Sante Publique最新文献

{"title":"Traduction en français canadien et validation de l’échelle e-HEALS et de la sous échelle de performance pDHLI auprès d’aînés canadiens.","authors":"Maya Fakhfakh, Meryeme El Balqui, Virginie Blanchette, Anik Giguère, France Legaré","doi":"10.3917/spub.261.0071","DOIUrl":"https://doi.org/10.3917/spub.261.0071","url":null,"abstract":"<p><p>Introduction&amp;#160;: Digital health literacy can be assessed using the eHealth Literacy Scale (eHEALS) and the Performance-based Digital Health Literacy Instrument (pDHLI). However, neither instrument is currently available in Canadian French. Objective&amp;#160;: To translate the eHEALS and pDHLI into Canadian French and to evaluate their structural validity and internal consistency among francophone and anglophone older adults in Canada. Methods&amp;#160;: Both instruments were translated using a translation&amp;#8211;back-translation methodology with committee consensus. A secondary analysis of an online survey of older adults (&amp;#8805; 65 years) was conducted. Collected data included sociodemographic characteristics and questionnaire responses. Descriptive analyses, internal consistency assessments (Cronbach&amp;#8217;s alpha), and exploratory and confirmatory factor analyses were performed following COSMIN recommendations. Results&amp;#160;: One thousand older adults participated (74.1% anglophone and 25.9% francophone; mean age 72.7 &amp;#177; 5.74 and 72.5 &amp;#177; 5.6 years, respectively). Most anglophone participants resided in Ontario (48.9%), while most francophone participants lived in Quebec (91.1%). Cronbach&amp;#8217;s alpha was 0.91 for eHEALS and 0.40 for pDHLI. Factor analysis revealed three factors for eHEALS (&amp;#8220;awareness,&amp;#8221; &amp;#8220;skills,&amp;#8221; and &amp;#8220;evaluation&amp;#8221;) explaining 67% of the variance, while indicating poor model fit for both the English and French versions of the pDHLI. Conclusions&amp;#160;: The Canadian French version of eHEALS shows evidence of structural validity and internal consistency. Further research is needed to establish the validity of the pDHLI.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 1","pages":"71-93"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671210","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":"Former pour collaborer : panorama des formations à la collaboration et à la recherche participative en santé.","authors":"Romaine Desjardin, Marie Préau","doi":"10.3917/spub.261.0035","DOIUrl":"10.3917/spub.261.0035","url":null,"abstract":"<p><p>Introduction&amp;#160;: With the growing expansion of participatory approaches in health, an increasing number of training initiatives have been developed to support these practices (Tourette-Turgis et al., 2019). However, these initiatives remain heterogeneous in their formats, objectives, and target audiences, reflecting a lack of consensus on what constitutes participatory approaches in practice (Paulo et al., 2023). Purpose of the research&amp;#160;: This study aims to explore French-speaking training programs that foster collaboration among researchers, health professionals, and citizens. It focuses in particular on the underlying processes of acculturation, especially the ways in which citizens are introduced to research norms and the functioning of the healthcare system. Drawing on a review of grey literature and scientific studies on the topic, the study identified a wide range of training initiatives designed to promote the involvement of diverse groups in health research projects. Results&amp;#160;: These programs most commonly seek to equip citizens and patients with the skills needed to participate in collaborative research. They vary according to the type of partnership (clinical, project, or educational) and the expected level of engagement, ranging from online modules to professional degree programs. Few initiatives, however, include specific training for health professionals. Conclusions&amp;#160;: Training represents a key lever for supporting collaboration by fostering mutual understanding, adjustment, and recognition. However the imbalance in training opportunities raises questions about power relations, the professionalization of patients, and the epistemological limits of certain participatory approaches, highlighting critical challenges for the co-construction of knowledge in health.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 1","pages":"35-45"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669663","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":"Penser les vulnérabilités dans la santé et le social. De l’expérience vécue à la réflexion sur les pratiques.","authors":"Flora Bastiani, Calvet Elisa, Charlotte Piarulli, Frédéric Denis","doi":"10.3917/spub.263.0363","DOIUrl":"https://doi.org/10.3917/spub.263.0363","url":null,"abstract":"","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 3","pages":"363"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117597","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":"Screening for geriatric syndromes among older adults living with HIV in Burkina Faso, Côte d’Ivoire, and Togo","authors":"Raoul Moh, Fifonsi A Gbeasor-Komlanvi, Konan Roland Oussou, Zoguéhi Arnaud Kévin Dayoro, Moustapha Dramé, Armel G Poda, Yves Binan, Aristophane Tanon, Didier Koumavi Ekouevi, Pierre de Beaudrap, Clotilde Allavena","doi":"10.3917/spub.263.0177","DOIUrl":"10.3917/spub.263.0177","url":null,"abstract":"<p><strong>Objective: </strong>To assess the status of care for older people living with HIV in Burkina Faso (BF), C&amp;#244;te d&amp;#8217;Ivoire (CI), and Togo (TG).</p><p><strong>Methods: </strong>A cross-sectional site assessment was conducted from January to March 2022 in BF, CI, and TG. Care centers with an active cohort of more than 500 people living with HIV were surveyed.</p><p><strong>Results: </strong>A total of 61,006 people living with HIV were followed up at the 27 sites surveyed. More than a third (34%) were aged 50 years or older, and 98.4&amp;#160;% were on antiretroviral treatment. Routinely, 88.8% (n=24) of care centers collected data on comorbidities, mainly high blood pressure (23/24) and diabetes (21/24). In three centers, screening for six geriatric syndromes was carried out: depression (3/3), malnutrition (2/3), urinary incontinence (2/3), visual impairment (2/3), and dementia (2/3). No gold standard screening tools were used to screen for these geriatric syndromes. There were geriatricians in the three countries surveyed (CI: 8; TG: 1; BF: 1), but only CI had a geriatric center.</p><p><strong>Conclusion: </strong>Geriatric syndromes are rarely systematically screened among older people living with HIV, who represent nearly one-third of active cohorts in West Africa. There is a need to provide holistic care with screening tools tailored to the local context.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 3","pages":"177-185"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117465","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":"Beyond childbirth: a study on postnatal depression in primary healthcare settings in Benin","authors":"Joseph Giovanni Agbahoungba, Elvyre Klikpo, Lamidhi Salami, Faouziya Gwenaëlle Laetare Brun, Suzette Anaïs Kaawi Mahougnon Guedegbe, Ghislain Emmanuel Sopoh","doi":"10.3917/spub.263.0317","DOIUrl":"10.3917/spub.263.0317","url":null,"abstract":"<p><strong>Introduction: </strong>Postpartum depression is a disorder that disrupts maternal functioning and compromises infant well-being. This study determined the prevalence of postpartum depression and investigated associated factors among mothers attending health centers in Abomey.</p><p><strong>Methods: </strong>&amp;#160;This was a cross-sectional analytical study involving 440 mothers with infants aged three months or younger attending health centers in Abomey. Following random selection of health centers, all eligible mothers were surveyed using a questionnaire. The Edinburgh Postnatal Depression Scale, with a cut-off score of 13, was used to screen for postpartum depression. Logistic regression modelling was used to explore associated factors. The strength of the association was assessed using odds ratios and their 95% confidence intervals (CI).</p><p><strong>Results: </strong>The prevalence of postpartum depression was 17.05% (95% CI: 13.80%&amp;#8211;20.87%). Factors associated with postpartum depression included marital status, low maternal decision-making power within the household, physical violence by a partner, unwanted pregnancy, and stigma or discrimination experienced during childbirth.</p><p><strong>Conclusions: </strong>There is evidence to suggest that mothers may suffer from depression after childbirth. These findings may guide future research aimed at better understanding this phenomenon, as well as initiatives to improve maternal mental health in Benin.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 3","pages":"317-329"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117507","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":"Breast cancer in Mali: Advanced-stage diagnosis associated with socioeconomic vulnerability","authors":"Adégné Togo, Clémence Schantz, Hamidou Niangaly, Ibrahim Terera, Julie Robin, Abdrahamane Koné, Madani Ly, Drissa Traore, Mamadou Sima, Ibrahima Tegueté, Moussa Abdoulaye Ouattara, Issaka Sagara, Bakary Abou Traoré, Luis Teixeira, Joseph Larmarange","doi":"10.3917/spub.263.0331","DOIUrl":"10.3917/spub.263.0331","url":null,"abstract":"<p><strong>Introduction: </strong>Breast cancer is common and often diagnosed at an advanced stage in Mali. The aim of this study was to describe the stage at diagnosis and to identify associated factors.</p><p><strong>Methods: </strong>As part of the SENOVIE project, a prospective multicenter cohort study was conducted from October 2023 to October 2024 in five healthcare facilities in Bamako. The clinical stage at diagnosis was assessed according to the UICC classification. A univariate analysis was performed, followed by a multivariable multinomial logistic regression.</p><p><strong>Results: </strong>A total of 265 patients were included in this study. Early-stage diagnosis (stages I&amp;#8211;II) was observed in 13.6% of patients, late-stage diagnosis (stage III) in 63.4%, and metastatic disease (stage IV) in 23.0%. In univariate analysis, late-stage diagnosis was associated with living outside Bamako (p&amp;#160;=&amp;#160;0.019), lack of formal education (p&amp;#160;=&amp;#160;0.005), low socioeconomic status, absence of health insurance (p&amp;#160;=&amp;#160;0.012), and not owning a television (p&amp;#160;=&amp;#160;0.042). In multivariable analysis, only body mass index remained significantly associated with stage at diagnosis. Overweight patients were more likely to be diagnosed at an early stage (aOR&amp;#160;=&amp;#160;2.99; 95% CI: 1.19&amp;#8211;7.48), while obese patients were less likely to be diagnosed at a metastatic stage (aOR&amp;#160;=&amp;#160;0.26; 95% CI: 0.12&amp;#8211;0.60).</p><p><strong>Discussion: </strong>These findings confirm the high proportion of advanced-stage diagnoses in Mali and suggest that socioeconomic factors and care pathways influence diagnostic delay.</p><p><strong>Conclusion: </strong>In Mali, breast cancer is predominantly diagnosed at a late stage. Body mass index is associated with stage at diagnosis. Strengthening screening and improving access to care are essential to promote earlier diagnosis.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 3","pages":"331-345"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149117451","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":"Stigmatisation et santé mentale : un défi de santé publique.","authors":"Laurence Fond-Harmant, Mihaela Gavrila-Ardelean","doi":"10.3917/spub.hs1.2026.0239","DOIUrl":"https://doi.org/10.3917/spub.hs1.2026.0239","url":null,"abstract":"<p><strong>Introduction: </strong>Stigma in psychiatry and mental health remains a major barrier to access to care, recovery, and social inclusion. It manifests through stereotypes, discrimination, and self-stigma, thereby exacerbating psychological distress and social inequalities. This article aims to analyze, in France and across Europe, the determinants of the effectiveness of protective factors against stigma in the fields of psychiatry and mental health.</p><p><strong>Methods: </strong>We conducted a critical narrative review covering the period 2015&amp;#8211;2025, based on a structured search of PubMed/MEDLINE, PsycInfo, Scopus, and Web of Science, supplemented by a review of grey literature (WHO, OECD, Eurobarometer, Sant&amp;#233; publique France, and association reports). Study selection and quality appraisal were performed independently in duplicate using assessment tools adapted for quantitative and qualitative studies.</p><p><strong>Results: </strong>Stigma mechanisms involve labeling, stereotyping, social separation, discrimination, and self-stigma. Consequences include delayed access to care, worsening psychological distress, social exclusion, and substantial economic costs. Public policies, media, and peer support emerge as central levers. Operational definitions, data traceability, and a comparative table of interventions are provided in the appendix.</p><p><strong>Discussion: </strong>Despite progress, stigma persists. Harmonization of measurement instruments, longitudinal evaluations, and coordinated mobilization of stakeholders are required.</p><p><strong>Conclusion: </strong>The article highlights innovative strategies grounded in lived experience, paricularly peer support and the co-construction of policies.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 HS1","pages":"239-251"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867558","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 santé psychologique au travail des agriculteurs en région Grand-Est : description et caractéristiques associées.","authors":"Florian Manneville, Manon Perrin, Alhassane Balde, Alfousseyni Coly, Laetitia Ricci, Abdou Yacoubou Omorou","doi":"10.3917/spub.hs1.2026.0043","DOIUrl":"https://doi.org/10.3917/spub.hs1.2026.0043","url":null,"abstract":"<p><strong>Introduction: </strong>Data on farmers&amp;#8217; psychological health at work and its determinants remain limited. This study aimed to describe the psychological health at work of farmers in the Grand Est region (France) and to identify the sociodemographic and psychosocial factors associated with it.</p><p><strong>Methods: </strong>This study used data from questionnaires administered at baseline of the CAGRIMENT cohort. Psychological health at work was measured using a validated self-report questionnaire comprising two dimensions: psychological well-being at work and psychological distress at work. Scores range from 0 to 100 (best possible psychological well-being at work/worst possible psychological distress at work). Multivariate linear regression models were used to assess their associations with sociodemographic and psychosocial characteristics.</p><p><strong>Results: </strong>Among the 1,084 farmers included (35.6% women; mean age = 49.2 &amp;#177; 11.9 years), the mean psychological well-being at work and psychological distress at work scores were 66.6 (&amp;#177;&amp;#160;14.2) points and 27.1 (&amp;#177; 15.3) points, respectively. Psychological well-being at work scores were lower among women (&amp;#946;=-2.3; p=0.04), farmers in socially vulnerable situations (&amp;#946;=-8.0; p&amp;lt;0.01), and those who had experienced life events perceived as difficult (&amp;#946;=-6.5; p&amp;lt;0.01). Similar patterns were observed for psychological distress at work.</p><p><strong>Conclusion: </strong>These results provide a description of psychological health at work among farmers and highlight the need for actions to promote psychological health at work, particularly among women farmers, farmers in socially vulnerable situations, and those who have experienced life events perceived as difficult.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 HS1","pages":"43-62"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867565","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":"Panorama des politiques nationales soutenant la promotion de la santé au sein des clubs sportifs.","authors":"Aurélie Van Hoye, Gabriel Lallemant, Fabienne Lemonnier, Florence Rostan, Benjamin Tezier, Antoine Noël Racine, Anne Vuillemin","doi":"10.3917/spub.261.0103","DOIUrl":"https://doi.org/10.3917/spub.261.0103","url":null,"abstract":"<p><p>Introduction&amp;#160;: The role of sports clubs in health promotion has been underexploited according to policymakers and researchers. Drawing on the health-promoting sports clubs national audit tool developed by the World Health Organization, this study reviews of national public policies supporting health promotion in sports clubs. Methods&amp;#160;: The content of policy documents was analyzed with respect to key quality criteria for health policies (references to other documents, policy framing, and evaluation). We examined the content of these documents (target groups, health topics, type of policy instruments) and the mechanisms used by French decision-makers for coordination, evaluation, dissemination, and implementation of these policies. The document review was completed by interviews with 11 key stakeholders. Results&amp;#160;: A total of 56 policy actions were identified across 10 policy documents, primarily from the sports and health ministries. Most actions focused on a single health behavior&amp;#8212;physical activity&amp;#8212;and two-thirds relied on educational policy instruments rather than systematic changes. Conclusions&amp;#160;: The policy landscape is characterized as fragmented, competing with sport-health policies, lacking evaluation and coordination, and remaining distant from implementation at the local level. Future research is needed to better understand the impact of these policies and the alignment between national and local levels.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 1","pages":"103-115"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671106","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":"Évaluation qualitative d’une stratégie d’éducation des patients à risque très élevé de cancer colorectal au dépistage de leurs apparentés.","authors":"Vittoria Balzano, Alicia Bonnin, Hervé Breton, Marie-Hélène Doublet, Ken Haguenoer, Sébastien Pesce, Selladurai Manjubarkavi, Emmanuel Rusch, Thierry Lecomte","doi":"10.3917/spub.261.0047","DOIUrl":"https://doi.org/10.3917/spub.261.0047","url":null,"abstract":"<p><p>Introduction&amp;#160;: The risk of colorectal cancer (CRC) is increased in first-degree relatives of patients with CRC or advanced adenoma, for whom targeted screening by colonoscopy is recommended. The rate of completion of this examination is insufficient. The main hypothesis is that patients are not sufficiently aware of the familial implications of their disease or have difficulty informing their relatives. This study is part of the development of a personalized prevention education (PE) program based on sessions inspired by motivational interviewing. The aim of index-case education was to encourage participants to engage with their relatives to promote CRC screening among them. Aim of the study&amp;#160;: This ancillary study, which complemented a cluster-randomized trial, aimed to qualitatively measure the performance of this PE. Methods&amp;#160;: Based on a qualitative methodology, semi-structured interviews were conducted with14 index-case patients and three trainers (FTs) who delivered PE to them. A thematic content analysis followed by a textual analysis, and then a cross-analysis of these two methods, were performed. Results&amp;#160;: The patients&amp;#8217; discourse is shaped by their experience of the disease, family relationships, and interactions with healthcare providers. The linear biographical approach allows them to &amp;#8220;re-situate&amp;#8221; the PE, but few precise methodological elements are reported. Nevertheless, both analyses highlight a predominantly positive experience of the PE. A majority of the trainers&amp;#8217; discourse focuses on the reception of the patients&amp;#8217; accounts of their experiences, and the methodology is unclear. The trainers report that the training and PE sessions are too short and that there is a lack of clarity about their role and stance, preventing them from fulfilling the objective. Conclusions&amp;#160;: Despite patients&amp;#8217; generally positive experience of the PE, this study did not clearly establish its relevance and methodological coherence. While not fundamentally called into question, this methodology likely requires revision and improvement.</p>","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":"38 1","pages":"47-70"},"PeriodicalIF":0.4,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148671174","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}