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Protocol - Comprehensive HIV Risk Assessment

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Description

The National HIV Behavioral Surveillance System (NHBS) survey began in 2003 to determine risk behavior and HIV testing experiences. NHBS is conducted in cities with a high incidence of AIDS with three groups of people: men who have sex with men (MSM), injection drug users (IDU), and heterosexuals at high risk of exposure to HIV infection. The Centers for Disease Control and Prevention (CDC) provides funding to state and local health departments to collect the information. This is an interviewer-administered protocol that gathers sensitive information.

Specific Instructions

The Substance Abuse and Addiction Working Group acknowledges that the following questions may gather sensitive information relating to the use of substances and/or illegal conduct. If the information is released, it might be damaging to an individual’s employability, lead to social stigmatization, or lead to other consequences.

Most researchers assure confidentiality as part of their informed consent process, as required by their institutional review boards. Further assurance of confidentiality may be obtained by applying to the National Institutes of Health (NIH) for a Certificate of Confidentiality, which helps researchers protect the privacy of human research participants. The procedures for the Certificate of Confidentiality can be found at the Grants Policy website of NIH: http://grants1.nih.gov/grants/policy/coc/index.htm.

Availability

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

Protocol

SEXUAL BEHAVIORS

I’m going to ask you some questions about having sex. Please remember your answers will be kept private. GIVE RESPONDENT FLASHCARD H.1

For these questions, "having sex" means oral, vaginal, or anal sex. Oral sex means mouth on the vagina or penis; vaginal sex means penis in the vagina; and anal sex means penis in the anus (butt). I need to ask you all the questions, even if some may not apply to your situation.

Interviewer: Use your discretion in using slang terms for the following sexual behavior questions.

FOR MALE RESPONDENT ONLY

Female Sex Partners (Male respondent)

HET = Heterosexual MSM = Men who have Sex with Men IDU = Injection Drug Use SX = Sexual Behavior ID = Injection Drug ND = Non-injection drug HT = HIV Testing

SX-1. Have you ever had vaginal or anal sex with a woman?

1[ ]No

2[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

If SX-1 in (0, 7, 9), skip to question SX-26.

SX-2. How old were you the first time you had vaginal or anal sex with a woman?

[77 = Refused, 99 = Don’t know, 88 = Not Applicable] ____ ____

If SX-2 = 88, skip to CONF13a.

CONF13a. Het sex confirmation-male participants

If SX-2 = 88, display:

"Interviewer, you have indicated that the participant has never had vaginal or anal sex with a woman. Is this correct?"

0[ ]No

1[ ]Yes

If NO, go back to SX-2. If Yes and NHBS-HET, skip to END of Questionnaire. If Yes and NHBS-MSM or NHBS-IDU, skip to Say Box before SX-26.

SX-3. In the past 12 months, that is, since <interview month> of last year, with how many different women have you had oral, vaginal, or anal sex?

[Refused = 7777, Don’t know = 9999] ____ ____ ____ ____

NHBS-MSM & NHBS-IDU Skip Pattern for # of Female Sex Partners: If SX-3 = 1: Ask SX-4a. (RT column) If SX-3 > 1: Ask SX-4. (LT column) If SX-3 = 0, 7777, 9999: GO to Say Box before SX-26.

NHBS-HET Skip Pattern for # of Female Sex Partners: If SX-3 = 1: Ask SX-4a. (RT column) If SX-3 > 1: Ask SX-4. (LT column) If SX-3 = 0, 7777, 9999: GO to CONF13b.

CONF-13b. Sex partner confirmation (NHBS-HET):

If SX-3 = 0, 7777, or 9999, read:

I would like to clarify your response. You indicated that you haven’t had sex with a woman in the past 12 months. Is that correct?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

If NO (NOT correct), go to SX-3 (ask it again). If YES, (correct), Refused, or Don’t know, go to END of Questionnaire.

FOR MULTIPLE FEMALE SEX PARTNERS [Read Say Box and Questions in this column]

FOR ONE FEMALE SEX PARTNER [[Read Say Box and Question in this column]

SAY: Now I’m going to ask you to describe these sex partners as either main or casual partners. [GIVE RESPONDENT FLASHCARD I]

By "main partner" I mean a woman you have sex with and who you feel committed to above anyone else. This is a partner you would call your girlfriend, wife, significant other, or life partner. And by "casual partner" I mean a woman you have sex with but do not feel committed to or don’t know very well.

Refused = 7777, Don’t know = 9999

SAY: Now I’m going to ask you to describe this sex partner as either main or casual partner. [GIVE RESPONDENT FLASHCARD I]

By "main partner" I mean a woman you have sex with and who you feel committed to above anyone else. This is a partner you would call your girlfriend, wife, significant other, or life partner. And by "casual partner" I mean a woman you have sex with but do not feel committed to or don’t know very well.

Question

Response

Skip Pattern

Question

SX-4. Of the ______ [insert number from SX-3] women you’ve had oral, vaginal, or anal sex with in the past 12 months, how many of them were main partners?

[ _______ ]

If SX-4 = SX-3, skip to Say Box before SX‑6a.

SX 4a. Was this woman a main partner or a casual partner?

1[ ]Main partner Skip to Say Box before SX-6a

2[ ]Casual partner Skip to Say Box before SX-7a

7[ ]Refused to answer Skip to SX-8

9[ ]Don’t know Skip to SX-8

SX-5. How many were casual partners?

[ _______ ]

Skip Pattern for Multiple Female Sex Partners: If SX-4 ≠ 0, 7777, or 9999: Go to Say Box before SX-6a. Otherwise, if SX-5 ≠ 0, 7777, or 9999: Go to Say Box before SX-7a.

MAIN PARTNERS

MULTIPLE MAIN FEMALE PARTNERS [Read questions, in this column] Refused = 7777, Don’t know = 9999

ONE MAIN FEMALE PARTNER [Read questions in this column] No = 0, Yes = 1, Refused = 7, Don’t know = 9

SAY: Now I’m going to ask you about the _______ [insert number from SX-4] female main sex partners you had in the past 12 months.

SAY: Now I’m going to ask you about the female main sex partner you had in the past 12 months.

Question

Response

Skip Pattern

Question

Response

Skip Pattern

SX-6a. Of your _______ [insert number from SX-4] female main partners in the past 12 months, with how many did you have vaginal sex?

[ ______ ]

If 0, 7777, or 9999, skip to SX-6c.

SX-6a. In the past 12 months, did you have vaginal sex with this woman?

[ ______ ]

If 0, 7, or 9, skip to SX‑6c.

SX-6b. In the past 12 months, with how many of these _______ [insert number from SX-6a] women did you have vaginal sex without using a condom?

[ ______ ]

SX-6b. In the past 12 months, did you have vaginal sex with her without using a condom?

[ ______ ]

SX-6c. Of your _______ [insert number from SX-4] female main partners in the past 12 months, with how many did you have anal sex?

[ ______ ]

If 0, 7777, or 9999, skip to SX-6e.

SX-6c. In the past 12 months, did you have anal sex with this woman?

[ ______ ]

If 0, 7, or 9, skip to SX‑6e.

SX-6d. In the past 12 months, with how many of these _______ [insert number from SX-6c] women did you have anal sex without using a condom?

[ ______ ]

SX-6d. In the past 12 months, did you have anal sex with her without using a condom?

[ ______ ]

SX-6e. Of your ______ [insert number from SX‑4] female main partners, how many did you have sex with for the very first time in the past 12 months?

[ ______ ]

SX-6e. Think about the very first time you had sex with this woman. Was it within the past 12 months?

[ ______ ]

SX-6f. Of your ______ [insert number from SX‑4] female main partners in the past 12 months, how many did you give things like money or drugs in exchange for sex?

SX-6f. In the past 12 months, did you give this woman things like money or drugs in exchange for sex?

SX-6g. Of your ______ [insert number from SX‑4] female main partners in the past 12 months, how many gave you things like money or drugs in exchange for sex?

SX-6g. In the past 12 months, did this woman give you things like money or drugs in exchange for sex?

If SX-4a = 1, skip to SX-9

Skip Pattern for Multiple Female Sex Partners: If SX-4 = SX-3: Skip to SX-9. Otherwise, if SX-5 ≠ 0, 7777, or 9999: Go to Say Box before SX-7a.

CASUAL PARTNERS

MULTIPLE CASUAL FEMALE PARTNERS [Read questions in this column] Refused = 7777, Don’t know = 9999

ONE CASUAL FEMALE PARTNER [Read questions in this column] No =0, Yes = 1, Refused = 7, Don’t know = 9

SAY: Now I’m going to ask you about the _______ [insert number from SX-5] female casual sex partners you had in the past 12 months. Remember, a casual sex partner is someone you do not feel committed to or don’t know very well.

SAY: Now I’m going to ask you about the female casual sex partner you had in the past 12 months. Remember, a casual sex partner is someone you do not feel committed to or don’t know very well.

Question

Response

Skip Pattern

Question

Response

Skip Pattern

SX-7a. Of your _______ [insert number from SX-5] female casual partners in the past 12 months, with how many did you have vaginal sex?

[ ______ ]

If 0, 7777, or 9999, skip to SX-7c.

SX-7a. In the past 12 months, did you have vaginal sex with this woman?

[ ______ ]

If 0, 7, or 9, skip to SX-7c.

SX-7b. In the past 12 months, with how many of these _______ [insert number from SX-7a] women did you have vaginal sex without using a condom?

[ ______ ]

If 0, 7777, or 9999, skip to SX-7c.

SX-7b. In the past 12 months, did you have vaginal sex with her without using a condom?

[ ______ ]

If 0, 7777, or 9999, skip to SX-7c.

SX-7c. Of your _______ [insert number from SX-5] female casual partners in the past 12 months, with how many did you have anal sex?

[ ______ ]

If 0, 7777, or 9999, skip to SX-7e.

SX-7c. In the past 12 months, did you have anal sex with this woman?

[ ______ ]

If 0, 7, or 9, skip to SX-6e.

SX-7d. In the past 12 months, with how many of these _______ [insert number from SX-7c] women did you have anal sex without using a condom?

[ ______ ]

SX-7d. In the past 12 months, did you have anal sex with her without using a condom?

[ ______ ]

SX-7e. Of your ______ [insert number from SX-4] female casual partners, how many did you have sex with for the very first time in the past 12 months?

[ ______ ]

SX-7e. Think about the very first time you had sex with this woman. Was it within the past 12 months?

[ ______ ]

SX-7f. Of your ______ [insert number from SX-5] female casual partners in the past 12 months, how many did you give things like money or drugs in exchange of sex?

SX-7f. In the past 12 months, did you give this woman things like money or drugs in exchange for sex?

SX-7g. Of your ______ [insert number from SX-5] female casual partners in the past 12 months, how many gave you things like money or drugs in exchange for sex?

SX-7g. In the past 12 months, did this woman give you things like money or drugs in exchange for sex?

If SX-4a = 2, skip to SX-9

If SX-3 = 1 and SX4a ≠ 7 OR 9, skip to SX-9.

SX-8. In the past 12 months, did you have vaginal or anal sex without a condom with a woman whose HIV status you didn’t know?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

SX-8a. In the past 12 months, did you have vaginal or anal sex without a condom with a woman who was HIV negative?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

SX-8b. In the past 12 months, did you have vaginal or anal sex without a condom with a woman who was HIV positive?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

SX-9. Now I would like you to think about the last time you had sex with a woman. When was the last time you had oral, vaginal, or anal sex with a woman? Just tell me the month and year.

[77/7777 = Refused, 99/9999 = Don’t know] ___ ___ / ___ ___ ___ ___ (M M / Y Y Y Y)

If SX-9 = 77/7777 or 99/9999, go to CONF14.

CONF14. INTERVIEWER, ask:

Did you have sex with a woman in the past 12 months, that is, since &[AGO_1Y]?

0[ ]No

1[ ]Yes

9[ ]Don’t know

7[ ]Refuse to answer

Skip Pattern: If SX-3 = 1: Go to Logic check before SX-11. Otherwise, if SX-3 > 1: Ask SX-10.

SX-10. Was the woman you had sex with that last time a main partner or a casual partner? GIVE RESPONDENT FLASHCARD I. Remember, a main sex partner is someone you feel committed to above anyone else. And a casual sex partner is someone you do not feel committed to or don’t know very well.

1[ ]Main sex partner

2[ ]Casual sex partner

3[ ]Refused to answer

4[ ]Don’t know

If participant had only one female partner and reported NO exchange with only female partner, skip to SX-12. If last female partner was main (SX-10=1), and participant reported NO exchange sex with any female main partners (both SX-6f and SX-6g=0), skip to SX-12. If last female partner was casual (SX-10=2) and participant reported NO exchange sex with any female casual partners (SX-7f and SX-7g=0), skip to SX-12.

SX-11. When you had sex that last time, did you give her things like money or drugs in exchange for sex?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

SX-11a. When you had sex that last time, did she give you things like money or drugs in exchange for sex?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

SX-12. When you had sex that last time, did you have vaginal sex?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

SX-13. During vaginal sex that last time, did you or your partner use a condom?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

SX-13a. Did you or your partner use the condom the whole time?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

SX-14. Did you or your partner use the condom to prevent pregnancy, to prevent infections like HIV or other sexually transmitted diseases, to prevent both, or for some other reason?

1[ ]Pregnancy

2[ ]HIV/STDs

3[ ]Both

4[ ]Other reason

7[ ]Refused to answer

9[ ]Don’t know

If participant did not report anal sex with only female partner or did not report anal sex with any female partners of the type identified for last female partner, skip to SX-17.

SX-15. When you had sex that last time, did you have anal sex?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

If SX-15 in (0, 7, 9), skip to CONF15.

SX-16. During anal sex that last time, did you use a condom?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

If SX-16 in (0, 7, 9), skip to SX-17.

SX-16a. Did you use the condom the whole time?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

CONF-15 Confirmation Message: Ask the following if SX-12 and SX-15 = 0: "So this means you only had oral sex the last time you had sex?" If participant says "No," go back to SX-12.

SX-17. Before or during the last time you had sex with this partner, did you use: [READ CHOICES. CHECK only ONE.]

1[ ]Alcohol

2[ ]Drugs

3[ ]Both alcohol and drugs

4[ ]Neither one

7[ ]Refused to answer

9[ ]Don’t know

If SX-17 in (1, 4, 7, 9), skip to SX-18.

SX-17a. Which drugs did you use? [DO NOT read choices. CHECK ALL that apply.]

1[ ]Marijuana

2[ ]Speedballs (heroin and cocaine together)

3[ ]Heroin

4[ ]Crack cocaine

5[ ]Powdered cocaine

6[ ]Crystal meth (tina, crank, ice)

7[ ]X or Ecstasy

8[ ]Special K (ketamine)

9[ ]GHB

10[ ]Painkillers (OxyContin®, Vicodin®, Percocet®)

11[ ]Downers (Valium®, Ativan®, Xanax®)

12[ ]Hallucinogens (LSD, mushrooms)

13[ ]Poppers

14[ ]Other drug

77[ ]Refused to answer

99[ ]Don’t know

SX-18. The last time you had sex with this partner, did you know her HIV status?

0[ ]No Skip to SX-19

1[ ]Yes

7[ ]Refused to answer Skip to SX-19

SX-18a. What was her HIV status?

1[ ]HIV-negative

2[ ]HIV-positive

3[ ]Indeterminate

7[ ]Refused to answer

SX-19. Was this partner younger than you, older than you, or the same age as you?

0[ ]Younger

1[ ]Older

2[ ]Same age

7[ ]Refused to answer

9[ ]Don’t know

If SX-19 in (0, 2, 7, 9), skip to SX-20.

SX-19a. What was her age? ___ ___ ___ [777 = Refused, 999 = Don’t know]

SX-19b. Which of the following best describes her racial or ethnic background? [READ choices. Choose one.]

1[ ]American Indian or Alaska Native

2[ ]Asian

3[ ]Black or African American

4[ ]Hispanic or Latino

5[ ]Native Hawaiian or Other Pacific Islander

6[ ]White

7[ ]Refused to answer

9[ ]Don’t know

SX-20. As far as you know, has this partner ever injected drugs like heroin, cocaine, or speed? Would you say she: [READ CHOICES. Check only ONE.]

0[ ]Definitely did not

1[ ]Probably did not

2[ ]Probably did

3[ ]Definitely did

7[ ]Refused to answer

9[ ]Don’t know

SX-21. As far as you know, has this partner ever used crack cocaine? Would you say she: [READ CHOICES. Check only ONE.]

0[ ]Definitely did not

1[ ]Probably did not

2[ ]Probably did

3[ ]Definitely did

7[ ]Refused to answer

9[ ]Don’t know

SX-22. As far as you know, has this partner ever been in prison or jail for more than 24 hours? Would you say she: [READ CHOICES. Check only ONE.]

0[ ]Definitely did not

1[ ]Probably did not

2[ ]Probably did

3[ ]Definitely did

7[ ]Refused to answer

9[ ]Don’t know

SX-23. How long have you been having a sexual relationship with this partner? (Please tell me how many days, months, or years.) [Interviewer: If "one night stand," enter 0.]

# of Days: ____ ____ ____

# of Months: ____ ____ ____

# of Years: ____ ____ ____

[Refused = 777, Don’t know = 999]

If SX-23 > 12 months, skip to SX-25. If SX-23=0, skip to Say Box before SX-26.

SX-24. As far as you know, during the time you were having a sexual relationship with this partner, did she have sex with other people? Would you say she: [READ CHOICES. Check only ONE.]

0[ ]Definitely did not

1[ ]Probably did not

2[ ]Probably did

3[ ]Definitely did

7[ ]Refused to answer

9[ ]Don’t know

SX-24a. During the time you were having a sexual relationship with this partner, did you have sex with other people?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

If SX-23 ≤ 12 months, skip to SX-26.

SX-25. As far as you know, during the past 12 months when you were having a sexual relationship with this partner, did she have sex with other people? Would you say she: [READ CHOICES. Check only ONE.]

0[ ]Definitely did not

1[ ]Probably did not

2[ ]Probably did

3[ ]Definitely did

7[ ]Refused to answer

9[ ]Don’t know

SX-25a. During the past 12 months when you were having a sexual relationship with this partner, did you have sex with other people?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

Male Sex Partners (Male respondent)

SAY: Now I’m going to ask you some questions about having sex with other men. I need to ask you these questions even if some don’t apply to you. Please remember your answers will be kept private. [GIVE RESPONDENT FLASHCARD H.2]

For these questions, "having sex" means oral or anal sex. Oral sex means he put his mouth on your penis or you put your mouth on his penis. Anal sex means you put your penis in his anus (butt) or he put his penis in your anus (butt).

If NHBS-MSM, skip to SX-27.

SX-26. Have you ever had oral or anal sex with a man?

0[ ]No Skip to Say Box before ID-1.

1[ ]Yes

7[ ]Refused to answer Skip to Say Box before ID-1.

9[ ]Don’t know Skip to Say Box before ID-1.

SX-27. How old were you the first time you had oral or anal sex with a man?

[77 = Refused, 99 = Don’t know, 88 = Not applicable] ____ ____

If SX-27 = 88, skip to CONF15b.

CONF15b. MSM sex confirmation

If SX-27 = 88, display: "Interviewer, you have indicated that the participant said he never had either oral or anal sex with a man. Is this correct?"

0[ ]No

1[ ]Yes

If No, go back to SX-27. If Yes and NHBS-MSM, skip to END of Questionnaire. If Yes and NHBS-IDU or NHBS-HET, skip to Say Box before ID-1.

SX-28. In the past 12 months, that is, since <interview month> of last year, with how many different men have you had oral or anal sex?

[Refused = 7777, Don’t know = 9999] ____ ____ ____ ____

If SX-28 ≥ 1 and SX-28 < 7777, skip to SX-29. If SX-28 = 0, ask SX-28a, then skip to SX-50.

SX-28a. Think about the last time you had either oral or anal sex with a man. How many years ago was that?

[Refused = 7777, Don’t know = 9999] ____ ____ ____ ____ Range: 1-99

Skip Pattern for # of Male Sexual Partners: If SX-28, ask SX-29a. Otherwise, ask SX-29.

FOR MULTIPLE MALE SEX PARTNERS [Read Say Box and Question in this column]

FOR ONE MALE SEX PARTNER [Read Say Box and Question in this column]

SAY: Now I’m going to ask you to describe these sex partners as either main or casual partners. [GIVE RESPONDENT FLASHCARD J]

By "main partner" I mean a man you have sex with and who you feel committed to above anyone else. This is a partner you would call your boyfriend, husband, significant other, or life partner. And by "casual partner" I mean a man you have sex with but do not feel committed to or don’t know very well.

Refused = 7777, Don’t know = 9999

SAY: Now I’m going to ask you to describe this sex partner as either main or casual, partner. [GIVE RESPONDENT FLASHCARD J]

By "main partner" I mean a man you have sex with and who you feel committed to above anyone else. This is a partner you would call your boyfriend, husband, significant other, or life partner. And by "casual partner" I mean a man you have sex with but do not feel committed to or don’t know very well.

Question

Response

Skip Pattern

Question

SX-29. Of the ______ [insert number from SX-28] men you’ve had oral or anal sex within the past 12 months, how many of them were main partners?

[ _______ ]

If SX-29 = SX-28, skip to Say Box before SX-31a.

SX-29a. Was this man a main partner or a casual partner?

1[ ]Main partner Skip to Say Box before SX-31a.

2[ ]Casual partner Skip to Say Box before SX-32a.

7[ ]Refused to answer Skip to SX-33.

9[ ]Don’t know Skip to SX-33.

SX-30. How many were casual partners?

[ _______ ]

Skip Pattern Multiple Male Partners: If SX-29 is not equal to 0, 7777, or 9999, go to Say Box before SX31a. Otherwise, if SX-30 is not equal to 0, 7777, or 9999, go to Say Box before SX-32a.

MAIN MALE PARTNERS

MULTIPLE MAIN MALE PARTNERS [Read questions, in this column] Refused = 7777, Don’t know = 9999

ONE MAIN MALE PARTNER [Read questions in this column] No = 0, Yes = 1, Refused = 7, Don’t know = 9

SAY: Now I’m going to ask you about the _______ [insert number from SX-29] male main sex partners you had in the past 12 months.

SAY: Now I’m going to ask you about the male main sex partner you had in the past 12 months.

Question

Response

Skip Pattern

Question

Response

Skip Pattern

SX-31a. Of your _______ [insert number from SX-29] male main partners in the past 12 months, with how many did you have anal sex?

[ ______ ]

If 0, 7777, or 9999, skip to SX-31c.

SX-31a. In the past 12 months, did you have anal sex with this woman?

[ ______ ]

If 0, 7, or 9, skip to SX-31c.

SX-31b. In the past 12 months, with how many of these _______ [insert number from SX-31a] men did you have anal sex without using a condom?

[ ______ ]

SX-31b. In the past 12 months, did you have anal sex with him without using a condom?

[ ______ ]

SX-31b.1. Did you know the HIV status of any of these _______ [insert number from SX-31b] men?

0

[ ]

No

1

[ ]

Yes

7

[ ]

Refused

If 0 or 7, skip to SX-31c

SX-31b.1. Did you know his HIV status?

0

[ ]

No

1

[ ]

Yes

7

[ ]

Refused

If 0, or 7, skip to SX-31c

SX-31b.2. For how many of these men did you know their HIV status?

[ ______ ]

If 1, ask single partner version of SX-31b.2, then go to SX-31c.

SX-31b.2. What was his HIV status?

1

[ ]

HIV-positive

2

[ ]

HIV-negative

3

[ ]

Indeterminate

7

[ ]

Refused

SX-31b.3. Of those ______ [insert number from SX-31b.2] men, how many did you know were HIV-positive?

[ ______ ]

SX-31b.4. How many did you know were HIV-negative?

[ ______ ]

Soft edit check

SX-31c. Of your ______ [insert number from SX-29] male main partners, how many did you have sex with for the very first time in the past 12 months?

[ ______ ]

SX-31c. Think about the very first time you had sex with this man. Was it within the past 12 months?

[ ______ ]

SX-31d. Of your ______ [insert number from SX-29] male main partners in the past 12 months, how many did you give things like money or drugs in exchange for sex?

SX-31d. In the past 12 months, did you give this man things like money or drugs in exchange for sex?

SX-31e. Of your ______ [insert number from SX-29] male main partners in the past 12 months, how many gave you things like money or drugs in exchange for sex?

SX-31e. In the past 12 months, did this man give you things like money or drugs in exchange for sex?

If SX-29a = 1, skip to QSX-33.

Skip Pattern for Multiple Male Sex Partners: If SX-29 = SX-28, Skip to SX-33. Otherwise, if SX-30 is not equal to 0, 7777, or 9999, go to Say Box before SX-32a.

CASUAL PARTNERS

MULTIPLE CASUAL MALE PARTNERS [Read questions, in this column] Refused = 7777, Don’t know = 9999

ONE CASUAL MALE PARTNER [Read questions in this column] No = 0, Yes = 1, Refused = 7, Don’t know = 9

SAY: Now I’m going to ask you about the _______ [insert number from SX-30] male casual sex partners you had in the past 12 months. Remember, a casual sex partner is someone you do not feel committed to or don’t know very well.

SAY: Now I’m going to ask you about the male casual sex partner you had in the past 12 months. Remember, a casual sex partner is someone you do not feel committed to or don’t know very well.

Question

Response

Skip Pattern

Question

Response

Skip Pattern

SX-32a. Of your _______ [insert number from SX-30] male casual partners in the past 12 months, with how many did you have anal sex?

[ ______ ]

If 0, 7777, or 9999, skip to SX-32c.

SX-32a. In the past 12 months, did you have anal sex with this woman?

[ ______ ]

If 0, 7, or 9, skip to SX-32c.

SX-32b. In the past 12 months, with how many of these _______ [insert number from SX-32a] men did you have anal sex without using a condom?

[ ______ ]

SX-32b. In the past 12 months, did you have anal sex without using a condom?

[ ______ ]

SX-32b.1. Did you know the HIV status of any of these _______ [insert number from SX-32b] men?

0

[ ]

No

1

[ ]

Yes

7

[ ]

Refused

If 0 or 7, skip to SX-32c.

SX-32b.1. Did you know his HIV status?

0

[ ]

No

1

[ ]

Yes

7

[ ]

Refused

If 0, or 7, skip to SX-32c.

SX-32b.2. For how many of these men did you know their HIV status?

[ ______ ]

If 1, ask single partner version of SX-32b.2, then go to SX-32c.

SX-32b.2. What was his HIV status?

1

[ ]

HIV-positive

2

[ ]

HIV-negative

3

[ ]

Indeterminate

7

[ ]

Refused

SX-32b.3. Of those ______ [insert number from SX-32b.2] men, how many did you know were HIV-positive?

[ ______ ]

SX-32b.4. How many did you know were HIV-negative?

[ ______ ]

Soft edit check

SX-32c. Of your ______ [insert number from SX-30] male casual partners, how many did you have sex with for the very first time in the past 12 months?

[ ______ ]

SX-32c. Think about the very first time you had sex with this man. Was it within the past 12 months?

[ ______ ]

SX-32d. Of your ______ [insert number from SX-30] male casual partners in the past 12 months, how many did you give things like money or drugs in exchange for sex?

SX-32d. In the past 12 months, did you give this man things like money or drugs in exchange for sex?

SX-32e. Of your ______ [insert number from SX-30] male casual partners in the past 12 months, how many gave you things like money or drugs in exchange for sex?

SX-32e. In the past 12 months, did this man give you things like money or drugs in exchange for sex?

SX-33. Now I would like you to think about the last time you had sex with a man. When was the last time you had anal or oral sex with a man? Just tell me the month and year.

[77/7777 = Refused, 99/9999 = Don’t know] ___ ___ / ___ ___ ___ ___ (M M / Y Y Y Y)

If SX-33 = 77/7777 or 99/9999, go to CONF16.

CONF16. INTERVIEWER:

Did you have sex with a man in the past 12 months, that is, since &[AGO_1Y]?

0[ ]No

1[ ]Yes

9[ ]Don’t know

7[ ]Refuse to answer

Skip Pattern: If SX-28 = 1, go to SX-35. Otherwise, if SX-28 > 1, ask SX-34.

SX-34. Was the man you had sex with that last time a main partner or a casual partner? GIVE RESPONDENT FLASHCARD I. Remember, a main sex partner is someone you feel committed to above anyone else. And a casual sex partner is someone you do not feel committed to or don’t know very well.

1[ ]Main sex partner

2[ ]Casual sex partner

7[ ]Refused to answer

9[ ]Don’t know

If participant had one male partner and reported NO exchange with only male partner, skip to SX-36. If last male partner = main (SX-34=1) AND participant reported NO exchange with ANY male main partners, skip to SX-36. If last male partner = casual (SX-34=2) and participant reported NO exchange with ANY male casual partners, skip to SX-36.

SX-35. When you had sex that last time, did you give him things like money or drugs in exchange for sex?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

SX-35a. When you had sex that last time, did he give you things like money or drugs in exchange for sex?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

SX-36. When you had sex that last time, did you have receptive anal sex where he put his penis in your anus (butt)?

0[ ]No Skip to SX-38

1[ ]Yes

7[ ]Refused to answer Skip to SX-38

9[ ]Don’t know Skip to SX-38

SX-37. During the receptive anal sex that last time, did he use a condom?

0[ ]No Skip to SX-38

1[ ]Yes

7[ ]Refused to answer Skip to SX-38

9[ ]Don’t know Skip to SX-38

SX-37a. Did he use the condom the whole time?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

SX-38. When you had sex that last time, did you have insertive anal sex where you put your penis in his anus (butt)?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

If SX-38 in (0, 7, 9), skip to CONF17.

SX-39. During insertive anal sex that last time, did you use a condom?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

If SX-39 in (0, 7, 9), skip to SX-40.

SX-39a. Did you use the condom the whole time?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

CONF17 Ask the following if SX-36 and SX-38 = 0: "So this means you only had oral sex the last time you had sex?"

SX-40. Before or during the last time you had sex with this partner, did you use: [READ CHOICES. CHECK only ONE.]

1[ ]Alcohol

2[ ]Drugs

3[ ]Both alcohol and drugs

4[ ]Neither one

7[ ]Refused to answer

9[ ]Don’t know

If SX-40 in (1, 4, 7, 9), skip to SX-41.

SX-40a. Which drugs did you use? [DO NOT read choices. CHECK ALL that apply.]

1[ ]Marijuana

2[ ]Speedballs (heroin and cocaine together)

3[ ]Heroin

4[ ]Crack cocaine

5[ ]Powdered cocaine

6[ ]Crystal meth (tina, crank, ice)

7[ ]X or Ecstasy

8[ ]Special K (ketamine)

9[ ]GHB

10[ ]Painkillers (OxyContin®, Vicodin®, Percocet®)

11[ ]Downers (Valium®, Ativan®, Xanax®)

12[ ]Hallucinogens (LSD, mushrooms)

13[ ]Poppers

14[ ]Other drug

77[ ]Refused to answer

99[ ]Don’t know

If participant had one male sex partner in past 12 months, skip to SX-42.

SX-41. The last time you had sex with this partner, did you know his HIV status?

0[ ]No Skip to SX-42

1[ ]Yes

7[ ]Refused to answer Skip to SX-42

SX-41a. What was his HIV status?

1[ ]HIV-negative

2[ ]HIV-positive

3[ ]Indeterminate

7[ ]Refused to answer

SX-42. Was this partner younger than you, older than you, or the same age as you?

0[ ]Younger

1[ ]Older

2[ ]Same age

7[ ]Refused to answer

9[ ]Don’t know

If SX-42 in (0, 2, 7, 9), skip to SX-43.

SX-42a. What was his age? ___ ___ ___ [777 = Refused, 999 = Don’t know]

SX-42b. Which of the following best describes his racial or ethnic background? [READ choices. Choose one.]

1[ ]American Indian or Alaska Native

2[ ]Asian

3[ ]Black or African American

4[ ]Hispanic or Latino

5[ ]Native Hawaiian or Other Pacific Islander

6[ ]White

7[ ]Refused to answer

9[ ]Don’t know

SX-43. As far as you know, has this partner ever injected drugs like heroin, cocaine, or speed? Would you say he: [READ CHOICES. Check only ONE.]

0[ ]Definitely did not

1[ ]Probably did not

2[ ]Probably did

3[ ]Definitely did

7[ ]Refused to answer

9[ ]Don’t know

SX-44. As far as you know, has this partner ever used crack cocaine? Would you say he: [READ CHOICES. Check only ONE.]

0[ ]Definitely did not

1[ ]Probably did not

2[ ]Probably did

3[ ]Definitely did

7[ ]Refused to answer

9[ ]Don’t know

SX-44a. As far as you know, has this partner ever used crystal meth (tina, crank, ice)? Would you say he: [READ CHOICES. Check only ONE.]

0[ ]Definitely did not

1[ ]Probably did not

2[ ]Probably did

3[ ]Definitely did

7[ ]Refused to answer

9[ ]Don’t know

SX-45. As far as you know, has this partner ever been in prison or jail for more than 24 hours? Would you say he: [READ CHOICES. Check only ONE.]

0[ ]Definitely did not

1[ ]Probably did not

2[ ]Probably did

3[ ]Definitely did

7[ ]Refused to answer

9[ ]Don’t know

SX-46. How long have you been having a sexual relationship with this partner? (Please tell me how many days, months, or years.) [Interviewer: If "one-night stand," enter 0.]

# of Days: ____ ____ ____

# of Months: ____ ____ ____

# of Years: ____ ____ ____

[Refused = 777, Don’t know = 999]

If SX-46 > 12 months, 777, or 999, skip to SX-48. If SX-46 = 0, skip to SX-49.

SX-47. As far as you know, during the time you were having a sexual relationship with this partner, did he have sex with other people? Would you say he: [READ CHOICES. Check only ONE.]

0[ ]Definitely did not

1[ ]Probably did not

2[ ]Probably did

3[ ]Definitely did

7[ ]Refused to answer

9[ ]Don’t know

SX-47a. During the time you were having a sexual relationship with this partner, did you have sex with other people?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

If SX-46 ≤ 12 months, skip to SX-50.

SX-48. As far as you know, during the past 12 months when you were having a sexual relationship with this partner, did he have sex with other people? Would you say he: [READ CHOICES. Check only ONE.]

0[ ]Definitely did not

1[ ]Probably did not

2[ ]Probably did

3[ ]Definitely did

7[ ]Refused to answer

9[ ]Don’t know

SX-48a. During the past 12 months when you were having a sexual relationship with this partner, did you have sex with other people?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

If SX-46 > or = 3 years or SX-46 = Don’t know or Refused, skip to SX-50.

SX-49. Where did you first meet this partner? [DO NOT read choices. Check only ONE.]

01[ ]Internet

02[ ]Chat line

03[ ]Bar/club

04[ ]Circuit party or rave

05[ ]Cruising area

06[ ]Adult bookstore

07[ ]Bath house, sex club, or sex resort

08[ ]Private sex party

09[ ]Somewhere else

77[ ]Refused to answer

99[ ]Don’t know

If NHBS-IDU OR NHBS-HET, skip to SX-52.

SX-50. In the past 12 months, how often have you gone to a place where gay men hang out, meet, or socialize? These could include bars, clubs, social organizations, parks, gay businesses, bookstores, sex clubs, etc. Was it: [GIVE FLASHCARD K. READ CHOICES. CHECK only ONE.]

0[ ]Never

1[ ]More than once a day

2[ ]Once a day

3[ ]More than once a week

4[ ]Once a week

5[ ]More than once a month

6[ ]Once a month

7[ ]Less than once a month

77[ ]Refused to answer

99[ ]Don’t know

SX-51. In the past 12 months, how often have you used the Internet to meet or socialize with gay men either for friendship or sex? These could include social network websites (such as Facebook or MySpace), websites directed toward gay men (such as Manhunt or Gay.com), dating websites, or the use of mobile social applications (such as Foursquare or Grindr). Was it: [GIVE FLASHCARD K. READ CHOICES. CHECK only ONE.]

0[ ]Never

1[ ]More than once a day

2[ ]Once a day

3[ ]More than once a week

4[ ]Once a week

5[ ]More than once a month

6[ ]Once a month

7[ ]Less than once a month

77[ ]Refused to answer

99[ ]Don’t know

Skip Pattern: If DM-10 (Sexual Identity) = 1, ask SX-52. Otherwise, go to Say Box before ID-1.

SX-52. The next question is about whether you have told people that you are attracted to or have sex with men. Have you ever told anyone that you are attracted to or have sex with men?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

If SX-52 in (0, 7, 9), skip to SX-53.

SX-52a. I’m going to read you a list of people you may have told. Please tell me which ones apply. Have you told: [READ CHOICES, CHECK NO OR YES FOR EACH ONE.]

1. Gay, lesbian, or bisexual friends

0[ ]No

1[ ]Yes

7[ ]Refused to answer

8[ ]Does not apply

9[ ]Don’t know

2. Friends who are not gay, lesbian, or bisexual

0[ ]No

1[ ]Yes

7[ ]Refused to answer

8[ ]Does not apply

9[ ]Don’t know

3. Family members

0[ ]No

1[ ]Yes

7[ ]Refused to answer

8[ ]Does not apply

9[ ]Don’t know

FOR NHBS-IDU AND NHBS-HET: ASK SX-52a.4.

4. Spouse or partner

0[ ]No

1[ ]Yes

7[ ]Refused to answer

8[ ]Does not apply

9[ ]Don’t know

5. Health care provider

0[ ]No

1[ ]Yes

7[ ]Refused to answer

8[ ]Does not apply

9[ ]Don’t know

SX-53. During the past 12 months, have any of the following things happened to you because someone knew or assumed you were attracted to men? [READ CHOICES, CHECK NO OR YES FOR EACH ONE.]

No

Yes

Refused to answer

Does not apply

Don’t Know

a. You were called names or insulted

0

1

7

9

b. You received poorer services than other people in restaurants, stores, other businesses, or agencies

0

1

7

9

c. You were treated unfairly at work or school

0

1

7

8

9

d. You were denied or given lower-quality health care

0

1

7

8

9

e. You were physically attacked or injured

0

1

7

9

SX-53f. Next, I’m going to read you a statement. Please tell me how strongly you agree or disagree with it, using one of the options on this card. [Give participant Flashcard G.]

Most people in [project area] are tolerant of gays and bisexuals. Do you . . . [Read choices. Mark only one.]

01[ ]Strongly agree

02[ ]Agree

03[ ]Neither agree nor disagree

04[ ]Disagree

05[ ]Strongly disagree

07[ ]Refused to answer

09[ ]Don’t know

END OF MALE RESPONDENT SECTION. GO TO SAY BOX BEFORE ID-1.

FOR FEMALE RESPONDENTS ONLY

Male Sex Partners (Female respondent)

SX-54. Have you ever had vaginal or anal sex with a man?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

If SX-54 in (0, 7, 9), skip to SX-80.

SX-55. How old were you the first time you had vaginal or anal sex with a man?

[77 = Refused, 99 = Don’t know; 88 = Not Applicable] ____ ____

If SX-55 = 88, skip to CONF13a.

CONF16b. Het sex confirmation-female participants

If SX-55=88, display:

"Interviewer, you have indicated that the participant has never had either vaginal or anal sex with a man. Is this correct?"

0[ ]No

1[ ]Yes

If No, go back to SX-55. If Yes and NHBS-HET, skip to END of Questionnaire. If Yes and NHBS-MSM or NHBS-IDU, skip to Say Box before ID-1.

SX-56. In the past 12 months, that is, since <interview month> of last year, with how many different men have you had oral, vaginal or anal sex?

____ ____ ____ ____ [Refused = 7777, Don’t know = 9999]

NHBS-IDU Skip Pattern for # of Male Sex Partners: If SX-56 = 1, ask SX-57a. If SX-56 > 1, ask SX-57. If 0, 7777, or 9999, skip to SX-80.

NHBS-HET Skip Pattern for # of Male Sex Partners: If SX-56 = 1: Ask SX-57a. (RT column). If SX-56 > 1: Ask SX-57. (LT column). If SX-56 = 0, 7777, 9999: GO to CONF18.

CONF18. Sex partner confirmation:

If SX-56 =0, 7777, or 9999, read:

I would like to clarify your response. You indicated that you haven’t had sex with a man in the past 12 months. Is that correct?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t Know

If NO (NOT correct), go to SX-56 (ask it again). If YES, (correct), Refused to answer, or Don’t know, go to End of Questionnaire.

FOR MULTIPLE MALE SEX PARTNERS [Read Say Box and Questions in this column]

FOR ONE MALE SEX PARTNER [Read Say Box and Question in this column]

SAY: Now I’m going to ask you to describe the sex partners you’ve had in the past 12 months as either main or casual partners. [GIVE RESPONDENT FLASHCARD J]

By "main partner" I mean a man you have sex with and who you feel committed to above anyone else. This is a partner you would call your boyfriend, husband, significant other, or life partner. And by "casual partner" I mean a man you have sex with but do not feel committed to or don’t know very well.

Refused = 7777, Don’t know = 9999

SAY: Now I’m going to ask you to describe this sex partner you’ve had in the past 12 months as either main or casual, partner. [GIVE RESPONDENT FLASHCARD J]

By "main partner" I mean a man you have sex with and who you feel committed to above anyone else. This is a partner you would call your boyfriend, husband, significant other, or life partner. And by "casual partner" I mean a man you have sex with but do not feel committed to or don’t know very well.

Question

Response

Skip Pattern

Question

SX-57. Of the ______ [insert number from SX-56]

men you’ve had oral, vaginal, or anal sex with in the past 12 months, how many of them were main partners?

[ _______ ]

If SX-57 = SX-56, skip to Say Box before SX-59a.

SX 57a. Was this man a main partner or a casual partner?

1[ ]Main partner Skip to Say Box before SX-59a

2[ ]Casual partner Skip to Say Box before SX-60a

7[ ]Refused to answer Skip to SX-61

9[ ]Don’t know Skip to SX-61

SX-58. How many were casual partners?

[ _______ ]

Skip Pattern for Multiple Male Sex Partners: If SX-57 is not equal to 0, 7777, or 9999, go to Say Box SX-59a. Otherwise, if SX-58 is not equal to 0, 7777, or 9999, go to Say Box before SX-60a.

MAIN MALE PARTNERS

MULTIPLE MAIN MALE PARTNERS [Read questions, in this column] Refused = 7777, Don’t know = 9999

ONE MAIN MALE PARTNER [Read questions in this column] No = 0, Yes = 1, Refused = 7, Don’t know = 9

SAY: Now I’m going to ask you about the _______ [insert number from SX-57] male main sex partners you had in the past 12 months.

SAY: Now I’m going to ask you about the male main sex partner you had in the past 12 months.

Question

Response

Skip Pattern

Question

Response

Skip Pattern

SX-59a. Of your _______ [insert number from SX-57] male main partners in the past 12 months, with how many did you have vaginal sex?

[ ______ ]

If 0, 7777, or 9999, skip to SX-59c.

SX-59a. In the past 12 months, did you have vaginal sex with this man?

[ ______ ]

If 0, 7, or 9, skip to SX-59c.

SX-59b. In the past 12 months, with how many of these _______ [insert number from SX-59a] men did you have vaginal sex without using a condom?

[ ______ ]

SX-59b. In the past 12 months, did you have vaginal sex with him without using a condom?

[ ______ ]

SX-59c. Of your _______ [insert number from SX-57] male main partners in the past 12 months, with how many did you have anal sex?

[ ______ ]

If 0, 7777, or 9999, skip to SX-59e.

SX-59c. In the past 12 months, did you have anal sex with this man?

[ ______ ]

If 0, 7, or 9, skip to SX-59e.

SX-59d. With how many of these _______ [insert number from SX-59c] men did you have anal sex without using a condom?

[ ______ ]

SX-59d. In the past 12 months, did you have anal sex with him without using a condom?

[ ______ ]

SX-59e. Of your ______ [insert number from SX-57] male main partners, how many did you have sex with for the very first time in the past 12 months?

[ ______ ]

SX-59e. Think about the very first time you had sex with this man. Was it within the past 12 months?

[ ______ ]

SX-59f. Of your ______ [insert number from SX-57] male main partners in the past 12 months, how many gave you things like money or drugs in exchange of sex?

SX-59f. In the past 12 months, did this man give you money, drugs, or other things in exchange for sex?

SX-59g. Of your ______ [insert number from SX-57] male main partners in the past 12 months, how many did you give things like money or drugs in exchange for sex?

SX-59g. In the past 12 months, did you give this man things like money or drugs in exchange for sex?

If SX-57a = 1, skip to SX-62.

Skip Pattern for Multiple Male Sex Partners: If SX-57 = SX-56, go to SX-62. Otherwise, if SX-58 is not equal to 0, 7777, or 9999, go to Say Box before SX-60a.

CASUAL PARTNERS

MULTIPLE CASUAL MALE PARTNERS [Read questions in this column] Refused = 7777, Don’t know = 9999

ONE CASUAL MALE PARTNER [Read questions in this column] No = 0, Yes = 1, Refused = 7, Don’t know = 9

SAY: Now I’m going to ask you about the _______ [insert number from SX-58] male casual sex partners you had in the past 12 months. Remember, a casual sex partner is someone you do not feel committed to or don’t know very well.

SAY: Now I’m going to ask you about the male casual sex partner you had in the past 12 months. Remember, a casual sex partner is someone you do not feel committed to or don’t know very well.

Question

Response

Skip Pattern

Question

Response

Skip Pattern

SX-60a. Of your _______ [insert number from SX-58] male casual partners in the past 12 months, with how many did you have vaginal sex?

[ ______ ]

If 0, 7777, or 9999, skip to SX-60c.

SX-60a. In the past 12 months, did you have vaginal sex with this man?

[ ______ ]

If 0, 7, or 9, skip to SX-60c.

SX-60b. In the past 12 months, with how many of these _______ [insert number from SX-60a] men did you have vaginal sex without using a condom?

[ ______ ]

SX-60b. In the past 12 months, did you have vaginal sex with him without using a condom?

[ ______ ]

SX-60c. Of your _______ [insert number from SX-58] male casual partners in the past 12 months, with how many did you have anal sex?

[ ______ ]

If 0, 7777, or 9999, skip to SX-60e.

SX-60c. In the past 12 months, did you have anal sex with this man?

[ ______ ]

If 0, 7, or 9, skip to SX-60e.

SX-60d. In the past 12 months, with how many of these _______ [insert number from SX-60c] men did you have anal sex without using a condom?

[ ______ ]

SX-60d. In the past 12 months, did you have anal sex with him without using a condom?

[ ______ ]

SX-60e. Of your ______ [insert number from SX-60] male casual partners, how many did you have sex with for the very first time in the past 12 months?

[ ______ ]

SX-60e. Think about the very first time you had sex with this man. Was it within the past 12 months?

[ ______ ]

SX-60f. Of your ______ [insert number from SX-58] male casual partners in the past 12 months, how many gave you things like money or drugs in exchange for sex?

SX-60f. In the past 12 months, did this man give you money, drugs, or other things in exchange for sex?

SX-60g. Of your ______ [insert number from SX-58] male casual partners in the past 12 months, how many did you give things like money or drugs in exchange for sex?

SX-60g. In the past 12 months, did you give this man things like money or drugs in exchange for sex?

If SX-56 = 1 AND SX-57a ≠ 7 OR 9, skip to SX-62.

SX-61. In the past 12 months, did you have anal or vaginal sex without a condom with a man whose HIV status you didn’t know?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

SX-61a. In the past 12 months did you have vaginal or anal sex without a condom with a man who was HIV-negative?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

SX-61b. In the past 12 months, did you have vaginal or anal sex without a condom with a man who was HIV-positive?

0[ ]No

1[ ]Yes

7[ ]Refused to answer

9[ ]Don’t know

SX-62. Now I would like you to think about the last time you had sex with a man. When was the last time you had oral, vaginal, or anal sex with a man? Just tell me the month and year.

[77/7777 = Refused, 99/9999 = Don’t know] ___ ___ / ___ ___ ___ ___ (M M / Y Y Y Y)

If SX-62 = 77/7777 OR 99/9999, go to CONF19.

CONF19. INTERVIEWER:

Did you have sex with a man in the past 12 months, that is, since &[AGO_1Y]?

0[ ]No

1[ ]Yes

9[ ]Don’t know

7[ ]Refuse to answer

If SX-56 = 1, go to SX-64. Otherwise if SX-56 > 1, ask SX-63.

SX-63. Was the man you had sex with that last time a main partner or a casual partner? GIVE RESPONDENT FLASHCARD J. Remember, a main sex partner is someone you feel committed to above anyone else. And a casual sex partner is someone you do not feel committed to or don’t know very well.

1[ ]Main sex partner

2[ ]Casual sex partner

7[ ]Refused to answer

9[ ]Don’t know

If participant had 1 partner and reported NO exchange with only partner, skip to SX-65. If participant’s last partner was main partner and participant reported NO exchange with ANY main partners, skip to SX-65. If participant’s last partner was casual and participant reported NO exchange with ANY casual partners, skip to SX-65.

SX-64. When you had sex that last time, did he give you things like money or drugs in exchange for sex?<

Personnel and Training Required

Interviewer must be trained and found competent to conduct personal interviews with individuals from the general population. The interviewer should be trained to prompt respondents further if a "don’t know" response is provided.

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

Adult

Participants

Adults aged 18 years or older

Selection Rationale

The Centers for Disease Control and Prevention (CDC) is the nation’s source for timely information used to track the HIV/AIDS epidemic. The information from the cities with a high incidence of AIDS can be used to analyze HIV risk factors such as multiple sex partners and injection drug use.

Language

English

Standards
StandardNameIDSource
caDSR Form PhenX PX560201 - Comprehensive Hiv Risk Assessment 6878553 caDSR Form
Derived Variables

None

Process and Review

The Expert Review Panel #3 (ERP 3) reviewed the measures in the Alcohol, Tobacco and Other Substances domain and the Substance Use, Use Disorders, and Recovery Specialty Collections.

Guidance from ERP 3 includes:

• No significant changes to measure

Back-compatible: NA no changes to Data Dictionary

Protocol Name from Source

National HIV Behavioral Surveillance System, 2010

Source

Centers for Disease Control and Prevention, National HIV Behavioral Surveillance System. (2010). Sections Sexual Behavior (SX), Drug Use History (ID and ND), and HIV Testing Experiences (HT), HT-1 through HT-13.

General References

Allen, D. R., Finlayson, T., Abdul-Quader, A., & Lansky, A. (2009). The role of formative research in the National HIV Behavioral Surveillance System. Public Health Reports, 124(1), 26-33.

Centers for Disease Control and Prevention (CDC). (2009). HIV-associated behaviors among injecting-drug users-23 Cities, United States, May 2005-February 2006. Morbidity and Mortality Weekly Report, 58(13), 329-332.

Centers for Disease Control and Prevention (CDC). (2009). Erratum: HIV-associated behaviors among injecting-drug users-23 Cities, United States, May 2005-February 2006. Morbidity and Mortality Weekly Report, 58(50), 1416-1417.

Centers for Disease Control and Prevention (CDC). (2011). Characteristics associated with HIV infection among heterosexuals in urban areas with high AIDS prevalence-24 cities, United States, 2006-2007. Morbidity and Mortality Weekly Report, 60(31), 1045-1049.

Gallagher, K. M., Sullivan, P. S., Lansky, A., & Onorato, I. M. (2007). Behavioral surveillance among people at risk for HIV infection in the U.S.: The National HIV Behavioral Surveillance System. Public Health Reports, 122(Suppl. 1), 32-38.

Lansky, A., Abdul-Quader, A. S., Cribbin, M., Hall, T., Finlayson, T. J., Garfein, R. S., Lin, L. S., & Sullivan, P. S. (2007). Developing an HIV behavioral surveillance system for injecting drug users: The National HIV Behavioral Surveillance System. Public Health Reports, 122(Suppl. 1), 48-55.

Protocol ID

560201

Variables
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX560201_DrugInjection_CookerWaterCotton_SomeoneElse_AlreadyUsed_Frequency
PX560201042800 In the past 12 months when you injected, how more
often did you use cookers, cottons, or water that someone else had already used? [GIVE RESPONDENT FLASHCARD N, READ CHOICES. CHECK only ONE.] show less
N/A
PX560201_DrugInjection_Cotton_SomeoneElse_AlreadyUsed_Frequency
PX560201042600 In the past 12 months when you injected, how more
often did you use a cotton that someone else had already used? [GIVE RESPONDENT FLASHCARD N, READ CHOICES. CHECK only ONE.] show less
N/A
PX560201_DrugInjection_FirstTime_Age
PX560201040200 Think back to the very first time you more
injected any drugs, other than those prescribed for you. How old were you when you first injected any drug? show less
N/A
PX560201_DrugInjection_Frequency_Crack_Cocaine
PX560201040800 How often did you more
inject . . . READ EACH DRUG CHOICE. CHOOSE ONLY ONE RESPONSE PER TYPE OF DRUG. Crack cocaine show less
N/A
PX560201_DrugInjection_Frequency_Heroin
PX560201040600 How often did you more
inject . . . READ EACH DRUG CHOICE. CHOOSE ONLY ONE RESPONSE PER TYPE OF DRUG. Heroin, by itself show less
N/A
PX560201_DrugInjection_Frequency_NewSterileNeedle
PX560201042000 In the past 12 months when you injected, how more
often did you use a new, sterile needle? By a "new, sterile needle," I mean a needle never used before by anyone, even you. [GIVE RESPONDENT FLASHCARD N, READ CHOICES. CHECK only ONE.] show less
N/A
PX560201_DrugInjection_Frequency_Oxycontin
PX560201041000 How often did you more
inject . . . READ EACH DRUG CHOICE. CHOOSE ONLY ONE RESPONSE PER TYPE OF DRUG. OxyContin show less
N/A
PX560201_DrugInjection_Get_Needles_Friend
PX560201041600 In the past 12 months when you injected, did more
you get your needles at any of the following places? [GIVE RESPONDENT FLASHCARD M; READ ALL CHOICES.] Friend, acquaintance, relative, or sex partner show less
N/A
PX560201_DrugInjection_Get_Needles_NeedleExchangeProgram
PX560201041800 In the past 12 months when you injected, did more
you get your needles at any of the following places? [GIVE RESPONDENT FLASHCARD M; READ ALL CHOICES.] Needle exchange program show less
N/A
PX560201_DrugInjection_Get_Needles_Pharmacy
PX560201041400 In the past 12 months when you injected, did more
you get your needles at any of the following places? [GIVE RESPONDENT FLASHCARD M; READ ALL CHOICES.] Pharmacy or drug store show less
N/A
PX560201_DrugInjection_LastPerson_HepatitisCTest
PX560201044000 The next questions are about this last more
person you injected with. The last time you injected with this person, did you know if they had been tested for hepatitis C? show less
N/A
PX560201_DrugInjection_LastPerson_KnowHIVStatus
PX560201043800 The next questions are about this last more
person you injected with. The last time you injected with this person, did you know their HIV status? show less
N/A
PX560201_DrugInjection_LastPerson_Male_Female
PX560201043600 The next questions are about this last more
person you injected with. Is this person male or female? show less
N/A
PX560201_DrugInjection_LastPerson_Relationship
PX560201044200 The next questions are about this last more
person you injected with. Which of the following best describes your relationship to this person? Would you say this person was a: [GIVE RESPONDENT FLASHCARD O, READ CHOICES, CHECK only ONE.] show less
N/A
PX560201_DrugInjection_LastTime_CookerCottonWater_AlreadyUsed
PX560201043400 The last time you injected with someone, did more
you use a cooker, cotton, or water that anyone else had already used? show less
N/A
PX560201_DrugInjection_LastTime_Injected_WithSomeone_Month
PX560201043000 When was the last time you injected with more
someone? Month show less
N/A
PX560201_DrugInjection_LastTime_Months
PX560201040302 When was the last time you injected any more
drug? That is, how many days or months or years ago did you last inject? # of Months: show less
N/A
PX560201_DrugInjection_LastTime_Use_DirtyNeedle
PX560201043200 The last time you injected with someone, did more
you use a needle after anyone else had already injected with it? show less
N/A
PX560201_DrugInjection_Needles_SomeoneElse_AlreadyInjected_Frequency
PX560201042400 In the past 12 months, how often did you use more
needles that someone else had already injected with? [GIVE RESPONDENT FLASHCARD N, READ CHOICES. CHECK only ONE.] show less
N/A
PX560201_DrugInjection_Other_Drugs_Specify
PX560201041200 Did you inject any other drugs in the past more
12 months? Specify other drug show less
N/A
PX560201_DrugInjection_PastYear_Average_Number_Times
PX560201040400 In the past 12 months, on average, how often more
did you inject? [GIVE RESPONDENT FLASCARD K. READ CHOICES. CHOOSE only ONE.] show less
N/A
PX560201_DrugInjection_UseSame_CookerCottonWater_NumberPeople
PX560201042200 In the past 12 months, with how many people more
did you use the same cooker, cotton, or water that they had already used. By "water," I mean water for rinsing needles or preparing drugs. show less
N/A
PX560201_FemaleRespondent_FemalePartner_Number
PX560201034100 Now I'm going to ask you about having sex more
with other women. In the past 12 months, with how many different women have you had sex? Female Sex Partners (Female Respondent) show less
N/A
PX560201_FemaleRespondent_MaleCasualingle_Sex_FirstTime
PX560201030712 Think about the very first time you had sex more
with this man. Was it within the past 12 months? ONE CASUAL MALE PARTNER show less
N/A
PX560201_FemaleRespondent_MaleCasualMultiple_Number_AnalSex_WithoutCondom
PX560201030704 In the past 12 months, with how many of more
these _______ [insert number from SX-60c] men did you have anal sex without using a condom? MULTIPLE CASUAL MALE PARTNERS show less
N/A
PX560201_FemaleRespondent_MaleCasualMultiple_Number_Paid_You
PX560201030706 Of your ______ [insert number from SX-58] more
male casual partners in the past 12 months, how many gave you things like money or drugs in exchange for sex? MULTIPLE CASUAL MALE PARTNERS show less
N/A
PX560201_FemaleRespondent_MaleCasualMultiple_Number_VaginalSex_WithoutCondom
PX560201030702 In the past 12 months, with how many of more
these _______ [insert number from SX-60a] men did you have vaginal sex without using a condom? MULTIPLE CASUAL MALE PARTNERS show less
N/A
PX560201_FemaleRespondent_MaleCasualSingle_AnalSex
PX560201030710 In the past 12 months, did you have anal sex more
with this man? show less
N/A
PX560201_FemaleRespondent_MaleCasualSingle_VaginalSex
PX560201030708 In the past 12 months, did you have vaginal more
sex with this man? show less
N/A
PX560201_FemaleRespondent_MaleCasualSingle_You_Paid
PX560201030714 In the past 12 months, did you give this man more
things like money or drugs in exchange for sex? ONE CASUAL MALE PARTNER show less
N/A
PX560201_FemaleRespondent_MaleMainMultiple_Number_AnalSex_WithoutCondom
PX560201030604 In the past 12 months, with how many of more
these _______ [insert number from SX-59c] men did you have anal sex without using a condom? MULTIPLE MAIN MALE PARTNERS show less
N/A
PX560201_FemaleRespondent_MaleMainMultiple_Number_Paid_You
PX560201030606 Of your ______ [insert number from SX-57] more
male main partners in the past 12 months, how many gave you things like money or drugs in exchange of sex? MULTIPLE MAIN MALE PARTNERS show less
N/A
PX560201_FemaleRespondent_MaleMainMultiple_Number_VaginalSex_WithoutCondom
PX560201030602 In the past 12 months, with how many of more
these _______ [insert number from SX-59a] men did you have vaginal sex without using a condom? MULTIPLE MAIN MALE PARTNERS show less
N/A
PX560201_FemaleRespondent_MaleMainSingle_AnalSex
PX560201030610 In the past 12 months, did you have anal sex more
with this man? ONE MAIN MALE PARTNER show less
N/A
PX560201_FemaleRespondent_MaleMainSingle_Sex_FirstTime
PX560201030612 Think about the very first time you had sex more
with this man. Was it within the past 12 months? ONE MAIN MALE PARTNER show less
N/A
PX560201_FemaleRespondent_MaleMainSingle_VaginalSex
PX560201030608 In the past 12 months, did you have vaginal more
sex with this man? ONE MAIN MALE PARTNER show less
N/A
PX560201_FemaleRespondent_MaleMainSingle_You_Paid
PX560201030614 In the past 12 months, did you give this man more
things like money or drugs in exchange for sex? ONE MAIN MALE PARTNER show less
N/A
PX560201_FemaleRespondent_MalePartner_Partner_SexOtherMenEver
PX560201033300 As far as you know, has this partner ever more
had sex with other men? Would you say he: [READ choices. Check only ONE.] show less
N/A
PX560201_FemaleRespondent_MalePartner_SexInLastYear_Confirm
PX560201031103 INTERVIEWER: Did you have sex with a man in more
the past 12 months, that is, since &[AGO_1Y]? show less
N/A
PX560201_FemaleRespondent_MalePartner_SexLast_Alcohol_Drugs
PX560201032300 Before or during the last time you had sex more
with this partner, did you use: [READ CHOICES. CHECK only ONE.] show less
N/A
PX560201_FemaleRespondent_MalePartner_SexLast_AnalSex
PX560201031900 When you had sex that last time, did you more
have anal sex? show less
N/A
PX560201_FemaleRespondent_MalePartner_SexLast_AnalSex_CondomWholeTime
PX560201032100 Did he use the condom the whole time? N/A
PX560201_FemaleRespondent_MalePartner_SexLast_CrackCocaine
PX560201033100 As far as you know, has this partner ever more
used crack cocaine? Would you say he: [READ choices. Check only ONE.] show less
N/A
PX560201_FemaleRespondent_MalePartner_SexLast_Drugs_Downers
PX560201032412 Which drugs did you use? [DO NOT read more
choices. CHECK ALL that apply.] Downers (Valium, Ativan, Xanax) show less
N/A
PX560201_FemaleRespondent_MalePartner_SexLast_Drugs_Ecstasy
PX560201032408 Which drugs did you use? [DO NOT read more
choices. CHECK ALL that apply.] X or Ecstasy show less
N/A
PX560201_FemaleRespondent_MalePartner_SexLast_Drugs_GHB
PX560201032410 Which drugs did you use? [DO NOT read more
choices. CHECK ALL that apply.] GHB show less
N/A
PX560201_FemaleRespondent_MalePartner_SexLast_Drugs_Heroin
PX560201032404 Which drugs did you use? [DO NOT read more
choices. CHECK ALL that apply.] Heroin show less
N/A
PX560201_FemaleRespondent_MalePartner_SexLast_Drugs_Marijuana
PX560201032402 Which drugs did you use? [DO NOT read more
choices. CHECK ALL that apply.] Marijuana show less
N/A
PX560201_FemaleRespondent_MalePartner_SexLast_Drugs_PowderedCocaine
PX560201032406 Which drugs did you use? [DO NOT read more
choices. CHECK ALL that apply.] Powdered cocaine show less
N/A
PX560201_FemaleRespondent_MalePartner_SexLast_Drugs_Refused
PX560201032416 Which drugs did you use? [DO NOT read more
choices. CHECK ALL that apply.] Refused to answer show less
N/A
PX560201_FemaleRespondent_MalePartner_SexLast_KnowHIVStatus
PX560201032500 The last time you had sex with this partner, more
did you know his HIV status? show less
N/A
PX560201_FemaleRespondent_MalePartner_SexLast_Paid_You
PX560201031300 When you had sex that last time, did he give more
you things like money or drugs in exchange for sex? show less
N/A
PX560201_FemaleRespondent_MalePartner_SexLast_PartnerSexOthers
PX560201033700 As far as you know, during the time you were more
having a sexual relationship with this partner, did he have sex with other people? Would you say he: [READ choices. Check only ONE.] show less
N/A
PX560201_FemaleRespondent_MalePartner_SexLast_PartnerSexOthers_12months
PX560201033900 As far as you know, during the past 12 more
months when you were having a sexual relationship with this partner, did he have sex with other people? Would you say he: [READ choices. Check only ONE.] show less
N/A
PX560201_FemaleRespondent_MalePartner_SexLast_Race
PX560201032900 Which of the following best describes his more
racial or ethnic background? [READ choices. Choose one.] show less
N/A
PX560201_FemaleRespondent_MalePartner_SexLast_RelationshipLength_Months
PX560201033500 How long have you been having a sexual more
relationship with this partner? (Please tell me how many days, months, or years). [Interviewer: If "one-night stand," enter 0.]# of Months: show less
N/A
PX560201_FemaleRespondent_MalePartner_SexLast_VaginalSex
PX560201031500 When you had sex that last time, did you more
have vaginal sex? show less
N/A
PX560201_FemaleRespondent_MalePartner_SexLast_VaginalSex_CondomWholeTime
PX560201031700 Did you or your partner use the condom the more
whole time? show less
N/A
PX560201_FemaleRespondent_MalePartner_SexLast_YoungerOlderSame
PX560201032700 Was this partner younger than you, older more
than you, or the same age as you? show less
N/A
PX560201_FemaleRespondent_MalePartner_Sex_Last_Month
PX560201031101 Now I would like you to think about the last more
time you had sex with a man. When was the last time you had oral, vaginal, or anal sex with a man? Just tell me the month and year. Month show less
N/A
PX560201_FemaleRespondent_MalePartner_Sex_WithoutCondom_HivNegative
PX560201030900 In the past 12 months did you have vaginal more
or anal sex without a condom with a man who has HIV-negative? show less
N/A
PX560201_FemaleRespondent_MalePartner__SexLast_Drugs_Poppers
PX560201032414 Which drugs did you use? [DO NOT read more
choices. CHECK ALL that apply.] Poppers show less
N/A
PX560201_FemaleRespondent_MultipleMalePartners_NumberMain
PX560201030401 Of the ______ [insert number from SX-56] men more
you've had oral, vaginal, or anal sex with in the past 12 months, how many of them were main partners? FOR MULTIPLE MALE SEX PARTNERS show less
N/A
PX560201_FemaleRespondent_OneMaleParner_Casual_Main
PX560201030500 Was this man a main partner or a casual more
partner? FOR ONE MALE SEX PARTNER show less
N/A
PX560201_Female_Sex_With_Man_AgeFirstTime
PX560201030200 How old were you the first time you had more
vaginal or anal sex with a man? FOR FEMALE RESPONDENTS ONLY Male Sex Partners (Female respondent) show less
N/A
PX560201_HIV_2YearsBefore_PositiveTest_NumberTimesTested
PX560201061900 In the 2 years before your first positive more
test in ___ / ___ [insert date from HT-4 or HT-7a], how many times did you get tested for HIV? Don't include your first positive test in that total number. show less
N/A
PX560201_HIV_Confirm_Year_FirstPositiveTest
PX560201061400 CONF23. INTERVIEWER INSTRUCTIONS: HIV more
testing was not widely available before 1985. Please confirm the year. Is &[POS1STDY] correct? show less
N/A
PX560201_HIV_FirstSaw_Doctor_AfterDiagnosis_Month
PX560201062201 When did you first go to your health care more
provider after learning you had HIV? Month show less
N/A
PX560201_HIV_First_Test_ConfirmPrior1985
PX560201060300 CONF21. INTERVIEWER INSTRUCTIONS: HIV more
testing was not widely available before 1985. Please confirm the year. Is &[TST1TSTY] correct? show less
N/A
PX560201_HIV_First_Test_Month
PX560201060201 When did you have your first HIV test? Month N/A
PX560201_HIV_Heard_Taking_AntiHIV_Protection
PX560201063300 Before today, have you ever heard of people more
who do not have HIV taking anti-HIV medicines, to keep from getting HIV? show less
N/A
PX560201_HIV_Heard_Taking_Antiretroviral_Protection
PX560201063100 Before today, have you ever heard of people more
who do not have HIV taking antiretroviral medicines, to keep from getting HIV? show less
N/A
PX560201_HIV_Interviewer_HIVTest_InPastYear
PX560201060901 INTERVIEWER INSTRUCTIONS: Refer to HT-4. more
LAST HIV TEST WAS DONE (Check one): show less
N/A
PX560201_HIV_Interviewer_SawDoctor_Confirm
PX560201062300 INTERVIEWER INSTRUCTIONS: Refer to date of more
first positive HIV test (HT-4 or HT-7a) show less
N/A
PX560201_HIV_LastDoctorVisit_Hiv_Care_Year
PX560201062602 When did you last go to your health care more
provider for HIV care? Year show less
N/A
PX560201_HIV_Medicines_From_Other
PX560201063900 Please tell me if you got any of the more
anti-HIV medicines you took from the following people or places. Did you get them from . . . [GIVE RESPONDENT FLASHCARD P. READ ALL CHOICES.] Some other place (Specify ____________) show less
N/A
PX560201_HIV_Medicines_From_Partner
PX560201063700 Please tell me if you got any of the more
anti-HIV medicines you took from the following people or places. Did you get them from . . . [GIVE RESPONDENT FLASHCARD P. READ ALL CHOICES.] Sex partner, friend, relative, or acquaintance show less
N/A
PX560201_HIV_MostImportantReason_Not_Tested_PastYear
PX560201061100 What was the most important reason you have more
not been tested for HIV in the past 12 months? show less
N/A
PX560201_HIV_MostRecent_Test_ConfirmPrior1985
PX560201060503 CONF22. INTERVIEWER INSTRUCTIONS: HIV more
testing was not widely available before 1985. Please confirm the year. Is &[RCNTTSTY] correct? show less
N/A
PX560201_HIV_MostRecent_Test_Month
PX560201060501 When did you have your most recent HIV test? month N/A
PX560201_HIV_MostRecent_Test_Result
PX560201060800 What was the result of your most recent HIV more
test? [DO NOT Read choices, check only ONE.] show less
N/A
PX560201_HIV_MostRecent_Test_Site_Classify
PX560201060601 When you got tested in ____ / ____ [insert more
date from HT-4], where did you get tested? Testing Site: [Write down the site name and classify it from the list of choices below. Probe with additional questions if necessary. DO NOT read choices. Choose on show less
N/A
PX560201_HIV_NotCurrently_Takling_Antiretroviral_Reason
PX560201062900 What is the main reason you are not more
currently taking any antiretroviral medicines? [DO NOT read reason types. Choose only ONE reason.] show less
N/A
PX560201_HIV_NotEverSeen_By_Doctor_Reason
PX560201062100 What is the main reason you have never gone more
to a health care provider for a medical evaluation or care related to your HIV infection? [DO NOT read choices. Chose only ONE reason.] show less
N/A
PX560201_HIV_NotSeen_Doctor_Last6Months_ReasonOther
PX560201062701 Interviewer: Type in other reason Respondent more
has not sought HIV care in past 6 months: show less
N/A
PX560201_HIV_NotSoonSeen_By_Doctor_ReasonOther
PX560201062500 Interviewer: Type in other reason Respondent more
did not seek HIV care soon after diagnosis: show less
N/A
PX560201_HIV_Positive_AskedNotifyPartners_GaveNames
PX560201061600 Did you give the names or contact more
information of any of your partners when asked? show less
N/A
PX560201_HIV_Taken_AntiHIV_AfterSex
PX560201063500 In the past 12 months, have you taken more
anti-HIV medicines before sex because you thought it would keep you from getting HIV? show less
N/A
PX560201_HIV_Take_Medicines_Daily
PX560201064000 Would you be willing to take anti-HIV more
medicines every day to lower your chances of getting HIV? show less
N/A
PX560201_HIV_TestNegative_Before_TestPositive_Month
PX560201061801 What was the month and year that you got more
your last negative HIV test? Tell me when you got your last test, not when you got your results. Month show less
N/A
PX560201_HIV_When_FirstTestPositive_Month
PX560201061301 When did you first test positive? Month N/A
PX560201_MaleRespondent_FemaleCasualingle_Sex_FirstTime
PX560201010712 Think about the very first time you had sex more
with this woman. Was it within the past 12 months? ONE CASUAL FEMALE PARTNER show less
N/A
PX560201_MaleRespondent_FemaleCasualMultiple_Number_AnalSex_WithoutCondom
PX560201010704 In the past 12 months, with how many of more
these _______ [insert number from SX-7c] women did you have anal sex without using a condom? MULTIPLE CASUAL FEMALE PARTNERS show less
N/A
PX560201_MaleRespondent_FemaleCasualMultiple_Number_VaginalSex_WithoutCondom
PX560201010702 In the past 12 months, with how many of more
these _______ [insert number from SX-7a] women did you have vaginal sex without using a condom? MULTIPLE CASUAL FEMALE PARTNERS show less
N/A
PX560201_MaleRespondent_FemaleCasualMultiple_Number_You_Paid
PX560201010706 Of your ______ [insert number from SX-5] more
female casual partners in the past 12 months, how many did you give things like money or drugs in exchange of sex? MULTIPLE CASUAL FEMALE PARTNERS show less
N/A
PX560201_MaleRespondent_FemaleCasualSingle_AnalSex
PX560201010710 In the past 12 months, did you have anal sex more
with this woman? ONE CASUAL FEMALE PARTNER show less
N/A
PX560201_MaleRespondent_FemaleCasualSingle_She_Paid_You
PX560201010714 In the past 12 months, did this woman give more
you things like money or drugs in exchange for sex? ONE CASUAL FEMALE PARTNER show less
N/A
PX560201_MaleRespondent_FemaleCasualSingle_VaginalSex
PX560201010708 In the past 12 months, did you have vaginal more
sex with this woman? ONE CASUAL FEMALE PARTNER show less
N/A
PX560201_MaleRespondent_FemaleMainMultiple_Number_AnalSex_WithoutCondom
PX560201010604 In the past 12 months, with how many of more
these _______ [insert number from SX-6c] women did you have anal sex without using a condom? show less
N/A
PX560201_MaleRespondent_FemaleMainMultiple_Number_VaginalSex_WithoutCondom
PX560201010602 In the past 12 months, with how many of more
these _______ [insert number from SX-6a] women did you have vaginal sex without using a condom? show less
N/A
PX560201_MaleRespondent_FemaleMainMultiple_Number_You_Paid
PX560201010606 Of your ______ [insert number from SX-4] more
female main partners in the past 12 months, how many did you give things like money or drugs in exchange for sex? show less
N/A
PX560201_MaleRespondent_FemaleMainSingle_AnalSex
PX560201010610 In the past 12 months, did you have anal sex more
with this woman? show less
N/A
PX560201_MaleRespondent_FemaleMainSingle_Sex_FirstTime
PX560201010612 Think about the very first time you had sex more
with this woman. Was it within the past 12 months? show less
N/A
PX560201_MaleRespondent_FemaleMainSingle_She_Paid_You
PX560201010614 In the past 12 months, did this woman give more
you things like money or drugs in exchange for sex? show less
N/A
PX560201_MaleRespondent_FemaleMainSingle_VaginalSex
PX560201010608 In the past 12 months, did you have vaginal more
sex with this woman? show less
N/A
PX560201_MaleRespondent_FemaleMultiple_Number_Casual_Partners
PX560201010500 FOR MULTIPLE FEMALE SEX PARTNERS How many more
were casual partners? show less
N/A
PX560201_MaleRespondent_Female_SexLast_AnalSex_CondomWholeTime
PX560201011700 Did you use the condom the whole time? N/A
PX560201_MaleRespondent_Female_SexLast_CrackCocaine
PX560201012600 As far as you know, has this partner ever more
used crack cocaine? Would you say she: [READ CHOICES. Check only ONE.] show less
N/A
PX560201_MaleRespondent_Female_SexLast_Drugs_Downers
PX560201011911 Which drugs did you use? [DO NOT read more
choices. CHECK ALL that apply.] Downers (Valium, Ativan, Xanax) show less
N/A
PX560201_MaleRespondent_Female_SexLast_Drugs_Ecstasy
PX560201011907 Which drugs did you use? [DO NOT read more
choices. CHECK ALL that apply.] X or Ecstasy show less
N/A
PX560201_MaleRespondent_Female_SexLast_Drugs_GHB
PX560201011909 Which drugs did you use? [DO NOT read more
choices. CHECK ALL that apply.] GHB show less
N/A
PX560201_MaleRespondent_Female_SexLast_Drugs_Heroin
PX560201011903 Which drugs did you use? [DO NOT read more
choices. CHECK ALL that apply.] Heroin show less
N/A
PX560201_MaleRespondent_Female_SexLast_Drugs_Marijuana
PX560201011901 Which drugs did you use? [DO NOT read more
choices. CHECK ALL that apply.] Marijuana show less
N/A
PX560201_MaleRespondent_Female_SexLast_Drugs_Poppers
PX560201011913 Which drugs did you use? [DO NOT read more
choices. CHECK ALL that apply.] Poppers show less
N/A
PX560201_MaleRespondent_Female_SexLast_Drugs_PowderedCocaine
PX560201011905 Which drugs did you use? [DO NOT read more
choices. CHECK ALL that apply.] Powdered cocaine show less
N/A
PX560201_MaleRespondent_Female_SexLast_Drugs_Refused
PX560201011915 Which drugs did you use? [DO NOT read more
choices. CHECK ALL that apply.] Refused to answer show less
N/A
PX560201_MaleRespondent_Female_SexLast_KnowHIVStatus
PX560201012000 The last time you had sex with this partner, more
did you know her HIV status? show less
N/A
PX560201_MaleRespondent_Female_SexLast_MainOrCasual
PX560201011001 Was the woman you had sex with that last more
time a main partner or a casual partner? GIVE RESPONDENT FLASHCARD I. Remember, a main sex partner is someone you feel committed to above anyone else. And a casual sex partner is someone you do not feel commit show less
N/A
PX560201_MaleRespondent_Female_SexLast_Paid_You
PX560201011103 When you had sex that last time, did she more
give you things like money or drugs in exchange for sex? show less
N/A
PX560201_MaleRespondent_Female_SexLast_Race
PX560201012400 Which of the following best describes her more
racial or ethnic background? [READ choices. Choose one.] show less
N/A
PX560201_MaleRespondent_Female_SexLast_RelationshipLength_Days
PX560201012801 How long have you been having a sexual more
relationship with this partner? (Please tell me how many days, months, or years.) [Interviewer: If "one night stand," enter 0.] # of Days show less
N/A
PX560201_MaleRespondent_Female_SexLast_RelationshipLength_Years
PX560201012803 How long have you been having a sexual more
relationship with this partner? (Please tell me how many days, months, or years.) [Interviewer: If "one night stand," enter 0.] # of Years show less
N/A
PX560201_MaleRespondent_Female_SexLast_RespondentSexOthers
PX560201013000 During the time you were having a sexual more
relationship with this partner, did you have sex with other people? show less
N/A
PX560201_MaleRespondent_Female_SexLast_RespondentSexOthers_12months
PX560201013200 During the past 12 months when you were more
having a sexual relationship with this partner, did you have sex with other people? show less
N/A
PX560201_MaleRespondent_Female_SexLast_VaginalSex_Condom
PX560201011300 During vaginal sex that last time, did you more
or your partner use a condom? show less
N/A
PX560201_MaleRespondent_Female_SexLast_VaginalSex_CondomReason
PX560201011500 Did you or your partner use the condom to more
prevent pregnancy, to prevent infections like HIV or other sexually transmitted diseases, to prevent both, or for some other reason? show less
N/A
PX560201_MaleRespondent_Female_SexLast_YoungerOlderSame
PX560201012200 Was this partner younger than you, older more
than you, or the same age as you? show less
N/A
PX560201_MaleRespondent_Female_Sex_Last_Month
PX560201010901 Now I would like you to think about the last more
time you had sex with a woman. When was the last time you had oral, vaginal, or anal sex with a woman? Just tell me the month and year. Month show less
N/A
PX560201_MaleRespondent_Female_Sex_WithoutCondom_HivNegative
PX560201010802 In the past 12 months, did you have vaginal more
or anal sex without a condom with a woman who was HIV negative? show less
N/A
PX560201_MaleRespondent_MalePartnerCasualMultiple_Number_HIVNegative
PX560201020706 How many did you know were HIV-negative? more
MULTIPLE CASUAL MALE PARTNERS show less
N/A
PX560201_MaleRespondent_MalePartnerCasualMultiple_Number_KnowHIVStatus
PX560201020704 For how many of these men did you know their more
HIV status? MULTIPLE CASUAL MALE PARTNERS show less
N/A
PX560201_MaleRespondent_MalePartnerCasualMultiple_Number_Sex_WithoutCondom
PX560201020702 In the past 12 months, with how many of more
these _______ [insert number from SX-32a] men did you have anal sex without using a condom? MULTIPLE CASUAL MALE PARTNERS show less
N/A
PX560201_MaleRespondent_MalePartnerCasualMultiple_Number_You_Paid
PX560201020708 Of your ______ [insert number from SX-30] more
male casual partners in the past 12 months, how many did you give things like money or drugs in exchange for sex? MULTIPLE CASUAL MALE PARTNERS show less
N/A
PX560201_MaleRespondent_MalePartnerCasualSingle_First_Time
PX560201020714 Think about the very first time you had sex more
with this man. Was it within the past 12 months? ONE CASUAL MALE PARTNER show less
N/A
PX560201_MaleRespondent_MalePartnerCasualSingle_He_Paid_You
PX560201020716 In the past 12 months, did this man give you more
things like money or drugs in exchange for sex? ONE CASUAL MALE PARTNER show less
N/A
PX560201_MaleRespondent_MalePartnerCasualSingle_Know_HIVStatus
PX560201020712 Did you know his HIV status? ONE CASUAL MALE more
PARTNER show less
N/A
PX560201_MaleRespondent_MalePartnerCasualSingle_Sex
PX560201020710 In the past 12 months, did you have anal sex more
with this man? ONE CASUAL MALE PARTNER show less
N/A
PX560201_MaleRespondent_MalePartnerMainMultiple_Number_HIVNegative
PX560201020606 How many did you know were HIV-negative? more
MULTIPLE MAIN MALE PARTNERS show less
N/A
PX560201_MaleRespondent_MalePartnerMainMultiple_Number_KnowHIVStatus
PX560201020604 For how many of these men did you know their more
HIV status? MULTIPLE MAIN MALE PARTNERS show less
N/A
PX560201_MaleRespondent_MalePartnerMainMultiple_Number_Sex_WithoutCondom
PX560201020602 In the past 12 months, with how many of more
these _______ [insert number from SX-31a] men did you have anal sex without using a condom? show less
N/A
PX560201_MaleRespondent_MalePartnerMainMultiple_Number_You_Paid
PX560201020608 Of your ______ [insert number from SX-29] more
male main partners in the past 12 months, how many did you give things like money or drugs in exchange for sex? MULTIPLE MAIN MALE PARTNERS show less
N/A
PX560201_MaleRespondent_MalePartnerMainSingle_He_Paid_You
PX560201020616 In the past 12 months, did this man give you more
things like money or drugs in exchange for sex? ONE MAIN MALE PARTNER show less
N/A
PX560201_MaleRespondent_MalePartnerMainSingle_KnowHIVStatus
PX560201020612 Did you know his HIV status? ONE MAIN MALE PARTNER N/A
PX560201_MaleRespondent_MalePartnerMainSingle_Sex
PX560201020610 In the past 12 months, did you have anal sex more
with this man? ONE MAIN MALE PARTNER show less
N/A
PX560201_MaleRespondent_MalePartnerMainSingle_Sex_FirstTime
PX560201020614 Think about the very first time you had sex more
with this man. Was it within the past 12 months? ONE MAIN MALE PARTNER show less
N/A
PX560201_MaleRespondent_MalePartner_Age_First_Time
PX560201020201 How old were you the first time you had oral more
or anal sex with a man? show less
N/A
PX560201_MaleRespondent_MalePartner_Discrimination_HeathCare
PX560201024304 During the past 12 months, have any of the more
following things happened to you because someone knew or assumed you were attracted to men? [READ CHOICES, CHECK NO OR YES FOR EACH ONE.] You were denied or given lower-quality health care show less
N/A
PX560201_MaleRespondent_MalePartner_Discrimination_PoorService
PX560201024302 During the past 12 months, have any of the more
following things happened to you because someone knew or assumed you were attracted to men? [READ CHOICES, CHECK NO OR YES FOR EACH ONE.] You received poorer services than other people in restaurants, stores show less
N/A
PX560201_MaleRespondent_MalePartner_Internet_12Months
PX560201023600 In the past 12 months, how often have you more
used the Internet to meet or socialize with gay men either for friendship or sex? These could include social network websites (such as Facebook or MySpace), websites directed toward gay men (such as Manhunt o show less
N/A
PX560201_MaleRespondent_MalePartner_LastTime_CasualMain
PX560201020900 Was the man you had sex with that last time more
a main partner or a casual partner? GIVE RESPONDENT FLASHCARD I. Remember, a main sex partner is someone you feel committed to above anyone else. And a casual sex partner is someone you do not feel committe show less
N/A
PX560201_MaleRespondent_MalePartner_Last_Time_Year
PX560201020802 Now I would like you to think about the last more
time you had sex with a man. When was the last time you had anal or oral sex with a man? Just tell me the month and year. Year show less
N/A
PX560201_MaleRespondent_MalePartner_PastYear_Number
PX560201020300 In the past 12 months, that is, since more
of last year, with how many different men have you had oral or anal sex? show less
N/A
PX560201_MaleRespondent_MalePartner_PeopleInProject_Tolerant
PX560201024400 Next, I'm going to read you a statement. more
Please tell me how strongly you agree or disagree with it, using one of the options on this card. [Give participant Flashcard G.] Most people in [project area] are tolerant of gays and bisexuals. Do you .  show less
N/A
PX560201_MaleRespondent_MalePartner_SexLastTime_Insertive
PX560201021500 When you had sex that last time, did you more
have insertive anal sex where you put your penis in his anus (butt)? show less
N/A
PX560201_MaleRespondent_MalePartner_SexLastTime_Insertive_CondomWholeTime
PX560201021700 Did you use the condom the whole time? N/A
PX560201_MaleRespondent_MalePartner_SexLastTime_Paid_You
PX560201021100 When you had sex that last time, did he give more
you things like money or drugs in exchange for sex? show less
N/A
PX560201_MaleRespondent_MalePartner_SexLastTime_Receptive_Condom
PX560201021300 During the receptive anal sex that last more
time, did he use a condom? show less
N/A
PX560201_MaleRespondent_MalePartner_SexLast_CrackCocaine
PX560201022600 As far as you know, has this partner ever more
used crack cocaine? Would you say he: [READ CHOICES. Check only ONE.] show less
N/A
PX560201_MaleRespondent_MalePartner_SexLast_Drugs_Downers
PX560201021911 Which drugs did you use? [DO NOT read more
choices. CHECK ALL that apply.] Downers (Valium, Ativan, Xanax) show less
N/A
PX560201_MaleRespondent_MalePartner_SexLast_Drugs_Ecstasy
PX560201021907 Which drugs did you use? [DO NOT read more
choices. CHECK ALL that apply.] X or Ecstasy show less
N/A
PX560201_MaleRespondent_MalePartner_SexLast_Drugs_GHB
PX560201021909 Which drugs did you use? [DO NOT read more
choices. CHECK ALL that apply.] GHB show less
N/A
PX560201_MaleRespondent_MalePartner_SexLast_Drugs_Heroin
PX560201021903 Which drugs did you use? [DO NOT read more
choices. CHECK ALL that apply.] Heroin show less
N/A
PX560201_MaleRespondent_MalePartner_SexLast_Drugs_Marijuana
PX560201021901 Which drugs did you use? [DO NOT read more
choices. CHECK ALL that apply.] Marijuana show less
N/A
PX560201_MaleRespondent_MalePartner_SexLast_Drugs_Poppers
PX560201021913 Which drugs did you use? [DO NOT read more
choices. CHECK ALL that apply.] Poppers show less
N/A
PX560201_MaleRespondent_MalePartner_SexLast_Drugs_PowderedCocaine
PX560201021905 Which drugs did you use? [DO NOT read more
choices. CHECK ALL that apply.] Powdered cocaine show less
N/A
PX560201_MaleRespondent_MalePartner_SexLast_Drugs_Refused
PX560201021915 Which drugs did you use? [DO NOT read more
choices. CHECK ALL that apply.] Refused to answer show less
N/A
PX560201_MaleRespondent_MalePartner_SexLast_Jail
PX560201022800 As far as you know, has this partner ever more
been in prison or jail for more than 24 hours? Would you say he: [READ CHOICES. Check only ONE.] show less
N/A
PX560201_MaleRespondent_MalePartner_SexLast_KnowHIVStatus
PX560201022000 The last time you had sex with this partner, more
did you know his HIV status? show less
N/A
PX560201_MaleRespondent_MalePartner_SexLast_PartnerSexOthers
PX560201023000 As far as you know, during the time you were more
having a sexual relationship with this partner, did he have sex with other people? Would you say he: [READ CHOICES. Check only ONE.] show less
N/A
PX560201_MaleRespondent_MalePartner_SexLast_PartnerSexOthers_12months
PX560201023200 As far as you know, during the past 12 more
months when you were having a sexual relationship with this partner, did he have sex with other people? Would you say he: [READ CHOICES. Check only ONE.] show less
N/A
PX560201_MaleRespondent_MalePartner_SexLast_Race
PX560201022400 Which of the following best describes his more
racial or ethnic background? [READ choices. Choose one.] show less
N/A
PX560201_MaleRespondent_MalePartner_SexLast_RelationshipLength_Months
PX560201022902 How long have you been having a sexual more
relationship with this partner? (Please tell me how many days, months, or years.) [Interviewer: If "one-night stand," enter 0.] # of Months: show less
N/A
PX560201_MaleRespondent_MalePartner_SexLast_WhereMet
PX560201023400 Where did you first meet this partner? [DO more
NOT read choices. Check only ONE.] show less
N/A
PX560201_MaleRespondent_MalePartner_SexLast_YoungerOlderSame
PX560201022200 Was this partner younger than you, older more
than you, or the same age as you? show less
N/A
PX560201_MaleRespondent_MalePartner_ToldFamily_AttractedMen
PX560201024000 I'm going to read you a list of people you more
may have told. Please tell me which ones apply. Have you told: [READ CHOICES, CHECK NO OR YES FOR EACH ONE.] Family members show less
N/A
PX560201_MaleRespondent_MalePartner_ToldGayFriends_AttractedMen
PX560201023800 I'm going to read you a list of people you more
may have told. Please tell me which ones apply. Have you told: [READ CHOICES, CHECK NO OR YES FOR EACH ONE.] Gay, lesbian, or bisexual friends show less
N/A
PX560201_MaleRespondent_MalePartner_ToldProvider_AttractedMen
PX560201024200 I'm going to read you a list of people you more
may have told. Please tell me which ones apply. Have you told: [READ CHOICES, CHECK NO OR YES FOR EACH ONE.] Health care provider show less
N/A
PX560201_MaleRespondent_MultipleFemalePartners_Number
PX560201010401 FOR MULTIPLE FEMALE SEX PARTNERS Of the more
______ [insert number from SX-3] Women you've had oral, vaginal, or anal sex with in the past 12 months, how many of them were main partners? show less
N/A
PX560201_MaleRespondent_MultipleMalePartners_Number_Main_Partners
PX560201020501 Of the ______ [insert number from SX-28] men more
you've had oral or anal sex within the past 12 months, how many of them were main partners? FOR MULTIPLE MALE SEX PARTNERS show less
N/A
PX560201_MaleRespondent_OneMan_Main_Or_Casual
PX560201020503 Was this man a main partner or a casual more
partner? FOR ONE MALE SEX PARTNER show less
N/A
PX560201_NonInjectionDrugs_Frequency_CrystalMeth
PX560201050300 How often did you more
use . . . READ EACH DRUG CHOICE. CHOOSE ONLY ONE RESPONSE PER TYPE OF DRUG. Crystal meth (tina, crank, or ice) show less
N/A
PX560201_NonInjectionDrugs_Frequency_Ecstasy
PX560201050900 How often did you more
use . . . READ EACH DRUG CHOICE. CHOOSE ONLY ONE RESPONSE PER TYPE OF DRUG. X or Ecstasy show less
N/A
PX560201_NonInjectionDrugs_Frequency_Ketamine
PX560201051300 How often did you more
use . . . READ EACH DRUG CHOICE. CHOOSE ONLY ONE RESPONSE PER TYPE OF DRUG. Special K (ketamine) show less
N/A
PX560201_NonInjectionDrugs_Frequency_Painkillers
PX560201050700 How often did you more
use . . . READ EACH DRUG CHOICE. CHOOSE ONLY ONE RESPONSE PER TYPE OF DRUG. Painkillers such as OxyContin, Vicodin, or Percocet show less
N/A
PX560201_NonInjectionDrugs_Frequency_Poppers
PX560201051100 How often did you more
use . . . READ EACH DRUG CHOICE. CHOOSE ONLY ONE RESPONSE PER TYPE OF DRUG. Poppers (amyl nitrate) show less
N/A
PX560201_NonInjectionDrugs_Frequency_Powdered_Cocaine
PX560201050500 How often did you more
use . . . READ EACH DRUG CHOICE. CHOOSE ONLY ONE RESPONSE PER TYPE OF DRUG. Powdered cocaine that is smoked or snorted show less
N/A
PX560201_NonInjectionDrugs_Other_Specify
PX560201051500 How often did you more
use . . . READ EACH DRUG CHOICE. CHOOSE ONLY ONE RESPONSE PER TYPE OF DRUG. Specify other drug ____________________ show less
N/A
PX560201_NonInjectionDrugs_Use
PX560201050100 In the past 12 months, have you used any more
non-injection drugs, other than those prescribed for you? show less
N/A
PX560201_NonInjectionDrugs_Viagra
PX560201051700 In the past 12 months, have you used Viagra, more
Levitra, or Cialis? show less
N/A
PX560201_NonInjectionDrugs_Viagra_And_CrystalMeth
PX560201051900 You told me that you used crystal meth more
(tina, crank, or ice). In the past 12 months, did you use Viagra, Levitra or Cialis at the same time you used crystal meth? show less
N/A
PX560201_Past_Year_Number_Men_Partners
PX560201030301 In the past 12 months, that is, since more
of last year, with how many different men have you had oral, vaginal or anal sex? FOR FEMALE RESPONDENTS ONLY Male Sex Partners (Female respondent) show less
N/A
PX560201_Past_Year_Number_Women_Partners
PX560201010301 In the past 12 months, that is, since more
of last year, with how many different women have you had oral, vaginal, or anal sex? show less
N/A
PX560201_Sex_With_Woman_Age_FirstTime
PX560201010200 How old were you the first time you had more
vaginal or anal sex with a woman? show less
N/A
Substance Use-related Co-morbidities and Health-related Outcomes
Measure Name

Comprehensive HIV Risk Assessment

Release Date

February 24, 2012

Definition

Instrument used to collect information on a respondent’s HIV risk behavior, including sexual behavior, HIV drug use risk behavior, and HIV testing and care experiences.

Purpose

The purpose of this measure is to determine respondents’ HIV risk by gathering information on the number of male and female sexual partners in the past 12 months, the types of sexual activity, and whether the sexual encounters involved drugs or alcohol and by asking questions about injection and non-injection drug use and about HIV testing and care experiences, including the use of antiretroviral medications.

Keywords

National HIV Behavioral Surveillance System, NHBS, CDC, Centers for Disease Control and Prevention, Sexual behavior, drug use, Injection drug use, Non-injection drug use, HIV testing, Men who have sex with men, multiple sex partners, HIV care, Antiretrovirals, SAA, Substance Use-related Co-morbidities and Health-related Outcomes

Measure Protocols
Protocol ID Protocol Name
560201 Comprehensive HIV Risk Assessment

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