Importantly, the core items included seven items used as primary outcomes, assessing sexual behavior (i.e., number of partners; whether partnerships were concurrent (patients who reported >1 partner in the past 3 months were asked whether their sexual relationships overlapped in time); number of unprotected vaginal and anal sex episodes with steady and non-steady partners]. These items were nested in the larger survey of health behaviors in order to minimize assessment reactivity.
In addition to the self-report measures, the core measures also included STI testing. At baseline, participants were tested for STIs per standard CDC-approved protocol. At all follow-ups, urine specimens were tested for chlamydia (CT) and gonorrhea (Gc), and clinic records were reviewed at the end of the 1 year follow-up period for CT, Gc, trichomoniasis, syphilis, and HIV. For data analytic purposes, STI test results were grouped into three distinct time frames for analyses: (a) tests administered at study entry or within 30 days of study entry were considered baseline tests; (b) tests administered during the next 6 months (between 31 and 213 days after study entry) were considered short-term follow-ups; and (c) tests administered 7 months (214 days) or longer after study entry were considered long-term follow-ups.