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1.
Environ Manage ; 73(3): 579-594, 2024 Mar.
Article in English | MEDLINE | ID: mdl-37981581

ABSTRACT

With the increasing occurrence and severity of wildfires in the U.S., and especially in the forests and rangelands of the western U.S., it is important to know which wildfire information sources are trusted by households and the amount of trust placed on natural resources agencies to manage for wildfire. The Theory of Motivated Reasoning suggests that people will trust and use those information sources that conform to their own value and ideological orientations. Similarly, trust in natural resource agencies' ability to manage wildfire may also be the result of cultural traits. This study uses Cultural Theory as a theoretical perspective to determine those value systems, and how cultural traits motivate people to use and trust various wildfire information sources and the agencies tasked with managing wildfire. Using random sample surveys of Wildland-Urban-Interface (WUI) households in fire-prone Deschutes County in central Oregon, the study finds that egalitarians are significantly more likely than those with other cultural traits to use and trust natural resource agency information sources, while individualists are more likely to use and trust family members and neighbors for their information. Similarly, egalitarians are trusting of natural resource managers to use prescribed fire, manage naturally ignited fires, and to thin forests to reduce fuels. Individualists are less trusting of government agencies to use the same approaches to reduce fuels. The study concludes with some suggestions for how wildfire policy makers and managers can use these findings to communicate more effectively important wildfire information to audiences with differing cultural traits and differing levels of natural resource agency trust.


Subject(s)
Fires , Wildfires , Humans , Oregon , Trust , Conservation of Natural Resources
2.
Article in English | MEDLINE | ID: mdl-36248195

ABSTRACT

When the COVID-19 virus first arrived in the United States in early 2020, many epidemiologists and public health officers counseled for shutdowns and advised policymakers to prepare for a major pandemic. In 2020, though, US society was rife with major political and cultural divides. Some elected leaders promoted policies at odds with the experts, and many people refused to heed the public health-based communications about the coming pandemic. Additionally, the capacity to respond to a pandemic was distributed in the country in a highly unequal fashion. This paper analyzes the noteworthy geopolitical patterns of COVID-19 illnesses, subsequent demands on hospitals, and resulting deaths. This description is based on a snapshot of archival data gathered in the midst of the pandemic during late January and early February of 2021. Demographic data, indicators of political party support, indicators of citizen attitudes, and public health compliance behaviors are combined in a multivariate analysis to explain COVID-19 outcomes at the local government (county) level. The analysis suggests strongly that regional political culture and local demographics played a substantial role in determining the severity of the public health impact of the COVID-19 pandemic.


Cuando el virus COVID­19 llegó por primera vez a los Estados Unidos a principios de 2020, muchos epidemiólogos y funcionarios de salud pública recomendaron cierres y aconsejaron a los legisladores que se prepararan para una gran pandemia. Sin embargo, en 2020, la sociedad estadounidense estaba plagada de grandes divisiones políticas y culturales. Algunos líderes electos promovieron políticas en desacuerdo con los expertos, y muchas personas se negaron a prestar atención a las comunicaciones basadas en la salud pública sobre la próxima pandemia. Además, la capacidad de respuesta ante una pandemia se distribuyó en el país de manera muy desigual. Este documento analiza los patrones geopolíticos notables de las enfermedades de COVID­19, las demandas posteriores en los hospitales y las muertes resultantes. Esta descripción se basa en una instantánea de los datos de archivo recopilados en medio de la pandemia a fines de enero y principios de febrero de 2021. Los datos demográficos, los indicadores de apoyo a los partidos políticos, los indicadores de las actitudes de los ciudadanos y los comportamientos de cumplimiento de la salud pública se combinan en un modelo multivariado. análisis para explicar los resultados de COVID­19 a nivel del gobierno local (condado). El análisis sugiere fuertemente que la cultura política regional y la demografía local desempeñaron un papel importante en la determinación de la gravedad del impacto de la pandemia de COVID­19 en la salud pública.

3.
Cannabis Cannabinoid Res ; 7(1): 107-115, 2022 02.
Article in English | MEDLINE | ID: mdl-33998859

ABSTRACT

Background: Recently increased access to cannabis products in the United States has been associated with increased rates of driving after cannabis use. Although numerous studies indicate that cannabis impairs psychomotor and neurocognitive functions that can affect driving ability, the determination of cannabis-impaired driving risk is complicated by the extent to which frequent cannabis users develop tolerance to THC's subjective, cognitive, and psychomotor effects, and by the fact that there is no validated behavioral or biological marker of recent cannabis use or cannabis-related impairment. This study examined the psychomotor impairment-related effects experienced by frequent cannabis users in Colorado after naturalistic consumption of smoked cannabis, both immediately and 1 h postuse. Results were then validated in a smaller replication sample from Washington state. Methods: In the primary Colorado study, participants (n=70) used the DRUID® mobile app, a brief measure of psychomotor and cognitive domains that are sensitive to the effects of cannabis. First, participants used DRUID to establish a sober baseline impairment score. During a second appointment, they used DRUID at three time points: preuse, immediately after acutely using cannabis, and 1 h postuse. In the Washington replication sample, participants (n=39) used DRUID before acute cannabis consumption and then every half hour for 2.5 h. Results: In both studies, peak DRUID impairment effects were seen immediately after cannabis use, with recovery of performance at 1 h postuse. Specifically, significant quadratic effects of time emerged for both studies (Colorado study: (ß=-0.935, SE=0.204, p<0.001); Washington study: ß=3.0299, SE=1.3085, p<0.01). Domain-specific effects were tested in the larger Colorado study and were observed for reaction time within a complex divided attention task and a postural-stability balance task. Conclusions: These findings demonstrate that psychomotor impairment emerges immediately after acute cannabis use even in regular users, but decreases significantly 1 h postuse. These results underscore the potential utility of the DRUID app for assessing acute cannabis-related psychomotor impairment. Further research is needed to explore whether the DRUID app and/or the specific psychomotor functions it assesses might serve as a tool for measuring cannabis-related driving impairment. Clinical trials registration number for the Colorado Study: NCT03522103.


Subject(s)
Cannabis , Hallucinogens , Marijuana Smoking , Cannabinoid Receptor Agonists/pharmacology , Cannabis/adverse effects , Hallucinogens/pharmacology , Humans , Marijuana Smoking/psychology , Psychomotor Disorders/chemically induced , Psychomotor Performance
4.
Subst Use Misuse ; 54(9): 1582-1587, 2019.
Article in English | MEDLINE | ID: mdl-31096823

ABSTRACT

Background: One justification for marijuana legalization has been to reduce existing disparities in marijuana-related arrests for African Americans. Objective: Describe changes in adult marijuana arrest rates and disparities in rates for African Americans in Washington State (WA) after legalization of possession of small amounts of marijuana for 21+ year olds in December 2012, and after marijuana retail market opening in July 2014. Methods: We used 2012-2015 National Incident Based Reporting System data to identify marijuana-related arrests. Negative binomial regression models were fit to examine monthly marijuana arrest rates over time, and to test for differences between African Americans and Whites, adjusting for age and sex. Results: Among those 21+ years old overall, marijuana arrest rates were dramatically lower after legalization of possession, and did not change significantly after the retail market opened. The marijuana arrest rates for African Americans did drop markedly and the absolute disparities decreased, but the relative disparities grew: from a rate 2.5 times higher than Whites to 5 times higher after the retail market opened. Among 18-20 year olds overall, marijuana arrest rates dropped, but not as dramatically as among older adults; the absolute disparities decreased, but the relative disparities did not change significantly. Conclusions: Marijuana arrest rates among both African American and White adults decreased significantly with legalization of possession, and stayed at a dramatically lower rate after the marijuana retail market opened. However, relative disparities in marijuana arrest rates for African Americans increased for those of legal age, and remained unchanged for younger adults.


Subject(s)
Law Enforcement , Legislation, Drug , Marijuana Smoking/legislation & jurisprudence , Racism , Adult , Black or African American , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Washington , Young Adult
5.
Environ Manage ; 55(3): 634-45, 2015 Mar.
Article in English | MEDLINE | ID: mdl-25491114

ABSTRACT

The 2013 Pacific Coast Action Plan on Climate and Energy signed by the Governors of California, Oregon, and Washington and the Premier of British Columbia launched a broadly announced public commitment to reduce greenhouse gas emissions through multiple strategies. Those strategies include the development and increased use of renewable energy sources. The initiative recognized that citizens are both a central component in abating greenhouse gas emissions with regard to their energy use behaviors, and are important participants in the public policymaking process at both state and local levels of government. The study reported here examines whether either support or opposition to state government leadership in the development of alternative energy technologies can be explained by environmental values as measured by the New Ecological Paradigm (NEP). The research results are based on mail surveys of randomly selected households conducted throughout Oregon and Washington in late 2009 and early 2010. Findings suggest that younger and more highly educated respondents are significantly more likely than older and less educated respondents to either support or strongly support government policies to promote bioenergy, wind, geothermal, and solar energy. Those respondents with higher NEP scores are also more supportive of government promotion of wind, geothermal, and solar technologies than are those with lower NEP scores. Support for wave energy does not show a statistical correlation with environmental values, maybe a reflection of this technology's nascent level of development. The paper concludes with a consideration of the implications of these findings for environmental management.


Subject(s)
Attitude , Climate Change/economics , Conservation of Natural Resources/economics , Public Opinion , Public Policy , Renewable Energy , Social Values , Humans , Oregon , Washington
7.
Health Serv Res ; 37(1): 87-103, 2002 Feb.
Article in English | MEDLINE | ID: mdl-11949928

ABSTRACT

OBJECTIVE: To test the hypothesis that variation in reported access to health care is positively related to the level of social capital present in a community. DATA SOURCES: The 1996 Household Survey of the Community Tracking Study, drawn from 22 metropolitan statistical areas across the United States (n = 19,672). Additional data for the 22 communities are from a 1996 multicity broadcast media marketing database, including key social capital indicators, the 1997 National Profile of Local Health Departments survey, and Interstudy, American Hospital Association, and American Medical Association sources. STUDY DESIGN: The design is cross-sectional. Self-reported access to care problems is the dependent variable. Independent variables include individual sociodemographic variables, community-level health sector variables, and social capital variables. DATA COLLECTION/EXTRACTION METHODS: Data are merged from the various sources and weighted to be population representative and are analyzed using hierarchical categorical modeling. PRINCIPAL FINDINGS: Persons who live in metropolitan statistical areas featuring higher levels of social capital report fewer problems accessing health care. A higher HMO penetration rate in a metropolitan statistical area was also associated with fewer access problems. Other health sector variables were not related to health care access. CONCLUSIONS: The results observed for 22 major U.S. cities are consistent with the hypothesis that community social capital enables better access to care, perhaps through improving community accountability mechanisms.


Subject(s)
Community Health Planning , Community Participation , Health Services Accessibility/statistics & numerical data , Adult , Ambulatory Care/statistics & numerical data , Cross-Sectional Studies , Family Characteristics , Female , Health Care Surveys , Health Maintenance Organizations/statistics & numerical data , Health Services Research , Hospitalization , Humans , Male , Medicine , Preventive Health Services/statistics & numerical data , Self Disclosure , Specialization , United States
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