0920-0770 Behavioral Assessment for MSM (English)

[NCHHSTP] National HIV Behavioral Surveillance System

Att 3b_Behavioral Assessmnet MSM_Eng

OMB: 0920-0770

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OMB No: 0920-0770 Overview


Behavioral Assessment MSM (English)

Form Approved:

OMB No. 0920-0770

Expiration Date: XX/XX/XXXX





National HIV Behavioral Surveillance System: Core Questionnaire



MSM Cycle OMB Statement



Public reporting burden of this collection of information is estimated to average 24 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: CDC, Project Clearance Officer, 1600 Clifton Road, MS D-74, Atlanta, GA 30333, ATTN: PRA (0920-0770). Do not send the completed form to this address.





NHBS Round 7 CAPI REFERENCE QUESTIONNAIRE (CRQ)

Table of contents





NHBS ROUND 7 QUESTIONNAIRE

CORE INTRODUCTION (CI)

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

Section

Question #

Variable name

Variable label

Preset Variables

--

CYCLE

NHBS Cycle



Universe_CI.

All Eligible Rs who consent to interview.


CI1_OMB.

DISPLAY: Public reporting burden of this collection of information is estimated to average [if MSM cycle (CYCLE=1), fill with "24"; if IDU cycle (CYCLE EQ 2), fill with "43"; if HET cycle (CYCLE EQ 3), fill with "31" ] minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: CDC, Project Clearance Officer, 1600 Clifton Road, MS D-74, Atlanta, GA 30333, ATTN: PRA (0920-0770). Do not send the completed form to this address.




CALC_START_C.



START_C

Interview start time

START_C = Current time




INTRO_CORE.

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



On the next screen, DISPLAY:

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

Then, go to END_CI.




END_CI.

Go to Network Section (NS).

NHBS ROUND 7 QUESTIONNAIRE

NETWORK SECTION (NS)

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

Section

Question #

Variable name

Variable label

Preset variables

--

CYCLE

NHBS Cycle

Interviewer Entered Information

IE2

CITYR7

City

Interviewer Entered Information

IE10

ISEED

Respondent is a seed



UNIVERSE_NS.

IDU or HET cycle eligible Rs who consent to interview.


CALC_BEGNS.



BEGNS

Time at beginning of network section

BEGNS = Current time


Check_INTRO_NS1.

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

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

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

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

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

PWID Network Series (INTRO_NS1- Check_ Check_INTRO_NS3)

PWID Recruiter Relationship

INTRO_NS1.

DISPLAY: "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 5720), fill with "Hampton Roads", else, fill with project area (city name from IE2)] who inject. Please remember that your answers will be kept private."


NS1.

[Give Respondent Flashcard C.]



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



[READ choices. CHECK ALL that apply.]

NS_IREL

Relationship to recruiter, IDU



NS_IRELA

A relative or family member




NS_IRELB

A person you have sex with




NS_IRELC

A person you use drugs with or buy drugs from




NS_IRELD

A friend




NS_IRELE

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




NS_IRELF

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





Refuse to Answer

77




HardEdit_NS1.

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

Else, go to Check_NS1CONF.



Check_NS1CONF.

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

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



NS1CONF.

When and where did you first see this person?



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

NS_RSTRI

Confirmation: recruiter is a stranger




Recruiter is a stranger

1




Recruiter is NOT a stranger

2




Check_INTRO_NS2a.1.

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

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



PWID Network Size: First Loop

INTRO_NS2a.1.

DISPLAY: "Now, I'm going to ask you about people you know. Specifically, I'm going to ask you how many people you know in [if the project area is Norfolk (IE2 EQ 5720), fill with "Hampton Roads", else, fill with project area (city name from IE2)] who inject and whom you have seen in the past 30 days. I will not ask you questions about any specific person."



NS2a.1.

Please tell me how many men in [if the project area is Norfolk (IE2 EQ 5720fill with "Hampton Roads", else, fill with project area (city name from IE2)] you know who inject and whom you have seen in the past 30 days. [If R is not a seed (IE10 EQ 0), fill with "Please include the person who gave you the coupon if they are male."]

NS_IDUMA

# male IDUs known: net size




Range

0 - 7500




Don't Know

9999




Refuse to Answer

7777




NS2b.1.

How many women in [if the project area is Norfolk (IE2 EQ 5720), fill with "Hampton Roads", else, fill with project area (city name from IE2)] do you know who inject and whom you have seen in the past 30 days? [If R is not a seed (IE10 EQ 0), fill with "Please include the person who gave you the coupon if they are female."]

NS_IDUFE

# female IDUs known: net size




Range

0 - 7500




Don't Know

9999




Refuse to Answer

7777




Check_CALC_NSC_IDUM.

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

Else, go to CALC_NSC_IDUM.



CALC_NSC_IDUM.



NSC_IDUM

# male IDUs known: calculated net size

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



CALC_NSC_IDUF.



NSC_IDUF

# female IDUs known: calculated net size



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



CALC_NSC_IDUS.



NSC_IDUS

# IDUs known: calculated net size

NSC_IDUS = NSC_IDUM+NSC_IDUF



Check_NS2CONFa.

If NSC_IDUS EQ 0, go to NS2CONFa.

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

If NSC_IDUS GT 3, go to NS2CONFc.





NS2CONFa.

You said you don't know anyone in [if the project area is Norfolk (IE2 EQ 5720), fill with "Hampton Roads", else, fill with project area (city name from IE2)] who injects that you have seen in the past 30 days. Is this correct? [If R is not a seed (IE10 EQ 0), fill with "Did you include the person who gave you the coupon?"]

NS_IZERO

Confirmation: NSC_IDUS = 0




No - - DOES know other injectors

0




Yes - - does NOT know any other injectors

1




Check_NS2CONFb.

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

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





NS2CONFb.

Is there anyone else you know in [if the project area is Norfolk (IE2 EQ 5720), fill with "Hampton Roads", else, fill with project area (city name from IE2)] who injects that you have seen in the past 30 days? [If R is not a seed (IE10 EQ 0), fill with "Did you include the person who gave you the coupon?"]

NS_ILOWS

Confirmation: NSC_IDUS < 4




No - - does NOT know any other injectors

0




Yes - - DOES know more injectors

1




Check_NS2CONFc.

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

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



NS2CONFc.

So in the past 30 days, you've seen [fill with NSC_IDUS] people who you know inject and who live in [if the project area is Norfolk (IE2 EQ 5720), fill with "Hampton Roads", else, fill with project area (city name from IE2)]. Would you say that [fill with NSC_IDUS] people is about right?

NS_ICHCK

Confirmation: NSC_IDUS correct




Yes, about right

0




No, you actually know FEWER people who inject

1




No, you actually know MORE people who inject

2




Don't Know

9




Refuse to Answer

7




Check_NS2a.2.

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

Else, go to CALC_ENDNS.



PWID Network Size: Second Loop



NS2a.2.

Please tell me how many men in [if the project area is Norfolk (IE2 EQ 5720), fill with "Hampton Roads", else, fill with project area (city name from IE2)] you know who inject and whom you have seen in the past 30 days. [If R is not a seed (IE10 EQ 0), fill with "Please include the person who gave you the coupon if they are male."]

NS_IDUM2

# male IDUs known: net size, 2nd loop




Range

0 - 7500




Don't Know

9999




Refuse to Answer

7777




NS2b.2.

How many women in [if the project area is Norfolk (IE2 EQ 5720), fill with "Hampton Roads", else, fill with project area (city name from IE2)] do you know who inject and whom you have seen in the past 30 days? [If R is not a seed (IE10 EQ 0), fill with "Please include the person who gave you the coupon if they are female."]

NS_IDUF2

# female IDUs known: net size , 2nd loop




Range

0 - 7500




Don't Know

9999




Refuse to Answer

7777




Check_CALC_NSC_IDUM2.

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

Else, go to CALC_NSC_IDUM2.



CALC_NSC_IDUM2.



NSC_IDUM

# male IDUs known: calculated net size

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



CALC_NSC_IDUF2.



NSC_IDUF

# female IDUs known: calculated net size

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



CALC_NSC_IDUS2.



NSC_IDUS

# IDUs known: calculated net size

NSC_IDUS = NSC_IDUM+NSC_IDUF



NS2c.2.

So in the past 30 days, you've seen [fill with NSC_IDUS] people who you know inject and who live in [if the project area is Norfolk (IE2 EQ 5720), fill with "Hampton Roads", else, fill with project area (city name from IE2)]. Would you say that [fill with NSC_IDUS] people is about right?

NS_ICHK2

Confirmation: NSC_IDUS correct, 2nd loop




Yes, about right

0




No, you actually know FEWER people who inject

1




No, you actually know MORE people who inject

2




Don't Know

9




Refuse to Answer

7




Check_INTRO_NS3.

Go to CALC_ENDNS.



HET Network Series (INTRO_NS3- NS4c.2)

HET Recruiter Relationship

INTRO_NS3.

DISPLAY: "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 5720), fill with "Hampton Roads", else, fill with project area (city name from IE2)]. Please remember that your answers will be kept private."



NS3.

[Give Respondent Flashcard D.]



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



[READ choices. CHECK ALL that apply.]

NS_HREL

Relationship to Recruiter, HET



NS_HRELA

A relative or family member




NS_HRELB

A person you have sex with




NS_HRELC

A friend




NS_HRELD

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




NS_HRELE

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





Refuse to Answer

7




HardEdit_NS3.

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

Else, go to Check_NS3CONF.





Check_NS3CONF.

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

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







NS3CONF.

When and where did you first see this person?



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

NS_RSTRH

Confirmation: recruiter is a stranger




Recruiter is a stranger

1




Recruiter is NOT a stranger

2






Check_INTRO_NS4a.1.

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

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



HET Network Size: First Loop



INTRO_NS4a.1.

DISPLAY: "Now, I'm going to ask you about people you know. Specifically, I'm going to ask you about how many people you know in [if the project area is Norfolk (IE2 EQ 5720), fill with "Hampton Roads", else, fill with project area (city name from IE2)] whom you have seen in the past 30 days. I will not ask you any questions about any specific person."



NS4a.1.

Please tell me how many male friends, relatives or people you associate with have you seen in the past 30 days, who are at least 18 years old, and live in [if the project area is Norfolk (IE2 EQ 5720), fill with "Hampton Roads", else, fill with project area (city name from IE2)]. [If R is not a seed (IE10 EQ 0), fill with "Please include the person who gave you the coupon if they are male."]

NS_HETMA

# males known: net size




Range

0 - 7500




Don't Know

9999




Refuse to Answer

7777




NS4b.1.

How many female friends, relatives, or people you associate with have you seen in the past 30 days, who are at least 18 years old, and live in [if the project area is Norfolk (IE2 EQ 5720), fill with "Hampton Roads", else, fill with project area (city name from IE2)]? [If R is not a seed (IE10 EQ 0), fill with "Please include the person who gave you the coupon if they are female."]

NS_HETFE

# females known: net size




Range

0 - 7500




Don't Know

9999




Refuse to Answer

7777




Check_CALC_NSC_HETM.

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

Else, go to CALC_NSC_HETM.



CALC_NSC_HETM.



NSC_HETM

# males known: calculated net size

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



CALC_NSC_HETF.



NSC_HETF

# females known: calculated net size

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



CALC_NSC_HETS.



NSC_HETS

# HETs known: calculated net size

NSC_HETS = NSC_HETM+NSC_HETF





Check_NS4CONFa.

If NSC_HETS EQ 0, go to NS4CONFa.

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

If NSC_HETS GT 3, go to NS4CONFc.





NS4CONFa.

You said you haven't seen anyone in the past 30 days in [if the project area is Norfolk (IE2 EQ 5720), fill with "Hampton Roads", else, fill with project area (city name from IE2)] who is a friend, relative, or someone you associate with who is at least 18 years old. Is this correct? [If R is not a seed (IE10 EQ 0), fill with "Did you include the person who gave you the coupon?"]

NS_HZERO

Confirmation: NSC_HETS = 0




No - - DOES know others

0




Yes - - does NOT know any others

1






Check_NS4CONFb.

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

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





NS4CONFb.

Is there anyone else you know in [if the project area is Norfolk (IE2 EQ 5720), fill with "Hampton Roads", else, fill with project area (city name from IE2)] who is a friend, relative, or someone you associate with who is at least 18 years old who you've seen in the past 30 days? [If R is not a seed (IE10 EQ 0), fill with "Did you include the person who gave you the coupon?"]

NS_HLOWS

Confirmation: NSC_HETS < 4




No - - Does NOT know any others

0




Yes - - DOES know others

1






Check_NS4CONFc.

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

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





NS4CONFc.

So in the past 30 days, you've seen [fill with NSC_HETS] friends, relatives, or people you associate with that live in [if the project area is Norfolk (IE2 EQ 5720), fill with "Hampton Roads", else, fill with project area (city name from IE2)] and are at least 18 years old. Would you say that [fill with NSC_HETS] people is about right?

NS_HCHCK

Confirmation: NSC_HETS correct




Yes, about right

0




No, you actually know FEWER people

1




No, you actually know MORE people

2




Don't Know

9




Refuse to Answer

7




Check_NS4a.2.

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

Else, go to CALC_ENDNS.



HET Network Size: Second Loop



NS4a.2.

Please tell me how many male friends, relatives or people you associate with have you seen in the past 30 days, who are at least 18 years old, and live in [if the project area is Norfolk (IE2 EQ 5720), fill with "Hampton Roads", else, fill with project area (city name from IE2)]. [If R is not a seed (IE10 EQ 0), fill with "Please include the person who gave you the coupon if they are male."]

NS_HETM2

# males known: net size, 2nd loop




Range

0 - 7500




Don't Know

9999




Refuse to Answer

7777










NS4b.2.

How many female friends, relatives, or people you associate with have you seen in the past 30 days, who are at least 18 years old, and live in [if the project area is Norfolk (IE2 EQ 5720), fill with "Hampton Roads", else, fill with project area (city name from IE2)]? [If R is not a seed (IE10 EQ 0), fill with "Please include the person who gave you the coupon if they are female."]

NS_HETF2

# females known: net size, 2nd loop




Range

0 - 7500




Don't Know

9999




Refuse to Answer

7777






Check_CALC_NSC_HETM2.

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

Else, go to CALC_NSC_HETM2.



CALC_NSC_HETM2.



NSC_HETM

# males known: calculated net size

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



CALC_NSC_HETF2.



NSC_HETF

# females known: calculated net size

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



CALC_NSC_HETS2.



NSC_HETS

# HETs known: calculated net size

NSC_HETS = NSC_HETM+NSC_HETF







NS4c.2.

So in the past 30 days, you've seen [fill with NSC_HETS] friends, relatives, or people you associate with that live in [if the project area is Norfolk (IE2 EQ 5720), fill with "Hampton Roads", else, fill with project area (city name from IE2)]and are at least 18 years old. Would you say that [fill with NSC_HETS] people is about right?

NS_HCHK2

Confirmation: NSC_HETS correct, 2nd loop




Yes, about right

0




No, you actually know FEWER people

1




No, you actually know MORE people

2




Don't Know

9




Refuse to Answer

7






CALC_ENDNS.



ENDNS

Time network section ended

ENDNS = Current time



END_NS.

Go to Demographic Section (DM).





NHBS ROUND 7 QUESTIONNAIRE

DEMOGRAPHICS (DM)

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

Section

Question #

Variable name

Variable label

Preset variables

--

CYCLE

NHBS Cycle

Preset variables

--

IDATE

Interview date

Interviewer Entered Information

IE2

CITYR7

City



Universe_DM.

All Eligible Rs who consent to interview.



CALC_BEGDM.



BEGDM

Time at beginning of DM section

BEGDM = Current time



Residence



INTRO_DM1.

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

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



DM1.

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

EVRHOMLS

Homeless during past 12 months



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_DM1a.

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

Else, go to DM2.



DM1a.

Are you currently homeless?

CURHMLSS

Currently homeless



No

0



Yes

1



Don't Know

9



Refuse to Answer

7






DM2.

What zip code do you live in?

ZIP

Zip code



__ __ __ __ __




Range

00500-99501



Don't Know

999999



Refuse to Answer

777777


HardEdit_DM2.

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

Else, go to DM3.



Nativity



DM3.

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


[DO NOT read choices.]

COUNTRY

Country of birth



United States

1



Mexico

2



Puerto Rico

3



Cuba

4



Other

5



Don't Know

9



Refuse to Answer

7




Check_DM3spec.

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

Else, go to Check_DM3a.



DM3spec.

INTERVIEWER: Specify other country of birth

SPECBORN

Specify country of birth



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



{text response; max length = 100 characters}



Check_DM3a.

If R interviewed in San Juan & born in Mexico, Cuba, or ‘other' country (IE2 EQ 7440 & DM3 EQ 2, 4, or 5) or R interviewed in any other city & born in Mexico, Puerto Rico, Cuba, or ‘other' country (IE2 NE 7440 & DM3 EQ 2, 3, 4, or 5), go to DM3a.

Else, go to Check_DM3b1.



DM3a.

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


YEARUSA

Year first came to US



__ __ __ __




Range

1900-2100



Don't Know

9999



Refuse to Answer

7777




HardEdit_DM3a.

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

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

Else, go to Check_DM3b1.



Language



Notes_Language.

See Measure References.



Check_DM3b1.

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

Else, go to Check_DM4.



DM3b1.

Do you speak a language other than English at home?

SPKOTLN

Speak language other than English at home



No

0



Yes

1



Don't Know

9



Refuse to Answer

7


Marital status



Check_DM4.

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

Else, go to DM5.



DM4.

What is your current marital status?



[READ choices.]

MSTAT

Marital status



Married

1



Living together as married

2



Separated

3



Divorced

4



Widowed

5



Never married

6



Don't Know

9



Refuse to Answer

7






Socioeconomic Status



DM5.

What is the highest level of education you completed?



[DO NOT read choices.]

SCHOOL

Education



Never attended school

0



Grades 1 through 8

1



Grades 9 through 11

2



Grade 12 or GED

3



Some college, Associate's Degree, or Technical Degree

4



Bachelor's Degree

5



Any post graduate studies

6



Don't Know

9



Refuse to Answer

7






DM6.

What best describes your employment status? Are you:



[READ choices.]

EMPSTAT

Employment status



Employed full-time

1



Employed part-time

2



A homemaker

3



A full-time student

4



Retired

5



Unable to work for health reasons

6



Unemployed

7



Other

8



Don't Know

99



Refuse to Answer

77






INTRO_DM7.

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

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



DM7.

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



[Give Respondent Flashcard E.]



[DO NOT read choices.]

HHINCR6

Household Income



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

0



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

1



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

2



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

3



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

4



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

5



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

6



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

7



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

8



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

9



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

10



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

11



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

12



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

13



Don't Know

99



Refuse to Answer

77




Check_DM7a.

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

Else, go to INTRO_DM8.



DM7a.

Including yourself, how many people depended on this income?



[INTERVIEWER: Must be at least 1.]

DEPENDR6

Number of dependents



__ __



Range

1-20



Don't Know

99



Refuse to Answer

77




Health Care Access & Utilization

INTRO_DM8.

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



DM8.

Do you currently have health insurance or health care coverage?

CURRHLTH

Currently insured



No

0



Yes

1



Don't Know

9



Refuse to Answer

7






Check_DM8a.

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

Else, go to DM8b.



DM8a.

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



[Give Respondent Flashcard F.]



[READ choices. CHECK ALL that apply.]

TYP_INS

Type of health insurance


TYP_INSA

A private health plan - through an employer or purchased directly



TYP_INSB

Medicaid - for people with low incomes



TYP_INSC

Medicare - for the elderly and people with disabilities



TYP_INSD

Some other government plan



TYP_INSE

TRICARE / CHAMPUS



TYP_INSF

Veterans Administration coverage



TYP_INSG

Some other health insurance




Don't Know

99



Refuse to Answer

77




Check_DM8aspec.

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

Else, go to DM8b.



DM8aspec.

INTERVIEWER: Specify other health insurance or coverage:

SPECINS

Specify other health insurance


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


{text response; max length = 100 characters}



Notes_UsualSourceOfCare.

See Measure References.



DM8b.

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

SRCCAREA

Have a usual source of care



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_DM8b1.

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

Else, go to Check_DM8c.



DM8b.1.

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

SRCCAREB

Why no usual source of care



There is NO place

1



There is more than one place

2



Don't Know

9



Refuse to Answer

7




Check_DM8c.

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

Else, go to DM8d.

DM8c.

What kind of place [if R has usual source of care (DM8b EQ 1), fill with "is it", else, fill with "do you go to most often"] - a clinic, doctor's office, emergency room, or some other place?

SRCLOC

Location of usual care



Clinic or health center

1



Doctor's office or HMO

2



Hospital emergency room

3



Some other place

4



Doesn't go to one place most often

5



Don't Know

9



Refuse to Answer

7




DM8d.

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

VSITMD12

Health care visit, 12 months



No

0



Yes

1



Don't Know

9



Refuse to Answer

7






Check_DM8e.1

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

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

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



DM8e.1

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

RECCHIV

Provider offered HIV test, 12 months



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_DM8e.2.

Go to DM8f.



DM8e.2.

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



[READ choices.]

WHNLHCP

When last visited health care provider



More than 1 year ago but less than 2 years ago

1



2 to 5 years ago

2



More than 5 years ago

3



Don't Know

9



Refuse to Answer

7






Notes_UnmetNeedForCare.

See Measure References.



DM8f.

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

HCAFF

Lacked health care due to cost



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Disability

Notes_Disability.

See Measure References.



INTRO_DM9a

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


DM9a.

Are you deaf or do you have serious difficulty hearing?

DISDEAF

Disability - Hearing



No

0



Yes

1



Don't Know

9



Refuse to Answer

7



DM9b.

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

DISBLND

Disability - Vision



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




DM9c.

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

DISCOGN

Disability - Cognition



No

0



Yes

1



Don't Know

9



Refuse to Answer

7



DM9d.

Do you have serious difficulty walking or climbing stairs?

DISWALK

Disability - Ambulation



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




DM9e.

Do you have difficulty dressing or bathing?

DISCARE

Disability - Self-care



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




DM9f.

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

DISERND

Disability - Errands



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




INTRO_DM10.

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


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



Sexual identity



DM10.

Do you consider yourself to be:



[READ choices.]

IDENTR7

Sexual identity



Heterosexual or "Straight"

1



Gay or Lesbian

2



Bisexual

3



Don't Know

9



Refuse to Answer

7




CALC_ENDDM.



ENDDM

Time demographics section ended

ENDDM = Current time





END_DM.

Go to Social Experiences Section (SO).

NHBS ROUND 7 QUESTIONNAIRE

SOCIAL EXPERIENCES (SO)

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

Section

Question #

Variable name

Variable label

Preset variables

--

CYCLE

NHBS Cycle

Interviewer Entered Information

IE2

CITYR7

City

Eligibility Screener

ES9a

E_EVRMSW

Eligibility: MSM, Ever had sex with woman



Universe_SO.

All Rs in MSM cycle who are eligible for & consent to interview.



CALC_BEGSO.



BEGSO

Time at beginning of SO section

BEGSO = Current time



Check_SO1.

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

Else, go to CALC_ENDSO.


Identity disclosure



SO1.

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

OUT_YN

Disclosed sexuality - Anyone



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_INTRO_SO2a.

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

Else, go to INTRO_SO3a.


Identity disclosure index



INTRO_SO2a.

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



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



SO2a.

Friends who are not gay, lesbian, or bisexual?

OUT_FRI

Disclosed sexuality - Non-GLB friends



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




SO2b.

Family members?

OUT_FAM

Disclosed sexuality - Family members



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_SO2c.

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

Else, go to SO2d.



SO2c.

Women you have sex with?

OUT_FEM

Disclosed sexuality - Women R has sex with



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




SO2d.

Health care providers?

OUT_HCP

Disclosed sexuality - HCP



No

0



Yes

1



Don't Know

9



Refuse to Answer

7


MSM Discrimination



Notes_MSMDiscrimination.

See Measure References.




INTRO_SO3a.

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



In the past 12 months…”



SO3a.

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

DISC_VER

Discrimination - Verbal



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




SO3b.

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

DISC_SVC

Discrimination - Poor service



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




SO3c.

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

DISC_WRK

Discrimination - Work/school



No

0



Yes

1



Don't Know

9



Refuse to Answer

7



Not Applicable

8




SO3d.

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

DISC_HC

Discrimination - Health care



No

0



Yes

1



Don't Know

9



Refuse to Answer

7



Not Applicable

8




SO3e.

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

DISC_ATT

Discrimination - Phys assault



No

0



Yes

1



Don't Know

9



Refuse to Answer

7


Perceived community tolerance



INTRO_SO4.

DISPLAY: "[Give Respondent Flashcard G.]



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



SO4.

MOST PEOPLE in [if the project area is Norfolk (IE2 EQ 5720), fill with "Hampton Roads", else, fill with project area (city name from IE2)] are tolerant of gay and bisexual people. Do you...



[READ choices.]

TOLGBR7

Comm. tolerance of gay and bisexual people



Strongly agree

1



Agree

2



Neither agree nor disagree

3



Disagree

4



Strongly disagree

5



Don't Know

9



Refuse to Answer

7




CALC_ENDSO.



ENDSO

Time SO section ended

ENDSO = Current time



END_SO.

Go to Sexual behavior section (SX).



NHBS ROUND 7 QUESTIONNAIRE

SEXUAL BEHAVIOR (SX)

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

Section

Question #

Variable name

Variable label

Preset variables

--

CYCLE

NHBS Cycle

Preset variables

--

AGO12M_C

12 mos before interview: Century Month

Preset variables

--

IDATEY

Interview date: Year

Preset variables

--

IDATE

Interview date

Eligibility Screener

ES8a

BIRTHSEX

Sex at birth

Eligibility Screener

ES8b

GNDRR7

Gender identity

Eligibility Screener

ES9a

E_EVRMSW

Eligibility: MSM, Ever had sex with woman

Eligibility Screener

ES9b

E_EVRMSM

Eligibility: MSM, Ever had sex with man

Eligibility Screener

--

AGE

CAPI calculated age today



Universe_SX.

MSM cycle: Cisgender men, transgender men, men assigned intersex/ambiguous at birth, & nonbinary Rs assigned male at birth.

PWID & HET cycles: Cisgender men & women.



CALC_BEGSX.



BEGSX

Time at beginning of SX section

BEGSX = Current time





Check_INFO_SX.

If R cisgender ((ES8a EQ 1 & ES8b EQ 1) or (ES8a EQ 2 & ES8b EQ 2)) or MSM cycle & R is trans man, man assigned intersex/ambiguous at birth, or nonbinary & assigned male at birth (CYCLE EQ 1 & ((ES8a EQ 2 & ES8b EQ 1) or (ES8a EQ 3 & ES8b EQ 1) or (ES8a EQ 1 & ES8b EQ 3))), go to INFO_SX.

Else, go to CALC_ENDSX.



INFO_SX.

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



INTRO_SX.

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





Universe_M_FSeries.

All cisgender male Rs in IDU and HET cycles; cisgender male Rs in MSM cycle who reported male-female sex ever.





Check_M_FSeries.

If PWID or HET cycle & R cisgender man ((CYCLE EQ 2 or 3) & (ES8a EQ 1 & ES8b EQ 1)) or MSM cycle & R cisgender man & ever had male-female sex ((CYCLE EQ 1) & (ES8a EQ 1 & ES8b EQ 1) & ES9a EQ 1), go to M_FSeries).

If MSM cycle (CYCLE EQ 1) & R cisgender (ES8a EQ 1 & ES8b EQ 1), & did not report male-female sex ever (ES9a NE 1), go to CALC_M_FHET.

If MSM cycle & R trans man, man assigned intersex/ambiguous at birth, or nonbinary person assigned male at birth (CYCLE EQ 1 & ((ES8a EQ 2 & ES8b EQ 1) or (ES8a EQ 3 & ES8b EQ 1) or (ES8a EQ 1 & ES8b EQ 3))), go to TMSMSeries.

If R is cisgender woman (ES8a EQ 2 & ES8b EQ 2), go to F_MSeries.

Else, go END_SX.





M_F Series: Male Rs – Female Sex Partners



INTRO_M_FSeries.

[Give Respondent Flashcard I.]



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



M_F: Sex with female Ps, lifetime



Check_SX1.

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

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


SX1.

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

M_FEVER

M_F sex y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX2.

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

Else, go to CALC_M_FHET.



SX2.

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

M_FDEBUT

M_F Age at sexual debut




__ __





Range

0-70




Don't Know

99




Refuse to Answer

77




HardEdit_SX2.

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

Else, go to SX3.



M_F: Total Ps, 12m



SX3.

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


M_FSX12

M_F Number of partners in last 12 months




__ __ __ __






Range

0-7000





Don't Know

9999





Refuse to Answer

7777






Check_SX3conf.

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

Else, go to Check_INTRO_SX4.



SX3conf.

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

C_M_F

M_F Conf. had sex in past year - HET




No - HAS had female partner

0




Yes - Has NOT had female partner

1




Don't Know

9




Refuse to Answer

7




HardEdit_SX3conf.

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

Else, go to Check_INTRO_SX4.



Check_INTRO_SX4.

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

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

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



M_F: Total Main & Casual Ps, 12m

One Partner (.o)



INTRO_SX4.

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



[Give Respondent Flashcard J.]"



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



SX4.

Was this woman a main partner or a casual partner?

M_F1SX

M_F Type of partner - single




Main partner

1




Casual partner

2




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX5a.

Go to Check_INTRO_SX6a.o.



Multiple Partners (.m)



INTRO_SX5a.

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



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

SX5a.

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

M_FMSX

M_FM Number of main partners - 12 months



__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX5a.

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

Else, go to Check_SX5b.





Check_SX5b.

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

Else, go to SX5b.



SX5b.

How many were casual partners?

M_FCSX

M_FC Number of casual partners - 12 months



__ __ __ __




Range

0-7000



Don't Know

9999



Refuse to Answer

7777




HardEdit_SX5b.

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

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

Else, go to Check_INTRO_SX6a.o.



M_F: Main Ps - Vaginal Sex, 12m



Check_INTRO_SX6a.o.

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

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

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

VS - One Main Partner



INTRO_SX6a.o.

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



SX6a.o.

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

M_FM1VS

M_FM VS partners - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX6a.m.

Go to Check_SX6b.o.



VS - Multiple Main Partners


INTRO_SX6a.m.

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



SX6a.m.

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

M_FMVS

M_FM VS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX6a.m.

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

Else, go to Check_SX6b.o.



Check_SX6b.o.

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

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

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



UVS - One Main VS Partner



SX6b.o.

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

M_FM1UVS

M_FM UVS partners - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX6b.m.

Go to Check_SX6c.o.



UVS - Multiple Main VS Partners



SX6b.m.

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

M_FMUVS

M_FM UVS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX6b.m.

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

Else, go to Check_SX6c.o.



Check_SX6c.o.

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

Else, go to SX6c.m.



M_F: Main Ps - Anal Sex, 12m

AS - One Main Partner



SX6c.o.

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

M_FM1AS

M_FM AS partners - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX6c.m.

Go to Check_SX6d.o.



AS - Multiple Main Partners



SX6c.m.

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

M_FMAS

M_FM AS partners - 12 months - number



__ __ __ __




Range

0-7000



Don't Know

9999



Refuse to Answer

7777




HardEdit_SX6c.m.

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

Else, go to Check_SX6d.o.



Check_SX6d.o.

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

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

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



UAS - One Main AS Partner



SX6d.o.

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

M_FM1UAS

M_FM UAS partners - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX6d.m.

Go to Check_INTRO_SX7a.o.



UAS - Multiple Main AS Partners



SX6d.m.

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

M_FMUAS

M_FM UAS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX6d.m.

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

Else, go to Check_INTRO_SX7a.o.





M_F: Casual Ps – Vaginal Sex, 12m



Check_INTRO_SX7a.o.

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

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

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



VS - One Casual Partner



INTRO_SX7a.o.

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



SX7a.o.

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

M_FO1VS

M_FC VS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX7a.m.

Go to Check_SX7b.o.



VS - Multiple Casual Partners



INTRO_SX7a.m.

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



SX7a.m.

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

M_FOVS

M_FC VS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX7a.m.

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

Else, go to Check_SX7b.o.



Check_SX7b.o.

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

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

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



UVS - One Casual VS Partner



SX7b.o.

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

M_FO1UVS

M_FC UVS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX7b.m.

Go to Check_SX7c.o.



UVS - Multiple VS Casual Partners



SX7b.m.

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

M_FOUVS

M_FC UVS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX7b.m.

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

Else, go to SX7c.m.



Check_SX7c.o.

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

Else, go to SX7c.m.



M_F: Casual Ps – Anal Sex, 12m

AS - One Casual Partner



SX7c.o.

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

M_FO1AS

M_FC AS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX7c.m.

Go to Check_SX7d.o.



AS - Multiple Casual Partners



SX7c.m.

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

M_FOAS

M_FC AS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX7c.m.

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

Else, go to Check_SX7d.o.





Check_SX7d.o.

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

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

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



UAS - One Casual AS Partner



SX7d.o.

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

M_FO1UAS

M_FC UAS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX7d.m

Go to Check_SX7e.o.



UAS - Multiple AS Casual Partners



SX7d.m.

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

M_FOUAS

M_FC UAS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX7d.m.

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

Else, go to Check_SX7e.o.



Check_SX7e.o.

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

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



M_F: Casual Ps – Exchange Sex, 12m



EX - One Casual Partner



SX7e.o.

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

M_FO1EG

M_FC Single exchange - gave




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX7e.m.

Go to CALC_M_FHET.



EX - Multiple Casual Partners



SX7e.m.

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

M_FOMEG

M_FC Multiple exchange gave




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX7e.m.

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

Else, go to CALC_M_FHET.







CALC_M_FHET.



M_FHET

M_F HET sex (Y/N)

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





Check_M_MSeries

If HET cycle & R did not report 1+ opposite-sex partners (CYCLE EQ 3 & M_FHET NE 1), go to CALC_ENDCORE.

Else, go to M_MSeries.



Universe_M_MSeries.

All cisgender male Rs.



M_MSeries: Male Rs – Male Sex Partners





INTRO_SX9.

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



[Give Respondent Flashcard K.]



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



M_M: Sex with male Ps, lifetime



Check_SX9.

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

Else, go to SX10.



SX9.

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

M_MEVER

M_M Sex with men - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7






Check_SX10.

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

Else, go to CALC_BEGLP.



SX10.

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

M_MDEBUT

M_M Age at first MSM encounter




__ __





Range

0-70




Don't Know

99




Refuse to Answer

77




HardEdit_SX10.

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

Else, go to SX11.







M_M: Total Ps, 12m



SX11.

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

M_MSX12

M_M Number of male partners - 12 months




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




Check_SX11a.

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

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

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

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



SX11a.

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

M_MLOA

M_M last oral/anal




__ __





Range

1-99




Don't Know

999




Refuse to Answer

777




HardEdit­_SX11a.

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

Else, go to CALC_BEGLP.



Check_INTRO_SX12.

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

Else, go to INTRO_SX12.



M_M: Total Main & Casual Ps, 12m

One Partner (.o)



INTRO_SX12.

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



[Give Respondent Flashcard L.]"



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



SX12.

Was this man a main partner or a casual partner?

M_M1SX

M_M Type of partner - single




Main partner

1




Casual partner

2




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX13a.

Go to Check_INTRO_SX14a.o.



Multiple Partners (.m)



INTRO_SX13a.

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



[Give Respondent Flashcard L.]



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



SX13a.

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

M_MMSX

M_MM Number of main partners - 12 months




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX13a.

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

Else, go to Check_SX13b.



Check_SX13b.

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

Else, go to SX13b.



SX13b.

How many were casual partners?

M_MCSX

M_MC Number of casual partners - 12 months




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX13b.

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

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

Else, go to Check_INTRO_SX14a.o.



Check_INTRO_SX14a.o.

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

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

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



M_M: Main Ps – Anal Sex, 12m

AS - One Main Partner



INTRO_SX14a.o.

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



SX14a.o.

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

M_MM1AS

M_MM AS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX14a.m.

Go to Check_SX14b.o.



AS - Multiple Main Partner



INTRO_SX14a.m.

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



SX14a.m.

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

M_MMAS

M_MM AS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX14a.m.

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

Else, go to Check_SX14b.o.



Check_SX14b.o.

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

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

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



UAS - One Main AS Partner



SX14b.o.

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

M_MM1UAS

M_MM UAS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX14b.m.

Go to Check_INTRO_SX15a.o.



UAS - Multiple Main AS Partners



SX14b.m.

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

M_MMUAS

M_MM UAS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX14b.m.

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

Else, go to Check_INTRO_SX15a.o.



M_M: Casual Ps – Anal Sex, 12m



Check_INTRO_SX15a.o.

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

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

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

AS - One Casual Partner



INTRO_SX15a.o.

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



SX15a.o.

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

M_MO1AS

M_MC AS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX15a.m.

Go to Check_SX15b.o.



AS - Multiple Casual Partners



INTRO_SX15a.m.

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



SX15a.m.

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

M_MOAS

M_MC AS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX15a.m.

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

Else, go to Check_SX15b.o.



Check_SX15b.o.

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

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

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



UAS - One Casual AS Partner



SX15b.o.

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

M_MO1UAS

M_MC UAS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX15b.m.

Go to Check_SX15c.o.



UAS - Multiple Casual AS Partners



SX15b.m.

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

M_MOUAS

M_MC UAS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX15b.m.

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

Else, go to Check_SX15c.o.





M_M: Casual Ps – Exchange Sex, 12m



Check_SX15c.o.

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

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

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



EX - One Casual Partner



SX15c.o.

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

M_MO1EG

M_MO Single exchange gave




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




SX15d.o.

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

M_MO1ER

M_MO1 Single exchange received




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX15c.m.

Go to CALC_BEGLP.



EX - Multiple Casual Partners



SX15c.m.

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

M_MOMEG

M_MO Multiple exchange gave




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX15c.m.

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

Else, go to SX15d.m.



SX15d.m.

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

M_MOMER

M_MO Multiple exchange received




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX15d.m.

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

Else, go to CALC_BEGLP.





Check_F_MSeries.

Go to Last Partner Series (LPSeries).





Universe_F_MSeries.

All female Rs.

F_MSeries: Female Rs – Male Sex Partners



INTRO_F_MSeries.

[Give Respondent Flashcard I.]"



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



F_M: Sex with male Ps, lifetime



Check_SX17.

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

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



SX17.

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

F_MEVER

F_M sex y/no



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_SX18.

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

Else, go to CALC_F_MHET.



SX18.

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

F_MDEBUT

F_M Age at sexual debut



__ __




Range

0-70



Don't Know

99



Refuse to Answer

77




HardEdit_SX18.

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

Else, go to SX19.





F_M: Total Ps, 12m



SX19.

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

F_MSX12

F_M Number of male sex partners - 12 months




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




Check_SX19conf.

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

Else, go to Check_INTRO_SX20.



SX19conf.

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

C_F_M

F_M Conf. had sex in past year - HET




No - HAS had male partner

0




Yes - Has NOT had male partner

1




Don't Know

9




Refuse to Answer

7




HardEdit_SX19conf.

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

Else, go to Check_INTRO_SX20.



Check_INTRO_SX20.

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

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

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



F_M: Total Main & Casual Ps, 12m

One Partner (.o)



INTRO_SX20.

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



[Give Respondent Flashcard L.]"



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





SX20.

Was this man a main partner or a casual partner?

F_M1SX

F_M Type of partner - single




Main partner

1




Casual partner

2




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX21a.

Go to Check_INTRO_SX22a.o.



Multiple Partners (.m)



INTRO_SX21a.

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



[Give Respondent Flashcard L.]"



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



SX21a.

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

F_MMSX

F_MM Number of main partners - 12 months




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX21a.

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

Else, go to Check_SX21b.



Check_SX21b.

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

Else, go to SX21b.



SX21b.

How many were casual partners?

F_MCSX

F_MC Number of casual partners - 12 months




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX21b.

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

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

Else, go to Check_INTRO_SX22a.o.



F_M: Main Ps - Vaginal Sex, 12m



Check_INTRO_SX22a.o.

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

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

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

VS - One Main Partner



INTRO_SX22a.o.

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



SX22a.o.

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

F_MM1VS

F_MM VS partners - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX22a.m.

Go to Check_SX22b.o.



VS - Multiple Main Partners



INTRO_SX22a.m.

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



SX22a.m.

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

F_MMVS

F_MM VS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX22a.m.

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

Else, go to Check_SX22b.o.



Check_SX22b.o.

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

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

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



UVS - One Main VS Partner



SX22b.o.

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

F_MM1UVS

F_MM UVS partners - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX22b.m.

Go to Check_SX22c.o.



UVS - Multiple Main VS Partners



SX22b.m.

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

F_MMUVS

F_MM UVS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777






HardEdit_SX22b.m.

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

Else, go to Check_SX22c.o.





Check_SX22c.o.

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

Else, go to SX22c.m.



F_M: Main Ps - Anal Sex, 12m

AS - One Main Partner



SX22c.o.

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

F_MM1AS

F_MM AS partners - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX22c.m

Go to Check_SX22d.o.



AS - Multiple Main Partners





SX22c.m.

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

F_MMAS

F_MM AS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX22c.m.

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

Else, go to Check_SX22d.o.



Check_SX22d.o.

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

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

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



UAS - One Main AS Partner



SX22d.o.

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

F_MM1UAS

F_MM UAS partners - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX22d.m.

Go to Check_INTRO_SX23a.o.

UAS - Multiple Main AS Partners





SX22d.m.

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

F_MMUAS

F_MM UAS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX22d.m.

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

Else, go to Check_INTRO_SX23a.o.





F_M: Casual Ps – Vaginal Sex, 12m



Check_INTRO_SX23a.o.

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

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

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



VS - One Casual Partner



INTRO_SX23a.o.

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



SX23a.o.

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

F_MO1VS

F_MC VS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_INTRO_SX23a.m.

Go to Check_SX23b.o.



VS - Multiple Casual Partners



INTRO_SX23a.m.

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



SX23a.m.

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

F_MCVS

F_MC VS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX23a.m.

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

Else, go to Check_SX23b.o.



Check_SX23b.o.

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

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

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



UVS - One Casual VS Partner



SX23b.o.

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

F_MO1UVS

F_MC UVS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX23b.m.

Go to Check_SX23c.o.

UVS - Multiple VS Casual Partners



SX23b.m.

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

F_MCUVS

F_MC UVS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX23b.m.

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

Else, go to SX23c.m.



Check_SX23c.o.

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

Else, go to SX23c.m.



F_M: Casual Ps – Anal Sex, 12m

AS - One Casual Partner



SX23c.o.

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

F_MO1AS

F_MC AS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX23c.m.

Go to Check_SX23d.o.



AS - Multiple Casual Partner



SX23c.m.

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

F_MCAS

F_MC AS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX23c.m.

If # casual AS partners GT # casual partners (SX23c.m. GT SX21b), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of male casual partners). Clarify and re-enter response to current or prior item as needed. " Then, go back to SX23c.m.

Else, go to Check_SX23d.o.



Check_SX23d.o.

If 1 casual AS partner ((SX23c.o EQ 1) or (SX23c.m EQ 1)), go to SX23d.o.

If multiple casual AS partners (SX23c.m GT 1), go to SX23d.m.

If no casual AS partners ((SX23c.o EQ 0, DK, or REF) or (SX23c.m EQ 0, DK, or REF)), go to Check_SX23e.o.



UAS - One Casual AS Partner



SX23d.o.

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

F_MO1UAS

F_MC UAS partner - 12 months - y/n




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX23d.m.

Go to Check_SX23e.o.



UAS - Multiple AS Casual Partners



SX23d.m.

In the past 12 months, with how many of these [fill with # casual AS partners (SX23c.m)] men did you have anal sex without using a condom?

F_MCUAS

F_MC UAS partners - 12 months - number




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777




HardEdit_SX23d.m.

If # casual UAS partners GT # casual AS partners (SX23d.m GT SX23c.m), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of male casual anal sex partners). Clarify and re-enter response to current or prior item as needed." Then go back to SX23d.m.

Else, go to Check_SX23e.o.



Check_SX23e.o.

If 1 casual partner (SX20 EQ 2 or SX21b EQ 1), go to SX23e.o.

If multiple casual partners (SX21b GT 1), go to SX23e.m.



F_M: Casual Ps – Exchange Sex, 12m

EX - One Casual Partner



SX23e.o.

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

F_MC1ER

F_MC1 Single exchange received




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX23e.m.

Go to CALC_F_MHET.



EX - Multiple Casual Partners



SX23e.m.

Of your [fill with # casual partners (SX21b)] male casual partners in the past 12 months, how many gave you money or drugs to have sex with them?

F_MCMER

F_MC Multiple exchange received




__ __ __ __





Range

0-7000




Don't Know

9999




Refuse to Answer

7777






HardEdit_SX23e.m.

If # casual exchange partners GT # casual partners (SX23e.m GT SX21b), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of male casual partners). Clarify and re-enter response to current or prior item as needed." Then go back to SX23e.m.

Else, go to CALC_F_MHET.



CALC_F_MHET.



F_MHET

F_M HET sex (Y/N)

F_MHET = IF ((F_MSX12=.DK or F_MSX12=.REF), 9, IF ((F_MSX12=0), 0, IF((F_MSX12=1),1, if ((F_MSX12>1),1,0))))





Check_CALC_BEGLP.

If HET cycle & R did not report 1+ opposite-sex partners (CYCLE EQ 3 & F_MHET NE 1), go to CALC_ENDCORE.

Else, go to CALC_BEGLP.





LastPartnerSeries



CALC_BEGLP.



BEGLP

Time at beginning of Last Partner series

BEGLP = Current time



CALC_ASANY12M.



ASANY12M

Any anal sex, 12m, for LP logic

If R reported anal sex in p 12m (M_FM1AS or M_FMAS or M_FO1AS or M_FOAS or M_MM1AS or M_MMAS or M_MO1AS or M_MOAS or F_MM1AS or F_MMAS or F_MO1AS or F_MCAS GE 1 & NE DK, REF, or SK), ASANY12M=1. Else, ASANY12M=0.



CALC_EXANY12M.



EXANY12M

Any exchange sex, 12m, for LP logic

If R reported exchange sex in p12m, (M_FO1EG or M_FOMEG, or M_MO1EG or M_MOMEG or M_MO1ER or M_MOMER or F_MC1ER or F_MCMER GE 1 & NE DK, REF, or SK), EXANY12M=1. Else, EXANY12M=0.



Check_INTRO_LPSeries.

If R is male & 1+ male or female sex partners 12m (ES8a EQ 1 & (M_FHET EQ 1 or M_MSX12 GE 1)) or R is female & had 1+ male sex partners 12m (ES8a EQ 2 & F_MHET EQ 1), go to INTRO_LPSeries.

Else go to Check_SX50.



Universe_LPSeries.

Male and female Rs with 1+ opposite sex or male-male partner in the past 12 months.



INTRO_LPSeries.

DISPLAY: “The next questions are about the last time you had sex [if R is female (ES8a EQ 2), fill with “with a man”]."


LPSeries: Last Sex Date


INTRO_SX30.

DISPLAY: “First, please think about the last time you had [if R is male & reported only male partners 12m (ES8a EQ 1 & M_MSX12 GE 1 & M_FHET NE 1), fill with “oral or anal”, else, fill with “oral, vaginal, or anal”] sex [if R is female (ES8a EQ 2), fill with “with a man”]."



SX30.

When was the last time you had [If R is male & reported only male partners 12m (ES8a EQ 1 & M_MSX12 GE 1 & M_FHET NE 1), fill with "oral or anal", else fill with "oral, vaginal or anal"] sex [if R is female (ES8a EQ 2), fill with “with a man”]? Just tell me the month and year.

LPDATE

LP: date of most recent sex



__ __ / __ __ __ __




Range (Year)

1900 - 2100



Don't Know (Year)

9999



Refuse to Answer (Year)

7777



CALC_LPDATE_C.



LPDATE_C

Century month version of LPDATE date

LPDATE_C= ((LPDATEY-1900)*12) + LPDATEM.




Check_HardEdit_SX30.

If R did not report date of last sex with LP (SX30 EQ DK or REF), go to Check_SX31.

Else, go to HardEdit_SX30.


HardEdit_SX30.

If R's date of last sex with LP after date of interview (LPDATE_C GT IDATE_C), DISPLAY: "INTERVIEWER: The date respondent last had sex cannot be after today's date." Then, go back to SX30.

If date of last sex is more than 12 months before interview [(LPDATEM is missing) and ((IDATEY-LPDATEY) GE 2)] or (LPDATE_C LT AGO12M_C), DISPLAY: "INTERVIEWER: Response entered is inconsistent with prior response (reported at least one sex partner in past 12 months). Clarify and re-enter response to current or prior item as needed." Then, go back to SX30.


Else, go to Check_SX31.



LPSeries: LP Gender

Check_SX31.

If R is male (ES8a EQ 1), go to SX31.

Else go to SX32.





SX31.

Is the person you had sex with that last time male or female?

LPGENDR

LP: Gender



Male

1



Female

2



Don't Know

9



Refuse to Answer

7



Not Applicable

8




LPSeries: LP Type



Check_SX32.

If R is male (ES8a EQ1) and LP gender NOT reported (SX31 EQ DK, REF, or NA), go to CALC_ENDSX.

Else, go to SX32.



SX32.

Was the [if LP is male (SX31 EQ 1) or R is female (ES8a EQ 2), fill with "man"; if LP is female (SX31 EQ 2), fill with "woman"] you had sex with that last time a main partner or a casual partner?



[Give Respondent Flashcard N.]

LPTYPE

LP: type



Main partner

1



Casual partner

2



Don't Know

9



Refuse to Answer

7




LPSeries: Last Sex Event



LP: Last Sex – Exchange Sex





Check_SX33a.

If LP is male or R is female (SX31 EQ 1 or ES8a EQ 2), and LP is casual (SX32 EQ 2) & R reported exchange sex 12m (EXANY12M EQ 1), go to SX33a.

Else, go to Check_SX33b.



SX33a.

When you had sex that last time, did he give you money or drugs to have sex with him?

LPEXREC

LP: Received money/drugs for sex at last event




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX33b.

If R is male (ES8a EQ 1) and LP is casual (SX32 EQ 2) & R reported exchange sex 12m (EXANY12M EQ 1), go to SX33b.

Else, go to Check_SX34a.



SX33b.

When you had sex that last time, did you give [if LP is female (SX31 EQ 2), fill with "her"; Else, if LP is male (SX31 EQ 1), fill with “him”] money or drugs in exchange for having sex with you?

LPEXGAV

LP: Gave money/drugs for sex at last event




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




LP: Last Sex – Vaginal Sex



Check_SX34a.

If R is male and LP is male (ES8a EQ 1 and SX31 EQ 1), go to SX35a.

Else, go to SX34a.



SX34a.

When you had sex that last time, did you have vaginal sex?

LPLVS

LP: VS at last event




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_SX34b.

If R reported vaginal sex at last event (SX34a EQ 1), go to SX34b.

Else, go to Check_SX34c.





SX34b.

During vaginal sex that last time, did you or your partner use a condom the whole time?

LPLVSCT

LP: Used condom during VS at last event




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




LP: Last Sex – Anal Sex



Check_SX34c.

If R reported anal sex in past 12m (ASANY12M EQ 1), go to SX34c.

Else, go to SoftEdit_SX34c.





SX34c.

When you had sex that last time, did you have anal sex?

LPLAS

LP: Opp-sex AS at last event



No

0



Yes

1



Don't Know

9



Refuse to Answer

7






SoftEdit_SX34c.

If no vaginal or anal sex at last event with LP (SX34a EQ 0) & (SX34c EQ 0 or SK), DISPLAY: “So, this means you only had oral sex the last time you had sex?” INTERVIEWER: If this is incorrect, GO BACK to the previous screens and re-enter the correct response. Then go to SX36a.

Else, go to Check_SX34d.



Check_SX34d.

If R had AS with opposite gender partner at last sex (SX34c EQ 1), go to SX34d.

Else go to SX36a.





SX34d.

During anal sex that last time, did [if R is male (ES8a EQ 1), fill with "you", if R is female (ES8a EQ 2), fill with “he”] use a condom the whole time?

LPLASCT

LP: Used condom during opp-sex AS at last event



No

0



Yes

1



Don't Know

9



Refuse to Answer

7






Check_SX35a.

Go to SX36a.



LP: Last Sex – Anal Sex, Receptive



SX35a.

When you had sex that last time, did you have receptive anal sex where he put his penis in your anus or butt?

LPLRAS

LP: Receptive AS at last event



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_SX35b.

If male R had RAS with male partner at last sex (SX35a EQ 1), go to SX35b.

Else go to SX35c.



SX35b.

During receptive anal sex that last time, did he use a condom the whole time?

LPLRASCT

LP: Condom use during RAS at last event



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




LP: Last Sex – Anal Sex, Insertive



SX35c.

When you had sex that last time, did you have insertive anal sex where you put your penis in his anus or butt?

LPLIAS

LP: Insertive AS at last event



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




SoftEdit_SX35c.

If no RAS or IAS at last event (SX35a EQ 0 & SX35c EQ 0), DISPLAY: “So, this means you only had oral sex the last time you had sex?” INTERVIEWER: If this is incorrect, GO BACK to the previous screens and re-enter the correct response. Then, go to SX36a.

Else, go to Check_SX35d.





Check_SX35d.

If male R had IAS with male partner at last sex (SX35c EQ 1), go to SX35d.

Else go to SX36a.



SX35d.

During insertive anal sex that last time, did you use a condom the whole time?

LPLIASCT

LP: Condom use during IAS at last event



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




LP: Last Sex – Partner HIV status





SX36a.

The last time you had sex with this partner, did you know [if LP is male (SX31 EQ 1) or R is female (ES8a EQ 2), fill with "his"; if LP is female (SX31 EQ 2), fill with "her"] HIV status?

LPKNWSTS

LP: Knew partner HIV status at last event



No

0



Yes

1



Refuse to Answer

7




Check_SX36b.

If R knew LP HIV status (SX36a EQ 1), go to SX36b.

Else, go to SX37a.



SX36b.

What was [if LP is male (SX31 EQ 1) or R is female (ES8a EQ 2), fill with "his"; if LP is female (SX31 EQ 2), fill with "her"] HIV status?



[DO NOT read choices.]

LPHIVSTS

LP: Partner HIV status at last event



HIV-negative

1



HIV-positive

2



Indeterminate

3



Refuse to Answer

7




LP: Last Sex – Partner ART Use



Notes_PartnerARTUse.

See Measure References.



Check_SX36c.

If LP HIV-positive (SX36b EQ 2), go to SX36c.

Else, go to SX37a.



SX36c.

Did [if LP is male (SX31 EQ 1) or R is female (ES8a EQ 2), fill with "he"; if LP is female (SX31 EQ 2), fill with "she”] tell you whether [if LP is male (SX31 EQ 1) or R is female (ES8a EQ 2), fill with "he"; if LP is female (SX31 EQ 2), fill with "she”] was taking antiretroviral medicines or ART to treat [if LP is male (SX31 EQ 1) or R is female (ES8a EQ 2), fill with "his"; if LP is female (SX31 EQ 2), fill with "her”] HIV infection?

LPARTDS

LP: Whether P disclosed ART use



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_SX36d.

If LP disclosed ART use, (SX36c EQ 1), go to SX36d.

Else, go to SX37a.



SX36d.

Did [if LP is male (SX31 EQ 1) or R is female (ES8a EQ 2), fill with "he"; if LP is female (SX31 EQ 2), fill with "she”] say [if LP is male (SX31 EQ 1) or R is female (ES8a EQ 2), fill with "he"; if LP is female (SX31 EQ 2), fill with "she”] WAS taking antiretroviral medicines or was NOT taking antiretroviral medicines?

LPONART

LP: HIV+ partner on ART at last event



No, partner was NOT taking ART

0



Yes, partner WAS taking ART

1



Don't Know

9



Refuse to Answer

7




LP: Last Sex – Partner VL status



INTRO_SX36e.

A person with HIV whose amount of virus in their body is very low may be told by a health care provider that their HIV viral load is undetectable.



SX36e.

The last time you had sex with this partner, was their viral load undetectable, detectable, or you didn’t know?

LPVL

LP: HIV+ partner VL status



Undetectable

1



Detectable

2



Didn’t know

3



Refuse to Answer

7








LPSeries: Partner characteristics

LP: Age



SX37a.

Was this partner younger than you, older than you, or the same age as you?

LPAGERL

LP: Relative age



Younger

0



Older

1



Same age

2



Don't Know

9



Refuse to Answer

7




Check_SX37b.

If LP is older than R (SX37a EQ 1), go to SX37b.

Else, go to SX38.





SX37b.

What was [if LP is male (SX31 EQ 1) or R is female (ES8a EQ 2), fill with "his"; if LP is female (SX31 EQ 2), fill with "her"] age?

LPAGEY

LP: Age in years



__ __ __




Range

0-100



Don't Know

999



Refuse to Answer

777








HardEdit_SX37b.

If LP’s age is less than R’s age (SX37b 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 SX37b.

Else, go to SX38.







SX38.

[Give Respondent Flashcard M.]



Which of the following best describes [if LP is male (SX31 EQ 1) or R is female (ES8a EQ 2), fill with "his"; if LP is female (SX31 EQ 2), fill with "her"] racial or ethnic background? You may choose more than one option.



[READ choices. CHECK ALL that apply.]

LPRCETH

LP: race / ethnicity


LPRCETHA

American Indian or Alaska Native



LPRCETHB

Asian



LPRCETHC

Black or African American



LPRCETHD

Hispanic or Latino



LPRCETHE

Native Hawaiian or Other Pacific Islander



LPRCETHF

White




Don't Know

9



Refuse to Answer

7



LP: Relationship Length



SX39a.

How long have you been having a sexual relationship with this partner? Please tell me how many days, months, or years.



[INTERVIEWER: If "one night stand," enter 0.]

LPLT_N

LP: Relationship length - Number



__ __ __




Range

0-365



Don't Know

999



Refuse to Answer

777




Check_SX39b.

If relationship length at least one day (SX39a NE 0, DK or REF), go to SX39b.

Else, go to CALC_LPRLLE1Y.



SX39b.

INTERVIEWER: Was this days or months or years?

LPLT_U

LP: Relationship length - Unit



Days

0



Months

1



Years

2




CALC_LPRLLE1Y.

LPRLLE1Y

Sexual relationship length for LP logic

If (LPLT_U=0 & LPLT_N<=365) or (LPLT_U=1 & LPLT_N<=12) or (LPLT_U=2 & LPLT_N<=1), LPRLLE1Y=1.

Else, LPRLLE1Y=0.



LP: Partner risk



INTRO_SX40a.

DISPLAY: “Now I'm going to ask you some questions about experiences your partner may have had."



[Give Respondent Flashcard O.]



SX40a.

As far as you know, has [if LP is male (SX31 EQ 1) or R is female (ES8a EQ 2), fill with "he"; if LP is female (SX31 EQ 2), fill with "she"] ever injected drugs like heroin, cocaine, or speed? Would you say [if LP is male (SX31 EQ 1) or R is female (ES8a EQ 2), fill with "he"; if LP is female (SX31 EQ 2), fill with "she"]:



[READ choices.]

LPIDU

LP: Ever injected



Definitely did not

0



Probably did not

1



Probably did

2



Definitely did

3



Don't Know

9



Refuse to Answer

7




SX40b.

As far as you know, has [if LP is male (SX31 EQ 1) or R is female (ES8a EQ 2), fill with "he"; if LP is female (SX31 EQ 2), fill with "she"] ever used crack cocaine? Would you say [if LP is male (SX31 EQ 1) or R is female (ES8a EQ 2), fill with "he"; if LP is female (SX31 EQ 2), fill with "she"]:



[READ choices.]

LPCRACK

LP: Ever used crack



Definitely did not

0



Probably did not

1



Probably did

2



Definitely did

3



Don't Know

9



Refuse to Answer

7




SX40c.

As far as you know, has [if LP is male (SX31 EQ 1) or R is female (ES8a EQ 2), fill with "he"; if LP is female (SX31 EQ 2), fill with "she"] ever been in prison or jail for more than 24 hours? Would you say [if LP is male (SX31 EQ 1) or R is female (ES8a EQ 2), fill with "he"; if LP is female (SX31 EQ 2), fill with "she"]:



[READ choices.]

LPJAIL

LP: Ever incarcerated



Definitely did not

0



Probably did not

1



Probably did

2



Definitely did

3



Don't Know

9



Refuse to Answer

7




Check_SX40d.

If R is female (ES8a EQ 2), go to SX40d.

Else go to Check_SX41a.



SX40d.

As far as you know, has he ever had sex with other men? Would you say he:



[READ choices.]

LPMSM

LP: Ever MSM



Definitely did not

0



Probably did not

1



Probably did

2



Definitely did

3



Don't Know

9



Refuse to Answer

7




LP: Concurrency



Check_SX41a.

If relationship was a one night stand (LPLT_N=0) or R did not report relationship length (LPLT_N EQ DK or REF), go to CALC_ENDLP.

If relationship length GT 1y (LPRLLE1Y EQ 0), go to SX42a.

Else, if relationship length LE 1y (LPRLLE1Y EQ 1), go to SX41a.



SX41a.

As far as you know, during the time you were having a sexual relationship with this partner, did [if LP is male (SX31 EQ 1) or R is female (ES8a EQ 2), fill with "he"; if LP is female (SX31 EQ 2), fill with "she"] have sex with other people? Would you say [if LP is male (SX31 EQ 1) or R is female (ES8a EQ 2), fill with "he"; if LP is female (SX31 EQ 2), fill with "she"]:



[READ choices.]

LPPOTH

LP had other partners- relat ≤12m



Definitely did not

0



Probably did not

1



Probably did

2



Definitely did

3



Don't Know

9



Refuse to Answer

7






SX41b.

During the time you were having a sexual relationship with this partner, did you have sex with other people?

LPROTH

LP: R had other partners- relat ≤12m



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_SX42a.

Go to CALC_ENDLP.



SX42a.

As far as you know, during the past 12 months when you were having a sexual relationship with this partner, did [if LP is male (SX31 EQ 1) or R is female (ES8a EQ 2), fill with "he"; if LP is female (SX31 EQ 2), fill with "she"] have sex with other people? Would you say [if LP is male (SX31 EQ 1) or R is female (ES8a EQ 2), fill with "he"; if LP is female (SX31 EQ 2), fill with "she"]:



[READ choices.]

LPPOTHYR

LP had other partners- relat >12m



Definitely did not

0



Probably did not

1



Probably did

2



Definitely did

3



Don't Know

9



Refuse to Answer

7




SX42b.

During the past 12 months when you were having a sexual relationship with this partner, did you have sex with other people?

LPROTHYR

LP: R had other partners- relat >12m



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




CALC_ENDLP.



ENDLP

Time at end of last partner series

ENDLP = Current time



Check_SX50.

If R is cisgender woman (ES8a EQ 2 & ES8b EQ 2), go to SX50.

Else, go to CALC_ENDSX.



F_F: Total Ps, 12m



SX50.

Now I'm going to ask you about having sex with other women. In the past 12 months, with how many different women have you had sex?

F_FSXYR

F_F Number of female sex partners - 12 months



__ __ __ __




Range

0-1000



Don't Know

9999



Refuse to Answer

7777




Check_TMSeries.

Go to CALC_ENDSX.


TMSeries: Trans men


Universe_TMSeries.

MSM cycle Rs who are trans men, men assigned intersex at birth, or nonbinary and assigned male at birth.


TM: Sex 12m


INTRO_TMSeries.

DISPLAY: “ Many of the next questions refer to sexual body parts and use medical words to describe them. These might not be the words you use and may be uncomfortable to hear. Remember that you can skip any question you don’t want to answer and you can stop the interview at any time.



For this survey:

Penis means a flesh penis, not a toy, prosthetic, or fingers.

Oral sex means mouth on the genitals.

Anal sex means a penis in the anus.

Vaginal or frontal sex means a penis in the vagina or front hole."


SX60a.

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

TM_OS12M

TM: Oral sex 12m



No

0



Yes

1



Don't Know

9



Refuse to Answer

7



SX60b.

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

TM_AS12M

TM: Anal sex 12m



No

0



Yes

1



Don't Know

9



Refuse to Answer

7



SX60c.

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

TM_VFS12M

TM: Vaginal or frontal sex 12m


No

0


Yes

1


Don't Know

9


Refuse to Answer

7


Check_SX61.

If R had oral sex, anal sex, or vaginal or frontal sex (SX60a EQ 1 OR SX60b EQ 1 OR SX60c EQ 1), go to SX61.

Else, go to CALC_ENDSX.


SX61.

In the past 12 months, with how many different people have you had oral, anal, vaginal, or frontal sex?

TM_PS12M

TM: Total partners - 12m


__ __ __ __




Range

0-7000



Don't Know

9999



Refuse to Answer

7777




HardEdit_SX61.

If no Ps 12m (SX61 EQ 0), DISPLAY “INTERVIEWER: Response is inconsistent with prior responses (R had oral sex, anal sex, vaginal or frontal sex). Clarify responses to types of sex in past 12 months and re-enter responses.”

Then, go back to SX60a.

Else, go to Check_INTRO_SX62a.



Check_INTRO_SX62a.

If R reported 1 or more Ps 12m (SX61 GE 1 & SX61 LE 7000), go to SX62a.

Else, go to CALC_ENDSX.



INTRO_SX62a.

In the next questions, I’ll refer to [if 1 P 12m (SX61 EQ 1), fill with “that person”, if more than 1 P 12m, (SX61 GT 1), fill with “those (fill with # from SX61) people”] as your sex [if 1 P 12m (SX61 EQ 1), fill with “partner”, if more than 1 P 12m, (SX61 GT 1), fill with “partners”].



Check_SX61.

If R had 1 P 12m (SX61 EQ 1), go to SX62a.

If R had 2 or more Ps 12m (SX61 GE 2 & SX61 LE 7000), go to SX63a.



SX62a.

Which of the following best describes your sex partner?



[READ choices. CHECK only ONE.]

TM_1PGEN

TM: Gender of only partner 12m




Man

1



Woman

2



Nonbinary

3



Don't Know

9



Refuse to Answer

7



Check_SX62a.

If R’s only P 12m was a man (SX62a EQ 1), go to SX62b.

Else, go to INTRO_SX65a.


SX62b.

As far as you know, is that man cisgender?

TM_1PCISMAN

TM: Only partner 12m was cisgender man




No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_SX63a.

Go to CHECK_INTRO_SX64a.



SX63a.

Including both cisgender and transgender, how many of those [fill with # total partners (SX61)] sex partners were men?

TM_MPS12N

TM: Men sex partners, #- 12m


__ __ __ __




Range

0-7000



Don't Know

9999



Refuse to Answer

7777




Check_SX63b. 

If any sex partners 12m were men (SX63a GE 1 & SX63a LE 7000), go to SX63b.

Else, go to Check_SX63c. 



SX63b.

As far as you know, were any of those men cisgender men?


TM_CISMPS

TM: Cisgender male partners, 12 m




No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_SX63c. 

If R had any sex partners who were not men (SX63a LT SX61 & SX61 LE 7000), go to SX63c.

Else, go to CHECK_INTRO_SX64a.



SX63c.

Including both cisgender and transgender, how many of those [fill with # total partners (SX61)] sex partners were women?

TM_WPS12N

TM: Women sex partners, #- 12m


__ __ __ __




Range

0-7000



Don't Know

9999



Refuse to Answer

7777




HardEdit_SX63c.

If # women partners plus # men partners GT # total partners (SX63a + SX63c GT SX61) or if # women partners GT total partners (SX63c GT SX61), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (number of male partners). Clarify and re-enter response to current or prior item as needed." Then go back to SX61.

Else, go to Check_SX63c.





Check_SX63c. 

If R had any sex partners who were not men or women (SX63a + SX63c LT SX61 & SX61 LE 7000), go to SX63d.

Else, go to CHECK_INTRO_SX64a.



SX63d.

How many of those [fill with # total partners (SX61)] sex partners were nonbinary?

TM_NBPS12N

TM: Nonbinary sex partners, #- 12m


__ __ __ __




Range

0-7000



Don't Know

9999



Refuse to Answer

7777




Check_INTRO_SX64a.

If R had any partners who were men (SX62a EQ 1 OR SX63a GE 1), go to INTRO_SX64a.

Else, go to INTRO_SX65a.



INTRO_SX64a.

DISPLAY: “The next questions are about sex with men. This includes transgender men and cisgender men."



SX64a.

In the past 12 months, did you have receptive anal sex with a man where they put their penis in your anus?

TM_RAS

TM: Receptive anal sex with man, 12m




No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_SX64a.

If R had receptive anal sex with a man (SX64a EQ 1), go to SX64b.

Else, go to Check_SX64c.



SX64b.

In the past 12 months, did you have receptive anal sex with a man where they put their penis in your anus without using a condom?

TM_URAS

TM: Condomless RAS with man 12m




No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_SX64c.

If R’s sex at birth is female (ES8a EQ 2), go to SX64c.

If R’s sex at birth is male (ES8a EQ 1) go to SX64e.

If R’s sex at birth is intersex/ambiguous (ES8a EQ 3), go to INTRO_SX65a.



SX64c.

In the past 12 months, did you have receptive vaginal or frontal sex with a man?

TM_RVS

TM: RVFS with man 12m




No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_SX64c.

If R had vaginal or frontal sex with a man (SX64c EQ 1), go to SX64d.

Else, go to INTRO_SX65a.



SX64d.

In the past 12 months, did you have receptive vaginal or frontal sex with a man without using a condom?

TM_URVS

TM: Condomless RVFS with man 12m




No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_SX64e.

Go to INTRO_SX65a.



SX64e.

In the past 12 months, did you have insertive vaginal or frontal sex with a man?

TM_IVS

TM: IVFS with man 12m




No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_SX64f.

If R had insertive vaginal or frontal sex (SX64e EQ 1) go to SX64f.

Else, go to INTRO_SX65a.



SX64f.

In the past 12 months, did you have insertive vaginal or frontal sex with a man without using a condom?

TM_UIVS

TM: Condomless IVFS with man 12m




No

0



Yes

1



Don't Know

9



Refuse to Answer

7






TM: Last sex

INTRO_SX65a.

DISPLAY: “ Now I'm going to ask you some questions about the last time you had sex.”



TM: Last sex date


SX65a. 

When was the last time you had sex? Just tell me the month and year. 

LPTMDATE 

LP_TM: date of most recent sex 



 __ __ / __ __ __ __  




Range (Year)  

1900 - 2100 



Don't Know (Year)  

9999 



Refuse to Answer (Year)  

7777 


 

CALC_LPDATE_C. 

 

 

LPTMDATE_C 

Century month version of LPTMDATE date 

LPTMDATE_C= ((LPTMDATEY-1900)*12) + LPTMDATEM. 



HardEdit_SX65a. 

If R's date of last sex with LP after date of interview (LPTMDATE_C GT IDATE_C), DISPLAY: "INTERVIEWER:  The date respondent last had sex cannot be after today's date."  Then, go back to SX65a.   


If date of last sex is more than 12 months before interview [(LPTMDATEM is missing) and ((IDATEY-LPDATEY) GE 2)] or (LPTMDATE_C LT AGO12M_C), DISPLAY: "INTERVIEWER:  Response entered is inconsistent with prior response (reported at least one sex partner in past 12 months).  Clarify and re-enter response to current or prior item as needed." Then, go back to SX65a. 

 

Else, go to Check_SX65b. 



Check_SX65b. 

If R had more than 1 sex partner, 12m (SX61 GE 1 & SX61 LE 7000), go to SX65b.

Else, go to Check_SX66a. 


TM: Last partner gender

SX65b.

Which of the following best describes the gender of the person you last had sex with?



[READ choices. Mark only one.]

LPTMGNDR

LP_TM: partner gender



Transgender man

1



Cisgender man

2



Nonbinary person assigned male at birth

3



Nonbinary person assigned female at birth

4



Transgender woman

5



Cisgender woman

6



Don't Know

9



Refuse to Answer

7




TM: Last sex event behaviors



Check_SX66a.

If R reported anal sex 12m (SX60b EQ 1), go to SX66a.

Else, go to Check_SX67a.


SX66a.

When you had sex that last time, did your partner put their penis in your anus?

LPTMRAS

LP_TM: Receptive AS at last event



No

0



Yes

1



Don't Know

9



Refuse to Answer

7



Check_SX66b.

If R had RAS at last event (SX66a EQ 1), go to SX66b.

Else go to Check_SX66c.


SX66b.

During that last time you had sex, when your partner’s penis was in your anus, did they use a condom the whole time?

LPTMRASC

LP_TM: Condom use during RAS at last event



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_SX66c.

If R’s sex at birth is male (ES8a EQ 1), go to SX66c.

Else, go to Check_SX67a.


SX66c.

When you had sex that last time, did you put your penis in your partner’s anus?

LPTMIAS

LP_TM: Insertive AS at last event



No

0



Yes

1



Don't Know

9



Refuse to Answer

7



Check_SX66d.

If R had IAS at last event (SX66c EQ 1), go to SX66d.

Else go to Check_SX67a.


SX66d.

During that last time you had sex, when your penis was in your partner’s anus, did you use a condom the whole time?

LPTMIASC

LP_TM: Condom use during IAS at last event



No

0



Yes

1



Don't Know

9



Refuse to Answer

7






Check_SX67a.

If R‘s sex at birth is female (ES8a EQ 2) & reported VFS 12m (SX60c EQ 1), go to SX67a.

Else, go to Check_SX67c.


SX67a.

When you had sex that last time, did your partner put their penis in your vagina or front hole?

LPTMRVS

LP_TM: receptive VS at last event



No

0



Yes

1



Don't Know

9



Refuse to Answer

7



Check_SX67b.

If R had RVS at last event (SX67a EQ 1), go to SX67b.

Else, go to Check_SX67c.


SX67b.

During that last time you had sex, when your partner’s penis was in your vagina or front hole, did you or your partner use a condom the whole time?

LPTMRVSC

LP_TM: Used condom during RVS at last event



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_SX67c.

If R’s sex at birth is male (ES8a EQ 1) & reported VFS 12m (SX60c EQ 1), go to SX67c.

Else, go to SX68a.


SX67c.

When you had sex that last time, did you put your penis in your partner’s vagina or front hole?

LPTMIVS

LP_TM: insertive VS at last event



No

0



Yes

1



Don't Know

9



Refuse to Answer

7



Check_SX67d.

If R reported IVS at last sex (SX67c EQ 1), go to SX67d.

Else, go to SX68a.


SX67d.

During that last time you had sex, when your penis was in your partner’s vagina or front hole, did you or your partner use a condom the whole time?

LPTMIVSC

LP_TM: Condom use during IVS at last event



No

0



Yes

1



Don't Know

9



Refuse to Answer

7



TM: Last sex, partner HIV status

SX68a.

The last time you had sex with this partner, did you know their HIV status?

LPTMKNWSTS

LP: Knew partner HIV status at last event



No

0



Yes

1



Refuse to Answer

7



Check_SX68b.

If R knew LP HIV status (SX68a EQ 1), go to SX68b.

Else, go to Check_SX68c.



SX68b.

What was their HIV status?



[DO NOT read choices.]

LPTMHIVSTS

LP: Partner HIV status at last event



HIV-negative

1



HIV-positive

2



Indeterminate

3



Refuse to Answer

7




Notes_PartnerARTUse.

See Measure References.



Check_SX68c.

If LP HIV-positive (SX68b EQ 2), go to SX67c.

If LP not HIV-positive (SX68b NE 2), go to END_SX.



SX68c.

Did they tell you whether they were taking antiretroviral medicines or ART to treat their HIV?

LPTMARTDS

LP: Whether P disclosed ART use



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_SX68d.

If LP disclosed ART use, (SX68c EQ 1), go to SX67d.

Else, go to SX68e.



SX67d.

Did they say they WERE taking antiretroviral medicines or were NOT taking antiretroviral medicines?

LPTMONART

LP: HIV+ partner on ART at last event



No, partner was NOT taking ART

0



Yes, partner WAS taking ART

1



Don't Know

9



Refuse to Answer

7






SX68e.

A person with HIV whose amount of virus in their body is very low may be told by a health care provider that their HIV viral load is undetectable. The last time you had sex with this partner, was their viral load undetectable, detectable, or you didn’t know?

LPTMVL

LP: HIV+ partner VL undetectable



Viral load undetectable

0



Viral load detectable

1



Don't Know

9



Refuse to Answer

7




CALC_ENDSX.



ENDSX

Time sexual behavior section ended

ENDSX = Current time



END_SX.



Go to Alcohol Use Section (AL).

NHBS ROUND 7 QUESTIONNAIRE

ALCOHOL USE (AL)

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

Section

Question #

Variable name

Variable label



UNIVERSE_AL.

All Eligible Rs who consented to interview and completed prior section.



CALC_BEGAL.



BEGAL

Time at beginning of alcohol use section

BEGAL = Current time



Notes_Alcohol.

See Measure References.



INTRO_AL1.

DISPLAY: “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.



[Give Respondent Flashcard Q.]"



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 had at least one drink in the past 30 days (AL1 EQ 1), go to AL2.

Else, go to CALC_ENDAL.



AL2.

During the past 30 days, what is the largest number of drinks you had within about two hours?

ALCLG30D

Largest number drinks within 2 hours - past 30 days



__ __




Range

0-99



Don't Know

999



Refuse to Answer

777




CALC_ENDAL.



ENDAL

Time alcohol use section ended

ENDAL = Current time





END_AL.

Go to Injection Drug Use Section (ID).





NHBS ROUND 7 QUESTIONNAIRE

INJECTION DRUG USE (ID)

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

Section

Question #

Variable name

Variable label

Preset variables

--

CYCLE

NHBS Cycle

Preset Variables

--

AGO12M_C

12 mos before interview: Century Month

Eligibility Screener

CALC_AGE

AGE

QDS calculated age today



UNIVERSE_ID.

All Eligible Rs who consented to interview and completed prior section.



CALC_BEGID.



BEGID

Time at beginning of ID section

BEGID = Current time





INTRO_Check_ID1.

DISPLAY: “The next questions are about injection drug use. This means injecting drugs yourself or having someone who isn't a health care provider inject you. Please remember your answers will be kept private."

Injection history, lifetime



Check_ID1.

If MSM or HET cycle (CYCLE EQ 1 or 3), go to ID1.

Else, go to ID1a.



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 Check_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 Check_ID1b.num.



Check_ID1b.num.

If IDU cycle (CYCLE EQ 2), go to INTRO_ID2a.

Else, go to ID1b.num.



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 Check_CALC_LINJ12.

If R last injected on day of interview (ID1b.num EQ 0), go to Check_INTRO_ID2a.

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_ID2a.

If R last 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)) go to INTRO_ID2a.

Else, go to Check_CALC_LINJ12.



UNIVERSE_InjectionFrequency.

All Rs who injected in the past year.



Injection Frequency, 12m





INTRO_ID2a.

DISPLAY: “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."



ID2a.

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




Check_ ID2a.

If R injected more than once a day (ID2a EQ 1), go to ID2b.

Else, go to Check_INTRO_ID3a.





ID2b.

On a typical day, about how many times do you usually inject?

INJFXDAY

Average daily injection frequency



__ __ __




Range

0 - 700



Don't Know

999



Refuse to Answer

777






Check_ INTRO_ID3a.

If IDU cycle (CYCLE EQ 2), go to INTRO_ID3a.

If MSM or HET cycle (CYCLE EQ 1 or 3), go to ID4a.





INTRO_ID3a.

DISPLAY: "[Give Respondent Flashcard H.]



I'm going to read you a list of drugs. For each drug I mention, please tell me how often you injected it in the past 12 months."



ID3a.

How often did you inject speedball, which is heroin and cocaine together?



[READ choices.]

INJ_SB

Speedball (heroin and cocaine together) frequency - 12 months




More than once a day

1




Once a day

2




More than once a week

3




Once a week or less

4




Never

5




Don't Know

9




Refuse to Answer

7




ID3b.

How often did you inject heroin, by itself?



[READ choices.]

INJ_HERO

Heroin, by itself frequency - 12 months




More than once a day

1




Once a day

2




More than once a week

3




Once a week or less

4




Never

5




Don't Know

9




Refuse to Answer

7




ID3c.

How often did you inject powder cocaine, by itself?



[READ choices.]

INJ_COKE

Powder cocaine, by itself frequency - 12 months




More than once a day

1




Once a day

2




More than once a week

3




Once a week or less

4




Never

5




Don't Know

9




Refuse to Answer

7




ID3d.

How often did you inject crack cocaine, by itself?



[READ choices.]

INJ_CRAC

Crack cocaine, by itself frequency - 12 months




More than once a day

1




Once a day

2




More than once a week

3




Once a week or less

4




Never

5




Don't Know

9




Refuse to Answer

7




ID3e.

How often did you inject methamphetamine, which includes meth, crystal meth, speed, or crank?



[READ choices.]

INJ_METH

Methamphetamine frequency - 12 months




More than once a day

1




Once a day

2




More than once a week

3




Once a week or less

4




Never

5




Don't Know

9




Refuse to Answer

7




ID3f.

How often did you inject painkillers, such as Oxycontin, Dilaudid, morphine, Percocet, or Demerol?



[READ choices.]

INJ_PAIN

Painkillers frequency - 12 months



More than once a day

1



Once a day

2



More than once a week

3



Once a week or less

4



Never

5



Don't Know

9



Refuse to Answer

7






ID3g.1.

As far as you know, did you inject fentanyl in the past 12 months?

IDFNTYNR7

Injected fentanyl 12m, y/n



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_ ID3g.2.

If IDg3.1 EQ 1, go to ID3g.2.

Else, go to If MSM or HET cycle (CYCLE EQ 1 or 3), go to ID4a.





ID3g.2

In the past 12 months, how often did you inject fentanyl?



[READ choices.]

INJ_FNTR7

Fentanyl frequency - 12 months



More than once a day

1



Once a day

2



More than once a week

3



Once a week or less

4



Never

5



Don't Know

9



Refuse to Answer

7






ID3h.1.

Did you inject any other drugs in the past 12 months?

INJ_OTH

Other drug injected, 12m, y/n – IDU



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_ID3h.2.

If R injected another drug in the past 12 months (ID3h.1 EQ 1), go to ID3h.2.

Else, go to INTRO_ID5a.



ID3h.2.

What other drugs did you inject?

INJ_OTHS

INJ Other drug specify, 12m—IDU


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


{text response; max length = 100 characters}


Don't Know

9



Refuse to Answer

7






Check_ID4A.

Go to INTRO_ID5a.





ID4a.

In the past 12 months, which drug did you inject most often?



[Give Respondent Flashcard B.]



[READ choices.]

INJMOST1

Drug injected most often - 12 months – MSM, HET




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




ID4b.1.

Did you inject any other drugs in the past 12 months?

INJOTHNI

Other drug injected, 12m, y/n – MSM, HET




No

0




Yes

1




Don't Know

9




Refuse to Answer

7




Check_ID4b.2.

If R injected another drug in the past 12 months (ID4b.1 EQ 1), go to ID4b.2.

Else, go to INTRO_ID5a.



ID4b.2.

What other drugs did you inject?



[Give Respondent Flashcard B.]



[READ choices. CHECK ALL that apply.]

INJMOST

Other drugs injected, 12m – MSM, HET



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




Injection Equipment Disposal, 12m





INTRO_ID5a.

DISPLAY: “Next, I'm going to ask you about the needles you used 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."



Notes_DisposalOfUsedNeedles.

See Measure References.



ID7.

In the past 12 months, after you injected, what did you do with the used needle? You may choose more than one option.



[Give Respondent Flashcard S.]



[READ choices. CHECK ALL that apply.]

NDLEDSP

How disposed of used needle - 12 months



NDLEDSPA

Put it in a medical sharps container




NDLEDSPB

Threw it away




NDLEDSPC

Kept it




NDLEDSPD

Gave or sold it to someone else




NDLEDSPE

Took it to a needle or syringe exchange program




NDLEDSPF

Did something else with it





Don't Know

9




Refuse to Answer

7




Check_ID7spec.

If R did something else with the used needle (NDLEDSPF EQ 1), go to ID7spec.

Else, go to ID8.



ID7spec.

INTERVIEWER: Specify other method of disposing of used needles.

SPECDISP

How disposed of used needle: Other specify


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




{text response; max length = 100 characters}


Don't Know

9



Refuse to Answer

7






Injection Equipment Sharing, 12m



ID8.

[Give Respondent Flashcard T.]



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




Notes_InjectionEquipmentSharing.

See Measure References.





Check_INTRO_ID9.

If R always used a sterile needle in the past 12 months (ID8 EQ 4), go to ID10.

Else, go to INTRO_ID9.



INTRO_ID9.

DISPLAY: “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."





ID9.

In the past 12 months, with how many different people did you use a needle after they injected with it?

NUM_NA

Used needle after-number of people




__ __ __





Range

0-300




Don't Know

999




Refuse to Answer

777




ID10.

In the past 12 months, how many different people did you give your needle to use after you had already injected with it?

NUM_GIVE

Gave needle after injected with it - number of people




__ __ __





Range

0-300




Don't Know

999




Refuse to Answer

777




ID11.

In the past 12 months, with how many different people did you use the same cooker, cotton, or water that they had already used? By "water", I mean water for rinsing needles or preparing drugs.

NUM_CCW

Used cooker, cotton, water after - number of people




__ __ __





Range

0-300




Don't Know

999




Refuse to Answer

777




ID12.

In the past 12 months, with how many different people did you use drugs that had been divided with a syringe that they had already used?

NUM_DDA

Used drugs divided up after - number of people




__ __ __





Range

0-300




Don't Know

999




Refuse to Answer

777




Check_ID13.

If R always used a sterile needle in the past 12 months or refuses to report how many people he used a needle after in the past 12 months (ID8 EQ 4 or (ID9 EQ 0,REF, or SK)), go to Check_ID14.

Else, go to ID13.



ID13.

In the past 12 months, how often did you use needles that someone else had already injected with?



[Give Respondent Flashcard T.]



[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




HardEdit_ID13.

If R reported earlier that he had used needles after one or more persons & reports that he never used needles after someone (ID9 GT 0 and ID13 EQ 0), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (reported using needles after at least one other person). Clarify and re-enter response to current or prior item as needed." Then go back to ID13.

Else, go to Check_ID14.



Check_ID14.

If R did not give or refused to report if he gave someone a needle after he injected with it in the past 12 months (ID10 EQ 0 or REF), go to Check_ID15.

Else, go to ID14.



ID14.

In the past 12 months, how often did you give your needle to someone else to use after you had already injected with it?



[Give Respondent Flashcard T.]



[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




HardEdit_ID14.

If R reported earlier that he had given needles to one or more persons and reports that he never gave needles to someone else (ID10 GT 0 and ID14 EQ 0), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (reported giving needles to at least one other person). Clarify and re-enter response to current or prior item as needed." Then go back to ID14.

Else, go to Check_ID15.



Check_ID15.

If R did not use or refused to report if he used cookers, cottons, or water after someone else in the past 12 months (ID11 EQ 0 or REF), go to Check_ID16.

Else, go to ID15.



ID15.

In the past 12 months, how often did you use cookers, cottons, or water that someone else had already used?



[Give Respondent Flashcard T.]



[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




HardEdit_ID15.

If R reported earlier that he had used cookers, cottons, or water after one or more persons and reports that he never used cookers, cottons, or water after someone else (ID11 GT 0 and ID15 EQ 0), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (reported using cookers, cottons, or water after at least one other person). Clarify and re-enter response to current or prior item as needed." Then go back to ID15.

Else, go to Check_ID16.



Check_ID16.

If R did not use or refused to report if he used drugs that had been divided with a used syringe (ID12 EQ 0 or REF), go to Check_CALC_LINJ12.

Else, go to ID16.



ID16.

In the past 12 months, how often did you use drugs that had been divided with a syringe that someone had already injected with?



[Give Respondent Flashcard T.]



[READ choices.]

SAMESYR

Used drugs divided up 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




HardEdit_ID16.

If R reported earlier that he had used drugs that been divided with a used syringe after one or more persons and reports that he never used drugs divided with a used syringe (ID12 GT 0 and ID16 EQ 0), DISPLAY: "INTERVIEWER: The response entered is inconsistent with a prior response (reported using drugs that had been divided with a used syringe with at least one person). Clarify and re-enter response to current or prior item as needed." Then go back to ID16.

Else, go to Check_CALC_LINJ12.



Check_CALC_LINJ12.

If R reported never injected (ID1 EQ 0) go to CALC_LINJ12.

If R reported when last injected (ID1b.num NE DK, REF, or SK), go to CALC_LINJ12.

Else, go to CALC_ENDID.



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 Drug Use Section (ND).





NHBS ROUND 7 QUESTIONNAIRE

NON-INJECTION DRUG USE (ND)

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

Section

Question #

Variable name

Variable label



UNIVERSE_ND.

All Eligible Rs who consented to interview and completed prior section.



CALC_BEGND.



BEGND

Time at beginning of ND section

BEGND = Current time





INTRO_ND0.

DISPLAY: “Now I'm going to ask you about times you may have used drugs but did NOT inject them. Do NOT include times that you used drugs that were prescribed for you.."



ND0.

In the past 12 months, that is, since [fill with interview month], of last year how often did you use marijuana?



[READ choices.]

ND_MJR7

How often used marijuana past 12 months



More than once a day

1



Once a day

2



More than once a week

3



Once a week or less

4



Never

5



Don't Know

9



Refuse to Answer

7




ND1.

In the past 12 months, have you used any drugs other than marijuana that were not prescribed for you [if IDU cycle (CYCLE EQ 2) or if R injected in past 12m (LINJ12 EQ 1), fill with “and that you did not inject”]?

NIUSE12R7

Non-injection drug use - 12 months



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_INTRO_ND2.

If R has used non-injection drugs other than marijuana (ND1 EQ 1), go to INTRO_ND2B.

Else, go to CALC_ENDND.



INTRO_ND2B.

DISPLAY: "[Give Respondent Flashcard H.]



READ: I'm going to read you a list of drugs. For each drug I mention, please tell me how often you used it in the past 12 months."





ND2B.

How often did you use methamphetamine, which includes meth, crystal meth, speed, or crank?



[READ choices.]

ND_METH

How often used methamphetamine past 12 months



More than once a day

1



Once a day

2



More than once a week

3



Once a week or less

4



Never

5



Don't Know

9



Refuse to Answer

7




ND2C.

How often did you use crack cocaine?



[READ choices.]

ND_CRACK

How often used crack cocaine past 12 months



More than once a day

1



Once a day

2



More than once a week

3



Once a week or less

4



Never

5



Don't Know

9



Refuse to Answer

7




ND2D.

How often did you smoke or snort powder cocaine?



[READ choices.]

ND_COKE

How often used powder cocaine that is smoked or snorted past 12 months



More than once a day

1



Once a day

2



More than once a week

3



Once a week or less

4



Never

5



Don't Know

9



Refuse to Answer

7




ND2E.

How often did you use downers (benzos) such as Klonopin, Valium, Ativan, or Xanax?



[READ choices.]

ND_DOWN

How often used downers (benzos) such as Valium past 12 months



More than once a day

1



Once a day

2



More than once a week

3



Once a week or less

4



Never

5



Don't Know

9



Refuse to Answer

7




ND2F.

How often did you use pain killers such as Oxycontin, Vicodin, morphine, or Percocet?



[READ choices.]

ND_PAIN

How often used pain killers such as Oxycontin, Vicodin past 12 months



More than once a day

1



Once a day

2



More than once a week

3



Once a week or less

4



Never

5



Don't Know

9



Refuse to Answer

7




ND2G.

How often did you use X or ecstasy?



[READ choices.]

ND_X

How often used X or ecstasy past 12 months



More than once a day

1



Once a day

2



More than once a week

3



Once a week or less

4



Never

5



Don't Know

9



Refuse to Answer

7




ND2H.

How often did you smoke or snort heroin?



[READ choices.]

ND_HER

How often used heroin that is smoked or snorted past 12 months



More than once a day

1



Once a day

2



More than once a week

3



Once a week or less

4



Never

5



Don't Know

9



Refuse to Answer

7




Check_ND2I.

If MSM cycle (CYCLE EQ 1), go to ND2I.

Else, go to ND2J.



ND2I.

How often did you use poppers, also known as amyl nitrite?



[READ choices.]

ND_POP

How often used poppers (amyl nitrite) past 12 months



More than once a day

1



Once a day

2



More than once a week

3



Once a week or less

4



Never

5



Don't Know

9



Refuse to Answer

7




ND2J.

In the past 12 months, have you used any other drugs that you did NOT inject?

ND_OTHYN

Used other non-injection drugs past 12 mos



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_ND2J.spec.

If R has used another non-injection drug (ND2J EQ 1), go to ND2J.spec.

Else, go to CALC_ENDND.



ND2J.spec.

What other drugs did you use that you did NOT inject?

ND_OTHSP

Other non-injection drugs



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



{text response; max length = 100 characters}


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).





NHBS ROUND 7 QUESTIONNAIRE

DRUG OVERDOSE AND DRUG TREATMENT (TX)

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

Section

Question #

Variable name

Variable label

Eligibility Screener

ES12

E_USINJ

Eligibility, drug usually injected

Injection Drug Use

ID3a

INJ_SB

Speedball (heroin and cocaine together) frequency - 12 months

Injection Drug Use

ID3b

INJ_HERO

Heroin, by itself frequency - 12 months

Injection Drug Use

ID3c

INJ_COKE

Powder cocaine, by itself frequency - 12 months

Injection Drug Use

ID3d

INJ_CRAC

Crack cocaine, by itself frequency - 12 months

Injection Drug Use

ID3e

INJ_METH

Methamphetamine frequency - 12 months

Injection Drug Use

ID3f

INJ_PAIN

Painkillers frequency - 12 months

Injection Drug Use

ID4a

INJMOST1

Drug injected most often - 12 months – MSM, HET

Injection Drug Use

ID4b.2.

INJMOST

Other drugs injected, 12m – MSM, HET

Non-Injection Drug Use

ND2B

ND_METH

How often used methamphetamine past 12 months

Non-Injection Drug Use

ND2C

ND_CRACK

How often used crack cocaine past 12 months

Non-Injection Drug Use

ND2D

ND_COKE

How often used powder cocaine that is smoked or snorted past 12 months

Non-Injection Drug Use

ND2F

ND_PAIN

How often used pain killers such as Oxycontin, Vicodin past 12 months

Non-Injection Drug Use

ND2H

ND_HER

How often used heroin that is smoked or snorted past 12 months



UNIVERSE_TX.

All Eligible Rs who consented to interview and completed prior section.



CALC_BEGTX.



BEGTX

Time at beginning of TX section

BEGTX = Current time



Drug Treatment



INTRO_TX1.

DISPLAY: “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, 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?

DRUGTXR5

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?

DTXTRYR5

Drug tx tried to get in



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Medication-Assisted Drug Treatment



Check_INTRO_TX3.

If R has used opioids or heroin in the past 12 months (ES12 EQ 1 OR ES12 EQ 2 OR ES12 EQ 6 OR ID3A LT 5 OR ID3B LT 5 OR ID3F LT5 OR ID4a EQ 1,2, or 6 OR INJMOSTA EQ 1 OR INJMOSTB EQ 1 OR INJMOSTF EQ 1 OR ND2F LT 5 OR ND2H LT 5) go to INTRO_TX3.

Else, go to CALC_ENDTX.





INTRO_TX3.

DISPLAY: “Now, I am going to ask you about your experiences with taking medicines to treat drug use, like methadone, buprenorphine, Suboxone or Subutex. Please only think about these medicines given to you by a doctor or other health care provider.“



TX3.

Have you taken medicines, like methadone, buprenorphine, Suboxone or Subutex, to treat drug use in the past 12 months?

MAT

Drug tx - meds in past 12 months



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




TX4.

In the past 12 months, did you try to get medicines, like methadone, buprenorphine, Suboxone or Subutex, to treat drug use but were unable to?

MATTRY

Drug tx – tried to get meds



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Overdose



INTRO_TX5.

DISPLAY: “Now I will ask you about experiences you may have had due to drug use.“



TX5.

In the past 12 months, did you overdose on heroin or painkillers? By overdose, I mean if you passed out, turned blue, or stopped breathing from using drugs.

OVERDOSE

Overdosed in past 12 months



No

0



Yes

1



Don't Know

9



Refuse to Answer

7






Check_TX6.

If R used meth, cocaine, or crack in past 12 months ((ES12 EQ 1, 3, 4, or 5) or (ID3a LT 5) or (ID3c LT 5) or (ID3d LT 5) or (ID3e LT 5) or (ID4a EQ 1, 3, 4, or 5) or (INJMOSTA EQ 1) or (INJMOSTC EQ 1) or (INJMOSTD EQ 1) or (INJMOSTE EQ 1) or (ND2b LT 5) or (ND2c LT 5) or (ND2d LT 5)) go to TX6.

Else, go to CALC_ENDTX.



Stimulant Overuse



TX6.

In the past 12 months, did you need immediate medical care because you took stimulants, like methamphetamine, cocaine, or crack?

STIMOVUSE

Stimulant overuse in past 12 months



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).





NHBS ROUND 7 QUESTIONNAIRE

HIV TESTING EXPERIENCES (HT)

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

Section

Question #

Variable name

Variable label

Preset Variables

--

IDATE

Interview date

Preset Variables

--

IDATEY

Interview date: Year

Preset Variables

--

IDATE_C

Interview date: Century Month

Preset Variables

--

AGO6M_C

6 mos before interview: Century Month

Preset Variables

--

AGO12M_C

12 mos before interviewe: Century Month

Eligibility Screener

ES1

DOB

Date of birth

Interviewer Entered Information

IE2

CITYR7

City



Universe_HT.

All Eligible Rs who consented to interview and completed prior section.



CALC_BEGHT.



BEGHT

Time at beginning of HIV testing section

BEGHT = Current time

HIV Test, Ever

INTRO_HT1.

DISPLAY: “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


HIV Status, Self-Report

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 CALC_ENDHT.



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.

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.



Universe_NSRPSeries.

Rs who ever tested and did NOT report ever testing HIV-positive.



Non-Self-reported Positive (NSRP) Series

HIV Testing, Recent



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 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_BarrierstoHIVTesting.




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_ BarrierstoHIVTesting.

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


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.


Else, go to CALC_ENDHT



HIV Testing Barriers

Universe_Barriers.

R's who have NOT tested in the past 12 months.



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_HT6a.

If most important reason not tested was ‘other' (HT6 EQ 4), go to HT6a.

Else, go to CALC_ENDHT.



HT6a.

What was the most important reason you have not been tested for HIV in the past 12 months?

SPECNTST

Most important reason not tested past 12 months


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


{text response; max length = 100 characters}




Don't Know

9



Refuse to Answer

7




Check_SRPSeries.

Go to CALC_ENDHT.



Universe_SRPSeries.

Rs who reported ever testing HIV-positive.



Self-Reported HIV-positive (SRP) Series

HIV Test, First Positive



HT7.

When did you first test positive? 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 HT7d.

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.


Else, go to HT7d.







HIV Linkage to Care



Universe_LinkagetoCare.

All HIV-positive Rs.



Notes_LinkagetoCare.

See Measure References.



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




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 CALC_ENDHT.



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 his or 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 his or 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 his or 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 1st 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 they 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 FRSMD_C)) or (FRSMDY 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


HIV Medications



Universe_HIVMedications.

Rs who reported having seen a health care provider for HIV care.



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


HIV Viral Load



HT10a.

An HIV viral load test measures the amount of HIV in your blood. In the past 12 months, that is, since [fill with interview month, formatted as text] of last year, have you had an HIV viral load test?

VLTST12MR7

Viral load test, 12m



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_HT10b.

If R had a viral load test in past 12m, go to INTRO_HT10b.

Else, go to CALC_ENDHT.



INTRO_HT10b.

DISPLAY: “A person with HIV whose amount of virus in their body is very low may be told by a health care provider that their HIV viral load is undetectable..



HT10b.

Thinking of your most recent viral load test, was the result undetectable, detectable, or you don’t know?

VLRSLTR7

Viral load test, recent result



Undetectable

1



Detectable

2



Don’t know

3



Refuse to Answer

7




CALC_ENDHT.



ENDHT

Time HIV testing section ended

ENDHT = Current time



END_HT.

Go to Health Conditions Section (HC).

NHBS ROUND 7 QUESTIONNAIRE

HEALTH CONDITIONS (HC)



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

Section

Question #

Variable name

Variable label

Preset Variables

--

AGE

QDS calculated age today

Preset variables

--

CYCLE

NHBS Cycle



Universe_HC.

All Eligible Rs who consented to interview and completed prior section.



CALC_BEGHC.



BEGHC

Time at beginning of HC section

BEGHC = Current time



INTRO_HealthConditions.

DISPLAY: “Next, I'd like to ask you some questions about your health."



Hepatitis C (HCV)



INTRO_HC1.

DISPLAY: “The first questions are about hepatitis C. There are three common types of hepatitis- hepatitis A,

hepatitis B and hepatitis C. Hepatitis C is spread through infected blood and is the type of hepatitis that DOES NOT have a vaccine."



HC1.

Have you ever been tested for hepatitis C infection?

EVRHCTST

Ever tested for HCV



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_HC2a.

If R ever tested for hepatitis C (HC1 EQ 1), go to HC2a.

Else, go to INTRO_HC5a.



HC2a.

In what year did you have your most recent hepatitis C test?

RCHCTST

When most recent HCV test



_ _ _ _

1900-2100



Don't Know

9999



Refuse to Answer

7777




HardEdit_HC2a.

If year of most recent hepatitis test after current year (RCHCTSTY GT IDATEY), Display: "INTERVIEWER: The year of the most recent hepatitis C test cannot be after the current year". Then, go back to HC2a.

Else, go to HC2b.



HC2b.

[Give Respondent Flashcard W.]


Which of the following best describes where you got that last hepatitis C test?


[READ choices.]

HCVTLOC

Location of last HCV test



Doctor’s office, clinic, or health center

1



Hospital

2



Jail, prison, or detention center

3



Drug or alcohol treatment program

4



Needle or syringe exchange program

5



Other HIV/AIDS-focused organization

6



Some other place

7



Don't Know

99



Refuse to Answer

77




Check_HC2c.

If R does not report ‘Other' (HC2b NE 7), go to HC3.

Else, go to HC2c.



HC2c.

INTERVIEWER: Type in other location where respondent got the last hepatitis C test.

SPECHCVT

Other location where R got hepatitis C test


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


{text response; max length = 100 characters}


Refuse to Answer

7




HC3.

Has a doctor, nurse, or other health care provider ever told you that you had hepatitis C?

HEPCEVER

Ever told had hepatitis C by doctor or nurse



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_HC4a.

If R never told they had hepatitis C (HC3 NE 1), go to INTRO_HC5a. Else, go to HC4a.



HC4a.

[Give Respondent Flashcard X.]


When were you told you had hepatitis C?


[READ choices.]

WHENTHC

When told had HCV



6 months ago or less

0



More than 6 months, but less than 1 year ago

1



At least 1 year but less than 5 years ago

2



At least 5 years but less than 10 years ago

3



10 years ago or more

4



Don't Know

9



Refuse to Answer

7






HC4b.

Have you ever taken medicine to treat your hepatitis C infection?

HCVMEDS

Ever taken medicine to treat HCV



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Sexually Transmitted Diseases



Notes_STDs.

See Measure References.



INTRO_HC5a.

On one screen, DISPLAY: “Now, I'm going to ask you some questions about sexually transmitted diseases, or STDs, other than HIV and hepatitis."


On the next screen, DISPLAY: “Has a doctor or other health care provider EVER told you that you had either of the following:


[READ choices. CHECK YES or NO for each one.]"



HC5a.

Genital herpes?

EVRHERP

Ever diagnosed genital herpes



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




HC5b.

Genital warts?

EVRGWAR

Ever diagnosed genital warts



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




HC6.

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? Do NOT include tests for HIV or hepatitis.

STDTEST

Tested for STD past 12 months



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_HC7.

If MSM cycle and R reported STD testing in past 12 months, (CYCLE EQ 1 AND HC6 EQ 1), go to HC7.

Else, go to INTRO_HC8a.



HC7.

In the past 12 months, did you have an anal or rectal STD test?

RSTDTEST

Rectal STD test past 12 months



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




INTRO_HC8a.

DISPLAY: “In the past 12 months, has a doctor or other health care provider told you that you had...


[READ choices. CHECK YES or NO for each one.]"



HC8a.

Gonorrhea?

GONORR

Gonorrhea past 12 months



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




HC8b.

Chlamydia?

CHLAMYD

Chlamydia past 12 months



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




HC8c.

Syphilis?

SYPHILIS

Syphilis past 12 months



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_HC9a.

If MSM cycle (CYCLE EQ 1), go to HC9a.

Else, go to INTRO_HC10a.



HC9a.

Have you ever received a vaccine against HPV, for example, GARDASIL, which prevents genital warts, anal cancer, and cervical cancer?

HPVVAC

Ever received HPV shot



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_HC9b.

If R has received HPV vaccine (HC9a EQ 1), go to HC9b.

Else, go to INTRO_HC10a.



HC9b.

How old were you when you received your first dose of the HPV vaccine?


AGEVAC

Age first dose HPV vaccine



__ __ __




Range

0-100



Don't Know

999



Refuse to Answer

777




HardEdit_HC9b.

If age at first dose of vaccine is greater than R's age (HC9b GT AGE), DISPLAY: "INTERVIEWER: The age of first vaccination cannot be greater than respondent's current age, [fill with value for R's age (AGE)]." Then, go back to HC9b.

Else, go to INTRO_HC10a.



Psychological Distress – Kessler-6 (K6) scale



Notes_K6Scale.

See Measure References.





INTRO_HC10a.

DISPLAY: [Give Respondent Flashcard Y.]


"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."



HC10a.

During the past 30 days, how often did you feel nervous?


[READ choices.]

FEELNERV

How often nervous in past 30 days



All of the time

0



Most of the time

1



Some of the time

2



A little of the time

3



None of the time

4



Don't Know

9



Refuse to Answer

7




HC10b.

During the past 30 days, how often did you feel hopeless?


[READ choices.]

FEELHOPE

How often hopeless in past 30 days



All of the time

0



Most of the time

1



Some of the time

2



A little of the time

3



None of the time

4



Don't Know

9



Refuse to Answer

7




HC10c.

During the past 30 days, how often did you feel restless or fidgety?


[READ choices.]

FEELREST

How often restless in past 30 days




All of the time

0




Most of the time

1




Some of the time

2




A little of the time

3




None of the time

4




Don't Know

9




Refuse to Answer

7




HC10d.

During the past 30 days, how often did you feel so sad or depressed that nothing could cheer you up?


[READ choices.]

FEELSAD

How often sad/depressed in past 30 days



All of the time

0



Most of the time

1



Some of the time

2



A little of the time

3



None of the time

4



Don't Know

9



Refuse to Answer

7




HC10e.

During the past 30 days, how often did you feel that everything was an effort?


[READ choices.]

FEELEFRT

How often everything an effort in past 30 days



All of the time

0



Most of the time

1



Some of the time

2



A little of the time

3



None of the time

4



Don't Know

9



Refuse to Answer

7




HC10f.

During the past 30 days, how often did you feel down on yourself, no good or worthless?


[READ choices.]

FEELDOWN

How often down in past 30 days



All of the time

0



Most of the time

1



Some of the time

2



A little of the time

3



None of the time

4



Don't Know

9



Refuse to Answer

7




CALC_ENDHC.



ENDHC

Time health conditions section ended

ENDHC = Current time



END_HC.

Go to Prevention Activities Section (PA).

NHBS ROUND 7 QUESTIONNAIRE

PREVENTION ACTIVITIES (PA)

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

Section

Question #

Variable name

Variable label

Preset Variables

--

CYCLE

NHBS Cycle

Preset Variables

--

QYR

Current questionnaire year

Injection Drug Use

--

LINJ12

injected in last 12 months

Injection Drug Use

ID8

STERILE

INJ Frequency used sterile needle- 12 months

Eligibility Screener

--

E_INJ12

injected in last 12 months

Eligibility Screener

ES8a

BIRTHSEX

Sex at birth

Eligibility Screener

ES8b

GNDRR7

Gender identity

Sexual Behavior

SX36b

LPHIVSTS

LP: Partner HIV status at last event

Sexual Behavior

SX68b

LPTMHIVSTS

LP: Partner HIV status at last event

HIV Testing

HT2

EVERPOS

Ever test positive for HIV

HIV Testing

HT4c

RCNTRST

Result most recent HIV test

HIV Testing

HT7

POS1ST

Date of first positive test



Universe_PA.

All Eligible Rs who consented to interview and completed prior section.



CALC_BEGPA.



BEGPA

Time at beginning of PA section

BEGPA = Current time



HIV Prevention Resources

INTRO_PA1a.

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



PA1a.

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




Check_PA1b.

If R got free condoms (PA1a EQ 1) go to PA1b.

Else, go to Check_PA2a.



PA1b.

[Give Respondent Flashcard Z.]


Which place or places on this list did you get free condoms from?


[READ choices. CHECK ALL that apply.]

FCON

Location got free condoms



FCONA

HIV/AIDS-focused organization




FCONB

Gay, lesbian, bisexual, transgender, or queer organization




FCONC

Needle or syringe exchange program




FCOND

IDU outreach program




FCONE

Doctor's office, health center, clinic or hospital




FCONF

Drug or alcohol treatment center




FCONG

Bar, club, bookstore, or other business




FCONH

Other community organization




FCONI

Some other place





Don't Know

99




Refuse to Answer

77




Check_PA2a.

If R injected in p 12m (LINJ12 EQ 1 OR E_INJ12 EQ 1), go to PA2a. Else go to PA4a.

PA2a.

In the past 12 months, that is, since [fill with interview month, formatted as text] of last year, have you gotten any new sterile needles? By new sterile needle, I mean no one - not even you - had ever used it before.

STLNDL12

Got new sterile needles, 12m




No

0




Yes

1




Don’t Know

9




Refuse to Answer

7


Check_PA2b.

If R got new sterile needles (PA2a EQ 1), go to PA2b. Else, go to PA2c.



PA2b.

[Give Respondent Flashcard AA]


From which of the following places or people did you get new sterile needles in the past 12 months? You may choose more than one option.

[READ CHOICES. CHECK ALL that apply.]

SNDLSRCR7

Sources of new sterile needles, 12m


SNDLSRCR7A

Needle or syringe exchange program



SNDLSRCR7B

Someone who got them from a needle exchange



SNDLSRCR7C

Pharmacy or other store



SNDLSRCR7D

Doctor’s office, clinic, or hospital



SNDLSRCR7E

Some other place




Don’t Know

9



Refuse to Answer

7


PA2c.

In the past 12 months, did you try to get new, sterile needles but were unable to?

SNDLTRY

Tried to get new sterile needles




No

0




Yes

1




Don’t Know

9




Refuse to Answer

7




HIV Behavioral Interventions



PA4a.

In the past 12 months, have you had a one-on-one conversation with an outreach worker, counselor, or prevention program worker about ways to prevent HIV? Don't count the times when you had a conversation as part of an HIV test.

TALKHIV

Talked to cnslr. about prevention p 12m



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




PA4b.

In the past 12 months, have you been a participant in any organized session(s) involving a small group of people to discuss ways to prevent HIV? Don't include discussions you had with a group of friends.

GROUP12

Participate in group session p 12m



No

0



Yes

1



Don't Know

9



Refuse to Answer

7






PrEP/PEP

Universe_PrEP.

All Rs.


Check_INTRO_PA5.

If R did not self-report being HIV-positive (HT4c NE 2 and HT2 NE 1), go to INTRO_PA5.

If R reported being HIV-positive (HT2 EQ 1 or HT4c EQ 2), go to PA6a.



INTRO_PA5.

DISPLAY: “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."

PEP use, 12m



PA5.

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




PrEP Awareness



PA6a.

PRE-exposure prophylaxis, or PrEP, is an antiretroviral medicine, such as Truvada, that is used 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?

PRPAWRR7

PrEP, awareness



No

0



Yes

1



Don't Know

9



Refuse to Answer

7


PrEP use, 12m

Check_PA6b.

If R aware of PrEP (PA6a EQ 1) & did not report HIV-positive (HT2 NE 1 & HT4c NE 2), go to PA6b.

If R aware of PrEP (PA6a EQ 1) & reported HIV-positive (HT2 EQ 1 or HT4c EQ 2), go to Check_INTRO_PA7a.

Else, go to Check_PA8a.



PA6b.

In the past 12 months, have you had any discussion with a health care provider about using PrEP?

PRPDSCR7

PrEP, discussed with HCP, 12m



No

0



Yes

1



Don't Know

9



Refuse to Answer

7






PA6c.

In the past 12 months, have you used PrEP to reduce the risk of getting HIV?

PRPUS12R7

PrEP use, 12m (y/n)



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_PA6d.

If R reported using PrEP, 12m (PA6c EQ 1) & MSM cycle (CYCLE EQ 1), go to PA6d (PrEP on-demand).

If R reported using PrEP, 12m (PA6c EQ 1) & IDU or HET cycle (CYCLE EQ 2 or 3), go to PA6e.1 (when last used PrEP).

If R did not report using PrEP, 12m, (PA6c EQ 0) go to Check_INTRO_PA7a (Ever used PrEP).

Else, go to Check_PA8a.



Notes_PrEPUse12m.

See Measure References.


PA6d.

On-demand PrEP, also known as PrEP 2-1-1, is taking 2 pills a few hours before sex, 1 pill the next day, and 1 pill the day after that.


In the past 12 months, have you taken on-demand PrEP at any time?

PRPDMND

On-demand PrEP Use, 12m



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




PA6e.1.

When was the last time you used PrEP? That is, how many days, weeks, or months ago did you last use PrEP?



[INTERVIEWER: If today, enter "0".]

PRPLDNR7

Time since last PrEP, number



__ __ __




Range

0 - 365



Don't Know

999



Refuse to Answer

777






Check_PA6e.2.

If R last took PrEP at least 1 day ago (PA6e.1. GE 1), go to PA6e.2.

Else, go to CALC_PRP30D.



PA6e.2.

[INTERVIEWER: Was this days, weeks, or months?]

PRPLDU

Time since last PrEP, unit



Days

0



Weeks

1



Months

2




CALC_PRP30D.



PRP30D

Took PrEP in past 30 days

PRP30D = if (PRPLDNR7=DK or PRPLDNR7=REF), ., if((PRPLDNR7=0), 1, if((PRPLDU=0 & PRPLDNR7<=31), 1, if((PRPLDU=1 & PRPLDNR7<=5 ), 1, if((PRPLDU=2 & PRPLDNR7<= 1), 1, 0)))))


PrEP, Drug Last Used


PA6f.

[Give Respondent Flashcard BB.]

Which PrEP drug did you use the last time you used PrEP?



[READ choices.]

PRPDRG

PrEP, Drug last used



Truvada, either brand or generic

10



Descovy

20



Injectable Cabotegravir

30



Dapivirine vaginal ring

40



Other

50



Don't Know

99



Refuse to Answer

77




Check_INTRO_PA6j.

If R last took PrEP in past 30 days or 5 weeks or 1 month (PRP30D EQ 1) & R last took Truvada or Descovy (PRPDRG EQ 10 or 20), go to INTRO_PA6j.

Else, go to Check_PA8a.


PrEP Adherence


Notes_PrEPAdherence.

See Measure References.



INTRO_PA6j.

DISPLAY: "A lot of people don’t take medications exactly as they are supposed to, at least some of the time. We’d like to know about your experiences with PrEP.”


PA6j.

In the past 30 days, on how many days did you miss a dose of your PrEP medicine?

PRPDM30

PrEP adherence, Days missed, 30 d



__ __ __




Range

0 - 30



Don't Know

99



Refuse to Answer

77




PrEP use, Ever


Universe_PrEP use, Ever.

Rs who are R aware of PrEP & who 1ST diagnosed after 2010 or did not use PrEP 12m.



Check_INTRO_PA7a.

If R is aware of PrEP (PA6a EQ 1) & ((reported HIV-positive (HT2 EQ 1 or HT4c EQ 2) & 1st diagnosed after 2010 (POS1STY>2010)), or did not use PrEP 12m (PA6c EQ 0)), go to INTRO_PA7a (Intro to PrEP use ever).

Else, go to Check_PA8a (Check before non-SRP R’s PrEP use at last sex).



INTRO_PA7a.

DISPLAY: "Now I’ll ask a few more questions about using PrEP.”



PA7a.

[If R is HIV-positive (HT2 EQ 1 or HT4c EQ 2), fill with “Before you first tested positive for HIV, had”, else fill with “Have”] you ever used PrEP to reduce the risk of getting HIV?

PRPEVRR7

PrEP use, ever



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_PA7b.1

If R ever used PrEP, (PA7a EQ 1), go to PA7b.1.

Else, go to Check_PA8a.




PA7b.1.

Think about the first time you used PrEP. How many years ago was that?

PRP1STR7

Time since 1st PrEP use



__ __ __




Range

0 - 30



Don't Know

99



Refuse to Answer

77



Check_PA7b.2.

If R last took PrEP at least 1 month ago (PA7b.1.GE 1), go to PA7b.2.

Else, go to Check_PA8b.



PA7b.2.

[INTERVIEWER: Was this months or years?]

PRP1STU

Time since first PrEP, unit



Months

0



Years

1




CALC_PRP1STYR.



PRP1STYR

Number of years ago took PrEP

PRP1STYR = if (PRP1STR7=DK or PRP1STR7=REF), ., if(( PRP1STR7=0), 0, if(( PRP1STR7 LE 11 & PRP1STU EQ 0), 0, if((PRP1STR7 GE 1 & PRP1STU=1),PRP1STYR=PRP1STR7, .)))))



CALC_2010YR



2010YR

Years since 2010

2010YR = QYR - 2010



HardEdit_PA7b.2.

If first took PrEP before 2011 (PRP1STYR GT 2010YR), DISPLAY: INTERVIEWER: PrEP was not available before 2011. Clarify whether R ever used PrEP and if so, how long ago they first used it. If R did not use PrEP, go back and re-enter response to PA7a. Then, go back to PA7a.


PrEP use, Last sex


Check_PA8a.

If R did not self report being HIV-positive (HT2 NE 1 & HT4c NE 2) & used PrEP, 12m (PA6c EQ 1), & had sex 12m (M_FHET EQ 1 or F_MHET EQ 1 or (M_MSX12 GE 1 & M_MSX12 LE 7000) or (TM_PS12M GE 1 & TM_PS12M LE 7000)) go to INTRO_PA8a.

Else, go to Check_PA8b.


INTRO_PA8a.

DISPLAY: “Earlier, I asked some questions about the last time you had sex. Now I’d like to ask a few more questions about that time.”



PA8a.

Were you using PrEP the last time you had sex?

PRPRLSX

PrEP use at last sex, respondent (y/n)



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




Check_PA8b.

If last sex partner HIV-negative (SX36b EQ 1 or SX68b EQ 1), go to INTRO_PA8b.

Else, go to CALC_ENDPA.



INTRO_PA8b.

Earlier, you said that the last time you had [if R is cisgender woman (ES8a EQ 2 & ES8b EQ 2), fill with “sex with a man, he was HIV-negative.”, else fill with “sex, your partner was HIV-negative.”]



PA8b.

The last time you had sex with this partner, were they taking PrEP, NOT taking PrEP, or you didn’t know?

PRPPLSX

PrEP use at last sex, HIV-neg partner



Partner was taking PrEP

1



Partner was NOT taking PrEP

2



Didn’t know

3



Refuse to Answer

7






CALC_ENDPA.



ENDPA

Time prevention activities section ended

ENDPA = Current time


END_PA.

Go to Justice System Experiences Section (JS).





NHBS ROUND 7 QUESTIONNAIRE

JUSTICE SYSTEM EXPERIENCES (JS)

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

Section

Question #

Variable name

Variable label



Universe_JS.

All Eligible Rs who consented to interview and completed prior section.



CALC_BEGJS.



BEGJS

Time at beginning of JS section

BEGJS = Current time



INTRO_JS1.

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



JS1.

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_JS1a.

If R ever arrested (JS1 EQ 1), go to JS1a.

Else, go to CALC_ENDJS.



JS1a.

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


CALC_ENDJS.



ENDJS

Time justice system experiences section ended

ENDJS = Current time



END_JS.

Go to Violence Section (VE).











NHBS ROUND 7 QUESTIONNAIRE

VIOLENCE (VE)

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

Section

Question #

Variable name

Variable label



Universe_VE.

All Eligible Rs who consented to interview and completed prior section.



CALC_BEGVE.



BEGVE

Time at beginning of VE section

BEGVE = Current time


Notes_Violence.

See Measure References.


Violence, Physical


INTRO_VE1.

DISPLAY: “Next, I would like to ask you about some difficult situations that may have happened to you."



VE1.

In the past 12 months, that is, since [fill with interview month, formatted as text] of last year, has anyone slapped, punched, shoved, kicked, shaken or otherwise physically hurt you?

PHVIO12M

Physical violence, 12 mo



No

0



Yes

1



Don't Know

9



Refuse to Answer

7



Violence, Sexual


VE2.

In the past 12 months, has anyone forced or pressured you to have vaginal, oral, or anal sex when you did not want to?

SXVIO12M

Sexual violence, 12 mo



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




CALC_ENDVE.



ENDVE

Time violence section ended

ENDVE = Current time



END_VE.

If QYR EQ 2023, insert items in Appendix C.

Else, go to End of Survey Section (END).



NHBS ROUND 7 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

VE2

SXVIO12M

Sexual violence, 12 mo

Preset Variables

--

CYCLE

NHBS Cycle

Preset Variables

--

LANGUAGE

Language

Eligibility Screener

ES8b

GNDRR7

Gender

Consent

CN1

CONSENTA

Consent to survey

Consent

CN2

CONSENTB

Consent to HIV testing

Interviewer Entered Information

IE10

ISEED

Respondent is a seed

Injection Drug Use

ID1

EVRINJ

Ever Injected drugs

Eligibility Screener

--

EL_MSM

Eligible: MSM cycle

Eligibility Screener

--

EL_IDU

Eligible: IDU cycle

Eligibility Screener

--

EL_HET

Eligible: HET cycle



UNIVERSE_END.

All Rs.


Check_END1.

If R NOT eligible for cycle (CYCLE EQ 1 & EL_MSM EQ 0) or (CYCLE EQ 2 & EL_IDU EQ 0) or (CYCLE EQ 3 & EL_HET EQ 0), go to INTRO_END6a.

If last question asked of all Rs EQ DK or REF ((QYR EQ 2023 & MP2 EQ DK or REF) or (QYR NE 2023 & VE2 EQ DK or REF)), 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(SXVIO12M=0 or SXVIO12M=1, 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.



Consent, Post-Interview

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 some of your test sample(s) for future testing?

CNSTSTG2R6

Revised Consent to Specimen Storage



No

0



Yes

1




Interviewer Assessment – Post-Interview



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 Check_CALC_RDS Recruiter Variables.



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}





Check_CALC_RDSRecruiterVariables.

If IDU cycle (CYCLE EQ 2), go to CALC_IDU_RCTRR6.

If HET cycle (CYCLE EQ 3), go to CALC_HHINLOR6.

Else, go to Check_END6a.



RDS Recruiter Variables



IDU Recruiter

CALC_IDU_RCTRR6.



IDU_RCTRR6

Eligible: IDU RDS Recruiter

If data are valid (VALIDITY EQ 1 or 2) & complete (COMPLETE EQ 1), R selected to receive coupons (IDU_RCTRR6=1). Else, R is NOT to receive coupons (IDU_RCTRR6 EQ=0).



CALC_IDU_RCTR_DCC.



IDU_RCTR_DCC

IDU Recruiter for DCC Portal

IDU_RCTR_DCC = IDU_RCTRR6



Check_CALC_HET_RCTR.

Go to INFO_RCTR.



HET Definition

CALC_HHINLOR6



HHINLOR6

Income range reported, min.

If HHINCR6=0 , HHINLOR6=0;

If HHINCR6=1 , HHINLOR6=5000;

If HHINCR6=2 , HHINLOR6=10000;

If HHINCR6=3 , HHINLOR6=12500;

If HHINCR6=4 , HHINLOR6=15000;

If HHINCR6=5 ,HHINLOR6=20000;

If HHINCR6=6 , HHINLOR6=25000;

If HHINCR6=7 , HHINLOR6=30000;

If HHINCR6=8 , HHINLOR6=35000;

If HHINCR6=9 , HHINLOR6=40000;

If HHINCR6=10 , HHINLOR6=50000;

If HHINCR6=11 , HHINLOR6=60000;

If HHINCR6=12 , HHINLOR6=75000;

If HHINCR6=13 , HHINLOR6=100000;

If HHINCR6=(DK or REF) , HHINLOR6= .;


CALC_HHINHIR6



HHINHIR6

Income range reported, max.

If HHINCR6=0 , HHINHIR6=4999;

If HHINCR6=1 , HHINHIR6=9999;

If HHINCR6=2 , HHINHIR6=12499;

If HHINCR6=3 , HHINHIR6=14999;

If HHINCR6=4 , HHINHIR6=19999;

If HHINCR6=5 , HHINHIR6=24999;

If HHINCR6=6 , HHINHIR6=29999;

If HHINCR6=7 , HHINHIR6=34999;

If HHINCR6=8 , HHINHIR6=39999;

If HHINCR6=9 , HHINHIR6=49999;

If HHINCR6=10 , HHINHIR6=59999;

If HHINCR6=11 ,HHINHIR6=74999;

If HHINCR6=12 , HHINHIR6= 99999;

If HHINCR6=13 , HHINHIR6= .;

If HHINCR6= (DK or REF) , HHINHIR6= .;


CALC_HHSGL18



HHSGL18

DHHS Poverty Guidelines, 2018

If HET5 (2019):

If DEPENDR6= SK , HHSGL18= .;

If DEPENDR6= (DK, REF, or 1) , HHSGL18= 12140 ;

If DEPENDR6=2 , HHSGL18= 16460 ;

If DEPENDR6=3 , HHSGL18= 20780 ;

If DEPENDR6=4 , HHSGL18= 25100 ;

If DEPENDR6=5 , HHSGL18= 29420 ;

If DEPENDR6=6 , HHSGL18= 33740 ;

If DEPENDR6=7 , HHSGL18= 38060 ;

If DEPENDR6=8 , HHSGL18= 42380 ;

If DEPENDR6=9 , HHSGL18= 46700 ;

If DEPENDR6=10 , HHSGL18= 51020 ;

If DEPENDR6=11 , HHSGL18= 55340 ;

If DEPENDR6=12 , HHSGL18= 59660 ;

If DEPENDR6=13 , HHSGL18= 63980 ;

If DEPENDR6=14 , HHSGL18= 68300 ;

If DEPENDR6=15 , HHSGL18= 72620 ;

If DEPENDR6=16 , HHSGL18= 76940 ;

If DEPENDR6=17 , HHSGL18= 81260 ;

If DEPENDR6=18 , HHSGL18= 85580 ;

If DEPENDR6=19 , HHSGL18= 89900 ;

If DEPENDR6=20 , HHSGL18= 94220 ;


Notes:



Variable name, label, calculation, and reference are updated when new DHHS poverty guidelines applicable to the next HET cycle are released.


Reference:



TBD


CALC_HHS150I8



HHS15018

150% HHS Guideline for # dependents, 2018

If HET5 (2019), HHS15018= HHSGL18*1.50 ;

Else, HHS15018 = . ;


Notes:



Variable name, label, & calculation are updated when new DHHS poverty guidelines applicable to the next HET cycle are released.


CALC_LIMLT18



LIMLT18

MSA Low income multiplier, 2018

If HET5 (2019):

If Memphis or San Juan (CITY= 12 or 23), LIMLT18= 1.0.


If Atlanta, Chicago, Dallas, Detroit, Houston, New Orleans, Norfolk, or Portland (CITY= 1, 4, 5, 7, 9, 15, 17, or 19), LIMLT18= 1.1.


If Baltimore, Denver, Miami, Philadelphia, or Seattle (CITY= 2, 6, 11, 18, or 24), LIMLT18= 1.2.


If Boston, Nassau, Newark, or New York City (CITY= 3, 13, 14, or 16), LIMLT18= 1.3.


If Los Angeles, San Diego, or Washington DC (CITY=10, 21, or 25), LIMLT18= 1.4.


If San Francisco (CITY=22) LIMLT18= 1.5.




Notes:


Weight to adjust for geographic differences in cost of living. Calculated as the ratio of the Metropolitan Statistical Area Supplemental Poverty Measure threshold for 2-adult 2-children families (renters) to the Official Poverty Measure threshold for 2 adult 2 children families.


Variable name, label, calculation, and references are updated when new Census poverty thresholds applicable to the next HET cycle are released.


References:


TBD.


CALC_LITH18



LITH18

Low income threshold, 2018

If HET5 (2019), LITH18= HHS15018*LIMLT18 ;

Else, LITH18 = . ;


CALC_LOWINC18



LOWINC18

Low income status, 2018

If HET5 (2019):

If HHINCR6 in(DK, REF, or SK), LOWINC18=. ;

Else if 0 LE HHINLOR6 LE LITH18 LE HHINHIR6, LOWINC18 = 1 ;

Else if 0 LT HHINHIR6 LE LITH18, LOWINC18 = 1 ;

Else if HHINLOR6 GT LITH18 GT 0, LOWINC18 = 0 ;

Else, LOWINC18 = . ;

If data collection year NE 2019, LOWINC18 = . ;


CALC_LOWINC_DCC



LOWINC_DCC

Low income status

LOWINC_DCC = LOWINC18


CALC_HETDEFR5.



HETDEFR5

Met HET definition

If R has a low income (LOWINC18=1) & is male or female (GNDRR7=1 or GNDRR7=2) & did not inject in past 12m (LINJ12=0 OR EVRINJ=0) & did not have male-male sex in past 12m ((GNDRR7=2) or (M_MEVER=0 or M_MSX12=0)) & had an opposite sex partner in past 12m (M_FHET=1 or F_MHET=1), R meets the HET definition (HETDEFR5=1). Else, R does not meet the HET definition (HETDEFR5=0).


CALC_HETDEF_DCC



HETDEF_DCC

HET Definition for DCC portal

HETDEF_DCC = HETDEFR5


HET Recruiter


CALC_HET_RCTRR5.



HET_RCTRR5

Eligible: HET RDS Recruiter

If R is NOT a seed: (ISEED EQ 0):

If data are valid (VALIDITY=1 OR VALIDITY=2) & complete (COMPLETE=1) and R met the HET definition (HETDEFR5=1), R selected to receive coupons (HET_RCTRR5=1). Else, R is not to receive coupons (HET_RCTRR5=0).


If R IS a seed: (ISEED EQ 1):

If R has never injected (EVRINJ=0) & never had male-male sex ((GNDRR7=2) or (M_MEVER=0)) & data are valid (VALIDITY=1 OR VALIDITY=2) & complete (COMPLETE=1) and R met the HET definition (HETDEFR5=1), R selected to receive coupons (HET_RCTRR5=1). Else, R is not to receive coupons (HET_RCTRR5=0).



CALC_HET_RCTR_DCC



HET_RCTR_DCC

HET Recruiter for DCC portal

HET_RCTR_DCC = HET_RCTRR5



Recruiter Selection Messages

INFO_RCTR.

If RDS cycle & R IS eligible to recruit (CYCLE EQ 1 & MSM_RCTRR6 EQ 1), (CYCLE EQ 2 & IDU_RCTRR6 EQ 1), or (CYCLE EQ 3 & HET_RCTRR5 EQ 1), DISPLAY: "The computer SELECTED this respondent to recruit others and receive coupons."


If RDS cycle & R NOT eligible to recruit (CYCLE EQ 1 & MSM_RCTRR6 EQ 0), (CYCLE EQ 2 & IDU_RCTRR6 EQ 0) or (CYCLE EQ 3 & HET_RCTRR5 EQ 0), DISPLAY: "The computer did NOT select this respondent to recruit others and receive coupons."



Check_INTRO_END6a.

Go to Check_END6a.



INTRO_END6a.

DISPLAY: “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."



Check_END6a.

If MSM or IDU cycle (CYCLE EQ 1 or CYCLE EQ 2) and interview conducted remotely, (IE4a EQ 1) go to END6a.

Else, go to Check_END9.

Interview Mode, Evaluation

END6a.

INTERVIEWER: Did you use a videoconference app to administer this interview?

INTVIDR6

Used videoconference app for interview



No

0



Yes

1




Check_END6b.

If interview conducted by videoconference app (END6a EQ 1) go to END6b.

Else, go to END7.



END6b.

INTERVIEWER: During this interview, for about how much of the time were you able to see the participant?

VIDEOSEE

Able to see participant during interview



All of the time

3



Most of the time

2



Some of the time

1



None of the time

0



END6c.

INTERVIEWER: During this interview, did you share your screen with the participant for them to view the flashcards?

FLASHSEE

Used screen share for flashcards



No

0



Yes

1




END7.

INTERVIEWER: Did you experience any technical difficulties during this interview?

TECHDIFF

Technical difficulties



No

0



Yes

1




Check_END8.

If experienced technical difficulties during the interview (END7 EQ 1), go to END8.

Else, go to Check_END9.



END8.

Specify technical difficulties experienced

SPECTECH

Technical difficulties text


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

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

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



{text response; max length = 1000 characters}



Check_END9.

If R did not consent to interview (CN1 EQ 0), go to END12.

Else, go to END9.



Interviewer Comments

END9.

INTERVIEWER: Do you have any comments to add?

INTCOMM

Interviewer Comments



No

0



Yes

1




Check_END10.

If interviewer has comments (END9 EQ 1), go to END10.

Else, go to CALC_END.



END10.

Enter interviewer comments

INTTXT

Interviewer comments text


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

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

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



{text response; max length = 1000 characters}



Check_CALC_END.

If R did not consent to interview (CN1 EQ 0), go to END12.

Else, go to CALC_END.



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_END11.

If MSM cycle & R not eligible (CYCLE EQ 1 & EL_MSM EQ 0), go to END12.

If IDU cycle & R not eligible (CYCLE EQ 2 & EL_IDU EQ 0), go to END12.

If HET cycle & R not eligible (CYCLE EQ 3 & EL_HET EQ 0), go to END12.

Else, go to END11.



END11.

INTERVIEWER: Do you want to proceed to the local survey?

LOCSURV

Proceed to local survey



No

0



Yes

1




Check_END12.

If Interviewer wants to proceed to local survey & English interview (END11 EQ 1 & LANGUAGE EQ 1), open ENGLISH LOCAL FILE.

If Interviewer wants to proceed to local survey & Spanish interview (END11 EQ 1 & LANGUAGE EQ 2), open SPANISH LOCAL FILE.

Else, go to END12.



END12.

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 (END12 EQ 0), go back to END9.

Else, end interview.


NHBS ROUND 7 QUESTIONNAIRE

APPENDIX A - FLASHCARDS

Flashcard A




FLASHCARD A



  • American Indian or Alaska Native


  • Asian


  • Black or African American


  • Native Hawaiian or Other Pacific Islander


  • White
























Flashcard B




FLASHCARD B


  • Speedball, which is heroin and cocaine together


  • Heroin, by itself


  • Powder cocaine, by itself


  • Crack cocaine, by itself


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


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


  • Something else






















Flashcard C




FLASHCARD C


  • A relative or family member


  • A person you have sex with


  • A person you use drugs with ­or buy drugs from


  • 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




FLASHCARD D


  • 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 E



FLASHCARD E



MONTHLY Income OR YEARLY Income

A. $0 to $416 or A. $0 to $4,999

B. $417 to $833 or B. $5,000 to $9,999

C. $834 to $1,041 or C. $10,000 to $12,499

D. $1,042 to $1,249 or D. $12,500 to $14,999

E. $1,250 to $1,666 or E. $15,000 to $19,999

F. $1,667 to $2,083 or F. $20,000 to $24,999

G. $2,084 to $2,499 or G. $25,000 to $29,999

H. $2,500 to $2,916 or H. $30,000 to $34,999

I. $2,917 to $3,333 or I. $35,000 to $39,999

J. $3,334 to $4,166 or J. $40,000 to $49,999

K. $4,167 to $4,999 or K. $50,000 to $59,999

L. $5,000 to $6,249 or L. $60,000 to $74,999

M. $6,250 to $8,332 or M. $75,000 to $99,999

N. $8,333 or more or N. $100,000 or more





Flashcard F


FLASHCARD F


  • 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 G




FLASHCARD G


  • Strongly agree


  • Agree


  • Neither agree nor disagree


  • Disagree


  • Strongly disagree

Flashcard H




FLASHCARD H


  • More than once a day


  • Once a day


  • More than once a week


  • Once a week or less


  • Never





Flashcard I


FLASHCARD I


Definition of "Having Sex"



Oral, vaginal, or anal sex.


  • Oral sex means mouth on the vagina or penis


  • Vaginal sex means penis in the vagina


  • Anal sex means penis in the anus or butt












Flashcard J


FLASHCARD J


Female Sex Partners


Main partner:

A woman you have sex with and who you feel committed to above anyone else. This is a partner you would call your girlfriend, wife, significant other, or life partner.



Casual partner:

A woman you have sex with but do not feel committed to or don't know very well.








Flashcard K




FLASHCARD K


Definition of "Having Sex"



Oral or anal sex.


  • Oral sex means mouth on the penis


  • Anal sex means penis in the anus or butt






Flashcard L




FLASHCARD L


Male Sex Partners


Main partner:

A man you have sex with and who you feel committed to above anyone else. This is a partner you would call your boyfriend, husband, significant other, or life partner.



Casual partner:

A man you have sex with but do not feel committed to or don't know very well.









Flashcard M


FLASHCARD M


  • American Indian or Alaska Native


  • Asian


  • Black or African American


  • Hispanic or Latino


  • Native Hawaiian or Other Pacific Islander


  • White





Flashcard N


FLASHCARD N



Main sex partner:

Someone you feel committed to above anyone else.



Casual sex partner:

Someone you do not feel committed to or don't know very well.





Flashcard O




FLASHCARD O



  • Definitely did not


  • Probably did not


  • Probably did


  • Definitely did











Flashcard Q

FLASHCARD Q

1 Regular Beer

1 Glass of Wine

1 Shot of Liquor



(Whisky, Vodka, Gin, etc.)

12 oz

5 oz.

1.5 oz.






Flashcard S


FLASHCARD S




  • Put it in a medical sharps container


  • Threw it away


  • Kept it


  • Gave it or sold it to someone else


  • Took it to a needle or syringe exchange program



  • Did something else with it











Flashcard T




FLASHCARD T




  • Never


  • Rarely


  • About half the time


  • Most of the time


  • Always












Flashcard W


FLASHCARD W




  • Doctor’s office, clinic, or health center


  • Hospital


  • Jail, prison, or detention center


  • Drug or alcohol treatment program


  • Needle or syringe exchange program


  • Other HIV/AIDS-focused organization


  • Some other place























Flashcard X




FLASHCARD X



  • 6 months ago or less


  • More than 6 months, but less than 1 year ago


  • At least one year but less than 5 years ago


  • At least 5 years but less than 10 years ago


  • 10 years ago or more












Flashcard Y




FLASHCARD Y



  • All of the time


  • Most of the time


  • Some of the time


  • A little of the time


  • None of the time

















Flashcard Z




FLASHCARD Z



  • HIV/AIDS-focused organization


  • Gay, lesbian, bisexual, transgender, or queer organization


  • Needle or syringe exchange program


  • IDU outreach program


  • Doctor's office, health center, clinic or hospital



  • Drug or alcohol treatment center



  • Bar, club, bookstore, or other business



  • Other community organization



  • Some other place









Flashcard AA




FLASHCARD AA


  • Needle or syringe exchange program

  • Someone who got them from a needle exchange

  • Pharmacy or other store

  • Doctor’s office, clinic, or hospital

  • Some other place





Flashcard BB


FLASHCARD BB


  • Truvada, either brand or generic

  • Descovy

  • Injectable Cabotegravir

  • Dapivirine vaginal ring

  • Other







NHBS Round 7 QUESTIONNAIRE

APPENDIX B - MEASURE REFERENCES

NHBS Round 7 CRQ Measure References

The table below describes measures in the CRQ that were adopted or adapted from sources external to the CDC's Division of HIV Prevention. CRQ measures that were adapted from the original source are listed as “Adapted from;” other CRQ measures listed were adopted as described in the reference listed. Measures not listed were developed for NHBS by the Behavioral Surveillance Team and other subject matter experts. All measures below are based on respondent self-report.


Topic

Measure

Variable(s)

Source and citation

Participant Demographic Characteristics

Gender

Gender

GNDRR7

Adapted from:

Bauer GR, Braimoh J, Scheim AI, Dharma C. Transgender-inclusive measures of sex/gender for population surveys: Mixed-methods evaluation and recommendations. PLoS ONE 2017; 12(5): e0178043. https://doi.org/10.1371/journal.pone.0178043

Ethnicity

Ethnicity, 2011 DHHS data standard

HISPANIC; HSPTYPA; HSPTYPB; HSPTYPC; HSPTYPD; HSPTYPE

Office of Minority Health. Data Collection Standards for Race, Ethnicity, Sex, Primary Language, and Disability Status. US Department of Health and Human Services website. https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=2&lvlid=23 . Accessed October 27, 2022.

English proficiency

English proficiency, 2011 DHHS data standard

ENGPFCY

Office of Minority Health. Data Collection Standards for Race, Ethnicity, Sex, Primary Language, and Disability Status. US Department of Health and Human Services website. https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=2&lvlid=23. Accessed October 27, 2022.

Spanish proficiency

Spanish proficiency

SPNPFCY

Adapted from the 2011 DHHS data standard for English proficiency.

Office of Minority Health. Data Collection Standards for Race, Ethnicity, Sex, Primary Language, and Disability Status. US Department of Health and Human Services website. https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=2&lvlid=23. Accessed October 27, 2022.

Language spoken

Language, 2011 DHHS data standard

SPKOTLN

Office of Minority Health. Data Collection Standards for Race, Ethnicity, Sex, Primary Language, and Disability Status. US Department of Health and Human Services website. https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=2&lvlid=23. Accessed October 27, 2022.

General Health Care

General health care access

Usual source of care

SRCCAREA; SRCCAREB; SRCLOC

Adapted from:
Centers for Disease Control and Prevention (CDC). National Center for Health Statistics (NCHS). National Health and Nutrition Examination Survey Questionnaire. Hyattsville, MD: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2007-2008. Available at: https://www.cdc.gov/Nchs/Nhanes/index.htm. Accessed October 27, 2022.

General health care utilization

Unmet need for health care, 12m

HCAFF

Adapted from:
Centers for Disease Control and Prevention (CDC). National Center for Health Statistics (NCHS). National Health Interview Survey Sample Adult Questionnaire. Hyattsville, MD: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 2008. Available at: https://www.cdc.gov/nchs/nhis/data-questionnaires-documentation.htm . Accessed October 27, 2022.

Sexual Behavior

Partner ART use

Partner ART use, last sex

LPARTDS; LPONART

Adapted from measure in the Element study baseline instrument. PIs: Patrick Sullivan (pssulli@emory.edu) and Eli Rosenberg (erosenberg2@albany.edu). NIH grant # 1R01DA038196.

Alcohol Use

Current alcohol use

Had 1+ alcoholic drinks, 30d

ALC30D

Adapted from:
Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Questionnaire. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, [2013]. Available at: https://www.cdc.gov/brfss/questionnaires/index.htm . Accessed October 27, 2022.

Alcohol use intensity

Maximum # drinks, 30d

ALCLG30D

Adapted from:
Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Questionnaire. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, [2013]. Available at: https://www.cdc.gov/brfss/questionnaires/index.htm . Accessed October 27, 2022.

Injection Drug Use

Disposal of used needles

Disposal of used needles

NDLEDSPA; NDLEDSPB; NDLEDSPC; NDLEDSPD; NDLEDSPE; NDLEDSPF

Adapted from:
Tookes HE, Kral AH, Wenger LD, et al. A comparison of syringe disposal practices among injection drug users in a city with versus a city without needle and syringe programs. Drug Alcohol Depend 2012; 123(1-3):255-9.
and
Coffin PO, Latka MH, Latkin C, et al;, INSPIRE Study Group. Safe syringe disposal is related to safe syringe access among HIV-positive injection drug users. AIDS Behav 2007; 11(5):652-62.

Injection equipment sharing, frequency

Syringe sharing, relative frequency, 12m, distributive

GIVENDLE

Adapted from New York City local NHBS survey items.

Contact information for local NHBS surveys available at: http://www.cdc.gov/hiv/statistics/systems/nhbs/contacts.html.

HIV Testing and Care

Linkage to HIV care

Referred to HIV care within 30 days of first positive HIV test

TLDCARE

Adapted from:
Centers for Disease Control and Prevention (CDC). Case-Surveillance-Based-Sampling Questionnaire for the Medical Monitoring Project. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, [2012-2013].

Other Health Conditions

Disability

Disability status, 2011 DHHS data standard

DISDEAF; DISBLND; DISCOGN; DISWALK; DISCARE; DISERND

Office of Minority Health. Data Collection Standards for Race, Ethnicity, Sex, Primary Language, and Disability Status. US Department of Health and Human Services website. https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=2&lvlid=23 . Accessed October 27, 2022.

STD Diagnosis

Genital herpes diagnosis, ever; Genital warts diagnosis, ever

EVRHERP; EVRGWAR

Adapted from:
Centers for Disease Control and Prevention (CDC). National Center for Health Statistics (NCHS). National Health and Nutrition Examination Survey Questionnaire. Hyattsville, MD: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, 20137-2014. Available at: https://www.cdc.gov/Nchs/Nhanes/index.htm. Accessed October 27, 2022.

Psychological distress

Kessler 6 (K-6) scale

FEELNERV; FEELHOPE; FEELREST; FEELSAD; FEELEFRT; FEELDOWN

Kessler RC, Barker, PR., Colpe LJ, et al. Screening for serious mental illness in the general population. Arch Gen Psychiatry 2003; 60: 184-189.

Prevention Activities

PrEP and PEP

PrEP adherence, Days missed, 30d

PRPDM30

1 of 3 questions in Wilson's medication adherence scale:
Wilson IB, Lee Y, Michaud J, Fowler FJ, Rogers WH. Validation of a new three-item self-report measure for medication adherence. AIDS Behav 2016; 20(11):2700-2708.

PrEP and PEP

PrEP use, on-demand, 12m

PRPDMND

Adapted from:

Measure in the Element study baseline instrument. PIs: Patrick Sullivan (pssulli@emory.edu) and Eli Rosenberg (erosenberg2@albany.edu). NIH grant # 1R01DA038196

and

New York City local NHBS-Trans survey item. Contact information for local NHBS surveys available at: http://www.cdc.gov/hiv/statistics/systems/nhbs/contacts.html.

Other Topics

Discrimination due to sexual identity

MSM Discrimination

DISC_VER; DISC_SVC; DISC_WRK; DISC_HC; DISC_ATT

Adapted from:
Williams D, Yu Y, Jackson JS, Anderson NB. Racial differences in physical and mental health: Socio-economic status, stress and discrimination. J Health Psychol 1997; 2(3): 335-351.

and

Huebner DM, Rebchook GM, Kegeles SM. Experiences of harassment, discrimination, and physical violence among young gay and bisexual men. Am J Public Health. 2004;94:1200–1203.

Violence

Physically assaulted, 12m; Sexually assaulted, 12m

PHVIO12M; SXVIO12M

Adapted from:
Centers for Disease Control and Prevention (CDC). National Intimate Partner and Sexual Violence Survey (NIPSVS) Questionnaire. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, [2012].





NHBS ROUND 7 QUESTIONNAIRE

APPENDIX C - MONKEYPOX (MP)

Notes_MP.

MP items are included in MSM2023 only.



Universe_MP.

MSM2023 eligible Rs who consented to interview and completed prior section.



CALC_BEGMP.



BEGMP

Time at beginning of MP items

BEGMP = Current time



Monkeypox



INTRO_MP.

“The next questions are about monkeypox, also known as mpox.”



MP1.

Has a doctor or other health care provider ever told you that you had monkeypox?

MP_DXEV

Monkeypox diagnosis, ever



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




MP2.

Have you ever had any doses of a vaccine to prevent monkeypox?

MP_VCEV

Monkeypox vaccine, ever



No

0



Yes

1



Don't Know

9



Refuse to Answer

7




CALC_ENDMP.



ENDMP

Time MP items ended

ENDMP = Current time

END_MP.

Go to End of Survey Section (END).




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