Peer-reviewedCC BY 4.0Frontiers in Public Health15 Oct 2026

Health-related factors among seafarers based on the health ecology model: a cross-sectional study

Dongdong Wu¹
Shilian Chen²
Huaiyu Zheng³
Xinwei Yu⁴
Boer Yan⁵

5 affiliations

¹Department of Pain Medicine, Zhoushan Hospital, Wenzhou Medical University
²Department of Neurology, Zhoushan Hospital, Wenzhou Medical University
³Department of Pharmacy, Zhoushan Hospital, Wenzhou Medical University
⁴Department of Hospital Administration, Zhoushan Hospital, Wenzhou Medical University
⁵Department of Nursing, Zhoushan Hospital, Wenzhou Medical University

Abstract

Objective: To explore the health status and its influencing factors among seafarers based on the Health Ecological Model, and to identify priority areas for health management.

Methods: A convenience sampling approach was used to administer a questionnaire survey to 106 seafarers from March to June 2026. The questionnaire was developed based on the Health Ecological Model and covers general information, health status, health-influencing factors, and health management needs. Multiple linear regression analysis was performed using SPSS 26.0.

Results: The total health score was 29.65 ± 3.62 (theoretical range: 2–32). Policy environment ( β = 0.602, p < 0.001) and behavioral characteristics ( β = 0.260, p = 0.015) were independent influencing factors of the total health score, with an adjusted R2 of 0.574. Further analysis revealed that the policy environment had the greatest impact on physical health ( β = 0.526, p < 0.001), while the interpersonal network was selectively associated with mental health ( β = 0.207, p = 0.030). The top three health management needs were improving onboard dietary structure (87.7%), strengthening occupational health training (35.9%), and upgrading onboard medical facilities (31.1%).

Conclusion: The overall health status of seafarers was at a relatively good level, with policy environment and behavioral characteristics being the main influencing factors. Health management should prioritize improving health security policies and onboard dietary structure, while strengthening occupational health training.

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BibTeX RIS

BibTeX

@article{wu2026healthrelated,
  title = {{Health-related factors among seafarers based on the health ecology model: a cross-sectional study}},
  author = {Dongdong Wu and Shilian Chen and Huaiyu Zheng and Xinwei Yu and Boer Yan},
  journal = {Frontiers in Public Health},
  year = {2026},
  month = oct,
  doi = {10.3389/fpubh.2026.1942282},
  url = {https://www.frontiersin.org/articles/10.3389/fpubh.2026.1942282/full},
  note = {CC BY 4.0},
}

RIS

TY  - JOUR
TI  - Health-related factors among seafarers based on the health ecology model: a cross-sectional study
AU  - Dongdong Wu
AU  - Shilian Chen
AU  - Huaiyu Zheng
AU  - Xinwei Yu
AU  - Boer Yan
PY  - 2026
DA  - 2026/10/15
JO  - Frontiers in Public Health
DO  - 10.3389/fpubh.2026.1942282
UR  - https://www.frontiersin.org/articles/10.3389/fpubh.2026.1942282/full
AB  - Objective: To explore the health status and its influencing factors among seafarers based on the Health Ecological Model, and to identify priority areas for health management.  Methods: A convenience sampling approach was used to administer a questionnaire survey to 106 seafarers from March to June 2026. The questionnaire was developed based on the Health Ecological Model and covers general information, health status, health-influencing factors, and health management needs. Multiple linear regression analysis was performed using SPSS 26.0.  Results: The total health score was 29.65 ± 3.62 (theoretical range: 2–32). Policy environment ( β = 0.602, p &lt; 0.001) and behavioral characteristics ( β = 0.260, p = 0.015) were independent influencing factors of the total health score, with an adjusted R2 of 0.574. Further analysis revealed that the policy environment had the greatest impact on physical health ( β = 0.526, p &lt; 0.001), while the interpersonal network was selectively associated with mental health ( β = 0.207, p = 0.030). The top three health management needs were improving onboard dietary structure (87.7%), strengthening occupational health training (35.9%), and upgrading onboard medical facilities (31.1%).  Conclusion: The overall health status of seafarers was at a relatively good level, with policy environment and behavioral characteristics being the main influencing factors. Health management should prioritize improving health security policies and onboard dietary structure, while strengthening occupational health training.
SN  - 2296-2565
ER  -

Abstract

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