CITY

RDS Number

QUESTIONNAIRE FOR INTRAVENOUS DRUG USERS

SECTION 1 SOCIAL-DEMOGRAPHIC CHARACTERISTICS
"For the beginning I would like to ask you something personal, concerning you and your background" No. QUESTION 1.1 What sex are you? ANSWER 1. Male 2. Female 1.2 How old are you? (If a person was born after 1992 ask for the month of birth ! ) 1.3 What is the highest level of education that you have achieved till now? Number of years If it is less than 15 1. 2. 3. 4. 5. 6. 1. Yes 2. No 1. 1.5 What is your nationality /ethnic group? 2. 3. 4. 5. 6. 7. 1. 2. 3. 4. 5. Serbian Montenegrin Roma Hungarian Other(state)____________________ I dont know Pupil/ Student Employed Self-employed/private business/ farmer Retired Unemployed SKIP TO

STOP!!!!

REJECT

I didnt go to school I didnt finish primary school Primary school Secondary school College Faculty

1.4

Have you got your own stamped health card?

1.6

What is your current working status?

SECTION 2

DRUG USE

"The next questions are related to the practice of injecting drugs" 2.1 How old were you when you injected a drug 1. Number of years for the first time? 2. I dont remember 2.2 When was the last time you injected a drug? 1. Today/ yesterday 2. In last week 3. In last month ( but more than a week ago) 4. 2-6 months ago 5. 7-12 months ago 2.3 How often did you inject drugs during the 1. Every day past month? 2. Every second day 3. Every third day 4. Once in a week 5. Once in a month 2.4 Did you use new/not used needle and 1. Yes syringe the last time you injected drugs? 2. No 3. I dont remember 2.5 Did you somehow try to clean needle and/or 1. Yes syringe the last time you injected drugs? 2. No 3. I dont remember 2. 2.6 How did you try to clean already used needle and/ or syringe on that occasion? (Do not read answers! Mark only one answer!) 1. Using cold water 4. 2. Using hot water 3. Using boiled water from pot 4. Using soap or detergent 5. Using bleach 6. Using alcohol 7. Other (state) _________________________ 1. 1. 3. Section 3 3 Section 3 2.4

Y )

SECTION 3 INJECTION AND PRACTICE OF SHARING EQUIPMENT

"The next questions are about using other people`s equipment for injecting, preparing or sharing drugs or their use of yours During the past month how often did you done something of the below stated? filter 3.1 During the last month how many times did you inject drugs using needles and/ or syringes that had been previously used by someoneelse? During the last month from how many different people did you take previously used needles and/or syringes which you then used for your own injections? If the answer to the question 2.2 was 4. or 5. mark the question 3.1 with 000 and skip to Section 4 Number of times

IF the answer is never write down 000 and skip to the

Section 4

3.2

Number of people

3.3

Of these people, how many of them were those that you met/ saw for the first time?

Number of people

SECTION 4

THE USE OF NEW NEEDLES AND SYRINGES

1. Purchased at a pharmacy 2. In NGO which has a needles and syringes exchange programme in the field or in Drop-in centre 3. Stolen from pharmacies or hospitals 4. In institutions for dependance treatment 5. In the places where I inject drugs 6. From the friends who inject drugs 7. From the friends who do not inject drugs 8. From sexual partners 9. From family 10. Other (state)__________________

"And now I would like to ask you something about the way you acquisite yourself with new needles and/or syringes " 4.1 In the last year where and from whom did you get needles/ syringes for injection of drugs? (It is possible to give more answers!) (SHOW THE CARD)

SECTION 5

SEXUAL BEHAVIOUR

" Now I am going to ask you some questions about your sexual behavior. I will remind you again that all your responses would be completely confidential and unattainable to the others. First we will talk about vaginal sexual intercourse which implies male sexual organ in the female organ. 5.1 Have you ever had vaginal intercourse? 1. Yes, in the last 12 months, _____________ (number of partners) 2. Yes, more than 12 months ago 3. No 5.2 How old were you when you had Number of vaginal intercourse for the first years time? 5.3

"Now I am going to ask you some questions about anal sexual intercourse r (male sexual organ in the last part of female large intestine)! 5.3 Have you ever had anal intercourse with the person of opposite sex? 1. Yes, in the last 12 months, _____________ (number of partners) 2. Yes, more than 12 months ago 3. No filter If the answer to 5.1 is 1. or 2. , skip to the question 5.5 : If the answer to 5.1 is 3. No, skip to the Section 9 F: If the answer to 5.1 is 3. No, skip to the Section 11 How old were you when you had anal intercourse for the first Number of time? years When was the last time you had 1. During the past month vaginal or anal sexual 2. 2-6months ago intercourse? 3. 7-12 months ago 4.4. 4. More than a year ago During that last vaginal or anal intercourse had a condom been used? 1. Yes 2. No 3. I dont remember
filter

5.4

5.5

5.6

Now I would like to ask you about your sexual partners of opposite sex in the past year". From talking to many people about the partners they have vaginal, anal or oral with, we understand that there are different kind of partners. Please, let me read it to you and be free to ask me if any of these descriptions are not clear to you. First, we will be considering 3 possible types of sexual partners! Steady partner: only one person with whom you have repeated sexual intercourses in the period of 6 months or longer Casual partner: a person with whom you had one or more sexual intercourses beside your steady partner, or to say, a person you are not in longer relationship with. Commercial partner: person that gives you or you give to her/him money or some other benefit (a present, drugs, services, and similar) in return for sexual intercourse ".

SECTION 6

SEX WITH STEADY PARTNERS

" I will now ask you about your steady sexual partners of opposite sex".
6.1 Do you currently have a steady sexual partner? 1. Yes 2. No Section 7 6.2 Does your steady partner inject 1. Yes drugs? 2. No 3. I dont know 6.3 How many times did you have sexual intercourse with your steady partner in the past month?

If the answer is never, write 00

Section 7

6.4

The last time you had sex with 1. Yes steady partner had a condom 2.. 2. No been used? 3. I dont remember

6.5

During the past month how often did you use condoms during sexual intercourse with your steady partner?

1. Always (100%) 2. Most of the time (75%) 3. About half of the time (50%) 4. Sometimes (25%) 5. Rarely under 10%) 6. Never

SECTION 7 SEX WITH CASUAL PARTNERS

"Now I am going to ask you about sex with casual partners of opposite sex. With this partners you had one or more sexual intercourse beside your steady partner, or to say, a person you are not in longer relationship with.!
7.1 During the past 12 months did you have sexual intercourse with casual partner? How many of those casual partners injected drugs? The last time when you had sexual intercourse with a casual partner, had a condom been used? During the past 12 months how often did you use condoms during the sexual intercourse with casual partners? 1. Yes ,_____________ (number of partners) 2. No Number of intravenous drug users Section 8

7.2

7.3

1. Yes 2. No 3. I dont remember 1. Always (100%) 2. Most of the time (75%) 3. About half of the time (50%) 4. Sometimes (25%) 5. Rarely (under 10%) 6. Never

7.4

SECTION 8 SEX WITH COMMERCIAL SEXUAL PARTNERS

Now I would like to ask you about sexual partners of opposite sex from whom you got or you gave to them some material benefit (money, present, drug, service, or similar), in return for sexual intercourse. We will call these partners commercial partners
8.1 Have you ever got some money, stuff, service or drugs in return for vaginal or anal sexual intercourse with a person of opposite sex? How old were you when you got for the first time some money, stuff, services or drugs in return for vaginal or anal sexual intercourse? The last time when you had sex with commercial partner had a condom been used? During the past 12 months how often did you use condoms in sexual intercourses with commercial partners? 1. Yes, in the last 12 months, _____________ (number of partners) 2. Yes, more than 12 months ago 3. No :Section 9 F: Section 10

8.2

Number of years 1. Yes 2. No 3. I dont remember 1. Always (100%) 2. Most of the time (75%) 3. About half of time (50%) 4 Sometimes. (25%) 5. Rarely (under 10%) 6. Never

8.3

8.4

F:Section 10

SECTION 9 MEN THAT HAVE SEXUAL INTERCOURSE WITH MEN

"Now I will ask you about sexual intercourse with men, where material benefit (money, presents, drugs, services, and similar) may -but do not have to be given in return for sexual intercourse
9.1 Have you ever had anal sexual intercourse with men? 1. Yes, in the last 12 months _____________ (number of partners) 2. Yes, more than 12 months ago 3. No filter 9.2 9.3 : If the answer to 5.1 and 5.3 is 3. No, skipto Section 11 If only one from the answers to 5.1 and 5.3 is not 3. No , skip to Section 10 How old were you when you for the first time had anal sexual intercourse? Do you have steady sexual partner? Number of years 1. Yes 2. No 9.4 The last time when you had sexual intercourse with steady partner did You use condoms? During the past month how often did you use condoms during sexual intercourse with steady partner? 1. Yes 2. No 3. I dont remember 1. Always (100%) 2. Most of the time (75%) 3. About half of time (50%) 4. Sometimes (25%) 5. Rarely (under 10%) 6. Never 1. Yes 2. No 1. Yes 2. No 3. I dont remember 9.9 9.6 filter

9.5

9.6 9.7

Have you got casual sexual partner/s in the last 12 months? The last time when you had sexual intercourse with casual partner had a condom been used?

9.8

During the past 12 months how often did 1. Always (100%) you use condoms during the sex with 2. Most of the time (75%) casual partners? 3. About half of time (50%) 4. Sometimes (25%) 5. Rarely ((under 10%) 6. Never Did you have commercial sexual partner/s in the last 12 months? The last time when you had sexual intercourse with commercial partner, had a condom been used? 1. Yes 2. No 1. Yes 2. No 3. I dont remember Section 10

9.9

9.10

9.11

During the past 12 months how often did 1. Always (100%) you use condoms during sex with 2. Most of the time (75%) commercial male partners? 3. About half of time (50%) 4. Sometimes (25%) 5. Rarely ((under 10%) 6. Never

SECTION 10 CONDOMS AND SEXUAL HEALTH

10.1 During the past 12 months how did you obtained condoms? (Do not read answers! It is possible to give more than one answer!) 1. Purchased at a pharmacy 2.Purchased in supermarkets, shops 3. Purchased at newsstands, gas stations 4. Getting them from field workers 5.Getting them in VCCT centre 6.Getting them from health facilities 7.Getting them from friends, acquaintances, sexual partners 8. Other (state)________________________ 9. I didnt buy or get them from anybody

10.2

During the past 12 months did you have 1. Yes secretion from genital organs or genital ulcers, sores? (known as sexually transmitted 2. No infectiones/diseases) The last time when you had genital secretion or sores, ulcers on genital organs, what did you do about it? (Do not read answers! It is possible to give more than one answer!) 1. I didnt do anything 2. I went to a governmental health centre for examination and treatment 3. I went to a private health centre for examination and treatment 4. I went to pharmaciy to buy medicines 5. I asked for advice friend/older and more experienced people 6. I treated myself at home on my own initiative 7. I stopped having sex 8. I asked NGO outreach worker for advice 9. Other (state)________________________

Section 11

10.3

SECTION 11.1

11 HIV KNOWLEDGE
1. Yes 2. No Yes No 2 2 2 2 2 2 I dont know 3 3 3 3 3 3 12.5

Have you heard about HIV, virus that causes AIDS/SIDA?

11.2 11.3 11.4 11.5 11.6 11.7

Does having sex with only one faithful, uninfected partner reduce the riskof HIV transmission? Does a proper use of condoms during each sexual intercourse reduce the risk of HIV transmission? Can a healthy-looking person be infected with HIV? Can a person get HIV by staying in the same living or working space with the person who is infected with HIV? Can a person get HIV by sharing a food with someone infected with HIV? Does using an unused equipment for injection of drugs reduce the risk of HIV transmission?

1 1 1 1 1 1

SECTION 12 HIV AND HCV TESTING

12.1 Is it familiar to you where in this city is it possible to have a voluntary HIV test ? 1. In Counseling centre or HIV and STIs in the Public Health Institution 2. In Counseling centre for HIV and STIsin the Student Health Care Institution (Students` policlinic) 3. In private offices/laboratories 4. Inside the NGO which implements programmes related to HIV 5. In the Institution for Dependence DiseasaesTreatment 6. In the Institution for Infectious and Tropical Diseases( The Infectious Clinic) 7. Other (state)__________________________ 8. I am not familiar with any of the places 1. Yes, during the past 12 months /during the year 2007 2. Yes, more than 12 months ago 3. No 12.3 Please do not tell me the result 1. Yes of your testing, but just tell me if you were told the results of 2. No testing on that occasion? Where did you last tested for HIV? Do not read answers! It is possible to give only one answer!) 1. In the Public Health Institution 2. In the Centre for HIV/AIDS in the Infectious Clinic 3. In the Student Health Institution( Students` Policlinic) 4. In a private offices/laboratories 5. In a Institution for dependence diseases treatment 6. In the field within the programme of exchange needles and syringes 7. In prison 8. At home using rapid tests 9. Other(state)______________________________ 1. Yes, during the past12 months 2. Yes, more than 12 months ago 3. No 12.5

( Do not read answers!

It is possible to give more than one answer!)

12.2

Have you ever had an HIV test ?

12.4

12.5

Have you ever had an HCV test ?

SECTION 13 CONTACT WITH THE POLICE/PRISON/ CORRECTION AND SIMILAR FACILITIES

Now I am going to ask you about your contacts with the police and/or other representatives of law. 13.1 Have you ever been charged for violation of law? 13.2 Have you ever been criminally charged (been in prison)? 13.3 Have you ever been in thejuvenile detention centre ? 13.4 Have you ever stayed in a child protection centre ? 1. Yes 2. No 1. Yes 2. No 1. Yes 2. No 1. Yes 2. No

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SECTION 14 CONTACT WITH SERVICES FOR DRUG DEPENDENCE TREATMENT

Now I am going to ask you several questions related to your experience in drug dependence treatment 14.1 Have you ever tried to reduce or stop using drugs? 1. Yes, in the last 12 months 2. Yes, more than 12 months ago 3. No 1. Dispensary/outpatientcounseling/ psychotherapy 2. Detoxication using medicines in hospital 3. Drug treatment program in hospital 4. Drug treatment program in dispenasry/outpatient 5. Self-help(trying to stop on your own) 6. Family support 7. Support from religious community 8. NGO support/counselling centre 9. Other(state)________________________________ 1. Yes 2. No The end 14.3

14.2 In the last 12 months how did you try to reduce or stop using drugs? ( Do not read answers! It is possible to give more than one answer!)

14.3 Have you ever been involved in methadone program/treatment with methadone? 14.4 Are you currently involved in methadone program/treatment with methadone?

1. Yes 2. No

THANK YOU A LOT FOR TAKING PART IN THIS STUDY

DATE

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Interviewers initials ______

Controller _________________________

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