García Patricía J, Fazio Boris, Bayer Angela M, Lizarraga Aldo G, Chiappe Marina, La Rosa Sayda, Lazo Marcela, López Lorena, Valderrama María, Cárcamo César P
School of Public Health and Administration, Universidad Peruana Cayetano Heredia, Lima, Peru.
Division of Infectious Diseases, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.
SAGE Open Med. 2017 Dec 12;5:2050312117746308. doi: 10.1177/2050312117746308. eCollection 2017.
HIV and other sexually transmitted infections remain a challenge globally and many key groups have yet to be studied. Evidence shows that truck drivers may have high-risk behaviors and higher sexually transmitted infection/HIV prevalence because they are a highly mobile population. However, there is little to no information on this group in Peru. Therefore, we explored the sexual health knowledge and practices and carried out sexually transmitted infection/HIV testing among male truck drivers and their assistants in Peru.
We conducted a cross-sectional study utilizing cell phone-based behavioral surveys and sexually transmitted infection testing, including HIV, syphilis, gonorrhea, and chlamydia, with truck drivers and their assistants who were traveling on two major international highways in Peru.
A total of 1150 truck drivers and assistants participated. Participants were middle-aged men (average age = 39.8 years), 96.0% had complete secondary education, 78.4% were in stable relationships, and 88.7% earned more than minimum wage. The majority were aware of sexually transmitted infections/HIV, but very few recognized sexually transmitted infection symptoms. Few participants (under 5%) reported recent sexually transmitted infection symptoms. Prevalence of sexually transmitted infections was also low: no one had gonorrhea; 0.1% had HIV; 0.4% had recent syphilis infection (rapid plasma reagin ≥1:8); and 2.0% had chlamydia. The prevalence of these diseases is not different from that of the general population in Peru.
When compared to other truck drivers worldwide, Peruvian truck drivers appear to have a lower risk of HIV/sexually transmitted infections. This may be since Peruvian drivers are older, more educated, have higher income, and spend fewer days away from home than their peers globally.
艾滋病毒和其他性传播感染在全球范围内仍是一项挑战，许多关键群体尚未得到研究。有证据表明，卡车司机可能存在高风险行为，且性传播感染/艾滋病毒患病率较高，因为他们是流动性很强的人群。然而，秘鲁几乎没有关于这一群体的信息。因此，我们在秘鲁对男性卡车司机及其助手的性健康知识和行为进行了探索，并开展了性传播感染/艾滋病毒检测。
我们利用基于手机的行为调查和性传播感染检测（包括艾滋病毒、梅毒、淋病和衣原体检测），对在秘鲁两条主要国际公路上行驶的卡车司机及其助手进行了一项横断面研究。
共有1150名卡车司机和助手参与。参与者为中年男性（平均年龄 = 39.8岁），96.0% 接受过完整的中等教育，78.4% 处于稳定关系，88.7% 的收入高于最低工资。大多数人知晓性传播感染/艾滋病毒，但很少有人能识别性传播感染症状。很少有参与者（不到5%）报告近期出现性传播感染症状。性传播感染的患病率也很低：无人感染淋病；0.1% 感染艾滋病毒；0.4% 近期感染梅毒（快速血浆反应素≥1:8）；2.0% 感染衣原体。这些疾病的患病率与秘鲁普通人群无异。
与全球其他卡车司机相比，秘鲁卡车司机感染艾滋病毒/性传播感染的风险似乎较低。这可能是因为秘鲁司机年龄较大、受教育程度较高、收入较高，且离家天数比全球同行少。
