Texas A&M University, 4243 TAMU, College Station, TX 77843, USA; Emory University School of Medicine, Atlanta, GA 30322, USA.
University of North Carolina at Greensboro, Greensboro, NC 27402, USA.
Health Place. 2015 Jul;34:9-18. doi: 10.1016/j.healthplace.2015.03.008. Epub 2015 Apr 7.
This article illustrates how urban inner-city trucking milieux may influence STI/BBI/HIV acquisition and transmission risks for U.S. long-haul truckers, as well as their social and risk relationships. Using mixed methods, we collected ethnoepidemiological and biological data from long-haul truck drivers and their risk contacts in inner-city trucking milieux in Atlanta, Georgia, United States. Key findings indicate that within the risk-endemic environment of distressed inner-city areas, diverse trucking risk milieux can amplify STI/BBI/HIV risk for multiplex networks of truckers. Inner-city neighborhood location, short geographic distance among risk contacts, and trucker concurrency can potentially exacerbate transmission via bridging higher-risk individuals with lower-risk populations at disparate geographic and epidemiological locations.
本文阐述了美国长途卡车司机的性传播感染/性传播疾病/艾滋病（STI/BBI/HIV）获得和传播风险，以及他们的社会和风险关系如何受到城市中心区卡车运输环境的影响。本研究采用混合方法，从美国佐治亚州亚特兰大市中心卡车运输环境中的长途卡车司机及其风险接触者那里收集了人种流行病学和生物学数据。主要发现表明，在贫困内城区这种风险流行的环境中，多样化的卡车运输风险环境可能会增加多网络卡车司机的性传播感染/性传播疾病/艾滋病风险。市中心区的位置、风险接触者之间的短地理距离，以及卡车司机的同时存在，可能会通过将高风险个体与不同地理和流行病学位置的低风险人群联系起来，从而加剧传播。
