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Related Experiment Videos

Morbidity in expatriates--a prospective cohort study.

Dipti Patel1, Charles Easmon, Paul Seed

  • 1Guy's, King's and St Thomas' School of Medicine and Dentistry, London, UK. dipti_p_patel@hotmail.com

Occupational Medicine (Oxford, England)
|May 24, 2006
PubMed
Summary

Expatriate health events occurred in 21% of individuals, with trauma and musculoskeletal disorders being most common. Employees and unaccompanied individuals faced higher morbidity risks, warranting further investigation into contributing factors.

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Area of Science:

  • Occupational Health
  • Travel Medicine
  • Epidemiology

Background:

  • Expatriates represent a significant, understudied group of international travelers.
  • This study aimed to determine the incidence of health issues among expatriates and identify influencing factors.

Purpose of the Study:

  • To assess the incidence of health events in a cohort of expatriate employees and their partners.
  • To identify specific risk factors associated with increased morbidity within this population.

Main Methods:

  • A 1-year follow-up of 2020 Foreign and Commonwealth Office (FCO) staff and partners abroad.
  • Data collected via self-administered questionnaires, analyzed using Poisson regression.
  • Primary outcome: illness or injury requiring medical consultation.

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Main Results:

  • Overall health event incidence was 21%, with trauma (5%), musculoskeletal disorders (4%), and infectious diseases (3%) as primary causes.
  • Employees showed higher morbidity risk (IRR 1.4) and psychological disorder risk (IRR 5.9) compared to partners.
  • Unaccompanied employees had increased risk of health events (IRR 1.3) and traumatic injury (IRR 2.3).

Conclusions:

  • Morbidity among FCO personnel is relatively low compared to other expatriate groups.
  • Higher risks identified in employees and unaccompanied individuals require further research.
  • Investigate potential contributions of work demands, isolation, and risk-taking behaviors to expatriate health events.