Plastic Pollution of the Tennessee River: Comparing Risk Perceptions and Preferred Policy Solutions Between Stakeholders and the Public

(1) Background: Plastic and microplastic pollution in freshwater systems has emerged as a significant environmental and human health concern, yet limited research has explored how affected communities perceive these risks and support related policy interventions. This study addresses this gap by comparing the perceptions of pollution risk and preferred policy responses among stakeholders and the general public associated with the Tennessee River—one of the most plastic-polluted rivers globally. (2) Methods: Using an online survey, we collected data from 419 public respondents and 45 local stakeholders. Participants assessed perceived environmental and human health risks posed by six common pollutants and expressed support for a range of policy solutions. (3) Results: Results indicate that the public consistently perceives higher risks from pollutants than stakeholders, particularly for plastics, E. coli, and heavy metals. Surprisingly, stakeholders demonstrated significantly stronger support for regulatory policy interventions than the public, despite perceiving lower levels of pollution risk. Importantly, perceived harm from microplastics emerged as the most consistent predictor of policy support across all policy types. (4) Conclusions: These findings suggest that risk perceptions, particularly regarding microplastics, play a critical role in shaping policy preferences and highlight the importance of stakeholder engagement in designing effective freshwater pollution mitigation strategies.