Baseline Questionnaires

                                                                                                                                                                                                                                                                                                            Form Approved:

OMB No. 0920-0913

Expiration Date: XX/XX/XXXX

Evaluating Locally-Developed HIV Prevention Interventions for African-American MSM in Los Angeles

Attachment 3d

Baseline Questionnaire

Public reporting burden of this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; Attn: OMB-PRA (0920-0913)

MyLife Baseline Survey v8 (English)

START

SQ1. Enter type of survey administering:    (Choose one) 1 Baseline

2 3 Month Follow-Up

3 6 Month Follow-Up

If SQ1 is equal to 2 or SQ1 is equal to 3 then READ: "This is the assessment tool for baseline data collection. Please, stop and restart with the 3 month or 6 month follow up assessment." and skip to SQ1.

SQ2. Enter site:    (Choose one) 1 ITMT

2 In community

3 DHSP

SQ3. Interviewer ID: __ __ __ __

SQ4. Study ID: __ __ __ __

SQ5. Re-enter participant's Study I.D. number: __ __ __ __

If SQ4 is not equal to SQ5 then READ: "The participant Study ID numbers that you have entered do not match. Please try again." and skip to SQ4.

READ:    I'm going to ask you a few questions before we get started because we will need to create a unique id that you can use for your follow-up surveys.    Is that okay?

SQ6. What are the first 2 letters of YOUR LAST name? (ex. Smith = SM) __ __

SQ7. What is the first letter of YOUR FIRST name? (ex. John = J) __

SQ8. What is the first letter of YOUR MOTHER'S FIRST name? (ex. Susan = S) __

SQ9. What MONTH were you born? Enter 2 digits for month (ex. August = 08, November = 11)

__ __

SQ10. What YEAR were you born? Enter 2 digits for year (ex. 1968 = 68) __ __

SQ11. Do you consider yourself male, female or transgender? (male = M, female = F, transgender = T)    (Choose one)

1 M

2 F

3 T

SQ12A. Do you consider yourself to be Hispanic or Latino?

01 Yes

02 No

98 Refuse to Answer

SQ12B. What racial or ethnic group or groups do you consider yourself to be in? (B = Black/African American, W = White, A = Asian, AI= American Indian or Alaska Native, NH= Native Hawaiian or Pacific Islander)    (Select all that apply)

1 B

2 W

3 A

4 AI

5 NH

UID = CONCAT(UID1, UID2, UID3, UID4, UID5, UID6, UID7)

AGO3M = ShortDate(INT_DT - 90)

AGO2YR = ShortDate(INT_DT - 730)

AGO6MO = INT_DT - 183

HIVDATE = Date(1985, 3, 1)

ACASI Instuctional Information

READ:    The first set of questions will help you to learn how to use the computer to answer questions. You will be asked to click on certain buttons using a mouse or keyboard. If you have questions or problems or want to review these instructions at any time, ask a staff member to help you.

SQ13. Do you want to review how to use the computer to answer questions?

1 Yes

0 No Skip to instruction before A1

READ:    On the right-hand side of this computer screen, you will see three buttons. The button in the middle reads "NEXT QUESTION". This button is used to move to the next question on the screen.    Please click on it now.

READ:    On the right-hand side you will see a PREVIOUS QUESTION button. This button is used to go back to a previous question to review or change your answer. Please click the NEXT QUESTION button to continue.

SQ14. Some questions will ask you to choose one answer (yes or no, or from a list of possibilities). Try it on this question:    What day is today?    (Choose one)

1 Monday

2 Tuesday

3 Wednesday

4 Thursday

5 Friday

6 Saturday

7 Sunday

SQ15. Other questions will allow you to give more than one answer. You are asked to check all of the boxes that apply to you. Try it on this question:                                                                                                                    Which of the following are days of the week?                                                                                                                                                                                                                                                To unselect an answer, click the desired button again, which will remove the check mark. After you are finished, please click on the NEXT QUESTION BUTTON TO CONTINUE.    (Check all that apply)

__ Monday

__ Tuesday

__ Wednesday

__ Ham and cheese sandwich

__ Thursday

__ Friday

__ Saturday

__ Sunday

SQ16. Some questions will ask you for a number. Try it on this question:                                                                              How many days are there in a week?                                                                                                                                                                                                                              After you are finished, please click on the NEXT QUESTION BUTTON TO CONTINUE.

__ __

SQ17. Some questions will ask you to click on a scale. Try it on this question:                                                                How do you feel about the weather outside today?                                                                                                                                                                                                                                        1 means you are very unhappy with the weather today and 10 means you are very happy with the weather today. 5 means you are neutral or don't care either way about the weather today

01 Very unhappy

02

03

04

05

06

07

08

09

10 Very happy

SQ18. A few questions will ask you to type in an answer. Try it on this question:                                                        What is your favorite color?                                                                                                                                                                                                                                      After you are finished, please click on the NEXT QUESTION BUTTON TO CONTINUE.

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

SQ19. A few questions will ask you to type in a date. Try it on this question:                                                          What is today's date?                                                                                                                                                                                                                                              The first screen will ask you to enter the 4-digit year. Click NEXT QUESTION. Now enter 2 numbers that indicate the month. Click NEXT QUESTION. Now enter 2 numbers that indicate the day.

__ __ / __ __ / __ __ __ __ mm / dd / yyyy

READ:    CONGRATULATIONS, you have finished the practice questions!

READ:    Thank you for taking the time to answer questions for our study. Remember, all your answers will be kept private and your name will not be attached to any of the answers you provide today. It is important to be as honest as possible when answering these questions. Please remember that you can decide not to answer a specific question if you do not want to.

READ:    Demographic Section: If you would like help understanding a question, please talk to the project staff member who can help you.


Please remember your answers will be kept private.

A. DEMOGRAPHICS

A1. How old are you? (Enter the number of years) __ __

97 Don't Know

98 Refuse to Answer

99 Not Applicable

If A1 is less than 18 then READ: "If you are 17 years old or younger, please check in with the project staff." and skip to A1.

If A1 is greater than 29 then READ: "If you are 30 years old or older, please check in with the project staff." and skip to A1.

A2. In the past 12 months, have you been homeless at any time? By homeless, I mean you were living on the street, in a shelter, a Single Room Occupancy hotel (SRO), temporarily staying with friends or relatives, or living in a car.

1 Yes

0 No

7 Don't Know

8 Refuse to Answer

If A2 is equal to 0, then skip to A5.

A3. In the past 3 months, have you been homeless at any time? By homeless, I mean you were living on the street, in a shelter, a Single Room Occupancy hotel (SRO), temporarily staying with friends or relatives, or living in a car.

1 Yes

0 No

7 Don't Know

8 Refuse to Answer

If A3 is equal to 0, then skip to A5.

A4. Are you currently homeless? 1 Yes

0 No

7 Don't Know

8 Refuse to Answer

A5. Do you think of yourself as...(Check one)    (Choose one) 1 Heterosexual or "Straight"

2 Homosexual or Gay

3 Bisexual

4 Other

8 Refuse to Answer

A6. Do you identify with any of the following terms? (Check all that apply)    (Check all that apply)

__ Queer

__ Same gender loving

__ In the life

__ On the 'down low'

__ None

__ Other

__ Refuse to Answer

If A6F is not equal to 1, then skip to A7.

A6a. Other (specify): __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

A7. Are you currently married or living with a partner (boyfriend, girlfriend)?

1 Yes

0 No Skip to A9

8 Refuse to Answer Skip to A9

A8. Is this person male, female or transgender? (Choose one)    (Choose one)

1 Male

2 Female

3 Transgender

8 Refuse to Answer

A9. What is the highest level of education you completed? (Choose one)    (Choose one)

0 Never attended school

1 Grades 1 through 8

2 Grades 9 through 11

3 Grade 12 or GED

4 Some college, Associate's Degree or Technical Degree

5 Bachelor's Degree

6 Any post graduate studies

7 Other

8 Refuse to Answer

If A9 is not equal to 7, then skip to A10.

A9a. Other (specify): __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

A10. What best describes your employment status? Are you: (Choose one)    (Choose one)

01 Employed full-time

02 Employed part-time

04 A full-time student

06 Disabled for work

07 Unemployed

08 Other

97 Don't Know

98 Refuse to Answer

If A10 is not equal to 8, then skip to A11.

A10a. Other (specify): __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

A11. Thinking about the past 12 months, how much was your total yearly income, before taxes were taken out? (Choose one)    (Choose one)

1 Less than $5,000

2 $5,000 - $9,999

3 $10,000 - $19,999

4 $20,000 - $29,999

5 $30,000 - $39,999

6 $40,000 or more

8 Refuse to Answer

A12. How many people other than yourself does your income support?

__ __

98 Refuse to Answer

A13. How many children do you have? __ __

A14. During the past 3 months, how often did you run out of money for your basic necessities like rent or food? (Choose one)    (Choose one)

0 Never

1 Once

2 Twice

3 Three times or more

8 Refuse to Answer

A15. Some people experience difficulty when looking for employment. Which of the following challenges have you faced when looking for a job? (Check all that apply)    (Check all that apply)

__ I haven't had any challenges finding a job

__ I don't have the appropriate skills/training

__ I don't have the appropriate educational background

__ I don't have enough previous work experience

__ I think employers have discriminated against me because of my race/ethnicity

__ I think employers have discriminated against me because of my sexual orientation

__ I don't think I interview well

__ I have a history of incarceration

__ Other

If A15I is not equal to 1, then skip to A16.

A15a. Other (specify): __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

A16. What kind of health insurance or coverage do you currently have? (Check all that apply)    (Check all that apply)

__ Medicaid (MediCal)

__ Medicare

__ Veteran's Administration

__ Ryan White

__ Private Insurance or HMO (e.g. Blue Cross or Kaiser)

__ No Insurance

__ Self-pay

__ Other health insurance

__ Don't Know

__ Refuse to Answer

READ:    These next few questions are about any experiences you may have had with the jail or prison system. Please answer as honestly as you can. Your answers will be kept private.

A17. Have you ever been arrested and taken to jail or prison? (Choose one)    (Choose one)

0 Never Skip to instruction before B1

1 Once

2 Twice

3 Three times or more

8 Refuse to Answer Skip to instruction before B1

A17a. Have you been arrested and taken to jail or prison in the past 12 months?

1 Yes

0 No

7 Don't Know

8 Refuse to Answer

A18. Have you ever been convicted of a felony? 1 Yes

0 No

7 Don't Know

8 Refuse to Answer

A19. While you were in jail or prison, did you ever have unprotected anal sex with another inmate?

1 Yes

0 No

7 Don't Know

8 Refuse to Answer

B. Integrated Race and Sexuality

READ:    Integrated Race and Sexuality Section: The next several questions are about race and sexuality. Please indicate how strongly you agree or disagree with the following statements.


Please remember your answers will be kept private.

B1. Black homosexual and bisexual men contribute to black communities. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree

3 Mildly disagree

4 Mildly agree

5 Agree

6 Strongly agree

8 Refuse to Answer

B2. Both my race and my sexuality are important to who I am as a man. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree

3 Mildly disagree

4 Mildly agree

5 Agree

6 Strongly agree

8 Refuse to Answer

B3. I can't imagine a loving sexual relationship between two Black men. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree

3 Mildly disagree

4 Mildly agree

5 Agree

6 Strongly agree

8 Refuse to Answer

B4. I believe Black men can be in loving committed relationships with each other. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree

3 Mildly disagree

4 Mildly agree

5 Agree

6 Strongly agree

8 Refuse to Answer

B5. Black men who have sex with men do nothing to improve the quality of Black communities. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree

3 Mildly disagree

4 Mildly agree

5 Agree

6 Strongly agree

8 Refuse to Answer

B6. Black homosexual and bisexual men can play an important role in Black families. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree

3 Mildly disagree

4 Mildly agree

5 Agree

6 Strongly agree

8 Refuse to Answer

B7. A Black man who has sex with men can still be a strong man. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree

3 Mildly disagree

4 Mildly agree

5 Agree

6 Strongly agree

8 Refuse to Answer

B8. It is more important that people see me as a man than as a Black person. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree

3 Mildly disagree

4 Mildly agree

5 Agree

6 Strongly agree

8 Refuse to Answer

B9. It is more important that people see me as a man than as a homosexual/bisexual man. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree

3 Mildly disagree

4 Mildly agree

5 Agree

6 Strongly agree

8 Refuse to Answer

B10. I am comfortable being open as a Black homosexual/bisexual man. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree

3 Mildly disagree

4 Mildly agree

5 Agree

6 Strongly agree

8 Refuse to Answer

B11. Black homosexual and bisexual men only make it more difficult for Black people in general. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree

3 Mildly disagree

4 Mildly agree

5 Agree

6 Strongly agree

8 Refuse to Answer

C. Sexual Behavior

READ:    Next, are some questions about having sex. Please remember your answers will be kept private.

READ:    For these questions, "having sex" means oral, vaginal or anal sex.

·Oral sex means mouth on the vagina, penis or anus (butt);
·Vaginal sex means penis in the vagina; and
·Anal sex means penis in the anus (butt).

Note that some questions may not apply to your situation.

C1. How old were you when you first had oral or anal sex with a male?

__ __

98 Refuse to Answer

99 Not Applicable

If C1 is equal to 0 then READ: "If you have never had sex with a male, please check in with the project staff." and skip to C1.

C2. How old were you when you first had oral, vaginal or anal sex with a female?

__ __

98 Refuse to Answer

99 Not Applicable

If C2 is equal to 0 then READ: "If you have never had sex with a female, please check Not Applicable." and skip to C2.

C3. In the past 3 months, that is since [AGO3M], with how many different men have you had oral or anal sex?

__ __ __

998 Refuse to Answer

999 Not Applicable

C4. In the past 3 months, that is since [AGO3M], with how many different women have you had oral, vaginal or anal sex?

__ __ __

998 Refuse to Answer

999 Not Applicable

C5. In the past 3 months, that is since [AGO3M], with how many different transgender persons have you had oral, vaginal or anal sex?

__ __ __

998 Refuse to Answer

999 Not Applicable

If C4 is equal to 0 and C3 is equal to 0 and C5 is equal to 0, then skip to instruction before D1.

READ:    The next questions are specifically about people you have had either anal or vaginal intercourse with in the past 3 months - between [AGO3M] and [INT_DT]. These sex partners should not include anyone you ONLY had oral sex with.

C6. With how many people have you had anal or vaginal intercourse in the past three months (since [AGO3M])?

__ __ __

NUMSP3 = C3 + C4 + C5

If C6 is greater than NUMSP3 then READ: "This number is higher than you stated earlier. Please go back and correct." and skip to C3.

NUMOP3 = NUMSP3 - C6

If C6 is equal to NUMSP3, then skip to instruction before C8.

C7. So you only had oral sex with the other [NUMOP3] partner(s)? 1 Yes

0 No

7 Don't Know

8 Refuse to Answer

9 Not Applicable

If C7 is equal to 0 then READ: "Please go back and correct your answers." and skip to C3.

If C6 is equal to 0, then skip to instruction before D1.

READ:    Now we are going to ask you questions specifically about these partners or if you have had more than 5 partners in the past 3 months, please answer questions about the 5 you had sex with most often. First, please type in the initials, a nickname, or another easy way to refer to each partner in the past 3 months to help you in answering the questions.

C8. Partner #1's initials or nickname: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

If C6 is less than 2, then skip to C13.

C9. Partner #2's initials or nickname: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

If C6 is less than 3, then skip to C13.

C10. Partner #3's initials or nickname: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

If C6 is less than 4, then skip to C13.

C11. Partner #4's initials or nickname: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

If C6 is less than 5, then skip to C13.

C12. Partner #5's initials or nickname: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

C13. What is Partner 1's ([Response to C8]'s) gender? (Choose one)    (Choose one)

1 Male

2 Female

3 Male to female transgender (transwoman)

4 Female to male transgender (transman)

7 Don't Know

8 Refuse to Answer

C14. How old is partner 1 ([Response to C8])? __ __

97 Don't Know

98 Refuse to Answer

If C14 is not equal to 97 and C14 is not equal to 98, then skip to C15.

C14a. Was this partner... (Choose one)    (Choose one)

1 About the same age as you (within 5 years)

2 5 or more years older than you

3 5 or more years younger than you

C15. What type of partner is partner 1 ([Response to C8])? (Choose one)    (Choose one)

1 Exchange partner (Sex for money or goods)

2 Anonymous partner (One time partner)

3 Casual partner (Sex without commitment)

4 Main Partner (Primary sexual partner)

If C15 is equal to 1, then skip to C15a.

If C15 is equal to 2 or C15 is equal to 3 or C15 is equal to 4, then skip to C15b.

C15a. Did you give partner 1 ([Response to C8]) money or goods for sex OR did partner 1 ([Response to C8]) give you money or goods for sex? (Choose one)    (Choose one)

1 I gave this partner money or goods for sex

2 This partner gave me money or goods for sex

C15b. When was the first time you had anal (or vaginal) sex with partner 1 ([Response to C8])? (Choose one)    (Choose one)

1 Within the past 3 months

2 Between 3 and 12 months ago

3 Over 12 months ago

C16. How would you describe partner 1's ([Response to C8]) race/ethnicity? (Choose one)    (Choose one)

1 American Indian/Alaskan Native

2 Asian or Pacific Islander

3 Black, not of Hispanic origin

4 Hispanic

5 White, not of Hispanic origin

6 Other race/ethnicity (specify):_________

7 Don't Know

8 Refuse to Answer

9 Not Applicable

If C16 is not equal to 6, then skip to C17.

C16a. Other race/ethnicity (specify): __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

C17. Did you and partner 1 ([Response to C8]) discuss each other's H.I.V. status before you had intercourse the first time? (Choose one)

1 Yes

0 No

8 Refuse to Answer

C18. To the best of your knowledge, what is partner 1's ([Response to C8]'s) H.I.V. status? (Choose one)    (Choose one)

0 Negative

1 Positive

2 Unknown/Don't know

If C18 is equal to 2, then skip to C20.

C19. How do you know that partner 1's ([Response to C8]'s) H.I.V. status is [Response to C18]? (Check all that apply)    (Check all that apply)

__ I could tell by the way he/she looked

__ One of his/her friends told me what his/her status was

__ I could tell his/her status by some of the things that he/she told me

__ I checked out his/her medicine cabinet to look for H.I.V. medications

__ He/She told me directly without me asking

__ I asked him/her directly and he/she told me

__ Other (specify):____________

If C19G is not equal to 1, then skip to C20.

C19a. Other (specify):_____________ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

C20. Did you and partner 1 ([Response to C8]) discuss each other's sexually transmitted infection status (other than H.I.V. status) before you had intercourse the first time?

1 Yes

0 No

8 Refuse to Answer

C21. Where did you first meet partner 1 ([Response to C8])? (Choose one)    (Choose one)

01 Gay bar, cafe, nightclub or restaurant

02 Sex club, bathhouse, adult novelty store or bookstore

03 Public places including street, park, shopping mall, grocery store, library, public transportation

04 Church, political function

05 Work or school

06 Gym/health club/athletic activity

07 Internet (hook up, dating or social networking site)

08 Newspaper ads

09 Private party or social club

10 Through friends

11 Non-gay bar, nightclub

12 At In the Meantime program or event

13 Social organizations/volunteer service activities

14 Vacation/business trip

15 Some other way (specify):_______________

97 Don't Know

98 Refuse to Answer

99 Not Applicable

If C21 is not equal to 15, then skip to instruction before C22.

C21a. Other (specify): __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

If C3 is equal to 0, then skip to instruction before C35.

(Male Partner)

If C13 is equal to 2, then skip to instruction before C35.

If C13 is equal to 3 or C13 is equal to 4, then skip to instruction before C42.

C22. How many times did you have insertive anal intercourse (you put your penis in his butt) with partner 1 ([Response to C8]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C25

997 Don't Know Skip to C25

998 Refuse to Answer Skip to C25

999 Not Applicable Skip to C25

C23. Of the [Response to C22] time(s) you had insertive anal sex, how many times was a condom NOT used?

__ __ __ time(s)

000 zero Skip to C25

997 Don't Know Skip to C25

998 Refuse to Answer Skip to C25

999 Not Applicable Skip to C25

If C23 is greater than C22 then READ: "The number you have given is greater than the total number of times you had insertive anal sex." and skip to C23.

C24. Of the [Response to C23] time(s) you had insertive anal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C25

997 Don't Know Skip to C25

998 Refuse to Answer Skip to C25

999 Not Applicable Skip to C25

If C24 is greater than C23 then READ: "The number you have given is greater than the total number of times you had insertive anal sex without a condom." and skip to C24.

C25. How many times did you have receptive anal intercourse (he put his penis in your butt) with partner 1 ([Response to C8]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C28

997 Don't Know Skip to C28

998 Refuse to Answer Skip to C28

999 Not Applicable Skip to C28

C26. Of the [Response to C25] time(s) you had receptive anal sex, how many times was a condom NOT used?

__ __ __ time(s)

000 zero Skip to C28

997 Don't Know Skip to C28

998 Refuse to Answer Skip to C28

999 Not Applicable Skip to C28

If C26 is greater than C25 then READ: "The number you have given is greater than the total number of times you had receptive anal sex." and skip to C26.

C27. Of the [Response to C26] time(s) you had receptive anal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C28

997 Don't Know Skip to C28

998 Refuse to Answer Skip to C28

999 Not Applicable Skip to C28

If C27 is greater than C26 then READ: "The number you have given is greater than the total number of times you had receptive anal sex without a condom." and skip to C27.

C28. In the past 3 months, how many times did you NOT have anal sex because you or partner 1 ([Response to C8]) did not have a condom?

__ __ __ time(s)

C29. In the past 3 months, as far as you know, has partner 1 ([Response to C8]) had sex with other people?    (Choose one)

0 No

1 Yes, with other men

2 Yes, with other women

3 Yes, with both men and women

4 Yes, but I don't know who they had sex with

5 Don't know

(Male Main Partner)

If C15 is equal to 1 or C15 is equal to 2 or C15 is equal to 3, then skip to instruction before C35.

C30. In the past 3 months, that is since [AGO3M], how many times did you ask partner 1 ([Response to C8]) to get tested for sexually transmitted infections (not including H.I.V.)?

__ __ time(s)

97 Don't Know

98 Refuse to Answer

99 Not Applicable

C31. In the past 3 months, that is since [AGO3M], how many times did you ask partner 1 ([Response to C8]) if he was being faithful to you?

__ __ time(s)

97 Don't Know

98 Refuse to Answer

99 Not Applicable

C31a. Did he tell you that he had been unfaithful to you in the past 3 months?

1 Yes

0 No

7 Don't Know

8 Refuse to Answer

C32. Who usually has more say about whether you use condoms? (Choose one)    (Choose one)

1 Your partner

2 Both of you equally

3 You

C33. Who usually has more say about what types of sexual acts you do? (Choose one)    (Choose one)

1 Your partner

2 Both of you equally

3 You

C34. In general, who do you think has more power in your relationship? (Choose one)    (Choose one)

1 Your partner

2 Both of you equally

3 You

(Female Partner)

If C13 is equal to 1, then skip to instruction before C53.

C35. How many times did you have vaginal intercourse with partner 1 ([Response to C8]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C38

997 Don't Know Skip to C38

998 Refuse to Answer Skip to C38

999 Not Applicable Skip to C38

C36. Of the [Response to C35] time(s) you had vaginal sex, how many times did you NOT use a condom?

__ __ __ time(s)

000 zero Skip to C38

997 Don't Know Skip to C38

998 Refuse to Answer Skip to C38

999 Not Applicable Skip to C38

If C36 is greater than C35 then READ: "The number you have given is greater than the total number of times you had vaginal sex." and skip to C36.

C37. Of the [Response to C36] time(s) you had vaginal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C38

997 Don't Know Skip to C38

998 Refuse to Answer Skip to C38

999 Not Applicable Skip to C38

If C37 is greater than C36 then READ: "The number you have given is greater than the total number of times you had vaginal sex without a condom." and skip to C37.

C38. How many times did you have anal intercourse (your penis in her butt) with partner 1 ([Response to C8]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C41

997 Don't Know Skip to C41

998 Refuse to Answer Skip to C41

999 Not Applicable Skip to C41

C39. Of the [Response to C38] time(s) you had anal sex, how many times did you NOT use a condom?

__ __ __ time(s)

000 zero Skip to C41

997 Don't Know Skip to C41

998 Refuse to Answer Skip to C41

999 Not Applicable Skip to C41

If C39 is greater than C38 then READ: "The number you have given is greater than the total number of times you had anal sex." and skip to C39.

C40. Of the [Response to C39] time(s) you had anal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C41

997 Don't Know Skip to C41

998 Refuse to Answer Skip to C41

999 Not Applicable Skip to C41

If C40 is greater than C39 then READ: "The number you have given is greater than the total number of times you had anal sex without a condom." and skip to C40.

C41. In the past 3 months, how many times did you NOT have vaginal or anal sex because you or partner 1 ([Response to C8]) did not have a condom?

__ __ __ time(s)

(Transgender Partner)

If C13 is equal to 1 or C13 is equal to 2, then skip to instruction before C53.

C42. How many times did you have insertive anal intercourse (you put your penis in your transgender partner's butt) with partner 1 ([Response to C8]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C45

997 Don't Know Skip to C45

998 Refuse to Answer Skip to C45

999 Not Applicable Skip to C45

C43. Of the [Response to C42] time(s) you had insertive anal sex, how many times was a condom NOT used?

__ __ __ time(s)

000 zero Skip to C45

997 Don't Know Skip to C45

998 Refuse to Answer Skip to C45

999 Not Applicable Skip to C45

If C43 is greater than C42 then READ: "The number you have given is greater than the total number of times you had insertive anal sex." and skip to C43.

C44. Of the [Response to C43] time(s) you had insertive anal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C45

997 Don't Know Skip to C45

998 Refuse to Answer Skip to C45

999 Not Applicable Skip to C45

If C44 is greater than C43 then READ: "The number you have given is greater than the total number of times you had insertive anal sex without a condom." and skip to C44.

C45. How many times did you have receptive anal intercourse (your transgender partner put their penis in your butt) with partner 1 ([Response to C8]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C48

997 Don't Know Skip to C48

998 Refuse to Answer Skip to C48

999 Not Applicable Skip to C48

C46. Of the [Response to C45] time(s) you had receptive anal sex, how many times was a condom NOT used?

__ __ __ time(s)

000 zero Skip to C48

997 Don't Know Skip to C48

998 Refuse to Answer Skip to C48

999 Not Applicable Skip to C48

If C46 is greater than C45 then READ: "The number you have given is greater than the total number of times you had receptive anal sex." and skip to C46.

C47. Of the [Response to C46] time(s) you had receptive anal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C48

997 Don't Know Skip to C48

998 Refuse to Answer Skip to C48

999 Not Applicable Skip to C48

If C47 is greater than C46 then READ: "The number you have given is greater than the total number of times you had receptive anal sex without a condom." and skip to C47.

C48. How many times did you have vaginal intercourse with partner 1 ([Response to C8]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C51

997 Don't Know Skip to C51

998 Refuse to Answer Skip to C51

999 Not Applicable Skip to C51

C49. Of the [Response to C48] time(s) you had vaginal sex, how many times did you NOT use a condom?

__ __ __ time(s)

000 zero Skip to C51

997 Don't Know Skip to C51

998 Refuse to Answer Skip to C51

999 Not Applicable Skip to C51

If C49 is greater than C48 then READ: "The number you have given is greater than the total number of times you had vaginal sex." and skip to C49.

C50. Of the [Response to C49] time(s) you had vaginal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C51

997 Don't Know Skip to C51

998 Refuse to Answer Skip to C51

999 Not Applicable Skip to C51

If C50 is greater than C49 then READ: "The number you have given is greater than the total number of times you had vaginal sex without a condom." and skip to C50.

C51. In the past 3 months, how many times did you NOT have anal sex because you or partner 1 ([Response to C8]) did not have a condom?

__ __ __ time(s)

C52. In the past 3 months, as far as you know, has partner 1 ([Response to C8]) had sex with other people?    (Choose one)

0 No

1 Yes, with other men

2 Yes, with other women

3 Yes, with both men and women

4 Yes, but I don't know who they had sex with

5 Don't know

If C6 is less than 2, then skip to instruction before C217.

C53. What is Partner 2's ([Response to C9]'s) gender? (Choose one)    (Choose one)

1 Male

2 Female

3 Male to female transgender (transwoman)

4 Female to male transgender (transman)

7 Don't Know

8 Refuse to Answer

C54. How old is partner 2 ([Response to C9])? __ __

97 Don't Know

98 Refuse to Answer

If C54 is not equal to 97 and C54 is not equal to 98, then skip to C55.

C54a. Was this partner... (Choose one)    (Choose one)

1 About the same age as you (within 5 years)

2 5 or more years older than you

3 5 or more years younger than you

C55. What type of partner is partner 2 ([Response to C9])? (Choose one)    (Choose one)

1 Exchange partner (Sex for money or goods)

2 Anonymous partner (One time partner)

3 Casual partner (Sex without commitment)

4 Main Partner (Primary sexual partner)

If C55 is equal to 1, then skip to C55a.

If C55 is equal to 2 or C55 is equal to 3 or C55 is equal to 4, then skip to C55b.

C55a. Did you give partner 2 ([Response to C9]) money or goods for sex OR did partner 2 ([Response to C9]) give you money or goods for sex? (Choose one)    (Choose one)

1 I gave this partner money or goods for sex

2 This partner gave me money or goods for sex

C55b. When was the first time you had anal (or vaginal) sex with partner 2 ([Response to C9])? (Choose one)    (Choose one)

1 Within the past 3 months

2 Between 3 and 12 months ago

3 Over 12 months ago

C56. How would you describe partner 2's ([Response to C9]) race/ethnicity? (Choose one)    (Choose one)

1 American Indian/Alaskan Native

2 Asian or Pacific Islander

3 Black, not of Hispanic origin

4 Hispanic

5 White, not of Hispanic origin

6 Other race/ethnicity (specify):_________

7 Don't Know

8 Refuse to Answer

9 Not Applicable

If C56 is not equal to 6, then skip to C57.

C56a. Other race/ethnicity (specify): __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

C57. Did you and partner 2 ([Response to C9]) discuss each other's H.I.V. status before you had intercourse the first time?

1 Yes

0 No

8 Refuse to Answer

C58. To the best of your knowledge, what is partner 2's ([Response to C9]'s) H.I.V. status? (Choose one)    (Choose one)

0 Negative

1 Positive

2 Unknown/Don't know

If C58 is equal to 2, then skip to C60.

C59. How do you know that partner 2's ([Response to C9]'s) H.I.V. status is [Response to C58]? (Check all that apply)    (Check all that apply)

__ I could tell by the way he/she looked

__ One of his/her friends told me what his/her status was

__ I could tell his/her status by some of the things that he/she told me

__ I checked out his/her medicine cabinet to look for H.I.V. medications

__ He/She told me directly without me asking

__ I asked him/her directly and he/she told me

__ Other (specify):____________

If C59G is not equal to 1, then skip to C60.

C59a. Other (specify):_____________ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

C60. Did you and partner 2 ([Response to C9]) discuss each other's sexually transmitted infection status (other than H.I.V. status) before you had intercourse the first time?

1 Yes

0 No

8 Refuse to Answer

C61. Where did you first meet partner 2 ([Response to C9])? (Choose one)    (Choose one)

01 Gay bar, cafe, nightclub or restaurant

02 Sex club, bathhouse, adult novelty store or bookstore

03 Public places including street, park, shopping mall, grocery store, library, public transportation

04 Church, political function

05 Work or school

06 Gym/health club/athletic activity

07 Internet (hook up, dating or social networking site)

08 Newspaper ads

09 Private party or social club

10 Through friends

11 Non-gay bar, nightclub

12 At In the Meantime program or event

13 Social organizations/volunteer service activities

14 Vacation/business trip

15 Some other way (specify):_______________

97 Don't Know

98 Refuse to Answer

99 Not Applicable

If C61 is not equal to 15, then skip to instruction before C63.

C62. Other (specify): __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

If C3 is equal to 0, then skip to instruction before C76.

(Male Partner)

If C53 is equal to 2, then skip to instruction before C76.

If C53 is equal to 3 or C53 is equal to 4, then skip to instruction before C83.

C63. How many times did you have insertive anal intercourse (you put your penis in his butt) with partner 2 ([Response to C9]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C66

997 Don't Know Skip to C66

998 Refuse to Answer Skip to C66

999 Not Applicable Skip to C66

C64. Of the [Response to C63] time(s) you had insertive anal sex, how many times was a condom NOT used?

__ __ __ time(s)

000 zero Skip to C66

997 Don't Know Skip to C66

998 Refuse to Answer Skip to C66

999 Not Applicable Skip to C66

If C64 is greater than C63 then READ: "The number you have given is greater than the total number of times you had insertive anal sex." and skip to C64.

C65. Of the [Response to C64] time(s) you had insertive anal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C66

997 Don't Know Skip to C66

998 Refuse to Answer Skip to C66

999 Not Applicable Skip to C66

If C65 is greater than C64 then READ: "The number you have given is greater than the total number of times you had insertive anal sex without a condom." and skip to C65.

C66. How many times did you have receptive anal intercourse (he put his penis in your butt) with partner 2 ([Response to C9]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C69

997 Don't Know Skip to C69

998 Refuse to Answer Skip to C69

999 Not Applicable Skip to C69

C67. Of the [Response to C66] time(s) you had receptive anal sex, how many times was a condom NOT used?

__ __ __ time(s)

000 zero Skip to C69

997 Don't Know Skip to C69

998 Refuse to Answer Skip to C69

999 Not Applicable Skip to C69

If C67 is greater than C66 then READ: "The number you have given is greater than the total number of times you had receptive anal sex." and skip to C67.

C68. Of the [Response to C67] time(s) you had receptive anal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C69

997 Don't Know Skip to C69

998 Refuse to Answer Skip to C69

999 Not Applicable Skip to C69

If C68 is greater than C67 then READ: "The number you have given is greater than the total number of times you had receptive anal sex without a condom." and skip to C68.

C69. In the past 3 months, how many times did you NOT have anal sex because you or partner 2 ([Response to C9]) did not have a condom?

__ __ __ time(s)

C70. In the past 3 months, as far as you know, has partner 2 ([Response to C9]) had sex with other people? (Choose one)    (Choose one)

0 No

1 Yes, with other men

2 Yes, with other women

3 Yes, with both men and women

4 Yes, but I don't know who they had sex with

5 Don't know

(Male Main Partner)

If C55 is equal to 1 or C55 is equal to 2 or C55 is equal to 3, then skip to instruction before C76.

C71. In the past 3 months, that is since [AGO3M], how many times did you ask partner 2 ([Response to C9]) to get tested for sexually transmitted infections (not including H.I.V.)?

__ __ time(s)

97 Don't Know

98 Refuse to Answer

99 Not Applicable

C72. In the past 3 months, that is since [AGO3M], how many times did you ask partner 2 ([Response to C9]) if he was being faithful to you?

__ __ time(s)

97 Don't Know

98 Refuse to Answer

99 Not Applicable

C72a. Did he tell you that he had been unfaithful to you in the past 3 months?

1 Yes

0 No

7 Don't Know

8 Refuse to Answer

C73. Who usually has more say about whether you use condoms? (Choose one)    (Choose one)

1 Your partner

2 Both of you equally

3 You

C74. Who usually has more say about what types of sexual acts you do? (Choose one)    (Choose one)

1 Your partner

2 Both of you equally

3 You

C75. In general, who do you think has more power in your relationship? (Choose one)    (Choose one)

1 Your partner

2 Both of you equally

3 You

(Female Partner)

If C53 is equal to 1, then skip to instruction before C94.

C76. How many times did you have vaginal intercourse with partner 2 ([Response to C9]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C79

997 Don't Know Skip to C79

998 Refuse to Answer Skip to C79

999 Not Applicable Skip to C79

C77. Of the [Response to C76] time(s) you had vaginal sex, how many times did you NOT use a condom?

__ __ __ time(s)

000 zero Skip to C79

997 Don't Know Skip to C79

998 Refuse to Answer Skip to C79

999 Not Applicable Skip to C79

If C77 is greater than C76 then READ: "The number you have given is greater than the total number of times you had vaginal sex." and skip to C77.

C78. Of the [Response to C77] time(s) you had vaginal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C79

997 Don't Know Skip to C79

998 Refuse to Answer Skip to C79

999 Not Applicable Skip to C79

If C78 is greater than C77 then READ: "The number you have given is greater than the total number of times you had vaginal sex without a condom." and skip to C78.

C79. How many times did you have anal intercourse (your penis in her butt) with partner 2 ([Response to C9]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C82

997 Don't Know Skip to C82

998 Refuse to Answer Skip to C82

999 Not Applicable Skip to C82

C80. Of the [Response to C79] time(s) you had anal sex, how many times did you NOT use a condom?

__ __ __ time(s)

000 zero Skip to C82

997 Don't Know Skip to C82

998 Refuse to Answer Skip to C82

999 Not Applicable Skip to C82

If C80 is greater than C79 then READ: "The number you have given is greater than the total number of times you had anal sex." and skip to C80.

C81. Of the [Response to C80] time(s) you had anal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C82

997 Don't Know Skip to C82

998 Refuse to Answer Skip to C82

999 Not Applicable Skip to C82

If C81 is greater than C80 then READ: "The number you have given is greater than the total number of times you had anal sex without a condom." and skip to C81.

C82. In the past 3 months, how many times did you NOT have vaginal or anal sex because you or partner 2 ([Response to C9]) did not have a condom?

__ __ __ time(s)

(Transgender Partner)

If C53 is equal to 1 or C53 is equal to 2, then skip to instruction before C94.

C83. How many times did you have insertive anal intercourse (you put your penis in your transgender partner's butt) with partner 2 ([Response to C9]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C86

997 Don't Know Skip to C86

998 Refuse to Answer Skip to C86

999 Not Applicable Skip to C86

C84. Of the [Response to C83] time(s) you had insertive anal sex, how many times was a condom NOT used?

__ __ __ time(s)

000 zero Skip to C86

997 Don't Know Skip to C86

998 Refuse to Answer Skip to C86

999 Not Applicable Skip to C86

If C84 is greater than C83 then READ: "The number you have given is greater than the total number of times you had insertive anal sex." and skip to C84.

C85. Of the [Response to C84] time(s) you had insertive anal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C86

997 Don't Know Skip to C86

998 Refuse to Answer Skip to C86

999 Not Applicable Skip to C86

If C85 is greater than C84 then READ: "The number you have given is greater than the total number of times you had insertive anal sex without a condom." and skip to C85.

C86. How many times did you have receptive anal intercourse (your transgender partner put their penis in your butt) with partner 2 ([Response to C9]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C89

997 Don't Know Skip to C89

998 Refuse to Answer Skip to C89

999 Not Applicable Skip to C89

C87. Of the [Response to C86] time(s) you had receptive anal sex, how many times was a condom NOT used?

__ __ __ time(s)

000 zero Skip to C89

997 Don't Know Skip to C89

998 Refuse to Answer Skip to C89

999 Not Applicable Skip to C89

If C87 is greater than C86 then READ: "The number you have given is greater than the total number of times you had receptive anal sex." and skip to C87.

C88. Of the [Response to C87] time(s) you had receptive anal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C89

997 Don't Know Skip to C89

998 Refuse to Answer Skip to C89

999 Not Applicable Skip to C89

If C88 is greater than C87 then READ: "The number you have given is greater than the total number of times you had receptive anal sex without a condom." and skip to C88.

C89. How many times did you have vaginal intercourse with partner 2 ([Response to C9]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C92

997 Don't Know Skip to C92

998 Refuse to Answer Skip to C92

999 Not Applicable Skip to C92

C90. Of the [Response to C89] time(s) you had vaginal sex, how many times did you NOT use a condom?

__ __ __ time(s)

000 zero Skip to C92

997 Don't Know Skip to C92

998 Refuse to Answer Skip to C92

999 Not Applicable Skip to C92

If C90 is greater than C89 then READ: "The number you have given is greater than the total number of times you had vaginal sex." and skip to C90.

C91. Of the [Response to C90] time(s) you had vaginal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C92

997 Don't Know Skip to C92

998 Refuse to Answer Skip to C92

999 Not Applicable Skip to C92

If C91 is greater than C90 then READ: "The number you have given is greater than the total number of times you had vaginal sex without a condom." and skip to C91.

C92. In the past 3 months, how many times did you NOT have anal sex because you or partner 2 ([Response to C9]) did not have a condom?

__ __ __ time(s)

C93. In the past 3 months, as far as you know, has partner 2 ([Response to C9]) had sex with other people?    (Choose one)

0 No

1 Yes, with other men

2 Yes, with other women

3 Yes, with both men and women

4 Yes, but I don't know who they had sex with

5 Don't know

If C6 is less than 3, then skip to instruction before C217.

C94. What is Partner 3's ([Response to C10]'s) gender? (Choose one)    (Choose one)

1 Male

2 Female

3 Male to female transgender (transwoman)

4 Female to male transgender (transman)

7 Don't Know

8 Refuse to Answer

C95. How old is partner 3 ([Response to C10])? __ __

97 Don't Know

98 Refuse to Answer

If C95 is not equal to 97 and C95 is not equal to 98, then skip to C96.

C95a. Was this partner... (Choose one)    (Choose one)

1 About the same age as you (within 5 years)

2 5 or more years older than you

3 5 or more years younger than you

C96. What type of partner is partner 3 ([Response to C10])? (Choose one)    (Choose one)

1 Exchange partner (Sex for money or goods)

2 Anonymous partner (One time partner)

3 Casual partner (Sex without commitment)

4 Main Partner (Primary sexual partner)

If C96 is equal to 1, then skip to C96a.

If C96 is equal to 2 or C96 is equal to 3 or C96 is equal to 4, then skip to C96b.

C96a. Did you give partner 3 ([Response to C10]) money or goods for sex OR did partner 3 ([Response to C10]) give you money or goods for sex? (Choose one)    (Choose one)

1 I gave this partner money or goods for sex

2 This partner gave me money or goods for sex

C96b. When was the first time you had anal (or vaginal) sex with partner 3 ([Response to C10])? (Choose one)    (Choose one)

1 Within the past 3 months

2 Between 3 and 12 months ago

3 Over 12 months ago

C97. How would you describe partner 3's ([Response to C10]) race/ethnicity? (Choose one)    (Choose one)

1 American Indian/Alaskan Native

2 Asian or Pacific Islander

3 Black, not of Hispanic origin

4 Hispanic

5 White, not of Hispanic origin

6 Other race/ethnicity (specify):_________

7 Don't Know

8 Refuse to Answer

9 Not Applicable

If C97 is not equal to 6, then skip to C98.

C97a. Other race/ethnicity (specify): __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

C98. Did you and partner 3 ([Response to C10]) discuss each other's H.I.V. status before you had intercourse the first time?

1 Yes

0 No

8 Refuse to Answer

C99. To the best of your knowledge, what is partner 3's ([Response to C10]'s) H.I.V. status? (Choose one)    (Choose one)

0 Negative

1 Positive

2 Unknown/Don't know

If C99 is equal to 2, then skip to C101.

C100. How do you know that partner 3's ([Response to C10]'s) H.I.V. status is [Response to C99]? (Check all that apply)    (Check all that apply)

__ I could tell by the way he/she looked

__ One of his/her friends told me what his/her status was

__ I could tell his/her status by some of the things that he/she told me

__ I checked out his/her medicine cabinet to look for H.I.V. medications

__ He/She told me directly without me asking

__ I asked him/her directly and he/she told me

__ Other (specify):____________

If C100G is not equal to 1, then skip to C101.

C100a. Other (specify):_____________ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

C101. Did you and partner 3 ([Response to C10]) discuss each other's sexually transmitted infection status (other than H.I.V. status) before you had intercourse the first time?

1 Yes

0 No

8 Refuse to Answer

C102. Where did you first meet partner 3 ([Response to C10])? (Choose one)    (Choose one)

01 Gay bar, cafe, nightclub or restaurant

02 Sex club, bathhouse, adult novelty store or bookstore

03 Public places including street, park, shopping mall, grocery store, library, public transportation

04 Church, political function

05 Work or school

06 Gym/health club/athletic activity

07 Internet (hook up, dating or social networking site)

08 Newspaper ads

09 Private party or social club

10 Through friends

11 Non-gay bar, nightclub

12 At In the Meantime program or event

13 Social organizations/volunteer service activities

14 Vacation/business trip

15 Some other way (specify):_______________

97 Don't Know

98 Refuse to Answer

99 Not Applicable

If C102 is not equal to 15, then skip to instruction before C104.

C103. Other (specify): __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

If C3 is equal to 0, then skip to instruction before C117.

(Male Partner)

If C94 is equal to 2, then skip to instruction before C117.

If C94 is equal to 3 or C94 is equal to 4, then skip to instruction before C124.

C104. How many times did you have insertive anal intercourse (you put your penis in his butt) with partner 3 ([Response to C10]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C107

997 Don't Know Skip to C107

998 Refuse to Answer Skip to C107

999 Not Applicable Skip to C107

C105. Of the [Response to C104] time(s) you had insertive anal sex, how many times was a condom NOT used?

__ __ __ time(s)

000 zero Skip to C107

997 Don't Know Skip to C107

998 Refuse to Answer Skip to C107

999 Not Applicable Skip to C107

If C105 is greater than C104 then READ: "The number you have given is greater than the total number of times you had insertive anal sex." and skip to C105.

C106. Of the [Response to C105] time(s) you had insertive anal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C107

997 Don't Know Skip to C107

998 Refuse to Answer Skip to C107

999 Not Applicable Skip to C107

If C106 is greater than C105 then READ: "The number you have given is greater than the total number of times you had insertive anal sex without a condom." and skip to C106.

C107. How many times did you have receptive anal intercourse (he put his penis in your butt) with partner 3 ([Response to C10]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C110

997 Don't Know Skip to C110

998 Refuse to Answer Skip to C110

999 Not Applicable Skip to C110

C108. Of the [Response to C107] time(s) you had receptive anal sex, how many times was a condom NOT used?

__ __ __ time(s)

000 zero Skip to C110

997 Don't Know Skip to C110

998 Refuse to Answer Skip to C110

999 Not Applicable Skip to C110

If C108 is greater than C107 then READ: "The number you have given is greater than the total number of times you had receptive anal sex." and skip to C108.

C109. Of the [Response to C108] time(s) you had receptive anal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C110

997 Don't Know Skip to C110

998 Refuse to Answer Skip to C110

999 Not Applicable Skip to C110

If C109 is greater than C108 then READ: "The number you have given is greater than the total number of times you had receptive anal sex without a condom." and skip to C109.

C110. In the past 3 months, how many times did you NOT have anal sex because you or partner 3 ([Response to C10]) did not have a condom?

__ __ __ time(s)

C111. In the past 3 months, as far as you know, has partner 3 ([Response to C10]) had sex with other people? (Choose one)    (Choose one)

0 No

1 Yes, with other men

2 Yes, with other women

3 Yes, with both men and women

4 Yes, but I don't know who they had sex with

5 Don't know

(Male Main Partner)

If C96 is equal to 1 or C96 is equal to 2 or C96 is equal to 3, then skip to instruction before C117.

C112. In the past 3 months, that is since [AGO3M], how many times did you ask partner 3 ([Response to C10]) to get tested for sexually transmitted infections (not including H.I.V.)?

__ __ time(s)

97 Don't Know

98 Refuse to Answer

99 Not Applicable

C113. In the past 3 months, that is since [AGO3M], how many times did you ask partner 3 ([Response to C10]) if he was being faithful to you?

__ __ time(s)

97 Don't Know

98 Refuse to Answer

99 Not Applicable

C113a. Did he tell you that he had been unfaithful to you in the past 3 months?

1 Yes

0 No

7 Don't Know

8 Refuse to Answer

C114. Who usually has more say about whether you use condoms? (Choose one)    (Choose one)

1 Your partner

2 Both of you equally

3 You

C115. Who usually has more say about what types of sexual acts you do? (Choose one)    (Choose one)

1 Your partner

2 Both of you equally

3 You

C116. In general, who do you think has more power in your relationship? (Choose one)    (Choose one)

1 Your partner

2 Both of you equally

3 You

(Female Partner)

If C94 is equal to 1, then skip to instruction before C135.

C117. How many times did you have vaginal intercourse with partner 3 ([Response to C10]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C120

997 Don't Know Skip to C120

998 Refuse to Answer Skip to C120

999 Not Applicable Skip to C120

C118. Of the [Response to C117] time(s) you had vaginal sex, how many times did you NOT use a condom?

__ __ __ time(s)

000 zero Skip to C120

997 Don't Know Skip to C120

998 Refuse to Answer Skip to C120

999 Not Applicable Skip to C120

If C118 is greater than C117 then READ: "The number you have given is greater than the total number of times you had vaginal sex." and skip to C118.

C119. Of the [Response to C118] time(s) you had vaginal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C120

997 Don't Know Skip to C120

998 Refuse to Answer Skip to C120

999 Not Applicable Skip to C120

If C119 is greater than C118 then READ: "The number you have given is greater than the total number of times you had vaginal sex without a condom." and skip to C119.

C120. How many times did you have anal intercourse (your penis in her butt) with partner 3 ([Response to C10]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C123

997 Don't Know Skip to C123

998 Refuse to Answer Skip to C123

999 Not Applicable Skip to C123

C121. Of the [Response to C120] time(s) you had anal sex, how many times did you NOT use a condom?

__ __ __ time(s)

000 zero Skip to C123

997 Don't Know Skip to C123

998 Refuse to Answer Skip to C123

999 Not Applicable Skip to C123

If C121 is greater than C120 then READ: "The number you have given is greater than the total number of times you had anal sex." and skip to C121.

C122. Of the [Response to C121] time(s) you had anal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C123

997 Don't Know Skip to C123

998 Refuse to Answer Skip to C123

999 Not Applicable Skip to C123

If C122 is greater than C121 then READ: "The number you have given is greater than the total number of times you had anal sex without a condom." and skip to C122.

C123. In the past 3 months, how many times did you NOT have vaginal or anal sex because you or partner 3 ([Response to C10]) did not have a condom?

__ __ __ time(s)

(Transgender Partner)

If C94 is equal to 1 or C94 is equal to 2, then skip to instruction before C135.

C124. How many times did you have insertive anal intercourse (you put your penis in your transgender partner's butt) with partner 3 ([Response to C10]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C127

997 Don't Know Skip to C127

998 Refuse to Answer Skip to C127

999 Not Applicable Skip to C127

C125. Of the [Response to C124] time(s) you had insertive anal sex, how many times was a condom NOT used?

__ __ __ time(s)

000 zero Skip to C127

997 Don't Know Skip to C127

998 Refuse to Answer Skip to C127

999 Not Applicable Skip to C127

If C125 is greater than C124 then READ: "The number you have given is greater than the total number of times you had insertive anal sex." and skip to C125.

C126. Of the [Response to C125] time(s) you had insertive anal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C127

997 Don't Know Skip to C127

998 Refuse to Answer Skip to C127

999 Not Applicable Skip to C127

If C126 is greater than C125 then READ: "The number you have given is greater than the total number of times you had insertive anal sex without a condom." and skip to C126.

C127. How many times did you have receptive anal intercourse (your transgender partner put their penis in your butt) with partner 3 ([Response to C10]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C130

997 Don't Know Skip to C130

998 Refuse to Answer Skip to C130

999 Not Applicable Skip to C130

C128. Of the [Response to C127] time(s) you had receptive anal sex, how many times was a condom NOT used?

__ __ __ time(s)

000 zero Skip to C130

997 Don't Know Skip to C130

998 Refuse to Answer Skip to C130

999 Not Applicable Skip to C130

If C128 is greater than C127 then READ: "The number you have given is greater than the total number of times you had receptive anal sex." and skip to C128.

C129. Of the [Response to C128] time(s) you had receptive anal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C130

997 Don't Know Skip to C130

998 Refuse to Answer Skip to C130

999 Not Applicable Skip to C130

If C129 is greater than C128 then READ: "The number you have given is greater than the total number of times you had receptive anal sex without a condom." and skip to C129.

C130. How many times did you have vaginal intercourse with partner 3 ([Response to C10]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C133

997 Don't Know Skip to C133

998 Refuse to Answer Skip to C133

999 Not Applicable Skip to C133

C131. Of the [Response to C130] time(s) you had vaginal sex, how many times did you NOT use a condom?

__ __ __ time(s)

000 zero Skip to C133

997 Don't Know Skip to C133

998 Refuse to Answer Skip to C133

999 Not Applicable Skip to C133

If C131 is greater than C130 then READ: "The number you have given is greater than the total number of times you had vaginal sex." and skip to C131.

C132. Of the [Response to C131] time(s) you had vaginal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C133

997 Don't Know Skip to C133

998 Refuse to Answer Skip to C133

999 Not Applicable Skip to C133

If C132 is greater than C131 then READ: "The number you have given is greater than the total number of times you had vaginal sex without a condom." and skip to C132.

C133. In the past 3 months, how many times did you NOT have anal sex because you or partner 3 ([Response to C10]) did not have a condom?

__ __ __ time(s)

C134. In the past 3 months, as far as you know, has partner 3 ([Response to C10]) had sex with other people?    (Choose one)

0 No

1 Yes, with other men

2 Yes, with other women

3 Yes, with both men and women

4 Yes, but I don't know who they had sex with

5 Don't know

If C6 is less than 4, then skip to instruction before C217.

C135. What is Partner 4's ([Response to C11]'s) gender? (Choose one)    (Choose one)

1 Male

2 Female

3 Male to female transgender (transwoman)

4 Female to male transgender (transman)

7 Don't Know

8 Refuse to Answer

C136. How old is partner 4 ([Response to C11])? __ __

97 Don't Know

98 Refuse to Answer

If C136 is not equal to 97 and C136 is not equal to 98, then skip to C137.

C136a. Was this partner... (Choose one)    (Choose one)

1 About the same age as you (within 5 years)

2 5 or more years older than you

3 5 or more years younger than you

C137. What type of partner is partner 4 ([Response to C11])? (Choose one)    (Choose one)

1 Exchange partner (Sex for money or goods)

2 Anonymous partner (One time partner)

3 Casual partner (Sex without commitment)

4 Main Partner (Primary sexual partner)

If C137 is equal to 1, then skip to C137a.

If C137 is equal to 2 or C137 is equal to 3 or C137 is equal to 4, then skip to C137b.

C137a. Did you give partner 4 ([Response to C11]) money or goods for sex OR did partner 4 ([Response to C11]) give you money or goods for sex? (Choose one)    (Choose one)

1 I gave this partner money or goods for sex

2 This partner gave me money or goods for sex

C137b. When was the first time you had anal (or vaginal) sex with partner 4 ([Response to C11])? (Choose one)    (Choose one)

1 Within the past 3 months

2 Between 3 and 12 months ago

3 Over 12 months ago

C138. How would you describe partner 4's ([Response to C11]) race/ethnicity?    (Choose one)

1 American Indian/Alaskan Native

2 Asian or Pacific Islander

3 Black, not of Hispanic origin

4 Hispanic

5 White, not of Hispanic origin

6 Other race ethnicity (specify):_________

7 Don't Know

8 Refuse to Answer

9 Not Applicable

If C138 is not equal to 6, then skip to C139.

C138a. Other race/ethnicity (specify): __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

C139. Did you and partner 4 ([Response to C11]) discuss each other's H.I.V. status before you had intercourse the first time?

1 Yes

0 No

8 Refuse to Answer

C140. To the best of your knowledge, what is partner 4's ([Response to C11]'s) H.I.V. status? (Choose one)    (Choose one)

0 Negative

1 Positive

2 Unknown/Don't know

If C140 is equal to 2, then skip to C142.

C141. How do you know that partner 4's ([Response to C11]'s) H.I.V. status is [Response to C140]? (Check all that apply)    (Check all that apply)

__ I could tell by the way he/she looked

__ One of his/her friends told me what his/her status was

__ I could tell his/her status by some of the things that he/she told me

__ I checked out his/her medicine cabinet to look for H.I.V. medications

__ He/She told me directly without me asking

__ I asked him/her directly and he/she told me

__ Other (specify):____________

If C141G is not equal to 1, then skip to C142.

C141a. Other (specify):_____________ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

C142. Did you and partner 4 ([Response to C11]) discuss each other's sexually transmitted infection status (other than H.I.V. status) before you had intercourse the first time?

1 Yes

0 No

8 Refuse to Answer

C143. Where did you first meet partner 4 ([Response to C11])? (Choose one)    (Choose one)

01 Gay bar, cafe, nightclub or restaurant

02 Sex club, bathhouse, adult novelty store or bookstore

03 Public places including street, park, shopping mall, grocery store, library, public transportation

04 Church, political function

05 Work or school

06 Gym/health club/athletic activity

07 Internet (hook up, dating or social networking site)

08 Newspaper ads

09 Private party or social club

10 Through friends

11 Non-gay bar, nightclub

12 At In the Meantime program or event

13 Social organizations/volunteer service activities

14 Vacation/business trip

15 Some other way (specify):_______________

97 Don't Know

98 Refuse to Answer

99 Not Applicable

If C143 is not equal to 15, then skip to instruction before C145.

C144. Other (specify): __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

If C3 is equal to 0, then skip to instruction before C158.

(Male Partner)

If C135 is equal to 2, then skip to instruction before C158.

If C135 is equal to 3 or C135 is equal to 4, then skip to instruction before C165.

C145. How many times did you have insertive anal intercourse (you put your penis in his butt) with partner 4 ([Response to C11]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C148

997 Don't Know Skip to C148

998 Refuse to Answer Skip to C148

999 Not Applicable Skip to C148

C146. Of the [Response to C145] time(s) you had insertive anal sex, how many times was a condom NOT used?

__ __ __ time(s)

000 zero Skip to C148

997 Don't Know Skip to C148

998 Refuse to Answer Skip to C148

999 Not Applicable Skip to C148

If C146 is greater than C145 then READ: "The number you have given is greater than the total number of times you had insertive anal sex." and skip to C146.

C147. Of the [Response to C146] time(s) you had insertive anal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C148

997 Don't Know Skip to C148

998 Refuse to Answer Skip to C148

999 Not Applicable Skip to C148

If C147 is greater than C146 then READ: "The number you have given is greater than the total number of times you had insertive anal sex without a condom." and skip to C147.

C148. How many times did you have receptive anal intercourse (he put his penis in your butt) with partner 4 ([Response to C11]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C151

997 Don't Know Skip to C151

998 Refuse to Answer Skip to C151

999 Not Applicable Skip to C151

C149. Of the [Response to C148] time(s) you had receptive anal sex, how many times was a condom NOT used?

__ __ __ time(s)

000 zero Skip to C151

997 Don't Know Skip to C151

998 Refuse to Answer Skip to C151

999 Not Applicable Skip to C151

If C149 is greater than C148 then READ: "The number you have given is greater than the total number of times you had receptive anal sex." and skip to C149.

C150. Of the [Response to C149] time(s) you had receptive anal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C151

997 Don't Know Skip to C151

998 Refuse to Answer Skip to C151

999 Not Applicable Skip to C151

If C150 is greater than C149 then READ: "The number you have given is greater than the total number of times you had receptive anal sex without a condom." and skip to C150.

C151. In the past 3 months, how many times did you NOT have anal sex because you or partner 4 ([Response to C11]) did not have a condom?

__ __ __ time(s)

C152. In the past 3 months, as far as you know, has partner 4 ([Response to C11]) had sex with other people? (Choose one)    (Choose one)

0 No

1 Yes, with other men

2 Yes, with other women

3 Yes, with both men and women

4 Yes, but I don't know who they had sex with

5 Don't know

(Male Main Partner)

If C137 is equal to 1 or C137 is equal to 2 or C137 is equal to 3, then skip to instruction before C158.

C153. In the past 3 months, that is since [AGO3M], how many times did you ask partner 4 ([Response to C11]) to get tested for sexually transmitted infections (not including H.I.V.)?

__ __ time(s)

97 Don't Know

98 Refuse to Answer

99 Not Applicable

C154. In the past 3 months, that is since [AGO3M], how many times did you ask partner 4 ([Response to C11]) if he was being faithful to you?

__ __ time(s)

97 Don't Know

98 Refuse to Answer

99 Not Applicable

C154a. Did he tell you that he had been unfaithful to you in the past 3 months?

1 Yes

0 No

7 Don't Know

8 Refuse to Answer

C155. Who usually has more say about whether you use condoms? (Choose one)    (Choose one)

1 Your partner

2 Both of you equally

3 You

C156. Who usually has more say about what types of sexual acts you do? (Choose one)    (Choose one)

1 Your partner

2 Both of you equally

3 You

C157. In general, who do you think has more power in your relationship? (Choose one)    (Choose one)

1 Your partner

2 Both of you equally

3 You

(Female Partner)

If C135 is equal to 1, then skip to instruction before C176.

C158. How many times did you have vaginal intercourse with partner 4 ([Response to C11]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C161

997 Don't Know Skip to C161

998 Refuse to Answer Skip to C161

999 Not Applicable Skip to C161

C159. Of the [Response to C158] time(s) you had vaginal sex, how many times did you NOT use a condom?

__ __ __ time(s)

000 zero Skip to C161

997 Don't Know Skip to C161

998 Refuse to Answer Skip to C161

999 Not Applicable Skip to C161

If C159 is greater than C158 then READ: "The number you have given is greater than the total number of times you had vaginal sex." and skip to C159.

C160. Of the [Response to C159] time(s) you had vaginal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C161

997 Don't Know Skip to C161

998 Refuse to Answer Skip to C161

999 Not Applicable Skip to C161

If C160 is greater than C159 then READ: "The number you have given is greater than the total number of times you had vaginal sex without a condom." and skip to C160.

C161. How many times did you have anal intercourse (your penis in her butt) with partner 4 ([Response to C11]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C164

997 Don't Know Skip to C164

998 Refuse to Answer Skip to C164

999 Not Applicable Skip to C164

C162. Of the [Response to C161] time(s) you had anal sex, how many times did you NOT use a condom?

__ __ __ time(s)

000 zero Skip to C164

997 Don't Know Skip to C164

998 Refuse to Answer Skip to C164

999 Not Applicable Skip to C164

If C162 is greater than C161 then READ: "The number you have given is greater than the total number of times you had anal sex." and skip to C162.

C163. Of the [Response to C162] time(s) you had anal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C164

997 Don't Know Skip to C164

998 Refuse to Answer Skip to C164

999 Not Applicable Skip to C164

If C163 is greater than C162 then READ: "The number you have given is greater than the total number of times you had anal sex without a condom." and skip to C163.

C164. In the past 3 months, how many times did you NOT have vaginal or anal sex because you or partner 4 ([Response to C11]) did not have a condom?

__ __ __ time(s)

(Transgender Partner)

If C135 is equal to 1 or C135 is equal to 2, then skip to instruction before C176.

C165. How many times did you have insertive anal intercourse (you put your penis in your transgender partner's butt) with partner 4 ([Response to C11]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C168

997 Don't Know Skip to C168

998 Refuse to Answer Skip to C168

999 Not Applicable Skip to C168

C166. Of the [Response to C165] time(s) you had insertive anal sex, how many times was a condom NOT used?

__ __ __ time(s)

000 zero Skip to C168

997 Don't Know Skip to C168

998 Refuse to Answer Skip to C168

999 Not Applicable Skip to C168

If C166 is greater than C165 then READ: "The number you have given is greater than the total number of times you had insertive anal sex." and skip to C166.

C167. Of the [Response to C166] time(s) you had insertive anal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C168

997 Don't Know Skip to C168

998 Refuse to Answer Skip to C168

999 Not Applicable Skip to C168

If C167 is greater than C166 then READ: "The number you have given is greater than the total number of times you had insertive anal sex without a condom." and skip to C167.

C168. How many times did you have receptive anal intercourse (your transgender partner put their penis in your butt) with partner 4 ([Response to C11]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C171

997 Don't Know Skip to C171

998 Refuse to Answer Skip to C171

999 Not Applicable Skip to C171

C169. Of the [Response to C168] time(s) you had receptive anal sex, how many times was a condom NOT used?

__ __ __ time(s)

000 zero Skip to C171

997 Don't Know Skip to C171

998 Refuse to Answer Skip to C171

999 Not Applicable Skip to C171

If C169 is greater than C168 then READ: "The number you have given is greater than the total number of times you had receptive anal sex." and skip to C169.

C170. Of the [Response to C169] time(s) you had receptive anal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C171

997 Don't Know Skip to C171

998 Refuse to Answer Skip to C171

999 Not Applicable Skip to C171

If C170 is greater than C169 then READ: "The number you have given is greater than the total number of times you had receptive anal sex without a condom." and skip to C170.

C171. How many times did you have vaginal intercourse with partner 4 ([Response to C11]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C174

997 Don't Know Skip to C174

998 Refuse to Answer Skip to C174

999 Not Applicable Skip to C174

C172. Of the [Response to C171] time(s) you had vaginal sex, how many times did you NOT use a condom?

__ __ __ time(s)

000 zero Skip to C174

997 Don't Know Skip to C174

998 Refuse to Answer Skip to C174

999 Not Applicable Skip to C174

If C172 is greater than C171 then READ: "The number you have given is greater than the total number of times you had vaginal sex." and skip to C172.

C173. Of the [Response to C172] time(s) you had vaginal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C174

997 Don't Know Skip to C174

998 Refuse to Answer Skip to C174

999 Not Applicable Skip to C174

If C173 is greater than C172 then READ: "The number you have given is greater than the total number of times you had vaginal sex without a condom." and skip to C173.

C174. In the past 3 months, how many times did you NOT have anal sex because you or partner 4 ([Response to C11]) did not have a condom?

__ __ __ time(s)

C175. In the past 3 months, as far as you know, has partner 4 ([Response to C11]) had sex with other people?    (Choose one)

0 No

1 Yes, with other men

2 Yes, with other women

3 Yes, with both men and women

4 Yes, but I don't know who they had sex with

5 Don't know

If C6 is less than 5, then skip to instruction before C217.

C176. What is Partner 5's ([Response to C12]'s) gender? (Choose one)    (Choose one)

1 Male

2 Female

3 Male to female transgender (transwoman)

4 Female to male transgender (transman)

7 Don't Know

8 Refuse to Answer

C177. How old is partner 5 ([Response to C12])? __ __

97 Don't Know

98 Refuse to Answer

If C177 is not equal to 97 and C177 is not equal to 98, then skip to C178.

C177a. Was this partner... (Choose one)    (Choose one)

1 About the same age as you (within 5 years)

2 5 or more years older than you

3 5 or more years younger than you

C178. What type of partner is partner 5 ([Response to C12])? (Choose one)    (Choose one)

1 Exchange partner (Sex for money or goods)

2 Anonymous partner (One time partner)

3 Casual partner (Sex without commitment)

4 Main Partner (Primary sexual partner)

If C178 is equal to 1, then skip to C178a.

If C178 is equal to 2 or C178 is equal to 3 or C178 is equal to 4, then skip to C178b.

C178a. Did you give partner 5 ([Response to C12]) money or goods for sex OR did partner 5 ([Response to C12]) give you money or goods for sex? (Choose one)    (Choose one)

1 I gave this partner money or goods for sex

2 This partner gave me money or goods for sex

C178b. When was the first time you had anal (or vaginal) sex with partner 5 ([Response to C12])? (Choose one)    (Choose one)

1 Within the past 3 months

2 Between 3 and 12 months ago

3 Over 12 months ago

C179. How would you describe partner 5's ([Response to C12]) race/ethnicity?    (Choose one)

1 American Indian/Alaskan Native

2 Asian or Pacific Islander

3 Black, not of Hispanic origin

4 Hispanic

5 White, not of Hispanic origin

6 Other race/ethnicity (specify):_________

7 Don't Know

8 Refuse to Answer

9 Not Applicable

If C179 is not equal to 6, then skip to C180.

C179a. Other race/ethnicity (specify): __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

C180. Did you and partner 5 ([Response to C12]) discuss each other's H.I.V. status before you had intercourse the first time?

1 Yes

0 No

8 Refuse to Answer

C181. To the best of your knowledge, what is partner 5's ([Response to C12]'s) H.I.V. status? (Choose one)    (Choose one)

0 Negative

1 Positive

2 Unknown/Don't know

If C181 is equal to 2, then skip to C183.

C182. How do you know that partner 5's ([Response to C12]'s) H.I.V. status is [Response to C181]? (Check all that apply)    (Check all that apply)

__ I could tell by the way he/she looked

__ One of his/her friends told me what his/her status was

__ I could tell his/her status by some of the things that he/she told me

__ I checked out his/her medicine cabinet to look for H.I.V. medications

__ He/She told me directly without me asking

__ I asked him/her directly and he/she told me

__ Other (specify):____________

If C182G is not equal to 1, then skip to C183.

C182a. Other (specify):_____________ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

C183. Did you and partner 5 ([Response to C12]) discuss each other's sexually transmitted infection status (other than H.I.V. status) before you had intercourse the first time?

1 Yes

0 No

8 Refuse to Answer

C184. Where did you first meet partner 5 ([Response to C12])? (Choose one)    (Choose one)

01 Gay bar, cafe, nightclub or restaurant

02 Sex club, bathhouse, adult novelty store or bookstore

03 Public places including street, park, shopping mall, grocery store, library, public transportation

04 Church, political function

05 Work or school

06 Gym/health club/athletic activity

07 Internet (hook up, dating or social networking site)

08 Newspaper ads

09 Private party or social club

10 Through friends

11 Non-gay bar, nightclub

12 At In the Meantime program or event

13 Social organizations/volunteer service activities

14 Vacation/business trip

15 Some other way (specify):_______________

97 Don't Know

98 Refuse to Answer

99 Not Applicable

If C184 is not equal to 15, then skip to instruction before C186.

C185. Other (specify): __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

If C3 is equal to 0, then skip to instruction before C199.

(Male Partner)

If C176 is equal to 2, then skip to instruction before C199.

If C176 is equal to 3 or C176 is equal to 4, then skip to instruction before C206.

C186. How many times did you have insertive anal intercourse (you put your penis in his butt) with partner 5 ([Response to C12]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C189

997 Don't Know Skip to C189

998 Refuse to Answer Skip to C189

999 Not Applicable Skip to C189

C187. Of the [Response to C186] time(s) you had insertive anal sex, how many times was a condom NOT used?

__ __ __ time(s)

000 zero Skip to C189

997 Don't Know Skip to C189

998 Refuse to Answer Skip to C189

999 Not Applicable Skip to C189

If C187 is greater than C186 then READ: "The number you have given is greater than the total number of times you had insertive anal sex." and skip to C187.

C188. Of the [Response to C187] time(s) you had insertive anal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C189

997 Don't Know Skip to C189

998 Refuse to Answer Skip to C189

999 Not Applicable Skip to C189

If C188 is greater than C187 then READ: "The number you have given is greater than the total number of times you had insertive anal sex without a condom." and skip to C188.

C189. How many times did you have receptive anal intercourse (he put his penis in your butt) with partner 5 ([Response to C12]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C192

997 Don't Know Skip to C192

998 Refuse to Answer Skip to C192

999 Not Applicable Skip to C192

C190. Of the [Response to C189] time(s) you had receptive anal sex, how many times was a condom NOT used?

__ __ __ time(s)

000 zero Skip to C192

997 Don't Know Skip to C192

998 Refuse to Answer Skip to C192

999 Not Applicable Skip to C192

If C190 is greater than C189 then READ: "The number you have given is greater than the total number of times you had receptive anal sex." and skip to C190.

C191. Of the [Response to C190] time(s) you had receptive anal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C192

997 Don't Know Skip to C192

998 Refuse to Answer Skip to C192

999 Not Applicable Skip to C192

If C191 is greater than C190 then READ: "The number you have given is greater than the total number of times you had receptive anal sex without a condom." and skip to C191.

C192. In the past 3 months, how many times did you NOT have anal sex because you or partner 5 ([Response to C12]) did not have a condom?

__ __ __ time(s)

C193. In the past 3 months, as far as you know, has partner 5 ([Response to C12]) had sex with other people? (Choose one)    (Choose one)

0 No

1 Yes, with other men

2 Yes, with other women

3 Yes, with both men and women

4 Yes, but I don't know who they had sex with

5 Don't know

(Male Main Partner)

If C178 is equal to 1 or C178 is equal to 2 or C178 is equal to 3, then skip to instruction before C199.

C194. In the past 3 months, that is since [AGO3M], how many times did you ask partner 5 ([Response to C12]) to get tested for S.T.I's (not including H.I.V.)?

__ __ time(s)

97 Don't Know

98 Refuse to Answer

99 Not Applicable

C195. In the past 3 months, that is since [AGO3M], how many times did you ask partner 5 ([Response to C12]) if he was being faithful to you?

__ __ time(s)

97 Don't Know

98 Refuse to Answer

99 Not Applicable

C195a. Did he tell you that he had been unfaithful to you in the past 3 months?

1 Yes

0 No

7 Don't Know

8 Refuse to Answer

C196. Who usually has more say about whether you use condoms? (Choose one)    (Choose one)

1 Your partner

2 Both of you equally

3 You

C197. Who usually has more say about what types of sexual acts you do? (Choose one)    (Choose one)

1 Your partner

2 Both of you equally

3 You

C198. In general, who do you think has more power in your relationship? (Choose one)    (Choose one)

1 Your partner

2 Both of you equally

3 You

(Female Partner)

If C176 is equal to 1, then skip to instruction before C217.

C199. How many times did you have vaginal intercourse with partner 5 ([Response to C12]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C202

997 Don't Know Skip to C202

998 Refuse to Answer Skip to C202

999 Not Applicable Skip to C202

C200. Of the [Response to C199] time(s) you had vaginal sex, how many times did you NOT use a condom?

__ __ __ time(s)

000 zero Skip to C202

997 Don't Know Skip to C202

998 Refuse to Answer Skip to C202

999 Not Applicable Skip to C202

If C200 is greater than C199 then READ: "The number you have given is greater than the total number of times you had vaginal sex." and skip to C200.

C201. Of the [Response to C200] time(s) you had vaginal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C202

997 Don't Know Skip to C202

998 Refuse to Answer Skip to C202

999 Not Applicable Skip to C202

If C201 is greater than C200 then READ: "The number you have given is greater than the total number of times you had vaginal sex without a condom." and skip to C201.

C202. How many times did you have anal intercourse (your penis in her butt) with partner 5 ([Response to C12]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C205

997 Don't Know Skip to C205

998 Refuse to Answer Skip to C205

999 Not Applicable Skip to C205

C203. Of the [Response to C202] time(s) you had anal sex, how many times did you NOT use a condom?

__ __ __ time(s)

000 zero Skip to C205

997 Don't Know Skip to C205

998 Refuse to Answer Skip to C205

999 Not Applicable Skip to C205

If C203 is greater than C202 then READ: "The number you have given is greater than the total number of times you had anal sex." and skip to C203.

C204. Of the [Response to C203] time(s) you had anal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C205

997 Don't Know Skip to C205

998 Refuse to Answer Skip to C205

999 Not Applicable Skip to C205

If C204 is greater than C203 then READ: "The number you have given is greater than the total number of times you had anal sex without a condom." and skip to C204.

C205. In the past 3 months, how many times did you NOT have vaginal or anal sex because you or partner 5 ([Response to C12]) did not have a condom?

__ __ __ time(s)

(Transgender Partner)

If C176 is equal to 1 or C176 is equal to 2, then skip to instruction before C217.

C206. How many times did you have insertive anal intercourse (you put your penis in your transgender partner's butt) with partner 5 ([Response to C12]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C209

997 Don't Know Skip to C209

998 Refuse to Answer Skip to C209

999 Not Applicable Skip to C209

C207. Of the [Response to C206] time(s) you had insertive anal sex, how many times was a condom NOT used?

__ __ __ time(s)

000 zero Skip to C209

997 Don't Know Skip to C209

998 Refuse to Answer Skip to C209

999 Not Applicable Skip to C209

If C207 is greater than C206 then READ: "The number you have given is greater than the total number of times you had insertive anal sex." and skip to C207.

C208. Of the [Response to C207] time(s) you had insertive anal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C209

997 Don't Know Skip to C209

998 Refuse to Answer Skip to C209

999 Not Applicable Skip to C209

If C208 is greater than C207 then READ: "The number you have given is greater than the total number of times you had insertive anal sex without a condom." and skip to C208.

C209. How many times did you have receptive anal intercourse (your transgender partner put their penis in your butt) with partner 5 ([Response to C12]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C212

997 Don't Know Skip to C212

998 Refuse to Answer Skip to C212

999 Not Applicable Skip to C212

C210. Of the [Response to C209] time(s) you had receptive anal sex, how many times was a condom NOT used?

__ __ __ time(s)

000 zero Skip to C212

997 Don't Know Skip to C212

998 Refuse to Answer Skip to C212

999 Not Applicable Skip to C212

If C210 is greater than C209 then READ: "The number you have given is greater than the total number of times you had receptive anal sex." and skip to C210.

C211. Of the [Response to C210] time(s) you had receptive anal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C212

997 Don't Know Skip to C212

998 Refuse to Answer Skip to C212

999 Not Applicable Skip to C212

If C211 is greater than C210 then READ: "The number you have given is greater than the total number of times you had receptive anal sex without a condom." and skip to C211.

C212. How many times did you have vaginal intercourse with partner 5 ([Response to C12]) in the past 3 months (between [AGO3M] and [INT_DT])?

__ __ __ time(s)

000 zero Skip to C215

997 Don't Know Skip to C215

998 Refuse to Answer Skip to C215

999 Not Applicable Skip to C215

C213. Of the [Response to C212] time(s) you had vaginal sex, how many times did you NOT use a condom?

__ __ __ time(s)

000 zero Skip to C215

997 Don't Know Skip to C215

998 Refuse to Answer Skip to C215

999 Not Applicable Skip to C215

If C213 is greater than C212 then READ: "The number you have given is greater than the total number of times you had vaginal sex." and skip to C213.

C214. Of the [Response to C213] time(s) you had vaginal sex without a condom, how many times were you high or drunk?

__ __ __ time(s)

000 zero Skip to C215

997 Don't Know Skip to C215

998 Refuse to Answer Skip to C215

999 Not Applicable Skip to C215

If C214 is greater than C213 then READ: "The number you have given is greater than the total number of times you had vaginal sex without a condom." and skip to C214.

C215. In the past 3 months, how many times did you NOT have anal sex because you or partner 5 ([Response to C12]) did not have a condom?

__ __ __ time(s)

C216. In the past 3 months, as far as you know, has partner 5 ([Response to C12]) had sex with other people?    (Choose one)

0 No

1 Yes, with other men

2 Yes, with other women

3 Yes, with both men and women

4 Yes, but I don't know who they had sex with

5 Don't know

(All Respondents)

C217. In the past 3 months, did you have anal sex with any male sex partners because they gave you drugs, money, a place to stay, or other things you needed? (Choose one)    (Choose one)

0 No

1 Yes, only with one man

2 Yes, with more than one man

8 Refuse to Answer

C218. Before having sex with a man for the first time, how often do you discuss both of your H.I.V. statuses? (Choose one)    (Choose one)

1 All the time

2 More than half the time

3 About half the time

4 Less than half the time

5 None of the time

8 Refuse to Answer

C219. Before having sex with a man for the first time, how often do you discuss being tested for sexually transmitted infections (like gonorrhea, Chlamydia but not including H.I.V.)? (Choose one)    (Choose one)

1 All the time

2 More than half the time

3 About half the time

4 Less than half the time

5 None of the time

8 Refuse to Answer

C220. Before having sex with a man for the first time, how often do you discuss having safer sex (like mutual masturbation/oral sex instead of anal sex)? (Choose one)    (Choose one)

1 All the time

2 More than half the time

3 About half the time

4 Less than half the time

5 None of the time

8 Refuse to Answer

C221. In the past 3 months, how many times have you been in a situation where your partner wanted to have anal or vaginal sex without a condom?

__ __ __ time(s)

000 zero Skip to instruction before C222

997 Don't Know Skip to instruction before C222

998 Refuse to Answer Skip to instruction before C222

999 Not Applicable Skip to instruction before C222

C221a. Of those [Response to C221] time(s), how many times did you have anal or vaginal sex without a condom?

__ __ __ time(s)

997 Don't Know

998 Refuse to Answer

999 Not Applicable

If C221a is greater than C221 then READ: "The number you have given is greater than the total number of times have you been in a situation where your partner wanted to have anal or vaginal sex without a condom." and skip to C221a.

C222. How often do you use enemas (insert a fluid into the anus to clean it out), in preparation for anal sex? (Choose one)    (Choose one)

1 Always

2 Often

3 Sometimes

4 Rarely

5 Never

C223. How often do you expect your partner to use enemas (insert a fluid into the anus to clean it out) in preparation for anal sex? (Choose one)    (Choose one)

1 Always

2 Often

3 Sometimes

4 Rarely

5 Never

C224. During the past 3 months, how emotionally satisfying was your sex life? (Choose one)    (Choose one)

1 Not at all satisfying

2 Slightly satisfying

3 Moderately satisfying

4 Very satisfying

5 Extremely satisfying

C225. During the past 3 months, how physically pleasurable was your sex life? (Choose one)    (Choose one)

1 Not at all pleasurable

2 Slightly pleasurable

3 Moderately pleasurable

4 Very pleasurable

5 Extremely pleasurable

D. Sexual Abuse History

READ:    Early Sexual Experiences: The next section is about incidents that may have happened to you when you were a child, that is, before the age of 18. These questions may bring up difficult memories, but please try to answer them as honestly as you can.


Please remember your answers will be kept private.

D1. Before the age of 18, did a relative, family member, friend, or stranger ever feel you up, fondle your body including your butt or genitals, or rub their genitals against your body in a sexual way when you didn't want them to?

1 Yes

0 No

7 Don't Know

8 Refuse to Answer

D2. Before the age of 18, did anyone force you to perform oral sex on them or to receive oral sex from them?

1 Yes

0 No

7 Don't Know

8 Refuse to Answer

D3. Before 18, did anyone try to force you to have intercourse against your will? (This includes instances where someone attempted to put their penis, finger or other object in your butt).

1 Yes

0 No

7 Don't Know

8 Refuse to Answer

D4. Before 18, did anyone have intercourse with you against your will? (This includes instances where someone put their penis, finger or other object in your butt).

1 Yes

0 No

7 Don't Know

8 Refuse to Answer

If D1 is equal to 0 and D2 is equal to 0 and D3 is equal to 0 and D4 is equal to 0, then skip to instruction before E1.

D5. How old were you the first time that any of these experiences happened?

__ __

97 Don't Know

98 Refuse to Answer

99 Not Applicable

D6. Do you think these early, unwanted sexual experiences caused you to be gay or homosexual?

1 Yes

0 No

7 Don't Know

8 Refuse to Answer

E. Internalized Homophobia

READ:    Attraction to Men: The next several questions are about attractions to men. Please read each item and use the following scale to rate how well you agree or disagree with the statement.


Please remember your answers will be kept private.

E1. In the past 3 months, I have tried to stop being attracted to men. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

8 Refuse to Answer

E2. If someone offered me the chance to be completely heterosexual (straight), I would accept it. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

8 Refuse to Answer

E3. I wish I were not sexually involved with men. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

8 Refuse to Answer

E4. I would change my sexual preferences if I could. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

8 Refuse to Answer

E5. In the past 3 months, I have tried to become more sexually attracted to women. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

8 Refuse to Answer

E6. I try to avoid personal or social involvement with gay or homosexual men. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

8 Refuse to Answer

E7. I try to avoid personal or social involvement with men who are bisexually or sexually active with both men and women. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

8 Refuse to Answer

E8. I don't like being gay/homosexual. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

8 Refuse to Answer

E9. I wish that I could develop more sexual desire towards women. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

8 Refuse to Answer

E10. I am uncomfortable being attracted to men. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

8 Refuse to Answer

E11. I value my sexuality as it is. (Choose one)    (Choose one) 1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

8 Refuse to Answer

E12. I try to avoid contact with overly effeminate men. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

8 Refuse to Answer

F. Gender Role Conflict

READ:    Gender Role Conflict: Please answer the next set of questions about how you might show affection for others.


Please remember your answers will be kept private.

F1. Verbally expressing my love or caring for another man is difficult for me. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree

3 Mildly disagree

4 Mildly agree

5 Agree

6 Strongly agree

8 Refuse to Answer

F2. Affection with other men makes me tense. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree

3 Mildly disagree

4 Mildly agree

5 Agree

6 Strongly agree

8 Refuse to Answer

F3. Expressing my emotions to other men is risky. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree

3 Mildly disagree

4 Mildly agree

5 Agree

6 Strongly agree

8 Refuse to Answer

F4. Men who touch other men make me uncomfortable. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree

3 Mildly disagree

4 Mildly agree

5 Agree

6 Strongly agree

8 Refuse to Answer

F5. Hugging other men is difficult for me. (Choose one)    (Choose one) 1 Strongly disagree

2 Disagree

3 Mildly disagree

4 Mildly agree

5 Agree

6 Strongly agree

8 Refuse to Answer

F6. I am sometimes hesitant to show my affection to men because of how others might perceive me. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree

3 Mildly disagree

4 Mildly agree

5 Agree

6 Strongly agree

8 Refuse to Answer

F7. Being very personal with other men makes me feel uncomfortable. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree

3 Mildly disagree

4 Mildly agree

5 Agree

6 Strongly agree

8 Refuse to Answer

F8. Men who are overly friendly make me wonder about their sexual preference. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree

3 Mildly disagree

4 Mildly agree

5 Agree

6 Strongly agree

8 Refuse to Answer

F9. I never want to look or seem weak. (Choose one)    (Choose one) 1 Strongly disagree

2 Disagree

3 Mildly disagree

4 Mildly agree

5 Agree

6 Strongly agree

8 Refuse to Answer

F10. Men should never show their feminine side. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree

3 Mildly disagree

4 Mildly agree

5 Agree

6 Strongly agree

8 Refuse to Answer

F11. I do not want to seem effeminate, girlish, or womanly. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree

3 Mildly disagree

4 Mildly agree

5 Agree

6 Strongly agree

8 Refuse to Answer

F12. It is important for men to look tough. (Choose one)    (Choose one) 1 Strongly disagree

2 Disagree

3 Mildly disagree

4 Mildly agree

5 Agree

6 Strongly agree

8 Refuse to Answer

F13. Men must seem strong to be respected. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree

3 Mildly disagree

4 Mildly agree

5 Agree

6 Strongly agree

8 Refuse to Answer

G. Social Support for Safer Sex/Risk Reduction

READ:    Social Support for Safer Sex/Risk Reduction: The next set of questions are about people you know including friends and family members.


Please remember your answers will be kept private.

G1. Who have you told that you have sex with men? (Check all that apply)    (Check all that apply)

__ My mother or the woman who raised me

__ My father or the man who raised me

__ My brother(s)

__ My sister(s)

__ My minister or priest

__ Straight friends

__ Gay friends

__ Therapist

__ Health care provider

__ My teacher/counselor

__ Other

__ Refuse to Answer

If G1K is not equal to 1, then skip to G2.

G1a. Other (specify):___________ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

G2. How important is it for you that people who are close to you know that you have sex with men? (Choose one)    (Choose one)

1 Very important

2 Somewhat important

3 A little important

4 Not at all important

8 Refuse to Answer

G3. How close do you feel to your family? On a scale of 1 to 5 with 1="Not at all close" and 5="Extremely close"

1 Not at all close

2

3

4

5 Extremely close

READ:    How much do you agree or disagree with the following statements about your family?

4a. I have family members who remind me to stay safe sexually. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

4b. I have family members who will try to advise me if they think I'm in an unhealthy relationship. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

4c. I have family members who encourage me to know the truth about my H.I.V./sexually transmitted infection status. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

4d. I have family members who remind me to protect myself from H.I.V./sexually transmitted infections. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

4e. I have family members who encourage me to always use condoms. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

4f. I have family members who would express concern if I tell them my boyfriend is having sex with other people. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

4g. I have family members who are supportive of me being monogamous in my relationships with men. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

4h. I have family members who I can talk to if I find out I have a sexually transmitted infection (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

4i. I have family members who I can talk to if I have unprotected sex. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

4j. I have family members who are willing to talk to me about the intimate details of my sex life. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

5. What kind of influence does your family have on your ability to practice safer sex? (Choose one)    (Choose one)

1 Very negative

2 Negative

3 Neither negative nor positive

4 Positive

5 Very positive

READ:    How much do you agree or disagree with the following statements about your friends?

6a. I have friends who remind me to stay safe sexually. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

6b. I have friends who will try to advise me if they think I'm in an unhealthy relationship. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

6c. I have friends who encourage me to know/find out my H.I.V. status. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

6d. I have friends who remind me to protect myself from H.I.V./sexually transmitted infections. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

6e. I have friends who encourage me to always use condoms. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

6f. I have friends who would express concern if I tell them my boyfriend is having sex with other people. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

6g. I have friends who are supportive of me being monogamous in my relationships with men. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

6h. I have friends who I can talk to if I find out I have a sexually transmitted infection. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

6i. I have friends who I can talk to if I have unprotected sex. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

6j. I have friends who are willing to talk to me about the intimate details of my sex life. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

7. What kind of influence do your friends have on your ability to practice safer sex? (Choose one)    (Choose one)

1 Very negative

2 Negative

3 Neither negative nor positive

4 Positive

5 Very positive

H. Homophobia and Sexual Identity/Sexual Relationships

READ:    Homophobia and Sexual Identity/Sexual Relationships: The next set of questions are about sexual identity and sexual or love relationships.


Please remember your answers will be kept private.

H1. Homophobia makes it harder for me to find a sexual or love relationship. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

H2. I have strong Black gay male role models who help me feel more comfortable being open about my sexual orientation. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

H3. I would feel comfortable bringing a male partner home for a family gathering and introducing him as my boyfriend. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

H4. I avoid family gatherings because of the pressure of not having a girlfriend. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

H5. I avoid family gatherings because family members suspect I'm gay. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

H6. I sometimes change the way I look after leaving my home to go out to a gay club or venue (so that no one will suspect I'm going to a gay venue). (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

H7. I change the way I act and talk when I am around straight black men. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

H8. I put up with anti-gay jokes when I am in a setting like a barbershop. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

H9. When I talk about dating with my family (or others who don't know I date men), I refer to my male partners as she or them and not "him." (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

I. Knowledge of HIV Risk for Self and Community

READ:    Knowledge of H.I.V. Risk for Self and Community: These next few questions are about the risk of H.I.V. among young Black men. "MSM" in these questions refers to men who have sex with men.


Please remember your answers will be kept private.

I1. Most new H.I.V. infections among Black MSM occur among Black MSM younger than 30. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

I2. Compared with other MSM, Black MSM have the lowest rates of H.I.V./AIDS. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

I3. About 1 in 3 Black MSM in Los Angeles may be H.I.V. infected. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

I4. At least half of H.I.V.-infected Black MSM do not know they have the virus. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

I5. Black MSM are more likely to know they have H.I.V. compared with White MSM. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

I6. Men who have a sexually transmitted infection (e.g. syphillis, gonorrhea) are more likely to get H.I.V. or transmit H.I.V. during sex. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

I7. The rate of H.I.V. infection is higher for young Black MSM than for any other group. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

I8. Half of all H.I.V.-positive people in the U.S. are African American or Black. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

J. HIV/AIDS Knowledge and Risk Reduction

READ:    HIV/AIDS Knowledge and Risk Reduction: Please answer the following questions about H.I.V. and AIDS.


Please remember your answers will be kept private.

J1. If a man pulls out before cumming, rubbers or condoms don't need to be used to protect against H.I.V./AIDS. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

J2. Most people who have H.I.V./AIDS look sick. (Choose one)    (Choose one) 1 True

2 False

7 Don't Know

J3. Vaseline and other oils should not be used to lubricate rubbers or condoms. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

J4. Rubbers or condoms made of latex products protect against the H.I.V./AIDS virus. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

J5. Cleaning injection needles with water is enough to kill the H.I.V./AIDS virus. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

J6. If someone has H.I.V., they will have a sunken face and a large belly. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

J7. Rubbers or condoms made of lambskin protect against the H.I.V./AIDS virus. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

J8. Many people who have H.I.V./AIDS feel and look healthy. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

J9. Hand lotion is a good lubricant to use with a condom or rubber. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

J10. It is almost impossible for a man to get H.I.V. during sex with another man if he is the top (insertive partner). (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

J11. You have to have sex with someone more than once to get H.I.V./AIDS. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

J12. If the man you are having sex with agrees not to have sex with other people, you have no reason to use a condom or rubber. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

J13. You cannot get H.I.V. by touching an infected person's sweat. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

J14. Some sexually transmitted infections cause men to become sterile. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

J15. Having a sexually transmitted infection does not affect a person's risk of getting H.I.V. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

J16. If an H.I.V.-positive person has an undetectable viral load, they cannot transmit H.I.V. through sex. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

J17. Because of the "window period", it is possible to get an H.I.V.-negative test result and still have H.I.V. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

J18. An H.I.V.-positive person is most infectious (can spread H.I.V. easily) in the first few weeks after getting infected. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

READ:    STOP. Take a break. You are about half way done. Check in briefly with project staff and use the restroom or stretch, if needed.

K. HIV and STI Testing

READ:    HIV and STI Testing: Please remember your answers will be kept private.

K1. How many times in your life have you been tested for H.I.V.?

__ __ time(s)

00 zero Skip to instruction before 6a

97 Don't Know

98 Refuse to Answer

K2. In the past 2 years, that is, since [AGO2YR], how many times have you been tested for H.I.V.?

__ __ time(s)

97 Don't Know

98 Refuse to Answer

K3. When did you have your most recent H.I.V. test? (Please take your best guess at the month, if you do not remember the exact month. Note: The first screen will ask you to enter the 4-digit year. Click NEXT QUESTION. Now enter 2 numbers that indicate the month.)

__ __ / __ __ __ __ mm / yyyy

2097 Don't Know (Year)

2098 Refuse to Answer (Year)

HST3_D = Concatenated(K3M, Concatenated(/, K3Y))

HST3DATE = Date(K3Y, K3M, 1)

If HST3DATE is less than HIVDATE then READ: "The date you have entered is before 1985 when no HIV test was available. Please correct your answer." and skip to K3.

If HST3DATE is greater than INT_DT then READ: "The date you have entered is past today's date. Please correct your answer." and skip to K3.

YRSTST = (INT_DT - HST3DATE)/365.25

AGETST = Trunc(A1 - YRSTST + .5)

If AGETST is greater than 12, then skip to K4.

K3a. So you had your most recent HIV test when you were around [AGETST]?

1 Yes

0 No

7 Don't Know

8 Refuse to Answer

9 Not Applicable

If K3a is equal to 0 then READ: "Please go back and correct your answers." and skip to K3.

K4. What was the result of your last H.I.V. test? (Choose one)    (Choose one)

0 H.I.V. negative

1 H.I.V. positive

2 Did not get results

3 Indeterminate/inconclusive

READ:    When you got tested in [HST3_D], did you get tested for any of the following reasons:

5a. Because you thought you might have been exposed to H.I.V. in the 3 to 6 months before the test?

1 Yes

0 No

7 Don't Know

8 Refuse to Answer

5b. Because you got tested on a regular basis and it was time for you to get tested again?

1 Yes

0 No

7 Don't Know

8 Refuse to Answer

5c. Because you had symptoms that made you think you should get tested?

1 Yes

0 No

7 Don't Know

8 Refuse to Answer

5d. Because you were just checking to make sure you were H.I.V. negative?

1 Yes

0 No

7 Don't Know

8 Refuse to Answer

5e. Because your doctor or health care provider recommended you get tested?

1 Yes

0 No

7 Don't Know

8 Refuse to Answer

5f. Because your were required to get tested by either insurance, the military, a court order, or by some other agency?

1 Yes

0 No

7 Don't Know

8 Refuse to Answer

5g. Because there was some other reason you wanted to get tested? 1 Yes

0 No

7 Don't Know

8 Refuse to Answer

If 5g is not equal to 1, then skip to instruction before 6a.

5h. Other (specify):_____________ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

READ:    Has a doctor, nurse or other health care provider ever told you that you had any of the following sexually transmitted infections? [Read choices. Check yes or no for each one]

6a. Syphilis? 1 Yes

0 No

7 Don't Know

If 6a is not equal to 1, then skip to 6b.

6a1. Did you get treated? 1 Yes

0 No

7 Don't Know

6b. Gonorrhea (clap or drip) 1 Yes

0 No

7 Don't Know

If 6b is not equal to 1, then skip to 6c.

6b1. Did you get treated? 1 Yes

0 No

7 Don't Know

6c. Chlamydia? 1 Yes

0 No

7 Don't Know

If 6c is not equal to 1, then skip to 6d.

6c1. Did you get treated? 1 Yes

0 No

7 Don't Know

6d. Genital herpes (HSV)? 1 Yes

0 No

7 Don't Know

If 6d is not equal to 1, then skip to 6e.

6d1. Did you get treated? 1 Yes

0 No

7 Don't Know

6e. Genital warts (HPV)? 1 Yes

0 No

7 Don't Know

If 6e is not equal to 1, then skip to 6f.

6e1. Did you get treated? 1 Yes

0 No

7 Don't Know

6f. Any other sexually transmitted infection? 1 Yes

0 No

7 Don't Know

If 6f is not equal to 1, then skip to instruction before 7a.

6f1. Did you get treated? 1 Yes

0 No

7 Don't Know

If 6f is not equal to 1, then skip to instruction before 7a.

6g. Other sexually transmitted infection (specify): _______________

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

READ:    In the past 3 months, has a doctor, nurse or other health care provider told you that you had any of the following sexually transmitted infections? [Read choices. Check yes or no for each one]

7a. Syphilis? 1 Yes

0 No

7 Don't Know

If 7a is not equal to 1, then skip to 7b.

7a1. Did you get treated? 1 Yes

0 No

7 Don't Know

7b. Gonorrhea (clap or drip) 1 Yes

0 No

7 Don't Know

If 7b is not equal to 1, then skip to 7c.

7b1. Did you get treated? 1 Yes

0 No

7 Don't Know

7c. Chlamydia? 1 Yes

0 No

7 Don't Know

If 7c is not equal to 1, then skip to 7d.

7c1. Did you get treated? 1 Yes

0 No

7 Don't Know

7d. Genital herpes (HSV)? 1 Yes

0 No

7 Don't Know

If 7d is not equal to 1, then skip to 7e.

7d1. Did you get treated? 1 Yes

0 No

7 Don't Know

7e. Genital warts (HPV)? 1 Yes

0 No

7 Don't Know

If 7e is not equal to 1, then skip to 7f.

7e1. Did you get treated? 1 Yes

0 No

7 Don't Know

7f. Any other sexually transmitted infection? 1 Yes

0 No

7 Don't Know

If 7f is not equal to 1, then skip to 8.

7f1. Did you get treated? 1 Yes

0 No

7 Don't Know

If 7f is not equal to 1, then skip to 8.

7g. Other sexually transmitted infection (specify): _______________

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

8. When was the last time you got tested for sexually transmitted infections (other than H.I.V.)? (Please take your best guess at the month, if you do not remember the exact month)

__ __ / __ __ __ __ mm / yyyy

2099 Not Applicable (Year)

HST8_D = Concatenated(8M, Concatenated(/, 8Y))

HST8DATE = Date(8Y, 8M, 1)

If HST8DATE is greater than INT_DT then READ: "The date you have entered is past today's date. Please correct your answer." and skip to 8.

YRSSTI = (INT_DT - HST8DATE)/365.25

AGESTI = Trunc(A1 - YRSSTI + .5)

If AGESTI is greater than 12, then skip to 9.

8a. So you had your most recent STI test when you were around [AGESTI]?

1 Yes

0 No

7 Don't Know

8 Refuse to Answer

9 Not Applicable

If 8a is equal to 0 then READ: "Please go back and correct your answers." and skip to 8.

9. Have you been vaccinated for hepatitis A or B? 1 Yes

0 No Skip to 10

7 Don't Know Skip to 10

8 Refuse to Answer Skip to 10

9a. Was it for: (Choose one)    (Choose one) 1 Hepatitis A

2 Hepatitis B

3 Hepatitis A and B

7 Don't Know

10. Have you been vaccinated for HPV (human papilloma virus, or genital warts)?

1 Yes

0 No

7 Don't Know

8 Refuse to Answer

11. How comfortable do you feel telling your doctor/health provider that you have anal sex? (Choose one)    (Choose one)

1 Not comfortable at all

2 A little comfortable

3 Comfortable

4 Extremely comfortable

12. How comfortable do you feel telling your doctor/health provider that you are gay/bisexual? (Choose one)    (Choose one)

1 Not comfortable at all

2 A little comfortable

3 Comfortable

4 Extremely comfortable

13. Has a doctor/health provider treated you differently after you shared your sexual identity?

1 Yes

0 No

8 Refuse to Answer

9 Not Applicable

L. Self-efficacy for Condoms or Partner Communication

READ:    Self-efficacy for Condoms and Partner Communication: How confident or sure are you that you could...


Please remember your answers will be kept private.

L1. Put a male rubber or condom on a hard penis. (Choose one)    (Choose one)

1 Not at all sure I can do

2 Somewhat unsure

3 Undecided

4 Somewhat sure

5 Completely sure I can do

L2. Correctly unroll a rubber or condom down to the base of the penis on the first try. (Choose one)    (Choose one)

1 Not at all sure I can do

2 Somewhat unsure

3 Undecided

4 Somewhat sure

5 Completely sure I can do

L3. Squeeze the tip of the condom while rolling it down. (Choose one)    (Choose one)

1 Not at all sure I can do

2 Somewhat unsure

3 Undecided

4 Somewhat sure

5 Completely sure I can do

L4. Use water-based lubricant with a male condom. (Choose one)    (Choose one)

1 Not at all sure I can do

2 Somewhat unsure

3 Undecided

4 Somewhat sure

5 Completely sure I can do

READ:    Now, please think about how well you would be able to do the following when using condoms.

L5. I can talk to every new partner about the importance of using condoms. (Choose one)    (Choose one)

1 Not at all sure I can do

2 Somewhat unsure

3 Undecided

4 Somewhat sure

5 Completely sure I can do

L6. I can find another way to get off (such as mutual masturbation) when a condom isn't available. (Choose one)    (Choose one)

1 Not at all sure I can do

2 Somewhat unsure

3 Undecided

4 Somewhat sure

5 Completely sure I can do

L7. I can be the one to put the condom on my male partner even if I'm nervous. (Choose one)    (Choose one)

1 Not at all sure I can do

2 Somewhat unsure

3 Undecided

4 Somewhat sure

5 Completely sure I can do

L8. I can put a condom on myself or my partner so that it will not slip or break. (Choose one)    (Choose one)

1 Not at all sure I can do

2 Somewhat unsure

3 Undecided

4 Somewhat sure

5 Completely sure I can do

L9. I can get every potential partner to use a condom with me. (Choose one)    (Choose one)

1 Not at all sure I can do

2 Somewhat unsure

3 Undecided

4 Somewhat sure

5 Completely sure I can do

L10. I can use a condom with a new partner without breaking the mood. (Choose one)    (Choose one)

1 Not at all sure I can do

2 Somewhat unsure

3 Undecided

4 Somewhat sure

5 Completely sure I can do

L11. Even if we haven't used them in the past, I can make sex fun while using condoms with a partner. (Choose one)    (Choose one)

1 Not at all sure I can do

2 Somewhat unsure

3 Undecided

4 Somewhat sure

5 Completely sure I can do

L12. I can put a condom on myself or my partner and enjoy the experience. (Choose one)    (Choose one)

1 Not at all sure I can do

2 Somewhat unsure

3 Undecided

4 Somewhat sure

5 Completely sure I can do

L13. I can get a new partner to use a condom, even if I'm drunk or high. (Choose one)    (Choose one)

1 Not at all sure I can do

2 Somewhat unsure

3 Undecided

4 Somewhat sure

5 Completely sure I can do

L14. I can get a partner who I haven't used condoms with before to use one, even if I'm drunk or high. (Choose one)    (Choose one)

1 Not at all sure I can do

2 Somewhat unsure

3 Undecided

4 Somewhat sure

5 Completely sure I can do

READ:    The next few questions are about discussing H.I.V. status with your male sex partners.

L15. I only tell a partner about my H.I.V. status if we are going to have anal sex without a condom.    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree or disagree

4 Agree somewhat

5 Strongly agree

L16. I always talk to partners about my H.I.V. status before having sex with them. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree or disagree

4 Agree somewhat

5 Strongly agree

L17. I talk to all my partners about my H.I.V. status even if we are just having oral sex. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree or disagree

4 Agree somewhat

5 Strongly agree

L18. When a partner tells me he is H.I.V. negative, I always ask when he was last tested. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree or disagree

4 Agree somewhat

5 Strongly agree

If K4 is equal to 0, then skip to L20.

L19. I sometimes lie about my H.I.V. status to people I'm going to have sex with. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree or disagree

4 Agree somewhat

5 Strongly agree

L20. Even if my partners tell me they are H.I.V. negative, I tend not to believe them. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree or disagree

4 Agree somewhat

5 Strongly agree

L21. I lose my desire to have sex if my partner tries to discuss H.I.V. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree or disagree

4 Agree somewhat

5 Strongly agree

M. Anal and Penile Health

READ:    Anal and Penile Health: These next few questions are about sexually transmitted infections or S.T.I. s (examples are gonorrhea, Chlamydia, syphilis, herpes, etc.)


Please remember your answers will be kept private.

M1. Sexually transmitted infection's may increase a man's H.I.V. risk if he has openings/ulcers on his genitals. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

M2. An H.I.V.-positive person who has a sexually transmitted infection can more easily spread H.I.V. to his or her sex partners. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

M3. Treating sexually transmitted infections helps to reduce the risk of getting H.I.V. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

M4. If condoms are used 100% of the time, a person cannot get a sexually transmitted infection. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

M5. You can get hepatitis A from rimming ("eating ass"). (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

M6. There is a vaccine for hepatitis A, B, and C. (Choose one)    (Choose one) 1 True

2 False

7 Don't Know

M7. Condoms do not protect against Chlamydia. (Choose one)    (Choose one) 1 True

2 False

7 Don't Know

M8. Gonorrhea infections can be found in the anus, penis and throat. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

M9. It is easy to detect a sexually transmitted infection in the anal area. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

M10. Untreated syphilis can lead to brain damage and even death. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

M11. Using water-based lubricant for anal sex can help protect against anal tearing. (Choose one)    (Choose one)

1 True

2 False

7 Don't Know

N. Pre-Exposure Prophylaxis

(For HIV- and unknown status)

READ:    Pre-Exposure Prophylaxis or PrEP: A recent international study has shown that an HIV medication, when taken by HIV-negative people every day (like a birth control pill), can help prevent them from becoming HIV infected. They call this method pre-exposure prophylaxis or PrEP.


Please remember your answers will be kept private.

N1. Before today, have you ever heard of HIV-negative people taking HIV medicines, to keep from getting HIV?

1 Yes

0 No

8 Refuse to Answer

If K4 is equal to 1, then skip to instruction before O1.

N2. Have you ever taken HIV medicines before sex because you thought it would keep you from getting HIV?

1 Yes

0 No

8 Refuse to Answer

N3. Would you be willing to take a pill every day to help prevent H.I.V.? (Choose one)    (Choose one)

1 Definitely yes

2 Probably yes

3 Probably not

4 Definitely not

8 Refuse to Answer

O. HIV Care and Treatment

(For HIV+ men)

If K4 is not equal to 1, then skip to instruction before P1.

READ:    HIV Care and Treatment: The next set of questions has to do with care and treatment you may have received for your H.I.V.


Please remember your answers will be kept private.

O1. Have you ever received any health care or treatment for H.I.V./AIDS?

1 Yes

0 No Skip to instruction before O8

7 Don't Know Skip to instruction before O8

8 Refuse to Answer Skip to instruction before O8

9 Not Applicable Skip to instruction before O8

O2. When did you last go to your health care provider for H.I.V. care?

__ __ / __ __ __ __ mm / yyyy

2097 Don't Know (Year)

2098 Refuse to Answer (Year)

If O2 is less than HIVDATE then READ: "The date you have entered is before 1985 when no HIV test was available. Please correct your answer." and skip to O2.

If O2 is greater than INT_DT then READ: "The date you have entered is past today's date. Please correct your answer." and skip to O2.

O3. Have you ever taken any H.I.V. medications (antiretroviral medicines)?

1 Yes

0 No Skip to instruction before O9

7 Don't Know Skip to instruction before O9

8 Refuse to Answer Skip to instruction before O9

O4. Did your doctor take time to educate you about your H.I.V. medications?

1 Yes

0 No

7 Don't Know

8 Refuse to Answer

O5. When did you last take any H.I.V. medications (antiretroviral medicine)? (Choose one)    (Choose one)

1 Within the past 3 months

2 3-5 months ago

3 6-12 months ago

4 More than a year ago

8 Refuse to Answer

If O5 is not equal to 1, then skip to instruction before O9.

O6. Are you currently taking any H.I.V. medications (antiretroviral medicine)?

1 Yes

0 No

8 Refuse to Answer

O7. Have you skipped taking any of your H.I.V. medications (antiretroviral medicines) in the past 3 months?

1 Yes

0 No

8 Refuse to Answer

If O1 is equal to 1, then skip to instruction before O9.

O8. What is the main reason you have never received any health care for your H.I.V. infection?    (Choose one)    (Choose one)

01 Feel good. Don't need to go

02 Don't want to think about being H.I.V. positive/denial

03 Didn't have money or insurance

04 Couldn't find health care provider/Didn't know where to go

05 Inconvenient (location/hours/time, etc.)

06 Forgot to go/Missed appointment

07 Too busy to go

08 Drinking or using drugs

09 Homeless

10 Appointment pending

11 I thought I would be treated poorly by the staff or medical provider because of my sexual orientation

12 Other

97 Don't Know

98 Refuse to Answer

Skip to instruction before P1.

If O2 is less than AGO6MO then skip to O9

If not, then skip to instruction before P1.

O9. What is the main reason you have not received H.I.V. health care in the past 6 months?    (Choose one)    (Choose one)

01 Feel good. Don't need to go

02 Don't want to think about being H.I.V. positive/denial

03 Didn't have money or insurance

04 Couldn't find health care provider/Didn't know where to go

05 Inconvenient (location/hours/time, etc.)

06 Forgot to go/Missed appointment

07 Too busy to go

08 Drinking or using drugs

09 Homeless

10 Appointment pending

11 I thought I would be treated poorly by the staff or medical provider because of my sexual orientation

12 Other

97 Don't Know

98 Refuse to Answer

P. Alcohol/Drug Use

READ:    Alcohol/Drug Use: The next questions are about alcohol and drug use. Please remember your answers will be kept private. For these questions, "a drink of alcohol" means a 12 oz beer, a 5 oz glass of wine, or a 1.5 oz shot of liquor.

P1. In the past 12 months, did you drink any alcohol such as beer, wine, malt liquor or hard liquor?

1 Yes

0 No Skip to P5

7 Don't Know Skip to P5

8 Refuse to Answer Skip to P5

P2. In the past 3 months, did you drink any alcohol such as beer, wine, malt liquor or hard liquor?

1 Yes

0 No Skip to P5

7 Don't Know Skip to P5

8 Refuse to Answer Skip to P5

P3. In the past 30 days, on how many days did you drink any alcohol?

__ __

00 zero Skip to P5

97 Don't Know Skip to P5

98 Refuse to Answer Skip to P5

P4. In the past 30 days, how many times did you have 5 or more alcoholic drinks in one sitting?

__ __ time(s)

97 Don't Know

98 Refuse to Answer

P5. Other than alcohol, have you ever used drugs to get high?

1 Yes

0 No Skip to instruction before Q1

8 Refuse to Answer Skip to instruction before Q1

P6. Have you used drugs in the past 3 months?

1 Yes

0 No Skip to instruction before Q1

8 Refuse to Answer Skip to instruction before Q1

P7. In the past 3 months, have you used crystal methamphetamine, other amphetamines, crank, speed, ice or Tina?

1 Yes

0 No

8 Refuse to Answer

P8. In the past 3 months, have you used crack, powder cocaine or coke?

1 Yes

0 No

8 Refuse to Answer

P9. In the past 3 months, have you used heroin? 1 Yes

0 No

8 Refuse to Answer

P10. In the past 3 months, have you used club drugs such as ecstasy or X, GHB, ketamine, or Special K?

1 Yes

0 No

8 Refuse to Answer

P11. In the past 3 months, have you used amyl nitrates/poppers? 1 Yes

0 No

8 Refuse to Answer

P12. In the past 3 months, have you used marijuana? 1 Yes

0 No

8 Refuse to Answer

P13. In the past 3 months, have you used prescription drugs not prescribed to you?

1 Yes

0 No

8 Refuse to Answer

P14. Have you ever in your life shot up or injected any drugs other than those prescribed for you? By shooting up, I mean anytime you might have used drugs with a needle, either by mainlining, skin popping, or muscling.

1 Yes

0 No

7 Don't Know

8 Refuse to Answer

9 Not Applicable

P15. In the past 3 months, did you tend to have more unprotected anal sex with men when you were under the influence of alcohol or drugs? (Choose one)    (Choose one)

0 No

1 Yes, when using alcohol

2 Yes, when using drugs

3 Yes, with alcohol or drugs

8 Refuse to Answer

Q. Internet and Cell Phone Use

READ:    Internet and Cell Phone Use: The next questions are about the internet.


Please remember your answers will be kept private.

Q1. How do you usually access the Internet or go online? (Check all that apply)    (Check all that apply)

__ Cell phone

__ Computer at home

__ Computer at work

__ Computer in library or cafe

__ Other

__ I don't access the Internet

If Q1E is not equal to 1, then skip to Q2.

Q1a1. Other (specify):_______________

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Q2. During the past 3 months, how often did you go online to connect with or find men for social and personal connections other than sex? (Choose one)    (Choose one)

0 Never

1 Very rarely

2 Monthly

3 Weekly

4 Daily

Q3. During the past 3 months, how often did you go online to connect with or find male sex partners? (Choose one)    (Choose one)

0 Never

1 Very rarely

2 Monthly

3 Weekly

4 Daily

Q4. During the past 3 months, how often did you use apps on a cell phone or mobile device to find people for sex? Examples of apps are Grindr and Facebook. (Choose one)    (Choose one)

0 Never Skip to Q5

1 Very rarely

2 Monthly

3 Weekly

4 Daily

Q4a. What apps did you use, please specify:___________

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Q5. How much do you agree with the following statement? The Internet is one of the only places I can connect with other young Black men who have sex with men. (Choose one)    (Choose one)

1 Strongly disagree

2 Disagree somewhat

3 Neither agree nor disagree

4 Agree somewhat

5 Strongly agree

8 Refuse to Answer

R. Psychological Distress (CES-D)

READ:    Psychological Distress: In this section, you are going to read a list of the ways you might have felt or behaved in the past week. Please check how often you have felt this way during the past week. The answers for each question in this section are the same.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          When you answer 'Less than one day' that would mean you felt that way rarely or none of the time this past week,                                                                                                                                              '1 to 2 days' means you have felt that way some or a little of the time this past week,                                                                                                                                                                                                                      '3 to 4 days' means you have felt that way occasionally or a moderate amount of time this past week,                                                                                                                                                                                    '5 to 7 days' means you have felt that way most or all of the time this past week.
Please remember your answers will be kept private.

R1. During the past week, I was bothered by things that usually don't bother me. (Choose one)    (Choose one)

1 Less than one day

2 1 to 2 days

3 3 to 4 days

4 5 to 7 days

8 Refuse to Answer

R2. During the past week, I had trouble keeping my mind on what I was doing. (Choose one)    (Choose one)

1 Less than one day

2 1 to 2 days

3 3 to 4 days

4 5 to 7 days

8 Refuse to Answer

R3. During the past week, I felt depressed. (Choose one)    (Choose one)

1 Less than one day

2 1 to 2 days

3 3 to 4 days

4 5 to 7 days

8 Refuse to Answer

R4. During the past week, I felt that everything I did was an effort. (Choose one)    (Choose one)

1 Less than one day

2 1 to 2 days

3 3 to 4 days

4 5 to 7 days

8 Refuse to Answer

R5. During the past week, I felt hopeful about the future. (Choose one)    (Choose one)

1 Less than one day

2 1 to 2 days

3 3 to 4 days

4 5 to 7 days

8 Refuse to Answer

R6. During the past week, I felt fearful. (Choose one)    (Choose one) 1 Less than one day

2 1 to 2 days

3 3 to 4 days

4 5 to 7 days

8 Refuse to Answer

R7. During the past week, my sleep was restless. (Choose one)    (Choose one)

1 Less than one day

2 1 to 2 days

3 3 to 4 days

4 5 to 7 days

8 Refuse to Answer

R8. During the past week, I was happy. (Choose one)    (Choose one) 1 Less than one day

2 1 to 2 days

3 3 to 4 days

4 5 to 7 days

8 Refuse to Answer

R9. During the past week, I felt lonely. (Choose one)    (Choose one) 1 Less than one day

2 1 to 2 days

3 3 to 4 days

4 5 to 7 days

8 Refuse to Answer

R10. During the past week, I could not "get going". (Choose one)    (Choose one)

1 Less than one day

2 1 to 2 days

3 3 to 4 days

4 5 to 7 days

8 Refuse to Answer

READ:    Thank you for answering those questions. We are now interested in knowing what things in your life cause you the most stress.

R11. Please look at this list of things that can cause stress in a person's life. What causes you stress on a regular basis? (Check all that apply)    (Check all that apply)

__ Finances, money

__ Health

__ Love relationships

__ Family

__ Job

__ Unemployment

__ Living situation

__ Threats of violence

__ Being found out as gay

__ Achieving life goals

__ Other

If R11K is not equal to 1, then skip to instruction before S1a.

R11a1. Other (specify):_______________

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

S. Prevention Intervention Questions

READ:    Prevention Intervention Questions: Thinking about the past 3 months (between [AGO3M] and [INT_DT]), what programs or events have you taken part in at In The Meantime Men's Group?

S1a. NIA group session? 1 Yes

0 No

7 Don't Know

If S1a is not equal to 1, then skip to S1b.

S1a1. Number of times attended in the past 3 months... __ __ time(s)

97 Don't Know

S1b. Brothers Reaching Brothers (Tues night group)? 1 Yes

0 No

7 Don't Know

If S1b is not equal to 1, then skip to S1c.

S1b1. Number of times attended in the past 3 months... __ __ time(s)

97 Don't Know

S1c. Kick Back group discussion (Thurs night group)? 1 Yes

0 No

7 Don't Know

If S1c is not equal to 1, then skip to S1d.

S1c1. Number of times attended in the past 3 months... __ __ time(s)

97 Don't Know

S1d. Hang out at the Kick Back space 1 Yes

0 No

7 Don't Know

If S1d is not equal to 1, then skip to S1e.

S1d1. Number of times attended in the past 3 months... __ __ time(s)

97 Don't Know

S1e. Men's Health Conference? 1 Yes

0 No

7 Don't Know

S1f. Umoja Retreat? 1 Yes

0 No

7 Don't Know

S1g. HIV testing on the In the Meantime testing van? 1 Yes

0 No

7 Don't Know

If S1g is not equal to 1, then skip to S1h.

S1g1. Number of times tested with In the Meantime in the past 3 months...

__ __ time(s)

97 Don't Know

S1h. Any other special event? 1 Yes

0 No

7 Don't Know

If S1h is not equal to 1, then skip to S1i.

S1h1. Other (specify):________________

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

S1i. I haven't taken part in any programs or events sponsored by In The Meantime.

1 Yes

0 No

7 Don't Know

S2. Thinking about the past 3 months, what types of H.I.V. prevention programs or interventions have you attended at another agency? (Check all that apply)    (Check all that apply)

__ Individual/One-on-one intervention

__ Discussion or intervention with a group

__ H.I.V. conference

__ H.I.V. retreat

__ Research study

__ Other program/intervention

If S2E is not equal to 1, then skip to instruction before S2f1.

S2e1. Other research study (specify):___________

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

If S2F is not equal to 1, then skip to S3.

S2f1. Other program/intervention (specify):___________

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

S3. Thinking about all your male sex partners over the past three months, how many of them have participated in any MyLife MyStyle sessions?

__ __ sex partners

97 Don't Know

S4. How many of your friends have ever participated in any MyLife MyStyle sessions?

__ __ friends

97 Don't Know

S5. On a scale from 1 to 4, how honest were you in answering the questions in the survey today? (Choose one)    (Choose one)

1 Not honest at all

2 A little bit honest

3 Somewhat honest

4 Very honest

READ:    That was the last question. We want to thank you for taking time to answer these questions. We know some were difficult to answer and we want to remind you that all your answers will be kept private. If these questions brought up painful memories and you would like a referral to a counselor or some other service, please let your interviewer know at this time. Thank you.

S1. Project Staff Person: Please enter CODE to close and SAVE the interview. __ __ __ __

S2. Was this interview interrupted or suspended for any reason? 1 Yes

0 No

S3. Flag this interview? 1 Yes

0 No

If S3 is equal to 0, then skip to end of questionnaire.

S4. Please briefly describe the reason for flagging this interview.

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Version DE27162EN Page 1 09/05/2013