Sante Publique最新文献

{"title":"Revue de portée sur la santé mentale des communautés noires immigrées au Canada et au Royaume-Uni après la COVID-19.","authors":"Wardat Yasmine Sehabi, Mwali Muray, Nadine Ngwaka, Saredo Bouraleh, Anifa Luyinga Kalay, Marie-Hélène Chomienne","doi":"10.3917/spub.hs1.2026.0063","DOIUrl":"10.3917/spub.hs1.2026.0063","url":null,"abstract":"<p><strong>Introduction: </strong>Black immigrant communities in Canada and Europe have faced disproportionate mental health challenges, further exacerbated by the COVID-19 pandemic. Structural racism, social isolation, and cultural stigma are among the key factors contributing to mental health distress in these populations. This scoping review aims to explore the mental health outcomes, experiences, and access to care among Black African immigrants in Canada and Europe after the COVID-19 pandemic, using an intersectional lens that considers the combined impact of race, migration, and minority status.</p><p><strong>Methodology: </strong>A total of 19 peer-reviewed studies published during the post-COVID-19 period (2021&amp;#8211;2024) were included. These studies employed qualitative, quantitative, or mixed methods and focused on adult Black immigrants in Canada or the UK. Data were extracted on mental health prevalence, perceptions, and barriers and facilitators to care.</p><p><strong>Results: </strong>Findings reveal high rates of depression, anxiety, and psychosis among Black immigrants, often linked to systemic racism, cultural stigma, and poor living conditions. Major barriers to care include mistrust of Eurocentric services, lack of culturally competent providers, financial constraints, and language barriers. Facilitators included strong community ties, religious support, and access to culturally sensitive professionals.</p><p><strong>Conclusion: </strong>The review highlights a critical need for culturally appropriate mental health services and community-based interventions. It also underscores the importance of policy changes and future research, particularly in underrepresented European regions and among groups experiencing intersectional marginalization.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 HS1","pages":"63-82"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867142","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":"Recension de « Communiquer en santé mentale : repères pour de nouvelles stratégies et pratiques », Mikaël Worms-Ehrminger, Presses de l’EHESP, 2026.","authors":"Laurence Fond-Harmant","doi":"10.3917/spub.262.0281","DOIUrl":"https://doi.org/10.3917/spub.262.0281","url":null,"abstract":"","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 2","pages":"281-282"},"PeriodicalIF":0.3,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989602","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 publique dans les espaces ordinaires : pratiques non spécialisées et continuités syndémiques.","authors":"Lynda Sifer-Rivière, Félice Azéma, Florence Louppe, Stéphanie Puechavy, Stéphanie Larchanché","doi":"10.3917/spub.hs1.2026.0259","DOIUrl":"https://doi.org/10.3917/spub.hs1.2026.0259","url":null,"abstract":"<p><strong>Introduction: </strong>In a context characterized by growing vulnerabilities, fragmented trajectories, and overstretched specialized services, mental health now occupies a central place in the field of public health. This article examines the contribution of non-specialized services to public mental health in situations of cumulative vulnerability.</p><p><strong>Methods: </strong>This article is based on an inductive qualitative study resulting from a collective research process conducted in preparation for a symposium devoted to &amp;#8220;working together&amp;#8221; in public mental health. A comparative analysis was carried out across four non-specialized settings: a collaboration between a community-based organization and a Mobile Psychiatry Outreach Team, medical respite care facilities, a community legal clinic supporting migrants, and a high school classroom. A syndemic approach was used to analyze the interconnections between vulnerabilities.</p><p><strong>Results: </strong>The findings reveal trajectories characterized by repeated and cumulative disruptions, alongside everyday practices implemented by non-specialist actors. These practices fulfill essential functions of continuity, mediation, meaning-making, and support for agency. However, they also reveal the effects of fragmentation and saturation across service systems.</p><p><strong>Discussion: </strong>Public mental health is largely produced within ordinary settings, at the interfaces between specialized services and everyday environments. This article invites a re-examination of public mental health by recognizing and supporting cross-cutting, territorially grounded practices operating within public action, as well as in everyday and civic life.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 HS1","pages":"259-269"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867449","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":"Transformer les systèmes de santé mentale.","authors":"Vikram Patel","doi":"10.3917/spub.hs1.2026.0253","DOIUrl":"https://doi.org/10.3917/spub.hs1.2026.0253","url":null,"abstract":"<p><p>Vikram Patel has dedicated most of his professional career to improving access to care for people with mental health problems in some of the most resource-constrained regions of the world, including sub-Saharan Africa, South Asia, and now parts of the United States. During his plenary address at the 2025 SFSP congress, which focused on public mental health, he shared key principles on how mental health systems worldwide should be transformed to ensure they are focused on equity and access to high-quality care for community members in need.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 HS1","pages":"252-258"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867510","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 publique et soins primaires, défis et opportunités partagés.","authors":"Christine Cohidon, Juliane Messer, Konstantinos Tzartzas","doi":"10.3917/spub.hs1.2026.0123","DOIUrl":"https://doi.org/10.3917/spub.hs1.2026.0123","url":null,"abstract":"<p><p>In Western countries, more than half of patients suffering from mental disorders are treated by primary care professionals without specialist psychiatric follow-up. General practitioners (GPs) therefore occupy a natural position as crucial front-line actors in the management of these problems. However, GPs currently face the same challenges as those posed by the concept of public mental health. Biopsychosocial care integrating somatic and psychological factors within a broad spectrum of health determinants, the importance of health promotion and prevention as a complement to curative care, a community-based approach, and a population-based vision are all key concepts shared by both fields. The large increase in needs, the lack of access to GPs, and care models that are still too often physician-centered make it difficult for GPs to respond to these challenges, often dealing with the most urgent issues, namely the predominant complaint. Solutions must be proposed to remove certain barriers that currently prevent them from carrying out these tasks properly. It is therefore necessary to implement a specific policy aimed at promoting training and ongoing practical support among providers. This also includes a policy of organizational transformation, both in terms of developing primary care teams that include professionals dedicated to mental health and, on a broader level, in terms of the healthcare system as a whole, to enable better collaboration between primary and secondary care.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 HS1","pages":"123-127"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867552","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":"Groupes d’entraide mutuelle autisme autogérés : entre utopie d’empouvoirement et réalités.","authors":"Christelle Durand-Larrieux, Claire Geindre-Bombrun","doi":"10.3917/spub.hs1.2026.0175","DOIUrl":"https://doi.org/10.3917/spub.hs1.2026.0175","url":null,"abstract":"<p><p>Autism self-help groups (SHGs) are designed as spaces of empowerment that promote inclusion, citizenship, and, by extension, the mental health of people with autism. The opportunity for self-management by the people concerned opens up strong prospects for (re)building their identity, enabling them to develop multiple skills, assert their autonomy, and become involved in various peer support, social participation, and creative initiatives. However, in practice, self-managed SHGs for autism come up against several obstacles, including a lack of specific support, limited institutional recognition, and the absence of qualitative evaluation of the effects on individual and collective trajectories. Autistic coordinators, who are often in precarious situations, have to take on a host of responsibilities without benefiting from the pooled resources available to traditional medico-social institutions. This reality raises questions about the ability of self-managed SHGs for autism to become genuine, sustainable drivers of public mental health. Beyond these observations, this article proposes to reflect on the role that these SHGs could play as places for health promotion and participatory research in the field of neurodiversity, as part of an approach that respects autistic self-normativity and the principle of health democracy: &amp;#8220;nothing for us without us.&amp;#8221.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 HS1","pages":"175-179"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867648","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":"Access to knowledge on transgender and gender-diverse people’s health in Santé publique: A bibliometric and lexicometric perspective on trans research","authors":"Anna Baleige","doi":"10.3917/spub.263.0059","DOIUrl":"10.3917/spub.263.0059","url":null,"abstract":"<p><strong>Introduction: </strong>Transgender and gender-diverse (TGD) people&amp;#8217;s health is a public health issue impacting a significant portion of the population. Health-related decisions are made in an artificially uncertain and contentious climate in which knowledge plays a central role. Rapid developments in the field, along with the increasing politicization of language in research, contribute to the proliferation of terms that shape and complicate bibliographic searches.</p><p><strong>Method: </strong>This study of the journal Sant&amp;#233; publique focuses on publications available online since 2001 that include content related to the health of TGD individuals. The selected publications underwent bibliometric and lexical analyses to identify publication trends and improve future bibliographic search strategies.</p><p><strong>Results: </strong>Among 2,347 online publications, 75 contain terms related to the health of TGD people. Publication rates have increased since 2022, but a clear gap remains compared to international output. French-language research remains limited and is largely structured around HIV/AIDS. Certain terms dominate scientific communication, suggesting conceptual biases and gaps in current knowledge, particularly in field-based research.</p><p><strong>Discussion: </strong>Non-binary, transfeminine, and transmasculine populations remain underrepresented in the literature. Conceptual and linguistic choices within public institutions raise questions about the political dimensions of health promotion for these groups. The special issue and dedicated conference session served as catalysts for increased publication activity.</p><p><strong>Conclusion: </strong>The health of TGD individuals remains an underdeveloped area of research and is insufficiently integrated into broader scientific discourse.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 3","pages":"59-73"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117350","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":"Decoupling between admission flows and occupancy rates in Moroccan public hospitals (2016–2023): Econometric analysis of the determinant role of length of stay","authors":"Aazelarab Boughaleb, Mounir Jerry","doi":"10.3917/spub.263.0215","DOIUrl":"10.3917/spub.263.0215","url":null,"abstract":"<p><strong>Introduction: </strong>Hospital performance is traditionally assessed through the positive correlation between admission volumes and bed occupancy rates. Moroccan hospital data for 2023 reveal a break with this paradigm, with a historic peak in admissions (1,211,765 patients) occurring alongside a sharp decline in the average bed occupancy rate (BOR) to 56.6%. In this context, this study aimed to econometrically analyze the determinants of this paradoxical &amp;#8220;decoupling&amp;#8221; in order to determine whether the decline in occupancy reflects inefficiency or a transformation of the production model, while also exploring the structural heterogeneity of the system.</p><p><strong>Methods: </strong>A retrospective longitudinal study (2016&amp;#8211;2023) was conducted using inpatient hospitalization data from the Ministry of Health (Sant&amp;#233; en Chiffres 2023). A multiple linear regression model based on standardized data was used to quantify the respective contributions of admissions, bed capacity, and average length of stay (ALOS) to variations in BOR.</p><p><strong>Results: </strong>The analysis confirms a major scissor effect in 2023. The model (R2 = 0.793) shows that ALOS is a key structural determinant (&amp;#946; = +0.79), and that its sharp reduction to 3.5 days offset the positive effect of increased admissions (&amp;#946;&amp;#160;=&amp;#160;+0.95). Disaggregated analysis revealed a two-tier system: university hospitals were approaching saturation (BOR &amp;gt; 70%; ALOS 6&amp;#8211;8 days), while provincial hospitals exhibited underutilization of capacity and very rapid patient turnover (ALOS 1&amp;#8211;3 days).</p><p><strong>Conclusion: </strong>The Moroccan public hospital system appears to be shifting toward a &amp;#8220;just-in-time&amp;#8221; operational logic, rendering the traditional bed occupancy indicator less relevant for assessing overall performance. However, this apparent technical efficiency conceals substantial disparities and calls for increased vigilance regarding quality of care, particularly given the risk of readmissions associated with increasingly early clinical discharge.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 3","pages":"215-225"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117482","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":"Ressenti des professionnels de santé sur l’interprétariat professionnel en soins ambulatoires : une étude qualitative en Pays de La Loire.","authors":"Émeline Odwazny Derville, Charlotte Deschamps, Raphaëlle Bigot, Rosalie Rousseau","doi":"10.3917/spub.262.0091","DOIUrl":"10.3917/spub.262.0091","url":null,"abstract":"<p><strong>Introduction: </strong>The language barrier constitutes a major obstacle to healthcare access. In response, on-site and telephone professional interpreting services were implemented in 2017 in the Pays de la Loire region. This study aims to assess healthcare professionals&amp;#8217; perceptions of these services in ambulatory care settings.</p><p><strong>Methods: </strong>A qualitative study based on grounded theory principles was conducted through focus groups and semi-structured interviews with community-based healthcare professionals who had previously used interpreting services. Participants were recruited via email using program activity records. Data were analyzed and categorized according to emerging themes. An explanatory model, resulting from integrative analysis, was developed and illustrated in a diagram.</p><p><strong>Results: </strong>A total of 17 healthcare professionals were interviewed (13 general practitioners, 2 midwives, and 2 speech and language therapists) through two focus groups and five individual interviews. Participants highlighted improvements in communication and the therapeutic relationship, as well as the intercultural contribution, which made interpreting a versatile tool well suited to the consultations. They gradually appropriated this practice, reporting both professional and personal satisfaction. However, structural constraints limited broader implementation. Additional barriers included longer consultation times and concerns that using interpreters might complicate complex situations or disrupt the therapeutic relationship.</p><p><strong>Conclusion: </strong>Professional interpreting enhances the safety of the therapeutic relationship and helps reduce inequalities in healthcare access. Broader adoption, financial recognition, and wider dissemination among healthcare providers are essential to ensure sustainability.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 2","pages":"91-102"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989650","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":"Usage raisonné de l’intelligence artificielle générative dans la conduite et la rédaction des travaux académiques au cours des études de santé : élaboration d’une charte nationale française par la Conférence des doyennes et doyens des facultés de médecine.","authors":"Cédric Annweiler, Marc Hazzan, T Moulin, Bruno Riou, Pascal Staccini, Marc Humbert, Isabelle Laffont","doi":"10.3917/spub.262.0011","DOIUrl":"10.3917/spub.262.0011","url":null,"abstract":"<p><strong>Background: </strong>Generative artificial intelligence (AI) is rapidly reshaping academic, educational, and scientific practices. Within health faculties, its deployment raises significant pedagogical, ethical, and regulatory challenges related to governance, accountability, and data protection. In response, the French Conference of Deans of Medical Faculties (CDD) initiated a French national charter to provide stewardship and oversight for the responsible use of generative AI in academic activities, including academic work, reports, theses, and dissertations in health education.</p><p><strong>Methods: </strong>An institutional, consensus-based governance process was conducted in three sequential phases: scoping and documentary analysis, iterative co-drafting with human oversight, and broad consultation followed by formal validation and official adoption. All participants were university professors and hospital practitioners, the majority of whom were deans of faculties of medicine.</p><p><strong>Results: </strong>The charter is structured around six core components: (i) general principles emphasizing complementary use, transparency, traceability, and human accountability; (ii) authorized and regulated uses, including text structuring, synthesis, linguistic editing, translation, and supervised code generation; (iii) prohibited uses, notably data fabrication or manipulation, plagiarism, substitution for critical reasoning, and the entry of personal or sensitive data into non-secure or non-sovereign systems; (iv) clearly defined responsibilities and accountability of students, supervisors, and institutions; (v) oversight mechanisms and proportionate sanctions to ensure academic integrity; and (vi) forward-looking perspectives and capacity-building measures. The final version of the charter was unanimously adopted by the CDD in plenary session on November 26, 2025, and is currently being disseminated nationally through formal adoption by each faculty council.</p><p><strong>Conclusions: </strong>The development of this charter demonstrates the collective capacity of faculties of medicine to exercise stewardship in response to a major technological innovation. Through a collegial and transparent process, it reconciles innovation with pedagogical relevance, scientific integrity, human oversight, and data protection. The charter now constitutes an evolving national reference framework to support responsible, accountable, and ethically grounded integration of generative AI in health sciences education.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 2","pages":"11-21"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989587","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}