Abstract

Radioactive radon inhalation is a leading cause of lung cancer and underlies an ongoing public health crisis. Radon exposure prevention strategies typically begin by informing populations about health effects, and their initial efficacy is measured by how well and how fast information convinces individuals to test properties. This communication process is rarely individualized, and there is little understanding if messages impact diverse demographics equally. Here, we explored how 2,390 people interested in radon testing differed in their reaction to radon's public health information and their subsequent decision to test. Only 20% were prompted to radon test after 1 encounter with awareness information, while 65% required 2–5 encounters over several months, and 15% needed 6 to > 10 encounters over many years. People who most delayed testing were more likely to be men or involved in engineering, architecture, real estate and/or physical science-related professions. Social pressures were not a major factor influencing radon testing. People who were the least worried about radon health risks were older and/or men, while negative emotional responses to awareness information were reported more by younger people, women and/or parents. This highlights the importance of developing targeted demographic messaging to create effective radon exposure prevention strategies.

Highlights

  • Radioactive radon inhalation is a leading cause of lung cancer and underlies an ongoing public health crisis

  • 7,481 Western Canadian participants who were active within the study in 2018 were invited to retrospectively provide demographic and psychosocial survey responses to questions concerning their radon awareness experience and decision to test

  • Highly relevant variables that influence the speed and ease with which individuals opt to radon test a residential property after encountering public health information

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Summary

Introduction

Radioactive radon inhalation is a leading cause of lung cancer and underlies an ongoing public health crisis. Radon exposure prevention strategies typically begin by informing populations about health effects, and their initial efficacy is measured by how well and how fast information convinces individuals to test properties This communication process is rarely individualized, and there is little understanding if messages impact diverse demographics . Following testing, related and often additional follow-up messaging encourages individuals to mitigate properties if necessary In this message-to-action paradigm, there is little understanding if these ‘one-size-fits all’ strategies of communicating radon health risks are effective across distinct psychosocial demographics. In this respect, information on the efficacy of previous radon program is still emerging and limited, with some studies reporting broad radon awareness outcomes as a function of ‘classic’ radon programs in regions spanning Europe and North ­America[23,24,25,26,27,28,29,30]. In the absence of detailed data on this topic, it is challenging to ‘individualize’ and develop radon exposure prevention programs in an evidence-informed manner

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