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Vaccination and malaria prophylaxis among Greek international travelers to Asian destinations.
[typhoid]
International
travel
is
rapidly
increasing
worldwide
,
and
the
greatest
increases
have
occurred
in
tropical
and
subtropical
areas
.
The
aim
of
the
survey
was
to
investigate
the
pre-travel
health-seeking
practices
of
travelers
to
Asian
destinations
.
A
questionnaire-based
survey
was
conducted
at
the
Athens
International
Airport
between
the
1
st
of
November
2011
and
the
30
th
of
April
2013
.
A
total
of
1666
adult
travelers
participated
in
the
study
,
and
69
.
7
%
were
men
.
The
mean
age
of
the
participants
was
39
years
.
Previous
travel
to
tropical
countries
was
reported
by
69
%
of
the
participants
.
The
most
frequent
destination
was
the
Indian
subcontinent
(
45
.
0
%
)
.
The
main
reasons
for
travel
were
visiting
friends
and
relatives
(
VFRs
;
36
.
5
%
)
and
business
(
32
.
4
%
)
.
Most
of
the
participants
traveled
for
<
1
month
(
51
.
4
%
)
.
Only
24
.
5
%
pursued
pre-travel
consultations
.
Vaccinations
were
administered
to
14
.
4
%
of
the
participants
,
and
of
those
,
77
%
,
73
%
,
and
32
.
5
%
received
hepatitis
A
,
tetanus
/
diphtheria
,
and
typhoid
vaccines
,
respectively
.
Malaria
prophylaxis
was
given
to
12
.
2
%
of
the
participants
.
Logistic
regression
analysis
revealed
that
being
male
and
unemployed
,
having
an
elementary
level
of
education
,
traveling
to
visiting
friends
and
relatives
,
and
short
durations
of
travel
were
significant
determinants
of
not
seeking
pre-travel
consultations
.
Significant
gaps
were
revealed
in
the
vaccinations
and
malaria
prophylaxes
of
travelers
departing
to
Asia
.
Specific
educational
tools
should
be
developed
to
improve
the
awareness
of
travelers
to
high
-risk
destinations
.
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