‘Someone else’s blood’: directed blood donation for neonatal transfusion and parental perceptions of risk

In Canada, parents can give blood exclusively for their child’s transfusion, a process known as directed donation. This qualitative study aimed to understand parents’ perceptions in seeking to provide blood for their newborn. Ten parents whose preterm children were cared for in the Neonatal Intensive Care Unit of one Canadian hospital were interviewed. The beliefs and experiences of parents with regard to directed donation were analyzed with reference to their understanding of the risks and benefits of this form of transfusion. Interview data revealed that parents had little knowledge or understanding of the medical benefits and risks of directed donation and based their decision to seek this type of transfusion largely on emotional grounds. In addition, despite their preference for directed donation, most infants whose parents were interviewed in this study, for practical reasons could not be given this type of transfusion. This may have magnified risk perceptions of non‐directed transfusions. Parents need to be better informed about the medical risks and benefits of directed donation and the actual likelihood that their child will be able to receive this type of transfusion.     

Why do parents who usually vaccinate their children hesitate or refuse? General good vs. individual risk

This study examines vaccination hesitancy or refusal following the 2013 polio outbreak in Israel, based on two theoretical models. The first is Sandman’s theoretical model, which holds that risk perception is comprised of hazard plus outrage. The second model is the affect heuristic that explains the risk/benefit confounding. It aims to expose the barriers that inhibited parental compliance with OPV vaccination for their children. The study employed mixed methods – a questionnaire survey (n = 197) and content analysis of parents’ discussions in blogs, Internet sites, and Facebook pages (n = 2499). The findings indicate that some parents who normally give their children routine vaccinations decided not to give them OPV due to lack of faith in the health system, concerns about vaccine safety and reasons specific to the polio outbreak in Israel. Some vaccinated due to a misunderstanding, namely, they believed that OPV was supposed to protect their children, when it was actually for overall societal well-being. This study highlights the difficulty of framing the subject of vaccinations as a preventive measure, especially when the prevention is for society at large and not to protect the children themselves. The findings of this study are important because they provide a glimpse into a situation that can recur in different places in the world where a disease considered to have been ‘eradicated’ returns, and the public is required to take measures which protect the public but which might put individuals at risk. The conclusions from the analysis of the findings of this study are that the public’s risk perception is based on a context-dependent analysis, which the communicating body must understand and respect.     

Looking for a safe haven after fancy thrills: a psychometric analysis of risk perception in alpine tourist destinations

Visitors’ risk perceptions have been found to influence the on‐site behaviour of tourists and their intention to return to a destination or to recommend it to others. The present study analyses the perception of tourism risks in the Tyrol, Austria. Building on the psychometric paradigm, participants (N = 207) assessed 15 vacation risks on nine risk characteristics that are derived from psychometric research and completed with characteristics relevant in a tourism context. Findings suggest that additionally to managing the most likely risks, alpine destinations should be prepared to cope with worst case scenarios such as ‘potable water poisoning’, ‘food poisoning’, ‘breaking of an embankment dam’, ‘rock fall on a village’, ‘cable car accident’ and ‘terrorist attack’. Considering these rather low‐probability risks is of decisive importance since such risks are especially prone to evoke public outrage if they – against all expectations – result in damaging events.     

Book Review

This research examines two modes of assessment of environmental health risks and the transformation of these risks into public health issues while relying on the specific case of well‐water toxicity and mega dose of electromagnetic radiation found in one prosperous town in the center of Israel – Ramat ha‐Sharon. Based on official and scientific documentation and interviews conducted at three time periods with randomly selected town residents from contaminated neighborhoods (N = 169), this study shows the discrepancy between the ‘objective’ experts’ standards for assessing environmental health risks and the public’s subjective perception and evaluation of the impact of these risks on their health and well‐being. Even though, by experts’ standards, the well‐water toxicity remained constant over the three interview sessions, Ramat ha‐Sharon town residents’ subjective levels of concern and perception of risk fluctuated as a function of news media and municipality announcements and residents’ perceived ability to minimize the risk. This study also shows the complex and multidisciplinary nature of environmental health risk assessments and the need to relocate them into the broader socioeconomic and political context in which they are embedded.     

Engagement on risk and uncertainty – lessons from coastal regions of Fukushima Prefecture,Japan after the 2011 nuclear disaster?

This paper uses the case study of the south-east coast of Fukushima Prefecture in Japan to draw lessons for risk communication under situations of high uncertainty and conditions of varying trust. Based on an existing field of research into the social and ethical aspects of governing risks around environmental radioactivity, empirical qualitative material collected in Fukushima Prefecture over 2014 and 2015 is analysed around three key questions: who is undertaking risk communication and how they are perceived (in particular their motivations and perceived competence); what is the purpose of engagement with citizens and stakeholders on risk and uncertainty (i.e. whether it is to ‘convince’ people or allow them to come to their own informed decision); and whether risk communication may be considered responsive to the needs of the affected populations. The findings are then applied to Kasperson’s four questions for the future of risk communication in order to assess their wider implications. Particular attention is paid to how the individual or institution conveying the risk message is perceived, and in whose interests risk communication is undertaken.     

Accountants as Emotional Wellbeing Counsellors in Rural Areas

The role of accountants in dealing with the social, emotional and stress‐related problems of their clients is explored using semi‐structured interviews with owner‐accountants and regional development workers. Findings indicate the importance to rural communities and the related public of accountants acting as ‘emotional wellbeing counsellors’; a role they are pressured to accept by their clients and community, and for which they are neither formally educated nor trained. Implications are drawn for effective counselling preparation of accounting graduates and practising accountants by educators and professional associations.     

Risk as perceived by the German public: pervasive risks and “switching” risks

In 2001, a major project on the perception and evaluation of risks in southern Germany was conducted consisting of survey data as well as of semi‐structured interviews. With reference to the psychometric paradigm, this article analyzes public risk perception, pointing out the perceived risk semantic for nuclear energy, GM‐food, mad cow disease (BSE), crime, global climate change, mobile telephony and its radiation risks. These hazards reveal different patterns of risk perception and different levels of risk acceptability. Secondly, a comparison of qualitative and quantitative findings will be conducted: qualitative analyses indicate that the results of quantitative rating scales on the perception, evaluation and acceptance of technical and environmental hazards might be misleading since the public's focus on risks as elicited by open association stimuli relies much more on ‘everyday‐life’ and ‘pervasive’ risks than for instance on hazards emerging from new technologies. The relevance of technological risks tends to be dependent on the context: If explicitly mentioned in newscasts, in debates or listed in questionnaires memories, fears or other immediate responses become activated, yet they may be forgotten a short time later. We have called this phenomenon “switching effect” and the respective risks “switching risks”. In standardized opinion polls such ‘switching effects’ may evoke firm judgments, even if the importance in the interviewee's mental representation seems marginal.     

Examining inequities in children’s environmental health: results of a survey on the risk perceptions and protective actions of new mothers

Young children are more highly exposed and vulnerable to environmental health hazards than adults due to a variety of physiological and behavioural factors. Despite the significant responsibility mothers typically bear in managing their children’s health, little is known about how they perceive and negotiate these risks in their day-to-day lives. To better understand mothers’ environmental health risk perceptions and associated protective actions across socio-economic and geographic contexts, a telephone survey was conducted among new mothers (n = 606) recruited through two Public Health Units in Ontario, Canada. Analyses revealed that approximately half of the respondents were moderately or highly concerned about environmental health risks, ranging in nature from household products to outdoor air contaminants. Factors affecting the likelihood of experiencing concern included lower income and lower levels of perceived control. With regard to protective actions, 43% reported taking three or more actions to reduce environmental health risks to their children, with the likelihood of taking action being negatively affected by factors including low income and first language other than English or French, and positively affected by being a first-time parent (primiparous). This study contributes to our understanding of environmental health risk perceptions and associated protective behaviours among new mothers, and has implications for the development of more context-focused risk management and communication strategies.     

Cosmopolitan risk community in a bowl: a case study of China’s good food movement

Abstract

Ulrich Beck fundamentally transformed our way of thinking about human interdependence through his three core theses on risk, individualisation and cosmopolitanisation. However, two commonly observed deficiencies in Beck’s grand theory were its Eurocentric orientation and a lack of empirical grounding. Based on 5 focus groups and 14 interviews with participants of the emerging Clean Food Movement in China, this paper extends the Beckian discussion outside Europe. Through examining how individuals understand both ‘traditional’ and ‘new’ risks associated with contemporary food consumption, this paper demonstrates that in the face of unpredictable and incalculable harms, risks are not seen as a ‘thing’, but are translated into ‘causal relations’. Subsequently, for Chinese stakeholders, the best way to safeguard food risks is to enact more visible and functioning interdependent relations in the food system. This in turn has given rise to new forms of communities which cut across conventional geographic, socio-economic and political boundaries. The paper deepens a Beckian theorisation in two ways. First, it demonstrates that the ‘enabling’ effect of risk towards a cosmopolitan society is not limited to obvious global crises, such as climate catastrophes and financial meltdown. In fact, the mundane yet intimate concern of putting ‘good’ food in one’s dinner bowl already presses actors to form new social solidarities that are cosmopolitan in nature. Second, it goes beyond Beck’s assertion that the risk society has culminated in a cosmopolitan moment, and explores how a performative cosmopolitan community reshapes the ‘relations of definition’ to mitigate risks on the ground.     

Views of Risk in Sweden: Global Fatalism and Local Control — An Empirical Investigation of Ulrich Beck's Theory of New Risks

Ulrich Beck's theory of risk society has been criticised because there is lack of empirical evidence. By comparing people with different life contexts and experiences, the aim of this study was to investigate how these people view risk, and if ‘new’ risks are perceived differently by different groups in society. Five focus‐group interviews were conducted in Sweden, in 2004/05, with people in rural and urban areas, people with a foreign background and experts. The groups consisted of four people each and lasted for two hours. The results show that ‘new’ risks are not something people worry about; ‘risk’ is associated with personal experiences and life context. This indicates a traditional or at least modern way of viewing risk, and contradicts the idea of a reflexive view of risk. However, a division between the urban versus the rural‐migrant groups appears: the expert‐urban groups show a more global—fatalistic strategy to handle of risk, while the rural—migrant group shows a more traditional approach to risk, where control and the local context are in focus.     

Experiencing risk: the effect of the experiential life-skills centre ‘Warning Zone’ on children’s risk perception

This study examined the psychological effects of the Warning Zone experiential life-skills centre on risk perception. The aim of Warning Zone is to educate children about dangers and risks they may encounter in everyday life, with a view to preventing injury. To evaluate changes in risk perception, a quasi-experimental study was undertaken in which children’s risk perception was measured before, after, and one month after the Warning Zone experience. This research also examined children from different types of schools, in order to assess socio-economic factors. Children’s risk perception increased significantly after Warning Zone, and this significant increase was retained one month later. Differential effects of Warning Zone were found between children from different school types, as were pre-existing differences in risk perception between these groups. Children from more deprived backgrounds had better understanding of risks prior to their visit to Warning Zone and a month later had better retained the message of Warning Zone about risks. We conclude that Warning Zone is effective at raising children’s perceptions of risk.     

What role for social scientists in risk expertise?

When it comes to risks – health and environmental risks, like those linked to the use of nanotechnologies, pesticides, etc. – three main groups of actors are easily identified, brought together through boundary organisations such as environmental and sanitary risk agencies: the natural and technical scientists, who provide their expertise to assess risks (especially toxicologists, epidemiologists and microbiologists); the policy makers, who take decisions regarding risk management and risk regulation; the lay public, who are more and more involved in participatory frameworks. Sometimes three other groups of actors are added: the ‘economists’ who can for instance conduct cost–benefit assessments or multi-criteria analyses (especially ecological economists, public economists, political economists and social economists); the ‘philosophers’/‘ethicists’ who can use ethics to highlight moral choices and responsibilities in face of risks; and the ‘jurists’/‘legal experts’ who can justify authorisation or interdiction according to law. Inversely, there is a group of actors which is not clearly identified, that of social scientists, even though a considerable quantity of social science knowledge on risk has been produced. Why is there such a discrepancy? This article, based on a critical review of the literature, aims to make sense of the fuzziness surrounding the involvement of social scientists when it comes to risk expertise. The article shows that one reason for this puzzling situation is to be found in the gap between what social scientists often want to do when they are called in as risk experts and what natural scientists and public policy makers actually expect from them.     

Mobile phone masts,social rationalities and risk: negotiating lay perspectives on technological hazards

This paper examines the responses of 37 participants in six focus groups to media representations of the health risks associated with mobile phone masts (‘base stations’) in the light of theoretical debates concerning non‐expert understandings of risks (variously characterised as ‘lay rationality’, lay epidemiology’, popular epidemiology’, ‘public knowledges’, ‘social rationality’ and ‘intuitive risk judgements’). In particular, the study discusses the extent to which two particular manifestations of such understandings – non‐mediated contextual and personal knowledges (‘multiple information sources’), and risk comparisons made between mobile phone masts and a variety of other perceived health risks – are prominent in respondents’ discursive constructions of risk. The paper suggests that analyses of risk responses such as these should differentiate clearly between classes of risks, and avoid suggestions that any particular type of risk response can be unproblematically mapped onto other risk scenarios.     

Confidence,knowledge, and compliance with emergency evacuation

This article considers how risks are responded to through behavioral adaptations and avoidance strategies. We observe that such behavior can become totemistic and have a limited relationship to the risk it ostensibly answers to. Drawing upon examples such as recycling and original data from a study on drink‐spiking avoidance, the article sets out a new concept for discussing and understanding such risk‐related behavior: the ‘risk ritual’. We elaborate upon this concept in the article, identifying a number of tendencies in risk rituals and drawing upon anthropological and sociological work on the nature and uses of ritual. We compare the ‘risk ritual’ to religious and community rituals, exploring the connections between the former and the rain dance, religious ablutions, abstinence from eating meat on a Friday, and rite of passage ceremonies. Influenced by the cultural approach to risk, we argue that risk rituals, like rituals more generally, are shaped by social conditions, currents, and processes, such as the emphasis on personal responsibility for risk management and the desire to mark out the ‘sacred’ and the ‘profane’. The article concludes that ritualistic risk behavior is better viewed as functional rather than irrational.     

Transparency and trust in the European pharmaceutical sector: outcomes from an experimental study

Many European pharmaceutical regulators have committed to a more open, inclusive, and transparent model of regulatory decision-making in recent years. Yet, based on little empirical evidence, they have overwhelmingly adopted ‘fishbowl’ transparency measures, ‘the full disclosure of information without explanatory information or contextualization’ (e.g. heightening access to raw data). This paper conveys recent findings from an open-ended questionnaire with 200 face-to-face interviews carried out in the UK and the Netherlands. The study provides evidence on how members of the public are likely to react to ‘fishbowl’ transparency policies and receiving decontextualized data. After showing respondents raw data from a periodic safety update report that regulators are proposing to proactively release, the survey found they were shocked, concerned, and more worried, while many said they would reconsider taking their medicines and seek further advice. Based on these findings, the authors argue that enhancing ‘transparency’ needs to be integrated with effective, evidence- and science-based benefit/risk communication.     

Don't They Care? Or,Are They Just Unaware? Risk Perception and the Demand for Long‐Term Care Insurance

The potential need for long‐term care (LTC) is one of the greatest financial risks faced not only by the elderly but also by their adult children, who often provide care or financial assistance. We investigate adult children's role in the demand for LTC insurance. Similar to flood insurance, we find that demand for LTC insurance is low due to low risk perception. The more aware adult children are of the risk, the more likely LTC insurance is to be purchased, either by the children themselves on behalf of their parents or by the parents under the influence of their children.     

Influences of individual-level characteristics on risk perceptions to various categories of environmental health and safety risks

Over the last five decades, social science researchers have examined how the public perceives the risks associated with a variety of environmental health and safety (EHS) hazards. The body of literature that has been emerged diverse both in the methodology employed to collect and analyze data and in the subject of study. The findings have confirmed that risk perceptions vary between groups of individuals as well as between categories of EHS risks. However, the extant literature on EHS risk perceptions has failed to provide empirical insights into how risk perceptions can be best explained according to the interplay of both (1) the category of EHS hazard appraised and (2) the prominent individual-level characteristics that best explain observed risk perception differences. This study addresses this deficiency in the literature by providing insights into the individual and cumulative roles that various individual-level variables play in characterizing risk perceptions to various categories of EHS risks including ‘agentic risks’ like street drug use and cigarette smoking, ‘emerging technological risks’ like nanoparticles and cloning, and ‘manufacturing risks’ like air and chemical pollution. Our data are drawn from the 2009 Citizens, Science, and Emerging Technologies national study of United States households that investigated public perceptions of EHS risks, traditional and emerging media use, and various individual characteristics like personal demographics, socioeconomic factors, and perceptual filters. The findings show that some categories of EHS risks like those associated with emerging technologies may be more easily predicted than other categories of risks and that individual-level characteristics vary in their explanative power between risk categories even among a single sample of respondents.     

Shifting risk to the frontline: case studies in different contract working environments

An extensive body of safety literature and research discusses the integral role of rules and procedures in managing workplace hazards, ensuring worker safety, and safeguarding the environment. Nevertheless, organizational accidents and workplace injuries continue to occur, and individual employees often bear the brunt of responsibility. This paper examines how risk becomes shifted to individuals at the bottom of supply chains, focusing on two different groups of contract workers. Specifically, it draws on case studies conducted in Australia – one on civil contractors working around hazardous infrastructure and one on athletes who are subject to anti-doping requirements. A comparison of the two cases and their distinctive elements illuminates the ways in which structural pressures, organizational dynamics, and context-specific conditions influence the risks shouldered by individuals. Our analysis shows that, in both cases, adverse outcomes are widely seen as the responsibility of contract workers, prompting other actors to judge them as blameworthy. In doing so, risk in various forms (e.g. safety, financial, reputational) becomes shifted onto workers who are constrained by contracts and away from away from higher level actors and organizations that are generally in more powerful positions than frontline workers. This finding suggests that the burden of accountability and potentially liability is borne primarily by frontline workers. Because of this focus, it is easy to lose sight of organizational and structural conditions that contribute to the risks revealed at the individual level. Through an analysis of 57 interviews across both sectors, complemented by participant observations and a media review, this paper underscores the importance of critically considering not only individual worker actions, but also how regulation can support the diversion of risk, responsibility, and liability onto frontline workers.