HIV Risk Behavior Assessment

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HIV RISK BEHAVIOR ASSESSMENT
Men Who Have Sex with Men (MSM)

In the past 6 months:

•  Have you had sex with men, women, or both?

º  If men or both sexes: How many men have you had sex with?

•  How many times did you have receptive anal sex with a man who was not wearing a condom?

•  How many of your male sex partners were HIV-positive?

º  If any positive: With these HIV-positive male partners, how many times did you have insertive anal sex without wearing a condom?

•  Have you used methamphetamines (eg, crystal or speed)?

Heterosexually Active Men and Women

In the past 6 months:

•  Have you had sex with men, women, or both?

º  If opposite sex or both sexes: How many men/women have you had sex with?

•  How many times did you have vaginal or anal sex when neither you nor your partner wore a condom?

•  How many of your sex partners were HIV-positive?

º  If any positive: With these HIV-positive partners, how many times did you have vaginal or anal sex without a condom?

Injection Drug Users

•  Have you ever injected drugs that were not prescribed to you by a clinician?

º  If yes: When did you last inject unprescribed drugs?

In the past 6 months:

•  Have you injected by using needles, syringes, or other drug preparation equipment that had already been used by another person?

•  Have you been in a methadone or other medication-based drug treatment program?

REFERENCES

Centers for Disease Control and Prevention: US Public Health Service. Preexposure Prophylaxis for the Prevention of HIV Infection in the United States - 2017 Update: A Clinical Practice Guideline. https://www.cdc.gov/hiv/pdf/guidelines/cdc-hiv-prep-guidelines-2017.pdf. Published March 2018. Accessed April 19, 2018.

(Rev. 4/2018)

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