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dc.contributor.authorWilson, A.M.
dc.contributor.authorMussio, I.
dc.contributor.authorChilton, S.
dc.contributor.authorGerald, L.B.
dc.contributor.authorJones, R.M.
dc.contributor.authorDrews, F.A.
dc.contributor.authorLaKind, J.S.
dc.contributor.authorBeamer, P.I.
dc.date.accessioned2023-12-21T18:45:38Z
dc.date.available2023-12-21T18:45:38Z
dc.date.issued2022-12-01
dc.identifier.citationWilson, A.M.; Mussio, I.; Chilton, S.; Gerald, L.B.; Jones, R.M.; Drews, F.A.; LaKind, J.S.; Beamer, P.I. A Novel Application of Risk–Risk Tradeoffs in Occupational Health: Nurses’ Occupational Asthma and Infection Risk Perceptions Related to Cleaning and Disinfection during COVID-19. Int. J. Environ. Res. Public Health 2022, 19, 16092
dc.identifier.issn1661-7827
dc.identifier.pmid36498164
dc.identifier.doi10.3390/ijerph192316092
dc.identifier.urihttp://hdl.handle.net/10150/670403
dc.description.abstractBackground: Nurses face the risk of new onset occupational asthma (OA) due to exposures to cleaning and disinfection (C&D) agents used to prevent infections in healthcare facilities. The objective of this study was to measure nurses’ preferences when presented with simultaneous OA and respiratory viral infection (e.g., COVID-19) risks related to increased/decreased C&D activities. Methods: Nurses working in healthcare for ≥1 year and without physician-diagnosed asthma were recruited for an online anonymous survey, including four risk–risk tradeoff scenarios between OA and respiratory infection with subsequent recovery (Infect and Recovery) or subsequent death (Infect and Death). Nurses were presented with baseline risks at hypothetical “Hospital 1”, and were asked to choose Hospital 2 (increased OA risk to maintain infection risk), Hospital 3 (increased infection risk to maintain OA risk), or indicate that they were equally happy. Results: Over 70% of nurses were willing to increase infection risk to maintain baseline OA risk if they were confident they would recover from the infection. However, even when the risk of infection leading to death was much lower than OA, most nurses were not willing to accept a larger (but still small) risk of death to avoid doubling their OA risk. Age, work experience, and ever having contracted or knowing anyone who has contracted a respiratory viral infection at work influenced choices. Conclusions: We demonstrate the novel application of a risk–risk tradeoff framework to address an occupational health issue. However, more data are needed to test the generalizability of the risk preferences found in this specific risk–risk tradeoff context. © 2022 by the authors.
dc.language.isoen
dc.publisherMDPI
dc.rights© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjecthealthcare worker
dc.subjectoccupational asthma
dc.subjectrisk perception
dc.subjectwork-related asthma
dc.titleA Novel Application of Risk–Risk Tradeoffs in Occupational Health: Nurses’ Occupational Asthma and Infection Risk Perceptions Related to Cleaning and Disinfection during COVID-19
dc.typeArticle
dc.typetext
dc.contributor.departmentDepartment of Community, Environment & Policy, Mel and Enid Zuckerman College of Public Health, University of Arizona
dc.identifier.journalInternational Journal of Environmental Research and Public Health
dc.description.noteOpen access journal
dc.description.collectioninformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
dc.eprint.versionFinal published version
dc.source.journaltitleInternational Journal of Environmental Research and Public Health
refterms.dateFOA2023-12-21T18:45:38Z


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© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Except where otherwise noted, this item's license is described as © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).