Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada
University Health Network, Toronto, Ontario, Canada.
BMJ Glob Health. 2024 Feb 27;9(2):e013900. doi: 10.1136/bmjgh-2023-013900.
Assessment of the use of travel measures during COVID-19 has focused on their effectiveness in achieving public health objectives. However, the prolonged use of highly varied and frequently changing measures by governments, and their unintended consequences caused, has been controversial. This has led to a call for coordinated decision-making focused on risk-based approaches, which requires better understanding of the broader impacts of international travel measures (ITMs) on individuals and societies.
Our scoping review investigates the literature on the economic impact of COVID-19 ITMs. We searched health, social science and COVID-19-specific databases for empirical studies preprinted or published between 1 January 2020 and 31 October 2023. Evidence was charted using a narrative approach and included jurisdiction of study, ITMs studied, study design, outcome categories, and main findings.
Twenty-six studies met the inclusion criteria and were included for data extraction. Twelve of them focused on the international travel restrictions implemented in early 2020. Limited attention was given to measures such as entry/exit screening and vaccination requirements. Eight studies focused on high-income countries, 6 on low-income and middle-income countries and 10 studies were comparative although did not select countries by income. Economic outcomes assessed included financial markets (n=13), economic growth (n=4), economic activities (n=1), performance of industries central to international travel (n=9), household-level economic status (n=3) and consumer behaviour (n=1). Empirical methods employed included linear regression (n=17), mathematical modelling (n=3) and mixed strategies (n=6).
Existing studies have begun to provide evidence of the wide-ranging economic impacts resulting from ITMs. However, the small body of research combined with difficulties in isolating the effects of such measures and limitations in available data mean that it is challenging to draw general and robust conclusions. Future research using rigorous empirical methods and high-quality data is needed on this topic.
对 COVID-19 期间旅行措施使用情况的评估侧重于其实现公共卫生目标的有效性。然而,政府长期使用高度多样化且频繁变化的措施,以及由此产生的意外后果,一直存在争议。这导致人们呼吁采取以风险为基础的方法进行协调决策,这需要更好地了解国际旅行措施 (ITM) 对个人和社会的更广泛影响。
我们的范围综述调查了 COVID-19 ITM 经济影响的文献。我们在健康、社会科学和 COVID-19 特定数据库中搜索了 2020 年 1 月 1 日至 2023 年 10 月 31 日之间预印本或发表的实证研究。使用叙述方法对证据进行图表记录,并包括研究管辖范围、研究的 ITM、研究设计、结果类别和主要发现。
26 项研究符合纳入标准,并被纳入数据提取。其中 12 项研究侧重于 2020 年初实施的国际旅行限制。对入境/出境筛查和疫苗接种要求等措施的关注有限。8 项研究侧重于高收入国家,6 项研究侧重于低收入和中等收入国家,10 项研究是比较性研究,尽管没有按收入选择国家。评估的经济结果包括金融市场(n=13)、经济增长(n=4)、经济活动(n=1)、国际旅行中心行业的业绩(n=9)、家庭经济状况(n=3)和消费行为(n=1)。采用的实证方法包括线性回归(n=17)、数学建模(n=3)和混合策略(n=6)。
现有研究已经开始提供 ITM 产生的广泛经济影响的证据。然而,研究数量较少,加上难以隔离这些措施的影响以及可用数据的局限性,使得很难得出普遍和稳健的结论。需要就这一主题开展使用严格实证方法和高质量数据的未来研究。