Abstract
ABSTRACT Background: The fact that youth take sexual risks when they are abroad have been shown in previous studies. However, it is not known if they increased their sexual risk-taking when travelling abroad, compared to the stay in their homeland. Objective: To assess whether Swedish youth increased their individual sexual risk behaviour, defined as having a casual sex partner, when travelling abroad and to examine possible factors that may be associated with increased risk-taking abroad. Design: In 2013, a population-based sample of 2189 Swedes, 18-29 years, was assessed by a questionnaire (45% response rate). Sexuality, duration of travel, parents’ country of origin, mental health, heavy episodic drinking (HED), use of illicit drugs, and socio-demographic background were assessed. Increased risk of casual sex in relation to time spent abroad vs. time spent in Sweden was analysed by a variant of case-crossover design. Factors that could be associated with increased risk of casual sex in Sweden and abroad, separately, were analysed by logistic regression.
Highlights
The fact that youth take sexual risks when they are abroad have been shown in previous studies
We found, only among men, that parents born abroad were associated with having a casual partner abroad and that poor mental health was associated with non-use of condoms with casual partner abroad [14]
Only individuals who reported that they had travelled abroad and who had been sexually active were retained in the analyses, which rendered a final sample of 2189 individuals
Summary
The fact that youth take sexual risks when they are abroad have been shown in previous studies. It is not known if they increased their sexual risk-taking when travelling abroad, compared to the stay in their homeland. Several studies have shown that travellers take sexual health risks when going abroad [1], which entails an increased risk of acquiring sexually transmitted infections (STIs) [2,3,4,5]. In the Swedish population, the incidence of chlamydia infections acquired abroad increased by 46% between 2006 and 2015. Considering the proportion of STIs acquired abroad, this makes youth a relevant group for targeted interventions against increased sexual health risks while abroad
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