Prevalence and Associated Factors of Sea Sickness in Thai Naval Personnel
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Abstract
This cross-sectional descriptive research aimed to study the prevalence of and analyze the relationships between personal factors, work factors, and environmental factors with motion sickness among Royal Thai Navy personnel. The sample consisted of 360 naval personnel from the Royal Thai Fleet, selected through multi-stage random sampling. Data were collected using questionnaires designed to assess motion sickness-related factors and Motion Sickness Susceptibility Questionnaire, with a content validity index of 0.67 - 1. and reliability of 0.91. Data were analyzed using descriptive statistics, and relationships were tested using Chi-square and Fisher's exact tests.
The study revealed a sea sickness prevalence of 40.8% among the sample population. Personal factors significantly associated with sea sickness included the use of anti-motion sickness medication (χ2 = 24.22) and motion sickness susceptibility scores above 11.3 (χ2 = 17.17). Regarding work and environmental factors, ship size (χ2 = 27.03), average daily working hours (χ2 = 4.75), sleeping quarter location (χ2 = 13.08), and encountering storms during navigation (χ2 = 10.67) showed statistically significant relationships with motion sickness (p < .05).
Therefore, it is recommended to establish screening policies and sea sickness risk assessment for personnel before duty, provide regular training on sea sickness prevention and management, and improve shipboard environmental conditions to reduce triggering factors. These measures aim to enhance the effectiveness of sea sickness prevention and management among Royal Thai Navy personnel.
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References
Royal Thai Navy. Naval strategy 2017 - 2036. [Internet]. [cited 2023 Nov 21]. Available from: https://www.navy.mi.th/storage/frontend/article/269/file/th/20yearsplan%20(1).pdf. (in Thai).
Royal Thai Navy. Laws or acts related to the duties of the Royal Thai Navy. [Internet]. [cited 2023 Nov 21]. Available from: https://www.navy.mi.th/ita. (in Thai).
Zhang LL, Wang JQ, Qi RR, Pan LL, Li M, Cai YL. Motion sickness: current knowledge and recent advance. CNS Neurosci Ther 2016;22(1):15-24.
Chan G, Moochhala SM, Zhao B, Tan D, Wong J. A comparison of motion sickness prevalence between seafarers and non-seafarers onboard naval platforms. Int Marit Health 2006;57(1-4):56-65.
Golding JF. Motion sickness susceptibility questionnaire revised and its relationship to other forms of sickness. Brain Research Bulletin 1998;47(5):507-16.
Golding JF. Predicting individual differences in motion sickness susceptibility by questionnaire. Personality and Individual Differences 2006;41(2):237-48.
Golding JF. Motion sickness. Handb Clin Neurol 2016;137:371-90.
Golding JF, Gresty MA. Pathophysiology and treatment of motion sickness. Current Opinion in Neurology 2015;28(1):83-8.
Huppert D, Grill E, Brandt T. Survey of motion sickness susceptibility in children and adolescents aged 3 months to 18 years. Journal of Neurology 2019;266:65-73.
Henriques IF, Douglas de Oliveira DW, Oliveira-Ferreira F, Andrade PM. Motion sickness prevalence in school children. Eur J Pediatr 2014;173(11):1473-82.
Paillard AC, Quarck G, Paolino F, Denise P, Paolino M, Golding JF, et al. Motion sickness susceptibility in healthy subjects and vestibular patients: effects of gender, age and trait-anxiety. J Vestib Res 2013;23(4-5):203-9.
Lawther A, Griffin MJ. A survey of the occurrence of motion sickness amongst passengers at sea. Aviat Space Environ Med 1988;59(5):399-406.
Murdin L, Chamberlain F, Cheema S, Arshad Q, Gresty MA, Golding JF, et al. Motion sickness in migraine and vestibular disorders. J Neurol Neurosurg Psychiatry 2015;86(5):585-7.
Arnardottir NY, Jonsdottir SS, Petersen H. Seasickness among Icelandic seamen. PLoS One 2022;17(8):e0273477.
Gupta AK, Kumar BV, Rajguru R, Parate KD. Assessment of sea sickness in Naval personnel: incidence and management. Indian J Occup Environ Med 2021;25(2):119-24.
Cohen B, Dai M, Yakushin SB, Raphan T. Baclofen, motion sickness susceptibility and the neural basis for velocity storage. Prog Brain Res 2008;171:543-53.
Kim D-B, Kim B-G, Rim G-S, Kim H-R, Kim C-S. A Study on the sea-sickness susceptibility of seafarer at the wheel house and engine room. Journal of the Korean Society of Marine Environment & Safety 2014;20(1):42-8.
Bos J, Damala D, Lewis C, Ganguly A, Turan O. Susceptibility to seasickness. Ergonomics 2007;50(6):890-901.
Sharma K, Aparna. Prevalence and correlates of susceptibility to motion sickness. Acta Genet Med Gemellol (Roma) 1997;46(2):105-21.
Park CY, Park S, Han SG, Sung T, Kim DY. Association of depression with susceptibility and adaptation to seasickness in the military seafarers. J Korean Med Sci 2022;37(29):e231.
Peddareddygari LR, Kramer PD, Hanna PA, Levenstien MA, Grewal RP. Genetic analysis of a large family with migraine, vertigo, and motion sickness. Can J Neurol Sci 2019;46(5):512-7.
Rodríguez Del Águila M, González-Ramírez A. Sample size calculation. Allergol Immunopathol (Madr) 2014;42(5):485-92.
Pisula PJ, Lewis CH, Bridger RS. Vessel motion thresholds for maintaining physical and cognitive performance: a study of naval personnel at sea. Ergonomics 2012;55(6):636-49.
Bos J. Less sickness with more motion and/or mental distraction. J Vestib Res 2015;25(1):23-33.
Reuten AJC, Nooij SAE, Bos JE, Smeets JBJ. How feelings of unpleasantness develop during the progression of motion sickness symptoms. Exp Brain Res 2021;239(12):3615-24.
Rahimzadeh G, Tay A, Travica N, Lacy K, Mohamed S, Nahavandi D, et al. Nutritional and behavioral countermeasures as medication approaches to relieve motion sickness: a comprehensive review. Nutrients 2023;15(6):1320.
Lucas D, Mehaneze M, Loddé B. Seasickness and its impact on researchers’ work on board French oceanographic vessels. Int Marit Health 2020;71(3):160-5.
Jepsen JR, Zhao Z, van Leeuwen WM. Seafarer fatigue: a review of risk factors, consequences for seafarers’ health and safety and options for mitigation. Int Marit Health 2015;66(2):106-17.
Forsell K, Eriksson H, Järvholm B, Lundh M, Andersson E, Nilsson R. Work environment and safety climate in the Swedish merchant fleet. Int Arch Occup Environ Health 2017;90:161-8.