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.     

Cultural diversity and sustainable futures

This article outlines an approach to the analysis of alternative cultural futures using methods of cultural accounting and scenario analysis. These techniques are developed using a cultural matrix defined by the interrela- tionships between knowledge, technology and the natural environment. Although the methods are illustrated using hypothetical scenarios and stylized data, they may be applied to a variety of culturally diverse societies.     

The siting of a research centre on clean coal combustion and CO2 capture in Spain: Some notes on the relationship between trust and lack of public information

This paper aims to gain a better understanding of the role played by trust in the context of scarcity of public information, vis‐à‐vis the installation of a Centre for Investigation in Advanced Technologies (Centro de Investigación de Tecnologías Avanzadas, CITA) to be located in a coal‐rich region of Spain. Data from semi‐structured interviews (n = 15), a questionnaire survey (n = 400) and focus group sessions (2) are drawn together to reveal how the local community perceives the proposed CITA scheme, and how this relates to the level of trust placed in the project promoters. Results illustrate how a lay community gives meaning to an unknown technological project, trying to place it within its appropriate economic, social and political context, and relating it to prior knowledge and experiences. Results also show that, in contrast to certain risk communication theories, the public is able to place trust in a technological activity and their promoters despite a general lack of knowledge on either.     

Focal points for improving communications about electromagnetic fields and health: a mental models approach

Central to the precautionary policy is the provision of information about electromagnetic fields (EMF) technology, exposures, potential health risks and exposure management actions to the public. To meet this need at the broadest level, beyond the specific technology foci of previous research, a research project was commissioned as part of Dutch Electromagnetic Fields and Health Research Programme. This study provides an assessment of Dutch EMF information needs from an ensemble of sources by addressing people’s existing ideas and beliefs, using a mental models approach. A summary expert model of influences on and consequences of exposure derived from search of the relevant literature is informed by interviews with 15 scientists and professionals with diverse expertise. Although the professionals characterize the physical characteristics and psychological aspects of exposure to EMF in daily life similarly, there is no consensus regarding potential health effects. Interviews with 12 lay people followed by a confirmatory survey of the general Dutch public (n = 403) reveal not only wide variation in beliefs regarding potential health effects of EMF, but also overestimation of the amount of radiation from public sources relative to personal sources of EMF. People do not feel adequately informed by the government about EMF, and knowledge of government policies on EMF is limited. Together, the evidence suggests three focal points for improving EMF risk communications: providing more clarity regarding the uncertainty of evidence for health effects, illuminating personal EMF exposures in daily life and providing more accessible and transparent information on governmental policies.     

Predictors of the perceived risk of climate change and preferred resource levels for climate change management programs

In a 2013 US national public opinion survey, data were collected from 1321 adult respondents for five psychometric variables – Dread, Scientists’ Level of Understanding, Public’s Level of Understanding, Number Affected, and Likelihood – for six threats (sea-level rise, increased flooding, and four others) associated with climate change. Respondents also rated perceived risk and indicated the resource level that they believed should be invested in management programs for each threat. Responses did not vary significantly across the six threats, so they were combined. The survey collected standard demographic information, as well as measuring climate change knowledge and environmental values (New Ecological Paradigm, NEP). Psychometric variables predicted perceived risk extremely well (R = .890, p < .001); all five psychometric variables were significant predictors. The results were generally consistent with previous research except that Scientists’ Level of Understanding was a positive, rather than negative, predictor of perceived risk. Jointly the demographic variables, knowledge, and environmental values significantly predicted perceived risk (R = .504, p < .001). Consistent with previous research, significant positive predictors were age, Democratic Party Identification, and NEP score; significant negative predictors were male gender and White ethnicity. When demographic variables, knowledge, and environmental values were added to psychometric ones, only the psychometric variables were statistically significant predictors. Perceived risk strongly predicted resource level (r = .772, p < .001). Adding demographic, knowledge, and environmental value variables to perceived risk as predictors of resource level did not appreciably increase overall predictive ability (r = .790, p < .001), although White ethnicity emerged as a significant negative predictor and religiosity, Democratic Party Identification, Liberal Political Ideology, and NEP score were significant positive predictors. The results demonstrate that risk perceptions of climate change and policy preferences among climate change management options are highly predictable as a function of demographic, knowledge, environmental values, and psychometric variables. Among these, psychometric variables were found to be the strongest predictors.     

Public priorities and expectations of climate change impacts in the United Kingdom

Irrespective of the success of climate mitigation efforts, societies worldwide face the challenge of adapting to a changing climate. In this paper, we examine UK residents’ expectations of future threats and opportunities associated with climate change impacts, along with willingness to prioritise different climate change impacts for investment. Using a national survey (n = 2007), we report on three main findings. First, UK residents tend to expect threats related to flooding and wet weather to be more likely and concerning than heat extremes or opportunities. Second, UK residents’ expectations of climate change impacts do not align with expert assessments, especially showing lower estimates of heat-related threats as compared to experts. Third, willingness to allocate resources to potential climate change impacts tends to be more strongly associated with anticipated concern should they occur than climate change belief or the expected likelihood of them occurring. We discuss the implications of our findings for policies and communications about climate change adaptation in the UK and elsewhere.     

A quantitative assessment of the insider/outsider dimension of the cultural theory of risk and place

This paper examines two hypotheses of risk perception: cultural theory's distinction between insiders and outsiders and the idea that risk perceptions and their determinants differ substantially from one place to the next for the same point‐source hazard. These hypotheses are juxtaposed in cross‐tabulations and logistic regression models with competing explanations of perceived risk in communities living with technological environmental hazards: sound management, benefits, fair facility siting and sociodemographics. The data come from a telephone survey of 455 residents in Swan Hills (n = 173), Fort Assiniboine (n = 171) and Kinuso (n = 111), Alberta, Canada who are all near a large‐scale hazardous waste treatment facility. Considerable support is found for the insider/outsider thesis in terms of the highest ranked information sources and trust to ensure safety. Place differences are clear where, for example, the least facility‐related concern is in Swan Hills (31%) 12 km away, the highest is in Kinuso (81%) 70 km away and moderately high concern is in Fort Assiniboine (62%) which is also 70 km away. This study highlights the importance of fair facility siting, the need to go beyond cultural bias analysis when studying the cultural theory of risk, and suggests further exploration of the notion of tailoring risk communication that is place specific, and emphasizes channels that may be defined as ‘outsider’ and ‘insider’.     

Revisiting local responses to mass violence

This study examines the extent to which individual and sociological factors relate to worry about mass violence, which, in this study, is investigated as worry about the recurrence of school shootings. First, it is expected that socio-demographic and vicarious event-related factors explain individual variation in worry about mass violence. Second, responses to a localized event may associate with negative perceptions of community solidarity. In addition, individual responses regarding school shootings cannot easily be separated from other forms of insecurity, such as concerns about societal disintegration (e.g. eroding moral values) and popular discussions about crime (e.g. terrorism). Two independent postal surveys were collected from the small Finnish community of Jokela approximately 6 (N = 330) and 18 (N = 278) months after the rampage school shootings in the local high school. Independent samples t tests and linear regression are used as analyses methods. Results from regression analyses of the six-month post-event responses indicate that knowing a victim of a school shooting event relates to increased worry about mass violence. Decreased perceptions of social solidarity are also associating with increased worry after controlling for other individual and sociological factors. After 18 months, both knowing a victim and having school-aged children within one’s household explain even more of the variation in worry, while perceptions of solidarity is no longer a statistically significant predictor. In addition, at both 6 and 18 months, the higher the perceptions of risks to Finnish society from social change and from crime, the higher the worry about mass violence at schools. Surprisingly, the positive association between self-reported subjective anxiety and worry about mass violence does not reach a statistical significance.     

Perceptions of protective actions for a water contamination emergency

Local authorities who believe their water systems are contaminated need to warn those at risk to take protective actions. In the past, such efforts have often achieved only partial success in preventing people from deciding to continue consumption of contaminated drinking water. To examine the possible antecedents of decisions to comply with water consumption advisories, this study examined 110 Boston residents’ actual protective actions and 203 Texas students’ expected protective actions; their perceptions of three protective actions on seven attributes; and their risk perceptions, water contamination experience, facilitating conditions, and demographic characteristics. The profiles of the protective actions for the hazard-related and resource-related attributes suggest reasons why people preferred to use bottled water rather than boil or personally chlorinate water. In particular, perceived effectiveness in protecting health was the most important correlate of protective action, which means that a protective action can have a high level of implementation even though it has poor ratings on other attributes such as cost. In addition, this study indicates public health officials may also need to address people’s misconceptions about the hazard-related and resource-related attributes of any relevant protective actions. Finally, consistent with an extensive body of previous research, students were similar to residents in many important respects even though were some statistically significant differences.     

Business Process Modeling from the Control Perspective: The AI Planning Approach

This paper proposes a new approach for modeling business processes using the AI-Planning paradigm. Based on the concepts of agents, actions, constraints and goals, the AI-Planning approach allows explicit representation of various types of internal controls. Different threats to business processes, such as fraud, can be modeled as planning tasks—that is, finding a sequence of actions that intend to achieve a defined set of goals. Applying modeled threats to models of business processes, a planning reasoner can generate hypothetical scenarios of exposures. Because of its ability to explicitly represent threats, controls and exposures, we argue that the AI-Planning approach is useful for business process modeling from the control perspective.© 1997 John Wiley & Sons, Ltd.     

Re-conceptualizing community in risk research

Community is an important concept for determining the factors that influence peoples’ perceptions of and actions surrounding risk. However, there are multiple and conflicting definitions for the concept of community and scholars operationalize it in various ways. In this paper, we argue for a renewed focus on community as a guiding consideration in discussions of risk management and the related concepts of resilience, vulnerability, and adaptive capacity. We outline classic and current conceptions of community to articulate how its conceptualization in ongoing risk research might lead to different outcomes, foci, or recommendations about collective adaptation. This includes a discussion of how historic and emerging methodological approaches for studying risk make implicit choices about what community is or how it influences collective response. We close by providing a set of potential axioms that can help researchers better integrate the complexity of community into studies of risk and understand how populations respond to it. Better integrating community into studies of risk could promote policies and communication that are tailored to the unique local context of diverse populations. Such tailoring is more likely to promote adoption of risk mitigations among local populations and perpetuate adaptation as a part of local culture. We contend that a more holistic and systematic approach to documenting local context better encompasses the variable influences that community can have on collective ability to respond to risks.     

In occupied territory: future.con

Creating sustainable, diverse futures involves challenging assumptions that Western civilisation and linear, profit based models of unlimited development are universal. This is deeply threatening to many, but objections to such colonised futures are growing. Challenging these world-views means engaging with the complex and intersecting issues of culture, environment, globalisation, gender and sustainability. This paper tests Causal Layered Analysis (CLA) as a method to excavate the levels that have created the worldview behind one image of a colonised future. Analysis reveals a ‘Future.con’ which excludes most of humanity and pre-dicts a technological future in which humans may only exist to serve the machines they created. It is also the kind of image that, in a higher education context, fits and maintains pervasive but limited world-views. It could be different. Images and some of the tools of CLA can also be used in education to help envision sustainable, culturally diverse futures.     

我国社区卫生服务发展的现状、问题和对策

完善社区卫生服务是解决我国医疗卫生体制看病难、看病贵的重要举措,是完善基本医疗保险制度改革的关键。然而,当前我国社区卫生服务却存在着服务功能缺失、同基本医疗保险结合程度低、配套措施不完善、政府资金投入不足等问题。对此,需要政府及有关部门出台政策、积极扶持,解决制约社区卫生服务的瓶颈问题,促进社区卫生服务的发展。     

Risk regulation,community pressure and the use of management accounting in managing climate change risk: Australian evidence

This exploratory study is amongst the first to investigate how companies perceive the regulation of carbon emissions and the pressure exerted by the community in an environment characterised by risk and uncertainty. Semi-structured interviews were conducted among 39 executives who were directly involved in carbon emissions management in 18 large listed Australian companies. Consistent with Prospect Theory, we find that decision-makers are threat biased and are more likely to take immediate actions when climate change issues are framed as threats as opposed to opportunities. From the interview data, it is seen that managers use management accounting techniques as a risk management tool in mitigating risks associated climate change issues. Furthermore, this use of management accounting appears to be driven primarily by the protection of economic interests, regulatory pressure and reputational pressure. The study provides insights into how perceptions of climate change uncertainties and external pressure for disclosure of emissions information influence companies to use management accounting in managing climate change risk.     

Budget emphasis,participation, task difficulty and performance: the effect of diversity within culture

Recent research on the impact of national culture on control systems had overlooked two important aspects. First, while cross-cultural studies have saturated mainly Anglo-American and Asian nations, other important cultural regions, such as the Nordic cultural group, have largely been overlooked. More importantly, the impact of the diversity within national culture, brought about by the diversity of the population, in terms of ethnic background, religion, language and egalitarianism, has also not been considered. With a low power distance and moderate individualism culture, and relatively centralised and formalised industrial relations systems which emphasise democratic work environment, Norwegian managers' budgetary participation is expected to be high. More importantly, as the Norwegian culture is old and the society homogeneous in terms of ethnic background, religion and egalitarianism, the diversity within the Norwegian culture is likely to be much lower than those of the newer, and much more ethnically diverse, societies.such as Australia and Singapore. Consequently, Norwegian managers' participation is expected to range from medium to high, rather than from low to high. Since high participation situations are common in Norway, prior studies' findings pertaining to high participation situations are expected to be supported in Norway. In contrast, since low participation situations are rare in Norway, prior studies' findings pertaining to low participation are unlikely to be supported in Norway. These expectations are supported by the results of this study.     

How do low-income enrollees in the Affordable Care Act marketplaces respond to cost-sharing?

The Affordable Care Act requires insurers to offer cost-sharing reductions (CSRs) to low-income consumers on the marketplaces. We link 2013–2015 All-Payer Claims Data to 2004–2013 administrative hospital discharge data from Utah and exploit policy-driven differences in the actuarial value of CSR plans that are solely determined by income. This allows us to examine the effect of cost-sharing on medical spending among low-income individuals. We find that enrollees facing lower levels of cost-sharing have higher levels of healthcare spending, controlling for past healthcare use. We estimate demand elasticities of total health care spending among this low-income population of approximately −0.12, suggesting that demand-side price mechanisms in health insurance design work similarly for low-income and higher-income individuals. We also find that cost-sharing subsidies substantially lower out-of-pocket medical care spending, showing that the CSR program is a key mechanism for making health care affordable to low-income individuals.     

Sustainable social spending

The paper discusses a number of threats to the financial sustainability of social spending: increased internationalization of national economies, gradually higher relative costs of producing a number of human services, the “graying” of the population, slower productivity growth in the private sector, low employment rates, and various types of disincentive effects related to the welfare state itself, including moral hazard. I argue that threats from gradually rising costs of providing human services and disincentive effects of welfare-state arrangements, in particular moral hazard and benefit dependency, are more difficult to deal with than the other threats. I also discuss the choice between ad hoc policy reforms and automatic adjustment mechanisms, delegated to administrative bodies, for dealing with these threats. JEL Classification E62 · H31 · H53     

The importance of threat,strategy, and resource appraisals for long-term proactive risk management among forest owners in Sweden

In natural hazards management, it is important to understand what motivates people to act when they or their property are threatened by natural hazards. Despite the importance of both threat and coping appraisals for responses to threats, less is known about the relations between threat and coping appraisals when risk management is long term. The present study examined appraisals of threat (cognitive and emotional), personal resources (cost and self-efficacy), and strategies (response-efficacy) as predictors of proactive management responses (past behavior and future intention) among forest owners in Sweden by means of a questionnaire (n = 1482). A path analysis revealed that threat appraisals and response-efficacy were direct predictors of past risk management behavior and the intention to respond in the future. Appraisals of resources, including cost and self-efficacy, were indirectly – via forest susceptibility and threat appraisals – related to threat responses. Although the model displayed reasonable fit for both owners more and those less involved in forestry, the cognitive appraisals variable was not a significant predictor of responses among owners less involved in forestry. In the full sample, the examined model explained approximately 50% of the variance in threat appraisals, and 28 and 17% in future intention and past behavior, respectively. Theoretical implications for how threat and coping appraisals are related during long-term risk management, and practical implications for forest risk management, are discussed.     

共同富裕目标下互联网可及性对健康支出的影响研究

运用两部分模型、倾向得分匹配等方法,依据CFPS数据库中成人与家庭数据匹配及分类处理,考量共同富裕进程中互联网可及性对潜在因病返贫风险的阻断效应。结果显示,互联网可及性引致健康支出绝对量增加,但灾难性健康支出发生率显著降低,对潜在因病返贫风险具有一定的阻断效应。异质性分析显示,互联网使用对农村居民、低收入群体的健康支出影响较大。鉴于此,应加大互联网基础设施建设力度,引导农村居民、低收入群体更有效地利用医疗资源,阻断其潜在因病返贫风险。     

Risk perceptions,moral attitudes,and anticipated guilt in US consumers’ climate change behavioral intentions

Various reports and research have documented the risks of global warming on humans and the non-human environment. A growing amount of media coverage positions the fight against global warming as a moral issue. However, additional research needs to be conducted regarding whether individuals’ risk perceptions are related to their moral attitudes and whether their moral attitudes toward global warming are associated with their behavioral intentions to alleviate global warming. Based on a cross-sectional survey (N = 572) and structural equation modeling analysis, the present investigation situated moral attitudes within a larger theoretical framework (i.e. the theory of planned behavior). Results found that the American public’s moral attitudes were predicted by subjective norms and risk to others and the environment, but not risk to themselves. Moral attitudes, in turn, predicted anticipated guilt. Collectively, moral attitudes, self-efficacy, anticipated guilt, and consideration of future consequences predicted one’s intentions to engage in behaviors to alleviate global warming. Both theoretical and practical implications are discussed.