30. Are you currently involved in a sexual relationship?

Based on those not currently married or living as married; n=479

38 Yes 60 No 2 Don’t know/Refused 100

CURRENT RELATIONSHIP STATUS (Q29, Q30):60 Married/Living as 15 Unmarried and involved 24 Unmarried and not involved 1 Don’t know/Refused 100

31. How long have you (been married /been together with this person)?

Based on those married, living as married, or involved in a sexual relationship; n=916

20 2 years or less 25 3 to 9 years 20 10 to 19 years 35 20 years or more * Don’t know/Refused 100

32. These next few questions are about your sexual health and behavior. Please keep in mind that all of your answers are private. First, have you had sexual intercourse within the last TWELVE months?

75 Yes 25 No 5 Don’t know/Refused 100

33. Have you ever had sexual intercourse?

98 Yes 2 No * Don’t know/Refused 100

34. When you were growing up, did you have sex education courses in school?

Based on those currently or ever married, n=910

66 Yes 30 No 4 Don’t know/Refused 100

35. Since you become sexually active, about how many sexual partners have you had? Would you say more than twenty, eleven to twenty, seven to ten, three to six, two or one?

29 One 11 Two 24 3 to 6 11 7 to 10 10 11 to 20 9 More than 20 6 Don’t know/Refused 100

36. How often (do you and your spouse /do you and your partner/did you and your most recent partner) have sex . . .

9 Everyday or almost everyday 33 Several times a week 28 About once a week 11 About once a month 10 Less often than that 9 Don’t know/Refused 100

37. In general, how do think you compare with most of Americans your AGE…

a. Are you MORE comfortable talking about sexual issues than most Americans your AGE, LESS comfortable, or about as comfortable?

34 More comfortable 10 Less comfortable 51 About as comfortable 5 Don’t know/Refused 100

a. Do you think (you and your spouse have/you and your partner have/you and your most recent partner had) a BETTER sex life than most of Americans your age, NOT as good as sex life, or about the same?

Based on those who have had intercourse (excluding widows and widowers not currently involved in a relationship); n=1109

29 Better 9 Not as good 53 About the same 9 Don’t know/Refused 100

38. How often do you think the average American couple your AGE has sex . . .

7 Everyday or almost everyday 28 Several times a week 36 About once a week 10 About once a month 4 Less often than that 15 Don’t know /Refused 100

39. Thinking about (your SEXUAL relationship with your spouse, how often do you feel that the SEXUAL relationship is/your SEXUAL relationship with your partner, how often do you feel that the SEXUAL relationship your most recent SEXUAL relationship, how often did you feel that the SEXUAL relationship was) (INSERT) always, often, sometimes, or hardly ever?

Based on those who have had intercourse (excluding widows and widowers not currently involved in a relationship); n=1109

Always Often Sometimes Hardly ever Never (VOL.) DK/Ref. a. Loving 62 17 12 4 1 4 =100 b. Passionate 40 26 21 6 1 6 =100 c. Routine 10 13 32 32 6 7 =100 d. Creative 19 22 37 12 2 8 =100

40. How often (do you and your spouse/do you and your partner/did you and your most recent partner) (INSERT) very often, often, sometimes, or hardly ever?

Based on those who have had intercourse (excluding widows and widowers not currently involved in a relationship); n=1109

Always Often Sometimes Hardly ever Never (VOL.) DK/Ref. a. Do romantic things like eat by candlelight 8 18 35 30 6 3 =100 b. Act out your fantasies together 4 10 28 39 12 7 =100 c. Based on women; n=564Wear sexy lingerie 9 10 28 35 12 6 =100 d. Try different sexual positions 11 19 35 23 4 8 =100 e. Read books or watch videos about improving your sex life 2 3 14 52 26 3 =100 f. Go out on special evenings or “dates” or go away for weekends alone 11 22 37 22 5 3 =100

41. Still thinking about (your sexual relationship with your spouse, your sexual relationship with your partner/your most recent sexual relationship) please tell me whether each of the following topics is something you would (like/have liked) to talk about MORE, something you (talk/talked) about enough, or something that you (don”t/didn”t) need to talk about at all?

Based on those who have had intercourse (excluding widows and widowers not currently involved in a relationship); n=1109

More Enough No need to talk about DK/Ref. a. Concerns about AIDS or HIV or othersexually transmitted diseases 12 34 51 3 =100 b. Birth Control 8 27 62 3 =100 c. Your sex life generally 19 44 33 4 =100 d. Your sexual wants and desires 21 45 30 4 =100

READ: Now I have just a few more questions so we can learn more about the people who took part in our survey . . . 42. RECORD RESPONDENT”S GENDER

48 Male 52 Female 100

43. And, what is your age?

23 18-29 21 30-39 19 40-49 14 50-59 22 60 plus 1 Refused 100

44. What is the LAST grade or class you completed in school?

4 None, or grade 1 to 8 13 High school incomplete (Grades 9 – 11) 34 High school graduate (Grade 12), GED 3 Business, technical or vocational school after high school 23 Some college, no four-year degree 14 College graduate, four-year degree 8 Post-graduate or professional schooling, after college 1 Don’t know/Refused 100

45. Are you, yourself, of Hispanic or Latino background, such as Mexican, Puerto Rican, Cuban, or some other Spanish background?

7 Yes 92 No 1 Don’t know/Refused 100

46. What is your race? Are you white, black or African American, Asian or some other race?

84 White 11 Black 1 Asian 3 Other or Mixed race 1 Don’t know/Refused 100

47. Last year, that is in 1997, what was your total family income from all sources, BEFORE taxes? Just stop me when I get to the right category.

6 Less than $10,000 12 $10,000 to under $20,000 18 $20,000 to under $30,000 16 $30,000 to under $40,000 18 $40,000 to under $60,000 13 $60,000 to under $100,000 6 $100,000 or more 11 Don’t know/Refused 100

READ: Thank you very much for taking the time to answer the questions on this survey. We really appreciate it. Have a nice day/evening.

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Sex In The 90s:Kaiser Family Foundation/ABC Television 1998 National Survey of Americanson Sex and Sexual Health:Survey Part One Part Two Part Three ABC Television

16. Do you think sex education courses should ONLY teach abstinence — that is NOT having sex until marriage — OR should courses teach about BOTH abstinence AND give teens enough information to help them prevent unplanned pregnancies and the spread of sexually transmitted diseases if they DO decide to have sex?

18 Only abstinence 81 Both 8 Don’t know/Refused 100

17. Do you think that HIGH SCHOOL health clinics should provide young people with condoms and other forms of birth control if students ask for them?

57 Yes 40 No 3 Don’t know/Refused 100

18. In general, at what age do you think most young people have sexual intercourse for the first time?Teens = (13-18) Perceptions Fall 1997 Survey* 15 12 or younger 2 11 13 5 15 14 12 21 15 18 17 16 29 6 17 16 5 18 or older 14 10 Don’t Know/Refused 4 100 100

*PSRA for The Kaiser Family Foundation and YM Magazine

19. When you were growing up, did you have sex education courses in school?

41 Yes 59 No * Don’t know/Refused 100

20. Still thinking back to when you were growing up, would you say you got a lot of information about sex from (INSERT), some, only a little or no information at all?

A lot Some Only a little No info. at all DK/Ref. Did not have sex education in school (Q19) a.Sex education in school Based on total 6 17 16 1 1 59 =100 Based on those who had sexed. in school; n=510 15 43 39 2 1 NA =100 b.Your parents 13 22 27 38 * NA =100

21. Thinking about your (AGE) year old, have you ever talked with him or her about…

Based on parents with at least one child age 8 to 18, (target child chosenrandomly for those with more than one child in age range); n=329

Yes No DK/Ref. a. The basics of reproduction — that is “the birds and bees” 79 21 0 =100 b. HIV/AIDS and other sexually transmitted diseases 80 20 0 =100 c. Issues about relationships and becoming sexually active 63 37 * =100 d. The importance of using protection, such as condoms, to preventpregnancy or disease if they become sexually active 52 48 0 =100

22. When you were growing up did your parents talk with YOU about (INSERT) or not?

Yes No DK/Ref. a. The basics of reproduction — that is “the birds and bees” 41 58 1 =100 b. Sexually transmitted diseases 21 78 1 =100 c. Issues about relationships and becoming sexually active 31 68 1 =100 d. The importance of using protection, such as condoms, to prevent pregnancy or disease if you became sexually active 25 75 * =100

23. Compared to your parents when you were growing up, do you think, (you were/you are/you would be) more open with your child(ren) about sex and sexual issues in general, less open, or about as open as your parents were with you?

79 More open 2 Less open 17 About as open 2 Don’t know/Refused 100

24. Americans have different views about sexual issues. For each of the following statements, please tell me if you strongly agree, somewhat agree, somewhat disagree, or strongly disagree. (First/Next)

Strongly agree Somewhat agree Somewhat disagree Strongly disagree DK/Ref. a. Americans overall are uptight aboutsex and sexual issues 27 36 21 14 2 =100 b. I personally have a hard time talking aboutsex and sexual issues 11 22 25 41 1 =100 c. If Americans were more OPEN talking aboutsex there would be LESS of a problem with unplanned pregnancy and sexually transmitted diseases in this country 41 27 16 14 2 =100 d. Sexual issues are private and should only bediscussed among intimate couples 26 25 25 23 1 =100

25. When you were growing up, did you have sex education courses in school?

85 Long-term monogamous relationships 9 Several relationships with different partners over a life time 6 Don’t know/Refused 100

26. What is your opinion about a married person having sexual relations with someone other than their marriage partner–is it always wrong, almost always wrong, wrong only sometimes, or not wrong at all?

January 1991* 79 Always 71 12 Almost always 17 6 Sometimes 10 2 Not wrong at all 1 1 Don’t Know/Refused 1 100 100

*PSRA for Troika Productions and Lifetime Television

27. For each of the following statements, please tell me if you strongly agree, somewhat agree, somewhat disagree, or strongly disagree.

Strongly agree Somewhat agree Somewhat disagree Strongly disagree DK/Ref. a. In general Americans have a hard timetalking about sex and sexual issues 27 39 19 13 2 =100 b. Making sex a forbidden subject only encouragesyoung people to want to have sex 36 29 18 16 1 =100 c. Sometimes it is harder for couples to TALKabout sexual issues like birth control and sexually transmitted diseases than to HAVE sex 29 38 17 13 3 =100

READ: Now some questions about you . . .

28. How would you rate your SEX life these days? Please use a ten point scale, where ten means great and one means terrible.

15 10 7 9 18 8 11 7 7 6 11 5 1 4 2 3 2 2 8 1 10 Not applicable/Abstinent (VOL.) 100 6.77 Mean 7.00 Median

29. Are you currently married, LIVING AS married, widowed, divorced, separated, or have you never been married?

56 Married 4 Living as married 8 Widowed 10 Divorced 3 Separated 19 Never married * Gay(VOL.) 0 Refused 100

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Sex In The 90s:Kaiser Family Foundation/ABC Television 1998 National Survey of Americanson Sex and Sexual Health:Survey Part One Part Two Part Three ABC Television

This 1998 partnership survey between KFF and Glamour explores experiences with and knowledge of STIs among men and women in the U.S.

This chartbook provides an overview of health care spending and trends in health plan enrollment. It highlights health insurance premiums and costs, health insurance benefits, the structure of the health care market. Data on the stock markets role within the health care industry and implications of health insurance trends for consumers and the safety net is also included.

• Chartbook

HIPAA Compliance Strategies In California: Reforming the State’s Individual Health Insurance Market — Policy Brief

A policy brief on reform of the individual insurance market and implementation of the Health Insurance Portability and Accountability Act (HIPAA) in California. The brief is based, in part, on discussion at a California Health Policy Roundtable held in Sacramento, California on March 12, 1998.

Note: This publication is no longer in circulation. However, a copy may still exist in the Foundation’s internal library that could be reproduced. Please email order@kff.org if you would like to pursue this option.

Health News Index July/August, 1998

The July/August 1998 edition of the Kaiser Family Foundation/Harvard Health News Index includes questions about major health stories covered in the news, including questions about Patients’ Rights and Medicare. The survey is based on a national random sample of 1,200 Americans which measures public knowledge of health stories covered by the news media during the previous month. The Health News Index is designed to help the news media and people in the health field gain a better understanding of which health stories in the news Americans are following and what they understand about those health issues. Every two months, Kaiser/Harvard issues a new index report.

This policy paper describes key requirements of consumer protection regulation under Medicare, Medicaid and federal and state laws as they apply to private health insurance. These include choice and availability of plans, disclosure of information, marketing, access, quality, and the grievance and appeals process. The discussion highlights differences and similarities across public programs and private insurance and compares public and private insurance protection with provisions of the Consumer Bill of Rights (CBRR) developed by the President’s Advisory Commission on Consumer Protection and Quality in the Health Care Industry.

• Report: Protection For Consumers In Managed Care Plans: A Comparison

This report presents findings based upon the KPMG health benefits survey of private and public employers and explores the extent of ERISA preemption on health plans covering U.S. workers. Included is estimated data on the total number of workers covered by fully and partly self-insured health plans in 1993 and 1995, a summary of the ERISA provisions and case law dealing with health plans and an analysis of potential changes to ERISA.

Note: This publication is no longer in circulation. However, a few copies may still exist in the Foundation’s internal library that could be xeroxed. Please contact us if you would like to pursue this option.

A national survey of 800 African Americans, plus an additional general population sample of 800 Americans, examining perceptions about the media’s coverage of health issues that most concern and impact African Americans. This survey was conducted jointly by the Foundation and the National Association of Black Journalists (NABJ) for presentation at the NABJ’s annual conference being held in Washington, DC on Friday, July 31st, 1998.

This case study of the evolution of Medicare managed care in Tampa-St. Petersburg, Florida, is one of four in a series being prepared by Mathematica Policy Research, Inc., for the Kaiser Family Foundation to examine the growth and impact of Medicare managed care. The Medicare risk (HMO) program has developed at different rates and with different degrees of success across the country. The four unique market areas selected for the project include two with high Medicare plan payment rates and two with moderate rates. The two with high adjusted average per capita cost rates (AAPCC) are Los Angeles and New York City. The two areas with more moderate AAPCC rates are Portland, Oregon and Tampa-St. Petersburg, Florida. Medicare managed care plans in Tampa-St. Petersburg have developed only recently, and they appear to be growing rapidly and prospering.

• Report: