{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T01:59:29Z","timestamp":1792202369526,"version":"4.4.0"},"reference-count":23,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,1,6]]},"abstract":"<jats:p>We conducted a prospective cohort study to assess adherence to malaria chemoprophylaxis, reasons for nonadherence, and use of other personal protective measures against malaria. We included adults traveling to malaria-endemic countries who were prescribed malaria chemoprophylaxis during a pre-travel consultation at three travel clinics in the Boston area and who completed three or more surveys: pre-travel, at least one weekly during travel, and post-travel (2\u20134 weeks after return). Of 370 participants, 335 (91%) took malaria chemoprophylaxis at least once and reported any missed doses; 265 (79%) reported completing all doses during travel. Adherence was not affected by weekly versus daily chemoprophylaxis, travel purpose, or duration of travel. Reasons for nonadherence included forgetfulness, side effects, and not seeing mosquitoes. Main reasons for declining to take prescribed chemoprophylaxis were peer advice, low perceived risk, and not seeing mosquitoes. Of 368 travelers, 79% used insect repellent, 46% used a bed net, and 61% slept in air conditioning at least once. Because travelers may be persuaded to stop taking medication by peer pressure, not seeing mosquitoes, and adverse reactions to medications, clinicians should be prepared to address these barriers and to empower travelers with strategies to manage common side effects of antimalarial medications.<\/jats:p>","DOI":"10.4269\/ajtmh.15-0565","type":"journal-article","created":{"date-parts":[[2015,10,20]],"date-time":"2015-10-20T12:33:15Z","timestamp":1445344395000},"page":"136-142","source":"Crossref","is-referenced-by-count":29,"title":["Malaria Prevention Strategies: Adherence Among Boston Area Travelers Visiting Malaria-Endemic Countries"],"prefix":"10.4269","volume":"94","author":[{"given":"Rhett J.","family":"Stoney","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin H.","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily S.","family":"Jentes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary E.","family":"Wilson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pauline V.","family":"Han","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine M.","family":"Benoit","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William B.","family":"MacLeod","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davidson H.","family":"Hamer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth D.","family":"Barnett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"ref1","series-title":"Malaria Cases in U.S. Hit 40-Year High","author":"Centers for Disease Control and Prevention","year":"2015"},{"key":"ref2","series-title":"MMWR Surveill Summ","first-page":"1","article-title":"Malaria surveillance\u2013United States, 2011","volume":"62","author":"Cullen","year":"2013"},{"key":"ref3","series-title":"J Travel Med","first-page":"298","article-title":"Knowledge of malaria, risk perception, and compliance with prophylaxis and personal and environmental preventive measures in travelers exiting Zimbabwe from Harare and Victoria Falls International Airport","volume":"8","author":"Laver","year":"2001"},{"key":"ref4","series-title":"CDC Health Information for International Travel 2014","first-page":"228","article-title":"Malaria","author":"Arguin","year":"2014"},{"key":"ref5","series-title":"CDC Health Information for International Travel 2012","first-page":"348","article-title":"Yellow fever and malaria information, by country","author":"Gershman","year":"2012"},{"key":"ref6","series-title":"CDC Health 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Africa","volume":"101","author":"Pistone","year":"2007"}],"container-title":["The American Society of Tropical Medicine and 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