[p. 165]
Section M. PREGNANCY AND SMOKING
M1
Refer to age and sex on Household Composition Page.
[] No females 18-44 in family (Section N)
Person number ____
First name ____
Read to respondent:
These next few questions refer to smoking and pregnancy and are asked of women aged 18-44. In this family the questions refer to (read names).
1a. Are any of these women now pregnant?
[] No (2)
[] DK (2)
b. Who is this? Mark box in person's column.
9 [] DK
c. Anyone else?
[] No
2a. Have any of these women given birth to a live born infant in the past 5 years?
[] No (M2)
[] DK (M2)
b. Who is this? ____
Mark box in person's column.
9 [] DK
c. Anyone else?
[] No
M2
Mark first appropriate box.
1 [] Available, "Yes" in 2b (3)
2 [] Available, "Yes" in 1b (4)
3 [] Callback required (NP)
4 [] Noninterview (Cover page, THEN NP)
8 [] Other (NP)
3. In what month and year was your last child born?
Year 19 _ _
4. Have you smoked at least 100 cigarettes in your entire life?
2 [] No (Mark "Smoking asked" box, THEN NP)
5a. Do you smoke cigarette now?
2 [] No
b. About how long has it been since you last smoked cigarettes fairly regularly?
Number
2 [] Weeks (M3)
3 [] Months (M3)
4 [] Years (M3)
998 [] Never smoked regularly (M3)
6. On the average, about how many cigarettes a day do you now smoke? ____
M3
Mark appropriate box.
2 [] "Yes" in 1b and "No" in 5a (7)
8 [] Other (M4)
7. Have you smoked cigarettes at any time during this pregnancy?
2 [] No (M4)
8. On the average, about how many cigarettes a day did you smoke BEFORE you found out you were pregnant this time? ____
9. On the average, about how many cigarettes a day did you smoke AFTER you found out you were pregnant this time? ____
M4
Mark appropriate box.
8 [] Other (14)
10. Did you smoke cigarettes at all during the 12 months before your last child was born in (month and year in 3)?
2 [] No (14)
11. On the average, about how many cigarettes a day did you smoke BEFORE you found out you were pregnant? ____
12. On the average, about how many cigarettes a day did you smoke AFTER you found out you were pregnant? ____
00 [] None (14)
13. In general, would you say that you smoked cigarettes during MOST of that pregnancy?
2 [] No
8 [] Other (Specify) ____
14. Did a doctor EVER advise you to quit or cut down on smoking?
2 [] No
9 [] DK