Hsu S.-H.HSIEN-LIANG HUANGCHIA-WEN LUSHAO-YI CHENGLee L.-T.TAI-YUAN CHIUKUO-CHIN HUANG2020-10-232020-10-2320180025-7974https://www.scopus.com/inward/record.uri?eid=2-s2.0-85042103208&doi=10.1097%2fMD.0000000000009806&partnerID=40&md5=e6903e146323c22c1814a6f6da2f22b6https://scholars.lib.ntu.edu.tw/handle/123456789/517894In Taiwan, group tours are a popular mode of international travel; hence, group tour leaders must ensure traveler safety and health. This study identified factors influencing tour leaders' willingness to recommend pretravel medical consultation and vaccination. A cross-sectional questionnaire survey was administered to tour leaders from January 2011 to December 2012. Multivariate logistic regression analyses were performed to estimate the odds ratios of having a positive attitude and willingness based on different knowledge scores of the tour leaders after adjustments for age, sex, education level, and seniority. Tour leaders with a more detailed knowledge of both travel-related infectious and noninfectious diseases demonstrated a higher willingness to receive vaccination. They believed that consultation at travel clinics before travel can improve travelers' health (P<.05). This study supports the importance and effectiveness on educating tour leaders' knowledge about travel-related diseases to improve health care for travelers. Copyright ? 2018 the Author(s). Published by Wolters Kluwer Health, Inc.[SDGs]SDG3[SDGs]SDG5adult; age; Article; attitude; consultation; cross-sectional study; educational status; female; health care; human; knowledge; male; multivariate logistic regression analysis; odds ratio; priority journal; prophylaxis; questionnaire; sexual education; tourism; travel; travel related disease; vaccination; health education; health promotion; middle aged; organization and management; organizational culture; procedures; professional standard; safety; Taiwan; travel; travel related disease; Adult; Cross-Sectional Studies; Female; Health Education; Health Promotion; Humans; Male; Middle Aged; Organizational Culture; Professional Role; Safety Management; Surveys and Questionnaires; Taiwan; Travel; Travel-Related Illnessjournal article10.1097/MD.0000000000009806294196782-s2.0-85042103208