© 2002 Occupational and Environmental Medicine
ECHO
Harbingers of HIV infection
With their risky behaviours and prevalence of STDs, truckers in Bangladesh pose a risk for spread of HIV, confirms a study by Gibney et al. Unusually for a developing country, the prevalence of HIV infection in Bangladesh is low.Gibney et al determined the prevalence of STDs—syphilis, HSV-2, gonorrhoea, and chlamydia—and associated risk factors—demographic, sexual behaviours, and lifestyle (taking drugs or drinking alcohol). In a cross sectional study they recruited a final number of 388 truckers—245 drivers and 143 helpers—about 10 from each of 38 agencies selected randomly from the 185 agencies at the largest truck stand in Dhaka. Blood and urine samples were tested for evidence of STDs, and the other information was obtained with a structured questionnaire during interviews.
HSV-2 infection was high (26%), as was syphilis (6%), whereas gonorrhoea and chlamydial infection were low (2%, <1%, respectively). The only significant risk factor for bacterial infections was
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