Demographics SAHARA BASELINE SURVEY PREP1. Please enter the respondent s Identification Number? PREP2. Print the first letter of respondent s first name? PREP3. Print the first letter of respondent s last name? PREP4. Please enter respondent s date of birth? / / mm / dd / yyyy PREP5. Please enter respondent s age? If PREP5 is greater than 29 or less than 21 then the respondent is ineligible at this time. Please review the numbers you entered. Thanks!" skip to PREP4. PREP6. Welcome to SAHARA! &START INTERVIEW Refuse to Answer
Demographics Demographics Welcome to SAHARA: Sistas Accessing HIV/AIDS Resources at a Click You are being asked to complete a survey about your feelings, beliefs, behaviors, and relationships with people. The reason we are doing this survey is to help us make better health programs for young women. Some of the questions are very personal, but to learn about what young women like yourself REALLY think and feel we need you to answer these questions honestly. There are NO right or wrong answers, we simply want your opinion. Your answers will be kept confidential. The first questions are about you and your background. DEM1. What is the last grade that you completed in school? (Choose only one) 1 8th grade or less 2 9th grade (freshman) 3 10th grade (sophomore) 4 11th grade (junior) 5 Graduated high school 6 1st year of college or university 7 2nd year of college or university 8 3rd year of college or university 9 Graduated 4 years of college or university 10 Completed postgraduate masters or doctoral degree 11 Other If DEM1 is not equal to 99, then skip to DEM2. DEM1_O. Please type in the last level of school that you completed. DEM2. Who do you live with? (Choose only one) 1 I live with my boyfriend 2 I live alone 3 With my father and mother 4 With my mother 5 With my father 6 With another relative 7 With roommate 8 I live with my girlfriend 9 Other If DEM2 is not equal to 99, then skip to DEM3.
Demographics DEM2_O. Please type in who you live with. DEM3. DEM4. What is your zip code? In the past 12 months, did you or anyone you live with receive any money or services from any of the following? (Check all that apply or check no if none apply) 1 Welfare (including TANF (Temporary Assistance to Needy Families) or SSI) 2 Food Stamps 3 WIC (Women, Infants, and Children) 4 Section 8 housing (or other housing subsidies) 5 No If DEM4_N is equal to 1 and DEM4 is greater than 1 then If you have received money or services from any of the agencies listed, please select them. If you have not received money or services from any of the agencies listed, please select NO. Thank you! Skip to DEM4. DEM5. DEM6. DEM7. DEM8. Do you have a job for which you are paid? 1 Yes If No, Skip to DEM8 How many hours per week do you usually work at a paid job? hours per week How much do you make per hour?. $ per hour Where do you get most of your spending money? (Choose one) 1 Job (employment) 2 Allowance from Parent(s) 3 Public assistance (TANF, WIC, or SSI) 4 Boyfriend 5 School financial aid 6 Other If DEM8 is not equal to 99, then skip to DEM9. DEM8_O. Please type in where you get most of your spending money.
SEX LIFE SEX LIFE The next few questions ask about your sex life. We realize that some of these questions are very personal; however, please keep in mind that all of your answers are kept completely confidential. Your honest responses will help us in making better health programs for African American women. These questions talk about vaginal sex. Vaginal sex is when a man puts his penis in your vagina. SEX1. SEX2. Do you use any type of method to prevent STDs or pregnancy when you have vaginal sex? 1 Yes The very last time you had vaginal sex with a male partner, what type(s) of protection did you use? (Check all that apply) 1 Male condom 2 Female condom 3 Withdrawal 4 Spermicidal Foam 5 Depo Provera/Norplant 6 OrthoEvra (The Patch) 7 NuvaRing 8 No Protection 9 Other SEX2_O. Please type in what protection you used. SEX3. In general how old are the people you have sex with, are they...? (Choose one) 1 Much younger than you (5 or more years) 2 Younger than you (2-4 years) 3 About the same age 4 Older than you (2-4 years) 5 Much older than you (5 or more years) SEX4. SEX5. In the past year (12 months), how many men have you had vaginal sex with? In the past 3 months, how many men have you had vaginal sex with? If SEX5 is greater than SEX4 then The number of men you've had sex with in the past 6 months (&[SEX5]) is greater than the number of guys you've had sex with in the past year (&[SEX4]). Please review the numbers you entered. Thanks!" skip to SEX4.
SEX LIFE PARTNER INFORMATION (MAIN PARTNER) The next few questions ask about your main partner. Your main partner may be a boyfriend, a current partner that you have a sexual relationship with or someone you have a special or committed relationship with. MP1. MP2. MP3. MP4. MP5. MP6. Do you have a main partner? 1 Yes Skip to MP18 How old is your main partner? years How long have you been in this relationship? months Does your main partner work? 1 Yes Skip to MP7 In the past 3 months, how much on average has your main partner paid for your housing expenses (i.e. rent, food, electricity, phone, and all other living expenses, not including drugs)? (Choose one) 1 Partner pays all or almost all of the expenses 2 Partner pays for more than half of the expenses 3 Partner pays about half of the expenses 4 Partner pays less than half of the expenses 5 Partner pays none or almost none of the expenses Does your main partner make more money than you? 1 Yes 88 Don t know Now I am going to ask you about having vaginal sex with your main partner. Remember, vaginal sex is when a man puts his penis in your vagina. It is often hard to remember what has happened over a month ago, so I want you to think back about your sexual activity over the past two weeks. Use this time frame as an estimate for the questions in this section. For example, if you and your partner had sex two times in the past two weeks, then you would estimate that in the past three months you and your partner had sex about 12 times. Use the calendar at your computer to help you remember. MP7. In the past 3 months, how many times have you had vaginal sex with your main partner? zero Skip to instruction before MP13
SEX LIFE MP8. In the past 3 months, how many times did you use a condom during vaginal sex with your main partner? If MP8 is greater than MP7 then The number of times you used a male condom during vaginal sex in the past 3 months (&[MP8]) is greater than the number of times you had vaginal sex in the past 3 months (&[MP7]). Please review the numbers you entered. Thanks!" skip to MP7. MP9. In the past 30 days, how many times have you had vaginal sex with your main partner? zero Skip to MP11 If MP9 is greater than MP7 then The number of times you had vaginal sex in the past 30 days (&[MP9]) is greater than the number of times you had vaginal sex in the past 3 months (&[MP7]). Please review the numbers you entered. Thanks!" skip to MP7. MP10. In the past 30 days, how many times did you use a condom during vaginal sex with your main partner? If MP10 is greater than MP9 then The number of times you used a condom during vaginal sex in the past 30 days (&[MP10]) is greater than the number of times you had vaginal sex in the past 30 days (&[MP9]). Please review the numbers you entered. Thanks!" skip to MP9. MP11. The last time you had vaginal sex with your main partner, did you use a condom? 1 Yes MP12. When you have vaginal sex with your main partner, how often do you put the condom on him? (Choose one) 1 Everytime 2 Most of the time 3 Half of the time 4 Once in a while 5 Never The next questions are about having oral sex with your main partner. Oral sex is when you put your mouth on your partner s penis or he puts his mouth on your vagina. MP13. How many times in the last 3 months have you given your main partner a "blow job" (i.e. put your mouth on your main partner's penis)? If MP13 is equal to 0, then skip to instruction before MP16. MP14. In the past 3 months when you have given your main partner a "blow job" (i.e. put your mouth on your main partner's penis) how many times did you use a condom? If MP14 is greater than MP13 then The number of times you used a condom in the past 3 months (&[MP14]) is greater than the total number of times you gave your main partner a "blow job" in the past three months (&[MP13]). Please review the numbers you entered. Thanks!" Skip to MP13.
MP15. SEX LIFE How many times in the last 30 days have you given your main partner a "blow job" (i.e. put your mouth on your main partner's penis)? If MP15 is greater than MP13 then The number of times you gave your main partner a "blow job" the past 30 days (&[MP15]) is greater than the total number of times you gave your main partner a "blow job" in the past 3 months (&[MP13]). Please review the numbers you entered. Thanks!" skip to MP13. MP18. MP19. In the past 3 months, how many times have you stimulated yourself sexually (or masturbated) to have an orgasm? In the past 30 days, how many times have you stimulated yourself sexually (or masturbated) to have an orgasm? If MP19 is greater than MP18 then The number of times you stimulated yourself sexually the past 30 days (&[MP19]) is greater than the total number of times you stimulated yourself sexually in the past 3 months (&[MP18]). Please review the numbers you entered. Thanks!" skip to MP18. Congratulations you are doing well. Please feel free to lift your eyes from the screen for a bit, stretch or ask for something to drink. We would like you to be as comfortable as possible when answering these questions. Please select "Next Question" when you are ready to continue
CONTROL CONTROL The following questions are about how much control you feel you have in your relationship with your main partner. There are no right or wrong answers. We are interested in having your honest opinion about these issues. If you do not have a main partner, think of a current sex partner when answering these questions. CON1. How much control do you have over... whether or not your main partner uses a condom during vaginal sex? 1 No control 2 A little control 3 Some control 4 Total control CON2. How much control do you have over... giving your main partner a blow job? 1 No control 2 A little control 3 Some control 4 Total control CON3. How much control do you have over... whether or not your main partner uses a condom when you give him a blow job? 1 No control 2 A little control 3 Some control 4 Total control CON4. How much control do you have over... giving your main partner a hand job? 1 No control 2 A little control 3 Some control 4 Total control CON5. How much control do you have over... telling your main partner that a condom must be used when you have sex? 1 No control 2 A little control 3 Some control 4 Total control
CONTROL CON6. How much control do you have over... refusing sex if your main partner does not want to use a condom during vaginal sex? 1 No control 2 A little control 3 Some control 4 Total control CON7. CON8. How much control do you have over... refusing sex if your main partner does not want to use a condom during oral sex (i.e. when you give him a blow job)? How much control do you have over... 1 No control 2 A little control 3 Some control 4 Total control whether or not your partner gets tested for STDs? 1 No control 2 A little control 3 Some control 4 Total control CON9. How much control do you have over... not having sex until you know that your partner does not have an STD? 1 No control 2 A little control 3 Some control 4 Total control
Peer Norms Peer Norms The following statements are about what you think other African-American women 18-29 years old who are in a sexual relationship are doing about condoms, sex, pregnancy, etc. For each statement, say how many women out of 10 you think... Example: Out of 10 women my age I think, 8 have a boyfriend. (number of women) PN1. PN2. PN3. PN4. PN5. PN6. PN7. PN8. PN9. Out of 10 women my age I think, women have given their main partner a blow job in the past month. # of women Out of 10 women my age I think, women have given their main partner a hand job in the past month. # of women Out of 10 women my age I think, women have asked their main partner to use a condom in the past month. # of women Out of 10 women my age I think, women have asked their main partner to get tested for STDs. Out of 10 women my age I think, women have put a condom on their main partner. # of women # of women Out of 10 women my age I think, women feel comfortable stimulating themselves sexually (or masturbating) to have an orgasm. Out of 10 women my age I think, women feel comfortable touching their vagina. # of women # of women Out of 10 women my age I think, women would feel comfortable saying NO to a partner who did not want to use a condom during sex. # of women Out of 10 women my age I think, women would not have sex with their partner until they knew that their partner did not have a STD. # of women
SEXUAL RELATIONSHIPS Sexual Relationship Options The next questions ask about your thoughts and opinions regarding the availability of Black men for dating. SRO1. SRO2. SRO3. SRO4. SRO5. SRO6. SRO7. SRO8. SRO9. In the past 3 months, have you ever been attracted to a Black man but didn't want to start a sexual relationship with him because you thought (or knew) he: had a history of drug use. 1 Yes [In the past 3 months, have you ever been attracted to a Black man but didn't want to start a sexual relationship with him because you thought (or knew) he: had a history of being in jail, prison or a detention center. 1 Yes In the past 3 months, have you ever been attracted to a Black man but didn't want to start a sexual relationship with him because you thought (or knew) he: was attracted to men. 1 Yes In the past 3 months, have you ever been attracted to a Black man but didn't want to start a sexual relationship with him because you thought (or knew) he: would hit, swear, yell, or physically hurt you. 1 Yes In the past 3 months, have you ever been attracted to a Black man but didn't want to start a sexual relationship with him because you thought (or knew) he: would not be faithful to you. 1 Yes In the past 3 months, have you ever been attracted to a Black man but didn't want to start a sexual relationship with him because you thought (or knew) he: wanted to have kids (and you didn't). 1 Yes In the past 3 months, have you ever been attracted to a Black man but didn't want to start a sexual relationship with him because you thought (or knew) he: did not have plans to further his education. 1 Yes In the past 3 months, have you ever been attracted to a Black man but didn't want to start a sexual relationship with him because you thought (or knew) he: did not plan to get a "real job". 1 Yes In the past 3 months, have you ever been attracted to a Black man but didn't want to start a sexual relationship with him because you thought (or knew) he: was unemployed. 1 Yes
SEXUAL RELATIONSHIPS PARTNER INFORMATION (CASUAL PARTNER) The next few questions are about casual sex partner(s). A casual sex partner is someone other than your current boyfriend, someone that you may occasionally have sex with, but do NOT have a committed relationship. CP1. Have you had vaginal sex with someone other than your main partner in the past 3 months? 1 Yes Skip to CP13 Now I am going to ask you about having vaginal sex with your partners other than your main partner. Remember, vaginal sex is when a man puts his penis in your vagina. It is often hard to remember what has happened over a month ago, so I want you to think back about your sexual activity over the past two weeks. Use this time frame as an estimate for the questions in this section. For example, if you and your partner had sex two times in the past two weeks, then you would estimate that in the past three months you and your partner had sex about 12 times. Use the calendar at your computer to help you remember. CP2. In the past 3 months, how many times have you had vaginal sex with someone other than your main partner? CP3. In the past 3 months, how many times did you use a condom during vaginal sex with someone other than your main partner? If CP3is greater than CP2 then The number of times you used a male condom during vaginal sex with someone other than your main partner in the past 3 months (&[MP8]) is greater than the number of times you had vaginal sex with someone other than your main partner in the past 3 months (&[MP7]). Please review the numbers you entered. Thanks!" skip to CP2. CP4. In the past 30 days, how many times have you had vaginal sex with someone other than your main partner? zero Skip to CP6 If CP4 is greater than CP2 then The number of times you had vaginal sex with someone other than your main partner in the past 30 days (&[CP4]) is greater than the number of times you had vaginal sex with someone other than your main partner in the past 3 months (&[CP2]). Please review the numbers you entered. Thanks!" Skip to CP2. CP5. In the past 30 days, how many times did you use a condom during vaginal sex with someone other than your main partner?
SEXUAL RELATIONSHIPS If CP5 is greater than CP4 then The number of times you used a condom during vaginal sex with someone other than your main partner in the past 30 days (&[CP5]) is greater than the number of times you had vaginal sex with someone other than your main partner in the past 30 days (&[CP4]). Please review the numbers you entered. Thanks!" skip to CP4. CP6. The last time you had vaginal sex with someone other than your main partner, did you use a condom? 1 Yes CP7. When you have vaginal sex with someone other than your main partner, how often do you put the condom on him? (Choose one) 1 Everytime 2 Most of the time 3 Half of the time 4 Once in a while 5 Never The next questions are about having oral sex with someone other than your main partner. Oral sex is when you put your mouth on your partner s penis or he puts his mouth on your vagina. CP8. How many times in the last 3 months have you given someone other than your main partner a "blow job" (i.e. put your mouth on his penis)? If CP8 is equal to 0, then skip to instruction before CP11. CP9. In the past 3 months when you have given someone other than your main partner a "blow job" (i.e. put your mouth on his penis) how many times did you use a condom? If CP9 is greater than CP8 then the number of times you used a condom in the past 3 months (&[CP9]) is greater than the total number of times you gave someone other than your main partner a "blow job" in the past three months (&[CP8]). Please review the numbers you entered. Thanks!" Skip to CP8. CP10. How many times in the last 30 days have you given someone other than your main partner a "blow job" (i.e. put your mouth on his penis)? If CP10 is greater than CP8 then the number of times you gave someone other than your main partner a "blow job" the past 30 days (&[CP10]) is greater than the total number of times you gave someone other than your main partner a "blow job" in the past 3 months (&[CP8]). Please review the numbers you entered. Thanks!" skip to CP8. CP13. In the past 3 months, have you traded sex for drugs, money or shelter? 1 Yes
SEXUAL RELATIONSHIPS
STD KNOWLEDGE STD KNOWLEDGE The following statements are about sexually transmitted diseases or STDs. Please tell me if you think that they are true, false, or you don't know. STD1. STD2. STD3. STD4. STD5. STD6. STD7. STD8. African-American women 21-29 living in the south rarely get STDs. (Choose one) 1 True 0 False 88 Don't Know If your partner has an STD and you have sex with him, it is very likely that you will get the STD. (Choose one) 1 True 0 False 88 Don't Know Most of the time when a women has an STD she can tell. (Choose one) 1 True 0 False 88 Don't Know Having an STD can increase a person s risk of getting HIV. (Choose one) 1 True 0 False 88 Don't Know Only uneducated Black women are at risk of getting an STD. (Choose one) 1 True 0 False 88 Don't Know One type of STD, Human Papillomavirus (HPV), can increase a women's risk of cervical cancer. (Choose one) 1 True 0 False 88 Don't Know STDs can cause infertility, spontaneous abortions and still births. (Choose one) 1 True 0 False 88 Don't Know If a man pulls out before he ejaculates or cums, condoms don't need to be used to protect a woman from STDs. (Choose one) 1 True 0 False 88 Don't Know
STD KNOWLEDGE STD9. STD10. You can always tell when your male partner has an STD. (Choose one) 1 True 0 False 88 Refuse to Answer Douching increases a woman's chance of getting an STD. (Choose one) 1 True 0 False 88 Don't Know Condom Barriers The following statements are about condoms. Circle the number to indicate how much you agree or disagree with each statement. CB1. If I asked my partner to use a condom, he would think I don t trust him. 1 Strongly agree CB2. If I asked my partner to use a condom, he might get angry. 1 Strongly agree CB3. CB4. If I asked my partner to use a condom, he might think I'm putting him down or insulting him. 1 Strongly agree If I asked my partner to use a condom, he might get turned off or lose his erection (hard on). 1 Strongly agree
STD KNOWLEDGE CB5. Condoms feel unnatural. 1 Strongly agree CB6. Condoms interrupt the mood. 1 Strongly agree CB7. Condoms don't feel good. 1 Strongly agree CB8. Condoms change the climax or orgasm. 1 Strongly agree CB9. Masturbating is not natural for women to do. 1 Strongly agree CB10. Women who masturbate are dirty. 1 Strongly agree CB11. Most African-American women don't masturbate. 1 Strongly agree CB12. Masturbating oneself can be very pleasing. 1 Strongly agree
CB13. CB14. CB15. CB16. CB17. CB18. STD KNOWLEDGE If I masturbate my partner (i.e. give him a hand job) and refuse vaginal sex he will think that I am teasing him. 1 Strongly agree If I masturbate my partner (i.e. give him a hand job) he will think that I do not want to have sex with him. 1 Strongly agree If I masturbate my partner (i.e. give him a hand job) he will think that he can't satisfy me. 1 Strongly agree If I masturbate my partner (i.e. give him a hand job) he will think that he won't be as satisfied as if we were to have sex. 1 Strongly agree If I put my mouth on my partner's penis (i.e. give him a blow job) he may think that I sleep around. 1 Strongly agree If I put my mouth on my partner's penis (i.e. give him a blow job) he may think that he won't be able to ejaculate. 1 Strongly agree
CB19. CB20. CB21. CB22. CB23. CB24. STD KNOWLEDGE If I use a condom while putting my mouth on my partner's penis (i.e. give him a blow job) he may think that I don't trust him. 1 Strongly agree If I use a condom while putting my mouth on my partner's penis (i.e. give him a blow job) he may think that I think that I believe he has a STD. 1 Strongly agree If I ask my partner to get tested for STDs he may think that I gave him an STD. 1 Strongly agree If I ask my partner to get tested for STDs he may think that I cheated on him. 1 Strongly agree If I ask my partner to get tested for STDs he may think that I believe that he gave me an STD. 1 Strongly agree If I ask my partner to get tested for STDs he may think that I believe that I am too "dirty" to be intimate with. 1 Strongly agree
CONDOM SELF-EFFICACY CONDOM SELF-EFFICACY The next few questions are about using condoms. Even if you have never used condoms, think about how much of a problem it would be for you to do the following: CSE1. CSE2. CSE3. CSE4. CSE5. How much of a problem would it be for you to put a condom on a hard penis? 1 A lot 2 Some 3 A little 4 Not much 5 None How much of a problem would it be for you to unroll a condom down correctly on the first try? 1 A lot 2 Some 3 A little 4 Not much 5 None How much of a problem would it be for you to start over using a new condom if you placed it on the wrong way? 1 A lot 2 Some 3 A little 4 Not much 5 None How much of a problem would it be for you to unroll a condom fully to the base of a penis? 1 A lot 2 Some 3 A little 4 Not much 5 None How much of a problem would it be for you to squeeze air from the tip of a condom? 1 A lot 2 Some 3 A little 4 Not much 5 None
CSE6. CSE7. CSE8. CSE9. CONDOM SELF-EFFICACY How much of a problem would it be for you to take a condom off without spilling the semen? 1 A lot 2 Some 3 A little 4 Not much 5 None How much of a problem would it be for you to take a condom off before your partner loses his erection? 1 A lot 2 Some 3 A little 4 Not much 5 None How much of a problem would it be for you to dispose of a used condom? 1 A lot 2 Some 3 A little 4 Not much 5 None How much of a problem would it be for you to use a spermicide/lubricant with a condom? 1 A lot 2 Some 3 A little 4 Not much 5 None
COMMUNICATION FREQUENCY COMMUNICATION FREQUENCY The next set of questions asks about your communication with your main partner. If you do not have a main partner, please answer these questions thinking of a current casual sexual partner. CF1. CF2. CF3. CF4. CF5. CF6. CF7. CF8. CF9. CF10. CF11. During the past 3 months, how many times did you ask your main partner about getting tested for STDs? During the past 3 months, how many times did you ask your main partner to use a condom when he pressured you to not use a condom? During the past 3 months, how many times did you ask your main partner to use a condom immediately before you had sex? During the past 3 months, how many times did you ask your main partner if you should put the condom on him? During the past 3 months, how many times did you ask your main partner if he would like to have oral sex (i.e. a blow job)? During the past 3 months, how many times did you ask your main partner if he would use a condom during oral sex (i.e. a blow job)? During the past 3 months, how many times did you ask your main partner if he would like to have a hand job? During the past 3 months, how many times did you ask a partner if he was being faithful to you? During the past 3 months, how many times did you ask a partner if he would perform oral sex on you (i.e. go down on you)? During the past 3 months, how many times did you say NO to having sex with a partner who wanted to have unsafe sex? During the past 3 months, how many times did you say NO to having sex with a partner who was pressuring you to have sex?
CF12. COMMUNICATION FREQUENCY During the past 3 months, how many times did you say NO to having sex with a partner who refused to wear a condom?
RISKY PARTNERS RISKY PARTNERS Now I'm going to ask you some more questions about the men you have had sex with in the past 3 months. RP1. RP2. In the past 3 months, have you had vaginal sex with a guy who you know has just been released from a jail, prison, or detention center? 1 Yes 88 Don't Know In the past 3 months, have you had sex with someone you thought or suspected had an STD? 1 Yes RP3. In the past 3 months, have you had sex with someone you thought or suspected injected drugs? 1 Yes RP4. In the past 3 months, has your main partner had sex with other women? 1 Yes 88 Don't Know If RP4 is not equal to 1, then skip to instruction before DA1. RP5. If Yes, how many other women has he had sex with? Don't Know
Drug and Alcohol Use Drug and Alcohol Use The next few questions are about drug and alcohol use. DA1. How many times did you use marijuana in the past 30 days? # of Times DA2. How many times did you use Amphetamines (speed) in the past 30 days? # of Times DA2. How many times did you use Methamphetamines (Crystal Meth) in the past 30 days? # of Times DA3. How many times did you use Heroin (snorted) in the past 30 days? # of Times DA4. How many times did you use powder Cocaine (coke) in the past 30 days? # of Times DA5. How many times did you use Crack in the past 30 days? # of Times DA6. How many times did you use Ecstasy in the past 30 days? # of Times DA7. How many times did you use alcohol (beer, wine, or liquor) in the past 30 days? # of Times If DA7 is equal to 0, then skip to instruction before AH1. DA8. How many alcoholic drinks do you usually have at one time? # of drinks
Abuse History Abuse History The next few questions are about how you've been treated by your past and current sexual partners. AH1. Has a male sexual partner ever... threatened you, call you names, swore at you? 1 Yes AH2. Has a male sexual partner ever... hit, punch, kicked, slapped, pushed, yanked your hair or physically hurt you? 1 Yes AH3. Has a male sexual partner ever... made you have vaginal sex when you didn't want to? 1 Yes AH4. Has a male sexual partner ever... ever made you have anal sex when you didn't want to? 1 Yes AH5. In the past 3 months, has your current sexual partner ever... threatened you, call you names, swore at you? 1 Yes AH6. In the past 3 months, has your current sexual partner ever... hit, punch, kicked, slapped, pushed, yanked your hair or physically hurt you? 1 Yes AH7. In the past 3 months, has your current sexual partner ever... made you have vaginal sex when you didn't want to? 1 Yes AH8. In the past 3 months, has your current sexual partner ever... ever made you have anal sex when you didn't want to? 1 Yes
SELF ESTEEM The following statements are about how you feel about yourself. SE1. SE2. SE3. SE4. SE5. SE6. SE7. I feel that I'm a person of worth. 1 Always 2 Often 3 Sometimes 4 Never I feel that I have a number of good qualities. 1 Always 2 Often 3 Sometimes 4 Never I take a positive attitude towards myself as an African-American woman. 1 Always 2 Often 3 Sometimes 4 Never I feel that I do not have much to be proud of. 1 Always 2 Often 3 Sometimes 4 Never I love being an African-American woman. 1 Always 2 Often 3 Sometimes 4 Never On the whole, I am satisfied with myself. 1 Always 2 Often 3 Sometimes 4 Never I certainly feel useless at times. 1 Always 2 Often 3 Sometimes 4 Never
SE8. SE9. SE10. I wish I could have more respect for myself as an African-American woman. 1 Always 2 Often 3 Sometimes 4 Never I am able to do things as well as most other people. 1 Always 2 Often 3 Sometimes 4 Never I am a beautiful African-American woman on the inside and out. 1 Always 2 Often 3 Sometimes 4 Never
Internet Fluency The next section will ask about your use of the computer, email, and the Internet. Please read each question carefully before choosing the appropriate answer choice. CF1. On average, how many hours do you spend on the computer in a week? # of hours/week CF 2. How comfortable do you feel using computers, in general? 1 Very comfortable 2 Somewhat comfortable 3 Neither comfortable nor uncomfortable 4 Somewhat uncomfortable 5 Very uncomfortable The following questions are about a variety of computer, email and web-related tasks. Please let us know how well you feel that you can do the following: CF3. CF4. CF5. CF6. I can use a mouse 5 not at all I can type a document 5 not at all I can print a document. 5 not at all I can open a Web address directly. 5 not at all
CF7. CF8. CF9. I can use search engines such as Yahoo or Google. 5 not at all I can use save as when appropriate. I can use the reply and forward features for email. CF10. I can read new mail messages. CF11. I can delete read email. CF12. I can send an email message. CF13. I can save images off Web pages to a disk. CF14. I can open an email program. CF15 I can open a previously saved file from any drive/directory.
CF16. I can open a file attached to an email. CF17. I can restart a computer. CF18. I can use a browser such as Netscape or Explorer to navigate the World Wide Web. CF19. I can create a Website. CF20. I can switch a computer on. CF21. How long have you been using Internet (including using email, websites, etc.)? 0 1 2 3 4 5 Never used the internet (If 0, Skip to CF30) Less than 6 months 6 to 12 months 1 to 3 years 4 to 6 years 7 years or more How frequently do you access the internet from the following locations? CF22. From home? 1 Daily 2 Weekly 3 Monthly 4 Less than once a month 5 Never CF23. From work? 1 Daily 2 Weekly 3 Monthly
4 Less than once a month 5 Never CF24. From school? 1 Daily 2 Weekly 3 Monthly 4 Less than once a month 5 Never CF25. From public terminals? 1 Daily 2 Weekly 3 Monthly 4 Less than once a month 5 Never CF 26. From other locations? 1 Daily 2 Weekly 3 Monthly 4 Less than once a month 5 Never If CF26 is equal to 5, then skip to CF 27. CF26_0. Please type in the other locations that you have accessed the internet: CF 27. On average, how many hours a week do you use the internet? 1 0 to 1 hours/week 2 2 to 4 hours/week 3 5 to 6 hours/week 4 7 to 9 hours/week 5 10 to 20 hours/week 6 21 to 40 hours/week 7 Over 40 hours/week CF 28. What do you primarily use the internet for? (Please check all that apply.) 1 Education 2 Shopping/gathering product information 3 Entertainment 4 Work/Business 5 Communication with others (including email) 6 Gathering information for personal needs 7 Wasting time 8 Other CF 29. How comfortable to you feel using the Internet? 1 Very comfortable 2 Somewhat comfortable 3 Neither comfortable nor uncomfortable 4 Somewhat uncomfortable 5 Very uncomfortable
CF 30. How satisfied are you with your current skills for using the Internet? 1 2 3 4 5 Very satisfied I can do everything that I want to do Somewhat satisfied I can do most things I want to do Neither satisfied nor unsatisfied Somewhat unsatisfied I can t so many things I would like to do Very unsatisfied I can t do most things I would like to do You have reached the end of the SAHARA survey. Thank You for your participation. Please call the interviewer for assistance.