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Unprotected Casual Sex Equally Common With Local and Western Partners Among Long-Term Dutch Travelers to (Sub)Tropical Countries

Whelan, Jane MD, MPH*; Belderok, Sanne MD*†; van den Hoek, Anneke MD, PhD*†; Sonder, Gerard MD, PhD*†

doi: 10.1097/OLQ.0000000000000013

We studied casual sexual partnerships and consistency of condom use among Dutch long-term, travelers to (sub)tropical regions. Forty-two percent of casual sexual partnerships (n = 192/462) were with local partners, of which 39% were unprotected. Fewer travelers to Sub-Saharan Africa had casual sex, but partner’s ethnicity was not significant in predicting condom use.

A prospective study of long-term Dutch travelers to (sub)tropical regions found that the ethnicity of casual sexual partners while traveling was not a factor in condom use.

From the *Department of Infectious Diseases, Public Health Service (GGD) Amsterdam, Amsterdam, the Netherlands; and †Department of Internal Medicine, Division of Infectious Diseases, Tropical Medicine and AIDS, Academic Medical Center, Amsterdam. the Netherlands.

The authors thank the medical doctors and nurses of the Public Health Service Amsterdam for their assistance in subject inclusion and data collection, in particular Joan Kint for her extensive work in this study and Irene Prange and Alexander Popma for facilitating data management. Also, the authors thank Maarten Schim van der Loeff for his statistical advice, Amy Matser for allowing us to quote the findings of her research, and Martien Borgdorff for his critical appraisal of the manuscript.

Funding: This study was conducted in conjunction with The Amsterdam Academic Collaborative Center on Public Health and the Academic Medical Centre at the University of Amsterdam. The study was financially supported by the Netherlands Organization for Health Research and Development (ZonMw; Grant No. 125010001).

Conflict of interest: None declared.

Correspondence: Jane Whelan, MD, MPH, Department of Infectious Diseases, Public Health Service (GGD) Amsterdam, Nieuwe Achtergracht 100, PO Box 2200, 1000 CE Amsterdam, the Netherlands. E-mail:

Received for publication March 25, 2013, and accepted June 7, 2013.

© Copyright 2013 American Sexually Transmitted Diseases Association