Nepalese Trekking Guides: A Quantitative Study of Sexual Health Knowledge And Sexual Behaviour

  • P Simkhada International Public Health, Centre for Public Health, Liverpool John Moores University
  • E Van Teijlingen Institute of Health Sciences (MMIHS)
  • P Regmi FHI 360 Kathmandu
  • P Bhatta University of Aberdeen, Scotland, UK
  • R Ingham Centre for Sexual Health Research, University of Southampton
  • N Stone Centre for Sexual Health Research, University of Southampton
Keywords: Reproductive health, Condoms, Lifestyle, Tourism, Himalayas

Abstract

Tourism, a global industry, brings with it a number of public health problems, one of which is the spread of sexually transmitted infections transmitted between travelers and hosts. Previous studies have largely focused on sex workers and sex tourists. This study assesses sexual behavior, knowledge and condom use among male trekking guides in Nepal. A self-administered questionnaire survey (n=324) was conducted using snowball sampling amongst men working as mountain trekking guides in Nepal. Most respondents (59%) had initiated sex before the age of 18. Most (84 %) reported sexual relations with a woman other than their partner, 46% reported foreign partners, 43% had Nepalese partners, and 28% had concurrent foreign and Nepalese partners. Most (70 %) reported ever having sex with a foreign woman and two-thirds had had sexual intercourse with foreign women in the previous 12 months. Participants’ age, education status, age of first sex, smoking and drinking habits and English proficiency were significant predictors of having sex with foreign women. About 60% reported condom use during their most recent occasion of extra-marital sex. A similar proportion had used a condom during last sexual intercourse with a foreign woman. The likelihood of condom use was associated with a guide’s age, educational level, ethnicity, age of first sex and work experience. Most trekking guides reported sexual relations with foreign women as well as irregular use of condoms. Although sexual health knowledge about among trekking guides is high, some misconceptions still result in unsafe sex. Hence there is an urgent need to revise the existing training for trekking guides and implement appropriate health promotion programmes.

DOI: http://dx.doi.org/10.3126/jmmihs.v1i4.12000

Journal of Manmohan Memorial Institute of Health Sciences

Vol. 1, Issue 4, 2015

Page: 35-42

 

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Author Biographies

P Simkhada, International Public Health, Centre for Public Health, Liverpool John Moores University
Professor
E Van Teijlingen, Institute of Health Sciences (MMIHS)
Visiting Professor
P Regmi, FHI 360 Kathmandu
Seniorr Surveillanceand Research Specialist
P Bhatta, University of Aberdeen, Scotland, UK
MSc graduate
R Ingham, Centre for Sexual Health Research, University of Southampton
Professor
N Stone, Centre for Sexual Health Research, University of Southampton
Senior ResearchFellow
Published
2015-02-01
How to Cite
Simkhada, P., Van Teijlingen, E., Regmi, P., Bhatta, P., Ingham, R., & Stone, N. (2015). Nepalese Trekking Guides: A Quantitative Study of Sexual Health Knowledge And Sexual Behaviour. Journal of Manmohan Memorial Institute of Health Sciences, 1(4), 35-42. https://doi.org/10.3126/jmmihs.v1i4.12000
Section
Articles