Sante Publique最新文献

{"title":"Recension réalisée par Anne Marcellini pour la revue <i>Santé publique</i> – à propos de l’ouvrage <i>Nos paroles empêchées</i> d’Anne-Lyse Chabert et Gabrielle Halpern, Éditions de l’Aube, coll. « Hybridations », 2026, 166 p.","authors":"Anne Marcellini","doi":"10.3917/spub.263.0365","DOIUrl":"https://doi.org/10.3917/spub.263.0365","url":null,"abstract":"","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 3","pages":"365-366"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117554","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":"Evaluation of a cooperation protocol: Renewal of treatment for seasonal allergic rhino-conjunctivitis","authors":"Pauline Magnez, Delphine Teigné, Jean-Pascal Fournier","doi":"10.3917/spub.263.0259","DOIUrl":"10.3917/spub.263.0259","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the implementation of the &amp;#8220;Renewal of treatment for allergic rhino-conjunctivitis by community pharmacists&amp;#8221; cooperation protocol in a multiprofessional medical home using four indicators&amp;#8212;usefulness, efficiency, safety, and satisfaction&amp;#8212;six months after implementation.</p><p><strong>Methods: </strong>The intervention was carried out between April and November 2023. General practitioners and pharmacists/pharmacy assistants were invited to participate in the protocol. Inclusion criteria for patients were being between 15 and 50 years old, followed by a general practitioner affiliated with the medical home, and having a diagnosis of allergic rhinitis with a corresponding medication prescription. Usefulness was assessed as the proportion of patients managed by delegated professionals; efficiency, as the proportion of patients for whom the delegating general practitioner resumed follows-up; safety, as the occurrence of adverse events; and satisfaction, as assessed among professionals and patients.</p><p><strong>Results: </strong>Nine delegating general practitioners and 12 delegated pharmacists/pharmacy assistants participated in the protocol. Thirty-one patients were included and followed. Indicator results were 42.8% (usefulness), 87.1% (efficiency), 100% (safety), and 100% (satisfaction). Implementation of the protocol was limited in scope and by the complexity of administrative follow-up.</p><p><strong>Conclusion: </strong>The protocol &amp;#8220;Renewal of treatment for allergic rhino-conjunctivitis in pharmacies&amp;#8221; is feasible and should be maintained, with consideration given to simplifications.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 3","pages":"259-268"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117526","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":"Evolution of community pharmacists’ roles and adaptation strategies: A qualitative study in Auvergne-Rhône-Alpes","authors":"Romain Lan, Audrey Ringot, Florence Carrouel, Claude Dussart","doi":"10.3917/spub.263.0187","DOIUrl":"10.3917/spub.263.0187","url":null,"abstract":"<p><strong>Introduction: </strong>In the context of increasing pressure on the healthcare system, the role of community pharmacists in France has undergone rapid reconfiguration. This qualitative study explored pharmacists&amp;#8217; perceptions of ongoing transformations, highlighting areas of engagement, constraints, and adaptation strategies.</p><p><strong>Methods: </strong>Thirty semi-structured interviews were conducted between September and December 2024 with community pharmacy owners in the Auvergne-Rh&amp;#244;ne-Alpes region. A purposive sampling strategy ensured diversity in terms of geographical location, pharmacy structure, and professional seniority. Thematic analysis was performed and continued until data saturation was reached.</p><p><strong>Results: </strong>Participants described an expansion of professional roles (vaccination, medication reviews, screening services), perceived as professionally rewarding but hindered by administrative overload, lack of institutional recognition, and interprofessional tensions. Limited digital interoperability, economic concentration, and stagnant profit margins were identified as factors threatening the sustainability of pharmacies, particularly independent ones. Testimonies revealed a sense of loss of meaning (&amp;#8220;I spend more time filling out forms than talking to patients&amp;#8221;) and significant uncertainty about the future (&amp;#8220;Every year, new responsibilities are added without knowing whether they will be sustainable or properly remunerated&amp;#8221;). Despite these challenges, adaptive dynamics emerged, based on service diversification, organizational innovation, and strong territorial integration.</p><p><strong>Discussion: </strong>This study highlights a profession at a turning point: increasingly involved in primary care, yet insufficiently supported at the institutional level. A sustainable transition of the community pharmacy model will require political, economic, and structural support commensurate with the scale of the transformation underway.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 3","pages":"187-199"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117601","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":"Gambling-related disorders among adolescents and young adults in sub-Saharan Africa: An exploratory analysis of prevalence and associated factors in university settings in Benin, 2025","authors":"Chabi Olaniran Alphonse Biaou, Lamidhi Salami, Yolaine Glele Ahanhanzo, Blaise Choki, Christian Dari, Antoine Gbessemehlan, Bignon Dominique Gnimavo, Smaïla Ouédraogo, N'koué Emmanuel Sambieni, Moussiliou Noël Paraïso","doi":"10.3917/spub.263.0279","DOIUrl":"10.3917/spub.263.0279","url":null,"abstract":"<p><strong>Introduction: </strong>Gambling is growing at an alarming rate in Benin, particularly among students. This population, seeking independence and success, is especially vulnerable to the risks of disorders associated with these practices.</p><p><strong>Aim of the study: </strong>to determine the prevalence of, and identify factors associated with disorders related to gambling in universities in Benin.</p><p><strong>Methods: </strong>This is a cross-sectional analytical study involving 1,360 Beninese students. Gambling-related disorders were assessed using the diagnostic criteria of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V). Associated factors were explored using multiple logistic regression.</p><p><strong>Results: </strong>Of the 1,360 students, 455 (33.5%) were gamblers, 89 of whom were classified as having gambling-related disorders, representing a prevalence of 6.5% among all students and 19.6% [95% CI: 15.9%&amp;#8211;23.2%] among gamblers. The distribution of disorders was as follows: 12.1% mild, 6.8% moderate, and 0.7% severe. After adjustment, factors associated with these disorders were age (p=0.007), having a gambling app on one&amp;#8217;s phone (p&amp;lt;0.001), friends&amp;#8217; influence on decision-making (p=0.014), frequency of gambling (p=0.012), betting with money belonging to others (p=0.006), duration of engagement in online gambling (p=0.032), and anxiety (p&amp;lt;0.001).</p><p><strong>Conclusion: </strong>This study highlights the extent of gambling-related disorders in Beninese universities. It emphasizes the need for stricter regulation and targeted preventive measures to address this still insufficiently recognized public health problem.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 3","pages":"279-295"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117515","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":"Santé mentale : faire face, faire mieux, faire ensemble.","authors":"Laurence Fond-Harmant","doi":"10.3917/spub.hs1.2026.0007","DOIUrl":"https://doi.org/10.3917/spub.hs1.2026.0007","url":null,"abstract":"","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 HS1","pages":"7-9"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867477","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":"L’accompagnement médico-social : une démarche de santé mentale publique ?","authors":"Marcos Azevedo","doi":"10.3917/spub.hs1.2026.0165","DOIUrl":"https://doi.org/10.3917/spub.hs1.2026.0165","url":null,"abstract":"<p><strong>Introduction: </strong>In France, the &amp;#8216;medico-social&amp;#8217; sector is a cross-sectoral field of support for persons with disabilities. Within this sector, mental health support services are expected to address a wide range of needs, promote independence, and foster the social inclusion and participation of persons living with psychiatric disabilities. Given these missions and ambitions, the article examines the similarities and differences between this framework and the public mental health approach, and draws lessons for implementing this approach in France.</p><p><strong>Aim of the study: </strong>Drawing on fieldwork conducted within two support teams located in a French metropolitan area&amp;#8212;a Medico-Social Support Service (SAVS) and a Medico-Social Support Service for Adults with Disabilities (SAMSAH)&amp;#8212;this study describes and analyzes medico-social support work through the lens of the &amp;#8216;public mental health&amp;#8217; approach.</p><p><strong>Results: </strong>The article shows that these services promote prevention, care, and health education initiatives and that they integrate various determinants of mental health (individual, familial, social, environmental) into their understanding of psychiatric disabilities. However, because of their close integration into users&amp;#8217; daily lives of users, these support practices can also lead to forms of control over the choices, lifestyles, and living arrangements of those individuals. Furthermore, this work faces significant challenges, such as the complex coordination of cross-sectoral actions and tensions regarding the assessment of users&amp;#8217; degrees of autonomy or dependency. It can therefore be argued that medico-social support is partly aligned with the public mental health approach, but that it still faces political, organizational, and social obstacles to fully implementing this model.</p><p><strong>Conclusions: </strong>Although these services adopt an approach akin to that of public mental health, their place within the policy and organizational landscape of psychiatry and mental health remains marginal due to their primary affiliation with disability policy. Indeed, these teams encounter difficulties in gaining recognition from mental health stakeholders and, consequently, in carrying out their work effectively. These difficulties also stem from the broad scope of their interventions and the specific cross-sectorial challenges they face. Furthermore, the scope of their missions and their embeddedness in user&amp;#8217; daily lives raise questions about their potential for social control.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 HS1","pages":"165-173"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867581","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":"Personnes intersexes : une santé physique et mentale dégradée à l’âge adulte.","authors":"Michal Raz, Loé Petit, Gaëlle Larrieu","doi":"10.3917/spub.262.0053","DOIUrl":"10.3917/spub.262.0053","url":null,"abstract":"<p><strong>Introduction: </strong>This article focuses on the physical and mental health of intersex people in France. They often undergo medical interventions in childhood, presented as aiming to improve their well-being. However, few studies objectively assess the overall health of intersex people in adulthood.</p><p><strong>Purpose of the study: </strong>This self-administered questionnaire survey aims to describe the health status of intersex people and to analyze the factors contributing to its deterioration, including those related to medicalization.</p><p><strong>Results: </strong>Analysis of the 155 eligible responses highlights poor physical and mental health outcomes. Forty-seven percent of the sample reported being in poor or very poor general health, and 66% reported limitations in daily activities. In addition, 62% of respondents were experiencing psychological distress at the time of the survey, with a high prevalence of suicidal behavior (41% over the lifetime). Overall, 89% of respondents reported having forgone healthcare during the previous year, for two main reasons: reluctance to confront a physician or attend a hospital setting, and fear of discrimination or violence. Respondents with lower levels of education, weaker attachment to employment, and lower incomes exhibited poorer health indicators.</p><p><strong>Conclusions: </strong>The poor health of intersex people can be explained by the combined effects of medicalization and the violence associated with it, subsequent healthcare avoidance, and the stigma they experience.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 2","pages":"53-63"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989188","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":"Perceptions des suicidants vis-à-vis du comportement du caring infirmier en unités de soins intensifs : étude mixte menée au CAMU-Tunis.","authors":"Mariem Hamouda, Zeineb Rezgui, Hatem Shili, Nour El Houda Chabbouh, Nozha Brahmi","doi":"10.3917/spub.262.0225","DOIUrl":"10.3917/spub.262.0225","url":null,"abstract":"<p><strong>Introduction: </strong>Suicide is a major public health issue. In Tunisia, suicide attempts remain a taboo subject, scarcely explored in the literature, particularly from the perspective of patients hospitalized in intensive care units (ICUs).</p><p><strong>Objective: </strong>To explore the perceptions of suicide survivors hospitalized in ICUs regarding nurses&amp;#8217; caring behaviors and to assess their satisfaction.</p><p><strong>Methods: </strong>A descriptive mixed-methods study was conducted at CAMU-Tunis between January and March 2025, involving 40 suicide survivor patients. Data were collected through a sociodemographic questionnaire, the Caring Behaviors Inventory-24 (CBI-24), and semi-structured interviews.</p><p><strong>Results: </strong>The CBI-24 average scores revealed an overall positive perception (overall score: 3.20/4), with variations across dimensions: &amp;#8220;Knowledge and Skill&amp;#8221; (3.33), &amp;#8220;Assurance&amp;#8221; (3.28), &amp;#8220;Respectful&amp;#8221; (3.18), and &amp;#8220;Connectedness&amp;#8221; (3.12). Qualitative testimonies nuanced these results, sometimes highlighting a lack of communication or emotional support.</p><p><strong>Conclusion: </strong>Suicide survivors generally perceive nursing care as compassionate, yet they express a need for greater relational presence. These findings underscore the importance of reinforcing the human dimension of care in ICUs through targeted training and holistic support.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 2","pages":"225-238"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989234","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":"Edito : A tribute to Philippe Lecorps","authors":"Frédéric Denis, Christine Ferron, Éric Le Grand","doi":"10.3917/spub.263.0007","DOIUrl":"10.3917/spub.263.0007","url":null,"abstract":"","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 3","pages":"7-9"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117513","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":"La prise de décision éthique : un levier pour la gouvernance de l’assurance maladie au Maroc.","authors":"Mohammed Karsi, Redouane Abouqal, Aazelarab Boughaleb","doi":"10.3917/spub.262.0261","DOIUrl":"10.3917/spub.262.0261","url":null,"abstract":"<p><strong>Introduction: </strong>In the context of Morocco&amp;#8217;s expansion of social protection, the governance of the health insurance system faces structural tension. Decision-makers must navigate trade-offs between the financial sustainability of insurance schemes and the social mission of ensuring equitable access to care, giving rise to major ethical dilemmas.</p><p><strong>Objectives: </strong>This article analyzes ethical decision-making as a lever for the governance of health insurance in Morocco. It examines the ethical challenges involved, identifies the factors influencing decision-makers, and explores how the integration of ethical principles can enhance equity and sustainability within the system.</p><p><strong>Methods: </strong>A qualitative study was conducted using in-depth documentary analysis. The corpus included legislative texts, institutional reports (from ANAM, CNSS, etc.), and academic publications from 2002 to 2023. Data were analyzed thematically, and the validity of the findings was strengthened through source triangulation.</p><p><strong>Results: </strong>The findings reveal a governance system under strain, characterized by a central dilemma between equity and efficiency. Four categories of risk factors for unethical decision-making were identified: human, financial, political, and regulatory. Such decisions have systemic consequences, including erosion of trust among the insured, reduced system efficiency, and the widening of inequalities.</p><p><strong>Conclusion: </strong>Ethical decision-making is not optional but a necessary condition for the success of Morocco&amp;#8217;s social protection expansion. It represents a fundamental lever for strengthening governance, aligning actions with the public interest, and fostering trust, thereby contributing to a more equitable, effective, and sustainable health insurance system.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 2","pages":"261-267"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989863","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}