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      Displacement, deprivation and hard work among Syrian refugee children in Lebanon

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          Abstract

          Background

          The protracted Syrian war resulted in the largest refugee crisis of our time. The most vulnerable are children who face separation from parents, interruption of schooling and child labour. This study explores the living and working conditions of Syrian children in Lebanon.

          Methods

          In this cross-sectional study, we randomly selected 153 informal tented settlements and conducted interviewer-administered surveys among Syrian refugee working children in the Bekaa Valley in Lebanon. Those aged 8–18 completed a questionnaire on sociodemographic and occupational characteristics; those aged 4–8 years were surveyed through a household questionnaire.

          Results

          We surveyed 1902 households, including 12 708 individuals and 4377 working children. Female-headed households were poorer and more food-insecure than male-headed households. Among working children (4–18 years), the average age of starting work was 10.9 years and 74.8% worked in agriculture. Compared with boys, girls earned less and were less likely to be enrolled in school. For 96.3% of working children aged 8–18 years, forced exodus to Lebanon was associated with a first child labour experience. Working conditions were harsh and worse for girls who compared to boys were less likely to receive their salary on time and take time off work. Girls worked longer in the sun and cold and were more likely to report having a health symptom at work, working under pressure and using sharp or heavy objects at work. Seventy-nine children reported knowing another child who died following a work accident.

          Conclusion

          Children, as young as 4, are forced to work, and many are compelled to forgo educational opportunities in favour of harsh and harmful labour due to difficult economic conditions. State policies facilitating access to work for adult refugees will help families meet basic needs and decrease their dependence on child labour as a coping strategy.

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          Child Labor in the Global Economy

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            Measuring food insecurity: Can an indicator based on localized coping behaviors be used to compare across contexts?

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              Child labor and health: a systematic literature review of the impacts of child labor on child’s health in low- and middle-income countries

              Abstract Objective To summarize current evidence on the impacts of child labor on physical and mental health. Methods We searched PubMed and ScienceDirect for studies that included participants aged 18 years or less, conducted in low- and middle-income countries (LMICs), and reported quantitative data. Two independent reviewers conducted data extraction and assessment of study quality. Results A total of 25 studies were identified, the majority of which were cross-sectional. Child labor was found to be associated with a number of adverse health outcomes, including but not limited to poor growth, malnutrition, higher incidence of infectious and system-specific diseases, behavioral and emotional disorders, and decreased coping efficacy. Quality of included studies was rated as fair to good. Conclusion and recommendations Child labor remains a major public health concern in LMICs, being associated with adverse physical and mental health outcomes. Current efforts against child labor need to be revisited, at least in LMICs. Further studies following a longitudinal design, and using common methods to assess the health impact of child labor in different country contexts would inform policy making.
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                Author and article information

                Journal
                BMJ Glob Health
                BMJ Glob Health
                bmjgh
                bmjgh
                BMJ Global Health
                BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )
                2059-7908
                2019
                4 February 2019
                : 4
                : 1
                : e001122
                Affiliations
                [1 ] departmentDepartment of Environmental Health, Faculty of Health Sciences , American University of Beirut , Beirut, Lebanon
                [2 ] departmentPublic Health Policy Evaluation Unit , Imperial College London , London, UK
                [3 ] departmentDepartment of Epidemiology and Population Health, Faculty of Health Sciences , American University of Beirut , Beirut, Lebanon
                Author notes
                [Correspondence to ] Dr Rima R Habib; rima.habib@ 123456aub.edu.lb
                Author information
                http://orcid.org/0000-0001-6280-7238
                Article
                bmjgh-2018-001122
                10.1136/bmjgh-2018-001122
                6528770
                31179025
                c9a44dec-bfe3-48cc-9e31-7b3c57a6432e
                © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ.

                This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.

                History
                : 16 August 2018
                : 08 November 2018
                : 13 December 2018
                Funding
                Funded by: The Food and Agriculture Organization of the United Nations (FAO);
                Funded by: International Labour Organization (ILO);
                Funded by: International Development Research Centre (IDRC);
                Funded by: United Nations International Children Emergency Fund (UNICEF);
                Categories
                Research
                1506
                Custom metadata
                unlocked

                child labour,occupational health,refugees,children and adolescents,lebanon

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