Journal of epidemiology and population health最新文献

{"title":"Needs and expectations of healthcare professionals regarding the topic of alcohology: Results of a survey conducted in France in 2022.","authors":"Naouras Bouajila, Judith Andre, François Paille, Bernard Basset, Amine Benyamina, Ane Sylvie, Jacques Yguel, Romain Sicot, Mickael Naassila","doi":"10.1016/j.jeph.2024.202772","DOIUrl":"10.1016/j.jeph.2024.202772","url":null,"abstract":"<p><strong>Context: </strong>Alcohol-related health problems represent a significant public health concern, and it is imperative for the healthcare team to accurately perceive and detect these issues to provide appropriate care. The objective of this survey was to evaluate the knowledge, practices, and educational background of healthcare professionals in the field of alcohol-related health concerns, aiming to identify their information requirements.</p><p><strong>Methods: </strong>This study employs a cross-sectional descriptive survey methodology, in which data were gathered through a digital questionnaire designed for healthcare professionals (including those in medical, paramedical, and medico-social professions) working in addictology services as well as other relevant services across France and its overseas departments.</p><p><strong>Results: </strong>A total of 611 questionnaires were deemed usable for analysis. A considerable percentage of participants reported their knowledge and skills to be insufficient or very insufficient, with rates of 33 % and 36 %, respectively. Moreover, a significant proportion of respondents (≈ 28 %) stated that they had received no education in addictology. Our results highlight differences in levels of knowledge and competence among the various healthcare settings, notably with lower reported levels of satisfaction in hospital settings (public and private), private practice, and in Harm Reduction Centers. Furthermore, certain professions reported unsatisfactory levels of skills and knowledge in alcohol-related issues, particularly support staff, pharmacists, expert patients, administrative staff, and social workers. These findings suggest the need to enhance knowledge and skills by tailoring interventions according to the specific healthcare settings and professions. Additionally, the priority themes and channels for disseminating information varied depending on age, region, and professional category.</p><p><strong>Conclusion: </strong>This survey reveals a low level of knowledge, practice, and education in addictology, emphasizing the critical need for training. The importance of training extends not only to the priority topics addressed but also to the channels used for dissemination, all while customizing them to suit the age, professional category, structure, and region of healthcare professionals.</p>","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"72 6","pages":"202772"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Avowing and mitigating moral injury calls for courage and community.","authors":"Wendy Dean","doi":"10.1016/j.jeph.2024.202793","DOIUrl":"https://doi.org/10.1016/j.jeph.2024.202793","url":null,"abstract":"","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"72 6","pages":"202793"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A community-based peer-facilitated psychological and social support model to improve retention in care among Cameroonian adolescents perinatally infected with human immunodeficiency virus: A randomized controlled trial.","authors":"Francis Ateba Ndongo, Jean-Pierre Yves Awono Noah, Rogacien Kana, Justin Ndie, MariusTchassep Nono, Patrice Ndzie, Mathurin Cyrille Tejiokem, Emmanuelle Hopp Biheng, Tatiana Avang Nkoa, Yacouba Aba Coulibaly, Joseph Fokam, Alice Ketchaji, Joëlle Nounouce Ngako, Calixte Ida Penda, Paul Olivier Koki Ndombo, Hubert Mbassi Hawa, Philippe Msellati, Albert Faye, Marc Lallemant, Anne Cécile Zoung-Kani Bissek","doi":"10.1016/j.jeph.2024.202792","DOIUrl":"10.1016/j.jeph.2024.202792","url":null,"abstract":"<p><strong>Background: </strong>Psychological and social support for adolescents living with HIV remains undocumented and unaddressed in Central Africa. This study aimed at assessing effectiveness of a peer-facilitated community-based support model in improving retention in care among adolescents living with HIV and attending care in Chantal Biya Foundation, Yaounde, Cameroon.</p><p><strong>Materials and methods: </strong>We conducted an analysis of adolescents aged 10-19 years old, perinatally infected with HIV, on follow-up in the Day Care Unit of a reference hospital in Yaounde, Cameroon, and enrolled in the IAS-CIPHER-2021/1214-ATE-SMAVI, a individually randomized controlled trial. While the control arm only received routine care in the health facility, the intervention arm, in addition, was assigned to an HIV association for sustained support model, including support groups, leisure workshops and home visits. Structured questionnaires, including validated French versions of mental health scales, were quarterly administered to the study participants in both study arms by trained healthcare providers. The main outcome was maintaining retention in care beyond the first 15-month period of the study start. Kaplan-Meier and Cox regression models were fitted to assess association between intervention and outcome. Hazard Ratio (HR) across categories of exposure variables were compared using Wald's test. p-value <0.05 was considered significant.</p><p><strong>Results: </strong>In total, 305 adolescents were recruited in the study at a median age of 15.2 years old, including 162 (53.1 %) females and 153 individuals in the intervention arm. Mental health troubles were prevalent: severe depression (26.9 %), high or very high anxiety (28.9 %), and low self-esteem (84.9 %). Noteworthy, all of the baseline characteristics were balanced irrelevant to the study arm. Probability of maintaining good retention in care beyond the first 15-month period of study start remained higher in the intervention arm (82.0 % [95 %CI: 73.7 %-88.4 %]) versus the control arm (71.0 % [95 %CI: 63.2 %-78.1 %]), [cHR (95 %CI): 2.0 (1.1-3.3), p=0.044].</p><p><strong>Conclusions: </strong>Capacity should be built in terms of implementing community-based peer-facilitated support groups in local organizations providing care to adolescents living with HIV.</p>","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"72 6","pages":"202792"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142550008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of pediatric ophthalmology surgical activity in metropolitan France in 2016: Its impact on training capacities.","authors":"Maëlys Prevel, Bastien Boussat, Magali Bouisse, Pierre-Yves Robert, Dominique Bremond-Gignac, Arnaud Sauer, Christophe Chiquet","doi":"10.1016/j.jeph.2024.202786","DOIUrl":"10.1016/j.jeph.2024.202786","url":null,"abstract":"<p><strong>Aims: </strong>To describe pediatric ophthalmology surgery activity in private or public practice in metropolitan France in 2016 and to anticipate training needs in surgical pediatric ophthalmology.</p><p><strong>Methods: </strong>We used the French National Health Care System database to identify all pediatric ophthalmology surgical procedures performed in 2016. The study included all children aged ≤14 years who had undergone ophthalmologic surgery. We calculated the incidence of surgeries per 100,000 inhabitants aged ≤14 years, the number of surgeons, the mean age of the practitioners, and the number of surgeons aged >55 years.</p><p><strong>Results: </strong>In 2016, the overall incidence of pediatric ophthalmic surgery activity was 150.42/100,000 children aged ≤14 years. Out of 17,657 pediatric surgeries, 31.3 % were done by private surgeons performing at least 20 surgeries per year, 45.9 % in public centers with ≥20 surgeries per year, and 22.8 % by surgeons (public or private centers) doing <20 surgeries per year. This analysis included 204 surgeons, with a mean age of 41.7 ± 11.2 years (60.8 % female) in the public sector and 51.0 ± 9.5 years (37.3 % female) in private practice. More than a third of the surgeries (37.7 %) were performed in children aged 6-11 years, and the most frequent procedure was strabismus surgery (42.1 %). University regions with the fewest surgeons and regions with surgeons aged >55 years were identified. Within 5 years, to maintain pediatric ophthalmic surgical activity, it will be necessary to train 46 surgeons.</p><p><strong>Conclusions: </strong>This study demonstrated disparities in the geographic distribution of pediatric ophthalmic surgeries in France and identified regions that need increased training capacities and/or incorporate new surgeons to ensure a sufficient activity.</p>","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"72 6","pages":"202786"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The «parcours exercice professionnel»: A response to medical deserts.","authors":"Vincent Jedat, Yann Brabant, Marc Besnier","doi":"10.1016/j.jeph.2024.202794","DOIUrl":"10.1016/j.jeph.2024.202794","url":null,"abstract":"","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"72 6","pages":"202794"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From PREMIUM to MyPsy&I®: Transforming mental health care with a digital platform for adaptive PREMs and PROMs.","authors":"Laurent Boyer, Sara Fernandes, Yann Brousse, Pierre-Michel Llorca, Ludovic Samalin, Masoud Rahmati, Pascal Auquier, Bastien Boussat, Guillaume Fond","doi":"10.1016/j.jeph.2024.202785","DOIUrl":"10.1016/j.jeph.2024.202785","url":null,"abstract":"","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"72 6","pages":"202785"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142570901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The hidden crisis: Moral injury among French healthcare workers.","authors":"Laurent Boyer, Guillaume Fond, Bach Tran, Pierre-Michel Llorca, Antoine Duclos","doi":"10.1016/j.jeph.2024.202780","DOIUrl":"10.1016/j.jeph.2024.202780","url":null,"abstract":"<p><strong>Background: </strong>Amidst reports that one in five doctors and one in four nurses might leave their professions within three to five years due to high levels of burnout, this qualitative review explored the deeper crisis impacting healthcare workers in France, questioning whether factors beyond burnout contributed to their distress.</p><p><strong>Methodology: </strong>This study analyzed testimonies from French healthcare workers and reviewed relevant literature to uncover the underlying causes of their distress.</p><p><strong>Results: </strong>The qualitative analysis revealed profound distress among healthcare workers, stemming from a misalignment between their ethical standards, specifically the principle to 'put patients first,' and the practical realities of their work. Testimonies underscored unsustainable working conditions and economic pressures that compel healthcare workers to make decisions that compromise care quality and their own integrity. Nurses reported closing their practices due to non-profitability, forced to prioritize financial considerations over patient needs. Similarly, general practitioners expressed disillusionment, feeling disconnected from the type of medicine they aspired to practice. This distress goes beyond mere burnout, touching on deep-seated conflicts between personal values and professional demands, leading to significant attrition among healthcare workers. Comparative insights from the United States highlight a global trend where healthcare professionals face diminishing trust in systems that favor financial or operational efficiency over patient-centric care. 'Moral Injury,' as identified in our literature review, aptly describes the situation faced by French healthcare workers. It refers to the psychological distress that occurs when they cannot practice according to their ethical beliefs due to external constraints-whether from profit maximization in predominantly financialized systems like those in the United States or from funding and management gaps in public systems like those in France.</p><p><strong>Conclusion: </strong>Healthcare workers observe that the French healthcare system, once praised for its excellence and accessibility, no longer allows them to put patients at the heart of their concerns, in contradiction with their values. It is therefore essential to recognize the existence of \"Moral Injury\" to guide the structural and organizational reforms necessary to transform our healthcare system.</p>","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"72 6","pages":"202780"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of frailty on unplanned readmission in older adults: A systematic review.","authors":"Maryline Bourriquen, Anne-Laure Couderc, Fannie Bretelle, Patrick Villani","doi":"10.1016/j.jeph.2024.202774","DOIUrl":"10.1016/j.jeph.2024.202774","url":null,"abstract":"<p><strong>Background: </strong>Frailty and hospital readmissions are two major problems for older people because of their impact on health, quality of life and healthcare systems. The aims of this study were to investigate the relationship between frailty and unplanned readmissions at 30, 90, 180 days and 1 year in hospitalised older people, and to identify the most relevant tools for assessing readmission risk in different clinical settings to facilitate systematic identification of this high-risk population by healthcare professionals.</p><p><strong>Method: </strong>This review was based on a systematic search of the MEDLINE, EMBASE and SCIENCEDIRECT databases for articles published between January 2011 and December 2021 that examined the association between frailty and unplanned readmission in hospitalised adults aged 65 years and over using identified validated tools.</p><p><strong>Results: </strong>44 eligible studies out of 1362 were included in a descriptive analysis. Sixteen countries were represented with older adults hospitalised in medical, surgical, post-acute care and rehabilitation, and emergency departments. Up to 84.5% of frail older adults had an unplanned readmission. Of the 21 tools identified, the Hospital Frailty Risk Score (HFRS), the Frailty Index (FI), its derivatives, the Clinical Frailty Scale (CFS) and the Fried model were the most widely used and relevant tools for identifying the association between frailty and unplanned readmission.</p><p><strong>Conclusion: </strong>Frailty is widely associated with readmission risk in older adults. The HFRS, FI, CFS and Fried model appear to be the most commonly used tools to assess frailty and prevent unplanned readmissions.</p>","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"72 5","pages":"202774"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142396613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Timing of infant mortality in French Guiana: The persistence of high post neonatal mortality.","authors":"Mathieu Nacher, Celia Basurko, Lindsay Osei, Nadia Thomas, Alphonse Louis, Malika Leneuve, Dominique Dotou, Alice Tosi, Veronique Lambert, Emeline Monjardé, Gabriel Bafunyembaka Muhigirwa, Narcisse Elenga, Najeh Hcini","doi":"10.1016/j.jeph.2024.202535","DOIUrl":"10.1016/j.jeph.2024.202535","url":null,"abstract":"<p><strong>Background: </strong>Infant mortality in French Guiana, a French overseas territory, is 2.7 times greater than in mainland France. Given the importance of better understanding infant mortality we aimed to describe the early & late neonatal, and postneonatal mortality in French Guiana between 2007 and 2022.</p><p><strong>Methods: </strong>We used data from the Institut National de la Statistique et des Etudes Economiques to describe trends and performed survival analysis.</p><p><strong>Results: </strong>Overall, there were 1 073 deaths before one year of age, of which 297 (27.7 %) occurred on the first day of life. The overall proportion of early neonatal deaths was 47.1 %, late neonatal deaths was 17.3 %, and post-neonatal deaths was 35.6 %. The overall incidences were 4.6 per 1,000 for early neonatal mortality, 1.4 per 1,000 for late neonatal mortality, and 3.1 per 1,000 for post neonatal mortality. The incidence for infant mortality for French Guiana residents was thus 9.1 per 1,000.</p><p><strong>Conclusions: </strong>We show that post neonatal deaths in French Guiana are proportionally greater than in mainland France and they do not seem to decline, as they did in France. The relative proportions of post-neonatal mortality can thus help to identify important areas for action to correct excess infant mortality. Although poor pregnancy follow-up remains a problem we show that follow-up of infants is also a pressing problem that warrants increased efforts.</p>","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"72 5","pages":"202535"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141294116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A novel approach to the epidemiology of people living with spinal cord injuries in France based on an original algorithm from public health insurance data.","authors":"Fanny Duchaine, Maude Espagnacq, Djamel Bensmail, Camille Regaert, Pierre Denys, Jonathan Levy","doi":"10.1016/j.jeph.2024.202773","DOIUrl":"10.1016/j.jeph.2024.202773","url":null,"abstract":"<p><strong>Introduction: </strong>French Public Health Insurance gathers health, demographic and economic data based on codes from the 10th version of the international classification of diseases (ICD-10), specific nomenclature for each health-care (medical or surgical) procedures, medical expenses and justifications for full coverage of medical care. We aimed to build an algorithm that could identify the French population of people living with spinal cord injury (SCI) relying on public health insurance metadata.</p><p><strong>Material and methods: </strong>The SNDS (in French, Système National des Données de Santé) was searched for the time-period 2012-2019, looking for: full-coverage motives, ICD-10 codes, and health-therapeutic procedures specific of our population of interest. We built a step-by-step algorithm that identified i)including codes, ii)excluding codes, iii)codes needing confirmation. A group of 3 physicians recognized as experts in this field contributed with data scientists to the selection of pertinent codes and their association. Including codes were ALD-20 (full-coverage 'paraplegia', in French, Affection de Longue Durée), G114 (spastic paraplegia), Q05.x (spina bifida), spinal cord trauma (S14.x; S24.x), vascular myelopathy (G951), degenerative myelopathies (M47.x). Autoimmune, other disabling neurological diseases with a specific ICD code, and oncologic patients were excluded. Neurological symptoms (G82.x) needed confirmation. We identified 6 categories of SCI regarding their etiology, based on ICD-10 code combinations (congenital, genetic, tumoral, traumatic, acquired and symptomatic) Finally antibiotics consumption and hospitalizations of persons identified as SCI were compared to a control sample from overall population (with a 1:5 ratio).</p><p><strong>Results: </strong>Among almost 245 000 persons with putative SCI, we identified 133 849 living individuals with SCI aged>16 (55.8% men, age 57 yo [44;70]) by 2019. Confirmed traumatic SCI were 21 459 (67% were men, age 53 yo [39;67]), acquired non-traumatic were the most frequent (n=62 561, 46.7%). SCI consumed 1.5 to 3-times more antibiotics and were 4-fold more hospitalized than controls. Also, when hospitalized, they remained twice longer in rehabilitation facilities and 3-times longer in acute care.</p><p><strong>Conclusion: </strong>Using multiple code entries, our algorithm allowed an exhaustive identification of the French adult SCI population, with an updated epidemiology. This innovative method opens the field for large-scale studies regarding medical history of persons living with SCI by the prism of medical expenses and habits.</p>","PeriodicalId":517428,"journal":{"name":"Journal of epidemiology and population health","volume":"72 5","pages":"202773"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141904133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}