Brown P
Brown University.
J Health Soc Behav. 1992 Sep;33(3):267-81.
Building on a detailed study of the Woburn, Massachusetts, childhood leukemia cluster, this paper examines lay and professional ways of knowing about environmental health risks. Of particular interest are differences between lay and professional groups' definitions of data quality, methods of analysis, traditionally accepted levels of measurement and statistical significance, and relations between scientific method and public policy. This paper conceptualizes the hazard-detection and solution-seeking activities of Love Canal, Woburn, and other communities as popular epidemiology: the process by which lay persons gather data and direct and marshal the knowledge and resources of experts in order to understand the epidemiology of disease, treat existing and prevent future disease, and remove the responsible environmental contaminants. Based on different needs, goals, and methods, laypeople and professionals have conflicting perspectives on how to investigate and interpret environmental health data.
基于对马萨诸塞州沃本儿童白血病群集病的详细研究,本文探讨了公众和专业人士了解环境健康风险的方式。特别令人感兴趣的是,公众和专业群体在数据质量定义、分析方法、传统上认可的测量水平和统计显著性,以及科学方法与公共政策之间的关系方面存在差异。本文将拉夫运河、沃本及其他社区的危害检测和寻求解决方案的活动概念化为大众流行病学:即普通人收集数据,并指导和调集专家的知识与资源,以了解疾病流行病学、治疗现有疾病并预防未来疾病,以及清除相关环境污染物的过程。基于不同的需求、目标和方法,普通人和专业人士在如何调查和解释环境健康数据方面存在相互冲突的观点。