NEST - Questionnaire and Data Elements

Form Approved

OMB No. 0920-new

Expiration Date: XX/XX/XXXX

Network Epidemiology of Syphilis Transmission (NEST)

Attachment 3

Questionnaire and Data Elements

Privacy Act Statement:

This information is collected under the authority of the Public Health Service Act, Section 301, "Research and Investigation," (42 U.S.C. 241); and Sections 304, 306 and 308(d) which discuss authority to maintain data and provide assurances of confidentiality for health research and related activities (42 U.S.C. 242 b, k, and m(d)). This information is also being collected in conjunction with the provisions of the Government Paperwork Elimination Act and the Paperwork Reduction Act (PRA). This information will only be used by the Centers for Disease Control and Prevention (CDC) staff to inform development of methodologies for collection of complex sexual network data among men at high risk for syphilis in the United States.

Public reporting burden of this collection of information is estimated to average 1.5 hours 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).

Variable name	Data element	Description/Question	Response codes
INT_1	Date of interview	Date interview took place	Date; MMDDYYYY
INT_2	Start time	Time that interview started (numeric component only; 12-hour time format)	Numeric; HH:MM (12-hour format)
INT_2a	Start time	Whether interview started at AM/PM	AM = 1 PM = 2
INT_3	Interview ID	Unique ID indicating the interview ID	Alphanumeric format
INT_4	City Code	Three letter code indicating city in which interview is taking place	BAL = Baltimore CHI = Chicago COL = Columbus
INT_5	Venue code	Three letter code indicating the specific venue where the interview is taking place
INT_6	Study visit number	Number indicating which study visit is taking place	Numeric
RR_1	Coupon number	What is the serial number on the coupon given to you?	Alphanumeric format
RR_1_REL	Recruiter relationship	Is the person who gave you this coupon a relative or family member?	1 = Yes 2 = No
RR_1_SEX	Recruiter relationship	Is the person who gave you this coupon a person you have sex with?	1 = Yes 2 = No
RR_1_FRI	Recruiter relationship	Is the person who gave you this coupon a friend?	1 = Yes 2 = No
RR_1_DRU	Recruiter relationship	Is the person who gave you this coupon a person you use drugs with or buy drugs from?	1 = Yes 2 = No
RR_1_ACQ	Recruiter relationship	Is the person who gave you this coupon an acquaintance?	1 = Yes 2 = No
RR_1_STR	Recruiter relationship	Is the person who gave you this coupon a stranger?	1 = Yes 2 = No
RR_1_REF	Recruiter relationship	Refuses to answer the question	1 = Yes 2 = No
RR_1_DK	Recruiter relationship	Doesn’t know	1 = Yes 2 = No
CONF_1a	Confirmation message if recruiter is a stranger	Is the recruiter a stranger?	1 = Recruiter is a stranger 2 = Recruiter is not a stranger
ES_1	Age	How old are you?	Numeric
ES_2	Prior participation	During [insert current year], did you already participate in at least part of this study that we are conducting? It could have been here or at one of our other locations.	1 = Yes 2 = No 77 = Refused 99 = Don’t know
ES_3	County of residence	What county do you currently live in or what is the zipcode of the neighborhood you currently live in?	Character (max length = 250 characters)
ES_4	Sex on birth certificate	What was your sex on your original birth certificate?	1 = Male 2 = Female 77 = Refused to answer 99 = Don’t know
ES_5	Gender identity	How do you describe your gender identity?	1 = Male 2 = Female 3 = Male-to-female transgender (MTF) 4 = Female-to-male transgender (FTM) 5 = Other gender identity 77 = Refused to answer 99 = Don’t know
ES_6	Anal or oral sex in past 6 months	Have you had anal or oral sex with a man in the past 6 months?	1 = Yes 2 = No 77 = Refused 99 = Don’t know
CN_1_DECLINEA	Reason for declining participation in study	Is the reason you do want to do this study because you don’t have time?	1 = Yes 2 = No
CN_1_DECLINEB	Reason for declining participation in study	Is the reason you do want to do this study because you are already participating in another research study?	1 = Yes 2 = No
CN_1_DECLINEC	Reason for declining participation in study	Is the reason you do want to do this study because you don’t feel comfortable providing this type of personal information?	1 = Yes 2 = No
CN_1_DECLINED	Reason for declining participation in study	Is the reason you do want to do this study because you don’t feel comfortable with providing specimens for STI testing?	1 = Yes 2 = No
CN_1_DECLINEE	Reason for declining participation in study	Is the reason you do want to do this study due to some other reason not listed here?	1 = Yes 2 = No
CN_1_DECLINEF	Reason for decline: Time	Would you rather not say why you don’t want to do this study?	1 = Yes 2 = No
NS_1	Network size	Thinking about your life today, how many people do you know who are men who have sex with men in [project area]? These men may or may not identify as gay, bisexual, or same gender loving (SGL). (By “know”, I mean you know their name OR you see them around even if you don’t know their name.)(If participant is not sure, ask them to provide their best guess or estimate).	Numeric (range 0 to 9999)
CONF_1a	Network size	“You said you don’t know any men in [project area] who has sex with other men. Is this correct? (By ‘know,’ I mean you know their name OR you see them around even if you don’t know their name.”)	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
DM_1	Education	What is the highest level of education you completed?	00 = Never attended school 01 = Grades 1 through 8 02 = Grades 9 through 11/ Some high school 03 = Grade 12/Completed high school/GED 04 = Some college, Associate’s degree, or Technical Degree 05 = Bachelor’s Degree 06 = Any postgraduate studies 77 = Refused to answer 99 = Don’t know
DM_2	Maternal education	What is the highest level of education your mother or primary maternal caretaker completed?	00 = Never attended school 01 = Grades 1 through 8 02 = Grades 9 through 11/ Some high school 03 = Grade 12/Completed high school/GED 04 = Some college, Associate’s degree, or Technical Degree 05 = Bachelor’s Degree 06 = Any postgraduate studies 77 = Refused to answer 99 = Don’t know
DM_3_FULL	Employment status	Are you employed full-time?	1 = Yes 2 = No
DM_3_PART	Employment status	Are you employed part-time?	1 = Yes 2 = No
DM_3_FULLSTUD	Employment status	Are you a full-time student?	1 = Yes 2 = No
DM_3_PARTSTUD	Employment status	Are you a part-time student?	1 = Yes 2 = No
DM_3_SELFEMPLO	Employment status	Are you self-employed?	1 = Yes 2 = No
DM_3_RETI	Employment status	Are you retired?	1 = Yes 2 = No
DM_3_UNAB	Employment status	Are you unable to work for health reasons?	1 = Yes 2 = No
DM_3_UNEM	Employment status	Are you unemployed?	1 = Yes 2 = No
DM_3_SAHD	Employment status	Are you a homemaker or stay-at-home dad?	1 = Yes 2 = No
DM_3_OTHE	Employment status	Other	1 = Yes 2 = No
DM_3_REF	Employment status	Refused to answer	1 = Yes 2 = No
DM_3_DK	Employment status	Don’t know	1 = Yes 2 = No
DM_3a	Employment	Please specify your current employment status	Character (max length = 250 characters)
DM_4	Income	What was your income last year from all sources before taxes?	1 = monthly” $0–$833/yearly: $0–$9,999 2 = monthly” $834–$1,250/yearly: $10,000–$14,499 3 = monthly: $1,251–$2,082/yearly: $15,000–$24,999 4 = monthly: $1,251–$2,082/yearly: $15,000–$24,999
DM_5	Sexual orientation	Which of the following best represents how you think of yourself? [CHECK ONLY ONE OPTION]	1 = Gay (lesbian or gay) 2 = Straight, this is not gay (or lesbian or gay) 3 = Bisexual 4 = Something else 77 = Refused to answer 99 = Don’t know
DM_5a	Sexual orientation	Please specify how you would describe your sexual orientation	Character (max length = 100 characters)
DM_6_AIAN	Race: AI/AN-American Indian or Alaskan Native	Does the patient identify as American Indian or Alaska Native?	1 = Yes 2 = No
DM_6_ASIAN	Race: Asian	Does the patient identify as Asian?	1 = Yes 2 = No
DM_6_NHOPI	Race: NH/PI-Native Hawaiian or Other Pacific Islander	Does the patient identify as Native Hawaiian or Pacific Islander?	1 = Yes 2 = No
DM_6_BLACK	Race: Black or African American	Does the patient identify as black or African-American?	1 = Yes 2 = No
DM_6_WHITE	Race: White	Does the patient identify as white?	1 = Yes 2 = No
DM_6_OTHER	Race: Other	Does the patient identify as another race not listed?	1 = Yes 2 = No
DM_6_REF	Race: Refused	Refused to answer	1 = Yes 2 = No
DM_6_DK	Race: Don’t know	Don’t know	1 = Yes 2 = No
DM_7	Ethnicity: Hispanic or Latino	Do you consider yourself Hispanic or Latino?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
DM_8_MARR	Relationship status	Are you currently in a monogamous relationship, married, or in a committed partnership, including civil union or domestic partnership?	1 = Yes 2 = No
DM_8_LIVE	Relationship status	Do you currently live with your spouse or partner?	1 = Yes 2 = No
DM_8_POLY	Relationship status	Do you currently have 2 or more intimate or romantic partners or are you currently in a polyamorous relationship?	1 = Yes 2 = No
DM_8_NEVE	Relationship status	Have you never been married?	1 = Yes 2 = No
DM_8_SING	Relationship status	Are you currently single or not in a committed partnership?	1 = Yes 2 = No
DM_8_DIVO	Relationship status	Are you currently divorced or separated?	1 = Yes 2 = No
DM_8_REF	Relationship status	Refused to answer	1 = Yes 2 = No
DM_8_DK	Relationship status	Don’t know	1 = Yes 2 = No
DM_8a	Relationship status	Which form of polyamory best describes your current or most recent relationship configuration?	1 = Triad – Three people involved with each other (friendly or romantically) 2 = Triangle – Three people all involved romantically 3 = Vee – Four people being involved with the same person, but not each other 4 = Quad – Four people being involved with each other (be it friendly or romantically) 5 = Five or more people (such as an intimate network) arranged in any configuration 6 = Other 77 = Refused to answer 99 = Don’t know
DM_8b	Relationship status	Which form of polyamory best describes your current or most recent relationship configuration?	Character (max length = 100 characters)
DM_9	Homelessness	In the past 6 months, have you been homeless? By homeless, I mean you were living on the street, in a shelter, in a single room occupancy (SRO) hotel, with friends, in a car, or you haven’t had a regular place to stay for at least one night in the past 6 months?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
DM_10	Food insecurity	In the past 6 months, how often were you worried whether food would run out before you had money to buy more?	1 = Often 2 = Sometimes 77 = Refused to answer 99 = Don’t know
DM_11	Incarceration	In the past 12 months, have you ever been locked up for more than 24 hours?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
SX_1	First anal sex with a man	How old were you the first time you had anal sex with a man?	Numeric
SX_2	Male SP: Anal sex lifetime	How many men have you had anal sex with over your lifetime?	Numeric
SX_3	Male SP: Anal sex past 3 months	How many men have you had anal sex with in the past 3 months?	Numeric
SX_4	Partner type	Do you consider yourself to be a top (insertive partner), bottom (receptive partner), or versatile (sometimes insertive, sometimes receptive partner)?	1 = Top 2 = Bottom 3 = Versatile (sometimes top, sometimes a bottom) 77 = Refused to answer 99 = Don’t know
SX_5	Male SP: Performed oral sex ever	Have you given oral sex to a man in the past 12 months? By oral sex, I mean you put your mouth or tongue on a man’s penis?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
SX_5a	Male SP: Performed oral sex lifetime	How many men have you performed oral sex on in the past 3 months? By performing oral sex, I mean you put your mouth or tongue on a man’s penis.	Numeric
SX_6	Male SP: Received oral sex ever	Have you received oral sex from a man in the past 12 months? By performing oral sex, I mean he put his mouth or tongue on your penis.	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
SX_6a	Male SP: Received oral sex ever	How many men have you received oral sex from over the past 3 months? By oral sex, I mean he put his mouth or his tongue on your penis or anus.	Numeric
SX_7	Female SP: Vaginal sex or anal sex ever	Have you ever had vaginal or anal sex with a woman?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
SX_7a	Female SP: Age at first sex with woman	How old were you the first time you had vaginal or anal sex with a woman?	Numeric
SX_7b_ORAL	Female SP: Type of sex in past 12 months	Have you had oral sex with a woman in the past 12 months?	1 = Yes 2 = No
SX_7b_VAG	Female SP: Type of sex in past 12 months	Have you had vaginal sex with a woman in the past 12 months?	1 = Yes 2 = No
SX_7b_ANAL	Female SP: Type of sex in past 12 months	Have you had anal sex with a woman in the past 12 months?	1 = Yes 2 = No
SX_7b_NONE	Female SP: Type of sex in SX_9b_NONE	Participant has not had any type of sex with a woman in the past 12 months	1 = Yes 2 = No
SX_7b_REF	Female SP: Type of sex in SX_9b_NONE	Refused to answer	1 = Yes 2 = No
SX_7b_DK	Female SP: Type of sex in SX_9b_NONE	Don’t know	1 = Yes 2 = No
SX_8	Drug use before or during sex in past 3 months	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 77 = Refused to answer 99 = Don’t know
SX_8a_ALCO	Drug use before or during sex in past 3 months	Have you used alcohol before or during sex in the past 3 months?	1 = Yes 2 = No
SX_8a_MARI	Drug use before or during sex in past 3 months	Have you used marijuana before or during sex in the past 3 months?	1 = Yes 2 = No
SX_8a_COCA	Drug use before or during sex in past 3 months	Have you used crack/cocaine before or during sex in the past 3 months?	1 = Yes 2 = No
SX_8a_SPEE	Drug use before or during sex in past 3 months	Have you used speedball before or during sex in the past 3 months?	1 = Yes 2 = No
SX_8a_METH	Drug use before or during sex in past 3 months	Have you used methamphetamines before or during sex in the past 3 months?	1 = Yes 2 = No
SX_8a_ECST	Drug use before or during sex in past 3 months	Have you used ecstasy, E, Molly, MDMA, GHB, or Special K before or during sex in the past 3 months?	1 = Yes 2 = No
SX_8a_PSYC	Drug use before or during sex in past 3 months	Have you used psychedelics before or during sex in the past 3 months?	1 = Yes 2 = No
SX_8a_POPP	Drug use before or during sex in past 3 months	Have you used poppers or nitrates before or during sex in the past 3 months?	1 = Yes 2 = No
SX_8a_PAIN	Drug use before or during sex in past 3 months	Have you used prescription pain killer (oxycodone or vicodin) before or during sex in the past 3 months?	1 = Yes 2 = No
SX_8a_ERECT	Drug use before or during sex in past 3 months	Have you used prescribed erectile dysfunction medications before or during sex in the past 3 months?	1 = Yes 2 = No
SX_8a_REF	Drug use before or during sex in past 3 months	Refused to answer	1 = Yes 2 = No
SX_8a_DK	Drug use before or during sex in past 3 months	Don’t know	1 = Yes 2 = No
SX_9	Exchange sex	In the past 12 months, have you had sex with a man or woman in exchange for money, drugs, or shelter?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
SX_10	Sexual behavior: Threesome	How many times in the past 3 months did you have sex with two people at the same place, like a threesome, or at a bathhouse or sex party?	Numeric
SX_11	Sexual behavior: Group sex	How many times in the past 3 months did you engage in group sex? Group sex here refers to having sex with more than 2 partners at the same time or having sex in a space where more than 2 people are also having sex?	Numeric
EMA_1	Anal sex	Did you have anal sex today	1 = Yes 2 = No
EMA_2	Anal sex	With how many people did you have anal sex with today?	Numeric
EMA_3	Anal sex	The last time you had anal sex today, where were you?	1 = In the place I live 2 = In the place where my partner lives 3 = In a public indoor place (bar, club, etc.) 4 = In a public outdoor place (park, car, etc.) 5 = Other location
EMA_4	Meet partner	Where did you first meet that partner?	1 = Online 2 = In a bar or club 3 = At work 4 = Through friends
EMA_5	Last time anal sex	The last time you had anal sex today, were you the top or the bottom?	1 = Top 2 = Bottom 3 = Both
EMA_6	Condom use	Was a condom used?	1 = Yes 2 = No 3 = I don’t know
EMA_7	Oral sex	Did you have oral sex today?	1 = Yes 2 = No
EMA_8	Oral sex	With how many people?	Numeric
EMA_9	Oral sex	The last time you had oral sex today, where were you?	1 = In the place I live 2 = In the place where my partner lives 3 = In a public indoor place (bar, club, etc.) 4 = In a public outdoor place (park, car, etc.) 5 = Other location
EMA_10	Oral sex	Where did you first meet that partner?	1 = Online 2 = In a bar or club 3 = At work 4 = Through friends
EMA_11	Oral sex	Was a condom used?	1 = Yes 2 = No 3 = I don’t know
PARTNER_ID	Partner ID	Unique partner identifier for elicited sexual partners.	Alphanumeric ID
PARTNER_DATE_LAST SEX	Date of last sex	Date of last sex with elicited sexual partners.	MM/DD/YYYY
SN_1	Partner status check	I see you have not told me about this sex partner before. Is that correct?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
SN_2	Partner status check	Since this sex partner is not a new partner, when did you last tell me about this partner?	1 = Visit 1 2 = Visit 2 3 = Visit 3 4 = Visit 4 5 = Visit 5 6 = Visit 6 7 = Visit 7 8 = Visit 8 77 = Refused to answer 99 = Don’t know
SN_3	Partner status check	So you last told me about this partner at the visit before this one?	1 = Yes, partner is retained from prior visit 2 = No, partner was mentioned at least 2 visits prior to this one 77 = Refused to answer 99 = Don’t know
SN_4	Partner status check	At the last visit you told me about this partner. Have you had sex with this partner in the last three months?	1 = Yes, this is a retained sex partner 2 = No, this is a former sex partner 77 = Refused to answer 99 = Don’t know
SN_5	Partner status check	Do you still hang out or meet up with this partner, as a friend?	1 = Yes 2= No 77 = Refused to answer 99 = Don’t know
SN_NEW_1_DD	New partner	When did you first have sex with this new partner?	DD
SN_NEW_1_MM	New partner	When did you first have sex with this new partner?	MM
SN_NEW_1_YYYY	New partner	When did you first have sex with this new partner?	YYYY
SN_NEW_2	New partner	How would you describe this new partner’s your gender identity?	1 = Male 2= Female 3 = Male-to-female transgender (MTF) 4 = 77 = Refused to answer 99 = Don’t know
SN_NEW_3	New partner	How old is this new partner?	Numeric
SN_NEW_4	New partner	Is this new partner a main or casual partner? By “main partner” I mean a person you have sex with and who you feel committed to above anyone else. This is a partner you would call your boyfriend/girlfriend, husband/wife, significant other, or life partner. And by “casual partner” I mean a person you have sex (even if just one time) with but do not feel committed to or don’t know very well.	1 = Main partner 2= Casual partner 77 = Refused to answer 99 = Don’t know
SN_NEW_5	New partner	Where did you first meet this new partner?	1 = Internet 2 = Mobile app (such as Grindr, Jackd or Scruff) 3 = Work 4 = School 4 = Bar/club 6 = Circuit party or rave 7 = Cruising area 8 = Adult bookstore 9 = Bath house, sex club, or sex resort 10 = private sex party 11 = place of worship (church, synagogue, or mosque) 12 = somewhere else 77 = Refused to answer 99 = Don’t know
SN_NEW_5a	New partner	Please specify where you first met this new partner?	Character (max length = 100 characters)
SN_MRP_1	Most recent partner	When you had sex (anal or oral) the last time, did you exchange things like money, drugs , or shelter with this partner for sex?	1 = Yes 2= No 77 = Refused to answer 99 = Don’t know
SN_MRP_2	Most recent partner	As far as you know, during the period of time you were having sex with this partner, was this partner also having sex with other people?	1 = Definitely, yes 2= Probably, yes 3= Definitely not 4 = Probably not 77 = Refused to answer 99 = Don’t know
SN_MRP_2a	Most recent partner	Do you know the persons that this partner was also having sex with?	1 = Yes 2= No 77 = Refused to answer 99 = Don’t know
SN_MRP_3	Most recent partner	In the past three months, during the time you were having sex with this partner, did you have sex with other people?	1 = Yes 2= No 77 = Refused to answer 99 = Don’t know
SN_MRP_4	Most recent partner	In the past three months, how many times have you had anal sex with this partner?	Numeric
SN_MRP_5	Most recent partner	In the past three months, how many times have you had oral sex with this partner?	Numeric
SN_MRP_6	Most recent partner	In the past three months, how many times have you had vaginal sex with this partner?	Numeric
SN_MRP_7_DD	Most recent partner	When was the last time you had anal sex with this partner?	DD
SN_MRP_7_MM	Most recent partner	When was the last time you had anal sex with this partner?	MM
SN_MRP_7_YYYY	Most recent partner	When was the last time you had anal sex with this partner?	YYYY
SN_MRP_8_DD	Most recent partner	When was the last time you had vaginal sex with this partner?	DD
SN_MRP_8_MM	Most recent partner	When was the last time you had vaginal sex with this partner?	MM
SN_MRP_8_YYYY	Most recent partner	When was the last time you had vaginal sex with this partner?	YYYY
SN_MRP_9	Most recent partner	The last time you had sex with this partner did you use a condom?	1 = Yes 2= No 77 = Refused to answer 99 = Don’t know
SN_MRP_10	Most recent partner	What was this partner’s HIV status?	1 = HIV negative 2 = HIV positive 3 = Indeterminate 4 = I did not know their HIV status 77 = Refused to answer
SN_MRP_10a	Most recent partner	Was this partner taking antiretroviral medication for HIV?	1 = Yes 2= No 77 = Refused to answer 99 = Don’t know
SN_MRP_10b	Most recent partner	Was this partner taking PrEP?	1 = Yes 2= No 77 = Refused to answer 99 = Don’t know
SN_FP_1	Former sex partner	Where do you hang out with this former partner?	1 = Bar/club 2 = Work 3 = Social events 4 = Somewhere else 77 = Refused to answer 99 = Don’t know
SN_FP_1a	Former sex partner	Please specify where you hang out with this former sex partner	Character (max length = 100 characters)
SM_1	Sex partner meeting places	In the past 3 months, which physical places did you meet sex partners (including individuals you might have initially met online)?	Character (max length = 500 characters)
SM_2	Sex partner meeting places	In the past 3 months, which online places did you meet sex partners? These places may include social networking websites (such as Facebook), websites directed towards gay men (such as Manhunt), dating websites, or the use of mobile social applications (such as Grindr).	Character (max length = 500 characters)
SM_3	Sex partner meeting places	In the past 3 months, how often have you used a mobile app to meet or pick-up a sex partner while at a physical venue?	1 = More than once a day 2 = Once a day 3 = Less than once a day, but more than once a week 4 = Once a week 5 = Less than once a week, but more than once a month 6 = Once a month 7 = Less than once a month, but more than once a year 8 = Once a year 9 = Never 77 = Refused to answer 99 = Don’t know
HA_1	Health insurance	Do you currently have health insurance or health care coverage?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
HA_1a_EMPLOY	Type of health insurance	Do you currently have a private health plan through an employer?	1 = Yes 2 = No
HA_1a_DIRECT	Type of health insurance	Do you currently have a private health plan that you purchased directly?	1 = Yes 2 = No
HA_1a_MEDIC	Type of health insurance	Do you currently have health insurance through Medicaid or Medicare?	1 = Yes 2 = No
HA_1a_VETERAN	Type of health insurance	Do you currently have health insurance through Veterans administration coverage?	1 = Yes 2 = No
HA_1a_OTHER	Type of health insurance	Do you currently have health insurance through some other health plan?	1 = Yes 2 = No
HA_1a_REF	Type of health insurance	Refused to answer	1 = Yes 2 = No
HA_1a_DK	Type of health insurance	Don’t know	1 = Yes 2 = No
HA_1b	Type of health insurance	Please specify the other type of health insurance plan you have coverage under.	Character (max length = 250 characters)
HA_2	Time since last saw doctor	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:	1 = Within the last year 2 = More than 1 year ago, but less than 2 years ago 3 = 2 to 5 years ago 4 = More than 5 years ago 77 = Refused to answer 99 = Don’t know
HA_3	Afford medical care	During the past 12 months, was there any time you needed medical care but didn’t get it because you couldn’t afford it?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
HA_4	Usual place for STD care in past 12 months	Where have you gone most often for STD-related healthcare in the past 12 months?	1 = Private provider’s office 2 = Community Health Center 3 = Health department clinic 4 = Emergency department 5 = Urgent care 6 = Pharmacy-based clinic 7 = HIV care provider 8 = Outreach mobile van 9 = Have not received STD or sexual healthcare in the past year 10 = Other 77 = Refused to answer 99 = Don’t know
HA_4a	Usual place for STD care in past 12 months	Please describe where you have gone most often in the past year for STD or sexual healthcare	Character (max length = 250 characters)
HA_5	Time traveled to obtain sexual health services	How much time do you spend traveling (in one direction) to obtain sexual health services?	1 = Less than 15 minutes 2 = 15 to 30 minutes 3 = 31 minutes to 1 hour 4 = 1 to 2 hours 5 = More than 2 hours 77 = Refused to answer 99 = Don’t know
HA_6	STD testing	In the past year, how many times did you get tested for STDs?	Numeric
HA_6a	Syphilis test offered	At any of those times you were seen were you offered a syphilis test?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
HA_6b	Syphilis diagnosis	Have you ever been diagnosed with syphilis?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
HA_6c	Syphilis diagnosis	Were you diagnosed with syphilis in the last 12 months?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
SS_1a	Syphilis stage of diagnosis	What stage of syphilis was the patient diagnosed with in the past 12 months?	1 = Primary 2 = Secondary 3 = Early latent (non-primary, non-secondary) 4 = Late latent 77= Refused to answer 99 = Unknown
SS_1b	Syphilis RPR	What was the patient’s highest RPR titer recorded?	1 = 1:1 2 = 1:2 3 = 1:4 4 = 1:8 5 = 1:16 6 = 1:32 7 = 1:64 8 = 1:128 9 = 1:256 10 = 1:512 11 = 1:1024 12 = > 1:1024 99 = Unknown
SS_1c	Syphilis serologic TPPA result	What was the patient’s serologic TPPA result?	1 = Reactive 2 = Nonreactive 3 = Not done 4 = Unsatisfactory
SS_1d	Syphilis serologic EIA result	What was the patient’s serologic EIA result?	1 = Reactive 2 = Nonreactive 3 = Not done 4 = Unsatisfactory
SS_1e	Syphilis serologic FTA-ABS result	What was the patient’s serologic FTA-ABS result?	1 = Reactive 2 = Nonreactive 3 = Not done 4 = Unsatisfactory
HA_7	HIV test	Have you ever been tested for HIV?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
HA_7a	HIV test	Have you had an HIV test in the past 12 months?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
HA_7b	Last HIV test result	What was your last HIV test result?	1 = Negative/ nonreactive 2 = Positive/reactive 3 = Indeterminate 4 = I have never been tested for HIV 77 = Refused to answer 99 = Don’t know
HA_7c	HIV medical care	Are you currently receiving HIV medical care? Have you gone to see a doctor about your HIV diagnosis within the last 12 months?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
HA_8	PrEP	Before today, have you ever heard of people who do not have HIV taking PrEP, the antiretroviral medicine taken every day for months or years to reduce the risk of getting HIV?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
HA_8a	PrEP	In the past 12 months, have you had a discussion with a health care provider about taking PrEP?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
HA_8b	PrEP	In the past 12 months, when you discussed taking PrEP with a health care provider, did you receive a medicine or prescription for the medicine?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
HA_8c	PrEP	In the past 12 months, have you taken PrEP to reduce your risk of getting HIV? Here we are only referring to the times that you have taken PrEP every day for at least 2 months, not times when you may have taken antiretroviral medication for only a few days at a time.	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
HA_8d	PrEP	In the past 30 days, have you taken PrEP every day, almost every day, or less often?	1 = Every day 2 = Almost every day 3 = Less than almost every day 4 = I did not take PrEP within the last 30 days 77 = Refused to answer 99 = Don’t know
HA_9	PrEP	How many people do you know who are currently taking PrEP?	Numeric
HA_10	PEP	In the past 12 months, have you taken PEP to reduce the risk of getting HIV?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
ST_1	Syphilis test since last study visit	In the past 3 months, since your last study visit have you been diagnosed with syphilis?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
ST_2	Gonorrhea diagnosis since last study visit	In the past 3 months, since your last study visit were you diagnosed with gonorrhea?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
ST_3	Chlamydia diagnosis since last study visit	In the past 3 months, since your last study visit were you diagnosed with chlamydia?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
ST_4	Symptoms in last 3 months	In the last 3 months have you noticed a new rash on your body?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
ST_4a_FACE	Symptoms in last 3 months	Have you noticed a rash on your face in the past 3 months?	1 = Yes 2 = No
ST_4a_ARMS	Symptoms in last 3 months	Have you noticed a rash on your arms in the past 3 months?	1 = Yes 2 = No
ST_4a_HAND	Symptoms in last 3 months	Have you noticed a rash on your hands in the past 3 months?	1 = Yes 2 = No
ST_4a_CHEST	Symptoms in last 3 months	Have you noticed a rash on your chest in the past 3 months?	1 = Yes 2 = No
ST_4a_BACK	Symptoms in last 3 months	Have you noticed a rash on your back in the past 3 months?	1 = Yes 2 = No
ST_4a_STOM	Symptoms in last 3 months	Have you noticed a rash on your stomach in the past 3 months?	1 = Yes 2 = No
ST_4a_LEGS	Symptoms in last 3 months	Have you noticed a rash on your legs in the past 3 months?	1 = Yes 2 = No
ST_4a_FEET	Symptoms in last 3 months	Have you noticed a rash on the soles of your feet in the past 3 months?	1 = Yes 2 = No
ST_4a_REF	Symptoms in last 3 months	Refused to answer	1 = Yes 2 = No
ST_4a_DK	Symptoms in last 3 months	Don’t know	1 = Yes 2 = No
ST_5	Symptoms in last 3 months	In the last 3 months, have you noticed any lumps or bumps in your neck, armpits or groin area?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
ST_6	Symptoms in last 3 months	In the last 3 months, have you noticed any ulcers (open wounds) on your penis or anus (butt), or in your mouth or on your tongue?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
ST_7	Symptoms in last 3 months	In the last 3 months, have you noticed any difficulty seeing such as blurry vision, decreased vision or dark spots?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
ST_8	Symptoms in last 3 months	In the last 3 months, have you noticed new hair loss or feel that your hair is falling out?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
ST_9	Symptoms in last 3 months	In the last 3 months, have you noticed decreased hearing, ringing in your ears or times when you feel like the room is spinning around you (vertigo)?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
ST_10	Symptoms in last 3 months	In the last 3 months have you noticed any new problems with your memory or had problems remembering things?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
ST_11	Symptoms in last 3 months	In the last 3 months have you noticed any weakness or numbness (loss of feeling) in your arms or legs or have you had problems walking?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
SR_1	Syphilis test algorithm	Which testing algorithm was used to test for syphilis?	1 = Traditional 2 = Reverse 99 = Unknown
SR_2	RPR/VDRL titer	What was the RPR or VDRL titer result?	0 = Nonreactive/Negative 1 = 1:1 2 = 1:2 3 = 1:4 4 = 1:8 5 = 1:16 6 = 1:32 7 = 1:64 8 = 1:128 9 = 1:256 10 = 1:512 11 = 1:1024 12 = > 1:1024 99 = Unknown
SR_2a	RPR/VDRL test date	When was the RPR or VDRL test conducted?	Date [MM/DD/YYYY]
SR_3	Serologic TP-PA result	What was the patient’s serologic TP-PA result?	1 = Reactive/Positive 2 = Nonreactive/ Negative 3 = Indeterminate/Invalid 4 = Not done 99 = Unknown
SR_3a	Serologic TP-PA test date	When was the TP-PA test conducted?	Date [MM/DD/YYYY]
SR_4	Serologic EIA result	What was the patient’s serologic EIA result?	1 = Reactive/Positive 2 = Nonreactive/ Negative 3 = Indeterminate/Invalid 4 = Not done 99 = Unknown
SR_4a	Serologic EIA test date	When was the EIA test conducted?	Date [MM/DD/YYYY]
SR_5	Serologic FTA-ABS result	What was the patient’s serologic FTA-ABS result?	1 = Reactive/Positive 2 = Nonreactive/ Negative 3 = Indeterminate/Invalid 4 = Not done 99 = Unknown
SR_5a	Serologic FTA-ABS test date	When was the FTA-ABS test conducted?	Date [MM/DD/YYYY]
SR_6	Serologic CIA result	What was the patient’s serologic CIA result?	1 = Reactive/Positive 2 = Nonreactive/ Negative 3 = Indeterminate/Invalid 4 = Not done 99 = Unknown
SR_6a	Serologic CIA test date	When was the CIA test conducted?	Date [MM/DD/YYYY]
SR_7	Serologic MHA-TP result	What was the patient’s serologic MHA-TP result?	1 = Reactive/Positive 2 = Nonreactive/ Negative 3 = Indeterminate/Invalid 4 = Not done 99 = Unknown
SR_7a	Serologic MHA-TP test date	When was the MHA-TP test conducted?	Date [MM/DD/YYYY]
SR_8	Screening treponemal test	Which treponemal antibody test was used to screen for syphilis?	1 = TP-PA 2 = FTA_ABS 3 = EIA 4 = CIA 5 = MHA-TP 6 = Other 99 = Unknown
SR_8a	Screening treponemal test	Please specify which treponemal antibody test was used to screen for syphilis	Character (max length = 100 characters)
SR_9	Confirmatory treponemal test	Which treponemal test was used as a confirmatory test?	1 = TP-PA 2 = FTA_ABS 3 = EIA 4 = CIA 5 = MHA-TP 6 = Other 7 = Not done 99 = Unknown
SR_9a	Confirmatory treponemal test	Please specify which treponemal antibody test was used to confirm syphilis.	Character (max length = 100 characters)
SR_10	Stage of syphilis	What stage of syphilis was the patient diagnosed with?	0 = Not diagnosed with syphilis 1 = Primary 2 = Secondary 3 = Early latent 4 = Late latent 99 = Unknown
SR_11	Chlamydia	What was the rectal chlamydial test result?	1 = Reactive/Positive 2 = Nonreactive/Negative 3 = Indeterminate/Invalid 4 = Not done 99 = Unknown
SR_12	Chlamydia	What was the oropharyngeal chlamydial test result?	1 = Reactive/Positive 2 = Nonreactive/Negative 3 = Indeterminate/Invalid 4 = Not done 99 = Unknown
SR_13	Chlamydia	What was the urine chlamydial test result?	1 = Reactive/Positive 2 = Nonreactive/Negative 3 = Indeterminate/Invalid 4 = Not done 99 = Unknown
SR_14	Gonorrhea	What was the rectal gonococcal test result?	1 = Reactive/Positive 2 = Nonreactive/Negative 3 = Indeterminate/Invalid 4 = Not done 99 = Unknown
SR_15	Gonorrhea	What was the oropharyngeal gonococcal test result?	1 = Reactive/Positive 2 = Nonreactive/Negative 3 = Indeterminate/Invalid 4 = Not done 99 = Unknown
SR_16	Gonorrhea	What was the urine gonococcal test result?	1 = Reactive/Positive 2 = Nonreactive/Negative 3 = Indeterminate/Invalid 4 = Not done 99 = Unknown
SR_17	HIV	What was the HIV test result?	1 = Reactive/Positive 2 = Nonreactive/Negative 3 = Indeterminate/Invalid 4 = Not done 99 = Unknown
SR_17a	HIV	When was the HIV test conducted?	Date [MM/DD/YYYY]
SR_17b	HIV	Why was the participant not tested for HIV at this study visit?	1 = Previous HIV positive, not retested 2 = Participant refused HIV testing 3 = Other 99 = Unknown
SR_17c	HIV	Please specify why the participant was not tested for HIV at this study visit.	Character (max length = 250 characters)
SO_1a	Stigma/discrimination	During the past 12 months, have you been called names or insulted because someone knew or assumed you were attracted to men?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
SO_1b	Stigma/discrimination	During the past 12 months, have you received poorer services than other people in restaurants, stores, other businesses or agencies because someone knew or assumed you were attracted to men?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
SO_1c	Stigma/discrimination	During the past 12 months, have you been treated unfairly at work or school because someone knew or assumed you were attracted to men?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
SO_1d	Stigma/discrimination	During the past 12 months, have you been denied or given lower quality health care because someone knew or assumed you were attracted to men?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
SO_1e	Stigma/discrimination	During the past 12 months, have you been physically attacked or injured because someone knew or assumed you were attracted to men?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
SO_2	Social experiences	In the past 12 months, how often have you gone to a place where gay or bisexual men hangout, meet or socialize? These could include bars, clubs, social organizations, parks, gay businesses, bookstores, sex clubs etc.	1 = Never 2 = More than once a day 3 = Daily 4 = More than once a week, but less than daily 5 = Weekly 6 = More than once a month, but less than weekly 7 = Monthly 8 = Less than once a month 77 = Refused to answer 99 = Don’t know
SO_3	Social experiences	In the past 12 months, how often have you used the internet to meet or socialize with gay men? This includes visiting social network websites (such as Facebook or Snapchat), websites directed towards gay men (such as Manhunt or Gay.com), dating websites, or the use of mobile social applications (such as Jack’d or Grindr).	1 = Never 2 = More than once a day 3 = Daily 4 = More than once a week, but less than daily 5 = Weekly 6 = More than once a month, but less than weekly 7 = Monthly 8 = Less than once a month 77 = Refused to answer 99 = Don’t know
SU_1	Substance use: Injection drug use	Have you ever in your life shot up or injected drugs that were NOT prescribed for you?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
SU_1a	Substance use: Injection drug use	In the past 12 months, on average, how often did you inject?	1 = Never 2 = More than once a day 3 = Daily 4 = More than once a week, but less than daily 5 = Weekly 6 = More than once a month, but less than weekly 7 = Monthly 8 = Less than once a month 77 = Refused to answer 99 = Don’t know
SU1b_SPEED	Substance use: Injection drug use	Have you injected speedball (heroin and cocaine together) in the past 12 months?	1 = Yes 2 = No
SU1b_HERO	Substance use: Injection drug use	Have you injected heroin by itself in the past 12 months?	1 = Yes 2 = No
SU1b_COCA	Substance use: Injection drug use	Have you injected cocaine by itself in the past 12 months?	1 = Yes 2 = No
SU1b_METH	Substance use: Injection drug use	Have you injected crystal meth (tina, crank, ice) in the past 12 months?	1 = Yes 2 = No
SU1b_PAIN	Substance use: Injection drug use	Have you injected painkillers (Oxycontin, Vicodin, Percocet) in the past 12 months?	1 = Yes 2 = No
SU1b_ELSE	Substance use: Injection drug use	Have you injected something else in the past 12 months?	1 = Yes 2 = No
SU1b_REF	Substance use: Injection drug use	Refused to answer the	1 = Yes 2 = No
SU1b_DK	Substance use: Injection drug use	Don’t know	1 = Yes 2 = No
SU_1c	Substance use: Injection drug use	Which of the following drugs did you inject most often?	1 = Speedball—heroin and cocaine together 2 = heroin by itself 3 = cocaine by itself 4 = crystal meth (tina, crank, ice) 5 = painkillers (Oxycontin, Vicodin, Percocet) 6 = something else 77 = refused to answer 99 = don’t know
SU_1d	Substance use: Injection drug use	Please specify which drug you inject most often.	Character (max length = 100 characters)
SU_2	Substance use: Non-injection drug use	In the past 12 months, have you used any non-injection drugs (drugs you did not inject) other than those prescribed for you?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
SU2a_MAR	Substance use: Non-injection drug use	In the past 12 months, have you used marijuana?	1 = Yes 2 = No
SU2a_COCA	Substance use: Non-injection drug use	In the past 12 months, have you used powdered cocaine (smoked or snorted)?	1 = Yes 2 = No
SU2a_CRA	Substance use: Non-injection drug use	In the past 12 months, have you used crack cocaine?	1 = Yes 2 = No
SU2a_POP	Substance use: Non-injection drug use	In the past 12 months, have you used poppers (amyl nitrate)?	1 = Yes 2 = No
SU2a_ECS	Substance use: Non-injection drug use	In the past 12 months, have you used X or Ecstasy?	1 = Yes 2 = No
SU2a_OXY	Substance use: Non-injection drug use	In the past 12 months, have you used painkiller (Oxycontin, Vicodin, Percocet)?	1 = Yes 2 = No
SU2a_VAL	Substance use: Non-injection drug use	In the past 12 months, have you used downers (Valium, Ativan, Xanax)?	1 = Yes 2 = No
SU2a_CRY	Substance use: Non-injection drug use	In the past 12 months, have you used crystal meth (tina, crank, ice)?	1 = Yes 2 = No
SU2a_LSD	Substance use: Non-injection drug use	In the past 12 months, have you used hallucinogens (LSD, mushrooms)?	1 = Yes 2 = No
SU2a_KET	Substance use: Non-injection drug use	In the past 12 months, have you used Special K (ketamine)?	1 = Yes 2 = No
SU2a_GHB	Substance use: Non-injection drug use	In the past 12 months, have you used GHB?	1 = Yes 2 = No
SU2a_OTH	Substance use: Non-injection drug use	In the past 12 months, have you used something else?	1 = Yes 2 = No
SU2a_REF	Substance use: Non-injection drug use	Refused to answer	1 = Yes 2 = No
SU2a_DK	Substance use: Non-injection drug use	Don’t know	1 = Yes 2 = No
SU_2b	Substance use: Non-injection drug use	Please specify which other drugs you’ve used	Character (max length = 100 characters)
SU_3	Alcohol use	How often do you have a drink containing alcohol?	1 = Never 2 = Monthly or less 3= 2-4 times a month 4 = 2-3 times a week 5 = 4 or more times a week 77 = Refused to answer 99 = Don’t know
SU_3a	Alcohol use	How many standard drinks containing alcohol do you have on a typical day?	1 = none 2 = 1 or 2 3 = 3 or 4 4 = 5 or 6 5 = 7 or 9 6 = 10 or more 77 = Refused to answer 99 = Don’t know
PA_1	PrEP attitudes	Have you ever considered PrEP as a way of reducing your chances of getting HIV?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
PA_2	PrEP attitudes	How willing are you to take PrEP every day to lower your chances of getting HIV?	1 = I am currently on PrEP 2 = I am not currently on PrEP, but very willing to take PrEP every day 2 = I am not currently on PrEP, but very somewhat willing to take PrEP every day 3 = I am not currently on PrEP, and neutral about taking PrEP every day 4 = I am not currently on PrEP and I am not very willing to take PrEP every day 5 = I am not currently on PrEP and I am not willing at all to take PrEP every day 77 = Refused to answer 99 = Don’t know
PA_3	PrEP attitudes	Having to take a pill every day is difficult	1 = Strongly agree 2 = Agree 3 = Neither agree or disagree 4 = Disagree 5 = Strongly disagree 77 = Refused to answer 99 = Don’t know
PA_4	PrEP attitudes	People will judge me for taking PrEP	1 = Strongly agree 2 = Agree 3 = Neither agree or disagree 4 = Disagree 5 = Strongly disagree 77 = Refused to answer 99 = Don’t know
PA_5	PrEP attitudes	I am concerned about the side effects of PrEP	1 = Strongly agree 2 = Agree 3 = Neither agree or disagree 4 = Disagree 5 = Strongly disagree 77 = Refused to answer 99 = Don’t know
PA_6	PrEP attitudes	I am cautious when dealing with healthcare organizations	1 = Strongly agree 2 = Agree 3 = Neither agree or disagree 4 = Disagree 5 = Strongly disagree 77 = Refused to answer 99 = Don’t know
PA_7	PrEP attitudes	I cannot afford the financial costs of PrEP	1 = Strongly agree 2 = Agree 3 = Neither agree or disagree 4 = Disagree 5 = Strongly disagree 77 = Refused to answer 99 = Don’t know
PA_8	PrEP attitudes	PrEP is for people who have riskier sex lives than I do	1 = Strongly agree 2 = Agree 3 = Neither agree or disagree 4 = Disagree 5 = Strongly disagree 77 = Refused to answer 99 = Don’t know
PA_9	PrEP attitudes	PrEP is not available for people like me	1 = Strongly agree 2 = Agree 3 = Neither agree or disagree 4 = Disagree 5 = Strongly disagree 77 = Refused to answer 99 = Don’t know
PA_10	PrEP attitudes	Taking PrEP would make me more comfortable having sex without a condom	1 = Strongly agree 2 = Agree 3 = Neither agree or disagree 4 = Disagree 5 = Strongly disagree 77 = Refused to answer 99 = Don’t know
PA_11	PrEP attitudes	Taking PrEP would make me feel less anxious about sex	1 = Strongly agree 2 = Agree 3 = Neither agree or disagree 4 = Disagree 5 = Strongly disagree 77 = Refused to answer 99 = Don’t know
PA_12	PrEP attitudes	My friends think I should take PrEP	1 = Strongly agree 2 = Agree 3 = Neither agree or disagree 4 = Disagree 5 = Strongly disagree 77 = Refused to answer 99 = Don’t know
PA_13	PrEP attitudes	If someone saw me taking medication, they would think I have HIV	1 = Strongly agree 2 = Agree 3 = Neither agree or disagree 4 = Disagree 5 = Strongly disagree 77 = Refused to answer 99 = Don’t know
PA_14	PrEP attitudes	I have a medical provider I can talk with about PrEP	1 = Strongly agree 2 = Agree 3 = Neither agree or disagree 4 = Disagree 5 = Strongly disagree 77 = Refused to answer 99 = Don’t know
PA_15	PrEP attitudes	I know where I can go for a PrEP prescription if I want one	1 = Strongly agree 2 = Agree 3 = Neither agree or disagree 4 = Disagree 5 = Strongly disagree 77 = Refused to answer 99 = Don’t know
PA_16	PrEP attitudes	Have you ever started PrEP and later decided to stop being on PrEP?	1 = Yes 2 = No 77 = Refused to answer 99 = Don’t know
PA16a_FORGOT	PrEP attitudes	Did you decide to stop being on PrEP because you did not remember to take the pills?	1 = Yes 2 = No
PA17a_COST	PrEP attitudes	Did you decide to stop being on PrEP because you were unable to afford the PrEP prescription?	1 = Yes 2 = No
PA17a_NORISK	PrEP attitudes	Did you decide to stop being on PrEP because you were not having risky sex during that time?	1 = Yes 2 = No
PA17a_CONDOM	PrEP attitudes	Did you decide to stop being on PrEP because you were using other strategies to lower your HIV risk (e.g., using condoms)?	1 = Yes 2 = No
PA17a_REFILL	PrEP attitudes	Did you decide to stop being on PrEP because forgot to refill your PrEP prescription?	1 = Yes 2 = No
PA17a_DOCTOR	PrEP attitudes	Did you decide to stop being on PrEP because you were unable to go to your PrEP doctor or provider?	1 = Yes 2 = No
PA17a_EFFECT	PrEP attitudes	Did you decide to stop being on PrEP because you were concerned about long-term effects of PrEP on your health?	1 = Yes 2 = No
PA17a_SIDE	PrEP attitudes	Did you decide to stop being on PrEP because you had a problem with side effects?	1 = Yes 2 = No
PA17a_JUDGE	PrEP attitudes	Did you decide to stop being on PrEP because you were concerned that your family or friends would judge you?	1 = Yes 2 = No
PA17a_PART	PrEP attitudes	Did you decide to stop being on PrEP because your partner did not want you to take PrEP?	1 = Yes 2 = No
PA17a_CHEAT	PrEP attitudes	Did you decide to stop being on PrEP because you were concerned that your partner would think you were cheating on him/her?	1 = Yes 2 = No
PA17a_REF	PrEP attitudes	Refused to answer	1 = Yes 2 = No
PA17a_DK	PrEP attitudes	Don’t know	1 = Yes 2 = No

12