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关于铅的误导:对澳大利亚铅矿开采和冶炼城镇在线公共卫生教育材料的评估

Misled about lead: an assessment of online public health education material from Australia's lead mining and smelting towns.

作者信息

Sullivan Marianne, Green Donna

机构信息

Department of Public Health, William Paterson University, Wayne, NJ, USA.

Climate Change Research Centre, University of New South Wales, Sydney, NSW, 2052, Australia.

出版信息

Environ Health. 2016 Jan 6;15:1. doi: 10.1186/s12940-015-0085-9.

Abstract

BACKGROUND

This study assesses the accuracy and comprehensiveness of online public health education materials from the three Australian cities with active lead mines and or smelters: Broken Hill, Mount Isa and Port Pirie.

METHODS

Qualitative content analysis of online Australian material with comparison to international best practice where possible.

RESULTS

All materials provided incomplete information about the health effects of lead and pathways of exposure compared to best practice materials. Inconsistent strategies to reduce exposure to lead were identified among the Australian cities, and some evidence-based best practices were not included. The materials normalised environmental lead and neglected to identify that there is no safe level of lead, or that primary prevention is the best strategy for protecting children's health.

CONCLUSIONS

Health education materials need to clearly state health risks from lead across developmental stages and for sensitive populations, integrate a primary prevention perspective, and provide comprehensive evidence-based recommendations for reducing lead exposure in and around the home. Families who rely on information provided by these online public education materials are likely to be inadequately informed about the importance of protecting their children from exposure to lead and strategies for doing so.

摘要

背景

本研究评估了来自澳大利亚三个有活跃铅矿和/或冶炼厂的城市(布罗肯希尔、芒特艾萨和皮里港)的在线公共卫生教育材料的准确性和全面性。

方法

对澳大利亚在线材料进行定性内容分析,并尽可能与国际最佳实践进行比较。

结果

与最佳实践材料相比,所有材料提供的关于铅对健康的影响以及接触途径的信息都不完整。在澳大利亚各城市中,减少铅接触的策略不一致,且一些循证最佳实践未被纳入。这些材料将环境铅暴露常态化,忽视了不存在铅的安全暴露水平这一事实,也未认识到一级预防是保护儿童健康的最佳策略。

结论

健康教育材料需要明确阐述铅在不同发育阶段对敏感人群的健康风险,纳入一级预防视角,并提供基于证据的全面建议,以减少家庭内外的铅暴露。依赖这些在线公共教育材料所提供信息的家庭,可能对保护其子女免受铅暴露的重要性及相关策略了解不足。

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