Questionnaire Public Report |
04/09/2019 03:31:00 PM |
|
Cohort: |
National Longitudinal Survey of
Youth 1979 |
|
Round: |
NLSY79 Round 28 |
|
Instrument : |
R28 Youth Main Field |
Q9-INTRO |
Section:
Fertility |
Now we'd like to ask you some questions about children.
Default Next: |
|
Lead-In: |
Q9-FILTER [Default] |
Q9-64FB |
Section:
Fertility |
[partner in hh?]==1 && [same sex
partner]==1
COMMENT:
Is a same sex partner reported?
If Answer = 1 Then Go To Q9-RECCOUNT1
Default Next: |
|
Lead-In: |
Q9-INTRO [Default] |
Q9-64GB_4 |
Section:
Fertility |
[r previously report
being surgically sterilized?]
COMMENT: R report being surgically sterilized in prior
rounds?
If Answer = 1 Then Go To Q9-RECCOUNT1
Default Next: |
|
Lead-In: |
Q9-64FB [Default] |
Q9-64GB_5 |
Section:
Fertility |
[RESPONDENT GENDER]==2 &&
[{RESPAGEDLI}]>52
If Answer = 1 Then Go To Q9-RECCOUNT1
Default Next: |
|
Lead-In: |
Q9-64GB_4 [Default] |
Q9-64GC |
Section:
Fertility |
Have you had any operation to prevent pregnancy? That is have you
[had (a vasectomy/your tubes tied or had a tubal ligation)] or has [your
wife/husband/spouse/partner] [had (a vasectomy/her tubes tied or had a tubal
ligation)]?
|
1 Tubes
tied only |
|
2 Vasectomy
only |
|
3 Both
tubes tied and vasectomy |
|
4 (IF
VOLUNTEERED:) Hysterectomy only |
|
5 (IF
VOLUNTEERED: Both hysterectomy and vasectomy |
|
6 No
surgical procedure |
Default Next: |
|
Lead-In: |
Q9-64GB_5 [Default] |
Q9-RECCOUNT1 |
Section:
Fertility |
RECCOUNT ([biochild roster])
COMMENT: Count of biological children
If Answer =
0 Then Go To Q9-2A
Default Next: |
|
Lead-In: |
Q9-64FB [1:1],
Q9-64GB_4 [1:1],
Q9-64GB_5 [1:1],
Q9-64GC [Default] |
Q9-2A |
Section:
Fertility |
Our records show that you do not have any biological children. Is
that correct?
|
1 YES ...(Go
To Q11-1AAA) |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-RECCOUNT1 [0:0] |
Q9-2A1 |
Section:
Fertility |
[RESPONDENT GENDER]
If Answer = 1 Then Go To Q9-2A3
Default Next: |
|
Lead-In: |
Q9-RECCOUNT1 [Default] |
Q9-2A2 |
Section:
Fertility |
[{RESPAGEDLI}]>=50
COMMENT:
Was female respondent aged 50 or older at the date of her last interview?
If Answer = 1 Then Go To Q9-29GD
Default Next: |
|
Lead-In: |
Q9-2A1 [Default] |
Q9-2A3 |
Section:
Fertility |
[r previously report being surgically
sterilized?]
COMMENT:
Did R report being surgically sterilized in prior rounds?
If Answer = 1 Then Go To Q9-29GD
Default Next: |
|
Lead-In: |
Q9-22B |
Section:
Fertility |
Have you had any biological children since [Date of last
interview]?
|
1 YES ...(Go
To Q9-22BA) |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-2A3 [Default] |
Q9-22BA |
Section:
Fertility |
How many children have you [{LINT_EVER}]
|
|
Default Next: |
|
Lead-In: |
Q9-23-LOOP-BEGIN |
Section: Fertility |
REPEAT
COMMENT: Begin Loop for adding new bio children.
Default Next: |
|
Lead-In: |
Q9-22BA [Default] |
Q9-28 |
Section:
Fertility |
What did you name the [first/ next] baby?
(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME. PLEASE
RECORD FULL NAME OR FIRST AND LAST NAME. ENTERING A SINGLE/FIRST NAME ONLY MAY
CAUSE DATA PROBLEMS LATER IN THE INTERVIEW.)
|
|
Default Next: |
|
Lead-In: |
Q9-23-LOOP-BEGIN [Default] |
Q9-28A |
Section:
Fertility |
Was the baby a boy or a girl?
|
1 Boy |
|
2 Girl |
Default Next: |
|
Lead-In: |
Q9-28 [Default] |
Q9-28B |
Section:
Fertility |
When was your child born?
(INTERVIEWER: YOU MUST ENTER A VALID YEAR IN THIS QUESTION. REPORT
ANY UNUSUAL ANSWERS IN A COMMENT.)
|
|
|
|
|
Month |
Day |
Year |
|
Default Next: |
|
Lead-In: |
Q9-28A [Default] |
Q9-28T-LOOP-END |
Section:
Fertility |
UNTIL([Q9-loop11
counter]==[# bio children since dli] || [# bio children since dli]<0)
COMMENT: loop end about new bio children
Default Next: |
|
Lead-In: |
Q9-28B [Default] |
Q9-NEWBIO-VERIFY |
Section: Fertility |
INTERVIEWER: BELOW IS A LIST OF THE NEW BIOLOGICAL
[{CHILDREN}] YOU HAVE ADDED.
I'd like just verify this information with you.
[{FOREACH}]
I have CHILD NAME, a GENDER, born on BIRTHDATE. Is that correct?
INTERVIEWER: IF RESPONDENT SAYS INFORMATION IS
CORRECT; SELECT <ENTER>. OTHERWISE, CORRECT AS NEEDED BY SELECTING THE
ROSTER LINE OF ANY CHILD NEEDING CORRECTION.
Default Next: |
|
Lead-In: |
Q9-28T-LOOP-END [Default] |
Q9-29GD |
Section:
Fertility |
[# bio children since dli] > 2
If Answer = 1 Then Go To Q9-29GE
Default Next: |
|
Lead-In: |
Q9-2A2 [1:1],
Q9-2A3 [1:1],
Q9-22B [Default],
Q9-NEWBIO-VERIFY [Default] |
Q9-29GE |
Section:
Fertility |
[# bio children since dli]== 2
If Answer = 1 Then Go To Q9_29GF
Default Next: |
|
Lead-In: |
Q9-29GD [1:1] |
Q9_29GF |
Section:
Fertility |
[Birth date of bio child born since dli(1)]==[Birth date of bio child born since dli(2)]
If Answer = 1 Then Go To Q9-29HB-LOOP-BEGIN
Default Next: |
|
Lead-In: |
Q9-29GE [1:1] |
Q9-29HB-LOOP-BEGIN |
Section: Fertility |
REPEAT
COMMENT: Start loop to check for twins/triplets/etc.
Default Next: |
|
Lead-In: |
Q9-29I |
Section:
Fertility |
(INTERVIEWER: CHECK FOR CHILDREN WITH THE SAME
BIRTHDATE WHO DO NOT HAVE A 'YES' IN THE "TWIN" COLUMN. SELECT R'S
RESPONSE BELOW.)
Q9-29J |
Section:
Fertility |
(INTERVIEWER: FOR EACH PAIR OR GROUP OF CHILDREN
WITH THE SAME BIRTHDATE BUT NOT IDENTIFIED AS TWINS/TRIPLETS/ETC., ASK:)
Is it correct that (READ NAMES OF CHILDREN) are
(twins/triplets/etc.)?
(DO NOT RE-REPORT TWINS/TRIPLETS ALREADY IDENTIFIED.)
|
0 NO
(ADDITIONAL) TWINS/TRIPLETS/ETC. ON CHILD ROSTER |
|
1 ONE
SET OF (ADDITIONAL) TWINS ON CHILD ROSTER |
|
2 ONE
SET OF (ADDITIONAL) TRIPLETS ON CHILD ROSTER |
|
3 INCORRECT
TWINS/TRIPLETS/ETC. IDENTIFIED ON CHILD ROSTER |
Default Next: |
|
Lead-In: |
Q9-29I [Default] |
Q9-29J-CHK1 |
Section:
Fertility |
[Q9-29J([{Q9-TWINLOOP}])]
COMMENT: R report set of multiple birth child(ren)
not yet marked on roster.
If Answer =
0 Then Go To Q9-29QAA-LOOP-END
If Answer >= 1 AND Answer <= 2 Then Go To Q9-29L
Default Next: |
|
Lead-In: |
Q9-29J [Default] |
Q9-29K |
Section:
Fertility |
INTERVIEWER: VERIFY THE BIRTHDATE INFORMATION FOR
THE CHILDREN INCORRECTLY LISTED AS TWINS/TRIPLETS/ETC. USE BACK/LEFT ARROW AT
TOP OF SCREEN AS NECESSARY TO CORRECT CHILD INFORMATION. IF RESPONDENT CONFIRMS
BIRTHDATES LISTED, EXPLAIN IN AN INTERVIEWER COMMENT BY SELECTING "COMMENT"
BUTTON NEXT TO QNAME.
Default Next: |
|
Lead-In: |
Q9-29J-CHK1 [Default] |
Q9-29L |
Section:
Fertility |
(INTERVIEWER: SELECT (FIRST/NEXT) (ADDITIONAL) SET
OF (TWINS/TRIPLETS) ON ROSTER, AND IF SAME SEX, ASK:)
Are (READ NAMES OF SELECTED CHILDREN) identical
(twins/triplets) or are they fraternal (twins/triplets)? (IF NOT SAME SEX, SELECT
"FRATERNAL" IN BELOW .)
Q9-29M |
Section:
Fertility |
(Are (READ NAMES OF SELECTED CHILDREN) identical
(twins/triplets) or are they fraternal (twins/triplets)?)
(INTERVIEWER: IF (TWINS/TRIPLETS) NOT THE SAME SEX, THEY ARE
"FRATERNAL".)
|
1 IDENTICAL ...(Go
To Q9-29QAA-LOOP-END) |
|
2 FRATERNAL ...(Go
To Q9-29QAA-LOOP-END) |
Default Next: |
|
Lead-In: |
Q9-29L [Default] |
Q9-29N |
Section:
Fertility |
Are they (REPEAT NAMES OF CHILDREN 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 |
Default Next: |
|
Lead-In: |
Q9-29M [Default] |
Q9-29QAA-LOOP-END |
Section: Fertility |
UNTIL([Q9-29J([{Q9-twinloop}])]==0 || [{Q9-twinloop}]==3)
COMMENT: END LOOP WHEN ALL SETS OF MULTIPLE BIRTHS ACCOUNTED
FOR, OR HAVE PASSED THROUGH MAXIMUM OF 3 TIMES
Default Next: |
|
Lead-In: |
Q9-29J-CHK1 [0:0],
Q9-29M [1:2],
Q9-29K [Default],
Q9-29N [Default] |
Q9-BIOROS-COUNT2 |
Section: Fertility |
[total # bio children
reported] > 0
COMMENT: Is there at least one child on BIOCHILD roster?
If Answer =
1 Then Go To Q9-30-LOOP-BEGIN
Default Next: |
|
Lead-In: |
Q9-29GD [Default],
Q9_29GF [Default],
Q9-29QAA-LOOP-END [Default] |
Q9-30-LOOP-BEGIN |
Section: Fertility |
REPEAT
COMMENT: Begin loop to ask about residence/visitation of
biological children
Default Next: |
|
Lead-In: |
Q9-BIOROS-COUNT2 [1:1] |
Q9-30C |
Section:
Fertility |
[biological child status
code([{Q9-resloop}])]
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 Q9-44
If Answer = 8 Then Go To Q9-44
If Answer = 99 Then Go To Q9-60-LOOP-END
Default Next: |
|
Lead-In: |
Q9-30-LOOP-BEGIN [Default] |
Q9-30D |
Section:
Fertility |
[Where does [name of biochild] usually live? (asked
of ages 0 to 22)/Does [name of biochild] currently live in this household, at
college, in their own residence or somewhere else? (asked
of ages 23 and older)]
(INTERVIEWER: IF R INDICATES CHILD IS IN COLLEGE BUT LIVES AT HOME
ON BREAKS, CODE AS “AWAY AT SCHOOL”)
If Answer = 8 Then Go To Q9-30E
If Answer = 99 Then Go To Q9-60-LOOP-END
Default Next: |
|
Lead-In: |
Q9-30C [Default] |
Q9-30DB |
Section:
Fertility |
[Usual residence of biological child([{Q9-resloop}])]
COMMENT:
Residence status of biological child
If Answer >= 2 AND Answer <= 4
Then Go To Q9-44
If Answer = 5 Then Go To Q9-44
If Answer >= 6 AND Answer <= 7 Then Go To Q9-44
If Answer = 8 Then Go To Q9-30E
If Answer = 11 Then Go To Q9-44
Default Next: |
|
Lead-In: |
Q9-30D [Default] |
Q9-30E |
Section:
Fertility |
When did [name of biochild([{Q9-resloop}])]
die?
|
|
|
|
Month |
Year |
|
Default Next: |
|
Lead-In: |
Q9-44 |
Section:
Fertility |
[Usual residence of biological child([{Q9-resloop}])]
COMMENT:
Does first biological child live in household or with another person part time?
If Answer = 1 Then Go To Q9-44A
If Answer = 5 Then Go To Q9-60-LOOP-END
If Answer = 8 Then Go To Q9-60-LOOP-END
If Answer = 9 Then Go To Q9-44A
If Answer = 10 Then Go To Q9-44A
Default Next: |
|
Lead-In: |
Q9-30C [5:5],
Q9-30C [8:8],
Q9-30DB [2:4],
Q9-30DB [5:5],
Q9-30DB [6:7],
Q9-30DB [11:11],
Q9-30DB [Default],
Q9-30E [Default] |
Q9-44A |
Section:
Fertility |
[age of biochild([{Q9-RESLOOP}])]>18
If Answer = 1 Then Go To Q9-44AA
Default Next: |
|
Lead-In: |
Q9-44AA |
Section:
Fertility |
[Usual residence of biological child([{Q9-RESLOOP}])]==1
If Answer = 1 Then Go To Q9-60-LOOP-END
Default Next: |
|
Lead-In: |
Q9-44A [1:1] |
Q9-44AB |
Section:
Fertility |
[Usual residence of biological child([{Q9-resloop}])]==9
COMMENT:
Is biochild living part-time with R, part-time with other parent?
If Answer = 1 Then Go To Q9-46A
Default Next: |
|
Lead-In: |
Q9-44A [Default] |
Q9-44C |
Section:
Fertility |
[biochild_othparstat([{Q9-resloop}])]
COMMENT:
Biological child's other parent in household at previous interview?
If Answer = 1 Then Go To Q9-60-LOOP-END
If Answer = 2 Then Go To Q9-44CA
Default Next: |
|
Lead-In: |
Q9-44AB [Default] |
Q9-44CA |
Section:
Fertility |
[marital status code]==4
If Answer = 1 Then Go To Q9-45
Default Next: |
|
Lead-In: |
Q9-44C [2:2] |
Q9-45 |
Section:
Fertility |
Does [name of biochild([{Q9-resloop}])]'s
natural [father/mother] live in this household?
|
1 YES ...(Go
To Q9-60-LOOP-END) |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-46 |
Section:
Fertility |
Is [name of biochild([{Q9-resloop}])]'s
[father/mother] living?
|
1 YES ...(Go
To Q9-46B) |
|
0 NO |
If Answer >= -2 AND Answer <= -1 Then Go To Q9-46B
Default Next: |
|
Lead-In: |
Q9-45 [Default] |
Q9-46A |
Section:
Fertility |
[biochild_othparstat([{Q9-resloop}])] ==
2
COMMENT:
Biological child's other parent reported out of household at previous
interview?
If Answer = 1 Then Go To Q9-50
Default Next: |
|
Lead-In: |
Q9-44AB [1:1] |
Q9-46B |
Section:
Fertility |
[age of biochild([{Q9-RESLOOP}])]>18
If Answer = 1 Then Go To Q9-60-LOOP-END
Default Next: |
|
Lead-In: |
Q9-47 |
Section:
Fertility |
When did [name of biochild([{Q9-resloop}])]'s
natural [father/mother] leave the household?
|
1 SELECT
TO ENTER DATE |
|
2 NATURAL
(MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD ...(Go To Q9-50) |
If Answer >= -2 AND Answer <= -1 Then Go To Q9-50
Default Next: |
|
Lead-In: |
Q9-46B [Default] |
Q9-47A |
Section:
Fertility |
INTERVIEWER: ENTER MONTH AND YEAR [name of biochild([{Q9-resloop}])]'S NATURAL [father/mother] LEFT THE
HOUSEHOLD.
|
|
|
|
Month |
Year |
|
Default Next: |
|
Lead-In: |
Q9-47 [Default] |
Q9-48 |
Section:
Fertility |
What month and year did [name of biochild([{Q9-resloop}])]'s
natural [father/mother] die?
|
|
|
|
Month |
Year |
|
Default Next: |
|
Lead-In: |
Q9-46 [Default] |
Q9-50 |
Section:
Fertility |
About how far from you does [name of biochild([{Q9-resloop}])]'s
[father/mother] live?
|
1 WITHIN
1 MILE |
|
2 1-10
MILES |
|
3 11-100
MILES |
|
4 101-200
MILES |
|
5 MORE
THAN 200 MILES |
Default Next: |
|
Lead-In: |
Q9-46A [1:1],
Q9-47 [-2:-1],
Q9-47 [2:2],
Q9-44CA [Default],
Q9-47A [Default] |
Q9-51 |
Section:
Fertility |
In the past 12 months, about how often has [name of biochild([{Q9-resloop}])] seen [his/her([{Q9-resloop}])]
[father/mother]?
(IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [name of biochild([{Q9-resloop}])]
has been separated from [his/her([{Q9-resloop}])] [father/mother], about how
often has [name of biochild([{Q9-resloop}])] seen [his/her([{Q9-resloop}])]
[father/mother]?
|
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 Q9-60-LOOP-END) |
Default Next: |
|
Lead-In: |
Q9-50 [Default] |
Q9-52 |
Section:
Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 0.)
|
|
Default Next: |
|
Lead-In: |
Q9-51 [Default] |
Q9-53 |
Section:
Fertility |
About how far from you does [name of biochild([{Q9-resloop}])]
live?
|
1 WITHIN
1 MILE |
|
2 1-10
MILES |
|
3 11-100
MILES |
|
4 101-200
MILES |
|
5 MORE
THAN 200 MILES |
Default Next: |
|
Lead-In: |
Q9-44 [Default] |
Q9-54 |
Section:
Fertility |
In the past 12 months, about how often have you seen [name of biochild([{Q9-resloop}])]?
(IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [name of biochild([{Q9-resloop}])]
has not been living with you, about how often have you seen [name of
biochild([{Q9-resloop}])]?
|
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 |
Default Next: |
|
Lead-In: |
Q9-53 [Default] |
Q9-54A |
Section:
Fertility |
[age of biochild([{Q9-RESLOOP}])]>18
If Answer = 1 Then Go To Q9-54AB
Default Next: |
|
Lead-In: |
Q9-54 [Default] |
Q9-54AB |
Section:
Fertility |
How often in the past year have you had contact with [name of biochild([{Q9-resloop}])], by means such as card, letter,
e-mail, text or facebook message, skype or phone call?
(INTERVIEWER: READ CATEGORIES ONLY IF NECESSARY)
|
1 NOT
AT ALL |
|
2 ABOUT
ONCE A YEAR OR LESS |
|
3 SEVERAL
TIMES A YEAR |
|
4 ABOUT
ONCE A MONTH |
|
5 TWO
OR THREE TIMES A MONTH |
|
6 ONCE
A WEEK |
|
7 SEVERAL
TIMES A WEEK |
|
8 EVERY
DAY |
Default Next: |
|
Lead-In: |
Q9-54B |
Section:
Fertility |
[{NUMVISITS}]==0
If Answer = 1 Then Go To Q9-56
Default Next: |
|
Lead-In: |
Q9-54A [Default] |
Q9-55 |
Section:
Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 0.)
|
|
Default Next: |
|
Lead-In: |
Q9-54B [Default] |
Q9-56 |
Section:
Fertility |
When did [name of biochild([{Q9-resloop}])]
last live with you?
|
1 SELECT
TO ENTER DATE ...(Go To Q9-57) |
|
0 NEVER LIVED
WITH R |
Default Next: |
|
Lead-In: |
Q9-57 |
Section:
Fertility |
(When did [name of biochild([{Q9-resloop}])]
last live with you?)
ENTER DATE
|
|
|
|
Month |
Year |
|
Default Next: |
|
Lead-In: |
Q9-56 [1:1] |
Q9-58 |
Section:
Fertility |
(Were/Was) there any period(s) of more than three consecutive
months when [name of biochild([{Q9-resloop}])] did not
live with you before that time?
|
1 YES |
|
0 NO |
|
2 CHILD
IS LESS THAN THREE MONTHS OLD |
Default Next: |
|
Lead-In: |
Q9-57 [Default] |
Q9-60-LOOP-END |
Section:
Fertility |
UNTIL([{Q9-resloop}]==[total
# bio children reported])
COMMENT: end loop.
Default Next: |
|
Lead-In: |
Q9-30C [99:99],
Q9-30D [99:99],
Q9-44 [5:5],
Q9-44 [8:8],
Q9-44AA [1:1],
Q9-44C [1:1],
Q9-45 [1:1],
Q9-46B [1:1],
Q9-51 [0:0],
Q9-48 [Default],
Q9-52 [Default],
Q9-54AB [Default],
Q9-56 [Default],
Q9-58 [Default] |
Q9-67A |
Section:
Fertility |
[RESPONDENT GENDER]==1
COMMENT:
Is respondent male?
If Answer = 1 Then Go To Q11-1AAA
Default Next: |
|
Lead-In: |
Q9-BIOROS-COUNT2 [Default],
Q9-60-LOOP-END [Default] |
Q9-FEM52-AGECHK1 |
Section: Fertility |
[{ageatdli}] > 52
COMMENT: Female R over 52 years old currently or at last
interview?
If Answer =
1 Then Go To Q9-72
Default Next: |
|
Lead-In: |
Q9-67A [Default] |
Q9-68C |
Section:
Fertility |
[type of dwelling unit] == 7
If Answer = 0 Then Go To Q9-69B
Default Next: |
|
Lead-In: |
Q9-FEM52-AGECHK1 [Default] |
Q9-69B |
Section:
Fertility |
[# bio children since dli] > 0
COMMENT:
Were any children born since last interview?
If Answer = 0 Then Go To Q9-69G
If Answer = 1 Then Go To Q9-69G
Default Next: |
|
Lead-In: |
Q9-68C [0:0] |
Q9-69F |
Section:
Fertility |
[r previously report being surgically
sterilized?] == 1
If Answer = 1 Then Go To Q9-72
Default Next: |
|
Lead-In: |
Q9-69B [Default] |
Q9-69G |
Section:
Fertility |
[{ageatdli}] > 48 || [R's age] > 48
COMMENT:
Female R over 48 years old currently or at last interview?
If Answer = 1 Then Go To Q9-72
Default Next: |
|
Lead-In: |
Q9-70A |
Section:
Fertility |
[{pregtext1}] you had any [{pregtext2}] pregnancies since
[{fertrefdate~X}]?
INTERVIEWER: BY OTHER PREGNANCIES, WE MEAN:
- ANY CURRENT PREGNANCY
- ANY PREGNANCIES WHICH DID NOT END IN A LIVE BIRTH. THESE SHOULD NOT BE
PREGNANCIES WHICH RESULTED IN THE BIRTH OF [{pregtext3}]
|
1 YES ...(Go
To Q9-70B) |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-69G [Default] |
Q9-70B |
Section:
Fertility |
[{pregtext5}] many [{pregtext2}] pregnancies have you had since
[{fertrefdate~X}]?
(INTERVIEWER: IF R IS CURRENTLY PREGNANT, PLEASE COUNT THAT
PREGNANCY.)
|
|
Default Next: |
|
Lead-In: |
Q9-70A [1:1] |
Q9-70B2 |
Section:
Fertility |
[{pregtext6}] end in an abortion?
|
1 YES ...(Go
To Q9-70B3) |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-70B [Default] |
Q9-70B3 |
Section:
Fertility |
[{numothpreg}]
If Answer >= 0 AND Answer <= 1
Then Go To Q9-72
Default Next: |
|
Lead-In: |
Q9-70B2 [1:1] |
Q9-70B4 |
Section:
Fertility |
How many of those pregnancies ended in abortion?
|
|
Default Next: |
|
Lead-In: |
Q9-70B3 [Default] |
Q9-72 |
Section:
Fertility |
[total # bio children reported] > 0
COMMENT:
Has R ever had any children?
If Answer = 1 Then Go To Q9-73
Default Next: |
|
Lead-In: |
Q9-FEM52-AGECHK1 [1:1],
Q9-69F [1:1],
Q9-69G [1:1],
Q9-70B3 [0:1],
Q9-68C [Default],
Q9-70A [Default],
Q9-70B2 [Default],
Q9-70B4 [Default] |
Q9-73 |
Section:
Fertility |
[# bio children since dli] >= 1
COMMENT:
Has R had any live births since 2004 or prior interview?
If Answer = 1 Then Go To Q9-73Z-LOOP-BEGIN
Default Next: |
|
Lead-In: |
Q9-72 [1:1] |
Q9-73Z-LOOP-BEGIN |
Section: Fertility |
REPEAT
COMMENT: Copy name of child resulting from first pregnancy
since date of 2004 or prior interview.
Default Next: |
|
Lead-In: |
Q9-73 [1:1] |
Q9-73ZE_2 |
Section:
Fertility |
INTERVIEWER: THE FOLLOWING QUESTIONS REFER TO THE
PREGNANCY THAT RESULTED IN THE BIRTH OF [name of bio child born since dli([Q9-loop16 counter])], WHO WAS BORN ON
[NEWBIO_BDATE([Q9-loop16 counter])~X].
Default Next: |
|
Lead-In: |
Q9-73Z-LOOP-BEGIN [Default] |
Q9-74A1 |
Section:
Fertility |
[Q9-loop16 counter] == 1
If Answer = 0 Then Go To Q9-74A2
Default Next: |
|
Lead-In: |
Q9-73ZE_2 [Default] |
Q9-74A2 |
Section:
Fertility |
[live-birth pregnancy result in multiple
births?([loop index])] >= 1
COMMENT:
WAS THIS A MULTIPLE BIRTH - REPORTED IN LAST LOOP?
If Answer = 0 Then Go To Q9-74B
Default Next: |
|
Lead-In: |
Q9-74A1 [0:0] |
Q9-74A3 |
Section:
Fertility |
[{numtwins}]==0
If Answer = 1 Then Go To Q9-76E
Default Next: |
|
Lead-In: |
Q9-74A1 [Default] |
Q9-74B |
Section:
Fertility |
INTERVIEWER: DID THIS PREGNANCY RESULT IN THE
BIRTH OF TWINS? USE BACK/LEFT ARROW AT TOP OF SCREEN IF NECESSARY TO CHECK THE
ROSTER.
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-76E |
Section:
Fertility |
[Q9-loop16 counter] == 1
COMMENT:
IS THIS THE FIRST TIME THROUGH THE LOOP?
If Answer = 0 Then Go To Q9-76F
Default Next: |
|
Lead-In: |
Q9-76F |
Section:
Fertility |
[live-birth pregnancy result in multiple
births?([loop index])] >= 1
COMMENT:
WAS THIS REPORTED AS A MULTIPLE BIRTH IN LAST LOOP?
If Answer = 1 Then Go To Q9-118A000001
Default Next: |
|
Lead-In: |
Q9-76E [0:0] |
Q9-77 |
Section:
Fertility |
When did you become pregnant with [name of child born since dli]?
What month and year?
|
|
|
|
Month |
Year |
|
Default Next: |
|
Lead-In: |
Q9-78 |
Section:
Fertility |
Just before you became pregnant with [name of child born since
dli], did you use any methods such as abstinence, withdrawal, rhythm, natural
family planning methods, the pill or any other methods, to keep from getting
pregnant?
(INTERVIEWER: PLEASE SEE HELP SCREEN LISTING MANY POSSIBLE BIRTH
CONTROL METHODS. READ METHODS TO RESPONDENT ONLY AS NECESSARY.)
|
1 YES |
|
0 NO ...(Go
To Q9-80) |
Default Next: |
|
Lead-In: |
Q9-77 [Default] |
Q9-79 |
Section:
Fertility |
Had you stopped all methods before you became pregnant?
|
1 YES ...(Go
To Q9-80) |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-78 [Default] |
Q9-80 |
Section:
Fertility |
Was the reason you (were not/stopped) using any methods because
you yourself wanted to become pregnant?
|
1 YES ...(Go
To Q9-82) |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-81 |
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 |
Default Next: |
|
Lead-In: |
Q9-82 |
Section:
Fertility |
And what about [your wife/husband/spouse/partner] when you became
pregnant that time -- did (he/she) want you to have (a/another) baby?
(IF NO, PROBE:) Did (he/she) want you
to have (a/another) baby but not at that time, or did (he/she) 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 |
Default Next: |
|
Lead-In: |
Q9-83 |
Section:
Fertility |
During your pregnancy with [name of child born since dli], did you
make any visits to a doctor or nurse for prenatal care, that is, to be examined
or talk about your pregnancy?
|
1 YES ...(Go
To Q9-84) |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-82 [Default] |
Q9-84 |
Section:
Fertility |
When did you first visit a doctor or nurse for prenatal care --
during which month of your pregnancy?
(ENTER MONTH NUMBER)
|
|
Default Next: |
|
Lead-In: |
Q9-83 [1:1] |
Q9-85 |
Section:
Fertility |
Did you drink any alcoholic beverages, including beer, wine, or
liquor, during the 12 months before [name of child born since dli] was born?
|
1 YES ...(Go
To Q9-86) |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-86 |
Section:
Fertility |
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 |
Default Next: |
|
Lead-In: |
Q9-85 [1:1] |
Q9-87 |
Section:
Fertility |
Did you smoke tobacco cigarettes at all during the 12 months
before [name of child born since dli] was born?
|
1 YES ...(Go
To Q9-88) |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-88 |
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 |
Default Next: |
|
Lead-In: |
Q9-87 [1:1] |
Q9-89 |
Section:
Fertility |
Did you use marijuana or hashish at all during the 12 months
before [name of child born since dli] was born?
|
1 YES ...(Go
To Q9-90) |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-90 |
Section:
Fertility |
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 |
Default Next: |
|
Lead-In: |
Q9-89 [1:1] |
Q9-91 |
Section:
Fertility |
Did you use any form of cocaine at all during the 12 months before
[name of child born since dli] was born?
|
1 YES ...(Go
To Q9-92) |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-92 |
Section:
Fertility |
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 |
Default Next: |
|
Lead-In: |
Q9-91 [1:1] |
Q9-93 |
Section:
Fertility |
During (your/that) pregnancy, did you take a vitamin/mineral
supplement?
|
1 YES ...(Go
To Q9-99B) |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-99B |
Section:
Fertility |
Did you take a vitamin/mineral supplement based on a doctor's or
nurse's suggestion?
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-93 [1:1] |
Q9-94 |
Section:
Fertility |
During (your/that) pregnancy, did you cut down on the calories in
the food you ate?
|
1 YES ...(Go
To Q9-100B) |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-100B |
Section:
Fertility |
Did you cut down on the calories in the food you ate based on a
doctor's or nurse's suggestion?
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-94 [1:1] |
Q9-95 |
Section:
Fertility |
During (your/that) pregnancy, did you cut down on the amount of
salt you used?
|
1 YES ...(Go
To Q9-101B) |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-101B |
Section:
Fertility |
Did you cut down on the amount of salt you used based on a
doctor's or nurse's suggestion?
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-95 [1:1] |
Q9-96 |
Section:
Fertility |
During (your/that) pregnancy, did you use diuretics (fluid or
water pills) to help eliminate water?
|
1 YES ...(Go
To Q9-102B) |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-102B |
Section:
Fertility |
Did you use diuretics (fluid or water pills) to help eliminate
water based on a doctor's or nurse's suggestion?
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-96 [1:1] |
Q9-97 |
Section:
Fertility |
During (your/that) pregnancy, did you reduce or stop your smoking?
|
1 YES ...(Go
To Q9-103B) |
|
0 NO |
|
4 NOT APPLICABLE |
Default Next: |
|
Lead-In: |
Q9-103B |
Section:
Fertility |
Did you reduce or stop your smoking based on a doctor's or nurse's
suggestion?
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-97 [1:1] |
Q9-98 |
Section:
Fertility |
During (your/that) pregnancy, did you reduce or stop your alcohol
intake?
|
1 YES ...(Go
To Q9-104B) |
|
0 NO |
|
4 NOT APPLICABLE |
Default Next: |
|
Lead-In: |
Q9-104B |
Section:
Fertility |
Did you reduce or stop your alcohol intake based on a doctor's or
nurse's suggestion?
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-98 [1:1] |
Q9-105 |
Section:
Fertility |
Based on either your last menstrual period date or your doctor's
or clinic's information, was [name of child born since dli] born within one
week of the expected (due) date?
|
1 YES |
|
0 NO ...(Go
To Q9-106A) |
Default Next: |
|
Lead-In: |
Q9-106A |
Section:
Fertility |
Was the baby born early or late?
|
1 Early ...(Go
To Q9-106B) |
|
2 Late ...(Go
To Q9-106C) |
Default Next: |
|
Lead-In: |
Q9-105 [0:0] |
Q9-106B |
Section:
Fertility |
How many weeks early was the baby?
(IF "1 1/2 WEEKS" ROUND UP TO "2".)
|
|
Default Next: |
|
Lead-In: |
Q9-106A [1:1] |
Q9-106C |
Section:
Fertility |
How many weeks late was the baby?
(IF "1 1/2 WEEKS" ROUND UP TO "2".)
|
|
Default Next: |
|
Lead-In: |
Q9-106A [2:2] |
Q9-107 |
Section:
Fertility |
Was a cesarean section done? (IF NECESSARY, PROBE:) Was the baby delivered by an incision in your
abdomen?
|
1 YES ...(Go
To Q9-108) |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-105 [Default],
Q9-106A [Default],
Q9-106B [Default],
Q9-106C [Default] |
Q9-108 |
Section:
Fertility |
Was this your first cesarean section, or did you have one before?
|
1 First
cesarean |
|
0 Had
cesarean(s) before |
Default Next: |
|
Lead-In: |
Q9-107 [1:1] |
Q9-109 |
Section:
Fertility |
What was your weight just before you delivered?
|
|
Default Next: |
|
Lead-In: |
Q9-110 |
Section:
Fertility |
What was your weight just before you became pregnant with [name of
child born since dli]?
|
|
Default Next: |
|
Lead-In: |
Q9-109 [Default] |
Q9-111 |
Section:
Fertility |
[r's weight before delivery] >= 0
&& [r's weight before pregnancy] >= 0
COMMENT:
Are both the weight at delivery and the pre-pregnancy weight real numbers (not
DK or REFUSALS)?
If Answer = 0 Then Go To Q9-118A000001
Default Next: |
|
Lead-In: |
Q9-110 [Default] |
Q9-112 |
Section:
Fertility |
[r's weight before delivery] - [r's
weight before pregnancy]
COMMENT:
Subtract weight at time of delivery from weight before pregnancy.
If Answer = 0 Then Go To Q9-116
Default Next: |
|
Lead-In: |
Q9-111 [Default] |
Q9-113 |
Section:
Fertility |
[r's weight before delivery] < [r's
weight before pregnancy]
COMMENT:
Did R lose weight during pregnancy (weight at delivery is less than weight
before pregnancy)?
If Answer = 0 Then Go To Q9-115
If Answer = 1 Then Go To Q9-114B
Default Next: |
|
Lead-In: |
Q9-112 [Default] |
Q9-114B |
Section:
Fertility |
Does that mean that you lost [amount respondent gained/loss during
pregnancy since dli] pounds during your pregnancy?
(INTERVIEWER: IF NECESSARY, VERIFY WEIGHTS IN Q9-109 ([r's weight
before delivery]) AND Q9-110 ([r's weight before pregnancy]). BACK UP USING
BACK/LEFT ARROW AT TOP OF SCREEN TO CORRECT IF R INDICATES AMOUNT IS
INCORRECT.)
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-113 [1:1] |
Q9-115 |
Section:
Fertility |
Does that mean that you gained [amount respondent gained/loss
during pregnancy since dli] pounds during your pregnancy?
(INTERVIEWER: IF NECESSARY, VERIFY WEIGHTS IN Q9-109 ([r's weight
before delivery]) AND Q9-110 ([r's weight before pregnancy]). BACK UP USING
BACK/LEFT ARROW AT TOP OF SCREEN TO CORRECT IF R INDICATES AMOUNT IS
INCORRECT.)
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-113 [0:0] |
Q9-116 |
Section:
Fertility |
Does that mean that you did not gain or lose any weight during
your pregnancy?
(INTERVIEWER: IF NECESSARY, VERIFY WEIGHTS IN Q9-109 ([r's weight
before delivery]) AND Q9-110 ([r's weight before pregnancy]). BACK UP USING
BACK/LEFT ARROW AT TOP OF SCREEN TO CORRECT IF R INDICATES AMOUNT IS
INCORRECT.)
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-112 [0:0] |
Q9-117 |
Section:
Fertility |
Did you gain or lose weight during your pregnancy with [name of
child born since dli]?
|
1 GAINED
WEIGHT ...(Go To Q9-117A) |
|
2 LOST
WEIGHT ...(Go To Q9-117A) |
|
3 DID NOT GAIN OR
LOSE ANY WEIGHT |
Default Next: |
|
Lead-In: |
Q9-113 [Default] |
Q9-117A |
Section:
Fertility |
How much weight did you (gain/lose)?
(ENTER NUMBER OF POUNDS)
|
|
Default Next: |
|
Lead-In: |
Q9-117 [1:2] |
Q9-118A000001 |
Section:
Fertility |
How much did [name of child born since dli]
weigh at birth?
(INTERVIEWER: ENTER POUNDS AND OUNCES BELOW.)
POUNDS: |
|
Q9-118A000002 |
Section:
Fertility |
OUNCES: |
|
Default Next: |
|
Lead-In: |
Q9-118A000001 [Default] |
Q9-118B |
Section:
Fertility |
([weight of baby in pounds([Q9-loop16
counter])] == -1 || [weight of baby in pounds([Q9-loop16 counter])]== -2 ||
[weight of baby in ounces([Q9-loop16 counter])] == -1 || [weight of baby in
ounces([Q9-loop16 counter])]==-2)
COMMENT:
If birth weight missing, go to estimate
If Answer = 1 Then Go To Q9-118C
Default Next: |
|
Lead-In: |
Q9-118A000002 [Default] |
Q9-118C |
Section:
Fertility |
Did [name of child born since dli] weigh more than 5 1/2 pounds or
less?
|
1 More |
|
2 Less |
Default Next: |
|
Lead-In: |
Q9-118B [1:1] |
Q9-119 |
Section:
Fertility |
What was [name of child born since dli]'s length at birth?
(ENTER INCHES)
|
|
Q9-119A |
Section:
Fertility |
INTERVIEWER: DID R INDICATE THAT THE LENGTH OF THE
BABY WAS AN ESTIMATE?
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-119 [Default] |
Q9-120 |
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 Q9-123) |
Default Next: |
|
Lead-In: |
Q9-119A [Default] |
Q9-120A |
Section:
Fertility |
(How long did your baby stay in the hospital?)
(ENTER NUMBER OF DAYS)
|
|
Default Next: |
|
Lead-In: |
Q9-120 [Default] |
Q9-121 |
Section:
Fertility |
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 Q9-122A) |
|
3 Later ...(Go
To Q9-122B) |
|
4 BABY STILL IN
HOSPITAL ...(Go To Q9-158D-LOOP-END) |
|
5 BABY DIED IN
HOSPITAL ...(Go To Q9-158D-LOOP-END) |
Default Next: |
|
Lead-In: |
Q9-120A [Default] |
Q9-122A |
Section:
Fertility |
How many days earlier?
|
|
Default Next: |
|
Lead-In: |
Q9-121 [2:2] |
Q9-122B |
Section:
Fertility |
How many days later?
|
|
Default Next: |
|
Lead-In: |
Q9-121 [3:3] |
Q9-123 |
Section:
Fertility |
In [name of child born since dli]'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 born since dli]'s experiences are
important in helping us understand the health of other children like [him/her].
|
1 YES ...(Go
To Q9-124) |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-120 [0:0],
Q9-121 [Default],
Q9-122A [Default],
Q9-122B [Default] |
Q9-124 |
Section:
Fertility |
When you took [name of child born since dli] 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: RECORD VERBATIM. SELECT <NEXT> TO PROCEED FOR
CODING OF ILLNESS OR INJURY DESCRIBED HERE.)
|
|
Q9-124A |
Section:
Fertility |
(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY.
SELECT <NEXT> TO CODE SYMPTOMS MENTIONED FOR THIS ILLNESS OR INJURY.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 |
Default Next: |
|
Lead-In: |
Q9-124 [Default] |
Q9-125 |
Section:
Fertility |
Please tell me which symptoms or conditions occurred with (the/a)
[main illness - child's first visit to clinic].
(INTERVIEWER: SELECT ALL THAT APPLY AND SELECT "COMMENT"
BUTTON BESIDE QNAME TO RECORD VERBATIM IN COMMENT. DO NOT RESELECT MAIN ILLNESS
OR INJURY RECORDED IN Q9-124. PROBE AND READ CATEGORIES AS NECESSARY.)
|
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 |
Default Next: |
|
Lead-In: |
Q9-124A [Default] |
Q9-126 |
Section:
Fertility |
How many months old was [name of child born since dli] 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.)
|
|
Default Next: |
|
Lead-In: |
Q9-125 [Default] |
Q9-127 |
Section:
Fertility |
In [name of child born since dli]'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 Q9-129
Default Next: |
|
Lead-In: |
Q9-126 [Default] |
Q9-128 |
Section:
Fertility |
In [name of child born since dli]'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]?
|
|
Default Next: |
|
Lead-In: |
Q9-127 [Default] |
Q9-129 |
Section:
Fertility |
In [name of child born since dli]'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 Clinic |
|
4 Health
maintenance organization (HMO) |
|
5 Hospital |
|
6 Community
health center |
|
8 Other
(SPECIFY) |
|
12 (IF
VOLUNTEERED: Military doctor or army hospital or clinic) |
Default Next: |
|
Lead-In: |
Q9-130B |
Section:
Fertility |
INSELECTION([Q9-129([Q9-loop16
counter])],5)
COMMENT:
Was child from first pregnancy admitted to hospital for first illness in first
year of life?
If Answer = 1 Then Go To Q9-131
Default Next: |
|
Lead-In: |
Q9-129 [Default] |
Q9-131 |
Section:
Fertility |
When [name of child born since dli] was admitted to the hospital,
was surgery necessary?
|
1 YES |
|
0 NO |
Q9-132 |
Section:
Fertility |
Did you have to take time off from work?
|
1 Yes |
|
0 No |
|
2 Not
working |
Default Next: |
|
Lead-In: |
Q9-131 [Default] |
Q9-133 |
Section:
Fertility |
In [name of child born since dli]'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?
|
1 YES ...(Go
To Q9-134) |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-134 |
Section:
Fertility |
What was the nature of this other illness or injury?
(INTERVIEWER: RECORD VERBATIM. SELECT <NEXT> TO PROCEED FOR
CODING OF ILLNESS OR INJURY DESCRIBED HERE.)
|
|
Default Next: |
|
Lead-In: |
Q9-133 [1:1] |
Q9-134A |
Section:
Fertility |
(INTERVIEWER: CODE FOR MAIN ILLNESS OR INJURY.
SELECT <NEXT> TO CODE 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 |
Default Next: |
|
Lead-In: |
Q9-134 [Default] |
Q9-135 |
Section:
Fertility |
Please tell me which symptoms or conditions occurred with (the/a)
[fever/cold/sore throat/pneumonia/ear infection/vomiting diarrhea or
dehydration/rash/broken bone/burn/other accident or
poisening/convulsions/janudice/feeding problems(food
allergy - formula intollerance - etc.)/meningitis/asthma or bronchitis/other].
(INTERVIEWER: SELECT ALL THAT APPLY AND SELECT "COMMENT"
BUTTON BESIDE QNAME TO RECORD VERBATIM IN COMMENT. DO NOT RESELECT MAIN ILLNESS
OR INJURY RECORDED IN Q9-134. PROBE AND READ CATEGORIES AS NECESSARY.)
|
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 |
Default Next: |
|
Lead-In: |
Q9-134A [Default] |
Q9-136 |
Section:
Fertility |
How many months old was [name of child born since dli] when you
took [him/her] to a clinic, hospital or doctor the first time for (this)
[fever/cold/sore throat/pneumonia/ear infection/vomiting diarrhea or
dehydration/rash/broken bone/burn/other accident or
poisening/convulsions/janudice/feeding problems(food
allergy - formula intollerance - etc.)/meningitis/asthma or bronchitis/other]?
(INTERVIEWER: 1 DAY TO 4 WKS = 1 MONTH. MORE THAN 4 WEEKS -- DIVIDE
BY 4 AND ROUND UP. EX: 35 WEEKS = 9 MONTHS.)
|
|
Default Next: |
|
Lead-In: |
Q9-135 [Default] |
Q9-137 |
Section:
Fertility |
In [name of child born since dli]'s first year, altogether how
many visits were made to a clinic, hospital, or doctor because [he/she] had
(that) [fever/cold/sore throat/pneumonia/ear infection/vomiting diarrhea or
dehydration/rash/broken bone/burn/other accident or
poisening/convulsions/janudice/feeding problems(food allergy - formula
intollerance - etc.)/meningitis/asthma or bronchitis/other]?
|
|
If Answer = 1 Then Go To Q9-139
Default Next: |
|
Lead-In: |
Q9-136 [Default] |
Q9-138 |
Section:
Fertility |
In [name of child born since dli]'s first year, how many months
old was [he/she] the last time you took [him/her] to a clinic or doctor for
(that) [fever/cold/sore throat/pneumonia/ear infection/vomiting diarrhea or
dehydration/rash/broken bone/burn/other accident or
poisening/convulsions/janudice/feeding problems(food allergy - formula
intollerance - etc.)/meningitis/asthma or bronchitis/other]?
|
|
Default Next: |
|
Lead-In: |
Q9-137 [Default] |
Q9-139 |
Section:
Fertility |
In [name of child born since dli]'s first year, when you took
[him/her] to a clinic, hospital, or doctor because [he/she] had (that)
[fever/cold/sore throat/pneumonia/ear infection/vomiting diarrhea or
dehydration/rash/broken bone/burn/other accident or
poisening/convulsions/janudice/feeding problems(food allergy - formula
intollerance - etc.)/meningitis/asthma or bronchitis/other], where did you take
[him/her]?
|
1 Private
doctor's office |
|
2 Clinic |
|
4 Health
maintenance organization (HMO) |
|
5 Hospital |
|
6 Community
health center |
|
8 Other
(SPECIFY) |
|
12 (IF
VOLUNTEERED: Military doctor or army hospital or clinic) |
Default Next: |
|
Lead-In: |
Q9-140B |
Section:
Fertility |
INSELECTION([Q9-139([Q9-loop16
counter])],5)
COMMENT:
Was child from first pregnancy admitted to hospital for second illness in first
year of life?
If Answer = 1 Then Go To Q9-141
Default Next: |
|
Lead-In: |
Q9-139 [Default] |
Q9-141 |
Section:
Fertility |
When [name of child born since dli] was admitted to the hospital,
was surgery necessary?
|
1 YES |
|
0 NO |
Q9-142 |
Section:
Fertility |
Did you have to take time off from work?
|
1 Yes |
|
0 No |
|
2 Not
working |
Default Next: |
|
Lead-In: |
Q9-141 [Default] |
Q9-143 |
Section:
Fertility |
Now please think about well baby care.
In [name of child born since dli]'s first year, did you take [him/her] to a
clinic or doctor for well baby care when [he/she] was not sick?
(INTERVIEWER: IF RESPONDENT SAYS "YES", BUT DOES NOT KNOW
MONTHS, ENCOURAGE R TO ESTIMATE MONTHS OF AGE IF AT ALL POSSIBLE.
IF RESPONDENT CAN NOT ESTIMATE, CHOOSE "TOOK CHILD FOR WELL BABY CARE, DO
NOT KNOW ANY MONTHS" IN LIST BELOW.)
|
1 YES ...(Go
To Q9-144A) |
|
0 NO |
|
2 DID TAKE CHILD
FOR WELL BABY CARE, DO NOT KNOW ANY MONTHS ...(Go To Q9-145B) |
Default Next: |
|
Lead-In: |
Q9-123 [Default],
Q9-133 [Default],
Q9-140B [Default],
Q9-142 [Default] |
Q9-144A |
Section:
Fertility |
How many months old was [name of child born since dli] 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.)
(SELECT 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 |
Default Next: |
|
Lead-In: |
Q9-143 [1:1] |
Q9-145B |
Section:
Fertility |
Where did you usually take [name of child born since dli] for well
baby care? Was it a .... (READ CATEGORIES AS NECESSARY)?
|
1 Private
doctor's office ...(Go To Q9-145B_D) |
|
2 Clinic ...(Go
To Q9-145B_A) |
|
4 Health
maintenance organization (HMO) |
|
5 Hospital ...(Go
To Q9-145B_B) |
|
6 Community
health center |
|
8 Other (SPECIFY) |
|
12 (IF
VOLUNTEERED: Military doctor or army hospital or clinic) |
Default Next: |
|
Lead-In: |
Q9-143 [2:2] |
Q9-145B_A |
Section:
Fertility |
What type of clinic was that? Was it a private
clinic, a public clinic, a hospital or walk-in clinic, or some other type of
clinic?
|
1 Private
clinic |
|
2 Public
Clinic |
|
3 Hospital
clinic, walk-in clinic |
|
4 Other
type of clinic (specify) |
Default Next: |
|
Lead-In: |
Q9-145B [2:2] |
Q9-145B_B |
Section:
Fertility |
Was [name of child born since dli] admitted to
the hospital?
|
1 YES |
|
0 NO ...(Go
To Q9-145B_C) |
Default Next: |
|
Lead-In: |
Q9-145B [5:5] |
Q9-145B_C |
Section:
Fertility |
Did you take [name of child born since dli] to a
hospital clinic or a hospital emergency room?
|
1 Hospital
clinic |
|
2 Emergency
room |
Default Next: |
|
Lead-In: |
Q9-145B_B [0:0] |
Q9-145B_D |
Section:
Fertility |
Was the private doctor's office you took [name
of child born since dli] to paid for by a Health Maintenance Organization
(HMO)?
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-145B [1:1] |
Q9-146A-LOOP-BEGIN |
Section: Fertility |
FOR ([months old]=1;[months
old]<=12;[months old]=[months old]+1;[Q9-147A-LOOP-END])
COMMENT: start loop to ask where baby was taken for well
care
Default Next: |
|
Lead-In: |
Q9-144A [Default] |
Q9-146AA |
Section:
Fertility |
INSELECTION([Q9-144A([Q9-loop16
counter])], [months old])
COMMENT:
start loop to ask where baby was taken for well care
If Answer = 1 Then Go To Q9-146B
Default Next: |
|
Lead-In: |
Q9-146A-LOOP-BEGIN [Default] |
Q9-146B |
Section:
Fertility |
When you took [name of child born since dli] for well baby care
when [he/she] was [text equilvalent of number of months r took new baby since
dli for well baby care], where did you take [him/her]?
Was it a .... (READ CATEGORIES AS
NECESSARY)?
|
1 Private
doctor's office ...(Go To Q9-146B_D) |
|
2 Public
clinic ...(Go To Q9-146B_A) |
|
3 Private clinic |
|
4 Health
maintenance organization (HMO) |
|
5 Hospital
clinic, walk-in clinic ...(Go To Q9-146B_B) |
|
6 Community
health center |
|
7 Emergency room
out-patient |
|
8 Other (SPECIFY) |
Default Next: |
|
Lead-In: |
Q9-146AA [1:1] |
Q9-146B_A |
Section:
Fertility |
What type of clinic was that? Was it a private
clinic, a public clinic, a hospital or walk-in clinic, or some other type of
clinic?
|
1 Private
clinic |
|
2 Public
Clinic |
|
3 Hospital
clinic, walk-in clinic |
|
4 Other
type of clinic (specify) |
Default Next: |
|
Lead-In: |
Q9-146B [2:2] |
Q9-146B_B |
Section:
Fertility |
Was [name of child born since dli] admitted to
the hospital?
|
1 YES |
|
0 NO ...(Go
To Q9-146B_C) |
Default Next: |
|
Lead-In: |
Q9-146B [5:5] |
Q9-146B_C |
Section:
Fertility |
Did you take [name of child born since dli] to a
hospital clinic or a hospital emergency room?
|
1 Hospital
clinic |
|
2 Emergency
room |
Default Next: |
|
Lead-In: |
Q9-146B_B [0:0] |
Q9-146B_D |
Section:
Fertility |
Was the private doctor's office you took [name
of child born since dli] to for well baby care when [he/she] was [text
equilvalent of number of months r took new baby since dli for well baby care],
paid for by a Health Maintenance Organization (HMO)?
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-146B [1:1] |
Q9-147A-LOOP-END |
Section: Fertility |
ENDFOR
COMMENT: Repeat loop for number of choices
Default Next: |
|
Lead-In: |
Q9-146AA [Default],
Q9-146B [Default],
Q9-146B_A [Default],
Q9-146B_B [Default],
Q9-146B_C [Default],
Q9-146B_D [Default] |
Q9-164 |
Section:
Fertility |
When [name of child born since dli] was an infant, did you breast
feed [name of child born since dli] at all?
(IF BABY "ADOPTED OUT"/"DECEASED" AND R IS
RELUCTANT, SAY:) We appreciate how
difficult this is, but [name of child born since dli]'s experiences are
important in helping us understand the health of other children like [him/her].
|
1 YES ...(Go
To Q9-165) |
|
0 NO |
Default Next: |
|
Lead-In: |
Q9-143 [Default],
Q9-147A-LOOP-END [Default] |
Q9-165 |
Section:
Fertility |
How many weeks old was [name of child born since dli] 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 Q9-165A) |
|
2 SELECT TO ENTER
NUMBER OF MONTHS OLD ...(Go To Q9-165B) |
|
0 STILL
BREASTFEEDING |
Default Next: |
|
Lead-In: |
Q9-164 [1:1] |
Q9-165A |
Section:
Fertility |
(How many weeks old was [name of child born since dli] when you
quit breast feeding [him/her] altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF WEEKS.)
|
|
Default Next: |
|
Lead-In: |
Q9-165 [1:1] |
Q9-165B |
Section:
Fertility |
(How many months old was [name of child born since dli] when you
quit breast feeding [him/her] altogether?)
(INTERVIEWER: R HAS ANSWERED IN NUMBER OF MONTHS. PLEASE ENTER ONLY
FULL OR HALF MONTHS.)
|
|
Default Next: |
|
Lead-In: |
Q9-165 [2:2] |
Q9-158D-LOOP-END |
Section: Fertility |
UNTIL([Q9-loop16
counter]==[# bio children since dli])
COMMENT: End loop collecting information on live-birth
pregnancies since dli?
Default Next: |
|
Lead-In: |
Q9-121 [4:4],
Q9-121 [5:5],
Q9-145B [Default],
Q9-145B_A [Default],
Q9-145B_B [Default],
Q9-145B_C [Default],
Q9-145B_D [Default],
Q9-164 [Default],
Q9-165 [Default],
Q9-165A [Default],
Q9-165B [Default] |
Q9-SKID-15C |
Section:
Fertility |
[{MSUPPLEMENT_NUM}] > 0
COMMENT: Are there any children on the Mother Supplement
Roster?
If Answer =
1 Then Go To MS1-LOOP-BEGIN
Default Next: |
|
Lead-In: |
Q9-73 [Default],
Q9-158D-LOOP-END [Default] |
MS1-LOOP-BEGIN |
Section:
Fertility |
REPEAT
COMMENT: START loop 0
Default Next: |
|
Lead-In: |
Q9-SKID-15C [1:1] |
MS-CKNAME_MS1 |
Section:
Fertility |
ISVAREMPTY({^CFNAME([mother
supplement loop])^})
COMMENT: Check if first name is empty on spawned infosheet.
If so, prompt for name entry.
If Answer =
1 Then Go To MS-ENTERNAME_MS1
Default Next: |
|
Lead-In: |
MS1-LOOP-BEGIN [Default] |
MS-ENTERNAME_MS1 |
Section: Fertility |
INTERVIEWER: ENTER [msupplement_name([mother
supplement loop])]'S FIRST NAME:
|
|
Default Next: |
|
Lead-In: |
MS-CKNAME_MS1 [1:1] |
MS-CKFULLNAME_MS1 |
Section: Fertility |
ISVAREMPTY({^CNAME([mother supplement loop])^})
COMMENT: Check if first name is empty on spawned infosheet.
If so, prompt for name entry.
If
Answer = 1 Then Go To MS-ENTERFULLNAME_MS1
Default Next: |
|
Lead-In: |
MS-CKNAME_MS1 [Default],
MS-ENTERNAME_MS1 [Default] |
MS-ENTERFULLNAME_MS1 |
Section: Fertility |
INTERVIEWER: ENTER [msupplement_name([mother
supplement loop])]'S FULL NAME:
|
|
Default Next: |
|
Lead-In: |
MS-CKFULLNAME_MS1 [1:1] |
Q9-194 |
Section:
Fertility |
[msupplement_statcode([mother supplement
loop])]
COMMENT:
Is first biological child deleted, deceased or adopted out?
If Answer = 5 Then Go To HLTH-CHK1_MS1
If Answer = 8 Then Go To HLTH-CHK1_MS1
If Answer = 99 Then Go To HLTH-CHK1_MS1
Default Next: |
|
Lead-In: |
MS-CKFULLNAME_MS1 [Default],
MS-ENTERFULLNAME_MS1 [Default] |
Q9-194A |
Section:
Fertility |
[msupplement_hhiflag([mother supplement
loop])]
COMMENT:
Is first biological child deleted, deceased or adopted out?
If Answer = 5 Then Go To HLTH-CHK1_MS1
If Answer = 8 Then Go To HLTH-CHK1_MS1
Default Next: |
|
Lead-In: |
Q9-194 [Default] |
BKGN-AGECHK_MS1 |
Section:
Fertility |
({^MSAGE([mother
supplement loop])^} < 3) || ([child date of birth([mother
supplement loop])~Y]<=2001)
COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN UNDER 3 OR
YA CHILDREN
If Answer =
1 Then Go To HLTH-CHK1_MS1
Default Next: |
|
Lead-In: |
Q9-194A [Default] |
BKGN-TITLE_MS1 |
Section:
Fertility |
BEGIN CHILD BACKGROUND SECTION
[msupplement_name([mother supplement loop])]
Default Next: |
|
Lead-In: |
BKGN-AGECHK_MS1 [Default] |
BKGN-1_MS1 |
Section:
Fertility |
Is [Surprise child's name([mother
supplement loop])] currently attending or enrolled in [BKGN-1_TEXT([mother
supplement loop])]?
(INTERVIEWER: IF SCHOOL IS NOT CURRENTLY IN SESSION, BUT [Surprise
child's name([mother supplement loop])] WILL BE
ATTENDING IN THE NEXT SESSION, [Surprise child's name([mother supplement
loop])] IS ENROLLED .)
If Answer = 1 Then Go To BKGN-3_MS1
If Answer = 2 Then Go To BKGN-4_MS1
Default Next: |
|
Lead-In: |
BKGN-TITLE_MS1 [Default] |
BKGN-3_MS1 |
Section:
Fertility |
What grade is [s/he([mother
supplement loop])] in?
(IF R SAYS 'PRE-FIRST GRADE', CODE KINDERGARTEN.)
|
90 Nursery/preschool |
0 Kindergarten |
|
1 1st
grade |
2 2nd
grade |
|
3 3rd
grade |
4 4th
grade |
|
5 5th
grade |
6 6th
grade |
|
7 7th
grade |
8 8th
grade |
|
9 9th
grade |
10 10th
grade |
|
11 11th
grade |
12 12th
grade |
|
13 1st
year in college |
14 2nd
year in college |
|
15 3rd
year in college |
16 4th
year in college |
|
17 5th
year in college |
18 6th
year in college |
|
19 7th
year in college |
20 8th
year in college or more |
|
95 Ungraded ...(Go
To BKGN-4_MS1) |
If Answer = -2 Then Go To BKGN-4_MS1
Default Next: |
|
Lead-In: |
BKGN-1_MS1 [1:1] |
BKGN-4_MS1 |
Section:
Fertility |
If [s/he([mother
supplement loop])] were in a graded class, what grade would [s/he([mother
supplement loop])] be enrolled in?
(IF R SAYS 'PRE-FIRST GRADE', CODE KINDERGARTEN.)
|
90 Nursery/preschool |
|
0 Kindergarten |
|
1 1st
grade |
|
2 2nd
grade |
|
3 3rd
grade |
|
4 4th
grade |
|
5 5th
grade |
|
6 6th
grade |
|
7 7th
grade |
|
8 8th
grade |
|
9 9th
grade |
|
10 10th
grade |
|
11 11th
grade |
|
12 12th
grade |
|
95 Other
(SPECIFY) |
Default Next: |
|
Lead-In: |
BKGN-1_MS1 [2:2],
BKGN-3_MS1 [-2:-2],
BKGN-3_MS1 [95:95] |
BKGN-4A-CHK1_MS1 |
Section: Fertility |
{^msgrade([mother
supplement loop])^} == 90 || [grade (or equivalent)([mother
supplement loop])] == 95
If Answer =
1 Then Go To BKGN-AGECHK_FRNDS
Default Next: |
|
Lead-In: |
BKGN-3_MS1 [Default],
BKGN-4_MS1 [Default] |
BKGN-AGECHK_SCHLQS |
Section: Fertility |
({^MSAGE([mother
supplement loop])^})
COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN UNDER 3
If
Answer >= 5 AND Answer <= 11 Then Go To BKGN-HOMESCHLCHK_SCHLQS
Default Next: |
|
Lead-In: |
BKGN-4A-CHK1_MS1 [Default] |
BKGN-HOMESCHLCHK_SCHLQS |
Section: Fertility |
[in school in
spring?([mother supplement loop])]==2
COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN UNDER 3
If
Answer = 1 Then Go To BKGN-AGECHK_FRNDS
Default Next: |
|
Lead-In: |
BKGN-AGECHK_SCHLQS [5:11] |
BKGN-26_MS1 |
Section:
Fertility |
In a typical school week,
how much time does [Surprise child's name([mother
supplement loop])] usually spend after school working on math problems or math
homework?
ENTER HOURS PER WEEK. ROUND TO NEAREST 1/2 HR.
|
|
Default Next: |
|
Lead-In: |
BKGN-HOMESCHLCHK_SCHLQS [Default] |
BKGN-27_MS1 |
Section:
Fertility |
In a typical school week,
how much time does [Surprise child's name([mother
supplement loop])] usually spend after school writing up reports, papers,
book-reports, or stories?
ENTER HOURS PER WEEK. ROUND TO NEAREST 1/2 HR.
|
|
Default Next: |
|
Lead-In: |
BKGN-26_MS1 [Default] |
BKGN-28_MS1 |
Section:
Fertility |
([in school in spring?([mother
supplement loop])]== 0)
If Answer =
1 Then Go To BKGN-32_MS1
Default Next: |
|
Lead-In: |
BKGN-27_MS1 [Default] |
BKGN-29A-MATRIX_MS1 |
Section: Fertility |
[During the [school year referent] school year([mother supplement loop])], did/has [Surprise child's
name([mother supplement loop])] participate(d) in....
|
- ...a remedial math program? |
|
- ...a remedial reading, remedial English, or remedial
language arts program? |
|
- ...a gifted and talented program, or a special class for
advanced work? |
|
- ...special education or a program for handicapped
children? |
|
- ...a program that teaches English as a second language
(ESL)? |
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
BKGN-28_MS1 [Default] |
BKGN-30_MS1 |
Section:
Fertility |
({^MSINSCHLSPR([mother
supplement loop])^} == 1)
If Answer =
1 Then Go To BKGN-31-MATRIX_MS1
Default Next: |
|
Lead-In: |
BKGN-29A-MATRIX_MS1 [Default] |
BKGN-31-MATRIX_MS1 |
Section: Fertility |
Do you or your (spouse/partner)
....
|
-
...participate in a parent-teacher organization at child's school? |
|
-
...volunteer in the classroom at child's school? |
|
-
...do volunteer work such as supervising lunch, or chaperoning a field trip
at child's school? |
|
-
...attend parent-teacher conferences at child's school? |
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
BKGN-30_MS1 [1:1] |
BKGN-AGECHK_FRNDS |
Section: Fertility |
({^MSAGE([mother
supplement loop])^})
COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN UNDER 3
If
Answer >= 5 AND Answer <= 14 Then Go To BKGN-32_MS1
Default Next: |
|
Lead-In: |
BKGN-4A-CHK1_MS1 [1:1],
BKGN-HOMESCHLCHK_SCHLQS [1:1],
BKGN-1_MS1 [Default],
BKGN-AGECHK_SCHLQS [Default] |
BKGN-32_MS1 |
Section:
Fertility |
How many of [Surprise child's name([mother
supplement loop])]'s close friends do you know by sight and by first and last
name?
Do you know . . .
|
1 All
of them |
|
2 Most
of them |
|
3 About
half |
|
4 Only
a few |
|
5 None
of them |
|
6 CHILD
HAS NO CLOSE FRIENDS |
BKGN-33_MS1 |
Section:
Fertility |
About how often do you know who [Surprise
child's name([mother supplement loop])] is with when
[s/he([mother supplement loop])] is not at home?
Would you say you know who [s/he([mother supplement
loop])] is with...
|
1 All
of the time |
|
2 Most
of the time |
|
3 Some
of the time, or |
|
4 Rarely? |
Default Next: |
|
Lead-In: |
BKGN-32_MS1 [Default] |
BKGN-34_MS1 |
Section:
Fertility |
In the past year, how often has [Surprise
child's name([mother supplement loop])] attended
religious services (including Sunday School or other religious classes)?
|
1 About
once a week |
|
2 At
least once a month |
|
3 A
few times a year |
|
4 Never |
BKGN-35_MS1 |
Section:
Fertility |
Aside from attending religious services, how
important is it to you to provide religious training for [him/her([mother supplement loop])]?
|
1 Very
important |
|
2 Fairly
important |
|
3 Not
at all important |
Default Next: |
|
Lead-In: |
BKGN-34_MS1 [Default] |
HLTH-CHK1_MS1 |
Section:
Fertility |
[msupplement_statcode([mother
supplement loop])]
COMMENT: Is first biological child deleted, deceased or
adopted out?
If Answer =
5 Then Go To BKGN-CASI-AGECK1_MS1
If Answer = 8 Then Go To BKGN-CASI-AGECK1_MS1
If Answer = 99 Then Go To BKGN-CASI-AGECK1_MS1
Default Next: |
|
Lead-In: |
Q9-194 [5:5],
Q9-194 [8:8],
Q9-194 [99:99],
Q9-194A [5:5],
Q9-194A [8:8],
BKGN-AGECHK_MS1 [1:1],
BKGN-AGECHK_FRNDS [Default],
BKGN-35_MS1 [Default] |
HLTH-CHK1A_MS1 |
Section:
Fertility |
([child age (years)([mother
supplement loop])] > 20)
COMMENT: Skip YA children over the age of 20 out of health
questions
If Answer =
1 Then Go To BKGN-CASI-AGECK1_MS1
Default Next: |
|
Lead-In: |
HLTH-CHK1_MS1 [Default] |
HLTH-CHK2_MS1 |
Section:
Fertility |
[msupplement_hhiflag([mother
supplement loop])]
COMMENT: Is child in the household at least part time?
If Answer =
1 Then Go To HLTH-TITLE_MS1
If Answer = 5 Then Go To BKGN-CASI-AGECK1_MS1
If Answer = 8 Then Go To BKGN-CASI-AGECK1_MS1
If Answer = 9 Then Go To HLTH-TITLE_MS1
If Answer = 10 Then Go To HLTH-TITLE_MS1
Default Next: |
|
Lead-In: |
HLTH-CHK1A_MS1 [Default] |
HLTH-TITLE_MS1 |
Section:
Fertility |
BEGIN CHILD HEALTH SECTION
[msupplement_name([mother supplement loop])]
Default Next: |
|
Lead-In: |
HLTH-CHK2_MS1 [1:1],
HLTH-CHK2_MS1 [9:9],
HLTH-CHK2_MS1 [10:10] |
HLTH-INTRO_MS1 |
Section:
Fertility |
Now I'd like to ask you some questions about
[Surprise child's name([mother supplement loop])]'s
general health.
Default Next: |
|
Lead-In: |
HLTH-TITLE_MS1 [Default] |
HLTH-YA-AGE-CHECK |
Section: Fertility |
[child date of
birth([mother supplement loop])~Y] <=2006
COMMENT: Skip YA children to questions about illnesses
If
Answer = 1 Then Go To BKGN-AGECHK_ACCINJ
Default Next: |
|
Lead-In: |
HLTH-INTRO_MS1 [Default] |
HLTH-AGECHK-YA2_MS1 |
Section: Fertility |
[child date of
birth([mother supplement loop])~Y] <= 2006
COMMENT: Does child turn 15 years or older during survey
year?
If
Answer = 1 Then Go To HLTH-8_MS1
Default Next: |
|
Lead-In: |
HLTH-YA-AGE-CHECK [Default] |
HLTH-HGT-SELECT |
Section:
Fertility |
How tall is [Surprise child's name([mother
supplement loop])]?
INTERVIEWER: SELECT HOW YOU WISH TO ENTER HEIGHT -
IN FEET AND INCHES - OR - TOTAL INCHES.
|
1 FEET
AND INCHES ENTRY |
|
2 TOTAL
INCHES ENTRY (ESP INFANTS) |
Default Next: |
|
Lead-In: |
HLTH-AGECHK-YA2_MS1 [Default] |
HLTH-HGT-MTHDCK |
Section:
Fertility |
[height input
method([mother supplement loop])]
COMMENT: Internal Function
If Answer =
1 Then Go To HLTH-HGT-FEET
If Answer = 2 Then Go To HLTH-HGT-TOTALINCHES
Default Next: |
|
Lead-In: |
HLTH-HGT-SELECT [Default] |
HLTH-HGT-FEET |
Section:
Fertility |
(How tall is [Surprise child's name([mother supplement loop])]?)
INTERVIEWER: RECORD FEET AND INCHES BELOW.
FEET |
|
HLTH-HGT-INCHES |
Section:
Fertility |
(How tall is [Surprise child's name([mother supplement loop])]?)
INTERVIEWER: RECORD FEET AND INCHES BELOW.
INCHES |
|
Default Next: |
|
Lead-In: |
HLTH-HGT-FEET [Default] |
HLTH-HGT-TOTALINCHES |
Section: Fertility |
(How tall is [Surprise child's name([mother supplement loop])]?)
INTERVIEWER: RECORD HEIGHT IN TOTAL INCHES.
TOTAL INCHES |
|
Default Next: |
|
Lead-In: |
HLTH-HGT-MTHDCK [2:2] |
HLTH-HGTCOMP |
Section:
Fertility |
([height input([mother
supplement loop])] < [calculated min height([mother supplement loop])]) ||
([height input([mother supplement loop])] >
[calculated max height([mother supplement loop])])
COMMENT: Internal Function - Is total child height in inches
outside of calculated min - max range?
If Answer =
1 Then Go To HLTH-HGT-MTHDCK2
Default Next: |
|
Lead-In: |
HLTH-HGT-INCHES [Default],
HLTH-HGT-TOTALINCHES [Default] |
HLTH-HGT-MTHDCK2 |
Section: Fertility |
[height input
method([mother supplement loop])]
COMMENT: Internal Function
If Answer =
1 Then Go To HLTH-HGTCONF1
If Answer = 2 Then Go To HLTH-HGTCONF2
Default Next: |
|
Lead-In: |
HLTH-HGTCOMP [1:1] |
HLTH-HGTCONF1 |
Section:
Fertility |
INTERVIEWER:
CAUTION...
THE HEIGHT ENTERED FOR [Surprise child's name([mother supplement loop])] IS OUTSIDE THE USUAL RANGE
OF HEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- ARE THESE VALUES CORRECT?
[number of feet([mother supplement loop])] FEET AND
[number of inches([mother supplement loop])] INCHES
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUES
AND CONTINUE.
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-HGT-MTHDCK2 [1:1],
HLTH-HGT-MTHDCK2 [Default] |
HLTH-HGTCONF2 |
Section:
Fertility |
INTERVIEWER:
CAUTION...
THE HEIGHT ENTERED FOR [Surprise child's name([mother supplement loop])] IS OUTSIDE THE USUAL RANGE
OF HEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- IS THIS VALUE CORRECT?
[total # inches([mother supplement loop])] TOTAL
INCHES
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUE
AND CONTINUE.
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-HGT-MTHDCK2 [2:2] |
HLTH-WGT-SELECT |
Section:
Fertility |
How much does [s/he([mother
supplement loop])] weigh?
INTERVIEWER: SELECT HOW YOU WISH TO
ENTER WEIGHT
POUNDS - OR - POUNDS AND OUNCES (FOR
CHILDREN UNDER 20 LBS.)
|
1 ENTER
POUNDS ONLY |
|
2 ENTER
POUNDS AND OUNCES (ESP INFANTS) |
Default Next: |
|
Lead-In: |
HLTH-HGTCOMP [Default],
HLTH-HGTCONF1 [Default],
HLTH-HGTCONF2 [Default] |
HLTH-WGT-MTHDCK |
Section:
Fertility |
[weight input
method([mother supplement loop])]
COMMENT: Internal Function
If Answer =
1 Then Go To HLTH-WGT-LBSONLY
If Answer = 2 Then Go To HLTH-WGT-LBS
Default Next: |
|
Lead-In: |
HLTH-WGT-SELECT [Default] |
HLTH-WGT-LBSONLY |
Section: Fertility |
(How much does [s/he([mother
supplement loop])] weigh?)
INTERVIEWER: RECORD WEIGHT IN POUNDS.
LBS. |
|
Default Next: |
|
Lead-In: |
HLTH-WGT-MTHDCK [1:1],
HLTH-WGT-MTHDCK [Default] |
HLTH-WGT-LBS |
Section:
Fertility |
(How much does [s/he([mother
supplement loop])] weigh?)
INTERVIEWER: (FOR CHILDREN UNDER 20 LBS.) RECORD
POUNDS AND OUNCES.
LBS. |
|
HLTH-WGT-OZS |
Section:
Fertility |
OZ. |
|
Default Next: |
|
Lead-In: |
HLTH-WGT-LBS [Default] |
HLTH-WGTCOMP |
Section:
Fertility |
([weight input([mother
supplement loop])] < [calculated minweight([mother supplement loop])]) ||
([weight input([mother supplement loop])] >
[calculated max weight([mother supplement loop])])
COMMENT: Internal Function - Is total child height in inches
outside of calculated min - max range?
If Answer =
1 Then Go To HLTH-WGT-MTHDCK2
Default Next: |
|
Lead-In: |
HLTH-WGT-LBSONLY [Default],
HLTH-WGT-OZS [Default] |
HLTH-WGT-MTHDCK2 |
Section: Fertility |
[weight input
method([mother supplement loop])]
COMMENT: Internal Function
If Answer =
1 Then Go To HLTH-WGTCONF1
If Answer = 2 Then Go To HLTH-WGTCONF2
Default Next: |
|
Lead-In: |
HLTH-WGTCOMP [1:1] |
HLTH-WGTCONF1 |
Section:
Fertility |
INTERVIEWER:
CAUTION...
THE WEIGHT ENTERED FOR [Surprise child's name([mother supplement loop])] IS OUTSIDE THE USUAL RANGE
OF WEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- IS THE VALUE SHOWN CORRECT?
[# of pounds([mother supplement loop])] POUNDS
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUE
AND CONTINUE.
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-WGT-MTHDCK2 [1:1],
HLTH-WGT-MTHDCK2 [Default] |
HLTH-WGTCONF2 |
Section:
Fertility |
INTERVIEWER:
CAUTION...
THE WEIGHT ENTERED FOR [Surprise child's name([mother supplement loop])] IS OUTSIDE THE USUAL RANGE
OF WEIGHT FOR A CHILD THIS AGE. PLEASE CHECK -- ARE THE VALUES SHOWN CORRECT?
[# of pounds([mother supplement loop])] POUNDS AND
[don't know/refused([mother supplement loop])] OUNCES
BACK UP TO CORRECT ANY ERROR, OR SELECT "YES" TO CONFIRM THE VALUE(S)
AND CONTINUE.
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-WGT-MTHDCK2 [2:2] |
HLTH-1A_MS1 |
Section:
Fertility |
{^RESN-NOSCHL([mother
supplement loop])^} == 1
COMMENT: If reason for not attending school is health
related, skip directly to HEALTH-5 LOOP begin
If Answer =
1 Then Go To HLTH-5-LOOP-BEGIN_MS1
Default Next: |
|
Lead-In: |
HLTH-WGTCOMP [Default],
HLTH-WGTCONF1 [Default],
HLTH-WGTCONF2 [Default] |
HLTH-1B_MS1 |
Section:
Fertility |
({^msage([mother
supplement loop])^} >= 4) || ([in school in spring?([mother
supplement loop])] == 1)
If Answer =
1 Then Go To HLTH-2A_MS1
Default Next: |
|
Lead-In: |
HLTH-1A_MS1 [Default] |
HLTH-2A_MS1 |
Section:
Fertility |
Does [Surprise child's name([mother
supplement loop])] have any physical, emotional, or mental condition that
limits or prevents [his/her([mother supplement loop])] ability to...
...attend school regularly?
|
1 YES ...(Go
To HLTH-5-LOOP-BEGIN_MS1) |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-1B_MS1 [1:1] |
HLTH-2B_MS1 |
Section:
Fertility |
Does [s/he([mother
supplement loop])] have any physical, emotional or mental condition that limits
or prevents [his/her([mother supplement loop])] ability to...
...do regular school work?
|
1 YES ...(Go
To HLTH-5-LOOP-BEGIN_MS1) |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-2A_MS1 [Default] |
HLTH-2C_MS1 |
Section:
Fertility |
Does [s/he([mother
supplement loop])] have any physical, emotional, or mental condition that
limits or prevents [his/her([mother supplement loop])] ability to...
...do usual childhood activities such as play, or participate in games or
sports?
|
1 YES ...(Go
To HLTH-5-LOOP-BEGIN_MS1) |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-1B_MS1 [Default],
HLTH-2B_MS1 [Default] |
HLTH-3A_MS1 |
Section:
Fertility |
Does [s/he([mother
supplement loop])] have any physical, emotional, or mental condition that
requires...
...frequent attention or treatment from a doctor or other health professional?
|
1 YES ...(Go
To HLTH-5-LOOP-BEGIN_MS1) |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-2C_MS1 [Default] |
HLTH-3B_MS1 |
Section:
Fertility |
Does [s/he([mother
supplement loop])] have any physical, emotional, or mental condition that
requires...
...regular use of any medicine or drug (other than vitamins)?
|
1 YES ...(Go
To HLTH-5-LOOP-BEGIN_MS1) |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-3A_MS1 [Default] |
HLTH-3C_MS1 |
Section:
Fertility |
Does [s/he([mother supplement loop])] have any
physical, emotional, or mental condition that requires...
... use of any special equipment, such as a brace, crutches, a wheelchair,
special shoes, a helmet, a special bed, a breathing mask, an air filter, or a
catheter and so on?
|
1 YES ...(Go
To HLTH-5-LOOP-BEGIN_MS1) |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-3B_MS1 [Default] |
HLTH-5-LOOP-BEGIN_MS1 |
Section: Fertility |
REPEAT
Default Next: |
|
Lead-In: |
HLTH-1A_MS1 [1:1],
HLTH-2A_MS1 [1:1],
HLTH-2B_MS1 [1:1],
HLTH-2C_MS1 [1:1],
HLTH-3A_MS1 [1:1],
HLTH-3B_MS1 [1:1],
HLTH-3C_MS1 [1:1] |
HLTH-5A_VERBATIM_MS1 |
Section: Fertility |
What is [Surprise child's name([mother
supplement loop])]'s (next) health condition or limitation?
INTERVIEWER: PROBE AS NECESSARY: (What is it called?)
RECORD VERBATIM |
|
HLTH-5A_MS1 |
Section:
Fertility |
CODE ONLY ONE
|
1 Learning
disability |
|
2 Minimal
brain dysfunction, minimal cerebral dysfunction, attention deficit disorder |
|
3 Hyperkinesis,
hyperactivity |
|
4 Asthma |
|
5 Respiratory
disorder or sinus infection |
|
6 Speech
impairment |
|
7 Serious
hearing difficulty or deafness |
|
8 Serious
difficulty in seeing or blindness |
|
9 Serious
emotional disturbance |
|
10 Allergic
condition(s) |
|
11 Orthopedic
handicap |
|
12 Mental
retardation |
|
13 Heart
trouble |
|
14 Chronic
nervous disorder |
|
16 Chronic
ear problems or infections |
|
17 Blood
disorder or immune deficiency (e.g. sickle cell anemia) |
|
18 Epilepsy/Seizures |
|
95 Health
condition not listed (SPECIFY) |
Default Next: |
|
Lead-In: |
HLTH-5A_VERBATIM_MS1 [Default] |
HLTH-5C-AGECK_MS1 |
Section: Fertility |
{^msagemo([mother
supplement loop])^}<=11
COMMENT: Don't ask how long had condition if less than 1 yr
old
If
Answer = 1 Then Go To HLTH-5-CNT_MS1
Default Next: |
|
Lead-In: |
HLTH-5A_MS1 [Default] |
HLTH-5C_MS1 |
Section:
Fertility |
IN REFERENCE TO VERBATIM:
[health condition([mother supplement loop]:[conditions requiring
special equipment loop])]
How old was [Surprise child's name([mother supplement loop])] when [s/he([mother
supplement loop])] first developed this condition?
INTERVIEWER: ENTER AGE IN YEARS (SINCE BIRTH=0)
|
|
Default Next: |
|
Lead-In: |
HLTH-5C-AGECK_MS1 [Default] |
HLTH-5-CNT_MS1 |
Section:
Fertility |
[conditions requiring
special equipment loop]
COMMENT: IF loop=1 goto HLTH-5-1STQ2A, else skip to
HLTH-5-SCHLCHK
If Answer =
1 Then Go To HLTH-5-1STQ2A_MS1
Default Next: |
|
Lead-In: |
HLTH-5C-AGECK_MS1 [1:1],
HLTH-5C_MS1 [Default] |
HLTH-5-1STQ2A_MS1 |
Section: Fertility |
([limits to attending school?([mother
supplement loop])] == 1) || ([reason child not attending school([mother
supplement loop])] == 1)
COMMENT: jump to NEXT appropriate effect of limit to ask
about
If
Answer = 1 Then Go To HLTH-5E_MS1
Default Next: |
|
Lead-In: |
HLTH-5-CNT_MS1 [1:1] |
HLTH-5-1STQ2B_MS1 |
Section: Fertility |
{^lim-schlwk([mother
supplement loop])^} == 1
COMMENT: jump to NEXT appropriate effect of limit to ask
about
If
Answer = 1 Then Go To HLTH-5F_MS1
Default Next: |
|
Lead-In: |
HLTH-5-1STQ2A_MS1 [Default] |
HLTH-5-1STQ2C_MS1 |
Section: Fertility |
{^lim-play([mother
supplement loop])^} == 1
COMMENT: jump to NEXT appropriate effect of limit to ask
about
If
Answer = 1 Then Go To HLTH-5G_MS1
Default Next: |
|
Lead-In: |
HLTH-5-1STQ2B_MS1 [Default] |
HLTH-5-1STQ3A_MS1 |
Section: Fertility |
{^lim-dr-oftn([mother
supplement loop])^} ==1
COMMENT: jump to NEXT appropriate effect of limit to ask
about
If
Answer = 1 Then Go To HLTH-5H_MS1
Default Next: |
|
Lead-In: |
HLTH-5-1STQ2C_MS1 [Default] |
HLTH-5-1STQ3B_MS1 |
Section: Fertility |
{^lim-meds([mother
supplement loop])^} == 1
COMMENT: jump to NEXT appropriate effect of limit to ask
about
If
Answer = 1 Then Go To HLTH-5I_MS1
Default Next: |
|
Lead-In: |
HLTH-5-1STQ3A_MS1 [Default] |
HLTH-5-1STQ3C_MS1 |
Section: Fertility |
{^lim-eqmt([mother
supplement loop])^} == 1
COMMENT: jump to NEXT effect of limit to ask about
If
Answer = 1 Then Go To HLTH-5J_MS1
Default Next: |
|
Lead-In: |
HLTH-5-1STQ3B_MS1 [Default] |
HLTH-5-SCHLCK_MS1 |
Section: Fertility |
({^msage([mother
supplement loop])^} >=4) || ({^MSINSCHLSPR([mother
supplement loop])^} == 1)
If
Answer = 1 Then Go To HLTH-5D_MS1
Default Next: |
|
Lead-In: |
HLTH-5-CNT_MS1 [Default],
HLTH-5-1STQ3C_MS1 [Default] |
HLTH-5D_MS1 |
Section:
Fertility |
IN REFERENCE TO VERBATIM:
[health condition([mother supplement loop]:[conditions requiring
special equipment loop])]
Does this condition limit or prevent [his/her([mother supplement loop])]
ability to...
...attend school regularly?
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-5-SCHLCK_MS1 [1:1] |
HLTH-5E_MS1 |
Section:
Fertility |
IN REFERENCE TO VERBATIM:
[health condition([mother supplement loop]:[conditions requiring
special equipment loop])]
Does this condition limit or prevent [his/her([mother supplement loop])]
ability to...
...do regular schoolwork?
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-5-1STQ2A_MS1 [1:1],
HLTH-5D_MS1 [Default] |
HLTH-5F_MS1 |
Section:
Fertility |
IN REFERENCE TO VERBATIM:
[health condition([mother supplement loop]:[conditions requiring
special equipment loop])]
Does this condition limit or prevent [his/her([mother supplement loop])]
ability to...
...do usual childhood activities such as play, or participate in games or
sports?
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-5-1STQ2B_MS1 [1:1],
HLTH-5-SCHLCK_MS1 [Default],
HLTH-5E_MS1 [Default] |
HLTH-5G_MS1 |
Section:
Fertility |
IN REFERENCE TO VERBATIM:
[health condition([mother supplement loop]:[conditions requiring
special equipment loop])]
Does this condition require...
...frequent attention or treatment from a doctor or other health professional?
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-5-1STQ2C_MS1 [1:1],
HLTH-5F_MS1 [Default] |
HLTH-5H_MS1 |
Section:
Fertility |
IN REFERENCE TO VERBATIM:
[health condition([mother supplement loop]:[conditions requiring
special equipment loop])]
Does this condition require...
...regular use of any medicine or drug (other than vitamins)?
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-5-1STQ3A_MS1 [1:1],
HLTH-5G_MS1 [Default] |
HLTH-5I_MS1 |
Section:
Fertility |
IN REFERENCE TO VERBATIM:
[health condition([mother supplement loop]:[conditions requiring
special equipment loop])]
Does this condition require...
... use of any special equipment, such as a brace, crutches, a wheelchair,
special shoes, a helmet, a special bed, a breathing mask, an inhaler, an air
filter, or a catheter and so on?
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-5-1STQ3B_MS1 [1:1],
HLTH-5H_MS1 [Default] |
HLTH-5J_MS1 |
Section:
Fertility |
Does [Surprise child's name([mother
supplement loop])] have any other health conditions (that we haven't talked
about)?
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-5-1STQ3C_MS1 [1:1],
HLTH-5I_MS1 [Default] |
HLTH-5-LOOP-END_MS1 |
Section: Fertility |
UNTIL({^anymoreconds([mother supplement loop]:[conditions requiring
special equipment loop])^}==0)
COMMENT: loop until there are no more conditions to ask
about
Default Next: |
|
Lead-In: |
HLTH-5J_MS1 [Default] |
BKGN-AGECHK_ACCINJ |
Section: Fertility |
({^MSAGE([mother
supplement loop])^})
COMMENT: NO BACKGROUND ITEMS ASKED FOR CHILDREN UNDER 3
If
Answer >= 0 AND Answer <= 14 Then Go To HLTH-6_MS1
Default Next: |
|
Lead-In: |
HLTH-YA-AGE-CHECK [1:1] |
HLTH-6_MS1 |
Section:
Fertility |
[Since was born/During the past 12 months([mother supplement loop])], has [Surprise child's
name([mother supplement loop])] had any accidents or injuries that required
medical attention?
|
1 YES ...(Go
To HLTH-6-LOOP-BEGIN_MS1) |
|
0 NO |
Default Next: |
|
Lead-In: |
BKGN-AGECHK_ACCINJ [0:14],
HLTH-3C_MS1 [Default],
HLTH-5-LOOP-END_MS1 [Default] |
HLTH-6-LOOP-BEGIN_MS1 |
Section: Fertility |
REPEAT
COMMENT: Begin loop about accidents requiring medical
attention
Default Next: |
|
Lead-In: |
HLTH-6_MS1 [1:1] |
HLTH-6B_MS1 |
Section:
Fertility |
Thinking of the [most recent accident or
injury/accident or injury that occurred before the one you just described([mother supplement loop]:[illnesses/injuries that
required medical attention])], in what month and year did it occur?
|
|
|
|
Month |
Year |
|
Default Next: |
|
Lead-In: |
HLTH-6-LOOP-BEGIN_MS1 [Default] |
HLTH-6C_VERBATIM_MS1 |
Section: Fertility |
What was the cause of that accident or injury?
RECORD VERBATIM |
|
HLTH-6C_MS1 |
Section:
Fertility |
CODE ONLY ONE
|
1 Motor
vehicle accident as occupant |
2 Motor
vehicle accident as pedestrian |
|
3 Cycling |
4 Fall
unrelated to athletics or sports activity |
|
5 Fall/contact
related to athletics/sports activity |
6 Fire
or smoke |
|
7 Hot
liquid |
8 Toy
or item intended for child use |
|
9 Equipment
or device not intended for a child |
10 Poisoning |
|
11 Smashed
body part: car/door/window bruise/contusion |
12 Adult
injured child accidentally (pull/lift injury) |
|
13 Intentional
violent injury |
14 "Rough
housing", impact injury: wrestling, etc. |
|
16 Fighting:
broke bone/nose, hit in face, shot, stabbed, etc. |
17 Struck
by object from other person (intent unknown) |
|
18 Insect
sting or bite |
19 Stepped
on sharp object, i.e. glass/nails/metal |
|
20 Ran
into stationary object (not in home environment) |
22 Ran
into stationary object (home environment) |
|
21 Animal
bite |
23 Cut
by sharp object, i.e. knife/glass/tool |
|
24 Burn,
i.e. from heater/cigarette/oven/stove |
25 Jump/fall
accident, i.e. off furniture/other object |
|
26 "Temper"
injuries, i.e. fell, kicked furniture, etc. |
15 Other
(SPECIFY) |
Default Next: |
|
Lead-In: |
HLTH-6C_VERBATIM_MS1 [Default] |
HLTH-6D_MS1 |
Section:
Fertility |
What specific injury or conditions resulted from
the accident just mentioned?
(INTERVIEWER: SELECT ALL THAT APPLY.)
|
1 Broken
or dislocated bones |
|
2 Sprain,
strain, or pulled muscle |
|
3 Wound:
cuts, scrapes, puncture |
|
4 Head
injury, concussion |
|
5 Bruise,
contusion, or internal bleeding |
|
6 Burn,
scald |
|
7 Illness
or effect from poisons, medicines (drugs), etc |
|
15 Other
(SPECIFY) |
Default Next: |
|
Lead-In: |
HLTH-6C_MS1 [Default] |
HLTH-6E_MS1 |
Section:
Fertility |
Where did the accident or injury happen?
|
1 At
home (any, not necessarily the child's) |
|
2 School
(including grounds and athletic areas) |
|
3 Day
care location (preschool/nursery) |
|
4 Street
or highway |
|
5 Public
building or space (other than streets or schools) |
|
6 Place
of recreation and sports, except school |
|
7 Farm
or agricultural area, except farm house |
|
8 Other
(SPECIFY) |
Default Next: |
|
Lead-In: |
HLTH-6D_MS1 [Default] |
HLTH-6G_MS1 |
Section:
Fertility |
Has [Surprise child's name([mother
supplement loop])] had any other accidents or injuries requiring medical
attention [since was born/during the past 12 months([mother supplement loop])]?
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-6E_MS1 [Default] |
HLTH-6-LOOP-END_MS1 |
Section: Fertility |
UNTIL({^anymorehurts([mother supplement loop]:[illnesses/injuries that
required medical attention])^}==0)
COMMENT: loop until there are no more accidents or injuries
Default Next: |
|
Lead-In: |
HLTH-6G_MS1 [Default] |
HLTH-7_MS1 |
Section:
Fertility |
Now we're going to talk about any time [Surprise
child's name([mother supplement loop])] may have been
hospitalized since [ was born/we last interviewed you on mother last
int([mother supplement loop])]. (This may include an injury that you have
already mentioned here.)
Has [Surprise child's name([mother supplement loop])]
had any accidents or injuries that required hospitalization since [ was born/we
last interviewed you on mother last int([mother supplement loop])]?
|
1 YES ...(Go
To HLTH-7-LOOP-BEGIN_MS1) |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-6_MS1 [Default],
HLTH-6-LOOP-END_MS1 [Default] |
HLTH-7-LOOP-BEGIN_MS1 |
Section: Fertility |
REPEAT
Default Next: |
|
Lead-In: |
HLTH-7_MS1 [1:1] |
HLTH-7B_MS1 |
Section:
Fertility |
Thinking of the [most recent accident or injury
that/accident or injury that occurred before the one you just described that also([mother supplement loop]:[illnesses/injuries that
required hospitalization])] required hospitalization, in what month and year
did it occur?
|
|
|
|
Month |
Year |
|
Default Next: |
|
Lead-In: |
HLTH-7-LOOP-BEGIN_MS1 [Default] |
HLTH-7C_VERBATIM_MS1 |
Section: Fertility |
What was the cause of this accident or injury?
RECORD VERBATIM |
|
HLTH-7C_MS1 |
Section:
Fertility |
CODE ONLY ONE
|
1 Motor
vehicle accident as occupant |
2 Motor
vehicle accident as pedestrian |
|
3 Cycling |
4 Fall
unrelated to athletics or sports activity |
|
5 Fall/contact
related to athletics/sports activity |
6 Fire
or smoke |
|
7 Hot
liquid |
8 Toy
or item intended for child use |
|
9 Equipment
or device not intended for a child |
10 Poisoning |
|
11 Smashed
body part: car/door/window bruise/contusion |
12 Adult
injured child accidentally (pull/lift injury) |
|
13 Intentional
violent injury |
14 "Rough
housing", impact injury: wrestling, etc. |
|
16 Fighting:
broke bone/nose, hit in face, shot, stabbed, etc. |
17 Struck
by object from other person (intent unknown) |
|
18 Insect
sting or bite |
19 Stepped
on sharp object, i.e. glass/nails/metal |
|
20 Ran
into stationary object (not in home environment) |
22 Ran
into stationary object (home environment) |
|
21 Animal
bite |
23 Cut
by sharp object, i.e. knife/glass/tool |
|
24 Burn,
i.e. from heater/cigarette/oven/stove |
25 Jump/fall
accident, i.e. off furniture/other object |
|
26 "Temper"
injuries, i.e. fell, kicked furniture, etc. |
15 Other
(SPECIFY) |
Default Next: |
|
Lead-In: |
HLTH-7C_VERBATIM_MS1 [Default] |
HLTH-7D_MS1 |
Section:
Fertility |
What specific injury or conditions resulted from
the accident just mentioned?
(INTERVIEWER: SELECT ALL THAT APPLY.)
|
1 Broken
or dislocated bones |
|
2 Sprain,
strain, or pulled muscle |
|
3 Wound:
cuts, scrapes, puncture |
|
4 Head
injury, concussion |
|
5 Bruise,
contusion, or internal bleeding |
|
6 Burn,
scald |
|
7 Illness
or effect from poisons, medicines (drugs), etc |
|
15 Other
(SPECIFY) |
Default Next: |
|
Lead-In: |
HLTH-7C_MS1 [Default] |
HLTH-7E_MS1 |
Section:
Fertility |
Where did the accident or injury happen?
|
1 At
home (any, not necessarily the child's) |
|
2 School
(including grounds and athletic areas) |
|
3 Day
care location (preschool/nursery) |
|
4 Street
or highway |
|
5 Public
building or space (other than streets or schools) |
|
6 Place
of recreation and sports, except school |
|
7 Farm
or agricultural area, except farm house |
|
8 Other
(SPECIFY) |
Default Next: |
|
Lead-In: |
HLTH-7D_MS1 [Default] |
HLTH-7G_MS1 |
Section:
Fertility |
Has [Surprise child's name([mother
supplement loop])] had any other accidents or injuries requiring
hospitalization since [ was born/we last interviewed you on mother last
int([mother supplement loop])]?
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-7E_MS1 [Default] |
HLTH-7-LOOP-END_MS1 |
Section: Fertility |
UNTIL({^anymorehosp([mother supplement loop]:[illnesses/injuries that
required hospitalization])^}==0)
Default Next: |
|
Lead-In: |
HLTH-7G_MS1 [Default] |
HLTH-8_MS1 |
Section:
Fertility |
[Since child was born has /During the past 12
months has child([mother supplement loop])] had any
illnesses that required medical attention or treatment?
|
1 YES ...(Go
To HLTH-8A_MS1) |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-AGECHK-YA2_MS1 [1:1],
BKGN-AGECHK_ACCINJ [Default],
HLTH-7_MS1 [Default],
HLTH-7-LOOP-END_MS1 [Default] |
HLTH-8A_MS1 |
Section:
Fertility |
How many such illnesses has [s/he([mother supplement loop])] had [since was born/during the
past 12 months([mother supplement loop])]?
|
|
Default Next: |
|
Lead-In: |
HLTH-8_MS1 [1:1] |
HLTH-9_MS1 |
Section:
Fertility |
When did [s/he([mother
supplement loop])] last see a doctor for a routine health checkup?
|
1 Less
than 1 month ago |
|
2 1
- 3 months ago |
|
3 4
- 6 months ago |
|
4 7
- 11 months ago |
|
5 1
year - 23 months ago |
|
6 2
or more years ago |
|
7 Never |
Default Next: |
|
Lead-In: |
HLTH-8_MS1 [Default],
HLTH-8A_MS1 [Default] |
HLTH-AGECHKDENTAL_MS1 |
Section: Fertility |
[child date of
birth([mother supplement loop])~Y] <= 2006
COMMENT: Skip YA children to questions about health care
coverage
If
Answer = 1 Then Go To HLTH-9A_MS1
Default Next: |
|
Lead-In: |
HLTH-9_MS1 [Default] |
HLTH-9A_MS1 |
Section:
Fertility |
When did [s/he([mother
supplement loop])] last see a dentist for a routine dental checkup?
|
1 Less
than 1 month ago |
|
2 1
- 3 months ago |
|
3 4
- 6 months ago |
|
4 7
- 11 months ago |
|
5 1
year - 23 months ago |
|
6 2
or more years ago |
|
7 Never |
Default Next: |
|
Lead-In: |
HLTH-AGECHKDENTAL_MS1 [1:1] |
HLTH-AGECHK3_MS1 |
Section: Fertility |
[child date of
birth([mother supplement loop])~Y] <= 2003
COMMENT: Skip YA children to questions about health care
coverage
If Answer =
1 Then Go To HLTH-14_MS1
Default Next: |
|
Lead-In: |
HLTH-AGECHKDENTAL_MS1 [Default],
HLTH-9A_MS1 [Default] |
HLTH-11-AGECK_MS1 |
Section: Fertility |
{^CHILDSEX([mother
supplement loop])^} == 2 && {^MSAGE([mother
supplement loop])^} >= 8 && {^msupplement_childper([mother
supplement loop])^}==0
If
Answer = 1 Then Go To HLTH-11A_MS1
Default Next: |
|
Lead-In: |
HLTH-AGECHK3_MS1 [Default] |
HLTH-11A_MS1 |
Section:
Fertility |
Has [Surprise child's name([mother
supplement loop])] ever had a menstrual period?
|
1 YES ...(Go
To HLTH-11B_MS1) |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-11-AGECK_MS1 [1:1] |
HLTH-11B_MS1 |
Section:
Fertility |
How old was [Surprise child's name([mother
supplement loop])] when she had her first menstrual period?
(INTERVIEWER: ENTER AGE IN YEARS.)
|
|
Default Next: |
|
Lead-In: |
HLTH-11A_MS1 [1:1] |
HLTH-11C_MS1 |
Section:
Fertility |
In what month and year did she have her first
period?
|
|
|
|
Month |
Year |
|
Default Next: |
|
Lead-In: |
HLTH-11B_MS1 [Default] |
HLTH-12-AGECHK_MS1 |
Section: Fertility |
{^MSAGE([mother
supplement loop])^}
COMMENT: Is child age 2 yrs or older?
If
Answer >= 12 AND Answer <= 14 Then Go To HLTH-14_MS1
Default Next: |
|
Lead-In: |
HLTH-11-AGECK_MS1 [Default],
HLTH-11A_MS1 [Default],
HLTH-11C_MS1 [Default] |
HLTH-13_MS1 |
Section:
Fertility |
When did [Surprise child's name([mother
supplement loop])] last see a dentist for a checkup or to have some dental work
done?
|
1 Less
than 1 month ago |
|
2 1
- 3 months ago |
|
3 4
- 6 months ago |
|
4 7
- 11 months ago |
|
5 1
year - 23 months ago |
|
6 2
or more years ago |
|
7 Never |
Default Next: |
|
Lead-In: |
HLTH-12-AGECHK_MS1 [Default] |
HLTH-14_MS1 |
Section:
Fertility |
Is [Surprise child's name([mother supplement
loop])]'s health care now covered by health insurance provided either by an
employer or by an individual plan that pays part or all of a hospital,
doctor's, or surgeon's bill?
(THIS DOES NOT INCLUDE PUBLIC ASSISTANCE HEALTH CARE PROGRAMS.)
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-AGECHK3_MS1 [1:1],
HLTH-12-AGECHK_MS1 [12:14],
HLTH-13_MS1 [Default] |
HLTH-15_MS1 |
Section:
Fertility |
There is a national program called Medicaid that
pays for health care for persons in need.
Is [his/her([mother supplement loop])] health care now
covered by Medicaid?
(PROBE IF NECESSARY:)
In [RESPONDENT STATE], this would include programs such as [Child Health
Insurance Program Name].
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-14_MS1 [Default] |
Q9-195 |
Section:
Fertility |
[child date of birth([mother supplement
loop])~Y] <= 2006 && ([msupplement_statcode([mother
supplement loop])] != 8 && [msupplement_hhiflag([mother supplement
loop])] != 8)
COMMENT:
Will child turn at least 15 sometime during 2006 and child is not deceased?
If Answer = 1 Then Go To Q9-199
Default Next: |
|
Lead-In: |
HLTH-CHK2_MS1 [Default],
HLTH-15_MS1 [Default] |
Q9-199 |
Section:
Fertility |
[msupplement_age([mother supplement
loop])] < 18
COMMENT:
Is this child less than 18 years old?
If Answer = 0 Then Go To BKGN-CASI-AGECK1_MS1
Default Next: |
|
Lead-In: |
Q9-195 [1:1] |
Q9-199A |
Section:
Fertility |
[MSUPPLEMENT_NAME([mother
supplement loop])] IS A YOUNG ADULT. IF UNDER 18 YEARS OLD (SEE BELOW), ASK FOR
RESPONDENT'S CONSENT TO HAVE [MSUPPLEMENT_NAME([mother
supplement loop])] PARTICIPATE IN YOUNG ADULT SURVEY. RECORD R'S RESPONSE.
([MSUPPLEMENT_NAME([mother supplement loop])] is
[MSUPPLEMENT_AGE([mother supplement loop])], born on [MSUPPLEMENT_BDATE([mother
supplement loop])~X]).
(PLEASE REMEMBER TO GET [MSUPPLEMENT_NAME([mother
supplement loop])]'S ADDRESS IF NOT IN RESPONDENT'S HOUSEHOLD.)
|
1 GAVE
CONSENT |
|
2 REFUSED
CONSENT |
|
3 NO
CONSENT NECESSARY |
Default Next: |
|
Lead-In: |
Q9-199 [Default] |
BKGN-CASI-AGECK1_MS1 |
Section: Fertility |
[child age
(years)([mother supplement loop])] <= 4 || [in school in spring?([mother supplement loop])]==0
COMMENT: If child age is 5 years or OLDER and has been
enrolled in school then continue; Otherwise, skip to BKGN-44_MS1
If
Answer = 1 Then Go To BKGN-44_MS1
Default Next: |
|
Lead-In: |
HLTH-CHK1_MS1 [5:5],
HLTH-CHK1_MS1 [8:8],
HLTH-CHK1_MS1 [99:99],
HLTH-CHK1A_MS1 [1:1],
HLTH-CHK2_MS1 [5:5],
HLTH-CHK2_MS1 [8:8],
Q9-199 [0:0],
Q9-195 [Default],
Q9-199A [Default] |
BKGN-CASI-AGECK2_MS1 |
Section: Fertility |
[child age
(years)([mother supplement loop])] >=19
COMMENT: If child age is 5 years or OLDER and has been
enrolled in school then continue; Otherwise, skip to BKGN-44_MS1
If
Answer = 1 Then Go To MS1-LOOP-END_MS1
Default Next: |
|
Lead-In: |
BKGN-CASI-AGECK1_MS1 [Default] |
BKGN-41_MS1 |
Section:
Fertility |
{^MSINSCHLSPR([mother
supplement loop])^} == 1
If Answer =
1 Then Go To BKGN-41A_MS1
Default Next: |
|
Lead-In: |
BKGN-CASI-AGECK2_MS1 [Default] |
BKGN-41A_MS1 |
Section:
Fertility |
[child age
(years)([mother supplement loop])]
If Answer
>= 0 AND Answer <= 17 Then Go To BKGN-42_MS1
Default Next: |
|
Lead-In: |
BKGN-41_MS1 [1:1] |
BKGN-41B_MS1 |
Section:
Fertility |
[child age
(years)([mother supplement loop])]==18 && [grade (or equivalent)([mother supplement loop])]<=12
If Answer =
1 Then Go To BKGN-42_MS1
Default Next: |
|
Lead-In: |
BKGN-41A_MS1 [Default] |
BKGN-42_MS1 |
Section:
Fertility |
Is your child one of the best students in class,
above the middle, in the middle, below the middle, or near the bottom of the
class?
|
1 One
of the best students in class |
|
2 Above
the middle |
|
3 In
the middle |
|
4 Below
the middle |
|
5 Near
the bottom of the class |
Default Next: |
|
Lead-In: |
BKGN-41A_MS1 [0:17],
BKGN-41B_MS1 [1:1] |
BKGN-43-M1_MS1 |
Section:
Fertility |
Please think about how well [Surprise child's name([mother supplement loop])]'s school does its job.
What grade would you give the school for how much the teachers care about the
students?
|
-
...how the teachers care about the students? |
|
-
...how effective the principal is as the leader of the school? |
|
-
...the skill of the teachers? |
|
-
...how safe the school is for the students to attend? |
|
-
...letting parents know how their children are doing? |
|
-
...letting parents participate in decisions about how the school is run? |
|
-
...helping students learn the difference between right and wrong? |
|
-
...maintaining order and discipline? |
|
5 A |
|
4 B |
|
3 C |
|
2 D |
|
1 FAIL |
Default Next: |
|
Lead-In: |
BKGN-42_MS1 [Default] |
BKGN-44_MS1 |
Section:
Fertility |
Looking ahead, how far do you think [Surprise
child's name([mother supplement loop])] will go in
school? Will [s/he([mother supplement loop])]...
|
1 leave
high school before graduation |
|
2 graduate
from high school |
|
3 get
some college or other training |
|
4 graduate
from college |
|
5 take
further training after college |
|
6 or
something else? (SPECIFY) |
Default Next: |
|
Lead-In: |
BKGN-CASI-AGECK1_MS1 [1:1],
BKGN-41_MS1 [Default],
BKGN-43-M1_MS1 [Default] |
BKGN-45_MS1 |
Section:
Fertility |
In general, how much trouble has [Surprise
child's name([mother supplement loop])] been to bring
up?
|
1 None |
|
2 Just
a little |
|
3 Quite
a bit |
|
4 A
lot |
Default Next: |
|
Lead-In: |
BKGN-44_MS1 [Default] |
BKGN-46-M1_MS1 |
Section:
Fertility |
Think now about how things are going in general
in [Surprise child's name([mother supplement loop])]'s
life. Please rate each of the parts of [his/her([mother
supplement loop])] life listed below as either excellent, good, only fair, or
poor.
How would you rate...
|
-
...his/her health? |
|
-
...his/her friendships? |
|
-
...his/her relationship with you? |
|
-
...his/her feelings about him/herself? |
|
-
...his/her prospects for the future? |
|
-
...his/her relationship with brothers, sisters or other children he/she lives
with? |
|
4 EXCELLENT |
|
3 GOOD |
|
2 FAIR |
|
1 POOR |
Default Next: |
|
Lead-In: |
BKGN-45_MS1 [Default] |
HLTH-16_MS1 |
Section:
Fertility |
{^msage([mother
supplement loop])^} < 4
COMMENT: If child's age less than 4 years skip to HLTH-19,
OTHERWISE continue
If Answer =
1 Then Go To HLTH-19_MS1
Default Next: |
|
Lead-In: |
BKGN-41B_MS1 [Default],
BKGN-46-M1_MS1 [Default] |
HLTH-17_MS1 |
Section:
Fertility |
During the past 12 months has [Surprise child's name([mother supplement loop])] seen a psychiatrist,
psychologist, or counselor about any behavioral, emotional, or mental problem?
|
1 YES ...(Go
To HLTH-17A_MS1) |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-16_MS1 [Default] |
HLTH-17A_MS1 |
Section:
Fertility |
What was the problem?
(INTERVIEWER: ENTER VERBATIM THEN CODE ALL THAT
APPLY.)
|
|
HLTH-17B_MS1 |
Section:
Fertility |
|
1 LEARNING
PROBLEMS OR DISABILITY, DYSLEXIA, READING OR SPEECH PROBLEMS |
|
11 ATTENTION
DEFICIT HYPERACTIVITY DISORDER (ADHD, ADD) |
|
2 BEHAVIOR
PROBLEMS IN SCHOOL/PRESCHOOL |
|
3 FAMILY
PROBLEMS: LOSS OF PARENT OR SIB, DIVORCE |
|
4 UNMANAGEABLE,
TEMPER TANTRUMS, DISRUPTIVE, HYPERACTIVE |
|
5 STRESS,
CRIES A LOT |
|
6 LYING |
|
7 EMOTIONAL
TRAUMA: MOLESTATION, ABUSE |
|
8 AUTISM |
|
9 SHYNESS |
|
10 NIGHTMARES |
|
15 OTHER
(SPECIFY) |
Default Next: |
|
Lead-In: |
HLTH-17A_MS1 [Default] |
HLTH-18_MS1 |
Section:
Fertility |
Was the cost of the visit to the psychiatrist,
psychologist, or counselor covered, at least in part, by any form of insurance
or benefit program?
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-17B_MS1 [Default] |
HLTH-19_MS1 |
Section:
Fertility |
[Since child was born/During the past 12 months([mother supplement loop])], have you felt, or has
anyone suggested, that [Surprise child's name([mother supplement loop])] needed
help for any behavioral, emotional, or mental problem?
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-16_MS1 [1:1],
HLTH-17_MS1 [Default] |
HLTH-20_MS1 |
Section:
Fertility |
Does [Surprise child's name([mother
supplement loop])] regularly take any medicines or prescription drugs to help
control [his/her([mother supplement loop])] activity level or behavior?
|
1 YES |
|
0 NO |
Default Next: |
|
Lead-In: |
HLTH-18_MS1 [Default],
HLTH-19_MS1 [Default] |
MS1-LOOP-END_MS1 |
Section: Fertility |
UNTIL ([mother supplement loop]==[{MSUPPLEMENT_NUM}])
Default Next: |
|
Lead-In: |
BKGN-CASI-AGECK2_MS1 [1:1],
HLTH-20_MS1 [Default] |