On the road again: concurrency and condom use among Uganda truck drivers
Costenbader, E.C.; Lancaster, K.; Bufumbo, L.; Akol, A.; Guest, G.
African Journal of Aids Research Ajar 14(2): 117-125
2015
ISSN/ISBN: 1727-9445 PMID: 26223328 DOI: 10.2989/16085906.2015.1040810Document Number: 638246
Long-distance truck drivers have been shown to be a critical population in the spread of HIV in Africa. In 2009, surveys with 385 Ugandan long-distance truck drivers measured concurrency point prevalence with two methods; it ranged from 37.4% (calendar-method) to 50.1% (direct question). The majority (84%) of relationships reported were long-term resulting in a long duration of overlap (average of 58 months) across concurrent partnerships. Only 7% of these men reported using any condoms with their spouses during the past month. Among all non-spousal relationships, duration of relationship was the factor most strongly associated with engaging in unprotected sex in the past month in a multivariable analyses controlling for partner and relationship characteristics. Innovative intervention programs for these men and their partners are needed that address the realities of truck drivers' lifestyles.