Objective: To promote the physical and mental health of employees in a maritime setting and provide knowledge and tools to assist seafarers in managing daily challenges.
Materials and methods: The intervention drew on a goal-based approach, including workshops, coaching,health checks, interviews, and questionnaires.
Results: A process evaluation was used to explore intervention challenges and barriers. Results show that an intervention at sea is complex and needs flexibility. Findings varied, and the main challenges were low participation in one group and lack of continuity due to Covid-19. Data showed a significant positive shift in how the crew rated perceived stress and a statistically significant increase in intake of salad, fish, and vegetarian food.
Conclusions: Workplace interventions in poor health status settings are complex, necessary, and possible, and management’s participation is crucial. Increased awareness was achieved. Learning outcomes: The results showed some positive changes, such as lower stress levels and more intake of salad, fish, and vegetarian food. Flexibility is important for workplace interventions. Work place interventions contribute to health and wellbeing with appropriate management support.
OBJECTIVES: Cardiovascular disease (CVD) is the leading cause of death globally and the second most frequent cause of death in Denmark. Due to their unique occupational environment, seafarers are exposed to numerous risk factors for CVD including lifestyle and work-related factors. This study aims to investigate CVD mortality among Danish seafarers by comparing them to the economically active reference population.
METHODS: This register-based cohort study included data on all Danish seafarers from 1993 to 2016 and compared them with the economically active Danish population not working as seafarers. The seafarers' mortality was calculated using piecewise stratified Cox regression adjusting for potential confounders. Mortality was further analyzed by diagnosis groups, vessel type and employment duration.
RESULTS: Among 52 861 seafarers, 4226 deaths were observed, with 866 (20.5%) of these attributed to CVD. Male seafarers had higher all-cause mortality in age groups 18-44 years (HR 1.46, 95% CI 1.33 to 1.62), 45-64 years (HR 1.43, 95% CI 1.37 to 1.50) and 65+ years (HR 1.32, 95% CI 1.26 to 1.39) compared with the reference population. CVD mortality was increased for male seafarers aged 45-64 years (HR 1.27, 95% CI 1.13 to 1.42) and 65+ years (HR 1.34, 95% CI 1.21 to 1.48). The mortality was higher for male seafarers for ischemic heart diseases, other forms of heart diseases, cerebrovascular diseases and diseases of arteries, arterioles and capillaries. CVD mortality was also observed based on vessel type.
CONCLUSIONS: The study provides evidence of elevated CVD mortality among Danish seafarers. Future research should focus on identifying effective strategies to improve the cardiovascular health of seafarers.
Background
The transfer of offshore wind farm workers between transport vessels and wind turbines is a hazardous operation with a disproportionately high occurrence of "high potential" incidents. Motion sickness has been reported to affect offshore wind farm worker well-being, and has been identified as a job demand, especially during crew transfer and ladder-climbing operations.
This scoping review sought to determine the extent to which current research defines, describes, and quantifies MS among offshore wind farm workers and to identify relevant research gaps.
Methods
Using terms related to motion sickness and offshore wind farm operations, searches were conducted of the PubMed, Scopus, and Web of Science databases. Studies published in English between 1990 and 2024 were included.
Results
795 articles were retrieved, of which 11 articles met the inclusion criteria. The included articles describe MS as a job demand but do not clearly define it in the research context. Consequently, it remains unclear which symptoms of MS constitute a job demand and how workers are affected. Additionally, indications of motion sickness prevalence are required, using a clear definition which accounts for the wide range of subjective symptoms other than vomiting.
No research appears to have been carried out where motion sickness among wind farm workers has been studied as a broad occupational health issue within the offshore wind energy sector.
Conclusions
This review identifies significant research gaps concerning motion sickness among offshore wind farm workers. Motion sickness-related issues have either been overlooked, studied in isolation, or insufficiently addressed. These issues constitute empirical, methodological, and knowledge gaps, necessitating a need for systematic studies that address these research gaps in the context of the offshore wind energy sector.
Seafarers and fishers have inequity in health at work, with a higher risk of having metabolic syndrome. They are at increased risk of developing prediabetes, which can be reversed to normoglycemia based on the evidence from other industries. This study aims to educate and activate seafarers and fishermen with the support of coaches to reverse their prediabetes to stop the further development of diabetes type 2.
Methods
Random samples of seafarers and fishermen with newly diagnosed prediabetes and HbA1c levels ranging from 5.7%-6.4% from the maritime medical health examinations constitute the study population in a 16-week prediabetes coaching program. In addition to monthly Zoom meetings, they are asked to provide weekly reports via questionnaires on personal measurements and improvements in physical activity and diets.
Results
The preliminary data from 2 maritime clinics (n=405) show prevalences of prediabetes 18.8%, 36.4%, and 49.2% in the ages 20-29, 30-49, and 50+ years respectively, all p-values < 0.02.
Analysis of the clinical data from the maritime health clinics and the questionnaires from the seafarers collected weekly will formulate the effect of the intervention. Summarizing data from various national prediabetes coaching fora will be the evidence base for remission of prediabetes.
Conclusions
A significant portion of seafarers have prediabetes with the potential to achieve remission of their pre-diabetes by eating healthy and being physically active. The goals are to lose at least 5%–7% of their starting weight, be accustomed to doing at least 150 min. of physical activity weekly, and follow a pre-diabetes-relevant dietary plan.
The Nordic countries are ranked among the most gender equal countries worldwide. Equality, political, and civil rights, leading to the high participation of women in the workforce, have paved the way for this egalitarian view. However, women remain the minority in managerial positions in general, and they are also strongly underrepresented in many male‐dominated sectors of the blue economy. The aim of this article is to introduce and discuss gender equality in the blue economy, and to assess the status of gender research in the Nordic context. To achieve this, a purposive interdisciplinary literature review resulted in three encompassing themes on how women’s participation is hindered, overlooked, and undervalued. Using these themes as an analytical lens, we propose that the underlying mechanisms are similar within fisheries, aquaculture, and maritime transportation in how they affect women’s participation. Still, there is a lack of statistics and research within parts of the blue sector. To move forward, there needs to be a shift in focus from policy to practice. One starting point could be to implement current knowledge, e.g., regarding workplace design and tailoring equipment to fit a diverse workforce. We call for scaling up best practices and evaluating policy performance and effectiveness. These are prerequisites for sustainable recruitment and retention of the blue sector workforce and the only way forward for countries aspiring to be truly gender equal.
Background: Evidence on workplace safety and health promotion interventions shows that the
interventions have failed to demonstrate substantial benefits for seafarers. It is therefore important to explore what is the evidence of interventions with empowering elements regarding seafarers’ safety and health. This study aims to examine what is known about health promotion interventions in a maritime setting and whether they include an empowerment perspective. And secondly, what were the effects of these efforts. Methods: We systematically searched PubMed and NLM Gateway (for MEDLINE), Institute of Scientific Information/Web of Science (ISI/WOS), and SCOPUS up to July 2022 by using standard keywords including empowerment in the maritime setting. Data extraction was done by three independent reviewers. The quality of included studies was assessed by using the critical appraisal checklists from Joanna Briggs institute. Results: From 3313 studies initially identified, 10 articles met the inclusion criteria and were included in this review. Interventions covered a wide range of topics such as educational interventions on safety, first aid training, weight management, healthy eating, sexual harassment, alcohol abuse, and cancer prevention training. None of the studies applied a specific theory or definitions of empowerment
even though their aim was to increase seafarers’ empowerment in these areas. Conclusion: The studies focused on improving the safety and health status of the seafarers, however, they had no explicit focus on participation and empowerment. Increasing research with an empowerment approach in maritime sector is recommended to enhance the feasibility and
success of the programs in this hard-to-reach occupation.
Containerfartens historiske udvikling bliver i litteraturen beskrevet som en revolution og en transformation af den internationale shippingbranche. De teknologiske og organisatoriske forandringer af livet til søs som fulgte med containerfarten har tilsvarende medført en forandring af maritime kulturer og en udfordring af de søfarendes identiteter.
Denne afhandling handler om danske containersøfolks erindringer, fortidsbrug og identitetskonstruktioner og undersøger, hvordan søfolkene fortæller sig selv i relation til deres levede erfaringer i containerfarten. Jeg analyserer i afhandlingen søfolkenes retrospektive fortidsfortolkninger som en måde at nærme mig en forståelse af de forandrede sømandsidentiteter.
Analytisk anlægger afhandlingen et subjektperspektiv, som anser fortiden for nærværende og åben i de mundtlige fortællingers fortolkninger og meningsforhandlinger af fortidens erfaringer. Jeg anskuer den narrative konstruktion af den personlige, autobiografiske, historie som identitetsdannende fortidsbrug, der udtrykker fortællerens subjektivitet. Med en erindringshistorisk tilgang til søfolkenes mundtlige fortællinger undersøger jeg, hvordan vi mennesker forstår os selv gennem de historier, vi fortæller om os selv.
Afhandlingen bygger empirisk på en række dybdegående oral history interviews med danske søfolk, der alle har erfaring inden for den internationale containerfart.
I afhandlingens analyser, viser jeg, hvordan søfolkene retfærdiggør og legitimerer deres valg om i første omgang at blive søfolk og senere at arbejde ombord på containerskibe. Jeg viser, hvordan søfolkene narrativt forhandler forskellige former for erfaret meningstab og aktivt tilskriver arbejdet og fællesskabet ombord på skibene en ny og brugbar mening. Jeg viser samtidig, hvordan den personlige historie konstrueres i dialog med kulturelt dominerende forestillinger og fortællinger. Sådanne forestillinger og fortællinger tilbyder den enkelte fortæller et tilgængeligt sprog at udtrykke sine personlige erfaringer i, men kan også virke begrænsende, hvis fortællerens erfaringer og forståelser ikke passer ind i de dominerende billeder. I sådanne tilfælde kan der opstå, hvad afhandlingen kalder en form for narrativt ubehag (discomposure), der kommer til udtryk som frustration og brud i fortællingens narrative sammenhæng.
Som en gennemgående metodisk pointe viser afhandlingen, hvordan interviewets intersubjektivitet er med til at forme den historie, som fortælles. Det personlige møde mellem fortæller og historiker og interviewets kulturelle kontekster indvirker på forskellig vis på den konstruerede historie. Fremfor at hævde en neutral og objektiv interviewsituation, tager afhandlingen i stedet konsekvensen af denne intersubjektivitet og skriver det konkrete møde mellem søfolkene som fortællere og mig som interviewer ind som en integreret del af den historiske fremstilling. Dette er både et narrativt greb og et metodisk valg, der skal sikre transparens ved at give læseren indblik i, hvordan historierne og mine tolkninger er blevet til.
Afhandlingen yder med sin tilgang og sine analyser flere bidrag til den eksisterende litteratur. Gennem de personlige fortællinger får vi større indsigt i søfolkenes levede liv og deres erfaringer med containerfartens historiske udvikling. Afhandlingen giver et menneskeligt perspektiv på historien om den internationale containerfart, der bidrager til vores viden om udviklingens identitetsmæssige betydning for de mænd og kvinder, som gennemlevede de historiske forandringer ude ombord på skibene.
Afhandlingen er en virksomhedshistorie, der tager oral history alvorligt både som forskningsfelt, metode og genre. Afhandlingen bidrager med sin erindringshistoriske tilgang til oral history til den fornyede samtale mellem forskningsfelterne oral history og virksomhedshistorie. Afhandlingen bringer metodiske og teoretiske indsigter fra den erindringshistoriske tradition ind i virksomhedshistorie og viser gennem sin egen narrative stil potentialet i en historieformidling, der sætter subjektivitet og erindring i centrum af sin analyse. Dermed bidrager afhandlingen også til den narrative vending inden for virksomhedshistorie ved ikke kun at anlægge et narrativt blik på de danske søfolks fortællinger men ved også at tage sig selv alvorligt som narrativ konstruktion.
Background: Evidence on workplace safety and health promotion interventions shows that the interventions have failed to demonstrate substantial benefits for seafarers. It is therefore important to explore what is the evidence of interventions with empowering elements regarding seafarers’ safety and health. This study aims to examine what is known about health promotion interventions in a maritime setting and whether they include an empowerment perspective. And secondly, what were the effects of these efforts. Methods: We systematically searched PubMed and NLM Gateway (for MEDLINE), Institute of Scientific Information/Web of Science (ISI/WOS), and SCOPUS up to July 2022 by using standard keywords including empowerment in the maritime setting. Data extraction was done by three independent reviewers. The quality of included studies was assessed by using the critical appraisal checklists from Joanna Briggs institute. Results: From 3313 studies initially identified, 10 articles met the inclusion criteria and were included in this review. Interventions covered a wide range of topics such as educational interventions on safety, first aid training, weight management, healthy eating, sexual harassment, alcohol abuse, and cancer prevention training. None of the studies applied a specific theory or definitions of empowerment even though their aim was to increase seafarers’ empowerment in these areas. Conclusion: The studies focused on improving the safety and health status of the seafarers, however, they had no explicit focus on participation and empowerment. Increasing research with an empowerment approach in maritime sector is recommended to enhance the feasibility and success of the programs in this hard-to-reach occupation. Systematic review registration number in PROSPERO: CRD42021260098.
The content of Resolution MSC.473(ES.2) can be summarized in five main points and one invitation to IMO Member States.
The first point pertains to the implementation of the Framework of Protocols. The second point pertains to the designation of seafarers as 'key workers' in order to facilitate safe and unhindered movement for embarking or disembarking a vessel. The third point pertains to the consideration of temporary migration measures to ease mobility of seafarers, eg waivers or relaxations of visa or documentary requirements. The fourth point is on the use of prevention measures such as testing crews before embarkation; this requires active conduct by port states, namely providing access to personal protective equipment and testing facilities. The fifth point is on providing seafarers with immediate access to medical care and facilities, as well as with evacuation when the assistance required cannot be provided on board or at port; this aims to prevent humanitarian situations such as casualties on board vessels due to lack of access to intensive care units.
Furthermore, the Resolution invites Member States to designate a National Focal Point on Crew Change and Repatriation of Seafarers ('National Focal Point').
Although prevention of incidents leading to evacuations at sea is of vital importance, little is known about its causal patterns and demographic determinants. We investigated therefore relationships between age, occupation and nationality and causes of evacuations. The data were obtained from the Telemedical Assistance Service (TMAS) in Denmark between 2004 and 2014 supplemented with data on all seafarers from the Danish Maritime Authority (N = 73,344). These data included information on broad age groups, occupational position and nationality. The outcomes were evacuations from any cause and in four broad categories of causes leading to evacuations. A total of 403 evacuations were reported in the 11-year study period. 27% of the evacuations were due to external causes, 19% due to diseases of the circulatory system, 14% due diseases of the digestive system and 40% from other or undetermined causes. Age-adjusted all-cause evacuation rates varied between 1.4 and 3.4 incidents per 1000 person-years in 2004–2014 for officers and between 3.3 and 20.2 incidents for non-officers. An elevated risk of evacuations was found among both officers and non-officers aged ≥50 years, compared with those aged 30–49 years with odds ratios of 2.73 (95% confidence intervals 1.66, 4.50) and 2.59 (2.03, 3.31), respectively. The odds ratios for non-officers from non-Danish European Union and from non-European Union countries compared with Danish non-officers were 1.51 (1.12, 2.04) and 0.55 (0.42, 0.71), respectively. In conclusion, working as non-officer, older age and non-Danish EU nationality were associated with a higher risk of evacuations irrespective of the cause leading to evacuation.