title: Factors affecting health-promoting lifestyle profile in Iranian male seafarers working on tankers.
abstract: BACKGROUND
  Seafaring is a risky occupation that is associated with a high incidence of lifestyle-related diseases. The present study was carried out to examine health promotion behaviour and its associated factors in seafarers of the National Iranian Tanker Company.
  
  
  METHODS
  A cross-sectional study was performed on 200 Iranian male seafarers in 2015. A self-administered socio-demographic and Health Promotion Lifestyle Profile II (HPLP-II) questionnaire was completed. One-way analysis of variance was used to identify significant differences among the various departments. The t-test was utilised to compare the HPLP-II scores according to the demographic variables. Multiple linear regression analysis was performed to assess the association between demographic variables and the overall HPLP-II score, in addition to the six health-promoting lifestyle subscale scores.
  
  
  RESULTS
  The mean age of the participants was 35.93 ± 9.51 years. Most of the seafarers were categorised as having a moderate (32%) or good lifestyle (61.5%). The mean lifestyle score was 136.14 ± 19.90, with the subscale spiritual growth showing the highest score (26.16 ± 5.03) and the subscale exercise behaviour showing the lowest score (19.95 ± 4.23). The lowest score for nutrition was found among the seafarers working in the engine department (engine: 20.41 ± 4.50, deck: 23.52 ± 4.97, and galley: 24.83 ± 4.64) (p < 0.05). Working in the engine department was found to have a significant negative effect on the nutrition score (B = -3.57, p < 0.05). Moreover, educational level was found to have a significant positive effect on spiritual growth (B = 2.97, p < 0.05).
  
  
  CONCLUSIONS
  The findings suggest that health-related issues in this occupation, especially workers in the engine room, are a matter of concern.
authors.affiliation: Occupational Health Research Centre, Iran University of Medical Sciences, Tehran, Iran. fb.baygi@gmail.com.
authors.forename: Fereshteh
authors.initials: F
authors.lastname: Baygi
authors.forename: Olaf Chresten
authors.initials: OC
authors.lastname: Jensen
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Mohammadi-Nasrabadi
authors.forename: Mostafa
authors.initials: M
authors.lastname: Qorbani
authors.forename: Morteza
authors.initials: M
authors.lastname: Mansourian
authors.forename: Roksana
authors.initials: R
authors.lastname: Mirkazemi
authors.forename: Aliasghar
authors.initials: A
authors.lastname: Farshad
authors.forename: Seyed Ali
authors.initials: SA
authors.lastname: Salehi
authors.forename: Arezoo
authors.initials: A
authors.lastname: Haghighian Roudsari
authors.forename: Farzad
authors.initials: F
authors.lastname: Shidfar
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D015444:Exercise; D000070497:Healthy Lifestyle; D006801:Humans; D007492:Iran / Q000208:ethnology; D008297:Male; D008875:Middle Aged; D009326:Naval Medicine; D009752:Nutritional Status; D016272:Occupational Health / Q000706:statistics & numerical data; D013315:Stress, Psychological / Q000523:psychology; D011795:Surveys and Questionnaires
keywords: health behaviour; health promotion; lifestyle; seafarer