Draft: 040307
IF MKP COMES TO THE PHONE. Hello. My name is ________ and I am calling from Abt Associates on behalf of the US Department of Health and Human Services. Earlier, we spoke (to you/someone in your household) and you (identified yourself/were identified) as the person who could answer questions about [(NAME_ADOL) / the (SAMPLED_ADOL_TXT) teenager] who lives in your household.
ALL: We are conducting a national survey of parents and teens to find out what they think about teens not having sex. We are not asking any questions about behaviors or what young people actually do. We are only asking about what people think and believe and how they talk about this issue.
This interview will take about 20 minutes. I will be asking you about a number of issues. As permitted by law, all of your answers to my survey questions will be kept private and will only be used for research purposes. We will not use your name, and your answers and those of other parents and guardians will only be reported in summary form.
Completing this survey is your choice. You may choose not to participate in the survey. You may choose not to answer any question for any reason and you can stop at any time. If I ask a question you don’t want to answer, just let me know and I’ll go on to the next one.
If you have any questions about your rights in this study, I can give you the number for the project director at the US Department of Health and Human Services. If you have any other questions about this research study, you can call the study director at Abt Associates. I can give you her number as well.
Finally, to evaluate my performance, my supervisor may record and listen as I ask the questions.
1. First I would like to ask you some questions about you and [(NAME_ADOL)/the (SAMPLED_ADOL_TXT) teenager in your household]. What is your relationship to (NAME_ADOL)? CODE USING CATEGORIES BELOW.
MOTHER
BIOLOGICAL 01
STEP 02
FOSTER 03
ADOPTIVE 04
FATHER
BIOLOGICAL 05
STEP 06
FOSTER 07
ADOPTIVE 08
SIBLING
BIOLOGICAL 09
STEP 10
FOSTER 11
ADOPTIVE 12
AUNT/UNCLE 13
GRANDPARENT 14
OTHER FAMILY MEMBER 15
OTHER NON-RELATIVE
SPECIFY: ______________________________ 16
REFUSED 97
2. I would like to ask a few questions about your child’s background. Is [(NAME_ADOL)/the (SAMPLED_ADOL_TXT) teenager in your household] male or female?
Male |
01 |
Female |
02 |
REFUSED |
97 |
DON’T KNOW |
98 |
3. How old is [(NAME_ADOL)/this teenager]?
Age in years: ______ _______
REFUSED |
97 |
DON’T KNOW |
98 |
4. Is [(NAME_ADOL)/this teenager] Hispanic or (Latino/Latina)?
YES |
01 |
NO |
02 |
REFUSED |
97 |
DON’T KNOW |
98 |
5. Please select one or more from the following lists to describe [(NAME_ADOL)/this teenager]’s race. (CODE ALL THAT APPLY)
HELP SCREEN: If the respondent answers “Hispanic” or other ethnicity, probe to find out race.
White |
01 |
Black or African-American |
02 |
Asian |
03 |
American Indian or Alaska Native |
04 |
Native Hawaiian or Other Alaska Native |
05 |
Other (Specify: ______________________) |
06 |
DON’T KNOW |
98 |
REFUSED |
97 |
6. Is [(NAME_ADOL)/this teenager] currently enrolled in school?
YES [ASK 6a] |
01 |
NO [ASK 6b] |
02 |
REFUSED [SKIP TO 7] |
97 |
DON’T KNOW [SKIP TO 7] |
98 |
6a. [IF YES] What grade is [(NAME_ADOL)/this teenager] in?
GRADE 6 |
01 |
GRADE 7 |
02 |
GRADE 8 |
03 |
GRADE 9 |
04 |
GRADE 10 |
05 |
GRADE 11 |
06 |
GRADE 12 Other (specify) ______________________________ |
07 |
6b. [IF NO] What was the last grade [(NAME_ADOL)/this teenager] completed?
GRADE 6 |
01 |
GRADE 7 |
02 |
GRADE 8 |
03 |
GRADE 9 |
04 |
GRADE 10 |
05 |
GRADE 11 |
06 |
GRADE 12 Other (specify) ______________________________ |
07 |
How often do you and [(NAME_ADOL)/this teenager] do things together that you personally enjoy? Would you say… (MPR Wave 1, 1.14)
Once a week or more often than that |
01 |
2-3 times a month |
02 |
Once a month |
03 |
Less than once a month |
04 |
Never |
05 |
DON’T KNOW |
98 |
REFUSED |
97 |
8. How close do you feel you are to [(NAME_ADOL)/this teenager]? Would you say … (MPR Wave 1, 1.15)
Not at all close |
01 |
A little close |
02 |
Close |
03 |
Very close |
04 |
DON’T KNOW |
98 |
REFUSED |
97 |
9. Would you say your relationship with [(NAME_ADOL)/this teenager] is…?
Very good |
01 |
Fairly good |
02 |
Fairly poor |
03 |
Very poor |
04 |
DON’T KNOW |
98 |
REFUSED |
97 |
Parent-teen communication re: abstinence and other messages
10. Now I would like to ask you some questions about the kinds of things you talk to [(NAME_ADOL)/this teenager] about. How many times have you ever talked with (him/her) about (INSERT ISSUE)? Would you say never, once or twice, or more than twice? (MPR Wave 2, 3.16)
|
Never |
1-2 times |
>2 times |
Ref |
DK |
|
|||
a. |
The basics of how babies are made, pregnancy, or birth |
01 |
02 |
03 |
97 |
98 |
|||
b. |
Sexually transmitted diseases, STDs, or HIV/AIDS |
01 |
02 |
03 |
97 |
98 |
|||
c. |
How to have good relationships |
01 |
02 |
03 |
97 |
98 |
|||
d. |
How to behave on dates |
01 |
02 |
03 |
97 |
98 |
|||
e. |
How to resist pressures to have sexual intercourse. |
01 |
02 |
03 |
97 |
98 |
|||
f. |
Waiting to have sexual intercourse until (he/she) is married. |
01 |
02 |
03 |
97 |
98 |
|||
g. |
Avoiding drugs and alcohol |
01 |
02 |
03 |
97 |
98 |
|||
h. |
How religious values relate to sexual intercourse |
01 |
02 |
03 |
97 |
98 |
NOTE TO COGNITIVE TESTING STAFF: FOR TESTING PURPOSES, FOR EACH ITEM ABOVE, ASK:
How many times in total have you talked about this topic with (NAME/this teenager?
Item |
Number of times |
The basics of how babies are made, pregnancy or birth |
|
Sexually transmitted diseases, STDs, or HIV/AIDS |
|
How to have good relationships |
|
How to behave on dates |
|
How to resist pressures to have sexual intercourse. |
|
Waiting to have sexual intercourse until (he/she) is married. |
|
Avoiding drugs and alcohol |
|
How religious values relate to sexual intercourse |
|
11. During the past year, have you had conversations about sex or sexual issues with your teenager?
YES |
01 |
|
NO (SKIP TO Q12) |
02 |
|
DON’T KNOW (SKIP TO Q12) |
98 |
|
REFUSED (SKIP TO Q12) |
97 |
11a. How often during the past year have you and your teenager talked about what is right and wrong or good and bad about having sex? Would you say…
Never |
01 |
|
One or two times |
02 |
|
More than two times |
02 |
|
DON’T KNOW |
98 |
|
REFUSED |
97 |
Q12. Have you ever talked with (NAME_ADOL/this teenager) about sex or sexual issues?
YES |
01 |
|
NO (SKIP TO Q13) |
02 |
|
DON’T KNOW (SKIP TO Q13) |
98 |
|
REFUSED (SKIP TO Q13) |
97 |
12a. Thinking about the conversations you had with [(NAME_ADOL)/this teenager], please tell me which of the following statements reflect what you said to (him/her)? (Q is adapted from Sex Education in America; response categories from Zogby)
|
YES |
NO |
REFUSED |
DON’T KNOW |
|
a. |
[(NAME_ADOL)/this teenager] should not engage in sexual intercourse until (he/she) is married. |
01 |
02 |
97 |
98 |
b. |
[(NAME_ADOL)/this teenager] should not engage in sexual intercourse until (he/she) is in a relationship with someone [(NAME_ADOL)/this teenager] feels (he/she) would like to marry. |
01 |
02 |
97 |
98 |
c. |
[(NAME_ADOL)/this teenager] should not engage in sexual intercourse until (he/she) has, at least, finished high school. |
01 |
02 |
97 |
98 |
d. |
It’s okay for [(NAME_ADOL)/this teenager] to engage in sexual intercourse as long as condoms are used to protect against sexually transmitted diseases and pregnancy. |
01 |
02 |
97 |
98 |
13. How comfortable [would you be/are you] talking to [(NAME_ADOL)/this teenager] about sex? Would you say…(MPR Wave 2, 4.8) [IF Q12=2,97,OR 98 USE “WOULD YOU BE” ELSE USE “ARE YOU”]
Not at all comfortable |
01 |
A little comfortable |
02 |
Comfortable |
03 |
Very comfortable |
04 |
DON’T KNOW |
98 |
REFUSED |
97 |
14. How comfortable do you think [(NAME_ADOL)/this teenager] [would be/is] talking to you about sex? Would you say…(adapted MPR Wave 2, 4.8) [IF Q12=2,97,OR 98 USE “WOULD YOU BE” ELSE USE “IS”]
Not at all comfortable |
01 |
A little comfortable |
02 |
Comfortable |
03 |
Very comfortable |
04 |
DON’T KNOW |
98 |
REFUSED |
97 |
15. Now I am going to ask about your views on sexual intercourse. For each of the following statements, please tell me if you strongly agree, agree, disagree, or strongly disagree. (MPR Wave 2, 2.5 adapted for parent)
|
Strongly Agree |
Agree |
Disagree |
Strongly Disagree |
REFUSED |
DON’T KNOW |
||
a. |
Having sexual intercourse is a good thing to do at your teenager’s age. |
01 |
02 |
03 |
04 |
97 |
98 |
|
b. |
It would be against your values for your teenager to have sexual intercourse before marriage. |
01 |
02 |
03 |
04 |
97 |
98 |
|
c |
Having sexual intercourse is something only married people should do. |
01 |
02 |
03 |
04 |
97 |
98 |
|
d. |
It is against (NAME_ADOL/your teenager’s) values to have sexual intercourse before (he/she) is married. |
01 |
02 |
03 |
04 |
97 |
98 |
|
e. |
It would be okay for (NAME_ADOL/your teenager) to have sexual intercourse if (he/she) has been dating the same person for at least one year. |
01 |
02 |
03 |
04 |
97 |
98 |
|
f. |
It would be okay for (NAME_ADOL/your teenager) to have sexual intercourse before marriage if he/she plans to marry the person. |
01 |
02 |
03 |
04 |
97 |
98 |
|
g. |
There is little you can do to keep (NAME_ADOL/your teenager) from engaging in sexual intercourse. |
01 |
02 |
03 |
04 |
97 |
98 |
|
h. |
It would be okay for (NAME_ADOL/your teenager) to have sexual intercourse as long as he/she and and his/her partner think that it is okay. |
01 |
02 |
03 |
04 |
97 |
98 |
|
i. |
At (NAME_ADOL/your teenager’s) age, having sexual intercourse would create problems or would make life difficult |
01 |
02 |
03 |
04 |
97 |
98 |
|
j. |
It would be okay for (NAME_ADOL/your teenager) to have sexual intercourse before s/he leaves high school. |
01 |
02 |
03 |
04 |
97 |
98 |
|
k. |
It would be okay for (NAME_ADOL/your teenager) to have sexual intercourse if (he/she) uses birth control |
01 |
02 |
03 |
04 |
97 |
98 |
16. Teens can get information about not having sexual intercourse from many sources. I am going to read you different sources and ask if you favor or oppose your child getting information from each source. Do you favor or oppose [(NAME_ADOL)/this teenager] being told by (SOURCE) that (he/she) should not have sexual intercourse until (he/she) is married?
Kaiser 1996 survey, Question 2, adapted with consolidated response codes and reference to abstinence)
|
FAVOR |
OPPOSE |
REFUSED |
DON’T KNOW |
|
a. |
School |
01 |
02 |
97 |
98 |
b. |
A health center, health clinic, or doctor’s office |
01 |
02 |
97 |
98 |
c. |
A place of worship |
01 |
02 |
97 |
98 |
d. |
A community organization |
01 |
02 |
97 |
98 |
e. |
An Internet website |
01 |
02 |
97 |
98 |
17. If (NAME_ADOL/your teenager) could only talk to one person about sex and sexual issues, who would you want that person be? [CODE FROM LIST]
MOTHER |
01 |
FATHER. |
02 |
BROTHER OR SISTER |
03 |
OTHER ADULT RELATIVE (SPECIFY)_________________ |
03 |
ADULT FRIENDS |
04 |
FRIENDS (HIS/HER) OWN AGE |
06 |
TEACHER |
07 |
MINISTER, PRIEST, RABBI |
09 |
DOCTOR OR NURSE |
10 |
OTHER (SPECIFY)_________________ |
11 |
DON’T KNOW/NOT SURE |
98 |
REFUSED |
97 |
Exposure to abstinence education
18. In the past year, did [(NAME_ADOL)/this teenager] take part in a class, program, or event that talked about waiting until marriage to have sexual intercourse? IF NECESSARY: It could be a class in school or someplace else. (MPR, adapted re: abstinence)
YES |
01 |
NO [SKIP TO 19] |
02 |
NOT SURE [SKIP TO 19] |
98 |
REFUSED [SKIP TO 19] |
97 |
18a. [IF YES] Was it at….?
|
YES |
NO |
REFUSED |
DON’T KNOW |
|
a. |
School |
01 |
02 |
97 |
98 |
b. |
A health center, health clinic, or doctor’s office |
01 |
02 |
97 |
98 |
c. |
A place of worship |
01 |
02 |
97 |
98 |
d. |
A community organization |
01 |
02 |
97 |
98 |
e. |
Or some other place (SPECIFY) ____________ |
01 |
02 |
97 |
98 |
19. Has [(NAME_ADOL)/this teenager] ever made a pledge in public or a written pledge to wait to have sexual intercourse until marriage? (MPR, Add Health, NSFG, adapted for parent)
YES, DEFINITELY |
01 |
YES, I THINK SO |
02 |
NO, I DON’T THINK SO |
03 |
NO, DEFINITELY NOT |
04 |
DON’T KNOW/NOT SURE |
98 |
REFUSED |
97 |
Parent Demographics
20. Next, I would like to ask some questions about you. First, I have a few questions about your background. IF NECESSARY, ASK: Are you male or female?
MALE |
01 |
FEMALE |
02 |
REFUSED |
97 |
21. Are you Hispanic or (Latino/Latina)?
YES |
01 |
NO |
02 |
REFUSED |
97 |
DON’T KNOW |
98 |
22. Please select one or more from the following lists to describe your race. (CODE ALL THAT APPLY)
HELP SCREEN: If the respondent answers “Hispanic” or other ethnicity, probe to find out race.
White |
01 |
Black or African-American |
02 |
Asian |
03 |
American Indian or Alaska Native |
04 |
Native Hawaiian or Other Pacific Islander |
05 |
Other (Specify: _________________________) |
96 |
DON’T KNOW |
98 |
REFUSED |
97 |
23. What language do you speak primarily at home?
ENGLISH |
01 |
SPANISH |
02 |
ANY OTHER LANGUAGE |
02 |
REFUSED |
97 |
DON’T KNOW |
98 |
24. In what month and year were you born?
____ _____ /___ ___ ___ ___ (SKIP TO 25)
MONTH YEAR
REFUSED (GO TO 24A) |
97 |
DON’T KNOW (GO TO 24A) |
98 |
24a. How old are you?
Age in years: ______ _______
REFUSED |
97 |
DON’T KNOW |
98 |
25. What is your marital status? Are you…
Married or in a marriage-like relationship |
01 |
Widowed |
02 |
Divorced |
03 |
Legally separated |
04 |
Never been married |
05 |
DON’T KNOW |
98 |
REFUSED |
97 |
26. Not including yourself (IF NAME_ADOL IS 18: and NAME_ADOL), how many people 18 years old or older live in this household?
NUMBER OF ADULTS: _____________
27. What is the relationship of this/these adult(s) to NAME_ADOL [CODE ALL THAT APPLY]
MOTHER |
|
BIOLOGICAL |
01 |
STEP |
02 |
FOSTER |
03 |
ADOPTIVE |
04 |
FATHER |
|
BIOLOGICAL |
05 |
STEP |
06 |
FOSTER |
07 |
ADOPTIVE |
08 |
SIBLING |
|
BIOLOGICAL |
09 |
STEP |
10 |
FOSTER |
11 |
ADOPTIVE |
12 |
AUNT/UNCLE |
13 |
GRANDPARENT |
14 |
OTHER FAMILY MEMBER |
15 |
OTHER NON-RELATIVE |
|
SPECIFY ___________________________ |
16 |
REFUSED |
97 |
DON’T KNOW |
98 |
28. What was the last grade or year of school you completed?
NO FORMAL SCHOOLING |
01 |
FIRST THROUGH EIGHTH GRADE |
02 |
SOME HIGH SCHOOL |
03 |
HIGH SCHOOL GRADUATE |
04 |
TRADE\TECHNICAL\VOCATIONAL AFTER |
|
HIGH SCHOOL |
05 |
SOME COLLEGE |
06 |
TWO-YEAR COLLEGE GRADUATE |
07 |
FOUR-YEAR COLLEGE GRADUATE |
08 |
POSTGRADUATE |
09 |
OTHER (SPECIFY _______________) |
10 |
DON'T KNOW |
98 |
REFUSED |
97 |
29. What is the highest level of education completed by anyone in your household?
NO FORMAL SCHOOLING |
01 |
FIRST THROUGH EIGHTH GRADE |
02 |
SOME HIGH SCHOOL |
03 |
HIGH SCHOOL GRADUATE |
04 |
TRADE\TECHNICAL\VOCATIONAL AFTER |
|
HIGH SCHOOL |
05 |
SOME COLLEGE |
06 |
TWO-YEAR COLLEGE GRADUATE |
07 |
FOUR-YEAR COLLEGE GRADUATE |
08 |
POSTGRADUATE |
09 |
OTHER (SPECIFY _______________) |
10 |
DON'T KNOW |
98 |
REFUSED |
97 |
30. How far do you expect [(NAME_ADOL)/this teenager] will continue in school? Do you think (he/she) will: (National Household Education Survey (NHES:96):
|
YES |
NO |
REFUSED |
DON’T KNOW |
|
a. |
Graduate from high school? |
01 |
02 |
97 |
98 |
b. |
Attend school after high school? |
01 |
02 |
97 |
98 |
c. |
Graduate from a 2-year college |
01 |
02 |
97 |
98 |
d. |
Graduate from a 4-year college? |
01 |
02 |
97 |
98 |
31. In the past 12 months, how often did you attend religious services? Would you say…(MPR version 1, Males, 5.6)
Once a week or more often than that |
01 |
2-3 times a month |
02 |
Once a month |
03 |
Less than once a month |
04 |
Never |
05 |
DON’T KNOW |
98 |
REFUSED |
97 |
32. Which of the following categories best describes your household's income before taxes in (PREVIOUS YEAR)? READ LIST.
$10,000 or less |
01 |
$10,001 to $20,000 |
02 |
$20,001 to $30,000 |
03 |
$30,001 to $40,000 |
04 |
$40,001 to $50,000 |
05 |
$50,001 to $60,000 |
06 |
$60,001 to $70,000 |
07 |
$75,001 or more |
08 |
DON’T KNOW |
98 |
REFUSED |
97 |
33. For statistical purposes, I am now going to ask you about the telephone numbers in your household. Not counting cellular phones, do you have any other home phone numbers in addition to (DISPLAY SAMPLE TELEPHONE NUMBER)?
YES |
01 |
NO (GO TO 35) |
02 |
REFUSED (GO TO 35) |
97 |
DON’T KNOW (GO TO 35) |
98 |
33a. Is this second number for home use only, for business use only, or for both home and business use?
HOME ONLY |
01 |
BUSINESS ONLY (GO TO 34) |
02 |
BOTH HOME AND BUSINESS |
03 |
REFUSED (GO TO 35) |
97 |
DON’T KNOW |
98 |
33b. Is this second number used only for computer or fax communication?
YES |
01 |
NO |
02 |
REFUSED (GO TO 35) |
97 |
DON’T KNOW |
98 |
34. Not counting cellular phones, do you have a third home phone number in addition to the two you have already told me about?
YES |
01 |
NO (GO TO 35) |
02 |
REFUSED (GO TO 35) |
97 |
DON’T KNOW (GO TO 35) |
98 |
34a. Is this third number for home use only, for business use only, or for both home and business use?
HOME ONLY |
01 |
BUSINESS ONLY (GO TO 35) |
02 |
BOTH HOME AND BUSINESS |
07 |
REFUSED (GO TO 35) |
97 |
DON’T KNOW (GO TO 35) |
98 |
34b. Is this third number used only for computer or fax communication?
YES |
01 |
NO |
02 |
REFUSED |
97 |
DON’T KNOW |
98 |
35. During the past 12 months, has your household been without telephone service for 1 week or more? Do not include interruptions of phone service due to weather or natural disasters.
YES |
01 |
NO |
02 |
REFUSED |
97 |
DON’T KNOW |
98 |
36. As I mentioned at the beginning of this interview, it’s very important that we interview (NAME_ADOL) with an adolescent version of the interview you just completed. May we have your permission to conduct an interview with [(NAME_ADOL)/this teenager]?
YES (SKIP TO 37) |
01 |
NO (SKIP TO 36a) |
02 |
REFUSED (GO TO 36a) |
97 |
DON’T KNOW (GO TO 36a) |
98 |
36a. I understand. What are your concerns or questions? I would like to try and answer them for you.
WILL RESPONDENT GIVE PERMISSION FOR ADOLESCENT INTERVIEW?
YES (SKIP TO Q37) |
01 |
NO |
02 |
36b. DOES RESPONDENT DENY PERMISSION FOR ADOLESCENT INTERVIEW?
YES (Terminate interview) |
01 |
NO |
02 |
36c. I understand. Perhaps you need more time to think about this request. When should I call you back? SET CALLBACK.
37. (Great.) I would like to electronically record that you have given me permission to conduct the interview with [(NAME_ADOL)/this teenager]. I will use a unique identification number to identify you and (him/her), so that your names will not be recorded. You just need to answer the question. Ready?
YES (SKIP TO 38) |
01 |
NO (GO TO 37a) |
02 |
REFUSED (GO TO 37a) |
97 |
DON’T KNOW (GO TO 37a) |
98 |
37a. I understand. What are your concerns or questions? I would like to try and answer them for you.
WILL RESPONDENT GIVE PERMISSION FOR ADOLESCENT INTERVIEW?
YES (SKIP TO 38) |
01 |
NO |
02 |
37b. DOES RESPONDENT DENY PERMISSION FOR ADOLESCENT INTERVIEW?
YES (Terminate interview) |
01 |
NO |
02 |
37c. I understand. Perhaps you need more time to think about this request. When should I call you back? SET CALLBACK AND TERMINATE CALL.
38. INTERVIEWER: START RECORDING AND SAY, “This is (INTERVIEWER NAME) and my ID is (INTERVIEWER ID). Today is (TODAY’S DATE). I am speaking to the parent of child (CASE ID) for the Public Education Study, Public Knowledge of Abstinence and Abstinence Education. (Sir/Ma’am), you just completed an interview about teenage sexual health and education issues, and now I would like to interview your child. Do I have your permission to have your child participate in this study?”
RECORD ANSWER AND STOP THE RECORDING. DID RESPONDENT ALLOW ADOLESCENT TO PARTICIPATE?
YES (STOP RECORDING & GO TO 39) |
01 |
NO (RETURN TO 37a) |
02 |
39. Those are all the questions that I have for you. Thank you very much for your time. May I speak with (NAME_ADOL) at this time?
YES, ADOLESCENT COMES TO PHONE |
01 |
NO, ADOLESCENT NOT HOME [SCHEDULE APPOINTMENT) |
02 |
NO, ADOLESCENT UNAVAILBLE ENTIRE PERIOD |
03 |
NO, ADOLESCENT REFUSES [TERMINATE: USER33] |
04 |
Abt
Associates Inc. Parent Interview 1-
File Type | application/msword |
File Title | Abt Single-Sided Body Template |
Author | faheye |
Last Modified By | chaven |
File Modified | 2007-05-09 |
File Created | 2007-05-09 |