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M9490148.TXT
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1994-09-03
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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).