Self-protective Behavior Research Articles

Landowner’s perception of flood risk and preventive actions in estuarine environment: An empirical investigation

Within Europe, flood and coastal risk management is undergoing a major paradigm shift as it moves from an approach dominated by investment in flood defence and control infrastructure to another one in which non-structural measures are favoured. One research challenge consists in developing a better understanding of local population risk perception and its effects on prevention and preparedness actions in order to improve social acceptability of adaptive flood risk management. Landowners’ involvement in wetland management offer benefits beyond the line of their property. Accordingly, the purpose of this study is to achieve an empirical understanding of risk perception and self-protective behaviour among the landowners of the riparian marshes in the Gironde Estuary, in France. Application of the psychometric approach reveals that flood risk perception among landowners can be characterised by three synthetic variables that indicate on the degree of exposure, the sense of control and knowledge of the risk. Examining the relationships between these perceived risk dimensions and landowners’ participation in water structures management provides three profiles of self-protective behaviour distinguishing “vulnerable”, “autonomous”, and “passive” individuals. Finally, implications of our findings for the management of flood risk in estuarine environment which is often drained areas are discussed.

Framework of behavioral indicators evaluating TB health promotion outcomes: a modified Delphi study of TB policymakers and health workers.

BackgroundAlthough TB health promotion directed at policy makers and healthcare workers (HCWs) is considered important to tuberculosis (TB) control, no indicators currently assess the impact of such promotional activities. This article is the second in a series of papers that seek to establish a framework of behavioral indicators for outcome evaluation of TB health promotion, using the Delphi method. In the first article, we sought to establish a framework of behavioral indicators for outcome evaluation of TB health promotion among TB suspects and patients. The objective of this second article is to present an indicator framework that can be used to assess behavioral outcomes of TB health promotion directed at policy makers and HCWs.MethodsA two-round, modified Delphi method was used to establish the indicators. Sixteen experts who were knowledgeable and experienced in the field of TB control were consulted in Delphi surveys. A questionnaire was developed following 4 steps, and involved ranking indicators on a five-point Likert scale. The consensus level was 70 %. Median, mode, and Coefficient of variation (CV) were used to describe expert responses. An authority coefficient (Cr) was used to assess the degree of each expert’s authority.ResultsConsensus was achieved following the two survey rounds and several iterations among the experts. For TB health-promotion activities directed at policymakers, the experts reached consensus on 2 domains (“Resource inputs” and “Policymaking and monitoring behaviors”), 4 subdomains (“Human resources” among others), and 13 indicators (“Human resources per 100,000 person” among others). For TB health-promotion activities directed at HCWs, the experts reached consensus on 5 domains (“Self-protective behaviors” among others), 6 sub-domains (“Preventing infection” among others), and 15 indicators (“Average hours of daily workplace disinfection by ultraviolet radiation” among others).ConclusionsThis study identified a conceptual framework of core behavioral indicators to evaluate TB health-promotion activities directed at policymakers and HCWs involved in TB control. Validation in other parts of the world could lead to global consensus on behavioral indicators to evaluate TB health promotion targeted at policymakers and HCWs.Electronic supplementary materialThe online version of this article (doi:10.1186/s40249-015-0087-4) contains supplementary material, which is available to authorized users.

Status and influence factors of the self-protection behaviors of imaging survey nurses

Objective To survey the status and influence factors of radiology department nurses self-protection behavior. Methods The radiology department nurses' self-protection behavior questionnaire compiled by the researchers were used to conduct a questionnaire survey of 100 nurses in different grade hospitals. Results Scores of the item body fluid of patients with contact contaminated were wearing gloves of second-class hospital and third-class hospital were (3.695±0.73) points and (3.73±0.74) points, and there was no statistically significant different between them (P> 0.05). The other items about self-protective behavior of nurses from different levels of hospitals had some differences (t=-4.24-2.43, P<0.05). Conclusions Self-protective behavior of radiology department nurses is affected by many factors. Nursing managers should take effective measures to improve nurses' self-protective consciousness and ability. Key words: Questionnaire survey; Radiology department nurse; Self-protection

Social support does not require attachment: Any conspecific tranquilizes isolated guinea-pig pups

Guinea pig pups produce typical distress whistles when isolated. Whistles’ frequency is decreased or abolished when they contact with the mother and, to a lesser degree, a sibling or even an unfamiliar female, is regained. Those non-aggressive companions were considered social support providers for reducing pup physiological stress responses and whistling rate in an unfamiliar environment. However, what would happen if the isolated pup would be in contact with an adult male, normally indifferent to pups, in such distress situation? The role of attachment and familiarity to males in promoting changes in distress responses of isolated pups was verified. Tests consisted of separating three week old pups from their family, in a familiar or an unfamiliar environment, and introducing a conspecific in the cage after one minute (mother, sibling, father or a strange male). Whistling and other behaviors were compared between the alone period and the accompanied period. Main factors were prior presence/absence of father (pups were raised with father until testing or only for the first week after birth), sex of pup, novelty of test environment and companion. It was verified that (1) all conspecifics reduced whistling rate (F4,88=77.89, p<0.001), but pups behaved differently with different conspecifics; (2) suppression of isolation induced behavior did not necessarily occur because of previous attachment (e.g., pups in the PAF condition spent more time pausing, F1,22=7.68, p<0.05, less time in passive contact with companions, F1,22=10.63, p<0.01, and ate/drank less, F1,22=6.18, p<0.05). It was concluded that the suppression of pup's isolation induced behavior by companions must not be used alone as a measure of attachment. It must be seen in an evolutionary perspective where the presence of any conspecific represents security offering self-protective behavior cues as finding a place to hide, and providing dilution effect against predation.

Influence of environmental enrichment vs. time-of-day on behavioral repertoire of male albino Swiss mice

Environmental enrichment (EE) is a non-pharmacological manipulation that promotes diverse forms of benefits in the central nervous system of captive animals. It is thought that EE influences animal behavior in a specie-(strain)-specific manner. Since rodents in general present different behaviors during distinct periods of the day, in this study we aimed to investigate the influence of time-of-day on behavioral repertoire of Swiss mice that reared in EE. Forty male Swiss mice (21days old) were housed in standard (SC) or enriched conditions (EC) for 60days. Behavioral assessments were conducted during the light phase (in presence of light) or dark phase (in absence of light) in the following tasks: open field, object recognition and elevated plus maze. First, we observed that the locomotor and exploratory activities are distinct between SC and EC groups only during the light phase. Second, we observed that “self-protective behaviors” were increased in EC group only when mice were tested during the light phase. However, “less defensive behaviors” were not affected by both housing conditions and time-of-day. Third, we showed that the performance of EE animals in object recognition task was improved in both light and dark conditions. Our findings highlight that EE-induced alterations in exploratory and emotional behaviors are just evident during light conditions. However, EE-induced cognitive benefits are remarkable even during dark conditions, when exploratory and emotional behaviors were similar between groups.

Do Canes or Walkers Make Any Difference? NonUse and Fall Injuries.

Examine patterns of cane and walker use as related to falls and fall injuries. Among people who fall at home, most do not have an assistive device with them when they fall. Nonusers who fall sustain more severe injuries. This was a cross-sectional study using a self-administered written survey completed by 262 people aged 60 and older who were community dwelling, cognitively intact, and current cane/walker users with a history of falls. They were recruited through clinical practice sites, churches, and senior housing in central Michigan. Outcomes of interest included patterns of device use, reasons for nonuse, device use at time of fall, and fall-related injuries. Seventy-five percent of respondents who fell were not using their device at the time of fall despite stating that canes help prevent falls. Reasons for nonuse included believing it was not needed, forgetfulness, the device made them feel old, and inaccessibility. Perceived risk was not high enough to engage in self-protective behavior. However, nonuse led to a significantly higher proportion of falls resulting in surgery than among device users. Among respondents requiring surgery, 100% were nonusers. Most respondents never received a home safety evaluation (68%) and only 50% received training on proper device use. Providers must place increased emphasis on the importance of cane/walker use for injury prevention through patient education to promote personal relevance, proper fitting, and training. New strategies are needed to improve device acceptability and accessibility.

Factors associated with intention to engage in self-protective behavior: The case of over-the-counter acetaminophen products.

Inappropriate use of acetaminophen products is a concern due to the severe liver damage associated with intentional or accidental overdose of these products. In 2009, the U.S. Food and Drug Administration (FDA) issued more severe organ-specific warnings for the acetaminophen Drug Facts label to improve protective behavior among patients. However, it is not clear how patients react to such interventions by the FDA. The objective of this study was to evaluate the factors influencing patients' intention to engage in protective behavior while using acetaminophen products after reading the Drug Facts label. The study specifically looked at the relationship between four Protection Motivation Theory-based risk cognition factors and the intention to engage in protective behavior. An experimental, cross-sectional, field study was conducted using self-administered questionnaires at four community pharmacies in Houston, TX. Two hundred surveys were collected from adults visiting the selected pharmacy stores. Participants were exposed to a simulated label (i.e. Drug Facts label) containing organ-specific warnings for over-the-counter (OTC) acetaminophen products. Risk cognition measures (i.e.measures of perceived severity, perceived vulnerability, response efficacy, and self-efficacy) and measures of intention to engage in protective behavior (always reading warnings, using products with more caution, and consulting a pharmacist/physician) were recorded. Pearson correlation and multiple linear regression analyses, controlling for demographic and behavioral characteristics of the participants, were performed. Bivariate analyses indicated that an increase in perceived severity, perceived vulnerability and response efficacy were associated with a higher intention to engage in protective behavior. Findings fromthe multiple regression indicated that increase in perceived severity of liver damage, belonging to a non-healthcare occupation, no history of acetaminophen use and no history of alcohol consumption were associated with a higher intention to engage in protective behavior. Higher risk cognition of liver damage associated with inappropriate use of OTC acetaminophen products leads to greater intention to engage in protective behavior while using such products. Developing interventions targeted towards improving reading and adhering to the Drug Facts label could improve risk cognition, and thus improve patients' intention to engage in protective behavior. Regular acetaminophen users, heavy alcohol consumers and healthcare professionals might need other interventions apart from the Drug Facts label to improve their likelihood to engage in protective behavior.

Men’s Intentions to Engage in Behaviors to Protect Against Human Papillomavirus (HPV): Testing the Risk Perception Attitude Framework

Guided by the risk perception attitude framework (RPA), this study examined men’s perceptions of risk and efficacy beliefs as predictors of their intentions to engage in self-protective behaviors. The results of multiple regression analyses did not provide support for the RPA prediction that efficacy beliefs moderate the relationship between risk perceptions and self-protective behavior. However, the results provide support for the main effects of risk and efficacy on all four behavioral intentions examined (i.e., Internet information seeking, communication with a health provider, HPV vaccination, and condom use). Risk and efficacy were positively related to (and significant individual predictors of) all four behavioral intentions. Scholarly and practical implications of these findings are discussed.

Perceptual influences on self-protective behavior for West Nile virus, a survey in Colorado, USA.

BackgroundThe endemic state of West Nile virus (WNv) in North America underscores the need to examine mechanisms influencing human self-protective behavior. Based on previous findings and theory, this study is designed to achieve two specific aims. First, the study will examine self-protective behavior for WNv through a hybridized treatment of the Health Belief Model that includes cognitive, affective, ecological, and proximity risk perception measures. Second, within the resulting hybridized model explore the role of ethnicity in self-protective behavior for WNv.MethodsData were collected in Greeley, Colorado, using a self-administered mail survey. 384 completed surveys were returned (49 % completion rate). The questionnaire used items on cognitive-affective risk perception, ecological and proximity risk perception constructs, the Health Belief Model and demographics.ResultsAnalysis revealed that newer risk perception models (ecological and proximity) provide some power to explain protective behavior. The psychometric measures of risk perception (cognitive and affective components) provided the best explanatory power. Self-protective behavior was further enhanced by the perception of benefits associated with such actions and the exposure to information cues to action. Hispanic/Latinos demonstrate greater perception of risk/susceptibility and greater exposure to information cues to action, and were more likely to practice self-protective behavior.ConclusionsThe findings in this study point to several useful openings for effective public health communication and intervention for WNv based on affective response, information exposure, and ethnicity. The results also have relevance for vectored diseases generally. It is becoming clear that changes in global climate will bring increased threat from mosquito vectored diseases. Mosquito protection will be an increasingly salient topic for public health communicators in the coming years.

The influence of self-efficacy, subjective norms, and risk perception on behavioral intentions related to the H1N1 flu pandemic: A comparison between Korea and the US

This study examined the extent to which individualism-collectivism moderates the relative effects of agency control beliefs (i.e., self-efficacy), social norms (i.e., subjective norms), and risk perception (perceived vulnerability and perceived severity) on behavioral intention to engage in self-protection behavior in the context of the H1N1 flu pandemic. Using multistage stratified sampling, the present study sampled people from the US (n = 399) and Korea (n = 500), two countries that have been found to be prototypical of individualistic and collectivistic national cultures, respectively. Consistent with the contrast between individualism and collectivism, the results of moderated regression analyses showed that intrapersonal control beliefs (i.e., self-efficacy) and risk perception (i.e., perceived severity) had stronger effects on behavioral intention in the American sample than in the Korean sample, whereas social norms (i.e., subjective norms) had a stronger predictive power for the Korean sample than for the American sample. Overall, the findings contribute to health and risk studies by specifying which aspects of risk perceptions or beliefs are affected by national culture and how this translates into cross-national variations in health risk behavioral intention.

Concurrent administration of sexual assault prevention and risk reduction programming: outcomes for women.

The present study describes the 4- and 7-month postintervention outcomes of a sexual assault risk reduction program for women, which was part of an evaluation that included a prevention program for men. Relative to the control group, participants evidenced more relational sexual assertiveness and self-protective behavior, and were more likely to indicate that they utilized active verbal and physical self-defense strategies. Whether or not women experienced subsequent victimization did not differ between groups. Relative to control group women who were victimized, program participants who were victimized between the 4- and 7-month follow-up blamed the perpetrator more and evidenced less self-blame.

Feminine ideology and sexual assault: are more traditional college women at greater risk?

Previous research has not conclusively determined whether traditional femininity increases women's risk for sexual assault. Certain femininity beliefs, such as valuing deference, may increase risk for sexual assault by discouraging sexual refusal assertiveness (SRA). Other femininity beliefs, such as valuing purity, may promote self-protective behaviors. College women (N = 254) provided self-report data on these beliefs, risk and protective behaviors, and sexual assault experiences. Traditional femininity was not directly associated with experiencing sexual assault. However, specific traditional beliefs were related to behaviors directly associated with risk. High SRA and sexual abstinence simultaneously reduced the odds for sexual assault.

Procedural Injustice, Lost Legitimacy, and Self-Help

Legitimacy acts as the dividing line between a police force that merely possesses legal authority to enforce the law and one that enjoys both legal and moral authority. Research has shown that people who see the police as procedurally just are more likely to also view them as legitimate. Most of this research has been quantitative and has focused on the statistical link between procedural justice and police legitimacy. The present study offers a qualitative examination of in-depth interviews with young men residing in disadvantaged, urban neighborhoods to uncover the specific actions that police take that are seen as unjust and that erode legitimacy. In addition, evidence is revealed that compromised legitimacy can encourage young males to engage in certain self-protective behaviors that can, in turn, increase their risk of becoming the targets of police scrutiny. Implications of this finding for research and police policy are made.

Consequences of Using Self-Protective Behaviors in Nonsexual Assaults: The Differential Risk of Completion and Injury by Victim Sex.

This study examines the consequences of using self-protective behaviors in nonsexual assaults. Particular attention is paid to how victim sex modifies conclusions regarding the effectiveness of countermeasures as completion or injury avoidance strategies. These relationships are tested using 16,309 incidents of nonsexual assaults from the National Crime Victimization Survey. Several outcomes of violent encounters (i.e., completion, injury, injury severity) are regressed on measures of self-protective behaviors through a sequence of logistic regressions. Interactions between victim sex and self-protective behavior are also estimated. Forceful physical strategies are associated with a greater probability of assault completion and injury. Conversely, nonforceful verbal strategies serve as protective factors for both completion and injury and nonforceful physical strategies are associated with a lower probability of injury. Furthermore, there is some evidence that the effectiveness of these countermeasures varies by the sex of the victim.

Social risks in Baikalian Asia (Based on data for Buryatia and Mongolia)

Comparative estimation of sociodemographic risks in the Baikalian Asia is given based on various data. Social risks in Buryatia and Mongolia are depopulation, growing mortality rate, population ageing, emigration, changing family and marriage values, and wrong self-protection behavior patterns.

Perceptions of pesticides exposure risks by operators, workers, residents and bystanders in Greece, Italy and the UK

The EU Directive on the sustainable use of pesticides (EU128/2009/EC) requires European Member States to develop training activities targeting occupational exposure to pesticides, and communication material aimed at residents and bystanders. Risk perceptions, knowledge and attitudes associated with passive and occupational exposure to pesticide potentially influence the extent to which different stakeholders adopt self-protective behaviour. A methodology for assessing the link between attitudes, adoption of self-protective behaviours and exposure was developed and tested. A survey was implemented in the Greece, Italy and the UK, and targeted stakeholders associated with pesticide exposure linked to orchards, greenhouse crops and arable crops respectively. The results indicated that the adoption of protective measures is low for residents and bystanders, with the exception of residents in Greece, when compared to operators and workers, who tend to follow recommended safety practices. A regression analysis was used to examine the factors affecting the probability of adopting protective measures as well the as the level of exposure in the case of operators and workers where data are available. The results indicate that the likelihood of engaging in self-protective behaviour is not significantly affected by perceptions of own health being affected by pesticides for residents and bystanders. However, operators who perceive that their heath has been negatively affected by the use of pesticides are found to be more likely to adopt self-protective behaviours. Gender and country differences, in perceptions, attitudes and self-protection are also observed. Recommendations for improved communication, in particular for vulnerable groups, are provided.

Bastard Immigrants: Asylum Seekers Who Arrive by Boat and the Illegitimate Fear of the Other

Bastard Immigrants: Asylum Seekers Who Arrive by Boat and the Illegitimate Fear of the Other

Effect of individual behavior on epidemic spreading in activity-driven networks.

In this work we study the effect of behavioral changes of individuals on the propagation of epidemic diseases. Specifically, we consider a susceptible-infected-susceptible model over a network of contacts that evolves in a time scale that is comparable to the individual disease dynamics. The phenomenon is modeled in the context of activity-driven networks, in which contacts occur on the basis of activity potentials. To offer insight into behavioral strategies targeting both susceptible and infected individuals, we consider two separate behaviors that may emerge in respiratory syndromes and sexually transmitted infections. The first is related to a reduction in the activity of infected individuals due to quarantine or illness. The second is instead associated with a selfish self-protective behavior of susceptible individuals, who tend to reduce contact with the rest of the population on the basis of a risk perception. Numerical and theoretical results suggest that behavioral changes could have a beneficial effect on the disease spreading, by increasing the epidemic threshold and decreasing the steady-state fraction of infected individuals.

Investigating Privacy Perception and Behavior on Weibo

More than half of Chinese Internet users participate in Weibo, the most popular social media and microblogging platform in China. Weibo encourages members to voluntarily contribute personal information, leading to potential privacy invasion. This study examines how trust in other members and perceptions of government intrusion affect privacy-related attitude and behavior on this social platform. Analysis of survey responses from 221 Weibo users confirm that perceived government intrusion is strongly correlated with privacy concern and self-protective behavior. Trust towards other Weibo participants is not significantly related to privacy concern; however it has a significant negative relationship with self-protective behavior. The study also reveals that privacy concern is positively related to self-protective behavior. Findings and their implications for future research and practice are provided.

The Medicalization of HIV Prevention: New Opportunities Beset by Old Challenges

The Medicalization of HIV Prevention: New Opportunities Beset by Old Challenges