Brian W. Simpson is with the Office of Communications, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Patti Truant and Beth A. Resnick are with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health.
Am J Public Health. 2014 Jul;104(7):1204-8. doi: 10.2105/AJPH.2013.301836. Epub 2014 May 15.
Cancer cluster investigations need to address the disconnect between traditional public health approaches and human needs. Cancer cluster investigations often magnify fear and uncertainty because they rarely find a definitive environmental cause. Traditional approaches emphasize population-level data analysis and undervalue active listening. Because few studies have explored active listening in cancer cluster investigations, we conducted a descriptive oral history case study of a Frederick, Maryland, investigation. We interviewed 12 community members and 9 public health professionals about the investigation of a perceived cancer cluster. Many believed it was linked to environmental contamination at Fort Detrick, a local US Army base. We propose enhanced active listening that seeks out peoples' perspectives, validates their concerns, and engages them in the investigative process.
癌症集群调查需要解决传统公共卫生方法与人类需求之间的脱节问题。癌症集群调查常常会放大恐惧和不确定性，因为它们很少能找到明确的环境原因。传统方法强调基于人群的数据分析，而低估了积极倾听的作用。由于很少有研究探讨过在癌症集群调查中积极倾听的问题，我们对马里兰州弗雷德里克市的一次调查进行了描述性口述历史案例研究。我们采访了 12 名社区成员和 9 名公共卫生专业人员，了解他们对一个被认为是癌症集群的调查。许多人认为这与当地美国陆军基地迪特里克堡的环境污染有关。我们提出了增强型积极倾听，旨在寻找人们的观点，验证他们的关切，并让他们参与调查过程。
