One Health in Coastal and Marine Contexts: A Critical Bibliometric Analysis Across Environmental, Animal, and Human Health Dimensions.

Coastal ecosystems sustain biodiversity, food resources, and human livelihoods, yet are increasingly exposed to climate change, pollution, and anthropogenic stressors. These pressures affect not only ecosystem integrity but also human health, highlighting the urgency of adopting the One Health framework. While One Health has gained global prominence, its systematic application in coastal and marine governance remains limited. This study provides the first bibliometric review of One Health research in coastal and marine contexts, analyzing 154 publications from Scopus (2003-2025) using Bibliometrix under PRISMA-S guidelines. Scientific output was minimal until 2015 but accelerated after 2020, peaking at 37 publications in 2024. Less than 20% of studies explicitly integrated all three One Health dimensions. Research has largely centered on environmental monitoring and aquaculture health, with antimicrobial resistance, climate-health linkages, and integrated coastal indicators underexplored. Keyword mapping revealed two distinct yet connected clusters: a biomedical cluster emphasizing antibiotics, resistance, and microbiology, and an environmental cluster focusing on pollution, ecosystems, and zoonotic risks. Outputs are geographically concentrated in high-income countries, particularly the USA, Brazil, and the UK, while contributions from low- and middle-income coastal regions remain scarce. These findings confirm both the rapid growth and the fragmentation of One Health scholarship in coastal contexts. By identifying gaps, trends, and collaboration patterns, this study builds an evidence base for embedding One Health in coastal monitoring, climate adaptation, and governance, advancing multiple United Nations's Sustainable Development Goals.