Social Determinants of Health, Environmental Exposures and Home Radon Testing

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


Home radon testing is a primary lung cancer prevention strategy, yet the majority of Americans have not tested their home. This descriptive, ecological study uses 54,683 observed radon values collected in Kentucky homes from 1996 to 2016 to examine the association of county-level social determinants of health and environmental exposures on home radon testing rates. Multivariate linear regression analysis indicates that as median home value, rurality, and radon risk potential increased, counties experienced an increase in annual home radon testing rates. As adult smoking prevalence increased, counties experienced a decrease in annual rates of residential radon testing. These findings indicate that counties with low median home values, high adult smoking prevalence, and high incidence of lung cancer may benefit most from prevention interventions aimed at promoting home radon testing, adopting radon- and smoke-free home policies, and integrating radon risk reduction messaging into tobacco cessation and lung cancer screening programs.

Original languageEnglish
Pages (from-to)636-642
Number of pages7
JournalWestern Journal of Nursing Research
Issue number7
StatePublished - Jul 2022

Bibliographical note

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This publication was supported, in part, by UK-CARES through Grant P30 ES026529. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NIEHS.

Publisher Copyright:
© The Author(s) 2021.


  • environmental exposure
  • lung neoplasm
  • radon
  • risk reduction behavior
  • social determinants of health

ASJC Scopus subject areas

  • General Nursing


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