Air Pollution Risk Perception and Protective Health Behaviors among Urban Residents in Pakistan: A Quantitative Cross-Sectional Study

Authors

  • Zeeshan Hassan BS, Department of Public Health, University of The Punjab, Lahore, Punjab, Pakistan.
  • Hamza Mushtaq BS, Department of Public Health, University of The Punjab, Lahore, Punjab, Pakistan.
  • Asar Rahim BS, Department of Public Health, University of The Punjab, Lahore, Punjab, Pakistan.
  • Syed Tehzeen Ul Hussain M.Phil. Scholar, Environmental Science, Department of College of Earth and Environmental Science (CEES), University of the Punjab, Lahore, Punjab, Pakistan.
  • Subhan Ahmad BS, Department of Public Health, University of The Punjab, Lahore, Punjab, Pakistan.

DOI:

https://doi.org/10.62843/jrsr/2026.v.iii.217

Keywords:

Air Pollution, Risk Perception, Protective Health Behavior, PM2.5, Smog, Urban Residents, Protection Motivation Theory, Pakistan

Abstract

The current study explores the inter correlations between risk appraisal, coping beliefs, knowledge of smog, trust in information sources and protective health behavior. The study utilized survey data gathered from adult population of Lahore city in residential, commercial and industrial areas through convenience sampling during the peak smog season. Knowledge, information trust, threat severity, threat vulnerability, response-efficacy, self-efficacy, and protective behavior were measured by a structured questionnaire. The theoretical base for differences in people's reactions to an identical environmental threat is Protection Motivation Theory. Results indicate that perceived susceptibility, perceived severity, response efficacy, and control are factors that lead to self-protective behavior. Knowledge and trust also underpin the appraisal process which results in protective action. The study demonstrates that air-quality communication needs to be clear, credible, and “easy to do” and focus on the health risk, as well as practical actions that residents can take. Individual protection should be suggested as long-term measures for emission reduction and better urban air quality.

Author Biography

  • Zeeshan Hassan, BS, Department of Public Health, University of The Punjab, Lahore, Punjab, Pakistan.

    Corresponding Author: zeshanhasan12@gmail.com

References

Ali, A., & Rana, I. A. (2024). Assessing smog risk perception in Lahore metropolitan: A survey-based analysis. Urban Climate, 56, Article 102080. https://doi.org/10.1016/j.uclim.2024.102080

Bahrami, Z., Sato, S., Yang, Z., Maiti, M., Kanawat, P., Umemura, T., Onishi, K., Terasaki, H., Nakayama, T., Matsumi, Y., & Ueda, K. (2024). The perception of air pollution and its health risk: A scoping review of measures and methods. Global Health Action, 17(1), Article 2370100. https://doi.org/10.1080/16549716.2024.2370100

Bhatta, J., Laosee, O., & Rattanapan, C. (2024). Factors related to preventive measures towards PM2.5 exposure: A systematic review. Global Transitions, 6, 212–220. https://doi.org/10.1016/j.glt.2024.10.002

Cori, L., Donzelli, G., Gorini, F., Bianchi, F., & Curzio, O. (2020). Risk perception of air pollution: A systematic review focused on particulate matter exposure. International Journal of Environmental Research and Public Health, 17(17), Article 6424. https://doi.org/10.3390/ijerph17176424

Hoffmann, B., Boogaard, H., de Nazelle, A., Andersen, Z. J., Abramson, M., Brauer, M., Brunekreef, B., Forastiere, F., Huang, W., Kan, H., Kaufman, J. D., Katsouyanni, K., Krzyzanowski, M., Kuenzli, N., Laden, F., Nieuwenhuijsen, M., Mustapha, A., Powell, P., Rice, M., et al. (2021). WHO Air Quality Guidelines 2021—Aiming for healthier air for all. International Journal of Public Health, 66, Article 1604465. https://doi.org/10.3389/ijph.2021.1604465

Imran, M., Tallat, A., & Özçatalbaş, O. (2025). Trust, knowledge, and risk appraisal as predictors of protective behavior during smog crisis in Lahore. Discover Sustainability, 6, Article 1336. https://doi.org/10.1007/s43621-025-02052-5

Khan, W. A., Sharif, F., Khokhar, M. F., Shahzad, L., Ehsan, N., & Jahanzaib, M. (2023). Monitoring of ambient air quality patterns and assessment of air pollutants' correlation and effects on ambient air quality of Lahore, Pakistan. Atmosphere, 14(8), Article 1257. https://doi.org/10.3390/atmos14081257

Maddux, J. E., & Rogers, R. W. (1983). Protection motivation and self-efficacy: A revised theory of fear appeals and attitude change. Journal of Experimental Social Psychology, 19(5), 469–479. https://doi.org/10.1016/0022-1031(83)90023-9

Manisalidis, I., Stavropoulou, E., Stavropoulos, A., & Bezirtzoglou, E. (2020). Environmental and health impacts of air pollution: A review. Frontiers in Public Health, 8, Article 14. https://doi.org/10.3389/fpubh.2020.00014

Ounsaneha, W., Bhatta, J., & Rattanapan, C. (2026). Factors related to protective behaviors and interventions targeting PM2.5 exposure reduction: A systematic review. Green Technologies and Sustainability, 4(1), Article 100256. https://doi.org/10.1016/j.grets.2025.100256

Raza, W., Saeed, S., Saulat, H., Gul, H., Sarfraz, M., Sonne, C., Sohn, Z. H., Brown, R. J. C., & Kim, K.-H. (2021). A review on the deteriorating situation of smog and its preventive measures in Pakistan. Journal of Cleaner Production, 279, Article 123676. https://doi.org/10.1016/j.jclepro.2020.123676

Rogers, R. W. (1975). A protection motivation theory of fear appeals and attitude change. The Journal of Psychology, 91(1), 93–114. https://doi.org/10.1080/00223980.1975.9915803

Shafiei, A., & Maleksaeidi, H. (2020). Pro-environmental behavior of university students: Application of protection motivation theory. Global Ecology and Conservation, 22, Article e00908. https://doi.org/10.1016/j.gecco.2020.e00908

Shah, S., Kim, E., Kim, K.-N., & Ha, E. (2023). Can individual protective measures safeguard cardiopulmonary health from air pollution? A systematic review and meta-analysis. Environmental Research, 229, Article 115708. https://doi.org/10.1016/j.envres.2023.115708

World Health Organization. (2021). WHO global air quality guidelines: Particulate matter (PM2.5 and PM10), ozone, nitrogen dioxide, sulfur dioxide and carbon monoxide. World Health Organization. https://www.who.int/publications/i/item/9789240034228

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Published

2026-06-30

How to Cite

Hassan, Z., Mushtaq, H., Rahim, A., Hussain, S. T. U., & Ahmad, S. (2026). Air Pollution Risk Perception and Protective Health Behaviors among Urban Residents in Pakistan: A Quantitative Cross-Sectional Study. Journal of Regional Studies Review, 5(3), 78-88. https://doi.org/10.62843/jrsr/2026.v.iii.217

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