Sante Publique最新文献_第2页

Les représentations émotionnelles de patients atteints de cancer : l’influence de vêtements adaptés lors des soins de chimiothérapie. 癌症患者的情绪表现：在化疗期间穿合适的衣服的影响。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.251.0197

Emmanuella Di Scala, François Gueyffier

{"title":"Les représentations émotionnelles de patients atteints de cancer : l’influence de vêtements adaptés lors des soins de chimiothérapie.","authors":"Emmanuella Di Scala, François Gueyffier","doi":"10.3917/spub.251.0197","DOIUrl":"https://doi.org/10.3917/spub.251.0197","url":null,"abstract":"Introduction: This work examines the effect that clothing adapted to treatment can have during chemotherapy sessions on the emotional representation of the individual, on perceived well-being, and potentially on the evolution of symptoms.Methods: This case study was carried out on forty-two cancer patients. The questionnaire was administered retrospectively to patients who initially underwent chemotherapy sessions without wearing suitable clothing, then who wore suitable clothing during subsequent chemotherapy treatments.Results: Significantly, the data suggest that wearing appropriate clothing during chemotherapy leads patients to perceive a reduction in aggravation and the appearance of new symptoms. Greater well-being and positive self image, as well as a more positive image of the illness and treatment, are also significantly associated with the use of adapted clothing during chemotherapy.Discussion: These data lead us to propose that adapted clothing contributes to the improvement of the positive emotional representation observed. However, we cannot define the extent of their participation in this study.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 1","pages":"197-207"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129274","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

Anticiper de futures crises : leçons de l’expérience patient mucoviscidose pendant la pandémie de COVID-19. 预测未来危机：从COVID-19大流行期间囊性纤维化患者的经验中吸取教训。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.251.0209

Dominique Pougheon-Bertrand, Audrey Chansard, Cécile Frenod, Isabelle Danner-Boucher, Asma Gabsi, Sylvie Montcouquiol, Sophie Thérouanne, Pierre Lombrail

{"title":"Anticiper de futures crises : leçons de l’expérience patient mucoviscidose pendant la pandémie de COVID-19.","authors":"Dominique Pougheon-Bertrand, Audrey Chansard, Cécile Frenod, Isabelle Danner-Boucher, Asma Gabsi, Sylvie Montcouquiol, Sophie Thérouanne, Pierre Lombrail","doi":"10.3917/spub.251.0209","DOIUrl":"https://doi.org/10.3917/spub.251.0209","url":null,"abstract":"Introduction: The care paths and lives of cystic fibrosis patients were profoundly altered during the health crisis in France. Patient experiences can be used to provide lessons on how to adapt to a crisis.Purpose of the study: The ExPaParM collaborative study analyzed the experiences of a varied sample of patients and identified changes in practices in Cystic Fibrosis Centers (CFC), with the aim of characterizing adaptations made and destabilizing events experienced during this crisis, using a systemic approach.Results: Adaptation practices aiming to minimize the impact of the crisis or maintain the recommended quality of care, as far as possible, have been identified. These adaptations concern the individual level (patient and family), local care, care management at CFCs, and hospital organization. When the crisis has negatively affected patients, resilience factors based on individual and family skills, a relationship of trust with professionals, and informal solidarity networks have enabled complex situations to be overcome.Conclusion: Strong points prior to the crisis proved decisive: the structuring of CFC teams, digital resources, therapeutic patient education, and a circuit for disseminating information related to cystic fibrosis. Reducing vulnerability to a future crisis also means securing essential medicines for the disease, organizing protected hospital circuits, and developing patient preparedness plans.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 1","pages":"209-223"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128791","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

Les défis du débat sur la décolonisation de la santé mondiale francophone. 法语世界卫生非殖民化辩论的挑战。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.251.0009

Valéry Ridde, Amandine Fillol, Fatoumata Hane, Fati Kirakoya-Samadoulougou

引用次数: 0

Design d’une intervention numérique visant à soutenir les comportements bénéfiques à la santé chez l’adulte. 设计一种数字干预措施，以支持有利于成人健康的行为。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.251.0101

Dagmar Soleymani, Dominique Pougheon-Bertrand, Rémi Gagnayre

{"title":"Design d’une intervention numérique visant à soutenir les comportements bénéfiques à la santé chez l’adulte.","authors":"Dagmar Soleymani, Dominique Pougheon-Bertrand, Rémi Gagnayre","doi":"10.3917/spub.251.0101","DOIUrl":"https://doi.org/10.3917/spub.251.0101","url":null,"abstract":"Objectives: To design a multifactorial digital intervention based on a logic model promoting the adoption of at least two protective actions that are easy to incorporate into a routine, relating to the following health determinants: physical activity, nutrition, smoking, alcohol, stress, sleep, cognitive health, and environmental health. This objective falls within a strategy of lifelong health promotion and disease prevention, and is part of a Santé publique France project studying the methodology for developing a social marketing tool that includes a digital intervention for adults in mid-life, specifically targeting socially and economically deprived groups. This is consistent with Santé publique France health information research techniques and its goal of combating social and regional inequalities in health.Methods and results: The digital intervention used the COM-B model and took into account persuasive technology and psychosocial skills identified for each of the targeted health determinants. Qualitative studies with trial users have shown that supporting capabilities and opportunities seems to favor the adoption of an action, without a noticeable change in motivation.Conclusion: The modeling of the digital behavior change intervention confirmed the robustness of the actions, which are considered easy to integrate into daily life or to automate. Both the modeling and the design of an assessment protocol, conducted in tandem, consolidated the choice of the digital resources to be developed. The digital intervention has yet to be evaluated in terms of its logic model.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 1","pages":"101-117"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128746","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

Mieux intégrer les spécificités de genre en addictologie, une impulsion du Conseil de l’Europe. 欧洲委员会的一项倡议是更好地将性别问题纳入成瘾学。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.251.0131

Carine Mutatayi, Sarah Morton, Florence Mabileau

{"title":"Mieux intégrer les spécificités de genre en addictologie, une impulsion du Conseil de l’Europe.","authors":"Carine Mutatayi, Sarah Morton, Florence Mabileau","doi":"10.3917/spub.251.0131","DOIUrl":"https://doi.org/10.3917/spub.251.0131","url":null,"abstract":"Introduction: Incorporating gender considerations is a modern challenge for those developing policies and interventions in the field of addictology, particularly with regard to women and transgender people. A book published under the aegis of the Pompidou Group (Council of Europe) offers cross-cultural and evidence-based recommendations in this area.Purpose of the study: This article provides an operational overview of this work, presenting the data that drives approaches to addictology that are sensitive to women's and transgender people's needs, and suggesting ways of adapting preventive and medico-social interventions.Results: Women and trans people are disproportionately affected by the health consequences and violence associated with drug use. Prevention must address gender norms that may act as a catalyst for drug use and gender-based violence, in order to curb these mechanisms at an early stage and remove barriers to seeking help. At all stages of care, it is crucial to consider psycho-trauma, particularly for women and transgender people, in order to facilitate their access to care and adapt responses to the specific needs of these groups, beyond the issues of pregnancy and motherhood. Practical or clinical arrangements are sometimes necessary to lower the barriers to access to care (fear of stigmatization, fear for safety, etc.).Conclusion: Developing gender sensitivity in addictology is feasible, ethical, and relevant. This shift requires innovative and evaluated responses to promote the dissemination of effective measures.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 1","pages":"131-140"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129325","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

La démocratie en santé : adopter une approche féministe pour lutter contre les oppressions sociales. 健康的民主：采取女权主义的方法来对抗社会压迫。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.251.0037

Sarah Memmi Machado, Jeanne Fournier, Cina Gueye, Aurélie Gal-Regniez, Solenn Lorre, Elise Petitpas, Dominique Pobel, Stevie Reine Yameogo

{"title":"La démocratie en santé : adopter une approche féministe pour lutter contre les oppressions sociales.","authors":"Sarah Memmi Machado, Jeanne Fournier, Cina Gueye, Aurélie Gal-Regniez, Solenn Lorre, Elise Petitpas, Dominique Pobel, Stevie Reine Yameogo","doi":"10.3917/spub.251.0037","DOIUrl":"https://doi.org/10.3917/spub.251.0037","url":null,"abstract":"As committed associative campaigners for global health and rights, we have observed that health interventions are often dominated by a biomedical perspective. This approach tends to be disconnected from local dynamics, excludes communities, and replicates standardized intervention models. In light of this, we examine how to rethink projects by engaging front-line associations in a collective reflection that amplifies the voices of those most directly affected.In this perspective, we have anchored our action in a feminist health democracy approach. Through initiatives such as the \"Jeunes en vigie\" project, we aim to highlight practices that challenge and transform power dynamics both in the way that actions are carried out and in the production of knowledge. These initiatives focus on the individual and collective empowerment of young people, particularly young women, and the establishment of dialogue with healthcare providers. They aim to give value to experiential and medical knowledge and to promote the participation of everyone in decisions concerning health.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 1","pages":"37-41"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129114","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

Doxycycline en prévention des infections sexuellement transmissibles, pratiques d’utilisation : revue narrative de la littérature. 阿霉素在性传播感染预防中的应用：文献叙事综述。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.251.0119

Liliane Mouche, Sibylle de Germay, Justine Perino, Charles Cazanave

{"title":"Doxycycline en prévention des infections sexuellement transmissibles, pratiques d’utilisation : revue narrative de la littérature.","authors":"Liliane Mouche, Sibylle de Germay, Justine Perino, Charles Cazanave","doi":"10.3917/spub.251.0119","DOIUrl":"https://doi.org/10.3917/spub.251.0119","url":null,"abstract":"Introduction: The off-label use of doxycycline to prevent certain sexually transmitted infections (STIs), outside controlled research environments, has been occurring for several years.Purpose of the study: The objective of this study was to describe the off-label use of doxycycline as a preventive treatment for STIs by conducting a review of the literature, including analysis of a social network.Results: In total, 11 eligible references were identified, comprising 9 letters and 2 original articles. One press article and six Reddit® discussions were also selected. Most doxycycline users identified in this study were men who have sex with men, with numerous partners and without using condoms. Doxycycline was mainly prescribed by a doctor, but some users obtain the medication in its veterinary form via the internet. HIV PrEP was identified as a factor leading to the decision to take doxycycline. While most users expressed confidence in its efficacy, some expressed reservations due to its inability to provide comprehensive protection against all STIs, and due to the occurrence of side effects.Conclusion: The increase in self-medication with doxycycline for STI prevention necessitates enhanced monitoring, addressing both disease transmission risks and potential adverse drug reactions.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 1","pages":"119-129"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129037","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

La décolonisation de la santé publique en Afrique : quelle place pour les Organisations Non-Gouvernementales du Nord Global (ONGs) ? 非洲公共卫生的非殖民化：全球北方非政府组织的位置是什么？

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.251.0021

Nicolas Meda, Issiaka Sombié, Ibrahima Seck, Agnès Binagwaho

{"title":"La décolonisation de la santé publique en Afrique : quelle place pour les Organisations Non-Gouvernementales du Nord Global (ONGs) ?","authors":"Nicolas Meda, Issiaka Sombié, Ibrahima Seck, Agnès Binagwaho","doi":"10.3917/spub.251.0021","DOIUrl":"https://doi.org/10.3917/spub.251.0021","url":null,"abstract":"Introduction: Our work has examined the controversial role of NGOs in health development in Africa. NGOs are criticized for perpetuating the power structures of domination inherited from colonialism by appropriating development assistance for health (DAH) resources, thereby replacing national governments on the ground and imposing their own agenda in the provision of health services to populations.Methods: We have utilized two sources of knowledge to address this concern. A review of the literature published after 2014 was used to explain the inappropriate practices of the development aid industry in relation to the health sector in Africa. Next, the authors' experiences in dealing with this situation were drawn on to define a new partnership for global public health that meets Africa's needs.Results: The strategy of Africa's Global North partners is increasingly to use NGOs as the preferred intermediaries for their support, accusing African countries of being corrupt and incompetent. With the resources they appropriate, the NGOs take the place of national governments on the ground and, in many cases, undermine four key pillars in the development of any health system: governance, financing, human resources, and the provision of services, thereby contributing to the ongoing weakening of healthcare systems in Africa. The accompaniment approach, in which donors transfer DAH resources to governments, who in turn choose the NGOs they wish to work with, would be a more beneficial partnership for Africa. The fight against corruption and the strengthening of Africa's capacity for health action would be technical-assistance priorities in a new partnership grounded in mutual trust.Discussion: The decolonization of public health in Africa is underway. Africa offers TFPs and NGOs a new partnership based on trust, in which it decides on the health agenda and the support model that will be most beneficial to it.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 1","pages":"21-35"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129184","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

Une décolonisation sous dépendance est-elle possible ? 依赖下的非殖民化可能吗？

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.251.0007

Jean-Hugues Caffin, Fatoumata Hane

引用次数: 0

Matrice coloniale de l’Aide publique au développement française : décoloniser les représentations en droits et santé sexuels et reproductifs. 法国公共发展援助的殖民矩阵：性健康和生殖权利及健康方面的代表的非殖民化。

IF 0.3 4区医学

Sante Publique Pub Date : 2025-01-01 DOI: 10.3917/spub.251.0015

Ange-Valerie Meralli Ballou

{"title":"Matrice coloniale de l’Aide publique au développement française : décoloniser les représentations en droits et santé sexuels et reproductifs.","authors":"Ange-Valerie Meralli Ballou","doi":"10.3917/spub.251.0015","DOIUrl":"https://doi.org/10.3917/spub.251.0015","url":null,"abstract":"Gender studies have gained visibility and are now widely applied to sexual and reproductive health and rights (SRHR). Conversely, while anti-choice and anti-rights movements are particularly vigorous, decolonial studies have had little impact on French strategy and operating methods. The reluctance to use this analytical framework to think about the way France (re)presents itself and acts toward institutions and populations in the Global South raises questions regarding the produced effects. Acknowledging this colonial matrix is to question principles of meritocracy and universalism that are blind to assignment processes and power relations linked to gender, class, and race. Drawing on the situated and marginal perspective of a racialized, fifth-generation French woman from an overseas territory who has been working for nearly fifteen years in the field of SRHR-related international cooperation and development, the author observes an epistemology of ignorance maintained by othering and objectification mechanisms specific to the creation of norms and representations in SRHR. She analyzes the particular \"representations of absence\" perpetuated by colonial imaginaries fueled by processes of racialization, ethnicization, and subalternity. Noting their effects on herself, the relationship to French people, and Global South actors, she proposes confronting this colonial matrix of French representations in SRHR. For her, it leads to an inability to change relations of power and knowledge, which the \"Chaos-Monde\" renders a matter of urgency.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"37 1","pages":"15-20"},"PeriodicalIF":0.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129296","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