The Changing Lives of Older
Couples Study
Wave I Widow Follow-up Survey
CODEBOOK
Facesheet
VAR #
1001 FS. Seq.#/CASE ID
1002 FS. Respondent # -- 1st 4 digits (CLOC ID#)
1003 FS. Respondent # -- last 2 digits, preprinted
[V1004: BUILD 6-digit Respondent ID# (V1002+V1003)]
Rev.
1005 FS. Result Code
01. Complete I'v
03. Complete Telephone I'v
05. Partial I'v
07. Partial Telephone I'v
1006 FS. Respondent "history": 2 digits
Code 1st 2-digit #
precoded on Facesheet
[V1007 - V1010: BUILD =
0]
1011 FS1. INTERVIEWER's
ID# (4 digits from label)
1012 FS2. Interview No.: (2 digits from box)
99. NA
1013 FS3. Date of Interview--MONTH
Code MONTH (01-12)
1014 FS3. Date of Interview--DAY
Code DAY (01-31)
1015 FS3. Date of Interview--YEAR
Code 4-digit YEAR
(1988-1995)
1016 FS4. Length of Interview
Code # of MINS (001-240)
SECTION A: HOUSEHOLD LISTING AND CIRCUMSTANCE OF THE
DEATH
A1. First, I need to list all the people
who live here. I don't need names, just
the age, sex and relationship to you for each person. Let's start with you. How old are you?
Now I need the age, sex
and relationship to you of any other adults and children who live here.
1101 A1. SUMMARY
# Persons in HOUSEHOLD
┌──────────────┐
│0 in 1105-1131├─────01. One ┌──────────────┐
└──────────────┘ │Code # persons│
┌──────────────┐ │listed in grid│
│0 in 1108-1131├─────02. Two │(01-20). │
└──────────────┘ └──────────────┘
┌──────────────┐
│0 in 1111-1131├─────03. Three
└──────────────┘
┌──────────────┐
│0 in 1114-1131├─────04. Four
└──────────────┘
┌──────────────┐
│0 in 1117-1131├─────05. Five
└──────────────┘
┌──────────────┐
│0 in 1120-1131├─────06. Six
└──────────────┘
┌──────────────┐
│0 in 1123-1131├─────07. Seven
└──────────────┘
┌──────────────┐
│0 in 1126-1131├─────08. Eight
└──────────────┘
┌──────────────┐
│0 in 1129-1131├─────09. Nine
└──────────────┘
10.
Ten
.
.
.
20.
Twenty
99. NA
1102(#1) A1(a). MEMBERS
OF THE HOUSEHOLD BY RELATIONSHIP TO RESPONDENT
1105(#2)
1108(#3) Partner/Spouse
1111(#4)
1114(#5) 01. RESPONDENT
1117(#6) 02. Spouse
of R
1120(#7) 03. Partner
of R
1123(#8)
1126(#9) Child
1129(#10)
10. Child(ren), NA sex (incl. foster
child/stepchild)
11. Son (incl. adopted)
12. Daughter (incl. adopted)
13. Stepson (incl. partner's son)
14. Stepdaughter (incl. partner's daughter)
15. Son-in-law (incl. daughter's partner)
16. Daughter-in-law (incl. son's partner)
17. Foster son
18. Foster daughter
Parent/Grandparent
20. Parent, NA sex ("parents" code 21,
22)
21. Father (incl. adoptive father)
22. Mother (incl. adoptive mother)
23. Stepfather
24. Stepmother
25. Father-in-law (incl. partner's father);
("my in-laws" code 25 and 26)
26. Mother-in-law (incl. partner's mother)
27. Grandparent; great-grandparent, NA sex
28. Grandfather; great-grandfather
29. Grandmother; great-grandmother
Sibling/Sibling-in-law
31. Brother
32. Sister
33. Stepbrother
34. Stepsister
35. Brother-in-law
36. Sister-in-law
1102(#1) A1(a). Continued
1105(#2)
1108(#3) Other Relatives
1111(#4)
1114(#5) 40. Grandchild/great
grandchild, NA sex
1117(#6) 41. Grandson;
great grandson
1120(#7) 42. Granddaughter;
great granddaughter
1123(#8) 43. Nephew
1126(#9) 44. Niece
1129(#10) 45. Uncle;
great-uncle
46. Aunt; great-aunt
47. Cousin
48. Other "in-laws"
┌─────────┐
│Make Card├────────49. Other relative
└─────────┘
Unrelated Persons
62. Housemate/roommate
63. Household employee; live-in sitter;
housekeeper
64. Friend
66. Person related to R's partner (exc. child or
parent)
67. Roomer; boarder
┌─────────┐
│Make Card├────────97. Other unrelated person
└─────────┘
98. DK
99. NA
00. Inap, no further persons in HU
1103(#1) A1(b). SEX
1106(#2)
1109(#3) 1.
Male
1112(#4) 2.
Female
1115(#5)
1118(#6) 9.
NA
1121(#7)
1124(#8) 0.
Inap, no further persons listed
1127(#9)
1130(#10)
1104(#1) A1(c). AGE
1107(#2)
1110(#3) Code AGE (01-97)
1113(#4)
1116(#5) 01.
One year or less
1119(#6)
1122(#7) 97.
97 years or more
1125(#8)
1128(#9) 98.
DK
1131(#10) 99.
NA
00. Inap, no further persons listed
[V1132: BUILD = 0]
1133 A2. I'd
like to begin by asking you about the circumstances of your (husband's/wife's)
death. How old was your (husband/
wife) when (he/she) died?
Code YEARS (40-97)
97. 97 years or more
98. DK
99. NA
SECTION A:
HOUSEHOLD LISTING AND CIRCUMSTANCE OF THE DEATH
VAR #
1201 A3. What
was the cause of (his/her) death? (IF
ACCIDENT,
1202 PROBE: What kind of accident? AND OBTAIN BRIEF
1203 DESCRIPTION
OF CIRCUMSTANCES)
Use HEALTH
CONDITION MASTER CODE
000. Inap, no further mention
1204 A4. INTERVIEWER
CHECKPOINT
┌──────────────┐
│0 in
1205-1241├─────1. CAUSE OF DEATH WAS ACCIDENT, MURDER OR
SUICIDE
└──────────────┘
┌──────────────┐
│0 in
1301-1344├─────2. ALL OTHERS
└──────────────┘
1205 A5. How
long before your (husband's/wife's) death did you realize that (he/she) was
going to die? (RECORD NUMBER OR
MARK BOX)
Code # (01-60), except:
┌──────────────┐
│0 in
1206-1207├─────96. NO WARNING/MINUTES
└──────────────┘
98. DK
99. NA
00.
Inap, 1 in 1204
1206 A5. TIME
UNIT
1. HOURS
2. DAYS
3. WEEKS
4. MONTHS
5. YEARS
9. NA
0. Inap, 1 in 1204; 96 in 1205
1207 A6. Was
the cause of (his/her) death an ongoing condition that you knew about before,
or did you only learn about it for
the first time
shortly before (he/she) died?
┌─────────┐
│0 in
1208├─────────1. ONGOING
└─────────┘
2.
FIRST TIME
8. DK
9. NA
0.
Inap, 1 in 1204; 96 in 1205
1208 A7. Did
(he/she) have any serious ongoing health problems?
1. YES
5. NO
8. DK
9. NA
0. Inap, 1 in 1204; 1 in 1207
1209 A8. Was
your (husband/wife) aware that (he/she) was dying?
1. YES
┌──────────────┐
│0 in
1210-1212├─────5. NO
└──────────────┼
├─────8. DK
└─────9. NA
0.
Inap, 1 in 1204
1210 A9. Did
(he/she) seem to be at peace with the idea of dying?
1. YES
5. NO
8. DK
9. NA
0. Inap, 1 in 1204; 5, 8-9 in 1209
1211 A10. Did
you and your (husband/wife) talk about the fact that
(he/she) might die?
1. YES
5. NO
8. DK
9. NA
0. Inap, 1 in 1204; 5, 8-9 in 1209
1212 A11. Did
you and (he/she) talk about how you would deal with
being on your own
once (he/she) was gone?
1. YES
5. NO
8. DK
9. NA
0. Inap, 1 in 1204; 5, 8-9 in 1209
1213 A12. INTERVIEWER
CHECKPOINT
1.
SPOUSE HAD (SERIOUS) ONGOING CONDITION
┌──────────────┐
│0 in
1214-1224├─────2. ALL OTHERS
└──────────────┘
0.
Inap, 1 in 1204
1214 A13. Did
you yourself have to provide physical care to your
(husband/wife) in
the 6 months before (he/she) died?
1. YES
┌──────────────┐
│0 in
1215-1224├─────5. NO
└──────────────┤
├─────8. DK
└─────9. NA
0.
Inap, 1 in 1204; 2 in 1213
1215 A13a. During
the last 6 months of (his/her) life, about how many hours a week did you
spend providing physical care for
your
(husband/wife)?
Code HOURS (01-95)
95. 95 hours or more
98. DK
99. NA
00. Inap, 1 in 1204; 2 in 1213; 5, 8-9 in 1214
1216 A13b. For
how many weeks, months, or years did you provide such
care?--WEEKS
Code WEEKS (00-95)
98. DK
99. NA
00. WEEKS not given; Inap, 1 in 1204; 2 in 1213;
5,
8-9 in 1214
1217 A13b. For
how many weeks, months, or years did you provide such
care?--MONTHS
Code MONTHS (00-60)
98. DK
99. NA
00. MONTHS not given; Inap, 1 in 1204; 2 in 1213;
5,
8-9 in 1214
1218 A13b. For
how many weeks, months, or years did you provide such
care?--YEARS
Code YEARS (00-20)
98. DK
99. NA
00. YEARS not given; Inap, 1 in 1204; 2 in 1213;
5,
8-9 in 1214
1219 A13c. What
kind of physical care did you provide?
1220
1221 MEDICAL
11. Medical care; gave medication/shots;
changed dressings/tubes/bags; monitored machines
PERSONAL NEEDS
(exc. 11)
21. Elimination; helped with/took to
bathroom; cleaned up after
22. Bathing; gave baths; helped with
bathing
23. Feeding; fed spouse, prepared meals,
etc.
24. Help move around house; lifting;
exercise/walking
25. Getting dressed
29. Other personal needs care: brushing hair (or
teeth); giving rubdowns, shaving, etc.
1219 A13c. Continued
1220
1221 31. Transportation; took spouse to doctor
or other appointment; "drove him everywhere"
┌────────────┐
│Low
Priority├─────95. "Everything"; "complete care"
└────────────┘
┌─────────┐
│Make
Card├────────97. Other
└─────────┘
98. DK
99. NA
00. Inap, 1 in 1204; 2 in 1213; 5, 8-9 in 1214;
no further mention
1222 A14. (RB,
P. 1) During the 6 months before
(he/she) died, how stressful was it for you to care for (him/her) or to arrange
for (his/her) care? Was it very
stressful, quite stressful, somewhat stressful, not too
stressful, or not
at all stressful?
1. VERY STRESSFUL
2. QUITE STRESSFUL
3. SOMEWHAT STRESSFUL
4. NOT TOO STRESSFUL
5. NOT AT ALL STRESSFUL
8. DK
9. NA
0. Inap, 1 in 1204; 2 in 1213; 5, 8-9 in 1214
1223 A15. How
much did caring for your (husband/wife) while (he/she) was ill keep you from
carrying out other responsibilities in your life? Would you say a great deal, somewhat,
a
little, or not at
all?
1. A GREAT DEAL
2. SOMEWHAT
3. A LITTLE
4. NOT AT ALL
8. DK
9. NA
0. Inap, 1 in 1204; 2 in 1213; 5, 8-9 in 1214
1224 A16. (RB,
P. 2) Please tell me how true the
following statement is. My
(husband's/wife's) illness was physically painful for (him/her). Is this very true,
somewhat, a little,
or not true at all?
1. VERY TRUE
2. SOMEWHAT TRUE
3. A LITTLE TRUE
4. NOT TRUE AT ALL
8. DK
9. NA
0. Inap, 1 in 1204; 2 in 1213; 5, 8-9 in 1214
A17. (RB, [STILL ON] P. 2) Please tell me how true each of the following
statements is in the case of your (husband/wife).
1225 A17a. In
the weeks before (his/her) death, things between my (husband/wife) and me were going
well. Is this very true,
somewhat, a little,
or not true at all?
1. VERY TRUE ┌───────────────┐
2. SOMEWHAT TRUE │USE SAME CODE │
3. A LITTLE TRUE │FOR
V1226-1228 │
4. NOT TRUE AT ALL └───────────────┘
8. DK
9. NA
0. Inap, 1 in 1204
1226 A17b. My
(husband/wife) lived a full life.
1227 A17c. During
(his/her) lifetime my (husband/wife) was able to
achieve just about
everything (he/she) hoped to achieve.
1228 A17d. I
believe that my (husband/wife) is now in a better place
than (he/she) was
on this earth.
1229 A18. Were
you there with your (husband/wife) at the moment when
(he/she) died?
1. YES
5. NO
8. DK
9. NA
0. Inap, 1 in 1204
1230 A19. (RB,
P. 3) Do you feel that your (husband/wife) did things that may have contributed
to (his/her) death? Would you say no,
not at all; yes, a little; yes, somewhat; or yes,
a great deal?
┌──────────────┐
│0 in
1231-1232├─────1. NO, NOT AT ALL
└──────────────┤
│ 2.
YES, A LITTLE
│ 3.
YES, SOMEWHAT
│ 4.
YES, A GREAT DEAL
│
├─────8. DK
└─────9. NA
0.
Inap, 1 in 1204
Rev.
11/2/90
1231 A19a. What
did (he/she) do that may have contributed to
1232 (his/her)
death?
11. Smoking
12. Alcohol/drug use
13. Improper eating habits; wouldn't eat
right foods/ follow diet
14. Lack of exercise; just sat around
19. Put off/refused medical care;
"wouldn't follow doctor's orders"--n.e.c.
21. Emotional stress (self-induced or
caused by others)
22. Physical stress/overwork; worked too
hard; "pushed himself too much"
┌─────────┐
│Make
Card├────────97. Other
└─────────┘
98. DK
99. NA
00. Inap, 1 in 1204; 1, 8-9 in 1230; no further
mention
1233 A20. (RB,
STILL ON P. 3) Do you feel that anyone else did things that may have
contributed to your (husband's/ wife's) death?
(Would you say no, not at all; yes, a
little; yes,
somewhat; or yes, a great deal?)
┌──────────────┐
│0 in
1234-1241├─────1. NO, NOT AT ALL
└──────────────┤
│ 2.
YES, A LITTLE
│ 3.
YES, SOMEWHAT
│ 4.
YES, A GREAT DEAL
│
├─────8. DK
└─────9. NA
0.
Inap, 1 in 1204
1234(#1) A20a. Who
do you feel may have contributed to the death?
1238(#2)
Use RELATIONSHIP MASTER CODE, except:
┌──────────────┐
│0 in
1239-1241├─────00. No person #2 listed; Inap, 1 in 1204; 1, 8-9
└──────────────┘ in 1233
Rev.
11/2/90
1235(#1) A20b. What
did (PERSON #1) do?
1236(#1) A20d.
What did (PERSON #2) do?
1239(#2)
1240(#2)
21. Caused emotional stress (exc. 41); son
took drugs, was in jail; conflicts with (person at A20a)
23. Employment situation; dangerous/unhealthy
working conditions
41. Doctor/hospital incompetent/negligent/unhelpful
91. Person shot/assaulted spouse (incl. in war)
┌─────────┐
│Make
Card├────────97. Other
└─────────┘
98. DK
99. NA
00. Inap, 1 in 1204; 1, 8-9 in 1233; 00 in 1238;
no further mention
1237(#1) A20c. (RB,
STILL ON P. 3) Do you blame (PERSON #1) for your
1241(#2) (husband's/wife's) death?
A20e. (RB, STILL ON P. 3) Do you blame (PERSON #2)
for your
(husband's/wife's)
death?
(Would you say no,
not at all; yes, a little; yes,
somewhat; or yes, a
great deal?)
1. NO, NOT AT ALL
2. YES, A LITTLE
3. YES, SOMEWHAT
4. YES, A GREAT DEAL
8. DK
9. NA
0. Inap, 1 in 1204; 1, 8-9 in 1233; 00 in 1238
SECTION A:
HOUSEHOLD LISTING AND CIRCUMSTANCE OF THE DEATH
VAR #
┌─────────────────────────────────────────┐
│SPOUSE DIED
BY ACCIDENT/ MURDER/ SUICIDE │
└─────────────────────────────────────────┘
1301 A21. On
what month, day and year did the (accident/murder/
suicide)
happen?--MONTH
Code MONTH (01-12)
98. DK
99. NA
00. Inap, 2 in 1204
1302 A21. On
what month, day and year did the (accident/murder/
suicide)
happen?--DAY
Code DAY (01-31)
98. DK
99. NA
00. Inap, 2 in 1204
1303 A21. On
what month, day and year did the (accident/murder/
suicide) happen?--YEAR
Code YEAR
(1987-1995)
9998. DK
9999. NA
0000. Inap, 2 in 1204
1304 A22. INTERVIEWER
CHECKPOINT
1.
CAUSE WAS ACCIDENT
┌──────────────┐
│0 in
1305-1307├─────2. ALL OTHERS
└──────────────┘
0.
Inap, 2 in 1204
1305 A22a. Was
anyone else involved in the accident?
1. YES
┌──────────────┐
│0 in
1306-1307├─────5. NO
└──────────────┤
├─────8. DK
└─────9. NA
0.
Inap, 2 in 1204 or 1304
1306 A22b. Who
was that? I don't need a specific name.
1307
Use RELATIONSHIP
MASTER CODE
00. Inap, 2 in 1204 or 1304; 5, 8-9 in 1305; no
further mention
1308 A23. Was
(he/she) still alive when you first heard about the
incident?
1. YES
┌──────────────┐
│0 in
1309-1314├─────5. NO
└──────────────┤
├─────8. DK
└─────9. NA
0.
Inap, 2 in 1204
1309 A23a. How
long after that did (he/she) die?
Code # (01-60), except:
98. DK
99. NA
00. Inap, 2 in 1204; 5, 8-9 in 1308
1310 A23a. TIME
UNIT
1. HOURS
2. DAYS
3. WEEKS
4. MONTHS
9. NA
0. Inap, 2 in 1204; 5, 8-9 in 1308
1311 A24. Was
your (husband/wife) aware that (he/she) was dying?
1. YES
┌──────────────┐
│0 in
1312-1314├─────5. NO
└──────────────┤
├─────8. DON'T KNOW
└─────9. NA
0.
Inap, 2 in 1204; 5, 8-9 in 1308
1312 A25. Did
(he/she) seem to be at peace with dying?
1. YES
5. NO
8. DK
9. NA
0. Inap, 2 in 1204; 5, 8-9 in 1308 or 1311
1313 A26. Did
you and your (husband/wife) talk about the fact that
(he/she) might die?
1. YES
5. NO
8. DK
9. NA
0. Inap, 2 in 1204; 5, 8-9 in 1308 or 1311
1314 A27. Did
you and (he/she) talk about how you would deal with
being on your own
once (he/she) was gone?
1. YES
5. NO
8. DK
9. NA
0. Inap, 2 in 1204; 5, 8-9 in 1308 or 1311
1315 A28. Before
the (accident/murder/suicide) did your (husband/
wife) have any
serious ongoing health problems?
1. YES
┌──────────────┐
│0 in
1316-1326├─────5. NO
└──────────────┤
├─────8. DK
└─────9. NA
0.
Inap, 2 in 1204
1316 A29. In
the six months before (he/she) died, did you yourself have to provide physical
care to (him/her) because of a
serious ongoing
health problem?
1. YES
┌──────────────┐
│0 in
1317-1326├─────5. NO
└──────────────┤
├─────8. DK
└─────9. NA
0.
Inap, 2 in 1204; 5, 8-9 in 1315
1317 A29a. About
how many hours a week did you spend providing physical care for
(him/her) during the last six months of
(his/her) life?
Code HOURS (01-95)
95. 95 hours or more
98. DK
99. NA
0. Inap, 2 in 1204; 5, 8-9 in 1315 or 1316
1318 A29b. For
how many weeks, months, or years did you provide such
care?--WEEKS
Code WEEKS (00-95)
98. DK
99. NA
00. WEEKS not given; Inap, 2 in 1204; 5, 8-9
in 1315 or 1316
1319 A29b. For
how many weeks, months, or years did you provide such
care?--MONTHS
Code MONTHS (00-60)
98. DK
99. NA
00. MONTHS not given; Inap, 2 in 1204; 5, 8-9
in 1315 or 1316
1320 A29b. For
how many weeks, months, or years did you provide such
care?--YEARS
Code YEARS (00-20)
98. DK
99. NA
00. YEARS not given; Inap, 2 in 1204; 5, 8-9
in 1315 or 1316
1321 A29c. What
kind of physical care did you provide?
1322
1323 MEDICAL
11. Medical care; gave medication/shots;
changed dressings/tubes/bags; monitored machines
PERSONAL NEEDS
(exc. 11)
21. Elimination; helped with/took to
bathroom; cleaned up after
22. Bathing; gave baths; helped with
bathing
23. Feeding; fed spouse, prepared meals,
etc.
24. Help move around house; lifting;
exercise/walking
25. Getting dressed
29. Other personal needs care: brushing hair (or
teeth); giving rubdowns, shaving, etc.
1321 A29c. Continued
1322
1323 31. Transportation; took spouse to doctor or other appointment;
"drove him everywhere"
┌────────────┐
│Low
Priority├─────95. "Everything"; "complete care"
└────────────┘
┌─────────┐
│Make
Card├────────97. Other
└─────────┘
98. DK
99. NA
00. Inap, 2 in 1204; 5, 8-9 in 1315 or 1316; no
further mention
1324 A30. (RB,
P. 4) During the 6 months before
(he/she) died, how stressful was it for you to care for (him/her) or to arrange
for (his/her) care? Was it very
stressful, quite stressful, somewhat stressful, not too
stressful, or not
at all stressful?
1. VERY STRESSFUL
2. QUITE STRESSFUL
3. SOMEWHAT STRESSFUL
4. NOT TOO STRESSFUL
5. NOT AT ALL STRESSFUL
8. DK
9. NA
0. Inap, 2 in 1204; 5, 8-9 in 1315 or 1316
1325 A31. How
much did caring for your (husband/wife) during the 6 months before (he/she)
died keep you from carrying out other responsibilities in your life? Would you say
a great deal,
somewhat, a little, or not at all?
1. A GREAT DEAL
2. SOMEWHAT
3. A LITTLE
4. NOT AT ALL
8. DK
9. NA
0. Inap, 2 in 1204; 5, 8-9 in 1315 or 1316
1326 A32. (RB,
P. 5) Please tell me how true the
following statement is. My
(husband's/wife's) condition was physically painful for (him/her). Is this very true,
somewhat, a little,
or not true at all?
1. VERY TRUE
2. SOMEWHAT TRUE
3. A LITTLE TRUE
4. NOT TRUE AT ALL
8. DK
9. NA
0. Inap, 2 in 1204; 5, 8-9 in 1315 or 1316
A33. (RB, [STILL ON] P. 5) Please tell me how true each of the following
statements is in the case of your (husband/wife).
1327 A33a. In
the weeks before (his/her) death, things between my (husband/wife) and me were going
well. Is this very true,
somewhat, a little,
or not true at all?
1. VERY TRUE ┌───────────────┐
2. SOMEWHAT TRUE │USE SAME CODE │
3. A LITTLE TRUE │FOR
V1328-1330 │
4. NOT TRUE AT ALL └───────────────┘
8. DK
9. NA
0. Inap, 2 in 1204
1328 A33b. My
(husband/wife) lived a full life.
1329 A33c. During
(his/her) lifetime my (husband/wife) was able to
achieve just about
everything (he/she) hoped to achieve.
1330 A33d. I
believe that my (husband/wife) is now in a better place
than (he/she) was
on this earth.
1331 A34. INTERVIEWER
CHECKPOINT
1. CAUSE OF DEATH WAS ACCIDENT OR MURDER
┌──────────────┐
│0 in
1332-1334├───── 2. CAUSE WAS SUICIDE
└──────────────┘
0. Inap, 2 in 1204
1332 A35. (RB,
P. 6) Do you feel that your (husband/wife) did things that may have contributed
to (his/her) death? Would you say no,
not at all; yes, a little; yes, somewhat; or yes,
a great deal?
┌──────────────┐
│0 in
1333-1334├─────1. NO, NOT AT ALL
└──────────────┤
│ 2.
YES, A LITTLE
│ 3.
YES, SOMEWHAT
│ 4.
YES, A GREAT DEAL
│
├─────8. DK
└─────9. NA
0. Inap, 2 in 1204 or 1331
1333 A35a. What
did (he/she) do that contributed to (his/her) death?
1334
11. Smoking
12. Alcohol/drug use
13. Improper eating habits; wouldn't eat
right foods/ follow diet
19. Put off/refused medical care;
"wouldn't follow doctor's orders"--n.e.c.
21. Emotional stress (self-induced or
caused by others)
22. Physical stress/overwork; worked too
hard; "pushed himself too much"
23. Employment situation--n.e.c.;
dangerous/unhealthy working conditions
┌─────────┐
│Make
Card├────────97. Other
└─────────┘
98. DK
99. NA
00. Inap, 2 in 1204 or 1331; 1, 8-9 in 1332; no
further mention
1335 A36. INTERVIEWER
CHECKPOINT
1.
CAUSE OF DEATH WAS ACCIDENT OR SUICIDE
┌──────────────┐
│0 in
1336-1344├─────2. CAUSE OF DEATH WAS MURDER
└──────────────┘
0.
Inap, 2 in 1204
1336 A37. (RB,
STILL ON P. 6) Do you feel that anyone else did things that may have
contributed to your (husband's/ wife's) death?
(Would you say no, not at all; yes, a
little; yes,
somewhat; or yes, a great deal?)
┌──────────────┐
│0 in
1337-1344├─────1. NO, NOT AT ALL
└──────────────┤
│ 2.
YES, A LITTLE
│ 3.
YES, SOMEWHAT
│ 4.
YES, A GREAT DEAL
│
├─────8. DK
└─────9. NA
0. Inap, 2 in 1204 or 1335
1337(#1) A37a. Who
do you feel may have contributed to the death?
1341(#2)
Use RELATIONSHIP
MASTER CODE, except:
┌──────────────┐
│0 in
1342-1344├─────00. No person #2 listed; Inap, 2 in 1204 or 1335;
└──────────────┘ 1, 8-9 in 1336
Rev.
11/2/90
1338(#1) A37b. What
did (PERSON #1) do?
1339(#1) A37d.
What did (PERSON #2) do?
1342(#2)
1343(#2) 21. Caused
emotional stress (exc. 41); son took drugs, was in jail; conflicts with
(person at A20a)
23. Employment situation; dangerous/unhealthy
working conditions
41. Doctor/hospital incompetent/negligent/unhelpful
91. Person shot/assaulted spouse (incl. in war)
┌─────────┐
│Make
Card├────────97. Other
└─────────┘
98. DK
99. NA
00. Inap, 2 in 1204 or 335; 1, 8-9 in 1336;
00 in 1341; no further mention
1340(#1) A37c. (RB,
STILL ON P. 6) Do you blame (PERSON #1) for your
1344(#2) (husband's/wife's) death?
A37e. (RB, STILL ON P. 6) Do you blame (PERSON #2)
for your
(husband's/wife's)
death?
(Would you say no,
not at all; yes, a little; yes,
somewhat; or yes, a
great deal?)
1. NO, NOT AT ALL
2. YES, A LITTLE
3. YES, SOMEWHAT
4. YES, A GREAT DEAL
8. DK
9. NA
0. Inap, 2 in 1204 or 1335; 1, 8-9 in 1336;
00 in 1341
SECTION B: GRIEF
VAR #
1401 B1. INTERVIEWER
CHECKPOINT
1.
SPOUSE HAD SERIOUS ONGOING CONDITION BEFORE (HE/SHE)
DIED
┌──────────────┐
│0 in
1402-1406├─────2. ALL OTHERS
└──────────────┘
B2. (RB, P. 7) For the next questions, please
think about the time when your (husband/wife) was alive but in poor health.
1402 B2a. At
any time while your (husband/wife) was still alive, did you ever find that you
couldn't get thoughts of (him/her) or (his/her) condition out of your mind even
when you wanted to? Would you say no,
never; yes, but rarely; yes,
sometimes; or yes,
often?
1. NO, NEVER ┌───────────────┐
2. YES, BUT RARELY │USE SAME CODE │
3. YES, SOMETIMES │FOR V1403-1406 │
4. YES, OFTEN └───────────────┘
8. DK
9. NA
0. Inap, 2 in 1401
1403 B2b. Did
you ever find yourself going over and over what was
happening?
1404 B2c. While
(he/she) was still living, did you ever find yourself searching to make sense
or find some meaning in
your
(husband's/wife's) situation?
1405 B2d. While
(he/she) was still alive, did you ever have feelings of grief or sadness over
the thought of losing your
(husband/wife)?
1406 B2e. Did
you ever cry about what was happening to (him/her)?
B3. (RB, [STILL ON] P. 7) Now, I have a list of feelings and emotions
that some people still experience many months after the loss of their
husband or wife. Please think about the
past month.
1407 B3. During
the past month, have you felt afraid of what lies ahead for you? (Would you
say no, never; yes, but rarely;
yes, sometimes; or
yes, often)?
1. NO, NEVER ┌───────────────┐
2. YES, BUT RARELY │USE SAME CODE │
3. YES, SOMETIMES │FOR V1408-1429 │
4. YES, OFTEN └───────────────┘
8. DK
9. NA
1408 B4. Have
you felt extremely anxious and unsettled during the
past month?
1409 B5. During
the past month, have you felt worried about how you
would manage your
day-to-day affairs?
1410 B6. Has
life seemed empty?
1411 B7. During
the past month, did you feel amazed at your
strength?
1412 B8. Did
you feel you were coping well with the loss of your
(husband/wife)?
1413 B9. During
the past month, did you feel proud of how well you
were managing?
1414 B10. Have
you felt as though you were in a state of shock?
1415 B11. During
the past month, have you felt as though you
couldn't believe
what was happening?
1416 B12. Have
you felt emotionally numb?
1417 B13. During
the past month, have you felt resentful or bitter
about your
(husband's/wife's) death?
1418 B14. Have
you felt that the death of your (husband/wife) was
unfair?
1419 B15. In
the past month, have you felt anger toward God?
1420 B16. Have
you felt empty inside, like an important part of you
is missing?
1421 B17. In
the past month, have you felt that life has lost its
meaning?
1422 B18. In
the last month, have you had any regrets about anything that happened between
you and your (husband/wife) while
(he/she) was still
alive?
1423 B19. Have
you felt as though you did all you could have done
for your
(husband/wife) before (his/her) death?
1424 B20. During
the past month, have you had any regrets about
things you did or
failed to do while (he/she) was alive?
1425 B21. In
the past month, have you heard a sound that you thought
might be (him/her)?
1426 B22. In
the past month, have you sensed the presence of your
(husband/wife?)
1427 B23. To
help you make decisions, have you thought about what
your (husband/wife)
would have done?
1428 B24. During
the past month, have you felt drawn to places and
things that make
you feel close to your (husband/wife)?
1429 B25. Have
you found yourself longing to have (him/her) with
you?
1430 B26. (RB,
STILL ON P. 7) People have different
reactions to the death of a husband or wife.
During the past month, have you had painful waves of missing your
(husband/wife)? (Would you say no,
never; yes, but rarely; yes, sometimes;
or yes, often)?
1. NO,
NEVER
┌──────────────┐
│0 in
1431-1432├─────2. YES, BUT RARELY
└──────────────┼─── 3.
YES, SOMETIMES
├─────4. YES, OFTEN
│
├─────8. DK
└─────9. NA
1431 B26a. (RB,
STILL ON P. 7) Has it happened in the
last 6 months?--(no, never; yes, but rarely; yes,
sometimes; or
yes, often)?
1. NO,
NEVER
┌─────────┐
│0 in
1432├─────────2. YES, BUT RARELY
└─────────┼─────────3. YES, SOMETIMES
├─────────4. YES, OFTEN
│
├─────────8. DK
└─────────9. NA
0.
Inap, 2-4, 8-9 in 1430
[V1432: BUILD = 0]
1433 B27. (RB,
STILL ON P. 7) During the past month,
have you experienced feelings of intense pain or grief over the loss of your (husband/wife)--(no,
never; yes, but rarely;
yes, sometimes; or
yes, often)?
1. NO,
NEVER
┌──────────────┐
│0 in
1434-1435├─────2. YES, BUT RARELY
└──────────────┼─────3. YES, SOMETIMES
├─────4. YES, OFTEN
│
├─────8. DK
└─────9. NA
[1V434: BUILD = 0]
1435 B27a. (RB,
STILL ON P. 7) At any time since
(he/she) died, did you ever experience feelings of intense pain or grief
over (his/her) loss--(no,never; yes, but rarely; yes,
sometimes; or
yes,often)?
1. NO, NEVER
2. YES, BUT RARELY
3. YES, SOMETIMES
4. YES, OFTEN
8. DK
9. NA
0. Inap, 2-4, 8-9 in 1433
[V1436-V1438: BUILD
= 0]
SECTION C: PARENTING
VAR #
The next questions
are about children.
1501 C1. Do
you have any children who are not living here with you at the present
time? Please include adopted children or
stepsons and
stepdaughters not living here.
1. YES
┌─────────┐
│0 in
1502├─────────5. NO, NO CHILDREN ELSEWHERE
└─────────┤
└─────────9. NA
1502 C1a. How
many do not live with you?
Code NUMBER (01-20)
98. DK
99. NA
00. Inap, 5 or 9 in 1501
1503 C2. Altogether,
how many living children do you have?
Again, please include any adopted children or stepsons and
stepdaughters you
may have.
Code NUMBER (01-20), except:
98. DK
99. NA
┌──────────────┐
│0 in
1504-1525├─────00. NONE
└──────────────┘
1504 C2a. INTERVIEWER
CHECKPOINT
1. R
ONLY HAS ONE CHILD
┌─────────┐
│0 in
1505├─────────2. ALL OTHERS
└─────────┘
0.
Inap, 00 in 1503
1505 C2b. Is
this a son or daughter?
1. SON
2. DAUGHTER
9. NA
0. Inap, 00 in 1503; 2 in 1504
1506 C3. INTERVIEWER
CHECKPOINT
┌──────────────┐
│0 in
1507-1510├─────1. R HAS NO CHILDREN LIVING ELSEWHERE
└──────────────┘
2. R
HAS ONLY ONE CHILD LIVING ELSEWHERE
3. R
HAS MORE THAN ONE CHILD LIVING ELSEWHERE
9. NA
0.
Inap, 00 in 1503
1507 C4/C5. Think
about your (son/daughter/children) who (does/do) not live with you. Does (he/she/how many of your children)
live within an
hour's drive of here?
01. One (to C4); YES (to C5)
02-20.
96. NONE (to C4); NO (to C5)
98. DK
99. NA
00. Inap, 00 in 1503; 1 in 1506
1508 C4a/C5a.
(RB, P. 8) In the past 6 months, how often did you have
contact with your
(son/daughter/at least one of your children) who (doesn't/do not) live with
you, either in person, by phone or by mail.
Would you say more than once a week, about once a week, 1
to 3 times a month, less than
once a month or
never?
1. MORE THAN ONCE A WEEK
2. ABOUT ONCE A WEEK
3. 1 TO 3 TIMES A MONTH
4. LESS THAN ONCE A MONTH
5. NEVER
8. DK
9. NA
0. Inap, 00 in 1503; 1 in 1506
1509 C4b/C5b.
Compared to when your (husband/wife) was alive, do you
have more interest,
less interest, or about the same
amount of interest
in having contact with your children?
1. MORE
3. SAME
5. LESS
8. DK
9. NA
0. Inap, 00 in 1503; 1 in 1506
1510 C4c/C5c.
Have your children shown more interest, less interest,
or about the same
amount of interest in having contact
with you?
1. MORE
3. SAME
5. LESS
8. DK
9. NA
0. Inap, 00 in 1503; 1 in 1506
1511 C6. INTERVIEWER
CHECKPOINT
1. R HAS ONLY ONE CHILD
2. R HAS TWO OR MORE CHILDREN
0. Inap, 00 in 1503