NIMH Multisite HIV Risk Prevention Assessment (NIMH)
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Fishbein, M. & Coutinho, R. (Eds.). (1997). NIMH Multisite HIV Prevention Trial [supplement]. AIDS, 11, s2.
Open response
SECTION D
Now I'd like to talk with you about your recent sex life--things like who your partners were, and what you did with them. We'll be talking about some really personal things but remember: everything you tell me is confidential, and there are no right or wrong answers.
Before we get into the specifics, let's briefly go over the definitions of some terms that I'm going to be using, so that we're sure that we're using them in the same way. This may be helpful to you in answering the questions that I will be asking.
When I say: I mean:
Vaginal Sex: When a male inserts his penis into a female's vagina.
Receptive Anal Sex: When a male puts his penis into your anus or butt.
Receptive oral sex: When a male puts his penis into your mouth.
[For men only]
Insertive Anal Sex: When you put your penis into the anus or butt of your partner.
OK. Do you have any questions? Remember, if at any time you are unsure about any of the terms that I use, please ask me about it. Are you ready?
D1. First, how old were you the first time you had vaginal or anal sex?
__________ Age
Now I'd like you to take a moment to think back about your sex life during the past 90 days [SHOW 90-DAY CALENDAR]—that is, since [date]. I'm going to ask you some questions about the sex you have had during that period.
D2. Did you have vaginal, anal or oral sex with anyone during the past 90 days?
1. No
2. Yes (SKIP to D3)
D2a. [IF NO: So you did not have vaginal, anal, oral sex between (DATE) and today?]
1. No, I had no sex (SKIP TO SECTION G)
2. Yes, I did have sex
D3. How many people have you had vaginal or anal sex with in the last 90 days, that is since [date]?
__________ Number of People
D3b. How many of these partners were male, and how many female?
a. Number of Males __________
b. Number of Females _________
D3c. On how many days did you have vaginal or anal sex in the last 90 days?
_________ Number of days
D3d. On how many days did you use a condom when you had vaginal or anal sex?
____________ Number of days condoms were used.
D3e. In the last 90 days, how often did you use condoms when you had vaginal or anal sex?
a. All of the time
b. Most of the time (more than half the time)
c. Some of the time (about half the time)
d. Rarely (less than half time)
e. Never
D3f. During the past 90 days, did you have receptive oral sex?
1. No (SKIP TO D4)
2. Yes
D3g. How often does your partner use a condom when you have receptive oral sex?
a. All of the time (SKIP TO D4)
b. Most of the time (more than half the time)
c. Some of the time (about half the time)
d. rarely (less than half the time)
e. never
D3h. How often does your partner(s) ejaculate (cum) in your mouth when you have receptive oral sex?
a. All of the time
b. Most of the time (more than half the time)
c. Some of the time (about half the time)
d. rarely (less than half the time)
e. never
D4. Now I'd like to make a list of the people you've had sex with in the past 90 days, lets start with the person you had sex with most recently. Please use their first names, initials, or just make up a name, so that I will know how to refer to them.
Partner 1:
_________________
Partner 2:
_________________
Partner 3:
_________________
D5. Now I'm going to ask you some questions about this/these [number of partners listed] partner(s).
Let's start with [name of first partner listed].
D5a. Is [PARTNER 1] male or female?
1. Male
2. Female
D5b. Is he/she [HAND R CARD D5b]: a regular partner--that is, someone with whom you have had an ongoing relationship and who you have sex with often--like a spouse, lover, or boyfriend or girlfriend? Or is he/she a casual partner--that is, someone with whom you have sex occasionally? Or is he/she someone with whom you had sex one time and don't plan to have sex with again?
1. Regular
2. Casual
3. One time
D5c. When did you first have sex with [PARTNER 1]?
1. Within the past 90 days
2. More than 90 days ago
Now let's talk about [PARTNER 2].
D5a. Is [PARTNER 2] male or female?
1. Male
2. Female
D5b. Is he/she [HAND R CARD D5b]: a regular partner--that is, someone with whom you have had an ongoing relationship and who you have sex with often—like a spouse, lover, or boyfriend or girlfriend? Or is he/she a casual partner—that is, someone with whom you have sex occasionally? Or is he/she someone with whom you had sex one time and don't plan to have sex with again?
1. Regular
2. Casual
3. One time
D5c. When did you first have sex with [PARTNER 2]?
1. Within the past 90 days
2. More than 90 days ago
Now let's talk about [PARTNER 3].
D5a. Is [PARTNER 3] male or female?
1. Male
2. Female
D5b. Is he/she [HAND R CARD D5b]: a regular partner--that is, someone with whom you have had an ongoing relationship and who you have sex with often--like a spouse, lover, or boyfriend or girlfriend? Or is he/she a casual partner—that is, someone with whom you have sex occasionally? Or is he/she someone with whom you had sex one time and don't plan to have sex with again?
1. Regular
2. Casual
3. One time
D5c. When did you first have sex with [PARTNER 3]?
1. Within the past 90 days
2. More than 90 days ago
[TAKE BACK CARD D5b]
Now I'd like to talk with you about the kinds of sex that you've had during the past 90 days. I'm going to ask you some questions about the kinds of sex you have had with each of the partners that you've told me about.
Let's start with [PARTNER 1].
D6. [IF R AND PARTNER ARE SAME GENDER SKIP TO D7] Thinking back over the past 90 days, did you have vaginal sex with [PARTNER 1]?
1. No (SKIP TO D7)
2. Yes
D6a. [IF YES] How many times?
__________ Number of times
D6b. Of those [NUMBER] times, did [(you/he)] ever use a condom?
1. No (SKIP TO D6d)
2. Yes
D6c. How many times?
________ Number of times
D6d. Of those [NUMBER] times that you had vaginal sex with [PARTNER 1], were you or [PARTNER 1] ever high on drugs or alcohol?
1. No (SKIP TO D7)
2. Yes
D6e. How many times?
_________ Number of times
D7. [IF PARTNER IS FEMALE SKIP TO D8] During the past 90 days, did you have receptive anal sex with [PARTNER 1]?
1. No (SKIP TO D8)
2. Yes
D7a. [IF YES] How many times?
________ Number of times
D7b. Of those [NUMBER] times, did he ever use a condom?
1. No (SKIP TO D7d)
2. Yes
D7c. How many times?
_________ Number of times
D7d. Of those [NUMBER] times that you had receptive anal sex with [PARTNER 1], were you or [PARTNER 1] ever high on drugs or alcohol?
1. No (SKIP TO D8)
2. Yes
D7e. How many times?
_________ Number of times
D8. [IF RESPONDENT IS FEMALE, SKIP TO D9 OR TO D15 IF THIS IS THE LAST
PARTNER] During the past 90 days, did you have insertive anal sex with [PARTNER 1]?
1. No (SKIP TO PARTNER 2)
2. Yes
D8a. [IF YES] How many times?
________ Number of times
D8b. Of those [NUMBER] times, did you ever use a condom?
1. No (SKIP TO D8d)
2. Yes
D8c. How many times?
________ Number of times
D8d. Of those [NUMBER] times that you had insertive anal sex with [PARTNER 1], were you or [PARTNER 1] ever high on drugs or alcohol?
1. No (SKIP TO PARTNER 2)
2. Yes
D8e. How many times?
________ Number of times
Now let's talk about [PARTNER 2].
D9. [IF R AND PARTNER ARE SAME GENDER, SKIP TO D10] Thinking back over the past 90 days, did you have vaginal sex with [PARTNER 2]?
1. No (SKIP TO D10)
2. Yes
D9a. [IF YES] How many times?
_______ Number of times
D9b. Of those [NUMBER] times, did [(you or he)/(you or she)] ever use a condom?
1. No (SKIP TO D9d)
2. Yes
D9c. How many times?
_______ Number of times
D9d. Of those [NUMBER] times that you had vaginal sex with [PARTNER 2], were you or [PARTNER 2] ever high on drugs or alcohol?
1. No (SKIP TO D10)
2. Yes
D9e. How many times?
_______ Number of times
D10. [IF PARTNER IS FEMALE, SKIP TO D11] During the past 90 days, did you have receptive anal sex with [PARTNER 2]?
1. No (SKIP TO D11)
2. Yes
D10a. [IF YES] How many times?
________ Number of times
D10b. Of those [NUMBER] times, did he ever use a condom?
1. No (SKIP TO D10d)
2. Yes
D10c. How many times?
_______ Number of times
D10d. Of those [NUMBER] times that you had receptive anal sex with [PARTNER 2], were you or [PARTNER 2] ever high on drugs or alcohol?
1. No (SKIP TO D11)
2. Yes
D10e. How many times?
________ Number of times
D11. [IF RESPONDENT IS FEMALE, SKIP TO D12 OR TO D15 IF THIS IS THE LAST
PARTNER] During the past 90 days, did you have insertive anal sex with [PARTNER 2]?
1. No (SKIP TO D12)
2. Yes
D11a. [IF YES] How many times?
________ Number of times
D11b. Of those [NUMBER] times, did you ever use a condom?
1. No (SKIP TO D11d)
2. Yes
D11c. How many times?
_______ Number of times
D11d. Of those [NUMBER] times that you had insertive anal sex with [PARTNER 2], were you or [PARTNER 2] ever high on drugs or alcohol?
1. No (SKIP TO D12)
2. Yes
D11e. How many times?
_______ Number of times
Now let's talk about [PARTNER 3].
D12. [IF R AND PARTNER ARE SAME GENDER, SKIP TO D13] Thinking back over the past 90 days, did you have vaginal sex with [PARTNER 3]?
1. No (SKIP TO D12)
2. Yes
D12a. [IF YES] How many times?
_______ Number of times
D12b. Of those [NUMBER] times, did [(you or he)/(you or she)] ever use a condom?
1. No (SKIP TO D12d)
2. Yes
D12c. How many times?
_______ Number of times
D12d. Of those [NUMBER] times that you had vaginal sex with [PARTNER 3], were you or [PARTNER 3] ever high on drugs or alcohol?
1. No (SKIP TO D13)
2. Yes
D12e. How many times?
_______ Number of times
D13. [IF PARTNER IS FEMALE, SKIP TO D14] During the past 90 days, did you have receptive anal sex with [PARTNER 3]?
1. No (SKIP TO D14)
2. Yes
D13a. [IF YES] How many times?
_______ Number of times
D13b. Of those [NUMBER] times, did he ever use a condom?
1. No (SKIP TO D13d)
2. Yes
D13c. How many times?
_________ Number of times
D13d. Of those [NUMBER] times that you had receptive anal sex with [PARTNER 3], were you or [PARTNER 3] ever high on drugs or alcohol?
1. No (SKIP TO D14)
2. Yes
D13e. How many times?
_______ Number of times
D14. [IF RESPONDENT IS FEMALE, SKIP TO D15] During the past 90 days, did you have insertive anal sex with [PARTNER 3]?
1. No (SKIP TO D15)
2. Yes
D14a. [IF YES] How many times?
_________ Number of times
D14b. Of those [NUMBER] times, did you ever use a condom?
1. No (SKIP TO D14d)
2. Yes
D14c. How many times?
_________ Number of times
D14d. Of those [NUMBER] times that you had insertive anal sex with [PARTNER 3], were you or [PARTNER 3] ever high on drugs or alcohol?
1. No (SKIP TO D15)
2. Yes
D14e. How many times?
_______ Number of times
D15. [IF 3 OR LESS PARTNERS IN LAST 90 DAYS (SEE D3), SKIP TO G]. We've been talking about three of your partners: [list names]. Now I'd like to ask you some questions about the other [number] people you had sex with in the past 90 days. First, did you have vaginal sex with any of these partners?
1. No (SKIP TO D16)
2. Yes
D15a. [IF YES] All together, how many times?
_______ Number of times
D15b. Of those [NUMBER] times, did you or your partner(s) ever use condoms?
1. No (SKIP TO D16)
2. Yes
D15c. How many times?
________ Number of times
D16. Did you have anal sex with any of these other partners?
1. No (SKIP TO G)
2. Yes
D16a. [IF YES] All together, how many times?
________ Number of times
D16b. Of those [NUMBER] times, did you or your partner(s) ever use condoms?
1. No (SKIP TO G)
2. Yes
D16c. How many times?
________ Number of times
Reliability information was not available.
Validity information was not available.
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Individuals may use this information for research or educational purposes only and may not use this information for commercial purposes. When using this instrument, please cite:
Fishbein, M. & Coutinho, R. (Eds.). (1997). NIMH Multisite HIV Prevention Trial [supplement]. AIDS, 11, s2.
When presenting results using any survey information you obtained from the SABI, please acknowledge the University of North Carolina at Chapel Hill Center for AIDS Research (CFAR), an NIH funded program P30 AI50410.