Epidemiology of HIV infection among long distance truck drivers in Kenya

Autor: G G, Mbugua, L N, Muthami, C W, Mutura, S A, Oogo, P G, Waiyaki, C P, Lindan, N, Hearst
Rok vydání: 1995
Předmět:
Zdroj: East African medical journal. 72(8)
ISSN: 0012-835X
Popis: A total number of two hundred eighty three long distance truck drivers and their assistants (loaders) who ferry goods between Kenya and Zaire were included in a cross-sectional study between September 1991 and April 1992. Twenty six percent of the study subjects were seropositive for HIV-1 and none were HIV-2 seropositive. Countries of birth and residence were significantly associated with HIV infection (X2 = 23.6, P = 0.0006). Significant associations were also found between HIV seropositivity and level of education from secondary school and above (OR = 3.4, 95% C.I. = 1.01-11.55); being circumcised was more protective, (OR = 0.38; 95% C.I. = 0.19-0.76), history of many years of driving (X2 = 9.3, p = 0.0254) and income (OR = 11.13, 95% C.I. = 1.35-91.95). When a stepwise multiple logistic regression model was fitted to all the variables observed to be significant in the univariate analysis, the following risk factors attained statistical significance: lack of circumcision (OR = 3.75); income greater than Ksh. 2000 (OR = 7.24); being employed in long distance driving more than 11 years (OR = 3.98); and secondary school education and above (OR = 4.06, 95% C.I. = 1.18-13.98). Reference for all the above Odds Ratios was 1.A total number of 283 long distance truck drivers and their assistants (loaders) who ferry goods between Kenya and Zaire were included in a cross-sectional study between September 1991 and April 1992. 26% of the study subjects were seropositive for HIV-1 and none were HIV-2 seropositive. Countries of birth and residence were significantly associated with HIV infection (chi square = 23.6, p = 0.0006). Significant associations were also found between HIV seropositivity and level of secondary school education and above (OR = 3.4, 95% CI = 1.01-11.55); being circumcised, which was more protective (OR = 0.38, 95% CI = 0.19-0.76); a history of many years of driving (chi square = 9.3, p = 0.0254); and income (OR = 11.13, 95% CI = 1.35-91.95). When a stepwise multiple logistic regression model was fitted to all the variables observed to be significant in the univariate analysis, the following risk factors attained statistical significance: lack of circumcision (OR = 3.75); income greater than Ksh. 2000 (OR = 7.24); being employed in long distance driving more than 11 years (OR = 3.98); and secondary school education and above (OR = 4.06, 95% CI = 1.18-13.98). Reference for all the above odds ratios was 1.
Databáze: OpenAIRE