Risk behaviour, sexually transmitted infections and HIV among long-distance truck drivers: a cross-sectional survey along national highways in India

Pandey, Arvind; Benara, Sudhir Kumar; Roy, Nandini; Sahu, Damodar; Thomas, Mariamma; Joshi, Dhirendra Kumar; Sengupta, Utpal; Paranjape, Ramesh; Bhalla, Aparajita; Prakash, Ajay

doi:10.1097/01.aids.0000343766.00573.15

Cited by 69 publications

(94 citation statements)

References 13 publications

(14 reference statements)

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“…[21,22,29,30] In this study, the sex trade along the highway was characterized by age-disparate rivalry and territorial boundaries. Territorial segregation was established to limit the intensity of competition.…”

Section: Discussionmentioning

confidence: 99%

“…[36,40] The necessity to practice safe sex is in time substituted by feelings of trust, which conjures the need for closeness, resulting in unprotected sex. [30,41] In this study some FSWs mentioned that they come across clients who refused to utilize free Choice condoms provided by the South African government at public health facilities, insisting on commercialized brands costly for FSWs to buy. [39] A study by Baker et al [42] explored custom-fitted male condoms as a sexual health intervention in Cape Town, and outlined concerns expressed by heterosexual males with regard to use of free government ( Choice ) condoms, possibly relevant to truck drivers in our study.…”

Section: Discussionmentioning

confidence: 99%

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Sexual transactions between long distance truck drivers and female sex workers in South Africa

Makhakhe

Lane

McIntyre

et al. 2017

Global Health Action

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Background: Female sex workers (FSWs) and long distance truck drivers (LDTDs) are considered key populations at high risk for HIV transmission due to high prevalence. The intersection of these mobile populations presents unique challenges in the fight against HIV and the movement towards reducing new infections. Objective: The purpose of this study was to explore the nature of sex trade along a particular transport route. Sexual transactions and the vulnerabilities that exist between these two groups with regards to HIV/AIDS are described, with the purpose of furthering the agenda for targeted interventions. Methods: Qualitative in-depth interviews were conducted with 14 participants, seven FSWs and seven LDTDs. We recruited FSWs through snowballing, and LDTDs through intercepts at truck stops. Semi-structured interview guides were used for data collection, and thematic analysis was conducted. Results: The sex trade in this study is characterized by competition, fuelled by money-driven and age-disparate rivalry. Despite widespread HIV knowledge, FSWs contend with persistent challenges regarding condom use negotiation, induced by more money in the exchange for unsafe sex. Despite the placement of wellness centres in truck stops along the highway, LDTDs face stigma related challenges with regards to testing for HIV and personal acknowledgement of their involvement in the sex trade. Conclusion: The nature of the sex trade along the highway continues to be risky despite the availability of HIV testing and antiretroviral treatment (ART). The sex trade is perceived to be increasing along trucking routes, in spite of measures instituted to limit access to FSWs. FSWs struggle to cope with the pressure of unprotected sex because of the need to generate more income, as well as avoid incidents of violence and threats. Interventions along transport routes need to be inclusive of FSWs who could play a vital role in stigma reduction amongst LDTDs through peer education.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Sexual transactions between long distance truck drivers and female sex workers in South Africa

Makhakhe

Lane

McIntyre

et al. 2017

Global Health Action

View full text Add to dashboard Cite

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“…Truck drivers play an important role in HIV/AIDS transmission in many countries (Pandey et al, 2008, Sunmola, 2005. Previous report in Bangladesh and India found HIV prevalence of 15.9% and 17.8% respectively among long distance drivers (Gibney et al, 2003, Manjunath et al, 2002.…”

Section: Hiv Infection Among Long Distance Truck Driversmentioning

confidence: 99%

Challenges Associated with the Effective Management of HIV Infection in a Low Income Setting in Sub Saharan Africa: Case Study of Nigeria

Erhabor¹,

Ejele²,

Nwauche³

et al. 2011

HIV-infection - Impact, Awareness and Social Implications of Living With HIV/AIDS

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“…Studies in other countries have shown that life conditions of truck drivers makes them come into contact with dangerous behavior such as having unhealthy sexual partners and drug abuse (14)(15)(16)(17).…”

Section: Introductionmentioning

confidence: 99%

Road Life Perspectives and Experiences among Iranian Truck Drivers: A Qualitative Study

Ranjbar¹,

Moonaghi²,

Heydari³

et al. 2016

Acta Facultatis Medicae Naissensis

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ACTA FACULTATIS MEDICAE NAISSENSISUDC: 616-057:656.1-051(55) SU M M A RYTruck drivers are one of the largest occupational groups in Iran. Evidence from previous studies suggests that working and living conditions on the road engender many concerns for truck drivers, and their families and communities. This research aimed to explore the experiences of Iranian truck drivers regarding life on the road. This qualitative study was conducted among Iranian truck drivers working in the inter-state transportation sector. A purposeful sample of 20 truck drivers took part in this research. Data were collected through semi-structured interviews and analyzed based on qualitative content analysis.After analysis of the data, three main themes emerged: "Individual impacts related to the hardships of life on the road life", "Family impacts related to the hardships of road life", and "Having positive attitude towards work and road". These findings represent the dimensions of perspectives in the road-life of truck drivers.Although truck drivers possess positive beliefs about their occupation and life on the road, they and their families face many hardships which should be well understood. They also need support to be better able to solve the road-life concerns they face. This study's findings are useful for occupational programming and in the promotion of health for truck drivers.

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Risk behaviour, sexually transmitted infections and HIV among long-distance truck drivers: a cross-sectional survey along national highways in India

Cited by 69 publications

References 13 publications

Sexual transactions between long distance truck drivers and female sex workers in South Africa

Sexual transactions between long distance truck drivers and female sex workers in South Africa

Challenges Associated with the Effective Management of HIV Infection in a Low Income Setting in Sub Saharan Africa: Case Study of Nigeria

Road Life Perspectives and Experiences among Iranian Truck Drivers: A Qualitative Study

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