Instrument Variable Name: PAPNOT2
Questionnaire File Name: Sample Adult
Question Text:

What is the most important reason you have [Fill1: NEVER had a Pap test/NEVER had a Pap or HPV test/ NOT had a Pap test in the LAST 5 YEARS/
NOT had a Pap or HPV test in the LAST 5 YEARS]?
*Put response into correct category below.

01 No reason/never thought about it
02 Didn't need it/didn't know I needed this type of test
03 Doctor didn't order it/didn't say I needed it
04 Haven't had any problems
05 Put it off/didn't get around to it
06 Too expensive/no insurance/cost
07 Too painful, unpleasant, or embarrassing
08 Had hysterectomy
09 Don't have doctor
10 Had HPV vaccine
11 Other
97 Refused
99 Don't know

Universe Text: Female sample adults 18+ who have never had a Pap test, or who have not had a Pap test in the last 5 years
Skip Instructions:

(1-7,9-11,R,D) [goto HYST]
(8) if AGE GE 30 [goto MAMHAD1]
else [goto next section]

Instrument Variable Name: PAPNOT2
Question Text:

What is the most important reason you have [Fill1: NEVER had a Pap test/NEVER had a Pap or HPV test/ NOT had a Pap test in the LAST 5 YEARS/ NOT had a Pap or HPV test in the LAST 5 YEARS]?
*Put response into correct category below.

01 No reason/never thought about it
02 Didn't need it/didn?t know I needed this type of test
03 Doctor didn?t order it/didn?t say I needed it
04 Haven't had any problems
05 Put it off/didn?t get around to it
06 Too expensive/no insurance/cost
07 Too painful, unpleasant, or embarrassing
08 Had hysterectomy
09 Don't have doctor
10 Had HPV vaccine
11 Other
97 Refused
99 Don't know

Universe Text: Female sample adults 18+ who have never had a Pap test, or who have not had a Pap test in the last 5 years
Skip Instructions:

(1,2,4-7,10-11,R,D) [go to MDRECP1] (3,8,9) [go to PAPHPVPY]

Instrument Variable Name: PAPNOT1
QuestionText:

What is the most important reason you have [Fill1: NEVER had a Pap test/NOT had a Pap test in the LAST 3 YEARS]?
*Put response into correct category below.

01 No reason/never thought about it
02 Didn't need it/didn't know I needed this type of test
03 Doctor didn't order it/didn't say I needed it
04 Haven't had any problems
05 Put it off/didn't get around to it
06 Too expensive/no insurance/cost
07 Too painful, unpleasant, or embarrassing
08 Had hysterectomy
09 Don't have doctor
10 Had an HPV DNA test
11 Had HPV vaccine
12 Other
97 Refused
99 Don't know

UniverseText: Female sample adults 18+ who have never had a Pap smear, or who have not had a Pap smear in the last 3 years
SkipInstructions:

(1,2,4-7,10-12,R,D) [goto MDRECP1]
(3) if age le 65 [goto PREMIND]
elseif age ge 66 [goto HYST]
(8) [goto RHYS1_MT]
(9) [goto HYST]

Instrument Variable Name:PAPNOT
QuestionText:

(book) CAN4
What is the most important reason you have [Fill1: NEVER had a Pap smear or Pap test/NOT had a Pap smear or Pap test in the LAST 3 YEARS]?

01 No reason/never thought about it
02 Didn't need/Didn't know I needed this type of test
03 Doctor didn't order it/didn't say I needed it
04 Haven't had any problems
05 Put if off/Didn't get around to it
06 Too expensive/No insurance/Cost
07 Too painful, unpleasant, or embarrassing
08 Had hysterectomy
09 Don't have doctor
10 Had an HPV DNA test
11 Other
97 Refused
99 Don't know

UniverseText:Female sample adults 18+ who have never had a Pap smear, or who have not had a Pap smear in the last 3 years
SkipInstructions:

(1,2,4-7,10,11,R,D) goto MDRECPAP
(8) set HYST=1 and goto MDRECPAP
(3,9) if PAPHAD=1
goto PAPWHEN
elseif PAPHAD=2
goto HYST

Instrument Variable Name:PAPNOT
QuestionText:

(book) CAN4
What is the most important reason you have
in the LAST 3 YEARS]?
[Fill1: NEVER had a Pap smear or Pap test/NOT had a Pap smear or Pap test

UniverseText:Female sample adults 18+ who have never had a Pap smear, or who have not had a Pap smear in the last 3 years
SkipInstructions:

(1,2,4-7,10,11,R,D) goto MDRECPAP
(8) set HYST=1 and goto MDRECPAP
(3,9) if PAPHAD=1
goto PAPWHEN
elseif PAPHAD=2
goto HYST

Instrument Variable Name: PAPNOT
Question Text:

(book) CAN16
What is the most important reason you have [Fill1: NEVER had a Pap smear/NOT had a Pap smear in the LAST 3 YEARS]?

01 No reason/Never thought about it
02 Didn't need/Didn't know I needed this type of test
03 Doctor didn't order it/didn't say I needed it
04 Haven't had any problems
05 Put if off/Didn't get around to it
06 Too expensive/No insurance/Cost
07 Too painful, unpleasant, or embarrassing
08 Had hysterectomy
09 Don't have doctor
10 Other
97 Refused
99 Don't know

1. No reason/never thought about it
2. Didn't need it/didn't know I needed this type of test
3. Doctor didn't order it/didn't say I needed it 4. Haven't had any problems
5. Put it off/didn't get around to it
6. Too expensive/no insurance/cost
7. Too painful, unpleasant, or embarrassing
8. Had hysterectomy
9. Don't have a doctor

Universe Text: Female sample adults 18+ who have never had a Pap smear, or who have not had a Pap smear in the last 3 years
Skip Instructions:

(1,2,4-7,10,R,D) [goto MDRECPAP] (3,9) [goto HYST] (8) [goto RHYS1_MT]

Check item NAFCCI03: Refer to Household Composition, Basic Module.
SEX/HHC.110 and AGE/HHC.120.
(1) Male 18-39 (under 30) (END_NAF)
(2) Male 40+ (Check Item NAFCCI09)
(3) Female (NAF.080)

[If pap smear in last three years or Don't know or Refused then go to NAF.220]

FR: SHOW CARD CAN21.

What is the most important reason you have {NEVER had a Pap smear /NOT had a Pap smear in the LAST 3 YEARS}?

1. No reason/never thought of it
2. Didn't need it/didn't know I needed this type of test
3. Doctor didn't order it/didn't say I needed it
4. Haven't had any problems
5. Put if off/didn't get around to it
6. Too expensive/no insurance/cost
7. Too painful, unpleasant, or embarrassing
8. Had hysterectomy
9. Don't have doctor

(01) No reason/never thought about it. (NAF.215)
(02) Didn't need/ didn't know I needed this type of test (NAF.215)
(03) Doctor didn't order it/ didn't say I needed it (NAF.220)
(04) Haven't had any problems (NAF.215)
(05) Put it off/ didn't get around to it (NAF.215)
(06) Too expensive/no insurance/cost (NAF.215)
(07) Too painful, unpleasant, or embarrassing (NAF.215)
(08) Had hysterectomy (NAF.221)
(09) Don't have doctor (NAF.220)
(10) Other (NAF.215)
(97) Refused (NAF.215)
(99) Don't know (NAF.215)

0[] No reason/Never thought about it/Didn't know I should
1[] Not needed/Haven't had any problems
2[] Put it off/Laziness
3[] Costs too much/No insurance
4[] Doctor didn't recommend it
5[] Don't go to or don't like doctors
6[] Had a hysterectomy
8[] Other (Specify) -- ____
9[] DK

1 [] More than 3 years in 1c or 1f (6)
8 [] Other (7)

00 [] Procrastination/Put it off
01 [] Had a hysterectomy (8)
02 [] Didn't know I should
03 [] Not needed/not necessary
04 [] Cost too much
05 [] No insurance coverage
06 [] Don't go to doctors
07 [] Don't have a doctor
08 [] Not recommended by doctor/Dr. never said it was needed
09 [] Dr. said it wasn't needed
10 [] Too embarrassing
11 [] Haven't had any problems
12 [] Fear
88 [] Other
99 [] DK