title: On the road again: concurrency and condom use among Uganda truck drivers.
abstract: Long-distance truck drivers have been shown to be a critical population in the spread of HIV in Africa. In 2009, surveys with 385 Ugandan long-distance truck drivers measured concurrency point prevalence with two methods; it ranged from 37.4% (calendar-method) to 50.1% (direct question). The majority (84%) of relationships reported were long-term resulting in a long duration of overlap (average of 58 months) across concurrent partnerships. Only 7% of these men reported using any condoms with their spouses during the past month. Among all non-spousal relationships, duration of relationship was the factor most strongly associated with engaging in unprotected sex in the past month in a multivariable analyses controlling for partner and relationship characteristics. Innovative intervention programs for these men and their partners are needed that address the realities of truck drivers' lifestyles.
authors.affiliation: a FHI 360 Headquarters , Blackwell Street, Durham , North Carolina.
authors.forename: Elizabeth C
authors.initials: EC
authors.lastname: Costenbader
authors.forename: Kathryn
authors.initials: K
authors.lastname: Lancaster
authors.forename: Leonard
authors.initials: L
authors.lastname: Bufumbo
authors.forename: Angela
authors.initials: A
authors.lastname: Akol
authors.forename: Greg
authors.initials: G
authors.lastname: Guest
mesh_terms: D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D018986:Motor Vehicles; D021841:Safe Sex / Q000523:psychology / Q000706:statistics & numerical data; D012725:Sexual Behavior / Q000523:psychology / Q000706:statistics & numerical data; D012747:Sexual Partners / Q000523:psychology; D014195:Travel; D014454:Uganda; D047568:Unsafe Sex / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult
keywords: HIV/STI prevention; concurrency; condom; mobile population; sexual risk behaviour; sub-Saharan Africa