Sexual risk-taking during travel abroad - a cross-sectional survey among youth in Sweden

Travel Med Infect Dis. 2016 May-Jun;14(3):233-41. doi: 10.1016/j.tmaid.2016.03.014. Epub 2016 Apr 12.

Abstract

Background: The aim was to assess sexual risk-taking behaviour in a sample of Swedish youth who were sexually active while travelling abroad and to examine possible associations with sexual risk-taking behaviour during such travel.

Methods: From a population-based sample of 2189 Swedes 18-29 years, 768 who were sexually active while abroad, were assessed by a questionnaire concerning socio-demographic background, life-style, travel duration, sexuality, mental health, heavy episodic drinking (HED) and drug-use.

Results: Approximately 1/4 reported intercourse with a casual partner abroad. Casual sex was associated with HED, 18-24 years, and drug use in both sexes, and for women, also with ≥one month of travel. Among youth with casual partners, 48% reported non-condom use. Non-condom use with a casual partner was associated with 18-24 years, ≥one month of travel for women, and poor self-rated mental health for men. About 10% had ≥2 partners abroad. Having ≥2 partners abroad was associated with ≥one month of travel, and for men also with HED.

Conclusion: Male sex, 18-24 years of age, ≥1 month of travel, HED, and drug use were significantly associated with sexual risk-taking during travel abroad. Poor self-rated mental health and foreign-born parentage might also constitute risk factors for men.

Keywords: Condom; Risk-taking; STI; Sexual; Travel.

MeSH terms

  • Adolescent
  • Adult
  • Alcohol Drinking
  • Condoms
  • Cross-Sectional Studies
  • Drug Users / psychology
  • Drug Users / statistics & numerical data
  • Female
  • HIV Infections / epidemiology
  • HIV Infections / prevention & control
  • Humans
  • Male
  • Mental Health
  • Risk Factors
  • Risk-Taking*
  • Sexual Behavior / drug effects
  • Sexual Behavior / psychology
  • Sexual Behavior / statistics & numerical data*
  • Sexual Partners
  • Sexually Transmitted Diseases / epidemiology
  • Sexually Transmitted Diseases / prevention & control
  • Sexually Transmitted Diseases / psychology
  • Sexually Transmitted Diseases / transmission*
  • Surveys and Questionnaires
  • Sweden
  • Travel*
  • Young Adult