Effect of Location-Based Health Messages on Tourist Knowledge of Travel Disease Risks in Bantimurung National Park, Indonesia
Abstract
Introduction: Bantimurung National Park faces health risks such as dengue fever transmission due to its location in an endemic area and the potential for zoonotic transmission through frequent tourist interactions with Macaca maura. The lack of health promotion media related to disease prevention in tourism exacerbates these health risks. This study aims to analyze tourists' knowledge after receiving health messages via location-based advertising, specifically examining whether perceived susceptibility, perceived severity, perceived benefits, and perceived barriers that influence the effectiveness of digital health promotion in high-risk ecotourism environments.
Methods: The study used a quantitative approach with a survey method, involving 92 tourist respondents who accessed health information through LBA messages while in the Bantimurung tourist area. The LBA system delivered tailored health messages via mobile devices using geofencing technology within the park area. Data were analyzed using descriptive and inferential statistical tests to measure changes in knowledge levels before and after receiving the information.
Results: The results show a significant increase in tourists' knowledge after receiving location-based health messages. Before the intervention, only 23.9% of tourists fully understood disease types, transmission modes, and prevention methods. This figure rose to 67.7% post-intervention, while those with no understanding dropped from 1.1% to 1.0%, and partial understanding decreased from 75.0% to 31.3%.
Conclusion: This study concluded that location-based health messages significantly improved tourists' understanding of disease risks and addressed the gap in health promotion in Bantimurung National Park. This research is essential for international health studies, particularly in strengthening health promotion within global health security through the tourism cluster.
References
Garg A. A study of tourist perception towards travel risk factors in tourist decision making. Asian J Tour Hosp Res. 2012;7(January):47–57.
Yelastri Y, Sulistijorini S, Djuita NR. Diversity and Distribution of Ficus (Moraceae) in The Karst Ecosystem of Bantimurung Bulusaraung National Park. J Trop Biodivers Biotechnol. 2023 May;8(2):78811.
Pongsumpun P, Tang I ming, Science C, Road C. Risk of Infection To Tourists Visiting An Dengue Fever Endemic Region. KIMTL J. 2005;5(2):460–8.
Esposito MM, Turku S, Lehrfield L, Shoman A. The Impact of Human Activities on Zoonotic Infection Transmissions. Animals. 2023 May;13(10):1646.
Wirawan IMA, Wirawan DN, Kurniasari NMD, Merati KTP. Travel agent and tour guide perceptions on travel health promotion in Bali. Health Promot Int. 2020 Feb;35(1):e43–50.
Kumar S, Preetha GS. Health promotion: An effective tool for global health. Indian J Community Med. 2015;37(1):5–12.
Sari N, Fajri C, Winiarti S, Ahdiani U, Zulhuda S. The Regulations of Protection Tourists in High-Risk Tourism Destination. J Hum Rights, Cult Leg Syst. 2024 Dec;4(3):803–21.
Kurtz OT, Wirtz BW, Langer PF. An Empirical Analysis of Location-Based Mobile Advertising—Determinants, Success Factors, and Moderating Effects. J Interact Mark. 2021 May;54(1):69–85.
Zhang K, Wang J, Zhang J, Wang Y, Zeng Y. Exploring the impact of location-based augmented reality on tourists’ spatial behavior, experience, and intention through a field experiment. Tour Manag. 2024 Jun;102:104886.
COMCEC. Risk and Crisis Management in Tourism Sector. COMCEC Coordination Office. 2017. 1–149 p.
Harpiana Rahman. Menilai Peluang Pramuwisata menjadi Promotor Kesehatan dalam Upaya Pencegahan Travel Disease. J Penelit Kesehat Suara Forikes. 2023;14(April):49–52.
Purnawan IN. Tourist Knowledge And Behaviours Towards Rabies Prevention – UBUD Bali Indonesia. J Eduhealt. 2023;14(04):545–7.
Putri IASLP, Ansari F. Visitors’ Awareness to Maintain and Preserve the Biodiversity and Environment at Bantimurung Nature Tourism Object, Bantimurung Bulusaraung National Park. IOP Conf Ser Earth Environ Sci. 2023 May;1181(1):012005.
Carne C, Semple S, MacLarnon A, Majolo B, Maréchal L. Implications of Tourist–Macaque Interactions for Disease Transmission. Ecohealth. 2017 Dec;14(4):704–17.
Gwee XWS, Chua PEY, Pang J. Global dengue importation: a systematic review. BMC Infect Dis. 2021;21(1):1–11.
Fatmawaty, Rahman MA. Naming Diseases in Children by the Sidrap Bugis Ethnic. J Public Heal Pharm. 2023;3(2):47–54.
Dewi NP, Utami IK, Gunawan A, Tahir MT, Alaydrus S, Polontalo NA. Study of Treatment in Heart Disease Patients Installation in Undata Hospital, Central Sulawesi. J Public Heal Pharm. 2024;4(1):38–45.
Rivera EP, De Urioste-Stone S, Rickard LN, K C A, Rodríguez Stimson J, Caprara A, et al. Understanding international travelers’ health risk perceptions, preferences, and decisions: a segmentation analysis. Trop Dis Travel Med Vaccines. 2025 Jun;11(1):20.
Marano C, Moodley M, Melander E, De Moerlooze L, Nothdurft HD. Multinational survey shows low awareness of tick-borne encephalitis and rabies among travellers to endemic regions. J Travel Med. 2018;26:S1–2.
Thomson C, Gibbs R, Giele C, Firth M, Effler P. Health Seeking Behaviours and Knowledge of Infectious Disease Risks in Western Australian Travellers to Southeast Asian Destinations: An Airport Survey. Trop Med Infect Dis. 2016 Jul;1(1):3.
Bernritter SF, Ketelaar PE, Sotgiu F. Behaviorally targeted location-based mobile marketing. J Acad Mark Sci. 2021 Jul;49(4):677–702.
Huang X, Dai S, Xu H. Predicting tourists’ health risk preventative behaviour and travelling satisfaction in Tibet: Combining the theory of planned behaviour and health belief model. Tour Manag Perspect. 2020 Jan;33(February 2019):100589.
Yoshikawa MJ, Kusriastuti R, Liew C. An interdisciplinary study: disseminating information on dengue prevention and control in the world-famous travel destination, Bali, Indonesia. Evol Institutional Econ Rev. 2020 Jan;17(1):265–93.
Suess C, Maddock JE, Dogru T, Mody M, Lee S. Using the Health Belief Model to examine travelers’ willingness to vaccinate and support for vaccination requirements prior to travel. Tour Manag. 2022 Feb;88(January):104405.
Limpf N, Voorveld HAM. Mobile Location-Based Advertising: How Information Privacy Concerns Influence Consumers’ Attitude and Acceptance. J Interact Advert. 2015 Jul;15(2):111–23.
Novita Dewi I, Hayati N. Efforts to increase visitors of seven wonders ecotourism in Bantimurung Bulusaraung National Park through tourism package. J Penelit Kehutan Wallacea. 2021;10(2):165–76.
Pîrvu R, Smith J, Jr PJK, Selin S, Hoffmann J, Barbu CM. Sustainable Ecotourism Communication Framework Based on Social and Cultural Capital to Build Community Engagement in Ecotourism Practices Rutong Tourism Village, Indonesia. J Environ Manage. 2022;VII(4).
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