Occupational, physical, sexual and mental health and violence among migrant and trafficked commercial fishers and seafarers from the Greater Mekong Subregion (GMS): systematic review

Abstract Background Little is known about the health of GMS commercial fishers and seafarers, many of whom are migrants and some trafficked. This systematic review summarizes evidence on occupational, physical, sexual and mental health and violence among GMS commercial fishers/seafarers. Methods We...

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Main Authors: Nicola S. Pocock, Long Hoang Nguyen, Don Eliseo Lucero-Prisno III, Cathy Zimmerman, Siân Oram
Format: Article
Language:English
Published: BMC 2018-10-01
Series:Global Health Research and Policy
Subjects:
Online Access:http://link.springer.com/article/10.1186/s41256-018-0083-x
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author Nicola S. Pocock
Long Hoang Nguyen
Don Eliseo Lucero-Prisno III
Cathy Zimmerman
Siân Oram
author_facet Nicola S. Pocock
Long Hoang Nguyen
Don Eliseo Lucero-Prisno III
Cathy Zimmerman
Siân Oram
author_sort Nicola S. Pocock
collection DOAJ
description Abstract Background Little is known about the health of GMS commercial fishers and seafarers, many of whom are migrants and some trafficked. This systematic review summarizes evidence on occupational, physical, sexual and mental health and violence among GMS commercial fishers/seafarers. Methods We searched 5 electronic databases and purposively searched grey literature. Quantitative or qualitative studies reporting prevalence or risk of relevant outcomes were included. Two reviewers independently screened articles. Data were extracted on nationality and long/short-haul fishing where available. Results We identified 33 eligible papers from 27 studies. Trafficked fishers/seafarers were included in n=12/13 grey literature and n=1/20 peer-reviewed papers. Among peer-reviewed papers: 11 focused on HIV/AIDS/sexual health; nine on occupational/physical health; one study included mental health of trafficked fishers. Violence was quantitatively measured in eight papers with prevalence of: 11-26% in port convenience samples; 68-100% in post-trafficking service samples. Commercial fishers/seafarers whether trafficked or not worked extremely long hours; trafficked long-haul fishers had very limited access to care following injuries or illness. Lesser-known risks reported among fishers included penile oil injections and beriberi. We found just one work safety intervention study and inconclusive evidence for differences in the outcomes by nationality. Findings are limited by methodological weaknesses of primary studies. Conclusion Results show an absence of high-quality epidemiological studies beyond sexual health. Formative and pilot intervention research on occupational, physical and mental health among GMS commercial fishers and seafarers is needed. Future studies should include questions about violence and exploitation. Ethical and reporting standards of grey literature should be improved. Trial Registration Review registration number: PROSPERO 2014: CRD42014009656.
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spelling doaj.art-0f3d071f9e4d454f86eadc88426bdb342022-12-21T18:40:08ZengBMCGlobal Health Research and Policy2397-06422018-10-013111310.1186/s41256-018-0083-xOccupational, physical, sexual and mental health and violence among migrant and trafficked commercial fishers and seafarers from the Greater Mekong Subregion (GMS): systematic reviewNicola S. Pocock0Long Hoang Nguyen1Don Eliseo Lucero-Prisno III2Cathy Zimmerman3Siân Oram4Department of Global Health and Development, Faculty of Public Health and PolicySchool of Medicine and Pharmacy, Vietnam National UniversityDepartment of Public Health, Emerging and Interdisciplinary Sciences Building (ES) South Campus, Xi′an Jiaotong-Liverpool UniversityDepartment of Global Health and Development, Faculty of Public Health and PolicySection of Women’s Mental Health, Institute of Psychiatry, Psychology and NeuroscienceAbstract Background Little is known about the health of GMS commercial fishers and seafarers, many of whom are migrants and some trafficked. This systematic review summarizes evidence on occupational, physical, sexual and mental health and violence among GMS commercial fishers/seafarers. Methods We searched 5 electronic databases and purposively searched grey literature. Quantitative or qualitative studies reporting prevalence or risk of relevant outcomes were included. Two reviewers independently screened articles. Data were extracted on nationality and long/short-haul fishing where available. Results We identified 33 eligible papers from 27 studies. Trafficked fishers/seafarers were included in n=12/13 grey literature and n=1/20 peer-reviewed papers. Among peer-reviewed papers: 11 focused on HIV/AIDS/sexual health; nine on occupational/physical health; one study included mental health of trafficked fishers. Violence was quantitatively measured in eight papers with prevalence of: 11-26% in port convenience samples; 68-100% in post-trafficking service samples. Commercial fishers/seafarers whether trafficked or not worked extremely long hours; trafficked long-haul fishers had very limited access to care following injuries or illness. Lesser-known risks reported among fishers included penile oil injections and beriberi. We found just one work safety intervention study and inconclusive evidence for differences in the outcomes by nationality. Findings are limited by methodological weaknesses of primary studies. Conclusion Results show an absence of high-quality epidemiological studies beyond sexual health. Formative and pilot intervention research on occupational, physical and mental health among GMS commercial fishers and seafarers is needed. Future studies should include questions about violence and exploitation. Ethical and reporting standards of grey literature should be improved. Trial Registration Review registration number: PROSPERO 2014: CRD42014009656.http://link.springer.com/article/10.1186/s41256-018-0083-xMigrant fishermenHuman traffickingSeafarersMigrant workers
spellingShingle Nicola S. Pocock
Long Hoang Nguyen
Don Eliseo Lucero-Prisno III
Cathy Zimmerman
Siân Oram
Occupational, physical, sexual and mental health and violence among migrant and trafficked commercial fishers and seafarers from the Greater Mekong Subregion (GMS): systematic review
Global Health Research and Policy
Migrant fishermen
Human trafficking
Seafarers
Migrant workers
title Occupational, physical, sexual and mental health and violence among migrant and trafficked commercial fishers and seafarers from the Greater Mekong Subregion (GMS): systematic review
title_full Occupational, physical, sexual and mental health and violence among migrant and trafficked commercial fishers and seafarers from the Greater Mekong Subregion (GMS): systematic review
title_fullStr Occupational, physical, sexual and mental health and violence among migrant and trafficked commercial fishers and seafarers from the Greater Mekong Subregion (GMS): systematic review
title_full_unstemmed Occupational, physical, sexual and mental health and violence among migrant and trafficked commercial fishers and seafarers from the Greater Mekong Subregion (GMS): systematic review
title_short Occupational, physical, sexual and mental health and violence among migrant and trafficked commercial fishers and seafarers from the Greater Mekong Subregion (GMS): systematic review
title_sort occupational physical sexual and mental health and violence among migrant and trafficked commercial fishers and seafarers from the greater mekong subregion gms systematic review
topic Migrant fishermen
Human trafficking
Seafarers
Migrant workers
url http://link.springer.com/article/10.1186/s41256-018-0083-x
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