Protective Behaviors Research Articles

Influence of Health Insurance Financing on Economic Growth In Kenya

Economic growth positively impacts population health, providing access to quality healthcare, environmental protection, clean water, and better preventative behavior. However, Kenya's declining growth rate affects health financing, causing many citizens to struggle with access to care due to rising medical costs. This study sought to analyse the influence of health insurance financing on economic growth in kenya. The study was guided by the Solow-Swan Exogenous Growth Model. The study was conducted in Kenya. Data used in study was longitudinal data for twenty two years. The study period was from 2000 to 2022. A descriptive and inferential analysis performed where Auto-Regressive Distributive Lag (ARDL) model was used. Analyzed data were presented in the form of tables and discussions. The health insurance financing indicated a positive and statistically significant (b=0.2935; p = 0.0280.05), implying that one unit increase in health insurance financing could result in 0.2935 units in economic growth in Kenya. The study showed that adjusted R-squared was 0.9271, implying that the model explains approximately 92.71% of the variation in the economic growth in Kenya. The study concluded that, health insurance financing, is positively related to economic growth in the long run in Kenya. The study recommends that there is need for enhancing health insurance financing sources and gradually shifting towards sustainable domestic financing sources.

Investigation of Protective Coatings for Reducing High-Temperature Oxidation of Steels

AbstractOxidation of steel billets during pre-heating at elevated temperatures is a challenge, particularly in the forging industry. There is a need to address this problem by applying effective oxidation-resistant coatings on forging billets. In this investigation, different types of commercially available high-temperature, oxidation-resistant coatings, termed Coating A, B, C, D, E, F, and G, were applied on AISI 4340 low-alloy steel by spraying and dipping at room temperature. The oxidation protection behavior of each coating was studied over a wide range of temperatures and holding times in atmospheric conditions. The weight and height losses caused by oxidation were measured, and the samples were subsequently characterized using XRD and SEM-EDS. The protection mechanisms and anti-oxidation properties of the coatings are discussed in detail. The sample coated with Coating A showed the best protection at all temperatures compared to other coatings. The weight/height loss of Coating A-coated steel samples was reduced by 80–90% compared to an uncoated/bare sample. Coating A not only limited the outward diffusion of iron cations from the substrate but also prevented the inward diffusion of oxygen anions from the atmosphere, resulting in better oxidation resistance. The findings of the study should apply to other steels with similar compositions.

Risk perception and reappraisal during the COVID-19 pandemic in southeast Alaska: Self-identified determinants of risk and protective health behaviors

Social and cultural context shapes how communities perceive health, well-being, and risk. Risk reappraisal can occur over time as a product of new information and improved understanding. We investigate risk perception and protective behaviors in Lingít Aaní (Southeast Alaska) during the first year of the COVID-19 pandemic. Surveys were circulated at two time points: (1) April–June 2020, before COVID-19 reached epidemic levels in the region, and (2) November 2020–February 2021. Ordinary least squares (OLS) regression models were used to analyze how demographic characteristics of the respondent population were related to risk perception. OLS models were again used to predict how individuals engaged in protective behaviors while controlling for risk perceptions. Controlling for demographic characteristics, risk perception increased as age increased for perceived risk of getting sick and dying from COVID-19, males perceived lower risk in general for all tested variables, and Alaska Native respondents perceived higher risk than non-Alaska Native respondents. Controlling for risk perception, results for protective behaviors were mixed; however, the strongest association identified was that knowing someone with a positive COVID-19 diagnosis increased protective behaviors. Between the two time points, risk perceptions increased significantly for variables related to oneself, others, and community members becoming infected with COVID-19. Protective behaviors like traveling less than normal, buying more cleaning products, and engaging in more subsistence gathering significantly increased. Identifying patterns of risk perception and protective behaviors, and especially how they change over time, are critical to developing place-specific public health recommendations, action, and preparedness plans against future infectious threats.

Using the “Media as Mediator” Approach to Understand the Influence of Communication Channel Trust on COVID-19 Protective Behaviors: England, January 2022

In a secondary analysis, we examine how trust in pro-recommendation versus alternative communication channels mediated effects of demographic, personality, lifestyle, and political variables on COVID-19 protective behavior in England. In so doing, we adapt the media-as-mediator approach to the pandemic context. Respondents reported that family, close friends, primary care medical providers, and mainstream news media were relatively supportive of public health recommendations, and social media friend networks, faith/community groups, alternative news sites, and alternative health practitioners were relatively unsupportive. Parallel mediation analyses showed that effects of age, dutiful civic-mindedness, sensation-seeking, healthy lifestyle orientation, and more marginally, race on COVID-19 protective behavior were mediated by trust in these pro-recommendation and/or alternative communication channels. In some cases, trust in exemplars of both types of channels resulted in these channels influences largely canceling one another out.

Barriers and facilitators to skin cancer prevention among Hispanics: a qualitative study

BackgroundIn the past two decades, melanoma incidence among Hispanic people has risen greatly. This qualitative study explored Hispanic people’s perceived barriers and facilitators to skin cancer-related preventive behaviors.MethodsFive focus groups among Hispanic people (2 in Spanish and 3 in English; n = 34; 11 Spanish-preferring and 23 English-preferring) were conducted, where participants discussed their perceptions and behaviors relating to skin cancer, sun protection, and skin self-examination. Additionally, healthcare providers (n = 9) and Hispanic community leaders (n = 6) were recruited for individual interviews to complement the results of focus groups. A thematic analysis was conducted on all transcripts.ResultsPerceived barriers to sun protection included: 1) Low levels of knowledge and awareness/misperception; 2) low perceived importance or not a priority, 3) economic issues or limited access, 4) downsides/concerns about engaging in sun protection behaviors, and 5) Hispanic cultural norms (e.g., machismo). Facilitators to sun protection included: 1) relevance/care for family, 2) negative consequences of sun exposure, and 3) Hispanic cultural norms (e.g., familismo). Barriers to skin examination included: 1) low levels of knowledge and awareness, 2) lack of insurance coverage or access, and 3) difficulty or discomfort associated with practicing skin self-examination. Facilitators to skin examination included: 1) relevance/previous experience and 2) having insurance coverage or access.ConclusionsFuture interventions should focus on individual, community, and system-level strategies to address misperceptions in the Hispanic community, increase knowledge and awareness, address perceptions of cultures regarding skin cancer preventive activities, and emphasize the importance or priority of health issues related to skin cancer.

Privacy Protection Behaviors from a New Angle: Exploratory Analysis on a Russian Sample

To understand why people engage in privacy protection behaviors on the Internet, multiple researchers tried to reveal the underlying factors of the phenomenon. The results were ambiguous. Identifying privacy concerns as a mediating construct, some researchers were able to establish its influence on protection behaviors, others were not. In addition, the structure of hypothesized factors affecting privacy concerns differed from work to work. This paper aims to shed light on the inconsistencies in the previous research. To achieve this, we perform an exploratory analysis of factors affecting privacy protection behavior on the Internet. We conduct a survey on a Russian sample (N=228) and perform the analysis using a technique of structural equation modeling. Our results suggest the following: (a) privacy protection behavior is a multidimensional construct, with each behavior type being affected by its own set of factors; (b) privacy concerns might have a dynamic structure, that is dependent on the context and the environment of the target population. Given these findings, we conclude that future research should consider a specific type of protection behavior together with characteristics of the target population and to refrain from generalization of the results from other domains or protection behavior types.

Ketamine modulates the exploratory dynamics and homebase-related behaviors of adult zebrafish

Anxiety is a protective behavior when animals face aversive conditions, but commonly associated with various neuropsychiatric disorders when exacerbated. Drug repurposing has emerged as a valuable strategy to use existing pharmaceuticals for new therapeutic purposes. Ketamine, traditionally used as an anesthetic, acts as a non-competitive antagonist of the N-methyl-d-aspartate (NMDA) receptor, and evidence has shown potential anxiolytic and antidepressant effects at subanesthetic doses. However, the influence of ketamine on multiple behavioral domains in vertebrates is not completely understood. Here, we evaluated the potential modulatory effect of ketamine on the spatio-temporal exploratory dynamics and homebase-related behaviors in adult zebrafish using the open field test (OFT). Animals were exposed to subanesthetic concentrations of ketamine (0, 2, 20, and 40 mg/L) for 20 min and locomotion- exploration- and homebase-related behaviors were assessed in a single 30-min trial. Our data revealed that ketamine (20 and 40 mg/L) induced hyperlocomotion, as verified by the increased total distance traveled. All concentrations tested elicited circling behavior, a stereotyped-like response which gradually reduced across the periods of test. We also observed modulatory effects of ketamine on the spatio-temporal exploratory pattern, in which the reduced thigmotaxis and homebase activity, associated with the increased average length of trips were suggestive of anxiolytic-like effects. Collectively, our novel findings support the modulatory effects of ketamine on the spatio-temporal exploratory activity, as well as the utility of homebase-related measurements to evaluate the behavioral dynamics of zebrafish.

Gender disparities in attitudes, norms, and perceived control related to intentional condomless sexual intercourse: A psychosocial theory-driven comparison among cisgender heterosexual male and female college varsity athletes in Taiwan

BackgroundWhile condom use has been extensively studied as a protective behavior, research directly focusing on condomless sexual intercourse (CSI) as a distinct and intentional risk behavior, particularly regarding gender differences, remains scarce. MethodsBuilding upon the Theory of Planned Behavior (TPB), this study addresses this gap by comparing TPB factors and individual TPB items regarding intentional CSI among cisgender heterosexual college varsity athletes in Taiwan (N = 1348). ResultsHigh CSI intention was more prevalent among men (53.6 %) than women (31.7 %). Our expanded TPB framework identified five distinct TPB factors pertaining to attitudes, norms, and perceived control. Multivariate logistic regression analysis demonstrated that all five TPB factors were significantly associated with CSI intention among men, but only three among women. Notably, our factor analysis differentiated attitudes toward positive/negative outcomes of CSI and perceived control under facilitating/constraining conditions, revealing attitudes toward positive outcomes of CSI as the strongest driver of CSI intention among both men (AOR = 2.51–4.09) and women (AOR = 3.79–5.71). Further analysis of TPB items disclosed that men prioritized psychological pleasure (AOR = 2.18), whereas women exhibited a “partner-centered” tendency, emphasizing trust by sex partners (AOR = 3.43). ConclusionsOverall, men exhibited more favorable views toward CSI than women, with gender differences evident in the differential associations of varying TPB factors and items with CSI intention. Future research could explore the development of these differential attitudes, norms, and perceived control concerning CSI. Given the modifiable nature of TPB variables, our study’s insights can inform actionable strategies and targeted interventions tailored for young men and women.

Evaluation of protein-polysaccharide interactions through ζ-potential and particle size measurements to assess their functionality in wine.

Protein-polysaccharide-tannin interactions are important in every aspect of red wine production from physical stability to color, astringency, and body. For this model study, bovine serum albumin (BSA) was selected as the protein, while carboxymethyl cellulose (CMC), mannoproteins, and pectin were the model polysaccharides. Each protein-polysaccharide combination was analyzed for zeta (ζ) potential and particle size at neutral pH and within the wine-like solution. Mixtures were assessed regarding their protective, affinitive, and aggregative behaviors. Based on their individual ζ-potentials, pectin and mannoprotein were most stable at lower concentrations. At higher concentrations, they reduced the suspension's stability and increased the aggregate sizes. CMC consistently increased the stability of any solution under neutral pH conditions. However, with increasing concentrations, these large aggregates are expected to precipitate. Fruit pectin (FP) and BSA interactions seemed to be the main factors in the formation of visible precipitates at neutral pH. FP and the mannoprotein decreased stability enough to cause precipitation without haze formation. The mannoprotein decreased particle sizes, in both the suspension and precipitation, which may indicate greater selectivity toward proteins. FP also decreased the suspended particle sizes under wine conditions. These findings demonstrate the use of ζ-potential and particle size values to characterize macromolecular interactions in model systems and can also be used to indicate effective fining agents. PRACTICAL APPLICATION: This work demonstrates the capabilities of ζ-potential analysis paired with size particle measurements to predict and characterize the interactions between macromolecules in complex systems. The interactions between model wine macromolecules can be evaluated with this technology at a level that cannot be reached with any other analytical technique.

A systematic review on social media utilization by health communicators in India: Insights from COVID-19 pandemic

Social media has become a vital tool for facilitating health communications, particularly during emerging health crises such as the COVID-19 pandemic. This systematic literature review aims to synthesize evidence regarding the benefits and barriers associated with the utilization of social media by health communicators in India for disseminating health-related information. A comprehensive search of databases like CINAHL, Google Scholar, PubMed, and WHO Global Index Medicus databases yielded a total of 13 relevant studies. The narrative analysis revealed six key benefits attributed to the usage of social media by health communicators, including the widespread adoption of social media platforms for health communications, health communicators leveraging social media as an information source, fostering the development of protective behaviors, aiding prompt and transparent health communication, promoting participatory communication and empowerment, and employing social media as a tool for monitoring public sentiments and mental well-being. Conversely, challenges such as the proliferation of misinformation and communication inequalities were identified as significant barriers in social media health communications. While social media platforms hold immense potential in advancing crisis communication agendas, health communicators are advocated to adopt a multifaceted approach by prioritizing digital inclusivity, combating misinformation, and fostering synergetic collaborations between governmental bodies and community entities.

The Effect of Stressful Life Events on Online Privacy Protective Behavior of Israeli Students

ABSTRACTThis exploratory study investigates the influence of stressful life events on privacy‐protective behavior. We examine the effects of the ongoing state of war in Israel on the rate of deliberate falsification of personal details during website registration, in a user study of 107 students at Israeli universities. The students were queried using a quantitative method in online closed‐ended questionnaires. This research builds on our previous work (Weinberger & Bouhnik, 2021) examining the effects of other stressful life events, specifically the COVID‐19 pandemic, on the privacy‐protective behavior of Israeli students. We found that distrust of website operators and the desire to remain anonymous are the most common reasons for identity falsification. In addition, our analysis showed that the greater the concern over privacy, the more likely identity falsification was to occur. The Israel‐Hamas War in Israel seems to have exacerbated privacy concerns among online users, in turn increasing the tendency of users to exhibit privacy‐protective behavior.

Tourists’ Experiences During the Covid-19 Pandemic in Plateau State, Nigeria: An Empirical Evaluation Using Chaos Theory

The safety of tourists’ health when visiting any tourism business is critical in tourism management and development. By using chaos theory, this study aimed to understand how 408 tourists in Plateau State, Nigeria, behaved toward tourism-related businesses during the COVID-19 pandemic. Completed and retrieved responses were analyzed descriptively using an inductive method, following a pragmatic approach. The findings of this investigation are consistent with chaos theory. Results from our survey indicate that 93% of tourists took precautions. This suggests that in an otherwise random and chaotic period of the tourism crisis, self-organization brought order and new stability. With a mean score of 40%, safety and hygiene were ranked as the two main influencing factors that changed tourists’ actual behaviour during the pandemic. The alteration in behaviour might be attributed to tourists’ awareness of their risk of catching the COVID-19 virus when visiting tourist attractions. Empirical evidence shows that non-interactive restriction techniques had a significant impact on tourist behaviour. Thus, the impact of the pandemic on tourists’ protective behaviour continues to play a part in tourists’ behaviour during and after the pandemic, implying that the chaos theory approach might be used as a crisis management tool in the tourism industry.

Finding benefits during collective stress: A study of health behaviors in a longitudinal representative U.S. sample during the COVID-19 era.

Cognitive strategies like finding benefits during adversity may facilitate coping during collective stressors (like COVID-19) by reducing distress or motivating health protective behaviors. We explored relationships between benefit finding, collective- and individual-level adversity exposure, psychological distress, and health protective behaviors using longitudinal data collected during the COVID-19 era from a representative, probability-based sample of U.S. residents: Wave 1 (N = 6,514, March 18, 2020-April 18, 2020, 58.5% completion rate); Wave 2 (N = 5,661, September 26, 2020-October 16, 2020, 87.1% completion rate); Wave 3 (N = 4,881, November 8, 2021-November 24, 2021, 75.3% completion rate); and Wave 4 (N = 4,859, May 19, 2022-June 16, 2022, 75.1% completion rate). Benefit finding was common; k-means clustering (an exploratory, data-driven approach) yielded five trajectories: always high (15.85%), always low (18.52%), always middle (28.47%), increasing (17.79%), and decreasing (19.37%). Benefit-finding trajectories were generally not strong correlates of psychological distress and functional impairment over time. Rather, benefit finding robustly correlated with health protective behaviors relevant to COVID-19 and the seasonal flu. In covariate-adjusted models, benefit finding positively correlated with more social distancing (β = .24, p < .001) and mask wearing (β = .18, p < .001) at Wave 2 and greater COVID-19 (odds ratio, OR = 1.23, p = .001) and flu (OR = 1.29, p < .001) vaccination at Wave 3. Although benefit finding was not generally associated with lower psychological distress during a collective stressor, it correlated with engagement in stressor-related health protective behaviors. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Predictors of risk reduction behavior: Evidence in last-mile communities

Despite extensive research using Protection Motivation Theory (PMT) to analyze factors influencing protective behaviors during disasters, understanding how last-mile communities in vulnerable contexts—particularly in the Philippines—respond to early warning messages remains limited. This understanding is crucial, as these communities often bear the brunt of extreme weather events. Drawing data from surveys and semi-structured interviews, this study examined the predictors of risk reduction behaviors before and after Super Typhoon Mangkhut in two last-mile communities in Northern Philippines — Cabalitian and Mapita. Regression analysis demonstrated that all threat appraisal variables—perceived vulnerability, perceived severity, and fear—are predictors of risk reduction behaviors before Mangkhut. Coping appraisal variables, specifically response efficacy and self-efficacy, also positively influenced risk reduction action before Mangkhut. Among socio-demographic variables, only gender and age are predictors of risk reduction behaviors, with their influence varying between the two communities. Expanding the application of PMT, prior typhoon experience, trust, and social network strength also positively and significantly influenced risk reduction behaviors before and after Mangkhut. The study identified key infrastructural, institutional, and operational interventions to enhance coping capacity and reduce vulnerability in these communities, alongside policy implications to inform disaster risk reduction strategies and empower local preparedness efforts.

Life after Lockdown: An Exploratory Qualitative Study of Behaviors and Impacts of Avoiding COVID-19 in Individuals at High Risk of Severe COVID-19 and Their Caregivers.

This exploratory qualitative study involved semi-structured interviews with adults and caregivers of adults at high risk of severe COVID-19, addressing current COVID-19 avoidance and protective behaviors and how these behaviors impacted their lives. Results were interpreted in a separate think tank session. Insights were developed into a conceptual model of COVID-19 avoidance and protective behaviors and the associated impacts on health-related quality of life and overall functioning. Data were interpreted using a hybrid inductive and deductive thematic analysis. Twelve high-risk individuals and two caregivers were interviewed across four focus groups (April-July 2022). Major behavioral themes included physical distancing, physical and medical protection, quality of support services and networks, and information to make decisions. Major impacts included family, social, and emotional functioning; work and finances; and healthcare access. The final conceptual model comprised 13 behaviors to avoid COVID-19 categorized within four themes, and 13 impacts within five themes. Individuals at high risk of severe COVID-19 and their caregivers continue practicing COVID-19 avoidance behaviors post-lockdown and feel left behind by the general population. Our conceptual model may be used to inform health authorities and other governing bodies' decisions in executing strategies aimed at improving these individuals' lives.

Sell your soul for a pot of gold: Privacy paradox in surveillance capitalism

The current study aims to examine the underlying psychological processes involved in privacy protection behaviors among tourists in retail environments using surveillance technologies. Protection Motivation Theory (PMT) and Privacy Calculus Theory (PCT) were employed to understand threat and coping appraisals, benefits (control vs monetary), and their relationships with protective behavioral intentions and actual behaviors. Data was collected from 554 respondents who had visited a retail store while traveling in the past 6 months using an online questionnaire. Three structural equation models, full mediation, partial mediation, and moderated mediation were tested and compared. The partial mediation model exhibited the best fit. Perceived severity and susceptibility increased protective behavioral intentions, while self-efficacy decreased intentions. Control compensation positively influenced intentions only. Behavioral intentions partially mediated relationships between independent variables and actual protective behaviors. No significant moderation effects were found. Integrating PMT and PCT addresses a significant gap in examining tourists’ privacy-protective behaviors in retail surveillance contexts. Additionally, it clarifies the effectiveness of control and monetary benefits in mitigating privacy concerns.

Why Are Young People Willing to Pay for Health? Chained Mediation Effect of Negative Emotions and Information Seeking on Health Risk Perception and Health Consumption Behavior.

The perception of health risks can influence people's health behaviors. However, in the context of modern consumer society, few people delve into in-depth discussions on health consumption as a form of health protection behavior. Inspired by the Health Belief Model and Protection Motivation Theory, this study interprets health consumption behavior as a new form of health protection behavior. A survey was conducted on a sample of Chinese youth (N = 885) to explore the mechanisms of action between health risk perception and health consumption behavior using structural equation modeling. The study found that: (1) health risk perception has a significant positive impact on the health consumption behavior of young people; (2) negative emotions and information seeking play mediating roles respectively in the mechanism of the impact of health risk perception on health consumption behavior; and (3) in addition to their individual mediating roles, negative emotions and information seeking behavior collectively play a chained mediation role in this process. Implications of these results, both theoretical and practical, are further discussed.

Modelling the Non-linear Associations between Age and Health: Implications for Care

Abstract Background Ageing is a complex biological process that weakens the body's defences against various health problems and diseases. This decline is not uniform or linear; rather, it varies significantly among individuals. Understanding the non-linear progression of ageing is crucial for identifying critical periods where intervention might be most beneficial. This study aimed to explore nonlinearities in the association between age and health outcomes. Methods Using generalised additive models, we analysed data from the 2020 wave of the United States Health and Retirement Study. This modelling approach allows for the detailed examination of nonlinearities in health outcomes across different ages. Our sample consisted of adults aged over 50 (n = 1338; mean = 68; range = 50 – 95). We assessed seven health outcomes (heart conditions, diabetes, cholesterol, blood pressure, fatigue, back pain, and headaches) and seven protective behaviours (prostate exams, mammograms, cholesterol screenings, pap smears, flu vaccinations, dental check-ups, and smoking patterns) reflecting various aspects of health status and behaviour. Results The analysis indicated a significant and pronounced non-linear relationship between age and certain health outcomes, namely headaches, blood pressure, diabetes, and heart conditions. Additionally, ageing was non-linearly associated with specific health behaviours, including the uptake of prostate exams, mammograms, flu vaccinations, and smoking prevalence. Notably, distinct patterns emerged concerning health behaviours in relation to age-specific screening policies. Conclusion The findings of this study reveal that the probability of developing health problems or engaging in health protective behaviours do not increase/decrease linearly in direct proportion to age. Rather, the probability curve exhibits fluctuations, presenting periods of heightened odds interspersed with phases of relative stability. Such non-linearity may be partially attributed to policy decisions but could also reflect a complex interplay of factors such as weakened immune systems, access to healthcare, personal health beliefs, and the evolving perception of risk as one grows older.

The impact of skin cancer education and skin self-examination on mothers’ sun protection behaviours: a randomised controlled trial

Background: Skin cancer is a serious disease that is now widespread, affecting many people globally. It has a high mortality rate both worldwide and in Türkiye. This study investigated the effect of educating parents of secondary school students about skin cancer, skin self-examination (SSE), and sun protection behaviors on their children’s sun protection behaviors. Methods: The study was conducted as a randomized controlled experimental study. The study sample consisted of 240 parents. Data were collected using an introductory information form, the skin cancer and sun knowledge scale (SCSKS), and the parental sun protection scale (PSPS). Results: After training, the number of parents in the experimental group who applied SSE to their children increased to 59.2% (p&lt;0.001). However, this rate was determined as 10.8% in the control group. Significant increases were observed in the total SCSKS score (16.02±3.64) and the sun protection (4.63±1.28), tanning (7.45±1.98), and skin cancer prevention (1.54±0.59) subdimensions in intervention group (p&lt;0.001). After training, a positive and significant difference was observed in the outcome for PSPS self-efficacy subdimension as well as for the sun avoidance scale- product usage expectations subdimension in the experimental group (p&lt;0.05). Conclusions: There was also an increase in the number of parents performing SSE on their children. Parents have an impact on their children’s health. Therefore, educating parents is critical both in terms of their own sun protection behaviors and for those of their children. It is recommended that intervention studies be conducted with larger sample groups.

Perceived risk, health protective behavior, and trust: a case study of the flint water crisis

ABSTRACT The Flint Water Crisis exemplifies one of the most significant environmental disasters in the recent U.S. history. While hazard exposure and effects pertaining to the crisis have been addressed, and technical experts have pronounced Flint’s water safe for consumption, media reports and stories from community members suggest that significant distrust remains among residents regarding their water supply. We use data from an online survey administered in Flint and surrounding counties in Southeast Michigan to examine the extent and variation in risk perception, health protective behavior, and trust in these communities with respect to their water supply. Conceptually, we engage the Social Amplification of Risk Framework. Accordingly, Flint residents indeed have higher risk perceptions and report higher negative health impacts compared to residents in surrounding counties. They also report engaging in more health protective behavior. On the contrary, Flint residents express lower levels of trust in entities that are tasked with managing risks. Risk perception, negative health experience, and trust appear as statistically significant correlates of Flint residents’ confidence in their water supply. The salience and variation of attitudes across the region suggests that the water crisis has had ripple effects as predicted by the Social Amplification of Risk Framework.