Promoting Healthy Seafood Choices in Asian Communities

在亚洲社区推广健康的海鲜选择

• 批准号: 9479153
• 负责人: Susan Nathalie Buchanan
• 金额: $ 52.14万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-08-01 至 2020-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9479153
• 关键词: 18 year old; Acculturation; Address; Adult; Advocate; Age; Age-Years; Asians; Atherosclerosis; Behavior; Behavioral; Benefits and Risks; Characteristics; Chicago; Chinese People; Cognitive; Communities; Community Health; Consumption; Data; Demographic Factors; Deposition; Development; Diet; Dietary Practices; Dose; Environmental Pollutants; Environmental Pollution; Epidemiology; Equilibrium; Ethnic Origin; Ethnic group; Evaluation; Exposure to; Familiarity; Federal Government; Female of child bearing age; Filipino; Fishes; Focus Groups; Goals; Guidelines; Hair; Head; Health; Health Benefit; Health behavior change; Individual; Ingestion; Intake; Intervention; Koreans; Lead; Local Government; Logic; Malignant Neoplasms; Measurement; Measures; Mercury; Methylmercury Compounds; Modeling; Myocardial Infarction; Nutrient; Omega-3 Fatty Acids; Participant; Patient Self-Report; Pilot Projects; Planning Theory; Polychlorinated Biphenyls; Population; Pregnancy; Preparation; Prevalence; Process; Program Sustainability; Public Health; Publishing; Randomized; Research; Research Personnel; Risk; Risk Factors; Sampling; Seafood; Sports; Stroke; Subgroup; Surveys; Techniques; Testing; Text Messaging; Treatment Efficacy; United States; Woman; base; behavior change; cardiovascular disorder risk; community organizations; contaminated seafood; design; fetal; high risk; high risk population; improved; member; mortality; neurodevelopment; nutrition; offspring; outreach; pollutant; prevent; primary outcome; programs; public health intervention; racial and ethnic; reproductive; secondary outcome; success; sudden cardiac death; therapy development; toxicant

 DESCRIPTION (provided by applicant): Environmental pollution in global waterways has resulted in the contamination of fish with methylmercury (MeHg) and other persistent toxicants such as polychlorinated biphenyls (PCBs). Exposure to MeHg and PCBs via ingestion of contaminated fish can lead to behavioral and cognitive abnormalities, atherosclerosis, and cancer. There is also strong evidence that fish consumption promotes improved neurodevelopment and can prevent mortality from myocardial infarctions and stroke due to omega-3 fatty acids. Asians in the United States have higher Hg levels than other racial/ethnic groups due to frequent fish consumption, but little information is available on specific fish consumption practices that result in this elevated exposure, and even less about risk for exposure to other pollutants such as PCBs. The objective of this proposal is to perform an in-depth characterization of exposure to Hg and PCBs from fish consumption in partnership with community based organizations who serve the Asian population in Chicago, and then to use these results to tailor public health messages to the identified subgroups at risk, thereby decreasing their exposure to those contaminants while maintaining or improving their consumption of healthy nutrients from fish. The top four Southeast and Pacific Rim Asian ethnic communities represented in Chicago, Chinese, Korean, Vietnamese and Filipino, are the focus of this "Research to Action" proposal. From this community, we will conduct focus groups, collect hair samples for Hg testing and survey data on fish consumption, preferred species and cuts of fish, and preparation techniques. We will purchase fish that are commonly consumed and/or that do not appear on published contaminant lists and test them for Hg and PCBs. We will evaluate the prevalence of Hg intake above 1 µg/gm, equivalent to the EPA reference dose of 0.1 µg/kg/d, by ethnicity, acculturation and demographic factors and health behavior change measures informed by the Theory of Planned Behavior. Our analysis will identify risk factors for elevated hair Hg and intake of Hg and PCBs from fish, and create group- level fish risk profiles that show subgroups of Asians who may be at risk of adverse health effects due to fish consumption. We will then develop health messaging aimed at those subgroups. An intervention of tailored text messaging for women of childbearing age will be tested using a randomized controlled cluster design with hair Hg as the primary outcome. Our community partners will design a public outreach campaign addressing healthful fish consumption, which will be carried out in the final years of the project. We will follow a logic model focused on our community engagement as we progress through the project, and we will conduct on-going process evaluation. This project will develop effective health messaging targeted to Asian communities with high risk of exposure to contaminants from fish. Use of the messaging in individual interventions and through community-wide outreach will potentially lead to decreased exposure to contaminants in fish while maintaining healthful fish consumption and improving the health of the community.

 描述（由申请人提供）：全球水道的环境污染已导致鱼类受到甲基汞 (MeHg) 和其他持久性毒物（例如多氯联苯 (PCB)）的污染，通过摄入受污染的鱼类而接触甲基汞和多氯联苯可能会导致行为异常。以及认知异常、动脉粥样硬化和癌症。还有强有力的证据表明，食用鱼类可以促进神经发育，并可以预防心肌死亡。由于经常食用鱼类，美国亚洲人的汞含量高于其他种族/族裔群体，但有关导致这种接触水平升高的具体鱼类食用习惯的信息却很少。更不用说接触 PCB 等其他污染物的风险。该提案的目的是与为芝加哥亚洲人口服务的社区组织合作，深入了解鱼类消费中汞和 PCB 的接触情况。然后到利用这些结果针对已确定的高危亚群体制定公共卫生信息，从而减少他们对这些污染物的接触，同时维持或改善他们对鱼类健康营养的消耗。以芝加哥、华人、韩国人、越南人和菲律宾人是这项“从研究到行动”提案的重点。我们将在这个社区开展焦点小组活动，收集头发样本进行汞测试，并调查鱼类消费、首选品种和鱼类切割以及准备工作的数据。我们将购买常用的鱼。和/或未出现在已公布的污染物清单中，并对其进行汞和多氯联苯检测。我们将按种族评估汞摄入量高于 1 µg/gm（相当于 EPA 参考剂量 0.1 µg/kg/d）的流行率。根据计划行为理论，我们的分析将确定头发汞含量升高以及鱼类汞和多氯联苯摄入量升高的风险因素，并创建群体水平的鱼类风险概况。显示可能因食用鱼类而面临不良健康影响的亚洲人亚群，然后我们将使用随机对照聚类设计来测试针对这些亚群的健康信息干预。我们的社区合作伙伴将设计一项针对健康鱼类消费的公共宣传活动，该活动将在项目的最后几年进行，随着我们的进展，我们将遵循以社区参与为重点的逻辑模型。该项目，我们将进行该项目将针对鱼类污染物高风险的亚洲社区制定有效的健康信息，在个人干预措施中以及通过社区范围内的宣传使用该信息将有可能减少鱼类污染物的接触。同时保持健康的鱼类消费并改善社区的健康。