title: Consistent Condom Use during Casual Sex among Long-Truck Drivers in Togo.
abstract: BACKGROUND
  In 2008, the proportion of truck drivers who were not systematically protected during sex was 63% with casual partners and 60% with sex workers. Despite the high level of knowledge on HIV/AIDS and the growing awareness of the existence of the risk of HIV infection, condom use always encounters resistance among truck drivers in Togo. We sought to document the factors associated with condom use during casual sex among trucks' drivers in Togo.
  
  
  METHODS
  This was an analytical cross-sectional study conducted in 2010 and targeted truckers at truck station on the two main roads of Togo, Lomé-Cinkassé and Kodjoviakopé-Sanvee Condji.
  
  
  RESULTS
  In this study, 1,782 trucks' drivers and their helpers were interviewed. All were men, and their mean age was 28.8 ± 8.8 years. Trucks' drivers were doing an average of 3 stops on their journeys and 1,229 (69%) of them had at least two years of experience in the work. Of the 1,782 trucks' drivers, only 620 (34.8%) had consistently used condoms during casual sex in the last three months. In multivariate analysis, predictors were: education level (primary schooling: OR = 1.54; p = 0.002; Secondary schooling and higher OR = 1.38; p = 0.036), good knowledge of ways of HIV transmission (OR = 1.53; p = 0.000), tested for HIV (OR = 1.67, p = 0.000), duration in the profession (2-5 years: OR = 1.43, p = 0.008; more than 5 years: OR = 1.38, p = 0.027), and HIV risk's perception (OR = 1.44, p = 0.000).
  
  
  CONCLUSIONS
  These results highlight factors associated with consistent condom use during casual sex by truck drivers in Togo. This is a key population group at high risk of HIV transmission toward which the national HIV/AIDS control program should strengthen the HIV prevention strategies.
authors.affiliation: Laboratoire de Santé Publique (EA 3279), Faculté de Médecine Campus Timone, Aix-Marseille Université, Marseille, France.|Unité de Recherche Démographique (URD) Université de Lomé, Lomé, Togo.
authors.forename: Issifou
authors.initials: I
authors.lastname: Yaya
authors.affiliation: Division de l'épidémiologie, Ministère de la santé du Togo, Lomé, Togo.
authors.forename: Dadja Essoya
authors.initials: DE
authors.lastname: Landoh
authors.affiliation: Service de dermatologie et IST, CHU Sylvanus Olympio, Université de Lomé, Lomé, Togo.
authors.forename: Bayaki
authors.initials: B
authors.lastname: Saka
authors.affiliation: Unité de Recherche Démographique (URD) Université de Lomé, Lomé, Togo.
authors.forename: Kokou
authors.initials: K
authors.lastname: Vignikin
authors.affiliation: Service de gynéco-obstétrique, Centre Hospitalier Universitaire de Kara, Kara, Togo.
authors.forename: Abdoul-Samadou
authors.initials: AS
authors.lastname: Aboubakari
authors.affiliation: Laboratoire de Santé Publique (EA 3279), Faculté de Médecine Campus Timone, Aix-Marseille Université, Marseille, France.
authors.forename: Kouamé Mathias
authors.initials: KM
authors.lastname: N'dri
authors.affiliation: Unité de Recherche Démographique (URD) Université de Lomé, Lomé, Togo.
authors.forename: Kodjo Dodji
authors.initials: KD
authors.lastname: Gbetoglo
authors.affiliation: Unité de Recherche Démographique (URD) Université de Lomé, Lomé, Togo.
authors.forename: Atavi-Mensah
authors.initials: AM
authors.lastname: Edorh
authors.affiliation: Unité de Recherche Démographique (URD) Université de Lomé, Lomé, Togo.
authors.forename: Komla
authors.initials: K
authors.lastname: Ahlegnan
authors.affiliation: Unité de Recherche Démographique (URD) Université de Lomé, Lomé, Togo.
authors.forename: Holali Comlan
authors.initials: HC
authors.lastname: Yenkey
authors.affiliation: Unité de Recherche Démographique (URD) Université de Lomé, Lomé, Togo.
authors.forename: Ayawavi Sitsopé
authors.initials: AS
authors.lastname: Toudeka
authors.affiliation: Service de dermatologie et IST, CHU Sylvanus Olympio, Université de Lomé, Lomé, Togo.|Conseil National de Lutte contre les IST/VIH/Sida, Lomé, Togo.
authors.forename: Palokinam
authors.initials: P
authors.lastname: Pitché
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D017280:Condoms / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000517:prevention & control; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D018986:Motor Vehicles; D009790:Occupations; D012309:Risk-Taking; D021841:Safe Sex / Q000706:statistics & numerical data; D060386:Sex Workers; D012725:Sexual Behavior / Q000706:statistics & numerical data; D012747:Sexual Partners; D011795:Surveys and Questionnaires; D014037:Togo; D055815:Young Adult