{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:56:02Z","timestamp":1782845762779,"version":"3.54.5"},"reference-count":19,"publisher":"Aerospace Medical Association","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["aerosp med hum perform"],"published-print":{"date-parts":[[2022,4,1]]},"abstract":"<jats:p><jats:bold>BACKGROUND:<\/jats:bold> The applicants\u2019 self-declaration of medical history is crucial for safety. Some evidence indicates that under-reporting of medical conditions exists. However, the magnitude in a population of aviation personnel has not been reported earlier.<jats:bold>METHODS:<\/jats:bold>\n A total of 9941 applicants for medical certificate\/attestation for aviation-related safety functions during the last 5 yr up to December 2019 were registered at the Civil Aviation Authority Norway. E-mail addresses were known for 9027 of these applicants, who were invited to participate in\n a web-based survey.<jats:bold>RESULTS:<\/jats:bold> Among the 1616 respondents, 726 (45%) were commercial pilots, 457 (28%) private pilots, 272 (17%) air traffic controllers, and the remaining were cabin crew or crew in aerodrome\/helicopter flight information service (AFIS or HFIS, respectively). A total\n of 108 were initial applicants. The age group 50+ constituted the largest proportion of respondents (53%). Aeromedical certification in general was believed to improve flight safety \u201cto a high\u201d or \u201cvery high extent\u201d by 64% of the respondents. A total of 188 individuals\n (12%) admitted having under-reported information related to one or more categories, including mental (3%) or physical health (4%), medications (2%), and drug use, including alcohol use (5%). Among these, 21 participants believed their own under-reporting \u201cto some\u201d or \u201cto\n a high extent\u201d affected flight safety. In total 50% of noninitial applicants reported that they knew colleagues who had under-reported information. Analyses revealed that being a commercial pilot showed a higher risk for under-reporting compared with other classes and the perception\n of aeromedical examiners in a supportive or authoritative role reduced the risk.<jats:bold>CONCLUSIONS:<\/jats:bold> Under-reporting of medical conditions could be significant in aviation. Further studies should be conducted to investigate the true extent of under-reporting and its impact on flight safety\n and what mitigating measures might be recommended.<jats:bold>Strand T-E, Lystrup N, Martinussen M. <jats:italic>Under-reporting of self-reported medical conditions in aviation: a cross-sectional survey<\/jats:italic>. Aerosp Med Hum Perform. 2022; 93(4):376\u2013383.<\/jats:bold><\/jats:p>","DOI":"10.3357\/amhp.5823.2022","type":"journal-article","created":{"date-parts":[[2022,3,31]],"date-time":"2022-03-31T04:50:46Z","timestamp":1648702246000},"page":"376-383","source":"Crossref","is-referenced-by-count":7,"title":["Under-Reporting of Self-Reported Medical Conditions in Aviation: A Cross-Sectional Survey"],"prefix":"10.3357","volume":"93","author":[{"given":"Trond-Eirik","family":"Strand","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nora","family":"Lystrup","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Martinussen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1911","reference":[{"key":"B1","doi-asserted-by":"crossref","first-page":"211","DOI":"10.2147\/JMDH.S104807","article-title":"Information bias in health research: definition, pitfalls, and adjustment methods","volume":"9","author":"Althubaiti","year":"2016","journal-title":"J Multidiscip Healthc."},{"issue":"6","key":"B2","first-page":"607","article-title":"Antiemetic and sedative levels found together in 26 civil aviation pilot fatalities, 2000-2006","volume":"79","author":"Botch","year":"2008","journal-title":"Aviat Space Environ Med."},{"key":"B3","year":"2015"},{"issue":"11","key":"B4","first-page":"1171","article-title":"Pilot medical history and medications found in post mortem specimens from aviation accidents","volume":"77","author":"Canfield","year":"2006","journal-title":"Aviat Space Environ Med."},{"issue":"7094","key":"B5","doi-asserted-by":"crossref","first-page":"1592","DOI":"10.1136\/bmj.314.7094.1592","article-title":"Role of medical factors on 1000 fatal aviation accidents: case note study","volume":"314","author":"Cullen","year":"1997","journal-title":"BMJ."},{"issue":"10","key":"B6","first-page":"1077","article-title":"In-flight medical incapacitation and impairment of airline pilots","volume":"77","author":"DeJohn","year":"2006","journal-title":"Aviat Space Environ Med."},{"key":"B7"},{"issue":"1","key":"B8","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1111\/hcre.12019","article-title":"Being honest about dishonesty: correlating self-reports and actual lying","volume":"40","author":"Halevy","year":"2014","journal-title":"Hum Commun Res."},{"issue":"1","key":"B9","doi-asserted-by":"crossref","first-page":"3527","DOI":"10.1038\/s41598-019-40072-0","article-title":"Comparison of self-reported and register-based hospital medical data on comorbidities in women","volume":"9","author":"Ho","year":"2019","journal-title":"Sci Rep."},{"key":"B10","first-page":"208","article-title":"The practicalities of fitting mental health screening into the time-limited annual medical check and the problems of confidentiality","volume-title":"Pilot mental health, assessment and support. 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