Wondimeneh Shiferaw, Deborah Mills, Kenneth Koh, Judith A Dean, Stanley Khoo, David Rutherford, Michael Tooth, Jenny Visser, Colleen Lau, Luis Furuya-Kanamori
{"title":"澳大利亚旅行者的风险认知、有意性行为和潜在的相关性传播感染风险：一项横断面研究。","authors":"Wondimeneh Shiferaw, Deborah Mills, Kenneth Koh, Judith A Dean, Stanley Khoo, David Rutherford, Michael Tooth, Jenny Visser, Colleen Lau, Luis Furuya-Kanamori","doi":"10.1097/OLQ.0000000000002214","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Changes in travellers' sexual behaviours, driven by opportunities during travel, contribute to the acquisition of sexually transmissible infections (STIs). However, research on travellers' risk perception, intentions regarding new sexual partners, and engagement in behaviours that may place them at potential risk of STI acquisition remains limited. This study aims to assess the risk perception and intended sexual behaviours associated with STI acquisition among Australian travellers.</p><p><strong>Methods: </strong>A cross-sectional online survey was conducted from July 2023 to August 2024 among Australian residents (aged ≥18 years) planning to travel overseas within six months. The survey was distributed in five Travel Medicine Alliance (TMA) clinics and at the Gladstone Road Medical Centre (GRMC) clinic. Socio-demographics, travel plans, sexual intentions, STI risk perception, and patterns of intended sexual behaviours were collected. Subgroup analysis was performed on participants travelling without a partner to estimate their intention to engage in new sexual encounters.</p><p><strong>Results: </strong>Of the 205 respondents, 172 (83.9%) attended the TMA clinics and 33 (16.1%) the GRMC clinic. The median age was 42.5 years (interquartile range 28-56 years), 51% (n = 105) were female. Nearly a quarter (22.7%, n = 29) intended to engage in sexual activity with new partners while travelling. Among these, 72.4% perceived their risk of contracting STIs as low, despite reporting intended sexual behaviours linked to STI acquisition risk such as no intention to use condoms (28.0%), intention to engage in sexual relationships with sex workers (24.1%), and plans to undergo post-travel STI testing (34.6%). Nearly half (41.4%), identified a need for better STI-related pre-travel information.</p><p><strong>Conclusions: </strong>A substantial proportion of surveyed travellers intended to engage in sexual activity with a new sexual partner while travelling, with many underestimating their STI risk and demonstrating intended sexual behaviours that increase their likelihood of STI acquisition. These findings underscore the need for comprehensive sexual health counselling during pre-travel consultations, with a focus on STI risk awareness, preventive strategies, and post-travel STI screening.</p>","PeriodicalId":21837,"journal":{"name":"Sexually transmitted diseases","volume":" ","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Risk perception, intended sexual behaviours and potential associated risks for sexually transmissible infections acquisition among Australian travellers: A cross-sectional study.\",\"authors\":\"Wondimeneh Shiferaw, Deborah Mills, Kenneth Koh, Judith A Dean, Stanley Khoo, David Rutherford, Michael Tooth, Jenny Visser, Colleen Lau, Luis Furuya-Kanamori\",\"doi\":\"10.1097/OLQ.0000000000002214\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Changes in travellers' sexual behaviours, driven by opportunities during travel, contribute to the acquisition of sexually transmissible infections (STIs). However, research on travellers' risk perception, intentions regarding new sexual partners, and engagement in behaviours that may place them at potential risk of STI acquisition remains limited. This study aims to assess the risk perception and intended sexual behaviours associated with STI acquisition among Australian travellers.</p><p><strong>Methods: </strong>A cross-sectional online survey was conducted from July 2023 to August 2024 among Australian residents (aged ≥18 years) planning to travel overseas within six months. The survey was distributed in five Travel Medicine Alliance (TMA) clinics and at the Gladstone Road Medical Centre (GRMC) clinic. Socio-demographics, travel plans, sexual intentions, STI risk perception, and patterns of intended sexual behaviours were collected. Subgroup analysis was performed on participants travelling without a partner to estimate their intention to engage in new sexual encounters.</p><p><strong>Results: </strong>Of the 205 respondents, 172 (83.9%) attended the TMA clinics and 33 (16.1%) the GRMC clinic. The median age was 42.5 years (interquartile range 28-56 years), 51% (n = 105) were female. Nearly a quarter (22.7%, n = 29) intended to engage in sexual activity with new partners while travelling. Among these, 72.4% perceived their risk of contracting STIs as low, despite reporting intended sexual behaviours linked to STI acquisition risk such as no intention to use condoms (28.0%), intention to engage in sexual relationships with sex workers (24.1%), and plans to undergo post-travel STI testing (34.6%). Nearly half (41.4%), identified a need for better STI-related pre-travel information.</p><p><strong>Conclusions: </strong>A substantial proportion of surveyed travellers intended to engage in sexual activity with a new sexual partner while travelling, with many underestimating their STI risk and demonstrating intended sexual behaviours that increase their likelihood of STI acquisition. These findings underscore the need for comprehensive sexual health counselling during pre-travel consultations, with a focus on STI risk awareness, preventive strategies, and post-travel STI screening.</p>\",\"PeriodicalId\":21837,\"journal\":{\"name\":\"Sexually transmitted diseases\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Sexually transmitted diseases\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/OLQ.0000000000002214\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"INFECTIOUS DISEASES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sexually transmitted diseases","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/OLQ.0000000000002214","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
Risk perception, intended sexual behaviours and potential associated risks for sexually transmissible infections acquisition among Australian travellers: A cross-sectional study.
Background: Changes in travellers' sexual behaviours, driven by opportunities during travel, contribute to the acquisition of sexually transmissible infections (STIs). However, research on travellers' risk perception, intentions regarding new sexual partners, and engagement in behaviours that may place them at potential risk of STI acquisition remains limited. This study aims to assess the risk perception and intended sexual behaviours associated with STI acquisition among Australian travellers.
Methods: A cross-sectional online survey was conducted from July 2023 to August 2024 among Australian residents (aged ≥18 years) planning to travel overseas within six months. The survey was distributed in five Travel Medicine Alliance (TMA) clinics and at the Gladstone Road Medical Centre (GRMC) clinic. Socio-demographics, travel plans, sexual intentions, STI risk perception, and patterns of intended sexual behaviours were collected. Subgroup analysis was performed on participants travelling without a partner to estimate their intention to engage in new sexual encounters.
Results: Of the 205 respondents, 172 (83.9%) attended the TMA clinics and 33 (16.1%) the GRMC clinic. The median age was 42.5 years (interquartile range 28-56 years), 51% (n = 105) were female. Nearly a quarter (22.7%, n = 29) intended to engage in sexual activity with new partners while travelling. Among these, 72.4% perceived their risk of contracting STIs as low, despite reporting intended sexual behaviours linked to STI acquisition risk such as no intention to use condoms (28.0%), intention to engage in sexual relationships with sex workers (24.1%), and plans to undergo post-travel STI testing (34.6%). Nearly half (41.4%), identified a need for better STI-related pre-travel information.
Conclusions: A substantial proportion of surveyed travellers intended to engage in sexual activity with a new sexual partner while travelling, with many underestimating their STI risk and demonstrating intended sexual behaviours that increase their likelihood of STI acquisition. These findings underscore the need for comprehensive sexual health counselling during pre-travel consultations, with a focus on STI risk awareness, preventive strategies, and post-travel STI screening.
期刊介绍：
Sexually Transmitted Diseases, the official journal of the American Sexually Transmitted Diseases Association, publishes peer-reviewed, original articles on clinical, laboratory, immunologic, epidemiologic, behavioral, public health, and historical topics pertaining to sexually transmitted diseases and related fields. Reports from the CDC and NIH provide up-to-the-minute information. A highly respected editorial board is composed of prominent scientists who are leaders in this rapidly changing field. Included in each issue are studies and developments from around the world.
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