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http://dx.doi.org/10.5668/JEHS.2017.43.6.447

Pregnant and Childbearing-age Women's Knowledge and Awareness of Human Mercury Exposure Risks in Korea  

Kim, Yu-Mi (Dong-A University College of Medicine Department of Preventive Medicine & Dong-A University Heavy Metal Exposure Environmental Health Center)
Seo, Jeong-Wook (Dong-A University College of Medicine Department of Preventive Medicine & Dong-A University Heavy Metal Exposure Environmental Health Center)
Choi, Sung-Yong (Soonchunhyang University Gumi Hospital, the Environmental Health Center for Hazardous Gas Exposure)
Woo, Kuck-Hyeun (Soonchunhyang University Gumi Hospital, the Environmental Health Center for Hazardous Gas Exposure)
Oh, Inbo (Environmental Health Center, University of Ulsan College of Medicine)
Kim, Yangho (Environmental Health Center, University of Ulsan College of Medicine)
Kim, Byoung-Gwon (Dong-A University College of Medicine Department of Preventive Medicine & Dong-A University Heavy Metal Exposure Environmental Health Center)
Hong, Young-Seoub (Dong-A University College of Medicine Department of Preventive Medicine & Dong-A University Heavy Metal Exposure Environmental Health Center)
Publication Information
Journal of Environmental Health Sciences / v.43, no.6, 2017 , pp. 447-456 More about this Journal
Abstract
Objectives: Pregnant women and those of childbearing age are a well-known sensitive population for human mercury exposure. Therefore, this study was conducted to reveal and enrich basic information for effective risk communication to reduce the adverse health effects of mercury exposure. Methods: A self-administered questionnaire survey was conducted among 432 women aged 19-44 years, recruited conveniently from three different regions (Busan, Ulsan, and Gumi City). Questionnaires were developed by referring to the existing literature and through expert meetings. They consisted of questions on knowledge and awareness of mercury exposure risks, health information literacy, and relevant information. Results: The rank of perceived mercury health risk score was 5 out of 16 environmental risk factors, and 41.7% of participants thought that even a very little mercury could lead to an adverse health effect. Although 90.3% of participants had knowledge that childbearing age women must pay attention to fish intake, only 38.9% of participants knew the national fish intake guidelines for pregnant women. Conclusions: Although risk perception and knowledge of pregnancy-specific features of mercury were relatively high, the national fish intake guidelines were still not well recognized. It could be an effective strategy to provide evidence-based and targeted information articulated by professionals using internet based communication channels.
Keywords
Mercury; risk; knowledge; awareness; perception; pregnant women;
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1 Kim DS, Ahn SC, Chung HU, Kwon YM, Choi KS. A Study on Schoolchildren’s Mercury Exposure and Related Health Effects in High Mercury Exposure Areas in Korea. J Environ Health Sci. 2015;41(4):268-276.
2 Taylor CM, Golding J, Emond AM. Lead, cadmium and mercury levels in pregnancy: the need for international consensus on levels of concern. Journal of developmental origins of health and disease. 2014;5(1):16-30.   DOI
3 United States Environmental Protection Agency. Risk Communication. Available: https://www.epa.gov/risk/risk-communication [accessed 30 August 2017]
4 Gen S. I. A Study on the Development of the Effect Verification System of Risk Communication by MFDS. Osong: Ministry of Food and Drug Safety; 2014. P. 22-23.
5 Korea Environment Institute. A Study on Establishing a Risk Communication System to Respond to Environmental Health Issues. Incheon: National Institute of Environmental Health; 2013. p. 133-142
6 Yoshida M, Mizoguchi S, Yamashita M, Nakatsuka M. Recognition of benefits of folate and feto-toxicities of mercury in Japanese pregnant women. Matern Health. 2010;50:568-574. (In Japanese)
7 You CH, Kim BG, Kim YM, Lee SA, Kim RB, Seo JW, et al. Relationship between dietary mercury intake and blood mercury level in Korea. J Korean Med Sci. 2014;29(2):176-182.   DOI
8 Taylor CM, Golding J, Emond AM. Blood mercury levels and fish consumption in pregnancy: Risks and benefits for birth outcomes in a prospective observational birth cohort. Int J Hyg Environ Health. 2016;219(6):513-520.   DOI
9 Ser PH, Watanabe C. Fish advisories in the USA and Japan: risk communication and public awareness of a common idea with different backgrounds. Asia Pac J Clin Nutr. 2012;21(4):487-494.
10 Agency for Toxic Substances and Disease Registry. ATSDR's Substance Priority List. Available: https://www.atsdr.cdc.gov/spl/index.html [accessed 30 August 2017]
11 Agency for Toxic Substances and Disease Registry (ATSDR). Toxicological Profile for Mercury; U.S. Department of Health and Human Services: Atlanta, USA, 1999.
12 UN Environment. Minamata Convention on Mercury: http://www.mercuryconvention.org/Portals/11/documents/Booklets/Minamata%20Convention%20on%20Mercury_booklet_English.pdf [accessed 30 August 2017]
13 Seo JW, Kim BG, Kim YM, Kim RB, Chung JY, Lee KM, et al. Trend of blood lead, mercury, and cadmium levels in Korean population: data analysis of the Korea National Health and Nutrition Examination Survey. Environmental monitoring and assessment. 2015;187(3):146.   DOI
14 Gundacker C, Hengstschlager M. The role of the placenta in fetal exposure to heavy metals. Wiener medizinische Wochenschrift. 2012;162(9-10):201-206.   DOI
15 Passos CJ, Mergler D, Lemire M, Fillion M, Guimaraes JR. Fish consumption and bioindicators of inorganic mercury exposure. Sci Total Environ. 2007;373(1):68-76.   DOI
16 Jin L, Zhang L, Li Z, Liu JM, Ye R, Ren A. Placental concentrations of mercury, lead, cadmium, and arsenic and Athe risk of neural tube defects in a Chinese population. Reproductive toxicology. 2013; 35:25-31.   DOI
17 Caserta D, Graziano A, Lo Monte G, Bordi G, Moscarini M. Heavy metals and placental fetal-maternal barrier: a mini-review on the major concerns. European review for medical and pharmacological sciences. 2013;17(16):2198-2206.
18 Kim YM, Chung JY, An HS, Park SY, Kim BG, Bae JW, et al. Biomonitoring of Lead, Cadmium, Total Mercury, and Methylmercury Levels in Maternal Blood and in Umbilical Cord Blood at Birth in South Korea. International journal of environmental research and public health. 2015;12(10):13482-93.   DOI
19 Seo JH, Kim BG, Kim YM, Kim RB, Chung JY, Hong YS. Lead, Mercury and Cadmium Concentration in Blood and Related Factors among Korean Preschoolers. J Environ Health Sci. 2014;40(4):279-293.
20 Wigle DT, Arbuckle TE, Turner MC, Berube A, Yang Q, Liu S, et al. Epidemiologic evidence of relationships between reproductive and child health outcomes and environmental chemical contaminants. J Toxicol Environ Health B Crit Rev. 2008; 11(5-6):373-517.   DOI
21 Cohen JT, Bellinger DC, Shaywitz BA. A quantitative analysis of prenatal methyl mercury exposure and cognitive development. American journal of preventive medicine. 2005;29(4):353-365.   DOI