Background: Substance use, risky sexual behaviour and violence are among the key youth health issues today. Whilst they are the focus of much prevention work in the UK, relatively little information is available to inform prevention in international holiday resorts, where young people can take the greatest risks with their health. Methods: We conducted a cross-sectional survey of 1033 British holidaymakers aged [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35]. Surveys covered frequency of alcohol and drug use at home and abroad, and drunkenness, sexual activity and experience of a range of negative experiences on holiday. Results: Illicit drug use was more common in Ibiza. Over half (53.9%) of visitors to Ibiza reported using at least one drug on holiday (compared with 13.9% in Majorca) and over a third reported using more than one drug. However visitors to Majorca reported more frequent drunkenness and more negative outcomes (arguments, fighting, unintentional injury, illness and requiring medical attention). In both locations, frequency of substance use increased on holiday. A quarter of those travelling without a partner reported having had sex during their holiday, and of these a third did not consistently use condoms. Frequent drunkenness was associated with fighting, unintentional injury and sex with a new partner. Illicit drug use, particularly polydrug use, was associated with fighting and unprotected sex. Conclusions: Young holidaymakers face significant health risks on holiday. Understanding which resorts are associated with which types of health risk behaviour is critical in targeting health promotion and harm reduction measures appropriately.
Key words: alcohol, recreational drugs, violence, risk behaviour, travel, nightlife.
RESUMEN ABSTRACTAntecedentes: Consumo de sustancias, conducta sexual de riesgo y violencia son los principales problemas de salud que sufren los jóvenes en la actualidad. Todo ello supone una gran labor preventiva en el Reino Unido, pero escasea la información sobre la prevención en los centros turísticos internacionales. Métodos: Realizamos un estudio transversal entre 1033 turistas británicos, de edades entre los 16 y los 35 años en los aeropuertos de Ibiza y Mallorca (España). El estudio analizó la frecuencia de consumo de alcohol, drogas, borracheras, actividad sexual y experiencias negativas en Inglaterra y en el extranjero durante las vacaciones. Resultados: El consumo de drogas ilegales fue más frecuente en Ibiza. Más de la mitad (53,9%) admitieron haber consumido al menos una droga ilegal en vacaciones (frente al 13,9% en Mallorca) y un tercio consumieron más de una. Sin embargo, los turistas de Mallorca se embriagaron con más frecuencia y con peores consecuencias (discusiones, peleas, daños involuntarios, enfermedades y necesidad de recibir asistencia médica). En ambos lugares la frecuencia del consumo de sustancias aumentó en vacaciones. La cuarta parte de los que viajaron sin pareja mantuvieron relaciones sexuales en vacaciones, y de el...