Knowledge

Keyword: workforce development

paper

Cardiovascular mortality among seafarers: a Danish nationwide cohort study

Anna Uhd Bøge, Sören Möller, Rune Lindahl-Jacobsen, Lisa Loloma Froholdt, Kimmo Herttua & Linda Juel Ahrenfeldt

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.

Occupational and Environmental Medicine / 2025
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paper

Motion Sickness Among Offshore Wind Farm Workers – A Scoping Review of Current Research

Andrew Fenn & Lisa Loloma Froholdt

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.

International Maritime Health / 2025
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paper

Pre-diabetes remission in lifestyle-mediated coaching of seafarers with newly diagnosed pre-diabetes

Olaf Chresten Jensen, Nailet Delgado Mujica, Maite Duque, Alejandro Martinez, Erik Haarløv, Finn Gyntelberg

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.

International Journal of Travel Medicine and Global Health / 2024
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paper

Traders across borders: who and where?

Agnieszka Nowińska*, Jean François Marie André Hennart, Svetla Marinova

The authors revisit the literature on the use of expatriates and specifically Boyacigiller (1990) and examine whether OW Bunker, a Danish bunker oil trader, filled positions at its foreign units with traders transferred from its other units (expatriates). The authors test the generalizability and robustness of past findings on this topic by using a different dependent variable, sample, and methodology. Design/methodology/approach: By searching the traders' LinkedIn profiles and consulting secondary sources, the authors obtain data on current and previous positions and work location and type of customer handled (global or local). Using qualitative comparative analysis (QCA), the authors analyze 236 hiring decisions made between 1983 and 2014. Findings: The authors find that OW transferred expatriates, principally home-country nationals, to handle global customers in its large foreign subsidiaries located in high-income countries. In another clear pattern, expatriates were used to start new foreign subsidiaries. These results generally confirm those of Boyacigiller. However, and contrary to her findings, none of our scenarios for internal transfers feature expatriates being sent to culturally and institutionally distant subsidiaries unless it is to serve global customers, casting doubt on the idea that a major reason for using expatriates is to remedy a local shortage of skills or to handle political risk. Originality/value: The authors test the generalizability of Boyacigiller’s (1990) findings and confirm a large part of it. They extend her study by demonstrating that MNEs deploy expatriates not only to distant countries but also to close ones.

Journal of Global Mobility / 2023
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report

CMSS Research report: Bullying and harassment in the Danish fleet

Lisa Loloma Froholdt, Sisse Grøn, Jesper Bo Nielsen, Subash Thapa, Maj Britt Nielsen, Andrew Fenn, Elin Kragesand, Thilde Risager Ubbesen

This report presents both the quantitative and qualitative results of a study on bullying and harassment in the Danish merchant fleet. The Minister for Industry, Business and Financial Affairs asked the
Danish Maritime Authority to conduct an external study of the extent of bullying and harassment among seafarers on Danish vessels. This task was assigned to the Centre of Maritime Health and Society at the University of Southern Denmark. The Commission for the study (in Danish) may be found on the Ministry of Industry, Business and Financial Affairs website. The report consists of seven chapters, and only the results are presented, by request from the Danish Maritime Authority. An English “Literature review” is made in a separate annex, with an analysis of other international research studies within the area of bullying and harassment. This has been requested by the Danish Maritime Authority. It is permitted to quote the results in the report on the condition that the University of Southern Denmark and the Centre of Maritime Health and Society is credited as the source.

Centre of Maritime Health and Society / 2023
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paper

Modern Slavery in Liner Shipping: An Empirical Analysis of Corporate Disclosures

Usynin, Maxim

Modern slavery and human trafficking present an inherent risk to workers engaged in operations surrounding shipping activities. One of the first statutes addressing the problem was the UK Modern Slavery Act [MSA], which presents several statutory sanctions for shipping companies in case of non-compliance. The article examines the sanctions available under different provisions of MSA as applied specifically to shipping activities.
As a further step, the article conducts an empirical analysis of the reporting practices of liner shipping operators, eligible for compliance under MSA. In addition to the rates of compliance, it engages in content analysis of the modern slavery statements, seeking to identify the uniform patterns of reporting and industry best practices.
The last part of the article discusses whether corporate undertakings as reported in modern slavery statements may serve as a ground for tort liability, similarly to the supply chain or ‘production liability’ emerging from group policies and codes of conduct.

The International Journal of Comparative Labour Law and Industrial Relations / 2023
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report

Arbejdsmiljøkonsekvenser af elektronisk overvågning af bundtrawlfiskeriet i Kattegat – danske jomfruhummerfiskere

Eva Roth, Despoina Andrioti Bygvraa, Brooks Kaiser, Signe Dolberg McKinney

I december 2019 kommer fiskeriminister Mogens Jensen hjem fra Rådsmøde - de årlige kvoteforhandlinger
for 2020 i Bruxelles - med den besked, at jomfruhummerfiskeriet i Kattegat i fremtiden vil blive underlagt
kameraovervågning for forventeligt at nedbringe bifangst af torsk i dette fiskeri. Torskebestanden i Kattegat
er yderst presset og den generelle kvote er sat til nul. En mindre bifangstkvote på torsk blev således betinget
af denne overvågning, så man kan monitere torskefangsterne og sikre mod et udsmid af mindre torsk i fiskeriet,
en praksis, som myndighederne forudsatte yderligere ville forværre tilstanden i torskebestanden. Denne sidste
kausalsammenhæng er dog tvivlsom.
Torsk er således blevet en ”stop-art” for jomfruhummerfiskeriet og myndighedernes argumentation er, at
alternativet til kameraovervågning er et stop for jomfruhummerfiskeriet i Kattegat, da det ikke kan opretholdes
uden en bifangstkvote af torsk (Bilag 5). Udkommet af forhandlingerne kender vi, men det har ikke været
muligt at få yderligere indblik i selve forhandlingsprocessen; Havde de danske forhandlere alternative
positioner at falde tilbage på? Havde den danske delegation en forventning til reaktionerne i den danske
fiskerisektor? Var forhandlerne indstillet på at lukke jomfruhummerfiskeriet i Kattegat (proportionalitet)? Det
får vi muligvis aldrig indsigt i.

Syddansk Universitet / 2023
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book

Recruitment and retention in Danish fisheries – with special focus on the Fisheries School’s education

Troels Jacob Hegland & Soren Qvist Eliasen

This report presents the results from the project 'Future Fishermen'. The report addresses recruitment challenges in Danish fisheries with a particular focus on the Fisheries School's education. The purpose of the study was to provide a broader and more systematic knowledge base that the industry can use to address recruitment problems and challenges derived from them, e.g. generational change.
The report is based on a literature study and qualitative interviews with students at the Fisheries School (who are apprentices in relation to the internship) and other actors in the fisheries as the central empirical evidence. Along the way, we have sparred with representatives from the three fisheries organizations FSK‐PO, DFPO and DPPO, as well as employees at the Fisheries School. However, the conclusions are solely the authors' own.

The main purpose of the study was to understand young people's values ​​and images of fisheries in order to increase recruitment to (and retention in) Danish fisheries and especially the Fisheries School. In this process, we have addressed 3 overall problem complexes that are important in terms of meeting the recruitment challenges in Danish fisheries: recruitment to the Fisheries School; recruitment to the entire fishing industry; and the Fisheries School's education.

/ 2022
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Competences related to ship design

George Panagakos

The safety of people and cargo onboard is a key functionality of a commercial ship.

The health and well-being of seafarers and passengers is protected through an extensive set of technical specifications, standards and norms that govern the design and commissioning of all vessels.

They differ by ship type and size, while the specific services to be provided and the specific geographic regions to be served also play an important role in this respect.

The requirements are of national and international character and vary also with the classification society that will commission the ship. Thus in a broader sense, all competences related to ship design are related one way or another to maritime health.

Much of the design of ships is overseen by a naval architect or marine engineer. It is rare to have the involvement of a medical professional except in the cruise industry.

Purpose and tasks
To ensure that the design of a ship includes the requirements to protect the health and well being of seafarers. More specifically, to identify areas of intervention that go beyond the usual engineering curricula where, nonetheless, the safety dimension is embedded through international standardization.

Textbook of Maritime Health / 2022
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