HIV, other blood-borne viruses and sexually transmitted infections amongst expatriates and travellers to low- and middle-income countries: A systematic review

In some high-income countries, a proportion of human immunodeficiency virus (HIV), other blood-borne virus (BBV) or sexually transmitted infection (STI) diagnoses have been reported as acquired overseas in low- and middle-income countries. A review was conducted to explore HIV, other BBV or STI rela...

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Main Authors: Crawford, Gemma, Lobo, R., Brown, G., Macri, C., Smith, H., Maycock, B.
Format: Journal Article
Published: Molecular Diversity Preservation International (MDPI) 2016
Online Access:http://hdl.handle.net/20.500.11937/7379
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author Crawford, Gemma
Lobo, R.
Brown, G.
Macri, C.
Smith, H.
Maycock, B.
author_facet Crawford, Gemma
Lobo, R.
Brown, G.
Macri, C.
Smith, H.
Maycock, B.
author_sort Crawford, Gemma
building Curtin Institutional Repository
collection Online Access
description In some high-income countries, a proportion of human immunodeficiency virus (HIV), other blood-borne virus (BBV) or sexually transmitted infection (STI) diagnoses have been reported as acquired overseas in low- and middle-income countries. A review was conducted to explore HIV, other BBV or STI related knowledge, risk behavior and acquisition amongst expatriates and travelers, particularly males, travelling from high to low- and middle-income countries. Seven academic databases were searched for 26 peer reviewed articles that met inclusion criteria. Significant variability in the studies was noted, in age, travel duration and frequency and outcomes/risk factors measured and reported on. Risk factors described included longer duration of stay; being single; travel for romance or sex; alcohol and other drug use; lack of travel advice; being male; higher number of sexual partners; and inconsistent condom use. Vaccination, pre-travel health advice, and having fewer sexual partners were described as protective. Studies are needed focusing on the social context in which risk-taking occurs. Better collaboration is essential to deliver comprehensive health promotion interventions alongside more consistent pre- and post- travel testing and advice. Policy measures are crucial, including consistent evaluation indicators to assess impacts of HIV, other BBVs or STIs in the context of mobility. Risks and responses for these epidemics are shared globally.
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spelling curtin-20.500.11937-73792017-09-13T14:37:01Z HIV, other blood-borne viruses and sexually transmitted infections amongst expatriates and travellers to low- and middle-income countries: A systematic review Crawford, Gemma Lobo, R. Brown, G. Macri, C. Smith, H. Maycock, B. In some high-income countries, a proportion of human immunodeficiency virus (HIV), other blood-borne virus (BBV) or sexually transmitted infection (STI) diagnoses have been reported as acquired overseas in low- and middle-income countries. A review was conducted to explore HIV, other BBV or STI related knowledge, risk behavior and acquisition amongst expatriates and travelers, particularly males, travelling from high to low- and middle-income countries. Seven academic databases were searched for 26 peer reviewed articles that met inclusion criteria. Significant variability in the studies was noted, in age, travel duration and frequency and outcomes/risk factors measured and reported on. Risk factors described included longer duration of stay; being single; travel for romance or sex; alcohol and other drug use; lack of travel advice; being male; higher number of sexual partners; and inconsistent condom use. Vaccination, pre-travel health advice, and having fewer sexual partners were described as protective. Studies are needed focusing on the social context in which risk-taking occurs. Better collaboration is essential to deliver comprehensive health promotion interventions alongside more consistent pre- and post- travel testing and advice. Policy measures are crucial, including consistent evaluation indicators to assess impacts of HIV, other BBVs or STIs in the context of mobility. Risks and responses for these epidemics are shared globally. 2016 Journal Article http://hdl.handle.net/20.500.11937/7379 10.3390/ijerph13121249 Molecular Diversity Preservation International (MDPI) fulltext
spellingShingle Crawford, Gemma
Lobo, R.
Brown, G.
Macri, C.
Smith, H.
Maycock, B.
HIV, other blood-borne viruses and sexually transmitted infections amongst expatriates and travellers to low- and middle-income countries: A systematic review
title HIV, other blood-borne viruses and sexually transmitted infections amongst expatriates and travellers to low- and middle-income countries: A systematic review
title_full HIV, other blood-borne viruses and sexually transmitted infections amongst expatriates and travellers to low- and middle-income countries: A systematic review
title_fullStr HIV, other blood-borne viruses and sexually transmitted infections amongst expatriates and travellers to low- and middle-income countries: A systematic review
title_full_unstemmed HIV, other blood-borne viruses and sexually transmitted infections amongst expatriates and travellers to low- and middle-income countries: A systematic review
title_short HIV, other blood-borne viruses and sexually transmitted infections amongst expatriates and travellers to low- and middle-income countries: A systematic review
title_sort hiv, other blood-borne viruses and sexually transmitted infections amongst expatriates and travellers to low- and middle-income countries: a systematic review
url http://hdl.handle.net/20.500.11937/7379