Population-based surveillance of medical tourism among U.S. residents from 11 states and territories: Findings from the Behavioral Risk Factor Surveillance System
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Population-based surveillance of medical tourism among U.S. residents from 11 states and territories: Findings from the Behavioral Risk Factor Surveillance System

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  • English
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    Details:

    • Alternative Title:
      Infect Control Hosp Epidemiol
    • Personal Author:
    • Description:
      Objective:

      Describe medical tourism among a subset of United States (U.S.) residents; identify possible indicators for medical tourism.

      Methods:

      The U.S. Centers for Disease Control and Prevention collaborated with 11 states and territories to ask six questions about medical tourism, using the Behavioral Risk Factor Surveillance System. Data collected from 1 January 2016 through 31 December 2016 included whether respondents traveled internationally for pre-planned care, travel reasons and destinations, procedures received, and occurrence and treatment of complications. A descriptive analysis of demographics, socioeconomic status and health access variables was performed, and a regression model with a log-link function and Poisson distribution was used to estimate prevalence ratios (PR) for medical tourism.

      Results:

      Of 93,492 respondents, 517 (0.55%) traveled internationally during the previous year for care. Mexico was the most common destination (41% of trips). Dentistry accounted for 55% of treatments. Five percent reported complications from medical care received abroad; 67% sought care upon returning to the United States. The prevalence of medical tourism was 1.32% (95% CI 1.00–1.64). The prevalence of medical tourism was higher in Hispanics and non-whites (PR 3.97 [95% CI 2.48–6.32]) and higher among those without current health insurance (PR 2.70 [95% CI 1.69–4.34]).

      Discussion:

      This is the largest collection of population-based surveillance data describing medical tourism across U.S. residents from multiple states and territories. Understanding the demographic and socioeconomic factors associated with medical tourism can inform evidence-based recommendations for travelers and clinicians who may advise or care for these individuals before, during, or after travel.

    • Subjects:
    • Source:
      Infect Control Hosp Epidemiol. 43(7):870-875
    • Pubmed ID:
      34261562
    • Pubmed Central ID:
      PMC8922991
    • Document Type:
      Journal Article
    • Funding:
      CC999999/ImCDC/Intramural CDC HHSUnited States/
    • Collection(s):
    • Main Document Checksum:
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