YEAR 5
RACIAL ATTITUDES
GROUP2 - Geo-racial
Group
1 LRBlack
2 LRWhite
3 OLRBlack
4 OLRWhite
UNIQUEID
– Unique Identifier
1. We'd like to know how
you would rate relations between blacks and whites in Pulaski County these
days. Would you say relations
between blacks and whites are Very good, Somewhat
good, Somewhat bad, or Very bad?
2 Somewhat good
3 Somewhat bad
4 Very bad
5 No Opinion
7 Don't Know
9 Refused
2. Over the past year, do
you think that relations between blacks and whites in Pulaski County have
Improved, Remained about the same, or Have gotten worse?
2 Remained
about the Same
3 Gotten
Worse
7 Don't Know
9 Refused
3. Thinking back over your
lifetime, how have civil rights for blacks changed in Pulaski County...
Would
you say the situation has Greatly
improved, Somewhat improved, Stayed pretty much the
same, Somewhat worsened, or Greatly worsened?
2 Somewhat
improved
3 Stayed the
same
4 Somewhat
worsened
5 Greatly
worsened
7 Don't Know
9 Refused
4. Have you ever been the
victim of discrimination or reverse discrimination while getting healthcare for
yourself or a family member?
2 No
7 Don't Know
9 Refused
5. How often do you think
about your race? Would you say...
2 Once a year
3 Once a
month
4 Once a week
5 Once a day
6 Once an
hour
8 Constantly
7 Don't Know
9 Refused
6. If you could choose,
would you prefer to be treated by a doctor of your own race or
ethnic group, another race or ethnic group, or do you have no preference?
1 Prefer
doctor of own race/ethnic group
2 Another
race or ethnic group
3 No
preference
7 Don't Know
9 Refused
7. In your day to day life, have you ever felt that people act as if
they think you are dishonest?
2 No
7 Don't Know
9 Refused
8. About how often would
you say this happens? Would you say Never, Rarely, Sometimes, or
Often?
2 Rarely
3 Sometimes
4 Often
7 Don't Know
9 Refused
9. In your opinion, how well do you think
blacks are treated in your community--the same as whites, not very
well, or badly?
3 Badly
6 Other
Specify (Q9A)
7 Don't know
9 Refused
10. Are blacks in your community treated
less fairly than whites on the job or at work?
2 No
7 Don't Know
9 Refused
11. Are blacks in your
community treated less fairly than whites in the stores downtown or at the
shopping mall?
1 Yes
2 No
7 Don't Know
9 Refused
12. Are blacks in your community treated
less fairly than whites in restaurants, bars, theaters, or other entertainment
places?
1 Yes
2 No
7 Don't Know
9 Refused
13. Are blacks in your
community treated less fairly than whites in dealing with the police, such as
traffic incidents?
1 Yes
2 No
7 Don't Know
9 Refused
14. Are blacks in your
community treated less fairly than whites in getting healthcare from doctors or
hospitals?
7 Don't Know
9 Refused
15. Which comes closer to
your beliefs, overall?
1 Blacks have
more health problems than whites
2 Whites have
more health problems than blacks
3 Both races
have same amount of health problems
4 Other
Specify (Q15SP)
7 Don't Know
9 Refused
Now I have
a few questions about your attitudes and experiences
when you get medical care
For each
of the following statements, please tell me if you Strongly
Agree, Somewhat Agree, Somewhat Disagree, or Strongly Disagree.
17. My health largely depends on how well I
take care of myself.
1 Strongly
Agree
2 Somewhat
Agree
3 Somewhat
Disagree
4 Strongly
Disagree
7 Don't Know
9 Refused
18. I think staying healthy is a matter of
luck more than anything else.
1 Strongly
Agree
2 Somewhat
Agree
3 Somewhat
Disagree
4 Strongly
Disagree
7 Don't Know
9 Refused
19. I leave it to doctors to make the right
decisions about my health.
1 Strongly
Agree
2 Somewhat
Agree
3 Somewhat
Disagree
4 Strongly
Disagree
7 Don't Know
9 Refused
20. It is generally better to take care of
your own health than to go to the doctor.
1 Strongly
Agree
2 Somewhat
Agree
3 Somewhat
Disagree
4 Strongly
Disagree
7 Don't Know
9 Refused
21. In general, how would you describe your
own health? Would you say it is
Excellent, Very Good, Good, Only Fair, or Poor?
1 Excellent
2 Very Good
3 Good
4 Only Fair
5 Poor
7 Don't Know
9 Refused
NOTE: IF ASKED WHY THIS QUESTIONS --
This is a
survey about attitudes and perception towards health care, sometimes peoples'
attitudes towards healthcare can be different depending on their health.
22. Do you currently have any health
problems such as diabetes, heart disease, or high blood pressure, or cancer?
1 Yes
2 No
3 Don't Know
4 Refused
7 Other specify
(Q22SP)
23. Overall, how satisfied or dissatisfied
are you with the quality of health care you have received during the last 2
years? Would you say you are Very
Satisfied, Somewhat Satisfied, Somewhat Dissatisfied, or Very Dissatisfied?
1 Very
Satisfied
2 Somewhat
Satisfied
3 Somewhat
Dissatisfied
4 Very
Dissatisfied
7 Don't Know
9 Refused
5 No health
care in past 2 years
24. Where do you usually go when you are
sick or need health care? To a
doctor's office, a private clinic, a public health clinic, a hospital emergency
room, or some other place?
1 Doctor's
Office
2 Private
Clinic (doctor's group, urgent care, Medi-Stat)
3 Public
clinic (Health Dept, Public Health Unit)
11 VA/Military
Hospital
4 Hospital
emergency room
5 Some other
place
6 No regular
place of care (VOLUNTEERED)
10 Never go to get
healthcare
7 Don't Know
9 Refused
8 Other
[specify] Q24SP
25. How much choice do you have in where you
go for medical care? Would you say that you have a great deal, some, very
little, or no choice?
1 A great
deal of choice
2 Some choice
3 Very little
choice
4 No choice
7 Don't Know
9 Refused
In
general, how often do you visit a doctor or medical clinic for any reason,
including check-ups or visits to the emergency room or hospital?
Q26 Ranges
of Q26a-c responses
27. Do you have a regular doctor or other
health professional, such as a nurse or a midwife, you usually go to when you
are sick or need health care?
1 Yes
2 No
3 Has more
than one regular doctor (VOLUNTEERED)
7 Don't Know
9 Refused
28. Which best describes the race of Çif
q188=1 then your regular doctor?È Çif q1881 then the
doctor you last saw for health care?È
1 White
2 Black or
African American
3 Hispanic or
Latino
4 Asian
5 Native
Hawaiian or Other Pacific Islander
6 American
Indian or Alaska Native
7 Refused
9 Don't Know
8 Other
[specify] ÇQ28SPÈ
29. Which best describes the racial
composition of the staff where you regularly go for health care/ you last went
for health care?È
Would
you say all of the staff are the same race as you, most of
the staff are the same race as you, some of the staff are the same race as you,
or none of the staff are the same race as you?
1 All
2 Most
3 Some
4 None
5 About equal
amount of all groups
7 Don't Know
9 Refused
For each
of the following statements, please tell me if you Strongly agree, Somewhat agree, Somewhat disagree, or Strongly disagree.
30. I feel that doctors understand my
background and values.
1 Strongly
agree
2 Somewhat
agree
3 Somewhat
disagree
4 Strongly
disagree
5 Don't have
a doctor (VOLUNTEERED)
7 Don't Know
9 Refused
31. I feel as if doctors look down on me and the way I live my life.
1 Strongly
agree
2 Somewhat
agree
3 Somewhat
disagree
4 Strongly
disagree
5 Don't have
a doctor (VOLUNTEERED)
7 Don't Know
9 Refused
32. Has there ever been a time when you had
a medical problem but put off, postponed, or did nt seek medical care when you needed to?
1 Yes
2 No
7 Don't Know
9 Refused
33. What was the most important reason why
you put off, postponed, or did not get the medical care you needed?
1 Cost
2 Distrust of
Doctors
3 Don't know
where to go
4 Don't
believe in doctors/medicine
5 Don't have child care
6 God's
Will/Fatalism
8 Fear of
diagnosis/afraid
10 Just didn't get
around to it
11 Too painful
12 Too busy/Don't
have time
13 Transportation/no
way to get there
15 Didn't think it
was necessary/serious
7 Don't Know
9 Refused
14 Other
[specify] ÇQ33SPÈ
34. Has there ever been a time you did not
follow a doctor's advice because you did not trust the doctor?
1 Yes
2 No
7 Don't Know
9 Refused
35. In general, how much
confidence and trust do you have in doctors . . . a great deal, a
fair amount, not too much, or none at all?
1 Great deal
2 A fair
amount
3 Not too
much
4 None at all
7 Don't Know
9 Refused
36. How much respect and dignity do doctors
show to you...a great deal, a fair amount, not too much, or none at all?
1 Great deal
2 A fair
amount
3 Not too
much
4 None at all
7 Don't Know
9 Refused
37. In general, do doctors involve you in
decisions about your care as much as you wanted, almost as much as you wanted,
less than you wanted, or a lot less than you wanted?
1 As much as
wanted
2 Almost as
much
3 Less than
wanted
4 A lot less
than wanted
5 More than I
wanted (VOLUNTERRED)
7 Don't Know
9 Refused
38. Thinking about all of the experiences
you have had with health care visits, have you ever felt that the doctors or
medical staff you saw judged you unfairly or treated you with disrespect
because of your ability to pay for the care or the type o health insurance you
have?
1 Yes
2 No
3 Don't Know
4 Refused
39. Thinking about all of the experiences
you have had with health care visits, have you ever felt that the doctors or
medical staff you saw judged you unfairly or treated you with disrespect
because of your race?
1 Yes
2 No
7 Don't Know
9 Refused
40. What happened to make you feel you were
judged unfairly or treated with disrespect?
1 Doctor or
staff talked down to me
2 Heard staff
say something negative about me
3 Kept me
waiting
4 Took other
patients instead of me/treated other patients bet
5 Was refused
care/Had dificulty getting care
6 Received
substandard services/Provider didn't do something t
8 Didn't
spend enough time/Rushed
10 Acted negatively
or disrespectfully/Rude/impolite
11 Didn't listen or
pay enough attention to me/Ignored me
12 Didn't explain
things well or at all
13 Doctor cared too
much about money
14 Difficulties
dealing with finances
15 Problems dealing
with insurance
16 Treated unfairly
or unequal
17 Did not
understand the question (VOLUNTEERED)
7 Don't Know
9 Refused
18 Other
[specify] ÇQ40SPÈ
41. Over the last two years, has a family
member or friend been treated unfairly when seeking medical care specifically
because of race?
1 Yes
2 No
7 Don't Know
9 Refused
42. Research shows that blacks are more
likely to have health problems such as heart disease, diabetes, and strokes as
compared to whites. What do you
think is the main reason that blacks are more likely to have more health
problems?
1 Biological
(genetics, family history, body type, physical di
2 Social
(lack of health care, poverty, educa, money, stress
3 Lifestyle
(lack of exercise, way they live, diet, behavior)
4 Doesn't
agree (volunteered)
7 Don't Know
9 Refused
6 Other Q42SP
Racial
attitudes may differ depending on age, income or other personal factors. Please
remember your answers are strictly confidential.
43AGE
What is your age?
777 -
Don't Know
999 - Refused
44SEX
1 Male
2 Female
45MAR. Are you
currently...
1 Married
2 Divorced
3 Widowed
4 Separated
5 Never been
married, OR
6 A member of
an unmarried couple
7 Don't Know
9 Refused
46ED. What is the last grade or class that you
completed in school?
1 None or
Grade 1-4
2 Grade 5-7
3 Grade 8
4 High School (Incomplete)
5 High School Graduate (or GED)
6 Technical/Trade
School/Associate degree
8 College
(Incomplete)
10 College Graduate
11 Master's Degree
12 Professional
Degree (PhD, MD, lawyer)
13 Other specify
(Q46EDSP)
7 Don't Know
9 Refused
47. Do you have any kind of health care
coverage, including health insurance, pre-paid plans such as HMO's, or
government plans such as Medicare?
1 Yes
2 No
7 Don't
Know/Not Sure
9 Refused
48CH. How many children under the age of 18
are living with you right now?
This
includes not only your own children through birth or marriage, but also those
who may be living in your home for other reasons such as foster care or other
relatives.
888 - NONE
777 - Don't
Know
999 -
Refused
49WORK. Last week, what was your work
status? Were
you...
1 Working
Full-time
2 Working
Part time
3 Out due to
illness, leave furlough
4 Have
seasonal work, currently not working
5 Unemployed
6 Full-time
homemaker
10 Student
8 Retired
11 Disabled
7 Don't Know
9 Refused
. Can you think of any occasion in the
last 30 days when you were treated unfairly because you were BLACK . . .
Q50 In a
store where you were shopping?
1 Yes
2 No
3 Not
Applicable
7 Don't Know
9 Ref
Q51 At
your place of work
1 Yes
2 No
3 Not
Applicable
7 Don't Know
9 Ref
Q52
In a restaurant, bar, theater, or other entertainment place?
1 Yes
2 No
3 Not
Applicable
7 Don't Know
9 Ref
Q53 In
dealing with the police, such as traffic incidents?
1 Yes
2 No
3 Not Applicable
7 Don't Know
9 Ref
Q54 While
getting healthcare for yourself or a family member?
1 Yes
2 No
3 Not
Applicable
7 Don't Know
9 Ref
Q55 If you added together
the yearly incomes, before taxes, of all the members of your household for last
year, would the total be
1 Less than
10,000
2 Less than
15,000
3 Less than
20,000
4 Less than
25,000
5 Less than
35,000
6 Less than
50,000
7 Less than
75,000
8 Less than
100,000
9 More than
100,000
WEIGHT