In the Wheelhouse: Empowering fishermen through community partnerships to improve health and safety

摘要 该提案的长期目标是制定基于证据的战略， 在经济动荡时期实施，以支持商业渔业工人的健康和安全， 工作场所的快速变化。我们的总体研究目标是更好地了解行业波动如何影响 渔民的健康和安全，并制定一个模板， 制定有针对性的渔业工人福利方案。我们的具体目标包括：#1）了解影响 行业波动对渔民健康的影响，#2）启动社区/医院合作伙伴关系， 行业波动的影响，#3）评估合作伙伴关系对医疗保健服务的影响， 健康，#4）传播调查结果，以确保翻译和可持续性，以其他风险社区。 提出这一建议的理由是，虽然相当多的干预努力集中在减少死亡上， 由于渔业中的有害生物和创伤性伤害，很少有干预措施承认工业的累积效应， 波动性和获得保健对渔业工人的安全和福祉的影响。这一建议符合一个新兴的和 渔业的迫切需要。 预期成果包括收集健康数据和渔民对工业影响的反馈 对工人福利的影响。我们还将测试社区/医院伙伴关系的潜力， 影响商业渔业健康和获得护理的机会。鉴于渔民面临的独特而复杂的障碍 面对支持他们的健康和福祉，重要的是要制定解决方案，不仅增加 渔民获得保健服务和资源的机会，以及他们利用这些资源的意愿。 诺拉目标：本提案涉及以下诺拉农业、林业和渔业目标： 01减少商业捕鱼部门致命和非致命伤害的风险（通过改善工人健康）; FI-02减少商业捕鱼分部门工人因工患病的风险（通过改善 增加安全和健康数据的网格化、信息共享和协作， 渔业分部门工人的渔业安全研究员（通过建立社区/医院 FI-04减少渔业分部门弱势工人群体的伤害和疾病 （东北部龙虾和潮间带渔民应对因禁渔而造成的财政压力）。

ABSTRACT The long-term goal of this proposal is to develop evidence-based strategies that coastal communities can implement to support the health and safety of commercial fisheries workers in times of economic volatility and rapid workplace changes. Our overall research objective is to better understand how industry volatility affects fishermen’s health and safety and to develop a template for empowering and assisting communities in the creation of tailored fisheries worker wellbeing programs. Our specific aims include: #1) Understand the Impact of Industry Volatility on Fishermen’s Health, #2) Launch a Community / Hospital Partnership That Ameliorates the Effects of Industry Volatility, #3) Evaluate the Impact of the Partnership on Healthcare Access and Wellbeing, #4) Disseminate Findings to Ensure Translation and Sustainability to Other At-Risk Communities. The rationale for this proposal is that while considerable interventional efforts have focused on reducing death and traumatic injury in fisheries, few interventions have acknowledged the cumulative effect of industry volatility and access to care on fisheries worker safety and wellbeing. This proposal meets an emerging and imperative need in the fishing industry. Expected outcomes include the collection of health data and feedback from fishermen on the impact of industry volatility on worker wellbeing. We will also test the potential of community / hospital partnerships for positively impacting commercial fisheries health and access to care. Given the unique and complex barriers fishermen face in supporting their health and wellbeing, it is important to develop solutions that not only increase fishermen’s access to healthcare services and resources, but also their willingness to utilize these resources. NORA Goals: This proposal addresses the following NORA Agriculture, Forestry, and Fishing objectives: FI- 01 Reduce the risk of fatal and non-fatal injuries in the commercial fishing sector (by improving worker health); FI-02 Reduce the risk of work-related illness to workers in the commercial fishing sub-sector (by improving worker health); FI-03 Increase safety and health data meshing, information sharing, and collaboration among fishing safety researchers for workers in the fishing sub-sector (by establishing a community / hospital partnership); FI-04 Reduce injuries and Illness in the vulnerable worker populations in the fishing sub-sector (NEast lobster and intertidal fishermen dealing with financial stressors resulting from fishing closures).