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ps
[p. 1]


FAMILY PREVENTION MODULE
Pregnancy and Smoking

This section should begin AFTER the Family section is completed, i.e. FSTAT has been entered and all related code closing the Family questionnaire (including setting up callbacks at ARRANGE2) has been executed.


Check item BEGIN_PFA: If any females in the family greater than or equal to 18 and less than or equal to 49, [go to BIR5/(PFA.010)]; Else go to END_PFA.

PFA.010

{Has/Have} {READ NAMES} given birth to a liveborn infant in the past 5 years?
BIR5
(1) Yes (PFA.015)
(2) No (END_PFA)
(7) Refused (END_PFA)
(9) Don't know (END_PFA)

PFA.015

FR: ASK OR VERIFY. ENTER APPLICABLE LINE NUMBER(S).
ENTER (N) FOR NO MORE AFTER THE LAST NUMBER.
PBIR5
Who is this? (Anyone else)
[Enter person #s]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

(Go to END_SCR)

[Assign PSFLAG = 1 to every person listed in PBIR5 (PFA.015)]

Check item END_SCR: For first/next woman with PSFLAG=1
FR: READ IF NECESSARY:
The next few questions are about smoking during pregnancy. Is (fill name) available to answer these questions?

(1) Yes (PFA.017)
(2) No (END_PFA)
[p. 2]

Part A - Tobacco Use

PFA.017

Earlier I was told you had a live birth within the past 5 years. In what month and year was your last child born?

FR: ENTER (N) IF RESPONDENT SAYS SHE DID NOT HAVE LIVE BIRTH IN PAST 5 YEARS.
BIRVER_M MONTH: _________________
BIRVER _D DAY: _________________
BIRVER_Y YEAR: _________________
[If BIRVER = N go to END_PFA; Else go to PFA.020]


PFA.020

Have you smoked at least 100 cigarettes in your ENTIRE LIFE?
PSMKEV
(1) Yes (PFA.030)
(2) No (END_PFA)
(7) Refused (END_PFA)
(9) Don't know (END_PFA)


PFA.030

How old were you when you FIRST started to smoke fairly regularly?
FR: IF LESS THAN 6 YEARS OLD, ENTER ".
PSMKRG
(06) 6 years of age and younger
(06-49) 06-49 years of age
(96) Never smoked regularly
(97) Refused
(99) Don't know


PFA.040

Do you NOW smoke cigarettes every day, some days, or not at all?
PSMKNOW
(1) Every day (PFA.060)
(2) Some days (PFA.070)
(3) Not at all (PFA.050)
(7) Refused (PFA.070)
(9) Don't know (PFA.070)


PFA.050

How long has it been since you quit smoking cigarettes?
PSMKQT_N
[ ] NUMBER
(01-94) 01-94
(95) 95+
(97) Refused
(99) Don't know
PSMKQT_T
[ ] TIME PERIOD
(1) Days
(2) Weeks
(3) Months
(4) Years
(7) Refused
(9) Don't know

[If PSMKQT_N = 99 and PSMKQT_T = 9 then go to PFA.055; Else go to PFA.120]

[p. 3]


PFA.055

Have you quit smoking since {current month in word format} {last year [current year minus 1] in digit format}?
PSMKQTD
(1) Yes
(2) No
(7) Refused
(9) Don't Know

(Go to PFA.120)


PFA.060

FR: IF LESS THAN "1", ENTER "1".
On the average, how many cigarettes do you now smoke a day?
PCIGSDA1
(01-94) 01-94 cigarettes
(95) 95+ cigarettes
(97) Refused
(99) Don't know


PFA.070

On how many of the PAST 30 DAYS did you smoke a cigarette?
PCIGDAMO
(0) None (PFA.090)
(01-30) 01-30 days (PFA.080)
(97) Refused (PFA.080)
(99) Don't know (PFA.080)


PFA.080

FR: IF LESS THAN ™" ENTER ™".

On the average, when you smoked during the PAST 30 DAYS, about how many cigarettes did you smoke a day?
PCIGSDA2
(01-94) 01-94 cigarettes
(95) 95+ cigarettes
(97) Refused
(99) Don't know


PFA.090

During the PAST 12 MONTHS, have you stopped smoking for more than one day BECAUSE YOU WERE TRYING TO QUIT SMOKING?
PCIGQTYR
(1) Yes
(2) No
(7) Refused
(9) Don't know

[p. 4]

Part B - Smoking During Pregnancy


PFA.120

Were you smoking cigarettes when you became pregnant with your last child?
PSMSTLPG
(1) Yes {PFA.130}
(2) No {END_PFA}
(7) Refused {END_PFA}
(9) Don't know {END_PFA}


PFA.130

Did you smoke cigarettes at any time during your pregnancy with your last child?
PSMDURPG
(1) Yes {PFA.140}
(2) No {END_PFA}
(7) Refused {END_PFA}
(9) Don't know {END_PFA}


PFA.140

Did you quit smoking for seven days or longer during your pregnancy with your last child?
PSMKQTPG
(1) Yes {PFA.150}
(2) No {END_PFA}
(7) Refused {END_PFA}
(9) Don't know {END_PFA}


PFA.150

In what month of your pregnancy did you first quit for 7 days or longer?
PSQPGM
(01-09) 1-9 month
(97) Refused
(99) Don't know


PFA.160

Did you start smoking again during that pregnancy or did you stay off cigarettes for the rest of the pregnancy?
PSMPGSTA
(1) Stayed off rest of pregnancy
(2) Started again
(3) Never started again
(7) Refused
(9) Don't know

Check item END PFA: Arrange for callback if eligible woman (PSFLAG = 1) not available to answer questions. Loop to END_SCR for next woman with PSFLAG=1. If there are no more eligible women (or no women at all), proceed to next section of HIS interview.