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Identifying the gaps in Nepalese migrant workers' health and well-being: a review of the literature

Simkhada, PP and Regmi, PR and van Teijlingen, E and Aryal, N (2017) Identifying the gaps in Nepalese migrant workers' health and well-being: a review of the literature. Journal of Travel Medicine, 24 (4). ISSN 1195-1982

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Abstract

Background: The health and well-being of migrant workers from low-income countries is often neglected in travel medicine. This article uses Nepal as a case study to highlight key issues affecting this particular group of international travellers.
Methods: This narrative review used a comprehensive systematic literature search to identify relevant studies on Nepal. The included articles were thematically analysed leading to four key themes or risk factors.
Results: The search found 18 articles from which we identified 3 key themes related directly to migrant workers: (1) sexual risk taking; (2) occupational health and (3) lifestyles, and a fourth theme related to partners and family of migrant workers who are left behind in Nepal. Of the 18 included articles, 11 articles discussed sexual risk taking and HIV, whilst considerably fewer focused on work-related risk factors and lifestyle factors in migrant workers.
Conclusions: Migrant workers who are generally healthy appear to be similar to tourist travellers in regarding sexual health as a key issue related to being abroad. Risky sexual behaviour increases in individuals separated from their usual sexual partners, away from their own communities and families, leading to the so-called ‘situational disinhibition’. Considering the recent media coverage of deaths and injuries among migrant workers in the Middle East, it is interesting to see that their sexual health is more prevalent in the research literature. This article argues that travel medicine should provide more emphasis to the health and well-being of migrant workers as a highly vulnerable group of travellers with additional impact on the health of those left behind.

Item Type: Article
Additional Information: This is a pre-copyedited, author-produced version of an article accepted for publication in Journal of Travel Medicine following peer review. The version of record Padam P. Simkhada, PhD, Pramod R. Regmi, PhD, Edwin van Teijlingen, PhD, Nirmal Aryal, MSc; Identifying the gaps in Nepalese migrant workers’ health and well-being: a review of the literature, Journal of Travel Medicine, Volume 24, Issue 4, 1 July 2017, tax021, https://doi.org/10.1093/jtm/tax021 is available online at: https://doi.org/10.1093/jtm/tax021
Uncontrolled Keywords: 1103 Clinical Sciences, 1117 Public Health And Health Services, 1506 Tourism
Subjects: R Medicine > RA Public aspects of medicine
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Public Health Institute
Publisher: Oxford University Press (OUP)
Related URLs:
Date Deposited: 22 Sep 2017 10:41
Last Modified: 22 Sep 2017 10:41
DOI or Identification number: 10.1093/jtm/tax021
URI: http://researchonline.ljmu.ac.uk/id/eprint/7164

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