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Prevalence of HIV Among Truck Drivers Visiting Sex Workers in
KwaZulu-Natal, South Africa
Ramjee, G | Gouws, E Sexually Transmitted Diseases [Sex. Transmitted Dis.]. Vol. 29,
no. 1, pp. 44-49. Jan 2002.
Although the role of mobile populations in the spread of HIV has
been documented in several countries, there are few data on HIV
among truck drivers in South Africa and the sex workers with whom
they interact. To determine HIV prevalence and risk behavior in a
sample of truck drivers visiting commercial sex workers at truck
stops. Two sex workers from each of five truck stops were trained
to obtain informed consent, administer questionnaires to obtain
data on demographic and migration patterns, and collect saliva
samples for HIV testing from their clients. Data on HIV prevalence
and demographic characteristics of sex workers operating at the
truck stops were obtained from an ongoing vaginal microbicide
trial. The mean age of the truck drivers (all men) was 37 years
(range, 18-71 years), and that of the sex workers (all females)
was 25 years (range, 15-49 years). Sixty-six percent of the men
reported having a sexually transmitted infection in the previous
six months, and 37% always stopped for sex along the route.
Twenty-nine percent reported never using condoms with sex workers,
whereas 13% had used condoms with their wives. All men traveled to
more than one province in South Africa, and 65% traveled to
neighboring countries. Anal sex was practiced by 42% of the men.
The overall HIV prevalence (in the two groups combined) was 56%.
Truck drivers may have facilitated the spread of HIV infection
throughout southern Africa.
Descriptors: Article Subject Terms Disease spread | Disease transmission | Migration | Prostitution | Sexual behavior | Transmission (sexual) | Article Taxonomic Terms Human immunodeficiency virus | Article Geographic Terms South Africa
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