Evidence map›Paper›PMID 40517259›Full record

ArticleTropical diseases, travel medicine and vaccines2025

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

Elizabeth Pellecer Rivera, Sandra De Urioste-Stone, Laura N Rickard, Anup K C, Julio Rodríguez Stimson, Andrea Caprara, Lorena N Estrada

Abstract read
In one paragraph

Article in Tropical diseases, travel medicine and vaccines, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Elizabeth Pellecer RiveraEcology and Environmental Sciences, University of Maine, Orono, ME, 04469-5755, USA. elizabeth.pellecer@maine.edu.
Sandra De Urioste-StoneSchool of Forest Resources, University of Maine, Orono, ME, 04469-5755, USA.
Laura N RickardDepartment of Communication and Journalism, University of Maine, Orono, ME, 04469- 5755, USA.
Anup K CEcology and Environmental Sciences, University of Maine, Orono, ME, 04469-5755, USA.
Julio Rodríguez StimsonSchool of Forest Resources, University of Maine, Orono, ME, 04469-5755, USA.
Andrea CapraraCentro de Ciências da Saúde, Department of Public Health, University of Ceará State, Fortaleza, CE, 60740-000, Brazil.
Lorena N EstradaOrganization for Women in Science for the Developing World - Guatemala National Chapter, Trieste, Italy.

Funding

National Institute of Food and Agriculture 42017National Science Foundation 1824961
6 · The paper itself

Abstract

backgroundThis study assesses international travelers' risk perceptions and travel decisions related to three recent emerging diseases. Travelers can facilitate the spread of emerging infectious diseases and their decision-making on where to travel is influenced by outbreaks. These feedback loops can potentially impact the tourism economy. Often, travelers' judgment and actions towards a risk are based on their perceptions.

methodWe conducted two surveys, using constructs from the Health Belief Model, with 747 individuals who had recently traveled to selected Latin American countries, and who had heard about Zika virus, chikungunya, and/or COVID-19. Using segmentation analysis, the respondents were grouped based on their risk perception level (i.e., low, medium and high), and we tested the differences between groups for different constructs of the model.

resultsWe found a significant difference between the risk perception groups for most of the sociodemographic factors, as well as for the purpose of the trip, regarding travel preferences. Personal experience with a disease and perceived efficacy towards diverse protective measures also differed between groups. Higher risk perception was related to reporting more changes in past travel plans, and higher likelihood of future travel avoidance if facing different risk scenarios in a tourism destination.

conclusionsIncluding the concepts of risk perception, sociodemographic factors, previous experience, and efficacy can help better explain the individual behavior of international travelers. These findings can inform tailored and more effective mitigation and management strategies to promote safe travel and prevent disease spread in the event of a future outbreak.

Indexed as

COVID-19Destination managementEmerging infectious diseasesMosquito-borne diseaseTravel medicine

Identifiers

PMID40517259
PMCPMC12167583

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.