Department of Preventive Medicine and Public Health, University of Granada, 18071 Granada, Spain.
Instituto de Investigación Biosanitaria de Granada (ibs.GRANADA), 18012 Granada, Spain.
Int J Environ Res Public Health. 2020 Jun 2;17(11):3946. doi: 10.3390/ijerph17113946.
There is increasing concern regarding the potential implications of continuous dietary exposure to low doses of artificial chemical pollutants, particularly in critical life stages such as pregnancy and lactation. Within a wider social research, we analyzed the risk perception, discourses, and attitudes of health professionals regarding dietary exposure to artificial chemical contaminants. Data was collected by personal interviews on 35 health professionals from two Spanish regions. Although the participants' discourses were strongly dominated by the nutritional composition and microbiological contamination, 34 expressed some concern regarding metals, and 23 regarding pesticides. Although only one participant mentioned a plasticizer (i.e., bisphenol A), we noted an underlying concern, since six professionals admitted to recommending pregnant women to somewhat avoid plastic food containers, and were aware of mother-to-child transmission and accumulation of artificial chemicals. The ubiquity of the exposure, the inability to locate the threat, and contradictory messages can all create a sense of helplessness and subsequent cognitive adjustments. Our participants also reported a lack of information, particularly on emerging pollutants. In conclusion, we found a range of valuable discourses that can aid in orienting public health strategies aimed at health professionals who have a substantial influence on their patients.
人们越来越关注在妊娠和哺乳期等关键生命阶段持续摄入低剂量人工化学污染物的潜在影响。在更广泛的社会研究中,我们分析了健康专业人员对饮食中人工化学污染物暴露的风险感知、话语和态度。通过对来自西班牙两个地区的 35 名健康专业人员进行个人访谈收集数据。尽管参与者的论述主要集中在营养成分和微生物污染上,但 34 人对金属表示了一些担忧,23 人对农药表示了担忧。尽管只有一名参与者提到了一种增塑剂(即双酚 A),但我们注意到存在潜在的担忧,因为有 6 名专业人员建议孕妇在一定程度上避免使用塑料食品容器,并意识到人工化学物质会通过母婴传播和积累。无处不在的暴露、无法定位威胁以及相互矛盾的信息都会让人感到无助,并导致认知上的调整。我们的参与者还报告说他们缺乏信息,特别是关于新兴污染物的信息。总之,我们发现了一系列有价值的论述,可以为旨在影响其患者的健康专业人员的公共卫生策略提供指导。