EFTA00584179.pdf

2013 Abbreviated DRC Military & Sex Worker Socio-Behavioral Questionnaire Module Section 1. Demographic Information Instructions to all participants: Check the appropriate box or write your answer in the space provided. In what year were you born? I I I I I I year of birth ❑tn1 Don't know 102. What is your current rank in the military? ❑(1) Recruit ❑(2) Soldier ❑(a) Soldier of 2nd class 0 (4) Soldier of 1st class ❑ts1 Corporal ❑(6) Sergeant ❑t» 1st sergeant ❑tat Sergeant-Major ❑(9) 1st Sergeant-Major 0(10) Adjutant ail) 1st class Adjutant 0(12) Chief adjutant 0(13) Sous-lieutenant ❑tNN) Lieutenant ❑tms) Captain 0(16) Major 0(17) Lieutenant-colonel ❑tm ) Colonel 0(19) General de brigade ❑t20) General-Major 0(21) Sous-lieutenant K (22) Lieutenant-General April 2013 EFTA00584179 103. What is the highest education level that you have attained? 0 (1) Did not attend school ❑(2) Attended some primary school but not completed ❑(3) Completed Primary school 0(4) Completed Secondary school 0(5) Completed High School ❑(6) Completed College/University 104. What is the highest level of military training that you have attended? ❑t,) None K(2) Instruction center K131 Military academy ❑tal Other, please specify 105. What is your religion? ❑t,) Christian ❑(2) Muslim ❑(3) Traditional 0(4) Kimbanguist 0(5) No religious affiliation ❑(6) Other (non-Christian) 4 Please specify: 106. What is your current marital status? By "married" we mean by a legal or traditional ceremony. Kt,) Never married and not living with a partner K(2) Not married but living with a partner ❑(3) Married 0(4) Polygamous marriage 0(5) Widowed L I ( 6 ) Divorced/Separated 107. All together, how many sexual partners do you live with now? I I I partners April 2013 a EFTA00584180 These next questions are about your military background. 109. How many years have you been in the military? I I I years 110. Have you been deployed in-country for more than 6 months in the past 2 years? Kt,) yes K (2) No 111. During your most recent local deployment, how many total sexual partners did you have? If you have not had any sexual partners during your most recent local deployment, write 0. partners 0 (99) I have not been on a local deployment 112. What type of sexual partners did you have during your most recent local deployment? "Regular partners" include your spouse, boyfriend/girlfriend, or any person with whom you have a committed relationship. "Casual partners" includes any person with whom you have sex with but do not have a committed relationship. This does not include your spouse, boyfriend/girlfriend, or regular partners, but may include commercial sex workers or people you meet in your new deployed location. "Commercial sex workers" include any person who provides sex in exchange for money. Check l all that apply. K(,) Regular Partner(s) K (2) Casual Partner(s) ❑(3) Commercial sex worker(s) U(4) I had no partner on deployment ❑(99) I have not been on a local deployment 113. Have you been deployed to any of the following foreign locations for more than 6 months in the past 2 years? Check l all that apply. 0 (99) I have not been on a foreign deployment in the past 2 years K(>> Republic of Congo K (2) Angola ❑(3) Morocco U(4) South-Sudan 0 (5) Unites States of America K (6) China April 2013 EFTA00584181 0(7) Egypt 0(8) Central African Republic ❑le) Belgium ❑ho) Gabon Kht) France 0(12) Other 4 Please specify: 114. During your most recent foreign deployment, how many total sex partners did you have? If you have not had any sexual partners during your most recent foreign deployment, write 0. partners Kleg) I have not been on a foreign deployment 115. What type of sex partners did you have during your most recent foreign deployment? "Regular partners" include your spouse, boyfriend/girlfriend, or any person with whom you have a committed relationship. "Casual partners" includes any person with whom you have sex with but do not have a committed relationship. "Commercial sex workers" includes any person who provides sex in exchange for money. This does not include your spouse, boyfriend/girlfriend, or regular partners. Check I all that apply. ❑l,) Regular Partner(s) ❑l2) Casual Partner(s) ❑l3) Commercial sex worker(s) 0(4) I had no partner on deployment Klee) I have not been on a foreign deployment April 2013 EFTA00584182 Module Section 2. Sexual History The next questions ask about HIV and sexual partners. Please answer honestly. Remember, your answers will remain strictly confidential. 201. Have you ever had sex? By sex, we mean vaginal, oral, or anal sex between two willing individuals. ❑(,) Yes K(2) No 202. Approximately how many sex partners have you had in your lifetime including any current partners? partners Kim Don't know Klee) I have never had sex 203. Approximately how old were you the first time you had sex? I I I years old ❑im Don't know 0 (99) I have never had sex 204. "Regular partners" include your spouse, boyfriend/girlfriend, or any person with whom you have a committed relationship. In the past 12 months, how many regular partners did you have sex with? If you haven't had sex with any regular partners in the last 12 months, write 0. regular partners Kim Don't know 205. "Casual partners" includes any person with whom you have sex but did not have a committed relationship. This does not include your spouse, boyfriend/girlfriend, or regular partners. In the past 12 months how many casual partners did you have sex with? If you haven't had sex with any casual partners in the last 12 months, write 0. casual partners Kim Don't know April 2013 EFTA00584183 206. Have you ever had sex with more than one partner in the same week? ❑o) Yes K121 No 207. Have you ever paid or received money, shelter, food, drugs, favors or gifts in exchange for sex? Check l all that apply. 0 (1) Yes, I've paid money, shelter, food, drugs, favors or gifts in exchange for sex K(2) Yes, I've received money, shelter, food, drugs, favors, or gifts in exchange for sex Ktat No, I've never paid or received money, shelter, food, drugs, favors, or gifts in exchange for sex We now would like to collect some more information about any sexual partners you had during the last 6 months. Answer the following questions about the last time you had sex with your regular partner. "Regular partners" include your spouse, boyfriend/girlfriend or any person with whom you have a committed relationship. 208. Was a condom used the last time you had sex with this regular partner? ❑t,) Yes ❑(2) No ❑(99) I did not have sex with a regular partner in the past 6 months 209. How often was a condom used when you had sex with a regular partner during the last 6 months? 0 (1) Always K(2) Almost always ❑tat Sometimes 0(4) Rarely/Never ❑( 9 9) I did not have a regular partner in the past 6 months 210. If you never use condom with your regular partner, what might be the reason? ❑t,) Our HIV status is negative ❑(2) We are loyal to each other ❑tat Neither of us is sick ❑tat Other, please specify April 2013 EFTA00584184 211. Was this regular partner's status HIV-positive, HIV-negative or unknown? 0 (1) HIV-positive ❑t2) HIV-negative ❑tn) Don't know Ktee) I did not have a regular partner in the past 6 months 212. Did you know your own HIV status the last time you had sex with your regular partner? ❑t,) Yes Kt2) No Ktee) I did not have a regular partner in the past 6 months 213. What is the gender of this regular partner? Kt,) Male ❑t2) Female 0 ow Prefer not to answer Ktee) I did not have a regular partner in the past 6 months 214. What type of sex did you have? Check 0 all that apply. ▪ Genito-vaginal ❑t2) Genito-anal ❑t3) Genito-oral 0(4) Oral-anal 0 (5) Oral-vaginal L I ow Prefer not to answer ❑tee) I did not have a regular partner in the past 6 months Answer the following questions about the last time you had sex with your casual partner. "Casual partner" includes any person with whom you have sex but did not have a committed relationship. This does not include your spouse, boyfriend/girlfriend, or regular partners. 215. Was a condom used the last time you had sex with this casual partner? Kt,) Yes Kt2) No Ktee) I did not have a casual partner in the past 6 months 216. How often was a condom used with a casual partner in the last 6 months? April 2013 EFTA00584185 0 (1) Always 0 (2) Almost always ❑tat Sometimes 0(4) Rarely/Never ❑(991 I did not have a casual partner in the past 6 months 217. Was your last casual partner's status HIV positive, HIV negative, or unknown? ❑ti) HIV positive ❑(2) HIV negative ❑tn1 Don't know 0 (99) I did not have a casual partner in the past 6 months 218. Did you know your own HIV status the last time you had sex with your casual partner? ❑t,) Yes 0 (2) No 0 (99) I did not have a casual partner in the past 6 months 219. What is the gender of this casual partner? Uto Male K(2) Female K(88) Prefer not to answer ❑199) I did not have a casual partner in the past 6 months 220. What type of sex did you have? Check l all that apply. Genito-vaginal ❑(2) Genito-anal ❑tat Genito-oral ❑tat Oral-anal U(5) Oral-vaginal ❑(88) Prefer not to answer April 2013 EFTA00584186 Module Section 3. Condom Use and Accessibility 301. How often did you use a condom when you had sex in the last three months? 0 0) Always ❑t2) Almost always ❑t3) Sometimes 0(4) Rarely/Never ❑(99) I did not have sex during the last 3 months 302. Where could you obtain a free condom, if you wanted one, within your military? Check IZ all that apply. ❑(99) Free condoms are not available at my barracks, unit, or base U(1) Barrack ❑(2) Toilet/Bathroom 0 (3) Rollcall 0(4) Guard security post ❑tsl Military medical facility, clinic, or hospital 0 (6) Peer educator/ counselor ❑t» Other (specify) ❑tn1 Don't know 303. How easy or difficult is it for you to get free condoms? K (99) Free condoms are not available at my barracks, unit, or base ❑(ea) I don't try to get free condoms 0(1) Very easy ❑t2) Easy ❑(3) Difficult 0(4) Very difficult 304. If you do not use condoms, what are the reasons you don't use them? Check 21 all that apply. 0 (1) Free condoms are not available at my barracks, unit, or base ❑(2) I don't like the lubricant ❑(3) I don't like the texture 0(4) I cannot ejaculate while using a condom K(s) it decreases the feeling/orgasm April 2013 EFTA00584187 0 (6) It is forbidden to use in my religion L I (7) The lubricant is dangerous (risk of cancer or AIDS) ❑(8) I don't like the smell ❑(9) I don't trust them L I o w They don't have the right brand D(1i) Location of free condoms is not convenient 0 (12) Insufficient quantity of free condoms K (13) It is embarrassing to take free condoms from the available sources (e.g. clinics, condom dispensers, etc.) K (14) The hours of availability aren't convenient L I ( i s ) Other (specify) ❑(99) Does not apply, I use condoms 305. The last time I had sex, I 0 (1) Did not use a condom 0 (2) Put the condom on BEFORE we started sex and kept it on until the end 0 (3) Put the condom on BEFORE sex but removed it before the end U(4) Put the condom on AFTER we started sex 0 (5) The condom broke and I put on another one ❑(s) The condom broke and I did not change it Module Section 5. Gender-Based Violence. Other people have made the following comments listed below. Please indicate if you agree or disagree with these statements. 501. It is all right for a man to use physical force to get a woman to have sex when she does not want to. ❑t1) Agree ❑(2) Disagree ❑(n) Don't know/unsure 502. It is all right for a man to threaten or coerce a woman to have sex when she does not want to. U(1) Agree ❑(2) Disagree 0 (77) Don't know/unsure 503. When a woman is forced to have sex against her will, it is usually because of things she April 2013 9 EFTA00584188 said or did. K(,) Agree 0 (2) Disagree L I (7 7) Don't know/unsure 504. A woman should not withhold sex when a man desires it. Kt,) Agree 0 (2) Disagree K(n) Don't know/unsure 505. Have you had sex when you didn't want to because you were verbally threatened, physically forced, or were afraid to refuse? ❑(,) Yes 0 (2) No Li ow Prefer not to answer 506. If you were verbally threatened or physically forced to have sex, was the person a military member? K (99) I have never been verbally threatened or physically forced to have sex ❑t,) Yes 0 (2) No K(n) Don't know ❑(as) Prefer not to answer 507. If you have ever felt obligated to have sex with a military superior, why? Check l all that apply. K(99) I have not felt obligated to have sex with any of my military superiors 0 (1) I wanted a promotion or other favor (such as avoiding deployment or a better assignment) K(2) I was verbally threatened/physically forced 0 (3) Other 4 Please specify: ❑(88) Prefer not to answer April 2013 10 EFTA00584189 Abbreviated Behavioral Survey 04/15/2013 Module Section 6. Alcohol Use 601. How often do you have a drink containing alcohol? K(>> Never K(2) Monthly or less K(3) 2-4 times a month 0 (4) 2-3 times a week U(5) 4 or more times a week 602. How many bottles of beer/alcohol do you have on a typical day? K(t) K(2) 1 or 2 K(3) 3 or 4 0(4) 5 or 6 0 (5) 7 to 9 K(6) 10 or more 603. How often do you have 6 or more drinks on one occasion? K(t) Never ❑(2) Less than monthly ❑(3) Monthly 0(4) Weekly 0 (5) Daily or almost daily 604. How often during the last year have you found that you were not able to stop drinking once you had started? K(t) Never ❑(2) Less than monthly ❑(3) Monthly 0(4) Weekly 0(5) Daily or almost daily EFTA00584190 Abbreviated Behavioral Survey 04/15/20 I 3 605. How often during the last year have you failed to do what was normally expected of you because of drinking? ❑(t) Never ❑I2) Less than monthly Llm Monthly Do) Weekly KIse Daily or almost daily 606. How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session from the previous day or night? Km Never ❑I2) Less than monthly KI3) Monthly Do) Weekly KI5 Daily or almost daily 607. How often during the last year have you had a feeling of guilt or remorse after drinking? Km Never ❑I2) Less than monthly KI3) Monthly Do) Weekly KI5 Daily or almost daily 608. How often during the last year have you been unable to remember what happened the night before because of your drinking? Km Never ❑I2) Less than monthly Llm Monthly U(4) Weekly ❑Ise Daily or almost daily 609. Have you or someone else been injured because of your drinking? Kh) No KI2) Yes, but not in the last year KIsl Yes, in the last year EFTA00584191 Abbreviated Behavioral Survey 04/15/20 I 3 610. Has a relative, friend, doctor or other health care worker been concerned about your drinking or suggested you cut down? ❑t1) No K t2) Yes, but not in the last year ❑t3) Yes, in the last year 611. In the last three months, did drinking alcohol influence your decision about or prevent you from using condoms or using condoms correctly? ❑t1) Yes LI (2) No LI (99) I did not have sex and/or I did not drink alcohol in the last three months 612. In the last three months, did you ever have unintended sex, as a result of drinking alcohol? ❑t1) Yes ❑t2) No ❑(99) I did not have sex and/or I did not drink alcohol in the last 3 months Module Section 8. Drug Use 801. Have you ever injected drugs? 0(1) Yes, but not in the last 12 months ❑t2) Yes, in the last 12 months LI (3) No, I have never injected drugs LI ow Prefer not to answer 802. Have you ever shared syringes/needles or other injection equipment for drug use? ❑tmm Yes, but not in the last 12 months ❑t2) Yes, in the last 12 months ❑t3) No, I have never injected drugs 0 on) Prefer not to answer 803. In the past 12 months, have you injected any prescription products with a shared syringe/needle? ❑tmm Yes ❑t2) No EFTA00584192 Abbreviated Behavioral Survey 04/15/20 I 3 804. In the last three months, did you use any of the following that influenced your decision to use condoms or use condoms correctly? Check 0 all that apply. ❑t,) Alcohol ❑t2) Marijuana/Djamba ❑t3) Heroin/Lopipi U(4) 36 Birds U(5) Gasoline/Paint ❑(6) Other 4 Please specify: ❑(99) I did not have sex in the last three months 805. In the last three months, did you ever have unintended sex, as a result of using the following? Check 0 all that apply ❑t,) Alcohol L I ) Marijuana/Djamba ❑t3) Heroin/Lopipi U(4) 36 Birds U(5) Gasoline/Paint ❑(6) Other 4 Please specify: K(99) I did not have sex in the last three months EFTA00584193 Abbreviated Behavioral Survey 04/15/2013 Module Section 9: Female Sex Workers in surrounding communities I. Age (18 years or older) Age: 2. Born female Y / N 3. Has resided in DRC for the last 6 months Y / N 4. Has exchanged sex for money within the last 12 months and more than half of her annual income comes from selling sex Y / N 5. How long have you been having sex for money? Years: 6. Are you married or living with a partner? Y / N 7. With whom do you currently live? (Circle all that apply.) Parents, children, siblings, other sex workers, spouse/partner, other: 8. Is sex work your primary means of earning income? Y / N If no, what is? 9. When did you have your first sexual encounter? Age: 10. How do you identify yourself? Heterosexual] Bisexual/ HomosexuaUOther: I I. Do your clients consume alcohol or use drugs before they have sex with you? Y / N 12. Do you consume alcohol or use drugs before working or having sex with clients? Y / N 13. When and where did you have your first client or your sexual act for money or gifts? When: Where: 14. Are you sexually attracted to men, women, or both? . Circle. Women Men Both 15. Has anyone abused you physically or sexually? Y / N Please explain. 15b If yes, did this happen before you were 18? Y / N Please explain. Other qualitative questions of interest: - Flow much are you compensated by your client? Does payment vary for certain services (ex. oral sex, anal sex, one night) or certain clients? Can you tell me about any situations you have had in which a client brings other men or more men than what was agreed? How do you prevent or protect yourself against situations like this? Do you perceive that any of your clients have an unusually high sex drive or that they are hypersexual? Please describe. 0 EFTA00584194