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Motivational brief intervention for the prevention of sexually transmitted infections in travelers: a randomized controlled trial.
BMC Infect Dis 2011; 11:300BI

Abstract

BACKGROUND

Sexually transmitted infections (STIs) are among the frequent risks encountered by travelers. Efficient interventions are needed to improve the understanding of the risks of STIs. We investigated the potential benefits of a motivational brief intervention (BI) and the provision of condoms on the engagement in unprotected casual sex.

METHODS

3-arm randomized controlled trial performed among single travelers aged 18-44 years visiting a travel clinic in Switzerland. The main outcomes were the prevalence of casual unprotected sexual intercourse and their predictors.

RESULTS

5148 eligible travelers were seen from 2006 to 2008. 1681 agreed to participate and 1115 subjects (66%) completed the study. 184/1115 (17%) had a casual sexual relationship abroad and overall 46/1115 (4.1%) had inconsistently protected sexual relations. Women (adjusted OR 2.7 [95%CI 1.4-5.6]) and travelers with a history of past STI (adjusted OR 2.8 [95%CI 1.1-7.4]) had more frequent casual sexual relationships without consistent protection. Regarding the effect of our intervention, the prevalence of subjects using condoms inconsistently was 28% (95%CI16-40) in the motivational BI group, 24% (95%CI10-37) in the condoms group and 24% (95%CI14-33) in the control group (p = 0.7).

CONCLUSION

This study showed that a motivational brief intervention and/or the provision of free condoms did not modify risky sexual behavior of young travelers. The rate of inconsistently protected sexual relationships during travel was however lower than expected

TRIAL REGISTRATION NUMBER

ClinicalTrials.gov: NCT01056536.

Authors+Show Affiliations

Travel Clinic, Department of Ambulatory Care and Community Medicine, University of Lausanne, Switzerland. nicolas.senn@gmail.comNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22044609

Citation

Senn, Nicolas, et al. "Motivational Brief Intervention for the Prevention of Sexually Transmitted Infections in Travelers: a Randomized Controlled Trial." BMC Infectious Diseases, vol. 11, 2011, p. 300.
Senn N, de Valliere S, Berdoz D, et al. Motivational brief intervention for the prevention of sexually transmitted infections in travelers: a randomized controlled trial. BMC Infect Dis. 2011;11:300.
Senn, N., de Valliere, S., Berdoz, D., & Genton, B. (2011). Motivational brief intervention for the prevention of sexually transmitted infections in travelers: a randomized controlled trial. BMC Infectious Diseases, 11, p. 300. doi:10.1186/1471-2334-11-300.
Senn N, et al. Motivational Brief Intervention for the Prevention of Sexually Transmitted Infections in Travelers: a Randomized Controlled Trial. BMC Infect Dis. 2011 Nov 1;11:300. PubMed PMID: 22044609.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Motivational brief intervention for the prevention of sexually transmitted infections in travelers: a randomized controlled trial. AU - Senn,Nicolas, AU - de Valliere,Serge, AU - Berdoz,Didier, AU - Genton,Blaise, Y1 - 2011/11/01/ PY - 2011/02/02/received PY - 2011/11/01/accepted PY - 2011/11/3/entrez PY - 2011/11/3/pubmed PY - 2012/2/9/medline SP - 300 EP - 300 JF - BMC infectious diseases JO - BMC Infect. Dis. VL - 11 N2 - BACKGROUND: Sexually transmitted infections (STIs) are among the frequent risks encountered by travelers. Efficient interventions are needed to improve the understanding of the risks of STIs. We investigated the potential benefits of a motivational brief intervention (BI) and the provision of condoms on the engagement in unprotected casual sex. METHODS: 3-arm randomized controlled trial performed among single travelers aged 18-44 years visiting a travel clinic in Switzerland. The main outcomes were the prevalence of casual unprotected sexual intercourse and their predictors. RESULTS: 5148 eligible travelers were seen from 2006 to 2008. 1681 agreed to participate and 1115 subjects (66%) completed the study. 184/1115 (17%) had a casual sexual relationship abroad and overall 46/1115 (4.1%) had inconsistently protected sexual relations. Women (adjusted OR 2.7 [95%CI 1.4-5.6]) and travelers with a history of past STI (adjusted OR 2.8 [95%CI 1.1-7.4]) had more frequent casual sexual relationships without consistent protection. Regarding the effect of our intervention, the prevalence of subjects using condoms inconsistently was 28% (95%CI16-40) in the motivational BI group, 24% (95%CI10-37) in the condoms group and 24% (95%CI14-33) in the control group (p = 0.7). CONCLUSION: This study showed that a motivational brief intervention and/or the provision of free condoms did not modify risky sexual behavior of young travelers. The rate of inconsistently protected sexual relationships during travel was however lower than expected TRIAL REGISTRATION NUMBER: ClinicalTrials.gov: NCT01056536. SN - 1471-2334 UR - https://www.unboundmedicine.com/medline/citation/22044609/Motivational_brief_intervention_for_the_prevention_of_sexually_transmitted_infections_in_travelers:_a_randomized_controlled_trial_ L2 - https://bmcinfectdis.biomedcentral.com/articles/10.1186/1471-2334-11-300 DB - PRIME DP - Unbound Medicine ER -