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Questionnaire Public Report |
04/09/2019 03:31:00 PM |
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Cohort: |
National Longitudinal Survey of
Youth 1979 |
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Round: |
NLSY79 Round 28 |
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Instrument : |
R28 Youth Main Field |
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Q9-INTRO |
Section:
Fertility |
Now we'd like to ask you some questions about children.
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Default Next: |
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Lead-In: |
Q9-FILTER [Default] |
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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
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Default Next: |
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Lead-In: |
Q9-INTRO [Default] |
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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
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Default Next: |
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Lead-In: |
Q9-64FB [Default] |
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Q9-64GB_5 |
Section:
Fertility |
[RESPONDENT GENDER]==2 &&
[{RESPAGEDLI}]>52
If Answer = 1 Then Go To Q9-RECCOUNT1
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Default Next: |
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Lead-In: |
Q9-64GB_4 [Default] |
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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)]?
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1 Tubes
tied only |
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2 Vasectomy
only |
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3 Both
tubes tied and vasectomy |
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4 (IF
VOLUNTEERED:) Hysterectomy only |
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5 (IF
VOLUNTEERED: Both hysterectomy and vasectomy |
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6 No
surgical procedure |
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Default Next: |
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Lead-In: |
Q9-64GB_5 [Default] |
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Q9-RECCOUNT1 |
Section:
Fertility |
RECCOUNT ([biochild roster])
COMMENT: Count of biological children
If Answer =
0 Then Go To Q9-2A
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Default Next: |
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Lead-In: |
Q9-64FB [1:1],
Q9-64GB_4 [1:1],
Q9-64GB_5 [1:1],
Q9-64GC [Default] |
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Q9-2A |
Section:
Fertility |
Our records show that you do not have any biological children. Is
that correct?
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1 YES ...(Go
To Q11-1AAA) |
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0 NO |
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Default Next: |
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Lead-In: |
Q9-RECCOUNT1 [0:0] |
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Q9-2A1 |
Section:
Fertility |
[RESPONDENT GENDER]
If Answer = 1 Then Go To Q9-2A3
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Default Next: |
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Lead-In: |
Q9-RECCOUNT1 [Default] |
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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
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Default Next: |
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Lead-In: |
Q9-2A1 [Default] |
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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
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Default Next: |
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Lead-In: |
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Q9-22B |
Section:
Fertility |
Have you had any biological children since [Date of last
interview]?
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1 YES ...(Go
To Q9-22BA) |
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0 NO |
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Default Next: |
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Lead-In: |
Q9-2A3 [Default] |
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Q9-22BA |
Section:
Fertility |
How many children have you [{LINT_EVER}]
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Default Next: |
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Lead-In: |
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Q9-23-LOOP-BEGIN |
Section: Fertility |
REPEAT
COMMENT: Begin Loop for adding new bio children.
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Default Next: |
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Lead-In: |
Q9-22BA [Default] |
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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.)
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Default Next: |
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Lead-In: |
Q9-23-LOOP-BEGIN [Default] |
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Q9-28A |
Section:
Fertility |
Was the baby a boy or a girl?
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1 Boy |
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2 Girl |
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Default Next: |
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Lead-In: |
Q9-28 [Default] |
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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.)
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Month |
Day |
Year |
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Default Next: |
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Lead-In: |
Q9-28A [Default] |
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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
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Default Next: |
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Lead-In: |
Q9-28B [Default] |
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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.
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Default Next: |
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Lead-In: |
Q9-28T-LOOP-END [Default] |
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Q9-29GD |
Section:
Fertility |
[# bio children since dli] > 2
If Answer = 1 Then Go To Q9-29GE
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Default Next: |
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Lead-In: |
Q9-2A2 [1:1],
Q9-2A3 [1:1],
Q9-22B [Default],
Q9-NEWBIO-VERIFY [Default] |
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Q9-29GE |
Section:
Fertility |
[# bio children since dli]== 2
If Answer = 1 Then Go To Q9_29GF
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Default Next: |
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Lead-In: |
Q9-29GD [1:1] |
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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
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Default Next: |
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Lead-In: |
Q9-29GE [1:1] |
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Q9-29HB-LOOP-BEGIN |
Section: Fertility |
REPEAT
COMMENT: Start loop to check for twins/triplets/etc.
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Default Next: |
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Lead-In: |
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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.)
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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.)
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0 NO
(ADDITIONAL) TWINS/TRIPLETS/ETC. ON CHILD ROSTER |
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1 ONE
SET OF (ADDITIONAL) TWINS ON CHILD ROSTER |
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2 ONE
SET OF (ADDITIONAL) TRIPLETS ON CHILD ROSTER |
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3 INCORRECT
TWINS/TRIPLETS/ETC. IDENTIFIED ON CHILD ROSTER |
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Default Next: |
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Lead-In: |
Q9-29I [Default] |
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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
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Default Next: |
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Lead-In: |
Q9-29J [Default] |
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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.
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Default Next: |
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Lead-In: |
Q9-29J-CHK1 [Default] |
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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 .)
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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".)
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1 IDENTICAL ...(Go
To Q9-29QAA-LOOP-END) |
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2 FRATERNAL ...(Go
To Q9-29QAA-LOOP-END) |
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Default Next: |
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Lead-In: |
Q9-29L [Default] |
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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?
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1 Often
mistaken for one another |
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2 Different
enough to tell apart |
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Default Next: |
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Lead-In: |
Q9-29M [Default] |
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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
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Default Next: |
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Lead-In: |
Q9-29J-CHK1 [0:0],
Q9-29M [1:2],
Q9-29K [Default],
Q9-29N [Default] |
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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
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Default Next: |
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Lead-In: |
Q9-29GD [Default],
Q9_29GF [Default],
Q9-29QAA-LOOP-END [Default] |
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Q9-30-LOOP-BEGIN |
Section: Fertility |
REPEAT
COMMENT: Begin loop to ask about residence/visitation of
biological children
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Default Next: |
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Lead-In: |
Q9-BIOROS-COUNT2 [1:1] |
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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
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Default Next: |
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Lead-In: |
Q9-30-LOOP-BEGIN [Default] |
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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
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Default Next: |
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Lead-In: |
Q9-30C [Default] |
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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
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Default Next: |
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Lead-In: |
Q9-30D [Default] |
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Q9-30E |
Section:
Fertility |
When did [name of biochild([{Q9-resloop}])]
die?
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Month |
Year |
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Default Next: |
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Lead-In: |
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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
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Default Next: |
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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] |
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Q9-44A |
Section:
Fertility |
[age of biochild([{Q9-RESLOOP}])]>18
If Answer = 1 Then Go To Q9-44AA
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Default Next: |
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Lead-In: |
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Q9-44AA |
Section:
Fertility |
[Usual residence of biological child([{Q9-RESLOOP}])]==1
If Answer = 1 Then Go To Q9-60-LOOP-END
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Default Next: |
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Lead-In: |
Q9-44A [1:1] |
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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
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Default Next: |
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Lead-In: |
Q9-44A [Default] |
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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
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Default Next: |
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Lead-In: |
Q9-44AB [Default] |
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Q9-44CA |
Section:
Fertility |
[marital status code]==4
If Answer = 1 Then Go To Q9-45
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Default Next: |
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Lead-In: |
Q9-44C [2:2] |
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Q9-45 |
Section:
Fertility |
Does [name of biochild([{Q9-resloop}])]'s
natural [father/mother] live in this household?
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1 YES ...(Go
To Q9-60-LOOP-END) |
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0 NO |
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Default Next: |
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Lead-In: |
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Q9-46 |
Section:
Fertility |
Is [name of biochild([{Q9-resloop}])]'s
[father/mother] living?
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1 YES ...(Go
To Q9-46B) |
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0 NO |
If Answer >= -2 AND Answer <= -1 Then Go To Q9-46B
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Default Next: |
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Lead-In: |
Q9-45 [Default] |
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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
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Default Next: |
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Lead-In: |
Q9-44AB [1:1] |
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Q9-46B |
Section:
Fertility |
[age of biochild([{Q9-RESLOOP}])]>18
If Answer = 1 Then Go To Q9-60-LOOP-END
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Default Next: |
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Lead-In: |
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Q9-47 |
Section:
Fertility |
When did [name of biochild([{Q9-resloop}])]'s
natural [father/mother] leave the household?
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1 SELECT
TO ENTER DATE |
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2 NATURAL
(MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD ...(Go To Q9-50) |
If Answer >= -2 AND Answer <= -1 Then Go To Q9-50
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Default Next: |
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Lead-In: |
Q9-46B [Default] |
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Q9-47A |
Section:
Fertility |
INTERVIEWER: ENTER MONTH AND YEAR [name of biochild([{Q9-resloop}])]'S NATURAL [father/mother] LEFT THE
HOUSEHOLD.
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Month |
Year |
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Default Next: |
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Lead-In: |
Q9-47 [Default] |
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Q9-48 |
Section:
Fertility |
What month and year did [name of biochild([{Q9-resloop}])]'s
natural [father/mother] die?
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Month |
Year |
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Default Next: |
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Lead-In: |
Q9-46 [Default] |
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Q9-50 |
Section:
Fertility |
About how far from you does [name of biochild([{Q9-resloop}])]'s
[father/mother] live?
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1 WITHIN
1 MILE |
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2 1-10
MILES |
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3 11-100
MILES |
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4 101-200
MILES |
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5 MORE
THAN 200 MILES |
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Default Next: |
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Lead-In: |
Q9-46A [1:1],
Q9-47 [-2:-1],
Q9-47 [2:2],
Q9-44CA [Default],
Q9-47A [Default] |
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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]?
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1 ALMOST
EVERY DAY |
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2 2-5
TIMES A WEEK |
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3 ABOUT
ONCE A WEEK |
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4 1-3
TIMES A MONTH |
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5 7-11
TIMES IN PAST 12 MONTHS |
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6 2-6
TIMES IN PAST 12 MONTHS |
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7 ONCE
IN PAST 12 MONTHS |
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0 NEVER ...(Go
To Q9-60-LOOP-END) |
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Default Next: |
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Lead-In: |
Q9-50 [Default] |
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Q9-52 |
Section:
Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 0.)
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Default Next: |
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Lead-In: |
Q9-51 [Default] |
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Q9-53 |
Section:
Fertility |
About how far from you does [name of biochild([{Q9-resloop}])]
live?
|
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1 WITHIN
1 MILE |
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2 1-10
MILES |
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3 11-100
MILES |
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4 101-200
MILES |
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5 MORE
THAN 200 MILES |
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Default Next: |
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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}])]?
|
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1 ALMOST
EVERY DAY |
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2 2-5
TIMES A WEEK |
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3 ABOUT
ONCE A WEEK |
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4 1-3
TIMES A MONTH |
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5 7-11
TIMES IN PAST 12 MONTHS |
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6 2-6
TIMES IN PAST 12 MONTHS |
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7 ONCE
IN PAST 12 MONTHS |
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0 NEVER |
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Default Next: |
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Lead-In: |
Q9-53 [Default] |
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Q9-54A |
Section:
Fertility |
[age of biochild([{Q9-RESLOOP}])]>18
If Answer = 1 Then Go To Q9-54AB
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Default Next: |
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Lead-In: |
Q9-54 [Default] |
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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)
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1 NOT
AT ALL |
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2 ABOUT
ONCE A YEAR OR LESS |
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3 SEVERAL
TIMES A YEAR |
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4 ABOUT
ONCE A MONTH |
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5 TWO
OR THREE TIMES A MONTH |
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6 ONCE
A WEEK |
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7 SEVERAL
TIMES A WEEK |
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8 EVERY
DAY |
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Default Next: |
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Lead-In: |
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Q9-54B |
Section:
Fertility |
[{NUMVISITS}]==0
If Answer = 1 Then Go To Q9-56
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Default Next: |
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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.)
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Default Next: |
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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 |
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Default Next: |
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Lead-In: |
|
Q9-57 |
Section:
Fertility |
(When did [name of biochild([{Q9-resloop}])]
last live with you?)
ENTER DATE
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|
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Month |
Year |
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Default Next: |
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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 |
|
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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] |