Safe-Sex Knowledge, Sexual Behavior, and Drug Use A thesis
Safe-Sex Knowledge, Sexual Behavior, and Drug Use A thesis
Safe-Sex Knowledge, Sexual Behavior, and Drug Use A thesis
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8. What is your current annual income?<br />
$0-$10,000___ $10,000-$20,000___ $20,000-$30,000___<br />
$30,000-$40,000___ $40,000-$50,000___ $50,000-$75,000___<br />
$75,000++___ Don’t Know ___<br />
9. What is your date of birth (Please DO NOT put today’s date)?<br />
Month______ Day____ Year_____<br />
10. When was the last time you were tested for HIV/AIDS?<br />
Within the last month___ Within six months___ Within a year___<br />
Over a year___ Never___<br />
11. Are you HIV+ (positive)?<br />
Yes___ No___ Don’t Know___<br />
12. With how many different people have you had sexual contact in the last 6<br />
months?<br />
Enter number of people: _____<br />
13. Of those people with whom you had sexual contact in the last 6 months, with<br />
how many did you discuss STD’s <strong>and</strong>/or HIV prior to the sexual contact? (This<br />
could include asking about protection for this sexual contact or asking if the<br />
person had any STD’s or had been tested.)<br />
Enter number of people: _____<br />
14. Of those people with whom you had sexual contact in the last 6 months, how<br />
many were males?<br />
Enter number of males: _____<br />
15. Of those people with whom you had sexual contact in the last 6 months, how<br />
many of them identified as gay men? In other words, they are openly gay, or<br />
“out.”<br />
Enter number of openly gay men: _____<br />
43
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