Prevalence of HIV and Associated Risk Factors Among Long Distance Truck Drivers in Inchope, Mozambique, 2012

Botão, Carlos; Horth, Roberta; Frank, Heidi; Cummings, Beverley; Inguane, Celso; Sathane, Isabel; McFarland, Willi; Raymond, H. Fisher; Young, Peter W.

doi:10.1007/s10461-015-1194-8

Cited by 38 publications

(48 citation statements)

References 28 publications

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“…However, HIV care and treatment in cross‐border areas face many challenges not encountered to the same extent in other areas, including an influx of mobile and transient populations, patients lost to follow‐up across international borders, and patients presenting for treatment away from their home countries, which may use different treatment regimens . Taken together, these challenges imply that people with HIV who live, socialize and travel in cross‐border areas may not be optimally served by existing HIV care and treatment programmes predominantly administered through a country‐focused lens.…”

Section: Introductionmentioning

confidence: 99%

The HIV care continuum among resident and non‐resident populations found in venues in East Africa cross‐border areas

Edwards

Arimi²,

Ssengooba

et al. 2019

J Intern AIDS Soc

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IntroductionHIV care and treatment in cross‐border areas in East Africa face challenges perhaps not seen to the same extent in other geographic areas, particularly for mobile and migrant populations. Here, we estimate the proportion of people with HIV found in these cross‐border areas in each stage of the HIV care and treatment cascade, including the proportion who knows their status, the proportion on treatment and the proportion virally suppressed.MethodsParticipants (n = 11,410) working or socializing in public places in selected East Africa cross border areas were recruited between June 2016 and February 2017 using the Priorities for Local AIDS Control Efforts method and administered a behavioural survey and rapid HIV test. This approach was designed to recruit a stratified random sample of people found in public spaces or venues in each cross border area. For participants testing positive for HIV, viral load was measured from dried blood spots. The proportion in each step of the cascade was estimated using inverse probability weights to account for the sampling design and informative HIV test refusals. Estimates are reported separately for residents of the cross border areas and non‐residents found in those areas.ResultsOverall, 43% of participants with HIV found in cross‐border areas knew their status, 87% of those participants were on antiretroviral therapy (ART), and 80% of participants on ART were virally suppressed. About 20% of people with HIV found in cross border areas were sampled outside their subdistrict or subcounty of residence. While both resident and non‐resident individuals who knew their status were likely to be on ART (85% and 96% respectively), people on ART recruited outside their area of residence were less likely to be suppressed (64% suppressed; 95% CI: 43, 81) compared to residents (84% suppressed; 95% CI: 75, 93).ConclusionsPeople living in or travelling through cross‐border areas may face barriers in learning their HIV status. Moreover, while non‐residents were more likely to be on treatment than residents, they were less likely to be suppressed, suggesting gaps in continuity of care for people in East Africa travelling outside their area of residence despite timely initiation of treatment.

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Section: Introductionmentioning

confidence: 99%

The HIV care continuum among resident and non‐resident populations found in venues in East Africa cross‐border areas

Edwards

Arimi²,

Ssengooba

et al. 2019

J Intern AIDS Soc

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“…More recent studies among truck drivers in Africa have also found high HIV prevalence, including 23% among long-distance truck drivers in Nigeria (Azuonwu et al 2011), 15.4% among truck drivers in Mozambique (Botão et al 2016) and 26% among truck drivers in South Africa (Delany-Moretlwe et al 2014. Because truck drivers often cross international borders for their work (Mills et al 2012;North Star Alliance 2012;Mantell et al 2014), high HIV prevalence among female sex workers and their truck driver clients in one country can lead to HIV transmission to truck drivers from other regions or countries, and to their wives and partners at home.…”

Section: Introductionmentioning

confidence: 95%

Evaluating oral HIV self-testing to increase HIV testing uptake among truck drivers in Kenya

Kelvin¹,

Mwai²,

Romo³

et al. 2017

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The International Initiative for Impact Evaluation (3ie) is an international grant-making non-governmental organization promoting evidence-informed development policies and programs. We are the global leader in funding, producing and synthesizing high-quality evidence of what works, for whom, why and at what cost. We believe that high-quality and policy-relevant evidence will help make development more effective and improve people's lives. 3ie impact evaluations3ie-supported impact evaluations assess the difference a development intervention has made to social and economic outcomes. 3ie is committed to funding rigorous evaluations that include a theory-based design, and use the most appropriate mix of methods to capture outcomes that are useful in complex developmental contexts.

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“…Nesse sentido, a população de caminhoneiros tem sido apontada em diferentes regiões do mundo como uma população com maior risco de adquirir o HIV, devido a algumas características laborais peculiares, como a mobilidade por rotas de longa distância e não permanência em suas cidades de origem 3 , principalmente em regiões do continente africano [9][10][11][12] e asiático [13][14][15][16] .…”

Section: Introductionunclassified

“…Estudos brasileiros também têm se atentado para esta dinâmica peculiar, e apontam para fatores e questões relacionadas à vulnerabilidade de caminhoneiros ao HIV/aids [17][18][19][20][21][22] . Comumen-te, os caminhoneiros são descritos na literatura como indivíduos que se relacionam com parceiras eventuais durante as viagens de longa distância 9,15,17,18,22 . Estudos também têm apontado para existência de fatores, significados e concepções que apoiam a não utilização do preservativo nas relações sexuais desses sujeitos com suas parceiras 12,15,16,22 .…”

Section: Introductionunclassified

Estudos qualitativos sobre caminhoneiros e HIV/aids: contribuições para análise de vulnerabilidade

Magno

2019

Ciênc. saúde coletiva

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Resumo O artigo pretende identificar e analisar criticamente, com base no quadro analítico do conceito de vulnerabilidade, estudos qualitativos sobre a vulnerabilidade de caminhoneiros ao HIV. Os critérios de inclusão foram: abordar a temática da susceptibilidade dos caminhoneiros ao HIV/AIDS e empregar a abordagem qualitativa. Foram encontrados 445 resumos, dentre os quais 17 artigos foram incluídos na análise e categorizados em “estudos socioculturais”, “estudos avaliativos” e “estudos de comportamentos de risco”. A análise foi balizada por reflexões realizadas a partir do conceito de vulnerabilidade em saúde. O estudo critica a predominância de estudos qualitativos de cunho comportamentalista, com ênfase na identificação de comportamentos de risco, e de concepções e representações sobre HIV/AIDS. Além disso, aponta para estudos de matriz sociocultural e avaliativos que transpassam a barreira dos comportamentos individuais, ampliando o escopo de análise, ao compreender os fenômenos estruturais e interações dos sujeitos frente à epidemia, aproximando-se do conceito de vulnerabilidade. A revisão aponta para a necessidade de estudos que levem em consideração o conceito de vulnerabilidade, contextualizando os comportamentos às dimensões socioestruturais envolvidas na epidemia de aids.

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Prevalence of HIV and Associated Risk Factors Among Long Distance Truck Drivers in Inchope, Mozambique, 2012

Cited by 38 publications

References 28 publications

The HIV care continuum among resident and non‐resident populations found in venues in East Africa cross‐border areas

The HIV care continuum among resident and non‐resident populations found in venues in East Africa cross‐border areas

Evaluating oral HIV self-testing to increase HIV testing uptake among truck drivers in Kenya

Estudos qualitativos sobre caminhoneiros e HIV/aids: contribuições para análise de vulnerabilidade

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