Prevalence of HIV-1 in east African lorry drivers

Carswell, John; Lloyd, Graham; Howells, J.G.

doi:10.1097/00002030-198911000-00013

Cited by 101 publications

(49 citation statements)

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“…Some sub-groups of the population, such as female sex workers and long distance drivers, have been shown to be particularly at increased risk of exposure to HIV. [6][7][8] A study in which the knowledge and attitudes of long distance truck drivers concerning sexually transmitted diseases (STD) and sexual behaviour were surveyed revealed that 317 (99%) of the subjects had heard of AIDS and were aware of the correct risk-reducing behaviour. Though they knew that the use of condoms can prevent the transmission/acquisition of STDs, only 32% had ever used condoms despite the fact that 61% admitted to visiting prostitutes.…”

Section: Introductionmentioning

confidence: 99%

Sexual Behaviour, HIV-Related Knowledge and Condom Use by Intra-City Commercial Bus Drivers and Motor Park Attendants in Lagos, Nigeria

Ekanem

Afolabi

Nuga³

et al. 2005

African Journal of Reproductive Health

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A study was undertaken among 395 intra-city commercial bus drivers, conductors and motor park attendants in a sub-urban community in Lagos, Nigeria. It was aimed at ascertaining the level of knowledge of the participants on sexually transmitted diseases including AIDS, their sexual practices and perceived vulnerability to these diseases and, in particular, their attitude to and use of condoms. A semi-structured interview schedule was used for data collection. The men were found to have a strongly woven network of sexual relationships. Their sexual network included, apart from their wives and regular partners, commercial sex workers, young female hawkers, schoolgirls, and market women within and outside the motor parks. More than two thirds (74.3%) of the men had multiple sex partners and many of them had had sexually transmitted diseases at one time or another. Condom ever-use rate was 65.6% but consistent and regular use rate with casual partners was 11.6%. Almost all the respondents (96.4%) knew themselves to be at high risk of contracting STDs, while 87.6% felt that it was impossible for them to "catch" AIDS. Poor knowledge of risk factors for STDs was exhibited, as many of them attributed their previous STDs to excessive exposure to the sun, having sex in the sun, and their partners remaining in the bath for too long. Intra-city commercial bus operators and men at motor parks are a high risk group for acquiring HIV infection. Their sexual networking with a variety of women within and outside the parks also seems to suggest that they play a major role in transmitting HIV infection in urban communities in Nigeria. There is a need for intervention programmes with a focus on men at motor parks and similar high risk groups.

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Section: Introductionmentioning

confidence: 99%

Sexual Behaviour, HIV-Related Knowledge and Condom Use by Intra-City Commercial Bus Drivers and Motor Park Attendants in Lagos, Nigeria

Ekanem

Afolabi

Nuga³

et al. 2005

African Journal of Reproductive Health

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“…Women working at truck stops are typically at the upper end of the scale for risk of HIV infection. 6 Efforts to educate them as to HIV protective strategies have been impeded by frequent police harassment, which has made them a "hard-to-reach" group.…”

Section: Introductionmentioning

confidence: 99%

Reducing the risk of HIV infection among South African sex workers: socioeconomic and gender barriers.

Karim

Karim²,

Soldan³

et al. 1995

Am J Public Health

162

126

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OBJECTIVES. The social context within which women engaged in sex work at a popular truck stop in South Africa are placed at risk of human immunodeficiency virus (HIV) infection and the factors that influence their ability to reduce their risk were assessed. METHODS. Using qualitative and quantitative techniques, an elected sex worker from within the group collected all data. RESULTS. Given the various pressing needs for basic survival, the risk of HIV infection is viewed as one more burden imposed on these women by their lack of social, legal, and economic power. Violence, or the threat thereof, plays an important role in their disempowerment. In the few instances in which sex workers were able to insist on condom use, it resulted in a decrease in earnings, loss of clients, and physical abuse. CONCLUSIONS. Recommendations to reduce the sex workers' risk for HIV infection include negotiation and communication skills to enable them to persuade their clients to use condoms; development of strategies through which they can maximally use their group strength to facilitate unified action; and accessibility of protective methods they can use and control, such as intravaginal microbicides.

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“…Analogously, a study in India measured a higher prevalence of dengue vectors along major highways than elsewhere (8). Studies in Uganda suggest that the main road linking Kenya to Kampala has higher proportions of HIV-positive women working in bars and HIVpositive truck drivers than does the surrounding area (9). In general, transportation changes mobility and circulation of humans, which can affect the incidence of sexually transmitted diseases (10), as well as health-care-seeking behavior (11,12).…”

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confidence: 99%

Environmental change and infectious disease: How new roads affect the transmission of diarrheal pathogens in rural Ecuador

Eisenberg

Cevallos

Ponce

et al. 2006

Proc. Natl. Acad. Sci. U.S.A.

122

138

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Prevalence of HIV-1 in east African lorry drivers

Cited by 101 publications

References 0 publications

Sexual Behaviour, HIV-Related Knowledge and Condom Use by Intra-City Commercial Bus Drivers and Motor Park Attendants in Lagos, Nigeria

Sexual Behaviour, HIV-Related Knowledge and Condom Use by Intra-City Commercial Bus Drivers and Motor Park Attendants in Lagos, Nigeria

Reducing the risk of HIV infection among South African sex workers: socioeconomic and gender barriers.

Environmental change and infectious disease: How new roads affect the transmission of diarrheal pathogens in rural Ecuador

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