Objectives: Radon, a radioactive gas, is among the leading causes of lung-cancer worldwide. While public health authorities emphasize radon's health risks, there are spas across Europe which claim health benefits of radon. This study investigates how websites of European radon spas frame radon gas, in order to understand the potential controversy between "radon as carcinogen" and "radon as cure," and its potential impact on public health interventions. Methods: A two-phased frame analysis of websites of radon spas (n = 26) situated in the European Union. Results: Five frames are identified, which present radon as a 1) source of health, 2) natural gas, 3) (non) risk, 4) luxury and 5) fountain of youth. These five partly overlapping frames are at times in clear contrast with the ways in which radon is presented in a public health context. Conclusion: Being aware of the existence and contents of radon frames, which potentially challenge or contradict public health interventions, helps responsible authorities in designing more effective campaigns and interventions.

Austrian Agency for Health and Food Safety Vienna Austria

Belgian Nuclear Research Centre Mol Belgium

Federal Office for Radiation Protection Oberschleissheim Neuherberg Germany

National Radiation Protection Institute Prague Czechia

Research and Innovation Centre Faculty of Economics Matej Bel University Banská Bystrica Slovakia

See more in PubMed

World Health Organization. Policies, Regulations and Legislation Promoting Healthy Housing: A Review. Geneva: World Health Organization; (2021).

UNSCEAR. Sources, Effects and Risks of Ionizing Radiation. ANNEX B Lung Cancer from Exposure to Radon. New York: UN: UNSCEAR; (2019).

World Health Organization. WHO Handbook on Indoor Radon: A Public Health Perspective. Geneva: World Health Organization; (2009). PubMed

World Health Organization. Radon and Health 2021 (2021). Available from: https://www.who.int/news-room/fact-sheets/detail/radon-and-health (Accessed October 7, 2021)

Union CotE. 59/Euratom of 5 December 2013 Laying Down Basic Safety Standards for protection against the Dangers Arising from Exposure to Ionising Radiation, and Repealing Directives 89/618/Euratom, 90/641/Euratom, 96/29/Euratom, 97/43/Euratom and 2003/122/Euratom. Euratom; (2013).

Mihók P. The Current Challenges of Applied Social Science Research of Radon Spas’ English Language Marketing Activities on the Internet: Selected Desk Research Results. Ekonomika a spoločnosť (2021) 22(1):55–76. 10.24040/eas.2021.22.1.55-76 DOI

Zdrojewicz Z, Strzelczyk JJ. Radon Treatment Controversy. Dose Response (2006) 4(2):106–18. 10.2203/dose-response.05-025.Zdrojewicz PubMed DOI PMC

Becker K. One century of Radon Therapy. Ijlr (2004) 1(3):333–57. 10.1504/ijlr.2004.005434 DOI

Lettner H, Hubmer A, Hofmann W, Landrichinger J, Gaisberger M, Winkler-Heil R. Radon in the Exhaled Air of Patients in Radon Therapy. Radiat Prot Dosimetry (2017) 177(1-2):78–82. 10.1093/rpd/ncx153 PubMed DOI

Burns SF, Ashbaugh SG, Paris R, Toombs G. Presentation of Radon Potential Maps to the Public: A Case History for Portland, Oregon. Rev Eng Geology (1998) 12:43–52. 10.1130/reg12-p43 DOI

Long S, Fenton D. An Overview of Ireland's National Radon Policy. Radiat Prot Dosimetry (2011) 145(2-3):96–100. 10.1093/rpd/ncr045 PubMed DOI

Perko T, Turcanu C. Is Internet a Missed Opportunity? Evaluating Radon Websites from a Stakeholder Engagement Perspective. J Environ Radioactivity (2020) 212:106123. 10.1016/j.jenvrad.2019.106123 PubMed DOI

Poortinga W, Bronstering K, Lannon S. Awareness and Perceptions of the Risks of Exposure to Indoor Radon: A Population-Based Approach to Evaluate a Radon Awareness and Testing Campaign in England and Wales. Risk Anal (2011) 31(11):1800–12. 10.1111/j.1539-6924.2011.01613.x PubMed DOI

Weinstein ND, Lyon JE, Sandman PM, Cuite CL. Experimental Evidence for Stages of Health Behavior Change: the Precaution Adoption Process Model Applied to home Radon Testing. Health Psychol (1998) 17(5):445–53. 10.1037/0278-6133.17.5.445 PubMed DOI

Erickson BE. The Therapeutic Use of Radon: a Biomedical Treatment in Europe; an "alternative" Remedy in the United States. Dose Response (2007) 5(1):48–62. 10.2203/dose-response.06-007 PubMed DOI PMC

Erickson BE. Toxin or Medicine? Explanatory Models of Radon in Montana Health Mines. maq (2007) 21(1):1–21. 10.1525/maq.2007.21.1.1 PubMed DOI

Erickson BE. Radioactive Pain Relief: Health Care Strategies and Risk Assessment Among Elderly Persons with Arthritis at Radon Health Mines. J Altern Complement Med (2007) 13(3):375–80. 10.1089/acm.2006.6213 PubMed DOI

Liechti D. Radon Spas and Health Mines: Worldwide Review of Radon Therapy. Independently Published; (2020).

Entman RM. Framing: Toward Clarification of a Fractured Paradigm. J Commun (1993) 43(4):51–8. 10.1111/j.1460-2466.1993.tb01304.x DOI

Kitzinger J. Framing and Frame Analysis. In: Devereux E, editor. Media Studies: Key Issues and Debates. London: Sage Publications; (2007). p. 134–61.

Flay BRB D. Effective Mass Communication Strategies for Health Campaigns. In: Atkan CW L, editor. Mass Communication and Public Health. Newbury Park: Sage Publications; (1990). p. 129–46.

Randolph W, Viswanath K. Lessons Learned from Public Health Mass Media Campaigns: Marketing Health in a Crowded Media World. Annu Rev Public Health (2004) 25(1):419–37. 10.1146/annurev.publhealth.25.101802.123046 PubMed DOI

Goffman E. Frame Analysis: An Essay on the Organization of Experience. Cambridge (Massaschusetts): Harvard University Press; (1974).

Gamson WA, Modigliani A. Media Discourse and Public Opinion on Nuclear Power: A Constructionist Approach. Am J Sociol (1989) 95(1):1–37. 10.1086/229213 DOI

Linstrom M, Marais W. Qualitative News Frame Analysis: a Methodology. Communitas (2012) 17:21–38.

De Vreese CH. News Framing: Theory and Typology. Inf Des J document Des (2005) 13(1). 10.1075/idjdd.13.1.06vre DOI

Scheufele DA, Tewksbury D. French Abstract. J Commun (2007) 57(1):9–20. 10.1111/j.1460-2466.2006.00326_5.x DOI

Vliegenthart R, van Zoonen L. Power to the Frame: Bringing Sociology Back to Frame Analysis. Eur J Commun (2011) 26(2):101–15. 10.1177/0267323111404838 DOI

Schäfer MS, O'Neill S. Frame Analysis in Climate Change Communication. In: Oxford Research Encyclopedia of Climate Science. Oxford, UK: Oxford University Press; (2017). 10.1093/acrefore/9780190228620.013.487 DOI

Van Gorp B, Vercruysse T. Frames and Counter-frames Giving Meaning to Dementia: A Framing Analysis of media Content. Soc Sci Med (2012) 74(8):1274–81. 10.1016/j.socscimed.2011.12.045 PubMed DOI

Matthes J, Kohring M. The Content Analysis of Media Frames: Toward Improving Reliability and Validity. J Commun (2008) 58(2):258–79. 10.1111/j.1460-2466.2008.00384.x DOI

Van Gorp B. Where Is the Frame?:Victims and Intruders in the Belgian Press Coverage of the Asylum Issue. Eur J Commun (2005) 20(4):484–507. 10.1177/0267323105058253 DOI

Weatherall MW. Making Medicine Scientific: Empiricism, Rationality, and Quackery in Mid-victorian Britain. Soc Hist Med (1996) 9(2):175–94. 10.1093/shm/9.2.175 PubMed DOI

Hevey D. Radon Risk and Remediation: A Psychological Perspective. Front Public Health (2017) 5(63):63. 10.3389/fpubh.2017.00063 PubMed DOI PMC

Bouder F, Perko T, Lofstedt R, Renn O, Rossmann C, Hevey D, et al. The Potsdam Radon Communication Manifesto. J Risk Res (2021) 24(7):909–12. 10.1080/13669877.2019.1691858 DOI

FANC. Radon in 10 Vragen Brussels: Federal Agency for Nuclear Control. No Date. Available from: https://fanc.fgov.be/nl/system/files/folder_radon_in_10_vragen.pdf (Accessed September 30, 2021).