Department of Nutrition, School of Public Health, Harvard University, Boston, MA, United States.
Department of Environmental Health, School of Public Health, Harvard University, Boston, MA, United States.
Front Public Health. 2024 Jul 15;12:1366110. doi: 10.3389/fpubh.2024.1366110. eCollection 2024.
The Health Impacts of Artificial Reef Advancement (HIARA; in the Malagasy language, "together") study cohort was set up in December 2022 to assess the economic and nutritional importance of seafood for the coastal Malagasy population living along the Bay of Ranobe in southwestern Madagascar. Over the course of the research, which will continue until at least 2026, the primary question we seek to answer is whether the creation of artificial coral reefs can rehabilitate fish biomass, increase fish catch, and positively influence fisher livelihoods, community nutrition, and mental health. Through prospective, longitudinal monitoring of the ecological and social systems of Bay of Ranobe, we aim to understand the influence of seasonal and long-term shifts in marine ecological resources and their benefits to human livelihoods and health. Fourteen communities (12 coastal and two inland) were enrolled into the study including 450 households across both the coastal ( = 360 households) and inland ( = 90 households) ecosystems. In the ecological component, we quantify the extent and health of coral reef ecosystems and collect data on the diversity and abundance of fisheries resources. In the social component, we collect data on the diets, resource acquisition strategies, fisheries and agricultural practices, and other social, demographic and economic indicators, repeated every 3 months. At these visits, clinical measures are collected including anthropometric measures, blood pressure, and mental health diagnostic screening. By analyzing changes in fish catch and consumption arising from varying distances to artificial reef construction and associated impacts on fish biomass, our cohort study could provide valuable insights into the public health impacts of artificial coral reef construction on local populations. Specifically, we aim to assess the impact of changes in fish catch (caused by artificial reefs) on various health outcomes, such as stunting, underweight, wasting, nutrient intake, hypertension, anxiety, and depression.
“人工珊瑚礁推进的健康影响（HIARA；在马达加斯加语中是“一起”的意思）”研究队列于 2022 年 12 月成立，旨在评估海鲜对生活在马达加斯加西南部拉诺贝湾沿岸的沿海马达加斯加人口的经济和营养重要性。在研究过程中，我们将继续进行，至少持续到 2026 年，我们主要关注的问题是人工珊瑚礁的创建是否可以恢复鱼类生物量，增加鱼类捕获量，并对渔民生计、社区营养和心理健康产生积极影响。通过对拉诺贝湾生态和社会系统的前瞻性、纵向监测，我们旨在了解海洋生态资源的季节性和长期变化及其对人类生计和健康的影响。该研究纳入了 14 个社区（12 个沿海社区和 2 个内陆社区），包括沿海（ = 360 户家庭）和内陆（ = 90 户家庭）生态系统的 450 户家庭。在生态部分，我们量化珊瑚礁生态系统的范围和健康状况，并收集渔业资源多样性和丰度的数据。在社会部分，我们收集饮食、资源获取策略、渔业和农业实践以及其他社会、人口和经济指标的数据，每 3 个月重复一次。在这些访问中，我们收集临床测量数据，包括人体测量学测量、血压和心理健康诊断筛查。通过分析人工珊瑚礁建设的不同距离对鱼类捕获量和消费的影响及其对鱼类生物量的影响，我们的队列研究可以为人工珊瑚礁建设对当地人口的公共卫生影响提供有价值的见解。具体而言，我们旨在评估鱼类捕获量变化（由人工珊瑚礁引起）对各种健康结果的影响，如发育迟缓、体重不足、消瘦、营养摄入、高血压、焦虑和抑郁。
