Survey Text

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1999
Survey form view entire document:  text  image
ADS.050

Is there any particular reason why you have not been tested?

FR: IF "YES" ASK: What is the reason? Any other?
WHYTSU
(01) No reason (ADS.110)
(02) Don't consider myself at risk of AIDS (ADS.110)
(03) Doctor/HMO did not recommend it (ADS.110)
(04) Don't believe test results are accurate (ADS.110)
(05) Don't believe anything can be done if I am positive (ADS.110)
(06) Don't like needles (ADS.110)
(07) Don't trust results to be confidential (ADS.110)
(08) Afraid of losing job, insurance, housing, friends, family, if people knew I was positive for AIDS infection (ADS.110)
(09) Other reason - specify(ADS.055)
(10) Other reason - specify(ADS.056)
(97) Refused (ADS.110)
(99) Don't Know (ADS.110)

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ADS.055

Specify the additional reason for not having been tested.
WHYSPEC1 First reason: ________________

ADS.056

Specify the additional reason for not having been tested.
WHYSPEC2 Second reason: _______________

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1998
Survey form view entire document:  text  image
ADS.050

Is there any particular reason why you have not been tested?

FR: IF "YES" ASK: What is the reason? Any other?
WHYTSU
(01) No reason (ADS.110)
(02) Don't consider myself at risk of AIDS (ADS.110)
(03) Doctor/HMO did not recommend it (ADS.110)
(04) Don't believe test results are accurate (ADS.110)
(05) Don't believe anything can be done if I am positive (ADS.110)
(06) Don't like needles (ADS.110)
(07) Don't trust results to be confidential (ADS.110)
(08) Afraid of losing job, insurance, housing, friends, family, if people knew I was positive for AIDS infection (ADS.110)
(09) Other reason - specify(ADS.055)
(10) Other reason - specify(ADS.056)
(97) Refused (ADS.110)
(99) Don't Know (ADS.110)

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ADS.055

Specify the additional reason for not having been tested.
WHYSPEC1 First reason: ________________

ADS.056

Specify the additional reason for not having been tested.
WHYSPEC2 Second reason: _______________

top
1997
Survey form view entire document:  text  image
ADS.050

Is there any particular reason why you have not been tested?

FR: IF "YES" ASK: What is the reason? Any other?
WHYTSU
(01) No reason (ADS.110)
(02) Don't consider myself at risk of AIDS (ADS.110)
(03) Doctor/HMO did not recommend it (ADS.110)
(04) Don't believe test results are accurate (ADS.110)
(05) Don't believe anything can be done if I am positive (ADS.110)
(06) Don't like needles (ADS.110)
(07) Don't trust results to be confidential (ADS.110)
(08) Afraid of losing job, insurance, housing, friends, family, if people knew I was positive for AIDS infection (ADS.110)
(09) Other reason - specify(ADS.055)
(10) Other reason - specify(ADS.056)
(97) Refused (ADS.110)
(99) Don't Know (ADS.110)

[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

ADS.055

Specify the additional reason for not having been tested.
WHYSPEC1 First reason: ________________

ADS.056

Specify the additional reason for not having been tested.
WHYSPEC2 Second reason: _______________

top
1995
Survey form view entire document:  text  image
15a. (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 (16)
2[] No (15b)
9[] DK (26 on page 63)

b. Is there any particular reason why you have not been tested?
If "Yes" ask: What is the reason?
Any other?
Do not read list.
Mark (X) all that apply.

01[] No reason (26 on page 63)
02[] Don't consider myself at risk of AIDS (26 on page 63)
03[] Doctor/HMO did not recommend it (26 on page 63)
04[] Don't believe test results are accurate (26 on page 63)
05[] Don't believe anything can be done if I am positive (26 on page 63)
06[] Don't like needles (26 on page 63)
07[] Don't trust results to be confidential (26 on page 63)
08[] Afraid of losing job, insurance, housing, friends, family if people knew I was positive for AIDS infection (26 on page 63)
09[] Other - Specify (26 on page 63)
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99[] DK (26 on page 63)

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1994
Survey form view entire document:  text  image
15a. (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 (16)
[] 2 No (15b)
[] 9 DK (26)

b. Is there any particular reason why you have not been tested?
If "Yes," ask: What is the reason?
(Any other?)
Do not read list
Mark (X) each that applies.

[] 01 No reason (26)
[] 02 Don't consider myself at risk of AIDS (26)
[] 03 Doctor/HMO did not recommend it (26)
[] 04 Don't believe test results are accurate (26)
[] 05 Don't believe anything can be done if I am positive (26)
[] 06 Don't like needles (26)
[] 07 Don't trust results to be confidential (26)
[] 08 Afraid of losing job, insurance, housing, friends, family, if people knew I was positive for AIDS infection (26)
[] 09 Other (Specify) ____ (26)
[] 99 DK (26)

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1992
Survey form view entire document:  text  image
17a. (Except for blood donations since March 1985), Have you had your blood tested for the AIDS virus infection?

1[] Yes (18)
2[] No (17b)
9[] DK (31)

b. Why haven't you been tested?
Mark each that applies.

1[] Don't consider myself at risk of AIDS (31)
1[] Don't believe anything can be done if I am positive (31)
1[] Don't like needles (31)
1[] Afraid of losing job, insurance, housing, friends, family if people kenw I was positive for AIDS infection (31)
1[] Don't trust medical clinics/hospitals to keep test results confidential (31)
1[] Already know whether I have the AIDS virus infection (31)
1[] Don't know where to go for a test (31)
8[] Other (Specify) ____ (31)
9[] DK why (31)

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1991
Survey form view entire document:  text  image
b. Why haven't you been tested?
Mark each that applies.

1[] Don't consider myself at risk of AIDS (31)
1[] Don't believe anything can be done if I am positive (31)
1[] Don't like needles (31)
1[] Afraid of losing job, insurance, housing, friends, family if people kenw I was positive for AIDS infection (31)
1[] Don't trust medical clinics/hospitals to keep test results confidential (31)
1[] Already know whether I have the AIDS virus infection (31)
1[] Don't know where to go for a test (31)
8[] Other (Specify) ____ (31)
9[] DK why (31)