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Determinants of Compliance of Travelers with Vaccination and Malaria Prophylaxis at a Travel Clinic.
J Korean Med Sci. 2019 Aug 26; 34(33):e217.JK

Abstract

BACKGROUND

Pre-travel medical consultation is essential to reduce health impairment during travel. Yellow fever vaccination (YFV) is mandatory to enter some endemic countries. In this study, we evaluated the factors that affect compliance with appropriate prevention of infectious diseases in travelers who visited clinic for YFV.

METHODS

For this retrospective study, chart reviews for 658 patients who visited a travel clinic for YFV before travel were conducted. The period of this study was from January 2016 to September 2018. The associations between appropriate vaccination and factors such as travel duration, destination, time of visiting clinic before departure, and purpose of travel were analyzed.

RESULTS

Among 658 patients who got YFV during the study period, 344 patients (52.3%) received additional vaccination or malaria prophylaxis following a physician's recommendation. Travelers who visited the clinic more than 21 days before departure were more compliant than those who visited 14 days or fewer before departure (odds ratio [OR], 1.90; 95% confidence interval [CI], 1.23-2.93; P = 0.004). Travelers visiting Africa were more compliant than were those traveling to South and Central America (OR, 1.97; 95% CI, 1.34-2.90; P = 0.001). Travelers in age groups of 40-49 years and over 70 years were less compliant than the 18-29 years old population (OR, 0.51; 95% CI, 0.28-0.93; P = 0.027 and OR, 0.19; 95% CI, 0.04-0.84; P = 0.03, respectively). Also, those who traveled for tour or to visit friends or relatives were more compliant than those who departed for business (OR, 0.77; 95% CI, 1.03-3.56; P = 0.04).

CONCLUSION

For appropriate vaccination, pre-travel consultation at least 3 weeks before departure is crucial. Travelers should be aware of required vaccination and malaria prophylaxis before visiting South and Central America and Asia. Plans to enhance compliance of the elderly and business travelers should be contrived.

Authors+Show Affiliations

Department of Internal Medicine, Inha University Hospital, Inha University College of Medicine, Incheon, Korea.Department of Internal Medicine, Inha University Hospital, Inha University College of Medicine, Incheon, Korea.Department of Internal Medicine, Inha University Hospital, Inha University College of Medicine, Incheon, Korea.Department of Occupational Medicine, Inha University Hospital, Inha University College of Medicine, Incheon, Korea.Department of Family Medicine, Inha University Hospital, Inha University College of Medicine, Incheon, Korea.Department of Internal Medicine, Inha University Hospital, Inha University College of Medicine, Incheon, Korea.Department of Internal Medicine, Inha University Hospital, Inha University College of Medicine, Incheon, Korea. ljinsoo@inha.ac.kr.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31436051

Citation

Kwon, Hea Yoon, et al. "Determinants of Compliance of Travelers With Vaccination and Malaria Prophylaxis at a Travel Clinic." Journal of Korean Medical Science, vol. 34, no. 33, 2019, pp. e217.
Kwon HY, Lee H, Im JH, et al. Determinants of Compliance of Travelers with Vaccination and Malaria Prophylaxis at a Travel Clinic. J Korean Med Sci. 2019;34(33):e217.
Kwon, H. Y., Lee, H., Im, J. H., Park, S. G., Lee, Y. J., Baek, J. H., & Lee, J. S. (2019). Determinants of Compliance of Travelers with Vaccination and Malaria Prophylaxis at a Travel Clinic. Journal of Korean Medical Science, 34(33), e217. https://doi.org/10.3346/jkms.2019.34.e217
Kwon HY, et al. Determinants of Compliance of Travelers With Vaccination and Malaria Prophylaxis at a Travel Clinic. J Korean Med Sci. 2019 Aug 26;34(33):e217. PubMed PMID: 31436051.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Determinants of Compliance of Travelers with Vaccination and Malaria Prophylaxis at a Travel Clinic. AU - Kwon,Hea Yoon, AU - Lee,HyeJin, AU - Im,Jae Hyoung, AU - Park,Shin Goo, AU - Lee,Yeon Ji, AU - Baek,Ji Hyeon, AU - Lee,Jin Soo, Y1 - 2019/08/26/ PY - 2019/06/05/received PY - 2019/07/21/accepted PY - 2019/8/23/entrez PY - 2019/8/23/pubmed PY - 2020/1/16/medline KW - Patient Compliance KW - Travel Medicine KW - Vaccination KW - Yellow Fever Vaccine SP - e217 EP - e217 JF - Journal of Korean medical science JO - J Korean Med Sci VL - 34 IS - 33 N2 - BACKGROUND: Pre-travel medical consultation is essential to reduce health impairment during travel. Yellow fever vaccination (YFV) is mandatory to enter some endemic countries. In this study, we evaluated the factors that affect compliance with appropriate prevention of infectious diseases in travelers who visited clinic for YFV. METHODS: For this retrospective study, chart reviews for 658 patients who visited a travel clinic for YFV before travel were conducted. The period of this study was from January 2016 to September 2018. The associations between appropriate vaccination and factors such as travel duration, destination, time of visiting clinic before departure, and purpose of travel were analyzed. RESULTS: Among 658 patients who got YFV during the study period, 344 patients (52.3%) received additional vaccination or malaria prophylaxis following a physician's recommendation. Travelers who visited the clinic more than 21 days before departure were more compliant than those who visited 14 days or fewer before departure (odds ratio [OR], 1.90; 95% confidence interval [CI], 1.23-2.93; P = 0.004). Travelers visiting Africa were more compliant than were those traveling to South and Central America (OR, 1.97; 95% CI, 1.34-2.90; P = 0.001). Travelers in age groups of 40-49 years and over 70 years were less compliant than the 18-29 years old population (OR, 0.51; 95% CI, 0.28-0.93; P = 0.027 and OR, 0.19; 95% CI, 0.04-0.84; P = 0.03, respectively). Also, those who traveled for tour or to visit friends or relatives were more compliant than those who departed for business (OR, 0.77; 95% CI, 1.03-3.56; P = 0.04). CONCLUSION: For appropriate vaccination, pre-travel consultation at least 3 weeks before departure is crucial. Travelers should be aware of required vaccination and malaria prophylaxis before visiting South and Central America and Asia. Plans to enhance compliance of the elderly and business travelers should be contrived. SN - 1598-6357 UR - https://www.unboundmedicine.com/medline/citation/31436051/Determinants_of_Compliance_of_Travelers_with_Vaccination_and_Malaria_Prophylaxis_at_a_Travel_Clinic_ L2 - https://jkms.org/DOIx.php?id=10.3346/jkms.2019.34.e217 DB - PRIME DP - Unbound Medicine ER -