Sexual and Drug Use Risk Behaviors of Long-Haul Truck Drivers and Their Commercial Sex Contacts in New Mexico

McCree, Donna Hubbard; Cosgrove, Shannon; Stratford, Dale; Valway, Sarah E.; Keller, Nick; Vega-Hernandez, Jaime; Jenison, Steven

doi:10.1177/003335491012500108

Cited by 31 publications

(31 citation statements)

References 24 publications

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“…7 Besides the risks inherent in the drugs themselves, the use of amphetamines and alcohol among truck drivers is related to the practice of unprotected sex, greater infection by sexually transmitted diseases (STD) and higher risk of depression. 4,8,13,19 Truck drivers are a group that has a low-level of schooling, but whose remuneration is higher than national average.…”

Section: Discussionmentioning

confidence: 99%

“…8 Working conditions put truck drivers in dangerous situations, for example accidents on highways and robberies, which make them be in constant vigilance. e Therefore, truck drivers' working conditions can be considered dangerous and stressful.…”

Section: Introductionmentioning

confidence: 99%

“…8 Truck drivers' vulnerability to the AIDS epidemic, in its individual, social and programmatic dimensions, has been discussed by national and international agencies and researchers.…”

Section: Introductionmentioning

confidence: 99%

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Manter-se acordado: a vulnerabilidade dos caminhoneiros no Rio Grande do Sul

et al. 2012

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OBJECTIVE:To analyze factors associated with the use of stimulants by truck drivers to stay awake. METHODS:A survey with 854 drivers was carried out at eight truck stops (seven gas stations and one border patrol post) located at fi ve cities in the State of Rio Grande do Sul (Southern Brazil) in 2006. The outcome "amphetamine use" was categorized as "yes" or "no". Poisson regression analysis with robust variance was conducted in order to select variables that would be included in the model, which was composed of variables regarding socioeconomic and demographic characteristics, information on profession and on alcohol consumption. RESULTS:Amphetamine was used by 12.4% of truck drivers in order to stay awake, either by itself or together with other substances (coffee, guaraná powder, energy drinks, snorted cocaine). Amphetamine was the most cited substance by those who consumed something to stay awake. Consumption of alcoholic drinks was mentioned by more than 70% of the interviewees. Among those who declared drinking alcohol, 45.1% reported drinking at least once a week. Once a week. Amphetamine use was associated with younger age, higher income, longer trips, and alcohol use. CONCLUSIONS:Truck drivers' higher income implies increased workloads, which can result in physical and emotional stress, with consequent use of stimulants, as a temporary solution. The reduction in abusive consumption of alcohol and in the use of illicit substance, like amphetamines, by truck drivers depends not only on policies addressing prevention and treatment for drug abuse, but also on integrated policies ensuring better working and health conditions.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Manter-se acordado: a vulnerabilidade dos caminhoneiros no Rio Grande do Sul

et al. 2012

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“…However, epidemiological data about substance abuse in developing countries are limited due to abscess of an effective, comprehensive, national screening programs and the absence of studies about the problem itself (Calafat et al, 2009). In Europe and North America, different populations (general mass, professional drivers, drivers involved in crashes) are being enrolled to the epidemiological studies on drugged driving (Impinen et al, 2009;McCree et al, 2010;Walsh et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

Incidence of Substance Abuse Among Cab-drivers Involved in Non Fatal Accidents

Aglan¹,

Adawi²

2016

Trends in Medical Research

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Road Traffic Injuries (RTIs) represent a major global health problem. Substance abuse is a major contributing factor for such injuries. The current study aimed to investigate the problem of substance misuse among cab-drivers involved in non-fatal accidents. This cross-sectional study carried out at Al-Azhar University Hospitals (Cairo, Al-Hussein and Bab El-Sharia Hospitals), during the period from August 2012 to August 2014. All cab-drivers who were admitted to the emergency department with non-fatal motor car trauma were asked to participate. We identified 80 eligible drivers, 20 of them refused to participate. Thus, the final included cases were 60 drivers. Positive cases were 32 with an incidence rate of 53.3%. All were males. Socio-demographic factors were documented and urine samples were drawn to screen for abused substances (e.g., opiate, methamphetamine, tetrahydrocannabinol, barbiturates, benzodiazepines and tramadol). The most common abused substance was cannabis (THC) (90.6%), then tramadol in 59.4%, barbiturates in 34.4%, opiates in 28.1%, benzodiazepines in 25% and finally methamphetamine in 21.9%. In addition, 90.6% abused two or more substances concomitantly and 9.4% had a single substance. This study highlighted the magnitude of substance abuse in cab-driver. The most common abused drug was cannabis and the least was methamphetamine. The majority of cases (90.6%) abused more than one substance.

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“…Within these regions, there is growing evidence that the high rates of HIV and STIs among truck drivers largely occur by sexual contact with HIV, and STIs-infected women, often commercial sex workers (CSW) along the major transportation routes; the infected men then transmit the virus to wives and other sex partners en route and in their place of origin (Pison et al, 1993;Gangakhedkar et al, 1997;Brockerhoff , M. and Biddlecom,1999;Wolffers et al, 2002;McCree et al, 2010). Consistent with this pattern, there is growing public health concern that long-distance truck drivers and other mobile, individuals may act as bridge populations who spread the infections from high to low-risk populations and regions and urban to rural areas (Decosas et al, 1995;Morris et al, 1996;Entz et al, 2000;Chandrasekaran et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

Human immunodeficiency virus, hepatitis B virus and syphilis infections among long-distance truck drivers in, a Port city in Ghana

Adjei

Atta

Krampa

et al. 2015

African Journal of Infectious Diseases

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Background: Although the high prevalence of human immunodeficiency virus (HIV), hepatitis B virus (HBV) and syphilis infections among longdistance truck drivers has been well documented globally, such data are sparse from Africa, and there has been no such data from Ghana. This study carried out between the months of January and June 2013 sought to determine the sero-prevalence and risk factors of HIV, HBV and syphilis infections among long distance truck drivers at the Tema sea port, Ghana. Materials and Methods: Of a total of 800 eligible drivers, 106 (13.25%) drivers consented to take part in the study. Subjects voluntarily completed a risk factor questionnaire and provided blood specimen for testing for HIV, syphilis and the surface antigen of HBV (HBsAg). Results:The mean age of the drivers was 40.56 ± 11.56 years. The sero-prevalence of HIV was 0.94%, 14.2% had HBsAg and reactive syphilis serology was 3.8%. On multivariate analysis, the main determinants of HBV infection were; multiple sexual partnership (OR, 6.36; 95% CI: 1.35-29.79), patronage of commercial sex workers (OR, 6.85; 95% CI: 0.88 -52.89), cross-border travelers (OR: 6.89-fold, 95% CI: 0.86 -55.55) and prolonged duration of trips for more than two weeks (OR: 4.76; 95% CI: 0.59 -38.02). The main determinant of syphilis infection on multivariate analysis was being a Muslim (OR, 2.19; 95% CI: 0.22 -21.74). Conclusion:The data indicate a lower sero-prevalence of HIV but a higher sero-prevalence of syphilis. However, the sero-prevalence of HBV infection is comparable to that of the general population.

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Sexual and Drug Use Risk Behaviors of Long-Haul Truck Drivers and Their Commercial Sex Contacts in New Mexico

Abstract: Additional studies are needed to further assess risk and inform the development of prevention interventions and methods to provide STI/HIV and other medical services to these populations.

Cited by 31 publications

References 24 publications

Manter-se acordado: a vulnerabilidade dos caminhoneiros no Rio Grande do Sul

Manter-se acordado: a vulnerabilidade dos caminhoneiros no Rio Grande do Sul

Incidence of Substance Abuse Among Cab-drivers Involved in Non Fatal Accidents

Human immunodeficiency virus, hepatitis B virus and syphilis infections among long-distance truck drivers in, a Port city in Ghana

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