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A QUALITATIVE ASSESSMENT OF LONG DISTANCE TRUCK DRIVERS' VULNERABILITY TO HIV/AIDS IN ITAJAÍ, SOUTHERN BRAZIL
Autor
Afiliación
Oswaldo Cruz Foundation. Sergio Arouca Public Health School. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Institute of Communication and Scientific Information and Technology in Health. Rio de Janeiro, RJ, Brazil.
JohnsHopkins Bloomberg School of Public Health, Baltimore USA.
JohnsHopkins Bloomberg School of Public Health, Baltimore USA.
JohnsHopkins Bloomberg School of Public Health, Baltimore USA.
University of California San Diego School of Medicine, California, USA.
Oswaldo Cruz Foundation. Institute of Communication and Scientific Information and Technology in Health. Rio de Janeiro, RJ, Brazil.
JohnsHopkins Bloomberg School of Public Health, Baltimore USA.
JohnsHopkins Bloomberg School of Public Health, Baltimore USA.
JohnsHopkins Bloomberg School of Public Health, Baltimore USA.
University of California San Diego School of Medicine, California, USA.
Resumen en portugues
Itajai is the largest pon in southern Brazil and has one of the nation's highest AIDS incidence rates. Since over 400 truck
drivers enter the city daily, they may playa key role in the HIV/AIDS epidemic due to transactions with commercial sex workers (CSWs) and/or substance use. We conducted a rapid assessment to establish the context of HIV vulnerability among truckers and CSWs in Itajai. Forty three in-depth interviews and eight focus groups were conducted with truckers and CSWs. Two truck-driving routes involving brothels, meeting places and drug-use locations were mapped and field
observations were collected. Tapes and field notes were transcribed and analyzed for emerging themes. Truck drivers typically had unprotected sex with several parmers, including CSWs and truckstop employees. Both truckers and CSWs had low perceived HIV risk in spite of being engaged in high-risk sex behaviors. Use of alcohol and amphetamine-like drugs was frequent among truckers and appeared to influence unsafe sex practices. Knowledge about amphetamine-related risks was low, as was access to health services and HIV/AIDS behavioral interventions. Interventions, targeting truckers, CSWs and truckstop employees, are needed that traverse cities, states and borders and take into account seasonality, spatial context and workplace conditions.
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