精神疾病国际海员的发病率和职业特征。
Rates and occupational characteristics of international seafarers with mental illness.
机构信息
Yale University School of Medicine, Department of Internal Medicine, Yale Occupational and Environmental Medicine Program, New Haven, CT, USA.
Yale University School of Medicine, Department of Internal Medicine, Section of Pulmonary Medicine, New Haven, CT, USA.
出版信息
Occup Med (Lond). 2019 Jun 24;69(4):279-282. doi: 10.1093/occmed/kqz069.
BACKGROUND
Seafarers enable 90% of global commerce, working in isolation from social support and medical care. While occupational conditions of isolation may suggest possible excess risk of mental illness and suicide, research on seafarer mental illness is limited.
AIMS
To describe seafarers with mental illness and associated incidence rates in a large population of international seafarers.
METHODS
We used mental illness claims data from a large international marine insurance provider arising from working seafarers during the years 2007-15. We used descriptive statistics and calculated mental illness incidence rates in this seafarer population.
RESULTS
There were 278 seafarer mental illness claims in the study data. Claims were more often reported in deck workers (46%) and ratings (58%). The crude mental illness rate was 3.9 per 100 000 person-years.
CONCLUSIONS
Using objective data on a large seafaring population, our analysis highlights the important issue of mental illness in this isolated and underserved international workforce. The low observed mental illness claims rate is likely due to the high threshold for claims reporting.
背景
海员在与社会支持和医疗服务隔绝的情况下，承担着全球 90%的商业运输任务。尽管隔离的职业环境可能暗示着精神疾病和自杀的风险增加，但针对海员精神疾病的研究有限。
目的
描述大量国际海员中患有精神疾病的海员及其相关发病率。
方法
我们使用了一家大型国际海洋保险公司在 2007 年至 2015 年期间为在职海员提供的精神疾病索赔数据。我们使用描述性统计数据和计算了该海员群体的精神疾病发病率。
结果
研究数据中有 278 例海员精神疾病索赔。甲板工人（46%）和船员（58%）的报告更为常见。精神疾病的粗发病率为每 100000 人年 3.9 例。
结论
我们使用大型航海人群的客观数据，分析突出了这个孤立且服务不足的国际劳动力群体中精神疾病的重要问题。观察到的精神疾病索赔率较低可能是由于索赔报告的门槛较高。
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