Attitudes about Carbon Monoxide Safety in the United States: Results from the 2005 and 2006 HealthStyles Survey

Abstract
We sought to identify attitudes and behaviors related to carbon monoxide (CO) safety that can be targeted with public health prevention strategies in the U.S. The Centers for Disease Control and Prevention added questions about (1) proper placement of gas-powered generators, (2) maintenance of fuel-burning appliances, and (3) use of CO detectors to the 2005 and 2006 HealthStyles national health marketing surveys. In 2005, 63.3% of HealthStyles respondents agreed with or were uncertain about the incorrect statement, “It is safe to run a generator in a garage as long as the door is open,” while 43.1% agreed with or were uncertain about the incorrect statement, “It is safe to run a generator in the basement.” Most of the 2006 respondents (63.5%) agreed that it is important to have their furnace inspected annually. However, fewer than half of the 2006 respondents (42.0%)—most of whom were homeowners—reported owning a CO detector. A large proportion of adults in the U.S. reported attitudes and behaviors that may place them at increased risk for unintentional, non-firerelated CO poisoning, suggesting that current safety messages may not be reaching much of the public. Prevention messages should continue to promote proper generator placement, maintenance of fuel-burning appliances, and use of CO detectors. Development of a comprehensive national strategy for CO surveillance and communication may help identify populations at increased risk and prevent future poisonings.