Out in the midday Sun: Risk behaviour and optimistic beliefs among residents and visitors on tenerife

Abstract

A questionnaire was distributed to 107 local residents on a beach on the island of Tenerife and to 108 visitors from Britain and continental Europe. Measures included perceived danger of sun exposure. environmental concern. value of a suntan, optimism regarding personal risk of skin damage relative to others of one's age and gender, amount of midday sun exposure, sunscreen use and skin type. Use of sunscreen protection was greatly below recommended levels, though higher for women (N = 103). Among visitors, the British (N = 54) showed the riskiest behaviour. Relationship between behaviour. beliefs and background variables varied between groups. Overall there was a significant optimistic bias. This was stronger for the British, and for men. The relationships between optimism and other measures varied between the different national groups. In particular, among the British. greater optimism was associated with placing a higher value on a suntan, with having a more sensitive skin type, with using less adequate sunscreen protection, and with spending a (nonsignificantly) greater proportion of time exposed to the sun in the middle of the day. Among locals and visitors from continental Europe, optimism was associated with less midday exposure. It is concluded that these data offer evidence for two complementary interpretations of the relationship between optimism and health behaviour. On the one hand, those who perceive themselves to be at greater risk may be motivated to take more precautions. while risk-taking may be greater among those regard themselves as less vulnerable. On the other hand. those who take more precautions may infer that their own relative risk is lower. It is argued that research should not assume a single process relating perceived risk to behaviour, but consider factors that might predict the relative importance of alternative processes.     

By-Person Factor Analysis in Clinical Ethical Decision Making: Q Methodology in End-of-Life Care Decisions

Objective: To determine the usefulness of Q methodology to locate and describe shared subjective influences on clinical decision making among participant physicians using hypothetical cases containing common ethical issues.

Design: Qualitative study using by-person factor analysis of subjective Q sort data matrix.

Setting: University medical center.

Participants: Convenience sample of internal medicine attending physicians and house staff (n = 35) at one midwestern academic health sciences center.

Interventions: Presented with four hypothetical cases involving urgent decision making near the end of life, participants selected one of three specific clinical actions offered for each case. Immediately afterward and while considering their decision, each respondent sorted twenty-five subjective self-referent items in terms of the influence of each statement on their decision-making process. By-person factor analysis, where participants are defined as variates, yielded information about the attitudinal background the physicians brought to their consideration of each hypothetical case. We performed a second-order factor analysis on all of the subjective viewpoints to determine if a smaller core of shared attitudes existed across some or all of the four case vignettes. Factor scores for each item and post-sort comments from interviews conducted individually with each respondent guided the interpretation of ethical perspective used by these respondents in making clinical decisions about the cases.

Measurements and Main Results: Second-order factor analysis on seventeen viewpoints used by physicians in the four hypothetical urgent decision cases revealed three moderately correlated (r ² < 40%) subjective core attitudinal guides used broadly among all the cases and among sixteen of the seventeen original factors. Across all the cases, our participants were guided in general by: (1) patient-focused beneficence, (2) a patient- and surrogate-focused perspective that includes risk avoidance, and (3) best interest of the patient guided by ethical values. Economic impact on the physician, expediency in resolution of the situation, and the expense of medical treatment were not found to be influential determinants in this study.

Conclusions: Q sorting and by-person factor analysis are useful qualitative methodological tools to study the complex structure of subjective attitudes that influence physicians in making medical decisions. This study revealed the subjective viewpoints used by our physician participants as they made ethically challenging treatment decisions. The three second-order factors identified here are grounded in current bioethical values as well as the personal traits of physicians. The participants' decision methods appear to resemble casuistry more than principle-based decision making. Generalizability of results will require further studies.     

Associations between authoritative parenting and the sun exposure and sun protective behaviours of adolescents and their friends

Associations between the sun exposure and sun protective behaviours of adolescents and their friends were examined along with the role played by authoritative parenting and other family and peer socialisation factors. Four hundred and two adolescents (198 males, 204 females) participated in the research. It was found that these adolescents and their friends shared similar sun exposure and sun protective behaviours and had similar parenting backgrounds. Parental authoritativeness was positively associated with the use of sun protection, even after the effects of other familial and peer variables were controlled, but not with the time spent sunbathing which was associated with friends' behaviours. The theoretical and practical implications of these findings are discussed.     

Nuclear Attitudes Before and After Chernobyl: Change and Judgment1

This study examines the attitudes of residents of a small town in Dorset, England, toward nuclear and oil developments. The sample consisted of 135 respondents to a follow-up questionnaire sent in June 1986 to a group of 356 residents who had responded to a previous questionnaire immediately before the Chernobyl accident in April 1986. There were shifts in the direction of greater opposition to the existing local nuclear plant, and the building of more nuclear power stations elsewhere in the country; comparable shifts were not found in attitudes toward non-nuclear industrial developments. Post-Chernobyl attitudes were closely related to evaluations of statements offering alternative interpretations of the accident, in a manner predictable from research on social judgment.     

Nuclear Waste: Facts,Fears, and Attitudes1

This study examined the effects of a television documentary about the safety of the Sellafield nuclear reprocessing plant in the Northwest of England upon public attitudes. In a study of 805 respondents from four districts in the Southwest of England, we assessed attitudes and beliefs both before and after the documentary about Sellafield. Results indicated a significant attitude change in a more antinuclear direction. Respondents who had seen or heard about the events at Sellafield tended to be more antinuclear after the broadcast. Finally, respondents living close to the existing nuclear power stations in the Southwest of England tended to see the events at Sellafield as less serious than the remaining respondents. Furthermore, this difference in perceived seriousness between respondents living near a nuclear power station and the remaining respondents was much more pronounced in ratings of the environmental risks of the local nuclear power stations in Southwest England.     

Categorization,cognitive consistency and the concept of dimensional salience

Cognitive consistency theories predict changes in evaluation within an existing frame of reference. This frame of reference must be defined in terms of those dimensions or aspects of the situation that appear most salient to the individual concerned. The same siuation may appear balanced or unbalanced, depending on which dimensions are seen as salient. The tendency to maintain balance may therefore reveal itself in a tendency to see as salient those dimensions in terms of which a given situation will appear most balanced. This is consistent with evidence from the judgment of attitude statements, which suggests that individuals will regard as most salient those dimensions along which their own evaluations of a set of statements will be most congruent with the value connotations of the terms by which the judgment scale is labelled.     

Differences in relapse precipitants and coping behaviour between alcohol relapsers and survivors.

This paper details an empirical investigation into alcoholic relapse. The model underlying this work hypothesized that relapse in alcoholics is an interaction between (1) situations seen as dangerous in precipitating relapse, (2) the behaviour available within the individual's repertoire to cope with these situations, (3) the perceived effectiveness of ‘coping’ behaviour and (4) the degree of self-attributed alcohol dependence.The results of a principal components analysis indicated that relapse precipitants could be categorised as (1) unpleasant affect. (2) external events and euphoric feelings. (3) social anxiety and (4) lessened cognitive vigilance. Except for ‘external events’, these relapse precipitants seemed to be associated with certain styles of coping, but these coping styles were not necessarily effective in avoiding relapse.The findings also indicated that there may be important differences in relapse precipitants and coping styles between those alcoholics who relapse after treatment and those who survive. The results suggest that cognitive control and flexibility of coping are more characteristic of ‘survivors’. The predictive and therapeutic implications of these findings are discussed from the point of view of prevention of relapse.     

Global Changes and Local Accidents: Consistency in Attributions for Environmental Effects1

A questionnaire concerning environmental issues was administered to 462 tourists visiting beaches in southwestern England. One set of items concerned the greenhouse effect, and measured the extent to which global warming was seen as attributable to individual behavior or corporate industrial activity, controllable by changes in behavior and policy, and having an immediate impact on the local climate. Other items concerned a recent shipping accident that had resulted in oil pollution of beaches in the region. Attributing the greenhouse effect to individual or corporate behavior, and interpreting climatic events as signs of this effect, were associated with a belief that the consequences of global warming could be disastrous, but also controllable through international and/or individual action. These responses covaried significantly with those concerning the oil spillage. Thus, greater perceptions of the urgency of dealing with global warming were associated with more negative views of the impact of the oil spillage, and with a greater tendency to attribute the shipping accident as due to bad seamanship, rather than chance. Those who saw individual behavior as contributing to the greenhouse effect were more likely to attribute the accident to bad seamanship, whereas those who felt that ordinary people could do little to stop the effects of global warming regarded the accident as one which could have happened to any tanker. It is suggested that cross-situational consistencies in attributional style and normative beliefs may contribute to associations between attitudes on distinct environmental issues.