Leviton L C, Marsh G M, Talbott E, Pavlock D, Callahan C
Department of Health Services Administration, Graduate School of Public Health, University of Pittsburgh, PA 15261.
Am J Public Health. 1991 Jun;81(6):689-93. doi: 10.2105/ajph.81.6.689.
Programs to communicate health risk information and to protect the health of groups exposed to toxic substances need to tailor interventions to the political, economic, and cultural situation of the at-risk group. In particular, such programs must often cope with exceptional community tension and conflict over these exposures.
This article uses interviews and written materials to document and describe the state of affairs that led up to community tension over an occupational exposure to a bladder carcinogen. The article describes the planning and design of a program to provide medical surveillance to workers, which also alleviated community concern.
The Drake Chemical Workers' Health Registry coped successfully with community conflict and obtained a high participation rate.
General recommendations include the following: avoid identification with extraneous agendas; know the community and maintain communication; and match the intervention to the evolution of the community conflict.
传达健康风险信息以及保护接触有毒物质群体健康的项目需要根据高危群体的政治、经济和文化状况调整干预措施。特别是，此类项目常常必须应对因这些接触而引发的特殊社区紧张局势和冲突。
本文运用访谈和书面材料记录并描述了导致社区因职业接触膀胱致癌物而出现紧张局势的状况。文章描述了一项为工人提供医学监测项目的规划与设计，该项目也缓解了社区的担忧。
德雷克化学工人健康登记处成功应对了社区冲突并获得了很高的参与率。
总体建议如下：避免与无关议程挂钩；了解社区并保持沟通；使干预措施与社区冲突的演变相匹配。
