Aim Community-based participatory research (CBPR) is an increasingly common approach in the USA, but still relatively rare in Europe. In the industrial zone of Marseille, there is a long history of pollution, but little is known about the health implications. This study documented the prevalence of different health issues in two heavily polluted towns in the industrial zone using a CBPR approach. Subject and methods This study used a CBPR approach and epidemiologic methods to answer community members’ questions about the health of residents in Marseille’s industrial zone by randomly sampling a cross-section of residents to systematically document health issues in Fos-sur-Mer and Port-Saint-Louis-du-Rhône, two towns in the industrial port area of Marseille, France. Results Many chronic illnesses were elevated in these communities, as compared to regional and national prevalences, including chronic skin problems, asthma, cancer, and diabetes. Chronic skin problems and asthma were among the most common chronic illnesses reported. A majority of respondents also reported acute symptoms that affected daily life, including eye irritation or nose and throat problems. Conclusion There is likely an environmental explanation for why, even after direct standardization, the prevalences of many diseases were higher in these communities than elsewhere. The combination of CBPR and rigorous epidemiologic methods helps make our findings relevant to both community members and researchers.
Aim Community-based participatory research (CBPR) is an increasingly common approach in the USA, but still relatively rare in Europe. In the industrial zone of Marseille, there is a long history of pollution, but little is known about the health implications. This study documented the prevalence of different health issues in two heavily polluted towns in the industrial zone using a CBPR approach. Subject and methods This study used a CBPR approach and epidemiologic methods to answer community members’ questions about the health of residents in Marseille’s industrial zone by randomly sampling a cross-section of residents to systematically document health issues in Fos-sur-Mer and Port-Saint-Louis-du-Rhône, two towns in the industrial port area of Marseille, France. Results Many chronic illnesses were elevated in these communities, as compared to regional and national prevalences, including chronic skin problems, asthma, cancer, and diabetes. Chronic skin problems and asthma were among the most common chronic illnesses reported. A majority of respondents also reported acute symptoms that affected daily life, including eye irritation or nose and throat problems. Conclusion There is likely an environmental explanation for why, even after direct standardization, the prevalences of many diseases were higher in these communities than elsewhere. The combination of CBPR and rigorous epidemiologic methods helps make our findings relevant to both community members and researchers.
Titre
en
Health issues in the industrial port zone of Marseille, France: the Fos EPSEAL community-based cross-sectional survey
Auteur(s)
Alison Cohen
, Travis Richards
, Barbara Allen1
, Yolaine Ferrier2
, Johanna Lees3, 2
, Louisa Smith
1
Virginia Tech [Blacksburg]
( 47147 )
- Virginia Polytechnic Institute and State University Blacksburg, VA 24061-0002
- États-Unis
2
CNELIAS -
Centre Norbert Elias
( 145342 )
- 2 Rue de la Charité 13002 MARSEILLE
- France
École des hautes études en sciences sociales UMR8562 ( 99539 )
;
Avignon Université UMR8562 ( 195507 )
;
Aix Marseille Université UMR8562 ( 198056 )
;
Centre National de la Recherche Scientifique UMR8562 ( 441569 )
3
LaSSA -
Laboratoire de Sciences Sociales Appliquées
( 558509 )
- 17 cours Franklin Roosevelt 13001 Marseille
- France
Journal of Public Health
(ISSN : 0943-1853, ISSN électronique : 1613-2238)
Publié par Springer Verlag
Revue non référencée dans Sherpa-Romeo
Date de publication
2018-04
Volume
26
Numéro
2
Page/Identifiant
235-243
Vulgarisation
Non
Comité de lecture
Oui
Audience
Internationale
Domaine(s)
Sciences de l'Homme et Société/Anthropologie sociale et ethnologie
Sciences de l'environnement
Sciences du Vivant [q-bio]/Santé publique et épidémiologie
Sciences de l'Homme et Société/Sociologie
Financement
FOS EPSEAL (2015 – 2020). Etude Participative en Santé Environnement Ancrée Localement (EPSEAL) sur le front industriel de deux villes du golfe de Fos (Fos-sur-Mer et Port-Saint-Louis-du-Rhône)
Agence nationale de sécurité sanitaire de l’alimentation, de l’environnement et du travail (ANSES) par l’Institut TMO Cancer de l’Alliance nationale pour les sciences de la vie et de la santé (AVIESAN) (PNREST 2014/1/023)
Agence nationale de sécurité sanitaire de l’alimentation, de l’environnement et du travail (ANSES) (PNREST 2017/1/035)
Alison Cohen, Travis Richards, Barbara Allen, Yolaine Ferrier, Johanna Lees, et al.. Health issues in the industrial port zone of Marseille, France: the Fos EPSEAL community-based cross-sectional survey. Journal of Public Health, 2018, 26 (2), pp.235-243. ⟨10.1007/s10389-017-0857-5⟩. ⟨halshs-03888506⟩