What people think about the environment and its relationship to their health: perceptions of health at different scales of environment in Hamilton, Ontario

This study examines lay perceptions of the environment and its perceived relation to health at three scales: the environment at large, the neighbourhood, and the home. Interviews were conducted with residents from two contrasting neighbourhoods in the industrial city of Hamilton, Canada. The results reveal variations in perceptions of the environment–health link between residents in the two study neighbourhoods as well as across the different scales. Air pollution and proximity to industry were frequently implicated in lay understandings of the general and neighbourhood environments. In contrast, the home environment was seen as relatively insulated and safe. Furthermore, personal control mechanisms (e.g. cleanliness) were believed to mitigate adverse health impacts in the home and yard while the general environment was seen to be outside of such control. The significance of the findings is discussed in terms of future research and policy relevance.