"我们不敢去":定性探讨加拿大国际退休移民在 COVID-19 大流行期间做出的与旅行相关的决定。

IF 2.4 Q3 INFECTIOUS DISEASES Tropical Diseases, Travel Medicine and Vaccines Pub Date : 2024-05-01 DOI:10.1186/s40794-024-00218-z
Jessica Tate, Valorie A Crooks, Jeremy Snyder
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引用次数: 0

摘要

背景:国际退休移民是指老年人季节性或永久性地迁移到另一个国家,近年来越来越受欢迎。这些退休人员的动机是,冬季气候温暖,有利于他们参加促进健康的娱乐和社交活动。跨境旅行的便利为这种季节性跨国旅行提供了便利。然而,为控制 COVID-19 的传播而实施的边境关闭和其他旅行相关措施扰乱了旅行,包括通常在美国过冬的加拿大老年人。例如,在 2020-21 年冬季,加拿大人被建议不要进行非必要的国际旅行,加拿大和美国之间的陆地边界除必要的旅行者外,对所有旅行者关闭。尽管如此,退休移民对许多加拿大退休人员来说仍然具有重要的吸引力。在此,我们从定性角度探讨了加拿大国际退休移民在决定是否在 COVID-19 大流行期间于 2020-21 年冬季前往美国时所考虑的因素:在案例研究方法的指导下,我们对 31 名加拿大国际退休移民进行了半结构化访谈,他们在 COVID-19 大流行之前曾在美国过冬,并在 2020 年冬末大流行开始时在美国。我们对访谈内容进行了逐字记录和专题分析,以解读在大流行期间哪些因素对他们的旅行相关决策最为重要。我们围绕之前确定的促使老年人成为国际退休移民的四个因素进行专题分析,从而为决策提供参考:目的地、人员、成本和行动:先前确定的促使老年人参与国际退休移民的因素包括:目的地(如气候和便利设施)、人员(如社交网络)、成本(如医疗保险和生活费用)以及迁移(如旅行便利性)。这些因素为国际退休移民在 2020-21 年冬季决定是否出国旅行提供了依据。例如,目的地因素包括缺乏公共卫生措施和高病例数,人员因素包括参与社会活动的机会较少,成本因素包括维持财产投资和现有旅行医疗保险计划中缺乏 COVID-19 治疗范围,而行动因素包括在旅行被视为必要或非必要时,在交通便利性方面面临的挑战。这些因素抑制或促使国际退休移民在 2020-21 年冬季 COVID-19 大流行期间出国旅行:本研究的结果证明,有必要为国际退休移民创建量身定制的决策支持工具,以便他们在危机事件期间做出与旅行相关的明智决定,从而保护他们的健康和福祉。还需要开展更多研究,探讨国际退休移民对风险,尤其是健康风险的认识,以及这些认识如何以不同方式影响他们的旅行相关决策。
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"We were leery of going": qualitatively exploring Canadian international retirement migrants' travel-related decisions during the COVID-19 pandemic.

Background: International retirement migration, which is the seasonal or permanent relocation of older people to another country, has grown in popularity in recent years. These retirees are motivated by the promise of warmer winter climates that are conducive to participating in health-promoting recreational and social activities. Ease of cross-border travel facilitates this transnational practice when undertaken seasonally. However, border closures and other travel-related measures put in place to manage the spread of COVID-19, disrupted travel, including for older Canadians who typically winter in the United States (US). During the 2020-21 winter season, for example, Canadians were advised not to engage in non-essential international travel and the land border between Canada and the US was closed to all but essential travellers. Nonetheless, retirement migration remained a significant draw for many Canadian retirees. Here, we qualitatively explore the factors that Canadian international retirement migrants considered when deciding whether or not to travel to the US for the 2020-21 winter during the COVID-19 pandemic.

Methods: Guided by case study methodology, semi-structured interviews were conducted with 31 Canadian international retirement migrants who had wintered in the US prior to the COVID-19 pandemic and were in the US at the outset of the pandemic in late winter 2020. Interviews were transcribed verbatim and thematically analyzed to decipher what factors were most important to their travel-related decision-making during the pandemic. We structure the thematic results around four factors previously identified to motivate older people to become international retirement migrants and thus inform decision-making: the destination, the people, the cost, and the movement.

Results: The previously identified factors that motivate older people to participate in international retirement migration include: the destination (e.g., climate and amenities), the people (e.g., social networks), the cost (e.g., health insurance and living costs), and the movement (e.g., ease of travel). These factors informed how international retirement migrants made decisions to travel abroad or not in the 2020-21 winter season. For example, destination-based factors included a lack of public health measures and high case counts, people-based factors comprised of less opportunities to engage in social activities, cost-based factors involved maintaining property investments and the lack of COVID-19 treatment coverage in available travel health insurance plans, and movement-based factors included challenges in ease of access when travel was viewed as essential or non-essential. These factors disincentivized or motivated international retirement migrants to travel abroad in the 2020-21 winter season during the COVID-19 pandemic.

Conclusions: The results of this study support the need to create tailored decision-support tools for international retirement migrants to make informed travel-related decisions during crisis events so as to protect their health and wellbeing. More research is needed to explore perceptions of risk, especially health risks, among international retirement migrants and how they differently affect their travel-related decisions.

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来源期刊
CiteScore
5.20
自引率
0.00%
发文量
25
审稿时长
17 weeks
期刊介绍: Tropical Diseases, Travel Medicine and Vaccines is an open access journal that considers basic, translational and applied research, as well as reviews and commentary, related to the prevention and management of healthcare and diseases in international travelers. Given the changes in demographic trends of travelers globally, as well as the epidemiological transitions which many countries are experiencing, the journal considers non-infectious problems including chronic disease among target populations of interest as well as infectious diseases.
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