Skip to main content
Top
Published in: BMC Public Health 1/2022

Open Access 01-12-2022 | Public Health | Research

“When people see me, they know me; they trust what I say”: characterizing the role of trusted sources for smoke risk communication in the Okanogan River Airshed Emphasis Area

Authors: Leah M Wood, Savannah M D’Evelyn, Nicole A Errett, Ann Bostrom, Cody Desautel, Ernesto Alvarado, Kris Ray, June T Spector

Published in: BMC Public Health | Issue 1/2022

Login to get access

Abstract

Introduction

As wildfire smoke events increase in intensity and frequency in the Pacific Northwest, there is a growing need for effective communication on the health risks of smoke exposure. Delivery through a trusted source or intermediary has been shown to improve reception of risk communication messages. This is especially salient in rural and tribal communities who may be hesitant to trust information from state and federal agency sources. This study aims to identify and characterize trusted sources for smoke risk information in the Okanogan River Airshed Emphasis Area (ORAEA), a rural region of North Central Washington state that is heavily impacted by smoke from wildfires and prescribed fire.

Methods

The research team conducted a qualitative study using data collected through key informant interviews and focus groups to assess the role of various sources and intermediaries in disseminating smoke risk information. We used a consensual coding approach in NVivo Qualitative Analysis Software to sort data into preliminary categories, which were grouped into themes using a thematic analysis approach. We used member checking and iterative feedback processes with local project partners throughout the project to ensure credibility of results.

Results

Through the analysis, we identified three themes characterizing trusted sources for smoke risk communication in the ORAEA. These themes were: (1) local and tribal sources of information are perceived as more trustworthy than state and federal government sources, (2) trustworthiness is determined by an evaluation of multiple factors, in particular, perceived credibility, quality of information, and relationship with the source, and (3) conservative political ideology and perceived parallels with COVID-19 communication influence perception of trust. Within each theme, we identified several sub-themes, which contributed additional nuance to our analysis.

Conclusion

This study provides insights into which sources of information are trusted by rural and tribal community members in the ORAEA and why. Results from our study emphasize the importance of relationships and collaboration with local and tribal partners in smoke risk communication. In this paper, we discuss implications for state and federal agency practitioners and present recommendations for how to work with local and tribal partners on smoke risk communication.
Literature
3.
go back to reference Ryan KC, Knapp EE, Varner JM. Prescribed fire in North American forests and woodlands: history, current practice, and challenges. Front Ecol Environ. 2013;11(SUPPL. 1):e15–24. Available from: https://doi.org/10.1890/120329. Ryan KC, Knapp EE, Varner JM. Prescribed fire in North American forests and woodlands: history, current practice, and challenges. Front Ecol Environ. 2013;11(SUPPL. 1):e15–24. Available from: https://​doi.​org/​10.​1890/​120329.
4.
go back to reference North M, Collins BM, Stephens S. Using fire to increase the Scale, benefits, and future maintenance of fuels treatments. J For. 2012 Oct;9(7):392–401. 110(. North M, Collins BM, Stephens S. Using fire to increase the Scale, benefits, and future maintenance of fuels treatments. J For. 2012 Oct;9(7):392–401. 110(.
5.
go back to reference Parks SA, Abatzoglou JT. Warmer and Drier Fire Seasons Contribute to increases in Area burned at high severity in western US forests from 1985 to 2017. Geophys Res Lett. 2020;47(22):1–10.CrossRef Parks SA, Abatzoglou JT. Warmer and Drier Fire Seasons Contribute to increases in Area burned at high severity in western US forests from 1985 to 2017. Geophys Res Lett. 2020;47(22):1–10.CrossRef
6.
go back to reference North MP, Stephens SL, Collins BM, Agee JK, Aplet G, Franklin JF, et al. Reform forest fire management: agency incentives undermine policy effectiveness. Science. 2015;349(6254):1280–1.CrossRef North MP, Stephens SL, Collins BM, Agee JK, Aplet G, Franklin JF, et al. Reform forest fire management: agency incentives undermine policy effectiveness. Science. 2015;349(6254):1280–1.CrossRef
7.
go back to reference Stephens SL, Ruth LW. Federal Forest-Fire Policy in the United States. Ecol Appl. 2005;15(2):532–42.CrossRef Stephens SL, Ruth LW. Federal Forest-Fire Policy in the United States. Ecol Appl. 2005;15(2):532–42.CrossRef
8.
go back to reference O’Dell K, Bilsback K, Ford B, Martenies SE, Magzamen S, Fischer EV, et al. Estimated mortality and morbidity attributable to smoke plumes in the United States: not just a western US Problem. GeoHealth. 2021;5(9):1–17.CrossRef O’Dell K, Bilsback K, Ford B, Martenies SE, Magzamen S, Fischer EV, et al. Estimated mortality and morbidity attributable to smoke plumes in the United States: not just a western US Problem. GeoHealth. 2021;5(9):1–17.CrossRef
11.
go back to reference Wynecoop MD, Morgan P, Strand EK, Sanchez Trigueros F. Getting back to fire suméŝ: exploring a multi-disciplinary approach to incorporating traditional knowledge into fuels treatments. Fire Ecol. 2019;15(1). Wynecoop MD, Morgan P, Strand EK, Sanchez Trigueros F. Getting back to fire suméŝ: exploring a multi-disciplinary approach to incorporating traditional knowledge into fuels treatments. Fire Ecol. 2019;15(1).
12.
go back to reference Lake FK, Wright V, Morgan P, McFadzen M, McWethy D, Stevens-Rumann C. Returning fire to the land: celebrating traditional knowledge and fire. J For. 2017;115(5):343–53. Lake FK, Wright V, Morgan P, McFadzen M, McWethy D, Stevens-Rumann C. Returning fire to the land: celebrating traditional knowledge and fire. J For. 2017;115(5):343–53.
13.
go back to reference Lake FK, Christianson AC. Indigenous fire stewardship. In: Manzello SM, editor. Encycl Wildfires Wildland-Urban Interface Fires. Cham: Springer; 2019. p. 1–9. Lake FK, Christianson AC. Indigenous fire stewardship. In: Manzello SM, editor. Encycl Wildfires Wildland-Urban Interface Fires. Cham: Springer; 2019. p. 1–9.
14.
go back to reference Roos CI, Swetnam TW, Ferguson TJ, Liebmann MJ, Loehman RA, Welch JR, et al. Native american fire management at an ancient wildland–urban interface in the Southwest United States. Proc Natl Acad Sci U S A. 2021;118(4):e2018733118. Roos CI, Swetnam TW, Ferguson TJ, Liebmann MJ, Loehman RA, Welch JR, et al. Native american fire management at an ancient wildland–urban interface in the Southwest United States. Proc Natl Acad Sci U S A. 2021;118(4):e2018733118.
17.
go back to reference Rappold AG, Effects E, Reyes J, Effects E, Pouliot G, Division CE, et al. Community vulnerability to health impacts from wildland fire smoke exposure. Environ Sci Technol. 2017;51(12):6674–82.CrossRef Rappold AG, Effects E, Reyes J, Effects E, Pouliot G, Division CE, et al. Community vulnerability to health impacts from wildland fire smoke exposure. Environ Sci Technol. 2017;51(12):6674–82.CrossRef
19.
go back to reference Stone SL, Anderko, Berger, Butler CR, et al. Wildfire Smoke: A Guide for Public Health Professionals. 2019. Stone SL, Anderko, Berger, Butler CR, et al. Wildfire Smoke: A Guide for Public Health Professionals. 2019.
21.
go back to reference D’Evelyn SM, Jung J, Alvarado E, Baumgartner J, Caligiuri P, Hagmann RK, et al. Wildfire, smoke exposure, human health, and environmental justice need to be integrated into forest restoration and management. Curr Environ Heal Reports. 2022;9(3):366–85. Available from: https://doi.org/10.1007/s40572-022-00355-7. D’Evelyn SM, Jung J, Alvarado E, Baumgartner J, Caligiuri P, Hagmann RK, et al. Wildfire, smoke exposure, human health, and environmental justice need to be integrated into forest restoration and management. Curr Environ Heal Reports. 2022;9(3):366–85. Available from: https://​doi.​org/​10.​1007/​s40572-022-00355-7.
22.
go back to reference Wang B, Eum K, Do, Kazemiparkouhi F, Li C, Manjourides J, Pavlu V, et al. The impact of long-term PM2.5 exposure on specific causes of death: exposure-response curves and effect modification among 53 million U.S. Medicare beneficiaries. Environ Heal A Glob Access Sci Source. 2020;19(1):1–12. Wang B, Eum K, Do, Kazemiparkouhi F, Li C, Manjourides J, Pavlu V, et al. The impact of long-term PM2.5 exposure on specific causes of death: exposure-response curves and effect modification among 53 million U.S. Medicare beneficiaries. Environ Heal A Glob Access Sci Source. 2020;19(1):1–12.
23.
go back to reference Dodd W, Scott P, Howard C, Scott C, Rose C, Cunsolo A, et al. Lived experience of a record wildfire season in the Northwest Territories, Canada. Can J Public Heal. 2018;109(3):327–37.CrossRef Dodd W, Scott P, Howard C, Scott C, Rose C, Cunsolo A, et al. Lived experience of a record wildfire season in the Northwest Territories, Canada. Can J Public Heal. 2018;109(3):327–37.CrossRef
24.
26.
27.
go back to reference Ejeta LT, Ardalan A, Paton D. Application of behavioral theories to disaster and emergency health preparedness: A systematic review. PLoS Curr. 2015;7(DISASTERS). Ejeta LT, Ardalan A, Paton D. Application of behavioral theories to disaster and emergency health preparedness: A systematic review. PLoS Curr. 2015;7(DISASTERS).
28.
go back to reference Rosenstock IM, Strecher VJ, Becker MH. Social Learning Theory and the Health Belief Model. Heal Educ Behav. 1988;15(2):175–83. Rosenstock IM, Strecher VJ, Becker MH. Social Learning Theory and the Health Belief Model. Heal Educ Behav. 1988;15(2):175–83.
30.
go back to reference Rosenstock IM. Historical origins of the health belief model. Health Educ Monogr Health Educ Monogr. 1974;2(4):328–35.CrossRef Rosenstock IM. Historical origins of the health belief model. Health Educ Monogr Health Educ Monogr. 1974;2(4):328–35.CrossRef
31.
go back to reference Van Deventer D, Marecau J, Doubleday A, Errett N, Isaksen TMB. Wildfire Smoke Risk Communication Efficacy. J Public Heal Manag Pract. 2020;Publish Ah(00):1–8. Van Deventer D, Marecau J, Doubleday A, Errett N, Isaksen TMB. Wildfire Smoke Risk Communication Efficacy. J Public Heal Manag Pract. 2020;Publish Ah(00):1–8.
32.
go back to reference Rappold AG, Hano MC, Prince S, Wei L, Huang SM, Baghdikian C, et al. Smoke sense Initiative leverages Citizen Science to address the growing wildfire-related Public Health Problem. GeoHealth. 2019;3(12):443–57.CrossRef Rappold AG, Hano MC, Prince S, Wei L, Huang SM, Baghdikian C, et al. Smoke sense Initiative leverages Citizen Science to address the growing wildfire-related Public Health Problem. GeoHealth. 2019;3(12):443–57.CrossRef
33.
go back to reference Steelman TA, McCaffrey S. Best practices in risk and crisis communication: implications for natural hazards management. Nat Hazards. 2013;65(1):683–705.CrossRef Steelman TA, McCaffrey S. Best practices in risk and crisis communication: implications for natural hazards management. Nat Hazards. 2013;65(1):683–705.CrossRef
34.
go back to reference Sugerman DE, Keir JM, Dee DL, Lipman H, Waterman SH, Ginsberg M, et al. Emergency health risk communication during the 2007 San Diego Wildfires: comprehension, compliance, and recall. J Health Commun. 2012;17(6):698–712.CrossRef Sugerman DE, Keir JM, Dee DL, Lipman H, Waterman SH, Ginsberg M, et al. Emergency health risk communication during the 2007 San Diego Wildfires: comprehension, compliance, and recall. J Health Commun. 2012;17(6):698–712.CrossRef
36.
go back to reference Kasperson RE, Renn O, Slovic P, Brown HS, Emel J, Goble R, et al. The Social amplification of risk: a conceptual Framework. Risk Anal. 1988;8(2):177–87.CrossRef Kasperson RE, Renn O, Slovic P, Brown HS, Emel J, Goble R, et al. The Social amplification of risk: a conceptual Framework. Risk Anal. 1988;8(2):177–87.CrossRef
38.
go back to reference Pidgeon N, Kasperson RE, Slovic P, editors. The social amplification of risk. Cambridge: Cambridge University Press; 2003. Pidgeon N, Kasperson RE, Slovic P, editors. The social amplification of risk. Cambridge: Cambridge University Press; 2003.
39.
go back to reference Bearth A, Siegrist M. The social amplification of risk framework: a normative perspective on trust? Risk Anal. 2022;42(7):1381–92.CrossRef Bearth A, Siegrist M. The social amplification of risk framework: a normative perspective on trust? Risk Anal. 2022;42(7):1381–92.CrossRef
40.
go back to reference Frewer LJ, Howard C, Hedderley D, Shepherd R. What determines Trust in Information about Food-Related risks? Underlying psychological constructs. Risk Anal. 1996;16(4):473–86.CrossRef Frewer LJ, Howard C, Hedderley D, Shepherd R. What determines Trust in Information about Food-Related risks? Underlying psychological constructs. Risk Anal. 1996;16(4):473–86.CrossRef
41.
go back to reference Frewer LJ, Scholderer J, Bredahl L. Communicating about the risks and benefits of genetically modified Foods: the mediating role of Trust. Risk Anal. 2003;23(6):1117–33.CrossRef Frewer LJ, Scholderer J, Bredahl L. Communicating about the risks and benefits of genetically modified Foods: the mediating role of Trust. Risk Anal. 2003;23(6):1117–33.CrossRef
42.
go back to reference Siegrist M. Trust and Risk Perception: a critical review of the literature. Risk Anal. 2021;41(3):480–90.CrossRef Siegrist M. Trust and Risk Perception: a critical review of the literature. Risk Anal. 2021;41(3):480–90.CrossRef
44.
go back to reference Earle TC. Trust in risk management: a model-based review of empirical research. Risk Anal. 2010;30(4):541–74.CrossRef Earle TC. Trust in risk management: a model-based review of empirical research. Risk Anal. 2010;30(4):541–74.CrossRef
45.
go back to reference Malka A, Krosnick JA, Langer G. The association of knowledge with concern about global warming: trusted information sources shape public thinking. Risk Anal. 2009;29(5):633–47.CrossRef Malka A, Krosnick JA, Langer G. The association of knowledge with concern about global warming: trusted information sources shape public thinking. Risk Anal. 2009;29(5):633–47.CrossRef
46.
go back to reference Wray R, Rivers J, Whitworth A, Jupka K, Clements B. Public perceptions about Trust in Emergency Risk Communication: qualitative research findings. Int J Mass Emerg Disasters. 2006;24(1):45–75. Wray R, Rivers J, Whitworth A, Jupka K, Clements B. Public perceptions about Trust in Emergency Risk Communication: qualitative research findings. Int J Mass Emerg Disasters. 2006;24(1):45–75.
47.
go back to reference Boyd AD, Furgal CM. Communicating environmental health risks with indigenous populations: a systematic literature review of current research and recommendations for future studies. Heal Commun. 2019;34(13):1564–74.CrossRef Boyd AD, Furgal CM. Communicating environmental health risks with indigenous populations: a systematic literature review of current research and recommendations for future studies. Heal Commun. 2019;34(13):1564–74.CrossRef
50.
go back to reference English PB, Olmedo L, Bejarano E, Lugo H, Murillo E, Seto E, et al. The imperial county community air monitoring network: a model for community-based environmental monitoring for public health action. Environ Health Perspect. 2017;125(7):1–5.CrossRef English PB, Olmedo L, Bejarano E, Lugo H, Murillo E, Seto E, et al. The imperial county community air monitoring network: a model for community-based environmental monitoring for public health action. Environ Health Perspect. 2017;125(7):1–5.CrossRef
51.
go back to reference Durkin A, Gonzalez R, Isaksen TB, Walker E, Errett NA. Establishing a community air monitoring network in a wildfire smoke-prone rural community: the motivations, experiences, challenges, and ideas of clean air methow’s clean air ambassadors. Int J Environ Res Public Health. 2020;17(22):1–11.CrossRef Durkin A, Gonzalez R, Isaksen TB, Walker E, Errett NA. Establishing a community air monitoring network in a wildfire smoke-prone rural community: the motivations, experiences, challenges, and ideas of clean air methow’s clean air ambassadors. Int J Environ Res Public Health. 2020;17(22):1–11.CrossRef
52.
go back to reference Olsen CS, Mazzotta DK, Toman E, Fischer AP. Communicating about smoke from wildland fire: Challenges and opportunities for managers. Environ Manage. 2014;54(3):571–82.CrossRef Olsen CS, Mazzotta DK, Toman E, Fischer AP. Communicating about smoke from wildland fire: Challenges and opportunities for managers. Environ Manage. 2014;54(3):571–82.CrossRef
54.
go back to reference Errett NA, Roop HA, Pendergrast C, Kramer CB, Doubleday A, Tran KA, et al. Building a practice-based research agenda for wildfire smoke and health: A report of the 2018 washington wildfire smoke risk communication stakeholder synthesis symposium. Int J Environ Res Public Health. 2019;16(13):1–11.CrossRef Errett NA, Roop HA, Pendergrast C, Kramer CB, Doubleday A, Tran KA, et al. Building a practice-based research agenda for wildfire smoke and health: A report of the 2018 washington wildfire smoke risk communication stakeholder synthesis symposium. Int J Environ Res Public Health. 2019;16(13):1–11.CrossRef
57.
go back to reference Strengthening indigenous communities through cultural and environmental preservation: hearings before the Subcommittee on Indigenous People of the United States of the House Committee on Natural Resources, 117th Cong. 2021. Testimony of Cody Desautel. Strengthening indigenous communities through cultural and environmental preservation: hearings before the Subcommittee on Indigenous People of the United States of the House Committee on Natural Resources, 117th Cong. 2021. Testimony of Cody Desautel.
59.
go back to reference R Core Team. R: a language and environment for statistical computing [Data file]. Vienna: R Foundation for Statistical Computing; 2021. Available from: https://www.r-project.org. R Core Team. R: a language and environment for statistical computing [Data file]. Vienna: R Foundation for Statistical Computing; 2021. Available from: https://​www.​r-project.​org.
60.
go back to reference Miles MB, Huberman AM. Qualitative data Anaysis. 2nd Editio. Holland R, editor. Thousand Oaks: Sage Publications; 1994. 27–33 p. Miles MB, Huberman AM. Qualitative data Anaysis. 2nd Editio. Holland R, editor. Thousand Oaks: Sage Publications; 1994. 27–33 p.
61.
go back to reference Finucane ML. Emotion, affect, and risk communication with older adults: Challenges and opportunities. J Risk Res. 2008;11(8):983–97.CrossRef Finucane ML. Emotion, affect, and risk communication with older adults: Challenges and opportunities. J Risk Res. 2008;11(8):983–97.CrossRef
62.
go back to reference Kitzinger J. Qualitative research: introducing focus groups. BMJ. 1995;311(7000):299.CrossRef Kitzinger J. Qualitative research: introducing focus groups. BMJ. 1995;311(7000):299.CrossRef
63.
go back to reference Birt L, Scott S, Cavers D, Campbell C, Walter F. Member checking: a Tool to enhance trustworthiness or merely a nod to Validation? Qual Health Res. 2016;26(13):1802–11.CrossRef Birt L, Scott S, Cavers D, Campbell C, Walter F. Member checking: a Tool to enhance trustworthiness or merely a nod to Validation? Qual Health Res. 2016;26(13):1802–11.CrossRef
64.
go back to reference Elo S, Kääriäinen M, Kanste O, Pölkki T, Utriainen K, Kyngäs H. Qualitative content analysis: a focus on trustworthiness. SAGE Open. 2014;4(1):215824401452263.CrossRef Elo S, Kääriäinen M, Kanste O, Pölkki T, Utriainen K, Kyngäs H. Qualitative content analysis: a focus on trustworthiness. SAGE Open. 2014;4(1):215824401452263.CrossRef
65.
go back to reference MacQueen KM, McLellan E, Kay K, Milstein B. Codebook development for team-based qualitative analysis. Field methods. 1998;10(2):31–6. MacQueen KM, McLellan E, Kay K, Milstein B. Codebook development for team-based qualitative analysis. Field methods. 1998;10(2):31–6.
66.
go back to reference Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3:77–101.CrossRef Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3:77–101.CrossRef
67.
go back to reference Smith J, Firth J. Qualitative data analysis: the framework approach. Nurse Res [Internet]. 2011;18(2):52–62. Available from: ISSN 13515578.CrossRef Smith J, Firth J. Qualitative data analysis: the framework approach. Nurse Res [Internet]. 2011;18(2):52–62. Available from: ISSN 1351­5578.CrossRef
68.
go back to reference Collaço N, Wagland R, Alexis O, Gavin A, Glaser A, Watson EK. Using the Framework Method for the analysis of qualitative Dyadic Data in Health Research. Qual Health Res. 2021;31(8):1555–64.CrossRef Collaço N, Wagland R, Alexis O, Gavin A, Glaser A, Watson EK. Using the Framework Method for the analysis of qualitative Dyadic Data in Health Research. Qual Health Res. 2021;31(8):1555–64.CrossRef
69.
go back to reference Maguire M, Delahunt B. Doing a thematic analysis: a practical, step-by-step guide for Learning and Teaching Scholars. All Irel J Teach Learn High Educ. 2017;3:3352–9. Maguire M, Delahunt B. Doing a thematic analysis: a practical, step-by-step guide for Learning and Teaching Scholars. All Irel J Teach Learn High Educ. 2017;3:3352–9.
70.
go back to reference Attride-Stirling J. Thematic networks: an analytic tool for qualitative research. Qual Res. 2001;1(3):385–405.CrossRef Attride-Stirling J. Thematic networks: an analytic tool for qualitative research. Qual Res. 2001;1(3):385–405.CrossRef
72.
go back to reference Larsson LS, Butterfield P, Christopher S, Hill W. Rural Community leaders’ perceptions of Environmental Health Risks: improving Community Health. AAOHN. 2006;54(3):105–12.CrossRef Larsson LS, Butterfield P, Christopher S, Hill W. Rural Community leaders’ perceptions of Environmental Health Risks: improving Community Health. AAOHN. 2006;54(3):105–12.CrossRef
73.
go back to reference Marfori MT, Campbell SL, Garvey K, McKeown S, Veitch M, Wheeler AJ, et al. Public Health Messaging during Extreme smoke events: are we hitting the Mark? Front Public Heal. 2020;8(September):1–11. Marfori MT, Campbell SL, Garvey K, McKeown S, Veitch M, Wheeler AJ, et al. Public Health Messaging during Extreme smoke events: are we hitting the Mark? Front Public Heal. 2020;8(September):1–11.
75.
go back to reference Gauchat G. Politicization of science in the public sphere: a study of public trust in the United States, 1974 to 2010. Am Sociol Rev. 2012;77(2):167–87.CrossRef Gauchat G. Politicization of science in the public sphere: a study of public trust in the United States, 1974 to 2010. Am Sociol Rev. 2012;77(2):167–87.CrossRef
76.
go back to reference Lin TTC, Bautista JR. Predicting Intention to take protective measures during haze: the roles of efficacy, threat, Media Trust, and affective attitude. J Health Commun. 2016;21(7):790–9.CrossRef Lin TTC, Bautista JR. Predicting Intention to take protective measures during haze: the roles of efficacy, threat, Media Trust, and affective attitude. J Health Commun. 2016;21(7):790–9.CrossRef
77.
go back to reference Sylvia Chou WY, Gaysynsky A. A prologue to the Special Issue: Health Misinformation on Social Media. Am J Public Health. 2020;110(S3):270–2.CrossRef Sylvia Chou WY, Gaysynsky A. A prologue to the Special Issue: Health Misinformation on Social Media. Am J Public Health. 2020;110(S3):270–2.CrossRef
78.
go back to reference Papadogiannakis E, Papadopoulos P, Markatos EP, Kourtellis N. Who funds misinformation? A systematic analysis of the ad-related profit routines of fake news sites. 2022:1–18. Available from: http://arxiv.org/abs/2202.05079. Papadogiannakis E, Papadopoulos P, Markatos EP, Kourtellis N. Who funds misinformation? A systematic analysis of the ad-related profit routines of fake news sites. 2022:1–18. Available from: http://​arxiv.​org/​abs/​2202.​05079.
86.
go back to reference Kelly JA, St. Lawrence JS, Diaz YE, Stevenson LY, Hauth AC, Brasfield TL, et al. HIV risk behavior reduction following intervention with key opinion leaders of population: an experimental analysis. Am J Public Health. 1991;81(2):168–71.CrossRef Kelly JA, St. Lawrence JS, Diaz YE, Stevenson LY, Hauth AC, Brasfield TL, et al. HIV risk behavior reduction following intervention with key opinion leaders of population: an experimental analysis. Am J Public Health. 1991;81(2):168–71.CrossRef
Metadata
Title
“When people see me, they know me; they trust what I say”: characterizing the role of trusted sources for smoke risk communication in the Okanogan River Airshed Emphasis Area
Authors
Leah M Wood
Savannah M D’Evelyn
Nicole A Errett
Ann Bostrom
Cody Desautel
Ernesto Alvarado
Kris Ray
June T Spector
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2022
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-022-14816-z

Other articles of this Issue 1/2022

BMC Public Health 1/2022 Go to the issue