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环境健康知识、态度和实践:为社会弱势群体服务的法国产前专业人员的定性研究。

Environmental Health Knowledge, Attitudes, and Practices of French Prenatal Professionals Working with a Socially Underprivileged Population: A Qualitative Study.

机构信息

INSERM, University Hospital of Poitiers, University of Poitiers, Clinical Investigation Center (CIC) 1402, 86021 Poitiers CEDEX, France.

Department of Public Health, BioSPharm Pole, University Hospital of Poitiers, 86021 Poitiers CEDEX, France.

出版信息

Int J Environ Res Public Health. 2019 Jul 16;16(14):2544. doi: 10.3390/ijerph16142544.

Abstract

UNLABELLED

Introduction: As environmental health knowledge of population is associated with social economic status, the objective of this study was to determine environmental health knowledge, attitudes, and practices of French prenatal professionals working with a socially underprivileged population.

MATERIAL AND METHODS

A focus group with eleven prenatal professionals working with socially underprivileged population was carried out in France in 2015. Content analysis of verbatim explanation was conducted with choice-of-subject categories carried out according to the triangulation principle, and topic trees were generated and applied.

RESULTS

The professionals have non-specialized experimental knowledge of emergent risks and were essentially preoccupied by infectious biological risks. In practice, however, they became increasingly cognizant of emergent risks. Their educational practices take cultural context into account but educational tools with imagination and affectivity have to be developed in order to reach socially underprivileged population.

DISCUSSION

Professionals are often sensitized to the field of environmental health in their apprehension of polluted biological environments, which they associate with social contexts and behavioral factors. In this study, we recommend adapted training programs and updated professional guidelines in view of reducing prenatal emergent risk exposures and social inequalities of health.

摘要

目的

本研究旨在确定为社会弱势群体服务的法国产前专业人员的环境健康知识、态度和实践,因为人群的环境卫生知识与社会经济地位有关。

材料和方法

2015 年在法国进行了一项针对 11 名为社会弱势群体服务的产前专业人员的焦点小组。对逐字解释进行了内容分析,并根据三角原理进行了选择主题类别的分析,生成并应用了主题树。

结果

专业人员对新兴风险的实验知识没有专门的了解,主要关注传染病的生物风险。然而,在实践中,他们越来越意识到新兴风险。他们的教育实践考虑到了文化背景,但需要开发具有想象力和感染力的教育工具,以接触到社会弱势群体。

讨论

在理解受污染的生物环境时,专业人员通常对环境卫生领域很敏感,他们将生物环境与社会背景和行为因素联系起来。在这项研究中,我们建议制定适应的培训计划和更新的专业准则,以减少产前新兴风险暴露和健康的社会不平等。

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