{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T17:59:05Z","timestamp":1776103145717,"version":"3.50.1"},"reference-count":38,"publisher":"Public Library of Science (PLoS)","issue":"3","license":[{"start":{"date-parts":[[2023,3,2]],"date-time":"2023-03-02T00:00:00Z","timestamp":1677715200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000061","name":"Fogarty International Center","doi-asserted-by":"publisher","award":["R25TW011210."],"award-info":[{"award-number":["R25TW011210."]}],"id":[{"id":"10.13039\/100000061","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosglobalpublichealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Glob Public Health"],"abstract":"<jats:p>The use of multiple HIV prevention services has been found to decrease the risk of acquiring HIV when tailored to individuals at risk of HIV exposure, including transport workers. Therefore, we assessed the uptake of multiple HIV prevention services (\u22652) and associated factors among transport workers in a city in Southwestern Uganda. This cross-sectional study comprised motorcycle taxi riders, motor vehicle and truck drivers, aged 18 to 55 years who were selected and responded to an interviewer-administered questionnaire, between November 2021 and February 2022. Data was analyzed using descriptive statistical and modified Poisson regression analyses. Out of 420 participants, 97.6% were male, with a median age of 28 years and the majority were aged &lt;34 years (84.6%). Overall, less than half (45.3%) of the participants had used multiple (\u22652) HIV prevention services within a one-year period. Many participants had used condoms (32.2%) followed by voluntary HIV counseling and testing (27.1%), and safe male circumcision (17.3%). Most participants who tested for HIV had ever used condoms (16.2%), followed by those who received safe male circumcision and had ever used condoms (15%), and those who tested for HIV and had started on antiretroviral therapy (ART) (9.1%). In the adjusted model, factors that were significantly associated with the use of multiple HIV prevention services included religion (aPR = 1.25, 95% CI = 1.05\u20131.49), the number of concurrent sex partners (aPR = 1.33, 95% CI = 1.10\u20131.61), prior HIV testing and awareness of HIV serostatus (aPR = 0.55, 95% CI = 0.43\u20130.70), awareness of HIV prevention services (aPR = 2.49, 95% CI = 1.16\u20135.38), and financial payment to access HIV services (aPR = 2.27, 95% CI = 1.47\u20133.49). In conclusion, the uptake of multiple HIV prevention services among transport workers remains suboptimal. Additionally, individual behavioral factors influence the use of multiple HIV services compared with other factors. Therefore, differentiated strategies are needed to increase the utilization of HIV prevention services among transport workers.<\/jats:p>","DOI":"10.1371\/journal.pgph.0001350","type":"journal-article","created":{"date-parts":[[2023,3,2]],"date-time":"2023-03-02T13:36:52Z","timestamp":1677764212000},"page":"e0001350","update-policy":"https:\/\/doi.org\/10.1371\/journal.pgph.corrections_policy","source":"Crossref","is-referenced-by-count":8,"title":["Factors influencing the use of multiple HIV prevention services among transport workers in a city in southwestern Uganda"],"prefix":"10.1371","volume":"3","author":[{"given":"Benjamin","family":"Betunga","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phionah","family":"Atuhaire","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Nakasiita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christa","family":"Kanyamuneza","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Proscovia","family":"Namiiro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Tugume","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matovu","family":"Hairat","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed M.","family":"Sarki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benedicto","family":"Mugabi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4314-2239","authenticated-orcid":true,"given":"Birungi","family":"Lilian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1709-9521","authenticated-orcid":true,"given":"Richard","family":"Mugisha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7237-7734","authenticated-orcid":true,"given":"Edward","family":"Kumakech","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0681-9204","authenticated-orcid":true,"given":"John Baptist","family":"Asiimwe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2023,3,2]]},"reference":[{"key":"pgph.0001350.ref001","first-page":"62","volume-title":"Uganda population based HIV impact assessment","author":"Commission UA","year":"2017"},{"key":"pgph.0001350.ref002","article-title":"ANNUAL JOINT AIDS REVIEW REPORT 2020\/21","author":"UAC","year":"2021"},{"key":"pgph.0001350.ref003","author":"UNAIDS","year":"2019","journal-title":"Country factsheets Uganda"},{"issue":"4","key":"pgph.0001350.ref004","doi-asserted-by":"crossref","first-page":"S95","DOI":"10.1016\/j.jfda.2013.09.043","article-title":"HIV treatment as prevention: the key to an AIDS-free generation","volume":"21","author":"MW Hull","year":"2013","journal-title":"Journal of food and drug analysis"},{"issue":"2","key":"pgph.0001350.ref005","doi-asserted-by":"crossref","first-page":"109","DOI":"10.2989\/16085906.2016.1196224","article-title":"Combination HIV prevention options for young women","volume":"15","author":"C Baxter","year":"2016","journal-title":"Africa. 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EN DANGER. 2022."},{"issue":"5","key":"pgph.0001350.ref019","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1080\/09540120500235241","article-title":"A qualitative assessment of long distance truck drivers\u2019 vulnerability to HIV\/AIDS in Itajai, southern Brazil.","volume":"18","author":"M Malta","year":"2006","journal-title":"AIDS care"},{"key":"pgph.0001350.ref020","author":"Health Mo","year":"2020","journal-title":"Consolidated guidelines for the prevention and treatment of HIV and AIDS in Uganda"},{"key":"pgph.0001350.ref021","article-title":"Creating HIV prevention cascades","author":"UNAIDS","year":"2021"},{"issue":"1","key":"pgph.0001350.ref022","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/S1473-3099(12)70273-6","article-title":"Combination implementation for HIV prevention: moving from clinical trial evidence to population-level effects","volume":"13","author":"LW Chang","year":"2013","journal-title":"The Lancet infectious diseases"},{"issue":"9","key":"pgph.0001350.ref023","doi-asserted-by":"crossref","first-page":"e0239087","DOI":"10.1371\/journal.pone.0239087","article-title":"Treatment outcome of the implementation of HIV test and treat policy at The AIDs Support Organization (TASO) Tororo clinic, Eastern Uganda: A retrospective cohort study.","volume":"15","author":"R Opito","year":"2020","journal-title":"Plos one."},{"issue":"1","key":"pgph.0001350.ref024","doi-asserted-by":"crossref","first-page":"26308","DOI":"10.3402\/gha.v8.26308","article-title":"Prevention of mother-to-child transmission of HIV in rural Uganda: Modelling effectiveness and impact of scaling-up PMTCT services","volume":"8","author":"EC Larsson","year":"2015","journal-title":"Global health action"},{"issue":"4","key":"pgph.0001350.ref025","doi-asserted-by":"crossref","first-page":"20013","DOI":"10.7448\/IAS.18.4.20013","article-title":"Cost-effectiveness of pre-exposure prophylaxis targeted to high-risk serodiscordant couples as a bridge to sustained ART use in Kampala, Uganda.","volume":"18","author":"R Ying","year":"2015","journal-title":"J Int AIDS Soc"},{"issue":"1","key":"pgph.0001350.ref026","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1471-2458-14-1244","article-title":"Effectiveness of a combination prevention strategy for HIV risk reduction with men who have sex with men in Central America: a mid-term evaluation","volume":"14","author":"R Firestone","year":"2014","journal-title":"BMC Public Health."},{"key":"pgph.0001350.ref027","first-page":"8877402","article-title":"Factors Influencing Utilization of HIV Testing Services among Boda-Boda Riders in Kabarole District, Southwestern Uganda","volume":"2021","author":"V Ssekankya","year":"2021","journal-title":"A Cross-Sectional Study. Biomed Res Int"},{"issue":"2","key":"pgph.0001350.ref028","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1080\/09540120512331325699","article-title":"Sexual practices, barriers to condom use and its consistent use among long distance truck drivers in Nigeria.","volume":"17","author":"A. Sunmola","year":"2005","journal-title":"AIDS care"},{"key":"pgph.0001350.ref029","author":"GD Israel","year":"1992","journal-title":"Determining sample size"},{"issue":"6","key":"pgph.0001350.ref030","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1136\/sti.79.6.442","article-title":"HIV testing attitudes, AIDS stigma, and voluntary HIV counselling and testing in a black township in Cape Town, South Africa","volume":"79","author":"SC Kalichman","year":"2003","journal-title":"Sexually transmitted infections"},{"issue":"7","key":"pgph.0001350.ref031","doi-asserted-by":"crossref","first-page":"e0198095","DOI":"10.1371\/journal.pone.0198095","article-title":"Sexual behaviors, HIV knowledge, HIV testing attitudes and recent HIV testing among female entertainment workers in Cambodia: A cross-sectional study","volume":"13","author":"S Yi","year":"2018","journal-title":"PLoS One"},{"issue":"4","key":"pgph.0001350.ref032","doi-asserted-by":"crossref","first-page":"1075","DOI":"10.1007\/s10461-011-0003-2","article-title":"Development of the perceived risk of HIV scale","volume":"16","author":"LE Napper","year":"2012","journal-title":"AIDS Behav"},{"issue":"2","key":"pgph.0001350.ref033","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1080\/09540120801932157","article-title":"HIV\/AIDS stigma in a South African community","volume":"21","author":"MJ Visser","year":"2009","journal-title":"AIDS Care"},{"issue":"1","key":"pgph.0001350.ref034","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12912-019-0345-z","article-title":"Factors that influence transition to advanced roles by RN to BSN nurses, in three selected hospitals of Central-Uganda","volume":"18","author":"JB Asiimwe","year":"2019","journal-title":"BMC nursing"},{"key":"pgph.0001350.ref035","first-page":"1","article-title":"Uptake of HIV testing and its associated factors among long-distance truck drivers in Zambia, 2015","author":"LS Mutale","year":"2018","journal-title":"Journal of Interventional Epidemiology and Public Health"},{"key":"pgph.0001350.ref036","doi-asserted-by":"crossref","first-page":"78","DOI":"10.2307\/3583162","article-title":"Sexual behaviour, HIV-related knowledge and condom use by intra-city commercial bus drivers and motor park attendants in Lagos, Nigeria","author":"E Ekanem","year":"2005","journal-title":"African Journal of Reproductive Health"},{"issue":"4","key":"pgph.0001350.ref037","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1258\/ijsa.2011.011313","article-title":"Sexual risk behaviours, condom use and sexually transmitted infection treatment-seeking behaviours among female sex workers and truck drivers in Uganda.","volume":"23","author":"JK Matovu","year":"2012","journal-title":"Int J STD AIDS"},{"issue":"4","key":"pgph.0001350.ref038","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.4314\/ahs.v13i4.24","article-title":"Knowledge, attitudes & barriers to condom use among female sex workers and truck drivers in Uganda: a mixed-methods study","volume":"13","author":"JK Matovu","year":"2013","journal-title":"Afr Health Sci"}],"container-title":["PLOS Global Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pgph.0001350","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,2]],"date-time":"2023-03-02T13:37:25Z","timestamp":1677764245000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pgph.0001350"}},"subtitle":[],"editor":[{"given":"Lei","family":"Gao","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2023,3,2]]},"references-count":38,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,3,2]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pgph.0001350","relation":{"has-preprint":[{"id-type":"doi","id":"10.1101\/2022.11.14.22282306","asserted-by":"object"}]},"ISSN":["2767-3375"],"issn-type":[{"value":"2767-3375","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,2]]}}}