Female Medical Tourists' Enplanement Intentions and Airline Cabin Design in Developing Economies

Main Article Content

Juliet John Inyang
https://orcid.org/0000-0002-5171-7488
Felix John Eze
John Okiri Inyang
https://orcid.org/0000-0003-3743-2344
Bright Olufesobi
https://orcid.org/0000-0001-5159-4345
Tiwalade Mary Ighomuaye
https://orcid.org/0000-0003-4457-0155
Victory Udoh-King
https://orcid.org/0000-0003-4845-5058
Ekele Sunday Francis
https://orcid.org/0000-0002-3833-4431
Okuniyi Zakariyah Titilola
https://orcid.org/0000-0001-6793-2978

Abstract

            The future of medical tourism in Africa is tied to travel and aviation plays a key role in propelling tourism across borders. This study examined the influence of cabin design on the enplanement intentions of female medical tourists in Africa. Data were obtained using an online semi-structured bi-lingual questionnaire. The survey data were analysed with R software. The Ordinary Least Square (OLS) regression analysis and Sobel, Aroian, and Goodman tests for mediation showed that three elements of seat design (backrest, seat pitch and legroom) had both direct and indirect effects on enplanement intention. This calls for diligent attention and efforts by airlines to remodel aircraft and redefine their services as regards cabin comfort for female medical tourists. This would give the airline an edge over competitors. As a multidisciplinary study, it sets the path towards the revival of the future of travel and tourism in Africa, post-pandemic.

Article Details

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Articles
Author Biographies

Juliet John Inyang, Department of Marketing, University of Auckland, New Zealand

Assistant Lecturer

 

John Okiri Inyang, University of Calabar

Lecturer,

Department of Economics, University of Calabar, Nigeria

Tiwalade Mary Ighomuaye, University of Lagos

Department of European Languages, University of Lagos, Nigeria

Victory Udoh-King, Caleb University, Nigeria

Department of Architecture, Caleb University, Nigeria

Ekele Sunday Francis, Federal University of Technology Minna, Nigeria

Department of Electrical and Electronics Engineering, Federal University of Technology Minna, Nigeria;

Omnicom Solutions, Huawei Subcontractor

Okuniyi Zakariyah Titilola, University of Ibadan, Nigeria

Department of Statistics, University of Ibadan, Nigeria

References

[1] Abubakar, M., Basiru, S., Oluyemi, J., Abdulateef, R., Atolagbe, E., Adejoke, J. and Kadiri, K. 2018. Medical tourism in Nigeria: Challenges and remedies to health care system development. International Journal of Development and Management Review, 13(1): 223-238.
[2] Aksoy, Safak, Eda Atilgan, and Serkan Akinci. 2003. “Airline Services Marketing by Domestic and Foreign Firms: Differences from the Customer’s Viewpoint.” Journal of Air Transport Management, 9(6): 343-351.
[3] Alards-Tomalin, Doug, Tamara L. Ansons, Tara C. Reich, Yumiko Sakamoto, Rita Davie, Jason P. Leboe-McGowan, and Launa C. Leboe-McGowan. 2014. “Airport Security Measures and their Influence on Enplanement Intentions: Responses from Leisure Travellers Attending a Canadian University.” Journal of Air Transport Management, 37: 60-68.
[4] Apex. 2017. Airlines in Asia are now helping to fuel the medical tourism industry. Global Growth Market. https://www.ggmkts.com/i-Airlines-in-Asia-are-now-helping-to-fuel-the-medical-tourism-industry (accessed July 11, 2020).
[5] Aviation Triad. 2017. The Brains behind Aircraft Cabin Design. https://www.aviationtriad.com/the-brains-behind-aircraft-cabin-design/ (accessed July 11, 2020).
[6] Azevedo, Daniel, Vincent Chin, Dinesh Khanna, Eduardo León, Kasey Maggard, Michael Meyer, David Michael, Burak Tansan, Peter Ullrich, Sharad Verma, and Jeff Walters. 2016. 2016 Global Challengers Report - Top Players in Emerging Markets. https://www.bcg.com/publications/2016/global-challengers (accessed July 24, 2020).
[7] Bond, Marybeth. 2019. Women Travel Statistics – 80% of all Travel Decisions Made by Women. https://gutsytraveler.com/women-travel-statistics/ (accessed July 12, 2020).
[8] Čeperković, Jelena, Šiljak, Marija & Đurađević, Marijana. 2017. Women entrepreneurship in function of improving tourist offer. Journal of Women's Entrepreneurship and Education, 3-4: 73-83.
[9] Cochran, William G. 1963. Sampling Techniques, 2nd Ed. New York: John Wiley and Sons, Inc.
[10] Economic Community of West African States. 2019. ECOWAS Moves to Improve Air Navigation within the Region. https://www.ecowas.int/ecowas-moves-to-improve-air-navigation-within-the-region/ (accessed August 20, 2020).
[11] Fetscherin, Marc and Renee-Marie Stephano. 2016. The Medical Tourism Index: Scale Development and Validation. Tourism Management, 52: 539-556.
[12] Gilbert, David and Robin K. C. Wong. 2003. Passenger Expectations and Airline Services: A Hong Kong Based Study. Tourism Management, 24: 519-532.
[13] Gill, Harsimran and Neha Singh. 2011. Exploring the Factors that Affect the Choice of Destination for Medical Tourism. Journal of Service Science and Management, 4: 315-324.
[14] Hall, Ashley, Tobias Mayer, I. Wuggetzer, and P.R.N. Childs. 2013. Future Aircraft Cabins and Design Thinking: Optimization vs Win-Win Scenarios. Propulsion and Power Research, 2(2): 85–95.
[15] Han, Heesup. 2013. Effects of in-flight ambience and space/function on air travelers' decision to select a low-cost airline. Tourism Management, 37: 125–135. doi:10.1016/j.tourman.2013.01.008
[16] Hao, Jocelyn and Chris O. S. Har. 2014. A Study of Preferences of Business Female Travellers on the Selection of Accommodation. Procedia – Social Behavioral Sciences, 14: 176-186.
[17] Hewlett, Sylvia. 2011. Why Women are the Biggest Emerging Market. Harvard Business Review, 3. https://www.hbr.org/2010/03/leverage-your-female-demograph (accessed August 17, 2020).
[18] Hoffman, K. Douglas and John E. G. Bateson. 2011. Service Marketing: Concepts, Strategies, & Cases. South-Western, USA: Cengage Learning.
[19] Hoyer, Wayne and Deborah J. Maclniss. 2010. Consumer Behavior 5th ed. South-Western: Cengage Learning.
[20] Hunt, Jennifer, and Truong, D. 2019. Low-fare flights across the Atlantic: Impact of low-cost, long-haul trans-Atlantic flights on passenger choice of Carrier. Journal of Air Transport Management, 75: 170-184.
[21] Idowu, E. O., and Adewole, O. A. 2015. Spectrum of neurosurgical complications following medical tourism: Challenges of patients without borders. African Health Science, 15: 240–245.
[22] Ile, F. L. and Țigu, G. 2017. Medical tourism market trends - An exploratory research. Proceedings of the 11th International Conference on Business Excellence held at Bucharest, Romania, 1111-1121.
[23] International Civil Aviation Organization [ICAO]. 2017. Aviation Benefits. https://www.icao.int/sustainability/Documents/AVIATION-BENEFITS-2017-web.pdf (accessed July 24, 2020).
[24] Intrepid Travel. 2020. How Travelling Empowers Women and Gives Them the Chance to Challenge Themselves. Financial Express. https://www.financialexpress.com/lifestyle/travel-tourism/how-travelling-empowers-women-and-gives-them-the-chance-to-challenge-themselves/1894707/#:~:text=According%20to%20Intrepid%20Travel%2C%2063,made%20them%20stronger%20and%20empowered. (accessed August 17, 2020).
[25] Kan, Viktoriya and Mukhopadhyay, B. Rick. 2022. The role of migration in women entrepreneurship and empowerment: Evidence from Nigeria. Journal of Women's Entrepreneurship and Education, 1-2: 187-212.
[26] Kurtulmusoglu, Feride, Galin F. Can, Fatma Pakdil, and Metehan Tolon. 2018. Does Gender Matter? Considering Gender Service in the Airline Industry. Journal of Air Transport Management: 70, 73.
[27] Kwok, See, Ahmad Jusoh, and Zainab Khalifah. 2016. The Influence of Service Quality on Satisfaction: Does Gender Really Matter? Intangible Capital, 12(2): 444-461.
[28] Liu, Jing, Suihuai Yu, and Jianjie Chu. 2019. The Passengers’ Comfort Improvement by Sitting Activity and Posture Analysis in Civil Aircraft Cabin. Mathematical Problems in Engineering, 2019: 1–10. doi:10.1155/2019/3278215.
[29] Liu, Jing, Suihuai Yu, Jianjie Chu, and Bingchen Gou. 2017. Identifying and Analyzing Critical Factors Impacting on Passenger Comfort Employing a Hybrid Model. Human Factors and Ergonomics in Manufacturing & Service Industries, 27(6): 289– 305.
[30] Maheshwari, S. Animasahun, B. A. and Njokanma, O. F. 2012. International patients with congenital heart disease: What brings them to India? Indian Heart Journal, 64 (1): 50- 53.
[31] Manski, Charles. 1990. The Use of Intentions Data to Predict Behavior: A Best-case Analysis. Journal of the American Statistical Association, 85: 934-940.
[32] Nwankwo, Chike and Amechi H. Igweze. 2016. Extensions of Tests of Indirect Effect in Mediation Analysis. International Journal of Data Science and Analysis. 2(1): 1-6. doi: 10.11648/j.ijdsa.20160201.11.
[33] Onyeji, E. 2017. Medical tourism draining Nigeria’s reserves – VON DG Okechukwu. Available at https://www.premiumtimesng.com/news/headlines/241443-medicaltourism-draining-nigerias-reserves-osinbajo.html [Retrieved October 19, 2022]
[34] Orji, V.N, Inyang, J.J., Akpan, J.S., Bassey, F.O. and Edodi, H. U. (2020). Nigerian Tourists’ Concerns Towards Medical Risks and Social Challenges. African Journal of Hospitality, Tourism and Leisure, 9(4): 612-625.
[35] Ryan, Thomas. 2013. Sample size determination and power. John Wiley and Sons.
[36] Stephano, R. M. and Fetscherin, M. 2016. The medical tourism index: Scale development and validation. Tourism Management, 52: 539-556.
[37] World Tourism Organization. 2017.UNWTO Annual Report 2016. Madrid, Spain: UNWTO.
[38] World Tourism Organization. 2019. Global Report on Women in Tourism – Second Edition. Madrid, Spain: UNWTO.
[39] Zhang, Benjamin. 2015. A new design for airplane seats could cause chaos in the skies. Retrieved from https://www.businessinsider.com/these-new-airplane-seats-could-cause-complete-chaos-in-the-skies-2015-8?r=US&IR=T (accessed July 10, 2021).