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Injury, Illness, and Mental Health Risks in United States Domestic Mariners
Rafael Y Lefkowitz1, Dawn B Null, Martin D Slade
1Yale University School of Medicine, Department of Internal Medicine, Yale Occupational and Environmental Medicine Program, New Haven, Connecticut (Dr Lefkowitz, Mr Slade, and Dr Redlich); Southern Illinois University, College of Health and Human Sciences, Carbondale, Illinois (Dr Null); Yale University School of Medicine, Department of Internal Medicine, Section of Pulmonary Medicine, New Haven, Connecticut (Dr Redlich).
Objective:
Describe health conditions and injury and illness rates in a population of United States mariners, an understudied workforce vital to economic security.
Methods:
In this survey study, mariner health data was collected and analyzed to provide injury and illness rates (including mental health conditions) and associated risk factors.
Results:
In this mariner population of highly tenured vessel masters and pilots, hypertension, obesity, sleep disorders, smoking, alcohol consumption, and symptoms of depression and anxiety were common. BMI ≥35 was associated with increased likelihood of work injury (OR 5.7; 95%CI 1.01, 32.59).
Conclusions:
The mariners were in poor overall health, raising public health and safety concerns in this population of essential transportation workers. Follow-up studies including a wider distribution of domestic mariners (deck hands, engineers) would further characterize occupational risks.
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