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（由适用提供）：全球水道中的环境污染导致甲基汞（MEHG）和其他持续有毒物质（如多氯联苯（PCB））污染鱼类。通过摄入受污染的鱼类暴露于MEHG和PCB会导致行为和认知异常，动脉粥样硬化和癌症。也有强有力的证据表明，鱼类消耗会促进神经发育的改善，并可以防止因欧米茄3脂肪酸引起的心肌梗塞和中风死亡。由于经常食用鱼类，美国的亚洲人的HG水平高于其他种族/种族群体，但几乎没有有关特定的鱼类消费习惯的信息，导致这种暴露率升高，甚至更少关于暴露于其他污染物（例如PCB）的风险。该提案的目的是在与社区基于社区的组织合作的汞和PCB进行深入表征，这些组织与为芝加哥的亚洲人口服务的组织合作，然后使用这些结果将公共卫生信息定制为处于风险的识别亚组，从而减少这些污染物的污染物，同时维持其饮食量，从而使他们的摄入量从健康的摄入量中降低。在芝加哥，中国，韩国，越南和菲律宾代表的东南部和太平洋亚洲族裔社区是这项“行动研究”提议的重点。在这个社区中，我们将举办焦点小组，收集有关鱼类消耗的HG测试和调查数据，首选鱼类和割草的头发样品以及制备技术。我们将购买通常食用的鱼类和/或不出现在已发表的污染物清单上的鱼，并测试它们是否有汞和PCB。我们将通过种族，培养和人口统计学因素以及由计划行为理论所告知的，与EPA参考剂量相当于0.1 µg/kg/d的EPA参考剂量，评估HG摄入率的患病率。我们的分析将确定头发升高的危险因素，并从鱼类中摄入HG和PCB，并创建群体水平的鱼类风险概况，这些风险表现出亚洲人的亚组，这些亚洲人可能因食用鱼类而受到不良健康影响的风险。然后，我们将开发针对这些亚组的健康消息传递。将使用带有头发HG作为主要结果的随机控制群集设计来测试针对生育年龄妇女的量身定制文本消息的干预措施。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外展活动，该活动将在该项目的最后几年进行。我们将遵循一个逻辑模型，该模型着重于我们的社区参与，随着我们通过该项目进行，我们将进行持续的流程评估。该项目将开发出针对亚洲社区的有效健康消息传递，该社区暴露于FISH的污染物中。在个人干预措施和通过社区范围内的宣传中使用消息传递可能会导致鱼类中对鱼类污染物的暴露量减少，同时维持健康的鱼类消耗并改善社区的健康状况。