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Recreation, consumption of wild game, risk, and the department of energy sites: Perceptions of people attending the Lewiston, ID, "Roundup"

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JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH-PART A-CURRENT ISSUES 1999年第4期56卷 221-234页

作者： Burger, J Rutgers State Univ Div Life Sci Piscataway NJ 08854 USA Occupat & Environm Hlth Sci Inst Piscataway NJ USA

Several federal agencies are reclaiming land through remediation and restoration, and are considering potential future land uses that are compatible with current land uses and local needs. Understanding potential recreational and wild game consumption patterns and risk perceptions are critical for determining cleanup levels and assessing potential risk associated with certain uses. In this article, recreational rates of people attending the Lewiston "Roundup" rodeo in northwestern Idaho were examined, as well as their perceptions of the safety of consuming fish and game from two Department of Energy (DOE) facilities: the Hanford Site and the Idaho National Engineering and Environmental laboratory (INEEL). These are two of DOE's largest sites. Lewiston is closer to Hanford but is in the same state as INEEL. Men engaged in significantly higher hunting and fishing rates than women, but there were no gender differences in camping and hiking rates. Rates of hunting and camping decreased significantly with age, while rates of hiking were lowest for 31- to 45-yr-olds. Level of education generally was not related to rates of recreation. Over 70% of the subjects are deer, elk, and self-caught fish;30-50% ate grouse, moose, and waterfowl;and fewer people ate other game species. Overall, subjects were less concerned about earing the fish and game from INEEL than from Hanford and more people thought Hanford should be cleaned up completely compared to INEEL. Mean rates of fishing hiking, and camping all exceeded the DOE's maximum recreational exposure assumption of 14 d/yr used in their future use documents. Although at present people are generally not allowed access to DOE lands for recreation, recreation is one future land use being considered for these federal facilities. Given that some people would engage in multiple activities, the potential exists for people living in the general region of Hanford and INEEL to exceed the 14-d exposure assumption. The relative gender diffe

关键词：年龄因素动物野生教育程度环境暴露/统计学和数值数据鱼类食品污染爱达荷/流行病学肉/标准问卷调查娱乐危险性评估性别因素华盛顿/流行病学青少年成年人老年人老年人 80以上动物儿童女(雌)性人类男(雄)性中年人

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Self‐Care and Illness Response Behaviors in a Frontier Area: Rural Health Research

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The Journal of Rural Health 1992年第1期8卷 4-12页

作者： Bartlome, Jeffrey A. Bartlome, Patricia Bradham, Douglas D. 1 Bartlome is director of the Institute of Rural Health Studies in the College of Health Related Professions at Idaho State University. He is currently a doctoral candidate in the Department of Pharmacy Practice and Administrative Sciences College of Pharmacy. His research interests include pharmaceutical health care with emphasis in areas of rural primary health issues of providers and consumers.2 Bartlome is assistant professor in the Department of Pharmacy Practice and Administrative Sciences in the College of Pharmacy at Idaho State University. She received her doctorate followed by a residency and the ASHP Post-Doctorate Fellowship in Geriatric Pharmacotherapy at the University of Utah. Her research interests include pharmacotherapeutic effects on physical and psychological function of geriatric patients primary care chronic disease management and patient medication education.3 Bradham is an associate professor in the Department of Health Policy and Management at the University of South Florida's College of Public Health in Tampa FL. He has been involved in rural health primary care and public agency fiscal and managerial analysis and technical assistance for nearly 20 years. Bradham's research has focused on elderly health services since in Florida as well as cost effectiveness and efficiency in home health and rural primary care.

Self‐care and illness response to a recent medical event were examined based on a mailed questionnaire to a random sample of 416 adults in a frontier area in north‐central Idaho. A total of 494 questionnaires were returned (45% response rate), and 78 were eliminated. Self‐care behaviors were classified as: (1) waiting to see what would happen, (2) purchasing or taking a nonprescription medication, (3) taking a prescription medication that was on hand, (4) taking both a prescription and a nonprescription medication, (5) contacting a physician, and (6) going to a hospital. These six variables were classified into three intervention constructs of no intervention (waiting), informal intervention (self‐medicating), and formal intervention (contacting a health care professional). Fifty‐six percent of the respondents reported self‐medicating behaviors. Correlation analysis indicated that initial self‐care and illness response behaviors in this frontier area were generally appropriate. Three multiple discriminant models were tested to differentiate those people who waited, self‐medicated, and contacted formal providers from those who did not. A significant model could not discriminate between those who waited and those who did not. Models for self‐medicating and contacting formal providers correctly classified cases 60 to 70 percent of the time. The analyses indicate that self‐medicating was more likely to be reported by younger individuals, by those who lived further from the hospital, who perceived their health status to be better, who reported less satisfaction with community health care services, and that the self‐medicating was appropriate. Those respondents most likely to contact the physician reported a lower perceived health status, a higher level of appropriateness of seeking formal health care services, a perceived physician shortage as a serious community problem, greater use of a number of prescription medications in the previous two weeks, and reported living i

关键词：判别分析评价研究健康知识态度实践卫生服务研究/方法健康状况爱达荷/流行病学病人接受卫生保健的程度/统计学和数值数据问卷调查农村卫生/统计学和数值数据自我护理/心理学自我护理/统计学和数值数据自我护理/利用自我投药法/心理学自我投药法/统计学和数值数据自我投药法/利用社会经济因素成年人女(雌)性人类男(雄)性

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