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. 2016 Apr;20(4):811-20.
doi: 10.1007/s10461-015-1194-8.

Prevalence of HIV and Associated Risk Factors Among Long Distance Truck Drivers in Inchope, Mozambique, 2012

Carlos Botão  1 , Roberta Z Horth  2 , Heidi Frank  2 , Beverley Cummings  3 , Celso Inguane  4 , Isabel Sathane  4 , Willi McFarland  2 , H Fisher Raymond  2 , Peter W Young  3
Affiliations

Prevalence of HIV and Associated Risk Factors Among Long Distance Truck Drivers in Inchope, Mozambique, 2012

Carlos Botão et al. AIDS Behav. 2016 Apr.

Abstract
in English, Spanish

This is the first integrated biological and behavioral surveillance survey among long-distance truck drivers (LDTD) in Mozambique. Using modified time-location sampling in 2012 at a key transportation junction (Inchope), we enrolled 327 male LDTD. HIV prevalence was 15.4 % (95 % confidence interval : 11.4-19.4 %, n = 318 tested). Among HIV-positive LDTD, 83.7 % did not know their status. One-third of LDTD had never tested for HIV and three-quarters had not received free condoms, lubricants or HIV literature in the past 12 months. In that same period, 61.4 % of LDTD had at least four sexual partners and 27.1 % paid for sex. Among sexually-active LDTD, 76.5 % did not use a condom at last sex. HIV was associated (p < 0.05) with primary education or lower (AOR 2.1), residence in Mozambique (AOR 2.3) and never having tested for HIV (AOR 2.2). Our findings reveal that broader coverage of HIV prevention and comprehensive care services for LDTD are urgently needed.

Resumen

Esta es la primera encuesta integrada de vigilancia biológica y de comportamientos entre los camioneros de larga distancia (CLD) en Mozambique. Participaran 327 camioneros del sexo masculino reclutados por muestreo por tiempo-lugar modificado en el año 2012 en un cruce clave de transporte (Inchope). La prevalencia del VIH fue del 15,4 % (95 % intervalo de confianza de 95 %: 11,4 a 19,4 %, n = 318 testados). Entre los camioneros VIH-positivo, el 83,7 % no sabía su seroestado. Un tercio de los CLD nunca había hecho la prueba del VIH y tres en cuatro CLD no recibieron gratuitamente condones, lubricantes o literatura del VIH en los últimos 12 meses. En lo mismo período, el 61,4 % de los CLD tuvo al menos cuatro parejas sexuales y el 27,1 % pagó por sexo. Entre los CLD sexualmente activos, 76,5 % no utilizó un preservativo en su última relación sexual. El VIH se asoció significativamente (p < 0,05) con educación primaria o inferior (razón de probabilidad ajustada-AOR: 2.1), residencia en Mozambique (AOR 2.3) y nunca haber hecho la prueba del VIH (AOR 2.2). Nuestros resultados revelan la necesidad urgente de expandir la cobertura de la prevención del VIH y de servicios de cuidado integral.

Keywords: Behavioral surveillance; HIV prevalence; Long-distance truck drivers; Mozambique; Sampling; Sub-Saharan Africa; Timelocation; key populations.

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Figures

Fig. 1
Fig. 1
Long-distance truck drivers’ Integrated Biological Behavioral Surveillance survey site, Inchope, Mozambique, 2012
See this image and copyright information in PMC

References

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