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PUBLIC AWARENESS OF HIV EPIDEMY IN UKRAINE 2015
Prepared for: Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH acting on
behalf of the Federal Government of Germany
Prepared by:
Inna Volosevych, Head of Social and Political Research Department at GfK Ukraine,
Tamila Konoplytska, Project Manager at Social and Political Research Department at
GfK Ukraine, [email protected]
Nick Moon, Managing Director of Social Research at GfK UK, [email protected]
Date:
26.01.2015
2
Table of contents
Abbreviations ....................................................................................................................................... 3
1 Awareness of the “Don’t Give AIDS a Chance!” campaign and the National AIDS
helpline ....................................................................................................................................... 6
2 HIV awareness ......................................................................................................................... 11
3 Attitudes to HIV ....................................................................................................................... 24
4 Risk behavior and HIV testing ............................................................................................... 31
5 Attitude to PLWH ..................................................................................................................... 43
6 Core indicators for Global AIDS Response Progress Reporting ...................................... 51
7 Conclusions and recommendations ..................................................................................... 57
8 Sample design ......................................................................................................................... 64
3
Abbreviations
AIDS – Acquired Immunodeficiency Syndrome
HIV - Human Immunodeficiency Virus
IDUs – Injecting drug users
PLWH - People Living with HIV
UCDC - State institution "Ukrainian Center for Socially Dangerous Disease Control of the Ministry of
Health of Ukraine"
Target groups
Population, Population of Ukraine, Ukrainians – population of Ukraine aged 15 and older
Youth – population of Ukraine aged 15-24
Population of Dnipropetrovska oblast – population of Dnipropetrovska oblast aged 15 and older
4
General information about the survey
The objective of the research is to evaluate the outputs and outcomes of the “Don’t Give AIDS a
Chance!” campaign: induced changes, measuring HIV and AIDS-related knowledge, behaviour, and
attitudes in Ukraine.
The first wave of the survey was conducted in Autonomous Republic Crimea in January-February 2013
and covered two target groups: the population of Crimea aged 15+ and the population of Crimea aged
15-24.
The second wave of the survey was conducted in Ukraine (not including Crimea and settlements in
Donetska and Luhanska oblast which are not under control of Ukrainian government) in November 2014.
It covered three target groups of the campaign: the population of Ukraine aged 15+, the population of
Ukraine aged 15-24 (Youth) and the population of Dnipropetrovska oblast aged 15+.
The third wave of the survey was also conducted in Ukraine (not including Crimea and settlements in
Donetska and Luhanska oblast which are not under control of Ukrainian government) in November 2015.
It covered three target groups of the campaign: the population of Ukraine aged 15+, the population of
Ukraine aged 15-24 (Youth) and the population of Dnipropetrovska oblast aged 15+.
Dnipropetrovska oblast became target one of the “Don’t Give AIDS a Chance!” campaign because of the
high HIV prevalence there. As of December 1, 2014 Dnipropetrovska oblast holds the second place in
Ukraine by HIV prevalence after Odeska oblast (732 PLWH per 100 000 of population)1. As of October
2015 this indicator increased to 765 PLWH per 100 000 of population2 while the average indicator in
Ukraine for indicated period decreased: the average indicator of HIV-infection in Ukraine as of 1.12.2014
was 323,7 PLWH per 100 000 of population and it decreased to 298,7 PLWH per 100 000 of population
as of 1.10.2015.
This report gives the results of the third wave of the survey, compared with the results of the second
wave. Questions that were modified in the third wave are shown with the results of only the third wave.
The total sample size of the third wave of the survey was 1502 interviews3, the Youth sample size was
403 interviews, and the Dnipropetrovska oblast sample was 340 interviews. The total sample size of the
second wave of the survey was 1479 interviews4, the Youth sample size was 411 interviews, and the
Dnipropetrovska oblast sample was 321 interviews.
The sample of the survey is random. At the last stage interview was conducted with the person who fits
by age (15+). If there are several persons who fit by age, the interview was conducted with the person
whose birthday was the last among members of household aged 15+. If all potential respondents denied
participating in the survey, the interviewer followed the next household.
1 According to data of State Institution “Ukrainian Center for Social Disease Control of the Ministry of Healthcare of Ukraine http://dssz.gov.ua/attachments/article/2421/листопад%202014.pdf 2 According to data of State Institution “Ukrainian Center for Social Disease Control of the Ministry of Healthcare of Ukraine. http://ucdc.gov.ua/uploads/documents/83da57/54767862173c1d664168e3fa6a5c28c2.pdf 3 Sample size of 1502 interviews includes 1077 respondents for nationally representative sample (which included 204 respondents aged 15-24 and 114 residents of Dnipropetrovska oblast) and boosters of 199 respondents for Youth and 226 respondents for residents of Dnipropetrovska oblast. The boosters were conducted in order to have enough number of respondents for reliable analysis. 4 Sample size of 1479 interviews includes 1068 respondents for nationally representative sample (which included 211 respondents aged 15-24 and 110 residents of Dnipropetrovska oblast) and boosters of 200 respondents for Youth and 211 respondents for residents of Dnipropetrovska oblast. The boosters were conducted in order to have enough number of respondents for reliable analysis.
5
The sample for Ukraine is representative for the population of Ukrainian settlements that are under
control of the Ukrainian government aged 15+ by gender, age, settlement size, region of respondent`s
residence according to State Statistic Service of Ukraine data: for the second wave - at January 1, 2013;
for the third wave – at January 1, 2014.
The sample for Youth is representative for the population of Ukrainian settlements that are under control
of the Ukrainian government aged 15-24 by gender, settlement size, region of respondent`s residence
according to State Statistic Service of Ukraine data: for the second wave - at January 1, 2013; for the
third wave – at January 1, 2014.
The sample for Dnipropetrovska oblast is representative of the population of Dnipropetrovska oblast aged
15+ by gender, age and settlement size according to State Statistic Service of Ukraine data: for the
second wave - at January 1, 2013; for the third wave – at January 1, 2014.
Geographical coverage of the territories of the survey differs in 2014 and 2015 because of changes in
borders of territories that are under control of the Ukrainian government and those that are not controlled
by the Ukrainian government. Territorial coverage in 2015 was defined by with the Cabinet of Ministers of
Ukraine Order dated by November 7, 2014 № 1085-р “On the list of settlements in the territory of which
the public authorities temporarily do not exercise their authority, and the list of settlements that are
located on the contact line” and the Cabinet of Ministers of Ukraine Order dated by May 5, 2015 № 428-р
“On the Amendments to the Cabinet of Ministers of Ukraine Order dated November 7, 2014 № 1085.
Distribution of the sample (population of Ukraine) by regions in the second and the third waves of
the survey showing different regional coverage
2nd wave 3rd wave
Kyiv city 7,2% 7,4%
North 13,0% 13,4%
West 22,6% 23,3%
Centre 25,0% 25,6%
South 16,3% 16,4%
West 15,9% 14,0%
Total 100,0% 100,0%
6
1 Awareness of the “Don’t Give AIDS a Chance!” campaign and the National AIDS helpline
Awareness of the “Don’t Give AIDS a Chance!” campaign is similar to its level in 2014. Overall 39% of
Ukrainians are aware of the campaign. This percentage is higher among Youth (52%). Also the number of
those who have heard about the campaign in Dnipropetrovska oblast is higher than in Ukraine (54%).
Regarding the majority of the Ukrainians, they are mostly haven’t heard of this campaign.
Graph 1.1 HAVE YOU HEARD OR SEEN ANYTHING ABOUT «DON’T GIVE AIDS A CHANCE!» CAMPAIGN? (shows the card with the samples of ads of the campaign)
% of all respondents
The most common sources of information about the “Don’t Give AIDS a Chance!” campaign in Ukraine
remain the TV – 24% (in 2014 – 29%), and outdoor ads/billboards – 17% (in 2014 – 14%).
Comparing with the previous wave there is as increase in the number of those who became aware of the
campaign via brochures/posters (8% in 2015 comparing with 5% in 2014), social media (5% in 2015
comparing with 2% in 2014), promotions organized in the city (5% in 2015 comparing with 1% in 2014),
doctors or other employees of the health care system (4% in 2015 comparing with 2% in 2014).
The share of Youth who got aware of campaign via TV significantly decreased (29% in 2015 comparing
with 34% in 2014). Youth was also mentioning the Internet more frequently than the others.
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 39% 54% 52%
2014 37% 56% 47%
2015 61% 46% 48%
2014 63% 44% 53%
2015 1502 340 403
2014 1479 321 411
Yes, I have heard/seen the company`s
logo or posters
No, haven`t heard or seen anything
N
7
The population of Dnipropetrovska oblast heard about “Don’t Give AIDS a Chance!” campaign much more
often than the total population from TV and outdoor ads/billboards. Comparing with 2014 there is a
significant decrease of the share of those who got aware of campaign from brochures/posters (12%
comparing with 22% in 2014) and newspapers (10% comparing with 23% in 2014). In contrast, many
more residents of Dnipropetrovska oblast heard of the campaign from their friends (13% comparing with
3% in 2014).
Graph 1.2 WHERE HAVE YOU HEARD OR SEEN ABOUT «DON’T GIVE AIDS A CHANCE» CAMPAIGN?*
% of all respondents**
* The graph includes the sources which constitute at least 5% of the responses at least in one of the target groups **Here and further statistically significant differences with a probability of 95% are marked bold
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 24% 40% 29%
2014 29% 48% 34%
2015 17% 34% 26%
2014 14% 34% 22%
2015 8% 12% 9%
2014 5% 22% 8%
2015 7% 10% 10%
2014 7% 23% 6%
2015 6% 5% 13%
2014 5% 7% 9%
2015 5% 5% 7%
2014 2% 4% 5%
2015 5% 10% 5%
2014 4% 9% 4%
2015 5% 6% 4%
2014 1% 4% 4%
2015 4% 7% 4%
2014 2% 3% 3%
2015 3% 13% 7%
2014 2% 3% 3%
2015 3% 7% 2%
2014 2% 3% 4%
2015 2% 5% 8%
2014 1% 2% 7%
2015 61% 46% 48%
2014 63% 44% 53%
2015 1502 340 403
2014 1479 321 411N
Haven’t received information
Social media
TV
Outdoor ads/billboards
Brochures/leaflets
Newspapers, magazines
The Internet (not social media)
Radio
Public events that took place in your
city
Doctor/other healthcare professional
Friends
Public transport (trolleybus, bus, train)
School
8
33% of Ukrainians have heard about the National HIV/AIDS (the figure decreased comparing with 2014
when it was 39%). This result is higher among Youth (46%).
Graph 1.3 HAVE YOU HEARD ABOUT THE NATIONAL HIV/AIDS HELPLINE?
(the card with the name of the National HIV/AIDS Helpline, its telephone number and Internet web-site
address was shown to the respondents)
% of all respondents
Awareness of the National HIV/AIDS Helpline decreased among those who are aware of the “Don’t Give
AIDS a Chance!” campaign as well as among those who never heard of the campaign.
There are 56% of those who are aware of the National HIV/AIDS Helpline among those who have heard
of the campaign (in 2014 this indicator reached 62%), whereas among those who never heard of the
campaign only 18% heard of this helpline (in 2014 it was 25%).
Graph 1.4 HAVE YOU HEARD ABOUT THE NATIONAL HIV/AIDS HELPLINE? (the card with the name of the National HIV/AIDS Helpline, its telephone number and Internet web-site address was shown to the respondents)
% of all respondents
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 33% 28% 46%
2014 39% 31% 42%
2015 67% 72% 54%
2014 61% 69% 58%
2015 1502 340 403
2014 1479 321 411
Yes
No
N
Population of
Ukraine
Those who
received
information
about the
campaign
Those who did
not receive
information
about the
campaign
2015 33% 56% 18%
2014 39% 62% 25%
2015 67% 44% 82%
2014 61% 38% 75%
2015 1502 653 849
2014 1479 622 857
Yes
No
N
9
The overwhelming majority of Ukrainians (73%), as well as the overwhelming majority of Youth (75%) and
the residents of Dnipropetovska oblast (76%) know that the calls to the National HIV/AIDS Helpline are
free of carge.
Graph 1.5
DO YOU KNOW HOW MUCH IT COSTS TO CALL THE NATIONAL HIV/AIDS HELPLINE? IS IT …
% of respondents, who have heard of the National HIV/AIDS Helpline
Ukrainians who have heard about the helpline named the following situations that should cause people to
call there: if the caller suspects him/herself being HIV-infected (58%); or if the caller wishes to hear
general information about HIV/AIDS (46%). Among Youth there are similar indicators.
Among the population of Dnipropetrovska oblast there are much fewer of those who believes that the
National helpline should be called when you believe that you are HIV-infected. In contrast, they slightly
more often than the others named the necessity to know where to be tested for HIV as the reason for the
call.
Graph 1.6
WHEN SHOULD SOMEONE CALL THE NATIONAL HIV/AIDS HELPLINE?
% of the respondents who have heard of the National HIV/AIDS Helpline
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 73% 76% 75%
2014 72% 86% 71%
2015 3% 1% 6%
2014 2% 2% 1%
2015 1% 0% 0%
2014 1% 0% 1%
2015 23% 23% 20%
2014 26% 12% 27%
2015 517 105 183
2014 570 87 169N
The same rate as a call to another city
Don’t know
Free
The same rate as a local calls
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 58% 33% 58%
2015 46% 44% 43%
2015 36% 44% 38%
2015 34% 26% 30%
2015 28% 26% 28%
Don’t know 2015 6% 5% 8%
N 2015 517 105 183
If they think they might have HIV
For information about HIV and AIDS in
general
To ask where they can undergo a HIV
test
If they know someone who might have
HIV or AIDS
To ask about how to prevent getting
HIV
10
Regarding the possibility of online consultation on the issues related to HIV/AIDS, the awareness level
among the total population reaches 15% and approximately the same rate among the population of
Dnipropetrovska oblast (17%). Youth is better informed – in its case the indicator reaches 25%.
Graph 1.7 ARE YOU AWARE OF THE POSSIBILITY OF ONLINE CONSULTATION ON HIV/AIDS ISSUES AT THE WEB-SITE INDICATED ON THE CARD? (the card with the name of the National HIV/AIDS Helpline, its telephone number and Internet web-site address was shown to the respondents)
% of all respondents
Approximately one-third (35%) of those who have heard of the National Helpline know about the
possibility of online consultation on HIV/AIDS issues. There are 46% of such respondents among Youth
and more than a half (58%) among the population of Dnipropetrovska oblast.
Graph 1.8 DO YOU KNOW ABOUT THE POSSIBILITY OF ONLINE CONSULTATION ON THE ISSUES OF HIV/AIDS AT THE WEB-SITE INDICATED ON THE CARD) (the card with the name of the National HIV/AIDS Helpline, its telephone number and Internet web-site address was shown to the respondents)
% of the respondents who have heard of the National HIV/AIDS Helpline
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
Yes 2015 15% 17% 25%
No 2015 85% 83% 75%
N 2015 1502 340 403
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
Yes 2015 35% 58% 46%
No 2015 65% 42% 54%
N 2015 517 105 183
11
2 HIV awareness
More than half (59%) of Ukrainians consider themselves to be very or fairly well informed about HIV/
AIDS. 25% say they’re poorly informed and 9% are not informed at all.
The percentage of informed respondents is higher among Youth (69%).
There is a significant decrease in the level of awareness among the population of Dnipropetrovska oblast
(55% in 2015 in comparison owith 67% in 2014). At the same time the percentage of those who are not
informed at all (8% in 2015 versus 1% in 2014), and those for whom it’s difficult to say (14% in 2015
versus 7% in 2014) increased in Dnipropetrovska oblast
Graph 2.1
HOW WELL INFORMED WOULD YOU SAY YOU ARE ABOUT HIV AND AIDS?
% among all respondents
76% of Ukrainians have heard or seen some information about HIV/AIDS in the past year (in 2014 this
indicator was 79%). The most common sources of information about HIV/AIDS in Ukraine remain the TV
(56%), however the percentage of those who indicated that they have heard or have seen something
about HIV/AIDS on TV significantly decreased comparing with 2014 when it was 68%.
Among Youth information about HIV/AIDS was received by 85%. The main sources of information for
Youth, just as for all Ukrainians, are TV (53%, which is much less in comparison with 67% in 2014),
outdoor ads/billboards (36%), the Internet except for the social media (25%). 23% of Youth received such
information at schools and 11% at universities.
Among the population of Dnipropetrovska oblast 79% have not received information about HIV/AIDS in
the past year. The proportion receiving such information from the newspapers decreased (11% in 2015
versus 33% in 2014). The same is true for the brochures (15% in 2015 versus 29% in 2014), at work (5%
in 2015 versus 14% in 2014).
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 12% 16% 15%
2014 11% 11% 12%
2015 47% 39% 54%
2014 44% 56% 56%
2015 25% 23% 23%
2014 27% 26% 22%
2015 9% 8% 3%
2014 10% 1% 2%
2015 7% 14% 5%
2014 8% 7% 8%
2015 1502 340 403
2014 1479 321 411
Very well informed
Fairly well informed
Fairly poorly informed
Not at all informed
Don’t know
N
12
Graph 2.2 WHERE DID YOU GET ANY INFORMATION ABOUT HIV AND AIDS DURING THE LAST YEAR FROM?* % among all respondents
* The graph includes the sources which constitute at least 5% of the responses at least in one of the target groups
More than a half of Ukrainians know the following information about HIV:
You can get infected with HIV and be unaware of it (84% of respondents estimated this statement
correctly)
Use of condoms considerably reduces the risk of getting infected with HIV ВІЛ (76%)
There is no medicine as of now to completely cure HIV-infection and AIDS (71%)
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 56% 57% 53%2014 68% 74% 67%2015 25% 44% 36%2014 26% 45% 32%2015 16% 11% 17%2014 22% 33% 21%2015 16% 15% 16%2014 14% 29% 17%2015 13% 10% 25%2014 14% 14% 27%2015 11% 15% 10%2014 17% 19% 13%2015 9% 17% 11%2014 11% 12% 17%2015 9% 8% 9%2014 10% 7% 13%2015 9% 9% 12%2014 6% 9% 10%2015 8% 5% 10%2014 5% 8% 7%2015 7% 7% 23%2014 5% 6% 23%2015 6% 5% 3%2014 8% 14% 6%2015 6% 8% 5%2014 6% 12% 8%2015 4% 4% 10%2014 3% 4% 8%2015 4% 3% 9%2014 1% 2% 5%2015 4% 2% 11%2014 2% 3% 9%2015 3% 5% 2%2014 3% 3% 2%2015 2% 3% 2%2014 3% 6% 3%2015 14% 5% 11%2014 8% 6% 6%2015 10% 16% 4%2014 13% 8% 10%2015 1502 340 4032014 1479 321 411
TV
Outdoor ads/billboards
Newspapers, magazines
Brochures/leaflets
University
The Internet (not social media)
Radio
Friends
Doctor/other healthcare professional
Social media
Public events that took place in your city
School
Workplace
Public transport (trolleybus, bus, train)
Lectures
Parents
Don’t remember
Haven’t received information about HIV
and AIDS in past year
N
A partner or spouse
Other relatives
13
A healthy-looking person can be HIV-positive (69%)
You cannot rest assured that you do not have HIV/AIDS just because you do not take drugs
(59%)
More than one third of Ukrainians know that people living with HIV are provided with treatment and can
live a normal life. The proportion of those who think this way has significantly increased – 37% in 2015
versus 24% in 2014 among the Ukrainians in general. The increase of this indicator is also noticeable
among Youth (42% in 2015 versus 27% in 2014) and the population of Dnipropetrovska oblast (42%
versus 28%). On the other hand only one third of Ukrainians (34%) know that HIV is not a death
sentence.
67% of Ukrainians believe that a man who is known to be carrying condoms would not have a bad image;
58% of Ukrainians believe the same to be true about a woman that is known to be carrying condoms.
One third of Ukrainians (34%) believe that HIV-infected woman can give a birth to a healthy child. Among
Youth this indicator is 26%.
The same trends are being observed among Youth and population of Dnipropetrovska oblast overall.
However in Dnipropetrovska oblast in comparison to 2014 there is a decrease in a number of those who
know that a person cannot rest assured that he/she does not have HIV just because he/she does not take
drugs (57% in 2015 versus 67% in 2014).
Graph 2.3 NOW I AM GOING TO READ YOU A SET OF STATEMENTS ABOUT HIV AND AIDS. PLEASE LABEL EACH OF THEM RIGHT OR WRONG.
% of all respondents, share of those who believe the statement to be correct
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 82% 87% 83%2014 84% 81% 85%2015 76% 75% 84%2014 76% 78% 81%2015 71% 72% 69%
2014 69% 74% 70%2015 69% 66% 71%2014 69% 71% 72%
2015 67% 67% 73%
2014 67% 68% 71%
2015 59% 57% 62%
2014 59% 67% 65%
2015 58% 60% 63%
2014 58% 58% 64%
2015 37% 42% 42%
2014 24% 28% 27%
2015 34% 27% 35%
2014 33% 36% 37%
2015 34% 30% 26%
2014 ─ ─ ─2015 1502 340 403
2014 1479 321 411
You can get infected with HIV and be
unaware of this
Use of condoms considerably reduces the
risk of getting infected with HIV
A healthy-looking person can be HIV-
positive
There is no medicine as of now to cure of
HIV infection and AIDS completely
N
HIV-infected woman can give birth to a
healthy child
A man who is known to be carrying
condoms would not have a bad image
If you do not take drugs, you can not rest
assured that you do not have HIV or AIDS
A woman who is known to be carrying
condoms would not have a bad image
These days people with HIV are provided
with treatment and are able to live a
normal life
Getting infected with HIV do not mean a
death-warrant
14
According to the public opinion, the main reasons why HIV is being spread is prostitution (according to
74% of the respondents; the number of those who think that way decreased in comparison to 2014 when
this indicator reached 80%), drug-trafficking (73%) and homosexual relations (66%). Other reasons given
by respondents are: people believe they are not at risk of getting HIV (54% mentioned it as one of the
main reasons); disrespect to the traditional moral and ethical values of the society (51%); people do not
understand the ways HIV is distributed (48%; the number of those who think that way decreased in
comparison to 2014 when it was 52%).
There is no significant difference among Youth and the residents of Dnipropetrovska oblast regarding this
issue, although among Youth there are significantly less of those who believe that the reason for HIV
distribution is homosexual relations (60%, whereas among the Ukrainians overall its 66%), and the
population of Dnipropetrovska oblast named prostitution much more often as the reason (79%, whereas
overall in Ukraine it is – 74%).
Graph 2.4 NOW I AM GOING TO READ YOU A FEW STATEMENTS CONCERNING THE REASONS OF HIV/AIDS SPREAD IN UKRAINE. PLEASE SPECIFY IF IT IS THE MAIN REASON, SECONDARY REASON OR NOT A REASON AT ALL OF THE UNEFFECTIVE HIV/AIDS PREVENTION IN UKRAINE FOR EACH OF THE STATEMENTS?
% of all respondents, population of Ukraine: N 2014 = 1479, N 2015 = 1502
74%
80%
73%
76%
66%
68%
54%
57%
51%
48%
52%
47%
48%
42%
42%
36%
38%
28%
29%
28%
20%
26%
14%
14%
16%
13%
17%
15%
18%
20%
26%
28%
27%
32%
28%
34%
30%
34%
32%
36%
33%
35%
33%
38%
42%
33%
33%
27%
6%
2%
6%
4%
8%
3%
14%
8%
15%
14%
12%
14%
12%
17%
16%
24%
20%
26%
22%
24%
26%
33%
44%
49%
4%
4%
5%
8%
9%
6%
8%
7%
6%
7%
6%
10%
7%
10%
5%
9%
11%
16%
11%
12%
9%
10%
10%
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
Main reason Secondary reason Not a reason Don`t know/Refuse
Spread of prostitution
Spread of drug-trafficking
Spread of homosexual relations
People think they are not at risk of getting infected with HIV
People do not understand the ways HIV and AIDS are spread
Parents do not provide their children with enough information on sex safeguards
Lack of information on safe sex in schools
It is difficult for people to speak openly about sex
People think there has been discovered a cure for HIV/AIDS
The quality of condoms is poor, they tear easily
Condoms are too expensive
Traditional moral and ethicalvalues neglection
People displacement (wars, labour migration, urbanization, tourism, trade)
15
Graph 2.5 NOW I AM GOING TO READ YOU A FEW STATEMENTS CONCERNING THE REASONS OF HIV/AIDS SPREAD IN UKRAINE. PLEASE SPECIFY IF IT IS THE MAIN REASON, SECONDARY REASON OR NOT A REASON AT ALL OF THE UNEFFECTIVE HIV/AIDS PREVENTION IN UKRAINE FOR EACH OF THE STATEMENTS?
% of all respondents: population of Dnipropetrovska oblast, 2015 N=340, 2014 N=321
79%
87%
77%
84%
69%
85%
53%
51%
51%
53%
48%
52%
41%
44%
37%
27%
34%
39%
32%
32%
30%
29%
16%
27%
17%
10%
20%
12%
21%
11%
37%
35%
37%
28%
38%
35%
48%
36%
40%
48%
45%
35%
47%
45%
31%
45%
36%
45%
2%
2%
3%
2%
1%
2%
7%
11%
8%
16%
8%
10%
4%
16%
17%
20%
17%
20%
13%
13%
30%
21%
44%
20%
8%
3%
3%
3%
6%
3%
7%
3%
6%
5%
4%
5%
8%
10%
9%
6%
4%
9%
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
Main reason Secondary reason Not a reason Don't know/Refuse
Spread of prostitution
Spread of drug-trafficking
Spread of homosexual relations
Traditional moral and ethicalvalues neglection
People think they are not at risk of getting infected with HIV
People do not understand the ways HIV and AIDS are spread
Parents do not provide their children with enough information on sex safeguards
Lack of information on safe sex in schools
It is difficult for people to speak openly about sex
People think there has been discovered a cure for HIV/AIDS
The quality of condoms is poor,
Condoms are too expensive
People displacement (wars, labour migration, urbanization, tourism, trade
16
Graph 2.6 NOW I AM GOING TO READ YOU A FEW STATEMENTS CONCERNING THE REASONS OF HIV/AIDS SPREAD IN UKRAINE. PLEASE SPECIFY IF IT IS THE MAIN REASON, SECONDARY REASON OR NOT A REASON AT ALL OF THE UNEFFECTIVE HIV/AIDS PREVENTION IN UKRAINE FOR EACH OF THE STATEMENTS?
% of all respondents: Youth (15-24), 2015 N=403, 2014 N=411
73%
80%
67%
75%
60%
66%
53%
61%
51%
54%
46%
47%
40%
41%
37%
35%
39%
30%
33%
33%
21%
25%
15%
15%
19%
13%
22%
16%
23%
20%
29%
27%
31%
28%
38%
31%
38%
33%
36%
39%
33%
35%
32%
38%
44%
35%
34%
28%
2%
4%
11%
6%
14%
6%
14%
13%
13%
14%
18%
19%
17%
22%
22%
26%
23%
20%
24%
29%
42%
50%
3%
3%
5%
7%
8%
5%
6%
4%
6%
4%
7%
5%
6%
9%
5%
6%
9%
12%
9%
11%
11%
8%
7%
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
Main reason Secondary reason Not a reason Don't know/Refuse
Spread of prostitution
Spread of drug-trafficking
Spread of homosexual relations
People think they are not at risk of getting infected with HIV
People do not understand the ways HIV and AIDS are spread
Parents do not provide their children with enough information on sex safeguards
Lack of information on safe sex in schools
It is difficult for people to speak openly about sex
People think there has been discovered a cure for HIV/AIDS
The quality of condoms is poor, they tear easily
Condoms are too expensive
Traditional moral and ethicalvalues neglection
People displacement (wars, labour migration, urbanization, tourism, trade
17
Most Ukrainians are aware of the ways of HIV transmission. The highest level of awareness is observed
for:
Transfusion of infected blood (90% of Ukrainians know this way of HIV transmission);
Shared use of needles and syringes for injections (90% – the indicator increased in comparison
to 2014 when it reached 87%);
Blood-to-blood contact with an infected person (90%).
There is an increased level of awareness of HIV transmission through vaginal sex without condom (84%
in 2015 versus 80% in 2014), unprotected anal sex (74% in 2014 versus 66% in 2015), oral sex without
condom (65% in 201, 54% in 2014). The level of awareness of HIV transmission through piercing and
tattooing reaches 81%, sharing shaving products / toothbrushes – 75%.
The number of those who are aware of HIV transmittance from an HIV positive mother to a baby is 64%,
the number of those who are aware of this decreased in comparison to 2014 (75%).
As well as in case of the respondents overall, the number of young people who are aware the HIV can be
transmitted from an HIV positive mother to a baby decreased (63% in 2015 versus 75% 2014).
In Dnipropetrovska oblast there is an increase in the number of those who are aware that a person can
be infected by transfusion of infected blood, – 99% in 2015 versus 95% in 2014 - or by the blood of the
infected person via blood-to-blood contact – 97% in 2015 versus 88% in 2014. However, there is a
decrease in the proportion of those who are aware of the probability of HIV transmittance via oral (60% in
2015 versus 82% in 2014), anal (71% in 2015 versus 83% in 2014), vaginal (78% in 2015 versus 90% in
2014) sex without condom. There is also a decrease in those who are aware of the risk of HIV
transmittance when doing piercing or tattooing (73% in 2015 versus 82% in 2014)
Graph 2.7 WHICH OF THESE ARE POSSIBLE AND WHICH ARE IMPOSSIBLE WAYS OF GETTING HIV OR AIDS? POSSIBLE WAYS
% of all respondents: share of those who considers the following ways of being infected to be possible
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 90% 99% 93%
2014 89% 95% 88%
2015 90% 89% 91%
2014 87% 90% 86%
2015 90% 97% 89%
2014 88% 88% 83%
2015 84% 78% 82%
2014 80% 90% 78%
2015 81% 73% 86%
2014 80% 82% 81%
2015 75% 66% 76%
2014 76% 72% 74%
2015 74% 71% 73%
2014 66% 83% 66%
2015 65% 60% 63%
2014 54% 82% 55%
2015 64% 84% 63%
2014 75% 83% 75%
2015 1502 340 403
2014 1479 321 411
When using somebody else’s shaving
products, toothbrushes
Anal sex without using a condom
Oral sex without using a condom
An HIV-positive mother-to-baby
transmission
N
When transfusing infected blood
Shared use of needles and syringes for
injections
Through blood of infected people upon any
blood-to-blood contact
Vaginal sex without using a condom
When doing piercing and tattoo
18
The most important objective of the campaign is raising awareness of thise ways of being infected that
are directly connected with the risky behavior of citizens – unprotected sex or shared use of sharp objects
(the fact that citizens are aware of the possibility of HIV transmittance by blood transfusion, blood-to-
blood contacts or when the child is born does not have any impact on their behavior).For each of the
target groups the proportion aware of all the ways of getting infected through the risky behavior was
calculated.
Among the population of Ukraine the proportion who are aware of all the ways of getting infected which
are associated with risky behavior increased from 37% in 2014 to 46%.
Among Youth this proportion increased from 37% in 2014 to 44%.
On the contrary, awareness of all the ways of getting infected is lower among the residents of
Dnipropetrovska oblast than among the overall population (also, this awareness significantly decreased in
comparison to 2014).
Graph 2.8 WHICH OF THESE ARE POSSIBLE AND WHICH ARE IMPOSSIBLE WAYS OF GETTING HIV OR AIDS? POSSIBLE WAYS, ASSOCIATED WITH RISKY BEHAVIOUR % of all respondents: share of those who considers the following ways of getting infected to be possible Indicator: awareness on the ways of getting infected associated with a risky behavior - % of respondents who consider all the indicated ways of getting infected to be possible
Regarding wrong stereotypes about HIV transmittance, 34% of Ukrainians wrongly consider that a person
can be infected if treated at a doctor’s surgery where HIV-positive patients are also treated. 28% consider
that HIV is transmitted via mosquito bites. 26% of respondents said that the person can be infected by
sharing toilet/bathhouse/swimming pool with the infected person (the proportion thinking this way
increased from 20% in 2014) and 26% consider that one can be infected by sharing the same glass with
HIV-infected person. 11-22% of Ukrainians wrongly consider that HIV can be transmitted by shared use
of towels and other household items, consuming food together, sneezing or coughing, kissing etc.,
whereas 5% believe even touch or hugging to be risky. All these wrong perceptions lead to intolerant
attitude towards PLWH.
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 90% 89% 91%
2014 87% 90% 86%
2015 84% 78% 82%
2014 80% 90% 78%
2015 81% 73% 86%
2014 80% 82% 81%
2015 75% 66% 76%
2014 76% 72% 74%
2015 74% 71% 73%
2014 66% 83% 66%
2015 65% 60% 63%2014 54% 82% 55%
2015 46% 37% 44%
2014 37% 50% 37%
2015 1502 340 403
2014 1479 321 411
When using somebody else’s shaving
products, toothbrushes
Awareness of ways of getting infected
associated with risky behaviour (% of
those who know all the ways)
Shared use of needles and syringes for
injections
Vaginal sex without using a condom
When doing piercing and tattoo
Anal sex without using a condom
Oral sex without using a condom
N
19
Among Youth the proportion who consider that HIV can be transmitted via mosquito bite increased in
2015 up to 28% (comparing with 18% in 2014).
Among the residents of Dnipropetrovka oblast there is an increase in those who think that a person can
be infected if treated at a doctor’s surgery where HIV-positive patients are also treated (2015 – 29%,
2014 – 16%). However, on the other hand, there is a decrease in those who think that a person can get
infected by touches and hugging (2015 – 2%, 2014 р. – 8%).
Graph 2.9 WHICH OF THESE ARE POSSIBLE AND WHICH ARE IMPOSSIBLE WAYS OF GETTING HIV OR AIDS? IMPOSSIBLE WAYS
% of all respondents: share of those who consider that the following ways of getting HIV-infected are
possible
According to the total population the best way to protect from HIV is to engage in sexual intercourse only
with a constant and faithful partner that doesn’t have any other sexual partners (90% of Ukrainians
mentioned it as a method to reduce the risk of infection); also 80% mentioned using condoms during each
sexual intercourse as another effective way of protection.
There is an increase in a number of those who do not consider that for preventing infection it is necessary
to have one faithful partner: in 2015 – 5%, in 2014 р. – 3%; in those who do not consider it necessary to
using condoms: 2015 – 11%, 2014 р. – 5%; and in those who do not consider that f HIV can be prevented
from spreadingby abstaining from anal sex: 2015 – 33%, 2014 – 28%.
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 34% 29% 33%
2014 32% 16% 27%
2015 28% 16% 28%
2014 24% 22% 18%
2015 26% 25% 24%
2014 20% 28% 20%
2015 26% 23% 20%
2014 22% 25% 22%
2015 22% 25% 20%
2014 19% 29% 17%
2015 20% 17% 17%
2014 19% 15% 16%
2015 18% 21% 17%
2014 18% 20% 15%
2015 16% 20% 17%
2014 18% 23% 15%
2015 12% 15% 11%
2014 11% 16% 8%
2015 11% 12% 9%
2014 9% 13% 8%
2015 5% 2% 5%
2014 6% 8% 4%
2015 1502 340 403
2014 1479 321 411
Through a kiss
Living in one room with an HIV-positive
person
Eating food prepared by an HIV-positive
person
Through touch or hugging
N
If you share food with an HIV-positive
person
Through sneezing or coughing
Insect bite transmission
Using one toilet/bathhouse/swimming pool
or sauna with an infected person
Drinking from the same glass with HIV-
positive person
Through shared use of a towel, bath
sponge, soap
If you’re treated at a doctor’s surgery
where HIV-positive patients are also
treated
20
Among Youth there is a significant decrease in the proportion of those who believe that is necessary to
use condoms constantly – 85% in 2014 to 79% in 2015.
Among the population of Dnipropetrovska oblast 98% consider that it is possible to decrease the risk of
HIV infection by engaging in sexual intercourse only with a constant and faithful partner that doesn’t have
any other sexual partners; for 44% it is abstaining from anal sex (the number of such respondents
decreased comparing with 2014 – 55%) whileamong Ukrainians this indicator reached 37%).
Graph 2.10 IS IT POSSIBLE TO REDUCE THE RISK OF HIV TRANSMISSION… POSSIBLE WAYS
% of all respondents: population of Ukraine, N 2014 =1479, N 2015= 1502
Graph 2.11 IS IT POSSIBLE TO REDUCE THE RISK OF HIV TRANSMISSION… POSSIBLE WAYS
% of all respondents: Dnipropetrovska oblast, N 2014 =321, N 2015= 340
90%
91%
80%
82%
37%
38%
5%
3%
11%
5%
33%
28%
5%
7%
10%
13%
30%
35%
2015
2014
2015
2014
2015
2014
Yes No Don`t know
By engaging in sexual intercourse only with a constant and faithful partner, that doesn't have any other sexual partner
By using condoms during each sexual intercourse
Abstain from anal sex
98%
94%
87%
90%
44%
55%
3%
8%
4%
23%
22%
2%
4%
5%
6%
33%
24%
2015
2014
2015
2014
2015
2014
Yes No Don't know
By engaging in sexual intercourse only with a constant and faithful partner, that doesn't have any other sexual partner
By using condoms during each sexual intercourse
Abstain from anal sex
21
Graph 2.12 IS IT POSSIBLE TO REDUCE THE RISK OF HIV TRANSMISSION… POSSIBLE WAYS
% of all respondents: Youth (15-24), N 2014 =411, N 2015= 403
The highest share (46%) of the interviewed residents of Ukraine considers that sexual contacts with those
persons who said that they are HIV negative are reducing the risk of HIV transmission. Also other wrong
stereotypes on the protection from being HIV-infected prevail in over one-fifth of the population of
Ukraine: reducing HIV risk by practicing sexual penetration without ejaculation (24%); use of spermicidal
agents when having a sexual intercourse (20% versus 16% in 2014 р.); use of hormonal contraceptives
(19%).
A significant share of the respondents demonstrated uncertainty regarding the wrong stereotypes related
to protection from HIV infection: 43% of Ukrainians are not aware whether using of spermicidal agents
can reduce the risk of being HIV-infected, 29% of the population is not aware whether practicing sexual
penetration without ejaculation can reduce the risk (in 2014 this indicator reached 35%), and 28% are not
certain if using of hormonal contraceptives can help. ( 34% in 2014)
Graph 2.13 IS IT POSSIBLE TO REDUCE THE RISK OF HIV TRANSMISSION… WRONG WAYS
% of all respondents: population of Ukraine, N 2014 =1479, N 2015= 1502
88%
88%
79%
85%
36%
38%
6%
2%
13%
4%
34%
28%
6%
10%
7%
11%
30%
34%
2015
2014
2015
2014
2015
2014
Yes No Don't know
By engaging in sexual intercourse only with a constant and faithful partner, that doesn't have any other sexual partner
By using condoms during each sexual intercourse
Abstain from anal sex
46%
43%
24%
21%
20%
16%
19%
15%
36%
32%
46%
44%
37%
36%
53%
50%
18%
25%
29%
35%
43%
48%
28%
34%
2015
2014
2015
2014
2015
2014
2015
2014
Yes No Don`t know
Sexual penetration without ejaculation
Use of spermicidal agents when having a sexual intercourse
Use of hormonal contraceptives (i.e. birth control pills)
Sexual contacts only with those who told you they are not HIV-positive
22
Graph 2.14 IS IT POSSIBLE TO REDUCE THE RISK OF HIV TRANSMISSION… WRONG WAYS
% of all respondents: Dnipropetrovska oblast, N 2014 =321, N 2015= 340
Graph 2.15 IS IT POSSIBLE TO REDUCE THE RISK OF HIV TRANSMISSION… WRONG WAYS
% of all respondents: Youth (15-24), N 2014 =411, N 2015= 403
63%
71%
40%
28%
25%
26%
18%
27%
20%
14%
31%
44%
23%
31%
46%
51%
17%
15%
29%
27%
52%
42%
36%
23%
2015
2014
2015
2014
2015
2014
2015
2014
Yes No Don't know
Sexual penetration without ejaculation
Use of spermicidal agents when having a sexual intercourse
Use of hormonal contraceptives (i.e. birth control pills)
Sexual contacts only with those who told you they are not HIV-positive
51%
44%
24%
23%
22%
16%
19%
18%
34%
29%
44%
39%
37%
36%
56%
45%
15%
27%
31%
38%
41%
49%
25%
37%
2015
2014
2015
2014
2015
2014
2015
2014
Yes No Don't know
Sexual penetration without ejaculation
Use of spermicidal agents when having a sexual intercourse
Use of hormonal contraceptives (i.e. birth control pills)
Sexual contacts only with those who told you they are not HIV-positive
23
Only 32% of respondents say they do not need additional information on HIV/AIDS. This figure was 28%
for the population of Dnipropetrovska oblast and 21% for Youth.
The overall population and Youth would first and foremost prefer to receive information on the possible
personal measures of HIV-infection prophylactics. Among the population of Dnipropetrovska oblast the
most requested information relates to HIV-testing and explanation of the results and also the measures
that can be taken by people in order to prevent being HIV-infected and on the treatment of HIV and
people who live with HIV.
Graph 2.16 WHAT TYPE OF INFORMATION ABOUT HIV/AIDS YOU WOULD LIKE TO RECEIVE IN FUTURE
% of all respondents
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 27% 17% 32%
2015 23% 19% 27%
2015 21% 17% 20%
2015 14% 9% 15%
2015 32% 28% 21%
Difficult to answer 2015 14% 26% 16%
N 2015 1502 340 403
To receive information on HIV testing and
test results explanation
To receive information on measures
person could take to prevent HIV
To receive information about HIV treatment
and people living with HIV
To receive other information about HIV and
AIDS
No further information about HIV and AIDS
is required
24
3 Attitudes to HIV
The health issue people in Ukraine are most worried about is heart diseases (31%, versus 21% in 2014).
Cancer holds the second place (29%), third – HIV/AIDS (10%, a decrease from 16% in 2014). Sexually
transmitted diseases, except HIV; and road traffic accidents are the main concern respectively only to 4%
and 3% of respondents. 10% of the interviewed do not worry about health issues at all.
Among Youth there is the highest share of those who are worried by cancer (27%, an increase from 19%
in 2014). HIV/AIDS holds a second position (16%, this indicator is half as high as in 2014). Concern levels
for sexually transmitted diseases (except HIV) are not high at 8%.
The population of Dnipropetrovska oblast shows the highest level of concern with health threats – only
3% do not worry about their health. The population of this oblast has a much higher level of concern
about cancer – 37% named it as a most important health threat. Heart diseases hold a second place
(29%), and HIV/AIDS dropped to third position (13%, in 2014 – 21%).
Graph 3.1
WHICH OF THE FOLLOWING THREATS TO HEALTH WORRIES YOU MOST OF ALL?
% of all respondents
63% of Ukrainians are sure they are absolutely not at risk or unlikely to get HIV-infected. Only 22%
consider the risk as real («absolutely real», «quite real» and «fifty-fifty»); 14% did not respond to the
question.
Youth assesses the risk of being HIV-infected higher than the population generally (27% among Youth
versus 22% among the population in general).
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 31% 29% 8%
2014 21% 20% 5%
2015 29% 37% 27%
2014 26% 38% 19%
2015 10% 13% 16%
2014 16% 21% 32%
2015 4% 6% 8%
2014 4% 6% 4%
2015 3% 3% 4%
2014 3% 4% 3%
2015 10% 3% 21%
2014 12% 1% 21%
2015 7% 7% 11%
2014 9% 4% 8%
2015 1502 340 403
2014 1479 321 411
Heart diseases
Cancer
Not worried about threats to health
HIV and AIDS
Sexually-transmitted infections, except
HIV
Road traffic accidents
Difficult to answer
N
25
Graph 3.2
HOW HIGH IS THE RISK THAT YOU YOURSELF MIGHT GET INFECTED WITH HIV?
% of all respondent
Those who don’t use condoms because of having permanent partners and those who always use
condoms assess their risk of being infected as lower than do those who not always use condoms (for the
figures on using condoms see Chapter 4)
Graph 3.3 HOW HIGH IS THE RISK THAT YOU YOURSELF MIGHT GET INFECTED WITH HIV % of respondents who: always use condoms; use condoms from time to time; don’t use condoms because of having permanent partners. Population of Ukraine
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 3% 3% 3%
2014 2% 3% 3%
2015 7% 5% 8%
2014 7% 17% 6%
2015 12% 10% 16%
2014 12% 15% 18%
2015 32% 29% 35%
2014 35% 34% 37%
2015 31% 33% 23%
2014 31% 25% 18%
2015 14% 19% 16%
2014 12% 6% 18%
2015 1502 340 403
2014 1479 321 411
Quite real
Fifty-fifty
Unlikely
I’m absolutely not at risk
Don’t know
N
Absolutely real
Always use
condoms
Not always use
condoms
Do not use con-
doms, because of
having a perma-
nent partner
2015 3% 4% 3%
2014 2% 4% 2%
2015 6% 14% 8%
2014 8% 10% 8%
2015 20% 19% 14%
2014 25% 17% 10%
2015 42% 39% 38%
2014 41% 41% 44%
2015 22% 11% 27%
2014 13% 15% 27%
2015 7% 12% 11%
2014 11% 13% 9%
2015 195 316 339
2014 200 326 357
Don’t know
N
I’m absolutely not at risk
Absolutely real
Quite real
Fifty-fifty
Unlikely
26
Most of those who consider themselves to be at risk of HIV infection say that they know how to protect
themselves but anything might happen in life (62%). 16% of respondents say that they do not always
have the possibility to take safety measures, and 13% don’t know how to protect themselves. Youth
showed no significant differences from the total population of Ukraine in this regard. On the contrary, in
Dnipropetrovska oblast there is a significant increase in people who don’t know how to protect
themselves from HIV/AIDS (32% in 2015 whereas in 2014 – 11%).
Graph 3.4 WHY DO YOU THINK THERE IS REAL RISK? % of those respondents who consider that they are completely at risk, quite at risk or fifty-fifty
Those who think they are unlikely to get infected explain their confidence by the fact they: have one
permanent sexual partner whom they trust (47% in 2015, down from 53% in 2014); they do not take drugs
(34%); or they do not have a sexual partner (21%).
In comparison with 2014 there is an increase in those who do not believe that they can be infected. In
2015 that was the response of a quarter of respondents (25%) believe that the risk is low or completely
does not exist (20% in 2014).
Among Youth the reasons why people are not worrying about the risk of being HIV-infected are the
following: «I have a permanent sexual partner whom I trust» (45%), «do not take drugs» (40%), «do not
have a sexual partner» and «do not believe it can happen to me» (23% each).
The population of Dnipropetrovska oblast rely for the most on having one permanent partner (48%).
Disbelief that it can happen to them is the second most popular reason for confidence of not getting
infected (24% - an increase from 14% in 2014), and the third reason is that they do not take drugs (22%).
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 62% 47% 57%
2014 67% 66% 70%
2015 16% 11% 19%
2014 13% 16% 16%
2015 13% 32% 16%
2014 9% 11% 9%
2015 1% 3% 0%
2014 3% 5% 0%
2015 2% 2% 3%
2014 2% 2% 0%
2015 5% 5% 6%
2014 7% 1% 5%
2015 333 71 101
2014 369 115 120
Other
Difficult to answer
N
I can get infected during the medical
tratment, testing or blood transfusion
I don’t know how to secure myself
against HIV and AIDS
I know how to secure myself against
HIV and AIDS and I always take
corresponding measures
but anything might happen in life
I know how to secure myself against
HIV and AIDS but I am not always able
to take safety measures
27
Graph 3.5 WHY DO YOU THINK IT IS UNLIKELY YOU WOULD GET HIV-INFECTED? % of respondents who consider that the risk is low or that they are absolutely not at risk of being infected
40% of respondents wouldn’t agree if a new partner suggested having sex without a condom but 10% (up
from 6% in 2014) would agree to such proposal. 26% of respondents would not know what to do in such a
situation. A quarter suppose they would never have a new relationship 30% (in 2014).
More men than women wouldn’t know what to do in such a situation. There are more women who
suppose that they will never have a new relationship. Men more often agree upon sex without condom
(12% comparing with 7% among women).
52% of respondents among Youth wouldn’t agree if a new partner suggested having sex without a
condom (up from 46% in 2014) and only 10% would agree. 23% of respondents would not know what to
do in such a situation.
Among the population of Dnipropetrovska oblast 39% wouldn’t agree if a new partner suggested having
sex without a condom and 9% would agree. 36% would not know what to do in such a situation and 16%
do not believe there is a possibility of new relations.
Graph 3.6 YOUR NEW PARTNER WANTS TO INTIMATE WITH YOU WITHOUT A CONDOM AND WITHOUT BEING SURE ABOUT HIS/HER HIV STATUS. WOULD YOU AGREE OR NOT? % of all respondents
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 47% 48% 45%
2014 53% 58% 41%
2015 34% 22% 40%
2014 36% 27% 44%
2015 25% 24% 23%
2014 20% 14% 19%
2015 21% 16% 23%
2014 22% 22% 28%
2015 9% 3% 18%
2014 8% 8% 17%
2015 5% 7% 4%
2014 5% 6% 5%
2015 944 205 232
2014 930 180 218
Difficult to answer
N
I have one permanent sexual partner I
trust
I do not do drugs
I do not believe it can happen to me
I do not have a sexual partner
I always use condoms
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 10% 9% 10%
2014 6% 8% 11%
2015 40% 39% 52%
2014 39% 55% 46%
2015 26% 36% 23%
2014 25% 23% 29%
2015 25% 16% 15%
2014 30% 15% 14%
2015 1502 340 403
2014 1479 321 411
Would agree
Would not agree
Don’t know
N
Would never have a new relationship
28
Graph 3.7
YOUR NEW PARTNER WANTS TO INTIMATE WITH YOU WITHOUT A CONDOM AND WITHOUT
BEING SURE ABOUT HIS/HER HIV STATUS. WOULD YOU AGREE OR NOT?
% of all respondents
52% would themselves suggest using a condom with a new sexual partner. Men and women demonstrate
the same level of will to take on such an initiative.
Among Youth the share of those who are ready to suggest using condoms with a new sexual partner is
higher than among total population (63% versus 52%). Men are more likely to suggest condom use than
women in a new relationship.
Among respondents from Dnipropetrovska oblast the share of those who are ready to suggest using
condoms with a new sexual partner is 54% down from 65% in 2014). Men are more likely to suggest
condom use than women in a new relationship.
Graph 3.8
IMAGINING YOU WERE STARTING A NEW RELATIONSHIP, WOULD YOU TAKE THE INITIATIVE
AND SUGGEST USING CONDOMS?
% of all respondents
47% of Ukrainians think that they have quite a good chance of convincing a new partner to use a condom
and only 12% % believe that it would prove difficult for them. There is also quite a big proportion who do
not know whether it would be difficult or easy (41%).
Men think it would be easier than women do to convince a partner to use condoms.
Population of
UkraineWomen Men
2015 10% 7% 12%
2014 6% 5% 7%
2015 40% 42% 38%
2014 39% 39% 39%
2015 26% 22% 30%
2014 25% 21% 30%
2015 25% 29% 20%
2014 30% 36% 24%
2015 1502 799 703
2014 1479 784 695
Would never have a new relationship
N
Would agree
Would not agree
Don’t know
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 52% 54% 63%
2014 52% 65% 67%
2015 15% 17% 12%
2014 11% 10% 6%
2015 33% 29% 25%
2014 37% 25% 27%
2015 1502 340 403
2014 1479 321 411
Don’t know
N
Yes
No
29
Youth is much more sure it would be easy to convince a new partner to use condoms: 56% of young
respondents believe that it would be easy, whereas 9% think it would prove to be difficult. Men find it
easier than women to convince a partner to use condoms.
Among respondents from Dnipropetrovska oblast 45% think that it would be easy to convince a new
partner to use condoms while 21% believe it to be a difficult task. Similar to the two other target groups
men find it easier than women to convince a partner to use condoms.
Graph 3.9 IF YOU DID WANT TO CONVINCE A NEW PARTNER TO USE CONDOMS AT THE START OF A
NEW RELATIONSHIP, HOW EASY OR DIFFICULT DO YOU THINK IT WOULD BE?
% of all respondents
Graph 3.10 IF YOU DID WANT TO CONVINCE A NEW PARTNER TO USE CONDOMS AT THE START OF A
NEW RELATIONSHIP, HOW EASY OR DIFFICULT DO YOU THINK IT WOULD BE?
% of all respondents
22% of respondents say that they would, and 25% (up 5% from 2014) that they would not suggest
undergoing an HIV test to a new partner. However, the majority of respondents could not answer whether
they would suggest undergoing an HIV test before having sexual intercourses with a new partner (53%)
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 19% 12% 23%
2014 15% 25% 18%
2015 28% 33% 33%
2014 25% 33% 31%
2015 9% 12% 6%
2014 5% 8% 6%
2015 3% 9% 3%
2014 4% 6% 2%
2015 41% 35% 35%
2014 50% 27% 43%
2015 1502 340 403
2014 1479 321 411
Very easy
Fairly easy
Fairly difficult
N
Very difficult
Don’t know
Population of
UkraineWomen Men
2015 19% 16% 22%
2014 15% 13% 18%
2015 28% 26% 30%
2014 25% 23% 27%
2015 9% 11% 7%
2014 5% 6% 5%
2015 3% 3% 3%
2014 4% 5% 3%
2015 41% 44% 38%
2014 50% 53% 47%
2015 1502 799 703
2014 1479 784 695
Don’t know
Very easy
Fairly easy
Fairly difficult
Very difficult
N
30
which may simply mean that people haven’t previously considered having a new sexual partner. Among
Youth 25% would suggest undergoing an HIV test before having sex with a new partner and 28% would
not (an increase from 18%in 2014).
In Dnipropetrovska oblast the proportion who would be willing to suggest an HIV test before sex with a
new partner is equal to the share within the population overall (22%); while 28% wouldn’t do that. 51% of
the respondents could not answer this question.
Graph 3.11
IMAGINING YOU WERE STARTING A NEW RELATIONSHIP, WOULD YOU TAKE THE INITIATIVE
AND SUGGEST UNDERGO HIV-TEST BEFORE YOU HAVE SEXUAL INTERCOURSES?
% of all respondents
The majority of respondents do not know how easy it would be to convince a new partner to undergo HIV
testing at the start of a new relationship (53% which is less than 61% in 2014). Only 17% believe this
would be very or fairly easy while 30% think this would be very difficult or fairly difficult (there is a
significant growth in the share of those who think it would be fairly difficult: 14% in 2015 and 21% in
2014).
The perception of this question among Youth is similar to the total population. At the same time, 19% of
the population of Dnipropetrovska oblast think it would have been an easy task and 34% believe it to be a
difficult task.
Graph 3.12 IF YOU DID WANT TO CONVINCE A NEW PARTNER TO UNDERGO HIV TEST AT THE START OF A NEW RELATIONSHIP, HOW EASY OR DIFFICULT DO YOU THINK IT WOULD BE?
% of all respondents
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 22% 22% 25%
2014 22% 30% 26%
2015 25% 28% 28%
2014 20% 21% 18%
2015 53% 51% 47%
2014 58% 49% 56%
2015 1502 340 403
2014 1479 321 411
Yes
No
N
Don’t know
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 7% 3% 7%
2014 5% 6% 6%
2015 10% 16% 14%
2014 10% 17% 11%
2015 21% 21% 21%
2014 14% 21% 15%
2015 9% 13% 10%
2014 10% 12% 11%
2015 53% 47% 48%
2014 61% 45% 57%
2015 1502 340 403
2014 1479 321 411
Very difficult
Don’t know
N
Very easy
Fairly easy
Fairly difficult
31
4 Risk behavior and HIV testing
86% of Ukrainians over 15 have experience of sexual intercourse. The percentage of respondents with
sexual experience in Dnipropetrovska oblast is 87% (in both cases there is a visible decrease since 2014
when these indicators were respectively 90% and 93%). Among Youth 63% had sexual intercourse and
26% never had sexual intercourse.
Graph 4.1
HAVE YOU EVER BEEN INTIMATE WITH ANYONE?
% of all respondents
62% had their first sexual experience at the age of 15 or later, and 3% before they turned 15. In
Dnipropetrovska oblast 5% of the respondents had their first sexual experience before they turned 15
(this indicator has halved since 2014 when it was 10%).
Graph 4.2
AT WHAT AGE DID YOU HAVE YOUR FIRST SEXUAL INTERCOUSE?
% of respondents who had ever had sexual intercourse
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 86% 87% 63%
2014 90% 93% 64%
2015 5% 4% 26%
2014 5% 2% 27%
2015 9% 10% 11%
2014 5% 5% 9%
2015 1502 340 403
2014 1479 321 411
Yes
No
I’d rather not answer
N
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 3% 5% 6%
2014 3% 10% 4%
2015 62% 66% 63%
2014 66% 68% 62%
2015 35% 29% 31%
2014 31% 22% 34%
2015 1382 320 296
2014 1361 311 301N
I’d rather not answer
Before the age of 15
At the age of 15 or later
32
Out of those respondents who have experience of sexual intercourse, 58% of Ukrainians, 59% of the
residents of Dnipropetrovska oblast and 72% of Youth have been intimate within the last 12 months.
Graph 4.3
HAVE YOU BEEN INTIMATE WITH ANYONE IN THE PAST 12 MONTHS?
% of respondents who have ever had a sexual intercourse
14% of Ukrainians who had intimate relations over the past 12 months use condoms always and 9%
almost always; 20% use them from time to time or rarely; 33% of respondents do not use condoms
because they have one permanent partner(down from 39% in 2014), and 5% do not use them because of
other reasons.
Condoms are more widely used among Youth and population of Dnipropetrovska oblast than among the
total population of Ukraine, although it is noteworthy to mention the decrease of those who almost always
use condoms in Dnipropetrovska oblast: 5% in 2015 versus 17% in 2014.
Graph 4.4
HOW OFTEN IN THE PAST YEAR DID YOU USE CONDOMS DURING THE SEXUAL
INTERCOURSE?
% of respondents who had intimate relations over the past 12 months
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 58% 59% 72%
2014 61% 69% 78%
2015 24% 20% 8%
2014 25% 20% 6%
2015 18% 21% 20%
2014 14% 11% 17%
2015 1382 320 296
2014 1361 311 301
Yes
No
I’d rather not answer
N
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 14% 22% 31%
2014 13% 26% 33%
2015 9% 5% 15%
2014 10% 17% 16%
2015 13% 12% 15%
2014 9% 15% 10%
2015 7% 5% 5%
2014 8% 4% 8%
2015 33% 29% 17%
2014 39% 23% 14%
2015 5% 8% 1%
2014 4% 2% 2%
2015 20% 20% 16%
2014 17% 14% 17%
2015 1106 275 275
2014 1086 264 282
I’d rather not answer
N
Always
Almost always
From time to time
Rarely
I don’t use them because I have one
permanent partner
I don’t use them due to other reasons
33
Among those Ukrainians who do not use condoms or do not always use them, 38% say this is because
they trust their partner, 31% (21% in 2014) say that condoms make sex less pleasant, 29% say condoms
are not always available, 19% use other means of protection, 13% pointed out that condoms are
questionable protection (up significantly from 4% in 2014), 11% don’t think it’s necessary and 11% think
that condoms are too expensive.
For Youth the main reason for not using condoms is their unavailability (38%), followed by trust in the
partner (35%) and less pleasurable sex (31%).
The most popular reason for not using a condom in Dnipropetrovska oblast is the same as for the total
population – a trustworthy partner – although the proportion who think that way has halved since the last
wave (2015 – 27%, 2014 – 54%). There is also an increase in the proportion of those residents of
Dnipropetrovska oblast who complain at the poor quality of condoms: in 2015 their number reached 18%,
whereas in 2014 it was only 1%. There is also increase in the proportion who believe that condoms are
too expensive (20% in 2015 and only 4% in 2014).
Graph 4.5 WHY DON’T YOU USE OR NOT ALWAYS USE CONDOMS?* % of respondents who had intimate relations over the past 12 months and not always use condoms not because of having permanent partner
*The Graph includes the alternatives given by at least 3% in at least one of the target groups
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 38% 27% 35%
2014 37% 54% 26%
2015 31% 20% 31%
2014 21% 18% 25%
2015 29% 23% 38%
2014 30% 15% 42%
2015 19% 19% 20%
2014 20% 39% 8%
2015 13% 18% 9%
2014 4% 1% 5%
2015 11% 12% 7%
2014 15% 3% 12%
2015 11% 20% 13%
2014 12% 4% 9%
2015 6% 9% 10%
2014 2% 0% 4%
2015 5% 4% 4%
2014 ─ ─ ─
2015 3% 2% 6%
2014 3% 0% 0%
2015 316 65 91
2014 326 94 97N
I don’t think it is necessary
I don’t feel comfortable to buy
condoms
Sometimes I do not use condom
because of having drunken sex
Condoms are too expensive
Condoms are questionable protection
(low quality/tear easily)
I don’t use them when I trust my
partner
Other ways of protection used
My partner refuses to use condoms
Condoms make sex less pleasant, I
don’t like having sex with condoms
Condoms are not always available
34
Condoms are perceived mostly as a method of contraception among those who use condoms (83% of
Ukrainians, 82% of Youth and 86% of population of Dnipropetrovska oblast). 34% of Ukrainians use
condoms to protect themselves from HIV/AIDS, 35% use them as protection from other infections (down
from 44% in 2014). Youth named protection from HIV much more often (41%), than other target
audiences.
Graph 4.6 WHY DO YOU USE CONDOMS? % of respondents who indicated frequency of using condoms (from «always» to «seldom»)
Of those respondents who have been intimate with anyone within the last year, 23% of Ukrainians used
condoms during the last sexual intercourse. The highest rate of condom usage is among Youth (45%).
Among the respondents of Dnipropetrovska oblast 27% used condoms during their last intercourse which
is significantly less than last year (39%).
Graph 4.7
DID YOU USE CONDOMS DURING LAST SEXUAL INTERCOURSE?
% of respondents, who had intimate relations over the past 12 months
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 83% 86% 82%
2014 77% 88% 79%
2015 35% 44% 46%
2014 44% 40% 47%
2015 34% 33% 41%
2014 36% 55% 54%
2015 2% 1% 2%
2014 3% 2% 4%
2015 511 136 177
2014 526 170 194N
Contraception
Protection against other infections
Protection against HIV and AIDS
Difficult to answer
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 23% 27% 45%
2014 21% 39% 47%
2015 50% 46% 32%
2014 58% 45% 29%
2015 26% 27% 23%
2014 22% 17% 23%
2015 1106 275 275
2014 1086 264 282N
Yes
No
I’d rather not answer
35
63% of Ukrainians, 68% of respondents in Dnipropetrovska oblast and 58% of Youth had one sexual
partner during last 12 months. 28% of Ukrainians refused to answer and the rest had 2 or more sexual
partners.
Graph 4.8
HOW MANY PARTNERS DID YOU HAVE SEX WITH IN THE PAST 12 MONTHS?
% of respondents, who had intimate relations over the past 12 months
Out of those respondents who have ever been intimate with anyone, 30% discussed safe sex with their
partner; 26% discussed previous relations with a partner; 19% asked their partner to use a condom and
the same proportion underwent a test for sexually transmitted infections. However, only 9% abstained
from sexual relations if a partner refused to use a condom. Another 10% asked if their partner underwent
an HIV test and 6% asked the partner to undergo such a test. 8% asked their partner to undergo a test for
sexually transmitted infection.
Among Youth there are more who discussed safe sex with their partner (45%). This is a decrease in
comparison with 2014 when it reached 54%. Also, there is a decrease in the number of those who
discussed previous relations with a partner (36% in 2015 and 44% in 2014). 18% decided to abstain from
sex if a partner refused to use condom.
16% of respondents of Dnipropetrovska oblast refused to have sex without a condom, which is almost
half the level in 2014 (30%). Also among the residents of Dnipropetrovska oblast there is a significant
decrease in those who discussed safe sex with their partner (28% versus 38% in 2014) and those who
asked a partner to use condom (22% versus 34% in 2014).
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 63% 68% 58%
2014 67% 67% 56%
2015 6% 5% 10%
2014 5% 8% 7%
2015 2% 1% 1%
2014 2% 4% 5%
2015 0% 0% 0%
2014 1% 0% 1%
2015 1% 0% 2%
2014 0% 0% 0%
2015 0% 1% 0%
2014 0% 1% 1%
2015 28% 25% 29%
2014 24% 20% 29%
2015 1106 275 275
2014 1086 264 282
More than 10
I’d rather not answer
N
One
Two
Three
Four
Five to ten
36
Graph 4.9 THERE ARE SITUATIONS LISTED BELOW, WHICH PEOPLE IN RELATIONSHIPS CAN COME ACROSS. PLEASE SPECIFY FOR EACH SITUATION WHETHER YOU HAVE COME ACROSS IT IN YOUR RELATIONSHIP. IF IT DOESN’T APPLY TO YOU, SPECIFY THE CORRESPONDING ANSWER OPTION
% of respondents who have ever had a sexual intercourse
Most respondents have never undergone an HIV test – 60% among the total population, 67% among
Youth. In comparison with 2015 there is a decrease in those who did not undergo a test in
Dnipropetrovska oblast (41% in 2015 comparing with 53% in 2014).
Graph 4.10 HAVE YOU UNDERGONE A HIV TEST? % of all respondents
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 30% 28% 45%
2014 34% 38% 54%
2015 26% 23% 36%
2014 26% 28% 44%
2015 19% 22% 33%
2014 19% 34% 38%
2015 19% 29% 20%
2014 19% 33% 24%
2015 10% 17% 15%
2014 13% 16% 23%
2015 9% 16% 18%
2014 8% 30% 17%
2015 8% 9% 10%
2014 8% 7% 11%
2015 6% 9% 9%
2014 6% 7% 10%
2015 1382 320 296
2014 1351 311 301
I discussed safe sex with my partner
I discussed past sexual relations with
my partner
I decided to abstain from a sexual
contact as my partner refused to use a
condom
N
I asked my partner to use condoms
I underwent a sexually-transmitted
infections test
I inquired about whether my partner
underwent HIV test
I asked my partner to undergo a
sexually-transmitted infections test
I asked my partner to undergo an HIV
test
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 5% 6% 4%
2014 4% 5% 4%
2015 13% 27% 9%
2014 12% 14% 9%
2015 13% 22% 12%
2014 16% 22% 19%
2015 60% 41% 67%
2014 62% 53% 64%
2015 9% 4% 8%
2014 6% 5% 5%
2015 1502 340 403
2014 1479 321 411N
I undergo it regularly
I did it a couple of times but not
regularly
I did it once
I didn’t do it
I’d rather not answer
37
Among those who have never used condoms, or who use them but not always, a half of respondents
(50%) have never undergone an HIV test, 17% did it once, 19% – did it a couple of times but do not take
the test regularly and only 7% pass the test regularly.
Graph 4.11 HAVE YOU UNDERGONE A HIV TEST? % of respondents who not always or never use condoms not because they have one permanent partner
Most people who underwent the test did it because they needed a mandatory health certificate (including
those who did it in connection with pregnancy): 80% of total population of Ukraine, 80% of Youth and
86% respondents of Dnipropetrovska oblast.
16% Ukrainians did it just for themselves thinking they might have HIV. There are 13% of such
respondents among Youth, 9% among the residents of Dnipropetrovska oblast.
Graph 4.12 WHY DID YOU UNDERGO THE TEST? % of respondents who passed an HIV test
Population of
Ukraine
2015 7%
2014 7%
2015 19%
2014 17%
2015 17%
2014 24%
2015 50%
2014 50%
2015 6%
2014 2%
2015 366
2014 364
I didn’t do it
I’d rather not answer
N
I undergo it regularly
I did it a couple of times but not
regularly
I did it once
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 80% 86% 80%
2014 81% 86% 80%
2015 16% 9% 13%
2014 11% 6% 12%
2015 4% 2% 5%
2014 3% 4% 7%
2015 2% 1% 2%
2014 0% 0% 1%
2015 2% 5% 1%
2014 ─ ─ ─2015 0% 0% 0%
2014 3% 2% 1%
2015 3% 0% 2%
2014 4% 3% 6%
2015 523 199 119
2014 518 152 138
For my own peace of mind/ I thought I
might have HIV
I was convinced at a public event / I
went for company
At my partner’s request
On the doctor`s perscription during the
medical tratment
Other
I’d rather not answer
N
I needed a mandatory health certificate
(including owing to pregnancy)
38
Among those who never use condoms or use them but not always, and who had a test, 70% got tested
because they needed a mandatory health certificate (including those who did it in connection with
pregnancy), 22% underwent the test for their own peace of mind which means that having has
unprotected sex (not with one permanent partner) was not a motivation for HIV testing.
Graph 4.13 WHY DID YOU UNDERGO THE TEST? % of respondents who who not always or never use condoms not because they have one permanent partner and passed an HIV test
The popular places to get tested for HIV are the women’s consultations centres: 31% among the total
population. 14% visited trust cabinets/AIDS centres, and 5% family doctors. 45% of the respondents took
the test in other medical institutions. There are similar results among Youth and population of
Dnipropetrovska oblast.
Graph 4.14 WHERE HAVE YOU UNDERGONE AN HIV TEST? % of respondents have passed an HIV-test
Population of
Ukraine
2015 70%
2014 79%
2015 22%
2014 14%
2015 9%
2014 4%
2015 5%
2014 0%
2015 3%
2014 ─2015 0%
2014 2%
2015 2%
2014 2%
2015 120
2014 184
At my partner’s request
On the doctor`s perscription during the
medical tratment
Other
I’d rather not answer
N
For my own peace of mind/ I thought I
might have HIV
I was convinced at a public event / I
went for company
I needed a mandatory health certificate
(including owing to pregnancy)
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
Other medical institution 2015 45% 42% 35%
Women’s consultations 2015 31% 33% 34%
Trust cabinets/AIDS centers 2015 14% 13% 16%
Family doctor 2015 5% 5% 7%
Used test-systems by yourself 2015 2% 0% 3%
2015 2% 0% 3%
Mobile laboratory 2015 2% 1% 3%
NGOs 2015 1% 4% 1%
2015 0% 2% 0%
N 2015 523 199 119
Ambulatory actions of different
organizations (quick testing)
Difficult to answer
39
Regarding the convenience of HIV-testing the responses were the following: 19% would prefer to use
test-systems by themselves, 17% would use the services of trust cabinets/AIDS centers, and 15% –
women’s consultation. Youth to a greater extent believes it is convenient to use test-systems by
themselves (26%) or to use the services of trust cabinet /AIDS-center (23%).
On the contrary the residents of Dnipropetrovska oblast believe it’s more convenient to get tested in
women’s consultation (20%), to use test-system by themselves (17%), and also to pass an HIV-test at
mobile laboratories (14%).
Graph 4.15 WHERE WOULD YOU LIKE TO UNDERGO AN HIV TEST? % of all respondents
Of those who got tested for HIV the overwhelming majority were satisfied with the quality of the HIV
testing procedure: 83% among Ukrainians, 87% among Youth and 93% in Dnipropetrovska oblast. Only
6% of Ukrainians who had had a test were dissatisfied or partly dissatisfied with the quality of HIV testing
procedure and consultation (the number of them increased in comparison to 2014 when it reached 3%).
Most of the complaints regarding the quality of the consultation and testing procedure deal with impolite
medical personnel and lack of necessary information. However, the number of such respondents is
insufficient for reliable observation.
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
To use test-systems by yourself 2015 19% 17% 26%
Trust cabinets/AIDS centers 2015 17% 9% 23%
Women’s consultations 2015 15% 20% 15%
Other medical institution 2015 13% 12% 10%
Mobile laboratory 2015 10% 14% 12%
Family doctor 2015 9% 6% 4%
2015 9% 10% 9%
Nowhere, I would not undergo the test 2015 4% 1% 1%
NGOs 2015 3% 4% 2%
Difficult to answer 2015 13% 12% 10%
N 2015 1502 340 403
Ambulatory actions of different
organizations (quick testing)
40
Graph 4.16 WERE YOU SATISFIED WITH THE QUALITY OF HIV TESTING PROCEDURE AND CONSULTATION? % of respondents who have passed an HIV-test (except for those who use test-system by themselves)
Out of respondents who have passed an HIV test, 30% of Ukrainians, 34% of residents of
Dnipropetrovska oblast underwent an HIV test within the last 12 months. The proportion of Youth who
have passed the test in the last year is significantly higher at 52%.
Graph 4.17 HAVE YOU UNDERGONE HIV TEST IN THE PAST 12 MONTHS? % of respondents, who have passed an HIV-test
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 83% 93% 87%
2014 80% 92% 81%
2015 6% 1% 8%
2014 9% 5% 10%
2015 5% 1% 2%
2014 2% 1% 3%
2015 1% 2% 1%
2014 1% 1% 0%
2015 5% 3% 2%
2014 8% 1% 6%
2015 515 199 116
2014 511 151 136N
Yes
Yes, but no consultation was
proposed
Partly yes, partly no
No
Don’t know
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 30% 34% 52%
2014 30% 38% 41%
2015 67% 63% 48%
2014 64% 57% 55%
2015 3% 4% 0%
2014 6% 5% 5%
2015 523 199 119
2014 518 152 138
Yes
No
Don't remember / Difficult to answer
N
41
Among the respondents who have passed an HIV-test in the last 12 month 94% are aware of their result.
Among Youth this indicator is 100%.
Graph 4.18 DO YOU KNOW YOUR RESULTS? % of respondents who have passed HIV/AIDS test in the last 12 months
Among those respondents who did not undergo HIV testing within the last 12 month the prevailing
majority simply did not feel the need.
Another reason for not taking the test was respondents’ confidence that they do not have HIV (18%
overall in Ukraine, 9% in Dnipropetrovska oblast and 20% among Youth).
4% did not want to pay for testing. 5% did not know where to pass an HIV-test or did not know at all that
such test can be taken.
Graph 4.19 WHY DIDN’T YOU UNDERGO THE TEST? % of respondents who did not undergo a HIV-test in the last 12 month or never passed it
29% of Ukrainians are interested in taking an HIV test if it is free of charge. Among Youth there are 43%
of such respondents and among the residents of Dnipropetrovska oblast 33%. Among the residents of
Dnipropetrovska oblast there is a significant increase in those who would like to take a free HIV-test (62%
in 2015 versus 50% in 2014).
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 94% 96% 100%
2014 89% 90% 92%
2015 3% 0% 0%
2014 3% 4% 4%
2015 2% 0% 0%
2014 3% 0% 1%
2015 1% 4% 0%
2014 5% 6% 3%
2015 185 77 58
2014 204 68 68
Yes
No
Don't rememberr
Refuse
N
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
I do not feel need to undergo the test 2015 71% 83% 67%
I am sure there is no chance that I
might have HIV or AIDS 201518% 9% 20%
I don’t want to pay for it 2015 4% 5% 3%
I don’t know where to do it 2015 3% 1% 5%
2015 3% 1% 4%
2015 2% 1% 3%
I don’t trust the reliability of the test 2015 2% 0% 3%
I am afraid of the test results 2015 1% 0% 0%
2015 4% 4% 6%
N 2015 1198 251 314
I don’t want the other to know I
undergo the testI did not know one could have a test
for HIV
I’d rather not answer
42
Graph 4.20 WOULD YOU LIKE TO HAVE A FREE HIV TEST IF YOU WERE OFFERED TO? % of all respondents
Out of respondents who have never taken an HIV test, 22% would do it if it’s free of charge. Among Youth
this figure reached 37%, and among the population of Dnipropetrovska oblast – 23%.
Graph 4.21 WOULD YOU LIKE TO HAVE A FREE HIV TEST IF YOU WERE OFFERED TO? % of respondents who have never passed an HIV test
Аlmost half of those who always use condoms would like to take a free HIV test (49%). There are fewer
willing to do so among those who use condoms from time to time (46%) or who do not use them because
of having a permanent partner (29%, down from 40% in 2014).
Graph 4.22 WOULD YOU LIKE TO HAVE A FREE HIV TEST IF YOU WERE OFFERED ONE? % of respondents who: always use condoms; use condoms from time to time; do not use condomes because of having one trusted partner. Population of Ukraine
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 29% 33% 43%
2014 32% 39% 43%
2015 59% 62% 47%
2014 57% 50% 43%
2015 12% 5% 11%
2014 11% 11% 14%
2015 1502 340 403
2014 1479 321 411
Yes
No
I’d rather not answer
N
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 22% 23% 37%
2014 25% 27% 38%
2015 64% 72% 50%
2014 65% 62% 49%
2015 14% 6% 12%
2014 10% 11% 13%
2015 979 141 284
2014 961 169 273
No
I’d rather not answer
N
Yes
Always use
condoms
Not always use
condoms
Do not use con-
doms, because of
having a perma-
nent partner
2015 49% 46% 29%
2014 49% 42% 40%
2015 44% 43% 57%
2014 41% 42% 52%
2015 8% 11% 14%
2014 10% 16% 7%
2015 195 316 339
2014 200 326 357N
Yes
No
I’d rather not answer
43
5 Attitude to PLWH
68% of Ukrainians think that people infected with HIV have the right to keep it a secret (69% of Youth and
68% of respondents in Dnipropetrovska oblast).
40% of Ukrainians (down from 44% in 2014) believe people get HIV only because of their carelessness
and immoral behaviour. At the same time 52% disagree or rather disagree with such a statement, an
increase from 45% in 2014). 37% of Ukrainians think that the rights of HIV-positive people are violated in
Ukraine, down from 44% in 2014.
27% of respondents consider HIV to be a «divine retribution», and 19% that people living with HIV/AIDS
should be isolated.
Youth and population of Dnipropetrovska oblast have rather similar results to the total population. At the
same time among the residents of Dnipropetrovska oblast there is a decrease in a number of those who
think that people can be HIV-infected because of their own carelessness and immoral behaviour (38% in
2015 and 49% in 2014) and, respectively there is an increase up to 54% of those who do not think this
way (46% in 2014). There is a decrease in a number of those who think that the rights of people with
HIV/AIDS are violated (34% in 2015 and 47% in 2014).
Among Youth there is also a decrease in those who think that the rights of people living with HIV/AIDS
are violated in Ukraine (34% in 2015 versus 43% in 2014).
Graph 5.1 PLEASE, STATE, TO WHAT EXTENT YOU AGREE OR DSAGREE WITH THE FOLLOWING STATEMENTS REGARDING HIV-INFECTED PEOPLE. % of all respondents
The survey includes four main levels of perception of PLWH: the perception of unfamiliar PLWH
(Bogardus scale), perception of acquaintances in case of getting HIV, perception of the acquaintances
that are PLWH and perception of HIV-positive children.
The Bogardus scale consists of 7 steps, which mean that representatives of a certain group can be
accepted as 1) family members 2) close friends 3) neighbours 4) colleagues 5) residents of Ukraine 6)
visitors of Ukraine 7) can’t be accepted even as visitors of Ukraine. Acceptance as each group presumes
Completely
or rather
DISAGREE
Completely
or rather
AGREE
Completely
or rather
DISAGREE
Completely
or rather
AGREE
Completely
or rather
DISAGREE
Completely
or rather
AGREE
2015 22% 68% 11% 68% 21% 69%
2014 22% 65% 23% 73% 18% 69%
2015 52% 40% 54% 38% 52% 39%
2014 45% 44% 46% 49% 48% 41%
2015 39% 37% 31% 34% 43% 34%
2014 27% 44% 36% 47% 28% 43%
2015 54% 27% 52% 22% 61% 18%
2014 51% 27% 58% 27% 57% 21%
2015 62% 19% 46% 26% 61% 18%
2014 ─ ─ ─ ─ ─ ─
2015
2014
People infected with HIV or AIDS
have the right to keep it
confidential
People only get HIV because of
personal carelessness and
immoral behavior
Dnipropetrovska
oblastYouth (15-24)
403
Population of Ukraine
411
340
321
Rights of the people who live with
HIV/AIDS are violated in Ukraine
N1502
1479
HIV and AIDS are divine
retribution
People living with HIV/AIDS
should be isolated
44
the respondent accepts the subsequent, for example if a respondent accepts PLWH as neighbours then
he accepts them as colleagues, residents and visitors of Ukraine as well, and so on.
Only 15% of Ukrainians are ready to admit PLWH as colleagues, or neighbours, or close friends, or family
members. Regarding the other vulnerable groups this figure is even smaller – 13% for homosexuals, 11%
for bisexuals, 8% commercial sex workers, and 6% for IDUs.
More than a half of Ukrainians do not tolerate PLWH: 70% of respondents say they agree to have PLWH
as no closer than residents of Ukraine or visitors to Ukraine or would keep them out of Ukraine altogether
(at the same time, the number of those who would not let such people to enter Ukraine significantly
increased: in 2015 – 34%, while in 2014 – 27%). Regarding the other vulnerable groups this figure is
higher – 83% for IDUs (there is a noticeable increase in a number of those who would not let them into
country at all: 65% in 2015 versus 52% in 2014), 74% for homosexuals (level of intolerance towards
homosexuals increased: if in 2014 the number of those who would not let them into the country was 45%,
in 2015 52%), 73% for bisexuals, 79% for commercial sex workers (there is also an increase in a number
of those who would not let such people to the country: 51% in 2015 versus 43% in 2014).
In general results are similar among Youth: 16% are ready to admit PLWH as colleagues, neighbours (the
number of respondents ready for the neighborhood with PLHW increased to 6% in 2015 from 3% in
2014), close friends or even family members; at the same time 11% are ready to accept bisexuals that
close, 11% homosexuals, 7% IDUs, and 9% commercial sex workers.
The population of Dnipropetrovska oblast is the least tolerant group: about 2% are ready to accept PLHW
as colleagues or closer, the same number for homosexuals, and about 1% forbisexuals. Only 3% are
ready to accept that close IDUs, and 1% commercial sex workers.
45
Graph 5.2 PLEASE ASSESS YOUR ATTITUDE TOWARDS THE REPRESENTATIVES OF DIFFERENT GROUPS BY THE FOLLOWING ACCESS LEVELS. EACH ACCESS LEVEL IN THE SCALE PROVIDES FOR ALL THE FOLLOWING ACCESS LEVELS, FOR EXAMPLE IF A GROUP IS ACCEPTED AS A FAMILY MEMBER, IT IS ALSO ACCEPTED AS FRIENDS, NEIGHBOURS, ETC. I AGREE TO ACCEPT THE REPRESENTATIVES OF THIS GROUP AS… % of all respondents: population of Ukraine, N 2014 =1479, N 2015 = 1502
3%
2%
4%
3%
6%
4%
5%
3%
5%
3%
4%
5%
4%
4%
3%
3%
2%
1%
28%
33%
13%
18%
14%
19%
24%
12%
21%
8%
6%
11%
11%
13%
9%
9%
6%
6%
34%
27%
52%
45%
46%
51%
43%
65%
52%
16%
22%
12%
18%
16%
16%
20%
10%
17%
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
My family members Close friendsNeighbours ColleaguesResidents of Ukraine Visitors of Ukraine
I’d keep them out of Ukraine at all Difficult to answer
HIV-positive people
Homosexuals
Bisexuals
Commercial sex workers
Injection drug users
46
Graph 5.3 ASSESS YOUR ATTITUDE TOWARDS THE REPRESENTATIVES OF DIFFERENT GROUPS BY THE FOLLOWING ACCESS LEVELS
% of all respondents: Dnipropetrovska oblast, N 2014 =321, N 2015 = 340;
Graph 5.4 ASSESS YOUR ATTITUDE TOWARDS THE REPRESENTATIVES OF DIFFERENT GROUPS BY THE FOLLOWING ACCESS LEVELS % усіх респондентів: Youth (15-24), N 2014 = 411, N 2015 = 403;
1%
1%
2%
3%
3%
48%
38%
9%
30%
7%
29%
31%
28%
30%
7%
8%
14%
19%
20%
8%
15%
7%
12%
32%
37%
65%
42%
61%
50%
44%
57%
52%
11%
14%
10%
5%
11%
12%
8%
5%
6%
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
My family members Close friendsNeighbours ColleaguesResidents of Ukraine Visitors of UkraineI’d keep them out of Ukraine at all Difficult to answer
HIV-positive people
Homosexuals
Bisexuals
Commercial sex workers
Injection drug users
2%
2%
4%
6%
5%
5%
6%
3%
3%
2%
3%
4%
1%
4%
1%
5%
3%
3%
32%
33%
18%
19%
19%
25%
26%
19%
23%
8%
8%
15%
12%
16%
8%
8%
5%
9%
25%
22%
40%
41%
35%
38%
38%
55%
46%
19%
23%
17%
19%
19%
20%
24%
14%
18%
2015
2014
2015
2014
2015
2014
2015
2014
2015
2014
My family members Close friendsNeighbours ColleaguesResidents of Ukraine Visitors of UkraineI’d keep them out of Ukraine at all Difficult to answer
HIV-positive people
Homosexuals
Bisexuals
Commercial sex workers
Injection drug users
47
Over a half of Ukrainians (59%) say that finding out about an HIV-positive status of one of their friends or
colleagues wouldn’t change their attitude and/or they would like to help such friend or colleague (the
number of those whose attitude would not change significantly increased: 43% in 2015 versus 30% in
2015). Among Youth this figure reached 68% (in this group there is also an increase in the share of those
whose attitude wouldn’t change), and among population of Dnipropetrovska oblast it was54%.
In all target groups there is a significant decrease in those who would feel it unpleasant to communicate
with HIV-infected person.
Graph 5.5 WOULD YOU CHANGE THE WAY YOU TREAT YOUR FRIENDS, COLLEAGUES, OR FELLOW STUDENTS IF YOU KNOW THEY ARE HIV-POSITIVЕ? % of all respondents
Those respondents who would try to communicate less or stop communicating at all with an HIV positive
friend/colleague most often explained it by the fear of getting infected (57% for Ukrainians, 58% for Youth
and 51% for population of Dnipropetrovska oblast). 25% of Ukrainians (up significantly from 18% in
2014), 27% of population of Dnipropetrovska oblast and 21% of Youth will try to communicate less with
an HIV positive person because they think HIV is a result of immoral behaviour.
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 16% 13% 19%
2014 16% 9% 16%
2015 43% 41% 49%
2014 30% 32% 38%
2015 13% 16% 9%
2014 18% 26% 18%
2015 10% 12% 9%
2014 12% 17% 11%
2015 6% 5% 3%
2014 6% 6% 3%
2015 12% 13% 11%
2014 17% 11% 13%
2015 1502 340 403
2014 1479 321 411
It will be uncomfortable to communicate
with them, but I’ll try not to show this
I’ll try to communicate with them less
I’ll stop communicating with them at all
Difficult to answer
N
I’d do what I could to help them
My attitude won’t change
48
Graph 5.6 WHY CAN YOUR ATTITUDE CHANGE FOR WORSE? % of respondents who stated they will try to communicate less with or abstain from communication with PLHW
4% of Ukrainians have PLWH among acquaintances. This share has hardly changed since 2014. Graph 5.7 ARE THERE ANY HIV-POSITIVЕ PEOPLE AMONG THE PEOPLE YOU KNOW? % of all respondents
Among those who know PLWH, 77% say that they treat them as ordinary people, 18% try to avoid
communicating with them, and 3% of Ukrainians who know PLWH demonstrate an openly negative
attitude toward PLWH.
Graph 5.8
WHAT IS YOUR ATTITUDE TOWARDS THEM?
% of all respondents, who know anyone HIV-positive: all sample, N=71
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 57% 51% 58%
2014 60% 63% 63%
2015 25% 27% 21%
2014 18% 33% 14%
2015 1% 2% 1%
2014 2% 0% 1%
2015 22% 21% 26%
2014 26% 18% 24%
2015 616 147 126
2014 777 186 191
I m afraid that I could get infected
I would think it was their fault they got
infected because of their immorality
Other
Difficult to answer
N
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 4% 6% 3%
2014 5% 6% 3%
2015 96% 94% 97%
2014 95% 94% 97%
2015 1502 340 403
2014 1479 321 411N
Yes
No
Population of
Ukraine
2015 77%
2014 58%
2015 18%
2014 27%
2015 3%
2014 4%
2015 2%
2014 11%
2015 68
2014 71
I treat them as ordinary people
N
I dislike them and make no secret of it
Difficult to answer
I treat them as ordinary people
outwardly, but I try to avoid
communicating with them
49
Those, who know HIV-positive persons and treat them worse than ordinary people, explain their
behaviour by being afraid of getting infected/worried about their kids getting infected or blame PLHW for
immoral behavior but the number of these cases is not enough for the reliable analysis.
37% (up from33% in 2014) of the total population think it is ok for HIV-positive children to attend the same
school with HIV-negative children (38% among Youth and only 23% among the population of
Dnipropetrovska oblast).
Graph 5.9 IN YOUR OPINION, IS IT OK FOR HIV-POSITIVE CHILDREN TO GO TO SAME SCHOOL AS HIV-NEGATIVE CHILDREN DO? % of all respondents
Among those respondents who don’t agree that it is ok for HIV-positive children to attend the same
schools HIV-negative children go to the main reason was that children could get infected (57% among
Ukrainians, 49% among Youth and 47% among the population of Dnipropetrovska oblast). However, it
should be noted that the proportion afraid of getting infected decreased in all three groups since 2014.
Also, respondents consider that an HIV-positive child could hardly come from a good family and can
therefore have a bad influence on other children (29% among Ukrainians, 33% among Youth and 39% in
Dnipropetrovska oblast). Here an opposite trend can be observed – the number of those who think that
way increased in all three groups.
Graph 5.10 WHY COULD YOU NOT AGREE WITH THAT? % of respondents who could not agree that it is ok for HIV-positive children to attend the same schools HIV-negative children
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 37% 23% 38%
2014 33% 23% 39%
2015 26% 24% 32%
2014 23% 26% 22%
2015 23% 37% 18%
2014 28% 37% 23%
2015 14% 16% 13%
2014 16% 14% 16%
2015 1502 340 403
2014 1479 321 411N
Yes
It depends
No
Don’t know / not sure
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 57% 47% 49%
2014 68% 67% 64%
2015 29% 39% 33%
2014 16% 27% 12%
2015 0% 0% 0%
2014 1% 1% 1%
2015 18% 18% 22%
2014 21% 16% 25%
2015 975 264 250
2014 992 239 255
Negative children could get infected
Other
Difficult to answer
N
An HIV-positive child could hardly come
from a good family and can have bad
influence on other children
50
46% of Ukrainians (up significantly from 36% in 2014) would advise a person whose partner has
contracted HIV to continue the relationship with additional HIV-preventive measures, while 20% (down
from28% in 2014) would recommend they end the relationship. Among the population of Dnipropetrovska
oblast these figures reach 43% and 20% (the share of “intolerant” decreased in comparison to 2014).
Youth demonstrates the highest level of tolerance: 53% versus 14%.
Graph 5.11 WHAT ADVICE WOULD YOU GIVE TO SOMEONEWHOSE GIRLFRIEND OF BOYFRIEND HAS CONTRACTED HIV?
% of all respondents
The majority of respondents in each of the target groups would not buy vegetables from an HIV-positive
salesman or say that it will depend on situation. Also, approximately one quarter of respondents in each
target group do not know what they would do in such situation. The share of those who definitely would
not buy vegetables from a HIV-positive salesman significantly decreased in comparison to 2014 among
total population and population of Dnipropetrovska oblast.
Graph 5.12 IF YOU GET TO KNOW THAT SALESMAN HAS HIV, WOULD YOU BUY FRESH VEGETABLES FROM HIM?
% of all respondents
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 46% 43% 53%
2014 36% 38% 44%
2015 20% 20% 14%
2014 28% 31% 21%
2015 15% 13% 14%
2014 17% 13% 17%
2015 19% 24% 19%
2014 20% 18% 19%
2015 1502 340 403
2014 1479 321 411
To continue relationship, taking HIV and
AIDS prevention measures
Withdraw from that person
Don’t know
Difficult to answer
N
Population of
Ukraine
Dnipropetrovska
oblastYouth (15-24)
2015 15% 11% 13%
2014 15% 12% 20%
2015 24% 25% 31%
2014 21% 21% 20%
2015 41% 39% 36%
2014 47% 51% 43%
2015 20% 25% 20%
2014 17% 16% 17%
2015 1502 340 403
2014 1479 321 411N
Yes
It depends
No
Don’t know / not sure
51
6 Core indicators for Global AIDS Response Progress Reporting 5
The indicators were constructed for monitoring the United Nations Political Declaration on HIV and AIDS
and correspondent questions for their measurement were added to the survey upon the request of
UCDC.
1.1 Indicator 1. Percentage of young people aged 15–24 who both correctly identify
ways of preventing the sexual transmission of HIV and who reject major
misconceptions about HIV transmission
The 5 questions on HIV prevention which were chosen for indicator are presented in Table 6.1.1.
Table 6.1.1 Percentage of young men and women aged 15-24 who gave correct answers to questions: 2015: N=403; 2014: N=411
2015 2014
1. Is it possible to reduce the risk of HIV transmission by engaging in sexual intercourse only with a constant and faithful partner that doesn't have any other sexual partners?
88% 88%
2. Is it possible to reduce the risk of HIV transmission by using condoms during each sexual intercourse?
79% 85%
3. Is it a correct statement that a healthy-looking person can be HIV-positive? 71% 72%
4. Is the transmission possible through a mosquito bite? 49% 50%
5. Is it possible to get HIV by sharing food with an HIV-positive person? 53% 55%
The indicator was calculated by dividing the number of respondents aged 15-24 who gave the correct
answer to all five questions on HIV prevention (see Table 6.1.1) by total amount of respondents aged 15-
24.
Table 6.1.2 Indicator 1 Respondents aged 15-24, 2015: N=403; 2014: N=411
2015 2014
Numerator Amount of respondents aged 15-24 who gave correct answer to all five questions 20% 23%
Denominator Total amount of respondents aged 15-24
Table 6.1.3 Indicator 1, by gender Male respondents aged 15-24, 2015: N=203; 2014: N=217; Female respondents aged 15-24, 2015: N=200; 2014: N=194
2015 2014
MALE Numerator Amount of male respondents aged 15-25 who gave correct
answers to all five questions 21% 25% Denominator Total amount of male respondents aged 15-24
FEMALE Numerator Amount of female respondents aged 15-25 who gave correct
answers to all five questions 19% 21% Denominator Total amount of female respondents aged 15-24
5http://www.unaids.org/sites/default/files/media_asset/GARPR_2014_guidelines_en_0.pdf
52
Table 6.1.4 Indicator 1, by age group Respondents aged 15-19, 2015: N=177; 2014: N=183; Respondents aged 20-24, 2015: N=220; 2014: N=228;
2015 2014
15-19 Numerator Amount of respondents aged 15-19 who gave correct
answers to all five questions 14% 19%
Denominator Total amount of respondents aged 15-19
20-24 Numerator Amount of respondents aged 20-24 who gave correct
answers to all five questions 25% 26%
Denominator Total amount of respondents aged 20-24
1.2 Indicator 2. Percentage of young men and women aged 15-24 who have had sexual
intercourse before the age of 15
The indicator was calculated by dividing the number of respondents aged 15-24 who have had sexual
intercourse before the age of 15 by total amount of respondents aged 15-24.
Table 6.2.1 Indicator 2 Respondents aged 15-24, 2015: N=403; 2014: N=411
2015 2014
Numerator Amount of respondents aged 15-24 who had sexual intercourse before the age of 15 5% 3%
Denominator Total amount of respondents aged 15-24
Table 6.2.2 Indicator 2, by gender Male respondents aged 15-24, 2015: N=203; 2014: N=217; Female respondents aged 15-24, 2015: N=200; 2014: N=194
2015 2014
MALE Numerator
Amount of male respondents aged 15-24 who had sexual intercourse before the age of 15 6% 6%
Denominator Total amount of male respondents aged 15-24
FEMALE Numerator
Amount of female respondents aged 15-24 who had sexual intercourse before the age of 15 3% 0%
Denominator Total amount of female respondents aged 15-24
Table 6.2.3 Indicator 2, by age group Respondents aged 15-19, 2015: N=177; 2014: N=183; Respondents aged 20-24, 2015: N=220; 2014: N=228
2015 2014
15-19 Numerator
Amount of respondents aged 15-19 who had sexual intercourse before the age of 15 2% 4%
Denominator Total amount of respondents aged 15-19
20-24 Numerator
Amount of respondents aged 20-24 who had sexual intercourse before the age of 15 7% 3%
Denominator Total amount of respondents aged 20-24
53
1.3 Indicator 3. Percentage of men and women aged 15-49 who have had sexual
intercourse with more than one partner in the past 12 months
The indicator was calculated by dividing the number of respondents aged 15-49 who have had sexual
intercourse with more than one partner in the past 12 months by total amount of respondents aged 15-49.
Table 6.3.1 Indicator 3 Respondents aged 15-49, 2015: N=1000; 2014: N=1010
2015 2014
Numerator Amount of men and women aged 15-49 who have had sexual intercourse with more than one partner in the past 12 months 10% 9%
Denominator Total amount of respondents aged 15-49
Table 6.3.2 Indicator 3, by gender Male respondents aged 15-49, 2015: N=492; 2014:N=515; Female respondents 15-49, 2015: N=508; 2014: N=495
2015 2014
MALE Numerator
Amount of male respondents aged 15-49 who have had sexual intercourse with more than one partner in the past 12 months
14% 11%
Denominator Total amount of male respondents aged 15-49
FEMALE Numerator
Amount of female respondents aged 15-49 who have had sexual intercourse with more than one partner in the past 12 months
5% 7%
Denominator Total amount of female respondents aged 15-49
Table 6.3.3 Indicator 3, by age group Respondents aged 15-19, 2015: N=177; 2014: N=183; Respondents aged 20-24, 2015: N=220; 2014: N=228; Respondents aged 25-49, 2015: N=603; 2014: N=599
2015 2014
15-19 Numerator
Amount of respondents aged 15-19 who have had sexual intercourse with more than one partner in the past 12 months 3% 9%
Denominator Total amount of respondents aged 15-19
20-24 Numerator
Amount of respondents aged 20-24 who have had sexual intercourse with more than one partner in the past 12 months 13% 13%
Denominator Total amount of respondents aged 20-24
25-49 Numerator
Amount of respondents aged 25-49 who have had sexual intercourse with more than one partner in the past 12 months 10% 8%
Denominator Total amount of respondents aged 25-49
54
1.4 Indicator 4. Percentage of women and men aged 15-49 who had more than one
partner in the past 12 months and used a condom during their last sexual
intercourse
The indicator was calculated by dividing the number of respondents aged 15-49 who had more than one
partner in the past 12 months and used a condom during their last sexual intercourse by total amount of
respondents aged 15-49 who have been intimate with more than one partner in the past 12 months..
Table 6.4.1 Indicator 4 Respondents aged 15-49 who have been intimate with more than one partner in the past 12 months, 2015: N=93; 2014: N=95
2015 2014
Numerator Amount of men and women aged 15-49 who had more than one partner in the past 12 months and used a condom during the last sexual intercourse 56% 61%
Denominator Total amount of men and women aged 15-49 who have been intimate with more than one partner in the past 12 months
Table 6.4.2 Indicator 4, by gender Male respondents aged 15-49 who have been intimate with more than one partner in the past 12 months, 2015: N=64; 2014: N=62; Female respondents aged 15-49, who have been intimate with more than one partner in the past 12 months, 2015: N=29*; 2014: N=33*
2015 2014
MALE Numerator
Amount of male respondents aged 15-49 who had more than one sexual partner in the past 12 months and used a condom during the last sexual intercourse 60% 53%
Denominator Total amount of male respondents aged 15-49 who had more than one sexual partner in the past 12 months
FEMALE Numerator
Amount of female respondents aged 15-49 who had more than one sexual partner in the past 12 months and used a condom during the last sexual intercourse 56% 74%
Denominator Total amount of female respondents aged 15-49 who had more than one sexual partner in the past 12 months
* The number of cases is not sufficient for reliable analysis
55
1.5 Indicator 5. Percentage of women and men aged 15-49 who have undergone an HIV
test in the past 12 months and know their results
The indicator was calculated by dividing the number of respondents aged 15-49 who received an HIV test
in the past 12 months and know their results by total amount of respondents aged 15-49.
Table 6.5.1 Indicator 5 Respondents aged 15-49, 2015: N=1000; 2014: N=1010
2015 2014
Numerator Amount of men and women aged 15-49 who have undergone HIV-testing in the past 12 months and know their results 12% 14%
Denominator Total amount of respondents aged 15-49
Table 6.5.2 Indicator 5, by gender Male respondents aged 15-49, 2015: N=492; 2014: N=515; Female respondents aged 15-49, 2015: N=508; 2014: N=495
2015 2014
MALE Numerator
Amount of male respondents aged 15-49 who have undergone HIV-testing in the past 12 months and know their results
10% 13%
Denominator Total amount of male respondents aged 15-49
FEMALE Numerator
Amount of female respondents aged 15-49 who have undergone HIV-testing in the past 12 months and know their results
13% 15%
Denominator Total amount of female respondents aged 15-49
Table 6.5.3 Indicator 5, by age group Respondents aged 15-19, 2015: N=177; 2014: N=183; Respondents aged 20-24, 2015: N=220; 2014: N=228; Respondents aged 25-49, 2015: N=603; 2014: N=599
2015 2014
15-19 Numerator
Amount of men and women aged 15-19 who have undergone HIV-testing in the past 12 months and know their results 5% 8%
Denominator Total amount of respondents aged 15-19
20-24 Numerator
Amount of men and women aged 20-24 who have undergone HIV-testing in the past 12 months and know their results 18% 17%
Denominator Total amount of respondents aged 20-24
25-49 Numerator
Amount of men and women aged 25-49 who have undergone HIV-testing in the past 12 months and know their results 11% 14%
Denominator Total amount of respondents aged 25-49
56
1.6 Indicator 6. Percentage of women and men aged 15–49 who report discriminatory
attitudes towards PLWH
The indicator was calculated by dividing the number of respondents aged 15-49 who report discriminatory
attitudes towards people living with HIV by total amount of respondents aged 15-49.
Table 6.6.1 Indicator 6 Respondents aged 15-49, 2015: N=1000; 2014: N=1010
2015 2014
Numerator
Amount of men and women aged 15-49 who answered «No» or «It depends on situation» to at least one of the questions:
Would you buy fresh vegetables from a salesman if you know he had HIV?
Is it ok for HIV-positive children to attend the same schools HIV-negative children go to?
76% 74%
Denominator Total amount of men and women aged 15-49
Table 6.6.2 Percentage of respondents aged 15-49 who answered «No» or «It depends on the situation» to the question “Would you buy fresh vegetables from a salesman if you know he had HIV?” Respondents aged 15-49, 2015: N=1000; 2014: N=1010
2015 2014
Numerator Amount of men and women aged 15-49 who answered «No» or «It depends on the situation» to the question “Would you buy fresh vegetables from a salesman if you know he had HIV?” 64% 66%
Denominator Total amount of men and women aged 15-49
Table 6.6.3 Percentage of respondents aged 15-49 who answered «No» or «It depends on the situation» to the question “Is it ok for HIV-positive children to attend the same schools HIV-negative children go to?” Respondents aged 15-49, 2015: N=1000; 2014: N=1010
2015 2014
Numerator Amount of men and women aged 15-49 who answered «No» or «It depends on the situation» to the question “Is it ok for HIV-positive children to attend the same schools HIV-negative children go to?” 48% 49%
Denominator Total amount of men and women aged 15-49
57
7 Conclusions and recommendations
1.1 Awareness about the “Don’t Give AIDS a Chance!” campaign and National AIDS
helpline
39% of Ukrainians have at some point heard about the information campaign "Don’t Give AIDS a
Chance!"6.
The most common sources of information about the “Don’t Give AIDS a Chance” campaign in
Ukraine are the TV (24%), outdoor ads/billboards (17%), brochures (8%), newspapers (7%), Internet
other than social media (6%), social media (5%), radio (5%), actions in the settlement (5%), and medical
workers (4%). Compared with 2014 Ukrainians heard the information about the campaign less often from
TV (29% in 2014 vs. 24% in 2015) and more often from brochures (5% vs. 8%), social media (2% vs.
5%), actions in the settlement (1% vs. 5%), and medical workers (2% vs. 4%).
At the same time the share of Ukrainians who heard about the National AIDS helpline has decreased
significantly in 2015 (from 39% in 2014 to 33% in 2015). Among those who have heard about the
campaign 56% know about the National AIDS helpline (vs. 62% in 2014), while among those who are not
aware of the campaign only 18% have heard about the helpline (vs. 25% in 2014).
Most Ukrainians (73%) who heard about the helpline know that the helpline is free. A quarter of
Ukrainians do not know anything about the price of the helpline and only 4% think that the helpline isn't
free.
Among those Ukrainians who have heard about the helpline the following were given as possible
reasons for making a call: if the caller suspects him/herself to have HIV (58%); if the caller wishes to
hear general information about HIV (46%); to ask where to have HIV test (36%); and to ask about how to
prevent getting HIV (34%).
Youth7
52% heard about the information campaign "Don’t Give AIDS a Chance!" (vs. 39% among the
total population).
Youth were more likely than the total population to have heard about the campaign from outdoor
ads/billboards (26%) and Internet other than social media (13%).
46% had heard about the National AIDS helpline (vs. 33% among total population). The indicator
significantly increased from 42% in 2014.
The population of Dnipropetrovska oblast
54% heard about the information campaign "Don’t Give AIDS a Chance!" (vs. 39% among the
total population).
The population of Dnipropetrovska oblast were more likely than the total population to have heard
about the campaign from TV (40%), outdoor ads/billboards (34%), radio (10%).
6 From here and after only significant differences are mentioned between 2014 and 2015 7 From here and after only significant differences are mentioned between the total population of Ukraine on one side
and Youth/population of Dnipropetrovska oblast on the other
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1.2 HIV awareness
59% of Ukrainians consider themselves to be very or fairly well informed about HIV and AIDS. 25% say
they’re informed poorly, 9% are not informed at all.
76% of Ukrainians have heard or seen some information about HIV and AIDS in the past year. The most
common sources of information about HIV and AIDS in Ukraine are the TV (56%), outdoor
ads/billboards (25%), newspapers/magazines (16%), brochures (16%) and Internet (not including social
media – 13%). Compared with 2014, Ukrainians heard the information about the campaign less often
from TV (68% in 2014 vs. 56% in 2015), newspapers/magazines (22% vs. 16%), and radio (17% vs.
11%); and more often from social media (6% vs. 9%), and actions in the settlement (5% vs. 8%).
Over a half of Ukrainians know the following facts about HIV:
You can get infected with HIV and be unaware of it (82% of respondents evaluated this statement
correctly);
Use of condoms considerably reduces the risk of getting infected with HIV (76%);
There is no medicine as of now to completely cure the HIV infection and AIDS (71%);
A healthy-looking person can be HIV-positive (69%);
You cannot be sure that you do not have HIV or AIDS just because you do not take drugs (59%)
The share of Ukrainians who know that PLWH can have a normal life these days increased significantly in
2015 (37% compared with 24% in 2014) though the majority still don’t know this fact. Also only a third of
Ukrainians know that «HIV is not a death sentence».
According to public opinion, the main reasons why HIV is being spread are: prostitution (according to
74% of respondents), drug-trafficking (73%) and homosexual relations (66%).
Most Ukrainians are aware of the possible ways of HIV transmission associated with risky
behaviour:
Shared use of needles and syringes for injections (90% in 2015, this percent is significantly
higher than 87% in 2014 );
Vaginal sex without using a condom (84% in 2015 that is significantly higher compared to 80% in
2014);
When doing piercing and tattoo (81%);
When using somebody else’s shaving products, toothbrushes (75%).
Anal sex without a condom (74% vs. 66% in 2014);
Oral sex without a condom (65% vs. 54% in 2014);
The share of Ukrainians who are aware of all abovementioned ways of HIV transmission increased from
37% in 2014 to 46%.
The following false facts about the means of HIV transmission are most widespread among
Ukrainians: being treated at the same surgery with HIV-positive patients (34% of respondents), via
mosquito bites (28%), drinking from the same glass with an HIV-positive person (26%), and using the
same toilet/bathhouse/swimming pool/sauna with an infected person (26%). All these wrong beliefs could
be expected to cause intolerance to PLWH.
The best way to protect from HIV is considered to be engaging in sexual intercourse only with a
constant and faithful partner that doesn't have any other sexual partners (90%); 80% mentioned using
condoms during each sexual intercourse as another effective way of protection.
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However, only about a half of Ukrainians definitely know that sexual penetration without ejaculation (46%)
and using hormonal contraceptives (i.e. birth control pills) (53%) don’t reduce the risk of HIV infection and
about a third of Ukrainians definitely know that spermicidal agents don’t reduce the risk of HIV infection
(37%). Approximately one in five believe that these methods reduce the risk of HIV infection.
Only 32% of Ukrainians say that they don’t need any further information on HIV and AIDS. Others
most often would like to continue receiving information about the possible measures of HIV-prevention
(27%) and about PLWH (21%).
Youth
69% consider themselves to be very or fairly well informed about HIV and AIDS (vs. 59% among
the total population).
85% have heard or seen some information about HIV and AIDS in the past year (vs. 76% among
total population)
The Internet (other than social media) is a more popular source of information about HIV among
the Youth (25%) than among the total population (13%).
42% know that «PLWH can have a normal life» (vs. 37% among total population)
21% say that they don’t need any further information on HIV and AIDS (vs. 32% among the total
population).
The population of Dnipropetrovska oblast
79% have heard or seen some information about HIV and AIDS in the past year (vs. 86% in
2014)
42% know that «PLWH can have a normal life these days» increased significantly in 2015 (vs.
37% among total population)
Awareness of HIV transmission through unprotected sex, piercing and tattoo and using
somebody else’s shaving products, toothbrushes is lower than among total population. At the
same time false belief that sexual penetration without ejaculation can reduce the risk of HIV
infection is significantly higher than among total population.
Share of those who know all ways of HIV transmission in much lower among citizens of
Dnipropetrovska oblast than in total population (37% vs. 46%).
1.3 Attitudes to HIV
The most disturbing health issue to Ukrainians is heart disease: 31% of all respondents are worried
about it. Cancer was in second place (29%). There are 10% of Ukrainians who are most concerned
about HIV and AIDS (vs. 16% in 2014).
63% of Ukrainians say they are absolutely not at risk or unlikely to get infected with HIV. Only 22%
consider the risk as real («absolutely real», «quite real» and «fifty-fifty»); approximately 14% did not
answer the question.
Most of those Ukrainians who consider themselves to be at risk of HIV infection say that they know how
to protect themselves but anything might happen in life (62%), 16% say that they do not always have the
possibility to take safety precautions and 13% don’t know how to protect themselves.
Those Ukrainians who think they are unlikely to get infected explain their confidence with the fact they a)
have one permanent sexual partner whom they trust (47% vs. 53% in 2014); b) do not take drugs (34%);
c) they don’t believe it can happen to them (25% vs. 20% in 2014); d) do not have a sexual partner (21%).
60
67% of Ukrainians believe that a man who is known to be carrying condoms would not have a bad
image and 58% of Ukrainians believe the same to be true about a woman that is known to be carrying
condoms.
As for the attitudes to relationships with new sexual partners 10% of Ukrainians would agree if a new
partner suggested having sex without a condom (vs. 6% in 2014), additionally 26% are not sure; 40%
wouldn’t agree to this proposition and 25% would never have new relationships (vs. 30% in 2014). Men
are more likely than women to agree to have sex without a condom (12% vs. 7% among women). Also
more men (30%) than women (22%) wouldn’t know what to do if their partner in a new relationship were
to suggest sexual intercourse without a condom. Women more often believe that they wouldn’t have new
relationships (29% vs 20% among men).
A half of Ukrainians say they would take the initiative and suggest using a condom with a new sexual
partner. There are no significant differences between men and women.
The proportion of Ukrainians who think that they have quite a good chance of convincing a new partner to
use a condom has increased significantly from 40% in 2014 to 47% in 2015. Only 12% in 2015 believe
that it would prove difficult for them. Men say they would find it easier than do women to convince a
partner to use condoms.
Almost an equal percentage of respondents say that they would (22%) and that they would not (25% vs.
20% in 2014) suggest undergoing an HIV test in a new relationship. However, the majority of respondents
could not answer whether they would suggest undergoing an HIV-test before having sexual intercourse
with a new partner (53%), which may mean that this is an unusual notion and people haven’t previously
considered such a course of action.
Youth
Cancer is the most worrying disease for young people in 2015 (27%), HIV and AIDS are in
second place (16% vs. 10% among total population).
27% feel themselves to be at risk of getting HIV (vs. 22% among the total population).
18% of those who think they are unlikely to get infected say this is because they always use
condoms (vs. 9% among the total population).
52% would not agree if a new partner proposed sex without a condom (vs. 40% among the total
population).
63% are ready to suggest using condoms with a new sexual partner (vs. 52% among the total
population).
The population of Dnipropetrovska oblast
There are no significant differences among attitudes to HIV among the population of
Dnipropetrovska oblast and the total population
1.4 Risk behavior and HIV testing
86% of Ukrainians over the age of 15 have experience of sexual intercourse. 62% of them had their first
sexual experience at the age of 15 or later while only 3% had it before they turned 15, others refused to
answer the question.
Out of those respondents who have ever been intimate with anyone, 32% discussed safe sex with their
partner, 26% discussed previous relations with their partner, 19% asked their partner to use condoms and
the same proportion underwent a test for sexually-transmitted infections, 10% were interested if their
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partner have undergone an HIV test, 9% decided to abstain from sex if their partner refused to use a
condom, and 8% asked partner to undergo HIV test.
58% of Ukrainians have been intimate with anyone within the last 12 months, 63% of them had only
one sexual partner during the last 12 months.
Among them 14% always use condoms, 9% use them almost always and 20% use them from time to
time or rarely. 33% do not use condoms because they have one permanent partner and 5% do not use
them because of other reasons, others refused to answer.
Among those Ukrainians who do not use or do not always use condoms 38% say that this is because
they trust their partner, 29% say condoms are not always available, 31% that condoms make sex less
pleasant (vs. 21% in 2014), 19% that they use other methods of contraception, 13% that condoms are not
reliable (vs. 4% in 2014).
Among those who used condoms during last year condoms are perceived mostly as a method of
contraception (83%) and only 34% of Ukrainians use condoms to protect themselves from HIV and AIDS.
For 35% of Ukrainians condoms serve for protection from other infections.
More than a half of Ukrainians (60%) have never undergone a HIV test and 31% took it (others refused to
answer).
Among those who have never used condoms/use them but not always 44% got tested for HIV.
Among those who took an HIV test the main reason for getting tested was to get a mandatory health
certificate including one due to pregnancy (80%); the majority of the others did it for own peace of mind
(16%). The most popular locations for getting tested are medical centres (45%), women’s consultations
(31%) and AIDS centres (14%). Most of those who got tested for HIV were satisfied with the test and
consultation (83%), 6% said that they were satisfied, but consultation wasn’t provided and only 5%
showed some dissatisfaction.
Out of those who never got tested for HIV 22% are interested in getting a free test.
Youth
63% have experience of sexual intercourse (vs. 86% among the total population).
Youth who have been intimate with somebody show higher readiness for safe sex than the total
population: 45% discussed safe sex with their partner (vs. 30% among the total population); 36%
discussed previous relations with their partner (vs. 26% among the total population); 33% asked
their partner to use condoms (vs. 19% among the total population); and 18% decided to abstain
from sex if their partner refused to use a condom (vs. 9% among the total population).
31% of those who had intimate relations over the past 12 months use condoms always (vs. 14%
among the total population) however, only 17% don’t use condoms because of having a
permanent partner (vs. 33% among total population). The top reason for not using condoms or
not always using them is that they are not always available (38% vs. 29% among the total
population).
25% passed HIV test (vs. 31% among total population)
Out of those who never got tested for HIV 37% are interested in getting a free test (vs. 22%
among the total population).
The population of Dnipropetrovska oblast
22% of those who had intimate relations over the past 12 months use condoms always (vs. 14%
among the total population).
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Residents of Dnipropetrovska oblasts who have been intimate with somebody show higher
readiness for safe sex than the total population: 29% underwent a test for sexually-transmitted
infections (vs. 19% among the total population); 22% asked their partner to use a condom (vs.
19% among the total population); 16% decided to abstain from sex if their partner refused to use
a condom (vs. 9% among the total population).
55% passed HIV test (vs. 31% among the total population)
93% of those who got tested for HIV are satisfied with the provided test and consultation (vs. 83%
among the total population).
1.5 Attitude to PLWH
Most of Ukrainians (68%) believe that people with HIV have the right to keep their diagnosis a secret.
As for the belief that people only get HIV because of their immoral behaviour, the proportion who disagree
has significantly increased from 45% in 2014 to 52% in 2015.
The share of those who think that PLWH rights are violated in Ukraine is 37% (vs. 44% in 2014).
46% would advise a person whose partner contracted HIV to continue the relationship with additional
HIV-preventive measures (vs. 36% in 2014), while 20% would recommend ending the relationship (vs.
28% in 2014), others are not sure.
The survey indicates 4 levels of perception for PLWH: the perception of unfamiliar PLWH (Bogardus
scale), perception of acquaintances in case of getting HIV infection; perception of familiar PLWH;
perception of HIV-positive children.
Bogardus scale. Only 14% are ready to accept PLWH as colleagues, neighbours, close friends or family
members.
More than half of Ukrainians are intolerant of PLWH – 70% agree to have PLWH as no closer than
residents of Ukraine/visitors to Ukraine/would keep them out of Ukraine altogether. Ukrainians are
significantly less tolerant of other vulnerable groups (IDUs, homosexuals, bisexuals, commercial sex
workers).
Perception of acquaintances in case of getting HIV infection. Almost a half of Ukrainians (59%) say
that finding out about an HIV-positive status of one of their friends or colleagues wouldn’t change their
attitude or they even would like to help such a friend/colleague (vs. 46% in 2014). For 13% the
communication with such person will be uncomfortable, but they’ll try not to show this (vs. 18% in 2014).
16% answered that they would try to communicate less with such person or stop communicating at all,
others are not sure about their reaction.
Out of those people who would negatively change their attitude to a person in case of his/her HIV-positive
status 57% explain it with fear of getting infected. The share of those who accuse PLWH in immorality
increased from 18% in 2014 to 25% in 2015.
Perception of PLWH. 4% of Ukrainians have PLWH among acquaintances. Among those who know
PLWH 77% say that they treat them as ordinary people, 18% try to avoid communicating with them, but
only 3% demonstrate an openly negative attitude toward PLWH. Negative attitudes are most often
explained by fear of getting infected.
Perception of positive children. 37% think that it’s acceptable for HIV-positive children to attend the
same school with HIV-negative children (vs. 33% in 2014) while 23% are against it (vs. 28% in 2014)
(others answered that it depends on the situation or not sure in their position). Most of the latter say that
the main reason for their position is that HIV-negative children could get infected.
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Youth
Youth is more tolerant to PLWH according to all indicators
The population of Dnipropetrovska oblast
The population of Dnipropetrovska oblast is less tolerant to PLWH according to all indicators
1.6 Conclusions and recommendations on target areas of campaign
In 2015 comparing to 2014 both positive and negative tendencies are observed. The positive tendencies
are:
Increased awareness that HIV is transmitted through vaginal, anal and oral sex without a
condom;
Increased tolerance to PLWH.
The negative tendencies are:
Decreased awareness about National AIDS helpline
Decreased share of Ukrainians who named HIV among most disturbing health issues
Increased share of Ukrainians who would agree if a new partner suggested having sex without a
condom
The following target areas of communication were recommended in 2015 and they still are relevant for
2016 – the following information is recommended to be shared:
HIV can be transferred through unprotected oral and anal sex as well as through vaginal.
Among all methods of contraception only condoms can protect from HIV (this message is especially
relevant for population of Dnipropetrovska oblast which has widespread belief that sexual
penetration without ejaculation can reduce the risk of HIV infection).
Sexual pleasure during unprotected sex is not worth infection of HIV and other diseases (especially
relevant message for men as they are more inclined to risky behaviour).
It’s natural for women to have condoms and insist on using them; shyness is not worth infection with
HIV and other diseases.
Symptoms of HIV don’t show themselves right after the infection, one can’t tell if a person has HIV
just by looking at him/her.
HIV tests are accessible, anonymous, free (or available for buying in drugstore for those who don’t
want to address organizations) and quick.
It’s natural to ask a partner to take HIV test.
It’s safe to live with PLWH and use the same bath, soap, towel etc. (everything except for shaving
products and toothbrushes). Mosquito bites can’t transfer HIV.
There is no medicine to cure HIV completely, but PLWH receive treatment and are not dangerous for
people around them. Any positive information about PLWH would be good to prove that they are
common people just like everybody else.
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8 Sample design
Thе sample size of 1502 interviews includes 1077 respondents for a nationally representative sample
(which included 204 respondents aged 15-24 and 114 residents of Dnipropetrovska oblast) and boosters
of 199 respondents for Youth and 226 respondents for residents of Dnipropetrovska oblast. The boosters
were conducted in order to have a sufficient number of respondents for reliable analysis.
The sample design is based on State Statistics Service of Ukraine data for January 1, 2014
The sample design for the nationally representative sample included the following stages:
1. The sample was first stratified by 25 administrative units (24 oblasts and Kyiv - not including
Crimea and settlements in Donetska and Luhanska oblast which are not under control of
Ukrainian government).
2. In each administrative unit (except for Kyiv) interviews were proportionally distributed according
to the size of settlement. The following grouping of settlements is used in the sample design: rural
area; towns and town-type settlements with population less than 50,000; towns with population of
51,000-100,000; towns with population of 101,000-500,000; cities with population of more than
500,000. All Ukrainian settlements with a population greater than 200,000 were included in the
sample, smaller settlements were randomly selected from a list of such settlements, ordered
alphabetically.
3. For Kyiv and other large cities the sample was then stratified by administrative districts.
4. Within each settlement the routes were selected randomly. Each interviewer received instructions
with rules for selecting a starting point for the route and defining skip intervals for selecting the
following addresses.
5. At the last stage interview was conducted with the person who fits by age (15+). If there are
several persons who fit by age, the interview was conducted with the person whose birthday was
the last among members of household aged 15+. If all potential respondents denied participating
in the survey, the interviewer followed the next household.
The sample design for boosters was built according to the same scheme.
Three types of weights were calculated for the analysis:
1. Weighted data for Ukrainian population corresponds to the population’s distribution by
age/gender/settlement type and administrative unit according to State Statistics Service of
Ukraine data for January 1, 2014
2. Weighted data for 403 respondents aged 15-24 population corresponds with the population’s
aged 15-24 distribution by gender/macroregion/settlement type according to State Statistics
Service of Ukraine data for January 1, 2014
3. Weighted data for 340 respondents in Dnipropetrovska oblast population corresponds with the
oblast’s population distribution by age/gender/settlement type according to State Statistics
Service of Ukraine data for January 1, 2014
65
Sample for the population of Ukraine aged 15+: size of the city
Size of the city:
Village 33%
City with the population below 50 thsd 22%
City with the population 51-100 thsd 6%
City with the population 101-500 thsd 17%
City with the population 500 thsd+ 22%
Total 100%
Sample for the population of Ukraine aged 15+: administrative unit
Oblast: Vinnytska 4%
Volynska 3%
Dnipropetrovska 9%
Donetska 5%
Zhytomyrska 3%
Zakarpatska 3%
Zaporizka 4%
Ivano-Frankivska 4%
Kyivska 5%
Kirovogradska 2%
Luganska 2%
Lvivska 6%
Mykolaivska 3%
Odeska 6%
Poltavska 4%
Rivnenska 3%
Sumska 3%
Ternopilska 3%
Kharkivska 7%
Khersonska 3%
Khmelnytska 3%
Cherkaska 3%
Chernivetska 2%
Chernigivska 3%
Kyiv 7%
Total 100%