Pre-travel Health Care Utilization Among Travelers Who Visit Friends and Relatives

Tan, Eugene M.; Njeru, Jane W.; Jacobson, Debra J.; Wilson, Philip; Fan, Chun; Marcelin, Jasmine R.; Springer, Donna J.; Wieland, Mark L.; Sia, Irene G.

doi:10.15171/ijtmgh.2017.11

Cited by 3 publications

(6 citation statements)

References 9 publications

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“…Interesting, instead, is the finding that the odds of acquiring yellow fever vaccination were twice greater in the VFR population than among non-VFR travellers, partially in accordance with the results reported by Tan et al [10] but displaying a lack of concordance if compared to published research conducted to assess travel characteristics about the adherence to yellow fever vaccination [21]. This might be explained by the fact that VFR travellers had planned travels to countries or areas endemic for yellow fever, and they probably are very conscious of the danger of the disease.…”

Section: Discussionsupporting

confidence: 87%

“…Yet, to the best of our knowledge, the information focusing on pre-travel assessment of VFR travellers currently available is limited, with little or no epidemiological studies conducted on a large scale in Europe and over time [9]. A recent small-scale study on the use of pre-travel health among VFR travellers, conducted in the United States, highlighted differentials in the level of pre-travel care between VFR and non-VFR individuals and lower vaccination rates in the VFR population [10].…”

Section: Introductionmentioning

confidence: 99%

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Pre-travel health care attendance among migrant travellers visiting friends and relatives (VFR): a 10-year retrospective analysis

2019

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BackgroundTravellers visiting friends and relatives (VFR) define a specific population of travellers exposed to higher risks for health and safety than tourists. The aim of this study was to assess differentials in pre-travel health care in VFR travellers compared to other travellers.MethodsA retrospective cohort study was performed including attendees of the Travel Medicine Clinic of the Hospital Universitari de Bellvitge, Barcelona, Spain, between January 2007 and December 2017.ResultsOver the 10-year period, 47,022 subjects presented to the travel clinic for pre-travel health care, 13.7% of whom were VFR travellers. These showed higher rates of vaccination against yellow fever and meningococcus, but lower rates for hepatitis A, hepatitis B, influenza, rabies, cholera, polio, typhoid IM vaccine and tetanus vaccine boosters. Regarding malaria prevention measures, results highlighted that VFR travellers, when compared with tourists, were more likely to be prescribed with chemoprophylaxis, particularly with mefloquine, than with atovaquone/proguanil.ConclusionsFindings from this large-scale study indicated differences in vaccination rates and completion, as well as in chemoprophylaxis for malaria, between VFR and non-VFR travellers, fostering specific interventions for promoting adherence to pre-travel health advice among migrant travellers.

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Pre-travel health care attendance among migrant travellers visiting friends and relatives (VFR): a 10-year retrospective analysis

2019

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“…However, work-related travel was associated with lower uptake in another study (OR = 0.39, (0.17-0.92)) [27]. Travellers visiting friends and relatives (VFR) had a lower uptake in two studies [24,29], but two other studies found no association [20,25]. Six papers studied the relation between travel duration and vaccination uptake.…”

Section: Predisposing Factorsmentioning

confidence: 98%

“…Six papers studied the relation between travel duration and vaccination uptake. Two studies showed that uptake was significantly lower when people travelled longer [24,28], while one found that it was higher (for rabies only) [29] and three studies found no difference [19,20,27].…”

Section: Predisposing Factorsmentioning

confidence: 99%

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Determinants of Vaccination Uptake in Risk Populations: A Comprehensive Literature Review

et al. 2020

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Vaccination uptake has decreased globally in recent years, with a subsequent rise of vaccine-preventable diseases. Travellers, immunocompromised patients (ICP), and healthcare workers (HCW) are groups at increased risk for (severe) infectious diseases due to their behaviour, health, or occupation, respectively. While targeted vaccination guidelines are available, vaccination uptake seems low. In this review, we give a comprehensive overview of determinants—based on the integrated change model—predicting vaccination uptake in these groups. In travellers, low perceived risk of infection and low awareness of vaccination recommendations contributed to low uptake. Additionally, ICP were often unaware of the recommended vaccinations. A physician’s recommendation is strongly correlated with higher uptake. Furthermore, ICP appeared to be mainly concerned about the risks of vaccination and fear of deterioration of their underlying disease. For HCW, perceived risk of (the severity of) infection for themselves and for their patients together with perceived benefits of vaccination contribute most to their vaccination behaviour. As the determinants that affect uptake are numerous and diverse, we argue that future studies and interventions should be based on multifactorial health behaviour models, especially for travellers and ICP as only a limited number of such studies is available yet.

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Supporting Tourism by Assessing the Predictors of COVID-19 Vaccination for Travel Reasons

Morar

Tiba

Jovanović

et al. 2022

IJERPH

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The persistence of the SARS-CoV-2 virus imposed vaccination passports for traveling in most countries. We investigated psychological factors that predict the intention to vaccinate for travel. In a cross-sectional study, we examined how demographic variables, vaccination status, perceived risk of infection and severity of disease contracted at travel destination, safety and effectiveness of vaccines against contracting COVID-19 during travel, and conspiracy beliefs are related to intention to vaccinate for travel. Further analyses involved differences between vaccinated and unvaccinated individuals in a Romanian sample regarding conspiracy beliefs, attitudes about vaccines, and self-efficacy of controlling COVID-19 infection. Results showed that the intention to vaccinate for travel reasons is best predicted by vaccination status and perceptions of safety and efficacy of vaccines against COVID-19. Thus, vaccinated individuals believing that vaccines are safe and effective most probably will take another vaccine booster if it will allow them to travel. Positive relationships of the intention to vaccinate for travel reasons were found with age, vaccination status, conspiracy beliefs, perceptions of safety and effectiveness of vaccines, intention to travel, and a more cautious approach to travel. No significant relationships were found between perceptions of risk for self or for transmitting the disease to others, severity of disease, and the intention to vaccinate for travel. We also found significant differences between vaccinated and unvaccinated participants, as unvaccinated participants showed higher levels of conspiracy beliefs and less trust in the safety and efficacy of vaccines. We conclude that campaigns focused on promoting information on the safety and efficacy of vaccines is the most important direction for promoting vaccination in young travelers.

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Pre-travel Health Care Utilization Among Travelers Who Visit Friends and Relatives

Cited by 3 publications

References 9 publications

Pre-travel health care attendance among migrant travellers visiting friends and relatives (VFR): a 10-year retrospective analysis

Pre-travel health care attendance among migrant travellers visiting friends and relatives (VFR): a 10-year retrospective analysis

Determinants of Vaccination Uptake in Risk Populations: A Comprehensive Literature Review

Supporting Tourism by Assessing the Predictors of COVID-19 Vaccination for Travel Reasons

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