A Fish Consumption Advisory to Promote Anishinabe Environmental Health Literacy

 描述(由申请人提供)：Anishinabe指的是居住在上劳伦萨五大湖的美洲原住民的奥吉布(奇佩瓦)部落。尽管它们传统上是一种渔业养殖[1]，但它们现在只消耗许多联邦机构推荐的每日鱼类摄入量的三分之一[2-4]。鱼类是omega-3多不饱和脂肪酸(PUFA-3)等营养物质的重要来源，但暴露于持久性生物累积毒素(PBTS)的风险仍然令人严重关切。自19世纪以来，阿尼西纳贝人与美国政府签署了一系列条约，放弃了他们的领土，但保留了在土地和水域上生存的权利，文化影响使这个问题变得更加复杂。这项工作解决了为1836年阿尼西纳贝人割让的领土(密歇根上半岛周围水域)的部落渔业确定最佳水产品消费建议的必要性。为了充分提高Anishinabe人的环境健康素养，必须满足两个关键需求：1)收集关于PUFA-3和PUFA-3多溴联苯的数据；2)收集关于区域食用鱼选择的数据，包括来自1836年条约水域的鱼；2)为部落成员提供个性化的文化定制建议的最佳做法。最近的工作[6、7、12][证实，相对于历史上的高污染，Anishinabe渔业的许多多溴联苯正在减少，但需要进一步调查以指导监测。在最大限度地提高营养效益的同时，减少饮食中的PBT暴露可降低患癌症、糖尿病、心脏病、代谢紊乱和儿童发育缺陷的风险[6-12，31，34]。在11年合作的基础上，该团队将与部落财团合作，填补阻碍EHL改进进展的数据空白。索尔·斯特尔。奇佩瓦印第安人的玛丽部落(由部落间渔业评估方案(ITFAP)代表)将与赠款目标合作，收集更新以前监测工作的数据。此外，该团队将为移动应用程序(APP)设计软件，以提供个性化的风险评估，其中包括鱼类物种的收益量化。与#年部落间委员会合作 密歇根(ITCM)该团队将邀请Anishinabe鱼类消费者就有效的应用程序呈现提供反馈。最后，该团队将进行一项前测/后测实验，以调查Anishinabe参与者在使用该应用程序的试点版本时，在减少PBT暴露的同时识别最有益饮食选项的能力。拟议的分析旨在确定新的通信方法的可行性和适用性。Anishinabe社区对专注于传统食物的饮食研究需求很高。未来的干预措施将改变这些社区对风险评估的看法，从一个讨厌的人变成一个有用的指南。这些创新也适用于普通公众，他们面临着减少接触环境污染物的日益压倒性的决定。

 DESCRIPTION (provided by applicant): Anishinabe refers to the Ojibwe (Chippewa) bands of Native Americans that inhabit the Upper Laurentian Great Lakes. Although they are traditionally a fishing culture [1] they now only consume one third of the daily fish intake recommended by many federal agencies [2-4]. Fish are an essential source of nutrients such as omega-3 poly-unsaturated fatty acids (PUFA-3), but the risk of exposure to persistent bioaccumulative toxics (PBTs) remains a serious concern. Cultural implications complicate the issue since the Anishinabe signed a series of treaties in the 1800s with the United States government that ceded their territories but maintained the right to subsist off the land and waters. This work addresses the need to identify best practices in fish consumption advice for the tribal fisheries i the territories ceded by the Anishinabe in 1836 (the waters surrounding the Upper Peninsula of Michigan). In order to adequately increase Environmental Health Literacy (EHL) for the Anishinabe two key needs must be addressed: 1) to gather data on PUFA-3s and PBTs on regional dietary fish options including fish from the 1836 treaty waters and 2) develop best practices for personalized culturally-tailored advice for tribal members. Recent work [6, 7, 12] [confirms that many PBTs in Anishinabe fisheries are declining relative to historically high contamination, but further investigation is needed to guide monitoring. Reducing dietary exposure to PBTs while maximizing nutritional benefits decreases the risk of cancer, diabetes, heart disease, metabolic disorders, and childhood developmental deficits [6-12, 31, 34]. Building on 11 years of collaboration, the team will work with tribal consortia to fill the data gaps preventing progress on EHL improvement. The Sault Ste. Marie Tribe of Chippewa Indians (represented by the Inter-Tribal Fisheries Assessment Program (ITFAP)) will collect data that update previous monitoring efforts in collaboration with grant objectives. In addition, the team will design software for a mobile application (app) to provide personalized risk assessments that include benefit quantifications for fish species. In collaboration with the Inter-Tribal Council of Michigan (ITCM) the team will engage Anishinabe fish consumers to provide feedback on effective app presentation. Finally, the team will conduct a pretest/posttest experiment to investigate the ability of Anishinabe participants to identify the most beneficial dietary options while reducing PBT exposures when using a pilot version of the app. The proposed analysis is meant to identify feasibility and applicability of novel communication methods. Dietary research focusing on traditional food is in high demand for Anishinabe communities. Future interventions would transform the way risk assessment is viewed in these communities from a nuisance to a helpful guide. These innovations are also applicable to the general public, who are faced with increasingly overwhelming decisions to decrease their exposure to environmental contaminants.