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<p>Longue-distance trucks drivers are a population at increased risk of HIV infection compared with the general population. This study aimed to estimate the national prevalence of HIV and identify factors associated with infection among longue-distance trucks drivers in Mali. We conducted a cross-sectional bio-behavioral survey using Time-Location Sampling (TLS) between July 2019 and February 2020. Eligible participants were truck drivers aged ≥ 18 years who regularly undertook long-distance trips (at least 200&#xa0;km one way). Following pre-test counseling, HIV testing was performed according to national testing algorithm, using Determine as the screening test and SD Bioline for confirmation. Data were analyzed using SPSS version 25. Written informed consent was obtained from all participants. A total of 1,100 participants were included in the study. Most participants were aged ≥ 20 years (91.5%), 63.5% had received formal education, and 57.2% were married. Risk behaviors were common: 37.7% reported having multiple sexual partners, 23.5% reported drug use before sexual intercourse, 44.6% reported condom use during their last sexual intercourse, and 51.8% reported spending more than one month away from home. Although 78.8% recognized condoms use a protective measure against HIV infection, preventive practices remained inconsistent. The national HIV prevalence was 1.9%. Higher prevalence estimates were observed in the regions of Ségou (2.7%), Sikasso (2.6%), and Koulikoro region (2%). In bivariate analyses, HIV infection was significantly associated with older age (median 38 vs. 31 years; <i>p</i> = 0.002), marital status (<i>p</i> = 0.002), education level (<i>p</i> = 0.015), and longer work experience (<i>p</i> = 0.001). In multivariate analysis, no factors remained statistical significance. However, longer work experience (&gt; 5 years) was associated with higher odds of HIV infection (adjusted odds ratio [aOR] = 3.68; 95% CI: 0.93–21.27), whereas formal education appeared to have a protective effect (aOR = 0.54; 95% CI: 0.21–1.29). HIV prevalence among long-distance truck drivers in Mali remains higher than reported in the general population, alongside persistent high-risk behaviors and regional disparities. Targeted, context-specific preventive measures are urgently needed to reduce new infections in this highly mobile and vulnerable population.</p>

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National prevalence of human immunodeficiency virus among long-distance truck drivers in Mali: cross-sectional study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年6月21日

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  • Nouhoum Telly,
  • Abou Sogodogo,
  • Sory Traoré,
  • Madina Konaté,
  • Mamadou Diop,
  • Mahamane Maiga,
  • Shahul Ebrahim,
  • Boubacar M. Dembélé,
  • Mariam Berthé,
  • Mariame T. Traoré,
  • Ibrahim T. Diallo,
  • Birama A. Ly,
  • Oumar Sangho,
  • Hamadoun Sangho,
  • Seydou Doumbia

摘要

Longue-distance trucks drivers are a population at increased risk of HIV infection compared with the general population. This study aimed to estimate the national prevalence of HIV and identify factors associated with infection among longue-distance trucks drivers in Mali. We conducted a cross-sectional bio-behavioral survey using Time-Location Sampling (TLS) between July 2019 and February 2020. Eligible participants were truck drivers aged ≥ 18 years who regularly undertook long-distance trips (at least 200 km one way). Following pre-test counseling, HIV testing was performed according to national testing algorithm, using Determine as the screening test and SD Bioline for confirmation. Data were analyzed using SPSS version 25. Written informed consent was obtained from all participants. A total of 1,100 participants were included in the study. Most participants were aged ≥ 20 years (91.5%), 63.5% had received formal education, and 57.2% were married. Risk behaviors were common: 37.7% reported having multiple sexual partners, 23.5% reported drug use before sexual intercourse, 44.6% reported condom use during their last sexual intercourse, and 51.8% reported spending more than one month away from home. Although 78.8% recognized condoms use a protective measure against HIV infection, preventive practices remained inconsistent. The national HIV prevalence was 1.9%. Higher prevalence estimates were observed in the regions of Ségou (2.7%), Sikasso (2.6%), and Koulikoro region (2%). In bivariate analyses, HIV infection was significantly associated with older age (median 38 vs. 31 years; p = 0.002), marital status (p = 0.002), education level (p = 0.015), and longer work experience (p = 0.001). In multivariate analysis, no factors remained statistical significance. However, longer work experience (> 5 years) was associated with higher odds of HIV infection (adjusted odds ratio [aOR] = 3.68; 95% CI: 0.93–21.27), whereas formal education appeared to have a protective effect (aOR = 0.54; 95% CI: 0.21–1.29). HIV prevalence among long-distance truck drivers in Mali remains higher than reported in the general population, alongside persistent high-risk behaviors and regional disparities. Targeted, context-specific preventive measures are urgently needed to reduce new infections in this highly mobile and vulnerable population.