The Invisible Danger of Transferring Toxins with Bunker Gear: A Theory-Based Intervention to Increase Postfire Decontamination to Reduce Cancer Risk in Firefighters.

Studies show significant association between cancer risk and being a firefighter. After exposure to even routine firefighting, firefighters' bunker gear often contains carcinogens that may be absorbed through contact or inhaled through off-gassing, thereby increasing cancer risk. Awareness of increased cancer risk has given rise to policies and practices focused on gear cleaning and decontamination processes to decrease risk; yet, these efforts are in their infancy and tend to be somewhat piecemeal in nature. This study presents a theory-based communication intervention tailored to the unique context of high-reliability organizations (HROs). The intervention focused on increasing postfire decontamination behaviors to reduce exposure to carcinogens among firefighters. Results of the intervention across 14 fire stations from 2 fire departments in South Florida show significant increases in attitudes, norms, and self-efficacy, decreases in perceived barriers, and increased intention to engage in decontamination processes. While the intervention was highly successful in both fire departments, there were significant differences in between organizations; attitudes perceived norms, and barriers to gear cleaning remained significantly different. This highlights the need to examine the specific context of the organization in designing interventions. In line with previous research on HROs, regression models showed that norms and self-efficacy are the strongest predictors of current behavior. However, postintervention, attitudes emerge as the strongest predictor of future behavior. The results of this study provide valuable evidence for utilizing theoretical elements in message design for interventions in HROs, and of the importance of designing communication for specific sites of intervention.

Firefighter perceptions of cancer risk: Results of a qualitative study.

BACKGROUND: Recent epidemiological research on firefighters indicates an increased incidence of specific types of cancer. Intervention is needed in the fire service yet little is known about how firefighters perceive their cancer risk. METHODS: Participant observation (150 h, n = 100) and focus group (n = 17) data were collected from 15 fire stations in South Florida. Firefighters had at least 3 years of experience, ranks included drivers, captains, lieutenants, and specialty captains, with a median age of 51 years. RESULTS: From the qualitative analysis, two major categories (direct and indirect factors) for cancer risks emerged based on participant notions of cancer risk and cancer prevention behaviors as they relate to firefighting. CONCLUSIONS: Firefighters perceive cancer risks as the result of performing essential job tasks and from indirect job factors related to being a firefighter. The two categories of cancer risks suggest different points of entry for intervention.

Framing Autism: A Content Analysis of Five Major News Frames in U.S.-Based Newspapers.

The portrayal of child autism-related news stories has become a serious issue in the United States, yet few studies address this from media framing perspective. To fill this gap in the literature, this study examined the applicability of a media framing scale (Semetko & Valkenburg, 2000) for the deductive examination of autism-related news stories in U.S.-based newspapers. Under the theoretical framework of framing theory, a content analysis of news stories (N = 413) was conducted to investigate the presence of the five news frames using an established questionnaire. Differentiating between local and national news outlets, the following five news frames were measured: (a) attribution of responsibility, (b) human interest, (c) conflict, (d) morality, and (e) economic consequences. Findings revealed that news stories about autism most frequently fell within the human interest frame. Furthermore, the study shed light on how local and national newspapers might differ in framing autism-related news pieces and in their placement of the autism-related story within the newspaper (e.g., front page section, community section).

Social Support, Trust in Health Information, and Health Information-Seeking Behaviors (HISBs): A Study Using the 2012 Annenberg National Health Communication Survey (ANHCS).

We proposed a conceptual model to predict health information-seeking behaviors (HISBs) from three different sources (family, the Internet, doctors). To test the model, a structural equation modeling (SEM) analysis was conducted using data from the 2012 Annenberg National Health Communication Survey (ANHCS) (N = 3,285). Findings suggest higher social support from family predicts higher trust in health information from family members (abbreviated as trust in this article). Trust is positively related to HISBs from all three sources, with the path linking trust to HISB from family being the strongest. The effect of social support on HISB from family is partially mediated by trust, while effect of social support on HISBs from the Internet/doctors is fully mediated by trust. Implications of the study are discussed.

Exploring Environmental Health on Weibo: A Textual Analysis of Framing Haze-Related Stories on Chinese Social Media.

According to the latest report by the World Health Organization, air pollution, one of the planet's most dangerous environmental carcinogens, has become one of the leading causes of cancer-related deaths. In China this is a particularly crucial issue, with more than 100 cities and close to one billion individuals threatened by haze due to heavy air pollution in recent years. Beyond traditional channels, the rise of social media has led to greater online haze-related information sharing. Formative research suggests that Weibo is playing a larger role in the process of information seeking than traditional media. Given the severity of haze and the influential role of Weibo, a textual analysis was conducted based on Sina Weibo (Chinese Twitter) to provide health decision-makers and media consumers knowledge on how environmental health issues such as haze are framed in Chinese social media. Framing theory served to explain the differences across various outlets: People's Daily, China Daily, and the Chinese version of the Wall Street Journal. By analyzing 407 Weibo posts, five major frames emerged: (1) governmental concern, (2) public opinion and issue management, (3) contributing factors and effects, (4) socializing haze-related news, and (5) external haze-related news.

eHealth Familias Unidas: Pilot Study of an Internet Adaptation of an Evidence-Based Family Intervention to Reduce Drug Use and Sexual Risk Behaviors Among Hispanic Adolescents.

This paper describes the Internet adaptation of an evidenced-based intervention for Hispanic families, eHealth Familias Unidas, and explores whether an Internet-based format is feasible and acceptable to Hispanic families. Core intervention components from the evidence-based intervention, Familias Unidas, were transposed into a video format and edited for content. Additionally, interactive exercises and a soap opera series were incorporated to reinforce intervention content and optimize participant engagement and retention. To understand the feasibility and acceptability of eHealth Familias Unidas, we conducted a pilot study and examined findings from: (1) session completion rates for both e-parent group sessions and family sessions (n = 23 families); and (2) qualitative data collected from Hispanic parents (n = 29) that received the eHealth intervention. Engagement and attendance in the intervention showed that 83% of families engaged in the intervention and that there was an overall session completion rate of 78%. Qualitative interviews were conducted mid and post intervention with a combined total of 29 participants. A general inductive approach was used to derive themes from the collected data. Overall, parents expressed positive feedback in regards to the intervention and stated that there were multiple lessons learned from participating in eHealth Familias Unidas. Findings indicate that an Internet-based family intervention is not only feasible and acceptable for Hispanic families, but also offers a viable option to ameliorate barriers to participation and implementation of preventive interventions.