Sexual Behaviour, HIV-Related Knowledge and Condom Use by Intra-City Commercial Bus Drivers and Motor Park Attendants in Lagos, Nigeria

E. E. Ekanem, B M Afolabi, A O Nuga, S B Adebajo


A study was undertaken among 395 intra-city commercial bus drivers, conductors and motor park attendants in a sub-urban community in Lagos, Nigeria. It was aimed at ascertaining the level of knowledge of the participants on sexually transmitted diseases including AIDS, their sexual practices and perceived vulnerability to these diseases and, in particular, their attitude to and use of condoms. A semi-structured interview schedule was used for data collection. The men were found to have a strongly woven network of sexual relationships. Their sexual network included, apart from their wives and regular partners, commercial sex workers, young female hawkers, schoolgirls, and market women within and outside the motor parks. More than two thirds (74.3%) of the men had multiple sex partners and many of them had had sexually transmitted diseases at one time or another. Condom ever-use rate was 65.6% but consistent and regular use rate with casual partners was 11.6%. Almost all the respondents (96.4%) knew themselves to be at high risk of contracting STDs, while 87.6% felt that it was impossible for them to "catch" AIDS. Poor knowledge of risk factors for STDs was exhibited, as many of them attributed their previous STDs to excessive exposure to the sun, having sex in the sun, and their partners remaining in the bath for too long. Intra-city commercial bus operators and men at motor parks are a high risk group for acquiring HIV infection. Their sexual networking with a variety of women within and outside the parks also seems to suggest that they play a major role in transmitting HIV infection in urban communities in Nigeria. There is a need for intervention programmes with a focus on men at motor parks and similar high risk groups. (Afr J Reprod Health 2005; 9[1]: 78-87)


Keywords: HIV/AIDS, STDs, drivers, condom

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World Health Organization. AIDS - Images of the Epidemic. Geneva: WHO, 1994.

UNAIDS/World Health Organization. AIDS Epidemic Update. December 2004.

Federal Ministry of Health. The 2003 National HIV Seroprevalence Sentinel Survey. Technical Report, April, 2004.

Lamptey P and Piot P. A Handbook of AIDS Prevention in Africa. Durham: Family Health International, 1990.

Redfield PR, Markham PD, Salahuddin SZ, et al. Heterosexually acquired HTLV-III/LAV disease IAIDS-related complex and AIDS). Epidemiology evidence for female-to-male transmission. J Amer Med Assoc 1985; 254(15): 2094-2096.

Hope KR. Population mobility and multi-partner sex in Botswana: implications for the spread of HIV/AIDS. Afr J Reprod Health 2001; 5: 74-83.

Orubuloye I, Caldwell J and Caldwell P. Men's sexual behaviour in urban and rural southwest Nigeria. Its cultural, social and attitudinal context. Health Trans Rev 1997; 7: 97-101.

Carswell JW, Lloyd G and Howells J. Short communication: prevalence of HIV-1in East African lorry drivers. AIDS 1989; 3:

Bwayo JJ, Mutere AN, Omari MA, Kreiss JK, Jaoko W, Sekkade-Kigondu C and Plummer FA. Long distance truck drivers: knowledge of attitudes concerning sexually transmitted and sexual behaviour. E Afr Med J 1991; 68(9): 174-179.

Rakwar J, Lavreys L, Thompson ML, Jackson D, Bwayo J, Hassanali S, Mandaliya K, Ndinya-Achola J and Kreiss J. Cofactors for the acquisition of HIV-1 among heterosexual men: prospective cohort study of trucking company workers in Kenya. AIDS 1999; 13(5): 607-614.

Rao KS, Pilli RD, Rao AS and Chalam PS. Sexual life of long distance lorry drivers in India: questionnaire survey. Br Med J 1999; 318: 162-163.

Ramjee EA. Sexually transmitted infections among sex-workers in Kwazulu-Natal, South Africa. Sex Trans Dis 1998; 25(7):


Oruboloye IO, Caldwell P and Caldwell JC. The role of high-risk occupations in the spread of AIDS: truck drivers and itinerant market women in Nigeria. Inter Fam Plann Persp 1993; 19: 43-48.

Namibian Institute for Social and Economic Research (NISER). Let's crush AIDS: national AIDS awareness survey, 1992.

Asuzu MC. Sexual beliefs, attitudes and knowledge of adolescent youths in Ibadan concerning AIDS. W Afr J Med 1994; 13: 245-247.

Odujinrin OMT and Akinkuade FO. Adolescent AIDS knowledge, attitudes and beliefs about preventive practices in Nigeria. Eur J Epidemiol 1991; 7: 127-133.

Gorgen R, Yansane, ML, Marx M and Millimounou D. Sexual behaviour and attitudes among unmarried urban youths in Guinea. Inter Fam Plann Persp 1998; 24: 65-71.

Katz KR, West CG Doumbia F and Kane F. Increasing access to family planning services in rural Mali through community based distribution. Inter Fam Plann Persp 1998; 24: 104-110.


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