Effects of an Advisory Brochure on Fish Consumption of Urban Anglers in the Great Lakes Region

A focus group study of fish consumption behaviors among Asian women in Milwaukee, Wisconsin

Consumption of locally caught fish provides health benefits but can be a route of exposure to methylmercury and other persistent environmental contaminants. Previous studies found that Asian women of childbearing age (WCBA) in the Milwaukee area have high levels of exposure through fish consumption but limited awareness of fish advisories. We conducted a focus group project to understand the influence of culture, attitudes, and beliefs on the fish consumption habits of Chinese, Hmong, and Karen WCBA who reside in the Milwaukee area to develop culturally appropriate educational materials. A total of 19 women aged 18-50 years identifying as Chinese, Hmong, or Karen were recruited. Three focus groups were held, each consisting of 6-7 participants from one ethnicity. Focus group transcripts were thematically analyzed and coded based on the integrated behavioral model. Nutritional benefits and availability were the most common reasons to eat locally caught fish. All participants were aware of risks associated with eating fish, yet few knew ways to mitigate risk and maximize benefits. Participants expressed interest in receiving health messages from trusted sources and recommended that messaging target families rather than just individuals. Participants who were confident in their self-efficacy expressed a greater likelihood of following health message guidelines. Results suggest providing culturally appropriate educational materials in preferred languages to Asian communities via local community organizations may increase self-efficacy and adherence to fish advisories. Future projects will evaluate the effectiveness of self-affirmation messaging among Asian WCBA and assess changes in fish consumption based on message content.

Assessing exposures to per- and polyfluoroalkyl substances in two populations of Great Lakes Basin fish consumers in Western New York State

BACKGROUND

Fish and other seafood are an important dietary source of per- and polyfluoroalkyl substances (PFAS) exposure in many areas of the world, and PFAS were found to be pervasive in fish from the Great Lakes area. Few studies, however, have examined the associations between Great Lakes Basin fish consumption and PFAS exposure. Many licensed anglers and Burmese refugees and immigrants residing in western New York State consume fish caught from the Great Lakes and surrounding waters, raising their risk of exposure to environmental contaminants including PFAS. The aims of this study were to: 1) present the PFAS exposure profile of the licensed anglers and Burmese refugees and 2) examine the associations between serum PFAS levels and local fish consumption.

METHODS

Licensed anglers (n = 397) and Burmese participants (n = 199) provided blood samples and completed a detailed questionnaire in 2013. We measured 12 PFAS in serum. Multiple linear regression was used to assess associations between serum PFAS concentrations and self-reported consumption of fish from Great Lakes waters.

RESULTS

Licensed anglers and Burmese participants reported consuming a median of 16 (IQR: 6-36) and 88 (IQR: 44-132) meals of locally caught fish in the year before sample collection, respectively (data for Burmese group restricted to 10 months of the year). Five PFAS were detected in almost all study participants (PFOS, PFOA, PFHxS, PFNA and PFDA; 97.5-100%). PFOS had the highest median serum concentration in licensed anglers (11.6 ng/mL) and the Burmese (35.6 ng/mL), approximately two and six times that of the U.S. general population, respectively. Serum levels of other PFAS in both groups were generally low and comparable to those in the general U.S.

POPULATION

Among licensed anglers, Great Lakes Basin fish meals over the past year were positively associated with serum PFOS (P < 0.0001), PFDA (P < 0.0001), PFHxS (P = 0.01), and PFNA (P = 0.02) and the number of years consuming locally caught fish was positively associated with serum PFOS (P = 0.01) and PFDA (P = 0.01) levels. In the Burmese group, consuming Great Lakes Basin fish more than three times a week in the past summer was positively associated with serum PFOS (P = 0.004) and PFDA (P = 0.02) among the Burmese of non-Karen ethnicity, but not among those of Karen ethnicity, suggesting potential ethnic differences in PFAS exposure.

CONCLUSIONS

Great Lakes Basin fish consumption was associated with an increase in blood concentrations of some PFAS, and especially of PFOS, among licensed anglers and Burmese refugees and immigrants in western New York State. In the Burmese population, there may be other important PFAS exposure routes related to residential history and ethnicity. Continued outreach efforts to increase fish advisory awareness and reduce exposure to contaminants are needed among these populations.

Cadmium, mercury, and selenium in muscle of the scalloped hammerhead Sphyrna lewini from the tropical Eastern Pacific: Variation with age, molar ratios and human health risk

With the aim of assessing health risk to shark consumers, cadmium, mercury, and selenium were measured in muscle of Sphyrna lewini from four coastal states (Baja California Sur, Sinaloa, Nayarit, and Colima) in western Mexico. According to length of specimens, three age modes were found: juveniles and neonates (the majority of the individuals), preadults and adults. Average concentrations (μg g^-1 dry weight) in all the studied individuals followed the order cadmium (0.06), selenium (0.94), and mercury (1.56). The mean concentrations of cadmium and mercury increased significantly (p < 0.001) with mean length of specimens. Overall, hazard quotient and hazard index values were below one so there is no health risk to consumers. According to molar ratios of Hg and Se in the edible portion (muscle) of sharks, and depending on the areas of collection, individuals from Baja California Sur might not be beneficial to consumers.

Mercury Levels and Risk Implications Through Fish Consumption on the Sinaloa Coasts (Gulf of California, Northwest Mexico)

Fish consumption is the major source of mercury to humans. Fetuses and children are the most sensitive groups of populations to the effects of mercury. Consequently, fish consumption by pregnant women, children, and women of childbearing age is of concern because of the effects of mercury exposure on human health. To assess mercury exposure in a population in northwest Mexico, the allowed daily consumption of fish (which indicates the maximum daily amount of fish that can be consumed without causing adverse noncarcinogenic effects) was calculated for the general population (GP) and fishing-related population (FRP). The studied groups for both sectors of the population were children A (3-10 years old), children B (11-15 years old), women of childbearing age (16-40 years old), and the rest of the population (men ≥16 years old, and women ≥41 years old). Mercury content in canned and frozen tuna, smoked marlin, tilapia, Pacific sierra, dolphinfish, and bullseye puffer ranged from 0.01 to 0.23 μg/g wet weight; none of the values were above the limit set by Mexico. Regarding mercury concentrations and rates of fish consumption, the GP consumes 1.7-2.7 times the allowed daily consumption, and the FRP consumes 1.6-3.9 that limit. The risk analysis showed the children A and B groups from the GP and adults of FRP to be the highest percentage of the population at risk (approximately 35%). These results highlight the need for adequate strategies that consider mercury exposure as part of public health policies associated with fish consumption in Mexico.