{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T09:45:41Z","timestamp":1785231941854,"version":"3.55.0"},"reference-count":47,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2014,11,18]],"date-time":"2014-11-18T00:00:00Z","timestamp":1416268800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Objectives: A systematic overview of time trends in hospital contacts among Danish seafarers and fishermen by job title and analyses on skin and infectious diseases. Methods: Occupational cohorts with hospital contacts 1994\u20131998 and 1999\u20132003. Standardized hospital contact ratios (SHCR) were estimated using national rates and ranked by SHCR size. Results: For non-officers in 1994\u20131998, infectious diseases had the highest SHCR, followed by neoplastic and endocrinal diseases; in 1999\u20132003 skin diseases were followed by endocrinal and gastrointestinal diseases. For fishermen in 1994\u20131998, nervous system, gastrointestinal, and skin diseases had the highest SHCRs; in 1999\u20132003 it was nervous system, skin, and lymphohematopoietic diseases. As for skin diseases,  male fishermen and non-officer seamen generally had increased SHCRs, but engine room personnel specifically had a low SHCR for eczema (eight cases). Fishermen had high SHCRs for tuberculosis in both time periods (six and nine cases, respectively). Non-officer seamen on cargo ships had increased SHCRs for HIV in both time periods and for hepatitis in 1994\u20131999. Extending the follow-up until 2000 or 2005 showed similar results. Conclusions: Surveillance of seamen\u2019s health gives useful information. The elevated SHCR for HIV infection among non-officers has not declined despite preventive information campaigns. Tuberculosis among fishermen may be due to infection on shore. Skin diseases had very high SHCRs, not due to cutaneous oil exposure.<\/jats:p>","DOI":"10.3390\/ijerph111111931","type":"journal-article","created":{"date-parts":[[2014,11,18]],"date-time":"2014-11-18T11:39:36Z","timestamp":1416310776000},"page":"11931-11949","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Surveillance of Hospital Contacts among Danish Seafarers  and Fishermen with Focus on Skin and Infectious  Diseases\u2014A Population-Based Cohort Study"],"prefix":"10.3390","volume":"11","author":[{"given":"Linda","family":"Kaerlev","sequence":"first","affiliation":[{"name":"Research Unit of Clinical Epidemiology, Institute of Clinical Research, University of Southern Denmark, Odense 5000, Denmark"},{"name":"Center for Clinical Epidemiology, Odense University Hospital, Odense 5000, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anker","family":"Jensen","sequence":"additional","affiliation":[{"name":"Department of Occupational Health, Hospital of South Western Jutland, Esbjerg 6700, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harald","family":"Hannerz","sequence":"additional","affiliation":[{"name":"National Institute of Occupational Health, Copenhagen 2100, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2014,11,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1237","DOI":"10.1093\/ije\/25.6.1237","article-title":"Influence of occupational accidents and deaths related to lifestyle on mortality among merchant seafarers","volume":"25","author":"Hansen","year":"1996","journal-title":"Int. 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