P4.088 Unprotected Casual Sexual Contact Common with Both Local and Western Partners Among Dutch Long-Term Travellers to (Sub)Tropical Countries
Identifieur interne : 000898 ( Istex/Corpus ); précédent : 000897; suivant : 000899P4.088 Unprotected Casual Sexual Contact Common with Both Local and Western Partners Among Dutch Long-Term Travellers to (Sub)Tropical Countries
Auteurs : J. Whelan ; S. Belderok ; G. Sonder ; A Van Den HoekSource :
- Sexually Transmitted Infections [ 1368-4973 ] ; 2013-07.
English descriptors
- KwdEn :
- Addis ababa, Behaviour, Casual partner, Condom, Dutch travellers, Ethiopia, Focus group discussion, Good adherence, Local partners, Long term, Participant, Previous round, Reproductive, Reproductive health issues, Reproductive health knowledge, Risk behaviour change, School students, Sexual risk behaviour, Significant difference, Significant relationship, Single travellers, Traveller, Young people, Young refugees.
- Teeft :
- Addis ababa, Behaviour, Casual partner, Condom, Dutch travellers, Ethiopia, Focus group discussion, Good adherence, Local partners, Long term, Participant, Previous round, Reproductive, Reproductive health issues, Reproductive health knowledge, Risk behaviour change, School students, Sexual risk behaviour, Significant difference, Significant relationship, Single travellers, Traveller, Young people, Young refugees.
Abstract
Background Casual sex among travellers is common. It is unknown whether travellers use condoms differently with local versus western casual partners when visiting HIV endemic areas. We determined the number of casual sexual partners and consistency of condom use among Dutch long-term, non-expatriate travellers to (sub)tropical regions according to the ethnicity of their casual sexual partners, and estimated the incidence of HIV and syphilis on their return. Methods A prospective mono-centre study of Dutch long-term travellers ≥ 18 years, attending the Public Health Service travel clinic in Amsterdam (2008–2011) and travelling to any (sub)tropical country for ≥ 12 and ≤ 52 weeks, was conducted. Travelers reported their travel purpose, duration, destinations(s), number and nature of sexual contacts while travelling: ethnicity, gender, partner type (steady/casual) and consistency of condom use with each partner. Analyses were conducted using Poisson regression (generalised estimating equations to account for multiple partnerships). Blood samples, taken before and after travel, were tested for HIV and Treponema-pallidum antibodies. Results There were 552 respondents and 11671 person-weeks of follow up (median age:25 years, 36% male, median travel time:20 weeks, 45% for work/study). Post travel, 34%(n = 190/552) reported ≥ 1 casual sexual partner, men a median of 3 (range:1–8) and women 2 (range:1–7) partners. Of 462 casual sexual partnerships, 42%(n = 192) were with local partners at travel destination. Equally, 39% of partnerships with western and local partners were unprotected. Single travellers (IRRsteady partner(ref):2.2.95% CI: 1.2–4.0) and those on holiday (IRRwork/study (ref):1.9.95% CI: 1.2–3.0) had more unprotected casual sex. Partner’s ethnicity was not significant in predicting condom use. No HIV or syphilis seroconversions were recorded. Conclusion Unprotected casual sex was common among Dutch long-term travellers, occasionally with multiple local partners in HIV-endemic regions. Single travellers and those travelling for holiday purposes were most at risk. These groups should be advised on the need for safe sex while abroad.
Url:
DOI: 10.1136/sextrans-2013-051184.0986
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ISTEX:D96BC00A69B87AA0CB46893210801D87E7FFF410Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">P4.088 Unprotected Casual Sexual Contact Common with Both Local and Western Partners Among Dutch Long-Term Travellers to (Sub)Tropical Countries</title><author><name sortKey="Whelan, J" sort="Whelan, J" uniqKey="Whelan J" first="J" last="Whelan">J. Whelan</name><affiliation><mods:affiliation>Public Health Service, Amsterdam, The Netherlands</mods:affiliation></affiliation></author><author><name sortKey="Belderok, S" sort="Belderok, S" uniqKey="Belderok S" first="S" last="Belderok">S. Belderok</name><affiliation><mods:affiliation>Public Health Service, Amsterdam, The Netherlands</mods:affiliation></affiliation></author><author><name sortKey="Sonder, G" sort="Sonder, G" uniqKey="Sonder G" first="G" last="Sonder">G. Sonder</name><affiliation><mods:affiliation>Public Health Service, Amsterdam, The Netherlands</mods:affiliation></affiliation><affiliation><mods:affiliation>Academic Medical Center, Department of Internal Medicine, Division of Infectious Diseases, Tropical Medicine and AIDS, Amsterdam, The Netherlands</mods:affiliation></affiliation></author><author><name sortKey="Hoek, A Van Den" sort="Hoek, A Van Den" uniqKey="Hoek A" first="A Van Den" last="Hoek">A Van Den Hoek</name><affiliation><mods:affiliation>Public Health Service, Amsterdam, The Netherlands</mods:affiliation></affiliation><affiliation><mods:affiliation>Academic Medical Center, Department of Internal Medicine, Division of Infectious Diseases, Tropical Medicine and AIDS, Amsterdam, The Netherlands</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:D96BC00A69B87AA0CB46893210801D87E7FFF410</idno><date when="2013" year="2013">2013</date><idno type="doi">10.1136/sextrans-2013-051184.0986</idno><idno type="url">https://api.istex.fr/document/D96BC00A69B87AA0CB46893210801D87E7FFF410/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000898</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000898</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">P4.088 Unprotected Casual Sexual Contact Common with Both Local and Western Partners Among Dutch Long-Term Travellers to (Sub)Tropical Countries</title><author><name sortKey="Whelan, J" sort="Whelan, J" uniqKey="Whelan J" first="J" last="Whelan">J. Whelan</name><affiliation><mods:affiliation>Public Health Service, Amsterdam, The Netherlands</mods:affiliation></affiliation></author><author><name sortKey="Belderok, S" sort="Belderok, S" uniqKey="Belderok S" first="S" last="Belderok">S. Belderok</name><affiliation><mods:affiliation>Public Health Service, Amsterdam, The Netherlands</mods:affiliation></affiliation></author><author><name sortKey="Sonder, G" sort="Sonder, G" uniqKey="Sonder G" first="G" last="Sonder">G. Sonder</name><affiliation><mods:affiliation>Public Health Service, Amsterdam, The Netherlands</mods:affiliation></affiliation><affiliation><mods:affiliation>Academic Medical Center, Department of Internal Medicine, Division of Infectious Diseases, Tropical Medicine and AIDS, Amsterdam, The Netherlands</mods:affiliation></affiliation></author><author><name sortKey="Hoek, A Van Den" sort="Hoek, A Van Den" uniqKey="Hoek A" first="A Van Den" last="Hoek">A Van Den Hoek</name><affiliation><mods:affiliation>Public Health Service, Amsterdam, The Netherlands</mods:affiliation></affiliation><affiliation><mods:affiliation>Academic Medical Center, Department of Internal Medicine, Division of Infectious Diseases, Tropical Medicine and AIDS, Amsterdam, The Netherlands</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Sexually Transmitted Infections</title><title level="j" type="abbrev">Sex Transm Infect</title><idno type="ISSN">1368-4973</idno><idno type="eISSN">1472-3263</idno><imprint><publisher>BMJ Publishing Group Ltd</publisher><date type="published" when="2013-07">2013-07</date><biblScope unit="volume">89</biblScope><biblScope unit="issue">Suppl 1</biblScope><biblScope unit="page" from="A315">A315</biblScope></imprint><idno type="ISSN">1368-4973</idno></series><idno type="istex">D96BC00A69B87AA0CB46893210801D87E7FFF410</idno><idno type="DOI">10.1136/sextrans-2013-051184.0986</idno><idno type="href">sextrans-89-A315-4.pdf</idno><idno type="ArticleID">sextrans-2013-051184.0986</idno><idno type="local">sextrans;89/Suppl_1/A315-d</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1368-4973</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Addis ababa</term><term>Behaviour</term><term>Casual partner</term><term>Condom</term><term>Dutch travellers</term><term>Ethiopia</term><term>Focus group discussion</term><term>Good adherence</term><term>Local partners</term><term>Long term</term><term>Participant</term><term>Previous round</term><term>Reproductive</term><term>Reproductive health issues</term><term>Reproductive health knowledge</term><term>Risk behaviour change</term><term>School students</term><term>Sexual risk behaviour</term><term>Significant difference</term><term>Significant relationship</term><term>Single travellers</term><term>Traveller</term><term>Young people</term><term>Young refugees</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Addis ababa</term><term>Behaviour</term><term>Casual partner</term><term>Condom</term><term>Dutch travellers</term><term>Ethiopia</term><term>Focus group discussion</term><term>Good adherence</term><term>Local partners</term><term>Long term</term><term>Participant</term><term>Previous round</term><term>Reproductive</term><term>Reproductive health issues</term><term>Reproductive health knowledge</term><term>Risk behaviour change</term><term>School students</term><term>Sexual risk behaviour</term><term>Significant difference</term><term>Significant relationship</term><term>Single travellers</term><term>Traveller</term><term>Young people</term><term>Young refugees</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Background Casual sex among travellers is common. It is unknown whether travellers use condoms differently with local versus western casual partners when visiting HIV endemic areas. We determined the number of casual sexual partners and consistency of condom use among Dutch long-term, non-expatriate travellers to (sub)tropical regions according to the ethnicity of their casual sexual partners, and estimated the incidence of HIV and syphilis on their return. Methods A prospective mono-centre study of Dutch long-term travellers ≥ 18 years, attending the Public Health Service travel clinic in Amsterdam (2008–2011) and travelling to any (sub)tropical country for ≥ 12 and ≤ 52 weeks, was conducted. Travelers reported their travel purpose, duration, destinations(s), number and nature of sexual contacts while travelling: ethnicity, gender, partner type (steady/casual) and consistency of condom use with each partner. Analyses were conducted using Poisson regression (generalised estimating equations to account for multiple partnerships). Blood samples, taken before and after travel, were tested for HIV and Treponema-pallidum antibodies. Results There were 552 respondents and 11671 person-weeks of follow up (median age:25 years, 36% male, median travel time:20 weeks, 45% for work/study). Post travel, 34%(n = 190/552) reported ≥ 1 casual sexual partner, men a median of 3 (range:1–8) and women 2 (range:1–7) partners. Of 462 casual sexual partnerships, 42%(n = 192) were with local partners at travel destination. Equally, 39% of partnerships with western and local partners were unprotected. Single travellers (IRRsteady partner(ref):2.2.95% CI: 1.2–4.0) and those on holiday (IRRwork/study (ref):1.9.95% CI: 1.2–3.0) had more unprotected casual sex. Partner’s ethnicity was not significant in predicting condom use. No HIV or syphilis seroconversions were recorded. Conclusion Unprotected casual sex was common among Dutch long-term travellers, occasionally with multiple local partners in HIV-endemic regions. Single travellers and those travelling for holiday purposes were most at risk. These groups should be advised on the need for safe sex while abroad.</div></front></TEI><istex><corpusName>bmj</corpusName><keywords><teeft><json:string>condom</json:string><json:string>ethiopia</json:string><json:string>dutch travellers</json:string><json:string>previous round</json:string><json:string>reproductive health issues</json:string><json:string>reproductive</json:string><json:string>school students</json:string><json:string>casual partner</json:string><json:string>sexual risk behaviour</json:string><json:string>young refugees</json:string><json:string>young people</json:string><json:string>risk behaviour change</json:string><json:string>focus group discussion</json:string><json:string>reproductive health knowledge</json:string><json:string>significant difference</json:string><json:string>addis ababa</json:string><json:string>long term</json:string><json:string>good adherence</json:string><json:string>local partners</json:string><json:string>single travellers</json:string><json:string>significant relationship</json:string><json:string>behaviour</json:string><json:string>traveller</json:string><json:string>participant</json:string></teeft></keywords><author><json:item><name>J Whelan</name><affiliations><json:string>Public Health Service, Amsterdam, The Netherlands</json:string></affiliations></json:item><json:item><name>S Belderok</name><affiliations><json:string>Public Health Service, Amsterdam, The Netherlands</json:string></affiliations></json:item><json:item><name>G Sonder</name><affiliations><json:string>Public Health Service, Amsterdam, The Netherlands</json:string><json:string>Academic Medical Center, Department of Internal Medicine, Division of Infectious Diseases, Tropical Medicine and AIDS, Amsterdam, The Netherlands</json:string></affiliations></json:item><json:item><name>A van den Hoek</name><affiliations><json:string>Public Health Service, Amsterdam, The Netherlands</json:string><json:string>Academic Medical Center, Department of Internal Medicine, Division of Infectious Diseases, Tropical Medicine and AIDS, Amsterdam, The Netherlands</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>travel</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>unsafe sex</value></json:item></subject><articleId><json:string>sextrans-2013-051184.0986</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>abstract</json:string></originalGenre><abstract>Background Casual sex among travellers is common. It is unknown whether travellers use condoms differently with local versus western casual partners when visiting HIV endemic areas. We determined the number of casual sexual partners and consistency of condom use among Dutch long-term, non-expatriate travellers to (sub)tropical regions according to the ethnicity of their casual sexual partners, and estimated the incidence of HIV and syphilis on their return. Methods A prospective mono-centre study of Dutch long-term travellers ≥ 18 years, attending the Public Health Service travel clinic in Amsterdam (2008–2011) and travelling to any (sub)tropical country for ≥ 12 and ≤ 52 weeks, was conducted. Travelers reported their travel purpose, duration, destinations(s), number and nature of sexual contacts while travelling: ethnicity, gender, partner type (steady/casual) and consistency of condom use with each partner. Analyses were conducted using Poisson regression (generalised estimating equations to account for multiple partnerships). Blood samples, taken before and after travel, were tested for HIV and Treponema-pallidum antibodies. Results There were 552 respondents and 11671 person-weeks of follow up (median age:25 years, 36% male, median travel time:20 weeks, 45% for work/study). Post travel, 34%(n = 190/552) reported ≥ 1 casual sexual partner, men a median of 3 (range:1–8) and women 2 (range:1–7) partners. Of 462 casual sexual partnerships, 42%(n = 192) were with local partners at travel destination. Equally, 39% of partnerships with western and local partners were unprotected. Single travellers (IRRsteady partner(ref):2.2.95% CI: 1.2–4.0) and those on holiday (IRRwork/study (ref):1.9.95% CI: 1.2–3.0) had more unprotected casual sex. Partner’s ethnicity was not significant in predicting condom use. No HIV or syphilis seroconversions were recorded. Conclusion Unprotected casual sex was common among Dutch long-term travellers, occasionally with multiple local partners in HIV-endemic regions. Single travellers and those travelling for holiday purposes were most at risk. These groups should be advised on the need for safe sex while abroad.</abstract><qualityIndicators><score>5.903</score><pdfVersion>1.5</pdfVersion><pdfPageSize>595.276 x 793.701 pts</pdfPageSize><refBibsNative>false</refBibsNative><keywordCount>2</keywordCount><abstractCharCount>2172</abstractCharCount><pdfWordCount>1903</pdfWordCount><pdfCharCount>12286</pdfCharCount><pdfPageCount>2</pdfPageCount><abstractWordCount>309</abstractWordCount></qualityIndicators><title>P4.088 Unprotected Casual Sexual Contact Common with Both Local and Western Partners Among Dutch Long-Term Travellers to (Sub)Tropical Countries</title><genre><json:string>abstract</json:string></genre><host><title>Sexually Transmitted Infections</title><language><json:string>unknown</json:string></language><issn><json:string>1368-4973</json:string></issn><eissn><json:string>1472-3263</json:string></eissn><publisherId><json:string>sextrans</json:string></publisherId><volume>89</volume><issue>Suppl 1</issue><pages><first>A315</first></pages><genre><json:string>journal</json:string></genre></host><categories><wos><json:string>science</json:string><json:string>infectious diseases</json:string></wos><scienceMetrix><json:string>health sciences</json:string><json:string>public health & health services</json:string><json:string>public health</json:string></scienceMetrix><inist><json:string>sciences appliquees, technologies et medecines</json:string><json:string>sciences biologiques et medicales</json:string><json:string>sciences medicales</json:string></inist></categories><publicationDate>2013</publicationDate><copyrightDate>2013</copyrightDate><doi><json:string>10.1136/sextrans-2013-051184.0986</json:string></doi><id>D96BC00A69B87AA0CB46893210801D87E7FFF410</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/D96BC00A69B87AA0CB46893210801D87E7FFF410/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/D96BC00A69B87AA0CB46893210801D87E7FFF410/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/D96BC00A69B87AA0CB46893210801D87E7FFF410/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">P4.088 Unprotected Casual Sexual Contact Common with Both Local and Western Partners Among Dutch Long-Term Travellers to (Sub)Tropical Countries</title><respStmt><resp>Références bibliographiques récupérées via GROBID</resp><name resp="ISTEX-API">ISTEX-API (INIST-CNRS)</name></respStmt></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>BMJ Publishing Group Ltd</publisher><availability><p>© 2013, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</p></availability><date>2013-07-13</date></publicationStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">P4.088 Unprotected Casual Sexual Contact Common with Both Local and Western Partners Among Dutch Long-Term Travellers to (Sub)Tropical Countries</title><author xml:id="author-1"><persName><forename type="first">J</forename><surname>Whelan</surname></persName><affiliation>Public Health Service, Amsterdam, The Netherlands</affiliation></author><author xml:id="author-2"><persName><forename type="first">S</forename><surname>Belderok</surname></persName><affiliation>Public Health Service, Amsterdam, The Netherlands</affiliation></author><author xml:id="author-3"><persName><forename type="first">G</forename><surname>Sonder</surname></persName><affiliation>Public Health Service, Amsterdam, The Netherlands</affiliation><affiliation>Academic Medical Center, Department of Internal Medicine, Division of Infectious Diseases, Tropical Medicine and AIDS, Amsterdam, The Netherlands</affiliation></author><author xml:id="author-4" corresp="yes"><persName><forename type="first">A van den</forename><surname>Hoek</surname></persName><affiliation>Public Health Service, Amsterdam, The Netherlands</affiliation><affiliation>Academic Medical Center, Department of Internal Medicine, Division of Infectious Diseases, Tropical Medicine and AIDS, Amsterdam, The Netherlands</affiliation></author></analytic><monogr><title level="j">Sexually Transmitted Infections</title><title level="j" type="abbrev">Sex Transm Infect</title><idno type="pISSN">1368-4973</idno><idno type="eISSN">1472-3263</idno><imprint><publisher>BMJ Publishing Group Ltd</publisher><date type="published" when="2013-07"></date><biblScope unit="volume">89</biblScope><biblScope unit="issue">Suppl 1</biblScope><biblScope unit="page" from="A315">A315</biblScope></imprint></monogr><idno type="istex">D96BC00A69B87AA0CB46893210801D87E7FFF410</idno><idno type="DOI">10.1136/sextrans-2013-051184.0986</idno><idno type="href">sextrans-89-A315-4.pdf</idno><idno type="ArticleID">sextrans-2013-051184.0986</idno><idno type="local">sextrans;89/Suppl_1/A315-d</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2013-07-13</date></creation><langUsage><language ident="en">en</language></langUsage><abstract><p>Background Casual sex among travellers is common. It is unknown whether travellers use condoms differently with local versus western casual partners when visiting HIV endemic areas. We determined the number of casual sexual partners and consistency of condom use among Dutch long-term, non-expatriate travellers to (sub)tropical regions according to the ethnicity of their casual sexual partners, and estimated the incidence of HIV and syphilis on their return. Methods A prospective mono-centre study of Dutch long-term travellers ≥ 18 years, attending the Public Health Service travel clinic in Amsterdam (2008–2011) and travelling to any (sub)tropical country for ≥ 12 and ≤ 52 weeks, was conducted. Travelers reported their travel purpose, duration, destinations(s), number and nature of sexual contacts while travelling: ethnicity, gender, partner type (steady/casual) and consistency of condom use with each partner. Analyses were conducted using Poisson regression (generalised estimating equations to account for multiple partnerships). Blood samples, taken before and after travel, were tested for HIV and Treponema-pallidum antibodies. Results There were 552 respondents and 11671 person-weeks of follow up (median age:25 years, 36% male, median travel time:20 weeks, 45% for work/study). Post travel, 34%(n = 190/552) reported ≥ 1 casual sexual partner, men a median of 3 (range:1–8) and women 2 (range:1–7) partners. Of 462 casual sexual partnerships, 42%(n = 192) were with local partners at travel destination. Equally, 39% of partnerships with western and local partners were unprotected. Single travellers (IRRsteady partner(ref):2.2.95% CI: 1.2–4.0) and those on holiday (IRRwork/study (ref):1.9.95% CI: 1.2–3.0) had more unprotected casual sex. Partner’s ethnicity was not significant in predicting condom use. No HIV or syphilis seroconversions were recorded. Conclusion Unprotected casual sex was common among Dutch long-term travellers, occasionally with multiple local partners in HIV-endemic regions. Single travellers and those travelling for holiday purposes were most at risk. These groups should be advised on the need for safe sex while abroad.</p></abstract><textClass><keywords scheme="keyword"><list><head>keywords</head><item><term>travel</term></item><item><term>unsafe sex</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2013-07-13">Created</change><change when="2013-07">Published</change><change xml:id="refBibs-istex" who="#ISTEX-API" when="2017-01-19">References added</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/D96BC00A69B87AA0CB46893210801D87E7FFF410/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus bmj" wicri:toSee="no header"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="no"</istex:xmlDeclaration><istex:docType PUBLIC="-//NLM//DTD Journal Archiving and Interchange DTD v2.3 20070202//EN" URI="archivearticle.dtd" name="istex:docType"></istex:docType><istex:document><article article-type="abstract" xml:lang="EN"><front><journal-meta><journal-id journal-id-type="hwp">sextrans</journal-id><journal-id journal-id-type="nlm-ta">Sex Transm Infect</journal-id><journal-id journal-id-type="publisher-id">sextrans</journal-id><journal-title>Sexually Transmitted Infections</journal-title><abbrev-journal-title abbrev-type="publisher">Sex Transm Infect</abbrev-journal-title><abbrev-journal-title>Sex Transm Infect</abbrev-journal-title><issn pub-type="ppub">1368-4973</issn><issn pub-type="epub">1472-3263</issn><publisher><publisher-name>BMJ Publishing Group Ltd</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">sextrans-2013-051184.0986</article-id><article-id pub-id-type="doi">10.1136/sextrans-2013-051184.0986</article-id><article-id pub-id-type="other">sextrans;89/Suppl_1/A315-d</article-id><article-id pub-id-type="other">sextrans;sextrans-2013-051184.0986</article-id><article-id pub-id-type="other">A315.4</article-id><article-id pub-id-type="other">sextrans-2013-051184.0986</article-id><article-categories><subj-group subj-group-type="heading"><subject>P.04 - Social and Behavioural Sciences Track</subject></subj-group></article-categories><title-group><article-title>P4.088 Unprotected Casual Sexual Contact Common with Both Local and Western Partners Among Dutch Long-Term Travellers to (Sub)Tropical Countries</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Whelan</surname><given-names>J</given-names></name><xref ref-type="aff" rid="AF0001"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Belderok</surname><given-names>S</given-names></name><xref ref-type="aff" rid="AF0001"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Sonder</surname><given-names>G</given-names></name><xref ref-type="aff" rid="AF0001"><sup>1</sup></xref><xref ref-type="aff" rid="AF0002"><sup>2</sup></xref></contrib><contrib contrib-type="author" corresp="yes" xlink:type="simple"><name name-style="western"><surname>Hoek</surname><given-names>A van den</given-names></name><xref ref-type="aff" rid="AF0001"><sup>1</sup></xref><xref ref-type="aff" rid="AF0002"><sup>2</sup></xref></contrib></contrib-group><aff id="AF0001"><sup>1</sup>Public Health Service, Amsterdam, The Netherlands</aff><aff id="AF0002"><sup>2</sup>Academic Medical Center, Department of Internal Medicine, Division of Infectious Diseases, Tropical Medicine and AIDS, Amsterdam, The Netherlands </aff><pub-date pub-type="ppub"><month>07</month><year>2013</year></pub-date><pub-date pub-type="epub"><day>13</day><month>7</month><year>2013</year></pub-date><volume>89</volume><volume-id pub-id-type="other">89</volume-id><volume-id pub-id-type="other">89</volume-id><issue>Suppl 1</issue><issue-id pub-id-type="other">sextrans;89/Suppl_1</issue-id><issue-id pub-id-type="other" content-type="supplement">Suppl_1</issue-id><issue-id pub-id-type="other">89/Suppl_1</issue-id><issue-title>STI & AIDS World Congress 2013 July 14-17 Vienna, Austria</issue-title><fpage seq="4">A315</fpage><permissions><copyright-statement>© 2013, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</copyright-statement><copyright-year>2013</copyright-year></permissions><self-uri content-type="pdf" xlink:role="full-text" xlink:href="sextrans-89-A315-4.pdf"></self-uri><abstract><sec><title>Background</title><p>Casual sex among travellers is common. It is unknown whether travellers use condoms differently with local versus western casual partners when visiting HIV endemic areas. We determined the number of casual sexual partners and consistency of condom use among Dutch long-term, non-expatriate travellers to (sub)tropical regions according to the ethnicity of their casual sexual partners, and estimated the incidence of HIV and syphilis on their return.</p></sec><sec><title>Methods</title><p>A prospective mono-centre study of Dutch long-term travellers ≥ 18 years, attending the Public Health Service travel clinic in Amsterdam (2008–2011) and travelling to any (sub)tropical country for ≥ 12 and ≤ 52 weeks, was conducted. Travelers reported their travel purpose, duration, destinations(s), number and nature of sexual contacts while travelling: ethnicity, gender, partner type (steady/casual) and consistency of condom use with each partner. Analyses were conducted using Poisson regression (generalised estimating equations to account for multiple partnerships). Blood samples, taken before and after travel, were tested for HIV and <italic>Treponema-pallidum</italic> antibodies.</p></sec><sec><title>Results</title><p>There were 552 respondents and 11671 person-weeks of follow up (median age:25 years, 36% male, median travel time:20 weeks, 45% for work/study). Post travel, 34%(n = 190/552) reported ≥ 1 casual sexual partner, men a median of 3 (range:1–8) and women 2 (range:1–7) partners. Of 462 casual sexual partnerships, 42%(n = 192) were with local partners at travel destination. Equally, 39% of partnerships with western and local partners were unprotected. Single travellers (IRR<sub>steady partner(ref)</sub>:2.2.95% CI: 1.2–4.0) and those on holiday (IRR<sub>work/study (ref)</sub>:1.9.95% CI: 1.2–3.0) had more unprotected casual sex. Partner’s ethnicity was not significant in predicting condom use. No HIV or syphilis seroconversions were recorded.</p></sec><sec><title>Conclusion</title><p>Unprotected casual sex was common among Dutch long-term travellers, occasionally with multiple local partners in HIV-endemic regions. Single travellers and those travelling for holiday purposes were most at risk. These groups should be advised on the need for safe sex while abroad.</p></sec></abstract><kwd-group><kwd>travel</kwd><kwd>unsafe sex</kwd></kwd-group></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>P4.088 Unprotected Casual Sexual Contact Common with Both Local and Western Partners Among Dutch Long-Term Travellers to (Sub)Tropical Countries</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>P4.088 Unprotected Casual Sexual Contact Common with Both Local and Western Partners Among Dutch Long-Term Travellers to (Sub)Tropical Countries</title></titleInfo><name type="personal"><namePart type="given">J</namePart><namePart type="family">Whelan</namePart><affiliation>Public Health Service, Amsterdam, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">S</namePart><namePart type="family">Belderok</namePart><affiliation>Public Health Service, Amsterdam, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">G</namePart><namePart type="family">Sonder</namePart><affiliation>Public Health Service, Amsterdam, The Netherlands</affiliation><affiliation>Academic Medical Center, Department of Internal Medicine, Division of Infectious Diseases, Tropical Medicine and AIDS, Amsterdam, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal" displayLabel="corresp"><namePart type="given">A van den</namePart><namePart type="family">Hoek</namePart><affiliation>Public Health Service, Amsterdam, The Netherlands</affiliation><affiliation>Academic Medical Center, Department of Internal Medicine, Division of Infectious Diseases, Tropical Medicine and AIDS, Amsterdam, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="abstract" displayLabel="abstract"></genre><originInfo><publisher>BMJ Publishing Group Ltd</publisher><dateIssued encoding="w3cdtf">2013-07</dateIssued><dateCreated encoding="w3cdtf">2013-07-13</dateCreated><copyrightDate encoding="w3cdtf">2013</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract>Background Casual sex among travellers is common. It is unknown whether travellers use condoms differently with local versus western casual partners when visiting HIV endemic areas. We determined the number of casual sexual partners and consistency of condom use among Dutch long-term, non-expatriate travellers to (sub)tropical regions according to the ethnicity of their casual sexual partners, and estimated the incidence of HIV and syphilis on their return. Methods A prospective mono-centre study of Dutch long-term travellers ≥ 18 years, attending the Public Health Service travel clinic in Amsterdam (2008–2011) and travelling to any (sub)tropical country for ≥ 12 and ≤ 52 weeks, was conducted. Travelers reported their travel purpose, duration, destinations(s), number and nature of sexual contacts while travelling: ethnicity, gender, partner type (steady/casual) and consistency of condom use with each partner. Analyses were conducted using Poisson regression (generalised estimating equations to account for multiple partnerships). Blood samples, taken before and after travel, were tested for HIV and Treponema-pallidum antibodies. Results There were 552 respondents and 11671 person-weeks of follow up (median age:25 years, 36% male, median travel time:20 weeks, 45% for work/study). Post travel, 34%(n = 190/552) reported ≥ 1 casual sexual partner, men a median of 3 (range:1–8) and women 2 (range:1–7) partners. Of 462 casual sexual partnerships, 42%(n = 192) were with local partners at travel destination. Equally, 39% of partnerships with western and local partners were unprotected. Single travellers (IRRsteady partner(ref):2.2.95% CI: 1.2–4.0) and those on holiday (IRRwork/study (ref):1.9.95% CI: 1.2–3.0) had more unprotected casual sex. Partner’s ethnicity was not significant in predicting condom use. No HIV or syphilis seroconversions were recorded. Conclusion Unprotected casual sex was common among Dutch long-term travellers, occasionally with multiple local partners in HIV-endemic regions. Single travellers and those travelling for holiday purposes were most at risk. These groups should be advised on the need for safe sex while abroad.</abstract><subject><genre>keywords</genre><topic>travel</topic><topic>unsafe sex</topic></subject><relatedItem type="host"><titleInfo><title>Sexually Transmitted Infections</title></titleInfo><titleInfo type="abbreviated"><title>Sex Transm Infect</title></titleInfo><genre type="journal">journal</genre><identifier type="ISSN">1368-4973</identifier><identifier type="eISSN">1472-3263</identifier><identifier type="PublisherID">sextrans</identifier><identifier type="PublisherID-hwp">sextrans</identifier><identifier type="PublisherID-nlm-ta">Sex Transm Infect</identifier><part><date>2013</date><detail type="title"><title>STI & AIDS World Congress 2013 July 14-17 Vienna, Austria</title></detail><detail type="volume"><caption>vol.</caption><number>89</number></detail><detail type="issue"><caption>no.</caption><number>Suppl 1</number></detail><extent unit="pages"><start>A315</start></extent></part></relatedItem><identifier type="istex">D96BC00A69B87AA0CB46893210801D87E7FFF410</identifier><identifier type="DOI">10.1136/sextrans-2013-051184.0986</identifier><identifier type="href">sextrans-89-A315-4.pdf</identifier><identifier type="ArticleID">sextrans-2013-051184.0986</identifier><identifier type="local">sextrans;89/Suppl_1/A315-d</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2013, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</accessCondition><recordInfo><recordContentSource>BMJ</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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