Appendix C. Item by Item Source Crosswalk for Survey

Appendix C. Item by Item Source Crosswalk for Survey.docx

Formative Data Collections for ACF Program Support

Appendix C. Item by Item Source Crosswalk for Survey

OMB: 0970-0531

Document [docx]
Download: docx | pdf

Appendix C: Item by Item Source Crosswalk


Table C1. Sources Used in Design

Acronym

Full Name of Source

Add Health

National Longitudinal Study of Adolescent to Adult Health

Behar, Chaves, Gattamorta

Behar-Zusman, V., Chavez, J.V. & Gattamorta, K. (In Preparation), Developing a Measure of the Impact of COVID-19 Social

Distancing on Household Conflict and Cohesion.

Huebner & Howell

Examining the Relationship Between Adolescent Sexual Risk-Taking and Perceptions of Monitoring, Communication, and Parenting Styles

MPC

Survey instrument used in the Federal Evaluation of Making Proud Choices!; Source: Available upon request from Mathematica

NHES

National Household Education Survey

NPR

Sex Education in America General Public/Parents Survey; National Public Radio/Kaiser Family Foundation/Kennedy School of Government

NSFG

National Survey of Family Growth

NSAP

National Survey of Adolescents and Parents

PPA

Survey instrument used in the Evaluation of Adolescent Pregnancy Prevention Approaches; Source: Available upon request from Mathematica

PREP

Survey instrument used in the Personal Responsibility Education Program Evaluation Performance Measures; Source: Available upon request from Mathematica

SexSmart

SexSmart Virginity and First Time Toplines, Kaiser Family Foundation

YRBS

Youth Risk Behaviors Survey, Center’s for Disease Control

YARH

Evaluation of Youth at Risk of Homelessness Evaluation (YARH); Source: Available upon request from Mathematica

Note: The survey instruments do not contain items from all sources reviewed during the design phase.



Table C2. Item by Item Source List

Item Number

Item Wording

Source

A1

Were you enrolled in high school during the 2020-2021 school year?

If you are homeschooled instead of attending a public or private school for some or all classes, please select “yes.”

New

A2

Did you receive a high school diploma or high school equivalency certificate (such as a GED or HiSET) prior to the 2020-2021 school year?

NSFG

A3

Is your school on summer break?

New

A4

What type of school [IF A3=0: are you currently enrolled in/ IF A3=1 were you enrolled in for most of the 2020-2021 school year]?

Please only select “homeschool” if that is the school you are normally enrolled in, regardless of the pandemic. This should not include taking classes remotely at home because of COVID 19.

NHES

A5

What grade [are you currently in/were you in during the 2020-2021 school year]?

If school is ungraded or homeschool, please provide the grade equivalent.

New

A6

Due to the COVID-19 pandemic, schools have operated differently during the 2020-2021 school year.

Please select all of the ways you [attended/have attended] school during the 2020-2021 school year.

New

A7

Which of the following best describes how you attended school for most of the school year?


New

B1a

Have you ever discussed the following with your parent(s)?

School work or grades

New

B1b

Have you ever discussed the following with your parent(s)?

Shows or videos you watched on TV or online

New

B1c

Have you ever discussed the following with your parent(s)?

Video games or games you play on your phone

New

B1d

Have you ever discussed the following with your parent(s)?

Your social media or internet use

New

B1e

Have you ever discussed the following with your parent(s)?

What you did with your friends

New

B1f

Have you ever discussed the following with your parent(s)?

Who you were dating

New

B1g

Have you ever discussed the following with your parent(s)?

Your education and career goals

New

B1h

Have you ever discussed the following with your parent(s)?

Resisting pressure and risks related to alcohol, tobacco, vaping products, and other drugs

New

B1i

Have you ever discussed the following with your parent(s)?

What makes a healthy relationship or marriage

New

B1j

Have you ever discussed the following with your parent(s)?

How to resist pressure to have sex as a teen

New

B1k

Have you ever discussed the following with your parent(s)?

Understanding reproduction, pregnancy, and birth

New

B1l

Have you ever discussed the following with your parent(s)?

How to get birth control such as condoms, pills, the patch, the shot, the ring, IUD, or an implant

New

B1m

Have you ever discussed the following with your parent(s)?

Sexually transmitted diseases (STDs) or infections (STIs)

New

B1n

Have you ever discussed the following with your parent(s)?

Reasons for waiting to have sex

New

B1o

Have you ever discussed the following with your parent(s)?

How to talk to your partner about whether to have sex

New

B1p

Have you ever discussed the following with your parent(s)?

Sexual violence, assault, stalking, and harassment

New

B1q

Have you ever discussed the following with your parent(s)?

How you are feeling

New

B1r

Have you ever discussed the following with your parent(s)?

COVID-19 safety precautions

New

B2

Since the COVID-19 pandemic, would you say that you discussed [FILL FOR EACH B1a-r=1; EXCLUDE B1s=1)] with your parent(s) or guardian(s)…

New

B3

Due to the COVID-19 pandemic, has your in-person communication with your parent(s) or guardian(s)…

New

B4

Compared to before the most restrictive phase of the COVID-19 pandemic, were there more conflicts between you and your parents about:

Behar, Chavez, Gattamorta

B5a

How often do your parents know where you are when you are away from home in your free time?

Huebner & Howell

B5b

How often do your parents know who you are with when you are away from home in your free time?

Huebner & Howell

B5c

How often do your parents know what you watch on television or online?

Huebner & Howell

B5d

How often do your parents know what you are posting on social media such as Instagram, Facebook, Twitter, Snapchat, or TikTok?

Huebner & Howell

B5e

How often do your parents know who you are messaging with on social media such as Instagram, Facebook, Twitter, Snapchat, or TikTok?

Huebner & Howell

B6

In general, how close do you feel to your parent(s)?

NSAP

B7

Compared to before the COVID-19 pandemic began, would you say you feel…

New

C1

Have you ever had a class or series of classes in middle school or high school that taught any of the following topics? Sometimes these classes are referred to as sex education.

New

C2

Now please think about the [current,] 2020-2021, school year.

Did you have any classes or series of classes that taught sex education during [this/the most recent] school year?

New

C3

Were the classes or series of classes that taught sex education during this school year the first time you have ever had any type of sex education?

New

C4

What other grades did you receive sex education in?

New

C5

Did your parents or guardians have to provide permission for you to participate in sex education this year?

New

C6

Who led or taught the sex education class or classes during this school year?

New

C7

How was your sex education class taught this year?

New

C8

Which of the following teaching methods were used in your sex education classes, sessions, or programs this year?

New

C9a

Did any of the sex education classes you took in school discuss the following topics?

Education about forms of birth control, such as condoms, birth control pills, the patch, the shot, the ring, IUD, or an implant

New

C9a

Did the sex education classes you had in school this year discuss the following topics?

Effectiveness of birth control for preventing pregnancy and HIV/AIDS and other STDs or STIs

New

C9b

Did the sex education classes you had in school this year discuss the following topics?

Where or how to get birth control

New

C9c

Did the sex education classes you had in school this year discuss the following topics?

How to use a condom

New

C9d

Did the sex education classes you had in school this year discuss the following topics?

How to use other methods of birth control

New

C9e

Did the sex education classes you had in school this year discuss the following topics?

Reproductive biology and anatomy (including information about sex organs and the menstrual cycle or period)

New

C9f

Did the sex education classes you had in school this year discuss the following topics?

How pregnancy occurs

New

C9g

Did the sex education classes you had in school this year discuss the following topics?

How to avoid getting HIV/AIDS and other STDs or STIs

New

C9h

Did the sex education classes you had in school this year discuss the following topics?

Developing healthy relationships (dating and marriage)

New

C9i

Did the sex education classes you had in school this year discuss the following topics?

Developing communication skills

New

C9j

Did the sex education classes you had in school this year discuss the following topics?

Waiting to have sex until marriage

New

C9k

Did the sex education classes you had in school this year discuss the following topics?

How to talk to your partner about sex and using birth control

New

C9l

Did the sex education classes you had in school this year discuss the following topics?

How to talk to your parents about sex

New

C9m

Did the sex education classes you had in school this year discuss the following topics?

How alcohol or drugs might affect decisions about having sex

New

C9n

Did the sex education classes you had in school this year discuss the following topics?

Setting goals and making plans for your future

New

C9o

Did the sex education classes you had in school this year discuss the following topics?

The importance of consent (both partners agreeing) before engaging in sex

New

C9p

Did the sex education classes you had in school this year discuss the following topics?

The laws regarding consent in my state

New

C9q

Did the sex education classes you had in school this year discuss the following topics?

Laws around sharing information online or through text messages

New

C9r

Did the sex education classes you had in school this year discuss the following topics?

Diverse gender identities and sexual orientations

New

C9s

Did the sex education classes you had in school this year discuss the following topics?

The risks of engaging in sexual activities online or virtually

New

C9t

Did the sex education classes you had in school this year discuss the following topics?

How COVID-19 has impacted romantic relationships

New

C9u

Did the sex education classes you had in school this year discuss the following topics?

Coping strategies for handling the stresses of the COVID-19 pandemic

New

C9v

Did any of the sex education classes you took in school discuss the following topics?

Another topic

New

C10

How much do you agree or disagree with the following statement?

The sex education I had this year made me more comfortable talking with my parents or another trusted adult about sex

New

C11

How much do you agree or disagree with the following statement?

The sex education I had this year prepared me to make healthy decisions about sex.

Sex Smart

C12

Overall, how satisfied were you with the sex education you received during this school year?

New

C13a

Even if you didn’t attend all of the sessions or classes in your sex education program, how often during your sex education class or classes [FILL A-E]…

did you feel interested in sessions and classes?

PREP Performance Measures

C13b

Even if you didn’t attend all of the sessions or classes in your sex education program, how often during your sex education class or classes [FILL A-E]…

did you feel the material presented was clear?

PREP Performance Measures

C13c

Even if you didn’t attend all of the sessions or classes in your sex education program, how often during your sex education class or classes [FILL A-E]…

did discussions or activities help you to learn program lessons?

PREP Performance Measures

C13d

Even if you didn’t attend all of the sessions or classes in your sex education program, how often during your sex education class or classes [FILL A-E]…

did you have a chance to ask questions about topics or issues that came up in the program?

PREP Performance Measures

C13e

Even if you didn’t attend all of the sessions or classes in your sex education program, how often during your sex education class or classes [FILL A-E]…

did you feel respected as a person?

PREP Performance Measures

C14

What could be improved about the sex education you received this year?

New

C15

Do you think the reason you did not receive sex education class or classes this past year was due to the COVID-19 pandemic? For example, if a health class or other elective where sex education topics are usually covered was not offered this year due to the pandemic.

New

C16a

What topics do you think will be the most important for people your age to learn about in sex education in the next year?

Effectiveness of birth control for preventing pregnancy and HIV/AIDS and other STDs or STIs

New

C16b

What topics do you think will be the most important for people your age to learn about in sex education in the next year?

Where or how to get birth control

New

C16c

What topics do you think will be the most important for people your age to learn about in sex education in the next year?

How to use a condom

New

C16d

What topics do you think will be the most important for people your age to learn about in sex education in the next year?

How to use other methods of birth control

New

C16e

What topics do you think will be the most important for people your age to learn about in sex education in the next year?

Reproductive biology and anatomy (including information about sex organs and the menstrual cycle or period)

New

C16f

What topics do you think will be the most important for people your age to learn about in sex education in the next year?

How pregnancy occurs

New

C16g

What topics do you think will be the most important for people your age to learn about in sex education in the next year?

How to avoid getting HIV/AIDS and other STDs or STIs

New

C16h

What topics do you think will be the most important for people your age to learn about in sex education in the next year?

Developing healthy relationships (dating and marriage)

New

C16i

What topics do you think will be the most important for people your age to learn about in sex education in the next year?

Developing communication skills

New

C16j

What topics do you think will be the most important for people your age to learn about in sex education in the next year?

Waiting to have sex until marriage

New

C16k

What topics do you think will be the most important for people your age to learn about in sex education in the next year?

How to talk to your partner about sex and using birth control

New

C16l

What topics do you think will be the most important for people your age to learn about in sex education in the next year?

How to talk to your parents about sex

New

C16m

What topics do you think will be the most important for people your age to learn about in sex education in the next year?

How alcohol or drugs might affect decisions about having sex

New

C16n

What topics do you think will be the most important for people your age to learn about in sex education in the next year?

Setting goals and making plans for your future

New

C16o

What topics do you think will be the most important for people your age to learn about in sex education in the next year?

The importance of consent (both partners agreeing) before engaging in sex

New

C16p

What topics do you think will be the most important for people your age to learn about in sex education in the next year?

The laws regarding consent in my state

New

C16q

What topics do you think will be the most important for people your age to learn about in sex education in the next year?

Laws around sharing information online or through text messages

New

C16r

What topics do you think will be the most important for people your age to learn about in sex education in the next year?

Diverse gender identities and sexual orientations

New

C16s

What topics do you think will be the most important for people your age to learn about in sex education in the next year?

The risks of engaging in sexual activities online or virtually

New

C16t

What topics do you think will be the most important for people your age to learn about in sex education in the next year?

How COVID-19 has impacted romantic relationships

New

C16u

What topics do you think will be the most important for people your age to learn about in sex education in the next year?

Coping strategies for handling the stresses of the COVID-19 pandemic

New

C16v

What topics do you think will be the most important for people your age to learn about in sex education in the next year?

Another topic

New

D1

Have you ever had sex? (this includes vaginal, oral, or anal sex)?

PPA

D2

For the first questions we want you to think about the time in your life prior to March 2020, over a year ago, before the pandemic began in the United States.

Did you ever have oral, vaginal or anal sex before March 2020?

New

D3

Now we want you to think about the time during the most restrictive phases of the COVID-19 pandemic between March 2020-March 2021, where things such as social distancing and quarantine were in effect.

Did you have oral sex, vaginal sex, or anal sex since between March 2020-March 2021?

New

D4

People have different reasons for not having sex. Which of the following is true for you?

New

D5a

How important to you [is/was] each of the following reasons for not having sex [during the most restrictive phase of the pandemic]?

My family’s values or religious beliefs

New

D5b

How important to you [is/was] each of the following reasons for not having sex [during the most restrictive phase of the pandemic]?

My own personal values or religious beliefs

SexSmart

D5c

How important to you [is/was] each of the following reasons for not having sex [during the most restrictive phase of the pandemic]?

Because I want to wait until I am in a long-term relationship

New

D5d

How important to you [is/was] each of the following reasons for not having sex [during the most restrictive phase of the pandemic]?

Because I want to wait until marriage

New

D5e

How important to you [is/was] each of the following reasons for not having sex [during the most restrictive phase of the pandemic]?

I don’t want to be judged negatively by my peers

SexSmart

D5f

How important to you [is/was] each of the following reasons for not having sex [during the most restrictive phase of the pandemic]?

I feel I am too young to have sex

SexSmart

D5g

How important to you [is/was] each of the following reasons for not having sex [during the most restrictive phase of the pandemic]?

I feel that sex gets in the way of achieving the goals I have for myself

New

D5h

How important to you [is/was] each of the following reasons for not having sex [during the most restrictive phase of the pandemic]?

I don’t want to get pregnant or get my partner pregnant

SexSmart

D5i

How important to you [is/was] each of the following reasons for not having sex [during the most restrictive phase of the pandemic]?

I don’t want to get a STD or STI

SexSmart

D5j

How important to you [is/was] each of the following reasons for not having sex [during the most restrictive phase of the pandemic]?

I’m in a relationship, but we are not ready

New

D5k

How important to you [is/was] each of the following reasons for not having sex [during the most restrictive phase of the pandemic]?

I haven’t found the right person

MPC

D5l

How important to you [is/was] each of the following reasons for not having sex [during the most restrictive phase of the pandemic]?

I didn’t like sex

New

D5m

How important to you [is/was] each of the following reasons for not having sex [during the most restrictive phase of the pandemic]?

I wish I had waited longer to have sex

New

D5n

How important to you [is/was] each of the following reasons for not having sex [during the most restrictive phase of the pandemic]?

I don’t want to get COVID-19

New

D5o

How important to you is each of the following reasons why you have not had sex in the last 6 months?

Other reason

New

D6

Is the reason you did not have the chance to have sex because of COVID-19 related restrictions such as quarantine or social distancing?

New

D7

During the most restrictive phases of the COVID-19 pandemic between March 2020-March 2021, how many sexual partners did you have?

New

D8

During the most restrictive phases of the COVID-19 pandemic between March 2020-March 2021, how often did you use a condom when you had sex?

New

D9

Below are some reasons people may not use condoms. What are the reasons that you or your partner did not use condoms when having sex during the most restrictive phases of the COVID-19 pandemic between March 2020-March 2021?

NSFG

D10

During the most restrictive phases of the COVID-19 pandemic between March 2020-March 2021, how often did you or your partner use birth control, not including condoms when you had sex?

New

D11

During the most restrictive phases of the COVID-19 pandemic between March 2020-March 2021, how easy or difficult has it been for you or your partner to access birth control, other than condoms?

New

D12

Now we want you to think about the past 3 months. In the past 3 months, that is since [MONTH YEAR 3 months ago] have you had sex? By sex we mean oral sex, vaginal sex, or anal sex.

PPA

D13

People have different reasons for not having sex. Which of the following is true for you

New

D14a

How important to you is each of the following reasons for not having sex in the past 3 months?

My family’s values or religious beliefs

New

D14b

How important to you is each of the following reasons for not having sex in the past 3 months?

My own personal values or religious beliefs

SexSmart

D14c

How important to you is each of the following reasons for not having sex in the past 3 months?

Because I want to wait until I am in a long-term relationship

New

D14d

How important to you is each of the following reasons for not having sex in the past 3 months?

Because I want to wait until marriage

New

D14e

How important to you is each of the following reasons for not having sex in the past 3 months?

I don’t want to be judged negatively by my peers

SexSmart

D14f

How important to you [is/was] each of the following reasons for not having sex [during the most restrictive phase of the pandemic]?

I feel I am too young to have sex

SexSmart

D14g

How important to you [is/was] each of the following reasons for not having sex [during the most restrictive phase of the pandemic]?

I feel that sex gets in the way of achieving the goals I have for myself

New

D14h

How important to you [is/was] each of the following reasons for not having sex [during the most restrictive phase of the pandemic]?

I don’t want to get pregnant or get my partner pregnant

SexSmart

D14i

How important to you [is/was] each of the following reasons for not having sex [during the most restrictive phase of the pandemic]?

I don’t want to get a STD or STI

SexSmart

D14j

How important to you [is/was] each of the following reasons for not having sex [during the most restrictive phase of the pandemic]?

I’m in a relationship, but we are not ready

New

D14k

How important to you [is/was] each of the following reasons for not having sex [during the most restrictive phase of the pandemic]?

I haven’t found the right person

MPC

D14l

How important to you [is/was] each of the following reasons for not having sex [during the most restrictive phase of the pandemic]?

I didn’t like sex

New

D14m

How important to you [is/was] each of the following reasons for not having sex [during the most restrictive phase of the pandemic]?

I wish I had waited longer to have sex

New

D14n

How important to you [is/was] each of the following reasons for not having sex [during the most restrictive phase of the pandemic]?

I don’t want to get COVID-19

New

D14o

How important to you is each of the following reasons why you have not had sex in the last 6 months?

Other reason

New

D15

In the past 3 months, how many sexual partners did you have?

MPC

D16

In the past 3 months, how often did you use a condom when you had sex?

MPC

D17

Below are some reasons people may not use condoms. What are the reasons that you or your partner did not use condoms when having sex during past 3 months?

New

D18

In the past 3 months, how often did you or your partner use birth control, not including condoms when you had sex?

MPC

D19

In the past 3 months, how easy or difficult has it been for you or your partner to access birth control, other than condoms?

New

D20

Since the COVID-19 pandemic began, have you sexted with someone?

MPC

D21

Since the COVID-19 pandemic began, would you say you have sexted…

New

D22

Since the COVID-19 pandemic began, have you watched pornographic videos?

New

D23

Since the COVID-19 pandemic began, would you say you have watched pornographic videos…

New

E1

How old are you?

YRBS

E2

Are you of Hispanic, Latinx, or Chicano origin?

New

E3

What is your race?

OMB

E4

What sex were you assigned at birth?

OMB

E5

Which of the following best describes how you think of yourself?

YAHR

E6

People are different in their sexual attraction to other people. Which best describes your feelings?

MPC

E7

In which state do you live?

New

Note: Most questions are adapted from the source.



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorJennifer Walzer
File Modified0000-00-00
File Created2022-05-04

© 2024 OMB.report | Privacy Policy