邮轮度假和陆基包价度假旅行者自述的胃部不适。

Self-reported stomach upset in travellers on cruise-based and land-based package holidays.

机构信息

Gastrointestinal, Emerging and Zoonotic Infections Department, Public Health England, London, United Kingdom ; EU Shipsan Trainet Project, Public Health Program, European Agency for Health and Consumers, Luxembourg, Luxembourg ; Department of Hygiene and epidemiology, Medical Faculty, University of Thessaly, Larissa, Greece ; Norwich Medical School, University of East Anglia, Norwich, United Kingdom.

出版信息

PLoS One. 2014 Jan 10;9(1):e83425. doi: 10.1371/journal.pone.0083425. eCollection 2014.

DOI:10.1371/journal.pone.0083425

PMID:24427271

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3888385/

Abstract

BACKGROUND

International travellers are at a risk of infectious diseases not seen in their home country. Stomach upsets are common in travellers, including on cruise ships. This study compares the incidence of stomach upsets on land- and cruise-based holidays.

METHODS

A major British tour operator has administered a Customer Satisfaction Questionnaire (CSQ) to UK resident travellers aged 16 or more on return flights from their holiday abroad over many years. Data extracted from the CSQ was used to measure self-reported stomach upset in returning travellers.

RESULTS

From summer 2000 through winter 2008, 6,863,092 questionnaires were completed; 6.6% were from cruise passengers. A higher percentage of land-based holiday-makers (7.2%) reported stomach upset in comparison to 4.8% of cruise passengers (RR = 1.5, p<0.0005). Reported stomach upset on cruises declined over the study period (7.1% in 2000 to 3.1% in 2008, p<0.0005). Over 25% of travellers on land-based holidays to Egypt and the Dominican Republic reported stomach upset. In comparison, the highest proportion of stomach upset in cruise ship travellers were reported following cruises departing from Egypt (14.8%) and Turkey (8.8%).

CONCLUSIONS

In this large study of self-reported illness both demographic and holiday choice factors were shown to play a part in determining the likelihood of developing stomach upset while abroad. There is a lower cumulative incidence and declining rates of stomach upset in cruise passengers which suggest that the cruise industry has adopted operations (e.g. hygiene standards) that have reduced illness over recent years.

摘要

背景

国际旅行者在其本国未见过的传染病风险。旅行者中常见胃部不适，包括在游轮上。本研究比较了陆地和游轮度假时胃部不适的发生率。

方法

一家大型英国旅行社多年来在从国外度假返回的航班上向 16 岁及以上的英国居民旅行者发放了客户满意度调查问卷（CSQ）。从 CSQ 中提取的数据用于衡量返回旅行者自我报告的胃部不适。

结果

从 2000 年夏季到 2008 年冬季，完成了 6863092 份问卷，其中 6.6%来自游轮乘客。与 4.8%的游轮乘客相比，更多的陆地度假者（7.2%）报告胃部不适（RR=1.5，p<0.0005）。在研究期间，游轮上报告的胃部不适有所下降（2000 年为 7.1%，2008 年为 3.1%，p<0.0005）。超过 25%的前往埃及和多米尼加共和国的陆地度假者报告胃部不适。相比之下，游轮旅行者中报告胃部不适比例最高的是从埃及（14.8%）和土耳其（8.8%）出发的游轮。