Behavioural Surveillance Surveys - The Wisdom of Whores
Behavioural Surveillance Surveys - The Wisdom of Whores Behavioural Surveillance Surveys - The Wisdom of Whores
FSW questionnaire -- additional questions The FSW questionnaire should be administered to women who identify as “prostitutes” although they may use a different word to describe how they earn their living. Women who “regularly” exchange sex for money or gifts are easily identifiable in some cultural settings, especially if they live in or work out of brothels, hotels, bars, smaller eating establishments or on the streets. However, in some settings, women who engage in what researchers might call prostitution, work in a clandestine fashion, and may not readily identify themselves as prostitutes. The wording in the questionnaire may have to be adapted, or some questions eliminated, in order to avoid damaging rapport with members of some target groups. Section 1 : Background characteristics This section is very similar to section 1 of the adult questionnaire. You do not need to record the sex of the respondent, since all interviews are with female sex workers. FSWs are also not asked how often they’ve listened to the radio and watched television. This FSW questionnaire contains the most questions of any of the set of questionnaires, so some questions were eliminated in order to reduce the total length of time necessary to conduct the interview. Q107 : Because FSWs frequently move around for their work, they are asked about frequent travel to other places, a behavior that may put them at greater risk. Section 2 : Marriage, family, work Q201-Q205 : The first five questions in this section are nearly identical to the first five in section 2 of the adult questionnaire, attempting to elicit information on past or present, permanent or stable sexual relationships. These questions ask about ever having been married (201), age at first marriage (202), currently married or living with a sexual partner (203), and current spouse or partner having other wives (204). Questions worded and analyzed in this way give a more detailed picture of relationship status than does the traditional multi-category method of asking about “marital status”. Q205 : The purpose of this question is to find out when the respondent first began exchanging sex for money, suggesting the age at which these women first become vulnerable to risk of infection. This question might not work well at all with women who do not self-identify as “prostitutes” unless appropriate language can be developed for the specific cultural situation. Q206, Q207 : These questions ask about income in addition to that supplied by prostitution (206) and specifically about sources of additional income (207). Having other sources of income, or developing other sources, may help to reduce a woman’s risk of infection, in the sense that a woman may feel better able to resist pressure to engage 304 A PPEN DI X 2 B EHAV I OR A L SURV EI L L A NC E S U R V EY S
in riskier behavior (i.e., not using condoms) if she can financially afford to lose a customer. Again, the categories for sources of additional income have to be developed locally, based on the usual set of possibilities. These categories may already be known for a given target group, or may need to be elicited through individual or group interviewing. Note that multiple answers are possible for 207. This question is asked without reading out the categories to the respondent. For each answer mentioned by the respondent, you circle 1 for YES. Then you probe by asking, “Are there any other sources of additional income besides what you just mentioned?” and/or “Is there anything else you haven’t mentioned?” After the respondent finishes mentioning categories, you must then circle 2 for NO for each category not mentioned by the respondent, including the DON’T KNOW and NO RESPONSE categories. Q208, Q209 : The purpose of these two questions is to determine if the respondent is responsible for supporting other people besides herself and if so, how many people. Sometimes the need to provide support to other people pushes a woman into more risky behavior. Section 3 : Number and types of partners FSWs are not asked if they have ever had sex, under the assumption that all sex workers have been or are sexually active within the past 12 months. Q301 : The purpose of this question is to learn how early the respondent began having sex, providing guidance about the appropriate age to begin interventions with young girls who might ultimately drift into prostitution. Q302 : This question asks about how many different partners the respondent has had in the past 30 days. This question is different in terms of time span to Q304 in the adult questionnaire, which asks how many partners a person has had during the past 3 months, and during the past 12 months. The assumption here is that sex workers have more partners than the average non-sex worker, and would have trouble remembering how many partners there had been during longer time periods. Q303 : Similarly to Q305 in the adult questionnaire, this question seeks to establish types of sexual partners. The types listed here were based on a decade of experience interviewing sex workers worldwide. However, in a particular cultural setting, different categories might be more appropriate. Certainly different wording might exist to describe the different types of partners a sex workers might have. Often there are two general categories, paying and non-paying. Within those two categories, however, or overlapping those designations, would be “regular” and “non-regular” or “casual.” For each category listed, paying one-time client, paying regular client, and non-paying partner (which includes spouse or live-in partner), you list the total number of partners within the past 7 days. Then you must check to see that the total of those 3 categories matches exactly the total number of partners listed in Q302. If the numbers don’t match, then you must continue to question the respondent to verify the number of each type of partner, and then say, “So then, if we add up the total number of partners you’ve just told me about, then that makes X partners all together. Is that the total number of partners I should list for you during the past 7 days?” B EHAV I OR A L S U R V EI L L A NC E SURV EY S APPEN DI X 2 305
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FSW questionnaire -- additional<br />
questions<br />
<strong>The</strong> FSW questionnaire should be<br />
administered to women who identify as<br />
“prostitutes” although they may use a different<br />
word to describe how they earn their living.<br />
Women who “regularly” exchange sex for<br />
money or gifts are easily identifiable in some<br />
cultural settings, especially if they live in<br />
or work out <strong>of</strong> brothels, hotels, bars, smaller<br />
eating establishments or on the streets.<br />
However, in some settings, women who<br />
engage in what researchers might call<br />
prostitution, work in a clandestine fashion,<br />
and may not readily identify themselves as<br />
prostitutes. <strong>The</strong> wording in the questionnaire<br />
may have to be adapted, or some questions<br />
eliminated, in order to avoid damaging rapport<br />
with members <strong>of</strong> some target groups.<br />
Section 1 : Background characteristics<br />
This section is very similar to section 1 <strong>of</strong><br />
the adult questionnaire. You do not need to<br />
record the sex <strong>of</strong> the respondent, since all<br />
interviews are with female sex workers. FSWs<br />
are also not asked how <strong>of</strong>ten they’ve listened<br />
to the radio and watched television. This FSW<br />
questionnaire contains the most questions<br />
<strong>of</strong> any <strong>of</strong> the set <strong>of</strong> questionnaires, so some<br />
questions were eliminated in order to reduce<br />
the total length <strong>of</strong> time necessary to conduct<br />
the interview.<br />
Q107 : Because FSWs frequently move<br />
around for their work, they are asked about<br />
frequent travel to other places, a behavior that<br />
may put them at greater risk.<br />
Section 2 : Marriage, family, work<br />
Q201-Q205 : <strong>The</strong> first five questions in<br />
this section are nearly identical to the first<br />
five in section 2 <strong>of</strong> the adult questionnaire,<br />
attempting to elicit information on past or<br />
present, permanent or stable sexual relationships.<br />
<strong>The</strong>se questions ask about ever having been<br />
married (201), age at first marriage (202),<br />
currently married or living with a sexual<br />
partner (203), and current spouse or partner<br />
having other wives (204). Questions worded<br />
and analyzed in this way give a more detailed<br />
picture <strong>of</strong> relationship status than does the<br />
traditional multi-category method <strong>of</strong> asking<br />
about “marital status”.<br />
Q205 : <strong>The</strong> purpose <strong>of</strong> this question is<br />
to find out when the respondent first began<br />
exchanging sex for money, suggesting the age<br />
at which these women first become vulnerable<br />
to risk <strong>of</strong> infection. This question might not<br />
work well at all with women who do not<br />
self-identify as “prostitutes” unless appropriate<br />
language can be developed for the specific<br />
cultural situation.<br />
Q206, Q207 : <strong>The</strong>se questions ask about<br />
income in addition to that supplied by<br />
prostitution (206) and specifically about<br />
sources <strong>of</strong> additional income (207). Having<br />
other sources <strong>of</strong> income, or developing other<br />
sources, may help to reduce a woman’s risk<br />
<strong>of</strong> infection, in the sense that a woman may<br />
feel better able to resist pressure to engage<br />
304<br />
A PPEN DI X 2 B EHAV I OR A L SURV EI L L A NC E S U R V EY S