[p.270]
Section V - AIDS Knowledge and Attitudes
ITEM V1
Refer to sample person selection label.
[] Y (End interview)
Adult SP status.
Begin here on Section V callbacks.
[] Callback required (Item 18 on household page of HIS-1)
[] Noninterview (Response status on Back Cover)
These next questions are asked to determine what people know about the disease AIDS.
1. How much would you ay you know about AIDS -- a lot, some, a little, or nothing?
2[] Some
3[] A little
4[] Nothing
2. In the past month, have you -
a. seen any Public Service Announcements about AIDS on television?
2[] No
9[] DK
b. heard any Public Service Announcements about AIDS on the radio?
2[] No
9[] DK
c. received any brochures about AIDS from your workplace?
Mark (X) only one.
2[] No
3[] Not currently working
4[] Self employed
9[] DK
d. received any brochures about AIDS from a church or religious organization?
2[] No
9[] DK
e. received any information about AIDS from the American Red Cross?
2[] No
9[] DK
3. DO YOU THINK that doctors, nurses, dentists and other health care workers should be allowed to refuse to care to a person who has the AIDS virus?
Mark (X) only one.
2[] No
3[] It depends - Specify
_______
9[] DK
4. I'm going to read some statements about AIDS. After I read each one, tell me whether you think it is true or false or if you don't know.
a. The AIDS virus can be passed through sexual intercourse between a man and a woman.
2[] False
9[] Don't know
b. A man with the AIDS virus can pass it on to another man through sexual intercourse.
2[] False
9[] Don't know
c. A pregnant woman who has the AIDS virus can give it to her baby.
2[] False
9[] Don't know
d. There is a vaccine available to the public that protects a person from getting the AIDS virus.
2[] False
9[] Don't know
e. A person who has the AIDS virus can look well and healthy.
2[] False
9[] Don't know
f. Oil-based lubricants, like vaseline, cause latex condoms to break.
2[] False
9[] Don't know
Section V - AIDS Knowledge and Attitudes - Continued
Hand card A1. Read introduction if telephone interview.
CARD A1
2. Somewhat likely
3. Somewhat unlikely
4. Very unlikely
5. Definitely not possible
5. (For the next statements, 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 the AIDS virus infection that way.)
(Now look at Card A1.) In general, how likely do you think it is that a person will get AIDS or the AIDS virus from -
a. using public toilets?
2[] Somewhat likely
3[] Somewhat unlikely
4[] Very unlikely
5[] Definitely not possible
9[] Don't know
b. working near or with someone who has the AIDS virus?
2[] Somewhat likely
3[] Somewhat unlikely
4[] Very unlikely
5[] Definitely not possible
9[] Don't know
c. sharing plates, forks, or glasses with someone who has the AIDS virus?
2[] Somewhat likely
3[] Somewhat unlikely
4[] Very unlikely
5[] Definitely not possible
9[] Don't know
d. sharing needles for drug use with someone who has the AIDS virus?
2[] Somewhat likely
3[] Somewhat unlikely
4[] Very unlikely
5[] Definitely not possible
9[] Don't know
e. being coughed or sneezed on by someone who has the AIDS virus?
2[] Somewhat likely
3[] Somewhat unlikely
4[] Very unlikely
5[] Definitely not possible
9[] Don't know
f. attending school with a child who has the AIDS virus?
2[] Somewhat likely
3[] Somewhat unlikely
4[] Very unlikely
5[] Definitely not possible
9[] Don't know
(Emily's note: The options "definitely not possible" and "don't know" listed on CARD A1 and in the Introduction of question 5 are blacked out in the survey document. I have recreated the table to reflect the 1995 data dictionary and the question)
6. How effective do you think the proper use of a condom is to prevent getting the AIDS virus through sexual activity? Would you say very effective, somewhat effective, not at all effective, or you don't know how effective it is?
Mark (X) only one.
2[] Somewhat effective
3[] Not at all effective
4[] Don't know how effective
9[] Don't know method
7. Do you have any children aged 10 through 17?
2[] No (10)
8. Have you ever discussed AIDS with any of these children aged 10 through 17?
2[] No
9. Have any of these children aged 10 through 17 had instruction at school about AIDS?
2[] No
9[] DK
10a. Do you feel that information about AIDS should be taught in school?
2[] No (11)
9[] DK (11)
b. At what grade in school should AIDS education start?
Probe for exact grade if necessary
Mark (X) only one.
Grade
01[] 1
02[] 2
03[] 3
04[] 4
05[] 5
06[] 6
07[] 7
08[] 8
09[] 9
10[] 10
11[] 11
12[] 12
97[] Refused
99[] DK
[p.272]
Section V - AIDS Knowledge and Attitudes - Continued
11a. In the past 12 months, has your workplace offered an organized AIDS education program to its employees? Do not include merely distributing brochures as an organized education program.
Mark (X) only one.
2[] No
3[] Not currently employed
4[] Self employed
7[] Refused
9[] DK
Hand card A2. Read categories if telephone interview.
CARD A2
2. A family planning clinic or STD clinic
3. A hospital, HMO clinic or other health facility
4. A school
5. A social or civic club
6. Your workplace
7. Some other place (Specify)
8. Attended no programs
b. In the past 12 months, have you attended an organized AIDS education program at any of these places?
If "Yes," ask: Which?
Mark (X) all that apply.
2[] A family planning clinic or STD clinic
3[] A hospital, HMO clinic or other health facility
4[] A school
5[] A social or civic club
6[] Your workplace
7[] Some other place - Specify
_____
8[] Attended no programs
9[] DK
Now, I am going to ask some questions about giving blood donations to a blood bank, such as the American Red Cross. But this does NOT include blood drawn at a doctor's office for laboratory analysis.
12. Have you ever given a blood donation?
2[] No (13c)
9[] DK (13c)
13a. Have you given blood since March 1985?
2[] No (13c)
9[] DK (13c)
b. In what month and year did you last give blood?
Month Year
c. Do you expect to donate blood in the next 12 months?
2[] No
9[] DK
14. In general, while GIVING A BLOOD DONATION to a blood bank, how likely is it that a person will get the AIDS virus?
Hand card A1. Read categories if telephone interview.
CARD A1
2. Somewhat likely
3. Somewhat unlikely
4. Very unlikely
5. Definitely not possible
Mark (X) only one.
2[] Somewhat likely
3[] Somewhat unlikely
4[] Very unlikely
5[] Definitely not possible
9[] DK
The next questions are about the blood test for the AIDS virus infection. No questions will ask what the results are of any tests you may have had.
15a. (Except for tests you may have had as part of blood donations,) Have you ever had your blood tested for the AIDS virus infection?
2[] No (15b)
9[] DK (26 on page 63)
b. Is there any particular reason why you have not been tested?
If "Yes" ask: What is the reason?
Any other?
Do not read list.
Mark (X) all that apply.
02[] Don't consider myself at risk of AIDS (26 on page 63)
03[] Doctor/HMO did not recommend it (26 on page 63)
04[] Don't believe test results are accurate (26 on page 63)
05[] Don't believe anything can be done if I am positive (26 on page 63)
06[] Don't like needles (26 on page 63)
07[] Don't trust results to be confidential (26 on page 63)
08[] Afraid of losing job, insurance, housing, friends, family if people knew I was positive for AIDS infection (26 on page 63)
09[] Other - Specify (26 on page 63)
_____
99[] DK (26 on page 63)
[p.273]
Section V - AIDS Knowledge and Attitudes - Continued
16a. How many times have you had your blood tested for the AIDS virus (not including blood donations)?
_______ Times (16c)
(Number)
99[] DK (16c)
b. Was it in the past 12 months?
2[] No (17)
9[] DK (17)
c. In the past 12 months, how many times have you had your blood tested for the AIDS virus infection (NOT including blood donations)?
________ Times in past 12 months
(Number)
99[] DK
17. In what month and year was your (last) blood test for the AIDS virus infection?
Month Year
18. Which of these would you say were the reasons for your (last) AIDS blood test (NOT including blood donations)? (Just tell me the number of your answers.)
Hand card A3. Read categories if telephone interview.
CARD A3
2. Because a doctor asked you to
3. Because the Health Department asked you to
4. Because a sex partner asked you to
5. For hospitalization or a surgical procedure
6. To apply for health or life insurance
7. To comply with guidelines for health workers
8. To apply for a new job
9. For military induction, separation or during military service
10. For immigration
11. For some other reason - (Please specify)
(Anything else?)
Mark (X) all that apply.
02[] Because a doctor asked you to
03[] Because the Health Department asked you to
04[] Because a sex partner asked you to
05[] For hospitalization or a surgical procedure
06[] To apply for health or life insurance
07[] To comply with guidelines for health workers
08[] To apply for a new job
09[] For military induction, separation or during military service
10[] For immigration
11[] For some other reason - Specify
______
97[] Refused
98[] DK
19. (Not including a blood donation) Where did you have your (last) blood test for the AIDS virus?
Mark (X) only one.
If "Clinic", Probe: What kind of clinic is that?
02[] Community health clinic (20)
03[] Clinic run by employer (20)
04[] STD clinic (20)
05[] Family planning/prenatal clinic (20)
06[] Other clinic (20)
07[] Doctor/HMO (22)
08[] Hospital/emergency room/outpatient clinic (22)
09[] Military induction, separation or military service site (22)
10[] Immigration site (22)
11[] At home/home visit by nurse/health worker (22)
12[] At home -- self testing kit (22)
13[] Other location -- Specify (20)
______
97[] Refused (20)
99[] DK (20)
20. When your blood was (last) tested for the AIDS virus, were you REQUIRED to give your name?
2[] No
7[] Refused
21. (Again not including blood donations,) AT THE TIME they drew blood for your (last) test for the AIDS virus, did a health professional talk to you about the transmission, prevention or treatment of AIDS or about the meaning of the test?
2[] No
9[] DK
22. Did you get the results of your (last) blood test?
2[] No (26 on page 63)
3[] Only notified if there was a problem (26 on page 63)
9[] DK (26 on page 63)
[p.274]
Section V - AIDS Knowledge and Attitudes - Continued
23. How long did you wait to get the results?
(Number)
2[] Weeks
3[] Months
999[] DK
24a. Did a health professional talk with you about AIDS when you were GIVEN THE RESULTS of your (last) test?
2[] No (25)
9[] DK (25)
b. What kind of topics were covered in the discussion of AIDS? (Just tell me the number of your answers)
Hand card A4. Read categories if telephone interview.
CARD A4
2. How to prevent transmission
3. The correct use of condoms
4. Needle cleaning / using clean needles
5. Dangers of needle sharing
6. Abstinence from sex
7. Contraception
8. Safe sex practices
9. Other (Please specify)
(Anything else?)
Mark (X) all that apply.
02[] How to prevent transmission
03[] The correct use of condoms
04[] Needle cleaning/using clean needles
05[] Dangers of needle sharing
06[] Abstinence from sex
07[] Contraception
08[] Safe sex practices
09[] Other - Specify
________
99[] DK/Don't remember
c. Did you ask questions about the information provided?
2[] No
9[] DK/Don't remember
d. Were you given any information that you did NOT understand?
2[] No
9[] DK/ Don't remember
25. Were the results given to you in person, by telephone, by mail or in some other way?
Mark (X) only one.
If more than one given, mark lowest numbered response.
2[] By telephone
3[] By mail
4[] In some other way
9[] DK/Don't remember
26. Do you expect to have [a/another] blood test for the AIDS virus infection in the next 12 months, not including through blood donation?
2[] No (29 on page 64)
9[] DK (29 on page 64)
27. (I'm going to read some reasons people might have the blood test for the AIDS virus infection.)
Hand card A5. Read intro and categories if telephone interview.
CARD A5
2. Because it will be part of hospitalization or surgery you expect to have
3. Because you expect to apply for health or life insurance
4. Because you expect to apply for a job
5. Because you expect to join the military
6. Because of guidelines for health care workers
7. Because it will be a required part of some other activity that includes automatic AIDS testing
8. Because it is required in your non-health care employment
9. Because you plan to have / begin a sexual relationship
10. For some other reason (Please specify)
Tell me which of these statements explain WHY YOU expect to have the blood test in the next 12 months. (Just tell me the number of your answers).
(Anything else?)
Mark (X) all that apply.
02[] Because it will be part of hospitalization or surgery you expect to have
03[] Because you expect to apply for health or life insurance
04[] Because you expect to apply for a job
05[] Because you expect to join the military
06[] Because of guidelines for health care workers
07[] Because it will be a required part of some other activity that includes automatic AIDS testing
08[] Because it is required in your non-health care employment
09[] Because you plan to have/begin a sexual relationship
10[] For some other reason - Specify
______
99[] DK/Refused
28. Where will you have a blood test for the AIDS virus infection?
Mark (X) only one.
If "Clinic", Probe: "What kind of clinic is that?"
02[] Community health clinic
03[] Clinic run by employer
04[] STD clinic
05[] Family planning/prenatal clinic
06[] Other clinic
07[] Doctor/HMO
08[] Hospital/emergency room/outpatient clinic
09[] Military induction/separation or military service site
10[] Red cross/blood bank/blood drive
11[] At home/home visit by nurse/health worker
12[] At home -- self testing kit
13[] Other location -- Specify
_______
97[] Refused
99[] DK
[p.275]
Section V - AIDS Knowledge and Attitudes - Continued
29a. Have you ever known anyone personally who had AIDS or the AIDS virus?
2[] No (30)
7[] Refused (30)
9[] Don't know if has/had AIDS or the AIDS virus (30)
b. Who was that -- a friend, relative, co-worker, or someone else?
Mark (X) all that apply.
2[] Relative
3[] Co-worker
4[] Someone else - Specify
______
7[] Refused
9[] DK
30. What are your chances of GETTING THE AIDS virus; would you say high, medium, low, or none?
Mark (X) only one.
2[] Medium
3[] Low
4[] None
5[] Already have AIDS or AIDS virus
7[] Refused
9[] DK
31. (I'm going to read five statements. AFTER I have read them all,) Tell me if any of these statements is true for YOU. Do NOT tell me WHICH statement or statements are true for you. Just IF ANY of them are.
Hand card A6
CARD A6
b. You are man who has had sex with another man at some time since 1980, even one time.
c. You have taken street drugs by needle at any time since 1980.
d. You have traded sex for money or drugs at any time since 1980.
e. Since 1980, you are or have been the sex partner of any person who would answer "Yes" to any of the items I have read.
Read statements only if telephone interview.
b. You are man who has had sex with another man at some time since 1980, even one time.
c. You have taken street drugs by needle at any time since 1980.
d. You have traded sex for money or drugs at any time since 1980.
e. Since 1980, you are or have been the sex partner of any person who would answer "Yes" to any of the items I have read.
2[] No to all statements
The next questions are about Tuberculosis, or TB.
32. Are you worried about catching TB?
2[] No (34)
9[] DK (34)
33. How worried are you about catching TB - a lot, some, a little, or not at all?
Mark (X) only one.
2[] Some
3[] A little
4[] Not at all
9[] DK
34a. How much would you say you know about Tuberculosis - a lot, some, a little, or nothing?
Mark (X) only one.
2[] Some (34b)
3[] A little (34b)
4[] Nothing (V3 on page 65)
b. Do you know how TB is spread from one person to another?
2[] No (V3 on page 65)
c. As you understand it, how is TB spread from one person to another?
Hand card A7. Read categories if telephone interview.
CARD A7
2. Through food and water
3. By sexual intercourse
4. It is inherited from parents
5. From mosquito or other insect bites
6. Other (Specify)
(Any other way?)
Mark (X) all that apply.
2[] Through food and water
3[] By sexual intercourse
4[] It is inherited from parents
5[] From mosquito or other insect bites
6[] Other - Specify
______
9[] DK
[p.276]
Section V - AIDS Knowledge and Attitudes - Continued
2[] 60+ (End interview)
35. This card shows seven methods of birth control. Which of these do you think is the MOST effective for preventing pregnancy
Hand card A8. If telephone interview, end interview.
CARD A8
1. Condom (rubber)
2. IUD (loop, coil)
3. Rhythm (safe period by calendar)
4. Foam
5. Pill
6. Withdrawal (pulling out)
Mark (X) only one.
1[] Condom (rubber)
2[] IUD (loop, coil)
3[] Rhythm (safe period by calendar)
4[] Foam
5[] Pill
6[] Withdrawal (pulling out)
7[] DK methods
9[] DK
36. Which of these do you think is the most effective for preventing sexually transmitted diseases such as syphilis gonorrhea or AIDS?
Hand card A8.
CARD A8
1. Condom (rubber)
2. IUD (loop, coil)
3. Rhythm (safe period by calendar)
4. Foam
5. Pill
6. Withdrawal (pulling out)
Mark (X) only one.
1[] Condom (rubber)
2[] IUD (loop, coil)
3[] Rhythm (safe period by calendar)
4[] Foam
5[] Pill
6[] Withdrawal (pulling out)
7[] DK methods
9[] DK
Record final status on back cover
[p.277]
1[] Complete (Mark mode) Explain Partial in notes
2[] Partial (Mark mode) Explain Partial in notes
Noninterview:
3[] Refused - Explain in notes
4[] Other - Explain in notes
Mode of Interview:
All or most of the supplement was conducted --
1[] In Person
2[] By Telephone
b. Sections III B-D (Health Care, Income and Assets)
1[] Complete (Mark mode) Explain Partial in notes
2[] Partial (Mark mode) Explain Partial in notes
Noninterview:
3[] Refused - Explain in notes
4[] Other - Explain in notes
Mode of Interview:
All or most of the supplement was conducted --
1[] In Person
2[] By Telephone
c. Section IV (Year 2000 Objectives)
0[] No person 18+
7[] Not required
1[] Complete (Mark mode) Explain Partial in notes
2[] Partial (Mark mode) Explain Partial in notes
Noninterview:
3[] Refused - Explain in notes
4[] Other - Explain in notes
Mode of Interview:
All or most of the supplement was conducted --
1[] In Person
2[] By Telephone
d. Section V (AIDS)
0[] No person 18+
7[] Not required
1[] Complete (Mark mode) Explain Partial in notes
2[] Partial (Mark mode) Explain Partial in notes
Noninterview:
3[] Refused - Explain in notes
4[] Other - Explain in notes
Mode of Interview:
All or most of the supplement was conducted --
1[] In Person
2[] By Telephone