United States Environmental Protection Agency Office of Water, Office of Science and Technology Washington, DC 20460 EPA/820-R-10-013 August 2010 Survey on the Awareness and Effectiveness of the Mississippi Delta Fish Consumption Advisory DELTA FISH ADVI8 DO NOT EAT ANY BUFFALO FISH FROM ROE BUFFALO cftRP 0«... DO NOT EAT MORE THAN TWO MEALS PER MONTH OF TH MISSISSIPPI DEPARTMENT OP ENVIRONMENTAL QUAL For more information call toll free - 1-888-786-0661 MISSISSIPPI DEPARTMENT OF ENVIRONMENTAL QUALITY ------- [This page intentionally left blank.] ------- Survey on the Awareness and Effectiveness of the Mississippi Delta Fish Consumption Advisory Office of Water, Office of Science and Technology U.S. Environmental Protection Agency 1200 Pennsylvania Avenue, NW Washington, DC 20460 ------- [This page intentionally left blank.] ------- ACKNOWLEDGMENTS The U.S. Environmental Protection Agency Work Assignment Manager for this project was Jeffrey Bigler, who provided general oversight for the project and served as co-chair of the study workgroup. Henry Folmar, Advisory Program Manager from the Mississippi Department of Environmental Quality, served as co-chair of the workgroup. Amy Lando from the U.S. Food and Drug Administration provided technical review of the survey instrument, data collection protocols, and analysis procedures. Emaly Simone of RTI International was the Work Assignment Leader responsible for the overall technical quality and management of the project. We thank Garry Lucas and Nathan Ay cock from the Mississippi Department of Wildlife, Fisheries, and Parks for their assistance in identifying and providing directions to Mississippi Delta waterbodies. We especially want to thank all of the individuals from the Mississippi Delta who gave their time to participate in the cognitive interviews, pretest interviews, and household and on-the-bank surveys. in ------- [This page intentionally left blank.] ------- CONTENTS Section Page Executive Summary 1 1. Introduction 1-1 1.1 Background 1-1 1.2 Purpose and Objectives 1-5 1.3 EPA Workgroup 1-6 1.4 Report Organization 1-6 2. Survey Instrument Development and Testing Procedures 2-1 2.1 Survey Instrument Design 2-1 2.2 Cognitive Interviews 2-2 2.3 Pretest 2-3 3. Sample Design 3-1 3.1 On-the-Bank Survey 3-1 3.1.1 Frame 3-1 3.1.2 Sample Selection 3-2 3.2 Household Survey 3-2 3.2.1 Target Population and the Address-Based Sampling Frame 3-2 3.2.2 Sample Allocation and Selection 3-4 4. Survey Administration Procedures 4-1 4.1 Interviewer Training 4-1 4.2 Data Collection Procedures for the On-the-Bank Survey 4-1 4.3 Data Collection Procedures for the Household Survey 4-2 ------- 4.4 Survey Response 4-3 5. Data Processing and Analysis Procedures 5-1 5.1 Data Processing Procedures 5-1 5.2 Weighting Procedures 5-1 5.3 Analysis Procedures 5-2 6. Survey Results 6-1 6.1 Characteristics of Respondents 6-1 6.2 Changes in Fish Consumption as a Result of the Delta Fish Advisory 6-10 6.3 Changes in Other Behaviors as a Result of the Delta Fish Advisory 6-15 7. Conclusion 7-1 8. References 8-1 Appendixes A: Maps of the Four Counties included in the Survey A-l B: Final Survey Instrument B-l C: Survey Materials C-l D: Weighting Procedures D-l E: Weighted Survey Responses E-l VI ------- LIST OF FIGURES Number Page 1-1. Areas Covered by the Mississippi Delta Fish Consumption Advisory 1-4 1-2. Poster Used in the Mississippi Delta Fish Consumption Advisory Outreach Campaign 1-5 2-1. Methodology Used to Develop the Survey Instrument 2-1 6-1. Awareness of Warnings/Advisories about Eating Wild-Caught Fish from the Mississippi Delta by Subpopulation 6-4 6-2. Level of Knowledge about the Delta Fish Advisory among Those Aware by Subpopulation 6-6 6-3. Awareness of Delta Fish Advisory from Each Information Source (Unaided Awareness) 6-7 6-4. Awareness of Delta Fish Advisory from Each Information Source (Aided Awareness) 6-8 6-5. Preferred Information Sources for Receiving Fish Advisory Information by Respondent Type 6-11 6-6. Reported Consumption of Fish Identified in the Delta Fish Advisory by Aware vs. Unaware of the Advisory 6-12 6-7. Self-Reported Adherence to the Delta Fish Advisory Recommendations by Subpopulation 6-16 6-8. Level of Difficulty for Limiting Consumption of Fish Species in the Delta Fish Advisory 6-17 6-9. Self-Reported Changes in Fishing Practices Since Learning about the Delta Fish Advisory by Subpopulation: No Changes Made 6-18 6-10. Self-Reported Changes in Fishing Practices Since Learning about the Delta Fish Advisory by Subpopulation: Fish Less Often 6-19 6-11. Self-Reported Changes in Fishing Practices Since Learning about the Delta Fish Advisory by Subpopulation: Fish in Different Places 6-20 6-12. Self-Reported Changes in Fishing Practices Since Learning about the Delta Fish Advisory by Subpopulation: Fish for Different Types of Fish 6-21 6-13. Self-Reported Changes in Fish Consumption Practices Since Learning about the Delta Fish Advisory 6-23 6-14. Self-Reported Changes in Size of Fish Consumed Since Learning about the Delta Fish Advisory 6-24 6-15. Self-Reported Changes in Fish Preparation and Cooking Practices Since Learning About the Delta Fish Advisory 6-24 6-16. Self-Reported Changes in Fish Preparation Practices for Children under the Age of 7 Since Learning about the Delta Fish Advisory 6-25 vn ------- LIST OF TABLES Number Page 2-1. EPA Mississippi Delta Fish Advisory Survey Workgroup Members 1-7 2-2. Types of Information Collected in the Mississippi Delta Fish Advisory Survey 2-2 3-1. Waterbodies Sampled Using the On-the-Bank Survey 3-3 3-2. Household Survey Sampling Frame and Sample Distribution by County and Income Strata 3-5 4-1. Disposition Summary for the On-the-Bank and Household Surveys 4-5 6-1. Demographic Characteristics of Survey Respondents 6-2 6-2. Consumption Frequency for Fish Identified in the Advisory by Aware vs. Unaware of the Advisory (Questions 9-13) 6-13 Vlll ------- EXECUTIVE SUMMARY The U.S. Environmental Protection Agency (EPA), Office of Water, Office of Science and Technology designed and conducted a survey for assessing the awareness and effectiveness of the Mississippi Delta Fish Consumption Advisory issued by the Mississippi Department of Environmental Quality (MDEQ) in 2001. The recommended study design for the survey is detailed in a previous report (U.S. EPA, 2007). This report describes the data collection and analysis procedures for the survey and presents the survey findings. The state-issued Mississippi Delta advisory recommends that people should not eat more than two meals a month of wild-caught buffalo fish, carp, gar, and large catfish (> 22 inches) and should not eat any buffalo fish from Roebuck Lake (located in Leflore County). MDEQ initiated an extensive outreach campaign in 2001 to promote awareness of the advisory by conducting a public media campaign, distributing letters and posters to stores, posting signs at fishing access points, and mailing letters and brochures to churches in the Delta area. MDEQ is still implementing some aspects of the risk communication outreach campaign, including publishing advisories in the Mississippi Department of Wildlife, Fisheries and Parks' (MDWFP's) regulations brochure, posting information on the MDEQ Web site, and maintaining signs at boat ramps and fishing areas. The study used two types of surveys to collect data to evaluate awareness and effectiveness of the Mississippi Delta fish advisory: (1) an on-the-bank intercept survey to collect data from anglers at waterbodies included in the advisory, and (2) a household survey to collect data from anglers and households who consume wild-caught fish from the Mississippi Delta. The two types of surveys were conducted in four counties in the Mississippi Delta: Coahoma, Holmes, Leflore, and Washington. Only the part of Holmes County that is within the advisory area was included in the survey. An on-the-bank intercept survey greatly increases the likelihood of reaching anglers in the advisory area, and a household survey provides coverage of nonanglers who consume wild-caught fish. Combining the results of the two surveys allows inferences to be made for the four-county area. A total of 1,017 interviews were completed: 413 on-the-bank interviews and 604 household interviews. The response rate was 95 percent for the on-the-bank survey and 85 percent for the household survey. The key findings from the survey are summarized below. ES-1 ------- Twenty-eight percent of all respondents and 46% of anglers reported being aware of a warning or advisory about eating wild-caught fish from the Mississippi Delta. The level of awareness of the fish advisory varied for the different subpopulations examined in the study, suggesting that the advisory may reach some populations more effectively than others. Seven percent of respondents aware of the advisory correctly described the advisory recommendations and another 44 percent had some knowledge of the advisory (e.g., could name the fish species in the advisory). Most respondents had heard about the advisory from signs posted at affected waterbodies (49 percent for aided awareness) and through media such as television news or talk shows (43 percent) or radio news or talk shows (15percent). Few respondents learned about the advisory from the MDEQ brochure (16 percent), the MDEQ toll-free help-line (17 percent), or the Internet (9 percent). For respondents who used these information sources, most reported finding them very useful. Consumption of the fish species identified in the advisory was not widespread. Few respondents reported that their households eat carp (5 percent) or gar (6 percent), and less than a third of respondents reported that their households eat wild-caught large catfish (>22 inches) (26 percent) or buffalo fish (31 percent). Few respondents exceeded the advisory recommendations of two meals per month of carp, gar, large catfish, and buffalo fish. Ten percent of respondents who consume wild-caught fish from the Mississippi Delta consumed more than the advisory recommendations during the past year. No respondents reported consuming buffalo fish from Roebuck Lake, although 19 percent did not know the source of the buffalo fish they consumed. Respondents reported limited changes in fishing practices since learning about the advisory. Changes respondents made in their fishing practices included fishing for different types offish (20 percent of respondents), fishing less often (15 percent), and fishing at different locations or waterbodies (13 percent). Sixty-seven percent of respondents did not make any changes in their fishing practices as a result of the advisory. This may be because they were already following the advisory recommendations or do not fish for or eat the fish included in the advisory. Respondents reported some changes in fish consumption practices since learning about the advisory. Since learning about the advisory, 33 percent of buffalo fish consumers reported that they stopped eating buffalo fish, and 54 percent reported eating less buffalo fish. ES-2 ------- Since learning about the advisory, 52 percent of large catfish (> 22 inches) consumers reported that they stopped eating large catfish, and 33 percent reported eating less large catfish. Few respondents ate carp or gar before the advisory. Respondents reported limited changes in fish preparation and cooking practices since learning about the advisory. Six percent of respondents reported changing how they prepare or cook fish as a result of the fish advisory. The most common change reported was frying fish less often or using a different cooking method than frying, such as broiling, baking, or grilling. The outreach campaign informed anglers about the fish advisory and resulted in some behavior changes. The outreach campaign implemented by MDEQ in 2001 initially used a variety of mechanisms to inform people about the fish advisory, including sign postings, brochures, and the mass media. Currently, outreach is limited to publishing advisories in the MDWFP regulations brochure, posting information on the MDEQ Web site, and maintaining signs at boat ramps and fishing areas. The survey results suggest that the campaign has increased awareness of the advisory. Forty-six percent of the anglers in the four country area surveyed were aware of the Delta advisory, with lower awareness (18 percent) among nonanglers who consume wild-caught fish from the Mississippi Delta. Among all respondents, awareness of the advisory was 28 percent. The survey results suggest that MDEQ's outreach campaign is more effective at reaching anglers than nonanglers with information on the advisory; this may be due in part to the signs posted at boat ramps and fishing areas and to a smaller extent to the MDWFP fishing regulations brochure that is distributed to all licensed anglers, although 49 percent of anglers in this study did not have a current fishing license. The survey results suggest that some respondents (33-54 percent) stopped eating or ate less wild-caught large catfish (>22 inches) or buffalo fish since learning about the advisory (few respondents ate carp or gar before the advisory). However, respondents reported limited changes in their fishing practices and fish preparation and cooking practices since learning about the advisory. Only 10 percent of respondents were found to eat more than the recommended two fish meals per month of wild-caught fish from the Delta area, which would increase their health risks from consuming dichlorodiphenyltrichloroethane (DDT) and toxaphene contaminated fish. This finding is encouraging because about a third of respondents reported eating buffalo fish or wild- caught large catfish (>22 inches). ES-3 ------- [This page intentionally left blank.] ------- SECTION 1 INTRODUCTION The U.S. Environmental Protection Agency (EPA), Office of Water, Office of Science and Technology designed and conducted a survey for assessing the awareness and effectiveness of the Mississippi Delta Fish Consumption Advisory issued in 2001 by the Mississippi Department of Environmental Quality (MDEQ) for wild-caught fish. The recommended study design for the survey was developed by an EPA workgroup and is detailed in a previous report— Recommended Study Design for a Survey to Evaluate the Effectiveness of Mississippi Delta Fish Advisories (U.S. EPA, 2007). The current report is a follow-up to that original study and describes the data collection and analysis procedures for the survey and presents the survey findings. The remainder of this section provides background on the Mississippi Delta Fish Consumption Advisory and the contaminants that resulted in issuance of the advisory, and discusses the purpose and objectives of the study. 1.1 Background Throughout the Mississippi Delta, fishing has long been an important part of life and the social culture of the region, and most people eat the fish they catch. Unfortunately, beginning in the 1950s, organochlorine pesticide use expanded rapidly to include a wide variety of agricultural and silvicultural uses, as well as vector control applications for mosquitoes. Dichlorodiphenyltrichloroethane (DDT), like several other organochlorine pesticides, was popular due to its effectiveness, long residual persistence, relatively low acute mammalian toxicity, and low cost (Farm Chemicals Handbook, 1989). One of the undesirable characteristics of organochlorine pesticides is that once these compounds enter streams, rivers, and lakes, they typically bioconcentrate in the tissues of aquatic organisms; bioaccumulate up the food chain; and concentrate in the tissues offish, fish-eating birds, and fish-eating mammals, including humans. Two organochlorine pesticides, DDT and toxaphene, were heavily used in the Delta region for many years as insecticides, primarily on cotton (Ford and Hill, 1990; 1991). DDT was widely used in agriculture to control a variety of insects, such as the pink boll worm on cotton, the codling moth on deciduous fruit, the Colorado potato beetle, and the European corn borer (Farm Chemicals Handbook, 1989). In silviculture, DDT was used to eradicate forest pests, such as the gypsy moth and spruce budworm, and was also used extensively in mosquito control programs. For these agricultural, silvicultural, and vector control applications, DDT was often applied by broadcast spraying from airplanes over extensive land 1-1 ------- areas. All uses of DDT were cancelled in the United States after 1972, with the exception of emergency public health uses for control of vector-borne disease (U.S. EPA, 1972). The widespread use of DDT in agriculture, silviculture, and as a vector control agent resulted in widespread detection of DDT in fish tissue nationally. Monitoring offish harvested from Delta lakes from the 1970s through the 1990s by the State of Mississippi (MDEQ,2001) and the U.S. Fish and Wildlife Service (FWS) (Schmitt, Zajicek, and Peterman, 1990) revealed high concentrations of DDT. Some of the highest concentrations of DDT measured in the United States have been detected in fish harvested from Mississippi Delta waterbodies in the Yazoo River Basin (Schmitt, Zajicek, and Peterman, 1990). Nationally, the geometric mean concentrations of total DDT detected as part of the FWS National Contaminant Biomonitoring Program (NCBP) were greatest (>5 ppm), as they had been in all previous NCBP study years (Schmitt, Ludke, and Walsh 1981; Schmitt et al. 1983; Schmitt, Zajicek and Ribick, 1985), in fish samples from a station on the Yazoo River near Redwood, Miss, (this station is located within the Mississippi Delta fish advisory area designated by the state in 2001). Almost 15 years after the ban on most uses of DDT, EPA's National Study of Chemical Residues in Fish conducted from 1986 to 1989 found detectable residues of dichlorodiphenyldichloroethylene (DDE), the major breakdown product of DDT, at 99 percent of 388 sites tested nationwide (U.S. EPA, 1992). Historically, toxaphene was released to the environment mainly from use as an agricultural insecticide used extensively on all major insect pests of cotton (Farm Chemicals Handbook, 1989; IARC, 1979). In addition, toxaphene was used as a piscicide for rough fish in the 1950s and 1960s in the United States, and was the replacement pesticide for many uses of DDT after the use of DDT was severely restricted in 1972 (Saleh, 1991). Partly because of the 1972 ban on using DDT, toxaphene was for many years the most heavily used pesticide in the United States (Grayson, 1981; Saleh, 1991). In 1974, 85 percent of the 20 million kg of toxaphene used in the United States was applied to cotton. In 1982, EPA restricted the use of toxaphene in the United States to its use as a pesticide on livestock and to control grasshopper and army worm infestations on cotton, corn, and small grains (in emergency situations only) (U.S. EPA, 1982). After 1990, the pesticide registrations for all toxaphene formulations were cancelled in the United States and all U.S. territories (U.S. EPA, 1990). Monitoring of tissue from fish species harvested from Delta area waterbodies from the 1970s through the 1990s by the State of Mississippi (MDEQ,2001) and the FWS revealed that, like total DDT, concentrations of toxaphene in some fish species were very high (Schmitt, Zajicek, and Peterman, 1990). Some of the highest concentrations of toxaphene measured in the 1-2 ------- United States have been detected in fish harvested from Mississippi Delta waterbodies in the Yazoo River Basin (Schmitt, Zajicek, and Peterman, 1990). Schmitt, Zajicek, and Peterman (1990) reported that in all FWS NCBP studies except the 1978-1979 study, the maximum toxaphene concentrations were detected at a station on the Yazoo River near Redwood, Miss. To address some of the concerns revealed by the State of Mississippi and FWS NCBP fish studies, Henry Folmar of MDEQ and Jeff Bigler of EPA met several times in 1999 to discuss the development of a cooperative effort to conduct an extensive study of chemical contaminant concentrations in fish throughout the Delta area and to determine whether existing fish consumption recommendations issued by the State of Mississippi were adequately protecting sport and subsistence consumers offish harvested from Delta waters. As a result of those meetings, EPA issued a cooperative agreement to MDEQ in 2000 to evaluate the following: • Concentrations of DDT and toxaphene in edible fish tissues from selected Delta sites. • Potential human health risks associated with eating Delta fish. • The need for revising fish consumption advisories in the Delta area. The Mississippi Delta fish tissue study was initiated by MDEQ in 2000 and completed in 2001. Study results reported by the State of Mississippi to the EPA's National Listing of Fish Advisories (NLFA) database (U.S. EPA, 2008) indicated that concentrations of DDT and toxaphene exceeded levels of concern set by the State of Mississippi at all study sites and for several fish species sampled (MDEQ, 2001). Further, the State determined that, based on the results of the fish tissue study, a regional Mississippi Delta fish consumption advisory was warranted for several species offish. In June 2001, MDEQ issued a Regional Mississippi Delta Fish Advisory that extended from Memphis, Tenn., to Vicksburg, Miss, (see Figure 1-1). The regional Mississippi Delta advisory does not apply to the Mississippi River or its associated oxbow lakes located west of the Mississippi River levee. The state-issued regional Mississippi Delta fish advisory recommends that people should not eat more than two meals per month of wild-caught buffalo fish, carp, gar, and large catfish (> 22 inches) from waterbodies in the regional Delta advisory area and should not eat any buffalo fish from Roebuck Lake (located in Leflore County). 1-3 ------- M Mississippi Delta Fish Advisories 2001 Fish Advisories Jun«2001 Scate 1 360,000 0 5 10 20 ISO '0 Flmti Advtaory WMHbody Vttae, if] Ca«r Figure 1-1. Areas covered by the Mississippi Delta fish consumption advisory. 1-4 ------- To inform Delta residents about the advisory, MDEQ initiated an extensive outreach campaign in 2001 and implemented the campaign almost immediately. The implementation strategy included a public media campaign involving news conferences, news releases, staged sampling demonstration photo opportunities, radio and television spots on morning shows, call- in shows on gospel and blues radio stations, distribution of letters and posters to stores, and door- to-door canvassing in some Mississippi Delta communities. MDEQ also posted signs at fishing access points, such as boat ramps, as well as at commercial fish sales outlets and tackle shops throughout the Delta. MDEQ mailed letters and brochures to 1,400 churches; distributed 16,000 coloring books; and placed posters (see Figure 1-2) and brochures at Women, Infants, and Children (WIC) offices, libraries, and other locations in the Delta. They distributed these outreach materials to Delta residents in both English and Spanish. Currently, MDEQ is still implementing various aspects of the outreach campaign, such as posting signs at affected waterbodies and boat ramps, posting information on the MDEQ Web site, and distributing fishing regulation brochures published by the Mississippi Department of Wildlife, Fisheries, and Parks (MDWFP) to all licensed fishers. DELTA FISH ADVISORY BUFFALO DO NOT EAT ANY BUFFALO FISH FROM ROEBUCK LAKE * BUFFALO CART DO NOT EAT MORE THAN TWO MEALS PER MONTH OF THESE FISH <•*" SMALL CATFISH DRUM BREAM NO LIMIT OH THESE FISH LARGCMOUTH • AS* MISSISSIPPI DEPARTMENT OF ENVIRONMENTAL QUALITY For morn mforni.ition call toll free • 1-808-78G-OGC1 Figure 1-2. Poster used in the Mississippi Delta fish consumption advisory outreach campaign. 1.2 Purpose and Objectives The purpose of the survey was to assess the awareness and effectiveness of the existing Mississippi Delta Fish Consumption Advisory issued by MDEQ. Specifically, the survey collected information to address the following objectives: 1. Determine the extent to which Delta sport and subsistence fishers and their families are aware of the advisory and its recommendations. 1-5 ------- 2. Determine the extent to which Delta sport and subsistence fishers and their families have changed their fish consumption behaviors as a result of the Delta advisory. 3. Document specific behavior changes, such as amount offish consumed, methods of fish preparation and cooking, species or sizes offish consumed and avoided, and other parameters. The study included two types of survey: (1) an on-the-bank intercept survey to collect data from anglers at waterbodies included in the advisory, and (2) a household survey to collect data from anglers and households who consume wild-caught fish from the Mississippi Delta. Data collection took place in four counties in the Mississippi Delta: Coahoma, Holmes, Leflore, and Washington. Only the part of Holmes County that is within the Delta advisory area was included in the survey. The on-the-bank intercept survey greatly increases the likelihood of reaching anglers in the advisory area, and the household survey provides coverage of nonanglers who consume wild-caught fish. Combining the results of these two surveys allows inferences to be made for the four-county area. Appendix A shows the locations of the four counties in Mississippi encompassed in this study. 1.3 EPA Workgroup EPA convened a workgroup as part of this study to provide input on the survey instrument, the survey methodology, and analysis of the survey data. Table 1-1 provides a list of the workgroup members, their affiliations, their areas of expertise, and their roles on the study. Jeff Bigler, EPA's National Fish and Wildlife Contamination Program Manager, and Henry Folmar, Advisory Program Manager from MDEQ, served as co-chairs of the workgroup. 1.4 Report Organization The remainder of the report is organized as follows: Section 2 describes the survey instrument development and testing procedures; Section 3 describes the sample selection procedures; Section 4 describes the data collection procedures; Section 5 describes the data processing, weighting, and analysis procedures; Section 6 presents the results of the on-the-bank and household surveys; and Section 7 concludes the report with a summary of key findings. 1-6 ------- Table 1-1. EPA Mississippi Delta Fish Advisory Survey Workgroup Members Workgroup Member Jeff Bigler, EPA Henry Folmar, MDEQ Amy Lando, Food and Drag Administration (FDA) Samantha Fontenelle, EPA Sheryl Gates, RTI International Catherine Viator, RTI International Pat Cunningham, RTI International Garry Lucas, MDWFP Nathan Aycock, MDWFP Area of Expertise and Role Served as co-chair of the workgroup and overall EPA manager for the project. Is also National Program Manager for EPA's National Fish and Wildlife Contamination Program and National Technical Expert on assessing health risks and benefits offish consumption. Served as co-chair of the workgroup and MDEQ Advisory Program Manager. Consumer studies specialist, including experience with focus group testing and survey research. Technical advisor for the project. Assisted in refining the survey instrument and methodology and reviewing the data analysis plan. Environmental Protection Specialist working on recreational water quality criteria development and fish issues. Served as a technical reviewer. Specializes in consumer behavior research, risk communication, and survey research. Led the development of the survey instrument and methodology for review by the workgroup, managed the data collection for the survey, developed analysis plan for the survey data. Specializes in data collection for economic analysis of the food and aquaculture industries. Assisted in developing the survey instrument and methodology for review by the workgroup, led the second round of cognitive interview testing, and conducted the interviewer training. Coauthored national guidance on assessing chemical contaminant data for use in fish advisories, including fish sampling and analysis and risk assessment and fish consumption limits; authored report on advisories in Puerto Rico; active in fish advisory community for 20 years. Provided expertise on state fish consumption advisories. Fisheries biologist in the Mississippi Delta area who identified and provided directions to waterbodies included in the survey. Fisheries biologist in the Mississippi Delta area who identified and provided directions to waterbodies in the advisory area at which trained interviewers conducted the surveys included in the survey. 1-7 ------- [This page intentionally left blank.] ------- SECTION 2 SURVEY INSTRUMENT DEVELOPMENT AND TESTING PROCEDURES The survey instrument collected information to address the three objectives summarized in Section 1.2 of this report. This section describes the survey instrument development and testing procedures. Appendix B provides a copy of the final survey instrument 2.1 Survey Instrument Design The design of the survey instrument is detailed in a previous report (U.S. EPA, 2007). EPA led the development of the draft survey instrument with assistance from the following EPA workgroup members: Sheryl Gates, Catherine Viator, and Joanna Burger, Ph.D. (survey specialists), Pat Cunningham, Ph.D. (fish advisory specialist), and Steven Bradbard, Ph.D. (Food and Drug Administration [FDA] consumer studies specialist). Figure 2-1 illustrates the approach used to develop the survey instrument, which included two rounds of cognitive interviews and a pretest. Table 2-1 identifies the types of information collected in the survey. Identify Survey Topics Develop Draft Survey Instrument (first and second drafts) Revised Version of Survey Instrument Conduct Cognitive Interviews and Revise Instrument (Round 1) Conduct Cognitive Interviews (Round 2) Revised Version of Survey Instrument Conduct Pretest Final Version of Survey Instrument Figure 2-1. Methodology used to develop the survey instrument. 2-1 ------- Table 2-1. Types of Information Collected in the Mississippi Delta Fish Advisory Survey A. Fishing Practices • Frequency and reasons for fishing • Dependency on fishing as a food source • Result of fishing (give away, trade, consume) B. Fish Consumption Practices • Frequency of wild-caught fish consumption • Quantity of fish consumed per meal • Method of fish preparation and cooking C. Determine Awareness of the Delta Fish Advisory • Perception of safety of consuming wild-caught fish from the Mississippi Delta • Awareness of Delta fish advisory D. Attitudes toward Delta Fish Advisory—Respondents Not Aware of Advisory • Importance and likelihood of following advisory • Preferences for best sources of information about the advisory E. Awareness of and Attitudes toward the Delta Fish Advisory—Respondents Aware of the Advisory • Source of information on the advisory • Usefulness of state-issued brochure, toll-free hotline, and Web site • Importance of following advisory recommendations F. Serf-Reported Changes in Fishing Practices—Respondents Aware of Advisory • Changes in frequency and location of fishing in the Mississippi Delta • Changes in species of fish that are caught G. Serf-Reported Changes in Fish Consumption—Respondents Aware of Advisory • Changes in amount or size of wild-caught fish consumed from the Mississippi Delta • Substitutes for fish consumption • Changes in the method of preparing and cooking wild-caught fish • Changes in fish consumption practices for pregnant women and children • Frequency of following advisory recommendations H. Demographics • Gender, race, marital status, level of education, and household income • Possession of Mississippi sport fishing license I. Awareness of National Advisory on Mercury in Fish and Shellfish • Perceptions of health benefits and risks of seafood consumption • Awareness of types of seafood posing mercury risks to consumers • Awareness of population groups included in mercury advisory 2.2 Cognitive Interviews The purpose of the cognitive interviews was to identify any questions that were difficult or confusing to respondents, to identify any terminology that was unclear to respondents, and to assess whether respondents interpreted the questions as intended. Instrument testing included two rounds of cognitive interviews conducted in May 2007 and March 2009. In the first round of cognitive interviews, members of the workgroup who live in the advisory area identified and 2-2 ------- recruited individuals to participate in the cognitive interviews. The study team conducted nine cognitive interviews, each lasting about an hour. The interviewees included five male and four female respondents, of which two were Caucasian and seven were African American. Survey specialists revised the survey instrument based on the findings from the cognitive interviews. EPA, in cooperation with FDA, conducted a second round of cognitive interviews. MDEQ helped to recruit residents of the advisory area to participate in the interviews. The interviews took place at a local hotel in Greenwood, Miss. Respondents received a $50 cash honorarium. Respondents completed the questionnaire and then the interviewer asked a series of questions using a prepared debriefing guide. Survey specialists conducted eight cognitive interviews, each lasting about 50 minutes. The interviewees included six male and two female respondents, of which two were Caucasian and six were African American. Overall, most respondents found the survey interesting and relatively easy to complete. Some of the questions were difficult, redundant, or not conversational in tone, so these questions were revised or deleted. Some questions on attitudes and perceptions of the advisory were not properly worded if the respondent was not aware of the advisory. Thus, the survey instrument was revised to include separate sections for respondents who were aware or were not aware of the advisory and to tailor the wording of the questions as appropriate. 2.3 Pretest In September 2009, survey specialists worked with study field interviewers to conduct a pretest of the survey instrument. The pretest included 10 residents of Coahoma County (near Moon Lake) with five on-the-bank interviews and five household interviews. Of the 10 pretest participants, nine were male and one was female. Seven participants were Caucasian and three were African American. Participants' age, education level, employment level, and household income varied. The field interviewers for the full-scale data collection effort conducted the pretest interviews, familiarizing them with the questionnaire. The field interviewers worked in pairs, as they did for the full-scale data collection. The interviewers administered the questionnaire as if it were the full-scale survey and then used a debriefing guide to lead the respondent in a discussion to identify questions or terms that were difficult to understand or confusing. The interview took an average of 18 minutes to complete; the minimum time was 14 minutes and the maximum time was 20 minutes. The survey instrument required minimal 2-3 ------- changes based on the findings of the pretest: some of the response options were collapsed and reordered to facilitate easier recording by interviewers, and some response options were added. Appendix B provides a copy of the final survey instrument. Appendix C provides a copy of additional materials used during the interviews, including the informed consent form, a map of the Mississippi Delta indicating the advisory area, a portion size aid (for answering questions on amount offish consumed), pictures of the fish species included in the advisory, cards that respondents were instructed to refer to during the interview, and a picture illustrating the advisory. 2-4 ------- SECTION 3 SAMPLE DESIGN This section describes the sample design for the on-the-bank and household surveys. The target population for the survey included the following four counties within the advisory area: Coahoma, Holmes, Leflore, and Washington. Only the part of Holmes County that is within the advisory area was included in the survey. These counties were purposively selected to include a mix of rural and nonrural areas and areas with major water resources affected by the advisory (e.g., Roebuck Lake, Moon Lake, Lake Washington, and Bee Lake). Appendix A provides maps of the four counties within the Delta advisory area. 3.1 On-the-Bank Survey The primary advantage of an on-the-bank survey or intercept survey is that it greatly increases the likelihood of reaching individuals fishing in the advisory area who might consume the fish species identified in the advisory. The study used a probability-based design so that inferences could be drawn to the population of all anglers in the four-county survey area. Using a multistage sampling approach, fishing access points were selected first, and then days and time windows were selected for each access point. All anglers present at the selected fishing access points were approached by the interviewers. 3.1.1 Frame The sampling universe contained 61 unique waterbodies. Two fisheries biologists from MDWFP subjectively assigned an interview potential of very low, low, moderate, or high to each waterbody based on their knowledge of the waterbodies. Waterbodies with unknown interview potential were assigned a potential of "low." Waterbodies assigned an interview potential of "very low" (21 waterbodies) were removed from the frame to increase the efficiency and cost effectiveness of the data collection. Additionally, six waterbodies were removed because they were not open to the public. Thus, the final frame for the survey consisted of 34 distinct waterbodies. A measure of size was constructed for each waterbody by first calculating the shoreline length in kilometers. Lake shorelines were measured by the circumference of the lake. River shorelines were measured by the length of the river within the advisory area multiplied by two (to account for both sides). Rivers with shoreline lengths longer than 50 km were truncated to 50 km. The shoreline length was then multiplied by the interview potential (1 = low, 2 = moderate, 4 = high) to get the final measure of size used for the sample selection. 3-1 ------- 3.1.2 Sample Selection Probability-proportional-to-size systematic sampling was used to select the main and reserve samples. After a random starting point, systematic sampling selects units at a fixed interval throughout the sampling frame. Before selection, the frame was sorted by interview potential, waterbody type, and county, and a systematic sample of 20 waterbodies was selected with probabilities proportional to the measure of size. This approach incorporates stratification and thus ensures correct representation of the sample by interview potential, waterbody type, and county. Some waterbodies had measures of size larger than the skip interval of the systematic sample. Those waterbodies were therefore selected with certainty and, in some cases, more than once, resulting in a sample of 16 unique waterbodies. One of the larger waterbodies, Lake Tchula, was contaminated after a recent hurricane, and there is little fishing activity there as a result; therefore, a similar lake, Lake Jackson, was selected as an additional sample unit. A reserve sample of two rivers and two lakes was selected from the remaining 18 units in the frame. The entire reserve sample was ultimately used because of limited or no fishing activity at some sampled waterbodies. Table 3-1 lists the sampled waterbodies for the on-the-bank survey. 3.2 Household Survey 3.2.1 Target Population and the Address-Based Sampling Frame The target population for the household survey consisted of all adults in households in the four-county area of the Mississippi Delta regional fish advisory. To be eligible for the survey, an adult household member must have either fished in the Mississippi Delta in the past year or consumed wild-caught fish from the Mississippi Delta in the past year. A household-level sampling frame based on an address-based sampling (ABS) frame was used to draw the sample for the household survey. The primary elements of an ABS frame are residential mailing addresses that are made available to the public by the U.S. Postal Service through a nonexclusive license agreement with qualified private companies. The addresses are based on the Delivery Sequence File, a computerized file containing all delivery point addresses serviced by the Postal Service except general delivery addresses. 3-2 ------- Table 3-1. Waterbodies Sampled in the On-the-Bank Survey Waterbody Name Brushy Lake Yazoo Pass Black Creek Minter City Oil Mill Yalobusha River Old River Steele Bayou Tchula Sidon Cutoff Big Sunflower Deer Creek Moon Lake Bee Lake Horseshoe Lake Round Lake Lake Jackson County Washington Coahoma Holmes Leflore Leflore Washington Washington Holmes Leflore Washington Washington Coahoma Holmes Holmes Leflore Washington Waterbody Type Lake River River River River River River Lake Lake River River Lake Lake Lake Lake Lake Interview Potential3 Unknown Low Low Low Low Unknown Low Moderate Moderate Moderate Moderate High High High High Moderate Shoreline Length (km)b 2.30 45.03 50.00 15.96 50.00 40.90 32.80 48.64 14.67 50.00 50.00 27.51 48.91 45.04 14.50 19.55 Measure of Sizec 2.30 45.03 50.00 15.96 50.00 40.90 32.80 97.28 29.34 100.00 100.00 110.06 195.65 180.14 58.00 39.10 Reserve Sample Roundaway Lake Blue Lake Tallahatchie Parker Bayou Coahoma Leflore Leflore Holmes Lake Lake River River Moderate Moderate Low Low 4.49 14.63 50.00 5.74 8.98 29.26 50.00 5.74 a Two fisheries biologists from the MDWFP subjectively assigned an interview potential of very low, low, moderate, or high based on their knowledge of the waterbodies. Waterbodies with unknown interview potential were assigned an interview potential of "low." b Lake shorelines were measured by the circumference of the lake. River shorelines were measured by the length of the river within the advisory area multiplied by two. Rivers with shoreline lengths longer than 50 km were truncated to 50 km. 0 The measure of size was used in the systematic sampling, with measure of size equal to the shoreline length times the interview potential (1 = low, 2 = moderate, 4 = high). Although it is not unreasonable to assume that virtually every household in the United States has a mailing address, not all mailing addresses are suitable for in-person household surveys, because interviewers must be able to locate a mailing address "on the ground." Households with city-style mailing addresses are considered locatable for in-person household 3-3 ------- surveys and constitute the vast majority of elements on an ABS frame. Households with mailing addresses that are not locatable include those with simplified rural addresses and households that only receive mail through residential post office boxes. Currently, estimation techniques of ABS coverage in specific areas are not very reliable. However, in an effort to provide some coverage estimates, the ratio of locatable mailing addresses (LMAs) was calculated from the ABS sampling frame to the estimated total number of households acquired from the 2009 GeoLytics demographic estimates. GeoLytics is a provider of Census, demographic, and geographic data for academic and business researchers. The estimated household coverage of the ABS frame was approximately 89 percent using this ratio. The primary sources of undercoverage for an ABS frame are new housing construction and households with noncity-style mailing addresses. In addition, sampling designs using clusters not defined by postal geography (e.g., postal carrier routes or ZIP codes) are subject to undercoverage introduced by the incorrect geocoding of addresses into Census geographies (e.g., Census block groups [CBGs]). 3.2.2 Sample Allocation and Selection Each of the CBGs on the sampling frame was classified into 10 income categories based on the deciles of CBG median household income and using the 2009 GeoLytics demographic estimates. The deciles were then collapsed into three income categories that served as the sampling strata: low = < $19,939, medium = $19,940-$30,769, and high = > $30,770. A base sample of 36 CBGs was selected. To focus the sample on areas with concentrations of lower income households, 15 percent more CBGs were allocated to the low- income stratum than would have been in a proportional allocation. The remainder of the sample was proportionally allocated to the medium- and high-income strata. Using the number of LMAs as the measure of size, probability-proportional-to-size systematic sampling was used to select the sample of 36 CBGs. After a random starting point, systematic sampling selects units at a fixed interval throughout the sampling frame. Before selection, the sample was sorted by county to control for the geographic distribution of the sample and obtain a reasonably even sample across the four counties. In the second stage, a systematic sample of 1,951 city-style addresses across the 36 selected CBGs was selected for screening and interview. The low-income stratum was slightly oversampled by about 11.5 percent. As a final step, the selected CBG sample was randomly split into two replicates or subsamples (A and B) within the medium- and high-income strata. Replicate A was released for 3-4 ------- interviewing from the outset, while Replicate B was kept in reserve to be drawn on only if needed. Ultimately, it was not necessary to use Replicate B. Table 3-2 shows the household survey sampling frame and sample distribution by county and income strata. During survey administration, selected households were screened for eligibility. To be eligible for the survey, an adult household member must have either fished in the Mississippi Delta in the past year or consumed wild-caught fish from the Mississippi Delta in the past year. Table 3-2. Household Survey Sampling Frame and Sample Distribution by County and Income Strata3 County (ZIP Code) Coahoma (28027) Holmes (28051) Leflore (28083) Washington (28151) CBG Income Strata Low Medium High Low Medium High Low Medium High Low Medium High Total Frame CBG 13 8 7 7 6 1 12 9 10 21 17 23 134 LMA 4,028 2,219 3,344 2,618 2,905 309 6,135 3,132 3,760 6,151 5,963 10,107 50,671 Sample CBG 4 2 2 2 2 0 5 2 2 5 4 6 36 LMA 174 80 121 113 105 0 265 113 136 265 215 364 1,951 Sample Replicate A CBG 4 1 1 2 1 0 5 1 1 5 3 4 28 LMA 174 35 61 113 64 0 265 54 31 265 193 270 1,525 Sample Replicate B CBG 0 1 1 0 1 0 0 1 1 0 1 2 8 LMA 0 45 60 0 41 0 0 59 105 0 22 94 426 aLow income = < $19,939; Medium income = $19,940-$30,769; High income = > $30,770 Notes: CBG = Census block group LMA = locatable mailing addresses 3-5 ------- [This page intentionally left blank.] ------- SECTION 4 SURVEY ADMINISTRATION PROCEDURES This section describes the data collection procedures for the on-the-bank survey and the household survey and provides the response rate for the survey. The data collection procedures were reviewed and approved by the U.S. Office of Management and Budget and RTI International and FDA Institutional Review Boards. 4.1 Interviewer Training Field data collectors collected the data in two-person interviewing teams that were assigned to specific counties for the data collection effort. Survey specialists conducted an in- person training session with contracted interviewers to provide information on the informed consent procedures, recruitment and interviewing procedures, and procedures for submitting completed interviews and forms. Interviewers conducted mock interviews to practice administering the survey instrument. Interviewers received a field manual that contained maps, handouts, and other materials needed for the data collection effort. 4.2 Data Collection Procedures for the On-the-Bank Survey Field interviewers conducted the on-the-bank interviews in October 2009. Survey specialists developed protocols and forms to assist the interviewers, with the goal of spreading the interviews across the different waterbodies and access points,1 across days of the week (weekday versus weekend), and throughout the day to ensure the inclusion of the widest possible cross section of the angler population and to avoid introducing any biases. Potential access points for each waterbody were identified using Google Maps and other resources. MDWFP staff reviewed the list of access points and provided directions to each waterbody. Before the start of data collection, interviewers checked the accuracy of the list of access points and added and removed access points as appropriate. Interviewers visited each access point at least four times during the data collection period, varying the day of the week and the time of day. Interviewers used a weekly scheduling form to record the waterbodies they planned to visit each day during the data collection period. Interviewers visited all assigned waterbodies each week, and for each week of data collection, interviewers varied the day that they visited 1 Access points include parking lots and other entrances to the fishing areas, where anglers arrive by car to put their boat into the water or walk to the fishing area. 4-1 ------- each waterbody. Interviewers recorded the time that they actually spent at each waterbody and access point on a daily schedule form. Interviewers dressed casually and began the interview with a conversation about fishing to "break the ice" so that respondents would feel at ease and be more willing to cooperate. To be eligible for the survey, an individual had to be at least 18 years of age, reside in one of the four target counties, and not have previously participated in the survey. If eligible, the interviewer administered the informed consent form for the study. Appendix C provides a copy of the informed consent form. After the participant signed the form, the interviewer proceeded with the interview. 4.3 Data Collection Procedures for the Household Survey Field interviewers conducted the household interviews from November 6 through December 6, 2009. Interviewing was limited to weekends because more people are home on weekends than during the week, thus increasing the cost-effectiveness of the data collection. As with the on-the-bank survey, survey specialists developed a system of procedures and forms to assist the interviewers. To maintain confidentiality, each sampled household was assigned a unique identification number. Interviewers used a household log sheet that included a sample identification number and the address of the sampled household to screen for eligibility. If the household was eligible, the interview was administered and the responses recorded on a questionnaire with the sample identification number. Thus, identifying information was kept separate from the survey responses. To begin the interview, the interviewer first determined the eligibility of the household. To be eligible for the survey, a household member must have either fished in the Mississippi Delta in the past year or consumed wild-caught fish from the Mississippi Delta in the past year. Individuals who participated in the on-the-bank survey were not eligible. If the household was eligible, the interviewer used a specific process to select which adult in the household to interview. The process guided interviewers to select the adult in the household who fished most often and the adult in the household who prepared and cooked fish most often. If this resulted in two different household members, the interviewer selected the member with the most recent birthday. The interviewer then administered the informed consent form for the study and proceeded with the interview. 4-2 ------- 4.4 Survey Response Table 4-1 shows the final disposition of the sample and the eligibility and response rates by survey mode and county. Field interviewers completed a total of 1,017 interviews—413 on- the-bank interviews and 604 household interviews. The response rate was calculated using the American Association for Public Opinion Research, Response Rate 3 (AAPOR, RR3) (see http://www.aapor.org/Standard_Definitions/ 1818.htm). AAPOR RR3 is a measure of response rate that accounts for the proportion of cases with unknown eligibility that are actually eligible. The formula for calculating AAPOR RR 3 is as follows: I RR3 = (I+P) + (R+NC + O) + e(UH+UO) where I = complete interview P = partial interview R = refusal and break-off NC = noncontact O = other e = estimate of eligibility (see below) UH = unknown if household/occupied UO = unknown, other. The estimate of eligibility (e) is based on the proportion of eligible households or anglers among all those for which a definitive determination of status was obtained (a very conservative estimate). The formula for calculating e is as follows: I + P + ENI e = • I + P + ENI + NE where ENI = eligibles, noninterviews 4-3 ------- NE = not eligible. The value of e (estimate of eligibility) was 93 percent for the on-the-bank survey and 75 percent for the household survey. The RR3 was 95 percent for the on-the bank survey and 85 percent for the household survey, exceeding the target response rate of 60 percent. 4-4 ------- Table 4-1. Disposition Summary for the On-the-Bank and Household Surveys On-the-Bank (number of anglers) Completed Interviews Refusals Unknown Eligibility Not attempted or worked Unable to reach/unsafe area Unable to locate address Refused to answer screening questions Total unknown eligibility Ineligibles Not a housing unit Vacant housing unit Household does not fish and household does not eat fish Other < 18 years old Does not live in one of four counties Total ineligibles Total Sample Eligibility Rate (%) Response Rate 2 (%) Response Rate 3 (%) Coahoma 61 3 NA NA NA 0 0 NA NA NA NA 5 5 10 74 86 95 95 Holmes 98 0 NA NA NA 4 4 NA NA NA NA 0 10 10 112 91 96 96 Leflore 114 2 NA NA NA 2 2 NA NA NA NA 3 2 5 123 96 97 97 Washington 140 9 NA NA NA 2 2 NA NA NA NA 2 7 9 160 94 93 93 Total 413 14 NA NA NA 8 8 NA NA NA NA 10 24 34 469 93 95 95 Coahoma 106 7 0 1 2 6 9 3 17 14 4 NA NA 38 160 75 87 89 Household Holmes 72 1 0 1 0 6 7 0 3 16 0 NA NA 19 99 79 90 92 (number of households) Leflore 141 2 1 21 0 13 35 4 8 35 0 NA NA 47 225 75 79 83 Washington 285 34 3 2 3 28 36 3 25 88 1 NA NA 117 472 73 80 83 Total 604 44 4 25 5 53 87 10 53 153 5 NA NA 221 956 75 82 85 NA = not applicable. ------- [This page intentionally left blank.] ------- SECTION 5 DATA PROCESSING AND ANALYSIS PROCEDURES This section describes the procedures used to prepare the analysis data set, the weighting procedures, and the data analysis procedures for the survey. 5.1 Data Processing Procedures Trained data entry staff keyed the survey data into an electronic database. Responses to the open-ended questions were not coded. Quality assurance/quality control verification was performed on 25 percent of the cases entered, and all data entry errors were resolved. Data editing included checking for errors and inconsistencies in responses. Survey analysts made edits to the final analysis data set using the following criteria: • Investigate and address responses that fall outside a specified range. • Recede responses to categorical questions that correspond to a valid response. • Check for consistency, such as the sum of categories matches the reported total, or logical responses to different questions. • Check for contradictory responses and incorrect flows through prescribed question skip patterns. • Check for omission or duplication of records; several missing items in a row can indicate that one or more pages in the survey were not keyed or other errors in the data entry process. EPA maintains the edited, final analysis data set and a separate data set that includes the original value of the data items prior to editing, the reason for the change in the data, the identity of the person making the change, and the date that the change was made, thus creating a complete audit trail. 5.2 Weighting Procedures Statisticians developed survey weights to account for the sample selection process and to adjust for deviations from sample design, such as variable nonresponse. The survey weights can be used to infer estimates at the population level with measurable levels of sampling precision. Three sets of survey weights were developed: one for the on-the-bank survey, one for the household survey, and one that combines the data from the two surveys. Appendix D describes 5-1 ------- the weighting procedures in greater detail. The three sets of survey weights were appended to the final analysis data set. The combined survey weights were used to prepare the weighted survey tabulations and the analyses presented in this report. 5.3 Analysis Procedures Appendix E provides weighted tabulations for each survey question for anglers, nonanglers, and all respondents. Proportions were computed for questions in which respondents could select one or more responses from a list of responses. Respondents who were instructed to skip a question because it did not apply were excluded from the calculation of proportions. Respondents who did not answer a question (i.e., item nonresponse) were included in the denominator in the calculation of proportions. Means were computed for questions that required a numeric response from respondents. Analyses of specific questions were conducted to address the three survey research objectives. Bivariate analyses were conducted for specific questions to compare responses by specific demographics and other characteristics, including respondent type (angler vs. nonangler), importance of fishing as a food source for family (Question 6) (as a proxy for subsistence anglers), county, gender, education level, and race. A chi-square test was performed for the relationships between the variables of interest and the demographic and other variables. All analyses were conducted using SAS, a statistical analysis software tool (SAS, 2008), using the combined survey weights. 5-2 ------- SECTION 6 SURVEY RESULTS This section presents the results of the on-the-bank and household surveys. The characteristics of respondents are presented, followed by the survey results. The results are organized to address the study's three research objectives: 1. Determine the extent to which Delta sport and subsistence fishers and their families are aware of the advisory and its recommendations. 2. Determine the extent to which Delta sport and subsistence fishers and their families have changed their fish consumption behaviors as a result of the Delta fish advisory. 3. Document specific behavior changes, such as amount offish consumed, methods of fish preparation or cooking, species and size offish consumed and avoided, and other parameters. 6.1 Characteristics of Respondents Table 6-1 provides demographic information on respondents. Of the 1,017 respondents, 585 were anglers (413 completed the on-the-bank survey and 172 completed the household survey) and 432 were nonanglers. Forty-seven percent of all respondents were male, 38 percent had some education beyond high school, 69 percent were African American, 39 percent were married, 42 percent were employed full time, and 38 percent had an annual household income less than $20,000. Twenty-eight percent of anglers consider fishing an important source of food for their family. Seventy-nine percent of respondents (49 percent of anglers) did not have a current Mississippi fishing license. Statistically significant differences between anglers and nonanglers were observed for gender (p < 0.0001), race (p < 0.0001), marital status (p = 0.0387), income (p = 0.0230), and county (p = 0.0030). 6-1 ------- Table 6-1. Demographic Characteristics of Survey Respondents Gender*** Education3 Hispanic Race*** Marital Status* Employment Status Current Miss. Fishing License Importance of Fishing as a Food Source for Family Income* Male Female Less than high school High school diploma More than high school Yes No Caucasian African American Single Married Divorced/separated Widowed Living with partner Employed full time Employed part time Unemployed Not working for other reasons Yes No Not at all/a little bit Somewhat/a lot Less than $9,999 $10,000-19,999 $20,000-29,999 $30,000-39,999 $40,000-49,999 $50,000 or more Don't know/refused Anglers (n = 585) % 72 28 35 25 41 1 99 44 56 36 45 9 6 4 43 10 15 33 48 49 72 28 15 18 14 14 7 10 21 Nonanglers (n = 432) % 32 68 27 36 37 1 99 23 77 39 36 7 10 7 41 11 16 31 3 97 NA NA 17 24 15 8 8 4 26 All Respondents (n = 1,017) % 47 53 30 32 38 1 99 31 69 38 39 8 9 6 42 11 16 32 20 79 NA NA 16 22 14 10 7 7 24 (continued) 6-2 ------- Table 6-1. Demographic Characteristics of Survey Respondents (continued) Countyb** Coahoma Holmes Leflore Washington Anglers (n = 585) % 17 14 39 30 Nonanglers (n = 432) % 18 11 27 44 All Respondents (n = 1,017) % 18 12 31 39 Notes: Totals may not sum to 100 percent because of rounding. NA = not asked a One respondent did not answer the education question and was thus excluded from the bivariate analysis. bFor the household survey, county is the county of residence. For the on-the-bank survey, county is the county in which the interview was conducted. *= Difference between anglers and nonanglers was statistically significant at p < 0.05. ** = Difference between anglers and nonanglers was statistically significant at p < 0.01. *** = Difference between anglers and nonanglers was statistically significant at p < 0.0001. Awareness of a Delta Fish Advisory (Question 17). Twenty-eight percent of all respondents reported being aware of a warning or advisory about eating wild-caught fish from the Mississippi Delta (Figure 6-1). Awareness of an advisory was higher among anglers (46 percent) than among nonanglers (18 percent) (p < 0.0001). Awareness was higher in Coahoma County (45 percent) than in the other three counties included in the study (14-30 percent) (p = 0.0002). Awareness was higher among males (40 percent) than females (18 percent) (p < 0.0001). Awareness increased with level of education and ranged from 20 percent for individuals with less than a high school education to 36 percent for individuals with more than a high school education (p = 0.0050). Awareness was higher among Caucasians (38 percent) than among African Americans (24 percent) (p = 0.0027). Awareness was higher among anglers who did not consider fishing an important source of food (52 percent) than among anglers who rely on fishing as a food source (32 percent) (p = 0.0030). Knowledge of the Delta Fish Advisory (Questions 25 and 33). To determine knowledge about the Mississippi Delta advisory for buffalo fish, carp, gar, and large catfish, interviewers asked respondents who reported being aware of the advisory what the advisory recommends about eating fish. 6-3 ------- o High school graduate 0 10 20 30 40 50 60 70 80 90 100 Weighted Percentage of Respondents Figure 6-1. Awareness of warnings/advisories about eating wild-caught fish from the Mississippi Delta by subpopulation (n = 1,017). Question 17: Are you aware of any warnings or advisories about eating wild-caught fish from the Mississippi Delta? [IF RESPONDENT IS NOT SURE OR CANNOT RECALL: These advisories were first issued in 2001-2002. The advisory recommends that you don't eat too much of certain fish because of chemicals in the fish.l 6-4 ------- The question was open ended, and interviewers recorded the responses using a set of precedes. As shown in Figure 6-2, 7 percent of aware respondents were very knowledgeable: that is, they correctly described the advisory recommendations (do not eat more than two meals a month of buffalo fish, carp, gar, and large catfish and do not eat any buffalo fish from Roebuck Lake). Forty-four percent of aware respondents were somewhat knowledgeable: that is, they mentioned at least one of the fish in the advisory or Roebuck Lake. Twenty-nine percent of aware respondents were not very knowledgeable: that is, they only knew not to eat fish over a certain size or not to eat too much of certain fish. Twenty percent of aware respondents could not explain the advisory recommendations. Among those aware of the advisory (anglers and nonanglers), level of knowledge about the advisory did not vary by respondent type, gender, or race, but did vary by county (p < 0.0001) and education level (p = 0.0063). Ninety-two percent of respondents from Holmes County, 91 percent from Washington County, and 70 percent from Coahoma and Leflore Counties had at least some knowledge of the advisory. Eighty-seven percent of respondents with more than a high school education, 69 percent of respondents with a high school education, and 79 percent of respondents with less than a high school education had a least some knowledge of the advisory. Among angler respondents aware of the advisory, knowledge about the advisory did not vary by importance of fishing as a food source. Seventy-five percent of respondents who were aware of the advisory believed that the advisory is still in effect, 24 percent did not know, and 1 percent believed the advisory is no longer in effect. Information Sources for Learning about the Delta Fish Advisory (Question 32 and Questions 34-40). The questionnaire used unaided (Question 32) and aided questions (Questions 34-40) to collect information on how aware respondents (n = 305) heard about the advisory. The unaided question was an open-ended question that asked how the respondent heard or learned about the advisory. The aided questions asked respondents whether they saw signs, received a brochure, or heard about the advisory through the various dissemination methods used in the outreach campaign. 6-5 ------- o High school graduate T3 LU 0 20 40 60 80 Weighted Percentage of Aware Respondents 100 • Very Knowledgeable D Not Very Knowledgeable • Somewhat Knowledgeable DCould Not Describe Advisory Figure 6-2. Level of knowledge about the Delta fish advisory among those aware, by subpopulation (n = 305). Notes: Very knowledgeable = correctly described the advisory recommendations (do not eat more than two meals a month of buffalo fish, carp, gar, and large catfish and do not eat any buffalo fish from Roebuck Lake). Somewhat knowledgeable = mentioned at least one of the species of fish in the advisory or Roebuck Lake. Not very knowledgeable = knew not to eat fish over a certain size or not to eat too much of certain fish. Totals may not sum to 100 percent because of rounding. Question 25: To the best of your knowledge, tell me what the advisory recommends about eating fish. 6-6 ------- Figure 6-3 shows the results for unaided awareness. Respondents heard about the advisory from a variety of sources. Among anglers and nonanglers, most had heard about the advisory from signs posted at waterbodies in the Mississippi Delta area (36 percent). Not surprisingly, the majority of anglers heard about the advisory through sign postings at local waterbodies (55 percent). Other information sources on the advisory included the following: television news or talk shows (25 percent), family or friends (20 percent), radio news or talk shows (11 percent), and churches (6 percent). Five percent or less of respondents heard about the advisory from the other sources asked about in the survey. Sixteen percent of respondents could not recall how they heard about the advisory. Signs posted at lakes / rivers / water Television news ortalk show Family/friends Radio news or talk show Church Brochure / pamphlet Newspaper Television show Radio advertisement Other Don't know/no response 25 20 : n i 11 + 0 10 20 30 40 50 60 70 80 90 100 Weighted Percentage of Aware Respondents Figure 6-3. Awareness of Delta fish advisory from each information source (unaided awareness) (n = 305). Note: Multiple responses allowed. Question 32: How did you hear or learn about the advisory? 6-7 ------- Figure 6-4 shows the results for aided awareness. The aided awareness results are higher compared to the unaided results, because respondents were prompted about specific mechanisms used to inform residents and other individuals about the advisory (Questions 34-40). Signs at water bodies Local TV news or talk show Toll-free hotline Brochure Local radio news ortalk show Church pastor Internet "Mississippi Outdoors" program on ETV Radio advertisements Doctor or other health care provider 17 15 11 43 49 0 10 20 30 40 50 60 70 80 90 100 Weighted Percentage of Aware Respondents Figure 6-4. Awareness of Delta fish advisory from each information source (aided awareness) (n = 305). Note: Questions 34-40 were used to assess aided awareness. Each question asks about awareness of a certain aspect of the campaign with yes/no as the response options. For example, Question 34 asks "Have you seen signs posted about the advisory at places where you fish?" See Appendix A for a copy of the survey instrument. • Awareness of Delta Fish Advisory through Sign Postings. MDEQ posted signs at fishing access points, such as boat ramps, as well as at commercial fish sales outlets and tackle shops throughout the Delta. MDEQ continues to maintain the signs posted at boat ramps and fishing areas. Forty-nine percent of respondents recalled seeing signs about the advisory at places where they fish. 6-8 ------- • Awareness of Delta Fish Advisory through the Media. The public media campaign implemented by MDEQ included news conferences, news releases, staged sampling demonstration photo opportunities, radio and television spots on morning shows, and call-in shows on gospel and blues radio stations. Forty-three percent of respondents heard about the advisory on the local television news or news talk show; 15 percent heard about the advisory on the local radio news or news talk show; 6 percent heard about the advisory on the "Mississippi Outdoors" program on ETV, the Mississippi public television station; and 3 percent heard a radio advertisement about the advisory. • Awareness and Usefulness of Delta Fish Advisory Brochure. The MDEQ brochure explains the advisory details, shows a map of the advisory area, and includes pictures of the types offish that have consumption limits and the types offish with no consumption limits. Sixteen percent of aware respondents (n = 41) recalled receiving a brochure about the advisory. Most respondents got the brochure from a park ranger (23 percent), at church (19 percent), or from a fish market (15 percent). For respondents who received a brochure, 77 percent described the brochure as very useful, 20 percent described it as somewhat useful, and 3 percent did not read the brochure. • Awareness and Usefulness of Toll-Free Delta Fish Advisory Hotline. Seventeen percent of aware respondents (n = 43) knew about the toll-free fish advisory hotline. Of these, five called the fish advisory hotline and described the information received as "very useful." • Awareness and Usefulness of Information about the Delta Fish Advisory on the Internet. Nine percent of aware respondents (n = 13) looked for information about the advisory online. These respondents describe the information they found as "very useful" or "somewhat useful." • Awareness of Delta Fish Advisory through Local Churches. MDEQ mailed letters and brochures to 1,400 churches in the advisory area. Eleven percent of aware respondents recalled that their church pastor talked about the advisory. Preferred Information Sources for Receiving Delta Fish Advisory Information (Questions 24 and 41). Survey respondents were asked to identify the two best ways to get information on fishing advisories to people who fish or eat wild-caught fish from the Mississippi 6-9 ------- Delta. The responses are presented in Figure 6-5 for anglers and nonanglers. Among anglers, the most preferred information sources were television (71 percent) and signs posted at local waterbodies (53 percent). Among nonanglers, the most preferred information sources were television (84 percent) and radio (34 percent). Few respondents identified signs (posted at bait shops and/or fish markets) (7-14 percent), newspapers or magazines (13-18 percent), direct mailings (7-14 percent), and the Internet (4-6 percent) as preferred information sources. 6.2 Changes in Fish Consumption as a Result of the Delta Fish Advisory The study used a retrospective study design. The questionnaire collected information on fish consumption during the past year from all respondents and information on self-reported changes in fish consumption and behavior since learning about the advisory from respondents aware of the advisory. Consumption of Advisory Fish Species during the Past Year (Questions 9-13). The questionnaire collected information on whether the respondent or other household members consumed fish included in the advisory (buffalo fish, gar, carp, and catfish > 22 inches) and buffalo fish from Roebuck Lake during the past year, and if so, the frequency of consumption. Respondents were instructed to include only wild-caught fish in their responses (i.e., exclude pond-raised fish) and to report the number of times fish covered by the advisory was consumed during the past week, month, or year. For reporting purposes, the responses were converted to number of times per month. The questionnaire collected frequency of consumption for each household member. Because the survey weights are at the respondent level rather than the household level, only the respondent data for consumption are presented. Figure 6-6 shows the weighted percentage of respondents whose household consumed fish species from the advisory. Table 6-2 shows the mean number of times per month (range) the respondent consumed those fish, and for those respondents who reported consuming those fish, the weighted percentage of respondents who consumed more than the recommended two meals per month, both for only those respondents who consumed the advisory fish species and for all respondents who consumed wild-caught fish. Results are shown for consumption of each of the four species included in the advisory and for consumption of any of the four fish species. Additionally, results are shown for respondents aware of the advisory, respondents unaware of the advisory, and all respondents; statistically significant differences are noted below. 6-10 ------- Television Signs at water bodies Radio Newspaper/ magazine Direct mail Information at bait shops / fish markets Door-to- door Internet Other — ———— 0 10 20 30 40 50 60 70 80 90 Weighted Percentage of Respondents 100 IAII Respondents dAngler dNonangler Figure 6-5. Preferred Information sources for receiving fish advisory information by respondent type (n = 1,017, angler respondents n = 585, nonangler respondents n = 432). Note: Respondents selected up to two information sources. Questions 24 and 41: What would you say are the two best ways to get information on fishing advisories to people who fish or eat wild-caught fish from the Mississippi Delta? (The same question was asked of respondents not aware of the advisory [Question 24) and respondents aware of the advisory (Question 41). 6-11 ------- Buffalo fish Wild-caught catfish (> 22 inches) Carp Gar Any of the four fish species 10 I26 >7 22 45 39 20 30 40 50 60 70 80 90 100 Weighted Percentage of Respondents Whose Household Consumed the Fish Species in the Past Year I All Respondents n Unaware QAware Figure 6-6. Reported consumption of fish identified in the Delta fish advisory by aware vs. unaware of the advisory (all respondents n = 1,004, unaware respondents n = 706, aware respondents n = 298). Questions 9-13: Did you or others in your household eat (fish type) in the past year? What is the average number of times (fish type) is consumed per month? (These questions were asked for each fish type in the advisory). 6-12 ------- Table 6-2. Consumption Frequency for Fish Identified in the Advisory by Aware vs. Unaware of the Advisory (Questions 9-13) Buffalo fish Wild-caught catfish (> 22 inches) Carp Gar Any of the four fish species Number of Respond- ents Who Consumed the Fish 84 81 17 19 122 Aware Respondents Number of Times Consumed Per Month Weighted Mean (Range) 0.9 (0.08-12.00) 1.2(0.08-12.00) 0.9 (0.08-2.00) 0.7 (0.08-4.00) 1.5 (0.08-16.00) Weighted Percentage of Respondents Who Consumed in Excess of the Advisory Recommendations11 1.4 2.0 0.0 0.0 6.5 Unaware Respondents Number of Respond- ents Who Consumed the Fish 274 208 58 63 362 Number of Times Consumed Per Month Weighted Mean (Range) 0.9 (0.08-16.00) 1.3(0.08-8.00) 0.6 (0.08-4.00) 0.7 (0.08-4.00) 1.5 (0.08-20.00) Weighted Percentage of Respondents Who Consumed in Excess of the Advisory Recommendations11 2.1 4.4 0.1 0.2 10.6 All Respondents Number of Respond- ents Who Consumed the Fish 358 289 75 82 484 Number of Times Consumed Per Month Weighted Mean (Range) 0.9 (0.08-16.00) 1.3 (0.08-12.00) 0.7 (0.08-4.00) 0.7 (0.08-4.00) 1.5 (0.08-20.00) Weighted Percentage of Respondents Who Consumed in Excess of the Advisory Recommendations11 1.9 3.8 0.1 0.1 9.5 Weighted percentage is for respondents who reported consuming any wild-caught fish from the Mississippi Delta during the past year. 6-13 ------- Buffalo Fish Consumption. Thirty-one percent of respondents reported that their household consumed buffalo fish during the past year (n = 358). The prevalence of buffalo fish consumption was 32 percent among respondents unaware of the advisory and 28 percent among aware respondents (difference not significant). On average, buffalo fish was consumed 0.9 times per month by respondents aware and unaware of the advisory. Two percent of wild-caught fish consumers exceeded the advisory recommendations for consumption of buffalo fish (more than two meals a month). No respondents reported consuming buffalo fish from Roebuck Lake, and 19 percent did not know where the buffalo fish they consumed were caught. Wild-Caught Large Catfish (> 22 inches) Consumption. Twenty-six percent of respondents (n = 289) reported that their household consumed large catfish during the past year. The prevalence of large catfish consumption was 27 percent among respondents unaware of the advisory and 22 percent among aware respondents (difference not significant). On average, large catfish was consumed 1.2 times per month by respondents aware of the advisory and 1.3 times per month by respondents unaware of the advisory. Four percent of wild-caught fish consumers exceeded the advisory recommendations for consumption of large catfish (more than two meals a month). Carp Consumption. Five percent of respondents (n = 75) reported that their household consumed carp during the past year. The prevalence of carp consumption was higher among respondents unaware of the advisory than among aware respondents (6 percent vs. 3 percent, p = 0.0074). On average, carp was consumed 0.9 times per month by respondents aware of the advisory and 0.6 times per month by respondents unaware of the advisory. Less than 1 percent of wild-caught fish consumers exceeded the advisory recommendations for consumption of carp (more than two meals a month). Gar Consumption. Six percent of respondents (n = 82) reported that their household consumed gar during the past year. The prevalence of gar consumption was higher among respondents unaware of the advisory than among aware respondents (7 percent vs. 3 percent, p = 0.0181). On average, gar was consumed 0.7 times per month by respondents aware and unaware of the advisory. Less than 1 percent of wild-caught fish consumers exceeded the advisory recommendations for consumption of gar (more than two meals a month). 6-14 ------- • Consumption of Any of the Four Fish Species. Forty-five percent of respondents (n = 484) reported that their household consumed any of the four fish species during the past year. The prevalence of consumption of any of these four fish species was 47 percent for unaware respondents and 39 percent for aware respondents (difference not significant). On average, any of these four fish species were consumed 1.5 times per month by respondents aware and unaware of the advisory. Ten percent of wild-caught fish consumers exceeded the advisory recommendations for any of these four fish species (more than two meals a month). Self-Reported Changes in Fish Consumption Since Learning about the Advisory (Questions 27 and 30). The questionnaire asked respondents who were aware of the advisory if they usually follow the advisory consumption recommendations (Figure 6-7). Ninety-one percent of aware respondents said that they usually follow the advisory recommendations. Compliance with the advisory did not vary by respondent type (anglers vs. nonanglers), the importance of fishing as a source of food (angler respondents), county, gender, education level, or race. For respondents who consume the fish in the advisory, 84 percent reported that it is "not a problem at all" to limit consumption of the fish included in the advisory (Figure 6-8). 6.3 Changes in Other Behaviors as a Result of the Delta Fish Advisory Self-Reported Changes in Fishing Practices Since Learning about the Delta Fish Advisory (Questions 42, 43, 44, and 47). The questionnaire asked angler respondents who were aware of the advisory if they made any changes in their fishing practices since learning about the advisory, such as frequency of fishing, fishing locations, sizes offish, or species offish (Figures 6-9 through 6-12). Sixty-seven percent of aware respondents reported that they made no changes, 20 percent reported fishing for different types offish, 15 percent reported fishing less often, and 13 percent reported fishing in different locations. Differences in responses were not observed with regard to gender, education, or race. Differences in responses were observed for county and the importance of fishing as a food source. Forty percent of anglers who consider fishing an important source of food reported fishing for different types offish compared with 15 percent of anglers who do not consider fishing an importance source of food (p = 0.0108). Twenty-five percent of respondents who live in Washington County reported fishing in different places compared with 7 percent in the other counties (p = 0.0060), and 37 percent of respondents who live in Washington County reported fishing for different types offish compared with 12 percent in the other counties (p = 0.0018). 6-15 ------- All respondents •£ tu Angler T3 0) = 0. |^ a Nonangler D_ II II 91 91 91 o High school graduate 0 10 20 30 40 50 60 70 80 90 100 Weighted Percentage of Aware Respondents Who Usually Follow the Recommendations Figure 6-7. Self-reported adherence to the Delta fish advisory recommendations by subpopulation (n = 305). Question 27: Do you usually follow the advisory recommendations? 6-16 ------- Weighted Percentage of Aware Respondents 3% 2% 11% 84% • Not a problem at all • Somewhat of a problem DA very big problem d Don't know Figure 6-8. Level of difficulty for limiting consumption of fish species in the Delta fish advisory (n = 222). Question 30: How difficult is it for you and your family to limit how much you eat of buffalo fish, carp, gar, and large catfish? 6-17 ------- All respondents § i>-o o Not at all/A little bit ro£ g o •£.!»£ = O LI_ "- O E'S ro w Somewhat/A lot Coahoma >, Holmes •B 0 Leflore Washington - Male CD ^ Female < High school r- 0 -1— » o High school graduate T3 LLJ > High school African American o> o OL Caucasian c , 1 0 y 5^ 58 6 37 5 7C 7 7- 70 1 \ 73 7 6 n 0 10 20 30 40 50 60 70 80 90 100 Weighted Percentage of Angler Respondents Aware of the Advisory Figure 6-9. Self-reported changes in fishing practices since learning about the Delta fish advisory by subpopulation: No changes made (n = 241). Question 42: After learning about the advisory, did you make any changes in your fishing practices, such as how often you fish, where you fish, or the types offish that you catch? 6-18 ------- All respondents § i>-o o Not at all/A little bit li § I o£"- g E'S ro w Somewhat/A lot Coahoma >, Holmes •B 0 Leflore Washington - Male 0> 0 Female < High school c 0 -1— » o High school graduate T3 LU > High school African American o> o OL Caucasian 1 1 1 11 11 1' 1 1 13 12 11 5 ) 6 f 5 5 2 >1 2! 0 0 10 20 30 40 50 60 70 80 90 100 Weighted Percentage of Angler Respondents Aware of the Advisory Figure 6-10. Self-reported changes in fishing practices since learning about the Delta fish advisory by subpopulation: Fish less often (n = 241). Question 43: After learning about the advisory, did you change how often you usually fish in Mississippi Delta waters? 6-19 ------- All respondents § g-o o> Not at all/A little bit li § I o jj_ "- o E'S t§ w Somewhat/A lot Coahoma >, Holmes •E o 0 Leflore Washington jjj Male T3 0) ° Female < High school 0 "en o High school graduate T3 > High school African American 0> 0 & Caucasian H h e ] 8 9 8 1 1 13 11 14 0 0 1 19 6 i 2 > 0 10 20 30 40 50 60 70 80 90 100 Weighted Percentage of Angler Respondents Aware of the Advisory Figure 6-11. Self-reported changes in fishing practices since learning about the Delta fish advisory by subpopulation: Fish in different places (n = 241). Question 44: After learning about the advisory, did you change the locations where you usually go fishing in the Mississippi Delta? 6-20 ------- All respondents § i>-o o Not at all/A little bit 25% * OE"- o E'S ro w Somewhat/A lot Coahoma >, Holmes •B 0 Leflore Washington S Male 0) 0 Female < High school c 0 -1— » o High school graduate T3 LU > High school African American o> o OL Caucasian 1 ] 1 1 1 12 1' 1 20 5 19 22 22 23 23 7 40 57 0 10 20 30 40 50 60 70 80 90 100 Weighted Percentage of Angler Respondents Aware of the Advisory Figure 6-12. Self-reported changes in fishing practices since learning about the Delta fish advisory by subpopulation: Fish for different types offish (n = 241). Question 47: After learning about the advisory, did you make any changes in the types offish that you usually fish for in the Mississippi Delta? 6-21 ------- Changes in Fishing in Roebuck Lake (Questions 45 and 46). The advisory recommends not eating any buffalo fish from Roebuck Lake in Leflore County. Twenty-four percent of anglers who were aware of the advisory and reported making changes in their fishing practices fished in Roebuck Lake before the advisory was issued. After learning about the advisory, one respondent continued to fish in Roebuck Lake. Self-Reported Changes in Fish Consumption Practices Since Learning about the Delta Fish Advisory (Questions 48-52). The questionnaire asked respondents whose households consumed wild-caught fish and who were aware of the advisory about the species offish consumed before the advisory and whether they stopped eating or consumed less of these fish species since learning about the advisory (Figure 6-13). Some consumers of buffalo fish and large catfish (> 22 inches) reported changing their fish consumption behavior as a result of the advisory. Before the advisory, 39 percent of respondents ate buffalo fish (n = 117). Since learning about the advisory, 33 percent of buffalo fish consumers reported that they stopped eating this type offish and 54 percent reported eating less buffalo fish. Before the advisory, 38 percent of respondents ate large catfish (n = 121). Since learning about the advisory, 52 percent of large catfish consumers reported that they stopped eating this type offish and 33 percent reported eating less of this type offish. Few respondents ate carp (n = 21) or gar (n = 23) before the advisory. Since learning about the advisory, about 80 percent of consumers of these fish reported that they stopped eating or ate less of these types offish. Larger fish are more likely to contain higher concentrations of contaminants such as DDT and toxaphene. Some respondents made changes in the size offish consumed as a result of the advisory. Since learning about the advisory, 25 percent of aware respondents whose households eat wild-caught fish reported eating smaller fish and 9 percent reported eating smaller fish for some fish species and the same size fish for other species (Figure 6-14). The majority of these respondents reported eating smaller catfish (84 percent among those making a change). Self-Reported Changes in Fish Preparation and Cooking Practices Since Learning about the Delta Advisory (Question 53). Methods used to prepare and cook fish can help reduce the risk of exposure to some lipophilic contaminants, such as DDT and toxaphene. Methods include removing the belly fat and skin and not frying the fish. Six percent of aware respondents whose households eat fish made changes in how they prepare or cook wild-caught fish since learning about the advisory (Figure 6-15). The most common changes were frying fish less often or broiling, baking, or grilling fish instead of frying. 6-22 ------- Buffalo fish consumers (n=117) Wild-caught catfish (> 22 inches) consumers (n=121) Carp consumers (n=21) 39 Gar consumers (n=23) 0 10 20 30 40 50 60 70 80 90 100 Weighted Percentage of Aware Respondents Whose Households Consume Wild-Caught Fish • Stopped eatingthe fish species D Consume less of the fish species D Did not make changes Figure 6-13. Self-reported changes in fish consumption practices since learning about the Delta fish advisory. Note: Results are for respondents who reported eating the fish species before the advisory, as shown by the n in parenthesis; totals may not sum to 100 percent because of rounding. Question 48A: Before learning about the advisory, did you eat any of the following types of fish? Question 48B: Since learning about the advisory, what types of wild-caught fish have you stopped eating? Question 49: Since learning about the advisory, what types of wild-caught fish do you eat less of now? 6-23 ------- Weighted Percentage of Aware Respondents Whose Households Consume Wild-Caught Fish 25% 63% • Eat smaller fish • Eat smaller fish for some species and same size fish for other species a No changes n Don't know/no response Figure 6-14. Self-reported changes in size offish consumed since learning about the Delta fish advisory (n = 298). Question 52: After learning about the advisory, did you change the size of wild-caught fish from the Mississippi Delta that you eat? Weighted Percentage of Aware Respondents Whose Households Consume Wild-Caught Fish 93% • Made changes CIDid not make any changes n Do n't know Figure 6-15. Self-reported changes in fish preparation and cooking practices since learning about the Delta fish advisory (n = 298). Question 53: After learning about the advisory, did you make any changes in how you prepare or cook wild-caught fish from the Mississippi Delta? 6-24 ------- Self-Reported Changes in Fish Preparation Practices for Young Children Since Learning about the Delta Fish Advisory (Question 54). Few respondents (3 percent) reported making changes in the types and amount of wild-caught fish prepared and cooked for children under the age of 7 (among respondents who prepare and cook fish for young children) (Figure 6-16). Weighted Percentage of Aware Respondents Whose Households Cook Fish for Children 97% • Made changes D Did not make any changes Figure 6-16. Self-reported changes in fish preparation practices for children under the age of 7 since learning about the Delta fish advisory (n = 144). Question 54: After learning about the advisory, were any changes made in the types and amount of wild-caught fish or how fish was prepared and cooked for children under the age of 7? 6-25 ------- [This page intentionally left blank.] ------- SECTION 7 CONCLUSION EPA conducted on-the-bank and household surveys to collect information to assess the awareness and effectiveness of the existing Mississippi Delta Fish Consumption Advisory issued by MDEQ. The survey response was good, with response rates of 95 percent (n = 413) for the on-the-bank survey and 85 percent (n = 604) for the household survey. This section summarizes the key findings from the surveys. Twenty-eight percent of all respondents and 46% of anglers reported being aware of a warning or advisory about eating wild-caught fish from the Mississippi Delta. The level of awareness of the advisory varied for the different subpopulations examined in the study, suggesting that the advisory may be more effective at reaching some populations than others. Awareness was significantly higher among Coahoma residents (45 percent), males (40 percent), and Caucasians (38 percent). Among anglers, awareness was significantly higher for angler respondents who did not consider fishing an important source of food (52 percent) compared with anglers who rely on fishing as a food source. Awareness increased with level of education and ranged from 20 percent for individuals with less than a high school education to 36 percent for individuals with more than a high school education. Higher awareness among Coahoma residents may be attributed to the close proximity of this county to Memphis, Tenn., which is closer to major media markets; thus they may have had greater exposure to the initial outreach campaign than other counties. A review of the literature regarding the effectiveness offish consumption advisories reveals mixed awareness rates. Awareness rates ranged from 8 to 81 percent and were higher among anglers with more fishing experience, anglers who fished on a regular basis, and more highly educated individuals (Anderson et al., 2004; Burger, Sanchez, and Gochfeld, 1998; Burger and Waishwell, 2001; Campbell et al., 2002; Gibson, 2005; Pflugh et al., 1999).Thus, the awareness for the Delta advisory is within the range of awareness reported in the literature. Level of knowledge about the Delta advisory varied. Seven percent of respondents aware of the advisory correctly described all the advisory recommendations and 73 percent had a general understanding of the advisory; the remaining 20 percent could not explain any details of the advisory. For respondents aware of the advisory, 75 percent believed that the advisory was still in effect and 24 percent did not know. 7-1 ------- Most respondents heard about the advisory from signs posted at affected waterbodies (49 percent for aided awareness) and through the media such as television news or talk shows (43 percent) or radio news or talk shows (15percent). Few respondents learned about the advisory from the MDEQ brochure, the MDEQ toll-free help-line, or the MDEQ Web site. For respondents who used these information sources, most reported finding them very useful. Although television was identified as the most preferred information source for receiving information on fish advisories, less than half of respondents learned about the advisory through local TV news or talk shows. The survey findings suggest that sign postings are an effective mechanism for informing anglers about the fish advisory. Additional analysis could help broaden the understanding of the types of outreach methods that are most effective in achieving the desired risk reducing changes in both fishing practices and fish consumption behavior. Consumption of the fish species identified in the advisory was not widespread. Few respondents reported that their households eat carp (5 percent) or gar (6 percent) and fewer than a third of respondents reported that their households eat wild-caught large catfish (>22 inches) (26 percent) or buffalo fish (31 percent). Few respondents exceeded the advisory recommendations of two meals per month of carp, gar, large catfish, and buffalo fish. Ten percent of respondents who consume wild-caught fish from the Mississippi Delta had consumed more than the advisory recommendations during the past year. No respondents reported consuming buffalo fish from Roebuck Lake, although 19 percent did not know the source of the buffalo fish they consumed. Ninety-one percent of aware respondents reported that they usually follow the advisory recommendations, and 84 percent said it is not a problem at all to limit consumption offish included in the advisory. Respondents reported limited changes in fishing practices since learning about the advisory. Changes respondents made in their fishing practices included fishing for different types offish (20 percent of respondents), fishing less often (15 percent), and fishing in different locations (13 percent). Sixty-seven percent of respondents did not make any changes in their fishing practices as a result of the advisory. This may be because they were already following the advisory recommendations or do not fish for or eat the fish included in the advisory. The prevalence of fishing for different types offish was higher among respondents who consider fishing an important source of food (fishing for different types offish). This difference might be because respondents who consider fishing an important source of food are more likely to eat the fish they catch. 7-2 ------- Respondents reported some changes in fish consumption practices since learning about the advisory. Since learning about the advisory, 33 percent of buffalo fish consumers reported that they stopped eating buffalo fish and 54 percent reported eating less. Since learning about the advisory, 52 percent of large catfish (> 22 inches) consumers reported that they stopped eating large catfish and 33 percent reported eating less. Few respondents ate carp or gar before the advisory. Respondents reported limited changes in fish preparation and cooking practices since learning about the advisory. Six percent of respondents reported changing how they prepare or cook fish as a result of the fish advisory. The most common change made was frying fish less often or using a different cooking method instead of frying. The outreach campaign informed anglers about the fish advisory and resulted in some behavior changes. The outreach campaign implemented by MDEQ in 2001 initially used a variety of mechanisms to inform people about the fish advisory, including sign postings, brochures, and the mass media. Currently, outreach is limited to publishing advisories in the MDWFP regulations brochure, posting information on the MDEQ Web site, and maintaining signs at boat ramps and fishing areas. The survey results suggest that the campaign has increased awareness of the advisory. Forty-six percent of the anglers in the four country area surveyed were aware of the Delta advisory, with lower awareness (18 percent) among nonanglers who consume wild-caught fish from the Mississippi Delta. Among all respondents, awareness of the advisory was 28 percent. The survey results suggest that MDEQ's outreach campaign is more effective at reaching anglers than nonanglers with information on the advisory; this may be due in part to the signs posted at boat ramps and fishing areas and to a smaller extent to the MDWFP fishing regulations brochure that is distributed to all licensed anglers although 49 percent of anglers in this study did not have a current fishing license. The survey results suggest that some respondents (33-54 percent) stopped eating or ate less wild-caught large catfish (>22 inches) or buffalo fish since learning about the advisory (few respondents ate carp or gar before the advisory). However, respondents reported limited changes in their fishing practices and fish preparation and cooking practices since learning about the advisory. Only 10 percent of respondents were found to eat more than the recommended two fish meals per month of wild-caught fish from the Delta area, which would increase their health risks from consuming DDT and toxaphene contaminated fish. This finding is encouraging since about a third of respondents reported eating buffalo fish or wild-caught large catfish (>22 inches). 7-3 ------- [This page intentionally left blank.] ------- SECTION 8 REFERENCES American Association for Public Opinion Research Response Rate 3 (AAPOR, RR3). http://www.aapor.org/ Standard_Definitions/l818.htm. Anderson, H.A., L.P. Hanrahan, A. Smith, L. Draheim, M. Kanarek, and J. Olsen. 2004. "The Role of Sport-Fish Consumption Advisories in Mercury Risk Communication: A 1998- 1999 12-State Survey of Women Age 18-45." Environmental Research 95(3):315-324. Burger, J., and L. Waishwell. 2001. "Are We Reaching the Target Audience? Evaluation of a Fish Fact Sheet." The Science of the Total Environment 277:77-86. Burger, J., J. Sanchez, and M. Gochfeld. 1998. "Fishing, Consumption, and Risk Perception in Fisherfolk along an East Coast Estuary." Environmental Research 77(l):25-35. Campbell, K.R., RJ. Dickey, R. Sexton, and J. Burger. 2002. "Fishing along the Clinch River Arm of Watts Bar Reservoir Adjacent to the Oak Ridge Reservation, TN: Behavior, Knowledge and Risk Perception." The Science of the Total Environment 299:145-161. Farm Chemicals Handbook. 1989. Willoughby, OH: Meister Publishing Company. Ford, W.M., and E.P. Hill. 1990. "Organochlorine Contaminants in Eggs and Tissues of Wood Ducks from Mississippi." Bulletin of Environmental Contamination and Toxicology 45:870-875. Ford, W.M., and E.P. Hill. 1991. "Organochlorine Pesticides in Soil, Sediments, and Aquatic Animals in the Upper Steele Bayou Watershed of Mississippi." Archive of Environmental Contamination 20:161-167. Gibson, J. 2005. "Fish Consumption Advisories in Tributaries to the Chesapeake Bay: Improving the Communication of Risk to Washington, DC Anglers." Master's Thesis, Virginia Polytechnic Institute and State University. Available at http://scholar.lib.vt.edu/theses/available/etd-05162005-143437/unrestricted/Gibson- Fish Consumption Thesis.pdf. Accessed August 2, 2010. Grayson, M. (Ed.), 1981. Kirk-Othmer Encyclopedia of Chemical Technology, 3rd edition, Vol. 13, p. 414. New York: John Wiley & Sons. International Agency for Research on Cancer (IARC). 1979.1 ARC Monographs on the Evaluation of the Carcinogenic Risk of Chemicals to Humans—Some Halogenated Hydrocarbons. Volume 20. Lyon, France: World Health Organization. MDEQ (Mississippi Department of Environmental Quality). 2001. Mississippi Delta Fish Tissue Study 2000. Final Report. October 31. Jackson, MS. 8-1 ------- Pflugh, K.K., L. Lung, L.A. Von Hagen, S. Von Hagen, and J. Burger. 1999. "Urban Anglers' Perception of Risk from Contaminated Fish." The Science of the Total Environment 228:203-218. Saleh, M.A. 1991. "Toxaphene: Chemistry, Biochemistry, Toxicology, and Environmental Fate." Reviews in Environmental Contamination and Toxicology 118:1-85. SAS Institute Inc. 2002-2008. SAS Version 9.2. Cary, NC: SAS Institute. Schmitt, C.J., J.L. Ludke, and D. Walsh. 1981. "Organochlorine Residues in Fish,1970-1974. : National Pesticide Monitoring Program: Pesticide Monitoring Journal 14:136-206. Schmitt, C.J., M.A. Ribick, J.L. Ludke, and T.W. May. 1983. "Organochlorine Residues in Freshwater Fish, 1976-1979.National Pesticide Monitoring Program" U.S. Fish and Wildlife Service, Washington, D.C. Resource Publication 152, pp.62. Schmitt, C.J., J.L. Zajicek, and M.A. Ribick 1985. "National Pesticide Monitoring Program: Residues of Organochlorine Chemicals in Freshwater Fish. 1980-1981." Archives of Environmental Contamination and Toxicologyl4:225-260. Schmitt, C.J., J.L. Zajicek, and P.H. Peterman. 1990. "National Contaminant Biomonitoring Program: Residues of Organochlorine Chemicals in U.S. Freshwater Fish. 1976-1984." Archives of Environmental Contamination and Toxicology 19:748-781. U.S. Environmental Protection Agency (EPA). 1972. "Consolidated DDT Hearings: Opinion and Order of the Administrator." Federal Register 37 (131): 13369. U.S. Environmental Protection Agency (EPA). 1982. "Toxaphene: Intent to Cancel or Restrict Registrations of Pesticide Products Containing Toxaphene; Denial of Applications for Reregi strati on of Pesticide Products Containing Toxaphene; Determination Concluding the Rebuttable Presumption against Registration; Availability of Decision Documents." Federal Register 47:53784-53793. U.S. Environmental Protection Agency (EPA). 1990. "Notice of Intent to Remove Certain Active Ingredients from Reregi strati on List B and to Cancel Pesticides Containing those Ingredients." Federal Register 55 FR 31164-31174. U.S. Environmental Protection Agency (EPA). 1992. National Study of Chemical Residues in Fish. Office of Science and Technology. EPA 823-R-92.008C. Washington, DC: EPA. U.S. Environmental Protection Agency (EPA). 2007. Recommended Study Design for a Survey to Evaluate the Effectiveness of Mississippi Delta Fish Advisories. Contract No. 68-W- 03-042. Available at http://www.epa.gov/fishadvisories/technical/ms-delta.html. U.S. Environmental Protection Agency (EPA). 2008. The National Listing of Fish Advisories (NLFA) Database. Office of Science and Technology. Washington, DC: EPA. 8-2 ------- APPENDIX A: MAPS OF THE FOUR COUNTIES INCLUDED IN THE SURVEY ------- [This page intentionally left blank.] ------- Mississippi River Legend Delta Fish Advisory Boundary A-l ------- Arkansas Coahoma County Tall ah ate hie County A-2 ------- A-3 ------- Tallahatchie Countv Dugan Bayou Leff lore County Grenada County Carroll County Sunflower County •^-.JLaks Henry xSwan Lake ""-Pleasant Lake Mossy Lake LittleMossvLake Holmes County Humphreys County A-4 ------- Bolivar Countv Washington Coiyity Deer River Sunflower County Sreenville Leland Big Sunflower River Humphreys County Mississippi River Sharkey County A i, 1 \ Straight Lak< Lake Jackson A-5 ------- [This page intentionally left blank.] ------- APPENDIX B: FINAL SURVEY INSTRUMENT ------- [This page intentionally left blank.] ------- On-the-Bank Survey ------- [This page intentionally left blank.] ------- ID No. Survey to Investigate Awareness of the Mississippi Delta Fish Advisory and the Relationship between the Advisory and Related Fishing Behaviors ON-THE-BANK SURVEY (FINAL VERSION 10/1/09) OMB control number: 0910-0637 According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0910-0637. The time required to complete this information collection is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Date: Data Collection Team: Water Body: Access Point: Code i 2 3 6 11 20 21 22 18 19 NOTES: If group, number of people in group aged 18 and older Eligible and agreed to participate Partial Eligible— Refusal Eligible— Language barrier Unk— Refused to complete screener Ineligible - Under 18 years Ineligible - Does not live in one of four counties Ineligible— Completed HH survey Ineligible— Other Other ------- INTRODUCTION Hello. My name is and I'm with . We are talking with people who fish in the Mississippi Delta as part of a study that we are conducting for the U.S. Food and Drug Administration and the Environmental Protection Agency. We plan to talk with about 1,000 individuals from different counties in the Delta. A summary of the study findings will be posted locally. My questions will take about 15 to 20 minutes. All of the information you provide will be kept completely confidential. The study findings will be presented in summary form so that your name is not associated with your responses. (IF THE GROUP HAS MORE THAN ONE PERSON) For those of you 18 years old or older, I just need to know which one of you most recently had a birthday. (ASSIST AS NEEDED BY ASKING FOR BIRTHDAYS. SELECT PERSON WITH MOST RECENT BIRTHDAY.) (IF THE GROUP HAS ONLY ONE PERSON) El. Are you at least 18 years old? 1. YES 2. NO (TERMINATE) E1A. During October, did you complete a survey about fishing? 1. YES (DESCRIBE - IF THIS SURVEY THEN TERMINATE) 2. NO (ASK SELECTED PERSON) E2. Do you live in any of the following counties? (READ LIST.) 1. Coahoma 998. DON'T KNOW 2. Holmes 999. REFUSED 3. Leflore 4. Washington 5. NONE OF THE ABOVE (TERMINATE-INELIGIBLE) E3. To the best of your knowledge, have you or anyone in your household eaten wild- caught fish from the Mississippi Delta in the past year? Please include wild-caught fish caught by you or others, including fish you buy. Do not include fish from the Mississippi River. 1. YES (GO TO E5) 998. DON'T KNOW (GO TO E5) 2. NO 999. REFUSED (GO TO E5) ------- E4. Why don't you or members of your household eat wild-caught fish from the Mississippi Delta? 1. DON'T LIKE TASTE 998. DON'T KNOW 2. NOT SAFE TO EAT 999. REFUSED 3. BECAUSE OF FISH ADVISORY 4. OTHER E5. Before we continue, I need you to read this form which provides information on the study. If you would like to take part in this study, please sign the form. If you prefer, I can read the form to you. [GIVE RESPONDENT INFORMED CONSENT FORM TO READ OR READ TO RESPONDENT.] 1. WANTS TO CONTINUE 2. NO (CODE AS REFUSAL) ------- A. FISHING PRACTICES ALL RESPONDENTS COMPLETE THIS SECTION Thank you for agreeing to participate in our study. I would like to begin by asking you some questions about fishing in the Mississippi Delta. For these questions, please do not include commercial fishing or fishing in commercial catfish ponds, or fishing in the Mississippi River. 1. About how many days have you been fishing in the Mississippi Delta area in the past month? days (READ RESPONSE LIST ONLY IF NECESSARY.) 1. NONE 5. 10 TO 15, OR (GOTO Q.2) 2. 1 TO 3, (GO TO Q.2) 6. MORE THAN 15? (GO TO Q.2) 3. 4 TO 6, (GO TO Q.2) 998. DON'T KNOW 4. 7 TO 9, (GO TO Q.2) 999. REFUSED 1A. About how many days have you been fishing in the Mississippi Delta area in the past year? days (READ RESPONSE LIST ONLY IF NECESSARY.) 1. 1 TO 3, 4. 10 TO 15, OR 2. 4 TO 6, 5. MORE THAN 15? 3. 7 TO 9, 998. DON'T KNOW 999. REFUSED 2. What are some of the reasons why you fish? (SHOW CARD A AND CIRCLE ALL THAT APPLY.) 1. To provide food for my family 8. Like to eat fish 2. To reduce the amount of money 9. OTHER, SPECIFY spent on food 3. To relax 998. DON'T KNOW 4. To spend time outdoors 999. REFUSED 5. To spend time with friends and/or family 6. Enjoy fishing 7. To sell the fish/earn money When you fish, how often do you give away or trade the fish that you catch to other people? Would you say... 1. never, 998. DON'T KNOW 2. rarely, 999. REFUSED 3. some of the time, 4. most of the time, or 5. all of the time? ------- 4. When you fish, how often do you eat the fish you catch? Would you say ... 1. never, 998. DON'T KNOW 2. rarely, 999. REFUSED 3. some of the time, 4. most of the time, or 5. all of the time? 5. When you fish, how often do other people in your household eat the fish you catch? Would you say ... 1. never, 998. DON'T KNOW 2. rarely, 999. REFUSED 3. some of the time, 4. most of the time, or 5. all of the time? 6. How important are the fish that you catch as a source of food for your family? Would you say ... 1. not at all, 998. DON'T KNOW 2. a little bit, 999. REFUSED 3. somewhat, or 4. a lot? ------- B. FISH CONSUMPTION PRACTICES COMPLETE THIS SECTION IF HH EATS FISH (E3 = 1) Now I would like to ask you some questions about eating wild-caught fish from the Mississippi Delta. For these questions, please include wild-caught fish that you or family members catch, wild-caught fish that other people catch and give to you, and wild-caught fish that you buy. Do not include commercial pond-raised catfish or fish from the Mississippi River. 8. For you and each person in your household, please tell me the initials of that person starting with yourself, their age, whether they are male or female, about how many ounces of wild-caught fish they usually eat when served at a meal, and about how often they usually eat wild-caught fish from the Mississippi Delta. IF HH MEMBER DOES NOT EAT FISH, ENTER ZERO FOR AMOUNT EATEN AND ASK Q8A. Persons in household Age (enter (enter initials) age) Gender (circle one) M F M F M F M F M F Amount Children eaten in under 7: Age ounces when began per meal Frequency of eating wild-caught fish eating fish (show card) (enter number) times per times per times per times per times per (circle one) (enter age) week/ month / year week/ month / year week/ month / year week/ month / year week/ month / year 998. DON'T KNOW 999. REFUSED ------- IF A HOUSEHOLD MEMBER DOES NOT EAT FISH ASK FOLLOW-UP QUESTION: 8A. Why does he/she not eat fish? Persons in household (enter initials) Don't like taste 01 01 01 Reason for Too young 02 02 02 not eating fish Not safe 03 03 03 (circle one) Because of advisory 04 04 04 Other 05 05 05 9. Did you or others in your household eat gar in the past year? (SHOW PICTURE.) 1. YES 998. DON'T KNOW (GOTO Q.10) 2. NO(GOTOQ.IO) 999. REFUSED (GO TO Q.10) 9A. For you and each person in your household, please tell me the initials of that person and about how often they eat gar. Persons in household Frequency of eating (enter initials) (enter number) times per times per times per times per times per (circle one) week / month / year week/ month / year week/ month / year week / month / year week/ month / year 998. DON'T KNOW 999. REFUSED 10. Did you or others in your household eat carp in the past year? (SHOW PICTURE.) 1. YES 998. DON'T KNOW (GOTO Q.ll) 2. NO (GO TO Q.ll ON PAGE 7) 999. REFUSED (GO TO Q.ll) 10A. For you and each person in your household, please tell me the initials of that person and about how often they eat carp. Persons in household Frequency of eating (enter initials) (enter number) times per times per times per times per times per (circle one) week / month / year week / month / year week/ month / year week/ month / year week/ month / year 998. DON'T KNOW 999. REFUSED ------- 11. Did you or others in your household eat wild-caught catfish that are smaller than 22 inches in the past year? Do not include commercial pond-raised catfish. (SHOW PICTURE.) 1. YES 998. DON'T KNOW 2. NO 999. REFUSED 12. Did you or others in your household eat wild-caught catfish that are longer than 22 inches in the past year? Do not include pond-raised catfish. 1. YES 998. DON'T KNOW (GOTO Q.13) 2. NO (GO TO Q.13) 999. REFUSED (GO TO Q.13) 12A. For you and each person in your household, please tell me the initials of that person and about how often they eat large catfish. Persons in household Frequency of eating (enter initials) (enter number) (circle one) times per week/month / year times per week/month / year times per week/month / year times per week/month / year times per week/month / year times per week/month / year 998. DON'T KNOW 999. REFUSED 13. Did you or others in your household eat buffalo fish in the past year? (SHOW PICTURE.) 1. YES 998. DON'T KNOW (GOTO Q.14) 2. NO (GO TO Q.14 ON PAGES) 999. REFUSED (GO TO Q.14) 13A. For you and each person in your household, please tell me the initials of that person, about how often they eat buffalo fish, and the name of the river or lake where the buffalo fish was caught. Where did you or Persons in others catch the household Frequency of eating fish? (enter initials) (enter number) times per times per times per times per times per times per (circle one) week/ month / year week / month / year week / month / year week/ month / year week / month / year week / month / year (location) 998. DON'T KNOW 999. REFUSED ------- 14. Now I would like to know how you usually prepare and cook each of the fish that we just talked about. Type of fish Gar Carp Catfish (< 22 in) Catfish (> 22 in) Ri if fa In LJLJ Mull-/ fish Do you remove skin Do not before eat cooking? (check if (circle No) one) D Yor N D Yor N D Yor N D Yor N D Yor N Do you remove belly fat before cooking? (circle one) Yor N Yor N Yor N Yor N Yor N Do you remove the head before cooking? (circle one) Yor N Yor N Yor N Yor N Yor N Do you gut the fish and discard internal organs? (circle one) Yor N Yor N Yor N Yor N Yor N Do you usually eat the fillet, a steak, or the whole fish? (circle all that apply) Fillet Steak Whole fish Fillet Steak Whole fish Fillet Steak Whole fish Fillet Steak Whole fish Fillet Steak Whole fish How do you usually cook the fish? (circle all that apply) Fry / Grill Soup / Stew Broil / Bake Other Fry / Grill Soup / Stew Broil / Bake Other Fry / Grill Soup / Stew Broil / Bake Other Fry / Grill Soup / Stew Broil / Bake Other Fry / Grill Soup / Stew Broil / Bake Other 998. DON'T KNOW 999. REFUSED ------- C. DETERMINE IF RESPONDENT IS AWARE OF MISSISSIPPI DELTA ADVISORY ALL RESPONDENTS COMPLETE THIS SECTION 15. How safe do you think it is to eat wild-caught buffalo fish, carp, gar, and large catfish from the Mississippi Delta, would you say that it is ... 1. not very safe, 998. DON'T KNOW 2. somewhat safe, or 999. REFUSED 3. very safe? 16. How safe do you think it is to eat other types of wild-caught fish, those not previously mentioned, from the Mississippi Delta? 1. not very safe, 998. DON'T KNOW 2. somewhat safe, or 999. REFUSED 3. very safe? 17. Are you aware of any warnings or advisories about eating wild-caught fish from the Mississippi Delta? [IF RESPONDENT IS NOT SURE OR CANNOT RECALL: These advisories were first issued in 2001-2002. The advisory recommends that you don't eat too much of certain fish because of chemicals in the fish.] 1. YES (GO TO SECTION E ON PAGE 998. DON'T KNOW (COMPLETE 12) SECTION D, THEN GO TO 2. NO (COMPLETE SECTION D, SECTION H) THEN GO TO SECTION H) 999. REFUSED (COMPLETE SECTION 3. I heard of an advisory a few years D, THEN GO TO SECTION H) ago (GO TO SECTION E ON PAGE 12) ------- D. QUESTIONS FOR RESPONDENTS NOT AWARE OF ADVISORY COMPLETE THIS SECTION IF Q.17 = 2, 998, OR 999 18. The advisory recommends that you should not eat any buffalo fish from Roebuck Lake and that you should not eat more than two meals a month of buffalo fish, carp, gar, and catfish greater than 22 inches from other Mississippi Delta waters. (SHOW PICTURE OF ADVISORY. IF RESPONDENT NOW RECALLS ADVISORY, CHANGE ANSWER TO QUESTION 17 TO "YES" AND GO TO SECTION E.) How believable to you is the information in the advisory, would you say that it is ... 1. not very believable, 998. DON'T KNOW 2. somewhat believable, or 999. REFUSED 3. very believable? 19. In terms of protecting your health, how important do you think it is to follow the advisory's recommendations? Would you say... 1. not very important, 998. DON'T KNOW 2. somewhat important, or 999. REFUSED 3. very important? 20. How difficult would it be for you and your family to limit how much you eat of buffalo fish, carp, gar, and large catfish? Would you say... 1. not a problem at all, 998. DON'T KNOW 2. somewhat of a problem, or 999. REFUSED 3. a very big problem? 4. DO NOT EAT THESE FISH (GO TO Q.24 ON PAGE 11) 21. How likely are you to follow the advisory's recommendations? Would you say ... 1. not very likely, 998. DON'T KNOW 2. somewhat likely, or 999. REFUSED 3. very likely? 22. Now that you know about the advisory, how concerned are you about eating wild- caught buffalo fish, carp, gar, and large catfish from the Mississippi Delta? Would you say... 1. not very concerned, 998. DON'T KNOW 2. somewhat concerned, or 999. REFUSED 3. very concerned? ------- 23. In your opinion, if you or members of your household were to eat wild-caught buffalo fish, carp, gar, or large catfish from the Mississippi Delta, how likely is it that you or they would get sick? Would you say... 1. not very likely, 998. DON'T KNOW 2. somewhat likely, or 999. REFUSED 3. very likely? 24. What would you say are the two best ways to get information on fishing advisories to people who fish or eat wild-caught fish from the Mississippi Delta? (SHOW CARD B; CIRCLE ONLY TWO RESPONSES. READ CARD IF NECESSARY.) 1. Radio 2. Television 3. Newspaper 4. Magazine 5. Post signs at lakes, rivers, and other water sources 6. Mail information to home 7. Internet or Web site 8. Wildlife and fish expos 9. Health fairs 10. Post information and provide brochures at bait shops 11. Post information and provide brochures at fish markets 12. 13. 14. 15. 16. 17. Post information and provide brochures at Women, Infant, and Children (WIC) clinics Post information and provide brochures at doctors' offices, hospitals, and clinics Provide information through local churches Go door to door to provide information Fishing clubs OTHER, SPECIFY 998. DON'T KNOW 999. REFUSED GO TO SECTION H ON PAGE 20 ------- E. QUESTIONS FOR RESPONDENTS AWARE OF ADVISORY COMPLETE THIS SECTION IF Q.17 = 1 OR 3 25. To the best of your knowledge, tell me what the advisory recommends about eating fish. (CIRCLE ALL THAT ARE MENTIONED.) 1. CANNOT EXPLAIN WHAT THE ADVISORY IS ABOUT 2. DO NOT EAT FISH OVER A CERTAIN SIZE 3. DO NOT EAT ANY BUFFALO FISH FROM ROEBUCK LAKE 4. DO NOT EAT TOO MUCH OF CERTAIN FISH 5. DO NOT EAT TOO MUCH BUFFALO FISH 6. DO NOT EAT TOO MUCH CARP 7. DO NOT EAT TOO MUCH GAR 8. DO NOT EAT TOO MUCH LARGE CATFISH 9. 10. 11. 12. DO NOT EAT MORE THAN TWO MEALS A MONTH OF BUFFALO FISH DO NOT EAT MORE THAN TWO MEALS A MONTH OF CARP DO NOT EAT MORE THAN TWO MEALS A MONTH OF GAR DO NOT EAT MORE THAN TWO MEALS A MONTH OF LARGE CATFISH 13. OTHER, SPECIFY 998. DON'T KNOW 999. REFUSED The advisory recommends that you should not eat any buffalo fish from Roebuck Lake and that you should not eat more than two meals a month of buffalo fish, carp, gar, and catfish greater than 22 inches from other Mississippi Delta waters. (SHOW PICTURE OF ADVISORY.) 26. Are you aware of this particular advisory? 1. YES 998. 2. NO (CHANGE ANSWER TO QUESTION 17 TO "NO" AND GO TO SECTION D, THEN GO TO 999. SECTION H) DON'T KNOW (COMPLETE SECTION D, THEN GO TO SECTION H) REFUSED (COMPLETE SECTION D, THEN GO TO SECTION H) 27. Do you usually follow the advisory recommendations? 1. YES 998. DON'T KNOW 2. NO 999. REFUSED 28. How believable to you is the information in the advisory, would you say that it is ... 1. not very believable, 998. DON'T KNOW 2. somewhat believable, or 999. REFUSED 3. very believable? ------- 29. In terms of protecting your health, how important do you think it is to follow the advisory's recommendations? Would you say... 1. not very important, 998. DON'T KNOW 2. somewhat important, or 999. REFUSED 3. very important? 30. How difficult is it for you and your family to limit how much you eat of the fish in the advisory? Would you say... 1. not a problem at all, 998. DON'T KNOW 2. somewhat of a problem, or 999. REFUSED 3. a very big problem? 4. DO NOT EAT THESE FISH (GO TO Q.32) 31. In your opinion, if you or members of your household were to eat wild-caught buffalo fish, carp, gar, or large catfish from the Mississippi Delta, how likely is it that you or they would get sick? Would you say... 1. not very likely, 998. DON'T KNOW 2. somewhat likely, or 999. REFUSED 3. very likely? 32. Please think about this advisory when answering the next questions. How did you hear or learn about the advisory? (CIRCLE ALL THAT ARE MENTIONED.) 1. RADIO NEWS OR TALK SHOW 7. BROCHURE / PAMPHLET 2. RADIO ADVERTISEMENT 8. CHURCH 3. TELEVISION NEWS OR TALK SHOW 9. FAMILY/FRIENDS 4. TELEVISION SHOW 10. OTHER, SPECIFY 5. NEWSPAPER 6. SIGNS POSTED AT LAKES /RIVERS / 998. DON'T KNOW WATER (CIRCLE "1" FOR 34) 999. REFUSED 33. Do you believe the advisory is still in effect? 1. YES 998. DON'T KNOW 2. NO 999. REFUSED 34. Have you seen signs posted about the advisory at places where you fish? 1. YES 4. RESPONDENT DOES NOT FISH 2. NO 998. DON'T KNOW 3. YES, I USED TO SEE IT 999. REFUSED ------- 35. Did you get a brochure or pamphlet about the advisory? 1. YES 998. DON'T KNOW (GO TO Q.36) 2. NO (GO TO Q.36) 999. REFUSED (GO TO Q.36) 35A. Where did you get or who gave you the brochure or pamphlet? (CIRCLE ALL THAT ARE MENTIONED.) 1. HEALTH FAIR 8. PARK RANGER 2. COMMERCIAL FISHERMAN 9. CHURCH 3. BAIT SHOP 10. FAMILY/FRIENDS 4. WILDLIFE AND FISH EXPO 11. OTHER, SPECIFY 5. FISH MARKET 6. WIC CLINIC 998. DON'T KNOW 7. DOCTOR, HOSPITAL, OR OTHER 999. REFUSED HEALTH CARE PROVIDER 35B. How useful was the brochure or pamphlet? Would you say ... 1. not at all useful, 4. DID NOT READ BROCHURE 2. somewhat useful, or 998. DON'T KNOW 3. very useful? 999. REFUSED 36. Do you know about the toll-free hotline that you can call to get information on the advisory? 1. YES 998. DON'T KNOW (GO TO Q.37) 2. NO (GO TO Q.37) 999. REFUSED (GO TO Q.37) 36A. Have you called the advisory hotline? 1. YES 998. DON'T KNOW (GO TO Q.37) 2. NO (GO TO Q.37) 999. REFUSED (GO TO Q.37) 36B. How useful was the information you got from the advisory hotline? Would you say ... 1. not at all useful, 998. DON'T KNOW 2. somewhat useful, or 999. REFUSED 3. very useful? 37. If you have Internet access, have you looked for any information about the advisory online? 1. YES 998. DON'T KNOW (GO TO Q.38) 2. NO (GO TO Q.38 ON PAGE 15) 999. REFUSED (GO TO Q.38) 3. DO NOT HAVE INTERNET ACCESS (GO TO Q.38 ON PAGE 15) ------- 37A. How useful was the information you found online? Would you say ... 1. not at all useful, 998. DON'T KNOW 2. somewhat useful, or 999. REFUSED 3. very useful? 38. Did your church pastor talk about the advisory at all? 1. YES 998. DON'T KNOW 2. NO 999. REFUSED 3. DO NOT ATTEND CHURCH 39. Did your doctor or other health care provider talk with you about the advisory? 1. YES 998. DON'T KNOW 2. NO 999. REFUSED 3. HAVE NOT BEEN TO THE DOCTOR 40. Do you remember seeing or hearing information about the advisory on any of the following TV or radio programs? (READ LIST AND CIRCLE ONE FOR EACH.) Local TV news or talk show Mississippi Outdoors program on ETV Local radio news or talk show Radio advertisements Yes 01 01 01 01 No 02 02 02 02 Don't know 998 998 998 998 Refused 999 999 999 999 41. What would you say are the two best ways to get information on fishing advisories to people who fish or eat wild-caught fish from the Mississippi Delta? (SHOW CARD B; CIRCLE ONLY TWO RESPONSES. READ CARD IF NECESSARY.) 1. Radio 2. Television 3. Newspaper 4 Magazine 5 and other 6. Mail information to home 7. Internet or Web site 8. Wildlife and fish expos 9. Health fairs 10. Post information and provide brochures at bait shops 11. Post information and provide brochures at fish markets 12. 14' H .- 15. 16 17 ' Post information and provide brochures at Women, Infant, and Children (WIC) clinics Post inf°rmation and provide ' offlces' Provide information through local churches ,, . . . . . . Go door to door to provide information Fishing dubs OTHER SPECIFY ' ggg DON'T KNOW ggg' REFUSED ------- F. SELF-REPORTED CHANGES IN FISHING PRACTICES COMPLETE THIS SECTION IF RESPONDENT IS AWARE OF ADVISORY (Q.17 = 1 or 3) 42. After learning about the advisory, did you make any changes in your fishing practices, such as how often you fish, where you fish, or the types of fish that you catch? 1. YES 998. DONT KNOW 2. NO (GO TO SECTION G) 999. REFUSED 43. After learning about the advisory, did you change how often you usually fish in Mississippi Delta waters? Do you fish ... 1. more often, 998. DON'T KNOW 2. about the same amount of time, or 999. REFUSED 3. less often? 44. After learning about the advisory, did you change the locations where you usually go fishing in the Mississippi Delta? Do you fish ... 1. in the same places or 998. DON'T KNOW 2. in different places? 999. REFUSED 45. Before learning about the advisory, did you ever fish in Roebuck Lake in Leflore County? (SHOW ON MAP, IF NECESSARY.) 1. YES 998. DONT KNOW 2. NO 999. REFUSED 46. Since learning about the advisory, have you fished in Roebuck Lake? 1. YES 998. DON'T KNOW 2. NO 999. REFUSED 47. After learning about the advisory, did you make any changes in the types of fish that you usually fish for in the Mississippi Delta? Do you fish ... 1. for the same types of fish or (GO 998. DON'T KNOW (GO TO SECTION TO SECTION G) G) 2. different types of fish? 999. REFUSED (GO TO SECTION G) 47A. Tell me about the changes you made in the types of fish that you fish for in the Mississippi Delta. (RECORD RESPONSE.) 998. DON'T KNOW 999. REFUSED ------- G. SELF-REPORTED CHANGES IN FISHING CONSUMPTION COMPLETE THIS SECTION IF HH EATS FISH (E3 =1) AND RESPONDENT IS AWARE OF ADVISORY (Q.17 = 1 or 3) 48A. Before learning about the advisory, did you eat any of the following types of fish? (READ LIST AND CIRCLE IF YES.) 1. Buffalo fish 998. DON'T KNOW 2. Carp 999. REFUSED 3. Gar 4. Catfish longer than 22 inches 48B. Since learning about the advisory, what types of wild-caught fish have you stopped eating? (CIRCLE ALL THAT ARE MENTIONED.) NOTE: IF RESPONDENT SAYS "CATFISH," PROBE: Any specific size of catfish?; IF RESPONDENT SAYS "BIG FISH," PROBE: Any specific type of fish? 1. BUFFALO 6. SMALL CATFISH 2. CARP 7. OTHER, SPECIFY 3. GAR 4. CATFISH 8. NONE 5. LARGE CATFISH (> 22 inches) 998. DON'T KNOW 999. REFUSED 49. Since learning about the advisory, what types of wild-caught fish do you eat less of now? (CIRCLE ALL THAT ARE MENTIONED.) NOTE: IF RESPONDENT SAYS "CATFISH," PROBE: Any specific size of catfish?; IF RESPONDENT SAYS "BIG FISH," PROBE: Any specific type of fish? 1. BUFFALO 6. SMALL CATFISH 2. CARP 7. OTHER, SPECIFY 3. GAR 4. CATFISH 8. NONE 5. LARGE CATFISH (> 22 inches) 998. DON'T KNOW 999. REFUSED ------- SKIP Q. 50 IF Q.48 AND Q.49 = 8 50. Since you cut back or stopped eating certain wild-caught fish, what are you eating instead? (CIRCLE ALL THAT ARE MENTIONED.) 1. EAT OTHER TYPES OF FISH / DRUM 5. HAVE LESS FOOD TO EAT NOW / BREAM / LARGE MOUTH BASS / 6. BUY AND EAT CHICKEN INSTEAD CRAPPIE / FISH THAT ARE NOT IN -, BUY AND EAJ BEEF / pQRK / MEAJ THE ADVISORY INSTEAD 2. EAT FARM / POND-RAISED CATFISH o OTHER SPECIFY INSTEAD ' ' 3. BUY FISH FROM FISH MARKET OR gg8 DO|\|T KNOW GROCERY STORE INSTEAD ggg' REFUSED 4. EAT SMALLER FISH INSTEAD 51. Since learning about the advisory, what types of wild-caught fish do you eat more of now? (CIRCLE ALL THAT ARE MENTIONED.) NOTE: IF RESPONDENT SAYS "CATFISH," PROBE: Any specific size of catfish?; IF RESPONDENT SAYS "BIG FISH," PROBE: Any specific type of fish? 1. BUFFALO 6. SMALL CATFISH 2. CARP 7. OTHER, SPECIFY 3. GAR 4. CATFISH 8. NONE 5. LARGE CATFISH (> 22 inches) 998. DON'T KNOW 999. REFUSED 52. After learning about the advisory, did you change the size of wild-caught fish from the Mississippi Delta that you eat? 1. YES 998. DON'T KNOW (GO TO Q.53) 2. NO (GO TO Q.53 ON PAGE 19) 999. REFUSED (GO TO Q.53) 52A. After learning about the advisory, do you usually eat... 1. larger fish, (GO TO Q.53 ON 998. DON'T KNOW (GO TO Q.53) PAGE 19) 999. REFUSED (GO TO Q.53) 3. smaller fish, or 4. smaller-sized fish for some types of fish and the same size for other types of fish? ------- 52B. For what types of fish do you eat smaller-sized fish? (CIRCLE ALL THAT ARE MENTIONED.) 1. BUFFALO 7. LARGE MOUTH BASS 2. CARP 8. CRAPPIE 3. GAR 9. OTHER, SPECIFY 4. CATFISH 5. DRUM 998. DON'T KNOW 6. BREAM 999. REFUSED 53. After learning about the advisory, did you make any changes in how you prepare or cook wild-caught fish from the Mississippi Delta? 1. YES 998. DON'T KNOW (GO TO Q.54) 2. NO (GO TO Q.54) 999. REFUSED (GO TO Q.54) 53A. Which of the following changes did you make? (SHOW CARD C WITH LIST; CIRCLE ALL THAT APPLY.) 1. Started removing skin from fish 5. Stopped making fish stew or soup before cooking 6. Started broiling, baking, or grilling 2. Started removing belly fat from fish fish instead of frying before cooking 7. OTHER, SPECIFY 3. Started eating fillets instead of whole fish 993. DON'T KNOW 4. Stopped frying fish or fry fish less 999. REFUSED often 54. After learning about the advisory, were any changes made in the types and amount of wild-caught fish or how fish was prepared and cooked for children under the age of 7? 1. YES 998. DON'T KNOW (GO TO Q.55) 2. NO (GO TO Q.55 ON PAGE 20) 999. REFUSED (GO TO Q.55) 3. DO NOT PREPARE AND COOK FISH FOR CHILDREN (GO TO Q.55) 54A. What kind of changes were made? (RECORD RESPONSE.) 998. DON'T KNOW 999. REFUSED ------- H. DEMOGRAPHICS ALL RESPONDENTS COMPLETE THIS SECTION Now I would like to ask you a few questions about yourself. Remember, all the information you provide will be kept completely confidential. 55. RECORD GENDER. 1. MALE 998. DON'T KNOW 2. FEMALE 999. REFUSED 55A. What is your age? (READ RESPONSE LIST ONLY IF NECESSARY.) 1. 18 to 24 5. 55 to 64 2. 25 to 34 6. 65 to 74 3. 35 to 44 7. 75 or older 4. 45 to 54 998. DON'T KNOW 999. REFUSED 56. What is the highest level of education that you have completed? 1. 5™ GRADE OR LESS 7. 4-YEAR COLLEGE DEGREE 2. 6™ TO 8™ GRADE 8. ADVANCED DEGREE 3. 9™ TO 11™ GRADE 998. DON'T KNOW 4. HIGH SCHOOL DIPLOMA OR GED 999. REFUSED 5. SOME COLLEGE 6. 2-YEAR COLLEGE DEGREE 57. RECORD ETHNICITY; IF NECESSARY ASK QUESTION Are you Hispanic or Latino? 1. YES 998. DON'T KNOW 2. NO 999. REFUSED 58. RECORD RACE; IF NECESSARY ASK QUESTION AND SHOW CARD D What is your race? 1. White 998. DON'T KNOW 2. Black or African American 999. REFUSED 3. Asian 4. Native Hawaiian or other Pacific Islander 5. American Indian or Alaska Native ------- 59. What is your marital status? 1. SINGLE 2. MARRIED 3. DIVORCED / SEPARATED 4. WIDOWED 5. LIVING WITH PARTNER 998. DON'T KNOW 999. REFUSED 60. Including yourself, how many people 18 years of age or older live in your household? 1.1 4. 4 2. 2 5. 5 OR MORE 3. 3 998. DON'T KNOW 999. REFUSED 61. How many people under 18 years of age live in your household? 1. None (GO TO Q.62) 5. 4 21 6. 5 OR MORE 3. 2 998. DON'T KNOW 4. 3 999. REFUSED 61A. How many people under 5 years of age live in your household? 1. None 5. 4 21 6. 5 OR MORE 3. 2 998. DON'T KNOW 4. 3 999. REFUSED 62. Which of the following best describes your work status? Are you ... 1. employed full time, 8. OTHER, SPECIFY, 2. employed part time, 3. unemployed, 998. DON'T KNOW 4. retired, 999- REFUSED 5. disabled, 6. a student, or 7. a homemaker? 63. Do you have a current sport fishing license for the state of Mississippi? Do not include commercial fishing licenses. YES 998. DON'T KNOW 1. 2. NO 999. REFUSED 63A. Do you have a working phone number for your household, either a regular phone or cell phone? 1. YES 998. DON'T KNOW 2. NO 999. REFUSED ------- 64. What was your total household income in 2008 before taxes? Include income from all persons living in your house. (SHOW CARD E. CIRCLE ONE. IF RESPONDENT IS RELUCTANT TO RESPOND REMIND HIM / HER THAT THE INFORMATION WILL BE KEPT CONFIDENTIAL AND ONLY USED FOR ANALYSIS PURPOSES.) 1. less than $9,999 5. $40,000-49,999 2. $10,000-19,999 6. $50,000 or more 3. $20,000-29,999 998. DON'T KNOW 4. $30,000-39,999 999. REFUSED ------- I. AWARENESS OF NATIONAL ADVISORY ON MERCURY IN FISH AND SHELLFISH ALL RESPONDENTS COMPLETE THIS SECTION We're almost done with the interview. My last questions are about fish and shellfish in general, not necessarily those caught in the Mississippi Delta. By fish and shellfish, I mean all types offish and shellfish including tuna fish, fish sticks, shrimp, oysters, crab, and so on. 65. Have you heard anything about it being healthy to eat fish and shellfish? 1. YES 998. DON'T KNOW (GO TO Q.66) 2. NO (GO TO Q.66) 999. REFUSED (GO TO Q.66) 65A. What health benefits have you heard of? (CIRCLE ALL THAT ARE MENTIONED.) 1. GENERALLY HEALTHY/NUTRITIOUS 8. ANTIOXIDANT / GOOD FOR SKIN 2. LOW FAT 9. PROVIDES VITAMINS / MINERALS 3. BRAIN FOOD 10. HIGH PROTEIN 4. HEART HEALTHY 11. OIL / FISH OIL 5. OMEGA-3 FATTY ACIDS 12. OTHER, SPECIFY 6. CHOLESTEROL LOWERING 7. LOW CALORIE / AIDS IN WEIGHT 998. DON'T KNOW LOSS 999. REFUSED 66. Have you heard of any health problems from eating fish or shellfish, other than the Mississippi Delta advisory that we've already talked about? 1. YES 998. DON'T KNOW (GO TO Q.67) 2. NO (GO TO Q.67) 999. REFUSED (GO TO Q.67) 66A. What health problems have you heard of? (CIRCLE ALL THAT ARE MENTIONED.) 1. MERCURY/METHYL MERCURY (GO 8. PESTICIDES TO Q.67A ON PAGE 24) 9. CHEMICALS 2. PCBs 10. POLLUTION/CONTAMINATION 3. DIOXIN 11. FOOD POISONING 4. VIBRIO 12. OTHER, SPECIFY 5. HEPATITIS 6. GERMS / PARASITES / BACTERIA 998. DON'T KNOW 7. ALLERGIES 999. REFUSED 67. Have you heard anything about mercury as a problem in some fish or shellfish? 1. YES 998. DON'T KNOW (END SURVEY) 2. NO (END SURVEY) 999. REFUSED (END SURVEY) ------- 67A. What kinds offish or shellfish have mercury problems? (IF RESPONDENT ANSWERS "TUNA," PROBE FOR TYPE. CIRCLE ALL THAT ARE MENTIONED.) 1. GENERAL TUNA 9. TILE FISH 2. TUNA STEAK 10. SALMON 3. CANNED TUNA 11. SHELLFISH 4. ALBACORE OR CHUNK WHITE TUNA 12. ANY LARGE FISH 5. LIGHT TUNA 13. OTHER, SPECIFY 6. SWORDFISH 7. SHARK 998. DON'T KNOW 8. KING MACKEREL 999. REFUSED 67B. Have you heard of any particular group of people who are advised to be especially careful not to eat too much fish or shellfish that might have mercury? 1. YES 998. DON'T KNOW (END SURVEY) 2. NO (END SURVEY) 999. REFUSED (END SURVEY) 67C. Which group of people should not eat too much fish or shellfish that might have mercury? (CIRCLE ALL THAT ARE MENTIONED.) 1. PREGNANT WOMEN OR WOMEN 4. OTHER, SPECIFY WHO MIGHT BECOME PREGNANT 2. NURSING MOTHERS 998. DON'T KNOW 3. YOUNG CHILDREN 999. REFUSED Thank you for completing the survey! Give respondent information on the advisories. ------- [This page intentionally left blank.] ------- Household Survey ------- [This page intentionally left blank.] ------- Survey to Investigate Awareness of the Mississippi Delta Fish Advisory and the Relationship between the Advisory and Related Fishing Behaviors HOUSEHOLD SURVEY - household log/screener Put label here Date: Data collection team: Initials of Person to Interview Contact 1 2 3 4 5 6 7 8 9 10 Date Time Result Code Final Disposition Codes 1 2 3 4 5 6 7 8 9 10 Interview Complete Partial Eligible— Refusal Eligible— No one at residence Eligible— Respondent away/unavailable Eligible— Language barrier Unk— Unknown if housing unit Unk— Not attempted or worked Unk— Unable to reach/unsafe area Unk— Unable to locate address 11 12 13 14 15 16 17 18 19 99 Unk— Refused to complete screener Ineligible— Not a housing unit Ineligible— Vacant housing unit Ineligible— Completed OTB survey Ineligible— HH does not fish Ineligible— HH does not eat fish Ineligible— HH does not fish AND HH does not eat fish Ineligible— Other Other Screening complete ------- [This page intentionally left blank.] ------- Introduction Hello. My name is and I'm with Three States Interviewing Service. We are talking with people who fish or eat fish caught in the Mississippi Delta as part of a study that we are conducting for the U.S. Food and Drug Administration and the Environmental Protection Agency. Your household was randomly selected to participate in this study. We plan to talk with about 1,000 individuals from different counties in the Delta. A summary of the study findings will be posted locally. My questions will take about 15 to 20 minutes. All of the information you provide will be kept completely confidential. The study findings will be presented in summary form so that your name is not associated with your responses. Before we begin, I need to ask you a few questions to see if you qualify for the study. El. Have you or anyone in your household been fishing anywhere in the Mississippi Delta area in the past year? Do not include fishing for commercial purposes or fishing in commercial catfish ponds. (SHOW MAP.) The Delta area includes the area from the levee on the west to the hills on the east. It does not include the Mississippi River. 1. YES 998. DONT KNOW 2. NO (GO TO QUESTION E3) 999. REFUSED E2. Did you or anyone in your household fish in any of the following counties in October of this year? (READ LIST.) 1. Coahoma 998. DON'T KNOW 2. Holmes 999. REFUSED 3. Leflore 4. Washington 5. NONE OF THE ABOVE (GO TO QUESTION E4) E3. To the best of your knowledge, did you or anyone in your household complete an interview in October about fishing in the Delta? The interview would have been conducted at a local river or lake. 1. YES (TERMINATE-INELIGIBLE) 998. DON'T KNOW 2. NO 999. REFUSED ------- E4. To the best of your knowledge, have you or anyone in your household eaten wild- caught fish from the Mississippi Delta in the past year? The Delta area includes the area from the levee on the west to the hills on the east. It does not include the Mississippi River. (SHOW MAP IF NECESSARY) Please include wild-caught fish caught by you or others, including fish you buy. 1. YES 998. DON'T KNOW 2. NO 999. REFUSED I. Determine Eligibility IF QUESTION El = 1 OR QUESTION E4 = 1 ELIGIBLE -> Great! You qualify for the study. I hope that your household will participate. IF QUESTION El = 2 AND QUESTION E4 = 2 (HOUSEHOLD DOES NOT FISH OR DOES NOT EAT FISH) NOT ELIGIBLE -> I'm sorry. You do not qualify for the study. Thank you for your time and have a nice day. II. If Eligible, Select Individual in Household to Complete Survey IF QUESTION El = 1 May I please speak with the adult (18 years old or older) in this household who fishes most often for wild-caught fish from the Mississippi Delta? (IF NOT AVAILABLE, SCHEDULE FOLLOW-UP APPOINTMENT.) IF QUESTION E4 = 1 May I please speak with the adult in this household who prepares and cooks most of the wild-caught fish that is eaten by your family? (IF NOT AVAILABLE, SCHEDULE FOLLOW- UP APPOINTMENT.) IF QUESTION El AND E4 = 1 Please give me the initials of the person who fishes most often for wild-caught fish and the initials of the person who prepares and cooks most of the wild caught fish that is eaten by your family. Fishes most often: Cooks most of fish: IF SAME PERSON: GO TO E.5 AND START INTERVIEW. IF DIFFERENT PEOPLE: I just need to know which person has the most recent birthday. (ASSIST AS NEEDED BY ASKING FOR BIRTHDAYS. SELECT PERSON WITH MOST RECENT BIRTHDAY. IF NOT AVAILABLE, SCHEDULE FOLLOW-UP APPOINTMENT.) ------- ID No. Survey to Investigate Awareness of the Mississippi Delta Fish Advisory and the Relationship between the Advisory and Related Fishing Behaviors HOUSEHOLD SURVEY (FINAL VERSION 10/1/09) OMB control number: 0910-0637 According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0910-0637. The time required to complete this information collection is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Date: Data Collection Team: Household fishes: Household eats fish: Contact 1 2 3 4 5 6 7 8 9 10 Date YES NO YES NO Time Result Code ------- Final Disposition Codes 1 2 3 4 5 6 7 8 9 10 Interview Complete Partial Eligible— Refusal Eligible— No one at residence Eligible— Respondent away/unavailable Eligible— Language barrier Unk— Unknown if housing unit Unk— Not attempted or worked Unk— Unable to reach/unsafe area Unk— Unable to locate address 11 12 13 14 15 16 17 18 19 99 Unk— Refused to complete screener Ineligible— Not a housing unit Ineligible— Vacant housing unit Ineligible— Completed OTB survey Ineligible— HH does not fish Ineligible— HH does not eat fish Ineligible-HH does not fish AND HH does not eat fish Ineligible— Other Other Screening complete ------- INTRODUCTION: SAME PERSON WHO DID SCREENING E.5 Before we continue, I need you to read this form which provides information on the study. If you would like to take part in this study, please sign the form. If you prefer, I can read the form to you. [GIVE RESPONDENT INFORMED CONSENT FORM TO READ OR READ TO RESPONDENT.] 1. WANTS TO CONTINUE 2. NO (CODE AS REFUSAL) INTRODUCTION: DIFFERENT PERSON Hello. My name is and I'm with . We are talking with people who fish in the Mississippi Delta as part of a study that we are conducting for the U.S. Food and Drug Administration and the Environmental Protection Agency. Your household was randomly selected to participate in this study. We plan to talk with about 1,000 individuals from different counties in the Delta. A summary of the study findings will be posted locally. My questions will take about 15 to 20 minutes. All of the information you provide will be kept completely confidential. The study findings will be presented in summary form so that your name is not associated with your responses. E.5 Before we continue, I need you to read this form which provides information on the study. If you would like to take part in this study, please sign the form. If you prefer, I can read the form to you. [GIVE RESPONDENT INFORMED CONSENT FORM TO READ OR READ TO RESPONDENT.] 1. WANTS TO CONTINUE 2. NO (CODE AS REFUSAL) ------- A. FISHING PRACTICES COMPLETE THIS SECTION IF HH FISHES (El = 1) Thank you for agreeing to participate in our study. I would like to begin by asking you some questions about fishing in the Mississippi Delta. For these questions, please do not include commercial fishing or fishing in commercial catfish ponds, or fishing in the Mississippi River. 1. About how many days have you been fishing in the Mississippi Delta area in the past month? days (READ RESPONSE LIST ONLY IF NECESSARY.) 1. NONE 5. 10 TO 15, OR (GOTO Q.2) 2. 1 TO 3, (GO TO Q.2) 6. MORE THAN 15? (GO TO Q.2) 3. 4 TO 6, (GO TO Q.2) 998. DON'T KNOW 4. 7 TO 9, (GO TO Q.2) 999. REFUSED 1A. About how many days have you been fishing in the Mississippi Delta area in the past year? days (READ RESPONSE LIST ONLY IF NECESSARY.) 1. 1 TO 3, 4. 10 TO 15, OR 2. 4 TO 6, 5. MORE THAN 15? 3. 7 TO 9, 998. DON'T KNOW 999. REFUSED 2. What are some of the reasons why you fish? (SHOW CARD A AND CIRCLE ALL THAT APPLY.) 1. To provide food for my family 8. Like to eat fish 2. To reduce the amount of money 9. OTHER, SPECIFY spent on food 3. To relax 998. DON'T KNOW 4. To spend time outdoors 999. REFUSED 5. To spend time with friends and/or family 6. Enjoy fishing 7. To sell the fish/earn money ------- 3. When you fish, how often do you give away or trade the fish that you catch to other people? Would you say... 1. never, 998. DON'T KNOW 2. rarely, 999. REFUSED 3. some of the time, 4. most of the time, or 5. all of the time? 4. When you fish, how often do you eat the fish you catch? Would you say ... 1. never, 998. DON'T KNOW 2. rarely, 999. REFUSED 3. some of the time, 4. most of the time, or 5. all of the time? 5. When you fish, how often do other people in your household eat the fish you catch? Would you say ... 1. never, 998. DON'T KNOW 2. rarely, 999. REFUSED 3. some of the time, 4. most of the time, or 5. all of the time? 6. How important are the fish that you catch as a source of food for your family? Would you say ... 1. not at all, 998. DON'T KNOW 2. a little bit, 999. REFUSED 3. somewhat, or 4. a lot? ------- B. FISH CONSUMPTION PRACTICES COMPLETE THIS SECTION IF HH EATS FISH (E4 = 1) Now I would like to ask you some questions about eating wild-caught fish from the Mississippi Delta. For these questions, please include wild-caught fish that you or family members catch, wild-caught fish that other people catch and give to you, and wild-caught fish that you buy. Do not include commercial pond-raised catfish or fish from the Mississippi River. 8. For you and each person in your household, please tell me the initials of that person starting with yourself, their age, whether they are male or female, about how many ounces of wild-caught fish they usually eat when served at a meal, and about how often they usually eat wild-caught fish from the Mississippi Delta. IF HH MEMBER DOES NOT EAT FISH, ENTER ZERO FOR AMOUNT EATEN AND ASK Q8A. Persons in household (enter initials) Age Gender (enter (circle age) one) M F M F M F M F M F Amount eaten in ounces per meal (show card) Frequency (enter number) times per times per times per times per times per of eating wild-caught fish (circle one) week/ month / year week/ month / year week/ month / year week/ month / year week/ month / year Children under 7: Age when began eating fish (enter age) 998. DON'T KNOW 999. REFUSED ------- IF A HOUSEHOLD MEMBER DOES NOT EAT FISH ASK FOLLOW-UP QUESTION: 8A. Why does he/she not eat fish? Persons in household (enter initials) Don't like taste 01 01 01 Reason for Too young 02 02 02 not eating Not safe 03 03 03 fish (circle one) Because of advisory 04 04 04 Other 05 05 05 9. Did you or others in your household eat gar in the past year? (SHOW PICTURE.) 1. YES 998. DON'T KNOW (GOTO Q.10) 2. NO(GOTOQ.IO) 999. REFUSED (GO TO Q.10) 9A. For you and each person in your household, please tell me the initials of that person and about how often they eat gar. Persons in household Frequency of eating (enter initials) (enter number) times per times per times per times per times per (circle one) week / month / year week/ month / year week / month / year week / month / year week/ month / year 998. DON'T KNOW 999. REFUSED 10. Did you or others in your household eat carp in the past year? (SHOW PICTURE.) 1. YES 998. DON'T KNOW (GOTO Q.ll) 2. NO (GO TO Q.ll ON PAGE 6) 999. REFUSED (GO TO Q.ll) ------- 10A. For you and each person in your household, please tell me the initials of that person and about how often they eat carp. Persons in household Frequency of eating (enter initials) (enter number) (circle one) times per week/month / year times per week/month / year times per week/month / year times per week/month / year times per week/month / year 998. DON'T KNOW 999. REFUSED 11. Did you or others in your household eat wild-caught catfish that are smaller than 22 inches in the past year? Do not include commercial pond-raised catfish. (SHOW PICTURE.) 1. YES 998. DON'T KNOW 2. NO 999. REFUSED 12. Did you or others in your household eat wild-caught catfish that are longer than 22 inches in the past year? Do not include pond-raised catfish. 1. YES 998. DON'T KNOW (GOTO Q.13) 2. NO (GO TO Q.13) 999. REFUSED (GO TO Q.13) 12A. For you and each person in your household, please tell me the initials of that person and about how often they eat large catfish. Persons in household Frequency of eating (enter initials) (enter number) (circle one) times per week/month / year times per week/month / year times per week/month / year times per week/month / year times per week/month / year times per week/month / year 998. DON'T KNOW 999. REFUSED 13. Did you or others in your household eat buffalo fish in the past year? (SHOW PICTURE.) 1. YES 998. DON'T KNOW (GOTO Q.14) 2. NO (GO TO Q.14 ON PAGE 7) 999. REFUSED (GO TO Q.14) ------- 13A. For you and each person in your household, please tell me the initials of that person, about how often they eat buffalo fish, and the name of the river or lake where the buffalo fish was caught. Persons in household (enter initials) Frequency (enter number) times per times per times per times per times per times per of eating (circle one) week / month / year week / month / year week / month / year week / month / year week / month / year week / month / year Where did you or others catch the fish? (location) 998. DON'T KNOW 999. REFUSED 14. Now I would like to know how you usually prepare and cook each of the fish that we just talked about. Type of fish Gar Carp Catfish (< 22 in) Catfish (> 22 in) Ri if fa In LJLJ Mull-/ fish Do you remove skin Do not before eat cooking? (check if (circle No) one) D Yor N D Yor N D Yor N D Yor N D Yor N Do you remove belly fat before cooking? (circle one) Yor N Yor N Yor N Yor N Yor N Do you remove the head before cooking? (circle one) Yor N Yor N Yor N Yor N Yor N Do you gut the fish and discard internal organs? (circle one) Yor N Yor N Yor N Yor N Yor N Do you usually eat the fillet, a steak, or the whole fish? (circle all that apply) Fillet Steak Whole fish Fillet Steak Whole fish Fillet Steak Whole fish Fillet Steak Whole fish Fillet Steak Whole fish How do you usually cook the fish? (circle all that apply) Fry / Grill Soup / Stew Broil / Bake Other Fry / Grill Soup / Stew Broil / Bake Other Fry / Grill Soup / Stew Broil / Bake Other Fry / Grill Soup / Stew Broil / Bake Other Fry / Grill Soup / Stew Broil / Bake Other 998. DON'T KNOW 999. REFUSED ------- C. DETERMINE IF RESPONDENT IS AWARE OF MISSISSIPPI DELTA ADVISORY ALL RESPONDENTS COMPLETE THIS SECTION 15. How safe do you think it is to eat wild-caught buffalo fish, carp, gar, and large catfish from the Mississippi Delta, would you say that it is ... 1. not very safe, 998. DON'T KNOW 2. somewhat safe, or 999. REFUSED 3. very safe? 16. How safe do you think it is to eat other types of wild-caught fish, those not previously mentioned, from the Mississippi Delta? 1. not very safe, 998. DON'T KNOW 2. somewhat safe, or 999. REFUSED 3. very safe? 17. Are you aware of any warnings or advisories about eating wild-caught fish from the Mississippi Delta? [IF RESPONDENT IS NOT SURE OR CANNOT RECALL: These advisories were first issued in 2001-2002. The advisory recommends that you don't eat too much of certain fish because of chemicals in the fish.] 1. YES (GO TO SECTION E ON PAGE 998. DON'T KNOW (COMPLETE 11) SECTION D, THEN GO TO 2. NO (COMPLETE SECTION D, SECTION H) THEN GO TO SECTION H) 999. REFUSED (COMPLETE 3. I heard of an advisory a few years SECTION D, THEN GO TO ago (GO TO SECTION E ON PAGE SECTION H) 11) ------- D. QUESTIONS FOR RESPONDENTS NOT AWARE OF ADVISORY COMPLETE THIS SECTION IF Q.17 = 2, 998, OR 999 18. The advisory recommends that you should not eat any buffalo fish from Roebuck Lake and that you should not eat more than two meals a month of buffalo fish, carp, gar, and catfish greater than 22 inches from other Mississippi Delta waters. (SHOW PICTURE OF ADVISORY. IF RESPONDENT NOW RECALLS ADVISORY, CHANGE ANSWER TO QUESTION 17 TO "YES" AND GO TO SECTION E.) How believable to you is the information in the advisory, would you say that it is ... 1. not very believable, 998. DON'T KNOW 2. somewhat believable, or 999. REFUSED 3. very believable? 19. In terms of protecting your health, how important do you think it is to follow the advisory's recommendations? Would you say... 1. not very important, 998. DON'T KNOW 2. somewhat important, or 999. REFUSED 3. very important? 20. How difficult would it be for you and your family to limit how much you eat of buffalo fish, carp, gar, and large catfish? Would you say... 1. not a problem at all, 998. DON'T KNOW 2. somewhat of a problem, or 999. REFUSED 3. a very big problem? 4. DO NOT EAT THESE FISH (GO TO Q.24 ON PAGE 10) 21. How likely are you to follow the advisory's recommendations? Would you say ... 1. not very likely, 998. DON'T KNOW 2. somewhat likely, or 999. REFUSED 3. very likely? 22. Now that you know about the advisory, how concerned are you about eating wild- caught buffalo fish, carp, gar, and large catfish from the Mississippi Delta? Would you say... 1. not very concerned, 998. DON'T KNOW 2. somewhat concerned, or 999. REFUSED 3. very concerned? ------- 23. In your opinion, if you or members of your household were to eat wild-caught buffalo fish, carp, gar, or large catfish from the Mississippi Delta, how likely is it that you or they would get sick? Would you say... 1. not very likely, 998. DON'T KNOW 2. somewhat likely, or 999. REFUSED 3. very likely? 24. What would you say are the two best ways to get information on fishing advisories to people who fish or eat wild-caught fish from the Mississippi Delta? (SHOW CARD B; CIRCLE ONLY TWO RESPONSES. READ CARD IF NECESSARY.) 1. Radio 2. Television 3. Newspaper 4. Magazine 5. Post signs at lakes, rivers, and other water sources 6. Mail information to home 7. Internet or Web site 8. Wildlife and fish expos 9. Health fairs 10. Post information and provide brochures at bait shops 11. Post information and provide brochures at fish markets 12. 13. 14. 15. 16. 17. Post information and provide brochures at Women, Infant, and Children (WIC) clinics Post information and provide brochures at doctors' offices, hospitals, and clinics Provide information through local churches Go door to door to provide information Fishing clubs OTHER, SPECIFY 998. DON'T KNOW 999. REFUSED GO TO SECTION H ON PAGE 19 ------- E. QUESTIONS FOR RESPONDENTS AWARE OF ADVISORY COMPLETE THIS SECTION IF Q.17 = 1 OR 3 25. To the best of your knowledge, tell me what the advisory recommends about eating fish. (CIRCLE ALL THAT ARE MENTIONED.) 1. CANNOT EXPLAIN WHAT THE 9. DO NOT EAT MORE THAN TWO ADVISORY IS ABOUT MEALS A MONTH OF BUFFALO 2. DO NOT EAT FISH OVER A CERTAIN FISH SIZE 10. DO NOT EAT MORE THAN TWO 3. DO NOT EAT ANY BUFFALO FISH MEALS A MONTH OF CARP FROM ROEBUCK LAKE 11. DO NOT EAT MORE THAN TWO 4. DO NOT EAT TOO MUCH OF MEALS A MONTH OF GAR CERTAIN FISH 12. DO NOT EAT MORE THAN TWO 5. DO NOT EAT TOO MUCH BUFFALO MEALS A MONTH OF LARGE FISH CATFISH 6. DO NOT EAT TOO MUCH CARP 13. OTHER, SPECIFY 7. DO NOT EAT TOO MUCH GAR 8. DO NOT EAT TOO MUCH LARGE "8- DONT KNOW CATFISH 999. REFUSED The advisory recommends that you should not eat any buffalo fish from Roebuck Lake and that you should not eat more than two meals a month of buffalo fish, carp, gar, and catfish greater than 22 inches from other Mississippi Delta waters. (SHOW PICTURE OF ADVISORY.) 26. Are you aware of this particular advisory? 1. YES 998. DON'T KNOW (COMPLETE 2. NO (CHANGE ANSWER TO SECTION D, THEN GO TO QUESTION 17 TO "NO" AND GO SECTION H) TO SECTION D, THEN GO TO 999. REFUSED (COMPLETE SECTION H) SECTION D, THEN GO TO SECTION H) 27. Do you usually follow the advisory recommendations? 1. YES 998. DON'T KNOW 2. NO 999. REFUSED 28. How believable to you is the information in the advisory, would you say that it is ... 1. not very believable, 998. DON'T KNOW 2. somewhat believable, or 999. REFUSED 3. very believable? ------- 29. In terms of protecting your health, how important do you think it is to follow the advisory's recommendations? Would you say... 1. not very important, 998. DON'T KNOW 2. somewhat important, or 999. REFUSED 3. very important? 30. How difficult is it for you and your family to limit how much you eat of the fish in the advisory? Would you say... 1. not a problem at all, 998. DON'T KNOW 2. somewhat of a problem, or 999. REFUSED 3. a very big problem? 4. DO NOT EAT THESE FISH (GO TO Q.32) 31. In your opinion, if you or members of your household were to eat wild-caught buffalo fish, carp, gar, or large catfish from the Mississippi Delta, how likely is it that you or they would get sick? Would you say... 1. not very likely, 998. DON'T KNOW 2. somewhat likely, or 999. REFUSED 3. very likely? 32. Please think about this advisory when answering the next questions. How did you hear or learn about the advisory? (CIRCLE ALL THAT ARE MENTIONED.) 1. RADIO NEWS OR TALK SHOW 7. BROCHURE / PAMPHLET 2. RADIO ADVERTISEMENT 8. CHURCH 3. TELEVISION NEWS OR TALK SHOW 9. FAMILY/FRIENDS 4. TELEVISION SHOW 10. OTHER, SPECIFY 5. NEWSPAPER 6. SIGNS POSTED AT LAKES /RIVERS / 998. DON'T KNOW WATER (CIRCLE "1" FOR 34) 999. REFUSED 33. Do you believe the advisory is still in effect? 1. YES 998. DON'T KNOW 2. NO 999. REFUSED 34. Have you seen signs posted about the advisory at places where you fish? 1. YES 4. RESPONDENT DOES NOT FISH 2. NO 998. DON'T KNOW 3. YES, I USED TO SEE IT 999. REFUSED ------- 35. Did you get a brochure or pamphlet about the advisory? 1. YES 998. DON'T KNOW (GO TO Q.36) 2. NO (GO TO Q.36) 999. REFUSED (GO TO Q.36) 35A. Where did you get or who gave you the brochure or pamphlet? (CIRCLE ALL THAT ARE MENTIONED.) 1. HEALTH FAIR 8. PARK RANGER 2. COMMERCIAL FISHERMAN 9. CHURCH 3. BAIT SHOP 10. FAMILY/FRIENDS 4. WILDLIFE AND FISH EXPO 11. OTHER, SPECIFY 5. FISH MARKET 6. WIC CLINIC 998. DON'T KNOW 7. DOCTOR, HOSPITAL, OR OTHER 999. REFUSED HEALTH CARE PROVIDER 35B. How useful was the brochure or pamphlet? Would you say ... 1. not at all useful, 4. DID NOT READ BROCHURE 2. somewhat useful, or 998. DON'T KNOW 3. very useful? 999. REFUSED 36. Do you know about the toll-free hotline that you can call to get information on the advisory? 1. YES 998. DON'T KNOW (GO TO Q.37) 2. NO (GO TO Q.37) 999. REFUSED (GO TO Q.37) 36A. Have you called the advisory hotline? 1. YES 998. DON'T KNOW (GO TO Q.37) 2. NO (GO TO Q.37) 999. REFUSED (GO TO Q.37) 36B. How useful was the information you got from the advisory hotline? Would you say ... 1. not at all useful, 998. DON'T KNOW 2. somewhat useful, or 999. REFUSED 3. very useful? 37. If you have Internet access, have you looked for any information about the advisory online? 1. YES 998. DON'T KNOW (GO TO Q.38) 2. NO (GO TO Q.38 ON PAGE 14) 999. REFUSED (GO TO Q.38) 3. DO NOT HAVE INTERNET ACCESS (GO TO Q.38 ON PAGE 14) ------- 37A. How useful was the information you found online? Would you say ... 1. not at all useful, 998. DON'T KNOW 2. somewhat useful, or 999. REFUSED 3. very useful? 38. Did your church pastor talk about the advisory at all? 1. YES 998. DON'T KNOW 2. NO 999. REFUSED 3. DO NOT ATTEND CHURCH 39. Did your doctor or other health care provider talk with you about the advisory? 1. YES 998. DON'T KNOW 2. NO 999. REFUSED 3. HAVE NOT BEEN TO THE DOCTOR 40. Do you remember seeing or hearing information about the advisory on any of the following TV or radio programs? (READ LIST AND CIRCLE ONE FOR EACH.) Local TV news or talk show Mississippi Outdoors program on ETV Local radio news or talk show Radio advertisements Yes 01 01 01 01 No 02 02 02 02 Don't know 998 998 998 998 Refused 999 999 999 999 41. What would you say are the two best ways to get information on fishing advisories to people who fish or eat wild-caught fish from the Mississippi Delta? (SHOW CARD B; CIRCLE ONLY TWO RESPONSES. READ CARD IF NECESSARY.) 1. Radio 2. Television 3. Newspaper 4 Magazine 5 and other 6. Mail information to home 7. Internet or Web site 8. Wildlife and fish expos 9. Health fairs 10. Post information and provide brochures at bait shops 11. Post information and provide brochures at fish markets 12. 14' H .- 15. 16 17 ' Post information and provide brochures at Women, Infant, and Children (WIC) clinics Post inf°rmation and provide ' offlces' Provide information through local churches ,, . . . . . . Go door to door to provide information Fishing dubs OTHER SPECIFY ' ggg DON'T KNOW ggg' REFUSED ------- F. SELF-REPORTED CHANGES IN FISHING PRACTICES COMPLETE THIS SECTION IF HH FISHES (El=l) AND RESPONDENT IS AWARE OF ADVISORY (Q.17 = 1 or 3) 42. After learning about the advisory, did you make any changes in your fishing practices, such as how often you fish, where you fish, or the types of fish that you catch? 1. YES 998. DONT KNOW 2. NO (GO TO SECTION G) 999. REFUSED 43. After learning about the advisory, did you change how often you usually fish in Mississippi Delta waters? Do you fish ... 1. more often, 998. DON'T KNOW 2. about the same amount of time, or 999. REFUSED 3. less often? 44. After learning about the advisory, did you change the locations where you usually go fishing in the Mississippi Delta? Do you fish ... 1. in the same places or 998. DON'T KNOW 2. in different places? 999. REFUSED 45. Before learning about the advisory, did you ever fish in Roebuck Lake in Leflore County? (SHOW ON MAP, IF NECESSARY.) 1. YES 998. DONT KNOW 2. NO 999. REFUSED 46. Since learning about the advisory, have you fished in Roebuck Lake? 1. YES 998. DON'T KNOW 2. NO 999. REFUSED 47. After learning about the advisory, did you make any changes in the types of fish that you usually fish for in the Mississippi Delta? Do you fish ... 1. for the same types of fish or (GO 998. DON'T KNOW (GO TO TO SECTION G) SECTION G) 2. different types of fish? 999. REFUSED (GO TO SECTION G) 47A. Tell me about the changes you made in the types of fish that you fish for in the Mississippi Delta. (RECORD RESPONSE.) 998. DONT KNOW 999. REFUSED ------- G. SELF-REPORTED CHANGES IN FISHING CONSUMPTION COMPLETE THIS SECTION IF HH EATS FISH (E4 =1) AND RESPONDENT IS AWARE OF ADVISORY (Q.17 = 1 or 3) 48A. Before learning about the advisory, did you eat any of the following types of fish? (READ LIST AND CIRCLE IF YES.) 1. Buffalo fish 998. DON'T KNOW 2. Carp 999. REFUSED 3. Gar 4. Catfish longer than 22 inches 48B. Since learning about the advisory, what types of wild-caught fish have you stopped eating? (CIRCLE ALL THAT ARE MENTIONED.) NOTE: IF RESPONDENT SAYS "CATFISH," PROBE: Any specific size of catfish?; IF RESPONDENT SAYS "BIG FISH," PROBE: Any specific type of fish? 1. BUFFALO 6. SMALL CATFISH 2. CARP 7. OTHER, SPECIFY 3. GAR 4. CATFISH 8. NONE 5. LARGE CATFISH (> 22 inches) 998. DON'T KNOW 999. REFUSED 49. Since learning about the advisory, what types of wild-caught fish do you eat less of now? (CIRCLE ALL THAT ARE MENTIONED.) NOTE: IF RESPONDENT SAYS "CATFISH," PROBE: Any specific size of catfish?; IF RESPONDENT SAYS "BIG FISH," PROBE: Any specific type of fish? 1. BUFFALO 6. SMALL CATFISH 2. CARP 7. OTHER, SPECIFY 3. GAR 4. CATFISH 8. NONE 5. LARGE CATFISH (> 22 inches) 998. DON'T KNOW 999. REFUSED ------- SKIP Q. 50 IF Q.48 AND Q.49 = 8 50. Since you cut back or stopped eating certain wild-caught fish, what are you eating instead? (CIRCLE ALL THAT ARE MENTIONED.) 1. EAT OTHER TYPES OF FISH / DRUM 5. HAVE LESS FOOD TO EAT NOW / BREAM / LARGE MOUTH BASS / 6. BUY AND EAT CHICKEN INSTEAD CRAPPIE / FISH THAT ARE NOT IN -, BUY AND EAJ BEEF / pQRK / MEAJ THE ADVISORY INSTEAD 2. EAT FARM / POND-RAISED CATFISH g OTHER SPECIFY INSTEAD ' ' 3. BUY FISH FROM FISH MARKET OR 993 DON'T KNOW GROCERY STORE INSTEAD ggg' REFUSED 4. EAT SMALLER FISH INSTEAD 51. Since learning about the advisory, what types of wild-caught fish do you eat more of now? (CIRCLE ALL THAT ARE MENTIONED.) NOTE: IF RESPONDENT SAYS "CATFISH," PROBE: Any specific size of catfish?; IF RESPONDENT SAYS "BIG FISH," PROBE: Any specific type of fish? 1. BUFFALO 6. SMALL CATFISH 2. CARP 7. OTHER, SPECIFY 3. GAR 4. CATFISH 8. NONE 5. LARGE CATFISH (> 22 inches) 998. DON'T KNOW 999. REFUSED 52. After learning about the advisory, did you change the size of wild-caught fish from the Mississippi Delta that you eat? 1. YES 998. DON'T KNOW (GO TO Q.53) 2. NO (GO TO Q.53 ON PAGE 18) 999. REFUSED (GO TO Q.53) 52A. After learning about the advisory, do you usually eat... 1. larger fish, (GO TO Q.53 ON 998. DON'T KNOW (GO TO Q.53) PAGE 18) 999. REFUSED (GO TO Q.53) 3. smaller fish, or 4. smaller-sized fish for some types of fish and the same size for other types of fish? ------- 52B. For what types of fish do you eat smaller-sized fish? (CIRCLE ALL THAT ARE MENTIONED.) 1. BUFFALO 7. LARGE MOUTH BASS 2. CARP 8. CRAPPIE 3. GAR 9. OTHER, SPECIFY 4. CATFISH 5. DRUM 998. DON'T KNOW 6. BREAM 999. REFUSED 53. After learning about the advisory, did you make any changes in how you prepare or cook wild-caught fish from the Mississippi Delta? 1. YES 998. DON'T KNOW (GO TO Q.54) 2. NO (GO TO Q.54) 999. REFUSED (GO TO Q.54) 53A. Which of the following changes did you make? (SHOW CARD C WITH LIST; CIRCLE ALL THAT APPLY.) 1. Started removing skin from fish 5. Stopped making fish stew or soup before cooking 6. Started broiling, baking, or grilling 2. Started removing belly fat from fish fish instead of frying before cooking 7. OTHER, SPECIFY 3. Started eating fillets instead of whole fish 998. DON'T KNOW 4. Stopped frying fish or fry fish less 999. REFUSED often 54. After learning about the advisory, were any changes made in the types and amount of wild-caught fish or how fish was prepared and cooked for children under the age of 7? 1. YES 998. DON'T KNOW (GO TO Q.55) 2. NO (GO TO Q.55 ON PAGE 19) 999. REFUSED (GO TO Q.55) 3. DO NOT PREPARE AND COOK FISH FOR CHILDREN (GO TO Q.55) 54A. What kind of changes were made? (RECORD RESPONSE.) 998. DON'T KNOW 999. REFUSED ------- H. DEMOGRAPHICS ALL RESPONDENTS COMPLETE THIS SECTION Now I would like to ask you a few questions about yourself. Remember, all the information you provide will be kept completely confidential. 55. RECORD GENDER. 1. MALE 998. DON'T KNOW 2. FEMALE 999. REFUSED 55A. What is your age? (READ RESPONSE LIST ONLY IF NECESSARY.) 1. 18 to 24 5. 55 to 64 2. 25 to 34 6. 65 to 74 3. 35 to 44 7. 75 or older 4. 45 to 54 998. DON'T KNOW 999. REFUSED 56. What is the highest level of education that you have completed? 1. 5™ GRADE OR LESS 7. 4-YEAR COLLEGE DEGREE 2. 6™ TO 8™ GRADE 8. ADVANCED DEGREE 3. 9™ TO 11™ GRADE 998. DON'T KNOW 4. HIGH SCHOOL DIPLOMA OR GED 999. REFUSED 5. SOME COLLEGE 6. 2-YEAR COLLEGE DEGREE 57. RECORD ETHNICITY; IF NECESSARY ASK QUESTION Are you Hispanic or Latino? 1. YES 998. DON'T KNOW 2. NO 999. REFUSED 58. RECORD RACE; IF NECESSARY ASK QUESTION AND SHOW CARD D What is your race? 1. White 998. DON'T KNOW 2. Black or African American 999. REFUSED 3. Asian 4. Native Hawaiian or other Pacific Islander 5. American Indian or Alaska Native ------- 59. What is your marital status? 1. SINGLE 2. MARRIED 3. DIVORCED / SEPARATED 4. WIDOWED 5. LIVING WITH PARTNER 998. DON'T KNOW 999. REFUSED 60. Including yourself, how many people 18 years of age or older live in your household? 1.1 4. 4 2. 2 5. 5 OR MORE 3. 3 998. DON'T KNOW 999. REFUSED 61. How many people under 18 years of age live in your household? 1. None (GO TO Q.62) 5. 4 2. 1 6. 5 OR MORE 3. 2 998. DON'T KNOW 4. 3 999. REFUSED 61A. How many people under 5 years of age live in your household? 1. None 5. 4 2. 1 6. 5 OR MORE 3. 2 998. DON'T KNOW 4. 3 999. REFUSED 62. Which of the following best describes your work status? Are you ... 1. employed full time, 8. OTHER, SPECIFY, 2. employed part time, 3. unemployed, 998. DON'T KNOW 4. retired, 999- REFUSED 5. disabled, 6. a student, or 7. a homemaker? 63. Do you have a current sport fishing license for the state of Mississippi? Do not include commercial fishing licenses. YES 998. DON'T KNOW 1. 2. NO 999. REFUSED 63A. Do you have a working phone number for your household, either a regular phone or cell phone? 1. YES 998. DON'T KNOW 2. NO 999. REFUSED ------- 64. What was your total household income in 2008 before taxes? Include income from all persons living in your house. (SHOW CARD E. CIRCLE ONE. IF RESPONDENT IS RELUCTANT TO RESPOND REMIND HIM / HER THAT THE INFORMATION WILL BE KEPT CONFIDENTIAL AND ONLY USED FOR ANALYSIS PURPOSES.) 1. less than $9,999 5. $40,000-49,999 2. $10,000-19,999 6. $50,000 or more 3. $20,000-29,999 998. DON'T KNOW 4. $30,000-39,999 999. REFUSED ------- I. AWARENESS OF NATIONAL ADVISORY ON MERCURY IN FISH AND SHELLFISH ALL RESPONDENTS COMPLETE THIS SECTION We're almost done with the interview. My last questions are about fish and shellfish in general, not necessarily those caught in the Mississippi Delta. By fish and shellfish, I mean all types offish and shellfish including tuna fish, fish sticks, shrimp, oysters, crab, and so on. 65. Have you heard anything about it being healthy to eat fish and shellfish? 1. YES 998. DONT KNOW (GO TO Q.66) 2. NO (GO TO Q.66) 999. REFUSED (GO TO Q.66) 65A. What health benefits have you heard of? (CIRCLE ALL THAT ARE MENTIONED.) 1. GENERALLY HEALTHY/NUTRITIOUS 8. ANTIOXIDANT / GOOD FOR SKIN 2. LOW FAT 9. PROVIDES VITAMINS / MINERALS 3. BRAIN FOOD 10. HIGH PROTEIN 4. HEART HEALTHY 11. OIL / FISH OIL 5. OMEGA-3 FATTY ACIDS 12. OTHER, SPECIFY 6. CHOLESTEROL LOWERING 7. LOW CALORIE / AIDS IN WEIGHT 998. DONT KNOW LOSS 999. REFUSED 66. Have you heard of any health problems from eating fish or shellfish, other than the Mississippi Delta advisory that we've already talked about? 1. YES 998. DON'T KNOW (GO TO Q.67) 2. NO (GO TO Q.67) 999. REFUSED (GO TO Q.67) 66A. What health problems have you heard of? (CIRCLE ALL THAT ARE MENTIONED.) 1. MERCURY/METHYL MERCURY (GO 8. PESTICIDES TO Q.67A ON PAGE 23) 9. CHEMICALS 2. PCBs 10. POLLUTION/CONTAMINATION 3. DIOXIN 11. FOOD POISONING 4. VIBRIO 12. OTHER, SPECIFY 5. HEPATITIS 6. GERMS / PARASITES / BACTERIA 998. DON'T KNOW 7. ALLERGIES 999. REFUSED 67. Have you heard anything about mercury as a problem in some fish or shellfish? 1. YES 998. DON'T KNOW (END SURVEY) 2. NO (END SURVEY) 999. REFUSED (END SURVEY) ------- 67A. What kinds offish or shellfish have mercury problems? (IF RESPONDENT ANSWERS "TUNA," PROBE FOR TYPE. CIRCLE ALL THAT ARE MENTIONED.) 1. GENERAL TUNA 9. TILE FISH 2. TUNA STEAK 10. SALMON 3. CANNED TUNA 11. SHELLFISH 4. ALBACORE OR CHUNK WHITE TUNA 12. ANY LARGE FISH 5. LIGHT TUNA 13. OTHER, SPECIFY 6. SWORDFISH 7. SHARK 998. DON'T KNOW 8. KING MACKEREL 999. REFUSED 67B. Have you heard of any particular group of people who are advised to be especially careful not to eat too much fish or shellfish that might have mercury? 1. YES 998. DON'T KNOW (END SURVEY) 2. NO (END SURVEY) 999. REFUSED (END SURVEY) 67C. Which group of people should not eat too much fish or shellfish that might have mercury? (CIRCLE ALL THAT ARE MENTIONED.) 1. PREGNANT WOMEN OR WOMEN 4. OTHER, SPECIFY WHO MIGHT BECOME PREGNANT 2. NURSING MOTHERS 998. DON'T KNOW 3. YOUNG CHILDREN 999. REFUSED Thank you for completing the survey! Give respondent information on the advisories. ------- [This page intentionally left blank.] ------- APPENDIX C: SURVEY MATERIALS ------- [This page intentionally left blank.] ------- Informed Consent Form Consent to Participate in RTI Research Introduction You are being asked to take part in a research study. Before you decide if you want to take part in this study, you need to read this Informed Consent form so that you understand what the study is about and what you will be asked to do. This form also tells you who can be in the study, the risks and benefits of the study, how we will protect your information, and who you can call if you have questions. Please ask the interviewer to explain anything you don't understand before you make your decision. purpose | This research study is being conducted by the Mississippi Department of Environmental Quality (MDEQ), the U.S. Environmental Protection Agency (EPA) and the U.S. Food and Drug Administration (FDA). Contractor support is being provided by RTI International and Three States Interviewing Service under a contract with EPA. You are one of about 1,000 adults who will take part in this study. procedures | If you agree to participate, you will be asked to take part in an interview about your fishing and fish consumption practices. \Study Duration | The interview will take about 15 to 20 minutes. possible Risks or Discomforts | You can refuse to answer any question or you may take a break at any time during the interview. \Benefits | There are no direct benefits to you from participating in this study. Your survey answers will help EPA improve future fish consumption advisories. payment for Participation | You will not be paid to take part in this study. Confidentiality | Many precautions have been taken to protect your information. Your name will be not be attached to your survey responses. Other personal information like your address will be stored separately from the answers you provide during the interview. If the results of this study are presented at scientific meetings or published in scientific journals, no information will be included that could identify you or your answers personally. The Institutional Review Boards (IRBs) at FDA and RTI International have reviewed this research. An IRB is a group of people who are responsible for assuring that the rights of participants in research are protected. The IRB may review the records of your participation in this research to assure that proper procedures were followed. A representative of the IRB may contact you for information about your experience with this research. This representative will be given your name, but will not be given any of your confidential study data. If you wish, you may refuse to answer any questions this person may ask. Consent Version: 6/10/09 page 1 of 2 RTI IRB ID: 12397 RTI IRB Approval Date: 6/10/09 ------- Informed Consent Form \Future Contacts We will not contact you in the future. [Your Rights Your decision to take part in this research study is completely voluntary. You can refuse any part of the study and you can stop participating at any time. You can refuse to answer any question. If you decide to participate and later change your mind, you will not be contacted again or asked for further information. [Your Questions | If you have any questions about the study, you may call Sheryl Gates of RTI at 1-800-334-8571, extension 26810, Amy Lando of FDA at 301-436-1996, or Jeff Bigler of EPA at 202-566-0389. If you have any questions about your rights as a study participant, you may call RTFs Office of Research Protection at 1-866-214-2043. Your signature (or mark) below indicates that you have been read (or been read) the information provided above, have received answers to your questions, and have freely decided to take part in this research. By agreeing to take part in this research, you are not giving up any of your legal rights. Date Signature (or Mark) of Participant Printed Name of Participant If the participant is unable to read this form, a witness must sign here: Note: the witness should not be the person who obtains consent. I was present while this consent document was read to the above research participant. The participant was given an opportunity to ask questions about being in this study and I believe that he/she has agreed to take part in the research. Date Signature of Witness Printed Name of Witness I certify that the nature and purpose, the potential benefits, and possible risks associated with participating in this research have been explained to the above-named individual. Date Signature of Person Obtaining Consent Printed Name of Person Obtaining Consent Consent Version: 6/10/09 RTI IRB ID: 12397 RTI IRB Approval Date: 6/10/09 page 2 of 2 ------- Map of Advisory Mississippi River Legend Delta Fish Advisory Boundary ------- Portion Size Aid Serving Sizes for Fish 4 oz. 6 oz. 8oz. 10oz. ------- Pictures of the Fish Species Included in the Advisory Buffalo Fish ------- Pictures of the Fish Species Included in the Advisory Carp * ' f H ( * * 4 « »' < i • I ff» * A .1 ------- Pictures of the Fish Species Included in the Advisory Gar ------- Pictures of the Fish Species Included in the Advisory Catfish ------- Cards that Respondents Used during the Interview CARD A Question 2 What are some of the reasons why you fish? 1. To provide food for my family 2. To reduce the amount of money spent on food 3. To relax 4. To spend time outdoors 5. To spend time with friends and / or family 6. Enjoy fishing 7. To sell the fish / earn money 8. Like to eat fish 9. Other, specify ------- Cards that Respondents Used during the Interview CARDS Questions 24 & 41 What would you say are the two best ways to get information on fishing advisories to people who fish or eat wild-caught fish from the Mississippi Delta? 1. Radio 2. Television 3. Newspaper 4. Magazine 5. Post signs at lakes, rivers, and other water sources 6. Mail information to home 7. Internet or Web site 8. Wildlife and fish expos 9. Health fairs 10. Post information and provide brochures at bait shops 11. Post information and provide brochures at fish markets 12. Post information and provide brochures at Women, Infant, and Children (WIC) clinics 13. Post information and provide brochures at doctors' offices, hospitals, and clinics 14. Provide information through local churches 15. Go door to door to provide information 16. Fishing clubs 17. Other way, specify ------- Cards that Respondents Used during the Interview CARDC Question 53A Which of the following changes did you make? 1. Started removing skin from fish before cooking 2. Started removing belly fat from fish before cooking 3. Started eating fillets instead of whole fish 4. Stopped frying fish or fry fish less often 5. Stopped making fish stew or soup 6. Started broiling, baking, or grilling fish instead of frying 7. Other, specify ------- Cards that Respondents Used during the Interview CARDD Question 58 What is your race? 1. White 2. Black or African American 3. Asian 4. Native Hawaiian or Other Pacific Islander 5. American Indian or Alaska Native ------- Cards that Respondents Used during the Interview GARDE Question 64 What was your total household income in 2008 before taxes? Include income from all persons living in your house. 1. less than $9,999 2. $10,000-19,999 3. $20,000-29,999 4. $30,000-39,999 5. $40,000^9,999 6. $50,000 or more ------- Picture of the Advisory DELTA PISH ADVISORY BUFFALO DO NOT EAT ANY BUFFALO FISH FROM ROEBUCK LAK BUFFALO CARP DO NOT EAT MORE THAN TWO MEALS PER MONTH OF THESE FISH DRUM BREAM NO LIMIT ON THESE FISH LARGEMOUTH BASS MISSISSIPPI DEPARTMENT OF ENVIRONMENTAL QUALITY For more information call toll free - 1-888-786-0661 ------- APPENDIX D: WEIGHTING PROCEDURES ------- [This page intentionally left blank.] ------- D.I On-the-Bank Survey With the information collected at each access point, coupled with the site selection process, survey weights and inflation factors were developed to adjust for deviations from sample design, such as variable nonresponse. The inflation factors can be used to infer estimates at the population level with measurable levels of sampling precision. The first-stage sampling weight was calculated as the inverse of the probability of selection for each waterbody. The probability of selection was calculated as the measure of size divided by the selection interval for systematic sampling. For large waterbodies with probabilities of selection greater than one, the probability of selection was truncated at one. Because Lake Jackson was selected in addition to Lake Tchula, Lake Jackson was given the same probability of selection as Lake Tchula. The sampled waterbodies and their respective probabilities of selection are given in Table D-l. The second- and third-stage sampling weights take into account the number of days each site was visited (second-stage) and the amount of time spent at each site on each day (third stage). The sampling period began on October 6, 2009, and continued through October 25, 2009. The second-stage sampling weight was calculated for each site as the number of days in the sampling period (21) divided by the number of days that site was visited by the interviewers. The third-stage sampling weight was calculated as the approximate number of daylight hours in that day divided by the number of hours spent each day at each site. The total number of daylight hours was calculated as the time between sunrise and sunset on each day in Grenada, Miss., a location central to all four counties in the sampling frame. Because some of the interviewers did not return their site information forms for every day, there were a few days for which the number of hours spent on site were not available. For these days, this value was imputed as the mean number of hours spent at that site over all other days. A nonresponse adjustment was calculated as the number of eligible anglers divided by the number of anglers who completed the interview. This was calculated for each of the implicit strata created by sorting the frame by interview potential, type of water body, and county. The final weight is the product of the three sampling weights and the nonresponse adjustment. Table D-2 provides summary statistics for the weights for the on-the-bank survey. D-l ------- Table D-l. Sampled Waterbodies for the On-the-Bank Survey Waterbody Name Brushy Lake Yazoo Pass Black Creek Minter City Oil Mill Yalobusha River Old River Steele Bayou TchulaH Sidon Cutoff Big Sunflower Deer Creek Moon Lake Bee Lake Horseshoe Lake Round Lake Lake Jackson County Washington Coahoma Holmes Leflore Leflore Washington Washington olmes Leflore Washington Washington Coahoma Holmes Holmes Leflore Washington Waterbody Type Lake River River River River River River Lake Lake River River Lake Lake Lake Lake Lake Interview Potential3 Unknown Low Low Low Low Unknown Low Moderate Moderate Moderate Moderate High High High High Moderate Shoreline Length (km)b 2.30 45.03 50.00 15.96 50.00 40.90 32.80 48.64 14.67 50.00 50.00 27.51 48.91 45.04 14.50 19.55 Measure of Sizec 2.30 45.03 50.00 15.96 50.00 40.90 32.80 97.28 29.34 100.00 100.00 110.06 195.65 180.14 58.00 39.10 Probability of Selection 0.0294 0.5762 0.6399 0.2042 0.6399 0.5234 0.4197 1.0000 0.3755 1.0000 1.0000 1.0000 1.0000 1.0000 0.7422 1.0000 Reserve Sample Roundaway Lake Blue Lake Tallahatchie Lef Parker Bayou Coahoma Leflore lore Holmes Lake Lake River River Moderate Moderate Low Low 4.49 14.63 50.00 5.74 8.98 29.26 50.00 5.74 0.1364 0.4445 0.3586 0.0412 1 Two fisheries biologists from the MDWFP subjectively assigned an interview potential of very low, low, moderate, or high based on their knowledge of the waterbodies. Waterbodies with unknown interview potential were assigned an interview potential of "low." ' Lake shorelines were measured by the circumference of the lake. River shorelines were measured by the length of the river within the advisory area multiplied by two. Rivers with shoreline lengths longer than 50 km were truncated to 50 km. : The measure of size was used in the systematic sampling, with measure of size equal to the shoreline length times the interview potential (1 = low, 2 = moderate, 4 = high). D-2 ------- Table D-2. Distribution of Weights for the On-the-Bank Survey First Sampling Statistic Weight Min Mean Max Unequal (UWE) 1 3.43 33.96 Weighting Effect Second Sampling Weight 1.91 4.43 21 Third Sampling Weight 1.33 5.07 27.08 Nonresponse Adjustment 1 1.05 1.15 Final Weight 4.08 79.12 656.69 Scaled Final Weight 0.15 1.00 2.15 1.65 As shown in Table D-2, the spread between the minimum and maximum final weights is quite large. To reduce the variance while maintaining the distribution of the weights as much as possible, the final weights were truncated to 60, the approximate 65th percentile. The variation in the weights can be measured by calculating the unequal weighting effect (UWE) as follows: Tw2 UWE = n ^ (I-)2 Finally, the truncated weights were scaled. That is, the size of the weights was reduced, while maintaining the distribution, so that the weights sum to the number of completes for the on-the-bank survey (n = 413). Demographic information on anglers in the Mississippi Delta region is not readily available. Therefore, no poststratification adjustments were made to the weights for the on-the- bank survey. D.2 Household Survey The sample for the household survey was drawn using an address-based sampling (ABS) frame. Tables D-3 and D-4 provide information on the sample frame and sample distribution for the household survey. The weighting and poststratification procedures for the household survey are described below. D-3 ------- Table D-3. Sample Distribution for Household Survey by Census Block Group (CBG), Income Strata, County, and Replicate Sample Replicate Sample Replicate A County (ZIP code) Coahoma (28027) Holmes (28051) Leflore (28083) Washington (28151) CBG Income Strata3 Low Medium High Low Medium Low Medium High Low Medium High CBG ID 280279504002 280279505004 280279505005 280279506002 280279507003 280279502003 280519502003 280519505003 280519501002 280839502003 280839503003 280839508002 280839508004 280839509001 280839504002 280839506004 281510002001 281510004004 281510006002 281510006004 281510013001 281510004005 281510012001 281510012004 281510007001 281510008001 281510014004 281510017003 LMA Sample 34 69 25 46 35 61 60 53 64 28 71 60 28 78 54 31 49 58 54 34 70 59 42 92 72 100 37 61 Total for Sample Replicate A 1,525 Sample Replicate B Coahoma (28027) Holmes (28051) Leflore (28083) Washington (28151) Medium High Medium Medium High Medium High 280279505001 280279505002 280519502001 280839509005 280839504003 281510001001 281510003001 281510009002 45 60 41 59 105 22 36 58 Total for Sample Replicate B 426 "Low income = < $19,939; Medium income = $19,940-$30,769; High income = > $30,770. Notes: CBG = Census block group, LMA = locatable mailing addresses D-4 ------- Table D-4. Household Survey Sampling Frame and Sample Distribution by County and Income Strata3 County (ZIP code) Coahoma (28027) Holmes (28051) Leflore (28083) Washington (28151) CBG Income Strata Low Medium High Low Medium High Low Medium High Low Medium High Total Frame CBG 13 8 7 7 6 1 12 9 10 21 17 23 134 LMA 4,028 2,219 3,344 2,618 2,905 309 6,135 3,132 3,760 6,151 5,963 10,107 50,671 Sample CBG 4 2 2 2 2 0 5 2 2 5 4 6 36 LMA 174 80 121 113 105 0 265 113 136 265 215 364 1,951 Sample Replicate A CBG 4 1 1 2 1 0 5 1 1 5 3 4 28 LMA 174 35 61 113 64 0 265 54 31 265 193 270 1,525 Sample Replicate B CBG 0 1 1 0 1 0 0 1 1 0 1 2 8 LMA 0 45 60 0 41 0 0 59 105 0 22 94 426 "Low income = < $19,939; Medium income = $19,940-$30,769; High income = > $30,770 Notes: CBG = Census block group LMA = locatable mailing addresses D. 2.1 Weighting Procedures Survey weights and inflation factors were developed to account for the sample selection process and to adjust for deviations from sample design, such as variable nonresponse. The inflation factors can be used to infer estimates at the population level with measurable levels of sampling precision. One sample weight was created for each stage of sampling. The first-stage sampling weight accounts for the selection of the 36 CBGs and was calculated by dividing the measure of size by the selection interval used for the systematic sampling. The second-stage sampling weight accounts for the selection of 1,951 addresses out of the 50,671 addresses in the selected CBGs. This weight was calculated for each stratum (county/income combination) by dividing the total number of addresses in the group by the number of addresses selected. The third sampling weight accounts for the division of the original sample into two replicates. Because Replicate B was not needed, Replicate A was rounded up by the total number of CBGs sampled divided by D-5 ------- the number of CBGs in Replicate A. The fourth sampling weight accounts for the size of each responding household and is equal to the number of people in the household. The combined sampling weight is the product of the four sampling weights. During the data collection period, the actual eligibility and response rates were much higher than anticipated. Thus, the interviewers were advised to randomly sample from the remaining list of sampled units. As a result, not every sampled unit was contacted for the survey. A subsampling weight was developed to account for this discrepancy. The subsampling weight was calculated for each CBG as the number of units sampled divided by the number of units contacted. For those groups with very large subsampling weights (greater than 60%), groups were collapsed either by income group or census tract or by combining medium- and high- income groups within a county. The nonresponse adjustment was calculated at the CBG level. CBGs with nonresponse adjustments larger than 2 were collapsed first by Census tract and then by stratum. As with the on-the-bank survey, the final weight was calculated by multiplying the combined sampling weight by the subsampling and nonresponse adjustments. As in the on-the-bank survey, the difference between the largest and smallest weights was quite large. To keep the variance low, the final weight was truncated at 306.5, the 95th percentile. Finally, the truncated weights were scaled to sum to 604, the number of respondents in the household survey. D.2.2 Poststratification Using data from the combined 2006-2008 American Community Survey (ACS) and the 2000 Census, the household survey data were stratified by gender, age, race, ethnicity, and educational attainment. Poststratification occurred at the county level for gender, age, and educational attainment categories. Because of lack of data from ACS, race and ethnicity were poststratified to the levels published in the 2000 Census. Race was poststratified at the county level; however, very few respondents claimed Hispanic origin, so ethnicity was poststratified to the collapsed distribution of all four counties. After the poststratification adjustment, the difference between the largest and smallest weights was large. Therefore, the weights were truncated on both ends so they would fall between 0.09 and 2.50, the 10th and 90th percentiles, respectively. These truncated weights were rescaled to sum to 604. The distributions of the intermediate and final weights are given in Table D-5. D-6 ------- Table D-5. Distribution of Weights for the Household Survey Statistic Min Mean Max Unequal Weighting Effect (UWE) Combined Sampling Weight 15.17 65.45 394.88 Subsampling Weight 1.02 1.62 2.34 Nonresponse Adjustment 1 1.22 1.96 Scaled Weight (Before Poststratification) 0.22 1.00 2.62 Scaled Final Weight 0.16 1.00 3.22 1.98 Table D-6 gives the unweighted and weighted sample distribution, as well as the ACS population distribution by county. Tables D-7 through D-l 1 give the unweighted, poststratified, and benchmark distributions for the five demographic variables used in the poststratification. There were two observations for which a demographic characteristic had to be imputed. In one, the level of education was not given, and in the other, the age was not given. Mean imputation was used for these two observations, using age range, gender, race, and education level to define imputation cells. Table D-6. Household Sample and Population Counts by County County Coahoma Holmes Leflore Washington Total Unweighted Frequency 106 72 141 285 604 Household Unweighted Percent 17.55 11.92 23.34 47.19 100 Survey Sample Poststratified Frequency 125.71 71.55 168.81 237.93 604 Poststratified Percent 20.81 11.85 27.95 39.39 100 Population Frequency 19,126 14,545 25,399 39,541 98,611 (ACS) Percent 19.40 14.75 25.76 40.10 100 D-7 ------- Table D-7. Household Distribution by Gender Gender Male Female Total Unweighted Frequency 270 334 604 Unweighted Percent 44.70 55.30 100 Poststratified Frequency 260.23 343.77 604 Poststratified Percent 43.08 56.92 100 Benchmark Frequency 44,594 54,017 98,611 Benchmark Percent 45.22 54.78 100 Table D-8. Household Distribution by Age Age 18 to 24 25 to 34 35 to 44 45 to 64 65 and up Total Table D-9. Ethnicity Unweighted Frequency 47 87 99 251 120 604 Unweighted Percent 7.78 14.40 16.39 41.56 19.87 100 Household Distribution Unweighted Frequency Hispanic/Latino 3 Other Total Table D-10. Race White Non-white 601 604 Unweighted Percent 0.50 99.50 100 Household Distribution Unweighted Frequency 80 524 Poststratified Frequency 87.23 100.18 105.67 211.76 99.17 604 by Ethnicity Poststratified Frequency 3.87 600.13 604 by Race Unweighted Poststratified Percent Frequency 13.25 86.59 159.26 444.74 Poststratified Percent 14.44 16.59 17.50 35.06 16.42 100 Poststratified Percent 0.64 99.36 100 Poststratified Percent 26.37 73.63 Benchmark Frequency 15,542 16,711 16,372 33,336 16,650 98,611 Benchmark Frequency 1,173 103,822 104,995 Benchmark Frequency 36,547 68,448 Benchmark Percent 15.76 16.95 16.60 33.81 16.88 100 Benchmark Percent 1.12 98.88 100 Benchmark Percent 34.81 65.19 Total 604 100 604 100 104,995 100 D-8 ------- Table D-ll. Household Distribution by Education Highest Level of Education Less than 9th grade 9th - 1 1th grades High school diploma or equivalent Some college 2-year degree 4-year degree Advanced degree Total Unweighted Frequency 81 102 240 117 28 26 10 604 Unweighted Percent 13.41 16.89 39.74 19.37 4.64 4.30 1.66 100 Poststratified Frequency 61.94 127.04 193.31 132.31 29.60 44.58 15.21 604 Poststratified Percent 10.26 21.03 32.01 21.91 4.90 7.38 2.52 100 Benchmark Frequency 9,685 19,088 29,690 21,054 5,275 9,250 4,569 98,611 Benchmark Percent 9.82 19.36 30.11 21.35 5.35 9.38 4.63 100 D.3 Combining the Household and On-the-Bank Surveys The sampling universe for the combined household and on-the-bank surveys included all people who fish or eat wild-caught fish from the Mississippi Delta and live in Coahoma, Holmes (area in the advisory), Leflore, or Washington County. All households sampled were in one of these four counties, and to be eligible for the on-the-bank survey, the respondent had to live in one of these four counties. To develop weights for the combined surveys, respondents to the on- the-bank survey were combined with respondents to the household survey who indicated that they fished in the Mississippi Delta in the past year. This provided a survey of anglers for which weights were developed. The anglers were then combined with the remaining respondents to the household survey to develop the final combined survey weight. D. 3.1 Weighting Procedures Weights for the combined angler survey were created by first retaining the original sampling weight for each respondent. This was calculated as the truncated final weight divided by the nonresponse adjustment. The inverse of this sampling weight provides the probability of selection for each respondent. For each respondent to the on-the-bank survey, the probability that he or she would have been selected in the household survey was calculated. This probability was calculated by dividing the total number of locatable mailing addresses (LMAs) by the number of units sampled in the household survey for each county. Based on the county of residence for each on-the-bank survey respondent, this probability was added to the respondent's original sampling probability D-9 ------- to create the combined probability of selection. The inverse of this selection probability provides the combined sampling weight. The probability that an angler responding to the household survey would be selected for the on-the-bank survey was calculated as the average selection probability for respondents to the on-the-bank survey by resident county. This probability was added to the original sampling probability for respondents to the household survey to get the combined selection probability. The combined sampling weight is the inverse of the selection probability. The nonresponse adjustment was calculated by averaging the nonresponse weight from the on-the-bank survey by county of residence. This was applied to all respondents in the combined angler survey. The final weight for anglers was calculated as the product of the combined sampling weight and the nonresponse adjustment. This final weight was then scaled to sum to 585, the number of angler respondents for the on-the-bank survey (n = 413) and household survey (n = 172). Table D-12 gives the distribution of the weights for the combined angler survey. The 585 anglers were combined with the 432 nonanglers from the household survey. The weights for both anglers and nonanglers were scaled to keep the proportion of anglers to nonanglers the same as in the household survey. D.3.2 Poststratiftcation As with the household survey, the weights for the combined survey were poststratified by gender, age, race, ethnicity, and educational attainment to Census 2000 and 2006-2008 ACS totals. Again, the level of education was imputed for one respondent and the age for another. After the poststratification adjustment, the difference between the largest and smallest weights was large. Therefore, the weights were truncated on both ends so they would fall between 0.074 and 3.420, the 5th and 95th percentiles, respectively. These truncated weights had to be rescaled to sum to 1,017. The distributions of the intermediate and final weights are given in Table D-13. D-10 ------- Table D-12. Distribution of Weights for the Combined Angler Survey On-the-Bank Household Sampling Nonresponse Scaled Weight (Before Scaled Final Statistic Sampling Weight Weight Adjustment Poststratification) Weight Min 21.03 3.98 1.04 3.90 Mean 68.89 26.15 1.05 14.76 Max 306.5 60.00 1.06 31.78 Unequal Weighting Effect (UWE) 0.09 1.00 3.94 2.11 Table D-13 gives the unweighted and weighted sample distribution as well as the ACS population distribution by county. Tables D-14 through D-18 give the unweighted, poststratified, and benchmark distributions for the five demographic variables used in the poststratification. Table D-13. Combined Sample and Population Counts by County Combined Survey Sample County Coahoma Holmes Leflore Washington Total Unweighted Frequency 173 185 269 390 1,017 Unweighted Percent 17.01 18.19 26.45 38.35 100 Poststratified Frequency 187.61 132.50 322.98 373.92 1,017 Poststratified Percent 18.45 13.03 31.76 36.77 100 Population (ACS) Frequency 19,126 14,545 25,399 39,541 98,611 Percent 19.40 14.75 25.76 40.10 100 Table D-14. Combined Survey Distribution by Gender Gender Male Female Unweighted Frequency 582 435 Unweighted Percent 57.23 42.77 Poststratified Frequency 477.87 539.13 Poststratified Percent 46.99 53.01 Benchmark Frequency 44,594 54,017 Benchmark Percent 45.22 54.78 Total 1,017 100 1,017 100 98,611 100 D-ll ------- Table D-15. Combined Survey Distribution by Age Age 18 to 24 25 to 34 35 to 44 45 to 64 65 and up Total Table D-16. Ethnicity Unweighted Frequency 76 140 150 432 219 1,017 Combined Unweighted Percent 7.47 13.77 14.75 42.48 21.53 100 Poststratified Frequency 147.47 180.27 167.13 347.22 174.91 1,017 Poststratified Percent 14.50 17.73 16.43 34.14 17.20 100 Benchmark Frequency 15,542 16,711 16,372 33,336 16,650 98,611 Benchmark Percent 15.76 16.95 16.60 33.81 16.88 100 Survey Distribution by Ethnicity Unweighted Unweighted Frequency Percent Hispanic/Latino 5 Other Total Table D-17. Race White Non-white Total 1,012 1,017 Combined Unweighted Frequency 220 797 1,017 0.49 99.51 100 Poststratified Frequency 7.76 1,009.24 1,017 Poststratified Percent 0.76 99.24 100 Benchmark Frequency 1,173 103,822 104,995 Benchmark Percent 1.12 98.88 100 Survey Distribution by Race Unweighted Percent 21.63 78.37 100 Poststratified Frequency 311.58 705.42 1,017 Poststratified Percent 30.64 69.36 100 Benchmark Frequency 36,547 68,448 104,995 Benchmark Percent 34.81 65.19 100 D-12 ------- Table D-18. Combined Survey Distribution by Education Post- Post- Highest Level Unweighted Unweighted Stratified Stratified Benchmark Benchmark of Education Frequency Percent Frequency Percent Frequency Percent Less than 9th 149 14.65 115.87 11.39 9,685 9.82 grade 9th-llth 180 17.70 188.07 18.49 19,088 19.36 grades High school 381 37.46 325.06 31.96 29,690 30.11 diploma or equivalent Some college 182 17.90 208.53 20.50 21,054 21.35 2-year degree 60 5.90 50.00 4.92 5,275 5.35 4-year degree 45 4.42 93.83 9.23 9,250 9.38 Advanced 20 1.97 35.65 3.50 4,569 4.63 degree Total 1,017 100 1,017 100 98,611 100 D-13 ------- [This page intentionally left blank.] ------- APPENDIX E: WEIGHTED SURVEY RESPONSES ------- [This page intentionally left blank.] ------- Screening Questions for Household Survey (Weighted Results) All respondents to the household survey completed this section. Household Question Number Question n % El Have you or anyone in your household been fishing anywhere in the Mississippi Delta area in the past year? Do not include fishing for commercial purposes or fishing in commercial catfish ponds. 604 1 Yes 9.4 2 No (go to Question E3) 90.6 Don't know 0.0 No response 0.0 Total 100.0 E2 Did you or anyone in your household fish in any of the following counties in October of this year? 172 1 Coahoma 19.7 2 Holmes 14.9 3 Leflore 38.0 4 Washington 27.3 5 None of the above (go to Question E4) 0.0 Don't know 0.0 No response 0.0 Total 100.0 E4 To the best of your knowledge, have you or anyone in your household eaten wild-caught fish from the Mississippi Delta in the past year? Please include wild-caught fish caught by you or others, including fish you buy. 604 1 Yes 99.7 2 No 0.3 Don't know 0.0 No response 0.0 Total 100.0 Eligibility Questions - HH ------- Section A: Fishing Practices (Weighted Results) Only respondents who fished in the Mississippi Delta in the past year completed this section. Question Number 1 Question Number 2* Question How often have you been fishing in the Mississippi Delta area in the past month? Days per month Days per year Question What are some of the reasons why you fish? 1 To provide food for my family 2 To reduce the amount of money spent on food 3 To relax 4 To spend time outdoors 5 To spend time with friends and/or family 6 Enjoy fishing 7 To sell the fish/earn money 8 Like to eat fish 9 Other Don't know No response Anglers n mean 581 3.0 581 35.5 Anglers n % 585 13.4 12.0 48.5 46.5 36.6 73.4 3.1 42.1 1.6 0.2 0.0 Multiple responses allowed. Section A ------- Question Number Question Anglers n mean When you fish, how often do you give away or trade the fish that you catch to other people? Would you say... 585 1 never 21.3 2 rarely 20.1 3 some of the time 35.6 4 most of the time 15.9 5 all of the time 3.9 Don't know 3.1 No response 0.0 Total 100.0 When you fish, how often do you eat the fish you catch? Would you say ... 585 1 never 4.9 2 rarely 7.2 3 some of the time 24.4 4 most of the time 34.7 5 all of the time 27.6 Don't know 1.1 No response 0.0 Total 100.0 Multiple responses allowed. Section A ------- Question Number 5 Question When you fish, how often do other people in your household eat the fish you catch? Would Anglers n mean you say ... 585 1 never 14.6 2 rarely 4.4 3 some of the time 23.1 4 most of the time 31.4 5 all of the time 25.0 Don't know 1.0 No response 0.5 Total 100.0 6 How important are the fish that you catch as a source of food for your family? Would you say ... 585 1 not at all 43.5 2 a little bit 27.8 3 somewhat 17.7 4 a lot 10.6 Don't know 0.3 No response 0.0 Total 100.0 Note: There was not a Question 7. Multiple responses allowed. Section A ------- Section B: Fish Consumption Practices (Weighted Results) Only respondents whose household ate fish caught from the Mississippi Delta in the past year completed this section. Question Number 8T 9 9Af 10 lOAf Question Amount wild-caught fish usually eaten when served at a meal (ounces) Frequency of eating wild-caught fish (number of times per month) Did you or others in your household eat gar in the past year? 1 Yes 2 No (go to Question 10) Don't know No response Total For respondents that eat gar, average number of times gar is consumed per month Did you or others in your household eat carp in the past year? 1 Yes 2 No (go to Question 1 1) Don't know No response Total For respondents that eat carp, average number of times carp is consumed per month Anglers Non-anglers All Respondents n mean % n mean % n mean % 552 11.2 409 10.8 961 10.9 552 3.1 409 2.3 961 2.6 572 432 1004 10.2 3.2 5.7 88.6 96.8 93.8 1.2 0.1 0.5 100.0 100.0 100.0 69 0.8 13 0.5 82 0.7 572 432 1004 10.0 2.7 5.3 88.0 97.3 94.0 2.1 0.0 0.8 100.0 100.0 100.0 60 0.7 15 0.6 75 0.7 * Multiple responses allowed. t The survey collected consumption information for each household member. The results reported are for the respondent only. Section B ------- Question Number 11 12 12Af 13 13Af Question Did you or others in your household eat wild-caught catfish that are smaller than 22 inches in the past year? 1 Yes 2 No Don't know No response Total Did you or others in your household eat wild-caught catfish that are longer than 22 inches in the past year? 1 Yes 2 No (go to Question 13) Don't know No response Total For respondents that eat large catfish, average number of times large catfish is consumed per month Did you or others in your household eat buffalo fish in the past year? 1 Yes 2 No (go to Question 14) Don't know No response Total For respondents that eat buffalo fish, average number of times buffalo fish is consumed per month Anglers n mean % 572 75.2 24.8 0.1 100.0 572 32.8 65.1 2.1 100.0 201 1.5 572 33.9 65.9 0.3 100.0 226 1.1 Non-anglers n mean % 432 80.0 19.8 0.2 100.0 432 21.5 78.2 0.2 100.0 88 1 432 29.2 70.8 0.0 100.0 132 0.8 All Respondents n mean % 1004 78.3 21.6 0.1 100.0 1004 25.6 73.5 0.9 100.0 289 1.3 1004 30.9 69.0 0.1 100.0 358 0.9 Percentage of respondents that consumed buffalo fish from Roebuck Lake 226 132 358 * Multiple responses allowed. t The survey collected consumption information for each household member. The results reported are for the respondent only. Section B ------- Question Number 14 Question How respondent prepares and cooks gar (Only respondents with a household member who Preparation Practices: Removes skin before cooking Removes belly fat before cooking Removes head before cooking Guts the fish and discards internal organs *Cut offish eaten: Fillet Steak Whole fish *Cooking method: Fry Grill Soup Stew Broil Bake Other Anglers Non-anglers n mean % n mean 73 14 ate gar in the past year answered this question.) 62.2 99.2 99.4 98.8 41.0 56.3 0.8 93.2 0.0 1.3 1.9 0.9 1.2 1.9 75.7 100.0 100.0 100.0 56.1 43.9 0.0 100.0 2.3 0.8 1.7 0.0 7.8 0.0 All Respondents n mean % 87 67.0 99.5 99.6 99.2 46.3 51.9 0.5 95.6 0.8 1.1 1.8 0.6 3.5 1.3 * Multiple responses allowed. t The survey collected consumption information for each household member. The results reported are for the respondent only. Section B ------- Question Number Question How respondent prepares and cooks carp (Only respondents with a household member who Preparation Practices: Removes skin before cooking Removes belly fat before cooking Removes head before cooking Guts the fish and discards internal organs *Cut offish eaten: Fillet Steak Whole fish *Cooking method: Fry Grill Soup Stew Broil Bake Other Anglers Non-anglers n mean % n mean 63 16 ate carp in the past year answered this question.) 58.1 96.2 100.0 100.0 50.8 48.2 1.6 98.2 1.6 0.0 0.0 0.7 2.1 0.0 % 50.3 100.0 100.0 100.0 49.5 52.5 0.0 69.8 1.3 0.0 0.0 0.0 27.7 0.0 All Respondents n mean % 79 55.6 97.4 100.0 100.0 50.4 49.6 1.1 89.1 1.5 0.0 0.0 0.5 10.4 0.0 * Multiple responses allowed. t The survey collected consumption information for each household member. The results reported are for the respondent only. Section B ------- Question Number Question How respondent prepares and cooks catfish smaller than 22 inches (Only respondents with a household member who ate Preparation Practices: Removes skin before cooking Removes belly fat before cooking Removes head before cooking Guts the fish and discards internal organs *Cut offish eaten: Fillet Steak Whole fish *Cooking method: Fry Grill Soup Stew Broil Bake Other Anglers Non-anglers n mean % n mean 442 332 small catfish in the past year answered this question.) 90.5 94.1 97.0 99.1 82.6 17.6 33.1 95.5 13.5 0.0 0.1 3.1 16.2 0.5 87.7 91.4 97.6 99.9 87.8 9.4 34.7 96.9 6.8 0.0 0.1 2.9 25.4 0.0 All Respondents n mean % 774 88.7 92.3 97.4 99.6 86.0 12.2 34.2 96.4 9.1 0.0 0.1 3.0 22.2 0.2 * Multiple responses allowed. t The survey collected consumption information for each household member. The results reported are for the respondent only. Section B ------- Question Number Question How respondent prepares and cooks catfish larger than 22 inches (Only respondents with a household member who ate Preparation Practices: Removes skin before cooking Removes belly fat before cooking Removes head before cooking Guts the fish and discards internal organs *Cut offish eaten: Fillet Steak Whole fish *Cooking method: Fry Grill Soup Stew Broil Bake Other Anglers Non-anglers n mean % n mean 207 93 large catfish in the past year answered this question.) 92.6 97.9 99.2 99.6 64.1 50.1 7.9 93.6 9.1 0.0 0.0 2.3 10.2 0.4 79.1 93.2 96.4 96.4 65.8 50.8 2.1 93.1 6.8 0.0 0.3 0.0 19.5 0.0 All Respondents n mean % 300 85.4 95.4 97.7 97.9 65.0 50.5 4.8 93.4 7.9 0.0 0.2 1.0 15.2 0.2 * Multiple responses allowed. t The survey collected consumption information for each household member. The results reported are for the respondent only. Section B ------- Question Number Question How respondent prepares and cooks buffalo fish (Only respondents with a household member who Preparation Practices: Removes skin before cooking Removes belly fat before cooking Removes head before cooking Guts the fish and discards internal organs *Cut offish eaten: Fillet Steak Whole fish *Cooking method: Fry Grill Soup Stew Broil Bake Other Anglers Non-anglers n mean % n mean 237 146 ate buffalo fish in the past year answered this question.) 69.3 94.8 97.8 99.2 40.9 61.2 10.3 98.7 1.6 0.1 0.0 0.6 2.0 0.5 84.3 98.6 98.9 98.9 60.3 44.1 2.8 96.8 2.6 1.7 0.0 0.0 13.4 0.0 All Respondents n mean % 383 78.4 97.1 98.5 99.0 52.6 50.9 5.8 97.6 2.2 1.1 0.0 0.2 8.9 0.2 * Multiple responses allowed. t The survey collected consumption information for each household member. The results reported are for the respondent only. Section B ------- Section C: Questions to Determine If Respondent Is Aware of Fishing Advisory (Weighted Results) All respondents completed this section. Question Number 15 16 17 Question How safe do you think it is to eat wild-caught buffalo fish, carp, gar, and large catfish from the Mississippi Delta, would you say that it is ... 1 not very safe 2 somewhat safe 3 very safe Don't know No response Total How safe do you think it is to eat other types of wild-caught fish, those not previously mentioned, from the Mississippi Delta? 1 not very safe 2 somewhat safe 3 very safe Don't know No response Total Are you aware of any warnings or advisories about eating wild-caught fish from the Mississippi Delta? 1 Yes (go to Section E) 2 No (go to Section D) 3 I heard of an advisory a few years ago (go to Section E) Don't know (go to Section D) No response (go to Section D) Total Anglers n % 585 32.5 32.4 20.8 14.3 0.0 100.0 585 5.7 43.9 35.8 14.6 0.0 100.0 585 43.2 49.0 3.2 4.6 100.0 Nonanglers n % 432 16.9 31.0 35.1 16.5 0.4 100.0 432 6.1 35.7 44.2 13.7 0.4 100.0 432 13.6 80.6 3.9 1.9 100.0 All Respondents n % 1017 22.7 31.5 29.8 15.7 0.3 100.0 1017 5.9 38.7 41.1 14.0 0.3 100.0 1017 24.6 68.9 3.6 2.9 100.0 Section C ------- Section D: Questions for Respondents Not Aware of Advisory (Weighted Results) Respondents not aware of the advisory completed this section. Question Number 18 19 20 Question The advisory recommends that you should not eat any buffalo fish from Roebuck Lake and that you should not eat more than two meals a month of buffalo fish, carp, gar, and catfish greater than 22 inches from other Mississippi Delta waters. How believable to you is the information in the advisory, would you say that it is ... 1 not very believable 2 somewhat believable 3 very believable Don't know No response Total In terms of protecting your health, how important do you think it is to follow the advisory's recommendations? Would you say ... 1 not very important 2 somewhat important 3 very important Don't know No response Total How difficult would it be for you and your family to limit how much you eat of buffalo fish, carp, gar, and large catfish? Would you say ... 1 not a problem at all 2 somewhat of a problem 3 a very big problem 4 Do not eat these fish (go to Question 24) Don't know No response Total Anglers n % 344 5.4 36.6 41.3 16.2 0.5 100.0 344 1.6 25.3 66.6 6.0 0.5 100.0 344 52.9 14.4 0.6 25.1 6.5 0.5 100.0 Nonanglers n % 368 4.0 33.3 52.0 10.6 0.0 100.0 368 2.7 14.4 77.3 5.5 0.0 100.0 368 47.7 8.1 1.0 42.7 0.5 0.0 100.0 All Respondents n % 712 4.4 34.2 49.1 12.2 0.1 100.0 712 2.4 17.5 74.3 5.7 0.1 100.0 712 49.1 9.8 0.9 37.8 2.1 0.1 100.0 Section D ------- Question Number 21 22 23 Question How likely are you to follow the advisory's recommendations? Would you say ... 1 not very likely 2 somewhat likely 3 very likely Don't know No response Total Now that you know about the advisory, how concerned are you about eating wild-caught buffalo fish, carp, gar, and large catfish from the Mississippi Delta? Would you say ... 1 not very concerned 2 somewhat concerned 3 very concerned Don't know No response Total In your opinion, if you or members of your household were to eat wild-caught buffalo fish, carp, gar, or large catfish from the Mississippi Delta, how likely is it that you or they would get sick? Would you say ... 1 not very likely 2 somewhat likely 3 very likely Don't know No response Total Anglers n % 268 2.3 41.0 45.4 10.5 0.8 100.0 268 15.9 54.8 27.7 0.7 0.9 100.0 268 18.8 31.5 15.8 33.2 0.7 100.0 Nonanglers n % 228 2.9 28.2 67.5 1.4 0.0 100.0 228 19.2 31.6 47.2 2.0 0.0 100.0 228 20.3 29.8 15.3 33.3 1.3 100.0 All Respondents n % 496 2.7 32.5 60.1 4.5 0.3 100.0 496 18.1 39.3 40.7 1.6 0.3 100.0 496 19.8 30.4 15.4 33.3 1.1 100.0 Section D ------- Question Number 24 Question What would you say are the two best ways to get information on fishing advisories to people who fish or eat wild-caught fish from the Mississippi Delta? (Respondents could select up to two responses.) 1 Radio 2 Television 3 Newspaper 4 Magazine 5 Post signs at lakes, rivers, and other water sources 6 Mail information to home 7 Internet or Web site 8 Wildlife and fish expos 9 Health fairs 10 Post information and provide brochures at bait shops 1 1 Post information and provide brochures at fish markets 12 Post information and provide brochures at Women, Infant, and Children (WIC) clinics 13 Post information and provide brochures at doctors' offices, hospitals, and clinics 14 Provide information through local churches 15 Go door to door to provide information 16 Fishing clubs 17 Other Don't know No response Anglers n % 344 17.6 68.1 12.0 2.3 46.0 5.9 4.3 1.7 0.8 10.8 6.7 2.1 1.1 2.8 5.9 2.1 0.8 3.9 0.5 Nonanglers n % 368 30.7 82.4 18.0 1.7 19.3 15.7 7.4 1.4 1.2 0.2 7.5 0.2 0.9 0.8 10.5 0.1 0.0 0.9 0.0 All Respondents n % 712 27.1 78.5 16.3 1.9 26.7 13.0 6.5 1.5 1.1 3.2 7.3 0.7 0.9 1.3 9.2 0.7 0.2 1.7 0.1 Section D ------- Section E: Questions for Respondents Aware of Advisory (Weighted Results) Respondents aware of the advisory completed this section. Question Number 25* 26 Question To the best of your knowledge, tell me what the advisory recommends about eating fish. 1 Cannot explain what the advisory is about 2 Do not eat fish over a certain size 3 Do not eat any buffalo fish from Roebuck Lake 4 Do not eat too much of certain fish 5 Do not eat too much buffalo fish 6 Do not eat too much carp 7 Do not eat too much gar 8 Do not eat too much large catfish 9 Do not eat more than two meals a month of buffalo fish 10 Do not eat more than two meals a month of carp 1 1 Do not eat more than two meals a month of gar 12 Do not eat more than two meals a month of large catfish 13 Other Don't know No response The advisory recommends that you should not eat any buffalo fish from Roebuck Lake and that you should not eat more than two meals a month of buffalo fish, carp, gar, and catfish greater than 22 inches from other Mississippi Delta waters. Are you aware of this particular advisory? 1 Yes 2 No Don't know No response Total Anglers n % 241 23.3 25.7 42.0 35.3 9.4 2.1 1.9 7.7 17.4 13.8 15.1 17.3 0.1 0.8 0.0 241 100.0 0.0 0.0 0.0 100.0 Nonanglers n % 64 13.3 22.3 41.2 57.9 7.8 7.2 7.2 14.5 14.2 9.3 9.3 11.1 0.9 0.0 0.0 64 100.0 0.0 0.0 0.0 100.0 All Respondents n % 305 19.4 24.4 41.7 44.1 8.8 4.1 4.0 10.4 16.2 12.1 12.8 14.9 0.4 0.5 0.0 305 100.0 0.0 0.0 0.0 100.0 Multiple responses allowed. Section E ------- Question Number 27 28 29 30 Question Do you usually follow the advisory recommendations? 1 Yes 2 No Don't know No response Total How believable to you is the information in the advisory, would you say that it is ... 1 not very believable 2 somewhat believable 3 very believable Don't know No response Total In terms of protecting your health, how important do you think it is to follow the advisory's recommendations? Would you say ... 1 not very important 2 somewhat important 3 very important Don't know No response Total How difficult is it for you and your family to limit how much you eat of buffalo fish, carp, gar, and large catfish? Would you say . . . 1 not a problem at all 2 somewhat of a problem 3 a very big problem 4 Do not eat these fish (go to Question 32) Don't know No response Total Anglers n % 241 91.3 4.4 4.3 0.0 100.0 241 0.8 19.3 78.4 1.4 0.0 100.0 241 0.6 16.2 82.7 0.4 0.0 100.0 241 60.7 3.8 4.0 30.0 1.6 0.0 100.0 Nonanglers n % 64 90.8 2.2 7.0 0.0 100.0 64 0.0 14.3 84.8 1.0 0.0 100.0 64 0.0 16.9 83.1 0.0 0.0 100.0 64 60.2 14.2 0.0 24.8 0.8 0.0 100.0 All Respondents n % 305 91.1 3.6 5.3 0.0 100.0 305 0.5 17.4 80.9 1.3 0.0 100.0 305 0.4 16.5 82.9 0.3 0.0 100.0 305 60.5 7.8 2.5 28.0 1.3 0.0 100.0 Multiple responses allowed. Section E ------- Question Number 31 32* o o JJ Question In your opinion, if you or members of your household were to eat wild- caught buffalo fish, carp, gar, or large catfish from the Mississippi Delta, how likely is it that you or they would get sick? Would you say ... 1 not very likely 2 somewhat likely 3 very likely Don't know No response Total Please think about this advisory when answering the next questions. How did you hear or learn about the advisory? 1 Radio news or talk show 2 Radio advertisement 3 Television news or talk show 4 Television show 5 Newspaper 6 Signs posted at lakes/rivers/water 7 Brochure/pamphlet 8 Church 9 Family /friends 10 Other Don't know No response Do you believe the advisory is still in effect? 1 Yes 2 No Don't know No response Total Anglers n % 176 14.5 41.3 28.8 15.3 0.0 100.0 241 7.4 1.7 15.9 5.5 6.9 54.6 5.6 8.3 22.2 1.4 13.1 0.1 241 74.1 0.2 25.8 0.0 100.0 Nonanglers n % 46 5.9 49.9 21.5 22.6 0.0 100.0 64 17.6 6.0 39.4 0.7 0.8 7.7 2.8 1.6 17.3 10.4 19.2 1.0 64 75.6 2.9 21.5 0.0 100.0 All Respondents n % 222 11.0 44.8 25.8 18.3 0.0 100.0 305 11.4 3.4 25.0 3.6 4.5 36.3 4.5 5.7 20.3 4.9 15.5 0.4 305 74.7 1.2 24.1 0.0 100.0 Multiple responses allowed. Section E ------- Question Number Question 34 Have you seen signs posted about the advisory at places where you fish? 1 Yes 2 No 3 I used to see it 4 Respondent does not fish Don't know No response Total 35 Did you get a brochure or pamphlet about the advisory? 1 Yes 2 No (go to Question 36) Don't know (go to Question 36) No response (go to Question 36) Total 3 5 A* Where did you get or who gave you the brochure or pamphlet? 1 Health fair 2 Commercial fisherman 3 Bait shop 4 Wildlife and fish expo 5 Fish market 6 WIC clinic 7 Doctor, hospital, or other health care provider 8 Park ranger 9 Church 10 Family /friends 11 Other Don't know No response Anglers n % 241 65.3 21.8 11.9 0.0 0.9 0.1 100.0 241 19.9 79.8 0.3 0.0 100.0 32 2.3 0.0 2.3 2.9 6.7 0.0 0.8 27.0 25.0 4.6 4.7 23.7 0.0 Nonanglers n % 64 4.6 21.1 0.0 67.8 0.0 6.6 100.0 64 9.9 90.1 0.0 0.0 100.0 9 0.0 0.0 0.0 0.0 40.3 0.0 0.0 8.5 0.0 5.4 45.8 0.0 0.0 All Respondents n % 305 41.6 21.5 7.3 26.4 0.5 2.6 100.0 305 16.0 83.8 0.2 0.0 100.0 41 1.7 0.0 1.7 2.2 14.8 0.0 0.6 22.5 19.0 4.8 14.6 18.0 0.0 Multiple responses allowed. Section E ------- Question Number 35B 36 36A 36B Question How useful was the brochure or pamphlet? Would you say ... 1 not at all useful 2 somewhat useful 3 very useful 4 did not read brochure Don't know No response Total Do you know about the toll-free hotline that you can call to get information on the advisory? 1 Yes 2 No (go to Question 37) Don't know (go to Question 37) No response (go to Question 37) Total Have you called the advisory hotline? 1 Yes 2 No (go to Question 37) Don't know (go to Question 37) No response (go to Question 37) Total How useful was the information you got from the advisory hotline? Would you say ... 1 not at all useful 2 somewhat useful 3 very useful Don't know No response Total Anglers n % 32 0.0 15.2 81.5 3.4 0.0 0.0 100.0 241 17.9 80.0 2.1 0.0 100.0 34 24.5 75.5 0.0 0.0 100.0 4 0.0 0.0 100.0 0.0 0.0 100.0 Nonanglers n % 9 0.0 35.6 64.4 0.0 0.0 0.0 100.0 64 15.3 82.5 2.2 0.0 100.0 9 23.0 77.0 0.0 0.0 100.0 1 0.0 0.0 100.0 0.0 0.0 100.0 All Respondents n % 41 0.0 20.1 77.4 2.5 0.0 0.0 100.0 305 16.9 80.9 2.2 0.0 100.0 43 24.0 76.0 0.0 0.0 100.0 5 0.0 0.0 100.0 0.0 0.0 100.0 Multiple responses allowed. Section E ------- Question Number Question 37 If you have Internet access, have you looked for any information about the advisory online? 1 Yes 2 No (go to Question 38) 3 Do not have Internet access (go to Question 38) Don't know (go to Question 38) No response (go to Question 38) Total 37A How useful was the information you found online? Would you say ... 1 not at all useful 2 somewhat useful 3 very useful Don't know No response Total 38 Did your church pastor talk about the advisory at all? 1 Yes 2 No 3 Do not attend church Don't know No response Total 39 Did your doctor or other health care provider talk with you about the advisory? 1 Yes 2 No 3 Have not been to a doctor Don't know No response Total Anglers n % 241 11.5 69.0 19.5 0.0 0.0 100.0 11 0.0 26.2 73.8 0.0 0.0 100.0 241 15.3 70.0 9.9 4.8 0.0 100.0 241 1.6 86.5 11.5 0.4 0.0 100.0 Nonanglers n % 64 4.4 65.5 30.2 0.0 0.0 100.0 2 0.0 0.0 100.0 0.0 0.0 100.0 64 5.1 76.0 11.1 7.8 0.0 100.0 64 3.4 78.3 17.7 0.5 0.0 100.0 All Respondents n % 305 8.7 67.6 23.7 0.0 0.0 100.0 13 0.0 21.1 78.9 0.0 0.0 100.0 305 11.3 72.3 10.4 5.9 0.0 100.0 305 2.3 83.3 13.9 0.5 0.0 100.0 Multiple responses allowed. Section E ------- Question Number Question 40 Do you remember seeing or hearing information about the advisory on any of the following TV or radio programs? Local TV or news talk show: 1 Yes 2 No Don't know No response Total Mississippi Outdoors program on ETV: 1 Yes 2 No Don't know No response Total Local radio news or talk show: 1 Yes 2 No Don't know No response Total Radio advertisements: 1 Yes 2 No Don't know No response Total Anglers n % 241 36.7 49.0 14.4 0.0 100.0 241 8.8 72.0 19.2 0.0 100.0 241 11.9 71.8 16.4 0.0 100.0 241 3.7 78.4 17.8 0.0 100.0 Nonanglers n % 64 51.6 33.9 14.5 0.0 100.0 64 2.5 79.6 17.9 0.0 100.0 64 20.9 54.5 24.6 0.0 100.0 64 1.8 74.4 23.8 0.0 100.0 All Respondents n % 305 42.5 43.1 14.4 0.0 100.0 305 6.4 74.9 18.7 0.0 100.0 305 15.4 65.0 19.6 0.0 100.0 305 3.0 76.8 20.2 0.0 100.0 Multiple responses allowed. Section E ------- Question Number Question 41 What would you say are the two best ways to get information on fishing advisories to people who fish or eat wild-caught fish from the Mississippi Delta? (Respondents could select up to two responses.) 1 Radio 2 Television 3 Newspaper 4 Magazine 5 Post signs at lakes, rivers, and other water sources 6 Mail information to home 7 Internet or Web site 8 Wildlife and fish expos 9 Health fairs 10 Post information and provide brochures at bait shops 1 1 Post information and provide brochures at fish markets 12 Post information and provide brochures at Women, Infant, and Children (WIC) clinics 13 Post information and provide brochures at doctors' offices, hospitals, and clinics 14 Provide information through local churches 15 Go door to door to provide information 16 Fishing clubs 17 Other Don't know No response Anglers n % 241 4.3 73.3 10.9 0.0 61.5 7.9 2.9 6.7 2.0 8.4 3.0 1.7 1.8 6.5 5.8 0.1 2.8 0.1 0.0 Nonanglers All Respondents n % n % 64 51.1 93.4 11.6 0.0 5.1 8.5 1.0 0.0 0.4 3.5 1.4 0.0 2.2 0.0 15.0 0.0 3.5 0.0 0.0 305 22.5 81.2 11.1 0.0 39.6 8.1 2.1 4.1 1.4 6.5 2.4 1.1 1.9 4.0 9.4 0.1 3.1 0.1 0.0 Multiple responses allowed. Section E ------- Section F: Self-reported Changes in Fishing Practices (Weighted Results) Only respondents who fish and are aware of the advisory completed this section. Anglers Question Number Question n % 42 After learning about the advisory, did you make any changes in your fishing practices, such as how often you fish, where you fish, or the types of fish that you catch? 241 1 Yes 32.8 2 No (go to Section G) 67.2 Don't know (go to Section G) 0.0 No response (go to Section G) 0.0 Total 100.0 43 After learning about the advisory, did you change how often you usually fish in Mississippi Delta waters? Do you fish ... 74 1 more often 0.0 2 about the same amount of time 53.1 3 less often 46.9 Don't know 0.0 No response 0.0 Total 100.0 44 After learning about the advisory, did you change the locations where you usually go fishing in the Mississippi Delta? Do you fish ... 74 1 in the same places 55.5 2 in different places 38.6 Don't know 5.0 No response 0.9 Total 100.0 Section F ------- Anglers Question Number Question n % 45 Before learning about the advisory, did you ever fish in Roebuck Lake in Leflore County? 74 1 Yes 24.2 2 No 75.8 Don't know 0.0 No response 0.0 Total 100.0 46 Since learning about the advisory, have you fished in Roebuck Lake? 74 1 Yes 2 No Don't know No response Total 47 After learning about the advisory, did you make any changes in the types of fish that you usually fish for in the Mississippi Delta? Do you fish . . . 1 for the same types offish (go to Section G) 2 different types of fish Don't know No response Total 0.5 99.5 0.0 0.0 100.0 74 27.4 60.2 12.4 0.0 100.0 Section F ------- Section G: Self-reported Changes in Fish Consumption (Weighted Results) Only respondents whose household eats fish and is aware of the advisory completed this section. Question Number 48A* 48B* Question Before learning about the advisory, did you eat any of the following types of fish? 1 Buffalo fish 2 Carp 3 Gar 4 Catfish longer than 22 inches 5 None of the above Don't know No response Since learning about the advisory, what types of wild- caught fish have you stopped eating? 1 Buffalo fish 2 Carp 3 Gar 4 Catfish 5 Large catfish (> 22 inches) 6 Small catfish 7 Other 8 None Don't know No response Anglers n % 234 30.3 5.4 6.1 30.8 55.5 1.5 0.7 234 10.2 3.6 0.8 2.4 13.5 1.3 0.1 76.1 0.0 0.0 Non-anglers n % 64 51.1 2.4 2.1 47.8 42.0 0.0 0.0 64 16.9 0.0 1.9 0.0 31.0 0.0 0.0 60.6 0.0 0.3 All Respondents n % 298 38.7 4.2 4.5 37.7 50.0 0.9 0.4 298 12.9 2.1 1.2 1.4 20.6 0.8 0.1 69.8 0.0 0.1 Multiple responses allowed. Section G ------- Question Number 49* 50* Question Since learning about the advisory, what types of wild- caught fish do you eat less of now? 1 Buffalo fish 2 Carp 3 Gar 4 Catfish 5 Large catfish (> 22 inches) 6 Small catfish 7 Other 8 None Don't know No response Since you cut back or stopped eating certain wild-caught fish, what are you eating instead? (Only respondents that have stopped eating or are eating less fish responded to this question). 1 Eat other types offish/drum/bream/large mouth bass/crappie/fish that are not in advisory 2 Eat farm/pond raised catfish instead 3 Buy fish from fish market or grocery store instead 4 Eat smaller fish instead 5 Have less food to eat now 6 Buy and eat chicken instead 7 Buy and eat beef/pork/meat instead 8 Other Don't know No response Anglers n % 234 16.0 1.4 3.7 5.4 20.3 3.8 0.0 64.6 2.2 0.6 110 78.0 22.6 21.9 31.0 0.0 14.8 8.4 0.1 6.9 2.4 Non-anglers n % 64 30.4 2.2 0.0 16.3 19.4 0.8 2.2 49.7 0.0 0.7 38 49.7 12.6 48.0 23.8 0.0 28.5 7.7 1.6 7.4 1.8 All Respondents n % 298 21.9 1.7 2.2 9.8 19.9 2.6 0.9 58.6 1.3 0.6 148 65.0 18.0 33.9 27.7 0.0 21.1 8.1 0.8 7.1 2.1 Multiple responses allowed. Section G ------- Question Number 51* 52 52A Question Since learning about the advisory, what types of wild- caught fish do you eat more of now? 1 Buffalo fish 2 Carp 3 Gar 4 Catfish 5 Large catfish (> 22 inches) 6 Small catfish 7 Other 8 None 11 Other types of fish/drum/bream/bass/crappie Don't know No response After learning about the advisory, did you change the size of wild-caught fish from the Mississippi Delta that you eat? 1 Yes 2 No (go to Question 53) Don't know No response Total After learning about the advisory, do you usually eat ... 1 larger fish (go to Question 53) 2 smaller fish 3 smaller-sized fish for some types of fish and the same size for other types offish Don't know No response Total Anglers n % 234 0.0 0.0 0.0 2.2 0.0 18.8 2.0 56.5 30.8 0.1 0.4 234 31.5 67.7 0.4 0.4 100.0 79 1.1 64.7 34.2 0.0 0.0 100.0 Non-anglers n % 64 0.2 0.2 0.2 0.2 0.2 6.9 0.0 51.1 43.3 2.0 0.0 64 37.6 56.2 6.2 0.0 100.0 24 82.3 17.7 0.0 0.0 100.0 All Respondents n % 298 0.1 0.1 0.1 1.4 0.1 14.0 1.2 54.3 35.8 0.9 0.2 298 34.0 63.0 2.7 0.2 100.0 103 0.6 72.6 26.7 0.0 0.0 100.0 Multiple responses allowed. Section G ------- Question Number 52B* 53 Question For what types of fish do you eat smaller-sized fish? 1 Buffalo fish 2 Carp 3 Gar 4 Catfish 5 Drum 6 Bream 7 Large mouth bass 8 Crappie 9 Other Don't know No response After learning about the advisory, did you make any changes in how you prepare or cook wild-caught fish from the Mississippi Delta? 1 Yes 2 No (go to Question 54) Don't know No response Total Anglers n % 78 2.0 1.5 0.8 71.4 10.0 38.4 14.0 34.1 11.3 0.0 0.0 234 2.7 97.3 0.0 0.0 100.0 Non-anglers n % 24 1.3 0.0 0.0 98.3 0.0 12.8 1.7 11.2 0.0 0.0 0.0 64 10.5 86.0 3.5 0.0 100.0 All Respondents n % 102 1.7 0.8 0.5 83.6 5.4 26.8 8.4 23.7 6.2 0.0 0.0 298 5.8 92.7 1.4 0.0 100.0 Multiple responses allowed. Section G ------- Question Number 53A* 54 Question Which of the following changes did you make? 1 Started removing skin from fish before cooking 2 Started removing belly fat from fish before cooking 3 Started eating fillets instead of whole fish 4 Stopped frying fish or fry fish less often 5 Stopped making fish stew or soup 6 Started broiling, baking, or grilling fish instead of frying 7 Other Don't know No response After learning about the advisory, were any changes made in the types and amount of wild-caught fish or how fish was prepared and cooked for children under the age of 7? 1 Yes 2 No (go to Question 54) 3 Do not prepare and cook fish for children Don't know No response Total Anglers n % 14 30.2 10.1 0.0 20.7 10.7 49.2 0.0 0.0 0.0 234 1.7 49.4 48.8 0.0 0.0 100.0 Non-anglers n % 6 1.2 0.0 10.2 58.8 0.0 92.6 0.0 0.0 0.0 64 1.1 50.0 49.0 0.0 0.0 100.0 All Respondents n % 20 9.0 2.7 7.5 48.5 2.9 80.9 0.0 0.0 0.0 298 1.5 49.7 48.9 0.0 0.0 100.0 Multiple responses allowed. Section G ------- Section H: Demographics (Weighted Results) All respondents completed this section. Question Number 55 55A 56 Question Record gender. 1 Male 2 Female Don't know No response Total What is your age? 1 18 to 24 2 25 to 34 3 35 to 44 4 45 to 54 5 55 to 64 6 65 to 74 7 75 or older Don't know No response Total What is the highest level of education that you have completed? 1 5th grade or less 2 6th to 8th grade 3 9th to 1 1th grade 4 High school diploma or GED 5 Some college 6 2-year college degree 7 4-year college degree 8 Advanced degree Don't know No response Total Anglers n % 585 72.3 27.7 0.0 0.0 100.0 585 18.8 15.4 14.3 18.4 16.6 14.0 2.5 0.0 0.0 100.0 585 4.5 12.6 17.6 24.8 15.8 7.0 12.1 5.8 0.0 0.0 100.0 Non-anglers n % 432 32.1 67.9 0.0 0.0 100.0 432 12.0 19.1 17.4 17.6 16.1 9.9 7.7 0.0 0.3 100.0 432 0.6 7.4 18.5 36.2 23.3 3.7 7.6 2.2 0.0 0.5 100.0 All Respondents n % 1017 47.0 53.0 0.0 0.0 100.0 1017 14.5 17.7 16.3 17.9 16.2 11.4 5.8 0.0 0.2 100.0 1017 2.1 9.3 18.2 32.0 20.5 4.9 9.2 3.5 0.0 0.3 100.0 Section H ------- Question Number 57 58* 59 60 Question Are you Hispanic or Latino? 1 Yes 2 No Don't know No response Total What is your race? 1 White 2 Black or African American 3 Asian 4 Native Hawaiian or other Pacific Islander 5 American Indian or Alaska Native Don't know No response What is your marital status? 1 Single 2 Married 3 Divorced/Separated 4 Widowed 5 Living with partner Don't know No response Total Including yourself, how many people 18 years of age or older live in your household? 1 1 2 2 3 3 4 4 5 5 or more Don't know No response Total Anglers n % 585 0.5 99.5 0.0 0.0 100.0 585 43.6 56.4 0.0 0.0 0.0 0.0 0.0 585 35.9 45.0 9.1 6.0 3.9 0.0 0.1 100.0 585 24.9 47.0 22.3 3.6 2.2 0.0 0.1 100.0 Non-anglers n % 432 0.9 99.1 0.0 0.0 100.0 432 23.0 77.0 0.0 0.0 0.0 0.0 0.0 432 39.4 35.7 7.4 10.1 7.3 0.0 0.0 100.0 432 23.5 53.8 17.4 3.7 1.6 0.0 0.0 100.0 All Respondents n % 1017 0.8 99.2 0.0 0.0 100.0 1017 30.6 69.4 0.0 0.0 0.0 0.0 0.0 1017 38.1 39.2 8.0 8.6 6.0 0.0 0.0 100.0 1017 24.0 51.3 19.2 3.7 1.8 0.0 0.0 100.0 Section H ------- Question Number 61 61A 62 Question How many people under 18 years of age live in your household? 1 None (go to Question 62) 2 1 3 2 4 3 5 4 6 5 or more Don't know No response Total How many people under 5 years of age live in your household? 1 None 2 1 3 2 4 3 5 4 6 5 or more Don't know No response Total Which of the following best describes your work status? 1 Employed full time 2 Employed part time 3 Unemployed 4 Retired 5 Disabled 6 Student 7 Homemaker 8 Other Don't know No response Total Anglers n % 585 62.7 19.0 14.4 2.0 1.1 0.8 0.0 0.0 100.0 183 51.7 37.2 10.5 0.5 0.0 0.0 0.0 0.2 100.0 585 42.6 9.7 15.2 15.2 9.9 3.9 1.2 2.2 0.0 0.2 100.0 Non-anglers n % 432 57.7 17.7 14.9 6.3 3.1 0.4 0.0 0.0 100.0 165 65.1 25.4 8.2 1.3 0.0 0.0 0.0 0.0 100.0 432 41.2 10.9 16.4 14.1 8.4 4.2 4.8 0.0 0.0 0.0 100.0 All Respondents n % 1017 59.5 18.2 14.7 4.7 2.3 0.5 0.0 0.0 100.0 348 60.5 29.4 9.0 1.0 0.0 0.0 0.0 0.1 100.0 1017 41.7 10.5 16.0 14.5 8.9 4.1 3.5 0.8 0.0 0.1 100.0 Section H ------- Question Number 63 63A 64 Question Do you have a current sport fishing license for the state of Mississippi? Do not include commercial fishing licenses. 1 Yes 2 No Don't know No response Total Do you have a working phone number for your household, either a regular phone or cell phone? 1 Yes 2 No Don't know No response Total What was your total household income in 2008 before taxes? Include income from all persons living in your house. 1 Less than $9,999 2 $10,000-19,999 3 $20,000-29,999 4 $30,000-39,999 5 $40,000-49,999 6 $50,000 or more Don't know No response Total Anglers n % 585 48.1 49.0 2.4 0.5 100.0 585 83.1 14.7 0.1 2.1 100.0 585 15.0 18.3 14.2 14.0 6.9 10.4 9.6 11.7 100.0 Non-anglers n % 432 2.9 97.1 0.0 0.0 100.0 432 89.9 10.0 0.0 0.1 100.0 432 16.9 23.6 14.6 7.6 7.7 4.2 8.7 16.7 100.0 All Respondents n % 1017 19.7 79.2 0.9 0.2 100.0 1017 87.3 11.8 0.0 0.8 100.0 1017 16.1 21.6 14.4 10.0 7.4 6.5 9.1 14.9 100.0 Section H ------- Section I: Awareness of National Advisory on Mercury in Fish and Shellfish (Weighted Results) All respondents completed this section. Question Number 65 65A* 66 Question Have you heard anything about it being healthy to eat fish and shellfish? 1 Yes 2 No (go to Question 66) Don't know No response Total What health benefits have you heard of? 1 Generally healthy /nutritious 2 Low fat 3 Brain food 4 Heart healthy 5 Omega-3 fatty acids 6 Cholesterol lowering 7 Low calorie/aids in weight loss 8 Antioxidant/good for skin 9 Provides vitamins/minerals 10 High protein 11 Oil/fish oil 12 Other Don't know No response Have you heard of any health problems from eating fish or shellfish, other than the Mississippi Delta advisory that we've already talked about? 1 Yes 2 No (go to Question 67) Don't know No response Total Anglers n % 585 60.2 36.9 2.9 0.0 100.0 357 42.6 11.1 36.4 41.3 34.7 25.0 9.2 10.3 6.0 18.8 19.4 1.0 1.8 0.0 585 22.9 68.6 8.5 0.0 100.0 Non-anglers n % 432 59.5 38.9 1.6 0.0 100.0 257 41.9 10.7 36.9 44.3 22.6 20.0 17.4 1.8 3.4 16.6 23.6 0.0 2.8 0.0 432 31.0 67.7 1.3 0.0 100.0 All Respondents n % 1017 59.7 38.2 2.1 0.0 100.0 614 42.2 10.8 36.7 43.2 27.1 21.9 14.3 5.0 4.4 17.5 22.0 0.4 2.5 0.0 1017 28.0 68.0 4.0 0.0 100.0 Multiple responses allowed. Section I ------- Question Number 66A* 67 Question What health problems have you heard of? 1 Mercury/methyl mercury (go to Question 67 A) 2PCBs 3 Dioxin 4 Vibrio 5 Hepatitis 6 Germs/parasites/bacteria 7 Allergies 8 Pesticides 9 Chemicals 10 Pollution/contamination 11 Food poisoning 12 Other Don't know No response Have you heard anything about mercury as a problem in some fish or shellfish? 1 Yes 2 No (end survey) Don't know No response Total Anglers n % 140 56.6 19.0 2.5 0.5 2.8 5.7 12.0 19.8 26.8 31.5 2.6 2.4 1.0 0.0 510 27.6 66.5 5.8 0.0 100.0 Non-anglers n % 124 50.5 11.4 2.9 0.2 0.4 0.5 33.3 12.1 10.6 21.0 0.0 0.9 6.2 0.0 368 22.0 75.8 2.2 0.0 100.0 All Respondents n % 264 52.3 13.7 2.8 0.3 1.1 2.1 26.9 14.4 15.5 24.2 0.8 1.3 4.6 0.0 878 24.1 72.3 3.6 0.0 100.0 Multiple responses allowed. Section I ------- Question Number 67A* 67B 67C* Question What kinds of fish or shellfish have mercury problems? 1 General tuna 2 Tuna steak 3 Canned tuna 4 Albacore or chunk white tuna 5 Light tuna 6 Swordfish 7 Shark 8 King mackeral 9 Tile fish 10 Salmon 11 Shellfish 12 Any large fish 13 Other Don't know No response Have you heard of any particular group of people who are advised to be especially careful not to eat too much fish or shellfish that might have mercury? 1 Yes 2 No (end survey) Don't know No response Total Which group of people should not eat too much fish or shellfish that might have mercury? 1 Pregnant women or women who might become pregnant 2 Nursing mothers 3 Young children 4 Other Don't know No response Anglers n % 208 40.2 4.6 16.7 4.7 3.2 10.4 10.5 1.4 1.7 35.6 23.8 17.7 6.0 16.2 0.0 208 45.8 51.5 2.6 0.1 100.0 80 76.9 43.2 49.6 9.2 7.9 0.3 Non-anglers n % 128 32.6 2.5 21.6 2.9 1.8 1.6 2.4 0.9 0.3 9.4 36.4 8.5 1.3 20.1 0.2 128 39.0 59.7 1.3 0.0 100.0 57 86.2 44.7 24.1 7.2 3.0 0.0 All Respondents n % 336 35.6 3.3 19.7 3.6 2.4 5.0 5.5 1.1 0.9 19.6 31.5 12.1 3.2 18.6 0.1 336 41.7 56.5 1.8 0.0 100.0 137 82.2 44.1 35.0 8.0 5.1 0.1 Multiple responses allowed. 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