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Effective Risk Communication Strategies for N-Nitrosamines in Rubber Balloons

고무풍선 중 니트로스아민류의 효과적 위해성 소통 전략에 관한 연구

  • Hyunkyung Kim (Korea Conformity Laboratories) ;
  • Kiyoung Lee (Department of Environmental Health Sciences, Graduate School of Public Health, Seoul National University)
  • 김현경 (한국건설생활환경시험연구원) ;
  • 이기영 (서울대학교 보건대학원 환경보건학과)
  • Received : 2023.07.06
  • Accepted : 2023.08.29
  • Published : 2023.08.31

Abstract

Background: As the public interest in chemical substances found in daily life has increased, environmental health education content has been developed and related studies have been conducted. However, there is still insufficient research on methodologies for environmental health education. Objectives: This study aimed to explore risk communication strategies by focusing on N-nitrosamines in rubber balloons. Methods: In this study, two different health messages were composed: a gain-framed message emphasizing the advantages of practicing the health behavior and a loss-framed message emphasizing the negative consequences of not practicing the health behavior. The effect of the message containing risk information was evaluated by measuring the health beliefs and health behavior potential for female caregivers. As the Environmental Health Act defines a child as "a person under the age of 13," a total of 131 women with children under the age of 13 were studied. Results: The age, awareness, and interest of the participants in the gain frame group and these in the loss frame group were similar. In terms of message framing effect, the gain-framed message was more effective in terms of health belief and potential health behavior than was the loss-framed message. As a result of an independent t-test, among the six variables of health belief model the message effect was statistically significant at the level of p<0.05 in three variables: perceived severity (t=2.287, df=129, p=0.024), self-efficacy (t=2.123, df=129, p=0.036), and health behavior potential (t=2.094, df=129, p=0.038). Conclusions: This study presented a direction for effective environmental health education by studying the effects of risk communication messages based on scientific evidence. It is necessary to extend the scope of environmental health education research by expanding research into various household products.

Keywords

References

  1. Korea Environment Institute. Comprehensive environmental value study for integrated environmental and economic analysis: impact assessment and value estimation by sector. Available: https://www.kei.re.kr/elibList.es?mid=a10101000000&elibName=researchreport&act=view&c_id=721735 [accessed 12 June 2023]. 
  2. Sah JY. Consumer-friendly strategy for food risk communication: focused on communication approach and appeal [dissertation]. [Seoul]: Seoul National University; 2016. 
  3. Danish Environmental Protection Agency. Analysis of chemical substances in balloons. Available: https://www2.mst.dk/Udgiv/publications/2007/978-87-7052-662-3/pdf/978-87-7052-664-7.pdf [accessed 12 June 2023]. 
  4. Scientific Committee on Consumer Products. Opinion on the presence and release of nitrosamines and nitrosatable compounds from rubber balloons. Available: https://ec.europa.eu/health/ph_risk/committees/04_sccp/docs/sccp_o_121.pdf [accessed 12 June 2023]. 
  5. Li P, Bai H, Li H, Chen M, Lu Q, Zhang Q. [Determination of migration of 15 N-nitrosamines and N-nitrosatable substances from children's latex articles by gas chromatography-tandem mass spectrometry using solid phase extraction]. Chin J Chromatogr. 2014; 32(1): 81-88. Chinese.  https://doi.org/10.3724/SP.J.1123.2013.08032
  6. Korea Consumer Agency. A report on the safety of rubber balloons. Available: https://www.kca.go.kr/smartconsumer/sub.do?menukey=7301&mode=view&no=1002606614&page=29 [accessed 12 June 2023]. 
  7. Kwon YR. A study on changes of sense of place and environmental consciousness in place-based environmental education: a case study on participants of eco-guide program of 'Shihwa lake savers'. [dissertation]. [Seoul]: Seoul National University; 2005. 
  8. Kim BS, Lee SJ. The study of attitude of Korean parents on environmental education for their elementary children. Korean J Environ Educ. 2009; 22(4): 1-13. 
  9. Kim HK, Yoon SJ. A qualitative case study on the life and the significance of 'EcoMom'. J Anthropol Educ. 2011; 14(2): 91-127.  https://doi.org/10.17318/jae.2011.14.2.004
  10. Korea Ministry of Environment. A study on strategies for promoting risk communication in environmental health. Available: https://repository.kei.re.kr/handle/2017.oak/19880?mode=simple [accessed 12 June 2023]. 
  11. Lee JS, O EG, Lee HK, Kim SH. Message strategy to promote colorectal cancer screening behavior. J Korea Contents Assoc. 2017; 17(12): 357-367. 
  12. Kim HI, Kim YW. The effects of controlling language and message orientation on pro-environmental behavioral intentions in environmental communication: focusing on the moderation effects of issue involvement and the mediation effects of psychological reactance. Advert Res. 2018; (116): 138-179. 
  13. Tversky A, Kahneman D. The framing of decisions and the psychology of choice. Science. 1981; 211(4481): 453-458.  https://doi.org/10.1126/science.7455683
  14. Gallagher KM, Updegraff JA. Health message framing effects on attitudes, intentions, and behavior: a meta-analytic review. Ann Behav Med. 2012; 43(1): 101-116.  https://doi.org/10.1007/s12160-011-9308-7
  15. Goodall C, Appiah O. Adolescents' perceptions of Canadian cigarette package warning labels: investigating the effects of message framing. Health Commun. 2008; 23(2): 117-127.  https://doi.org/10.1080/10410230801967825
  16. Toll BA, Salovey P, O'Malley SS, Mazure CM, Latimer A, McKee SA. Message framing for smoking cessation: the interaction of risk perceptions and gender. Nicotine Tob Res. 2008; 10(1): 195-200.  https://doi.org/10.1080/14622200701767803
  17. Latimer AE, Salovey P, Rothman AJ. The effectiveness of gain-framed messages for encouraging disease prevention behavior: is all hope lost? J Health Commun. 2007; 12(7): 645-649.  https://doi.org/10.1080/10810730701619695
  18. O'Keefe DJ, Jensen JD. The relative persuasiveness of gain-framed and loss-framed messages for encouraging disease prevention behaviors: a meta-analytic review. J Health Commun. 2007; 12(7): 623-644.  https://doi.org/10.1080/10810730701615198
  19. White K, MacDonnell R, Dahl DW. It's the mind-set that matters: the role of construal level and message framing in influencing consumer efficacy and conservation behaviors. J Mark Res. 2011; 48(3): 472-485.  https://doi.org/10.1509/jmkr.48.3.472
  20. Chang H, Zhang L, Xie GX. Message framing in green advertising: the effect of construal level and consumer environmental concern. Int J Advert. 2015; 34(1): 158-176.  https://doi.org/10.1080/02650487.2014.994731
  21. Glanz K, Rimer BK, Viswanath K. Health behavior and health education: theory, research, and practice. San Francisco: Jossey-Bass; 2008. 
  22. Rosenstock IM. Why people use health services. Milbank Mem Fund Q. 1966; 44(3 Pt 2): 94-127.  https://doi.org/10.2307/3348967
  23. Yoon IK, Kim JH, Jang MH, Seo JY, Kim KT, Park DH, et al. Development and application of health belief model based milk education program for elementary, middle, and high school students. J Home Econ Educ Res. 2007; 19(4): 17-36. 
  24. Lee SH. Health education program development and evaluation of its effectiveness in promoting the safe use of cleaning agents for infants and toddlers parent: health belief model application [dissertation]. [Seoul]: Ewha Womans University; 2018. 
  25. Abood DA, Black DR, Feral D. Nutrition education worksite intervention for university staff: application of the health belief model. J Nutr Educ Behav. 2003; 35(5): 260-267.  https://doi.org/10.1016/S1499-4046(06)60057-2
  26. Jo HS, Lee HW, Kim CB, Jeong HJ. A meta -analysis of health related behavior study based on health belief model in Korean. Korean J Health Psychol. 2004; 9(1): 69-84. 
  27. Carpenter CJ. A meta-analysis of the effectiveness of health belief model variables in predicting behavior. Health Commun. 2010; 25(8): 661-669.  https://doi.org/10.1080/10410236.2010.521906
  28. Harrison JA, Mullen PD, Green LW. A meta-analysis of studies of the health belief model with adults. Health Educ Res. 1992; 7(1): 107-116.  https://doi.org/10.1093/her/7.1.107
  29. Chung DH. Determinants of preventive behavior intention to the particulate matter: an application of the expansion of health belief model. J Digit Converg. 2019; 17(8): 471-479. 
  30. Kim JH, Cho JH. Investigation of effects of individuals' social viewing of fine dust information obtained through social media on behavioral intentions of disease prevention: application of health beliefs model. Korean J Broadcast Telecommun Studies. 2019; 33(4): 37-65. 
  31. Jo SE, Shin HC, Yoo SW, Roh HS. The study of factors affecting tuberculosis preventive behavior intentions: an extension of HBM with mediating effects of self-efficacy and fear. J Public Relations. 2012; 16(1), 148-177.  https://doi.org/10.15814/jpr.2012.16.1.148
  32. Witte K. Fear as motivator, fear as inhibitor: using the extended parallel process model to explain fear appeal successes and failures. In: Andersen PA, Guerrero LK. editors. Handbook of communication and emotion: research, theory, applications, and contexts. Cambridge: Academic Press; 1996. p.423-450. 
  33. Kang MJ. The impact of emotion in communication on environmentally responsible behavior [dissertation]. [Seoul]: Seoul National University; 2014. 
  34. Roh JC. Specialization of risk-communication in environmental news. Korean J Sociol. 2004; 38(1): 77-105. 
  35. Kim HI, Lee EK. Analysis of media reports on the safety of herbal medicines from the viewpoint of risk communication. J Health Technol Assess. 2014; 2(2): 99-104.  https://doi.org/10.34161/johta.2014.2.2.004
  36. Park KS, Park BS. The social construction of environmental risk communication: the changing media coverage of asbestos risk in Korea. ECO. 2015; 19(1): 7-47.