Factors affecting health-promoting lifestyle profile in Iranian male seafarers working on tankers
Abstract
Background: Seafaring is a risky occupation that is associated with a high incidence of lifestyle-related diseases. The present study was carried out to examine health promotion behaviour and its associated factors in seafarers of the National Iranian Tanker Company.
Materials and methods: A cross-sectional study was performed on 200 Iranian male seafarers in 2015. A self-administered socio-demographic and Health Promotion Lifestyle Profile II (HPLP-II) questionnaire was completed. One-way analysis of variance was used to identify significant differences among the various departments. The t-test was utilised to compare the HPLP-II scores according to the demographic variables. Multiple linear regression analysis was performed to assess the association between demographic variables and the overall HPLP-II score, in addition to the six health-promoting lifestyle subscale scores.
Results: The mean age of the participants was 35.93 ± 9.51 years. Most of the seafarers were categorised as having a moderate (32%) or good lifestyle (61.5%). The mean lifestyle score was 136.14 ± 19.90, with the subscale spiritual growth showing the highest score (26.16 ± 5.03) and the subscale exercise behaviour showing the lowest score (19.95 ± 4.23). The lowest score for nutrition was found among the seafarers working in the engine department (engine: 20.41 ± 4.50, deck: 23.52 ± 4.97, and galley: 24.83 ± 4.64) (p < 0.05). Working in the engine department was found to have a significant negative effect on the nutrition score (B = –3.57, p < 0.05). Moreover, educational level was found to have a significant positive effect on spiritual growth (B = 2.97, p < 0.05).
Conclusions: The findings suggest that health-related issues in this occupation, especially workers in the engine room, are a matter of concern.
Keywords: health promotionlifestyleseafarerhealth behaviour
References
- Hjarnoe L, Leppin A. Health promotion in the Danish maritime setting: challenges and possibilities for changing lifestyle behavior and health among seafarers. BMC Public Health. 2013; 13: 1165.
- Filikowski J, Rzepiak M, Renke W, et al. Selected risk factors of ischemic heart disease in Polish seafarers. Preliminary report. Int Marit Health. 2003; 54(1-4): 40–46.
- Hjarnoe L, Leppin A. A risky occupation? (Un)healthy lifestyle behaviors among Danish seafarers. Health Promot Int. 2014; 29(4): 720–729.
- Hansen HL, Hjarnoe L, Jepsen JR. Obesity continues to be a major health risk for Danish seafarers and fishermen. Int Marit Health. 2011; 62(2): 98–103.
- Oldenburg M, Baur X, Schlaich C. Occupational risks and challenges of seafaring. J Occup Health. 2010; 52(5): 249–256.
- Jaremin B, Kotulak E. Myocardial infarction (MI) at the work-site among Polish seafarers. The risk and the impact of occupational factors. Int Marit Health. 2003; 54(1-4): 26–39.
- Shaheen A, Nassar O, Amre H, et al. Factors Affecting Health-Promoting Behaviors of University Students in Jordan. Health. 2015; 07(01): 1–8.
- Mozaffarian D, Hao T, Rimm EB, et al. Changes in diet and lifestyle and long-term weight gain in women and men. N Engl J Med. 2011; 364(25): 2392–2404.
- Hjarnø L. Health promotion intervention in the maritime setting [PhD dissertation]. University of Southern Denmark: University of Southern Denmark. ; 2013.
- HSA. Workplace Health Toolkit to Assist Small Businesses. Health and safety Authority, Dublin 2016.
- CDC. Workplace Health Program Definition and Description. Centers for Disease Control and Prevention; Washington DC. ; 2016.
- Jensen OC, Sørensen JFL, Thomas M, et al. Working conditions in international seafaring. Occup Med (Lond). 2006; 56(6): 393–397.
- Aghamolaei T, Ghanbarnejad A. Validity and reliablity of the Persian healthpromoting lifestyle profile II questionnaire. J Research Health. 2015; 5(3): 358–365.
- Walker S, Sechrist K, Pender N. The Health-Promoting Lifestyle Profile: development and psychometric characteristics. Nurs Res. 1987; 36(2): 76–81.
- Hacıhasanoğlu R, Yıldırım A, Karakurt P, et al. Healthy lifestyle behaviour in university students and influential factors in eastern Turkey. Int J Nurs Pract. 2011; 17(1): 43–51.
- Karadağ M, Yıldırım N. Health Behaviors in Health Sciences University Students in Turkey. Social Behavior and Personality: Int J. 2010; 38(1): 43–51.
- Larouche R. Determinants of college students' health-promoting lifestyles. Clin Excell Nurse Pract. 1998; 2(1): 35–44.
- Wei CN, Harada K, Ueda K, et al. Assessment of health-promoting lifestyle profile in Japanese university students. Environ Health Prev Med. 2012; 17(3): 222–227.
- El Ansari W, Stock C, John J, et al. Health promoting behaviours and lifestyle characteristics of students at seven universities in the UK. Cent Eur J Public Health. 2011; 19(4): 197–204.
- Al-Kandari YY. Prevalence of obesity in Kuwait and its relation to sociocultural variables. Obes Rev. 2006; 7(2): 147–154.
- Ammouri A. Demographic Differences in Health Promoting Lifestyle of Adult Jordanians. Jordanian Med J. 2008; 42: 1–9.
- Al-Kandari F, Vidal VL, Thomas D. Health-promoting lifestyle and body mass index among College of Nursing students in Kuwait: a correlational study. Nurs Health Sci. 2008; 10(1): 43–50.
- Barlas FM, Higgins WB, Pflieger JC, Diecker K. 2011 Health Related Behaviors Survey of Active Duty Military Personnel. USA: Department of Defense, 2011.
- Bi J, Huang Y, Xiao Ya, et al. Association of lifestyle factors and suboptimal health status: a cross-sectional study of Chinese students. BMJ Open. 2014; 4(6): e005156.
- Bray RM. etal. DoD Surveys of Health Related Behaviors Among Active Duty Military Personnel. USA: RTI International. ; 2008.
- Duffy ME, Rossow R, Herandez M. Correlates of health-promotion activities in employed Mexican American women. Nurs Res. 1996; 45(1): 18–24.
- Grad FP. The Preamble of the Constitution of the World Health Organization. Bull World Health Organ. 2002; 80(12): 981–984.
- Golmakani N, Naghibi F, Moharari F, et al. Health Promoting Life style and its Related Factors in Adolescent Girls. Journal of Midwifery and Reproductive Health. 2013; 1(1): 42–49.
- Lee RLT, Loke AJ. Health-promoting behaviors and psychosocial well-being of university students in Hong Kong. Public Health Nurs. 2005; 22(3): 209–220.