Pre-Travel Health Care of Immigrants Returning Home to Visit Friends and Relatives
Published Date:Nov 13 2012
Source:Am J Trop Med Hyg. 2013; 88(2):376-380.
Corporate Authors:Global TravEpiNet Consortium
Communicable Disease Control
Delivery Of Health Care
Emigrants And Immigrants
Health Knowledge, Attitudes, Practice
Health Planning Guidelines
Funding:U01CK000175/CK/NCEZID CDC HHS/United States
U19CI000514/CI/NCPDCID CDC HHS/United States
Description:Immigrants returning home to visit friends and relatives (VFR travelers) are at higher risk of travel-associated illness than other international travelers. We evaluated 3,707 VFR and 17,507 non-VFR travelers seen for pre-travel consultation in Global TravEpiNet during 2009-2011; all were traveling to resource-poor destinations. VFR travelers more commonly visited urban destinations than non-VFR travelers (42% versus 30%, P < 0.0001); 54% of VFR travelers were female, and 18% of VFR travelers were under 6 years old. VFR travelers sought health advice closer to their departure than non-VFR travelers (median days before departure was 17 versus 26, P < 0.0001). In multivariable analysis, being a VFR traveler was an independent predictor of declining a recommended vaccine. Missed opportunities for vaccination could be addressed by improving the timing of pre-travel health care and increasing the acceptance of vaccines. Making pre-travel health care available in primary care settings may be one step to this goal.
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