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[p. 168]

Section O. INJURY CONTROL AND CHILD SAFETY AND HEALTH

O1

Refer to household composition.

1 [] Children under 10 in family (1)
2 [] No children under 10 in family (O3)

Read to respondent:
These questions are about preventing injuries to children.


1a. Have you ever heard about POISON CONTROL CENTERS?

1 [] Yes
2 [] No (2)


b. Do you have the telephone number for a Poison Control Center in your area?

1 [] Yes
2 [] No
9 [] DK


2. There is a medication called IPECAC (ip' i kak) SYRUP which is sometimes taken to cause vomiting after something poisonous is swallowed. Do you now have an Ipecac Syrup in this household?

1 [] Yes
2 [] No
9 [] DK


O2
Refer to household composition.

1 [] Children under 5 in family (3)
2 [] No children under 5 in family (O3)


3. Have you heard of child safety seats, sometimes called car safety carriers, which are designed to carry children while they are riding in a car?

1 [] Yes
2 [] No (O3)


4. Did a doctor or other health professional EVER tell you about the importance of using car safety seats for (your) children?

1 [] Yes
2 [] No

O3
Refer to household composition

1 [] Children under 18 in family (O4)
2 [] No children under 18 in family (10)
O4
Enter person number and name of all children under 18; THEN mark box.

Person Number ____ First name ____

1 [] Under 5 (5)
2 [] 5-17 (7)

5. When -- was brought home from the hospital following birth, was [he/she] buckled in a car safety seat?

1 [] Yes
2 [] No
3 [] Not born in hospital
4 [] Didn't ride home in "car"
9 [] DK


6a. Does -- now have a car safety seat?

1 [] Yes
2 [] No (7)
9 [] DK (7)


b. When riding in a car, is -- buckled in a car safety seat all or most of the time, some of the time, once in awhile, or never?

1 [] All or most of the time (NP)
2 [] Some of the time (NP)
3 [] Once in awhile (NP)
4 [] Never (7)
9 [] DK (7)


7. When riding in a car, does -- wear a seat belt all or most of the time, some of the time, once in while, or never?

1 [] All or most of the time
2 [] Some of the time
3 [] Once in awhile
4 [] Never
5 [] Uses child safety seat
9 [] DK


O5
Refer to age.

1 [] Under 5 (8)
8 [] Other (O6)


Read to respondent:
(These questions are about breastfeeding.)

8. Was -- ever breastfed?

1 [] Yes
2 [] No (O6)
9 [] DK (O6)


9. How old was -- when [he/she] COMPLETELY stopped breastfeeding?

000 [] Still breastfed

______
Age
1 [] Days
2 [] Weeks
3 [] Months
4 [] Years


O6
Respondent [17]

1 [] Child's parent
8 [] Other

[p. 169]

Section O. INJURY CONTROL AND CHILD SAFETY AND HEALTH - Continued


10. When driving or riding in a car, do you wear a seat belt all or most of the time, some of the time, once in awhile, or never?

1 [] All or most of the time
2 [] Some of the time
3 [] Once in awhile
4 [] Never
5 [] Don't ride in car

Read to respondent:
The next questions are about this home.


11a. How many smoke detectors are installed in this home?

01 [] Only 1 (11c)

Number ____ (11b)

00 [] None (12)
99 [] DK (12)


b. How many of them are now working?

Number ____ (11d)
00 [] None (11f)

c. Is it now working?

1 [] Yes
2 [] No (11f)
9 [] DK (11f)


d. How do you know [it is/they are] working?

1 [] Tested it/them
1 [] It/they went off because of smoke
1 [] It/they went off while cooking
1 [] Changed the batteries
1 [] The light is on
1 [] Beeps when battery is low
1 [] Other (Specify) ____

e. Any other way?

[] Yes (reask 11d and e)
[] No


f. [Is it/Are any of the smoke detectors] next to a sleeping area?

1 [] Yes
2 [] No
9 [] DK


12a. Do you know about what the hot water temperature is in this home?

1 [] Yes
2 [] No (13)


b. About what temperature is the hot water?

Temperature ____
OR
1 [] High
2 [] Low
3 [] Medium


c. How did you estimate the hot water temperature?

1 [] The setting on hot water heater
2 [] Tested with thermometer
3 [] Guessed
8 [] Other (Specify) ____


13. In the past 12 months, have you (or has anyone in your household) used a thermometer to test the temperature of the hot water here?

1 [] Yes
2 [] No
3 [] DK


14. ABOVE what temperature will hot water cause scald injuries?

Temperature ____
999 [] DK