The 2000 IowaChild and Family Household
Health Survey
Survey Results By Question
1. In general, how would you rate your child's overall
health now?
Children with special health care needs defining screener
7. During the last 4 weeks, how many days has your
child not been able to do his.her normal activities because of sickness?
8. During the past 12 months, has [HE/SHE] been limited
because of [HIS/HER] PHYSICAL health?
9. During the past 12 months, has [HE/SHE] been limited
because of [HIS/HER] behavioral or emotional health?
10. Has your child been diagnosed with a chronic
condition or disease?
11. Primary chronic conditions for children with
special health care needs (could have up to 2 responses/child)
12. Severity of condition for children with a chronic
condition
13. Do you have one person you think of as [CHILD]'s
personal doctor or nurse?
14. During the past 12 months, was there any time
when you or a health professional thought [CHILD] needed medical care of any
kind?
15. In the last 12 months, was there any time when
[CHILD] needed medical care but could not get it for any reason?
16. Did any of these stop you from getting medical
care for your child in the last 12 months?
17. In the last 12 months, when [CHILD] needed care
right away for an illness or injury, how often did your child get care as soon
as you wanted...
18. Specialists are doctors like surgeons, heart
doctors, allergy doctors and others who specialize in one area of health care.
In the last 12 months, was there any time when you or a health professional
thought [CHILD] needed care from a specialist?
19. In the last 12 months, how much of a problem,
if any, was it to get the care [CHILD] needed from a specialist? Would you say...
20. In the last 12 months, how many times did [CHILD]
go to a hospital emergency room?
21. In the last 12 months, not counting times [HE/SHE]
went to an emergency room, how many times did [CHILD] go to a doctor's office
or clinic? This includes all types of visits including routine check ups, care
for illness, injury, or preventive care.
22. In the last 12 months, how much of a problem,
if any, was getting your child's doctors or other health providers to listen
to your concerns about the best way to manage your child's medical or health
problems? Was it...
23. In the last 12 months, has the child's health
care professional encouraged you to take any type of preventive health steps
for [CHILD] such as watching what [HE/SHE] eats or using car seats?
24. When was your child's last visit to [HIS/HER]
personal doctor or nurse for routine preventive care such as a check-up or vaccination
shots?
25. In the last 12 months, how much of a problem,
if any, was it to get this type of care for [CHILD]? Would you say ...
26. In the last 12 months, how much, if at all, have
you worried about your ability to pay for [CHILD]'s health care? Would you say...
27. Do you have any kind of health care coverage
for [CHILD], including health insurance, prepaid plans such as HMOs, or government
plans such as Medicaid or Title 19?
28. What type of health care coverage do you use
to pay for most of [CHILD]'s medical care? Is it coverage through...
29. Thinking about how well that health care coverage
meets [CHILD]'s health care needs, would you say that the health care coverage
is...
30. In the past 12 months has there been any time
that [CHILD] has not had any health insurance coverage?
31. Has your child ever received health care coverage
through the Medicaid or Title 19 program?
32. Why is your child not covered by Medicaid now?
(Uninsured children who had received Medicaid in the past only)
33. Do you have any kind of health care coverage
for yourself, including health insurance, prepaid plans such as HMOs, or government
plans such as Medicaid or Title 19?
34. Do you and [CHILD] have the same insurance plan
?
35. What type of health care coverage do you use
to pay for most of your medical care? Is it coverage through...
36. Thinking about how well your health care coverage
meets your health care needs, would you say that your health care coverage is...
37. Have you heard of Iowa's Child Health Insurance
Program, called HAWK-I?
38. Does [CHILD] currently have insurance that covers
dental care?
39. During the past 12 months, was there any time
when you or a health professional thought [CHILD] needed dental care?
40. In the last 12 months, was there any time when
[CHILD] needed dental care but could not get it for any reason?
42. When was [CHILD]'s last dental check-up?
43. During the past 12 months, was there any time
when you or a health professional thought [CHILD] needed care for behavioral
or emotional problems?
44. In the last 12 months, was there any time when
[CHILD] needed care for behavioral or emotional problems but could not get it
for any reason?
46. Previously, you said that [CHILD] currently needs
or uses prescription medicine. I just want to verify that during the past 12
months, was there any time when you or a health professional thought [CHILD]
needed prescription medicine for any reason?
47. In the last 12 months, how much of a problem,
if any, was it to get a prescription filled or medicine for [CHILD]? Was it
a...
48. In the last 12 months was there any time when
[CHILD] needed but couldn't get physical, occupational, or speech therapy?
50. In the last 12 months was there any time when
[CHILD] needed but couldn't get home health care services?
52. In the last 12 months was there any time when
[CHILD] needed but couldn't get medical equipment or supplies?
54. Sometimes a professional, such as a nurse or
social worker helps families to organize or coordinate health care and other
services for children. During the past 12 months was there any time when you
received help from a professional to organize or coordinate care for [CHILD]?
55. During the past 12 months was there any time
when you were not able to receive help that you needed to organize or coordinate
care for [CHILD]?
56. Have you heard of the Iowa Child Health Specialty
Clinics sometimes known as CHSC?
58. Would you say [CHILD] cares about doing well
in school...
59. Would you say [CHILD] needs to be forced to complete
[HIS/HER] schoolwork...
60. Would you say [CHILD] does just enough schoolwork
to get by...
61. Would you say [CHILD] completes homework on time...
62. How many times did [CHILD] change schools in
the past 12 months? Was it...
63. Compared to other students in [CHILD]'s grade,
is [HIS/HER] performance at school
64. How far would you like to see [CHILD] go in school?
65. In the last year, has [CHILD] participated in
any clubs, teams, or organizations such as student government, sports, drama,
band, chorus, scouts, or a religious group?
66. In the last year, how frequently did you attend
events or activities that [CHILD] participated in? Would you say...
67. Regarding [CHILD]'s friends, would you say that
you have met...
68. Did [CHILD] work for pay during the past 4 weeks,
not including chores or baby sitting in your home?
74. How much of a problem, if any, was it to find
a child care provider for [CHILD] so you could work or go to school? Was it...
75. Was this problem finding care for [CHILD] related
to the special health needs of your child?
76. How satisfied are you with [CHILD]'s child care
situation? Are you very satisfied, somewhat satisfied, somewhat dissatisfied,
or very dissatisfied with [HIS/HER] care?
77. In the last 12 months when [CHILD] was sick,
how much of a problem, if any, was it to find childcare when you needed to work
or go to school? Was it...
78. In the last 12 months, was there any time when
you wanted to stay home with a sick child but were not able to get off of work?
79. About how many hours per week does [CHILD] watch
television?
80. How often does [CHILD] eat a meal with at least
one parent/guardian? Would you say...
81. In the past 12 months, about how often has [CHILD]
attended a religious service or activity? Would you say...
82. Felt [CHILD] is much harder to care for than
most children [his/her] age? Would you say...
83. Felt [CHILD] does things that really bother you
a lot? Would you say...
84. Felt you are giving up more of your life to meet
[CHILD]'s needs than you er expected? Would you say...
85. Felt angry with [CHILD]? Would you sayŠ
86. [He/she] doesn't get along with other children
not counting brothers and sisters. Would you say this is...
87. [He/she] can't concentrate or pay attention for
long time periods compared to other children [his/her]age. Would you say this
is...
88. [He/she] has been unhappy, sad, or depressed.
Would you say this is...
89. [He/she] feels worthless or inferior. Would you
say this is...
90. [He/she] has been nervous, high-strung or tense.
Would you say this is...
91. [He/she] acts too young for [his/her] age. Would
you say this is...
92. [He/she] has trouble sleeping. Would you say
this is...
93. [He/she] lies or cheats. Would you say this is...
94. [He/she] does poorly at schoolwork. Would you
say this is...
95. What is your current marital status?
97. How would you rate the overall quality of your
relationship with your [spouse/partner]? Would you say your relationship is...
98. In the last 12 months, how much of a problem
for your family, if any, has been caused by a family member's drug or alcohol
use? Would you say...
99. How would you rate your overall health? Would
you say your health is...
100. How would you rate your overall dental health?
Would you say your dental health is...
101. Have you been a very nervous person? Would
you say...
102. How often have you felt so down in the dumps
that nothing could cheer you up? Would you say...
103. How often have you felt calm and peaceful?
Would you say...
104. How often have you felt downhearted and blue?
Would you say...
105. How often have you been a happy person? Would
you say...
106. Was there a time when you didn't do work or
other activities as carefully as usual because of emotional problems?
107. During the past 4 weeks, to what extent have
your physical health or emotional problems interfered with your normal social
activities with family, friends, neighbors, or groups? Would you say..
108. Did you or other family members need respite
care in the last 12 months because of [CHILD]'s health condition?
109. Did your or your family receive all the respite
care that was needed?
110. Why did you or your family not get the respite
care that was needed?
111. Did you or other family members need genetic
counseling in the last 12 months because of [CHILD]'s health condition?
112. Did you or your family receive all the genetic
counseling that was needed?
113. Why did you or your family not get the genetic
counseling that was needed?
114. Did you or other family members need mental
health care or counseling in the last 12 months because of [CHILD]'s health
condition?
115. Did your or your family receive all the mental
health care or counseling that was needed?
116. Why did you or your family not get the mental
health care or counseling that was needed?
Demographics
117. Is [CHILD] of Spanish or Hispanic Origin?
119. Are you of Spanish or Hispanic origin?
121. You are...
123. What is the highest grade or level of school
that you have completed?
125. Is your [spouse/partner] the [CHILD]'S other
biological or adoptive parent?
126. Now, for analysis purposes only was your 1999
household income from all sources...