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

Prevalence of HIV and Associated Risk Factors Among Long Distance Truck Drivers in Inchope, Mozambique, 2012.
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DOI:
10.1007/s10461-015-1194-8
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发表时间:
2016-04
期刊:
影响因子:
4.4
通讯作者:
Young PW
Young PW
中科院分区:
医学2区
文献类型:
--
作者:
Botão C;Horth RZ;Frank H;Cummings B;Inguane C;Sathane I;McFarland W;Fisher Raymond H;Young PW

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这是莫桑比克首次对长途卡车司机(LDTD)进行综合生物和行为监测调查。2012年,我们在一个关键的交通枢纽(Inchope)使用修改后的时间-地点抽样,招募了327名男性LDTD。艾滋病毒流行率为15.4%(95%置信区间:11.4- 19.4%,n = 318测试)。在HIV阳性的LDTD中,83.7%的人不知道自己的状况。三分之一的LDTD从未进行过艾滋病毒检测,四分之三的LDTD在过去12个月内没有获得免费的避孕套、润滑剂或艾滋病毒宣传资料。在同一时期,61.4%的LDTD至少有四个性伴侣,27.1%的人花钱买春。在性活跃的LDTD中,76.5%在最近一次性行为中没有使用安全套。艾滋病毒与小学教育或更低水平(AOR 2.1)、居住在莫桑比克(AOR 2.3)和从未进行过艾滋病毒检测(AOR 2.2)相关(p < 0.05)。我们的研究结果表明,迫切需要更广泛的艾滋病毒预防和综合护理服务的LDTD。
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.
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