Keywords
Healthcare attendance; Chronic condition; Chronic illnesses; Travel medicine; Vaccination; Immunosuppressed conditions
Abstract
Background: Current demographic changes and improvement of quality of life of patients with chronic conditions have direct consequences on international traveling.
Aim: The aim of this study was to assess needs in pre-travel health care in a sample of travelers with some chronic condition compared to healthy travelers moving abroad.
Methods: A retrospective adult cohort study was performed including attendees of a Travel Medicine Clinic in a 2-year period of time traveling to tropical areas.
Results: Over the 2-year period, 10,108 subjects presented to the travel clinic for pre-travel health care, 51.3% of whom were females with a mean age of 40.6 years (± 12.2 SD), mainly European (85.6%), and traveling to sub-Saharian Africa (31%). One in five travelers had one or more documented chronic disease [21.3% (95%CI 20.50 - 22.10) ], statistically higher in males, older than 30 years of age, traveling to Middle East, as VFR or tourism purpose (p < 0.05). Main chronic conditions observed were cardiovascular diseases (10.9%, 95%CI 10.29 - 11.50) followed by endocrine-metabolic conditions (7.8%, 95%CI 7.32 - 8.37) and cancer (3.1%, 95%CI 2.77 - 3.44) statistically different by gender. While immunosuppressed conditions, independently of gender and travel destination, were present in 4.2% (95%CI 3.81 - 4.60) of travelers but higher in older than 30 years of age, traveling as VFR or organized tourism purpose (p < 0.05).
Conclusions: Findings from this large-scale study indicated a high amount of travelers with at least one chronic or immunosuppressed condition that should be taken in consideration into the pre-travel health advice in a current volatile, uncertain, complex and ambiguous scenario.
Citation
Masuet-Aumatell C, Ramon-Torrell JM (2022) Frequency of Travelers with Chronic Conditions: Results from EPICHRONTRAV Study. SM J Infect Dis 5: 7.