家户问卷-CHINA-HEALTH-AND-RETIREMENT.doc

时间就是金钱，效率就是生命！

CHINA HEALTH AND RETIREMENT
LONGITUDINAL STUDY – BASELINE
QUESTIONNAIRE

中国健康与养老追踪调查
全国问卷

August 2011

中国经济研究中心
CHINA CENTER FOR ECONOMIC RESEARCH
PEKING UNIVERSITY

唯有惜时才能成功，唯有努力方可成就！
时间就是金钱，效率就是生命！COVERSCREEN 过滤问卷
CONTENTS 目 录

COVERSCREEN 过滤问卷 2
A HOUSEHOLD ROSTER 家户登记表 8
B 基本信息 15
C FAMILY 家庭 26
C1 PARENT CHILDREARING AND SIBLING INFORMATION 父母、子女、兄弟姐妹信息 26
CA PARENT INFORMATION 父母信息 26
CB CHILDREARING INFORMATION 子女信息 30
CC SIBLINGS 兄弟姐妹 42
C2 TIME TRANSFER AND TRANSFERS 家庭交往与经济帮助 44
CD TIME TRANSFER 与父母、子女间的交往 44
CE TRANSFERS 家庭得到及提供的经济帮助 46
CF TIME SPENT PROVIDING CARE 提供照料时间 56
D HEALTH STATUS AND FUNCTIONING 健康状况和功能 59
DA HEALTH STATUS 健康状况 59
DB FUNCTIONAL LIMITATIONS AND HELPERS 身体功能障碍以及辅助者 76
DC COGNITION & DEPPRESSION 认知和抑郁 83
DE SELF-REPORTED HEALTH &VIGNETTES 自我评价健康和情景选择题 87
E HEALTH CARE AND INSURANCE 医疗保健与保险 94
PART I MEDICAL INSURANCE 第一部分：医疗保险 94
PART II HEALTH CARE COSTS AND UTILIZATION 第二部分：医疗成本与使用情况 98
F WORK, RETIREMENT AND PENSION 工作、退休和养老金 112
FA JOB STATUS 就业状况 112
FB WORK HISTORY 工作史 113
FC CURRENT PRIMARY JOB/OCCUPATION 当前、主要工作 115
FK UNEMPLOYMENT AND JOB SEARCH ACTIVITIES 失业，求职经历 131
FL MOST RECENT JOB 最近一份工作 132
FM RETIREMENT 退休与退职 136
FN PENSION INSURANCE 养老保险 143
G &H INCOME, EXPENDITRUES AND ASSETS 收入、支出与资产 156
G1 VIGNETTS ON INCOME 情景选择题 156
G2 HOUSEHOLD INCOME AND EXPENDITURES 家户收入与支出 156
HA HOUSEHOLD ASSETS 家户资产 165
HB INDIVIDUAL ASSETS 个人资产 176
I. HOUSING CHARACTERISTICS 住房情况 184
HOUSEHOLD CONTACTS 家户联系信息表 187
J. INTERVIEWER OBSERVATION 访问员观察 189
APPENDIX 附表 191

COVERSCREEN 过滤问卷
[IWER: Find a respondent (he/she does not have to be 45+ years of age, but could not be nanny, short workers or visitors) from the sample house.]
[访员注意：在这个房子中找一人（这人可以不到45岁，但不能是保姆、做工的人或者客人等）回答下列问题.]

CV000. Did the household receive “a letter to the resident”? 该户是否收到 “致居民的一封信” ？
（1）Yes 是
（2）No 否

CV001. How many households live in this dwelling? 你们这座房子里住了几户人？一户人是指一起吃饭并且共同承担其它生活费用的人。_____0..25Households 户

[PROCEDURE: Ask each household the following questions.]
[程序:对每户人家问以下问题：]

CV002_1. Is this the main home for this household? Is there another house located elsewhere in which the family lives most of the time? 这一户大多数时间居住在这个房子里，还是居住在其他地方的房子里？
（1）There’s another house they live most of the time. 大多数时间居住在其他地方
（2）It’s the main home. 大多数时间住在这个房子里 skip to CV002 跳至CV002

CV002_2. Is that house located in this neighbourhood? 主要居住的房子是在本村/社区吗？
（1）Yes 是
（2）No 否 go to next household 询问下一家户

[PROCEDURE：If each household answered no in CV002_2，QUIT.]
[程序：如果每户对CV002_2题都回答否，退出.]
We appreciate your time. However, there is no eligible household for us to interview this time.
谢谢您的配合，但您这里没有符合我们调查条件的家户。耽误您时间了，抱歉！

[PROCEDURE：If more than one household lives here，ask each one CV002 and CV003.]
[程序：如果多户住在这里，针对每户询问CV002 和CV003 ]

CV002. How many persons live in this household? 这一户住了几个人，要包括在外上学或者打工住在集体宿舍的人。 ___________ 0..25Persons 人

CV003. How many persons aged 39 + years that belong to your household? (Those who was born before July 1, 1971 based on the solar calendar or May 9, 1971 based on the lunar calendar,)其中有几个年龄在39岁及以上的人？（阳历（公历）1971年7月1日或者阴历（农历）1971年5月9日之前出生的人) ________0..25Persons 人

[PROCEDURE: List all households with age-eligible members then randomly choose one, continue CV001_1-CV030. If there is no eligible household, end the cover screen. ]
[程序：列出所有有适龄对象的家户信息，随机抽取一户作为被调查户，继续询问CV001_1- CV030；如果没有适龄受访者，结束调查。]

[PROCEDURE：If only one household lives here，ask CV001_1 to CV030 ]
[程序：如果只有一户住在这里，询问CV001_1 到 CV030.]

[IWER: Find a respondent (Call it RB) (he/she does not have to be 45+ years old, but could not be nanny, short workers and visitors etc) from the chosen eligible household, and ask CV001_1 to CV030.]
[访员注意：在抽取的适龄家户中找一人（这人可以不到45岁，但不能是保姆、做工的人或者客人等）回答CV001_1 到CV030]

We appreciate your participation. The China Health and Retirement Longitudinal Study (CHARLS) is interested in learning about important aspects of people’s lives, such as their health, financial, and family situations, and in providing a high-quality public use dataset on aging for academic and policy research. The survey sample is composed of persons aged 45 and older from about 10,000 households throughout the country.
非常感谢您参与这次调查。中国健康与养老追踪调查旨在收集老百姓的健康、经济和家庭情况等方面的数据，为学术研究以及政府制定、调整社会保障政策提供科学依据。本次调查是在全国随机抽取10,000个家庭并对家庭中45岁以上的人进行调查。非常荣幸，您是我们随机抽取的住户，希望您能支持和配合我们的工作，为国家社会保障政策改善做贡献。非常感谢！

CV001_1. How many dwelling units does your household live in this village/community? 你们家在这个村/社区内住了几个这样的房子?____________ 0..25Houses 个
[IWER: Not ask the house property, but the number of houses in which they are living.不是问这户人家有几套房子的产权，而是他们家居住的房子数量，房子是指抽中的住宅单元。]

CV001_2. How many people lived with this household for more than six months in the past year(including those attending school/work away from home but returning to this home almost every week, but not including non-family members who live here for school or work reasons but generally return to one’s own home every week.)? （Not yourself but including all other people living with; nannies should be included. Do not include persons who recently left because they got married to a member outside the household and moved to another household, or persons who recently divorced a member and then moved out.） 过去一年，在这个家住了至少6个月，并且现在还住在这里的有几个人？如果平时上班、上学住在外面，但是周末一般回家的人也算在内。如果平时上班、上学住在这里，但周末回自己家的人不算。如果他过去一年在这家住了至少6个月，但由于结婚、离婚而现在不住这里了，不算此类。_________ 0..25Persons 人
[IWER: This type excludes one who lived with this household for more than six months but has gone out of the country, and he/she lived in the resident living district. 访员注意：如果一个人在这个家住了6个月以上，但是已外出打工，且在外是住在居民区，不是住集体宿舍，不算在此类。]

[PROCEDURE: If CV001_2 >0, ask CV001_2_1]
[程序：如果CV001_2 >0, 请提问CV001_2_1]

CV001_2_1. What are their names? 他叫什么名字？___________

CV001_3. In the past year, how many people lived in this household for less than 6 months, but recently joined this household because they were new born or were adopted, or got married to another household member, or they got divorced from someone outside the household and moved back to this household? （Not Including yourself）过去一年，有多少人来到这个家还不到6个月，比如说新生的孩子，收养的孩子，或刚结婚过来的，或者离婚回来的? __________0..25Persons 人

[PROCEDURE: If CV001_3 >0, ask CV001_3_1]
[程序：如果CV001_3 >0, 请提问CV001_3_1]

CV001_3_1. What are their names? 这些人叫什么名字？____________

CV001_5. In the past year, how many people lived in the household for less than 6 months because they lived with more than one household during the year, but still spent more time with this household than any other household, for example old persons or someone needs to be taken after by others? （NOT including the persons above）除了以上这些人，您家里还有没有老人或者其他需要照顾的人，在多个家庭轮流居住，但是过去一年在您家居住时间最长？如果有的话，有几个人？_______0..25Persons 人

[PROCEDURE: If CV001_5 >0, ask CV001_5_1]
[程序：如果CV001_5 >0, 请提问CV001_5_1 ]

CV001_5_1. What are their names? 这些人叫什么名字？__________

CV001_4. In the past year, how many people who went to school/joined army/went to work away from home lived elsewhere in a dormitory or workplace (or live-in nanny lives in other’s house) but not living in the resident living district? （NOT including the persons above）除了上面这些人，您家是否还有人外出上学、参军、务工等，在外住在集体宿舍或单位住房（或属于住家保姆，住在别人家），而不是住在居民区？ _______ 0..25Persons 人

[PROCEDURE: If CV001_4 >0, ask CV001_4_1 ]
[程序：如果CV001_4 >0, 请提问CV001_4_1]

CV001_4_1. What are their names? 这些人叫什么名字？___________

CV001_4_2. Other than the people you have already described, how many persons lived in your household for more than 6 months in the past year, but have since left this household and are no longer members of the household (changzhu renkou)? 除了上面这些人，过去一年，在这个家住了至少6个月，但是已经离开这个家不再是这个家的常住人口，有多少人？______0..25Persons 人

[PROCEDURE: If CV001_4_2>0, ask CV001_4_3]
[程序：如果CV001_4_2 >0, 请提问CV001_4_3 ]

CV001_4_3. What are their names? 这些人叫什么名字？__________

[PROCUDURE: get the total number of all the Household members according to charls mentioned by RB (CVTotal), and list them.]
[程序: 得到RB提到家户成员的数目 (CVTotal)，并且列出他们.]

CV020. You have described [CVAll] persons who are part of your household. They are as follows [LIST OF ALL PERSONS’ name IN HH]. 您刚才说您家现在有[CVAll]个人，他们是[列出所有的人的名单]
Are there any other household members in your household? 请问过去一年您家还有其他家户成员吗？
[IWER: probe and judge by yourself according to the definition of CHARLS household member. 访员注意：根据CHARLS对家户成员的定义进行追问和判断。）
[IWER: Confirm that all household members have been listed. If Not all members are listed, please
(1) Yes to add new one.
[访员注意：确定已经列所有家户成员。如果没有列出所有家户成员，请点击 “(1) 有”增加新成员。]
(1) Yes 有
(2) No 没有

[PROCUDURE: IF CV020 = 1 asked the following question for additional person]
[程序: 如果CV020 = 1询问新增加的人的信息]

CV001_6_1. What is his/her name? 他/她叫什么名字？___________

CV010. What is [CV001_6_1]’s type? [CV001_6_1 ]是什么类型？
(1) Lived with this household for more than six months in the past year. 过去一年，在这个家住了至少6个月，并且现在还住在这里的人。
(2) New household members. 过去一年，新来到这个家还不到6个月。
(3) Rotating parents or other household members.除了以上这些人，您家里的老人或者其他需要照顾的人，他在多个家庭轮流居住，但是过去一年在您家居住时间最长。
(4) Lived elsewhere in a dormitory or workplace but not in residential area. 除了上面这些人，在外住在集体宿舍或单位住房，而不是住在居民区的人
(5) Lived in the household for more than 6 months in the past year but have left the household and are no longer members of the household (changzhu renkou). 过去一年，在这个家住了至少6个月，但是已经离开这个家不再是这个家的常住人口。

CV025_0. Does the household have any live-in nanny? 您家有住家保姆吗？
(1)Yes, on the list 是，在名单上
(2)Yes, not on the list 是， 不在名单上 skip to CV030
(3)No 否 skip to CV030

If CV025_0 =1, ask:
CV025. Please check (Mult choice).如果有，在您说的这些人中，有谁是您家的保姆吗？请选上。（多选）
1-25: the list of household member 给出前面的家户成员的列表

CV030 In the following list, who was born before July 1, 1971 based on the solar calendar or May 9, 1971based on the lunar calendar?( Those who’re aged 39 and older) 请问在下列人中，谁是在阳历（公历）1971年7月1日或者阴历（农历）1971年5月9日之前出生的？（年龄在39岁及以上的人）
1-25: the list of household member exclude the nanny 给出前面的家户成员的列表
30: None

Option 1: No eligible household member 第一种可能：没有适龄的家户成员
CONTINUE TO EXIT 退出
We appreciate your time. There is no age-eligible person for us to interview this time. Thank you for your time!
谢谢您的配合，但这次您家里没有我们需要访问的适龄受访者。耽误您时间了，抱歉！

Option 2: Have eligible household member(s) 第二种可能：这家有适龄的家户成员

[Randomly select one age-eligible household member if there is more than one.]
[如果这个家中有不止一个适龄的家户成员，随机抽取一个。]

[PROCEDURE: Member in Fourth Category is eligible to be main respondent, but Fifth Category is not.]
[程序：第四类家户成员可以被选为主要受访者，第五类不能.]

CV005. [IWER: Record Gender of Main Respondent. 访问员记录此人的性别.]
(1) Male 男
(2) Female 女

MRbirth. When was [MR] born? [主要受访者]的出生日期是？
_______1900..2011 Year年(MRbirth_year) ______0..12Month月(MRbirth_mon) ______0..31Day日(MRbirth_day)
[IWER: Mark the year using four digits. 访员注意: 用四位数字表示年份。]
MRbirth_type. Is your answer based on the solar or the lunar calendar? 您刚才回答的是公历（阳历）还是农历（阴历）？
(1) Solar calendar 公历（阳历）
(2) Lunar calendar 农历（阴历）

[Show Card 出示卡片1]
CV033. What is [preload MR]’s marital status? [主要受访者]目前的婚姻状态？
[IWER: common-law marriage is considered as married. 访员注意：即使没有领结婚证但自称结婚者也可视为已婚.]
(1）Married with spouse present 已婚并与配偶一同居住
(2）Married but not living with spouse temporarily for reasons such as work 已婚，但因为工作等原因暂时没有跟配偶在一起居住
（3）Separated 分居 （不再作为配偶共同生活）
（4）Divorced 离异
（5）Widowed 丧偶
（6）Never married 从未结婚

[PROCEDURE: if married, CV033 =1/2, then ask CV040]
[程序：如果已婚CV033 =1/2，询问CV040 ]

CV040. Who is [MR]’s spouse? [主要受访者]的配偶是？
1-25:the list of household member not including himself 给出前面的家户成员的列表，本人除外
30: not in the list，name 不在列表之中，姓名

CV045. [IWER: confirm the gender of Main Respodent’s spouse 访问员：确认MR配偶的性别.]
(1) Male 男
(2) Female 女

Determine the Financial Respondent 选取财务受访者
CV031. I will ask some questions about household financial status. Who would be most knowledgeable about this? Please tell me who will answer the financial module. 我下面将会问一些家庭财务情况的问题，请问在你们家中谁比较了解这方面的情况？
[Please list all the household members, and pick one member from them. 列出所有家户成员的名单，从中选择]

Determine the Family Respondent 选取家庭情况受访者

[PROCEDURE: If [Married with spouse present or living with a partner as if they were married] ask CV032 ]
[程序：如果对方已婚并与配偶一同居住，提问CV032]

CV032. I will ask some questions about family status. Who would be most knowledgeable about this, [MR] or [MR’s spouse]? 下面我将会问一些家庭情况的问题，请问在[主要受访者]和[主要受访者的配偶]谁比较了解这方面的情况？
(1) [MR] [主要受访者]
(2) [MR’s spouse] [主要受访者的配偶]

[PROCEDURE: If the Main Respondet is 39 to 44, end this interview and begin contact sheet only]
[程序：如果选取的主要受访者年龄在39岁到44岁之间，结束访谈，仅开始问卷中“家户联系信息表”部分.]
We appreciate your time. You are not our sample now, but you will become our sample in 6 years. Can you tell us your contact information so that we can keep in touch with you?
[IWER：Pls start contact sheet. 访员注意：请填写“家户联系信息”表]
谢谢您的配合，[主要受访者]不是我们这次调查的样本，但6年后[主要受访者]会成为我们的样本。您能告诉我们[主要受访者]的联系信息吗，这样我们能够在六年后再联系到他/她。

[PROCEDURE: If the Main Respondet is 45 or older, continue the interview]
[程序：如果选取的主要受访者年龄在45岁及以上[(MR_age_year<1966 and MR_age_month<7 and MR_ager=1) or (MR_age_year<1966 and MR_age_month<6 and MR_ager=2)]，继续访谈.]

[IWER: Coverscreen is completed. Please click to back SMS to continue interview.]
[访员注意：已经做完了过滤问卷这部分。请点击<下一步>回到样本管理系统继续访问]

唯有惜时才能成功，唯有努力方可成就！12
时间就是金钱，效率就是生命！A HOUSEHOLD ROSTER 家户登记表
A HOUSEHOLD ROSTER 家户登记表
[IWER: Please conduct this part of the interview (A Household roster) when the family respondent is at home. Don’t allow a proxy to complete the entire section. 访员注意：当家庭受访者在场时，才提问H家户登记表的问卷。这部分不允许请人完全代填。]

A001. [[IWER: Take down the type of this neighbourhood. 调查员记录地区类型]
(1) Rural Village 农村
(2) Urban Community 城镇社区

[INTRO: Relatives can have important effects on your life. We’d like to ask you some questions about other members of your household: 引语：您的家人对您的生活可能会有重要影响，因此我们想问问除了您和您配偶外的其他家户成员的情况。]

[IWER: The names of other household members, not including MR and spouse, are preloaded from the coverscreen information. Ask each household member the following questions: 访员注意：其他家户成员不包括主要受访者及其配偶，其他家户成员的名单要从过滤问卷获得。对于每一个其他家户成员，分别问下面的问题：]

* *, Please refer to LOOP questionnaire HMem_Roster.dta”. 所有标记*的题，请参见LOOP问卷“家户成员个人信息”。
A002.  Gender of this household member  [加载家户成员姓名]的性别是？
     （1）Male男
（2）Female女

*A003. When was [name] born?  [姓名] 的出生日期是？
_______(A003_1)1900..2011 (HBirthyear)Year年 ______(A003_2)0..12 (HBirthmonth)Month月

[Show Card 出示卡片1]
*A004. What is [name]’s marital status? [姓名] 目前的婚姻状态？
[Notice： Common-law marriage is considered as married. 注意：即使没有领证但自称结婚者也可视为已婚。]
(1) Married with spouse present已婚并与配偶一同居住
(2) Married but not living with spouse temporarily for reasons such as work 已婚，但因为工作等原因暂时没有跟配偶在一起居住
(3) Separated 分居 （不再作为配偶共同生