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Prevalence and Associated Factors of Psychosocial Distress Among Seafarers During Covid-19 Pandemic Publisher Pubmed



Baygi F1 ; Mohammadian Khonsari N2 ; Agoushi A2 ; Hassani Gelsefid S2 ; Mahdavi Gorabi A3 ; Qorbani M4, 5
Authors
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Authors Affiliations
  1. 1. Center of Maritime Health and Society, Department of Public Health, University of Southern Denmark, Esbjerg, Denmark
  2. 2. Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran
  3. 3. Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
  4. 4. Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran
  5. 5. Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

Source: BMC Psychiatry Published:2021


Abstract

Background: In the context of growing concerns about seafarers’ mental health during the COVID-19 pandemic, this study aimed to assess the prevalence and associated factors of psychosocial distress among seafarers of ocean-going vessels during the current health emergency. Methods: This cross-sectional study was conducted among 470 multinational seafarers working on two oil tanker international shipping companies. Psychosocial distress was assessed by using Depression-Anxiety-Stress Scale (DASS-21). General Health Questionnaire-12 (GHQ-12) and Zung Self-Rating Anxiety Scale (SAS) were used to assessed genral psychiatry disorders and self-rate anxiety. Perceived health status was assessed by a single-item question. Multivariate logistic regression was used to determine the association between demographic and work-related variables with mental health outcomes. Results: Overall, 439 out of 470 invited seafarers with a mean age of 34.5 (SD: 8.05) participated in this study (participation rate: 93.4%). The prevalence (95% confidence interval) of depression, anxiety, stress, self-rated anxiety, general psychiatric disorders, and poor perceived health status was 12.3% (9.4–15.7), 11.6% (8.7–15.0), 5.9% (3.9–8.5), 2.1% (0.9–3.8), 42.6% (38.0–47.4), and 4.3% (2.6–6.6), respectively. In the multivariate model, by increasing the duration of stay (per month) on board, the odds of depression increased by 20% (OR: 1.20 (95% CI: 1.02–1.40)). Also, non-officer seafarers experienced significantly lower psychosocial distress such as anxiety and stress levels than officers. Conclusion: High prevalence of depression, anxiety, and general psychiatric disorders among seafarers during COVID-19 was observed. Our findings also highlight the factors that need to be considered to protect seafarers’ mental well-being. Further studies to evaluate the impact of COVID-19 on psychological health issues at sea are recommended. © 2021, The Author(s).
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