Factors Associated with Utilisation of Couple HIV Counselling and Testing Among HIV-Positive Adults in Kyoga Fishing Community Uganda, May 2017: Cross Sectional Study.

Couple HIV counseling and testing (CHCT) is key in preventing heterosexual HIV transmission and achievement of 90-90-90 UNAIDS treatment targets by 2020. We conducted secondary data analysis to assess utilization of CHCT and associated factors using logistic regression. 58/134 participants (49%) had ever utilized CHCT. Disclosure of individual HIV results to a partner [aOR = 16; 95% CI: (3.6-67)], residence for > 1 < 5 years [aOR = 0.04; 95% CI (0.005-0.33)], and none mobility [aOR = 3.6; 95% CI (1.1-12)] were significantly associated with CHCT. Age modified relationship between CHCT and disclosure (Likelihood-ratio test LR chi2 = 4.2 (p value = 0.041). Disclosure of individual HIV results with a partner and residence for more than 1 year improved utilization of CHCT; mobility reduced the odds of CHCT. Interventions should target prior discussion of individual HIV results among couples and mobile populations to increase CHCT.

Formative research to inform the development of a peer-led HIV self-testing intervention to improve HIV testing uptake and linkage to HIV care among adolescents, young people and adult men in Kasensero fishing community, Rakai, Uganda: a qualitative study.

BACKGROUND: Despite efforts to improve HIV testing and linkage to HIV care among adolescents, young people and adult men, uptake rates remain below global targets. We conducted formative research to generate data necessary to inform the design of a peer-led HIV self-testing (HIVST) intervention intended to improve HIV testing uptake and linkage to HIV care in Kasensero fishing community in rural Uganda. METHODS: This qualitative study was conducted in three study communities in Kasensero fishing community in Rakai district, Uganda, in May 2019. Six single-sex focus group discussions (FGDs) comprising 7-8 participants were conducted with adolescents and young people (15-24 years) and adult men (25+ years). We collected data on people's perceptions about peer-led HIVST; potential acceptability of a peer-led HIVST intervention and suggestions on how to improve linkage to HIV care after a positive HIVST result. Peer-led HIVST was defined as an approach where trained lay people distribute HIVST kits to other people in the community. FGDs were audio-recorded with permission from the participants, transcribed verbatim and analysed manually following a thematic framework approach. RESULTS: Forty-seven participants (31 men and 16 women) participated in the FGDs. Across communities and age-groups, most participants mentioned that peer-led HIVST would be generally acceptable to people in the fishing community but people will need support in performing the test due to fear of performing the test wrongly or failing to cope with HIV-positive results. Most participants felt that peer-led HIVST would bring HIV testing services closer to the community "because [the peer-leader] could be my immediate neighbour", making it easier for people to obtain the kits at any time of their convenience. To improve linkage to HIV care, participants felt that the use of peer-leaders to deliver the initial ART dose to self-tested HIV-positive individuals would be more preferable to the use of community-based ART groups or home-based ART initiation. CONCLUSION: Our study shows that peer-led HIVST is potentially acceptable in the fishing community. These findings suggest that this approach can improve uptake of HIV testing and linkage to HIV care services among populations that are usually missed through conventional HIV testing services.

Comparing importance and confidence for production and source attributes of seafood among residents and tourists in South Carolina and Florida coastal communities.

The call for environmentally sustainable seafood consumption is growing. Seafood-related behavior is often an outcome of assessing attributes of the product (e.g., taste, freshness, source). To shift consumer (i.e., tourists and residents) preferences toward environmentally sustainable products, many coastal communities of the United States (U.S.) promote production (i.e., Wild-caught, Environmentally sustainable) and source (i.e., Harvested locally, Safe from pollutants) attributes of local seafood. Even if consumers believe these production and source attributes are important, they may lack confidence in their ability to distinguish them when purchasing seafood. Expansion of sustainable coastal mariculture is recommended for food security and enhancing economic resilience of local commercial fisheries, but this newer production attribute (i.e., Farmed in marine waters) adds more complexity to consumer decision-making. Research examining the difference between importance and confidence for seafood attributes is limited. This study surveyed tourists and residents in South Carolina and Florida (U.S.) coastal communities where varying levels of tourism and commercial seafood harvest, including marine farming of shellfish, were occurring. The research measured these consumers' level of importance and confidence for production and source attributes when purchasing seafood in the coastal community. Residents rated importance and confidence higher than tourists for some attributes, but there was no difference between states for tourist or resident subgroups. Both tourists and residents rated confidence lower than importance for all attributes. An Importance-Confidence Analysis (ICA), adapted from Importance-Performance Analysis (IPA), identified attributes needing enhanced marketing and consumer education. The ICA indicated that Environmentally sustainable and Safe from pollutants were high priorities for improving confidence. The low priority rating for Farmed in marine waters was deemed misleading because improved outreach for this attribute could reduce barriers to acceptance and improve recognition.

Economic well-being induced Women's empowerment: Evidence from coastal fishing communities of Bangladesh.

Women's empowerment is an important policy agenda that is critical for developing countries like Bangladesh to achieve sustainable development goals (SDGs). The prime objective of this paper was to examine whether community savings groups can truly improve the economic conditions of women which turns into women's empowerment in fishing communities or not. The propensity score matching (PSM) and logistic regression technique were incorporated, and required data were collected from Community Savings Groups (CSG) interventions and non-CSG villages of coastal Bangladesh. Quantitative data were collected from 615 women comprising 306 CSG participants (treatment group) and 309 non-participants (control group). The results affirm CSG group members were economically more solvent and less dependent on borrowed money than non-CSG group members. Improved economic indicators (savings, income and expenditure) of CSG households make the foundation of attaining women's empowerment for the intervened group. The findings revealed that CSG women performed better in various dimensions of leadership capacity than non-CSG women. Econometric analysis confirmed positive impacts of CSG interventions on savings, gross household income, earning from catching fish, alternative income-generating activities (AIGAs), expenditure, and women's empowerment. The initiatives of CSG not only generate economic well-being but also contribute to women's empowerment. Financial access, improved literacy and an enabling environment for the productive engagement of women reduce gender inequality in fishing communities. To sustain the benefits of CSG, establishing institutional linkages (advisory and financial), legality/registration of CSGs from the government authority, and facilitation of alternative IGAs are crucial.

Association of sunlight exposure with visual impairment in an Indian fishing community.

Purpose: Indian fishermen belong to a marginalized population and are continuously exposed to extreme occupational hazards and sunlight. A high prevalence of visual impairment (VI) is reported in the coastal fishing community. We aimed to investigate the association between VI and sunlight exposure measurement (SEM). Methods: In this cross-sectional observational study, 270 eyes of 135 participants were enrolled from a coastal fishing village. Participants underwent a comprehensive ophthalmic examination, which included best-corrected visual acuity (BCVA), and anterior and posterior segment examination. Ocular Surface Disease Index (OSDI) and SEM questionnaire were administered to estimate the level of dry eye and ultraviolet-B (UV-B) exposure, respectively. VI was defined as presenting visual acuity worse than 6/12 (logarithm of the minimum angle of resolution [logMAR] > 0.3). Results: The mean age and spherical equivalent were 50.56 ± 11.72 years (range: 18-80 years) and 0.36 ± 1.68 diopters (D) (range: -7.0 to +3.0 D), respectively. Age, SEM, OSDI, fishing as an occupation, and cataract were significantly associated with higher odds of VI in univariate analysis. Refraction, gender, education level, smoking status, amblyopia, systematic, and other ocular diseases were not significantly associated with VI. In the multivariate analysis, age, SEM, and presence of cataract remained significantly associated with a higher risk for VI. The area under the receiver operating characteristic curve values for age and SEM scores demonstrate a fair index of discrimination for the detection of VI. Conclusion: SEM level is directly associated with a higher risk of VI among fishermen. The fishing community might benefit from regular eye examinations and awareness about the harmful effects of sunlight exposure and preventive measures.

The processing, preparation, and cooking practices of small fish among poor Ghanaian households: An exploratory qualitative study.

Small fish are an important part of the diet in Ghana, but malnutrition rates remain high. The nutritional quality of fish consumed in Ghana may be affected by food processing and cooking practices, but the extent to which these processes are practiced among poor Ghanaian households along the coastal belt is unknown. This study explored how poor Ghanaian households process, prepare, and cook meals containing small fish. This exploratory qualitative study used Attride-Stirling thematic network analysis. Respondents were purposively sampled from fishing communities in the coastal regions of Ghana. One-on-one interviews were performed by trained field assistants, audio recorded and videotaped, and transcribed for further data analysis. The most common small fish species identified were anchovies and herrings. Anchovies were fried and eaten whole. Herrings were eaten either smoked or fresh; for fresh herring, the head, fins, and viscera were removed before boiling. Herrings were smoked with the head and viscera; however, both the head and viscera were removed before being added to boiling soup and were not consumed. Anchovies were fried for 10 min, and herrings were boiled for 15-30 min. Processing methods and further meal preparation depend on the small fish species. Nutrient composition and contribution of small fish depend on the processing method, preparation method, and what tissues are eaten. Thus, these results will be of importance for sampling schemes for food composition tables and for the calculation of nutrient intake from small fish. Supplementary Information: The online version contains supplementary material available at 10.1007/s40152-023-00300-w.

Solid waste assessment in a coastal fishing community in Peru.

Peru has a large small-scale fishing fleet upon which many coastal communities depend for their food and livelihoods. Nonetheless, no thorough assessments have been conducted of solid waste production and management of small-scale fisheries (SSF) and associated communities. We aimed to assess gillnet SSF and household solid waste generation in San Jose, north Peru. A solid waste generation assessment was conducted by monitoring solid waste production during 22 fishing trips and interviewing 70 families. Daily waste generation and recycling per capita, were calculated applying separate Generalized Linear Mixed-Effect Models. Organic waste is the most frequently produced during fishing activities (38%) and at home (83%), followed by plastic and metal. Glass, paper/cardboard, and fishing nets were solely produced during fishing trips. Daily waste per capita was estimated on 0.14 kg∗(day)-1 onboard, and 0.33 kg∗(day)-1 at home. Additionally, perception interviews showed that the population of San Jose perceived solid waste as a threat to public health and marine ecosystems. This study provides a first attempt to assess solid waste production in a Peruvian fishing community, showing the need for an integrated management plan embracing vessel and land-based solid waste generation.

Perspectives and Practices on Water, Sanitation, and Hygiene from a Fishing Community along Lake Malombe, Southern Malawi.

People living in fishing communities have a high burden of preventable water, sanitation, and hygiene (WASH) related diseases but have often been neglected in research and policy. We explored practices and perspectives on WASH among fishing villages around Lake Malombe, Malawi. We employed a mixed methods design, and data were initially collected through participant observations (five weeks), followed by a second phase of qualitative interviews (n = 16), focus group discussions (n = 7), and quantitative surveys (n = 242). We observed that safe water sources were scarce; latrines were basic; and handwashing facilities were limited. Seventy-one percent (n = 174) of households collected water from unsafe sources (open wells and the lake). Eighty-six percent (n = 207) of households had basic short-term latrines. Twenty-four percent (n = 59) of households had handwashing facilities with soap. Qualitative data supported these observations and identified additional factors which compounded poor WASH practices including, a high transient population associated with the fishing trade, poor infrastructure design and construction which lacked consideration of the environmental factors, context and social and cultural norms. As such, fishing communities are underserved and marginalised with constrained access to WASH services, which must be addressed through behaviour-centered and context appropriate solutions.

Barriers and Facilitators of Family Planning Use in Fishing Communities of Lake Victoria in Uganda.

Introduction: Family planning (FP) is a key element in the conduct of research and is essential in managing family sizes. Although fishing communities (FCs) are targeted populations for HIV prevention research, their FP practices are poorly understood. We explored barriers and facilitators of FP use in FCs of Lake Victoria in Uganda. Methods: We employed a mixed-methods approach comprising a cross-sectional survey, in-depth interviews, and focus group discussions in 2 FCs. Multivariable logistic regression was used to analyze quantitative data and a thematic approach to generate themes from the qualitative data. Results: Up to 1410 individuals participated in the survey and 47 in the qualitative study. Just over a third (35.6%) used FP. The most commonly used methods were condoms, pills, and injectables. In Kigungu community, participants whose religion was Anglican and Muslim were more likely to use FP than Catholics (adjusted odds ratio [aOR] 1.45; 95% CI 1.05-1.99 and aOR 1.45; 95% CI 1.05-2.07, respectively). Participants were more likely to use FP if they had satisfactory FP knowledge compared to those with no satisfactory FP knowledge (aOR 1.79; 95% CI 1.23-2.61), or if they were married compared to their single counterparts (aOR 1.84; 95% CI 1.32-2.57). In both communities, participants were more likely to use FP if they had 2 or more sexual partners in the past 12 months than those with less than 2 sexual partners (aOR 1.41 95% CI 1.07-1.87 and aOR 2.60; 95% CI 1.36-4.97). Excessive bleeding and delayed fecundity; fertility desire; gender preferences of children; method stock outs and lack of FP trained personnel constituted barriers to FP use. There were also cultural influences in favor of large families. Conclusion: FP use in FCs is suboptimal. Barriers of FP use were mainly biomedical, religious, social, and cultural, which underscores a need for FP education and strengthening of FP service provision in FCs.

Local drivers of declining shark fisheries in India.

This study evaluates local-scale drivers of shark harvests in India, one of the world's largest shark fishing nations. Focusing on key harbours in the states of Gujarat and Maharashtra, which together contribute 54% of India's shark harvest, this study uses a semi-structured survey to examine the practices of shark fishers and traders, their knowledge of shark trade and policy, and perceptions of shark declines. Findings indicate that a domestic market for shark meat is presently the main local driver for harvests rather than the global trade in shark fins. Sharks are mostly non-target catch, landed whole, contributing to the protein needs of coastal communities. Consumer demand is the greatest for small-bodied and juvenile sharks. Perceived steep declines in shark numbers and sizes have had economic impacts on fishers and traders. The unregulated domestic market for shark meat is a key challenge requiring nuanced local approaches that diverge from global shark conservation priorities.

Screening for Elevated Blood Lead Levels and Related Risk Factors among Thai Children Residing in a Fishing Community.

The present study explored environmental and behavioral factors associated with elevated blood lead (Pb) levels in 311 children (151 girls and 160 boys), aged 3-7 years, who lived in a coastal fishing community of the Pakpoon Municipality, Nakhon Si Thammarat, Thailand. The geometric mean for blood Pb was 2.81 µg/dL, ranging between 0.03 and 26.40 µg/dL. The percentage of high blood Pb levels, defined as blood Pb ≥ 5 µg/dL, was 10.0% in boys and 13.9% in girls. Parental occupation in producing fishing nets with lead weights was associated with a marked increase in the prevalence odds ratio (POR) for high blood Pb (POR 17.54, 95%; CI: 7.093, 43.390; p < 0.001), while milk consumption was associated with 61% reduction in the POR for high blood Pb (POR 0.393, 95%; CI: 0.166, 0.931; p = 0.034). High blood Pb was associated with an increased risk for abnormal growth (POR 2.042, 95%; CI: 0.999, 4.174; p = 0.050). In contrast, milk consumption was associated with a 43% reduction in POR for abnormal growth (POR 0.573, 95%; CI: 0.337, 0.976; p = 0.040). After adjustment for age, the mean (standard error of mean, SE) values for blood Pb were 6.22 (0.50) µg/dL in boys and 6.72 (0.49) µg/dL in girls of parents with an occupation in making fishing nets with lead weights. These mean blood Pb values were respectively 2.3 and 2.5 times higher than similarly aged boys and girls of parents with other occupations. These data are essential for setting surveillance and programmes to prevent toxic Pb exposure, especially in children of coastal fishing communities in southern Thailand.

Utilization of safe male circumcision among adult men in a fishing community in rural Uganda.

BACKGROUND: In Uganda, most-at-riskpopulations(MARPs) such as fishing communities remain vulnerable to preventable HIV acquisition. Safe Male Circumcision (SMC) has been incorporated into Uganda's HIV prevention strategies. This study aimed at determining SMC utilization and associated factors among adult men in a rural fishing community in Uganda. METHODS: A cross-sectional study was conducted in a rural fishing village in central Uganda. Stratified random sampling of 369 fishermen aged 18-54 yearswas used according to their occupational category; fish monger, boat crew and general merchandise. The dependent variable wasutilization of SMC.A forward fitting multivariable logistic regression model was fitted with variables significant at p≤0.05 controlling for confounding and effect modification. RESULTS: Respondents'mean(SD) age was 30.0(9.3) years. Only8.4%hadSMC and among non-circumcised men, 84.9% had adequate knowledge of SMC benefits while 79.3% did not know were SMC services were offered. Peer support(AOR0.17;95%-CI0.05-0.60) and perceived procedural safety (AOR6.8;95%CI2.16-21.17) were independently associated with SMC utilization. CONCLUSION: In this rural fishing community, SMC utilization was low. These findings underscore the need to inform HIV preventionstrategies inthecontextof peer support and perceptionsheld by rural dwelling men.

Lacking in abundance: undernutrition in a Peri-urban fishing community in Coastal Ghana.

BACKGROUND: Malnutrition is a major problem in the world, especially in developing countries such as Ghana. Malnutrition is directly and indirectly responsible for over a million deaths in under-fives worldwide. In spite of the abundance of protein from fish and other staples in fishing communities, they are not spared of the problem of undernutrition. The study sought to assess the prevalence undernutrition among children under-five years in a fishing community in Ghana. METHODS: We conducted a community-based cross-sectional study in Ekumfi Narkwa. We assessed the nutritional status of 250 children aged 6-59 months using anthropometric methods. A structured questionnaire was also used to gather socio-demographic data on the children. We generated nutritional indices with Microsoft Excel 2010 and WHO Anthro software version 3.2.2. We generate frequencies and percentages and ran a simple logistic regression to determine factors associated with malnutrition using STATA software version 13. RESULTS: About 80%(198/250) of the children were reported to have consumed fish products more than three times in the past week whiles 85%(214/250) consumed staples more than three times in the past week. More than one-quarter (26.4%) of the children were under-nourished. The prevalence of stunting, wasting and underweight were 17.6% (44/250), 4.4% (11/250) and 12% (30/250) respectively. Age of caregiver was found to be associated with a child being underweight. The age group of the caregiver was found to be associated with undernutrition (OR:1.53; 95%CI:1.07-219). CONCLUSIONS: These findings suggest a high prevalence of under-five undernutrition in the fishing community in spite of the abundance of fish and its presence in their diet. Malnutrition interventions should therefore be extended to these communities. These interventions in fishing communities need to be tailored towards caregiver utilization of fish and other food sources available in order to improve nutrition of the children.

Perceptions of a fishing community about benefits, environmental impacts and use of resources of isla cerralvo, a protected island in the Gulf of California, Mexico / Percepciones de una comunidad pesquera acerca de beneficios, impactos ambientales y uso de recursos en Isla Cerralvo, área protegida del Golfo de California, México / Percepções de uma comunidade pesqueira sobre beneficios, impactos ambientais e uso de recursos na ilha cerralvo, área protegida do Golfo de California, México

Perceptions about protected areas by local communities have a direct effect on their attitudes and can influence collective strategies of resource use. This study examines the knowledge of La Ventana fishing community about the protection status, perceived benefits and environmental impacts of Isla Cerralvo, a protected island in the Gulf of California, Mexico. It focuses on the reasons for hunting feral goats and reactions toward the hunting management policy, and evaluates the relationship between these concerns and the community’s demographic and socio-economic variables. Data were collected through a questionnaire survey. The findings indicate that a substantial number of inhabitants do not know that the island had a protected status; therefore, reinforcement of environmental education programs is needed and alternatives are proposed. Perceived economic and non-economic benefits for the island were influenced by gender, and they can be used to encourage the local fishing community to support conservation. The main perceived environmental impact on Isla Cerralvo was the presence of garbage, and this was influenced by gender, age, and education level. A new management scheme about feral goat hunting is needed since the main use of goat meat was family consumption; inhabitants with low income actively hunted goats more frequently than those with higher incomes, reflecting a subsistence economy; and most inhabitants believe that goat hunting should be allowed.

La percepción hacia las áreas protegidas de las comunidades locales afecta directamente sus actitudes y puede influenciar las estrategias colectivas del uso de los recursos. Este estudio evalúa el conocimiento de la comunidad pesquera local de La Ventana respecto al estatus de protección, beneficios e impactos ambientales percibidos de la Isla Cerralvo, área protegida del Golfo de California, México; las razones para cazar cabras ferales; y la opinión respecto a las políticas de manejo de esta práctica. La relación entre dichas percepciones y algunas variables demográficas y socio-económicas de la comunidad fue evaluada. Los datos fueron obtenidos a través de entrevistas aplicadas a los residentes de la comunidad. Los resultados indican que gran número de habitantes desconocen el estatus de protección de la isla, evidenciando la necesidad de reforzar los programas de educación ambiental, por lo que se proponen alternativas. Los beneficios económicos y no económicos percibidos variaron según el género y pueden ser usados para motivar a la comunidad a apoyar la conservación de la isla. El principal impacto ambiental percibido en la isla fue la presencia de basura, siendo esta percepción influida por género, edad y nivel educativo. Un nuevo esquema de manejo de cacería de cabras es necesario, considerando que el principal uso de la carne de cabra fue el consumo familiar; los habitantes con bajos ingresos activamente cazan cabras más frecuentemente que aquellos con un mayor ingreso, lo cual refleja una necesidad económica; y la mayoría opina que la cacería de cabras debería ser permitida.

A percepção para as áreas protegidas das comunidades locais afeta diretamente suas atitudes e pode influenciar as estratégias coletivas do uso dos recursos. Este estudo avalia o conhecimento da comunidade pesqueira local de "La Ventana" em relação ao status de proteção, benefícios e impactos ambientais percebidos da Ilha Cerralvo, área protegida do Golfo de Califórnia, México; as razões para caçar cabras (Capra hircus); e a opinião em relação às políticas de manipulação desta prática. A relação entre ditas percepções e algumas variáveis demográficas e socioeconômicas da comunidade foi avaliada. Os dados foram obtidos a través de entrevistas aplicadas aos residentes da comunidade. Os resultados indicam que grande número de habitantes desconhece o status de proteção da ilha, evidenciando a necessidade de reforçar os programas de educação ambiental, pelo que se propõem alternativas. Os benefícios econômicos e não econômicos percebidos variaram segundo o gênero e podem ser usados para motivar a comunidade a apoiar a conservação da ilha. O principal impacto ambiental percebido na ilha foi a presença de lixo, sendo esta percepção influída por gênero, idade e nível educativo. Um novo esquema de manejo de caçaria de cabras é necessário, considerando que o principal uso da carne de cabra foi o consumo familiar; os habitantes com baixos ingressos ativamente caçam cabras mais frequentemente que aqueles com um maior ingresso, o qual reflete uma necessidade econômica; e a maioria opina que a caçaria de cabras deveria ser permitida.