Malaria Prevention Strategies: Adherence Among Boston Area Travelers Visiting Malaria-Endemic Countries
| Autor: | Christine M. Benoit, William B. MacLeod, Elizabeth D. Barnett, Mary E. Wilson, Emily S. Jentes, Pauline V. Han, Davidson H. Hamer, Rhett J. Stoney, Lin H. Chen |
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| Rok vydání: | 2015 |
| Předmět: |
Gerontology
Adult Male medicine.medical_specialty 030231 tropical medicine Medication Adherence 03 medical and health sciences Antimalarials Young Adult 0302 clinical medicine Virology parasitic diseases medicine Humans 030212 general & internal medicine Young adult Peer pressure Prospective cohort study Aged Aged 80 and over Travel business.industry Articles Middle Aged medicine.disease Taking medication Malaria Risk perception Infectious Diseases Family medicine Chemoprophylaxis Parasitology Malaria prevention Female business human activities Boston |
| Zdroj: | The American journal of tropical medicine and hygiene. 94(1) |
| ISSN: | 1476-1645 |
| Popis: | We conducted a prospective cohort study to assess adherence to malaria chemoprophylaxis, reasons for nonadherence, and use of other personal protective measures against malaria. We included adults traveling to malaria-endemic countries who were prescribed malaria chemoprophylaxis during a pre-travel consultation at three travel clinics in the Boston area and who completed three or more surveys: pre-travel, at least one weekly during travel, and post-travel (2–4 weeks after return). Of 370 participants, 335 (91%) took malaria chemoprophylaxis at least once and reported any missed doses; 265 (79%) reported completing all doses during travel. Adherence was not affected by weekly versus daily chemoprophylaxis, travel purpose, or duration of travel. Reasons for non adherence included forgetfulness, side effects, and not seeing mosquitoes. Main reasons for declining to take prescribed chemoprophylaxis were peer advice, low perceived risk, and not seeing mosquitoes. Of 368 travelers, 79% used insect repellent, 46% used a bed net, and 61% slept in air conditioning at least once. Because travelers may be persuaded to stop taking medication by peer pressure, not seeing mosquitoes, and adverse reactions to medications, clinicians should be prepared to address these barriers and to empower travelers with strategies to manage common side effects of antimalarial medications. |
| Databáze: | OpenAIRE |
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