Vulnerable populations with psychological disorders in tourism: Methodological challenges and recommended solutions for empirical research

Zheng, Danni; Wen, Jun; Kozak, Metin; Phau, Ian; Hou, Haifeng; Wang, Wei

doi:10.1016/j.tourman.2023.104760

Cited by 22 publications

(3 citation statements)

References 93 publications

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“…Ethical approval is not merely a formality-it is essential for safeguarding participants' rights and well-being. Recommendations by Zheng et al (2023) have highlighted detailed solutions to overcome these challenges. They underscored the necessity of meticulous interdisciplinary deliberation and adherence to rigorous methodological guidelines.…”

Section: Introductionmentioning

confidence: 99%

“…This population, while crucial, remains largely unprobed in terms of its interaction with tourism and its potential therapeutic benefits. Further delving into the terrain marked out by Buckley (2023), we have spotlighted an essential yet unresolved inquiry: pinpointing those among this demographic deemed fit for travel (Zheng et al, 2023). Through this letter, our intent is not just to augment Buckley's (2023) foundational work but to provide specific, actionable insights concerning travel suitability for those with major mental disorders such as major depressive disorder (MDD), generalized anxiety disorder (GAD), schizophrenia, and dementia.…”

Section: Introductionmentioning

confidence: 99%

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Mental Health on the Go: Navigating Travel and Travel Eligibility

Hu,

Wen,

Lim

et al. 2023

Journal of Travel Research

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The 21st century has seen tourists from various source markets significantly impacted by non-communicable diseases, including mental disorders. Yet, research and practice frequently overlook tourists with mental disorders. Building on Buckley’s discussion in the Journal of Travel Research about tourism and mental health, this study examines the travel eligibility of tourists diagnosed with four prevalent mental disorders: major depressive disorder (MDD), generalized anxiety disorder (GAD), schizophrenia, and dementia. We present preliminary recommendations for accommodating these tourists and highlight the urgent need for collaborative efforts between stakeholders in tourism, hospitality, and medicine.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Mental Health on the Go: Navigating Travel and Travel Eligibility

Hu,

Wen,

Lim

et al. 2023

Journal of Travel Research

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“…Amid growth in vulnerable groups and their experienced inequities (e.g., stigma, discrimination, exclusion), there is a pressing need for high-quality interdisciplinary research that integrates tourism and medical science. The neglected public health value of tourism can provide a unique perspective on managing cognitive impairment and dementia ( 33 ).…”

Section: Introductionmentioning

confidence: 99%

Tourism experiences reduce the risk of cognitive impairment in the Chinese older adult: a prospective cohort study

Li,

Guo,

et al. 2023

Front. Public Health

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BackgroundGiven the etiological complexity of cognitive impairment, no effective cure currently exists for precise treatment of dementia. Although scholars have noted tourism’s potential role in managing cognitive impairment and mild dementia, more robust empirical investigation is needed in this area. This study aimed to examine the associations between tourism and cognitive impairment and dementia in older Chinese adults.MethodFrom a nationwide community-based cohort, 6,717 individuals aged ≥60 were recruited from 2011 to 2014, of whom 669 (9.96%) had had at least one tourism experience in the 2 years prior to enrollment. All the participants were then prospectively followed up until 2018. The association between tourism and cognitive impairment was examined by the Cox proportional hazards regression model. The adjusted hazard ratio (aHR) and its 95% confidence interval (CI) were calculated to evaluate the effect of tourism experience on cognitive impairment and dementia.ResultsA total of 1,416 individuals were newly diagnosed with cognitive impairment and 139 individuals with dementia onset during follow-up. The incidence of cognitive impairment was significantly lower among participants with tourism experiences (316.94 per 10,000 person-years) than those without such experiences (552.38 per 10,000 person-years). Cox regression showed that tourism decreased the risk of cognitive impairment (aHR = 0.69, 95% CI: 0.41–0.62) when adjusted for behavioral covariates and characteristics. Compared with participants without tourism experiences, those with 1, 2, and ≥3 tourism experiences had a lower risk of cognitive impairment with the aHRs of 0.72 (95% CI: 0.52–0.99), 0.65 (0.42–1.01), and 0.68 (0.44–0.98), respectively. Tourism experiences also reduced participants’ risk of dementia (aHR = 0.41, 95% CI: 0.19–0.89).ConclusionOur findings demonstrated associations between tourism and reduced risks of cognitive impairment and dementia in older Chinese adults. Thus, tourism could serve as a novel approach to dementia prevention.

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