Health Inequality among Fishery Workers during Climate Change: A National Population-Based and Retrospective Longitudinal Cohort Study
Round 1
Reviewer 1 Report
The presented cohort study aimed to examine the health status of fishery workers based on the most common causes of death and determine whether they tended to have a rising incidence threat of developing some diseases compared with farmers and employed workers with similar socioeconomic status.
The paper is generally very interesting and well designed. The data are clearly presented, the results are correctly described, the material and method section of the manuscript provides all of the necessary information, and the references are mainly from the last five years.
My only concern is the time gap between the presented demographic data from 2000 and the present 2022. Authors take, e.g. monthly income or urbanisation level as a basis for analysis but, unfortunately, without providing any update on that in the discussion section. It is obvious that monthly income 22 years later looks different. That’s why I propose to add a few sentences about this limitation to the discussion section of the manuscript. I also suggest rewriting the sentence (lines 77-78) because now it’s unclear if LHID2000 operates between 1997 and 2012 or if it is related only to those “random people” highlighted on July 1 2000, or maybe even something else.
Overall, the manuscript presents very high value, and I only suggest minor revision related to the abovementioned suggestions.
Author Response
Thanks for your help.
Please check the attachment.
Author Response File: 
Author Response.pdf
Reviewer 2 Report
This paper presents a nice study on health inequality among fishery
workers during climate change.
The manuscript is well written and the results of interest for research
and potentially also for practice.
Important strengths include the national population-based and
retrospective longitudinal cohort study design.
What could be the key mechanisms at work driving the effect of higher
vulnerability of fishery workers compared to the other workers?
Is it due to injury-related processes?
Or unhealthy lifestyles?
Some major confounders (e.g., lifestyles, injuries, health insurance
coverage, etc.) could be controlled for or taken as moderator to check
these ideas.
The practical implications could be illustrated in more detail. What are
the key paths that can be taken to help fishery workers in those regards?
Author Response
Thanks for your time.
Please find the attachment for detail.
Author Response File: Author Response.pdf
Round 2
Reviewer 2 Report
Dear authors,
From my point of view, the requests asked were integrated into this new version of the manuscript. Then, I don't have further questions about this paper.
