Perceptions of opioid misuse and chronic pain: A qualitative assessment of Rhode Island commercial fishing captains

Authors

  • Travis Brown, BS
  • Paul George, MD, MHPE

DOI:

https://doi.org/10.5055/jom.2019.0494

Keywords:

commercial fishing, occupational health, opioids, chronic pain, primary care

Abstract

Objectives: To better understand how the contextual circumstances and lifestyle of commercial fishermen influence their access to healthcare and potentially contribute to the use and misuse of opioids.

Methods: The authors conducted in-person, semistructured interviews with 15 full-time fishing captains in Rhode Island between the months of May and July of 2017.

Results: The authors identified five major themes: Recurrent patterns of addiction and opiate use among crewmembers; chronic pain and injury as common constructs of life in the fishing industry; insufficient pain management resources; practical barriers to obtaining primary healthcare; and perceived lack of support from state government.

Conclusions: Rhode Island commercial fishing captains perceived opioid misuse among crewmembers, work-related chronic pain, and inadequate healthcare access as barriers to sustainability of their industry.

Author Biographies

Travis Brown, BS

Office of Medical Education, The Warren Alpert Medical School of Brown University, Providence, Rhode Island

Paul George, MD, MHPE

Office of Medical Education, The Warren Alpert Medical School of Brown University, Providence, Rhode Island

References

CDC: Commercial fishing safety: March 1, 2017. Available at https://www.cdc.gov/niosh/topics/fishing. Accessed July 6, 2017.

Marshall SW, Kucera K, Loomis D, et al.: Work-related injuries in small scale commercial fishing. Inj Prev. 2004; 10(4): 217-221.

United States Coast Guard: Analysis of fishing vessel casualties: A review of lost fishing vessels and crew fatalities, 1992-2010. December 2011. Available at https://www.dco.uscg.mil/Portals/9/DCO%20Documents/5p/CG-5PC/CG-CVC/CVC3/reports/2008_Casualty_Analysis.pdf. Accessed July 11, 2017.

Lincoln J, Lucas D: Occupational fatalities in the United States commercial fishing industry, 2000-2009. J Agromedicine. 2010; 15(4): 343-350.

NEFSC, NOAA: Overview of Point Judith. November 26, 2004. Available at https://www.nefsc.noaa.gov/coopresearch/pdfs/RI-Profile-Final-Document-11.1.11.pdf. Accessed July 6, 2017.

Hall-Arber M, Dyer C, Poggie J, et al.: Point Judith, Rhode Island commercial fishing infrastructure report. Cambridge, MA: MIT, 2004: 4. Available at http://seagrant.mit.edu/cmss/comm_mtgs/commmtgsDraftone/Pt%20JudithPIX.pdf. Accessed July 11, 2017.

NMFS, NOAA: Annual commercial landings statistics. November 26, 2004. Available at http://www.st.nmfs.noaa.gov/commercial-fisheries/commercial-landings/annual-landings/index. Accessed July 6, 2017.

National Marine Fisheries Service, Northeast Fisheries Science Center: Community profile of Point Judith, RI. 2008: 1. Available at http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.368.4420&rep=rep1&type=pdf. Accessed July 19, 2017.

New England Fisheries Management Council: Amendment 1 to the Atlantic herring fisheries management plan. June 1, 2007. Available at http://archive.nefmc.org/herring/planamen/final_a1/appendix11.pdf. Accessed July 19, 2017.

NEFSC, NOAA: Adaptations and adjustments to crisis. November 26, 2004. Available at https://dlc.dlib.indiana.edu/dlc/bitstream/handle/10535/3987/nefsc.noaa.gov.pdf?sequence=1&isAllowed=y. Accessed July 6, 2017.

CDC: Drug overdose death data. December 16, 2016. Available at https://www.cdc.gov/drugoverdose/data/statedeaths.html. Accessed July 11, 2017.

Department of Health: Drug overdose deaths. Available at http://www.health.ri.gov/data/drugoverdoses. Accessed July 11, 2017.

McGoodwin JR: Food and Agricultural Organization of the United Nations. Understanding the cultures of fishing communities: A key to fisheries management and food security. Available at http://www.fao.org/docrep/004/Y1290E/y1290e05.htm. Accessed July 19, 2017.

Windle MS, Neis B, Bornstein S, et al.: Fishing occupational health and safety: A comparison of regulatory regimes and safety outcomes in six countries. Mar Policy. 2008; 32(4): 701-710.

Borkan J: Immersion/crystallization. In Crabtree B, Miller W (eds.): Doing Qualitative Research. Thousand Oaks, CA: Sage Publications, 1999: 179-194.

Torner M, Almstrom C, Karlsson R, et al.: Working on a moving surface—A biomechanical analysis of musculoskeletal load due to ship motions in combination with work. Ergonomics. 1994; 37(2): 345-362.

Poggie JJ, Pollnac RB, Jones S: Perceptions of vessel safety regulations: A southern New England fishery. Mar Policy. 1995; 18(5): 411-418.

Pollnac RB, Poggie JJ, Cabral SL: Thresholds of danger: Perceived risk in a New England fishery. Hum Organ. 1998; 57(1): 53-59.

To combat deaths at sea, fishermen look to reversal drug Narcan [transcript]. Here & Now. National Public Radio. May 12, 2017.

Raimondo G: Rhode Island Overdose Prevention and Intervention Task Force Action Plan. 2017: 1. Available at http://www.governor.ri.gov/documents/press/051116.pdf. Accessed July 11, 2017.

Published

03/01/2019

How to Cite

Brown, BS, T., and P. George, MD, MHPE. “Perceptions of Opioid Misuse and Chronic Pain: A Qualitative Assessment of Rhode Island Commercial Fishing Captains”. Journal of Opioid Management, vol. 15, no. 2, Mar. 2019, pp. 129-35, doi:10.5055/jom.2019.0494.