Electronic word-of-mouth on social networking sites is one of the most effective marketing resources in the lodging industry. Furthermore, Generation Y is becoming an important customer base for the luxury hotel industry and relies heavily on eWOM on social networking sties. By adopting and using four selected constructs (perceived usefulness, enjoyment, subjective norm, and perceived behavioral control) from the extended Technology Acceptance Model and the Theory of Planned Behavior, this study reveals how eWOM on social networking sites influences Generation Y’s purchase intentions when booking luxury hotels. The current study suggests that the usage of eWOM on social networking sites not only helps potential Generation Y customers select suitable luxury hotels but also allows luxury hoteliers to better cater to this growing market segment.

Objective. To identify social, behavioral, and physiological risk factors associated with small for gestational age (SGA) by gestational age category in St. Louis City and County. Methods. A retrospective cohort study was conducted using birth certificate and fetal death records from 2000 to 2009 (n = 142,017). Adjusted associations of risk factors with SGA were explored using bivariate logistic regression. Four separate multivariable logistic regression analyses, stratified by gestational age, were conducted to estimate adjusted odds ratios. Results. Preeclampsia and inadequate weight gain contributed significantly to increased odds for SGA across all gestational age categories. The point estimates ranged from a 3.41 increased odds among women with preeclampsia and 1.76 for women with inadequate weight gain at 24–28 weeks' gestational age to 2.19 and 2.11 for full-term infants, respectively. Among full-term infants, smoking (aOR = 2.08), chronic hypertension (aOR = 1.46), and inadequate prenatal care (aOR = 1.25) had the next most robust and significant impact on SGA. Conclusion. Preeclampsia and inadequate weight gain are significant risk factors for SGA, regardless of gestational age. Education on the importance of nutrition and adequate weight gain during pregnancy is vital. In this community, disparities in SGA and smoking rates are important considerations for interventions designed to improve birth outcomes.

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With the breakout of the COVID-19 pandemic, health risks are common, while trepidation over physical harm risks during travel has emerged, notably anti-Asian violence. Tourists tend to avoid traveling, and their perceived risks related to these harms may hinder their travel decision-making. This research aims to explore the inter-relationships among destination image, perceived risk perceptions, and behavioral intention of Chinese international students visiting San Francisco. Drawing from 252 survey responses, findings highlighted that perceived risk did not affect destination image in general; however, the levels of student traveller’s perceived risk influence the destination image’s relationship to behavioral intentions. The group with low perceived risk relies more on their affective image to determine their behavioral intention. Furthermore, this study validated that affective image could serve as the antecedent to cognitive image despite being firmly held as the cognitive image’s consequence. Managerial implications were provided for destination marketers in the post-pandemic era.