tiousehold Interviewer’s Manual for the iispanic Health and Nutrition Examination Survey, 198244 HEALTH AND HUMAN SERVICES l Public Health Service 0 National Center for Health Statistics ----- ------___-----_------- -- -----.---.-- ---. - ---___ The original version of this manual was prepared by WESTAT with assistance from Development Associates. Preparation and editing of this revision was done by Paula L. Wallace, Health Examination Field Operations Branch, Division of Data Services. 0 Instruction Manual ● Part 15h Household Intewiewefs Manual for the Hispanic Health and Nutrition Examination Suwey, 1982-84 HHANES Data Collection :,.:,.,:,..,:.............. --+-:+?+.:.,: ..:.,..,..... ~,;.:,F..:,:,.......... U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service National Center for Health Statistics Hyattsville, Maryland .Ju]Y 1986 TABLE OF CONTENTS Chapter Page PART I: GENERAL INTERVIEWING TECHNIQUES 1 INTRODUCTION TO SURVEYS . 1-1 1.1 Overview of Survey Research . 1-1 1.1.1 What is a Survey?. 1-1 1.1.2 Use of Survey Information . 1-1 1.1.3 Conducting a Survey . 1-2 l.2Role ofthe Interviewer . ...1-4 1.3 Confidentiality Practices . 1-4 1.3.1 Anonymity and Confidentiality . 1.3.2 Laws Pertaining to Privacy of Individuals . ::; 2 BEFORE MAKING CONTACT. 2-1 2.1 Review Your Interviewer’s Manual and Other Study Materials. 2-1 2.2 Review the Questionnaire(s) . 2-1 2.3 Organize Your Materials . 2-1 2.4 Plan YourWorkSchedule . 2-1 2.5 Check Your Appearance . 2-2 3 BEGINNING THE INTERVIEW . 3-1 3.1 Gaining the Respondent’s Cooperation. 3-1 3.2 Introduction at the Door. 3-2 3.3 Answering the Respondent’s Questions. 3-3 3.4 Handling Refusals . ;. 3-4 3.5 Setting for the Interview . 3-4 4 USIN6 THE QUESTIONNAIRE . 4-1 4.1 Types of Questions. 4-1 4.2 AskingtheQuestion . 4-3 4.3 Instructions in the Questionnaire . 4-7 4.4 Maintaining Rapport . 4-11 5 PROBING . ...5-1 5.1 What is Probing and Why is it Necessary?. 5-1 5.2 Knowing the Question Objectives . 5-2 5.3 Probing Preceded and Open-Ended Questions . 5-2 5.4 Probing Methods Should be Neutral . 5-4 i — TABLE OF CONTENTS (Continued) Chapter Page” 5.5 Kinds of Probes. 5-5 5.6 The Don’t Know (DK) Response. 5-6 5.7 Additional Guidelines for Probing . 5-7 5.8 When to Stop Probing. 5-9 6 RECORDINGANSHERS.. 6-1 6.1 Recording Preceded Questions. 6-1 6.2 Recording Short Open-Ended Questions. 6-3 6.3 Errors in Recording. 6-4 6.4 Recording Open-Ended Questions. 6-5 7 ENDINGTHEINTERVIEU. ; . 7-1 8 EDITING THE QUESTIONNAIRE. 8-1 PART 11: SPECIFIC FIELD PROCEDURES 9 INTRODUCTIONTO THE HISPANIC HEALTHANDNUTRITION EXAMINATIONSURVEY (HHANES). 9-1 9.1 History of the Health and Nutrition Examination Survey Program. 9-1 9.2 HHANES . 9-2 9.3 Field Organization for HHANES . 9-3 9.4 Overview of Interviewer Tasks . 9-4 10 PRE-FIELD PROCEDURES. 1o-1 10.1 Overview of Interviewer Materials . 1o-1 10.1.1 Materials to Encourage Respondent Cooperation . 1o-1 10.1.2 Materials to be Used in the Field . 10-2 10.1.3 Materials for Organization and Recordkeeping. 10-4 10.1.4 Materials to Help You Prepare for Your Job. 10-4 10.2 Receiving and Reviewing Your Assignments. 10-5 10.3 Planning and Scheduling. 10-6 10.4 Preparing forthe Field... 10-6 ii TABLE OF CONTENTS (Continued) Chapter Page 11 MAKINGCONTACT. 11-1 11.1 Locating the Dwelling Unit (DU) . 11-1 ll.l.l Definitionofa DU. 11-1 11.1.2 How To Use the Listing Sheets . 11-5 11.1.3 Case ID. 11-8 11.1.4 Using the Listing Sheets To Locate a DU . 11-10 11.1.5 Maps. 11-10 11.1.6 Problems with Locating the DU . 11-14 11.2 Introduction at the Door. 11-14 11.3 Answering the Respondent’s Questions. 11-15 12 ADMINISTERINGTHE INTERVIEW. 12-1 12.1 Administering the Screener Interview. 12-1 12.1.1 Eligible Screener Respondent. 12-1 12.1.2 Overview of the Household Screener. 12-1 12.1.3 Front Cover of the Household Screener . 12-2 12.1.4 Household Composition . 12-4 12.1.5 Rules for Determining Household Members . 12-4 12.1.6 Household Questions . 12-6 12.1.7 Household Composition Table . 12-11 12.1.8 Composition of Families Within Households . 12-11 12.1.9 Steps for Completing Household Composition Table. 12-15 12.1.10 Determining Family Eligibility. 12-21 12.1.11 Completing Age Related Items in Household Composition Table . 12-25 12.1.12 Sample Person Selection Procedure . 12-30 12.1.13 Ending the Screener Interview . 12-40 12.2 Administering-the Family Questionnaire. 12-41 12.2.1 Eligible Respondent for the Family Questionnaire. 12-41 12.2.2 Procedures for Completing the Family Questionnaire. 12-42 12.2.3 Assigning Case Identification Number to the Family Questionnaire. 12-42 12.3 Administering the Sample Person Questionnaire . 12-47 12.3.1 Eligible Respondent for the Sample Person Person Questionnaire. 12-47 12.3.2 Procedures for Completing the Sample Person Questionnaire. 12-47 12.3.3 Assignifig the Case Identification Number for the Sample Person Questionnaire . 12-48 13 SETTING UP THE EXAMINATION APPOINTMENT . 13-1 13jl General Procedures. 13-1 13.2 Specific Procedures. 13-2 13.3 Techniques Designed to Motivate the Respondent to Participate in the Examination. 13-8 iii TABLE OF CONTENTS (Continued) Chapter Page 14 THE HOUSEHOLD FOLDER . 14-1 14.1 Assignment Box . ● ✎ ✎ 14-1 14.2 Summary of Sample Person Results. ✎ ✎ ✎ ✎ ✎ ✎ ✎ ✎ 14-1 14.3 Language. ✎ ✎ ✎ ✎ ✎ ✎ .0 14-2 14.4 Missed Structure Procedure. 14-2 14.5 Missed DU Procedure and Missed DU Form. 14-2 14.6 Non-Interview Report. ..0 14-3 14.6.1 Nonresponse Problems. 14-3 14.6.2 Completing the Non-Interview Report . 14-10 14.7 Household Call Record . 14-11 14.8 Neighbor Contact Guide. 14-11 15 CONTACT PROCEDURES. 15-1 15.1 Contact Attempts. 15-1 15.1.1 Planning Your Contacts. 15-1 15.1.2 Number of Attempts. 15-2 15.1.3 Neighbor Contacts . 15-2 15.2 Using theCall Record. 15-3 15.2.1 Result Codes. 15-4 16 QUALITY CONTROL . 16-1 16.1 Field Edit. 16-1 16.1.1 Review of Completed Questionnaires. 16-1 16.1.2 Translating Responses . 16-2 16.1.3 Accounting for Case Materials . 16-3 16.2 Supervisor Edit. , . 16-3 16.3 Verification. 16-3 16.4 Updating Procedures and Specifications. 16-3 17 QUALITY CONTROL OF LISTING . 17-1 17.1 Missed DU Procedure.. .. 17-1 17.2 Examples of Missed DU Situations. 17-4 17.3 Missed Structure Procedure. 17-5 17.4 Completing the Assignment Box-. 17-7 There are no chapters numbered 18 or 19. iv TABLE OF CONTENTS (Continued) Chapter Page PART III: QUESTION BY QUESTIONS SPECIFICATIONS 20 FAUILY QUESTIONNAIRE . 20-1 20.1 Front Cover. 20-1 20.2 Section A: Family Relationships. ● . ● ● ● . 20-2 20.3 Section B: Family Characteristics. ✎ . ✎ ✎ ✎ . 20-16 20.4 Section C: Health Insurance. ✎ . ✎ ✎ ✎ . 20-53 20.5 Section D: Income Assistance . ✎ . ✎ ✎ ✎ . 20-59 20.6 Section E: Housing and Income. ✎ . ● ● 9 ● . 20-64 21 GENERAL INSTRUCTIONS AND DEFINITIONS FORTNE SAMPLE PERSON QUESTIONNAIRES . ✎ . ✎ ✎ . ✎ . 21-1 21.1 General Instructions. ✎ . ✎ ✎ . ✎ . 21-1 21.1.1 Introductions. ✎ . ✎ ✎ . ✎ . 21-1 21.1.2 Answer Categories; . ✎ . ✎ ✎ . ✎ . 21-1 21.1.3 Special Sections of the Questionnaires ✎ . 21-2 21.2 General Definitions . m . ✎ . 21-3 22 ADULT S,~PLE PERSON QUESTIONNAIRE. ✎ ● . 22-1 22.1 Cover Page . ✎ ✎ . 22-1 22.2 A. Health Services. ■ . ✎ ✎ . 22-2 22.3 B. Selected Conditions. ● . ● . ● ✎ ✎ . 22-15 22.4 C. Diabetes . ✎ . ● . ✎ ✎ ✎ . 22-20 22.5 D. Vision and Hearing . ✎ . ✎ . ✎ ✎ ✎ . 22-26 22.6 E. Hypertension . ✎ . ✎ . ✎ ✎ ✎ . 22-29 22.7 F. Digestive Disease. ✎ . ✎ . ✎ ✎ ✎ . 22-36 22.8 G. Cardiovascular Conditions. ✎ . ✎ ● ✎ ✎ ✎ . 22-45 22.9 H. Smoking . ✎ . ✎ ✎ ✎ ✎ ✎ . 22-48 22.10 J. Functional Impairment. ● . ● . ✎ ✎ ✎ ✎ ✎ . 22-53 22.11 K. Condition List . ✎ . ✎ . ✎ ✎ ✎ ✎ ✎ . 22-64 22.12 L. Pesticide Exposure . ✎ . ✎ . ✎ ✎ ✎ ✎ ✎ . 22-65 22.13 M. Acculturation. ✎ . ✎ . ✎ ✎ ✎ ✎ ✎ . 22-74 22.14 N. Meal Programs. ✎ . ✎ . ✎ 9 ✎ ✎ ✎ . 22-78 22.15 P. Meicine/Vitamin Usage. ✎ . ✎ . ✎ . ● ✎ ✎ . 22-83 ✎ . ✎ . ✎ ✎ ✎ 22-93 22.16 Q. Name/SSAN. ✟ . 22.17 R. Medicine/Vitamin MEC . ✎ . ✎ . ✎ . ✎ ✎ ✎ . 22-95 v . TABLE OF CONTENTS (Continued) Chapter Page 23 CHILD SANPLE PERSON QUESTIONNAIRE. 23-1 23.1 Cover Pagem . 23-1 23.2 A. Birth. 23-2 23.3 B. Health Services. 23-7 23.4 C. Dental and Anemia. 23-18 23.5 D. Vision and Hearing . 23-22 23.6 E. TB/Weight/Immunization/Pesticides. 23-27 23.7 F. Functional Impairment. 23-31 23.8 G. Condition List. 23-35 23.9 H. School Attendance and Language Use ..