Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry (2026)

Chapter: 2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct

Previous Chapter: 1 Introduction
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 33
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 34
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 35
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 36
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 37
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 38
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 39
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 40
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 41
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 42
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 43
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 44
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 45
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 46
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 47
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 48
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 49
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 50
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 51
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 52
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 53
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 54
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 55
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 56
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 57
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 58
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 59
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 60
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 61
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 62
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 63
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 64
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 65
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 66
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 67
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 68
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 69
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 70
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 71
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 72
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 73
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 74
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 75
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 76
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 77
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 78
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 79
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 80
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 81
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 82
Suggested Citation: "2 Overview of the U.S. Commercial Maritime Industry and the Policy Context for Alcohol and Other Substance Misuse and Sexual Misconduct ." National Academies of Sciences, Engineering, and Medicine. 2026. Strengthening Alcohol Policies and Supporting Safety and Health in the Maritime Industry. Washington, DC: The National Academies Press. doi: 10.17226/29213.
Page 83
Next Chapter: 3 Mariner Alcohol and Other Substance Use, Sexual Misconduct, and Well-Being
Subscribe to Email from the National Academies
Keep up with all of the activities, publications, and events by subscribing to free updates by email.