Environmental health literacy for Anishinaabe (Great Lakes Native American) fish consumers: A randomized control trial.
Environmental health literacy for Anishinaabe (Great Lakes Native American) fish consumers: A randomized control trial.
复制标题
Anishinaabe（五大湖美洲原住民）鱼类消费者的环境健康素养：一项随机对照试验。
DOI：
10.1016/j.envres.2022.113335
复制
发表时间：
2022
影响因子：
8.3
通讯作者：
Ripley,Michael
中科院分区：
文献类型：
--
作者：
Dellinger,MatthewJ;Pingatore,Noel;Chelius,Thomas;Visotcky,Alexis;Sparapani,Rodney;Ripley,Michael
背景鱼类消费构成了Anishinaabe（五大湖美洲土著）所谓的“minobimaadiziiwin“的重要组成部分，其大致翻译为“以良好的方式生活”。工业活动导致鱼类体内持久性污染物的积累，破坏了生物多样性。我们的学术团队和Anishinaabe科学家共同开发了一个鱼消费咨询Anishinaabe使用的软件，可以通过移动的手机和/或互联网访问。ObjectivesThe软件，Gigiigoo'inaan（“我们的鱼”）旨在提高环境健康素养使用文化一致的消息和美学。我们测试了以下假设：1）Gigiigoo'inaan将鼓励食用富含多不饱和欧米茄-3脂肪酸（PFUA-3）的鱼类，同时最大限度地减少污染物的摄入（甲基汞和多氯联苯）;和2）干预参与者比对照组更有可能实现有利的n-3 PUFA/MeHg消耗比率。方法我们进行了一项随机对照试验，前瞻性自我-使用自动电子邮件调查报告鱼类消费量。在一个月前和一个月后，控制和干预结果变量计算每个参与者的甲基汞微克/公斤/天，多氯联苯微克/公斤/天，鱼克，和EPA+DHA毫克/天。这些模型使用协方差分析（ANCOVA）与先验协变量：年龄，性别和部落affiliation.ResultsMost参与者在两个试验组报告吃相对升高的鱼量，但仍在污染物的咨询准则。EPA+DHA：甲基汞的比例也有利于大多数参与者。在研究中，相对较少的参与者超过了污染物的建议限值。DiscussionGigiigoo'inaan以前曾被报道增加了信心，目前的用户反馈证实了这一点。大多数参与者吃鱼，但没有超过建议的限制，这表明该地区的环境健康素养的进展，尽管在试验期间缺乏观察到的行为变化。少数参与者超过了污染物摄入量指南，这与本研究的试点工作相匹配。
BackgroundFish consumption comprises an important part of what the Anishinaabe (Great Lakes Native Americans) call“minobimaadiziiwin”which translates roughly to “living in a good way”. Industrial activity leading to the accumulation of persistent contaminants in fish disruptsminobimaadiziiwin. Our team of academic and Anishinaabe scientists co-developed a fish consumption advisory for the Anishinaabe using software that can be accessed via mobile phones and/or the internet.ObjectivesThe software, Gigiigoo’inaan (“our fish”) is designed to improve environmental health literacy using culturally congruent messaging and aesthetics. We tested the following hypotheses: 1) the Gigiigoo’inaan would encourage consumption of fish high in Polyunsaturated Omega-3 fatty acids (PFUA-3) whilst minimizing contaminant intake (methylmercury (MeHg) and Polychorinated Biphenyls (PCBs)); and 2) intervention participants will be more likely than controls to achieve a favorable n-3 PUFA/MeHg consumption ratios.MethodsWe conducted a randomized controlled trial with prospective self-reported fish consumption using automated email surveys. One-month pre and one month post, control and intervention outcome variables were calculated per participant as µg/kg/day of MeHg, µg/kg/day of PCB, g of fish, and mg/day of EPA+DHA. These were modeled using an analysis of covariance (ANCOVA) with a-priori covariates: age, sex, and tribal affiliation.ResultsMost participants in both trial arms reported eating relatively elevated amounts of fish yet remained within advisory guidelines for contaminants. EPA+DHA:MeHg ratios were also favorable in most participants. Advisory limits for contaminants were exceeded by relatively few participants in the study.DiscussionGigiigoo’inaan was previously reported to increase confidence, the current user feedback confirms this. Most participants ate fish but did not exceed the advisory limits, which demonstrates Environmental Health Literacy progress in the region despite a lack of observed behavior change during the trial. A small number of participants exceeded contaminant intake guidelines which matches the pilot work for this study.