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

Carlos Botão; Roberta Z. Horth; Heidi Frank; Beverley Cummings; Celso Inguane; Isabel Sathane; Willi McFarland; H. Fisher Raymond; Peter W. Young

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, Roberta Z. Horth, Heidi Frank, Beverley Cummings, Celso Inguane, Isabel Sathane, Willi McFarland, H. Fisher Raymond, Peter W. Young

School of Public Health, Epidemiology

Research output: Contribution to journal › Article › peer-review

24 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	811-820
Number of pages	10
Journal	AIDS and behavior
Volume	20
Issue number	4
DOIs	https://doi.org/10.1007/s10461-015-1194-8
State	Published - Apr 1 2016

All Science Journal Classification (ASJC) codes

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

Keywords

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

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10.1007/s10461-015-1194-8

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

abstract = "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.",

keywords = "Behavioral surveillance, HIV prevalence, Long-distance truck drivers, Mozambique, Sampling, Sub-Saharan Africa, Timelocation, key populations",

author = "Carlos Bot{\~a}o and Horth, {Roberta Z.} and Heidi Frank and Beverley Cummings and Celso Inguane and Isabel Sathane and Willi McFarland and {Fisher Raymond}, H. and Young, {Peter W.}",

note = "Funding Information: We would like to acknowledge the IBBS-Truckers survey team for their assistance in the field and office; the Center for the Investigation of Infectious Diseases (CIDI) of the Catholic University of Mozambique, the Manica Provincial Health Directorate (DPS de Manica); Pathfinder International for their technical and logistical support; and Angelica Miranda for helping edit the manuscript. This research was supported by the President{\textquoteright}s Emergency Plan for AIDS Relief (PEPFAR) through the U.S. Health and Human Services, Centers for Disease Control and Prevention (CDC) Mozambique Country Office under the terms of Cooperative Agreement Number U2GPS001468. The views expressed in this report do not necessarily reflect the views of the U.S. Centers for Disease Control and Prevention or the Government. Publisher Copyright: {\textcopyright} 2015, Springer Science+Business Media New York.",

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AU - Botão, Carlos

AU - Horth, Roberta Z.

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AU - Cummings, Beverley

AU - Inguane, Celso

AU - Sathane, Isabel

AU - McFarland, Willi

AU - Fisher Raymond, H.

AU - Young, Peter W.

N1 - Funding Information: We would like to acknowledge the IBBS-Truckers survey team for their assistance in the field and office; the Center for the Investigation of Infectious Diseases (CIDI) of the Catholic University of Mozambique, the Manica Provincial Health Directorate (DPS de Manica); Pathfinder International for their technical and logistical support; and Angelica Miranda for helping edit the manuscript. This research was supported by the President’s Emergency Plan for AIDS Relief (PEPFAR) through the U.S. Health and Human Services, Centers for Disease Control and Prevention (CDC) Mozambique Country Office under the terms of Cooperative Agreement Number U2GPS001468. The views expressed in this report do not necessarily reflect the views of the U.S. Centers for Disease Control and Prevention or the Government. Publisher Copyright: © 2015, Springer Science+Business Media New York.

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N2 - 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.

AB - 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.

KW - Behavioral surveillance

KW - HIV prevalence

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KW - Mozambique

KW - Sampling

KW - Sub-Saharan Africa

KW - Timelocation

KW - key populations

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JO - AIDS and Behavior

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

Abstract

All Science Journal Classification (ASJC) codes

Keywords

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