New Zealand Health Survey
Child Questionnaire (Year 5)
1 July 2015 – 30 June 2016
CAPI Version
In field July 2015
Table of Contents
Notes for programmer......
Initial demographics......
Long-term health conditions......
Health conditions
Mental health conditions
Oral health......
Health status......
General health question......
Health service utilisation and patient experience
Usual primary health care provider......
General practitioners......
Primary health care nurses......
After-hours medical care......
Hospitals......
Emergency department......
Medical specialists......
Oral health care workers......
Other health care workers......
Rheumatic fever......
Health behaviours......
Perception of child’s weight......
Breastfeeding......
Nutrition......
Physical activity......
Response to child’s misbehaviour......
Developmental health and wellbeing......
Parent’s Evaluation of Developmental Status (Survey PEDS)......
Strengths and Difficulties Questionnaire (SDQ)......
Strengths and Difficulties Questionnaire (SDQ)......
Strengths and Difficulties Questionnaire (SDQ)......
Use of services for behavioural and developmental problems......
Parental stress......
Child exposure to second-hand smoke
Food security......
Socio-demographics......
Date of birth......
Ethnic group......
Medical Insurance......
Extra questions if there was no adult respondent in household......
Extra questions if primary caregiver was not the NZHS adult respondent......
Household composition......
Health Measurements......
Height......
Weight......
Waist......
Exit......
Re-contact information for quality control......
Re-contact information for follow-up research......
Consent for data linkage......
Christchurch residency......
Thank you......
Interviewer observations
Notes for programmer
‘Don't know,’ ‘refused,’ ‘none of the above’ or ‘no treatment’ cannot be selected with any other answer.
Colour conventions for printed questionnaire:
- black - text to be read by respondent and surveyor (generally questions and question responses)
- blue - instructions to be read by surveyor
- red - instructions for programmer
- green – text in the showcards only
Initial demographics
Before we begin the questionnaire, I will need to enter some general information about the child that has been randomly selected for the survey so that I only ask questions which are applicable to their gender and age.
CD.01 To begin, could you tell me the child’s first name?
[Record name]
.RRefused
CD.02 And are they male or female…?
Check aloud with respondent.
1Male
2Female
Transfer age details frommeasurements section if these were done first (eg, after the adult measurements).
I need to know / confirm [Name's] age as the questions I ask depend on his/herage.
Record age under 2 years in months; and age >=2 years in years.
If don’t know or refused say “I really need to know [Name’s] age in order to proceed with the questionnaire”. If respondent still cannot or won’t give the age go to Thank You and Close.
CD.03aAge_____ months (range 0-23)
CD.03bAge _____ years (range 2-14)
.KDon’t know
.RRefused
Error message if both month and year selected - 'Can't have values for both month and year'
Interviewer records age group
CD.03cAge group
1Birth-11 months
212-23 months (1 year old)
32-4 years
45-9 years
510-14 years
Consistency age check: if age and age group does not match go back to age and correct
Interviewer observations
Complete following observations without asking the respondent:
C6.13 Interview conducted with language assistance from a family member/friend of respondent.
1Yes
2No
C6.14 Interview conducted with language assistance from a professional translator.
1Yes
2No
Long-term health conditions
The first questions are aboutlong-termhealth conditions[Name] may have. A long-term health condition is a physical or mental illness that has lasted, or is expected to last, for more than six months. The symptoms may come and go or be present all the time.
If child <5 years add … “Some of the next questions may not apply to [Name], but please try to answer anyway”.
Health conditions
C1.01Have you ever been told by a doctor that [Name] has asthma?
1Yes
2No [go to eczema C1.03]
.KDon’t know[go to C1.03]
.RRefused [go to C1.03]
[Showcard]
C1.02What treatments does[Name] now have for asthma?
[Multiple responses possible]
1No treatment
2Inhaler
3Medicines, tablets or pills
77Something else
.KDon’t know
.RRefused
C1.03 Have you ever been told by a doctor that [Name] has eczema?
1Yes
2No [go to diabetes C1.05]
.KDon’t know[go to C1.05]
.RRefused [go to C1.05]
[Showcard]
C1.04 What treatments does[Name]nowhave for eczema?
[Multiple responses possible]
1No treatment
2Medicines, tablets or pills
3Cream or ointment
77Something else
.KDon’t know
.RRefused
C1.05 Have you ever been told by a doctor that [Name] has diabetes?
1Yes
2No [go to rheumatic heart disease C1.07]
.KDon’t know[go to C1.07]
.RRefused [go to C1.07]
[Showcard]
C1.06 What treatments does[Name]now have for diabetes?
[Multiple responses possible]
1No treatment
2Medicines, tablets or pills
3Insulin injections
4Diet
5Exercise
77Something else
.KDon’t know
.RRefused
C1.07 Have you ever been told by a doctor that [Name] has rheumatic heart
disease?
1Yes
2No [go to autism C1.09]
.KDon’t know[go to C1.09]
.RRefused [go to C1.09]
[Showcard]
C1.08What treatments does[Name]nowhave for rheumatic heart disease? [Multiple responses possible]
1No treatment
2Medicines, tablets or pills
3Penicillin injections or other antibiotic
77Something else
.KDon’t know
.RRefused
Respondents aged 2-14 years to be asked mental health conditions questions (C1.09-C1.16). Respondents aged from birth to 11 months go to health status (C1.19) and respondents aged 12-23 months go to oral health intro before C1.17.
Mental health conditions
C1.09 Have you ever been told by a doctor that [Name] has autism spectrum disorder, including Asperger’s syndrome?
1Yes
2No [go to depression C1.11]
.KDon’t know[go to C1.11]
.RRefused [go to C1.11]
[Showcard]
C1.10 What treatments does[Name] now have for autism spectrum disorder? [Multiple responses possible]
1No treatment
2Medicines, tablets or pills
3Counselling
77Something else
.KDon’t know
.RRefused
C1.11Have you ever been told by a doctor that [Name] has depression?
1Yes
2No [go to anxiety C1.13]
.KDon’t know[go to C1.13]
.RRefused [go to C1.13]
[Showcard]
C1.12What treatments does[Name]now have for depression?
[Multiple responses possible]
1No treatment
2Medicines, tablets or pills
3Counselling
4Exercise
77Something else
.KDon’t know
.RRefused
C1.13Have you ever been told by a doctor that [Name] has an anxiety disorder?
This includes panic attack, phobia, post-traumatic stress disorder, and
obsessive compulsive disorder.
1Yes
2No [go to ADD C1.15]
.KDon’t know[go to C1.15]
.RRefused [go to C1.15]
[Showcard]
C1.14What treatments does[Name]now have for anxiety disorder?
[Multiple responses possible]
1No treatment
2Medicines, tablets or pills
3Counselling
4Exercise
77Something else
.KDon’t know
.RRefused
C1.15Have you ever been told by a doctor that [Name] has attention deficit disorder (ADD) or attention deficit hyperactivity disorder (ADHD)?
1Yes
2No [if 1-14 years go to oral health intro before C1.17; otherwise go to general health intro before C1.19]
.KDon’t know[as above]
.RRefused [as above]
[Showcard]
C1.16What treatments does[Name]nowhave for ADD or ADHD?
[Multiple responses possible]
1No treatment
2Medicines, tablets or pills
3Counselling
77Something else
.KDon’t know
.RRefused
Oral health
Respondents aged 1-14 years to be asked the next Oral Health questions, C1.17 - C1.18. If respondent aged <1 years go to general health intro before C1.19
The next question is about[Name’s] teeth, gums and mouth. When I say dental health care worker, I mean dentists, dental therapists (formerly known as dental nurses) as well as any dental health specialists such as orthodontists.
C1.17 Have any of [Name’s]teeth been removed by a dental health care workerbecause of tooth decay, anabscess or infection? Do not include teeth lost for other reasons such as injury, crowded mouth or orthodontics.
Includes baby teeth ONLY if removed because of tooth decay, an abscess or infection.
1Yes
2No[go to general health intro before C1.19]
.KDon’t know[go to C1.19]
.RRefused [go to C1.19]
C1.18 Were any of these teeth removed in the last 12 months?
1Yes
2No
.KDon’t know
.RRefused
All respondents to be asked the next Health Status question
Health status
General health question
This question is about [Name’s]general health.
[Showcard]
C1.19 In general, would you say [Name’s] health is:
1Excellent
2Very good
3Good
4Fair
5Poor
.KDon’t know
.RRefused
The next set of questions is about the use of health care services in New Zealand for [Name]. I’ll begin by asking you about the place you usually go to when [Name] is feeling unwell or injured. Then I will ask about the different people[Name] has seen for his/herhealthin the past 12 months,which is from [insert period based on date of interview, eg from May last year to now]. I will also ask about [Name’s] experiences with accessing and receiving health care – these types of questions mostly relate to his/herlast visit.
Health service utilisation and patient experience
Usual primary health care provider
C2.01 Do you have a GP clinic or medical centre that you usually go to when [Name] is feeling unwell or is injured?
1Yes
2No[go to GP intro before C2.11]
.KDon’t know[go to intro before C2.11]
.RRefused [go to intro before C2.11]
[Showcard]
C2.02 What sort of health care service is this?
Māori or Pacific health clinics and Accident and Medical Centres should be coded as ‘A GP clinic, medical centre or family practice’.
If respondent says two places (eg, GP clinic for illness and after-hours for injury), ask which one they “usually” go to.
If they say “ED” specify in ‘Other’.
1A GP clinic, medical centre or family practice
2A clinic that is after-hours only – not an Emergency Department at a public hospital
77Other [Specify]______[go to GP intro before C2.11]
.KDon’t know[go to C2.11]
.RRefused [go to C2.11]
From now on, we’ll call this place [Name’s]usual medical centre.
C2.03 Is [Name’s]usualmedical centrethe same place that you usually go to when you are feeling unwell or injured?
1Yes
2No
.KDon’t know
.RRefused
C2.05 In the past 12 months, has there been a time when you wanted [Name] to see a GP, nurse or other health care worker at his/herusual medical centre within the next 24 hours, but he/shewas unable to be seen?
1Yes
2No [go to GP introduction before C2.11]
.KDon’t know[go to C2.11]
.RRefused [go to C2.11]
[Showcard]
C2.06 The last time [Name]couldn’t be seen within 24 hours, why was that?
1There weren’t any appointments
2The time offered didn’t suit me
3The appointment was with a doctor I didn’t want to see
4I could have seen a nurse but I wanted to see a doctor
5Another reason
.KDon’t know
.RRefused
If the reason that the person could not see the GP was because it was a weekend, the response should be coded as ‘another reason’.
General practitioners
These next questions are about [Name]seeing a general practitioner (GP) or family doctor. This can be at his/herusual medical centre or somewhere else. Some questions may sound similar to questions you have already answered, but we need to ask them again.
GP – utilisation
C2.11 In the past 12 months, has [Name]seen a GP, or been visited by a GP, about his/herown health? By health, I mean mental and emotional health as well as physical health.
1Yes
2No [go to GP barriers to access C2.27]
.KDon’t know[go to C2.27]
.RRefused [go to C2.27]
C2.12 How many times did [Name] see a GP in the past 12 months?
_____ times (range 1-99)
.KDon’t know
.RRefused
[Showcard]
C2.13 When was the last time [Name]saw a GP about his/herown health?
1Within the last month
2More than 1 month ago and less than 3 months
3More than 3 months ago and less than 6 months
4More than 6 months ago and less than 12 months ago
.KDon’t know
.RRefused
[Showcard]
C2.14Thinking back to the last time [Name] saw a GP about his/herown health, what type ofmedical centre was it?
Māori or Pacific health clinics and Accident and Medical Centres should be coded as ‘A GP clinic, medical centre or family practice’.
If respondent says two places (eg, GP clinic for illness and after-hours for injury), ask which one they “usually” go to.
If they say “ED” specify in ‘Other’.
1A GP clinic, medical centre or family practice
2A clinic that is after-hours only – not an Emergency Department at a public hospital
77Other [Specify]______
.KDon’t know
.RRefused
C2.15Thinking about [Name’s]last visit to a GP, what were you charged for that visit?
Record amount in dollars and cents, eg $60 = 60.00
If respondent says between two amounts, record the average in dollars and cents (eg, between $40 and $50: record 45.00)
If free enter 0.00
$___.___ (range 0.00-199.00)
.KDon’t know
.RRefused
GP – patient experience
Ask this series of questions if the respondent’s last visit to a GP was within the last 3 months (C2.13=1 or 2), else go to C2.27 (GP - barriers to access)
[Showcard]
C2.19Thinking about [Name’s] last visit to a GP, how good was the doctor at explaining [Name’s] health conditions and treatments in a way that you could understand?
1Very good
2Good
3Neither good or bad
4Poor
5Very poor
6 Doesn’t apply
.KDon’t know
.RRefused
[Showcard]
C2.22 Did you have confidence and trust in the GP [Name] saw?
1Yes, definitely
2Yes, to some extent
3No, not at all
.KDon’t know
.RRefused
GP – barriers to access
C2.27In the past 12 months, was there a time when [Name]had a medical problem but did not visit a GP because of cost?
1Yes
2No
.KDon’t know
.RRefused
C2.28In the past 12 months, was there a time when [Name]had a medical problem but did not visit a GP because you had no transport to get there?
1Yes
2No
.KDon’t know
.RRefused
C2.29In the past 12 months, was there a time when [Name]had a medical problem but did not visit a GP because you could not arrange childcare for other children?
1Yes
2No
3Doesn’t apply
.KDon’t know
.RRefused
C2.30In the past 12 months, was there a time when [Name]gota prescription but you did not collect one or more prescription items from the pharmacy or chemist because of cost?
1Yes
2No
.KDon’t know
.RRefused
Primary health care nurses
The next few questions are about nurses who work at GP clinics and medical centres. These nurses are sometimes called practice nurses or primary health care nurses. This does not include nurses that may have visited [Name] at home or school,and does not includenurses [Name] may have seen in a hospital,or midwivesand dental nurses.
C2.31In the past 12 months, has [Name] seen a Practice Nurse without seeing a GP at the same visit or appointment?
If the respondent saw the nurse before or after seeing the GP, code as “No”.
1Yes
2No[go to after-hours medical care intro before C2.42]
.KDon’t know[go to after-hours medical care intro before C2.42]
.RRefused [go to after-hours medical care intro before C2.42]
C2.32How many times in the past 12 months did [Name]see a Practice Nurse without seeing a GP at the same visit?
_____ times (range 1-99)
.KDon’t know
.RRefused
[Showcard]
C2.33When was the last time [Name] saw a Practice Nurse without seeing a GP at same visit?
1Within the last month
2More than 1 month ago and less than 3 months
3More than 3 months ago and less than 6 months
4More than 6 months ago and less than 12 months ago
.KDon’t know
.RRefused
[Showcard]
C2.34Thinking back to the last time [Name]saw a Practice Nurse, what type of medical centrewas it?
Māori or Pacific health clinics and Accident and Medical Centres should be coded as ‘A GP clinic, medical centre or family practice’.
If respondent says two places (eg, GP clinic for illness and after-hours for injury), ask which one they “usually” go to.
If they say “ED” specify in ‘Other’.
1A GP clinic, medical centre or family practice
2A clinic that is after-hours only – not an Emergency Department at a public hospital
77Other [Specify]______
.KDon’t know
.RRefused
C2.35What were you charged thelast time[Name]saw the Practice Nurse without seeing a GP at the same visit?
Record amount in dollars and cents, eg $60 = 60.00
If respondent says between two amounts, record the average in dollars and cents (eg, between $40 and $50: record 45.00)
If free enter 0.00
$___.___ (range 0.00-199.00)
.KDon’t know
.RRefused
After-hours medical care
This next section is on after-hours medical care, such as during evenings, weekends or holidays when most GP clinics or medical centres are closed.
C2.42In the past 12 months, how many times has [Name]gone to an after-hours medical centre abouthis/herown health? Do not include visits to an emergency department at a public hospital – we will ask about those later.
_____ times (range 0-99)
[if 0 go to barriers to after-hours services C2.49]
[if 1-99] then
[If the last GP visit was at an after-hours (C2.14=2) and has a usual medical centre which is a GP clinic/medical centre (C2.02=1) then go to informed C2.48a.
If the last GP visit was at an after-hours (C2.14=2) and does not have a usual medical centre (C2.01=2, .K or .R) orthe usual medical centre is an after-hours/other/DK/refused (C2.02=2, 77, .K or .R) go to barriers C2.49.
If the last GP visit was not at an after-hours (C2.14≠2) go to C2.43].
.K Don’t know [go to barriers C2.49]
.RRefused [go to barriers C2.49]
If respondent answered 2.14=2 then number of visits should be >=1
[Showcard]
C2.43When was the last time [Name] used an after-hours medical centre?
1Within the last month
2More than 1 month ago and less than 3 months
3More than 3 months ago and less than 6 months
4More than 6 months ago and less than 12 months ago
.KDon’t know
.RRefused
C2.44What were you charged for [Name’s]last after-hours visit?
Record amount in dollars and cents, eg $60 = 60.00
If respondent says between two amounts, record the average in dollars and cents (eg, between $40 and $50: record 45.00)
If free enter 0.00
$___.___ (range 0.00-199.00)
.KDon’t know
.RRefused
Ask next question ofrespondents who went to an after-hours medical centre (C2.42>=1) and have a usual medical centre (C2.01=1)andit is a GP clinic, medical centre or family practice (C2.02=1). Everyone else, go to next question C2.49 (did not go to after-hours because of cost).
[Showcard]
C2.48a Thinking about [Name] most recent visit to the after-hours medical centre, after he/she left the after-hours did the doctors or staff at his/her usual medical centre seem informed and up-to-date about the care he/she received at the after-hours?
If they say the doctors or staff at their usual medical centre didn’t need to know then code as “doesn’t apply”.
1Yes
2No
3My child hasn’t been to their usual medical centre since visiting the after-hours centre
4Doesn’t apply
.KDon’t know
.RRefused
[Showcard]
C2.49In the past 12 months, was there a time when [Name]had a medical problem outside regular office hours but you did not take him/herto an after-hours medical centre because of cost?
1Didn’t have a medical problem outside regular office hours[go to hospital intro before C2.51]
2Yes, didn’t go because of cost
3No
.KDon’t know
.RRefused
C2.50In the past 12 months, was there a time when [Name]had a medical problem outside regular office hours but you did not take him/herto an after-hours medical centrebecause you had no transport to get there?