% IMPORTANT: The following is UTF-8 encoded.  This means that in the presence
% of non-ASCII characters, it will not work with BibTeX 0.99 or older.
% Instead, you should use an up-to-date BibTeX implementation like “bibtex8” or
% “biber”.

@ARTICLE{Sagaro:284422,
      author       = {G. G. Sagaro and U. Angeloni and G. Battineni and N.
                      Chintalapudi and M. Dicanio and M. Kebede$^*$ and C. Marotta
                      and G. Rezza and A. Silenzi and F. Amenta},
      title        = {{R}isk prediction model of self-reported hypertension for
                      telemedicine based on the sociodemographic, occupational and
                      health-related characteristics of seafarers: a
                      cross-sectional epidemiological study.},
      journal      = {BMJ open},
      volume       = {13},
      number       = {10},
      issn         = {2044-6055},
      address      = {London},
      publisher    = {BMJ Publishing Group},
      reportid     = {DKFZ-2023-02011},
      pages        = {e070146},
      year         = {2023},
      abstract     = {High blood pressure is a common health concern among
                      seafarers. However, due to the remote nature of their work,
                      it can be difficult for them to access regular monitoring of
                      their blood pressure. Therefore, the development of a risk
                      prediction model for hypertension in seafarers is important
                      for early detection and prevention. This study developed a
                      risk prediction model of self-reported hypertension for
                      telemedicine.A cross-sectional epidemiological study was
                      employed.This study was conducted among seafarers aboard
                      ships. Data on sociodemographic, occupational and
                      health-related characteristics were collected using
                      anonymous, standardised questionnaires.This study involved
                      8125 seafarers aged 18-70 aboard 400 vessels between
                      November 2020 and December 2020. 4318 study subjects were
                      included in the analysis. Seafarers over 18 years of age,
                      active (on duty) during the study and willing to give
                      informed consent were the inclusion criteria.We calculated
                      the adjusted OR (AOR) with $95\%$ CIs using multiple
                      logistic regression models to estimate the associations
                      between sociodemographic, occupational and health-related
                      characteristics and self-reported hypertension. We also
                      developed a risk prediction model for self-reported
                      hypertension for telemedicine based on seafarers'
                      characteristics.Among the 4318 participants, $55.3\%$ and
                      $44.7\%$ were non-officers and officers, respectively.
                      $20.8\%$ (900) of the participants reported having
                      hypertension. Multivariable analysis showed that age (AOR:
                      1.08, $95\%$ CI 1.07 to 1.10), working long hours per week
                      (AOR: 1.02, $95\%$ CI 1.01 to 1.03), work experience at sea
                      (10+ years) (AOR: 1.79, $95\%$ CI 1.33 to 2.42), being a
                      non-officer (AOR: 1.75, $95\%$ CI 1.44 to 2.13), snoring
                      (AOR: 3.58, $95\%$ CI 2.96 to 4.34) and other health-related
                      variables were independent predictors of self-reported
                      hypertension, which were included in the final risk
                      prediction model. The sensitivity, specificity and accuracy
                      of the predictive model were $56.4\%,$ $94.4\%$ and
                      $86.5\%,$ respectively.A risk prediction model developed in
                      the present study is accurate in predicting self-reported
                      hypertension in seafarers' onboard ships.},
      keywords     = {Epidemiology (Other) / Hypertension (Other) / Public health
                      (Other)},
      cin          = {C020},
      ddc          = {610},
      cid          = {I:(DE-He78)C020-20160331},
      pnm          = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
      pid          = {G:(DE-HGF)POF4-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:37793918},
      doi          = {10.1136/bmjopen-2022-070146},
      url          = {https://inrepo02.dkfz.de/record/284422},
}