ID

43547

Description

Study part: Children Ages 12-17 National Survey of Childrens Health, NSCH, 2016. A study by the U.S. Department of Health and Human Services to better understand the health issues faced by children in the United States today. Child and Adolescent Health Measurement Initiative, Data Resource Center on Child and Adolescent Health website. Retrieved on 07/12/2016 from http://childhealthdata.org/learn/NSCH/resources/survey-instruments. OMB No. 0607-0990: Approval Expires 04/30/2019.

Link

http://childhealthdata.org/learn/NSCH/resources/survey-instruments

Keywords

Versions (2)
  1. 1/6/17 1/6/17 -
  2. 9/20/21 9/20/21 -
Uploaded on

September 20, 2021

DOI

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License

Creative Commons BY-NC 3.0
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NSCH 2016 Children Ages 12-17

English

I. About Your Family and Household

11 forms  
About Your Family and Household
Description

About Your Family and Household

Alias
UMLS CUI-1
C0015576
UMLS CUI-3
C0020052
1. DURING THE PAST WEEK, on how many days did all the family members who live in the household eat a meal together?
Description

eat meal together

Data type

text

Alias
UMLS CUI [1]
C0811110
2. Does anyone living in your household use cigarettes, cigars, or pipe tobacco?
Description

No ➔ SKIP to question I4

Data type

boolean

Alias
UMLS CUI [1,1]
C0543414
UMLS CUI [1,2]
C0677453
3. If yes, does anyone smoke inside your home?
Description

smoking

Data type

boolean

Alias
UMLS CUI [1]
C1519384
4a. When your family faces problems, how often are you likely to do each of the following? Talk together about what to do
Description

Family problems Discussion

Data type

text

Alias
UMLS CUI [1,1]
C0424960
UMLS CUI [1,2]
C2584313
4b. When your family faces problems, how often are you likely to do each of the following? Work together to solve our problems
Description

Family problems solve together

Data type

text

Alias
UMLS CUI [1,1]
C0424960
UMLS CUI [1,2]
C4274607
UMLS CUI [1,3]
C1883357
4c. When your family faces problems, how often are you likely to do each of the following? Know we have strengths to draw on
Description

Family problems strength

Data type

text

Alias
UMLS CUI [1,1]
C0424960
UMLS CUI [1,2]
C0808080
4d. When your family faces problems, how often are you likely to do each of the following? stay hopeful in difficult times
Description

Family problems Optimistic

Data type

text

Alias
UMLS CUI [1,1]
C0424960
UMLS CUI [1,2]
C0564556
5. Since this child was born, how often has it been very hard to get by on your family's income- hard to cover the basics like food or housing?
Description

family income

Data type

text

Alias
UMLS CUI [1]
C0945622
6. The next question is about whether you were able to afford the food you need. Which of these statements best describes the food situation in your household IN THE PAST 12 MONTHS?
Description

food Situation

Data type

text

Alias
UMLS CUI [1,1]
C0016452
UMLS CUI [1,2]
C0420206
7a. At any time DURING THE PAST 12 MONTHS, even for one month, did anyone in your family receive: Cash assistance from a government welfare program?
Description

welfare program Financial Assistance Cash

Data type

boolean

Alias
UMLS CUI [1,1]
C0681136
UMLS CUI [1,2]
C1456532
UMLS CUI [1,3]
C0680861
7b. At any time DURING THE PAST 12 MONTHS, even for one month, did anyone in your family receive: Food Stamps or Supplemental Nutrition Assistance Program benefits (SNAP)?
Description

Food Stamps; Supplemental Nutrition Assistance Program

Data type

boolean

Alias
UMLS CUI [1]
C0681144
UMLS CUI [2]
C3494397
7c. At any time DURING THE PAST 12 MONTHS, even for one month, did anyone in your family receive: Free or reduced-cost breakfasts or lunches at school?
Description

free food

Data type

boolean

Alias
UMLS CUI [1,1]
C1996904
UMLS CUI [1,2]
C0016452
7d. At any time DURING THE PAST 12 MONTHS, even for one month, did anyone in your family receive: Benefits from the Woman, Infants, and Children (WIC) Program?
Description

benefit; Women, Infants, and Children Program

Data type

boolean

Alias
UMLS CUI [1]
C0814225
UMLS CUI [2]
C4277516
8a. In your neighborhood, is/are there: Sidewalks or walking paths?
Description

neighborhood Sidewalks

Data type

boolean

Alias
UMLS CUI [1,1]
C0027569
UMLS CUI [1,2]
C3259201
8b. In your neighborhood, is/are there: A park or playground?
Description

neighborhood playground

Data type

boolean

Alias
UMLS CUI [1,1]
C0027569
UMLS CUI [1,2]
C4274571
8c. In your neighborhood, is/are there: A recreation center, community center, or boys’ and girls’ club?
Description

neighborhood recreation center

Data type

boolean

Alias
UMLS CUI [1,1]
C0027569
UMLS CUI [1,2]
C0680172
8d. In your neighborhood, is/are there: A library or bookmobile?
Description

neighborhood library

Data type

boolean

Alias
UMLS CUI [1,1]
C0027569
UMLS CUI [1,2]
C0023621
8e. In your neighborhood, is/are there: Litter or garbage on the street or sidewalk?
Description

neighborhood Inadequate garbage disposal

Data type

boolean

Alias
UMLS CUI [1,1]
C0027569
UMLS CUI [1,2]
C1319042
8f. In your neighborhood, is/are there: Poorly kept or rundown housing?
Description

neighborhood Poor housing

Data type

boolean

Alias
UMLS CUI [1,1]
C0027569
UMLS CUI [1,2]
C0555042
8g. In your neighborhood, is/are there: Vandalism such as broken windows or graffiti?
Description

neighborhood Vandalism

Data type

boolean

Alias
UMLS CUI [1,1]
C0027569
UMLS CUI [1,2]
C0424333
9a. To what extent do you agree with these statements about your neighborhood or community? People in this neighborhood help each other out
Description

Helping Behavior neighborhood

Data type

text

Alias
UMLS CUI [1,1]
C0018896
UMLS CUI [1,2]
C0027569
9b. To what extent do you agree with these statements about your neighborhood or community? We watch out for each other’s children in this neighborhood
Description

Social support neighborhood Child Care

Data type

text

Alias
UMLS CUI [1,1]
C0037438
UMLS CUI [1,2]
C0027569
UMLS CUI [1,3]
C0008067
9c. To what extent do you agree with these statements about your neighborhood or community? This child is safe in our neighborhood
Description

Create a safe, well-defined space for child to explore and learn; neighborhood

Data type

text

Alias
UMLS CUI [1]
C0509777
UMLS CUI [2]
C0027569
9d. To what extent do you agree with these statements about your neighborhood or community? When we encounter difficulties, we know where to go for help in our community
Description

Social support

Data type

text

Alias
UMLS CUI [1]
C0037438
9e. To what extent do you agree with these statements about your neighborhood or community? This child is safe at school
Description

safety of children school

Data type

text

Alias
UMLS CUI [1,1]
C0516535
UMLS CUI [1,2]
C0036375
10. Other than you or other adults in your home, is there at least one other adult in this child’s school, neighborhood, or community who knows this child well and who he or she can rely on for advice or guidance?
Description

Advice given

Data type

boolean

Alias
UMLS CUI [1]
C0680001
11a. To the best of your knowledge, has this child EVER experienced any of the following? Parent or guardian divorced or separated
Description

parents divorced

Data type

boolean

Alias
UMLS CUI [1]
C2242877
11b. To the best of your knowledge, has this child EVER experienced any of the following? Parent or guardian died
Description

parent died

Data type

boolean

Alias
UMLS CUI [1]
C0848943
11c. To the best of your knowledge, has this child EVER experienced any of the following? Parent or guardian served time in jail
Description

parent went to jail

Data type

boolean

Alias
UMLS CUI [1]
C3261113
11d. To the best of your knowledge, has this child EVER experienced any of the following? Saw or heard parents or adults slap, hit, kick, punch one another in the home
Description

abuse; family history

Data type

boolean

Alias
UMLS CUI [1]
C1404075
11e. To the best of your knowledge, has this child EVER experienced any of the following? Was a victim of violence or witnessed violence in neighborhood
Description

Victim of violence; witness to violent trauma

Data type

boolean

Alias
UMLS CUI [1]
C2711168
UMLS CUI [2]
C2136352
11f. To the best of your knowledge, has this child EVER experienced any of the following? Lived with anyone who was mentally ill, suicidal, or severely depressed
Description

Mental disorders; Lives with family

Data type

boolean

Alias
UMLS CUI [1]
C0004936
UMLS CUI [2]
C0557130
11g. To the best of your knowledge, has this child EVER experienced any of the following? Lived with anyone who had a problem with alcohol or drugs
Description

Substance abuse problem

Data type

boolean

Alias
UMLS CUI [1]
C0740858
11h. To the best of your knowledge, has this child EVER experienced any of the following? Treated or judged unfairly because of his or her race or ethnic group
Description

ethnic; discrimination

Data type

boolean

Alias
UMLS CUI [1]
C0870511
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Similar models

I. About Your Family and Household

11 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
About Your Family and Household
C0015576 (UMLS CUI-1)
C0020052 (UMLS CUI-3)
Item
1. DURING THE PAST WEEK, on how many days did all the family members who live in the household eat a meal together?
text
C0811110 (UMLS CUI [1])
eat meal together
Code List
1. DURING THE PAST WEEK, on how many days did all the family members who live in the household eat a meal together?
CL Item
0 days (1)
CL Item
1-3 days (2)
CL Item
4-6 days (3)
CL Item
Every day (4)
tobacco use cigarettes
Item
2. Does anyone living in your household use cigarettes, cigars, or pipe tobacco?
boolean
C0543414 (UMLS CUI [1,1])
C0677453 (UMLS CUI [1,2])
smoking
Item
3. If yes, does anyone smoke inside your home?
boolean
C1519384 (UMLS CUI [1])
Item
4a. When your family faces problems, how often are you likely to do each of the following? Talk together about what to do
text
C0424960 (UMLS CUI [1,1])
C2584313 (UMLS CUI [1,2])
Family problems
Code List
4a. When your family faces problems, how often are you likely to do each of the following? Talk together about what to do
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
None of the time (4)
Item
4b. When your family faces problems, how often are you likely to do each of the following? Work together to solve our problems
text
C0424960 (UMLS CUI [1,1])
C4274607 (UMLS CUI [1,2])
C1883357 (UMLS CUI [1,3])
Family problems
Code List
4b. When your family faces problems, how often are you likely to do each of the following? Work together to solve our problems
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
None of the time (4)
Item
4c. When your family faces problems, how often are you likely to do each of the following? Know we have strengths to draw on
text
C0424960 (UMLS CUI [1,1])
C0808080 (UMLS CUI [1,2])
Family problems
Code List
4c. When your family faces problems, how often are you likely to do each of the following? Know we have strengths to draw on
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
None of the time (4)
Item
4d. When your family faces problems, how often are you likely to do each of the following? stay hopeful in difficult times
text
C0424960 (UMLS CUI [1,1])
C0564556 (UMLS CUI [1,2])
Family problems
Code List
4d. When your family faces problems, how often are you likely to do each of the following? stay hopeful in difficult times
CL Item
All of the time (1)
CL Item
Most of the time (2)
CL Item
Some of the time (3)
CL Item
None of the time (4)
Item
5. Since this child was born, how often has it been very hard to get by on your family's income- hard to cover the basics like food or housing?
text
C0945622 (UMLS CUI [1])
family income
Code List
5. Since this child was born, how often has it been very hard to get by on your family's income- hard to cover the basics like food or housing?
CL Item
Never (1)
CL Item
Rarely (2)
CL Item
Somewhat often (3)
CL Item
Very often (4)
Item
6. The next question is about whether you were able to afford the food you need. Which of these statements best describes the food situation in your household IN THE PAST 12 MONTHS?
text
C0016452 (UMLS CUI [1,1])
C0420206 (UMLS CUI [1,2])
food Situation
Code List
6. The next question is about whether you were able to afford the food you need. Which of these statements best describes the food situation in your household IN THE PAST 12 MONTHS?
CL Item
We could always afford to eat good nutritious meals. (1)
CL Item
We could always afford enough to eat but not always the kinds of food we should eat. (2)
CL Item
Sometimes we could not afford enough to eat. (3)
CL Item
Often we could not afford enough to eat. (4)
welfare program Financial Assistance Cash
Item
7a. At any time DURING THE PAST 12 MONTHS, even for one month, did anyone in your family receive: Cash assistance from a government welfare program?
boolean
C0681136 (UMLS CUI [1,1])
C1456532 (UMLS CUI [1,2])
C0680861 (UMLS CUI [1,3])
Food Stamps; Supplemental Nutrition Assistance Program
Item
7b. At any time DURING THE PAST 12 MONTHS, even for one month, did anyone in your family receive: Food Stamps or Supplemental Nutrition Assistance Program benefits (SNAP)?
boolean
C0681144 (UMLS CUI [1])
C3494397 (UMLS CUI [2])
free food
Item
7c. At any time DURING THE PAST 12 MONTHS, even for one month, did anyone in your family receive: Free or reduced-cost breakfasts or lunches at school?
boolean
C1996904 (UMLS CUI [1,1])
C0016452 (UMLS CUI [1,2])
benefit; Women, Infants, and Children Program
Item
7d. At any time DURING THE PAST 12 MONTHS, even for one month, did anyone in your family receive: Benefits from the Woman, Infants, and Children (WIC) Program?
boolean
C0814225 (UMLS CUI [1])
C4277516 (UMLS CUI [2])
neighborhood Sidewalks
Item
8a. In your neighborhood, is/are there: Sidewalks or walking paths?
boolean
C0027569 (UMLS CUI [1,1])
C3259201 (UMLS CUI [1,2])
neighborhood playground
Item
8b. In your neighborhood, is/are there: A park or playground?
boolean
C0027569 (UMLS CUI [1,1])
C4274571 (UMLS CUI [1,2])
neighborhood recreation center
Item
8c. In your neighborhood, is/are there: A recreation center, community center, or boys’ and girls’ club?
boolean
C0027569 (UMLS CUI [1,1])
C0680172 (UMLS CUI [1,2])
neighborhood library
Item
8d. In your neighborhood, is/are there: A library or bookmobile?
boolean
C0027569 (UMLS CUI [1,1])
C0023621 (UMLS CUI [1,2])
neighborhood Inadequate garbage disposal
Item
8e. In your neighborhood, is/are there: Litter or garbage on the street or sidewalk?
boolean
C0027569 (UMLS CUI [1,1])
C1319042 (UMLS CUI [1,2])
neighborhood Poor housing
Item
8f. In your neighborhood, is/are there: Poorly kept or rundown housing?
boolean
C0027569 (UMLS CUI [1,1])
C0555042 (UMLS CUI [1,2])
neighborhood Vandalism
Item
8g. In your neighborhood, is/are there: Vandalism such as broken windows or graffiti?
boolean
C0027569 (UMLS CUI [1,1])
C0424333 (UMLS CUI [1,2])
Item
9a. To what extent do you agree with these statements about your neighborhood or community? People in this neighborhood help each other out
text
C0018896 (UMLS CUI [1,1])
C0027569 (UMLS CUI [1,2])
undefined item
Code List
9a. To what extent do you agree with these statements about your neighborhood or community? People in this neighborhood help each other out
CL Item
Definitely agree (1)
CL Item
Somewhat agree (2)
CL Item
Somewhat disagree (3)
CL Item
Definitely disagree (4)
Item
9b. To what extent do you agree with these statements about your neighborhood or community? We watch out for each other’s children in this neighborhood
text
C0037438 (UMLS CUI [1,1])
C0027569 (UMLS CUI [1,2])
C0008067 (UMLS CUI [1,3])
undefined item
Code List
9b. To what extent do you agree with these statements about your neighborhood or community? We watch out for each other’s children in this neighborhood
CL Item
Definitely agree (1)
CL Item
Somewhat agree (2)
CL Item
Somewhat disagree (3)
CL Item
Definitely disagree (4)
Item
9c. To what extent do you agree with these statements about your neighborhood or community? This child is safe in our neighborhood
text
C0509777 (UMLS CUI [1])
C0027569 (UMLS CUI [2])
undefined item
Code List
9c. To what extent do you agree with these statements about your neighborhood or community? This child is safe in our neighborhood
CL Item
Definitely agree (1)
CL Item
Somewhat agree (2)
CL Item
Somewhat disagree (3)
CL Item
Definitely disagree (4)
Item
9d. To what extent do you agree with these statements about your neighborhood or community? When we encounter difficulties, we know where to go for help in our community
text
C0037438 (UMLS CUI [1])
undefined item
Code List
9d. To what extent do you agree with these statements about your neighborhood or community? When we encounter difficulties, we know where to go for help in our community
CL Item
Definitely agree (1)
CL Item
Somewhat agree (2)
CL Item
Somewhat disagree (3)
CL Item
Definitely disagree (4)
Item
9e. To what extent do you agree with these statements about your neighborhood or community? This child is safe at school
text
C0516535 (UMLS CUI [1,1])
C0036375 (UMLS CUI [1,2])
undefined item
Code List
9e. To what extent do you agree with these statements about your neighborhood or community? This child is safe at school
CL Item
Definitely agree (1)
CL Item
Somewhat agree (2)
CL Item
Somewhat disagree (3)
CL Item
Definitely disagree (4)
Advice given
Item
10. Other than you or other adults in your home, is there at least one other adult in this child’s school, neighborhood, or community who knows this child well and who he or she can rely on for advice or guidance?
boolean
C0680001 (UMLS CUI [1])
parents divorced
Item
11a. To the best of your knowledge, has this child EVER experienced any of the following? Parent or guardian divorced or separated
boolean
C2242877 (UMLS CUI [1])
parent died
Item
11b. To the best of your knowledge, has this child EVER experienced any of the following? Parent or guardian died
boolean
C0848943 (UMLS CUI [1])
parent went to jail
Item
11c. To the best of your knowledge, has this child EVER experienced any of the following? Parent or guardian served time in jail
boolean
C3261113 (UMLS CUI [1])
abuse; family history
Item
11d. To the best of your knowledge, has this child EVER experienced any of the following? Saw or heard parents or adults slap, hit, kick, punch one another in the home
boolean
C1404075 (UMLS CUI [1])
Victim of violence; witness to violent trauma
Item
11e. To the best of your knowledge, has this child EVER experienced any of the following? Was a victim of violence or witnessed violence in neighborhood
boolean
C2711168 (UMLS CUI [1])
C2136352 (UMLS CUI [2])
Mental disorders; Lives with family
Item
11f. To the best of your knowledge, has this child EVER experienced any of the following? Lived with anyone who was mentally ill, suicidal, or severely depressed
boolean
C0004936 (UMLS CUI [1])
C0557130 (UMLS CUI [2])
Substance abuse problem
Item
11g. To the best of your knowledge, has this child EVER experienced any of the following? Lived with anyone who had a problem with alcohol or drugs
boolean
C0740858 (UMLS CUI [1])
ethnic; discrimination
Item
11h. To the best of your knowledge, has this child EVER experienced any of the following? Treated or judged unfairly because of his or her race or ethnic group
boolean
C0870511 (UMLS CUI [1])
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