HIV Infection in Long-Distance Truck Drivers in a Low Income Setting in the Niger Delta of Nigeria
HIV Infection in Long-Distance Truck Drivers in a Low Income Setting in the Niger Delta of Nigeria
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DOI：
10.1007/s10900-010-9344-4
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发表时间：
2011-08-01
影响因子：
5.9
通讯作者：
Frank-Peterside, Nnenna
中科院分区：
文献类型：
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作者：
Azuonwu, Obioma;Erhabor, Osaro;Frank-Peterside, Nnenna
这项研究的目的是确定尼日利亚哈科特港长途卡车司机中艾滋病毒感染的血清阳性率和相关性。总共对100名长途卡车司机进行了艾滋病毒抗体筛查，年龄在21岁到60岁之间，平均年龄为42.36+/-5.23岁。结果显示，在筛查的总人数中，HIV阳性者10人(10%)，阴性者90人(90%)。31~40岁组6/26(23%)明显高于21~30岁组1/13(7.6%)和51~60岁组2/37(7.4%)(P=0.04)，41~50岁组1/24(4.2%)HIV感染率最低。HIV-1是受试者中的主要病毒亚型，9人(90%)，1人(10%)感染HIV-2。HIV阳性的受试者中没有一人同时感染了HIV 1和HIV 2。HIV感染者CD_4淋巴细胞数平均值为380+/-A68.0(312-448个/亩L)，而CD_4淋巴细胞数为780+/-A_(76)细胞/亩L(704-856个/亩L)，两者呈显著负相关(r=-0.010，P=0.01)。建议制定密集的预防措施，同时实施一项强有力的启蒙运动，旨在改变卡车司机的高危文化行为。迫切需要努力提供获得性健康教育、治疗服务和艾滋病毒检测设施的机会，以减少他们感染艾滋病毒的脆弱性。
The aim of this study was to determine the seroprevalence, and correlates of HIV infection among long-distance truck drivers in Port Harcourt, Nigeria. A total of one hundred (100) long-distance truck drivers aged between 21 and 60 years and mean age of 42.36 +/- A 5.23 years were screened for the presence of HIV antibodies. The results showed that, out of the total number screened 10 (10%) were positive for HIV while 90 (90%) were negative. The prevalence of HIV was significantly higher in the 31-40 years age group 6/26 (23%) compared to 1/13 (7.6%) in the 21-30 years age group and 2/37 (7.4%) in the 51-60 years age group (P = 0.04).The lowest prevalence of HIV occurred in the 41-50 years age group 1/24 (4.2%). HIV 1 was the predominant viral subtype among the subjects 9 (90%) while 1 (10%) had HIV-2. None of the HIV-positive subjects had dual HIV 1 and 2 infections. The mean CD4 lymphocyte count for subjects positive for HIV was 380 +/- A 68.0 (range 312-448 cells/mu l) while CD4 count for HIV negative subjects was 780 +/- A 76 cells/mu l (range 704-856 cells/mu l. A significant negative correlation was observed between HIV positivity and CD4 count r = -0.010 (P = 0.01). It is recommended that intensive preventive measures be instituted coupled with the implementation of a vigorous enlightenment campaign targeting behavioral change from high risk culture among truckers. Efforts are urgently needed to provide access to sexual health education, treatment services and HIV testing facilities to reduce their vulnerability to HIV infection.