Online first
Review article
Published online: 2025-01-16
Factors influencing the occurrence of infectious diseases among crew members on board cruise ships: a systematic review
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Abstract
Infectious diseases have been reported to adversely affect industries including tourism. Understanding
the knowledge, attitudes, and practices of at-risk populations is crucial to implementing successful preventive
and mitigative measures. This systematic review aimed to identify factors that affect the spread
of infectious diseases among crew members on board cruise ships. A systematic search of Scopus, Web
of Science, and Google Scholar was conducted, and nine studies were included in the final analysis. Findings
revealed good knowledge levels, but misconceptions about transmission were common. Discriminatory
attitudes and risky behaviors were also reported. Primary sources of information included the media,
participatory educative sessions, healthcare providers and family and friends. There is a need to prioritize
the initiation of participatory-focused health literacy interventions to enhance knowledge, and attitudes
to modify the behavior of seafarers in relation to infectious diseases.
Keywords: knowledgeattitudespracticesHIV/AIDSCOVIDSTIs
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