Human immunodeficiency virus, hepatitis B, C and D in Bangladesh's trucking industry: prevalence and risk factors

Gibney, Laura; Saquib, Nazmus; Metzger, Jesse; Choudhury, P; Ma, Stefan; Hassan, Fikrat M.

doi:10.1093/ije/30.4.878

Cited by 40 publications

(32 citation statements)

References 12 publications

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“…11,12 According to the 2003 national HIV and syphilis surveillance, HIV circulates at low levels among most of the high-risk groups but is highest among injecting drug users (4%) in central Bangladesh. 13 Studies conducted among truck drivers and helpers in Bangladesh revealed a high prevalence of sexual risk behaviors and certain STIs; 54% of the 388 truckers in the Tejgaon truck stand, one of the largest truck stands in Bangladesh, had sexual encounters with a commercial sex worker (CSW) in the past year, whereas 50% of the married males in the sample had sex with both a CSW and their wife during the same period.…”

mentioning

confidence: 99%

Sexually Transmitted Infections and Risk Factors Among Truck Stand Workers in Dhaka, Bangladesh

Alam

Rahman²,

Gausia

et al. 2007

Sexually Transmitted Diseases

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Objective-This study was conducted to determine the prevalence of selected sexually transmitted infections (STIs) and their risk factors among workers in and near a truck stand in Dhaka, Bangladesh.Study Design-A random sample of 696 men and 206 women were recruited into a cross-sectional study using a census that enumerated transport agents, motor mechanics, laborers, and vendors in Tejgaon truck stand.Results-The prevalence rates of syphilis (rapid plasma reagin and Treponema pallidum hemagglutination), gonorrhea (polymerase chain reaction [PCR]), and chlamydial infections (PCR) among men were 4.1%, 7.7%, and 2.3%, respectively, and among women were 2.9%, 8.3%, and 5.2%. Multivariable analysis revealed that having ≥2 sex partners in the last month, never using a condom with sex workers, and ever injecting narcotics were significant predictors of STI among men. Being never married, working as a laborer, older age, and living within the truck stand were significant predictors of practicing high-risk behaviors among men, but none predicted infection with STIs.Conclusions-Both behavioral and STI data suggest that truck stand workers should be included in the STI/HIV intervention programs.Long distance truckers and their helpers are considered at especially high risk for contracting sexually transmitted infections (STIs). 1,2 Their role as a bridge population between high-risk persons and the general population for transmitting STI/HIV has long been recognized. [3][4][5][6][7][8] Men and women working in a truck stand as transport agents or other occupations and living in, or in close proximity of, truck stands may be at higher risk for STI/HIV because of possible sexual mixing among truck drivers, sex workers, and those persons working/living in truck stand setting. 3,9,10 Copyright © 2007, American Sexually Transmitted Diseases Association All rights reserved. Materials and Methods Study Design, Site, and PopulationWe conducted a cross-sectional study among adult men aged 15 to 55 years and women aged 15 to 49 years working in the Tejgaon truck stand of Dhaka, the capital city of Bangladesh. The target population included individuals working as transport agents, motor mechanics, laborers, and small vendors in the truck stop for more than 3 months before the time of the study, but excluded truck drivers and their helpers. We identified 1649 men and 423 women working in the truck stand through a 2000 census in this community. A random sample of 839 men and 236 women was selected using probability sampling. Approval of the study was obtained from the ICDDR,B: Centre for Health and Population Research, Bangladesh ethical review committee. Data CollectionStudy interviewers visited the workplaces and/or residences of all selected subjects and invited them to our clinics to participate. Written informed consent was obtained from each enrolled subject. Sociodemographic and behavioral information were collected by same-sex interviewers using semistructured questionnaires. Trained physicians examined the participa...

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confidence: 99%

Sexually Transmitted Infections and Risk Factors Among Truck Stand Workers in Dhaka, Bangladesh

Alam

Rahman²,

Gausia

et al. 2007

Sexually Transmitted Diseases

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“…In this study, 318 (82.8%) of the participants were married whereas 194 (50.5%) were female and 124 (32.3%) were male. In regards to the occupation of the respondents, majority were housewives 108 (28 [16][17][18][19][20][21] .The higher rates among our study population could be attributed to the general lack of proper health care because of deprived socio-economic status (monthly household income of US $ 50) and less public health awareness about the transmission of Hepatitis B Virus infection as well as the lack of hepatitis B vaccination in the community.…”

Section: Resultsmentioning

confidence: 99%

Prevalence of anti-HBc total positivity in an impoverished Urban Community in Banglades

Ghosh

Nath

et al. 2018

Bangladesh Med Res Counc Bull

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The infection with the Hepatitis B virus (HBV) is a global health problem. Hepatitis B virus (HBV) infections are rapidly spreading in developing countries due to the lack of health education, poverty, illiteracy and Hepatitis B vaccination. No widespread population based data of HBV is available in the country. So, a population-based serological survey was done to determine the prevalence of the Hepatitis B core antibody total (IgM+IgG) in an impoverished Urban Community in Dhaka, Bangladesh. A descriptive cross sectional study was conducted among 384 healthy individuals and age between 18-60 years from the urban slum in Dhaka city. The study was implemented through collaboration with Shaheed Suhrawardy Medical College, Dhaka from January 2013 to June 2013. The study participants were selected through systematic sampling procedure and blood samples tested for anti-HBc. Anti-HBc estimations were carried out by VITROS Immune diagnostic assay. The study was obtained ethical permission from Bangladesh Medical Research Council (BMRC) and every participant was informed regarding the study, and written informed consent was taken. Among the 384 respondents, 183(47.6%) individuals were positive for the core antibody of hepatitis B virus (anti-HBc). The anti HBc positive group consisted almost of equal number of male 93, (24.2%) and female 90 (23.4%). There was a significantly increasing prevalence of the core antibody among young adults and middle age of the respondents (28.7%). Major risk factors for exposure to Hepatitis B appeared to be ear-nose-body piercing, Circumcision by Hajam, unsafe blood transfusion and unsterile dental intervention. High prevalence of hepatitis B core antibody (47.6%) indicates that the members of this urban community are highly exposed to hepatitis B virus.

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“…5 The prevalence also corresponds to reports among highrisk group: 8.0% among drug addicts, 8 5.9% among truck drivers and helpers. 28 Lack of proper health care, lower socioeconomic status, less public awareness about the HBV transmission and lack of vaccination are proposed reason for high prevalence of HBV. High prevalence also reported in other high risk groups of Dhaka: 7.6% among women at a sexually transmitted disease (STD) clinic 9 , 8% among intravenous drug users (IDUs) 8 , 8.6% among surgically operated patients, 6 9.7% among commercial sex workers(CSWs), 7 19% among hepatitis patients 29 ; and 47% among hepatocellular carcinoma.…”

Section: Resultmentioning

confidence: 99%

Hepatitis B Virus, Hepatitis C Virus Markers and Serum Alanine Amino-Transferase (ALT) Levels, in a Young Adult Population of Sylhet District

Perveen¹,

Saha

Dhar

et al. 2017

J. Bangladesh Coll. Phys.

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Human immunodeficiency virus, hepatitis B, C and D in Bangladesh's trucking industry: prevalence and risk factors

Cited by 40 publications

References 12 publications

Sexually Transmitted Infections and Risk Factors Among Truck Stand Workers in Dhaka, Bangladesh

Sexually Transmitted Infections and Risk Factors Among Truck Stand Workers in Dhaka, Bangladesh

Prevalence of anti-HBc total positivity in an impoverished Urban Community in Banglades

Hepatitis B Virus, Hepatitis C Virus Markers and Serum Alanine Amino-Transferase (ALT) Levels, in a Young Adult Population of Sylhet District

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