Travel health advice: Benefits, compliance, and outcome

Abstract

Background: Travel health advice is an important and difficult part of a pre-travel consultation. The aim of this study was to determine whether the travel health advice given is followed by the traveller and whether it affects disease and injury experienced during travel. Methods: A prospective survey study was carried out from October 2009 to April 2012 at the Travel Medicine Clinic of the Department of Infectious Diseases, Umeå University Hospital, Umeå, Sweden. The Travel Medicine Clinic in Umeå is the largest travel clinic in northern Sweden. Results: We included 1277 individuals in the study; 1059 (83%) responded to the post-travel questionnaire. Most visitors (88%) remembered having received travel health advice; among these, 95% found some of the health advice useful. Two-thirds (67%) claimed to have followed the advice, but fell ill during travel to the same extent as those who did not. Younger travellers (< 31 y) found our travel health advice less beneficial, were less compliant with the advice, took more risks during travel, and fell ill during travel to a greater extent than older travellers. Conclusions: Helping travellers stay healthy during travel is the main goal of travel medicine. Younger travellers are a risk group for illness during travel and there is a need to find new methods to help them avoid illness. Travellers find travel health advice useful, but it does not protect them from travel-related illness. Factors not easily influenced by the traveller play a role, but a comprehensive analysis of the benefits of travel health advice is needed.

Keywords::

• Travel health advice
• illness during travel
• risk behaviour during travel
• risk groups in travel medicine
• compliance with travel health advice

Acknowledgements

We would like to thank Maria Casserdahl and Madelaine Sillfors for their work with data processing. We also thank Klara Brändström, Maria Casserdahl, Ulla Gunnarsson, Linda Olsson, Ann Catrin Tegenfeldt, and Anna Wännman for their invaluable help with the inclusion of study participants.

Declaration of interest: This study was funded solely by the Division of Infectious Diseases, Department of Clinical Microbiology, Umeå University, Umeå, Sweden.