Burger Joanna
Division of Life Sciences, Environmental and Occupational Health Sciences Institute, Rutgers University, 604 Allison Road, Piscataway, NJ 08854-8082, USA.
Environ Res. 2008 Sep;108(1):107-16. doi: 10.1016/j.envres.2008.05.003. Epub 2008 Jul 15.
Fish are a healthy source of protein, but the risks from consuming fish have become a national concern. Over the past 7 years, there have been a number of national advisories regarding saltwater fish. Fish consumption patterns and public knowledge about advisories and warnings have been examined for at-risk populations, but there is little information about the latter for a general population, or of temporal trends in such information acquisition. Information about the benefits and health risks of consuming fish, health warnings from the New Jersey Department of Environmental Protection and the Food and Drug Administration, belief in these warnings, and trust in different sources of information were examined in a sample of 460 people within a university community in central New Jersey in 2007. The null hypothesis of no differences in fishing, consumption, and knowledge about advisories as a function of age, gender, ethnicity, and education was tested. In 2007, only 30% of the study population fished, and 83% of the study population ate fish, either commercial or self-caught. There were differences in fishing behavior, consumption patterns, and awareness of advisories as a function of gender, ethnicity, age, and education. Most notably, nearly twice as many men as women fished, Whites fished more and Blacks and Indian/Pakistanis fished less than other ethnic groups, and people aged 23-35 fished more than did others. About 8% of fish meals were from self-caught fish, 32% were eaten in restaurants, and 60% were of fish bought in stores and cooked at home. Men ate more meals of self-caught fish than did females, and Asians ate more meals of fish in restaurants, and Blacks ate more meals of store-bought fish than other ethnic groups. The total number of fish meals consumed per month increased significantly with age. Overall, more people had heard about the benefits (92%) than the risks (78%) of fish consumption. When asked whom they trust for information about health benefits and risks from eating fish, doctors were rated the highest, followed by professors; friends and fishermen were rated the lowest. We then examined whether there were any changes from 2004 to 2007 in the knowledge of the health benefits and warnings about fish consumption, and the trustworthiness of different sources of information. In other words, have communication efforts of the state and federal agencies resulted in any appreciable increase in overall awareness of the benefits or risks of fish consumption. The greatest change in the parameters examined from 2004 to 2007 was an overall decrease in fish consumption from an average of 7.9 meals per month in 2004 to about six meals per month in 2007. This suggests that the unintended effect of some of the warnings and advisories is to decrease overall fish consumption, rather than to switch from fish species with high levels of contaminants to those with low levels.
鱼类是健康的蛋白质来源,但食用鱼类带来的风险已成为全国关注的问题。在过去7年里,发布了多项关于海水鱼的全国性建议。已针对高危人群研究了鱼类消费模式以及公众对这些建议和警告的了解情况,但对于普通人群的此类信息以及获取此类信息的时间趋势了解甚少。2007年,在新泽西州中部一个大学社区的460人的样本中,研究了食用鱼类的益处和健康风险信息、新泽西州环境保护部和食品药品管理局发布的健康警告、对这些警告的信任以及对不同信息来源的信任。对关于捕鱼、消费以及对建议的了解不存在因年龄、性别、种族和教育程度而产生差异的零假设进行了检验。2007年,研究人群中只有30%的人捕鱼,83%的人食用鱼类,包括购买的或自己捕获的。在捕鱼行为、消费模式以及对建议的认知方面,存在因性别、种族、年龄和教育程度而产生的差异。最显著的是,捕鱼的男性人数几乎是女性的两倍,白人捕鱼更多,黑人和印度/巴基斯坦裔捕鱼比其他种族群体少,23至35岁的人捕鱼比其他人更多。约8%的鱼餐来自自己捕获的鱼,32%在餐馆食用,60%是购买商店里的鱼并在家烹饪。男性食用自己捕获的鱼餐比女性多,亚洲人在餐馆食用的鱼餐更多,黑人食用商店购买的鱼餐比其他种族群体多。每月食用鱼餐的总数随年龄显著增加。总体而言,听说过食用鱼类益处(92%)的人比听说过风险(78%)的人更多。当被问及他们信任谁来获取关于食用鱼类的健康益处和风险的信息时,医生的评分最高,其次是教授;朋友和渔民的评分最低。然后我们研究了从2004年到2007年,在食用鱼类的健康益处和警告的知识以及不同信息来源的可信度方面是否有任何变化。换句话说,州和联邦机构的宣传努力是否使人们对食用鱼类的益处或风险的总体认知有了显著提高。从2004年到2007年,所研究参数的最大变化是鱼类消费总体下降,从2004年平均每月7.9餐降至2007年约每月6餐。这表明一些警告和建议产生的意外效果是减少了总体鱼类消费,而不是从污染物含量高的鱼类转向含量低的鱼类。