Academic literature on the topic 'Visiting Friends and Relatives (VFR)'

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Journal articles on the topic "Visiting Friends and Relatives (VFR)"

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Griffin, Tom, and Robin Nunkoo. "Paid accommodation use of international VFR multi-destination travellers." Tourism Review 71, no. 2 (June 20, 2016): 90–104. http://dx.doi.org/10.1108/tr-09-2015-0041.

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Purpose The purpose of this paper is to explore the use of paid accommodation by international visitors who also stay with a friend or relative in another destination. Design/methodology/approach This paper conducts analysis of secondary data to look at the proportion of person nights in paid accommodation attributable to visitors who also stay with a friend or relative in another destination, and comparison of different visitor groups and their likelihood to use paid accommodation. Findings Results show that 14.5 per cent of all person nights spent by international visitors to Canada in paid accommodations were attributable to people who also stayed with a friend or relative in another destination. This proportion is higher for destinations outside of the largest cities and varies by source market. Research limitations/implications This paper is limited the structure of the secondary data set, which does not separate visiting friends from visiting relatives, and does not capture host behaviour. Practical implications This paper has implications for destination marketers and tourism businesses as a source for reflection on drivers of their local and international business. Social implications This paper helps position residents in a more central role regarding tourism in their regions and should encourage marketers and service providers to appreciate and engage residents as hosts. Originality/value This paper offers an original position by combining concepts from visiting friends and relatives and multi-destination travel that provides a foundation for further research in this area.
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Кобец, Маргарита, Margarita Kobets, Екатерина Ефимова, and Ekaterina Efimova. "Economic benefits of visiting-friends-and-relatives tourism development: foreign experience and Russian practices." Servis Plus 8, no. 2 (June 3, 2014): 76–85. http://dx.doi.org/10.12737/3897.

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The article puts forward the idea that visiting friends and relatives tourism (VFR tourism) is quite an attractive and promising kind of tourism in economic terms contrary to the common opinion about it being a minor and not profitable one owing to the fact that VFR trip makers spend less money than other types of tourists as they do not use local accommodation, restaurants, attractions and so on. Using the results of ample foreign research the authors claim that current VFR tourist expenditure appears to exceed (when the average host´s spending is added) that of tourists falling into other categories. A VFR tourist sufficiently often uses commercial accommodation facilities and prefers active pastime including dining, city sightseeing, visiting museums, theatres. The paper also identifies and systematizes the main characteristics of VFR tourism, which provides considerable economic benefits to the appropriate destination areas. Particular emphasis is put on creating jobs, a ´seasonal compensation´ to the temporal flow pattern, local revenue mobilization because of VFR trips repetition and regularity, as well as a popularization of destination through VFR tourists responses and word-of-mouth advertising. In reference to Russia, the authors substantiate the expediency of maintaining and developing the international segment of the VFR tourism market and the necessity for scientific research into the internal Russian VFR tourism market potential.
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Palovic, Zuzana, Sanda Kam, Hania Janta, Scott Cohen, and Allan Williams. "Surrey think tank – Reconceptualising Visiting Friends and Relatives (VFR) travel." Journal of Destination Marketing & Management 2, no. 4 (January 2014): 266–68. http://dx.doi.org/10.1016/j.jdmm.2013.11.004.

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Matteelli, Alberto, Anna Cristina C. Carvalho, and Sara Bigoni. "Visiting Relatives and Friends (VFR), Pregnant, and Other Vulnerable Travelers." Infectious Disease Clinics of North America 26, no. 3 (September 2012): 625–35. http://dx.doi.org/10.1016/j.idc.2012.07.003.

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Dube-Xaba, Zanele. "COVID-19 Lockdown and Visiting Friends and Relatives Travellers: Impact and opportunities." African Journal of Hospitality, Tourism and Leisure, no. 10(3) (June 30, 2021): 856–62. http://dx.doi.org/10.46222/ajhtl.19770720-136.

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Tourism is regarded as a powerful force in the rise of pandemic diseases as the movement of people is seen as a pathway for the spread of such diseases. The sector is thus susceptible to measures to prevent the spread of pandemics. In the wake of COVID-19, unprecedented lockdown regulations relating to travel restrictions and social distancing have had a direct and indirect impact on the tourism industry and visiting friends and relatives (VFR) travel in particular. More than half of the domestic tourism market comprises tourists who visit friends and relatives in all corners of South Africa. With the restrictions on public gatherings and travel in the country, inter/intra provincial travel largely ceased on 26 March 2020. This paper draws on existing literature, as well as current media sources to review the literature on the legacy of VFR travel; assess the impact of COVID-19 on VFR travel; and finally, to examine the opportunity that might be created by COVID-19 for such travel. It argues that, in the wake of COVID-19, VRF has the potential to fuel the resurgence of the tourism industry in South Africa, especially domestic tourism. Thus, destination marketing organisations might consider a coordinated effort to market this form of travel.
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Yousuf, Mohammad, and Elisa Backer. "A content analysis of Visiting Friends and Relatives (VFR) travel research." Journal of Hospitality and Tourism Management 25 (December 2015): 1–10. http://dx.doi.org/10.1016/j.jhtm.2015.07.003.

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HEYWOOD, A. E., N. ZWAR, B. L. FORSSMAN, H. SEALE, N. STEPHENS, J. MUSTO, C. LANE, et al. "The contribution of travellers visiting friends and relatives to notified infectious diseases in Australia: state-based enhanced surveillance." Epidemiology and Infection 144, no. 16 (August 30, 2016): 3554–63. http://dx.doi.org/10.1017/s0950268816001734.

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SUMMARYImmigrants and their children who return to their country of origin to visit friends and relatives (VFR) are at increased risk of acquiring infectious diseases compared to other travellers. VFR travel is an important disease control issue, as one quarter of Australia's population are foreign-born and one quarter of departing Australian international travellers are visiting friends and relatives. We conducted a 1-year prospective enhanced surveillance study in New South Wales and Victoria, Australia to determine the contribution of VFR travel to notifiable diseases associated with travel, including typhoid, paratyphoid, measles, hepatitis A, hepatitis E, malaria and chikungunya. Additional data on characteristics of international travel were collected. Recent international travel was reported by 180/222 (81%) enhanced surveillance cases, including all malaria, chikungunya and paratyphoid cases. The majority of cases who acquired infections during travel were immigrant Australians (96, 53%) or their Australian-born children (43, 24%). VFR travel was reported by 117 (65%) travel-associated cases, highest for typhoid (31/32, 97%). Cases of children (aged <18 years) (86%) were more frequently VFR travellers compared to adult travellers (57%,P< 0·001). VFR travel is an important contributor to imported disease in Australia. Communicable disease control strategies targeting these travellers, such as targeted health promotion, are likely to impact importation of these travel-related infections.
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Morrison, Alastair M., Constantinos S. Verginis, and Joseph T. O'Leary. "Reaching the Unwanted and Unreachable: An Analysis of the Outbound, Long-Haul German and British Visiting Friends and Relatives Market." Tourism and Hospitality Research 2, no. 3 (October 2000): 214–31. http://dx.doi.org/10.1177/146735840000200303.

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Several researchers have suggested that practitioners underappreciate the value and significance of the visiting friends and relatives (VFR) market in tourism. In part, this has been attributed to a lack of accurate data and research on this segment of the pleasure travel market. Based upon two large-scale surveys of the German and British outbound, long-haul markets, the overall objectives of this study were to examine the expenditure patterns and levels of German and British long-haul VFR travellers, and to compare VFR traveller characteristics with other pleasure travel trip-purpose segments. The study clearly indicated that VFR travellers from Germany and the UK spent significant amounts at their destinations, and had different demographics, trip characteristics, trip satisfaction levels, value for money perceptions and future intentions for return visits than other types of pleasure travellers.
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Backer, Elisa, and Brian King. "VFR traveller demographics." Journal of Vacation Marketing 23, no. 3 (August 29, 2016): 191–204. http://dx.doi.org/10.1177/1356766716665439.

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The global phenomenon of visiting friends and relatives (VFR) travel is substantial, including in developed countries. In profiling its dimensions, researchers have examined various VFR characteristics including length of stay, origins and travel mode, though no thorough exploration has been undertaken of VFR demographics. Surprisingly this is the first large-scale study to examine VFR demographics and to consider all destination-related VFR data, not only those that are confined to purpose of visit. The researchers drew upon official Australian domestic travel data ( n = 81,579) to undertake a profile of the respective demographics of VFRs and non-VFRs. This assessment revealed that many people who would be classified as socio-economically disadvantaged engage in VFR travel. Previous literature has documented the lower participation of socio-economically disadvantaged groups in tourism and this article shows that they participate actively as VFRs. It is concluded that stimulating VFR travel provision may provide a mechanism for extending leisure experiences to those excluded from other forms of tourism.
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Hendel-Paterson, Brett, and Stephen J. Swanson. "Pediatric travelers visiting friends and relatives (VFR) abroad: Illnesses, barriers and pre-travel recommendations." Travel Medicine and Infectious Disease 9, no. 4 (July 2011): 192–203. http://dx.doi.org/10.1016/j.tmaid.2010.09.007.

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Dissertations / Theses on the topic "Visiting Friends and Relatives (VFR)"

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Yousuf, Mohammad. "Visiting Friends and Relatives (VFR) travel in Australia : An examination of the role of VFR hosts." Thesis, Federation University Australia, 2018. http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/166528.

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Visiting Friends and Relatives (VFR) travel is a significant form of travel in terms of global travel numbers. However, research on VFR travel is small relative to its size. In particular, research regarding the role of hosts of VFR travellers in shaping their trips including travel decisions and activities has been examined by few researchers. No previous research explored the differences in hosting between immigrant and non-immigrant local residents despite VFR travel being commonly associated with migration in existing literature. Before this research, the differences between hosting friends and relatives had been neglected, resulting in VFR hosts being treated as one homogenous group. Previous research also failed to empirically test the influence of destination on the hosting of VFRs. Thus, this is the first study examining the hosting of VFRs through combining how migration, relationship types, and destination types, impact VFR travel experiences for hosts. Given that VFR travel is a significant component of Australia’s visitor numbers, and that it comprises a large immigrant population, Australia is a suitable setting for this study. Considering the multi-dimensional elements in the study, the “VFR Whole Tourism Systems Model” was used as the conceptual model for this study. Quantitative research was conducted nationally with 331 residents, collected through an online survey, assessing the differences and similarities in hosting behaviours. Qualitative research was undertaken through in-depth interviews with 34 local residents in three contrasting destinations in Victoria understanding the social interactions between VFR hosts and their visiting friends/relatives. Significant differences were found between immigrants and nonimmigrants regarding attracting VFRs and hosting experiences. Differences were also noted between hosting friends versus hosting relatives, and it was also determined that the destination types impact VFR hosting. Such findings have provided valuable insights regarding the economic and social benefits of promoting local marketing campaign targeting local residents.
Doctor of Philosophy
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Humbracht, Michael A. "Imaginations, desires and fantasies of togetherness : the negotiation of relationships through digital visiting friends and relatives mobilities." Thesis, University of Surrey, 2018. http://epubs.surrey.ac.uk/846302/.

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While research into different forms of migrant co-presence has grown across mobilities, tourism and migration studies, conceptualization of the social relations underpinning co-presence has been underdeveloped. While the literature thus far has been significant, because analysis has been somewhat over-determined by binary thinking of tradition versus loss, and grounded in difference, conceptualization has been rather de-attached from the everyday lives of informants. Physical and digital VFR (visiting friends and relatives) have been viewed through a continuum – on one side there is a rosy, unshaken view of the social that has privileged ethnic norms and analytical separations of kinship and friendship and moral and market relations. On the other, more pessimistic side, the social is equated to high reflexivity, individualization and market influence, resulting in the dissolution of traditional kin and kith obligations and reinforcing analytical divisions of co-presence as divided between a consumer oriented affluent north and un-reflexive ethnic south. The middle ground, while highly adept, nonetheless offers a sort of cheery pessimism that tends to implicitly confirm individualization while also suggesting informants partly succumb to normative principles. This thesis moves away from the moral and instead focuses on the relational ethics of digital and physical co-presence within the trans-local personal communities of highly skilled Italian migrants in London. This thesis employs a multi-sited ethnography, drawing from 41 interviews carried out with migrants in London and with their friends and family abroad. The thesis finds informants are not necessarily guided by unconscious ethno-national normativity or seeking to destroy tradition but that migration and tourism are modes of care for the self used to re-imagine selves and socialites within intersecting life course moments that fosters situated forms of obligation. With some relationships, co-presence is driven by a fantasy of wholeness, a shared imagined and affective optimism for solid intimacy that drives the trans-local co-development of life-projects, leading to a common sense of belonging articulated through co-embodied rhythms of ICTs and VFR. With other relationships, the fantasy turns to cruel optimism - rhythms of ICTs and VFR simultaneously construct hope for solid intimacy while continually highlighting divergent life courses and developing a sense of un-belonging. Lastly, the thesis equates responsibility to temperature, as a by-product of friction, to help highlight how the production and management of friction is crucial to understanding the ontological politics and relational ethics that heats and sustains some relations while cooling others. The study demonstrates that globalization and mobility do not simply concern outside forces articulating various degrees of stability and loss to ethno-national tradition but that social and cultural change are also generated from the inter-subjective imaginations, fantasies and desires of individual migrant/non-migrant subjects attempting to re-envision togetherness within particular life course moments.
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Wells, Racquel J. "An overview of travelers visiting friends and relatives seen in the Boston Area Travel Medicine Network and their knowledge, attitudes and practices toward travel." Thesis, Boston University, 2011. https://hdl.handle.net/2144/38114.

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Thesis (M.A.)--Boston University
PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you.
Travelers visiting friends and relatives as a purpose of travel are known as VFR travelers. First defined by the travel and tourism industry, the term was used to compile expenditure data on this type of traveler and their impact in tourism markets. The increased international travel of this population drew attention of travel medicine researchers. Researchers found these travelers to be subject to greater risk of infectious disease stemming from travel destinations with increased risk of exposure to local pathogens, extended trip durations, and barriers to pre-travel advice. As a result, they are of public health interest as well. The travel medicine discipline researches this population to understand their specific risks and ways to improve their travel health education. Part of the VFR traveler definition as it is presently stated includes country of birth; the purpose of visiting friends and relatives is not sufficient. Varying definitions amongst medical researchers to describe this population has slowed the progress of drawing conclusions about their risks and recommending methods to improve their health education. [TRUNCATED]
2031-01-01
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Dzikiti, Lianda Gamuchirai. "Visiting friends and relatives (VFR) travel: expenditure patterns of Zimbabweans travelling between South Africa and Zimbabwe." Thesis, 2017. http://hdl.handle.net/10539/23605.

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A dissertation submitted to the Faculty of Science at the University of the Witwatersrand, Johannesburg in fulfilment of the requirements for the degree of Master of Science, June 2017.
Tourism contributes to economic development in both developed and developing countries. Visiting Friends and Relatives (VFR) travel is one of the largest forms of tourism on a global level. However, there has been limited research over the past decades on VFR travel. In recent times, VFR travel has attracted the attention of researchers due to increasing rate of migration resulting in the promotion of regional tourism through VFR travel. Despite the influx of migrants in South Africa, research on international VFR travel has been limited as most research on VFR travel has been on local level from one province to another. The purpose of this study is to evaluate the expenditure pattern of Zimbabweans travelling to and from South Africa for VFR purposes. Furthermore, the study seeks to identify the benefits of VFR travel to individual households in Zimbabwe. Using a quantitative framework, 200 questionnaires were distributed to Zimbabweans and a Statistical Package for the Social Science (SPSS) was used as an analysis tool. The theory of consumer behaviour was implemented to discuss and analyse the findings, revealing that VFR travellers from South Africa spend more than VFR travellers to South Africa on transport cost, food and beverages, entertainment and financial remittances. The expenditure is based on socio-demographic and travel-related characteristics. As a result of VFR travellers’ expenditure, the benefits, which are directed to individual households in Zimbabwe, include household upkeep, education, business investment, health and other reasons. Thus this study focuses attention on international VFR travel and its contribution to the tourism economy in Zimbabwe and South Africa. Key Words: Visiting Friends and Relatives (VFR), Tourism, Migration, Expenditure, Regional Tourism, South Africa, Zimbabwe.
XL2018
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Goulding, Carmel. "Resident travel motives in a small island state: the influence of visiting friends and relatives on travel by Tasmanian residents." Thesis, 2001. https://vuir.vu.edu.au/18165/.

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This study is a qualitative evaluation of the holiday activities and attitudes of Tasmanian residents. In particular, the study evaluates the influence of visits by friends and relatives (VFR) on intra-state and out-of-state travel decisions by Tasmanian residents. The study is intended to clarify basic concepts, to identify variables, and to identify future research opportunities. The framework of grounded theory is used to generate observations and identify the themes that characterise the travel motivations of Tasmanian residents including their perceptions and awareness of local tourism product. Focus groups are used to explore the travel motivations of Tasmanian residents and the perceptions that they hold of their state as a travel destination. As is the case for many small island states, Tasmania's economy relies on the continued development of a viable and sustainable tourism industry. Estimates for 1998 show that the State received $551.8 million in earnings from tourism and that 10% of the local working population was employed in this sector. Considering Tasmania's heavy reliance upon tourism, it is important that the factors which influence the State's travel markets are monitored on a regular basis. One key issue for the development of Tasmanian tourism is the continued growth in out-of-state travel by the island's resident population. Expenditure on out-of-state travel is now exceeding the spending of comparable tourist arrivals to Tasmania. This is recognised as a serious threat to the state's tourism development. The relationship between population decline and the subsequent development of travel patterns is noteworthy. Population outflows from Tasmania are high and by 2051 the State's population is forecast to decline to half its present level. Historically, outward migration has played a significant influence on a population's propensity to travel. The literature reveals a relationship between migration and subsequent tourism activities particularly where migrants return to visit their friends and relatives who stayed behind. Given the high outward migration characteristic of small island economies such as Tasmania, it is likely that visits to friends and relatives will influence intra-state and out-of-state travel by island residents. Despite the likelihood of this relationship, little research has been undertaken into the travel motivations of island state residents. It is hoped that the present research will assist Tourism Tasmania in the development of strategies aimed at stimulating intra-state travel, subsequently increasing the economic impact of travel and tourism. In addition, the key findings of this exploratory study should contribute to a better understanding of the influence of 'islandness' on the holiday preferences of island state residents and in particular, the influence of visiting friends and relatives. The study concludes that further research should be undertaken into the relationship between migration and tourist outflows, with particular reference to visiting friends and relatives travel and its influence on small island states.
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Books on the topic "Visiting Friends and Relatives (VFR)"

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Group, Mintel International, ed. Visiting friends and relatives. London: Mintel International, 2000.

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Visiting and Caring for the Sick : A Practical Guide for Relatives, Friends and Volunteers. Novalis Publishing, 1990.

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Edition, Goodwill. My 25 Museum Addresses: Practical Guide to Selecting Museums. Be Efficient, Make the Right Choices When Visiting Friends and Relatives. Independently Published, 2020.

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Book chapters on the topic "Visiting Friends and Relatives (VFR)"

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Hänsel, Martin, and Tobias Metzner. "Visiting friends & relatives (VFR)." In The Long Tail of Tourism, 35–44. Wiesbaden: Gabler, 2011. http://dx.doi.org/10.1007/978-3-8349-6231-7_5.

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Ghaderi, Zahed. "8. Visiting Friends and Relatives (VFR) Travel: The Case of Iran." In VFR Travel Research, edited by Elisa Backer and Brian King, 109–20. Bristol, Blue Ridge Summit: Multilingual Matters, 2015. http://dx.doi.org/10.21832/9781845415198-009.

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Suwaidi, Hamed M. Al, Shabbar Jaffry, and Alexandros Apostolakis. "12. Examining Visiting Friends and Relatives (VFR) Demand in the Emirate of Abu Dhabi, United Arab Emirates." In VFR Travel Research, edited by Elisa Backer and Brian King, 168–86. Bristol, Blue Ridge Summit: Multilingual Matters, 2015. http://dx.doi.org/10.21832/9781845415198-013.

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Miah, Md Farid. "Disrupted Mobilities: British-Bangladeshis Visiting Their Friends and Relatives During the Global Pandemic." In IMISCOE Research Series, 113–25. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-23996-0_7.

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AbstractThe COVID-19 pandemic severely disrupted the cross-border mobilities of people and materials. The ramifications of such a sudden large-scale disruption of mobilities were hugely significant for migrants’ and diasporic citizens’ transnational way of life. Being ‘here’ and ‘there’ and maintaining intimate personal, familial and social ties between people and places transnationally suddenly became virtually impossible, and some of these blockages and brakes to mobility continue. National lockdowns by many countries across the globe and the virtual halting of international travel severely limited people’s capacity to physically travel. Visiting geographically distant relatives and friends, meeting them face-to-face and fulfilling cultural obligations and duties, such as providing care or attending a funeral, became very challenging. In this chapter, I examine the disruptions of human spatial-temporal mobilities of visiting friends and relatives (VFR) between members of the British-Bangladeshi diaspora in London and their home country, Bangladesh. Drawing from interviews both in-person and online via Zoom and WhatsApp, I analyse and interpret the complex experiences of their visits and the consequences of enforced immobilities for individuals and families during the pandemic.
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Tham, Aaron, and Maria M. Raciti. "Visiting Friends and Relatives (VFR) Tourism Decisions Within Collective Cultures: Insights from Taiwanese Hosts Residing in Brisbane, Australia." In Asian Cultures and Contemporary Tourism, 41–59. Singapore: Springer Singapore, 2018. http://dx.doi.org/10.1007/978-981-10-7980-1_3.

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Daruwalla, Pheroza. "Running away or running toward? Pilgrimage as a source of women's leisure." In Women, leisure and tourism: self-actualization and empowerment through the production and consumption of experience, 104–15. Wallingford: CABI, 2021. http://dx.doi.org/10.1079/9781789247985.0010.

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Abstract The term 'women's leisure' is an oxymoron, as interpretations of leisure for ethnic, diasporic women are usually bound in family or visiting friends and relatives (VFR) holidays and activities. This chapter, using autoethnography for data collection and contextualized to pilgrimage tropes, is viewed through the lens of Jafari's Tourist Model. The six stages of the model are applied to my travels as a Zoroastrian woman: the terrors and joys of 'solo' but in a group, motivations for undertaking pilgrimage, and feelings while on pilgrimage through journeying to Iran. Diasporic identity with natal 'homelands', self-identity, and associations with important markers as a Zoroastrian woman are probed, along with the ideas inherent in pilgrimages of the 'mind', liberating one from the need to travel physically. Cementing shibboleths of economic independence, decision making, choice, and agency challenge perceptions of travel and generalizations about ethnic women's leisure. The lasting impact of 'pilgrimage' and the confidence it instilled to travel 'solo' and shape future leisure experiences around self-identity and religiosity act as a clarion call for assimilation, but not subsummation.
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Leder, Karin, and Sarah L. McGuinness. "Visiting friends and relatives." In Essential Travel Medicine, 209–14. Chichester, UK: John Wiley & Sons, Ltd, 2015. http://dx.doi.org/10.1002/9781118597361.ch19.

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Shingadia, Delane. "Visiting Friends and Relatives." In Principles and Practice of Travel Medicine, 566–70. Oxford, UK: Wiley-Blackwell, 2013. http://dx.doi.org/10.1002/9781118392058.ch30.

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Seaton, Tony, and Caroline Tie. "3. Are Relatives Friends? Disaggregating VFR Travel 1994–2014." In VFR Travel Research, edited by Elisa Backer and Brian King, 28–45. Bristol, Blue Ridge Summit: Multilingual Matters, 2015. http://dx.doi.org/10.21832/9781845415198-004.

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Uriely, Natan. "Visiting Friends and Relatives, Tourism." In Encyclopedia of Tourism, 1–2. Cham: Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-01669-6_398-1.

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Conference papers on the topic "Visiting Friends and Relatives (VFR)"

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Taufatofua, R. G., and S. Craig-Smith. "The socio-cultural impacts of visiting friends and relatives on hosts: a Samoan study." In ISLANDS 2010. Southampton, UK: WIT Press, 2010. http://dx.doi.org/10.2495/islands100081.

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Vihar, Jangala Sai, and Deepak Mulajker. "A Descriptive Study to Assess the Association of Geriatric Score with Observed Chemo Toxicity in Cancer Patients Older than 60 Years." In Annual Conference of Indian Society of Medical and Paediatric Oncology (ISMPO). Thieme Medical and Scientific Publishers Pvt. Ltd., 2021. http://dx.doi.org/10.1055/s-0041-1735373.

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Abstract Introduction Cancer is the leading cause of death worldwide with elderly patients being predominantly affected. There seems to be a bias against administering chemotherapy to elderly patients with fewer elderly patients receiving chemotherapy as compared with their stagematched younger patients because of concerns about their capacity to endure treatment. To make personalized treatment decisions and to anticipate serious adverse effects, a toxicity prediction tool that can be computed at the bedside is the need of the hour. This well-validated score has not been tested in the Indian population. So, we decided to test the same score in our patients and try to correlate the score with the observed toxicity. Objectives This study was aimed to determine geriatric functional status by means of a standardized geriatric score and to correlate geriatric score with observed chemo toxicity. Materials and Methods Fifty consecutive elderly patients (age > 60 years) with a diagnosis of cancer and scheduled for chemotherapy were recruited. These patients were evaluated using the geriatric assessment tool which is based on functional, nutritional, and psychological status. After that patient’s pretherapy, chemo toxicity score or geriatric score was calculated using a published well-validated tool that consisted of 11 prechemotherapy variables as follows:a) Age of patient,b) Cancer typec) Planned chemotherapy dose,d) Planned number of chemotherapy drugse) Hemoglobin,f) Creatinine clearanceg) Geriatric questions like -i. How is your hearing?ii. Number of falls in past 6 months?iii. Can take your own medicines?iv. Does your health limit you in walking one block ? during past 4 weeksv. How much of time has your physical health or emotional problems interfered with your social activities (like visiting with friends, relatives etc.)The patients were then followed from the beginning to the end of six cycles of their chemotherapy regimen. Toxicities were noted after each clinical encounter by using the NCI-CTCAE, version 3.0.25. Results General characteristics: the mean age of participants was 66 years (standard deviation [SD] = 4.6 and range: 60–85 years). Of them, 60% received polychemotherapy and 82% received standard doses of chemotherapy. The mean score on activities of daily living was 66.7, comorbidity score was 2.7, the psychological scale was 63.8, the social-activity scale was 54.3, and social-support scale was 64.1. The mean pretherapy toxicity score is 7.24 according to the toxicity calculator. At least one grade 3 to 5 toxicity occurred in 30% of the patients (66% of grade 3, 20% of grade 4, and 13.3% of grade 5). The correlation between the predicted score and observed graded toxicity score by Pearson’s scale (α = 0.05) was 0.63. Conclusion The prediction model is easy to use, thus increasing the feasibility of incorporation in daily practice is important. It may enable oncologists to better assess the risk/benefit ratio and to adjust the treatment accordingly.
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