Study on the Construction of a Health Lifestyle for Older People in the Longevous Area in China
Round 1
Reviewer 1 Report
This study potentially makes a contribution to the health geographies of China and geographies of aging by revealing a healthy lifestyle in a Chinese longevous area. The findings are very interesting. There are some issues that need to be addressed before publishing.
1. The authors should present the main goal of this study at the end of Introduction section.
2."Neo liberalism encouraged researchers to define “healthy lifestyles” in a comprehensive system." This statement might be improper and is irrelevant to the following literature.
3. Please summarize the literature review and point out the research gap that this study aims to fill. A conceptual framework might be helpful.
4. Please translate the legends of fig.1 into English.
5. The authors give a substantial literature review on healthy lifestyle studies, but the theoretical approach is largely missing in the discussion section. Please at least discuss a bit of how the findings in Bama might contribute to this group of literature.
Author Response
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Study on the construction of health lifestyle for older people in longevous area in China |
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Mengqi Yang, Hong Zhu, Xueyan Li, Weixia Gong, Xiaomei Pang, and Danna Lv |
AUTHORS’ RESPONSE TO the COMMENTS from REVIEWER 1
Firstly, the authors would like to deeply thank the reviewer for his/her valuable comments and suggestions in relation to the deficiencies of the initially submitted work, thanks to which it considerably increases the quality of the manuscript.
In what follows, a point-by-point response to the specific comments made by this reviewer is given, with a view to illustrate how the observations of the reviewer have been handled and the manuscript modified. Letters C and R denote comment and reply respectively. Besides, all the changes made in the revised and resubmitted manuscript have been highlighted using coloured text.
C: This study potentially makes a contribution to the health geographies of China and geographies of aging by revealing a healthy lifestyle in a Chinese longevous area. The findings are very interesting. There are some issues that need to be addressed before publishing.
R: We truly appreciate the positive comments and the fruitful suggestions from the reviewer, which are helpful for us to improve the quality of this work.
C.1: The authors should present the main goal of this study at the end of Introduction section.
R.1: Thank you very much for the comment. We agree that the main goals or the objectives of the work should pointed out early in the section of Introduction or Literature Review. There are two folds: (1) understand how a set of heath lifestyles can be established for Bama based on different social circumstances and factors, rather than pure natural science, and (2) determine how social relations influence the formation of health lifestyles from the perspectives of local government, developer, local residents, and ‘snow birds’. Changes are made in Lines 137-141 in the revised manuscript as follows:
“The objectives of the study can help to address: (1) how a set of heath lifestyles can be established for Bama based on different social circumstances and factors, rather than pure natural science; (2) how social relations influence the formation of health lifestyles from the perspectives of local government, developer, local residents, and ‘snow birds’.”
C.2: "Neo liberalism encouraged researchers to define “healthy lifestyles” in a comprehensive system." This statement might be improper and is irrelevant to the following literature.
R.2: Thank you very much for the comment. We agree that the statement regarding Neo liberalism is not relevant to the following literature. We have deleted these improper statements from the manuscript.
C.3: Please summarize the literature review and point out the research gap that this study aims to fill. A conceptual framework might be helpful.
R.3: Thank you very much for the comment. The research gap should be pointed out clearly. One should know that aging becomes a critical problem for different countries, and China is one of them. At the moment, limited research has been done to understand health lifestyles, especially for older people. Case study from China is also limited. The research gap is added in Lines 120-125 in the revised manuscript as follows:
“To sum up, different countries are facing aging issues, and China is one of the most critical countries for aging problems. However, limited research has been done to understand the impact of problems associated with aging. Research on health issues is being extensively investigated, with limited focus on health lifestyles for older people. Cases from China are even more limited. There is a need to understand how health lifestyles can influence, with the background from China.”
C.4: Please translate the legends of fig.1 into English.
R.4: Thank you very much for the comment. We have translated Figure 1 into English.
Figure 1. Location of Panyang river basin, Bama County.
C.5: The authors give a substantial literature review on healthy lifestyle studies, but the theoretical approach is largely missing in the discussion section. Please at least discuss a bit of how the findings in Bama might contribute to this group of literature.
R.5: Thank you very much for the comment. We agree that the use of theoretical approach is missing. In fact, we conducted qualitative analysis primarily. It should be noted that our study has many limitations, e.g., sampling method, sample size, bias in data, and analysis technique, etc. We pointed out interpretation of the present results towards others should be with caution. In the future, quantitative analysis should be carried out to deepen our understanding. Changes are given in Lines 484-490 as follows:
“It should be noted that all findings are limited to the conditions of Bama, and interpretation for other locations must be with caution. Furthermore, the sampling method is rather limited, drawing the data from only 36 samples. All participants are those who are active to talk and relatively healthy to do outdoor activities. The sampling method could be biased, since older people who cannot do outdoor activities freely are eliminated from the dataset. Qualitative analysis is done only, but quantitative analysis should be carried out in the future to better understand the health lifestyle issue.”
Author Response File: 
Author Response.doc
Reviewer 2 Report
Dear authors please follow these recommendatation:
Lines 25-26: Please, revvise the first sentence in Introduction paragraph.
Line 42: Please, check the space between words.
Lines 71-73: Please, specify the concepts clearly.
Line 78: Please, check uppercase/lowercase.
Line 91: Please, check uppercase/lowercase.
Lines 101-102: Please, check uppercase/lowercase.
Literature Review: good but please add more updated references.
Literature Review: Please, insert a section of the hypotheses tested following the literature review.
Methods: clear.
Sample size: Please, justify the simple size used.
Table 1: please revise the sample zize: 35 peple= 12 male + 24 female? The result is 36.
Line 267: Please, check the space between words.
Conclusion: Please, revise this section and insert limitation and future implications.
Author Response
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Study on the construction of health lifestyle for older people in longevous area in China |
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|
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Mengqi Yang, Hong Zhu, Xueyan Li, Weixia Gong, Xiaomei Pang, and Danna Lv |
AUTHORS’ RESPONSE TO the COMMENTS from REVIEWER 2
Firstly, the authors would like to deeply thank the reviewer for his/her valuable comments and suggestions in relation to the deficiencies of the initially submitted work, thanks to which it considerably increases the quality of the manuscript.
In what follows, a point-by-point response to the specific comments made by this reviewer is given, with a view to illustrate how the observations of the reviewer have been handled and the manuscript modified. Letters C and R denote comment and reply respectively. Besides, all the changes made in the revised and resubmitted manuscript have been highlighted using coloured text.
C: Dear authors please follow these recommendatation:
R: We truly appreciate the positive comments and the fruitful suggestions from the reviewer, which are helpful for us to improve the quality of this work.
C.1: Lines 25-26: Please, revise the first sentence in Introduction paragraph.
R.1: Thank you very much for the comment. We agree that the statement in Lines 25-26 in the original submission is not relevant to the current research. Hence, the statement has been deleted from the revised manuscript.
C.2: Line 42: Please, check the space between words.
R.2: Thank you very much for the comment. The spacing between words has been corrected. Changes can be seen in Lines 42-45 in the revised manuscript as follows:
“At first, researchers treated doctors and patients in the same social system, structured the traditional single element etiological observation into the social and physical environment, and discussed health effects of health lifestyles and social behaviors.”
C.3: Lines 71-73: Please, specify the concepts clearly.
R.3: Thank you very much for the comment. The concepts should be defined to facilitate the understanding of the readers. We made changes in Lines 70-74 in the revised manuscript as follows:
“Combined universal and persistent health practices/ behaviors that are interchangeable into a system, health practices/ behaviors are unconsciously reproduced in different circumstances (denoted as Field), and reformed into healthy activities (denoted as Habitus), and eventually, constructed into practices (denoted as Particular facts) which have long-lasting influences (so-called health lifestyles)”
C.4: Line 78: Please, check uppercase/lowercase.
R.4: Thank you very much for the comment. The uppercase/lowercase has been checked thoroughly.
C.5: Line 91: Please, check uppercase/lowercase.
R.5: Thank you very much for the comment. The uppercase/lowercase has been checked thoroughly.
C.6: Lines 101-102: Please, check uppercase/lowercase.
R.6: Thank you very much for the comment. The uppercase/lowercase has been checked thoroughly.
C.7: Literature Review: good but please add more updated references.
R.7: Thank you very much for the comment. We worked to improve the literature review following the suggestion of the reviewer. The added references are listed below. If the reviewer could make some suggestions, we will certainly read and add those.
[4] Engels, F. Herr Eugen Duhring's Revolution in Science; Martin Lawrence, 1934.
[6] Guzel, A E, Arslan, U, Acaravci, A. The impact of economic, social, and political globalization and democracy on life expectancy in low-income countries: are sustainable development goals contradictory? Environment, Development and Sustainability, 2021, 23(9), 13508-13525.
[12] Bourdieu, P. Sport and social class. Social Science Information, 1978, 17(6), 819-840.
[19] Lee, S W, Xue, K. A model of destination loyalty: Integrating destination image and sustainable tourism. Asia Pacific Journal of Tourism Research, 2020, 25(4), 393-408.
[20] Dunets, A N, Yankovskaya, V, Plisova, A B, Mikhailova, M V, Vakhrushev, I B, Aleshko, R A. Health tourism in low mountains: A case study. Entrepreneurship and Sustainability Issues,2020, 7(3), 2213.
[21] Ridderstaat, J, Singh, D, DeMicco, F. The impact of major tourist markets on health tourism spending in the United States. Journal of Destination Marketing & Management, 2019, 11, 270-280.
[22] Jiang, L, Wu, H, Song, Y. Diversified demand for health tourism matters: From a perspective of the intra-industry trade. Social Science & Medicine, 2022, 293, 114630.
[25] Yang M Q, Rosenberg M W, Li, J. Spatial Variability of Health Inequalities of Older People in China and Related Health Factors. International Journal of Environmental Research and Public Health, 2020, 17(5), 1739.
C.8: Literature Review: Please, insert a section of the hypotheses tested following the literature review.
R.8: Thank you very much for the comment. It is a great idea to include the hypotheses in the literature review to have a better logical flow. Please check changes in Lines 132-133 as follows:
“It is hypothesized that the heath lifestyles theory is applicable to the Bama situations, and the formation of health lifestyles is affected by social relations.”
C.9: Methods: clear.
R.9: Thank you very much for the comment.
C.10: Sample size: Please, justify the simple size used.
R.10: Thank you very much for the comment. We have checked the sample size. It was a typo to write “35” in the original submission. The sample size should be 36. Please check Table 1 for the changes:
Table 1. Profile of older people who participated in the research.
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Sample size (people) |
36 |
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Age range (yrs) |
61-108 |
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Gender |
Male: 12/ Female: 24 |
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Nationality |
Chinese citizenship |
C.11: Table 1: please revise the sample zize: 35 peple= 12 male + 24 female? The result is 36.
R.11: Thank you very much for the comment. We have checked the sample size. It was a typo to write “35” in the original submission. The sample size should be 36. Please check Table 1 for the changes:
Table 1. Profile of older people who participated in the research.
|
Sample size (people) |
36 |
|
Age range (yrs) |
61-108 |
|
Gender |
Male: 12/ Female: 24 |
|
Nationality |
Chinese citizenship |
C.12: Line 267: Please, check the space between words.
R.12: Thank you very much for the comment. The spacing between words has been corrected. Changes can be seen in Lines 287-289 in the revised manuscript as follows:
“Local government (including NGO), developers, and ‘snow birds’ assembled different ‘health habitus’ into a healthy discourse system, constructing a newly health lifestyles of Bama.”
C.13: Conclusion: Please, revise this section and insert limitation and future implications.
R.13: Thank you very much for the comment. It is a great idea to include some limitations and future implications in the Conclusions. Please check changes in Lines 484-490 in the revised manuscript:
“It should be noted that all findings are limited to the conditions of Bama, and interpretation for other locations must be with caution. Furthermore, the sampling method is rather limited, drawing the data from only 36 samples. All participants are those who are active to talk and relatively healthy to do outdoor activities. The sam-pling method could be biased, since older people who cannot do outdoor activities freely are eliminated from the dataset. Qualitative analysis is done only, but quantitative analysis should be carried out in the future to better understand the health lifestyle issue.”
Author Response File: Author Response.doc
Reviewer 3 Report
The aim of the paper is not very clear from the abstract phase, as the authors used the word ”tried” twice in the abstract. Moreover, the statement ”This research tried to provide a new paradigm…” should be continued with one or two sentences referring to the degree of succeeding in providing a new paradigm related to China’s health practice research.
The list of references is not sufficient for a paper aiming to be published into a high ranked academic journal.
In the Literature review section is one statement (The negative effect of income on life expectancy is more obvious in low income developing countries. – lines 50-52) that have to be explained and at least one reference should be provided. Even for the statement ”Friedrich Engels combined health with hierarchical structure of policy, economy and social class.” (lines 48-49), I suggest authors to provide a reference direct from the source. Not only Engels, but also for Bourdieu and Weber I suggest to use the authors’ original work.
Tourism issues are mentioned in the paper about two dozens times, but there no any sub-section about tourism in the Literature review section of this paper. Moreover, the references about tourism are missing from the reference list even key concepts such as “tourism image” or “health tourism” are included in this paper.
I suggest authors to provide an explanation of why they choose “people aged 47 years old and over were randomly selected” and not other age limit.
Personally, I do not see the relevance of Figure 4 for the purpose of this paper.
The authors do not provide any limitation for their study. The promise from the abstract to “provide a new paradigm for China’s health practice research” proved to be overrated after reading the entire paper.
Author Response
|
Study on the construction of health lifestyle for older people in longevous area in China |
|
|
|
Mengqi Yang, Hong Zhu, Xueyan Li, Weixia Gong, Xiaomei Pang, and Danna Lv |
AUTHORS’ RESPONSE TO the COMMENTS from REVIEWER 3
Firstly, the authors would like to deeply thank the reviewer for his/her valuable comments and suggestions in relation to the deficiencies of the initially submitted work, thanks to which it considerably increases the quality of the manuscript.
In what follows, a point-by-point response to the specific comments made by this reviewer is given, with a view to illustrate how the observations of the reviewer have been handled and the manuscript modified. Letters C and R denote comment and reply respectively. Besides, all the changes made in the revised and resubmitted manuscript have been highlighted using coloured text.
C.1: The aim of the paper is not very clear from the abstract phase, as the authors used the word ”tried” twice in the abstract. Moreover, the statement ”This research tried to provide a new paradigm…” should be continued with one or two sentences referring to the degree of succeeding in providing a new paradigm related to China’s health practice research.
R.1: Thank you very much for the comment. We agree that the Abstract should be improved to include the key findings of the current work. Rewording is done with respect to “tried”. In fact, we only want to emphasize the purpose of our work. Anyhow, the Abstract has been rewritten completely. Changes can be seen in Lines 15-23 as follows:
“From the perspective of health geography, this research conducted field work in Bama, a longe-vous area in Guangxi province in China, applied a theoretical framework of health lifestyle theo-ry to clarify the construction process of health lifestyles for older people in Bama and reveal the roles and characteristics of different social relations in creating health lifestyles. The findings of this research can provide a new paradigm for China’s health practice research from two aspects: (1) production of health lifestyles is a knowledge construction process, taking into account the influence of social circumstances, politics, economy, culture, policy, and values, (2) social attributes affect the health lifestyles by reconstructing and improving social relations.”
C.2: The list of references is not sufficient for a paper aiming to be published into a high ranked academic journal.
R.2: Thank you very much for the comment. We worked to improve the literature review following the suggestion of the reviewer. The added references are listed below. If the reviewer could make some suggestions, we will certainly read and add those.
[4] Engels, F. Herr Eugen Duhring's Revolution in Science; Martin Lawrence, 1934.
[6] Guzel, A E, Arslan, U, Acaravci, A. The impact of economic, social, and political globalization and democracy on life expectancy in low-income countries: are sustainable development goals contradictory? Environment, Development and Sustainability, 2021, 23(9), 13508-13525.
[12] Bourdieu, P. Sport and social class. Social Science Information, 1978, 17(6), 819-840.
[19] Lee, S W, Xue, K. A model of destination loyalty: Integrating destination image and sustainable tourism. Asia Pacific Journal of Tourism Research, 2020, 25(4), 393-408.
[20] Dunets, A N, Yankovskaya, V, Plisova, A B, Mikhailova, M V, Vakhrushev, I B, Aleshko, R A. Health tourism in low mountains: A case study. Entrepreneurship and Sustainability Issues,2020, 7(3), 2213.
[21] Ridderstaat, J, Singh, D, DeMicco, F. The impact of major tourist markets on health tourism spending in the United States. Journal of Destination Marketing & Management, 2019, 11, 270-280.
[22] Jiang, L, Wu, H, Song, Y. Diversified demand for health tourism matters: From a perspective of the intra-industry trade. Social Science & Medicine, 2022, 293, 114630.
[25] Yang M Q, Rosenberg M W, Li, J. Spatial Variability of Health Inequalities of Older People in China and Related Health Factors. International Journal of Environmental Research and Public Health, 2020, 17(5), 1739.
C.3: In the Literature review section is one statement (The negative effect of income on life expectancy is more obvious in low income developing countries. – lines 50-52) that have to be explained and at least one reference should be provided. Even for the statement ”Friedrich Engels combined health with hierarchical structure of policy, economy and social class.” (lines 48-49), I suggest authors to provide a reference direct from the source. Not only Engels, but also for Bourdieu and Weber I suggest to use the authors’ original work.
R.3: Thank you very much for the comment. These locations pointed out by the reviewer have been added with suitable references.
[4] Engels, F. Herr Eugen Duhring's Revolution in Science; Martin Lawrence, 1934.
[6] Guzel, A E, Arslan, U, Acaravci, A. The impact of economic, social, and political globalization and democracy on life expectancy in low-income countries: are sustainable development goals contradictory? Environment, Development and Sustainability, 2021, 23(9), 13508-13525.
[12] Bourdieu, P. Sport and social class. Social Science Information, 1978, 17(6), 819-840.
C.4: Tourism issues are mentioned in the paper about two dozens times, but there no any sub-section about tourism in the Literature review section of this paper. Moreover, the references about tourism are missing from the reference list even key concepts such as “tourism image” or “health tourism” are included in this paper.
R.4: Thank you very much for the comment. We agree that an improved literature review on the meaning of tourism issues should be added. Our focus is to consider the tourism as a social factor to contribute to the health lifestyles. At the moment, research on health lifestyles related issues with tourism is not done thoroughly. Please check changes in Lines 115-119 in the revised manuscript.
“In recent year, the concept of “tourism image” has been proposed for a specific site, which helps attracting tourists [19]. This is to establish the “health tourism”, which is contributable to a type of social factor to influence the health status of travelers [20-22]. It should be emphasized that how the health lifestyles are related to the surrounding factors is not investigated with the focus of older people.”
[19] Lee, S W, Xue, K. A model of destination loyalty: Integrating destination image and sustainable tourism. Asia Pacific Journal of Tourism Research, 2020, 25(4), 393-408.
[20] Dunets, A N, Yankovskaya, V, Plisova, A B, Mikhailova, M V, Vakhrushev, I B, Aleshko, R A. Health tourism in low mountains: A case study. Entrepreneurship and Sustainability Issues,2020, 7(3), 2213.
[21] Ridderstaat, J, Singh, D, DeMicco, F. The impact of major tourist markets on health tourism spending in the United States. Journal of Destination Marketing & Management, 2019, 11, 270-280.
[22] Jiang, L, Wu, H, Song, Y. Diversified demand for health tourism matters: From a perspective of the intra-industry trade. Social Science & Medicine, 2022, 293, 114630.
C.5: I suggest authors to provide an explanation of why they choose “people aged 47 years old and over were randomly selected” and not other age limit.
R.5: Thank you very much for the comment. We apologize for the mistake. In fact, we used the age of 50 years ago to select our participants. We had met some younger “snow birds” during interview. For example, we had a good talk with a “snow bird” of 47 years old. It is a miscommunication that we wrote the age of 47 years ago in our previous submission. Now, we made changes in Lines 187-189 as follows:
“People aged 50 years old and over, which can be classified as older people [25], were randomly selected from local communities, parks, and places where they were likely to meet and socialize.”
[25] Yang M Q, Rosenberg M W, Li, J. Spatial Variability of Health Inequalities of Older People in China and Related Health Factors. International Journal of Environmental Research and Public Health, 2020, 17(5), 1739.
C.6: Personally, I do not see the relevance of Figure 4 for the purpose of this paper.
R.6: Thank you very much for the comment. Figure 4 in our original submission has been deleted.
C.7: The authors do not provide any limitation for their study. The promise from the abstract to “provide a new paradigm for China’s health practice research” proved to be overrated after reading the entire paper.
R.7: Thank you very much for the comment. It is a great idea to include some limitations and future implications in the Conclusions. Please check changes in Lines 484-490 in the revised manuscript:
“It should be noted that all findings are limited to the conditions of Bama, and interpretation for other locations must be with caution. Furthermore, the sampling method is rather limited, drawing the data from only 36 samples. All participants are those who are active to talk and relatively healthy to do outdoor activities. The sam-pling method could be biased, since older people who cannot do outdoor activities freely are eliminated from the dataset. Qualitative analysis is done only, but quantitative analysis should be carried out in the future to better understand the health lifestyle issue.”
Author Response File: 
Author Response.pdf
Round 2
Reviewer 3 Report
Dear Authors,
This explanation given to my remark about the poor literature review on health tourism was: ”Our focus is to consider the tourism as a social factor to contribute to the health lifestyles ” is unconvincing. Even the paper significantly improved, I still maintain my observation from the first round that the list of references is not sufficient for a paper aiming to be published into a high ranked academic journal.
Author Response
|
Study on the construction of health lifestyle for older people in longevous area in China |
|
|
|
Mengqi Yang, Hong Zhu, Xueyan Li, Weixia Gon, Xiaomei Pang and Danna Lv |
AUTHORS’ RESPONSE TO the COMMENTS from REVIEWER 3
Firstly, the authors would like to deeply thank the reviewer for his/her valuable comments and suggestions in relation to the deficiencies of the initially submitted work, thanks to which it considerably increases the quality of the manuscript.
In what follows, a point-by-point response to the specific comments made by this reviewer is given, with a view to illustrate how the observations of the reviewer have been handled and the manuscript modified. Letters C and R denote comment and reply respectively. Besides, all the changes made in the revised and resubmitted manuscript have been highlighted using coloured text.
C: This explanation given to my remark about the poor literature review on health tourism was: ”Our focus is to consider the tourism as a social factor to contribute to the health lifestyles ” is unconvincing. Even the paper significantly improved, I still maintain my observation from the first round that the list of references is not sufficient for a paper aiming to be published into a high ranked academic journal.
R: We truly appreciate the positive comments and the fruitful suggestions from the reviewer, which are helpful for us to improve the quality of this work. We agree that more works should be done to improve the literature review on health tourism, which is closely related to our research focus. We found that researchers from all over the world paid much attention to health tourism. For example, cases from China, Poland, US, Canada, Korea, and Iran can be seen. These research often focus on the health related issues in traveling. It should be noted that there is a gap to understand how the behavior of older people can be affected with respect to health tourism. Our study can potentially provide some insights into the relationship between health lifestyles and tourism for older people in China. Changes are made in Line 118-128. Hopefully, the respected reviewer is now satisfied with our work.
“In recent year, the concept of “tourism image” has been proposed for a specific site, which helps attracting tourists [19]. This is to establish the “health tourism”, which is contributable to a type of social factor to influence the health status of travelers [20-22]. The concept of health tourism has been applied to analyze the cases from different countries all over the world. For example, health expenditure and domestic health consumers were considered to have a great impact on health tourism [23]. Based on a survey in China, therapeutic landscape and health tourism are found to interrelate, and can affect each other [24]. A combined factor-clustering method was adopted to define the socio-demographic, behavioral and psychographic characteristics of tourists in Poland [25]. Similarly, there is a positive long-term effect of tourism demand on health-related tourism spending in Canada [26]. People start to aware the importance of health travel, but the level of participation is still low compared to other travel activities [27]. Interestingly, climate has been found as a crucial component in environmental life for entertainment and tourism, which can sharp the health lifestyles somehow [29]. However, it should be emphasized that how the health lifestyles are related to the surrounding factors has never been investigated with the focus of older people.”
[23] Jiang L, Wu H, Song Y. Diversified demand for health tourism matters: From a perspective of the intra-industry trade. Social Science & Medicine. 2022, 293, 114630.
[24] Yan X, He S. The co-evolution of therapeutic landscape and health tourism in bama longevity villages, China: An actor-network perspective. Health & Place. 2020, 66, 102448.
[25] Dryglas D, Salamaga M. Segmentation by push motives in health tourism destinations: A case study of Polish spa resorts. Journal of Destination Marketing & Management. 2018, 9, 234-46.
[26] Salehi-Esfahani S, Ridderstaat J, Ozturk AB. Health tourism in a developed country with a dominant tourism market: the case of the United States’ travellers to Canada. Current Issues in Tourism. 2021, 24(4), 536-53.
[27] Han JS, Lee TJ, Ryu K. The promotion of health tourism products for domestic tourists. International Journal of Tourism Research. 2018, 20(2), 137-46.
[28] Amininia K, Abad B, Safarianzengir V, GhaffariGilandeh A, Sobhani B. Investigation and analysis of climate comfort on people health tourism in Ardabil province, Iran. Air Quality, Atmosphere & Health. 2020, 13(11), 1293-303.
Round 3
Reviewer 3 Report
The authors addressed the suggestions made at the second round of the review and the paper has improved. My proposal is to accept the paper in this form.
