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.
authors.affiliation: National Institute of Health, Ministry of Health-Mozambique, Maputo, Mozambique. botao220006095@gmail.com.
authors.forename: Carlos
authors.identifier: http://orcid.org/0000-0003-1567-9629
authors.initials: C
authors.lastname: Botão
authors.affiliation: Global Health Sciences, University of California San Francisco, San Francisco, CA, USA.
authors.forename: Roberta Z
authors.initials: RZ
authors.lastname: Horth
authors.affiliation: Global Health Sciences, University of California San Francisco, San Francisco, CA, USA.
authors.forename: Heidi
authors.initials: H
authors.lastname: Frank
authors.affiliation: Division of Global HIV/AIDS, Centers for Disease Control and Prevention (CDC), Maputo, Mozambique.
authors.forename: Beverley
authors.initials: B
authors.lastname: Cummings
authors.affiliation: International Training and Education Center for Health (I-TECH), Maputo, Mozambique.
authors.forename: Celso
authors.initials: C
authors.lastname: Inguane
authors.affiliation: International Training and Education Center for Health (I-TECH), Maputo, Mozambique.
authors.forename: Isabel
authors.initials: I
authors.lastname: Sathane
authors.affiliation: Global Health Sciences, University of California San Francisco, San Francisco, CA, USA.
authors.forename: Willi
authors.initials: W
authors.lastname: McFarland
authors.affiliation: Global Health Sciences, University of California San Francisco, San Francisco, CA, USA.
authors.forename: H
authors.initials: H
authors.lastname: Fisher Raymond
authors.affiliation: Division of Global HIV/AIDS, Centers for Disease Control and Prevention (CDC), Maputo, Mozambique.
authors.forename: Peter W
authors.initials: PW
authors.lastname: Young
mesh_terms: D000293:Adolescent; D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000175:diagnosis / Q000453:epidemiology* / Q000635:transmission; D006801:Humans; D008297:Male; D018986:Motor Vehicles; D009073:Mozambique / Q000453:epidemiology; D009790:Occupations; D015995:Prevalence; D012307:Risk Factors; D012309:Risk-Taking; D021841:Safe Sex / Q000523:psychology / Q000706:statistics & numerical data; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012747:Sexual Partners; D011795:Surveys and Questionnaires; D014186:Transportation; D047568:Unsafe Sex / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Behavioral surveillance; HIV prevalence; Long-distance truck drivers; Mozambique; Sampling; Sub-Saharan Africa; Timelocation; key populations