Knowledge, Attitudes and Practices of Heat-related Illnesses among Thai Merchant Seafarers

Main Article Content

Nuttawinee Horadee
Sarunya Hengpraprom

Abstract

          This cross-sectional descriptive study aimed at determining the knowledge, attitudes, and practices of heat-related illnesses and factors related to practices among 246 Thai merchant seafarers. Data were collected from a self-administered questionnaire comprising personnel, occupational factors, knowledge, attitudes, and practices of heat-related illnesses. Cronbach's alpha coefficient were 0.41, 0.71, and 0.71, respectively. Correlation was analyzed using Chi-square statistics and Pearson's Correlation Coefficient. The results found that positive attitude relates to practices more than knowledge. 34.6% had low level in knowledge, 37.3% had moderate level in attitudes, and 36.6% had low level in practices. The factors related to the level of practice included the level of education, merchant job positions, type of ship, working hours, knowledge, attitudes and work exposure to other heat sources and it was found that increased exposure time to other heat sources while working was associated with lower practice scores (r = -.146). Therefore, knowledge and attitudes enhancement should be provided inorder to achieve proper preventive practices and there should be measures to prevent heat-related illnesses among Thai merchant seafarers in conditions of climate change.

Article Details

Section
Research Article

References

World Health Organization. Climate change. [Internet]. [cited 2022 October 23]. Available from: https://www.who.int/health-topics/climate-change#tab=tab_1.

Habibi P, Moradi G, Dehghan H, Moradi A, Heydari A. The impacts of climate change on occupational heat strain in outdoor workers: a systematic review. Urban Climate 2021;36(5):100770.

Phivgategaew S, Chomchai S, Dumavibhat N, Sujirarat D. Comparison of initial BMI in moderate to severe heat-related Illness among Royal Thai Navy task force trainees. RTN Med J 2019;46(1):49-65. (in Thai).

Collins KJ, Eddy TP, Lee DE, Swann PG. Nutritional and environmental studies on an ocean-going oil tanker. 1. Thermal environment. Br J Ind Med 1971;28(3):237-45.

Campa Rdl, Bouza MÀ, Louro J. Heat stress on board: risk and prevention. 8th ed. A Coruña, Spain: Department of Nautical Sciences and Marine Engineering School of Nautical Sciences and Marine Engineering; 2020.

Pérez JA, Orosa JA, Grueiro T. A three-dimensional CFD simulation study to reduce heat stress in ships. Applied Thermal Engineering 2016;94:413-21.

Wang X, Xia D, Long X, Wang Y, Wu K, Xu S, et al. Knowledge, attitudes, and practices of military personnel regarding heat-related illness risk factors: results of a Chinese cross-sectional study. Front Public Health 2021;9:707264.

Palella BI, Quaranta F, Riccio G. On the management and prevention of heat stress for crews onboard ships. Ocean Engineering 2016;112:277-86.

Lee J, Lee YH, Choi WJ, Ham S, Kang SK, Yoon JH, et al. Heat exposure and workers' health: a systematic review. Rev Environ Health 2022;37(1):45-59.

Liu T, Xu YJ, Zhang YH, Yan QH, Song XL, Xie HY, et al. Associations between risk perception, spontaneous adaptation behavior to heat waves and heatstroke in Guangdong province, China. BMC Public Health 2013;13(1):913.

Li J, Xu X, Ding G, Zhao Y, Zhao R, Xue F, et al. A cross-sectional study of heat wave-related knowledge, attitude, and practice among the public in the Licheng district of Jinan city, China. International Journal of Environmental Research and Public Health 2016;13(7):648.

Stoecklin-Marois M, Hennessy-Burt T, Mitchell D, Schenker M. Heat-related illness knowledge and practices among California hired farm workers in the MICASA Study. Ind Health 2013;51(1):47-55.

Yooroong A, Meeparn A, Untaja P, Thaiudom A, Ankanawin U, Bohplian S. Factors affected to behavior of Thai army trainers in monitoring and preventing heat related illness among privates trained in the Royal Thai army. Journal of The Royal Thai Army Nurses 2014;15(1):114-21 (in Thai).

Singh YN, Malaviya AN. Long distance truck drivers in India: HIV infection and their possible role in disseminating HIV into rural areas. Int J STD AIDS 1994;5(2):137-8.

Luque JS, Becker A, Bossak BH, Grzywacz JG, Tovar-Aguilar JA, Guo Y. Knowledge and practices to avoid heat-related illness among Hispanic farmworkers along the Florida-Georgia Line. J Agromedicine 2020;25(2):190-200.

Jaikhamwang N, Bunsee W, Yakama Y, Pongkaew J, Sutthichan N, Saelee S, et al. Knowledge, perception, and behaviors regarding heat stroke prevention among new conscripts. Journal of Nursing and Health Research 2021;22(1):40-51. (in Thai).

Marine Department. Marine Department Regulation Concerning the knowledge examination for operators of near-coastal and international voyages ships 2022. [Internet]. [cited 2024 Feb 21]. Available from: https://laws.md.go.th/laws-implement/home/viewfile/26-1-2023042895031W5.pdf2022