Department of Health and Welfare, Finnish Institute for Health and Welfare (THL), Helsinki, Finland.
Department of Health and Welfare, Finnish Institute for Health and Welfare (THL), Helsinki, Finland; Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio Campus, Kuopio, Finland.
Int J Hyg Environ Health. 2022 May;242:113964. doi: 10.1016/j.ijheh.2022.113964. Epub 2022 Mar 29.
Obtaining holistic information about health and health determinants at the population level should also include data on environmental risk factors of health. So far, only a few countries have combined, at the national level, health and human biomonitoring (HBM) surveys to collect extensive information on health, lifestyles, biological health determinants and environmental exposures. This paper will provide guidelines on how to combine health and HBM surveys and what is the added value of doing so. Health and HBM surveys utilize similar infrastructure and data collection methods including questionnaires, collection and analysis of biological samples, and objective health measurements. There are many overlapping or comparable steps in these two survey types. At the European level, detailed protocols for conducting a health examination survey or HBM study exists separately but there is no protocol for a combined survey available by now. Our recommendations for combined health and HBM surveys focus on a cross-sectional survey on general population aged 6-79 years. To avoid unnecessary participant burden, for the selection of included measurements basic principle would be to ensure that results of the measurements have a public health relevance and clear interpretation. Combining health and HBM surveys into one survey would produce an extensive database for research to support policy decisions in many fields such as public health and chemical regulations. Combined surveys are cost-effective as only one infrastructure is needed to collect information and recruit participants.
在人群层面获取有关健康和健康决定因素的整体信息还应包括有关健康的环境风险因素的数据。到目前为止，只有少数几个国家在国家层面上结合了健康和人体生物监测 (HBM) 调查，以收集有关健康、生活方式、生物健康决定因素和环境暴露的广泛信息。本文将提供关于如何结合健康和 HBM 调查以及这样做的附加值的指导方针。健康和 HBM 调查利用类似的基础设施和数据收集方法，包括问卷调查、生物样本的收集和分析，以及客观的健康测量。这两种调查类型有许多重叠或可比的步骤。在欧洲层面，有关于进行健康检查调查或 HBM 研究的详细协议，但目前尚无关于联合调查的协议。我们对联合健康和 HBM 调查的建议侧重于针对 6-79 岁一般人群的横断面调查。为了避免不必要的参与者负担，对于包含测量的选择，基本原则是确保测量结果具有公共卫生相关性和明确的解释。将健康和 HBM 调查结合到一个调查中，可以为研究产生一个广泛的数据库，以支持公共卫生和化学法规等许多领域的政策决策。联合调查具有成本效益，因为只需要一个基础设施来收集信息和招募参与者。
