@article{ref1,
title="Fatigue and health in a seafaring population",
journal="Occupational medicine",
year="2008",
author="Wadsworth, Emma J. K. and Allen, Paul H. and McNamara, Rachel L. and Smith, A. P.",
volume="58",
number="3",
pages="198-204",
abstract="BACKGROUND: Occupational fatigue is relatively common within the general population and has been linked to reduced performance, injury and longer term ill-health. Despite growing acknowledgement of this problem in the maritime sector, little research has been conducted into the risk factors, prevalence and consequences of seafarers' fatigue. AIMS: To examine the prevalence of fatigue among seafarers, identify potential risk factors and assess possible links with poor performance and ill-health. METHODS: Cross-sectional questionnaire survey of seafarers working in the offshore oil support, short-sea and deep-sea shipping industries. A number of tools were used including the fatigue subscale of the profile of fatigue-related symptoms, the Cognitive Failures Questionnaire, the General Health Questionnaire and the SF36 General Health scale. RESULTS: In all, 1855 questionnaires were completed giving an overall response rate of 20%. Fatigue symptoms were associated with a range of occupational and environmental factors, many unique to seafaring. Reporting a greater number of risk factors was associated with greater fatigue [e.g. OR = 2.53 (1.90-3.35) for those with three or four risk factors and OR = 9.54 (6.95-13.09) for those with five or more risk factors]. There was also a strong link between fatigue and poorer cognitive and health outcomes, with fatigue the most important of a number of risk factors, accounting for 10-14% of the variance. CONCLUSIONS: Seafarers' fatigue could impact on safety within the industry and may be linked to longer term individual ill-health. It can only be addressed by considering how multiple factors combine to contribute to fatigue.<p /> <p>Language: en</p>",
language="en",
issn="0962-7480",
doi="10.1093/occmed/kqn008",
url="http://dx.doi.org/10.1093/occmed/kqn008"
}