Utilization of HIV and Sexually Transmitted Infections Prevention Services, and Associated Factors among the Long-Distance Truck Drivers along the Northern Corridor Highway, Kenya

Mutie, Cyrus; Kairu-Wanyoike, Salome; Mambo, Susan; Ngoge, Reagan; Gachohi, John

doi:10.4236/asm.2021.113003

Cited by 5 publications

(6 citation statements)

References 25 publications

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“…Public awareness and research efforts are more focused on women because the burden of the disease sequelae due to pregnancy complications, etc. is considered a female issue despite the sexual transmissibility [7] [8]. In spite of this, men are equally at risk for STIs and should be treated equally with women [7].…”

Section: Introductionmentioning

confidence: 99%

Seroprevalence Survey of HIV and Hepatitis B Virus and Behavioral Characteristics among Heavy Truck Drivers along Port Sudan-Khartoum Highways

Osman,

Mattar,

Hamid

2024

OJMM

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The prevalence of human immunodeficiency virus (AIDS) and hepatitis B virus among heavy truck drivers and their assistants has been well documented globally in correlation with their behavioral characteristics. The present study aimed to screen for human immunodeficiency virus (HIV), hepatitis B virus (HBV), and behavioral characteristics among heavy truck drivers in Port Sudan. A cross-sectional study was conducted on 274 heavy truck drivers and their assistants who used the highway Port Sudan-Khartoum in Port Sudan city during 2019-2021. Data on behavioral characteristics and substance use habits were collected using a structured questionnaire, and an ELISA test was used to screen for HIV and HBV infections in the study participants. The chi-square test, odds ratio, and confidence intervals were used to find the association between behavioral characteristics and seropositive HIV/HBV. Of the 274 enrolled participants, the seroprevalence rates of HIV were 2.7% and HBV was 23.7%. Ninety-four (34.3%) of them had a history of high-risk sexual behavior outside of marriage; only two (0.7%) used condoms; 14.2% of participants reported alcohol use; and 1.1% reported drug use. Univariate analysis revealed that having a sex history outside of marriage with ≥1 sex partner and never using a condom with a spouse or casual partner were significant risk factors for HIV and HBV among drivers. Fortunately, we found that most of the drivers reported low alcohol and drug use. Concerning this study, the seroprevalence of HIV and HBV is highly associated with a history of having sex outside of marriage and sexual behavior among truck drivers and assistances.

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Section: Introductionmentioning

confidence: 99%

Seroprevalence Survey of HIV and Hepatitis B Virus and Behavioral Characteristics among Heavy Truck Drivers along Port Sudan-Khartoum Highways

Osman,

Mattar,

Hamid

2024

OJMM

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Section: Introductionmentioning

confidence: 99%

“…Additionally, mental exhaustion and psychosocial problems due to long working hours while in transit have been implicated as predictors of risky sexual behaviours likely to elevate the burden of HIV among LDTDs [22][23][24][25]. Moreover, LDTDs' varying eligibility for HIV preventive services across different geographic borders [26], constant mobility [27,28], and missed clinic appointments [21,24,29] limit their access to essential preventive services, further predisposing them to the risk of HIV.…”

Section: Introductionmentioning

confidence: 99%

“…Indeed, according to UNAIDS, FSWs were thirty times more likely to contract HIV in 2021, positioning their sexual clients like LDTDs at a high-risk profile of contracting and spreading the infection [20]. The LDTDs’ stopovers often lack proper HIV prevention measures, such as access to condoms, information, and HIV testing services, further exacerbating the risk of transmission [21]. Additionally, mental exhaustion and psychosocial problems due to long working hours while in transit have been implicated as predictors of risky sexual behaviours likely to elevate the burden of HIV among LDTDs [22–25].…”

Section: Introductionmentioning

confidence: 99%

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The global burden of HIV among Long-distance truck drivers: A systematic review and meta-analysis

Mutie,

Otieno,

Mwangi

et al. 2023

Preprint

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Long-distance truck drivers (LDTDs) endure a disproportionately high burden of HIV in various global settings. However, unlike other most at-risk populations, the global burden of HIV among LDTDs has not been documented so far. The result has been poor allocation and distribution of the limited HIV preventive resources for LDTDs in most parts of the world. Thus, a systematic review and meta-analysis were conducted to assess the global burden of HIV among LDTDs. A comprehensive electronic search was conducted in PubMed, ProQuest Central, PubMed Central, CINAHL, and Global Index Medicus to identify relevant information published in English on HIV prevalence among LDTDs from 1989 to the 16thof May 2023. A random-effects meta-analysis was conducted to establish the burden of HIV at global and regional levels. The Joanna Briggs Institute (JBI) and Newcastle-Ottawa Scale (NOS) tools were used to assess the quality of the included studies.Of the 1787 articles identified, 43 were included. Most of the included studies were conducted in sub-Saharan Africa (44.19%, n=19), and Asia and the Pacific (37.21%, n=16). The pooled prevalence of HIV was 3.82%. The burden of HIV was highest in sub-Saharan Africa at 14.34%, followed by Asia and the Pacific at 2.14%, and lastly Western, Central Europe and North America at 0.17%. The overall heterogeneity score was (I2= 98.2%, p < 0.001).The global burden of HIV among LDTDs is 3.82%, six times higher than that of the general population globally. Compared to other regions, the burden of HIV is highest in sub-Saharan Africa at 14.34%, where it’s estimated to be 3% in the general population. Thus, LDTDs endure a disproportionately high burden of HIV compared to other populations. Consequently, more LDTD-centred HIV research and surveillance is needed at national and regional levels to institute tailored preventive policies and interventions.PROSPERO NumberCRD42023429390

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“…This was part of a larger study whose aim was to establish sexual network mapping and utilisation of HIV/STI-preventive services. 19 , 20 Here, this study sought to identify the distribution patterns of the sexual network locations among LDTDs operating along the Northern Corridor highway in its Kenya segment. The purpose is to help health policymakers strengthen existing policies focused on curbing HIV and STIs among LDTDs and the general population.…”

Section: Introductionmentioning

confidence: 99%

Spatial distribution of sexual network locations used by long-distance truck drivers along the Northern Corridor highway, Kenya

Mutie

Kairu-Wanyoike

Mambo

et al. 2023

International Health

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Background In Kenya, long-distance truck drivers (LDTDs) using the Northern Corridor highway have a high prevalence of HIV and other sexually transmitted infections (STIs) due to their risky sexual networks. However, the spatial distribution of the sexual network locations used by LDTDs is not well understood. Consequently, healthcare stakeholders have found it difficult to provide spatially targeted HIV/STI interventions among LDTDs. Thus, the study sought to establish the spatial distribution of sexual network locations used by LDTDs along the Northern Corridor highway, to inform efficient distribution and use of limited HIV/STI-prevention resources. Methods A cross-sectional study design was used. The study adopted a systematic sampling technique. 296 LDTDs were interviewed using interviewer-administered questionnaires at the Mlolongo weighbridge in Kenya. The LDTDs listed their history of sexual interactions and highway stopovers used during the week preceding data collection. Geospatial modelling techniques, using R statistical software packages for spatial mapping, were employed. Shapefiles were created and overlaid over a map of Kenya using R statistical software to create maps of sexual networks. Results Forty-two highway stopovers used by LDTDs were spatially distributed along the highway, from the Kenya coast to the Kenya–Uganda border. In general, LDTDs’ sexual network hotspots were restricted to the outskirts of major cities along the Northern Corridor highway (Nairobi, Mombasa and Nakuru) as well as the Kenya–Uganda international border. Conclusions On the Northern Corridor highway, stopovers situated proximal to major urban areas, as well as those at international border points, frequently serve as sexual network hotspots among LDTDs and their sexual partners. Thus, healthcare stakeholders should improve access to HIV/STI-prevention services targeted for LDTDs at the sexual network hotspots identified in this study.

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Utilization of HIV and Sexually Transmitted Infections Prevention Services, and Associated Factors among the Long-Distance Truck Drivers along the Northern Corridor Highway, Kenya

Cited by 5 publications

References 25 publications

Seroprevalence Survey of HIV and Hepatitis B Virus and Behavioral Characteristics among Heavy Truck Drivers along Port Sudan-Khartoum Highways

Seroprevalence Survey of HIV and Hepatitis B Virus and Behavioral Characteristics among Heavy Truck Drivers along Port Sudan-Khartoum Highways

The global burden of HIV among Long-distance truck drivers: A systematic review and meta-analysis

Spatial distribution of sexual network locations used by long-distance truck drivers along the Northern Corridor highway, Kenya

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