Informed Consent
This study is being conducted on Southern University campus and the surrounding Scotlandville community.This study is designed to reduce substance abuse (underage drinking and binge drinking) through a social norms marketing approach and reduce the risk of HIV/AIDS and hepatitis using Popular Opinion Leader, D-Up Defend Yourself to change social norms making them more consistent with safer sex practices. In order to participate in this study, you must be between the ages of 18 to 24 and be a student at Southern University or reside in the Scotlandville area. Priority is given to students and Scotlandville residents belonging to social networks at-risk of substance abuse and/or the transmission of HIV/hepatitis. Individuals under the age of consent are excluded from participating in this study in that it may be too burdensome obtain parental consent and underage participants cannot provide such consent. The possible risks and/or discomforts from participating in this research are minimal. Discussions of sexual behavior and substance abuse maybe embarrassing to some, but other than that few other risks exist. The possible benefits of participating in the study include a reduction in alcohol use and risky behaviors associated with HIV transmission. Increased self-efficacy in address health related issue.Are there alternative procedures that maybe used to conduct the study? If subjects/participants do not want to take part in the study, are there other choices? Currently, other options are limited to a couple of community-based organizations that offer HIV and substance abuse awareness activities. Participants have the choice at any time to decide not to participate in the study and may withdraw (quit) without penalty. Participants may be excluded from the study if their behavior becomes so disruptive as to interfere with other participants or staff administering the program. Every effort will be made to maintain participants’ anonymity and the confidentiality of their study records. If the study findings are to be used for a presentation, report, publication, etc. it will not include any identifying information. The information will be presented in aggregate form so as not to violate confidentiality. Participants will not have to pay any charges for serving in the program. Participants serving a Popular Opinion leaders will receive a small incentive for holding risk reduction conversations with their peers. Peers may receive a maximum of $500 for holding risk reduction conversations with peers.The program encourages participants to be tested for HIV as well as other sexually transmitted diseases. Those that have positive tests for HIV or an STD will be referred for counseling and medical treatment. Although the program will collect information regarding HIV status as well as other STDs, no names or identifying information will be connected to the reporting of these results. The federal regulation known as the Privacy Rule gives you certain rights concerning the privacy of your health information. The Privacy Rule was issued under a law called the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Researchers covered by this regulation are required to get your authorization (permission) to use and disclose (share with others) any health related information for the purposes of this research study. You do not have to give this permission. However, if you do not, you will not be able to participate in this study.
If you have any concerns about your consent to participate in this study, contact Dr. Reginald Rackley, Chairperson of SU-BR IRB for the Protection of Human Subjects, Psychology, SUBR, Baton Rouge, LA. 70813, 771-2303 or send an email to Reginald_Rackley@subr.edu.

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* 1. Confidentiality Statement

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* 2. What are the last five digits of your telephone Number? (enter 5-digit of your telephone number; for example, 00544 or 94305).

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* 3. How old are you?

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* 4. What is the highest level of education you have completed, whether or not you received a degree? (Mark the highest grade you have completed.)

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* 5. How would you describe yourself? (Gender)

How would you describe yourself: (Identification of Sexual Orientation)

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* 6. How would you describe your sexual orientation?

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* 7. During the past 3 months, how many sexual partners have you had?

HIV/AIDS – What You Know (Increased knowledge and awareness of HIV/AID & hepatitis.)

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* 8. Only people who look sick can spread the HIV/AIDS virus.

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* 9. Only people who have sexual intercourse with gay (homosexual) people get HIV/AIDS.

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* 10. Birth control pills protect women from getting the HIV/AIDS virus.

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* 11. There are drugs available to treat HIV that can lengthen the life of a person infected with the virus.

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* 12. There is no cure for AIDS.

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* 13. HIV can be transmitted through oral sex

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* 14. Hepatitis A, B, and C can be transmitted through sexual contact

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* 15. My friends always use condoms during intercourse.

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* 16. Safer sex is completely accepted by my friends.

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* 17. My friends are likely to have unsafe sex after drinking alcohol.

 (Enhanced capacity to make informed healthy decisions.) In the next 6 months, how likely are you …….

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* 18. To drink five or more alcoholic drinks in one setting?

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* 19. Use any illegal drugs (including prescription drugs) to get high?

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* 20. To practice safe sex? (use a condom)

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* 21. How much are people at risk when they drink five or more alcoholic beverages once or twice a week?

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* 22. How much are people at risk when they have oral sex without a condom or dental dam?

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* 23. How much are people at risk when they have vaginal sex without a condom?

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* 24. How much are people at risk when they have anal sex without a condom or dental dam?

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* 25. How much are people at risk when they have sex under the influence of alcohol?

(Reduction of alcohol use, binge drinking and marijuana use.)

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* 26. During the past 30 days, how many days did you drink one or more drinks of an alcoholic beverage?

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* 27. During the past 30 days, how many days did you have 4 or more drinks on the same occasion? (By ‘occasion,’ we mean at the same time or within a couple of hours of each other

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* 28. During the past 30 days, how many days did you have 5 or more drinks on the same occasion? (By ‘occasion,’ we mean at the same time or within a couple of hours of each other.

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* 29. During the past 30 days, how many days did you use marijuana or hashish?

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* 30. During the past 30 days, how many days did you use any other illegal drug?

How comfortable would you be?

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* 31. Working with someone who has HIV or AIDS?

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* 32. Sitting in a room with someone who has HIV or AIDS?

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* 33. Having your food prepared by someone who has HIV or AIDS?

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* 34. Having a friend who has HIV or AIDS?

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* 35. Having a family member who has HIV or AIDS?

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* 36. Getting tested for HIV?

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* 37. Do you personally know anyone who now has HIV, AIDS, has died from AIDS, or tested positive for HIV?

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* 38. Thinking about HIV/AIDS in your community today, do you think it is a more urgent problem for your community than it was a few years ago?

(Enhanced capacity to make informed healthy decisions.)

Sexual Behavior

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* 39. Have you ever had sex (vaginal, oral, or anal sex)?

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* 40. Have you had oral sex in the past 30 days?

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* 41. The last time you had oral sex, was it protected?

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* 42. Have you had vaginal sex in the past 30 days?

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* 43. The last time you had vaginal sex, was it protected?

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* 44. Did you have anal sex in the past 30 days?

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* 45. The last time you had anal sex, was it protected?

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* 46.  In the past 3 months, have you had sex with any men?

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* 47. Are you a man who has sex with men?

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* 48. Are you a woman who has sex with men?

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* 49. In the past 3 months, have you had sex with any women?

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* 50. Are you a man who has sex with women?

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* 51. Are you a woman who has sex with women?

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