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[p. 165]

Section M. PREGNANCY AND SMOKING

M1
Refer to age and sex on Household Composition Page.

[] Females 18-44 in family (Enter person number and name of all females 18-44; THEN 1)
[] 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?

[] Yes
[] No (2)
[] DK (2)

b. Who is this? Mark box in person's column.

1 [] Yes, pregnant now
9 [] DK

c. Anyone else?

[] Yes (Reask 1b and c)
[] No


2a. Have any of these women given birth to a live born infant in the past 5 years?

[] Yes
[] No (M2)
[] DK (M2)

b. Who is this? ____
Mark box in person's column.

1 [] Yes, child past 5 years
9 [] DK

c. Anyone else?

[] Yes (Reask 2b and c)
[] No

M2
Mark first appropriate box.

[] 1b and 2b blank for all persons (Section N)
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?

Month ____
Year 19 _ _


4. Have you smoked at least 100 cigarettes in your entire life?

1 [] Yes (Mark "Smoking asked" box, THEN 5)
2 [] No (Mark "Smoking asked" box, THEN NP)


5a. Do you smoke cigarette now?

1 [] Yes (6)
2 [] No


b. About how long has it been since you last smoked cigarettes fairly regularly?

______
Number
1 [] Days (M3)
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? ____

00 [] Less than 1 per day

M3
Mark appropriate box.

1 [] "Yes" in 1b and "Yes" in 5a (8)
2 [] "Yes" in 1b and "No" in 5a (7)
8 [] Other (M4)

7. Have you smoked cigarettes at any time during this pregnancy?

1 [] Yes
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? ____

98 [] Did not smoke regularly


9. On the average, about how many cigarettes a day did you smoke AFTER you found out you were pregnant this time? ____

98 [] Did not smoke regularly

M4
Mark appropriate box.

1 [] "Yes" in 2b (10)
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)?

1 [] Yes
2 [] No (14)


11. On the average, about how many cigarettes a day did you smoke BEFORE you found out you were pregnant? ____

98 [] Did not smoke regularly


12. On the average, about how many cigarettes a day did you smoke AFTER you found out you were pregnant? ____

98 [] Did not smoke regularly
00 [] None (14)


13. In general, would you say that you smoked cigarettes during MOST of that pregnancy?

1 [] Yes
2 [] No
8 [] Other (Specify) ____


14. Did a doctor EVER advise you to quit or cut down on smoking?

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