Betunga Benjamin, Atuhaire Phionah, Nakasiita Catherine, Kanyamuneza Christa, Namiiro Proscovia, Tugume Joseph, Hairat Matovu, Sarki Ahmed M, Mugabi Benedicto, Lilian Birungi, Mugisha Richard, Kumakech Edward, Asiimwe John Baptist
Faculty of Nursing and Health Sciences, Bishop Stuart University, Mbarara, Uganda.
Aga Khan University, Uganda Campus, Kampala, Uganda.
PLOS Glob Public Health. 2023 Mar 2;3(3):e0001350. doi: 10.1371/journal.pgph.0001350. eCollection 2023.
The use of multiple HIV prevention services has been found to decrease the risk of acquiring HIV when tailored to individuals at risk of HIV exposure, including transport workers. Therefore, we assessed the uptake of multiple HIV prevention services (≥2) and associated factors among transport workers in a city in Southwestern Uganda. This cross-sectional study comprised motorcycle taxi riders, motor vehicle and truck drivers, aged 18 to 55 years who were selected and responded to an interviewer-administered questionnaire, between November 2021 and February 2022. Data was analyzed using descriptive statistical and modified Poisson regression analyses. Out of 420 participants, 97.6% were male, with a median age of 28 years and the majority were aged <34 years (84.6%). Overall, less than half (45.3%) of the participants had used multiple (≥2) HIV prevention services within a one-year period. Many participants had used condoms (32.2%) followed by voluntary HIV counseling and testing (27.1%), and safe male circumcision (17.3%). Most participants who tested for HIV had ever used condoms (16.2%), followed by those who received safe male circumcision and had ever used condoms (15%), and those who tested for HIV and had started on antiretroviral therapy (ART) (9.1%). In the adjusted model, factors that were significantly associated with the use of multiple HIV prevention services included religion (aPR = 1.25, 95% CI = 1.05-1.49), the number of concurrent sex partners (aPR = 1.33, 95% CI = 1.10-1.61), prior HIV testing and awareness of HIV serostatus (aPR = 0.55, 95% CI = 0.43-0.70), awareness of HIV prevention services (aPR = 2.49, 95% CI = 1.16-5.38), and financial payment to access HIV services (aPR = 2.27, 95% CI = 1.47-3.49). In conclusion, the uptake of multiple HIV prevention services among transport workers remains suboptimal. Additionally, individual behavioral factors influence the use of multiple HIV services compared with other factors. Therefore, differentiated strategies are needed to increase the utilization of HIV prevention services among transport workers.
研究发现，针对包括运输工人在内的有感染艾滋病毒风险的个体，提供多种艾滋病毒预防服务可降低感染艾滋病毒的风险。因此，我们评估了乌干达西南部一个城市运输工人对多种艾滋病毒预防服务（≥2种）的接受情况及相关因素。这项横断面研究涵盖了2021年11月至2022年2月期间年龄在18至55岁之间的摩托车出租车司机、机动车和卡车司机，这些司机被选中并回答了一份由访谈员进行的问卷调查。数据采用描述性统计分析和修正泊松回归分析进行分析。在420名参与者中，97.6%为男性，中位年龄为28岁，大多数年龄小于34岁（84.6%）。总体而言，不到一半（45.3%）的参与者在一年内使用了多种（≥2种）艾滋病毒预防服务。许多参与者使用过避孕套（32.2%），其次是自愿艾滋病毒咨询和检测（27.1%），以及安全的男性包皮环切术（17.3%）。大多数接受艾滋病毒检测的参与者曾使用过避孕套（16.2%），其次是接受过安全男性包皮环切术且曾使用过避孕套的参与者（15%），以及接受过艾滋病毒检测并开始接受抗逆转录病毒治疗（ART）的参与者（9.1%）。在调整后的模型中，与使用多种艾滋病毒预防服务显著相关的因素包括宗教信仰（调整后风险比[aPR]=1.25，95%置信区间[CI]=1.05 - 1.49）、性伴侣数量（aPR = 1.33，95% CI = 1.10 - 1.61）、既往艾滋病毒检测及对艾滋病毒血清学状态的知晓情况（aPR = 0.55，95% CI = 0.43 - 0.70）、对艾滋病毒预防服务的知晓情况（aPR = 2.49，95% CI = 1.16 - 5.38），以及获取艾滋病毒服务的费用支付情况（aPR = 2.27，95% CI = 1.47 - 3.49）。总之，运输工人对多种艾滋病毒预防服务的接受情况仍不理想。此外，与其他因素相比，个体行为因素影响多种艾滋病毒服务的使用。因此，需要采取差异化策略来提高运输工人对艾滋病毒预防服务的利用率。
