Pandey Arvind, Benara Sudhir Kumar, Roy Nandini, Sahu Damodar, Thomas Mariamma, Joshi Dhirendra Kumar, Sengupta Utpal, Paranjape Ramesh S, Bhalla Aparajita, Prakash Ajay
National Institute of Medical Statistics, Indian Council of Medical Research, Ansari Nagar, New Delhi, India.
AIDS. 2008 Dec;22 Suppl 5:S81-90. doi: 10.1097/01.aids.0000343766.00573.15.
To report HIV and sexually transmitted infection (STI) prevalence and sexual behaviour of long-distance truckers on four national highway routes from a large, cross-sectional, national-level trucker survey in India.
Seven trans-shipment locations covering the bulk of India's transport volume along four routes, north-west (NW), north-south (NS), north-east (NE) and south-east (SE) were identified as survey sites. A total of 2066 long-distance truckers were selected using a two-stage, time-location cluster sampling approach and, after consent, interviewed about their sexual behaviour. Urine and blood sample were tested for selected STIs.
Overall, HIV prevalence among truckers was found to be 4.6%, with prevalence highest on the SE route (6.8%) and lowest on the NS (2.4%). Positive HSV-2 serology, which was tested in a 10% subsample, was low along three routes, 10.0%, 12.8% and 6.7% for the NE, NS and NW, respectively, but 38.7% in the SE. The truckers from the SE were found to be more likely to have sex with paid partners than the NE route. Moreover, truckers who owned their trucks were more likely than those who did not use condoms consistently with paid partners, and truckers who drive trucks owned by their relatives/friends are more likely than others to have any STI.
Low self-risk perception for HIV (9.9%), low consistent condom use with non-paid partners (18.6%) and wives (3%), low reported exposure to any interventions (25.6%) and low levels of ever having taken an HIV test (16.5%) make truckers an important bridge population requiring strengthened interventions.
通过一项大规模、横断面、国家级的印度卡车司机调查，报告四条国道上长途卡车司机的艾滋病毒和性传播感染（STI）患病率以及性行为情况。
确定了七个转运地点作为调查地点，这些地点覆盖了印度四条路线（西北（NW）、南北（NS）、东北（NE）和东南（SE））的大部分运输量。采用两阶段、时间地点整群抽样方法共选取了2066名长途卡车司机，在获得同意后，询问他们的性行为情况。对尿液和血液样本进行选定的性传播感染检测。
总体而言，发现卡车司机中的艾滋病毒患病率为4.6%，东南路线患病率最高（6.8%），南北路线最低（2.4%）。在10%的子样本中进行检测的单纯疱疹病毒2型（HSV-2）血清学阳性率，在三条路线上较低，东北、南北和西北路线分别为10.0%、12.8%和6.7%，但东南路线为38.7%。发现东南路线的卡车司机与付费性伴发生性行为的可能性高于东北路线。此外，拥有自己卡车的卡车司机比没有自己卡车的司机更有可能在与付费性伴发生性行为时不坚持使用避孕套，驾驶亲戚/朋友拥有卡车的卡车司机比其他人更有可能感染任何性传播感染。
对艾滋病毒的自我风险认知较低（9.9%）、与非付费性伴（18.6%）和妻子（3%）坚持使用避孕套的比例较低、报告接受任何干预措施的比例较低（25.6%）以及接受艾滋病毒检测的比例较低（通过一项大规模、横断面、国家级的印度卡车司机调查，报告四条国道上长途卡车司机的艾滋病毒和性传播感染（STI）患病率以及性行为情况。
确定了七个转运地点作为调查地点，这些地点覆盖了印度四条路线（西北（NW）、南北（NS）、东北（NE）和东南（SE））的大部分运输量。采用两阶段、时间地点整群抽样方法共选取了2066名长途卡车司机，在获得同意后，询问他们的性行为情况。对尿液和血液样本进行选定的性传播感染检测。
总体而言，发现卡车司机中的艾滋病毒患病率为4.6%，东南路线患病率最高（6.8%），南北路线最低（2.4%）。在10%的子样本中进行检测的单纯疱疹病毒2型（HSV-2）血清学阳性率，在三条路线上较低，东北、南北和西北路线分别为10.0%、12.8%和6.7%，但东南路线为38.7%。发现东南路线的卡车司机与付费性伴发生性行为的可能性高于东北路线。此外，拥有自己卡车的卡车司机比没有自己卡车的司机更有可能在与付费性伴发生性行为时不坚持使用避孕套，驾驶亲戚/朋友拥有卡车的卡车司机比其他人更有可能感染任何性传播感染。
对艾滋病毒的自我风险认知较低（9.9%）、与非付费性伴（18.6%）和妻子（3%）坚持使用避孕套的比例较低、报告接受任何干预措施的比例较低（25.6%）以及接受艾滋病毒检测的比例较低（16.5%），这使得卡车司机成为需要加强干预的重要桥梁人群。 16.5%），这使得卡车司机成为需要加强干预的重要桥梁人群。
