[p.131]
Introduction: These next questions are to determine what people know about AIDS, also called Acquired Immunodeficiency Syndrome.
1a. When was the last time you saw, heard or read something about AIDS?
______
number
003[] Weeks ago (2)
004[] Months ago (2)
005[] Years ago (2)
000[] Never (1b)
999[] DK when or DK disease (1b)
1b. Have you ever heard of AIDS?
2[] No (Skip to Item 28, page 9)
9[] DK (Skip to Item 28, page 9)
2.Compared to most people, how much would you say you know about AIDS...would you say a lot, some, a little, or nothing?
2[] Some
3[] A little
4[] Nothing
HAND CARD A
(card A not found)
3. After I read each statement, tell me whether you think the statement is definitely true, probably true, probably false, definitely false or you don't know if it is true or false.
2[] Prob. true
3[] Prob. false
4[] Def. false
9[] Don't know.
2[] Prob. true
3[] Prob. false
4[] Def. false
9[] Don't know.
2[] Prob. true
3[] Prob. false
4[] Def. false
9[] Don't know.
2[] Prob. true
3[] Prob. false
4[] Def. false
9[] Don't know.
2[] Prob. true
3[] Prob. false
4[] Def. false
9[] Don't know.
2[] Prob. true
3[] Prob. false
4[] Def. false
9[] Don't know.
[p.132]
4a. Where do you get most of your information about AIDS? Any other sources? (Mark all mentioned)
1[] Television
1[] Newspaper
1[] Brochures/Fliers/Pamphlets
1[] Clergy/church
1[] Doctor/HMO
1[] Company or industry Clinic
1[] Hospital/Emergency Room/OP clinic
1[] Other clinic
1[] Magazines
1[] Medical journals
1[] Library
1[] AIDS Hot line
1[] Public Health Dept (Local/State)
1[] Red cross/Blood Bank
1[] Radio
1[] Relatives
1[] Friends
1[] School (Class/Clinic)
1[] Other sources (SPECIFY) _______________________________
1[] Don't know
If only one source or DK in 4a, mark box without asking and skip to 5a; otherwise ask:
4b. Of the sources you just told me, from which ONE do you get the MOST information?
1[] Television
1[] Newspaper
1[] Brochures/Fliers/Pamphlets
1[] Clergy/church
1[] Doctor/HMO
1[] Company or industry Clinic
1[] Hospital/Emergency Room/OP clinic
1[] Other clinic
1[] Magazines
1[] Medical journals
1[] Library
1[] AIDS Hot line
1[] Public Health Dept (Local/State)
1[] Red cross/Blood Bank
1[] Radio
1[] Relatives
1[] Friends
1[] School (Class/Clinic)
1[] Other sources (SPECIFY) _______________________________
1[] Don't know
[p.133]
5a. If you wanted more specific information about AIDS, where would you get it? Any other sources? (Mark all mentioned)
1[] Television
1[] Newspaper
1[] Brochures/Fliers/Pamphlets
1[] Clergy/church
1[] Doctor/HMO
1[] Company or industry Clinic
1[] Hospital/Emergency Room/OP clinic
1[] Other clinic
1[] Magazines
1[] Medical journals
1[] Library
1[] AIDS Hot line
1[] Public Health Dept (Local/State)
1[] Red cross/Blood Bank
1[] Radio
1[] Relatives
1[] Friends
1[] School (Class/Clinic)
1[] Other sources (SPECIFY) _______________________________
1[] Don't know
If only one place or DK in 5a, mark box without asking and skip to 6; otherwise ask:
5b. Which ONE source would you MOST likely use?
1[] Television
1[] Newspaper
1[] Brochures/Fliers/Pamphlets
1[] Clergy/church
1[] Doctor/HMO
1[] Company or industry Clinic
1[] Hospital/Emergency Room/OP clinic
1[] Other clinic
1[] Magazines
1[] Medical journals
1[] Library
1[] AIDS Hot line
1[] Public Health Dept (Local/State)
1[] Red cross/Blood Bank
1[] Radio
1[] Relatives
1[] Friends
1[] School (Class/Clinic)
1[] Other sources (SPECIFY) _______________________________
1[] Don't know
[p.134]
HAND CARD A
(card A not found)
6. After I read each statement, tell me whether you think the statement is definitely true, probably true, probably false, definitely false, or you don't know if it is true or false.
2[] Prob. true
3[] Prob. false
4[] Def. false
9[] Don't know
2[] Prob. true
3[] Prob. false
4[] Def. false
9[] Don't know.
2[] Prob. true
3[] Prob. false
4[] Def. false
9[] Don't know.
2[] Prob. true
3[] Prob. false
4[] Def. false
9[] Don't know.
2[] Prob. true
3[] Prob. false
4[] Def. false
9[] Don't know.
2[] Prob. true
3[] Prob. false
4[] Def. false
9[] Don't know.
HAND CARD B
(card B not found)
7. After I read each statement, tell me if you think it is very likely, somewhat likely, somewhat unlikely, very unlikely, definitely not possible or if you don't know how likely it is that a person will get AIDS or the AIDS virus infection that way.
How likely do you think it is that a person will get AIDS or the AIDS virus infection from...
2[] Somewhat likely
3[] Somewhat unlikely
4[] Very unlikely
5[] Not poss.
9[] DK
2[] Somewhat likely
3[] Somewhat unlikely
4[] Very unlikely
5[] Not poss.
9[] DK
2[] Somewhat likely
3[] Somewhat unlikely
4[] Very unlikely
5[] Not poss.
9[] DK
2[] Somewhat likely
3[] Somewhat unlikely
4[] Very unlikely
5[] Not poss.
9[] DK
[p.135]
How likely do you think it is that a person will get AIDS from....
2[] Somewhat likely
3[] Somewhat unlikely
4[] Very unlikely
5[] Not poss.
9[] DK
2[] Somewhat likely
3[] Somewhat unlikely
4[] Very unlikely
5[] Not poss.
9[] DK
2[] Somewhat likely
3[] Somewhat unlikely
4[] Very unlikely
5[] Not poss.
9[] DK
2[] Somewhat likely
3[] Somewhat unlikely
4[] Very unlikely
5[] Not poss.
9[] DK
2[] Somewhat likely
3[] Somewhat unlikely
4[] Very unlikely
5[] Not poss.
9[] DK
2[] Somewhat likely
3[] Somewhat unlikely
4[] Very unlikely
5[] Not poss.
9[] DK
2[] Somewhat likely
3[] Somewhat unlikely
4[] Very unlikely
5[] Not poss.
9[] DK
2[] Somewhat likely
3[] Somewhat unlikely
4[] Very unlikely
5[] Not poss.
9[] DK
2[] Somewhat likely
3[] Somewhat unlikely
4[] Very unlikely
5[] Not poss.
9[] DK
2[] Somewhat likely
3[] Somewhat unlikely
4[] Very unlikely
5[] Not poss.
9[] DK
2[] Somewhat likely
3[] Somewhat unlikely
4[] Very unlikely
5[] Not poss.
9[] DK
2[] Somewhat likely
3[] Somewhat unlikely
4[] Very unlikely
5[] Not poss.
9[] DK
8. Have you ever heard of a blood test for infection with the AIDS virus?
2[] No (15)
9[] Don't know (15)
9. Does this blood test tell whether a person has the disease AIDS?
2[] No
9[] Don't know
10. If someone has a positive blood test for infection with the AIDS virus, does this mean that they can give someone else the AIDS virus through sexual intercourse?
2[] No
9[] Don't know
[p.136]
11. Have you had your blood tested for infection with the AIDS virus?
2[] Yes, in blood donation/transfusion (15)
3[] No (15)
9[] Don't know (12)
12a. Have you thought about having this blood test?
2[] No (15)
12b. Do you plan to be tested in the next 12 months?
2[] No
9[] DK
13. (If you were to be tested) Where would you go to have a blood test for the AIDS virus infection? (MARK FIRST PLACE MENTIONED)
01[] AIDS clinic (15)
02[] Company or industry clinic (15)
03[] Doctor/HMO (15)
04[] Hospital/emergency room/OP clinic (15)
05[] Other clinic (15)
06[] Public health Dept (15)
07[] Red cross/blood bank (15)
88[] Other (specify) _______________ (15)
99[] Don't know (14)
14. Where would you go to find out where to have this blood test? Anywhere else? (MARK ALL MENTIONED)
1[] AIDS hot line
1[] AIDS clinic
1[] Clergy/church
1[] Doctor/HMO
1[] Friends
1[] Hospital/emergency room/OP clinic
1[] Public Health Dept
1[] Red cross/blood bank
1[] Relatives
1[] Other (specify) ________________
1[] Don't know
[p. 137]
15. Have you donated blood since January 1985?
2[] No
9[] Don't know
16.Have you ever personally known anyone who had the blood test for the AIDS virus infection?
2[] No
9[] Don't know
17. What are the chances of someone you know getting the AIDS virus, would you say high, medium, low or none?
2[] Medium
3[] Low
4[] None
7[] Refused
9[] Don't know
18. What are your chances of getting the AIDS virus, would you say high, medium, low or none?
2[] Medium
3[] Low
4[] None
7[] Refused
9[] Don't know
19. Here are methods some people use to prevent getting the AIDS virus through sexual activity.
After I read each one, tell me whether you think it is very effective, somewhat effective, not at all effective or if you don't know how effective it is in preventing getting the AIDS virus through sexual activity. How effective is...
2[] Somewhat effective
3[] Not at all
4[] Don't know how effective
9[] Don't know method
2[] Somewhat effective
3[] Not at all
4[] Don't know how effective
9[] Don't know method
2[] Somewhat effective
3[] Not at all
4[] Don't know how effective
9[] Don't know method
2[] Somewhat effective
3[] Not at all
4[] Don't know how effective
9[] Don't know method
2[] Somewhat effective
3[] Not at all
4[] Don't know how effective
9[] Don't know method
[p.138]
20. Have you ever discussed AIDS with a friend or relative?
2[] No (22)
9[] Don't know (22)
21. When was the last time you discussed AIDS with a friend or relative?
number
003[] Weeks ago
004[] Months ago
005[] Years ago
22. Do you have any children aged 10 through 17?
2[] No (26)
23. How many do you have? ________________
24. Have you ever discussed AIDS with [your child/any of these children]?
2[] No
25. [Has your child/Have your children] had instruction at school about AIDS?
2[] No
9[] Don't know
26. Have you ever personally known anyone with the AIDS virus?
2[] No
9[] Don't know if someone had/has AIDS virus
27. Have you ever personally known anyone with AIDS?
2[] No
9[] Don't know if someone had/has AIDS
28. The U.S Public Health Service has said that AIDS is one of the major health problems in the country but exactly how many people it affects is not known. The Surgeon General has proposed that a study be conducted and blood samples be taken to help find out how widespread the problem is.
If you were selected in this national sample of people to have their blood tested with assurances of privacy of test results, would you have the test?
2[] No (END INTERVIEW)
8[] Other response (Specify) ____________
9[] Don't know (END INTERVIEW)
29. Would you want to know the results of the blood test?
2[] No
9[] Don't know