Eligibility Screener (English)

National HIV Behavioral Surveillance System

Att 3a_Eligibility Screener_Eng

NHBS Screening (All Respondent Groups)

OMB: 0920-0770

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Eligibility Screener (English)

Form Approved:

OMB No. 0920-0770

Expiration Date: XX/XX/XXXX





National HIV Behavioral Surveillance System: Eligibility Screener



Public reporting burden of this collection of information is estimated to average 5 minutes 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, Project Clearance Officer, 1600 Clifton Road, MS D-74, Atlanta, GA 30333, ATTN: PRA (0920-0770). Do not send the completed form to this address.



NHBS Round 5 CAPI REFERENCE QUESTIONNAIRE (CRQ)

Table of contents



Overview

Questionnaire Sections & Abbreviations

Order in CAPI

Abbreviation

Domain

Other topics included

00

Overview

Overview


0

CalcVars

Pre-set & calculated variables


1

IE

Interviewer-entered information


2

ES

Eligibility screener


3

CN

Consent


4

CI

OMB Statement & Core Introductory Statement


5

NS

Network size (RDS cycles only)


6

DM

Demographics

General health care; disability

7

SO

Social experiences (MSM cycle only)


8

SX

Sexual behavior


9

AL

Alcohol use


10

ID

Injection drug use


11

ND

Non-injection drug use


12

TX

Drug overdose and drug treatment


13

HT

HIV testing & care

Perceived HIV stigma

14

HC

Health conditions (STIs, hepatitis, mental health)


15

JT

Justice system experiences & testing


16

PA

Prevention activities

Violence



Abbreviations

CAPI

Computer-Assisted Personal Interview

CRQ

CAPI Reference Questionnaire



R

Respondent

P

Partner



DK

Don't know

REF

Refused to answer

NA

Not applicable (question asked of R but this is a codable response option)



EQ

Equal to

GT

Greater than

GE

Greater than or equal to

LE

Less than or equal to

LT

Less than

NE

Not equal to



VS, UVS

Vaginal sex, unprotected vaginal sex (i.e., without a condom)

AS, UAS

Anal sex, unprotected anal sex (i.e., without a condom)

IAS

Insertive anal sex

RAS

Receptive anal sex









Key Terms

Term

Prefix / format

Definition

Calculated variable

CALC_



Item identifier (not prefix for variable name) for variables calculated by the CAPI program that appear in the CRQ.

Century Month

_C



A century month is an integer value that represents the number of months since January 1900. These calculations are used to compare dates and facilitate routing where respondents are asked to only provide the month and year in which an event took place. These types of questions occur in every date item within the CRQ, with the exception of DOB (ES1). As an example, January 2014 is represented by the integer 1369. The higher the integer, the closer the event is to the current date, and the lower the integer, the farther it is in the past.

Message

INTERVIEWER:



Message displayed to the interviewer that is not to be read to R. May be triggered by an edit check. Distinct from Interviewer Instruction.

Filter question




A question that determines whether the respondent should receive subsequent question or set of questions, typically on a related topic.

Logic Check

Check_



Logic that must be checked (by the CAPI program) in order to determine proper routing to the next item in the CAPI programmed questionnaire.

Hard Edit Check

HardEdit_



A check to determine whether the response entered is logically inconsistent with specific previously entered response. If so, CAPI program displays message to interviewer. Hard edit checks cannot be suppressed, i.e., program will not advance until interviewer has changed at least one of the inconsistent values.

Interviewer instruction




Instruction to interviewer regarding survey administration. Standard instructions are ‘Give Respondent Flashcard {letter}', ‘READ choices', ‘DO NOT read choices', & ‘CHECK ALL that apply'.

Introductory statement

INTRO_



Transitional statement read to R at the beginning of a new topic (e.g., Section, set of questions, etc.). Prefix is followed by section abbreviation, series, or first item in set to which it applies.

Range




Range of valid response values for items collecting or computing numeric data. E.g., the valid range of responses to number of sex partners in past 12 months is 0 to 7000.

Section




Section of the Questionnaire. Each section has a unique two letter abbreviation.

Series

Series.



A group of questions on a given topic that share a general universe. Most but not all series have a parallel series elsewhere (e.g. Male-Female, Male-Male, and Female-Male series).

Soft Edit Check

SoftEdit_



A check to determine whether the response entered is implausible. If yes, CAPI program displays message to interviewer; program may advance after closing the error message dialog box.

Universe

Universe_



A specific group of respondents to receive a section, series, question, etc. E.g., the universe for the Consent Section is respondents who were eligible for the cycle in which they completed the eligibility screener.









NHBS ROUND 5 QUESTIONNAIRE

PRE-SET AND CALCULATED VARIABLES

Variables with pre-set values

ROUND

NHBS Round

ROUND = "NHBS Round 5"


 

CYCLE

NHBS Cycle

CYCLE = 1 (MSM) If MSM cycle

CYCLE = 2 (IDU) If IDU cycle

CYCLE = 3 (HET) If HET cycle


 

LANGUAGE

Language

LANGUAGE = 1 IF ENGLISH

LANGUAGE = 2 IF SPANISH



VERSION

Questionnaire Version

If CYCLE=1 & LANGUAGE=1, VERSION=‘NHBS-MSM5 – ENGLISH, V1, [BUILD DATE]'

If CYCLE=1 & LANGUAGE=2, VERSION = ‘NHBS-MSM5 – SPANISH, V1, [BUILD DATE]'

If CYCLE=2 & LANGUAGE=1, VERSION=‘NHBS-IDU5 – ENGLISH, V1, [BUILD DATE]'

If CYCLE=2 & LANGUAGE=2, VERSION = ‘NHBS-IDU5 – SPANISH, V1, [BUILD DATE]'

If CYCLE=3 & LANGUAGE=1, VERSION=‘’NHBS-HET5 – ENGLISH, V1, [BUILD DATE]'

If CYCLE=3 & LANGUAGE=2, VERSION = ‘NHBS-HET5 – SPANISH, V1, [BUILD DATE]'


 

IDATE

Interview date

IDATE = Today's date {system date on device}



IDATED

Interview date: day


IDATED = substring(IDATE,3,2)



IDATEM

Interview date: Month


IDATEM = substring(idate,0,2)


 

IDATEMN

Interview date: Numeric month


IDATEMN = if(idatem="01", 01, if(idatem="02", 02, if(idatem="03", 03, if(idatem="04", 04, if(idatem="05", 05, if(idatem="06", 06, if(idatem="07", 07, if(idatem="08", 08, if(idatem="09", 09, if(idatem="10", 10, if(idatem="11", 11, if(idatem="12", 12, 0))))))))))))



IDATEY

Interview date: Year


IDATEY = (TRUNCATE(idate/365))+1900



START

Start Time

START = Current time {system time on device}

 

 

DATETIME

Date and time identifier


DATETIME= CONCAT(IDATE, START)



DATAFILE

Data file name

DATAFILE = Data file name



QYR

Current Questionnaire Year

QYR = if ((CYCLE=2), 2018, if ((CYCLE=3), 2019, if ((CYCLE=1), 2017, 0)))



MSM5_IMP

MSM5 data collection start date

MSM5_IMP = June 1, 2017





Computed date and duration variables used throughout the interview



IDATE_C

Interview date: Century Month


IDATE_C= (IDATEY-1900) *12 + (IDATEMN)



AGO2Y_C

2 yrs before interview: Century Month


AGO2Y_C= IDATE_C-24



AGO12M_C

12 mos before interview: Century Month


AGO12M_C= IDATE_C -12



AGO6M_C

6 mos before interview: Century Month


AGO6M_C= IDATE_C -6



AGO3M_C

3 mos before interview: Century Month


AGO3M_C= IDATE_C -3







NHBS ROUND 5 QUESTIONNAIRE

INTERVIEWER ENTERED INFORMATION (IE)

Variables from prior section(s) used in this section of the questionnaire

Section

Question #

Variable name

Variable label

Preloaded Variables

--

CYCLE

NHBS Cycle

Preloaded Variables

--

VERSION

Questionnaire Version

Preloaded Variables

--

MSM5_IMP

MSM4 data collection start date

Preloaded Variables

--

QYR

Current Questionnaire Year

Preloaded Variables

--

IDATE

Interview Date

Preloaded Variables

--

IDATEY

Interview Date: Year



Universe_IE.

All Rs.





INTRO_VERSION.

DISPLAY: "This is questionnaire version [fill with value for VERSION]."



INTRO_OMB.

DISPLAY: "Public reporting burden of this collection of information is estimated to average 5 minutes 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, Project Clearance Officer, 1600 Clifton Road, MS D-74, Atlanta, GA 30333, ATTN: PRA (0920-0770). Do not send the completed form to this address."



IE1.

Interviewer ID:


ICODE

Interviewer ID




---- ----





Range

1-99




IE2.

City:


CITY

City




Atlanta, GA

1




Baltimore, MD

2




Boston, MA

3




Chicago, IL

4




Dallas, TX

5




Denver, CO

6




Detroit, MI

7




Houston, TX

9




Los Angeles, CA

10




Miami, FL

11




Memphis, TN

12




Nassau-Suffolk, NY

13




Newark, NJ

14




New Orleans, LA

15




New York City, NY

16




Norfolk, VA

17




Philadelphia, PA

18




Portland, OR

19




San Diego, CA

21




San Francisco, CA

22




San Juan, PR

23




Seattle, WA

24




Washington, DC

25




IE3.

Survey ID:


SURID

Survey ID




---- ---- ---- ---- Must be 4 digits





Range

1-9999






HardEdit_IE3.

If IE3 not 4 digits long, DISPLAY: "INTERVIEWER: The Survey ID must be four digits long." Then, go back to IE3.

Else, go to IE3conf1.





IE3conf1.

INTERVIEWER: The Survey ID that you entered was [fill with value entered for IE3]. Is this correct?

C_SURID

Survey ID confirmation




No

0




Yes

1




HardEdit_IE3conf1.

If value entered for IE3 is not correct (IE3conf1 EQ 0), DISPLAY: "INTERVIEWER: Enter the correct Survey ID number in the next screen." Then, go back to IE3.

Else, go to Check_VBSSeries.



Check_VBSSeries.

If MSM cycle (CYCLE EQ 1), go to VBS Recruitment (VBS) Series.

Else, go to RDS Recruitment (RDS) Series.



Universe_VBSSeries.

All Rs in MSM Cycle (CYCLE EQ 1).



VBS Recruitment (VBS) Series (IE4-HardEdit_IE8)

IE4.

INTERVIEWER: Is this interview a Post Event Appointment?


PEA

Post Event Appointment




No

0




Yes

1






IE5.

Venue Code:


VENUE

Venue Code




---- ---- ---- ----


{4 alphanumeric characters}



IE6.

Event Number:


VBS_EVNT

Event number




---- ---- ----





Range

1-999




Don't Know

9999




Check_IE7.

If interview is Post Event Appointment, (IE4 EQ 1), go to IE7.

Else, go to END_IE.



Post Event Appointment

IE7.

Enter the field site ID for the location of the interview: (If unknown, select "Don't Know".)

PEASITE

PEA Field site ID




---- ---- ---- ----


{4 alphanumeric characters}



Don't know

9999




Check_HardEdit_IE7.

If PEA field site is unknown (IE7 EQ DK), go to IE8.

Else, go to HardEdit_IE7.



HardEdit_IE7.

If IE7 is NOT 4 digits long, DISPLAY: "INTERVIEWER: The PEA Field Site ID must be four alphanumeric characters long." Then, go back to IE7.

Else, go to IE8.





IE8.

Enter the date of the recruitment event: (If unknown, select "Don't Know".)

PEARDTE

PEA recruitment event date




__ __ / __ __ / __ __ __ __ (MM/DD/YYYY)





Range (Year)

1900-Current




Don't know (Year)

9999






HardEdit_IE8.

If PEA recruitment event date known & after interview date (IE8 NE DK & IE8 GT IDATE), DISPLAY: " INTERVIEWER: The date of the recruitment event cannot be after today's date. Please correct on next screen." Then return to IE8.

Else, go to SoftEditIE8.



SoftEdit_IE8.

If PEA recruitment event date known & before MSM cycle implementation date (IE8 NE DK & IE8 LT MSM5_IMP), DISPLAY: "INTERVIEWER: The date of the recruitment event is before June 1, [fill with current questionnaire year (QYR)]. If this is incorrect, go back to the previous screen and re-enter the date of the recruitment event.”

Else, go to END_IE.





Universe_RDSSeries.

All Rs in IDU & HET Cycle (CYCLE EQ 2 or 3).



RDS Recruitment (RDS) Series (IE9-HardEdit_IE10)

IE9.

Field Site ID:


FLDSTEID

RDS Field site ID




---- ---- {Must be 2 digits}





Range

0-99





HardEdit_IE9.

If IE9 is not 2 digits long, DISPLAY: "INTERVIEWER: The Field Site ID must be two digits long. Please correct on next screen." Then return to IE9.

Else, go to IE10.







IE10.

INTERVIEWER: Is the respondent a seed?

ISEED

Respondent is a seed




No

0




Yes

1




HardEdit_IE10.

If Survey ID in non-seed range & R is a seed (IE3 GE 1000 &IE10 EQ 1), DISPLAY: "INTERVIEWER: You indicated that the respondent is a seed but earlier, recorded a non-seed Survey ID. One of these is incorrect." Then return to IE10.

If Survey ID in seed range & R NOT a seed (IE3 LT 1000 & IE10 EQ 0), DISPLAY: "INTERVIEWER: You indicated that the respondent is NOT a seed but earlier, recorded a seed Survey ID. One of these is incorrect." Then return to IE3.

Else, go to END_IE.



END_IE.

Go to Eligibility Screener Section (ES).





NHBS ROUND 5 QUESTIONNAIRE

ELIGIBILITY SCREENER (ES)

Variables from prior section(s) used in this section of the questionnaire

Section

Question #

Variable name

Variable label

Preloaded variables

--

CYCLE

NHBS Cycle

Preloaded variables

--

IDATE

Interview date

Preloaded variables

--

QYR

Current Questionnaire Year

Interviewer Entered Information

IE2

CITY

City

Interviewer Entered Information

IE4

PEA

Post Event Appointment

Interviewer Entered Information

IE8

PEARDTE

PEA recruitment event date

Interviewer Entered Information

IE10

ISEED

Respondent is a seed



Universe_ES.

All Rs.



INTRO_ES.

DISPLAY: "READ: I'd like to thank you again for your interest in this health survey. Remember that all information you give me will be kept private and I will not ask for your name. First, I will ask you a few questions about yourself and then the computer will determine if you have been selected to participate in the health survey."



CALC_BEGSCR.



BEGSCR

Time at beginning of screener

BEGSCR = Current time



Check_CALC_RDATE.

If MSM cycle (CYCLE EQ 1), go to CALC_RDATE.

Else, go to ES1.



CALC_RDATE.



RDATE

Recruitment Date

If interview is NOT a Post Event Appointment (IE4 EQ 0):

RDATE=IDATE



If interview is Post Event Appointment (IE4 EQ 1):

RDATE=PEARDTE



ES1.

What is your date of birth?

DOB

Date of birth




__ __ / __ __ / __ __ __ __ (MM/DD/YYYY)





Range (Year)

1900-Current




Don't Know (Year)

9999




Refuse to Answer (Year)

7777




Check_CALC_AGE.

If R did not provide date of birth (ES1 EQ DK or REF), go to ES2.

Else, go to HardEdit_ES1.



HardEdit_ES1.

If date of birth is on or after interview date (ES1 GE IDATE), DISPLAY: "INTERVIEWER: Date of birth cannot be TODAY or later." Then, go back to ES1.

Else, go to CALC_AGE.



CALC_AGE.



AGE

QDS calculated age today

Calculate age from date of birth (DOB)



ES1a.

So, you are [fill with calculated age (AGE)] years old. Is that correct?

C_AGE

Confirm age




No

0




Yes

1




HardEdit_ES1a.

If calculated age NOT correct (ES1a EQ 0), DISPLAY: "INTERVIEWER: Please hit ok to re-enter the date of birth." Then, go back to ES1.

Else, go to Check_ES2.



Check_ES2.

If R LT 18 years old (AGE LT 18), go to Check_CALC_EL.

Else, go to ES2.



ES2.

During [fill with current questionnaire year (QYR)], did you already complete at least part of the health survey that (Insert Project Name) is conducting? It could have been here or at another location.

E_PART

Eligibility, previous participant




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




ES3.

Do you consider yourself to be of Hispanic, Latino/a, or Spanish origin?



[INTERVIEWER: If necessary, say "Just tell me Yes or No."]

HISPANIC

Latino ethnicity




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_ES3a.

If R is Latino (ES3 EQ 1), go to ES3a. Else, go to ES4.



ES3a.

Which of the following describes your Hispanic, Latino/a, or Spanish origin? You may choose more than one option.



[READ choices. CHECK ALL that apply.]

HSPTYP

Hispanic Ancestry (number reported)



HSPTYPA

Mexican




HSPTYPB

Puerto Rican




HSPTYPC

Cuban




HSPTYPD

Dominican




HSPTYPE

Another Hispanic, Latino/a, or Spanish origin





Don't Know

9




Refuse to Answer

7




Check_ES3spec.

If R reports ‘Another' Hispanic origin (HSPTYPE EQ 1), go to ES3spec.

Else, go to ES4.



ES3spec.

What is your Hispanic, Latino/a, or Spanish origin?

SPECHSP

Other specified Latino origin



__ __ __ __ __ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __



{text response; max length = 100 characters}



Don't Know

9




Refuse to Answer

7




ES4.

[Give Respondent Flashcard A.]



Which racial group or groups do you consider yourself to be in? You may choose more than one option.



[READ choices. CHECK ALL that apply.]

RACE

Racial group (number reported)



RACEA

American Indian or Alaska Native




RACEB

Asian




RACEC

Black or African American




RACED

Native Hawaiian or Other Pacific Islander




RACEE

White





Don't Know

9




Refuse to Answer

7




Not Applicable

8




Check_CountyofResidence.

If IE2 EQ 1, go to ES5_ATL1.

If IE2 EQ 2, go to ES5_BLT.

If IE2 EQ 3, go to ES5_BOS.

If IE2 EQ 4, go to ES5_CHI.

If IE2 EQ 5, go to ES5_DAL.

If IE2 EQ 6, go to ES5_DEN.

If IE2 EQ 7, go to ES5_DET.

If IE2 EQ 9, go to ES5_HOU.

If IE2 EQ 10, go to ES5_LAX.

If IE2 EQ 11, go to ES5_MIA.

If IE2 EQ 12, go to ES5_MEM.

If IE2 EQ 13, go to ES5_NAU.

If IE2 EQ 14 go to ES5_NEW.

If IE2 EQ 15, go to ES5_NOL.

If IE2 EQ 16, go to ES5_NYC.

If IE2 EQ 17, go to ES5_NOR.

If IE2 EQ 18, go to ES5_PHL.

If IE2 EQ 19, go to ES5_PTL.

If IE2 EQ 21, go to ES5_SDG.

If IE2 EQ 22, go to ES5_SFO.

If IE2 EQ 23, go to ES5_SJN1.

If IE2 EQ 24, go to ES5_SEA.

If IE2 EQ 25, go to ES5_WDC.



County of Residence

ES5_ATL1.

What county do you currently live in?



[DO NOT read choices.]

ATLCTYR5

Eligibility, Atlanta county of residence




Barrow, Bartow, or Butts County

1




Carroll County

4




Cherokee County

5




Clayton County

6




Cobb County

7




Coweta County

8




Dawson County

9




DeKalb County

10




Douglas County

11




Fayette County

12




Forsyth County

13




Fulton County

14




Gwinnett County

15




Haralson, Heard, or Henry County

16




Jasper County

19




Lamar County

20




Meriwether or Morgan County

21




Newton County

22




Paulding, Pickens, or Pike County

23




Rockdale County

26




Spalding County

27




Walton County

28




Other

88




Don't Know

999




Refuse to Answer

777




Check_ES5_ATL2.

If R lives in Barrow, Bartow, Butts, Haralson, Heard, Henry, Meriwether, Morgan, Paulding, Pickens, or Pike counties (ES5_ATL1 EQ 1, 16, 21, or 23), go to ES5_ATL2.

Else, go to CALC_ATLEL.



ES5_ATL2.

INTERVIEWER: Please indicate which of the following counties the respondent lives in. If the respondent does not live in one of these counties, return to prior screen and correct the county entered.



[DO NOT read choices.]

ATLBR5

Atlanta Counties live in




Barrow County

1




Bartow County

2




Butts County

3




Haralson County

16




Heard County

17




Henry County

18




Meriwether County

21




Morgan County

22




Paulding County

23




Pickens County

24




Pike County

25




CALC_ATLELR5.



ATLELR5

Eligible county resident: ATL

ATLELR5 = if ((ATLCTYR5=1 OR ATLCTYR5=4 OR ATLCTYR5=5 OR ATLCTYR5=6 OR ATLCTYR5=7 OR ATLCTYR5=8 OR ATLCTYR5=9 OR ATLCTYR5=10 OR ATLCTYR5=11 OR ATLCTYR5=12 OR ATLCTYR5=13 OR ATLCTYR5=14 OR ATLCTYR5=15 OR ATLCTYR5=16 OR ATLCTYR5=19 OR ATLCTYR5=20 OR ATLCTYR5=21 OR ATLCTYR5=22 OR ATLCTYR5=23 OR ATLCTYR5=26 OR ATLCTYR5=27 OR ATLCTYR5=28), 1,0)



Check_ES5_BLT.

Go to CALC_E_CITY.



ES5_BLT.

What county do you currently live in?



[DO NOT read choices.]

BLTCTYR5

Eligibility, Baltimore county of residence



Baltimore City

1



Anne Arundel

2



Baltimore

3



Carroll

4



Harford

5



Howard

6



Queen Anne's

7



Other

88



Don't Know

999



Refuse to Answer

777




CALC_BLTELR5.



BLTELR5

Eligible county resident: BLT

BLTELR5 = if ((BLTCTYR5=1 OR BLTCTYR5=2 OR BLTCTYR5=3 OR BLTCTYR5=4 OR BLTCTYR5=5 OR BLTCTYR5=6 OR BLTCTYR5=7), 1,0)



Check_ES5_BOS.

Go to CALC_E_CITY.



ES5_BOS.

What county/city/town do you currently live in?



[DO NOT read choices.]

BOSCTYR5

Eligibility, Boston city or town of residence




Allston

1




Back Bay

2




Brookline

7




Cambridge

8




Chelsea

10




Dorchester

12




East Boston

14




Fenway / Kenmore

15




Jamaica Plain

17




Lynn

18




Malden

20




Medford

21




Revere

26




Roxbury

28




Somerville

29




South Boston

30




South End

31




Boston (other)

37




Essex County (other)

38




Middlesex County (other)

39




Norfolk County (other)

40




Plymouth County (other)

41




Suffolk County (other)

42




Other

88




Don't Know

999




Refuse to Answer

777




CALC_BSTELR5.



BSTELR5

Eligible county resident: BOS

BSTELR5 = if ((BOSCTYR5=1 OR BOSCTYR5=2 OR BOSCTYR5=7 OR BOSCTYR5=8 OR BOSCTYR5=10 OR BOSCTYR5=12 OR BOSCTYR5=14 OR BOSCTYR5=15 OR BOSCTYR5=17 OR BOSCTYR5=18 OR BOSCTYR5=20 OR BOSCTYR5=21 OR BOSCTYR5=26 OR BOSCTYR5=28 OR BOSCTYR5=29 OR BOSCTYR5=30 OR BOSCTYR5=31 OR BOSCTYR5=37 OR BOSCTYR5=38 OR BOSCTYR5=39 OR BOSCTYR5=40 OR BOSCTYR5=41 OR BOSCTYR5=42), 1,0)



Check_ES5_CHI.

Go to CALC_E_CITY.



ES5_CHI.

What county do you currently live in?



[DO NOT read choices.]

CHICTYR5

Eligibility, Chicago county of residence



Cook County

1



DuPage County

3



Grundy County

4



Kendall County

6



McHenry County

7



Will County

8



Other

88



Don't Know

999



Refuse to Answer

777




CALC_CHIELR5.



CHIELR5

Eligible county resident: CHI

CHIELR5 = if ((CHICTYR5=1 OR CHICTYR5=3 OR CHICTYR5=4 CHICTYR5OR CHICTYR5=6 OR CHICTYR5=7 OR CHICTYR5=8), 1,0)



Check_ES5_DAL.

Go to CALC_E_CITY.



ES5_DAL.

What county do you currently live in?



[DO NOT read choices.]

DALCTYR5

Eligibility, Dallas county of residence



Collin County

1



Dallas County

2



Denton County

4



Ellis County

5



Hunt County

6



Kaufman County

7



Rockwall County

8



Other

88



Don't Know

999



Refuse to Answer

777




CALC_DALELR5.



DALELR5

Eligible county resident: DAL

DALELR5 = if ((DALCTYR5=1 OR DALCTYR5=2 OR DALCTYR5=4 OR DALCTYR5=5 OR DALCTYR5=6 OR DALCTYR5=7 OR DALCTYR5=8), 1,0)



Check_ES5_DEN.

Go to CALC_E_CITY.



ES5_DEN.

What county do you currently live in?



[DO NOT read choices.]

DENCTYR5

Eligibility, Denver county of residence



Adams County

1



Arapahoe County

2



Broomfield County

3



Clear Creek County

4



Denver County

5



Douglas County

6



Elbert County

7



Gilpin County

8



Jefferson County

9



Park County

10



Other

88



Don't Know

999



Refuse to Answer

777




CALC_DENELR5.



DENELR5

Eligible county resident: DEN

DENELR5 = if ((DENCTYR5=1 OR DENCTYR5=2 OR DENCTYR5=3 OR DENCTYR5=4 OR DENCTYR5=5 OR DENCTYR5=6 OR DENCTYR5 =7 OR DENCTYR5=8 OR DENCTYR5=9 OR DENCTYR5=10), 1,0)



Check_ES5_DET.

Go to CALC_E_CITY.



ES5_DET.

What county do you currently live in?



[DO NOT read choices.]

DETCTYR5

Eligibility, Detroit county of residence



Macomb County

0



Oakland County

1



Wayne County

2



Other

88



Don't Know

999



Refuse to Answer

777




CALC_DETELR5.



DETELR5

Eligible county resident: DET

DETELR5 = if ((DETCTYR5=0 OR DETCTYR5=1 OR DETCTYR5=2), 1,0)



Check_ES5_HOU.

Go to CALC_E_CITY.



ES5_HOU.

What county do you currently live in?



[DO NOT read choices.]

HOUCTYR5

Eligibility, Houston county of residence



Austin County

1



Brazoria County

2



Chambers County

3



Fort Bend County

4



Galveston County

5



Harris County

6



Liberty County

7



Montgomery County

8



Waller County

10



Other

88



Don't Know

999



Refuse to Answer

777






CALC_HOUELR5.



HOUELR5

Eligible county resident: HOU

HOUELR5= if ((HOUCTYR5=1 OR HOUCTYR5=2 OR HOUCTYR5=3 OR HOUCTYR5=4 OR HOUCTYR5=5 OR HOUCTYR5=6 OR HOUCTYR5=7 OR HOUCTYR5=8 OR HOUCTYR5=10), 1,0)



Check_ES5_LAX.

Go to CALC_E_CITY.







ES5_LAX.

What county do you currently live in?



[DO NOT read choices.]

LAXCTYR5

Eligibility, Los Angeles county of residence




Los Angeles County

1




Other

88




Don't Know

999




Refuse to Answer

777




CALC_LAXELR5.



LAXELR5

Eligible county resident: LAX

LAXELR5 = if ((LAXCTYR5=1), 1,0)



Check_ES5_MIA.

Go to CALC_E_CITY.



ES5_MIA.

What county do you currently live in?



[DO NOT read choices.]

MIACTYR5

Eligibility, Miami county of residence




Miami-Dade County

1




Other

88




Don't Know

999




Refuse to Answer

777




CALC_MIAELR5.



MIAELR5

Eligible county resident: MIA

MIAELR5 = if ((MIACTYR5=1), 1,0)



Check_ES5_MEM.

Go to CALC_E_CITY.





ES5_MEM.

What county do you currently live in?



[DO NOT read choices.]

MEMCTYR5

Eligibility, Memphis county of residence




Fayette County, TN

1




Shelby County, TN

2




Tipton County, TN

3




Benton County, MS

4




DeSoto County, MS

5




Marshall County, MS

6




Tate County, MS

7




Tunica County, MS

8




Crittendon County, AR

9




Other

88




Don't Know

999




Refuse to Answer

777




CALC_MEMELR5.



MEMELR5

Eligible county resident: MEM

MEMELR5 = if ((MEMCTYR5=1 OR MEMCTYR5=2 OR MEMCTYR5=3 OR MEMCTYR5=4 OR MEMCTYR5=5 OR MEMCTYR5=6 OR MEMCTYR5=7 OR MEMCTYR5=8 OR MEMCTYR5=9 ), 1,0)





Check_ES5_NAU.

Go to CALC_E_CITY.



ES5_NAU.

What county do you currently live in?



[DO NOT read choices.]

NAUCTYR5

Eligibility, Nassau county of residence



Nassau County

1



Suffolk County

2



Other

88



Don't Know

999



Refuse to Answer

777




CALC_NAUELR5.



NAUELR5

Eligible county resident: NAU

NAUELR5 = if ((NAUCTYR5=1 OR NAUCTYR5=2), 1,0)



Check_ES5_NEW.

Go to CALC_E_CITY.



ES5_NEW.

What county do you currently live in?



[DO NOT read choices.]

NEWCTYR5

Eligibility, Newark county of residence




Essex County, NJ

1




Hunterdon County, NJ

2




Hudson County, NJ

3




Morris County, NJ

4




Sussex County, NJ

5




Union County, NJ

6




Pike County, PA

7




Other

88




Don't Know

999




Refuse to Answer

777








CALC_NEWELR5.



NEWELR5

Eligible county resident: NEW



NEWELR5 = if ((NEWCTYR5=1 OR NEWCTYR5=2 OR NEWCTYR5=3 OR NEWCTYR5=4 OR NEWCTYR5=5 OR NEWCTYR5=6 OR NEWCTYR5=7), 1,0)



Check_ES5_NOL.

Go to CALC_E_CITY.



ES5_NOL.

What parish do you currently live in?



[DO NOT read choices.]

NOLCTYR5

Eligibility, New Orleans parish of residence


Jefferson Parish

1



Orleans Parish

2



Plaquemines Parish

3



St. Bernard Parish

4



St. Charles Parish

5



St. James Parish

6



St. John the Baptist Parish

7



St. Tammany Parish

8



Other

88



Don't Know

999



Refuse to Answer

777




CALC_NOLEL.



NOLELR5

Eligible parish resident: NOL

NOLELR5 = if ((NOLCTYR5=1 OR NOLCTYR5=2 OR NOLCTYR5=3 OR NOLCTYR5=4 OR NOLCTYR5=5 OR NOLCTYR5=6 OR NOLCTYR5=7 OR NOLCTYR5=8), 1,0)





Check_ES5_NYC.

Go to CALC_E_CITY.





ES5_NYC.

What county do you currently live in?



[DO NOT read choices.]

NYCCTYR5

Eligibility, New York City county of residence


Bronx County, NY

1



Kings County, NY

2



New York County, NY

3



Orange County, NY

4



Queens County, NY

5



Richmond County, NY

6



Rockland County, NY

7



Westchester County, NY

8



Bergen County, NJ

9



Middlesex County, NJ

11



Monmouth County, NJ

12



Ocean County, NJ

13



Passaic County, NJ

14



Other

88



Don't Know

999



Refuse to Answer

777




CALC_NYCELR5.



NYCELR5

Eligible county resident: NYC

NYCELR5 = if ((NYCCTYR5=1 OR NYCCTYR5=2 OR NYCCTYR5=3 OR NYCCTYR5=4 OR NYCCTYR5=5 OR NYCCTYR5=6 OR NYCCTYR5=7 OR NYCCTYR5=8 OR NYCCTYR5=9 OR NYCCTYR5=10 OR NYCCTYR5=11 OR NYCCTYR5=12 OR NYCCTYR5=13 OR NYCCTYR5=14), 1,0)





Check_ES5_NOR.

Go to CALC_E_CITY.





ES5_NOR.

What county do you currently live in?



[DO NOT read choices.]

NORCTYR5

Eligibility, Norfolk county of residence



Chesapeake City, VA

1



Gloucester County, VA

2



Hampton City, VA

3



Isle of Wight County, VA

4



James City County, VA

5



Mathews County, VA

6



Newport News City, VA

7



Norfolk City, VA

8



Poquoson City, VA

9



Portsmouth City, VA

10



Suffolk City, VA

11



Virginia Beach City, VA

13



Williamsburg City, VA

14



York County, VA

15



Currituck County, NC

16



Gates County, NC

20



Other

88



Don't Know

999



Refuse to Answer

777




CALC_NORELR5.



NORELR5

Eligible county resident: NOR

NORELR5 = if ((NORCTYR5=1 OR NORCTYR5=2 OR NORCTYR5=3 OR NORCTYR5=4 OR NORCTYR5=5 OR NORCTYR5=6 OR NORCTYR5=7 OR NORCTYR5=8 OR NORCTYR5=9 OR NORCTYR5=10 OR NORCTYR5=11 NOR NORCTYR5=13 OR NORCTYR5=14 OR NORCTYR5=15 OR NORCTYR5=16 OR NORCTYR5=20), 1,0)







Check_ES5_PHL.

Go to CALC_E_CITY.



ES5_PHL.

What county do you currently live in?



[DO NOT read choices.]

PHLCTYR5

Eligibility, Philadelphia county of residence


Delaware County

3



Philadelphia County

5



Other

88



Don't Know

999



Refuse to Answer

777




CALC_PHLELR5.



PHLELR5

Eligible county resident: PHL

PHLELR5 = if ((PHLCTYR5=3 OR PHLCTYR5=5), 1,0)





Check_ES5_PTL.

Go to CALC_E_CITY.





ES5_PTL.

What county do you currently live in?



[DO NOT read choices.]

PTLCTYR5

Eligibility, Portland county of residence



Clackamas County, OR

1



Columbia County, OR

2



Multnomah County, OR

3



Washington County, OR

4



Yamhill County, OR

5



Clark County, WA

6



Skamania County, WA

7



Other

88



Don't Know

999



Refuse to Answer

777




CALC_PTLELR5.



PTLELR5

Eligible county resident: PTL

PTLELR5 = if ((PTLCTYR5=1 OR PTLCTYR5=2 OR PTLCTYR5=3 OR PTLCTYR5=4 OR PTLCTYR5=5 OR PTLCTYR5=6 OR PTLCTYR5=7), 1,0)





Check_ES5_SDG.

Go to CALC_E_CITY.



ES5_SDG.

What county do you currently live in?



[DO NOT read choices.]

SDGCTYR5

Eligibility, San Diego county of residence



San Diego County

1



Other

88



Don't Know

999



Refuse to Answer

777








CALC_SDGELR5.



SDGEL

Eligible county resident: SDG

SDGELR5 = if ((SDGCTYR5=1), 1,0)



Check_ES5_SFO.

Go to CALC_E_CITY.



ES5_SFO.

What county do you currently live in?



[DO NOT read choices.]

SFOCTYR5

Eligibility, San Francisco county of residence


San Francisco County

2



San Mateo County

3



Other

88



Don't Know

999



Refuse to Answer

777




CALC_SFOELR5.



SFOELR5

Eligible county resident: SFO

SFOELR5 = if ((SFOCTYR5=2 OR SFOCTYR5=3), 1,0)



Check_ES5_SJN1.

Go to CALC_E_CITY.



ES5_SJN1.

What municipality (county) do you currently live in?



[DO NOT read choices.]

SJNCTYR5

Eligibility, San Juan county (municipio) of residence


San Juan

1



Bayamón

2



Caguas

3



Canóvanas

4



Carolina

5



Cataño

6



Guaynabo

7



Loíza

8



Toa Alta

9



Toa Baja

10



Trujillo Alto

11



Aguas Buenas or Aibonito

12



Barceloneta or Barranquitas

13



Cayey, Ceiba, or Ciales

14



Cidra, Comerío or Corozal

15



Dorado, Fajardo, or Florida

16



Gurabo orHumacao

17



Juncos, Las Piedras, or Luquillo

18



Manatí, Maunabo or Morovis

19



Naguabo or Naranjito

20



Orocovis

21



Río Grande or San Lorenzo

22



Vega Alta, Vega Baja or Yabucoa

23



Other

88



Don't Know

999



Refuse to Answer

777






Check_ES5_SJN2.

If R lives in ‘other' San Juan municipio or does not report municipio of residence (ES5_SJN1 EQ 88, DK, or REF), go to CALC_SJNELR5.

If single county response entered (ES5_SJN1 EQ 1-11), go to CALC_SJNELR5.

If ES5_SJN1 EQ 12-16, go to ES5_SJN2.

If ES5_SJN1 EQ 17-23, go to ES5_SJN3.



ES5_SJN2.

INTERVIEWER: Please indicate which of the following municipalities the respondent lives in. If the participant does not live in one of these municipalities, return to prior screen and correct the municipality entered.



[DO NOT read choices.]

SJNAR5

San Juan Municipalities live in: A




Aguas Buenas

1




Aibonito

2




Barceloneta

4




Barranquitas

5




Cayey

6




Ceiba

7




Ciales

8




Cidra

9




Comerío

10




Corozal

11




Dorado

12




Fajardo

13




Florida

14




Gurabo

15




Check_ES5_SJN3.

Go to CALC_SJNELR5.



ES5_SJN3.

INTERVIEWER: Please indicate which of the following municipalities the respondent lives in. If the participant does not live in one of these municipalities, return to prior screen and correct the municipality entered.



[DO NOT read choices.]

SJNBR5

San Juan Municipalities live in: B




Humacao

1




Juncos

2




Las Piedras

3




Luquillo

4




Manatí

5




Maunabo

6




Morovis

7




Naguabo

8




Naranjito

9




Orocovis

10




Río Grande

12




San Lorenzo

13




Vega Alta

14




Vega Baja

15




Yabucoa

16




CALC_SJNEL.



SJNELR5

Eligible municipality resident: SJN

SJNELR5 = if ((SJNCTYR5=1 OR SJNCTYR5=2 OR SJNCTYR5=3 OR SJNCTYR5=4 OR SJNCTYR5=5 OR SJNCTYR5=6 OR SJNCTYR5=7 OR SJNCTYR5=8 OR SJNCTYR5=9 OR SJNCTYR5=10 OR SJNCTYR5=11 OR SJNCTYR5=12 OR SJNCTYR5=13 OR SJNCTYR5=14 OR SJNCTYR5=15 OR SJNCTYR5=16 OR SJNCTYR5=17 OR SJNCTYR5=18 OR SJNCTYR5=19 OR SJNCTYR5=20 OR SJNCTYR5=21 OR SJNCTYR5=22 OR SJNCTYR5=23), 1,0)



Check_ES5_SEA.

Go to CALC_E_CITY.





ES5_SEA.

What county do you currently live in?



[DO NOT read choices.]

SEACTYR5

Eligibility, Seattle county of residence



King County

1




Snohomish County

2




Other

88




Don't Know

999




Refuse to Answer

777




CALC_SEAELR5.



SEAELR5

Eligible county resident: SEA

SEAELR5 = if ((SEACTYR5=1 OR SEACTYR5=2), 1, 0)



Check_ES5_WDC.

Go to CALC_E_CITY.



ES5_WDC.

What county do you currently live in?



[DO NOT read choices.]

WDCCTYR5

Eligibility, Washington DC county of residence




District of Columbia

1




Calvert County, MD

2




Charles County, MD

3




Prince George's County, MD

4




Alexandria City, VA

5




Fairfax City, VA

6




Falls Church City, VA

7




Fredericksburg City, VA

8




Manassas City, VA

9




Manassas Park City, VA

10




Arlington County, VA

11




Clarke County, VA

12




Culpeper County, VA

13




Fairfax County, VA

14




Fauquier County, VA

15




Loudoun County, VA

16




Prince William County, VA

17




Rappahannock County, VA

18




Spotsylvania County, VA

19




Stafford County, VA

20




Warren County, VA

21




Jefferson County, WV

22




Other

88




Don't Know

999




Refuse to Answer

777




CALC_WDCELR5.



WDCELR5

Eligible county resident: WDC

WDCELR5 = if ((WDCCTYR5=1 OR WDCCTYR5=2 OR WDCCTYR5=3 OR WDCCTYR5=4 OR WDCCTYR5=5 OR WDCCTYR5=6 OR WDCCTYR5=7 OR WDCCTYR5=8 OR WDCCTYR5=9 OR WDCCTYR5=10 OR WDCCTYR5=11 OR WDCCTYR5=12 OR WDCCTYR5=13 OR WDCCTYR5=14 OR WDCCTYR5=15 OR WDCCTYR5=16 OR WDCCTYR5=17 OR WDCCTYR5=18 OR WDCCTYR5=19 OR WDCCTYR5=20 OR WDCCTYR5=21 OR WDCCTYR5=22), 1,0)



CALC_E_CITY.



E_CITY

Eligible city resident

E_CITY = if ((ATLELR5=1 or BLTELR5=1 or BSTELR5=1 or CHIELR5=1 or DALELR5=1 or DENELR5=1 or DETELR5=1 or HOUELR5=1 or LAXELR5=1 or MEMELR5=1 or MIAELR5=1 or NAUELR5=1 or NEWELR5=1 or NOLELR5=1 or NORELR5=1 or NYCELR5=1 or PHLELR5=1 or PTLELR5=1 or SDGELR5=1 or SFOELR5=1 or SJNELR5=1 or SEAELR5=1 or WDCELR5=1),1,0)



Check_ES5spec.

If R is resident of ‘other' county (ES5_ATL1 EQ 88 or ES5_BLT EQ 88 or ES5_BOS EQ 88 or ES5_CHI. EQ 88 or ES5_DAL. EQ 88 or ES5_DEN. EQ 88 or ES5_DET. EQ 88 or ES5_HOU. EQ 88 or ES5_LAX. EQ 88 or ES5_MEM. EQ 88 or ES5_MIA. EQ 88 or ES5_NAU. EQ 88 or ES5_NEW. EQ 88 or ES5_NOL. EQ 88 or ES5_NOR. EQ 88 or ES5_NYC. EQ 88 or ES5_PHL. EQ 88 or ES5_PTL. EQ 88 or ES5_SDG. EQ 88 or ES5_SFO. EQ 88 or ES5_SJN1. EQ 88 or ES5_SEA.EQ 88 or ES5_WDC. EQ 88), go to ES5spec.

Else, go to Check_ES6.





ES5spec.

INTERVIEWER: Specify other county (If Boston, Specify other city or town):

SPECCNTY

Specify other county


__ __ __ __ __ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __



{text response; max length = 100 characters}



MSA Residence calculation



Check_ES6.

If MSM cycle (CYCLE EQ 1), go to ES8.

If IDU cycle (CYCLE EQ 2), go to ES9.

If HET cycle (CYCLE EQ 3), go to ES6.



NHBS-HET Zip code & HRA Residence

ES6.

What zip code do you live in?

ZIP_HET

HET Zip code




__ __ __ __ __





Range

00500 - 99501




Don't Know

999999




Refuse to Answer

777777




HardEdit_ES6.

If ES6 is not 5 digits long, DISPLAY: "INTERVIEWER: The ZIP code you entered was [fill with response to ES6]. This number should be 5 digits long. Please re-enter the zip code." Then, go back to ES6.

Else, go to ES7.





ES7.

[INTERVIEWER: SHOW Respondent the MAP.]



Please take a look at this map. Can you point to the area where you live?



[INTERVIEWER: Enter 6-digit census tract number:]

TRACT

HET census tract




__ __ __ __ __





Range

000100 - 999998




Don't Know

9999999




Refuse to Answer

7777777




HardEdit_ES7.

If ES7 less than 6 digits long, DISPLAY: "INTERVIEWER: The census tract that you entered was [fill with response to ES7]. This census tract number should be 6 digits long. Please re-enter the census tract number." Then, go back to ES7.

Else, go to Check_ES7a.



Check_ES7a.

If R is a seed (IE10 EQ 1), go to ES7a.

Else, go to Check_ES8.





ES7a.

INTERVIEWER: Does participant live in a High Risk Area?


HRA

Lives in an HRA




No

0




Yes

1




Check_ES8.

Go to ES9.





ES8.

What was your sex at birth?



[DO NOT read choices.]

BIRTHSEX

Sex at birth




Male

1




Female

2




Intersex/ambiguous

3




Don't Know

9




Refuse to Answer

7






ES9.

Do you consider yourself to be male, female or transgender?

GENDER

Gender




Male

1




Female

2




Transgender

3




Don't Know

9




Refuse to Answer

7




Check_ES9a.

If MSM cycle (CYCLE EQ 1), go to ES9a.

If IDU cycle (CYCLE EQ 2), go to ES10.

If HET cycle (CYCLE EQ 3), go to Check_INTRO_ES17.



NHBS-MSM Behavioral Eligibility



ES9a.

Have you ever had vaginal or anal sex with a woman?

E_EVRMSW

Eligibility: MSM, Ever had sex with woman



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




ES9b.

Have you ever had oral or anal sex with a man?

E_EVRMSM

Eligibility: MSM, Ever had sex with man




No

0




Yes

1




Don't Know

9




Refuse to Answer

7






NHBS-MSM Venue Attendance




























































ES9c.

In the past 30 days, how often have you gone to a place where gay men hang out, meet, or socialize? These could include bars, clubs, social organization, parks, gay businesses, bookstores, sex clubs, etc. Do not include places where you are employed.

ATTEND30

Venue attendance, 30 days




__ __ __





Range

0 - 700




Don't Know

999




Refuse to Answer

777






Check_ES10.

Go to INTRO_ES18.



NHBS-IDU Behavioral Eligibility





ES10.

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

E_EVRINJ

Eligibility: ever injected




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_ES11.

If R ever injected (ES10 EQ 1), go to ES11.

Else (ES10 NE 1), go to INTRO_ES18.



ES11.

When was the last time you injected any drug? That is, how many days or months or years ago did you last inject?



[INTERVIEWER: If today, enter "0"]

E_LINJN

IDU ES: When last injected, number




__ __ __





Range

0 - 365




Don't Know

999




Refuse to Answer

777




Check_ES11a.

If R last injected today or did not report the last time they injected,(ES11 EQ 0, DK, or REF) go to CALC_E_INJ12. Else, go to ES11a.



ES11a.

[INTERVIEWER: Was this days or months or years?]

E_LINJU

IDU ES : When last injected, unit




Days

0




Months

1




Years

2




CALC_E_INJ12.



E_INJ12

injected in last 12 months

E_INJ12 = if ((E_LINJN=0), 1, if (E_LINJU=0 and E_LINJN<=365), 1, if ((E_LINJU=1 and E_LINJN<=12), 1, if ((E_LINJU=2 and E_LINJN <=1), 1, 0)))



ES12.

[Give Respondent Flashcard B.]



Which drug do you inject most often?



[READ choices.]

E_USINJ

Eligibility, drug usually injected




Speedball, which is heroin and cocaine together

1




Heroin, by itself

2




Powder cocaine, by itself

3




Crack cocaine, by itself

4




Methamphetamine, also known as meth, crystal meth, speed, or crank

5




Painkillers, such as Oxycontin, Dilaudid, morphine, Percocet, or Demerol

6




Something else

7




Don't Know

99




Refuse to Answer

77




Check_ES12spec.

If R most often injects ‘something else' (ES12 EQ 7), go to ES12spec.

Else, go to ES13.



ES12spec.

INTERVIEWER: Specify other injection drug


SPECE_ID

Specify other injection drug



__ __ __ __ __ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __ __ ____ __ __ __ ____ __ __ __ ____ __ __ __



{text response; max characters = 100}





ES13.

Where on your body do you usually inject?



[INTERVIEWER: Have respondent show ALL injection areas on body. Check for physical signs of injection.]



[DO NOT read choices. CHECK ALL that apply.]

E_INJBY

Part of body injected


E_INJBYA

Fresh track marks



E_INJBYB

Needle-sized scabs



E_INJBYC

Abscesses



E_INJBYD

Old track marks or scars



E_INJBYE

Injects in covered area



E_INJBYF

No physical signs




Refuse to Answer

7




HardEdit_ES13.

If interviewer records both physical signs & ‘no physical signs' of injection (E_INJBYA EQ 1 or E_INJBYB EQ 1 or E_INJBYC EQ 1 or E_INJBYD EQ 1) & E_INJBYF EQ 1, DISPLAY: "INTERVIEWER: You indicated that the respondent had both physical signs and no physical signs of injection. Clarify and re-enter response to current or prior item as needed." Then go back to ES13.

Else, go to CALC_E_INJSGN.



CALC_E_INJSGN.



E_INJSGN

Eligible: Phy Sign Recent Injection

E_INJSGN = if ((E_INJBYA=1 OR E_INJBYB=1 OR E_INJBYC=1), 1, if ((E_INJBYD=1 OR (E_INJBYF=1 & E_INJBYE^=1), 2, 0))





Check_ES14.

If R has only non-recent or no physical signs of injection (E_INJSGN EQ 2), go to ES14.

Else, go to CALC_E_INJCT.





ES14.

Step-by-step, tell me how you prepare your drugs.



[INTERVIEWER: Description could include:

--Mix drugs with water or lemon juice/vinegar--Use cooker /Heat drugs--Use filter]

E_INJPRP

Eligibility, prepare drugs



Description OK

1



Description Not OK

2




ES15.

Step-by-step, tell me how you inject your drugs.



[INTERVIEWER: Description could include:

--Tie off and find vein (IVDU)--Clean injection site--Register (IVDU)]

E_HWINJ

Eligibility, how is injection done




Description OK

1




Description Not OK

2




ES16.

What type of syringe do you usually inject with?



[INTERVIEWER: Description could include:

--Syringe size (in cc's or units)--Needle size (gauge, length)--Cap (color, number)(Can also ask where they usually get syringes, what they do with them after injecting, and how they know if they are new or used.)]

E_STYP

Eligibility, type of syringe used




Description OK

1




Description Not OK

2




CALC_E_INJKNW.



E_INJKNW

Eligible: Injection knowledge

E_INJKNW = if ((E_INJPRP=1 AND E_HWINJ=1 AND E_STYP=1),1,0)



CALC_E_INJCT.



E_INJCT

Eligible: Injection signs or knowledge

E_INJCT = if (E_INJSGN=1 OR (E_INJSGN=2 AND E_INJKNW=1),1,0)



Check_HET_Behavioral_Eligibility.

Go to INTRO_ES18.





NHBS-HET Behavioral Eligibility



Check_INTRO_ES17.

If R male or female (ES9 EQ 1 or 2), go to INTRO_ES17.

If R NOT male or female (ES9 EQ 3, DK, or REF), go to CALC_E_VAS12.



INTRO_ES17.


DISPLAY: "READ: The next questions are about having sex. Please remember your answers will be kept private."



ES17.

Have you had sex with a [if R is male, fill with "woman"; if R is female, fill with "man"] in the past 12 months?

E_OPPSEX

Eligibility: opposite sex partner, past 12 mos.




No

0




Yes

1




Don't Know

9




Refuse to Answer

7






Check_ES17a.


If R had sex with opposite-sex partner (ES17 EQ 1), go to ES17a.

Else, go to CALC_E_VAS12.



ES17a.

Did you have vaginal sex? By vaginal sex, I mean [if R is male, fill with "you put your penis in her vagina"; if R is female, fill with "he put his penis in your vagina"].

E_VS12

Eligibility: Vaginal sex past 12mos



No

0



Yes

1



Don't Know

9



Refuse to Answer

7






Check_ES17b.


If R had vaginal sex (ES17a EQ 1), go to CALC_E_VAS12.

Else, go to ES17b.





ES17b.

Did you have anal sex? By anal sex, I mean [if R is male, fill with "you put your penis in her anus or butt"; if R is female, fill with "he put his penis in your anus or butt"].

E_AS12

Eligibility: Anal sex past 12mos




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_ES17conf.


If R reported sex but neither vaginal nor anal sex with opposite sex partner (ES17 EQ 1 & ES17a EQ 0 & ES17b EQ 0), go to ES17conf.

Else, go to CALC_E_VAS12.



ES17conf.

So, in the last 12 months, you only had oral sex with a [if R is male, fill with "woman"; if R is female, fill with "man"]? Is that correct? 

C_OS12

Eligibility: Oral sex confirmation only




No

0




Yes

1

.



Check_CALC_E_VAS12.


If oral sex only NOT correct (ES17conf EQ 0), go back to ES17a.

Else, go to CALC_E_VAS12.



CALC_E_VAS12.



E_VAS12

Eligibility: Opposite Sex Partner, p 12mos

If (E_VS12 =DK or REF) & (E_AS12 =DK or REF), E_VAS12=9.

Else if (E_VS12 = 1 or E_AS12 = 1), E_VAS12 =1.

Else, E_VAS12 = 0.



Language Proficiency



INTRO_ES18.

DISPLAY: "READ: The next questions are about languages you speak."



ES18.

How well do you speak English?



[READ choices.]

ENGPFCY

English proficiency



Very well

1



Well

2



Not well

3



Not at all

4



Don't Know

9



Refuse to Answer

7




ES19.

How well do you speak Spanish?



[READ choices.]

SPNPFCY

Spanish proficiency



Very well

1



Well

2



Not well

3



Not at all

4



Don't Know

9



Refuse to Answer

7




Interviewer assessment





INTRO_Check_CALC_EL.

DISPLAY: "READ: We've finished the first series of questions. Now the computer will determine whether you've been selected to participate in the survey."




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