WHY ARE AFRICAN AMERICANS MORE VULNERABLE TO HIV/STDS
What is your gender?
Female
Male
Non-binary
Prefer not to answer
What is your age range?
18-24
25-34
35-44
45-54
55-64
65+
Do you have any children?
Yes
No
What is your annual income range?
$9,999 or less
$10,000-$24,999
$25,000-$49,999
$50,000-$74,999
$75,000-$99,999
$100,000 or more
Prefer Not to Answer
Do you have a history of any medical condition?
Yes
No
If the answer in Question 3 is yes, which medical conditions?
1 is , is
Previous experience of willing sexual intercourse
Less than a 1 month ago
More than a month ago
More than 2 months ago
More than 1 year ago
I do not remember
Never engaged in sexual intercourse
Number of sexual partners in the last 60 days
0
1
2 or more
Frequency of condom use with main partner
Always
Usually
Sometimes
Rarely
Never
Frequency of condom use with casual partner
Always
Usually
Sometimes
Rarely
Never
Ever contacted an STI?
Yes
No
In a scale of 1-5, how often do you get tested for HIV/STDs
1 2 3 4 5
1
2
3
4
5
Have you ever traded sex for material stuff that is, money, drugs, food, shelter?
Yes
No
Reasons why you never get tested for HIV/STDs (Select all that apply)
Lack of money
Insufficient information surrounding such conditions
I nearly always usecondoms, so I don’t need to get tested
Cultural beliefs
I don't think I could copewith knowing I have HIV
I haven't had sex recently, so I don't need an HIV test
Other
Submit
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