Proposed Changes - Year 5

NSFG OMB No. 0920-0314

National Survey of Family Growth (NSFG)

Nonsubstantive Change Request

Attachment 1: Summary of Proposed Changes for Year 5 (2026)

Below is a list of proposed survey changes for Year 5 implementation. They are arranged by sections in the female and male questionnaires, and they can be seen in full context in Attachments 2 and 3 (capilites). The proposed changes are motivated by the following goals:

• Reducing respondent burden as well as effort needed on the part of field interviewers

• Reducing overall sensitivity of the survey content

• Improving respondent comprehension of existing questions, in both web and in-person modes

• Expanding question universes when needed to enhance utility of the resulting data

Female Questionnaire, Section A

1. Delete AC-4 RACEBEST (question asking respondents who report more than 1 race to indicate which race best describes them)

2. Revise onscreen note for AG-10 FOSTEREV to improve clarity and remove comma splice - “Select “Yes” if someone from the state or from family services arranged for you to live there., it is considered foster care.”

Female Questionnaire, Section C

1. Replace longer series on formal sex education with 1 “select all that apply” question for the topics (CF-2 FORMSEXED).

Female Questionnaire, Section E

1. Expand universe for EA-13f EVCIUDEC to ask for all respondents who ever used an IUD since some hormonal IUDs are also used for emergency contraception. In current data collection, this question is only asked for respondents who reported using a copper IUD.

2. Revise data entry for monthly non-intercourse series (EC-8 MONSX) for in-person interviews to use a checkbox grid as already done in web surveys. This will replace a yes/no question for each month for efficiency in data entry.

3. Expand universe for over-the-counter pill use question (now ED-11 OTCPILL12) to ask all respondents who used the pill within past 12 months. In current data collection, this question is only asked of respondents who used the pill in the current or last month (EI-1a OTCPILL).

Female Questionnaire, Section H

1. Delete HE-11 TALKDOCT and HE-12 AIDSTALK (questions about talking to a doctor about HIV/AIDS topics)

2. Add onscreen note for HG-2 HIGHBP - “If you take medication to control your hypertension, please answer yes”

3. Delete HG-4 BPMON and HG-5 BPMONFRQ (questions on home monioring of blood pressure)

Female Questionnaire, Section I

1. Delete the onscreen note and modify the response categories for IA-1 USUALCAR to read “Yes, there is ONE or MORE THAN ONE place” and “No, there is NO place”.

Female Questionnaire, Section J

1. Delete JB-4 GRADSUSP (question about grade of any school suspension)

2. Revise response category for JC-4 DRINK12 and JC-5 BINGE12 to be more consistent with other items in the series.

3. Delete JC-7 COC12 through JC-10 INJECT12 (questions about illicit drug use)

4. Delete JF-5 NNONMONOG through JF-9 HIVMAL12 (questions about specific HIV/STI risk behaviors with male partners)

5. Delete JH-1a DATEAPP (question about using apps to find sexual partners)

6. Delete JH-3c RISKCHEK1 through JH-3f RISKCHEK4 (questions about provider interactions on sexual health topics)

7. Delete JH-14 EVRINJECT and JH-15 EVRSHARE (questions about illicit drug use)

8. Delete JI-13 COVIDVAX through JI-15 HADCOVID (questions about Covid-related experience)

Male Questionnaire, Section A

1. Delete AC-4 RACEBEST (question asking respondents who report more than 1 race to indicate which race best describes them)

2. Revise onscreen note for AF-10 FOSTEREV to improve clarity and remove comma splice - “Select “Yes” if someone from the state or from family services arranged for you to live there., it is considered foster care.”

Male Questionnaire, Section B

1. Replace longer series on formal sex education with 1 “select all that apply” question for the topics (BA-5 FORMSEXED).

Male Questionnaire, Section I

1. Delete the onscreen note and modify the response categories for IA-1 USUALCAR to read “Yes, there is ONE or MORE THAN ONE place” and “No, there is NO place”.

2. Add onscreen note for ID-15 HIGHBP - “If you take medication to control your hypertension, please answer yes”

3. Delete ID-17 BPMON and ID-18 BPMONFRQ (questions on home monitoring of blood pressure)

4. Revise wording of IE-5 INFRTHIS for clarity

5. Delete IF-9 TALKDOCT and IF-10 AIDSTALK (questions about talking to a doctor about HIV/AIDS topics)

Male Questionnaire, Section K

1. Delete KB-2 JAILED through KB-5 FRQJAIL2 (questions about jail/prison experience)

2. Delete KB-7 GRADSUSP (question about grade of any school suspension)

3. Revise response category for KC-4 DRINK12 and KC-5 BINGE12 to be more consistent with other items in the series.

4. Delete KC-7 COC12 through KC-10 INJECT12 (questions about illicit drug use)

5. Delete asking KG-5 NNONMONOG through KG-9 HIVFEM12 (questions about specific HIV/STI risk behaviors with female partners)

6. Delete KJ-4 MSMNONMON through KJ-11 MSMSORT12 (questions about specific HIV/STI risk behaviors with male partners)

7. Delete KK-3a DATEAPP (question about using apps to find sexual partners)

8. Delete KK-6c RISKCHEK1 through KK-6f RISKCHEK4 (questions about provider interactions on sexual health topics)

9. Delete KK-6g RECTDOUCH (question asking respondents who have had sex with men about rectal douching)

10. Delete KK-14 EVRINJECT and KK-15 EVRSHARE (questions about illicit drug use)

11. Delete KL-13 COVIDVAX through KL-15 HADCOVID (questions about Covid-related experience)

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