• We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Logo of straninfSexually Transmitted InfectionsCurrent TOCInstructions for authors
Sex Transm Infect. Dec 2001; 77(6): 436–440.
PMCID: PMC1744414

STD history, self treatment, and healthcare behaviours among fishermen in the Gulf of Thailand and the Andaman Sea


Objective: Migrant populations are at higher risk for HIV infection. Access to health care and STD treatment is thought to lower this risk. This study aims to examine determinants of STD history and treatment and healthcare behaviours among fishermen in the Gulf of Thailand and the Andaman Sea.

Methods: A cross sectional survey of fishermen working on commercial fishing trawlers was conducted in four provinces in Thailand in early 1998.

Results: Of the 818 fishermen interviewed, 30% reported a history of STD, of which 31% reported self treatment of the last STD. 32% reported self care for general health while ashore. In multivariate analyses, a history of STD was significantly more often reported by older men compared with younger men, by owners and skippers compared with lower positions on the boat, and by men who have ever visited female sex workers. Self treatment of the last STD was related to being Burmese compared with being Thai, and to working as a steersman or ship hand compared with as a skipper. Self care for general health while ashore was significantly related to being Burmese or Khmer compared with being Thai, and to being unmarried compared with married.

Conclusion: Burmese migrant fishermen and their needs should be targeted for culturally specific interventions to increase their understanding of STD treatment and improve their access to health care.

Key Words: sexually transmitted diseases; migrants; South East Asia

Full Text

The Full Text of this article is available as a PDF (105K).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Maticka-Tyndale E, Elkins D, Haswell-Elkins M, Rujkarakorn D, Kuyyakanond T, Stam K. Contexts and patterns of men's commercial sexual partnerships in northeastern Thailand: implications for AIDS prevention. Soc Sci Med. 1997 Jan;44(2):199–213. [PubMed]
  • Vanlandingham M, Knodel J, Saengtienchai C, Pramualratana A. In the company of friends: peer influence on Thai male extramarital sex. Soc Sci Med. 1998 Dec;47(12):1993–2011. [PubMed]
  • Htoon MT, Lwin HH, San KO, Zan E, Thwe M. HIV/AIDS in Myanmar. AIDS. 1994;8 (Suppl 2):S105–S109. [PubMed]
  • Khamboonruang C, Beyrer C, Natpratan C, Keawvichit R, Wongworapat K, Eiumtrakul S, Celentano DD, Nelson KE. Human immunodeficiency virus infection and self-treatment for sexually transmitted diseases among northern Thai men. Sex Transm Dis. 1996 Jul-Aug;23(4):264–269. [PubMed]
  • Kilmarx PH, Limpakarnjanarat K, St Louis ME, Supawitkul S, Korattana S, Mastro TD. Medication use by female sex workers for treatment and prevention of sexually transmitted diseases, Chiang Rai, Thailand. Sex Transm Dis. 1997 Nov;24(10):593–598. [PubMed]
  • Podhisita C, Wawer MJ, Pramualratana A, Kanungsukkasem U, McNamara R. Multiple sexual partners and condom use among long-distance truck drivers in Thailand. AIDS Educ Prev. 1996 Dec;8(6):490–498. [PubMed]
  • Hanenberg RS, Rojanapithayakorn W, Kunasol P, Sokal DC. Impact of Thailand's HIV-control programme as indicated by the decline of sexually transmitted diseases. Lancet. 1994 Jul 23;344(8917):243–245. [PubMed]
  • Tangcharoensathien V, Harnvoravongchai P, Pitayarangsarit S, Kasemsup V. Health impacts of rapid economic changes in Thailand. Soc Sci Med. 2000 Sep;51(6):789–807. [PubMed]

Articles from Sexually Transmitted Infections are provided here courtesy of BMJ Group


Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...


  • MedGen
    Related information in MedGen
  • PubMed
    PubMed citations for these articles

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...