Understanding international travelers’ health risk perceptions, preferences, and decisions: a segmentation analysis

Duc JWL, Sorvillo TE. A quarter century of emerging infectious Diseases – where have we been and where are we going?? Acta Med Academica. 2018;47(1):117–30.

Article  Google Scholar 

Jones KE, Patel NG, Levy MA, Storeygard A, Balk D, Gittleman JL, et al. Global trends in emerging infectious diseases. Nature. 2008;451(7181):990–3.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Mayer SV, Tesh RB, Vasilakis N. The emergence of arthropod-borne viral diseases: A global prospective on dengue, Chikungunya and Zika fevers. Acta Trop. 2017;166:155–63.

Article  PubMed  Google Scholar 

Gössling S, Scott D, Hall CM. Pandemics, tourism and global change: a rapid assessment of COVID-19. J Sustainable Tourism. 2020;1–20.

UN Tourism. Excerpt of the UNWTO World Tourism Barometer [Internet]. UN Tourism. 2024 Jan. (22). Report No.: 1. Available from: https://webunwto.s3.eu-west-1.amazonaws.com/s3fs-public/2024-01/UNWTO_Barom24_01_January_Excerpt.pdf?VersionId=IWu1BaPwtlJt66kRIw9WxM9L.y7h5.d1

UNWTO, International Tourism H. 2023 Edition – The impact of COVID-19 on tourism (2020–2022) [Internet]. Madrid: World Tourism Organization; 2023 [cited 2024 Feb 12]. Available from: https://doi.org/10.18111/9789284424986

Choe Y, Wang J, Song H. The impact of the middle East respiratory syndrome coronavirus on inbound tourism in South Korea toward sustainable tourism. J Sustainable Tourism. 2020;1–17.

Novelli M, Gussing Burgess L, Jones A, Ritchie BW. ‘No Ebola… still doomed’ – The Ebola-induced tourism crisis. Annals of Tourism Research. 2018;70:76–87.

Mier-y-Teran-Romero L, Tatem AJ, Johansson MA. Mosquitoes on a plane: disinsection will not stop the spread of vector-borne pathogens, a simulation study. PLoS Negl Trop Dis. 2017;11(7):e0005683.

Article  PubMed  PubMed Central  Google Scholar 

Tozan Y, Headley TY, Javelle E, Gautret P, Grobusch M, De Pijper C, et al. Impact, healthcare utilization and costs of travel-associated mosquito-borne diseases in international travellers: a prospective study. J Travel Med. 2023;30(7):taad060.

Article  PubMed  Google Scholar 

Rassy D, Smith RD. The economic impact of H1N1 on Mexico’s tourist and pork sectors: H1N1 Effects on Mexico’s tourist and pork sectors. Health Econ. 2013;22(7):824–34.

Article  PubMed  Google Scholar 

PAHO, Coronavirus Disease. (COVID-19) [Internet]. 2024 [cited 2024 Mar 3]. Available from: https://www.paho.org/en/topics/coronavirus-infections/coronavirus-disease-covid-19-pandemic

Colón-González FJ, Peres CA, Bernardo CSS, Hunter PR, Lake IR. After the epidemic: Zika virus projections for Latin America and the Caribbean. PLoS Negl Trop Dis. 2017;11(11):e0006007.

Article  PubMed  PubMed Central  Google Scholar 

Lowe R, Barcellos C, Brasil P, Cruz OG, Honório NA, Kuper H et al. The Zika virus epidemic in Brazil: From discovery to future implications. Int J Environ Res Public Health [Internet]. 2018 Jan [cited 2020 Feb 17];15(1). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5800195/

Yactayo S, Staples JE, Millot V, Cibrelus L, Ramon-Pardo P. Epidemiology of Chikungunya in the Americas. J Infect Dis. 2016;214(suppl 5):S441–5.

Article  PubMed  PubMed Central  Google Scholar 

Santos LLM, De Aquino EC, Fernandes SM, Ternes YMF, Feres VCDR. Dengue, Chikungunya, and Zika virus infections in Latin America and the Caribbean: a systematic review. Revista Panam De Salud Pública. 2023;47:1.

Google Scholar 

Mirzaian E, Durham MJ, Hess K, Goad JA. Mosquito-Borne illnesses in travelers: A review of risk and prevention. Pharmacotherapy: J Hum Pharmacol Drug Therapy. 2010;30(10):1031–43.

Article  Google Scholar 

Buerano CC, Morita K. Single dose of dengvaxia vaccine: is it a cause for alarm? Lancet Infect Dis. 2024;24(7):670–1.

Article  PubMed  Google Scholar 

FDA. FDA Approves First Vaccine to Prevent Disease Caused by Chikungunya Virus [Internet]. US Food and Drug Administration; 2023 Nov [cited 2024 Apr 25]. Available from: https://www.fda.gov/news-events/press-announcements/fda-approves-first-vaccine-prevent-disease-caused-chikungunya-virus

Quam MB, Wilder-Smith A. Estimated global exportations of Zika virus infections via travellers from Brazil from 2014 to 2015. J Travel Med. 2016;23(6):taw059.

Article  PubMed  Google Scholar 

Simon F, Caumes E, Jelinek T, Lopez-Velez R, Steffen R, Chen LH. Chikungunya: risks for travellers. J Travel Med. 2023;30(2):taad008.

Article  PubMed  PubMed Central  Google Scholar 

Brown AB, Miller C, Hamer DH, Kozarsky P, Libman M, Huits R et al. Travel-Related Diagnoses Among U.S. Nonmigrant Travelers or Migrants Presenting to U.S. GeoSentinel Sites — GeoSentinel Network, 2012–2021. MMWR Surveill Summ [Internet]. 2023 [cited 2024 Feb 9];72. Available from: https://www.cdc.gov/mmwr/volumes/72/ss/ss7207a1.htm

Cleton N, Koopmans M, Reimerink J, Godeke GJ, Reusken C. Come fly with me: review of clinically important arboviruses for global travelers. J Clin Virol. 2012;55(3):191–203.

Article  PubMed  Google Scholar 

Slovic P. Perception of Risk. 280–285. 1987;236.

Wilson RS, Zwickle A, Walpole H. Developing a broadly applicable measure of risk perception. Risk Anal. 2019;39(4):777–91.

Article  PubMed  Google Scholar 

Rosenstock IM. Why people use health services. Milbank Q. 1966;44(3):94–127.

Article  Google Scholar 

Rosenstock IM. Historical origins of the health belief model. Health Educ Monogr. 1974;2(4):328–35.

Article  Google Scholar 

Cahyanto I, Wiblishauser M, Pennington-Gray L, Schroeder A. The dynamics of travel avoidance: the case of Ebola in the U.S. Tourism Manage Perspect. 2016;20:195–203.

Article  Google Scholar 

Dryhurst S, Schneider CR, Kerr J, Freeman ALJ, Recchia G, van der Bles AM, et al. Risk perceptions of COVID-19 around the world. J Risk Res. 2020;23(7–8):994–1006.

Article  Google Scholar 

Usuwa IS, Akpa CO, Umeokonkwo CD, Umoke M, Oguanuo CS, Olorukooba AA, et al. Knowledge and risk perception towards Lassa fever infection among residents of affected communities in Ebonyi State, Nigeria: implications for risk communication. BMC Public Health. 2020;20(1):217.

Article  PubMed  PubMed Central  Google Scholar 

Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191–215.

Article  CAS  PubMed  Google Scholar 

Bavel JJV, Baicker K, Boggio PS, Capraro V, Cichocka A, Cikara M, et al. Using social and behavioural science to support COVID-19 pandemic response. Nat Hum Behav. 2020;4(5):460–71.

Article  PubMed  Google Scholar 

Lin YZ, Xu CN, Peng YJ, Xu XL. Evolution of tourism risk perception: A bibliometrics analysis on multi-dimensional model. Procedia Comput Sci. 2022;214:1198–205.

Article  Google Scholar 

Wolff K, Larsen S, Øgaard T. How to define and measure risk perceptions. Annals Tourism Res. 2019;79:102759.

Article  Google Scholar 

Mair J, Ritchie BW, Walters G. Towards a research agenda for post-disaster and post-crisis recovery strategies for tourist destinations: a narrative review. Curr Issues Tourism. 2016;19(1):1–26.

Article  Google Scholar 

Neuburger L, Egger R. Travel risk perception and travel behaviour during the COVID-19 pandemic 2020: a case study of the DACH region. Curr Issues Tourism. 2021;24(7):1003–16.

Article  Google Scholar 

Ritchie BW, Jiang Y. Risk, crisis and disaster management in hospitality and tourism: a comparative review. Int J Contemp Hospitality Manage. 2021;33(10):3465–93.

Article  Google Scholar 

Liu W, Xu C, Peng Y, Xu X. Evolution of tourism risk communication: A bibliometric analysis and Meta-Analysis of the antecedents of communicating risk to tourists. Sustainability. 2023;15(12):9693.

Article  Google Scholar 

Brug J, Aro AR, Richardus JH. Risk perceptions and behaviour: towards pandemic control of emerging infectious diseases. IntJ Behav Med. 2009;16(1):3–6.

Article  Google Scholar 

Sridhar S, Régner I, Brouqui P, Gautret P. Methodologies for measuring travelers’ risk perception of infectious diseases: A systematic review. Travel Med Infect Dis. 2016;14(4):360–72.

Article  PubMed  PubMed Central  Google Scholar 

WTTC. Guatemala 2023 Annual Research: Key Highlights [Internet]. World Travel and Tourism Council; 2023 [cited 2024 Feb 22]. Available from: https://researchhub.wttc.org/factsheets/guatemala

WTTC, Travel. & Tourism Economic Impact 2023: Colombia [Internet]. World Travel and Tourism Council; 2023 p. 27. Available from: https://assets-global.website-files.com/6329bc97af73223b575983ac/647f2691122111b6bc71938a_EIR2023-Colombia.pdf

WTTC. Travel &Tourism Economic Impact, Tourism Council. 2023: Brazil [Internet]. World Travel and; 2023 p. 27. Available from: https://assets-global.website-files.com/6329bc97af73223b575983ac/647f263e229ecf941b98af01_EIR2023-Brazil.pdf

PAHO. Pan American Health Organization / World Health Organization. 2019 [cited 2022 Jan 9]. Cases of Chikungunya Virus Disease. Available from: https://www3.paho.org/data/index.php/en/mnu-topics/chikv-en/550-chikv-weekly-en.html

PAHO. PanAmerican Health Organization. Health Information Platform of the Americas (PLISA) [Internet]. 2024 [cited 2024 Feb 8]. Available from: https://www3.paho.org/data/index.php/en/mnu-topics/zika-weekly-en/

Dillman DA, Smyth JD, Christian LM. Internet, phone, mail, and mixed-mode surveys: The tailored design method. 4th edition. John Wiley & Sons, Inc.; 2014.

Qualtrics. 2024 [cited 2024 Jul 3]. Online Research Panels & Samples for Surveys. Available from: https://www.qualtrics.com/research-services/online-sample/

Visser PS, Krosnick JA, Lavrakas P. Survey research. Handbook of research methods in social psychology. New York: Cambridge University Press; 2000.

Google Scholar 

Omodior O, Pennington-Gray L, Thapa B. Modeling Insect-Repellent use for Chikungunya disease prevention among US-Caribbean travelers. Int J Travel Med Glob Health. 2017;5(4):125–34.

Article  Google Scholar 

Vaske JJ. Survey research and analysis. USA: Sagamore-Venture; 2019.

Google Scholar 

Tavakol M, Dennick R. Making sense of Cronbach’s alpha. Int J Med Educ. 2011;2:53–5.

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