Self-reported diabetes mellitus among seafarers: occupational and sociodemographic predictors.

IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH International Maritime Health Pub Date : 2024-01-01 DOI:10.5603/imh.98289
Getu Gamo Sagaro, Marzio Di Canio, Gopi Battineni, Giovanna Ricci, Francesco Amenta
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Abstract

Background: Seafarers are at increased risk of diabetes due to their lifestyle and working conditions on board ships. There is, however, limited evidence regarding the magnitude of diabetes and its risk factors. In this study, we aimed to assess the prevalence of self-reported diabetes among seafarers on board ships and identify risk factors associated with it.

Materials and methods: A cross-sectional epidemiological survey was conducted among seafarers aboard ships between November and December 2022. The study enrolled a total of 4,500 seafarers aged 18 and older. Data were collected using anonymous, standardized questionnaires. The association between the outcome variable and the independent variables was assessed using binary logistic regression models.

Results: In total, 2,986 participants were included in the study. The prevalence of self-reported diabetes among seafarers was found to be 8.2% (95% CI: 7.2-9.2). Self-reported diabetes prevalence among officers and non-officers was 7% and 9%, respectively. The mean age of study participants was 37.96 ± 10.22, while the mean age of participants with diabetes was 47.5 ± 9.46. Independent predictors of self-reported diabetes mellitus were age (51+ years) [adjusted odds ratio (AOR): 3.52, 95% confidence interval (CI): 1.46-8.95], rank (non-officer) [AOR: 1.65; 95% CI: 1.14-2.40], worksites (engine) (AOR: 2.08, 95% CI: 1.19-3.77), work experience (10-20 years) (AOR: 4.66, 95% CI: 2.33-10.05), work experience (21+ years) (AOR: 5.01, 95% CI: 2.32-11.55), working hours per week (57-70 hours) (AOR: 1.57, 95% CI: 1.08-2.31), working hours per week (71+ hours) (AOR: 1.80, 95% CI: 1.17-2.80), self-reported hypertension (AOR: 1.44, 95% CI: 1.03-1.99), overweight (AOR: 1.74; 95% CI: 1.24-2.47), and obesity (AOR: 2.93; 95% CI: 1.84-4.65).

Conclusions: This study revealed that one in twelve seafarers between the ages of 19 and 70 have self-reported diabetes. The present study identified significant risk factors associated with diabetes. Risk factor mitigation strategies aimed at high-risk groups should be implemented on board ships.

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海员自我报告的糖尿病:职业和社会人口预测因素。
背景:由于生活方式和船上的工作条件,海员患糖尿病的风险增加。然而,有关糖尿病及其风险因素的证据却很有限。在这项研究中,我们旨在评估船上海员自我报告的糖尿病患病率,并确定与之相关的风险因素:2022 年 11 月至 12 月期间,我们对船上的海员进行了一次横断面流行病学调查。这项研究共招募了 4500 名 18 岁及以上的海员。数据采用匿名标准化问卷收集。采用二元逻辑回归模型评估结果变量与自变量之间的关联:结果:共有 2,986 人参与了研究。海员自我报告的糖尿病患病率为 8.2%(95% CI:7.2-9.2)。军官和非军官自我报告的糖尿病患病率分别为 7% 和 9%。研究参与者的平均年龄为(37.96 ± 10.22)岁,而糖尿病患者的平均年龄为(47.5 ± 9.46)岁。年龄(51 岁以上)[调整后的几率比(AOR):3.52,95% 置信区间(CI):1.46-8.95]、职级(非官员)[AOR:1.65;95% CI:1.14-2.40]、工作地点(发动机)(AOR:2.08,95% CI:1.19-3.77)、工作年限(10-20 年)(AOR:4.66,95% CI:2.33-10.05)、工作年限(21 年以上)(AOR:5.01,95% CI:2.32-11.55)、每周工作时间(57-70 小时)(AOR:1.57,95% CI:1.08-2.31)、每周工作时间(71 小时以上)(AOR:1.80,95% CI:1.17-2.80)、自我报告的高血压情况。80)、自我报告的高血压(AOR:1.44,95% CI:1.03-1.99)、超重(AOR:1.74;95% CI:1.24-2.47)和肥胖(AOR:2.93;95% CI:1.84-4.65):这项研究表明,每 12 名年龄在 19 岁至 70 岁之间的海员中就有一人自我报告患有糖尿病。本研究发现了与糖尿病相关的重要风险因素。船上应针对高危人群实施风险因素缓解策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Maritime Health
International Maritime Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.90
自引率
13.60%
发文量
37
审稿时长
20 weeks
期刊最新文献
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