Characteristics Associated with Pre-Exposure Prophylaxis Discussion and Use Among Transgender Women Without HIV Infection — National HIV Behavioral Surveillance Among Transgender Women, Seven Urban Areas, United States, 2019–2020

HIV-associated characteristic Sexual behavior Sex past 12 months In the past 12 months, have you had oral, vaginal, or anal sex? Number of sex partners past 12 months 0–1, 2–4, 5–9, or >10 Number of sex partners past 12 months In the past 12 months, how many oral, vaginal, or anal sex partners have you had? Sex past 12 months In the past 12 months, have you had oral, vaginal, or anal sex? Anal or vaginal sex without a condom past 12 months Yes or no Vaginal sex past 12 months In the past 12 months, have you had vaginal sex? By vaginal sex, I mean penis in the vagina, neovagina, or front hole. Insertive vaginal sex past 12 months In the past 12 months, have you had insertive vaginal sex? By insertive vaginal sex, I mean where you put your penis in your partner’s vagina, neovagina, or front hole. Condomless insertive vaginal sex past 12 months In the past 12 months, have you had insertive vaginal sex without a condom? Receptive vaginal sex past 12 months In the past 12 months, have you had receptive vaginal sex? By receptive vaginal sex, I mean where your partner put their penis in your vagina, neovagina, or front hole. Condomless receptive vaginal sex past 12 months In the past 12 months, have you had receptive vaginal sex without a condom? Anal sex past 12 months In the past 12 months, have you had anal sex? By anal sex, I mean penis in the butt or back hole. Insertive anal sex past 12 months In the past 12 months, have you had insertive anal sex? By insertive anal sex, I mean where you put your penis in your partner’s butt or back hole. Condomless insertive anal sex past 12 months In the past 12 months, have you had insertive anal sex without a condom? Receptive anal sex past 12 months In the past 12 months, have you had receptive anal sex? By receptive anal sex, I mean where your partner put their penis in your butt or back hole. Condomless receptive anal sex past 12 months In the past 12 months, have you had receptive anal sex without a condom? Know last partner’s HIV status The last time you had sex, did you know your last partner’s HIV status? Last partner’s HIV status HIV negative, HIV positive, or unknown HIV status of last partner What was your last partner’s HIV status? Vaginal sex with last partner In the past 12 months, did you have vaginal sex with your last partner? By vaginal sex, I mean penis in the vagina, neovagina, or front hole. Condomless anal or vaginal sex with last partner whose HIV status was positive or unknown Yes or no Condomless vaginal sex with last partner In the past 12 months, did you have vaginal sex with your last partner without a condom? Anal sex with last partner In the past 12 months, did you have anal sex with your last partner? By anal sex, I mean penis in the butt or back hole. Condomless anal sex with last partner In the past 12 months, did you have anal sex with your last partner without a condom? Know last partner’s HIV status The last time you had sex, did you know your last partner’s HIV status? HIV status of last partner What was your last partner’s HIV status? Injection behavior Ever injected drugs Have you ever in your life shot up or injected any drugs other than those prescribed for you? By shooting up, I mean anytime you might have used a needle to inject drugs in your veins, under the skin, or in the muscle. Injected drugs past 12 months Yes or no When last injected drugs Now, think about the last time you injected any drug. When was that — how many days or months or years ago did you last inject? Ever taken hormones Have you ever taken hormones for gender transition or affirmation? Always used sterile needle to inject for gender affirmation past 12 months Yes or no Currently taking hormones Are you currently taking hormones for gender transition or affirmation? Types of hormones used past 12 months In the past 12 months, what forms of hormones did you take? You can choose more than one answer. Frequency of use of sterile needle to inject hormones past 12 months In the past 12 months, when you had a hormone shot, how often was a new, sterile needle used? By a new, sterile needle, I mean a needle never used before by anyone, even you. Ever injected other gender affirming substances (e.g., injecting silicone) Have you ever injected substances other than hormones to change your body to match your gender identity? Injection of other gender affirming substances past 12 months In the past 12 months, have you injected these substances? Frequency of use of sterile needle to inject other gender affirming substances past 12 months In the past 12 months, when you had these other injections, how often was a new, sterile needle used? By a new, sterile needle, I mean a needle never used before by anyone, even you. Ever injected drugs Have you ever in your life shot up or injected any drugs other than those prescribed for you? By shooting up, I mean anytime you might have used a needle to inject drugs in your veins, under the skin, or in the muscle. Nonsterile syringe sharing in the past 12 months Yes or no When last injected drugs Now, think about the last time you injected any drug. When was that — how many days or months or years ago did you last inject? Frequency of use of a sterile needle to inject drugs past 12 months In the past 12 months when you injected, how often did you use a new, sterile needle? By a new, sterile needle, I mean a needle never used before by anyone, even you. Frequency of use of previously used needle to inject drugs past 12 months In the past 12 months, how often did you use needles that someone else had already injected with? Ever taken hormones Have you ever taken hormones for gender transition or affirmation? Currently taking hormones Are you currently taking hormones for gender transition or affirmation? Types of hormones used past 12 months In the past 12 months, what forms of hormones did you take? You can choose more than one answer. Frequency of use of sterile needle to inject hormones past 12 months In the past 12 months, when you had a hormone shot, how often was a new, sterile needle used? By a new, sterile needle, I mean a needle never used before by anyone, even you. Ever injected other gender affirming substances (e.g., injecting silicone) Have you ever injected substances other than hormones to change your body to match your gender identity? Injection of other gender affirming substances past 12 months In the past 12 months, have you injected these substances? Frequency of use of sterile needle to inject other gender affirming substances past 12 months In the past 12 months, when you had these other injections, how often was a new, sterile needle used? By a new, sterile needle, I mean a needle never used before by anyone, even you. Gender-affirming care characteristic Ever comfortable with provider Have you ever had a health care provider with whom you felt comfortable discussing gender-related issues? Transgender-specific health care Yes or no Ever taken hormones Have you ever taken hormones for gender transition or affirmation? Hormone use for gender affirmation Yes or no Currently taking hormones Are you currently taking hormones for gender transition or affirmation? Want to take hormones Would you like to take hormones for gender transition or affirmation? PrEP characteristic PrEP awareness Pre-exposure prophylaxis, or PrEP, is an antiretroviral medicine, such as Truvada, taken for months or years by a person who is HIV-negative to reduce the risk of getting HIV. Before today, have you ever heard of PrEP? PrEP awareness Yes or no PrEP awareness Pre-exposure prophylaxis, or PrEP, is an antiretroviral medicine, such as Truvada, taken for months or years by a person who is HIV-negative to reduce the risk of getting HIV. Before today, have you ever heard of PrEP? PrEP discussion with health care provider past 12 months Yes or no Visited health care provider past 12 months In the past 12 months, have you seen a doctor, nurse, or other health care provider? Discussed PrEP with a health care provider past 12 months In the past 12 months, have you had a discussion with a health care provider about taking PrEP? PrEP awareness Pre-exposure prophylaxis, or PrEP, is an antiretroviral medicine, such as Truvada, taken for months or years by a person who is HIV-negative to reduce the risk of getting HIV. Before today, have you ever heard of PrEP? PrEP use past 12 months Yes or no PrEP use past 12 months In the past 12 months, have you taken PrEP to reduce the risk of getting HIV?