Factors influencing the occurrence of infectious diseases among crew members on board cruise ships: a systematic review.

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.