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Revue D'épidémiologie et de Santé Publique

P Breton, R Morello, P Chaussarot, P Delamillieure, X Le Coutour
BACKGROUND: Burnout syndrome is a reality in health professions. Many studies report a growing and alarming exhaustion among doctors and residents in France. However, medical studies deemed to be stressful, medical students could be also affected by this syndrome. Few studies are conducted in France at this stage of training, so we will focus our study on the sensitivity to burnout syndrome of students in pre-clerkship. METHODS: This is a descriptive cross-sectional study involving 312 students in their third year of medical school in Caen, France...
February 13, 2019: Revue D'épidémiologie et de Santé Publique
B Y G Zamina, I Tiembre, K N'Guessan, T A S R N'Krumah, H Attoh-Touré, S M Tetchi, J Benié
AIM: Human rabies is a major public health problem in many African countries, including Ivory Coast. The objective of this study was to evaluate the influence of human rabies knowledge on compliance with post-exposure prophylaxis. MATERIALS AND METHODS: We conducted a descriptive and analytical cross-sectional study from September 2014 to May 2015 at the Abidjan Rabid Center, Treichville. After having given their consent, were interviewed, patients who came for a first consultation and who gave a mobile phone number available for the appointment reminder after abandoning or not starting the post-exposure prophylaxis...
February 7, 2019: Revue D'épidémiologie et de Santé Publique
M-C Piperini, J Berger, L Devaux, M Ginet, K Samson
AIM: As with many chronic diseases, most French diabetes services for patients with type II diabetes now have a structured reception approach including collective educational sessions in the form of targeted workshops, thematic days, or even programs with several sessions. The aim of our study is to understand the interlocutory dynamics favorable to the adoption of new cognitions and attitudes during these sessions. METHODS: We studied the verbal exchanges of nine collective nutrition education sessions (five focusing on knowledge input, and four implementing behavioral simulation)...
February 4, 2019: Revue D'épidémiologie et de Santé Publique
J Guerra, F Dugué
BACKGROUND: The French public health medical residency was created in 1984 to train medical public health specialists. Knowledge was lacking on the career of the trained practitioners, with the sole study dating from 1995. In this study, the French national association of medical public health residents aimed to describe the training and career of all medical public health specialists since the inception of the residency. METHODS: An online survey took place during the first semester of 2012 to collect information on all medical public health specialists graduated from the French public health medical residency...
February 4, 2019: Revue D'épidémiologie et de Santé Publique
C Quantin, G Chatellier, D Mayeux, N Jay
No abstract text is available yet for this article.
January 29, 2019: Revue D'épidémiologie et de Santé Publique
S Vieira, F Cheruel, H Sancho-Garnier
BACKGROUND: Many programs which aim to reduce tobacco consumption in young people are carried out in the school environment, addressing a "captive audience" and monitoring the actions over a period of several years. The approaches identified as promising involve putting in place a tobacco prevention program throughout the entire school years incorporated in the school program. Several studies showed that early initiation to psychoactive substances is a strong predictor of addiction...
January 24, 2019: Revue D'épidémiologie et de Santé Publique
J Vanhelst
Physical activity is an important determinant of health in children and adults. Assessment of physical activity is therefore an important factor in the promotion of health and in several childhood and adulthood pathological situations. Physical activity can be estimated by various methods: pedometry, heart rate monitoring, questionnaires, the doubly labelled water method, and accelerometry. The choice of the type of device depends on the objectives of the clinician or researcher. Accelerometry currently represents the best objective method for measuring physical activity and is widely used in clinical or epidemiological studies...
January 15, 2019: Revue D'épidémiologie et de Santé Publique
P Trabal
The text sets out to examine so-called "interdisciplinary" research practices when researchers work on health issues. The article specifies the author's approach, which departs from both a normative posture and a purely epistemological approach, instead opting to study an interdisciplinary act in progress. Based on an ANR report led by Trabal, Collinet and Terral (2014), the research presented mobilizes the latest developments in socio-informatics to examine forms of interdisciplinarity in two areas - doping and obesity...
January 11, 2019: Revue D'épidémiologie et de Santé Publique
V Lucas-Gabrielli, C Mangeney
INTRODUCTION: Compared to the other countries of the Organization for Economic Cooperation and Development (OECD), France now enjoys an average level of medical staffing. Yet accessibility to healthcare is a major public policy issue because of the unequal distribution of health professionals throughout the French territories; the authorities are trying to fight the problem by deploying a set of measures favoring the installation and maintenance of healthcare services in areas identified as underserved...
January 10, 2019: Revue D'épidémiologie et de Santé Publique
P Warin
BACKGROUND: The state of populations' health is linked to their access to quality healthcare. Best achieving this primary condition - a health, social and humanitarian condition - is an ongoing public policy objective. Although significant effort goes into this, do public policies sufficiently take into account the state of health of the most vulnerable populations? In France, reducing the non-take-up (NTU) of healthcare is a priority in current national health insurance policy. Under the local plans to tackle non-take-up, lack of understanding and exit from the system (PLANIR), national health insurance is currently rolling out a regional and partnership-based intervention framework in order to prevent NTU of healthcare by welfare clients...
January 10, 2019: Revue D'épidémiologie et de Santé Publique
P-L Weil-Dubuc
Big Data, the production of a massive amount of heterogeneous data, is often presented as a means to ensure the economic survival and sustainability of health systems. According to this perspective, Big Data could help save the spirit of our welfare states based on the principles of risks-sharing and equal access to care for all. According to a second perspective, opposed to the first, Big Data would fuel a process of demutualization, transferring to individuals a growing share of responsibility for managing their health...
January 8, 2019: Revue D'épidémiologie et de Santé Publique
G Menvielle, C Clavier, T Lang
No abstract text is available yet for this article.
January 6, 2019: Revue D'épidémiologie et de Santé Publique
M Honta
In recent years, there has been a new institutional set of developments in France aimed at promoting the adoption of partnership-based, cross-sectoral and modulated health policies based on the health status of the population. Nevertheless, because addressing the challenge of health equity depends largely on the mobilization of a large number of protagonists with very heterogeneous initiatives, interests and values, the conduct of such policies potentially opens up a space for confrontation between those who wish to promote it and those who refuse, challenge, circumvent or neutralize the reconfigurations of public action and the work routines it inevitably induces...
January 4, 2019: Revue D'épidémiologie et de Santé Publique
M Safer, I Zemni, F Ben Abderrazak, M Khelil, C Zoghlami, A Ben Abdelaziz
BACKGROUND: Determining the performance level of hemodialysis facilities, including an evaluation of biological tests, is a prerequisite for quality assessment of these healthcare structures. OBJECTIVE: The purpose of this work was to evaluate the compliance and adequacy of biological tests performed in 2014 in Center-East Tunisia hemodialysis units. METHODS: Data were collected using an analysis grid for 15 biological indicators including 11 process items and four results items used to determine the compliance and adequacy rates respectively...
December 12, 2018: Revue D'épidémiologie et de Santé Publique
N Charfi, N Smaoui, M Turki, M Maâlej Bouali, S Omri, J Ben Thabet, N Zouari, L Zouari, M Maâlej
BACKGROUND: Although the increase of media interest for psychoactive substances use, especially alcohol, among young people, since the revolution, Tunisia has few epidemiological studies on this subject, which does not allow having a clear idea of the importance of the problem and its different determinants. AIMS: To assess the prevalence of alcohol consumption among adolescents in the region of Sfax (Tunisia) and to determine its relations to the two personality dimensions: sensation seeking and impulsivity...
December 5, 2018: Revue D'épidémiologie et de Santé Publique
I Sombié, E Johnson, J Aidam
BACKGROUND: The financing of national research ethics committees for health is a decisive factor in their proper functioning and independence. Little information is available concerning the funding of these committees in West Africa. AIM: To analyze the funding of national research ethic committees for health in the Member States of the Economic Community of West African States. METHODS: A review of the documents from two regional workshops with the participation of the representatives of the national ethics committees of each ECOWAS Member State was carried out...
December 1, 2018: Revue D'épidémiologie et de Santé Publique
C Lioult, B Le Neindre, P Gauberti, B Clin, A Palix, A Vabret, R Morello, J Dina
BACKGROUND: France is facing a new resurgence of measles. Since November 2017, the number of cases has been increasing sharply. Immunization coverage in the general population, all ages combined, is below the threshold required for a rapid decline of the virus propagation. Regarding health professionals, the rate of immunization against this disease is insufficiently documented. In this context, the Occupational Health Service of the University Hospital of Caen has carried out an inventory of health personnel knowledge of immunization against measles in the units the most exposed to risk...
December 1, 2018: Revue D'épidémiologie et de Santé Publique
L Tron, F Lert, B Spire, R Dray-Spira
BACKGROUND: Among people living with HIV, cardiovascular risk could be markedly reduced through lifestyle improvement. However, to date behavioral cardiovascular risk factors (other than tobacco smoking) have been poorly investigated among them. Additionally, although co-occurrence of risk factors might amplify the deleterious effects of each risk factor, little is known about such risk factors clustering in this population. We aimed to examine levels, determinants and clustering of the major behavioral cardiovascular risk factors in the French HIV-infected population, in order to better target individuals with high risk profiles...
November 26, 2018: Revue D'épidémiologie et de Santé Publique
J-P Lang, N Jurado, C Herdt, F Sauvanaud, L Lalanne
CONTEXT: Psychoeducation and therapeutic patient education can be effectively included in treatments for patients with psychiatric disorders. These two effective educational therapies have the common purpose of improving disorder-related morbidity, compliance with treatment and patients' quality of life. While they have different methods of application, both teach patients to play an active role in their own care. However, it is still critical to combine them for care of patients with psychiatric and addiction disorders in a manner that allows for specificity...
November 17, 2018: Revue D'épidémiologie et de Santé Publique
A Dumont, N Bessières, G Razafindrafara, M Ravit, A Benbassa
BACKGROUND: Testing for high-risk human papilloma virus (HR-HPV) is an effective approach to the prevention of cervical cancer. This study in the Atsinanana area of Madagascar aimed to compare the management of women screened by visual inspection after coloration with acetic acid (VIA) and the management of women screened by HPV with VIA as a triage test. METHOD: During the last two screening campaigns, the first patients (between 28 and 120 women par center) were sampled using a dry swab, just before the acetic acid application, to test 14 genotypes of HR-HPV using Roche Diagnostics Cobas® Test...
November 14, 2018: Revue D'épidémiologie et de Santé Publique
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