NHBS-Trans Interview - English

Barriers and Facilitators to Expanding the NHBS to Conduct HIV Behavioral Surveillance Among Transgender Women (NHBS-Trans)

TRANS Network Series (INTRO_NS1 - NS2c.2)

Nativity

Language

Marital status

Socioeconomic Status

Cumulative Sexual Behavior

Partner by Partner Initials

Injection history, lifetime

Injection Frequency, 12m

Injection Behaviors, 12m

Non-Self-reported Positive (NSRP) Series (HT3 – HT6a)

Self-Reported HIV-positive (SRP) Series (HT7 – HT7g)

HIV Prevention Resources

HIV Prevention Interventions

PrEP/PEP/HIV Perceptions

HIV Test Consent Confirmation

Interviewer Assessment – Post-Interview

RDS Recruiter Variables

Interviewer Comments

Flashcard A

Flashcard B

Flashcard C

Flashcard D

Flashcard E

Flashcard F

Flashcard G

Flashcard H

Flashcard I

Flashcard J

Flashcard K

Flashcard L

Flashcard M

Flashcard N

Flashcard O

Flashcard P

Flashcard Q

Flashcard R

Flashcard S

Flashcard T

Att 6a NHBS-Trans Interview (English)

Eligible and consenting participants - NHBS-Trans Interview

OMB: 0920-1262

TRANS Recruiter Relationship

Network Size

P1Series: Last Partner

P2Series: Second to Last Partner

P3Series: Third to Last Partner

Recent HIV testing

Barriers to HIV Testing

HIV Medications

P1: Relationship Length

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-1262 can be found here:

Document [docx]

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Form Approved

OMB No: 0920-XXXX

OMB Exp. Date: XX/XX/XXXX

Barriers and Facilitators to Expanding the NHBS to Conduct HIV Behavioral Surveillance Among Transgender Women (NHBS-Trans)

Attachment #6a (English)

NHBS-Trans Interview (English)

Privacy Act Statement:

This information is collected under the authority of the Public Health Service Act, Section 301, "Research and Investigation," (42 U.S.C. 241); and Sections 304, 306 and 308(d) which discuss authority to maintain data and provide assurances of confidentiality for health research and related activities (42 U.S.C. 242 b, k, and m(d)). This information is also being collected in conjunction with the provisions of the Government Paperwork Elimination Act and the Paperwork Reduction Act (PRA). This information will only be used by the Centers for Disease Control and Prevention (CDC) staff to field test a needs assessment regarding HIV risk behaviors, gaps and barriers to services, and other experiences of transgender women within racial and ethnic minority populations in 9 U.S. cities with high burden of HIV.

Public reporting burden of this collection of information is estimated to average 40 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; Attn: OMB-PRA (0920-New)

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_TRANS	Eligible: TRANS cycle
Consent	CN1	CONSENTA	Consent to survey

Universe_CI.

All Eligible Rs (CYCLE EQ 4 & EL_TRANS EQ 1) who consent to interview (CN1 EQ 1).

CI1_OMB.

DISPLAY: Public reporting burden of this collection of information is estimated to average 40 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-####). 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. While we acknowledge that persons may have distinct ways of referring to their gender identity, we will be using standardized terms because we need to be sure we are collecting the same information from everyone who takes the survey. During the survey, the term “transgender” is used broadly to refer to persons who identify, live, or present as a gender other than the one associated with their physical sex listed at birth."

Then, go to END_CI.

END_CI.

Go to Network Section (NS).

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	IE5	ISEED	Respondent is a seed
Eligibility Screener		EL_TRANS	Eligible: TRANS cycle
Consent	CN1	CONSENTA	Consent to survey

UNIVERSE_NS.

TRANS cycle eligible Rs (CYCLE EQ 4 & EL_TRANS 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 R is not a seed (IE5 EQ 0), go to INTRO_NS1.

If R is a seed (IE5 EQ 1), go to INTRO_NS2.

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)]. 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_TREL		Relationship to Recruiter, TRANS
	NS_TRELA	A relative or family member
	NS_TRELB	A person you have sex with
	NS_TRELC	A friend
	NS_TRELD	An acquaintance, that is, a person you know but do not consider a friend
	NS_TRELE	A stranger, you don't know the person or just met them
		Refuse to Answer	7

HardEdit_NS1.

If recruiter was a stranger and some other relationship type (NS_TRELE EQ 1 & NS_TREL GT 1), 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_TRELE EQ 1), go to NS1CONF.

If recruiter was not a stranger (NS_TRELE NE 1), go to INTRO_NS2.

NS1CONF.	When and where did you first see this person? [DO NOT read choices.] [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_RSTRT	Confirmation: recruiter is a stranger
	Recruiter is a stranger	1
	Recruiter is NOT a stranger	2

Check_INTRO_NS2.

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

If R confirms that recruiter was a stranger (NS1CONF EQ 1), go to INTRO_NS2.

INTRO_NS2.

DISPLAY: "READ: Now, I'm going to ask you about transgender women you know. I will not ask you any questions about any specific person."

NS2.	Please tell me how many transgender women you know and who know you and whom you have interacted with 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 (IE5 EQ 0), fill with "Please include the person who gave you the coupon."]
NS_TW	# transwomen known: net size
	Range	0 - 7500
	Don't Know	9999
	Refuse to Answer	7777

Check_NS2CONFa.

If R has not seen any other transgender women (NS_TW EQ 0), go to NS2CONFa.

Else, go to CALC_ENDNS.

NS2CONFa.	You said you haven't seen any transgender women 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 someone you know who is at least 18 years old. Is this correct? [If R is not a seed (IE5 EQ 0), fill with "Did you include the person who gave you the coupon?"]
NS_TZERO	Confirmation: NSC_TRAN = 0
	No - - DOES know others	0
	Yes - - does NOT know any others	1

Check_NS2CONFb.

If R does not know others (NS2CONFa EQ 1), go to CALC_ENDNS.

If R does know others (NS2CONFa EQ 0), DISPLAY: "INTERVIEWER: Please re-enter the correct network size." Then, go back to NS2.

CALC_ENDNS.
ENDNS	Time network section ended	ENDNS = Current time

END_NS.

Go to Demographic Section (DM).

NHBS TRANS 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_TRANS	Eligible: TRANS cycle
Consent	CN1	CONSENTA	Consent to survey

Universe_DM.

All Eligible Rs (CYCLE EQ 4 & EL_TRANS EQ 1) who consent to interview (CN1 EQ 1).

CALC_BEGDM.
BEGDM	Time at beginning of DM section	BEGDM = Current time

DM3.	Now, 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.

Check_DM3b1.

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

Else, go to 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

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

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

INTRO_DM7.

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. If you live on your own, your household income is the money you live off of."

DM7.	[Give Respondent Flashcard D.] What was your household income last year 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. [DO NOT read choices.]
HHINCOM	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 or more (M) $75,000 or more (Y)	12
	Don't Know	99
	Refuse to Answer	77

Check_DM7a.

If R reported income (DM7 GE 0 & LE 12), go to DM7a.

Else, go to DM8.

DM7a.	Including yourself, how many people depended on this income? [INTERVIEWER: Must be at least 1.]
DEPEND	Number of dependents
	__ __
	Range	1-76
	Don't Know	99
	Refuse to Answer	77

Food Insecurity

DM8.		In the past 12 months, did you ever cut the size of your meals or skip meals because there wasn’t enough money for food?
CUTMLSZ	Cut or skip meal due to money
		No	0
		Yes	1
		Don’t Know	9
		Refuse to Answer	7

Homelessness

INTRO_DM10.

DISPLAY: "READ: Next, I'd like to ask you some questions about where you live. Please remember your answers will be kept private."

DM10.	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.
P12HOMLS	Homeless during past 12 months
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_DM10a.

If R homeless in last 12 months (DM10 EQ 1), go to DM10a.

Else, go to DM13.

DM10a.	In the past 12 months, about how many total nights were you homeless?
HOMLSNTS	Nights homeless
	__ __ __
	Range	0-365
	Don’t Know	999
	Refuse to Answer	777

DM11.	In the past 12 months, have you been refused access to a shelter because you are transgender or gender non-conforming?
SHLTRRF	Homeless shelter refusal because transgender
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

DM12.	Are you currently homeless?
CNTHOMLS	Currently homeless
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

DM13.	What zip code do you live in?
ZIP	Zip code
	__ __ __ __ __
	Range	00500-99501
	Don't Know	999999
	Refuse to Answer	777777

HardEdit_DM13.

If response to DM13 is not 5 digits long, DISPLAY: "INTERVIEWER: The ZIP code you entered was [fill with response to DM13]. This number should be 5 digits long. Please re-enter the zip code." Then, go back to DM13.

Else, go to INTRO_DM14a.

INTRO_DM14a.

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

DM14a.	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

DM14b.	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

DM14c.	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

DM14d.	Do you have serious difficulty walking or climbing stairs?
DISWALK	Disability - Ambulation
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

DM14e.	Do you have difficulty dressing or bathing?
DISCARE	Disability - Self-care
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

DM14f.	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

CALC_ENDDM.
ENDDM	Time demographics section ended	ENDDM = Current time

END_DM.

Go to Healthcare Access Section (HA).

HEALTHCARE ACCESS (HA)

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
Eligibility Screener		EL_TRANS	Eligible: TRANS cycle
Consent	CN1	CONSENTA	Consent to survey

Universe_HA.

All Eligible Rs (CYCLE EQ 4 & EL_TRANS EQ 1) who consent to interview (CN1 EQ 1).

CALC_BEGHA.
BEGHA	Time at beginning of HA section	BEGHA = Current time

INTRO_HA1.

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."

HA1.	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_HA1a.

If R currently insured (HA1 EQ 1), go to HA1a.

Else, go to HA1b.

HA1a.		[Give Respondent Flashcard E.] What kind of health insurance or coverage do you currently have? [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_HA1aspec.

If R reported 'other' insurance type (TYP_INSG EQ 1), go to HA1aspec.

Else, go to HA1b.

HA1aspec.		INTERVIEWER: Specify other health insurance or coverage:
SPECINS		Specify other health insurance
		__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
		{text response; max length = 100 characters}

HA1b.	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_HA1b.1.

If R has no usual source of care (HA1b EQ 0), go to HA1b.1.

Else, go to Check_HA1c.

HA1b.1.	Is this because there is no usual place you go for health care or because there is more than one place?
SRCCAREB	Why no usual source of care
	There is no usual place	1
	There is more than one place	2
	Don't Know	9
	Refuse to Answer	7

Check_HA1c.

If R has 1 or more usual source of care (HA1b EQ 1 or HA1b.1 EQ 2), go to HA1c.

Else, go to HA1d.

HA1c.	What kind of place [if R has usual source of care (HA1B 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

HA1d.	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_HA1e.1

If whether R saw health care provider not reported (HA1d EQ DK or REF), go to HA1f.

If R saw health care provider (HA1d EQ 1), go to HA1e.1

If R did NOT see health care provider (HA1d EQ 0), go to HA1e.2

HA1e.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_HA1e.2.

Go to HA1f.

HA1e.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

HA1f.	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

HA1g.	Do you have a health care provider with whom you feel comfortable discussing gender-related health issues?
PROVCOMF	Comfortable with provider
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_HA1h.

If R does not have a health care provider they feel comfortable with (HA1g EQ 0), go to HA1h.

Else, go to CALC_ENDHA.

HA1h.	Have you ever had a health care provider with whom you felt comfortable discussing gender-related health issues?
EVRCOMF	Ever comfortable with provider
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

CALC_ENDHA.
ENDHA	Time healthcare access section ended	ENDHA = Current time

END_HA.

Go to Gender Identity section (GI).

GENDER IDENTITY (GI)

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	--	IDATEM	Interview date: Month
Preloaded variable	--	IDATED	Interview date: day
Eligibility Screener		EL_TRANS	Eligible: TRANS cycle
Consent	CN1	CONSENTA	Consent to survey

Universe_GI.

All Eligible Rs (CYCLE EQ 4 & EL_TRANS EQ 1) who consent to interview (CN1 EQ 1).

CALC_BEGGI.
BEGGI	Time at beginning of GI section	BEGGI = Current time

INTRO_GI1.

DISPLAY: "READ: The next questions are about your gender identity."

GI1.	At what age did you first become aware that your own sense of your gender did not match your body or physical appearance?
AGEGEND	Age aware of gender identity
	__ __ __
	Range	0-100
	Don’t Know	999
	Refuse to Answer	777

HardEdit_GI1.

If age of gender identity awareness greater than current age (GI1 GT AGE), DISPLAY: “INTERVIEWER: The age of gender identity awareness cannot be greater than respondent’s current age ([fill with R’s age (AGE)]). Please clarify and re-enter response.” Then, go back to GI1.

Else, go to INTRO_GI2.

INTRO_GI2.

DISPLAY: "[Give Respondent Flashcard F.]

READ: For the following items, please indicate the response that best describes your experiences over the past two weeks. For each statement, please tell me how strongly you agree or disagree with it, using one of the options on this card.”

GI2.	My outward appearance represents my gender identity. Do you... [READ choices.]
APPGEND	Outward appearance represents gender identity
	Strongly agree	1
	Agree	2
	Neither agree nor disagree	3
	Disagree	4
	Strongly disagree	5
	Don’t Know	9
	Refuse to Answer	7

GI3.	I experience a sense of unity between my gender identity and my body. Do you… [READ choices.]
BDYGEND	Unity between gender identity and body
	Strongly agree	1
	Agree	2
	Neither agree nor disagree	3
	Disagree	4
	Strongly disagree	5
	Don’t Know	9
	Refuse to Answer	7

GI4.	My physical appearance adequately expresses my gender identity. Do you… [READ choices.]
EXPGEND	Appearance expresses gender identity
	Strongly agree	1
	Agree	2
	Neither agree nor disagree	3
	Disagree	4
	Strongly disagree	5
	Don’t Know	9
	Refuse to Answer	7

GI5.	I am generally comfortable with how others perceive my gender identity when they look at me. Do you… [READ choices.]
PRCVGEND	Comfortable how others perceive gender identity
	Strongly agree	1
	Agree	2
	Neither agree nor disagree	3
	Disagree	4
	Strongly disagree	5
	Don’t Know	9
	Refuse to Answer	7

GI6.	My physical body represents my gender identity. Do you… [READ choices.]
REPGEND	Body represents gender identity
	Strongly agree	1
	Agree	2
	Neither agree nor disagree	3
	Disagree	4
	Strongly disagree	5
	Don’t Know	9
	Refuse to Answer	7

GI7.	The way my body currently looks does NOT represent my gender identity. Do you… [READ choices.]
NREPGEND	Body does not represent gender identity
	Strongly agree	1
	Agree	2
	Neither agree nor disagree	3
	Disagree	4
	Strongly disagree	5
	Don’t Know	9
	Refuse to Answer	7

GI8.	I am happy with the way my appearance expresses my gender identity. Do you… [READ choices.]
HYEXGEND	Happy with how appearance expresses gender identity
	Strongly agree	1
	Agree	2
	Neither agree nor disagree	3
	Disagree	4
	Strongly disagree	5
	Don’t Know	9
	Refuse to Answer	7

GI9.	I do NOT feel that my appearance reflects my gender identity. Do you… [READ choices.]
APPNGEND	Appearance does not reflect gender identity
	Strongly agree	1
	Agree	2
	Neither agree nor disagree	3
	Disagree	4
	Strongly disagree	5
	Don’t Know	9
	Refuse to Answer	7

GI10.	I feel that my mind and body are consistent with one another. Do you… [READ choices.]
MDBYGEND	Mind and body are consistent
	Strongly agree	1
	Agree	2
	Neither agree nor disagree	3
	Disagree	4
	Strongly disagree	5
	Don’t Know	9
	Refuse to Answer	7

GI11.	I am NOT proud of my gender identity. Do you… [READ choices.]
NPRDGEND	Not proud of gender identity
	Strongly agree	1
	Agree	2
	Neither agree nor disagree	3
	Disagree	4
	Strongly disagree	5
	Don’t Know	9
	Refuse to Answer	7

GI12.	I am happy that I have the gender identity that I do. Do you… [READ choices.]
HPPYGEND	Happy to have current gender identity
	Strongly agree	1
	Agree	2
	Neither agree nor disagree	3
	Disagree	4
	Strongly disagree	5
	Don’t Know	9
	Refuse to Answer	7

GI13.	I have accepted my gender identity. Do you… [READ choices.]
ACPTGEND	Accepted gender identity
	Strongly agree	1
	Agree	2
	Neither agree nor disagree	3
	Disagree	4
	Strongly disagree	5
	Don’t Know	9
	Refuse to Answer	7

INTRO_GI14.

DISPLAY: "READ: The next set of statements is about your family, friends and other special people in your life. We will continue to use the options on this card.”

GI14.	There is a special person who is around when I am in need. Do you… [READ choices.]
SPRSNEED	Special person
	Strongly agree	1
	Agree	2
	Neither agree nor disagree	3
	Disagree	4
	Strongly disagree	5
	Don’t Know	9
	Refuse to Answer	7

GI15.	There is a special person with whom I can share joys and sorrows. Do you… [READ choices.]
SPRSSHR	Share joy/sorrow with special person
	Strongly agree	1
	Agree	2
	Neither agree nor disagree	3
	Disagree	4
	Strongly disagree	5
	Don’t Know	9
	Refuse to Answer	7

GI16.	My family really tries to help me. Do you… [READ choices.]
FAMHLPS	Family helps
	Strongly agree	1
	Agree	2
	Neither agree nor disagree	3
	Disagree	4
	Strongly disagree	5
	Don’t Know	9
	Refuse to Answer	7

GI17.	I get the emotional help and support I need from my family. Do you… [READ choices.]
FAMSPPRT	Emotional support family
	Strongly agree	1
	Agree	2
	Neither agree nor disagree	3
	Disagree	4
	Strongly disagree	5
	Don’t Know	9
	Refuse to Answer	7

GI18.	I have a special person who is a real source of comfort to me. Do you… [READ choices.]
SPRSCMFT	Special person comfort
	Strongly agree	1
	Agree	2
	Neither agree nor disagree	3
	Disagree	4
	Strongly disagree	5
	Don’t Know	9
	Refuse to Answer	7

GI19.	My friends really try to help me. Do you… [READ choices.]
FRNDHLP	Friends help
	Strongly agree	1
	Agree	2
	Neither agree nor disagree	3
	Disagree	4
	Strongly disagree	5
	Don’t Know	9
	Refuse to Answer	7

GI20.	I can count on my friends when things go wrong. Do you… [READ choices.]
FRNDCNT	Count on friends
	Strongly agree	1
	Agree	2
	Neither agree nor disagree	3
	Disagree	4
	Strongly disagree	5
	Don’t Know	9
	Refuse to Answer	7

GI21.	I can talk about my problems with my family. Do you… [READ choices.]
FAMTALK	Talk about problems to family
	Strongly agree	1
	Agree	2
	Neither agree nor disagree	3
	Disagree	4
	Strongly disagree	5
	Don’t Know	9
	Refuse to Answer	7

GI22.	I have friends with whom I can share my joys and sorrows. Do you… [READ choices.]
FRNDSHR	Share joy/sorrow with friends
	Strongly agree	1
	Agree	2
	Neither agree nor disagree	3
	Disagree	4
	Strongly disagree	5
	Don’t Know	9
	Refuse to Answer	7

GI23.	There is a special person in my life who cares about my feelings. Do you… [READ choices.]
SPRSFEEL	Special person cares about feelings
	Strongly agree	1
	Agree	2
	Neither agree nor disagree	3
	Disagree	4
	Strongly disagree	5
	Don’t Know	9
	Refuse to Answer	7

GI24.	My family is willing to help me make decisions. Do you… [READ choices.]
FAMDEC	Family decision help
	Strongly agree	1
	Agree	2
	Neither agree nor disagree	3
	Disagree	4
	Strongly disagree	5
	Don’t Know	9
	Refuse to Answer	7

GI25.	I can talk about my problems with my friends. Do you… [READ choices.]
FRNDTALK	Talk to friends
	Strongly agree	1
	Agree	2
	Neither agree nor disagree	3
	Disagree	4
	Strongly disagree	5
	Don’t Know	9
	Refuse to Answer	7

CALC_ENDGI.
ENDGI	Time gender identity section ended	ENDGI = Current time

END_GI.

Go to Medical Gender Affirmation section (MG).

MEDICAL GENDER AFFIRMATION (MG)

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
Eligibility Screener		EL_TRANS	Eligible: TRANS cycle
Consent	CN1	CONSENTA	Consent to survey
Healthcare Access	HA1	CURRHLTH	Currently insured
Gender Identity	GI1	AGEGEND	Age aware of gender identity

Universe_MG.

All Eligible Rs (CYCLE EQ 4 & EL_TRANS EQ 1) who consent to interview (CN1 EQ 1).

CALC_BEGMG.
BEGMG	Time at beginning of MG section	BEGMG = Current time

INTRO_MG1.

DISPLAY: "READ: The next set of questions is about hormones and surgeries you may have used to help make your body align with your gender identity. These things are sometimes referred to as medical gender affirmation or gender transition, though we recognize that there are many ways to define gender transition that do not include hormones or surgery.”

MG1.	Have you ever taken hormones for gender transition or affirmation?
EVRHORM	Medical gender transition initiation
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_MG1a.

If R has used hormones (MG1 EQ 1), go to MG1a.

Else, go to Check_MG1b.

MG1a.	Are you currently taking hormones for gender transition or affirmation?
CURHORM	Currently on hormones
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_MG1b.

If R did not report ever having taken hormones for gender transition (MG1 EQ 0, DK, or REF) or is not currently taking hormones (MG1a EQ 0, DK, or REF), go to MG1b.

Else, go to Check_MG2.

MG1b.	Would you like to take hormones for gender transition or affirmation?
WNTHORM	Want hormones
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_MG2.

If R currently has health insurance (HA1 EQ 1) and is currently taking hormones or would like to take hormones (MG1a EQ 1 or MG1b EQ 1), go to MG2.

Else, go to Check_MG3.

MG2.	Does your current health insurance cover hormones for gender transition or affirmation?
INSHORM	Insurance cover hormone treatments
	No	0
	Yes	1
	Don’t Know	9
	Refuse to Answer	7

Check_MG3.

If R has ever taken hormones (MG1 EQ 1), go to MG3.

Else, go to INTRO_MG9.

MG3.	How old were you when you began taking hormones for gender transition or affirmation?
AGEHORM	Age began hormones
	__ __ __
	Range	0-100
	Don’t Know	999
	Refuse to Answer	777

HardEdit_MG3.

If age of first hormones greater than current age (MG3 GT AGE), DISPLAY: “INTERVIEWER: The age at first hormones cannot be greater than respondent’s current age ([fill with R’s age (AGE)]). Please clarify and re-enter response.” Then, go back to MG3.

Else, go to Check_MG4.

If age of first hormones less than age of first trans identity (MG3 LT GI1), DISPLAY: “INTERVIEWER: The age at first hormones cannot be less than respondent’s age of first trans identity ([fill with R’s age of first trans identity (GI1)]). Please clarify and re-enter response.” Then go back to MG3.

Else, go to Check_MG4.

Check_MG4.

If R has ever taken hormones but did not report not currently taking hormones (MG1 EQ 1 and MG1a NE 1), go to MG4.

Else, go to Check_MG5.

MG4.	In the past 12 months, have you used hormones for gender transition or affirmation?
HORMAFF	Taken hormones for gender affirmation
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_MG5.

If R has taken hormones in the past 12 months (MG4 EQ 1) or is currently taking hormones (MG1a EQ 1), go to MG5.

Else, go to INTRO_MG9.

MG5.	In the past 12 months, have you used hormones that were not prescribed to you by a doctor or other health care professional?
HORMRX	Taken hormones not prescribed
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_MG5a.

If R has taken hormones in the past 12 months that were not prescribed to them (MG5 EQ 1), go to MG5a.

Else, go to MG6.

MG5a.		[Give Respondent Flashcard G.] In the past 12 months, where did you get your hormones that were not prescribed to you? You can choose more than one answer. [READ choices. CHECK ALL that apply.]
GETHORM		Where did you get hormones
	GETHORMA	Pharmacy or drug store
	GETHORMB	Doctor’s office, clinic or hospital
	GETHORMC	Friend, acquaintance, relative, or sex partner
	GETHORMD	Off the streets (dealer/black market)
	GETHORME	Internet
	GETHORMF	Other
		Don’t Know	9
		Refuse to Answer	7

MG6.		[Give Respondent Flashcard H.] In the past 12 months, what forms of hormones did you take? You can choose more than one answer. [READ choices. CHECK ALL that apply.]
TYPHORM		What types of hormones
	TYPHORMA	Pills
	TYPHORMB	Skin patch or cream
	TYPHORMC	Shots/injection
	TYPHORMD	Other
		Don’t Know	9
		Refuse to Answer	7

Check_MG7.

If R selected shots/injection (TYPHORMC EQ 1), go to MG7.

Else, go to INTRO_MG9.

MG7.		[Give Respondent Flashcard I.] In the past 12 months, when you had a hormone injection or shot, where did the needle(s) come from that were used to give the shot? You can choose more than one answer. [READ choices. CHECK ALL that apply.]
WHRNDL		Where needle came from for hormone shot
	WHRNDLA	Pharmacy or drug store
	WHRNDLB	Doctor’s office, clinic or hospital
	WHRNDLC	Friend, acquaintance, relative, or sex partner
	WHRNDLD	Off the streets (dealer/black market)
	WHRNDLE	Needle exchange program
	WHRNDLF	Other
		Don’t Know	9
		Refuse to Answer	7

MG8.	[Give Respondent Flashcard J.] In the past 12 months, when you had a hormone shot, how often was a new, sterile needle used? By a new, sterile needle, I mean a needle never used before by anyone, even you. [READ choices.]
STRLHORM	How often sterile needle used
	Never	0
	Rarely	1
	About half the time	2
	Most of the time	3
	Always	4
	Don’t Know	9
	Refuse to Answer	7

INTRO_MG9.

DISPLAY: "READ: The next questions are about surgeries for gender transition or affirmation.”

MG9.	Have you ever had any type of surgery for gender transition or affirmation?
EVRSURG	Ever had surgery for gender affirmation
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_MG9a.

If R has had surgery (MG9 EQ 1), go to MG9a.

If R does not know or refuses to report if ever had surgery (MG9 EQ DK or REF), go to CALC_ENDMG.

Else, go to MG9b.

MG9a.	Do you plan or want to get additional surgeries for gender transition or affirmation?
MORESURG	Want additional surgeries
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_MG9b.

Go to MG10.

MG9b.	Do you want to have surgery for gender transition or affirmation?
WNTSURG	Want surgery
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_MG10.

If R has not had surgery and does not plan or want to have surgery (MG9 EQ 0 and (MG9B EQ 0, DK, or REF)), go to CALC_ENDMG.

Else, go to INTRO_MG11.

MG10.	How old were you when you had your first surgery for gender transition or affirmation?
AGESURG	Age first surgery
	__ __ __
	Range	0-100
	Don’t Know	999
	Refuse to Answer	777

HardEdit_MG10.

If age of first surgery greater than current age (MG10 GT AGE), DISPLAY: “INTERVIEWER: The age at first surgery cannot be greater than respondent’s current age ([fill with R’s age (AGE)]). Please clarify and re-enter response.” Then, go back to MG10.

Else, go to INTRO_MG11.

If age of first surgery less than age of first trans identity (MG10 LT GI1), DISPLAY: “INTERVIEWER: The age at first surgery cannot be less than respondent’s age of first trans identity ([fill with R’s age of first trans identity (GI1)]). Please clarify and re-enter response.” Then go back to MG10.

Else, go to INTRO_MG11.

INTRO_MG11.

DISPLAY: “READ: Now I’m going to ask you about specific types of surgeries. People do not all use the same words or names to talk about body parts. In this survey, we use the medical words that refer to parts of the body. These may not be the words you use. For this project, we use the medical words so that everyone understands what question we are asking.”

Check_MG11.

If R has had surgery (MG9 EQ 1), go to MG11.

Else, go to Check_MG11a.

MG11.	Have you had a vaginoplasty, which is a surgery that turns a penis into a vagina?
HADVAGI	Ever had vaginoplasty
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_MG11a.

If R has had a vaginoplasty (MG11 EQ 1), go to MG12.

If R has not had a vaginoplasty (MG9 EQ 0 or MG11 EQ 0) and wants surgery (MG9a EQ 1 or MG9b EQ 1), go to MG11a.

Else, go to Check_MG11b.

MG11a.	Do you want a vaginoplasty, which is a surgery that turns a penis into a vagina?
WNTVAGI	Want vaginoplasty
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_MG11b.

If R has had surgery (MG9 EQ 1), go to MG11b.

Else, go to Check_MG11c.

MG11b.	Have you had an orchiectomy, which is a surgery to remove the testicles?
HADORCH	Ever had orchiectomy
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_MG11c.

If R has not had a orchiectomy (MG9 EQ 0 or MG11b EQ 0) and wants surgery (MG9a EQ 1 or MG9b EQ 1), go to MG11c.

Else, go to Check_ MG12.

MG11c.	Do you want an orchiectomy, which is a surgery to remove the testicles?
WNTORCH	Want orchiectomy
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_MG12.

If R has had surgery (MG9 EQ 1), go to MG12.

Else, go to Check_MG12a.

MG12.	Have you had a breast augmentation, which is a surgery to make breasts bigger?
HADAUG	Ever had breast augmentation
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_MG12a.

If R has not had a breast augmentation (MG9 EQ 0 or MG12 EQ 0) and wants surgery (MG9a EQ 1 or MG9b EQ 1), go to MG12a.

Else, go to CALC_ENDMG.

MG12a.	Do you want a breast augmentation, which is a surgery to make breasts bigger?
WNTAUG	Want breast augmentation
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

CALC_ENDMG.
ENDMG	Time MG section ended	ENDMG = Current time

END_MG.

Go to Other Injections section (OI).

OTHER INJECTIONS (OI)

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
Eligibility Screener		EL_TRANS	Eligible: TRANS cycle
Consent	CN1	CONSENTA	Consent to survey

Universe_OI.

All Eligible Rs (CYCLE EQ 4 & EL_TRANS EQ 1) who consent to interview (CN1 EQ 1).

CALC_BEGOI.
BEGOI	Time at beginning of OI section	BEGOI = Current time

INTRO_OI1.

DISPLAY: “READ: The next questions are about injection of things other than hormones to change your body to match your gender identity. An example is injecting silicone.”

OI1.	Have you ever injected substances other than hormones to change your body to match your gender identity?
OTHINJ	Ever injected other substances for gender identity
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_OI2.

If R has ever injected substances other than hormones (OI1 EQ 1), go to OI2.

Else, go to CALC_ENDOI.

OI2.	In the past 12 months, have you injected these substances?
RECINJ	Other injection in past 12 months
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_OI3.

If R injected other substances in the past 12 months (OI2 EQ 1), go to OI3.

Else, go to CALC_ENDOI.

OI3.		In the past 12 months, who gave you these other injections? You can choose more than one answer. [READ choices. CHECK ALL that apply.]
WHOINJ		Who gave you other injections
	WHOINJA	A doctor, nurse or other healthcare professional	1
	WHOINJB	You gave them to yourself	2
	WHOINJC	Someone else gave them to you	3
		Don’t Know	9
		Refuse to Answer	7

OI4.	[Give Respondent Flashcard J.] In the past 12 months, when you had these other injections, how often was a new, sterile needle used? By a new, sterile needle, I mean a needle never used before by anyone, even you. [READ choices.]
STRLOTH	How often sterile needle used
	Never	0
	Rarely	1
	About half the time	2
	Most of the time	3
	Always	4
	Don’t Know	9
	Refuse to Answer	7

CALC_ENDOI.
ENDOI	Time other injections section ended	ENDOI = Current time

END_OI.

Go to Sexual Behaviors section (SX).

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
Eligibility Screener	--	EL_TRANS	Eligible: TRANS cycle
Consent	CN1	CONSENTA	Consent to survey
Preloaded variables	--	AGO12M_C	12 mos before interview: Century Month
Preloaded variables	--	IDATEY	Interview date: Year
Preloaded variables	--	IDATE	Interview date
Eligibility Screener	--	AGE	QDS calculated age today

Universe_SX.

All Eligible Rs (CYCLE EQ 4 & EL_TRANS EQ 1) who consent to interview (CN1 EQ 1).

CALC_BEGSX.
BEGSX	Time at beginning of SX section	BEGSX = Current time

INTRO_SX1.

DISPLAY: “READ: Next, I’m going to ask you some questions about having sex. Please remember your answers will be kept private. People may have distinct names or ways of referring to their sexual body parts. We will be using standardized terms because we need to be sure we are collecting the same information from everyone who takes the survey. Again, the answers you give will be private. It's important for the study that your answers be as accurate as possible. You may skip any questions you are not comfortable answering. Please let me know which questions are not applicable to you. I need to ask you all of these questions, even if some may not apply to your situation.”

SX1.		In the past 12 months, that is, since [fill with interview month, formatted as text] of last year, have you had oral, vaginal, or anal sex?
	RECNTSEX	Sex in past 12 months
		No	0
		Yes	1
		Don't Know	9
		Refuse to Answer	7

Check_SX2.

If R had sex in past 12 months (SX1 EQ 1), go to SX2.

Else, go to CALC_ENDSX.

SX2.		In the past 12 months, have you had vaginal sex? By vaginal sex, I mean penis in the vagina, neovagina, or front hole.
	VAGSEX	Vaginal sex in past 12 months
		No	0
		Yes	1
		Don't Know	9
		Refuse to Answer	7

Check_SX2a.

If R had vaginal sex in the past 12 months (SX2 EQ 1), go to SX2a.

Else, go to SX3.

SX2a.		In the past 12 months, have you had insertive vaginal sex? By insertive vaginal sex, I mean where you put your penis in your partner’s vagina, neovagina or front hole.
	INSVAGSX	Insertive vaginal sex in past 12 months
		No	0
		Yes	1
		Don't Know	9
		Refuse to Answer	7

Check_SX2a.1.

If R had insertive vaginal sex in the past 12 months (SX2a EQ 1), go to SX2a.1.

Else, go to SX2b.

SX2a.1.		In the past 12 months, have you had insertive vaginal sex without a condom?
	INSVAG_C	Condomless insertive vaginal sex, 12m
		No	0
		Yes	1
		Don't Know	9
		Refuse to Answer	7

SX2b.		In the past 12 months, have you had receptive vaginal sex? By receptive vaginal sex, I mean where your partner put their penis in your vagina, neovagina, or front hole.
	RCPVAGSX	Receptive vaginal sex in past 12 months
		No	0
		Yes	1
		Don't Know	9
		Refuse to Answer	7

Check_SX2b.1.

If R had receptive vaginal sex in the past 12 months (SX2b EQ 1), go to SX2b.1.

Else, go to HardEdit_SX2b.

SX2b.1.		In the past 12 months, have you had receptive vaginal sex without a condom?
	RCPVAG_C	Condomless receptive vaginal sex, 12m
		No	0
		Yes	1
		Don't Know	9
		Refuse to Answer	7

HardEdit_SX2b.

If R reported vaginal sex in the past 12 months (SX2 EQ 1) but did not report having either receptive or insertive vaginal sex (SX2a EQ 0 and SX2b EQ 0), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (R reported vaginal sex in the past 12 months). Clarify and re-enter response to current or prior item as needed." Then, go back to SX2.

Else, go to SX3.

SX3.		In the past 12 months, have you had anal sex? By anal sex, I mean penis in the butt or back hole.
	ANALSEX	Anal sex
		No	0
		Yes	1
		Don't Know	9
		Refuse to Answer	7

Check_SX3a.

If R had anal sex in the past 12 months (SX3 EQ 1), go to SX3a.

Else, go to Check_SX4.

SX3a.		In the past 12 months, have you had insertive anal sex? By insertive anal sex, I mean where you put your penis in your partner’s butt or back hole.
	INSANAL	Insertive anal sex in past 12 months
		No	0
		Yes	1
		Don't Know	9
		Refuse to Answer	7

Check_SX3a.1.

If R had insertive anal sex in the past 12 months (SX3a EQ 1), go to SX3a.1.

Else, go to SX3b.

SX3a.1.		In the past 12 months, have you had insertive anal sex without a condom?
	INSANA_C	Condomless insertive anal sex, 12m
		No	0
		Yes	1
		Don't Know	9
		Refuse to Answer	7

SX3b.		In the past 12 months, have you had receptive anal sex? By receptive anal sex, I mean where your partner put their penis in your butt or back hole.
	RCPANAL	Receptive anal sex in past 12 months
		No	0
		Yes	1
		Don't Know	9
		Refuse to Answer	7

Check_SX3b.1.

If R had receptive anal sex in the past 12 months (SX3b EQ 1), go to SX3b.1.

Else, go to HardEdit_SX3b.

SX3b.1.		In the past 12 months, have you had receptive anal sex without a condom?
	RCPANA_C	Condomless receptive anal sex, 12m
		No	0
		Yes	1
		Don't Know	9
		Refuse to Answer	7

HardEdit_SX3b.

If R reported anal sex in the past 12 months (SX3 EQ 1) but did not report having either receptive or insertive anal sex ((SX3a EQ 0 and SX3b EQ 0), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (R reported anal sex in the past 12 months). Clarify and re-enter response to current or prior item as needed." Then, go back to SX3.

Else, go to Check_SX4.

Check_SX4.

If R had sex in the past 12 months but did not have vaginal or anal sex in the past 12 months (SX2 EQ 0 and SX3 EQ 0), go to SX4.

Else, go to SX5.

SX4.		So this means you’ve only had oral sex in the past 12 months?
	ORALSEX	Only oral sex
		No	0
		Yes	1
		Don't Know	9
		Refuse to Answer	7

SoftEdit_SX4.

If R reports only oral sex, doesn’t know, or refuses to answer (SX4 EQ 1 or DK or REF), go to SX5.

Else, DISPLAY: “INTERVIEWER: You have documented that the respondent DID have sex other than oral sex, but that they did not have anal or vaginal sex. If the respondent had anal or vaginal sex, go back to SX2.” Then, go to SX5.

SX5.		How old were you the first time you had sex?
	AGESEX	Age at first sex
		__ __
		Range	0-70
		Don't Know	99
		Refuse to Answer	77

HardEdit_SX5.

If age of first sex greater than current age (SX5 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 SX5.

Else, go to SX6.

SX6.		In the past 12 months, how many oral, vaginal or anal sex partners have you had?
	NUMPTNR	Number of sex partners in past 12 months
		__ __ __ __
		Range	0-7000
		Don't Know	9999
		Refuse to Answer	7777

HardEdit_SX6.

If R reported oral, vaginal, or anal sex in the past 12 months (SX1 EQ 1) but reports zero sex partners (SX6 EQ 0), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (R reported having sex in the past 12 months). Clarify and re-enter response to current or prior item as needed." Then, go back to SX6.

Else, go to Check_SX7.

Check_SX7.

If R does not report having any sex partners in the past 12 months (SX6 EQ DK or REF), go to CALC_ENDSX.

If R had more than one sex partner (SX6 GT 1), go to SX7.

Else, go to INTRO_SX9.

SX7.		Of the [fill with total partners (SX6)] sex partners you’ve had in the past 12 months, how many would you consider main partners? By main partner, I mean a person who you have sex with and who you feel committed to above anyone else. This is a partner you would call your boyfriend, girlfriend, significant other, or life partner.
	MNPTNRS	Number of main partners
		__ __ __ __
		Range	0-7000
		Don't Know	9999
		Refuse to Answer	7777

HardEdit_SX7.

If # main partners GT total partners (SX7 GT SX6), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of total partners). Clarify and re-enter response to current or prior item as needed." Then, go back to SX7.

Else, go to Check_SX8.

Check_SX8.

If R had anal sex in the past 12 months (SX3 EQ 1), go to SX8.

Else, go to INTRO_SX9.

SX8.		Of the [fill with total partners (SX6)] sex partners you’ve had in the past 12 months, how many did you have anal sex with? By anal sex, I mean penis in the butt or back hole.
	ANALPTNR	Number of anal sex partners
		__ __ __ __
		Range	0-7000
		Don't Know	9999
		Refuse to Answer	7777

HardEdit_SX8.

If # anal sex partners GT total partners (SX8 GT SX6), DISPLAY: “INTERVIEWER: The response entered is inconsistent with a prior response (number of total partners). Clarify and re-enter response to current or prior item as needed.” Then, go back to SX8.

If R reports anal sex and 0 anal sex partners in past 12 months (SX3 EQ 1 and SX8 EQ 0), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (report of anal sex). Clarify and re-enter response to current or prior item as needed." Then, go back to SX8.

Else, go to INTRO_SX9.

INTRO_SX9.

DISPLAY: “READ: Now I will ask you about times when you may have received money or drugs in exchange for sex.”

SX9.		In the past 12 months, have you received money or drugs in exchange for sex?
	EXCHSEX	Exchange sex
		No	0
		Yes	1
		Don't Know	9
		Refuse to Answer	7

Check_SX9a.

If R had exchange sex in the past 12 months and had more than one sex partner (SX9 EQ 1 and SX6 GT 1), go to SX9a.

Else, go to Check_SX9b.

SX9a.		Of the [fill with total partners (SX6)] sex partners you’ve had in the past 12 months, how many gave you money or drugs to have sex with them?
	EXCHPTNR	Number of exchange partners
		__ __ __ __
		Range	0-7000
		Don't Know	9999
		Refuse to Answer	7777

HardEdit_SX9a.

If # exchange partners GT total partners (SX9a GT SX6), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of total partners). Clarify and re-enter response to current or prior item as needed." Then, go back to SX9a.

If # exchange partners is 0 (SX9a EQ 0), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (report of exchange sex in past 12 months). Clarify and re-enter response to current or prior item as needed." Then go back to SX9a.

Else, go to Check_SX9b.

Check_SX9b.

If R had exchange sex in the past 12 months (SX9 EQ 1), go to SX9b.

Else, go to INTRO_SX10a.

SX9b.		[Give Respondent Flashcard K.] In the past 12 months, what were all the ways you found people to exchange sex with? You can choose more than one answer. [READ choices. CHECK ALL that apply.]
	FNDEXCH	Ways found exchange partners
	FNDEXCHA	Walking on the street or “stroll”
	FNDEXCHB	Online (websites or apps)
	FNDEXCHC	Working in a strip club, massage parlor, brothel, or other similar place you are employed
	FNDEXCHD	Picking up clients at a public place, such as a bar, hotel, or the mall
	FNDEXCHE	Some other way
		Don't Know	9
		Refuse to Answer	7

Check_SX9c.

If R selected more than one response for SX9b (FNDEXCH GT 1), go to SX9c.

Else, go to SX9d.

SX9c.		[Give Respondent Flashcard K.] In the past 12 months, what was the most common way you found people to exchange sex with? [READ choices. CHECK ONE.]
	CMMNEXCH	Common way to find exchange partners
		Walking on the street or “stroll”	1
		Online (websites or apps)	2
		Working in a strip club, massage parlor, brothel, or other similar place you are employed	3
		Picking up clients at a public place, such as a bar, hotel, or the mall	4
		Some other way	5
		Don't Know	9
		Refuse to Answer	7

SX9d.		How much money do you typically make per month from exchanging sex? [Enter dollar amount.]
	MONYEXCH	Money from exchange partners
		__ __ __ __ __
		Range	0-70000
		Don't Know	99999
		Refuse to Answer	77777

INTRO_SX10a.

DISPLAY: “READ: Now, I would like to ask some questions about your most recent sex partners in the past 12 months. To help you think of those partners and guide you through the questions, I will ask you the initials of up to 3 of your most recent sex partners in the past 12 months. If you don't know or aren't comfortable giving me their real initials, you can make up initials or a nickname that reminds you of that person. Please don't give me a last name or any identifying information. Remember, your answers today are kept private.”

SX10a.	What are the initials of the last person you had sex with?
P1_FILL	P1 initials
	__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
	{text response; max length = 20 characters}
	Refuse to Answer	7

Check_SX10b.

If R had at least 2 sex partners in the past 12 months (SX6 GT 1), go to SX10b.

Else, go to Check_P1Series.

SX10b.	Now think of the last person you had sex with before [if not missing (SX10a NE REF), fill with P1 initials (SX10a); else fill with “your last partner”]. What are the initials of the second-to-last person you had sex with? [INTERVIEWER: Be sure that initials for second-to-last partner are different from last partner.]
P2_FILL	P2 initials
	__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
	{text response; max length = 20 characters}
	Refuse to Answer	7

Check_SX10c.

If R had at least 3 sex partners in the past 12 months (SX6 GT 2), go to SX10c.

Else, go to Check_P1Series.

SX10c.	Now think of the last person you had sex with before [if not missing (SX10b NE REF), fill with P2 initials (SX10b); else fill with “your second-to-last partner”]. What are the initials of the third-to-last person you had sex with? [INTERVIEWER: Be sure that initials for third-to-last partner are different from the previous 2 partners recorded.]
P3_FILL	P3 initials
	__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
	{text response; max length = 20 characters}
	Refuse to Answer	7

Check_P1Series.

If P1 initials reported (SX10a NE REF), go to CALC_BEGP1S.

If P1 initials NOT reported (SX10a EQ REF) & more than 1 total partner (SX6 GT 1), go to Check_P2Series.

Else, go to CALC_ENDSX.

CALC_BEGP1S.
BEGP1S	Time at beginning of P1 series	BEGP1S = Current time

INTRO_SX11.

DISPLAY: “READ: Now I'm going to ask you some questions about [fill with P1 initials (SX10a)].”

SX11.	[Give Respondent Flashcard B.] How would you describe [fill with P1 initials (SX10a)]’s gender identity? [READ choices. CHECK ONE.]
P1GEND	P1: Gender identity
	Woman	1
	Man	2
	Transgender woman	3
	Transgender man	4
	A gender not listed here	5
	Don't Know	9
	Refuse to Answer	7

SX12.	What was [fill with P1 initials (SX10a)]’s sex listed at birth? [DO NOT READ choices. CHECK ONE.]
P1SXBRTH	P1: Sex at birth
	Male	1
	Female	2
	Intersex/ambiguous	3
	Don't Know	9
	Refuse to Answer	7

SX13a.	Was [fill with P1 initials (SX10a)] younger than you, older than you, or the same age as you? [READ choices.]
P1AGERL	P1: Relative age
	Younger	0
	Older	1
	Same age	2
	Don't Know	9
	Refuse to Answer	7

Check_SX13a.

If P1 is older than R (P1AGERL EQ 1), go to SX13b.

Else, go to SX14.

SX13b.	What was [fill with P1 initials (SX10a)]’s age?
P1AGEY	P1: Age in years
	__ __ __
	Range	0-100
	Don't Know	999
	Refuse to Answer	777

HardEdit_SX13b.

If P1’s age is less than R’s age (P1AGEY LT AGE), DISPLAY: “INTERVIEWER: The response entered is inconsistent with a prior response (R reported that partner was older than them). Clarify and re-enter response to current or prior item as needed." Then, go back to SX13b.

Else, go to SX14.

SX14.		[Give Respondent Flashcard M.] Which of the following best describes [fill with P1 initials (SX10a)]'s racial or ethnic background? You may choose more than one option. [READ choices. CHECK ALL that apply.]
P1RCETH		P1: race / ethnicity
	P1RCETHA	American Indian or Alaska Native
	P1RCETHB	Asian
	P1RCETHC	Black or African American
	P1RCETHD	Hispanic or Latino
	P1RCETHE	Native Hawaiian or Other Pacific Islander
	P1RCETHF	White
		Don't Know	9
		Refuse to Answer	7

Check_SX15.

If R reported zero main partners (SX7 EQ 0), go to SX15a.

Else, go to SX15.

SX15.	Do you consider [fill with P1 initials (SX10a)] to be a main partner? A main sex partner is someone you feel committed to above anyone else.
P1TYPE	P1: type
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

SX15a.	How long have you been having a sexual relationship with [fill with P1 initials (SX10a)]? Please tell me how many days, months, or years. [INTERVIEWER: If "one night stand," enter 0.]
P1LT_N	P1: Relationship length - Number
	__ __ __
	Range	0-365
	Don't Know	999
	Refuse to Answer	777

Check_SX15b.

If relationship length at least one day (SX15a NE 0, DK or REF), go to SX15b.

Else, go to Check_SX17.

SX15b.	INTERVIEWER: Was this days or months or years?
P1LT_U	P1: Relationship length - Unit
	Days	0
	Months	1
	Years	2

HardEdit_SX15b.

If relationship length is reported in years (P1LT_U EQ 2) and relationship length is greater than R’s age (P1LT_N GT AGE), DISPLAY: “INTERVIEWER: The response entered is inconsistent with a prior response (relationship length greater than age of R). Clarify and re-enter response to current or prior item as needed." Then, go back to SX15a.

Else, go to SX16.

SX16.	During the time you were having a sexual relationship with [fill with P1 initials (SX10a)], did you have sex with other people?
P1ROTH	P1: R had other partners
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_SX17.

If R had exchange sex with in the past 12 months (SX9 EQ 1), go to SX17.

Else, go to Check_SX18.

SX17.	In the past 12 months, did [fill with P1 initials (SX10a)] give you money or drugs in exchange for sex?
P1EXREC	P1: Received money/drugs for sex
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_SX18.

If R had vaginal sex in the past 12 months (SX2 EQ 1), go to SX18.

Else, go to Check_SX19.

SX18.	In the past 12 months, did you have vaginal sex with [fill with P1 initials (SX10a)]? By vaginal sex, I mean penis in the vagina, neovagina or front hole. [INTERVIEWER: If vaginal sex not applicable or not possible with P1, enter ‘Not applicable’.]
P1VAGSX	P1: Vaginal sex
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7
	Not Applicable	8

Check_SX18a.

If R had vaginal sex with P1 (SX18 EQ 1), go to SX18a.

Else, go to Check_SX19.

SX18a.	In the past 12 months, did you have vaginal sex with [fill with P1 initials (SX10a)] without a condom?
P1CNDVS	P1: Condomless vaginal sex
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_SX19.

If R had anal sex in the past 12 months (SX3 EQ 1), go to SX19.

Else, go to Check_SX22.

SX19.	In the past 12 months, did you have anal sex with [fill with P1 initials (SX10a)]? By anal sex, I mean penis in the butt or back hole. [INTERVIEWER: If anal sex not applicable or not possible with P1, enter ‘Not applicable’.]
P1ANLSX	P1: Anal sex
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7
	Not Applicable	8

Check_SX19a.

If R had anal sex with P1 (SX19 EQ 1), go to SX19a.

Else, go to Check_SX22.

SX19a.	In the past 12 months, did you have anal sex with [fill with P1 initials (SX10a)] without a condom?
P1CNDAS	P1: Condomless anal sex
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_SX20.

If R had receptive anal sex in the past 12 months (SX3b EQ 1), go to SX20.

Else, go to Check_SX21.

SX20.	In the past 12 months, how many times did you have receptive anal sex with [fill with P1initials (SX10a)]? By receptive anal sex, I mean where your partner put their penis in your butt or back hole.
P1RAS	P1: Receptive anal sex
	__ __ __ __
	Range	0 – 7000
	Don't Know	9999
	Refuse to Answer	7777

HardEdit_SX20.

If R reported anal sex with P1 in the past 12 months (SX19 EQ 1) and reported no insertive anal sex in the past 12 months (SX3a EQ 0) but reported 0 times receptive anal sex with P1 (SX20 EQ 0), DISPLAY: “INTERVIEWER: The response entered is inconsistent with a prior response (R reported anal sex with P1 in the past 12 months). Clarify and re-enter response to current or prior item as needed.” Then, go back to SX19.

Else, go to Check_SX20a.

Check_SX20a.

If R had receptive anal sex with P1 one time (SX20 EQ 1) and had anal sex without a condom with P1 (SX19a EQ 1), go to SX20a.

Else, go to Check_SX20b.

SX20a.	That time you had receptive anal sex with [fill with P1 initials (SX10a)], did [fill with P1 initials (SX10a)] use a condom?
P1RASC1	P1: Condom use receptive anal sex 1 time
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_SX20b.

If R had receptive anal sex with P1 more than one time (SX20 GT 1) and had anal sex without a condom with P1 (SX19a EQ 1), go to SX20b.

Else, go to Check_SX21.

SX20b.	Of those [fill with # times engaged in receptive anal sex with P1 (SX20)] times when you had receptive anal sex with [fill with P1 initials (SX10a)], how many times did [fill with P1 initials (SX10a)] use a condom?
P1RASC	P1: Condom use receptive anal sex
	__ __ __ __
	Range	0 - 7000
	Don't Know	9999
	Refuse to Answer	7777

HardEdit_SX20b.

If # times P1 used a condom is greater than # times R had receptive anal sex with P1 (SX20b GT SX20), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of times receptive anal sex with P1). Clarify and re-enter response to current or prior item as needed." Then, go back to SX20b.

Else, go to Check_SX21.

Check_SX21.

If R had insertive anal sex in the past 12 months (SX3a EQ 1), go to SX21.

Else, go to Check_SX22.

SX21.	In the past 12 months, how many times did you have insertive anal sex with [fill with P1 initials (SX10a)]? By insertive anal sex, I mean where you put your penis in their butt or back hole.
P1IAS	P1: Insertive anal sex
	__ __ __ __
	Range	0 - 7000
	Don't Know	9999
	Refuse to Answer	7777

HardEdit_SX21.

If R reported anal sex with P1 in the past 12 months (SX19 EQ 1) but did not report having either receptive or insertive anal sex with P1 ((SX20 EQ 0 or SX20 EQ SK) and (SX21 EQ 0 or SX21 EQ SK)), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (R reported anal sex with P1 in the past 12 months). Clarify and re-enter response to current or prior item as needed." Then, go back to SX19.

Else, go to Check_SX21a.

Check_SX21a.

If R had insertive anal sex with P1 one time (SX21 EQ 1) and had anal sex without a condom with P1 (SX19a EQ 1), go to SX21a.

Else, go to Check_SX21b.

SX21a.	That time you had insertive anal sex with [fill with P1 initials (SX10a)], did you use a condom?
P1IASC1	P1: Condom use insertive anal sex 1 time
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_SX21b.

If R had insertive anal sex with P1 more than once (SX21 GT 1) and had anal sex without a condom with P1 (SX19a EQ 1), go to SX21b.

Else, go to Check_SX22.

SX21b.	Of those [fill with # times engaged in insertive anal sex with P1(SX21)] times when you had insertive anal sex with [fill with P1 initials (SX10a)], how many times did you use a condom?
P1IASC	P1: Condom use insertive anal sex
	__ __ __ __
	Range	0 - 7000
	Don't Know	9999
	Refuse to Answer	7777

HardEdit_SX21b.

If # times R used a condom with P1 is greater than # times R had insertive anal sex with P1 (SX21b GT SX21), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of times insertive anal sex with P1). Clarify and re-enter response to current or prior item as needed." Then, go back to SX21b.

Else, go to Check_SX22.

Check_SX22.

If R had anal or vaginal sex in the past 12 months (SX2 EQ 1 or SX3 EQ 1) & no anal or vaginal sex with P1 (SX18 EQ 0 or SK or NA) & (SX19 EQ 0 or SK or NA), go to SX22.

Else, go to INTRO_SX23a.

SX22.	So this means you only had oral sex with [fill with P1 initials (SX10a)] in the past 12 months?
P1ORLS	P1: Oral sex
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

SoftEdit_SX22.

If R did not confirm only oral sex (SX22 EQ 0), DISPLAY: “INTERVIEWER: The response entered is inconsistent with a prior response (R reported having sex other than oral with P1, but did not report vaginal or anal sex with P1). If the respondent had anal or vaginal sex with P1, please go back and clarify and re-enter response to current or prior item as needed.” Then, go to INTRO_SX23a.

INTRO_SX23a.

DISPLAY: " READ: “Now I’d like to ask you a few questions about the very last time you had sex with [fill with P1 initials (SX10a)].”

Check_SX23a.

If R only had oral sex with P1 in past 12 months (SX22 EQ 1), go to SX24.

If R had receptive vaginal sex in the past 12 months and had vaginal sex with P1 (SX2b EQ 1 and SX18 EQ 1), go to SX23a.

Else, go to Check_SX23b.

SX23a.	When you had sex that last time with [fill with P1 initials (SX10a)], did you have receptive vaginal sex? By receptive vaginal sex, I mean where your partner put their penis in your vagina, neovagina, or front hole.
P1LSTRVS	P1: Last sex - RVS
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_SX23b.

If R had insertive vaginal sex in the past 12 months and had vaginal sex with P1 (SX2a EQ 1 and SX18 EQ 1), go to SX23b.

Else, go to Check_SX23c.

SX23b.	When you had sex that last time with [fill with P1 initials (SX10a)], did you have insertive vaginal sex? By insertive vaginal sex, I mean where you put your penis in your partner’s vagina, neovagina, or front hole.
P1LSTIVS	P1: Last sex - IVS
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_SX23c.

If R had receptive anal sex in the past 12 months and had receptive anal sex with P1 (SX3b EQ 1 and SX20 GT 0), go to SX23c.

Else, go to Check_SX23d.

SX23c.	When you had sex that last time with [fill with P1 initials (SX10a)], did you have receptive anal sex? By receptive anal sex, I mean where your partner put their penis in your butt or back hole.
P1LSTRAS	P1: Last sex – RAS
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_SX23d.

If R had insertive anal sex in the past 12 months and had insertive anal sex with P1 (SX3a EQ 1 and SX21 GT 0), go to SX23d.

Else, go to Check_SX23e.

SX23d.	When you had sex that last time with [fill with P1 initials (SX10a)], did you have insertive anal sex? By insertive anal sex, I mean where you put your penis in your partner’s butt or back hole.
P1LSTIAS	P1: Last sex - IAS
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_SX23e.

If R had vaginal or anal sex with P1 (SX18 EQ 1 or SX19 EQ 1) & no vaginal or anal sex at last event with P1 (SX23a EQ 0 or SK and SX23b EQ 0 or SK and SX23c EQ 0 or SK and SX23d EQ 0 or SK), go to SX23e.

Else, go to SX24.

SX23e.	So this means you only had oral sex the last time you had sex?
P1LSTORL	P1: Oral sex last time
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

	SoftEdit_SX23e.	If R did not confirm only oral sex at last event (SX23e EQ 0), DISPLAY: “INTERVIEWER: The response entered is inconsistent with a prior response (R reported having sex other than oral at last sex, but did not report vaginal or anal sex at last sex). If the respondent had anal or vaginal sex at last sex, please go back and clarify and re-enter response to current or prior item as needed.” Then, go to SX24.
SX24.		During that last time you had sex, did you or [fill with P1 initials (SX10a)] use a condom?
P1CNDM		Condom last sex P1
		No	0
		Yes	1
		Don't Know	9
		Refuse to Answer	7

SX25.	The last time you had sex, did you know [fill with P1 initials (SX10a)]’s HIV status?
P1HIVSTS	Know P1 HIV status
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_SX26.

If R knows P1’s HIV status (SX25 EQ 1), go to SX26.

Else, go to Check_P2Series.

SX26.	What was [fill with P1 initials (SX10a)]’s HIV status?
P1STS	P1 HIV status
	HIV-negative	1
	HIV-positive	2
	Indeterminate	3
	Refuse to Answer	7

Check_SX28.

If P1 is positive (SX26 EQ 2), go to SX28.

Else, go to Check_P2Series.

SX28.	As far as you know, the last time you had sex, was [fill with P1 initials (SX10a)] taking antiretrovirals to treat their HIV infection? [READ choices.]
P1ART	P1 on ART
	Definitely was	1
	Probably was	2
	Probably was not	3
	Definitely was not	4
	Don't Know	9
	Refuse to Answer	7

Check_P2Series.

If P2 initials reported (SX10b NE REF), go to CALC_BEGP2S.

If P2 initials NOT reported (SX10b EQ REF) & more than 2 total partners (SX6 GT 2), go to Check_P3Series.

Else, go to CALC_ENDSX.

CALC_BEGP2S.
BEGP2S	Time at beginning of P2 series	BEGP2S = Current time

INTRO_P2Series.

DISPLAY: "READ: Now I will ask you about your second-to-last partner, [fill with P2 initials (SX10b)].”

SX29.	[Give Respondent Flashcard B.] How would you describe [fill with P2 initials (SX10b)]’s gender identity? [READ choices. CHECK ONE.]
P2GEND	P2: Gender identity
	Woman	1
	Man	2
	Transgender woman	3
	Transgender man	4
	A gender not listed here	5
	Don't Know	9
	Refuse to Answer	7

SX30.	Whatwas [fill with P2 initials (SX10b)]’s sex listed at birth? [DO NOT READ choices. CHECK ONE.]
P2SXBRTH	P2: Sex at birth
	Male	1
	Female	2
	Intersex/ambiguous	3
	Don't Know	9
	Refuse to Answer	7

SX31.		[Give Respondent Flashcard M.] Which of the following best describes [fill with P2 initials (SX10b)]'s racial or ethnic background? You may choose more than one option. [READ choices. CHECK ALL that apply.]
P2RCETH		P2: race / ethnicity
	P2RCETHA	American Indian or Alaska Native
	P2RCETHB	Asian
	P2RCETHC	Black or African American
	P2RCETHD	Hispanic or Latino
	P2RCETHE	Native Hawaiian or Other Pacific Islander
	P2RCETHF	White
		Don't Know	9
		Refuse to Answer	7

Check_SX32.

If R had exchange sex in the past 12 months (SX9 EQ 1), go to SX32.

Else, go to Check_SX33.

SX32.	In the past 12 months, did [fill with P2 initials (SX10b)] give you money or drugs in exchange for sex?
P2EXREC	P2: Received money/drugs for sex
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_SX33.

If R had vaginal sex in the past 12 months (SX2 EQ 1), go to SX33.

Else, go to Check_SX34.

SX33.	In the past 12 months, did you have vaginal sex with [fill with P2 initials (SX10b)]? By vaginal sex, I mean penis in the vagina, neovagina or front hole. [INTERVIEWER: If vaginal sex not applicable or not possible with P2, enter ‘Not applicable’.]
P2VAGSX	P2: Vaginal sex
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7
	Not Applicable	8

Check_SX33a.

If R had vaginal sex with P2 (SX33 EQ 1), go to SX33a.

Else, go to Check_SX34.

SX33a.	In the past 12 months, did you have vaginal sex with [fill with P2 initials (SX10b)] without a condom?
P2CNDVS	P2: Condomless vaginal sex
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_SX34.

If R had anal sex in the past 12 months (SX3 EQ 1), go to SX34.

Else, go to Check_SX37.

SX34.	In the past 12 months, did you have anal sex with [fill with P2 initials (SX10b)]? By anal sex, I mean penis in the butt or back hole. [INTERVIEWER: If anal sex not applicable or not possible with P2, enter ‘Not applicable’.]
P2ANLSX	P2: Anal sex
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7
	Not Applicable	8

Check_SX34a.

If R had anal sex with P2 (SX34 EQ 1), go to SX34a.

Else, go to Check_SX37.

SX34a.	In the past 12 months, did you have anal sex with [fill with P2 initials (SX10b)] without a condom?
P2CNDAS	P2: Condomless anal sex
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_SX35.

If R had receptive anal sex in the past 12 months (SX3b EQ 1), go to SX35.

Else, go to Check_SX36.

SX35.	In the past 12 months, how many times did you have receptive anal sex with [fill with P2 initials (SX10b)]? By receptive anal sex, I mean where your partner put their penis in your butt or back hole.
P2RAS	P2: Receptive anal sex
	_ _ _ _
	Range	0 – 7000
	Don't Know	9999
	Refuse to Answer	7777

HardEdit_SX35.

If R reported anal sex with P2 in the past 12 months (SX34 EQ 1) and reported no insertive anal sex in the past 12 months (SX3a EQ 0) but reported 0 times receptive anal sex with P2 (SX35 EQ 0), DISPLAY: “INTERVIEWER: The response entered is inconsistent with a prior response (R reported anal sex with P2 in the past 12 months). Clarify and re-enter response to current or prior item as needed.” Then, go back to SX34.

Else, go to Check_SX35a.

Check_SX35a.

If R had receptive anal sex with P2 one time (SX35 EQ 1) and had anal sex without a condom with P2 (SX34a EQ 1), go to SX35a.

Else, go to Check_SX35b.

SX35a.	That time you had receptive anal sex with [fill with P2 initials (SX10b)], did [fill with P2 initials (SX10b)] use a condom?
P2RASC1	P2: Condom use receptive anal sex 1 time
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_SX35b.

If R had receptive anal sex with P2 more than one time (SX35 GT 1) and had anal sex without a condom with P2 (SX34a EQ 1), go to SX35b.

Else, go to Check_SX36.

SX35b.	Of those [fill with # times engaged in receptive anal sex with P2 (SX35)] times when you had receptive anal sex with [fill with P2 initials (SX10b)], how many times did [fill with P2 initials (SX10b)] use a condom?
P2RASC	P2: Condom use receptive anal sex
	_ _ _ _
	Range	0 - 7000
	Don't Know	9999
	Refuse to Answer	7777

HardEdit_SX35b.

If # times P2 used a condom is greater than # times R had receptive anal sex with P2 (SX35b GT SX35), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of times receptive anal sex with P2). Clarify and re-enter response to current or prior item as needed." Then, go back to SX35b.

Else, go to Check_SX36.

Check_SX36.

If R had insertive anal sex in the past 12 months (SX3a EQ 1), go to SX36.

Else, go to Check_SX37.

SX36.	In the past 12 months, how many times did you have insertive anal sex with [fill with P2 initials (SX10b)]? By insertive anal sex, I mean where you put your penis in their butt or back hole.
P2IAS	P2: Insertive anal sex
	__ __ __ __
	Range	0 - 7000
	Don't Know	9999
	Refuse to Answer	7777

HardEdit_SX36.

If R reported anal sex with P2 in the past 12 months (SX34 EQ 1) but did not report having either receptive or insertive anal sex with P2 ((SX35 EQ 0 or SX35 EQ SK) and (SX36 EQ 0 or SX36 EQ SK)), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (R reported anal sex with P2 in the past 12 months). Clarify and re-enter response to current or prior item as needed." Then, go back to SX34.

Else, go to Check_SX36a.

Check_SX36a.

If R had insertive anal sex with P2 one time (SX36 EQ 1) and had anal sex without a condom with P2 (SX34a EQ 1), go to SX36a.

Else, go to Check_SX36b.

SX36a.	That time you had insertive anal sex with [fill with P2 initials (SX10b)], did you use a condom?
P2IASC1	P2: Condom use insertive anal sex 1 time
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_SX36b.

If R had insertive anal sex with P2 more than one time (SX36 GT 1) and had anal sex without a condom with P2 (SX34a EQ 1), go to SX36b.

Else, go to Check_SX37.

SX36b.	Of those [fill with # times engaged in insertive anal sex with P2 (SX36)] times when you had insertive anal sex with [fill with P2 initials (SX10b)], how many times did you use a condom?
P2IASC	P2: Condom use insertive anal sex
	__ __ __ __
	Range	0 - 7000
	Don't Know	9999
	Refuse to Answer	7777

HardEdit_SX36b.

If # times R used a condom with P2 is greater than # times R had insertive anal sex with P2 (SX36b GT SX36), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of times insertive anal sex with P2). Clarify and re-enter response to current or prior item as needed." Then, go back to SX36b.

Else, go to Check_SX37.

Check_SX37.

If R had anal or vaginal sex in the past 12 months (SX2 EQ 1 or SX3 EQ 1) & no anal or vaginal sex with P2 (SX33 EQ 0 or SK or NA) & (SX34 EQ 0 or SK or NA), go to SX37.

Else, go to Check_P3Series.

SX37.	So this means you only had oral sex with [fill with P2 initials (SX10b)] in the past 12 months?
P2ORLS	P2: Oral sex
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

SoftEdit_SX37.

If R did not confirm only oral sex (SX37 EQ 0), DISPLAY: “INTERVIEWER: The response entered is inconsistent with a prior response (R reported having sex other than oral with P2, but did not report vaginal or anal sex with P2). If the respondent had anal or vaginal sex with P2, please go back and clarify and re-enter response to current or prior item as needed.” Then, go to Check_P3Series.

Check_P3Series.

If P3 initials reported (SX10c NE REF), go to CALC_BEGP3S.

Else, go to CALC_ENDSX.

CALC_BEGP3S.
BEGP3S	Time at beginning of P3 series	BEGP3S = Current time

INTRO_P3Series.

DISPLAY: "READ: Now I will ask you about your third-to-last partner, [fill with P3 initials (SX10c)]."

SX38.	[Give Respondent Flashcard B.] How would you describe [fill with P3 initials (SX10c)]’s gender identity? [READ choices. CHECK ONE.]
P3GEND	P3: Gender identity
	Woman	1
	Man	2
	Transgender woman	3
	Transgender man	4
	A gender not listed here	5
	Don't Know	9
	Refuse to Answer	7

SX39.	What was [fill with P3 initials (SX10c)]’s sex listed at birth? [DO NOT READ choices. CHECK ONE.]
P3SXBRTH	P3: Sex at birth
	Male	1
	Female	2
	Intersex/ambiguous	3
	Don't Know	9
	Refuse to Answer	7

SX40.		[Give Respondent Flashcard M.] Which of the following best describes [fill with P3 initials (SX10c)]'s racial or ethnic background? You may choose more than one option. [READ choices. CHECK ALL that apply.]
P3RCETH		P3: race / ethnicity
	P3RCETHA	American Indian or Alaska Native
	P3RCETHB	Asian
	P3RCETHC	Black or African American
	P3RCETHD	Hispanic or Latino
	P3RCETHE	Native Hawaiian or Other Pacific Islander
	P3RCETHF	White
		Don't Know	9
		Refuse to Answer	7

Check_SX41.

If R had exchange sex in the past 12 months (SX9 EQ 1), go to SX41.

Else, go to Check_SX42.

SX41.	In the past 12 months, did [fill with P3 initials (SX10c)] give you money or drugs in exchange for sex?
P3EXREC	P3: Received money/drugs for sex
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_SX42.

If R had vaginal sex in the past 12 months (SX2 EQ 1), go to SX42.

Else, go to Check_SX43.

SX42.	In the past 12 months, did you have vaginal sex with [fill with P3 initials (SX10c)]? By vaginal sex, I mean penis in the vagina, neovagina or front hole. [INTERVIEWER: If vaginal sex not applicable or not possible with P3, enter ‘Not applicable’.]
P3VAGSX	P3: Vaginal sex
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7
	Not Applicable	8

Check_SX42a.

If R had vaginal sex with P3 (SX42 EQ 1), go to SX42a.

Else, go to Check_SX43.

SX42a.	In the past 12 months, did you have vaginal sex with [fill with P3 initials (SX10c)] without a condom?
P3CNDVS	P3: Condomless vaginal sex
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_SX43.

If R had anal sex in the past 12 months (SX3 EQ 1), go to SX43.

Else, go to Check_SX46.

SX43.	In the past 12 months, did you have anal sex with [fill with P3 initials (SX10c)]? By anal sex, I mean penis in the butt or back hole. [INTERVIEWER: If anal sex not applicable or not possible with P3, enter ‘Not applicable’.]
P3ANLSX	P3: Anal sex
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7
	Not Applicable	8

Check_SX43a.

If R had anal sex with P3 (SX43 EQ 1), go to SX43a.

Else, go to Check_SX46.

SX43a.	In the past 12 months, did you have anal sex with [fill with P3 initials (SX10c)] without a condom?
P3CNDAS	P3: Condomless anal sex
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_SX44.

If R had receptive anal sex in the past 12 months (SX3b EQ 1), go to SX44.

Else, go to Check_SX45.

SX44.	In the past 12 months, how many times did you have receptive anal sex with [fill with P3 initials (SX10c)]? By receptive anal sex, I mean where your partner put their penis in your butt or back hole.
P3RAS	P3: Receptive anal sex
	__ __ __ __
	Range	0 – 7000
	Don't Know	9999
	Refuse to Answer	7777

HardEdit_SX44.

If R reported anal sex with P3 in the past 12 months (SX43 EQ 1) and reported no insertive anal sex in the past 12 months (SX3a EQ 0) but reported 0 times receptive anal sex with P3 (SX44 EQ 0), DISPLAY: “INTERVIEWER: The response entered is inconsistent with a prior response (R reported anal sex with P3 in the past 12 months). Clarify and re-enter response to current or prior item as needed.” Then, go back to SX43.

Else, go to Check_SX44a.

Check_SX44a.

If R had receptive anal sex with P3 one time (SX44 EQ 1) and had anal sex without a condom with P3 (SX43a EQ 1), go to SX44a.

Else, go to Check_SX44b.

SX44a.	That time you had receptive anal sex with [fill with P3 initials (SX10c)], did [fill with P3 initials (SX10c)] use a condom?
P3RASC1	P3: Condom use receptive anal sex 1 time
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_SX44b.

If R had receptive anal sex with P3 more than one time (SX44 GT 1) and had anal sex without a condom with P3 (SX43a EQ 1), go to SX44b.

Else, go to Check_SX45.

SX44b.	Of those [fill with # times engaged in receptive anal sex with P3 (SX44)] times when you had receptive anal sex with [fill with P3 initials (SX10c)], how many times did [fill with P3 initials (SX10c)] use a condom?
P3RASC	P3: Condom use receptive anal sex
	__ __ __ __
	Range	0 - 7000
	Don't Know	9999
	Refuse to Answer	7777

HardEdit_SX44b.

If # times P3 used a condom is greater than # times R had receptive anal sex with P3 (SX44b GT SX44), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of times receptive anal sex with P3). Clarify and re-enter response to current or prior item as needed." Then, go back to SX44b.

Else, go to Check_SX45.

Check_SX45.

If R had insertive anal sex in the past 12 months (SX3a EQ 1), go to SX45.

Else, go to Check_SX46.

SX45.	In the past 12 months, how many times did you have insertive anal sex with [fill with P3 initials (SX10c)]? By insertive anal sex, I mean where you put your penis in their butt or back hole.
P3IAS	P3: Insertive anal sex
	__ __ __ __
	Range	0 - 7000
	Don't Know	9999
	Refuse to Answer	7777

HardEdit_SX45.

If R reported anal sex with P3 in the past 12 months (SX43 EQ 1) but did not report having either receptive or insertive anal sex with P3 ((SX44 EQ 0 or SX44 EQ SK) and (SX45 EQ 0 or SX45 EQ SK)), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (R reported anal sex with P3 in the past 12 months). Clarify and re-enter response to current or prior item as needed." Then, go back to SX43.

Else, go to Check_SX45a.

Check_SX45a.

If R had insertive anal sex with P3 one time (SX45 EQ 1) and had anal sex without a condom with P3 (SX43a EQ 1), go to SX45a.

Else, go to Check_SX45b.

SX45a.	That time you had insertive anal sex with [fill with P3 initials (SX10c)], did you use a condom?
P3IASC1	P3: Condom use insertive anal sex 1 time
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_SX45b.

If R had insertive anal sex with P3 more than one time (SX45 GT 1) and had anal sex without a condom with P3 (SX43a EQ 1), go to SX45b.

Else, go to Check_SX46.

SX45b.	Of those [fill with # times engaged in insertive anal sex with P3 (SX45)] times when you had insertive anal sex with [fill with P3 initials (SX10c)], how many times did you use a condom?
P3IASC	P3: Condom use insertive anal sex
	__ __ __ __
	Range	0 - 7000
	Don't Know	9999
	Refuse to Answer	7777

HardEdit_SX45b.

If # times R used a condom with P3 is greater than # times R had insertive anal sex with P3 (SX45b GT SX45), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of times insertive anal sex with P3). Clarify and re-enter response to current or prior item as needed." Then, go back to SX45b.

Else, go to Check_SX46.

Check_SX46.

If R had anal or vaginal sex in the past 12 months (SX2 EQ1 or SX3 EQ 1) & no anal or vaginal sex with P3 (SX42 EQ 0 or SK or NA) & (SX43 EQ 0 or SK or NA), go to SX46.

Else, go to CALC_ENDSX.

SX46.	So this means you only had oral sex with [fill with P3 initials (SX10c)] in the past 12 months?
P3ORLS	P3: Oral sex
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

SoftEdit_SX46.

If R did not confirm only oral sex (SX46 EQ 0), DISPLAY: “INTERVIEWER: The response entered is inconsistent with a prior response (R reported having sex other than oral with P3, but did not report vaginal or anal sex with P3). If the respondent had anal or vaginal sex with P3, please go back and clarify and re-enter response to current or prior item as needed.” Then, go to CALC_ENDSX.

CALC_ENDSX.
ENDSX	Time sexual behavior section ended	ENDSX = Current time

END_SX.

Go to Alcohol Use section (AL).

ALCOHOL USE (AL)

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	--	IDATEM	Interview date: Month
Preloaded variable	--	IDATED	Interview date: day
Eligibility Screener	--	EL_TRANS	Eligible: Trans cycle
Consent	CN1	CONSENTA	Consent to survey
Sexual Behavior	--	ENDSX	Time sexual behavior section ended

Universe_AL.

All Eligible Rs (CYCLE EQ 4 & EL_TRANS EQ 1) who consent to interview (CN1 EQ 1) and completed prior section (ENDSX is not missing).

CALC_BEGAL.
BEGAL	Time at beginning of alcohol use section	BEGAL = Current time

INTRO_AL1.

DISPLAY: “[Give Respondent Flashcard N.]

READ: The next questions are about alcohol use. Please remember your answers will be kept private. For these questions, "a drink of alcohol" means a 12 oz beer, a 5 oz glass of wine, or a 1.5 oz shot of liquor.”

AL1.	During the past 30 days, have you had at least one drink of any alcoholic beverage, such as beer, wine, a malt beverage, or liquor?
ALC30D	Had one or more drinks past 30 days
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_AL2.

If R did not have any drinks in the past 30 days or did not report if had any drinks in the past 30 days (AL1 NE 1), go to CALC_ENDAL.

Else, go to AL2.

AL2.	During the past 30 days, what is the largest number of drinks you had within about two hours?
ALCLG30D	Largest no drinks at one time - p30 days
	__ __
	Range	0-99
	Don't Know	999
	Refuse to Answer	777

Check_AL3.

If R had 5 drinks or more within two hours (AL2 GE 5), go to AL3.

Else, go to CALC_ENDAL.

AL3.	During the past 30 days, how many times did you drink 5 or more drinks of any kind of alcohol in about two hours?
ALC530D	Number times had 5+ drinks - past 30 days
	__ __
	Range	1-99
	Don't Know	999
	Refuse to Answer	777

CALC_ENDAL.
ENDAL	Time alcohol use section ended	ENDAL = Current time

END_AL.

Go to Injection of Illicit Drugs Section (ID).

INJECTION OF ILLICIT DRUGS (ID)

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
Eligibility Screener	CALC_AGE	AGE	QDS calculated age today
Eligibility Screener	--	EL_TRANS	Eligible: Trans cycle
Consent	CN1	CONSENTA	Consent to survey
Alcohol Use	--	ENDAL	Time alcohol use section ended

UNIVERSE_ID.

All Eligible Rs (CYCLE EQ 4 & EL_TRANS EQ 1) who consent to interview (CN1 EQ 1) and completed prior section (ENDAL is not missing).

CALC_BEGID.
BEGID	Time at beginning of ID section	BEGID = Current time

INTRO_ID1.

DISPLAY: "READ: The next questions are about illicit injection drug use. This means injecting drugs yourself or having someone who isn't a health care provider inject you. This does not include drugs used for gender transition or affirmation, such as hormones or silicone. Please remember your answers will be kept private."

ID1.	Have you ever in your life shot up or injected any drugs other than those prescribed for you? By shooting up, I mean anytime you might have used a needle to inject drugs in your veins, under the skin, or in the muscle.
EVRINJ	Ever Injected drugs
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_ID1a.

If R has ever injected (ID1 EQ 1), go to ID1a.

Else, go to CALC_LINJ12.

ID1a.	Think back to the very first time you injected any drugs, other than those prescribed for you. How old were you when you first injected any drug?
AGEINJ	INJ Age at first injection
	__ __
	Range	0-75
	Don't Know	99
	Refuse to Answer	77

HardEdit_ID1a.

If age of first injection is greater than current age (ID1a GT AGE), DISPLAY: "INTERVIEWER: The age of first injection should be less than respondent's current age ([fill with current age (AGE)])." Then, go back to ID1a.

Else, go to ID1b.

ID1b.	Before you injected drugs for the very first time, were you hooked on painkillers?
OPIFIRST	Hooked on painkillers prior 1st injected
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

ID1b.num.	Now, think about the last time you injected any drug. When was that – how many days or months or years ago did you last inject? [INTERVIEWER: If today, enter "0"]
LINJN	When last injected, number
	__ __ __
	Range	0-365
	Don't Know	999
	Refuse to Answer	777

Check_ID1b.dmy.

If R does not report time since last injection (ID1b.num EQ DK or REF), go to CALC_LINJ12.

If R last injected on day of interview (ID1b.num EQ 0), go to INTRO_ID2.

Else, go to ID1b.dmy.

ID1b.dmy.	INTERVIEWER: Was this days or months or years ago that you last injected?
LINJ_U	When last injected: day, month or year
	# of Days	0
	# of Months	1
	# of Years	2

Check_INTRO_ID2.

If R last injected in the past year ((ID1b.num LE 12 & ID1b.dmy EQ 1) or (ID1b.num LE 365 & ID1b.dmy EQ 0) or (ID1b.num LE 1 & ID1b.dmy EQ 2)), go to INTRO_ID2.

Else, go to CALC_LINJ12.

UNIVERSE_InjectionFrequency.

All Rs who injected in the past year (ID1b.num EQ 0 or (ID1b.num LE 12 & ID1b.dmy EQ 1) or (ID1b.num LE 365 & ID1b.dmy EQ 0) or (ID1b.num LE 1 & ID1b.dmy EQ 2)).

INTRO_ID2.

DISPLAY: "READ: The next questions are about injection drug use in the past 12 months, that is, since [fill with interview month, formatted as text] of last year."

ID2.	[Give Respondent Flashcard O.] In the past 12 months, when you were injecting, about how often did you inject any drug? [READ choices.]
INJFX12	Overall injection frequency, 12m
	More than once a day	1
	Once a day	2
	More than once a week	3
	Once a week or less	4
	Don't Know	9
	Refuse to Answer	7

ID3.	[Give Respondent Flashcard P.] In the past 12 months, which drug did you inject most often? [READ choices.]
INJMOST1	Drug injected most often - 12 months
	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

ID4.	Did you inject any other drugs in the past 12 months?
INJOTHNI	Other drug injected - 12 m, y/n
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_ID5.

If R injected another drug in the past 12 months (ID4 EQ 1), go to ID5.

Else, go to INTRO_ID6.

ID5.		[Give Respondent Flashcard P.] What other drugs did you inject? [READ choices. CHECK ALL that apply.]
INJMOST		Other drugs injected - 12 months
	INJMOSTA	Speedball, which is heroin and cocaine together
	INJMOSTB	Heroin, by itself
	INJMOSTC	Powder cocaine, by itself
	INJMOSTD	Crack cocaine, by itself
	INJMOSTE	Methamphetamine, also known as meth, crystal meth, speed, or crank
	INJMOSTF	Painkillers such as Oxycontin, Dilaudid, morphine, Percocet, or Demerol
	INJMOSTG	Something else
		Don't Know	99
		Refuse to Answer	77

INTRO_ID6.

DISPLAY: "READ: Next, I'm going to ask you about your injecting behaviors in the past 12 months, that is, since [fill with interview month, formatted as text] of last year. When I ask you about "needles," I'm talking about needles and syringes."

ID6.	[Give Respondent Flashcard J.] In the past 12 months when you injected, how often did you use a new, sterile needle? By a new, sterile needle, I mean a needle never used before by anyone, even you. [READ choices.]
STERILE	INJ Frequency used sterile needle - 12 months
	Never	0
	Rarely	1
	About half the time	2
	Most of the time	3
	Always	4
	Don't Know	9
	Refuse to Answer	7

Check_ID7.

If R never used a new sterile needle in the past 12 months or did not report using new sterile needles (ID6 EQ 0, DK, or REF), go to ID8.

Else, go ID7.

ID7.	[Give Respondent Flashcard Q.] From which of the following places did you get new, sterile needles in the past 12 months? You may choose more than one option. [READ choices. CHECK ALL that apply.]
SNDLSRC	New needle source
SNDLSRCA	Needle or syringe exchange program
SNDLSRCB	Someone who got them from a needle exchange
SNDLSRCC	Pharmacy or drug store
SNDLSRCD	Doctor’s office, clinic, or hospital
SNDLSRCE	HIV/AIDS focused organization
SNDLSRCF	Some other place
	Don't Know	9
	Refuse to Answer	7

Check_ID8.

If R always used a new sterile needle in the past 12 months (ID6 EQ 4), go to ID9.

Else, go ID8.

ID8.	[Give Respondent Flashcard J.] In the past 12 months, how often did you use needles that someone else had already injected with? [READ choices.]
SHARNDLE	Used needle after- frequency
	Never	0
	Rarely	1
	About half the time	2
	Most of the time	3
	Always	4
	Don't Know	9
	Refuse to Answer	7

ID9.	[Give Respondent Flashcard J.] In the past 12 months, how often did you give your needle to someone else to use after you had already injected with it? [READ choices.]
GIVENDLE	Gave needle after injected – freq.
	Never	0
	Rarely	1
	About half the time	2
	Most of the time	3
	Always	4
	Don't Know	9
	Refuse to Answer	7

ID10.	[Give Respondent Flashcard J.] In the past 12 months, how often did you use cookers, cottons, or water that someone else had already used? [READ choices.]
SHARWORK	Used cooker, cotton, water after – freq.
	Never	0
	Rarely	1
	About half the time	2
	Most of the time	3
	Always	4
	Don't Know	9
	Refuse to Answer	7

CALC_LINJ12.
LINJ12	Injected in last 12 months	LINJ12 = IF((LINJN=0), 1, if((LINJ_U=0 & LINJN<=365 ), 1, if((LINJ_U=1 & LINJN<=12 ), 1, if((LINJ_U=2 & LINJN <= 1), 1, 0))))

CALC_ENDID.
ENDID	Time injection drug use section ended	ENDID = Current time

END_ID.

Go to Non-Injection Illicit Drugs Section (ND).

NON-INJECTION ILLICIT DRUGS (ND)

Variables from prior section(s) used in this section of the questionnaire
Section	Question #	Variable name	Variable label
Preloaded variable	--	CYCLE	NHBS Cycle
Eligibility Screener	--	EL_TRANS	Eligible: TRANS cycle
Consent	CN1	CONSENTA	Consent to survey
Injection Drug Use	--	ENDID	Time injection drug use section ended

UNIVERSE_ND.

All Eligible Rs (CYCLE EQ 4 & EL_TRANS EQ 1) who consent to interview (CN1 EQ 1) and completed prior section (ENDID is not missing).

CALC_BEGND.
BEGND	Time at beginning of ND section	BEGND = Current time

INTRO_ND1.

DISPLAY: "READ: Now I'm going to ask you about times when you may have used drugs but did not inject them. This includes times that you may have smoked, snorted, inhaled, or ingested drugs such as marijuana, methamphetamine, cocaine, or crack. This does not include drugs used for gender transition or affirmation, such as hormones."

ND1.	In the past 12 months, that is, since [fill with interview month, formatted as text] of last year, have you used any drugs that were not prescribed for you and that you did not inject?
NIUSE12	Non-injection drug use - 12 months
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_INTRO_ND1a.

If R has used non-injection drugs (ND1 EQ 1), go to INTRO_ND1a.

Else, go to CALC_ENDND.

INTRO_ND1a.

DISPLAY: "READ: In the past 12 months, did you use any of the following drugs?"

ND1a.	Marijuana?
MARIJUAN	Marijuana
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

ND1b.	Methamphetamine (including meth, crystal, speed, or crank)?
METH	Methamphetamine
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

ND1c.	Crack cocaine?
CRACK	Crack cocaine
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

ND1d.	Powder cocaine that is smoked or snorted?
COCAINE	Powder cocaine
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

ND1e.	Downers (benzos) such as Klonopin, Valium, Ativan, or Xanax?
DOWNERS	Downers
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

ND1f.	Painkillers such as Oxycontin, Vicodin, morphine, or Percocet?
PAINKILL	Painkillers
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

ND1g.	Heroin that is smoked or snorted?
HEROIN	Heroin
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

ND1h.	Poppers or amyl nitrate?
POPPERS	Poppers
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

ND1i.	Something else?
NDOTHER	Other
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

CALC_ENDND.
ENDND	Time ND section ended	ENDND = Current time

END_ND.

Go to Drug Treatment Section (TX).

DRUG TREATMENT (TX)

Variables from prior section(s) used in this section of the questionnaire
Section	Question #	Variable name	Variable label
Preloaded variable	--	CYCLE	NHBS Cycle
Eligibility Screener	--	EL_TRANS	Eligible: Trans cycle
Consent	CN1	CONSENTA	Consent to survey
Non-Injection Drug Use	--	ENDND	Time non-injection drug use section ended

UNIVERSE_TX.

All Eligible Rs (CYCLE EQ 4 & EL_TRANS EQ 1) who consent to interview (CN1 EQ 1) and completed prior section (ENDND is not missing).

CALC_BEGTX.
BEGTX	Time at beginning of TX section	BEGTX = Current time

INTRO_TX1.

DISPLAY: "READ: Next, I'm going to ask you about programs that you may have participated in to treat drug use. These include out-patient, in-patient, residential, detox, methadone treatment, or 12-step programs."

TX1.	Have you participated in a program to treat drug use in the past 12 months, that is, since [fill with interview month, formatted as text] of last year?
DRUGTX	Drug treatment - 12 months
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

TX2.	In the past 12 months, did you try to get into a program to treat drug use but were unable to?
DGTXTRY	Drug tx tried to get in
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

CALC_ENDTX.
ENDTX	Time drug treatment section ended	ENDTX = Current time

END_TX.

Go to HIV Testing Experiences Section (HT).

HIV TESTING EXPERIENCES (HT)

Variables from prior section(s) used in this section of the questionnaire
Section	Question #	Variable name	Variable label
Preloaded variable	--	CYCLE	NHBS Cycle
Preloaded Variable	--	IDATE	Interview date
Preloaded Variable	--	IDATEY	Interview date: Year
Preloaded Variable	--	IDATE_C	Interview date: Century Month
Preloaded Variable	--	AGO6M_C	6 mos before interview: Century Month
Preloaded Variable	--	AGO12M_C	12 mos before interviewe: Century Month
Preloaded Variable	--	AGO2Y_C	2 yrs before interview: Century Month
Eligibility Screener	ES1	DOB	Date of birth
Interviewer Entered Information	IE2	CITY	City
Consent	CN1	CONSENTA	Consent to survey
Eligibility Screener	--	EL_TRANS	Eligible: TRANS cycle
Drug Treatment	---	ENDTX	Time drug treatment section ended

Universe_HT.

All Eligible Rs (CYCLE EQ 4 & EL_TRANS EQ 1) who consent to interview (CN1 EQ 1) and completed prior section (ENDTX is not missing).

CALC_BEGHT.
BEGHT	Time at beginning of HIV testing section	BEGHT = Current time

INTRO_HT1.

DISPLAY: "READ: Now I'm going to ask you a few questions about getting tested for HIV. Remember, an HIV test checks whether someone has the virus that causes AIDS."

HT1.	Have you ever had an HIV test?
EVERTEST	Ever tested for HIV
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_HT2.

If R ever tested for HIV (HT1 EQ 1), go to HT2.

If R never tested for HIV (HT1 EQ 0), go to HT6.

If R did not report if ever tested for HIV (HT1 EQ DK or REF), go to HT11.

HT2.	Have you ever tested positive for HIV, that is, do you have HIV?
EVERPOS	Ever test positive for HIV
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_NSRPSeries.

If R ever tested HIV-positive (HT2 EQ 1), go to Self-reported Positive (SRP) series (HT7).

If R ever tested & did NOT report ever testing HIV-positive (HT1 EQ 1) & (HT2 EQ 0, DK, or REF), go to Non-Self-reported Positive (NSRP) Series (HT3).

Universe_NSRPSeries.

Rs who ever tested and did NOT report ever testing HIV-positive (HT1 EQ 1) & (HT2 EQ 0, DK, or REF).

HT3.	In the past 2 years, that is, since [fill with interview month, formatted as text] [interview year -2], how many times have you had an HIV test?
TEST2YRS	Number of times tested, past 2 years
	Range	0-700
	Don't Know	999
	Refuse to Answer	777

HT4.	When did you have your most recent HIV test? Please tell me the month and year.
RCNTST	Date of most recent HIV test
	__ __ / __ __ __ __ (MM/YYYY)
	Range (Year)	1900-2100
	Don't Know (Year)	9999
	Refuse to Answer (Year)	7777

Check_CALC_RCNTST_C.

If R did not report when they had their most recent HIV test, (HT4 EQ DK or REF), go to Check_HT4conf.

Else, go to CALC_RCNTST_C.

CALC_RCNTST_C.
RCNTST_C	Century month version of RCNTST date	RCNTST_C= ((RCNTSTY-1900)*12) + RCNTSTM.

SoftEdit_HT4.

If year of most recent test is before 1985 (HT4 (year) LT 1985), DISPLAY: "INTERVIEWER: HIV testing was not widely available before 1985. Please confirm the year of the most recent HIV test. If [fill with response to HT4 (year)] is NOT correct, please go back to the previous screen and re-enter the correct year." Then, go to HardEdit_HT4.

HardEdit_HT4.

If most recent test more than 2 years before interview ((RCNTST_C LT AGO2Y_C) or (IDATEY-RCNTSTY GT 2)) & R reported 1 or more tests in past 2 years (HT3 GT 0) or if most recent test was within 24 months of interview ((RCNTST_C GE AGO2Y_C) or (IDATEY-RCNTSTY EQ 0 or 1)) & R reported 0 tests in past 2 years (HT3 EQ 0), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of tests reported). Clarify and re-enter response to current or prior item as needed." Then return to HT3.

If HT4 after interview date ((RCNTST_C GT IDATE_C) or (RCNTSTY AFTER IDATEY)), DISPLAY: "INTERVIEWER: The date of the most recent HIV test cannot be after today's date." Then, go back to HT4.

If HT4 before date of birth (HT4 BEFORE ES1), DISPLAY: "INTERVIEWER: The date of respondent's most recent HIV test cannot be before the date of birth, [fill with response to ES1, formatted as Month DD, YYYY]." Then go back to HT4.

Else, go to Check_HT4conf.

Check_HT4conf.

If R did not know either month or year of last test (HT4 EQ DK), or if year of last test is year before interview year & month of last test not reported ((HT4Y EQ IDATEY-1) & (HT4M is missing), go to HT4conf.

Else, go to HT4a.

HT4conf.	Was your most recent HIV test in the past 12 months, that is, since [fill with interview month, formatted as text] of last year?
C_RCNTST	HIV test in 12 months - y/n
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

HT4a.	When you got tested [if month & year of last test are known, fill with response to HT4, formatted as "in month, YYYY"; if month missing but year known, fill with response to HT4 (year), formatted as "in YYYY"; if month & year of last test not reported (HT4 EQ DK or REF), fill with "that last time"], where did you get tested? [DO NOT READ choices.]
LOCHIV	Location of recent HIV test
	HIV counseling and testing site	1
	HIV/AIDS street outreach program or mobile unit	2
	Drug treatment program	4
	Needle or syringe exchange program	5
	Correctional facility (jail or prison)	6
	Family planning or obstetrics clinic	7
	Public health clinic or community health center	8
	Private doctor's office (including HMO)	9
	Emergency room	10
	Hospital (inpatient)	11
	At home	12
	Other	13
	Don't Know	99
	Refuse to Answer	77

HT4b.	Did you get the result of your most recent HIV test?
GOTRCNT	Got result most recent HIV test
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_HT4c.

If R received result of recent test (HT4b EQ 1), go to HT4c.

Else, go to Check_INTRO_HT5.

HT4c.	What was the result of your most recent HIV test? [READ choices.]
RCNTRST	Result most recent HIV test
	Negative, you do NOT have HIV	1
	Positive, you DO have HIV	2
	Don't Know	9
	Refuse to Answer	7

Check_INTRO_HT5.

If recent test result was positive (HT4c EQ 2), go to Self-Reported Positive (SRP) Series.

If whether or not R tested in past 12 months is unknown (((HT4 EQ DK or REF) &(HT4conf EQ DK or REF)) or (HT4 EQ REF) or ((RCNTSTY=IDATEY-1) & (HT4conf EQ DK or REF))), go to HT11.

If recent test not positive (HT4c NE 2) & R tested in past 12 months ((RCNTST_C GE AGO12M_C) or (HT4conf EQ 1) or (RCNTSTM is missing & (IDATEY=RCNTSTY))), go to INTRO_HT5.

If recent test not positive (HT4c NE 2) & R NOT tested in past 12 months ((RCNTST_C LT AGO12M_C) or (IDATEY- RCNTSTY GT 1) or (HT4conf EQ 0)), go to HT6.

INTRO_HT5.

DISPLAY: “READ: A rapid home HIV test is a test you can use to test yourself that can provide the result in about 20 minutes or less."

HT5.	During the past 12 months, that is, since [fill with interview month, formatted as text] of last year, how many times have you tested yourself with a rapid home HIV test?
RHTST12M	Times tested, rapid home test,12 months
	Range	0-700
	Don't Know	999
	Refuse to Answer	777

Check_BarrierstoHIVTesting

Go to HT11.

Universe_Barriers.

R's who have NOT tested in the past 12 months (HT1 EQ 0, DK, or REF) or (HT4 GT 12 months) or (HT4conf EQ 0)

HT6.	I'm going to read you a list of reasons why some people have not been tested for HIV. Which of these best describes the most important reason you have not been tested for HIV in the past 12 months? [READ choices.]
RENT12M	Reason not tested past 12 mos
	You think you are at low risk for HIV infection?	1
	You were afraid of finding out that you had HIV?	2
	You didn't have time?	3
	Some other reason?	4
	No particular reason	5
	Don't Know	9
	Refuse to Answer	7

Check_SRPSeries.

Go to HT11.

Universe_SRPSeries.

Rs who reported ever testing HIV-positive (HT2 EQ 1) or (HT4c EQ 2).

HT7.	When did you first test positive for HIV? Please tell me the month and year.
POS1ST	Date of first positive test
	__ __ / __ __ __ __ (MM/YYYY)
	Range (Year)	1900-2100
	Don't Know (Year)	9999
	Refuse to Answer (Year)	7777

Check_CALC_POS1ST_C.

If R did not report when they first tested positive (HT7 EQ DK or REF), go to HT7a.

Else, go to CALC_POS1ST_C.

CALC_POS1ST_C.
POS1ST_C	Century month version of POS 1ST date	POS1ST_C = ((POS1STY-1900)*12) + POS1STM

SoftEdit_HT7.

If year of first positive test is before 1985 (HT7 (year) LT 1985), DISPLAY: "INTERVIEWER: HIV testing was not widely available before 1985. Please confirm the year respondent first tested HIV-positive. If [fill with response to HT7 (year)] is NOT correct, please go back to the previous screen and re-enter the correct year." Then, go to HardEdit_HT7.

HardEdit_HT7.

If date R first tested positive after interview date ((POS1ST_C GT IDATE_C ) or (POS1STY AFTER IDATEY)), DISPLAY: "INTERVIEWER: The date respondent first tested HIV-positive cannot be after today's date." Then, go back to HT7.

If date R first tested positive before date of birth (HT7 BEFORE ES1), DISPLAY: "INTERVIEWER: The date respondent first tested HIV-positive cannot be before the date of birth, [fill with response to ES1, formatted as Month DD, YYYY]." Then go back to HT7.

If date R first tested positive after most recent test date ((POS1ST_C GT RCNTST_C ) or (POS1STY AFTER RCNTSTY)), DISPLAY: "INTERVIEWER: The date respondent first tested HIV-positive cannot be after the most recent test [if month & year of last test are known, fill with response to HT4, formatted as "in month, YYYY"; if month missing but year known, fill with response to HT4 (year), formatted as "in YYYY"]. Then go back to HT7.

If date R first tested positive within past 2 yrs ((POS1ST_C GE AGO2Y_C) or (IDATEY-POS1STY EQ 0 or 1)) & R reported 0 tests in the past two years (HT3 EQ 0), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of tests in past 2 years). Clarify and re-enter response to current or prior item as needed." Then go back to HT3.

Else, go to HT7a.

HT7a.	Where did you first test positive? [DO NOT READ choices.]
LOC1POS	Location of first HIV-positive test
	HIV counseling and testing site	1
	HIV/AIDS street outreach program or mobile unit	2
	Drug treatment program	4
	Needle or syringe exchange program	5
	Correctional facility (jail or prison)	6
	Family planning or obstetrics clinic	7
	Public health clinic or community health center	8
	Private doctor's office (including HMO)	9
	Emergency room	10
	Hospital (inpatient)	11
	At home	12
	Other	13
	Don't Know	99
	Refuse to Answer	77

HT7b.	After you tested positive, were you asked by someone from the health department or your health care provider to give the names of your sex or drug use partners so they could be notified that they may have been exposed to HIV?
POSASKED	Asked about your sex partners
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_HT7c.

If R was asked about partners (HT7b EQ 1), go to HT7c.

Else, go to HT7d.

HT7c.	Did you give the names or contact information of any of your partners when asked?
POSCONT	Gave names or contact information of partners when asked
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

HT7d.	Within 30 days after you got your first positive HIV test, did someone let you know where you could go for outpatient care?
TLDCARE	Told where to get HIV care
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Linkage to Care

Universe_LinkagetoCare.

All HIV-positive Rs (HT2 EQ 1 or HT4c EQ 2).

HT8a.	Have you ever been seen by a doctor, nurse, or other health care provider for a medical evaluation or care related to your HIV infection?
POSMD	Seen health care provider for HIV infection
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_HT8b.

If R has ever been seen for HIV care (HT8a EQ 1), go to HT8b.

Else, go to HT11.

HT8b.	When did you first go to your health care provider after learning you had HIV? Please tell me the month and year.
FRSMD	First saw health care provider after learning HIV+
	__ __ / __ __ __ __ (MM/YYYY)
	Range (Year)	1900-2100
	Don't Know (Year)	9999
	Refuse to Answer (Year)	7777

Check_CALC_FRSMD_C.

If R did not report when they first went to a health care provider (HT8b EQ DK or REF), go to Check_HT8b.1

Else, go to CALC_FRSMD_C.

CALC_FRSMD_C.
FRSMD_C	Century month version of FIRST MD date	FRSMD_C = (FRSMDY-1900)*12) + FRSMDM

HardEdit_HT8b.

If R's date of first visit for HIV care is after date of interview ((FRSMD_C GT IDATE_C) or (FRSMDY AFTER IDATEY)), DISPLAY: "INTERVIEWER: The date respondent first saw a health care provider about her positive serostatus cannot be after today's date." Then, go back to HT8b.

If R's date of first visit for HIV care is before date of birth (HT8b BEFORE ES1), DISPLAY: "INTERVIEWER: The date respondent first saw a health care provider about her positive serostatus cannot be before the date of birth, [fill with (value for ES1, formatted as Month DD, YYYY)]. Then, go back to HT8b.

If R's date of first visit for HIV care is before date of first HIV-positive test date ((POS1ST_C GT FRSMD_C) or (POS1STY AFTER FRSMDY)), DISPLAY: "INTERVIEWER: The date respondent first saw a health care provider about her positive serostatus should not be before the first positive test." Then, go back to HT8b.

Else, go to Check_HT8b.1

Check_HT8b.1

If R did not know when first visit for HIV care occurred or date of first positive test result (HT8b or HT7 EQ DK) or if R did not know the month of first visit for HIV care or month of first positive test date (FRSMDM is missing or POS1STM is missing), go to HT8b.1.

Else, go to HT8c.

HT8b.1.	Did you first go to your health care provider for HIV care more than 30 days after learning you had HIV?
C_FRSMD	Confirm: 1st MD visit more than 30 days before 1^st HIV-pos Dx
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

HT8c.	When did you last go to your health care provider for HIV care? Please tell me the month and year.
LASTMD	Last saw health care provider
	__ __ / __ __ __ __ (MM/YYYY)
	Range (Year)	1900-2100
	Don't Know (Year)	9999
	Refuse to Answer (Year)	7777

Check_CALC_LASTMD_C.

If R did not report when she last visited a health care provider (HT8c EQ DK or REF), go to Check_HT8c.1.

Else, go to CALC_LASTMD_C.

CALC_LASTMD_C.
LASTMD_C	Century month version of LAST MD date	LASTMD_C = (LASTMDY-1900)*12) + LASTMDM

HardEdit_HT8c.

If R's date of last visit for HIV care after date of interview ((LASTMD_C GT IDATE_C) or (LASTMDY AFTER IDATEY )), DISPLAY: "INTERVIEWER: The date respondent last saw a health care provider cannot be after today's date." Then, go back to HT8c.

If R's date of last visit for HIV care before date of birth (HT8c BEFORE ES1, DISPLAY: "INTERVIEWER: The date of respondent's last visit cannot be before the date of birth, [fill with value for ES1, formatted as Month DD, YYYY)]." Then, go back to HT8c.

If R's date of last visit for HIV care is before date of first visit for HIV care ((LASTMD_C LT FRSTMD_C)) or (FRSTMDY AFTER LASTMDY)), DISPLAY: "INTERVIEWER: The date of respondent's last visit cannot be earlier than the date of the first visit." Then, go back to HT8c.

If R's date of last visit for HIV care is before date of first positive test ((LASTMD_C LT POS1ST_C) or (POS1STY AFTER LASTMDY)), DISPLAY: "INTERVIEWER: The date of respondent's last visit cannot be earlier than the date of the first positive test." Then, go back to HT8c.

Else, go to Check_HT8c.1.

Check_HT8c.1.

If the date of R's last visit for HIV care is more than 6 months ago (LASTMD_C LT AGO6M_C), go to HT9.

If R’s date of last visit for HIV care is DK or month is missing, go to HT8c.1.

Else, go to HT9.

HT8c.1.	Was your last visit for HIV care in the past 6 months?
C_LASTMD	Last HIV care in the past 6 months - n/y
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Universe_HIVMedications.

Rs who reported having seen a health care provider for HIV care (HT8 EQ 1).

HT9.	Are you currently taking antiretroviral medicines to treat your HIV infection?
CURRAMED	Currently taking antiretrovirals
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

INTRO_HT10.

DISPLAY: "READ: Now I'm going to ask you a few questions about HIV viral load. HIV viral load tests measure the amount of HIV in your blood."

HT10.	Have you ever had an HIV viral load test?
EVRVLTST	Ever had viral load test
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_HT10a.

If R never had a viral load test or did not respond (HT10 EQ 0, DK or REF), go to HT11.

Else, go to HT10a.

HT10a.	When was your most recent viral load test? Please tell me the month and year.
RCVLTST	Date of most recent VL
	__ __ / __ __ __ __ (MM/YYYY)
	Range (Year)	1900-2100
	Don't Know (Year)	9999
	Refuse to Answer (Year)	7777

Check_CALC_VLTST_C.

If R did not report when they had most recent viral load test (HT10a EQ DK or REF), go to INTRO_HT10b.

Else, go to CALC_VLTST_C.

CALC_VLTST_C.
VLTST_C	Century month version of RCVLTST date	VLTST_C = (RCVLTSTY-1900)*12) + RCVLTSTM

HardEdit_HT10a.

If R's date of most recent viral load test after date of interview ((VLTST_C GT IDATE_C) or (RCVLTSTY AFTER IDATEY)), DISPLAY: "INTERVIEWER: The date of respondent's most recent viral load test cannot be after today's date." Then, go back to HT10a.

If R's date of most recent viral load test before date of birth (HT10a BEFORE ES1), DISPLAY: "INTERVIEWER: The date of respondent's most recent viral load test cannot be before the date of birth, [fill with (value for ES1, formatted as Month DD, YYYY])." Then, go back to HT10a.

If R's date of most recent viral load test is before date of first positive test ((VLTST_C LT POS1ST_C) or (POS1STY AFTER RCVLTSTY)), DISPLAY: "INTERVIEWER: The date of respondent's most recent viral load test cannot be earlier than the date of the first positive test." Then, go back to HT10a.

Else, go to INTRO_HT10b.

INTRO_HT10b.

DISPLAY: “[Give Respondent Flashcard R.]

READ: Next, I am going to ask about the result of your most recent viral load test. Looking at this flashcard, which category represents your most recent result?"

HT10b.	What was the result of your most recent viral load test? [READ choices.]
VRLTRSLT	Result for most recent VL
	Below the level of detection, undetectable	1
	Detectable but less than 5,000 viral copies/ml	2
	5,000 to 100,000 viral copies/ml	3
	Greater than 100,000 viral copies/ml	4
	Don't Know	9
	Refuse to Answer	7

HT11.	The next question is about testing for sexually transmitted diseases other than HIV and hepatitis. In the past 12 months, that is, since [fill with interview month, formatted as text] of last year, were you tested by a doctor or other health care provider for a sexually transmitted disease like gonorrhea, chlamydia, or syphilis?
STDTEST	Tested for STD past 12 months
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

CALC_ENDHT.
ENDHT	Time HIV testing section ended	ENDHT = Current time

END_HT.

Go to Mental Health Section (MH).

MENTAL HEALTH (MH)

Variables from prior section(s) used in this section of the questionnaire
Section	Question #	Variable name	Variable label
Preloaded Variables	--	AGE	QDS calculated age today
Preloaded variables	--	CYCLE	NHBS Cycle
Preloaded variables	--	IDATEM	Interview date: Month
Preloaded variables	--	IDATED	Interview date: day
Consent	CN1	CONSENTA	Consent to survey
Eligibility Screener	--	EL_TRANS	Eligible: TRANS cycle
HIV Testing	--	ENDHT	Time HIV testing section ended

Universe_MH.

All Eligible Rs (CYCLE EQ 4 & EL_TRANS EQ 1) who consent to interview (CN1 EQ 1) and completed prior section (ENDHT is not missing).

CALC_BEGMH.
BEGMH	Time at beginning of MH section	BEGMH = Current time

INTRO_MH1.

DISPLAY: “[Give Respondent Flashcard S.]

READ: These next questions ask how you have been feeling during the past 30 days. Please tell me how you have been feeling using one of the options on this card.”

MH1a.		During the past 30 days, how often did you feel nervous? [READ choices.]
	FEELNERV	Felt nervous
		All of the time	1
		Most of the time	2
		Some of the time	3
		A little of the time	4
		None of the time	5
		Don’t Know	9
		Refuse to Answer	7

MH1b.		During the past 30 days, how often did you feel hopeless? [READ choices.]
	FEELHOPE	Felt hopeless
		All of the time	1
		Most of the time	2
		Some of the time	3
		A little of the time	4
		None of the time	5
		Don’t Know	9
		Refuse to Answer	7

MH1c.		During the past 30 days, how often did you feel restless or fidgety? [READ choices.]
	FEELREST	Felt restless
		All of the time	1
		Most of the time	2
		Some of the time	3
		A little of the time	4
		None of the time	5
		Don’t Know	9
		Refuse to Answer	7

MH1d.		During the past 30 days, how often did you feel so sad or depressed that nothing could cheer you up? [READ choices.]
	FEELSAD	Felt depressed
		All of the time	1
		Most of the time	2
		Some of the time	3
		A little of the time	4
		None of the time	5
		Don’t Know	9
		Refuse to Answer	7

MH1e.		During the past 30 days, how often did you feel that everything was an effort? [READ choices.]
	FEELEFRT	Everything was an effort
		All of the time	1
		Most of the time	2
		Some of the time	3
		A little of the time	4
		None of the time	5
		Don’t Know	9
		Refuse to Answer	7

MH1f.		During the past 30 days, how often did you feel down on yourself, no good or worthless? [READ choices.]
	FEELDOWN	Felt worthless
		All of the time	1
		Most of the time	2
		Some of the time	3
		A little of the time	4
		None of the time	5
		Don’t Know	9
		Refuse to Answer	7

MH2a.	At any time in the past 12 months, that is, since [fill with interview month, formatted as text] of last year, up to and including today, did you seriously think about trying to kill yourself?
SUITH	Suicidal ideation
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_MH2b.

If R ever thought about suicide (MH2a EQ 1), go to MH2b.

Else, go to CALC_ENDMH.

MH2b.	During the past 12 months, did you make any plans to kill yourself?
SUIPL	Planned suicide
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

MH2c.	During the past 12 months, did you try to kill yourself?
SUIATT	Attempted suicide
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

CALC_ENDMH.
ENDMH	Time mental health section ended	ENDMH = Current time

END_MH.

Go to Discrimination section (DI).

DISCRIMINATION (DI)

Variables from prior section(s) used in this section of the questionnaire
Section	Question #	Variable name	Variable label
Preloaded Variables	--	AGE	QDS calculated age today
Preloaded variables	--	CYCLE	NHBS Cycle
Preloaded variables	--	IDATEM	Interview date: Month
Preloaded variables	--	IDATED	Interview date: day
Consent	CN1	CONSENTA	Consent to survey
Eligibility Screener	--	EL_TRANS	Eligible: TRANS cycle
Mental Health	--	ENDMH	Time mental health section ended

Universe_DI.

All Eligible Rs (CYCLE EQ 4 & EL_TRANS EQ 1) who consent to interview (CN1 EQ 1) and completed all prior sections (ENDMH is not missing).

CALC_BEGDI.
BEGDI	Time at beginning of DI section	BEGDI = Current time

INTRO_DI1.

DISPLAY: "READ: The next questions are about discrimination you may have experienced because others perceive you as being transgender or gender non-conforming. For each question, please tell me whether you have had this experience in the past 12 months.”

DI1.		In the past 12 months, that is, since [fill with interview month, formatted as text] of last year, have you been fired from a job because you are transgender or gender non-conforming?
	FIRED	Fired because transgender
		No	0
		Yes	1
		Don't Know	9
		Refuse to Answer	7
		Not applicable	8

DI2.		In the past 12 months, have you had trouble getting a job because you are transgender or gender non-conforming?
	TRBLJOB	Trouble getting job because transgender
		No	0
		Yes	1
		Don't Know	9
		Refuse to Answer	7
		Not applicable	8

DI3.		In the past 12 months, have you been denied access to bathrooms that were appropriate to your gender identity?
	BTHRM	Denied access to appropriate bathroom
		No	0
		Yes	1
		Don't Know	9
		Refuse to Answer	7
		Not applicable	8

DI4.		In the past 12 months, have you been denied housing or been evicted because you are transgender or gender non-conforming?
	HOUSING	Denied housing or evicted because transgender
		No	0
		Yes	1
		Don't Know	9
		Refuse to Answer	7
		Not applicable	8

DI5.		In the past 12 months, have you been denied or given lower quality health care because you are transgender or gender non-conforming?
	PRHLTHCR	Denied health care because transgender
		No	0
		Yes	1
		Don't Know	9
		Refuse to Answer	7
		Not applicable	8

DI6.		In the past 12 months, have you received poorer services than other people in restaurants, stores, or other businesses because you are transgender or gender non-conforming?
	PRSRVC	Poorer service because transgender
		No	0
		Yes	1
		Don't Know	9
		Refuse to Answer	7
		Not applicable	8

CALC_ENDDI.
ENDDI	Time discrimination section ended	ENDDI = Current time

END_DI.

Go to Abuse and Harassment section (AH).

ABUSE AND HARASSMENT (AH)

Variables from prior section(s) used in this section of the questionnaire
Section	Question #	Variable name	Variable label
Preloaded Variables	--	AGE	QDS calculated age today
Preloaded variables	--	CYCLE	NHBS Cycle
Preloaded variables	--	IDATEM	Interview date: Month
Preloaded variables	--	IDATED	Interview date: day
Consent	CN1	CONSENTA	Consent to survey
Eligibility Screener	--	EL_TRANS	Eligible: TRANS cycle
Discrimination	--	ENDDI	Time discrimination section ended

Universe_AH.

All Eligible Rs (CYCLE EQ 4 & EL_TRANS EQ 1) who consent to interview (CN1 EQ 1) and completed prior section (ENDDI is not missing).

CALC_BEGAH.
BEGAH	Time at beginning of AH section	BEGAH = Current time

INTRO_AH1.

DISPLAY: "READ: The next set of questions is about verbal and physical abuse and harassment that you may have experienced. For each question, please tell me whether you have had this experience in the past 12 months.”

AH1.		In the past 12 months, have you been verbally abused or harassed because of your gender identity or presentation?
	VERBABUS	Verbally abused
		No	0
		Yes	1
		Don't Know	9
		Refuse to Answer	7

AH2.		In the past 12 months, have you been physically abused or harassed because of your gender identity or presentation?
	PHSYABUS	Physically abused
		No	0
		Yes	1
		Don't Know	9
		Refuse to Answer	7

AH3.		In the past 12 months, have you been physically abused or harassed by a sexual partner?
	IPVABUS	Physically Abused IPV
		No	0
		Yes	1
		Don't Know	9
		Refuse to Answer	7

AH4.		In the past 12 months, have you been forced to have sex when you did not want to? By forced, I mean physically forced or verbally threatened. By sex, I mean any sexual contact.
	SEXABUS	Forced sex
		No	0
		Yes	1
		Don't Know	9
		Refuse to Answer	7

CALC_ENDAH.
ENDAH	Time abuse and harassment section ended	ENDAH = Current time

END_AH.

Go to Incarceration section (IN).

INCARCERATION (IN)

Variables from prior section(s) used in this section of the questionnaire
Section	Question #	Variable name	Variable label
Preloaded variable	--	CYCLE	NHBS Cycle
Consent	CN1	CONSENTA	Consent to survey
Eligibility Screener	--	EL_TRANS	Eligible: TRANS cycle
Abuse and Harassment	--	ENDAH	Time abuse and harassment section ended

Universe_IN.

All eligible Rs (CYCLE EQ 4 & EL_TRANS EQ 1) who consent to interview (CN1 EQ 1) and completed prior section (ENDAH is not missing).

CALC_BEGIN.
BEGIN	Time at beginning of IN section	BEGIN = Current time

INTRO_IN1.

DISPLAY: "READ: Now I will ask you about experiences you may have had with the criminal justice system."

IN1.	Have you ever been held in a detention center, jail, or prison for more than 24 hours?
EVHELD	Ever held or arrested
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_IN1a.

If IN1 EQ 1, go to IN1a.

Else, go to CALC_ENDIN.

IN1a.	During the past 12 months, that is, since [fill with interview month, formatted as text] of last year, have you been held in a detention center, jail, or prison for more than 24 hours?
HELD12M	Held or arrested past 12 months
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_IN2.

If IN1a EQ 1, go to IN2.

Else, go to CALC_ENDIN.

IN2.	During the past 12 months, when you were in detention, jail, or prison, did you get a test for HIV?
HIVTIN	In jail received HIV test past 12 months
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

CALC_ENDIN.
ENDIN	Time incarceration section ended	ENDIN = Current time

END_IN.

Go to Assessment of Prevention Activities Section (PA).

ASSESSMENT OF PREVENTION ACTIVITIES (PA)

Variables from prior section(s) used in this section of the questionnaire
Section	Question #	Variable name	Variable label
Preloaded Variables	--	CYCLE	NHBS Cycle
Injection Drug Use	--	ENDID	Time injection drug section ended
Consent	CN1	CONSENTA	Consent to survey
Eligibility Screener	--	EL_TRANS	Eligible: TRANS cycle
HIV Testing	HT2	EVERPOS	Ever test positive for HIV
HIV Testing	HT4c	RCNTRST	Result most recent HIV test
Incarceration	--	ENDIN	Time incarceration section ended

Universe_PA.

All Eligible Rs (CYCLE EQ 4 & EL_TRANS EQ 1) who consent to interview (CN1 EQ 1) and completed prior section (ENDIN is not missing).

CALC_BEGPA.
BEGPA	Time at beginning of PA section	BEGPA = Current time

INTRO_PA1.

DISPLAY: "READ: Next I'd like to ask you about HIV prevention activities that happen around here."

PA1.	In the past 12 months, that is, since [fill with interview month, formatted as text] of last year, have you gotten any free condoms, not counting those given to you by a friend, relative or sex partner?
COND12	Received free condoms past 12 mos
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

INTRO_PA2.

DISPLAY: “READ: Next, I would like to ask about participation in HIV prevention activities.

Do not count situations when you had a conversation as part of an HIV test or with a group of friends.”

PA2.	In the past 12 months, have you had a one-on-one conversation with an outreach worker, counselor, or prevention program worker or participated in an organized group session to discuss ways to prevent HIV infections?
HIVINT12	HIV intervention past 12 mos
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_INTRO_PA3.

If R did not report ever testing HIV-positive (HT4c NE 2 and HT2 NE 1), go to INTRO_PA3.

Else, go to PA4.

INTRO_PA3.

DISPLAY: "READ: The next questions are about the use of anti-HIV medicines, also called antiretrovirals. There are two ways that people who are HIV-negative can take anti-HIV medicines to reduce their risk of becoming infected.“

PA3.	When a person who is HIV-negative takes pills for 28 days after a single high-risk exposure to reduce their chances of getting HIV, this is called POST-exposure prophylaxis, or PEP. In the past 12 months, have you taken PEP?
PEPUSE	PEP, use, 12m
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

PA4.	PRE-exposure prophylaxis, or PrEP, is an antiretroviral medicine, such as Truvada, taken for months or years by a person who is HIV-negative to reduce the risk of getting HIV. Before today, have you ever heard of PrEP?
PRPAWR	PrEP, awareness
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_PA4a.

If R has not heard of PrEP before today (PA4 NE 1) or reported ever testing HIV-positive (HT4c EQ 2 or HT2 EQ 1) , go to CALC_ENDPA.

Else, go to PA4a.

PA4a.	In the past 12 months, have you had a discussion with a health care provider about taking PrEP?
PRPDSC	PrEP, discussed with HCP, 12m
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

PA4b.	In the past 12 months, have you taken PrEP to reduce the risk of getting HIV?
PRPUS12M	PrEP use, 12 m (y/n)
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

Check_PA4c.

If R has taken PrEP in past 12 months (PA4b EQ 1), go to PA4c.

Else, go to CALC_ENDPA.

PA4c.	When you took PrEP in the past 12 months, did you take it every day, almost every day, or less often?
PRPFX12M	PrEP use, frequency, 12m
	Every day	2
	Almost every day	1
	Less often	0
	Don't Know	9
	Refuse to Answer	7

Check_PA4d.

If R reported using PrEP daily (PA4c EQ 1 OR 2), go to PA4d.

If R reported using PrEP less than daily or did not know how often they used PrEP (PA4c EQ 0 OR DK), go to PA4e.

Else, go to PA4f.

PA4d.	Since [fill with interview month, formatted as text] of last year, did you take PrEP for at least 2 months in a row?
PRPDU12M	PrEP use, duration, 12m
	No	0
	Yes	1
	Don't Know	9
	Refuse to Answer	7

PA4e.		Which of the following describe how you took PrEP since [fill with interview month, formatted as text] of last year? You may choose more than one option. [READ choices. CHECK ALL that apply.]
PRPNDL		PrEP, how used
	PRPNDLA	Before you planned to have sex
	PRPNDLB	After sex
	PRPNDLC	Other times
		Don't Know	9
		Refuse to Answer	7

PA4f.		[Give Respondent Flashcard T.] Please tell me which of the following people or places describe how you got PrEP during the last 12 months. You may choose more than one option. [READ choices. CHECK ALL that apply.]
PRPSRC		PrEP, sources, 12m
	PRPSRCA	Prescription from a healthcare provider
	PRPSRCB	Directly from a health care provider or clinic
	PRPSRCC	A friend or relative
	PRPSRCD	A person you have sex with
	PRPSRCE	A person you use drugs with
	PRPSRCF	Some other source
		Don't Know	9
		Refuse to Answer	7

CALC_ENDPA.
ENDPA	Time prevention activities section ended	ENDPA = Current time

End_PA.

Go to End of Survey Section (END).

NHBS TRANS QUESTIONNAIRE

END OF SURVEY (END)

Variables from prior section(s) used in this section of the questionnaire
Section	Question #	Variable name	Variable label
Prevention Activities	PA4f	PRPSRC	PrEP, sources, 12m
Preloaded Variables	--	CYCLE	NHBS Cycle
Preloaded Variables	--	LANGUAGE	Language
Eligibility Screener	ES3	E_GEND	Gender
Consent	CN1	CONSENTA	Consent to survey
Consent	CN2	CONSENTB	Consent to HIV testing
Interviewer Entered Information	IE5	ISEED	Respondent is a seed
Injection Drug Use	ID1	EVRINJ	Ever Injected drugs
Eligibility Screener	--	EL_TRANS	Eligible: TRANS cycle

UNIVERSE_END.

All Rs.

Check_END1.

If R NOT eligible for cycle (CYCLE EQ 4 & EL_TRANS EQ 0), go to INTRO_END6.

If last question asked of all Rs EQ DK or REF or Skipped (PA4 EQ DK or REF or Skipped), go to END1.

Else, go to CALC_ENDCORE.

END1.	Interviewer: Please confirm. Did the person complete the survey?
C_CMPLT	Confirm Complete
	Did NOT complete the survey	0
	DID complete the survey	1

CALC_ENDCORE.
ENDCORE	Timestamp at end of core	ENDCORE = Current time

CALC_COMPLETE.
COMPLETE	Interview complete	COMPLETE = IF(PRPAWR NE DK and PRPAWR NE REF and PRPAWR NE SK, 1, IF(C_CMPLT=1, 1, 0))

Check_END2a.

If R did NOT consent to HIV test before interview (CN2 EQ 0), go to END2a.

Else, go to END5.

END2a.	My records reflect that you did not agree to HIV testing when asked earlier during the interview. Before I close out the survey, I'd like to ask you again about whether or not you would like an HIV test. Did you want the HIV test that is part of today's survey? [DO NOT read choices.]
C_T_CNST	Confirmation of HIV Testing Consent
	No – Respondent DOES NOT want an HIV test	0
	Yes – Respondent DOES want an HIV test	1

Check_END2b.

If R wants HIV test (END2a EQ 1), go to END2b.

Else, go to END5.

END2b.	Do you agree to HIV counseling and testing?
HIVCNSTB	Revised Consent to HIV testing
	No	0
	Yes	1

Check_END4.

If R consented to HIV test after interview (END2b EQ 1), go to END4.

Else, go to END5.

END4.	Do you agree to let us store a sample of your specimen for future testing?
HIVCNSTD	Revised Consent to Specimen Storage
	No	0
	Yes	1

END5.	INTERVIEWER: How confident are you of the validity of the respondent's answers?
VALIDITY	Confidence in validity of answers
	Confident	1
	Some doubts	2
	Not confident at all	3

Check_END5a.

If Interviewer doubts validity of responses (END5 EQ 2 or 3), go to END5a.

Else, go to CALC_TRN_RCTR.

END5a.		INTERVIEWER: Please explain why you are not confident in the respondent's answers:
VALSPEC		Specify why not confident in answers
		__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
		{text response; max length = 1000 characters}

CALC_TRN_RCTR.
TRN_RCTR	Eligible: TRANS RDS Recruiter	If data are valid (VALIDITY EQ 1 or 2) & complete (COMPLETE EQ 1) & current gender identity includes “Woman” or “Transgender Woman” (GENDA=1 OR GENDC=1), R selected to receive coupons (TRN_RCTR=1). Else, R is NOT to receive coupons (TRN_RCTR EQ=0).

Check_INTRO_END6.

If RDS cycle & R IS eligible to recruit (TRN_RCTR EQ 1), DISPLAY: "The computer SELECTED this respondent to recruit others and receive coupons." Then, go to END6.

If RDS cycle & R NOT eligible to recruit (TRN_RCTR EQ 0), DISPLAY: "The computer did NOT select this respondent to recruit others and receive coupons." Then, go to END6.

INTRO_END6.

DISPLAY: "READ: Thank you for answering these questions. Unfortunately, the computer has not selected you to participate in the health survey. Thank you again for your time."

END6.	INTERVIEWER: Do you have any comments to add?
INTCOMM	Interviewer Comments
	No	0
	Yes	1

Check_END7.

If END6 EQ 1, go to END7.

Else, go to CALC_END.

END7.			Enter interviewer comments
INTTXT			Interviewer comments text
	__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
		{text response; max length = 1000 characters}

CALC_END.
END	Interview end time	END = Current time

CALC_EDATE.
EDATE	End date	EDATE = Today's date

CALC_INTTIME.
INTTIME	Elapsed interview/data entry time	INTTIME = Elapsed interview/data entry time

Check_END8.

If TRANS cycle & R not eligible (CYCLE EQ 4 and EL_TRANS EQ 0), go to END9.

Else, go to END8.

END8.	INTERVIEWER: Do you want to proceed to the local survey?
LOCSURV	Proceed to local survey
	No	0
	Yes	1

Check_END9.

If Interviewer wants to proceed to local survey & English interview (END8 EQ 1 & LANGUAGE EQ 1), open ENGLISH LOCAL FILE.

If Interviewer wants to proceed to local survey & Spanish interview (END8 EQ 1 & LANGUAGE EQ 2), open SPANISH LOCAL FILE.

Else, go to END9.

END9.	INTERVIEWER: Do you want to end this survey?
ENDSURV	End survey
	No	0
	Yes	1

Check_ENDSURVEY.

If Interviewer does not want to end survey (END9 EQ 0), go back to END6.

Else, end interview.

FLASHCARDS

FLASHCARD A

American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

FLASHCARD B

Woman
Man
Transgender woman
Transgender man
A gender not listed here

FLASHCARD C

A relative or family member
A person you have sex with
A friend
An acquaintance, that is, a person you know but do not consider a friend
A stranger, you don't know the person or just met them

FLASHCARD D

	MONTHLY INCOME	OR		YEARLY INCOME
A.	$0 to $416		A.	$0 to $4,999
B.	$417 to $833		B.	$5,000 to $9,999
C.	$834 to $1,041		C.	$10,000 to $12,499
D.	$1,042 to $1,249		D.	$12,500 to $14,999
E.	$1,250 to $1,666		E.	$15,000 to $19,999
F.	$1,667 to $2,083		F.	$20,000 to $24,999
G.	$2,084 to $2,499		G.	$25,000 to $29,999
H.	$2,500 to $2,916		H.	$30,000 to $34,999
I.	$2,917 to $3,333		I.	$35,000 to $39,999
J.	$3,334 to $4,166		J.	$40,000 to $49,999
K.	$4,167 to $4,999		K.	$50,000 to $59,999
L.	$5,000 to $6,249		L.	$60,000 to $74,999
M.	$6,250 or more		M.	$75,000 or more

FLASHCARD E

A private health plan - through an employer or purchased directly
Medicaid - for people with low incomes
Medicare – for the elderly and people with disabilities
Some other government plan
TRICARE / CHAMPUS
Veterans Administration coverage
Some other health insurance

FLASHCARD F

Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree

FLASHCARD G

Pharmacy or drug store
Doctor’s office, clinic or hospital
Friend, acquaintance, relative, or sex partner
Off the streets (dealer/black market)
Internet
Other

FLASHCARD H

Pills
Skin patch or cream
Shots/injection
Other

FLASHCARD I

Pharmacy or drug store
Doctor’s office, clinic or hospital
Friend, acquaintance, relative, or sex partner
Off the streets (dealer/black market)
Needle exchange program
Other

FLASHCARD J

Never
Rarely
About half the time
Most of the time
Always

FLASHCARD K

Walking on the street or “stroll”
Online (websites or apps)
Working in a strip club, massage parlor, brothel, or other similar place you are employed
Picking up clients at a public place, such as a bar, hotel, or the mall
Some other way

FLASHCARD L

24 years or younger
25-29 years
30-39 years
40-49 years
50 years or older

FLASHCARD M

American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White

FLASHCARD N
FOR USE WITH ALCOHOL QUESTIONS

1 Shot of Liquor 1 Regular Beer 1 Glass of Wine
(Whisky, Vodka, Gin, etc.) 12 oz. 5 oz.
1.5 oz.

FLASHCARD O

More than once a day
Once a day
More than once a week
Once a week
More than once a month
Once a month
Less than once a month

FLASHCARD P

Speedball, which is heroin and cocaine together
Heroin, by itself
Powder cocaine, by itself
Crack cocaine, by itself
Methamphetamine, as also known as meth, crystal meth, speed, or crank
Painkillers, such as Oxycontin, Dilaudid, morphine, Percocet, or Demerol
Something else

FLASHCARD Q

Needle or syringe exchange program
Someone who got them from a needle exchange
Pharmacy or drug store
Doctor’s office, clinic, or hospital
HIV/AIDS focused organization
Some other place

FLASHCARD R

Below the level of detection, undetectable
Detectable but less than 5,000 viral copies/ml
5,000 to 100,000 viral copies/ml
Greater than 100,000 viral copies/ml

FLASHCARD S

All of the time
Most of the time
Some of the time
A little of the time
None of the time

In the past 12 months, did you ever not eat for a whole day because there wasn’t enough money for food?

Not eat for a day due to money

Don’t Know

Refuse to Answer

FLASHCARD T

Prescription from a healthcare provider
Directly from a health care provider or clinic
A friend or relative
A person you have sex with
A person you use drugs with
Some other source

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author	Doyle, Katherine (CDC/OID/NCHHSTP)
File Modified	0000-00-00
File Created	2021-01-15