Self-reported illness among Boston-area international travelers: A prospective study
| Autor: | Rhett J. Stoney, Elizabeth D. Barnett, Winnie W. Ooi, Mary E. Wilson, Davidson H. Hamer, Pauline V. Han, Christine M. Benoit, Emily S. Jentes, Lin H. Chen |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Health Knowledge Attitudes Practice medicine.medical_specialty Internationality 030231 tropical medicine Article Young Adult 03 medical and health sciences 0302 clinical medicine Medical Tourism Influenza Human Influenza prevention medicine Travel medicine Humans Prospective Studies 030212 general & internal medicine European Union Young adult Prospective cohort study Nose Travel business.industry Public Health Environmental and Occupational Health Middle Aged medicine.disease Vaccination Diarrhea Infectious Diseases medicine.anatomical_structure Italy Influenza Vaccines Family medicine Female Immunization Health education Self Report Medical emergency medicine.symptom business human activities Delivery of Health Care Boston |
| Popis: | Summary Background The Boston Area Travel Medicine Network surveyed travelers on travel-related health problems. Methods Travelers were recruited 2009–2011 during pre-travel consultation at three clinics. The investigation included pre-travel data, weekly during-travel diaries, and a post-travel questionnaire. We analyzed demographics, trip characteristics, health problems experienced, and assessed the relationship between influenza vaccination, influenza prevention advice, and respiratory symptoms. Results Of 987 enrolled travelers, 628 (64%) completed all surveys, of which 400 (64%) reported health problems during and/or after travel; median trip duration was 12 days. Diarrhea affected the most people during travel (172) while runny/stuffy nose affected the most people after travel (95). Of those with health problems during travel, 25% stopped or altered plans; 1% were hospitalized. After travel, 21% stopped planned activities, 23% sought physician or other health advice; one traveler was hospitalized. Travelers who received influenza vaccination and influenza prevention advice had lower rates of respiratory symptoms than those that received influenza prevention advice alone (18% vs 28%, P = 0.03). Conclusions A large proportion of Boston-area travelers reported health problems despite pre-travel consultation, resulting in inconveniences. The combination of influenza prevention advice and influenza immunization was associated with fewer respiratory symptoms than those who received influenza prevention advice alone. |
| Databáze: | OpenAIRE |
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