Behavioral Assessment for MSM (English)

National HIV Behavioral Surveillance System

Att 3b_Behavioral Assessment MSM_Eng

NHBS Behavioral Assessment (MSM)

OMB: 0920-0770

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Behavioral Assessment MSM (English)



Form Approved:

OMB No. 0920-0770

Expiration Date: XX/XX/XXXX





National HIV Behavioral Surveillance System: Core Questionnaire



MSM Cycle OMB Statement



Public reporting burden of this collection of information is estimated to average 30 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

CORE INTRODUCTION (CI)

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

Section

Question #

Variable name

Variable label

Preloaded Variables

--

CYCLE

NHBS Cycle

Eligibility Screener

--

EL_MSM

Eligible: MSM cycle

Eligibility Screener

--

EL_IDU

Eligible: IDU cycle

Eligibility Screener

--

EL_HET

Eligible: HET cycle

Consent

CN1

CONSENTA

Consent to survey



Universe_CI.

All Eligible Rs (CYCLE EQ 1 & EL_MSM EQ 1) or (CYCLE EQ 2 & EL_IDU EQ 1) or (CYCLE EQ 3 & EL_HET EQ 1) who consent to interview (CN1 EQ 1).




CALC_START_C.



START_C

Interview start time

START_C = Current time




INTRO_CORE.

On one screen, DISPLAY: "GET READY TO BEGIN THE SURVEY."



On the next screen, DISPLAY:

"READ: Most people have never been in an interview like this one, so I'm going to describe how it works before we start. I will read you questions exactly as they are written. Some may sound awkward, but I need to read them as worded so everyone in the study is asked the same questions. Some questions will ask you to recall if you did something, when you did it, or how often you did it. For others, I'll read or show you a list of responses to choose from. Please be as accurate as you can."

Then, go to END_CI.




END_CI.

Go to Network Section (NS).

NHBS ROUND 5 QUESTIONNAIRE

NETWORK SECTION (NS)

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

Section

Question #

Variable name

Variable label

Preloaded variables

--

CYCLE

NHBS Cycle

Interviewer Entered Information

IE2

CITY

City

Interviewer Entered Information

IE10

ISEED

Respondent is a seed

Eligibility Screener

--

EL_IDU

Eligible: IDU cycle

Eligibility Screener

--

EL_HET

Eligible: HET cycle



UNIVERSE_NS.

IDU or HET cycle eligible Rs (CYCLE EQ 2 & EL_IDU EQ 1) or (CYCLE EQ 3 & EL_HET EQ 1) who consent to interview (CN1 EQ 1).


CALC_BEGNS.



BEGNS

Time at beginning of network section

BEGNS = Current time


Check_INTRO_NS1.

If IDU cycle (CYCLE EQ 2) & R is not a seed (IE10 EQ 0), go to INTRO_NS1.

If IDU cycle (CYCLE EQ 2) & R is a seed (IE10 EQ 1), go to INTRO_NS2a.1.

If HET cycle (CYCLE EQ 3) & R is not a seed (IE10 EQ 0), go to INTRO_NS3.

If HET cycle (CYCLE EQ 3) & R is a seed (IE10 EQ 1), go to INTRO_NS4a.1.

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



IDU Network Series (INTRO_NS1- Check_ Check_INTRO_NS3)

IDU Recruiter Relationship

INTRO_NS1.

DISPLAY: "READ: I'm going to start by asking you about the person who gave you this coupon and about other people you know in [if the project area is Norfolk (IE2 EQ 17), fill with "Hampton Roads", else, fill with project area (city name from IE2)] who inject. Please remember that your answers will be kept private."



NS1.

[Give Respondent Flashcard C.]



Which of the following describes how you know the person who gave you this coupon? You can choose more than one answer.



[READ choices. CHECK ALL that apply.]

NS_IREL

Relationship to recruiter, IDU



NS_IRELA

A relative or family member




NS_IRELB

A person you have sex with




NS_IRELC

A person you use drugs with or buy drugs from




NS_IRELD

A friend




NS_IRELE

An acquaintance, that is, a person you know but do not consider a friend




NS_IRELF

A stranger, you don't know the person or just met them





Refuse to Answer

77




HardEdit_NS1.

If recruiter was a stranger and some other relationship type (NS_IRELF EQ 1 & (NS_IRELA or NS_IRELB or NS_IRELC or NS_IRELD or NS_IRELE EQ 1)), then DISPLAY: "INTERVIEWER: Respondent cannot choose stranger along with some other relationship type. Clarify respondent's relationship with their recruiter." Then, go back to NS1.

Else, go to Check_NS1CONF.



Check_NS1CONF.

If recruiter was a stranger (NS_IRELF EQ 1), go to NS1CONF.

If recruiter was not a stranger (NS_IRELF NE 1), go to INTRO_NS2a.1.



NS1CONF.

When and where did you first see this person?



[INTERVIEWER: If the respondent indicates that he first saw the recruiter in a situation related to the project (e.g. receiving their coupon, waiting outside of the storefront, etc.), then check "Recruiter is a stranger".]

NS_RSTRI

Confirmation: recruiter is a stranger




Recruiter is a stranger

1




Recruiter is NOT a stranger

2




Check_INTRO_NS2a.1.

If R does not confirm that his recruiter was a stranger (NS1CONF EQ 2), go back to NS1.

If R confirms that his recruiter was a stranger (NS1CONF EQ 1), go to INTRO_NS2a.1.



IDU Network Size: First Loop

INTRO_NS2a.1.

DISPLAY: "READ: Now, I'm going to ask you about people you know. Specifically, I'm going to ask you how many people you know in [if the project area is Norfolk (IE2 EQ 17), fill with "Hampton Roads", else, fill with project area (city name from IE2)] who inject and whom you have seen in the past 30 days. Remember, we are only interested in those people you have seen in the past 30 days. I will not ask you questions about any specific person."



NS2a.1.

Please tell me how many men in [if the project area is Norfolk (IE2 EQ 17), fill with "Hampton Roads", else, fill with project area (city name from IE2)] you know who inject and whom you have seen in the past 30 days. [If R is not a seed (IE10 EQ 0), fill with "Please include the person who gave you the coupon if they are male."]

NS_IDUMA

# male IDUs known: net size




Range

0 - 7500




Don't Know

9999




Refuse to Answer

7777




NS2b.1.

How many women in [if the project area is Norfolk (IE2 EQ 17), fill with "Hampton Roads", else, fill with project area (city name from IE2)] do you know who inject and whom you have seen in the past 30 days? [If R is not a seed (IE10 EQ 0), fill with "Please include the person who gave you the coupon if they are female."]

NS_IDUFE

# female IDUs known: net size




Range

0 - 7500




Don't Know

9999




Refuse to Answer

7777




Check_CALC_NSC_IDUM.

If (NS2a.1 EQ DK or REF) & (NS2b.1 EQ DK or REF), go to CALC_ENDNS.

Else, go to CALC_NSC_IDUM.



CALC_NSC_IDUM.



NSC_IDUM

# male IDUs known: calculated net size

NSC_IDUM = if(NS_IDUMA=.DK OR NS_IDUMA=.REF,0,NS_IDUMA)



CALC_NSC_IDUF.



NSC_IDUF

# female IDUs known: calculated net size



NSC_IDUF = if(NS_IDUFE=.DK OR NS_IDUFE=.REF,0,NS_IDUFE)



CALC_NSC_IDUS.



NSC_IDUS

# IDUs known: calculated net size

NSC_IDUS = NSC_IDUM+NSC_IDUF



Check_NS2CONFa.

If NSC_IDUS EQ 0, go to NS2CONFa.

If NSC_IDUS EQ 1, 2, or 3, go to NS2CONFb.

If NSC_IDUS GT 3, go to NS2CONFc.





NS2CONFa.

You said you don't know anyone in [if the project area is Norfolk (IE2 EQ 17), fill with "Hampton Roads", else, fill with project area (city name from IE2)] who injects that you have seen in the past 30 days. Is this correct? [If R is not a seed (IE10 EQ 0), fill with "Did you include the person who gave you the coupon?"]

NS_IZERO

Confirmation: NSC_IDUS = 0




No - - DOES know other injectors

0




Yes - - does NOT know any other injectors

1




Check_NS2CONFb.

If R does not know any other injectors (NS2CONFa EQ 1), go to CALC_ENDNS.

If R does know other injectors (NS2CONFa EQ 0), DISPLAY: "INTERVIEWER: Please re-enter the correct network size." Then, go to NS2a.2.





NS2CONFb.

Is there anyone else you know in [if the project area is Norfolk (IE2 EQ 17), fill with "Hampton Roads", else, fill with project area (city name from IE2)] who injects that you have seen in the past 30 days? [If R is not a seed (IE10 EQ 0), fill with "Did you include the person who gave you the coupon?"]

NS_ILOWS

Confirmation: NSC_IDUS < 4




No - - does NOT know any other injectors

0




Yes - - DOES know more injectors

1




Check_NS2CONFc.

If R does not know any other injectors (NS2CONFb EQ 0), go to CALC_ENDNS.

If R does know other injectors (NS2CONFb EQ1), DISPLAY: "INTERVIEWER: Please re-enter the correct network size." Then, go to NS2a.2.



NS2CONFc.

So in the past 30 days, you've seen [fill with NSC_IDUS] people who you know inject and who live in [if the project area is Norfolk (IE2 EQ 17), fill with "Hampton Roads", else, fill with project area (city name from IE2)]. Would you say that [fill with NSC_IDUS] people is about right?

NS_ICHCK

Confirmation: NSC_IDUS correct




Yes, about right

0




No, you actually know FEWER people who inject

1




No, you actually know MORE people who inject

2




Don't Know

9




Refuse to Answer

7




Check_NS2a.2.

If R knows fewer or more people who inject (NS2CONFc EQ 1 or 2), go to NS2a.2.

Else, go to CALC_ENDNS.



IDU Network Size: Second Loop



NS2a.2.

Please tell me how many men in [if the project area is Norfolk (IE2 EQ 17), fill with "Hampton Roads", else, fill with project area (city name from IE2)] you know who inject and whom you have seen in the past 30 days. [If R is not a seed (IE10 EQ 0), fill with "Please include the person who gave you the coupon if they are male."]

NS_IDUM2

# male IDUs known: net size, 2nd loop




Range

0 - 7500




Don't Know

9999




Refuse to Answer

7777




NS2b.2.

How many women in [if the project area is Norfolk (IE2 EQ 17), fill with "Hampton Roads", else, fill with project area (city name from IE2)] do you know who inject and whom you have seen in the past 30 days? [If R is not a seed (IE10 EQ 0), fill with "Please include the person who gave you the coupon if they are female."]

NS_IDUF2

# female IDUs known: net size , 2nd loop




Range

0 - 7500




Don't Know

9999




Refuse to Answer

7777




Check_CALC_NSC_IDUM2.

If (NS2a.2 EQ DK or REF) & (NS2b.2 EQ DK or REF), go to CALC_ENDNS.

Else, go to CALC_NSC_IDUM2.



CALC_NSC_IDUM2.



NSC_IDUM

# male IDUs known: calculated net size

NSC_IDUM = if(NS_IDUM2=.DK OR NS_IDUM2=.REF,0,NS_IDUM2)



CALC_NSC_IDUF2.



NSC_IDUF

# female IDUs known: calculated net size

NSC_IDUF = if(NS_IDUF2=.DK OR NS_IDUF2=.REF,0,NS_IDUF2)



CALC_NSC_IDUS2.



NSC_IDUS

# IDUs known: calculated net size

NSC_IDUS = NSC_IDUM+NSC_IDUF



NS2c.2.

So in the past 30 days, you've seen [fill with NSC_IDUS] people who you know inject and who live in [if the project area is Norfolk (IE2 EQ 17), fill with "Hampton Roads", else, fill with project area (city name from IE2)]. Would you say that [fill with NSC_IDUS] people is about right?

NS_ICHK2

Confirmation: NSC_IDUS correct, 2nd loop




Yes, about right

0




No, you actually know FEWER people who inject

1




No, you actually know MORE people who inject

2




Don't Know

9




Refuse to Answer

7




Check_INTRO_NS3.

Go to CALC_ENDNS.



HET Network Series (INTRO_NS3- NS4c.2)

HET Recruiter Relationship

INTRO_NS3.

DISPLAY: "READ: I'm going to start by asking you about the person who gave you this coupon and about other people you know in [if the project area is Norfolk (IE2 EQ 17), fill with "Hampton Roads", else, fill with project area (city name from IE2)]. Please remember that your answers will be kept private."



NS3.

[Give Respondent Flashcard D.]



Which of the following describes how you know the person who gave you this coupon? You can choose more than one answer.



[READ choices. CHECK ALL that apply.]

NS_HREL

Relationship to Recruiter, HET



NS_HRELA

A relative or family member




NS_HRELB

A person you have sex with




NS_HRELC

A friend




NS_HRELD

An acquaintance, that is, a person you know but do not consider a friend




NS_HRELE

A stranger, you don't know the person or just met them





Refuse to Answer

7




HardEdit_NS3.

If recruiter was a stranger and some other relationship type (NS_HRELE EQ 1 & (NS_HRELA or NS_HRELB or NS_HRELC or NS_HRELD EQ 1)), DISPLAY: "INTERVIEWER: Respondent cannot choose stranger along with some other relationship type. Clarify respondent's relationship with their recruiter." Then, go back to NS3.

Else, go to Check_NS3CONF.





Check_NS3CONF.

If R's recruiter was a stranger (NS_HRELE EQ 1), go to NS3CONF.

If R's recruiter was not a stranger (NS_HRELE NE 1), go to INTRO_NS4a.1.







NS3CONF.

When and where did you first see this person?



[INTERVIEWER: If the respondent indicates that he first saw the recruiter in a situation related to the project (e.g. receiving their coupon, waiting outside of the storefront, etc.), then check "Recruiter is a stranger".]

NS_RSTRH

Confirmation: recruiter is a stranger




Recruiter is a stranger

1




Recruiter is NOT a stranger

2







Check_INTRO_NS4a.1.

If R does not confirm that recruiter was a stranger (NS3CONF EQ 2), go back to NS3.

If R confirms that recruiter was a stranger (NS3CONF EQ 1), go to INTRO_NS4a.1.



HET Network Size: First Loop



INTRO_NS4a.1.

DISPLAY: "READ: Now, I'm going to ask you about people you know. Specifically, I'm going to ask you about how many people you know in [if the project area is Norfolk (IE2 EQ 17), fill with "Hampton Roads", else, fill with project area (city name from IE2)] whom you have seen in the past 30 days. Remember, we are only interested in those people you have seen in the past 30 days. I will not ask you any questions about any specific person."



NS4a.1.

Please tell me how many male friends, relatives or people you associate with have you seen in the past 30 days, who are at least 18 years old, and live in [if the project area is Norfolk (IE2 EQ 17), fill with "Hampton Roads", else, fill with project area (city name from IE2)]. [If R is not a seed (IE10 EQ 0), fill with "Please include the person who gave you the coupon if they are male."]

NS_HETMA

# males known: net size




Range

0 - 7500




Don't Know

9999




Refuse to Answer

7777




NS4b.1.

How many female friends, relatives, or people you associate with have you seen in the past 30 days, who are at least 18 years old, and live in [if the project area is Norfolk (IE2 EQ 17), fill with "Hampton Roads", else, fill with project area (city name from IE2)]? [If R is not a seed (IE10 EQ 0), fill with "Please include the person who gave you the coupon if they are female."]

NS_HETFE

# females known: net size




Range

0 - 7500




Don't Know

9999




Refuse to Answer

7777




Check_CALC_NSC_HETM.

If (NS4a.1 EQ DK or REF) & (NS4b.1 EQ DK or REF), go to CALC_ENDNS.

Else, go to CALC_NSC_HETM.



CALC_NSC_HETM.



NSC_HETM

# males known: calculated net size

NSC_HETM = if(NS_HETMA=.DK OR NS_HETMA=.REF,0,NS_HETMA)



CALC_NSC_HETF.



NSC_HETF

# females known: calculated net size

NSC_HETF = if(NS_HETFE=.DK OR NS_HETFE=.REF,0,NS_HETFE)



CALC_NSC_HETS.



NSC_HETS

# HETs known: calculated net size

NSC_HETS = NSC_HETM+NSC_HETF





Check_NS4CONFa.

If NSC_HETS EQ 0, go to NS4CONFa.

If NSC_HETS EQ 1, 2 or 3, go to NS4CONFb.

If NSC_HETS GT 3, go to NS4CONFc.





NS4CONFa.

You said you haven't seen anyone in the past 30 days in [if the project area is Norfolk (IE2 EQ 17), fill with "Hampton Roads", else, fill with project area (city name from IE2)] who is a friend, relative, or someone you associate with who is at least 18 years old. Is this correct? [If R is not a seed (IE10 EQ 0), fill with "Did you include the person who gave you the coupon?"]

NS_HZERO

Confirmation: NSC_HETS = 0




No - - DOES know others

0




Yes - - does NOT know any others

1






Check_NS4CONFb.

If R does not know others (NS4CONFa EQ 1), go to CALC_ENDNS.

If R does know others (NS4CONFa EQ 0), DISPLAY: "INTERVIEWER: Please re-enter the correct network size." Then, go to NS4a.2.





NS4CONFb.

Is there anyone else you know in [if the project area is Norfolk (IE2 EQ 17), fill with "Hampton Roads", else, fill with project area (city name from IE2)] who is a friend, relative, or someone you associate with who is at least 18 years old who you've seen in the past 30 days? [If R is not a seed (IE10 EQ 0), fill with "Did you include the person who gave you the coupon?"]

NS_HLOWS

Confirmation: NSC_HETS < 4




No - - Does NOT know any others

0




Yes - - DOES know others

1






Check_NS4CONFc.

If R does not know others (NS4CONFb EQ 0), go to CALC_ENDNS.

If R does know others (NS4CONFb EQ 1), DISPLAY: "INTERVIEWER: Please re-enter the correct network size." Then, go to NS4a.2.





NS4CONFc.

So in the past 30 days, you've seen [fill with NSC_HETS] friends, relatives, or people you associate with that live in [if the project area is Norfolk (IE2 EQ 17), fill with "Hampton Roads", else, fill with project area (city name from IE2)] and are at least 18 years old. Would you say that [fill with NSC_HETS] people is about right?

NS_HCHCK

Confirmation: NSC_HETS correct




Yes, about right

0




No, you actually know FEWER people

1




No, you actually know MORE people

2




Don't Know

9




Refuse to Answer

7




Check_NS4a.2.

If R knows fewer or more people (NS4CONFc EQ 1 or 2), go to NS4a.2.

Else, go to CALC_ENDNS.



HET Network Size: Second Loop



NS4a.2.

Please tell me how many male friends, relatives or people you associate with have you seen in the past 30 days, who are at least 18 years old, and live in [if the project area is Norfolk (IE2 EQ 17), fill with "Hampton Roads", else, fill with project area (city name from IE2)]. [If R is not a seed (IE10 EQ 0), fill with "Please include the person who gave you the coupon if they are male."]

NS_HETM2

# males known: net size, 2nd loop




Range

0 - 7500




Don't Know

9999




Refuse to Answer

7777










NS4b.2.

How many female friends, relatives, or people you associate with have you seen in the past 30 days, who are at least 18 years old, and live in [if the project area is Norfolk (IE2 EQ 17), fill with "Hampton Roads", else, fill with project area (city name from IE2)]? [If R is not a seed (IE10 EQ 0), fill with "Please include the person who gave you the coupon if they are female."]

NS_HETF2

# females known: net size, 2nd loop




Range

0 - 7500




Don't Know

9999




Refuse to Answer

7777






Check_CALC_NSC_HETM2.

If (NS4a.2 EQ DK or REF) & (NS4b.2 EQ DK or REF), go to CALC_ENDNS.

Else, go to CALC_NSC_HETM2.



CALC_NSC_HETM2.



NSC_HETM

# males known: calculated net size

NSC_HETM = if(NS_HETM2=.DK OR NS_HETM2=.REF,0,NS_HETM2)



CALC_NSC_HETF2.



NSC_HETF

# females known: calculated net size

NSC_HETF = if(NS_HETF2=.DK OR NS_HETF2=.REF,0,NS_HETF2)



CALC_NSC_HETS2.



NSC_HETS

# HETs known: calculated net size

NSC_HETS = NSC_HETM+NSC_HETF







NS4c.2.

So in the past 30 days, you've seen [fill with NSC_HETS] friends, relatives, or people you associate with that live in [if the project area is Norfolk (IE2 EQ 17), fill with "Hampton Roads", else, fill with project area (city name from IE2)]and are at least 18 years old. Would you say that [fill with NSC_HETS] people is about right?

NS_HCHK2

Confirmation: NSC_HETS correct, 2nd loop




Yes, about right

0




No, you actually know FEWER people

1




No, you actually know MORE people

2




Don't Know

9




Refuse to Answer

7






CALC_ENDNS.



ENDNS

Time network section ended

ENDNS = Current time



END_NS.

Go to Demographic Section (DM).





NHBS ROUND 5 QUESTIONNAIRE

DEMOGRAPHICS (DM)

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

Interviewer Entered Information

IE2

CITY

City

Eligibility Screener

ES1

DOB

Date of birth

Eligibility Screener


EL_MSM

Eligible: MSM cycle

Eligibility Screener


EL_IDU

Eligible: IDU cycle

Eligibility Screener


EL_HET

Eligible: HET cycle

Consent

CN1

CONSENTA

Consent to survey



Universe_DM.

All Eligible Rs (CYCLE EQ 1 & EL_MSM EQ 1) or (CYCLE EQ 2 & EL_IDU EQ 1) or (CYCLE EQ 3 & EL_HET EQ 1) who consent to interview (CN1 EQ 1).



CALC_BEGDM.



BEGDM

Time at beginning of DM section

BEGDM = Current time



Residence



INTRO_DM1.

If MSM cycle (CYCLE EQ 1), DISPLAY: "READ: I'd like to start by asking you some questions about where you live. Please remember your answers will be kept private."

If IDU or HET cycle (CYCLE EQ 2 or 3), DISPLAY: "READ: Next, I'd like to ask you some questions about where you live. Please remember your answers will be kept private."



DM1.

In the past 12 months, that is, since [fill with interview month, formatted as text] of last year, have you been homeless at any time? By homeless, I mean you were living on the street, in a shelter, in a Single Room Occupancy hotel (SRO), or in a car.

EVRHOMLS

Homeless during past 12 months



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_DM1a.

If R homeless in last 12 months (DM1 EQ 1), go to DM1a.

Else, go to Check_DM2.



DM1a.

Are you currently homeless?

CURHMLSS

Currently homeless



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_DM2.

If MSM or IDU cycle (CYCLE EQ 1 or 2), go to DM2.

Else, go to DM3.



DM2.

What zip code do you live in?

ZIP

Zip code



__ __ __ __ __




Range

00500-99501



Don't Know

999999



Refuse to Answer

777777


HardEdit_DM2.

If response to DM2 is not 5 digits long, DISPLAY: "INTERVIEWER: The ZIP code you entered was [fill with response to DM2]. This number should be 5 digits long. Please re-enter the zip code." Then, go back to DM2.

Else, go to DM3.



Nativity



DM3.

Next, I would like to ask you some questions about your background. What country were you born in?


[DO NOT read choices.]

COUNTRY

Country of birth



United States

1



Mexico

2



Puerto Rico

3



Cuba

4



Other

5



Don't Know

9



Refuse to Answer

7




Check_DM3spec.

If R born in ‘other' country (DM3 EQ 5), go to DM3spec.

Else, go to Check_DM3a.



DM3spec.

INTERVIEWER: Specify other country of birth

SPECBORN

Specify country of birth



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



{text response; max length = 100 characters}



Check_DM3a.

If R interviewed in San Juan & born in Mexico, Cuba, or ‘other' country (IE2 EQ 23 & DM3 EQ 2, 4, or 5) or R interviewed in any other city & born in Mexico, Puerto Rico, Cuba, or ‘other' country (IE2 NE 23 & DM3 EQ 2, 3, 4, or 5), go to DM3a.

Else, go to INTRO_DM3b1.



DM3a.

What year did you first come to live in the United States?


YEARUSA

Year first came to US



__ __ __ __




Range

1900-Current



Don't Know

9999



Refuse to Answer

7777




HardEdit_DM3a.

If DM3a after year of interview (DM3a AFTER IDATE (year)), DISPLAY: "INTERVIEWER: The year first came to US cannot be after the current year." Then, go back to DM3a.

If DM3a before year of birth (DM3a BEFORE ES1 (year)), DISPLAY: "INTERVIEWER: The year first came to US cannot be before participant's birth year." Then, go back to DM3a.

Else, go to CheckDM3b1.



Language



Check_DM3b1.

If R is being interviewed in English (LANGUAGE=1), go to DM3b1.

Else, go to Check_DM4.



DM3b1.

Do you speak a language other than English at home?

SPKOTLN

Speak language other than English at home



No

0



Yes

1



Don't Know

9



Refuse to Answer

7












Marital status



Check_DM4.

If IDU or HET cycle (CYCLE EQ 2 or 3), go to DM4.

Else, go to DM5.



DM4.

What is your current marital status?



[READ choices.]

MSTAT

Marital status



Married

1



Living together as married

2



Separated

3



Divorced

4



Widowed

5



Never married

6



Don't Know

9



Refuse to Answer

7




Check_DM4a.

If current marital status is cohabitation (DM4 EQ 2), go to DM4a.

Else, go to DM5.



DM4a.

Is your formal marital status separated, divorced, widowed, or never married?

MSTAT_M

Formal marital status



Separated

1



Divorced

2



Widowed

3



Never married

4



Don't Know

9



Refuse to Answer

7


Socioeconomic Status



DM5.

What is the highest level of education you completed?



[DO NOT read choices.]

SCHOOL

Education



Never attended school

0



Grades 1 through 8

1



Grades 9 through 11

2



Grade 12 or GED

3



Some college, Associate's Degree, or Technical Degree

4



Bachelor's Degree

5



Any post graduate studies

6



Don't Know

9



Refuse to Answer

7






DM6.

What best describes your employment status? Are you:



[READ choices.]

EMPSTAT

Employment status



Employed full-time

1



Employed part-time

2



A homemaker

3



A full-time student

4



Retired

5



Unable to work for health reasons

6



Unemployed

7



Other

8



Don't Know

99



Refuse to Answer

77






INTRO_DM7.

If R currently homeless (DM1a EQ 1), DISPLAY: "READ: Next I'd like to ask you some questions about your income. By "income," I mean the total amount of money you earn or receive. This includes money other people share with you."

Else, DISPLAY: "READ: Next I'd like to ask you some questions about your household income. By "household income," I mean the total amount of money earned and shared by all people living in your household."



DM7.

What was your [if R currently homeless (DM1a EQ 1), fill with "income", else, fill with "household income"] last year from all sources before taxes? Please take a look at this card and tell me the letter that best corresponds to your monthly or yearly income.



[Give Respondent Flashcard E.]



[DO NOT read choices.]

HHINCOM

Household Income



A - 0 to $416 (M) 0 to $4,999 (Y)

0



B - $417 to $833 (M) $5,000 to $9,999 (Y)

1



C - $834 to $1041 (M) $10,000 to $12,499 (Y)

2



D - $1042 to $1249 (M) $12,500 to $14,999 (Y)

3



E - $1250 to $1666 (M) $15,000 to $19,999 (Y)

4



F - $1667 to $2083 (M) $20,000 to $24,999 (Y)

5



G - $2084 to $2499 (M) $25,000 to $29,999 (Y)

6



H - $2500 to $2916 (M) $30,000 to $34,999 (Y)

7



I - $2917 to $3333 (M) $35,000 to $39,999 (Y)

8



J - $3334 to $4166 (M) $40,000 to $49,999 (Y)

9



K - $4167 to $4999 (M) $50,000 to $59,999 (Y)

10



L - $5000 to $6249 (M) $60,000 to $74,999 (Y)

11



M - $6250 or more (M) $75,000 or more (Y)

12



Don't Know

99



Refuse to Answer

77




Check_DM7a.

If R reported income (DM7 GE 0 & LE 12), go to DM7a.

Else, go to Check_CALC_POVERTY.



DM7a.

Including yourself, how many people depended on this income?



[INTERVIEWER: Must be at least 1.]

DEPEND

Number of dependents



__ __



Range

1-76



Don't Know

99



Refuse to Answer

77






Check_CALC_POVERTY.

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

Else, go to INTRO_DM8.



CALC_POVERTY






















POVERTY

Poverty Status

IF((HHINCOM=.DK or HHINCOM=.REF or HHINCOM=.SK), 9,

IF((DEPEND=.DK or DEPEND=.REF or DEPEND=.SK) and (HHINCOM > 2),9, IF((HHINCOM=0 or HHINCOM=1 or HHINCOM=2),1,

IF((DEPEND=1 AND (HHINCOM>2)),0,

IF((DEPEND=2) AND (HHINCOM>4),0,

IF((DEPEND=3 OR DEPEND=4) AND (HHINCOM>5)),0,

IF((DEPEND=5 AND (HHINCOM>6)),0,

IF((DEPEND=6) AND (HHINCOM>7),0,

IF((DEPEND=7) AND (HHINCOM>8),0,

IF((DEPEND=8 OR DEPEND=9 OR DEPEND=10) AND (HHINCOM>9),0,

IF((DEPEND=11 OR DEPEND=12) AND(HHINCOM>10),0,

IF((DEPEND=13 OR DEPEND=14 OR DEPEND=15 OR DEPEND=16) AND (HHINCOM>11),0,

IF((DEPEND>=17AND (HHINCOM>12)),0,1)))))))))))))

Note: Calculation of POVERTY updated when DHHS Poverty Guidelines released for the calendar year preceding the HET cycle.



Health Care Access & Utilization

INTRO_DM8.

DISPLAY: "The next questions are about health insurance. By health insurance, we mean health plans people get through employment or purchased directly, as well as government programs like Medicare and Medicaid that provide medical care or help pay medical bills."



DM8.

Do you currently have health insurance or health care coverage?

CURRHLTH

Currently insured



No

0



Yes

1



Don't Know

9



Refuse to Answer

7






Check_DM8a.

If R currently insured (DM8 EQ 1), go to DM8a.

Else, go to DM8b.



DM8a.

What kind of health insurance or coverage do you currently have?



[Give Respondent Flashcard F.]



[READ choices. CHECK ALL that apply.]

TYP_INS

Type of health insurance


TYP_INSA

A private health plan - through an employer or purchased directly



TYP_INSB

Medicaid - for people with low incomes



TYP_INSC

Medicare - for the elderly and people with disabilities



TYP_INSD

Some other government plan



TYP_INSE

TRICARE / CHAMPUS



TYP_INSF

Veterans Administration coverage



TYP_INSG

Some other health insurance




Don't Know

99



Refuse to Answer

77




Check_DM8aspec.

If R reported ‘other' insurance type (TYP_INSG EQ 1), go to DM8aspec.

Else, go to DM8b.



DM8aspec.

INTERVIEWER: Specify other health insurance or coverage:

SPECINS

Specify other health insurance


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


{text response; max length = 100 characters}



DM8b.

Is there a place that you usually go when you are sick or you need advice about your health? Do NOT include internet web sites.

SRCCAREA

Have a usual source of care



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_DM8b1.

If R has no usual source of care (DM8b EQ 0), go to DM8b.1.

Else, go to Check_DM8c.



DM8b.1.

Is this because there is no place you go for health care or because there is more than one place?

SRCCAREB

Why no usual source of care



There is NO place

1



There is more than one place

2



Don't Know

9



Refuse to Answer

7




Check_DM8c.

If R has usual or more than 1 source of care (DM8b EQ 1 or DM8b.1 EQ 2), go to DM8c.

Else, go to DM8d.

DM8c.

What kind of place [if R has usual source of care (DM8B EQ 1), fill with "is it", else, fill with "do you go to most often"] - a clinic, doctor's office, emergency room, or some other place?

SRCLOC

Location of usual care



Clinic or health center

1



Doctor's office or HMO

2



Hospital emergency room

3



Some other place

4



Doesn't go to one place most often

5



Don't Know

9



Refuse to Answer

7




DM8d.

In the past 12 months, that is, since [fill with interview month, formatted as text] of last year, have you seen a doctor, nurse, or other health care provider?

VSITMD12

Health care visit, 12 months



No

0



Yes

1



Don't Know

9



Refuse to Answer

7






Check_DM8e.1

If whether R saw health care provider not reported (DM8d EQ DK or REF), go to DM8f.

If R saw health care provider (DM8d EQ 1), go to DM8e.1

If R did NOT see health care provider (DM8d EQ 0), go to DM8e.2



DM8e.1

At any of those times you were seen, were you offered an HIV test? An HIV test checks whether someone has the virus that causes AIDS.

RECCHIV

Provider offered HIV test, 12 months



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_DM8e.2.

Go to DM8f.



DM8e.2.

About how long has it been since you last saw a doctor, nurse, or other health care provider about your own health? Would you say it was...



[READ choices.]

WHNLHCP

When last visited health care provider



More than 1 year ago but less than 2 years ago

1



2 to 5 years ago

2



More than 5 years ago

3



Don't Know

9



Refuse to Answer

7




DM8f.

During the past 12 months, was there any time when you needed medical care but didn't get it because you couldn't afford it?

HCAFF

Lacked health care due to cost



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Disability

INTRO_DM9a--

DISPLAY: "The next questions are about your overall health."


DM9a.

Are you deaf or do you have a serious difficulty hearing?

DISDEAF

Disability - Hearing



No

0



Yes

1



Don't Know

9



Refuse to Answer

7



DM9b


DISBLND

Disability - vision



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




DM9c

Because of a physical, mental, or emotional condition, do you have a serious difficulty concentrating, remembering, or making decisions?

DISCOGN

Disability - Cognition



No

0



Yes

1



Don't Know

9



Refuse to Answer

7



DM9d

Do you have a serious difficulty walking or climbing stairs?

DISWALK

Disability - Ambulation



No

0



Yes

1



Don't Know

9



Refuse to Answer

7



DM9e

Do you have difficulty dressing or bathing?

DISCARE

Disability - Self-care



No

0



Yes

1



Don't Know

9



Refuse to Answer

7


DM9f

Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone, such as visiting a doctor's office or shopping?

DISERND

Disability - Errands



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




INTRO_DM10.

If MSM cycle (CYCLE EQ 1), DISPLAY: "The next questions are about people you are attracted to.”


If IDU or HET cycle (CYCLE EQ 2 OR 3), DISPLAY: “The next question is about people you are attracted to.”



Sexual identity



DM10.

Do you consider yourself to be:



[READ choices.]

IDENTITY

Sexual identity



Heterosexual or "Straight"

1



Homosexual, Gay, or Lesbian

2



Bisexual

3



Don't Know

9



Refuse to Answer

7




CALC_ENDDM.



ENDDM

Time demographics section ended

ENDDM = Current time





END_DM.

Go to Social Experiences Section (SO).





NHBS ROUND 5 QUESTIONNAIRE

SOCIAL EXPERIENCES (SO)

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

Section

Question #

Variable name

Variable label

Preloaded variables

--

CYCLE

NHBS Cycle

Interviewer Entered Information

IE2

CITY

City

Eligibility Screener

--

EL_MSM

Eligible:MSM cycle

Consent

CN1

CONSENTA

Consent to survey



Universe_SO.

All Rs in MSM cycle (CYCLE EQ 1) who are eligible for & consent to interview (EL_MSM EQ 1 & CONSENTA EQ 1).



CALC_BEGSO.



BEGSO

Time at beginning of SO section

BEGSO = Current time



Check_SO1.

If MSM cycle (CYCLE EQ 1), go to SO1.

Else go to CALC_ENDSO.


Identity disclosure



SO1.

Have you ever told anyone that you are attracted to or have sex with men?

OUT_YN

Disclosed sexuality - Anyone



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_INTRO_SO2a.

If R ever disclosed sexuality (SO1 EQ 1), go to INTRO_SO2a.

Else, go to INTRO_SO3a.


Identity disclosure index



INTRO_SO2a.

DISPLAY: "READ: I'm going to read you a list of people you may have told. Please tell me whether you have told anyone in each group of people. Have you told any…"



[READ choices. CHECK YES or NO for EACH ONE.]



SO2a.

Friends who are not gay, lesbian, or bisexual

OUT_FRI

Disclosed sexuality - Non-GLB friends



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




SO2b.

Family members

OUT_FAM

Disclosed sexuality - Family members



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_SO2c.

If R ever had sex with a woman (ES9a EQ 1), go to SO2c.

Else go to SO2d.



SO2c.

Female sex partners

OUT_FEM

Disclosed sexuality - Female sex partners



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




SO2d.

Health care providers

OUT_HCP

Disclosed sexuality - HCP



No

0



Yes

1



Don't Know

9



Refuse to Answer

7


MSM Discrimination



INTRO_SO3a.

DISPLAY: "READ: During the past 12 months, that is, since [fill with interview month, formatted as text] of last year, have any of the following things happened to you because someone knew or assumed you were attracted to men?"



[READ choices. CHECK YES or NO for EACH ONE.]



SO3a.

You were called names or insulted

DISC_VER

Discrimination - Verbal



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




SO3b.

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

DISC_SVC

Discrimination - Poor service



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




SO3c.

You were treated unfairly at work or school

DISC_WRK

Discrimination - Work/school



No

0



Yes

1



Don't Know

9



Refuse to Answer

7



Not Applicable

8




SO3d.

You were denied or given lower quality health care

DISC_HC

Discrimination - Health care



No

0



Yes

1



Don't Know

9



Refuse to Answer

7



Not Applicable

8




SO3e.

You were physically attacked or injured

DISC_ATT

Discrimination - Phys assault



No

0



Yes

1



Don't Know

9



Refuse to Answer

7


Perceived community tolerance



INTRO_SO4.

DISPLAY: "[Give Respondent Flashcard G.]



READ: Next, I'm going to read you a statement. Please tell me how strongly you agree or disagree with it, using one of the options on this card."



SO4.

MOST PEOPLE in [if the project area is Norfolk (IE2 EQ 17), fill with "Hampton Roads", else, fill with project area (city name from IE2)] are tolerant of gays and bisexuals. Do you...



[READ choices.]

TOLRNC

Perceived community tolerance of gays and bisexuals



Strongly agree

1



Agree

2



Neither agree nor disagree

3



Disagree

4



Strongly disagree

5



Don't Know

9



Refuse to Answer

7


Internet use



SO5.

In the past 12 months, how often have you used the internet to meet or socialize with gay men either for friendship or sex? This could include social network sites, like Facebook, websites directed towards gay men, like Manhunt, dating sites like OkCupid, or apps, like Grindr. Was it…



[Give Respondent Flashcard H.]



[READ choices.]

MSMWEB

M_M Internet usage



At least once a day

4



At least once a week but not every day

3



At least once a month but not every week

2



Less than once a month

1



Never

0



Don't Know

9



Refuse to Answer

7




CALC_ENDSO.



ENDSO

Time social experiences section ended

ENDSO = Current time



END_SO.

Go to Sexual behavior section (SX).



NHBS ROUND 5 QUESTIONNAIRE

SEXUAL BEHAVIOR (SX)

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

--

AGO12M_C

12 mos before interview: Century Month

Preloaded variables

--

AGO3M_C

3 mos before interview: Century Month

Preloaded variables

--

IDATEY

Interview date: Year

Preloaded variables

--

IDATE

Interview date

Eligibility Screener

ES9

GENDER

Gender

Eligibility Screener

ES9a

E_EVRMSW

Eligibility: MSM, Ever had sex with woman

Eligibility Screener

ES9b

E_EVRMSM

Eligibility: MSM, Ever had sex with man

Eligibility Screener

--

AGE

QDS calculated age today

Consent

CN1

CONSENTA

Consent to survey

Eligibility Screener

--

EL_MSM

Eligible: MSM cycle

Eligibility Screener

--

EL_IDU

Eligible: IDU cycle

Eligibility Screener

--

EL_HET

Eligible: HET cycle



Universe_SX.

All male & female Rs (ES9 EQ 1 or 2) who eligible for cycle (CYCLE EQ 1 & EL_MSM EQ 1) or (CYCLE EQ 2 & EL_IDU EQ 1) or (CYCLE EQ 3 & EL_HET EQ 1) & consent to interview (CN1 EQ 1).



CALC_BEGSX.



BEGSX

Time at beginning of sexual behavior section

BEGSX = Current time





Check_INTRO_SX.

If R is transgender or does not report gender (ES9 EQ 3, DK, or REF), go to CALC_ENDSX.



INTRO_SX.

DISPLAY: "INTERVIEWER: Remember to read questions and definitions as worded. If respondent does not understand a sexual behavior term after you have read item as worded, you may use slang."



Check_M_FSeries.

If MSM cycle (CYCLE EQ 1) & R did not report male-female sex ever (ES9a NE 1), go to CALC_M_FHET.

If R is female (ES9 EQ 2), go to F_MSeries.

Else, go to INTRO_M_FSeries.



Universe_M_FSeries.

All male Rs in IDU and HET Cycle ((ES9 EQ 1) & (CYCLE EQ 2 or 3)) and Rs in MSM cycle who reported male-female sex ever (CYCLE EQ 1 & ES9a EQ 1).



M_F Series: Male Rs – Female Sex Partners (INTRO_M_FSeries – CALC_M_FHET)





INTRO_M_FSeries.

On one screen, DISPLAY: "READ: Next, I'm going to ask you some questions about having sex. Please remember your answers will be kept private."



[Give Respondent Flashcard I.]



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



M_F: Sex with female Ps, lifetime



Check_SX1.

If IDU cycle (CYCLE EQ 2), go to SX1.

If MSM or HET cycle (CYCLE EQ 1 or 3), go to SX2.


SX1.

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

M_FEVER

M_F sex y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX2.

If R ever had male-female sex (SX1 EQ 1), go to SX2.

Else, go to CALC_M_FHET.



SX2.

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

M_FDEBUT

M_F Age at sexual debut




__ __





Range

0-70




Don't Know

99




Refuse to Answer

77




HardEdit_SX2.

If age of first sex greater than current age (SX2 GT AGE), DISPLAY: "INTERVIEWER: The age of first sex cannot be greater than respondent's current age ([fill with R's age (AGE)]). Please clarify and re-enter response." Then, go back to SX2.

Else, go to SX3.



M_F: Total Ps, 12m



SX3.

In the past 12 months, that is, since [fill with interview month, formatted as text] of last year, with how many different women have you had oral, vaginal, or anal sex?


M_FSX12

M_F Number of partners in last 12 months




__ __ __ __






Range

0-7000





Don't Know

9999





Refuse to Answer

7777






Check_SX3conf.

If HET cycle (CYCLE EQ 3) & R reports 0 female partners (SX3 EQ 0), go to SX3conf.

Else, go to Check_INTRO_SX4.



SX3conf.

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

C_M_F

M_F Confirmation had sex in past year - HET cycle only




No – HAS had female partner

0




Yes – Has NOT had female partner

1




Don't Know

9




Refuse to Answer

7




HardEdit_SX3conf.

If R reports sex with a woman in past 12 months (SX3conf. EQ 0), DISPLAY: "INTERVIEWER: Please clarify then re-enter the number of women respondent had sex with in the past 12 months." Then, go back to SX3.

Else, go to Check_INTRO_SX4.



Check_INTRO_SX4.

If R does not report sex with a woman in past 12 months (SX3 EQ 0, DK or REF) or (SX3conf EQ 1, DK, or REF), go to CALC_M_FHET.

If 1 female partner (SX3 EQ 1), go to INTRO_SX4.

If multiple female partners (SX3 GT 1) go to INTRO_SX5a.



M_F: Total Main & Casual Ps, 12m

One Partner (.o)



INTRO_SX4.

On one screen, DISPLAY: "READ: Now I'm going to ask you to describe this sex partner as either a main or casual partner. [Give Respondent Flashcard J.]"



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



SX4.

Was this woman a main partner or a casual partner?

M_F1SX

M_F Type of partner - single




Main partner

1




Casual partner

2




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX5a.

Go to Check_INTRO_SX6a.o.



Multiple Partners (.m)



INTRO_SX5a.

On one screen, DISPLAY: "READ: Now I'm going to ask you to describe these sex partners as either main or casual partners. [Give Respondent Flashcard J.]"



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

SX5a.

Of the [fill with total female partners (SX3)] women you've had oral, vaginal or anal sex with in the past 12 months, how many of them were main partners?

M_FMSX

M_FM Number of main partners - 12 months



__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX5a.

If # main partners GT total female partners (SX5a GT SX3), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of female partners). Clarify and re-enter response to current or prior item as needed." Then, go back to SX5a.

Else, go to Check_SX5b.





Check_SX5b.

If # main partners EQ total female partners (SX5a EQ SX3), go to Check_INTRO_SX6a.o.

Else, go to SX5b.



SX5b.

How many were casual partners?

M_FCSX

M_FC Number of casual partners - 12 months



__ __ __ __




Range

0-7000



Don't Know

9999



Refuse to Answer

7777




HardEdit_SX5b.

If # casual partners GT total female partners (SX5b GT SX3), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of female partners). Clarify and re-enter response to current or prior item as needed." Then go back to SX5b.

If # main & casual partners NE total female partners ((SX3 GT 1 & LE 7000) & (SX5a NE DK or REF & SX5b NE DK or REF) & (SX5a + SX5b NE SX3)), DISPLAY: "INTERVIEWER: The number of main and casual partners is not equal to the total number of female partners. Clarify and re-enter response to current or prior item as needed." Then, go back to SX5a.

Else, go to Check_INTRO_SX6a.o.



M_F: Main Ps - Vaginal Sex, 12m



Check_INTRO_SX6a.o.

If 1 main partner (SX4 EQ 1 or SX5a EQ 1), go to INTRO_SX6a.o.

If multiple main partners (SX5a GT 1 & LE 7000), go to INTRO_SX6a.m.

If no main partners (SX3 EQ 1 & SX4 EQ 2, DK, or REF) or ((SX3 GT 1 & LE 7000) & (SX5a EQ 0, DK, or REF)), go to Check_INTRO_SX7a.o.

VS - One Main Partner



INTRO_SX6a.o.

DISPLAY: "READ: Now I'm going to ask you about the female main sex partner you had in the past 12 months."



SX6a.o.

In the past 12 months, did you have vaginal sex with this woman?

M_FM1VS

M_FM VS partners - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX6a.m.

Go to Check_SX6b.o.



VS - Multiple Main Partners


INTRO_SX6a.m.

DISPLAY: "READ: Now I'm going to ask you about the [fill with # main partners (SX5a)] female main sex partners you had in the past 12 months."



SX6a.m.

Of your [fill with # of female main partners (SX5a)] female main partners in the past 12 months, with how many did you have vaginal sex?

M_FMVS

M_FM VS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX6a.m.

If # main VS partners GT # main partners (SX6a.m. GT SX5a), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of female main partners). Clarify and re-enter response to current or prior item as needed." Then go back to SX6a.m.

Else, go to Check_SX6b.o.



Check_SX6b.o.

If 1 main VS partner (SX6a.o EQ 1 or SX6a.m EQ 1), go to SX6b.o.

If multiple main VS partners (SX6a.m GT 1 & LE 7000), go to SX6b.m.

If no main VS partners (SX6a.o EQ 0, DK, or REF) or (SX6a.m. EQ 0, DK, or REF), go to Check_SX6c.o.



UVS - One Main VS Partner



SX6b.o.

In the past 12 months, did you have vaginal sex with her without using a condom?

M_FM1UVS

M_FM UVS partners - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX6b.m.

Go to Check_SX6c.o.



UVS - Multiple Main VS Partners



SX6b.m.

In the past 12 months, with how many of these [fill with # main VS partners (SX6a.m)] women did you have vaginal sex without using a condom?

M_FMUVS

M_FM UVS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX6b.m.

If # main UVS partners GT # main VS partners (SX6b.m. GT SX6a.m), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of female main vaginal sex partners). Clarify and re-enter response to current or prior item as needed." Then, go back to SX6b.m.

Else, go to Check_SX6c.o.



Check_SX6c.o.

If 1 main partner (SX4 EQ 1or SX5a EQ 1), go to SX6c.o.

Else, go to SX6c.m.



M_F: Main Ps - Anal Sex, 12m

AS - One Main Partner



SX6c.o.

In the past 12 months, did you have anal sex with this woman?

M_FM1AS

M_FM AS partners - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX6c.m.

Go to Check_SX6d.o.



AS - Multiple Main Partners



SX6c.m.

Of your [fill with # main partners (SX5a)] female main partners in the past 12 months, with how many did you have anal sex?

M_FMAS

M_FM AS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX6c.m.

If # main AS partners GT # main partners (SX6c.m. GT SX5a), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of female main partners). Clarify and re-enter response to current or prior item as needed." Then go back to SX6c.m.

Else, go to Check_SX6d.o.



Check_SX6d.o.

If 1 main AS partner ((SX6c.o EQ 1) or (SX6c.m EQ 1)), go to SX6d.o.

If GT 1 main AS partner (SX6c.m GT 1), go to SX6d.m.

If no main AS partners ((SX6c.o EQ 0, DK, or REF) OR (SX6c.m EQ 0, DK, or REF), go to Check_INTRO_SX7a.o.



UAS - One Main AS Partner



SX6d.o.

In the past 12 months, did you have anal sex with her without using a condom?

M_FM1UAS

M_FM UAS partners - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX6d.m.

Go to Check_INTRO_SX7a.o.



UAS - Multiple Main AS Partners



SX6d.m.

In the past 12 months, with how many of these [fill with # main AS partners (SX6c.m)] women did you have anal sex without using a condom?

M_FMUAS

M_FM UAS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX6d.m.

If # main UAS partners GT # main AS partners (SX6d.m. GT SX6c.m), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of female main anal sex partners). Clarify and re-enter response to current or prior item as needed." Then go back to SX6d.m.

Else, go to Check_INTRO_SX7a.o.





M_F: Casual Ps – Vaginal Sex, 12m



Check_INTRO_SX7a.o.

If 1 casual partner (SX4 EQ 2 or SX5b EQ 1), go to INTRO_SX7a.o.

If multiple casual partners (SX5b GT 1 & LE 7000), go to INTRO_SX7a.m.

If R reports no casual partners (SX3 EQ 1 & SX4 EQ 1, DK, or REF) or ((SX3 GT 1 & LE 7000) & (SX5b EQ 0, DK, or REF)) or (SX3 EQ SX5a) , go to CALC_M_FHET.



VS - One Casual Partner



INTRO_SX7a.o.

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



SX7a.o.

In the past 12 months, did you have vaginal sex with this woman?

M_FO1VS

M_FC VS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX7a.m.

Go to Check_SX7b.o.



VS - Multiple Casual Partners



INTRO_SX7a.m.

DISPLAY: "READ: Now I'm going to ask you about the [fill with "# casual partners (SX5b)"] female casual sex partners you had in the past 12 months. Remember, a casual sex partner is someone you do not feel committed to or don't know very well."



SX7a.m.

Of your [fill with # casual partners (SX5b)] female casual partners in the past 12 months, with how many did you have vaginal sex?

M_FOVS

M_FC VS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX7a.m.

If # casual VS partners GT # casual partners (SX7a.m. GT SX5b), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of female casual partners). Clarify and re-enter response to current or prior item as needed." Then, go back to SX7a.m.

Else, go to Check_SX7b.o.



Check_SX7b.o.

If 1 casual VS partner (SX7a.o EQ 1 or SX7a.m. EQ 1), go to SX7b.o.

If multiple casual VS partners (SX7a.m GT 1 & LE 7000), go to SX7b.m.

If no casual VS partners ((SX7a.o EQ 0, DK, or REF) or (SX7a.m. EQ 0, DK, or REF)), go to Check_SX7c.o.



UVS - One Casual VS Partner



SX7b.o.

In the past 12 months, did you have vaginal sex with her without using a condom?

M_FO1UVS

M_FC UVS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX7b.m.

Go to Check_SX7c.o.



UVS - Multiple VS Casual Partners



SX7b.m.

In the past 12 months, with how many of these [fill with # casual VS partners (SX7am)] women did you have vaginal sex without using a condom?

M_FOUVS

M_FC UVS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX7b.m.

If # casual UVS partners GT # casual VS partners (SX7b.m. GT SX7a.m), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of female casual vaginal sex partners). Clarify and re-enter response to current or prior item as needed." Then go back to SX7b.m.

Else, go to SX7c.m.



Check_SX7c.o.

If 1 casual female partner (SX4 EQ 2 or SX5b EQ 1), go to SX7c.o.

Else, go to SX7c.m.



M_F: Casual Ps – Anal Sex, 12m

AS - One Casual Partner



SX7c.o.

In the past 12 months, did you have anal sex with this woman?

M_FO1AS

M_FC AS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX7c.m.

Go to Check_SX7d.o.



AS - Multiple Casual Partners



SX7c.m.

Of your [fill with # female casual partners (SX5b)] female casual partners in the past 12 months, with how many did you have anal sex?

M_FOAS

M_FC AS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX7c.m.

If # casual AS partners GT # casual partners (SX7c.m. GT SX5b), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of female casual partners). Clarify and re-enter response to current or prior item as needed." Then, go back to SX7c.m.

Else, go to Check_SX7d.o.





Check_SX7d.o.

If 1 casual AS partner ((SX7c.o EQ 1) or (SX7c.m EQ 1)), go to SX7d.o.

If multiple casual AS partners (SX7c.m GT 1 & LE 7000), go to SX7d.m.

If no casual AS partners ((SX7c.o EQ 0, DK, or REF) or (SX7c.m EQ 0, DK, or REF)), go to Check_SX7e.o.



UAS - One Casual AS Partner



SX7d.o.

In the past 12 months did you have anal sex with her without using a condom?

M_FO1UAS

M_FC UAS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX7d.m

Go to Check_SX7e.o.



UAS - Multiple AS Casual Partners



SX7d.m.

In the past 12 months, with how many of these [fill with # casual AS partners (SX7c.m)] women did you have anal sex without using a condom?

M_FOUAS

M_FC UAS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX7d.m.

If # casual UAS partners GT # casual AS partners (SX7d.m GT SX7c.m), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of female casual anal sex partners). Clarify and re-enter response to current or prior item as needed." Then go back to SX7d.m.

Else, go to Check_SX7e.o.



Check_SX7e.o.

If 1 casual partner (SX4 EQ 2 or SX5b EQ 1), go to SX7e.o.

If multiple casual partners (SX5b GT 1 & LE 7000), go to SX7e.m.



M_F: Casual Ps – Exchange Sex, 12m



EX - One Casual Partner



SX7e.o.

In the past 12 months, did you give this woman money or drugs in exchange for having sex with you?

M_FO1EG

M_FC Single exchange - gave




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX7e.m.

Go to CALC_M_FHET.



EX - Multiple Casual Partners



SX7e.m.

Of your [fill with # casual partners (SX5b)] female casual partners in the past 12 months, how many did you give money or drugs in exchange for having sex with you?

M_FOMEG

M_FC Multiple exchange gave




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX7e.m.

If # exchange partners GT # casual partners (SX7e.m. GT SX5b), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of female casual partners). Clarify and re-enter response to current or prior item as needed." Then, go back to SX7e.m.

Else, go to CALC_M_FHET.









CALC_M_FHET.



M_FHET

M_F HET sex (Y/N)

M_FHET = IF ((M_FSX12=DK or M_FSX12=REF), 9, IF ((M_FSX12=0), 0, IF((M_FSX12=1),1, if ((M_FSX12>1 AND M_FSX12<7001),1,0))))



Check_M_MSeries

If HET cycle & R reported 0 opposite-sex partners (CYCLE EQ 3 & M_FHET EQ NE 1), go to CALC_ENDCORE.

Else, go to M_MSeries.



Universe_M_MSeries.

All male Rs (ES9 EQ 1).



M_MSeries: Male Rs – Male Sex Partners (INTRO_M_MSeries –SX16b)





INTRO_SX9.

On one screen, DISPLAY: "READ: Now I'm going to ask you some questions about having sex with other men. I need to ask you these questions even if some don't apply to you. Please remember your answers will be kept private.



[Give Respondent Flashcard K.]



On next screen, DISPLAY: "READ: For these questions, "having sex" means oral or anal sex. Oral sex means he put his mouth on your penis or you put your mouth on his penis. Anal sex means you put your penis in his anus or butt or he put his penis in your anus or butt."



M_M: Sex with male Ps, lifetime



Check_SX9.

If MSM cycle (CYCLE EQ 1), go to SX10.

Else, go to SX9.



SX9.

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

M_MEVER

M_M Sex with men - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7






Check_SX10.

If R reports sex with a man (SX9 EQ 1), go to SX10.

Else, go to Partner-by-Partner Series (PxPSeries).



SX10.

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

M_MDEBUT

M_M Age at first MSM encounter




__ __





Range

0-70




Don't Know

99




Refuse to Answer

77




HardEdit_SX10.

If age of first sex greater than current age (SX10 GT AGE), DISPLAY: "INTERVIEWER: The age of first sex cannot be greater than respondent's current age, ([fill with R's age (AGE)]). Please clarify and re-enter response." Then go back to SX10.

Else, go to SX11.







M_M: Total Ps, 12m



SX11.

In the past 12 months, that is, since [fill with interview month, formatted as text] of last year, with how many different men have you had oral or anal sex?

M_MSX12

M_M Number of male partners - 12 months




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




Check_SX11a.

If R does not report # male partners (SX11 EQ DK, or REF), go to CALC_BEGPXP.

If zero male partners (SX11 EQ 0), go to SX11a.

If 1 male partner (SX11 EQ 1), go to INTRO_SX12.

If multiple male partners (SX11 GT 1), go to INTRO_SX13a.



SX11a.

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

M_MLOA

M_M last oral/anal




__ __





Range

1-99




Don't Know

999




Refuse to Answer

777




HardEdit­_SX11a.

If years since last male-male sex GT current age (SX11a GT AGE), DISPLAY: "INTERVIEWER: The number of years since last sex with a man cannot be greater than respondent's current age, ([fill with R's age (AGE)]). Please clarify and re-enter response." Then, go back to SX11a.

Else, go to CALC_BEGPXP.



Check_INTRO_SX12.

If R reports more than 1 male sex partner (SX11 GT 1), go to INTRO_SX13a.

Else, go to INTRO_SX12.



M_M: Total Main & Casual Ps, 12m

One Partner (.o)



INTRO_SX12.

On one screen, DISPLAY: "READ: Now I'm going to ask you to describe this sex partner as either a main or casual partner.



[Give Respondent Flashcard L.]"



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



SX12.

Was this man a main partner or a casual partner?

M_M1SX

M_M Type of partner - single




Main partner

1




Casual partner

2




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX13a.

Go to Check_INTRO_SX14a.o.



Multiple Partners (.m)



INTRO_SX13a.

On one screen, DISPLAY: "READ: Now I'm going to ask you to describe these sex partners as either main or casual partners."



[Give Respondent Flashcard L.]



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



SX13a.

Of the [fill with "# male partners (SX11)"] men you've had oral or anal sex with in the past 12 months, how many of them were main partners?

M_MMSX

M_MM Number of main partners - 12 months




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX13a.

If # male main partners GT # male partners (SX13a GT SX11), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of male partners). Clarify and re-enter response to current or prior item as needed." Then, go back to SX13a.

Else, go to Check_SX13b.



Check_SX13b.

If # male main partners EQ # male partners (SX13a EQ SX11), go to Check_INTRO_SX14a.o.

Else, go to SX13b.



SX13b.

How many were casual partners?

M_MCSX

M_MC Number of casual partners - 12 months




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX13b.

If # casual partners GT # male partners (SX13b GT SX11), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of male partners). Clarify and re-enter response to current or prior item as needed." Then, go back to SX13b.

If # main & casual partners NE # male partners ((SX11 GT 1 & LE 7000) & (SX13a NE DK or REF & SX13b NE DK or REF) & (SX13a + SX13b NE SX11)), DISPLAY: "INTERVIEWER: The number of main and casual partners is not equal to the total number of male partners. Clarify and re-enter response to current or prior item as needed." Then go back to SX13a.

Else, go to Check_INTRO_SX14a.o.



Check_INTRO_SX14a.o.

If 1 main partner (SX12 EQ 1 or SX13a EQ 1), go to INTRO_SX14a.o.

If multiple main partners (SX13a GT 1 & LE 7000) , go to INTRO_SX14a.m.

If no main partners ((SX11 EQ 1 & SX12 EQ 2, DK, or REF) or ((SX11 GT 1 & LE 7000) & (SX13a EQ 0, DK, or REF)), go to Check_INTRO_SX15a.o.



M_M: Main Ps – Anal Sex, 12m

AS - One Main Partner



INTRO_SX14a.o.

DISPLAY: "READ: Now I'm going to ask you about the male main sex partner you had in the past 12 months."



SX14a.o.

In the past 12 months, did you have anal sex with this man?

M_MM1AS

M_MM AS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX14a.m.

Go to Check_SX14b.o.



AS - Multiple Main Partner



INTRO_SX14a.m.

DISPLAY: "READ: Now I'm going to ask you about the [fill with # main partners (SX13a)] male main sex partners you had in the past 12 months."



SX14a.m.

Of your [fill with # main partners (SX13a)] male main partners in the past 12 months, with how many did you have anal sex?

M_MMAS

M_MM AS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX14a.m.

If # main AS partners GT # main partners (SX14a.m GT SX13a), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of male main partners). Clarify and re-enter response to current or prior item as needed." Then, go back to SX14a.m.

Else, go to Check_SX14b.o.



Check_SX14b.o.

If 1 main AS partner (SX14a.o EQ 1) or (SX14a.m EQ 1), go to SX14b.o.

If multiple main AS partners (SX14a.m GT 1 & LE 7000), go to SX14b.m.

If no AS partners (SX14a.o EQ 0, DK, or REF) or (SX14a.m EQ 0, DK, or REF), go to Check_INTRO_SX15a.o.



UAS - One Main AS Partner



SX14b.o.

In the past 12 months, did you have anal sex with him without using a condom?

M_MM1UAS

M_MM UAS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX14b.m.

Go to Check_INTRO_SX15a.o.



UAS - Multiple Main AS Partners



SX14b.m.

In the past 12 months, with how many of these [fill with # of main AS partners (SX14a.m)] men did you have anal sex without using a condom?

M_MMUAS

M_MM UAS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX14b.m.

If # main UAS partners GT main AS partners (SX14b.m GT SX14a.m) DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of male main anal sex partners). Clarify and re-enter response to current or prior item as needed." Then go back to SX14b.m.

Else, go to Check_INTRO_SX15a.o.



M_M: Casual Ps – Anal Sex, 12m



Check_INTRO_SX15a.o.

If 1 casual partner (SX12 EQ 2 or SX13b EQ 1), go to INTRO_SX15a.o.

If multiple casual partners (SX13b GT 1 & LE 7000), go to INTRO_SX15a.m.

If R reports no casual partners ((SX11 EQ 1 & SX12 EQ 1, DK, or REF) or ((SX11 GT 1 & LE 7000) & (SX13b EQ 0, DK, or REF)), or (SX11 EQ SX13a)), go to CALC_BEGPXP.

AS - One Casual Partner



INTRO_SX15a.o.

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



SX15a.o.

In the past 12 months, did you have anal sex with this man?

M_MO1AS

M_MC AS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX15a.m.

Go to Check_SX15b.o.



AS - Multiple Casual Partners



INTRO_SX15a.m.

DISPLAY: "READ: Now I'm going to ask you about the [fill with # casual partners (SX13b)] male casual sex partners you had in the past 12 months. Remember, a casual sex partner is someone you do not feel committed to or don't know very well."



SX15a.m.

Of your [fill with # casual partners (SX13b)] male casual partners in the past 12 months, with how many did you have anal sex?

M_MOAS

M_MC AS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX15a.m.

If # male casual AS partners GT # male casual partners (SX15a.m. GT SX13b), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of male casual partners). Clarify and re-enter response to current or prior item as needed." Then, go back to SX15a.m.

Else, go to Check_SX15b.o.



Check_SX15b.o.

If 1 casual AS partner ((SX15a.o EQ 1) or (SX15a.m. EQ 1)), go to SX15b.o.

If multiple casual AS partners (SX15a.m GT 1 & LE 7000), go to SX15b.m.

If no casual AS partners ((SX15a.o EQ 0, DK, or REF) or (SX15a.m EQ 0, DK, or REF)), go to Check_SX15c.o.



UAS - One Casual AS Partner



SX15b.o.

In the past 12 months, did you have anal sex with him without using a condom?

M_MO1UAS

M_MC UAS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX15b.m.

Go to Check_SX15c.o.



UAS - Multiple Casual AS Partners



SX15b.m.

In the past 12 months, with how many of these [fill with # casual AS partners (SX15a.m)] men did you have anal sex without using a condom?

M_MOUAS

M_MC UAS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX15b.m.

If # casual UAS partners GT # of casual AS partners (SX15b.m. GT SX15a.m.), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of male casual anal sex partners). Clarify and re-enter response to current or prior item as needed." Then, go back to SX15b.m.

Else, go to Check_SX15c.o..





M_M: Casual Ps – Exchange Sex, 12m



Check_SX15c.o.

If 1 male casual partner (SX12 EQ 2 or SX13b EQ 1), go to SX15c.o.

If multiple male casual partners (SX13b GT 1 & LE 7000), go to SX15c.m.

If R reports no male casual partners ((SX11 EQ 1 & SX12 EQ 1, DK, or REF) or ((SX11 GT 1 & LE 7000) & (SX13b EQ 0, DK, or REF) OR (SX11 EQ SX13a)), go to CALC_BEGPXP.



EX - One Casual Partner



SX15c.o.

In the past 12 months, did you give this man money or drugs in exchange for having sex with you?

M_MO1EG

M_MO Single exchange gave




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




SX15d.o.

In the past 12 months, did this man give you money or drugs to have sex with him?

M_MO1ER

M_MO1 Single exchange received




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX15c.m.

Go to CALC_BEGPXP.



EX - Multiple Casual Partners



SX15c.m.

Of your [fill with casual partners (SX13b)] male casual partners in the past 12 months, how many did you give money or drugs in exchange for having sex with you?

M_MOMEG

M_MO Multiple exchange gave




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX15c.m.

If # exchange partners GT # casual partners (SX15c.m GT SX13b), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of male casual partners). Clarify and re-enter response to current or prior item as needed." Then, go back to SX15c.m.

Else, go to SX15d.m.



SX15d.m.

Of your [fill with # casual partners (SX13b)] male casual partners in the past 12 months, how many gave you money or drugs to have sex with them?

M_MOMER

M_MO Multiple exchange received




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX15d.m.

If # exchange partners GT # casual partners (SX15d.m GT SX13b), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of male casual partners). Clarify and re-enter response to current or prior item as needed." Then, go back to SX15d.m.

Else, go to CALC_BEGPXP.





Check_F_MSeries.

Go to Partner-by-Partner Series (PxPSeries).





Universe_F_MSeries.

All female Rs (ES9 EQ 2).

F_MSeries: Female Rs – Male Sex Partners (INTRO_F_MSeries – SX26)



INTRO_F_MSeries.

On one screen, DISPLAY: "READ: Next, I'm going to ask you some questions about having sex. Please remember your answers will be kept private.



[Give Respondent Flashcard I.]"



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



F_M: Sex with male Ps, lifetime



Check_SX17.

If IDU cycle (CYCLE EQ 2), go to SX17.

If HET cycle (CYCLE EQ 3), go to SX18.



SX17.

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

F_MEVER

F_M sex y/no



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_SX18.

If R ever had sex with male partner (SX17 EQ 1), go to SX18.

Else, go to CALC_F_MHET.



SX18.

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

F_MDEBUT

F_M Age at sexual debut



__ __




Range

0-70



Don't Know

99



Refuse to Answer

77




HardEdit_SX18.

If age of first sex greater than current age (SX18 GT AGE), DISPLAY: "INTERVIEWER: The age of first sex cannot be greater than respondent's current age ([fill with R's age (AGE)]). Please clarify and re-enter response." Then, go back to SX18.

Else, go to SX19.





F_M: Total Ps, 12m



SX19.

In the past 12 months, that is, since [fill with interview month, formatted as text] of last year, with how many different men have you had oral, vaginal, or anal sex?

F_MSX12

F_M Number of male sex partners - 12 months




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




Check_SX19conf.

If HET cycle (CYCLE EQ 3) & R reports 0 male partners (SX19 EQ 0), go to SX19conf.

Else, go to Check_INTRO_SX20.



SX19conf.

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

C_F_M

F_M Confirmation had sex in past year - HET cycle only




No – HAS had male partner

0




Yes – Has NOT had male partner

1




Don't Know

9




Refuse to Answer

7




HardEdit_SX19conf.

If R reports sex with a man in past 12 months (SX19conf. EQ 0), DISPLAY: "INTERVIEWER: Please clarify then re-enter the number of men respondent had sex with in the past 12 months." Then, go back to SX19.

Else, go to Check_INTRO_SX20.



Check_INTRO_SX20.

If R does not report sex with a man in past 12 months (SX19 EQ 0, DK or REF) or (SX19conf EQ 1, DK, or REF), go to CALC_F_MHET.

If R reports 1 sex partner (SX19 EQ 1), go to INTRO_SX20.

If R reports more than 1 sex partner (SX19 GT 1) go to INTRO_SX21a.



F_M: Total Main & Casual Ps, 12m

One Partner (.o)



INTRO_SX20.

On one screen, DISPLAY: "READ: Now I'm going to ask you to describe this sex partner as either a main or casual partner.



[Give Respondent Flashcard L.]"



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





SX20.

Was this man a main partner or a casual partner?

F_M1SX

F_M Type of partner - single




Main partner

1




Casual partner

2




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX21a.

Go to Check_INTRO_SX22a.o.



Multiple Partners (.m)



INTRO_SX21a.

On one screen, DISPLAY: "READ: Now I'm going to ask you to describe these sex partners as either main or casual partners.



[Give Respondent Flashcard L.]"



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



SX21a.

Of the [fill with "# male partners (SX19)"] men you've had oral, vaginal, or anal sex within the past 12 months, how many of them were main partners?

F_MMSX

F_MM Number of main partners - 12 months




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX21a.

If # main partners GT # male partners (SX21a GT SX19), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of male partners). Clarify and re-enter response to current or prior item as needed." Then go back to SX21a.

Else, go to Check_SX21b.



Check_SX21b.

If # male main partners EQ # male partners (SX21a EQ SX19), go to INTRO_SX22a.m.

Else, go to SX21b.



SX21b.

How many were casual partners?

F_MCSX

F_MC Number of casual partners - 12 months




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX21b.

If # casual partners GT # male partners (SX21b GT SX19), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of male partners). Clarify and re-enter response to current or prior item as needed." Then go back to SX21b.

If # main & casual partners NE # male partners (SX19 GT 1 & LE 7000) & (SX21a NE DK or REF & SX21b NE DK or REF) & ((SX21a + SX21b) NE SX19), DISPLAY: "INTERVIEWER: The number of main and casual partners is not equal to the total number of male partners. Clarify and re-enter response to current or prior item as needed." Then, go back to SX21a.

Else, go to Check_INTRO_SX22a.o.



F_M: Main Ps - Vaginal Sex, 12m



Check_INTRO_SX22a.o.

If 1 main partner (SX20 EQ 1 or SX21a EQ 1), go to INTRO_SX22a.o.

If multiple main partners (SX21a GT 1 & LE 7000), go to INTRO_SX22a.m.

If no main partners (SX19 EQ 1 & SX20 EQ 2, DK, or REF) or ((SX19 GT 1 & LE 7000) & (SX21a EQ 0, DK, or REF)), go to Check_INTRO_SX23a.o.

VS - One Main Partner



INTRO_SX22a.o.

DISPLAY: "READ: Now I'm going to ask you about the male main sex partner you had in the past 12 months."



SX22a.o.

In the past 12 months, did you have vaginal sex with this man?

F_MM1VS

F_MM VS partners - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX22a.m.

Go to Check_SX22b.o.



VS - Multiple Main Partners



INTRO_SX22a.m.

DISPLAY: "READ: Now I'm going to ask you about the [fill with # main partners (SX21a)] male main sex partners you had in the past 12 months."



SX22a.m.

Of your [fill with # main partners (SX21a)] male main partners in the past 12 months, with how many did you have vaginal sex?

F_MMVS

F_MM VS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX22a.m.

If # main VS partners GT # main partners (SX22a.m. GT SX21a), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of male main partners). Clarify and re-enter response to current or prior item as needed." Then go back to SX22a.m.

Else, go to Check_SX22b.o.



Check_SX22b.o.

If 1 main VS partner (SX22a.o EQ 1 or SX22a.m EQ 1), go to SX22b.o.

If multiple main VS partners (SX22a.m GT 1 & LE 7000), go to SX22b.m.

If no main VS partners (SX22a.o EQ 0, DK, or REF) or (SX22a.m. EQ 0, DK, or REF), go to Check_SX22c.o.



UVS - One Main VS Partner



SX22b.o.

In the past 12 months, did you have vaginal sex with him without using a condom?

F_MM1UVS

F_MM UVS partners - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX22b.m.

Go to Check_SX22c.o.



UVS - Multiple Main VS Partners



SX22b.m.

In the past 12 months, with how many of these [fill with # VS partners (SX22a.m)] men did you have vaginal sex without using a condom?

F_MMUVS

F_MM UVS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777






HardEdit_SX22b.m.

If # UVS partners GT # VS partners (SX22b.m. GT SX22a.m.), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of male main vaginal sex partners). Clarify and re-enter response to current or prior item as needed." Then go back to SX22b.m.

Else, go to Check_SX22c.o.





Check_SX22c.o.

If 1 main partner (SX20 EQ 1 or SX21a EQ 1), go to SX22c.o.

Else, go to SX22c.m.



F_M: Main Ps - Anal Sex, 12m

AS - One Main Partner



SX22c.o.

In the past 12 months, did you have anal sex with this man?

F_MM1AS

F_MM AS partners - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX22c.m

Go to Check_SX22d.o.



AS - Multiple Main Partners





SX22c.m.

Of your [fill with # main partners (SX21a)] male main partners in the past 12 months, with how many did you have anal sex?

F_MMAS

F_MM AS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX22c.m.

If # main AS partners GT # main partners (SX22c.m. GT SX21a), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of male main partners). Clarify and re-enter response to current or prior item as needed." Then go back to SX22c.m.

Else, go to Check_SX22d.o.



Check_SX22d.o.

If 1 main AS partner ((SX22c.o EQ 1) or (SX22c.m EQ 1)), go to SX22d.o.

If GT 1 main AS partner (SX22c.m GT 1 & LE 7000), go to SX22d.m.

If no main AS partners ((SX22c.o EQ 0, DK, or REF) OR (SX22c.m EQ 0, DK, or REF), go to Check_INTRO_SX23a.o.



UAS - One Main AS Partner



SX22d.o.

In the past 12 months, did you have anal sex with him without using a condom?

F_MM1UAS

F_MM UAS partners - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX22d.m.

Go to Check_INTRO_SX23a.o.

UAS - Multiple Main AS Partners





SX22d.m.

In the past 12 months, with how many of these [fill with # AS partners (SX22c.m)] men did you have anal sex without using a condom?

F_MMUAS

F_MM UAS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX22d.m.

If # UAS partners GT # AS partners (SX22d.m. GT SX22c.m), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of male main anal sex partners). Clarify and re-enter response to current or prior item as needed." Then go back to SX22d.m.

Else, go to Check_INTRO_SX23a.o.





F_M: Casual Ps – Vaginal Sex, 12m



Check_INTRO_SX23a.o.

If 1 casual partner (SX20 EQ 2 or SX21b EQ 1), go to INTRO_SX23a.o.

If multiple casual partners (SX21b GT 1 & LE 7000), go to INTRO_SX23a.m.

If R reports no casual partners (SX19 EQ 1 & SX20 EQ 1, DK, or REF) or ((SX19 GT 1 & LE 7000) & (SX21b EQ 0, DK, or REF)), or (SX19 EQ SX21a),go to CALC_F_MHET.



VS - One Casual Partner



INTRO_SX23a.o.

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



SX23a.o.

In the past 12 months, did you have vaginal sex with this man?

F_MO1VS

F_MC VS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX23a.m.

Go to Check_SX23b.o.



VS - Multiple Casual Partners



INTRO_SX23a.m.

DISPLAY: "READ: Now I'm going to ask you about the [fill with # casual partners (SX21b)] male casual sex partners you had in the past 12 months. Remember, a casual sex partner is someone you do not feel committed to or don't know very well."



SX23a.m.

Of your [fill with # casual partners (SX21b)] male casual partners in the past 12 months, with how many did you have vaginal sex?

F_MCVS

F_MC VS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX23a.m.

If # casual VS partners GT # casual partners (SX23a.m. GT SX21b), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of male casual partners). Clarify and re-enter response to current or prior item as needed." Then, go back to SX23a.m.

Else, go to Check_SX23b.o.



Check_SX23b.o.

If 1 casual VS partner (SX23a.o EQ 1 or SX23a.m. EQ 1), go to SX23b.o.

If multiple casual VS partners (SX23a.m GT 1 & LE 7000), go to SX23b.m.

If no casual VS partners ((SX23a.o EQ 0, DK, or REF) or (SX23a.m. EQ 0, DK, or REF)), go to Check_SX23c.o.



UVS - One Casual VS Partner



SX23b.o.

In the past 12 months, did you have vaginal sex with him without using a condom?

F_MO1UVS

F_MC UVS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX23b.m.

Go to Check_SX23c.o.

UVS - Multiple VS Casual Partners



SX23b.m.

In the past 12 months, with how many of these [fill with casual VS partners (SX23a.m)] men did you have vaginal sex without using a condom?

F_MCUVS

F_MC UVS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX23b.m.

If # casual UVS partners GT # VS partners (SX23b.m. GT SX23a.m), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of male casual vaginal sex partners). Clarify and re-enter response to current or prior item as needed." Then go back to SX23b.m.

Else, go to SX23c.m.



Check_SX23c.o.

If 1 casual male partner (SX20 EQ 2 or SX21b EQ 1), go to SX23c.o.

Else, go to SX23c.m.



F_M: Casual Ps – Anal Sex, 12m

AS - One Casual Partner



SX23c.o.

In the past 12 months, did you have anal sex with this man?

F_MO1AS

F_MC AS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX23c.m.

Go to Check_SX23d.o.



AS - Multiple Casual Partner



SX23c.m.

Of your [fill with # casual partners (SX21b)] male casual partners in the past 12 months, with how many did you have anal sex?

F_MCAS

F_MC AS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX23c.m.

If # casual AS partners GT # casual partners (SX23c.m. GT SX21b), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of male casual partners). Clarify and re-enter response to current or prior item as needed. " Then, go back to SX23c.m.

Else, go to Check_SX23d.o.



Check_SX23d.o.

If 1 casual AS partner ((SX23c.o EQ 1) or (SX23c.m EQ 1)), go to SX23d.o.

If multiple casual AS partners (SX23c.m GT 1 & LE 7000), go to SX23d.m.

If no casual AS partners ((SX23c.o EQ 0, DK, or REF) or (SX23c.m EQ 0, DK, or REF)), go to Check_SX23e.o.



UAS - One Casual AS Partner



SX23d.o.

In the past 12 months, did you have anal sex with him without using a condom?

F_MO1UAS

F_MC UAS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX23d.m.

Go to Check_SX23e.o.



UAS - Multiple AS Casual Partners



SX23d.m.

In the past 12 months, with how many of these [fill with # casual AS partners (SX23c.m)] men did you have anal sex without using a condom?

F_MCUAS

F_MC UAS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX23d.m.

If # casual UAS partners GT # casual AS partners (SX23d.m GT SX23c.m), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of male casual anal sex partners)). Clarify and re-enter response to current or prior item as needed." Then go back to SX23d.m.

Else, go to Check_SX23e.o.



Check_SX23e.o.

If 1 casual partner (SX20 EQ 2 or SX21b EQ 1), go to SX23e.o.

If multiple casual partners (SX21b GT 1 & LE 7000), go to SX23e.m.



F_M: Casual Ps – Exchange Sex, 12m

EX - One Casual Partner



SX23e.o.

In the past 12 months, did this man give you money or drugs to have sex with him?

F_MC1ER

F_MC1 Single exchange received




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX23e.m.

Go to CALC_F_MHET.



EX - Multiple Casual Partners



SX23e.m.

Of your [fill with # casual partners" (SX21b)] male casual partners in the past 12 months, how many gave you money or drugs to have sex with them?

F_MCMER

F_MC Multiple exchange received




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777






HardEdit_SX23e.m.

If # casual exchange partners GT # casual partners (SX23e.m GT SX21b), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of male casual partners). Clarify and re-enter response to current or prior item as needed." Then go back to SX23e.m.

Else, go to CALC_F_MHET.







CALC_F_MHET.



F_MHET

F_M HET sex (Y/N)

F_MHET = IF ((F_MSX12=.DK or F_MSX12=.REF), 9, IF ((F_MSX12=0), 0, IF((F_MSX12=1),1, if ((F_MSX12>1 AND F_MSX12<7001),1,0))))





Check_SX26.

If HET cycle & R reported 0 opposite-sex partners (CYCLE EQ 3 & F_MHET NE 1), go to CALC_ENDCORE.

Else, go to CALC_BEGPXP.



PxPSeries: Partner-by-Partner (CALC_PS12PXP – SX72b)



CALC_BEGPXP.



BEGPXP

Time at beginning of PxP series

BEGPXP = Current time





CALC_PS12PXP.



PS12PXP

# Ps, 12m for PxP logic only

Male Rs (ES9=1):

If (M_FSX12 & M_MSX12 GE 0 & NE DK, REF, or SK), PS12PXP =M_FSX12+M_MSX12.

If (M_FSX12 GE 0 & NE DK, REF, or SK) & (M_MSX12 EQ DK, REF, or SK), PS12PXP=M_FSX12.

If (M_FSX12 EQ DK, REF, or SK) & (M_MSX12 GE 0 & NE DK, REF, or SK), PS12PXP=M_MSX12.

Else, PS12PXP=0.

Female Rs (ES9=2):

If (F_MSX12 GE 0 & NE DK, REF, or SK), PS12PXP=F_MSX12.

Else, PS12PXP=0.



CALC_ASANY12M.



ASANY12M

Any anal sex, 12m, for PxP logic

If R reported anal sex in p 12m (M_FM1AS or M_FMAS or M_FO1AS or M_FOAS or M_MM1AS or M_MMAS or M_MO1AS or M_MOAS or F_MM1AS or F_MMAS or F_MO1AS or F_MCAS GE 1 & NE DK, REF, or SK), ASANY12M=1. Else, ASANY12M=0.



CALC_EXANY12M.



EXANY12M

Any exchange sex, 12m, for PxP logic

If R reported exchange sex in p12m, (M_FO1EG or M_FOMEG, or M_MO1EG or M_MOMEG or M_MO1ER or M_MOMER or F_MC1ER or F_MCMER GE 1 & NE DK, REF, or SK), EXANY12M=1. Else, EXANY12M=0.



Check_INTRO_PxPSeries.

If R is male & 1+ male or female Ps or R is female & had 1+ male Ps in past 12m (PS12PXP GE 1), go to INTRO_PxPSeries.

Else go to CHECK_INTRO_SX73a.



Universe_PXPSeries.

All Rs with 1+ opposite sex or male-male partner in the past 12 months (PS12PXP GE 1).



PxP: Number of Partners, 3m



INTRO_PxPSeries.

On one screen, DISPLAY: "READ: This next set of questions is about your [if R is male (ES9 EQ 1) & 1 partner in past 12m (PS12PXP EQ 1), fill with "sex partner"; else, if R is male (ES9 EQ 1), fill with "sex partners"; if R is female (ES9 EQ 2) & 1 male partner in past 12m (PS12PXP EQ 1), fill with "male sex partner"; else, if R is female (ES9 EQ 2), fill with "male sex partners"], things you did with them, and when you did those things.



I've brought this calendar to help you remember things that may have happened and when they happened.



Some of the questions are about the past 3 months, that is, since [fill with interview month - 3, formatted as text] of this year".



[INTERVIEWER: Give respondent the Calendar. Orient to calendar and time frame.]



On the next screen, DISPLAY: "READ: For these questions, having sex means oral, vaginal or anal sex.



[INTERVIEWER: Give Respondent Flashcard I.]"





Check_SX27a.

If R is male & had 1 female partner in p 12m (ES9 EQ 1 & SX3 EQ 1), go to SX27a.

If R is male & had multiple female partners in p 12m (ES9 EQ 1 & (SX3 GE 2 & LE 7000)), go to SX27b.

Else, go to Check_SX27c.





SX27a.

Earlier, you told me that you had sex with one woman during the past 12 months. Have you had sex with her during the past 3 months, that is, since [fill with interview month - 3, formatted as text] of this year "?

FP3MYN

Had female partner, 3m-y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7






Check_SX27b.

Go to Check_SX27c.





SX27b.

How many women have you had sex with in the past 3 months, that is, since [fill with interview month - 3, formatted as text] of this year "?

FEMPS3M

Number female partners, 3m




__ __ __ __




Range

0-7000



Don't Know

9999



Refuse to Answer

7777




HardEdit_SX27b.

If number of female Ps-3m GT number of female Ps-12m (SX27b GT SX3), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of female partners in past 12 months). Clarify and re-enter response to current or prior item as needed." Then, go back to SX27b.

Else, go to Check_SX27c.



Check_SX27c.

If R had 1 male partner in p 12m (SX11 EQ 1 or SX19 EQ 1), go to SX27c.

If R had multiple male partners in p 12m ((ES9 EQ 1 & (SX11 GE 2 & NE DK, REF, or SK)) or (ES9 EQ 2 & (SX19 GE 2 & NE DK, REF, or SK))), go to SX27d.

Else, go to CALC_ PS3MPXP.





SX27c.

Earlier, you told me that you had sex with one man during the past 12 months. Have you had sex with him during the past 3 months, that is, since [fill with interview month - 3, formatted as text] of this year“?

MP3MYN

Had male partner, 3m-y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7






Check_SX27d.

Go to CALC_ PS3MPXP.





SX27d.

How many men have you had sex with in the past 3 months, that is, since [fill with interview month - 3, formatted as text] of this year " ?

MALPS3M

Number male partners, 3m




__ __ __ __




Range

0-7000



Don't Know

9999



Refuse to Answer

7777




HardEdit_SX27d.

If number of male Ps-3m GT number male Ps-12m ((SX27d GT SX11) or (SX27d GT SX19)), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of male partners in past 12 months). Clarify and re-enter response to current or prior item as needed." Then, go back to SX27d.

Else, go to CALC_ PS3MPXP.



CALC_PS3MPXP.



PS3MPXP

# Ps, 3m for PxP logic only

Male Rs (ES9=1):

If (FP3MYN & MP3MYN EQ 0 or 1), PS3MPXP=FP3MYN+MP3MYN.

If (FP3MYN EQ 0 or 1) & (MALPS3M GE 0 & NE DK, REF, or SK), PS3MPXP=FP3MYN+MALPS3M).

If (MP3MYN EQ 0 or 1) & (FEMPS3M GE 0 & NE DK, REF, or SK), PS3MPXP=MP3MYN+FEMPS3M.

If (FEMPS3M & MALPS3M GE 0 & NE DK, REF, or SK), PS3MPXP =FEMPS3M+MALPS3M.

If (FEMPS3M GE 0 & NE DK, REF, or SK) & (MALPS3M EQ DK, REF, or SK), PS3MPXP=FEMPS3M.

If (FEMPS3M EQ DK, REF, or SK) & (MALPS3M GE 0 & NE DK, REF, or SK), PS3MPXP= MALPS3M.

Else, PS3MPXP=0.

Female Rs (ES9=2):

If (MALPS3M GE 0 & NE DK, REF, or SK), PS3MPXP= MALPS3M.

If (MP3MYN EQ 0 or 1), PS3MPXP=MP3MYN.

Else, PS3MPXP=0.







Check_INTRO_SX28a.o.

If R had 0 or 1 partners in past 3m (PS3MPXP EQ 0 or 1), go to INTRO_SX28a.o;

Else, go to INTRO_SX28a.m



INTRO_SX28a.o.

DISPLAY: "READ: Now, I would like to ask some questions about the last [if R is male (ES9 EQ 1), fill with "person"; if R is female (ES9 EQ 2), fill with "man"] you had sex with. To help you think of that partner and guide you through the questions, I will ask you their initials. If you don't know or aren't comfortable giving me their real initials, you can make up initials or a nickname that reminds you of that partner. Please DON'T give me a last name or any other identifying information. Remember, your answers today are kept private."



Check_INTRO_SX28a.m.

Go to SX28.



INTRO_SX28a.m.

DISPLAY: "READ: Now, I would like to ask some questions about your most recent [if R is female (ES9 EQ 2), fill with "male"] sex partners in the past 3 months. To help you think of those partners and guide you through the questions, I will ask you the initials of up to 3 of your most recent [if R is male (ES9 EQ 1), fill with "female or"] male sex partners. If you don't know or aren't comfortable giving me their real initials, you can make up initials or a nickname that reminds you of that person. Please DON'T give me a last name or any other identifying information. Remember, your answers today are kept private."



SX28.

Please think of the last [if R is female (ES9 EQ 2) fill with "man"; else fill with "person"] you had sex with." What are the initials of the last [if R is female (ES9 EQ 2), fill with "man", else, fill with "person"] you had sex with?

P1_FILL

Partner 1 initials, 3m




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





{text response; max length = 100 characters}





Refuse to Answer

7




Check_SX29.

If R reports 2+ sex partners in the past 3 months (PS3MPXP GE 2), go to SX29.

Else, go to Check_ P1Series.


SX29.

Now, think of the last [if R is female (ES9 EQ 2), fill with "man"; else, fill with "person"] you had sex with before [if not missing (SX28 NE REF), fill with P1 initials (SX28); else fill with "your last partner"]. What are the initials of the second-to-last [if R is female (ES9 EQ 2), fill with "man", else, fill with "person"] you had sex with?



[INTERVIEWER: Be sure that initials for second-to-last partner are different from last partner.]

P2_FILL

Partner 2 initials, 3m




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





{text response; max length = 100 characters}





Refuse to Answer

7



Check_SX30.

If R reports 3+ sex partners in the past 3 months (PS3MPXP GE 3), go to SX30.

Else, go to Check_ P1Series.



SX30.

Now, think of the last [if R is female (ES9 EQ 2), fill with "man"; else, fill with "person"] you had sex with before [if not missing (SX29 NE REF), fill with P2 initials (SX29); else fill with "your second-to-last partner"]. What are the initials of the third-to-last [if R is female (ES9 EQ 2), fill with "man", else, fill with "person"] you had sex with?



[INTERVIEWER: Be sure that initials for third-to-last partner are different from the previous two partners recorded.]

P3_FILL

Partner 3 initials, 3m




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





{text response; max length = 100 characters}





Refuse to Answer

7



Check_P1Series.

If P1 initials reported (SX28 NE REF), go to INTRO_P1Series.

If P1 initials NOT reported (SX28 EQ REF) & more than 1 total partner, past 3 months (PS3MPXP GT 1), go to Check_INTRO_P2Series.

Else, go to CHECK_INTRO_SX73a.


CALC_BEGP1S.



BEGP1S

Time at beginning of P1 series

BEGP1S = Current time



Universe_P1Series.

All Rs with 1+ opposite sex or male-male partner in the past 12 months (PS12PXP GE 1) who reported last sex partner initials (SX28 NE REF).


P1Series: Last Partner (SX31 - SX50b)


INTRO_P1Series.

DISPLAY: "READ: Now I'm going to ask you some questions about [if 0 or 1 P in the past 3M (PS3MPXP EQ 0 or 1) , fill with ["this partner"], else fill with (["your most recent sex partner"], [fill with "P1 initials" (SX28)]). Some of the questions may seem the same as ones I already asked you or the answer may seem obvious, but please bear with me. I need to ask the questions as they are written here."


Check_SX31.

If R is female (ES9 EQ 2), go to SX32.

Else go to SX31.


P1: Demographics



SX31.

Is [fill with "P1 initials" (SX28)] male or female?

P1GENDR

P1: Gender




Male

1




Female

2




Don't Know

9




Refuse to Answer

7




Check_SX32.

If R is male (ES9 EQ1) and P1 gender NOT reported (SX31 EQ DK or REF), go to Check_INTRO_P2Series.

Else, go to SX32a.






SX32a.

Was [fill with "P1 initials" (SX28)] younger than you, older than you, or the same age as you?

P1AGERL

P1: Relative age




Younger

0




Older

1




Same age

2




Don't Know

9




Refuse to Answer

7




Check_SX32b.

If P1 is older than R is male (P1AGERL EQ 1), go to SX32b.

Else, go to SX33.









SX32b.

What was [if P1 is male (SX31 EQ 1) or R is female (ES9 EQ 2), fill with "his"; if P1 is female (SX31 EQ 2), fill with "her"] age?

P1AGEY

P1: Age in years




__ __ __





Range

0-100




Don't Know

999




Refuse to Answer

777






SX33.

[Give Respondent Flashcard M.]



Which of the following best describes [fill with "P1 initials" (SX28)]'s racial or ethnic background? You may choose more than one option.



[READ choices. CHECK ALL that apply.]

P1RCETH

P1: race / ethnicity



P1RCETHA

American Indian or Alaska Native




P1RCETHB

Asian




P1RCETHC

Black or African American




P1RCETHD

Hispanic or Latino




P1RCETHE

Native Hawaiian or Other Pacific Islander




P1RCETHF

White .





Don't Know

9




Refuse to Answer

7



P1: Type



SX34.

Was the person you had sex with that last time, [fill with "P1 initials" (SX28)], a main partner or a casual partner?



[Give Respondent Flashcard N.]



Remember, a main sex partner is someone you feel committed to above anyone else. And a casual sex partner is someone you do not feel committed to or don't know very well.

P1TYPE

P1: type




Main partner

1




Casual partner

2




Don't Know

9




Refuse to Answer

7


P1: Relationship Length



SX35a.

How long have you been having a sexual relationship with [fill with "P1 initials" (SX28)]? Please tell me how many days, months, or years.



[INTERVIEWER: If "one night stand," enter 0.]

P1LT_N

P1: Relationship length - Number




__ __ __





Range

0-365




Don't Know

999




Refuse to Answer

777




Check_SX35b.

If relationship length at least one day (SX35a NE 0, DK or REF), go to SX35b.

Else, go to Check_SX36.



SX35b.

INTERVIEWER: Was this days or months or years?

P1LT_U

P1: Relationship length - Unit




Days

0




Months

1




Years

2






CALC_P1RLLE1Y.

P1RLLE1Y

Sexual relationship length for PxP logic

If (P1LT_U=0 & P1LT_N<=365) or (P1LT_U=1 & P1LT_N<=12) or (P1LT_U=2 & P1LT_N<=1), P1RLLE1Y=1.

Else, P1RLLE1Y=0.


Check_SX36.

If MSM cycle (CYCLE EQ 1), go to SX36.

Else, go to INTRO_SX37a.



SX36.

Where did you first meet [fill with "P1 initials" (SX28)]?



[DO NOT read choices.]

P1WHMET

P1: Where met




Internet

1




Chat line

2




Bar/Club

3




Circuit party or Rave

4




Cruising area …………………………………………………………………………..

5




Adult bookstore

6




Bath house, sex club or sex resort

7




Private sex party

8




Somewhere else

9




Don't Know

99




Refuse to Answer

77



P1: Partner risk



INTRO_SX37a.

DISPLAY: "READ: Now I'm going to ask you some questions about experiences [fill with P1 initials (SX28)] may have had."



[Give Respondent Flashcard O.]



SX37a.

As far as you know, has [fill with "P1 initials" (SX28)] ever injected drugs like heroin, cocaine, or speed? Would you say they:



[READ choices.]

P1IDU

P1: Ever injected




Definitely did not

0




Probably did not

1




Probably did

2




Definitely did

3




Don't Know

9




Refuse to Answer

7




SX37b.

As far as you know, has [fill with "P1 initials" (SX28)] ever used crack cocaine? Would you say they:



[READ choices.]

P1CRACK

P1: Ever used crack




Definitely did not

0




Probably did not

1




Probably did

2




Definitely did

3




Don't Know

9




Refuse to Answer

7




SX38.

As far as you know, has [fill with "P1 initials" (SX28)] ever been in prison or jail for more than 24 hours? Would you say they:



[READ choices.]

P1JAIL

P1: Ever incarcerated




Definitely did not

0




Probably did not

1




Probably did

2




Definitely did

3




Don't Know

9




Refuse to Answer

7




Check_SX39.

If R is male (ES9 EQ 1), go to Check_SX40a.

Else go to SX39.



SX39.

As far as you know, has [fill with "P1 initials" (SX28)] ever had sex with other men? Would you say he:



[READ choices.]

P1MSM

P1: Ever MSM




Definitely did not

0




Probably did not

1




Probably did

2




Definitely did

3




Don't Know

9




Refuse to Answer

7




P1: Concurrency



Check_SX40a.

If relationship was a one night stand (P1LT_N=0) or R did not report relationship length (P1LT_N EQ DK or REF), go to SX42.

If relationship length LE 1 year (P1RLLE1Y=1), go to SX40a.

Else, go to SX41a.



SX40a.

As far as you know, during the time you were having a sexual relationship with [fill with "P1 initials" (SX28)], did [if P1 is male (SX31 EQ 1) or R is female (ES9 EQ 2), fill with "he"; if P1 is female (SX31 EQ 2), fill with "she"] have sex with other people? Would you say [if P1 is male(SX31=1) or R is female (ES9 EQ 2), fill with "he"; if P1 is female (SX31 EQ 2), fill with "she"]:



[READ choices.]

P1POTH

P1 had other partners- relat ≤12m




Definitely did not

0




Probably did not

1




Probably did

2




Definitely did

3




Don't Know

9




Refuse to Answer

7






SX40b.

During the time you were having a sexual relationship with [fill with "P1 initials" (SX28)], did you have sex with other people?

P1ROTH

P1: R had other partners- relat ≤12m




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX41a.

Go to SX42.







SX41a.

As far as you know, during the past 12 months when you were having a sexual relationship with [fill with "P1 initials" (SX28)], did [if P1 is male (SX31 EQ 1) or R is female (ES9 EQ 2), fill with "he"; if P1 is female (SX31 EQ 2), fill with "she"] have sex with other people? Would you say [if P1 is male (SX31 EQ 1) or R is female (ES9 EQ 2), fill with "he"; if P1 is female (SX31 EQ 2), fill with "she"]:



[READ choices.]

P1POTHYR

P1 had other partners- relat >12m




Definitely did not

0




Probably did not

1




Probably did

2




Definitely did

3




Don't Know

9




Refuse to Answer

7




SX41b.

During the past 12 months when you were having a sexual relationship with [fill with "P1 initials" (SX28)], did you have sex with other people?

P1ROTHYR

P1: R had other partners- relat >12m




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




P1: Date of Last Sex


SX42.

When was the last time you had [If R is male (ES9 EQ 1) and P1 is male (SX31 EQ 1), fill with "oral or anal", else fill with "oral, vaginal or anal"] sex with [fill with "P1 initials" (SX28)]? Just tell me the month and year.

P1DATE

P1: date of most recent sex




__ __ / __ __ __ __





Range (Year)

1900 - Current




Don't Know (Year)

9999




Refuse to Answer (Year)

7777



CALC_P1DATE_C.



P1DATE_C

Century month version of P1DATE date

P1DATE_C= ((P1DATEY-1900)*12) + P1DATEM.




Check_HardEdit_SX42.

If R did not report date of last sex with P1 (SX42 EQ DK or REF), go to Check_INTRO_SX43a.

Else, go to HardEdit_SX42.


HardEdit_SX42.

If R reported 0 sex partners in past 3m (PS3MPXP EQ 0) and & date of last sex with P1 is more than 12 months before interview [(P1DATEM is missing) and ((IDATEY-P1DATEY) GE 2)] or (P1DATE_C LT AGO12M_C), DISPLAY: "INTERVIEWER: Response entered is inconsistent with prior response (reported at least one sex partner in past 12 months). Clarify and re-enter response to current or prior item as needed." Then, go back to SX42.


If R reports 0 sex partners in past 3m (PS3MPXP EQ 0) & date of last sex with P1 is within the last 3 months (P1DATE_C GE AGO3M_C), DISPLAY: "INTERVIEWER: Response entered is inconsistent with prior response (reported no sex partners in past 3 months). Clarify and re-enter response to current or prior item as needed." Then, go back to SX42.

If R reported 1 or more sex partners in past 3m (PS3MPXP GE 1) and & date of last sex with P1 is before 3 months before interview [(P1DATEM is missing) and ((IDATEY-P1DATEY) GE 1)] or (P1DATE_C LT AGO3M_C), DISPLAY: "INTERVIEWER: Response entered is inconsistent with prior response (reported at least one sex partner in past 3 months). Clarify and re-enter response to current or prior item as needed." Then, go back to SX42.


Else, go to Check_INTRO_SX43a.




Check_INTRO_SX43a.

If R reports 1 or more partners in past 3m (PS3MPXP GE 1), go to INTRO_SX43a.

Else, go to CALC_ASANY3M.



Universe_P1FrequencyofSex.

All Rs with 1+ opposite sex partner or male-male partner in the past 3 months (PS3MPXP GE 1) who reported last sex partner initials (SX28 NE REF).



P1: Frequency of sex, 3m



INTRO_SX43a.

DISPLAY: "READ: I would now like to ask you about the times you had sex with [fill with "P1 initials" (SX28)] in the past 3 months. Take a moment to think back about the times you had sex with [fill with P1 initials (SX28)] in the past 3 months, that is, since [fill with interview month - 3, formatted as text] of this year".



[INTERVIEWER: Give Respondent the Calendar.]



Check_SX43a.

If opposite sex partner ((R is male (ES9 EQ 1) & P1 is female (SX31 EQ 2) or R is female (ES9 EQ 2), go to SX43a.

Else, go to Check_SX44a.


SX43a.

In the past three months, how many times did you have vaginal sex with [fill with "P1 initials" (SX28)]?

P1VS3M

P1: Times had vaginal sex, 3m




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




Check_SX43b.o.

If R had vaginal sex once (SX43a EQ 1), go to SX43b.o.

If R had vaginal sex more than once (SX43a GE 2), go to SX43b.m.

Else, go to Check_SX44a.


SX43b.o.

That time you had vaginal sex with [fill with "P1 initials" (SX28)], did you or your partner use a condom?

P1VS1C3M

P1: Had VS once and used condom, 3m




No

0




Yes

1




Don't Know

9




Refuse to Answer

7



Check_SX43b.m.

Go to Check_SX44a.



SX43b.m.

Of the [fill with "# of times engaged in vaginal sex" (SX43a)] times you had vaginal sex with [fill with "P1 initials" (SX28)], how many times did you or your partner use a condom?

P1VSC3M

P1: Times had VS with condom, 3m




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX43b.m.

If # of times R had VS with condom is higher than the total time had VS with this partner (SX43b.m GT SX43a), DISPLAY: "INTERVIEWER: Response entered is inconsistent with prior response (number of times had vaginal sex with this partner). Clarify and re-enter response to current or prior item as needed." Then, go back to SX43a.

Else, go to Check_SX44a.



Check_SX44a.

If R had anal sex in p 12m (ASANY12M EQ 1) & (R is female (ES9 EQ 2) or P1 is female (SX31 EQ 2)), go to SX44a.

If R had anal sex in p 12 m (ASANY12M EQ 1) & R is male (ES9 EQ 1) & P1 is male (SX31 EQ 1), go to SX45a.

Else, go to CALC_ASANY3M.



SX44a.

In the past three months, how many times did you have anal sex with [fill with "P1 initials" (SX28)]?

P1AS3M

P1: Times had anal sex, 3m




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




Check_SX44b.o.

If R had anal sex once (SX44a EQ 1), go to SX44b.o.

If R had anal sex more than once (SX44a GE 2 & NE (DK, REF, or SK), go to SX44b.m.

Else, go to CALC_ASANY3M.


SX44b.o.

That time you had anal sex with [fill with "P1 initials" (SX28)], did you or your partner use a condom?

P1AS1C3M

P1: Had AS once and used condom, 3m




No

0




Yes

1




Don't Know

9




Refuse to Answer

7



Check_SX44b.m.

Go to CALC_ASANY3M.



SX44b.m

Of the [fill with "# of times engaged in anal sex" (SX44a)] times you had anal sex with [fill with "P1 initials" (SX28)], how many times did you or your partner use a condom?

P1ASC3M

P1: Times had anal sex with condom, 3m




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX44b.m.

If # of times R had AS with condom is higher than the total time had AS with this partner (SX44b.m GT SX44a), DISPLAY: "INTERVIEWER: Response entered is inconsistent with prior response (number of times had anal sex with this partner). Clarify and re-enter response to current or prior item as needed." Then, go back to SX44a.

Else, go to CALC_ASANY3M.




SX45a.

In the past three months, how many times did you have insertive anal sex, meaning you put your penis in [fill with "P1 initials" (SX28)]'s anus or butt?

P1IAS3M

P1: Frequency IAS, 3m




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777



Check_SX45b.o.

If R had IAS once (SX45a EQ 1), go to SX45b.o.

If R had IAS more than once (SX45a GE 2 & NE (DK, REF, or SK), go to SX45b.m.

Else, go to SX46a.


SX45b.o.

That time you had insertive anal sex with [fill with "P1 initials" (SX28)], did you use a condom?

P1IA1C3M

P1: Had IAS once and used condom, 3m




No

0




Yes

1




Don't Know

9




Refuse to Answer

7



Check_SX45b.m.

Go to SX46a.



SX45b.m.

Of the [fill with "# of times engaged in insertive anal sex" (SX45a)] times you had insertive anal sex with [fill with "P1 initials" (SX28)], how many times did you use a condom?

P1XIAC3M

P1: Frequency IAS with condom, 3m




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX45b.m.

If # of times R had IAS with condom is higher than the total time had IAS with this partner (SX45b.m GT SX45a), DISPLAY: "INTERVIEWER: Response entered is inconsistent with prior response (number of times had insertive anal sex with this partner). Clarify and re-enter response to current or prior item as needed." Then, go back to SX45a.

Else, go to SX46a.


SX46a.

In the past three months, how many times did you have receptive anal sex with [fill with P1 initials (SX28)], meaning he put his penis in your anus or butt?

P1RAS3M

P1: Frequency RAS, 3m




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777



Check_SX46b.o.

If R had RAS once (SX46a EQ 1), go to SX46b.o.

If R had RAS more than once (SX46a GE 2 & NE (DK, REF, or SK), go to SX46b.m.

Else, go to CALC_ASANY3M.


SX46b.o.

That time you had receptive anal sex with [fill with "P1 initials" (SX28)], did he use a condom?

P1RA1C3M

P1: Had RAS once and used condom, 3m




No

0




Yes

1




Don't Know

9




Refuse to Answer

7



Check_SX46b.m.

Go to CALC_ASANY3M.



SX46b.m.

Of the [fill with "# of times engaged in receptive anal sex" (SX46a)] times you had receptive anal sex with [fill with "P1 initials" (SX28)], how many times did he use a condom?

P1RAC3M

P1: Frequency RAS with condom, 3m




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX46b.m.

If # of times R had RAS with condom is higher than the total time had RAS with this partner (SX46b.m GT SX46a), DISPLAY: "INTERVIEWER: Response entered is inconsistent with prior response (number of times had receptive anal sex with this partner). Clarify and re-enter response to current or prior item as needed." Then, go back to SX46a.

Else, go to CALC_ASANY3M.



CALC_ASANY3M.



ASANY3M

P1: Any anal sex, 3m, for PxP logic

If R reported anal sex with P1 in p 3m ((P1AS3M GE 1 & NE (DK, REF, or SK)) or (P1IAS3M GE 1 & NE (DK, REF, or SK)) or (P1RAS3M GE 1 & NE (DK, REF, or SK)), ASANY3M EQ 1. Else, ASANY3M EQ 0.



P1: Last event



INTRO_SX47a.

DISPLAY: "READ: Now I'm going to ask you about the very last time you had sex with [fill with P1 initials (SX28)]."



Check_SX47a.

If P1 is male or R is female (SX31 EQ 1 or ES9 EQ 2)) & R reported exchange in past 12 months (EXANY12M EQ 1), go to SX47a.

Else, go to Check_SX47b.



SX47a.

When you had sex that last time, did [fill with "P1 initials" (SX28)] give you money or drugs to have sex with him?

P1EXREC

P1: Received money/drugs for sex at last event




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX47b.

If R is male (ES9 EQ 1) & R reported exchange in past 12 months (EXANY12M EQ 1), go to SX47b.

Else, go to Check_SX48a.



SX47b.

When you had sex that last time, did you give [fill with "P1 initials" (SX28)] money or drugs in exchange for having sex with you?

P1EXGAV

P1: Gave money/drugs for sex at last event




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX48a.

If R is male (ES9 EQ 1) and P1 is male (SX31 EQ 1), go to Check_SX49a.

Else, go to SX48a.



SX48a.

When you had sex that last time with [fill with "P1 initials" (SX28)], did you have vaginal sex?

P1LVS

P1: VS at last event




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX48b.

If R reports no vaginal sex (SX48a NE 1), go to Check_SX49a.

Else, go to SX48b.



SX48b.

During vaginal sex that last time, did you or [fill with "P1 initials" (SX28)] use a condom the whole time?

P1LVSCT

P1: Used condom during VS at last event




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX49a.

If R reported anal sex in the past 12 months (ASANY12M EQ 1) or in the past 3 months (ASANY3M EQ 1), go to SX49a.

Else, go to Check_SX49conf.





SX49a.

When you had sex that last time with [fill with "P1 initials" (SX28)], did you have anal sex?

P1LAS

P1: AS at last event




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX49conf.

If R had anal sex at last event (SX49a EQ 1), go to SX49b.

If R is female (ES9 EQ 2) & no vaginal or anal sex at last event with P1 (SX48a EQ 0, DK, or REF) & (SX49a EQ 0, DK, REF, or SK), go to SX49conf.

If R is male (ES9 EQ 1) & P1 is female (SX31 EQ 2) & no vaginal or anal sex at last event with P1 (SX48a EQ 0, DK, or REF) & (SX49a EQ 0, DK, REF, or SK), go to SX49conf.

If R & P1 both male (ES9 EQ 1 & SX31 EQ 1) & no anal sex at last event (SX49a EQ 0, DK, REF), go to SX49conf.

Else, go to SX50a.



SX49conf.

So this means you only had oral sex the last time you had sex?

P1OSONLY

P1: Oral sex only at last event




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX49b.

If R is male (ES9 EQ 1) and P1 is male (SX31 EQ 1) and R reports sex other than oral (SX49conf EQ 0), go back to SX49a.

If R and P1 are opposite sex ((ES9 EQ 1 and SX31 EQ 2) or (ES9 EQ 2)) and reports sex other than oral (SX49conf EQ 0), go back to SX48a.

Else go to SX50a.





SX49b.

During anal sex that last time, did you or [fill with "P1 initials" (SX28)] use a condom the whole time?

P1LASCT

P1: Used condom during AS at last event




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




SX50a.

The last time you had sex with [fill with "P1 initials" (SX28)], did you know [if P1 is male (SX31 EQ 1) or R is female (ES9 EQ 2), fill with "his"; if P1 is female (SX31 EQ 2), fill with "her"] HIV status?

P1KNWSTS

P1: Knew partner HIV status at last event




No

0




Yes

1




Refuse to Answer

7




Check_SX50b.

If R knew P1 HIV status (SX50a EQ 1), go to SX50b.

Else, go to Check_INTRO_P2Series.



SX50b.

What was [[fill with "P1 initials" (SX28)]'s HIV status?



[DO NOT read choices.]

P1HIVSTS

P1: Partner HIV status at last event




HIV-negative

1




HIV-positive

2




Indeterminate

3




Refuse to Answer

7




Check_SX50c.

If P1 HIV-positive, (SX50b EQ 2), go to SX50c.

Else, go to Check_INTRO_P2Series.



SX50c.

Did [fill with "P1 initials" (SX28)] tell you whether [if P1 is male (SX31 EQ 1) or R is female (ES9 EQ 2), fill with "he"; if P1 is female (SX31 EQ 2), fill with "she”] was taking antiretroviral medicines or ART to treat [if P1 is male (SX31 EQ 1) or R is female (ES9 EQ 2), fill with "his"; if P1 is female (SX31 EQ 2), fill with "her”] HIV infection?

P1ARTDS

P1: Whether P disclosed ART use



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




SX50d.

Did [fill with "P1 initials" (SX28)] say [if P1 is male (SX31 EQ 1) or R is female (ES9 EQ 2), fill with "he"; if P1 is female (SX31 EQ 2), fill with "she”] WAS taking antiretroviral medicines or was NOT taking antiretroviral medicines?

P1ONART

P1: HIV+ partner on ART at last event



No, partner was NOT taking ART

0



Yes, partner WAS taking ART

1



Don't Know

9



Refuse to Answer

7






Check_INTRO_P2Series.

If P2 initials reported (SX29 NE REF) & 2+ total partners in past 3 months (PS3MPXP GE 2), go to INTRO_P2Series.

If P2 initials NOT reported (SX29 EQ REF) & 3+ total partners in past 3 months (PS3MPXP GE 3), go to Check_INTRO_P3Series.

Else, go to CHECK_INTRO_SX73a.



CALC_BEGP2S.



BEGP2S

Time at beginning of partner 2 series

BEGP2S = Current time



Universe_P2Series.

All Rs with 2+ opposite sex partners or male-male partners in the past 3 months (PS3MPXP GE 2) who reported second to last sex partner initials (SX29 NE REF).

P2Series: Second to Last Partner (INTRO_P2Series - SX61b)



INTRO_P2Series.

If R is male (ES9 EQ 1), DISPLAY: "READ: To save time, I'll only ask a few questions about [if 2 partners in past 3 months (PS3MPXP EQ 2), fill with initials for P2 (SX29); if 3 or more partners in past 3 months (PS3MPXP GE 3), fill with initials for P2 (SX29)] and if SX30 NE REF, fill with "and initials for P3 (SX30)"]. Now I will ask you about your second-to-last partner, [fill with "Partner 2 initials" (SX29)]. "



If R is female (ES9 EQ 2), DISPLAY: "READ: To save time, I'll only ask a few questions about [if 2 partners in past 3 months (PS3MPXP EQ 2), fill with initials for P2 (SX29); if 3 or more partners in past 3 months (PS3MPXP GE 3), fill with initials for P2 (SX29)] and if SX30 NE REF, fill with "and initials for P3 (SX30)"]). Now I will ask you about your second-to-last male partner, [fill with "Partner 2 initials" (SX29)]. "



P2: Demographics

Check_SX51.

If R is female (ES9 EQ 2), go to SX52.

Else, go to SX51.





SX51.

Is [fill with "P2 initials" (SX29)] male or female?

P2GENDR

P2: gender




Male

1




Female

2




Don't Know

9




Refuse to Answer

7








Check_SX52.

If P2 gender reported (SX51 NE DK or REF), go to SX52a.

Else go to Check_INTRO_P3Series.









SX52a.

Was [fill with "P2 initials" (SX29)] younger than you, older than you, or the same age as you?

P2AGERL

P2: relative age




Younger

0




Older

1




Same age

2




Don't Know

9




Refuse to Answer

7




Check_SX52b.

If P2 is older than R (P2AGERL EQ 1), go to SX52b.

Else, go to SX53.





SX52b.

What was [if P2 is male (SX51 EQ 1) or R is female (ES9 EQ 2), fill with "his"; if P2 is female (SX51 EQ 2), fill with "her"] age?

P2AGEY

P2: Age in years



__ __ __




Range

0-100



Don't Know

999



Refuse to Answer

777








SX53.

[Give Respondent Flashcard M.]



Which of the following best describes [fill with "P2 initials" (SX29)]'s racial or ethnic background? You may choose more than one option.



[READ choices. CHECK ALL that apply.]

P2RCETH

P2: race / ethnicity



P2RCETHA

American Indian or Alaska Native




P2RCETHB

Asian




P2RCETHC

Black or African American




P2RCETHD

Hispanic or Latino




P2RCETHE

Native Hawaiian or Other Pacific Islander




P2RCETHF

White .





Don't Know

9




Refuse to Answer

7




P2: Type



SX54.

Was [fill with "P2 initials" (SX29)] a main partner or a casual partner?



[Give Respondent Flashcard N.]

P2TYPE

P2: type




Main partner

1




Casual partner

2




Don't Know

9




Refuse to Answer

7




P2: Date of Last Sex


SX55.

When was the last time you had [If R is male (ES9 EQ 1) and P2 is male (SX51 EQ 1), fill with "oral or anal", else fill with "oral, vaginal or anal"]sex with [fill with "P2 initials" (SX29)]? Just tell me the month and year.

P2DATE

P2: date of most recent sex




__ __ / __ __ __ __





Range (Year)

1900 - Current




Don't Know (Year)

9999




Refuse to Answer (Year)

7777




CALC_P2DATE_C.



P2DATE_C

Century month version of P2DATE date

P2DATE_C= ((P2DATEY-1900)*12) + P2DATEM.




Check_HardEdit_SX55.

If R did not report date of last sex with P2 (SX55 EQ DK or REF), go to INTRO_SX56a.

Else, go to HardEdit_SX55.




HardEdit_SX55.

If date of last sex with 2nd to last SP was more than 3 months before interview ((P2DATE_C LT AGO3M_C) or ((P2DATEM is missing) and ((IDATEY-P2DATEY) GE 1)) DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (reported sex with 2nd to last sex partner in past 3 months). Clarify and re-enter response to current or prior item as needed." Then, go back to SX55.

Else, go to INTRO_SX56a.




P2: Frequency of sex, 3m



INTRO_SX56a.

DISPLAY: "READ: I would now like to ask you about the times you had sex with [fill with "Partner 2 initials" (SX29)] in the past 3 months."



Check_SX56a.

If opposite sex partner ((R is male (ES9 EQ 1) & P2 is female (SX51 EQ 2)) or (R is female (ES9 EQ 2))), go to SX56a.

Else, go to Check_SX57a.


SX56a.

In the past three months, how many times did you have vaginal sex with [fill with "P2 initials" (SX29)]?

P2VS3M

P2: Times had vaginal sex, 3m




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777



Check_SX56b.o.

If R had vaginal sex once (SX56a EQ 1), go to SX56b.o.

If R had vaginal sex more than once (SX56a GE 2 & NE (DK, REF, or SK)), go to SX56b.m.

Else, go to Check_SX57a.


SX56b.o.

That time you had vaginal sex with [fill with "P2 initials" (SX29)], did you or your partner use a condom?

P2VS1C3M

P2: Had VS once and used condom, 3m




No

0




Yes

1




Don't Know

9




Refuse to Answer

7



Check_SX56b.m.

Go to Check_SX57a.


SX56b.m.

Of the [fill with "# of times engaged in vaginal sex" (SX56a)] times you had vaginal sex with [fill with "P2 initials" (SX29)], how many times did you or your partner use a condom?

P2VSC3M

P2: Times had VS with condom, 3m




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777



HardEdit_SX56b.m.

If # of times R had VS with condom is higher than the total time had VS with this partner (SX56b.m GT SX56a), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of times had vaginal sex with this partner). Clarify and re-enter response to current or prior item as needed." Then, go back to SX56a.

Else, go to Check_SX57a.



Check_SX57a.

If R had anal sex in p 12m (ASANY12M EQ 1) & (R is female (ES9 EQ 2) or P2 is female (SX51 EQ 2)), go to SX57a.

If R had anal sex in p 12 m (ASANY12M=1) & R is male (ES9 EQ 1) & P2 is male (SX51 EQ 1), go to SX58a.

Else, go to INTRO_SX60a.



SX57a.

In the past three months, how many times did you have anal sex with [fill with "P2 initials" (SX29)]?

P2AS3M

P2: Times had anal sex, 3m




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777






Check_SX57b.o.

If R had anal sex once (SX57a EQ 1), go to SX57b.o.

If R had anal sex more than once (SX57a GE 2 & NE (DK, REF, or SK)), go to SX57b.m.

Else, go to INTRO_SX60a.


SX57b.o.

That time you had anal sex with [fill with "P2 initials" (SX29)], did you or your partner use a condom?

P2AS1C3M

P2: Had AS once and used condom, 3m




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX57b.m.

Go to INTRO_SX60a.



SX57b.m

Of the [fill with "# of times engaged in anal sex" (SX57a)] times you had anal sex with [fill with "P2 initials" (SX29)], how many times did you or your partner use a condom?

P2ASC3M

P2: Times had anal sex with condom, 3m




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX57b.m.

If # of times R had AS with condom is higher than the total time had AS with this partner (SX57b.m GT SX57a), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of times had anal sex with this partner). Clarify and re-enter response to current or prior item as needed." Then, go back to SX57a.

Else, go to INTRO_SX60a.





SX58a.

In the past three months, how many times did you have insertive anal sex, meaning you put your penis in [fill with "P2 initials" (SX29)]'s anus or butt?

P2IAS3M

P2: Frequency IAS, 3m




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777



Check_SX58b.o.

If R had IAS once (SX58a EQ 1), go to SX58b.o.

If R had IAS more than once (SX58a GE 2 & NE (DK, REF, or SK)), go to SX58b.m.

Else go to SX59a.


SX58b.o.

That time you had insertive anal sex with [fill with "P2 initials" (SX29)], did you use a condom?

P2IA1C3M

P2: Had IAS once and used condom, 3m




No

0




Yes

1




Don't Know

9




Refuse to Answer

7



Check_SX58b.m.

Go to SX59a.


SX58b.m.

Of the [fill with "# of times engaged in insertive anal sex" (SX58a)] times you had insertive anal sex with [fill with "P2 initials" (SX29)], how many times did you use a condom?

P2XIAC3M

P2: Frequency IAS with condom, 3m




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX58b.m.

If # of times R had IAS with condom is higher than the total time had IAS with this partner (SX58b.m GT SX58a), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of times had insertive anal sex with this partner). Clarify and re-enter response to current or prior item as needed." Then, go back to SX58a.

Else, go to SX59a.


SX59a.

In the past three months, how many times did you have receptive anal sex with [fill with P2 initials (SX29)], meaning he put his penis in your anus or butt?

P2RAS3M

P2: Frequency RAS, 3m




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777



Check_SX59b.o.

If R had RAS once (SX59a EQ 1), go to SX59b.o.

If R had RAS more than once (SX59a GE 2 & NE (DK, REF, or SK)), go to SX59b.m.

Else, go to INTRO_SX60a.


SX59b.o.

That time you had receptive anal sex with [fill with "P2 initials" (SX29)], did he use a condom?

P2RA1C3M

P2: Had RAS once and used condom, 3m




No

0




Yes

1




Don't Know

9




Refuse to Answer

7



Check_SX59b.m.

Go to INTRO_SX60a.



SX59b.m.

Of the [fill with "# of times engaged in receptive anal sex" (SX59a)] times you had receptive anal sex with [fill with "P2 initials" (SX29)], how many times did he use a condom?

P2RAC3M

P2: Frequency RAS with condom, 3m




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX59b.m.

If # of times R had RAS with condom is higher than the total time had RAS with this partner (SX59b.m GT SX59a), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of times had receptive anal sex with this partner). Clarify and re-enter response to current or prior item as needed." Then, go back to SX59a.

Else, go to INTRO_SX60a.



P2: Last Event



INTRO_SX60a.

DISPLAY: "READ: Now I'm going to ask you about the very last time you had sex with [fill with P2 initials (SX29)]."



Check_SX60a.

If P2 is male or R is female (SX51 EQ 1 or ES9 EQ 2) & R reported exchange in past 12 months (EXANY12M EQ 1), go to SX60a.

Else, go to Check_SX60b.





SX60a.

When you had sex that last time, did [fill with "Pa2 initials" (SX29)] give you money or drugs to have sex with him?

P2EXREC

P2: Received money/drugs for sex at last event




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX60b.

If R is male (ES9 EQ 1) & R reported exchange in past 12 months (EXANY12M EQ 1), go to SX60b.

Else, go to SX61a.





SX60b.

When you had sex that last time, did you give [fill with "P2 initials" (SX29)] money or drugs in exchange for having sex with you?

P2EXGAV

P2: Gave money/drugs for sex at last event




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




SX61a.

The last time you had sex with [fill with "P2 initials" (SX29)], did you know [if P2 is male (SX51 EQ 1) or R is female (ES9 EQ 2), fill with "his"; if P2 is female (SX51 EQ 2), fill with "her"] HIV status?

P2KNWSTS

P2: Knew partner HIV status at last event




No

0




Yes

1




Refuse to Answer

7




Check_SX61b.

If R knew P2 HIV status (SX61a EQ 1), go to SX61b.

Else, go to Check_INTRO_P3Series.



SX61b.

What was [fill with "P2 initials" (SX29)]'s HIV status?

[DO NOT read choices.]

P2HIVSTS

P2: Partner HIV status at last event




HIV-negative

1




HIV-positive

2




Indeterminate

3




Refuse to Answer

7




Check_SX61c.

If P2 HIV-positive, (SX61b EQ 2), go to SX61c.

Else, go to Check_P3Series.



SX61c.

Did [fill with "P2 initials" (SX29)] tell you whether [if P2 is male (SX51 EQ 1) or R is female (ES9 EQ 2), fill with "he"; if P2 is female (SX51 EQ 2), fill with "she”] was taking antiretroviral medicines or ART to treat [if P2 is male (SX51 EQ 1) or R is female (ES9 EQ 2), fill with "his"; if P2 is female (SX51 EQ 2), fill with "her”] HIV infection?

P2ARTDS

P2: Whether P disclosed ART use



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




SX61d.

Did [fill with "P2 initials" (SX29)] say [if P2 is male (SX51 EQ 1) or R is female (ES9 EQ 2), fill with "he"; if P1 is female (SX51 EQ 2), fill with "she”] WAS taking antiretroviral medicines or was NOT taking antiretroviral medicines?

P2ONART

P2: HIV+ partner on ART at last event



No, partner was NOT taking ART

0



Yes, partner WAS taking ART

1



Don't Know

9



Refuse to Answer

7






Check_INTRO_P3Series.

If P3 initials reported (SX30 NE REF) & 3+ total partners in past 3 months (PS3MPXP GE 3), go to INTRO_P3Series.

Else, go to CHECK_INTRO_SX73a.





CALC_BEGP3S.



BEGP3S

Time at beginning of partner 3 series

BEGP3S = Current time





Universe_P3Series.

All Rs with 3+ opposite sex partners or male-male partners in the past 3 months (PS3MPXP GE 3) who reported third to last sex partner initials (SX30 NE REF).



P3Series: Third to Last Partner (SX62 - SX72b)


INTRO_P3Series.

If R is male (ES9 EQ 1), DISPLAY: "READ: Now I will ask you about your third-to-last partner, [fill with "P3 initials" (SX30)]. "



If R is female (ES9 EQ 2), DISPLAY: "READ: Now I will ask you about your third-to-last male partner, [fill with "P3 initials" (SX30)]. "


P3: Demographics



Check_SX62.

If R is female (ES9 EQ 2), go to SX63.

Else, go to SX62.



SX62.

Is [fill with "P3 initials" (SX30)] male or female?


P3GENDR

P3: gender




Male

1




Female

2




Don't Know

9




Refuse to Answer

7






Check_SX63.

If P3 gender reported (SX62 NE DK or REF), go to SX63a.

Else, go to CHECK_INTRO_SX73a.







SX63a.

Was [fill with "P3 initials" (SX29)] younger than you, older than you, or the same age as you?

P3AGERL

P3: relative age




Younger

0




Older

1




Same age

2




Don't Know

9




Refuse to Answer

7




Check_SX63b.

If P3 is older than R (P3AGERL EQ 1), go to SX63b.

Else, go to SX64.





SX63b.

What was [if P3 is male (SX62 EQ 1) or R is female (ES9 EQ 2), fill with "his"; if P3 is female (SX62 EQ 2), fill with "her"] age?

P3AGEY

P3: Exact age




__ __ __





Range

0-100




Don't Know

999




Refuse to Answer

777








SX64.

[Give Respondent Flashcard M.]



Which of the following best describes [fill with "P3 initials" (SX30)]'s racial or ethnic background? You may choose more than one option.



[READ choices. CHECK ALL that apply,]

P3RCETH

P3: race / ethnicity



P3RCETHA

American Indian or Alaska Native




P3RCETHB

Asian




P3RCETHC

Black or African American




P3RCETHD

Hispanic or Latino




P3RCETHE

Native Hawaiian or Other Pacific Islander




P3RCETHF

White





Don't Know

9




Refuse to Answer

7




P3: Type



SX65.

Was [fill with "P3 initials" (SX30)] a main partner or a casual partner?



[Give Respondent Flashcard N.]

P3TYPE

P3: type




Main partner

1




Casual partner

2




Don't Know

9




Refuse to Answer

7




P3: Date of Last Sex


SX66.

When was the last time you had [If R is male (ES9 EQ 1) and P3 is male (SX62 EQ 1), fill with "oral or anal", else fill with "oral, vaginal or anal"]sex with [fill with "P3 initials" (SX30)]? Just tell me the month and year.

P3DATE

P3: date of most recent sex




__ __ / __ __ __ __





Range (Year)

1900 - Current




Don't Know (Year)

9999




Refuse to Answer (Year)

7777



CALC_P3DATE_C.



P3DATE_C

Century month version of P3DATE date

P3DATE_C= ((P3DATEY-1900)*12) + P3DATEM.




Check_HardEdit_SX66.

If R did not report date of last sex with P3 (SX66 EQ DK or REF), go to INTRO_SX67a.

Else, go to HardEdit_SX66.




HardEdit_SX66.

If date of last sex with 3rd to last sex partner was more than 3 months ago ((P3DATE_C LT AGO3M_C) or ((P3DATEM is missing) and ((IDATEY-P3DATEY) GE 1)), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (reported sex with 3rd to last sex partner in past 3 months). Clarify and re-enter response to current or prior item as needed." Then, go back to SX66.

Else, go to INTRO_SX67a.




P3: Frequency of sex, 3m



INTRO_SX67a.

DISPLAY: "READ: I would now like to ask you about the times you had sex with [fill with "P3 initials" (SX30)] in the past 3 months."



Check_SX67a.

If opposite sex partner ((R is male (ES9 EQ 1) & P3 is female (SX62 EQ 2) or R is female (ES9 EQ 2)), go to SX67a.

Else, go to Check_SX68a.


SX67a.

In the past three months, how many times did you have vaginal sex with [fill with "P3 initials" (SX30)]?

P3VS3M

P3: Times had vaginal sex, 3m




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777



Check_SX67b.o.

If R had vaginal sex once (SX67a EQ 1), go to SX67b.o.

If R had vaginal sex more than once (SX67a GE 2 & NE (DK, REF, or SK)), go to SX67b.m.

Else, go to Check_SX68a.


SX67b.o.

That time you had vaginal sex with [fill with "P3 initials" (SX30)], did you or your partner use a condom?

P3VS1C3M

P3: Had VS once and used condom, 3m




No

0




Yes

1




Don't Know

9




Refuse to Answer

7



Check_SX67b.m.

Go to Check_SX68a.


SX67b.m.

Of the [fill with "# of times engaged in vaginal sex" (SX67a)] times you had vaginal sex with [fill with "P3 initials" (SX30)], how many times did you or your partner use a condom?

P3VSC3M

P3: Times had VS with condom, 3m




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777



HardEdit_SX67b.m.

If # of times R had VS with condom is higher than the total time had VS with this partner (SX67b.m GT SX67a), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of times had vaginal sex with this partner). Clarify and re-enter response to current or prior item as needed." Then, go back to SX67a.

Else, go to Check_SX68a.


Check_SX68a.

If R had anal sex in p 12m (ASANY12M EQ 1) & (R is female (ES9 EQ 2) or P3 is female (SX62 EQ 2)), go to SX68a.

If R had anal sex in p 12 m (ASANY12M EQ 1) & R is male (ES9 EQ 1) & P3 is male (SX62 EQ 1), go to SX69a.

Else, go to INTRO_SX71a.


SX68a.

In the past three months, how many times did you have anal sex with [fill with "P3 initials" (SX30)]?

P3AS3M

P3: Times had anal sex, 3m




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




Check_SX68b.o.

If R had anal sex once (SX68a EQ 1), go to SX68b.o.

If R had anal sex more than once (SX68a GE 2 & NE (DK, REF, or SK)), go to SX68b.m.

Else, go to INTRO_SX71a.


SX68b.o.

That time you had anal sex with [fill with "P3 initials" (SX30)], did you or your partner use a condom?

P3AS1C3M

P3: Had AS once and used condom, 3m




No

0




Yes

1




Don't Know

9




Refuse to Answer

7



Check_SX68b.m.

Go to INTRO_SX71a.



SX68b.m

Of the [fill with "# of times engaged in anal sex" (SX68a)] times you had anal sex with [fill with "P3 initials" (SX30)], how many times did you or your partner use a condom?

P3ASC3M

P3: Times had anal sex with condom, 3m




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX68b.m.

If # of times R had AS with condom is higher than the total time had AS with this partner (SX68b.m GT SX68a), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of times had anal sex with this partner). Clarify and re-enter response to current or prior item as needed." Then, go back to SX68a.

Else, go to INTRO_SX71a.



SX69a.

In the past three months, how many times did you have insertive anal sex, meaning you put your penis in [fill with "P3 initials" (SX30)]'s anus or butt?

P3IAS3M

P3: Frequency IAS, 3m




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777



Check_SX69b.o.

If R had IAS once (SX69a EQ 1), go to SX69b.o.

If R had IAS more than once (SX69a GE 2 & NE (DK, REF, or SK)), go to SX69b.m.

Else, go to SX70a.


SX69b.o.

That time you had insertive anal sex with [fill with "P3 initials" (SX30)], did you use a condom?

P3IA1C3M

P3: Had IAS once and used condom, 3m




No

0




Yes

1




Don't Know

9




Refuse to Answer

7



Check_SX69b.m.

Go to SX70a.


SX69b.m.

Of the [fill with "# of times engaged in insertive anal sex" (SX69a)] times you had insertive anal sex with [fill with "P3 initials" (SX30)], how many times did you use a condom?

P3XIAC3M

P3: Frequency IAS with condom, 3m




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX69b.m.

If # of times R had IAS with condom is higher than the total time had IAS with this partner (SX69b.m GT SX69a), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of times had insertive anal sex with this partner). Clarify and re-enter response to current or prior item as needed." Then, go back to SX69a.

Else, go to SX70a.


SX70a.

In the past three months, how many times did you have receptive anal sex with [fill with P3 initials (SX30)], meaning he put his penis in your anus or butt?

P3RAS3M

P3: Frequency RAS, 3m




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777



Check_SX70b.o.

If R had RAS once (SX70a EQ 1), go to SX70b.o.

If R had RAS more than once (SX70a GE 2 & NE (DK, REF, or SK)), go to SX70b.m.

Else, go to INTRO_SX71a.


SX70b.o.

That time you had receptive anal sex with [fill with "P3 initials" (SX30)], did he use a condom?

P3RA1C3M

P3: Had RAS once and used condom, 3m




No

0




Yes

1




Don't Know

9




Refuse to Answer

7



Check_SX70b.m.

Go to INTRO_SX71a.



SX70b.m.

Of the [fill with "# of times engaged in receptive anal sex" (SX70a)] times you had receptive anal sex with [fill with "P3 initials" (SX30)], how many times did he use a condom?

P3RAC3M

P3: Frequency RAS with condom, 3m




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX70b.m.

If # of times R had RAS with condom is higher than the total time had RAS with this partner (SX70b.m GT SX70a), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of times had receptive anal sex with this partner). Clarify and re-enter response to current or prior item as needed." Then, go back to SX70a.

Else, go to INTRO_SX71a.



P3: Last Event



INTRO_SX71a.

DISPLAY: "READ: Now I'm going to ask you about the very last time you had sex with [fill with P3 initials (SX30)]."





Check_SX71a.

If P3 is male or R is female (SX62 EQ 1 or ES9 EQ 2) & R reported exchange in past 12 months (EXANY12M EQ 1), go to SX71a.

Else, go to Check_SX71b.



SX71a.

When you had sex that last time, did [fill with "P3 initials" (SX30)] give you money or drugs to have sex with him?

P3EXREC

P3: Received money/drugs for sex at last event




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX71b.

If R is male (ES9 EQ 1) & R reported exchange in past 12 months (EXANY12M EQ 1), go to SX71b.

Else, go to SX72a.





SX71b.

When you had sex that last time, did you give [fill with "P3 initials" (SX30)] money or drugs in exchange for having sex with you?

P3EXGAV

P3: Gave money/drugs for sex at last event




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




SX72a.

The last time you had sex with [fill with "P3 initials" (SX30)], did you know [if P3 is male (SX62 EQ 1) or R is female (ES9 EQ 2), fill with "his"; if P3 is female (SX62 EQ 2), fill with "her"] HIV status?

P3KNWSTS

P3: Knew partner HIV status at last event




No

0




Yes

1




Refuse to Answer

7




Check_SX72b.

If R knew P3 HIV status (SX72a EQ 1), go to SX72b.

Else, go to CHECK_INTRO_SX73a.



SX72b.

What was [fill with "P3 initials" (SX30)]'s HIV status?

[DO NOT read choices.]

P3HIVSTS

P3: Partner HIV status at last event




HIV-negative

1




HIV-positive

2




Indeterminate

3




Refuse to Answer

7



Check_SX72c.

If P3 HIV-positive, (SX72b EQ 2), go to SX72c.

Else, go to CHECK_INTRO_SX73a.


SX72c.

Did [fill with "P3 initials" (SX30)] tell you whether [if P3 is male (SX62 EQ 1) or R is female (ES9 EQ 2), fill with "he"; if P3 is female (SX62 EQ 2), fill with "she”] was taking antiretroviral medicines or ART to treat [if P3 is male (SX62 EQ 1) or R is female (ES9 EQ 2), fill with "his"; if P3 is female (SX62 EQ 2), fill with "her”] HIV infection?

P3ARTDS

P3: Whether P disclosed ART use



No

0



Yes

1



Don't Know

9



Refuse to Answer

7



SX72d.

Did [fill with "P3 initials" (SX30)] say [if P2 is male (SX62 EQ 1) or R is female (ES9 EQ 2), fill with "he"; if P1 is female (SX62 EQ 2), fill with "she”] WAS taking antiretroviral medicines or was NOT taking antiretroviral medicines?

P3ONART

P3: HIV+ partner on ART at last event



No, partner was NOT taking ART

0



Yes, partner WAS taking ART

1



Don't Know

9



Refuse to Answer

7





Check_INTRO_SX73a.

If R is female (ES9 EQ 2) and younger than 50 years old (AGE < 50), and had sex with a man in past 12 months, (F_MHET EQ 1), go to INTRO_SX73a.

Else, go to Check_INTRO_SX75.



Hormonal contraceptive use, 12m


INTRO_SX73a.

On one screen, DISPLAY: “READ: The next questions are about your reproductive health.”



SX73a.

Have you ever had an operation that makes it impossible for you to have a baby, such as a hysterectomy or tubal ligation? A hysterectomy removes the uterus or womb and a tubal ligation cuts or ties both of the tubes.

HSTTLEV

Sterilizing operation, ever



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check _SX73b.

If R ever had a sterilizing operation (SX73a EQ 1), go to SX73b.

Else, go to INTRO_SX74a.



SX73b.

Did you have an operation that made it impossible for you to have a baby more than 12 months ago, that is, before [fill with interview month, formatted as text] of last year?

HSTLGT12

Sterilizing operation, >12m ago



No

0



Yes

1



Don't Know

9



Refuse to Answer

7






Check_INTRO_SX74a.

If R did not have a sterilizing operation (SX73a EQ 0) or had sterilizing operation within the past 12 months (SX73a EQ 1 & SX73b EQ 0), go to INTRO_SX74a.

Else, go to SX75.



INTRO_SX74a.

On one screen, DISPLAY: "READ: Now, I'm going to read you a list of products some women use to prevent pregnancy. For each one, please tell me if you have used it at any time during the past 12 months, that is, since [fill with interview month, formatted as text] of last year. Please include each product you used, even if you only used it once.

[Give Respondent Flashcard P.]"



On the next screen, DISPLAY: "In the past 12 months, did you use…



[READ Choices. Check YES or NO for EACH ONE.] "



SX74a.

Birth control pills?

HBCPILL

Hormonal BC, 12m (Pills)



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




SX74b.

Birth control shots, such as Depo Provera®?

HBCSHOT

Hormonal BC, 12m (Depo)



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




SX74c.

Birth control patch?

HBCPAT

Hormonal BC 12m (Patch)



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




SX74d.

Birth control ring that you insert once a month, such as NuvaRing®?

HBCRNG

Hormonal BC, 12m (Ring)



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




SX74e.

A hormonal implant placed under the skin, such as Implanon™?

HBCIMP

Hormonal BC, 12m (Implant)



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




SX74f.

A hormonal IUD that lasts for up to 5 years, such as Liletta™ or Mirena®?

HBCIUD

Hormonal BC, 12m (IUD)




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




SX74gi.

A copper IUD that lasts for 10 years, also called ParaGard®?

CIUD

Copper IUD, 12m




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX75.

If R is female (ES9 EQ 2), go to SX74.

Else, go to CALC_ENDSX.



F_F: Total Ps, 12m



SX75.

Now I'm going to ask you about having sex with other women. In the past 12 months, with how many different women have you had sex?

F_FSXYR

F_F Number of female sex partners - 12 months




__ __ __ __





Range

0-1000




Don't Know

9999




Refuse to Answer

7777




CALC_ENDSX.



ENDSX

Time sexual behavior section ended

ENDSX = Current time



END_SX.



Go to Alcohol Use Section (AL).









NHBS ROUND 5 QUESTIONNAIRE

ALCOHOL USE (AL)

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

--

IDATEM

Interview date: Month

Preloaded variable

--

IDATED

Interview date: day

Eligibility Screener

ES9

GENDER

Gender

Eligibility Screener

--

EL_MSM

Eligible: MSM cycle

Eligibility Screener

--

EL_IDU

Eligible: IDU cycle

Eligibility Screener

--

EL_HET

Eligible: HET cycle

Consent

CN1

CONSENTA

Consent to survey

Sexual Behavior

--

ENDSX

Time sexual behavior section ended



UNIVERSE_AL.

All Eligible Rs (CYCLE EQ 1 & EL_MSM EQ 1) or (CYCLE EQ 2 & EL_IDU EQ 1) or (CYCLE EQ 3 & EL_HET EQ 1) who consent to interview (CN1 EQ 1) and completed all prior sections (ENDSX is not missing).



CALC_BEGAL.



BEGAL

Time at beginning of alcohol use section

BEGAL = Current time







INTRO_AL1.

DISPLAY: "READ: The next questions are about alcohol 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.



[Give Respondent Flashcard Q.]"



AL1.

During the past 30 days, that is, since the [(if interview month is January, March, May, July, August, October, or December (IDATEM EQ 01, 03, 05, 07, 08, 10, or 12) & interview day is the 31st (IDATED EQ 31), fill with "1st of this month"); if interview month is March (IDATEM EQ 03) & interview day is the 29th or 30th (IDATED EQ 29 or 30), fill with "28th of February"; else, [[Fill with interview date][Fill with suffix] of last month], have you had at least one drink of any alcoholic beverage such as beer, wine, a malt beverage, or liquor?

ALC30D

Had one or more drinks past 30 days




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_AL2M.

If R did not have any drinks in the past 30 days or did not report if had any drinks in the past 30 days (AL1 NE 1), go to CALC_ENDAL.

If R is male, transgender, or did not report gender (ES9 NE 2), go to AL2M.

If R is female (ES9 EQ 2), go to AL2F.



AL2M.

During the past 30 days, how many times did you drink 5 or more drinks of any kind of alcohol in about two hours?

ALC530D

Male: number times had 5+ drinks - past 30 days




__ __





Range

0-99




Don't Know

999




Refuse to Answer

777




Check_AL2F.

Go to AL3.



AL2F.

During the past 30 days, how many times did you drink 4 or more drinks of any kind of alcohol in about two hours?

ALC430D

Female: number times had 4+ drinks - past 30 days




__ __





Range

0-99




Don't Know

999




Refuse to Answer

777




AL3.

During the past 30 days, what is the largest number of drinks you had within about two hours?

ALCLG30D

Largest number drinks on single occasion - past 30 days




__ __





Range

0-99




Don't Know

999




Refuse to Answer

777




CALC_ENDAL.



ENDAL

Time alcohol use section ended

ENDAL = Current time





END_AL.

Go to Injection Drug Use Section (ID).





NHBS ROUND 5 QUESTIONNAIRE

INJECTION DRUG USE (ID)

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

--

AGO12M_C

12 mos before interview: Century Month

Eligibility Screener

CALC_AGE

AGE

QDS calculated age today

Eligibility Screener

ES9

GENDER

Gender

Eligibility Screener

--

EL_MSM

Eligible: MSM cycle

Eligibility Screener

--

EL_IDU

Eligible: IDU cycle

Eligibility Screener

--

EL_HET

Eligible: HET cycle

Consent

CN1

CONSENTA

Consent to survey

Demographics

DM5

SCHOOL

Education

Demographics

--

POVERTY

Poverty Status

Sexual Behavior

--

M_FHET

M_F HET sex (Y/N)

Sexual Behavior

--

F_MHET

F_M HET sex (Y/N)

Sexual Behavior

--

ENDSX

Time sexual behavior section ended

Alcohol Use

--

ENDAL

Time alcohol use section ended



UNIVERSE_ID.

All Eligible Rs (CYCLE EQ 1 & EL_MSM EQ 1) or (CYCLE EQ 2 & EL_IDU EQ 1) or (CYCLE EQ 3 & EL_HET EQ 1) who consent to interview (CN1 EQ 1) and completed all prior sections ((ENDSX & ENDAL) are not missing).



CALC_BEGID.



BEGID

Time at beginning of ID section

BEGID = Current time





INTRO_Check_ID1.

DISPLAY: "READ: The next questions are about injection drug use. This means injecting drugs yourself or having someone who isn't a health care provider inject you. Please remember your answers will be kept private."

Injection history, lifetime



Check_ID1.

If MSM or HET cycle (CYCLE EQ 1 or 3), go to ID1.

Else, go to ID1a.



ID1.

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 a needle to inject drugs in your veins, under the skin, or in the muscle.

EVRINJ

Ever Injected drugs




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_ID1a.

If R has ever injected (ID1 EQ 1), go to ID1a.

Else, go to CALC_LINJ12.



ID1a.

Think back to the very first time you injected any drugs, other than those prescribed for you. How old were you when you first injected any drug?

AGEINJ

INJ Age at first injection




__ __




Range

0-75




Don't Know

99




Refuse to Answer

77






HardEdit_ID1a.

If age of first injection is greater than current age (ID1a GT AGE), DISPLAY: "INTERVIEWER: The age of first injection should be less than respondent's current age, ([fill with current age (AGE)])." Then, go back to ID1a.

Else, go to ID1b.num.





ID1b.

Were you hooked on painkillers before you injected drugs for the very first time?

OPIFIRST

Hooked on painkillers before first injection



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_ID1b.num.

If IDU cycle (CYCLE EQ 2), go to INTRO_ID2).

Else, go to ID1b.num.



ID1b.num.

Now, think about the last time you injected any drug. When was that - how many days or months or years ago did you last inject?

[INTERVIEWER: If today, enter "0"]

LINJN

When last injected, number



__ __ __




Range

0-365



Don't Know

999



Refuse to Answer

777




Check_ID1b.dmy.


If R does not report time since last injection (ID1b.num EQ DK or REF), go to CALC_LINJ12.

If R last injected on day of interview (ID1b.num EQ 0), go to Check_INTRO_ID2.

Else, go to ID1b.dmy.



ID1b.dmy.

INTERVIEWER: Was this days or months or years ago that you last injected?


LINJ_U

When last injected: day, month or year




# of Days

0




# of Months

1




# of Years

2




Check_INTRO_ID2.


If R last injected in the past year (ID1b.num EQ 0 or (ID1b.num LE 12 & ID1b.dmy EQ 1) or (ID1b.num LE 365 & ID1b.dmy EQ 0) or (ID1b.num LE 1 & ID1b.dmy EQ 2)) go to INTRO_ID2.

Else, go to CALC_LINJ12.









UNIVERSE_InjectionFrequency.

All Rs who injected in the past year (ID1b.num EQ 0 or (ID1b.num LE 12 & ID1b.dmy EQ 1) or (ID1b.num LE 365 & ID1b.dmy EQ 0) or (ID1b.num LE 1 & ID1b.dmy EQ 2)).



Injection Frequency, 12m





INTRO_ID2.

DISPLAY: "READ: The next questions are about injection drug use in the past 12 months, that is, since [fill with interview month, formatted as text] of last year."









ID2.

In the past 12 months, when you were injecting, about how often did you inject any drug?

[READ choices.]

INJFX12

Overall injection frequency,12m




More than once a day

1




Once a day

2




More than once a week

3




Once a week or less

4




Don't Know

9




Refuse to Answer

7




Check_ INTRO_ID3a.

If IDU cycle (CYCLE EQ 2), go to INTRO_ID3a.

If MSM or HET cycle (CYCLE EQ 1 or 3), go to ID4a.





INTRO_ID3a.

DISPLAY: "[Give Respondent Flashcard R.]



READ: I'm going to read you a list of drugs. For each drug I mention, please tell me how often you injected it in the past 12 months."



ID3a.

How often did you inject speedball, which is heroin and cocaine together?



[READ choices.]

INJ_SB

Speedball (heroin and cocaine together) frequency - 12 months




More than once a day

1




Once a day

2




More than once a week

3




Once a week or less

4




Never

5




Don't Know

9




Refuse to Answer

7




ID3b.

How often did you inject heroin, by itself?



[READ choices.]

INJ_HERO

Heroin, by itself frequency - 12 months




More than once a day

1




Once a day

2




More than once a week

3




Once a week or less

4




Never

5




Don't Know

9




Refuse to Answer

7




ID3c.

How often did you inject powder cocaine, by itself?



[READ choices.]

INJ_COKE

Powder cocaine, by itself frequency - 12 months




More than once a day

1




Once a day

2




More than once a week

3




Once a week or less

4




Never

5




Don't Know

9




Refuse to Answer

7




ID3d.

How often did you inject crack cocaine, by itself?



[READ choices.]

INJ_CRAC

Crack cocaine, by itself frequency - 12 months




More than once a day

1




Once a day

2




More than once a week

3




Once a week or less

4




Never

5




Don't Know

9




Refuse to Answer

7




ID3e.

How often did you inject methamphetamine, which includes meth, crystal meth, speed, or crank?



[READ choices.]

INJ_METH

Methamphetamine frequency - 12 months




More than once a day

1




Once a day

2




More than once a week

3




Once a week or less

4




Never

5




Don't Know

9




Refuse to Answer

7




ID3f.

How often did you inject painkillers, such as Oxycontin, Dilaudid, morphine, Percocet, or Demerol?



[READ choices.]

INJ_PAIN

Painkillers frequency - 12 months




More than once a day

1




Once a day

2




More than once a week

3




Once a week or less

4




Never

5




Don't Know

9




Refuse to Answer

7




ID3g.1.

Did you inject any other drugs in the past 12 months?

INJ_OTH

Other drug injected, 12m, y/n – IDU




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_ID3gspec.

If R injected another drug in the past 12 months (ID3g.1 EQ 1), go to ID3gspec.

Else, go to INTRO_ID5a.



ID3gspec.

What other drugs did you inject?

INJ_OTHS

INJ Other drug specify, 12m--IDU


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




{text response; max length = 100 characters}


Don't Know

9



Refuse to Answer

7






Check_ID4A.

Go to INTRO_ID5.







ID4a.

In the past 12 months, which drug did you inject most often?



[Give Respondent Flashcard B.]



[READ choices.]

INJMOST1

Drug injected most often - 12 months – MSM, HET




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




ID4b.1.

Did you inject any other drugs in the past 12 months?

INJOTHNI

Other drug injected, 12m, y/n – MSM, HET




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_ID4b.2.

If R injected another drug in the past 12 months (ID4C.1 EQ 1), go to ID4c.2.

Else, go to INTRO_ID5a.



ID4b.2.

What other drugs did you inject?



[Give Respondent Flashcard B.]



[READ choices. CHECK ALL that apply.]

INJMOST

Other drugs injected, 12m – MSM, HET



INJMOSTA

Speedball, which is heroin and cocaine together




INJMOSTB

Heroin, by itself




INJMOSTC

Powder cocaine, by itself




INJMOSTD

Crack cocaine, by itself




INJMOSTE

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




INJMOSTF

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




INJMOSTG

Something else





Don't Know

99




Refuse to Answer

77




Injection Equipment Type and Sources, 12m



INTRO_ID5a.

DISPLAY: "READ: Next, I'm going to ask you about the needles you used in the past 12 months, that is, since [fill with interview month, formatted as text] of last year. When I ask you about "needles," I'm talking about needles and syringes."



ID5a.

In the past 12 months, have you used a syringe with a needle that can be removed?



[Give Respondent Flashcard S.]

INJREM

Used syringe with removable needle - 12 months




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_ID5b.

If R used a syringe with a needle that can be removed in the past 12 months (ID5A EQ 1), go to ID5B.

Else, go to ID7.



ID5b.

In the past 12 months, how often did you use a syringe with a needle that can be removed?



[READ choices.]

INJREMFR

Frequency used syringe with removable needle - 12 months




Rarely

1




About half the time

2




Most of the time

3




Always

4




Don't Know

9




Refuse to Answer

7








ID7.

In the past 12 months, after you injected, what did you do with the used needle? You may choose more than one option.



[Give Respondent Flashcard T.]



[READ choices. CHECK ALL that apply.]

NDLEDSP

How disposed of used needle - 12 months



NDLEDSPA

Put it in a medical sharps container




NDLEDSPB

Threw it away




NDLEDSPC

Kept it




NDLEDSPD

Gave or sold it to someone else




NDLEDSPE

Took it to a needle or syringe exchange program




NDLEDSPF

Did something else with it





Don't Know

9




Refuse to Answer

7




Check_ID7spec.

If R did something else with the used needle (NDLEDSPF EQ 1), go to ID7spec.

Else, go to ID8.



ID7spec.

INTERVIEWER: Specify other method of disposing of used needles

SPECDISP

How disposed of used needle: Other specify


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




{text response; max length = 100 characters}


Don't Know

9



Refuse to Answer

7






ID8.

[Give Respondent Flashcard U.]



In the past 12 months when you injected, how often did you use a new, sterile needle? By a new, sterile needle, I mean a needle never used before by anyone, even you.



[READ choices.]

STERILE

INJ Frequency used sterile needle - 12 months




Never

0




Rarely

1




About half the time

2




Most of the time

3




Always

4




Don't Know

9




Refuse to Answer

7






Injection Behaviors, 12m





Check_INTRO_ID9.

If R always used a sterile needle in the past 12 months (ID8 EQ 4), go to ID10.

Else, go to ID9.



INTRO_ID9.

DISPLAY: "READ: Next, I'm going to ask you about your injecting behaviors in the past 12 months, that is, since [fill with interview month, formatted as text] of last year. When I ask you about "needles," I'm talking about needles and syringes."





ID9.

In the past 12 months, with how many different people did you use a needle after they injected with it?

NUM_NA

Used needle after-number of people




__ __ __





Range

0-300




Don't Know

999




Refuse to Answer

777




ID10.

In the past 12 months, how many different people did you give your needle to use after you had already injected with it?

NUM_GIVE

Gave needle after injected with it - number of people




__ __ __





Range

0-300




Don't Know

999




Refuse to Answer

777




ID11.

In the past 12 months, with how many different people did you use the same cooker, cotton, or water that they had already used? By "water", I mean water for rinsing needles or preparing drugs.

NUM_CCW

Used cooker, cotton, water after - number of people




__ __ __





Range

0-300




Don't Know

999




Refuse to Answer

777




ID12.

In the past 12 months, with how many different people did you use drugs that had been divided with a syringe that they had already used?

NUM_DDA

Used drugs divided up after - number of people




__ __ __





Range

0-300




Don't Know

999




Refuse to Answer

777




Check_ID13.

If R always used a sterile needle in the past 12 months or refuses to report how many people he used a needle after in the past 12 months (ID8 EQ 4 or (ID9 EQ 0 or REF)), go to Check_ID14.

Else, go to ID13.



ID13.

In the past 12 months, how often did you use needles that someone else had already injected with?



[Give Respondent Flashcard U.]



[READ choices.]

SHARNDLE

Used needle after- frequency




Never

0




Rarely

1




About half the time

2




Most of the time

3




Always

4




Don't Know

9




Refuse to Answer

7




HardEdit_ID13.

If R reported earlier that he had used needles after one or more persons & reports that he never used needles after someone (ID9 GT 0 and ID13 EQ 0), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (reported using needles after at least one other person). Clarify and re-enter response to current or prior item as needed." Then go back to ID13.

Else, go to Check_ID14.



Check_ID14.

If R did not give or refused to report if he gave someone a needle after he injected with it in the past 12 months (ID10 EQ 0 or REF), go to Check_ID15.

Else, go to ID14.



ID14.

In the past 12 months, how often did you give your needle to someone else to use after you had already injected with it?



[Give Respondent Flashcard U.]



[READ choices.]

GIVENDLE

Gave needle after injected with it - frequency




Never

0




Rarely

1




About half the time

2




Most of the time

3




Always

4




Don't Know

9




Refuse to Answer

7




HardEdit_ID14.

If R reported earlier that he had given needles to one or more persons and reports that he never gave needles to someone else (ID10 GT 0 and ID14 EQ 0), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (reported giving needles to at least one other person). Clarify and re-enter response to current or prior item as needed." Then go back to ID14.

Else, go to Check_ID15.



Check_ID15.

If R did not use or refused to report if he used cookers, cottons, or water after someone else in the past 12 months (ID11 EQ 0 or REF), go to Check_ID16.

Else, go to ID15.



ID15.

In the past 12 months, how often did you use cookers, cottons, or water that someone else had already used?



[Give Respondent Flashcard U.]



[READ choices.]

SHARWORK

Used cooker, cotton, water after - frequency




Never

0




Rarely

1




About half the time

2




Most of the time

3




Always

4




Don't Know

9




Refuse to Answer

7




HardEdit_ID15.

If R reported earlier that he had used cookers, cottons, or water after one or more persons and reports that he never used cookers, cottons, or water after someone else (ID11 GT 0 and ID15 EQ 0), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (reported using cookers, cottons, or water after at least one other person). Clarify and re-enter response to current or prior item as needed." Then go back to ID15.

Else, go to Check_ID16.



Check_ID16.

If R did not use or refused to report if he used drugs that had been divided with a used syringe (ID12 EQ 0 or REF), go to Check_INTRO_ID17.

Else, go to ID16.



ID16.

In the past 12 months, how often did you use drugs that had been divided with a syringe that someone had already injected with?



[Give Respondent Flashcard U.]



[READ choices.]

SAMESYR

Used drugs divided up after - frequency




Never

0




Rarely

1




About half the time

2




Most of the time

3




Always

4




Don't Know

9




Refuse to Answer

7




HardEdit_ID16.

If R reported earlier that he had used drugs that been divided with a used syringe after one or more persons and reports that he never used drugs divided with a used syringe (ID12 GT 0 and ID16 EQ 0), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (reported using drugs that had been divided with a used syringe with at least one person). Clarify and re-enter response to current or prior item as needed." Then go back to ID16.

Else, go to Check_INTRO_ID17.





Last Sharing Event, 12m



Check_INTRO_ID17.

If R did not share or refuses to report if he shared needles or works & did not inject drugs that had been divided with a used syringe with anyone in the past 12 months ((ID8 EQ 4 or (ID9 EQ 0 or REF)) & (ID10 EQ 0 or REF) & (ID11 EQ 0 or REF) & (ID12 EQ 0 or REF)), go to CALC_LINJ12.

If R shared or does not know if he shared needles or works or injected drugs that had been divided with a used syringe in the past 12 months (ID8 NE 4 or ID9 GT 0 or ID9 EQ DK or ID10 GT 0 or ID10 EQ DK or ID11 GT 0 or ID11 EQ DK or ID12 GT 0 or ID12 EQ DK or ID13 GT 0 or ID13 EQ DK or ID14 GT 0 or ID14 EQ DK or ID15 GT 0 or ID15 EQ DK or ID16 GT 0 or ID16 EQ DK), go to INTRO_ID17.







INTRO_ID17.

DISPLAY: "READ: Now I'd like you to think about the last time you shared any equipment you used to inject or divide drugs with someone in the past 12 months."



ID17.

In the past 12 months, when was the last time you shared any injection equipment with someone?

INJL_D

Date last time injected with someone




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





Range (Year)

1900-Current




Don't Know

9999




Refuse to Answer

7777








CALC_INJLD_C.



INJLD_C

Century month version of INJL_D date

INJLD_C = ((INJL_DY-1900)*12) + INJL_DM







HardEdit_ID17.

If R reports last sharing injection equipment with someone more than 12 months ago ((INJLD_C LT AGO12M_C) or (INJL_DY BEFORE (IDATEY-1)), DISPLAY: "INTERVIEWER: The respondent said earlier that they have shared equipment with at least one person in the past 12 months. The most recent time they shared should be within the past 12 months. Clarify and re-enter response to current or prior item as needed." Then, go back to ID17.







Check_ID17conf.

If R does not know when he last shared injection equipment with someone in the past 12 months (ID17 EQ DK), go to ID17conf.

If R refuses to report when he last shared injection equipment with someone in the past 12 months (ID17 EQ REF), go to CALC_LINJ12.

If R shared injection equipment within the past 12 months (INJLD_C GE AGO12M_C ), go to ID18.



ID17conf.

Did you last share injection equipment with someone in the past 12 months, that is, since [fill with interview month, formatted as text] of last year?

C_INJL_D

Shared injection equipment in the past 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




HardEdit_ID17conf.

If R does not confirm that he shared injection equipment with someone in the past 12 months (ID17conf EQ 0), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (reported sharing injection equipment with at least one person in past 12 months). Clarify and re-enter response to current or prior item as needed." Then go back to ID17.

Else, go to Check_ID18.



Check_ID18.

If R does not know or refuses to report whether he last shared injection equipment with someone in the past 12 months (ID17conf EQ DK or REF), go to CALC_LINJ12.

If R has shared injection equipment with someone in the past 12 months (ID17conf EQ 1), go to ID18.







ID18.

The last time you shared with someone, did you use a needle after anyone else had already injected with it?

INJL_UN

Used needle after someone - last time




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_ID19.

If R has given, does not know if he has given, or refuses to report if he has given a used needle to someone after using it in the past 12 months (ID10 NE 0), go to ID19.

If R has not given a used needle to someone after using it in the past 12 months (ID10 EQ 0), go to Check_ID20.



ID19.

The last time you shared with someone, did you give your needle to someone else to use after you had already injected with it?

INJL_GIV

Gave used needle to someone else - last time




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_ID20.

If R has used, does not know if he has used, or refuses to report if he has used a cooker, cotton, or water that someone else had already used in the past 12 months (ID11 NE 0), go to ID20.

If R has not used a cooker, cotton, or water that someone else had already used in the past 12 months (ID11 EQ 0), go to Check_ID21.



ID20.

The last time you shared with someone, did you use a cooker, cotton, or water that anyone else had already used?

INJL_UCW

Used same cooker, cotton, water - last time




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_ID21.

If R has used, does not know if he has used, or refuses to report if he has used drugs that were divided with a syringe that someone else had already used in the past 12 months (ID12 NE 0), go to ID21.

If R has not used drugs that were divided with a syringe that someone else had already used in the past 12 months (ID12 EQ 0), go to ID22.



ID21.

The last time you shared with someone, did you use drugs that had been divided with a syringe that anyone else had already injected with?

INJL_US

Used drugs divided with same syringe - last time




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




ID22.

The last time you shared with someone, with how many different people did you share any injection equipment?

INJL_NUM

Number of people shared equipment with – last time




__ __ __





Range

1-300




Don't Know

999




Refuse to Answer

777


Last Sharing Partner, 12m



Check_INTRO_ID23_1.

If R shared with more than one person, doesn't know how many people he shared with, or refuses to report how many people he shared with the last time he shared with someone (ID22 GT 1 or ID22 EQ DK or ID22 EQ REF), go to INTRO_ID23_2.

If R shared with one person the last time he shared with someone (ID22 EQ 1), go to INTRO_ID23_1.



INTRO_ID23_1.

DISPLAY: "READ: The next questions are about this last person that you shared injection equipment with."



Check_INTRO_ID23_2.

Go to ID23.



INTRO_ID23_2.

DISPLAY: "READ: Of the people you shared injection equipment with that last time, please think of the one that you have shared with most often. The next few questions are about that person."



ID23.

Is this person male or female?

INJL_MF

Sex of last injecting partner




Male

1




Female

2




Other

3




Don't Know

9




Refuse to Answer

7




Check_ID24.

If R's last sharing partner was male (ID23 EQ 1), go to ID24.

Else, go to ID25.



ID24.

[Give Respondent Flashcard O.]



As far as you know, has this person ever had sex with another man? Would you say he:



[READ choices.]

INJLEMSM

Last injecting partner is MSM




Definitely did not

0




Probably did not

1




Probably did

2




Definitely did

3




Don't Know

9




Refuse to Answer

7






ID25.

How old is this person?

INJL_AGE

Last injecting partner age




__ __ __





Range

1-99




Don't Know

999




Refuse to Answer

777




ID26.

[Give Respondent Flashcard M.]



Which of the following best describes this person's racial or ethnic background? You may choose more than one option.



[READ choices. CHECK ALL that apply.]

INJLRE

Last injecting partner race



INJLREA

American Indian or Alaska Native




INJLREB

Asian




INJLREC

Black or African American




INLRED

Hispanic or Latino




INLREE

Native Hawaiian or Other Pacific Islander




INJLREF

White





Don't Know

9




Refuse to Answer

7




ID27a.

The last time you shared with this person, did you know their HIV status?

IPKNWSTS

Know HIV status - Last injecting partner




No

0




Yes

1




Refuse to Answer

7






Check_ID27b.

If R knew last sharing partner's HIV status (ID27a EQ 1), go to ID27b.

Else, go to ID28a.





ID27b.

What was their HIV status?



[DO NOT read choices.]

INJL_HIV

HIV status - Last injecting partner




HIV-negative

1




HIV-positive

2




Indeterminate

3




Refuse to Answer

7






ID28a.

The last time you shared with this person, did you know their hepatitis C status?

IPKNWHCV

Knew HCV status - last injecting partner




No

0




Yes

1




Refuse to Answer

7




Check_ID28b.

If R knew last sharing partner's hepatitis C status (ID28a EQ 1), go to ID28b.

Else, go to ID29.





ID28b.

What was their hepatitis C status?


[DO NOT read choices.]

INJL_HCV

HCV status - Last injecting partner




HCV-Negative

1




HCV-Positive

2




Refuse to Answer

7






ID29.

[Give Respondent Flashcard V.]



Which of the following best describes your relationship to this person? Would you say this person was a:



[READ choices.]

INJL_REL

Type of relationship - Last injecting partner




Sex partner, such as your spouse, boyfriend/girlfriend, or other person you have sex with

1




Relative

2




Friend or someone you knew well who was not a sex partner

3




Needle or drug dealer

4




Stranger or someone you did not know well

5




Other

6




Don't Know

9




Refuse to Answer

7




CALC_LINJ12.



LINJ12

Injected in last 12 months

LINJ12 = IF((LINJN=0), 1, if((LINJ_U=0 & LINJN<=365 ), 1, if((LINJ_U=1 & LINJN<=12 ), 1, if((LINJ_U=2 & LINJN <= 1), 1, If (((LINJ_U=2 & LINJN >1) OR (LINJ_U=1 & LINJN>12)),0))))))))





Check_CALC_ENDID.

If IDU cycle & R did not inject in the past 12 months (CYCLE EQ 2 & LINJ12 NE 1), go to CALC_ENDCORE.

Else, go to CALC_ENDID.







CALC_ENDID.



ENDID

Time injection drug use section ended

ENDID = Current time





END_ID.

Go to Non-Injection Drug Use Section (ND).





NHBS ROUND 5 QUESTIONNAIRE

NON-INJECTION DRUG USE (ND)

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

Section

Question #

Variable name

Variable label

Preloaded variable

--

CYCLE

NHBS Cycle

Eligibility Screener

ES9

GENDER

Gender

Eligibility Screener

--

EL_MSM

Eligible: MSM cycle

Eligibility Screener

--

EL_IDU

Eligible: IDU cycle

Eligibility Screener

--

EL_HET

Eligible: HET cycle

Consent

CN1

CONSENTA

Consent to survey

Injection Drug Use

ID3E

INJ_METH

Methamphetamine frequency - 12 months

Injection Drug Use

ID4B

INJMOST1

Drug injected most often - 12 months – MSM, HET

Injection Drug Use

ID4C.2

INJMOSTE

Other drugs injected - 12 months – MSM, HET

Injection Drug Use

--

ENDID

Time injection drug use section ended

Sexual Behavior

--

ENDSX

Time sexual behavior section ended

Alcohol Use

--

ENDAL

Time alcohol use section ended



UNIVERSE_ND.

All Eligible Rs (CYCLE EQ 1 & EL_MSM EQ 1) or (CYCLE EQ 2 & EL_IDU EQ 1) or (CYCLE EQ 3 & EL_HET EQ 1) who consent to interview (CN1 EQ 1) and completed all prior sections ((ENDSX, ENDAL, & ENDID) are not missing).



CALC_BEGND.



BEGND

Time at beginning of ND section

BEGND = Current time





INTRO_ND1.

DISPLAY: "READ: Now I'm going to ask you about times when you may have used drugs but did NOT inject them. This includes times that you may have smoked, snorted, inhaled, or ingested drugs such as marijuana, methamphetamine, cocaine, or crack."



ND1.

In the past 12 months, that is, since [fill with interview month, formatted as text] of last year, have you used any drugs that were not prescribed for you [if R injected in past 12m (LINJ12 EQ 1), fill with “and that you did not inject”]?

NIUSE12

Non-injection drug use - 12 months




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_INTRO_ND2.

If R has used non-injection drugs (ND1 EQ 1), go to INTRO_ND2A.

If R did not report using non-injection drugs (ND1 EQ 0, DK or REF) & R injected methamphetamine in the past 12 months ((ID3E EQ 1, 2, 3, or4) or (ID4B EQ 5) or (INJMOSTE EQ 1)), go to Check_ND3.

Else, go to CALC_ENDND.



INTRO_ND2A.

DISPLAY: "[Give Respondent Flashcard R.]



READ: I'm going to read you a list of drugs. For each drug I mention, please tell me how often you used it in the past 12 months. Do NOT include the times that you injected drugs or used drugs that were prescribed for you."



ND2A.

How often did you use marijuana?

ND_MJ

How often used marijuana past 12 months




More than once a day

1




Once a day

2




More than once a week

3




Once a week or less

4




Never

5




Don't Know

9




Refuse to Answer

7






ND2B.

How often did you use methamphetamine, which includes meth, crystal meth, speed, or crank?

ND_METH

How often used methamphetamine past 12 months




More than once a day

1




Once a day

2




More than once a week

3




Once a week or less

4




Never

5




Don't Know

9




Refuse to Answer

7




ND2C.

How often did you use crack cocaine?

ND_CRACK

How often used crack cocaine past 12 months




More than once a day

1




Once a day

2




More than once a week

3




Once a week or less

4




Never

5




Don't Know

9




Refuse to Answer

7




ND2D.

How often did you smoke or snort powder cocaine?

ND_COKE

How often used powder cocaine that is smoked or snorted past 12 months




More than once a day

1




Once a day

2




More than once a week

3




Once a week or less

4




Never

5




Don't Know

9




Refuse to Answer

7




ND2E.

How often did you use downers (benzos) such as Klonopin, Valium, Ativan, or Xanax?

ND_DOWN

How often used downers (benzos) such as Valium past 12 months




More than once a day

1




Once a day

2




More than once a week

3




Once a week or less

4




Never

5




Don't Know

9




Refuse to Answer

7






ND2F.

How often did you use pain killers such as Oxycontin, Vicodin, morphine, or Percocet?

ND_PAIN

How often used pain killers such as Oxycontin, Vicodin past 12 months




More than once a day

1




Once a day

2




More than once a week

3




Once a week or less

4




Never

5




Don't Know

9




Refuse to Answer

7




ND2G.

How often did you use X or ecstasy?

ND_X

How often used X or ecstasy past 12 months




More than once a day

1




Once a day

2




More than once a week

3




Once a week or less

4




Never

5




Don't Know

9




Refuse to Answer

7




ND2H.

How often did you smoke or snort heroin?

ND_HER

How often used heroin that is smoked or snorted past 12 months




More than once a day

1




Once a day

2




More than once a week

3




Once a week or less

4




Never

5




Don't Know

9




Refuse to Answer

7




Check_ND2I.

If MSM cycle (CYCLE EQ 1), go to ND2I.

Else, go to ND2J.



ND2I.

How often did you use poppers, also known as amyl nitrite?

ND_POP

How often used poppers (amyl nitrite) past 12 months




More than once a day

1




Once a day

2




More than once a week

3




Once a week or less

4




Never

5




Don't Know

9




Refuse to Answer

7




ND2J.

In the past 12 months, have you used any other drugs that you did NOT inject?

ND_OTHYN

Used other non-injection drugs past 12 mos




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_ND2J.spec.

If R has used another non-injection drug (ND2J EQ 1), go to ND2J.spec.

Else, go to Check_ND3.



ND2J.spec.

What other drugs did you use that you did NOT inject?

ND_OTHSP

Other non-injection drugs



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



{text response; max length = 100 characters}


Don't Know

9



Refuse to Answer

7






CALC_ENDND.



ENDND

Time ND section ended

ENDND = Current time





END_ND.

Go to Drug Treatment Section (TX).





NHBS ROUND 5 QUESTIONNAIRE

DRUG OVERDOSE AND DRUG TREATMENT (TX)

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

Section

Question #

Variable name

Variable label

Eligibility Screener

--

EL_MSM

Eligible: MSM cycle

Eligibility Screener

--

EL_IDU

Eligible: IDU cycle

Eligibility Screener

--

EL_HET

Eligible: HET cycle

Consent

CN1

CONSENTA

Consent to survey

Non-Injection Drug Use

--

ENDND

Time non-injection drug use section ended

Injection Drug Use

--

ENDID

Time injection drug use section ended

Sexual Behavior

--

ENDSX

Time sexual behavior section ended

Alcohol Use

--

ENDAL

Time alcohol use section ended



UNIVERSE_TX.

All Eligible Rs (CYCLE EQ 1 & EL_MSM EQ 1) or (CYCLE EQ 2 & EL_IDU EQ 1) or (CYCLE EQ 3 & EL_HET EQ 1) who consent to interview (CN1 EQ 1) and completed all prior sections ((ENDSX, ENDAL, ENDID, & ENDND) are not missing).



CALC_BEGTX.



BEGTX

Time at beginning of TX section

BEGTX = Current time





INTRO_TX1.

DISPLAY: "READ: Next, I'm going to ask you about programs that you may have participated in to treat drug use. These include out-patient, in-patient, residential, detox, or 12-step programs."



TX1.

Have you participated in a program to treat drug use in the past 12 months, that is since [fill with interview month, formatted as text] of last year?

DRUGTXR5

Drug treatment - 12 months




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




TX2.

In the past 12 months, did you try to get into a program to treat drug use but were unable to?

DTXTRYR5

Drug tx tried to get in




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_INTRO_TX3.

If R has used opioids or heroin in the past 12 months (ID3A LT 5 OR ID3B LT 5 OR INJ3F LT5 OR ID4B EQ 1,2, or 6 OR INJMOSTA EQ 1 OR INJMOSTB EQ 1 OR INJMOSTF EQ 1 OR ND2F LT5 OR ND2H LT 5) go to INTRO_TX3.

Else, go to CALC_ENDTX.





INTRO_TX3.

DISPLAY: "READ: Now, I am going to ask you about your experiences with taking medicines to treat drug use, like methadone, buprenorphine, Suboxone or Subutex. Please only think about these medicines given to you by a doctor or other health care provider.“



TX3.

Have you taken medicines, like methadone, buprenorphine, Suboxone or Subutex, to treat drug use in the past 12 months?

MAT

Drug tx tried to get in




No

0




Yes

1




Don't Know

9




Refuse to Answer

7






TX4.

In the past 12 months, did you try to get medicine, like methadone, buprenorphine, Suboxone or Subutex to treat drug use but were unable to?

MATTRY

Drug tx tried to get in




No

0




Yes

1




Don't Know

9




Refuse to Answer

7






TX5.

In the past 12 months, did you overdose on heroin or painkillers? By overdose, I mean if you passed out, turned blue, or stopped breathing from using drugs."

OVERDOSE

Overdosed in past 12 months




No

0




Yes

1




Don't Know

9




Refuse to Answer

7






CALC_ENDTX.



ENDTX

Time drug treatment section ended

ENDTX = Current time





END_TX.

Go to HIV Testing Experiences Section (HT).





NHBS ROUND 5 QUESTIONNAIRE

HIV TESTING EXPERIENCES (HT)

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

Section

Question #

Variable name

Variable label

Preloaded Variable

--

IDATE

Interview date

Preloaded Variable

--

IDATEY

Interview date: Year

Preloaded Variable

--

IDATE_C

Interview date: Century Month

Preloaded Variable

--

AGO6M_C

6 mos before interview: Century Month

Preloaded Variable

--

AGO12M_C

12 mos before interviewe: Century Month

Preloaded Variable

--

AGO2Y_C

2 yrs before interview: Century Month

Eligibility Screener

ES1

DOB

Date of birth

Interviewer Entered Information

IE2

CITY

City

Consent

CN1

CONSENTA

Consent to survey

Eligibility Screener

--

EL_MSM

Eligible: MSM cycle

Eligibility Screener

--

EL_IDU

Eligible: IDU cycle

Eligibility Screener

--

EL_HET

Eligible: HET cycle

Non-Injection Drug Use

--

ENDND

Time non-injection drug use section ended

Injection Drug Use

--

ENDID

Time injection drug use section ended

Sexual Behavior

--

ENDSX

Time sexual behavior section ended

Alcohol Use

--

ENDAL

Time alcohol use section ended

Drug Treatment

---

ENDTX

Time drug treatment section ended



Universe_HT.

All Eligible Rs (CYCLE EQ 1 & EL_MSM EQ 1) or (CYCLE EQ 2 & EL_IDU EQ 1) or (CYCLE EQ 3 & EL_HET EQ 1) who consent to interview (CN1 EQ 1) and completed all prior sections ((ENDSX, ENDAL, ENDID, ENDND, & ENDTX) are not missing).



CALC_BEGHT.



BEGHT

Time at beginning of HIV testing section

BEGHT = Current time



INTRO_HT1.

DISPLAY: "READ: Now I'm going to ask you a few questions about getting tested for HIV. Remember, an HIV test checks whether someone has the virus that causes AIDS."



HT1.

Have you ever had an HIV test?

EVERTEST

Ever tested for HIV




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_HT2.

If R ever tested for HIV (HT1 EQ 1), go to HT2.

If R never tested for HIV (HT1 EQ 0), go to HT6.

If R did not report if ever tested for HIV (HT1 EQ DK or REF), go to INTRO_HT11.





HT2.

Have you ever tested positive for HIV, that is, do you have HIV?

EVERPOS

Ever test positive for HIV




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_NSRPSeries.

If R ever tested HIV-positive (HT2 EQ 1), go to Self-reported Positive (SRP) series.

If R ever tested & did NOT report ever testing HIV-positive (HT1 EQ 1) & (HT2 EQ 0, DK, or REF), go to Non-Self-reported Positive (NSRP) Series.



Universe_NSRPSeries.

Rs who ever tested and did NOT report ever testing HIV-positive (HT1 EQ 1) & (HT2 EQ 0, DK, or REF).



Non-Self-reported Positive (NSRP) Series (HT3 – HT6a)

Recent HIV testing

HT3.

In the past 2 years, that is, since [fill with interview month, formatted as text] [interview year -2], how many times have you had an HIV test?

TEST2YRS

Number of times tested, past 2 years




Range

0-700




Don't Know

999




Refuse to Answer

777




HT4.

When did you have your most recent HIV test? Please tell me the month and year.

RCNTST

Date of most recent HIV test




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





Range (Year)

1900-Current




Don't Know (Year)

9999




Refuse to Answer (Year)

7777




Check_CALC_RCNTST_C.

If R did not report when they had their most recent HIV test, (HT4 EQ DK or REF), go to Check_HT4conf.

Else, go to CALC_RCNTST_C.


CALC_RCNTST_C.



RCNTST_C

Century month version of RCNTST date

RCNTST_C= ((RCNTSTY-1900)*12) + RCNTSTM.




SoftEdit_HT4.

If year of most recent test is before 1985 (HT4 (year) LT 1985), DISPLAY: "INTERVIEWER: HIV testing was not widely available before 1985. Please confirm the year of the most recent HIV test. If [fill with response to HT4 (year)] is NOT correct, please go back to the previous screen and re-enter the correct year." Then go to HardEdit_HT4.



HardEdit_HT4.

If most recent test more than 2 years before interview (( RCNTST_C LT AGO2Y_C) or (IDATEY-RCNTSTY GT 2)) & R reported 1 or more tests in past 2 years (HT3 GT 0) or if most recent test was within 24 months of interview ((RCNTST_C GE AGO2Y_C) or (IDATEY-RCNTSTY EQ 0 or 1)) & R reported 0 tests in past 2 years (HT3 EQ 0), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of tests reported). Clarify and re-enter response to current or prior item as needed." Then return to HT3.


If HT4 after interview date ((RCNTST_C GT IDATE_C) or (RCNTSTY AFTER IDATEY)), DISPLAY: "INTERVIEWER: The date of the most recent HIV test cannot be after today's date." Then, go back to HT4.


If HT4 before date of birth (HT4 BEFORE ES1), DISPLAY: "INTERVIEWER: The date of respondent's most recent HIV test cannot be before the date of birth, [fill with response to ES1, formatted as Month DD, YYYY]." Then go back to HT4.


Else, go to Check_HT4conf.




Check_HT4conf.

If R did not know either month or year of last test (HT4 EQ DK), or if year of last test is year before interview year & month of last test not reported ((HT4Y EQ IDATEY-1) & (HT4M is missing), go to HT4conf.

Else, go to HT4a.



HT4conf.

Was your most recent HIV test in the past 12 months, that is, since [fill with interview month, formatted as text] of last year?

C_RCNTST

HIV test in 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




HT4a.

When you got tested [if month & year of last test are known, fill with response to HT4, formatted as "in month, YYYY"; if month missing but year known, fill with response to HT4 (year), formatted as "in YYYY"; if month & year of last test not reported (HT4 EQ DK or REF), fill with "that last time"], where did you get tested?


[DO NOT READ choices.]

LOCHIV

Location of recent HIV test




HIV counseling and testing site

1




HIV/AIDS street outreach program or mobile unit

2




Drug treatment program

4




Needle or syringe exchange program

5




Correctional facility (jail or prison)

6




Family planning or obstetrics clinic

7




Public health clinic or community health center

8




Private doctor's office (including HMO)

9




Emergency room

10




Hospital (inpatient)

11




At home

12




Other

13




Don't Know

99




Refuse to Answer

77




HT4b.

Did you get the result of your most recent HIV test?

GOTRCNT

Got result most recent HIV test




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_HT4c.

If R received result of recent test (HT4b EQ 1), go to HT4c.

Else, go to Check_INTRO_HT5.




HT4c.

What was the result of your most recent HIV test?


[READ choices.]

RCNTRST

Result most recent HIV test




Negative, you do NOT have HIV

1




Positive, you DO have HIV

2




Don't Know

9




Refuse to Answer

7




Check_INTRO_HT5.

If recent test result was positive (HT4c EQ 2), go to Self-Reported Positive (SRP) Series.


If whether or not R tested in past 12 months is unknown (((HT4 EQ DK or REF) &(HT4conf EQ DK or REF)) or (HT4 EQ REF) or ((RCNTSTY=IDATEY-1) & (HT4conf EQ DK or REF))), go to INTRO_HT11.


If recent test not positive (HT4c NE 2) & R tested in past 12 months ((RCNTST_C GE AGO12M_C) or (HT4conf EQ 1) or (RCNTSTM is missing & (IDATEY=RCNTSTY))), go to INTRO_HT5.


If recent test not positive (HT4c NE 2) & R NOT tested in past 12 months ( (RCNTST_C LT AGO12M_C) or (IDATEY- RCNTSTY GT 1) or (HT4conf EQ 0)), go to HT6.





INTRO_HT5.

DISPLAY: READ: "A rapid home HIV test is a test you can use to test yourself that can provide the result in about 20 minutes or less."



HT5.

During the past 12 months, that is, since [fill with interview month, formatted as text] of last year, how many times have you tested yourself with a rapid home HIV test?

RHTST12M

Times tested, rapid home test, 12 months




Range

0-700




Don't Know

999




Refuse to Answer

777




Check_BarrierstoHIVTesting

Go to INTRO_HT11.



Barriers to HIV Testing

Universe_Barriers.

R's who have NOT tested in the past 12 months (HT1 EQ 0) or (HT4 GT 12 months) or (HT4conf EQ 0)



HT6.

I'm going to read you a list of reasons why some people have not been tested for HIV. Which of these best describes the most important reason you have not been tested for HIV in the past 12 months?


[READ choices.]

RENT12M

Reason not tested past 12 mos




You think you are at low risk for HIV infection?

1




You were afraid of finding out that you had HIV?

2




You didn't have time?

3




Some other reason?

4




No particular reason

5




Don't Know

9




Refuse to Answer

7




Check_HT6a.

If most important reason not tested was ‘other' (HT6 EQ 4), go to HT6a.

Else, go to INTRO_HT11.



HT6a.

What was the most important reason you have not been tested for HIV in the past 12 months?

SPECNTST

Most important reason not tested past 12 months



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



{text response; max length = 100 characters}





Don't Know

9




Refuse to Answer

7




Check_SRPSeries.

Go to INTRO_HT11.



Universe_SRPSeries.

Rs who reported ever testing HIV-positive (HT2 EQ 1) or (HT4c EQ 2).



Self-Reported HIV-positive (SRP) Series (HT7 – HT7g)



HT7.

When did you first test positive? Please tell me the month and year.

POS1ST

Date of first positive test




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





Range (Year)

1900-Current




Don't Know (Year)

9999




Refuse to Answer (Year)

7777




Check_CALC_POS1ST_C.

If R did not report when they first tested positive (HT7 EQ DK or REF), go to HT7a.

Else, go to CALC_POS1ST_C.


CALC_POS1ST_C.



POS1ST_C

Century month version of POS 1ST date

POS1ST_C = ((POS1STY-1900)*12) + POS1STM




SoftEdit_HT7.

If year of first positive test is before 1985 (HT7 (year) LT 1985), DISPLAY: "INTERVIEWER: HIV testing was not widely available before 1985. Please confirm the year respondent first tested HIV-positive. If [fill with response to HT7 (year)] is NOT correct, please go back to the previous screen and re-enter the correct year." Then go to HardEdit_HT7.



HardEdit_HT7.

If date R first tested positive after interview date ((POS1ST_C GT IDATE_C ) or (POS1STY AFTER IDATEY)), DISPLAY: "INTERVIEWER: The date respondent first tested HIV-positive cannot be after today's date." Then, go back to HT7.


If date R first tested positive before date of birth (HT7 BEFORE ES1), DISPLAY: "INTERVIEWER: The date respondent first tested HIV-positive cannot be before the date of birth, [fill with response to ES1, formatted as Month DD, YYYY]." Then go back to HT7.


If date R first tested positive after most recent test date ((POS1ST_C GT RCNTST_C ) or (POS1STY AFTER RCNTSTY)), DISPLAY: "INTERVIEWER: The date respondent first tested HIV-positive cannot be after the most recent test [if month & year of last test are known, fill with response to HT4, formatted as "in month, YYYY"; if month missing but year known, fill with response to HT4 (year), formatted as "in YYYY"]., Then go back to HT7.


If date R first tested positive within past 2 yrs ((POS1ST_C GE AGO2Y_C) or (IDATEY-POS1STY EQ 0 or 1)) & R reported 0 tests in the past two years (HT3 EQ 0), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of tests in past 2 years). Clarify and re-enter response to current or prior item as needed." Then go back to HT3.

Else, go to HT7a.



HT7a.

Where did you first test positive?


[DO NOT READ choices.]

LOC1POS

Location of first HIV-positive test




HIV counseling and testing site

1




HIV/AIDS street outreach program or mobile unit

2




Drug treatment program

4




Needle or syringe exchange program

5




Correctional facility (jail or prison)

6




Family planning or obstetrics clinic

7




Public health clinic or community health center

8




Private doctor's office (including HMO)

9




Emergency room

10




Hospital (inpatient)

11




At home

12




Other

13




Don't Know

99




Refuse to Answer

77




HT7b.

After you tested positive, were you asked by someone from the health department or your health care provider to give the names of your sex or drug use partners so they could be notified that they may have been exposed to HIV?

POSASKED

Asked about your sex partners




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_HT7c.

If R was asked about partners (HT7b EQ 1), go to HT7c.

Else, go to HT7d.



HT7c.

Did you give the names or contact information of any of your partners when asked?

POSCONT

Gave names or contact information of partners when asked




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




HT7d.

Within 30 days after you got your first positive HIV test, did someone let you know where you could go for outpatient care?

TLDCARE

Told where to get HIV care




No

0




Yes

1




Don't Know

9




Refuse to Answer

7


























Linkage to Care



Universe_LinkagetoCare.

All HIV-positive Rs (HT2 EQ 1 or HT4c EQ 2).



HT8a.

Have you ever been seen by a doctor, nurse, or other health care provider for a medical evaluation or care related to your HIV infection?

POSMD

Seen health care provider for HIV infection




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_HT8b.

If R has ever been seen for HIV care (HT8aEQ 1), go to HT8b.

Else, go to INTRO_HT11.



HT8b.

When did you first go to your health care provider after learning you had HIV? Please tell me the month and year.

FRSTMD

First saw health care provider after learning HIV+




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





Range (Year)

1900-Current




Don't Know (Year)

9999




Refuse to Answer (Year)

7777




Check_CALC_FRSTMD_C.

If R did not report when they first went to a health care provider (HT8b EQ DK or REF), go to Check_HT8b.1

Else, go to CALC_FRSTMD_C.


CALC_FRSTMD_C.



FRSTMD_C

Century month version of FIRST MD date

FRSTMD_C = (FRSTMDY-1900)*12) + FRSTMDM





HardEdit_HT8b.

If R's date of first visit for HIV care is after date of interview ((FRSTMD_C GT IDATE_C) or (FRSTMDY AFTER IDATEY )), DISPLAY: "INTERVIEWER: The date respondent first saw a health care provider about his or her positive serostatus cannot be after today's date." Then, go back to HT8b.


If R's date of first visit for HIV care is before date of birth (HT8b BEFORE ES1), DISPLAY: "INTERVIEWER: The date respondent first saw a health care provider about his or her positive serostatus cannot be before the date of birth, [fill with (value for ES1, formatted as Month DD, YYYY)]. Then, go back to HT8b.


If R's date of first visit for HIV care is before date of first HIV-positive test date ((POS1ST_C GT FRSTMD_C) or (POS1STY AFTER FRSTMDY)), DISPLAY: "INTERVIEWER: The date respondent first saw a health care provider about his or her positive serostatus should not be before the first positive test." Then, go back to HT8b.


Else, go to Check_HT8b.1



Check_HT8b.1

If difference between first visit for HIV care date & first HIV-positive test date is LE three months ((FRSTMD_C – POS1ST_C) LE 3) or if R refused to report date of first visit for HIV care or date of first positive test result (HT8b or HT7 EQ REF), go to HT8d.


If R did not know when first visit for HIV care occurred or date of first positive test result (HT8b or HT7 EQ DK) or if R did not know the month of first visit for HIV care or month of first positive test date (FRSTMDM is missing or POS1STM is missing), go to HT8b.1.


If difference between first visit for HIV care date and first HIV-positive test date is GT three months (FRSTMD_C – POS1ST_C GT 3) or if difference between year of first visit for HIV care & year of first positive test is GT 1 (FRSTMDY- POS1STY GT 1), go to HT8c.

Else, go to HT8c.



HT8b.1.

Did you first go to your health care provider for HIV care more than 3 months after learning you had HIV?

C_FRSTMD

Confirm: 1st MD visit more than 3 months before 1st HIV-pos Dx




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




HT8c.

When did you last go to your health care provider for HIV care? Please tell me the month and year.

LASTMD

Last saw health care provider




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





Range (Year)

1900-Current




Don't Know (Year)

9999




Refuse to Answer (Year)

7777




Check_CALC_LASTMD_C.

If R did not report when they last visited a health care provider (HT8d EQ DK or REF), go to Check_HT8c.1.

Else, go to CALC_LASTMD_C.



CALC_LASTMD_C.



LASTMD_C

Century month version of LAST MD date

LASTMD_C = (LASTMDY-1900)*12) + LASTMDM





HardEdit_HT8c.

If R's date of last visit for HIV care after date of interview ((LASTMD_C GT IDATE_C) or (LASTMDY AFTER IDATEY )), DISPLAY: "INTERVIEWER: The date respondent last saw a health care provider cannot be after today's date." Then, go back to HT8c.


If R's date of last visit for HIV care before date of birth (HT8d BEFORE ES1, DISPLAY: "INTERVIEWER: The date of respondent's last visit cannot be before the date of birth, [fill with value for ES1, formatted as Month DD, YYYY)]." Then, go back to HT8c.


If R's date of last visit for HIV care is before date of first visit for HIV care ((LASTMD_C LT FRSTMD_C)) or (FRSTMDY AFTER LASTMDY)), DISPLAY: "INTERVIEWER: The date of respondent's last visit cannot be earlier than the date of the first visit." Then, go back to HT8c.


If R's date of last visit for HIV care is before date of first positive test ((LASTMD_C LT POS1ST_C) or (POS1STY AFTER LASTMDY)), DISPLAY: "INTERVIEWER: The date of respondent's last visit cannot be earlier than the date of the first positive test." Then, go back to HT8c.


Else, go to Check_HT8d.1.



Check_HT8c.1.

If the date of R's last visit for HIV care is more than 6 months ago (LASTMD_C LT AGO6M_C) or if difference between year of interview and year of last visit for HIV care GT 1 (IDATEY – LASTMDY GT 1), go to HT9.

If R refused to report date of last visit for HIV care (HT8d EQ REF), go to HT9.

If R's date of last visit for HIV care within 6 months of interview ((LASTMD_C GE AGO6M_C)), go to HT9.Else, go to HT8c.1.



HT8c.1.

Was your last visit for HIV care in the past 6 months?

C_LASTMD

Last HIV care in the past 6 months - n/y




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




HIV Medications

Universe_HIVMedications.

Rs who reported having seen a health care provider for HIV care (HT8 EQ 1).



HT9.

Are you currently taking antiretroviral medicines to treat your HIV infection?

CURRAMED

Currently taking antiretrovirals




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




INTRO_HT10.

DISPLAY: "READ: Now I'm going to ask you a few questions about HIV viral load. HIV viral load tests measure the amount of HIV in your blood."



HT10.

Have you ever had an HIV viral load test?

EVRVLTST

Ever had viral load test




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_HT10a.

If R never had a viral load test or did not respond (HT10 EQ 0, DK or REF), go to INTRO_HT11.

Else, go to HT10a.



HT10a.

When was your most recent viral load test? Please tell me the month and year.

RCVLTST

Date of most recent VL




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





Range (Year)

1900-Current




Don't Know (Year)

9999




Refuse to Answer (Year)

7777




Check_CALC_VLTST_C.

If R did not report when they had most recent viral load test (HT10a EQ DK or REF), go to INTRO_HT10b.

Else, go to CALC_VLTST_C.



CALC_VLTST_C.



VLTST_C

Century month version of RCVLTST date

VLTST_C = (RCVLTSTY-1900)*12) + RCVLTSTM





HardEdit_HT10a.

If R's date of most recent viral load test after date of interview ((VLTST_C GT IDATE_C) or (RCVLTSTY AFTER IDATEY)), DISPLAY: "INTERVIEWER: The date of respondent's most recent viral load test cannot be after today's date." Then, go back to HT10a.


If R's date of most recent viral load test before date of birth (HT10a BEFORE ES1), DISPLAY: "INTERVIEWER: The date of respondent's most recent viral load test cannot be before his or her date of birth [fill with (value for ES1, formatted as Month DD, YYYY])." Then, go back to HT10a.


If R's date of most recent viral load test is before date of first positive test ((VLTST_C LT POS1ST_C) or (POS1STY AFTER RCVLTSTY)), DISPLAY: "INTERVIEWER: The date of respondent's most recent viral load test cannot be earlier than the date of the first positive test." Then, go back to HT10a.


Else, go to INTRO_HT10b.



INTRO_HT10b.

DISPLAY: "READ: Next, I am going to ask about the result of your most recent viral load test. Looking at this flashcard, which category represents your most recent result?"


[Give Respondent Flashcard W.]



HT10b.

What was the result of your most recent viral load test?


[READ choices.]

VRLTRSLT

Result for most recent VL




Below the level of detection, undetectable

1




Detectable but less than 5,000 viral copies/ml

2




5,000 to 100,000 viral copies/ml

3




Greater than 100,000 viral copies/ml

4




Don't Know

9




Refuse to Answer

7


UNIVERSE_HIVStigma.

All R's



HIV Stigma

INTRO_HT11.

DISPLAY: "READ: Now I'm going to read you some statements. Please tell me how strongly you agree or disagree with each statement, using the options on this card.


[Give Respondent Flashcard G.]"



HT11.

The first statement is...Most people in [if the project area is Norfolk (IE2 EQ 17), fill with "Hampton Roads", else, fill with project area (city name from IE2)] would discriminate against someone with HIV. Do you...


[READ choices.]

PHIVDISC

Perceived discrimination against someone with HIV




Strongly agree

1




Agree

2




Neither agree nor disagree

3




Disagree

4




Strongly disagree

5




Don't Know

9




Refuse to Answer

7




HT12.

Most people in [if the project area is Norfolk (IE2 EQ 17), fill with "Hampton Roads", else, fill with project area (city name from IE2)] would support the rights of a person with HIV to live and work wherever they wanted to. Do you...


[READ choices.]

PSUPPHIV

Perceived support of rights of persons with HIV




Strongly agree

1




Agree

2




Neither agree nor disagree

3




Disagree

4




Strongly disagree

5




Don't Know

9




Refuse to Answer

7




HT13.

Most people in [if the project area is Norfolk (IE2 EQ 17), fill with "Hampton Roads", else, fill with project area (city name from IE2)] would not be friends with someone with HIV. Do you...


[READ choices.]

PERFRHIV

Perceived friendships with persons with HIV




Strongly agree

1




Agree

2




Neither agree nor disagree

3




Disagree

4




Strongly disagree

5




Don't Know

9




Refuse to Answer

7




HT14.

Most people in [if the project area is Norfolk (IE2 EQ 17), fill with "Hampton Roads", else, fill with project area (city name from IE2)] think that people who got HIV through sex or drug use have gotten what they deserve. Do you...


[READ choices.]

PPUNISHH

Belief people with HIV got what they deserved




Strongly agree

1




Agree

2




Neither agree nor disagree

3




Disagree

4




Strongly disagree

5




Don't Know

9




Refuse to Answer

7




CALC_ENDHT.



ENDHT

Time HIV testing section ended

ENDHT = Current time



END_HT.

Go to Health Conditions Section (HC).





NHBS ROUND 5 QUESTIONNAIRE

HEALTH CONDITIONS (HC)



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

Section

Question #

Variable name

Variable label

Preloaded Variables

--

AGE

QDS calculated age today

Preloaded variables

--

CYCLE

NHBS Cycle

Preloaded variables

--

IDATEM

Interview date: Month

Preloaded variables

--

IDATED

Interview date: day

Consent

CN1

CONSENTA

Consent to survey

Eligibility Screener

--

EL_MSM

Eligible: MSM cycle

Eligibility Screener

--

EL_IDU

Eligible: IDU cycle

Eligibility Screener

--

EL_HET

Eligible: HET cycle

Non-Injection Drug Use

--

ENDND

Time non-injection drug use section ended

Injection Drug Use

--

ENDID

Time injection drug use section ended

Sexual Behavior

--

ENDSX

Time sexual behavior section ended

Alcohol Use

--

ENDAL

Time alcohol use section ended

Drug Treatment

---

ENDTX

Time drug treatment section ended

HIV Testing

--

ENDHT

Time HIV testing section ended



Universe_HC.

All eligible Rs (CYCLE EQ 1 & EL_MSM EQ 1) or (CYCLE EQ 2 & EL_IDU EQ 2) or (CYCLE EQ 3 & EL_HET EQ 3) who consent to interview (CN1 EQ 1) and completed all prior sections ((ENDSX, ENDAL, ENDID, ENDND, ENDTX, & ENDHT) are not missing).



CALC_BEGSHC.



BEGHC

Time at beginning of HC section

BEGHC = Current time



INTRO_HealthConditions.

DISPLAY: "READ: Next, I'd like to ask you some questions about your health."



Hepatitis C (HCV)



INTRO_HC1.

DISPLAY: "READ: The first questions are about hepatitis C. There are three common types of hepatitis- hepatitis A,

hepatitis B and hepatitis C. Hepatitis C is spread through infected blood and is the type of hepatitis that DOES NOT have a vaccine."



HC1.

Have you ever been tested for hepatitis C infection?

EVRHCTST

Ever tested for HCV




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_HC2a.

If R ever tested for hepatitis C (HC1 EQ 1), go to HC2a.

Else, go to INTRO_HC5a.



HC2a.

In what year did you have your most recent hepatitis C test?

RCHCTST

When most recent HCV test




_ _ _ _

1900-Current




Don't Know

9999




Refuse to Answer

7777




HardEdit_HC2a.

If year of most recent hepatitis test after current year (RCHCTSTY GT IDATEY), Display: "INTERVIEWER: The year of the most recent hepatitis C test cannot be after the current year". Then, go back to HC2a.

Else, go to HC2b.



HC2b.

[Give Respondent Flashcard X.]


Which of the following best describes where you got that last hepatitis C test?


[READ choices.]

HCVTLOC

Location of last HCV test




Doctor’s office, clinic, or health center

1




Hospital

2




Jail, prison, or detention center

3




Drug or alcohol treatment program

4




Needle or syringe exchange program

5




Other HIV/AIDS focused program

6




Some other place

7




Don't Know

99




Refuse to Answer

77




Check_HC2c.

If R does not report ‘Other' (HC2b NE 7), go to HC3.

Else, go to HC2c.



HC2c.

INTERVIEWER: Type in other location where R got last hepatitis C test.

SPECHCVT

Other location where R got hepatitis C test



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



{text response; max length = 100 characters}



Don't Know

9




Refuse to Answer

7




HC3.

Has a doctor, nurse, or other health care provider ever told you that you had hepatitis C?

HEPCEVER

Ever told had hepatitis C by doctor or nurse




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_HC4a.

If R never told they had hepatitis C (HC3 NE 1), go to INTRO_HC5a.. Else, go to HC4a.



HC4a.

[Give Respondent Flashcard Y.]


When were you told you had hepatitis C?


[READ choices.]

WHENTHC

When told had HCV




6 months ago or less

0




More than 6 months, but less than 1 year ago

1




At least 1 year but less than 5 years ago

2




At least 5 years but less than 10 years ago

3




10 years ago or more

4




Don't Know

9




Refuse to Answer

7




HC4b.

Have you ever taken medicine to treat your hepatitis C infection?

HCVMEDS

Ever taken medicine to treat HCV




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Sexually Transmitted Diseases



INTRO_HC5a.

On one screen, DISPLAY: "READ: Now, I'm going to ask you some questions about sexually transmitted diseases, or STDs, other than HIV and hepatitis."


On the next screen, DISPLAY: "READ: Has a doctor or other health care provider EVER told you that you had either of the following:


[READ choices. CHECK YES or NO for each one.]"



HC5a.

Genital herpes?

EVRHERP

Ever diagnosed genital herpes




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




HC5b.

Genital warts?

EVRGWAR

Ever diagnosed genital warts




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




HC6.

In the past 12 months, that is, since [fill with interview month, formatted as text] of last year, were you tested by a doctor or other health care provider for a sexually transmitted disease like gonorrhea, chlamydia, or syphilis? Do NOT include tests for HIV or hepatitis.

STDTEST

Tested for STD past 12 months




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_HC7.

If MSM cycle and R reported STD testing in past 12 months, (CYCLE EQ 1 AND HC6 EQ 1), go to HC7.

Else, go to INTRO_HC8a.



HC7.

In the past 12 months, did you have an anal or rectal STD test?

RSTDTEST

Rectal STD test past 12 months




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




INTRO_HC8a.

DISPLAY: "READ: In the past 12 months, has a doctor or other health care provider told you that you had...


[READ choices. CHECK YES or NO for each one.]"



HC8a.

Gonorrhea?

GONORR

Gonorrhea past 12 months




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




HC8b.

Chlamydia?

CHLAMYD

Chlamydia past 12 months




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




HC8c.

Syphilis?

SYPHILIS

Syphilis past 12 months




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




HC9a.

Have you ever received a vaccine against HPV, for example, GARDASIL, which prevents genital warts, anal cancer, and cervical cancer?

HPVVAC

Ever received HPV shot




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_HC9b.

If R has received HPV vaccine (HC9a EQ 1), go to HC9b.

Else, go to INTRO_HC10a.



HC9b.

How old were you when you received your first dose of the HPV vaccine?


AGEVAC

Age first dose HPV vaccine




__ __ __





Range

0-100




Don't Know

999




Refuse to Answer

777




HardEdit_HC9b.

If age at first dose of vaccine is greater than R's age (HC9b GT AGE), DISPLAY: "INTERVIEWER: The age of first vaccination cannot be greater than respondent's current age, [fill with value for R's age (AGE)]." Then, go back to HC9b.

Else, go to INTRO_HC10a.



Psychological Distress



INTRO_HC10a.

DISPLAY: [Give Respondent Flashcard Z.]


"READ: These next questions ask how you have been feeling during the past 30 days, that is, since the [(if interview month is January, March, May, July, August, October, or December (IDATEM EQ 01, 03, 05, 07, 08, 10, or 12) & interview day is the 31st (IDATED EQ 31), fill with "1st of this month"); if interview month is March (IDATEM= 03) & interview day is the 29th or 30th (IDATED EQ 29 or 30), fill with "28th of February"; else, [[Fill with interview date][Fill with suffix] of last month]. Please tell me how you have been feeling using one of the options on this card."



HC10a.

During the past 30 days, how often did you feel nervous?


[READ choices.]

FEELNERV

How often nervous in past 30 days




All of the time

0




Most of the time

1




Some of the time

2




A little of the time

3




None of the time

4




Don't Know

9




Refuse to Answer

7




HC10b.

During the past 30 days, how often did you feel hopeless?


[READ choices.]

FEELHOPE

How often hopeless in past 30 days




All of the time

0




Most of the time

1




Some of the time

2




A little of the time

3




None of the time

4




Don't Know

9




Refuse to Answer

7




HC10c.

During the past 30 days, how often did you feel restless or fidgety?


[READ choices.]

FEELREST

How often restless in past 30 days




All of the time

0




Most of the time

1




Some of the time

2




A little of the time

3




None of the time

4




Don't Know

9




Refuse to Answer

7




HC10d.

During the past 30 days, how often did you feel so sad or depressed that nothing could cheer you up?


[READ choices.]

FEELSAD

How often sad/depressed in past 30 days




All of the time

0




Most of the time

1




Some of the time

2




A little of the time

3




None of the time

4




Don't Know

9




Refuse to Answer

7




HC10e.

During the past 30 days, how often did you feel that everything was an effort?


[READ choices.]

FEELEFRT

How often everything an effort in past 30 days




All of the time

0




Most of the time

1




Some of the time

2




A little of the time

3




None of the time

4




Don't Know

9




Refuse to Answer

7




HC10f.

During the past 30 days, how often did you feel down on yourself, no good or worthless?


[READ choices.]

FEELDOWN

How often down in past 30 days




All of the time

0




Most of the time

1




Some of the time

2




A little of the time

3




None of the time

4




Don't Know

9




Refuse to Answer

7




CALC_ENDHC.



ENDHC

Time health conditions section ended

ENDHC = Current time



END_HC.

Go to Jail Testing Section (JT).





NHBS ROUND 5 QUESTIONNAIRE

JUSTICE SYSTEM EXPERIENCES AND TESTING (JT)

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

Section

Question #

Variable name

Variable label

Consent

CN1

CONSENTA

Consent to survey

Eligibility Screener

--

EL_MSM

Eligible: MSM cycle

Eligibility Screener

--

EL_IDU

Eligible: IDU cycle

Eligibility Screener

--

EL_HET

Eligible: HET cycle

Non-Injection Drug Use

--

ENDND

Time non-injection drug use section ended

Injection Drug Use

--

ENDID

Time injection drug use section ended

Sexual Behavior

--

ENDSX

Time sexual behavior section ended

Alcohol Use

--

ENDAL

Time alcohol use section ended

Drug Treatment

---

ENDTX

Time drug treatment section ended

HIV Testing

--

ENDHT

Time HIV testing section ended

Health Conditions

--

ENDHC

Time health conditions section ended



Universe_JT.

All eligible Rs (CYCLE EQ 1 & EL_MSM EQ 1) or (CYCLE EQ 2 & EL_IDU EQ 1) or (CYCLE EQ 3 & EL_HET EQ 1) who consent to interview (CN1 EQ 1) and completed all prior sections ((ENDSX, ENDAL, ENDID, ENDND, ENDTX, ENDHT, & ENDHC) are not missing).



CALC_BEGJT.



BEGJT

Time at beginning of JT section

BEGJT = Current time



INTRO_JT1.

DISPLAY: "READ: Now I will ask you about experiences you may have had with the criminal justice system.."



JT1.

Have you ever been held in a detention center, jail, or prison for more than 24 hours?

EVHELD

Ever held or arrested




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_JT1a.

If JT1 EQ 1, go to JT1a.

Else, go to CALC_ENDJT.



JT1a.

HELD12M

During the past 12 months, that is, since [fill with interview month, formatted as text] of last year, have you been held in a detention center, jail, or prison for more than 24 hours?


Held or arrested past 12 months




No

0




Yes

1




Don't Know

9




Refuse to Answer

7


Check_JT2.

If JT1a EQ 1, go to JT2.

Else, go to CALC_ENDJT.



JT2.

During the past 12 months, when you were in detention, jail, or prison, did you get a test for HIV?

HIVTJL

In jail received HIV test past 12 months




No

0




Yes

1




Don't Know

9




Refuse to Answer

7


CALC_ENDJT.



ENDJT

Time HIV testing in jail section ended

ENDJT = Current time



END_JT.

Go to Prevention Activities (PA).

NHBS ROUND 5 QUESTIONNAIRE

PREVENTION ACTIVITIES (PA)

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

Section

Question #

Variable name

Variable label

Preloaded Variables

--

CYCLE

NHBS Cycle

Injection Drug Use

--

LINJ12

injected in last 12 months

Injection Drug Use

ID8

STERILE

INJ Frequency used sterile needle- 12 months

Injection Drug Use

--

ENDID

Time injection drug section ended

Consent

CN1

CONSENTA

Consent to survey

Eligibility Screener

--

EL_MSM

Eligible: MSM cycle

Eligibility Screener

--

EL_IDU

Eligible: IDU cycle

Eligibility Screener

--

EL_HET

Eligible: HET cycle

Eligibility Screener

--

E_INJ12

injected in last 12 months

HIV Testing in Jail

--

ENDJT

Time HIV testing in jail section ended

HIV Testing

HT2

EVERPOS

Ever test positive for HIV

HIV Testing

HT4c

RCNTRST

Result most recent HIV test

HIV Testing

--

ENDHT

Time HIV testing section ended

Non-Injection Drug Use

--

ENDND

Time non-injection drug use section ended

Injection Drug Use

--

ENDID

Time injection drug use section ended

Sexual Behavior

--

ENDSX

Time sexual behavior section ended

Alcohol Use

--

ENDAL

Time alcohol use section ended

Drug Treatment

---

ENDTX

Time drug treatment section ended

Health Conditions

--

ENDHC

Time health conditions section ended



Universe_PA.

All Eligible Rs (CYCLE EQ 1 & EL_MSM EQ 1) OR (CYCLE EQ 2 & EL IDU EQ 1) OR (CYCLE EQ 3 & EL_HET EQ 1) who consent to interview (CN1 EQ 1) and completed all prior sections ((ENDSX, ENDAL, ENDID, ENDND, ENDTX, ENDHT, ENDHC, & ENDJT) are not missing).



CALC_BEGPA.



BEGPA

Time at beginning of PA section

BEGPA = Current time



HIV Prevention Resources

INTRO_PA1a.

DISPLAY: "READ: Next I'd like to ask you about HIV prevention activities that happen around here."



PA1a.

In the past 12 months, that is, since [fill with interview month, formatted as text] of last year, have you gotten any free condoms, not counting those given to you by a friend, relative or sex partner?

COND12

Received free condoms past 12 mos




No

0




Yes

1




Don't Know

9




Refuse to Answer

7






Check_PA1b.


If R got free condoms (PA1a EQ 1) go to PA1b.

Else, go to Check_PA2a.



PA1b.

[Give Respondent Flashcard AA.]


Which place or places on this list did you get free condoms from?


[READ choices. CHECK ALL that apply.]

FCON

Location got free condoms



FCONA

HIV/AIDS-focused organization




FCONB

Gay, lesbian, bisexual, transgender, or queer organization




FCONC

Needle or syringe exchange program




FCOND

IDU outreach program




FCONE

Doctor's office, health center, clinic or hospital




FCONF

Drug or alcohol treatment center




FCONG

Bar, club, bookstore, or other business




FCONH

Other community organization




FCONI

Some other place





Don't Know

99




Refuse to Answer

77




Check_PA2a.

If R injected in p 12m (LINJ12 EQ 1 OR E_INJ12 EQ 1), go to PA2a. Else go to PA4a.

PA2a.

In the past 12 months, that is, since [fill with interview month, formatted as text] of last year, have you gotten any new sterile needles? By new sterile needle, I mean no one – not even you – had ever used it before.

STLNDL12

Got new sterile needles, 12m




No

0




Yes

1




Don’t Know

9




Refuse to Answer

7


Check_PA2b.

If R got new sterile needles (PA2a EQ 1), go to PA2b. Else, go to PA3a.



PA2b.

[Give Respondent Flashcard BB]


From which of the following places or people did you get new sterile needles in the past 12 months? You may choose more than one option.choose more than one.

[READ CHOICES. CHECK ALL that apply.]

SNDLSRC

Sources of new sterile needles, 12m



SNDLSRCA

Needle or syringe exchange program




SNDLSRCB

Someone who got them from a needle exchange




SNDLSRCC

Pharmacy or drug store




SNDLSRCD

Doctor’s office, clinic, or hospital




SNDLSRCE

HIV/AIDS-focused organization




SNDLSRCF

Some other place





Don’t Know

9




Refuse to Answer

7




PA3a.

In the past 12 months, have you gotten any other new injection supplies, such as cookers, cotton, or water?

KITS12R5

Got new injection equipment, 12m




No

0




Yes

1




Don’t Know

9




Refuse to Answer

7





Check_PA3b.

If R got new cookers, cotton, or water (PA3a EQ 1), go to PA3b. Else, go to PA4a.


PA3b.

[Give Respondent Flashcard BB.]


Which place or places on this list did you get those new injection supplies from? You may choose more than one option.


[READ CHOICES. CHECK ALL that apply.]

KTSRCR5

Sources of new injection equipment, 12m



KTSRCR5A

Needle or syringe exchange program




KTSRCR5B

Someone who got them from a needle exchange




KTSRCR5C

Pharmacy or drug store




KTSRCR5D

Doctor’s office, clinic, or hospital




KTSRCR5E

HIV/AIDS-focused organization




KTSRCR5F

Some other place





Don’t Know

9




Refuse to Answer

7




HIV Behavioral Interventions



PA4a.

In the past 12 months, have you had a one-on-one conversation with an outreach worker, counselor, or prevention program worker about ways to prevent HIV? Don't count the times when you had a conversation as part of an HIV test.


TALKHIV

Talked to counselor about prevention past 12 months



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




PA4b.

In the past 12 months, have you been a participant in any organized session(s) involving a small group of people to discuss ways to prevent HIV? Don't include discussions you had with a group of friends.

GROUP12

Participate in group session past 12 months



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_INTRO_PA5.

If R did not report ever testing HIV-positive (HT4c NE 2 and HT2 NE 1), go to INTRO_PA5.

Else, go to INTRO_PA7.



PrEP/PEP

Universe_PrEP.

R's that reported no previous HIV-positive test result (HT4c NE 2 and HT2 NE 1).



INTRO_PA5.


DISPLAY: "READ: The next questions are about the use of anti-HIV medicines, also called antiretrovirals. There are two ways that people who are HIV-negative can take anti-HIV medicines to reduce their risk of becoming infected."



PA5.

When a person who is HIV-negative takes pills for 28 days after a single high-risk exposure to reduce their chances of getting HIV, this is called POST-exposure prophylaxis, or PEP. In the past 12 months, have you taken PEP?

PEPUSE

Taken PEP- past 12 months



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




PA6a.


PRE-exposure prophylaxis, or PrEP is an antiretroviral medicine, such as Truvada, taken for months or years by a person who is HIV-negative to reduce the risk of getting HIV. Before today, have you ever heard of people who do not have HIV taking PrEP?

PRPAWR

HIV (-) heard PrEP




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_PA6b.

If R has not heard of PrEP before today (PA6a NE 1), go to INTRO_PA7.

Else, go to PA6b.



PA6b.

In the past 12 months, have you had a discussion with a health care provider about taking PrEP?

PRPDSC

Discussed PrEP with HCP—12 months




No

0




Yes

1




Don't Know

9




Refuse to Answer

7






PA6c.

In the past 12 months, have you taken PrEP to reduce the risk of getting HIV?

PRPUSE

Taken PrEP- past 12 months




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_PA6d.

If R reported using PrEP in the past 12 months (PA6c EQ 1), go to PA6d.

Else, go to INTRO_PA7.



PA6d.

When you took PrEP in the past 12 months, did you take it every day, almost every day, or less often?

PRPDLY

PrEP use frequency, 12m



Every day

2



Almost every day

1



Less often

0



Don't Know

9



Refuse to Answer

7






Check_PA6e.

If R reported using PrEP daily (PA6d EQ 1 OR 2), go to PA6e.

If R reported using PrEP less than daily or did not know how often they used PrEP (PA6d EQ 0 OR DK), go to PA6f.

Else, go to PA6h.



PA6e.

Since [fill with interview month] of last year, did you take PrEP for at least 2 months in a row?

PRPDL2M

Daily PrEP use- past 12 months



No

0



Yes

1



Don't Know

9



Refuse to Answer

7


Check_PA6f.

Go to PA6h.



PA6f.

Which of the following describe how you took PrEP since [fill with interview month] of last year? You may choose more than one option.


[READ choices. CHECK ALL that apply.]

PRPNDL

Non-daily PrEP use, 12m


PRPNDLA

Before I planned to have sex



PRPNDLB

After sex



PRPNDLC

Other times




Don't Know

9



Refuse to Answer

7



Check_PA6g.

If R reported taking PrEP at other times (PRPNDLC EQ 1), go to PA6g.

Else, go to PA6h.



PA6g.

How did you use PrEP?

SPECPRU

Other non-daily PrEP use



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



{text response; max length = 100 characters}



Don't Know

9




Refuse to Answer

7



PA6h.

[Give Respondent Flashcard CC.]


Please tell me which of the following people or places describe how you got PrEP during the last 12 months. You may choose more than one option.


[READ choices. CHECK ALL that apply.]

PRPSRC

Source of most recent PrEP meds


PRPSRCA

Prescription from a health care provider



PRPSRCB

Directly from a health care provider or clinic



PRPSRCC

A friend or relative



PRPSRCD

A person you have sex with



PRPSRCE

A person you use drugs with



PRPSRCF

Some other source




Don’t Know

9



Refuse to Answer

7




Check_PA6g.

If R for PrEP from some other source (PRPSRCF EQ 1), go to PA6i.

Else, go to INTRO_PA7.



PA6i.

What was that other source?

SPECPRS

Other source of PrEP, 12m - text



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



{text response; max length = 100 characters}



Don't Know

9




Refuse to Answer

7



Violence

INTRO_PA7.

DISPLAY: "READ: Next, I would like to ask you about some situations that may have happened to you."



PA7.

In the past 12 months, that is, since [fill with interview month, formatted as text] of last year, has anyone slapped, punched, shoved, kicked, shaken or otherwise physically hurt you?

PHVIO12

Physical violence by partner, 12 mo




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




PA8.

In the past 12 months, has anyone forced or pressured you to have vaginal, oral or anal sex when you did not want to?

SXVIO12

Sexual violence by partner, 12 mo




No

0




Yes

1




Don't Know

9




Refuse to Answer

7





CALC_ENDPA.



ENDPA

Time prevention activities section ended

ENDPA = Current time




End_PA.

Go to End of Survey Section (END).





NHBS ROUND 5 QUESTIONNAIRE

END OF SURVEY (END)

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

Section

Question #

Variable name

Variable label

Prevention Activities

PA10

SVR12MO

Sexual violence by respondent, 12 mo

Preloaded Variables

--

CYCLE

NHBS Cycle

Preloaded Variables

--

LANGUAGE

Language

Eligibility Screener

ES7a

HRA

Lives in a HRA

Eligibility Screener

ES9

GENDER

Gender

Consent

CN1

CONSENTA

Consent to survey

Consent

CN2

CONSENTB

Consent to HIV testing

Interviewer Entered Information

IE10

ISEED

Respondent is a seed

Injection Drug Use

ID1

EVRINJ

Ever Injected drugs

Eligibility Screener

--

EL_MSM

Eligible: MSM cycle

Eligibility Screener

--

EL_IDU

Eligible: IDU cycle

Eligibility Screener

--

EL_HET

Eligible: HET cycle



UNIVERSE_END.

All Rs.


Check_END1.

If R NOT eligible for cycle (CYCLE EQ 1 & EL_MSM EQ 0) or (CYCLE EQ 2 & EL_IDU EQ 0) or (CYCLE EQ 3 & EL_HET EQ 0), go to INTRO_END6.

If last question asked of all Rs EQ DK or REF (PA8 EQ DK or REF), go to END1.

Else, go to CALC_ENDCORE.



END1.

Interviewer: Please confirm. Did the person complete the survey?

C_CMPLT

Confirm Complete



Did NOT complete the survey

0



DID complete the survey

1




CALC_ENDCORE.



ENDCORE

Timestamp at end of core

ENDCORE = Current time



CALC_COMPLETE.



COMPLETE

Interview complete

COMPLETE = IF(SXVIO12=0 or SXVIO12=1, 1, IF(C_CMPLT=1, 1, 0))



Check_END2a.

If R did NOT consent to HIV test before interview (CN2 EQ 0), go to END2a.

Else, go to END5.



HIV Test Consent Confirmation

END2a.

My records reflect that you did not agree to HIV testing when asked earlier during the interview. Before I close out the survey, I'd like to ask you again about whether or not you would like an HIV test. Did you want the HIV test that is part of today's survey?


[DO NOT read choices.]

C_T_CNST

Confirmation of HIV Testing Consent



No – Respondent DOES NOT want an HIV test

0



Yes – Respondent DOES want an HIV test

1




Check_END2b.

If R wants HIV test (END2a EQ 1), go to END2b.

Else, go to END5.



END2b.

Do you agree to HIV counseling and testing?

HIVCNSTB

Revised Consent to HIV testing



No

0



Yes

1




END3a.

[INTERVIEWER: If you did not offer the person hepatitis testing, enter ‘Not offered.’]


Do you agree to hepatitis testing?

CNSTHEP2

Consent to hepatitis testing



No

0



Yes

1



Not offered

2




Check_END3b.

If MSM cycle (CYCLE EQ 1) or HET cycle & R is female & aged 25 years or younger (CYCLE EQ 3 & GENDER EQ 2 & AGE LE 25), go to END3b.

If IDU cycle (CYCLE EQ 2), go to Check_END4.




END3b.

[INTERVIEWER: If you did not offer the person STD testing, enter ‘Not offered.’]


Do you agree to STD testing?

CNSTSTD2

Consent to STD testing



No

0



Yes

1



Not offered

2



Check_END4.

If R consented to HIV, hepatitis, or STD testing (END2b EQ 1 or END3a EQ 1 or ENDN3b EQ 1), go to END4.

Else, go to END5.



END4.

Do you agree to let us store some of your [if R agreed to HIV or hepatitis but not STI testing ((CN2 or CN3a EQ 1) & CN3b NE 1), fill with “blood”; if R agreed to HIV or hepatitis & STI testing ((CN2 or CN3a EQ 1) & CN3b EQ 1), fill with “blood and STD test sample“; If R agreed only to STD testing (CN2 & CN3a EQ 0 & CN3b EQ 1), fill with “STD test sample”] for future testing?

CNSTSTG2

Revised Consent to Blood Storage



No

0



Yes

1




Interviewer Assessment – Post-Interview



END5.

INTERVIEWER: How confident are you of the validity of the respondent's answers?

VALIDITY

Confidence in validity of answers



Confident

1



Some doubts

2



Not confident at all

3




Check_END5a.

If Interviewer doubts validity of responses (END5 EQ 2 or 3), Go to END5a.

Else, go to Check_CALC_RDS Recruiter Variables.



END5a.

INTERVIEWER: Please explain why you are not confident in the respondent's answers:

VALSPEC

Specify why not confident in answers




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




{text response; max length = 1000 characters}





Check_CALC_RDSRecruiterVariables.

If MSM cycle (CYCLE EQ 1), go to END6.

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

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



RDS Recruiter Variables



CALC_IDU_RCTR.



IDU_RCTR

Eligible: IDU RDS Recruiter

If R is NOT a seed (ISEED EQ 0):

If data are valid (VALIDITY EQ 1 or 2) & complete (COMPLETE EQ 1), R selected to receive coupons (IDU_RCTR=1). Else, R is NOT to receive coupons (IDU_RCTR EQ=0).


If R IS a seed (ISEED EQ 1):

If R is male or female (GENDER EQ 1 or 2) & data are valid (VALIDITY EQ 1 or 2) & complete (COMPLETE EQ 1), R selected to receive coupons (IDU_RCTR =1). Else, R is NOT to receive coupons (IDU_RCTR= 0).



Check_CALC_HET_RCTR.

Go to Check_INTRO_END6.



CALC_HETDEF.



HETDEF

Met HET definition

If R has less than a high school education or is in poverty (SCHOOL=0 or SCHOOL=01 or SCHOOL=02 or SCHOOL=03 or POVERTY=1) & is male or female (GENDER=1 or GENDER=2) & did not inject in the past 12 months or ever (LINJ12=0 OR EVRINJ=0) & had an opposite sex partner in the past 12 months (M_FHET=1 or F_MHET=1), R meets the HET definition (HETDEF=1). Else, R does not meet the HET definition (HETDEF=0)



CALC_HET_RCTR.



HET_RCTR

Eligible: HET RDS Recruiter

If R is NOT a seed: (ISEED EQ 0):

If data are valid (VALIDITY=1 OR VALIDITY=2) & complete (COMPLETE=1) and R met the HET definition (HETDEF=1), R selected to receive coupons (HET_RCTR=1). Else, R is not to receive coupons (HET_RCTR=0).


If R IS a seed: (ISEED EQ 0):

If R has never injected (EVRINJ=0) & lives in a high risk area (HRA=1) & data are valid (VALIDITY=1 OR VALIDITY=2) & complete (COMPLETE=1) and R met the HET definition (HETDEF=1), R selected to receive coupons (HET_RCTR=1). Else, R is not to receive coupons (HET_RCTR=0).



Check_INTRO_END6.

If RDS cycle & R IS eligible to recruit (CYCLE EQ 2 & IDU_RCTR EQ 1), or (CYCLE EQ 3 & HET_RCTR EQ 1), DISPLAY: "The computer SELECTED this respondent to recruit others and receive coupons." Then, go to END6.


If RDS cycle & R NOT eligible to recruit (CYCLE EQ 2 & IDU_RCTR EQ 0) or (CYCLE EQ 3 & HET_RCTR EQ 0), DISPLAY: "The computer did NOT select this respondent to recruit others and receive coupons." Then, go to END6.



INTRO_END6.

DISPLAY: "READ: Thank you for answering these questions. Unfortunately, the computer has not selected you to participate in the health survey. Thank you again for your time."



Interviewer Comments

END6.

INTERVIEWER: Do you have any comments to add?

INTCOMM

Interviewer Comments



No

0



Yes

1




Check_END7.

If END6 EQ 1, go to END7.

Else, go to CALC_END.



END7.

Enter interviewer comments

INTTXT

Interviewer comments text


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

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

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



{text response; max length = 1000 characters}



CALC_END.



END

Interview end time

END = Current time



CALC_EDATE.



EDATE

End date

EDATE = Today's date



CALC_INTTIME.



INTTIME

Elapsed interview/data entry time

INTTIME = Elapsed interview/data entry time



Check_END8.

If MSM cycle & R not eligible (CYCLE EQ 1 & EL_MSM EQ 0), go to END9.

If IDU cycle & R not eligible (CYCLE EQ 2 & EL_IDU EQ 0), go to END9.

If HET cycle & R not eligible (CYCLE EQ 3 & EL_HET EQ 0), go to END9.

Else, go to END8.



END8.

INTERVIEWER: Do you want to proceed to the local survey?

LOCSURV

Proceed to local survey



No

0



Yes

1




Check_END9.

If Interviewer wants to proceed to local survey & English interview (END8 EQ 1 & LANGUAGE EQ 1), open ENGLISH LOCAL FILE.

If Interviewer wants to proceed to local survey & Spanish interview (END8 EQ 1 & LANGUAGE EQ 2), open SPANISH LOCAL FILE.

Else, go to END9.



END9.

INTERVIEWER: Do you want to end this survey?

ENDSURV

End survey



No

0



Yes

1




Check_ENDSURVEY.

If Interviewer does not want to end survey (END9 EQ 0), go back to END6.

Else, end interview.


NHBS ROUND 5 QUESTIONNAIRE

FLASHCARDS & CALENDARS















































Flashcard A




FLASHCARD A



  • American Indian or Alaska Native


  • Asian


  • Black or African American


  • Native Hawaiian or Other Pacific Islander


  • White

























Flashcard B




FLASHCARD B


  • Speedball, which is heroin and cocaine together


  • Heroin, by itself


  • Powder cocaine, by itself


  • Crack cocaine, by itself


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


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


  • Something else























Flashcard C




FLASHCARD C


  • A relative or family member


  • A person you have sex with


  • A person you use drugs with ­or buy drugs from


  • A friend


  • An acquaintance, that is, a person you know but do not consider a friend


  • A stranger, you don't know the person or just met them


























Flashcard D




FLASHCARD D


  • A relative or family member


  • A person you have sex with


  • A friend


  • An acquaintance, that is, a person you know but do not consider a friend


  • A stranger, you don't know the person or just met them







































Flashcard E




FLASHCARD E


MONTHLY INCOME


OR



YEARLY INCOME

A.

$0 to $416


A.

$0 to $4,999

B.

$417 to $833


B.

$5,000 to $9,999

C.

$834 to $1,041


C.

$10,000 to $12,499

D.

$1,042 to $1,249


D.

$12,500 to $14,999

E.

$1,250 to $1,666


E.

$15,000 to $19,999

F.

$1,667 to $2,083


F.

$20,000 to $24,999

G.

$2,084 to $2,499


G.

$25,000 to $29,999

H.

$2,500 to $2,916


H.

$30,000 to $34,999

I.

$2,917 to $3,333


I.

$35,000 to $39,999

J.

$3,334 to $4,166


J.

$40,000 to $49,999

K.

$4,167 to $4,999


K.

$50,000 to $59,999

L.

$5,000 to $6,249


L.

$60,000 to $74,999

M.

$6,250 or more


M.

$75,000 or more






Flashcard F


FLASHCARD F


  • A private health plan - through an employer or purchased directly


  • Medicaid - for people with low incomes


  • Medicare – for the elderly and people with disabilities


  • Some other government plan


  • TRICARE / CHAMPUS


  • Veterans Administration coverage


  • Some other health insurance





















Flashcard G




FLASHCARD G


  • Strongly agree


  • Agree


  • Neither agree nor disagree


  • Disagree


  • Strongly disagree



Flashcard H




FLASHCARD H


  • At least once a day


  • At least once a week but not every day


  • At least once a month but not every week


  • Less than once a month


  • Never































Flashcard I


FLASHCARD I


Definition of "Having Sex"



Oral, vaginal, or anal sex.


  • Oral sex means mouth on the vagina or penis


  • Vaginal sex means penis in the vagina


  • Anal sex means penis in the anus or butt
























Flashcard J


FLASHCARD J


Female Sex Partners


Main partner:

A woman you have sex with and who you feel committed to above anyone else. This is a partner you would call your girlfriend, wife, significant other, or life partner.



Casual partner:

A woman you have sex with but do not feel committed to or don't know very well.



























Flashcard K




FLASHCARD K


Definition of "Having Sex"



Oral or anal sex.


  • Oral sex means mouth on the penis


  • Anal sex means penis in the anus or butt








Flashcard L




FLASHCARD L


Male Sex Partners


Main partner:

A man you have sex with and who you feel committed to above anyone else. This is a partner you would call your boyfriend, husband, significant other, or life partner.



Casual partner:

A man you have sex with but do not feel committed to or don't know very well.




























Flashcard M


FLASHCARD M


  • American Indian or Alaska Native


  • Asian


  • Black or African American


  • Hispanic or Latino


  • Native Hawaiian or Other Pacific Islander


  • White






Flashcard N


FLASHCARD N



Main sex partner:

Someone you feel committed to above anyone else.



Casual sex partner:

Someone you do not feel committed to or don't know very well.




























Flashcard O




FLASHCARD O



  • Definitely did not


  • Probably did not


  • Probably did


  • Definitely did

































Flashcard P


FLASHCARD P



  • Birth control pills


  • Birth control shots, such as Depo Provera®


  • Birth control patch


  • Birth control ring that you insert once a month, such as NuvaRing®


  • A hormonal implant placed under the skin, such as Implanon™


  • A hormonal IUD that lasts for up to 5 years, such as Liletta™ or Mirena®


  • A copper IUD that lasts for 10 years, also called ParaGard®





Flashcard Q

FLASHCARD Q

FOR USE WITH ALCOHOL QUESTIONS





1 Shot of Liquor 1 Regular Beer 1 Glass of Wine
(Whisky, Vodka, Gin, etc.) 12 oz. 5 oz.
 1.5 oz.






Flashcard R




FLASHCARD R


  • More than once a day


  • Once a day


  • More than once a week


  • Once a week or less



  • Never































Flashcard S





FLASHCARD S


Syringe with a needle that can be removed



Picture 2


Flashcard T


FLASHCARD T




  • Put it in a medical sharps container


  • Threw it away


  • Kept it


  • Gave it or sold it to someone else


  • Took it to a needle or syringe exchange program



  • Did something else with it





























Flashcard U




FLASHCARD U




  • Never


  • Rarely


  • About half the time


  • Most of the time


  • Always











































Flashcard V


FLASHCARD V




  • Sex partner, such as your spouse, boyfriend/girlfriend, or other person you have sex with


  • Relative


  • Friend or someone you knew well who was not a sex partner


  • Needle or drug dealer


  • Stranger or someone you did not know well


  • Other







Flashcard W


FLASHCARD W



  • Below the level of detection, undetectable



  • Detectable but less than 5,000 viral copies/ml



  • 5,000 to 100,000 viral copies/ml



  • Greater than 100,000 viral copies/ml















Flashcard X


FLASHCARD X




  • Doctor’s office, clinic, or health center


  • Hospital


  • Jail, prison, or detention center


  • Drug or alcohol treatment program


  • Needle or syringe exchange program


  • Other HIV/AIDS focused program


  • Some other place


































Flashcard Y




FLASHCARD Y



  • 6 months ago or less


  • More than 6 months, but less than 1 year ago


  • At least one year but less than 5 years ago


  • At least 5 years but less than 10 years ago


  • 10 years ago or more









































Flashcard Z




FLASHCARD Z



  • All of the time


  • Most of the time


  • Some of the time


  • A little of the time


  • None of the time












































Flashcard AA




FLASHCARD AA



  • HIV/AIDS-focused organization


  • Gay, lesbian, bisexual, transgender, or queer organization


  • Needle or syringe exchange program


  • IDU outreach program


  • Doctor's office, health center, clinic or hospital



  • Drug or alcohol treatment center



  • Bar, club, bookstore, or other business



  • Other community organization



  • Some other place






























Flashcard BB




FLASHCARD BB


  • HIV/AIDS-focused community-based organization

  • Needle or syringe exchange program

  • Someone who got needles from needle exchange

  • Doctor’s office, clinic, or hospital

  • Pharmacy or drug store

  • Some other place






































Flashcard CC


FLASHCARD CC


  • Prescription from a health care provider

  • Directly from a health care provider or clinic

  • A friend or relative

  • A person you have sex with

  • A person you use drugs with

  • Some other source































Shape7

2017 CALENDAR

CALENDAR: MSM5 (2017)





Shape8

2018 CALENDAR



CALENDAR: IDU5 (2018)

CALENDAR: HET5 (

CALENDAR: HET5 (2019)

Shape9

2019 CALENDAR




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