Perceived impacts of medical tourism development on community wellbeing

Community leaders and tourism authorities in Las Vegas have suggested the promotion and development of medical tourism to improve the economy and quality of life for residents. The present study uses social exchange theory with spillover theory as the conceptual framework to examine factors of economic performance of medical tourism, overall community satisfaction, health care satisfaction and attitudes toward medical tourism; these factors influence on residents' perceptions of medical tourism's impact on community wellbeing, which in turn affects willingness to pay higher taxes and support for medical tourism development. The findings revealed that the greater the economic performance of medical tourism, the more positive the impact of medical tourism to community wellbeing was perceived. Similarly, attitudes toward medical tourism and overall community satisfaction positively influenced the perceived impact of medical tourism on community wellbeing. Finally, community wellbeing positively influenced residents' willingness to pay higher taxes and support medical tourism development.     

City Image and Perceived Tourism Impact: Evidence from Port Louis,Mauritius

Research suggests that the images residents hold about their community influence the political support for tourism. Yet, few researchers have investigated the image that local residents have of their own area. Borrowing from the existing literature on place image and residents' perceptions of tourism impacts, a theoretical model incorporating these two lines of research is developed and tested using data collected from residents of the city of Port Louis, Mauritius. It proposes four city image attributes as the independent constructs influencing residents' perceptions toward the overall impact of tourism development. These include social attributes, transport attributes, government services attributes, and shopping attributes. Overall impact of tourism development is considered to be a determinant of the level of support for the industry. Results of the structural equation modeling analysis indicate that residents' perceived levels of shopping attributes, transport attributes, and social attributes of the city influence their level of support for the tourism industry. The hypothesis relating transport attributes to overall impacts of tourism was not supported. The study provides some important considerations for local planners attempting to make tourism more supportive in the city.     

Residents' perceptions of wine tourism development

Wine trails have been studied insufficiently within the tourism literature despite of their recent rapid development worldwide. In response, this study examines residents' perceptions of wine tourism development in terms of personal benefits and community impacts. It also explores whether residents' socio-demographics and levels of wine enthusiasm, and wine trails' tourism characterization influence residents' perceptions. Following a stratified random sampling procedure, residents living along two wine trails in the Piedmont region of North Carolina (U.S.) were surveyed. Results indicate that residents are neutral in their perceptions of the Piedmont wineries in terms of both personal benefits and community impacts. Residents' socio-demographics and level of wine enthusiasm, as well as the comprehensiveness of wine trails' tourism amenities were significantly associated with residents' perceptions. Results also indicate that personal benefits mediate residents' perceptions of community impacts. In addition to the oretical and methodological contributions, this paper outlines management implications for wine trails.     

Exploring Factors Influencing Residents' Satisfaction with Tourism Development in Poverty-Stricken Areas: A Case Study of Five Poor Villages in China

As one of the key stakeholders in tourism development, residents' satisfaction with tourism development (RSTD) has an important effect on the alleviation of poverty. Despite its great significance, only limited research had been conducted by researchers to explore factors influencing RSTD in poor regions. To fill the void, this study built the proposed model of RSTD in poverty-stricken areas by structural equation modeling technique. The results indicated that (1) six key influencing factors, namely, perceived benefits of tourism development, perceived costs of tourism development, residents' participation in tourism development, distribution of personal benefits from tourism, residents' expectations for tourism development, and community attachment, were proved to be the antecedents of RSTD in poverty-stricken areas. (2) According to path coefficients between constructs, “distribution of personal benefits from tourism” was the most significant antecedent of RSTD in poverty-stricken regions. Furthermore, “residents’ participation in tourism development” also need to be paid more attention.     

Residents' perceptions of tourism development in Benalmádena (Spain)

This study examines the residents' perceptions of the impact of tourism in Benalmádena and the profiles of the residents according to socio-demographic characteristics. A questionnaire assessed how these characteristics influence the residents' perceptions towards the environment, economy, and socio-cultural aspects. The survey was administered to a stratified sample of 770 residents in Benalmádena. Results show a significant effect of socio-demographic variables on perception of tourism impact. The educational background, place of birth and how long respondents had been living in the community explain a significant amount of the variance in overall attitudes. Interaction analyses revealed that place of birth moderated the relationship between the tourism dimensions and the years of residence. For instance, the respondents with less than five years of residence showed more positive attitude towards the impact of tourism. We offer a profile of these residents according to their perceptions of the impact of tourism in their community.     

How does tourism in a community impact the quality of life of community residents?

The objective of this study is to test a theoretical model that links community residents' perceptions of tourism impact (economic, social, cultural, and environmental) with residents' satisfaction with particular life domains (material well-being, community well-being, emotional well-being, and health and safety well-being) and overall life satisfaction. The model also posits that the strength of these perceptual relationships is moderated by the stage of tourism development in the community. The model was tested using a survey of 321 respondents from communities varying in their level of tourism development. The results were mostly supportive of the overall model. Theoretical and managerial implications of the study findings are discussed.     

Urban vs. rural destinations: Residents’ perceptions,community participation and support for tourism development

This paper investigates and compares the effects of residents' perceptions of the impacts of tourism on community participation and support for tourism development across urban and rural world heritage sites (WHSs). Partial least squares – structural equation modeling (PLS-SEM), has been employed to perform the analysis. The results reveal significant differences between the effects of residents' perceptions and community participation on support for tourism development in urban and rural destinations. However, the findings did not support any differences between the effects of positive perceptions on community participation, and the indirect effects of negative perceptions on support for tourism development. This study makes a significant theoretical contribution to the urban and rural tourism and residents’ perceptions literature by comparing rural and urban WHSs residents. Furthermore, this study has a number of practical implications for the local authorities of rural and urban WHSs.     

Residents' support for tourism development: The role of residents' place image and perceived tourism impacts

Drawing on the triple bottom line approach for tourism impacts (economic, socio-cultural and environmental) and adopting a non-forced approach for measuring residents' perception of these impacts, this study explores the role of residents' place image in shaping their support for tourism development. The tested model proposes that residents' place image affects their perceptions of tourism impacts and in turn their support for tourism development. The results stress the need for a more flexible and resident-oriented measurement of tourism impacts, revealing that more favorable perceptions of the economic, socio-cultural and environmental impacts lead to greater support. Moreover, while residents' place image has been largely neglected by tourism development studies, the findings of this study reveal its significance in shaping residents' perception of tourism impacts as well as their level of support. The practical implications of the findings for tourism planning and development are also discussed.     

Effects of emotional solidarity and tourism-related stress on residents' quality of life

This study explores how residents' lives are influenced by their emotional and psychological responses to tourism development. In particular, we propose that residents' emotional solidarity with tourists and perceived tourism-related stress significantly affect individuals' quality of life (QoL) within their community. Findings reveal that the relationship between residents' emotional solidarity with tourists and perceptions of QoL are mediated by perceived tourism-related stress. Though the research connecting residents' emotional and psychological responses to tourism and their QoL continues to grow within the tourism literature, this work marks a new research direction that establishes connections among residents' emotional solidarity, stress, and QoL, using an integrated model. By focusing on the emotional and psychological aspects of tourism impacts rather than tangible ones, this study provides alternative perspectives to the existing QoL literature. Findings further expand the nomological network of tourism and the QoL research paradigm and inform tourism development policy.     

‘Awusai Atso’: community attachment to and use of transatlantic slave trade resources in Danish-Osu,Ghana

Although there is much literature on the Transatlantic Slave Trade (TAST) and those concerning residents' perceptions of tourism development, it can be suggested that there remains a significant knowledge gap regarding attitudes and perceptions of residents towards the history of the TAST and the possible use of such resources for tourism development. This study attempts to address this gap by investigating residents' knowledge and attitude of developing tourism based on slave heritage in Danish-Osu, Ghana. Using a multi-stage sampling technique, 200 questionnaires were returned by residents in six communities in Danish-Osu. In addition, in-depth interviews and focus group discussions were conducted with interest groups and opinion leaders. Results of the research suggest that residents have an appreciable level of knowledge on the slave trade and related relics in their community. Most respondents indicated that they are comfortable living in the community which has an image of a former slave site. Majority identified tourism as the preferred means of conserving the existing slave sites and relics. Perceptions regarding utilization of slave relics were also found to significantly differ across a variety of socio-demographic indices. The study concludes by examining implications for Ghana's Slave Route Project to carve a niche for itself.     

Does residents' perceived life satisfaction vary with tourist season? A two-step survey in a Mediterranean destination

Recent attention has been dedicated to the relationship between tourism and subjective well-being, however studies have mainly focused on the tourist side. Since residents are an indispensable partner for the success of any tourism program, understanding whether and how tourism affects residents' perceived life-satisfaction is a crucial issue. However, scant attention has been paid to this theme and the majority of studies are cross-sectional. Here we develop a two-step survey, conducted in a seaside resort before and during the tourist season to test for significant differences in residents' perceptions of tourism impact and overall life satisfaction. The results confirm the hypothesis that perceived tourism impact and life satisfaction vary with the tourist season, and that tourism has a hidden cost in terms of perceived life satisfaction.     

Volunteer tourism and the “voluntoured”: the case of Tijuana,Mexico

This paper explores resident attitudes to volunteer tourism in several small communities within Tijuana, Mexico. Social exchange theory has been used to argue that the degree of personal benefit from volunteer tourism would predict residents' perceptions of the impacts of volunteer tourism and support for volunteer tourism planning and for volunteer tourism activities. Survey research of a purposive sample targeted several neighborhoods within Tijuana that were extensively “voluntoured”. Results indicate mixed support for social exchange theory. Implications are discussed concerning the need for volunteer tourism organizations to include a variety of community stakeholders in the volunteer tourism development process.     

Residents' Perceived Impacts of Gaming Development in Macau: Social Representation Perspectives

The purpose of the research was to provide a better understanding of local residents' perceived impacts of gaming tourism based on social representations theory. An empirical investigation was conducted in Macau, where gaming tourism is under explosive development. Through a survey of 396 local residents, two social representation groups were identified: “Ambivalents” and “Rationalists”. The two social representation groups presented significantly different perceptions and attitudes toward the impacts of gaming tourism in Macau. The three most significant factors that influenced residents' representations were personal income, perceptions of gaming tourism being able to increase personal/family income, and satisfaction with government performance in managing gaming tourism development. The research provides theoretical implications for future gaming impact studies and also practical ones for local governments and stakeholders in the tourism industry in Macau and other gaming destinations.     

Residents' attitudes towards an instant resort enclave

Researchers have suggested that residents' attitudes towards tourism depend on the expected costs and benefits of tourism. While many studies have examined this proposition towards the later stages of development, few have examined the pre-tourism phase. This study used in-depth interviews with residents of Isabela, Puerto Rico, to examine their attitudes towards a proposed “instant” enclave resort in their community. At the time the research was conducted, Isabela was the planned site of the largest resort in the Caribbean. Results indicate that respondents are aware of both some of the positive and negative impacts of tourism, and are quite ambivalent about the planned tourist site.     

Gaming can be sustainable too! Using Social Representation Theory to examine the moderating effects of tourism diversification on residents' tax paying behavior

Tourism authorities in the Las Vegas region have suggested the diversification of the tourism industry as a strategy to improve the vitality of rural communities outside of the metropolitan area. The present study uses Social Representation Theory as the conceptual basis to test the moderating effects of the various types of proposed tourism development on residents' willingness to pay higher taxes to support such development. A survey of 301 residents in Las Vegas rural communities examined how the factors of economic dependence on tourism, community attachment, and ecocentric attitude towards tourism influence residents' perceptions of tourism's impacts. A higher economic dependence on tourism and higher levels of community attachment led to more favorable perceptions of tourism's economic and social impacts. The economic impacts, in turn, resulted in a willingness to pay higher taxes, irrespective of the type of tourism development proposed by the Las Vegas authorities. The results suggest that rural communities reinforce a hegemonic social representation of tourism in order to characterize the ethos of capitalist urbanism that pervades the economic development discourse. The residents' social construction of tourism has important implications for tourism planners in the region and suggests the adoption of an inclusive tourism diversification strategy that leverages both gaming and alternative tourism.     

Residents' perceptions of casino impacts: A comparative study

The primary purpose of this study was to explore differences in residents' perceptions of casino development between South Korea and Colorado. The communities surveyed are former depressed mining areas with significant historic characteristics. The secondary purpose was to investigate whether social exchange theory is appropriate to explain residents' perceptions of the impact of casinos on community support for casino development. In general, three factors of residents' perceptions and support were found to be significantly different between the two study sites. Furthermore, the effects of positive social impact on benefits, of both positive social impact and negative environmental impact on support, and the benefit factor on support level were significantly different between the two data collection areas. The study findings support the appropriateness of social exchange theory in explaining residents' responses in both study areas.     

The influence of the political environment and destination governance on sustainable tourism development: a study of Bled,Slovenia

In the context of sustainable tourism development, there are many studies about the exchange process between residents and tourism, yet this issue is practically unexplored with respect to the political environment of tourism. Therefore, this paper introduces and posits that the political environment is a necessary enabler for implementing sustainable tourism. The authors extend the established three-pillar sustainability concept by adding in the political dimension. Then they surveyed how residents' positive and negative perceptions of tourism impacts determine their satisfaction with life in the tourism destination and thus their support for tourism in their community. The model was empirically tested within the context of the long-established Alpine destination of Bled in Slovenia. The findings confirm the importance of the political environment and question the sustainability of Bled's tourism development. It is suggested that the community has relatively weak destination governance due to the underdeveloped political environment. The survey expands and deepens the tourism sustainability debate by adding in the political environment and how it relates to the emerging growth of research on destination governance. The proposed model can be adapted and applied to any destination in order to improve its governance, including the implementation of sustainable tourism development.     

Residents' perceptions of Transatlantic Slave Trade attractions for heritage tourism in Danish-Osu,Ghana

Against the background of lingering controversy over the use of Transatlantic Slave Trade (TAST) relics for tourism ends, this paper sought to examine residents' perceptions towards proposed promotion of heritage tourism based on TAST relics in Danish-Osu, a former slave site in Accra, capital of Ghana. A combination of both qualitative and quantitative research methods were employed during the fieldwork towards the end of 2007. A questionnaire survey captured 200 household heads in six communities while interviews and focus group discussions were conducted with other key stakeholders in the Danish-Osu community. Frequencies and percentages were used to demonstrate residents' lay concepts of tourism, whereas the mean, t-test and one-way ANOVA were used to measure residents' attitude towards heritage tourism. A major finding of the study is that residents' perceive tourism from a cultural perspective because of the numerous TAST resources in the community. However, residents' support for heritage tourism is influenced by place of residence. This suggested that irrespective of the place of residence, residents of Danish-Osu were found to be supportive of heritage products and activities. Implications were discussed in the context of how residents' perceptions will affect preservation efforts at various stages of tourism planning.     

Can community-based tourism contribute to sustainable development? Evidence from residents’ perceptions of the sustainability

In this paper, the research gaps in sustainable tourism development were addressed by examining residents' perceptions of the sustainability of community-based tourism based on tourism area life cycle theory. The survey questionnaire was distributed to the residents of six Taiwanese communities, and it was designed to determine the residents' perceptions of the economic, socio-cultural, environmental, and life satisfaction sustainability of tourism. In total, 849 usable questionnaires were collected. The analytical results further elucidated the sustainability of nature-based tourism and suggested that the economic, socio-cultural, and environmental sustainability varied significantly in the consolidation, development, and involvement stages of community-based tourism development. The four dimensions of sustainability were evaluated according to the pre- and post-development perceptions of tourism sustainability, and significantly different results were obtained. The study concludes that the residents’ perceptions differed across the developmental stages; thus, managers should consider the development opportunities and adopt appropriate strategies across different development stages.     

The satisfaction of local communities in World Heritage Site destinations. The case of the Petra region,Jordan

Satisfaction and perceptions of the residents towards local management were analysed at a World Heritage site such as the region of Petra, Jordan. Contributing to the context of host-guest interaction at World Heritage sites, we investigated the satisfaction towards local management. Using the Social Exchange Theory and partial least squares-structural equation modelling, a model was built and data from 467 surveyed residents were analysed. The model that we developed in this study represents the relationships between several factors related to the region's characteristics, including involvement in tourism development, participation in local organisation, and resident contact with tourists and community attachment. It was found that these factors play a critical role in the residents' perceptions of the economic, environment and socio-cultural impact of tourism development. Our findings suggest that perceptions strongly affect the satisfaction with local management. Furthermore, this study addresses several practical implications and future studies.