New questions for 2011-12

National Survey of Family Growth

NSFG 2011 change pkg Att 2

National Survey of Family Growth--Male Interview

OMB: 0920-0314

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Attachment 2—

New Questions in the Male Questionnaire

of the National Survey of Family Growth , 2011-12


This attachment shows items that were added only in the Male Questionnaire.

Items that changed in both the male and the Female questionnaire are shown in Attachment 1.

Estimated burden is still under the already-approved 60 minutes for men.

We estimate that the changes to the male questionnaire (including those shown in attachment 1 and here in attachment 2) will add a net increase of 5.2 minutes to the male questionnaire, from 52.0 minutes in 2006-10 to 57.2 minutes in 2011-14.



Section A No new questions.


Section B No new questions.


Section C


CG-13a (Asked if he has fathered a child under age 18 out of wedlock; also asked in

DH-13a, if the baby was born to a recent sexual partner;

ED-13a, if the baby was born to his former wife or partner;

F-16a, if the baby was born to a woman he never lived with or married.

Did you ever sign the application for (CHILD NAME) birth certificate, or sign a statement that legally says you are (CHILD’s) father? (Yes, No.)


CG-13b. Did you have to go to court to establish that you are (CHILD’s) legal father?

(Yes, No.)


CG-14. Were you legally identified by a blood test or other genetic test as (CHILD’s NAME)’s father?


Section D None. (see CG-13a)


Section E None. (see CG-13a)


Section F None. (see CG-13a)


Section G Fathering (Adds about 1.0 minute, because these questions are not asked of males who are not fathers; and most of those below are only asked of some groups of fathers and not others.)


The questions in Section G of the male questionnaire ask about what he does to help raise his own children. Questions are asked about one particular (“focal”) child. Separate questions are asked about children who do and do not live with him. Different sets of questions are asked for pre-school (0-4) and school-age (5-18) children. These are the new items:


GA-6: (Asked if he has a child 0-4 who lives with him):

In the last 4 weeks, how often did you show (NAME) physical affection (kiss, hug, stroke hair, etc) ?

(Not at all, less than once a week, about once a week, several times a week, every day) (Same question is asked in GA-17 for children 5-18 years old.)


GA-7: (Asked if he has a child 0-4 who lives with him):

In the last 4 weeks, how often did you praise (NAME) for doing something worthwhile?

(Not at all, less than once a week, about once a week, several times a week, every day) (Same question is asked in GA-18 for children 5-18 years old.)


GA-11: (Asked if he has a child 0-4 who lives with him):

In the last 4 weeks, how often did you put him/her to bed?

(Not at all, less than once a week, about once a week, several times a week, every day)


GA-13: (Asked if he has a child 0-4 who lives with him):

Most children misbehave from time to time. In the last 4 weeks, how often did you discipline (NAME) by putting him/her in time out, taking away priveleges, or spanking him/her?

(Not at all, less than once a week, about once a week, several times a week, every day) (Same question is asked in GB-16 or GB-28 for a child who does not live with him)


GA-23: (Asked if he has a child 5-18 who lives with him):

Please look at Card 65. How much would you say that you know about (NAME)’s close friends? (Knows everything, Knows most things, Knows some things, Knows a little, Knows nothing.)

(Same question is asked in GB-29 for a child who does not live with him)


GA-24: (Asked if he has a child 5-18 who lives with him):

Please look at Card 65. How much would you say that you know about what (NAME) is doing when not at home? (Knows everything, Knows most things, Knows some things, Knows a little, Knows nothing.)

(Same question is asked in GB-30 for a child who does not live with him)


Section H None.




Section I (These additional questions make the series on male medical care much more useful. They add an estimated average of about 1.0 minute.)


ID-1. (Asked of all males)

In the past 12 months, that is, since (mo/day/year), did you have any of these types of visits to a doctor or health care provider?

(Routine physical, Physical exam for sports or work, Doctor visit when sick or hurt, Did not have any visits to a doctor)

ID-2. (Asked if had a visit to a doctor in the last 12 months)

Did you receive any of these services at those visits in the past 12 months?

(9 types of services are listed; enter all that apply.)


ID-3. How many visits did you have in the last 12 months in order to receive these services? (number of visits)


ID-4. Please look at Card xx. What kind of place or places did you go for these visits?

(List of types of clinics, private doctor’s offices, etc.)


ID-5. Please look at card 16. In which of the ways shown on this card was the bill for these visits paid? (Enter all that apply: insurance, co-payment, out-of-pocket payment, Medicaid, No payment required, some other way.)


ID-6. During your visit in the past 12 months did a doctor or health care provider ask if you were sexually active? (yes, no, provider already knew)


ID-7. During your visit in the past 12 months, did a doctor or health care provider talk with you about emergency contraception?


ID-8. During your visit in the past 12 months, did a doctor or health care provider talk with you about using a condom at the same time as a female method of contraception?


ID-9. (Asked if he reported in ID-1 that he had no visits to a doctor in the last 12 months)

You reported that you did not go to a doctor in the past 12 months. Which of these reasons explains why you did not see a doctor?

(6 reasons listed, plus “other—specify.”)








Section J


JG-19a: (asked at the end of a series of questions on attitudes toward marriage, parenthood and men’s and women’s roles):

Men have greater sexual needs than women.

(Strongly agree, agree, disagree, strongly disagree.)



JG-19b. Men only need to see a doctor when they are hurt or sick.

(Strongly agree, agree, disagree, strongly disagree.)


JG-19c. When a man is feeling pain he should not let it show.

(Strongly agree, agree, disagree, strongly disagree.)



Section K: AUDIO CASI

(This is the self-administered part of the NSFG: the respondent enters these answers into a computer, without saying the answers out loud)


KB-4. (Asked if ever been in jail or prison)

Have you been in jail, prison, or a juvenile detention facility 1 time, or more than one time? (1 time, more than 1 time)


KB-5. (Asked if ever been in jail or prison more than 1 time)

The last time you were in jail, prison, or juvenile detention, how long were you in? (1 month or less; More than 1 month but less than 1 year; One year; More than 1 year.)


The following was added at the request of the CDC’s Division of Sexually Transmitted Disease Prevention (DSTDP). Most of these questions are only asked of Men who have sex with men, who are only 6% of all men. Because such a small proportion of men are asked these questions, they add very little time to the average interview.

We estimate that this entire series adds only 1.25 minutes to the average male interview.

(NOTE: “Asked” means “asked” by the computer, not by the interviewer.)



KH-2b. (Asked if ever had oral sex with a male):

Did you use a condom the last time you had oral sex with a male?

(Yes, No.)


KH-3. (Asked if ever had sex with a male):

Has another male ever put his penis in your anus or butt (receptive anal sex)?

(Yes, No)


KH-3b. (Asked if KH-3 =yes)

Did you use a condom the last time you had receptive anal sex?

(Yes, No)


KH-4. (Asked if ever had sex with a male)

Have you ever put your penis in his anus or butt (insertive anal sex)?

(Yes, No)


KH-4b (Asked if ever had insertive anal sex with a male)

Did you use a condom the last time you had insertive anal sex with a male?

(Yes, No).


KH-5. (Asked if ever had sex with a male)

Thinking of your most recent or last male sex partner, that is, the man with who you last had oral or anal sex, was he older than you, younger than you, or about the same age?

(Older, younger, same age)


KH-6. (Asked if ever had sex with a male)

Thinking of this same male sexual partner, which of the groups shown below describe his racial background?

(American Indian or Alaskan Native, Asian, Native Hawaiian or other Pacific Islander, Black or African American, or White)


KJ-2Yra. (Asked if had oral sex with a male)

Your number of male partners in the last 12 months is displayed below. Thinking of your male partners in the last 12 months, with how many of them did you have oral sex?

(enter a number)


KJ2-Yrb. (Asked if ever had receptive anal sex)

Your number of male partners in the last 12 months is displayed below. Thinking of your male partners in the last 12 months, with how many of them did you have receptive anal sex where he put his penis in your anus (butt)?

(enter a number)


KJ2-Yrc. (Asked if ever had insertive anal sex)

Your number of male partners in the last 12 months is displayed below. Thinking of your male partners in the last 12 months, with how many of them did you have insertive anal sex where you put your penis in his anus (butt)?

(enter a number)


KJ-3. (Asked if ever had sex with a male partner)

Thinking back to the first time you ever had oral or anal sex with a male partner, how old were you? (Age in years)


KJ-4. (Asked if ever had sex with a male partner)

Your number of male partners in the last 12 months is displayed below. In the last 12 months, that is, since (Month/year), how many of your male partners were having sex with other people around the same time?

(enter a number).


KJ-9. (Asked if he had sex with a male in the last 12 months-about 3% of men)

Some men meet their sexual partners by using the internet, and some do not. Internet includes the use of social network websites such as Facebook or MySpace, websites directed towards gay men such as Manhunt or Gay.com, dating websites, or the use of mobile applications such as Foursquare or Grindr.

Thinking about your male sex partners in the last 12 months, did you first meet any of them using the internet?

(Yes, No.)


KJ-10. (Asked if he had sex with a male in the last 12 months)

Some men only have sex with other males that they know have the same HIV status as they do, and some do not. Thinking about your male sex partners in the last 12 months, do you usually limit your male partners to those of the same HIV status to prevent getting or transmitting HIV?

(Yes, usually; Yes, some of the time; No.)


KK-6. (Asked of all males)

In the last 12 months, that is, since (month/year), has a doctor or other medical care provider asked you about your sexual orientation or the sex of your sexual partners?

(Yes, No)


KK-6b. (Asked of all males)

In the last 12 months, that is, since (month/year), has a doctor or other medical care provider asked you about your number of sexual partners?

(Yes, No)


KK-6c. (Asked of all males)

In the last 12 months, has a doctor or other medical care provider asked you about your use of condoms?

(Yes, No)


KK-6d. (Asked of all males)

In the last 12 months, has a doctor or other medical care provider asked you about the types of sex you have, whether vaginal, oral, or anal?

(Yes, No)




KK-6e. (Asked ONLY of men 18-44 who have had sex with another male in the last 12 months—about 3% of all men in the sample)

Some men use a rectal douche before or after anal sex, and some do not. During the last 12 months, that is, since (month/year), how often, if at all, did you use a rectal douche?

(Never, Once or twice during the year, Several times during the year, About once a month, about once a week, about once a day or more.)


KK-7. (Asked of all males)

In the past 12 months, that is, since (month/year), have you been tested by a doctor or other medical care provider for a sexually transmitted disease like gonorrhea, chlamydia, herpes, or syphilis?

(Yes, No)


KK-7b. (Asked ONLY if he answered KK-7=”yes”)

In the past 12 months, have you been tested by a doctor or other medical care provider for a sexually transmitted disease like gonorrhea or chlamydia in your throat or pharnyx or your rectum (anus or butt)?

(Yes, No)


KK-8. (Asked of all males)

In the past 12 months, have you been treated or received medication from a doctor or other medical care provider for a sexually transmitted disease like gonorrhea, chlamydia, herpes, or syphilis?

(Yes, No)


(End of new questions)




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