title: Family compliance with counseling for children traveling to the tropics.
abstract: BACKGROUND
  The number of people, both adults and children, traveling abroad, is on the rise. Some seek counseling at travel medicine centers before departure.
  
  
  METHODS
  A prospective study was conducted among children <16 years visiting a travel medicine center in Marseille, France, from February 2010 to February 2011. Parents were contacted by telephone 4 weeks after their return, and asked about compliance with pre-travel advice.
  
  
  RESULTS
  One hundred sixty-seven children were evaluated after their trip. Compliance with immunizations, malaria chemoprophylaxis, and food-borne disease prevention was 71, 66, and 31%, respectively. Compliance with malaria chemoprophylaxis varied significantly with destination, and was higher for African destinations. Significant features associated with poor compliance with chemoprophylaxis were a trip to Asia or the Indian Ocean, age <5 years, and a monoparental family. Compliance with prevention of food- and water-borne diseases was higher in children < 2 years of age.
  
  
  CONCLUSIONS
  A ≥ 80% compliance with pre-travel counseling in children traveling overseas was achieved only for drinking bottled water, using repellents, a routine vaccine update, and yellow fever immunization.
authors.affiliation: Pediatric Emergency Unit, CHU Nord, Chemin des Bourrelly, Marseille, France.
authors.forename: Stéphanie
authors.initials: S
authors.lastname: Caillet-Gossot
authors.forename: Rémi
authors.initials: R
authors.lastname: Laporte
authors.forename: Guilhem
authors.initials: G
authors.lastname: Noël
authors.forename: Philippe
authors.initials: P
authors.lastname: Gautret
authors.forename: Georges
authors.initials: G
authors.lastname: Soula
authors.forename: Jean
authors.initials: J
authors.lastname: Delmont
authors.forename: Benoit
authors.initials: B
authors.lastname: Faucher
authors.forename: Philippe
authors.initials: P
authors.lastname: Parola
authors.forename: Lindsay
authors.initials: L
authors.lastname: Osei
authors.forename: Philippe
authors.initials: P
authors.lastname: Minodier
mesh_terms: D000293:Adolescent; D000328:Adult; D018890:Chemoprevention / Q000379:methods / Q000706:statistics & numerical data; D002648:Child; D002675:Child, Preschool; D003376:Counseling; D005191:Family Characteristics; D005192:Family Health; D005260:Female; D005517:Foodborne Diseases / Q000517:prevention & control*; D005602:France; D006801:Humans; D007114:Immunization / Q000379:methods / Q000706:statistics & numerical data; D007223:Infant; D008288:Malaria / Q000517:prevention & control*; D008297:Male; D017063:Outcome Assessment, Health Care; D010290:Parents; D010349:Patient Compliance / Q000706:statistics & numerical data; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D014195:Travel