美国海员的伤害、疾病和残疾风险。

Injury, illness, and disability risk in American seafarers.

机构信息

Department of Medicine, Yale Occupational and Environmental Medicine Program, Yale University School of Medicine, New Haven, Connecticut.

出版信息

Am J Ind Med. 2018 Feb;61(2):120-129. doi: 10.1002/ajim.22802. Epub 2017 Dec 17.

DOI:10.1002/ajim.22802

PMID:29250811

Abstract

BACKGROUND

Seafarers are an understudied and essential workforce, isolated from medical care. This study describes injuries, illness, and risk factors for resultant disability in one shipping company with a majority of American seafarers.

METHODS

The study used a telemedicine database of injury and illness incidence in seafarers, and applied descriptive statistical methods and logistic regression modeling.

RESULTS

Illnesses were more frequently reported than injuries (860 vs 479). The overall injury rate was 113 per 1000 person-years, and the overall illness rate was 211 per 1000 person-years. Seafarer ratings had higher risk for disability compared to officers (OR = 1.60; 95%CI 1.17, 2.18), and incidents on dry cargo ships (OR = 2.70; 95%CI 1.49, 4.91) and articulated tug-barges (ATBs) (OR = 2.21; 95%CI 1.26, 3.86) had higher disability risk compared to container vessels.

CONCLUSION

Additional research in this vital American workforce may be useful to confirm these findings forming a basis for preventive interventions.

摘要

背景

海员是一个研究不足但至关重要的劳动力群体，他们与医疗服务隔绝。本研究描述了一家以美国海员为主的航运公司中海员的受伤、患病情况和导致残疾的风险因素。

方法

本研究使用了一份航海人员伤害和疾病发生率的远程医疗数据库，并应用了描述性统计方法和逻辑回归模型。

结果

与受伤相比，疾病报告更为频繁（860 比 479）。总体受伤率为每 1000 人年 113 例，总体疾病率为每 1000 人年 211 例。与军官相比，海员的残疾风险更高（OR=1.60；95%CI 1.17，2.18），与干货船（OR=2.70；95%CI 1.49，4.91）和铰接式拖轮驳船（ATB）（OR=2.21；95%CI 1.26，3.86）相比，残疾风险更高。