Assessment of two behavioural models (HBM and RANAS) for predicting health behaviours in response to environmental threats: Surface water flooding as a source of groundwater contamination and subsequent waterborne infection in the Republic of Ireland

Climate change and waterborne diseases in temperate regions: a systematic review

Risk of waterborne diseases (WBDs) persists in temperate regions. The extent of influence of climate-related factors on the risk of specific WBDs in a changing climate and the projections of future climate scenarios on WBDs in temperate regions are unclear. A systematic review was conducted to identify specific waterborne pathogens and diseases prevalent in temperate region literature and transmission cycle associations with a changing climate. Projections of WBD risk based on future climate scenarios and models used to assess future disease risk were identified. Seventy-five peer-reviewed full-text articles for temperate regions published in the English language were included in this review after a search of Scopus and Web of Science databases from 2010 to 2023. Using thematic analysis, climate-related drivers impacting WBD risk were identified. Risk of WBDs was influenced mostly by weather (rainfall: 22% and heavy rainfall: 19%) across the majority of temperate regions and hydrological (streamflow: 50%) factors in Europe. Future climate scenarios suggest that WBD risk is likely to increase in temperate regions. Given the need to understand changes and potential feedback across fate, transport and exposure pathways, more studies should combine data-driven and process-based models to better assess future risks using model simulations.

Private groundwater contamination and risk management: A comparative scoping review of similarities, drivers and challenges across two socio-economically developed regions

Consolidation of multi-domain risk management research is essential for strategies facilitating the concerted government (educational) and population-level (behavioural) actions required to reduce microbial private groundwater contamination. However, few studies to date have synthesised this literature or sought to ascertain the causal generality and extent of supply contamination and preventive responses. In light of the Republic of Ireland (ROI) and Ontario's high reliance and research focus on private wells and consequent utility for empirical comparison, a scoping review of pertinent literature (1990-2022) from both regions was undertaken. The SPICE (Setting, Perspective, Intervention, Comparison, Evaluation) method was employed to inform literature searches, with Scopus and Web of Science selected as primary databases for article identification. The review identified 65 relevant articles (Ontario = 34, ROI = 31), with those investigating well user actions (n = 22) and groundwater quality (n = 28) the most frequent. A markedly higher pooled proportion of private supplies in the ROI exhibited microbial contamination (38.3 % vs. 4.1 %), despite interregional similarities in contamination drivers (e.g., weather, physical supply characteristics). While Ontarian well users demonstrated higher rates of historical (≥ 1) and annual well testing (90.6 % vs. 71.1 %; 39.1 % vs. 8.6 %) and higher rates of historical well treatment (42.3 % vs. 24.3 %), interregional levels of general supply knowledge were analogous (70.7 % vs. 71.0 %). Financial cost, organoleptic properties and residence on property during supply construction emerged as predictors of cognition and behaviour in both regions. Review findings suggest broad interregional similarities in drivers of supply contamination and individual-level risk mitigation, indicating that divergence in contamination rates may be attributable to policy discrepancies - particularly well testing incentivisation. The paucity of identified intervention-oriented studies further highlights the importance of renewed research and policy agendas for improved, targeted well user outreach and incentivised, convenience-based services promoting routine supply maintenance.

The association between E. coli exceedances in drinking water supplies and healthcare utilisation of older people

Evidence concerning the effects of indicators of waterborne pathogens on healthcare systems is of importance for policymaking, future infrastructure considerations and healthcare planning. This paper examines the association between the detection of E. coli in water tests associated with drinking water supplies and the use of healthcare services by older people in Ireland. Uniquely, three sources of data are linked to conduct the analysis. Administrative records of E. coli exceedances recorded from routine water quality tests carried out by Ireland’s Environmental Protection Agency are first linked to maps of water systems infrastructure in Ireland. Then, residential addresses of participants of The Irish Longitudinal Study of Ageing (TILDA), a nationally representative survey of over 50-year-olds in Ireland, are linked to the water systems dataset which has the associated water quality monitoring information. Multivariate regression analysis estimates a greater incident rate ratio (IRR) of General Practitioner (GP) visits in the previous year where E. coli is detected in the water supply associated with an older person’s residence (Incidence Rate Ratio (IRR) 1.118; [95% Confidence interval (CI): 1.019–1.227]), controlling for demographic and socio-economic factors, health insurance coverage, health, and health behaviours. Where E. coli is detected in water, a higher IRR is also estimated for visits to an Emergency Department (IRR: 1.292; [95% CI: 0.995–1.679]) and nights spent in hospital (IRR: 1.351 [95% CI: 1.004–1.818]).

Promoting the adoption of residential water conservation behaviors as a preventive policy to sustainable urban water management

As concerning with water insecurity driven by water scarcity threatens the lives and livelihoods of humanity worldwide, urban water demand management is focused on promoting residential water conservation behaviors (WCBs) as a critical policy response to water scarcity. However, urban water conservation initiatives cannot be successful unless households involve in residential WCBs voluntarily by adopting water curtailment and/or water-efficiency actions. Thus, understanding motivations and mechanisms underlying accepting these two types of WCBs and interpreting their distinctions are primary policy considerations to make sustainable water consumption behaviors. Hence, the purpose of this research was twofold: (1) To explore intentions to household adoption of water curtailment and water-efficiency actions, key corresponding determinants, and distinctions between them; and (2) To evaluate the capability and robustness of the Health Belief Model (HBM) to explain residential WCBs. The present research design was a cross-sectional survey conducted in Tehran, Iran. The outcomes from structural equation modeling indicated that: (1) Water curtailment intention was solely determined by self-efficacy and perceived benefits; (2) In addition to self-efficacy and perceived benefits, perceived severity, cues to action, and perceived barriers were significantly related to water-efficiency intention; (3) While only perceived susceptibility was not a significant determinant for water-efficiency intention, perceived susceptibility, perceived severity, perceived barriers, and cues to action could not significantly explain water curtailment intention; (4) Self-efficacy also emerged as the strongest predictive variable behind intentions to adopt both WCBs; (5) The perceived barriers had a negative significant relationship only with water-efficiency intention; and (6) The HBM could explain 72% and 61% of the variance in households' intentions to adopt water curtailment and water-efficiency actions, respectively. These outcomes supported that the HBM could propose a reliable and practical heuristic theoretical framework to predict residential WCBs. Moreover, the findings confirmed significant differences among socio-psychological factors behind intentions to household adoption of both WCBs, which need to be addressed. The research results introduced numerous implications from theoretical and policy standpoints for improving residential WCBs.

Factors affecting smallholder farmers' technical and non-technical adaptation responses to drought in Iran

Farmers adopt a range of technical and non-technical adaptation behaviors (TANAB) to alleviate the negative effects of drought. Understanding this adaptation behavior and its determinants is essential for improving adaptation capacity and promoting sustainable agriculture. In this study, we investigated the factors affecting TANAB using the Health Belief Model (HBM) as a theoretical framework. A survey was conducted of 320 farmers in Dashtestan County, Bushehr Province, southern Iran, on the shores of Persian Gulf. We used multi-stage stratified random sampling to select the research samples and applied structural equation modeling to analyze the determinants of TANAB. The findings revealed that the self-efficacy variable is the most important predictor of TANAB. As well as self-efficacy, other determinants of technical adaptation behaviors (TAB) are perceived barriers, severity, and susceptibility. Self-efficacy and cue to action were found to determine non-technical adaptive behaviors (NAB). This study indicates the differences between the determinants of TAB and NAB and emphasizes the key role of self-efficacy. The results of this study have implications for policymakers in the agricultural sector and can help in the development of interventionist policies to improve rural development in response to environmental crises. Governments and policymakers need to reinforce capacity-building potential for agricultural extension systems and adaptation training through information and communication technologies. This investment in education is critical for sustainable agricultural development and encourages farmers to adopt appropriate drought strategies aiming reducing farmers' vulnerability.

Perceived Risk and Intentions to Practice Health Protective Behaviors in a Mining-Impacted Region

Effective risk communication strategies are critical to reducing lead exposure in mining-impacted communities. Understanding the strength of the associations between perceived risk and individuals' behavioral intentions to protect their health is important for developing these strategies. We conducted a survey within three communities of northern Idaho, USA (n = 306) in or near a Superfund Megasite with legacy mining contamination. Survey data were used to test a theoretical model based on the Health Belief Model. Respondents had higher intentions to practice health protective behaviors when they perceived the risk of lead contamination as severe and recognized the benefits of practicing health protective behaviors. Women reported higher behavioral intentions than men, but age and mining affiliation were not significantly associated with behavioral intentions. Although managing lead hazards in communities impacted by mining is challenging due to widely distributed contamination, effective health risk messages, paired with remediation, are powerful tools to protect the health and safety of residents.

Changes in the Characteristics of Dry and Wet Periods in Europe (1851–2015)

This study spanning the period 1851–2015 explores the spatial and temporal characteristics of dry and wet periods in Europe as well as their variability and changes. It is based on up to 220 stations with monthly precipitation time series that have a varying data availability within the study period. The stations are classified into eight regions with similar climate characteristics. Dry and wet periods are analyzed using the decile method as well as the modified Rainfall Anomaly Index mRAI at the 3-month timescale. Spatial extent, duration, and frequency of dry and wet periods show a large multi-decadal variability resulting in comparatively small long-term trends over the entirety of Europe for the study periods 1901–2015 and 1951–2015. Nonetheless, several sub-regions show distinct changes—with opposite signals for northern and southern Europe. Spatial extent and duration of dry periods generally decreased, while wet periods show increases throughout the 20th century—particularly in Scandinavia. A simultaneous increase in the frequency of severely dry and wet years, respectively, is observed since the 1980s. This indicates that temperature increases across Europe may be connected with an increasing frequency of extremes at both sides of the probability density function of precipitation.

Gender-Related Differences in Flood Risk Perception and Behaviours among Private Groundwater Users in the Republic of Ireland

Extreme weather events including flooding can have severe personal, infrastructural, and economic consequences, with recent evidence pointing to surface flooding as a pathway for the microbial contamination of private groundwater supplies. There is a pressing need for increasingly focused information and awareness campaigns to highlight the risks posed by extreme weather events and appropriate subsequent post-event actions. To date, little is known about the presence, directionality or magnitude of gender-related differences regarding flood risk awareness and behaviour among private groundwater users, a particularly susceptible sub-population due to an overarching paucity of infrastructural regulation across many regions. The current study investigated gender-related differences in flood risk perception and associated mitigation behaviours via a cross-sectional, national survey of 405 (168 female, 237 male) private groundwater supply users. The developed survey instrument assessed socio-demographic profile, previous flood experience, experiential and conjectural health behaviours (contingent on previous experience), and Risk, Attitude, Norms, Ability, Self-regulation (RANAS) framework questions. Statistically significant gender differences were found between both ‘Norm—Descriptive’ and ‘Ability—Self-efficacy’ RANAS elements (p < 0.05). Female respondents reported a lower level of awareness of the need for post-flood action(s) (8.9% vs. 16.5%), alongside a perceived “lack of information” as a reason for not testing their domestic well (4.9% vs. 11.5%). Conversely, male respondents were more likely to report awareness of their well location in relation to possible contamination sources (96.6% vs. 89.9%) and awareness of previous water testing results (98.9% vs. 93.0%). Gender-related gaps exist within the studied private groundwater reliant cohort, a sub-population which has to date remained under-studied within the context of climate change and extreme weather events. Accordingly, findings suggest that gender-focused communication and education may represent an effective tool for protecting current and future generations of global groundwater users.