Maintaining ecosystem health on islands is essential for constructing an ecologically balanced civilization and supporting sustainable development of island tourism. This study provided a quantitative analysis of the ecosystem's evolution on Hainan Island from 2000 to 2020, meticulously investigating the interplay between biodiversity, tourism, and local economic activities on ecosystem health. Additionally, it simulated ecosystem health in 2030 across four distinct scenarios: ecological conservation, eco-friendly tourism, natural development, and economic growth. Finally, practical management suggestions were proposed for achieving multifaceted sustainable ecosystem development. The findings indicated: (1) Ecosystem health on Hainan Island exhibited an overall declining trend from 2000 to 2020, with a noticeable decrease moving from the central mountainous to the plains area. (2) Variations in ecosystem health were primarily shaped by natural geographic factors such as altitude and slope, though socio-economic factors and tourism development increasingly influenced these trends. In addition, natural environmental factors and tourism factors contributed positively to ecosystem health, while socio-economic factors had a negative effect. (3) Simulation predictions demonstrated that prioritizing ecological protection alongside promoting tourism can positively impact ecosystem health on Hainan Island, whereas exclusive emphasis on economic growth may jeopardize long-term sustainability. This study offers invaluable perspectives for conserving biodiversity, fostering socio-economic progress, and aligning ecological conservation with tourism development towards a harmonious multi-objective strategy.
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