HIV prevalence and risk in long-distance truck drivers in South Africa: a national cross-sectional survey

International Journal of STD & AIDS
Sinead Delany-MoretlweHelen Rees

Abstract

We estimated the prevalence of HIV and assessed correlates of HIV infection in long-distance truck drivers in South Africa. Between October 2003 and July 2004, 1900 long-distance truck drivers aged ≥18 years consented to interview and for testing for HIV. Participants were selected from a 10% stratified random sample of registered truck depots. A proximate-determinants framework was used to assess the hierarchical relationship between risk factors and HIV infection using logistic regression. HIV prevalence was 26% (95% confidence interval 24% to 28%). In multivariate analyses, HIV infection was associated with spending 2-4 weeks on the road (adjusted odds ratio 1.4; 95% confidence interval 1.1 to 1.9). There was modest evidence of a dose-response relationship between time on the road and HIV risk. Mobility increased risk by creating conditions for unsafe sex and reducing access to health services. Targeted HIV interventions for long-distance truck drivers are needed.

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Citations

Sep 30, 2016·African Journal of AIDS Research : AJAR·Lynn Murphy MichalopoulosJasmin Raidoo
Jun 28, 2014·International Journal of STD & AIDS·Christina P LindanUNKNOWN Crane Survey Group
Jan 19, 2017·Revista de saúde pública·Laio Magno, Marcelo Eduardo Pfeiffer Castellanos
Apr 25, 2018·African Journal of AIDS Research : AJAR·Matthew L RomoElizabeth A Kelvin
Nov 29, 2017·SAHARA J : Journal of Social Aspects of HIV/AIDS Research Alliance·Abiodun Musbau Lawal, Benjamin Oladapo Olley
Dec 26, 2017·SAGE Open Medicine·Patricía J GarcíaCésar P Cárcamo
Jan 25, 2019·Journal of the International AIDS Society·Jessie K EdwardsSharon Weir
Aug 3, 2017·Global Health Action·Nosipho Faith MakhakheHelen Struthers
Aug 20, 2015·Health Economics Review·Jan OstermannNathan Thielman
Oct 27, 2017·Journal of Medical Microbiology·Nicholas Israel Nii-TrebiWilliam Kwabena Ampofo
Oct 31, 2019·BMJ Open·Samanta Tresha Lalla-EdwardAlinda G Vos
Nov 2, 2019·Bulletin of the World Health Organization·Sue NapieralaFrances M Cowan
Aug 12, 2020·African Journal of AIDS Research : AJAR·Stephanie N ChristianElizabeth A Kelvin

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Methods Mentioned

BETA
PCR
circumcision

Software Mentioned

Epi
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