A. Gay sexual practices and HIV exposures

32\. Throughout your entire life, how many of your sex partners had
Kaposi's sarcoma or later developed it? ***(If unsure, please give your
best estimate. If none, write \"000\")***

\|\_\_\|\_\_\|\_\_\| partners

33\. In the past **[12 months]{.underline}**, with how many different
male partners have you had sexual contact [of any kind]{.underline},
including mutual masturbation? ***(Again, if unsure of the exact number,
please give your best estimate. If none, write \"000\")***

\|\_\_\|\_\_\|\_\_\| partners

34\. In the past **[12 months]{.underline}**, with how many different
*HIV+, HIV- and HIV?* partners have you had [oral or anal
sex]{.underline}? This includes sexual activity with or without a
condom.

***(If*** ***none, write \"000\" for this type of partner)***

\|\_\_\|\_\_\|\_\_\| HIV+ male partners

\|\_\_\|\_\_\|\_\_\| HIV- male partners

\|\_\_\|\_\_\|\_\_\| HIV? male partners

35\. In the past **[12 months]{.underline}**, with how many partners did
you engage in mutual masturbation [only]{.underline}? ***(Do not include
partners already counted in Q.34. If*** ***none, write \"000\" for this
type of partner)***

\|\_\_\|\_\_\|\_\_\| HIV+ male partners

\|\_\_\|\_\_\|\_\_\| HIV- male partners

\|\_\_\|\_\_\|\_\_\| HIV? male partners

36\. In the past **[12 months]{.underline}** how would you characterize
your sexual activity?

***(Circle one answer only)***

No sex with partner(s) 01 ***(Skip to Q.75)***

Mutual masturbation only 02 ***(Skip to Q.45)***

Other sexual acts with partner(s) 03

37\. In the past **[12 months]{.underline}** did **[any]{.underline}**
of your partners ejaculate, with or without a condom, into **your**
rectum?

Yes 01

No 02 ***(Skip to Q.41)***

38\. In the past **[12 months]{.underline}** did any **HIV+** partners
ejaculate, with or without a condom, into **your** rectum?

Yes 01

No 02 ***(Skip to Q.39)***

> a\. How many **HIV+** partners did this?

\|\_\_\|\_\_\|\_\_\| partners

b.  How many times did all **HIV+** partners ejaculate **without** a
    condom into your rectum?

\|\_\_\|\_\_\|\_\_\| times

> c\. How many times did all **HIV+** partners ejaculate **with** a
> condom into your rectum?

\|\_\_\|\_\_\|\_\_\| times

39\. In the past **[12 months]{.underline}**, did any **HIV-** partners
ejaculate, with or without a condom, into **your** rectum?

Yes 01

No 02 ***(Skip to Q.40)***

> a\. How many **HIV-** partners did this?

\|\_\_\|\_\_\|\_\_\| partners

b.  How many times did all **HIV-** partners ejaculate **without** a
    condom into your rectum?

\|\_\_\|\_\_\|\_\_\| times

c.  How many times did all **HIV-** partners ejaculate **with** a condom
    into your rectum?

\|\_\_\|\_\_\|\_\_\| times

40. In the past **[12 months]{.underline}** did any **HIV?** partners
    ejaculate, with or without a condom, into **your** rectum?

Yes 01

No 02 ***(Skip to Q.41)***

> a\. How many **HIV?** partners did this?

\|\_\_\|\_\_\|\_\_\| partners

b.  How many times did all **HIV?** partners ejaculate **without** a
    condom into your rectum?

\|\_\_\|\_\_\|\_\_\| times

c.  How many times did all **HIV?** partners ejaculate **with** a condom
    into your rectum?

\|\_\_\|\_\_\|\_\_\| times

41\. In the past **[12 months]{.underline}**, did **you** ejaculate,
with or without a condom, into the rectum of **[any]{.underline}** of
your partners?

Yes 01

No 02 ***(Skip to Q.45)***

42\. In the past **[12 months]{.underline}** did **you** ejaculate, with
or without a condom, into the rectum of any **HIV+** partners?

Yes 01

No 02 ***(Skip to Q.43)***

> a\. With how many **HIV+** partners did you do this?

\|\_\_\|\_\_\|\_\_\| partners

b.  How many times did you ejaculate **without** a condom into the
    rectum of your **HIV+** partner(s)?

\|\_\_\|\_\_\|\_\_\| times

c.  How many times did you ejaculate **with** a condom into the rectum
    of your **HIV+** partner(s)?

\|\_\_\|\_\_\|\_\_\| times

43\. In the past **[12 months]{.underline}** did **you** ejaculate, with
or without a condom, into the rectum of any **HIV-** partners?

Yes 01

No 02 ***(Skip to Q.44)***

a\. With how many **HIV-** partners did you do this?

\|\_\_\|\_\_\|\_\_\| partners

b.  How many times did you ejaculate **without** a condom into the
    rectum of your **HIV-** partner(s)?

\|\_\_\|\_\_\|\_\_\| times

c.  How many times did you ejaculate **with** a condom into the rectum
    of your **HIV-** partner(s)?

\|\_\_\|\_\_\|\_\_\| times

44\. In the past **[12 months]{.underline}** did **you** ejaculate, with
or without a condom, into the rectum of any **HIV?** partners?

Yes 01

No 02 ***(Skip to Q.45)***

a\. With how many **HIV?** partners did you do this?

\|\_\_\|\_\_\|\_\_\| partners

b.  How many times did you ejaculate **without** a condom into the
    rectum of your **HIV?** partner(s)?

\|\_\_\|\_\_\|\_\_\| times

c.  How many times did you ejaculate **with** a condom into the rectum
    of your **HIV?** partner(s)?

\|\_\_\|\_\_\|\_\_\| times

45\. In the past **[12 months]{.underline}** did **[any]{.underline}**
of your partners ejaculate, with or without a condom, into **your**
mouth?

Yes 01

No 02**  *(Skip to Q.49)***

46\. In the past **[12 months]{.underline}** did any **HIV+** partners
ejaculate, with or without a condom, into **your** mouth?

Yes 01

No 02**  *(Skip to Q.47)***

> a\. How many **HIV+** partners did this?

\|\_\_\|\_\_\|\_\_\| partners

b.  How many times did all **HIV+** partners ejaculate **without** a
    condom into your mouth?

\|\_\_\|\_\_\|\_\_\| times

c.  How many times did all **HIV+** partners ejaculate **with** a condom
    into your mouth?

\|\_\_\|\_\_\|\_\_\| times

47\. In the past **[12 months]{.underline}** did any **HIV-** partners
ejaculate, with or without a condom, into **your** mouth?

Yes 01

No 02**  *(Skip to Q.48)***

a\. How many **HIV-** partners did this?

\|\_\_\|\_\_\|\_\_\| partners

b.  How many times did all **HIV-** partners ejaculate **without** a
    condom into your mouth?

\|\_\_\|\_\_\|\_\_\| times

c\. How many times did all **HIV-** partners ejaculate **with** a condom
into your mouth?

\|\_\_\|\_\_\|\_\_\| times

48\. In the past **[12 months]{.underline}** did any **HIV?** partners
ejaculate, with or without a condom, into **your** mouth?

Yes 01

No 02**  *(Skip to Q.49)***

a\. How many **HIV?** partners did this?

\|\_\_\|\_\_\|\_\_\| partners

b.  How many times did all **HIV?** partners ejaculate **without** a
    condom into your mouth?

\|\_\_\|\_\_\|\_\_\| times

c.  How many times did all **HIV?** partners ejaculate **with** a condom
    into your mouth?

\|\_\_\|\_\_\|\_\_\| times

49\. In the past **[12 months]{.underline}** did **you** ejaculate, with
or without a condom, into the mouth of **[any]{.underline}** of your
partners?

Yes 01

No 02**  *(Skip to Q.53)***

50\. In the past **[12 months]{.underline}**, did **you** ejaculate,
with or without a condom, into the mouth of any HIV**+** partners?

Yes 01

No 02**  *(Skip to Q.51)***

> a\. With how many **HIV+** partners did you do this?

\|\_\_\|\_\_\|\_\_\| partners

b.  How many times did you ejaculate **without** a condom into the mouth
    of your **HIV+** partner(s)?

\|\_\_\|\_\_\|\_\_\| times

c\. How many times did you ejaculate **with** a condom into the mouth of
your **HIV+** partner(s)?

\|\_\_\|\_\_\|\_\_\| times

51\. In the past **[12 months]{.underline}**, did **you** ejaculate,
with or without a condom, into the mouth of any **HIV-** partners?

Yes 01

No 02**  *(Skip to Q.52)***

a\. With how many **HIV-** partners did you do this?

\|\_\_\|\_\_\|\_\_\| partners

b.  How many times did you ejaculate **without** a condom into the mouth
    of your **HIV-** partner(s)?

\|\_\_\|\_\_\|\_\_\| times

c.  How many times did you ejaculate **with** a condom into the mouth of
    your **HIV-** partner(s)?

\|\_\_\|\_\_\|\_\_\| times

52\. In the past **[12 months]{.underline}**, did **you** ejaculate,
with or without a condom, into the mouth of any **HIV?** partners?

Yes 01

No 02**  *(Skip to Q.53)***

a\. With how many **HIV?** partners did you do this?

\|\_\_\|\_\_\|\_\_\| partners

b.  How many times did you ejaculate **without** a condom into the mouth
    of your **HIV?** partner(s)?

\|\_\_\|\_\_\|\_\_\| times

c.  How many times did you ejaculate **with** a condom into the mouth of
    your **HIV?** partner(s)?

\|\_\_\|\_\_\|\_\_\| times

53\. In the past **[12 months]{.underline}** did **[any]{.underline}**
of your partners ejaculate, with or without a condom, into **your** hand
or elsewhere on your skin?

Yes 01

No 02 ***(Skip to Q. 57.)***

54\. In the past **[12 months]{.underline}** did any **HIV+** partners
ejaculate, with or without a condom, into **your** hand or elsewhere on
your skin?

Yes 01

No 02 ***(Skip to Q. 55.)***

a\. How many **HIV+** partners did this?

\|\_\_\|\_\_\|\_\_\| partners

> b\. How many times did all **HIV+** partners ejaculate **without** a
> condom into your hand or elsewhere on your skin?

\|\_\_\|\_\_\|\_\_\| times

> c\. How many times did all **HIV+** partners ejaculate **with** a
> condom into your hand or elsewhere on your skin?

\|\_\_\|\_\_\|\_\_\| times

55\. In the past **[12 months]{.underline}** did any **HIV-** partners
ejaculate, with or without a condom, into **your** hand or elsewhere on
your skin?

Yes 01

No 02 ***(Skip to Q. 56.)***

a\. How many **HIV-** partners did this?

\|\_\_\|\_\_\|\_\_\| partners

> b\. How many times did all **HIV-** partners ejaculate **without** a
> condom into your hand or elsewhere on your skin?

\|\_\_\|\_\_\|\_\_\| times

> c\. How many times did all **HIV-** partners ejaculate **with** a
> condom into your hand or elsewhere on your skin?

\|\_\_\|\_\_\|\_\_\| times

56\. In the past **[12 months]{.underline}** did any **HIV?** partners
ejaculate, with or without a condom, into **your** hand or elsewhere on
your skin?

Yes 01

No 02 ***(Skip to Q. 57.)***

a\. How many **HIV?** partners did this?

\|\_\_\|\_\_\|\_\_\| partners

> b\. How many times did all **HIV?** partners ejaculate **without** a
> condom into your hand or elsewhere on your skin?

\|\_\_\|\_\_\|\_\_\| times

> c\. How many times did all **HIV?** partners ejaculate **with** a
> condom into your hand or elsewhere on your skin?

\|\_\_\|\_\_\|\_\_\| times

57\. In the past **[12 months]{.underline}** did **you** ejaculate, with
or without a condom, into the hand or elsewhere on the skin of any of
your partners?

Yes 01

No 02 ***(Skip to Q. 61a.)***

58\. In the past **[12 months]{.underline}** did **you** ejaculate, with
or without a condom, into the hand or elsewhere on the skin of any
**HIV+** partners?

Yes 01

No 02 ***(Skip to Q. 59.)***

a\. With how many **HIV+** partners did you do this?

\|\_\_\|\_\_\|\_\_\| partners

> b\. How many times did you ejaculate **without** a condom into the
> hand or elsewhere on the skin of your **HIV+** partner(s)?

\|\_\_\|\_\_\|\_\_\| times

> c\. How many times did you ejaculate **with** a condom into the hand
> or elsewhere on the skin of your **HIV+** partner(s)?

\|\_\_\|\_\_\|\_\_\| times

59\. In the past **[12 months]{.underline}** did **you** ejaculate, with
or without a condom, into the hand or elsewhere on the skin of any
**HIV-** partners?

Yes 01

No 02 ***(Skip to Q. 60.)***

a\. With how many **HIV-** partners did you do this?

\|\_\_\|\_\_\|\_\_\| partners

> b\. How many times did you ejaculate **without** a condom into the
> hand or elsewhere on the skin of your **HIV-** partner(s)?
>
> \|\_\_\|\_\_\|\_\_\| times
>
> c\. How many times did you ejaculate **with** a condom into the hand
> or elsewhere on the skin of your **HIV-** partner(s)?

\|\_\_\|\_\_\|\_\_\| times

60\. In the past **[12 months]{.underline}** did **you** ejaculate, with
or without a condom, into the hand or elsewhere on the skin of any
**HIV?** partners?

Yes 01

No 02 ***(Skip to Q. 61a.)***

a\. With how many **HIV?** partners did you do this?

\|\_\_\|\_\_\|\_\_\| partners

b\. How many times did you ejaculate **without** a condom into the hand
or elsewhere on the skin of your **HIV?** partner(s)?

\|\_\_\|\_\_\|\_\_\| times

> c\. How many times did you ejaculate **with** a condom into the hand
> or elsewhere on the skin of your **HIV?** partner(s)?

\|\_\_\|\_\_\|\_\_\| times

61a. During the past 12 months, about how many times have you used
enemas and/or douches **before** rectal intercourse? **(*Circle "08" if
you have not had rectal intercourse in the past 12 months).***

0 times 00

1 to 2 times 01

3 to 4 times 02

5 to 6 times 03

7 to 9 times 04

10 to 19 times 05

20 to 49 times 06

50 or more times 07

Not had rectal intercourse 08 (Go to 61c)

61b. During the past **[12 months]{.underline}**, about how many times
have you used enemas and/or douches [after]{.underline} rectal
intercourse? ***(Circle \"08\" If you have not had rectal intercourse in
the past 12 months)***

0 times 00

1 to 2 times 01

3 to 4 times 02

5 to 6 times 03

7 to 9 times 04

10 to 19 times 05

20 to 49 times 06

50 or more times 07

61c. During the past **[12 months]{.underline}**, about how many times
have you shared enema and/or douching equipment with other people?

0 times 00

1 to 2 times 01

3 to 4 times 02

5 to 6 times 03

7 to 9 times 04

10 to 19 times 05

20 to 49 times 06

50 or more times 07

61d. During the past **[12 months]{.underline}**, about how many times
have you used enemas and/or douches for other sexual activities?

0 times 00

1 to 2 times 01

3 to 4 times 02

5 to 6 times 03

7 to 9 times 04

10 to 19 times 05

20 to 49 times 06

50 or more times 07

61e. During the past **[12 months]{.underline}**, about how many times
have you used enemas and/or douches for [medical]{.underline} purposes?

0 times 00

1 to 2 times 01

3 to 4 times 02

5 to 6 times 03

7 to 9 times 04

10 to 19 times 05

20 to 49 times 06

50 or more times 07

61f. During the past **[12 months]{.underline}**, about how many times
have you noticed [a few drops]{.underline} of blood from your
rectum/anus after sex or at any time?

0 times 00

1 time 01

2 to 3 times 02

4 to 5 times 03

6 to 9 times 04

10 to 14 times 05

15 to 24 times 06

25 or more times 07

61g. During the past **[12 months]{.underline}**, about how many times
have you noticed [more than a few]{.underline} [drops]{.underline} of
blood from your rectum/anus after sex or at any time?

0 times 00

1 time 01

2 to 3 times 02

4 to 5 times 03

6 to 9 times 04

10 to 14 times 05

15 to 24 times 06

25 or more times 07

62a. During the past **[12 months]{.underline}**, about how many times
have you had contact between **your** mouth and your **partner\'s**
rectum (anus) without a barrier?

0 times 00 ***(Skip to Q. 62c.)***

1 time 01

2 to 3 times 02

4 to 5 times 03

6 to 9 times 04

10 to 14 times 05

15 to 24 times 06

25 or more times 07

62b. With how many different partners? \|\_\_\|\_\_\|\_\_\|

62c. During the past **[12 months]{.underline}**, about how many times
have you had contact between **your** rectum (anus) and your
**partner\'s** mouth without a barrier?

0 times 00 ***(Skip to Q. 62e.)***

1 time 01

2 to 3 times 02

4 to 5 times 03

6 to 9 times 04

10 to 14 times 05

15 to 24 times 06

25 or more times 07

62d. With how many different partners? \|\_\_\|\_\_\|\_\_\|

62e. During the past **[12 months]{.underline}**, about how many times
have you had contact between **your** fist or fingers and your
**partner\'s** rectum?

0 times 00 ***(Skip to Q. 62g.)***

1 time 01

2 to 3 times 02

4 to 5 times 03

6 to 9 times 04

10 to 14 times 05

15 to 24 times 06

25 or more times 07

62f. With how many different partners? \|\_\_\|\_\_\|\_\_\|

62g. During the past **[12 months]{.underline}**, about how many times
have you had contact between **your** rectum and your **partner\'s**
fist or fingers?

0 times 00 ***(Skip to Q. 63.)***

1 time 01

2 to 3 times 02

4 to 5 times 03

6 to 9 times 04

10 to 14 times 05

15 to 24 times 06

25 or more times 07

62h. With how many different partners? \|\_\_\|\_\_\|\_\_\|

63. During the past **[12 months]{.underline}**, on the average, how
    many times per week did you have sex of [any kind]{.underline} while
    high on alcohol or drugs?

0 times 00

Once a month or less 01

2-5 times per month 02

4 or more times per month 03

2-3 times per week 04

4 or more times per week 05

64\. In the past **[12 months]{.underline}** did you have sex of any
kind with only one partner?

Yes 01 ***(Skip to Q. 67.)***

No 02

65\. Did this partner only have sex with you?

Yes 01

No 02

Don't know 03

66\. What is this partner\'s HIV status?

HIV positive 01

HIV negative 02

He doesn\'t know 03

He has not told me 04

67\. In the past **[12 months]{.underline}** did you, yourself, always
use (wear) a condom?

Yes 01 ***(Skip to Q. 69.)***

No 02

68\. If you did not always use (wear) a condom, was it because. . .?

***(Circle all that apply)***

You don\'t believe condoms help to

prevent the spread of AIDS 01

You did not engage in any sex acts that put

your partner(s) at risk of getting infected 03

You were always the passive partner receiving

seminal fluid (semen) - never giving 04

You were intoxicated with alcohol or other drugs 05

You believe condoms diminish sexual pleasure 06

Your partner(s) preferred you not use them 07

You were too embarrassed to use them 08

Your partner(s) are already infected with HIV 09

Other *(Specify)* 96

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\|\_\_\|\_\_\|

69\. In the past **[12 months]{.underline}**, have you always insisted
that your partner use (wear) a condom?

Yes 01 ***(Skip to Q. 71.)***

No 02

70\. If your partner(s) did not use (wear) a condom, was it because. .
.?

***(Circle all That Apply)***

You don\'t believe condoms help to

prevent the spread of AIDS 01

You are already infected with HIV 02

You did not engage in any sex acts that put you at

risk of getting infected with HIV (or acquiring

an additional or different strain of HIV) 03

You were always the active partner giving

seminal fluid (semen) - never receiving 04

You were intoxicated with alcohol or other drugs 05

You believe condoms diminish sexual pleasure 06

Your partner(s) preferred not to use them 07

You were embarrassed to ask your partner(s)

to use them 08

Your partner(s) is/are not infected with HIV 09

Other *(Specify)* 96

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\|\_\_\|\_\_\|

71\. Did you ask your potential partner(s) about their HIV antibody
status?

Yes, always 01 ***(Skip to Q. 73.)***

Yes, but not always 02

No 03

72. If not, was it because. . .? ***(Circle all that apply)***

You did not engage in any sex acts that put

you at risk of getting infected 01

You always used a condom 02

Your partner always used a condom 03

If your potential partner were HIV positive,

it would not change your practices with him 04

If your potential partner were HIV negative,

it would not change your practices with him 05

You were too embarrassed to ask 06

You were intoxicated with alcohol or other drugs 07

You are already infected with HIV 09

You were unsure your partner(s) would be truthful 10

You already knew partner\'s HIV status 11

Other *(Specify)* 96

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\|\_\_\|\_\_\|

73. Did you tell your potential partner(s) about your HIV status?

> Yes, always 01 ***(Skip to Q. 75.)***
>
> Yes, but not always 02
>
> No 03

74\. If you did not inform your potential partners about your HIV
status, was it because. . .?

***(Circle all that apply)***

You did not engage in any sex acts that

put your partner at risk of becoming infected 02

You always used a condom 03

Your partner always used a condom 04

If your potential partner were HIV positive,

it would not change your practices with him 05

If your potential partner were HIV negative,

it would not change your practices with him 06

You were too embarrassed to tell him 07

You were intoxicated with alcohol or other drugs 08

You were not concerned about infecting

your potential partner 10

The subject did not come up or partner did not ask 11

Partner already knows your HIV status 12

Other *(Specify)* 96

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
\|\_\_\|\_\_\|

75\. Has a sexual partner ever lied to you or withheld information about
his/her HIV antibody status?

Yes 01

No 02

Don\'t know 98

76\. Have you ever lied to or withheld information from a sexual partner
about your HIV antibody status?

Yes 01

No 02

77. Which of the following lifestyle changes or health measures have you
    tried or used over the past few years? ***(Circle all that apply)***

Improved nutrition/diet 01

Stress reduction/stress management 02

Meditation/Visualization 03

Regular physical exercises 04

Vitamins 05

Research medications(s) 06

Other medication(s)/alternative medication(s) 07

Adequate sleep 08

Quit smoking cigarettes 09

Acupuncture 10

Other (specify) 96

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_