Non-cancer diseases requiring admission to hospital among German seafarers

Oldenburg, Marcus; Harth, Volker; Manuwald, Ulf

doi:10.5603/imh.2015.0003

Cited by 10 publications

(7 citation statements)

References 22 publications

(30 reference statements)

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“…Considering the 12-month operational time of the crews on board, such high workloads can lead to chronic exhaustion [18,19]. The manifestation of chronic diseases among seafarers is also abundantly described [20,21,22]. Therefore, from the perspective of preventive medicine, a limitation of at least the length of assignment on board seems to be required [23,24].…”

Section: Discussionmentioning

confidence: 99%

Stress and Strain among Seafarers Related to the Occupational Groups

Oldenburg

Jensen²

2019

IJERPH

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The present study analyses whether the stress and strain experienced by seafarers differ between the various occupational groups on board container ships. In a maritime field study, 323 sailors on 22 container ships were asked to complete a questionnaire and were biometrically surveyed. In addition, a survey of energy expenditure and heart rate (variability) was carried out with the SenseWear® armband monitor and the Polar RS800 watch, respectively. The activity data objectively collected by the armband monitor showed an average sleep duration of 5.0 h per day, with particularly short sleep episodes amongst nautical officers. This occupational group also significantly more frequently reported sleep deficits (67%). The highest work-related energy expenditure per day was among the deck ratings (801 kcal), followed by the engine room personnel (777 kcal), and finally the nautical officers (568 kcal). The last-mentioned group, who were also the most likely to experience mental stress in the workplace, had the lowest heart rate variability compared to the other occupational groups. The average working time was the only stress parameter that correlated significantly negatively with the heart rate variability (r = −0.387; p = 0.002). Overall, job-related stressors of seafarers on board should be objectified in further studies and occupational group-specific health promotion programmes should be developed.

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Section: Discussionmentioning

confidence: 99%

Stress and Strain among Seafarers Related to the Occupational Groups

Oldenburg

Jensen²

2019

IJERPH

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“…The rate of suicide committed at work among seafarers was substantially higher than among the general British population from 1919 to the 1970s [ 3 ]. Many studies have reported hearing and visual impairment; obesity; and diseases of the circulatory, digestive, and musculoskeletal systems among seafarers [ 4 – 6 ]. Shipping accidents, confined work environments, high consumption of alcohol and tobacco, unhealthy diet, and inadequate physical activity are the major contributing factors to these health problems [ 7 – 10 ].…”

Section: Introductionmentioning

confidence: 99%

Association between social support and health-related quality of life among Chinese seafarers: A cross-sectional study

Xiao

Huang²,

Shen

et al. 2017

PLoS ONE

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BackgroundSeafarers have reported impaired health and health-related quality of life (HRQOL). Social support might increase HRQOL, but little is known about this association among Chinese seafarers. The aim of this study was to describe social support and explore its association with HRQOL among Chinese seafarers.MethodsA cross-sectional survey was conducted in the ports of Nantong and Rugao, China, from April to December 2013. A total of 917 Chinese seafarers were interviewed on social support, mental distress, perceived occupational stress, and HRQOL using the following self-administered questionnaires: The Social Support Rating Scale, Self-rating Depression Scale, Occupational Stress Questionnaire, and the World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaire. Hierarchical linear regression modelling was used to analyze the association between seafarers’ subjective level of social support and their HRQOL.ResultsOf the 917 male Chinese seafarers included in the study, 40.7% perceived high levels of social support, and 39.1% were highly satisfied with their overall quality of life (QOL). Hierarchical regression analysis showed significant associations between level of social support and all health dimensions in the WHOQOL-BREF, even after adjusting for depressive symptoms, occupational stress, occupational activities, sleep duration, and other relevant covariates. Compared with the medium or low level social support group, seafarers with a high level of social support had better QOL scores in the general facet health and QOL (β = 2.43, p<0.05), and the physical health (β = 3.23, p<0.001), psychological health (β = 5.56, p<0.001), social relation (β = 6.07, p<0.001), and environment domains (β = 4.27, p<0.001). In addition, depression, occupational stress, occupational activities, and sleep duration were found to be determinants of seafarers’ HRQOL.ConclusionsChinese seafarers have poorer HRQOL than the general population, but social support has a significant positive effect on their HRQOL. Efforts to improve social support should be undertaken.

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“…Earlier studies on seafarers’ hospitalizations have used broad categories of respiratory diseases that encompassed all ICD‐10 codes, chronic lung diseases, under the category of respiratory diseases. These results have been somewhat conflicting: seafaring has been associated both with lower 20 and higher 20–22 risk for respiratory diseases, or this association has been marginal 20–22 . Furthermore, a study without formal statistical analysis concluded that infections were more severe in terms of mortality and hospitalizations than noninfectious events among seafarers 14 …”

Section: Discussionmentioning

confidence: 99%

Does seafarers’ limited access to health care increase risk for community‐acquired pneumonia requiring hospital care? A longitudinal register‐based analysis

Herttua

Vork²,

Paljärvi

2021

American J Industrial Med

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Background Limited access to medical care can be considered as an occupational risk of seafaring and it may predispose to developing community‐acquired pneumonia (CAP) requiring hospital care. We sought to investigate the risk for CAP and other lower respiratory tract infections (LRTI) requiring hospital care among seafarers. We examined the length of hospital stay (LOS) as a proxy for severity of illness. Methods The study population in this panel data analysis were all seafarers and a 20% random sample of economically active individuals aged 18–65 years who were residing in Denmark in 1997–2016, constituting more than 11 million person‐years of follow‐up. Annually‐registered socio‐demographic and work characteristics were linked to data on cause of hospital admissions. We used fixed‐effects and zero‐truncated Poisson regression to estimate the rate ratios of hospitalization for CAP and other LRTI, and compared LOS across the two populations. Results The adjusted incident rate ratio (IRR) for CAP in seafarers compared to the economically active population was 1.42 (95% confidence interval [CI]: 1.15–1.77), whereas the IRR was 0.73 (95% CI: 0.38–1.42) for other LRTI. For LOS, the IRRs for CAP and other LRTI in seafarers were 1.08 (95% CI: 1.04–1.12) and 0.92 (95% CI: 0.83–1.01), respectively. Conclusions Our findings indicate that seafaring was associated with an increased risk for CAP requiring hospital care. Limited access to health care may be an important contributing factor.

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Non-cancer diseases requiring admission to hospital among German seafarers

Abstract: (Int Marit Health 2015; 66, 1: 6-10)

Cited by 10 publications

References 22 publications

Stress and Strain among Seafarers Related to the Occupational Groups

Stress and Strain among Seafarers Related to the Occupational Groups

Association between social support and health-related quality of life among Chinese seafarers: A cross-sectional study

Does seafarers’ limited access to health care increase risk for community‐acquired pneumonia requiring hospital care? A longitudinal register‐based analysis

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