Current sources of info-GD

46 Pages·2013·0.49 MB·English

by  Alexis Amsterdam

Listening to Mothers III 42389
HARRIS INTERACTIVE
902 Broadway
New York, NY 10010

J42389

March 27, 2013

SUBJECTS FOR QUESTIONNAIRE

SECTION 400: SCREENING
SECTION 600: PLANNING PREGNANCY AND PRENATAL
SECTION 700: CHOICE OF MATERNITY CARE PROVIDER & HOSPITAL
SECTION 800: PRENATAL CARE II (Q1805-Q1815)
SECTION 900: OTHER SERVICES AND SUPPORTS
SECTION 1000: INFORMATION SOURCES & TRUSTWORTHINESS OF SOURCES
SECTION 1100: INTRAPARTUM
SECTION 1200: BIRTH AND CESAREAN-SPECIFIC (Q1555-Q1720)
SECTION 1300: LABOR, BIRTH, AFTER BIRTH IN HOSPITAL, FEEDING/RACE & CULTURE (Q1725-
Q1745, Q1110)
SECTION 1400: POSTPARTUM
SECTION 1800: BABY STATS & MOTHER MISCELLANEOUS
SECTION 2200: DEMOGRAPHICS
SECTION 2300 EMOTIONAL RESOURCES

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Listening to Mothers III 42389
SECTION 400: SCREENING

BASE: ALL RESPONDENTS
Q258 The progress bar below indicates approximately what portion of the survey you have completed.

Thank you for agreeing to take this survey. Our first few questions will help us determine which questions to ask
you.

In which country or region do you currently reside?

[PN: DISPLAY IN ALPHABETICAL ORDER, WITH US AT TOP OF LIST AND CODE 996 AT BOTTOM OF
LIST.]

14 Australia
42 Canada
120 Ireland (Republic of Ireland)
171 New Zealand
244 United States
266 England
267 Scotland
268 Wales
285 Northern Ireland
996 Other country

BASE: RESIDES IN US (Q258/244)
Q172 In what state do you currently reside?

[PN: DISPLAY DROP DOWN LIST]

1 Alabama 13 Idaho 26 Missouri 39 Pennsylvania
2 Alaska 14 Illinois 27 Montana 40 Rhode Island
3 Arizona 15 Indiana 28 Nebraska 41 South Carolina
4 Arkansas 16 Iowa 29 Nevada 42 South Dakota
5 California 17 Kansas 30 New Hampshire 43 Tennessee
6 Colorado 18 Kentucky 31 New Jersey 44 Texas
7 Connecticut 19 Louisiana 32 New Mexico 45 Utah
8 Delaware 20 Maine 33 New York 46 Vermont
9 District of 21 Maryland 34 North Carolina 47 Virginia
Columbia 22 Massachusetts 35 North Dakota 48 Washington
10 Florida 23 Michigan 36 Ohio 49 West Virginia
11 Georgia 24 Minnesota 37 Oklahoma 50 Wisconsin
12 Hawaii 25 Mississippi 38 Oregon 51 Wyoming

BASE: RESIDES IN US (Q258/244))
Q101 Are you…?

1 Male
2 Female

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Listening to Mothers III 42389
BASE: FEMALE (Q101/2)
Q104 What is your year of birth? Please enter as a four-digit number, e.g., 1963.

[RANGE: 1925-2010]
/__/__/__/__/

BASE: FEMALE (Q101/2)
Q106 HIDDEN COMPUTE – AGE CATEGORY

[PN: COMPUTE FOR AGE AT Q105.]

01 Under 13
02 13-17
03 18-19
04 20-24
05 25-29
06 30-34
07 35-39
08 40-44
09 45 and over
99 Unknown

BASE: FEMALE (Q102/2) AND 18-45 (Q105/18-45)
Q477 Are you of Hispanic, Latino or Spanish origin? We are asking about race/ethnicity because we want to be
sure that everyone’s perspectives are included in this important national survey.

1 Yes, Hispanic or Latina
2 No, not Hispanic or Latina

BASE: FEMALE (Q102/2) AND 18-45 (Q105/18-45)
Q480 Do you consider yourself…? Please select all that apply.

[MULTIPLE RESPONSE]

1 White
2 Black or African American
3 Asian
4 American Indian
5 Alaskan Native
6 Native Hawaiian or Other Pacific Islander
96 Some other race (VOL)

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Listening to Mothers III 42389
BASE: FEMALE (Q102/2) AND 18-45 (Q105/18-45)
Q482 HIDDEN COMPUTE – RACE (Q477/Q480)

[PN: IF NON-HISPANIC AND SINGLE RESPONSE WHITE AT Q480 (Q477/2,8,9 AND Q480/1), GET CODE
1.

IF NON-HISPANIC AND SINGLE RESPONSE BLACK/AFRICAN-AMERICAN (Q477/2,8,9 AND Q480/2),
GET CODE 2.

IF HISPANIC/LATINA (Q477/1), GET CODE 3.

IF NON-HISPANIC AND SINGLE RESPONSE AMERICAN INDIAN AT (Q477/2,8,9 AND Q480/4), GET
CODE 4.

IF NOT SURE/DECLINE TO ANSWER (Q477/8,9 AND Q480/98,99), GET CODE 9.

ALL OTHERS GET CODE 5.]

1 White
2 Black/African-American
3 Hispanic/Latina
4 American Indian
5 All others
9 Decline to answer

BASE: FEMALE (Q102/2) AND 18 - 45 (Q105/18-45))
Q485 Have you ever given birth?

1 Yes
2 No
9 Decline to answer

BASE: HAS EVER GIVEN BIRTH (Q485/1)
Q490 Did you give birth between July 1, 2011 and June 30, 2012?

1 Yes
2 No

BASE: GAVE BIRTH TO INDEX BABY (Q490/1))
Q495 When you gave birth between July 1, 2011 and June 30, 2012, did you give birth to a single baby or more
than one?

1 Single baby
2 More than one

BASE: GAVE BIRTH TO SINGLE BABY (Q495/1)
Q500 Is your baby born between July 1, 2011 and June 30, 2012, living?

1 Yes
2 No

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Listening to Mothers III 42389
BASE: BABY LIVING (Q500/1)
Q505 Was your baby born between July 1, 2011 and June 30, 2012, born in a hospital?

1 Yes
2 No
9 Decline to answer

BASE: GAVE BIRTH IN A HOSPITAL (Q505/1)
Q510 What was the date of your baby’s birth?

Q511 Q512
[RANGE: 1-12, 99] [RANGE: 1-31, 99] [RANGE: 2011-2012, 9999]

/__/__/ month /__/__/ day /__/__/__/__/ year

BASE: FEMALE (Q102/2) AND 18-45 (Q105/18-45)
Q519 Including yourself, how many people live in your household? If you live in more than one household,
please answer for only one of the households.

[RANGE 1-50]
|__|__|

BASE: FEMALE (Q102/2) AND 18-45 (Q105/18-45))
Q368 Including yourself, how many people age 18 or older live in your household? If you live in more than one
household, please answer for only one of the households.

[RANGE: 1-50]
|_|_|

BASE: FEMALE (Q102/2) AND 18-45 (Q105/18-45))
Q520 Which of the following income categories best describes your total 2011 household income before taxes?

01 $15,000 or less 15 $94,401-$98,200
02 $15,001-$21,800 16 $98,201-$102,000
03 $21,801-$29,400 17 $102,001-$105,800
04 $29,401-$37,000 18 $105,801-$109,600
05 $37,001-$44,700 19 $109,601-$113,500
06 $44,701-$52,300 20 $113,501-$117,300
07 $52,301-$60,000 21 $117,300-$121,100
08 $60,001-$67,600 22 $121,001-$125,000
09 $67,601-$75,300 23 $125,001-$150,000
10 $75,301-$79,100 24 $150,001-$200,000
11 $79,101-$82,900 25 $200,001-$225,000
12 $82,901-$86,700 26 $225,001-$250,000
13 $86,701-$90,500 27 $250,001 or more
14 $90,501-$94,400 99 Decline to answer

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Listening to Mothers III 42389
SECTION 600: PLANNING PREGNANCY AND PRENATAL

BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q605 You have qualified for an important national study about women’s experiences with pregnancy and
childbirth. The results of this survey will be used to help improve women’s experiences at this critical time in their
lives. This research consists of two surveys, the second of which will be conducted early in 2013. We hope you
will complete both.

[SUPPRESS THIS PARAGRAPH IF VENDOR (Q75/2): If you share your experiences with us and complete this
study, [IF HPOL (Q75/1): DISPLAY: in addition to 150 HIpoints,] you will receive a $10 Amazon giftcard by
email. If you also complete the second survey, [IF HPOL (Q75/1): DISPLAY: in addition to HIpoints,] you will
receive a $15 Amazon giftcard. Thank you for agreeing to participate. Your responses are very important to us.

Please click the forward arrow to continue.

BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q610/Q697/214 Please note that throughout this survey we will be asking you about your maternity experiences
with your baby that was born [INSERT Q510 RESPONSE] – which will also be referred to as your “recent”
pregnancy and birth. [IF BABY IS AT LEAST 10 MONTHS OLD (Q518/10 OR MORE), DISPLAY: If you have
given birth since then, please answer for your baby born [Q510 RESPONSE]].

Including your recent pregnancy, how many times in total have you given birth?

[RANGE: 1-20]
|__|__| times

BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q615/Q605 Thinking back to just before you got pregnant with your recent pregnancy did you want to be
pregnant …?

1 Sooner
2 Later
3 At that time
4 Or, you didn't want to be pregnant then or any time in the future

BASE: WANTED TO BE PREGNANT SOONER, LATER OR THEN (Q605/1, 2, 3)
Q620/Q610 Before you became pregnant, did you see a health care provider to plan for a healthy pregnancy?
Please do not include visits to a health care provider for infertility treatment.

1 Yes
2 No

BASE: WANTED TO BE PREGNANT SOONER, LATER, OR THEN (Q605/1, 2, 3)
Q645/Q627 Thinking about your recent pregnancy, did you receive special medical help from a doctor or clinic to
be able to become pregnant (“infertility” care)?

1 Yes
2 No

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BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q630 In the month before you became pregnant with your recent pregnancy, were you taking any prescription
medicines for…?

Q631
1 Yes
2 No
8 Not sure

[ROTATE]

1 High blood pressure
2 Depression

BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q635 Before you got pregnant with your baby born [INSERT Q510 RESPONSE], were you ever told by a health
care provider that you had Type 1 or Type 2 diabetes? This is not the same as gestational diabetes or diabetes that
starts during pregnancy.

1 Yes
2 No

BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q640/Q625 As best as you can remember, what was your weight just before you became pregnant? If you are
not sure, your best estimate will do.

[RANGE: 75 – 350]
/__/__/__/ pounds

BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q650/Q2510 As best as you can remember, how many weeks pregnant were you when you…? you are not
sure, your best estimate will do.
Q651
[RANGE: 2-40]
1 Learned that you were pregnant |__|__| weeks
2 Had your first prenatal visit |__|__| weeks

BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q655 Did you get your first prenatal visit as early in your recent pregnancy as you wanted?
1 Yes
2 No
3 I didn’t want prenatal care.

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Listening to Mothers III 42389
BASE: DID NOT GET PRENATAL CARE AS EARLY AS WANTED (Q655/2)
Q660 Which of the following are reasons you didn’t get prenatal care when you wanted? Please select all that
apply.
[RANDOMIZE]

1 The earliest available appointment was later than I wanted
2 I didn’t have enough money or insurance to pay for my visits
3 I had no transportation to get to the clinic or doctor’s office
4 The maternity care provider would not see me until I was further along in my pregnancy
5 I couldn’t take time off from work or school
6 I didn’t have my Medicaid (MediCal, MassHealth, etc.) card
7 It took a while to figure out where to get my prenatal care
96 Other ANCHOR

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Listening to Mothers III 42389
SECTION 700: CHOICE OF MATERNITY CARE PROVIDER & HOSPITAL

BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q705 Below are factors some women consider when choosing a maternity care provider. Please tell how much
of a factor each was in your choice of the maternity care provider or group for your recent prenatal care.

Q706
1 Major factor
2 Minor factor
3 Not a factor

The maternity care provider or group…

[PN: DISPLAY Q705/1 ONLY IF HAS GIVEN BIRTH IN THE PAST (Q610 >1).]

[RANDOMIZE]

1 Provided my prenatal care in a previous pregnancy
2 Had provided my well-woman (gyn) care
3 Was recommended by a health professional
4 Was recommended by a friend or family member
5 Is highly rated on websites with information about specific care providers
6 Was a good match for what I value and want
7 Accepts my health insurance
8 Attends births at a hospital I like
9 Is female/included female provider(s)
10 Was assigned to me as my maternity care provider

BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q710 Below are factors some women consider in choosing a hospital for giving birth. Please tell us how much of
a factor each was in your choice of hospital where you gave birth.

Q711
1 Major factor
2 Minor factor
3 Not a factor

The hospital…

[PN: DISPLAY Q710/1 ONLY IF HAS GIVEN BIRTH IN THE PAST (Q610 >1).]

[RANDOMIZE]

1 Was where I gave birth in the past
2 Was recommended by my maternity care provider
3 Was where my maternity care provider attends births
4 Was recommended by a friend or family member
5 Compares favorably on websites with information about specific hospitals
6 Was a good match for what I value and want
7 Accepts my health insurance
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Listening to Mothers III 42389
BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q713/Q1440 The next questions ask about the quality of maternity care - for example, whether the right care is
provided at the right time, whether care is safe, and whether women who receive care have good experiences.

1 Poor
2 Fair
3 Good
4 Excellent

BASE: ALL QUALIFIED RESPONDENTS (Q99/1)
Q715 During your recent pregnancy, did you see any information to help you compare the quality among
different…?

Q716
1 Yes
2 No
8 Not sure

1 Maternity care providers
2 Hospitals with maternity units

BASE: YES TO AT LEAST ONE ITEM AT Q715 ((Q715/1 AND Q716/1) OR (Q715/2 AND Q716/1))
Q720 When choosing the following, did you personally use the information you saw to compare quality among
…?

Q721
1 Yes
2 No
8 Not sure

[PN: ONLY DISPLAY “YES” ITEM(S) FROM Q715.]

1 Maternity care providers
2 Hospitals with maternity units

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