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AJPH First Look, published online ahead of print Sep 17, 2009
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November 2009, Vol 99, No. 11 | American Journal of Public Health 2063-2068
© 2009 American Public Health Association
DOI: 10.2105/AJPH.2008.145383

RESEARCH AND PRACTICE

Risk Assessment and Screening for Sexually Transmitted Infections, HIV, and Hepatitis Virus Among Long-Distance Truck Drivers in New Mexico, 2004–2006

Sarah Valway, DMD, MPH, Steven Jenison, MD, Nick Keller, BS, Jaime Vega-Hernandez and Donna Hubbard McCree, PhD, MPH, RPh

Sarah Valway, Steven Jenison, Nick Keller, and Jaime Vega-Hernandez are with the Public Health Division, New Mexico Department of Health, Santa Fe. Donna Hubbard-McCree is with the National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA.

Correspondence: Correspondence should be sent to Sarah Valway, DMD, MPH, New Mexico Department of Health, Infectious Diseases Bureau, 1190 South Saint Francis Drive, Santa Fe, NM 87502 (e-mail: s.valway{at}att.net). Reprints can be ordered at http://www.ajph.org by clicking the "Reprints/Eprints" link.

Objectives. We examined sexually transmitted infection (STI), HIV, and hepatitis virus prevalence and risk behaviors among truck drivers.

Methods. We asked participants about their risk behaviors, and we screened them for STIs, HIV, and hepatitis infections. We used logistic regression to identify factors associated with outcomes.

Results. Of the 652 enrolled participants, 21% reported sex with sex workers or casual partners in the prior year. Driving solo (odds ratio [OR] = 15.04; 95% confidence interval [CI] = 1.92, 117.53; P = .01), history of injection drug use (IDU; OR = 2.69; 95% CI = 1.19, 6.12; P = .02), and history of an STI (OR = 2.47; 95% CI = 1.19, 5.09; P = .01) were independently associated with high-risk sexual behaviors. Fourteen percent of participants reported drug use in the previous year, and 11% reported having ever injected drugs. Participants tested positive as follows: 54 for HCV antibodies (8.5%), 66 for hepatitis B anticore (anti-HBc) antibodies (10.4%), 8 for chlamydia (1.3%), 1 for gonorrhea (0.2%), 1 for syphilis (0.2%), and 1 for HIV (0.2%). History of injecting drugs (OR = 26.91; 95% CI = 11.61, 62.39; P < .01) and history of anti-HBc antibodies (OR = 7.89; 95% CI = 3.16, 19.68; P < .01) were associated with HCV infection.

Conclusions. Our results suggest a need for hepatitis C screening and STI risk-reduction interventions in this population.






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