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Environmental Health in Perinatal and Early Childhood: Awareness, Representation, Knowledge and Practice of Southern France Perinatal Health Professionals

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  • Claire Sunyach

    (Aix Marseille, Avignon Université, CNRS, IRD, IMBE, 13284 Marseille, France
    Pôle Femmes-Parents-Enfants, Centre Pluridisciplinaire de Diagnostic Prénatal, AP-HM, 13915 Marseille, France
    Réseau Méditerranée, Réseau de Périnatalité PACA, Corse, Monaco, 13015 Marseille, France)

  • Barbara Antonelli

    (Réseau Méditerranée, Réseau de Périnatalité PACA, Corse, Monaco, 13015 Marseille, France)

  • Sophie Tardieu

    (Santé Publique, Évaluation Médicale, AP-HM, Aix Marseille Université, 13284 Marseille, France)

  • Michele Marcot

    (Réseau Méditerranée, Réseau de Périnatalité PACA, Corse, Monaco, 13015 Marseille, France)

  • Jeanne Perrin

    (Aix Marseille, Avignon Université, CNRS, IRD, IMBE, 13284 Marseille, France
    Pôle Femmes-Parents-Enfants, Centre Clinico-Biologique d’Assistance Médicale à la Procréation, AP-HM, 13915 Marseille, France)

  • Florence Bretelle

    (Pôle Femmes-Parents-Enfants, Centre Pluridisciplinaire de Diagnostic Prénatal, AP-HM, 13915 Marseille, France
    Réseau Méditerranée, Réseau de Périnatalité PACA, Corse, Monaco, 13015 Marseille, France
    Pôle Femmes-Parents-Enfants, Service Gynécologie-Obstétrique, AP-HM, Hôpital Nord, 13915 Marseille, France
    Aix-Marseille-Univ, IRD, AP-HM, MEPHI, Marseille Infection, 13284 Marseille, France)

Abstract

The exposure of adults of reproductive age as well as pregnant women and children to environmental contaminants is of particular concern, as it can impact fertility, in utero development, pregnancy outcomes and child health. Consequently, the World Health Organisation (WHO) and international societies advocate including Environmental Health (EH) in perinatal care, yet perinatal health professionals (HPs) hardly put these recommendations into practice. In 2017, a cross-sectional study was performed in a large panel of perinatal HPs in south-eastern France with the aim of painting a picture of their current attitudes, representation, knowledge, and training expectations. Quantitative and qualitative information was collected via auto-questionnaire. Questionnaires were completed by 962 participants, mainly midwives (41.1%), physicians (25.6%) and nursery nurses (11%). Indoor/outdoor air quality and endocrine disruptors were the best-mastered topics, whereas electromagnetic fields and diet gave rise to unsure responses. Overall, perinatal HPs were ill-trained and -informed about the reproductive risks linked to daily environmental exposure. HPs reported scarce knowledge, fear of patient reaction and lack of solutions as the main barriers to providing information regarding EH to the public. Our findings highlight the need to set up EH training programmes focused on scientific knowledge and to provide simple messages and tips to help perinatal HPs deliver advice to populations to mitigate exposure to environmental toxicants.

Suggested Citation

  • Claire Sunyach & Barbara Antonelli & Sophie Tardieu & Michele Marcot & Jeanne Perrin & Florence Bretelle, 2018. "Environmental Health in Perinatal and Early Childhood: Awareness, Representation, Knowledge and Practice of Southern France Perinatal Health Professionals," IJERPH, MDPI, vol. 15(10), pages 1-18, October.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:10:p:2259-:d:175841
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    References listed on IDEAS

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    1. Cécile Marie & Didier Lémery & Françoise Vendittelli & Marie-Pierre Sauvant-Rochat, 2016. "Perception of Environmental Risks and Health Promotion Attitudes of French Perinatal Health Professionals," IJERPH, MDPI, vol. 13(12), pages 1-16, December.
    2. Steeve Rouillon & Chloé Deshayes-Morgand & Line Enjalbert & Sylvie Rabouan & Jean-Benoit Hardouin & Group DisProSE & Virginie Migeot & Marion Albouy-Llaty, 2017. "Endocrine Disruptors and Pregnancy: Knowledge, Attitudes and Prevention Behaviors of French Women," IJERPH, MDPI, vol. 14(9), pages 1-16, September.
    3. Cécile Marie & Sophie Cabut & Françoise Vendittelli & Marie-Pierre Sauvant-Rochat, 2016. "Changes in Cosmetics Use during Pregnancy and Risk Perception by Women," IJERPH, MDPI, vol. 13(4), pages 1-16, March.
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    1. Raphaëlle Teysseire & Marion Lecourt & Jim Canet & Guyguy Manangama & Loïc Sentilhes & Fleur Delva, 2019. "Perception of Environmental Risks and Behavioral Changes during Pregnancy: A Cross-Sectional Study of French Postpartum Women," IJERPH, MDPI, vol. 16(4), pages 1-13, February.
    2. Marion Albouy-Llaty & Steeve Rouillon & Houria El Ouazzani & Group DisProSE & Sylvie Rabouan & Virginie Migeot, 2019. "Environmental Health Knowledge, Attitudes, and Practices of French Prenatal Professionals Working with a Socially Underprivileged Population: A Qualitative Study," IJERPH, MDPI, vol. 16(14), pages 1-10, July.
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