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Published on: May 3, 2018
Prevalence of arterial hypertension in Vietnamese seafarers aboard merchant vessels: a cross-sectional study
Tam Nguyen Van1, Nam Nguyen Bao2, Son Nguyen Truong2
1Faculty of Marine Medicine, Hai Phong University of Medicine and Pharmacy, Vietnam. nvtam@hpmu.edu.vn.
Insights
Hypertension affects over a third of Vietnamese seafarers, with factors like long sea duty and obesity increasing risk. Lifestyle adjustments, including exercise and managing anxiety, are crucial for prevention.
Area of Science:
- Maritime Health
- Epidemiology
- Cardiovascular Health
Background:
- Hypertension is a leading global cause of death and disease.
- It significantly increases the risk of stroke, heart attack, heart failure, kidney failure, and blindness.
- Arterial hypertension poses a considerable health risk to seafarers.
Purpose of the Study:
- To determine the prevalence of hypertension among Vietnamese seafarers.
- To identify factors associated with arterial hypertension in this population.
- To inform targeted health interventions for seafarers.
Main Methods:
- A cross-sectional epidemiological study involving 708 Vietnamese seafarers.
- Data collection included blood pressure, anthropometric measurements (height, weight, waist, buttock circumference), and interviews.
- Interviews focused on workplace conditions, physical activity, smoking, alcohol use, and anxiety symptoms.
Main Results:
- The prevalence of hypertension was 32.9%, with prehypertension at 26.4%.
- Obesity (32.4%) and abdominal obesity (47.7%) were highly prevalent.
- Key risk factors identified included job duration over 10 years (OR=8.23), obesity (OR=3.34), abdominal obesity (OR=9.12), and anxiety symptoms (OR=1.56).
Conclusions:
- Hypertension is a significant health issue for Vietnamese seafarers.
- Lifestyle modifications, including increased physical activity and addressing psychological well-being, are recommended.
- Targeted interventions are needed to mitigate hypertension risks in this occupational group.
Background:
Hypertension is one of the leading causes of morbidity and mortality globally. It is a major risk factor for major cardiovascular events such as stroke, myocardial infarction, heart failure, kidney failure, and blindness. The aim of this research is to assess the prevalence and some factors related to arterial hypertension on Vietnamese seafarers aboard merchant vessels.
Materials And Methods:
Seven hundred eight Vietnamese seafarers working aboard merchant ships were examined at the Institute of Marine Medicine before going to sea during the period from January 2022 to December 2022. It was a cross-sectional descriptive epidemiological study. The following parameters were measured: blood pressure, height, weight, waist circumference, buttock circumference to assess the prevalence of hypertension, overweight, and obesity. Seafarers we directly interviewed about workplace on ships and physical exercise, smoking tobacco, alcohol abuse, and anxiety symptoms to identify several factors associated with hypertension.
Results:
The prevalence of hypertension in seafarers was 32.9%, prehypertension 26.4%, overweight 32.4%, obesity 13.3%, abdominal obesity 47.7%. Factors related to hypertension of seafarers included: job duration at sea > 10 years, odds ratio (OR) = 8.23 (95% confidence interval [CI] 4.34-17.27); non-officers, OR = 2.11 (95% CI 1.45-2.82); engine room crew, OR = 2.11 (95% CI 1.45-3.58); obesity, OR = 3.34 (95% CI 2.15-5.63); abdominal obesity, OR = 9.12 (95% CI 4.23-18.45); current smoking, OR = 1.32 (95% CI 1.02-1.99); irregular exercise, OR =1.43 (95% CI 1.03-2.18); anxiety symptoms, OR = 1.56 (95% CI 1.08-2.27).
Conclusions:
Hypertension is a health problem for Vietnamese seafarers. To minimise hypertension, seafarers need to adjust their lifestyle, increase regular exercise and improve psychological issues on board.
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