摘要：Figures Authors Christelle Gramaglia 1 * Clémence Pinel 2 Côme Daniau 3 Carole Salvio 4 Florence Kermarec 3 1 Unité mixte de recherche gestion de l’eau, acteurs et usages (UMR G-EAU) Institut de recherche en sciences et technologies pour l’environnement et l’agriculture (IRSTEA) 361, rue Jean-François Breton BP 5095 34196 Montpellier cedex 5 France 2 King's College London Department of Primary Care and Public Health Sciences Capital House 42, Weston Street London SE1 3QD England 3 Institut de veille sanitaire Département santé environnement 12, rue du Val d’Osne 94415 Saint-Maurice Cedex France 4 Agence régionale de santé du Languedoc-Roussillon (ARS) Direction santé publique et environnement 26-28, Parc Club du Millénaire 1025, rue Henri Becquerel CS 30001 34067 Montpellier Cedex 2 France * Tirés à part Key words: environmental exposure, epidemiology, social sciences DOI : 10.1684/ers.2015.0818 Page(s) : 490-501 Published in: 2015 The objective of this article is to present the results of qualitative sociological surveys conducted before an epidemiological study and to demonstrate how they help public health professionals to learn about and understand local situations. We particularly stress the utility of dialogue between physicians, epidemiologists and social science researchers as part of a mixed-methods approach that combines quantitative and qualitative studies. A socio-historical approach helped to clarify the context in Salindres, a small town in the Gard district that is home to a major industrial platform and where residents have expressed strong environmental and health concern. As political and economic issues do not promote immediate peaceful discussion of health issues related to industry, it was decided to begin with a qualitative approach based on interviews, to obtain a better understanding of the residents’ concerns, their ambivalence about the risks and their efforts to prevent them, as well as their expectations of the authorities. In this case, this innovative method and the knowledge it provided proved to be very useful in adapting the quantitative approach by targeting diseases of specific interest, as well as in improving the wording and objectives of the questionnaire. Our article concludes by discussing the opportunities available to improve the relevance and usefulness of public health interventions.
关键词：environmental exposure; epidemiology; social sciences
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