Somehow I don't think moisture has to be a major consideration, but I guess it depends on how much time the surface of the water is exposed and how long the spa is used each time. Also how hot the water is...
Now I can say that we don't have a spa, but we do have a Japanese bath. The system/use is different. It could be that the Japanese bath actually increases evaporation of water, as the use involves washing outside the tub before getting in a soaking in the clean, hot water. So you are essentially splashing a lot of hot water around and kind of maximizing evaporation potential before entering the bath and letting the heat soak in the body.
Now I doubt that we would soak in the bath more than 30 minutes max, more or less, so time difference might be a factor too, when comparing our experience and a hot tub experience.
Still, we have never noticed a moisture problem, and we do NOT have vent fan. Our Japanese bath is a room that is about 12 x12, with the bathing area being about 9x12. The actual tub is not as large as an American hot tub, but is does hold two comfortably. Could be that the smaller surface area is to our advantage.
I doubt I would want any exterior openings during winter, and I also doubt that they are really required. We do keep the water surface covered with sheets of that blue foam insulation (sometimes pink color) sold at Home Depot and other building supply stores. That stuff is great and does not absorb any water and sure does keep the heat in.
Our bath is lined with ceadar, walls and ceiling and that may make a difference, I don't know. I would rather have ceadar than dry wall for sure.
The Largest single-pane window in the house (about 5x5 feet) in is the bath beside the tub. Splash some hot water on it and enjoy the view kind of thing.
I guess moisture is a concern to some degree, but even without a vent fan we have not found it to be a problem in our case...
Now our house is pretty well insulated except for where the windows are, and mostly wood inside. Maybe that makes a difference...
Hope this is of some help. Different animals, a hot tub and a Japanese bath, but stil water is water and a house is a house... /forums/images/graemlins/smile.gif