Q9-FILTER [T79818.00] | Section: Fertility |
([{TOTOBIO}]==0) && ([RESPONDENT GENDER]==2) && ([{RESPAGEDLI}]>52 || [r previously report being surgically sterilized?]==1)
COMMENT: Machine Check: Is R a female with no children who was either over age 52 or previously sterilized at the date of last interview?
If Answer = 1 Then Go To Q11-1AAA
Q9-INTRO [] | Section: Fertility |
Now we'd like to ask you some questions about children.
Q9-64FB [T79819.00] | 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
Q9-64GB_4 [T79820.00] | 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
Q9-64GB_5 [T79821.00] | Section: Fertility |
[RESPONDENT GENDER]==2 && [{RESPAGEDLI}]>52
If Answer = 1 Then Go To Q9-RECCOUNT1
Q9-64GC [T79822.00] | Section: Fertility |
Have you had any operation to prevent pregnancy? That is have you [had (a vasectomy/your tubes tied or had a tubal ligation)] or has [your wife/husband/spouse/partner] [had (a vasectomy/her tubes tied or had a tubal ligation)]?
| 1 Tubes tied only |
| 2 Vasectomy only |
| 3 Both tubes tied and vasectomy |
| 4 (IF VOLUNTEERED:) Hysterectomy only |
| 5 (IF VOLUNTEERED: Both hysterectomy and vasectomy |
| 6 No surgical procedure |
Q9-RECCOUNT1 [] | Section: Fertility |
RECCOUNT ([biochild roster])
COMMENT: Count of biological children
If Answer = 0 Then Go To Q9-2A
Q9-2A [] | Section: Fertility |
Our records show that you do not have any biological children. Is that correct?
Q9-2A1 [] | Section: Fertility |
[RESPONDENT GENDER]
If Answer = 1 Then Go To Q9-2A3
Q9-2A2 [T79823.00] | 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
Q9-2A3 [T79824.00] | 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
Q9-22B [T79825.00] | Section: Fertility |
Have you had any biological children since [Date of last interview]?
Q9-22BA [T79826.00] | Section: Fertility |
How many children have you [{LINT_EVER}]
Q9-23-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: Begin Loop for adding new bio children.
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.)
Q9-28A [] | Section: Fertility |
Was the baby a boy or a girl?
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.)
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
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.
Q9-29GD [T79831.00] | Section: Fertility |
[# bio children since dli] > 2
If Answer = 1 Then Go To Q9-29GE
Q9-29GE [] | Section: Fertility |
[# bio children since dli]== 2
If Answer = 1 Then Go To Q9_29GF
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
Q9-29HB-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: Start loop to check for twins/triplets/etc.
Q9-29I [] | Section: Fertility |
(INTERVIEWER: CHECK FOR CHILDREN WITH THE SAME BIRTHDATE WHO DO NOT HAVE A 'YES' IN THE "TWIN" COLUMN. SELECT R'S RESPONSE BELOW.)
Q9-29J [T79832.00] | Section: Fertility |
(INTERVIEWER: FOR EACH PAIR OR GROUP OF CHILDREN WITH THE SAME BIRTHDATE BUT NOT IDENTIFIED AS TWINS/TRIPLETS/ETC., ASK:)
Is it correct that (READ NAMES OF CHILDREN) are (twins/triplets/etc.)?
(DO NOT RE-REPORT TWINS/TRIPLETS ALREADY IDENTIFIED.)
| 0 NO (ADDITIONAL) TWINS/TRIPLETS/ETC. ON CHILD ROSTER |
| 1 ONE SET OF (ADDITIONAL) TWINS ON CHILD ROSTER |
| 2 ONE SET OF (ADDITIONAL) TRIPLETS ON CHILD ROSTER |
| 3 INCORRECT TWINS/TRIPLETS/ETC. IDENTIFIED ON CHILD ROSTER |
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
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.
Q9-29L [] | Section: Fertility |
(INTERVIEWER: SELECT (FIRST/NEXT) (ADDITIONAL) SET OF (TWINS/TRIPLETS) ON ROSTER, AND IF SAME SEX, ASK:)
Are (READ NAMES OF SELECTED CHILDREN) identical (twins/triplets) or are they fraternal (twins/triplets)? (IF NOT SAME SEX, SELECT "FRATERNAL" IN BELOW .)
Q9-29M [] | Section: Fertility |
(Are (READ NAMES OF SELECTED CHILDREN) identical (twins/triplets) or are they fraternal (twins/triplets)?)
(INTERVIEWER: IF (TWINS/TRIPLETS) NOT THE SAME SEX, THEY ARE "FRATERNAL".)
Q9-29N [] | Section: Fertility |
Are they (REPEAT NAMES OF CHILDREN IF NECESSARY) often mistaken for each other, or are they different enough to tell apart?
| 1 Often mistaken for one another |
| 2 Different enough to tell apart |
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
Q9-BIOROS-COUNT2 [T79833.00] | 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
Q9-30-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: Begin loop to ask about residence/visitation of biological children
Q9-30C [T79844.00] | 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
Q9-30D [T79854.00] | 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”)
| 1 IN THIS HOUSEHOLD |
| 2 WITH (HIS/HER) (FATHER/MOTHER) |
| 12 OWN RESIDENCE, ALONE OR WITH OTHERS |
| 7 AWAY AT SCHOOL |
| 3 WITH OTHER RELATIVES |
| 9 PART-TIME WITH YOU, PART-TIME WITH OTHER PARENT |
| 10 PART-TIME WITH YOU, PART-TIME WITH OTHER PERSON |
| 4 WITH FOSTER CARE |
| 5 WITH ADOPTIVE PARENTS |
| 6 LONG TERM CARE INSTITUTION |
| 8 DECEASED ...(Go To Q9-30E) |
| 11 OTHER (SPECIFY) |
| 99 R INDICATES THIS IS NOT HIS/HER BIOLOGICAL CHILD ...(Go To Q9-60-LOOP-END) |
Q9-30DB [T79864.00] | 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
Q9-30E [T79874.00] | Section: Fertility |
When did [name of biochild([{Q9-resloop}])] die?
Q9-44 [T79879.00] | 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
Q9-44A [T79889.00] | Section: Fertility |
[age of biochild([{Q9-RESLOOP}])]>18
If Answer = 1 Then Go To Q9-44AA
Q9-44AA [T79899.00] | Section: Fertility |
[Usual residence of biological child([{Q9-RESLOOP}])]==1
If Answer = 1 Then Go To Q9-60-LOOP-END
Q9-44AB [T79908.00] | 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
Q9-44C [T79918.00] | 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
Q9-44CA [] | Section: Fertility |
[marital status code]==4
If Answer = 1 Then Go To Q9-45
Q9-45 [T79924.00] | Section: Fertility |
Does [name of biochild([{Q9-resloop}])]'s natural [father/mother] live in this household?
Q9-46 [T79943.00] | Section: Fertility |
Is [name of biochild([{Q9-resloop}])]'s [father/mother] living?
If Answer >= -2 AND Answer <= -1 Then Go To Q9-46B
Q9-46A [T79953.00] | 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
Q9-46B [T79957.00] | Section: Fertility |
[age of biochild([{Q9-RESLOOP}])]>18
If Answer = 1 Then Go To Q9-60-LOOP-END
Q9-47 [T79967.00] | Section: Fertility |
When did [name of biochild([{Q9-resloop}])]'s natural [father/mother] leave the household?
| 1 SELECT TO ENTER DATE |
| 2 NATURAL (MOTHER/FATHER) NEVER LIVED IN THIS HOUSEHOLD ...(Go To Q9-50) |
If Answer >= -2 AND Answer <= -1 Then Go To Q9-50
Q9-47A [T79977.00] | Section: Fertility |
INTERVIEWER: ENTER MONTH AND YEAR [name of biochild([{Q9-resloop}])]'S NATURAL [father/mother] LEFT THE HOUSEHOLD.
Q9-48 [T79986.00] | Section: Fertility |
What month and year did [name of biochild([{Q9-resloop}])]'s natural [father/mother] die?
Q9-50 [T79992.00] | Section: Fertility |
About how far from you does [name of biochild([{Q9-resloop}])]'s [father/mother] live?
| 1 WITHIN 1 MILE |
| 2 1-10 MILES |
| 3 11-100 MILES |
| 4 101-200 MILES |
| 5 MORE THAN 200 MILES |
Q9-51 [T80002.00] | Section: Fertility |
In the past 12 months, about how often has [name of biochild([{Q9-resloop}])] seen [his/her([{Q9-resloop}])] [father/mother]?
(IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [name of biochild([{Q9-resloop}])] has been separated from [his/her([{Q9-resloop}])] [father/mother], about how often has [name of biochild([{Q9-resloop}])] seen [his/her([{Q9-resloop}])] [father/mother]?
| 1 ALMOST EVERY DAY |
| 2 2-5 TIMES A WEEK |
| 3 ABOUT ONCE A WEEK |
| 4 1-3 TIMES A MONTH |
| 5 7-11 TIMES IN PAST 12 MONTHS |
| 6 2-6 TIMES IN PAST 12 MONTHS |
| 7 ONCE IN PAST 12 MONTHS |
| 0 NEVER ...(Go To Q9-60-LOOP-END) |
Q9-52 [T80012.00] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 0.)
Q9-53 [T80022.00] | Section: Fertility |
About how far from you does [name of biochild([{Q9-resloop}])] live?
| 1 WITHIN 1 MILE |
| 2 1-10 MILES |
| 3 11-100 MILES |
| 4 101-200 MILES |
| 5 MORE THAN 200 MILES |
Q9-54 [T80032.00] | Section: Fertility |
In the past 12 months, about how often have you seen [name of biochild([{Q9-resloop}])]?
(IF SEPARATION IS MORE RECENT THAN PAST 12 MONTHS, ASK:) Since [name of biochild([{Q9-resloop}])] has not been living with you, about how often have you seen [name of biochild([{Q9-resloop}])]?
| 1 ALMOST EVERY DAY |
| 2 2-5 TIMES A WEEK |
| 3 ABOUT ONCE A WEEK |
| 4 1-3 TIMES A MONTH |
| 5 7-11 TIMES IN PAST 12 MONTHS |
| 6 2-6 TIMES IN PAST 12 MONTHS |
| 7 ONCE IN PAST 12 MONTHS |
| 0 NEVER |
Q9-54A [T80042.00] | Section: Fertility |
[age of biochild([{Q9-RESLOOP}])]>18
If Answer = 1 Then Go To Q9-54AB
Q9-54AB [T80052.00] | Section: Fertility |
How often in the past year have you had contact with [name of biochild([{Q9-resloop}])], by means such as card, letter, e-mail, text or facebook message, skype or phone call?
(INTERVIEWER: READ CATEGORIES ONLY IF NECESSARY)
| 1 NOT AT ALL |
| 2 ABOUT ONCE A YEAR OR LESS |
| 3 SEVERAL TIMES A YEAR |
| 4 ABOUT ONCE A MONTH |
| 5 TWO OR THREE TIMES A MONTH |
| 6 ONCE A WEEK |
| 7 SEVERAL TIMES A WEEK |
| 8 EVERY DAY |
Q9-54B [T80062.00] | Section: Fertility |
[{NUMVISITS}]==0
If Answer = 1 Then Go To Q9-56
Q9-55 [T80072.00] | Section: Fertility |
How long do these visits usually last?
(INTERVIEWER: ENTER NUMBER OF DAYS. IF LESS THAN 1 DAY, ENTER 0.)
Q9-56 [T80082.00] | 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 |
Q9-57 [T80092.00] | Section: Fertility |
(When did [name of biochild([{Q9-resloop}])] last live with you?)
ENTER DATE
Q9-58 [T80102.00] | Section: Fertility |
(Were/Was) there any period(s) of more than three consecutive months when [name of biochild([{Q9-resloop}])] did not live with you before that time?
| 1 YES |
| 0 NO |
| 2 CHILD IS LESS THAN THREE MONTHS OLD |
Q9-60-LOOP-END [] | Section: Fertility |
UNTIL([{Q9-resloop}]==[total # bio children reported])
COMMENT: end loop.
Default Next: | Q9-67A |
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 [T80112.00] | Section: Fertility |
[RESPONDENT GENDER]==1
COMMENT: Is respondent male?
If Answer = 1 Then Go To Q11-1AAA
Q9-FEM52-AGECHK1 [T80113.00] | Section: Fertility |
[{ageatdli}] > 52
COMMENT: Female R over 52 years old currently or at last interview?
If Answer = 1 Then Go To Q9-72
Q9-68C [] | Section: Fertility |
[type of dwelling unit] == 7
If Answer = 0 Then Go To Q9-69B
Q9-69B [T80114.00] | 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
Q9-69F [] | Section: Fertility |
[r previously report being surgically sterilized?] == 1
If Answer = 1 Then Go To Q9-72
Q9-69G [T80115.00] | 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
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}]
Q9-70B [] | Section: Fertility |
[{pregtext5}] many [{pregtext2}] pregnancies have you had since [{fertrefdate~X}]?
(INTERVIEWER: IF R IS CURRENTLY PREGNANT, PLEASE COUNT THAT PREGNANCY.)
Q9-70B2 [] | Section: Fertility |
[{pregtext6}] end in an abortion?
Q9-70B3 [] | Section: Fertility |
[{numothpreg}]
If Answer >= 0 AND Answer <= 1 Then Go To Q9-72
Q9-70B4 [] | Section: Fertility |
How many of those pregnancies ended in abortion?
Q9-72 [T80116.00] | Section: Fertility |
[total # bio children reported] > 0
COMMENT: Has R ever had any children?
If Answer = 1 Then Go To Q9-73
Q9-73 [T80117.00] | 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
Q9-73Z-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: Copy name of child resulting from first pregnancy since date of 2004 or prior interview.
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].
Q9-74A1 [T80118.00] | Section: Fertility |
[Q9-loop16 counter] == 1
If Answer = 0 Then Go To Q9-74A2
Q9-74A2 [T80122.00] | 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
Q9-74A3 [T80125.00] | Section: Fertility |
[{numtwins}]==0
If Answer = 1 Then Go To Q9-76E
Q9-74B [T80126.00] | 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.
Q9-76E [T80133.00] | Section: Fertility |
[Q9-loop16 counter] == 1
COMMENT: IS THIS THE FIRST TIME THROUGH THE LOOP?
If Answer = 0 Then Go To Q9-76F
Q9-76F [T80137.00] | 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
Q9-77 [T80140.00] | Section: Fertility |
When did you become pregnant with [name of child born since dli]? What month and year?
Q9-78 [T80144.00] | 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) |
Q9-79 [T80148.00] | Section: Fertility |
Had you stopped all methods before you became pregnant?
| 1 YES ...(Go To Q9-80) |
| 0 NO |
Q9-80 [T80151.00] | 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 |
Q9-81 [T80155.00] | Section: Fertility |
Just before you became pregnant that time, did you want to become pregnant when you did?
(IF NO, PROBE:) Did you want (a/another) baby but not at that time, or did you want (none/no more) at all?
| 1 Yes |
| 2 Didn't matter |
| 3 No--not at that time |
| 4 No--(none/no more) at all |
Q9-82 [T80158.00] | 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 |
Q9-83 [T80162.00] | 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 |
Q9-84 [T80166.00] | Section: Fertility |
When did you first visit a doctor or nurse for prenatal care -- during which month of your pregnancy?
(ENTER MONTH NUMBER)
Q9-85 [T80170.00] | 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 |
Q9-86 [T80174.00] | 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 |
Q9-87 [T80176.00] | 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 |
Q9-88 [T80180.00] | Section: Fertility |
On the average, how many cigarettes did you smoke during (your/that) pregnancy? Did you smoke 2 or more packs a day? Did you smoke 1 pack or more but less than 2 packs a day, or less than 1 pack a day?
| 3 2 or more packs a day |
| 2 1 or more but less than 2 |
| 1 Less than 1 pack a day |
| 0 (IF VOLUNTEERED:) DID NOT SMOKE DURING THAT PERIOD |
Q9-89 [T80182.00] | 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 |
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 |
Q9-91 [T80186.00] | 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 |
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 |
Q9-93 [T80190.00] | Section: Fertility |
During (your/that) pregnancy, did you take a vitamin/mineral supplement?
Q9-99B [T80194.00] | Section: Fertility |
Did you take a vitamin/mineral supplement based on a doctor's or nurse's suggestion?
Q9-94 [T80198.00] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the calories in the food you ate?
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?
Q9-95 [T80202.00] | Section: Fertility |
During (your/that) pregnancy, did you cut down on the amount of salt you used?
Q9-101B [T80206.00] | Section: Fertility |
Did you cut down on the amount of salt you used based on a doctor's or nurse's suggestion?
Q9-96 [T80207.00] | Section: Fertility |
During (your/that) pregnancy, did you use diuretics (fluid or water pills) to help eliminate water?
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?
Q9-97 [T80211.00] | Section: Fertility |
During (your/that) pregnancy, did you reduce or stop your smoking?
| 1 YES ...(Go To Q9-103B) |
| 0 NO |
| 4 NOT APPLICABLE |
Q9-103B [T80215.00] | Section: Fertility |
Did you reduce or stop your smoking based on a doctor's or nurse's suggestion?
Q9-98 [T80217.00] | 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 |
Q9-104B [T80221.00] | Section: Fertility |
Did you reduce or stop your alcohol intake based on a doctor's or nurse's suggestion?
Q9-105 [T80224.00] | 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?
Q9-106A [T80228.00] | Section: Fertility |
Was the baby born early or late?
Q9-106B [T80230.00] | Section: Fertility |
How many weeks early was the baby?
(IF "1 1/2 WEEKS" ROUND UP TO "2".)
Q9-106C [T80231.00] | Section: Fertility |
How many weeks late was the baby?
(IF "1 1/2 WEEKS" ROUND UP TO "2".)
Q9-107 [T80233.00] | Section: Fertility |
Was a cesarean section done? (IF NECESSARY, PROBE:) Was the baby delivered by an incision in your abdomen?
Q9-108 [T80237.00] | Section: Fertility |
Was this your first cesarean section, or did you have one before?
| 1 First cesarean |
| 0 Had cesarean(s) before |
Q9-109 [T80239.00] | Section: Fertility |
What was your weight just before you delivered?
Q9-110 [T80243.00] | Section: Fertility |
What was your weight just before you became pregnant with [name of child born since dli]?
Q9-111 [T80247.00] | 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
Q9-112 [T80251.00] | 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
Q9-113 [T80255.00] | 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
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.)
Q9-115 [T80259.00] | 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.)
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.)
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 |
Q9-117A [] | Section: Fertility |
How much weight did you (gain/lose)?
(ENTER NUMBER OF POUNDS)
Q9-118A000001 [T80263.00] | Section: Fertility |
How much did [name of child born since dli] weigh at birth?
(INTERVIEWER: ENTER POUNDS AND OUNCES BELOW.)
Q9-118A000002 [T80267.00] | Section: Fertility |
Q9-118B [T80271.00] | 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
Q9-118C [T80275.00] | Section: Fertility |
Did [name of child born since dli] weigh more than 5 1/2 pounds or less?
Q9-119 [T80276.00] | Section: Fertility |
What was [name of child born since dli]'s length at birth?
(ENTER INCHES)
Q9-119A [T80280.00] | Section: Fertility |
INTERVIEWER: DID R INDICATE THAT THE LENGTH OF THE BABY WAS AN ESTIMATE?
Q9-120 [T80284.00] | Section: Fertility |
How long did your baby stay in the hospital?
| 1 SELECT TO ENTER NUMBER OF DAYS |
| 0 BABY/RESPONDENT DID NOT STAY IN HOSPITAL ...(Go To Q9-123) |
Q9-120A [T80288.00] | Section: Fertility |
(How long did your baby stay in the hospital?)
(ENTER NUMBER OF DAYS)
Q9-121 [T80292.00] | Section: Fertility |
Did you leave the hospital at the same time as your baby or did you leave earlier or later?
Q9-122A [T80296.00] | Section: Fertility |
How many days earlier?
Q9-122B [] | Section: Fertility |
How many days later?
Q9-123 [T80297.00] | 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].
Q9-124 [T80301.00] | 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 [T80304.00] | 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 |
Q9-125 [T80307.00] | 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 |
Q9-126 [T80310.00] | 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.)
Q9-127 [T80313.00] | 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
Q9-128 [T80316.00] | 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]?
Q9-129 [T80319.00] | 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) |
Q9-130B [T80322.00] | 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
Q9-131 [T80325.00] | Section: Fertility |
When [name of child born since dli] was admitted to the hospital, was surgery necessary?
Q9-132 [T80326.00] | Section: Fertility |
Did you have to take time off from work?
Q9-133 [T80327.00] | 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?
Q9-134 [T80330.00] | 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.)
Q9-134A [T80331.00] | 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 |
Q9-135 [T80332.00] | 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 |
Q9-136 [T80333.00] | 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.)
Q9-137 [T80334.00] | 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
Q9-138 [T80335.00] | 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]?
Q9-139 [T80336.00] | 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) |
Q9-140B [T80337.00] | 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
Q9-141 [] | Section: Fertility |
When [name of child born since dli] was admitted to the hospital, was surgery necessary?
Q9-142 [] | Section: Fertility |
Did you have to take time off from work?
Q9-143 [T80338.00] | 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) |
Q9-144A [T80342.00] | 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 |
Q9-145B [T80346.00] | 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) |
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) |
Q9-145B_B [] | Section: Fertility |
Was [name of child born since dli] admitted to the hospital?
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 |
Q9-145B_D [T80347.00] | 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)?
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
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
Q9-146B [T80348.00] | 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) |
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) |
Q9-146B_B [T80369.00] | Section: Fertility |
Was [name of child born since dli] admitted to the hospital?
Q9-146B_C [T80370.00] | 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 |
Q9-146B_D [T80371.00] | 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)?
Q9-147A-LOOP-END [] | Section: Fertility |
ENDFOR
COMMENT: Repeat loop for number of choices
Q9-164 [T80392.00] | 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].
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 |
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.)
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.)
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: | Q9-SKID-15C |
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
MS1-LOOP-BEGIN [] | Section: Fertility |
REPEAT
COMMENT: START loop
0
MS-CKNAME_MS1 [T80408.00] | 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
MS-ENTERNAME_MS1 [T80412.00] | Section: Fertility |
INTERVIEWER: ENTER [msupplement_name([mother supplement loop])]'S FIRST NAME:
MS-CKFULLNAME_MS1 [T80414.00] | 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
MS-ENTERFULLNAME_MS1 [] | Section: Fertility |
INTERVIEWER: ENTER [msupplement_name([mother supplement loop])]'S FULL NAME:
Q9-194 [T80486.00] | 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
Q9-194A [T80490.00] | 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
BKGN-AGECHK_MS1 [T80494.00] | 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
BKGN-TITLE_MS1 [] | Section: Fertility |
BEGIN CHILD BACKGROUND SECTION
[msupplement_name([mother supplement loop])]
BKGN-1_MS1 [T80514.00] | 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 .)
| 1 YES, ENROLLED IN REGULAR SCHOOL ...(Go To BKGN-3_MS1) |
| 2 YES, HOME SCHOOLED ...(Go To BKGN-4_MS1) |
| 0 NO |
BKGN-3_MS1 [T80518.00] | 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
BKGN-4_MS1 [T80522.00] | 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) |
BKGN-4A-CHK1_MS1 [T80524.00] | Section: Fertility |
{^msgrade([mother supplement loop])^} == 90 || [grade (or equivalent)([mother supplement loop])] == 95
If Answer = 1 Then Go To BKGN-AGECHK_FRNDS
BKGN-AGECHK_SCHLQS [T80528.00] | 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
BKGN-HOMESCHLCHK_SCHLQS [T80532.00] | 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
BKGN-26_MS1 [T80536.00] | 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.
BKGN-27_MS1 [T80540.00] | 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.
BKGN-28_MS1 [T80544.00] | Section: Fertility |
([in school in spring?([mother supplement loop])]== 0)
If Answer = 1 Then Go To BKGN-32_MS1
BKGN-29A-MATRIX_MS1 [T80548.00] | 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)? |
BKGN-30_MS1 [T80552.00] | Section: Fertility |
({^MSINSCHLSPR([mother supplement loop])^} == 1)
If Answer = 1 Then Go To BKGN-31-MATRIX_MS1
BKGN-31-MATRIX_MS1 [T80556.00] | 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? |
BKGN-AGECHK_FRNDS [T80560.00] | 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
BKGN-32_MS1 [T80562.00] | 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 [T80566.00] | 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? |
BKGN-34_MS1 [T80570.00] | 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 [T80574.00] | 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 |
HLTH-CHK1_MS1 [T80586.00] | 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
HLTH-CHK1A_MS1 [T80590.00] | 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
HLTH-CHK2_MS1 [T80594.00] | 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
HLTH-TITLE_MS1 [] | Section: Fertility |
BEGIN CHILD HEALTH SECTION
[msupplement_name([mother supplement loop])]
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.
HLTH-YA-AGE-CHECK [T80602.00] | 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
HLTH-AGECHK-YA2_MS1 [T80606.00] | 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
HLTH-HGT-SELECT [T80614.00] | 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) |
HLTH-HGT-MTHDCK [T80618.00] | 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
HLTH-HGT-FEET [T80622.00] | Section: Fertility |
(How tall is [Surprise child's name([mother supplement loop])]?)
INTERVIEWER: RECORD FEET AND INCHES BELOW.
HLTH-HGT-INCHES [T80626.00] | Section: Fertility |
(How tall is [Surprise child's name([mother supplement loop])]?)
INTERVIEWER: RECORD FEET AND INCHES BELOW.
HLTH-HGT-TOTALINCHES [] | Section: Fertility |
(How tall is [Surprise child's name([mother supplement loop])]?)
INTERVIEWER: RECORD HEIGHT IN TOTAL INCHES.
HLTH-HGTCOMP [T80634.00] | 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
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
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.
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.
HLTH-WGT-SELECT [T80638.00] | 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) |
HLTH-WGT-MTHDCK [T80642.00] | 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
HLTH-WGT-LBSONLY [T80646.00] | Section: Fertility |
(How much does [s/he([mother supplement loop])] weigh?)
INTERVIEWER: RECORD WEIGHT IN POUNDS.
HLTH-WGT-LBS [] | Section: Fertility |
(How much does [s/he([mother supplement loop])] weigh?)
INTERVIEWER: (FOR CHILDREN UNDER 20 LBS.) RECORD POUNDS AND OUNCES.
HLTH-WGT-OZS [] | Section: Fertility |
HLTH-WGTCOMP [T80654.00] | 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
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
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.
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.
HLTH-1A_MS1 [T80662.00] | 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
HLTH-1B_MS1 [T80666.00] | Section: Fertility |
({^msage([mother supplement loop])^} >= 4) || ([in school in spring?([mother supplement loop])] == 1)
If Answer = 1 Then Go To HLTH-2A_MS1
HLTH-2A_MS1 [T80670.00] | 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?
HLTH-2B_MS1 [T80674.00] | 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?
HLTH-2C_MS1 [T80678.00] | 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?
HLTH-3A_MS1 [T80682.00] | 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?
HLTH-3B_MS1 [T80686.00] | 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)?
HLTH-3C_MS1 [T80690.00] | 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?
HLTH-5-LOOP-BEGIN_MS1 [] | Section: Fertility |
REPEAT
HLTH-5A_VERBATIM_MS1 [T80694.00] | 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?)
HLTH-5A_MS1 [T80695.00] | 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) |
HLTH-5C-AGECK_MS1 [T80696.00] | 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
HLTH-5C_MS1 [T80697.00] | 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)
HLTH-5-CNT_MS1 [T80698.00] | 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
HLTH-5-1STQ2A_MS1 [T80699.00] | 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
HLTH-5-1STQ2B_MS1 [T80700.00] | 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
HLTH-5-1STQ2C_MS1 [T80701.00] | 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
HLTH-5-1STQ3A_MS1 [T80702.00] | 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
HLTH-5-1STQ3B_MS1 [T80703.00] | 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
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
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
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?
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?
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?
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?
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)?
HLTH-5I_MS1 [T80704.00] | 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?
HLTH-5J_MS1 [T80705.00] | Section: Fertility |
Does [Surprise child's name([mother supplement loop])] have any other health conditions (that we haven't talked about)?
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
BKGN-AGECHK_ACCINJ [T80707.00] | 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
HLTH-6_MS1 [T80709.00] | 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?
HLTH-6-LOOP-BEGIN_MS1 [] | Section: Fertility |
REPEAT
COMMENT: Begin loop about accidents requiring medical attention
HLTH-6B_MS1 [T80713.00] | 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?
HLTH-6C_VERBATIM_MS1 [T80715.00] | Section: Fertility |
What was the cause of that accident or injury?
HLTH-6C_MS1 [T80717.00] | 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) |
HLTH-6D_MS1 [T80719.00] | 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) |
HLTH-6E_MS1 [T80721.00] | 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) |
HLTH-6G_MS1 [T80723.00] | 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])]?
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
HLTH-7_MS1 [T80727.00] | 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])]?
HLTH-7-LOOP-BEGIN_MS1 [] | Section: Fertility |
REPEAT
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?
HLTH-7C_VERBATIM_MS1 [] | Section: Fertility |
What was the cause of this accident or injury?
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) |
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) |
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) |
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])]?
HLTH-7-LOOP-END_MS1 [] | Section: Fertility |
UNTIL({^anymorehosp([mother supplement loop]:[illnesses/injuries that required hospitalization])^}==0)
HLTH-8_MS1 [T80731.00] | 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?
HLTH-8A_MS1 [T80735.00] | Section: Fertility |
How many such illnesses has [s/he([mother supplement loop])] had [since was born/during the past 12 months([mother supplement loop])]?
HLTH-9_MS1 [T80738.00] | 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 |
HLTH-AGECHKDENTAL_MS1 [T80742.00] | 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
HLTH-9A_MS1 [T80746.00] | 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 |
HLTH-AGECHK3_MS1 [T80748.00] | 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
HLTH-11-AGECK_MS1 [T80760.00] | 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
HLTH-11A_MS1 [T80764.00] | Section: Fertility |
Has [Surprise child's name([mother supplement loop])] ever had a menstrual period?
HLTH-11B_MS1 [T80768.00] | Section: Fertility |
How old was [Surprise child's name([mother supplement loop])] when she had her first menstrual period?
(INTERVIEWER: ENTER AGE IN YEARS.)
HLTH-11C_MS1 [T80770.00] | Section: Fertility |
In what month and year did she have her first period?
HLTH-12-AGECHK_MS1 [T80772.00] | 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
HLTH-13_MS1 [T80776.00] | 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 |
HLTH-14_MS1 [T80780.00] | 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.)
HLTH-15_MS1 [T80784.00] | 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].
Q9-195 [T80788.00] | 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
Q9-199 [T80792.00] | 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
Q9-199A [T80794.00] | 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 |
BKGN-CASI-AGECK1_MS1 [T80804.00] | 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
BKGN-CASI-AGECK2_MS1 [T80808.00] | 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
BKGN-41_MS1 [T80812.00] | Section: Fertility |
{^MSINSCHLSPR([mother supplement loop])^} == 1
If Answer = 1 Then Go To BKGN-41A_MS1
BKGN-41A_MS1 [T80816.00] | Section: Fertility |
[child age (years)([mother supplement loop])]
If Answer >= 0 AND Answer <= 17 Then Go To BKGN-42_MS1
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
BKGN-42_MS1 [T80820.00] | 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 |
BKGN-43-M1_MS1 [T80824.00] | 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? |
BKGN-44_MS1 [T80828.00] | 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) |
BKGN-45_MS1 [T80832.00] | 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 |
BKGN-46-M1_MS1 [T80836.00] | 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 |
HLTH-16_MS1 [T80848.00] | 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
HLTH-17_MS1 [T80852.00] | 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?
HLTH-17A_MS1 [T80856.00] | Section: Fertility |
What was the problem?
(INTERVIEWER: ENTER VERBATIM THEN CODE ALL THAT APPLY.)
HLTH-17B_MS1 [T80858.04] | 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) |
| 12 ANXIETY DISORDERS/ DEPRESSION/ EMOTIONAL PROBLEMS/ PANIC ATTACKS |
| 13 PERSONALITY DISORDERS/BIPOLAR/ |
| 14 BULLYING |
| 16 SUICIDAL THOUGHTS/ SUICIDAL IDEATION |
HLTH-18_MS1 [T80861.00] | 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?
HLTH-19_MS1 [T80863.00] | 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?
HLTH-20_MS1 [T80867.00] | 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?
MS1-LOOP-END_MS1 [] | Section: Fertility |
UNTIL ([mother supplement loop]==[{MSUPPLEMENT_NUM}])