Condom use among Hispanics – Male

Hispanic Condom Use Study 1991
Questionnaire for Use with Males

TIME AT BEGINNING:  ______________

Many of the questions we will be asking relate to sexual matters and it is
 possible that you may feel a bit uncomfortable.  But please remember that your
 responses are completely confidential and that you may indicate if there are
 any questions you do not wish to answer.

I would like to ask you some general questions about AIDS. Your answer can be
 "yes," "probably yes," "probably no," or "no."

1.  Do you think it's possible to get the AIDS virus from a mosquito bite?
Would you say yes, probably yes, probably no, or no?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(06)

2.  Do you think it's possible to get the AIDS virus by sitting on a public toilet?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(07)

3.  Do you think AIDS is a problem only for homosexuals and drug addicts?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(08)

4.  Do you think it's possible to know by appearance if a person has the AIDS
 virus?  

	1   Yes	2   Probably Yes	3   Probably No	4   No	(09)

5.  Have you personally known someone who had AIDS or was infected with
the AIDS virus?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(10)

		              8  DON'T KNOW	

6.  How often do you worry that you might get the virus that causes AIDS?
  Would you say very often, often, sometimes, or never?
	(11)
	1   Very often	2   Often	3   Sometimes	4   Never

I'll be asking some questions about condoms or rubbers. 

7. Would you like me to use the word "condom" or "rubber?"

		4   CONDOM	5   RUBBER	(12)

		6  NO PREFERENCE (USE "CONDOM")

The following items ask for information about how condoms/rubbers are used.
  If you have never used condoms/rubbers, your answers are still important
to us.

8.  Do you think vaseline is a good lubricant or cream for condoms/rubbers?

	1    YES	0    NO   	8   DOESN'T KNOW	(13)

9.  Do you think a condom/rubber should be unrolled before putting it on a
man's penis?

	1    YES	0    NO   	8   DOESN'T KNOW	(14)

Now we would like to ask you some questions about your experiences with
 condoms/rubbers and other sexual activities.  I will be using the word
 "partner" to refer to the person with whom one has sex.  This information is
 very important for our study.  Each person has different sexual experiences,
so some questions may not apply to you. 

10.  How often do you carry a condom/rubber with you?  Would you say always,
 sometimes, hardly ever, or never?

	1   Always	2   Sometimes	3   Hardly ever	4   Never   (15)

11. Have you ever used condoms/rubbers?      

	1    YES	0    NO    [GO TO Q 15]	9   RA	(16)

12.  Have you ever used condoms/rubbers to avoid a pregnancy?

	1    YES	0    NO   	9   RA	(17)

13.  Have you ever used condoms/rubbers to avoid diseases?

	1    YES	0    NO   	9   RA	(18)

14.  How did you get condoms/rubbers? 

[IF RESPONDENT GIVES MORE THAN ONE ANSWER, ASK WHERE HE HAS BOUGHT
 THEM OR GOTTEN THEM MORE OFTEN AND CIRCLE ONLY THAT RESPONSE]

		[DO NOT READ RESPONSES]

______ BOUGHT THEM	ASK:	Where?   		

	1	PHARMACY OR DRUG STORE
	2	RESTROOM VENDING MACHINES
	3	SUPERMARKET
	9	RA
				(19)

______ GIVEN TO THEM	ASK:	Where? 

	4	AT A HEALTH CENTER
	5	ON THE STREET
	6	BY A FRIEND/RELATIVE
	7	FROM A PARTNER
	8	ELSEWHERE  __________________________
	9	RA

15.  In these questions we'll talk about a steady sex partner.  A steady sex
 partner is a person one has sex with in an ongoing relationship and might be
a spouse. 

	Imagine that you will have sex with a wife or steady partner in the next 30
 days.  How often do you think you would use condoms/rubbers?  Would you say
 always, more than half the time, half the time, less than half the time, or
 never?

[IF RESPONDENT SAYS NOT APPLICABLE, SAY:  "Even if you don't know, please
try to guess."]

	1	Always	(20)
	2	More than half the time
	3	Half the time
	4	Less than half the time
	5	Never
	9 	RA

16. Imagine that you will have sex with a partner other than a steady partner
in the next 30 days.  How often do you think you would use condoms/rubbers?

[IF RESPONDENT SAYS NOT APPLICABLE, SAY:  "Even if you don't know, please
try to guess."]

	1	Always	(21)
	2	More than half the time
	3	Half the time
	4	Less than half the time
	5	Never
	9 	RA

17.  Have you had sex at least once in the past 12 months, that is, since
[THIS MONTH] of 1990?

	1    YES [GO TO Q19]	0    NO [GO TO Q18]	9   RA [GO TO Q18]	(22)

18.  Have you had sex at least once in the last 5 years?

	1    YES [GO TO Q19]	0    NO [GO TO Q26]	9   RA [GO TO Q26]	(23)

19. As I said, some questions may not apply to you.  If a question does not apply
 to you, please let me know.

	When you had sex with your wife or steady partner in the last 12 months, how
 often did you use condoms/rubbers?  Would you say always, more than half the
 time, half the time, less than half the time, or never?

	1	Always	(24)
	2	More than half the time
	3	Half the time
	4	Less than half the time
	5	Never
	7	NO STEADY PARTNER
	8	NO SEX PAST 12 MONTHS [GO TO Q26]
	9 	RA

20.  When you had sex with a woman other than your wife or steady partner in
 the last 12 months, how often did you use condoms/rubbers? 

	1	Always	(25)
	2	More than half the time
	3	Half the time
	4	Less than half the time
	5	Never
	7	NO CASUAL PARTNER
	8	NO FEMALE PARTNER [GO TO Q22]
	9 	RA

21.  How many women have you had sex with in the last 12 months in total?

	___  ___  NUMBER OF WOMEN 				(26-27)
		[90 OR MORE = 90]	99	RA	

22.  If you had sex with any male partner in the last 12 months, how often
were condoms/rubbers used?  Would you say always, more than half the time,
 half the time, less than half the time, or never?

	1	Always	(28)
	2	More than half the time
	3	Half the time
	4	Less than half the time
	5	Never
	7	NO SEX WITH MALE PARTNER [GO TO Q24]
	8	NO SEX AT ALL [GO TO Q26]
	9 	REFUSED TO ANSWER

23.  How many men have you had sex with in the last 12 months in total?

	___  ___  NUMBER OF MEN 				(29-30)
		[90 OR MORE = 90]

		98	NO SEX AT ALL [GO TO Q26]
		99	RA

IF Q21 AND Q23 ARE  00, GO TO Q26

24.  In the last 12 months, how often did you drink alcoholic beverages before
 having sex? Would you say always, more than half the time, half the time, less
 than half the time, or never?

	1	Always	(31)
	2	More than half the time
	3	Half the time
	4	Less than half the time
	5	Never
	7	NO SEX LAST 12 MONTHS [GO TO Q26]
	9 	REFUSED TO ANSWER

25.  In the last 12 months, how often did you use drugs before having sex?

	1	Always	(32)
	2	More than half the time
	3	Half the time
	4	Less than half the time
	5	Never
	9 	REFUSED TO ANSWER

26.  Do you think you're going to have sex in the next 30 days?  Would you say
 yes, probably yes, probably no, or no?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(33)

27.  Is it possible to know beforehand if you're going to have sex? 

	1   Yes	2   Probably Yes	3   Probably No	4   No	(34)

In the following questions I am going to ask your opinions about the use of
 condoms/rubbers.  If you have never had sex or if you have never used a
 condom/rubber, please answer the questions trying to imagine how you would
 feel in each case.

28.  Do you think condoms/rubbers are only for men having sex with female
 prostitutes?  Would you say yes, probably yes, probably no, or no?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(35)

29.  Do you think it's difficult to find places to buy condoms/rubbers?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(36)

30.  Would you use a condom/rubber even if you had to stop to buy them or look
 for them?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(37)

31.  Would you use a condom/rubber even if you had been drinking alcoholic
 beverages or using drugs?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(38)

			BLANK	(39)

33.  Would you be able to refuse to have sex if your partner didn't want you to
 use a condom/rubber?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(40)

34. Imagine that you used a condom/rubber the next time you had sex.

Would you feel less sexual pleasure than if you didn't use one?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(41)

35. If you used a condom/rubber, would sex last longer than if you didn't use
 one?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(42)

36. If you used a condom/rubber, would you feel guilty?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(43)

37. If you used a condom/rubber, would you feel an emotional barrier with
your sex partner? 

	1   Yes	2   Probably Yes	3   Probably No	4   No	(44)

38. Do you think the condom/rubber would cause a burning sensation?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(45)

39. Do you think putting on a condom/rubber would interrupt sex?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(46)

40. Do you think sex would be cleaner than if you didn't use a condom/rubber?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(47)

Continue to imagine that you used a condom/rubber the next time you had sex

41.  Do you think the condom/rubber would feel uncomfortable or too tight?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(48)

42.  Do you think the condom/rubber might come off inside your partner?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(49)

43. Do you think the condom/rubber might break?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(50)

44. If you used a condom/rubber, do you think you might get cancer?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(51)

45. If you used a condom/rubber, do you think a female partner would get
 pregnant? 

	1   Yes	2   Probably Yes	3   Probably No	4   No	9   RA	(52)

46. If you used a condom/rubber, would it be more difficult for you to
ejaculate or come than if you didn't use one?  

	1   Yes	2   Probably Yes	3   Probably No	4   No	(53)

47. If you used a condom/rubber, would it be more difficult for you to keep an
 erection than if you didn't use one?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(54)

In the following questions we'll talk about two types of partners: steady sex
 partners and casual sex partners.  As you recall, a steady sex partner is a
 person one has sex with in an ongoing relationship. A casual sex partner refers
 to a person one doesn't know very well and has sex with only once or a few
 times.

48. Would you be able to use a condom/rubber with a steady partner?
Would you say yes, probably yes, probably no, or no?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(55)

49. Would you be able to use a condom/rubber with a casual partner?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(56)

Imagine that you were going to have sex with a casual partner and you used
a condom/rubber

50. Do you think you could get a venereal disease such as gonorrhea or
syphilis?
Would you say yes, probably yes, probably no, or no?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(57)

51. If you used a condom/rubber with this casual partner, do you think you
could get the virus that causes AIDS?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(58)

52. If you used a condom/rubber with this casual partner, would you worry
less about giving a steady partner a disease such as syphilis, gonorrhea or
 AIDS? 

	1   Yes	2   Probably Yes	3   Probably No	4   No	(59)

Imagine that you insisted on using a condom/rubber the next time you had sex
 with a steady partner,

53. Would it lead the steady partner to think you had had sex with someone
 else?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(60)

54. If you insisted on using condoms/rubbers, do you think a steady partner
 would get angry?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(61)

55. Would a casual partner get angry?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(62)

				BLANK	(63-64)

58. If you insisted on using a condom/rubber, do you think a steady partner
 would refuse to have sex with you?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(65)

59. Would a casual partner refuse to have sex with you?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(66)

60. Imagine that you carried condoms/rubbers in your pocket or wallet.
Do you think that your men friends would think badly of you?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(67)

			9  RA	

61. If you had condoms/rubbers with you, would a casual partner respect you
 more than if you didn't have them?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(68)

62. If a woman has condoms/rubbers with her, do you think she is willing to
 have sex with someone she just met?

	1   Yes	2   Probably Yes	3   Probably No	4   No	(69)

		Respondent ID __ __ __ __.
		(01-04)
		Card = 3	(05)

In the following questions we want to know how much you would be bothered
by some things that could happen to a person who used condoms/rubbers.
These questions may seem repetitive but they are very important and we
would appreciate your patience.

The responses can be "A lot" "Somewhat" or "Very little" 

63. How much would it bother you to feel less pleasure during sex?  Would it
 bother you a lot, somewhat or very little?

		1   A lot	2   Somewhat	3    Very little	(06)

64. How much would it bother you to feel a burning sensation in your sex
 organs?

		1   A lot	2   Somewhat	3    Very little	(07)

65. How much would it bother you  to interrupt sex?

		1   A lot	2   Somewhat	3    Very little	(08)

66. How much would it bother you  to feel guilty?

		1   A lot	2   Somewhat	3    Very little	(09)

67. How much would it bother you  to have a condom/rubber that feels
 uncomfortable or too tight?

		1   A lot	2   Somewhat	3    Very little	(10)

68. How much would it bother you if a condom/rubber came off inside your
 partner?

		1   A lot	2   Somewhat	3    Very little	(11)

69. How much would it bother you  if a condom/rubber broke?

		1   A lot	2   Somewhat	3    Very little	(12)

70. How much would it bother you  if you felt an emotional barrier with your
 partner?

		1   A lot	2   Somewhat	3    Very little	(13)

				BLANK	(14)

72. How much would it bother you  if you had trouble ejaculating?

		1   A lot	2   Somewhat	3    Very little	(15)

73. How much would it bother you  if you had trouble keeping an erection?	

		1   A lot	2   Somewhat	3    Very little	(16)

74. How much would it bother you to get a venereal disease like gonorrhea
or syphilis?	

		1   A lot	2   Somewhat	3    Very little	(17)

75. How much would it bother you  to have a steady partner think you had had
 sex with someone else?	

		1   A lot	2   Somewhat	3    Very little	(18)

76. How much would it bother you  to have a steady partner get angry?

		1   A lot	2   Somewhat	3    Very little	(19)

77. How much would it bother you  to have a casual partner get angry?

		1   A lot	2   Somewhat	3    Very little	(20)

78. How much would it bother you  to have a steady partner refuse to have
sex with you?

		1   A lot	2   Somewhat	3    Very little	(21)

79. How much would it bother you  to have a casual partner refuse to have
sex with you?

		1   A lot	2   Somewhat	3    Very little	(22)

80. How much would it bother you  to have your men friends think badly of you?

		1   A lot	2   Somewhat	3    Very little	(23)

81. Now, please tell me, how much would you like to have a casual partner
 respect you more?  Would you say a lot, somewhat, or very little?

		6   A lot	5   Somewhat	4    Very little	(24)

82. How much would you like not having to worry about giving a steady partner
 a disease like syphilis, gonorrhea or AIDS?

		6   A lot	5   Somewhat	4    Very little	(25)

83. How much would you like to have sex feel cleaner?

		6   A lot	5   Somewhat	4    Very little	(26)

For the following items, first tell me if you would like it or dislike it, then
tell me how much you would like or dislike it.

84.  Would you like or dislike having a female sex partner get pregnant now?
  How much, a lot, somewhat or very little?

	like it:	6   A lot	5   Somewhat	4    Very little	(27)

	dislike it:	1   A lot	2   Somewhat	3    Very little

85. Would you like or dislike having sex last longer?  How much?

	like it:	6   A lot	5   Somewhat	4    Very little	(28)

	dislike it:	1   A lot	2   Somewhat	3    Very little

		BLANK	(29)

87. Would you like or dislike using a condom/rubber with a steady partner?
  How much?

	like it:	6   A lot	5   Somewhat	4    Very little	(30)

	dislike it:	1   A lot	2   Somewhat	3    Very little

88. Would you like or dislike using a condom/rubber with a casual partner?
  How much?

	like it:	6   A lot	5   Somewhat	4    Very little	(31)

	dislike it:	1   A lot	2   Somewhat	3    Very little

89. Would you like or dislike carrying a condom/rubber with you?  How much?

	like it:	6   A lot	5   Somewhat	4    Very little	(32)

	dislike it:	1   A lot	2   Somewhat	3    Very little

90. How many of your closest men friends do you think carry condoms with
 them?
  Would you say almost all, more than half, half, less than half or almost none?

[IF THE PERSON DOESN'T KNOW, SAY: "Even if you don't know, please try to
 guess"]

			(33)
	1   Almost 	2   More	3   Half	4   Less	5   Almost
	all	than half		than half	None

					7   NO FRIENDS [GO TO Q93]

91. How many of your closest men friends do you think use condoms/rubbers
 when they have sex with a steady partner?
			(34)
	1   Almost 	2   More	3   Half	4   Less	5   Almost
	all	than half		than half	None

92. How many of your closest men friends do you think use condoms/rubbers
 when they have sex with a casual partner?
			(35)
	1   Almost 	2   More	3   Half	4   Less	5   Almost
	all	than half		than half	None

					7 NO FRIENDS HAVE CASUAL PARTNERS

93. Try to imagine how comfortable you would feel in the following situations.

	How comfortable would you feel buying a condom/rubber?  Would you feel very
 comfortable, somewhat comfortable, somewhat uncomfortable or very
 uncomfortable?

	1   Very 	2   Somewhat	3   Somewhat	4   Very	(36)
	comfortable	comfortable	uncomfortable	uncomfortable	

94.  How comfortable would you feel insisting on using a condom/rubber
with a steady partner?

	1   Very 	2   Somewhat	3   Somewhat	4   Very	(37)
	comfortable	comfortable	uncomfortable	uncomfortable	

95. How comfortable would you feel  insisting on using a condom/rubber with a casual partner?

	1   Very 	2   Somewhat	3   Somewhat	4   Very	(38)
	comfortable	comfortable	uncomfortable	uncomfortable	

96. How comfortable would you feel  putting on a condom/rubber?

	1   Very 	2   Somewhat	3   Somewhat	4   Very	(39)
	comfortable	comfortable	uncomfortable	uncomfortable	

97.  How comfortable would you feel  having a condom/rubber put on you?

	1   Very 	2   Somewhat	3   Somewhat	4   Very	(40)
	comfortable	comfortable	uncomfortable	uncomfortable	

98. How comfortable would you feel  using a condom/rubber with a steady
 partner?

	1   Very 	2   Somewhat	3   Somewhat	4   Very	(41)
	comfortable	comfortable	uncomfortable	uncomfortable	

99. How comfortable would you feel  using a condom/rubber with a casual
 partner?

	1   Very 	2   Somewhat	3   Somewhat	4   Very	(42)
	comfortable	comfortable	uncomfortable	uncomfortable	

100. How comfortable would you feel  being naked in front of a sex partner?

	1   Very 	2   Somewhat	3   Somewhat	4   Very	(43)
	comfortable	comfortable	uncomfortable	uncomfortable	

101. How comfortable would you feel having sex with the lights on?

	1   Very 	2   Somewhat	3   Somewhat	4   Very	(44)
	comfortable	comfortable	uncomfortable	uncomfortable	

102. How comfortable would you feel having sex with a new partner?

	1   Very 	2   Somewhat	3   Somewhat	4   Very	(45)
	comfortable	comfortable	uncomfortable	uncomfortable	

Now I'd like to ask you:

103. Do you have any children?

	00    NO	YES   How many?     ___ ___	(46-47)

104. Have you been circumcised?

	1    YES	0    NO 	8    DON'T KNOW	9    RA	(48)

IF NECESSARY, ASK:  Do you have a wife or steady partner who is a woman?

YES [GO TO Q105]			NO  [GO TO Q111]

105. Is your wife or steady partner pregnant? 

	1	YES 	[GO TO Q. 111]	(49)
	0	NO
	7	HE/SHE CANNOT HAVE CHILDREN  [GO TO Q111]
	8	DON'T KNOW
	9	RA

106. Is she trying to get pregnant?

	1	YES 	[GO TO Q. 111]	(50)
	0	NO
	7	HE/SHE CANNOT HAVE CHILDREN  [GO TO Q111]
	9	RA

107. Has she given birth in the last 3 months?

	1	YES 	[GO TO Q. 111]	(51)
	0	NO
	7	HE/SHE CANNOT HAVE CHILDREN  [GO TO Q111]
	9	RA

108. Have you or your steady partner used some form of birth control other
than condoms/rubbers in the last 12 months?

	YES >>>>>>>>>>>>>>[IF  THE ANSWER IS YES]    Which kind?	(52)
			[CIRCLE ALL THAT APPLY]
	1    PILL
	0   NO	2    IUD
	3    DIAPHRAGM
		4    SPONGE/FOAM/JELLY
	5    DOUCHE
	9   RA	6    WITHDRAWAL
		7    ABORTION
			8    OTHER ___________________

IF ANSWER IS YES, GO TO Q111

109. Is there a reason why your partner is unable to have children either due
to an operation or some other cause?

	1	YES 	[GO TO Q. 111]	(53)
	0	NO
	8	DON'T KNOW
	9	RA

110. Is there a reason why you are unable to have children either due to an
 operation or some other cause?

	1	YES 		(54)
	0	NO
	8	DON'T KNOW
	9	RA

111. Now I'm going to ask you some questions about how you have been feeling
 during the last seven days.   Since [ TODAY'S DAY OF THE WEEK] of last week 

	Were you bothered by things that usually don't bother you?

	O    NO		[IF THE ANSWER IS YES, SAY]:	(55)
			How many days during the past week?

		[DO NOT READ RESPONSES]

			1     1-2 DAYS	2     3-4 DAYS	3     5-7 DAYS

112. Did you feel like not eating or was your appetite poor?

	O    NO		[IF THE ANSWER IS YES, SAY]:	(56)
			How many days during the past week?

			1     1-2 DAYS	2     3-4 DAYS	3     5-7 DAYS

113. Did you feel like you couldn't shake off the blues even with the help of
 family and friends?

	O    NO		[IF THE ANSWER IS YES, SAY]:	(57)
			How many days during the past week?

			1     1-2 DAYS	2     3-4 DAYS	3     5-7 DAYS

114. Did you feel depressed?

	O    NO		[IF THE ANSWER IS YES, SAY]:	(58)
			How many days during the past week?

			1     1-2 DAYS	2     3-4 DAYS	3     5-7 DAYS

115. Did you feel as if your life had been a failure?

	O    NO		[IF THE ANSWER IS YES, SAY]:	(59)
			How many days during the past week?

			1     1-2 DAYS	2     3-4 DAYS	3     5-7 DAYS

116. Did you feel afraid?

	O    NO		[IF THE ANSWER IS YES, SAY]:	(60)
			How many days during the past week?

			1     1-2 DAYS	2     3-4 DAYS	3     5-7 DAYS

117. Was your sleep restless?

	O    NO		[IF THE ANSWER IS YES, SAY]:	(61)
			How many days during the past week?

			1     1-2 DAYS	2     3-4 DAYS	3     5-7 DAYS

118. Did you feel lonely?

	O    NO		[IF THE ANSWER IS YES, SAY]:	(62)
			How many days during the past week?

			1     1-2 DAYS	2     3-4 DAYS	3     5-7 DAYS

119. Did you feel sad?

	O    NO		[IF THE ANSWER IS YES, SAY]:	(63)
			How many days during the past week?

			1     1-2 DAYS	2     3-4 DAYS	3     5-7 DAYS

120. Did you have crying spells?

	O    NO		[IF THE ANSWER IS YES, SAY]:	(64)
			How many days during the past week?

			1     1-2 DAYS	2     3-4 DAYS	3     5-7 DAYS

IF NON-HISPANIC, GO TO Q128

IF HISPANIC, CONTINUE BELOW

121. Now, please tell me, where were you born?

	1    USA	[GO TO THE FOLLOWING QUESTION]	(65)
	2    PUERTO RICO	[GO TO Q. 123]
	3    MEXICO	[GO TO Q. 123]
	4    REPUBLICA DOMINICANA	[GO TO Q. 123]
	5    COLOMBIA	[GO TO Q. 123]
	6    CENTRAL AMERICA	[GO TO Q. 123]
	7    SOUTH AMERICA, (NO COLOMBIA)	[GO TO Q. 123]
	8    SPAIN OR CUBA	[GO TO Q. 123]
	9    OTHER _______________________  [GO TO THE FOLLOWING QUESTION]

FOR HISPANICS BORN IN THE U.S. OR COUNTRIES LISTED IN 9 ABOVE

122.  The families of the majority of people living in the United States come
 from other countries. Where is your family from?

[DO NOT READ ALTERNATIVES  IF RESPONSE IS MORE THAN ONE COUNTRY,
 ASK:]"Which country is the majority of your family from or which country do
 you feel closest to?"  [CIRCLE ONLY ONE]

	2    PUERTO RICO	(66)
	3    MEXICO
	4    REPUBLICA DOMINICANA
	5    COLOMBIA
	6    CENTRAL AMERICA
	7    SOUTH AMERICA, (NO COLOMBIA)
	8    SPAIN OR CUBA

123. How long have you lived in the United States?

	___ ___    YEARS [LESS THAN A YEAR = ONE YEAR{01}]	(67-68)

		Respondent ID __ __ __ __.
		(01-04)
		Card = 4	(05)

124. In general what language do you read and speak?  Would you say Spanish
 only, Spanish more than English, both equally, English more than Spanish, or
 English only?
		(06)

	1   Spanish	2   Spanish more 	3   Both 	4   English more	5   English
	only	than English	equally	than Spanish	only

125. What language do you usually speak at home?
	(07)

	1   Spanish	2   Spanish more 	3   Both 	4   English more	5   English
	only	than English	equally	than Spanish	only

126. In which language do you usually think?
	(08)

	1   Spanish	2   Spanish more 	3   Both 	4   English more	5   English
	only	than English	equally	than Spanish	only

127. What language do you usually speak with your friends?
	(09)

	1   Spanish	2   Spanish more 	3   Both 	4   English more	5   English
	only	than English	equally	than Spanish	only

ASK EVERYONE

128. How many years of formal education have you completed?

	___ ___ YEARS	(10-11)

129. Are you:
	1	Married or living with your partner	(12)
	2	Single
	3	Separated or divorced
	4	Widowed

130. What is your religion?  __________________________
	(13)
	1	CATHOLIC
	2	CHRISTIAN OTHER THAN CATHOLIC
	3	OTHER: (SPECIFY: ________________)
	4	NONE

131. How important is religion in your life?  Would you say:
	(14)
	1   	Extremely important
	2   	Very important
	3   	Important
	4   	Somewhat important
	5   	Not important at all
							BLANK	(15-16)

133. Would you say that you live in a town, city, suburb of a city, or a rural
 area?

	1   TOWN  	2   CITY	3   SUBURB	4   RURAL AREA	(17)

134. Could you please give me your Zip Code?

		__ __ __ __ __    ZIP CODE	(18-22)
		[99998 >> DK        99999 >> RA]

135. Tell me when I get to the category that best describes your family
income for 1990.  [IF LIVING ALONE, ASK FOR PERSONAL INCOME]

	[READ RESPONSES]

		1	Less than $10,000	(23)
		2	$10,001 to 20,000
		3	$20,001 to 40,000
		4	More than $40,000
		8	DON'T KNOW
		9	RA

As I already explained, your phone number was chosen at random.  To avoid
 calling your house again, could you please tell me if there is another
telephone number in your house?

	[IF THE ANSWER IS YES]   What is it?__________________

	Is there more than one number?

		OTHER NUMBER(S) ________________________

136. 	NUMBER OF TELEPHONE LINES _______	(24)
		[INCLUDING THE ONE BEING CALLED]

IF NON HISPANIC, GO TO PARAGRAPH BEGINNING:
'This is all for now."

IF HISPANIC, CONTINUE BELOW

137. In the future, it is possible that we will do a study of sexual attitudes
and behavior among Hispanic adolescents.  The questions will be very different
 from the ones you just answered and will be appropriate for adolescents.
To include an adolescent in that study not only would we need the adolescent's
 consent but also the permission of a parent or guardian. 

Is there an adolescent in this house who is 15, 16 or 17 years old?

	YES  How many?  _____	NO  0  [GO TO END]	(25)

Could you give me the name of the parent or guardian who could give permission
 to interview the adolescent, if we do call?

	____________________________________________________

138.  Could you give me the name(s) of the adolescent(s)?

	___________________________________________

	ASK IF UNCLEAR:     NUMBER OF FEMALES______	(26)

This is all for now.  My supervisor may call you back to validate that this
 interview was completed.  Thank you for your help with this interview.
If you would like any further information about AIDS or AIDS prevention, you
 can call this number             1-800-342-2437       [AIDS]. Would you like me to repeat
that number?   The call is free and you don't have to give your name.

Again, thank you very much!

__________________________________________________________

TIME AT THE END OF INTERVIEW:___________

139. 	LENGTH OF INTERVIEW [ IN MINUTES]   ___ ___	(27-28)

140. LANGUAGE OF INTERVIEW:	0    ENGLISH	(29)

141. LANGUAGE CHOICE:

 	1    RESPONDENT   	0       RANDOMLY BY INTERVIEWER	(30)

142. INTERVIEWER'S NAME:_________________________ [ ___ ___ ___ ]	(31-33)

DATE OF INTERVIEW:_____________________________

INTERVIEW TERMINATED BEFORE COMPLETION

	1  YES   	0  NO	(34)

	[IF THE ANSWER IS YES] __ __ __  ITEM NUMBER	(35-37)

IS RESPONDENT A MEMBER OF HOUSEHOLD?

	1  YES	0  NO	(38)

Last modified: November 2, 2012