A Population-based Comparison between Travelers Who Consulted Travel Clinics and Those Who Did Not
| Autor: | Kevin C. Kain, Monika Naus, Nicole Boulianne, Gina Pohani, Ramak Shadmani, Monique Douville Fradet, Louis Rochette, Bernard Duval, Gaston De Serre, Brian J. Ward |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty Pediatrics Endemic Diseases Population Specialty Random Allocation Health services medicine Humans education Referral and Consultation Probability Ontario Hepatitis Travel education.field_of_study business.industry Public health Quebec Attendance Hepatitis A General Medicine Middle Aged Patient Acceptance of Health Care medicine.disease Random digit dialing Health Care Surveys Family medicine Female business human activities |
| Zdroj: | Journal of Travel Medicine. 10:4-10 |
| ISSN: | 1195-1982 |
| DOI: | 10.2310/7060.2003.30659 |
| Popis: | Background Travel to hepatitis A-endemic countries is frequent among North Americans. Such travel carries significant risks for the individuals themselves and for the general population. We documented the patterns of use of travel clinics in a large Canadian adult population. Methods Travelers who had visited a hepatitis A-endemic country between 1990 and the time of the survey in 1999 were eligible. Subjects were identified from a representative sample of 4,002 adults from the two largest Canadian provinces. They were contacted by random digit dialing and interviewed by telephone. Results Only 15% of trips had been preceded by a visit to a travel clinic. The probability of visiting a travel clinic was approximately 10 times greater for travelers considered to be in the high-risk category than for those in the low-risk category, but the former represented only 2% of the total. The probability of visiting a travel clinic was approximately 23 times greater for travelers who were aware of the health risks in their country of destination. Income level was not associated with attendance at a travel clinic, and cost was rarely mentioned as a reason for not attending such a travel clinic before departure. Conclusions Each year, millions of Canadian travelers go to hepatitis A-endemic countries without consulting a travel clinic. Active steps must be taken by public health authorities to improve their utilization of health services and prevent the accrued health risk for these travelers. |
| Databáze: | OpenAIRE |
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