全科医生对石棉风险的认识和意识：石棉相关疾病高发地区问卷调查的验证

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Preventive Medicine Reports Pub Date : 2025-01-01 DOI:10.1016/j.pmedr.2024.102940

Marinella Bertolotti , Manuela Tamburro , Angelo Salzo , Antonella Cassinari , Stefania Crivellari , Carlotta Bertolina , Marianna Farotto , Carmen Adesso , Michela Anna Di Palma , Anna Natale , Federico Torregiani , Guglielmo Pacileo , Antonio Maconi , Giancarlo Ripabelli

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引用次数: 0

摘要

目的：考虑到全科医生（gp）在石棉相关疾病（ARDs）早期诊断和管理中的关键作用，以及亚历山德里亚地方卫生管理局（ASL AL）石棉纤维污染的重要历史，本项目旨在评估意大利北部亚历山德里亚省全科医生对石棉风险的认识和意识，以及诊断ARDs的经验。方法：在2022年9月至2023年1月举行的26次地区援助设备（EATs）会议期间，对来自美国手语协会（ASL AL）所有地区的216名全科医生进行问卷调查。它包含29个问题，涵盖三个主要领域：“知识和意识”、“能力和经验”、“社会人口特征和工作量”。结果：虽然全科医生知道石棉的健康危害（94%）和石棉暴露导致间皮瘤的风险增加（92.6%），但通过将Casale Monferrato区与所有其他地区进行比较，发现各地区之间的知识存在显著差异和异质性，特别是在石棉暴露途径、职业病报告和间皮瘤潜伏期方面。结论：该项目提供了全科医生管理ARDs的知识、意识和经验的全面概述，并提供了定制培训要求的指示。这种评价可以扩展到所有有石棉接触史的地区，并为决策者确定和规划石棉战略行动提供有用的工具。这项工作也可以适应不同的现实，与石棉以外的环境污染物接触的历史，这对几种疾病的发展构成风险。

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Knowledge and awareness of asbestos risk among General Practitioners: Validation of a questionnaire in an area with a high incidence of asbestos-related diseases

Objective

Given the critical role of general practitioners (GPs) in the early diagnosis and management of asbestos-related diseases (ARDs), and the significant history of asbestos fibres pollution in Alessandria Local Health Authority (ASL AL), this project aimed to assess the knowledge and awareness of asbestos risks, as well as the experience in diagnosing ARDs among GPs working in Alessandria province, Northern Italy.

Methods

A questionnaire was administered to 216 GPs from all ASL AL territorial districts during 26 Territorial Assistance Equipes (EATs) meetings, held from September 2022 to January 2023. It contained 29 questions covering three main areas: ‘knowledge and awareness’, ‘competence and experience’, ‘sociodemographic characteristics and workload’.

Results

Although GPs were aware of the health hazards of asbestos (94 %) and the increased risk of mesothelioma from asbestos exposure (92.6 %), significant disparities and heterogeneity of knowledge were observed among territorial districts and by comparing Casale Monferrato district with all the others, particularly regarding asbestos exposure routes, reporting of occupational diseases, and mesothelioma latency.

Conclusions

This project provides a comprehensive overview of GPs' knowledge, awareness and experience in managing ARDs, providing indications of customised training requirements. This evaluation could be extended to all areas with a history of previous asbestos exposure and provide a useful tool for policy makers to define and plan strategic actions on asbestos. This work could also be adapted to different realities with a history of environmental pollutant exposure other than asbestos, which pose a risk for the development of several diseases.

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来源期刊

Preventive Medicine Reports Medicine-Public Health, Environmental and Occupational Health

CiteScore

3.90

自引率

0.00%

发文量

353