Relationship of Perception of Radon as a Health Risk and Willingness to Engage in Radon Testing and Mitigation

L. Tammy Duckworth

Marilyn Frank-Stromborg

William A. Oleckno

Pam Duffy

Kenneth Burns

ONF 2002, 29(7), 1099-1107. DOI: 10.1188/02.ONF.1099-1107

Purpose/Objectives: To gather data on radon levels and determine correlations among subjects' characteristics, willingness to test for radon, and perceptions of radon as a health risk.

Design: Descriptive correlational.

Setting: Rural DeKalb County in northern Illinois.

Sample: 473 respondents from a group of 1,620 randomly selected county residences.

Methods: Participants were surveyed via telephone using the Community Radon Program questionnaire. Radon measurements were taken with home radon test kits.

Main Research Variables: Gender, income, age, educational level, smoking status, race, home ownership, willingness to test for radon, and radon risk perception.

Findings: Most participants were familiar with radon but did not view it as an immediate health hazard and would not have screened for radon on their own. 88% of the radon measurements exceeded the U.S. Environmental Protection Agency's moderate risk potential level, and 53% exceeded the action level (i.e., 4 pCi/L).

Conclusions: Perception of radon as a health risk was correlated positively with planning to conduct further radon testing and to employ radon mitigation methods. More research is needed on people's willingness to obtain radon emission levels and the cancer rates in areas that have high potential for radon.

Implications for Nursing: According to the environmental literature, the effect of household radon emissions on the development of lung cancer is as great a health risk as secondhand smoke. Virtually no nursing literature on the subject has been published. As the primary source of health information in many rural counties, nurses, especially public health nurses, are at the forefront in public health educational efforts. Nurses are the most likely healthcare professionals to enter patients' homes and can play a significant role in disseminating information about radon as a potential carcinogen.

Jump to a section

    References

    Baldwin, G., Frank, E., & Fielding, B. (1998). U.S. women physicians' residential radon testing practices. American Journal of Preventive Medicine, 15, 49-53.

    DeAscentis, J.L., & Graham, J.D. (1998). Ranking risks in the home. Risk in Perspective, 6(4), 1-4.

    Evdokimoff, V., & Ozonoff, D. (1992). Compliance with EPA guidelines for follow-up testing and mitigation after radon screening measurements. Health Physics, 63, 215-217.

    Ferng, S., & Lawson, J.K. (1996). Residents in a high radon potential geographic area: Their risk perception and attitude toward testing and mitigation. Journal of Environmental Health, 58(6), 13-17.

    Field, R.W., Kross, B.C., & Vust, L.J. (1993). Radon testing behavior in a sample of individuals with high home radon screening measurements. Risk Analysis, 13, 441-447.

    Ford, E.S., & Eheman, C.R. (1997). Radon retesting and mitigation behavior among the U.S. population. Health Physics, 72, 611-614.

    Ford, E.S., Eheman, C.R., Siegel, P.Z., & Garbe, P.L. (1996). Radon awareness and testing behavior: Findings from the Behavioral Risk Factor Surveillance System, 1989-1992. Health Physics, 70, 363-366.

    Frank-Stromborg, M., & Rohan, K. (1992). Nursing's involvement in the primary and secondary prevention of cancer. Nationally and internationally. Cancer Nursing, 15, 79-108.

    Glass, L.B., Mensah, E.K., & Croke, K.G. (1992). Public perception of radon risks: Measuring the effectiveness of an awareness program. Chicago: University of Illinois at Chicago School of Public Health.

    Halpern, M.T., & Warner, K.E. (1994). Radon risk perception and testing: Sociodemographic correlates. Journal of Environmental Health, 56(7), 31-35.

    Howell, S.L., Nelson-Marten P., Krebs, L.U., Kaszyk, L., & Wold, R. (1998). Promoting nurses' positive attitudes toward cancer prevention/screening. Journal of Cancer Education, 13, 76-84.

    Illinois Department of Nuclear Safety. (1986). Radon in Illinois: A status report. Springfield, IL: Author.

    Illinois Department of Nuclear Safety. (1992). Radon in Illinois: A status report. Springfield, IL: Author.

    Jones, R. (1997). Talk back. No smoke without fire: The real risk of radon. Health Visitor, 70, 14.

    Kennedy, C.J., Probart, C.K., & Dorman, S.M. (1991). The relationship between radon knowledge, concern and behavior, and health values, health locus of control and preventive health behaviors. Health Education Quarterly, 18, 319-329.

    Laurent, C. (1996). Radon gas: Myth or menace? Health Visitor, 69, 448-449.

    Mahon, S.M. (1998). Cancer risk assessment: Conceptual considerations for clinical practice. Oncology Nursing Forum, 25, 1535-1547.

    Mainous, A.G., III, & Hagen, M.D. (1993). Public perceptions of radon risk. Family Practice Research Journal, 13, 63-69.

    National Research Council. (1998). Biological effects of ionizing radiation (BEIR) VI report: The health effects of exposure to indoor radon. Washington, DC: National Academy Press.

    Oleckno, W.A. (1995). Guidelines for improving risk communication in environmental health. Journal of Environmental Health, 58(1), 20-23.

    Platt, J.R. (1993). Radon: Its impact on the community and the role of the nurse. American Association of Occupational Health Nurses Journal, 41, 547-550.

    Rice, R. (1999). Environmental threats in the home: Home care nursing perspectives. Geriatric Nursing, 20, 332-336.

    Rohan, K., & Frank-Stromborg, M. (2002). The evolution of nursing's role in the prevention and early detection of cancer. In K. Jennings-Dozier & S.M. Mahon (Eds.), Cancer prevention, detection, and control: A nursing perspective (pp. 7-32). Pittsburgh, PA: Oncology Nursing Society.

    Saccomanno, G., Huth, G.C., Auerbach, O., & Kuschner, M. (1988). Relationship of radioactive radon daughters and cigarette smoking in the genesis of lung cancer in uranium miners. Cancer, 62, 1402-1408.

    Samet, J.M. (1989). Radon and lung cancer. Journal of the National Cancer Institute, 81, 745-757.

    Sandman, P.M. (1987). Risk communication: Facing public outrage. EPA Journal, 13, 21-22.

    Thomas, R. (1996). Radon and your home. Interactive Healthcare Newsletter, 12(11/12), 9.

    U.S. Census Bureau. (1990). 1990 census lookup. Retrieved February 17, 2000, from http://venus.census.gov/cdrom/lookup/950822249

    U.S. Department of Health and Human Services. (2000). Ninth report on carcinogens 2000. Retrieved November 21, 2000, from http://ehis.niehs.nih.gov/roc/toc9.html

    U.S. Environmental Protection Agency. (1992a). A citizen's guide to radon: The guide to protecting yourself and your family from radon (EPA Publication No. 402-K92-001). Washington, DC: Author.

    U.S. Environmental Protection Agency. (1992b). Technical support document for the 1992 citizen's guide to radon (EPA Publication No. 400-R-92-011). Washington, DC: Author.

    U.S. Environmental Protection Agency. (1993). Protocols for radon and radon decay product measurements in homes (EPA Publication No. 402-R-93-003). Washington, DC: Author.

    U.S. Environmental Protection Agency. (2000). Frequently asked questions about radon. Retrieved November 21, 2000, from http://www.epa.gov/iedweb00/radon/radonqal.html

    Wang, Y., Ju, C., Stark, A.D., & Teresi, N. (1999). Radon mitigation survey among New York state residents living in high radon homes. Health Physics, 77, 403-409.

    Weinstein, N.D., Klotz, M.L., & Sandman, P.M. (1988). Optimistic biases in public perception of the risk from radon. American Journal of Public Health, 78, 796-800.

    Weinstein, N.D., & Sandman, P.M. (1992). Predicting homeowners' mitigation responses to radon test data. Journal of Social Issues, 48(4), 63-83.

    Weinstein, N.D., Sandman, P.M., & Roberts, N.E. (1990). Determinants of self-protective behavior: Home radon testing. Journal of Applied Social Psychology, 20, 783-801.

    Weinstein, N.D., Sandman, P.M., & Roberts, N.E. (1991). Perceived susceptibility and self-protective behavior: A field experiment to encourage home radon testing. Health Psychology, 10, 25-33.

    World Health Organization. (2000). Air quality guidelines. Retrieved November 21, 2000, from http://www.who.int/peh/air/airqualitygd.htm