LAUSR

Purpose To examine fish consumption patterns and fish advisory awareness among Wisconsin adults. Design Cross-sectional data from population-based survey. Setting: 2017-2019 Wisconsin Behavioral Risk Factor Surveillance System (BRFSS), supplemental fish module. Subjects 15,757 Wisconsinites aged ≥18 years. Annual response rates ranged 46.1-53.3%. Measures Fish consumption, advisory awareness, background and demographic characteristics. Analysis Weighted binary and multinomial logistic regression. Results Most Wisconsinites reported eating fish in the past 30 days, with approximately half (49.8%) consuming less than one fish meal per week. One-fifth of adults reported consuming sportfish. Women were less likely to eat any fish (PORadj = .6, 95% CI: .5-.7) and sportfish than men (PORadj = .7, 95% CI: .6-.8). The majority (76.7%) of sportfish consumers were aware of fish advisories. However, women (PORadj = .7, 95% CI: .5-.9) and black, Indigenous, and people of color (BIPOC) (PORadj = .4, 95% CI: .2-.7) sportfish consumers were less likely to be aware of fish advisories. Compared to adults aged 18-34 years, adults ≥55 years were twice as likely to eat 1-2 fish meals (vs. less than 1 fish meal) per week (PORadj = 2.3, 95% CI: 1.8-2.9). Conclusion Findings indicate that half of all Wisconsinites consumed less fish than recommended by Wisconsin fish advisories, and women and BIPOC respondents were less likely to be aware of advisories. Educational efforts are needed to improve fish consumption habits.