Dellinger Matthew Jordan, Lyons Maureen, Clark Robin, Olson Jared, Pingatore Noel, Ripley Michael
Institute for Health and Society, Medical College of Wisconsin, Milwaukee, WI.
Inter Tribal Council of Michigan, Sault Ste. Marie, Michigan, USA.
J Great Lakes Res. 2019 Oct;45(5):969-975. doi: 10.1016/j.jglr.2019.07.003. Epub 2019 Aug 1.
The presence of persistent bioaccumulative toxics (PBT) in aquatic food chains complicates decision processes of people with a strong culture of fish consumption. This environmental contamination is especially problematic for Native American populations in the Laurentian Great Lakes region (Anishinaabeg). Pursuing the growing discipline of environmental health literacy (EHL) may help reduce toxic exposures, support healthy decision-making, and combat health deficits. Our goals for this research were first to improve environmental health literacy using novel technologies and second to help define environmental health literacy metrics that can be tracked over time, especially regarding culturally-contextualized health interests. We recently reported that a mobile app (Gigiigoo'inaan App) presenting personalized, culturally-contextualized fish consumption advice may improve EHL for the Anishinaabeg. Gigiigoo'inaan App safely supports desired fish consumption rates by putting local data into the hands of the Anishinaabeg. We conducted a pre-test post-test evaluation with 103 Aninishinaabe adults. Participants estimated their current fish meal consumption over a hypothetical month before exposure to the software and then planned their future consumption of fish meals in a month after using the mobile app. Significantly more monthly traditional fish meals on average (Median: 4 vs 2, p=0.0005) were selected when using the app versus pre-exposure to the app. Significantly more traditional grams of fish were also selected during use of the app relative to the pretest (Median: 680.39g vs 453.59g, p=0.0007). These increases were accompanied by widespread (97%) adherence to conventional advice that minimizes PBT exposure health effects (ATSDR minimum risk levels).
水生食物链中持久性生物累积性毒物（PBT）的存在，使有着大量鱼类消费文化的人群的决策过程变得复杂。这种环境污染对劳伦琴五大湖地区的美洲原住民（阿尼什纳比人）来说尤其成问题。致力于发展不断壮大的环境卫生素养（EHL）学科，可能有助于减少有毒物质暴露、支持健康决策并应对健康缺陷。我们这项研究的目标，一是利用新技术提高环境卫生素养，二是帮助定义可随时间追踪的环境卫生素养指标，特别是关于文化背景下的健康利益方面。我们最近报告称，一款提供个性化、文化背景下鱼类消费建议的移动应用程序（Gigiigoo'inaan应用程序）可能会提高阿尼什纳比人的环境卫生素养。Gigiigoo'inaan应用程序通过将本地数据交到阿尼什纳比人手中，安全地支持了他们期望的鱼类消费率。我们对103名阿尼什纳比成年人进行了一项前后测评估。参与者在接触该软件之前估计了他们在假设的一个月内当前的鱼餐消费量，然后在使用该移动应用程序一个月后规划了他们未来的鱼餐消费量。与接触该应用程序之前相比，使用该应用程序时平均每月选择的传统鱼餐显著更多（中位数：4比2，p = 0.0005）。与前测相比，在使用该应用程序期间选择的传统鱼类克数也显著更多（中位数：680.39克比453.59克，p = 0.0007）。这些增加伴随着对将PBT暴露健康影响降至最低的传统建议（美国毒物与疾病登记署最低风险水平）的广泛（97%）遵守。
