Evaluating determinants of environmental risk perception for risk management in contaminated sites

The effect of education on safe use of pesticides based on the health belief model

OBJECTIVE

In agricultural activities, pesticide use is critical, but poisoning issues are one of the most important occupational hazards for farmers. Training can help protect farmers' health from pesticide hazards. This study aimed to investigate the effect of education on farmers' behavior in the safe use of pesticides using the health belief model.

METHODS

A quasi-experimental (pretest-post-test) study conducted on 84 farmers who were selected using the convenience sampling method. The data collection tool was a two-part questionnaire including demographic information and a questionnaire designed based on the constructs of the health belief model in using personal protective equipment while working with the pesticides. The instrument was completed before and two weeks after an educational intervention. Data analysis was performed using SPSS software version 26.

RESULTS

The mean age of the participants was 48.94 ± 9.14 years and 69% were male. The study showed that with increasing age, the mean score of health belief model constructs in the safe use of pesticides decreased. Female and higher-educated farmers had higher scores. After the intervention, the mean scores of health belief model constructs in the safe use of pesticides increased significantly, except perceived barriers construct which decreased significantly. Also, the frequency of protective equipment uses while working with pesticides increased significantly after the intervention and safe behaviors increased, while unsafe behaviors decreased.

CONCLUSION

The education as an effective intervention, improves farmers' safety attitudes and behaviors in pesticide use and it is recommended that educational programs be designed according to the characteristics of the audience.

Public perception on human exposure risk: A case study on endocrine disrupting compounds in the environment

Humans are exposed to environmental risks owing to the broad usage of endocrine disrupting compounds (EDCs). However, the subjective evaluation of risk levels and characteristics, as well as the variation in risk processing, have not been thoroughly examined. The objective was to understand the public's perception of the risk associated with human exposure to environmental EDCs and identify any variations in risk perception. In this pioneering study conducted within the distinctive social and cultural context of Malaysia, a developing nation, a quantitative analysis approach was employed to assess the subjective evaluation of risk levels and characteristics among the public while developing a risk perception model. Data gathered from surveys and questionnaires were analyzed to gather information on the public's perception of environmental and health issues pertaining to pesticides, hormones, plastics, medicines, and cosmetics. The analysis revealed that the majority of the public assessed the level of human exposure to environmental risks based on experiential processing, which was influenced by cognitive and affective variables. Interestingly, a higher proportion of individuals in the community had a low risk perception of environmental EDCs, surpassing the overall risk perception by 19.3%. Furthermore, the public showed significant awareness of environmental and health issues related to pesticides, hormones, and plastics but had a lesser inclination to acknowledge the vulnerability of humans to risks associated with medicines and cosmetics. These findings suggest that the public is likely to be exposed to environmental EDCs based on their current perceived risks, and that sociopsychological factors play a significant role in shaping perceptions and judgments. This understanding can inform the development of targeted risk management strategies and interventions to mitigate the potential harm caused by environmental EDCs.

Risk perception among residents living near industries in Godawari Municipality of Lalitpur, Nepal

The industrial sector stands out as a significant contributor to environmental pollution. Those who reside in close proximity to industrial areas commonly harbor concerns about potential health and environmental hazards. This study aimed to find out the perception of risk and self-reported health impacts among individuals living near industries in Godawari Municipality, Lalitpur, Nepal. Conducted as a community-based cross-sectional study, it involved 270 households. Face-to-face interviews were employed, utilizing a pretested structured questionnaire. The study zone encompassed the communities of Godawari Municipality within a 3-kilometer radius of industrial sites. Specifically, stone mines, stone crushers, and brick kilns were purposefully selected, while study participants were randomly sampled using a random table. Data analysis was performed using IBM SPSS, incorporating both univariate and bivariate techniques. Among those residing near industrial zones, a mere 9.6 % reported experiencing wheezing or whistling in the past 12 months. A substantial 36.3% consistently felt stressed due to industrial activities in their vicinity. Approximately half (51.9 %) of the participants indicated that the contaminated air in the area had adverse effects on human health. Furthermore, a palpable perception of elevated risk was associated with the proximity of industries (p<0.001). Over half of the participants perceived a notable risk stemming from the presence of industries near their homes, largely due to pollutants. These individuals also disclosed various health repercussions and expressed significant apprehension regarding their future well-being in the area. The implications of these findings are substantial, particularly for local-level planning and the development of industrial sites. Addressing the concerns surrounding people's heightened perception of risk from nearby industries is pivotal in fostering harmonious coexistence and informed decision-making.

Impact of social support and mindfulness in the associations between perceived risk of COVID-19 acquisition and pregnancy outcomes in Iranian population: a longitudinal cohort study

BACKGROUND AND AIMS

Various devastating infection outbreaks including COVID-19, threat both mother and fetus health. These life-threating outbreaks as potential harms are highly associated with relevant perceived risk. Social support and mindfulness are two factors that may moderate the associations between the perceived risk of COVID-19 and pregnancy outcomes. In this study we investigated the potential moderating impact of social support and mindfulness in the aforementioned association.

METHODS

This study is a longitudinal cohort study in which 483 Iranian pregnant women in Tehran have been studied. Perceived risk of COVID-19 questions, Mindful Attention Awareness Scale (MAAS), and Multidimensional Scale of Perceived Social Support (MSPSS) were used through an online platform to assess the independent variables during pregnancy. Neonatal and maternal outcomes including gestational diabetes, gestational hypertension, preeclampsia, abortion, birth weight, and gestational age at birth, was extracted from Electronic Health Record (EHR) after childbirth as the dependent variables. The aim of the study is to investigate whether social support and mindfulness can affect the associations between perceived risk of Covid-19 acquisition and pregnancy outcomes.

RESULTS

Perceived risk of COVID-19 was negatively associated with pregnancy outcomes including birth weight (-28, 95% CI [-53, -3.4], p < .05) and gestational age at birth (-0.9, 95% CI [-2,0.11], p < .05). However, social support could not moderate these associations. Mindfulness, on the other hand, moderated the association between perceived risk and stillbirth meaning that by increasing mindfulness, the association between the perceived risk and stillbirth may also be increased (OR = 0.03; p < .05).

CONCLUSION

The findings of this study showed that social support lacks the moderating impact on the association between perceived risk of COVID-19 and pregnancy outcomes. Mindfulness, on the other hand, indicate a positive moderating impact for the association between perceived risk of Covid-19 and stillbirth. More studies in different populations are suggested to investigate the impact of mindfulness and social support on the association between perceived risk and pregnancy outcomes.

Trusting the Health System and COVID 19 Restriction Compliance

We examine the extent to which exposure to higher relative COVID-19 mortality (RM), influences health system trust (HST), and whether changes in HST explain the perceived ease of compliance with pandemic restrictions during the COVID-19 pandemic. Drawing on evidence from two representative surveys covering all regions of 28 European countries before and after the first COVID-19 wave, and using a difference in differences strategy together with Coarsened Exact Matching (CEM), we document that living in a region with higher RM during the first wave of the pandemic increased HST. However, the positive effect of RM on HST is driven by individuals over 45 years of age, and the opposite effect is found among younger cohorts. Furthemore, we find that a higher HST reduces the costs of complying with COVID-19 restrictions, but only so long as excess mortality does not exceed the average by more than 20%, at which point the ease of complying with COVID-19 restrictions significantly declines, offsetting the positive effect of trust in the healthcare system. Our interpretation of these estimates is that a higher RM is interpreted as a risk signal among those over 45, and as a signal of health-care system failure among younger age individuals.

Moderated by personal perception: The preventive relationship between home HIIT dance and depression during the COVID-19 pandemic in China

Introduction

Lockdowns during the COVID-19 pandemic were believed to greatly increase the risk of depression among isolated residents in both China and in Western countries. How to effectively reduce this risk has become one of the key issues in the field of public mental health.

Methods

The present study seeks to examine the preventive relationship between doing home HIIT dance-which became popular during Shanghai's COVID-19 lockdown in 2022-and depression, and how such a preventive relationship has been mediated by different personal perception factors using an online survey with 528 samples.

Results

The preventive relationship between doing home HIIT dance and depression was differently mediated by residents' personal perception factors, such as perceived benefits, severity, and self-efficacy, based on the health belief model.

Discussion

These results deepen the research on the psychological effects of doing home HIIT dance on preventing depression, especially in the COVID-19 lockdown period, emphasizing the possible moderation effects of different self-perception factors.

Evaluation and relation of determinants of risk perception in the resident population living near industrially contaminated sites

The association between industrial pollution and human health is of high importance for public health. Living near industrially contaminated sites (ICSs) and being exposed to increasing concentrations of environmental pollutants along with disadvantaged social and economic conditions result in an increased occurrence of diseases. There are 16 identified industrially contaminated sites in the Republic of North Macedonia, and of all of them, chemical industry AD OHIS - Skopje and lindane dump located near the plant, according to almost all categorizations,has been evaluated to pose the highest level of ecological and health risk, although there has been no recent evidence about these issues. The main aim of this study was to obtain general information about risk perception of resident population living around and near AD OHIS in the Skopje region. Methods: A standardized and modified questionnaire was sent to the participants in an electronic form by e-mail and was published on social networks and municipalities’ web sites. The responses to the questionnaire were given anonymously and voluntarily. The results were analyzed using descriptive statistical methods with calculating central tendency parameters and analytical statistical methods with correlation and Pearson χ2 test and independent sample test. Results: During the observation period, 220 people responded to the survey, with female respondents being predominant (70%). Analysis showed that there was no significant difference between genders regarding risk perception. According to Likert scale, with 95% CI, among anthropogenic sources, respondents stated they were extremely worried about air pollution and very worried or worried about water pollution, noise, waste and dangerous industry. The diseases that trigger a response of greater concern were those related to allergies, respiratory diseases and cancer. Age, education and information related to ecological risks significantly influenced on judgement of the environmental conditions in the living area of resident population (p<0.05). Conclusions: Investigation results showed that resident population in the exposed Skopje region has a high level of perception and is susceptible to ecological risks by anthropogenic and natural influence. There is a direct relationship between exposureand environmental health impact. Also, sociоeconomic characteristics (gender, age, education) and cognitive factors have influence on risk perception level.

Risk-benefit perceptions, preferences for solutions, and gaining trust: Listening to New Jersey's Atlantic Ocean port communities

We designed a survey to measure public preferences for management actions at ports that would reduce negative risk perceptions, increase competence-based trust, and overall provide port managers with opportunities to build communication channels with surrounding populations. A total of 511 people who lived in a 45-square mile area of New Jersey containing over 300,000 people and a dozen large and small ports responded to solutions that offered independent science support, provided ongoing public health surveillance, and economic assistance for local communities. Environmental health concerns about air, noise, fires, port security, and protection against climate-related impacts were major correlates of these preferences. Yet many residents recognized economic benefits associated with nearby ports and many either trusted port management or were neutral and felt not well informed. Those who had a personal or family connection to the port were stronger port supporters. The most important finding and challenge for port managers is building ongoing relationships with the majority of nearby residents who are not aware of port activities, which presents an opportunity for increasing trust through proactive outreach and listening to nearby community representatives.

Environmental risk perception of mothers and presence of risk factors in rural and urban areas in Adana, Turkey

This cross-sectional study with an open-ended manner aimed (1) to evaluate the environmental risk perception levels of mothers having at least one child and living in Adana and (2) to determine their awareness of the risk factors in their environment. Of mothers, 30.2% did not know the concept of environmental risk factor. Most frequent perceived risks were violence (17%), air pollution (15.5%) and undefined pollution (15%). The most common mentioned problems in their environment were air pollution (9.9%), violence (7.9%) and municipal service problems (8.4%). Mothers living in the urban area reported more violence, air pollution and undefined pollution as environmental threats than those living in the countryside. The place of residence, the education level of the mother and the number of people in the house significantly were related with the risk perception. There is a need for studies in other regions to determine the environmental literacy of mothers.

Effects of Residential Environmental Screening and Perception Surveys on Superfund Environmental Health Risk Perceptions

Residents at one of the nation’s largest and longest-operating Superfund sites (Butte, Montana) have expressed environmental health risk perceptions that often diverge from those of EPA and other official stakeholders responsible for the investigation and remediation of site contamination aimed at protecting human health and the environment. A random sample of Butte residents participated in a study of how home-based environmental screening influences environmental health perceptions. Participants completed surveys measuring environmental health perceptions before and after a home site screening of soil and drinking water for lead and arsenic conducted by the research team. Local air monitoring for the same contaminants was also completed during the study period. The home-based screening intervention improved the alignment of subjective participant environmental health perceptions with objective environmental screening measures. Key features of the process that helped achieve this effect included (1) co-locating the collection of participant perceptions and individualized screening measurements; (2) sharing environmental screening results in a clear and unbiased manner; and (3) conducting this work independent of agencies and organizations with direct responsibility for Superfund-related cleanup activities. Empowering residents of a Superfund community with knowledge of the specific kinds and levels of environmental contamination in their home environment may help overcome the gap between agency conclusions regarding environmental health risk and the perceptions of community members.

Farmers' Adaptive Behaviors to Heavy Metal-Polluted Cultivated Land in Mining Areas: The Influence of Farmers' Characteristics and the Mediating Role of Perceptions

Heavy metal pollution in cultivated land poses a serious threat to environmental health and farmers' livelihoods. As the direct user of cultivated land, understanding farmers' adaptive behavior to heavy metal pollution, and its influencing factors, can provide insight and information relevant for decision-making, so as to better manage the hazards and risks of heavy metal pollution. We proposed a conceptual framework of "farmers' characteristics-perceptions-adaptive behaviors". Factor analysis and mediation effect analysis were used to explore the influence of characteristics and perceptions on adaptive behaviors. The data of 278 farmers in a typical mining area in Daye, China, show that local farmers perceive the hazards of heavy metal pollution, but their adaptive behaviors are hindered to a certain extent. The results of the mediation effect analysis show that perceptions of health impact, self-efficacy, and adaptive cost play a partial mediating role in the impact of characteristics on adaptive behaviors. In addition, the influence of the "factor of dependence on farmland" and the "factor of obstacles to action" on adaptive behavior have no significant relationship with perception levels. By comparing the influencing factors, we found that although farmers' perceptions have mediating effects between characteristics and adaptive behaviors, characteristics still play a decisive role in adaptive behaviors.

Environmental Risk Perception and Preventive Behavior during the COVID-19 Pandemic in Central Taiwan

Due to traffic and industrial and seasonal air pollution, wearing masks outside the home has long been a daily habit for many people in Taiwan. After the emergence of the novel coronavirus (COVID-19), which has an incubation period of up to 14 days, wearing masks and maintaining social distancing was advised to reduce exposure to this new environmental risk. This study investigates open and semi-open spaces in three districts in central Taiwan, using a non-participant observation method, with the aim of understanding people's mask-wearing behavior. The results indicate that mask-wearing rates were higher in urban areas than in rural ones and among females than males. By age cohort, mask-wearing was most prevalent among young adults and middle-aged people and least prevalent among minors, with the elderly occupying a middle position. Masks were also more likely to be worn in semi-open spaces than in open ones. This study enriches our understanding of environmental risk perception of the pandemic and of public perceptions, which are vital to increasing the adoption of preventative measures.

Predictors of safety behaviors among Cement factory workers

INTRODUCTION

: Risk perception can affect safety behaviors. The purpose of this study was to determine the relationship between safety behaviors and risk perception among cement factory workers.

METHODS

: This study was conducted on all 236 workers of a cement factory in Bijar, Iran. Three valid questionnaires were used, namely a sociodemographic and job-related questionnaire, a risk perception questionnaire, and a safety behaviors questionnaire. The data were analyzed using the χ2 test and the multiple linear regression analysis.

RESULTS

The mean of participants' age was 38.1 (±8.4) years. The level of risk perception was high among 60.6% of participants, and moderate among 33.1% of them. Additionally, 67.8% of participants had diligent engagement in safety behaviors. The results of the study revealed that job type, experience with workplace events, and engagement in safety behaviors had a significant positive relationship with risk perception.

CONCLUSIONS

: This study shows that risk perception, safety training, and supervision have a significant positive relationship with the engagement in safety behaviors.‏ The findings of this study can be used in designing workplace interventions to reduce occupational dangers. Motivational strategies are suggested to encourage workers to use personal protection equipment.

Environmental Health Risk Perception: Adaptation of a Population-Based Questionnaire from Latin America

BACKGROUND: Environmental risk assessments and interventions to mitigate environmental risks are essential to protect public health. While the objective measurement of environmental hazards is important, it is also critical to address the subjective perception of health risks. A population’s perception of environmental health hazards is a powerful driving force for action and engagement in safety and health behaviors and can also inform the development of effective and more sustainable environmental health policies. To date, no instruments are available to assess risk perception of environmental health hazards in South America even though there are many concerning issues in the region, including mining. OBJECTIVE: We aimed to adapt and validate an environmental health risk perception questionnaire in a Chilean population affected by mining activity among other risks frequently reported in Latin American countries and included the collection of information on trust on public information sources. METHODS: We adapted an Australian risk perception questionnaire for validation in an adult population from a Chilean mining community. This adaptation included two blinded translations (direct, inverse), a pre-test study (n = 20) and a review by environmental health experts. Principal Component Analyses (PCA) was used to identify factors within major domains of interest. The Bartlett test of sphericity, Kaiser-Meyer-Olkin (KMO) measure and the Cronbach α test were used to assess the instrument’s validity and reliability. The instrument was pilot tested in 205 adults from a mining community in Chañaral. RESULTS: The final adapted questionnaire proved to be a good instrument to measure risk perception in a community chronically exposed to mining waste. For community risks, four factors explained 59.4% of the variance. “Global Issues” (30.2%) included air pollution, contamination of mining, ozone layer depletion and vector diseases. For personal risks, the first two components explained 59.5% of the variance, the main factor (36.7%) was “unhealthy behaviors within the household”. For trust in information, the first factor (36.2%) included as main sources “Media and authorities”. The Cronbach α ranged between 0.68 and 0.75; and the KMO test between 0.7 to 0.79 for community and personal risks and trust. CONCLUSIONS: The final questionnaire is a simple, reliable and useful instrument that can assist in evaluating environmental health risk perceptions in Latin American countries.

How Miners and Other Professional Groups Perceive the Benefits and Risks of Hard Coal Mining: A Study on the Role of the Affect Heuristic

The problems that are inherent in the green shift of the energy sectors are particularly visible in countries where the hard coal mining industry plays an important role in the economy and society. For any transition to be successful, public support is crucial. This empirical study shows that – as a consequence of the affect heuristic – those who perceive hard coal mining as beneficial tend to minimize both its detrimental environmental impacts and its personal safety hazards. Ignoring the affect heuristic may have retarded transformations and led to a failure of many information campaigns.

Invisible contaminants and food security in former coal mining areas of Santa Catarina, Southern Brazil

BACKGROUND

Mining activities have environmental impacts due to sediment movement and contamination of areas and may also pose risks to people's food security. In Brazil, the majority of coal mining activities are in the south, in the Santa Catarina carboniferous region. In this region, previously mined areas contaminated with heavy metals frequently occur nearby inhabited zones. Mining is part of the daily lives of local communities, and its environmental impacts are visible in the landscape; however, plants with medicinal and food use from these areas can be still consumed. Heavy metals are contaminants that do not have odor, color, or taste, and are therefore difficult to detect. We aimed to verify whether people use plants from contaminated mine areas, and understand which factors can influence the use of these resources, even from areas visibly impacted.

METHODS

We conducted 195 semi-structured interviews with residents from 14 areas nearby abandoned mines in the main municipalities of the Santa Catarina carboniferous region. We asked each interviewee about the length of time they lived in the region, their perception of the quality of the environment, and what plant species were used and for what purpose. We constructed generalized multivariate linear models to verify which variables can affect the group of species mentioned and generalized linear models to verify which variables can affect the total number of citations. We estimated the frequency of citing species collected using the Smith index.

RESULTS

From all interviewees, 127 (65%) reported collecting plants for medicinal and food use, directly from contaminated mine areas. Long-term residents, as well as those who noticed more environmental changes (positive and negative), cited more plants used and had more detailed knowledge of plant use in their communities. When asked if they were aware of the possible contamination of mined areas, 85% said they knew about it. However, only 10% associated negative health effects with the use of plant species collected in contaminated mined areas.

CONCLUSIONS

Our study demonstrates that people living nearby contaminated areas use and consume locally sourced plants, e.g., people know little about the danger of this contamination in their food and the risk of these contaminants to their health. These results also reveal a lack of information about contamination, as well as a lack of actions that include local communities in contaminated area restoration strategies. This situation poses a risk to the food security of the people living nearby former coal mining areas.

Differences in Risk Perception of Water Quality and Its Influencing Factors between Lay People and Factory Workers for Water Management in River Sosiani, Eldoret Municipality Kenya

This study evaluates the differences between risk predictors and risk perception regarding water pollution. Specifically, it focuses on the differences in risk perception between factory workers and lay people situated in textile industries near the River Sosiani in Eldoret, Kenya. The lay people are divided into two groups. The respondents living downstream are situated mostly in town centers and at the mid/lower parts of the river, and the respondents living upstream are mainly found at the upper parts of the River Sosiani. Data were obtained from 246 participants using questionnaires. Several factors influencing risk perception were selected to evaluate the degree of perceived risk amongst the groups. Descriptive statistics, mean score and correlation analyses, and multiple linear regression models were used to analyse the data. The one-way ANOVA results showed statistically different levels of risk perceptions amongst the groups. The partial and bivariate correlation analyses revealed the differences in scientific knowledge between respondents upstream and downstream. The multiple linear regression analysis showed that each group used different variables to determine risks in the region. In the factory group, 56.1% of the variance in risk perception is significantly predicted by sensorial factors, trust in the government’s capacity to manage water pollution and the impact of water pollution on human health. About 65.9% of the variance in risk perception of the downstream inhabitants is significantly predicted by sensorial factors, the possibility of industries generating water pollution, and previous experience with water pollution. For the respondents located upstream, age, sensorial factors, trust in the government and the possibility of being impacted by water pollution factors significantly predicted 37.05% of the variance in risk perception. These findings indicate that enhanced public participation in water governance amongst the residents of Eldoret town is needed, along with an understanding of the different characteristics of the respondents in the region during risk communication. This will boost awareness in the region and promote the adoption of better practices to minimise the adverse effects of water pollution faced by the region.

Environmental health perceptions in a superfund community

A disconnect between community perceptions and officially documented Superfund remedial actions and health outcomes may hinder the essential community engagement at Superfund sites. This study evaluates the extent of one such potential disconnect in Butte, Montana, which is part of the largest U.S. Superfund site in the U.S. Since the 1860s, when mining began in Butte, mine waste disposal practices in Butte and surrounding areas have left behind massive deposits that have contaminated the area's soil, sediment, groundwater and surface water with arsenic and heavy metals. Over the last four decades, a substantial amount of remediation work has been completed along with requisite community engagement and health studies at this Superfund site. The potential disconnect was evaluated using a new survey instrument that covered: (a) general environmental health perceptions, (b) mine-waste specific environmental health perceptions, (c) effectiveness of community engagement, (d) knowledge of health outcomes, and (e) demographics. The survey results demonstrated a disconnect in many instances where objective remedial improvements may not have resulted in improved environmental health perceptions in the community. The disconnect was most pronounced in the case of drinking water protection from mine waste and knowledge of health outcomes (cancer incidence rates and children's blood levels). The use of similar environmental health perception measurements may aid responsible agencies in monitoring for and addressing environmental health perception disconnects through better community engagement for the benefit of the impacted communities.

Still Green at Fifteen? Investigating Environmental Awareness of the PISA 2015 Population: Cross-National Differences and Correlates

The PISA studies provide unique opportunities to investigate the competencies and attitudes of 15-year-olds across the world. Past research investigating environmental awareness (EA) in PISA 2006 found associations between EA and science-related competencies and attitudes. Investigating EA in the PISA studies may have important implications for education for sustainable development (ESD): results may show which factors should be considered in educational interventions to enhance students’ EA. Cross-national analyses of EA may provide insights into the predictors of EA on a local, national or international level. This study investigates the individual, school, and country level predictors of EA in PISA 2015 (365,194 students, 12,594 schools, 53 countries). The multi-level regression analysis on EA reveals that most of the variance is located at the student level. On the individual level, variables related to science learning in school are associated with EA across all countries. This study also compares the degrees of EA in the 2006 and 2015 populations. The results show similar degrees of EA in 2006 and 2015. Altogether, the study provides cross-country evidence on important aspects that should be addressed in successful ESD programs.

Reducing agate dust exposure in Khambhat, India: Protective practices, barriers, and opportunities

AIMS

Agate workers in Khambhat, India and their community members are exposed to high levels of silica dust and related diseases. Use of effective prevention practices remains low, prompting the need for effective interventions which increase the uptake of and investment in prevention practices. We sought: (a) to describe knowledge, self-efficacy, and practices among a population of workers, their family members, and neighbors involved in or located close to agate processing; and (b) to explore which factors are related to use of prevention practices and willingness to invest in new dust control technologies.

METHODS

A community survey was conducted to measure demographics, occupation and financial factors, knowledge, prevention practices, barriers, risk perceptions, and efficacy beliefs. Descriptive statistics were used and, among agate workers, hierarchical logistic regression explored predictors of prevention practice use and willingness to invest.

RESULTS

Among 1120 respondents, approximately 44%, 35%, and 8% of workers, family members, and neighbors used prevention practices, respectively. Knowledge and risk perceptions were generally high, where efficacy beliefs were low. Workers who had high levels of education, worked at home, and had high efficacy beliefs were more likely to report using prevention practices and being willing to invest. Barriers to prevention practice use included financial barriers, and beliefs that prevention is ineffective and health is not at risk.

CONCLUSIONS

Interventions and future research should be designed to engage the community to improve preventive behavior, and implement affordable and effective dust control interventions in the agate industry.

Public Perceptions of Environmental Public Health Risks in the United States

Understanding public perceptions about environmental health hazards, exposures, and health impacts can help environmental public health practitioners to target and prioritize community activities, policy needs, and communication strategies. The online cross-sectional 2013 summer wave of the ConsumerStyles survey sampled U.S. adults and used questions from the Centers for Disease Control’s Environmental Public Health Tracking Program to measure public awareness of governmental efforts to track environmental exposures and links to health impacts, as well as perceptions of environmental health issues. Unadjusted and adjusted logistic regressions examined the associations between demographic characteristics and level of awareness of government environmental public health efforts or level of concern about health risks associated with environmental pollutants. Responses were received from 4033 participants, yielding a response rate of 66.0%. More than half of respondents (57.8%) noted concerns about health risks from environmental pollutants. More than one-third (40.0%) of respondents reported awareness of government efforts. Nearly 40% of respondents felt that none of the health impacts listed in the survey were related to environmental issues. Multiple logistic regression models showed that non-Hispanic blacks, other races, females, people with a college or higher education, and people living in the Midwest or South regions were more likely than their counterparts to be concerned about how the environment affects their health. Future work should focus on improving risk communication, filling the information gap on environmental health issues, and understanding how perceptions change over time.

Farmers’ Perception of Water Quality and Risks in the Mashavera River Basin, Georgia: Analyzing the Vulnerability of the Social-Ecological System through Community Perceptions

Competing natural resources usage that leads to dramatic land use changes can threaten the balance of a social-ecological system. When this is the case, communities are directly exposed to the negative consequences of those land use changes. The Mashavera River Basin is considered one of the hotspots of environmental pollution in Georgia. This is of importance for public health because the food production from this basin meets a substantial proportion of the country’s food demand. The farmers’ perception of the water quality and their perceived risks to the economy, health, and lifestyle reflect the status of the environmental and social conditions. The inclusion of farmers’ risk perceptions is an important stage of water quality governance that could enable active civic participation. The approach of this research study was the convergence model in the triangular design of the mixed method approach. As part of the social data, the research study was conducted with a survey of 177 households, for which agriculture was either a main or partial source of income. A few focus group discussions were also conducted. A binary logistic regression analysis was employed as the main method for the analysis. The results from the pollution load index (PLI) were used as the supportive data to verify some geospatial hypotheses. We found that aesthetic attributes (i.e., color changes observed in the river) and the source of the water contamination (i.e., mining sites) were the main predictor variables for a perceived risk to water quality, health, and livelihoods. The people who work in agriculture as the main income source had more concern about their ability to sell their agricultural products as a result of water contamination in the river, compared with people for whom agriculture is a secondary source of income or for self-consumption. Age, amount of land, years of agricultural experience, and the source of water supply for agriculture did not have a significant effect on any of the risk perception or water quality perception models. The results indicate that the health risk is perceived more strongly in areas with more heavily contaminated water compared to less polluted areas. We propose that conducting a public risk perception assessment is an ideal means to detect people’s concerns regarding water quality governance for future risk analysis in Georgia. Another recommendation of this study is an integrated model of risk assessment that combines the results from a public risk perception assessment and a technical assessment. The benefits of such an integrated assessment include finding new hazard-sensitive areas for further analysis, the possibility to cross-check data for verification, communal communication of hazardous conditions by utilizing local knowledge, and the direct participation of the community in monitoring risks.

Implementing Same Day Discharge Following Percutaneous Coronary Intervention: A Process Evaluation

BACKGROUND

The safety and effectiveness of same day discharge (SDD) following percutaneous coronary intervention are well demonstrated; however, the uptake of this model of care is low.

PURPOSE

The aim was to examine the effectiveness of implementing SDD using a process evaluation methodology.

METHODS

This study was undertaken in a cardiac services department of a tertiary teaching hospital in southeast Queensland, Australia. It was anticipated before the implementation that 120 patients could be discharged the same day in a 6 months' time period. Patient selection process and guideline adherence were assessed along with patients' and relatives' satisfaction.

RESULTS

During implementation, 22 patients were discharged home the same day. It was found that staff did not follow the guideline consistently, with an overall adherence of 77.3%.

CONCLUSION

The uptake of SDD was low in this implementation. The study is important as it provides direction for future improvement both in the criteria and the implementation process.

A content analysis of Internet resources about the risks of seafood consumption

Seafood consumption is a main source of human exposure to certain environmental contaminants. Therefore, it is valuable to assess the online health risk messages focused on this topic, as people in the US are increasingly accessing the Internet for health-related information. Previous research indicates that online health information tends to be written at a reading level that is more advanced than ability of the general population. The purpose of this research was to examine the content and readability of Internet resources targeted toward consumers in the US regarding the health risks from consumption of contaminated seafood. Sources for analysis were gathered through a targeted search of state and national government websites, as well as through a Google search. The overall mean readability level was Grade 9.21, which is slightly above the average reading level of US adults. Future research should evaluate the accuracy of the health risk messages, as well as consumer perceptions of risk.