Field Investigation Data Elements

Strengthening US Response to Resistant Gonorrhea (SURRG)

Att 3D Field Investigation Data Elements

Field Investigation Data Elements

OMB: 0920-1242

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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/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; Attn: OMB-PRA (0920-new)





Strengthening United States Response to Resistant Gonorrhea (SURRG)

Attachment 3D

SURRG Field Investigation Data Elements



Variable name

Data element

Description/Question

Response codes

CASE ATTRIBUTES

CS_PATIENTID

Patient ID

SURRG record IDs from interviews will created and assigned (by the local or state health department) a unique patient identifier (patient ID).

CDC will only receive the unique identifier and will not have the ability to back-convert the Patient ID or other event ID to a medical record number, name, social security number, or date of birth. (see SSA 9)

Character ID

CS_EVENTID

Event ID/Case ID of case-patient

This ID up to 18 characters in length. SURRG records from interviews will be assigned (by the local or state health department) a unique event identification number for each investigation. CDC will only receive the unique identifier and will not have the ability to back-convert the Patient ID or other event ID to a medical record number, name, social security number, or date of birth.

Character ID

CS_ASSGN_DATE

Date of Case Assignment

Date of assignment as a SURRG case

YYYY/MM/DD

CS_INT_DATE

Date of Case Interview

Date of SURRG case interview Note: If case interviewed more than once for the same case, you can use the initial interview date and put all data in one line in the Case table. Leave blank if not interviewed

YYYY/MM/DD

CS_TSTX_DISPO

Case Disposition

Disposition of Field investigation/Testing and Treatment for Case

A=Preventative treatment
B=Refused preventative treatment
C=Infected and treated
D=Infected, no treatment verified
E=Previously treated for this infection
F=Not infected
G=Insufficient Information to Begin Investigation
H=Unable to Locate [Includes passive refusal)]
I=Successful Interview/Recounsel (unlikely to be used)
J=Located, Not Examined, Treated, or Interviewed (i.e. Refused testing/treatment)
K=Sent out of jurisdiction
L=Other (unlikely to be used)
Q=Administrative closure (unlikely to be used)
V=Domestic violence risk
X=Patient deceased
Z=Previous preventative treatment

CS_PSINT_DSPO

Case Disposition of Partner Services/SURRG Interview

Disposition of Partner Services/SURRG Interview for Case


Note: all responses other than 3 indicate not interviewed

1=Insufficient information to attempt locating
2=Unable to locate (includes passive refusal)
3=Successful Interview/reinterview/recounsel
4=Located, refused interview
5=Out of jurisdiction
9=Unknown

CS_CASE_TYPE

Case Type

Case type will need to be finalized after GC status determined

1=SURRG assigned index case (alert or other SURRG index case);

2= Investigation identified (patient GC status not known prior to SURRG partner services activities);

3=previously known (patient GC status was known to patient prior to partner services activities);

9=unknown

CS_INT_TYPE

Interview Type at time of first interview

Interviewee was originally interviewed as?


Note: Do not leave blank. If this person was not interviewed, still assign the interview type that would have been appropriate (e.g. Case)

1=Case (OP);

2=Sex Partner (P1 or P3);

3=Social contact (S1-S3 or A1-A3)

CS_STATE

State of residence

2-digit FIPS state code

Character; 99=Unknown

CS_RESID_CITY

City of residence

4-digit FIPS city code

Character; 9999=Unknown

CS_RESID_CNTY

County of residence

3-digit FIPS county code

Character; 999=Unknown

CS_RESID_LALG

Coordinates of residence

Latitude and longitude coordinates of residence (if used locally)

(NOTE: Required to collect Lat/Long and/or Census tract for local epi and network Analyses, but these variables will not be submitted to CDC)

Character

CS_CEN_TRCT

Census tract of residence

11-digit census tract code (2 digit state-3 digit county-6 specific census tract)

(NOTE: Required to collect Lat/Long and/or Census tract for local epi and network analyses, but these variables will not be submitted to CDC)

Character

CS_DEMO_AGE

Age in years

How old are you (in years)? [Can also be calculated as interview date minus birthdate, or as recent clinic visit date minus birthdate]

Numeric; 999=Unknown

CS_DEMO_GENDER

Gender

How do you describe your gender identity?

1=Male

2=Female

3=Female-to-male transgender (FTM)

4=Male-to-female transgender (MTF)

5= Other gender identity

8=Refused to Answer

9=Unknown

CS_DEMO_SEX_BIRTH

Sex at birth

What sex were you assigned at birth, on your original birth certificate?

1=Male;

2=Female;

8=Refused to Answer;

9=Unknown

CS_DEMO_HISP_ETH

Ethnicity: Hispanic or Latino

Is the person of Hispanic ethnicity?

0=No, not Hispanic/Latino;

1=Yes, Hispanic/Latino;

8=Refused to Answer;

9=Unknown

CS_DEMO_AIAN

Race: AI/AN-American Indian or Alaskan Native

Does the person identify as American Indian or Alaska Native?

0=No;

1=Yes;

8=Refused to Answer;

9=Unknown

CS_DEMO_ASIAN

Race: Asian

Does the person identify as Asian?

0=No;

1=Yes;

8=Refused to Answer;

9=Unknown

CS_DEMO_NHOPI

Race: NH/PI-Native Hawaiian or Other Pacific Islander

Does the person identify as Native Hawaiian or Pacific Islander?

0=No;

1=Yes;

8=Refused to Answer;

9=Unknown

CS_DEMO_BLACK

Race: Black or African American

Does the person identify as black or African-American?

0=No;

1=Yes;

8=Refused to Answer;

9=Unknown

CS_DEMO_WHITE

Race: White

Does the person identify as white?

0=No;

1=Yes;

8=Refused to Answer;

9=Unknown

CS_DEMO_MULTIRACE

Race: Multirace

Does the person identify as multiracial?

0=No;

1=Yes;

8=Refused to Answer;

9=Unknown

CS_DEMO_OTHRACE

Race: Other

Does the person identify as another race not listed?

0=No;

1=Yes;

8=Refused to Answer;

9=Unknown

CS_DEMO_SEX_ORIENT

Sexual orientation

Which of the following best represents how you think of yourself?

1=Gay (Lesbian or gay);

3=Straight, this is not gay (or lesbian); 4=Bisexual;

5=Something else/Other;

8=Refused to Answer; 9=Unspecified/Unknown

CS_DEMO_INS_STATUS

Insurance status

What is your current health insurance status?

1=Has insurance, private plan (e.g. through an employer, or purchased directly - state plans through ACA/Obamacare are private plans)

2=Has insurance, public plan (Medicaid/expanded state Medicaid, Medicare, VA insurance, Indian Health Service)

3=Does not have insurance

9= Unknown

CS_DEMO_PREG_STAT

Pregnancy Status

What is your pregnant status (among women)?


Use response=7, not applicable, if patient is male or MTF.

(NOTE: Can come from clinic records from day of recent GC test; if not available, required to ask during interview)

1=Pregnant;

2=Not Pregnant;

7=Not applicable;

9=Unknown

CS_EM_STATUS

Employment status

What is your current employment status?


Optional for local collection and will not be submitted to CDC

1=Full-time employment (30 hours or more a week)
2=Part-time employment (less than 30 hours a week)
3=Not employed, non-student
4=Not employed, student
5=Retired
6= On disability (mark only if person volunteers rather than “Not employed”)
7=Other
9=Unknown

CS_EDU_LVL

Education level

What is your highest education Level?


Optional for local collection and will not be submitted to CDC

1=Less than high school degree
2=High School Degree or GED
3=Some college (no degree)
4=Associate’s degree or technical/vocational license (2-yr college degree, AA or AS)
5=Bachelor’s degree or higher (4-yr college degree, BA, BS, Master’s degree, doctoral or graduate professional degree)
9=Unknown

CS_MILIT

Military Status

Are you currently in the U.S. military?


Optional for local collection and will not be submitted to CDC

0=No

1=Yes (includes National Guard/reserve)
9=Unknown

CS_PTR_INV_M

No. of recent male sex partners in the past 2 months

In the past 2 months, what is the number of recent male sex partners?

Numeric; 999=Unknown

CS_PTR_INV_F

No. of recent female sex partners in the past 2 months

In the past 2 months, what is the number of recent female sex partners?

Numeric; 999=Unknown

CS_PTR_INV_T

No. of recent transgender sex partners in the past 2 months

In the past 2 months, what is the number of recent transgender sex partners?

Numeric; 999=Unknown

CS_PTR_MAIN_INV

No. recent main partners in the past 2 months

How many of the sex partners you’ve had in the last 2 months do you consider to be a main or primary partner(s) (as opposed to being a casual partner)?

[Let patient define number of main or primary sex partners. The number may include: anyone patient is in a committed relationship with – even if they don’t have frequent sex, the persons they are currently having the most sex with, etc. A casual partner may include someone they don’t feel like they are in a serious relationship with, or someone they have had/have sex with infrequently. The terms are not mutually exclusive. Let patient define.]

Numeric; 999=Unknown

CS_PTR_ANYM_INV

No. recent anonymous partners in the past 2 months

How many of the sex partners you’ve had in the last 2 months were anonymous? [By anonymous, I mean that you don’t know their last name and you wouldn’t be able to find them again if you wanted to]

Numeric; 999=Unknown

CS_PTR_CAS_INV

No. recent casual partners in the past 2 months

Number of casual partners. [Calculated as Total partners minus (main + anonymous) where Total partners = PTR_INV_M + PTR_INV_F + PTR_INV_T]

Numeric; 999=Unknown

CS_SEXACT_INS_ANAL

Performed insertive anal sex (past 2 months)

In the past 2 months, have you performed insertive anal sex? [Anal sex can be defined as your penis in someone else’s anus]

0=No;

1=Yes;

7=Not Applicable;

9=Unknown

CS_SEXACT_RECP_ANAL

Received/Receptive anal sex (past 2 months)

In the past 2 months, have you had receptive anal sex? [Can define as someone else’s penis in your anus]

0=No;

1=Yes;

9=Unknown

CS_SEXACT_PER_ORAL

Performed oral sex (past 2 months)

In the past 2 months, have you performed oral sex?

0=No;

1=Yes;

9=Unknown

CS_SEXACT_RECP_ORAL

Receptive oral sex (past 2 months)

In the past 2 months, have you received oral sex?

0=No;

1=Yes;

9=Unknown

CS_SEXACT_VAG

Vaginal sex (past 2 months)

In the past 2 months, have you had vaginal sex?

NOTE: SURRG ACCESS database does not use “not applicable”, but other sites may use through a skip pattern

0=No;

1=Yes;

7=not applicable

9=Unknown

CS_SEXDRG_FRQ

Frequency of drug use for sex

How often do you use drugs before or during sex to make sex easier, last longer, or feel better?

1=Every time

2=Most of the time

3=Sometimes/occasionally

4=Never

9=Unknown

CS_SEXDRG_COC

Use of cocaine/crack prior to sex (past 2 months)

Have you used cocaine/crack (before sex) in the past 2 months? [indicate yes, if used “Speedballs” (heroin & cocaine combined)]

(use 7 if never use drugs for sex/ CS_SEXDRG_FRQ=4)

0=No;

1=Yes;

7=not applicable;

9=Unknown

CS_SEXDRG_HER

Use of heroin prior to sex (past 2 months)

Have you used speedball (before sex) in the past 2 months? [indicate yes, if used “Speedballs” (heroin & cocaine combined) or “goofballs” (heroin and meth combined)

(use 7 if never use drugs for sex/ CS_SEXDRG_FRQ=4)

0=No;

1=Yes;

7=not applicable;

9=Unknown

CS_SEXDRG_METH

Use of methamphetamines prior to sex

(past 2 months)

Have you used methamphetamines (e.g. crystal, "tine", "meth", "speed") (before sex) in the past 2 months? [indicate yes, if used “goofballs” (heroin and meth combined)]

(use 7 if never use drugs for sex/ CS_SEXDRG_FRQ=4)

0=No;

1=Yes;

7=not applicable;

9=Unknown

CS_SEXDRG_ECS

Use of ecstasy prior to sex (past 2 months)

Have you used Ecstasy, E, Molly, MDMA, GHB, or Special K (before sex) in the past 2 months?

(use 7 if never use drugs for sex/ CS_SEXDRG_FRQ=4)

0=No;

1=Yes;

7=not applicable;

9=Unknown

CS_SEXDRG_POP

Use of poppers/nitrates prior to sex (past 2 months)

Have you used poppers/nitrates (before sex) in the past 2 months?

(use 7 if never use drugs for sex/ CS_SEXDRG_FRQ=4)

0=No;

1=Yes;

7=not applicable;

9=Unknown

CS_SEXDRG_PRESC

Use of prescription pain killers prior to sex (past 2 months)

Have you used prescription pain killers (e.g. oxycodone, Vicodin) (before sex) in the past 2 months?

(use 7 if never use drugs for sex/ CS_SEXDRG_FRQ=4)

0=No;

1=Yes;

7=not applicable;

9=Unknown

CS_GRP_SEX

Recent group sex frequency (in past 2 months)

How many times in the past 2 months did you have sex with two or more other people at the same place, like a threesome, or at a bathhouse or sex party? [Group sex includes sex with multiple people simultaneously or when you have sex with more than 1 other person sequentially at a party, bathhouse, or someone’s home, etc.]

Numeric; 999=Unknown

CS_GRP_SEX_LOC

Recent group sex location

If CSEGRP_SEX>0: Where did the last group sex (or multiple-person sex) event/encounter take place?





(Use response=8 if CS_GRP_SEX=0)

1=House or apartment (residence)

2=Bathhouse or sex club

3=Bar or club

4=Hotel

5=Outdoors/Outside public space (e.g. public park)

6=Brothel

7=Other

8=Not applicable

9=Unknown

CS_GRP_SEX_SIZE

Relative size of recent group sex event

How many people attended this last group sex (or multiple-person sex) event/encounter? [This question seeks to know how many (approximate) people were at the place (home, club, park, etc.) where the sex event(s) occurred, not how many people the patient had sex with?] (Use response=777 if CS_GRP_SEX=0)

Numeric;

777=Not applicable;

999=Unknown

CS_GRP_SEX_KNOW

Recent group sex awareness

How did you find out about/or get connected with this recent group sex (or multiple-person sex) event/encounter?

Note: Someone going to a bathhouse could indicate response option 1 or 5, and someone in a polyamorous relationship could indicate response option 7.

(Use response=8 if CS_GRP_SEX=0)

1=It happened spontaneously

2=Personal invitation through a friend, sexual partner or other acquaintance

3=From a social networking site or app

4=Through an advertisement

5=Already knew about this sex venue (e.g bathhouse)

7=Other (e.g. patient part of couple who sought a 3rd personrd)

8=Not applicable

9=Unknown

CS_CNCRN

GC concern

In general, how important is it to you to avoid getting gonorrhea?

1=Very important

2=Somewhat important

3=Slightly important

4=Not Important 9=Unknown

CS_GCHX_EVER_SR

Self-reported GC History

Have you ever been diagnosed with gonorrhea (before this recent infection)?

0=No;

1=Yes;

9=Unknown

CS_GCHX_YEAR_SR

Self-reported GC Diagnosis past year

Have you been diagnosed with gonorrhea (before this recent infection) in the past year?

0=No;

1=Yes;

9=Unknown

CS_GCHX_EVER_RC

Documented GC History in case reports/EMR

Record of patient gonorrhea diagnosis history in case reports or clinic records

0=No;

1=Yes;

9=Unknown

CS_GCHX_YEAR_RC

Documented GC History in past year in case reports

Record of person gonorrhea diagnosis history in past year in case reports or clinic records

(Past year can be defined locally as 12 months prior to interview, recent test date, or diagnosis)

0=No;

1=Yes;

9=Unknown

CS_STDTEST_INV

Number of STD testing with no symptoms

In the past year, how many times did you get tested for STDs when you didn’t have any symptoms? [Count as once if tested for multiple STDs on one occasion. Do not count if only tested for HIV]

Numeric; 999=Unknown

CS_HC_SEXPROV

Provider Type for Sexual Healthcare needs

Where have you gone most often in the past year for STD or other sexual healthcare?

1=Have not received STD or sexual healthcare in the past year 2=Primary Care Provider/Community Health Center

3=STD clinic or other sexual health clinic

4=Family Planning Clinic

5=HIV care provider

6=Emergency Department

7=Urgent Care

8=Other

9=Unknown

CS_HC_HLTHSEEK

Primary source of non-STD related healthcare

In the past year, what has been your primary source of non-STD related healthcare?

1=Have not received any non-STD healthcare in the past year

2=Primary Care Provider/Community Health Center

3=Health department clinic

4=HIV care provider

5=Other specialty care provider

6=Emergency Department

7=Urgent Care

8=Other

9=Unknown

CS_HIV_TST_INV

Ever tested for HIV

Have you ever tested for HIV?

0=No;

1=Yes;

9=Unknown

(NOTE: Can come from clinic records from day of recent GC test; if not available, required to ask during interview)

CS_HIV_LAST_RESULT

Last HIV test date (YYYY/MM)

When was your last HIV test?

Character; YYYY/MM

(Missing information should be coded as '…./..' or 'YYYY/..')

(NOTE: Can come from clinic records from day of recent GC test; if not available, required to ask during interview)

CS_HIV_DOC_STATUS

HIV status (documented or self-report)

What is the patient's HIV status (from eHARS, EMR, or self-report)

0=Negative/Nonreactive

1=Positive/Reactive

2=Indeterminate

9=Unknown

(NOTE: Can come from clinic records from day of recent GC test; if not available, required to ask during interview)

CS_PrEP_INV

Current daily PrEP use

(If HIV-negative) Is the patient currently using PrEP? [Given that some people use PrEP daily and others on-demand, you can chose to define “currently using PrEP” as someone who was taking PrEP the last time they had sex]


[Response=7 if CS_HIV_DOC_STATUS=1, i.e. HIV-positive]

0=No;

1=Yes;

7=Not Applicable;

9=Unknown

(NOTE: Can come from clinic records from day of recent GC test; if not available, required to ask during interview)

CS_PrEP_REF_INV

PrEP referral

If HIV-negative and not currently on PrEP: Was the patient offered or referred for a PrEP consultation today (if eligible)?


[Response=7 if CS_HIV_DOC_STATUS=1 (HIV-positive) or CS_PrEP_INV=1 (already on PrEP)]

0=No;

1=Yes;

7=Not Applicable;

9=Unknown

(NOTE: Can come from clinic records from day of recent GC test; if not available, required to ask during interview)

CS_HIVCARE_INV

Current HIV care self-reported

If HIV-positive: Is the patient currently receiving HIV medical care (in the past 12 months)?

[Note: can use a different time frame if already used locally– e.g. received HIV care in the past 6 months]


[Response=7 if HIV-negative or unknown HIV status]

0=No;

1=Yes;

7=Not Applicable;

9=Unknown

(NOTE: Can come from clinic records from day of recent GC test)

CS_HIV_VL_INV

Most recent viral load self-reported

If HIV-positive and currently receiving HIV medical care: Was your most recent viral load undetectable?


[Response=7 if HIV-negative or unknown HIV status]

0=No;

1=Yes;

7=Not Applicable;

9=Unknown

(NOTE: Can come from clinic records from day of recent GC test)

CS_HIV_REF_INV

HIV care referral

If HIV-positive and not currently receiving HIV medical care: Was person referred to HIV care today?


[Response=7 if HIV-negative]

0=No; 1=Yes; 7=Not Applicable; 9=Unknown

(NOTE: Can come from clinic records from day of recent GC test)

CS_AB_USE

Antibiotic use in past 2 months

Have you taken any antibiotics in the past 2 months?

0=No; 1=Yes; 9=Unknown

For elements CSAB_USE_AMP through CSAB_USE_UNK:


If yes: name of the antibiotic(s) taken in the past 2 months (choose all that apply)?

CS_AB_USE_AZI

Antibiotic: azithromycin (Zithromax)

If yes: Did the person specify azithromycin (Zithromax, Z pack) as the antibiotic used in the past 2 months?

[Response=7 if CS_AB_USE=0]

0=No; 1=Yes; 7=Not Applicable; 9=Unknown

CS_SYMPT_INV

Resolution of GC symptoms

If you had symptoms from the most recent episode of gonorrhea, how are your symptoms now?



[Note: Use response 5 if patient was not symptomatic with this infection; use response 7 if patient is a partner and not a case; item should not be left blank]

1=Completely gone

2=Better, but not completely gone

3=Better, then got worse

4=Never improved

5=Asymptomatic (never symptomatic)

6=Recent case (i.e. treated today) 7=Not applicable/Not a case (e.g. a partner) 9=Unknown

CS_UNNAMED

Number of unnamed sex partners

How many other (unnamed) people did you have sex with in the last 2 months? [DIS could calculate this number based on # of male, female, and transgender partners patient described earlier minus the number of named partners, or ask the question again]

Numeric; 999=Unknown

CS_UN_MAIN

Number of unnamed sex partners: main sex partner

How many of these unnamed partners you would consider main or primary sex partners?

[DIS can reiterate that “main” or “primary” sex partners may include anyone they are in a committed relationship with – even if they don’t have frequent sex, the persons they are currently having the most sex with, etc.]


Response=777 if CS_UNNAMED=0

Numeric; 777=Not Applicable; 999=Unknown

CS_UN_ANONY

Number of unnamed sex partners: anonymous sex partner

How many of these unnamed partners are anonymous? [Anonymous, means partners that you don't know their name, and it’s unlikely you'd be able to find them again, even if you wanted to]


Response=777 if CS_UNNAMED=0

Numeric; 777=Not Applicable; 999=Unknown

CS_UN_CASU

Number of unnamed sex partners: casual sex partner

Number of casual unnamed partners. [Calculated as CT_UNNAMED minus (CT_UN_MAIN + CT_UN_ANONY)]


Response=777 if CS_UNNAMED=0

Numeric; 777=Not Applicable; 999=Unknown

CS_UN_SOC

Social time with unnamed partners

With how many of these unnamed partners do you spend time or socialize apart from when you meet to have sex?


Response=777 if CS_UNNAMED=0

Numeric; 777=Not Applicable; 999=Unknown

CS_UN_RACE

Number of unnamed sex partners: different race

How many of these unnamed partners are a different race than you?


Response=777 if CS_UNNAMED=0

Numeric; 777=Not Applicable; 999=Unknown

CS_UN_HISPANIC

Number of unnamed sex partners: Latino/Hispanic ethnicity

How many of these unnamed partners are Latino or Hispanic?


Response=777 if CS_UNNAMED=0

Numeric; 777=Not Applicable; 999=Unknown



CS_UN_OLDER

Number of unnamed sex partners: Older age

How many of these unnamed partners are 8 or more years older than you?

Response=777 if CS_UNNAMED=0

Numeric; 777=Not Applicable; 999=Unknown

CS_UN_YOUNGER

Number of unnamed sex partners: Younger age

How many of these unnamed partners are 8 or more years younger than you?

Response=777 if CS_UNNAMED=0

Numeric; 777=Not Applicable; 999=Unknown

CS_UN_MULTISEX

Number of unnamed sex partners: Repeated sex

With how many of these unnamed partners did you have sex with more than once?

Response=777 if CS_UNNAMED=0

Numeric; 777=Not Applicable; 999=Unknown

CS_UN_MET_VENUE

Name(s) of venues where first met: unnamed partners

(NOTE: Required to collect, but will not be submitted to CDC)

Text field

CS_UN_MET_VENUE_LALG

Coordinates of venue where first met: unnamed partners

Latitude and longitude coordinates

(NOTE: Required to collect lat/long or geocode, but variable will not be submitted to CDC)

Character

CS_UN_MET_VENUE_GEO

Geocode of venue where first met

Census tract

(NOTE: Required to collect lat/long or geocode, but variable will not be submitted to CDC)

Character

For elements CS_UN_CLIST through CS_UN_APP_REF:


If first contacted your unnamed partner(s) using an escort service, internet sites or mobile social apps, which did you use?

CS_UN_CLIST

Meeting app: Craigslist


0=No; 1=Yes; 7=Not applicable; 9=Unknown

CS_UN_TNDR

Meeting app: Tinder


0=No; 1=Yes; 7=Not applicable; 9=Unknown

CS_UN_FCEBK

Meeting app: Facebook


0=No; 1=Yes; 7=Not applicable; 9=Unknown

CS_UN_GRDR

Meeting app: Grindr


0=No; 1=Yes; 7=Not applicable; 9=Unknown

CS_UN_JCKD

Meeting app: Jack'd


0=No; 1=Yes; 7=Not applicable; 9=Unknown

CS_UN_A4A

Meeting app: Adam 4 Adam


0=No; 1=Yes; 7=Not applicable; 9=Unknown

CS_UN_SCRUFF

Meeting app: SCRUFF


0=No; 1=Yes; 7=Not applicable; 9=Unknown

CS_UN_HRNT

Meeting app: Hornet


0=No; 1=Yes; 7=Not applicable; 9=Unknown

CS_UN_OKCPID

Meeting app: OK Cupid


0=No; 1=Yes; 7=Not applicable; 9=Unknown

CS_UN_MNHNT

Meeting app: Manhunt


0=No; 1=Yes; 7=Not applicable; 9=Unknown

CS_UN_THRDR

Meeting app: Thrinder


0=No; 1=Yes; 7=Not applicable; 9=Unknown

CS_UN_POF

Meeting app: Plenty of Fish


0=No; 1=Yes; 7=Not applicable; 9=Unknown

CS_UN_BMBLE

Meeting app: Bumble


0=No; 1=Yes; 7=Not applicable; 9=Unknown

CS_UN_DDHNT

Meeting app: DaddyHunt


0=No; 1=Yes; 7=Not applicable; 9=Unknown

CS_UN_ESSRVC

Meeting app: Escort Service


0=No; 1=Yes; 7=Not applicable; 9=Unknown

CS_UN_APP_REF

Refused to identify app


0=No; 1=Yes; 7=Not applicable; 9=Unknown

CS_UN_MEET_OTAPP

Name of other app(s) used that were not listed above

What other app(s) were used?

Text field

CS_UN_SEXOTH_UN

Concurrency of interviewee

In the past two months, If you had sex more than one time with any of your unnamed partners, did you also had sex with other people besides these unnamed partner(s) during that time period?

Response=777 if CS_UN_MULTISEX=777 or 0]

0=No; 1=Yes; 7=Not Applicable; 9=Unknown

CS_UN_EXCH_REC

Commercial/exchange sex: Received

Did any of these unnamed sex partners give you money, drugs, or something else you needed in exchange for sex?

Response=777 if CS_UNNAMED=0

0=No; 1=Yes; 7=Not Applicable; 9=Unknown

CS_UN_EXCH_GIV

Commercial/exchange sex: Given

Did you give any of these unnamed partners money, drugs, or something else they needed in exchange for sex?

Response=777 if CS_UNNAMED=0

0=No; 1=Yes; 7=Not Applicable; 9=Unknown

CS_UN_TRVL_ABRD

Partner travel

Did any of these unnamed partner(s) travel to or from another country in the past 2 months?

Response=777 if CS_UNNAMED=0

0=No; 1=Yes; 7=Not Applicable; 9=Unknown

CS_UN_FRST_SEXABRD

First sex encounter: Travel abroad

Did you first have sex with any of these unnamed partner(s) in another country?

Response=777 if CS_UNNAMED=0

0=No; 1=Yes; 7=Not Applicable; 9=Unknown

CS_UN_GCCT

GC Contact: No of unnamed partner(s)

How many of these unnamed recent sex partners have you told may have been exposed to gonorrhea (or an STD)?


[Response=777 when either 1) no unnamed recent sex partners were reported, or 2) when someone is interviewed before they have received their GC results.]

Numeric; 777=Not applicable; 999=Unknown

CS_UN_GCEXP

Disclosure of GC exposure: No of unnamed partner(s)

In total, how many other unnamed recent sex partners are you likely to inform that they may have been exposed to gonorrhea (or STD)?


[Response=777 when any of the following occur: 1) no unnamed recent sex partners were reported, and 2) when someone is interviewed before they have received their GC results, and 3) when there are no more unnamed partners (i.e. when CS_UN_GCCT= CS_UNNAMED]

Numeric; 777=Not applicable; 999=Unknown

CONTACT ATTRIBUTES

CT_PATIENTID

Patient ID of contact

SURRG record IDs from interviews will created and assigned (by the local or state health department) a unique patient identifier (patient ID).

CDC will only receive the unique identifier and will not have the ability to back-convert the Patient ID or other event ID to a medical record number, name, social security number, or date of birth. (see SSA 9)

Character ID

CT_EVENTID

Event ID of contact

SURRG records from interviews will be assigned (by the local or state health department) a unique event identification number for each investigation. CDC will only receive the unique identifier and will not have the ability to back-convert the Patient ID or other event ID to a medical record number, name, social security number, or date of birth.

Character ID

CT_TSTX_DSPO

Contact Disposition

Disposition of Field Investigation/Testing and Treatment for Contact

Disposition of Field Investigation/Testing and Treatment
A=Preventative treatment
B=Refused preventative treatment
C=Infected and treated
D=Infected, no treatment verified
E=Previously treated for this infection
F=Not infected
G=Insufficient Information to Begin Investigation
H=Unable to Locate [Includes passive refusal)]
I=Successful Interview/Recounsel (unlikely to be used)
J=Located, Not Examined, Treated, or Interviewed (i.e. Refused testing/treatment)
K: Sent out of jurisdiction
L=Other (unlikely to be used)
Q=Administrative closure (unlikely to be used)
V=Domestic violence risk
X=Patient deceased
Z=Previous preventative treatment

CT_PSINT_DSPO

Contact Disposition of Partner Services/SURRG Interview

Disposition of Partner Services/SURRG Interview for Contact

1=Insufficient information to attempt locating
2=Unable to locate (includes passive refusal)
3=Successful Interview/reinterview/recounsel
4=Located, refused interview
5=Out of jurisdiction
9=Unknown

CT_ASSGN_DATE

Date of Contact Assignment

Date of assignment as a SURRG contact

YYYY/MM/DD

CT_INT_DATE

Date of Contact Interview

Interview date of elicited contact

YYYY/MM/DD

CT_INT_TYPE

Interview Type

Interviewee was interviewed as?

1=Sex Partner (P1 or P3);

2=Social contact (S1-S3 or A1-A3);

9=Not applicable (not interviewed)

CT_CASE_TYPE

Case Type


0=Not a case;

2= identified as a case through SURRG Investigation;

3=previously known (patient GC status was known to patient prior to this SURG initiated investigation/partner services activity;

8=Not applicable (not interviewed);

9=unknown

CT_RESID_CITY

City of residence

4-digit FIPS county code

Character; 9999=Unknown/Not applicable

CT_RESID_CNTY

County of residence

3-digit FIPS county code

Character; 999=Unknown/ Not applicable

CT_RES_LALG

Coordinates of residence

Latitude and longitude coordinates

(NOTE: Required to collect Lat/Long and/or Census tract for local epi and network Analyses, but variable will not be submitted to CDC)

Character

CT_CEN_TRCT

Census tract of residence

11 digit census tract code (2 digit state-3 digit county-6 specific census tract)

(NOTE: Required to collect Lat/Long and/or Census tract for local epi and network Analyses, but variable will not be submitted to CDC)

Character

CT_GENDER

Gender

How do you describe your gender identity?

1=Male

2=Female

3=Female-to-male transgender (FTM)

4=Male-to-female transgender (MTF)

5=Other gender identity

8=Refused to Answer

9=Unknown

CT_SEX_BIRTH

Sex at birth

What sex were you assigned at birth, on your original birth certificate?

1=Male;

2=Female;

8=Refused to Answer;

9=Unknown

CT_AGE

Age

Age in years

Numeric; 999=Unknown

CT_AIAN

Race: American Indian or Alaskan Native (AI/AN)


1=Male;

2=Female;

8=Refused to Answer;

9=Unknown

CT_ASIAN

Race: Asian


1=Male;

2=Female;

8=Refused to Answer;

9=Unknown

CT_NHOPI

Race: Native Hawaiian or Other Pacific Islander (NH/PI)


1=Male;

2=Female;

8=Refused to Answer;

9=Unknown

CT_BLACK

Race: Black or African American (AA)


1=Male;

2=Female;

8=Refused to Answer;

9=Unknown

CT_WHITE

Race: White


1=Male;

2=Female;

8=Refused to Answer;

9=Unknown

CT_MULTIRACE

Race: Multirace


1=Male;

2=Female;

8=Refused to Answer;

9=Unknown

CT_OTHRACE

Race: Other


1=Male;

2=Female;

8=Refused to Answer;

9=Unknown

CT_HISP_ETH

Ethnicity: Hispanic/Latino


0=No, not Hispanic/Latino;

1=Yes, Hispanic/Latino;

8=Refused to Answer;

9=Unknown

CT_SEX_ORIENT

Sexual orientation

Which of the following best represents how you think of yourself?

1=Gay (Lesbian or gay);

3=Straight, this is not gay (or lesbian);

4=Bisexual;

5=Something else/Other;

8=Refused to Answer;

9=Unspecified/Unknown

CT_INS_STATUS

Insurance status

What is your current health insurance status?

1=Has insurance, private plan (e.g. through an employer, or purchased directly - state plans through ACA/Obamacare are private plans)

2=Has insurance, public plan (Medicaid/expanded state medicaid, Medicare, VA insurance, Indian Health Service)

3=Does not have insurance

9= Unknown

CT_PTR_INV_M

No. of recent male sex partners in the past 2 months

In the past 2 months, what is the number of recent male sex partners?

Numeric; 999=Unknown

CT_PTR_INV_F

No. of recent female sex partners in the past 2 months

In the past 2 months, what is the number of recent female sex partners?

Numeric; 999=Unknown

CT_PTR_INV_T

No. of recent transgender sex partners in the past 2 months

In the past 2 months, what is the number of recent transgender sex partners?

Numeric; 999=Unknown

CT_CNCRN

GC concern

In general, how important is it to you to avoid getting gonorrhea?

1=Very Important

2=Somewhat Important

3=Slightly Important

4=Not Important

9=Unknown

CT_STDTEST_INV

Number of STD testing with no symptoms

In the past year, how many times did you get tested for STDs when you didn’t have any symptoms? [Count as once if tested for multiple STDs on one occasion. Do not count if only tested for HIV]

Numeric; 999=Unknown

CT_HC_SEXPROV

Provider Type for Sexual Healthcare needs

Where have you gone the most often in the past year for STD or other sexual healthcare?

1=Have not received STD or sexual healthcare in the past year 2=Primary Care Provider/Community Health Center

3=STD clinic or other sexual health clinic

4=Family Planning Clinic

5=HIV care provider

6=Emergency Department

7=Urgent Care

8=Other

9=Unknown

CT_HC_HLTHSEEK

Primary source of non-STD related healthcare

In the past year, what has been your primary source of non-STD related healthcare?

1=Have not received any non-STD healthcare in the past year
2=Primary Care Provider/Community Health Center
3=Health department clinic
4=HIV care provider
5=Other specialty care provider
6=Emergency Department
7=Urgent Care
8=Other
9=Don't know/Unknown

PARTNERSHIP ATTRIBUTES

PTSP_NAMINGID

Naming ID

SURRG record IDs from interviews will created and assigned (by the local or state health department) a unique patient identifier (patient ID).

CDC will only receive the unique identifier and will not have the ability to back-convert the Patient ID or other event ID to a medical record number, name, social security number, or date of birth. (see SSA 9)

Character ID

PTSP_NAMEDID

Named ID

SURRG record IDs from interviews will created and assigned (by the local or state health department) a unique patient identifier (patient ID).

CDC will only receive the unique identifier and will not have the ability to back-convert the Patient ID or other event ID to a medical record number, name, social security number, or date of birth. (see SSA 9)

Character ID

PTSP_NAMING_EVENTID

Event ID of NamingID

This ID up to 18 characters in length. SURRG records from interviews will be assigned (by the local or state health department) a unique event identification number for each investigation. CDC will only receive the unique identifier and will not have the ability to back-convert the Patient ID or other event ID to a medical record number, name, social security number, or date of birth.

Character ID

PTSP_NAMED_EVENTID

Event ID of NamedID

This ID up to 18 characters in length. SURRG records from interviews will be assigned (by the local or state health department) a unique event identification number for each investigation. CDC will only receive the unique identifier and will not have the ability to back-convert the Patient ID or other event ID to a medical record number, name, social security number, or date of birth.

Character ID

PTSP_INT_DATE

Date of Interview/re-interview

Date of interview that contact(s) were named with provided description(s) of their relationship. [One entry per named contact and interview date. A case/contact could have multiple interview dates associated if they named additional contacts at different time points]

YYYY/MM/DD

PTSP_INT_REL

Relationship type

What is the relationship with this contact?

1=Sex partner;

2=Social contact

PTSP_TYPE

Partnership type

Is the sex partner a main or casual partner?

[Let client define if they consider the person to be more of a main or casual sex partner. DIS can clarify that a main partner could include anyone they are in a committed relationship with – even if they don’t have frequent sex, or the person(s) they are currently having the most sex with; a casual partner could include someone they don’t feel like they are in a serious relationship with, or someone they have had/have sex with infrequently. The terms are not mutually exclusive. Let the client define if main or casual] If Relationship type=2 then Partnership type=7

1=Main;

2=Casual,

7=Not applicable

9=Unknown

PTSP_AGE

Approximate age of partner

What is the approximate age of your partner? Aggregated age categories

1=≤19
2=20-29
3=30-39
4=40-49
5=50-59
6=60+
9=Unknown

PTSP_RACE

Race of partner

How do you describe the race of your partner?

1=White
2=Black
3=Asian
4=Native Hawaiian or Other Pacific Islander (NHOPI)
5=American Indian or Alaskan Native (AI/AN)
6=Multi-race 7=Other 9=Unknown

PTSP_ETH

Ethnicity of Partner: Hispanic or Latino


0=No, not Hispanic/Latino; 1=Yes, Hispanic/Latino; 9=Unknown

PTSP_LIVE

Area of residence of partner

Where does the partner live?

Note: DIS can complete PTSP_LIVE, PTSP_LIVE_STATE, PTSP_LIVE_CNTRY based on address information provided, i.e. these three questions do not need to be asked of the patient.

1=Same city/county (as case interviewee that named them)
2=Different county, same state
3=Different state
4=Different country
9=Unknown

PTSP_LIVE_STATE

State of residence of partner

If PTSP_LIVE=3: What state does this partner live? [Note: State codes are Census core FIPS codes (Jul 2015)]

Note: DIS can complete PTSP_LIVE, PTSP_LIVE_STATE, PTSP_LIVE_CNTRY based on address information provided, i.e. these three questions do not need to be asked of the patient.

1=Alabama; 2=Alaska; 4=Arizona; 5=Arkansas; 6=California; 8=Colorado; 9=Connecticut; 10=Delaware; 11=District of Columbia; 12=Florida; 13=Georgia; 15=Hawaii; 16=Idaho; 17=Illinois; 18=Indiana; 19=Iowa; 20=Kansas; 21=Kentucky; 22=Louisiana; 23=Maine; 24=Maryland; 25=Massachusetts; 26=Michigan; 27=Minnesota; 28=Mississippi; 29=Missouri; 30=Montana; 31=Nebraska; 32=Nevada; 33=New Hampshire; 34=New Jersey; 35=New Mexico; 36=New York; 37=North Carolina; 38=North Dakota; 39=Ohio; 40=Oklahoma; 41=Oregon; 42=Pennsylvania; 44=Rhode Island; 45=South Carolina; 46=South Dakota; 47=Tennessee; 48=Texas; 49=Utah; 50=Vermont; 51=Virginia; 53=Washington; 54=West Virginia; 55=Wisconsin; 56=Wyoming; 99=unknown

PTSP_LIVE_CNTRY

Country of residence of partner

If PTSP_LIVE=4: What country does this partner live? Note: Codes are ISO codes (2-character ISO 3166-2 codes) using Foreign Trade Statistics of U.S. Census

Note: DIS can complete PTSP_LIVE, PTSP_LIVE_STATE, PTSP_LIVE_CNTRY based on address information provided, i.e. these three questions do not need to be asked of the patient.

Country list: AD=Andorra; AE=United Arab Emirates; AF= Afghanistan; AG=Antigua and Barbuda; AI=Anguilla; AL=Albania; AM=Armenia; AO=Angola; AQ=Antarctica; AR=Argentina; AS=American Samoa; AT=Austria; AU=Australia; AW=Aruba; AX=Åland Islands; AZ=Azerbaijan; BA=Bosnia and Herzegovina, BB=Barbados; BD=Bangladesh; BE=Belgium; BF=Burkina Faso; BG=Bulgaria; BH=Bahrain; BI=Burundi; BJ=Benin; BL=Saint Barthélemy; BM=Bermuda; BN=Brunei Darussalam; BO=Plurinational State of Bolivia; BQ=Sint Eustatius and Saba Bonaire; BR=Brazil; BS=Bahamas; BT=Bhutan; BV=Bouvet Island; BW=Botswana; BY=Belarus; BZ=Belize; CA=Canada; CC=Cocos (Keeling) Islands; CD=The Democratic Republic of the Congo; CF=Central African Republic; CG=Congo; CH=Switzerland; CI=Côte d'Ivoire; CK=Cook Islands; CL=Chile; CM=Cameroon; CN=China; CO=Colombia; CR=Costa Rica; CU=Cuba; CV=Cape Verde; CW=Curaçao; CX=Christmas Island; CY=Cyprus; CZ=Czech Republic; DE=Germany; DJ=Djibouti; DK=Denmark; DM=Dominica; DO=Dominican Republic; DZ=Algeria; EC=Ecuador; EE=Estonia; EG=Egypt; EH=Western Sahara; ER=Eritrea; ES=Spain; ET=Ethiopia; FI=Finland; FJ=Fiji; FK=Falkland Islands (Malvinas); FM=Federated States of Micronesia; FO=Faroe Islands; FR=France; GA=Gabon; GB=United Kingdom; GD=Grenada; GE=Georgia; GF=French Guiana; GG=Guernsey; GH=Ghana; GI=Gibraltar; GL=Greenland; GM=Gambia; GN=Guinea; GP=Guadeloupe; GQ=Equatorial Guinea; GR=Greece; GS=South Georgia and the South Sandwich Islands; GT=Guatemala; GU=Guam; GW=Guinea-Bissau; GY=Guyana; HK=Hong Kong; HM=Heard Island and McDonald Islands; HN=Honduras; HR=Croatia; HT=Haiti; HU=Hungary; ID=Indonesia; IE=Ireland; IL=Israel; IM=Isle of Man; IN=India; IO=British Indian Ocean Territory; IQ=Iraq; IR=Islamic Republic of Iran; IS=Iceland; IT=Italy; JE=Jersey; JM=Jamaica; JO=Jordan; JP=Japan; KE=Kenya; KG=Kyrgyzstan; KH=Cambodia; KI=Kiribati; KM=Comoros; KN=Saint Kitts and Nevis; KP=Democratic People's Republic of Korea; KR=Republic of Korea; KW=Kuwait; KY=Cayman Islands; KZ=Kazakhstan; LA=Laos (Lao People's Democratic Republic); LB=Lebanon; LC=Saint Lucia; LI=Liechtenstein; LK=Sri Lanka; LR=Liberia; LS=Lesotho; LT=Lithuania; LU=Luxembourg; LV=Latvia; LY=Libya; MA=Morocco; MC=Monaco; MD=Republic of Moldova; ME=Montenegro; MF=Saint Martin (French part); MG=Madagascar; MH=Marshall Islands; MK=The Former Yugoslav Republic of Macedonia; ML=Mali; MM=Myanmar; MN=Mongolia; MO=Macao; MP=Northern Mariana Islands; MQ=Martinique; MR=Mauritania; MS=Montserrat; MT=Malta; MU=Mauritius; MV=Maldives; MW=Malawi; MX=Mexico; MY=Malaysia; MZ=Mozambique; NA=Namibia; NC=New Caledonia; NE=Niger; NF=Norfolk Island; NG=Nigeria; NI=Nicaragua; NL=Netherlands; NO=Norway; NP= Nepal; NR=Nauru; NU=Niue; NZ=New Zealand; OM=Oman; PA=Panama; PE=Peru; PF=French Polynesia; PG=Papua New Guinea; PH=Philippines; PK=Pakistan; PL=Poland; PM=Saint Pierre and Miquelon; PN=Pitcairn; PR=Puerto Rico; PS=State of Palestine; PT=Portugal; PW=Palau; PY=Paraguay; QA=Qatar; RE=Réunion; RO=Romania; RS=Serbia; RU=Russian Federation; RW=Rwanda; SA=Saudi Arabia; SB=Solomon Islands; SC=Seychelles; SD=Sudan; SE=Sweden; SG=Singapore; SH=Saint Helena Ascension and Tristan da Cunha; SI=Slovenia; SJ=Svalbard and Jan Mayen; SK=Slovakia; SL=Sierra Leone; SM=San Marino; SN=Senegal; SO=Somalia; SR=Suriname; SS=South Sudan; ST=Sao Tome and Principe; SV=El Salvador; SX=Sint Maarten (Dutch part); SY=Syrian Arab Republic; SZ=Swaziland; TC=Turks and Caicos Islands; TD=Chad; TF=French Southern Territories; TG=Togo; TH=Thailand; TJ=Tajikistan; TK=Tokelau; TL=Timor-Leste; TM=Turkmenistan; TN=Tunisia; TO=Tonga; TR=Turkey; TT=Trinidad and Tobago; TV=Tuvalu; TW=Province of China Taiwan; TZ=United Republic of Tanzania; UA=Ukraine; UG=Uganda; UM=United States Minor Outlying Islands; UY=Uruguay; UZ=Uzbekistan; VA=Holy See (Vatican City State); VC=Saint Vincent and the Grenadines; VE=Bolivarian Republic of Venezuela; VG=British Virgin Islands; VI=U.S. Virgin Islands; VN=Viet Nam; VU=Vanuatu; WF=Wallis and Futuna; WS=Samoa; YE=Yemen; YT=Mayotte; ZA=South Africa; ZM=Zambia; ZW=Zimbabwe; ZZ=Unknown

PTSP_SOC

Social time with partner

Do you socialize or spend time with this person apart from when you meet to have sex?

0=No;

1=Yes;

9=Unknown

PTSP_FRST_SEX

Date of first sex

When is the first time you had sex with this person?

YYYY/MM/DD

(Missing information should be coded as '…./../..' or 'YYYY/../..' etc.)

PTSP_LST_SEX

Date of last sex

When is the last time you had sex with this person?

YYYY/MM/DD

(Missing information should be coded as '…./../..' or 'YYYY/../..' etc.)

PTSP_RPT_SEX

Repeated sex encounter

Do you think you will have sex again with this person in the future?

0=No;

1=Yes;

9=Unknown/unsure

PTSP_SEX_FREQ

Frequency of sex

How many times (on how many occasions) have you had sex with this person in the past 2 months?

1=Once;

2=2-5 times;

3=6-10 times;

4=11-20 times;

5=>20 times;

9=Don't remember/Unknown

PTSP_CDU_LSTSEX

Condom use at last sex

Did you (or your partner) use a condom the last time you had sex?

0=No;

1=Yes;

9=Unknown/unsure

PTSP_MET_LOC

Physical location of first meeting

Where did you first meet this partner face-to-face?

1=Home

2=Partner’s home

3=Friend's home 4=Party (not a sex party)

5=Sex party

6=Bar or club

7=Public cruising (park, beach, pier)

8=Mall or shopping center

9=Bathhouse or sex club

10=Massage Parlor/brothel

11=Sex shop or adult book store

12=On the street or public transportation

13=Gym

14=Public restroom

15=At work

16=School

17=Hotel

18=Place of worship

19=Community event

20=AA or NA meeting

21=Other type of support group

22=Jail or Prison

77=Other

88=Refused to Answer

99=Unknown

PTSP_MEET_APP

Identification of internet site/social app used

If first contact using an escort service, internet sites or mobile social apps, which did you use?

1=Craigslist.com

2=Tinder.com

3=Facebook.com

4=Grindr.com

5=Jack’d.com

6=Adam 4 Adam

7=SCRUFF

8=Hornet.com

9=OKcupid.com

10=Manhunt.com

11=Thrinder

12=Plenty of Fish (POF)

13=Bumble

14=DaddyHunt

15=Escort service

77=Other

88=Refused to Answer

99= Don’t Know/Unknown

PTSP_MEET_OTHAPP

Identification of other internet site/social app used

If PTSPMEET_APP=77, inclusion of other apps not currently provided

(NOTE: Required to collect for local analyses, but variable will not be submitted to CDC)

Character (Text field)

PTSP_MEET_INV

Name of venue

(NOTE: Required to collect for local analyses, but variable will not be submitted to CDC)

Character

PTSP_MEET_LATLON

Coordinates of venue where first met

Latitude and longitude coordinates

(Note: Required to collect Lat/Long and/or Census tract for local epi and network analyses, but these variables will not be submitted to CDC)

Character

PTSP_MEET_GEOCODE

Geocode of venue where first met

Census tract

(Note: Required to collect Lat/Long and/or Census tract for local epi and network analyses, but these variables will not be submitted to CDC)

Character

PTSP_SEXOTH

Concurrency of interviewee

(If had sex with this person more than once) Did you have sex with someone else during the period of time you were having sex or having a sexual relationship with this person?

0=No; 1=Yes; 8=Not applicable (e.g. PTSP_SEX_FREQ=1); 9=Unknown

PTSP_SEXOTH_PTNR

Concurrency of interviewee's discussed partner

(If had sex with this person more than once) Do you think this person had sex with anyone else during the period of time you were having sex or a sexual relationship with them?

0=No/unlikely; 1=Yes/likely; 8=Not applicable (e.g. PTSP_SEX_FREQ=1); 9=Unknown

PTSP_EXCH_REC

Commercial/exchange sex: Received

Did this person give you money, drugs, or something else you needed in exchange for sex?

0=No; 1=Yes; 9=Unknown

PTSP_EXCH_GIV

Commercial/exchange sex: Given

Did you give this person money, drugs, or something else they needed in exchange for sex?

0=No; 1=Yes; 9=Unknown

PTSP_GRPSEX

Group sex with partner

Did you have group sex with this partner in the past 2 months?

0=No; 1=Yes; 9=Unknown

PTSP_FRST_SEXABRD

First sex encounter: Travel abroad

Did you first have sex with this person in another country?

0=No; 1=Yes; 9=Unknown

PTSP_FRST_SEXABRDLOC

First sex encounter: Travel abroad Location

If PTSP_FRST_SEXABRD=1: What country?

Country list: AD=Andorra; AE=United Arab Emirates; AF= Afghanistan; AG=Antigua and Barbuda; AI=Anguilla; AL=Albania; AM=Armenia; AO=Angola; AQ=Antarctica; AR=Argentina; AS=American Samoa; AT=Austria; AU=Australia; AW=Aruba; AX=Åland Islands; AZ=Azerbaijan; BA=Bosnia and Herzegovina, BB=Barbados; BD=Bangladesh; BE=Belgium; BF=Burkina Faso; BG=Bulgaria; BH=Bahrain; BI=Burundi; BJ=Benin; BL=Saint Barthélemy; BM=Bermuda; BN=Brunei Darussalam; BO=Plurinational State of Bolivia; BQ=Sint Eustatius and Saba Bonaire; BR=Brazil; BS=Bahamas; BT=Bhutan; BV=Bouvet Island; BW=Botswana; BY=Belarus; BZ=Belize; CA=Canada; CC=Cocos (Keeling) Islands; CD=The Democratic Republic of the Congo; CF=Central African Republic; CG=Congo; CH=Switzerland; CI=Côte d'Ivoire; CK=Cook Islands; CL=Chile; CM=Cameroon; CN=China; CO=Colombia; CR=Costa Rica; CU=Cuba; CV=Cape Verde; CW=Curaçao; CX=Christmas Island; CY=Cyprus; CZ=Czech Republic; DE=Germany; DJ=Djibouti; DK=Denmark; DM=Dominica; DO=Dominican Republic; DZ=Algeria; EC=Ecuador; EE=Estonia; EG=Egypt; EH=Western Sahara; ER=Eritrea; ES=Spain; ET=Ethiopia; FI=Finland; FJ=Fiji; FK=Falkland Islands (Malvinas); FM=Federated States of Micronesia; FO=Faroe Islands; FR=France; GA=Gabon; GB=United Kingdom; GD=Grenada; GE=Georgia; GF=French Guiana; GG=Guernsey; GH=Ghana; GI=Gibraltar; GL=Greenland; GM=Gambia; GN=Guinea; GP=Guadeloupe; GQ=Equatorial Guinea; GR=Greece; GS=South Georgia and the South Sandwich Islands; GT=Guatemala; GU=Guam; GW=Guinea-Bissau; GY=Guyana; HK=Hong Kong; HM=Heard Island and McDonald Islands; HN=Honduras; HR=Croatia; HT=Haiti; HU=Hungary; ID=Indonesia; IE=Ireland; IL=Israel; IM=Isle of Man; IN=India; IO=British Indian Ocean Territory; IQ=Iraq; IR=Islamic Republic of Iran; IS=Iceland; IT=Italy; JE=Jersey; JM=Jamaica; JO=Jordan; JP=Japan; KE=Kenya; KG=Kyrgyzstan; KH=Cambodia; KI=Kiribati; KM=Comoros; KN=Saint Kitts and Nevis; KP=Democratic People's Republic of Korea; KR=Republic of Korea; KW=Kuwait; KY=Cayman Islands; KZ=Kazakhstan; LA=Laos (Lao People's Democratic Republic); LB=Lebanon; LC=Saint Lucia; LI=Liechtenstein; LK=Sri Lanka; LR=Liberia; LS=Lesotho; LT=Lithuania; LU=Luxembourg; LV=Latvia; LY=Libya; MA=Morocco; MC=Monaco; MD=Republic of Moldova; ME=Montenegro; MF=Saint Martin (French part); MG=Madagascar; MH=Marshall Islands; MK=The Former Yugoslav Republic of Macedonia; ML=Mali; MM=Myanmar; MN=Mongolia; MO=Macao; MP=Northern Mariana Islands; MQ=Martinique; MR=Mauritania; MS=Montserrat; MT=Malta; MU=Mauritius; MV=Maldives; MW=Malawi; MX=Mexico; MY=Malaysia; MZ=Mozambique; NA=Namibia; NC=New Caledonia; NE=Niger; NF=Norfolk Island; NG=Nigeria; NI=Nicaragua; NL=Netherlands; NO=Norway; NP= Nepal; NR=Nauru; NU=Niue; NZ=New Zealand; OM=Oman; PA=Panama; PE=Peru; PF=French Polynesia; PG=Papua New Guinea; PH=Philippines; PK=Pakistan; PL=Poland; PM=Saint Pierre and Miquelon; PN=Pitcairn; PR=Puerto Rico; PS=State of Palestine; PT=Portugal; PW=Palau; PY=Paraguay; QA=Qatar; RE=Réunion; RO=Romania; RS=Serbia; RU=Russian Federation; RW=Rwanda; SA=Saudi Arabia; SB=Solomon Islands; SC=Seychelles; SD=Sudan; SE=Sweden; SG=Singapore; SH=Saint Helena Ascension and Tristan da Cunha; SI=Slovenia; SJ=Svalbard and Jan Mayen; SK=Slovakia; SL=Sierra Leone; SM=San Marino; SN=Senegal; SO=Somalia; SR=Suriname; SS=South Sudan; ST=Sao Tome and Principe; SV=El Salvador; SX=Sint Maarten (Dutch part); SY=Syrian Arab Republic; SZ=Swaziland; TC=Turks and Caicos Islands; TD=Chad; TF=French Southern Territories; TG=Togo; TH=Thailand; TJ=Tajikistan; TK=Tokelau; TL=Timor-Leste; TM=Turkmenistan; TN=Tunisia; TO=Tonga; TR=Turkey; TT=Trinidad and Tobago; TV=Tuvalu; TW=Province of China Taiwan; TZ=United Republic of Tanzania; UA=Ukraine; UG=Uganda; UM=United States Minor Outlying Islands; UY=Uruguay; UZ=Uzbekistan; VA=Holy See (Vatican City State); VC=Saint Vincent and the Grenadines; VE=Bolivarian Republic of Venezuela; VG=British Virgin Islands; VI=U.S. Virgin Islands; VN=Viet Nam; VU=Vanuatu; WF=Wallis and Futuna; WS=Samoa; YE=Yemen; YT=Mayotte; ZA=South Africa; ZM=Zambia; ZW=Zimbabwe; ZZ=Unknown

PTSP_TRVL_ABRD

Partner travel

Did this partner travel to another country in the past 2 months?

0=No; 1=Yes; 9=Unknown

PTSP_TRVL_CNTRY

Partner travel location

If PTSP_TRVL_ABRD=1: What country? [Note: Can just record most recent foreign travel location in the past two months, or list multiple counties separated by an *)

Country list: AD=Andorra; AE=United Arab Emirates; AF= Afghanistan; AG=Antigua and Barbuda; AI=Anguilla; AL=Albania; AM=Armenia; AO=Angola; AQ=Antarctica; AR=Argentina; AS=American Samoa; AT=Austria; AU=Australia; AW=Aruba; AX=Åland Islands; AZ=Azerbaijan; BA=Bosnia and Herzegovina, BB=Barbados; BD=Bangladesh; BE=Belgium; BF=Burkina Faso; BG=Bulgaria; BH=Bahrain; BI=Burundi; BJ=Benin; BL=Saint Barthélemy; BM=Bermuda; BN=Brunei Darussalam; BO=Plurinational State of Bolivia; BQ=Sint Eustatius and Saba Bonaire; BR=Brazil; BS=Bahamas; BT=Bhutan; BV=Bouvet Island; BW=Botswana; BY=Belarus; BZ=Belize; CA=Canada; CC=Cocos (Keeling) Islands; CD=The Democratic Republic of the Congo; CF=Central African Republic; CG=Congo; CH=Switzerland; CI=Côte d'Ivoire; CK=Cook Islands; CL=Chile; CM=Cameroon; CN=China; CO=Colombia; CR=Costa Rica; CU=Cuba; CV=Cape Verde; CW=Curaçao; CX=Christmas Island; CY=Cyprus; CZ=Czech Republic; DE=Germany; DJ=Djibouti; DK=Denmark; DM=Dominica; DO=Dominican Republic; DZ=Algeria; EC=Ecuador; EE=Estonia; EG=Egypt; EH=Western Sahara; ER=Eritrea; ES=Spain; ET=Ethiopia; FI=Finland; FJ=Fiji; FK=Falkland Islands (Malvinas); FM=Federated States of Micronesia; FO=Faroe Islands; FR=France; GA=Gabon; GB=United Kingdom; GD=Grenada; GE=Georgia; GF=French Guiana; GG=Guernsey; GH=Ghana; GI=Gibraltar; GL=Greenland; GM=Gambia; GN=Guinea; GP=Guadeloupe; GQ=Equatorial Guinea; GR=Greece; GS=South Georgia and the South Sandwich Islands; GT=Guatemala; GU=Guam; GW=Guinea-Bissau; GY=Guyana; HK=Hong Kong; HM=Heard Island and McDonald Islands; HN=Honduras; HR=Croatia; HT=Haiti; HU=Hungary; ID=Indonesia; IE=Ireland; IL=Israel; IM=Isle of Man; IN=India; IO=British Indian Ocean Territory; IQ=Iraq; IR=Islamic Republic of Iran; IS=Iceland; IT=Italy; JE=Jersey; JM=Jamaica; JO=Jordan; JP=Japan; KE=Kenya; KG=Kyrgyzstan; KH=Cambodia; KI=Kiribati; KM=Comoros; KN=Saint Kitts and Nevis; KP=Democratic People's Republic of Korea; KR=Republic of Korea; KW=Kuwait; KY=Cayman Islands; KZ=Kazakhstan; LA=Laos (Lao People's Democratic Republic); LB=Lebanon; LC=Saint Lucia; LI=Liechtenstein; LK=Sri Lanka; LR=Liberia; LS=Lesotho; LT=Lithuania; LU=Luxembourg; LV=Latvia; LY=Libya; MA=Morocco; MC=Monaco; MD=Republic of Moldova; ME=Montenegro; MF=Saint Martin (French part); MG=Madagascar; MH=Marshall Islands; MK=The Former Yugoslav Republic of Macedonia; ML=Mali; MM=Myanmar; MN=Mongolia; MO=Macao; MP=Northern Mariana Islands; MQ=Martinique; MR=Mauritania; MS=Montserrat; MT=Malta; MU=Mauritius; MV=Maldives; MW=Malawi; MX=Mexico; MY=Malaysia; MZ=Mozambique; NA=Namibia; NC=New Caledonia; NE=Niger; NF=Norfolk Island; NG=Nigeria; NI=Nicaragua; NL=Netherlands; NO=Norway; NP= Nepal; NR=Nauru; NU=Niue; NZ=New Zealand; OM=Oman; PA=Panama; PE=Peru; PF=French Polynesia; PG=Papua New Guinea; PH=Philippines; PK=Pakistan; PL=Poland; PM=Saint Pierre and Miquelon; PN=Pitcairn; PR=Puerto Rico; PS=State of Palestine; PT=Portugal; PW=Palau; PY=Paraguay; QA=Qatar; RE=Réunion; RO=Romania; RS=Serbia; RU=Russian Federation; RW=Rwanda; SA=Saudi Arabia; SB=Solomon Islands; SC=Seychelles; SD=Sudan; SE=Sweden; SG=Singapore; SH=Saint Helena Ascension and Tristan da Cunha; SI=Slovenia; SJ=Svalbard and Jan Mayen; SK=Slovakia; SL=Sierra Leone; SM=San Marino; SN=Senegal; SO=Somalia; SR=Suriname; SS=South Sudan; ST=Sao Tome and Principe; SV=El Salvador; SX=Sint Maarten (Dutch part); SY=Syrian Arab Republic; SZ=Swaziland; TC=Turks and Caicos Islands; TD=Chad; TF=French Southern Territories; TG=Togo; TH=Thailand; TJ=Tajikistan; TK=Tokelau; TL=Timor-Leste; TM=Turkmenistan; TN=Tunisia; TO=Tonga; TR=Turkey; TT=Trinidad and Tobago; TV=Tuvalu; TW=Province of China Taiwan; TZ=United Republic of Tanzania; UA=Ukraine; UG=Uganda; UM=United States Minor Outlying Islands; UY=Uruguay; UZ=Uzbekistan; VA=Holy See (Vatican City State); VC=Saint Vincent and the Grenadines; VE=Bolivarian Republic of Venezuela; VG=British Virgin Islands; VI=U.S. Virgin Islands; VN=Viet Nam; VU=Vanuatu; WF=Wallis and Futuna; WS=Samoa; YE=Yemen; YT=Mayotte; ZA=South Africa; ZM=Zambia; ZW=Zimbabwe; ZZ=Unknown

PTSP_GCCT

GC Contact: partner

Have you told this partner that they may have been exposed to gonorrhea?

0=No; 1=Yes; 9=Unknown

PTSP_GCEXP

Disclosure of GC exposure

If PTSP_GCCT=0: Are you VERY LIKELY to tell this person that they may have been exposed to gonorrhea?

0=No; 1=Yes; 9=Unknown/unsure





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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorJohnson, Shacara (CDC/OID/NCHHSTP)
File Modified0000-00-00
File Created2021-01-20
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