Contact with HIV prevention programmes & willingness for new interventions among truckers in India.

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dc.contributor.authorKumar, S G Prem
dc.contributor.authorKumar, G Anil
dc.contributor.authorPoluru, Ramesh
dc.contributor.authorSchneider, John A
dc.contributor.authorDandona, Lalit
dc.contributor.authorVemu, Lakshmi
dc.contributor.authorSudha, T
dc.contributor.authorMayer, Kenneth H
dc.contributor.authorDandona, Rakhi
dc.date.accessioned2013-09-09T05:27:08Z
dc.date.available2013-09-09T05:27:08Z
dc.date.issued2013-06
dc.description.abstractBackground & objectives: Systematic data on existing coverage and willingness for HIV prevention strategies among truckers are not readily available in India. The present study aimed to further the understanding on contact of truckers with existing HIV prevention services and to assess willingness for new HIV prevention strategies. Methods: A total of 1,800 truck drivers and helpers aged 16-65 yr passing through Hyderabad were approached to assess contact made with HIV prevention programmes, history of previous HIV testing and their acceptance for circumcision, oral HIV testing, new medications to control HIV (PrEP) and telephonic counselling. Dried blood samples were collected on filter paper and tested for HIV. Multiple logistic regression was performed for analysis of association between contact with HIV prevention programme and socio-demographic, sexual risk behaviour variables and work characteristics. Results: A total of 1,602 (89%) truckers gave interview and provided blood sample. Forty five truckers tested positive for HIV resulting in HIV prevalence of 2.8 per cent (95% CI 2.0-3.6%). Only 126 truckers (7.9%; 95% CI 6.5-9.2%) reported ever being contacted by staff providing HIV prevention interventions. Previous HIV testing was reported by19 per cent (95% CI 17.3-21.2%). Those reporting contact with HIV prevention programmes ever were more likely to have undergone HIV testing (odds ratio 3.6, 95% CI 2.4-5.4). The acceptance for pre-exposure prophylaxis (PrEP) was 87 per cent, oral HIV testing 98 per cent, and telephonic counselling 82 per cent, but was only 9 per cent for circumcision.Truckers who reported having sex with a man and those who halted regularly at dhabas were significantly more willing to undergo circumcision for HIV prevention (odds ratios 2.7, 95% CI 1.4-5.4 and 2.1, 95% CI 1.3-3.2, respectively). Interpretation & conclusions: Our findings showed that truckers had low contact with HIV prevention programmes, suggesting a need for urgent measures to reach this population more effectively. The willingness for new HIV interventions was high except for circumcision. These findings could be used for further planning of HIV prevention programmes for truckers in Indiaen_US
dc.identifier.citationKumar S G Prem, Kumar G Anil, Poluru Ramesh, Schneider John A, Dandona Lalit, Vemu Lakshmi, Sudha T, Mayer Kenneth H, Dandona Rakhi. Contact with HIV prevention programmes & willingness for new interventions among truckers in India. Indian Journal of Medical Research. 2013 Jun; 137(6): 1061-1071.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/148163
dc.language.isoenen_US
dc.source.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3734711/?report=classicen_US
dc.subjectCircumcisionen_US
dc.subjectHIVen_US
dc.subjectHIV prevention programmesen_US
dc.subjectoral HIV testingen_US
dc.subjecttruck driversen_US
dc.titleContact with HIV prevention programmes & willingness for new interventions among truckers in India.en_US
dc.typeArticleen_US
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