Perceptions of Health Risks from Hot Weather, and Coping Behaviors among Ethnic Minority Groups in Mountain Areas of China: A Case Study in the Tujia and Miao Autonomous Prefecture

Geochemical relationship and profile distribution of Selenium and Cadmium in typical Selenium-enriched areas in Enshi

Selenium (Se) is an essential nutrient element for humans, and Se-enriched products are gaining popularity due to their health benefits. However, Enshi, a region in China naturally rich in Se, a high background value of cadmium (Cd) is discovered, which severely impacts local Se-enriched agriculture. Therefore, it is crucial to explore the geochemical relationship between Se and Cd. In this study, we analyzed soil profiles and parent rocks of different geological ages from Enshi to investigate the accumulation and distribution of Se and Cd. The ratio of redox sensitive elements and the multivariate statistical analysis, along with XRD and XPS analysis, were utilized to investigate the correlated relationship between Se and Cd and the underlying geochemical mechanisms. The results showed that average Se and Cd contents in rocks were 1.67 and 0.32 mg/kg. Se and Cd levels reached highest at Permian in rocks of different geological ages, which may be related to the Permian Dongwu movement near the study area. The highest migration rate of Cd and Se from rock to soil was 12 and 1.5 times. The soil Se and Cd fractions were mostly in bound states, with the largest fraction of Se being organic-bound at an average of 45.9%. The reducible and the residue state accounted for the largest proportion in the Cd fractions, with an average of 40.6% and 25.6%. Redox-sensitive element ratios indicate a reducing forming environment of deep sediments in the Permian strata. Furthermore, the correlation and PCA analysis revealed highly significant positive correlations between Se, Cd, V and Cr, suggesting that the sources of Se and Cd were closely related to volcanic and biological activities. In conclusion, a strong geochemical relationship was observed between Se and Cd. And as a result, metal pollution must be closely monitored during the production of Se-enriched agriculture in Se-enriched regions.

Perceptions of the health risk from hot days and the cooling effect of urban green spaces: a case study in Xi'an, China

Background

Hot days are one of the typical threats to human health and sustainable cities. The exploration of residents' perceptions of thermal environment and its mitigation measures will support the health risk prevention.

Methods

A survey with a combination of closed-ended and open-ended questions was conducted in July 2021 among 13 urban parks in Xi'an City, China. With the help of ANOVA and ordinal logistic regression, this study investigated the influencing factors both on residents' health risk perception of hot days and their perception of the effect of urban ecological landscape on reducing the thermal risk. The relationship between health risk perception and residents' needs of urban ecological construction was also explored.

Results

According to 325 valid questionnaires, the male-female ratio of respondents was found to be 1:0.87, young people aged 18-29 (26.46%), the retirees (27.08%) and the ones with undergraduate education (33.23%) were, relatively, the largest groups. The results show that 92.31% of the respondents believed that their daily lives were under the influence of hot days. Housing types, occupation, cooling equipment at work, and outdoor working hours all had a significant impact on their high temperature perceptions. The proportion of respondents who were under a huge health risk and sought medical treatment due to hot days was 30.16% and 44.92%, respectively. Women were 18.52 and 2.33 times more likely to suffer health threats and experience discomforts than men. Furthermore, 73.23% of the respondents believed that the urban ecological landscapes in Xi'an had an enhanced cooling effect in recent years. Compared with the morphological characteristics, residents' recognition of the restriction of landscape's area on its cooling effect was higher, and the residence duration showed a significant influence.

Conclusion

The cooling effect of green spaces and water effectively resisted urban thermal threats, and residents' needs of the urban ecological landscapes was associated with their health risk perceptions of hot days. In the future, it is necessary to promote the early warning of hot days, meanwhile, the optimization of landscape patterns of green infrastructures should be implemented in urban planning for the purposes of residents' health risk prevention.

Correlation of safety behavior, handover quality, and risk perception: A cross-sectional study among Chinese psychiatric nurses

Background

Nurses' safety behaviors played an important role in patients' safety goal realization, and it varies from person to person. However, less research has explored the safety behavior level of psychiatric nurses and its influencing factors. Thus, this research aimed to assess the level of safety behavior and explore whether risk perception mediated the relationship between handover quality and safety behavior among psychiatric nurses.

Methods

A total of 186 registered psychiatric nurses in a Chinese hospital were recruited for this study, through the convenience sampling method. Handover quality, risk perception, and safety behavior were measured. Hayes' PROCESS macro was used to evaluate the mediation of risk perception between handover quality and safety behavior.

Results

Scores of psychiatric nurses' safety behaviors were (47.98 ± 7.45), and handover quality and risk perception could predict the variance of nurses' safety behaviors. Risk perception could partially mediate between handover quality and nurses' safety behaviors, and the value of the mediating effect was 49.17%.

Conclusion

Psychiatric nurses' safety behaviors have a large promotion space. Therefore, healthcare professionals should endeavor to improve the handover quality of psychiatric nurses and decrease their risk perception, thereby promoting nurses' safety behaviors.

Risk perception of COVID-19 among college students in China: Latent profile analysis

Background

The outbreak of the new coronavirus-2019 (COVID-19) has had a significant impact on people's mental and physical health. Meanwhile, people's perceptions of risk may influence their emotional states and preventative behavior during an epidemic. Previous research have revealed the diversity and uniqueness of risk perception, and college students may have a different perspective on risk perception. The objective of this study was to describe the subtypes of risk perception for COVID-19 among college students in China, identify the subtypes' traits, and investigate their affecting variables.

Methods

College students from 10 Chinese provinces participated in a cross-sectional study (n = 2,000) that from January 16 to 30, 2022. The latent profiles and influencing factors for risk perception were investigated using latent profile analysis, one-way analysis of variance, and multinomial logistical regression.

Results

The sample group of this survey was 1,946 students, and the response rate was 97.3%. The best model was suggested to consist of three profiles: "neutral risk perception" (20.3%), "perception seriously without susceptible" (52.8%), and "low risk perception" (26.9%). Risk perception of COVID-19 was positively associated with attention to negation information (r = 0.372, p < 0.01), anxiety (r = 0.232, p < 0.01), and depression (r = 0.241, p < 0.01), and negatively associated with perceived social support (r = -0.151, p < 0.01). Logistic-regressions analyses mainly revealed that the risk perception of three profiles related to having chronic diseases (OR = 2.704, p < 0.01), medical major (OR = 0.595, p < 0.01; OR = 0.614, p < 0.05), without having COVID-19 confirmed cases around (OR = 0.539, p < 0.01), attention to negative information (OR = 1.073, p < 0.001; OR = 1.092, p < 0.001), and perceived social support (OR = 0.0.975, p < 0.01).

Conclusions

The level of risk perception for COVID-19 among Chinese college students was unsatisfactory, and the risk perception of COVID-19 had significant group characteristics and heterogeneity. Colleges and public health practitioners could have a theoretical and empirical basis to implement risk perception intervention efforts by identifying latent subgroups during the COVID-19 epidemic.

Risk perception and coping response to COVID-19 mediated by positive and negative emotions: A study on Chinese college students

This study aimed to assess the mediating roles of positive and negative emotions on the relationship between COVID-19-related risk perception and coping behaviours adopted by Chinese college students in response to the COVID-19 pandemic. We conducted an internet-based questionnaire survey from mid February-late October 2020, among 1038 college students, from six Chinese universities (females = 73.41%), ranging within 17-26 years. The survey questionnaire included three major components-the COVID-19-Related Risk Perception Scale (CRPS), the Positive and Negative Affect Scale (PANAS-Revision), and Coping Response of COVID-19 Scale (CRCS). Descriptive statistics and a mediated model were used to analyse the collected data. A partial mediation relationship was found between COVID-19-related risk perception and 1) active-response behaviour (β = 0.05, 95% Confidence Interval [CI: 0.03, 0.08]), 2) self-protection behaviour through positive emotions (β = 0.03, CI [0.01, 0.04]), and 3) risk-taking behaviour through negative emotions (β = -0.04, CI [-0.07, -0.02]). This study's double-mediation model has been shown to detect the effect coping mechanisms to COVID-19. Furthermore, it implies that public health managers should consider the differences in coping mechanisms and the diverse mediating roles of positive and negative emotions for coping with public health emergencies.

Risk perception of climate change and natural hazards in global mountain regions: A critical review

Mountains are highly sensitive to climate change. Their elevated areas provide essential ecosystem services both for the surrounding mountainous regions and particularly for adjacent lowlands. Impacts of a warmer climate affect these services and have negative consequences on the supply of water, on biodiversity and on protection from natural hazards. Mountain social-ecological systems are affected by these changes, which also influence communities' risk perception and responses to changing climate conditions. Therefore, to understand individual and societal responses to climate change in mountain areas, aspects and drivers of risk perception need to be scrutinised. This article presents the findings of a literature review of recent English language publications on risk perception in connection to climate change and related natural hazards in mountain regions worldwide. Studies were selected from recorded entries in JSTOR, Science Direct, Scopus and Web of Science covering the period 2000-2019 and analysed in two steps (structured exploratory analysis, n = 249 and in-depth analysis, n = 72) with respect to the studies' research question, methodology, geographical scope and risk perception drivers. The review reveals that socio-demographic factors, like gender, age and personal experiences, have a crucial impact on individual risk perception. Some of the less tangible but nevertheless decisive factors are important in mountain regions such as place attachment and socio-cultural practices. In conclusion, there is however little information in the literature which addresses the specific situation of risk perception in mountain areas and its influence on communities' responses to environmental changes. Further, we observed a strong gap concerning the integration of indigenous knowledge in risk perception research. Many studies overlook or oversimplify local knowledge and the cultural dimensions of risk perception. Based on these results, the paper identifies several gaps in research and knowledge which may influence the design of climate risk management strategies as well as on their successful implementation.

The driving influences of human perception to extreme heat: A scoping review

Prior research demonstrates a link between heat risk perception and population response to a heat warning. Communicating a precise and understandable definition of "heat" or "heatwaves" can affect how a population perceives and responds to extreme heat. Still, little is known about how heat perception affects behavior changes to heat and heat communication across diverse populations. This scoping review aims to identify and describe the main themes and findings of recent heat perception research globally and map critical research gaps and priorities for future studies. Results revealed risk perception influences a person's exposure to and behavioral response to excessive heat. Risk perception varied geographically along the rural-urban continuum and was typically higher among vulnerable subgroups, including populations who were low-income, minority, and in poor health. A more integrated approach to refining risk communication strategies that result in a behavioral change and incorporates the individual, social, and cultural components of impactful group-based or community-wide interventions is needed. Research employing longitudinal or quasi-experimental designs and advanced statistical techniques are required to tease apart the independent and interacting factors that causally influence risk communication, heat perception, and adaptive behaviors. We advance a framework to conceptualize the structural, environmental, personal, and social drivers of population heat risk perception and how they interact to influence heat perception and adaptive behaviors. Our findings map future research priorities needed for heat perception and a framework to drive future research design.

Heat-health action plans in Europe: Challenges ahead and how to tackle them

High temperatures have periodically affected large areas in Europe and urban settings. In particular, the deadly 2003 summer heat waves precipitated a multitude of national and subnational health prevention and research efforts. Building on these and other international experiences the WHO Regional Office for Europe developed and published in 2008 a comprehensive framework for prevention, the heat-health action plans (HHAPs). This provided a blueprint used by several national and subnational authorities to design their prevention efforts. A decade after the publication of the WHO guidance, a wealth of new evidence and acquired implementation experience has emerged around HHAP effectiveness; heat exposure; acclimatization and adaptation; heat-health governance and stakeholder involvement; and the role of urban design and greening interventions in prevention. This evidence and experience can guide the strategies to tackle current and upcoming challenges in protecting health from heat under a warming climate.

A Survey of Rural Residents' Perception and Response to Health Risks from Hot Weather in Ethnic Minority Areas in Southwest China

Ethnic minority areas in southwestern China are facing frequent high-temperature heatwaves. The health risk perceptions and responses of the local residents need to be investigated in order to formulate public policies to mitigate the impacts of climate change on health. In this study, a household survey was conducted in Pengshui Miao and Tujia Autonomous County of Chongqing from January to February 2019. A total of 624 local residents were sampled using the multi-stage sampling method. We used multivariate logistic regression models to explore the factors affecting risk perceptions and responses with regard to hot weather. The results showed that despite a relatively high level of risk perception, the study population had a very low level of willingness to see a doctor (24.4%), especially ethnic minority residents (17.5%). In particular, 80% of residents were aware of climate warming and 79% of residents were aware of the health risks of hot weather. Almost all survey participants reported a response to hot weather, with more than half of the participants stating that they would go somewhere cooler (58.5%) and drink more water (56.3%). Compared with the Han Chinese, ethnic minority participants had a higher perception of warm temperature (p <0.001) and associated health risks (p <0.001) but a lower perception of physical discomfort (p <0.001) and aggravated diseases (p = 0.001). The logistic models indicated that ethnic minority, residence time, outdoor working hours, and health status can significantly influence perceptions and subsequently significantly affect coping behaviors. In conclusion, our findings provide significant implications for the development of policies and health education and promotion programs for ethnic minorities in southwest China to aid them in maintaining good health during future hot weather events.