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首页> 外文期刊>International Journal of Environmental Research and Public Health >HIV, Other Blood-Borne Viruses and Sexually Transmitted Infections amongst Expatriates and Travellers to Low- and Middle-Income Countries: A Systematic Review
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HIV, Other Blood-Borne Viruses and Sexually Transmitted Infections amongst Expatriates and Travellers to Low- and Middle-Income Countries: A Systematic Review

机译：中低收入国家的外籍人士和旅行者中的艾滋病毒，其他血源性病毒和性传播感染：系统评价

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In some high-income countries, a proportion of human immunodeficiency virus (HIV), other blood-borne virus (BBV) or sexually transmitted infection (STI) diagnoses have been reported as acquired overseas in low- and middle-income countries. A review was conducted to explore HIV, other BBV or STI related knowledge, risk behavior and acquisition amongst expatriates and travelers, particularly males, travelling from high to low- and middle-income countries. Seven academic databases were searched for 26 peer reviewed articles that met inclusion criteria. Significant variability in the studies was noted, in age, travel duration and frequency and outcomes/risk factors measured and reported on. Risk factors described included longer duration of stay; being single; travel for romance or sex; alcohol and other drug use; lack of travel advice; being male; higher number of sexual partners; and inconsistent condom use. Vaccination, pre-travel health advice, and having fewer sexual partners were described as protective. Studies are needed focusing on the social context in which risk-taking occurs. Better collaboration is essential to deliver comprehensive health promotion interventions alongside more consistent pre- and post- travel testing and advice. Policy measures are crucial, including consistent evaluation indicators to assess impacts of HIV, other BBVs or STIs in the context of mobility. Risks and responses for these epidemics are shared globally.
机译：在一些高收入国家，据报告一部分诊断为人免疫缺陷病毒（HIV），其他血源性病毒（BBV）或性传播感染（STI）的诊断是在低收入和中等收入国家中在国外获得的。对从高收入国家到中低收入国家的外籍人士和旅行者，尤其是男性，进行了调查，以探讨艾滋病毒，其他BBV或性传播感染相关知识，风险行为和获取情况。在七个学术数据库中搜索了符合纳入标准的26篇同行评审文章。在年龄，旅行时间和频率以及测量和报告的结局/风险因素方面，研究中存在显着差异。所描述的危险因素包括逗留时间较长;单身;进行浪漫或性旅行;酒精和其他毒品使用;缺乏旅行建议;是男性更多的性伴侣;和避孕套使用不一致。疫苗接种，旅行前的健康建议以及较少的性伴侣被认为具有保护性。需要针对发生冒险的社会背景进行研究。更好的协作对于提供全面的健康促进干预措施以及更一致的出行前和出行后测试和建议至关重要。政策措施至关重要，包括一致的评估指标，以评估在流动性背景下艾滋病毒，其他BBV或性传播感染的影响。这些流行病的风险和应对措施在全球范围内分担。

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