The nexus of health and labour exploitation among migrant populations in the Eastern Mediterranean region and Türkiye: A scoping review.

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Abstract

Introduction Labour exploitation is a social determinant of health, affecting health outcomes and healthcare access. This scoping review aims to identify health outcomes of migrant victims of labour exploitation and barriers to accessing healthcare in the Eastern Mediterranean Region and Türkiye, and identify gaps in evidence for future studies. Inclusion criteria Studies conducted with/among migrants in the Eastern Mediterranean Region and Türkiye who experience labour exploitation and related health issues or barriers to accessing healthcare, regardless of age, nationality, gender, ethnicity, or migration status. Methods This review follows the updated Joanna Briggs Institute (JBI) guidelines for designing scoping reviews. We will include English and Arabic language peer-reviewed publications and grey literature between March 2011 and the present. An initial limited search in PubMed and Google Scholar was undertaken to refine the keywords. A full search of all selected databases and screening of references of previously published reviews will be conducted. We will search Cochrane, PubMed, Web of Science, SCOPUS databases, Google Scholar, and Overton for grey literature. Using COVIDENCE, two independent reviewers will screen the titles, abstracts, and full texts for eligibility and inclusion. Relevant information will be extracted using a tailored extraction data sheet. Analysis Extracted data will be analysed using descriptive statistics and an inductive content analysis approach. This review employs an intersectional framework, as well as a structural, symbolic, and interpersonal violence framework, alongside Tanahashi's health service coverage framework to analyse and synthesise the data. Results This review will illustrate key themes and relationships between labour exploitation, health outcomes, access to healthcare aspects, and influencing factors using appropriate summaries and visual tools. A comprehensive populated labour exploitation continuum framework will be developed. Dissemination This work will be disseminated through publication in a peer-reviewed journal and presentation in relevant fora.

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