标题:Approach to the social context during investigation of local environmental health investigations: Adapting public health interventions to the local situation
摘要:Authors Côme Daniau , Danielle Salomon , Céline Legout , Florence Kermarec , Frédéric Dor Institut de veille sanitaire (InVS) 12, rue du Val d’Osne 94415 Saint Maurice France, Risques & Intelligence 33 bis, rue Henri Bardusse 75005 Paris France, Cellule de l’InVS en région Île-de-France (Cire IdF) Le Millénaire 2 35, rue de la Gare 75935 Paris cedex 19 France Key words: environment and public health, health issue, health professionals, social environment DOI : 10.1684/ers.2011.0443 Page(s) : 243-6 Published in: 2011 Local environmental health problems sometimes result in conflict. Healthcare professionals, who intervene in these situations, must grasp the conflictual nature of the situation and identify its sensitivity. Institut de veille sanitaire (InVS) proposes an approach to this social context as part of its analysis of environmental health settings, in order to adapt the procedures by which it intervenes across the country. The approach is divided into four stages. The first step is to identify the participants involved. The second consists in describing the participants’ characteristics in terms of stakes, representations, role, social demands related to the situation. Analysis of these data in the third stage is aimed at discriminating those who might have a particular sensitivity relative to the situation, especially in terms of divergences between the different participants in the field. The fourth stage allows the epidemiologists or public health professionals – above and beyond their position in assessing the extent of the health concerns, based on their own analysis of the situation – to determine the attitude they should adopt towards the balance between the public health question and the importance of the social context. This approach sets clear limits between the analysis possible for non-sociologist public health professionals and the in-depth analysis of the social context, which requires specific competence in the social sciences.
关键词:environment and public health; health issue; health professionals; social environment