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This paper considers the manner and extent to which the media and public opinion influenced the US government's and the UK government's reaction to the Y2K computer bug. The data concerning Y2K come largely from primary and secondary government documents and newspaper articles and public opinion polls from the period as well as semi-structured interviews conducted with civil servants, representatives from the IT sector, and IT journalists. The paper concludes that during the early phases of Y2K planning there was anxiety among a professional elite, which included the media, the legislatures, and private industry, and this anxiety influenced the timing and magnitude of both governments' responses. With respect to public opinion, however, the governments were more concerned about shaping it rather than following it. Both governments raised the profile of Y2K as a strategy to minimize the impact of the bug in a complex and interdependent infrastructure. After having raised awareness and anxiety levels for over a year, however, the US government, in particular, was worried that it had done too good a job, and that public overreaction became a distinct possibility. They therefore embarked on a strategy of bringing public anxiety down. As New Year's Day 2000 approached, the governments' Y2K operations were no longer in line with public perception about the risk, but in light of the potential consequences of a public overreaction, this deviation seemed acceptable. [ABSTRACT FROM AUTHOR]

This paper reports on a study of the portrayal of accidents in the mass print media magazines available in Canada and published in Canada or the USA in 1991, 1996 and 2001. Through content, frame and discourse analyses it describes 'factual' and narrative stories of accidents. Narrative articles are subdivided into accidents occurring to an individual and those occurring to an aggregate. Stories of individual accidents reflect different discourses than those of group accidents. Individual accidents are described as terrible things that sometimes happen to good people who then overcome the tragedies to become better people. Group accidents underscore the frustration, fear and the powerlessness of individuals who try to deal with corporations and governments who have responsibility for the causation of the accidents. The article ends by theorizing these findings in the context of the indemnification of the individual in the modern risk society. [ABSTRACT FROM AUTHOR]

In recent years a technical discourse of risk has assumed the status of a universal basis for governance and administrative practice in both private and public sector organizations within Britain, the United States, and a number of other Western countries. The re-framing of pre-existing organizational concerns in terms of risk categories reflects an underlying bureaucratic concern with the accountable and cost-effective management of contingency. This paper examines some of the diversity of real-world features of the penetration of spheres of professional practice by this new discourse of risk. While risk-based practice is advocated by rhetorics that stress the promotion of administrative efficiency, in the real world it is possible to observe a wide variety of situationally-specific risk-related practices. This paper argues that ‘risk work’ in organizational settings offers especially useful resources that allow actors to pursue such diverse agendas, while also providing an accounting mechanism that allows them to legitimate such activity. [ABSTRACT FROM AUTHOR]

In this paper, we examine discourse in public deliberations in pre-development locales in the UK and US about advantages and disadvantages of future shale development ('fracking'). We aimed to understand how people anticipate potential health effects, broadly construed, of environmental toxicity and disturbance in the context of planned, but not yet implemented, energy development. In day-long deliberations with small, diverse groups in two cities in each country (London, Cardiff in the UK; Los Angeles, Santa Barbara in the US), participants discussed impacts on health and well-being using three main rubrics: 'It's money or health', 'Why take chances?' and 'Beyond the tipping point'. Throughout, participants framed health as an intrinsically moral issue, with collective responsibility as a dominant normative frame. We identify the concept of compound risk to underscore effects of multiple risks and hazards on people's sensibilities about anticipated future health and environmental harm. The findings demonstrate how and why diverse publics in pre-impact sites in both countries saw shale extraction as high stakes development that poses significant, often unacceptable, risks to human and environmental health and well-being. Risks extended beyond toxicity to broad threats to health, including, for some, the end of life as we know it on the planet. Overall, participants' discussions of health were more connected to social categories and their underlying moral principles than to technological details. This work contributes evidence of blurred boundaries between environment and health as well as the importance people place on social risks in the context of proposed energy system change. [ABSTRACT FROM AUTHOR]

This paper reports on an exploratory, qualitative content analysis of the portrayal of the risk of sexually transmitted infections or diseases (STIs or STDs) and sexuality in the United States (US) versions of the most popular women's magazines in the world, the English language magazines for young women Cosmopolitan (Cosmo) and Glamour from 2000-2007. The data studied here demonstrate contradictory messages. On the one hand, there is a frequent and powerful portrayal of STIs and STDs as ubiquitous, dangerous, and disgusting, and on the other, there are numerous stories promoting casual sex for women's pleasure. Biomedicine is positioned as the most appropriate system of knowledge for understanding and explaining sexuality and STIs/STDs. The substantive, theoretical, and practical consequences of this paradoxical and contradictory social construction of sexuality and the risk of STIs or STDs are discussed as the major contributions of this paper. [ABSTRACT FROM AUTHOR]

Public involvement is increasingly emphasized as part of government agencies' responses to environmental health hazards, including risk characterization and risk communication. For example, there is a growing body of literature on health and risk communication proposing best practices and evaluating processes, yet there has been little attention to the ways that preferences for process features and criteria for evaluating success may vary among stakeholders and between stakeholders and government agency staff. This paper reports on a study into how participants associated with an effort to address public health risks from the distribution of plutonium contaminated sewage sludge in Livermore, California, think about the most appropriate way to conduct a process integrating public involvement. Using Q method this paper identifies five perspectives about what constitutes a good collaborative process in this case. The lessons for organizers and participants of risk characterization and risk communication efforts when people subscribe to different (sometimes competing) perspectives about process are discussed. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic has become a partisan issue rather than an independent public health issue in the US. This study examined the behavioural consequences of motivated reasoning and framing by investigating the impacts of COVID-19 news exposure and news frames, as apparent through a Latent Dirichlet topic modelling analysis of local news coverage, on state-level preventive behaviours as understood through a nationally representative survey. Findings suggested that the media effects on various preventive behaviours differed. The overall exposure rate to all COVID-19 news articles increased mask-wearing but did not significantly impact other preventive behaviours. Four news frames significantly increased avoiding contact or avoiding public or crowded places. However, news articles discussing anxiety and stay at home order triggered resistance and countereffects and led to risky behaviours. 'Solid Republican' state residents were less likely to avoid contact, avoid public or crowded places, and wear masks. However, partisan leanings did not interfere with the impact of differing local COVID-19 news frames on reported preventive behaviours. Plus, statements regarding pre-existing trust in Trump did not correlate with reported preventive behaviour. Attention to effect sizes revealed that news exposure and news frames could have a bigger impact on health behaviours than motivated reasoning. [ABSTRACT FROM AUTHOR]

Understandings of risk permeate end-of-life (EOL) care contexts. In addition to the risk of bodily death, patients, family and healthcare providers face spiritual and communication risks during EOL care. The Western biomedical healthcare model is an objectivist, curative framework focusing on fixing the body; this cultural notion limits communication regarding physical illness. Existing work argues that Americans' reticence to discuss EOL can be considered a public health issue, due to high financial and relational costs, lack of education about treatment options, and avoidance of EOL discussions until decisions must be made during health crises. The current study applied risk orders theory in analysing chaplains' experiences of EOL care in the US, where medical practice is dominated by biomedical health models. Risk orders theory is used to examine risk discourses from a social constructionist perspective in response to dominant objectivist approaches to risk. The current study expands conceptions of third-order risks through exploration of the chaplaincy profession. Analysis of chaplain qualitative interviews and focus groups, totalling 48 participants across the US, suggest chaplains possess the potential to reframe cultural discourses about death and reinvigorate cultural imagination surrounding EOL care. [ABSTRACT FROM AUTHOR]

Based on a comparative approach, this article reports content analyses of news articles about a devastating earthquake that occurred in Sichuan province, China, from six Chinese newspapers, indicating that the Chinese media, in reporting the government’s emergency responses, had many similarities with the American media's coverage of Hurricane Katrina in 2005. Further comparisons, however, suggest that the claim of a ‘watchdog’ media culture during disasters, as measured by the frequency of media accounts of the government’s responsibilities, is still relatively premature in China. Moreover, party-controlled and market-oriented media in China had different focuses in their coverage of natural disasters. The market-oriented media played an important role in making the Sichuan earthquake more transparent and the authorities more responsible. Provincial media in China may be less regulated by the central government and are in a good position to cover sensitive stories outside their own province. But they will not have a long-term impact without an overall government policy of open information and media deregulation. By contrast, fewer variations in story focus were observed in the American media, and the overall difference is relatively limited. [ABSTRACT FROM PUBLISHER]

Individuals with different cultural worldviews conceptualise risks in distinct ways, yet this work has not extended to personal illness risk perception. The purpose of this study was to 1) examine the relationships between two types of cultural worldviews (Hierarchy-Egalitarian; Individualism-Communitarianism) and perceived risk (perceived severity and susceptibility) for diabetes and colon cancer, 2) test whether health literacy modifies the above relationships, and 3) investigate whether trust in government health information functions as a putative mediator of the relations between cultural worldviews and disease perceived risk. We recruited (N = 600) participants from a nationally-representative Internet survey panel. Results were weighted so the findings are representative of the general United States population. People with a more hierarchical worldview expressed lower perceived susceptibility to developing both diabetes and colon cancer, and perceived these diseases to be less severe, relative to those with a less hierarchical (more egalitarian) worldview. There was no significant association between individualistic worldview and perceived risk. Health literacy modified the relationships between hierarchical worldview and perceived risk; the associations between hierarchical worldview and lower perceived severity were stronger for those with limited health literacy. We did not observe indirect effects of cultural worldviews on perceived risk through trust in health information from government sources. It may be useful to identify specifically tailored risk communication strategies for people with hierarchical and individualistic worldviews, especially those with limited health literacy, that emphasise their important cultural values. Further research examining cultural components of illness risk perceptions may enhance our understanding of risk-protective behaviours. [ABSTRACT FROM AUTHOR]

US quarantine announcements do not include information that there is a moderate likelihood that Ebola-exposed people might exhibit symptoms, signalling infectiousness, beyond 21 days. As a result it is possible that if and when there is media coverage in the US of a delayed-symptom case, it might create citizen distrust in public health authorities and information and cause citizens to overestimate the risk of Ebola infection. In this article we report a research study which examined whether openness about post-21-day symptoms would attenuate negative reactions. We ran two experiments with online opportunity (Amazon mTurk) samples of Americans in late October-early November 2014, between the two deaths from Ebola in the US. In these experiments we assessed the reactions of respondents who saw quantitative estimates of post-21-day-symptom likelihood (n = 1413), or were informed about post-21-day symptoms with a rationale for the 21-day period after all saw a mock news story about a US case of 30th-day symptoms (n = 425). We found in both experiments that perceived risk increased and trust declined when people learned of post-21-day symptoms, and disbelief increased that 21 days without symptoms means no Ebola infection. In Study 2, informed persons and controls changed perceived risk and trust relative to baseline; test-group participants distrusted local medical personnel less and wanted shorter quarantines compared to controls who did not receive the information. Our findings suggest that informing Americans about the small likelihood of post-21-days Ebola symptoms would not increase perceived risk and distrust, and might diminish negative reactions to the media reporting a case who developed symptoms of Ebola after 21 days. Thus, public health officials wanting appropriate public responses to potential or actual epidemics may benefit from early communication of unpleasant infectious-disease facts before events reveal them, and signal officials’ lack of preparedness for public reactions. [ABSTRACT FROM PUBLISHER]

Although smart meters for electricity have received widespread acclaim as a means to achieve more resilient and sustainable electricity consumption, public opposition has emerged in several countries. In this article, I examine the reasons for public opposition in North America and the role of concern with health risks. The article provides an analysis of reasons given for opposing smart meters by 75 US and Canadian organisations listed in the 2013 EMF (electromagnetic field) Safety Network, a review of all news reports (499) in the Lexis-Nexis database relating to smart meters in seven US states and one Canadian province from 2010 to 2013 and case studies of policy responses in the same seven states and province. Thirty-one of the organisations in the EMF network focused mainly on health concerns about EMFs, and 44 organisations identified broader concerns as well as health risks. The more politically conservative groups focused on issues relating to privacy and government intrusion. Newspaper reports also identified health risks, although they also identified issues relating to cost overruns and privacy. The study of newspaper reporting in the seven US states and one Canadian province indicated that relevant agencies had responded to public concerns by developing opt-out provisions for meter installation, in some cases after protracted public campaigns. I consider possible patterns of opposition for future investigation: opposition may be higher where the roll-out of smart meters is rapid and without an opt-out provision; technological differences (for example, wired versus wireless) may contribute to levels of public opposition; and challengers to incumbent parties of either the right or left may also contribute to public opposition. In the ‘Conclusion’ section, I compare two policy strategies, one of which views public opposition as a lack of good communication from utilities, and the other which views it as an opportunity for innovation in systems design and improvements in governance policies. [ABSTRACT FROM AUTHOR]

The notion that ‘older’ mothers experience elevated risks during pregnancy and childbirth has proliferated since the mid-twentieth century. In this article, we take the contemporary concern with age as a starting point from which to historicise and contextualise the concept of maternity risk. To this end, we examine maternal hygiene manuals (self-help guidebooks on motherhood and pregnancy) published between 1880 and 1920 in Canada, the United States and the United Kingdom. Our analysis of these manuals indicated that pregnancy during this period was presented as a potentially dangerous affair that required constant surveillance by the self (and others) to ensure favourable pregnancy outcomes. A dominant theme that emerged from the manuals was that the expectant mother was morally responsible for mitigating a range of risk factors, including adequate exercise, sleep, fresh air, as well as for choosing an appropriate father and ensuring his health. At the same time, the manuals indicated that the failure to seek out expert advice and take up responsible practices was linked to adverse consequences for the expectant mother’s health, and her newborn’s health and moral character later in life. We conclude this article by discussing how findings from our historical data can provide an important context for understanding risk discourses around pregnancy as historically specific and culturally contingent, especially with respect to risks associated with maternal advanced age. [ABSTRACT FROM AUTHOR]

Analyses of risk management within prescription pharmaceutical regulation are rare. We present the first comparison of pharmaceutical risk regulation between the EU's centralised supranational 'state' and another country, the US. Drawing on documentary and interview-based research on case-study drugs and risk management, we argue that 'risk colonisation', neo-liberal governmentality, and pressure from powerful industry interests have combined to produce permissive, rather than precautionary, risk management within pharmaceutical regulation, though more so in the US than Europe. Product labelling is central to pharmaceutical risk management by communicating risks to doctors and patients, but can also legitimate permissive regulatory approval, especially when new drugs offer no therapeutic advance. Such neo-liberal risk management was practised by both the American and European regulatory agencies. However, the FDA, more willingly than EU regulators, used risk communication, warnings, and patient monitoring to maintain on the market pharmaceuticals with severe/life-threatening risks, such as liver and cardiac toxicity, despite growing evidence of their incapacity to prevent harm. Senior EU regulators were sceptical about risk-managing toxic drugs during post-marketing, rather than simply removing them from the market. EU regulators' more precautionary application of pharmaceutical risk management than the FDA offers some support for the 'flip-flop' hypothesis, which asserts that US environmental and consumer product risk regulation was more precautionary during the 1970s and early 1980s, but since then Europe has become more precautionary. However, such support does not necessarily apply to drug regulation overall. The supranational EU regulatory system has been more resistant to neo-liberal governmentality, 'risk colonisation', and the pressure of industry interests. We suggest that this is because EU regulators' practice of regulatory science has greater autonomy from political ideology and institutional interests than its American counterpart. [ABSTRACT FROM AUTHOR]

In 2008, the Medicines and Healthcare products Regulatory Agency (MHRA) issued guidelines discouraging use of over-the-counter cough and cold medications in children under six. In light of these recommendations, this study assessed whether parents had heard of the MHRA recommendations and whether they trusted those recommendations. It also examined parental knowledge, perception and behaviours associated with over-the-counter cough and cold medication use in children. In a sample (N = 941) of UK parents, one-third (36.5%) had not heard about the MHRA recommendations. Half (54.4%) of parents who were aware of the recommendations did not trust them or were unsure what to believe. UK parents with children under six showed widespread (86.9% of sample) use of over-the-counter cough and cold medications with children. Many parents were able to identify one active ingredient in the over-the-counter cough and cold medication they reported using with their children yet few were able to identify all of the active ingredients. Despite ubiquitous use of over-the-counter cough and cold medication with children, only 29.6% of parents rated the medication as very effective, and just half (50.3%) rated the medication as very safe. In a subsample of UK parents (N = 424), 70% misunderstood the purpose of using over-the-counter cough and cold medication with children. [ABSTRACT FROM AUTHOR]

This exploratory case study compares risk frames of scientists who are developing new nanotechnologies (upstream scientists) with those of scientists who might later study the health effects of these technologies (downstream scientists). It is based on a series of in-depth interviews with scientists at a major research university in the United States. Interviews reveal some substantial differences in risk frames among upstream and downstream scientists - many of which center on whether or not nanotechnologies and nanomaterials are perceived as 'new'. Most upstream scientists said they do not think nanotechnologies pose new or substantial risks, while most downstream scientists said they are worried that they may pose new, unforeseen, and possibly substantial risks. Upstream scientists are less likely than downstream scientists to think that concerns about potential nanotechnology risks are based on valid science and tend to consider a narrower range of uncertainties. Interviews suggest that these risk and uncertainty frames are influenced by contrasting disciplinary backgrounds, information exposures, and interdisciplinary interactions. Findings suggest that more comprehensive nanotechnology risk policies might be developed if a wider variety of different kinds of scientists - including downstream scientists - are involved in upstream nanotechnology development and policymaking. [ABSTRACT FROM AUTHOR]

This article concerns responses to health risk concerns about electromagnetic emissions from mobile phone masts. The article draws particular attention to the differential patterns of state response in the UK, USA, Italy, Ireland and Australia. It concludes that precautionary government responses have played a role in the 'social construction' of risk perceptions. [ABSTRACT FROM AUTHOR]

Risks tend to be judged lower by men than by women and by white people than by people of colour. Prior research by Flynn, Slovic and Mertz [Risk Analysis, 14, pp. 1101-1108] found that these race and gender differences in risk perception in the United States were primarily due to 30% of the white male population who judge risks to be extremely low. The specificity of this finding suggests an explanation in terms of sociopolitical factors rather than biological factors. The study reported here presents new data from a recent national survey conducted in the United States. Although white males again stood apart with respect to their judgements of risk and their attitudes concerning worldviews, trust, and risk-related stigma, the results showed that the distinction between white males and others is more complex than originally thought. Further investigation of sociopolitical factors in risk judgements is recommended to clarify gender and racial differences. [ABSTRACT FROM AUTHOR]

The present study assesses the value of educational risk factors as indicators of other risk behaviour in the adolescent age group. The authors analyzed anonymous questionnaire data from 6224 school-based adolescents collected in a Midwest state in the US in 1989. Seven behaviours were labeled ‘educational risks’ impacting on students' classroom behaviour and/or performance (that is skipping school, alcohol or marijuana use during school hours, purchasing alcohol or drugs on campus). The statistical analyses examined the relationship between educational risks and health risks such as delinquency and sexual activity. The findings suggest that health risk exposure increases with increased educational risk. In addition, educational risk behaviours are a significant predictor of experience of other health risk behaviours when grade level, gender, ethnicity, and average grades are held constant. An important ‘window of opportunity’ may exist in the school setting facilitating early identification and intervention with at risk youth. [ABSTRACT FROM AUTHOR]