Sante Publique最新文献

{"title":"Entre santé et science : littératie en santé et perception de la recherche médicale.","authors":"Émilien Schultz, Jeremy K Ward, Rajae Touzani, Alexandra Rouquette, Julien Mancini","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>Biomedical innovation plays an important role in health care pathways and public debates. Nevertheless, existing measures of health literacy take little account of medical research. In this article, we explore the relationship between health literacy and attitudes toward medical research, from clinical trials to more general attitudes toward science.</p><p><strong>Methods: </strong>We analyze the results of two self-administered questionnaires conducted on samples of the French adult population in 2020 and 2021 (N=2003 and N=2022). A series of twelve questions assessed health literacy (HLS19-Q12-EN) and ten questions addressed attitudes to clinical trials, medical research, and science in general. The analyses characterize the population&#8217;s perception of medical research issues and its association with health literacy.</p><p><strong>Results: </strong>There is a significant association between health literacy and perception of research. A low level of literacy is associated with lower knowledge of clinical trials and a more negative attitude toward them, less confidence in science and its contributions to society.</p><p><strong>Conclusions: </strong>Given the continuity between care and research, health literacy is likely to be a relevant measure for characterizing disparity in attitudes toward clinical trials and improving access to innovation.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"36 3","pages":"103-108"},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141437649","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}

{"title":"Intégrer la prévention dans les soins primaires : avant tout un enjeu organisationnel.","authors":"Estelle Clet, Anaïs Essilini, Christine Cohidon, François Alla","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The health needs of the population are changing and the health care system must adapt to meet them. In France, the need for prevention is significant and recognized. Yet the shift toward prevention is struggling to take hold in primary care, and prevention indicators remain low.</p><p><strong>Purpose of the research: </strong>This article presents the developments and challenges involved in integrating prevention into primary care. It is based on three leading French reports on the subject.</p><p><strong>Results: </strong>Prevention and health promotion initiatives are described as poorly organized, being based on individual and opportunistic initiatives. In particular, this is due to the difficulty of integrating a collective, long-term dimension into preventive clinical practices, even though most preventive situations require a coordinated, repeated approach that is integrated intothe care offered. At the same time, the primary care system is being structured around coordinated practice. These organizational changes are opportunities to integrate prevention into the practices of primary care professionals.</p><p><strong>Conclusions: </strong>A great deal depends on successfully integrating prevention into the structuring and organizational evolution of the primary care system. The convergence of the operationalization of the preventive shift and the organizational transformation of the primary care system is potentially synergistic for the integration of prevention. But this development is not self-evident and must be accompanied by precise, up-to-date, and contextualized knowledge of the factors influencing the practice of prevention.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"36 3","pages":"121-125"},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141437652","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}

{"title":"Prévalence de <i>Chlamydia trachomatis</i>, <i>Neisseria gonorrhoeae</i>, <i>Treponema pallidum</i> et du VIH chez les femmes à Kara, en 2022.","authors":"Gatibe Yendu-Suglpak Gnatou, Fifonsi Adjidossi Gbeasor-Komlanvi, Kossivi Agbélénko Afanvi, Sibabe Agoro, Arnold Junior Sadio, Latame Komla Adoli, Wendpouire Ida Carine Zida-Compaore, Yao Rodion Konu, Martin Kouame Tchankoni, Didier Koumavi Ekouevi","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective of the study: </strong>To estimate the prevalence of four STIs in women of reproductive age in the Kara region.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in March 2022. Data were collected using a standardized questionnaire. Screening for HIV and syphilis was performed using the SD-BIOLINE HIV/Syphilis Duo&#174; rapid tests. The GeneXpert PCR technique was used to test for Chlamydia trachomatis and Neisseria gonorrhoeae. The prevalences of STIs (Chlamydia trachomatis, Neisseria gonorrhoeae, Treponema pallidum, and HIV) were reported with 95% confidence intervals.</p><p><strong>Results: </strong>A total of 300 women with a median age of 32 years (interquartile range 24&#8211;39) were included. Of these, 25.7% had consulted a gynecologist in the last twelve months. The prevalence of Chlamydia trachomatis was 4.3% (95% CI [2.4&#8211;7.5]); Neisseria gonorrhoeae 3.3% [95% CI: 1.7&#8211;6.2], Treponema pallidum 0.3% [95% CI: 0.02&#8211;2.1] and HIV 3.7% [95% CI: 1.9&#8211;6.7]. Three cases of co-infection with Neisseria gonorrhoeae and Chlamydia trachomatis were reported; no cases of co-infection with HIV and bacterial STIs were reported.</p><p><strong>Conclusion: </strong>This study confirms the women&#8217;s limited access to gynecological consultations, the low circulation of syphilis, and the presence of Neisseria gonorrhoeae and Chlamydia trachomatis in women of reproductive age in the Kara region. An STI surveillance system is needed to improve STI management among this population.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"36 3","pages":"137-146"},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141437656","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}

{"title":"Analyse d’une infrastructure québécoise de transfert de connaissances en autisme : le RNETSA.","authors":"Marie Massuard, Julie Lane, Luiza Maria Manceau, Pascale Castonguay, Renée Proulx","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Many Knowledge Translation (KT) networks have been set up to support the improvement of research-based practices. However despite the deployment of KT networks, there is little empirical data on how they work. The R&#233;seau national d&#8217;expertise en trouble du spectre de l&#8217;autisme (RNETSA) is the result of a ministerial initiative.</p><p><strong>Objective and method: </strong>Its mission is to promote the evolution of autism practices and services in the education, early childhood, and health and social services sectors. The purpose of this article is to analyze the governance structure and KT strategy of the RNETSA in terms of its legitimacy. The study was based on a case study design combining a literature review and interviews.</p><p><strong>Results: </strong>The results highlight the key components of 1) the governance structure (e.g., identification of a common need, formalization of bodies, allocation of resources) and 2) the KT strategy (e.g., knowledge dissemination, collaborations, increasing participation in activities). The discussion addresses a number of building blocks that could help strengthen the network&#8217;s legitimacy with a view to bringing it closer to its purpose.</p><p><strong>Conclusions: </strong>RNETSA has demonstrated a strong capacity to ensure its legitimacy in the autism KT ecosystem. The potential to influence public policy in the field of autism is also a key feature of RNETSA. To improve knowledge of RNETSA&#8217;s legitimacy, an evaluation of the effects of its KT activities would be necessary.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"36 3","pages":"21-31"},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141437708","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}

{"title":"Co-construction d’une étude sur la santé des Gens du voyage : retours d’expériences.","authors":"Aude Mondeilh, Lisbeth Spanjers, Gilles Brabant, Frédérique Quirino Chaves, Stéphane Lévêque, Laurent El Ghozi, Christine Castor, Erwan Autès-Tréand, Stéphanie Vandentorren","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Travelers have poorer health than the general population due to more precarious living conditions. In France, there are no epidemiological studies on Travelers, accentuating their invisibility in public health policy and planning. Discrimination against them, their distrust of the state and institutions, and their non-prioritization of health were the reasons for a participatory research project on Travelers&#8217; health status. This research was carried out collaboratively by researchers, decision-makers, associations, and volunteer Travelers in Nouvelle-Aquitaine.</p><p><strong>Purpose of research: </strong>In this article we aim to share the challenges and benefits of the co-construction of this research.</p><p><strong>Results: </strong>The approach allowed the specific and sometimes divergent expectations of the stakeholders to be expressed and taken into consideration. It required a period of mutual acculturation, which resulted in a high level of participation in the study (74 percent), the acquisition of knowledge and skills, and the identification of points of contention. This participatory approach led to a better appropriation of the study and a greater awareness of health issues among the respondents, particularly thanks to the co-construction of the questionnaire and the communication tools.</p><p><strong>Conclusions: </strong>This approach highlights the need to involve stakeholders in the governance of the research project from the very beginning. The approach was all the more crucial as it involved socially excluded people, and aims to avoid the possibility of excluding them further in the production of knowledge that concerns them.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"35 HS2","pages":"61-66"},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139742481","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}

{"title":"Engagement et co-autorat. Enjeux d’une recherche filmée sur l’accès aux soins.","authors":"Sofia Meister","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The Probashi project has produced four short autobiographical films on the life experiences in France of Bangladeshi nationals living in the &#206;le-de-France region and the barriers they face to healthcare access.</p><p><strong>Purpose of research: </strong>The development of this creative research project raises questions about issues of involvement and how participants are generated, in the context of methodological reflections on participatory research.</p><p><strong>Results: </strong>The material and subjective availability of the participants determines involvement and production in the different stages of the filmed research, from data collection to the reporting of the results.</p><p><strong>Conclusions: </strong>The conditions that ensure the involvement of participants, in particular those that are socially vulnerable, must be factored into the participatory research arrangements themselves.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"35 HS2","pages":"27-30"},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139742484","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}

{"title":"Recherche participative : perspectives croisées autour des savoirs académiques et expérientiels dans le domaine des addictions.","authors":"Karine Bertrand, Shane Knight, Marie Jauffret-Roustide","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Participatory research can help improve addiction services. However, the superficial involvement of people with experiential knowledge runs the risk of reproducing social inequity rather than strengthening their empowerment. This article aims to present a critical analysis, co-constructed through a dialogue between people with academic and experiential knowledge, of different types of participation and collaboration undertaken over a number of years, while also examining issues raised by the professionalization or formalization of the role of people with experiential expertise in participatory research in the field of addiction. The results of this analysis have led to a co-constructed critical assessment that deals with the following themes: 1) a description of the collaborative process over time and the diverse ways in which people with experiential knowledge have been involved; 2) conceptual considerations with respect to the terms used and the identities linked to them; 3) aspects that have facilitated collaboration; 4) obstacles and challenges that were encountered. This dialogue between academic and experiential knowledge highlights the need to review institutional rules so as to better recognize the status of people with experiential knowledge involved in research. Recognition of skills related to eligibility for research positions should not be limited to academic qualifications. Experiential knowledge should be integrated into hiring processes as a recognized type of expertise.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"35 HS2","pages":"85-90"},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139742495","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}

{"title":"Profil des patients pris en charge au sein d’un réseau de télé-expertise en dermatologie.","authors":"Myriam Le Goff-Pronost, Stéphanie Cuissette, Caroline de Pauw, Estelle Borne","doi":"10.3917/spub.244.0093","DOIUrl":"https://doi.org/10.3917/spub.244.0093","url":null,"abstract":"<p><strong>Introduction: </strong>Dermatology tele-expertise has been developed in oncology to enable early detection of skin cancers by facilitating access to a remote expert. A private tele-expertise experiment has been underway in the Hauts-de-France region since 2015 to enable faster care for patients presenting with a suspicious skin lesion spotted by the general practitioner during a simple consultation.</p><p><strong>Purpose of the research: </strong>The aim of the study was to describe the profile of patients referred to tele-expertise and to identify referral times and the care pathways envisaged.</p><p><strong>Results: </strong>During this period, 1,686 tele-expertise consultations were carried out. The average age of patients was 55 years. Few had a history of skin cancer (8.3%). Demand for tele-expertise has risen steadily since the project was launched. Referral times were reduced (5.32 days) compared with the traditional care pathway, and referrals concerned all types of lesions.</p><p><strong>Conclusions: </strong>The study demonstrates sustained use of tele-dermatology over five years by GPs, who called on dermatologists for all types of patient profile and all types of lesions, cancerous or otherwise. Feedback from dermatologists is quicker, and dermatological care easier.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"36 4","pages":"93-100"},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103080","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}

{"title":"Efficacité d’un affichage nutritionnel en épicerie sociale, couplé ou non avec des ateliers de prévention en nutrition.","authors":"Damien Galtier, Jeanne Corbel, Mathilde Lanotte, Clémence Daclin, Laurence Perrin, Catherine Ponce, Alain Jezequel, Anaïs Clergeau","doi":"10.3917/spub.244.0019","DOIUrl":"https://doi.org/10.3917/spub.244.0019","url":null,"abstract":"<p><strong>Introduction: </strong>Social grocery stores are places that, through their primary objective, receive members of the public facing food insecurity and, consequently, health problems such as chronic diseases and obesity [3]. In this context of social inequalities and with a view to meeting a public health objective, the deployment of actions and tools adapted to these populations within social grocery stores was initiated following the PrévAlim project [4], which is primarily oriented toward supporting volunteers and professionals in these places.</p><p><strong>Purpose of the research: </strong>In order to improve the nutritional balance of beneficiaries, it was planned to display a nutritional logo on the shelves of seven social grocery stores in the Paris region and to measure the impact on its understanding and on eating behavior, associated or not with prevention workshops (cooking workshops, adapted physical activity workshops). It was chosen to display two logos based on interviews carried out prior to the experiment with the various social grocery store stakeholders: the Nutri-Top in four social grocery stores, a logo created specifically for the study; and the Nutri-Score in the other three, a nutritional information system adopted in France since 2017 [5]. A flash self-questionnaire was offered to beneficiaries when the experiment was set up (n=131) and then at the end of it (n=86), i.e., at three months. Volunteers (n=30) also answered a questionnaire at the end of the experiment.</p><p><strong>Results: </strong>The effectiveness at three months of a nutritional logo, whatever it may be, appears appreciable in terms of its understanding and its usefulness, as well as the choices and behaviors of the beneficiaries. But the results are more marked when the display is coupled with workshops: an average perceived improvement in diet of 53.2% for beneficiaries who participated in the workshops (n=37) vs. 33.5% for those who did not participate in the workshops (n=49).</p><p><strong>Conclusion: </strong>To be effective, the implementation of a nutritional logo within a social grocery store should be combined with the proposal of prevention workshops and the training of volunteers given the importance of their role in support in the aisles (individual influences, age, level of injunction, \"mood,\" etc.).</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"36 4","pages":"19-32"},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103074","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}

{"title":"Utilité perçue de l’exergaming pour favoriser l’activité physique à l’école : étude pilote auprès des enseignants.","authors":"Eugénie Vaillant-Coindard, Aurélie Goncalves, Florence Lespiau, Gaëtan Briet, Angèle Palermo, Elsa Decobert, Nathan Allegret-Bourdon, Élodie Charbonnier","doi":"10.3917/spub.hs2.2024.0117","DOIUrl":"https://doi.org/10.3917/spub.hs2.2024.0117","url":null,"abstract":"<p><strong>Introduction: </strong>Among children, the health benefits of regular physical activity are well known, as are the harmful effects of inactivity and a sedentary lifestyle. Consequently, since September 2022, French elementary schools have been obliged to offer 30 minutes of daily physical activity to their pupils. However, this measure comes up against numerous constraints, and few schools manage to meet this obligation. To facilitate the implementation of this measure, exergames, or active video games, could be a promising lever for incorporating physical activity into school time.</p><p><strong>Aim of the study: </strong>The aim of this study is to evaluate the effects perceived by teachers of an intervention based on exergaming, conducted with pupils in classes ranging from CP to CM2 (grades 1 to 5), at a rate of one 30-minute session per day, for four weeks. Semi-structured interviews were conducted with the teachers of each class after the intervention.</p><p><strong>Results: </strong>Analysis of our interviews shows a perceived increase, compared with before the intervention, in their pupils' motivation for the subjects targeted by the intervention, a maintenance of a high level of motivation for physical activity, and an improvement in relations between pupils.</p><p><strong>Conclusions: </strong>Our study suggests that exergaming could be an effective means of facilitating the implementation of 30 minutes of daily physical activity in schools, but also of promoting motivation and a better relational climate. Consequently, these results encourage the widespread use of this type of device.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"36 HS2","pages":"117-128"},"PeriodicalIF":0.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128733","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}