The combination of radon and smoking produces a synergistic risk of lu
ng cancer. Lay understanding of this risk was examined from the perspe
ctives of mental models theory, the psychometric approach to risk perc
eption, and optimistic bias. As assessed by interview, participants (N
= 50) had more extensive mental models for the risks of smoking than
for the risks of radon or the combination of radon and smoking; 32% kn
ew little or nothing about radon. Despite reading an informational bro
chure, their risk-perception ratings of the three hazards showed no pe
rception of the synergy between smoking and radon risk, although the c
ombined hazard was rated as less familiar but more controllable than t
he average of the single hazards (p <.01). No evidence of optimistic b
ias for the health consequences of radon, or the combination of radon
and smoking was observed. Participants appeared to be combining the si
ngle-hazard risks subadditively to arrive at their combined-hazard ris
k perceptions. Further research on the integration of perceived risks
would be beneficial for designing optimal communications about synergi
stic risk.