK on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-168.10 [] | Section: Fertility |
([Q12-164.10=1) | ([Q12-166.10=0) | ([Q12-167.10=0)
COMMENT: check if breastfeed OR formula from birth OR cows milk from birth
| | 1 CONDITION APPLIES ...(Go To Q12-169.10) |
| | 0 CONDITION DOES NOT APPLY |
| Q12-168A.10 [] | Section: Fertility |
How (was/is) [Name of biological child(10)] fed at birth?
| | 1 Intravenous feeding |
| | 2 Evaporated milk |
| | 3 Other (SPECIFY) |
| Q12-169.10 [] | Section: Fertility |
Now we would like you to think about solid food. Solid food is any food
other than milk or formula, like cereal or fruit whether it is commercially
prepared, like Gerbers, or prepared at home.
| Q12-169A.10 [] | Section: Fertility |
How many weeks old was [Name of biological child(10)] when (he/she) first ate
SOLID FOOD on a daily basis?
(INTERVIEWER: DETERMINE WHETHER R IS ANSWERING IN WEEKS OR MONTHS OLD, AND
SELECT THE APPROPRIATE ANSWER BELOW.)
| | 1 SELECT TO ENTER NUMBER OF WEEKS OLD ...(Go To Q12-169B.10) |
| | 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-169C.10) |
| | 0 FROM BIRTH |
| | 95 HAS NOT BEGUN YET |
| Q12-169B.10 [] | Section: Fertility |
(How many weeks old was [Name of biological child(10)] when he/she first ate
SOLID FOOD on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
| Q12-169C.10 [] | Section: Fertility |
(How many months old was [Name of biological child(10)] when (he/she) first ate
SOLID FOOD on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
| Q12-170 [Y05971.00] | Section: Fertility |
[[Gender of the respondent]]
COMMENT: check the gender of the respondent
If Answer = 1 Then Go To Q12-172
| Default Next: | Q12-171 |
| Lead-In: | Q12-160 [1:1], Q12-161A.10 [1:1], Q12-162.10 [0:0], Q12-164.10 [2:3], Q12-27BB [Default], Q12-30.1 [Default], Q12-74A-D.1 [Default], Q12-160A [Default], Q12-161.1 [Default], Q12-161.2 [Default], Q12-161.3 [Default], Q12-161.4 [Default], Q12-161.5 [Default], Q12-161.6 [Default], Q12-161.7 [Default], Q12-161.8 [Default], Q12-161.9 [Default], Q12-161.10 [Default], Q12-169A.10 [Default], Q12-169B.10 [Default], Q12-169C.10 [Default] |
| Q12-171 [Y05972.00] | Section: Fertility |
Are you currently pregnant?
| Q12-172 [Y05973.00] | Section: Fertility |
Altogether, how many [blank/more] children do you EXPECT to have?
(INCLUDE ANY CURRENT PREGNANCY OF RESPONDENT OR [spouse/partner])
| | 1 SELECT TO ENTER NUMBER OF CHILDREN |
| | 2 NONE ...(Go To ROS-C) |
| Q12-174 [Y05974.00] | Section: Fertility |
(Altogether, how many [blank/more] children do you EXPECT to have?)
ENTER NUMBER OF CHILDREN:
If Answer = 0 Then Go To ROS-C
| Q12-175 [Y05975.00] | Section: Fertility |
In how many months or years do you expect to have your [first/next] child?
| | 1 SELECT TO ENTER NUMBER OF MONTHS ...(Go To Q12-175A) |
| | 0 SELECT TO ENTER NUMBER OF YEARS |
| Q12-175A [Y05976.00] | Section: Fertility |
(In how many months do you expect to have your [first/next] child?)
(ENTER NUMBER OF MONTHS:)
| Q12-175B [Y05977.00] | Section: Fertility |
(In how many years do you expect to have your [first/next] child?)
(ENTER NUMBER OF YEARS:)