Table 5 Survey items, HIV/AIDS and condom use survey, Toffo county, Benin (June – July 2002).
SURVEY ITEMS | RESPONSE CATEGORIES |
|---|---|
General knowledge on HIV/AIDS | |
1. Have you ever heard about HIV/AIDS | Yes/No |
2. In your knowledge how severe is HIV/AIDS | Deadly, don't know, imaginary, other |
3. How could someone get infected by HIV? | At least 2, one or no correct answer(s), |
4. Who you think are at risk of getting HIV? | Everyone/specific groups/Don't know |
5. In your knowledge, what are the prevention methods of getting HIV? | Abstinence, Fidelity, Condom, Other, Don't know |
6. How could you recognize a HIV-infected person? | Could not, Cachexia, Other symptoms, Don't know |
Beliefs on HIV/AIDS | |
7. Do you believe HIV really exists? | Yes/No/Don't know |
8. Do you think you are at risk of getting HIV? | Yes/No/Don't know |
9. If no to 8) why? | Fidelity/Condom use/Other/Don't know |
10. Where you believe HIV originates from? | God/Bewitchment/Other/Don't know |
11. Do you think one can completely cure from HIV/AIDS? | Yes/No/Don't know |
12. If yes to 11) how? | Medicine/Herbs/Prayers/Other/Don't know |
13. How would you rate the protective effect provided by condoms? | Complete/Incomplete/Useless/Don't know |
14. Does your religion believe HIV exists? | Yes/No/Don't know |
15. What is the position of your religion towards condom use? | Favorable/Unfavorable/Indifferent/Don't know |
Behaviors and attitudes | |
16. Would you mind taking a HIV screening test if you were asked? | Yes / No / Don't know |
17. Do you use condoms? | Yes / No / No answer |
18. If No or No answer to 17) why? | Don't like / Only God save / Other |
19. How often do you use condoms? | Always / Sometimes / Never |
20. Did you use condom during the last occasional intercourse? | Yes / No |
21. Do you encounter any problem using condoms? | Yes / No |
22. If yes to 21) what type of problems | Less lubrificated / Less pleasure / break easily / Other |
23. Numbers of sexual partners during the last 12 months | |
Socio demographic characteristics | |
24. Age | Full years |
25. Sex | Male / Female |
26. Marital status | Married monogamous / Married polygamous/ Single / Divorced / Widowed / Separated |
27. Education (Ability to read) | Fluent / With difficulty / Not able to read at all |
28. Occupation | Student / Farmer / |
29. Religion | Christianity / Islam / Animist / Other |
30. Place (please give the name of your village) | Village name |