The health of commercial fishers in England and Wales: Analysis of the 2011 census

Abstract Studies of commercial fishing have shown that it is a hazardous occupation with high rates of injury and fatal accidents. Research has also identified a range of other health risks faced by fishers, yet the general health outcomes of fishers have not been compared to those of workers in other industries. This study aimed to assess self-reported health outcomes among workers in the fishing industry, and to compare this to those working in other industries. Drawing on 2011 census data for England and Wales we used generalised linear models to compare self-reported measures of 1) general health and 2) limiting long-term illness across industry categories, calculating odds ratios adjusted for age, geographic region and socio-economic profile of local authorities. Of the population working in 87 industry classes, those in category ‘03 Fishing and aquaculture’ had the fifth highest rate of poor general health (2.8% reported ‘bad’ or ‘very bad’ health) and the sixth highest rate of reporting limiting long-term illness (10.3% reported their activities to be limited ‘a lot’ or ‘a little’). Odds ratios adjusted for age, geographic region and socio-economic profile of local authorities showed that only two other industries demonstrated statistical evidence for higher odds of poor general health or limiting long-term illness than workers in fishing and aquaculture. This study demonstrates that fishing is among the industries with the poorest general health and limiting long-term illness outcomes in the UK, demonstrating the need for tailored occupational health services to support UK fishing communities.