International travel and sexually transmitted diseases

Memish, Ziad A.; Osoba, Abimbola O.

doi:10.1016/j.tmaid.2005.01.003

Cited by 47 publications

(32 citation statements)

References 18 publications

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“…Several studies [5,8,30] found an association between alcohol consumption, smoking and drug use and risky sexual behaviour, although no significant result was found for alcohol use and unsafe sexual practices in this study. The study found a significant association between smoking and sexual intercourse.…”

Section: Discussioncontrasting

confidence: 90%

“…Tourism constitutes one of the world's largest industries, and travellers can transfer and acquire STIs (sexually transmitted infections) and HIV/AIDS, mainly due to (in)voluntary sexual behaviour [1][2][3][4][5][6]. Tourists are more likely to engage in risky sexual behaviours whilst travelling than in their own community, [4,7] making it an important area for health promotion [8].…”

Section: Introductionmentioning

confidence: 99%

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Nepalese Trekking Guides: A Quantitative Study of Sexual Health Knowledge And Sexual Behaviour

Simkhada

Teijlingen

Regmi

et al. 2015

J. Manmohan Memorial Inst. Health. Sci.

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Tourism, a global industry, brings with it a number of public health problems, one of which is the spread of sexually transmitted infections transmitted between travellers and hosts. Previous studies have largely focused on sex workers and sex tourists. This study assesses sexual behaviour, knowledge and condom use among male trekking guides in Nepal. A self-administered questionnaire survey (n=324) was conducted using snowball sampling amongst men working as mountain trekking guides in Nepal. Most respondents (59%) had initiated sex before the age of 18. Most (84 %) reported sexual relations with a woman other than their partner, 46% reported foreign partners, 43% had Nepalese partners, and 28% had concurrent foreign and Nepalese partners. Most (70 %) reported ever having sex with a foreign woman and two-thirds had had sexual intercourse with foreign women in the previous 12 months. Participants' age, education status, age of first sex, smoking and drinking habits and English proficiency were significant predictors of having sex with foreign women.About 60% reported condom use during their most recent occasion of extra-martial sex. A similar proportion had used a condom during last sexual intercourse with a foreign woman. The likelihood of condom use was associated with a guide's age, educational level, ethnicity, age of first sex and work experience. Most trekking guides reported sexual relations with foreign women as well as irregular use of condoms. Although sexual health knowledge about among trekking guides is high, some misconceptions still result in unsafe sex. Hence there is an urgent need to revise the existing training for trekking guides and implement appropriate health promotion programmes.

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Section: Discussioncontrasting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Nepalese Trekking Guides: A Quantitative Study of Sexual Health Knowledge And Sexual Behaviour

Simkhada

Teijlingen

Regmi

et al. 2015

J. Manmohan Memorial Inst. Health. Sci.

View full text Add to dashboard Cite

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“…Driven by globalisation, tourism, migration, conflict and labour markets, international mobility presents risks for HIV transmission [1][2][3]. Acquisition of HIV via cross border travel has been an increasing proportion of diagnoses for high income countries, changing patterns of epidemics [4].…”

Section: Introductionmentioning

confidence: 99%

“…Whilst the Strategy explicitly calls for better understanding of and responses to this broad group, no previous Australian study had investigated the social, cultural, and behavioural factors influencing HIV sexual risk among Australian men who travel overseas. Many European and North American studies have explored sex and travel; however, these studies focused on sexual risk behaviour while travelling, rather than the social, cultural and individual contexts that influence sexual risk among men who travel overseas for work or leisure [3] [11][12][13][14][15], and only few studies exist which explore why tourists engage in transactional or unprotected sex [16][17]. This paper presents findings from a small qualitative study exploring the social, cultural and sexual practices and contextual factors contributing to overseas-acquisition of HIV by male residents of Western Australia and the Northern Territory.…”

Section: Introductionmentioning

confidence: 99%

‘Living a life less ordinary’: exploring the experiences of Australian men who have acquired HIV overseas

et al. 2014

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Background Increasing international mobility has led to a growth of cross-border HIV transmission around the world. In Australia, increasing rates of HIV infections acquired overseas have been reported, particularly among men. This qualitative study explored experiences and risk perceptions of 14 Australian men who acquired HIV while living or travelling overseas from the year 2000. Methods: Symbolic interaction provided the study’s theoretical perspective and analytical framework. Australian men living with HIV who were aged 18 years and older, believed they had acquired their infection while working or travelling overseas during or after the year 2000, and were diagnosed from 2003 onwards were eligible to participate. A semistructured interview schedule was developed and tested for content validity with the study reference group. Analysis was conducted using an adapted form of grounded theory to form the basis for the development of the experiences domains. Results: Analysis produced four domains of experience: (1) a fantasy realised, (2) escaping and finding a new self or life, (3) living a life less ordinary and (4) living local but still an outsider. The description of the four experience domains highlights how risk generally, particularly sexual risk, did or did not feature in these men’s understanding of their experiences. Conclusion: Perceptions and experiences of long-term travel played a decisive role for men who acquired HIV when travelling overseas. Appealing to desired experiences such as connection to local culture or sustaining a new or adventurous life may provide important implications for guiding health promotion programs and policy.

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“…Australians engage in sex while on overseas travel (Brown et al 2012;Streeton 2006), and sex while travelling is considered a risk behaviour as it is more likely to be unsafe and is more likely to be in circumstances not totally familiar to the individual (Memish & Osoba 2006). …”

Section: Sexual Risk and Behaviour In Australian Populationsmentioning

confidence: 99%

A study of Chlamydia trachomatis: sexual risk behaviour, infection and prevention in the Australian Defence Force

Lambert¹

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There is limited research in Australia focusing on C. trachomatis infection at a population level utilising systematic non-random recruitment methodologies. In addition, little is known in the Australian Defence Force (ADF) about the prevalence of C. trachomatis and of risk behaviours that may impact on sexual health. This study utilised an existing process in the ADF, the Annual Health Assessment, to source new information about C. trachomatis infection and about sexual risk and behaviour. The outcomes of this research may assist the ADF to maintain the health of personnel and consequently a high degree of operational preparedness, and may contribute to the understanding of C. trachomatis prevalence in Australia and across the world.The aims of this study were to determine the prevalence of C. trachomatis infection and to identify potential high risk populations in the ADF with a view to discussing secondary prevention interventions for the control of C. trachomatis infection within the ADF.Seven hundred and thirty-three ADF personnel were recruited into the study over a 24 month period. Participants were asked to complete an 8 page comprehensive survey about sexual behaviour and to provide a urine sample to be tested for C. trachomatis. Ethics approval was received from both the Australian Defence Human Research EthicsCommittee and the University of Queensland Medical Research Ethics Committee.The study examined ADF personnel on deployment and on base in order to provide a comparison of populations across varying work environments. Similarly, this study examined ADF personnel who had recently taken a course of doxycycline for malaria prophylaxis as part of deployment and those who had not in order to assess whether the prophylactic use of antibiotics for other purposes may have had an effect on the acquisition of C. trachomatis. This study enrolled participants from the three services in the ADF, the army, navy and air force, across 10 sites in Australia and four deployments to obtain a wide cross section of the ADF population. The findings from this study provide a profile of ADF sexual health and sexual behaviour that is comparable to the Australian population and identifies, in some instances, greater levels of safe practice and lower levels of risk behaviour. Additionally, the ADF has a lower prevalence of C. trachomatis This study examined rates of attendance at health services for sexual health concerns.18.12% (age and gender adjusted) of participants indicated they attended a health service for a sexual health concern in the previous 12 months. Females were significantly more likely to attend a health service than males (26.45% vs 16.52%; p=0.005; OR 1.81 95% CI 1.19-2.76) for a sexual health matter. Participants were three times more likely to attend an ADF health service for testing and treatment of an STI than to attend a civilian health service (16.4% vs 5.61% p<0.0001). Those who engaged in some unsafe sex were significantly more likely to attend a health service for a sexual health matter ...

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International travel and sexually transmitted diseases

Cited by 47 publications

References 18 publications

Nepalese Trekking Guides: A Quantitative Study of Sexual Health Knowledge And Sexual Behaviour

Nepalese Trekking Guides: A Quantitative Study of Sexual Health Knowledge And Sexual Behaviour

‘Living a life less ordinary’: exploring the experiences of Australian men who have acquired HIV overseas

A study of Chlamydia trachomatis: sexual risk behaviour, infection and prevention in the Australian Defence Force

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