A Normative Behavior of Pre-Travel Health Consultation and the Associated Factors among Travelers
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Introduction: Travelers may transmit diseases due to their behavior of travel, consequently travelers should consider preventive measurement through pre-travel health consultation seeking behavior. Pre-travel health consultation is a particular preparation ideally conducted by international travelers to obtain risk assessment and management to prevent the transmission of diseases. This study investigates the relationship of socio-demographic characteristics and itinerary on pre-travel health consultation behavior among international travelers in Badung, Bali.
Methods: A descriptive-correlative design using a cross-sectional approach employed 125 participants determined by a purposive sampling technique performed in the ten tourist destinations of Badung Regency. Data collection was conducted on February 15th until March 5th, 2020. Data demography, travel plan, and anonymous questionnaires regarding pre-travel health consultation behavior are used in this research. The Gamma coefficient correlation and Kruskal-Wallis statistic tests were performed in the study for bivariate analysis.
Results: The results showed that age (p<0.0001; r=-0.650) and past-travel history to Bali (p=0.004; r=-0.475) were significantly correlated with pre-travel health consultation behavior among international travelers in Badung, Bali. Meanwhile sex, nationality, last education, travel duration, and types of the destination visited were not significantly associated with pre-travel health consultation behavior among international travelers in Badung, Bali (p>0.05).
Conclusion: The age and past-travel history to Bali seem to be predictors for travelers to uptake pre-travel health consultation, thus nurses should be able to promote the implementation of pre-travel health consultation by utilizing the media promotion appropriately adjusted to the age of travelers and travel experience.Adou, A.A., Napolitano, F., Vastola, A., Angelillo, I.F., 2019. Travelers' knowledge, attitudes, and behavior related to infectious diseases in Italy. PLOS ONE 14, e0215252. https://doi.org/10.1371/journal.pone.0215252
Al-Abri, S.S., Abdel-Hady, D.M., Al-Abaidani, I.S., 2016. Knowledge, attitudes, and practices regarding travel health among Muscat International Airport travelers in Oman: Identifying the gaps and addressing the challenges. J. Epidemiol. Glob. Health 6, 67–75. https://doi.org/10.1016/j.jegh.2016.02.003
Bali Government Tourism Office, 2019. Bali Tourism Statistic 2018. Bali Government Tourism Office, Denpasar.
Bauer, I., Hall, S., Sato, N., 2013. Providing travel health care – the nurses' role: An international comparison. Travel Med. Infect. Dis. 11, 214–224. https://doi.org/10.1016/j.tmaid.2013.04.004
Chinazzi, M., Davis, J.T., Ajelli, M., Gioannini, C., Litvinova, M., Merler, S., Piontti, A.P. y, Mu, K., Rossi, L., Sun, K., Viboud, C., Xiong, X., Yu, H., Halloran, M.E., Longini, I.M., Vespignani, A., 2020. The effect of travel restrictions on the spread of the 2019 novel coronavirus (COVID-19) outbreak. Science 368, 395–400. https://doi.org/10.1126/science.aba9757
Chow, Z.Y., Ching, S.M., Ramachandran, V., Hoo, F., Sulaiman, W.A.W., Foo, Y.L., Tey, Y.Y., Liong, C.W., Wen, L.H., Han, T.C., 2018. Travellers' knowledge, attitudes and practices regarding prevention of infectious diseases: A cross sectional study from Malaysian Airports. Southeast Asian J Trop Med Public Health 49, 707–716.
Del Prete, V., Mateo-Urdiales, A., Bueno-Cavanillas, A., Ferrara, P., 2019. Malaria prevention in the older traveller: a systematic review. J. Travel Med. 26. https://doi.org/10.1093/jtm/taz067
Djalante, R., Lassa, J., Setiamarga, D., Sudjatma, A., Indrawan, M., Haryanto, B., Mahfud, C., Sinapoy, M.S., Djalante, S., Rafliana, I., Gunawan, L.A., Surtiari, G.A.K., Warsilah, H., 2020. Review and analysis of current responses to COVID-19 in Indonesia: Period of January to March 2020. Prog. Disaster Sci. 6, 100091. https://doi.org/10.1016/j.pdisas.2020.100091
Doubova, S.V., Pérez-Cuevas, R., 2018. Going further to measure improvements in health-care access and quality. The Lancet 391, 2190–2192. https://doi.org/10.1016/S0140-6736(18)30987-5
Ek, S., 2015. Gender differences in health information behaviour: a Finnish population-based survey. Health Promot. Int. 30, 736–745. https://doi.org/10.1093/heapro/dat063
El-Ghitany, E.M., Abdelmohsen, M.A.M., Farghaly, A.G., Abd El-Gawwad, E.S., Abd El-Wahab, E.W., 2018. Travel health survey: Risk perception, health-seeking behavior, and subjective evaluation of travel health services in Egypt. Int. J. Travel Med. Glob. Health 6, 16–24. https://doi.org/10.15171/ijtmgh.2018.04
Gagneux-Brunon, A., Andrillat, C., Fouilloux, P., Daoud, F., Defontaine, C., Charles, R., Lucht, F., Botelho-Nevers, E., 2016. Pre-travel advice seeking from GPs by travellers with chronic illness seen at a travel clinic. J. Travel Med. 23, taw013. https://doi.org/10.1093/jtm/taw013
Gautret, P., Tantawichien, T., Hai, V.V., Piyaphanee, W., 2011. Determinants of pre-exposure rabies vaccination among foreign backpackers in Bangkok, Thailand. Vaccine 29, 3931–3934. https://doi.org/10.1016/j.vaccine.2011.03.096
Green, L.W., 1974. Toward cost-benefit evaluations of health education: some concepts, methods, and examples. Health Educ. Monogr. 2, 34–64. https://doi.org/10.1177/10901981740020S106
Heywood, A.E., Watkins, R.E., Iamsirithaworn, S., Nilvarangkul, K., MacIntyre, C.R., 2012. A cross-sectional study of pre-travel health-seeking practices among travelers departing Sydney and Bangkok airports. BMC Public Health 12, 321. https://doi.org/10.1186/1471-2458-12-321
Kain, D., Findlater, A., Lightfoot, D., Maxim, T., Kraemer, M.U.G., Brady, O.J., Watts, A., Khan, K., Bogoch, I.I., 2019. Factors affecting pre-travel health seeking behaviour and adherence to pre-travel health advice: A systematic review. J. Travel Med. 26, 1–14. https://doi.org/10.1093/jtm/taz059
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. J. Korean Med. Sci. 34, e217. https://doi.org/10.3346/jkms.2019.34.e217
Lammert, S.M., Rao, S.R., Jentes, E.S., Fairley, J.K., Erskine, S., Walker, A.T., Hagmann, S.H., Sotir, M.J., Ryan, E.T., LaRocque, R.C., 2017. Refusal of recommended travel-related vaccines among U.S. international travellers in Global TravEpiNet. J. Travel Med. 24. https://doi.org/10.1093/jtm/taw075
Leder, K., Borwein, S., Chanthavanich, P., Chatterjee, S., Htun, K., Marma, A.S.P., Nakatani, I., Ok, J.-J., Pakasi, L., Pandey, P., Piyaphanee, W., Rupali, P., Schwartz, E., Shinozuka, T., Phu, P.T.H., Watanabe, H., Visser, J., Wilder-Smith, A., Zhang, M., McGuinness, S.L., 2017. Travel medicine perspectives of select travel medicine experts practicing in the Asia-Pacific region. J. Travel Med. 24. https://doi.org/10.1093/jtm/tax012
Leder, K., Steffen, R., Cramer, J.P., Greenaway, C., 2015. Risk assessment in travel medicine: how to obtain, interpret, and use risk data for informing pre-travel advice. J. Travel Med. 22, 13–20. https://doi.org/10.1111/jtm.12170
Liu, S.J., Sharapov, U., Klevens, M., 2015. Patient awareness of need for hepatitis A vaccination (prophylaxis) before international travel. J. Travel Med. 22, 174–178. https://doi.org/10.1111/jtm.12186
Masyeni, S., Yohan, B., Somia, I.K.A., Myint, K.S.A., Sasmono, R.T., 2018. Dengue infection in international travellers visiting Bali, Indonesia. J. Travel Med. 25, 1–7. https://doi.org/10.1093/jtm/tay061
McGuinness, S.L., Spelman, T., Johnson, D.F., Leder, K., 2015. Immediate recall of health issues discussed during a pre"travel consultation. J. Travel Med. 22, 145–151. https://doi.org/10.1111/jtm.12183
Notoatmodjo, S., 2010. Ilmu Perilaku Kesehatan. Rineka Cipta, Jakarta.
Omer, F., Hassan, N., Hussain, H., Mana, S., Awad, O., 2015. Travel health, gaps in knowledge, attitudes, and practices among Dubai travellers, Dubai, UAE. Int. J. Prev. Med. Res. 1, 126–131.
Paudel, P., Raina, C., Zwar, N., Seale, H., Worth, H., Sheikh, M., Heywood, A.E., 2017. Risk activities and pre-travel health seeking practices of notified cases of imported infectious diseases in Australia. J. Travel Med. 24. https://doi.org/10.1093/jtm/tax044
Pavli, A., Silvestros, C., Patrinos, S., Lymperi, I., Maltezou, H.C., 2014. Pre-travel preparation practices among business travellers to tropical and subtropical destinations: Results from the Athens International Airport Survey. Travel Med. Infect. Dis. 12, 364–369. https://doi.org/10.1016/j.tmaid.2013.12.004
Piyaphanee, W., Steffen, R., Shlim, D.R., Gherardin, T., Chatterjee, S., 2012. Travel medicine for Asian travelers”do we need new approaches? J. Travel Med. 19, 335–337. https://doi.org/10.1111/j.1708-8305.2012.00661.x
Potter, P.A., Perry, A.G., 2005. Buku ajar fundamental keperawatan: Konsep, proses, dan praktik, 4th ed. EGC, Jakarta.
Rawlings, A.V., 2006. Ethnic skin types: are there differences in skin structure and function?1. Int. J. Cosmet. Sci. 28, 79–93. https://doi.org/10.1111/j.1467-2494.2006.00302.x
Roxana, D.M., 2012. Considerations about ecotourism and nature-based tourism - realities and perspectives. Int. J. Acad. Res. Econ. Manag. Sci. 1, 215–221.
Shady, I., Gaafer, M., Bassiony, L., 2015. Travel risk behaviors as a determinants of receiving pre-travel health consultation and prevention. Trop. Dis. Travel Med. Vaccines 1. https://doi.org/10.1186/s40794-015-0003-8
Sohail, A., McGuinness, S.L., Lightowler, R., Leder, K., Jomon, B., Bain, C.A., Peleg, A.Y., 2019. Spectrum of illness among returned Australian travellers from Bali, Indonesia: a 5-year retrospective observational study. Intern. Med. J. 49, 34–40. https://doi.org/10.1111/imj.13993
Stoney, R.J., Chen, L.H., Jentes, E.S., Wilson, M.E., Han, P.V., Benoit, C.M., MacLeod, W.B., Hamer, D.H., Barnett, E.D., 2016. Malaria prevention strategies: Adherence among Boston area travelers visiting malaria-endemic countries. Am. J. Trop. Med. Hyg. 94, 136–142. https://doi.org/10.4269/ajtmh.15-0565
Sumadewi, K.T., Eka, P.A., Masyeni, S., Rusni, N.W., Witari, N.P.D., 2018. Utilization review inpatient and outpatient of traveller related to thypoid in Bali (study in two regencies: a case report), in: IOP Conference Series: Materials Science and Engineering. Presented at the 3rd Annual Applied Science and Engineering Conference (AASEC 2018), IOP Publishing, Bandung. https://doi.org/10.1088/1757-899X/434/1/012335
Swedarma, K.E., Yanti, L.P.E., Sulistiowati, N.M.D., 2016. Nursing role in supporting the development of community based on health tourism in Bali. J. INJEC 1, 15–18. https://doi.org/10.24990/injec.v1i1.101
Tan, E.M., St. Sauver, J.L., Sia, I.G., 2018. Impact of pre-travel consultation on clinical management and outcomes of travelers' diarrhea: a retrospective cohort study. Trop. Dis. Travel Med. Vaccines 4, 16. https://doi.org/10.1186/s40794-018-0076-2
Vilkman, K., Pakkanen, S.H., Lääveri, T., Siikamäki, H., Kantele, A., 2016. Travelers' health problems and behavior: prospective study with post-travel follow-up. BMC Infect. Dis. 16, 328. https://doi.org/10.1186/s12879-016-1682-0
Villard, M., Bonini, J., Criquet-Hayot, A., Baubion, E., Derancourt, C., 2017. Kite-surfers' sun risk in the tropics. J. Travel Med. 24. https://doi.org/10.1093/jtm/taw079
World Health Organization, 2020. Gender [WWW Document]. Gender. URL https://www.who.int/westernpacific/health-topics/detail/gender (accessed 3.20.20).
Zhang, Min, Zhang, J., Hao, Y., Fan, Z., Li, L., Li, Y., Ju, W., Zhang, H., Liu, W., Zhang, Mengzhang, Wu, D., He, H., 2016. Vaccination knowledge, attitude and practice among Chinese travelers who visit travel clinics in Preparation for international travel. J. Travel Med. 23, taw051. https://doi.org/10.1093/jtm/taw051
Zuckerman, J.N., Brunette, G.W., Leggat, P.A., 2015. Essential Travel Medicine, 1st ed. Wiley Blackwell, West Susex.
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