Health risk classification patterns among Filipino seafarers. Analysis from a pre-employment clinic in the Philippines: a 5-year review.

IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Margarita S Huerte, Christian Lubaton, Michael Tongson, Monique Mendoza, Raniv Rojo, Eric David B Ornos
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引用次数: 0

Abstract

Background: Seafaring is a demanding profession that exposes individuals to unique health risks and challenges. This study investigates risk classification patterns among seafarers who underwent physical and medical examination at the Nordic Medical Clinic, a pre-employment clinic in the Philippines.

Materials and methods: The analysis involved data obtained from medical records, including demographic information, diagnoses, medical risk classification, corresponding management, and occupational details. medical risk classification, based on guidelines from the Philippine Department of Labour and Employment, categorised fit to work seafarers into risk class A, B, or C. Descriptive statistics and statistical tests, with a significance level set at p < 0.05, were utilised for data analysis using R Studio (version 4.2.3).

Results: The study population consisted of 11,831 seafarers seen at the Nordic Medical Clinic between 2018 and 2022. The results revealed a significant proportion of seafarers falling into higher risk classifications, with risk class C being the most prevalent at 48.16%. Pre-employment medical examinations (PEME) to fit to work duration demonstrated a significant association with risk classification, revealing that lower-risk classes had shorter fit-to-work times compared to higher-risk classes. Moreover, risk classification exhibited uneven distribution across specific demographic and occupational characteristics, with older seafarers, males, married individuals, and those in higher-ranking positions having a higher proportion of risk class C.

Conclusions: Our findings highlight the need for comprehensive and customised pre-boarding medical screening standards for seafarers based on factors such as their specific role, vessel type, voyage, contract length, and work location. Moreover, health implementation of health promotion and preventive strategies that are based on the specific occupational and demographic needs of the seafarers are needed.

菲律宾海员的健康风险分类模式。菲律宾一家就业前诊所的分析:5年回顾。
背景:航海是一个要求很高的职业,它使个人面临独特的健康风险和挑战。本研究调查了在菲律宾就业前诊所北欧医疗诊所接受体检和体检的海员的风险分类模式。材料和方法:分析涉及从医疗记录中获得的数据,包括人口统计信息、诊断、医疗风险分类、相应管理和职业详细信息。根据菲律宾劳工和就业部的指导方针,医疗风险分类将适合工作的海员分为A、B或C类风险。描述性统计和统计测试,显著性水平设定为p<0.05,使用R Studio(4.2.3版)进行数据分析。结果:研究人群包括2018年至2022年间在北欧医疗诊所就诊的11831名海员。结果显示,相当大比例的海员属于高风险类别,其中C类风险最为普遍,为48.16%。为适应工作时间而进行的就业前体检(PEME)表明,这与风险类别有显著关联,表明与高风险类别相比,低风险类别的适应工作时间更短。此外,风险分类在特定的人口和职业特征中表现出不均衡的分布,包括年长的海员、男性、已婚人士、,以及那些级别较高的职位上风险等级为C的比例较高的人。结论:我们的研究结果强调,需要根据海员的具体角色、船只类型、航程、合同期限和工作地点等因素,为他们制定全面和定制的登船前医疗筛查标准。此外,还需要根据海员的具体职业和人口需求,实施健康促进和预防战略。
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
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