Traveler’s Diarrhea Risk Factors on Foreign Tourists in Denpasar Bali-Indonesia May and August 2013

Background: Traveler’s diarrhea is the most common disease of tourists who pay a visit to developing country. Bali is one of island located in Indonesia where the number of tourists visit from various countries continue to increase. This study aimed to evaluate risk factors of traveler’s diarrhea incidence on foreign tourists in Bali. Methods: A case control study performed on 137 foreign tourists who visit Bali through Ngurah Rai International Airport, Denpasar, Bali. Case and control group selected with convenience method, 35 samples and 102 samples for case and control group, respectively. Traveler’s diarrhea incidence determined based on interview. All data analyzed descriptively and analytically with univariate and multivariate analysis. Results: Risk factors of traveler’s diarrhea on foreign tourists in Bali were tourist’s age, length of stay, and hand washing behavior. Conclusions: The incidence rate of traveler’s diarrhea is related with environment sanitation, so it may be advisable to health authority, especially Puskesmas (primary health services), to encourage environmental sanitation monitoring program on public areas such as markets, stalls, inns, and hotels.