Document 0148
 DOCN  M9490148
 TI    Risk behaviour and HIV prevalence in international travellers.
 DT    9411
 AU    Hawkes S; Hart GJ; Johnson AM; Shergold C; Ross E; Herbert KM; Mortimer
       P; Parry JV; Mabey D; Academic Department of Genito-urinary Medicine,
       University; College London Medical School, UK.
 SO    AIDS. 1994 Feb;8(2):247-52. Unique Identifier : AIDSLINE MED/94318209
 AB    OBJECTIVE: To assess risk factors for infection and to determine HIV
       prevalence in a sample of international travellers. DESIGN: A
       cross-sectional survey of new patients attending a hospital outpatient
       clinic, and self-completion of an anonymous questionnaire on sexual
       behaviour prior to and during travel. Urine samples were tested for the
       presence of antibodies to HIV. SETTING: The Hospital for Tropical
       Diseases, London, UK. SUBJECTS: All new patients over a 6-month period.
       RESULTS: Of 782 people approached, 757 (97%) agreed to participate: 141
       (18.6%) had had new sexual partners during their most recent trip
       abroad. Almost two-thirds of those having sex abroad did not use condoms
       on every occasion with a new partner, and 5.7% contracted a sexually
       transmitted disease (STD) during their most recent trip; 26% of men from
       World Health Organization Pattern I countries who had new sexual
       partners abroad paid for sex. Sixteen out of 731 (2.2%) participants
       were HIV-antibody-positive. HIV positivity was associated with being
       born in east, central or southern Africa, having symptoms of an STD
       since arriving in the United Kingdom and being treated for an STD since
       arrival. CONCLUSION: The rates of unsafe sex and payment for sex abroad
       reported by these international travellers indicate the potential for
       contracting and transmitting STD, including HIV, in both their foreign
       and domestic sexual partnerships. With the increasing HIV incidence in
       Asia (the most common destination for UK travellers after sub-Saharan
       Africa), the number of cases of HIV contracted abroad may rise in the
       future.
 DE    Adult  Africa South of the Sahara/ETHNOLOGY  Asia/ETHNOLOGY
       Condoms/UTILIZATION  Cross-Sectional Studies  Developing Countries
       Female  Hospitals, Special  Human  HIV Infections/TRANSMISSION  *HIV
       Seroprevalence  London/EPIDEMIOLOGY  Male  Prospective Studies
       Prostitution/STATISTICS & NUMER DATA  Regression Analysis  Risk Factors
       Sex Behavior/*STATISTICS & NUMER DATA  Support, Non-U.S. Gov't
       *Travel/STATISTICS & NUMER DATA  Tropical Medicine  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).