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首页> 外文期刊>Advances in Sexual Medicine >Utilization of HIV and Sexually Transmitted Infections Prevention Services, and Associated Factors among the Long-Distance Truck Drivers along the Northern Corridor Highway, Kenya
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Utilization of HIV and Sexually Transmitted Infections Prevention Services, and Associated Factors among the Long-Distance Truck Drivers along the Northern Corridor Highway, Kenya

机译：利用艾滋病毒和性传播的感染预防服务，以及肯尼亚北部走廊高速公路长途卡车司机之间的相关因素

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Background : Often, long-distance truck drivers’ (LDTDs’) work predisposes them to sexually transmitted infections (STIs) whose outcomes are influenced by access and behavior of seeking sexual health care. Methodology : In this study, we assessed the utilization of HIV/STI preventive services and associated factors among 296 LDTDs operating along the northern corridor highway using an interviewer-administered questionnaire for data collection at Mlolongo stopover in Machakos, Kenya. Responses for the investigated variables, including condom use, history of HIV testing, frequency of HIV testing, antiretroviral therapy (ART) use and follow-up for the HIV positive and STI treatment, were assigned a score of either 1 or 0 depending on the question’s dimension. Following summing up for each participant, we computed a weighted score ranging between 0 and 1 by dividing the summed responses by the number of eligible variables. We arbitrarily multiplied these scores by 8 to generate endpoint scores ranging from one to eight for each participant to help create a dichotomized outcome variable for utilization levels: limited utilization (1 to 4) and good utilization (5 to 8). Association between certain independent variables and the outcome variable (level of utilization of H.I.V./STIs preventive services) w as analyzed using binomial logistic regression analysis in R statistical software. Results : The mean age of the LDTDs was 38.4 years, ranging from 24 - 57 years. The majority (n = 287, 97%) of the LDTDs had been tested on HIV at least once since the beginning of their career. Only 4.9% of the LDTDs had been tested on HIV within the previous three months. Of the 175 LDTDs who reported a history of STI, most (n = 173, 98.9%) of them had sought treatment. Condom use rates were higher (97.1%) among the LDTDs who had sexual interactions with casual sexual partners compared to 47.2% among regular sexual partners. Analyses classed most of the respondents (n = 231, 78.0%) as having good utilization, while the rest (22%) had limited utilization. History of STI was independently associated with utilizing HIV/STI preventive services (OR 8.4; 95% CI; 4.5, 16.7; P < 0.001). Conclusion : Although most of the LDTDs were classed to have good utilization of HIV/STI preventive services, the uptake of subsequent HIV testing services among them was low at only 4.9%. The association of STI history with utilization levels that we determined supports policies of integrating HIV and STI services in the delivery of sexual healthcare provision among LDTDs.
机译：背景：通常，长途卡车司机（LDTDS'）工作促使它们促使它们发生性传播的感染（STI），其结果受到寻求性保健的接入和行为的影响。 方法：在本研究中，我们评估了在Mlolongo中断的数据收集的采访者管理的调查问卷在北方走廊高速公路沿着北方走廊高速公路运营的296 LDTD之间的利用艾滋病毒/ STI预防性服务和相关因素的利用Machakos，肯尼亚。调查变量的回应，包括安全套使用，艾滋病毒检测史，艾滋病毒检测频率，抗逆转录病毒治疗（ART）使用和随访的艾滋病毒阳性和STI治疗，取决于1或0的分数问题的维度。在为每个参与者进行总结之后，我们通过将符合条件的变量的数量除以总和的响应来计算0到1之间的加权分数。我们通过8乘以8乘以8来生成每个参与者的端点分数，为每个参与者创建用于利用水平的二分层结果变量：限制利用率（1至4）和良好的利用率（5到8）。在某些独立变量与结果变量（H.I.V./stis预防服务的利用率之间的关联之间的关联。在R统计软件中使用二项式逻辑回归分析分析。 结果：LDTD的平均年龄为38.4岁，从24 - 57岁范围内。自职业生涯开始以来，最多的LDTD在艾滋病毒过多的情况下已经过了艾滋病毒的大多数（n = 287,97％）。在过去三个月内仅对艾滋病毒进行了4.9％的LDTD。在报告了STI历史的175年的LDTD中，其中大多数（n = 173,98.9％）已经寻求治疗。避孕套使用率较高（97.1％）在休闲性伴侣与常规性伴侣中有47.2％的人进行性互动的LDTD。分析为具有良好利用的受访者（n = 231,78.0％），其余的（22％）利用有限。 STI的历史与利用HIV / STI预防性服务（或8.4; 95％CI; 4.5,16.7; P <0.001）独立相关。 结论：虽然大多数LDTDS被均较好地利用HIV / STI预防性服务，但它们之间的后续艾滋病毒检测服务的摄取量仅为4.9％。 STI历史与利用水平的协会，我们确定支持在LDTD之间交付性医疗保健条款中整合艾滋病毒和STI服务的政策。

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