A descriptive epidemiological study of cardiovascular diseases among seafarers.

BACKGROUND

Cardiovascular diseases (CVD) are the leading cause of morbidity and mortality among seafarers. This study aimed to evaluate CVDs distribution and differences, considering seafarers' rank and worksite groups.

MATERIALS AND METHODS

A descriptive epidemiological study was employed, and the analysis was based on the telemedical assistance data of the International Radio Medical Centre (C.I.R.M.) from 2010 to 2018. The age, gender, rank, and worksite variables were considered for the analysis. Chi-square or Fisher test was used to assess differences in CVD distribution between rank and worksite groups.

RESULTS

Cardiovascular diseases were the sixth leading cause of medical advice requests to C.I.R.M. Distribution of CVD significantly differed between officers and non-officers [x2 (5) = 17.308, p = 0.004]. Officers were often diagnosed with hypertensive CVD (46%), whereas non-officers were frequently diagnosed with ischaemic heart diseases (41%). There were no significant differences in the distribution of CVD diagnoses between worksite groups [x2 (10) = 12.863, p = 0.231].

CONCLUSIONS

The frequency of CVD is higher among non-officers and older seafarers who have been more often diagnosed with CVD. Specific interventions such as early diagnosis, regular monitoring, and physical training to reduce cardiovascular risk should be considered on board ships. Future studies should take into account the incidence rate of CVD between rank and worksite groups.