Risks and Behaviors. Environmental Hazards

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Transcription:

Risks and Behaviors Environmental Hazards

Risks and Behaviors Environmental Hazards Risk analysis Risk Assessment Probability theory

Risks and Behaviors Environmental Hazards Risk analysis Dissemination Risk Assessment Risk Communication Probability theory Communication theory

Risks and Behaviors Environmental Hazards Risk analysis Probability theory Dissemination Risk Assessment Risk Communication Communication theory Comprehension; persuasion Health literacy Risk Perception

Risks and Behaviors Environmental Hazards Risk analysis Dissemination Risk Assessment Risk Communication Probability theory Communication theory Comprehension; persuasion Action Risk Perception Behavior Change Health literacy Behavioral theory

Risks and Behaviors Environmental Hazards Risk analysis Dissemination Risk Assessment Risk Communication Probability theory Communication theory Comprehension; persuasion Action Risk Perception Behavior Change Health literacy Behavioral theory

Risks and Behaviors Environmental Hazards Risk analysis Dissemination Risk Assessment Risk Communication Probability theory Communication theory Comprehension; persuasion Action Risk Perception Behavior Change Health literacy Behavioral theory

Risks and Behaviors Environmental Hazards Risk analysis Dissemination Risk Assessment Risk Communication Probability theory Communication theory Comprehension; persuasion Action Risk Perception Behavior Change Health literacy Behavioral theory

(Risk) Communication as Intended & Received Communication seldom falls into a social, political, or cognitive vacuum Distortion is the name of the game

Refraction of Risk Communication Cognitive Biases Prior Experiences Perceived Losses Political Beliefs Culture & Traditions Culture & Traditions

In addition.. Difficult to convey probabilistic information Many hazards are unknown

Minimizing Refraction in Public Risk Communication Build trust through Transparency Openness about the process Without conflicts of interest Honesty Clarity about what is known & unknown Collaboration Build partnerships with communities being served

Risks and Behaviors Environmental Hazards Risk analysis Dissemination Risk Assessment Risk Communication Probability theory Communication theory Comprehension; persuasion Action Risk Perception Behavior Change Health literacy Behavioral theory

Risk Communication à Behavior Change Evidence weak at best When perceived severity is high, perceived susceptibility tends to be low When both are high, avoidance is natural But efficacy is key

The Risk Perception Attitude (RPA) Framework Low Risk Perception High Risk Perception Weak Efficacy Beliefs Strong Efficacy Beliefs

The Risk Perception Attitude (RPA) Framework Low Risk Perception Weak Efficacy Beliefs Strong Efficacy Beliefs Indifference High Risk Perception

The Risk Perception Attitude (RPA) Framework Low Risk Perception Weak Efficacy Beliefs Strong Efficacy Beliefs Indifference High Risk Perception Avoidance

The Risk Perception Attitude (RPA) Framework Low Risk Perception Weak Efficacy Beliefs Indifference Strong Efficacy Beliefs Proactive High Risk Perception Avoidance

The Risk Perception Attitude (RPA) Framework Low Risk Perception High Risk Perception Weak Efficacy Beliefs Indifference Avoidance Strong Efficacy Beliefs Proactive Responsive

The Risk Perception Attitude (RPA) Framework Low Risk Perception High Risk Perception Weak Efficacy Beliefs Indifference Avoidance Strong Efficacy Beliefs Proactive Responsive

Study of HIV/AIDS in Malawi Household survey of Malawian adults at baseline N = 890 Age, M = 32.6, SD = 14.1 Female = 54% Education: None = 36% Primary = 49% Rimal et al., Hlth Comm

Behavioral Intention 3.4 3.2 3 2.8 2.6 2.4 Effects of Risk and Efficacy on Behavioral Intention (Intention to Use Condoms at Baseline) Strong Efficacy (Mean+1SD) Weak Efficacy (Mean-1SD) 2.2 Low Perceived Risk High

Changes in the Configuration of the four RPA framework groups (Baseline + 6 Years) 80 60 Percent 40 20 Baseline Midterm 1 Midterm 2 0 Indifference Proactive Avoidance Responsive End-line Χ 2 (n = 6,517, df = 9) = 1417, p <.001

Frequency of Condom Use (standardized scores) Proactive Responsive Indifference Avoidance

Percent Tested for HIV 0.55 Responsive 0.5 Proactive 0.45 Avoidance 0.4 0.35 0.3 Indifferent Low efficacy High efficacy 0.25 Low risk F (3,6516) = 43.15, p <.001 High risk

The Risk Perception Attitude (RPA) Framework Low Risk Perception High Risk Perception Weak Efficacy Beliefs Indifference Avoidance Strong Efficacy Beliefs Proactive Responsive

Finally Self-efficacy more reliable predictor across these behaviors Risk perception: motivators Efficacy beliefs: facilitators