Bangladesh W2 Recontact Dual Survey Code: BD2-CD Languages: Bengali, Chakma, Garo Mode: Face to Face Interview

Transcription

1 Bangladesh W2 Recontact Dual Survey Code: BD2-CD Languages: Bengali, Chakma, Garo Mode: Face to Face Interview i

2 TABLE OF CONTENTS TOBACCO CHANGE 003 Bidi AND Cigarette Questions 015 SMOKING BEHAVIOUR DEPENDENCE 017 KNOWLEDGE OF HEALTH EFFECTS and TOBACCO CONSTITUENTS 062 WARNING LABELS 071 ANTI-SMOKING CAMPAIGNS 095 BIDIS -- BRAND CHOICE AND PURCHASE 122 CESSATION HELP 147 Second-hand Smoke -- Youngest Child (age 14 and below) 160 ENVIRONMENTAL TOBACCO SMOKE 165 PSYCHOSOCIAL: BELIEFS ABOUT SMOKING, MODERATORS 206 PERCEIVED RISK 207 TOBACCO PROMOTION 220 SMOKELESS TOBACCO PRODUCTS 227 Hookah (Waterpipe) Smoking 249 TOBACCO INDUSTRY 257 MODERATORS 258 N G O & M F I PARTICIPATION 268 DEMOGRAPHICS 000 SURVEY CLOSING 279 ii

3 Bangladesh W2 Recontact Dual Q# VarName BD2-CD 001 BI62270 Obtain CONSENT and SIGNATURE as per protocol before proceeding with the survey. 002 HG62010 Interview Note: Read response options for all questions EXCEPT: a) DO NOT read out response options b) Yes/No response options c) True/False response options TOBACCO CHANGE 003a TC62101 ASK IF RESPONDENT SMOKED BIDIS ONLY AT W1. Interviewer Note: Select ALL that apply. Use the following scale to answer the questions in the table below. Why did you start smoking cigarettes? My friends smoked cigarettes. 003b TC62102 Members of my family smoked cigarettes. 003c TC62110 People in the media (public figures/artists/ role models) smoked cigarettes. 003d TC62103 I wanted to lose weight. 003e TC62104 I wanted to reduce my stress. 003f TC62105 I was curious about whether I would enjoy smoking cigarettes. 003g TC62106 Smoking cigarettes makes me feel sophisticated/ smart. 003h TC62107 Smoking cigarettes is a sign of intelligence. 003i TC62108 I needed something to do, to occupy the time. 003j TC62109 I didn t have a particular reason. 003k TC62119 Other (specify): 004a TC62301 Ask if respondent smoked cigarettes only at W1. Interviewer Note: Select ALL that apply. Use the following scale to answer the questions in the table below. Why did you start smoking bidis? My friends smoked bidis. 3

4 004b TC62302 Members of my family smoked bidis. 004c TC62310 People in the media (public figures/ artists/ role models) smoked bidis. 004d TC62303 I wanted to lose weight. 004e TC62304 I wanted to reduce my stress. 004f TC62305 I was curious about whether I would enjoy smoking bidis. 004g TC62308 I needed something to do, to occupy the time. 004h TC62309 I didn t have a particular reason. 004i TC62319 Other (specify): 005a TC62140 Ask questions 005a/TC140 to 006/TC165 if respondent smoked bidis only at W1. Otherwise, go to 007a/TC340. Interviewer Note: Select ALL that apply. Use the following scale to answer the questions in the table below. Why did you start smoking cigarettes even though you are already smoking bidis? My friends smoked cigarettes more than bidis. 005b TC62141 Members of my family smoked cigarettes more than bidis. 005c TC62152 People in the media (public figures/ artists/ role models) smoked cigarettes more than bidis. 005d TC62142 Smoking cigarettes makes me feel sophisticated/ smart. 005e TC62143 Smoking cigarettes is a sign of intelligence. 005f TC62145 Cigarettes are less harmful than bidis. 005g TC62146 Cigarettes will help me quit smoking altogether. 005h TC62147 Cigarette packages are more attractive than bidi packages. 005i TC62148 Cigarettes taste better than bidis. 005j TC62149 Cigarettes are more pleasurable to smoke than bidis. 005k TC62150 Cigarettes are of higher quality than bidis. 005l TC62153 Cigarettes are more prestigious than bidis. 005m TC62151 I didn t have a particular reason. 005n TC62159 Other (specify): 006 TC62165 In the future, how will your cigarette smoking compare to your bidi smoking? 1 I will smoke cigarettes without decreasing the number of bidis I smoke 2 I will eventually only smoke cigarettes 007a TC62340 Ask questions 007a/TC340 to 008/TC365 if respondent smoked cigarettes only at W1. Otherwise, go to 009/FR225. 4

5 Interviewer Note: Select ALL that apply. Use the following scale to answer the questions in the table below. Why did you start smoking bidis even though you are already smoking cigarettes? My friends smoked bidis more than cigarettes. 007b TC62341 Members of my family smoked bidis more than cigarettes. 007c TC62352 People in the media (public figures/artists/ role models) smoked bidis more than cigarettes. 007d TC62344 Bidis are cheaper than cigarettes. 007e TC62345 Bidis are less harmful than cigarettes. 007f TC62346 Bidis will help me quit smoking altogether. 007g TC62348 Bidis taste better than cigarettes. 007h TC62349 Bidis are more pleasurable to smoke than cigarettes. 007i TC62351 I didn t have a particular reason. 007j TC62359 Other (specify): 008 TC62365 In the future, how will your bidi smoking compare to your cigarette smoking? 1 I will smoke bidis without decreasing the number of cigarettes I smoke 2 I will eventually only smoke bidis 009 FR62225 Ask all. Interviewer Note: Select only ONE. I need to ask you about the number of cigarette sticks you smoke completely by yourself -- NOT the number of times you light up the same cigarette, and not counting the cigarettes you share with others. On average, how often do you smoke cigarettes? 1 Less than once a week 2 Once a week 3 Twice a week times a week 5 About once a day or almost every day 6 More than once a day If response=1, 8 or 9, go to 012/TF029. If response=5 or 6, go to 011/FR FR62226 Still talking about just the cigarette sticks you smoke completely by yourself -- NOT when you light up the same cigarette more than once, and not counting cigarettes you share with others. On average, how many whole cigarettes do you smoke per week? 5

6 8 9 Go to 012/TF FR62216 Still talking about just the cigarette sticks you smoke completely by yourself -- NOT when you light up the same cigarette more than once, and not counting cigarettes you share with others. On average, how many whole cigarettes do you smoke per day? TF62029 Interviewer Note: Select only ONE. I need to ask you about the number of bidi sticks you smoke completely by yourself -- NOT the number of times you light up the same bidi, and not counting the bidis you share with others. On average, how often do you smoke bidis? 1 Less than once a week 2 Once a week 3 Twice a week times a week 5 About once a day or almost every day 6 More than once a day If response=1, 8 or 9, go to 015/TC082. If response=5 or 6, go to 014/TF TF62023 Still talking about just the bidi sticks you smoke completely by yourself -- NOT when you light up the same bidi more than once, and not counting bidis you share with others. On average, how many whole bidis do you smoke per week? 8 9 Go to 015/TC TF62021 Still talking about just the bidi sticks you smoke completely by yourself -- NOT when you light up the same bidi more than once, and not counting bidis you share with others. On average, how many whole bidis do you smoke per day? 8 9 6

7 Bidi AND Cigarette Questions 015 TC62082 If you could ONLY smoke either cigarettes OR bidis, which one would you choose? 1 Cigarettes 2 Bidis 016 TC62080 Why do you smoke BOTH cigarettes and bidis, not just one? 8 9 SMOKING BEHAVIOUR DEPENDENCE 017 SB62012 How soon after waking do you smoke your first cigarette? 1 5 min or less min min 4 More than 60 min 018 SB62942 How soon after waking do you smoke your first bidi? 1 5 min or less min min 4 More than 60 min 019 SB62041 How hard is it to go without smoking cigarettes for a whole day? 1 Not at all hard 2 Somewhat hard 3 Very hard 4 Extremely hard or impossible 020 SB62947 How hard is it to go without smoking bidis for a whole day? 1 Not at all hard 2 Somewhat hard 7

8 3 Very hard 4 Extremely hard or impossible 021 SB62031 Do you consider yourself addicted to cigarettes? That is, "addicted" means "a very strong habit". Would you say... 1 Not at all addicted 2 Yes, somewhat addicted 3 Yes, very addicted 022 SB62949 Do you consider yourself addicted to bidis? That is, "addicted" means "a very strong habit". Would you say... 1 Not at all addicted 2 Yes, somewhat addicted 3 Yes, very addicted 023 SB62051 How often do you get strong urges to smoke a cigarette? 1 Never 2 Less than daily 3 Daily 4 Several times a day 5 Hourly or more often 024 SB62951 How often do you get strong urges to smoke a bidi? 1 Never 2 Less than daily 3 Daily 4 Several times a day 5 Hourly or more often 025 SB62234 In the LAST MONTH, how often have you stopped yourself from having a cigarette when you had the urge to smoke? 1 Never 2 Once 3 A few times 4 Lots of times 8

9 026 SB62953 In the LAST MONTH, how often have you stopped yourself from having a bidi when you had the urge to smoke? 1 Never 2 Once 3 A few times 4 Lots of times 027 SB62221 In the LAST MONTH, have you butted out a cigarette before you finished it because you thought about the harm of smoking? 1 Never 2 Once 3 A few times 4 Lots of times 028 SB62955 In the LAST MONTH, have you butted out a bidi before you finished it because you thought about the harm of smoking? 1 Never 2 Once 3 A few times 4 Lots of times 029 SB62084 Interviewer note: DO NOT read out response options. On average, how long do you let your cigarettes burn in between puffs? 1 15 seconds or less seconds seconds 4 More than 60 seconds 030 SB62954 Interviewer note: DO NOT read out response options. On average, how long do you let your bidis burn in between puffs? 1 15 seconds or less seconds seconds 4 More than 60 seconds 031 QA62108 Interviewer Note: Mark the same response option to this question in the REFERENCE SHEET 031/QA108. Since we last talked to you, how many times, if at all, have you tried to stop smoking cigarettes? 1 None 9

10 2 Once times times 5 More than 10 times 032 AQ62156 Interviewer Note: Mark the same response option to this question in the REFERENCE SHEET 032/AQ156. Since we last talked to you, how many times, if at all, have you tried to stop smoking bidis? 1 None 2 Once times times 5 More than 10 times 033 QA62231 Interviewer Note: Ask the following question if REFERENCE SHEET 031/QA108=2-5. Otherwise go to 039/AQ165. Thinking about your last serious attempt to quit smoking cigarettes... When did you start smoking again? 1 Less than 1 month ago months ago 3 3 months to half a year ago 4 Half a year to 1 year ago years ago 6 More than 3 years ago 034a QA62235a Interviewer Note: Do not read out time units. Write the answer in the correct time period: hours, days, weeks or months. On this last quit attempt, how long did you go without smoking any cigarettes? (hours) 034b QA62235b (days) 034c QA62235c (weeks) 034d QA62235d (months) 035 QA62671 On your most recent quit attempt, did you stop smoking cigarettes suddenly or did you gradually cut down on the number of cigarettes you smoked? 1 Stopped suddenly 2 Cut down gradually 10

11 036 HG62999 Place holder to preserve Qnum order, question dropped after translation began. 037a QA62241a Interviewer Note: Do not read out time units. Write the answer in the correct time period: hours, days, weeks or months. What is the LONGEST time that you went without smoking cigarettes since we last talked to you? (hours) 037b QA62241b (days) 037c QA62241c (weeks) 037d QA62241d (months) 038a TC62251 Interviewer Note: Select ALL that apply. Use the following scale to answer the questions in the table below. Why was your attempt to quit smoking cigarettes not successful i.e. why did you start smoking cigarettes again? I was experiencing physical withdrawal symptoms, or I was concerned that I would. 038b TC62252 I was feeling stressed. 038c TC62253 I felt less sophisticated/smart after quitting. 038d TC62254 I was not motivated enough to stay quit. 038e TC62255 It was too easy to get cigarettes. 038f TC62256 I could not control my craving for cigarettes. 038g TC62257 I needed something to do, to occupy the time. 038h TC62259 I had already gained weight, or I was concerned that I would. 038i TC62260 My friends smoked cigarettes. 038j TC62261 Members of my family smoked cigarettes. 038k TC62262 I didn t have a particular reason. 038l TC62269 Other (specify): 039 AQ62165 Interviewer Note: Ask the following questions if REFERENCE SHEET 032/AQ156=2-5. Otherwise, go to 045/BQ111, Beliefs about Quitting. Thinking about your last serious attempt to quit smoking bidis... When did you start smoking again? 1 Less than 1 month ago months ago 3 3 months to half a year ago 4 Half a year to 1 year ago years ago 11

12 040a 6 More than 3 years ago AQ62169a Interviewer Note: Do not read out time units. Write the answer in the correct time period: hours, days, weeks or months. On this last quit attempt, how long did you go without smoking any bidis? (hours) 040b AQ62169b (days) 040c AQ62169c (weeks) 040d AQ62169d (months) 041 AQ62174 On your most recent quit attempt, did you stop smoking bidis suddenly or did you gradually cut down on the number of bidis you smoked? 1 Stopped suddenly 2 Cut down gradually 042 HG62998 Place holder to preserve Qnum order, question dropped after translation began. 043a AQ62178a Interviewer Note: Do not read out time units. Write the answer in the correct time period: hours, days, weeks or months. What is the LONGEST time that you went without smoking bidis since we last talked to you? (hours) 043b AQ62178b (days) 043c AQ62178c (weeks) 043d AQ62178d (months) 044a TC62451 Interviewer Note: Use the following scale to answer the questions in the table below. Why was your attempt to quit smoking bidis not successful i.e. why did you start smoking bidis again? I was experiencing physical withdrawal symptoms, or I was concerned that I would. 044b TC62452 I was feeling stressed. 044c TC62454 I was not motivated enough to stay quit. 12

13 044d TC62455 It was too easy to get bidis. 044e TC62456 I could not control my craving for bidis. 044f TC62457 I needed something to do, to occupy the time. 044g TC62459 I had already gained weight, or I was concerned that I would. 044h TC62460 My friends smoked bidis. 044i TC62461 Members of my family smoked bidis. 044j TC62462 I didn t have a particular reason. 044k TC62469 Other (specify): 045 BQ62111 Interviewer Note: Respondent does not need to be intending to quit smoking cigarettes to respond. Emphasize "IF" in wording. Now I would like to ask you some questions on any thoughts you might have had about quitting smoking cigarettes in the future. IF you decided to give up smoking cigarettes completely in the next 6 months, how sure are you that you would succeed? 1 Not at all sure 2 Slightly sure 3 Moderately sure 4 Very sure 5 Extremely sure 046 BQ62121 How easy or hard would it be for you to quit smoking cigarettes if you wanted to? 1 Very easy 2 Somewhat easy 3 Neither easy nor hard 4 Somewhat hard 5 Very hard 047 BQ62161 One year from now, how much do you expect to be smoking cigarettes, compared to now: More than now, the same amount, less than now, or not smoking at all? 1 A lot more than now 2 A little more than now 3 The same amount as now 4 A little less than now 5 A lot less than now, or... 6 Not smoking at all 048 BQ62141 Interviewer Note: Mark the same response option to this question in the REFERENCE SHEET 048/BQ

14 Are you planning to quit smoking cigarettes... 1 Within the next month 2 Within the next 6 months 3 Sometime in the future, beyond 6 months 4 Not planning to quit If response=4, 8 or 9, go to 051/TQ BQ62146 Have you set a firm date for quitting cigarettes? 050 BQ62153 How much do you want to quit smoking cigarettes? 1 Not at all 2 A little 3 Somewhat 4 A lot 051 TQ62233 Interviewer Note: Respondent does not need to be intending to quit smoking bidis to respond. Emphasize "IF" in wording. Now I would like to ask you some questions on any thoughts you might have had about quitting smoking bidis in the future. IF you decided to give up smoking bidis completely in the next 6 months, how sure are you that you would succeed? 1 Not at all sure 2 Slightly sure 3 Moderately sure 4 Very sure 5 Extremely sure 052 TQ62235 How easy or hard would it be for you to quit smoking bidis if you wanted to? 1 Very easy 2 Somewhat easy 3 Neither easy nor hard 4 Somewhat hard 5 Very hard 14

15 053 TQ62241 One year from now, how much do you expect to be smoking bidis, compared to now: More than now, the same amount, less than now, or not smoking at all? 1 A lot more than now 2 A little more than now 3 The same amount as now 4 A little less than now 5 A lot less than now, or... 6 Not smoking at all 054 TQ62244 Interviewer Note: Mark the same response option to this question in the REFERENCE SHEET 054/TQ244. Are you planning to quit smoking bidis... 1 Within the next month 2 Within the next 6 months 3 Sometime in the future, beyond 6 months 4 Not planning to quit If response=4, 8, or 9, go to 057a/TQ TQ62246 Have you set a firm date for quitting bidis? 056 TQ62250 How much do you want to quit smoking bidis? 1 Not at all 2 A little 3 Somewhat 4 A lot 057a TQ62310 Interviewer Note: Ask the next 13 questions 057a/TQ310 to 057p/TQ350 IF REFERENCE SHEET 048/BQ141=1, 2 or 3 or 054/TQ244=1, 2 or 3. Otherwise, go to 058/BQ301. Interviewer Note: Use the following scale to answer the questions in the table below. Now I want to ask you about quitting smoking in general -- this includes cigarettes or bidis or both. Have any of the following reasons led you to think about quitting smoking...? Concern for your personal health? 15

16 057b BQ62203 Concern about the effect of your cigarette smoke on non-smokers? 057c TQ62112 Concern about the effect of your bidi smoke on non-smokers? 057d TQ62316 That Bangladesh society disapproves of smoking? 057e BQ62209 The price of cigarettes? 057f TQ62118 The price of bidis? 057g TQ62324 Smoking restrictions at work? 057h TQ62326 Smoking restrictions in public places? 057i TQ62321 Free, or lower cost, stop-smoking medication? 057j TQ62340 Advertisements or information about the health risks of smoking? 057k BQ62227 Warning labels on cigarette packages? 057l TQ62142 Warning labels on bidi packages? 057m TQ62346 Setting an example for children? 057n TQ62330 That close friends and family disapprove of your smoking? 057o TQ62344 The rising cost of essentials like food or fuel? 057p TQ62350 Other; specify 058 BQ62301 How much do you think you would benefit from health and other gains if you were to quit smoking cigarettes permanently in the next 6 months? 1 Not at all 2 Slightly 3 Moderately 4 Very much 5 Extremely 059 BQ62309 Still thinking about quitting permanently within the next 6 months: If you were to quit smoking cigarettes, would your ability to enjoy life be improved, made worse, or stay the same? 1 Improved a lot 2 Improved a little 3 Stay the same 4 Made a little worse 5 Made much worse 060 TQ62253 How much do you think you would benefit from health and other gains if you were to quit smoking bidis permanently in the next 6 months? 1 Not at all 2 Slightly 3 Moderately 16

17 4 Very much 5 Extremely 061 TQ62255 Still thinking about quitting permanently within the next 6 months: If you were to quit smoking bidis, would your ability to enjoy life be improved, made worse, or stay the same? 1 Improved a lot 2 Improved a little 3 Stay the same 4 Made a little worse 5 Made much worse KNOWLEDGE OF HEALTH EFFECTS and TOBACCO CONSTITUENTS 062 SB62200 Do you think smoking cigarettes is? 1 Good for your health 2 Neither good nor bad for your health 3 Not good for your health 063 SB62170 Do you think smoking bidis is? 1 Good for your health 2 Neither good nor bad for your health 3 Not good for your health 064a SB62203 Interviewer Note: Use the following scale to answer the questions in the table below. In the last month, how often, if at all, did you... Think about how much you enjoy smoking cigarettes? 1 Never 2 Sometimes 3 Often 064b SB62843 Think about how much you enjoy smoking bidis? 064c SB62205 Think about the harm your smoking cigarettes might be doing to you? (Prev. SB62201) 064d SB62844 Think about the harm your smoking bidis might be doing to you? 17

18 064e SB62210 Seriously consider quitting cigarettes? 064f SB62841 Seriously consider quitting bidis? 064g SB62211 Think about the money you spend smoking cigarettes? 064h SB62845 Think about the money you spend smoking bidis? 065a KN62221 Interviewer Note: Repeat the question if necessary. Use the following scale to answer the questions in the table below. I am going to read you a list of health effects and diseases that may or may not be caused by smoking cigarettes. Based on what you know or believe, does smoking cigarettes cause the following...? Stroke? 065b KN62231 Impotence in male smokers? 065c KN62259 Mouth cancer? (Prev. KN62256) 065d KN62241 Lung cancer? 065e KN62200 Coronary heart disease/ COPD? (Prev. KN62211) 065f KN62248 Pulmonary tuberculosis? 065g KN62244 Bronchitis? 066a KT62212 Interviewer Note: Repeat the question if necessary. Use the following scale to answer the questions in the table below. I am going to read you a list of health effects and diseases that may or may not be caused by smoking bidis. Based on what you know or believe, does smoking bidis cause the following...? Stroke? 066b KT62251 Impotence in male smokers? 066c KT62223 Mouth cancer? 066d KT62221 Lung cancer? 066e KT62200 Coronary heart disease/ COPD? (Prev. KT62211) 066f KT62231 Pulmonary tuberculosis? 18

19 066g KT62233 Bronchitis? 067a KT62460 Interviewer Note: Repeat Does passive smoking cause before each question. Use the following scale to answer the questions in the table below. I am going to read you a list of health effects and diseases that may or may not be caused by passive smoking. Based on what you know or believe, does passive smoking cause...? Lung cancer in non-smokers? 067b KT62401 Coronary heart disease/ COPD in non-smokers? (Prev. KT62450) 067c KT62477 Asthma in children? 067d KT62470 Pulmonary tuberculosis in non-smokers? 068a KN62342 Interviewer Note: Use the following scale to answer the questions in the table below. The next few questions will be about cigarettes. I am going to read you a list of chemicals that may or may not be in cigarette smoke. Based on what you know or believe, does cigarette smoke contain... Nicotine. 068b KN62341 Carbon monoxide? 068c KN62346 Benzene? 068d KN62351 Formaldehyde? 068e KN62343 Trans fatty acid? 069a KT62291 Interviewer Note: Use the following scale to answer the questions in the table below. The next few questions will be about bidis. I am going to read you a list of chemicals that may or may not be in bidi smoke. Based on what you know or believe, does bidi smoke contain... Nicotine. 069b KT62292 Carbon monoxide? 19

20 069c KT62293 Benzene? 069d KT62294 Formaldehyde? 069e KT62295 Trans fatty acid? 070a 070b 070c 070d KT62482 (Prev. KT62332) KT62782 (Prev. KT62732) KT62483 (Prev. KT62333) KT62783 (Prev. KT62733) Interviewer Note: Read each statement and then ask respondent if the statement is true or false. Use the following scale to answer the questions in the table below. Are each of the following statements about cigarettes and bidis and smokeless tobacco true or false? The nicotine in cigarettes and bidis causes most of the cancer. 1 True 2 False The nicotine in smokeless tobacco causes most of the cancer. Nicotine is the main substance in cigarettes and bidis that makes people smoke. Nicotine is the main substance in smokeless tobacco that makes people use it. 070e KN62513 The quality of foreign cigarettes is better than that of domestic cigarettes. 070f KT62205 The quality of foreign bidis (e.g. Pata Bidis from India) is better than that of domestic bidis (e.g. Akiz and Abul). 070g KN62515 Foreign cigarettes do less harm to your health compared to domestic cigarettes. 070h KT62206 Foreign bidis (e.g. Pata Bidis from India) do less harm to your health compared to domestic bidis (e.g. Akiz and Abul). WARNING LABELS 071 WL62101 As far as you know, do cigarette packages in Bangladesh have health warnings? If response=2, 8 or 9, go to 083/WT WL62201 In the last month, how often, if at all, have you NOTICED health warnings on cigarette packages? 1 Never 2 Once in a while 3 Often 4 Whenever I smoke tobacco 20

21 If response=1, 8 or 9, go to 076/WL WL62211 In the last month, how often, if at all, have you read or looked closely at the warning labels on cigarette packages? 1 Never 2 Hardly ever 3 Once in a while 4 Often 5 Regularly 074 WL62221 In the last month, have the warning labels stopped you from having a cigarette when you were about to smoke one? 1 Never 2 A couple of times 3 Once in a while 4 Many times 075 WL62313 In the last month, have you made any effort to avoid looking at or thinking about the cigarette warning labels -- such as covering them up, keeping them out of sight, using a cigarette case, avoiding certain warnings, or any other means? 076 WL62411 To what extent, if at all, do the health warnings on cigarette packages make you more likely to think about the health risks (health danger) of smoking cigarettes? 1 Not at all 2 A little 3 A lot 077 WL62421 To what extent, if at all, do the health warnings on cigarette packages make you more likely to quit smoking cigarettes? 1 Not at all 2 A little 3 A lot 078 WL62507 Do you think that cigarette packages should have more health information than they do now, less information, or about the same amount as they do now? 21

22 1 Less health information 2 About the same 3 More health information 079 WL62425 Interviewer note: Show manikin flashcard 1. When reading out each response option, point to the corresponding manikin picture on the flashcard. How do the cigarette health warnings make you feel? Do they make you... 1 Very alarmed 2 Somewhat alarmed 3 Neither alarmed nor calm 4 Somewhat calm 5 Very calm 080 WL62424 Interviewer note: Show manikin flashcard 2. When reading out each response option, point to the corresponding manikin picture on the flashcard. How do the cigarette health warnings make you feel? Are the feelings... 1 Very unpleasant 2 Somewhat unpleasant 3 Neither unpleasant nor pleasant 4 Somewhat pleasant 5 Very pleasant 081 WL62426 How realistic do you think the cigarette health warnings are? 1 Not at all realistic 2 A little realistic 3 Somewhat realistic 4 Very realistic 5 Extremely realistic 082 WL62427 How do the cigarette health warnings make you feel? Do they make you... 1 Extremely worried 2 Very worried 3 Somewhat worried 4 A little worried 5 Not worried at all 22

23 083 WT62300 As far as you know, do bidi packages in Bangladesh have health warnings? If response=2, 8 or 9, go to Anti-Smoking Campaigns, 095a/AC WT62302 In the last month, how often, if at all, have you NOTICED health warnings on bidi packages? 1 Never 2 Once in a while 3 Often 4 Whenever I smoke tobacco If response=1, 8 or 9, go to 088/WT WT62304 In the last month, how often, if at all, have you read or looked closely at the warning labels on bidi packages? 1 Never 2 Hardly ever 3 Once in a while 4 Often 5 Regularly 086 WT62306 In the last month, have the warning labels stopped you from having a bidi when you were about to smoke one? 1 Never 2 A couple of times 3 Once in a while 4 Many times 087 WT62312 In the last month, have you made any effort to avoid looking at or thinking about the bidi warning labels -- such as covering them up, keeping them out of sight, avoiding certain warnings, or any other means? 088 WT62311 To what extent, if at all, do the health warnings on bidi packages make you more likely to think about the health risks (health danger) of smoking bidis? 1 Not at all 2 A little 3 A lot 23

24 089 WT62316 To what extent, if at all, do the health warnings on bidi packages make you more likely to quit smoking bidis? 1 Not at all 2 A little 3 A lot 090 WT62332 Do you think that bidi packages should have more health information than they do now, less information, or about the same amount as they do now? 1 Less health information 2 About the same 3 More health information 091 WT62345 Interviewer note: Show manikin flashcard 1. When reading out each response option, point to the corresponding manikin picture on the flashcard. How do the bidi health warnings make you feel? Do they make you... 1 Very alarmed 2 Somewhat alarmed 3 Neither alarmed nor calm 4 Somewhat calm 5 Very calm 092 WT62344 Interviewer note: Show manikin flashcard 2. When reading out each response option, point to the corresponding manikin picture on the flashcard. How do the bidi health warnings make you feel? Are the feelings... 1 Very unpleasant 2 Somewhat unpleasant 3 Neither unpleasant nor pleasant 4 Somewhat pleasant 5 Very pleasant 093 WT62346 How realistic do you think the bidi health warnings are? 1 Not at all realistic 2 A little realistic 3 Somewhat realistic 4 Very realistic 5 Extremely realistic 24

25 094 WT62347 How do the bidi health warnings make you feel? Do they make you... 1 Extremely worried 2 Very worried 3 Somewhat worried 4 A little worried 5 Not worried at all ANTI-SMOKING CAMPAIGNS 095a AC62711 Interviewer Note: Repeat the question if necessary. Use the following scale to answer the questions in the table below. In the last 6 months, have you noticed advertising or information that talks about the dangers of smoking, or encourages quitting, in any of the following places? Television 095b AC62716 Radio. 095c AC62721 Cinema halls. 095d AC62725 Posters. 095e AC62731 Newspapers or magazines. 095f AC62736 On shop windows or inside shops? 095g AC62712 On or around street vendors? 095h AC62714 In the workplace. 095i AC62717 Public transportation vehicles or stations. 095j AC62718 Restaurants or tea stalls. 095k AD62741 Cigarette packages. (Prev. AD62720) 095l AC62620 Bidi packages. 096 AC62773 Has this advertising made smoking less socially acceptable? 1 No, not at all 2 Yes, a little 3 Yes, a lot 097 AC62772 As a whole, has this advertising made you more or less likely to quit smoking or made no difference? 25

26 098a AC62793 (Prev. AD752) 1 More likely to quit smoking 2 Less likely to quit smoking 3 Made no difference In the last 6 months, have you received information from any NGO or microcredit organization that talks about the dangers of smoking, or encourages quitting? If response=2, 8 or 9, go to 099/AD b AC62794o What is the name of the NGO or microcredit organization? 098c AC62795o State the information you received from the NGO or microcredit organization: 099 AD62801 In the last 6 months, have you noticed any advertising or information from tobacco companies which deals with the topic of youth smoking cigarettes? 100 AC62690 In the last 6 months, have you noticed any advertising or information from tobacco companies which deals with the topic of youth smoking bidis? 101 AC62791 In the last 6 months, have you noticed any advertising or information from tobacco companies which deals more generally with the dangers of smoking? 102 BR62315 Introduction Note: I am now going to ask you about your brand choice and purchase of cigarettes. Do you normally smoke filtered or unfiltered cigarettes? 1 Filtered 2 Unfiltered 3 Both 26

27 103a BR62310 Interviewer Note: Mark the same response option to this question in the REFERENCE SHEET 103a/BR310. Do you have a regular brand of cigarettes, one that you usually smoke? If response=2, 8 or 9, go to 106/BR b BR62311o What is the name of your usual [regular] cigarette brand? c BR62307o What is the flavor, if any, (e.g. chocolate, menthol, lemon) of your usual [regular] cigarette brand? 104 BR62502 How long have you been smoking your usual [regular] brand of cigarettes? 1 Less than 1 year years 3 More than 5 years 105a BR62626 Interviewer Note: Repeat the question if necessary. Use the following scale to answer the questions in the table below. In choosing this brand of cigarettes, was part of your decision based on any of the following? The price. 105b BR62618 High quality. 105c BR62636 How they taste. 105d BR62616 This brand is less harmful to my health. 105e BR62617 It is a popular brand. 105f BR62621 This brand will help me to quit. 105g BR62623 My friends smoke this brand. 105h BR62622 The design of the package. 106 BR62661 How often do you smoke other cigarette brands? 1 Every day 27

28 2 Every week 3 Every month 4 Less than every month 107a PU62701 In the last 6 months, have you bought any foreign brands of cigarettes? If response=2, 8, or 9, go to 110a/SO b PU62702 Interviewer Note: We do not need to know where they are made. Do you know where your foreign cigarette brands were made? 108a PU62724 Interviewer Note: Only write 3 brands and varieties. Write first brand. In the last 6 months, which foreign cigarette brands and varieties have you bought? 108b PU62725 Interviewer Note: Write second brand if applicable. 108c PU62726 Interviewer Note: Write third brand if applicable. 109a PU62710 Interviewer Note: Read out each reason. Repeat question if necessary. Use the following scale to answer the questions in the table below. Why did you choose a foreign cigarette brand? Better quality than domestic brands. 109b PU62711 Lower price than domestic brands. 109c PU62712 Less harmful to health. 109d PU62713 Better taste. 109e PU62714o Other attractive features (specify) 110a SO62221 Interviewer Note: DO NOT read out the response options. Select only ONE response option mentioned by the respondent. Where did you last buy cigarettes for yourself? 01 Street vendor 02 Local shop 28

29 03 Supermarket 04 Tea stall 05 From a restaurant 06 From a hotel, inn 07 Duty-free shop 08 Outside the country 09 Vendor selling from a public transportation vehicle (bus, train or ferry) 10 Smoke shop 11 Military store 12 From a friend/ colleague/ relative/ employer 13 From an independent seller, someone selling door-to-door or in the street 14 Other (specify below) 76 Doesn't remember any details of last purchase (Don't read) 8 99 Don't Know (Don't read) If response=76, go to 116/PU b SO62221o Other; specify 111a BR62701 Interviewer Note: Ask the next 3 questions IF REFERENCE SHEET 103a/BR310=1 or Yes. Was this last purchase your usual cigarette brand? If response=1, 8 or 9, go to 112/PU b BR62711 What specific brand of cigarettes did you buy? c BR62712 What specific variety of cigarettes did you buy? 112 PU62201 Interviewer Note: Mark the same response option to this question in the REFERENCE SHEET 112/PU201. The last time you bought cigarettes for yourself, did you buy them as loose (single) cigarettes, or by the package? 1 Loose (single) cigarettes 2 Pack If response=2, go to 114/PU311. If response=8 or 9, go to 116/PU a PU62411 How many loose (single) cigarettes did you buy? 29

30 b PU62431 How much did each cigarette cost? Go to 116/PU PU62311 Interviewer Note: Ask the next 3 questions IF REFERENCE SHEET 112/PU201=2 or Pack. How many packages of cigarettes did you buy? a PU62331 How much did each package of cigarettes cost? b PU62322 How many cigarettes are in a package? 116 PU62622 In the last 6 months, has there been a time when the money you spent on cigarettes resulted in not having enough money for household essentials like food? 117 SO62501 In the last 6 months, have you made any special effort to buy cigarettes that are less expensive than you can get from local stores? 118 BR62317 Interviewer Note: Ask the respondent to show you a cigarette package one he/she is currently smoking OR currently has at home. Ask permission to take the empty package with you to the Bureau of Economic Research at the University of Dhaka. Indicate whether package was shown:, shown, not shown If response=2, go to Bidi Brand Choice and Purchase 122a/TB BR62314 Is an official excise tax stamp visible on the package?, the package displays an excise tax 30

31 2 Yes, the package displays a fraction of the tax stamp or minutely visible fragments of a tax stamp 3 No, there is no excise tax stamp, nor are there any signs to indicate that a stamp was ever present If response=3, go to 121/WL BR62319 Interviewer Note: Record if the cigarette package displays an excise tax stamp. The package displays an excise tax stamp issued by the Ministry of Finance of which country? 1 Bangladesh 2 India 3 Other country (specify): 121 WL62100 Interviewer Note: Record if the cigarette package is shown. Is a health warning label on the package? 1 No, a health warning label is not visible 2 Yes, a health warning label is present in a language other than Bengali 3 Yes, a health warning label is present in Bengali. BIDIS -- BRAND CHOICE AND PURCHASE 122a TB62103 Introductory Note: In this section I am going to ask you about your brand choice and purchase of bidis. Interviewer Note: Mark the same response option to this question in the REFERENCE SHEET 122a/TB103. Do you have a [regular] brand of bidis, one that you usually smoke? If response=2, 8 or 9, go to 125/TB b TB62106 What is the name of your usual [regular] bidi brand? 123 TB62115 Interviewer note: DO NOT read out response options. How long have you been smoking your usual [regular] brand of bidis? 1 Less than 1 year years 3 More than 5 years 124a TB62123 Interviewer Note: Repeat the question if necessary. Use the following scale to answer the questions in the table below. In choosing this brand of bidis, was part of your decision based on any of the following? The price? 31

32 124b TB62121 High quality. 124c TB62125 How they taste. 124d TB62127 This brand is less harmful to my health. 124e TB62129 It is a popular brand. 124f TB62131 This brand will help me to quit. 124g TB62133 My friends smoke this brand. 125 TB62110 How often do you smoke other bidi brands? 1 Every day 2 Every week 3 Every month 4 Less than every month 126a TB62301 In the last 6 months, have you bought any foreign brands of bidis? If response=2, 8 or 9, go to 129a/LP b TB62302 Interviewer Note: We do not need to know where they are made. Do you know where your foreign bidi brands were made? 127a TB62304 Interviewer Note: Only write 3 brands. Write first brand. In the last 6 months, which foreign bidi brands have you bought? 127b TB62305 Interviewer Note: Write second brand if applicable. 127c TB62306 Interviewer Note: Write third brand if applicable. 128a TB62321 Interviewer Note: Read out each reason. Repeat question if necessary. Use the following scale to answer the questions in the table below. Why did you choose a foreign bidi brand? Better quality than domestic brands. 128b TB62323 Lower price than domestic brands. 32

33 128c TB62327 Less harmful to health. 128d TB62325 Better taste. 128e TB62339 Other attractive features (specify) 129a LP62266 Interviewer Note: DO NOT read out the response options. Select only ONE response option mentioned by the respondent. Where did you last buy bidis for yourself? 01 Street vendor 02 Local shop 03 Supermarket 04 Tea stall 05 From a restaurant 06 From a hotel, inn 07 Duty-free shop 08 Outside the country 09 Vendor selling from a public transportation vehicle (bus, train or ferry) 10 Smoke shop 11 Military store 12 From a friend/ colleague/ relative/ employer 13 From an independent seller, someone selling door-to-door or in the street 14 Other (specify below) 76 Doesn't remember any details of last purchase (Don't read) 8 99 Don't Know (Don't read) If response=76, go to 133/RH b LP62266o Other; specify 130a LP62210 Interviewer Note: Ask the next 3 questions IF REFERENCE SHEET 122a/TB103=1 or Yes. Was this last purchase your usual [regular] bidi brand? If response=1, 8 or 9, go to 131a/LP b LP62212 What specific brand of bidis did you buy? c LP62213 What specific variety of bidis did you buy? 1 Factory-made 2 Hand-rolled 3 Folded with leaf 4 Other; specify below 33

34 130d LP62213o Specify other variety 131a LP62220 Interviewer Note: Mark the same response option to this question in the REFERENCE SHEET 131a/LP220. The last time you bought bidis for yourself, did you buy them as loose (single) bidis or by the package? 1 Loose (single) bidis 2 Pack If response=2, go to 132a/LP235. If response=8 or 9, go to 133/RH b LP62225 How many loose (single) bidis did you buy? c LP62227 How much did each bidi cost? Go to 133/RH a LP62235 Interviewer Note: Ask the next 3 questions IF REFERENCE SHEET 131a/LP220=2 or Pack. How many packages of bidis did you buy? b LP62239 How much did each package of bidis cost? 132c LP62237 How many bidis are in a package? 133 RH62331 Ask IF REFERENCE SHEET 122a/TB103=1 or Yes. Otherwise, go to 134/LP288. Do you think that the bidi brand you usually smoke might be a little less harmful, no different, or a little more harmful, compared to other bidi brands? 1 A little less harmful different 3 A little more harmful 134 LP62288 In the last 6 months, has there been a time when the money you spent on bidis resulted in not having enough money for household essentials like food? 34

35 135 LP62285 In the last 6 months, have you made any special effort to buy bidis that are less expensive than you can get from local stores? 136 LP62250 Interviewer Note: Ask the respondent to show you a bidi package one he/she is currently smoking OR currently has at home. Ask permission to take the empty package with you to the Bureau of Economic Research at the University of Dhaka. Indicate whether package was shown:, shown, not shown If response=2, go to Light, Mild (140/HG002). 137a LP62255 Is an official excise tax stamp visible on the package?, the package displays an excise tax 2 Yes, the package displays a fraction of the tax stamp or minutely visible fragments of a tax stamp 3 No, there is no excise tax stamp, nor are there any signs to indicate that a stamp was ever present If response=3, go to 138/LP b LP62257 Interviewer Note: Record if the bidi package displays an excise tax stamp. The package displays an excise tax stamp issued by the Ministry of Finance of which country? 1 Bangladesh 2 India 3 Other country (specify): 138 LP62260 Interviewer Note: Record if the bidi package is shown. Is a health warning label on the package? 1 No, a health warning label is not visible 2 Yes, a health warning label is present in a language other than Bengali 3 Yes, a health warning label is present in Bengali. 139 RH62339 If the government set limits on some of the harmful chemicals in bidi smoke, would this affect how you feel about smoking bidis? Would it make you feel much better, a little better, much worse, a little worse, or would it make no difference to how you feel? 1 I would feel much WORSE about smoking bidis. 2 I would feel a little worse about smoking bidis. 3 It would make no difference to how I feel. 4 I would feel a little BETTER about smoking bidis. 5 I would feel much better about smoking bidis. 35

36 140 HG62002 Interviewer note: The next series of questions will be about cigarettes only. 141 LM62102 Do YOU think that some types of cigarettes COULD be less harmful than other types, or are all cigarettes equally harmful? 1 Some less harmful 2 All equally harmful 142a LM62321 Interviewer Note: Use the following scale to answer the questions in the table below. Over the years tobacco companies have distinguished what they call regular strength or full-flavoured cigarettes from others variously described as Light or Mild. For the following questions, I will refer to all types of light, mild, and low tar cigarettes as Light Cigarettes. Please tell me if you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree with each of the following statements about light cigarettes. Light cigarettes are less harmful than regular-strength cigarettes. 1 Strongly agree 2 Agree 3 Neither agree nor disagree 4 Disagree 5 Strongly disagree 142b LM62331 Light cigarettes are smoother on your throat and chest than regular-strength cigarettes. 142c LM62341 Smokers of light cigarettes take in less tar than smokers of regular-strength cigarettes. 143 LM62109 Interviewer Note: Ask the next 2 questions IF REFERENCE SHEET 103a/BR310=1 or Yes. Otherwise go to 145a/LM351. Interviewer Note: Ask the next 3 questions if 103a/BR310=1 or Yes. Do you think that the cigarette brand you usually smoke might be a little less harmful, no different, or a little more harmful, compared to other cigarette brands? 1 A little less harmful different 3 A little more harmful 144 LM62110 The brand of cigarettes I usually smoke is less painful on my throat and chest than other cigarette brands. 1 Strongly disagree 2 Disagree 3 Neither disagree nor agree 4 Agree 5 Strongly agree 145a LM62351 Which, if any, of the following terms on cigarette packages mean that the cigarettes are supposed to be light, mild, 36

37 or low in harmful chemicals? Does the term SMOOTH on cigarette packages mean that the cigarettes are supposed to be light, mild, or low in harmful chemicals? 145b LM62359 Does the term ULTRA on cigarette packages mean that the cigarettes are supposed to be light, mild, or low in harmful chemicals? 146 LM62424 If the government set limits on some of the harmful chemicals in cigarette smoke, would this affect how you feel about smoking cigarettes? Would it make you feel much better, a little better, much worse, a little worse, or would it make no difference to how you feel? 1 I would feel much WORSE about smoking cigarettes. 2 I would feel a little worse about smoking cigarettes. 3 It would make no difference to how I feel. 4 I would feel a little BETTER about smoking cigarettes. 5 I would feel much better about smoking cigarettes. CESSATION HELP 147 CH62801 Since we last talked to you, have you visited a doctor (MBBS or a village doctor), for any reason? If response=2, 8 or 9, go to 156/CH CH62811 During any visit to the doctor (MBBS or a village doctor), since we last talked to you, did you receive Advice to quit smoking cigarettes? If response=2, 8 or 9, go to 150/AQ CH62812 Did this make you think about quitting cigarettes? 150 AQ62101 (Prev. During any visit to the doctor (MBBS or a village doctor), since we last talked to you, did you receive Advice to quit smoking bidis? 37

38 AQ62201) If response=2, 8 or 9, go to 152/CH AQ62102 (Prev. AQ62202) Did this make you think about quitting bidis? 152 CH62813 During any visit to the doctor (MBBS or a village doctor), since we last talked to you, did you receive Additional help or a referral to another service to help you quit smoking cigarettes? If response=2, 8 or 9, go to 154/AQ CH62814 Did this make you think about quitting cigarettes? 154 AQ62108 (Prev. AQ62208) 155 AQ62109 (Prev. AQ62209) During any visit to the doctor (MBBS or a village doctor), since we last talked to you, did you receive Additional help or a referral to another service to help you quit smoking bidis? If response=2, 8 or 9, go to 156/CH829. Did this make you think about quitting bidis? 156 CH62829 Since we last talked to you, have you received advice or information about quitting cigarettes from Local NGOs or MFIs? If response=2, 8 or 9, go to 158/AQ

39 157 CH62830 Did this make you think about quitting cigarettes? 158 AQ62110 (Prev. AQ62210) 159 AQ62111 (Prev. AQ62211) Since we last talked to you, have you received advice or information about quitting bidis from Local NGOs or MFIs? If response=2, 8 or 9, go to 160a/DE830. Did this make you think about quitting bidis? Second-hand Smoke -- Youngest Child (age 14 and below) 160a DE62830 Interviewer Note: Mark the same response option to this question in the REFERENCE SHEET 160a/DE830. We have a few questions about children. Are there any children living in your household who are 14 or younger? If response=2, 8 or 9, go to 165/TP b DE62822 Can you tell us the age of the youngest child living in your household? HE62302 In general, how would you describe the youngest child's overall health? Is it...? 1 Poor 2 Average 3 Good 4 Excellent 162 HE62303 How often in the last month has the youngest child been ill? By "ill" we mean conditions such as a cold, a fever, or some disease or sickness -- whether or not you took the child to the hospital or doctor (MBBS or 39

40 village doctor). 1 Never 2 Rarely 3 Sometimes 4 Often 5 Very often 163a HE62321 Interviewer Note: Use the following scale to answer the questions in the table below. In the last month, how often did the youngest child experience each of the following symptoms? Cough 1 Never 2 Rarely 3 Sometimes 4 Often 5 Very often 163b HE62322 Sore or itchy throat 163c HE62323 Phlegm 163d HE62324 Wheezing 163e HE62325 Shortness of breath 163f HE62326 Blocked or running nose 163g HE62327 Respiratory tract infections 163h HE62328 Ear infection 164a HE62341 Interviewer Note: Use the following scale to answer the questions in the table below. In the last month, how many times have you taken the youngest child to see a doctor (MBBS or village doctor) for each of the following? Cough 1 Never 2 Rarely 3 Sometimes 4 Often 5 Very often 164b HE62342 Sore or itchy throat 164c HE62343 Phlegm 164d HE62344 Wheezing 40

41 164e HE62345 Shortness of breath 164f HE62346 Blocked or running nose 164g HE62347 Respiratory tract infections 164h HE62348 Ear infection ENVIRONMENTAL TOBACCO SMOKE 165 TP62345 Interviewer Note: Accept "Don't know" without pressing for an answer. How much, if at all, do you try to minimize the amount that non-smokers are exposed to your smoke? 1 A lot 2 Somewhat 3 Not at all 166 TP62310 Which of the following best describes smoking inside your home? 1 Smoking is not allowed in any indoor room inside home 2 Smoking is allowed only in some rooms inside home 3 No rules or restrictions 167 TP62326 Compared to a year ago, do YOU now smoke less inside your home, more inside your home, or about the same amount? 1 Smoke less inside the home 2 Smoke about the same 3 Smoke more inside the home 4 Smoking was not, and is not, allowed inside the home 168 SS62411 How important is it to you to have a complete smoking ban in your home? 1 Extremely important 2 Very important 3 Somewhat important 4 Not at all important 169 SS62413 How difficult is it for you to introduce or maintain a complete smoking ban in your home? 1 Extremely difficult 2 Very difficult 3 Somewhat difficult 4 Not at all difficult 41