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Surveillance épidémiologique fondée sur des indicateurs de santé déclarée : pertinence et faisabilité d’un dispositif à l’échelle locale en santé environnement.

Abstract : This work presents an innovative epidemiological surveillance system in environmental health based on self-reported health indicators, closer to the complaints of the local population leaving around a source of environmental pollution: symptoms and loss of the quality of life. This approach is built up from a conceptual framework based on the psychometric theory and the transactional model of stress. A field application of this approach was carried out the population neighboring (n=1 495) the chemical industrial area of Salindres, Gard. This study verifies that self-reported health indicators measured with MOS SF-36 and SCL-90-R can be used to study populations exposed to multifactorial environmental risks. This study confirms that these indicators are relevant and sensitive when applied to environmental risk factors referring to the cognitive representations of risks, such as the sensorial perception of stimuli emitted by the industries. This work shows, besides, that the availability of national references for these indicators confers interpretability to these indicators, an essential quality criterion. This work discusses qualitatively the acceptability of measuring indicators of self-reported health in the population, proposes recommendations on communication for the setting of that kind of approach, and opens up avenues on management orientations.
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https://tel.archives-ouvertes.fr/tel-01124371
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Submitted on : Friday, March 6, 2015 - 7:31:23 AM
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Côme Daniau. Surveillance épidémiologique fondée sur des indicateurs de santé déclarée : pertinence et faisabilité d’un dispositif à l’échelle locale en santé environnement.. Médecine humaine et pathologie. Conservatoire national des arts et metiers - CNAM, 2014. Français. ⟨NNT : 2014CNAM0923⟩. ⟨tel-01124371⟩

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