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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Health challenges of young travelers visiting friends and relatives compared with those traveling for other purposes
Pediatric Infectious Disease Journal, Volume 31, No. 9, Year 2012
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Description
Background: The study objective was to assess differences in demographics and travel health challenges between youths ≤18 years old traveling internationally to visit friends and relatives (VFRs) compared with those traveling for other purposes (non-VFR). Methods: The Boston Area Travel Medicine Network consists of 5 clinics collecting anonymous data from international pretravel consultations. Data on all travelers ≤18 years of age seen between January 2008 and July 2010 were used. VFRs were compared with non-VFRs on demographics, primary language, trip characteristics, travel vaccinations administered, malaria prophylaxis and antidiarrheal medications prescribed. Results: Thirty-five percent (610/1731) listed VFR as their purpose of travel. Almost half of VFRs were <5 (46%) years old compared with <5% of non-VFRs. Thirty percent of US-born VFRs with foreign-born parents were ≤2 years compared with 4% of foreign-born VFR children and 3% of US-born VFRs with US-born parents. More VFRs than non-VFRs planned travel to countries that were yellow fever holoendemic, had malaria risk and were high-risk for typhoid (44% versus 20%, 39% versus 12%, 25% versus 15%, P < 0.01). VFRs were less likely than non-VFRs to be prescribed atovaquone-proguanil (adjusted prevalence ratio = 0.57, confidence interval = 0.44-0.72) and to have had an antidiarrheal medication prescribed (adjusted prevalence ratio = 0.68, confidence interval = 0.60-0.75). Conclusions: To reduce travel-related morbidity, healthcare providers should be prepared to give travel advice to parents of VFR infants and children, particularly those US-born VFRs with foreign-born parents, regarding antimalarial and antidiarrheal medications and preventing yellow fever, malaria and typhoid. © 2012 by Lippincott Williams and Wilkins.
Authors & Co-Authors
Han, Pauline V.
United States, Atlanta
Centers for Disease Control and Prevention
Yanni, Emad A.
United States, Atlanta
Centers for Disease Control and Prevention
Jentes, Emily S.
United States, Atlanta
Centers for Disease Control and Prevention
Hamer, Davidson Howes
United States, Boston
Boston University
United States, Boston
School of Public Health
United States, Boston
Boston University Chobanian & Avedisian School of Medicine
Chen, Linhwei
United States, Cambridge
Mount Auburn Hospital
United States, Boston
Harvard Medical School
Wilson, Mary Elizabeth
United States, Boston
Harvard T.h. Chan School of Public Health
MacLeod, William Bruce
United States, Boston
Boston University
United States, Boston
School of Public Health
Karchmer, Adolf W.
United States, Boston
Harvard Medical School
United States, Boston
Beth Israel Deaconess Medical Center
Barnett, Elizabeth D.
United States, Boston
Boston Medical Center
Statistics
Citations: 32
Authors: 9
Affiliations: 11
Identifiers
Doi:
10.1097/INF.0b013e318259efbe
ISSN:
15320987
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Cross Sectional Study