{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T06:15:23Z","timestamp":1783318523196,"version":"3.54.6"},"reference-count":57,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Traditional environmental campaigns often struggle to achieve sustained behavioral shifts in reducing single-use products and their associated chemical exposure. This study examines whether sustained exposure to a health-centered social-media initiative, \u201cCritical Mass for Healthy Consumption\u201d, is associated with reported pro-environmental consumption patterns, by prioritizing personal health impacts over ecological concerns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using an online survey, we compared consumer habits between community members (CM) and non-community members (NCM) across three categories: single-use cups for cold (SUCC) and hot (SUCH) beverages, and air fresheners.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      CM reported significantly lower consumption of SUCC (11.4 cups\/month, 95% CI: 10.5\u201312.3,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt; 0.0001) compared to national estimates (16 cups\/month). While environmental concern was high in both groups, CM rated personal health risks from chemical leaching and microplastics ingestion as their primary motivation for reduction. This divergence was most acute for air fresheners, a category lacking national environmental campaigns, where 39% of CM ceased use entirely compared to only 7% of NCM (difference: 32%, 95% CI: 23.5%\u201340.5%,\n                      <jats:italic>p<\/jats:italic>\n                      &amp;lt; 0.0001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Our findings suggest that health-oriented communication may function as a stand-alone driver of behavior change in under-addressed product categories and that sustained health-oriented communication, enabled by digital community support and accessible alternatives, may act as an effective demand-side public health strategy to reduce chemical exposures and encourage pro-environmental behavior. Thereby, providing an empirical \u201cHealth-First\u201d framework for integrating health-centered messaging, community-based platforms, and labeling schemes, into public health policy and education can promote safer, more sustainable consumption patterns.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1841511","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T05:38:25Z","timestamp":1783316305000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Health-first motivation as a demand-side strategy for pro-environmental consumption behavior: a cross-sectional retrospective online survey"],"prefix":"10.3389","volume":"14","author":[{"given":"Yaeli","family":"Etstein","sequence":"first","affiliation":[{"name":"Ruppin Research Group in Environmental and Social Sustainability, Ruppin Academic Center","place":["Emek Hefer, Israel"]},{"name":"Faculty of Marine Sciences, Ruppin Academic Center","place":["Michmoret, Israel"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adi","family":"Levi","sequence":"additional","affiliation":[{"name":"Ruppin Research Group in Environmental and Social Sustainability, Ruppin Academic Center","place":["Emek Hefer, Israel"]},{"name":"The Faculty of Health, Sciences and Sustainability, Achva Academic College","place":["Yinon, Israel"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zohar","family":"Barnett-Itzhaki","sequence":"additional","affiliation":[{"name":"Ruppin Research Group in Environmental and Social Sustainability, Ruppin Academic Center","place":["Emek Hefer, Israel"]},{"name":"Faculty of Engineering, Ruppin Academic Center","place":["Emek Hefer, Israel"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,6]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"eaz5803","DOI":"10.1126\/sciadv.aaz5803","article-title":"More than 1,000 rivers account for 80% of global riverine plastic emissions to the ocean","volume":"7","author":"Meijer","year":"2021","journal-title":"Sci Adv"},{"key":"B2","unstructured":"Report of the Starbucks Coffee Company\n          \n          2000"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1057\/s41599-018-0212-7","article-title":"Future scenarios of global plastic waste generation and disposal","volume":"5","author":"Lebreton","year":"2019","journal-title":"Palgrave Commun."},{"key":"B4","unstructured":"Precedence\n              Research\n            \n          \n          Air Freshener Market Size, Share and Trends 2025\u20132034\n          \n          2025"},{"key":"B5","unstructured":"Washington, DC\n          Household and Commercial Products Association\n          Aerosol Products: Innovation, Safety and Sustainability \u2013 A White Paper on the U.S. Aerosol Industry\n          \n          2024"},{"key":"B6","doi-asserted-by":"publisher","first-page":"760","DOI":"10.1126\/science.aaq0524","article-title":"Volatile chemical products emerging as largest petrochemical source of urban organic emissions","volume":"359","author":"McDonald","year":"2018","journal-title":"Science"},{"key":"B7","doi-asserted-by":"publisher","first-page":"e1700782","DOI":"10.1126\/sciadv.1700782","article-title":"Production, use, and fate of all plastics ever made","volume":"3","author":"Geyer","year":"2017","journal-title":"Sci Adv."},{"key":"B8","unstructured":"Commission regulation (EU) No 10\/2011 of 14 January 2011 on plastic materials and articles intended to come into contact with food\n          \n          1\n          89\n          \n            \n              European\n              Commission\n            \n          \n          Off J Eur Union\n          \n          2011"},{"key":"B9","doi-asserted-by":"publisher","first-page":"141760","DOI":"10.1016\/j.chemosphere.2024.141760","article-title":"A review of endocrine-disrupting chemicals migration from food-contact materials into beverages","volume":"355","author":"Abbasi","year":"2024","journal-title":"Chemosphere"},{"key":"B10","doi-asserted-by":"publisher","first-page":"111969","DOI":"10.1016\/j.envres.2021.111969","article-title":"Endocrine disruptors: challenges and future directions in epidemiologic research","volume":"204","author":"Ho","year":"2022","journal-title":"Environ Res."},{"key":"B11","doi-asserted-by":"publisher","first-page":"8020","DOI":"10.3390\/ijerph17218020","article-title":"PFAS environmental pollution and antioxidant responses: an overview of the impact on human health","volume":"17","author":"Bonato","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"B12","doi-asserted-by":"publisher","first-page":"158606","DOI":"10.1016\/j.scitotenv.2022.158606","article-title":"Release of microplastics from disposable cups in daily use","volume":"854","author":"Chen","year":"2023","journal-title":"Sci Total Environ."},{"key":"B13","doi-asserted-by":"publisher","first-page":"143620","DOI":"10.1016\/j.cej.2023.143620","article-title":"High levels of microparticles released from biodegradable polylactic-acid paper cups compared with polyethylene-lined cups","volume":"468","author":"Yung","year":"2023","journal-title":"Chem Eng J."},{"key":"B14","doi-asserted-by":"publisher","first-page":"107199","DOI":"10.1016\/j.envint.2022.107199","article-title":"Discovery and quantification of plastic particle pollution in human blood","volume":"163","author":"Leslie","year":"2022","journal-title":"Environ Int."},{"key":"B15","doi-asserted-by":"publisher","first-page":"106274","DOI":"10.1016\/j.envint.2020.106274","article-title":"Plasticenta: first evidence of microplastics in human placenta","volume":"146","author":"Ragusa","year":"2021","journal-title":"Environ Int."},{"key":"B16","doi-asserted-by":"publisher","first-page":"104147","DOI":"10.1016\/j.ebiom.2022.104147","article-title":"Microplastics detected in cirrhotic liver tissue","volume":"82","author":"Horvatits","year":"2022","journal-title":"EBioMedicine"},{"key":"B17","doi-asserted-by":"publisher","first-page":"04179","DOI":"10.7189\/jogh.14.04179","article-title":"Detection of microplastics in human tissues and organs: a scoping review","volume":"14","author":"Roslan","year":"2024","journal-title":"J Glob Health"},{"key":"B18","doi-asserted-by":"publisher","first-page":"1114","DOI":"10.1038\/s41591-024-03453-1","article-title":"Bioaccumulation of microplastics in decedent human brains","volume":"31","author":"Nihart","year":"2025","journal-title":"Nat Med."},{"key":"B19","doi-asserted-by":"publisher","first-page":"8","DOI":"10.20517\/wecn.2023.61","article-title":"Dos and donts of microplastic research a comprehensive guide","volume":"3","author":"Prata","year":"2024","journal-title":"Water Emerg Contam Nanoplastics"},{"key":"B20","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1111\/j.1600-0668.2005.00414.x","article-title":"Cleaning products and air fresheners: emissions and resulting concentrations of glycol ethers and terpenoids","volume":"16","author":"Singer","year":"2006","journal-title":"Indoor Air"},{"key":"B21","doi-asserted-by":"publisher","first-page":"1329","DOI":"10.1007\/s11869-020-00886-8","article-title":"Volatile chemical emissions from car air fresheners","volume":"13","author":"Steinemann","year":"2020","journal-title":"Air Qual Atmos Health"},{"key":"B22","doi-asserted-by":"publisher","first-page":"626","DOI":"10.35208\/ert.1453891","article-title":"A review of air pollution and ethical consumption behavior due to fragrances","volume":"7","author":"Son","year":"2024","journal-title":"Environ Res Technol."},{"key":"B23","doi-asserted-by":"publisher","first-page":"528","DOI":"10.3390\/atmos16050528","article-title":"Ground-level ozone exposure and type 2 diabetes incidence: an ecological study of environmental and social determinants","volume":"16","author":"Levi","year":"2025","journal-title":"Atmosphere"},{"key":"B24","doi-asserted-by":"publisher","first-page":"535","DOI":"10.2131\/jts.40.535","article-title":"Characterization of air-freshener emission: the potential health effects","volume":"40","author":"Kim","year":"2015","journal-title":"J Toxicol Sci."},{"key":"B25","doi-asserted-by":"publisher","first-page":"279","DOI":"10.1016\/j.buildenv.2016.11.009","article-title":"Ten questions concerning air fresheners and indoor built environments","volume":"111","author":"Steinemann","year":"2017","journal-title":"Build Environ."},{"key":"B26","unstructured":"Geneva\n          World Health Organization, United Nations Environment Programme\n          State of the Science of Endocrine Disrupting Chemicals \u2013 2012\n          \n          2012"},{"key":"B27","unstructured":"Environmental Working Group: Who We Are\n          \n          1993"},{"key":"B28","unstructured":"San Francisco, CA\n          Breast Cancer Prevention Partners\n          About the Campaign\n          \n          2004"},{"key":"B29","unstructured":"Berkeley, CA\n          Green Science Policy Institute\n          Our Mission and History\n          \n          2008"},{"key":"B30","first-page":"153","article-title":"Cognitive and physiological processes in fear appeals and attitude change: a revised theory of protection motivation","volume-title":"Social Psychology: A Source Book","author":"Rogers","year":"1983"},{"key":"B31","doi-asserted-by":"publisher","first-page":"407","DOI":"10.1111\/j.1559-1816.2000.tb02323.x","article-title":"A meta-analysis of research on protection motivation theory","volume":"30","author":"Floyd","year":"2000","journal-title":"J Appl Soc Psychol."},{"key":"B32","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1111\/j.1559-1816.2000.tb02308.x","article-title":"Prediction and intervention in health-related behavior: a meta-analytic review of protection motivation theory","volume":"30","author":"Milne","year":"2000","journal-title":"J Appl Soc Psychol."},{"key":"B33","doi-asserted-by":"publisher","first-page":"307","DOI":"10.1038\/s41893-019-0263-9","article-title":"Meta-analysis of pro-environmental behaviour spillover","volume":"2","author":"Maki","year":"2019","journal-title":"Nat Sustain."},{"key":"B34","doi-asserted-by":"publisher","first-page":"106987","DOI":"10.1016\/j.ecolecon.2021.106987","article-title":"Other-regarding preferences and pro-environmental behaviour: an interdisciplinary review of experimental studies","volume":"184","author":"Heinz","year":"2021","journal-title":"Ecol Econ."},{"key":"B35","doi-asserted-by":"publisher","first-page":"e83911","DOI":"10.1371\/journal.pone.0083911","article-title":"Values determine the (in)effectiveness of informational interventions in promoting pro-environmental behavior","volume":"8","author":"Bolderdijk","year":"2013","journal-title":"PLoS ONE"},{"key":"B36","unstructured":"Disposable Dishes \u2013 Not in My Sea! Joint Public-Awareness Campaign Video. YouTube\n          \n          2018"},{"key":"B37","unstructured":"Paris\n          OECD Publishing\n          Environment at a Glance: Country Notes: Israel\n          \n          2025"},{"key":"B38","unstructured":"Israel Drops Plastic Tax Despite Environmental Gains\n          \n          2023"},{"key":"B39","unstructured":"Consumption of Disposable Utensils in Israel Jumped by 25% After the Tax was Abolished: 3 Billion Items Were Added to the Waste\n          \n          2024"},{"key":"B40","doi-asserted-by":"publisher","first-page":"4028","DOI":"10.3390\/su11154028","article-title":"Opportunities for the adoption of health-based sustainable dietary patterns: a review on consumer research of meat substitutes","volume":"11","author":"Weinrich","year":"2019","journal-title":"Sustainability"},{"key":"B41","unstructured":"Meatless\n              Monday\n            \n          \n          Baltimore, MD\n          Johns Hopkins Bloomberg School of Public Health\n          On Its 20th Anniversary, Meatless Monday is More Relevant Than Ever\n          \n          2023"},{"key":"B42","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1016\/j.gloenvcha.2014.09.004","article-title":"Positive and negative spillover of pro-environmental behavior: an integrative review and theoretical framework","volume":"29","author":"Truelove","year":"2014","journal-title":"Glob Environ Change"},{"key":"B43","doi-asserted-by":"publisher","first-page":"174774","DOI":"10.1016\/j.scitotenv.2024.174774","article-title":"The effect of information about hazardous chemicals in consumer products on behaviour \u2013 A systematic review","volume":"947","author":"Boman","year":"2024","journal-title":"Sci Total Environ."},{"key":"B44","doi-asserted-by":"publisher","first-page":"e193","DOI":"10.2196\/jmir.1933","article-title":"A new dimension of health care: systematic review of the uses, benefits, and limitations of social media for health communication","volume":"15","author":"Moorhead","year":"2013","journal-title":"J Med Internet Res."},{"key":"B45","unstructured":"Plastic Pollution \u2013 Zalul's Campaign Against Plastic and Waste Management in Israel\n          \n          2025"},{"key":"B46","unstructured":"Why Pay More? Plastic Pollution and Single-Use Alternatives\n          \n          2025"},{"key":"B47","unstructured":"Segal\n              Y\n            \n          \n          The National Monitoring Program of Israel's Mediterranean Waters \u2013 Scientific Report on Marine Litter for 2023. Israel Oceanographic and Limnological Research, IOLR Report H19\/2024\n          \n          2024"},{"key":"B48","doi-asserted-by":"publisher","first-page":"106655","DOI":"10.1016\/j.marpol.2025.106655","article-title":"Assessing the effectiveness of 18 years of Israel's clean coast program","volume":"176","author":"Zurel","year":"2025","journal-title":"Marine Policy"},{"key":"B49","doi-asserted-by":"publisher","first-page":"5448","DOI":"10.1021\/acs.est.1c06768","article-title":"Common single-use consumer plastic products release trillions of sub-100 nm nanoparticles per liter into water during normal use","volume":"56","author":"Zangmeister","year":"2022","journal-title":"Environ Sci Technol."},{"key":"B50","doi-asserted-by":"publisher","first-page":"1564","DOI":"10.3390\/foods13101564","article-title":"Microplastic release from single-use plastic beverage cups","volume":"13","author":"Akbulut","year":"2024","journal-title":"Foods"},{"key":"B51","doi-asserted-by":"publisher","first-page":"364","DOI":"10.1177\/1090198111418634","article-title":"Social ecological approaches to individuals and their contexts: twenty years of health education and behavior health promotion interventions","volume":"39","author":"Golden","year":"2012","journal-title":"Health Educ Behav."},{"key":"B52","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1177\/1090198104263660","article-title":"Health promotion by social cognitive means","volume":"31","author":"Bandura","year":"2004","journal-title":"Health Educ Behav."},{"key":"B53","volume-title":"Methodology for the Calculation of Emissions From Product Usage by Consumers, Construction and Services. RIVM Report 2019-0017","author":"Jansen","year":"2019"},{"key":"B54","doi-asserted-by":"publisher","first-page":"17041","DOI":"10.1038\/s41598-024-67963-1","article-title":"Emission characteristics of volatile organic compounds from consumer spray products based on product type, spray method, and distance","volume":"14","author":"Lee","year":"2024","journal-title":"Sci Rep."},{"key":"B55","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1186\/1476-069X-14-13","article-title":"Non-monotonic dose-response relationships and endocrine disruptors: a qualitative method of assessment","volume":"14","author":"Lagarde","year":"2015","journal-title":"Environ Health"},{"key":"B56","doi-asserted-by":"publisher","first-page":"106119","DOI":"10.1016\/j.cities.2025.106119","article-title":"Content dynamics and emotional engagement in online zero waste communities: a longitudinal study","volume":"165","author":"Achuthan","year":"2025","journal-title":"Cities"},{"key":"B57","unstructured":"Critical Mass for Healthy Consumption\n          \n          2016"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1841511\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T05:38:39Z","timestamp":1783316319000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1841511\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,6]]},"references-count":57,"alternative-id":["10.3389\/fpubh.2026.1841511"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1841511","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,6]]},"article-number":"1841511"}}