{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T13:09:06Z","timestamp":1770815346067,"version":"3.50.1"},"reference-count":0,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,1,5]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n<jats:p>With an increasing number of adolescents participating in international travel, little is known about travel-related behaviors and health risks in this age group. In the years 2015\u20132016, we conducted an anonymous, posttravel, questionnaire-based survey with the aim to compare self-reported practices and travel-related symptoms between adolescents (&lt;\u200918 years old, <jats:italic>N<\/jats:italic>\u2009=\u200987) and adults (\u2265\u200918 years old, <jats:italic>N<\/jats:italic>\u2009=\u2009149) who came to our travel clinic before their humanitarian missions. They had the same pretravel health education, and traveled together to perform similar activities. In univariate analysis, compared with adults, we found that adolescents reported less prior international travel (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), more often wore long-sleeved clothing for malaria prevention (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) but less often for sun protection (<jats:italic>P<\/jats:italic>\u2009=\u20090.009), more often used insect repellents (<jats:italic>P<\/jats:italic>\u2009=\u20090.011), and less often had diarrhea (<jats:italic>P<\/jats:italic>\u2009=\u20090.024). All other practices and health outcomes were similar between the groups. Multivariate analyses using Bayesian network show strong associations between adults and prior travel experience, and not wearing long-sleeve clothing for malaria prevention. We also found strong associations between prior international travel and sustaining an injury, and having jet lag, as well as between taking malaria prophylaxis and not having diarrhea. Overall, most practices and health outcomes were similar between age groups. Adolescent age and lack of prior international travel experience did not have significant impacts on practices and health outcomes. Our findings highlight the need for more effective strategies to improve the behaviors and health outcomes in both adolescents and adults.<\/jats:p>","DOI":"10.4269\/ajtmh.21-0486","type":"journal-article","created":{"date-parts":[[2021,9,27]],"date-time":"2021-09-27T11:52:42Z","timestamp":1632743562000},"page":"345-350","source":"Crossref","is-referenced-by-count":2,"title":["Travel-Related Behaviors and Health Outcomes of Adolescents Compared with Adults on Short-Term International Service Missions"],"prefix":"10.4269","volume":"106","author":[{"given":"Jakrapun","family":"Pupaibool","sequence":"first","affiliation":[{"name":"1Division of Infectious Diseases, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hemantha","family":"Walaliyadda","sequence":"additional","affiliation":[{"name":"1Division of Infectious Diseases, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Tasevac","sequence":"additional","affiliation":[{"name":"1Division of Infectious Diseases, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ben J.","family":"Brintz","sequence":"additional","affiliation":[{"name":"2Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"In Kyu","family":"Park","sequence":"additional","affiliation":[{"name":"1Division of Infectious Diseases, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Graves","sequence":"additional","affiliation":[{"name":"1Division of Infectious Diseases, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L. Scott","family":"Benson","sequence":"additional","affiliation":[{"name":"3Division of Public Health, Department of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, Utah;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Hale","sequence":"additional","affiliation":[{"name":"1Division of Infectious Diseases, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin","family":"Powell","sequence":"additional","affiliation":[{"name":"4Youthlinc, Salt Lake City, Utah"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel T.","family":"Leung","sequence":"additional","affiliation":[{"name":"1Division of Infectious Diseases, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/106\/1\/article-p345.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/106\/1\/article-p345.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,1,5]],"date-time":"2022-01-05T12:08:29Z","timestamp":1641384509000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/106\/1\/article-p345.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,5]]},"references-count":0,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.21-0486","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,5]]}}}