Risk factors for infections in international travelers: An analysis of travel-related notifiable communicable diseases
| Autor: | Jeffrey S. Duchin, Shelly McKeirnan, Tao Kwan-Gett, Lina P. Walkinshaw, Atar Baer, Eileen Benoliel, Rachel Brucker, Krista Rietberg, Monica Pecha, Jennifer Lloyd, Lauri Serafin, Lisa Libassi, Megan Q. Jones |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Health Knowledge Attitudes Practice medicine.medical_specialty Veterinary medicine Internationality Adolescent Communicable Diseases Young Adult Public health surveillance Risk Factors Surveys and Questionnaires medicine Humans Travel medicine Child Aged Travel Communicable disease business.industry Malaria prophylaxis Public health Public Health Environmental and Occupational Health Middle Aged medicine.disease Infectious Diseases Infectious disease (medical specialty) Child Preschool Population Surveillance Family medicine Female Health education business human activities Malaria |
| Zdroj: | Travel Medicine and Infectious Disease. 12:525-533 |
| ISSN: | 1477-8939 |
| Popis: | Summary Background We sought to describe travel-related illness among our residents and gain insight into targeting pre-travel health advice to prevent travel-related illness. Methods A supplemental travel questionnaire was developed and administered for cases with a legally notifiable communicable disease reported in 2011–2012, who spent at least part of their exposure period outside the United States. Results Among 451 cases meeting the eligibility criteria, 259 were interviewed. Forty four percent reported receiving pre-travel advice. Two-thirds adhered fully with risk behavior recommendations; 94% followed immunization recommendations partially or fully; and 84% adhered fully with malaria prophylaxis recommendations. The primary reasons for not obtaining pre-travel advice were being unaware of the need (47.5%), or believing they already knew what to do (34.5%). Adults (OR = 2.8, 95% CI = 1.4–5.5), males (OR = 1.8, 95% CI = 1.1–3.0), those born outside the United States (OR = 2.0, 95% CI = 1.1–3.7), and those with planning time under two weeks (OR = 4.8, 95% CI = 1.5–15.9) or travel duration less than 7 days (OR = 7.9, 95% CI = 3.0–20.9) were more likely to travel without seeking pre-travel advice. Conclusions The majority of cases reported not receiving pre-travel advice. Understanding the predictors of failure to receive pre-travel advice may help target public health prevention efforts. |
| Databáze: | OpenAIRE |
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