CHIS 2015 Child Questionnaire Version 2.72- Vietnamese June 15, 2017 (Children Ages 0-11 Answered by Adult Proxy Respondent) Collaborating Agencies: UCLA Center for Health Policy Research California Department of Health Care Services California Department of Public Health Contact: California Health Interview Survey UCLA Center for Health Policy Research 10960 Wilshire Blvd, Suite 1550 Los Angeles, CA 90024 Telephone: (866) 275-2447 Fax: (310) 794-2686 Web: www.chis.ucla.edu Copyright © 2015-2016 by the Regents of the University of California CHIS 2015 Child Questionnaire Version 2.72 June 15, 2017 Table of Contents SECTION A – DEMOGRAPHICS PART I, HEALTH CONDITIONS ........................................... 5 Gender ....................................................................................................................................................... 5 Age ............................................................................................................................................................ 5 Height and Weight ..................................................................................................................................... 6 Breastfeeding ............................................................................................................................................ 6 School Attendance .................................................................................................................................... 7 General Health .......................................................................................................................................... 8 Asthma....................................................................................................................................................... 8 Other Conditions ...................................................................................................................................... 12 SECTION B – DENTAL HEALTH ............................................................................................. 15 Coverage over Past 12 Months (Dental) ................................................................................................. 16 Delays in Care (Dental) ........................................................................................................................... 17 Emergency Room/Urgent Care (Dental) ................................................................................................. 18 SECTION C – DIET, PHYSICAL ACTIVITY, PARK USE ......................................................... 20 Dietary Intake .......................................................................................................................................... 20 Fast Food................................................................................................................................................. 21 Commute from School to Home .............................................................................................................. 22 Name of School ....................................................................................................................................... 24 Physical Activity ....................................................................................................................................... 24 Sedentary Time ....................................................................................................................................... 25 Park Use .................................................................................................................................................. 25 SECTION D – HEALTH CARE ACCESS AND UTILIZATION .................................................. 27 Usual Source of Care .............................................................................................................................. 27 Emergency Room Visit ............................................................................................................................ 27 Visits to Medical Doctor ........................................................................................................................... 28 Personal Doctor ....................................................................................................................................... 28 Patient-Centered Care ............................................................................................................................. 29 Developmental Screening ....................................................................................................................... 30 Timely Appointments ............................................................................................................................... 32 Delays in Care ......................................................................................................................................... 34 Flu Shot ................................................................................................................................................... 37 Internet Use ............................................................................................................................................. 37 SECTION E – PUBLIC PROGRAMS ........................................................................................ 40 TANF/CalWORKs .................................................................................................................................... 40 Food Stamps ........................................................................................................................................... 40 WIC .......................................................................................................................................................... 41 SECTION F – PARENTAL INVOLVEMENT ............................................................................. 42 First 5 California: “Talk, Read, Sing Program” ........................................................................................ 43 SECTION G – CHILD CARE AND SOCIAL COHESION .......................................................... 44 Child Care ................................................................................................................................................ 44 Social Cohesion ....................................................................................................................................... 47 Safety ....................................................................................................................................................... 48 SECTION H – DEMOGRAPHICS, PART II ............................................................................... 50 Race/Ethnicity .......................................................................................................................................... 50 Citizenship, Immigration Status, Years in the US.................................................................................... 54 Country of Birth (Mother) ......................................................................................................................... 55 C-2 CHIS 2015 Child Questionnaire Version 2.72 June 15, 2017 Citizenship, Immigration Status, Years in the US (Mother) ..................................................................... 56 Country of Birth (Father) .......................................................................................................................... 57 Citizenship, Immigration Status, Years in the US (Father) ...................................................................... 58 Languages Spoken At Home................................................................................................................... 59 Education of Primary Caretaker .............................................................................................................. 60 SECTION K – CHILD FIRST .................................................................................................... 61 Employment ............................................................................................................................................. 61 Educational Attainment ............................................................................................................................ 62 Employment ............................................................................................................................................. 62 Medicare Coverage ................................................................................................................................. 64 Medi-Cal Coverage .................................................................................................................................. 71 Employer-Based Coverage ..................................................................................................................... 72 Private Coverage ..................................................................................................................................... 72 Employer Offer of Health Insurance ........................................................................................................ 77 CHAMPUS/CHAMP-VA, TRICARE, VA Coverage ................................................................................. 78 AIM, MRMIP, Family PACT, Healthy Kids, Other