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Menvielle G.,French Institute of Health and Medical Research | Menvielle G.,Paris-Sorbonne University | Richard J.-B.,Institute National Of Prevention Et Deducation Pour La Sante Inpes | Ringa V.,French Institute of Health and Medical Research | And 5 more authors.
Cancer Causes and Control | Year: 2014

Purpose: In France, larger social inequalities are reported for cervical cancer screening, based on individual practice, than for breast cancer screening for which organized screening exists. Our aim was to investigate the association between women's economic situation and breast and cervical cancer screening. Methods: We used data from a large French national health survey conducted in 2010. The economic situation was assessed using the number of adverse economic conditions respondents were facing, based on three variables (low income, lacking food, and perceived financial difficulties). Logistic regressions were adjusted for socioeconomic and sociodemographic characteristics, healthcare use and insurance, and health behaviors. Results: Mammography was less frequent among women experiencing two or more adverse economic conditions, whereas Pap smear was less frequent among women experiencing at least one adverse economic condition. For both screenings, higher rates were observed among women who lived in the Paris region. Sociodemographic indicators and health behaviors were associated with Pap smear, whereas healthcare use and insurance characteristics were associated with mammography. Conclusions: The women's economic situation is an important determinant of breast and cervical cancer screening in France in 2010. Alleviating economic barriers to female cancers screening should be a priority in future programs implementation. © 2014 Springer International Publishing.


Lamboy B.,Institute National Of Prevention Et Deducation Pour La Sante Inpes | Guillemont J.,Institute National Of Prevention Et Deducation Pour La Sante Inpes
Devenir | Year: 2014

Introduced in the 90s by the World Health Organization, the concept of psychosocial skills (or life skills) has expanded considerably in the field of prevention and health education. Recent evidence shows that psychosocial skills of the child and the parents play a major role in the child's development and play a major role in mental as in physical health. Evidences from interventional research confirm the necessity of early intervention to promote effective health behavior, health and well-being. Indeed, quite a lot of controlled prevention programs are grounded into psychosocial skills development. This paper reviews psychosocial (or life) skills in the field of prevention and (mental) health promotion with definitions and results from observational and interventional research. © Médecine & Hygiène. Tous droits réservés pour tous pays.


Chan-Chee C.,Institute of Veille Sanitaire | Bayon V.,University of Paris Descartes | Bloch J.,Institute of Veille Sanitaire | Beck F.,Institute National Of Prevention Et Deducation Pour La Sante Inpes | And 3 more authors.
Revue d'Epidemiologie et de Sante Publique | Year: 2011

Background: Sleep is usually considered as a factor for good health and personal equilibrium. However, the epidemiology of insomnia, which is the most frequent of sleep disorders, is still unknown in France. Methods: All epidemiological studies concerning the prevalence of insomnia and its associated factors carried out in France and published between 1980 and 2009 have been extracted from Medline. Subsequently, a research of reports not indexed in Medline has been carried out in the national Public health Database. We also sought the presence of questions concerning sleep disorders in questionnaires and reports from health surveys in the general population. Results: In the general population, six specific studies had been undertaken between 1987 and 2003 while there had been eight occupational studies between 1980 and 2000. Surveys in schoolchildren and in students focused on the daytime tiredness due to lack of sleep but few studies investigated insomnia in children and teenagers. Methodological differences as well as the heterogeneity in the definition of the disorders yielded very diverse prevalences. Between 30 and 50% of adults in France declared the presence of at least one sleep disorder while the prevalence of insomnia using the DSM-IV criteria concerned between 15 and 20% of the population. Women reported sleep disorders more frequently than men. Sleep disorders were associated with work absenteeism. Comorbidity with anxiety and depressive disorders has also been highlighted in several studies. Conclusion. - Surveillance of sleep disorders appears as an important public health issue requiring prior standardization of questionnaires and survey methods. © 2011 Elsevier Masson SAS.


du Roscoat E.,Institute National Of Prevention Et Deducation Pour La Sante Inpes | du Roscoat E.,Paris West University Nanterre La Défense | Beck F.,Institute National Of Prevention Et Deducation Pour La Sante Inpes | Beck F.,University of Paris Descartes
Revue d'Epidemiologie et de Sante Publique | Year: 2013

Aim: This review focuses on interventions to prevent suicide. It excludes psychotherapy evaluations and pharmaceutical clinical trials. The aim of this article is to provide useful input to the reflection on and the development of actions for professionals who may be concerned by suicide prevention. Method: This research is based on 41published evaluation studies presenting results on at least one of the three following outcomes: completed suicides, suicide attempts, and suicidal ideations. These studies have been classified into seven categories of preventive action. Results: According to data from the literature selected for our analysis, the three most efficient categories of intervention seem to be the limitation of access to lethal means, the preservation of contact with the patients hospitalized for a suicide attempt after hospitalization, and the implementation of emergency call centers. The four other categories of intervention examined in this study -the training of general practitioners, the reorganization of care, programs in schools, and information campaigns- have not yet shown sufficient proof of their efficacy. Nevertheless, these interventions, under certain conditions, can also contribute significantly to the prevention of suicide. Conclusion: The majority of effective interventions minister to people already suffering from psychological disorders, but health promotion initiatives prior to situations of psychological disorders also deserve to be considered, in particular the implementation of services for the isolated elderly. © 2013 Elsevier Masson SAS.


The ecological approach boosts interventions along a continuum extending from those taking place in a microenvironment (i.e. at home) to those taking place in a broader context (territorial communities, countries). Strategies centred on the changing behaviour of the individual are numerous (i.e. multi-theme or specific therapy sessions). Moreover, four socio-environmental strategies can be combined at each intervention level (inter-personnel, organisation, community, political environment). A global and positive approach to health creates a favourable context for new action to promote the health and quality of life of older people.


Escalon H.,Institute National Of Prevention Et Deducation Pour La Sante Inpes | Beck F.,Institute National Of Prevention Et Deducation Pour La Sante Inpes
Gerontologie et Societe | Year: 2010

Nowadays it is recognised that a healthy diet and regular physical activity both contribute to successful ageing. Public authorities agree that retirement is the best time to promote such healthy behavioural patterns. In 2008, the French National Institute for health prevention and education (INPES) put the Baromätre santé nutrition (health nutrition barometer) into action for the third time. The aim of the enquiry was to analyse and follow perception, knowledge and behavioural patterns regarding nutrition and physical exercise. The article analyses the specificities of people between the ages of 55 and 75 regarding nutritional dimension. The results show that these people's nutritional perceptions are more health oriented than those of younger people. Their knowledge of what is recommended as far as fruit, vegetables, dairy products and the group including meat, fish and eggs, is not so good but better regarding fish and physical exercise. Consumption of fruit and vegetables, fish and carbohydrates prove to be better for the health. These rather encouraging results are liable to change after the age of 75. Further research is needed beyond this age.


Omorou Y.A.,University of Paris Descartes | Erpelding M.-L.,Nancy University Hospital Center | Escalon H.,Institute National Of Prevention Et Deducation Pour La Sante Inpes | Vuillemin A.,University of Paris Descartes
Quality of Life Research | Year: 2013

Purpose: The purpose of this study was to investigate the contribution of sport to the association between physical activity (PA) and quality of life (QoL). Methods: Cross-sectional data were gathered on 4,909 subjects (age 15-69) from the French National Barometer 2005 survey. The International Physical Activity Questionnaire (IPAQ) and the abbreviated version of the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF) were administered. An additional question was used to assess sporting activity. All analyses used linear regression models and were adjusted on variables associated with QoL in a general population. Results: The mean age of the participants (both men and women) decreased with increasing PA level. Sport was positively associated with QoL among men (β range from 4.2 [95 % CI 3.1-5.4] for physical health to 2.4 [95 % CI 1.1-3.8] for social relationship domains) and women (β range from 3.6 [95 % CI 2.6-4.5] for physical health to 1.6 [95 % CI 0.6-2.8] for social relationship domains). The association between sport and QoL was greater for low or high PA levels rather than moderate PA for men (physical and psychological health) and women (physical health only). For women, there was a dose-response association with psychological health and social relationships (contribution of sport to QoL increased with PA level). Conclusions: These results showed that sport was nearly always associated with better QoL, even more so for people who had low or high PA levels (physical and psychological health for men and physical health for women). Prospective studies are necessary to confirm these findings. © 2013 Springer Science+Business Media Dordrecht.


Beck F.,Institute National Of Prevention Et Deducation Pour La Sante Inpes | Beck F.,University of Paris Descartes | Richard J.-B.,Institute National Of Prevention Et Deducation Pour La Sante Inpes | Nguyen-Thanh V.,Institute National Of Prevention Et Deducation Pour La Sante Inpes | And 5 more authors.
Journal of Medical Internet Research | Year: 2014

Background: The Internet is one of the main resources of health information especially for young adults, but website content is not always trustworthy or validated. Little is known about this specific population and the importance of online health searches for use and impact. It is fundamental to assess behaviors and attitudes of young people looking for online health-related information and their level of trust in such information. Objective: The objective is to describe the characteristics of Internet users aged 15-30 years who use the Web as a health information resource and their trust in it, and to define the context and the effect of such use on French young adults' behavior in relation to their medical consultations. Methods: We used the French Health Barometer 2010, a nationally representative survey of 27, 653 individuals that investigates population health behaviors and concerns. Multivariate logistic regressions were performed using a subsample of 1052 young adults aged 15-30 years to estimate associations between demographics, socioeconomic, and health status and (1) the use of the Internet to search for health information, and (2) its impact on health behaviors and the physician-patient relationship. Results: In 2010, 48.5% (474/977) of Web users aged 15-30 years used the Internet for health purposes. Those who did not use the Internet for health purposes reported being informed enough by other sources (75.0%, 377/503), stated they preferred seeing a doctor (74.1%, 373/503) or did not trust the information on the Internet (67.2%, 338/503). However, approximately 80% (371/474) of young online health seekers considered the information found online reliable. Women (P<.001) and people with higher sociocultural positions (OR 0.5, 95% CI 0.3-0.9 and OR 0.4, 95% CI 0.2-0.7 for employees and manual workers, respectively, vs individuals with executive or manager positions) were more likely to use the Internet for health purposes. For a subsample of women only, online health seeking was more likely among those having a child (OR 1.8, 95% CI 1.1-2.7) and experiencing psychological distress (OR 2.0, 95% CI 1.0-4.0). Finally, for online health seekers aged 15-30 years, one-third (33.3%, 157/474) reported they changed their health behaviors (eg, frequency of medical consultations, way of taking care of one's own health) because of their online searches. Different factors were associated with different outcomes of change, but psychological distress, poor quality of life, and low income were the most common. Conclusions: The Internet is a useful tool to spread health information and prevention campaigns, especially to target young adults. Young adults trust online information and consider the Internet as a valid source of health advice. Health agencies should ensure the improvement of online health information quality and the creation of health-related websites and programs dedicated to young adults.


Richard J.-B.,Institute National Of Prevention Et Deducation Pour La Sante Inpes | Thelot B.,Institute of Veille Sanitaire | Beck F.,Institute National Of Prevention Et Deducation Pour La Sante Inpes | Beck F.,University of Paris Descartes
Revue d'Epidemiologie et de Sante Publique | Year: 2013

Background: Whatever the type of injury considered, prevention requires an improvement in health services' awareness of risk factors. The Health Barometer is a general population survey conducted in France since 1992 to contribute to surveillance in this field. The survey's statistical power and the numerous health topics included in the questionnaire provide accurate information for healthcare professionals and decision-makers. Methods: The Health Barometer 2010 was a nationwide telephone survey of 9110 persons representative of the 15-85-year-old population. One part of the questionnaire detailed injuries which had occurred during the past year. The numerous variables recorded enabled application of logistic regression models to explore risk factors related to different types of injury by age group. The findings were compared with the Health Barometer 2005 data to search for temporal trends of injury prevalence. Results: The data analysis showed that 10.3 % of the 15-85-year-olds reported an injury during the past year. This rate was higher than recorded in 2005; the increase was mainly due to domestic accidents and injuries occurring during recreational activities. Both type of injury and risk factors exhibited age-related variability. Domestic accidents and injuries occurring during recreational activities predominated in the older population and were associated with physical or mental health problems (chronic disease, diability, sleep disorders). For younger people, injuries were related to cannabis use, drunkedness, and insufficient sleep. Risk factors were also depended on type of injury: occupational accident-related injuries were linked with social disadvantage (manual worker population) whereas sports injuries were more common in the socially advantaged population. Conclusion: This survey confirms established knowledge and highlights, at different stages of life, new risk factors that contribute to injuries in France. These findings should be helpful for the development of adapted injury prevention programs, by providing a better understanding of the characteristic features of this major public health issue. © 2013 Elsevier Masson SAS.


Beck F.,Institute National Of Prevention Et Deducation Pour La Sante Inpes | Beck F.,French Institute of Health and Medical Research | Richard J.-B.,Institute National Of Prevention Et Deducation Pour La Sante Inpes | Leger D.,University of Paris Descartes
Revue Neurologique | Year: 2013

Introduction Sleep is considered as a major protective factor for good health and quality of life. The epidemiology of chronic insomnia and other sleep disorders has recently been developed in France. The aim of this study was to evaluate total sleep time and the prevalence of chronic insomnia in the general population aged 15 to 85 years. It was also to investigate factors associated with sleep disorders. Methods Within the framework of the Health Barometer 2010, a French general population survey, 27,653 15 to 85-year-old individuals were questioned about their health behaviors and attitudes, in particular about their sleeping time and habits. Results The average sleeping time of the 15 to 85-year-old was 7 hours 13 minutes. It was higher for women than for men (7 hours 18 minutes vs 7 hours 07 minutes; P < 0.001), whereas 15.8 % of the population presented criteria for chronic insomnia, 19.3 % of women and 11.9 % of men (P < 0.001). The prevalence of chronic insomnia was stable with age among women, around 19 %, whereas it increased for men from 3 % in the 15-19-year age range to 18 % in the 45-54-year age range, before decreasing to 8 % beyond 65 years. Chronic insomnia was also found to be related to precarious situations and to several difficult events of life such as violence or chronic alcohol abuse, whereas the relationship observed with tobacco smoking was no longer found after logistic regression adjustment for socio-demographic characteristics. Since the beginning of 1990s, a single-question inquiry on "sleeping problems present during the last 8 days" has been asked in the Health Barometer. The rate of subjects concerned increased from 1995, with a prevalence stabilized at a high level since 2000. Conclusions Based on these data, we think that the surveillance of sleep disorders is an important public health issue and that prevention and health educational initiatives should be launched in the general population to promote a better quality of sleep. © 2013 Elsevier Masson SAS. All rights reserved.

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