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PubMed2000

Risk perception and counselling among HIV-positive women in São Paulo, Brazil.

This study of HIV-positive women at a clinic for HIV/AIDS in São Paulo examined their risk perception for HIV before they had learned of their diagnosis and their experiences with pre- and post-test counselling. A sample of 148 women was interviewed regarding demographics, HIV risk factors and risk perception, pre- and post-test counselling, and sexual and reproductive conduct. The majority (77%) had been infected by their partners--37% by an injecting drug user partner. More than half (53%) did not perceive themselves at risk before learning of their HIV status and, of 68 who had perceived themselves at risk, 29% did so only after their partners became ill. The majority (64%) did not receive any kind of pre-test counselling. Post-test counselling was reported by 83% but 14% reported being mishandled by a physician in the process. Findings suggest the importance of prevention efforts to reduce women's barriers to learning about HIV status and the necessity of improving the quality of pre- and post-test counselling.

Brazil↗

PubMedDate not supplied

[Risk perception of the building population].

The development of a new measure to investigate risk perception in afield setting as building was the aim of this work. Workers' cognitive representation of risk and relation among ris perception, risk-acceptance and risk taking was the goals of the measure. The methodological approach for the measure development was the psychometric paradigm (Fischhoff, Slovic, Lichtenstein, Read e Combs, 1978). A first data collection in field context demonstrates measure's validity and reliability.

Humans↗

PubMed2006

Factors associated with colorectal cancer risk perception: the role of polyps and family history.

It is unclear how objective risk factors influence the factors associated with colorectal cancer (CRC) risk perception. The goals of this study were to investigate factors associated with perceived risk of CRC and to explore how these relationships were modified by personal history of polyps or family history of CRC. The study involved a mailed questionnaire completed by 1646 men and women aged 50-75 years, which assessed perceived risk, demographic and health history variables and CRC worry. Participants were patients of primary care providers in a community medical group in central Massachusetts. The study sample seemed to have a generally accurate perception of CRC risk, which was appropriately increased in the presence of known risk factors. In multivariable analyses that controlled for all measured covariates, financial situation modified the association between perceived risk and a personal history of polyps, while age and insurance status modified the association between perceived risk and family history of CRC. CRC worry, self-reported health, personal history of other cancer and compliance with screening guidelines remained significant predictors of perceived risk. Potential interactions between objective risk factors and socioeconomic characteristics should be further explored in longitudinal studies.

Aged↗

PubMed2006

Tobacco dependence, risk perceptions and self-efficacy among Korean American smokers.

Psychosocial variables related to smoking cessation may differ among ethnic groups. This research focuses on Korean Americans, a group that receives little attention in smoking cessation research, yet has an elevated smoking rate when compared with that of the general US population. This article reports our findings on tobacco dependence, risk perceptions and self-efficacy and examines potential associations between these psychosocial variables and key demographic variables. One hundred Korean American adult smokers enrolled in the study and completed the psychosocial measurement. The majority of the participants (61%) were heavy smokers. The findings indicated that demographic factors were associated with key psychosocial variables that have been demonstrated to play a role in smoking cessation behaviors. In particular, younger age and higher educational level were associated with greater self-efficacy in quitting smoking. No differences in risk perception were observed by any of the demographic indicators assessed. The findings suggest that enhancing self-efficacy among older and less educated smokers may improve the efficacy of smoking cessation efforts that target Korean smokers.

Adult↗

PubMed1990

Risk perception and age-specific accidents of young drivers.

Accident risk involved in 100 slide-presented traffic situations was rated by 208 male and 100 female drivers in the age groups 18-21, 35-45, and 65-75 years. The main finding is that young male drivers rated the traffic situations as less risky than did older male drivers. This was especially the case for situations involving the following aspects: darkness, inclining/declining or curved roadways, and rural environment. No comparable age effect was present for females. These findings are in agreement with findings from accident studies, showing overinvolvement of young males in single-vehicle accidents that are characterized by the above mentioned aspects. The results show that educational measures for young drivers should emphasize different aspects for young men and young women and especially that young men's risk perception (as well as their risk tolerance) in those situations mentioned above must be made part of further efforts.

Accidents, Traffic↗

PubMed1997

Effect of sexual motivation on men's risk perception for sexually transmitted disease: there must be 50 ways to justify a lover.

Recent research has incorporated situational factors into assessment of risk. Working from a rational appraisal framework, however, these studies have not emphasized contextual features that might introduce motivated risk assessment. In the current study, participants (N = 40 male undergraduates) lowered their risk perceptions for STDs following the induction of a sexual motivation. In an initial baseline condition, participants estimated the risk of contracting STDs from partners with relatively high- or low-risk sexual histories. In a subsequent trial, participants repeated the imagery task while viewing photographs that were high or low in sex appeal. As predicted, participants reduced their risk perceptions when they viewed photographs high in sex appeal. The only necessary precondition was the presence of nondiagnostic information from which they could construct biased risk estimates.

Adult↗

PubMed2003

The impact of a mass media campaign on personal risk perception, perceived self-efficacy and on other behavioural predictors.

To determine whether an AIDS prevention mass media campaign influenced risk perception, self-efficacy and other behavioural predictors. We used household survey data collected from 2,213 sexually experienced male and female Kenyans aged 15-39. Respondents were administered a questionnaire asking them about their exposure to branded and generic mass media messages concerning HIV/AIDS and condom use. They were asked questions concerning their personal risk perception, self-efficacy, condom effectiveness, condom availability, and their embarrassment in obtaining condoms. Logistic regression analysis was used to determine the impact of exposure to mass media messages on these predictors of behaviour change. Those exposed to branded advertising messages were significantly more likely to consider themselves at higher risk of acquiring HIV and to believe in the severity of AIDS. Exposure to branded messages was also associated with a higher level of personal self-efficacy, a greater belief in the efficacy of condoms, a lower level of perceived difficulty in obtaining condoms and reduced embarrassment in purchasing condoms. Moreover, there was a dose-response relationship: a higher intensity of exposure to advertising was associated with more positive outcomes. Exposure to generic advertising messages was less frequently associated with positive health beliefs and these relationships were also weaker. Branded mass media campaigns that promote condom use as an attractive lifestyle choice are likely to contribute to the development of perceptions that are conducive to the adoption of condom use.

Acquired Immunodeficiency Syndrome↗

PubMed1993

Fishing in contaminated waters: knowledge and risk perception of hazards by fishermen in New York City.

Risk perception studies show that people may underestimate significant risks while overestimating others. Further, government agencies may assume the public becomes aware of risks when the agency has issued advisories, when in reality a segment of the population remains unaware of these warnings. This article reports on a survey of people fishing on the catchment basins of Jamaica Bay Wildlife Refuge in New York City. Of the 154 groups interviewed, only 19% believed the waters or fish were contaminated or unsafe, despite state warnings to the contrary. Fishermen made nearly five visits per month, and ate an average of three fish a week, (remaining fish were eaten by their families) and fish were usually fried. Most people believed the fish were safe to eat, or that they could recognize if one was spoiled. Thus, most people were ignoring the health advisories on consuming fish from these waters. We suggest that these fishermen are unaware of health advisories, or ignore them because the fishing situation is familiar, voluntary, pleasurable, and has not resulted in their illness. Since they believe they can determine if the fish are bad from smell and appearance, they have changed their own analysis from the unknown (chronic, delayed risks from toxics) to the known (immediate illness), lowering their perceived risk, but not the actual risk.

Animals↗

PubMed1999

Attitudes, knowledge, and risk perceptions of women with breast and/or ovarian cancer considering testing for BRCA1 and BRCA2.

PURPOSE: This study examined baseline knowledge, beliefs, and risk perceptions among a group of 200 women with breast and/or ovarian cancer who participated in a trial designed to improve decision making about genetic testing for BRCA1 and BRCA2. PATIENTS AND METHODS: Women were identified by self-referral, physician referral, and tumor registry extraction and invited to participate in a randomized trial in which testing for BRCA1 and BRCA2 was offered free of charge. Subjects completed baseline questionnaires and interviews that assessed knowledge, attitudes, and perceptions of risk of having an alteration in BRCA1 or BRCA2. RESULTS: Sixty percent of women overestimated their chances of having a BRCA1 or BRCA2 mutation compared with estimates from a BRCA1/BRCA2 risk model. Women who have at least three relatives with breast or ovarian cancer were one third (95% confidence interval, 0.2 to 0.6) as likely to overestimate their risk of having a BRCA1 or BRCA2 mutation compared with women who have two or fewer affected relatives. Knowledge was limited about BRCA1 and BRCA2 mutations and cancer risk associated with gene mutations. Eighty-four percent of the women indicated a probable or definite interest in testing. CONCLUSION: A high proportion of the high-risk women in this study had knowledge deficits about BRCA1 and BRCA2 and overestimated their risk of having a mutation. Although some degree of caution should be used in generalizing the results of this study to practice settings, the data provide insight into the challenges clinicians will face in communicating with patients about cancer genetics.

Adult↗

PubMed2004

Risk perceptions of mobile phone use while driving.

Numerous governments have introduced regulations governing the use of mobile (cellular) telephones while driving. Despite significant research into the "objective" risks, there is relatively little research into risk perceptions either in relation to other in-car distractions or with respect to the factors underlying such perceptions. The current article reports on two studies addressing these issues. Study 1 (N= 199) found that whereas the use of hand-held sets is seen as one of the riskiest activities to perform while driving, the risks of using a hands-free kit are perceived to be relatively small. Study 2 (N= 1,320) found that nearly half of all drivers in the sample with a mobile phone reported having used it while driving and that, overall, the probability of having an accident was perceived to be less for oneself than for one's peers, indicating an optimistic bias. Two factors underpinned risk perceptions, "impact" including perceived severity and equitability, and "controllability" including immediacy, detectability, and probability. While higher "impact" scores were associated with increased preferences for restrictions on the use of hand-held mobiles while driving, the "controllability" scores moderated this relationship such that when perceived "controllability" was low, restriction preferences were high irrespective of perceived "impact." However, when "controllability" was high, restriction preferences remained high when "impact" was high but were low when "impact" was low. Given the growing number of in-car technological innovations, it is suggested that regulators act strategically, rather than finding themselves developing a series of "hazard-specific" regulations, which may ultimately lack coherence.

Automobile Driving↗

PubMed1991

Fishing a superfund site: dissonance and risk perception of environmental hazards by fishermen in Puerto Rico.

Risk perception studies show that individuals tend to underestimate significant risks, overestimate negligible ones, and distrust authorities. They also rely on a variety of strategies or heuristics to reach decisions regarding their risk-taking behavior. We report on a survey of fishermen and crabbers engaged in recreational and substance fishing in a Puerto Rican estuary (near Humacao), which has been declared a "Superfund site" because of suspected contamination by mercury, and at ecologically similar control sites. Nearly everyone interviewed at the Humacao site was aware of the mercury contamination, but either denied its importance, believed the contamination was restricted to a distant part of the estuary, or assumed that the estuary would be closed by the authorities if the threat was real. All site-users consumed the fish and crabs they caught. At Humacao, the average catch was 7 fish per fishermen (mostly tilapia, Tilapia mossambica, and tarpon, Megalops atlantica) and 13 crabs per crabber (all blue crabs, Callinectes sapidus). On average, the site-users returned to the lagoons about 3-4 times per month. At control sites, fewer fish were eaten. The worst case consumption of tarpon, a species which concentrated mercury at Eastern Puerto Rico, provided an exposure exceeding the EPA reference dose, whereas consumption of one tarpon per week did not entail excess exposure. Fortunately, few individuals caught tarpon exclusively. Unlike counterparts in the northeastern United States, they trusted authorities and indicated that they would have heeded warnings of mercury contamination posted where they fished.

Animals↗

PubMed2001

Women's HIV transmission risk perceptions and behaviors in the era of potent antiretroviral therapies.

The availability of potent antiretroviral medications has raised new concerns regarding continued HIV transmission risk behavior among seropositive persons. Relatively little is known about how women with HIV perceive secondary transmission risk in the context of HIV treatment advances. This study describes sexual risk perceptions and behaviors of 80 women enrolled in HIV outpatient care in 1999. Participants completed structured interviews assessing sexual risk perceptions, attitudes regarding severity of HIV disease, sources of HIV prevention information, and sexual practices during the previous 6 months. Medical histories including 6-month cumulative incidence of sexually transmitted diseases (STDs) were obtained from a clinic database. Thirty-five percent of the sample had engaged in unprotected intercourse or had been diagnosed with an STD in the past 6 months. Only 5% of women believed that medication-related reductions in viral load signify safer sex is unimportant, but 15% indicated they practice safer sex less often since the advent of new HIV treatments and 40% believed AIDS is now a less serious threat. These data suggest women's perceptions of diminished disease severity may be more influential than beliefs regarding diminished infectivity. Study results have implications for framing prevention messages for women and suggest that close integration of secondary prevention and clinical HIV services may be beneficial.

Acquired Immunodeficiency Syndrome↗

PubMed1994

Societal risk perception and media coverage.

The study compares societal risk ratings by inhabitants of two countries which differ markedly in terms of geography, economics, politics, and ethnic background, but which are similar as regards media coverage. The two populations were represented by a sample of French students and a sample of Burkina Faso intellectuals. The overall Burkinabè mean ratings appeared much closer to the mean observed in France (and in the United States-roughly 40 out of 100) than the means reported for other countries like Norway or Hungary. The correlation between Burkinabè and French ratings was very high: .852. The findings argue in favor of a practically totally determinant effect of the media in risk perception.

Africa, Western↗

PubMed1994

Effect of dispositional optimism on comparative risk perceptions for developing AIDS.

The present study investigated the effects of individual differences along the dimension of dispositional optimism-pessimism on comparative risk perception in relation to the prospect of developing AIDS. 104 university students completed the Life Orientation Test of Scheier and Carver and estimated the likelihood of AIDS happening to themselves and the average university student. A split at the median on the Life Orientation Test divided subjects into optimists and pessimists. Dispositional optimists and pessimists rated their own likelihood of developing AIDS as less than that of the average student. Moreover, subjects classified as optimistic and pessismistic did not differ significantly in their ratings of comparative risk perception.

Acquired Immunodeficiency Syndrome↗

PubMed2000

Risk perception in consumer product use.

In the literature, at least two distinct connotations of risk can be found: so called objective risk, defined as the ratio of a particular number of accidents and a measure of exposure, and subjective risk, defined as the perception and awareness of risks by the person(s) involved. This article explores the significance of risk perception and awareness in understanding and clarifying how and why accidents involving consumer products occur. Based on empirical evidence from video-recorded reconstructions of accidents with consumer products, the risk perception and awareness of users in relation to featural and functional product characteristics, and their influence on actual product use culminating in an accident, is addressed. In contrast with what is usually assumed in the literature, the findings show that the majority of the subjects had no idea that they were running any risk of injuring themselves while they operated the product. In several accidents, the product either offered functionalities not anticipated in the design or did not adequately reflect its condition. The implications of the findings for design practice as well as for risk research are discussed.

Accidents↗

PubMed2001

Socioeconomic determinants of health- and food safety-related risk perceptions.

Individual and societal perceptions of food-related health risks are multidimensional and complex. Social, political, psychological, and economic factors interact with technological factors and affect perceptions in complex ways. Previous research found that the significant determinants of risk perceptions include socioeconomic and behavioral variables. Most of these past results are based on two-way comparisons and factor analysis. The objective of this study was to analyze the significance of socioeconomic determinants of risk perceptions concerning health and food safety. A multivariate approach was used and the results were compared with earlier bivariate results to determine which socioeconomic predictors were robust across methods. There were two major findings in this study. The first was that the results in the multivariate models were generally consistent with earlier bivariate analysis. That is, variables such as household income, number of children, gender, age, and voting preferences were strong predictors of an individual's risk perceptions. The second result was that the gender of the respondent was the only variable found to be robust across all three classes of health and food safety issues across two time periods.

Female↗

PubMed2005

Attitudes and risk perception of parents of different ethnic backgrounds regarding meningococcal C vaccination.

The aim of the present study is to assess the attitudes of parents toward vaccination as well as their risk perception of disease and vaccination. We interviewed 1763 parents of different ethnic groups (among others, Dutch, Turkish, Moroccan, and Surinamese parents). Results show that there were large differences in knowledge about disease and risk perception of disease and vaccination among parents of different ethnic backgrounds. Generally, people largely overestimated the risk of contracting the disease and the risk of dying after contracting the disease. Dutch parents were best informed, least worried, had the most critical attitude toward the campaign, and the lowest vaccination level compared to other parents. The differences in knowledge about vaccination and the more critical attitude of Dutch parents emphasize the need to take more into account parents' perspectives when designing information leaflets or other information media.

Adolescent↗

PubMed1998

College students' AIDS risk perception.

1. Students in this study appraised their AIDS risk using their sexual and drug-use behavior as criteria, which accurately reflects their knowledge of HIV transmission. 2. AIDS risk perceptions were not always congruent with the students' self-reported sexual and drug use behavior. Some students reporting high-risk behavior perceived their AIDS risk as "nil" or "small." 3. Perceived riskiness of behavior increased as distance from the students increased. The students viewed their friends' AIDS risk as moderately greater than their own risk and their peers' risk even greater.

Acquired Immunodeficiency Syndrome↗