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Protocol - Sexual Risk Behavior - Female

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Description

The purpose of this measure is to quantify sexual risk behavior in women or men. The measure quantifies both same-sex and opposite-sex interactions.

Specific Instructions

The PhenX Expert Review Panel recommends asking these questions of participants aged 12-69.

Availability

This protocol is freely available; permission not required for use.

Protocol

Sexual Risk Behavior - Female

The next set of questions is about your sexual history. By sex, we mean vaginal, oral, or anal sex. Please remember that your answers are strictly confidential.

FOR AGES 14-17

1. Have you ever had any kind of sex

1[ ]Yes

2[ ]No

7[ ]Refused (END OF SECTION)

9[ ]Don’t Know (END OF SECTION)

FOR AGES ABOVE 17

2. Have you ever had vaginal sex, also called sexual intercourse, with a man? This means a man’s penis in your vagina.

1[ ]Yes

2[ ]No

7[ ]Refused

9[ ]Don’t Know

3. Have you ever performed oral sex on a man? This means putting your mouth on a man’s penis or genitals.

1[ ]Yes

2[ ]No

7[ ]Refused

9[ ]Don’t Know

4. Have you ever had anal sex? This means contact between a man’s penis and your anus or butt.

1[ ]Yes

2[ ]No

7[ ]Refused

9[ ]Don’t Know

5. How old were you the first time you had any kind of sex, including {vaginal, anal, or oral/vaginal or anal/vaginal or oral/anal or oral/vaginal/anal/oral}?

___ ____ Enter age in Years

77[ ]Refused

99[ ]Don’t Know

6. In your lifetime, with how many men have you had any kind of sex?

Please enter a number: _____________

77777[ ]Refused

99999[ ]Don’t Know

(If Q6 > 0)

7. In the past 12 months, with how many men have you had any kind of sex?

Please enter a number: _____________

77777[ ]Refused

99999[ ]Don’t Know

(If Q2 = 1)

8. In your lifetime, with how many men have you had vaginal sex? Vaginal sex means a man’s penis in your vagina.

Please enter a number: _____________

77777[ ]Refused

99999[ ]Don’t Know

(If Q2 = 1)

9. In the past 12 months, with how many men have you had vaginal sex? Vaginal sex means a man’s penis in your vagina.

Please enter a number or enter zero for none: _____________

77777[ ]Refused

99999[ ]Don’t Know

(If Q9 > 0)

10. In the past 12 months, about how often have you had {vaginal or anal/vaginal/anal} sex without using a condom?

Please select one of the following choices

1[ ]Never

2[ ]Less than half of the time

3[ ]About half of the time

4[ ]Not always, but more than half of the time

5[ ]Always

6[ ]Refused

7[ ]Don’t Know

11. Have you ever had any kind of sex with a woman? By sex, we mean sexual contact with another woman’s vagina or genitals.

1[ ]Yes

2[ ]No

7[ ]Refused

9[ ]Don’t Know

(If Q11 = 1)

12. In your lifetime with how many women have you had sex? By sex, we mean sexual contact with another woman’s vagina or genitals.

Please enter a number: _____________

77777[ ]Refused

99999[ ]Don’t Know

(If Q11 = 1)

13. In the past 12 months, with how many women have you had sex? By sex, we mean sexual contact with another woman’s vagina or genitals.

Please enter a number: _____________

77777[ ]Refused

99999[ ]Don’t Know

Personnel and Training Required

None

Equipment Needs

None

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Interviewer-administered questionnaire

Lifestage

Adolescent, Adult

Participants

14-69 years of age

Selection Rationale

This instrument was chosen based on its comprehensive nature and use of lay language.

Language

Chinese, English, Spanish

While the English version of this protocol has been updated, the available translations have not and reflect a previous version. These differences may impact the compatibility between the English and Spanish/Chinese versions. It is the responsibility of the investigator to determine if the translations are sufficiently compatible with the English version for their research and subsequent analysis.

Standards
StandardNameIDSource
caDSR Form Px101704 Sexual Risk Behavior Female 15177234 caDSR Form
Derived Variables

None

Process and Review

The PhenX Steering Committee (SC) reviewed this protocol in October 2023.  Guidance from the SC includes:

  • Updated protocol

Protocol Name from Source

National Health and Nutrition Examination Survey (NHANES), Sexual Behavior Module, 2015-2016

Source

Centers for Disease Control and Prevention, National Center for Health Statistics.  National Health and Nutritional Examination Survey (NHANES) 2015-2016. Sexual Behavior Questionnaire. Hyattsville, MD: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. 

Certification for the Spanish translation can be found here.

General References

Liu, G., Hariri, S., Bradley, H., Gottlieb, S. L., Leichliter, J. S., Markowitz, L. E. (2015). Trends and Patterns of Sexual Behaviors Among Adolescents and Adults Aged 14 to 59 Years, United States. Sexually Transmitted Diseases, 42(1): 20-26.

Mirzaei, M., Ahmadi, K., Saadat, S.-H., & Ramezani, M. A. (2016). Instruments of high risk sexual behavior assessment: A systematic review. Materia Socio-Medica, 28(1), 46-50.

Protocol ID

101704

Variables
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX101704_Sexual_Risk_Behavior_Female_Female_Twelve_Months
PX101704130000 In the past 12 months, with how many women more
have you had sex? By sex, we mean sexual contact with another woman's vagina or genitals. show less
N/A
PX101704_Sexual_Risk_Behavior_Female_Male_Age
PX101704050000 How old were you the first time you had any more
kind of sex, including {vaginal, anal, or oral/vaginal or anal/vaginal or oral/anal or oral/vaginal/anal/oral}? show less
N/A
PX101704_Sexual_Risk_Behavior_Female_Male_Lifetime
PX101704060000 In your lifetime, with how many men have you more
had any kind of sex? show less
N/A
PX101704_Sexual_Risk_Behavior_Female_Male_Lifetime_Vaginal
PX101704080000 In your lifetime, with how many men have you more
had vaginal sex? Vaginal sex means a man's penis in your vagina. show less
N/A
PX101704_Sexual_Risk_Behavior_Female_Male_Oral
PX101704030000 Have you ever performed oral sex on a man? more
This means putting your mouth on a man's penis or genitals. show less
N/A
PX101704_Sexual_Risk_Behavior_Female_Male_Sex
PX101704010000 Have you ever had any kind of sex N/A
PX101704_Sexual_Risk_Behavior_Female_Male_Twelve_Months
PX101704070000 In the past 12 months, with how many men more
have you had any kind of sex? show less
N/A
PX101704_Sexual_Risk_Behavior_Female_Male_Twelve_Months_Vaginal
PX101704090000 In the past 12 months, with how many men more
have you had vaginal sex? Vaginal sex means a man's penis in your vagina. show less
N/A
PX101704_Sexual_Risk_Behavior_Female_Sex_Female_Sex_Lifetime
PX101704120000 In your lifetime with how many women have more
you had sex? By sex, we mean sexual contact with another woman's vagina or genitals. show less
N/A
PX101704_Sexual_Risk_Behavior_Female_Sex_Male_Twelve_Without
PX101704100000 In the past 12 months, about how often have more
you had {vaginal or anal/vaginal/anal} sex without using a condom? show less
N/A
Reproductive Health
Measure Name

Sexual Risk Behavior

Release Date

September 16, 2024

Definition

The purpose of these questions is to ascertain the participants’ risk of sexually transmitted infection.

Purpose

The purpose of these questions is to assess participants’ risk of sexually transmitted infection. Chromosomal differences may affect sexual behavior and orientation and may be differentially expressed as a result of environmental factors (e.g., endocrine disruptors).

Keywords

Reproductive health, contraceptive use, sexual history, sexual preference, sexual orientation, intercourse, National Health and Nutrition Examination Survey, NHANES

Measure Protocols
Protocol ID Protocol Name
101703 Sexual Risk Behavior - Male
101704 Sexual Risk Behavior - Female

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