Travel-related sexually transmitted infections

Korzeniewski, Krzysztof; Juszczak, Dariusz

doi:10.5603/imh.2015.0045

Cited by 18 publications

(28 citation statements)

References 44 publications

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“…To explore this issue further, and as part of a larger study examining male expatriate and traveler social networks and risks for HIV and other STIs, we sought to build on previous reviews exploring traveller sexual health [20,22,28,30,38,39,40,41,42,43]. This work was undertaken concurrently with work examining the experiences, barriers and enablers related to HIV acquisition risk amongst migrants from low- and middle-income countries travelling to high-income countries.…”

Section: Introductionmentioning

confidence: 99%

HIV, Other Blood-Borne Viruses and Sexually Transmitted Infections amongst Expatriates and Travellers to Low- and Middle-Income Countries: A Systematic Review

Crawford

Lobo

Brown

et al. 2016

IJERPH

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In some high-income countries, a proportion of human immunodeficiency virus (HIV), other blood-borne virus (BBV) or sexually transmitted infection (STI) diagnoses have been reported as acquired overseas in low- and middle-income countries. A review was conducted to explore HIV, other BBV or STI related knowledge, risk behavior and acquisition amongst expatriates and travelers, particularly males, travelling from high to low- and middle-income countries. Seven academic databases were searched for 26 peer reviewed articles that met inclusion criteria. Significant variability in the studies was noted, in age, travel duration and frequency and outcomes/risk factors measured and reported on. Risk factors described included longer duration of stay; being single; travel for romance or sex; alcohol and other drug use; lack of travel advice; being male; higher number of sexual partners; and inconsistent condom use. Vaccination, pre-travel health advice, and having fewer sexual partners were described as protective. Studies are needed focusing on the social context in which risk-taking occurs. Better collaboration is essential to deliver comprehensive health promotion interventions alongside more consistent pre- and post- travel testing and advice. Policy measures are crucial, including consistent evaluation indicators to assess impacts of HIV, other BBVs or STIs in the context of mobility. Risks and responses for these epidemics are shared globally.

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Section: Introductionmentioning

confidence: 99%

HIV, Other Blood-Borne Viruses and Sexually Transmitted Infections amongst Expatriates and Travellers to Low- and Middle-Income Countries: A Systematic Review

Crawford

Lobo

Brown

et al. 2016

IJERPH

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“…23 This is explained by the increased likelihood among young people to engage in high-risk sexual behavior compared with older age groups, in the light of meeting new people and the willing for new experiences. 11 Male sex, traveling to VFRs, not having a pretravel consultation, and a duration of travel <30 days are also independently associated with a diagnosis of STI among travelers. 11 Additional risk factors for engaging in casual sex while traveling include paying for sex, multiple partners, casual sex or multiple partners at home, longer duration of stay, and use of alcohol or illicit drugs.…”

Section: Infectious Diseasesmentioning

confidence: 98%

“…9 Sexually-transmitted infections (STIs) are also of concern for adolescent international travelers, since young age (15-25 years old) is a common risk factor for travel-acquired STIs. 11 Although adolescents and young adults constitute 25% of the sexually active population, these age groups account for almost 50% of all new acquired STIs. 23 This is explained by the increased likelihood among young people to engage in high-risk sexual behavior compared with older age groups, in the light of meeting new people and the willing for new experiences.…”

Section: Infectious Diseasesmentioning

confidence: 99%

Adolescents Traveling to High-Risk Destinations: Review and Considerations for Clinicians

Maltezou

Pavli

2018

Int J Travel Med Glob Health

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Introduction: International travels have increased dramatically in recent years. Adolescents constitute a fast-growing group of travelers. Travels provide an opportunity for exposure to high-risk behavior. The current study reviewed the published data about travel-related morbidity among adolescents traveling to international destinations. Methods: PubMed was searched for articles published from 2000-2017. The websites of public health organizations were also searched. Results: In total, 21 articles presenting original data about adolescent international travelers were identified. The data indicated that adolescents frequently develop ailments during travel, including those attributable to age-related high-risk behavior. In addition, adolescents often manifest a travel-associated morbidity that differs in terms of proportion (e.g., higher rates of systemic febrile illness) from the travelassociated morbidity encountered in younger children and adults. Pre-travel counseling is sought by less than half of adolescents traveling to high-risk destinations. Gaps were found in travel vaccinations and antimalarial prophylaxis in adolescents traveling to endemic areas. Information about vaccinations, antimalarial prophylaxis, and pre-travel counseling for adolescent travelers should be improved. Conclusion: There is a need to improve pre-travel services for adolescents planning to travel to high-risk international destinations. Communication strategies to access adolescent travelers and their parents should be investigated.

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“…Traveling has historically been an important risk factor for acquisition and spread of sexually transmitted infections (STIs). Over the last decades, 5-50% of short-term travelers engaged in casual sex during foreign trips, with a substantial risk of developing STIs 77,78 . RWT, even those with a partner, need advice about STIs, condom use, and hepatitis B vaccination, and to come for screening after return if they have engaged in casual sex during the trip 78 .…”

Section: Sexually Transmitted Infectionsmentioning

confidence: 99%

Preventing diseases in round-the-world travelers: a contemporary challenge for travel medicine advice

Rodrigues

Moreira

2018

Rev. Soc. Bras. Med. Trop.

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Providing advice for travelers embarking on long-term trips poses a challenge in travel medicine. A long duration of risk exposure is associated with underuse of protective measures and poor adherence to chemoprophylaxis, increasing the chances of acquiring infections. Recently, in our clinic, we observed an increase in the number of travelers undertaking round-the-world trips. These individuals are typically aged around 32 years and quit their jobs to embark on one-to-two-year journeys. Their destinations include countries in two or more continents, invariably Southeast Asia and Indonesia, and mostly involve land travel and visiting rural areas. Such trips involve flexible plans, increasing the challenge, especially with regard to malaria prophylaxis. Advising round-the-world travelers is time-consuming because of the amount of information that must be provided to the traveler. Advisors must develop strategies to commit the traveler to his/her own health, and verify their learnings on disease-prevention measures. Contacting the advisor after the appointment or during the trip can be helpful to clarify unclear instructions or diagnosis made and prescriptions given abroad. Infectious diseases are among the most frequent problems affecting travelers, many of which are preventable by vaccines, medicines, and precautionary measures. The dissemination of counterfeit medicines, particularly antibiotics and antimalarial medicines, emphasizes the need for travelers to carry medicines that they may possibly need on their trip. Additional advice on altitude, scuba diving, and other possible risks may also be given. Considering the difficulties in advising this group, we present a review of the main recommendations on advising these travelers.

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Travel-related sexually transmitted infections

Cited by 18 publications

References 44 publications

HIV, Other Blood-Borne Viruses and Sexually Transmitted Infections amongst Expatriates and Travellers to Low- and Middle-Income Countries: A Systematic Review

HIV, Other Blood-Borne Viruses and Sexually Transmitted Infections amongst Expatriates and Travellers to Low- and Middle-Income Countries: A Systematic Review

Adolescents Traveling to High-Risk Destinations: Review and Considerations for Clinicians

Preventing diseases in round-the-world travelers: a contemporary challenge for travel medicine advice

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