Journal
INTERNATIONAL JOURNAL OF STD & AIDS
Volume 25, Issue 6, Pages 428-438Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1177/0956462413512803
Keywords
HIV; human immunodeficiency virus; AIDS; Africa; location; epidemiology; high-risk behavior; viral disease; men; truck drivers
Categories
Funding
- USAID [674-0320-G-00-5053-10]
- Medical Research Council [MR/K012126/1] Funding Source: researchfish
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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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