HIV infection and associated risk factors among long-distance truck drivers travelling through Azerbaijan

被引:15
作者
Botros, B. A. [1 ]
Aliyev, Q. M. [2 ]
Saad, M. D. [1 ]
Michael, A. A. [1 ]
Sanchez, J. L. [3 ]
Carr, J. K. [4 ]
Earhart, K. C. [1 ]
机构
[1] USN, Med Res Unit 3, Cairo, Egypt
[2] Natl Ctr Response AIDS, Baku, Azerbaijan
[3] Dept Def Global Emerging Surveillance & Response, Silver Spring, MD USA
[4] Inst Human Virol, Baltimore, MD USA
关键词
HIV; truck drivers; risk behaviours; Azerbaijan; IMMUNODEFICIENCY-VIRUS-INFECTION; SEXUALLY-TRANSMITTED-DISEASES; COMMERCIAL SEX WORKERS; MALE CIRCUMCISION; HETEROSEXUAL TRANSMISSION; DRUG-USERS; NEW-YORK; PREVALENCE; AIDS; AFRICA;
D O I
10.1258/ijsa.2008.008396
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
The aim of this study was to assess HIV prevalence and associated risk behaviours among international truck drivers (TDs) in Azerbaijan. The subjects signed consent and completed a questionnaire. Blood was tested using two rapid HIV tests: Determine and OraQuick. Genotyping was performed on 13 positives. Overall, 3763 TDs from 21 countries were enrolled. Fifty-eight (1.54%) were HIV-positive. Highest prevalence was among Russians (2.88%), Ukrainians (1.66%) and Azerbaijani (1.09%). On univariate analysis, highest prevalence (60%) was among injecting drug users (IDUs) compared with 0.4% among non-IDUs (P < 0.001). The prevalence in men who had sex with men (MSM) (42.9%) was high (P < 0.001). On multivariate analysis, IDUs and MSM remained as the main HIV independent risk factors. Additional risk factors include no condom use, no circumcision and a history of an sexually transmitted infection. Eleven of 13 samples were subtype A. In conclusion, HIV was highly associated with IDU and MSM. The detected HIV subtypes A and B are those predominant in the former Soviet Union.
引用
收藏
页码:477 / 482
页数:6
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