This research focuses on exploring and explaining women's perceptions of and social responses to environmental change. Viewing risk selection and perception as "dynamic processes" that are continuously changing and being reinterpreted through people's "worldviews," it examines how pollution and decline of environmental conditions come to be regarded by Egyptian women as "risky." The research is gender specific, given the primary role of women as health care managers of their families. Thus, for women, environmental issues and health issues are closely related.