Sylvia Brown

Determinants of Trust Perceptions among Residents Surrounding the Savannah River Nuclear Weapons Site

The public is becoming increasingly distrustful of hazardous waste management activities. However, public trust is a requisite condition for effective environmental management of hazardous waste sites. Without trust, it is unlikely that such institutions can effectively convince the public that a site is safe and can be reused. The authors of this article conducted a study of the social, economic, psychological, demographic, and political factors that may affect environmental risk assessment and communication at the U.S. Department of Energy’s Savannah River Nuclear Weapons Site (SRS). Public trust was a central focus of this study. A population survey was conducted to evaluate the level of public mistrust and correlates of public mistrust among residents living near the SRS. In this sample, several groups of respondents demonstrated high levels of trust. Respondents living upriver from SRS and respondents whose county was economically dependent on SRS voiced high levels of trust. Respondents who were predisposed toward accepting additional hazardous waste or accepting public health risks for economic gain also showed high levels of trust. Findings suggest that public trust is influenced by a variety of factors including personal traits, experiences, and economic needs.

Risk Perception in Context: The Savannah River Site Stakeholder Study

Environmental managers are increasingly charged with involving the public in the development and modification of policies regarding risks to human health and the environment. Involving the public in environmental decision making first requires a broad understanding of how and why the public perceives various risks. The Savannah River Stakeholder Study was conducted with the purpose of investigating individual, economic, and social characteristics of risk perceptions among those living near the Savannah River Nuclear Weapons Site. A number of factors were found to impact risk perceptions among those living near the site. Ones estimated proximity to the site and relative river location surfaced as strong determinants of risk perceptions among SRS residents. Additionally, living in a quality neighborhood and demonstrating a willingness to accept health risks for economic gain strongly abated heightened risk perceptions.

Effect of a 4-month tea intervention on oxidative DNA damage among heavy smokers: role of glutathione S-transferase genotypes.

Glutathione S-transferase (GST), a member of the phase II group of xenobiotic metabolizing enzymes, has been intensively studied at the levels of phenotype and genotype. The GST μ 1 (GSTM1) and GST θ 1 (GSTT1) genes have a null-allele variant in which the entire gene is absent. The null genotype for both enzymes has been associated with many different types of tumors. The aim of this study was to determine the possible differences in increased oxidative stress susceptibility to smoking within the GSTM1 and GSTT1 genotypes and the impact of high tea drinking on this. We designed a Phase II randomized, controlled, three-arm tea intervention trial to study the effect of high consumption (4 cups/day) of decaffeinated green or black tea, or water on oxidative DNA damage, as measured by urinary 8-hydroxydeoxyguanosine (8-OHdG), among heavy smokers over a 4-month period and to evaluate the roles of GSTM1 and GSTT1 genotypes as effect modifiers. A total of 133 heavy smokers (100 females and 33 males) completed the intervention. GSTM1 and GSTT1 genotype statuses were determined with a PCR-based approach. Multiple linear regression models were used to estimate the main effects and interaction effect of green and black tea consumption on creatinine-adjusted urinary 8-OHdG, with or without adjustment for potential confounders. Finally, we studied whether the effect of treatment varied by GSTM1 and GSTT1 status of the individual. Although there were no differences in urinary 8-OHdG between the groups at baseline, the between-group 8-OHdG levels at month 4 were statistically significant for GSTM1-positive smokers (P = 0.05) and GSTT1-positive smokers (P = 0.02). GSTM1-positive and GSTT1-positive smokers consuming green tea showed a decrease in urinary 8-OHdG levels after 4 months. Assessment of urinary 8-OHdG after adjustment for baseline measurements and other potential confounders revealed significant effect for green tea consumption (P = 0.001). The change from baseline was significant in both GSTM1-positive (t = −2.99; P = 0.006) and GSTT1-positive (P = 0.004) green tea groups, but not in the GSTM1-negative (P = 0.07) or GSTT1-negative (P = 0.909) green tea groups. Decaffeinated black tea consumption had no effect on urinary 8-OHdG levels among heavy smokers. Our data show that consumption of 4 cups of tea/day is a feasible and safe approach and is associated with a significant decrease in urinary 8-OHdG among green tea consumers after 4 months of consumption. This finding also suggests that green tea intervention may be effective in the subgroup of smokers who are GSTM1 and/or GSTT1 positive.

Hierarchical Linear Models of Factors Associated with Public Participation among Residents Living near the US Army's Chemical Weapons Stockpile Sites

The purpose of this study was to investigate public involvement among residents living near the US Armys eight Chemical Weapons Stockpile sites. A cross-sectional study was conducted across 10 states. Primary data were obtained through a random digit dialling population survey. The study sample consisted of 8315 residents living within emergency response zones surrounding the US Armys Chemical Weapons Stockpile sites. Three research questions were investigated: (1) to what extent respondents participated in specific civic activities, and to what extent respondents intended to participate in site-related decisions; (2) to what extent psychological, social, economic and programmatic factors influenced a respondents civic participation or personal intent to participate; and (3) to what extent a respondents civic participation or personal intent to participate were individually or contextually determined. Residents in this sample exhibited moderately high levels of civic participation. Overall, residents across the sites did not differ greatly with respect to either civic participation or the intent to participate. Civic participation was primarily associated with educational attainment and family size. The intent to participate was primarily associated with the following individual variables: perceived technological attributes; perceived risk; perceived impact; perceptions towards public outreach; educational attainment; and gender. In terms of community variables, the intent to participate was also indirectly associated with the number of activist groups.

Impact of a community-based breast cancer screening program on Hopi women.

OBJECTIVE To examine changes in breast cancer knowledge, attitudes, beliefs and behaviors following implementation of a tribal run CDC Breast and Cervical Cancer Program (BCCP), we report 2006 survey results from Hopi women and contrast findings with 1993 survey data and BCCP reports. METHODS Community meetings, focus groups, and researchers jointly developed a culturally appropriate survey instrument. Hopi women randomly selected from Tribal enrollment lists were interviewed in-person by Hopi interviewers; 250 women ≥ age 18 participated (87% response) between June and December, 2006. RESULTS Among women 40+, 77.5% reported ever having had a mammogram and 68.9% reported having done so within the past 2years, an increase from 45.2% and 46% self-reported in 1993. Compared to 1993, more women in 2006 (88.1% vs. 59%) believed that a mammogram can detect cancer and more than 90% now believe that early detection of cancer can save lives. Women reported a preference (60%) for receiving health care at the Hopi BCCP. Survey results were validated using programmatic data which estimated 76.6% of Hopi women had received mammography screening. CONCLUSION Implementation of a tribal run BCCP has resulted in a substantial increase in mammography screening on the Hopi reservation.

Process for determining the cancer burden of the Hopi Tribe.

The Hopi Tribe is located in the northeastern part of Arizona on more than one million acres of federally reserved land. Tribally based community research, conducted in collaboration with University of Arizona researchers, has been successfully implemented on Hopi beginning with a cross-sectional community survey in 1993 and continuing with a second survey in 2006. Both surveys identified a strong community interest in cancer. This article reports on the process involved in a third study, in which official Hopi enrollment data were matched with Arizona Cancer Registry data. The process involved bringing in a new partner and obtaining tribal, state, and university approvals, as well as a signed data exchange agreement between the state and the Hopi Tribe. Technical implementation of the data match required computer programming and epidemiologic expertise, as well as an understanding of the community and the culture. Close collaboration among Hopi residents and university epidemiologists was critical.