open access

Vol 67, No 4 (2016)
Original article
Submitted: 2016-10-19
Accepted: 2016-11-24
Published online: 2016-12-23
Get Citation

Knowledge, attitudes, and related practices of Filipino seafarers regarding cardiovascular diseases

Ernesto Ramos Gregorio, Jr., Jun Kobayashi, John Robert Carabeo Medina, Nymia Pimentel Simbulan
·
Pubmed: 28009390
·
IMH 2016;67(4):214-222.

open access

Vol 67, No 4 (2016)
MARITIME MEDICINE Original article
Submitted: 2016-10-19
Accepted: 2016-11-24
Published online: 2016-12-23

Abstract

Background: Globally, cardiovascular diseases (CVD) remain the leading cause of mortality. Due to the nature of their work and lifestyle on board, Filipino seafarers have a high propensity towards acquiring CVD. This study aimed to determine the knowledge, attitudes, and practices related to CVD of Filipino seafarers.

Materials and methods: This study utilised a descriptive cross-sectional study design. Self-administered questionnaires were distributed among 136 male seafarers who went into a private general hospital for their pre-employment medical examination.

Results: Eating fatty foods (77.0%), cigarette smoking (68.4%) and lack of exercise (65.4%) were identified by the respondents as the top three most common risk factors for CVD. Avoiding fatty or oily foods (85.3%) and exercising regularly (83.1%) were identified by the respondents as preventive measures for CVD. High blood pressure and shortness of breath were identified by more than half of the respondents as a sign and symptom of CVD, respectively. But the respondents failed to identify other equally important signs and symptoms. Majority of the respondents (> 80%) had high level of perception with respect to the six constructs of the health belief model. Some respondents had admitted engagement in risk-taking behaviours such as smoking (36.0%) and physical inactivity (27.2%). Majority were into high fat and salt diet (70.6%) and current alcohol consumption (79.4%).

Conclusions: Although the respondents had favourable attitudes towards CVD, there were knowledge gaps in risk factors, preventive measures, and recognition of signs and symptoms. Hence, some were still engaging in risk-taking behaviours such as smoking, irregular involvement in physical activity, unbalanced diet, and alcohol intake.  

Abstract

Background: Globally, cardiovascular diseases (CVD) remain the leading cause of mortality. Due to the nature of their work and lifestyle on board, Filipino seafarers have a high propensity towards acquiring CVD. This study aimed to determine the knowledge, attitudes, and practices related to CVD of Filipino seafarers.

Materials and methods: This study utilised a descriptive cross-sectional study design. Self-administered questionnaires were distributed among 136 male seafarers who went into a private general hospital for their pre-employment medical examination.

Results: Eating fatty foods (77.0%), cigarette smoking (68.4%) and lack of exercise (65.4%) were identified by the respondents as the top three most common risk factors for CVD. Avoiding fatty or oily foods (85.3%) and exercising regularly (83.1%) were identified by the respondents as preventive measures for CVD. High blood pressure and shortness of breath were identified by more than half of the respondents as a sign and symptom of CVD, respectively. But the respondents failed to identify other equally important signs and symptoms. Majority of the respondents (> 80%) had high level of perception with respect to the six constructs of the health belief model. Some respondents had admitted engagement in risk-taking behaviours such as smoking (36.0%) and physical inactivity (27.2%). Majority were into high fat and salt diet (70.6%) and current alcohol consumption (79.4%).

Conclusions: Although the respondents had favourable attitudes towards CVD, there were knowledge gaps in risk factors, preventive measures, and recognition of signs and symptoms. Hence, some were still engaging in risk-taking behaviours such as smoking, irregular involvement in physical activity, unbalanced diet, and alcohol intake.  

Get Citation

Keywords

risk factors, current smoker, physical inactivity, high fat diet, alcohol intake

About this article
Title

Knowledge, attitudes, and related practices of Filipino seafarers regarding cardiovascular diseases

Journal

International Maritime Health

Issue

Vol 67, No 4 (2016)

Article type

Original article

Pages

214-222

Published online

2016-12-23

Page views

3724

Article views/downloads

3744

DOI

10.5603/IMH.2016.0039

Pubmed

28009390

Bibliographic record

IMH 2016;67(4):214-222.

Keywords

risk factors
current smoker
physical inactivity
high fat diet
alcohol intake

Authors

Ernesto Ramos Gregorio, Jr.
Jun Kobayashi
John Robert Carabeo Medina
Nymia Pimentel Simbulan

References (35)
  1. The Baltic International Maritime Council (DK) and International Chamber of Shipping (GB). Manpower Report: The Global Supply and Demand of Seafarers in 2015 – Executive Summary. London (GB): Marisec Publications; 2016; p. 6. http://www.ics-shipping.org/docs/default-source/resources/safety-security-and-operations/manpower-report-2015-executive-summary.pdf.
  2. International Labour Organization (PH). Decent Work for Seafarers. Manila (PH): International Labour Organization CO-Manila; 2014; p. 2. http://www.ilo.org/wcmsp5/groups/public/---asia/---ro-bangkok/---ilo-manila/documents/publication/wcms_173266.pdf (2014).
  3. Department of Labor and Employment (PH). The Philippine Labor & employment Plan 2011–2016: Inclusive Growth through Decent and Productive Work. Manila (PH): Department of Labor and Employment. http://www.dole.gov.ph/fndr/bong/files/PLEP-26%20April%20version.pdf. (2011).
  4. Asariotis R, Benamara H, Finkenbrink H et al. Nations Conference on Trade and Development. Review of Maritime Transport 2011. New York (NY): United Nations Publications. http://unctad.org/en/docs/rmt2011_en.pdf (2011).
  5. Philippine Overseas Employment Administration. 2010–2014 Overseas Employment Statistics. Manila (PH): Philippine Overseas Employment Administration. http://www.poea.gov.ph/ofwstat/compendium/2014.pdf (2014).
  6. Oldenburg M, Baur X, Schlaich C. Occupational Risks and Challenges of Seafaring. Journal of Occupational Health. 2010; 52(5): 249–256.
  7. Lindgren N, Nilsson J. Filipinos sailing on the seven seas — a qualitative study of Filipino seafarers working on international vessels [undergraduate thesis on the internet]. Borås (SE): University of Borås. http://bada.hb.se/bitstream/2320/10667/1/Lindgren_Nilsson.pdf. (2012).
  8. Gregorio ER. The Filipino Seafarers’ Lived Experiences Aboard International Shipping Vessels: A Basis for Health Promotion Intervention. Acta Med Philipp. 2012; 46: 69–74.
  9. Salyga J, Juozulynas A. Association between environment and psycho-emotional stress experienced at sea by Lithuanian and Latvian seamen. Medicina (Kaunas). 2006; 42(9): 759–769.
  10. Iversen RTB. The mental health of seafarers. Int Marit Health. 2012; 63(2): 78–89.
  11. World Health Organization. Cardiovascular Diseases (CVDs). Geneva (CH): World Health Organization. http://www.who.int/mediacentre/factsheets/fs317/en/ (2016).
  12. Philippine Statistics Authority. Top Ten Causes of Death, 2011–2013 (Fact Sheet) [Internet]. Manila (PH): Philippine Statistics Authority. https://psa.gov.ph/content/top-ten-causes-death-2011-2013-factsheet (20.08.2016).
  13. Abaya A, Roldan S, Ongchangco J, et al. Repatriation rates in Filipino seafarers: a five-year study of 6,759 cases. International Maritime Health. 2015; 66(4): 189–195.
  14. Abaya AR, Roldan S, Ongchangco JC, et al. Repatriation rates in Filipino seafarers: a five-year study of 6,759 cases. Int Marit Health. 2015; 66(4): 189–195.
  15. Pougnet R, Pougnet L, Loddé BL, et al. Cardiovascular risk factors in seamen and fishermen: review of literature. Int Marit Health. 2013; 64(3): 107–113.
  16. Sąlyga J, Juozulynas A, Lukšienė A. Health problems of Lithuanian and Latvian seamen. Acta Medica Lituanica. 2006; 13: 38–46.
  17. Hjarnoe L, Leppin AA. risky occupation? (Un)healthy lifestyle behaviors among Danish seafarers. Health Promot Int. 2013; 13: 1165.
  18. Tomaszunas S, Tomaszunas-Błaszczyk J. Knowledge of seamen and fishermen on risk factors of diseases of the circulatory system. Bull Inst Marit Trop Med Gdynia. 1991; 42(1-4): 11–16.
  19. Food and Nutrition Research Institute. Smoking Status of Filipino Children and Adult. Taguig (PH): Food and Nutrition Research Institute. http://www.fnri.dost.gov.ph/images/ sources/smoking_adults.pdf (20.08.2016).
  20. Tiglao TV, Baltazar JC, Ong RA, Arias EE, Baquilod MM. External Evaluation of the Department of Health Programs on the Prevention and Control of Lifestyle Disease in the Philippines [unpublished report]. Manila (PH): College of Public Health University of the Philippines Manila, 2004.
  21. Sy RG, Morales DD, Dans AL, et al. Prevalence of atherosclerosis-related risk factors and diseases in the Philippines. J Epidemiol. 2012; 22(5): 440–447.
  22. Brown CM, Dulloo AG, Montani JP. Sugary drinks in the pathogenesis of obesity and cardiovascular diseases. Int J Obes (Lond). 2008; 32 Suppl 6: S28–S34.
  23. Conen D. Alcohol consumption and incident cardiovascular disease: not just one unifying hypothesis. Eur Heart J. 2015; 36(15): 897–898.
  24. Commission on Filipinos Overseas. Handbook for Filipinos Overseas. 8 th Ed. Manila (PH): Commission on Filipinos Overseas 2010.
  25. Maruja MB, Asis MBB, Agunias DR. Strengthening Pre-Departure Orientation Programmes in Indonesia, Nepal, and the Philippines. Bangkok (TH) and Washington DC: International Organization for Migration and Migration Policy Institute. 2012; 5: 12.
  26. Masud Ali AK. Pre-departure Orientation Program: Study of Good Practices in Asia a Comparative Study of Bangladesh, the Philippines, and Sri Lanka. In: Mackenzie C. ed. Labour Migration in Asia. International Organization for Migration, Geneva 2005: 85–152.
  27. Campbell C, MacPhail C. Peer education, gender and the development of critical consciousness: participatory HIV prevention by South African youth. Soc Sci Med. 2002; 55(2): 331–345.
  28. Medley A, Kennedy C, O'Reilly K, et al. Effectiveness of peer education interventions for HIV prevention in developing countries: a systematic review and meta-analysis. AIDS Educ Prev. 2009; 21(3): 181–206.
  29. Janz NK, Becker MH. The Health Belief Model: a decade later. Health Educ Q. 1984; 11(1): 1–47.
  30. Rosenstock I, Stretcher V, Becker M. The health belief model and HIV risk behavior. In: Di Clemente R, Peterson J. ed. Preventing AIDS: Theories and methods of behavioral interventions. Plenum Press, New York 1994: 5–22.
  31. Oldenburg M. Risk of cardiovascular diseases in seafarers. Int Marit Health. 2014; 65(2): 53–57.
  32. Hansen HL, Dahl S, Bertelsen B, et al. Life Style, nutritional status and working conditions of Danish sailors. Travel Med Int. 1994; 12: 139–143.
  33. Saniel OP, Tolabing MC, Lebanan-Dalida MO. HIV prevalence, risks and vulnerabilities of Bohol Overseas Filipino workers, their spouses and their children [unpublished Report]. Manila (PH): College of Public Health 2010, University of the Philippines Manila.
  34. 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.
  35. Food and Nutrition Research Institute. Burden of Selected Risk Factors to Non-communicable Diseases (NCDs) among Filipino Adults. Taguig (PH): Food and Nutrition Research Institute. http://obesity.org.ph/v4/ /wp-content/uploads/2013/04/8thNNSResultsNCD.pdf (2013).

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By VM Media Group sp. z o.o., Grupa Via Medica, ul. Świętokrzyska 73, 80–180 Gdańsk, Poland

tel.: +48 58 320 94 94, fax:+48 58 320 94 60, e-mail: viamedica@viamedica.pl