title: Factors associated with non-use of condoms in an online community of frequent travellers.
abstract: BACKGROUND
  Millions of travellers around the world have gathered together into online communities. The objective is to analyse the factors associated with risky sexual behaviour among travellers.
  
  
  METHODS
  Cross-sectional study was conducted within an online community of travellers using an online survey; we included travellers who had engaged in sexual activity while on their last trip. Risky sexual behaviour was defined as inconsistent condom use (<100%), and the factors associated were evaluated using the prevalence ratio (PR).
  
  
  RESULTS
  Of the 468 participants, 245 had sex during their last trip. 59.7% did not consistently use condoms, and one out of every four participants reported never using condoms. Having a travel destination of Latin America or the Caribbean was significantly associated with inconsistent condom use. This association was maintained (PR 1.37, CI 95% 1.06–1.77) after adjusting for gender, age, migration, the presence of travel partners, and the use of drugs and alcohol prior to sexual activity.
  
  
  CONCLUSIONS
  An association was observed between travel destination (specifically Latin America or the Caribbean) and risky sexual behaviour. For this reason, tourists should be educated in STI transmission and regional STI and HIV incidences both before and during their travels; public health systems ought to work together with travel agencies, international airports, etc., in order to distribute this information and ensure a responsible travel experience.
authors.forename: Sami
authors.initials: S
authors.lastname: Alcedo
authors.forename: Stefano
authors.initials: S
authors.lastname: Kossuth-Cabrejos
authors.forename: Alejandro
authors.initials: A
authors.lastname: Piscoya
authors.forename: Percy
authors.initials: P
authors.lastname: Mayta-Tristán
mesh_terms: D000328:Adult; D000434:Alcoholic Beverages; D017691:Caribbean Region; D017280:Condoms; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D013287:Illicit Drugs; D020407:Internet; D007843:Latin America; D008297:Male; D015995:Prevalence; D012309:Risk-Taking; D012725:Sexual Behavior / Q000706:statistics & numerical data; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases; D014195:Travel; D055815:Young Adult
chemical_list: D013287:Illicit Drugs