Radon Testing: Community Engagement By a Rural Family Medicine Office

Radon Testing: Community Engagement By a Rural Family Medicine Office
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DOI:
10.3122/jabfm.2015.05.140346
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发表时间:
2015-09-01
影响因子:
2.9
通讯作者:
Daly, Jeanette M.
Daly, Jeanette M.
中科院分区:
医学3区
文献类型:
--
作者:
Levy, Barcey T.;Wolff, Cynthia K.;Daly, Jeanette M.

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目标:爱荷华州的氡气平均浓度为全国最高,每年估计有 400 人因氡气导致肺癌死亡。氡气是肺癌死亡的第二大原因。本研究的目的是 (1) 向家庭医学办公室的人员宣传氡气的危险性,(2) 鼓励房主进行氡气检测,(3) 与社区合作确定缓解资源,以及 (4) 评估与当地家庭医学办公室合作作为其他家庭氡气浓度高社区可采用的模式的效用。 方法:参与者通过其个人资料获得了美国环境保护署认证的活性炭短期氡气套件初级保健办公室或参加其医疗办公室举办的研讨会。参与者完成了一份由研究者开发的简短调查问卷,内容涉及他们的房屋、供暖和人口统计数据。 结果:在发放的 746 个氡气套件中,收到了 378 份有效结果 (51%),其中 351 份问卷可以与套件结果相匹配。平均氡气结果为 10.0 pCi/L(标准偏差,8.5 pCi/L)。 81% 的家庭 (n = 285) 发现氡气结果为 4 pCi/L 或更高,这是环境保护局的缓解行动水平。结论:测试的 5 所家庭中有 4 所的氡气水平升高。这种家庭医学办公室/大学合作教育模式可用于教育患者了解其他环境危险。
Objective: Iowa has the highest average radon concentrations in the nation, with an estimated 400 radon-induced lung cancer deaths each year. Radon is the second leading cause of lung cancer death overall. The objectives of this study were (1) to educate the population attending a family medicine office about the dangers of radon, (2) to encourage homeowners to test for radon, (3) to work with the community to identify resources for mitigation, and (4) to assess the utility of working with a local family medicine office as a model that could be adopted for other communities with high home radon concentrations.Methods: Participants obtained a US Environmental Protection Agency-certified activated charcoal short-term radon kit through their primary care office or by attending a seminar held by their medical office. Participants completed a short investigator-developed questionnaire about their home, heating, and demographics.Results: Of 746 radon kits handed out, 378 valid results (51%) were received, of which 351 questionnaires could be matched to the kit results. The mean radon result was 10.0 pCi/L (standard deviation, 8.5 pCi/L). A radon result of 4 pCi/L or higher, the Environmental Protection Agency action level for mitigation, was found in 81% of homes (n = 285).Conclusions: Four of 5 homes tested had elevated radon levels. This family medicine office/university collaborative educational model could be useful for educating patients about other environmental dangers.