On the road again: concurrency and condom use among Uganda truck drivers

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.
HIV/STI prevention, Mobile population, Sexual risk behavior, Sub-Saharan Africa, Concurrency, Condom
Elizabeth C Costenbader, Kathryn Lancaster, Leonard Bufumbo, Angela Akol & Greg Guest (2015) On the road again: concurrency and condom use among Uganda truck drivers, African Journal of AIDS Research, 14:2, 117-125, DOI: 10.2989/16085906.2015.1040810