Impact Of Tourism Research Articles

BS SO07 - NHS Tertiary Centre Experience with Bariatric Tourism; A Call for National Registry

Abstract Background Bariatric surgery has demonstrated notable efficacy and is becoming an increasingly popular practice. Nonetheless, patients often opt for bariatric tourism due to the unaffordability of bariatric procedures or the lengthy waiting lists. The postoperative care for such patients not only imposes financial burdens on a different health system, necessitating costly interventions for complex cases but also affects the allocation of resources for patients receiving care in the public health services. A national guidance platform and registry are required to measure the impact of bariatric tourism on the modern NHS and plan future resource allocation. Method This is a retrospective review of patients referred to one of the bariatric units in the United Kingdom for complications following bariatric procedures abroad. Patient demographics, bariatric intervention, presenting complications, length of hospital stay and management received were recorded. Results Between 2022 and 2024, our unit admitted nine patients. Eight had sleeve gastrectomy in Turkey, and one had a gastric balloon in Thailand. In the sleeve group, five patients had intractable vomiting, one had small bowel ischemia, one leaked, and one had reactive hypoglycemia. The patient with the gastric balloon had vomiting and abdominal pain, leading to balloon removal. Three sleeve patients had a conversion to Roux-en-Y bypass, one is under investigation, and one is awaiting bypass surgery, one required three surgeries for small bowel ischemia, and one with a leak was treated with a pigtail and gastric stent. Conclusion Medical tourism for bariatric procedures is an appealing option for obese patients due to its affordability and shorter wait times. Patients typically receive brief pre-operative preparation and education in addition to a limited post-operative care. However, managing complex bariatric cases is expensive, necessitates extended hospital stays and nutritional and emotional support, and can only be done in specialised centres. It's important to create a national bariatric surgery guidance platform providing recognised centre details internationally and a national registry of bariatric tourism patients to assess the impact on the healthcare system and to plan for future resource allocation.

Impact of Medical Tourism on Indian Economy

Impact of Medical Tourism on Indian Economy

Assessing the Environmental Impact of Green Finance, Tourism, and Globalization in Pakistan

The fast development of technology in the last several decades has created new problems for the environment. The current study evaluates how green finance, tourism, globalization, and GDP affect environmental sustainability in Pakistan during 1989 to 2022. This study utilized ARDL approach to probe the long run tie between studied variables. The empirical evidence of this study revealed that tourism, GDP and globalization deteriorate the environmental sustainability, yet green finance mitigate CO2 emissions. Policy suggestions are provided to regulate the environmental laws to control the adverse impact of globalization and tourism and to transit the economy towards green economy. The policymakers should encourage the green technology for sustainable environment.

Impact of Tourism on Poverty Reduction: Strategies to Achieve Sustainable Development Goals Through Local Community Participation

Objective: This article aims to examine the impact of the existence of tourist destinations on the welfare of households living around tourist locations in an effort to achieve the Sustainable Development Goals category ‘No Poverty (SDGS 1)’. Method: The data used is the results of the 2021 National Socioeconomic Survey (SUSENAS). The selected respondents are households in Sumenep Regency, Madura, Indonesia. The data analysis method used is Propensity Score Matching (PSM) to avoid bias. Of the approximately 3,000 selected respondents, 101 were identified as tourist respondents and 310 non-tourist households Results and Discussion: The results of different tests on expenditure variables and income per capita show that households in tourist areas are not more prosperous than other households with similar characteristics. It can be concluded that the existence of tourist destinations has not made a positive contribution to the welfare of the community around tourist destinations. Research Implications: This study has important implications. First, the development of a sustainable tourism sector has an impact on poverty reduction. Second, the significant impact of poverty reduction can improve the welfare of society in general. Originality/Value: The originality of this research is that the use of the propensity score matching method in tourism analysis is still limited. This is an initial research that uses the PSM method to analyze the impact of tourism on poverty.

Sustainable Strategy toward Community Life Satisfaction in Heritage Tourism

This research aims to form a model strategy for community life satisfaction by developing sustainable tourism in cultural heritage sites. This research used mixed method: qualitative method by in-depth interviews with four respondents from local communities, MSMEs, Kawasan Cagar Budaya Nasional (KCBN) Muaro Jambi, government involved in heritage site tourism activities and analyzed using QDA Miner. The quantitative method was by distributing questionnaires using purposive sampling to 200 respondents, and data were processed using SmartPLS to build a holistic model of community life satisfaction in heritage sites. The results of this research are: firstly, social culture and urban landscapes contribute to community satisfaction; secondly, social culture and urban landscape have a significant positive influence on sustainable tourism; thirdly, through sustainable tourism, community life satisfaction will be formed. This research has relevant implications for providing a deeper understanding of the impact of sustainable tourism in improving community life satisfaction in heritage sites by integrating natural values and urban landscape and empowering the local community.

Sustainable Behavior of Generation Z Tourists’ Water Consumption

Tourism is one of the sectors with the highest demand for fresh water. Indicators suggest that water consumption by tourists is more than double that of residents. This phenomenon can be explained by tourists’ interest in engaging in unique experiences, which frequently entails putting sustainable practices aside. To mitigate the environmental impact of tourism and promote sustainable practices, the state of Quintana Roo has implemented the Sustainable Tourism Master Plan 2030, linking the government and companies to reduce environmental impacts by reducing tourists’ water consumption. Despite these efforts, the use of fresh water by tourists continues to be more than double that of residents. Consequently, tourists’ sustainable behavior is not significantly influenced by external factors, such as awareness campaigns, but depends more on the personal aspects of each individual. Generation Z stands out for being more aware of environmental problems and showing a willingness to modify their behavior towards more sustainable practices. The objective of this study was to explain the factors that influence the sustainable behavior related to water consumption among Generation Z tourists. The methodology employed was cross-sectional, with a quantitative approach, focused on attitude variables, subjective norms, and perceived control as determinants of sustainable behavior. This research is also considered nonexperimental, as there was no direct intervention with the subjects of the study, A non-probabilistic convenience sampling method was used to collect data directly from Generation Z tourists in the state of Quintana Roo, specifically from the destinations of Tulum, Playa del Carmen, Bacalar, and Cancún. These locations were selected due to their prominence as major tourist attractions within the data collection areas, without further differentiation or classification. Data were collected through a face-to-face survey conducted over a period of two months, with a total of 408 respondents participating, of whom 57.8% were male. The results revealed that subjective norms and perceived control influence sustainable water consumption behavior, while attitudes do not have a direct impact. These findings will provide governments and businesses with a basis to design more effective strategies that encourage sustainable behavior among Gen Z tourists, thus offering a starting point for understanding the behavior of other generations.

Factors Determining the Impact of Medical Tourism on Sustainable Development Goals: Evidence from Multiple Medical Tourism Stakeholders

The purpose of this study is to reveal the factors that determine the impact of medical tourism on sustainable development goals (SDGs). This study was conducted in descriptive cross-sectional type with 1057 medical tourism stakeholders from five continents between July 2023 and February 2024. Data were collected with an online survey. To determine the determinants, t test, ANOVA, Pearson correlation and Multi Logistic Regression analysis were performed. Odds ratios between “Yes” and “No Idea”, efficiency and sustainability (OR=1.101), policy (OR=0.975), ethics (OR=1.035), infrastructure (OR=1.917), and caring (OR=1.045) were found to be significant. Looking at the odds ratios between “No” and “No Idea”, efficiency and sustainability (OR=1.063), policy (OR=1.022), ethics (OR=1.024), infrastructure (OR=1.081), and caring (OR=1.048) were found to be significant. The roles and participation levels of stakeholders in medical tourism have been revealed as determinants of the impact of medical tourism on SDGs.

Tourism activities significantly contributed toatmospheric pollutants in a remote town of Tianshan revealed by the continuous observation of two years

The large reduction in tourism activities in 2020 provided a unique opportunity to investigate their contribution on atmospheric pollutants in Bayanbulak, a remote town in Tianshan, China. In this scenic and sensitive region, we measured total suspended particulates (TSP) along with concentrations of polycyclic aromatic hydrocarbons (PAHs), organic carbon (OC), elemental carbon (EC) and water-soluble inorganic ions (WSIIs) during the lockdown in 2020 and compared these to levels in the pre-pandemic period of 2019. The study revealed significant reductions in PAHs, OC, EC, and some WSIIs concentrations during the tourist season (May–October) of 2020 compared with 2019, whereas variations between non-tourist seasons were less pronounced. Furthermore, by comparing pollutant characteristics in tourist seasons of these two years, we found that 5- and 6-ring groups were main PAH constituents in 2019, while 5- and 3-ring groups contributed more to total PAHs in 2020. OC/EC ratio increased from 2019 to 2020, indicating an increase of biomass burning contribution after the lockdown. Using positive matrix factorization, we determined that emissions from tourism-related transportation and combustion of natural gas and coal (mainly for cooking) contributed 21.9% and 46.6%, respectively, to certain atmospheric pollutants in 2019, whereas they decreased significantly to 3% and 19.4% in 2020 with dust and biomass contributions increased substantially. The levels of PAHs, OC, and EC from tourism-related sources were as high as 9.31 ng m−3, 1.28 μg m−3 and 0.11 μg m−3 and decreased by 54.37%, 25.16%, and 9.54%, respectively, compared to 2019. Hence, the impact of tourism must be considered during the assessment of local air pollutant emissions, particularly in remote areas.

Unveiling the True Price: Assessing the Economic Impact of Cosmetic Surgery Tourism on a Single Tertiary Center in Bahrain

Abstract Background In light of the escalating cost of cosmetic surgery in Bahrain, the burgeoning “Cosmetic Surgery Tourism” sector has captured the attention of many Bahrainis. Neighboring countries aggressively promote affordable packages on numerous social media platforms, luring individuals with the allure of a vacation experience. However, insufficient postoperative care abroad has far-reaching implications that jeopardize both patient well-being and the integrity of the healthcare system. Objectives This study aims to assess the present patterns of complications related to cosmetic surgery tourism and the resulting financial burden on the Bahraini healthcare system. Methods A retrospective cost analysis and chart review were performed for all patients who presented with complaints associated with cosmetic surgeries between January 2018 and September 2023. After identifying patient demographics, procedure characteristics, admission data, length of stay, and intervention needs, a comprehensive cost analysis was conducted. Results A total of thirty patients manifested complications. Complications associated with abdominoplasty were the most prevalent. Iran emerged as the most frequented destination, with Egypt and Turkey following in order of prevalence. Surgical-site infections constituted the most common complications. Required interventions included admission for intravenous antibiotics, hyperbaric wound care, implant removal, and critical care admission. The projected expense to the hospital was 65,970 BHD (175,000 USD), equating to an average expenditure of 2,200 BHD (5,852 USD) per patient. Conclusions The allure of cost-effective cosmetic treatments often leads to complications that impose substantial economic burdens. The study concludes with policy recommendations to balance individuals’ freedom to seek healthcare abroad with long-term sustainability and equitable access to Bahrain's healthcare system.

Innovative Model of Creative Tourism as a Factor of Sustainable Development in the Context of Modern Challenges

The aim of this study is to develop an innovative model of creative tourism as a key driver of sustainable development in response to modern challenges. In a world where globalization and technological advancements are reshaping traditional tourism approaches, creative tourism emerges as a novel strategy to attract visitors and foster economic growth. This study employs a data-driven analytical approach (BIG DATA analysis) to examine creative tourism, recognizing the need to manage, systematize, classify, and draw insights from large datasets enabled by digital technologies. Creative tourism systems leverage advanced neural networks with multiple hidden layers to intelligently process and extract maximum value from data, providing essential insights for tourism service consumers. This positions creative tourism as both a critical business asset and a valuable tool for improving the human experience. Research Objectives: 1.To develop a model of creative tourism that supports sustainable development. 2.To examine the daily practices and impact of creative tourism on sustainable development. 3.To identify ways to enhance the effectiveness of creative tourism models and their contribution to sustainable development. The study highlights the essential components of an innovative creative tourism model, integrating local culture, environmental responsibility, digital technologies, and the creation of unique tourism products. Special focus is given to sustainable development principles, which not only protect environmental resources but also promote the social well-being of local communities. The paper also presents successful examples of creative tourism practices, showcasing their potential to open new market opportunities and increase regional competitiveness. The findings underscore that this innovative model of creative tourism holds the potential to revolutionize the tourism industry, advancing economic, social, and environmental progress.

A Brief Analysis of The Economic Impact of Major Sporting Event on The Host City

The study of sports competition is a crucial field of research that comprises subjects such as economics, sociology, and other related fields. Scholars in this endeavour to tackle paramount questions with profound practical ramifications, which includes exploring the qualities and movements that underlie sports competition. Exploring the factors that influence sports competition outcomes and the ways in which these factors shape diverse competitive landscapes is a valuable and significant research area. This research examines the economic impact of major sports events on the host city. The aim of this research is to provide a thorough analysis of the economic consequences that follow from hosting such events. Through a synthesis of existing literature and empirical analysis, the research investigates the various facets of the economic impact of major sports events, encompassing employment, local commerce, tourism, and infrastructure development. The results indicate that such events can yield significant economic gains, ultimately promoting regional growth and development. However, a thorough analysis of the available evidence emphasises the importance of adopting a multidimensional viewpoint that takes into the account the social, cultural, and environmental ramifications. Despite the intricacies and constraints in accurately measuring the magnitude of the effects, this research ascertains that organising major sports events can generate favourable economic consequences for the locality. The results emphasise the significances of thorough analyses and additional research to enhance our comprehension of the economic implications of hosting such events.

The Development of Characteristic Towns in China - Take Yangzhou as an Example

The construction of characteristic towns has been popular in recent years. These towns are trying to utilize their distinctive features to create competitive advantages and foster local economic growth. Among all types of towns, its evident that significant opportunities exist for developing tourism-focused characteristic towns in China. This paper's primary case study centers on Yangzhou, a town renowned for its rich tourism tradition in China. Also, a comparative case of Xi'an provides insights into the operational patterns and strategic advantages in tourism development. Methodologically, a hybrid approach is employed, including direct observations and a tailored survey to assess the impact of tourism on Yangzhou's residents. The findings from this research are anticipated to offer targeted recommendations for enhancing tourism development and resident satisfaction in characteristic towns like Yangzhou. Overall, this essay provides a comprehensive analysis of the factors contributing to the success of characteristic towns in China, with a focus on tourism, cultural and technological integration, and sustainable community development.

Optimalisasi Potensi Wisata Desa Serangan Melalui Pendekatan Berkelanjutan: Studi Kasus Menggunakan Metode TOWS, EFAS, dan IFAS

Serangan Village in Denpasar, Bali, is recognized as an innovative tourist destination, having won the 2023 Anugerah Desa Wisata award. This recognition is supported by a variety of attractions such as Pura Sakenan, Asyuhada Mosque, Melasti Beach, mangrove forests, the Turtle Conservation and Education Center (TCEC), local traditions, and unique culinary offerings. This study aims to identify the internal (strengths and weaknesses) and external (opportunities and threats) factors affecting Serangan Village and to formulate strategies for sustainable tourism development based on the four main pillars of sustainable tourism destination criteria according to Minister of Tourism Regulation No.9 of 2021. A qualitative descriptive method using TOWS analysis, EFAS, and IFAS matrices was employed, with data collected through observation, interviews, and documentation. The results indicate that Serangan Village is in quadrant III, highlighting the need for effective strategies to optimize opportunities and address internal weaknesses. The strategy formulation results include leveraging the Bappenas Masterplan to build stakeholder collaboration, participating in training from the Denpasar City Tourism Office, forming a tourism impact monitoring team, implementing sustainable governance policies, utilizing social media for surveys and feedback, and developing policies for cultural asset protection and animal welfare to support sustainable tourism growth in Serangan Village.

Unveiling the nexus between duty-free shopping quality and tourism well-being: an examination of the mediating role of fun experience

ABSTRACT Shopping in duty-free stores plays an increasingly important role in tourism, but few studies have focused on the impact of tourists’ shopping experience and enjoyment on their satisfaction. This study aims to examine how shopping quality affects the well-being of tourists, with a specific focus on the role of fun experience (including hedonic engagement, sense of liberation, and sense of fun) as a mediator. This research fills a gap in the existing literature by carefully analysing how shopping quality and fun experiences enhance tourists’ well-being. A cross-cultural sample was surveyed using quantitative methods to ensure the results were universally applicable. Based on 514 valid questionnaires, the study uses Structural Equation Modelling to analyse the data and draw several conclusions. First, the study finds that shopping quality positively impacts tourists’ fun experience. Second, it confirms that fun experience is a significant source of well-being for tourists. Third, the study shows that fun experiences mediate between shopping quality and well-being. Finally, the research confirms that hedonic engagement and a sense of liberation are foundational to a sense of fun. These findings offer crucial insights for retail managers and marketers in developing strategies to enhance shopping experiences and improve consumer satisfaction and well-being.

Tourist-recreational impact on the Moscow–St. Petersburg macroregion: a multi-scale assessment using Big Data

The possibilities of using one of the varieties of Big Data – geolocalized photographs – as an objective indicator of the spatial distribution and intensity of tourist and recreational load within the macroregion “From Moscow to St. Petersburg” allocated within the framework of the State Program for Tourism Development are considered. The study uses an original geoinformation model assembled on the basis of freely distributed OpenStreetMap layers and photo points localized in space and time. It allows, on the one hand, to characterize the features of the placement of attractors (natural, cultural) and tourist and recreational infrastructure, on the other – to objectively assess the spatial distribution of the presence of tourists and recreants within the macroregion and describe the specifics of their intra-annual (seasonal) “attraction”. Aggregation of photography points into polygons, taking into account the differentiated clustering distance, made it possible to form areas of seasonal (summer, winter and spring-autumn) stay of tourists, as well as to get an idea of the minimum year-round and maximum episodic areas within the macroregion and individual areas exposed to the potential impact of tourists and recreants. The differences between the minimum and maximum areas of stay of tourists and recreants are proposed to be used to assess the effectiveness of the functioning of the industry in the areas of the macroregion. The obtained spatial areas and patterns of tourists’ presence open up opportunities for an objective assessment of the potential load on natural and cultural heritage sites. The uneven inclusion of both natural and cultural attractors in the sphere of tourism and recreation has been revealed, which leads to a situation where some objects of natural and cultural heritage experience significant industry pressure, while others remain almost or completely unaffected by the presence of tourists and recreants.

Unpacking the economic impact of tourism: A multidimensional approach to sustainable development

While the literature has extensively explored the advantages and drawbacks of tourism, as well as attempts to establish connections between growth/development and tourism, comprehensive studies addressing the sustainable development impact of tourism remain scarce. Addressing this gap, our investigation focuses on understanding the association between tourism and the achievement of sustainable development goals. Using a panel dataset encompassing 160 economies from 1995 to 2019, we explore the link between two distinct measures of tourism (tourist arrivals as a fraction of total population and tourism revenue as a percentage of total exports) and various indicators of sustainable development, encompassing health, economy, education, social progress, and the environment. Our findings reveal a significant interaction between tourism and sustainable development, with the relationship notably differing between developed and developing economies, particularly in light of GDP per capita. Our research addresses a critical gap in existing literature by focusing on the sustainable development implications of tourism, an area where comprehensive studies remain scarce. By analyzing the complex relationship between tourism and sustainable development across diverse economies, our study provides valuable insights for policymakers and stakeholders seeking to navigate the challenges of balancing economic growth with environmental and social sustainability.

Main routes and attractions of Crimea in the sphere of art tourism

This article examines the key routes and attractions of Crimea, which play a significant role in the development of art tourism on the peninsula. Crimea, with its rich historical and cultural heritage, attracts artists, writers and art lovers from all over the world. In the article, we analyze the most interesting points, such as: Bakhchisarai, Yalta, Sevastopol and Simferopol, where art galleries, museums, plein airs and cultural events are concentrated. Particular attention is paid to places of nature that inspired famous artists, as well as modern art spaces that contribute to the development of creative initiatives. During the study, we note the impact of art tourism on the economy of the region and its potential for the sustainable development of the cultural environment of Crimea. The article also includes recommendations for organizing cultural routes for tourists, taking into account the artistic context, which contributes to immersion in the unique atmosphere of Crimean art.

A taste of rural: Exploring the uncaptured value of tourism in Basilicata

Rural communities often struggle to adapt to societal and economic changes, but their cultural heritage can play a pivotal role in tourism development and establishing expectations for future development. Drawing upon community-based tourism theory, this study offers a fresh perspective on the untapped value in rural areas by considering the unique cultural identity and culinary heritage of Basilicata, Italy. It investigates the facilitators and inhibitors of social and economic progress as perceived by tourism vendors and tourists, examines how tourism contributes to the development of the rural web, and explores the uncaptured value between entrepreneurial activities in culinary tourism and political, governmental, and administrative measures. Aligning with the heritage areas movement, this study draws attention to the importance of preserving landscapes, local identities, and common goods. The results clarify the impact of tourism's localness on rural regions, particularly through tourism activities and local sourcing practices, and aim to inform strategies for employing tourism to develop rural areas.

Analysis on the relationship between coastal tourism and marine pollution: an empirical analysis of China’s 11 coastal regions

IntroductionCoastal tourism has become an important pillar of economic growth in China's coastal regions, yet no quantitative research has analyzed the relationship between coastal tourism and marine pollution.MethodsThis study, within a multivariate framework, comprehensively examines the impact of coastal tourism on marine pollution by employing various econometric techniques and focusing on four different types of marine pollutant discharges: chemical oxygen demand (COD), petroleum (PET), ammonia nitrogen (NHN), and total phosphorus (TP).Results and discussionPanel cointegration tests confirm a long-term relationship between coastal tourism and these four types of marine pollutant discharges. In the long run, coastal tourism has a significantly negative impact on COD, NHN, and TP. The results of Pooled Mean Group (PMG), Fully Modified Ordinary Least Squares (FMOLS), and Dynamic Ordinary Least Squares (DOLS) estimators show that for every 1% increase in coastal tourism revenue (TOUR), COD decreases by 0.734%, 0.536%, and 0.952% respectively; NHN decreases by 0.746%, 0.340%, and 1.633%; and TP decreases by 5.169%, 0.899%, and 0.334% respectively. However, the impact of coastal tourism on PET is not significant. The Dumitrescu-Hurlin (D-H) panel causality test results indicate different causality patterns between coastal tourism and various marine pollutant discharges. Specifically, there is a bidirectional causality between coastal tourism and COD, NHN, and a unidirectional causality between coastal tourism and PET, TP. Moreover, heterogeneity analysis reveals that coastal tourism does not significantly reduce all marine pollutant discharges in low-and middle-income coastal regions. Furthermore, compared to the central and southern coastal regions, the coastal tourism of northern regions has not significantly reduced marine pollution. This study can provide policymakers with references for developing coastal tourism and reducing marine pollutant discharges.

A longitudinal study of the impact of the Tokyo 2020 Olympics on Japanese residents' support: The mediating role of social well-being

Mega sporting events can generate significant impacts on the host destinations. The Tokyo 2020 Olympics (“Tokyo 2020” hereafter) was a unique case as the pandemic minimized the impact of international tourism. In this situation, how could residents' perceived event impacts be associated with support intention for future event hosting? The purpose of this study is to examine the relationships between event impact perceptions of Tokyo 2020, residents' social well-being, and their support toward future event hosting. Three-wave time-lagged data were gathered from residents in Japan (T1 = approximately one month prior to the event; T2 = immediately after the event; and T3 = four months after the event; N = 296). The results of the structural equation model showed that no event impact perceptions were directly associated with residents' support, measured four months after the event. However, positive economic and environmental impacts (T1) indirectly via residents' social well-being (T2) influenced their support for future event hosting (T3). The findings highlighted that the event impact perceptions and residents' support for event hosting can be mediated by temporarily activated social well-being. The findings are particularly important when people have difficulties finding connections to society (i.e., the pandemic in this study). A sense of social well-being is the key to enhancing residents’ support for future event hosting.