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

项目摘要/摘要 尽管渔民对美国经济产生了经济影响，但商业捕鱼仍未得到充分研究 它仍然是美国最危险的行业之一，死亡率是美国的29倍 高于全国平均水平。坠落和船只事故是死亡人数最多的两起事故，也是 渔民面临致命伤害。尽管有这些令人震惊的统计数据，但商业渔民是一个未被充分研究的群体， 尤其是考虑到美国的商业捕鱼、海鲜产业和休闲捕鱼 产生了2,080亿美元的销售影响，为国内生产总值贡献了97亿美元，支持了160万个完整和 兼职工作。坠落和船只灾难正在迅速增加商业企业的创伤伤害 渔民，但人们对如何将研究成果转化为影响和改进海洋政策知之甚少 和练习。非致命性伤害可能导致灾难性的职业健康后果，如损失工作时间和 工资、失业、长期残疾和心理压力。此外，致命和非致命伤害的影响 家庭生活的方方面面，包括家庭中婴儿和儿童的身心健康。 因此，迫切需要以证据为基础的研究，为改善人民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 总体而言，包括对社会和经济风险因素的关注以及对社会政策和 促进工作场所公平的政策处方。为了满足这一需求，我将进行系统的 回顾和整体民族志(例如，参与者观察、半结构访谈、照片语音)使用 用解释性政策分析研究儿童创伤增加的结构性和社会性原因 商业捕鱼者，分析这些发现并将其翻译给政策制定者和从业者。虽然 改善海运工人的工作公平无疑是困难的，但这是可能的。除了克服 以前的研究到实践和研究到政策研究的局限性，这将是第一个 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 以及联邦政策制定者。这一创新项目解决了NIOSH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.