A qualitative study of migrant-related stressors, psychosocial outcomes and HIV risk behaviour among truck drivers in Zambia

Truck drivers are part of mobile populations which have been noted as a key population at risk of HIV in Zambia. This study was aimed at: (1) determining potentially traumatic events (PTEs), labour migrant-related stressors, psychosocial problems and HIV risk behaviours among truck drivers in Zambia...

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Bibliographic Details
Published in:	African journal of AIDS research : AJAR Vol. 15; no. 3; pp. 219 - 226
Main Authors:	Michalopoulos, Lynn Murphy, Ncube, Nomagugu, Simona, Simona J., Kansankala, Brian, Sinkala, Emmanuel, Raidoo, Jasmin
Format:	Journal Article
Language:	English
Published:	South Africa Taylor & Francis 01-09-2016 Taylor & Francis Ltd
Subjects:	Acquired immune deficiency syndrome Adult Aged AIDS AIDS/HIV Anxiety At risk populations Automobile Driving - psychology Behavior problems Borders Female Females Health Knowledge, Attitudes, Practice HIV HIV Infections - prevention & control HIV Infections - psychology HIV sexual risk Human immunodeficiency virus Humans Intimate partner violence Lentivirus Life Change Events Loneliness low and middle income country Male Mental depression Middle Aged Migrant workers Mobility Motor Vehicles Occupations potentially traumatic event Poverty Prevention programs Preventive medicine Prostitution Psychosocial factors Psychosocial problems qualitative Qualitative research Retroviridae Risk behavior Risk-Taking Sex workers Sexual behavior Sexual Behavior - psychology Spouse Abuse - psychology Stress Stress, Psychological Surveys and Questionnaires Symptoms Temptation Tests Transients and Migrants Trauma Traumatic life events Truck drivers Violent crime Women Zambia Zambia HIV sexual risk potentially traumatic event low and middle income country qualitative truck drivers
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Summary:	Truck drivers are part of mobile populations which have been noted as a key population at risk of HIV in Zambia. This study was aimed at: (1) determining potentially traumatic events (PTEs), labour migrant-related stressors, psychosocial problems and HIV risk behaviours among truck drivers in Zambia; and (2) examining the relationship between PTEs, migrant-related stressors, psychosocial outcomes and HIV sexual risk behaviour among truck drivers in Zambia. We conducted 15 semi-structured interviews with purposively sampled male truck drivers at trucking companies in Lusaka, Zambia. Findings indicate that truck drivers experience multiple stressors and potentially traumatic incidences, including delays and long waiting hours at borders, exposure to crime and violence, poverty, stress related to resisting temptation of sexual interactions with sex workers or migrant women, and job-related safety concerns. Multiple psychosocial problems such as intimate partner violence, loneliness, anxiety and depression-like symptoms were noted. Transactional sex, coupled with inconsistent condom use, were identified as HIV sexual risk behaviours. Findings suggest the critical need to develop HIV-prevention interventions which account for mobility, potentially traumatic events, psychosocial problems, and the extreme fear of HIV testing among this key population.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1608-5906 1727-9445
DOI:	10.2989/16085906.2016.1179653