Form 0920-0770 Behavioral Assessment for PWID (English)

National HIV Behavioral Surveillance System

Att 3c_Behavioral Assessmnet PWID_Eng

NHBS Behavioral Assessment (PWID)

OMB: 0920-0770

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Behavioral Assessment PWID (English)

Form Approved:

OMB No. 0920-0770

Expiration Date: XX/XX/XXXX





National HIV Behavioral Surveillance System: Core Questionnaire



PWID Cycle OMB Statement



Public reporting burden of this collection of information is estimated to average 43 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 7 CAPI REFERENCE QUESTIONNAIRE (CRQ)

Table of contents





NHBS ROUND 7 QUESTIONNAIRE

CORE INTRODUCTION (CI)

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

Section

Question #

Variable name

Variable label

Preloaded Variables

--

CYCLE

NHBS Cycle

Eligibility Screener

--

EL_MSM

Eligible: MSM cycle

Eligibility Screener

--

EL_IDU

Eligible: IDU cycle

Eligibility Screener

--

EL_HET

Eligible: HET cycle

Consent

CN1

CONSENTA

Consent to survey



Universe_CI.

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


CI1_OMB.

DISPLAY: Public reporting burden of this collection of information is estimated to average [if MSM cycle (CYCLE=1), fill with "24"; if IDU cycle (CYCLE EQ 2), fill with "43"; if HET cycle (CYCLE EQ 3), fill with "31" (CI1OMB_F)] 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.




CALC_START_C.



START_C

Interview start time

START_C = Current time




INTRO_CORE.

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



On the next screen, DISPLAY:

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

Then, go to END_CI.




END_CI.

Go to Network Section (NS).

NHBS ROUND 7 QUESTIONNAIRE

NETWORK SECTION (NS)

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

Section

Question #

Variable name

Variable label

Preloaded variables

--

CYCLE

NHBS Cycle

Interviewer Entered Information

IE2

CITY

City

Interviewer Entered Information

IE10

ISEED

Respondent is a seed

Eligibility Screener

--

EL_IDU

Eligible: IDU cycle

Eligibility Screener

--

EL_HET

Eligible: HET cycle



UNIVERSE_NS.

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


CALC_BEGNS.



BEGNS

Time at beginning of network section

BEGNS = Current time


Check_INTRO_NS1.

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

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

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

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

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

PWID Network Series (INTRO_NS1- Check_ Check_INTRO_NS3)

PWID Recruiter Relationship

INTRO_NS1.

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


NS1.

[Give Respondent Flashcard C.]



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



[READ choices. CHECK ALL that apply.]

NS_IREL

Relationship to recruiter, IDU



NS_IRELA

A relative or family member




NS_IRELB

A person you have sex with




NS_IRELC

A person you use drugs with or buy drugs from




NS_IRELD

A friend




NS_IRELE

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




NS_IRELF

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





Refuse to Answer

77




HardEdit_NS1.

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

Else, go to Check_NS1CONF.



Check_NS1CONF.

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

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



NS1CONF.

When and where did you first see this person?



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

NS_RSTRI

Confirmation: recruiter is a stranger




Recruiter is a stranger

1




Recruiter is NOT a stranger

2




Check_INTRO_NS2a.1.

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

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



PWID Network Size: First Loop

INTRO_NS2a.1.

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



NS2a.1.

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

NS_IDUMA

# male IDUs known: net size




Range

0 - 7500




Don't Know

9999




Refuse to Answer

7777




NS2b.1.

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

NS_IDUFE

# female IDUs known: net size




Range

0 - 7500




Don't Know

9999




Refuse to Answer

7777




Check_CALC_NSC_IDUM.

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

Else, go to CALC_NSC_IDUM.



CALC_NSC_IDUM.



NSC_IDUM

# male IDUs known: calculated net size

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



CALC_NSC_IDUF.



NSC_IDUF

# female IDUs known: calculated net size



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



CALC_NSC_IDUS.



NSC_IDUS

# IDUs known: calculated net size

NSC_IDUS = NSC_IDUM+NSC_IDUF



Check_NS2CONFa.

If NSC_IDUS EQ 0, go to NS2CONFa.

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

If NSC_IDUS GT 3, go to NS2CONFc.





NS2CONFa.

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

NS_IZERO

Confirmation: NSC_IDUS = 0




No - - DOES know other injectors

0




Yes - - does NOT know any other injectors

1




Check_NS2CONFb.

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

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





NS2CONFb.

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

NS_ILOWS

Confirmation: NSC_IDUS < 4




No - - does NOT know any other injectors

0




Yes - - DOES know more injectors

1




Check_NS2CONFc.

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

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



NS2CONFc.

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

NS_ICHCK

Confirmation: NSC_IDUS correct




Yes, about right

0




No, you actually know FEWER people who inject

1




No, you actually know MORE people who inject

2




Don't Know

9




Refuse to Answer

7




Check_NS2a.2.

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

Else, go to CALC_ENDNS.



PWID Network Size: Second Loop



NS2a.2.

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

NS_IDUM2

# male IDUs known: net size, 2nd loop




Range

0 - 7500




Don't Know

9999




Refuse to Answer

7777




NS2b.2.

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

NS_IDUF2

# female IDUs known: net size , 2nd loop




Range

0 - 7500




Don't Know

9999




Refuse to Answer

7777




Check_CALC_NSC_IDUM2.

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

Else, go to CALC_NSC_IDUM2.



CALC_NSC_IDUM2.



NSC_IDUM

# male IDUs known: calculated net size

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



CALC_NSC_IDUF2.



NSC_IDUF

# female IDUs known: calculated net size

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



CALC_NSC_IDUS2.



NSC_IDUS

# IDUs known: calculated net size

NSC_IDUS = NSC_IDUM+NSC_IDUF



NS2c.2.

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

NS_ICHK2

Confirmation: NSC_IDUS correct, 2nd loop




Yes, about right

0




No, you actually know FEWER people who inject

1




No, you actually know MORE people who inject

2




Don't Know

9




Refuse to Answer

7




Check_INTRO_NS3.

Go to CALC_ENDNS.



HET Network Series (INTRO_NS3- NS4c.2)

HET Recruiter Relationship

INTRO_NS3.

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



NS3.

[Give Respondent Flashcard D.]



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



[READ choices. CHECK ALL that apply.]

NS_HREL

Relationship to Recruiter, HET



NS_HRELA

A relative or family member




NS_HRELB

A person you have sex with




NS_HRELC

A friend




NS_HRELD

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




NS_HRELE

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





Refuse to Answer

7




HardEdit_NS3.

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

Else, go to Check_NS3CONF.





Check_NS3CONF.

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

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







NS3CONF.

When and where did you first see this person?



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

NS_RSTRH

Confirmation: recruiter is a stranger




Recruiter is a stranger

1




Recruiter is NOT a stranger

2







Check_INTRO_NS4a.1.

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

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



HET Network Size: First Loop



INTRO_NS4a.1.

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



NS4a.1.

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

NS_HETMA

# males known: net size




Range

0 - 7500




Don't Know

9999




Refuse to Answer

7777




NS4b.1.

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

NS_HETFE

# females known: net size




Range

0 - 7500




Don't Know

9999




Refuse to Answer

7777




Check_CALC_NSC_HETM.

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

Else, go to CALC_NSC_HETM.



CALC_NSC_HETM.



NSC_HETM

# males known: calculated net size

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



CALC_NSC_HETF.



NSC_HETF

# females known: calculated net size

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



CALC_NSC_HETS.



NSC_HETS

# HETs known: calculated net size

NSC_HETS = NSC_HETM+NSC_HETF





Check_NS4CONFa.

If NSC_HETS EQ 0, go to NS4CONFa.

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

If NSC_HETS GT 3, go to NS4CONFc.





NS4CONFa.

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

NS_HZERO

Confirmation: NSC_HETS = 0




No - - DOES know others

0




Yes - - does NOT know any others

1






Check_NS4CONFb.

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

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





NS4CONFb.

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

NS_HLOWS

Confirmation: NSC_HETS < 4




No - - Does NOT know any others

0




Yes - - DOES know others

1






Check_NS4CONFc.


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

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





NS4CONFc.

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

NS_HCHCK

Confirmation: NSC_HETS correct




Yes, about right

0




No, you actually know FEWER people

1




No, you actually know MORE people

2




Don't Know

9




Refuse to Answer

7




Check_NS4a.2.

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

Else, go to CALC_ENDNS.



HET Network Size: Second Loop



NS4a.2.

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

NS_HETM2

# males known: net size, 2nd loop




Range

0 - 7500




Don't Know

9999




Refuse to Answer

7777










NS4b.2.

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

NS_HETF2

# females known: net size, 2nd loop




Range

0 - 7500




Don't Know

9999




Refuse to Answer

7777






Check_CALC_NSC_HETM2.

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

Else, go to CALC_NSC_HETM2.



CALC_NSC_HETM2.



NSC_HETM

# males known: calculated net size

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



CALC_NSC_HETF2.



NSC_HETF

# females known: calculated net size

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



CALC_NSC_HETS2.



NSC_HETS

# HETs known: calculated net size

NSC_HETS = NSC_HETM+NSC_HETF







NS4c.2.

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

NS_HCHK2

Confirmation: NSC_HETS correct, 2nd loop




Yes, about right

0




No, you actually know FEWER people

1




No, you actually know MORE people

2




Don't Know

9




Refuse to Answer

7






CALC_ENDNS.



ENDNS

Time network section ended

ENDNS = Current time



END_NS.

Go to Demographic Section (DM).





NHBS ROUND 7 QUESTIONNAIRE

DEMOGRAPHICS (DM)

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

Section

Question #

Variable name

Variable label

Preloaded variables

--

CYCLE

NHBS Cycle

Preloaded variables

--

IDATE

Interview date

Interviewer Entered Information

IE2

CITY

City

Eligibility Screener

ES1

DOB

Date of birth

Eligibility Screener


EL_MSM

Eligible: MSM cycle

Eligibility Screener


EL_IDU

Eligible: IDU cycle

Eligibility Screener


EL_HET

Eligible: HET cycle

Consent

CN1

CONSENTA

Consent to survey



Universe_DM.

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



CALC_BEGDM.



BEGDM

Time at beginning of DM section

BEGDM = Current time



Residence



INTRO_DM1.

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

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



DM1.

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

EVRHOMLS

Homeless during past 12 months



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_DM1a.

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

Else, go to DM2.



DM1a.

Are you currently homeless?

CURHMLSS

Currently homeless



No

0



Yes

1



Don't Know

9



Refuse to Answer

7






DM2.

What zip code do you live in?

ZIP

Zip code



__ __ __ __ __




Range

00500-99501



Don't Know

999999



Refuse to Answer

777777


HardEdit_DM2.

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

Else, go to DM3.



Nativity



DM3.

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


[DO NOT read choices.]

COUNTRY

Country of birth



United States

1



Mexico

2



Puerto Rico

3



Cuba

4



Other

5



Don't Know

9



Refuse to Answer

7




Check_DM3spec.

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

Else, go to Check_DM3a.



DM3spec.

INTERVIEWER: Specify other country of birth

SPECBORN

Specify country of birth



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



{text response; max length = 100 characters}



Check_DM3a.

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

Else, go to Check_DM3b1.



DM3a.

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


YEARUSA

Year first came to US



__ __ __ __




Range

1900-2100



Don't Know

9999



Refuse to Answer

7777




HardEdit_DM3a.

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

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

Else, go to Check_DM3b1.



Language



Notes_Language.

See Measure References.



Check_DM3b1.

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

Else, go to Check_DM4.



DM3b1.

Do you speak a language other than English at home?

SPKOTLN

Speak language other than English at home



No

0



Yes

1



Don't Know

9



Refuse to Answer

7


Marital status



Check_DM4.

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

Else, go to DM5.



DM4.

What is your current marital status?



[READ choices.]

MSTAT

Marital status



Married

1



Living together as married

2



Separated

3



Divorced

4



Widowed

5



Never married

6



Don't Know

9



Refuse to Answer

7






Socioeconomic Status



DM5.

What is the highest level of education you completed?



[DO NOT read choices.]

SCHOOL

Education



Never attended school

0



Grades 1 through 8

1



Grades 9 through 11

2



Grade 12 or GED

3



Some college, Associate's Degree, or Technical Degree

4



Bachelor's Degree

5



Any post graduate studies

6



Don't Know

9



Refuse to Answer

7






DM6.

What best describes your employment status? Are you:



[READ choices.]

EMPSTAT

Employment status



Employed full-time

1



Employed part-time

2



A homemaker

3



A full-time student

4



Retired

5



Unable to work for health reasons

6



Unemployed

7



Other

8



Don't Know

99



Refuse to Answer

77






INTRO_DM7.

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

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



DM7.

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



[Give Respondent Flashcard E.]



[DO NOT read choices.]

HHINCR6

Household Income



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

0



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

1



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

2



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

3



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

4



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

5



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

6



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

7



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

8



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

9



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

10



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

11



M - $6250 to $8332 (M) $75,000 to $99,999 (Y)

12



N - $8333 or more (M) $100,000 or more (Y)

13



Don't Know

99



Refuse to Answer

77




Check_DM7a.

If R reported income (DM7 GE 0 & LE 13), go to DM7a.

Else, go to INTRO_DM8.



DM7a.

Including yourself, how many people depended on this income?



[INTERVIEWER: Must be at least 1.]

DEPENDR6

Number of dependents



__ __



Range

1-20



Don't Know

99



Refuse to Answer

77




Health Care Access & Utilization

INTRO_DM8.

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



DM8.

Do you currently have health insurance or health care coverage?

CURRHLTH

Currently insured



No

0



Yes

1



Don't Know

9



Refuse to Answer

7






Check_DM8a.

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

Else, go to DM8b.



DM8a.

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



[Give Respondent Flashcard F.]



[READ choices. CHECK ALL that apply.]

TYP_INS

Type of health insurance


TYP_INSA

A private health plan - through an employer or purchased directly



TYP_INSB

Medicaid - for people with low incomes



TYP_INSC

Medicare - for the elderly and people with disabilities



TYP_INSD

Some other government plan



TYP_INSE

TRICARE / CHAMPUS



TYP_INSF

Veterans Administration coverage



TYP_INSG

Some other health insurance




Don't Know

99



Refuse to Answer

77




Check_DM8aspec.

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

Else, go to DM8b.



DM8aspec.

INTERVIEWER: Specify other health insurance or coverage:

SPECINS

Specify other health insurance


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


{text response; max length = 100 characters}



Notes_UsualSourceOfCare.

See Measure References.



DM8b.

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

SRCCAREA

Have a usual source of care



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_DM8b1.

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

Else, go to Check_DM8c.



DM8b.1.

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

SRCCAREB

Why no usual source of care



There is NO place

1



There is more than one place

2



Don't Know

9



Refuse to Answer

7




Check_DM8c.

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

Else, go to DM8d.

DM8c.

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

SRCLOC

Location of usual care



Clinic or health center

1



Doctor's office or HMO

2



Hospital emergency room

3



Some other place

4



Doesn't go to one place most often

5



Don't Know

9



Refuse to Answer

7




DM8d.

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

VSITMD12

Health care visit, 12 months



No

0



Yes

1



Don't Know

9



Refuse to Answer

7






Check_DM8e.1

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

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

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



DM8e.1

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

RECCHIV

Provider offered HIV test, 12 months



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_DM8e.2.

Go to DM8f.



DM8e.2.

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



[READ choices.]

WHNLHCP

When last visited health care provider



More than 1 year ago but less than 2 years ago

1



2 to 5 years ago

2



More than 5 years ago

3



Don't Know

9



Refuse to Answer

7






Notes_UnmetNeedForCare.

See Measure References.



DM8f.

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

HCAFF

Lacked health care due to cost



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Disability

Notes_Disability.

See Measure References.



INTRO_DM9a

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


DM9a.

Are you deaf or do you have serious difficulty hearing?

DISDEAF

Disability - Hearing



No

0



Yes

1



Don't Know

9



Refuse to Answer

7



DM9b.

Are you blind or do you have serious difficulty seeing, even when wearing glasses?

DISBLND

Disability - Vision



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




DM9c.

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

DISCOGN

Disability - Cognition



No

0



Yes

1



Don't Know

9



Refuse to Answer

7



DM9d.

Do you have serious difficulty walking or climbing stairs?

DISWALK

Disability - Ambulation



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




DM9e.

Do you have difficulty dressing or bathing?

DISCARE

Disability - Self-care



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




DM9f.

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

DISERND

Disability - Errands



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




INTRO_DM10.

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


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



Sexual identity



DM10.

Do you consider yourself to be:



[READ choices.]

IDENTR7

Sexual identity



Heterosexual or "Straight"

1



Gay or Lesbian

2



Bisexual

3



Don't Know

9



Refuse to Answer

7




CALC_ENDDM.



ENDDM

Time demographics section ended

ENDDM = Current time





END_DM.

Go to Social Experiences Section (SO).

NHBS ROUND 7 QUESTIONNAIRE

SOCIAL EXPERIENCES (SO)

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

Section

Question #

Variable name

Variable label

Preloaded variables

--

CYCLE

NHBS Cycle

Interviewer Entered Information

IE2

CITY

City

Eligibility Screener

--

EL_MSM

Eligible:MSM cycle

Consent

CN1

CONSENTA

Consent to survey



Universe_SO.

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



CALC_BEGSO.



BEGSO

Time at beginning of SO section

BEGSO = Current time



Check_SO1.

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

Else, go to CALC_ENDSO.


Identity disclosure



SO1.

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

OUT_YN

Disclosed sexuality - Anyone



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_INTRO_SO2a.

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

Else, go to INTRO_SO3a.


Identity disclosure index



INTRO_SO2a.

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



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



SO2a.

Friends who are not gay, lesbian, or bisexual?

OUT_FRI

Disclosed sexuality - Non-GLB friends



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




SO2b.

Family members?

OUT_FAM

Disclosed sexuality - Family members



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_SO2c.

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

Else, go to SO2d.



SO2c.

Women you have sex with?

OUT_FEM

Disclosed sexuality - Women R has sex with



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




SO2d.

Health care providers?

OUT_HCP

Disclosed sexuality - HCP



No

0



Yes

1



Don't Know

9



Refuse to Answer

7


MSM Discrimination



Notes_MSMDiscrimination.

See Measure References.




INTRO_SO3a.

DISPLAY: "READ: The next questions are about things that may have happened to you in the past 12 months, that is, since [fill with interview month, formatted as text] of last year.



In the past 12 months…”






SO3a.

Were you called names or insulted because someone knew or assumed you were attracted to men?

DISC_VER

Discrimination - Verbal



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




SO3b.

Did you receive poorer service than other people in restaurants, stores, other businesses, or agencies because someone knew or assumed you were attracted to men?

DISC_SVC

Discrimination - Poor service



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




SO3c.

Were you treated unfairly at work or school because someone knew or assumed you were attracted to men?

DISC_WRK

Discrimination - Work/school



No

0



Yes

1



Don't Know

9



Refuse to Answer

7



Not Applicable

8




SO3d.

Were you denied or given lower quality health care because someone knew or assumed you were attracted to men?

DISC_HC

Discrimination - Health care



No

0



Yes

1



Don't Know

9



Refuse to Answer

7



Not Applicable

8




SO3e.

Were you physically attacked or injured because someone knew or assumed you were attracted to men?

DISC_ATT

Discrimination - Phys assault



No

0



Yes

1



Don't Know

9



Refuse to Answer

7


Perceived community tolerance



INTRO_SO4.

DISPLAY: "[Give Respondent Flashcard G.]



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



SO4.

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



[READ choices.]

TOLGBR7

Comm. tolerance of gay and bisexual people



Strongly agree

1



Agree

2



Neither agree nor disagree

3



Disagree

4



Strongly disagree

5



Don't Know

9



Refuse to Answer

7




CALC_ENDSO.



ENDSO

Time SO section ended

ENDSO = Current time



END_SO.

Go to Sexual behavior section (SX).



NHBS ROUND 7 QUESTIONNAIRE

SEXUAL BEHAVIOR (SX)

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

Section

Question #

Variable name

Variable label

Preloaded variables

--

CYCLE

NHBS Cycle

Preloaded variables

--

AGO12M_C

12 mos before interview: Century Month

Preloaded variables

--

AGO3M_C

3 mos before interview: Century Month

Preloaded variables

--

IDATEY

Interview date: Year

Preloaded variables

--

IDATE

Interview date

Eligibility Screener

ES9

GENDER

Gender

Eligibility Screener

ES9a

E_EVRMSW

Eligibility: MSM, Ever had sex with woman

Eligibility Screener

ES9b

E_EVRMSM

Eligibility: MSM, Ever had sex with man

Eligibility Screener

--

AGE

QDS calculated age today

Consent

CN1

CONSENTA

Consent to survey

Eligibility Screener

--

EL_MSM

Eligible: MSM cycle

Eligibility Screener

--

EL_IDU

Eligible: IDU cycle

Eligibility Screener

--

EL_HET

Eligible: HET cycle



Universe_SX.

MSM cycle: Rs who are cisgender men, transgender men, men assigned intersex/ambiguous at birth, or nonbinary and assigned male at birth.

PWID & HET cycles: Rs.



CALC_BEGSX.



BEGSX

Time at beginning of SX section

BEGSX = Current time





Check_INFO_SX.

If R cisgender ((BIRTHSEX EQ 1 & GNDRR7=1) or (BIRTHSEX EQ 2 & GENDRR7=2)) or MSM cycle & R is trans man, man assigned intersex/ambiguous at birth, or nonbinary & assigned male at birth (CYCLE EQ 1 & ((BIRTHSEX EQ 2 & GNDRR7 EQ 1) or (BIRTHSEX EQ 3 & GNDRR7 EQ 1) or (BIRTHSEX EQ 1 & GNDRR7 EQ 3))), go to INFO_SX.

Else, go to CALC_ENDSX.



INFO_SX.

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



INTRO_SX.

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





Check_M_FSeries.

If PWID or HET cycle & R cisgender man ((CYCLE EQ 2 or 3) & (BIRTHSEX EQ 1 & GNDRR7 EQ 1) or (BIRTHSEX EQ 2 & GNDRR7 EQ 2)) or MSM cycle & R cisgender man & ever had male-female sex ((CYCLE EQ 1) & (BIRTHSEX EQ 1 & GNDRR7 EQ 1) & ES9a EQ 1), go to INTRO_M_FSeries).

If MSM cycle (CYCLE EQ 1) & R cisgender (BIRTHSEX EQ 1 & GNDRR7 EQ 1), & did not report male-female sex ever (ES9a NE 1), go to CALC_M_FHET.

If MSM cycle & R trans man, man assigned intersex/ambiguous at birth, or nonbinary assigned male at birth (CYCLE EQ 1 & ((BIRTHSEX EQ 2 & GNDRR7 EQ 1) or (BIRTHSEX EQ 3 & GNDRR7 EQ 1) or (BIRTHSEX EQ 1 & GNDRR7 EQ 3))), go to TMSMSeries.

If R is cisgender woman (BIRTHSEX EQ 2 & GNDRR7 EQ 2), go to F_MSeries.

Else, go END_SX.



Universe_M_FSeries.

All cisgender male Rs in IDU and HET cycles ((BIRTHSEX EQ 1 & GNDRR7 EQ 1) & (CYCLE EQ 2 or 3)) and cisgender male Rs in MSM cycle who reported male-female sex ever (CYCLE EQ 1 & BIRTHSEX EQ 1 & GNDRR7 EQ 1 & ES9a EQ 1).



M_F Series: Male Rs – Female Sex Partners



INTRO_M_FSeries.

[Give Respondent Flashcard I.]



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



M_F: Sex with female Ps, lifetime



Check_SX1.

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

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


SX1.

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

M_FEVER

M_F sex y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX2.

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

Else, go to CALC_M_FHET.



SX2.

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

M_FDEBUT

M_F Age at sexual debut




__ __





Range

0-70




Don't Know

99




Refuse to Answer

77




HardEdit_SX2.

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

Else, go to SX3.



M_F: Total Ps, 12m



SX3.

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


M_FSX12

M_F Number of partners in last 12 months




__ __ __ __






Range

0-7000





Don't Know

9999





Refuse to Answer

7777






Check_SX3conf.

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

Else, go to Check_INTRO_SX4.



SX3conf.

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

C_M_F

M_F Conf. had sex in past year - HET




No - HAS had female partner

0




Yes - Has NOT had female partner

1




Don't Know

9




Refuse to Answer

7




HardEdit_SX3conf.

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

Else, go to Check_INTRO_SX4.



Check_INTRO_SX4.

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

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

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



M_F: Total Main & Casual Ps, 12m

One Partner (.o)



INTRO_SX4.

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



[Give Respondent Flashcard J.]"



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



SX4.

Was this woman a main partner or a casual partner?

M_F1SX

M_F Type of partner - single




Main partner

1




Casual partner

2




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX5a.

Go to Check_INTRO_SX6a.o.



Multiple Partners (.m)



INTRO_SX5a.

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



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

SX5a.

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

M_FMSX

M_FM Number of main partners - 12 months



__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX5a.

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

Else, go to Check_SX5b.





Check_SX5b.

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

Else, go to SX5b.



SX5b.

How many were casual partners?

M_FCSX

M_FC Number of casual partners - 12 months



__ __ __ __




Range

0-7000



Don't Know

9999



Refuse to Answer

7777




HardEdit_SX5b.

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

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

Else, go to Check_INTRO_SX6a.o.



M_F: Main Ps - Vaginal Sex, 12m



Check_INTRO_SX6a.o.

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

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

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

VS - One Main Partner



INTRO_SX6a.o.

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



SX6a.o.

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

M_FM1VS

M_FM VS partners - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX6a.m.

Go to Check_SX6b.o.



VS - Multiple Main Partners


INTRO_SX6a.m.

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



SX6a.m.

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

M_FMVS

M_FM VS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX6a.m.

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

Else, go to Check_SX6b.o.



Check_SX6b.o.

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

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

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



UVS - One Main VS Partner



SX6b.o.

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

M_FM1UVS

M_FM UVS partners - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX6b.m.

Go to Check_SX6c.o.



UVS - Multiple Main VS Partners



SX6b.m.

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

M_FMUVS

M_FM UVS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX6b.m.

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

Else, go to Check_SX6c.o.



Check_SX6c.o.

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

Else, go to SX6c.m.



M_F: Main Ps - Anal Sex, 12m

AS - One Main Partner



SX6c.o.

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

M_FM1AS

M_FM AS partners - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX6c.m.

Go to Check_SX6d.o.



AS - Multiple Main Partners



SX6c.m.

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

M_FMAS

M_FM AS partners - 12 months - number



__ __ __ __




Range

0-7000



Don't Know

9999



Refuse to Answer

7777




HardEdit_SX6c.m.

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

Else, go to Check_SX6d.o.



Check_SX6d.o.

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

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

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



UAS - One Main AS Partner



SX6d.o.

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

M_FM1UAS

M_FM UAS partners - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX6d.m.

Go to Check_INTRO_SX7a.o.



UAS - Multiple Main AS Partners



SX6d.m.

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

M_FMUAS

M_FM UAS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX6d.m.

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

Else, go to Check_INTRO_SX7a.o.





M_F: Casual Ps – Vaginal Sex, 12m



Check_INTRO_SX7a.o.

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

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

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



VS - One Casual Partner



INTRO_SX7a.o.

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



SX7a.o.

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

M_FO1VS

M_FC VS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX7a.m.

Go to Check_SX7b.o.



VS - Multiple Casual Partners



INTRO_SX7a.m.

DISPLAY: "READ: Now I'm going to ask you about the [fill with # casual partners (SX5b)] female casual sex partners you had in the past 12 months."



SX7a.m.

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

M_FOVS

M_FC VS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX7a.m.

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

Else, go to Check_SX7b.o.



Check_SX7b.o.

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

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

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



UVS - One Casual VS Partner



SX7b.o.

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

M_FO1UVS

M_FC UVS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX7b.m.

Go to Check_SX7c.o.



UVS - Multiple VS Casual Partners



SX7b.m.

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

M_FOUVS

M_FC UVS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX7b.m.

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

Else, go to SX7c.m.



Check_SX7c.o.

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

Else, go to SX7c.m.



M_F: Casual Ps – Anal Sex, 12m

AS - One Casual Partner



SX7c.o.

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

M_FO1AS

M_FC AS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX7c.m.

Go to Check_SX7d.o.



AS - Multiple Casual Partners



SX7c.m.

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

M_FOAS

M_FC AS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX7c.m.

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

Else, go to Check_SX7d.o.





Check_SX7d.o.

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

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

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



UAS - One Casual AS Partner



SX7d.o.

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

M_FO1UAS

M_FC UAS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX7d.m

Go to Check_SX7e.o.



UAS - Multiple AS Casual Partners



SX7d.m.

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

M_FOUAS

M_FC UAS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX7d.m.

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

Else, go to Check_SX7e.o.



Check_SX7e.o.

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

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



M_F: Casual Ps – Exchange Sex, 12m



EX - One Casual Partner



SX7e.o.

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

M_FO1EG

M_FC Single exchange - gave




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX7e.m.

Go to CALC_M_FHET.



EX - Multiple Casual Partners



SX7e.m.

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

M_FOMEG

M_FC Multiple exchange gave




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX7e.m.

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

Else, go to CALC_M_FHET.









CALC_M_FHET.



M_FHET

M_F HET sex (Y/N)

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



Check_M_MSeries

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

Else, go to M_MSeries.



Universe_M_MSeries.

All cisgender male Rs (BIRTHSEX EQ 1 & GNDRR7 EQ 1).



M_MSeries: Male Rs – Male Sex Partners





INTRO_SX9.

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



[Give Respondent Flashcard K.]



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



M_M: Sex with male Ps, lifetime



Check_SX9.

If IDU or HET cycle, (CYCLE EQ 2 or 3), go to SX9.

Else, go to SX10.



SX9.

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

M_MEVER

M_M Sex with men - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7






Check_SX10.

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

Else, go to CALC_BEGLP.



SX10.

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

M_MDEBUT

M_M Age at first MSM encounter




__ __





Range

0-70




Don't Know

99




Refuse to Answer

77




HardEdit_SX10.

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

Else, go to SX11.







M_M: Total Ps, 12m



SX11.

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

M_MSX12

M_M Number of male partners - 12 months




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




Check_SX11a.

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

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

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

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



SX11a.

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

M_MLOA

M_M last oral/anal




__ __





Range

1-99




Don't Know

999




Refuse to Answer

777




HardEdit­_SX11a.

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

Else, go to CALC_BEGLP.



Check_INTRO_SX12.

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

Else, go to INTRO_SX12.



M_M: Total Main & Casual Ps, 12m

One Partner (.o)



INTRO_SX12.

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



[Give Respondent Flashcard L.]"



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



SX12.

Was this man a main partner or a casual partner?

M_M1SX

M_M Type of partner - single




Main partner

1




Casual partner

2




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX13a.

Go to Check_INTRO_SX14a.o.



Multiple Partners (.m)



INTRO_SX13a.

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



[Give Respondent Flashcard L.]



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



SX13a.

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

M_MMSX

M_MM Number of main partners - 12 months




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX13a.

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

Else, go to Check_SX13b.



Check_SX13b.

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

Else, go to SX13b.



SX13b.

How many were casual partners?

M_MCSX

M_MC Number of casual partners - 12 months




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX13b.

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

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

Else, go to Check_INTRO_SX14a.o.



Check_INTRO_SX14a.o.

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

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

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



M_M: Main Ps – Anal Sex, 12m

AS - One Main Partner



INTRO_SX14a.o.

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



SX14a.o.

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

M_MM1AS

M_MM AS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX14a.m.

Go to Check_SX14b.o.



AS - Multiple Main Partner



INTRO_SX14a.m.

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



SX14a.m.

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

M_MMAS

M_MM AS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX14a.m.

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

Else, go to Check_SX14b.o.



Check_SX14b.o.

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

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

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



UAS - One Main AS Partner



SX14b.o.

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

M_MM1UAS

M_MM UAS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX14b.m.

Go to Check_INTRO_SX15a.o.



UAS - Multiple Main AS Partners



SX14b.m.

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

M_MMUAS

M_MM UAS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX14b.m.

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

Else, go to Check_INTRO_SX15a.o.



M_M: Casual Ps – Anal Sex, 12m



Check_INTRO_SX15a.o.

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

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

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

AS - One Casual Partner



INTRO_SX15a.o.

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



SX15a.o.

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

M_MO1AS

M_MC AS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX15a.m.

Go to Check_SX15b.o.



AS - Multiple Casual Partners



INTRO_SX15a.m.

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



SX15a.m.

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

M_MOAS

M_MC AS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX15a.m.

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

Else, go to Check_SX15b.o.



Check_SX15b.o.

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

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

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



UAS - One Casual AS Partner



SX15b.o.

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

M_MO1UAS

M_MC UAS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX15b.m.

Go to Check_SX15c.o.



UAS - Multiple Casual AS Partners



SX15b.m.

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

M_MOUAS

M_MC UAS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX15b.m.

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

Else, go to Check_SX15c.o.





M_M: Casual Ps – Exchange Sex, 12m



Check_SX15c.o.

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

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

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



EX - One Casual Partner



SX15c.o.

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

M_MO1EG

M_MO Single exchange gave




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




SX15d.o.

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

M_MO1ER

M_MO1 Single exchange received




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX15c.m.

Go to CALC_BEGLP.



EX - Multiple Casual Partners



SX15c.m.

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

M_MOMEG

M_MO Multiple exchange gave




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX15c.m.

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

Else, go to SX15d.m.



SX15d.m.

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

M_MOMER

M_MO Multiple exchange received




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX15d.m.

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

Else, go to CALC_BEGLP.





Check_F_MSeries.

Go to Last Partner Series (LPSeries).





Universe_F_MSeries.

All female Rs (ES9 EQ 2).

F_MSeries: Female Rs – Male Sex Partners



INTRO_F_MSeries.

[Give Respondent Flashcard I.]"



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



F_M: Sex with male Ps, lifetime



Check_SX17.

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

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



SX17.

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

F_MEVER

F_M sex y/no



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_SX18.

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

Else, go to CALC_F_MHET.



SX18.

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

F_MDEBUT

F_M Age at sexual debut



__ __




Range

0-70



Don't Know

99



Refuse to Answer

77




HardEdit_SX18.

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

Else, go to SX19.





F_M: Total Ps, 12m



SX19.

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

F_MSX12

F_M Number of male sex partners - 12 months




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




Check_SX19conf.

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

Else, go to Check_INTRO_SX20.



SX19conf.

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

C_F_M

F_M Conf. had sex in past year - HET




No - HAS had male partner

0




Yes - Has NOT had male partner

1




Don't Know

9




Refuse to Answer

7




HardEdit_SX19conf.

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

Else, go to Check_INTRO_SX20.



Check_INTRO_SX20.

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

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

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



F_M: Total Main & Casual Ps, 12m

One Partner (.o)



INTRO_SX20.

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



[Give Respondent Flashcard L.]"



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





SX20.

Was this man a main partner or a casual partner?

F_M1SX

F_M Type of partner - single




Main partner

1




Casual partner

2




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX21a.

Go to Check_INTRO_SX22a.o.



Multiple Partners (.m)



INTRO_SX21a.

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



[Give Respondent Flashcard L.]"



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



SX21a.

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

F_MMSX

F_MM Number of main partners - 12 months




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX21a.

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

Else, go to Check_SX21b.



Check_SX21b.

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

Else, go to SX21b.



SX21b.

How many were casual partners?

F_MCSX

F_MC Number of casual partners - 12 months




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX21b.

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

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

Else, go to Check_INTRO_SX22a.o.



F_M: Main Ps - Vaginal Sex, 12m



Check_INTRO_SX22a.o.

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

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

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

VS - One Main Partner



INTRO_SX22a.o.

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



SX22a.o.

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

F_MM1VS

F_MM VS partners - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX22a.m.

Go to Check_SX22b.o.



VS - Multiple Main Partners



INTRO_SX22a.m.

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



SX22a.m.

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

F_MMVS

F_MM VS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX22a.m.

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

Else, go to Check_SX22b.o.



Check_SX22b.o.

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

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

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



UVS - One Main VS Partner



SX22b.o.

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

F_MM1UVS

F_MM UVS partners - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX22b.m.

Go to Check_SX22c.o.



UVS - Multiple Main VS Partners



SX22b.m.

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

F_MMUVS

F_MM UVS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777






HardEdit_SX22b.m.

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

Else, go to Check_SX22c.o.





Check_SX22c.o.

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

Else, go to SX22c.m.



F_M: Main Ps - Anal Sex, 12m

AS - One Main Partner



SX22c.o.

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

F_MM1AS

F_MM AS partners - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX22c.m

Go to Check_SX22d.o.



AS - Multiple Main Partners





SX22c.m.

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

F_MMAS

F_MM AS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX22c.m.

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

Else, go to Check_SX22d.o.



Check_SX22d.o.

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

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

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



UAS - One Main AS Partner



SX22d.o.

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

F_MM1UAS

F_MM UAS partners - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX22d.m.

Go to Check_INTRO_SX23a.o.

UAS - Multiple Main AS Partners





SX22d.m.

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

F_MMUAS

F_MM UAS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX22d.m.

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

Else, go to Check_INTRO_SX23a.o.





F_M: Casual Ps – Vaginal Sex, 12m



Check_INTRO_SX23a.o.

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

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

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



VS - One Casual Partner



INTRO_SX23a.o.

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



SX23a.o.

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

F_MO1VS

F_MC VS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX23a.m.

Go to Check_SX23b.o.



VS - Multiple Casual Partners



INTRO_SX23a.m.

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



SX23a.m.

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

F_MCVS

F_MC VS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX23a.m.

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

Else, go to Check_SX23b.o.



Check_SX23b.o.

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

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

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



UVS - One Casual VS Partner



SX23b.o.

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

F_MO1UVS

F_MC UVS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX23b.m.

Go to Check_SX23c.o.

UVS - Multiple VS Casual Partners



SX23b.m.

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

F_MCUVS

F_MC UVS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX23b.m.

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

Else, go to SX23c.m.



Check_SX23c.o.

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

Else, go to SX23c.m.



F_M: Casual Ps – Anal Sex, 12m

AS - One Casual Partner



SX23c.o.

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

F_MO1AS

F_MC AS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX23c.m.

Go to Check_SX23d.o.



AS - Multiple Casual Partner



SX23c.m.

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

F_MCAS

F_MC AS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX23c.m.

If # casual AS partners GT # casual partners (SX23c.m. GT SX2