Sexual Health

Sexual behavior and preventive practices among truck drivers to prevent Sexually Transmitted Infections.

TL;DR

The findings reveal diverse sexual practices among truck drivers and identify factors associated with increased exposure to STIs, underscoring the need for strategies to promote the sexual health of this population.

Key Findings

The study sample was almost entirely male, with 209 of 211 truck drivers (99.1%) identifying as male.

  • Cross-sectional study conducted in Picos, Piauí, Brazil
  • 211 truck drivers were approached at three fuel stations
  • Data collected between August 2023 and January 2024
  • A self-administered questionnaire was used to collect sociodemographic, behavioral, and sexual health data

More than one in four truck drivers reported experiencing signs or symptoms in the genital region suggestive of a sexually transmitted infection.

  • 60 participants (28.4%) reported signs or symptoms in the genital region suggestive of an STI
  • Among those reporting previous STI symptoms, 61% sought treatment
  • Treatment was obtained mostly through the Unified Health System (SUS)
  • 39% of those reporting symptoms did not seek any care

Consistent condom use was low, with fewer than one quarter of participants reporting always using condoms.

  • Only 44 participants (22.1%) reported consistent condom use
  • 54 participants (31%) obtained condom supplies from the public health system
  • Low condom use was observed in the context of diverse sexual practices reported across the sample

Signs or symptoms suggestive of STIs were significantly associated with number of sexual partners, casual partners, and illicit drug use.

  • Significant association found between STI signs/symptoms and number of sexual partners in the past 12 months (p=0.004)
  • Significant association found between STI signs/symptoms and having casual partners (p=0.015)
  • Significant association found between STI signs/symptoms and illicit drug use (p=0.017)
  • Associations were identified using inferential statistical analysis

Rapid tests for syphilis, HIV, and hepatitis B and C were offered as part of the study protocol.

  • Testing was offered to all 211 truck driver participants
  • Tests covered four major STIs: syphilis, HIV, hepatitis B, and hepatitis C
  • Testing was conducted at fuel stations where drivers were approached
  • The study combined behavioral data collection with on-site rapid diagnostic testing

What This Means

This research examined the sexual behavior and health practices of truck drivers in northeastern Brazil, a group considered to be at elevated risk for sexually transmitted infections (STIs) due to long periods away from home, mobility across regions, and contact with multiple partners. Over 200 truck drivers were surveyed at fuel stations and offered rapid tests for HIV, syphilis, and hepatitis B and C. The study found that nearly 30% of drivers reported genital symptoms suggesting an STI, yet only about 22% consistently used condoms, and 39% of those with symptoms never sought medical care. The research also identified specific behaviors linked to higher STI risk: drivers who had more sexual partners, who engaged with casual partners, or who used illicit drugs were significantly more likely to report STI-related symptoms. These associations suggest that certain lifestyle factors common in the trucking profession compound the risk of infection and transmission. This research suggests that truck drivers represent a population with significant unmet sexual health needs, including gaps in condom use, health-seeking behavior, and access to preventive care. The findings point to a need for targeted public health interventions — such as accessible testing, condom distribution, and health education — specifically designed to reach this mobile, hard-to-access workforce at locations like fuel stations where they can be contacted during their routes.

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Citation

Oliveira F, Araújo M. (2026). Sexual behavior and preventive practices among truck drivers to prevent Sexually Transmitted Infections.. Revista gaucha de enfermagem. https://doi.org/10.1590/1983-1447.2025.20250002.en