Questionnaire Public Report11/03/2021 12:44:05 PM
Cohort:National Longitudinal Survey of Youth 1979
Round:NLSY79 Round 28
Instrument :R28 Youth Main Field
  1. Fertility



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

Default Next:Q9-INTRO


Q9-INTRO []Section: Fertility

Now we'd like to ask you some questions about children.

Default Next:Q9-64FB
Lead-In:Q9-FILTER [Default]


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

Default Next:Q9-64GB_4
Lead-In:Q9-INTRO [Default]


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

Default Next:Q9-64GB_5
Lead-In:Q9-64FB [Default]


Q9-64GB_5 [T79821.00]Section: Fertility

[RESPONDENT GENDER]==2 && [{RESPAGEDLI}]>52

If Answer = 1 Then Go To
Q9-RECCOUNT1

Default Next:Q9-64GC
Lead-In:Q9-64GB_4 [Default]


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

Default Next:Q9-RECCOUNT1
Lead-In:Q9-64GB_5 [Default]


Q9-RECCOUNT1 []Section: Fertility

RECCOUNT ([biochild roster])

COMMENT: Count of biological children

If Answer = 0 Then Go To
Q9-2A

Default Next:Q9-2A1
Lead-In:Q9-64FB [1:1], Q9-64GB_4 [1:1], Q9-64GB_5 [1:1], Q9-64GC [Default]


Q9-2A []Section: Fertility

Our records show that you do not have any biological children. Is that correct?

 1   YES   ...(Go To Q11-1AAA)
 0   NO

Default Next:Q9-22BA
Lead-In:Q9-RECCOUNT1 [0:0]


Q9-2A1 []Section: Fertility

[RESPONDENT GENDER]

If Answer = 1 Then Go To
Q9-2A3

Default Next:Q9-2A2
Lead-In:Q9-RECCOUNT1 [Default]


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

Default Next:Q9-2A3
Lead-In:Q9-2A1 [Default]


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

Default Next:Q9-22B
Lead-In:Q9-2A1 [1:1], Q9-2A2 [Default]


Q9-22B [T79825.00]Section: Fertility

Have you had any biological children since [Date of last interview]?

 1   YES   ...(Go To Q9-22BA)
 0   NO

Default Next:Q9-29GD
Lead-In:Q9-2A3 [Default]


Q9-22BA [T79826.00]Section: Fertility

How many children have you [{LINT_EVER}]

 

Default Next:Q9-23-LOOP-BEGIN
Lead-In:Q9-22B [1:1], Q9-2A [Default]


Q9-23-LOOP-BEGIN []Section: Fertility

REPEAT

COMMENT: Begin Loop for adding new bio children.

Default Next:Q9-28
Lead-In:Q9-22BA [Default]


Q9-28 []Section: Fertility

What did you name the [first/ next] baby?


(INTERVIEWER: ENTER FIRST NAME, MIDDLE INITIAL AND LAST NAME. PLEASE RECORD FULL NAME OR FIRST AND LAST NAME. ENTERING A SINGLE/FIRST NAME ONLY MAY CAUSE DATA PROBLEMS LATER IN THE INTERVIEW.)

 

Default Next:Q9-28A
Lead-In:Q9-23-LOOP-BEGIN [Default]


Q9-28A []Section: Fertility

Was the baby a boy or a girl?

 1   Boy
 2   Girl

Default Next:Q9-28B
Lead-In:Q9-28 [Default]


Q9-28B []Section: Fertility

When was your child born?

(INTERVIEWER: YOU MUST ENTER A VALID YEAR IN THIS QUESTION. REPORT ANY UNUSUAL ANSWERS IN A COMMENT.)

  
MonthDayYear 

Default Next:Q9-28T-LOOP-END
Lead-In:Q9-28A [Default]


Q9-28T-LOOP-END []Section: Fertility

UNTIL([Q9-loop11 counter]==[# bio children since dli] || [# bio children since dli]<0)

COMMENT: loop end about new bio children

Default Next:Q9-NEWBIO-VERIFY
Lead-In:Q9-28B [Default]


Q9-NEWBIO-VERIFY []Section: Fertility

INTERVIEWER: BELOW IS A LIST OF THE NEW BIOLOGICAL [{CHILDREN}] YOU HAVE ADDED.

I'd like just verify this information with you.

[{FOREACH}]
I have CHILD NAME, a GENDER, born on BIRTHDATE. Is that correct?


INTERVIEWER: IF RESPONDENT SAYS INFORMATION IS CORRECT; SELECT <ENTER>. OTHERWISE, CORRECT AS NEEDED BY SELECTING THE ROSTER LINE OF ANY CHILD NEEDING CORRECTION.

Default Next:Q9-29GD
Lead-In:Q9-28T-LOOP-END [Default]


Q9-29GD [T79831.00]Section: Fertility

[# bio children since dli] > 2

If Answer = 1 Then Go To
Q9-29GE

Default Next:Q9-BIOROS-COUNT2
Lead-In:Q9-2A2 [1:1], Q9-2A3 [1:1], Q9-22B [Default], Q9-NEWBIO-VERIFY [Default]


Q9-29GE []Section: Fertility

[# bio children since dli]== 2

If Answer = 1 Then Go To
Q9_29GF

Default Next:Q9-29HB-LOOP-BEGIN
Lead-In:Q9-29GD [1:1]


Q9_29GF []Section: Fertility

[Birth date of bio child born since dli(1)]==[Birth date of bio child born since dli(2)]

If Answer = 1 Then Go To
Q9-29HB-LOOP-BEGIN

Default Next:Q9-BIOROS-COUNT2
Lead-In:Q9-29GE [1:1]


Q9-29HB-LOOP-BEGIN []Section: Fertility

REPEAT

COMMENT: Start loop to check for twins/triplets/etc.

Default Next:Q9-29I
Lead-In:Q9_29GF [1:1], Q9-29GE [Default]


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

Default Next:Q9-29J-CHK1
Lead-In:Q9-29I [Default]


Q9-29J-CHK1 []Section: Fertility

[Q9-29J([{Q9-TWINLOOP}])]

COMMENT: R report set of multiple birth child(ren) not yet marked on roster.

If Answer = 0 Then Go To
Q9-29QAA-LOOP-END
If Answer >= 1 AND Answer <= 2 Then Go To Q9-29L

Default Next:Q9-29K
Lead-In:Q9-29J [Default]


Q9-29K []Section: Fertility

INTERVIEWER: VERIFY THE BIRTHDATE INFORMATION FOR THE CHILDREN INCORRECTLY LISTED AS TWINS/TRIPLETS/ETC. USE BACK/LEFT ARROW AT TOP OF SCREEN AS NECESSARY TO CORRECT CHILD INFORMATION. IF RESPONDENT CONFIRMS BIRTHDATES LISTED, EXPLAIN IN AN INTERVIEWER COMMENT BY SELECTING "COMMENT" BUTTON NEXT TO QNAME.

Default Next:Q9-29QAA-LOOP-END
Lead-In:Q9-29J-CHK1 [Default]


Q9-29L []Section: Fertility

(INTERVIEWER: SELECT (FIRST/NEXT) (ADDITIONAL) SET OF (TWINS/TRIPLETS) ON ROSTER, AND IF SAME SEX, ASK:)

Are (READ NAMES OF SELECTED CHILDREN) identical (twins/triplets) or are they fraternal (twins/triplets)? (IF NOT SAME SEX, SELECT "FRATERNAL" IN BELOW .)


Q9-29M []Section: Fertility

(Are (READ NAMES OF SELECTED CHILDREN) identical (twins/triplets) or are they fraternal (twins/triplets)?)

(INTERVIEWER: IF (TWINS/TRIPLETS) NOT THE SAME SEX, THEY ARE "FRATERNAL".)

 1   IDENTICAL   ...(Go To Q9-29QAA-LOOP-END)
 2   FRATERNAL   ...(Go To Q9-29QAA-LOOP-END)

Default Next:Q9-29N
Lead-In:Q9-29L [Default]


Q9-29N []Section: Fertility

Are they (REPEAT NAMES OF CHILDREN IF NECESSARY) often mistaken for each other, or are they different enough to tell apart?

 1   Often mistaken for one another
 2   Different enough to tell apart

Default Next:Q9-29QAA-LOOP-END
Lead-In:Q9-29M [Default]


Q9-29QAA-LOOP-END []Section: Fertility

UNTIL([Q9-29J([{Q9-twinloop}])]==0 || [{Q9-twinloop}]==3)

COMMENT: END LOOP WHEN ALL SETS OF MULTIPLE BIRTHS ACCOUNTED FOR, OR HAVE PASSED THROUGH MAXIMUM OF 3 TIMES

Default Next:Q9-BIOROS-COUNT2
Lead-In:Q9-29J-CHK1 [0:0], Q9-29M [1:2], Q9-29K [Default], Q9-29N [Default]


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

Default Next:Q9-67A
Lead-In:Q9-29GD [Default], Q9_29GF [Default], Q9-29QAA-LOOP-END [Default]


Q9-30-LOOP-BEGIN []Section: Fertility

REPEAT

COMMENT: Begin loop to ask about residence/visitation of biological children

Default Next:Q9-30C
Lead-In:Q9-BIOROS-COUNT2 [1:1]


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

Default Next:Q9-30D
Lead-In:Q9-30-LOOP-BEGIN [Default]


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)

Default Next:Q9-30DB
Lead-In:Q9-30C [Default]


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

Default Next:Q9-44
Lead-In:Q9-30D [Default]


Q9-30E [T79874.00]Section: Fertility

When did [name of biochild([{Q9-resloop}])] die?

  
MonthYear 

Default Next:Q9-44
Lead-In:Q9-30D [8:8], Q9-30DB [8:8]


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

Default Next:Q9-53
Lead-In:Q9-30C [5:5], Q9-30C [8:8], Q9-30DB [2:4], Q9-30DB [5:5], Q9-30DB [6:7], Q9-30DB [11:11], Q9-30DB [Default], Q9-30E [Default]


Q9-44A [T79889.00]Section: Fertility

[age of biochild([{Q9-RESLOOP}])]>18

If Answer = 1 Then Go To
Q9-44AA

Default Next:Q9-44AB
Lead-In:Q9-44 [1:1], Q9-44 [9:9], Q9-44 [10:10]


Q9-44AA [T79899.00]Section: Fertility

[Usual residence of biological child([{Q9-RESLOOP}])]==1

If Answer = 1 Then Go To
Q9-60-LOOP-END

Default Next:Q9-54AB
Lead-In:Q9-44A [1:1]


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

Default Next:Q9-44C
Lead-In:Q9-44A [Default]


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

Default Next:Q9-45
Lead-In:Q9-44AB [Default]


Q9-44CA []Section: Fertility

[marital status code]==4

If Answer = 1 Then Go To
Q9-45

Default Next:Q9-50
Lead-In:Q9-44C [2:2]


Q9-45 [T79924.00]Section: Fertility

Does [name of biochild([{Q9-resloop}])]'s natural [father/mother] live in this household?

 1   YES   ...(Go To Q9-60-LOOP-END)
 0   NO

Default Next:Q9-46
Lead-In:Q9-44CA [1:1], Q9-44C [Default]


Q9-46 [T79943.00]Section: Fertility

Is [name of biochild([{Q9-resloop}])]'s [father/mother] living?

 1   YES   ...(Go To Q9-46B)
 0   NO

If Answer >= -2 AND Answer <= -1 Then Go To
Q9-46B

Default Next:Q9-48
Lead-In:Q9-45 [Default]


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

Default Next:Q9-46B
Lead-In:Q9-44AB [1:1]


Q9-46B [T79957.00]Section: Fertility

[age of biochild([{Q9-RESLOOP}])]>18

If Answer = 1 Then Go To
Q9-60-LOOP-END

Default Next:Q9-47
Lead-In:Q9-46 [-2:-1], Q9-46 [1:1], Q9-46A [Default]


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

Default Next:Q9-47A
Lead-In:Q9-46B [Default]


Q9-47A [T79977.00]Section: Fertility

INTERVIEWER: ENTER MONTH AND YEAR [name of biochild([{Q9-resloop}])]'S NATURAL [father/mother] LEFT THE HOUSEHOLD.

  
MonthYear 

Default Next:Q9-50
Lead-In:Q9-47 [Default]


Q9-48 [T79986.00]Section: Fertility

What month and year did [name of biochild([{Q9-resloop}])]'s natural [father/mother] die?

  
MonthYear 

Default Next:Q9-60-LOOP-END
Lead-In:Q9-46 [Default]


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

Default Next:Q9-51
Lead-In:Q9-46A [1:1], Q9-47 [-2:-1], Q9-47 [2:2], Q9-44CA [Default], Q9-47A [Default]


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)

Default Next:Q9-52
Lead-In:Q9-50 [Default]


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.)

 

Default Next:Q9-60-LOOP-END
Lead-In:Q9-51 [Default]


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

Default Next:Q9-54
Lead-In:Q9-44 [Default]


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

Default Next:Q9-54A
Lead-In:Q9-53 [Default]


Q9-54A [T80042.00]Section: Fertility

[age of biochild([{Q9-RESLOOP}])]>18

If Answer = 1 Then Go To
Q9-54AB

Default Next:Q9-54B
Lead-In:Q9-54 [Default]


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

Default Next:Q9-60-LOOP-END
Lead-In:Q9-54A [1:1], Q9-44AA [Default]


Q9-54B [T80062.00]Section: Fertility

[{NUMVISITS}]==0

If Answer = 1 Then Go To
Q9-56

Default Next:Q9-55
Lead-In:Q9-54A [Default]


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.)

 

Default Next:Q9-56
Lead-In:Q9-54B [Default]


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

Default Next:Q9-60-LOOP-END
Lead-In:Q9-54B [1:1], Q9-55 [Default]


Q9-57 [T80092.00]Section: Fertility

(When did [name of biochild([{Q9-resloop}])] last live with you?)

ENTER DATE

  
MonthYear 

Default Next:Q9-58
Lead-In:Q9-56 [1:1]


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

Default Next:Q9-60-LOOP-END
Lead-In:Q9-57 [Default]


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

Default Next:Q9-FEM52-AGECHK1
Lead-In:Q9-BIOROS-COUNT2 [Default], Q9-60-LOOP-END [Default]


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

Default Next:Q9-68C
Lead-In:Q9-67A [Default]


Q9-68C []Section: Fertility

[type of dwelling unit] == 7

If Answer = 0 Then Go To
Q9-69B

Default Next:Q9-72
Lead-In:Q9-FEM52-AGECHK1 [Default]


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

Default Next:Q9-69F
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:Q9-69G
Lead-In:Q9-69B [Default]


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

Default Next:Q9-70A
Lead-In:Q9-69B [0:0], Q9-69B [1:1], Q9-69F [Default]


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:Q9-72
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:Q9-70B2
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:Q9-72
Lead-In:Q9-70B [Default]


Q9-70B3 []Section: Fertility

[{numothpreg}]

If Answer >= 0 AND Answer <= 1 Then Go To
Q9-72

Default Next:Q9-70B4
Lead-In:Q9-70B2 [1:1]


Q9-70B4 []Section: Fertility

How many of those pregnancies ended in abortion?

 

Default Next:Q9-72
Lead-In:Q9-70B3 [Default]


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

Default Next:Q11-1AAA
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 [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

Default Next:Q9-SKID-15C
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:Q9-73ZE_2
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:Q9-74A1
Lead-In:Q9-73Z-LOOP-BEGIN [Default]


Q9-74A1 [T80118.00]Section: Fertility

[Q9-loop16 counter] == 1

If Answer = 0 Then Go To
Q9-74A2

Default Next:Q9-74A3
Lead-In:Q9-73ZE_2 [Default]


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

Default Next:Q9-76E
Lead-In:Q9-74A1 [0:0]


Q9-74A3 [T80125.00]Section: Fertility

[{numtwins}]==0

If Answer = 1 Then Go To
Q9-76E

Default Next:Q9-74B
Lead-In:Q9-74A1 [Default]


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.

 1   YES
 0   NO

Default Next:Q9-76E
Lead-In:Q9-74A2 [0:0], Q9-74A3 [Default]


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

Default Next:Q9-77
Lead-In:Q9-74A3 [1:1], Q9-74A2 [Default], Q9-74B [Default]


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

Default Next:Q9-77
Lead-In:Q9-76E [0:0]


Q9-77 [T80140.00]Section: Fertility

When did you become pregnant with [name of child born since dli]? What month and year?

  
MonthYear 

Default Next:Q9-78
Lead-In:Q9-76E [Default], Q9-76F [Default]


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)

Default Next:Q9-79
Lead-In:Q9-77 [Default]


Q9-79 [T80148.00]Section: Fertility

Had you stopped all methods before you became pregnant?

 1   YES   ...(Go To Q9-80)
 0   NO

Default Next:Q9-81
Lead-In:Q9-78 [Default]


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

Default Next:Q9-81
Lead-In:Q9-78 [0:0], Q9-79 [1:1]


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

Default Next:Q9-82
Lead-In:Q9-79 [Default], Q9-80 [Default]


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

Default Next:Q9-83
Lead-In:Q9-80 [1:1], Q9-81 [Default]


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

Default Next:Q9-85
Lead-In:Q9-82 [Default]


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)

 

Default Next:Q9-85
Lead-In:Q9-83 [1:1]


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

Default Next:Q9-87
Lead-In:Q9-83 [Default], Q9-84 [Default]


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

Default Next:Q9-87
Lead-In:Q9-85 [1:1]


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

Default Next:Q9-89
Lead-In:Q9-85 [Default], Q9-86 [Default]


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

Default Next:Q9-89
Lead-In:Q9-87 [1:1]


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

Default Next:Q9-91
Lead-In:Q9-87 [Default], Q9-88 [Default]


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:Q9-91
Lead-In:Q9-89 [1:1]


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

Default Next:Q9-93
Lead-In:Q9-89 [Default], Q9-90 [Default]


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:Q9-93
Lead-In:Q9-91 [1:1]


Q9-93 [T80190.00]Section: Fertility

During (your/that) pregnancy, did you take a vitamin/mineral supplement?

 1   YES   ...(Go To Q9-99B)
 0   NO

Default Next:Q9-94
Lead-In:Q9-91 [Default], Q9-92 [Default]


Q9-99B [T80194.00]Section: Fertility

Did you take a vitamin/mineral supplement based on a doctor's or nurse's suggestion?

 1   YES
 0   NO

Default Next:Q9-94
Lead-In:Q9-93 [1:1]


Q9-94 [T80198.00]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:Q9-95
Lead-In:Q9-93 [Default], Q9-99B [Default]


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:Q9-95
Lead-In:Q9-94 [1:1]


Q9-95 [T80202.00]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:Q9-96
Lead-In:Q9-94 [Default], Q9-100B [Default]


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?

 1   YES
 0   NO

Default Next:Q9-96
Lead-In:Q9-95 [1:1]


Q9-96 [T80207.00]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:Q9-97
Lead-In:Q9-95 [Default], Q9-101B [Default]


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:Q9-97
Lead-In:Q9-96 [1:1]


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

Default Next:Q9-98
Lead-In:Q9-96 [Default], Q9-102B [Default]


Q9-103B [T80215.00]Section: Fertility

Did you reduce or stop your smoking based on a doctor's or nurse's suggestion?

 1   YES
 0   NO

Default Next:Q9-98
Lead-In:Q9-97 [1:1]


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

Default Next:Q9-105
Lead-In:Q9-97 [Default], Q9-103B [Default]


Q9-104B [T80221.00]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:Q9-105
Lead-In:Q9-98 [1:1]


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?

 1   YES
 0   NO   ...(Go To Q9-106A)

Default Next:Q9-107
Lead-In:Q9-98 [Default], Q9-104B [Default]


Q9-106A [T80228.00]Section: Fertility

Was the baby born early or late?

 1   Early   ...(Go To Q9-106B)
 2   Late   ...(Go To Q9-106C)

Default Next:Q9-107
Lead-In:Q9-105 [0:0]


Q9-106B [T80230.00]Section: Fertility

How many weeks early was the baby?

(IF "1 1/2 WEEKS" ROUND UP TO "2".)

 

Default Next:Q9-107
Lead-In:Q9-106A [1:1]


Q9-106C [T80231.00]Section: Fertility

How many weeks late was the baby?

(IF "1 1/2 WEEKS" ROUND UP TO "2".)

 

Default Next:Q9-107
Lead-In:Q9-106A [2:2]


Q9-107 [T80233.00]Section: Fertility

Was a cesarean section done? (IF NECESSARY, PROBE:) Was the baby delivered by an incision in your abdomen?

 1   YES   ...(Go To Q9-108)
 0   NO

Default Next:Q9-109
Lead-In:Q9-105 [Default], Q9-106A [Default], Q9-106B [Default], Q9-106C [Default]


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

Default Next:Q9-109
Lead-In:Q9-107 [1:1]


Q9-109 [T80239.00]Section: Fertility

What was your weight just before you delivered?

 

Default Next:Q9-110
Lead-In:Q9-107 [Default], Q9-108 [Default]


Q9-110 [T80243.00]Section: Fertility

What was your weight just before you became pregnant with [name of child born since dli]?

 

Default Next:Q9-111
Lead-In:Q9-109 [Default]


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

Default Next:Q9-112
Lead-In:Q9-110 [Default]


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

Default Next:Q9-113
Lead-In:Q9-111 [Default]


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

Default Next:Q9-117
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:Q9-118A000001
Lead-In:Q9-113 [1:1]


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.)

 1   YES
 0   NO

Default Next:Q9-118A000001
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:Q9-118A000001
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:Q9-118A000001
Lead-In:Q9-113 [Default]


Q9-117A []Section: Fertility

How much weight did you (gain/lose)?

(ENTER NUMBER OF POUNDS)

 

Default Next:Q9-118A000001
Lead-In:Q9-117 [1:2]


Q9-118A000001 [T80263.00]Section: Fertility

How much did [name of child born since dli] weigh at birth?

(INTERVIEWER: ENTER POUNDS AND OUNCES BELOW.)

POUNDS: 


Q9-118A000002 [T80267.00]Section: Fertility

OUNCES: 

Default Next:Q9-118B
Lead-In:Q9-118A000001 [Default]


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

Default Next:Q9-119
Lead-In:Q9-118A000002 [Default]


Q9-118C [T80275.00]Section: Fertility

Did [name of child born since dli] weigh more than 5 1/2 pounds or less?

 1   More
 2   Less

Default Next:Q9-119
Lead-In:Q9-118B [1:1]


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?

 1   YES
 0   NO

Default Next:Q9-120
Lead-In:Q9-119 [Default]


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)

Default Next:Q9-120A
Lead-In:Q9-119A [Default]


Q9-120A [T80288.00]Section: Fertility

(How long did your baby stay in the hospital?)

(ENTER NUMBER OF DAYS)

 

Default Next:Q9-121
Lead-In:Q9-120 [Default]


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?

 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:Q9-123
Lead-In:Q9-120A [Default]


Q9-122A [T80296.00]Section: Fertility

How many days earlier?

 

Default Next:Q9-123
Lead-In:Q9-121 [2:2]


Q9-122B []Section: Fertility

How many days later?

 

Default Next:Q9-123
Lead-In:Q9-121 [3:3]


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].

 1   YES   ...(Go To Q9-124)
 0   NO

Default Next:Q9-143
Lead-In:Q9-120 [0:0], Q9-121 [Default], Q9-122A [Default], Q9-122B [Default]


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

Default Next:Q9-125
Lead-In:Q9-124 [Default]


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

Default Next:Q9-126
Lead-In:Q9-124A [Default]


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.)

 

Default Next:Q9-127
Lead-In:Q9-125 [Default]


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

Default Next:Q9-128
Lead-In:Q9-126 [Default]


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]?

 

Default Next:Q9-129
Lead-In:Q9-127 [Default]


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)

Default Next:Q9-130B
Lead-In:Q9-127 [1:1], Q9-128 [Default]


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

Default Next:Q9-133
Lead-In:Q9-129 [Default]


Q9-131 [T80325.00]Section: Fertility

When [name of child born since dli] was admitted to the hospital, was surgery necessary?

 1   YES
 0   NO


Q9-132 [T80326.00]Section: Fertility

Did you have to take time off from work?

 1   Yes
 0   No
 2   Not working

Default Next:Q9-133
Lead-In:Q9-131 [Default]


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?

 1   YES   ...(Go To Q9-134)
 0   NO

Default Next:Q9-143
Lead-In:Q9-130B [Default], Q9-132 [Default]


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.)

 

Default Next:Q9-134A
Lead-In:Q9-133 [1:1]


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

Default Next:Q9-135
Lead-In:Q9-134 [Default]


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

Default Next:Q9-136
Lead-In:Q9-134A [Default]


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.)

 

Default Next:Q9-137
Lead-In:Q9-135 [Default]


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

Default Next:Q9-138
Lead-In:Q9-136 [Default]


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]?

 

Default Next:Q9-139
Lead-In:Q9-137 [Default]


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)

Default Next:Q9-140B
Lead-In:Q9-137 [1:1], Q9-138 [Default]


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

Default Next:Q9-143
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:Q9-143
Lead-In:Q9-141 [Default]


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)

Default Next:Q9-164
Lead-In:Q9-123 [Default], Q9-133 [Default], Q9-140B [Default], Q9-142 [Default]


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

Default Next:Q9-146A-LOOP-BEGIN
Lead-In:Q9-143 [1:1]


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)

Default Next:Q9-158D-LOOP-END
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:Q9-158D-LOOP-END
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:Q9-158D-LOOP-END
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:Q9-158D-LOOP-END
Lead-In:Q9-145B_B [0:0]


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)?

 1   YES
 0   NO

Default Next:Q9-158D-LOOP-END
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:Q9-146AA
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:Q9-147A-LOOP-END
Lead-In:Q9-146A-LOOP-BEGIN [Default]


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)

Default Next:Q9-147A-LOOP-END
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:Q9-147A-LOOP-END
Lead-In:Q9-146B [2:2]


Q9-146B_B [T80369.00]Section: Fertility

Was [name of child born since dli] admitted to the hospital?

 1   YES
 0   NO   ...(Go To Q9-146B_C)

Default Next:Q9-147A-LOOP-END
Lead-In:Q9-146B [5:5]


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

Default Next:Q9-147A-LOOP-END
Lead-In:Q9-146B_B [0:0]


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)?

 1   YES
 0   NO

Default Next:Q9-147A-LOOP-END
Lead-In:Q9-146B [1:1]


Q9-147A-LOOP-END []Section: Fertility

ENDFOR

COMMENT: Repeat loop for number of choices

Default Next:Q9-164
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 [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].

 1   YES   ...(Go To Q9-165)
 0   NO

Default Next:Q9-158D-LOOP-END
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:Q9-158D-LOOP-END
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:Q9-158D-LOOP-END
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:Q9-158D-LOOP-END
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: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

Default Next:Q11-1AAA
Lead-In:Q9-73 [Default], Q9-158D-LOOP-END [Default]


MS1-LOOP-BEGIN []Section: Fertility

REPEAT

COMMENT: START loop 0

Default Next:MS-CKNAME_MS1
Lead-In:Q9-SKID-15C [1:1]


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

Default Next:MS-CKFULLNAME_MS1
Lead-In:MS1-LOOP-BEGIN [Default]


MS-ENTERNAME_MS1 [T80412.00]Section: Fertility

INTERVIEWER: ENTER [msupplement_name([mother supplement loop])]'S FIRST NAME:

 

Default Next:MS-CKFULLNAME_MS1
Lead-In:MS-CKNAME_MS1 [1:1]


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

Default Next:Q9-194
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:Q9-194
Lead-In:MS-CKFULLNAME_MS1 [1:1]


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

Default Next:Q9-194A
Lead-In:MS-CKFULLNAME_MS1 [Default], MS-ENTERFULLNAME_MS1 [Default]


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

Default Next:BKGN-AGECHK_MS1
Lead-In:Q9-194 [Default]


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

Default Next:BKGN-TITLE_MS1
Lead-In:Q9-194A [Default]


BKGN-TITLE_MS1 []Section: Fertility

BEGIN CHILD BACKGROUND SECTION

[msupplement_name([mother supplement loop])]

Default Next:BKGN-1_MS1
Lead-In:BKGN-AGECHK_MS1 [Default]


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

Default Next:BKGN-AGECHK_FRNDS
Lead-In:BKGN-TITLE_MS1 [Default]


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

Default Next:BKGN-4A-CHK1_MS1
Lead-In:BKGN-1_MS1 [1:1]


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)

Default Next:BKGN-4A-CHK1_MS1
Lead-In:BKGN-1_MS1 [2:2], BKGN-3_MS1 [-2:-2], BKGN-3_MS1 [95:95]


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

Default Next:BKGN-AGECHK_SCHLQS
Lead-In:BKGN-3_MS1 [Default], BKGN-4_MS1 [Default]


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

Default Next:BKGN-AGECHK_FRNDS
Lead-In:BKGN-4A-CHK1_MS1 [Default]


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

Default Next:BKGN-26_MS1
Lead-In:BKGN-AGECHK_SCHLQS [5:11]


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.

 

Default Next:BKGN-27_MS1
Lead-In:BKGN-HOMESCHLCHK_SCHLQS [Default]


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.

 

Default Next:BKGN-28_MS1
Lead-In:BKGN-26_MS1 [Default]


BKGN-28_MS1 [T80544.00]Section: Fertility

([in school in spring?([mother supplement loop])]== 0)

If Answer = 1 Then Go To
BKGN-32_MS1

Default Next:BKGN-29A-MATRIX_MS1
Lead-In:BKGN-27_MS1 [Default]


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)?
 1   YES
 0   NO

Default Next:BKGN-30_MS1
Lead-In:BKGN-28_MS1 [Default]


BKGN-30_MS1 [T80552.00]Section: Fertility

({^MSINSCHLSPR([mother supplement loop])^} == 1)

If Answer = 1 Then Go To
BKGN-31-MATRIX_MS1

Default Next:BKGN-32_MS1
Lead-In:BKGN-29A-MATRIX_MS1 [Default]


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?
 1   YES
 0   NO

Default Next:BKGN-32_MS1
Lead-In:BKGN-30_MS1 [1:1]


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

Default Next:HLTH-CHK1_MS1
Lead-In:BKGN-4A-CHK1_MS1 [1:1], BKGN-HOMESCHLCHK_SCHLQS [1:1], BKGN-1_MS1 [Default], BKGN-AGECHK_SCHLQS [Default]


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?

Default Next:BKGN-34_MS1
Lead-In:BKGN-32_MS1 [Default]


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

Default Next:HLTH-CHK1_MS1
Lead-In:BKGN-34_MS1 [Default]


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

Default Next:HLTH-CHK1A_MS1
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 [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

Default Next:HLTH-CHK2_MS1
Lead-In:HLTH-CHK1_MS1 [Default]


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

Default Next:Q9-195
Lead-In:HLTH-CHK1A_MS1 [Default]


HLTH-TITLE_MS1 []Section: Fertility

BEGIN CHILD HEALTH SECTION

[msupplement_name([mother supplement loop])]

Default Next:HLTH-INTRO_MS1
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:HLTH-YA-AGE-CHECK
Lead-In:HLTH-TITLE_MS1 [Default]


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

Default Next:HLTH-AGECHK-YA2_MS1
Lead-In:HLTH-INTRO_MS1 [Default]


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

Default Next:HLTH-HGT-SELECT
Lead-In:HLTH-YA-AGE-CHECK [Default]


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)

Default Next:HLTH-HGT-MTHDCK
Lead-In:HLTH-AGECHK-YA2_MS1 [Default]


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

Default Next:HLTH-HGT-FEET
Lead-In:HLTH-HGT-SELECT [Default]


HLTH-HGT-FEET [T80622.00]Section: Fertility

(How tall is [Surprise child's name([mother supplement loop])]?)

INTERVIEWER: RECORD FEET AND INCHES BELOW.

FEET 


HLTH-HGT-INCHES [T80626.00]Section: Fertility

(How tall is [Surprise child's name([mother supplement loop])]?)

INTERVIEWER: RECORD FEET AND INCHES BELOW.

INCHES 

Default Next:HLTH-HGTCOMP
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:HLTH-HGTCOMP
Lead-In:HLTH-HGT-MTHDCK [2:2]


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

Default Next:HLTH-WGT-SELECT
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:HLTH-HGTCONF1
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:HLTH-WGT-SELECT
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:HLTH-WGT-SELECT
Lead-In:HLTH-HGT-MTHDCK2 [2:2]


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)

Default Next:HLTH-WGT-MTHDCK
Lead-In:HLTH-HGTCOMP [Default], HLTH-HGTCONF1 [Default], HLTH-HGTCONF2 [Default]


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

Default Next:HLTH-WGT-LBSONLY
Lead-In:HLTH-WGT-SELECT [Default]


HLTH-WGT-LBSONLY [T80646.00]Section: Fertility

(How much does [s/he([mother supplement loop])] weigh?)

INTERVIEWER: RECORD WEIGHT IN POUNDS.

LBS. 

Default Next:HLTH-WGTCOMP
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:HLTH-WGTCOMP
Lead-In:HLTH-WGT-LBS [Default]


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

Default Next:HLTH-1A_MS1
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:HLTH-WGTCONF1
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:HLTH-1A_MS1
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:HLTH-1A_MS1
Lead-In:HLTH-WGT-MTHDCK2 [2:2]


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

Default Next:HLTH-1B_MS1
Lead-In:HLTH-WGTCOMP [Default], HLTH-WGTCONF1 [Default], HLTH-WGTCONF2 [Default]


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

Default Next:HLTH-2C_MS1
Lead-In:HLTH-1A_MS1 [Default]


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?

 1   YES   ...(Go To HLTH-5-LOOP-BEGIN_MS1)
 0   NO

Default Next:HLTH-2B_MS1
Lead-In:HLTH-1B_MS1 [1:1]


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?

 1   YES   ...(Go To HLTH-5-LOOP-BEGIN_MS1)
 0   NO

Default Next:HLTH-2C_MS1
Lead-In:HLTH-2A_MS1 [Default]


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?

 1   YES   ...(Go To HLTH-5-LOOP-BEGIN_MS1)
 0   NO

Default Next:HLTH-3A_MS1
Lead-In:HLTH-1B_MS1 [Default], HLTH-2B_MS1 [Default]


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?

 1   YES   ...(Go To HLTH-5-LOOP-BEGIN_MS1)
 0   NO

Default Next:HLTH-3B_MS1
Lead-In:HLTH-2C_MS1 [Default]


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)?

 1   YES   ...(Go To HLTH-5-LOOP-BEGIN_MS1)
 0   NO

Default Next:HLTH-3C_MS1
Lead-In:HLTH-3A_MS1 [Default]


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?

 1   YES   ...(Go To HLTH-5-LOOP-BEGIN_MS1)
 0   NO

Default Next:HLTH-6_MS1
Lead-In:HLTH-3B_MS1 [Default]


HLTH-5-LOOP-BEGIN_MS1 []Section: Fertility

REPEAT

Default Next:HLTH-5A_VERBATIM_MS1
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 [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?)

RECORD VERBATIM 


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)

Default Next:HLTH-5C-AGECK_MS1
Lead-In:HLTH-5A_VERBATIM_MS1 [Default]


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

Default Next:HLTH-5C_MS1
Lead-In:HLTH-5A_MS1 [Default]


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)

 

Default Next:HLTH-5-CNT_MS1
Lead-In:HLTH-5C-AGECK_MS1 [Default]


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

Default Next:HLTH-5-SCHLCK_MS1
Lead-In:HLTH-5C-AGECK_MS1 [1:1], HLTH-5C_MS1 [Default]


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

Default Next:HLTH-5-1STQ2B_MS1
Lead-In:HLTH-5-CNT_MS1 [1:1]


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

Default Next:HLTH-5-1STQ2C_MS1
Lead-In:HLTH-5-1STQ2A_MS1 [Default]


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

Default Next:HLTH-5-1STQ3A_MS1
Lead-In:HLTH-5-1STQ2B_MS1 [Default]


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

Default Next:HLTH-5-1STQ3B_MS1
Lead-In:HLTH-5-1STQ2C_MS1 [Default]


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

Default Next:HLTH-5-1STQ3C_MS1
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:HLTH-5-SCHLCK_MS1
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:HLTH-5F_MS1
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:HLTH-5E_MS1
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:HLTH-5F_MS1
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:HLTH-5G_MS1
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:HLTH-5H_MS1
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:HLTH-5I_MS1
Lead-In:HLTH-5-1STQ3A_MS1 [1:1], HLTH-5G_MS1 [Default]


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?

 1   YES
 0   NO

Default Next:HLTH-5J_MS1
Lead-In:HLTH-5-1STQ3B_MS1 [1:1], HLTH-5H_MS1 [Default]


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)?

 1   YES
 0   NO

Default Next:HLTH-5-LOOP-END_MS1
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:HLTH-6_MS1
Lead-In:HLTH-5J_MS1 [Default]


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

Default Next:HLTH-8_MS1
Lead-In:HLTH-YA-AGE-CHECK [1:1]


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?

 1   YES   ...(Go To HLTH-6-LOOP-BEGIN_MS1)
 0   NO

Default Next:HLTH-7_MS1
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:HLTH-6B_MS1
Lead-In:HLTH-6_MS1 [1:1]


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?

  
MonthYear 

Default Next:HLTH-6C_VERBATIM_MS1
Lead-In:HLTH-6-LOOP-BEGIN_MS1 [Default]


HLTH-6C_VERBATIM_MS1 [T80715.00]Section: Fertility

What was the cause of that accident or injury?

RECORD VERBATIM 


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)

Default Next:HLTH-6D_MS1
Lead-In:HLTH-6C_VERBATIM_MS1 [Default]


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)

Default Next:HLTH-6E_MS1
Lead-In:HLTH-6C_MS1 [Default]


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)

Default Next:HLTH-6G_MS1
Lead-In:HLTH-6D_MS1 [Default]


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])]?

 1   YES
 0   NO

Default Next:HLTH-6-LOOP-END_MS1
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:HLTH-7_MS1
Lead-In:HLTH-6G_MS1 [Default]


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])]?

 1   YES   ...(Go To HLTH-7-LOOP-BEGIN_MS1)
 0   NO

Default Next:HLTH-8_MS1
Lead-In:HLTH-6_MS1 [Default], HLTH-6-LOOP-END_MS1 [Default]


HLTH-7-LOOP-BEGIN_MS1 []Section: Fertility

REPEAT

Default Next:HLTH-7B_MS1
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?

  
MonthYear 

Default Next:HLTH-7C_VERBATIM_MS1
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:HLTH-7D_MS1
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:HLTH-7E_MS1
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:HLTH-7G_MS1
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:HLTH-7-LOOP-END_MS1
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:HLTH-8_MS1
Lead-In:HLTH-7G_MS1 [Default]


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?

 1   YES   ...(Go To HLTH-8A_MS1)
 0   NO

Default Next:HLTH-9_MS1
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 [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])]?

 

Default Next:HLTH-9_MS1
Lead-In:HLTH-8_MS1 [1:1]


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

Default Next:HLTH-AGECHKDENTAL_MS1
Lead-In:HLTH-8_MS1 [Default], HLTH-8A_MS1 [Default]


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

Default Next:HLTH-AGECHK3_MS1
Lead-In:HLTH-9_MS1 [Default]


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

Default Next:HLTH-AGECHK3_MS1
Lead-In:HLTH-AGECHKDENTAL_MS1 [1:1]


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

Default Next:HLTH-11-AGECK_MS1
Lead-In:HLTH-AGECHKDENTAL_MS1 [Default], HLTH-9A_MS1 [Default]


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

Default Next:HLTH-12-AGECHK_MS1
Lead-In:HLTH-AGECHK3_MS1 [Default]


HLTH-11A_MS1 [T80764.00]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:HLTH-12-AGECHK_MS1
Lead-In:HLTH-11-AGECK_MS1 [1:1]


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.)

 

Default Next:HLTH-11C_MS1
Lead-In:HLTH-11A_MS1 [1:1]


HLTH-11C_MS1 [T80770.00]Section: Fertility

In what month and year did she have her first period?

  
MonthYear 

Default Next:HLTH-12-AGECHK_MS1
Lead-In:HLTH-11B_MS1 [Default]


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

Default Next:HLTH-13_MS1
Lead-In:HLTH-11-AGECK_MS1 [Default], HLTH-11A_MS1 [Default], HLTH-11C_MS1 [Default]


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

Default Next:HLTH-14_MS1
Lead-In:HLTH-12-AGECHK_MS1 [Default]


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.)

 1   YES
 0   NO

Default Next:HLTH-15_MS1
Lead-In:HLTH-AGECHK3_MS1 [1:1], HLTH-12-AGECHK_MS1 [12:14], HLTH-13_MS1 [Default]


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].

 1   YES
 0   NO

Default Next:Q9-195
Lead-In:HLTH-14_MS1 [Default]


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

Default Next:BKGN-CASI-AGECK1_MS1
Lead-In:HLTH-CHK2_MS1 [Default], HLTH-15_MS1 [Default]


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

Default Next:Q9-199A
Lead-In:Q9-195 [1:1]


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

Default Next:BKGN-CASI-AGECK1_MS1
Lead-In:Q9-199 [Default]


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

Default Next:BKGN-CASI-AGECK2_MS1
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 [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

Default Next:BKGN-41_MS1
Lead-In:BKGN-CASI-AGECK1_MS1 [Default]


BKGN-41_MS1 [T80812.00]Section: Fertility

{^MSINSCHLSPR([mother supplement loop])^} == 1

If Answer = 1 Then Go To
BKGN-41A_MS1

Default Next:BKGN-44_MS1
Lead-In:BKGN-CASI-AGECK2_MS1 [Default]


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

Default Next:BKGN-41B_MS1
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:HLTH-16_MS1
Lead-In:BKGN-41A_MS1 [Default]


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

Default Next:BKGN-43-M1_MS1
Lead-In:BKGN-41A_MS1 [0:17], BKGN-41B_MS1 [1:1]


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?
 5   A
 4   B
 3   C
 2   D
 1   FAIL

Default Next:BKGN-44_MS1
Lead-In:BKGN-42_MS1 [Default]


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)

Default Next:BKGN-45_MS1
Lead-In:BKGN-CASI-AGECK1_MS1 [1:1], BKGN-41_MS1 [Default], BKGN-43-M1_MS1 [Default]


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

Default Next:BKGN-46-M1_MS1
Lead-In:BKGN-44_MS1 [Default]


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

Default Next:HLTH-16_MS1
Lead-In:BKGN-45_MS1 [Default]


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

Default Next:HLTH-17_MS1
Lead-In:BKGN-41B_MS1 [Default], BKGN-46-M1_MS1 [Default]


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?

 1   YES   ...(Go To HLTH-17A_MS1)
 0   NO

Default Next:HLTH-19_MS1
Lead-In:HLTH-16_MS1 [Default]


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

Default Next:HLTH-18_MS1
Lead-In:HLTH-17A_MS1 [Default]


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?

 1   YES
 0   NO

Default Next:HLTH-20_MS1
Lead-In:HLTH-17B_MS1 [Default]


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?

 1   YES
 0   NO

Default Next:HLTH-20_MS1
Lead-In:HLTH-16_MS1 [1:1], HLTH-17_MS1 [Default]


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?

 1   YES
 0   NO

Default Next:MS1-LOOP-END_MS1
Lead-In:HLTH-18_MS1 [Default], HLTH-19_MS1 [Default]


MS1-LOOP-END_MS1 []Section: Fertility

UNTIL ([mother supplement loop]==[{MSUPPLEMENT_NUM}])

Default Next:Q11-1AAA
Lead-In:BKGN-CASI-AGECK2_MS1 [1:1], HLTH-20_MS1 [Default]