The Development and Reliability Testing of a Tool to Assess Women’s Perceptions and Avoidance of Endocrine Disruptors in Personal and Household Products

Personal care and household products (PCHPs) often contain endocrine-disrupting chemicals (EDCs) that pose health risks, especially for women. Women, frequent users of PCHPs, are exposed to approximately 168 chemicals daily. However, there are gaps in understanding women’s knowledge, risk perceptions, and beliefs regarding these chemicals, as well as how these constructs influence their avoidance behavior. Existing questionnaires on EDCs in PCHPs lack reliability and comprehensiveness. Guided by the Health Belief Model, this study developed a self-administered questionnaire targeting four key constructs: knowledge, health risk perceptions, beliefs, and avoidance behaviors related to six EDCs commonly found in PCHPs (lead, parabens, Bisphenol A, phthalates, triclosan, and perchloroethylene). The questionnaire was distributed to 200 women at in-person events and online. The internal consistency of the constructs was tested using Cronbach’s alpha. The questionnaire included six items assessing knowledge, seven items on risk perceptions, five items on beliefs, and six items on avoidance behavior for each endocrine-disrupting chemical. Cronbach’s alpha values indicated strong reliability across all constructs. This newly developed questionnaire offers a reliable tool for assessing women’s knowledge, risk perceptions, beliefs, and behaviors toward EDCs in PCHPs. These findings could inform public health research and intervention strategies aimed at reducing women’s exposure to EDCs.