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aids
[p. 205]

Section AI -- AIDS KNOWLEDGE AND ATTITUDES


HAND CARD A. Read categories if telephone interview.
CARD A

1. Heart Disease
2. AIDS
3. Diabetes
4. Cancer

1. Of these four diseases, which ONE do you think is the country's most serious health problem?

1 [] Heart disease
2 [] AIDS
3 [] Diabetes
4 [] Cancer
9 [] DK

These next questions are asked to determine what people know about AIDS or the AIDS virus, also called Acquired Immunodeficiency Syndrome.


2. How much would you say you know about AIDS -- a lot, some, a little, or nothing?

1 [] A lot
2 [] Some
3 [] A little
4 [] Nothing


3. In the past month, have you -


a. seen any Public Service Announcements about AIDS on television?

1 [] Yes
2 [] No
9 [] DK




b. heard any Public Service Announcements about AIDS on radio?

1 [] Yes
2 [] No
9 [] DK




c. received any information about AIDS from brochures distributed at your workplace?

1 [] Yes
2 [] No
9 [] DK




d. received any information about AIDS from brochures distributed at a church or religious organization?

1 [] Yes
2 [] No
9 [] DK




e. received any information about AIDS form the American Red Cross?

1 [] Yes
2 [] No
9 [] DK


4a. DO YOU THINK that people with AIDS or the AIDS virus are denied their rights?

1 [] Yes (4b)
2 [] No (5)
9 [] DK (5)


b. In what way do you think they are denied their rights?
Mark (X) all that apply.

01 [] Cannot live anywhere they wish
02 [] Cannot get health insurance coverage
03 [] Cannot get life insurance
04 [] Cannot get jobs
05 [] Fired from jobs
06 [] Job discrimination
07 [] Cannot get health care
98 [] Other - Specify - ____


c. DO YOU THINK people with AIDS or the AIDS virus are denied their rights more, less, or about the same NOW as they were five years ago?

1 [] More
2 [] Same
3 [] Less
9 [] DK

[p. 206]

Section AI -- AIDS KNOWLEDGE AND ATTITUDES -- Continued


5. DO YOU THINK that doctors, nurses, dentists, and other health care workers should be allowed to REFUSE care to a person infected with the AIDS virus?

1 [] Yes
2 [] No
3 [] It depends - Specify - ____
9 [] DK


6. Have you ever heard the AIDS virus called by the name "HIV"?

1 [] Yes
2 [] No
9 [] DK


7. I'm going to read some statements about AIDS. After I read each, tell me whether you think the statement is true or false or you don't know.


a. A man with the AIDS virus can pass it on to another man through sexual intercourse.

1 [] True
2 [] False
9 [] Don't know




b. The AIDS virus can be passed on through sexual intercourse between a man and a woman.

1 [] True
2 [] False
9 [] Don't know




c. A pregnant woman who has the AIDS virus can give it to her baby.

1 [] True
2 [] False
9 [] Don't know




d. A person who has the AIDS virus can look well and healthy.

1 [] True
2 [] False
9 [] Don't know




e. There is a vaccine available to the public that protects a person from getting the AIDS virus.

1 [] True
2 [] False
9 [] Don't know


HAND CARD B. Read introduction if telephone interview.
CARD B
1. Very likely
2. Somewhat likely
3. Somewhat unlikely
4. Very unlikely
5. Definitely not possible

8. (For the next statements, tell me if you think it is very likely, somewhat likely, somewhat unlikely, very unlikely, definitely not possible, or if you don't know how likely it is that a person will get the AIDS virus infection that way.)

(Now look at Card B.) In general, how likely do you think it is that a person will get the AIDS or the AIDS virus from --


a. getting a blood transfusion, that is, receiving blood donated by someone else?

1 [] Very likely
2 [] Somewhat likely
3 [] Somewhat unlikely
4 [] Very unlikely
5 [] Def. not possible
9 [] Don't know




b. working near or with someone with the AIDS virus?

1 [] Very likely
2 [] Somewhat likely
3 [] Somewhat unlikely
4 [] Very unlikely
5 [] Def. not possible
9 [] Don't know




c. sharing plates, forks, or glasses with someone who has the AIDS virus?

1 [] Very likely
2 [] Somewhat likely
3 [] Somewhat unlikely
4 [] Very unlikely
5 [] Def. not possible
9 [] Don't know




d. sharing needles for drug use for someone who has the AIDS virus?

1 [] Very likely
2 [] Somewhat likely
3 [] Somewhat unlikely
4 [] Very unlikely
5 [] Def. not possible
9 [] Don't know




e. using public toilets?

1 [] Very likely
2 [] Somewhat likely
3 [] Somewhat unlikely
4 [] Very unlikely
5 [] Def. not possible
9 [] Don't know




f. being coughed or sneezed on by someone who has the AIDS virus?

1 [] Very likely
2 [] Somewhat likely
3 [] Somewhat unlikely
4 [] Very unlikely
5 [] Def. not possible
9 [] Don't know




g. attending school with a child who has the AIDS virus?

1 [] Very likely
2 [] Somewhat likely
3 [] Somewhat unlikely
4 [] Very unlikely
5 [] Def. not possible
9 [] Don't know




h. being cared for by a nurse, doctor, dentist, or other health-care worker who has the AIDS virus?

1 [] Very likely
2 [] Somewhat likely
3 [] Somewhat unlikely
4 [] Very unlikely
5 [] Def. not possible
9 [] Don't know

[p. 207]

Section AI -- AIDS KNOWLEDGE AND ATTRIBUTES -- Continued

9. Do you have any children aged 10 through 17?

1 [] Yes (10)
2 [] No (12)


10. Have you ever discussed AIDS with any of your children aged 10 through 17?

1 [] Yes
2 [] No


11. Have any of these children had instruction at school about AIDS?

1 [] Yes
2 [] No
9 [] DK

Now, I am going to ask some questions about giving blood donations to a blood bank, like the American Red Cross. This does NOT include blood drawn at a doctor's office for laboratory analysis.


12. How likely is it that a person will get the AIDS virus WHILE GIVING OR DONATING BLOOD to a blood bank? Would you say very likely, somewhat likely, or not at all likely?

1 [] Very likely
2 [] Somewhat likely
3 [] Not at all likely
9 [] DK


13. Have you ever given or donated blood?

1 [] Yes (14a)
2 [] No (14c)
9 [] DK (14c)


14a. Have you donated blood since March 1985?

1 [] Yes (14b)
2 [] No (14c)
9 [] DK (14c)


b. In what month and year did you last donate?

Month ____
Year 19____


c. Do you expect to donate blood in the next 12 months?

1 [] Yes
2 [] No
9 [] DK

The next questions are about the blood test for the AIDS virus infection. No questions will ask what the results are of any tests you may have had.


15. To the best of the your knowledge, are blood donations to a blood bank routinely tested for the AIDS virus infection?

1 [] Yes
2 [] No
9 [] DK


16. (Except for tests you may have had as part of blood donations,) Have you ever had your blood tested for the AIDS virus infection?

1 [] Yes (17)
2 [] No (28)
9 [] DK (28)


17a. How many times, in total, have you had your blood tested for the AIDS virus infection, (NOT including blood donations)?

01 [] One time (17b)
____ (Number) Times (17c)
99 [] DK (17c)


b. Was it in the past 12 months?

1 [] Yes (18)
2 [] No (18)
9 [] DK (18)


c. In the past 12 months, how many times have you had your blood tested for the AIDS virus infection?

00 [] None in past 12 months
____ (Number) Times in past 12 months
99 [] DK


18. In what month and year was your (last) blood test for the AIDS virus infection?

Month ____
Year 19____

[p. 208]

Section AI -- AIDS KNOWLEDGE AND ATTITUDES -- Continued


HAND CARD C. Read categories if telephone interview.
CARD C

01. Just to find out if you were infected
02. For hospitalization or a surgical procedure
03. To apply for health insurance
04. To apply for life insurance
05. To comply with guidelines for health workers
06. To comply with regulations for other type(s) of work
07. To apply for a new job
08. For military induction or military service
09. For immigration
10. Because a doctor asked you to
11. Because the Health Dept. asked you to
12. Because a sex partner asked you to
13. Because it was part of the blood donation process
98. For some other reason (Please specify the other reason or reasons)

19. Which of these would you say were the reasons for your (last) AIDS blood test (NOT including blood donations)? (Just tell me the numbers of your answers.)
(Anything else?)
Mark (X) each that applies.

01 [] Just to find out if you were infected
02 [] For hospitalization or a surgical procedure
03 [] To apply for health insurance
04 [] To apply for life insurance
05 [] To comply with guidelines for health workers
06 [] To comply with regulations for other type(s) of work
07 [] To apply for a new job
08 [] For military induction or military service
09 [] For immigration
10 [] Because a doctor asked you to
11 [] Because the Health Dept. asked you to
12 [] Because a sex partner asked you to
13 [] Because it was part of the blood donation process
98 [] For some other reason -- Specify -- ____
97 [] Refused
99 [] DK


20. (Not including a blood donation) Where did you have your (last) blood test for the AIDS virus?
Mark (X) only one.

01 [] AIDS clinic/counseling/testing site
02 [] Community health clinic
03 [] Clinic run by employer
04 [] Doctor/HMO
05 [] Hospital/emergency room/outpatient clinic
06 [] STD clinic
07 [] Family planning/prenatal clinic
08 [] Other public clinic
09 [] Other clinic
10 [] Drug treatment/detox facility
11 [] Military induction or military service site
12 [] Immigration site
13 [] At home/home visit by nurse/health worker
98 [] Other location -- Specify -- ____
99 [] DK

The next questions concern COUNSELING about the AIDS virus infection, that is, discussing transmission, prevention or treatment of AIDS virus infection or the meaning of the test.


21. Again not including blood donations, did you receive any counseling AT THE TIME they drew blood for your (last) test for the AIDS virus infection?

1 [] Yes
2 [] No
9 [] DK


22. Did you get the results of your (last) blood test?

1 [] Yes (24)
2 [] No (23)
9 [] DK (23)


23. Was this because you decided you didn't want the results or was it because you were unable to GET the results?
Mark (X) all that apply.

1 [] Didn't want results (28)
2 [] Unable to get results (28)
3 [] They give results only if you're positive (28)
8 [] Other -- Specify -- ____ (28)
9 [] DK (28)


24. How long did you wait to get the results?

____ (Number)
1 [] Days
2 [] Weeks
3 [] Months
99 [] DK

[p. 209]

Section AI -- AIDS KNOWLEDGE AND ATTITUDES -- Continued


25a. Did you also receive any counseling about the AIDS virus when you received the results of your (last) test?

1 [] Yes (25b)
2 [] No (26)
9 [] DK (26)


HAND CARD D. Read categories if telephone interview.
CARD D

01. How AIDS is transmitted
02. How to prevent transmission
03. The correct use of condoms
04. Needle cleaning/using clean needles
05. Needle sharing
06. Abstinence from sex
07. Contraception
08. Safe sex practices
98. Other (Please specify what other topics)

b. What kind of topics were covered in the counseling?
(Anything else?)
Mark (X) each that applies.

01 [] How AIDS is transmitted
02 [] How to prevent transmission
03 [] The correct use of condoms
04 [] Needle cleaning/using clean needles
05 [] Needle sharing
06 [] Abstinence form sex
07 [] Contraception
08 [] Safe sex practices
98 [] Other -- Specify -- ____
99 [] DK/Don't remember


26. Were the results given to you in person, by telephone, by mail, or in some other way?
Mark (X) only one.

1 [] In person
2 [] By telephone
3 [] By mail
8 [] In some other way


27a. Did you tell ANYONE the results of your (last) test for the AIDS virus infection?

1 [] Yes (27b)
2 [] No (28)
9 [] DK (28)


HAND CARD E. Read categories if telephone interview.
CARD E

0. Spouse
1. Fiancée
2. Sex partner other than spouse or fiancée
3. Health professional
4. Friend
5. Clergy/minister/pastor/priest/rabbi
6. Employer
7. Other relative
8. Other (Please specify what other person)

b. To whom did you tell the results?
(Anyone else?)
Mark (X) each that applies.

0 [] Spouse
1 [] Fiancée
2 [] Sex partner, other than spouse or fiancée
3 [] Health professional
4 [] Friend
5 [] Clergy/minister/pastor/priest/rabbi
6 [] Employer
7 [] Other relative
8 [] Other - Specify - ____
9 [] DK/Refused


28. Do you expect to have (a/another) blood test for the AIDS virus infection in the next 12 months, not including through blood donation?

1 [] Yes (29)
2 [] No (31)
9 [] DK (31)


HAND CARD F. Read intro and categories if telephone interview.
CARD F

01. Because you want to find out if you are infected
02. It will be part of hospitalization or surgery you expect to have
03. Because you expect to apply for life or health insurance
04. Because you expect to apply for a job
05. Because you expect to join the military
06. Because of guidelines for health care workers
07. Because it will be a required part of some other activity that includes automatic AIDS testing
08. Because it is required in your non-health care employment
98. Some other reason (Please specify what other reason or reasons)

29. (I'm going to read some reasons people might have the blood test for the AIDS virus infection.)
Tell me which of these statements explain WHY YOU expect to have the blood test in the next 12 months.
(Anything else?)
Mark (X) each that applies.

01 [] Because you want to find out if you are infected
02 [] Because it will be part of hospitalization or surgery you expect to have
03 [] Because you expect to apply for life or health insurance
04 [] Because you expect to apply for a job
05 [] Because you expect ot join the military
06 [] Because of guidelines for health care workers
07 [] Because it will be a required part of some other activity that includes automatic AIDS testing
08 [] Because it is required in your non-health care employment
98 [] For some other reason -- Specify -- ____
99 [] DK/Refused

[p. 210]

Section AI -- AIDS KNOWLEDGE AND ATTITUDES -- Continued


30. Where will you have a blood test for the AIDS virus infection?
Mark (X) only one.

01 [] AIDS clinic/counseling/testing site
02 [] Community Health Clinic
03 [] Clinic run by employer
04 [] Doctor/HMO
05 [] Hospital/emergency room/outpatient clinic
06 [] STD clinic
07 [] Family planning/prenatal clinic
08 [] Public clinic
09 [] Other clinic
10 [] Drug treatment facility
11 [] Military induction or military service site
12 [] Red Cross/blood bank/blood drive
13 [] At home/in a visit by the nurse/health practitioner
98 [] Other location -- Specify -- ____
99 [] DK


31. Tell me whether you think each of the following statements is true or false or if you don't know.


a. After a person becomes infected with the AIDS virus, it can be weeks before a blood test shows the infection.

1 [] True
2 [] False
9 [] Don't know




b. There are drugs available which can postpone the onset of AIDS in a person infected with the AIDS virus.

1 [] True
2 [] False
9 [] Don't know




c. There is no cure for AIDS at present.

1 [] True
2 [] False
9 [] Don't know


32. Here are some methods people use to prevent becoming infected with the AIDS virus. Tell me if you think the method is very effective, somewhat effective, not at all effective, or you don't know how effective it is.
How effective is --


a. two uninfected people having sex only with each other?

1 [] Very effective
2 [] Somewhat effective
3 [] Not at all effective
4 [] Don't know how effective




b. use of a condom?

1 [] Very effective
2 [] Somewhat effective
3 [] Not at all effective
4 [] Don't know how effective


33. What are your chances of GETTING the AIDS virus; would you say high, medium, low, or none?

1 [] High
2 [] Medium
3 [] Low
4 [] None
5 [] Already have AIDS or AIDS virus
7 [] Refused
9 [] DK


34. Have you ever known anyone personally who had AIDS or the AIDS virus?

1 [] Yes (35)
2 [] No (36)
9 [] Don't know if has/had AIDS or the AIDS virus (36)


35. Who was that -- a friend, relative, co-worker, or someone else?
Mark (X) each that applies.

1 [] Friend
2 [] Relative
3 [] Co-worker
7 [] Refused
8 [] Someone else -- Specify -- ____
9 [] DK

[p. 211]

Section AI -- AIDS KNOWLEDGE AND ATTITUDES -- Continued


36. Have you ever sought professional mental health treatment or counseling because of your concern about the AIDS virus infection?

1 [] Yes
2 [] No
9 [] DK


HAND CARD G. Read statements only if telephone interview.
CARD G

a. You have hemophilia or another blood clotting disorder and have received clotting factor concentrations since 1977.
b. You are a man who has had sex with another man at some time since 1977, even one time.
c. You have taken illegal drugs by needle at any time since 1977.
d. You have traded sex for money or drugs at any time since 1977.
e. Since 1977, you are or have been the sex partner of any person who would answer "Yes" to any of the items above on this card.

37. (I'm going to read five statements. AFTER I have read them all,) Tell me if ANY of these statements is true for YOU. Do NOT tell me WHICH statement or statements are true for you. Just IF ANY of them are.

a. You have hemophilia or another blood clotting disorder and have received clotting factor concentrations since 1977.
b. You are a man who has had sex with another man at some time since 1977, even one time.
c. You have taken illegal drugs by needle at any time since 1977?
d. You have traded sex for money or drugs at any time since 1977?
e. Since 1977, you are or have been the sex partner of any person who would answer "Yes" to any of the items I have read.

1 [] Yes to at least one statement
2 [] No to all statements

ITEM AI3
About how often did the respondent appear to answer the questions in AIDS Knowledge accurately?

1 [] All the time
2 [] Most of the time
3 [] Some of the time
4 [] Rarely or never
9 [] DK
ITEM AI4
About how often did the respondent appear to answer the questions in AIDS Knowledge honestly?

1 [] All the time
2 [] Most of the time
3 [] Some of the time
4 [] Rarely or never
9 [] DK