Examining the Impact of a Public Health Message on Fish Consumption in Bermuda.

BACKGROUND: In 2003 mean cord blood mercury concentrations in pregnant Bermudian women exceeded levels associated with adverse health outcomes in children. The principal mercury source was local fish species. Public health messages were developed suggesting pregnant women reduce consumption of fish species with higher mercury concentrations (e.g. swordfish), substituting species containing lower mercury concentrations, and elevated omega-3 fatty acids (e.g. anchovies). Recent evidence indicates mercury concentrations in Bermuda's pregnant women have fallen five- fold. OBJECTIVES: Assess whether changes in women's fish eating patterns during pregnancy are consistent with the public health messaging. Determine who is making changes to their diet during pregnancy and why. METHODS: Mixed methods study with a cross-sectional survey of 121 pregnant women, including 13 opened-ended interviews. Health system, social vulnerability, public health messaging, and socio-demographic variables were characterized and related to changes in fish consumption during pregnancy. Qualitative data were coded according to nutritional advice messages, comprehension of communication strategies, and sources of information. RESULTS: 95% of women surveyed encountered recommendations about fish consumption during pregnancy. 75% reported modifying fish eating behaviors because of recommendations. Principal sources of information about fish consumption in pregnancy were health care providers and the Internet. 71% of women reported reducing consumption of large fish species with greater mercury levels, but 60% reported reduced consumption of smaller, low mercury fish. No participant mentioned hearing about the benefits of fish consumption. More frequent exposure to public health messages during pregnancy was associated with lower reported consumption. Bermudian born women were less likely to reduce consumption of large fish species during pregnancy. CONCLUSIONS: In Bermuda, public health messages advocating reduced consumption of larger, higher mercury-containing fish species appear effective, but masked the nutritional value message of small fish species, with low mercury concentration. Adjustment is needed to better balance the risk communication.

Fat, fishing patterns, and health among the Bardi people of north Western Australia.

Research into the resource use strategies of the Bardi Aboriginal People of One Arm Point, Western Australia, found that they maximize the consumption of specific beneficial marine FA. The Bardi assess the relative fatness of fish and animal species in their environment, procuring fish and marine species only when they are considered to be at their fattest stage: during specific seasons; at specific physiological life stages, or through on-site evaluation. In June 1999 and September 2000, samples of fish, dugong, oyster, and turtle were collected by Bardi fishermen, focusing specifically on species considered to be high in fat content and very popular among the Bardi. Nine species were analyzed for total lipids and FA profile, which were determined by capillary GLC. Comparative lipid analysis established that the Bardi hunters' selection process between species and within species and the selection of specific fish fat deposits increase the levels of beneficial F made available to the community. Bardi fishing and hunting patterns meet a demand for fat within the community and may protect many species of fish whose spawning season is inversely related to the accumulation of the specific gut fat deposits sought by the Bardi. These fat deposits make up for the relatively low levels of fat in the flesh of tropical fish. The Bardi model provides important insights into the nature of human-environment interaction and expands our understanding of the role that warmer-water fisheries can play in human health.