Instrument details

Instrument Title

NIMH Multisite HIV Risk Prevention Assessment (NIMH)

View PDF - NIMH Multisite HIV Risk Prevention Assessment (NIMH).pdf

Source Article

Fishbein, M. & Coutinho, R. (Eds.). (1997). NIMH Multisite HIV Prevention Trial [supplement]. AIDS, 11, s2.

Response Options

Open response

Survey Items

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

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