Attitudes
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Abstinence
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Do
you think avoiding having sex (being abstinent) in the next six
months would be…(5-point scale, very bad to very good)
Do
you think avoiding having sex (being abstinent) in the next six
months would be (5-point scale, very unpleasant to very
pleasant)1
Do
you think avoiding having sex (being abstinent) in the next six
months would be (5-point scale, very awful to very nice)1
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Sexual
behavior
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Do
you think if you had sexual intercourse in the next six months
it would be…(5-point scale, very bad to very good)1
Do
you think if you had sexual intercourse in the next six months
it would be…(5-point scale, very unpleasant to very
pleasant)1
Do
you think if you had sexual intercourse in the next six months
it would be…(5-point scale, very awful to very nice)1
Having
sex would be a way to keep my boyfriend or girlfriend.
(agree/disagree)
It’s
OK for people my age to have sex. (agree/disagree)2
Please
tell me how you feel about the following statements about
relationships and becoming sexually active. [INSERT] –
would you strongly agree, somewhat agree, somewhat disagree or
strongly disagree?
Once
you have sex it’s harder to say no the next time.
If
you have been seeing someone for a while it is expected that
you will have sex
There
is pressure to have sex by a certain age
Oral
sex is not as big of a deal as sexual intercourse
Waiting
to have sex is a nice idea but nobody really does
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Prevention
and Condom Use
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It
is important to me that I avoid getting a sexually transmitted
disease.(agree/disagree)2
Using
condoms to prevent the spread of sexually transmitted diseases
is more trouble than it's worth. (agree/disagree)2
Please
tell me whether you agree or disagree with each of these
statements. I am interested in what you think about these
issues. There are no right or wrong answers. [INSERT] would you
strongly agree, somewhat agree, somewhat disagree, or strongly
disagree?3
It
is not that big of a deal to have sex without a condom once in
a while
Unless
you have a lot of sexual partners you don’t need to use
condoms
Buying
condoms is embarrassing
Condoms
break a lot
It’s
hard to bring up the topic of condoms
Sex
without a condom isn’t worth the risk
It
is too much of a hassle to use a condom every time you have sex.
(Strongly agree/somewhat agree/neither/somewhat
disagree/strongly disagree/DK/Ref)
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Contraceptive
Use
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Birth
control is not very important. (agree/disagree)2
Two
people having sex should use some form of birth control, if they
aren't ready for a child. (agree/disagree)2
Using
birth control is morally wrong. (Strongly agree/somewhat
agree/neither/somewhat disagree/strongly disagree/DK/Ref)4,
It
doesn’t matter when you use birth control or not; when it
is your time to get pregnant, it will happen. (strongly
agree/somewhat agree/neither/somewhat disagree/strongly
disagree/DK/Ref)4
It
is mainly a woman’s responsibility to make decisions about
birth control. (Strongly agree/somewhat agree/neither/somewhat
disagree/strongly disagree/DK/Ref)4
In
general, birth control is too much of a hassle to use. (strongly
agree/agree/neither agree nor disagree/disagree/strongly
disagree/refused/legitimate skip/dk)5
In
general birth control is too expensive to buy. (strongly
agree/agree/neither agree nor disagree/disagree/strongly
disagree/refused/legitimate skip/dk)5
It
takes too much planning ahead of time to have birth control on
hand it when you are going to have sex. (strongly
agree/agree/neither agree nor disagree/disagree/strongly
disagree/refused/legitimate skip/dk)5
It
[is/would be] too hard to get a [girl/boy] to use birth control
with you. (strongly agree/agree/neither agree nor
disagree/disagree/strongly disagree/refused/legitimate skip/dk)5
For
you, using birth control [interferes/would interfere] with
sexual enjoyment. (strongly agree/agree/neither agree nor
disagree/disagree/strongly disagree/refused/legitimate skip/dk)5
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Behavioral
Intent
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Abstinence
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In
the next six months, do you intend/expect/plan to avoid (abstain
from) having sexual intercourse?
(YES!/yes/no/NO!)1
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Sexual
behavior
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In
the next six months, do you intend/expect/plan to have sexual
intercourse? (YES!/yes/no/NO!)1
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Prevention
and Condom Use
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Do
you feel you will use a condom if sex in the next 3 months (5-pt
Likert)
I
plan to use a condom if sex in the next 3 months (5-pt Likert)
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Contraceptive
Use
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If
you intent/expect/plan to have sexual intercourse in the next
six months, do you plan on using any of the following for birth
control? Select all that apply.
IUD
Implant
Dero
(the shot)
NuvaRing
(the ring)
The
patch
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Getting
Tested
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In
the next year, how likely is it that you will be tested for each
of the following? (very likely/somewhat likely/not too
likely/not at all likely)3
Get
tested for HIV, the virus that causes aids
Get
tested for other STDs
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Peer
Norms
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Abstinence
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How
many of your friends think people your age should wait until
they are older to have sex? (none/less than half/half/more than
half/all)
Most
of my friends believe people my age should wait until they are
older before they have sex.(definitely yes/probably yes/probably
no/definitely no)2
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Sexual
behavior
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How
many of you friends have had sex? (none/less than half/half/more
than half/all)5
How
many of your friends think it is OK for people your age to have
sex with a serious boyfriend or girlfriend? (none/less than
half/half/more than half/all)4
Having
sex is a good way to impress my friends. (agree/disagree)2
Most
of my friends believe it's OK for people my age to have sex with
a steady boyfriend or girlfriend. (definitely yes/probably
yes/probably no/definitely no)2
Having
sexual intercourse at my age is a cool thing for a [boy/girl] to
do
Having
sexual intercourse with someone besides his/her steady partner
makes a [boy/girl] cool5
Having
sex with as many people as possible makes a [boy/girl] cool5
Having
sex with 2 different people on the same day makes a [boy/girl]
cool5
It’s
cool [for girls to get pregnant/for guys to get a girl pregnant]
while in high school.5
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Prevention
and Condom Use
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Most
of my friends believe condoms (rubbers) should always be used if
a person my ages has sex (definitely yes/probably yes/probably
no/definitely/no)2
Most
of my friends believe condoms (rubbers) should always be used if
a person my age has sex, even if the two people know each other
very well. (definitely yes/probably yes/probably
no/definitely/no)2
How
many of your friends think condoms are too much trouble to use?
(none/some/most/all)
or (none/a few/about half/most)
How
many of your friends do you think have had sexual intercourse
without a condom because they were high from drinking alcohol?5
or
(none/a few/about half/most)9
How
many of your friends do you think have had sexual intercourse
without a condom because they were high from drugs?5
How
many of your friends do you think use condoms when they have
sex? (non/a few/about half/most/all)9
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Contraceptive
Use
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If
you used birth control, your friends might think that you were
looking for sex. (strongly agree/agree/neither agree nor
disagree/disagree/strongly disagree/refused/legitimate skip/dk)5
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Self-efficacy
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Abstinence
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Imagine
you are along with someone you like very much…
Could
you stop them if they wanted to have sex with you (Definitely
could, probably could, probably could not, definitely could
not)5
Could
you stop yourself from having sex if the person said they would
break up with you unless you had sex with them? (Definitely
could, probably could, probably could not, definitely could
not)5
Could
you stop yourself from having sex if you had been drinking
alcohol? (Definitely could, probably could, probably could not,
definitely could not)4
Could
you stop yourself from having sex if you had strong sexual
feelings for someone? (Definitely could, probably could,
probably could not, definitely could not)4
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Sexual
behavior
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Imagine
that you met someone at a party. He or she wants to have sex
with you. Even though you are very attracted to each other,
you're not ready to have sex. How sure are you that you could
keep from having sex?1
Totally
sure
Kind
of sure
Not
sure at all
Imagine
that you and your boyfriend or girlfriend have been going
together, but you have not had sex. He or she really wants to
have sex. Still, you don't feel ready. How sure are you that you
could keep from having sex until you feel ready?1
Totally
sure
Kind
of sure
Not
sure at all
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Prevention
and Condom Use
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Imagine
that you and your boyfriend or girlfriend decide to have sex,
but he or she will not use a condom (rubber). You do not want
to have sex without a condom (rubber). How sure are you that you
could keep from having sex, until your partner agrees it is OK
to use a condom (rubber)? (totally sure/kind of sure/not sure at
all)1
Imagine
you are alone with someone you like very much
If
you needed a condom, could you go to the store and buy one?
(Definitely could/ probably could/probably could not/definitely
could not)
If
you decided to have sex, could you tell the other person you
wanted to use a condom? (definitely could/probably
could/probably could not/definitely could not)
I
am confident in my ability to… (all items use a 4-item
response scale of strongly disagree, disagree, agree, strongly
agree)
Find
information about how to lower my risk for HIV/STI risk.
Get
sexual health services, such as HIV and STI testing.
Find
people in my community who would support my efforts to be
healthy and safe.
Talk
to my partner(s) about safer sex.
Protect
myself from HIV and other STIs.
Use
a condom correctly.
Develop
a plan that reduces my risk for HIV/STI infection.
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Contraceptive
Use
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If
you wanted to use birth control, how sure are you that you could
stop yourself and use birth control once you were highly aroused
or turned on? (very sure/moderately sure/neither sure nor
unsure/moderately unsure/very unsure/I never want to use birth
control/refused/legitimate skip/dk)5
How
sure are you that you could plan ahead to have some form of
birth control available? (very sure/moderately sure/neither sure
nor unsure/moderately unsure/very unsure/I never want to use
birth control/refused/legitimate skip/dk)5
How
sure are you that you could resist sexual intercourse if your
partner did not want to use some form of birth control? (very
sure/moderately sure/neither sure nor unsure/moderately
unsure/very unsure/I never want to use birth
control/refused/legitimate skip/dk)5
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Knowledge
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General
sexual health, puberty, and related protective factors (i.e.,
communication)
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For
the following items, choose the best answer
The
female body part where a baby grows during pregnancy is the
cervix.
vagina.
uterus.
ovary.
The
part of the male’s body that produces sperm is the
testicles.
urethra.
penis.
prostate.
Using
refusal skills can help you resist negative peer pressure. All
of the following are good ways to handle negative peer pressure
except
go
along with the group so your friends will still like you.
say
NO in a firm voice.
change
the subject by coming up with something to do instead.
use
body language that says NO.
Building
healthy relationships, communicating with others, and meeting
new people are things young people can do to improve their
spiritual
health.
social
health.
physical
health.
mental
and emotional health.
The
physical changes of puberty, such as rapid growth, increased
perspiration, and underarm hair, are caused by
proteins.
cells.
hormones.
neurons.
Communication
is an important skill for building and maintaining
relationships. To communicate well you should not
make
clear, simple statements.
use
appropriate body language.
ask
questions.
talk
over each other.
All
of the following are physical puberty changes that happen for
both
boys and girls except
growing
quickly and sometimes feeling clumsy.
sweating
more and may have body odor.
getting
oilier skin and can have pimples.
the
voice getting deeper.
All
of the following are qualities of an unhealthy relationship
except
the
other person disagrees with you.
the
other person tries to change you.
the
other person lies to you.
the
other person doesn’t trust you.
True
or false?
When
they have their periods, girls can keep doing everything they
usually do.
True
False
Are
the following items true or false?
All
types of sex are equal in their risk for HIV/STIs.
Having
an STI (such as syphilis or gonorrhea) increases the chances of
getting HIV.
Bacterial
STIs cannot be cured.
Consistent
and correct use of condoms reduces the risk for getting
HIV/STIs.
All
persons who have an STI will have symptoms.
Taking
pre-exposure prophylaxis, or PrEP, may lower your risk for
getting HIV.
A
person with HIV can look and feel healthy.
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