STD risk-related sexual behaviors of Manila\u27s North Harbor stevedores

Early studies indicate that men are at risk for Sexually-Transmitted Diseases (STDs) because of their relationship with sex workers. The study aims to look into risk related sexual behavior of stevedores that may expose them to infections with sexually transmitted diseases. Specifically, the study aims to describe their sexual practices and beliefs, identify social and individual risk-related factors, identify patterns of sexual behavior that determines STD risks, and draw out programmatic issues for policy and programs to reduce high risk behavior.The study was conducted through in-depth interviews with fifty-five stevedores working in the North Harbor using an interview schedule. Individual cases of stevedores who have had STDs were also used to analyze risk-related sexual behaviors. Observation notes were used to describe the working environment of the stevedores and validate findings from the interview schedule.Significant risk-related sexual behavior that predisposes stevedores to exposure and infection to sexually transmitted diseases were found in the study. These findings support both local and foreign studies in this area. Most significant risks found in the study were unprotected sexual intercourse with female sex workers, low levels of information about sexually transmitted diseases, noteable incidence of infection with sexually transmitted diseases, none-use of STD health care facilities and/or inaccessibility to health care practitioners, improper knowledge of appropriate treatment and the dependence on co-workers for self-medication. Sexual beliefs and practices of stevedores are further influenced by other related social and individual factors that may increase or decrease the likelihood of infection with STDs. Stevedores who get drunk with alcohol, perceive low vulnerability and self-medicate are more likely to have multiple sex partners and engage in risky sexual behaviors. The study finds the need for intensive education programs for stevedores on individual sexuality and sexual health. The study also finds the need for similar inquiry among other groups of men in the same occupational and socio-economic class