Perceived Risk of Bovine Spongiform Encephalopathy and Dietary Behavior

The Use of the Health Belief Model in the Context of Heatwaves Research: A Rapid Review

As heatwaves increase and intensify worldwide, so has the research aimed at outlining strategies to protect individuals from their impact. Interventions that promote adaptive measures to heatwaves are encouraged, but evidence on how to develop such interventions is still scarce. Although the Health Belief Model is one of the leading frameworks guiding behavioral change interventions, the evidence of its use in heatwave research is limited. This rapid review aims to identify and describe the main themes and key findings in the literature regarding the use of the Health Belief Model in heatwaves research. It also highlights important research gaps and future research priorities. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, 10 articles were included, with a geographic distribution as follows: United States (n = 1), Australia (n = 1), Pakistan (n = 1), and China (n = 1), as well as Malaysia (n = 2), Germany (n = 1), and Austria (n = 1). Results showed a lack of research using the Health Belief Model to study heatwaves induced by climate change. Half of the studies assessed heatwave risk perception, with the 2 most frequently used constructs being Perceived Susceptibility and Perceived Severity. The Self-efficacy construct was instead used less often. Most of the research was conducted in urban communities. This review underscores the need for further research using the Health Belief Model.

Understanding e-satisfaction, continuance intention, and e-loyalty toward mobile payment application during COVID-19: an investigation using the electronic technology continuance model

This research examined the determinants of e-satisfaction, continuance intention, and e-loyalty regarding the use of mobile payment applications (MPAs). It developed and validated the electronic technology continuance model (e-TCM) integrating a psychological factor (perceived threats), e-satisfaction, circumstantial factor (perceived anxiety), and the dimensions of quality. Using a questionnaire, data was collected from 455 respondents and analyzed using structural equation modeling. The influences of information quality, service quality, system quality, perceived usefulness, and confirmation on both e-satisfaction and continuance intention are found positive. However, perceived threats and perceived anxiety do not influence e-satisfaction but influence continuance intention. Moreover, e-satisfaction positively impacts continuance intention and e-loyalty; and continuance intention positively impacts e-loyalty. This research evidences the roles of perceived threat, e-satisfaction, perceived anxiety, and the dimensions of quality on customers’ e-satisfaction, continuance intention and e-loyalty, using the integrated framework comprising the health belief model, expectation–confirmation model, and information systems success model. The findings of this research can guide MPA services providers, online businesses, industry analysts, suburban consumers, and respective government authorities when MPA usage is concerned during any unprecedented crisis such as the COVID-19 pandemic.

Customers response to online food delivery services during COVID-19 outbreak using binary logistic regression

This study aims to empirically measure the distinctive characteristics of customers who did and did not order food through Online Food Delivery services (OFDs) during the COVID-19 outbreak in India. Data are collected from 462 OFDs customers. Binary logistic regression is used to examine the respondents' characteristics, such as age, patronage frequency before the lockdown, affective and instrumental beliefs, product involvement and the perceived threat, to examine the significant differences between the two categories of OFDs customers. The binary logistic regression concludes that respondents exhibiting high-perceived threat, less product involvement, less perceived benefit on OFDs and less frequency of online food orders are less likely to order food through OFDs. This study provides specific guidelines to create crisis management strategies.

Impact of COVID-19 Pandemic on Willingness to Consume Insect-Based Food Products in Catalonia

Edible insects are being considered as a sustainable source of protein and are continuously appearing in markets in the West. The impact of COVID-19 on the willingness to consume (WTC) two products enriched with insect ingredients, jam and yogurt, was analyzed. A semistructured questionnaire was applied using the Qualtrics© consumer panel. Data was collected from 799 and 481 consumers before and during the COVID-19 lockdown in Catalonia (Spain), respectively. The multinomial logit (MNL) model was used to analyze the determinant factors affecting consumers’ WTC insect-based products and the impact of COVID-19 on such heterogeneity. Results showed that the outbreak of COVID-19 caused a significant decrease in the WTC. Findings also revealed that consumers who contracted the COVID-19, strictly followed the regulations during the confinement, and are well informed about symptoms were more likely to reject the consumption of the insect-based products. Both before and during the lockdown, results showed that young and employed consumers, with low-income level, who give importance to the environmental attribute in food are prone to consume insect-based food products. The COVID-19 outbreak had a homogenizing impact on consumers’ WTC with respect to the gender variable. Consumers’ affirmation towards strict food safety standards of the insect-based products should be remarked.

The influence of media communication on risk perception and behavior related to mad cow disease in South Korea

OBJECTIVES

The purpose of this study was to ascertain the influence of media communication on risk behavior related to mad cow disease (MCD).

METHODS

Mothers of elementary school students in Seoul were recruited as the survey participants of this study.

RESULTS

Media reports affected risk behavior related to MCD. Also, knowledge and attitude toward MCD affects risk behavior.

CONCLUSION

Risk-related information provided by the media should maintain consistency and objectivity. For effective risk communication, there should be an open communication between the government and public, experts, and related industries, who should all collaborate.

Uncertainty beyond probabilities of BSE: appraisals predicting worry and coping strategies in the Canadian public

The impact of bovine spongiform encephalopathy (BSE) is not limited to the infection with the BSE agent but also affects psychosocial responses, such as worry and loss of confidence in public authorities. It was shown in past crises that these reactions depended upon the way the event was perceived by the public. Understanding the nature of the perceptions of BSE is therefore of great importance for risk management in all phases of the risk, including the period before the onset of a crisis, when BSE is still only a pending threat to human health. This study analyzed data from a representative national survey of Canadians (n = 1,517) on the perceived risk of prion diseases. Factor analysis revealed emerging dimensions of BSE appraisals and regression analysis identified variables that predicted worry and coping strategies. Results yielded three significant factors, each relating differently to reactions to BSE: (1) Perceived impact, which combined perceived risk for health and likelihood of occurrence of BSE crises, was the main predictor of worry about eating tainted beef; (2) perceived mastery, consisting of personal knowledge and control, predicted taking action to avoid the disease; and (3) perceived intricacy, composed of perceived complexity and uncertainty, uniquely predicted trying to ignore BSE-related risks. Further regression analysis and analysis of variance exposed a moderating role of perceived intricacy on the relationship between perceived impact of BSE crises and worry. The implications of these findings for risk communication and management are described.

Discontinuity patterns in stages of the precaution adoption process model: Meat consumption during a livestock epidemic

OBJECTIVES

Patterns of changes in social-cognitive variables were investigated in order to test selected stages of the precaution adoption process model (PAPM). It was hypothesized that non-linear trends (discontinuity patterns) in perceived vulnerability, positive and negative outcome expectancies, procrastination, and self-efficacy might be observed across the stages.

DESIGN

Cross-sectional data from 808 respondents were employed.

METHOD

Questionnaire data were collected in an on-line study on meat consumption during a livestock epidemic in Germany. Polynomial trends and analyses of variance with post-hoc-contrasts were used to examine the patterns of change.

RESULTS

Discontinuity patterns were found for perceived vulnerability, negative outcome expectancies, and procrastination. The data provided partial support for discontinuity patterns in self-efficacy. Continuity patterns were found for positive outcome expectancies.

CONCLUSIONS

Results provide support for a stage model rather than a pseudo-stage model.

International case studies of psychosocial ripple effects of bovine spongiform encephalopathy (BSE) in European countries

The public is increasingly concerned about risks associated with food. Food-borne diseases can easily mobilize public concerns and create strong emotional, behavioral, and political reactions with significant negative economic and psychosocial outcomes. This was observed in various countries globally experiencing the presence of prion disease bovine spongiform encephalopathy (BSE). This study highlights case-study material from various countries for key psychosocial impacts such as the public's worry and fear vis-a-vis beef consumption and the loss of confidence and trust in authorities stemming from the occurrence and management of the BSE crisis. These psychosocial impacts and resultant public behavioral responses are presented at a number of levels including individual, family, community, and societal for several European countries, with special emphasis on the UK case study. Given failures to identify the scope of individual concern about prion diseases, and to address these concerns in decision-making processes and risk communication strategies, there remains a need for further systematic research and psychosocial monitoring of the ripple effects of BSE.

Survey of public perceptions of prion disease risks in Canada: what does the public care about?

A national public survey on public perceptions of prion disease risk in Canada was conducted from October to December 2007. The survey aimed at documenting the public's perceptions of prion diseases, within the broader context of food safety, in establishing parameters of risk acceptability. It also documented the public's perceptions of prion diseases in delineating social values and ethics that can guide Canada's future policies on prion disease risk management. In addition, the survey served to establish baseline data against which to monitor the evolution of the public's views on and understanding of this important risk issue. In total, 1517 Canadians were randomly selected to be representative of the adult population by region, age, and gender, as per the 2001 Census. This study presents descriptive findings from the survey regarding perceived risk, perceived control, uncertainty, sources of information, trust and knowledge, and beliefs pertaining to bovine spongiform encephalopathy (BSE). The survey data reveal that Canadians do not perceive mad cow disease as a salient risk but consider it more of an economic, political, social, and foreign trade issue than a public health one. Canadians are somewhat prepared to pay a premium to have a safer food supply, but not to the same extent that they desire extra measures pertaining to BSE risk management. In the context of increasing accountability in risk management decisions about food safety and population health issues, it is important to understand the way Canadians perceive such matters and identify their information needs and the factors that influence the acceptability of risks and of risk management policies.

Risk perception of the "mad cow disease" in France: determinants and consequences

Since 1996, when bovine spongiform encephalopathy (BSE) was assessed as a possible human transmissible disease, a variant of Creutzfeldt-Jakob disease (vCJD), French people have entered into a long period of fear and avoidance of beef and bovine byproducts, which produced an unprecedented collapse in the beef market. This article deals with the perceived risk of the "mad cow disease" (MCD) in the French general population. Two surveys were conducted on a representative sample of the adult population, the first one in 2000 during the peak of the crisis and the second one 13 months later in a quieter period. The main assumption we made was that changes in beef consumption are strongly related to the perceived risk of MCD, which we defined as people's cognitive and affective responses to hazard. Our objective was to identify the determinants and consequences of this perceived risk and to compare them in different sociopolitical contexts. The results issued from a bivariate and multivariate analysis show that: (i) the distribution of most of the variables significantly related to the perceived risk identified in the first survey had changed in the second survey, in relation with the reduction of worry and the resumption of national beef consumption; (ii) the propensity for self-protection through avoiding or ceasing beef eating was more related to feelings of worry than to subjective vCJD risk assessments; and (iii) the main determinant of less avoidance to beef products was the preference for beef, a feeling identified prior to emergence of the risk of MCD, remaining unchanged in various contexts.