@article{ref1,
title="Medical and psychological problems faced by young Australian gap year travellers",
journal="Journal of travel medicine",
year="2017",
author="Furuya-Kanamori, Luis and Mills, Deborah and Sheridan, Sarah and Lau, Colleen",
volume="24",
number="5",
pages="e052-e052",
abstract="BACKGROUND: Gap year travellers can potentially be exposed to many infectious diseases and other travel-related health problems including injuries and psychological problems. Currently, there is little information on health and wellbeing of this particular group of travellers. <br><br>METHODS: Participants were recruited from an organization that specialized in organising international gap year placements. Gap year travellers were asked to complete a pre-departure survey on demographics, placement destination and duration, previous travel experience, hobbies, risk taking behaviour, anticipated problems during the placement, and pre-travel preparations. After the placement, participants were asked to complete a post-trip survey on their experiences, problems, health issues, and medical treatment required. <br><br>RESULTS: The 88 and 34 gap year travellers aged 17-23 years completed pre- and post-placement surveys respectively. The duration of placements ranged from 3 to 12 months. Psychological stressors were frequently reported [ n = 26 (76.5%) felt home sick; n = 18 (52.9%) experienced culture shock; n = 17 (50.0%) had difficulty communicating with the locals]. The majority of participants (91.2%) tried to work out a solution for the stressor on their own. Twenty-eight (82.4%) participants reported medical problems during their placement; the most common problems were sunburn ( n = 19; 55.9%), respiratory infections ( n = 15; 44.1%), weight change ( n = 14; 41.2%), and diarrhoea/food poisoning ( n = 13; 38.2%). Three participants (3.4%) were admitted to hospital; for a muscle injury, head injury and skin infection after getting a tribal tattoo. <br><br>CONCLUSIONS: Psychological stressors were common, but most did not seek help. Some medical problems encountered during their placement may have been preventable with improved pre-departure preparation. KEY WORDS: Gap year, pre-departure, preparation.<p /> <p>Language: en</p>",
language="en",
issn="1195-1982",
doi="10.1093/jtm/tax052",
url="http://dx.doi.org/10.1093/jtm/tax052"
}