Form 0920-0770 Eligibility Screener (English)

National HIV Behavioral Surveillance System

Att 3a_Eligibility Screener_Eng

NHBS Screening (All Respondent Groups)

OMB: 0920-0770

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OMB No: 0920-0770

OMB Exp. Date: X/XX/XXXX

Eligibility Screener (English)

Form Approved:

OMB No. 0920-0770

Expiration Date: XX/XX/XXXX





National HIV Behavioral Surveillance System: Eligibility Screener



Public reporting burden of this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: CDC, Project Clearance Officer, 1600 Clifton Road, MS D-74, Atlanta, GA 30333, ATTN: PRA (0920-0770). Do not send the completed form to this address

NHBS Round 6 CAPI REFERENCE QUESTIONNAIRE (CRQ)

Table of contents



Overview

Questionnaire Sections & Abbreviations

Order in CAPI

Abbreviation

Domain

Other topics included

00

Overview

Overview


0

CalcVars

Pre-set & calculated variables


1

IE

Interviewer-entered information


2

ES

Eligibility screener


3

CN

Consent


4

CI

OMB Statement & Core Introductory Statement


5

NS

Network size (RDS cycles only)


6

DM

Demographics

General health care access & utilization

7

SO

Social experiences (MSM cycle only)


8

SX

Sexual behavior


9

AL

Alcohol use


10

ID

Injection drug use


11

ND

Non-injection drug use


12

TX

Drug overdose and drug treatment


13

HT

HIV testing & care


14

HC

Health conditions (STIs, hepatitis, mental health)


15

PA

Prevention activities


16

JT

Justice system experiences


17

VE

Violence




Abbreviations

CAPI

Computer-Assisted Personal Interview

CRQ

CAPI Reference Questionnaire



R

Respondent

P

Partner



DK

Don't know

REF

Refused to answer

NA

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



EQ

Equal to

GT

Greater than

GE

Greater than or equal to

LE

Less than or equal to

LT

Less than

NE

Not equal to



VS, UVS

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

AS, UAS

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

IAS

Insertive anal sex

RAS

Receptive anal sex









Key Terms

Term

Prefix / format

Definition

Calculated variable

CALC_



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

Century Month

_C



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

Message

INTERVIEWER:



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

Filter question




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

Logic Check

Check_



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

Hard Edit Check

HardEdit_



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

Interviewer instruction




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

Introductory statement

INTRO_



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

Range




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

Section




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

Series

Series.



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

Soft Edit Check

SoftEdit_



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

Universe

Universe_



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









NHBS ROUND 6 QUESTIONNAIRE

PRE-SET AND CALCULATED VARIABLES

Variables with pre-set values

ROUND

NHBS Round

ROUND = "NHBS Round 6"


 

CYCLE

NHBS Cycle

CYCLE = 1 (MSM) If MSM cycle

CYCLE = 2 (IDU) If IDU cycle

CYCLE = 3 (HET) If HET cycle


 

LANGUAGE

Language

LANGUAGE = 1 IF ENGLISH

LANGUAGE = 2 IF SPANISH



VERSION

Questionnaire Version

If CYCLE=1 & LANGUAGE=1, VERSION=‘NHBS-MSM6 – ENGLISH, V1, [BUILD DATE]'

If CYCLE=1 & LANGUAGE=2, VERSION = ‘NHBS-MSM6 – SPANISH, V1, [BUILD DATE]'

If CYCLE=2 & LANGUAGE=1, VERSION=‘NHBS-IDU6 – ENGLISH, V1, [BUILD DATE]'

If CYCLE=2 & LANGUAGE=2, VERSION = ‘NHBS-IDU6 – SPANISH, V1, [BUILD DATE]'

If CYCLE=3 & LANGUAGE=1, VERSION=‘’NHBS-HET6 – ENGLISH, V1, [BUILD DATE]'

If CYCLE=3 & LANGUAGE=2, VERSION = ‘NHBS-HET6 – SPANISH, V1, [BUILD DATE]'


 

IDATE

Interview date

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


 

IDATEMN

Interview date: Numeric month


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



IDATEY

Interview date: Year


IDATEY = If(P_IYEAR="2020", 2020,If(P_IYEAR="2021",

2021,If(P_IYEAR="2022", 2022, 0)))



START

Start Time

START = Current time {system time on device}

 

 

DATETIME

Date and time identifier


DATETIME= CONCAT(IDATE, START)



DATAFILE

Data file name

DATAFILE = Data file name



QYR

Current Questionnaire Year

QYR = if ((CYCLE=1), 2020, if ((CYCLE=2), 2021, if ((CYCLE=3), 2022, 0)))



MSM6_IMP

MSM6 data collection start date

MSM6_IMP = June 1, 2020





Computed date and duration variables used throughout the interview



IDATE_C

Interview date: Century Month


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



AGO2Y_C

2 yrs before interview: Century Month


AGO2Y_C= IDATE_C-24



AGO12M_C

12 mos before interview: Century Month


AGO12M_C= IDATE_C -12



AGO6M_C

6 mos before interview: Century Month


AGO6M_C= IDATE_C -6



AGO3M_C

3 mos before interview: Century Month


AGO3M_C= IDATE_C -3







NHBS ROUND 6 QUESTIONNAIRE

INTERVIEWER ENTERED INFORMATION (IE)

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

Section

Question #

Variable name

Variable label

Preloaded Variables

--

CYCLE

NHBS Cycle

Preloaded Variables

--

VERSION

Questionnaire Version

Preloaded Variables

--

MSM6_IMP

MSM6 data collection start date

Preloaded Variables

--

QYR

Current Questionnaire Year

Preloaded Variables

--

IDATE

Interview Date

Preloaded Variables

--

IDATEY

Interview Date: Year



Universe_IE.

All Rs.



INTRO_DATETIME.

DISPLAY: "The current date recorded on this device is [fill with current date, formatted as “Month date, year”] and the time is [fill with current time, formatted as “Hour: minute”]. If this is not correct, please close this interview and correct the date on the device."



INTRO_VERSION.

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



INTRO_OMB.

DISPLAY: "Public reporting burden of this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: CDC, Project Clearance Officer, 1600 Clifton Road, MS D-74, Atlanta, GA 30333, ATTN: PRA (0920-0770). Do not send the completed form to this address."



IE1.

Interviewer ID:


ICODE

Interviewer ID



---- ----




Range

1-99




IE2.

City:


CITY

City (List of eligible cities on computer)
































































































IE3.

Survey ID:


SURID

Survey ID



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




Range

1-9999






HardEdit_IE3.

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

Else, go to IE3conf1.





IE3conf1.

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

C_SURID

Survey ID confirmation




No

0




Yes

1




HardEdit_IE3conf1.

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

Else, go to Check_VBSSeries.



Check_VBSSeries.

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

Else, go to RDS Recruitment (RDS) Series.



Universe_VBSSeries.

All Rs in MSM Cycle (CYCLE EQ 1).



VBS Recruitment (VBS) Series (IE4-HardEdit_IE8)

IE4.

INTERVIEWER: Is this interview a Post Event Appointment?


PEA

Post Event Appointment



No

0



Yes

1






IE5.

Venue Code:


VENUE

Venue Code



__ __ __ __




Range

1-9900




IE6.

Event Number:


VBS_EVNT

Event number



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




Range

1-999



Don't Know

9999




Check_IE7.

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

Else, go to END_IE.



Post Event Appointment

IE7.

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

PEASITE

PEA Field site ID



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


{4 alphanumeric characters}


Don't Know

9




Check_HardEdit_IE7.

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

Else, go to HardEdit_IE7.



HardEdit_IE7.

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

Else, go to IE8.





IE8.

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

PEARDTE

PEA recruitment event date



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




Range (Year)

1900-2100



Don't know (Year)

9999






HardEdit_IE8.

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

Else, go to SoftEditIE8.



SoftEdit_IE8.

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

Else, go to END_IE.





Universe_RDSSeries.

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



RDS Recruitment (RDS) Series (IE9-HardEdit_IE10)

IE9.

Field Site ID:


FLDSTEID

RDS Field site ID




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





Range

0-99





HardEdit_IE9.

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

Else, go to IE10.



IE10.

INTERVIEWER: Is the respondent a seed?

ISEED

Respondent is a seed




No

0




Yes

1




HardEdit_IE10.

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

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

Else, go to END_IE.



END_IE.

Go to Eligibility Screener Section (ES).

NHBS ROUND 6 QUESTIONNAIRE

ELIGIBILITY SCREENER (ES)

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

Section

Question #

Variable name

Variable label

Preloaded variables

--

CYCLE

NHBS Cycle

Preloaded variables

--

IDATE

Interview date

Preloaded variables

--

QYR

Current Questionnaire Year

Interviewer Entered Information

IE2

CITY

City

Interviewer Entered Information

IE4

PEA

Post Event Appointment

Interviewer Entered Information

IE8

PEARDTE

PEA recruitment event date

Interviewer Entered Information

IE10

ISEED

Respondent is a seed



Universe_ES.

All Rs.



INTRO_ES.

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



CALC_BEGSCR.



BEGSCR

Time at beginning of screener

BEGSCR = Current time



Check_CALC_RDATE.

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

Else, go to ES1.



CALC_RDATE.



RDATE

Recruitment Date

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

RDATE=IDATE



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

RDATE=PEARDTE



ES1.

What is your date of birth?

DOB

Date of birth



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




Range (Year)

1900-2100



Don't Know (Year)

9999



Refuse to Answer (Year)

7777




Check_CALC_AGE.

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

Else, go to HardEdit_ES1.



HardEdit_ES1.

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

Else, go to CALC_AGE.



CALC_AGE.



AGE

QDS calculated age today

Calculate age from date of birth (DOB)


ES1a.

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

C_AGE

Confirm age




No

0




Yes

1



HardEdit_ES1a.

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

Else, go to Check_ES2.


Check_ES2.

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

Else, go to ES2.


ES2.

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

E_PART

Eligibility, previous participant



No

0



Yes

1



Don't Know

9



Refuse to Answer

7



ES3.

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



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

HISPANIC

Latino ethnicity



No

0



Yes

1



Don't Know

9



Refuse to Answer

7



Check_ES3a.

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



ES3a.

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



[READ choices. CHECK ALL that apply.]

HSPTYP

Hispanic Ancestry (number reported)


HSPTYPA

Mexican



HSPTYPB

Puerto Rican



HSPTYPC

Cuban



HSPTYPD

Dominican



HSPTYPE

Another Hispanic, Latino/a, or Spanish origin




Don't Know

9



Refuse to Answer

7




Check_ES3spec.

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

Else, go to ES4.



ES3spec.

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

SPECHSP

Other specified Latino origin


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


{text response; max length = 100 characters}


Don't Know

9



Refuse to Answer

7




ES4.

[Give Respondent Flashcard A.]



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



[READ choices. CHECK ALL that apply.]

RACE

Racial group (number reported)


RACEA

American Indian or Alaska Native



RACEB

Asian



RACEC

Black or African American



RACED

Native Hawaiian or Other Pacific Islander



RACEE

White




Don't Know

9



Refuse to Answer

7



Not Applicable

8






County of Residence

ES5

What county do you currently live in?



[DO NOT read choices.] (List of eligible counties on computer)












































































































MSA Residence calculation



CALC_E_CITY.



E_CITY

Eligible city resident

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



Check_ES5spec.

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

Else, go to Check_ES6.





ES5spec.

INTERVIEWER: Specify other county:

SPECCNTY

Specify other county


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



{text response; max length = 100 characters}



Check_ES8.

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

Else, go to ES9.



ES8.

What was your sex at birth?



[DO NOT read choices.]

BIRTHSEX

Sex at birth



Male

1



Female

2



Intersex/ambiguous

3



Don't Know

9



Refuse to Answer

7






ES9.

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

GENDER

Gender



Male

1



Female

2



Transgender

3



Don't Know

9



Refuse to Answer

7




Check_ES9a.

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

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

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



NHBS-MSM Behavioral Eligibility



ES9a.

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

E_EVRMSW

Eligibility: MSM, Ever had sex with woman



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




ES9b.

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

E_EVRMSM

Eligibility: MSM, Ever had sex with man



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




NHBS-MSM Venue Attendance



ES9c.

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

ATTEND30

Venue attendance, 30 days



__ __ __




Range

0 - 700



Don't Know

999



Refuse to Answer

777






Check_ES10.

Go to INTRO_ES18.



NHBS-IDU Behavioral Eligibility





ES10.

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

E_EVRINJ

Eligibility: ever injected



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_ES11.

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

Else (ES10 NE 1), go to INTRO_ES18.



ES11.

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



[INTERVIEWER: If today, enter "0"]

E_LINJN

IDU ES: When last injected, number



__ __ __




Range

0 - 365



Don't Know

999



Refuse to Answer

777




Check_ES11a.

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



ES11a.

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

E_LINJU

IDU ES : When last injected, unit



Days

0



Months

1



Years

2




CALC_E_INJ12.



E_INJ12

injected in last 12 months

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





ES12.

[Give Respondent Flashcard B.]



Which drug do you inject most often?



[READ choices.]

E_USINJ

Eligibility, drug usually injected



Speedball, which is heroin and cocaine together

1



Heroin, by itself

2



Powder cocaine, by itself

3



Crack cocaine, by itself

4



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

5



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

6



Something else

7



Don't Know

99



Refuse to Answer

77




Check_ES12spec.

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

Else, go to ES13.



ES12spec.

INTERVIEWER: Specify other injection drug


SPECE_ID

Specify other injection drug



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



{text response; max characters = 100}





ES13.

Where on your body do you usually inject?



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



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

E_INJBD

Part of body injected


E_INJBDA

Fresh track marks



E_INJBDB

Needle-sized scabs



E_INJBDC

Abscesses



E_INJBDD

Old track marks or scars



E_INJBDE

Injects in covered area



E_INJBDF

Showed injection area(s) but NO physical signs




Refuse to Answer

7




HardEdit_ES13.

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

Else, go to CALC_E_INJSGN.



CALC_E_INJSIG.



E_INJSIG

Eligible: Phy Sign Recent Injection

If R has fresh track marks, needle-sized scabs, or abcesses (E_INJBDA=1 OR E_INJBDB=1 OR E_INJBDC=1), E_INJSIG EQ 1.

If R has old track marks or scars, has no physical signs of injection, or has no physical signs of injection and injects in a covered area (E_INJBDD=1 OR E_INJBDF=1 OR (E_INJBDE=1 and E_INJBDF=1)), E_INJSIG EQ 2.

If R refused to answer (E_INJBD= REF) or only injected in a covered area (E_INJBDE=1 and E_INJBDA – E_INJBDF=0), E_INJSIG EQ 0.



Check_ES14.

If R has only non-recent signs of injection, no physical signs of injection, or has no physical signs of injection and injects in a covered area (E_INJSIG EQ 2), go to ES14.

Else, go to CALC_E_INJCT.







ES14.

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



[INTERVIEWER: Description could include:

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

E_INJPRP

Eligibility, prepare drugs



Description OK

1



Description Not OK

2




ES15.

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



[INTERVIEWER: Description could include:

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

E_HWINJ

Eligibility, how is injection done



Description OK

1



Description Not OK

2




ES16.

What type of syringe do you usually inject with?



[INTERVIEWER: Description could include:

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

E_STYP

Eligibility, type of syringe used



Description OK

1



Description Not OK

2




CALC_E_INJKNW.



E_INJKNW

Eligible: Injection knowledge

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



CALC_E_INJCT.



E_INJCT

Eligible: Injection signs or knowledge

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



Check_HET_Behavioral_Eligibility.

Go to INTRO_ES18.





NHBS-HET Behavioral Eligibility



Check_INTRO_ES17.

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

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



INTRO_ES17.


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



ES17.

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

E_OPPSEX

Eligibility: opposite sex partner, past 12 mos.



No

0



Yes

1



Don't Know

9



Refuse to Answer

7






Check_ES17a.


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

Else, go to CALC_E_VAS12.



ES17a.

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

E_VS12

Eligibility: Vaginal sex past 12mos



No

0



Yes

1



Don't Know

9



Refuse to Answer

7






Check_ES17b.


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

Else, go to ES17b.





ES17b.

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

E_AS12

Eligibility: Anal sex past 12mos



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_ES17conf.


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

Else, go to CALC_E_VAS12.



ES17conf.

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

C_OS12

Eligibility: Oral sex confirmation only



No

0



Yes

1

.



Check_CALC_E_VAS12.


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

Else, go to CALC_E_VAS12.



CALC_E_VAS12.



E_VAS12

Eligibility: Opposite Sex Partner, p 12mos

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

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

Else, E_VAS12 = 0.





Language Proficiency



INTRO_ES18.

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



ES18.

How well do you speak English?



[READ choices.]

ENGPFCY

English proficiency



Very well

1



Well

2



Not well

3



Not at all

4



Don't Know

9



Refuse to Answer

7




ES19.

How well do you speak Spanish?



[READ choices.]

SPNPFCY

Spanish proficiency



Very well

1



Well

2



Not well

3



Not at all

4



Don't Know

9



Refuse to Answer

7




Interviewer assessment





INTRO_Check_CALC_EL.

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



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