Between attraction and avoidance: from perfume application to fragrance-free policies

BACKGROUND: According to a national representative survey, 19.9% of the German population describe various adverse effects on personal health upon exposure to fragranced consumer products. This study investigates whether these fragrance-sensitive persons have a higher risk awareness compared to the general public, whether they show a different safety behavior concerning fragrances and whether they reduce exposure and hence risk. RESULTS: The presence of fragrances can have a major impact on the participation in public activities. Half of the fragrance-sensitive persons have ever been prevented from going to some place to avoid exposure to fragrances. More than half of them prefer fragrance-free alternatives (products, laundry, hotels, airplanes, health care facilities, or workplaces), while there are also fragrance-sensitive individuals, who indicate to prefer fragranced products and spaces. Half of fragrance-sensitive persons use perfumes to feel themselves more attractive. Furthermore, there is a large number of persons who prefer fragrance-free alternatives without being fragrance-sensitive. Around half of the general population indicate not to use a fragranced product if they know that it emits hazardous air pollutants. This shows that health effects associated with the presence of fragrances proved to be one out of several factors, but not the only one, which influences attitudes towards fragrances and their usage. The answers given reveal the multitude of aspects influencing risk awareness and safety behavior. According to the survey results, 7.4 workdays were lost due to illness from fragranced product exposure in the workplace per person on average, with estimated personal economic costs of 14.5 * 10(9) Euro/year in Germany. CONCLUSIONS: The high prevalence of persons who correlate their health effects with exposure to fragrances shows that existing risk communication instruments are too weak, even for people who are aware of a risk, like fragrance-sensitive persons. The data substantiate how important it is to respect cognitive dissonance, confirmation bias and the inadequacy of the deficit model in risk management. The issue of adverse health effects associated with fragrances has reached a dimension, which requires immediate action: The results of this study are strong supporting arguments in favor of fragrance-free policies.