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Social Determinants of Occupational Injuries Among US-Based Commercial Fishermen: A Systematic Review



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  • Personal Author:
  • Description:
    Background: Commercial fishing is a multibillion-dollar industry that supports job growth, small- to large- businesses, and port and city revenue. The commercial fishing industry continues to be one of the most dangerous in the US, with a fatality rate nearly 40 times higher than the national average. Dangers of the fishing industry are multi-faceted and include hazardous working conditions, strenuous labor, long work hours, and harsh weather. Moreover, a vast majority of fishermen suffer from economic insecurity, including safe and affordable housing and food insecurity. Methods: We followed the recommendations and standards set by the Campbell and Cochrane Equity Methods Group and the Measurement and Evidence Knowledge Network. The review covered 1992-2022 to assess the state of research and to identify new barriers of and facilitators to injury prevention among commercial fishermen using a social determinants of health lens. Results: Of 292 articles identified, 27 studies met our inclusion criteria. Out of 27 articles reviewed, social determinants of health factors included the built environment, social & community factors, economic stability, health care access, and educational attainment. A major finding was the inability for fishermen to access primary care services, which was often rooted in being a low-wage, im/migrant, or transient worker, and can further escalate injuries. A secondary finding related to injury was a feedback loop where fishermen's unsafe environments led to a culture of accepting risk and downplaying injury, which further created unsafe environments. Conclusion: Our review shows how injury is connected to social factors, such as a lack of health care access, as well as political-economic factors, such as a lack of sick leave benefits. [Description provided by NIOSH]
  • Subjects:
  • Keywords:
  • ISSN:
    1475-9276
  • Document Type:
    Text
  • Funding:
    Grant
  • Genre:
    Journal Article
  • Place as Subject:
  • CIO:
    National Institute for Occupational Safety and Health (NIOSH)
  • Topic:
    Workplace Safety & Health
  • Location:
    North America
  • Pages in Document:
    25
  • Volume:
    24
  • NIOSHTIC Number:
    nn:20070474
  • Citation:
    Int J Equity Health 2025 Jan; 24:25
  • Email:
    shannon.p.guillotwright@uth.tmc.edu
  • Federal Fiscal Year:
    2025
  • Performing Organization:
    University of Texas Medical Branch, Galveston
  • Peer Reviewed:
    True
  • Start Date:
    20210901
  • Source Full Name:
    International Journal for Equity in Health
  • End Date:
    20240831
  • Collection(s):
  • Main Document Checksum:
    urn:sha-512:69d7dfaa75636125ae9c37bf90c6454327ce6b7c487a8693f10693a87a9a2059472cbd1e4e570a4f0f3c1f01edcf3daa8e527f6507e8d019a1f022fd6701197f
  • Download URL:
  • File Type:
    Filetype[PDF - 789.29 KB ]
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