Do travel clinic visitors read information on sexual risk abroad in travel health brochures?

Background: A substantial proportion of travel clinic visitors have sexual encounters while abroad. Hence, guidelines on travel health recommend discussing sexual risk in a pre-travel consultation. However, previous studies showed that it often is not discussed. Although travel clinic visitors usually do receive written information on sexual risk abroad, few data are available on whether this information is read. Therefore, this prospective cohort study in travel clinic visitors was performed. Methods: Travel clinic visitors were invited to complete a questionnaire after return from their journey. Results: A total of 130 travellers (55%) responded. Half of them recorded they read the information on sexual risk. Male gender (OR 9.94 95% CI 3.12 – 31.63) and ‘travelling with others’ (OR 2.7 95% CI 1.29 – 5.78) were significant independent predictors of reading the information on sexual risk. High risk travellers, i.e. those travelling without a steady partner, were less likely to have read it. Although websites and apps were mentioned as better methods of providing information, none of the participants visited the websites on sexual behaviour and sexually transmitted infections recommended in the travel health brochure. Conclusion: Only half of travel clinic visitors read information on sexual risk in the health brochure received in the clinic and none of them visited the related websites mentioned in the brochure. Further research to identify the most effective way to inform travellers about sexual risk is needed.

[1]  P. Mayta-Tristán,et al.  Factors associated with non-use of condoms in an online community of frequent travellers. , 2014, Travel medicine and infectious disease.

[2]  J. Chiodini "Can I Eat This"--review of a CDC app. , 2014, Travel medicine and infectious disease.

[3]  J. Chiodini A video tool to communicate the risk of rabies to a traveller pre travel. , 2014, Travel medicine and infectious disease.

[4]  G. Sonder,et al.  Unprotected casual sex equally common with local and Western partners among long-term Dutch travelers to (sub)tropical countries. , 2013, Sexually transmitted diseases.

[5]  D. Dahlman,et al.  Female Swedish backpackers in Vietnam: a hypotheses generating study on sexual health risks while travelling. , 2013, Travel medicine and infectious disease.

[6]  B. Rice,et al.  Safe travels? HIV transmission among Britons travelling abroad , 2012, HIV medicine.

[7]  P. Hunter,et al.  Foreign travel, casual sex & STIs: Systematic review and meta-analysis , 2010 .

[8]  H. Wand,et al.  The behaviour and sexual health of young international travellers (backpackers) in Australia , 2010, Sexually Transmitted Infections.

[9]  P. Easterbrook,et al.  Sexual health and HIV in travellers and expatriates. , 2007, Occupational medicine.

[10]  John Richens Sexually transmitted infections and HIV among travellers: a review. , 2006, Travel medicine and infectious disease.

[11]  E. Gotuzzo,et al.  Pretravel health advice among international travelers visiting Cuzco, Peru. , 2006, Journal of travel medicine.

[12]  B. Mulhall Sex and travel: studies of sexual behaviour, disease and health promotion in international travellers--a global review. , 1996, International journal of STD & AIDS.

[13]  Tanner,et al.  Malaria and Casual Sex: What Travelers Know and How They Behave. , 1996, Journal of travel medicine.

[14]  W. Bunn Knowledge, attitudes, and practices of US practitioners who provide pre-travel advice. , 2015, Journal of travel medicine.

[15]  R. Remmen,et al.  The effect of pre-travel advice on sexual risk behavior abroad: a systematic review. , 2014, Journal of travel medicine.

[16]  J. Hattendorf,et al.  Risk perception of travelers to tropical and subtropical countries visiting a swiss travel health center. , 2013, Journal of travel medicine.

[17]  J. van den Ende,et al.  Sexual risk behavior of travelers who consulted a pretravel clinic. , 2008, Journal of travel medicine.