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Protocol - Sexual Risk Behavior - Male

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Description:

The purpose of this measure is to quantify sexual risk behavior in women or men. The measure quantifies both same-sex and opposite-sex interactions.

Specific Instructions:

The PhenX Expert Review Panel recommends asking these questions of participants aged 12-69.

Protocol:

The next set of questions is about your sexual history. By sex, we mean vaginal, oral, or anal sex. Please remember that your answers are strictly confidential.

FOR AGES 14-17

1. Have you ever had any kind of sex

1[ ]Yes

2[ ]No

7[ ]Refused

9[ ]Don’t Know

FOR AGES ABOVE 17

2. Have you ever had vaginal sex, also called sexual intercourse, with a woman? This means putting your penis in a woman’s vagina.

1[ ]Yes

2[ ]No

7[ ]Refused

9[ ]Don’t Know

3. Have you ever performed oral sex on a woman? This means putting your mouth on a woman’s vagina or genitals.

1[ ]Yes

2[ ]No

7[ ]Refused

9[ ]Don’t Know

4. Have you ever had anal sex with a woman? This means contact between your penis and a woman’s anus or butt.

1[ ]Yes

2[ ]No

7[ ]Refused

9[ ]Don’t Know

5. How old were you the first time you had any kind of sex, including {vaginal, anal, or oral/vaginal or anal/vaginal or oral/anal or oral/vaginal/anal/oral}?

___ ____ Enter age in Years

77[ ]Refused

99[ ]Don’t Know

6. In your lifetime, with how many women have you had any kind of sex?

Please enter a number: _____________

77777[ ]Refused

99999[ ]Don’t Know

7. In the past 12 months, with how many women have you had any kind of sex?

Please enter a number: _____________

77777[ ]Refused

99999[ ]Don’t Know

(If Q2 = 1)

8. In your lifetime, with how many women have you had vaginal sex? Vaginal sex means your penis in woman’s vagina.

Please enter a number: _____________

77777[ ]Refused

99999[ ]Don’t Know

(If Q2 = 1)

9 In the past 12 months, with how many women have you had vaginal sex? Vaginal sex means your penis in a woman’s vagina.

Please enter a number or enter zero for none: _____________

77777[ ]Refused

99999[ ]Don’t Know

10. In the past 12 months, about how often have you had [vaginal or anal/vaginal/anal] sex without using a condom?

1[ ]Never

2[ ]Less than half of the time

3[ ]About half of the time

4[ ]Not always, but more than half of the time

5[ ]Always

7[ ]Refused

9[ ]Don’t Know

11. Have you ever had any kind of sex with a man, including oral or anal?

1[ ]Yes

2[ ]No

7[ ]Refused

9[ ]Don’t Know

12. Have you ever performed oral sex on a man? Performing oral sex means your mouth on a man’s penis or genitals.

Please select:

1[ ]Yes

2[ ]No

7[ ]Refused

9[ ]Don’t Know

(If Q12 = 1)

13. In your lifetime, on how many men have you performed oral sex?

Please enter a number: _____________

77777[ ]Refused

99999[ ]Don’t Know

(If Q11 = 1)

14. In the past 12 months, with how many men have you had anal sex?

Please enter a number: _____________

77777[ ]Refused

99999[ ]Don’t Know

Protocol Name from Source:

National Health and Nutrition Examination Survey (NHANES) Sexual Behavior Module

Availability:

Publicly available

Personnel and Training Required

The interviewer must be trained to conduct personal interviews with individuals from the general population. The interviewer must be trained and found to be competent (i.e., tested by an expert) at the completion of personal interviews. The interviewer should be trained to prompt participants further if a "don’t know" response is provided.

Equipment Needs

If a computer-assisted instrument is used, computer software may be necessary to develop the instrument. The interviewer will require a laptop computer/handheld computer to administer a computer-assisted questionnaire.

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self-administered questionnaire

Life Stage:

Adolescent, Adult

Participants:

14-69 years of age

Selection Rationale

This instrument was chosen based on its comprehensive nature and use of lay language.

Language

English

Standards
StandardNameIDSource
Common Data Elements (CDE) Female Risk Sex Behavior Questionnaire Assessment Description Text 5746943 CDE Browser
Human Phenotype Ontology Inappropriate sexual behavior HP:0008768 HPO
Human Phenotype Ontology Risk taking HP:0031472 HPO
Derived Variables

None

Process and Review

The Expert Review Panel #5 (ERP 5) reviewed the measures in the Reproductive Health domain.

Guidance from ERP 5 includes:

· Added a new measure

· New Data Dictionary

Source

Centers for Disease Control and Prevention (CDC). (2011). 2011-2012 National Health and Nutrition Examination Survey (NHANES), Sexual Behavior Questionnaire. https://www.cdc.gov/nchs/data/nhanes/nhanes_11_12/sxq_acasi.pdf.

Certification for the Spanish translation can be found here.

General References

Chaturvedi, A. K., Graubard, B. I., Broutian, T., Pickard, R. K., Tong, Z. Y., Xiao, W., Kahle, L., Gillison, M. L. (2015). NHANES 2009-2012 Findings: Association of Sexual Behaviors with Higher Prevalence of Oral Oncogenic Human Papillomavirus Infections in U.S. Men. Cancer Res, 75(12): 2468-2477.

Liu, G., Hariri, S., Bradley, H., Gottlieb, S. L., Leichliter, J. S., Markowitz, L. E. (2015). Trends and Patterns of Sexual Behaviors Among Adolescents and Adults Aged 14 to 59 Years, United States. Sexually Transmitted Diseases, 42(1): 20-26.

Mirzaei, M., Ahmadi, K., Saadat, S.-H., & Ramezani, M. A. (2016). Instruments of high risk sexual behavior assessment: A systematic review. Materia Socio-Medica, 28(1), 46-50.

Protocol ID:

101701

Variables:
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX101701_Sexual_Risk_Behavior_Male_Anal_Sex
PX101701040000 Have you ever had anal sex with a woman? more
This means contact between your penis and a woman's anus or butt. show less
N/A
PX101701_Sexual_Risk_Behavior_Male_Anal_Sex_Past_Year_Men_Number
PX101701140100 In the past 12 months, with how many men more
have you had anal sex? show less
N/A
PX101701_Sexual_Risk_Behavior_Male_Anal_Sex_Past_Year_Men_Number_Encoded
PX101701140200 In the past 12 months, with how many men more
have you had anal sex? show less
N/A
PX101701_Sexual_Risk_Behavior_Male_Any_Sex
PX101701010000 Have you ever had any kind of sex N/A
PX101701_Sexual_Risk_Behavior_Male_Any_Sex_First_Time_Age
PX101701050100 How old were you the first time you had any more
kind of sex, including {vaginal, anal, or oral/vaginal or anal/vaginal or oral/anal or oral/vaginal/anal/oral}? show less
N/A
PX101701_Sexual_Risk_Behavior_Male_Any_Sex_First_Time_Age_Encoded
PX101701050200 How old were you the first time you had any more
kind of sex, including {vaginal, anal, or oral/vaginal or anal/vaginal or oral/anal or oral/vaginal/anal/oral}? show less
N/A
PX101701_Sexual_Risk_Behavior_Male_Any_Sex_Lifetime_Women_Number
PX101701060100 In yourÔøΩlifetime, w more
th how manyÔøΩwomenÔøΩhave you hadÔøΩanyÔøΩkind of sex? show less
N/A
PX101701_Sexual_Risk_Behavior_Male_Any_Sex_Lifetime_Women_Number_Encoded
PX101701060200 In yourÔøΩlifetime, w more
th how manyÔøΩwomenÔøΩhave you hadÔøΩanyÔøΩkind of sex? show less
N/A
PX101701_Sexual_Risk_Behavior_Male_Any_Sex_Man
PX101701110000 Have more
youÔøΩeverÔøΩhadÔøΩanyÔøΩkind of sex with a man, including oral or anal? show less
N/A
PX101701_Sexual_Risk_Behavior_Male_Any_Sex_Past_Year_Women_Number
PX101701070100 ÔøΩIn theÔ more
¸Î©past 12 months, with how manyÔøΩwomenÔøΩhave you hadÔøΩanyÔøΩkind of sex? show less
N/A
PX101701_Sexual_Risk_Behavior_Male_Any_Sex_Past_Year_Women_Number_Encoded
PX101701070200 ÔøΩIn theÔ more
¸Î©past 12 months, with how manyÔøΩwomenÔøΩhave you hadÔøΩanyÔøΩkind of sex? show less
N/A
PX101701_Sexual_Risk_Behavior_Male_Oral_Sex
PX101701030000 Have you ever performed oral sex on a woman? more
This means putting your mouth on a woman's vagina or genitals. show less
N/A
PX101701_Sexual_Risk_Behavior_Male_Oral_Sex_Lifetime_Men_Number
PX101701130100 InÔøΩyour lifetime, more
on how manyÔøΩmenÔøΩhave youÔøΩperformed oral sex? show less
N/A
PX101701_Sexual_Risk_Behavior_Male_Oral_Sex_Lifetime_Men_Number_Encoded
PX101701130200 InÔøΩyour lifetime, more
on how manyÔøΩmenÔøΩhave youÔøΩperformed oral sex? show less
N/A
PX101701_Sexual_Risk_Behavior_Male_Oral_Sex_Man
PX101701120000 Have you ever performed oral sex on a man? more
Performing oral sex means your mouth on a man's penis or genitals. show less
N/A
PX101701_Sexual_Risk_Behavior_Male_Vaginal_Anal_Sex_Past_Year_Without_Condom_Frequency
PX101701100000 In theÔøΩpast 12 months, ab more
ut how often have you had [vaginal or anal/vaginal/anal] sex without using a condom? show less
N/A
PX101701_Sexual_Risk_Behavior_Male_Vaginal_Sex
PX101701020000 Have you ever had vaginal sex, also called more
sexual intercourse, with a woman? This means putting your penis in a woman's vagina. show less
N/A
PX101701_Sexual_Risk_Behavior_Male_Vaginal_Sex_Lifetime_Women_Number
PX101701080100 InÔøΩyour lifetime, w more
th how manyÔøΩwomenÔøΩhave you hadÔøΩvaginal sex? Vaginal sex means your penis in woman's vagina. show less
N/A
PX101701_Sexual_Risk_Behavior_Male_Vaginal_Sex_Lifetime_Women_Number_Encoded
PX101701080200 InÔøΩyour lifetime, w more
th how manyÔøΩwomenÔøΩhave you hadÔøΩvaginal sex? Vaginal sex means your penis in woman's vagina. show less
N/A
PX101701_Sexual_Risk_Behavior_Male_Vaginal_Sex_Past_Year_Women_Number
PX101701090100 In theÔøΩpast 12 months, w more
th how manyÔøΩwomenÔøΩhave you hadÔøΩvaginal sex? Vaginal sex means your penis in a woman's vagina. show less
N/A
PX101701_Sexual_Risk_Behavior_Male_Vaginal_Sex_Past_Year_Women_Number_Encoded
PX101701090200 In theÔøΩpast 12 months, w more
th how manyÔøΩwomenÔøΩhave you hadÔøΩvaginal sex? Vaginal sex means your penis in a woman's vagina. show less
N/A
Reproductive Health
Measure Name:

Sexual Risk Behavior

Release Date:

April 11, 2017

Definition

The purpose of these questions is to ascertain the participants’ risk of sexually transmitted infection.

Purpose

The purpose of these questions is to assess participants’ risk of sexually transmitted infection. Chromosomal differences may affect sexual behavior and orientation and may be differentially expressed as a result of environmental factors (e.g., endocrine disruptors).

Keywords

Reproductive health, contraceptive use, sexual history, sexual preference, sexual orientation, intercourse, National Health and Nutrition Examination Survey, NHANES