Sante Publique最新文献_第10页

Analyse de la souffrance des soignants à travers le dispositif SPS. 通过PSA装置分析护理人员的痛苦。

IF 0.4 4区医学

Sante Publique Pub Date : 2026-01-01 DOI: 10.3917/spub.262.0217

Irène Georgescu, Étienne Minvielle, Jacky M'Poy

{"title":"Analyse de la souffrance des soignants à travers le dispositif SPS.","authors":"Irène Georgescu, Étienne Minvielle, Jacky M'Poy","doi":"10.3917/spub.262.0217","DOIUrl":"10.3917/spub.262.0217","url":null,"abstract":"Introduction: The issue of professional suffering among health care workers is becoming increasingly prominent in public and scientific debates in France. In this context, this study examines the suffering expressed in calls to the SPS platform between 2016 and 2024.Method: A sample of 34,920 calls and 330 verbatim transcripts was analyzed using a mixed-methods approach.Results: The results show a steady increase in the expression of suffering among health care workers (from 220 calls in 2016 to 7,005 calls in 2024), a predominance of organizational difficulties (42.4%) among the reported causes (intensification of institutional demands, lack of recognition, and deterioration of the atmosphere within teams), and expressions of suffering across all professions.Conclusion: This study confirms previously established findings, while highlighting the importance of the relationship to work as the main source of health care workers' suffering. It underscores the need for support measures at the individual and managerial levels within health care teams and in hierarchical relationships.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 2","pages":"217-224"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perceptual experience of HIV status disclosure among adolescents aged 10–15 years with vertically acquired infection 在10 - 15岁的青少年中垂直传播艾滋病毒状态的感知体验。

IF 0.4 4区医学

Sante Publique Pub Date : 2026-01-01 DOI: 10.3917/spub.263.0269

Donatien Tshilombo Tshilombo, Monique Rothan-Tondeur, Rita Georges Nohra, Vincent Vanmellet Tshibangu Tshibangu, Ana Railka Oliveira Kumakura

{"title":"Perceptual experience of HIV status disclosure among adolescents aged 10–15 years with vertically acquired infection","authors":"Donatien Tshilombo Tshilombo, Monique Rothan-Tondeur, Rita Georges Nohra, Vincent Vanmellet Tshibangu Tshibangu, Ana Railka Oliveira Kumakura","doi":"10.3917/spub.263.0269","DOIUrl":"10.3917/spub.263.0269","url":null,"abstract":"Introduction: HIV infection remains a major public health issue due to its transmissibility. While unprotected sexual intercourse is the most documented route, mother-to-child vertical transmission continues to be a concern, with approximately 150,000 new pediatric infections every year. This study analyzes adolescents&#8217; perceptions and lived experiences following the disclosure of their HIV-positive status.Methods: A descriptive cross-sectional qualitative study was conducted with 14 adolescents aged 10 to 15 years residing in Kinshasa, all living with HIV acquired during the perinatal period. Semi-structured interviews were conducted, and data were analyzed using Atlas.ti 2023 software to identify the themes, subthemes, and meaning units.Results: The thematic analysis revealed that the disclosure of serological status is an experience marked by frustration, disappointment toward parents, fear of the chronicity of HIV, but also trust in healthcare professionals. These feelings led to differentiated attitudes: therapeutic adherence, health self-management, or neglect of care.Conclusion: This study highlights the need for tailored disclosure strategies and post-disclosure care, taking into account the lived experience of adolescents in the Democratic Republic of the Congo, in order to strengthen therapeutic adherence and psychosocial support.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 3","pages":"269-278"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cocaïne : quand le groupe fait le risque. 可卡因：当群体冒险时。

IF 0.3 4区医学

Sante Publique Pub Date : 2026-01-01 DOI: 10.3917/spub.262.0023

Maxence Arutkin, Alexandre Vallée

引用次数: 0

Comment la pudeur et l’ambiguïté nous desservent dans la prévention du papillomavirus humain (Human Papillomavirus, ou HPV). 谦虚和模棱两可如何帮助我们预防人类乳头瘤病毒（HPV）。

IF 0.4 4区医学

Sante Publique Pub Date : 2026-01-01 DOI: 10.3917/spub.262.0029

Agnès Fiamma Papone

引用次数: 0

Littératie en santé et approche One Health : l’exemple des zoonoses chez les étudiants français en santé. 健康素养和一种健康方法：法国健康学生人畜共患病的例子。

IF 0.4 4区医学

Sante Publique Pub Date : 2026-01-01 DOI: 10.3917/spub.262.0077

Fleur Delebarre, Julien Masson

{"title":"Littératie en santé et approche One Health : l’exemple des zoonoses chez les étudiants français en santé.","authors":"Fleur Delebarre, Julien Masson","doi":"10.3917/spub.262.0077","DOIUrl":"10.3917/spub.262.0077","url":null,"abstract":"Introduction: Zoonoses are a public health issue and highlight the importance of the One Health approach. Their prevention relies on health literacy, particularly among future health professionals, who will play a key role in health prevention. The aim of this study is to assess and compare the perceived knowledge of French health students regarding the One Health approach and zoonoses with that of students in other fields of study.Methods: A cross-sectional analytical study was conducted among higher education students in France (n=960). Using a self-administered questionnaire based on the CCiC scale, the study explores three dimensions: anthropocentric knowledge, responsible environmental knowledge, and responsible environmental health knowledge.Results: Non-parametric statistical tests show that health students report a better understanding of the health issues related to zoonoses than other students. However, no significant differences were observed in the environmental and environmental health dimensions. Across all students, environmental health knowledge was the highest, followed by environmental knowledge and then anthropocentric knowledge.Discussion: These results suggest that training in the health professions primarily promotes an approach focused on the health risks of zoonoses, without necessarily reinforcing an integrated vision of the One Health approach with regard to the risk they pose to human health. This highlights the importance of strengthening the integration of the One Health approach in the training of future health professionals.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 2","pages":"77-89"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trouble du stress post-traumatique et suicide : vers une co-construction de la prévention dans VigilanS. 创伤后应激障碍和自杀：VigilanS预防的共同构建。

IF 0.4 4区医学

Sante Publique Pub Date : 2026-01-01 DOI: 10.3917/spub.hs1.2026.0225

Coralie Creupelandt, Emmanuelle Verkest, Fabien D'Hondt, Nathalie Pauwels, Guillaume Vaiva, Alice Demesmaeker

引用次数: 0

Préserver la santé mentale en vieillissant. Modélisation d’un programme probant de santé mentale pour les personnes âgées vivant à domicile. 随着年龄的增长，保持心理健康。为生活在家里的老年人建立一个成功的心理健康项目。

IF 0.4 4区医学

Sante Publique Pub Date : 2026-01-01 DOI: 10.3917/spub.hs1.2026.0017

Gwladys Acoulon, Zékya Ulmer, Iouri Bernache-Assollant, Catherine Esnard, Ambre Laplaud

{"title":"Préserver la santé mentale en vieillissant. Modélisation d’un programme probant de santé mentale pour les personnes âgées vivant à domicile.","authors":"Gwladys Acoulon, Zékya Ulmer, Iouri Bernache-Assollant, Catherine Esnard, Ambre Laplaud","doi":"10.3917/spub.hs1.2026.0017","DOIUrl":"10.3917/spub.hs1.2026.0017","url":null,"abstract":"Objective: Faced with an aging population and an increase in mental disorders among older people, the Resource and Evidence Center of the National Solidarity Fund for Autonomy, with the support of the Union of Gerontopoles of France, is developing an evidence-based prevention program. This review aims to identify effective primary prevention interventions to promote the mental health of independent older people living at home. It is part of the &#8220;Integrated Care for Older People&#8221; (WHO) approach.Method: A systematic review according to PRISMA recommendations was conducted in PubMed and Google Scholar (March&#8211;April 2025). Randomized controlled trials, systematic reviews, and meta-analyses (2021&#8211;2025) involving people aged 60 and over who were living independently at home were included. Methodological quality was assessed using AMSTAR-2 and the Cochrane tool.Results: Of the 1,412 studies identified, 23 were selected after applying the inclusion criteria. Seven categories of interventions were identified, with higher effectiveness for physical activity and psychological interventions. Moderate-intensity physical activity programs (2&#8211;3 sessions/week for &#8805;12 weeks) were particularly effective in reducing depressive and anxiety symptoms. The multimodal nature of the interventions and their integration into community resources appear to be key factors in their applicability and effectiveness.Conclusions: The data support the development of a multimodal program that is accessible and rooted in local communities. The main challenge lies not so much in identifying effective interventions as in disseminating them, adapting them to vulnerable individuals, and ensuring their sustainability.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 HS1","pages":"17-29"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148866601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Is the cervical cancer screening program in Algeria effective using the Pap smear test? 阿尔及利亚的子宫颈癌筛查项目有效吗？

IF 0.4 4区医学

Sante Publique Pub Date : 2026-01-01 DOI: 10.3917/spub.263.0309

Mourad Raiah

{"title":"Is the cervical cancer screening program in Algeria effective using the Pap smear test?","authors":"Mourad Raiah","doi":"10.3917/spub.263.0309","DOIUrl":"10.3917/spub.263.0309","url":null,"abstract":"Introduction: &#160;Cervical cancer is a major public health issue in Algeria, where a national screening program based on the Pap smear was launched in 2001. However, its effectiveness has never been rigorously evaluated. This study aimed to assess the impact of the screening program on cervical cancer incidence in the province of Oran between 1996 and 2020.Methods: &#160;Data were extracted from the Oran Cancer Registry and included all cervical cancer cases diagnosed between 1996 and 2020. Age-standardized incidence rates based on the world standard population were calculated, and an age-period-cohort modeling approach was applied to examine trends according to age, diagnostic period, and birth cohort.Results: &#160;Over the study period, 1,872 cases of cervical cancer were recorded. The age-standardized incidence rate decreased from 25.8 to 8.8 per 100,000 women between 1996 and 2020. However, a significant rebound in relative risk was observed beginning in 2011, with a peak during the 2016&#8211;2020 period. Cohort analysis showed a lower risk among more recent generations, while the highest incidence was observed among women aged 50&#8211;59.Conclusion: &#160;Although the overall incidence of cervical cancer declined over the study period, the recent resurgence calls into question the effectiveness of the screening program. An integrated strategy&#8212;including human papillomavirus vaccination, organized screening, and health education&#8212;is essential to achieve World Health Organization targets.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 3","pages":"309-315"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The impact of electronic cigarette marketing on nicotine and psychoactive substance use among young people: Could restrictions on flavors and plain packaging offer an alternative? 电子烟营销对青少年尼古丁和精神药物消费的影响：减少香味和中性包装是一种选择吗？

IF 0.4 4区医学

Sante Publique Pub Date : 2026-01-01 DOI: 10.3917/spub.263.0023

Bassam Al-Nasser

{"title":"The impact of electronic cigarette marketing on nicotine and psychoactive substance use among young people: Could restrictions on flavors and plain packaging offer an alternative?","authors":"Bassam Al-Nasser","doi":"10.3917/spub.263.0023","DOIUrl":"10.3917/spub.263.0023","url":null,"abstract":"Among teenagers and young adults, trends on social media change rapidly. However, vaping is no longer just a fad: It has become a long-term habit, with a concerning normalization of its risks. This trend is accompanied by risky practices. The use of psychoactive substances in e-liquids, as well as the rise of &#8220;Do-it-Yourself&#8221; (DIY) practices, exposes young people to mixtures of uncertain composition and without quality control. Perceived as cost-effective, these mixtures may contain toxic substances and increase the risk of poisoning and complications. Furthermore, the rise of vaping is taking place in an environment heavily influenced by digital marketing. Attractive designs, varied flavors, and visual strategies encourage initiation and reduce the perception of risks. This trivialization is also reinforced by messaging from tobacco companies, which portray vaping as less harmful. Misuses, particularly in the administration of psychoactive substances, have also been reported. Data from tobacco control policies show that packaging strongly influences behavior. By reducing product attractiveness and correcting misperceptions, plain packaging represents an effective preventive tool. In this context, extending plain packaging to vaping products, combined with the removal of sweet flavors that are particularly appealing to young people, appears to be a coherent measure to limit their initiation. Flavors play a central role in adolescents&#8217; experimentation with and continued use of these products, by masking the irritation associated with inhalation and increasing the product&#8217;s acceptability. Furthermore, certain aromatic compounds, particularly when heated and inhaled, can generate substances that are potentially toxic to the respiratory tract. Finally, international studies show that restricting flavors is associated with reduced attractiveness and lower initiation rates among young people.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 3","pages":"23-27"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Continuing Professional Development frameworks in global health: Methodological heterogeneity, international standards, and implications for low- and middle-income countries 全球卫生持续专业发展框架：方法的异质性、国际标准及其对中低收入国家的影响。

IF 0.4 4区医学

Sante Publique Pub Date : 2026-01-01 DOI: 10.3917/spub.263.0201

Aazelarab Boughaleb, Mounir Jerry, Mohammed Karsi

{"title":"Continuing Professional Development frameworks in global health: Methodological heterogeneity, international standards, and implications for low- and middle-income countries","authors":"Aazelarab Boughaleb, Mounir Jerry, Mohammed Karsi","doi":"10.3917/spub.263.0201","DOIUrl":"10.3917/spub.263.0201","url":null,"abstract":"Introduction: Continuing professional development (CPD) for health professionals is a strategic lever for the quality and safety of care. Yet the methodological foundations of the frameworks intended to guide it remain heterogeneous, poorly documented, and insufficiently adapted to local contexts, particularly in low- and middle-income countries (LMICs).Method: A narrative review was conducted following the SANRA framework. Searches covered MEDLINE, Scopus, and ERIC databases, as well as grey literature, for the period 2004-2024. A six-step thematic analysis following Braun and Clarke structured the synthesis of extracted data.Results: Four main methodological approaches were identified: competency-based approach, expert consensus, needs assessment, and recognition of prior and informal learning. The international benchmark reveals significant heterogeneity between CPD systems in high-income countries and those in resource-limited settings.Discussion: These approaches are not mutually exclusive but constitute the components of a triangulated model integrating a normative axis, a contextual axis, and a procedural axis. Methodological transparency, contextualization, and South-South collaboration emerge as essential conditions for the transferability of frameworks to LMICs.Conclusion: Developing a CPD framework is a scientific and strategic endeavor. Integrated, participatory, and adaptable approaches are essential, particularly for resource-limited countries that must prioritize contextualization over direct adoption of Western models.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 3","pages":"201-214"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0