Itemized List of Changes

0920-0828 Itemized List of Changes 8-29-2013.docx

National Adult Tobacco Survey

Itemized List of Changes

OMB: 0920-0828

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Itemized List of Changes

2013-2014 National Adult Tobacco Survey (NATS)

(OMB no. 0920-0828, approved 7/30/2012, exp. Date 7/31/2015)

August 29, 2013



Questions that were used in the 2012-2013 NATS but will be dropped from the 2013-2014 NATS

Count: 3 questions

121. How concerned are you that your smoking could affect the health of someone else? Would you say….

1. Not at all

2. A little

3. Somewhat

4. A lot


7. DON’T KNOW/NOT SURE

9. REFUSED


104. Do you share a cell phone for personal use (at least one-third of the time) with other adults?

1. YES Go to Q106 cellpctsh

2. NO Go to Q107 STATEFIPS


7. DON’T KNOW/NOT SURE Go to Q107 STATEFIPS

9. REFUSED Go to Q107 STATEFIPS


105. Do you usually share this cell phone (at least one-third of the time) with any other adults?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED





Questions that were previously approved for the 2009-2010 NATS and will be reinstated for the 2013-2014 NATS—some questions have proposed modifications

Count: 6 questions

Employ2

Rationale : Key covariate

/ASK ALL/

98. Are you currently working for pay or are you self-employed, either part-time or full-time?

1. YES

2. NO


7. DON’T KNOW

9. REFUSED


SMOKHOME7D

Rationale (CDC): This question allows for the evaluation of Key Outcome Indicators 2.7.3, 2.7.5. With the increasing number of restrictions on smoking in public areas, private areas such as homes and vehicles are becoming larger sources of exposure. The home is the primary source of secondhand smoke exposure for children.

/ASK ALL/

/RANGE: 01-07/

136. Not counting decks, porches, or garages, during the past 7 days, that is, since last [TODAY’S DAY OF WEEK], on how many days did someone other than you smoke tobacco inside your home while you were at home?

0_. NUMBER OF DAYS

88. NONE

77. DON’T KNOW/NOT SURE

99. REFUSED


shsvehexp

Rationale (CDC): This question allows for the evaluation of Key Outcome Indicators 2.7.3, 2.7.5. With the increasing number of restrictions on smoking in public areas, private areas such as homes and vehicles are becoming larger sources of exposure.

/ASK ALL/

/RANGE: 01-07/

137. During the past 7 days, that is, since last [TODAY’S DAY OF WEEK], on how many days did you ride in a vehicle where someone other than you was smoking tobacco?

0_. NUMBER OF DAYS

88. NONE

77. DON’T KNOW/NOT SURE

99. REFUSED


SHSEXPWORK

Rationale (CDC): This question allows for the evaluation of Key Outcome Indicators 2.7.1, 2.7.5. Worksites represents an important source of secondhand exposure for adults, particularly in states and localities that have not enacted comprehensive smoke-free policies prohibiting smoking in indoor areas of worksites, restaurants, and bars.

/Asked of respondents who are employed or self-employed/

/ASK IF Q98 EMPLOY2 EQ 1/

/RANGE: 01-07/

138. Now I’m going to ask you about smoke you might have breathed at work because someone else was smoking, either indoors or outdoors. During the past 7 days, that is, since last [TODAY’S DAY OF WEEK], on how many days did you breathe the smoke at your workplace from someone other than you who was smoking tobacco?

0_. NUMBER OF DAYS

88. NONE

77. DON’T KNOW/NOT SURE

99. REFUSED





Original Question from 2009-2010

Modified Question for 2013-2014

80. At your workplace, is smoking in indoor areas…?

1. Always allowed

2. Allowed only at some times or in some places

3. Never allowed

7. DON’T KNOW/NOT SURE

9. REFUSED


SHSWORKPOL

Rationale: This question allows for the evaluation of Key Outcome Indicator 2.4.3. It combines two questions from the 2009-2010 NATS questionnaire that assessed worksites policies in outdoor and indoor areas separately. Worksites are an important source of secondhand exposure for individuals residing in states and localities without comprehensive smoke-free policies prohibiting smoking in indoor areas of worksites, restaurants, and bars.

/Asked of respondents who are employed or self-employed/

/ASK IF Q98 EMPLOY2 EQ 1/

139. At your workplace, is smoking…..?

1. Allowed in both indoor and outdoor areas

2. Allowed in outdoor areas, but never allowed in any indoor areas

3. Allowed in indoor areas, but never allowed in any outdoor areas

4. Never allowed in any indoor or outdoor area


77. DON’T KNOW

99. REFUSED


81. At your workplace, is smoking in outdoor areas…?

1. Always allowed

2. Allowed only at some times or in some places

3. Never allowed

7. DON’T KNOW/NOT SURE

9. REFUSED


brand2

/ASK IF CIGFLAVOR (Q21) EQ (1, 2, OR 7) AND NOT REFUSED FROM Q2 TO THIS POINT//

22. During the past 30 days, that is, since [DATE FILL], what brand of cigarettes did you smoke most often?

[INTERVIEWER: Do not read response categories, SELECT only one.]

01. Basic (Branded discount)

02. Camel

03. Doral (Branded discount)

04. Forsyth (Private label)

05. GPC (Branded discount)

06. Kool

07. Marlboro

08. Misty (Branded discount)

09. Newport

10. Pall Mall

11. Parliament

12. Salem

13. Sonoma (Branded discount)

14. USA Gold (Branded discount)

15. Virginia Slims

16. Winston

96. Other (specify) /GO TO Q22oth/

66. DID NOT SMOKE A USUAL BRAND DURING THE PAST 30 DAYS

77. DON’T KNOW/NOT SURE

99. REFUSED Go to PreQ30 SLTEVER2



22oth ____ENTER OTHER SPECIFY

CIGBRAND

Rationale: To obtain information on the brand preference among cigarette consumers and to obtain price-related promotions information by brand.

/ Asked of respondents who have smoked at least one day in the past 30 days/

/ ASK IF SMOKNOW eq 1 or 2 Q9 SMOKDAYS30 EQ (1-30)/

10. During the past 30 days, that is, since [DATE FILL], what brand of cigarettes did you buy most often?

01. BASIC (BRANDED DISCOUNT)

02. CAMEL

03. DORAL (BRANDED DISCOUNT)

04. KOOL

05. MARLBORO GOLD

06. MARLBORO MENTHOL

07. MARLBORO RED

08. MARLBORO (OTHER)

09. NEWPORT BOX

10. NEWPORT MENTHOL BLUE

11. NEWPORT MENTHOL GOLD

12. NEWPORT (OTHER)

13. PALL MALL

14. SALEM

15. VIRGINIA SLIMS

16. WINSTON

96. OTHER (SPECIFY)

66. DID NOT BUY ONE BRAND MOST OFTEN DURING THE PAST 30 DAYS

77. DON’T KNOW/NOT SURE

99. REFUSED










Proposed new questions to be added to the 2013-2014 NATS

Count: 6 questions

BUYST

Rationale: To obtain information on the purchasing habits of cigarette consumers and to obtain information on tax avoidance and evasion.

/Asked of respondents who bought cigarettes for themselves in the past 30 days/

/ASK IF Q111 BGHTPAST30D EQ 1/

117. Did you buy your LAST [FILL IF Q112 BUYQUANT2 EQ 1 “pack”/FILL IF Q112 BUYQUANT2 EQ 2 “carton”/FILL IF Q112 BUYQUANT2 EQ 3 “cigarette”/FILL IF Q112 BUYQUANT2 EQ 4 “fill other specify response from BUYQUANT2_OTH”] in your state of residence or somewhere else?

1. IN RESPONDENT’S STATE OF RESIDENCE

2. IN SOME OTHER STATE (INCLUDING DC)

3. IN SOME OTHER COUNTRY


7. DON’T KNOW/NOT SURE

9. REFUSED


buyst2

/Asked of respondents who bought their last cigarettes in a different state or country/

/ASK IF Q117 BGHTPAST30D EQ 2 OR 3/

Rationale: To obtain information on the purchasing habits of cigarette consumers and to obtain information on tax avoidance and evasion.

118. In what other [FILL IF Q117 BUYST EQ 2 “state”/ FILL IF Q117 BUYST EQ 3 “country” did you buy your last [FILL IF Q112 BUYQUANT2 EQ 1 “pack”/FILL IF Q112 BUYQUANT2 EQ 2 “carton”/FILL IF Q112 BUYQUANT2 EQ 3 “cigarette”/FILL IF Q112 BUYQUANT2 EQ 4 “fill other specify response”]?

  1. ENTER STATE CODE (SEE LIST IN APPENDIX C)

  2. ENTER COUNTRY CODE (SEE LIST IN APPENDIX C)

77 DON’T KNOW

99 refused


buyres

/Asked of respondents who bought cigarettes for themselves in the past 30 days/

/ASK IF Q111 BGHTPAST30D EQ 1/

Rationale: To obtain information on the purchasing habits of cigarette consumers and to obtain information on tax avoidance and evasion.

INTERVIEWER IF NECESSARY: A federal Indian reservation is an area of land reserved for a tribe or tribes under treaty or other agreement, and where the federal government holds title to the land in trust on behalf of the tribe.

119. How often do you purchase cigarettes from an Indian reservation?


1. ALL THE TIME

2. SOMETIMES

3. RARELY

4. NEVER


7. DON’T KNOW/NOT SURE

9. REFUSED


BUYST3

/Asked of respondents who bought cigarettes for themselves in the past 30 days/

/ASK IF Q11 BGHTPAST30D EQ 1/

Rationale: To obtain information on the purchasing habits of cigarette consumers and to obtain information on tax avoidance and evasion.

INTERVIEWER IF NECESSARY: “STATE OF RESIDENCE IS THE STATE WHERE YOU RESIDE MOST OF THE TIME”.

120. How often do you purchase cigarettes from state other than your state of residence?

1. ALL THE TIME

2. SOMETIMES

3. RARELY

4. NEVER


7. DON’T KNOW/NOT SURE

9. REFUSED


HOUSingTYPE

Rationale: This question allows for the evaluation of Key Outcome Indicators 2.7.3 and 2.7.5. With the increasing number of restrictions on smoking in public areas, the home has become a larger source of secondhand smoke exposure for many individuals, particularly children. Individuals who live in multiunit housing are particularly susceptible to SHS incursions from nearby units and shared areas.

/ASK ALL/

99. In what type of living space do you currently reside?

INTERVIEWER: READ ONLY IF NECESSARY

1. A one-family house detached from any other house

2. A one-family house attached to one or more houses

3. A building with 2 apartments or living units

4. A building with 3 to 9 apartments or living units

5. A building with 10 to 49 apartments or living units

6. A building with 50 or more apartments or living units

7. A mobile home, boat, RV, or van

8. Some other type of living space

77. Don’t know

99. REFUSED


SHSMUHEXP

Rationale: This question allows for the evaluation of Key Outcome Indicators 2.7.3 and 2.7.5. With the increasing number of restrictions on smoking in public areas, the home has become an important source of secondhand smoke exposure for many individuals, particularly children. Individuals who live in multiunit housing are particularly susceptible to SHS incursions from nearby units and shared areas.

/Asked of respondents who live in multi-unit housing and do not allow smoking inside their home/

/ASK IF Q99 HOUSINGTYPE EQ (2-6) AND Q134 HOMERULES2 EQ (3)/

140. How often does tobacco smoke enter your living space from somewhere else in or around the building?

1. Every day

2. A few times a week

3. A few times a month

4. Once a month or less

5. Never


7. Don’t know

9. REFUSED




Questions that were previously approved for the 2012-2013 NATS and will be modified for the 2013-2014 NATS

Count: 13 items

Original Question from 2012-2013

Modified Question for 2013-2014

gender

Rationale: Key covariate

/ASK ALL/

INTERVIEWER: Ask only if necessary.

100. Are you male or female?

1. Male

2. Female


7. DON’T KNOW/NOT SURE

9. REFUSED

genderB

Rationale: Key covariate

/ASK ALL/

90. What sex were you at birth?

1. Male

2. Female

9. REFUSED


gender

Rationale: Key covariate

/ASK ALL/

91. Do you currently consider yourself to be:

1. MALE

2. FEMALE

9. REFUSED


harmDISS

Rationale: To monitor risk perceptions of smokeless tobacco use.

/ASK ALL/

115. How harmful do you think using dissolvable tobacco is to a person’s health?

1. Not at all harmful

2. Moderately harmful

3. Very harmful


7. DON’T KNOW/NOT SURE

9. REFUSED


harmECIG

Rationale: both dissolvable tobacco and e-cigarettes are new tobacco products, but e-cigarettes are gaining market share and gaining in popularity, while dissolvable tobacco products have experienced only limited uptake and sales are being discontinued in some test markets.

/ASK ALL/

127. How harmful do you think using electronic cigarettes are to a person’s health?

1. Not at all harmful

2. Moderately harmful

3. Very harmful


7. DON’T KNOW/NOT SURE

9. REFUSED


RECVPROMO1-RECVPROMO8, RECVPROMO_OTH

Rationale: To measure exposure to direct mail and email tobacco marketing and promotion.

77a. Did you receive coupons, rebates, buy 1 get 1 free, 2 for 1, or any other special promotions in the mail for any tobacco product in the past 30 days?

77b. Did you receive coupons, rebates, buy 1 get 1 free, 2 for 1, or any other special promotions from the internet for any tobacco product in the past 30 days?

77c. (Did you receive coupons, rebates, buy 1 get 1 free, 2 for 1, or any other special promotions) in an email sent by a tobacco company (for any tobacco product in the past 30 days)?

77d. (Did you receive coupons, rebates, buy 1 get 1 free, 2 for 1, or any other special promotions) with the purchase of any tobacco product, (in the past 30 days)??

77e. (Did you receive coupons, rebates, buy 1 get 1 free, 2 for 1, or any other special promotions) with the purchase of a non-tobacco product, (in the past 30 days)??

77f. (Did you receive coupons, rebates, buy 1 get 1 free, 2 for 1, or any other special promotions) at an event, bar, or nightclub for any tobacco product in the past 30 days?

77g. (Did you receive coupons, rebates, buy 1 get 1 free, 2 for 1, or any other special promotions) from friends or family (for any tobacco product in the past 30 days )?

77h. (Did you receive coupons, rebates, buy 1 get 1 free, 2 for 1, or any other special promotions) from some other source (for any tobacco product in the past 30 days )?

77i. What was the source of the promotion that you received?

RECVpromo1-2

Rationale: To measure exposure to direct mail and email tobacco marketing and promotion.

101a. Have you ever intentionally submitted your mailing address or personal email to sign up for offers or promotions from a company that manufactures e-cigarettes?

101b. In the past 6 months, have you received any mail addressed to you from a company that manufactures e-cigarettes?

101c. Did the mail contain coupons or other promotions (such as a rebate offer) for the purchase of e-cigarettes?

101d. In the past 6 months, have you received any email from a company that manufactures e-cigarettes?

101e. Have you ever intentionally submitted your mailing address or personal email to sign up for offers or promotions from a tobacco company that manufactures cigarettes and other tobacco products (not including e-cigarettes)?

101f. In the past 6 months, have you received any mail addressed to you from a tobacco company that manufactures cigarettes and other tobacco products (not including e-cigarettes)?

101g. Did the mail contain coupons or other promotions (such as a rebate offer) for tobacco products, excluding e-cigarettes?

101h. In the past 6 months, have you received any email from a tobacco company that manufactures cigarettes and other tobacco products (not including e-cigarettes)?

othquitall

Rationale: To monitor cessation of tobacco products.

/Asked of respondents who have ever used a tobacco product other than cigarettes and do not now use any tobacco product = respondents [(who have smoked 100 cigarettes in their entire life and now smoke not at all) or have ever smoked a cigarette] and have ever used a non-cigarette tobacco product in the past and now do not use any non-cigarette tobacco product/

/ASK IF [(Q3 SMOK100 EQ 1 AND Q4 SMOKNOW EQ 3) OR Q12 SMOKEVER EQ 1] AND [(Q21 CIGARPAST EQ 1 AND Q22 CIGARNOW EQ 4) OR (Q31 PIPEWTREVER EQ 1 AND Q33 PIPEWTRNOW EQ 4) OR (Q28 PIPEREGPAST EQ 1 AND Q29 PIPEREGNOW EQ 4) OR (Q37 ECIGEVER EQ 1 AND Q39 ECIGNOW EQ 4) OR (Q43 CSDPAST EQ 1 AND Q44 CSDNOW EQ 4) OR (Q47 SNUSEVER AND Q49 SNUSNOW EQ 4) OR (Q52 DISSEVER AND Q54 DISSNOW EQ 4)]/

59. Have you completely quit using all types of tobacco products, including cigarettes, smokeless tobacco, e-cigarettes, cigars and pipes?

1. YES

2. NO GO TO DECISIONBOXPRE62


7. DON’T KNOW/NOT SURE GO TO DECISIONBOXPRE62

9. REFUSED GO TO DECISIONBOXPRE62


quitcom

Rationale: To monitor cessation of combustible tobacco products.

/Asked of respondents who have ever used cigarettes and another product but do not currently use the product/

IF [(Q3 SMOK100 EQ 1 AND Q4 SMOKNOW EQ 3) OR Q13 SMOKEVER EQ 1] AND [(Q22 CIGARPAST EQ 1 AND Q23 CIGARNOW EQ 4) OR (Q30 PIPEREGPAST EQ 1 AND Q31 PIPEREGNOW EQ 4) OR (Q33 PIPEWTREVER EQ 1 AND Q35 PIPEWTRNOW EQ 4) OR (Q47 CSDPAST EQ 1 AND Q48 CSDNOW EQ 4) OR (Q51 SNUSEVER EQ 1 AND Q53 SNUSNOW EQ 4) OR (Q56 DISSEVER EQ 1AND Q58 DISSNOW EQ 4) OR (Q40 ECIGEVER EQ 1 AND Q42 ECIGNOW EQ 4)]/

64. Previously you told me that you have smoked cigarettes and have used (insert products that respondent has used: cigars, pipes, hookahs, chewing tobacco, snuff, or dip, snus, dissolvables, e-cigarettes.)

Have you completely quit using both/all of these products?


1. YES

2. NO

7. DON’T KNOW/NOT SURE

9. REFUSED


othquit1, othquit2, OTHQUIT3

Rationale: To monitor cessation of tobacco products.

/Asked of respondents who have completely quit using all types of tobacco products/

/ASK IF Q59 OTHQUITALL/

60. About how long has it been since you completely quit using tobacco?

1. DAY(S) AGO

2. WEEK(S) AGO

3. MONTH(S) AGO

4. YEAR(S) AGO

5. AGE

6. DATE

8. TODAY

7. DON’T KNOW/NOT SURE

9. REFUSED

QuitCOM1

Rationale: To monitor cessation of combustible tobacco products.

/Asked of respondents who have completely quit using combustible tobacco products/

/ASK IF Q64 QUITCOM =1 or Q65d_VER=2; or Q65w_VER=2; or Q65m_VER=2; or Q65y_VER=2; or Q65a_VER=2//

65. About how long has it been since you quit using both/all of these products?

  1. DAY(S)

  2. WEEK(S)

  3. MONTHS(S)

  4. YEAR(S)

  5. AGE

  6. DATE

  1. TODAY

  1. DON’T KNOW/NOT SURE

  1. REFUSED




Demographic questions (PRE83-99 in 2013-2014 questionnaire) to be moved up in the 2013-2014 NATS before the Marketing/Public Education section (which began with question 93 in 2012-2013 NATS)


PRE83

/ASK ALL/

Now I would like to ask you some questions about yourself and your family. Please remember that your answers will be treated in a secure manner and that no one will be able to identify you from any published reports.

1-CONTINUE

marital2

Rationale: Key covariate

/ASK ALL/

Interviewer: if respondent answers “single,” please verify that s/he was never married. if respondent is unsure between “living with a partner” and any other response category, code as “living with a partner.”

83. Are you now…?

01. Married

02. Living with a partner

03. Divorced

04. Widowed

05. Separated

06. Single, that is, never married and not now living with a partner

96. Other (specify)


77. DON’T KNOW/NOT SURE

99. REFUSED


MARITAL2_OTH

/ASK IF Q83 MARITAL2 EQ 96/

83_oth. ENTER OTHER/SPECIFY


hispanic

Rationale: Key covariate

/ASK ALL/

84. Are you Hispanic or Latino, or of Spanish origin?

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


hispMULTI1, HISPMULTI_OTH

Rationale: Key covariate

/ASK IF Q84 HISPANIC EQ 1/

/LENGTH OF HISPMULTI_OTH=40/

INTERVIEWER: CODE “CUBAN-AMERICAN” AS “CUBAN”, CODE “PUERTO RICAN-AMERICAN” AS “PUERTO RICAN”. IF A RESPONDENT MENTIONS A COUNTRY IN CENTRAL OR SOUTH AMERICA, CODE “ANOTHER HISPANIC, LATINO, OR SPANISH ORIGIN” RECORD ALL ANSWERS GIVEN BY RESPONDENT, BUT DO NOT PROBE FURTHER. 

85. Which one or more of the following describes your Hispanic origin or ancestry?

  1. Mexican, Mexican American, Chicano

  2. Puerto Rican

  3. Cuban


DO NOT READ:

6. SOME OTHER HISPANIC, LATINO, OR SPANISH ORIGIN, SPECIFY

7. DON’T KNOW/NOT SURE

9. REFUSED

/ASK IF Q85=6/

Q85_OTH

//ENTER RESPONSE//

racemulti, RACEMULTI_OTH

Rationale: Key covariate

/ASK ALL/

INTERVIEWER: IF respondent volunteers information prior to your having read the response list or in the middle of you reading the response list, ok to code without reading full list. IF this happens, please probe with “in addition to “XXX” are there any other racial categories that describe you.” to see if more than one category is appropriate. RECORD ALL ANSWERS GIVEN BY RESPONDENT, BUT DO NOT PROBE FURTHER. 

86. I’m going to read a list of racial categories. Which one or more of the following do you consider yourself to be?

  1. White

  2. Black or African American

  3. Asian

  4. Native Hawaiian or Other Pacific Islander

  5. American Indian or Alaska Native


DO NOT READ:

6. SOME OTHER RACIAL CATEGORY, SPECIFY

7. DON’T KNOW/NOT SURE

9. REFUSED



/ASK IF Q86=6/

Q86_OTH

//ENTER RESPONSE//

asianmulti, ASIANMULTI_OTH

Rationale: Key covariate

/ASK IF Q86 RACEMULTI3 EQ 6/

/LENGTH OF ASIANMULTI_OTH=40/

interviewer: RECORD ALL ANSWERS GIVEN BY RESPONDENT, BUT DO NOT PROBE FURTHER. 

87. Which one or more of the following describes your Asian ancestry?

  1. Asian Indian

  2. Chinese

  3. Filipino

  4. Japanese

  5. Korean

  6. Vietnamese


DO NOT READ:

96. SOME OTHER asian CATEGORY, SPECIFY

77. DON’T KNOW/NOT SURE

99. REFUSED



/ASK IF Q87=96/

Q87_OTH

//ENTER RESPONSE//

NHOPImulti, NHOPIMULTI_OTH

Rationale: Key covariate

/ASK IF Q86 RACEMULTI4 EQ 4/

/LENGTH OF NHOPIMULTI_OTH=40/

interviewer: RECORD ALL ANSWERS GIVEN BY RESPONDENT, BUT DO NOT PROBE FURTHER. 

88. Which one or more of the following describes your Native Hawaiian or other Pacific Islander ancestry?

  1. Native Hawaiian

  2. Guamanian or Chamorro

  3. Samoan


DO NOT READ:

6. SOME OTHER PACIFIC ISLANDER CATEGORY

7. DON’T KNOW/NOT SURE

9. REFUSED



/ASK IF Q88=6/

Q88_OTH

//ENTER RESPONSE//

educa2

Rationale: Key covariate

/ASK ALL/

89. What is the highest level of school you have completed or the highest degree you have received?

INTERVIEWER: Read only if necessary.

01. 5TH GRADE OR LESS

02. 6TH GRADE

03. 7TH GRADE

04. 8TH GRADE

05. 9TH GRADE

06. 10TH GRADE

07. 11TH GRADE

08. 12TH GRADE, NO DIPLOMA

09. GED OR EQUIVALENT

10. HIGH SCHOOL DIPLOMA

11. SOME COLLEGE, NO DEGREE

12. CERTIFICATE, DIPLOMA, OR ASSOCIATE DEGREE: OCCUPATIONAL, TECHNICAL, OR VOCATIONAL PROGRAM

13. ASSOCIATE DEGREE: ACADEMIC PROGRAM

14. BACHELOR’S DEGREE

15. MASTER’S DEGREE

16. PROFESSIONAL SCHOOL DEGREE (EXAMPLES: MD, DDS, DVM, LLB, JD)

17. DOCTORAL DEGREE (EXAMPLES: PHD, EDD)


77. DON’T KNOW/NOT SURE

99. REFUSED


genderB

Rationale: Key covariate

/ASK ALL/

90. What sex were you at birth?

1. MALE

2. FEMALE

9. REFUSED


gender

Rationale: Key covariate

/ASK ALL/

91. Do you currently consider yourself to be:

1. MALE

2. FEMALE

9. REFUSED

TELNOSGT1

Rationale: Needed for weighting.

/ASK IF SAMPLE FILE TYPE EQ LANDLINE/

92. Now I’m going to ask you about how many different telephone numbers your household has. Do not include numbers that are only used by a computer or fax machine. Also, do not include cell phone telephone numbers. Do you have more than one landline telephone number in your household?

INTERVIEWER, READ ONLY IF NECESSARY: By landline telephone, we mean a “regular” telephone in your home that is connected to outside telephone lines through a cable or cord and is used for making or receiving calls. Please include landline phones used for both business and personal use.

NOTE: TELEPHONE SERVICE OVER THE INTERNET COUNTS AS LANDLINE SERVICE.

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


telnosres

Rationale: Needed for weighting.

/ASK IF Q92 TELNOSGT1 EQ 1/

/RANGE: 1-6,7, 8,9/

93. How many of these are residential numbers?

INTERVIEWER: enter 6 if number of residential telephone numbers is 6 or more.

_. Number of residential telephone numbers


8. NONE


7. DON’T KNOW/NOT SURE

9. REFUSED


cellpers

Rationale: for data weighting on the combined cell and landline data

/ASK IF SAMPLE FILE TYPE EQ LANDLINE/

94. Do you have a cell phone for personal use? Please include cell phones used for both business and personal use.

1. YES

2. NO


7. DON’T KNOW/NOT SURE

9. REFUSED


cellpctsh

Rationale: For data weighting purpose

/Asked of respondents who have a cell phone for personal use or share a cell phone for personal use (at least one-third of the time) with other adults/

/ASK IF Q94 CELLPERS EQ 1/

/RANGE: 0-100,777,999/

INTERVIEWER, READ ONLY IF NECESSARY: By landline telephone, we mean a “regular” telephone in your home that is connected to outside telephone lines through a cable or cord and is used for making or receiving calls. Please include landline phones used for both business and personal use.

NOTE: TELEPHONE SERVICE OVER THE INTERNET COUNTS AS LANDLINE SERVICE.

95. Thinking about all of the phone calls that you have received over the past 30 days on your landline and cell phone, what percent, between 0 and 100, are received on your cell phone?

_ _ _. percent of incoming phone calls received on cell phone


777. DON’T KNOW/NOT SURE

999. REFUSED


statefips

Rationale: Key covariate

/ASK ALL/

/RANGE: 1-56,77,99/

96. What state do you live in?

_ _. state fips code


77. DON’T KNOW/NOT SURE

99. REFUSED



State FIPS Codes for Q96 STATEFIPS:

01 Alabama

02 Alaska

04 Arizona

05 Arkansas

06 California

08 Colorado

09 Connecticut

10 Delaware

11 District of Columbia

12 Florida

13 Georgia

15 Hawaii

16 Idaho

17 Illinois

18 Indiana

19 Iowa

20 Kansas

21 Kentucky

22 Louisiana

23 Maine

24 Maryland

25 Massachusetts

26 Michigan

27 Minnesota

28 Mississippi

29 Missouri

30 Montana

31 Nebraska



32 Nevada

33 New Hampshire

34 New Jersey

35 New Mexico

36 New York

37 North Carolina

38 North Dakota

39 Ohio

40 Oklahoma

41 Oregon

42 Pennsylvania

44 Rhode Island

45 South Carolina

46 South Dakota

47 Tennessee

48 Texas

49 Utah

50 Vermont

51 Virginia

53 Washington

54 West Virginia

55 Wisconsin

56 Wyoming

77 DON’T KNOW

99 REFUSED


zipcode

Rationale: Key covariate

/ASK ALL/

97. What is your ZIP Code? [RANGE=00000-99999]

_____. zip code


99997. DON’T KNOW/NOT SURE

99999. REFUSED


Employ2

/ASK ALL/

98. Are you currently working for pay or are you self-employed, either part-time or full-time?

1. YES

2. NO


7. DON’T KNOW

9. REFUSED


HOUSingTYPE

Rationale: This question allows for the evaluation of Key Outcome Indicators 2.7.3 and 2.7.5. With the increasing number of restrictions on smoking in public areas, the home has become a larger source of secondhand smoke exposure for many individuals, particularly children. Individuals who live in multiunit housing are particularly susceptible to SHS incursions from nearby units and shared areas.

/ASK ALL/

99. In what type of living space do you currently reside?

INTERVIEWER: READ ONLY IF NECESSARY

1. A one-family house detached from any other house

2. A one-family house attached to one or more houses

3. A building with 2 apartments or living units

4. A building with 3 to 9 apartments or living units

5. A building with 10 to 49 apartments or living units

6. A building with 50 or more apartments or living units

7. A mobile home, boat, RV, or van

8. Some other type of living space

77. Don’t know

99. REFUSED






6


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Author21280
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