BACKGROUND: TO know the sexual behavior of Spanish international travelers
and its association with geographical destinations and sexually transmitted
disease acquisition.
PATIENTS AND METHOD: 1,008 consecutive patients who attended a tropical out
-patient clinic during 26 months were surveyed by means of a previously des
igned clinical questionnaire that included specific questions regarding sex
ual practices during the trip.
RESULTS: 19% Of travelers had sexual intercourse; 53.6% of them having empl
oyed a condom. There were no differences regarding gender or destination. 3
.4% of travelers who had unprotected sexual intercourse acquired HIV.
CONCLUSIONS: A high proportion of travelers have unprotected, risk sexual c
ontacts. A low but alarming proportion of these cases become HIV infected a
s a result.