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            <title xml:lang="en">Supporting and preventing. Ethical tensions within a colorectal cancer screening campaign</title>
            <title xml:lang="es">Acompañar y prevenir. Tensiones éticas en la detección del cancer colorrectal</title>
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              <p>This paper presents the results of an inquiry in prevention ethics, embedded in a population health intervention research. « Navigators » were key players deployed with the final aim of rectifying unequal participation in colorectal cancer screening campaign in 5 French departments. Four ethical tensions emerged during field work regarding (1) uncertainties in the test itself, (2) organization of the screening campaign, (3) intrusiveness and privacy, (4) proportionate universalism. These tensions are described here using a pragmatist approach. Attention was paid to hardships as experienced by a range of prevention actors. Investigation on facts and reflection on values were carried out in a same movement. </p>
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              <p>Este artículo presenta los resultados de una encuesta sobre la ética de la prevención. Se llevó a cabo en una investigación intervencional implicando mediadores (navegadores) para corregir las desigualdades de participación en la campaña de detección del cáncer colorrectal. Cuatro tensiones éticas fueron descubiertas: sobre las incertidumbre del test, la organización de la campaña, la intromisión en la esfera privada y el universalismo proporcional. Estas tensiones se describen en una investigación basada en un enfoque pragmático, atento a las dificultades que enfrentan los actores de la prevención, integrando en un mismo movimiento la investigación sobre los hechos y la reflexión sobre los valores. </p>
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              <p>Cet article présente les résultats d’une enquête concernant l’éthique de la prévention. Elle a été réalisée au sein d’une recherche interventionnelle en santé des populations, mobilisant des médiateurs (navigateurs) pour corriger les inégalités de participation au dépistage organisé du cancer colorectal dans 5 départements français. Quatre tensions éthiques émergent sur le terrain, à propos de l’incertitude du test, de l’organisation des campagnes, de l’intrusion dans le domaine privé et de l’universalisme proportionné. Ces tensions sont décrites à partir d’une enquête ancrée dans une approche pragmatiste, attentive aux épreuves que vivent les acteurs de la prévention, intégrant dans un même mouvement l’investigation sur les faits et la réflexion sur les valeurs. </p>
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