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Comparative study on sero-prevalence and risk factors of HIV/AIDs between intra-city and long-distance commercial drivers in Kano State
1 Department of Community Medicine, Faculty of Clinical Sciences, College of Medical Sciences, Yobe State University, Damaturu, Nigeria.
2 Department of Public Health, Faculty of Basic Medical Sciences, Bauchi State University, Gadau, Nigeria.
3 Department of Planning, Research and Statistics, National Health Insurance Authority (NHIA) Headquaters, FCT Abuja. Nigeria.
4 Department of Community Medicine, Faculty of Clinical Sciences, College of Medicine and Allied Health Sciences, Federal University Dutse, Jigawa State, Nigeria.
5 National Primary Health Care Development Agency, Kano Zonal Office, Nigeria.
Research Article
International Journal of Science and Research Archive, 2023, 09(02), 077–089.
Article DOI: 10.30574/ijsra.2023.9.2.0514
Publication history:
Received on 20 May 2023; revised on 01 July 2023; accepted on 04 July 2023
Abstract:
Background: the transportation industry is primarily a male-dominated industry, of which drivers are at risk of contracting HIV. They spend a lot of time away from their wives or partners due to the nature of their occupation. Identifying risk factors of HIV among both the long distance and intra-city commercial drivers could provide strategies for effective prevention and control.
Aim: this study assessed the Sero-prevalence and risk factors of HIV infection among commercial drivers in Kano Central Senatorial District.
Method: Cross-sectional comparative study design was used. A multi-stage sampling technique was used to select 434 study participants from each category.
Results: a total of 407 LDDs and 418 Intra-city drivers participated in the study. The mean and standard deviation of age of the respondents in the LDDs and Intra-city drivers groups were 42.3± 11.2 and 42.0 ± 11.3 years respectively. The sero-prevalence of HIV between LDDs and Intra-city drivers was found to be 12.5% and 6.7% respectively. The LDDs were two times at risk of being HIV Sero-positive (OR=2.00 95% CI of OR 1.20 – 3.33, p<0.05) than the Intra-city drivers. On adjusting for the confounding effects for LDDs group using logistic regression analysis, the risk factors for HIV were marital status of single [AOR=4.25; (95% CI: 1.97- 9.31)] and separated [ AOR=6.07; (95% CI: 5.26-16.45)], monthly income [>100,000.00 AOR=6.11; (95% CI: 1.53-41.97)] and history of extra-marital sex [AOR=4.01; (95% CI: 6.07-10.43)]. While on adjusting for the confounding effects for Intra-city drivers group using logistic regression analysis, educational status [post-secondary AOR=0.33; (95% CI: 0.16-0.89)], marital status [separated AOR=3.00; (95% CI: 5.26-16.33)], working experience [ 11-20 years AOR=4.10; (95% CI: 1.19-18.25)], history of extra-marital sex [AOR=4.97; (95% CI: 6.07-10.43)] and use of drugs or alcohol [AOR=3.98; (95% CI: 2.04-12.43)].
Conclusion: the establishment of STI clinics in strategic locations, as well as making condoms available, accessible, affordable, and acceptable for use by this group of people in our society, should all be part of the prevention strategy. Government and all key stakeholders must take appropriate measures to educate this occupational group in order to change and improve their sexual behaviors.
Keywords:
Human immune-deficiency virus; Long distance drivers; Intra-city drivers; Risk; Sero-prevalence
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Copyright © 2023 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0
