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This paper was presented at the Association for Education in Journalism and Mass Communication in San Antonio, Texas August 2005. If you have questions about this paper, please contact the author directly. If you have questions about the archives, email rakyat [ at ] eparker.org. For an explanation of the subject line, send email to [log in to unmask] with just the four words, "get help info aejmc," in the body (drop the "").
(Feb 2006) Thank you. Elliott Parker ====================================================================
Perceptions of Seafood/Fish Safety and Media Effects in China
Lan Ni Doctoral Student 2130 Skinner Building Department of Communication University of Maryland Phone: 301-405-6533 Email: [log in to unmask]
Paper submitted for consideration to the Leslie J. Moeller Award Competition in the Mass Communication Division of the Association for Education in Journalism and Mass Communication April 1, 2005
Abstract Using qualitative interviewing, this study examined how people in China perceive the safety of seafood and fish and how the media play a role in the communication of such risk. Consistent with the western risk literature, the findings basically confirmed the importance of personal relevance in risk perception and the necessity of multiple level efforts or a "holistic approach" in risk reduction. The unique finding about risk information overload demands further research on risk prioritization.
0 Perceptions of Seafood/Fish Safety Perceptions of Seafood/Fish Safety and Media Effects in China Introduction Risk communication is becoming an increasingly important area within the discipline of communication. An average person faces a variety of risks everyday, either from the food they eat, natural disasters, or from their working environment. Increasingly, the risks facing people are no longer confined to a certain country, region, or even continent. More risks are beginning to have a global characteristic. Dr. David Heymann, the head of the World Health Organization's communicable diseases program, pointed out the wide range of influences from the SARS epidemic (PBS Online Newshour, March, 2003). Kaufman (2004) also commented that during the epidemic, local events in China can have global impact. Therefore, it is necessary to examine how risks are perceived, communicated, and managed in the global environment. Recently in the U. S., the safety of fish has become a controversial issue. Given both nutritional and social benefits from fish (Burger, Gochfeld, et al., 2001, Burger, McDermott, et al., 2003), the consumption of fish has also received scrutiny. Lyman (2003, April 4) mentioned that while doctors recommend eating fish in general, some fish may be tainted with mercury and is not advised for pregnant women. One important method for the government agencies to warn against eating certain kind of fish is the issuance of fish advisory. For example, the joint consumer advisory on methylmercury in fish and shellfish gave three recommendations for the group of high risk people (United States Food and Drug Administration & United States Environmental Protection Agency, 2004). A specific research topic in this field is the conflicting information in the media about such advisory and the influence of such information on people's behaviors. Paturel (2004) reported such conflicting information about mercury in fish and its influence on pregnant women. The report finally suggested "variety and moderation." Although the safety of fish should also be a concern beyond the U.S., people outside the U.S. may not perceive the risk of eating fish in the same way. Different media systems around the world may also contribute to a completely different picture. In China, the consumption of fish has experienced dramatic change. According to a 2002 population study of health and wellness in China, the average consumption of fish and shrimp per day has increased from 11 grams in 1992 to 27.5 grams in 2002 (FFA, March, 2005). In 2004, the price of regular fish experienced an increase. According to Chinese Fishery News (2005), this has a lot to do with the growing awareness of the nutritional value of fish. In addition, the bird flu also caused many people to switch consumption from livestock such as chicken and pork to fish and seafood (China Fishery Information Net, July, 2004). Such increase in the consumption of fish and seafood brings about concerns with the safety of such food. In addition, the media system in China is still highly controlled by the government. It has been officially emphasized that the media should be "the throat and tongue of the Party" and thus will be managed by the state with no investment from foreign or private capital (China News Net, January, 2001). The vice director of Zhuhai TV station, Guo Ling advocated for "upholding the principle of Party-controlled media and strengthening the ability of directing public opinion" (February, 2005). Following such a principle, she suggested keeping the majority of the news reports in a positive light while criticizing and monitoring negative social phenomena. These general guidelines for the media definitely have consequences on how people perceive media messages. Therefore, the purpose of this paper is to examine how people in another culture (China in this case) perceive the safety of seafood and fish and how the media play a role in the communication of this type of risk. Literature Review Given the purpose of this study, the literature review involves the following: concerns about fish consumption, risk perception and evaluation, role of communication via media and interpersonal channels, and risk reduction. Concerns about Fish Consumption The risk tradeoff dilemma of eating fish has been a hot topic in risk communication in the U. S. (e.g., Anderson & Wiener, 1995). According to Burger, Gochfeld, et al. (2001) and Burger, McDermott, et al. (2003), fish has many benefits, both nutritional and social. Fish and fishing have many social benefits such as providing an enjoyable activity and recreation or an important source of income. On the other hand, eating fish also has great health benefits. Anderson and Wiener (1995) identified two distinct health effects for reducing coronary heart disease (CHD): the indirect effect on reducing the intake of fat and saturated fatty acids by substituting fish for other fatty sources of protein and the direct effect of reducing CHD through fish oils (Anderson & Wiener, 1995, Kimbrough, 1991). However, people also get conflicting recommendations regarding fish when the fish is contaminated with carcinogenic pollutants. Specifically, Anderson and Wiener (1995) identified three kinds of risks linked with the consumption of both seafood and freshwater fish. These are: a) the naturally occurring toxins and microbes; b) microbial contamination related to pollution and improper handling between the time of harvest and sale to the consumer; and c) contamination with environmental chemical pollutants. In China, seafood and fish are also consumed frequently. This trend is even more apparent after the bird flu epidemic. However, it is not clear whether consuming fish and seafood also constitutes risks or what kinds of risks are recognized. Therefore, it is interesting to examine whether similar concerns about fish safety are involved in both the U.S. and China and how people think of these risks. The first research question is suggested. RQ1: What constitutes the risks in the seafood/fish consumption in China? Risk Perception and Evaluation Risk perception. Covello and Peters (2002) analyzed the impact of various sources of information on women's perceptions of the risks of age-related diseases such as breast cancer. They found a variety of psychological and social factors that affect attitudinal or behavioral change. Among them, motivation and attention are especially important. Motivation refers to the "readiness and interest of the receiver to process information" (p. 378). Motivating factors include social approval, safety, security, success, pleasure, and achievement. Motivation need is closely related to beliefs: beliefs about the severity of costs or adverse outcomes, the probability of an adverse outcome, the efficacy of protective actions, and one's sense of personal self-efficacy. On the other hand, attention is the result of the reciprocal interaction between three determinants: external stimuli, behavior, and cognitive factors. Selective attention is influenced by a wide array of factors. For example, people are more likely to attend to salient and cognitively available risk messages; they seldom review all the evidence on a particular issue; and they are often more influenced by a single, salient, colorful case history or human interest story than by medical or scientific information (Chaiken, Liberman, & Eagly, 1989; Petty & Cacioppo, 1986). Slovic (1991) investigated the reasons for the difficulty in informing the public about risk issues. Risk communicators must recognize and overcome a number of obstacles that have their roots in the limitations of scientific risk assessment and the idiosyncrasies of the human mind. Of particular concern to this study is the second category. The limitations of public understanding include the following. People's perceptions of risk are sometimes inaccurate. First, risk judgments are influenced by the memorability of past events and the imaginability of future events. Second, risk information may frighten and frustrate the public. Sometimes the mere mention of possible adverse consequences of some product or activity can enhance people's perceptions of the likelihood of occurrences. People try to reduce the anxiety generated by uncertainty by denying that uncertainty, thus making the risk seem either so small that it can safely be ignored or so large that it clearly should be avoided. Third, strong beliefs are hard to modify even in the face of contrary evidence. Fourth, naïve views are easily manipulated by presentation format. Sparks and Shepherd (1994) found three major dimensions in the publics' perceptions of the "risk characteristics" of potential hazards associated with various aspects of food production and food consumption: "severity," "unknown," and "number of people exposed." Risk information seeking and processing. Griffin, Dunwoody, and Neuwirth (1999) developed a model of risk information seeking and processing. They wanted to look at predictors of the strategies people use to process health risk information. Based on Chaiken's (1980) model of heuristic and systematic processing, their model includes eight factors: individual characteristics (experience with risk, demographics, political philosophy), perceived hazard characteristics (perceived likelihood of coming to harm), affective response to risk (worry), perceived social pressures to be informed about risk (as informational subjective norms), perceived amount of information needed (as information sufficiency), beliefs about the usefulness and legitimacy of various media channels, perceived information gathering capacity, and information seeking and processing strategies. Risk evaluation. Covello, Sandman, and Slovic (1991) identified factors important to risk perception and evaluation. These include the catastrophic potential, familiarity with the risk, understanding of the mechanism of risk, uncertainty of the risk, personal controllability, voluntariness of exposure to the risk, effects on children, manifestation of effects on future generations, identification of victim, dreadfulness of the effects, trust in institutions, media attention, accident history, equity in the distribution of risks and benefits, benefits, reversibility of consequences, personal stake, origin of the risks (whether it's caused by human action or acts of nature). This list of factors includes both the objective risk levels and more subjective social elements. Covello and Peters (2002) emphasized factors other than objective statistics in the decisions about health risk. These and the set of 15 factors identified in Covello, Peters, Wojtecki, and Hyde (2001) all overlap with the ones in Covello, Sandman, and Slovic (1991). Among them, dread, understanding, and control are the leading determinants to perceived risks and trust and credibility of source are among the most important. It is thus clear from this set of factors that risk and risk acceptability should be distinguished. As Covello, Sandman and Slovic (1991) pointed out, the level of risk is only one variable that determines acceptability of the risk. Other factors such as fairness, benefits, alternatives, control, and voluntariness will also play an important role. Different people weight the various factors according to their own values, sense of risk, and stakes in the outcome. This made the risk acceptability eventually a value question rather than a technical question. Given the extensive research on the perceptions of risks, it is worthwhile to examine whether the same factors influenced the risk perceptions in China and how they affect the risk acceptability. What factors play a more important role than the others? Therefore, I propose the second research question. RQ2: What factors influence the perception of seafood/fish risks in China? Role of Communication Covello, von Winterfeldt, and Slovic (1986) defined risk communication as "any purposeful exchange of information about health or environmental risks between interested parties" (p. 172). It is "the act of conveying or transmitting information between parties about (a) levels of health or environmental risks; (b) the significance or meaning of health or environmental risks; or (c) decisions, actions, or policies aimed at managing or controlling health or environmental risks" (p. 172). Covello, von Winterfeldt, and Slovic included as interested parties as "government agencies, corporations and industry groups, unions, the media, scientists, professional organizations, public interest groups, and individual citizens" (p. 172). Different channels. Risk communication involves different channels. Media are certainly an important source of information. Lichtenberg and MacLean (1991) pointed out the interest in mass media because "the media constitute the source of much of the public's information about risks and technologies" (p. 158). Messages from experts and industry representatives are mediated by mass media before reaching the publics. In fact, the media are indicated to be the major source of information for people about health issues (McCallum, Hammond, & Covello, 1991). However, Covello and Peters (2002) found problems in media reporting. The inadequacies and deficiencies in media reporting include selective and biased reporting, oversimplifications, distortions, and failure to provide important background information. In particular, their study on women's perceptions of disease risks found that information placing risks in context is seldom provided. Another key problem in risk communication through media is conflicting information, which may lead to various consequences. Cozzens and Contractor (1987) examined one such consequence, media skepticism. They found that the exposure to nonmediated information that conflicts with mediated information would increase media skepticism. Lichtenberg and MacLean (1991) examined the relationship between media coverage and public opinion as well as the relationship between media and reality. In response to Kepplinger and Mathes' (1987) conclusion that the media do not convey an accurate picture of reality and that "this new portrayal of reality by the media leads to a fundamental change in the publics' views" (p. 16), Lichtenberg and MacLean argued the contrary with regards to both the media content and media effects. In terms of the relationship between media coverage and public opinion, Lichtenberg and MacLean (1991) thought that media do not necessarily change public opinion. As argued by Mazur (1981), as media coverage of a controversy increases, public opposition to it also increases, regardless of whether the coverage is predominantly negative or not. Lichtenberg and MacLean (1991) also examined the relationship between media coverage and "reality." They basically argued that reality cannot be "objectively" portrayed because large chunks of the reality would have to be left out. People are only interested in the new, unusual, changing, and things likely to affect us in ways we need to know about. On the other hand, Covello and Peters (2002) found the importance of social relationships. Women like to discuss in peers, who are thought to be more salient and believable than third parties. This is consistent with the literature on innovation diffusion (Rogers, 1990). The above conceptualization is helpful in providing the focus of examining the risk communication process in China. Therefore, I propose the following research questions. RQ3: What are the major types of media people rely on concerning seafood/fish safety in China? RQ4a: How do people make meaning out of framed media messages about seafood/fish risks in China? RQ4b: What are the effects of media messages on people regarding seafood/fish risks in China? Risk Reduction Renn and Levine (1991) discussed various objectives of risk communication. In the case of fish consumption, the objective of risk reduction seems to be particularly relevant and thus is the focus of this paper. Use and effectiveness of fish advisories. In the U.S., in order to reduce the risk of eating fish, different government agencies have taken the precautionary measures to warn people of the potential risks in fish consumption. Therefore, both FDA and EPA have issued fish consumption advisories (United States Food and Drug Administration & United States Environmental Protection Agency, 2004). Fish advisories seem to be a good risk reduction strategy. However, in the U. S., the compliance rate is low (Burger, Gochfeld, et al., 2001, Burger, McDermott, et al., 2003). This has a lot to do with how people perceive risks and the underlying reasons for fishing. Jardine (2003) identified the factors contributing to compliance, which include: awareness and knowledge of advisories, type and level of information conveyed, and trust in the agency responsible for issuing the advisory. Additional reasons for low compliance (Burger, Gochfeld, et al., 2001) include: conflicting advisories issued by different agencies, controversies involving health benefits versus the risks from consuming fish, and the unwillingness to act on the advisories because of personal beliefs. Therefore, addressing the different needs of people seems critical for changing their consumption patterns. Many researchers suggested solutions. For example, Jardine (2003) argued that interactive, meaningful communication and the opportunity to participate in the process of developing advisories are the keys. Public participation provides social and cultural information to the process. It also increases public involvement and compliance (Jardine, 2000, p. 462). Public participation process needs to consider consumer objectives and desires in addition to the objectives of the issuing agency. Two levels of efforts. Given the health benefits of fish, eating less fish in order to reduce the risks of getting cancer does not appear a wise solution. Rather, many researchers suggested solutions at different levels. Anderson and Wiener (1995) proposed both reducing the levels of pollution in fish and educating consumers to substitute fish with low levels of pollutants for those with high levels of pollutants. At the individual level, Anderson and Wiener (1995) also suggested that the potential magnitude of the risks of eating fish is governed by the severity of the hazard and the consumers' ability to reduce or eliminate the hazard. In particular, they suggested the following ways to reduce the hazard from all three sources. First, microbial contamination can be reduced by proper cooking of the store-bought fish; and the risk from improper handling is smaller for anglers who eat fish soon after harvest. Second, even though the hazard associated with naturally occurring toxins may be beyond the consumers' control, such hazard can be reduced through education and harvest restrictions. This is because species with naturally occurring toxins tend to be localized both in time and space, and tend to be recognized easily by the public. For the third source of hazard, contamination with environmental pollutants, people can reduce the risk by avoiding certain species of fish and not eating selected portions of a fish. More importantly, macro level efforts are needed. Jardine (2003) mentioned the "holistic" approach to resource management. The need for fish advisories is just one component within the broader issue of the overall changes to the environment. Participants in his study felt that the problems could not be separated from fish consumption, fish conservation, wildlife conservation, forest management, and water quality. They felt that the government should adopt a more "holistic" approach to the management of activities affecting natural resources. The primary concern in Jardine's (2003) study was that the government should engage in restoring the river environment where it would not be necessary to issue advisories. The focus on remedial actions such as advisories should not absolve government and industry from the more basic problem of mitigating environmental damages (Jardine, p. 467). In other words, people want to see the underlying cause of the advisory controlled or even eliminated, rather than just putting an advisory in place. The above suggested the risk reduction methods at different levels and my final research question deals with the case in China. RQ5: How do people in China think of different risk reduction methods in terms of seafood/fish consumption? Summary of Research Questions RQ1: What constitutes the risks in the seafood/fish consumption in China? RQ2: What factors influence the perception of seafood/fish risks in China? RQ3: What are the major types of media people rely on concerning seafood/fish safety in China? RQ4a: How do people make meaning out of framed media messages about seafood/fish risks in China? RQ4b: What are the effects of media messages on people regarding seafood/fish risks in China? RQ5: How do people in China think of different risk reduction methods in terms of seafood/fish consumption? Methods This study used qualitative interviews as the major method. This method is appropriate because it aims to explore how people make meaning of the safety issues related to the consumption of seafood/fish and needs to tap into how they themselves experience the issues. Sampling of Participants The selection of participants was based on convenience. I used personal contacts and asked people to suggest others who might be interested in taking my interviews. In all, I conducted six interviews with women in China. All interviewees are females because women tend to be the major care-takers and food providers in the family, so they may have more comprehensive understanding of issues such as fish safety. Procedures Because the researcher is currently residing outside China, all interviews were done through the telephone and each lasted between 40 minutes to one hour. These interviews were audio-recorded for purposes of accuracy in data analysis. Participants were all informed of the interviewers' wish to audiotape and agreed before the interviews began. The interview questions were essentially the same, with a few minor adjustments in the order and wording. The interviews were conducted in Chinese so that the participants did not feel the constraints in language. Sample interview questions look like these: "What comes to your mind when I mention safety, of seafood/fish?" and "Where do you hear or see things about seafood/fish safety?" Data Analysis I transcribed every interview verbatim so as to be more faithful to what the participant said. I mainly followed the way of data analysis proposed by Wolcott (1994), which is "the identification of essential features and the systematic description of interrelationships among them." (p. 12). I used the theoretical framework regarding different perceptions about culture to guide my data analysis. I collected, reduced and organized the data according to my research questions. Results What Constitutes the Risks in the Seafood/fish Consumption in China? Participants' responses regarding this research question can be sorted into the following themes: risks from natural toxins, risks from the market process, and risks from pollution, the limited conception of safety concerns about seafood/fish, safety concerns arising from profit-seeking vendors, and the distinction between eating at home and dining out. Risks from Natural Toxins and Microbes The first category of risk source comes from the natural toxins and microbes. For the participants, seafood in general and one specific type of freshwater fish, the puffer, seem to constitute the major concerns in their consumption. Several participants mentioned puffer immediately after being asked about seafood/fish safety. One gave a detailed account, "…And we had puffer in the dinner at a restaurant. Then the inside of the puffer hasn't been cleaned thoroughly. So then my colleagues had stomachache, and some were in a coma, and we were very scared. So then they had to go through all kinds of things, like gastric lavage, infusion, and disinfection. It hurt very much." Microbes are also found to contribute to the risks of consuming seafood. One person had a personal experience that got her sick, "Once my friends and I went to Yantan, a coastal city famous for seafood…I remember very clearly that some of seafood was not cooked at all, just raw. We also had those drunken shrimps, when you soaked live shrimps into the liquor and by the time you ate the shrimps, they were still alive. And that made me sick, mentally, right at the banquet. I just felt uncomfortable. And then, I remember not immediately but after a while, I began to have diarrhea, pretty serious…From then on, I began to be a little scared of seafood." Risks from the Market Process Another major source of risk identified is from the market process, between the time of harvest to the time when the consumers actually eat such food. One participant said, "Before the food gets to the consumers, there are many stages that might cause safety concerns. For example, transportation, storage, putting on the shelf, and then the consumer purchases it. There is the expiration date, but some consumers do not pay attention to that." Risks from Environmental Pollution Risks from environmental pollution were almost always the first thing that many participants could think of when asked about what they had in mind when talking about the safety of seafood/fish. In particular, several participants mentioned exactly the same local incident regarding pollution and fish even though they were interviewed separately. This showed the salience of such an issue. For example, one said, "I just think of the fish being polluted, yes, that's the most important. For example, here in Nanjing, when you go to lakes such as Xuanwu lake, you sometimes see the dead fish floating on the lake. I know some people take the fish home to eat, but I never dare to do that. Who knows what's in the lake that killed the fish?" Some participants also talked about the source of pollution and made the distinction between seafood and freshwater fish. For example, one said, "We can start from the origin of the fish, whether it's from the sea, or cultivated. If the latter, then the environment is a big concern. Whether the environment has met the standards, whether it's low in lead, and free from mercury. If it's from the sea, then there's also concern. Nowadays, the environmental pollution is at the global level, not national or regional." Limited Conception People generally have a limited conception about the risks from consuming seafood/fish. They do not think of this as a widespread risk or concern. The major reason seems to be the traditional habit of eating seafood and fish in China and the consequent assumptions. Eating fresh fish is one major reason. One said, Normally, if people have diarrhea, they feel it's more likely to be caused by meat, rather than seafood and fish. Because in China, consumers strongly believe in eating only fresh seafood and fish. But meat usually has relatively long storage time. Also, it has become a common practice that for example, if you go to a restaurant and you order a fish meal, then the waiter will show you the live fish and you can choose the freshest one just in front of you. Another interviewee also said very explicitly that she only thought of lobsters and crabs when asked about safety. She said, "lobsters, if they are not clean, there will be some microbes in their lungs. Crabs, if they are dead, will kill the people too. Otherwise, I have not really thought of anything…But fish, well, I have never thought about that." Safety Concerns Arising from Profit-seeking Vendors There are many vivid examples related to this concern, and a typical one is the following, "For example, once I find some dried shrimp, or other things, they looked red. Then you know it's abnormal. Sometimes people want to make money and they used certain chemical to soak such dried stuff. Soaked in such chemical, the dried shrimp looks very pretty, but we cannot eat it. Also, sometimes like eel… you will find they are exceptionally big. You know what, we don't buy. Because sometimes again for money's sake, people will put in endocrine or even contraceptive drugs into the fish feed. Then the eel or shrimp will grow very fast, and grow to be extra big. Then if we eat them, we will become fat and it's harmful." The Distinction between Eating at Home and Dining Out When asked to think about seafood/fish safety, almost all participants mentioned the distinction between dining out and eating at home. One person said, "the examples [of fish consumption concern] from home cooking are very few, because my family pays much attention to selecting and cooking food. But things are different when you dine out. You do not know how those restaurants are cooking the food. So you hear many examples where people go out for dinner during holidays, and then they get diarrhea after that." Another interviewee said confidently that "the shrimps she [her mother] bought herself are always very fresh, jumping up and down. So no problem exists…So what I'm mainly concerned about is when dining out." What Factors Influence the Perception of Seafood/fish Risks in China? Many factors influence risk perceptions. They can be classified into the following themes. Overall Seriousness The overall seriousness of the issue is not rated very high. One major reason is the regional difference. Fish safety concern seems to be localized or regionalized. As one interviewee said, "I personally do not think it's a very serious problem, I mean on a national scale…Maybe in certain regions where the environmental pollution is serious, this kind of problem is big. But in other areas, it's still acceptable. There is definitely regional difference. First of all, food has the seasonal and regional differences. Some regions are famous for certain seafood/fish. Also some regions are heavy industry areas, so they have more pollution." The other thing is related to dosage. One participant reasoned, "some bad food has to reach certain dosage before the toxin is displayed. Also human body has a natural defense mechanism. If you take in a small amount of toxin, the human body can handle it and discharge it." This applies to Chinese people because of the diet tradition. One interviewee said very clearly, "So I feel, since, seafood and fish are not a very big part of our diet, at least for many people I know of…Even some families eat it more frequently, they usually change the kinds they eat, say today they have this kind of fish, and tomorrow it will be some kind of shrimp. So the harm may not be that concentrated." Relevance and Identifiable Victim Almost all participants expressed the similar idea that they will begin to appreciate the seriousness of the issue only if a close friend or family member has been seriously harmed from eating certain kind of seafood or fish. One related example from an interviewee is that she will not pay attention to the risk because "first, I do not live on the coast. So the chance of myself eating this kind of fish is pretty low…well since I do not live on the coast, this does not threaten me directly. So the risk is relatively small, it's not worth my time and energy." Similarly, another interviewee said she is now paying attention and willing to do further research because she is personally involved: I want to do some research on which fish is from deep sea, which is from shallow sea. This is because I feel the fish from deep sea might be safer. But given my current knowledge and distinguishing ability, I still cannot make the distinction. However, these are things that I eat very often, that I cannot avoid. So this kind of risks that I frequently encounter, then I would like to know more about it. Serious Consequences: Life/death, Hidden, Number of People, and Irreversibility The nature of the risks themselves also affects people's perceptions. One major theme is whether it is a life-r-death risk. One interview said, "The things I told you before, those are just some minor symptoms, like diarrhea, not very serious. But this can actually kill people! Of course I'm more nervous about this… So if it's really that serious, to me, if it's life or death, then I would go out of my way to know more about such issues." Another major factor is whether it is hidden risk, as explained by one interview, "But something is more scary, because they may be hidden, you don't even know, or can tell. Those scared me. If I can tell, or taste, then it's fine. But if you do not even know, then what." Other factors include the number of people involved and the irreversibility of the damage. Change in Life Stages: Marriage and Pregnancy Some participants also unanimously mentioned the factor of different life stages and its influence on risk perception. Since all but one of my interviewees are in their late twenties, many of them mentioned pregnancy. For example, one said, "I feel only when I'm expecting a baby. In my pregnancy, from my pregnancy to the time when my baby is, around 3 or 4 years old, I will pay much attention to such issues. I know that the new-born babies are especially vulnerable to the food they eat. I will try my best not to let it be harmed." Getting married also changed some of their perceptions. For example, one said, "when I was little, I seldom ate fish anyway. And then my mother cooked for me at home, so I didn't worry about it very much. But now I'm married, and I need to cook myself, then I tend to pay more attention to such issues." Taking for Granted By taking certain actions such as avoiding, some participants do not feel they are at risks. They are taking things for granted. For example, one said, "I'm a pretty lazy person. [Even if I become a mother or caretaker of the family], when I buy and cook food, I will only choose those ordinary food, like the ones that people have been eating for many many years. Then I will not be concerned about their safety. I will not try those things that few people have eaten before or those that are said to be very nutritious, I will just not try. So I will not worry about them." Not Immediate Concern: Other Things in Life Many participants showed that the perception of risks from consuming seafood and fish is not their priority because they are faced with many other concerns. One said, "It's true that it's important. But I can avoid it. I can temporarily not eat any of such food. Also, in this season, I do not consume a lot of fish or shrimp. At most some fish soup. So at the moment, I don't think this constitutes a big threat to my life. And I will not place it on the top of my list." Another one talked more about other people she knew. "I feel this issue has not received its due attention. Say, the people around me, most of them are concerned about how to make more money, how to buy a bigger house, and how to enjoy life better, or to make sure the life quality after retirement, or to get their children good education or jobs. These are their major concerns, mostly financial concerns." Risk Comparison: Inundation with Other risks, so Cannot Worry Too Much The idea of "cannot worry too much" is echoed by many participants. For example, one commented "Well, the pollution of food is simply too common. For a while, there are all these different reports of food being polluted…well, almost everything you see, a very high percentage of things has been reported." A similar example is this, "And after you've seen these, if you follow all the advisories, then you'd better eat nothing. So in this environment, you kind of feel accustomed to all the reports, and you gradually learn to accept these… well you gradually consider these to be normal. Because the probability of eating polluted food is so high…" Individual Factors: Personal Health Condition Risk perception is also affected by individual factors such as personal health condition. Some participants are more alert to risks like this because their health is not very good. For example, one interview said, I feel I am more concerned with this kind of issues than the average people. I feel this way because sometimes other people would laugh at me. They would say things like, why are you so careful about everything? If you want to eat, just eat it. For example, when we eat some kind of fish from the lake, I will say it tastes strange, maybe there's something wrong about it. [I'm more concerned than others] because one thing is my personal health condition. I'm pretty sensitive to food that's not fresh. I will feel uncomfortable after eating that kind of food. But others may not even feel a thing!" Major Media Concerning Seafood/fish Safety in China? Based on the responses from participants, there are in general three major types of media that serve very different functions: TV, print media, and the internet. TV: Reports of Unethical Practices To some extent, the TV programs serve as a good tool to monitor the market and help the government strengthen regulations. Many participants mentioned this function and acknowledged its usefulness. For example, one said, "Also on TV, nowadays, there are many programs featuring the quality of food. For example, in CCTV, there is this program called Quality Control. It usually shows things like when certain government agencies inspected some vendors or processing companies of food, and if there's any problem, they will take measures to either demand fines or ask the companies to improve their quality condition." Print Media: Mainly to Inform Newspaper and books usually help people gain some knowledge in food safety. For example, one interviewee said, "In the newspaper, they usually tell you how to distinguish between good and bad or rotten food…There is one section called Tips in Life, they will have a list of things, one two three four, I have read those." Another one said, "in the newspaper, like the safety instructions of eating certain kind of food. In addition, from certain books, especially cook books, or recipes. They tell me how to cook healthy, and what to pay attention to." Making Meaning Out of Framed Media Messages in China Such framed media messages usually are considered pretty credible. The most salient theme is that the relative influence of media is more important than credibility. For example, one said, I feel that it's not the problem of credibility, but the issue of influence. For example, CCTV is very authoritarian and influential. So whenever it reports some food safety issues, all levels of government will take actions, such as the health department, the industrial and commercial related departments. They will actually take measures to solve these reported problems. However, if things were reported through some local media, then not many people will pay attention, and its influence will be greatly limited. And the government will also not take immediate actions. Effects of Media Messages on People Regarding Seafood/fish Risks This question elicited many interesting themes. When exposed to an article about a coral fish that contains toxins and kills people, the immediate reactions are fear and nervousness, but the effects afterwards vary. The reactions to general risk media messages can be best explained by what one participant said "half and half." Immediate Effects When presented with an article about certain poisonous coral fish, most people immediately felt fear and expressed the willingness to avoid. For example, one said, "I feel very scary. Then I will try to recall whether I have eaten this kind of fish before. Then among my friends, whether they will have an opportunity to come across this kind of fish. I will think about this. Then if I haven't eaten before, or my friends will not come across it, then I will feel more assured and relieved." The easy response was to avoid. One said, "I don't know whether this is really that serious, as I cannot verify it. But since this is reported, I will try my best not to eat it. Among so many good things, why do I have to eat this and get poisoned?" Half and Half However, such responses only applied to the risks that they can avoid. When asked about hearing other messages related to risks, one participant considered the effects to be "half and half." On the one hand, a lot of the participants expressed the willingness to exercise personal control, but on the other hand, they also felt frustration of things beyond their control. Following Advice and Exercising Personal Control. One typical response is as follows, "Generally, if I see something from the news, I will try to follow it. For example, if I know that certain brand of food is not good, then I will definitely not buy it." The specific methods people use to reduce risks will be discussed in research question five. Doing more research. Media messages also prompted a few participants to do further research about fish risks. For example, one said, "when I see this kind of news, I will probably go online to find out how this kind of coral fish looks like. Since, as you know, I have never heard of this fish before, and I don't know what it looks like. I would very much like to find out to get myself prepared." However, one salient pattern is that such effect is usually indirect: participants usually did not read things about fish risks per se, but they took the individual initiatives after they read something else related to fish risks. For example, one said, So I'm preparing to learn more about this, say, I want to know which types of fish are from the deep sea, and which are from the shallow sea area. My attitude changed mainly because of some news reports in the media. For example, they are not only focusing on seafood, basically they are talking about the environmental pollution around the globe, and some pollution in the shallow sea area. And then I naturally link this to the food I'm eating. I was thinking, the seafood I liked so much, they grow in this environment and may not be very safe. This "naturally linking" process also appeared in the following quote, "Sometimes when I watch programs in economics, I will notice something related to issues such as food safety. Because in those programs, I can often see things related to pollution. But I have never gone to watch things specifically related to this issue." Frustration and Helplessness. However, the other half that the participants usually feel is the sense of frustration. A salient theme is perhaps the so called stupor resulting from too much information about risks. For example, one interviewee recalled, "among us, we sometimes make jokes that since every week, that Quality Control TV program will report one type of food that is either polluted or contains some poisonous elements, every year, we need to cross out 48 kinds of food from our food list. Of course, I have to say, it's not that one kind of food is totally not edible, it's just certain brands within that kind of food will be banned." Another related to the tradeoff between delicious food and risks in the food, "because in China, such things happen all the time. As long as it doesn't kill… many people are willing to give up a little part of their health, but they will never give up the delicious food…The reality is, these kind of reports [about dirty lobsters] are so widespread on the internet, but the lobster sellers still have very good business." As a result, the fatalistic feeling of depending on luck appeared after seeing the media messages. Expressions like "helpless," "you have to eat something," "if I don't eat this, or eat that, then what do I eat?" "things beyond my control," and "then it's just bad luck" appear very frequently in the interviews. One participant said, "For us, the whole process through which the food arrives at us is not controlled by us. I feel we are more passive. Even if we have concerns, we have to eat something eventually…So in fact, we have very little option." Another interviewee expressed similar ideas, "…but sometimes you cannot worry too much…because nowadays, too much fish or other things are polluted. Your choice is usually random. As an individual, you are constrained in your knowledge and ability to distinguish which is polluted and which is not…you have very little option. So to a great extent, I'm usually helpless." Risk Reduction Methods in Seafood/fish Consumption? Most people will take actions to reduce risks arising from consuming seafood and fish. Based on the response from participants, these actions involve different stages from purchase, preparation, cooking, eating, and dining out. In addition, many of the participants expressed the notion that many factors in risk reduction were beyond their control and that the government should play a more active role. Purchase To reduce risks from consuming seafood and fish, many people start from the purchase behavior, as reflected in picking food and vendors. Many mentioned the criteria of "alive" and "jumping up and down" when selecting fish. Secondly, they constantly talked about preferring decent supermarkets over farmers' markets. Preparation Fish or seafood is also cleaned well before cooking to make sure it is safe. For example, one interviewee said, "in preparation, cleaning the internal parts also help to reduce the poisoning elements." Another gave more detailed methods, "when I kill and clean the fish, there is a layer of black membrane, which is poisonous. In addition, there is a vein on the back of the fish, and that is to be removed." Cooking Two major themes appeared in reducing risks through cooking: the principle of high temperature to ensure the food is well-cooked and the use of different cooking methods depending on the degree of freshness of the food. One interview said, "if the fish is fresh, we usually steam it to keep its original taste as well as to conserve its protein. If the fish is on the shelf for a while, we usually braise it in soy sauce…We never eat seafood that's been overnight." Eating The way in which seafood is eaten helps reduce risks too. For example, one interviewee said, "for crabs, we need to eat them while hot. If they get cold, something inside will be bad for our body. Also, we usually have a lot of ginger and vinegar, they prevent you from having diarrhea and make the crabs taste better." Dining out Since dining out poses the biggest risks of eating fish and seafood, many people mentioned methods to reduce such risks, including the choice of place, tasting, chef tasting, and the showing of raw materials. For example, one said, "when I dine out, I need to choose some decent restaurants and make sure the food there is relatively fresh." Another shared her experience with tasting, "But when I take a bite, the texture, I have experience. The meat of dead crabs tastes soft, spongy, but the meat of fresh crabs is usually very tense, and very tasty. If I feel it does not taste right, I will never eat it." In terms of fish such as puffer, one interviewee commented, "so now sometimes when people are not sure, they would ask the chef to taste the puffer first, to make sure that it is safe. But then, if you don't eat a lot, it may not be that serious. For example, if you only take one bite, the effect may not be that obvious." Responsibility of the Government In addition to the personal efforts, many participants pointed out the importance of the involvement of government in reducing risks. Two themes are related to this, the lack of precautionary actions from the government and the lack of control on the source of the problems. Lack of precaution. Many participants expressed the disadvantages of media reports in only reporting problems that have already occurred. For example, one participant commented, "this is how things work. Usually the media will try to move things, and then the government will follow up. So usually the journalists may report their findings about say, an illegal food processing center. They very often will engage in secretive investigations, and then reveal it in the media. Then after a few days, you will see, well, the government has taken measures to stop such operations of those processing centers." Lack of control on the source of problems. Many participants felt very strongly about this. One of them said, "also I feel that there needs to be more strict regulations in the industry…Sometimes in the local TV channels, I did see the efforts… because consumers are not expected to know everything. Rather, the government or related agencies need to strengthen their monitoring and regulating." Another one commented, "because I feel that the ultimate solution is not in whether to buy certain food, but the source of such food. So I feel the government should pay more attention to this and be willing to spend money, and to promote the awareness of such issue in the media. At the same time, the consumers need to know more about this. So the solution depends on both sides. Only by advising the consumers as to what to buy and what not to eat without solving the problem in the source of such food, then like today I cannot eat the fish from Guangdong, and tomorrow I cannot eat the fish from Shanghai, and then in a year, I have nothing left to eat. Then am I supposed to starve to death?" Interpersonal Communication The major themes regarding interpersonal communication about risks are the following: only common problems with relevance to most people are discussed, the occasion of such communication requires choice, topics are not directly related to risks. However, the responses from one participant appeared to form an exception. Communication problems with relevance. Most participants said they do not usually share just any risk information about fish. One said, "Unless it's something that everybody knows, for example, lobsters, crabs, those that we all eat often, then if I tell them something is wrong with these, they will probably pay attention." Choice of occasion. Some participants mentioned the unnaturalness of talking about things like this at work. For example, one said, "I just feel that if I'm at work, and then I suddenly say to the other colleagues that, tell you something, some fish is poisonous, you cannot eat it. Then I feel it will not receive a lot of attention." So the best occasion seems to be when dining out, as one said, "If I dine out and when we order, I will probably mention it casually, that we should not order this kind of fish. When we are dining out, when we order, then everybody is in that environment." Indirect topics. It seems most of the time, seafood and fish safety are not directly talked about. For example, one said, "however, we do not talk about seafood and fish safety directly. Usually it's when we talk about those places to visit, or restaurants to have dinner in, then we will casually remind each other of things like, well this restaurant is not very reliable, or in that city someone once had food poisoning." In addition, the health benefits of fish are mentioned more than the risks. For example, one said, "I have also heard a lot from other people too. Ever since I was young, I was told that I need to have more fish, fish is good, it makes you clever, even helps you get high grades at schools." Exception. An exceptional case among the participants came from the only one not in her late twenties but in her sixties. In particular, she not only shared information, found the information useful, but also compared the information between interpersonal and media channels. For example, she said, "Right now, I'm doing morning exercises with a group of old ladies, every day. They will sometimes mention things like how to clean stuff, what food cannot be eaten. They are very experienced, because they are housewives, cooking for many years. For example…I remember when I cleaned fish before, I didn't really pay attention to the black membrane. Now these old ladies told me to remove the black membrane. So now I began to do that" She also said, I feel the information is mostly the same, consistent. For example, when I first learned about the black membrane, I didn't really believe it. I was wondering what's wrong with the black membrane. So then I looked up other books, such as some cook books. To my surprise, the two cook books that I consulted both said the same thing. So then I became convinced. Discussion and Conclusions Summary of Major Findings This study examined how people perceive seafood/fish risks and how the media play a role in China. The major findings are as follows. Most participants perceived seafood/fish risks from different sources: natural toxins, market process, and pollution. Another three themes speak to the special case in China: limited conception of safety concerns, the safety concerns arising from profit-seeking vendors, and the distinction between eating at home and dining out. The influencing factors on risk perceptions include the following. Personal relevance is consistently the most important factor. Seriousness of consequences, the different life stages, other concerns in life and personal health condition also influenced perceptions. In addition, the overflow of risk information prevents the participants from focusing attention on any particular risk issue. Three major types of media are involved in risk communication and each serves very different functions. TV has the major function of reporting unethical practices in the market. Print media mainly inform people of safe health behaviors. The Internet is used mainly for those who want to do more active information search. Media messages are considered pretty credible, but to most people, credibility was less important than the influence and power of media to actually make a difference. Finally, people's reactions to risk messages can be explained by what one participant said "half and half." People generally try to do what they can to reduce risks, but they also feel strongly that the government needs to make efforts to reduce the source of the risks. Source of Risks Many sources of seafood/fish risks are consistent with what the literature has identified: risks from natural toxins, risks from the market process, and risks from pollution. However, more salient themes are specific to the special case in China. First of all, people generally have a limited conception about the risks from consuming seafood/fish. They do not think of this as a widespread risk or concern. The major reason seems to be the traditional habit of eating seafood and fish in China and the consequent assumptions. Eating fresh fish helps people feel safe. Different from the western literature, the safety concerns arising from profit-seeking vendor becomes a separate and salient theme. It has a lot to do with the current stage in China. The focus on economic development and profit making has led to many unethical behaviors. This constitutes the major safety concerns. Influencers on Risk Perceptions Aldoory (2001) suggested the key function of personal relevance in women's risk perceptions. This study in China confirmed what she found and identified personal relevance as the single most important factor. Personal relevance is further reflected in such factors as the effect of different life stages and personal health condition. The more objective factors such as the seriousness of consequences also played a role, but not as important. A theme not found in research and literature from the west is the comparative importance of issues. Specifically, other concerns in life in general and the overflow of risk information in particular prevent the participants from focusing attention on any particular risk issue. The feeling of inundation is repeatedly mentioned. This unexpected finding makes it an important task for risk communicators to think about risk comparison and risk prioritization. Risk comparison. Covello (1991) discussed the usefulness and weaknesses of risk comparison. Risk comparison seems to be a good way to communicate risks to the publics and to improve their perceptions and understanding of health and environmental risks. In particular, risk comparison helps put risks in psychological perspective, provides a conceptual yardstick, improves the understanding of risk magnitudes, and is more intuitively meaningful than absolute numerical probabilities. Although risk comparison has certain limitations, it can be used to set priorities and to determine which risks are acceptable (Covello, 1991). How such comparison can reduce the sense of too much risk information demands further exploration. Media Effects As suggested in western literature, media do play a role in risk communication. However, in this special case of China, different types of media serve distinct roles. This finding suggests the importance of targeting different publics using different media. The special media system in China brings about the heavy focus on the influence of media rather than their credibility. Only influential media can actually serve as mediators between the government and the publics and make a difference.
Implications This study revealed several useful implications about risk communication in seafood/fish. First, it serves one of the few attempts to make sense of how Chinese people perceive such risks. It basically supported what the literature suggested to be the influencing factors. Instead of focusing on the seriousness of risks, or the more objective facts, risk communicators should pay more attention to the perceived personal connections to different risks. In fact, the seemingly surprising finding of infrequent interpersonal communication about risks also attest the fact that to the majority of participants, fish safety is not the most relevant issue in their life now. Secondly, the importance of risk reduction efforts from multiple sources is acknowledged. The fact that participants feel strongly about more government involvement in reducing the sources of risks demonstrates the importance of the "holistic" approach identified in the literature. In other words, risk communicators should not only help the publics reduce risks at the individual level, but also play an active role in communicating to and advising government agencies. In addition to the above, which basically reinforced what has been known in the risk literature, this study also yielded unexpected aspects. The most important one is the feeling of frustration and fatalism resulting from the exposure to too much risk information. Although the consequence seems to be similar to what is found in the U. S., in that many people will not pay attention to risk messages, the cause is vastly different. This presents a new challenge to risk communicators and it demands more attention to how risks should be ranked and prioritized in terms of their importance. Limitations This study has several limitations. First, due to time constraint, only six interviews were conducted. More interviews are needed that involve women from different age groups and background. 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