Laypeople's Health Concerns and Health Beliefs in Regard to Risk Perception of Mobile Communication

The consensus scientific view is that there is an absence of convincing scientific evidence for health risks of exposures to electromagnetic fields (EMF) at levels below those recommended in international guidelines. Nevertheless, some citizens are worried about EMF emitted by mobile communication and its consequences for health. The present study explored, by means of a mail survey, health concerns and the prevalence of health beliefs related to EMF in the general population. A random sample (n = 765, response rate 41%) of the German-speaking population in Switzerland was asked to assess various health beliefs. Results suggest that health concerns are widespread but lower than health concerns in regard to other hazards. About two-thirds of the respondents believed that some people suffer from electromagnetic hypersensitivity (EHS). Health beliefs items were analyzed using the Mokken scale. This scale was related to respondents' health concerns and showed that health beliefs differed in regard to sociodemographic variables. For example, analyses showed that females, younger respondents, and respondents who believed that some people are affected by EHS endorsed significantly more health beliefs than males, older respondents, and non-EHS respondents. Results indicate that it is important for policy-makers to develop a clear understanding of the possible effects of health beliefs on health concerns and risk perception. These findings may provide guidance for the further development of information materials and strategies.     

Assessment of Human Health and Ecological Risks Posed by the Uses of Steel-Industry Slags in the Environment

Steel-industry slag, a co-product of iron and steel production, is produced and sold for use in a wide range of applications. A comprehensive study of the potential human health risks associated with the environmental applications (e.g., fill, roadbase, landscaping) of iron- and steel-making slag was performed using characterization data for 73 samples of slag collected from blast furnaces, basic oxygen furnaces, and electric arc furnaces. Characterization data were compared to regulatory health-based “screening” benchmarks to determine constituents of interest. Antimony, beryllium, cadmium, trivalent and hexavalent chromium, manganese, thallium, and vanadium were measured above screening levels and were assessed in an application-specific exposure assessment using standard U.S. Environmental Protection Agency risk assessment methods. A stochastic analysis was conducted to evaluate the variability and uncertainty in the inhalation exposure and risk estimates, and the oral bioaccessibility of certain metals in the slag was quantified. The risk assessment found no significant hazards to human health as a result of the environmental applications of steel-industry slag. However, site-specific ecological risk assessment may be required for slag applications in and around small water bodies with limited dilution volume, because high pH and aluminum were found to leach at levels that may be harmful to aquatic life     

Environmental Health Risk Perception of a Nationwide Sample of Taiwan College Students Majoring in Engineering and Health Sciences

The present study aims to characterize Taiwan college students’ risk perception on 26 environmental health hazards, and to identify influential factors contributing to their perceived risk. A total of 1218 nationwide college students and 35 professors participated in the study. Despite their varying demographic background, the students on average show very similar perceived relative risks, particularly for hazards of high-rank risk. Aggregate-level data analyses show that the perceived risk of a hazard increases with its increasing dreadfulness, but decreases with its increasing unknown to the participants. On the other hand, the factors contributing to the perceived risk by an individual are more complex. The dread component is the dominant factor affecting both the students’ and professors’ perceived risk. However, unlike the students, the professors’ perceived risk is also strongly driven by considerations for the exposure characteristics, the uncontrollable nature, and the newness of a hazard. It is notable that, for certain hazards, the perception gaps between the students and professors are substantial, thus highlighting areas of interest for additional risk communication efforts.     

Framework for the Integration of Health and Ecological Risk Assessment

The World Health Organization's International Programme on Chemical Safety (IPCS), the Organization for Economic Cooperation and Development (OECD), and the U.S. Environmental Protection Agency have developed a collaborative partnership to foster integration of assessment approaches for human health and ecological risks. This paper presents the framework developed by that group. Integration provides coherent expressions of assessment results, incorporates the interdependence of humans and the environment, uses sentinel organisms, and improves the efficiency and quality of assessments relative to independent human health and ecological risk assessments. The paper describes how integration can occur within each component of risk assessment, and communicates the benefits of integration at each point. The goal of this effort is to promote the use of this internationally accepted guidance as a basis for harmonization of risk assessment.     

Approaches for Integrated Risk Assessment

Recognizing the need to enhance the effectiveness and efficiency of risk assessments globally, the World Health Organization's International Programme on Chemical Safety, the U.S. Environmental Protection Agency, the European Commission, and the Organization for Economic Cooperation and Development developed a collaborative partnership to foster integration of assessment approaches used to evaluate human health and ecological risks. The objectives of this effort included: improving understanding of the benefits of integration, identifying obstacles to the integration process, and engaging key agencies, organizations, and scientific societies to promote integration. A framework with supporting documentation was developed to describe an approach for integration. Four case studies were constructed to illustrate how integrated risk assessments might be conducted for chemical and nonchemical stressors. The concepts and approaches developed in the project were evaluated in an international workshop. The goal of this effort was international acceptance of guidance for integrated risk assessment.     

Socioeconomic variations in responses to chest pain: qualitative study

ObjectiveTo explore and explain socioeconomic variations in perceptions of and behavioural responses to chest pain.DesignQualitative interviews.SettingCommunity based study in Glasgow, Scotland.Participants30 respondents (15 men and 15 women) from a socioeconomically deprived area of Glasgow and 30 respondents (15 men and 15 women) from an affluent area of Glasgow.ResultsResidents of the deprived area reported greater perceived vulnerability to heart disease, stemming from greater exposure to heart disease in family members and greater identification with high risk groups and stereotypes of cardiac patients. This greater perceived vulnerability was not associated with more frequent reporting of presenting to a general practitioner. People from the deprived area reported greater exposure to ill health, which allowed them to normalise their chest pain, led to confusion with other conditions, and gave rise to a belief that they were overusing medical services. These factors were associated with a reported tendency not to present with chest pain. Anxiety about presenting among respondents in the deprived area was heightened by self blame and fear that they would be chastised by their general practitioner for their risk behaviours.ConclusionsImportant socioeconomic variations in responses to chest pain may contribute to the known inequities in uptake of secondary cardiology services. Primary care professionals and health promoters should be aware of the ways in which perceptions of symptoms and illness behaviour are shaped by social and cultural factors.

What is already known on this topic

Socioeconomic variations in rates of angiography and revascularisation existAmong socioeconomically deprived patients with a diagnosis of angina, barriers to accessing services include fear, denial, low expectations, and diagnostic confusion

What this study adds

Perceived vulnerability to heart disease is associated with socioeconomic deprivation and is underpinned by positive family history and identification with high risk groups and stereotypesGreater perceived vulnerability to heart disease does not lead to reported presentation in deprived patientsIllness behaviour is influenced by normalisation of chest pain, comorbidity, and poor experience and low expectations of health care, which are more prominent in deprived patients     

Evaluation of farmers' attitude and perception toward production risk: Lessons from Khyber Pakhtunkhwa Province,Pakistan

The variations in farming risk are classified into three key categories: market liberalization, natural disasters such as floods or drought, and climate change. This study aims at filling the existing research gap by the assessment of risk attitude and risk perceptions toward various types of risks. Primary data of 600 respondents were collected through a structured questionnaire in four flood-prone districts namely Peshawar, Mardan, Charsadda, and Nowshera of Khyber Pakhtunkhwa (KP) province of Pakistan. Equally Likely Certainty Equivalent and risk matrix techniques were utilized in determining the risk attitude and risk perceptions among the farmers. A probit regression model was used to analyze the relationships among dependent and independent variables. Findings of the study show that majority of the farmers were risk-averse, and floods, high input prices, crop diseases, and excessive precipitation were the main risks perceived by the farmers. Results of the probit regression model indicated that age, education level, farm location, off-farm income, and access to market information were the main factors that affect the farmers' risk attitude and perceptions. The research offers essential findings that can be used by policy-makers in the farming sector and researchers to understand risk attitude and perceptions of farmers empirically.     

Designing research funding schemes to promote global health equity: An exploration of current practice in health systems research

International research is an essential means of reducing health disparities between and within countries and should do so as a matter of global justice. Research funders from high‐income countries have an obligation of justice to support health research in low and middle‐income countries (LMICs) that furthers such objectives. This paper investigates how their current funding schemes are designed to incentivise health systems research in LMICs that promotes health equity. Semi‐structured in‐depth interviews were performed with 16 grants officers working for 11 funders and organisations that support health systems research: the Alliance for Health Policy and Systems Research, Comic Relief, Doris Duke Foundation, European Commission, International Development Research Centre, Norwegian Agency for Development Cooperation, Research Council of Norway, Rockefeller Foundation, UK Department of International Development, UK Medical Research Council, and Wellcome Trust. Thematic analysis of the data demonstrates their funding schemes promote health systems research with (up to) five key features that advance health equity: being conducted with worst‐off populations, focusing on research topics that advance equitable health systems, having LMIC ownership of the research agenda, strengthening LMIC research capacity, and having an impact on health disparities. The different types of incentives that encouraged proposed projects to have these features are identified and classified by their strength (strong, moderate, weak). It is suggested that research funders ought to create and maintain funding schemes with strong incentives for the features identified above in order to more effectively help reduce global health disparities.     

Current Perspectives on Issues in Risk Assessment Methods

The Office of Research and Development (ORD) of the U.S. Environmental Protection Agency was reorganized in 1995 to follow the risk assessment paradigm developed by the National Research Council. With the reorganization, a number of different research strategies and plans were developed on problem-driven topics (e.g., arsenic, particulate matter, and microbial pathogens/disinfectant byproducts) as well as on core research (e.g., ecological research, human health risk assessment research, and pollution prevention research). The human health risk assessments research strategy, which is currently under development, addresses a variety of issues which affect all human health risk assessments. These include mechanism of action, variation in response, aggregate risk, and effect on public health. While all of the issues that have been identified are important, the challenge to ORD is to identify which will have the greatest impact on improving risk assessment so that resources can be most strategically applied.     

Metals that Drive Health-Based Remedial Decisions for Soils at U.S. Department of Defense Sites

This study was undertaken to establish which metals are most likely to drive the risk-based remedial decision-making process at those U.S. Department of Defense (DoD) sites that are affected by metals in site soils. Our approach combined queries of various databases, interviews with U.S. Environmental Protection Agency (USEPA) experts in each Region, and communication with database administrators and DoD personnel. The databases that were used were comprehensive for DoD sites, yet sometimes contained inaccuracies. Metal concentration data for various DoD facilities were screened against established regulatory criteria for both human health and ecological endpoints. Results from this analysis were compared against the information gleaned from the interviews. This preliminary analysis indicates that the five metals that most frequently exceeded risk-based screening criteria for potential human health concerns at DoD sites, in descending order of frequency, are lead, arsenic, cadmium, chromium, and antimony. The metals that most frequently exceeded ecological screening criteria, in order, are lead, cadmium, mercury, zinc, arsenic, chromium, and selenium. Although the majority of USEPA personnel interviewed indicated that human health risk, rather than ecological endpoints, generally drives remedial decision-making, the data indicated that ecological screening thresholds were exceeded more often than human health standards.     

Social mapping of perceived ecosystem services supply – The role of social landscape metrics and social hotspots for integrated ecosystem services assessment,landscape planning and management

This paper contributes to the discussion on integrating societal considerations, stakeholders' perceptions and laymen knowledge into ecosystem services (ES) assessments. The paper illustrates how social mapping of perceived ES supply (or alternatively demand) can contribute to integrated ES assessment. Based on sketched locations of the, according to 38 respondents, most important ES at the local scale, we describe the perceived ES distribution with social landscape metrics (abundance, diversity, richness, risk, rarity) based on traditional landscape ecology indicators. We illustrate how social landscape metrics can inform ES management and planning and describe how synergies between ES as stated by the respondents differ from calculated synergies (the latter based on correlation coefficients between perceived ES abundance). We present indicators pointing to locations where (multiple) ES synergies are perceived by stakeholders (stated synergy index), and to conflicting ES and ES perceived to be at risk (risk index). Overlapping social ES hotspots based on the social landscape metrics with ES hotspots based on more traditional biophysical modelling (biophysical hotspots) and ecological inventories (ecological hotspots) results in social–ecological or social–biophysical hotspots, coldspots and warmspots relevant for nature and landscape planning, management and governance. Based on an analysis of the overlaps between social, biophysical and ecological hotspots on the one hand, and the contribution of ecological quality, land zoning categories and conservation statuses on the other hand, we discuss the added value of integrating social ES mapping in integrated ES assessment, above ES assessments based on biophysical or ecological attributes. Given the limited overlap between social hotspots and ecological or biophysical hotspots, we conclude that integrating stakeholders' mapping of perceived ES supply (or demand) into ES assessments is necessary to reflect the societal aspects of ES in ES assessments. However, with a limited sample of respondents, there is a risk of collectivisation of respondents' viewpoints as a common, societal stance. Moreover, the social landscape metrics are not suitable for describing the distribution of ES with low perceived abundance. Finally, we explain how social ES assessment can result in mainstreaming ES in planning, policy and practice.     

Patterns of bushmeat hunting and perceptions of disease risk among central African communities

There is a great need to determine the factors that influence the hunting, butchering and eating of bushmeat to better manage the important social, public health and conservation consequences of these activities. In particular, the hunting and butchering of wild animals can lead to the transmission of diseases that have potentially serious consequences for exposed people and their communities. Comprehension of these risks may lead to decreased levels of these activities. To investigate these issues, 3971 questionnaires were completed to examine the determinants of the hunting, butchering and eating of wild animals and perceptions of disease risk in 17 rural central African villages. A high proportion of individuals reported perceiving a risk of disease infection with bushmeat contact. Individuals who perceived risk were significantly less likely to butcher wild animals than those who perceived no risk. However, perception of risk was not associated with hunting and eating bushmeat (activities that, compared with butchering, involve less contact with raw blood and body fluids). This suggests that some individuals may act on perceived risk to avoid higher risk activity. These findings reinforce the notion that conservation programs in rural villages in central Africa should include health-risk education. This has the potential to reduce the levels of use of wild animals, particularly of certain endangered species (e.g. many non-human primates) that pose a particular risk to human health. However, as the use of wild game is likely to continue, people should be encouraged to undertake hunting and butchering more safely for their own and their community's health.     

Factors influencing stakeholders' attitudes toward cross-kingdom gene transfer in rice

The purpose of this study was to identify the relevant factors influencing stakeholders' attitudes toward the transfer of an animal (mouse) gene into rice for vitamin C enhancement. A survey was carried out on 434 respondents from various stakeholder groups in Malaysia. Results of the survey have confirmed that attitudes toward cross-kingdom gene transfer, such as genetically modified (GM) rice, are the result of a complex decision-making process that involves the cumulative interaction of various factors. The most important direct predictors of a positive attitude toward GM rice were specific application-linked perceptions about the religious acceptability and risks of such rice. The attitude toward GM rice also involves interplay between other factors, such as familiarity and the perceived benefits of GM rice, and more general attitudinal variables, such as moral beliefs about biotechnology, attitudes toward labeling, attitudes toward patenting, attitudes toward nature, and confidence in biotechnology regulations.     

Evaluation of groundwater contamination for fluoride and nitrate in semi-arid region of Nirmal Province,South India: A special emphasis on human health risk assessment (HHRA)

The main aim of this study was to assess the groundwater quality and human health risks of fluoride and nitrate contamination in Nirmal Province, South India, where groundwater is the primary source for drinking water. Hazard quotient (HQ) and total hazard index (THI) were calculated to estimate the non-carcinogenic risk to men, women, and children using the most substantial method recommended by United States Environmental Protection Agency (USEPA). The results of the study reveal that 26% and 20.59% of groundwater samples have significantly high nitrate and fluoride concentrations, exceeding the maximum permissible limits set by Bureau of Indian Standards (45 mg/L and 1.5 mg/L, respectively). Therefore, ingestion of high fluoride and nitrate water could be the chief reason for health risk in the study region. The total non-carcinogenic health risks for men, women, and children ranged from 2.95E?01 to 4.07E+00, 3.49E?01 to 4.80E+00, and 3.99E?01 to 5.50E+00, respectively. Moreover, 67.65%, 79.41%, and 82.35% of the total collected groundwater samples exceeded the permissible limit for acceptable total health index (THI = 1) for men, women, and children, respectively. Therefore, the health risk assessment suggests that children face higher health risk than men and women in the study region.     

沈阳某冶炼厂废弃厂区的人类健康风险评价

以沈阳某冶炼厂废弃厂区重金属污染监测为依据,采用美国环保局最新的人类健康风险评价标准方法对沈阳某冶炼厂废弃地块污染土壤进行了评价,并且假设未来该土地利用类型为工业用地(Ⅰ)或休闲用地(Ⅱ).评价结果显示:工业用地(Ⅰ)和休闲用地(Ⅱ)的累积非致癌风险指数分别为2.65×10-2和3.67×10-2;工业用地(Ⅰ)和休闲用地(Ⅱ)由呼吸摄入Cd造成的潜在致癌风险指数分别为4.48×10-9和7.30×10-10,不会对在该地区工作和休闲的人们造成身体健康上的伤害;无论是工业用地假设还是休闲用地假设,由无机铜造成的人类健康风险在整个风险中所占的比例最大;由美国环保局的人类健康风险评价方法反推得出的冶炼厂地块未来为工业用地的土壤修复目标值均小于我国工业企业土壤环境质量风险评价基准值.     

Arsenic in vegetables poses a health risk in the vicinity of a mining area in the southern Hunan Province,China

The main objectives of the present study were to investigate the levels of arsenic (As) in 23 vegetable species planted on As-polluted soil and assess the human health risks of contaminated vegetable consumption. The target hazard quotient (THQ) and target cancer risk (TR) methods were employed to evaluate the human health risks posed by exposure to As through vegetable consumption. Our results indicate substantial As contamination of the experimental soil. Significant differences were detected in the concentrations of total and inorganic As in the edible parts of the various vegetables grown on contaminated soil, which were generally in the following order: leafy vegetables > stem vegetables > root vegetables > melon and fruit vegetables. The total THQ value for As due to vegetable consumption for children (4.81) was higher than that for adults (3.66), the TR values for As due to vegetable ingestion for adults (1.65 × 10^?3) and children (2.17 × 10^?3) were significantly beyond the range of acceptable risk (10-6–10-4) recommended by the US Environmental Protection Agency and the maximum acceptable risk value (5.0 × 10^?5) recommended by the International Commission on Radiation Protection, which clearly poses a dangerous health risk for residents consuming vegetables in the long-term in the study area.     

Framework for Human Health Risk Assessment

The U.S. Environmental Protection Agency has recognized the need to develop a framework for human health risk assessment that puts a perspective on the approaches in practice throughout the Agency. In response, the Agency's Risk Assessment Forum has begun the long-term process of developing a framework for human health risk assessment. The framework will be a communication piece that will lay out the scientific basis, principles, and policy choices underlying past and current risk assessment approaches and will provide recommendations for integrating/harmonizing risk assessment methodologies for all human health endpoints.     

Chemical speciation of some heavy metals and human health risk assessment in soil around two municipal dumpsites in Sagamu,Ogun state,Nigeria

Environmental and health risk posed by heavy metals from municipal landfill cannot be over emphasized. However, the toxicity and fate of metal in the soil is dependent on its chemical form and therefore quantification of the different forms of metal is more meaningful than the estimation of its total concentration. This study investigated the chemical form and potential hazards of heavy metal pollution at two municipal landfills in Sagamu, Ogun state, Nigeria. Soil samples were collected around the landfills and chemical form of Cu, Zn, Cd, Pb, and Fe were studied, using the Tessier Five-step sequential chemical extraction procedure. The results showed that Cu and Fe were speciated into residual fractions with averages of 23.9 and 31.3% respectively, while Cd and Zn were associated with Carbonate fractions with respective averages of 20.3 and 20.6%. The order of mobility and bioavailability of these metals are: Cd > Pb > Cu > Zn > Fe. A comparison of the result of total extractible metals with standard set by USEPA reveals that Cd and Cu level in the dumpsite soils are far above the critical permissible limit of 3.0 and 250 mg kg^?1, respectively which potent a health risk. Assessment of soil pollution level using geoaccumulation index (I_geo) revealed that the landfill was extremely polluted by Cd (I_geo > 5). Pearson correlation and principal component analysis showed that there were no significant correlations (p < 0.05) among all the metals, suggesting that they are all from different anthropogenic sources. The cancer risk ranged from 1.36E?01 to 2.18E?04 and 5.82E?01 to 9.35E?04 for Children and Adult respectively. The level of cancer risk falls above the threshold values (10^?4–10^?6) which US Environmental Protection Agency considered as unacceptable risk. Based on the above findings, it was suggested that environmental management policy should be implemented to decrease the environmental risks.     

Indicators for Human and Ecological Risk Assessment: A U.S. Environmental Protection Agency Perspective

Assessment of risk to public health or environmental resources requires competent characterization of stressors and corresponding effects. Because of the complexity of most stressor-response relationships, it is impossible to completely characterize all the variables, so a select set of measurements is made to reflect the most critical components. Such measurements, or indicators, are included in monitoring programs to estimate trend, stressor source, or magnitude of effects and lead to thresholds for management action or restoration. Although a wide variety of programs and program objectives exists, there are some common challenges for indicator development, including a strong link to management actions. Indicator measurements used in U.S. Environmental Protection Agency (USEPA) risk assessment activities must stem from collaboration among managers, risk assessors, scientists and stakeholders. The primary objective of the USEPA's Fifth Symposium of the National Health and Ecological Effects Research Laboratory was to improve health and ecological risk assessment through dedicated sessions that maximized interaction and discussion among these groups. Existing measurements were challenged for appropriateness, efficiency and scientific validity. Emerging science was explored for greater understanding, better interpretation, and improved methodology. A secondary objective was to uncover and exploit common indicators and supporting data for human health and ecological models.