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针对归因于电磁场的症状在基层医疗中的会诊——全科医生调查

Consultations in primary care for symptoms attributed to electromagnetic fields--a survey among general practitioners.

作者信息

Huss Anke, Röösli Martin

机构信息

Department of Social and Preventive Medicine, University of Berne, Finkenhubelweg 11, 3012 Berne, Switzerland.

出版信息

BMC Public Health. 2006 Oct 30;6:267. doi: 10.1186/1471-2458-6-267.


DOI:10.1186/1471-2458-6-267
PMID:17074080
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1635563/
Abstract

BACKGROUND: Five percent of the Swiss population attribute symptoms to electromagnetic fields (EMF). General practitioners (GPs) might play a key role in recognising an emerging health risk, since they are the first to observe and follow up persons who attribute symptoms to EMF. It is unclear to what extent EMFs have become an issue in general practice and which experiences GPs report from the consultations. METHODS: We conducted telephone interviews in a random sample of GPs in Switzerland in order to assess the frequency of consultations in primary care due to EMF and the GPs' experience with these patients. RESULTS: 342 general practitioners were interviewed, corresponding to a response rate of 28.2%. 69% of the GPs reported at least one consultation due to EMF, but GPs with a certificate in complementary medicine were much more likely to report EMF consultations. The median of EMF consultation numbers within one year was three. An overview of the most recent EMF-related consultation per GP yielded sleep disorders, headaches and fatigue as the most often reported symptoms and mobile phone base stations, power lines and the own use of mobile phones as the main EMF sources suspected to be associated to symptoms. GPs judged the association between EMF and the symptoms to be plausible in 54% of the cases. There was no combination of symptoms and EMF sources that was remarkably and consistently judged to be a plausible cause of the symptoms. CONCLUSION: In our survey, GPs often judged the association between the health problems and the suspected exposure to be plausible. This plausibility assessment seems to be based on grounds of preventive positions in a situation of scientific uncertainty. More research effort is needed to obtain more insight on a potential association between long term EMF exposure and unspecific symptoms.

摘要

背景:5%的瑞士人口将症状归因于电磁场(EMF)。全科医生(GP)可能在识别新出现的健康风险方面发挥关键作用,因为他们是最先观察和跟进将症状归因于电磁场的人群的。目前尚不清楚电磁场在全科医疗中成为问题的程度以及全科医生在会诊中报告的经历。 方法:我们对瑞士全科医生的随机样本进行了电话访谈,以评估初级保健中因电磁场导致的会诊频率以及全科医生对这些患者的经验。 结果:共访谈了342名全科医生,回复率为28.2%。69%的全科医生报告至少有一次因电磁场导致的会诊,但拥有补充医学证书的全科医生更有可能报告电磁场会诊。一年内电磁场会诊次数的中位数为3次。对每位全科医生最近一次与电磁场相关的会诊进行概述,结果显示睡眠障碍、头痛和疲劳是最常报告的症状,手机基站、输电线和自身使用手机是怀疑与症状相关的主要电磁场来源。全科医生在54%的病例中判断电磁场与症状之间的关联是合理的。没有任何症状和电磁场来源的组合被一致且显著地判断为症状的合理原因。 结论:在我们的调查中,全科医生常常判断健康问题与疑似暴露之间的关联是合理的。这种合理性评估似乎基于在科学不确定性情况下的预防立场。需要更多的研究努力来更深入了解长期暴露于电磁场与非特异性症状之间的潜在关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aedc/1635563/071c1b0691cb/1471-2458-6-267-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aedc/1635563/14a970eadcb1/1471-2458-6-267-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aedc/1635563/071c1b0691cb/1471-2458-6-267-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aedc/1635563/14a970eadcb1/1471-2458-6-267-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aedc/1635563/071c1b0691cb/1471-2458-6-267-2.jpg

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本文引用的文献

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Soz Praventivmed. 2006

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