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NEXT Generation Health Study - NICHD

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NEXT 2009/2010: Student Questionnaire Source Table








Question Domain Question Number Question Source Prior OMB Approval
Leisure Time Activity



Computer Use 1 About how many hours a day do you usually play games on a computer or games console (Playstation, Xbox, Gamecube etc.) in your free time? HBSC 2002, 2006, 2010 (expanded computer use question to include computer game use). HBSC 2005/2006 (OMB #0925/-0557), HBSC 2009/2010 (OMB# 0925-0557)

2 Do you have a computer, games console, or television in the room where you sleep?


3 About how many hours a day do you usually use a computer or cell phone for chatting on-line, internet, emailing, tweeting or something similar other than school work during your free time? HBSC 1990, 1994, 1998, 2002, 2006, 2010 (revised:weekly activity changed to daily; weekday/weeekend split introduced; definition in brackets added) HSBC 1997/98 (OMB #0925-0451) HSBC 2001/02 (OMB #0915-0254) HSBC 2005/06 (OMB #0925-0557), HBSC 2009/2010 (OMB# 0925-0557)
Television Use 4 About how many hours a day do you usually use a DVD player or watch television (including videos and DVDs) in your free time? HBSC surveys 1985/86, 1989/90, 1993/94, 1997/98, 2001/02, 2005/06, 2009/10 (Revised: weekday/weekend split introduced; response categories expanded; 'videos' included) HSBC 1997/98 (OMB #0925-0451) HSBC 2001/02 (OMB #0915-0254) HSBC 2005/06 (OMB #0925-0557), HBSC 2009/2010 (OMB# 0925-0557)

5 The amount of free time I spend watching TV and videos, playing video games, and using computers is because: Adapted from Ryan, R. M., & Connell, J. P. (1989). Perceived locus of causality and internalization: Examining reasons for acting in two domains. Journal of Personality and Social Psychology, 57, 749-761.





The Family Affluence Scale




6 How many computers does your family own? HBSC (Family Affluence Scale) 2001/02, 2005/06, 2009/10 HBSC 2001/02 (OMB #0915-0254) HBSC 2005/06 (OMB #0925-0557), HBSC 2009/2010 (OMB# 0925-0557)

7 Do you have a bedroom for yourself? HBSC (Family Affluence Scale) 1997/98, 2001/02, 2005/06, 2009/10 HSBC 1997/98 (OMB #0925-0451) HSBC 2001/02 (OMB #0915-0254) HSBC 2005/06 (OMB #0925-0557), HBSC 2009/2010 (OMB# 0925-0557)

8 Does your family own a car, van or truck? HBSC (Family Affluence Scale) 1997/98, 2001/02, 2005/06, 2009/10 HSBC 1997/98 (OMB #0925-0451) HSBC 2001/02 (OMB #0915-0254) HSBC 2005/06 (OMB #0925-0557), HBSC 2009/2010 (OMB# 0925-0557)

9 During the past 12 months, how many times did you travel away on vacation with your family? HBSC (Family Affluence Scale) 1997/98, 2001/02, 2005/06, 2009/10 HSBC 1997/98 (OMB #0925-0451) HSBC 2001/02 (OMB #0915-0254) HSBC 2005/06 (OMB #0925-0557), HBSC 2009/2010 (OMB# 0925-0557)





Demographics




10 What do you consider your ethnicity to be? OMB Standard OMB Format

11 What do you consider your race to be? OMB Standard OMB Format





Family Structure




12 Please answer this question for the home where you live all or most of the time and check all the people who live there. Adapted from 2001/02 HBSC survey, HBSC 2005/06, 2009/10 HBSC 2005/06 (OMB #0925-0557), HBSC 2009/2010 (OMB# 0925-0557)

13 Do you have another home or another family, such as the case where your parents are separated or divorced? Adapted from 2001/02 HBSC survey, HBSC 2005/06, 2009/10 HBSC 2005/06 (OMB #0925-0557), HBSC 2009/2010 (OMB# 0925-0557)
Body Image 14 Do you think your body is..? HBSC surveys 1993/94, 1997/98, 2001/02, 2005/06, 2009/10 (revised: response category 'I don't think about it' was removed). HBSC 1997/98 (OMB #0925-0451) HBSC 2001/02 (OMB #0915-0254) HBSC 2005/06 (OMB #0925-0557), HBSC 2009/2010 (OMB# 0925-0557)
Physical Activity




15 Over the past 7 days, on how many days were you physically active for a total of at least 60 minutes per day? Prochaska JJ, Sallis JF, Long B. (2001). A physical activity screening measure for use with adolescents in primary care. Archives of Paediatrics & Adolescent Medicine. 155: 554-559.Adapted for use in HBSC survey 2001/02, 2005/06, 2009/10. HBSC 2001/02 (OMB #0915-0254) HBSC 2005/06 (OMB #0925-0557), HBSC 2009/2010 (OMB# 0925-0557)
Vigorous 16 How OFTEN do you usually engage in vigorous physical activity so much that you get out of breath or sweat? HBSC surveys 1985/86, 1989/90, 1993/94, 1997/98, 2001/02 (optional), 2005/06, 2009/10 HBSC 1997/98 (OMB #0925-0451) HBSC 2001/02 (OMB #0915-0254) HBSC 2005/06 (OMB #0925-0557), HBSC 2009/2010 (OMB# 0925-0557)

17 How many HOURS a week do you usually engage in vigorous physical activity so much that you get out of breath or sweat? HBSC surveys 1985/86, 1989/90, 1993/94, 1997/98, 2001/02 (optional) 2005/06, 2009/10 HBSC 1997/98 (OMB #0925-0451) HBSC 2001/02 (OMB #0915-0254) HBSC 2005/06 (OMB #0925-0557), HBSC 2009/2010 (OMB# 0925-0557)

18 Think about the last seven days. How often did you do each of the these when making plans for vigorous physical activity? Adapted from Dombrowski & Luszczynska Applied Psychology 2009; 58:257-273
Moderate 19 In the past week, how many times did you take a walk outside including walking the dog and walks for exercise? And in the past week, how much total time did you spend walking? National Household Travel Survey NHTS (OMB# 2125-0545)

20 In the past week, how many times did you ride a bicycle outside including bicycling for exercise? And in the past week, how much total time did you spend biking? National Household Travel Survey NHTS (OMB# 2125-0545)






21 How long does it usually take you to travel to school from your home? Adapted from 1985/86 HBSC optional package and EYHS (Riddoch et al)(2005). The European Youth Hearth Study Cardiovascular Disease Factors in Children: Rationale, Aims, Study Design, and Validation of Methods. Journal of Physical Activity and Health , 2(1), 115-129). HBSC 2009/10 HBSC 2009/2010 (OMB# 0925-0557)

22 On a typical day is the MAIN part of your journey TO school made by…? Adapted from 1985/86 HBSC optional package and EYHS (Riddoch et al)(2005). The European Youth Hearth Study Cardiovascular Disease Factors in Children: Rationale, Aims, Study Design, and Validation of Methods. Journal of Physical Activity and Health , 2(1). HBSC 2009/10 HBSC 2009/2010 (OMB# 0925-0557)

23 On a typical day is the MAIN part of your journey FROM school made by…? Adapted from 1985/86 HBSC optional package and EYHS (Riddoch et al)(2005). The European Youth Hearth Study Cardiovascular Disease Factors in Children: Rationale, Aims, Study Design, and Validation of Methods. Journal of Physical Activity and Health , 2(1). HBSC 2009/10 HBSC 2009/2010 (OMB# 0925-0557)

24 When I am physically active for at least one hour it is because: Adapted from Ryan, R. M., & Connell, J. P. (1989). Perceived locus of causality and internalization: Examining reasons for acting in two domains. Journal of Personality and Social Psychology, 57, 749-761.
Sleep Behavior




25 On days that you go to school, work, or similar activities, what time do you usually wake up? National Longitudinal Study of Adolescent Health (Add Health)

26 On days that you don't have to get up at a certain time, what time do you usually wake up? National Longitudinal Study of Adolescent Health (Add Health)

27 Over the past four weeks: How often did you have trouble falling asleep? How often did you have staying asleep through the nights? For example, you woke up several times at night or woke up earlier than you planned to? National Longitudinal Study of Adolescent Health (Add Health)

28 Based on what you have noticed or what others have told you, are there times when you snore or you stop breathing during your sleep? National Longitudinal Study of Adolescent Health (Add Health)
Eating Habits, Weight Control and Body Image








Breakfast Consumption 29 How often do you usually have breakfast (more than a glass of milk or fruit juice)? HBSC survey 2002, 2006, 2010 HBSC 2001/02 (OMB #0915-0254) HBSC 2005/06 (OMB #0925-0557), HBSC 2009/2010 (OMB# 0925-0557)

30 During the past 7 days, how many times did you: Youth Risk Behavior Survey YRBS (OMB# 0920-0493)

31 I eat the way I do most days because: Adapted from Ryan, R. M., & Connell, J. P. (1989). Perceived locus of causality and internalization: Examining reasons for acting in two domains. Journal of Personality and Social Psychology, 57, 749-761.

32 How often do you have breakfast together with your mother (or stepmother) or father (or stepfather)? HBSC 2009/2010 HBSC 2009/2010 (OMB# 0925-0557)

32 How often do you have an evening meal together with your mother (or stepmother) or father (or stepfather)? HBSC 2009/2010 HBSC 2009/2010 (OMB# 0925-0557)

32 How often do you watch television during a meal at home? HBSC 2009/2010 HBSC 2009/2010 (OMB# 0925-0557)

32 How often do you have a meal with friends outside of school? HBSC 2009/2010 HBSC 2009/2010 (OMB# 0925-0557)

33 Where do you usually eat your mid-day meal on schooldays? Flemish HBSC 1996, 1998 HBSC Survey 2009/10 HBSC 2009/2010 (OMB# 0925-0557)

34 Where do you usually eat your hot meal on schooldays? HBSC 2009/2010 HBSC 2009/2010 (OMB# 0925-0557)

35 How often do you snack while you… Adapted from Van Den Bulck J and Van Mierlo (2004). Energy intake associated with television viewing in adolescents, a cross sectional study. Appetite 43(2): 181-184 HBSC Survey 2009/10 HBSC 2009/2010 (OMB# 0925-0557)

36 How often do you eat in a fast food restaurant (for example, McDonalds, KFC, Pizza Hut, Taco Bell)? HBSC (optional) 2001/02, 2005/06, 2009/10 HBSC 2005/06 (OMB #0925-0557), HBSC 2009/2010 (OMB# 0925-0557)
Height & Weight 37 When did you last weigh yourself? Item to validate self-reported weight HBSC Survey 2009/10 HBSC 2009/2010 (OMB# 0925-0557)

38 When did you last measure your height? Item to validate self-reported height HBSC Survey 2009/10 HBSC 2009/2010 (OMB# 0925-0557)

39 How much do you weigh without clothes? HBSC surveys 1997/98 (optional package), 2001/02 (mandatory), 2005/06, 2009/10 HBSC 1997/98 (OMB #0925-0451) HBSC 2001/02 (OMB #0915-0254) HBSC 2005/06 (OMB #0925-0557), HBSC 2009/2010 (OMB# 0925-0557)

40 How tall are you without shoes? HBSC surveys 1997/98 (optional package), 2001/02 (mandatory), 2005/06, 2009/10 HBSC 1997/98 (OMB #0925-0451) HBSC 2001/02 (OMB #0915-0254) HBSC 2005/06 (OMB #0925-0557), HBSC 2009/2010 (OMB# 0925-0557)
Weight Control Behavior 41 At present are you on a diet or doing something else to lose weight? HBSC surveys 1993/94, 1997/98, 2001/02 (revised: definition was expanded to include 'doing something else'; response category 3 was added), 2005/06, 2009/10 HBSC 1997/98 (OMB #0925-0451) HBSC 2001/02 (OMB #0915-0254) HBSC 2005/06 (OMB #0925-0557), HBSC 2009/2010 (OMB# 0925-0557)
Dental Health 43 How often do you brush your teeth? HBSC surveys 1985/86, 1989/90, 1993/94, 1997/98, 2001/02, 2005/06, 2009/10 HBSC 1997/98 (OMB #0925-0451) HBSC 2001/02 (OMB #0915-0254) HBSC 2005/06 (OMB #0925-0557), HBSC 2009/2010 (OMB# 0925-0557)





Subjective Health Complaints 44 In the last 6 months: how often have you had the following..? HBSC 2002, 2006, 2010 HBSC 1997/98 (OMB #0925-0451) HBSC 2001/02 (OMB #0915-0254) HBSC 2005/06 (OMB #0925-0557), HBSC 2009/2010 (OMB# 0925-0557)

45 During the last month have you taken any medicine of tablets for the following? U.S. HBSC survey 2001/02, 2005/06 (added "something else"), 2009/10 HBSC 2001/02 (OMB #0915-0254) HBSC 2005-06 (OMB #0925-0557), HBSC 2009/2010 (OMB# 0925-0557)





Self-Rated Health 42 Would you say your health is…? Idler, E.L. & Benjamin, Y. (1997). Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior, 38, 21-37. HBSC 2002, 2006, 2010 HBSC 2001/02 (OMB #0915-0254) HBSC 2005/06 (OMB# 0925-0557), HBSC 2009/2010 (OMB# 0925-0557)

46 Do you have a long-term illness, disability, or medical condition(like diabetes, arthritis, asthma, allergy, or celebral palsy) that has been diagnosed by a doctor? Optional Item used in International HBSC 2005/06 (adapted from Finnish Canadian HBSC 2001/02 national surveys), 2009/10 HBSC 2009/2010 (OMB# 0925-0557)

47 Do you take medicine for your long-term illness, disability, or medical condition Optional Item used in International HBSC 2005/06 (adapted from Finnish Canadian HBSC 2001/02 national surveys), 2009/10 HBSC 2009/2010 (OMB# 0925-0557)

48 Does your long-term illness, disability or medical condition affect your attendance and participation at school? Optional Item used in International HBSC 2005/06 (adapted from Finnish Canadian HBSC 2001/02 national surveys), 2009/10 HBSC 2009/2010 (OMB# 0925-0557)





Life Satisfaction 49 Think about how you have been feeling over the last 30 days. HBSC 2005/06 HBSC 2005/2006 (OMB# 0925-0557)





Family Communication 50 How easy is it for you to talk to the following persons about things that really bother you? HBSC 1986, 1990, 1994, 1998, 2002, 2006, 2010. HBSC 1997/98 (OMB #0925-0451) HBSC 2001/02 (OMB #0915-0254) HBSC 2005/06 (OMB #0925-0557), HBSC 2009/2010 (OMB# 0925-0557)

51 How much does your mother (or female guardian) really know about...? Rispens, J., Hermanns, J.M.A., & Meeus, W.H.J. (Eds.) (1997). Opvoeden in Nederland [Parenting in the Netherlands]. Assen: van Gorcum; HBSC 2002, 2006 (optional package), 2010. HBSC 2001/02 (OMB #0915-0254) HBSC 2005/06 (OMB# 0925-0557), HBSC 2009/2010 (OMB# 0925-0557)

52 How much does your father (or male guardian) really know about..? Rispens, J., Hermanns, J.M.A., & Meeus, W.H.J. (Eds.) (1997). Opvoeden in Nederland [Parenting in the Netherlands]. Assen: van Gorcum; HBSC 2002, 2006 (optional package), 2010. HBSC 2001/02 (OMB #0915-0254) HBSC 2005/06 (OMB# 0925-0557), HBSC 2009/2010 (OMB# 0925-0557)

53 How often do your parent/guardian encourage you to… Adapted from the National Survey on Drug Use and Health NSDUH (OMB# 0930-0110)

54 How important is it to your parent/guardian that you… Adapted from the National Survey on Drug Use and Health NSDUH (OMB# 0930-0110)





Peers 55 Your group of friends is well accepted by your parents? HBSC 2002 Revised, 2006, 2010 HBSC 2001/02 (OMB #0915-0254) HBSC 2005/06 (OMB# 0925-0557), HBSC 2009/2010 (OMB# 0925-0557)

56 Think of your closest male friends. List up to five of your closest male friends. List your best male friend first, then next best friend, and so on. Include boys who are friends and boyfriends. National Longitudinal Study of Adolescent Health (Add Health)

57 Think of your closest female friends. List up to five of your closest female friends. List your best female friend first, then next best friend, and so on. Include girls who are friends and girlfriends. National Longitudinal Study of Adolescent Health (Add Health)

58 Think of your closest male friend, your closest female friend, your 5 closest friends, and the general group of friends and classmates that you spend time with. National Longitudinal Study of Adolescent Health (Add Health)





Violence: Prevelance of Physical Fighting




59 During the past 12 months, how many times were you in a physical fight? Brener ND, Collins JL, Kann L, Warren CW, Williams BI. Reliability of the youth risk behavior survey questionnaire. Am J Epidemiol. 1995; 141: 575-580; HBSC 2002, 2006, 2010 HBSC 2001/02 (OMB #0915-0254) HBSC 2005/06 (OMB# 0925-0557), HBSC 2009/2010 (OMB# 0925-0557)

60 The last time you were in a physical fight during the past 12 months, with whom did you fight? HBSC 1998, 2002, 2010 (Injuries & Youth Violence optional package) HBSC 2009/2010 (OMB# 0925-0557)





Romantic Relationship Behavior




61 During any of your romantic relationships in the last 12 months, did any of your boyfriends/girlfriends do any of the following: National Longitudinal Study of Adolescent Health (Add Health)

61b During any of your romantic relationships in the last 12 months, did you do any of the following to any of your boyfriends/girlfriends: National Longitudinal Study of Adolescent Health (Add Health)

62 If I ever…physically hurt or threaten to hurt a romantic partner it is or would be because: Adapted from Ryan, R. M., & Connell, J. P. (1989). Perceived locus of causality and internalization: Examining reasons for acting in two domains. Journal of Personality and Social Psychology, 57, 749-761.

63 If I ever… swear at, call names, insult, and/or treat disrespectfully a romantic partner it is or would be because: Adapted from Ryan, R. M., & Connell, J. P. (1989). Perceived locus of causality and internalization: Examining reasons for acting in two domains. Journal of Personality and Social Psychology, 57, 749-761.
Risk Behavior



Frequency of Substance Use 66 On how many occasions (if any) have you done the following things in the last 30 days? ESPAD, HBSC 2005/06, 2009/10 HBSC 2005/06 (OMB #0925-0557), HBSC 2009/2010 (OMB# 0925-0557)
Frequency of Alcohol Consumption 64 At present, how often do you drink anything alcoholic, such as beer, wine or hard liquor like, Vodka or rum? Throughout these questions, by a "drink," we mean a can or bottle of beer, a glass of wine or wine cooler, a shot of liquor, or a mixed drink with liquor in it. HSBC 1986, 1990, 1994, 1998, 2002, 2010 HBSC 2009/2010 (OMB# 0925-0557)

65 Think about the first time you had a drink of an alcoholic beverage. How old were you the first drink you had a drink of an alcoholic beverage? HSBC 1998, 2002, 2005, 2010 HBSC 2009/2010 (OMB# 0925-0557)

67 Think back again over the LAST 30 DAYS. If you are a boy, how many times (if any) have you had five or more drinks in a row on an occasion? If you are a girl, how many times (if any) have you had four or more drinks in a row on an occasion. Youth Risk Behavior Survey YRBS (OMB# 0920-0493)

68 Thin back again over the LAST 30 DAYS. If you are a boy, how many times (if any) have you had five or more drinks in a row within two hours? If you are a girl, how many times (if any) have you had four or more drinks in a row within 2 hours? Youth Risk Behavior Survey YRBS (OMB# 0920-0493)

69 Think of the last time you drank alcohol. Where were you when you drank? ESPAD (European School Survey Project on Alcohol & other Drugs

70 I decide whether or not to… smoke tobacco because: Adapted from Ryan, R. M., & Connell, J. P. (1989). Perceived locus of causality and internalization: Examining reasons for acting in two domains. Journal of Personality and Social Psychology, 57, 749-761.

71 I decide whether or not to… drink alcohol because: Adapted from Ryan, R. M., & Connell, J. P. (1989). Perceived locus of causality and internalization: Examining reasons for acting in two domains. Journal of Personality and Social Psychology, 57, 749-761.

72 I decide whether or not to… smoke marijuana because: Adapted from Ryan, R. M., & Connell, J. P. (1989). Perceived locus of causality and internalization: Examining reasons for acting in two domains. Journal of Personality and Social Psychology, 57, 749-761.





Marijuana/Drug Use 73 Have you ever taken on or several of these drugs in the last 12 months? HBSC 2002, 2006, 2010 HSBC 2001/02 (OMB #0915-0254) HSBC 2005/06 (OMB #0925-0557)
Driving 74 Do you have a drivers license? Checkpoints Checkpoints (OMB # 0925-0577; Expiration Date: 01/31/2010)

75 How much of the time during the past 30 days have you had access to a vehicle? Checkpoints Checkpoints (OMB # 0925-0577; Expiration Date: 01/31/2010)

76 On how many of last 30 days did you drive a vehicle? Checkpoints Checkpoints (OMB # 0925-0577; Expiration Date: 01/31/2010)

77 On average, about how many miles did you drive each day you drove? Checkpoints Checkpoints (OMB # 0925-0577; Expiration Date: 01/31/2010)

78 On how many days in the past month have you driven with 2 or more passengers in the vehicle? Checkpoints Checkpoints (OMB # 0925-0577; Expiration Date: 01/31/2010)

79 On how many days in the past month have you done the following while driving? Checkpoints Checkpoints (OMB # 0925-0577; Expiration Date: 01/31/2010)

80 On how many days in the past month have you done the following while driving? Checkpoints Checkpoints (OMB # 0925-0577; Expiration Date: 01/31/2010)

82 How often do you wear a seat belt when riding in a vehicle driven by someone else? Checkpoints Checkpoints (OMB # 0925-0577; Expiration Date: 01/31/2010)





Drunk Driving 83 During the past year, how many times did you ride in a car or other vehicle driven by someone who had been drinking alcohol? Youth Risk Behavior Survey YRBS (OMB# 0920-0493)

81 During the past year, how many times did you drive a car or other vehicle when you had been drinking alcohol? Youth Risk Behavior Survey YRBS (OMB# 0920-0493)

84 In the last year, have you been in a motor vehicle accident? Youth Risk Behavior Survey YRBS (OMB# 0920-0493)





Health Insurance 85 Which of the following best describes your current health insurance situation? National Longitudinal Study of Adolescent Health (Add Health)

86 Has there been any time in the past 12 months when you thought you should get medical care, but you did not? National Longitudinal Study of Adolescent Health (Add Health)

87 What kept you from seeing a health professional when you really needed to? National Longitudinal Study of Adolescent Health (Add Health)

88 In the past 12 months, did a health problem get worse because you did not get care when you thought you should have? National Longitudinal Study of Adolescent Health (Add Health)

89 Where do you usually go when you are sick or need health care? National Longitudinal Study of Adolescent Health (Add Health)

90 How long ago did you last have a rountine check up? National Longitudinal Study of Adolescent Health (Add Health)

91 At your last physical examination by a doctor or nurse? National Longitudinal Study of Adolescent Health (Add Health)

92 In the past 12 months have you had a dental examination by a dentist or dental hygienist? National Longitudinal Study of Adolescent Health (Add Health)





Family Details 93 In what country were you born? Trial of Activity for Adolescent Girls

94 How old were you when you first moved to the United States? Trial of Activity for Adolescent Girls

95 Where was your mother born? Trial of Activity for Adolescent Girls

96 Where was your father born? Trial of Activity for Adolescent Girls

97 Where were your grandparents born? Trial of Activity for Adolescent Girls

98 In your home, do you speak… Trial of Activity for Adolescent Girls

99 With your friends, do you speak… Trial of Activity for Adolescent Girls





Parental Occupation 100 Does your father have a job? HSBC 1986, 1990, 1994, 1998, 2002 (revised), 2010 HBSC 2009/2010 (OMB# 0925-0557)

101 Does your mother have a job? HSBC 1986, 1990, 1994, 1998, 2002 (revised), 2010 HBSC 2009/2010 (OMB# 0925-0557)
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