Centre for Public Health, Liverpool John Moores University, UK.
Adicciones. 2009;21(4):265-77.
Substance use, risky sexual behaviour and violence are among the key youth health issues today. Whilst they are the focus of much prevention work in the UK, relatively little information is available to inform prevention in international holiday resorts, where young people can take the greatest risks with their health.
We conducted a cross-sectional survey of 1033 British holidaymakers aged 16-35 in Ibiza and Majorca airports (Spain). Surveys covered frequency of alcohol and drug use at home and abroad, and drunkenness, sexual activity and experience of a range of negative experiences on holiday.
Illicit drug use was more common in Ibiza. Over half (53.9%) of visitors to Ibiza reported using at least one drug on holiday (compared with 13.9% in Majorca) and over a third reported using more than one drug. However visitors to Majorca reported more frequent drunkenness and more negative outcomes (arguments, fighting, unintentional injury, illness and requiring medical attention). In both locations, frequency of substance use increased on holiday. A quarter of those travelling without a partner reported having had sex during their holiday, and of these a third did not consistently use condoms. Frequent drunkenness was associated with fighting, unintentional injury and sex with a new partner. Illicit drug use, particularly polydrug use, was associated with fighting and unprotected sex.
Young holidaymakers face significant health risks on holiday. Understanding which resorts are associated with which types of health risk behaviour is critical in targeting health promotion and harm reduction measures appropriately.
物质使用、危险性行为和暴力是当今青年健康的主要问题之一。虽然它们是英国预防工作的重点，但在国际度假胜地，年轻人可能会对自己的健康造成最大的风险，而针对这些地方的预防措施却相对较少，度假胜地的相关信息也相对较少。
我们在伊比萨岛和马略卡岛机场（西班牙）对 1033 名 16-35 岁的英国度假者进行了横断面调查。调查涵盖了在国内外饮酒和吸毒的频率，以及醉酒、性行为以及在度假期间经历的一系列负面经历。
伊比萨岛的非法药物使用更为普遍。超过一半（53.9%）的伊比萨岛游客报告在度假期间使用过至少一种药物（而马略卡岛为 13.9%），超过三分之一的游客报告使用过不止一种药物。然而，马略卡岛的游客报告说他们更频繁地醉酒，而且有更多的负面后果（争吵、打架、意外伤害、疾病和需要医疗照顾）。在这两个地点，度假期间的物质使用频率都有所增加。四分之一的没有伴侣出游的游客报告在度假期间发生过性行为，其中三分之一的人没有一直使用避孕套。频繁醉酒与打架、意外伤害和与新伴侣发生性行为有关。非法药物使用，特别是多药物使用，与打架和无保护性行为有关。
年轻的度假者在度假期间面临着重大的健康风险。了解哪些度假胜地与哪些类型的健康风险行为有关，对于有针对性地适当实施健康促进和减少伤害措施至关重要。
