Q12-1 [] | Section: Fertility YA18 |
*************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 [] | Section: Fertility YA18 |
([flag indicating whether R was interviewed as YA in 1996]=1) or ([flag indicating whether R was interviewed as YA in 1994]=1)
COMMENT: WAS R INTERVIEWED IN 1996 or 1994?
| 1 CONDITION APPLIES |
| 0 CONDITION DOES NOT APPLY ...(Go To Q12-5B) |
Q12-2A [] | Section: Fertility YA18 |
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).
Q12-5B [Y08554.00] | Section: Fertility YA18 |
([total number of biological children listed in BIOCHILD roster]>0)
COMMENT: Check if there are any children on the info sheet
| 1 CONDITION APPLIES |
| 0 CONDITION DOES NOT APPLY ...(Go To Q12-14BA) |
Q12-6AA-LOOP-BEGIN [] | Section: Fertility YA18 |
REPEAT([Fertility LOOP1 counter])
COMMENT: start loop to correct missing names or bdates of biochildren
Q12-6B [] | Section: Fertility YA18 |
STRCMP ([Name of biological child()],"(MISSING NAME)",14)
COMMENT: Is the child's name missing?
If Answer = 1 Then Go To Q12-6C
Q12-6C [] | Section: Fertility YA18 |
INTERVIEWER: THIS CHILD'S NAME IS MISSING. ENTER THE CORRECT FIRST NAME, MIDDLE INITIAL (IF A NAME EXISTS) AND LAST NAME.
CHILD'S BIRTHDATE: [birthdate of biological child()]
CHILD'S ID NUMBER: [biological child ID()]
Q12-6D [] | Section: Fertility YA18 |
ISBLANK([birthdate of biological child()])
COMMENT: Is there child's birthdate recorded?
| 1 CONDITION APPLIES ...(Go To Q12-6E) |
| 0 CONDITION DOES NOT APPLY |
Q12-6E [] | Section: Fertility YA18 |
INTERVIEWER: THIS CHILD'S BIRTHDATE IS MISSING. ENTER THE CORRECT BIRTHDATE. YOU MUST ENTER A VALID YEAR IN THIS QUESTION. REPORT ANY UNUSUAL ANSWERS IN A COMMENT.
CHILD'S NAME: [Name of biological child()]
CHILD'S ID NUMBER: [biological child ID()]
Q12-6F-LOOP-END [] | Section: Fertility YA18 |
UNTIL([Fertility LOOP1 counter],([Fertility LOOP1 counter]=[total number of biological children listed in BIOCHILD roster]))
COMMENT: loop end to fix names and bdates of biochildren
Q12-8A [] | Section: Fertility YA18 |
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 [Y08555.00] | Section: Fertility YA18 |
Is that correct?
| 1 YES--INFORMATION CORRECT |
| 0 NO--INFORMATION INCORRECT ...(Go To Q12-11) |
Q12-11 [Y08556.00] | Section: Fertility YA18 |
INTERVIEWER: DOES R HAVE CHILDREN ON THE BIOLOGICAL CHILD ROSTER THAT SHOULD NOT BE LISTED THERE?
Q12-13AA-LOOP-BEGIN [] | Section: Fertility YA18 |
REPEAT([Fertility LOOP2 counter])
COMMENT: LOOP Begin to delete biochildren who don't belong on roster
Q12-13A [] | Section: Fertility YA18 |
([status of biological child (code)()]=97)
COMMENT: Is this child a new child? If so, skip out.
| 1 CONDITION APPLIES |
| 0 CONDITION DOES NOT APPLY ...(Go To Q12-13B) |
Q12-13B [] | Section: Fertility YA18 |
([status of biological child (code)()]=99)
COMMENT: Is this child a deleted child? If so, skip.
| 1 CONDITION APPLIES ...(Go To Q12-13C) |
| 0 CONDITION DOES NOT APPLY |
Q12-13C [] | Section: Fertility YA18 |
INTERVIEWER: [Name of biological child()] IS DELETED. IS THIS CORRECT?
Q12-13D [] | Section: Fertility YA18 |
INTERVIEWER: DOES [Name of biological child()] NEED TO BE DELETED?
Q12-13I-LOOP-END [] | Section: Fertility YA18 |
UNTIL([Fertility LOOP2 counter],([Fertility LOOP2 counter]=[total number of biological children listed in BIOCHILD roster]))
COMMENT: Loop end for deleting children currently on biochild roster
Q12-14AC [Y08557.00] | Section: Fertility YA18 |
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?
Q12-14BA [Y08558.00] | Section: Fertility YA18 |
([flag indicating whether R was interviewed as YA in 1996]=1) or ([flag indicating whether R was interviewed as YA in 1994]=1)
COMMENT: WAS R INTERVIEWED IN 1996 or 1994?
| 1 CONDITION APPLIES |
| 0 CONDITION DOES NOT APPLY ...(Go To Q12-16NC) |
Q12-14BC [Y08559.00] | Section: Fertility YA18 |
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?
Q12-15B-LOOP-BEGIN [] | Section: Fertility YA18 |
REPEAT([Fertility LOOP3 counter])
COMMENT: Loop begin to add missing biochildren
Q12-16 [] | Section: Fertility YA18 |
What is the name of the [first/next] 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, LAST NAME.)
Q12-16A [Y08560.00] | Section: Fertility YA18 |
Is [Name of bio children improperly missing from roster()] a boy or a girl?
Q12-16B [Y08562.01] | Section: Fertility YA18 |
When was [Name of bio children improperly missing from roster()] 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.)
(INTERVIEWER: YOU MUST ENTER A VALID YEAR IN THIS QUESTION. REPORT ANY UNUSUAL ANSWERS IN A COMMENT.)
Q12-16L [Y08564.00] | Section: Fertility YA18 |
Did you have another child that was born PRIOR to [date of last interview] who we do not have listed?
Q12-16P-LOOP-END [] | Section: Fertility YA18 |
UNTIL([Fertility LOOP3 counter],[Q12-16L()]=0)
COMMENT: Loop end for entering missing bio children
Q12-16NC [Y08566.00] | Section: Fertility YA18 |
([flag indicating whether R was interviewed as YA in 1996]=1) or ([flag indicating whether R was interviewed as YA in 1994]=1)
COMMENT: WAS R INTERVIEWED IN 1996?
| 1 CONDITION APPLIES |
| 0 CONDITION DOES NOT APPLY ...(Go To Q12-22AB) |
Q12-18D [] | Section: Fertility YA18 |
I'd like to read the information about your children from our records.
Q12-18E-LOOP-BEGIN [] | Section: Fertility YA18 |
REPEAT([Fertility LOOP4 counter])
COMMENT: Start loop to verify final bio Roster.
Q12-19 [Y08567.00] | Section: Fertility YA18 |
(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 CURSOR
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 Q12-19JE-LOOP-END
Q12-19C [Y08571.02] | Section: Fertility YA18 |
(INTERVIEWER: MARK INFORMATION THAT IS INCORRECT. IF NECESSARY PROBE:)
Is [correction to biological child's name([Is information on biological children correct?()])]'s name correct?
Is [correction to biological child's name([Is information on biological children correct?()])]'s sex correct? (GENDER=[correction to biological child's gender (text)([Is information on biological children correct?()])])
Is [correction to biological child's name([Is information on biological children correct?()])]'s birthdate correct? (BIRTHDATE=[correction to biological child's birthdate([Is information on biological children correct?()])])
(MARK ALL THAT APPLY)
| 1 BIRTHDATE |
| 4 NAME |
| 5 SEX |
| 6 OTHER (SPECIFY) |
Q12-19D [] | Section: Fertility YA18 |
INLIST([Q12-19C()],4)
COMMENT: Check if answered name was incorrect.
If Answer = 1 Then Go To Q12-19F
Q12-19F [] | Section: Fertility YA18 |
What is the correct name and spelling for [correction to biological child's name([Is information on biological children correct?()])]?
(INTERVIEWER: RECORD CORRECT NAME AND/OR SPELLING.)
Q12-19G [] | Section: Fertility YA18 |
INLIST([Q12-19C()],1)
COMMENT: Check if answered birthdate was incorrect.
| 1 CONDITION APPLIES ...(Go To Q12-19H) |
| 0 CONDITION DOES NOT APPLY |
Q12-19H [] | Section: Fertility YA18 |
What is the correct birthdate for [correction to biological child's name([Is information on biological children correct?()])]?
(INTERVIEWER: RECORD CORRECTED BIRTHDATE.)
(INTERVIEWER: YOU MUST ENTER A VALID YEAR IN THIS QUESTION. REPORT ANY UNUSUAL ANSWERS IN A COMMENT.)
Q12-19I [] | Section: Fertility YA18 |
INLIST([Q12-19C()],5)
COMMENT: Check if answered sex was incorrect.
If Answer = 1 Then Go To Q12-19J
Q12-19J [] | Section: Fertility YA18 |
(INTERVIEWER: IF NOT OBVIOUS, ASK:) What is the correct sex of [correction to biological child's name([Is information on biological children correct?()])]?
(INTERVIEWER: RECORD CORRECTED GENDER.)
Q12-19JE-LOOP-END [] | Section: Fertility YA18 |
UNTIL([Fertility LOOP4 counter],[Is information on biological children correct?()]=1)
COMMENT: End loop to verify final bio roster
Q12-20 [] | Section: Fertility YA18 |
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.
Q12-22AB [Y08574.00] | Section: Fertility YA18 |
([flag indicating whether R was interviewed as YA in 1996] = 1) or ([flag indicating whether R was interviewed as YA in 1994]=1)
COMMENT: WAS R INTERVIEWED IN 1996?
| 1 CONDITION APPLIES ...(Go To Q12-22AD) |
| 0 CONDITION DOES NOT APPLY |
Q12-22AD [] | Section: Fertility YA18 |
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 [Y08575.00] | Section: Fertility YA18 |
Please tell me if you have had any biological children since [date of last interview]?
Q12-22BA [Y08576.00] | Section: Fertility YA18 |
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)?
Q12-27A [Y08577.00] | Section: Fertility YA18 |
Please tell me if you have had any biological children?
Q12-27B [Y08578.00] | Section: Fertility YA18 |
How many children have you had not counting any babies who were dead at birth?
Q12-23-LOOP-BEGIN [] | Section: Fertility YA18 |
REPEAT([Fertility LOOP11 counter])
COMMENT: Begin Loop for adding new bio children.
Q12-28 [] | Section: Fertility YA18 |
What did you name your [first/next] [baby born since date of last interview/oldest baby]?
(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME.)
Q12-28A [Y08579.00] | Section: Fertility YA18 |
Was the baby a boy or a girl?
Q12-28B [Y08581.02] | Section: Fertility YA18 |
When was your child born?
(INTERVIEWER: YOU MUST ENTER A VALID YEAR IN THIS QUESTION. REPORT ANY UNUSUAL ANSWERS IN A COMMENT.)
Q12-28T-LOOP-END [] | Section: Fertility YA18 |
UNTIL([Fertility LOOP11 counter],[Fertility LOOP11 counter]=[number of biological children R had since date of last interview])
COMMENT: loop end about new bio children
Q12-29GD [Y08585.00] | Section: Fertility YA18 |
([current number of bio children on roster] > 1)
Q12-29HB-LOOP-BEGIN [] | Section: Fertility YA18 |
REPEAT([Fertility LOOP15 counter])
COMMENT: Start loop to check for twins/triplets/etc.
Q12-29I [] | Section: Fertility YA18 |
(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 [Y08586.00] | Section: Fertility YA18 |
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 Q12-29QAA-LOOP-END) |
| 1 ONE SET OF TWINS ON CHILD ROSTER ...(Go To Q12-29L) |
| 2 ONE SET OF TRIPLETS ON CHILD ROSTER ...(Go To Q12-29O) |
| 3 INCORRECT TWINS/TRIPLETS/ETC. ON CHILD ROSTER |
Q12-29K [] | Section: Fertility YA18 |
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 [] | Section: Fertility YA18 |
(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 [Y08590.00] | Section: Fertility YA18 |
(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.)
Q12-29N [] | Section: Fertility YA18 |
Are they (REPEAT CHILDREN'S NAMES IF NECESSARY) often mistaken for each other, or are they different enough to tell apart?
| 1 Often mistaken for one another |
| 2 Different enough to tell apart |
Q12-29O [] | Section: Fertility YA18 |
(INTERVIEWER: TO VERIFY, HIGHLIGHT THE NAME OF THE FIRST TRIPLET CHILD
IDENTIFIED ON THE CHILD ROSTER BELOW, AND IF NOT 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 [] | Section: Fertility YA18 |
(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.)
Q12-29Q [] | Section: Fertility YA18 |
Are they (REPEAT CHILDREN'S NAMES IF NECESSARY) often mistaken for each other, or are they different enough to tell apart?
| 1 Often mistaken for one another |
| 2 Different enough to tell apart |
Q12-29QAA-LOOP-END [] | Section: Fertility YA18 |
UNTIL([Fertility LOOP15 counter],[Q12-29J()]=0)
COMMENT: End loop when no more twins,triplets,etc..
Q12-29QB [] | Section: Fertility YA18 |
([flag indicating if there at least one biological child in roster] > 0)
COMMENT: Is there at least one child on BIOCHILD roster not deleted?
| 1 CONDITION APPLIES ...(Go To Q12-29RB) |
| 0 CONDITION DOES NOT APPLY |
Q12-29RB [Y08593.00] | Section: Fertility YA18 |
([current number of bio children on roster] > 0)
COMMENT: Is there at least one child on BIOCHILD roster?
| 1 CONDITION APPLIES ...(Go To Q12-30) |
| 0 CONDITION DOES NOT APPLY |
Q12-30 [] | Section: Fertility YA18 |
REPEAT([Fertility LOOP14 counter])
COMMENT: Begin loop to ask about new kids situations
Q12-30C [Y08594.00] | Section: Fertility YA18 |
{BIOCHILD.STATCODE()}
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
If Answer = 8 Then Go To Q12-44
If Answer = 99 Then Go To Q12-60-LOOP-END
Q12-30D [Y08597.00] | Section: Fertility YA18 |
Where does [Name of biological child()] 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 PART-TIME WITH R, PART-TIME WITH OTHER PARENT |
| 10 PART-TIME WITH R, PART-TIME WITH OTHER PERSON |
| 11 OTHER (SPECIFY) |
Q12-30DB [Y08600.00] | Section: Fertility YA18 |
{biochild.hhiflag()}
COMMENT: Enter code for hhiflag.
If Answer >= 2 AND Answer <= 4 Then Go To Q12-44
If Answer = 5 Then Go To Q12-44
If Answer >= 6 AND Answer <= 7 Then Go To Q12-44
If Answer = 8 Then Go To Q12-30E
If Answer = 11 Then Go To Q12-44
Q12-30E [Y08603.00] | Section: Fertility YA18 |
When did [Name of biological child()] die?
Q12-44 [Y08604.00] | Section: Fertility YA18 |
{biochild.hhiflag()}
COMMENT: Does first biological child live in household or with another person
part time?
| 1 IN THIS HOUSEHOLD ...(Go To Q12-45) |
| 2 WITH (HIS/HER) (FATHER/MOTHER) |
| 3 WITH OTHER RELATIVES (SPECIFY) |
| 4 WITH FOSTER CARE |
| 5 WITH ADOPTIVE PARENTS ...(Go To Q12-60-LOOP-END) |
| 6 LONG TERM CARE INSTITUTION |
| 7 AWAY AT SCHOOL |
| 8 DECEASED ...(Go To Q12-60-LOOP-END) |
| 9 PART-TIME WITH R, PART-TIME WITH OTHER PARENT ...(Go To Q12-47) |
| 10 PART-TIME WITH R, PART-TIME WITH OTHER PERSON ...(Go To Q12-45) |
| 11 OTHER (SPECIFY) |
Q12-45 [Y08607.00] | Section: Fertility YA18 |
Does [Name of biological child()]'s natural [mother/father] live in this household?
Q12-46 [Y08610.00] | Section: Fertility YA18 |
Is [Name of biological child()]'s [mother/father] living?
If Answer >= -2 AND Answer <= -1 Then Go To Q12-47
Q12-47 [Y08613.00] | Section: Fertility YA18 |
When did [Name of biological child()]'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) |
Q12-47A [Y08616.01] | Section: Fertility YA18 |
INTERVIEWER: ENTER MONTH AND YEAR [Name of biological child()]'S NATURAL [mother/father] LEFT THE HOUSEHOLD.
Q12-48 [Y08618.01] | Section: Fertility YA18 |
When did [Name of biological child()]'s natural [mother/father] die?
(INTERVIEWER: ENTER MONTH AND YEAR.)
Q12-50 [Y08620.00] | Section: Fertility YA18 |
(HAND CARD CC)
About how far from you does [Name of biological child()]'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 [Y08623.00] | Section: Fertility YA18 |
(HAND CARD DD)
In the past 12 months, about how often has [Name of biological child()] seen [his/her()] [mother/father]?
(IF SEPARATION IS MORE RECENT THAN PAST12 MONTHS, ASK:) Since [Name of biological child()] has been separated from[his/her()] [mother/father], about how often has [Name of biological child()] 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 Q12-60-LOOP-END) |
Q12-52 [Y08626.00] | Section: Fertility YA18 |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 0.)
Q12-53 [Y08629.00] | Section: Fertility YA18 |
(HAND CARD CC)
About how far from you does [Name of biological child()] 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 [Y08632.00] | Section: Fertility YA18 |
(HAND CARD DD)
In the past 12 months, about how often have you seen [Name of biological child()]? (IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [Name of biological child()] has not been living with you, about how often have you seen [Name of biological child()]?
| 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) |
Q12-55 [Y08635.00] | Section: Fertility YA18 |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 00.)
Q12-55A [Y08638.00] | Section: Fertility YA18 |
Are you contributing money for the child's upbringing now?
Q12-55B [Y08641.00] | Section: Fertility YA18 |
Do you do this on a regular basis or once in a while?
| 1 Regular |
| 2 Once in a while |
Q12-55C [Y08644.00] | Section: Fertility YA18 |
How much do you give?
(INTERVIEWER: NEXT QUESTION ASKS FOR UNIT)
(ENTER DOLLAR AMOUNT:)
Q12-55D [Y08647.00] | Section: Fertility YA18 |
Is that per week, per month or per year?
| 4 Per Week |
| 1 Per month |
| 2 Per year |
| 3 OTHER (SPECIFY) |
Q12-56 [Y08650.00] | Section: Fertility YA18 |
When did [Name of biological child()] last live with you?
| 1 SELECT TO ENTER DATE ...(Go To Q12-57) |
| 0 NEVER LIVED WITH R |
Q12-57 [Y08653.01] | Section: Fertility YA18 |
(When did [Name of biological child()] last live with you?)
(ENTER DATE)
Q12-58 [Y08655.00] | Section: Fertility YA18 |
(Were/Was) there any period(s) of more than three consecutive months when [Name of biological child()] did not live with you before that time?
| 1 Yes |
| 0 No |
| 2 CHILD IS LESS THAN THREE MONTHS OLD |
Q12-60-LOOP-END [] | Section: Fertility YA18 |
UNTIL([Fertility LOOP14 counter],[Fertility LOOP14 counter]=[current number of bio children on roster])
COMMENT: end loop.
Q12-72 [Y08657.00] | Section: Fertility YA18 |
([current number of bio children on roster] > 0)
COMMENT: Has R ever had any children?
| 1 CONDITION APPLIES ...(Go To Q12-73) |
| 0 CONDITION DOES NOT APPLY |
Q12-73 [Y08658.00] | Section: Fertility YA18 |
([number of live births to R since R's last interview] >= 1) OR ([number of biological children R had since date of last interview] >= 1)
COMMENT: Has R had any live births since 1996 or prior interview?
Q12-73Z-LOOP-BEGIN [] | Section: Fertility YA18 |
REPEAT([Fertility LOOP16 counter])
COMMENT: Copy name of child resulting from first pregnancy since date of 1996 or prior interview.
Q12-73ZC [] | Section: Fertility YA18 |
([Fertility LOOP16 counter] = 1)
COMMENT: IS THIS THE FIRST TIME THROUGH THE LOOP?
| 1 CONDITION APPLIES |
| 0 CONDITION DOES NOT APPLY ...(Go To Q12-74) |
Q12-74 [Y08659.00] | Section: Fertility YA18 |
Now I'd like to ask you some questions about [your/the] [count of pregnancies since last interview] pregnancy(ies) [that led to the birth of your child/since DLI that ended in a live birth()].
(INTERVIEWER: HIGHLIGHT NAME OF THE [count of pregnancies since last interview] CHILD [" "/born since()]. IF CHILD IS A TWIN, HIGHLIGHT NAME LISTED AND PRESS <ENTER> TO CONTINUE.)
Q12-74AA [Y08663.00] | Section: Fertility YA18 |
([status of biological child (code)([Is child a twin?()])]=97)
COMMENT: DID R CORRECTLY IDENTIFY A CHILD BORN SINCE DATE OF LAST INTERVIEW?
| 1 CONDITION APPLIES |
| 0 CONDITION DOES NOT APPLY ...(Go To Q12-74AB) |
Q12-74AB [] | Section: Fertility YA18 |
INTERVIEWER:
[Name of biological child([Is child a twin?()])] WAS NOT BORN SINCE DATE OF LAST INTERVIEW. PLEASE BACK-UP TO Q12-74, CHECK BIRTHDATES AND CHOOSE THE CORRECT CHILD RESULTING FROM THIS PREGNANCY.
Q12-74A1 [Y08667.00] | Section: Fertility YA18 |
([Fertility LOOP16 counter] = 1)
| 1 CONDITION APPLIES |
| 0 CONDITION DOES NOT APPLY ...(Go To Q12-74A2) |
Q12-74A2 [Y08670.00] | Section: Fertility YA18 |
([flag indicating if live-birth pregnancy resulted in multiple births([flag indicating if item appeared in previous loop])] >= 1)
COMMENT: WAS THIS A MULTIPLE BIRTH - REPORTED IN LAST LOOP?
| 1 CONDITION APPLIES |
| 0 CONDITION DOES NOT APPLY ...(Go To Q12-74B) |
Q12-74B [Y08672.00] | Section: Fertility YA18 |
INTERVIEWER: DID THIS PREGNANCY RESULT IN THE BIRTH OF TWINS? USE <PGUP> IF NECESSARY TO CHECK THE ROSTER.
Q12-76E [Y08675.00] | Section: Fertility YA18 |
([Fertility LOOP16 counter] = 1)
COMMENT: IS THIS THE FIRST TIME THROUGH THE LOOP?
| 1 CONDITION APPLIES |
| 0 CONDITION DOES NOT APPLY ...(Go To Q12-76F) |
Q12-76F [Y08678.00] | Section: Fertility YA18 |
([flag indicating if live-birth pregnancy resulted in multiple births([flag indicating if item appeared in previous loop])] >= 1)
COMMENT: WAS THIS REPORTED AS A MULTIPLE BIRTH IN LAST LOOP?
| 1 CONDITION APPLIES ...(Go To Q12-76F1) |
| 0 CONDITION DOES NOT APPLY |
Q12-76F1 [Y08680.00] | Section: Fertility YA18 |
([gender of the R])
COMMENT: SKIP ACCORDING TO RESPONDENT GENDER - MULTIPLE BIRTH
Q12-76G [Y08681.00] | Section: Fertility YA18 |
([gender of the R])
COMMENT: SKIP ACCORDING TO RESPONDENT GENDER
Q12F-77 [Y08684.01] | Section: Fertility YA18 |
When did you become pregnant with [Name of child from pregnancy 1]? What month and year?
Q12F-78 [Y08686.00] | Section: Fertility YA18 |
(HAND CARD EE) 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?
Q12F-79 [Y08688.00] | Section: Fertility YA18 |
Had you stopped all methods before you became pregnant?
Q12F-80 [Y08690.00] | Section: Fertility YA18 |
Was the reason you [blank/were not/stopped] using any methods because you yourself wanted to become pregnant?
Q12F-81 [Y08692.00] | Section: Fertility YA18 |
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 |
Q12F-82 [Y08694.00] | Section: Fertility YA18 |
And what about your spouse or partner when you became pregnant that time -- did he want you to have (a/another) baby?
(IF NO, PROBE:) Did he want you to have (a/another) baby but not at that time, or did he want you 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 |
Q12M-78 [Y08696.00] | Section: Fertility YA18 |
(HAND CARD EE) 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?
Q12M-79 [Y08699.00] | Section: Fertility YA18 |
Had you stopped all methods before [Name of child from pregnancy 1]'s mother became pregnant?
Q12M-80 [Y08700.00] | Section: Fertility YA18 |
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?
Q12M-81 [Y08703.00] | Section: Fertility YA18 |
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 |
Q12M-82 [Y08705.00] | Section: Fertility YA18 |
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 |
Q12-83 [Y08708.00] | Section: Fertility YA18 |
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 [Y08710.00] | Section: Fertility YA18 |
When did you first visit a doctor or nurse for prenatal care -- during which month of your pregnancy?
(ENTER MONTH NUMBER)
Q12-85 [Y08712.00] | Section: Fertility YA18 |
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 [Y08714.00] | Section: Fertility YA18 |
(HAND CARD FF)
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 [Y08715.00] | Section: Fertility YA18 |
Did you smoke tobacco cigarettes at all during the 12 months before [Name of child from pregnancy 1] was born?
Q12-88 [Y08717.00] | Section: Fertility YA18 |
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 [Y08719.00] | Section: Fertility YA18 |
Did you use marijuana or hashish at all during the 12 months before [Name of child from pregnancy 1] was born?
Q12-90 [Y08721.00] | Section: Fertility YA18 |
(HAND CARD FF)
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 [Y08722.00] | Section: Fertility YA18 |
Did you use any form of cocaine at all during the 12 months before [Name of child from pregnancy 1] was born?
Q12-92 [Y08724.00] | Section: Fertility YA18 |
(HAND CARD FF)
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 [Y08725.00] | Section: Fertility YA18 |
During (your/that) pregnancy, did you take a vitamin/mineral supplement?
Q12-94 [Y08727.00] | Section: Fertility YA18 |
During (your/that) pregnancy, did you cut down on the amount of calories in the food you ate?
Q12-95 [Y08729.00] | Section: Fertility YA18 |
During (your/that) pregnancy, did you cut down on the amount of salt you used?
Q12-96 [Y08731.00] | Section: Fertility YA18 |
During (your/that) pregnancy, did you use diuretics (fluid or water pills) to help eliminate water?
Q12-97 [Y08733.00] | Section: Fertility YA18 |
During (your/that) pregnancy, did you reduce or stop your smoking?
Q12-98 [Y08735.00] | Section: Fertility YA18 |
During (your/that) pregnancy, did you reduce or stop your alcohol intake?
Q12-99A [Y08737.00] | Section: Fertility YA18 |
([Q12-93()]=1)
COMMENT: Did R take a vitamin/mineral supplement during pregnancy?
| 1 CONDITION APPLIES ...(Go To Q12-99B) |
| 0 CONDITION DOES NOT APPLY |
Q12-99B [Y08739.00] | Section: Fertility YA18 |
Did you take a vitamin/mineral supplement based on a doctor's or nurse's suggestion?
Q12-100A [Y08741.00] | Section: Fertility YA18 |
([Q12-94()]=1)
COMMENT: Did R cut down on the amount of calories his/her food during pregnancy?
| 1 CONDITION APPLIES ...(Go To Q12-100B) |
| 0 CONDITION DOES NOT APPLY |
Q12-100B [Y08743.00] | Section: Fertility YA18 |
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 [Y08745.00] | Section: Fertility YA18 |
([Q12-95()]=1)
COMMENT: Did R cut down on the amount of salt he/she used during pregnancy?
| 1 CONDITION APPLIES ...(Go To Q12-101B) |
| 0 CONDITION DOES NOT APPLY |
Q12-101B [Y08747.00] | Section: Fertility YA18 |
Did you cut down on the amount of salt you used based on a doctor's or nurse's suggestion?
Q12-102A [Y08749.00] | Section: Fertility YA18 |
([Q12-96()]=1)
COMMENT: Did R use diuretics (fluid or water pills) to help eliminate water during pregnancy?
| 1 CONDITION APPLIES ...(Go To Q12-102B) |
| 0 CONDITION DOES NOT APPLY |
Q12-102B [Y08751.00] | Section: Fertility YA18 |
Did you use diuretics (fluid or water pills) to help eliminate water based on a doctor's or nurse's suggestion?
Q12-103A [Y08752.00] | Section: Fertility YA18 |
([Q12-97()]=1)
COMMENT: Did R reduce or stop his/her smoking during pregnancy?
| 1 CONDITION APPLIES ...(Go To Q12-103B) |
| 0 CONDITION DOES NOT APPLY |
Q12-103B [Y08754.00] | Section: Fertility YA18 |
Did you reduce or stop your smoking based on a doctor's or nurse's suggestion?
Q12-104A [Y08756.00] | Section: Fertility YA18 |
([Q12-98()]=1)
COMMENT: Did R reduce or stop his/her alcohol intake during pregnancy?
| 1 CONDITION APPLIES ...(Go To Q12-104B) |
| 0 CONDITION DOES NOT APPLY |
Q12-104B [Y08758.00] | Section: Fertility YA18 |
Did you reduce or stop your alcohol intake based on a doctor's or nurse's suggestion?
Q12-105 [Y08760.00] | Section: Fertility YA18 |
Based on either your last menstrual period date or your doctor's or clinic's information, was [Name of child from pregnancy 1] born within one week of the expected (due) date?
Q12-106A [Y08762.00] | Section: Fertility YA18 |
Was the baby born early or late?
Q12-106B [Y08764.00] | Section: Fertility YA18 |
How many weeks [early/late] was the baby?
(IF "1 1/2 WEEKS" ROUND UP TO "2".)
Q12-107 [Y08766.00] | Section: Fertility YA18 |
Was a cesarean section done? (IF NECESSARY, PROBE:) Was the baby delivered by an incision in your abdomen?
Q12-108 [Y08768.00] | Section: Fertility YA18 |
Was this your first cesarean section, or did you have one before?
| 1 First cesarean |
| 0 Had cesarean(s) before |
Q12-109 [Y08770.00] | Section: Fertility YA18 |
What was your weight just before you delivered?
Q12-110 [Y08772.00] | Section: Fertility YA18 |
What was your weight just before you became pregnant with [Name of child from pregnancy 1]?
Q12-111 [Y08774.00] | Section: Fertility YA18 |
(([Weight just before delivery] >= 0) AND ([Weight before became pregnant] >= 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) |
Q12-112 [Y08776.00] | Section: Fertility YA18 |
([Weight just before delivery] - [Weight before became pregnant])
COMMENT: Subtract weight at time of delivery from weight before pregnancy.
If Answer = 0 Then Go To Q12-116
Q12-113 [Y08778.00] | Section: Fertility YA18 |
([Weight just before delivery] < [Weight before became pregnant])
COMMENT: Did R lose weight during pregnancy (weight at delivery is less than weight before pregnancy)?
If Answer = 0 Then Go To Q12-115
If Answer = 1 Then Go To Q12-114B
Q12-114B [Y08780.00] | Section: Fertility YA18 |
Does that mean that you lost [R's weight gain/loss during pregnancy 1] pounds during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109 ([Weight just before delivery]) AND Q12-110 ([Weight before became pregnant]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
Q12-115 [Y08781.00] | Section: Fertility YA18 |
Does that mean that you gained [R's weight gain/loss during pregnancy 1] pounds during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109 ([Weight just before delivery]) AND Q12-110 ([Weight before became pregnant]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
Q12-116 [] | Section: Fertility YA18 |
Does that mean that you did not gain or lose any weight during your pregnancy?
(INTERVIEWER: VERIFY WEIGHTS IN Q12-109 ([Weight just before delivery]) AND Q12-110 ([Weight before became pregnant]) AS NECESSARY <PG-UP> TO CORRECT IF R INDICATES AMOUNT IS INCORRECT.)
Q12-117 [] | Section: Fertility YA18 |
Did you gain or lose weight during your pregnancy with [Name of child from pregnancy 1]?
Q12-117A [] | Section: Fertility YA18 |
How much weight did you [gain/lose]?
(ENTER NUMBER OF POUNDS)
Q12-118A [Y08783.00] | Section: Fertility YA18 |
How much did [Name of child from pregnancy 1] weigh at birth?
(ENTER NUMBER OF POUNDS AND PRESS <ENTER> TO ENTER OUNCES.)
Q12-118B [Y08785.00] | Section: Fertility YA18 |
(How much did [Name of child from pregnancy 1] weigh at birth?)
(ENTER NUMBER OF OUNCES.)
Q12-119 [Y08787.00] | Section: Fertility YA18 |
What was [Name of child from pregnancy 1]'s length at birth?
(ENTER INCHES)
Q12-119A [Y08789.00] | Section: Fertility YA18 |
INTERVIEWER: DID R INDICATE THAT THE LENGTH OF THE BABY WAS AN ESTIMATE?
Q12-120 [Y08791.00] | Section: Fertility YA18 |
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) |
Q12-120A [Y08793.00] | Section: Fertility YA18 |
(How long did your baby stay in the hospital?)
(ENTER NUMBER OF DAYS)
Q12-121 [Y08795.00] | Section: Fertility YA18 |
Did you leave the hospital at the same time as your baby or did you leave earlier or later?
| 1 Same time |
| 2 Earlier ...(Go To Q12-122A) |
| 3 Later ...(Go To Q12-122B) |
| 4 BABY STILL IN HOSPITAL ...(Go To Q12-157BB) |
| 5 BABY DIED IN HOSPITAL ...(Go To Q12-157BB) |
| 6 BABY ADOPTED OUT IN HOSPITAL |
Q12-122A [Y08797.00] | Section: Fertility YA18 |
How many days earlier?
Q12-122B [Y08799.00] | Section: Fertility YA18 |
How many days later?
Q12-123 [Y08800.00] | Section: Fertility YA18 |
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?
(IF BABY "ADOPTED OUT"/"DECEASED" AND R IS RELUCTANT, SAY:) We appreciate how difficult this is, but [Name of child from pregnancy 1]'s experiences are important in helping us understand the health of other children like [him/her].
Q12-124 [] | Section: Fertility YA18 |
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 [Y08802.00] | Section: Fertility YA18 |
(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 [Y08804.07] | Section: Fertility YA18 |
(HAND CARD GG)
Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [main illness, child's first visit to clinic].
(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY
RECORDED IN Q12-124.)
| 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 [Y08806.00] | Section: Fertility YA18 |
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) [main illness, child's first visit to clinic]?
(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 [Y08808.00] | Section: Fertility YA18 |
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) [main illness, child's first visit to clinic]?
If Answer = 1 Then Go To Q12-129
Q12-128 [Y08810.00] | Section: Fertility YA18 |
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) [main illness, child's first visit to clinic]?
Q12-129 [Y08812.07] | Section: Fertility YA18 |
(HAND CARD HH)
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) [main illness, child's first visit to clinic], where did you take
[him/her]?
| 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 [Y08814.00] | Section: Fertility YA18 |
INLIST([Q12-129()],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) |
| 0 CONDITION DOES NOT APPLY |
Q12-131 [Y08816.00] | Section: Fertility YA18 |
When [Name of child from pregnancy 1] was admitted to the hospital, was surgery necessary?
Q12-132 [Y08817.00] | Section: Fertility YA18 |
Did you have to take time off from work?
Q12-133 [Y08818.00] | Section: Fertility YA18 |
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 [] | Section: Fertility YA18 |
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 [Y08820.00] | Section: Fertility YA18 |
(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 [Y08821.13] | Section: Fertility YA18 |
(HAND CARD GG)
Please look at this card and tell me which of these symptoms or conditions occurred with (the/a) [next illness - child's other visit to clinic].
(INTERVIEWER: CODE ALL THAT APPLY. DO NOT RECODE MAIN ILLNESS OR INJURY
RECORDED IN Q12-134.)
| 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 [Y08822.00] | Section: Fertility YA18 |
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) [next illness - child's other visit to clinic]?
(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 [Y08823.00] | Section: Fertility YA18 |
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) [next illness - child's other visit to clinic]?
If Answer = 1 Then Go To Q12-139
Q12-138 [Y08824.00] | Section: Fertility YA18 |
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) [next illness - child's other visit to clinic]?
Q12-139 [Y08825.04] | Section: Fertility YA18 |
(HAND CARD HH)
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) [next illness - child's other visit to clinic], where did you take
[him/her]?
| 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 [] | Section: Fertility YA18 |
INLIST([Q12-139()],9)
COMMENT: Was child from first pregnancy admitted to hospital for second illness in first year of life?
If Answer = 1 Then Go To Q12-141
Q12-141 [] | Section: Fertility YA18 |
When [Name of child from pregnancy 1] was admitted to the hospital, was surgery necessary?
Q12-142 [] | Section: Fertility YA18 |
Did you have to take time off from work?
Q12-143 [Y08826.00] | Section: Fertility YA18 |
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?
| 1 Yes ...(Go To Q12-144) |
| 0 No |
| 2 BABY DIED IN FIRST YEAR |
| 3 BABY ADOPTED OUT IN FIRST YEAR |
Q12-144 [Y08828.00] | Section: Fertility YA18 |
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?.....
(INTERVIEWER: ENCOURAGE THE RESPONDENT TO ESTIMATE MONTHS OF AGE IF AT ALL POSSIBLE.)
| 1 SELECT TO ENTER MONTHS ...(Go To Q12-144A) |
| 2 TOOK CHILD TO WELL CARE, BUT DOES NOT KNOW ANY MONTHS OF AGE |
Q12-144A [Y08830.07] | Section: Fertility YA18 |
(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 1 month old |
| 2 2 months old |
| 3 3 months old |
| 4 4 months old |
| 5 5 months old |
| 6 6 months old |
| 7 7 months old |
| 8 8 months old |
| 9 9 months old |
| 10 10 months old |
| 11 11 months old |
| 12 12 months old |
Q12-145B [Y08832.00] | Section: Fertility YA18 |
(HAND CARD HH)
Where did you usually take [Name of child from pregnancy 1] for well baby care? 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) |
Q12-146A-LOOP-BEGIN [] | Section: Fertility YA18 |
REPEAT([Fertility LOOP17 counter])
COMMENT: start loop to ask where baby was taken for well care
Q12-146B [Y08833.00] | Section: Fertility YA18 |
(HAND CARD HH)
When you took [Name of child from pregnancy 1] for well baby care when [he/she] was [age of child when taken to well baby care([Fertility LOOP17 counter])], 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) |
Q12-147A-LOOP-END [] | Section: Fertility YA18 |
UNTIL([Fertility LOOP17 counter],[Fertility LOOP17 counter]=[number of choices from select all in Q12-144a])
COMMENT: Repeat loop for number of choices
Q12-157BB [Y08852.00] | Section: Fertility YA18 |
([HHI flag of child from pregnancy 1]=5) or ([HHI flag of child from pregnancy 1]=8)
COMMENT: IS CHILD ADOPTED OUT OR DECEASED?
| 1 CONDITION APPLIES ...(Go To Q12-158B) |
| 0 CONDITION DOES NOT APPLY |
Q12-157C [Y08855.00] | Section: Fertility YA18 |
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 or all of a hospital bill?
(PROBE IF NECESSARY) Examples of health and hospitalization insurance plan include Blue Cross, Blue Shield, HMO.
(INTERVIEWER: THIS DOES NOT INCLUDE PUBLIC ASSISTANCE HEALTH CARE PROGRAMS.)
Q12-157D [Y08858.00] | Section: Fertility YA18 |
(HAND CARD II) What is the source of [Name of child from pregnancy 1]'s health plan? Is it your own policy brought 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 [Y08860.00] | Section: Fertility YA18 |
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?
Q12-158B [Y08863.00] | Section: Fertility YA18 |
([number of biological children R had since date of last interview] >= 2)
COMMENT: Did R report at least 2 new children since last NICHD interview?
Q12-158C [Y08867.00] | Section: Fertility YA18 |
([flag indicating if live-birth pregnancy resulted in multiple births()] >= 1)
COMMENT: Did this pregnancy result in a multiple birth?
| 1 CONDITION APPLIES |
| 0 CONDITION DOES NOT APPLY |
Q12-158D-LOOP-END [] | Section: Fertility YA18 |
UNTIL([Fertility LOOP16 counter],([Fertility LOOP16 counter]>=[number of biological children R had since date of last interview] and [Did R identify a child born since date of last interview?()]!=0))
COMMENT: END LOOP WHEN ALL CHILDREN CHECKED FOR NEW STATUS
Q12-158E [Y08869.00] | Section: Fertility YA18 |
([gender of the R])
COMMENT: IS THE RESPONDENT A MALE OR FEMALE?
Q12-159B [Y08870.00] | Section: Fertility YA18 |
([flag #1 for feeding questions]>0) or ([flag #2 for feeding questions]>0) or ([number of biological children R had since date of last interview] > 0)
COMMENT: Are there any new children to ask feeding questions for?
Q12-159C [Y08871.00] | Section: Fertility YA18 |
([Any children born since DLI?]=1) or ([Has R had any children?]=1)
COMMENT: R HAVE ANY CHILDREN OR ANY NEW CHILDREN SINCE DLI?
Q12-160-LOOP-BEGIN [] | Section: Fertility YA18 |
REPEAT([Fertility LOOP18 counter])
COMMENT: Begin loop about feeding
Q12-161 [Y08872.00] | Section: Fertility YA18 |
([status of biological child (code)()] = 99)
COMMENT: Has this child been deleted?
Q12-162 [Y08875.00] | Section: Fertility YA18 |
([status of biological child (code)()] = 97)
COMMENT: Is this a new child (since last interview)?
| 1 CONDITION APPLIES ...(Go To Q12-164) |
| 0 CONDITION DOES NOT APPLY |
Q12-164 [Y08878.00] | Section: Fertility YA18 |
When [Name of biological child()] was an infant, did you breast feed [him/her()] at all?
(IF BABY "ADOPTED OUT"/"DECEASED" AND R IS RELUCTANT, SAY:) We appreciate how difficult this is, but [Name of biological child()]'s experiences are important in helping us understand the health of other children like [him/her()].
Q12-165 [Y08881.00] | Section: Fertility YA18 |
How many weeks old was [Name of biological child()] 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 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-165B) |
| 0 STILL BREAST FEEDING |
Q12-165A [Y08883.00] | Section: Fertility YA18 |
(How many weeks old was [Name of biological child()] when you quit breast feeding [him/her()] altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
Q12-165B [Y08885.00] | Section: Fertility YA18 |
(How many months old was [Name of biological child()] 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 [Y08886.00] | Section: Fertility YA18 |
How many weeks old was [Name of biological child()] 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 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-166B) |
| 0 FROM BIRTH |
| 95 (DO/DID) NOT FORMULA FEED ...(Go To Q12-167) |
Q12-166A [Y08889.00] | Section: Fertility YA18 |
(How many weeks old was [Name of biological child()] when you began feeding [him/her()] FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
Q12-166B [Y08891.00] | Section: Fertility YA18 |
(How many months old was [Name of biological child()] 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 [] | Section: Fertility YA18 |
What are the main reasons that you chose to use formula?
(RECORD VERBATIM AND CODE ALL THAT APPLY ON NEXT SCREEN)
Q12-166CA [Y08892.04] | Section: Fertility YA18 |
(What are the main reasons that you chose to use formula?
(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 [Y08895.00] | Section: Fertility YA18 |
How many weeks old was [Name of biological child()] when you stopped 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 Q12-166E) |
| 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-166F) |
| 0 STILL FEEDING FORMULA |
Q12-166E [Y08898.00] | Section: Fertility YA18 |
(How many weeks old was [Name of biological child()] when you stopped feeding [him/her()] FORMULA on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
Q12-166F [Y08899.00] | Section: Fertility YA18 |
(How many months old was [Name of biological child()] 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 [Y08901.00] | Section: Fertility YA18 |
How many weeks old was [Name of biological child()] 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 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-167B) |
| 0 FROM BIRTH |
| 95 HAS NOT BEGUN YET |
Q12-167A [Y08904.00] | Section: Fertility YA18 |
(How many weeks old was [Name of biological child()] when [he/she()] began drinking COW'S MILK on a regular basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
Q12-167B [Y08905.00] | Section: Fertility YA18 |
(How many months old was [Name of biological child()] when you [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 [Y08907.00] | Section: Fertility YA18 |
([Did R breastfeed?()]=0) or ([Did R breastfeed?()]=96) or ([Did R formula feed?()]=0) or ([Did R formula feed?()]=96) or ([Did R start cow's milk?()]=0) or ([Did R start cow's milk?()]=96)
COMMENT: WAS CHILD BREASTFED OR DRANK FORMULA OR COW'S MILK SINCE BIRTH, OR FROM BIRTH QUESTIONS NOT IN PATH (ALREADY ASKED AT PREVIOUS INTERVIEW?
| 1 CONDITION APPLIES ...(Go To Q12-169) |
| 0 CONDITION DOES NOT APPLY |
Q12-168A [] | Section: Fertility YA18 |
How (was/is) [Name of biological child()] fed at birth?
| 1 Intravenous feeding |
| 2 Evaporated milk |
| 3 Other (SPECIFY) |
Q12-169 [Y08910.00] | Section: Fertility YA18 |
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.
How many weeks old was [Name of biological child()] 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 Q12-169A) |
| 2 SELECT TO ENTER NUMBER OF MONTHS OLD ...(Go To Q12-169B) |
| 0 FROM BIRTH |
| 95 HAS NOT BEGUN YET |
Q12-169A [Y08913.00] | Section: Fertility YA18 |
(How many weeks old was [Name of biological child()] when [he/she()] first ate SOLID FOOD on a daily basis?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
Q12-169B [Y08915.00] | Section: Fertility YA18 |
How many months old was [Name of biological child()] 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.)
Q12-165BB-LOOP-END [] | Section: Fertility YA18 |
UNTIL([Fertility LOOP18 counter],[Fertility LOOP18 counter]=[current number of bio children on roster])
COMMENT: End loop about feeding
Q12-170 [Y08917.00] | Section: Fertility YA18 |
([gender of the R])
COMMENT: IS THE RESPONDENT A MALE OR FEMALE?
Q12-171 [Y08918.00] | Section: Fertility YA18 |
Are you currently pregnant?
Q12-172 [Y08919.00] | Section: Fertility YA18 |
Altogether, how many [blank/more] children do you EXPECT to have?
(INCLUDE ANY CURRENT PREGNANCY OF RESPONDENT OR [spouse/partner].)
(INTERVIEWER: IF RESPONDENT SAYS NONE, ENTER "0".)
| 1 SELECT TO ENTER NUMBER OF CHILDREN |
| 2 NONE ...(Go To Q13-ROS-3) |
Q12-174 [Y08920.00] | Section: Fertility YA18 |
(Altogether, how many [blank/more] children do you EXPECT to have?)
ENTER NUMBER OF CHILDREN:
If Answer = 0 Then Go To Q13-ROS-3
Q12-175 [Y08921.00] | Section: Fertility YA18 |
In how many months or years do you expect to have your [first/next] child?
(INTERVIEWER: ENTER MONTHS OR YEARS BELOW. PRESS <ENTER> TO ENTER
LENGTH OF TIME.)
Q12-175A [Y08922.00] | Section: Fertility YA18 |
(In how many months do you expect to have your [first/next] child?)
(ENTER NUMBER OF MONTHS.)
Q12-175B [Y08923.00] | Section: Fertility YA18 |
(In how many years do you expect to have your [first/next] child?
(ENTER NUMBER OF YEARS.)