Examining the Physical, Mental, and Social Health Outcomes Among Commercial Fishers to Inform Policy and Practice

项目总结/摘要 尽管渔民对美国经济的经济影响，商业捕鱼是一个不足的研究 它仍然是美国最危险的行业之一，死亡率为29倍。 高于全国平均水平。福尔斯落水和船只灾难是两个最高的致命和非致命的， 渔民面临的致命伤害。尽管有这些令人震惊的统计数据，商业渔民是一个研究不足的群体， 特别是考虑到美国的商业捕鱼、海鲜业和休闲捕鱼， 产生了2080亿美元的销售影响，为国内生产总值贡献了970亿美元，并支持了160万个完整的 兼职工作福尔斯落水和船只灾难正在迅速增加商业人员的创伤性伤害， 渔民，但很少有人知道如何将研究成果转化为影响和改善海洋政策 和实践非致命性伤害可能会造成灾难性的职业健康后果，如失去工作时间， 工资、失业、长期残疾和心理压力。此外，致命和非致命伤害影响 家庭生活的所有方面，包括家中婴儿和儿童的身心健康。 因此，迫切需要进行循证研究，为改善老年人福祉的政策提供信息。 这些社区。工作公平的未来将需要一个着眼于职业健康的研究议程 从整体上看，包括注重社会和经济风险因素，并具体说明社会政策， 促进工作场所平等的政策规定。为了满足这一需求，我将进行系统的 回顾和整体民族志（即，参与者观察，半结构化访谈，photovoice）使用 进行解释性政策分析，研究造成创伤性伤害增加的结构和社会原因， 商业渔民，分析并将这些调查结果转化为政策制定者和从业人员。虽然 改善海事工人的工作公平无疑是困难的，但这是可能的。除了克服 由于以往研究实践和研究政策研究的局限性，这将是第一次研究， 严格评估墨西哥湾沿岸商业渔民的健康结果，并将结果转化为国家 和联邦政策制定者。这个创新项目解决了NIOSH的优先目标（6.1H），并最终将 减少致命和非致命伤害，改善商业渔民的生活。

PROJECT SUMMARY/ABSTRACT Despite the economic impact fishers have on the US economy, commercial fishing is an understudied population and continues to be one of the most dangerous industries in the US, with a fatality rate 29 times higher than the national average. Falls overboard and vessel disasters are two of the highest fatal and non- fatal injuries fishers face. Despite these alarming statistics, commercial fishers are an understudied population, especially when considering that US commercial fishing, the seafood industry, and recreational fishing generated $208 billion in sales impacts, contributed $97 billion to the GDP, and supported 1.6 million full and part time jobs. Falls overboard and vessel disasters are rapidly increasing traumatic injuries for commercial fishers, yet little is known about how to translate research findings to influence and improve maritime policy and practice. Non-fatal injuries can have disastrous occupational health outcomes such as lost work time and wages, unemployment, long-term disability, and psychological stress. Further, fatal and non-fatal injuries effect all aspects of family life, including the physical and mental health of infants and children in the household. Thus, there is a critical need for evidence-based research that informs policies to improve the well-being of these communities. The future of work equity will demand a research agenda that looks at occupational health holistically, including a focus on social and economic risk factors and a specification of social policies and policy prescriptions to promote equity in the workplace. To address this need, I will conduct a systematic review and holistic ethnography (i.e., participant observation, semi-structured interviews, photovoice) using interpretive policy analysis to study the structural and social causes for increased traumatic injuries for commercial fishers, analyzing and translating those findings to policymakers and practitioners. Although improving work equity for maritime workers is decidedly difficult, it is possible. In addition to overcoming limitations of previous research-to-practice and research-to-policy studies, this will be among the first study to rigorously evaluate the health outcomes of Gulf Coast commercial fishers and translate the findings for state and federal policymakers. This innovative project addresses a NIOSH priority goal (6.1H) and will ultimately result in reduced fatal and non-fatal injuries and improve lives for commercial fishers.