Behavioural Surveillance Surveys - The Wisdom of Whores
Behavioural Surveillance Surveys - The Wisdom of Whores Behavioural Surveillance Surveys - The Wisdom of Whores
Section 1: Background characteristics The questionnaire begins by asking background questions that help to establish rapport between the interviewer and the respondent. Q101. Do not ask this question. Circle the appropriate code indicating the respondent’s sex. This question will not appear in a questionnaire designed for a target group such as female sex workers since the entire sample is the same gender. Q102 and Q103 are included to obtain the best estimate of the respondent’s age. If the respondent does not know his/her age or his/her birthday, probe using one or more of the following techniques: • ask the respondent if he/she has any written records which might include a year of birth, • ask the respondent if anyone else around would know his/her age, • if the respondent has a child/children, ask if he/she knows his/her approximate age at the birth of the child. Then, ask for the child’s age. Calculate the respondent’s age by adding the child’s age to the respondent’s age at birth of the child. If none of the above techniques succeed, ask the respondent to estimate his/her age. Q104, Q105, Q106 are all included to assess level of education/literacy. The most desirable information is the number of completed years of education, however, many people cannot say immediately how many years of school they have finished. Most people who have been to school can say which level or year they finished, but this information has little meaning outside the country and the categorical data cannot be averaged. When reporting characteristics of the sample, the analyst wants to be able to provide the average years of education completed by the entire sample. Thus, the report might say, “The males in this sample averaged 8.2 years of schooling while the females averaged 4.9 years.” You will first ask if the respondent has ever attended school (Q104). If yes, you next ask for the highest level of school completed (Q105). Finally, you ask for the total number of years of education completed up to now. You may have to calculate the number of years with the respondent’s help. If the respondent never attended school, you skip to Q107. Q107, Q108. The purpose of these two questions is to find out something about migration patterns in terms of length of time in the area and travel out of the area. Insert into question 107 the name of the village, town, city, or neighborhood in which the interview is taking place. If the respondent has lived in the locale of the interview for less than one year (12 months), write in 00 in the space provided. In 108, the one-month period refers to a continuous period of one or more months. This means that a respondent who has spent one week away in, for example, January, two weeks away in March and one more week away in August has NOT been away for a continuous period of one month during the previous 12 months. Note also that the reference period is “the last or previous 12 months” and not the last calendar year. In some settings, survey staff may be interested in more detailed information on migration. For instance, identifying cities to which respondents travel, differentiation between the capital city and other cities, identifying international migration, etc. These kinds of additional questions might be added if the survey team thinks they would be appropriate for the particular target group in question. 294 A PPEN DI X 2 B EHAV I OR A L SURV EI L L A NC E S U R V EY S
Q109. If the respondent says he/she does not have a religion, circle 0; if the respondent does not answer, circle 9 for NO RESPONSE. Q110. In most places, asking about ethnicity is important for clear descriptions of target groups. Most people identify strongly with only one ethnic group, even if their parents come from two different groups. There should be only one answer for this question because we are asking to which group the respondent identifies most strongly. If the respondent is of mixed ethnicity and states that they do not identify strongly with either ethnic group, then circle the code for MIXED ETHNICITY. Q111, Q112, Q113. Alcohol and drug use correlate with increased risk of infection with HIV and other STDs. Assessing levels of alcohol and drug use among target groups can help to direct educational strategies. Q111 asks about frequency of alcohol use; only one answer is possible. Q112 asks where alcohol is most frequently consumed within the past 4 weeks and must be adapted using local categories. In Q113, categories or types of drugs most often available must be included for the local area. Each type of drug is read out to the respondent, and they are asked if they have ever tried each one. For each possibility, the interviewer must circle the number for YES, NO, DON’T KNOW (DK) or NO RESPONSE (NR). Section 2: Marriage and live-in partnerships The four questions in this section do not look like the typical marital status questions usually asked in these kinds of surveys. They attempt to establish whether or not a person has ever been married and age at first marriage, if the person currently lives with or is married to someone, and whether or not the partners are currently living together. Living with a person in a sexual relationship or marrying someone changes an individual’s status in society and potentially, their level of risk of infection with HIV. These questions begin to assess sexual risk behavior by exploring marital or live-in partnerships. A marital relationship is a legal, religious, or socially recognized union. Sexual relationships between married or live-in partners are generally considered to be less risky than other kinds of sexual relationships, provided that the relationship is mutually exclusive and neither partner is already infected. Ultimately, the questions determine whether the respondent is married, living apart/separated, single without specifically asking “what is your marital status?” Reasons for a particular marital status (widowed/divorced) are not asked. A person who is widowed or divorced has been married but is not currently married. Q201. This question asks about ever having been married in order to get at age at first marriage. “Marriage” involves a religious or official ceremony. Circle YES, NO, or NO RESPONSE. Pay attention to the correct skip patterns, so that if the person has never been married, then you skip the question about age at first marriage. B EHAV I OR A L S U R V EI L L A NC E SURV EY S APPEN DI X 2 295
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Q109. If the respondent says he/she does<br />
not have a religion, circle 0; if the respondent<br />
does not answer, circle 9 for NO RESPONSE.<br />
Q110. In most places, asking about<br />
ethnicity is important for clear descriptions <strong>of</strong><br />
target groups. Most people identify strongly<br />
with only one ethnic group, even if their<br />
parents come from two different groups.<br />
<strong>The</strong>re should be only one answer for this<br />
question because we are asking to which<br />
group the respondent identifies most strongly.<br />
If the respondent is <strong>of</strong> mixed ethnicity and<br />
states that they do not identify strongly with<br />
either ethnic group, then circle the code for<br />
MIXED ETHNICITY.<br />
Q111, Q112, Q113. Alcohol and drug use<br />
correlate with increased risk <strong>of</strong> infection with<br />
HIV and other STDs. Assessing levels <strong>of</strong><br />
alcohol and drug use among target groups can<br />
help to direct educational strategies. Q111<br />
asks about frequency <strong>of</strong> alcohol use; only one<br />
answer is possible. Q112 asks where alcohol<br />
is most frequently consumed within the past<br />
4 weeks and must be adapted using local<br />
categories. In Q113, categories or types <strong>of</strong><br />
drugs most <strong>of</strong>ten available must be included<br />
for the local area. Each type <strong>of</strong> drug is read<br />
out to the respondent, and they are asked<br />
if they have ever tried each one. For each<br />
possibility, the interviewer must circle the<br />
number for YES, NO, DON’T KNOW (DK)<br />
or NO RESPONSE (NR).<br />
Section 2: Marriage and live-in<br />
partnerships<br />
<strong>The</strong> four questions in this section do not<br />
look like the typical marital status questions<br />
usually asked in these kinds <strong>of</strong> surveys. <strong>The</strong>y<br />
attempt to establish whether or not a person<br />
has ever been married and age at first marriage,<br />
if the person currently lives with or is married<br />
to someone, and whether or not the partners<br />
are currently living together. Living with a<br />
person in a sexual relationship or marrying<br />
someone changes an individual’s status in<br />
society and potentially, their level <strong>of</strong> risk <strong>of</strong><br />
infection with HIV. <strong>The</strong>se questions begin to<br />
assess sexual risk behavior by exploring<br />
marital or live-in partnerships. A marital<br />
relationship is a legal, religious, or socially<br />
recognized union. Sexual relationships between<br />
married or live-in partners are generally<br />
considered to be less risky than other kinds<br />
<strong>of</strong> sexual relationships, provided that the<br />
relationship is mutually exclusive and neither<br />
partner is already infected. Ultimately, the<br />
questions determine whether the respondent<br />
is married, living apart/separated, single<br />
without specifically asking “what is your<br />
marital status?” Reasons for a particular marital<br />
status (widowed/divorced) are not asked.<br />
A person who is widowed or divorced has<br />
been married but is not currently married.<br />
Q201. This question asks about ever<br />
having been married in order to get at age at<br />
first marriage. “Marriage” involves a religious<br />
or <strong>of</strong>ficial ceremony. Circle YES, NO, or NO<br />
RESPONSE. Pay attention to the correct skip<br />
patterns, so that if the person has never been<br />
married, then you skip the question about age<br />
at first marriage.<br />
B EHAV I OR A L S U R V EI L L A NC E SURV EY S APPEN DI X 2<br />
295