Revue D Epidemiologie Et De Sante Publique最新文献

英文中文

Navigating Healthcare's Dual Fronts — Balancing Quality and the Environment 把握医疗保健的双重战线——平衡质量和环境。

IF 0.9 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Revue D Epidemiologie Et De Sante Publique

Pub Date : 2023-10-31 DOI: 10.1016/j.respe.2023.102182

Baptiste Andrieu, Manon Roche, Pierre Simeone, Marc Leone, Benjamin De Sainte Marie, Baptiste Andre, Laurent Boyer, Laurent Zieleskiewicz, Guillaume Fond

引用次数: 0

Sepsis : Actual numbers and uncertainties 败血症：实际数字和不确定性。

IF 0.9 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Revue D Epidemiologie Et De Sante Publique

Pub Date : 2023-10-31 DOI: 10.1016/j.respe.2023.102176

Marc Leone, Ines Lakbar, Jean-Louis Vincent

引用次数: 0

Infant mortality in French Guiana between 2001 and 2017 : Trends and comparisons with mainland France 2001年至2017年法属圭亚那的婴儿死亡率:趋势和与法国大陆的比较

IF 0.9 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Revue D Epidemiologie Et De Sante Publique

Pub Date : 2023-10-31 DOI: 10.1016/j.respe.2023.102175

Mathieu Nacher , Célia Basurko , Gabriel Bafunyembaka Muhigirwa , Véronique Lambert , Lindsay Osei , Falucar Njuieyon , Alphonse Louis , Dominique Dotou , Nadia Thomas , Stephanie Bernard , Malika Leneuve , Narcisse Elenga , Najeh Hcini

Background

French Guiana is a French overseas territory which combines a well-funded universal health system and a population where half are under the poverty line. In this context, we aimed to measure and describe the causes of infant mortality and, because French Guiana is a French territory, to compare them with mainland France.

Methods

National death certificate data between 2001 and 2017 was used.

Results

Overall, 6.9 % of deaths before 65 years concerned infants <1 year (in mainland France 2.6%). The infant mortality rate over the 2001–2017 period was 2.6 times that of mainland France (1159.5 vs 446.2 per 100,000 infants <1 year) with excess incidence in perinatal causes, malformations and chromosomal anomalies, accidents, infectious causes, and in poorly defined conditions. Over time, there seemed to be a reduction of infant mortality for all the main causes, except for congenital malformations and chromosomal anomalies, which, on the contrary, seemed to increase. The data sources did not allow to study the weight of social factors or place of residence.

Conclusions

All causes of infant mortality seemed to decline over time except malformations and chromosomal anomalies, which increased. Although exposure to heavy metals, infectious diseases are potential explanations we cannot pinpoint the cause of this increase with the available data. The present results suggest infant mortality and malformations should benefit from more detailed data sources in order to better assess and alleviate the burden of infant mortality in French Guiana.

法属圭亚那是法国的海外领土，拥有资金充足的全民医疗体系，一半的人口生活在贫困线以下。在这方面，我们的目的是衡量和描述婴儿死亡率的原因，并由于法属圭亚那是法国领土，将其与法国大陆进行比较。方法采用2001 - 2017年全国死亡证明数据。结果总体而言，65岁前死亡的6.9%为1岁以下的婴儿(法国大陆为2.6%)。2001年至2017年期间的婴儿死亡率是法国大陆的2.6倍(每10万名婴儿中有1159.5对446.2)，围产期原因、畸形和染色体异常、事故、感染原因和条件不明确的原因造成的死亡率过高。随着时间的推移，除了先天性畸形和染色体异常外，所有主要原因的婴儿死亡率似乎都有所下降，相反，这两种原因似乎有所增加。数据来源不允许研究社会因素或居住地的权重。结论随着时间的推移，除畸形和染色体异常外，所有死因的婴儿死亡率均呈下降趋势。虽然接触重金属和传染病是潜在的解释，但我们无法根据现有数据确定这种增加的原因。目前的结果表明，婴儿死亡率和畸形应受益于更详细的数据来源，以便更好地评估和减轻法属圭亚那婴儿死亡率的负担。

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引用次数: 0

Plaidoyer et recommandations pour un meilleur positionnement des épidémiologistes lors des épidémies et pandémies à venir 倡导和建议流行病学家在即将到来的流行病和大流行病期间更好地定位

IF 0.9 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Revue D Epidemiologie Et De Sante Publique

Pub Date : 2023-10-29 DOI: 10.1016/j.respe.2023.102185

Mathilde Alexandre, Delphine Antoine, Martine Ledrans, Anne Perrocheau, Philippe Quénel, Roger Salamon, Louis Rachid Salmi

引用次数: 0

La cohorte GAZEL, un tiers de siècle de publications scientifiques, quel bilan ? Gazel队列，三分之一世纪的科学出版物，评估是什么？

IF 0.9 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Revue D Epidemiologie Et De Sante Publique

Pub Date : 2023-10-21 DOI: 10.1016/j.respe.2023.102180

A. Leclerc, S. Bonnaud, M. Cœuret-Pellicer, M. Zins, M. Goldberg

引用次数: 0

Résumés d'ouvrages 书籍摘要

IF 0.9 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Revue D Epidemiologie Et De Sante Publique

Pub Date : 2023-10-20 DOI: 10.1016/j.respe.2023.102179

引用次数: 0

Agenda 2024 2024年议程

IF 0.9 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Revue D Epidemiologie Et De Sante Publique

Pub Date : 2023-10-20 DOI: 10.1016/j.respe.2023.102177

引用次数: 0

Vient de paraître 刚刚出现

IF 0.9 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Revue D Epidemiologie Et De Sante Publique

Pub Date : 2023-10-19 DOI: 10.1016/j.respe.2023.102178

引用次数: 0

Reducing prescription and addressing benzodiazepine dependence through withdrawal and tapering protocols - forging an alliance between public health actors and clinical practices 通过停药和减量化方案减少处方并解决苯二氮卓类药物依赖问题——在公共卫生行为者和临床实践之间建立联盟

IF 0.9 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Revue D Epidemiologie Et De Sante Publique

Pub Date : 2023-10-01 DOI: 10.1016/j.respe.2023.102147

Guillaume Fond, Christelle Andrieu, Nathalie Bochu, Bastien Boussat, Dong Keon Yon, Laurent Boyer

引用次数: 0

Des pratiques à risque favorisant la survenue d'abcès cutanés chez les personnes qui injectent des substances : résultats de l’étude ANRS-OUTSIDER 有利于注射药物的人皮肤脓肿发生的危险做法：ANRS局外人研究结果

IF 0.9 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Revue D Epidemiologie Et De Sante Publique

Pub Date : 2023-10-01 DOI: 10.1016/j.respe.2023.102142

Jessica Pereira Gonçalves , Laélia Briand Madrid , Cécile Donadille , David Michels , Mathieu Ahouah , Daniela Rojas Castro , Perrine Roux

Introduction

Cutaneous abscesses are a common complication of intravenous substance use. Although these skin and soft tissue infections represent one of the main causes of emergency room visits and hospitalizations in people who inject drugs (PWID), data on their prevalence and causes are scarce. The present study was part of the larger ANRS-OUTSIDER project and aimed to study the factors associated with skin abscesses in PWID, focusing in particular on the different stages of injection.

Method

Analyses were based on data of the 164 persons who regularly injected psychoactive substances participating in the French ANRS-OUTSIDER project. A face-to-face questionnaire collected data on sociodemographics, substance use, injection practices, and experience of skin abscesses in the previous six months. Factors associated with skin abscesses were studied using a logistic regression model.

Results

Of the 140 participants for whom abscess data were recorded at inclusion, 35% reported having a skin abscess in the previous six months. Factors associated with skin abscesses were: benefiting from universal health coverage (PUMA/CMU/AME) (Odd ratio (OR) = 0.28, confidence interval (CI) à 95%=0.08–0.99), finding the vein to inject by touch (OR=3.44, 95% CI=1.41–8.43) and licking the needle before injection (OR=5.16, 95% CI=1.10–24.30).

Conclusion

Our results highlight that skin abscesses were very frequent among the complications observed in our sample of French PWID, and that certain injection practices fostered their occurrence. These data will provide stakeholders with useful information to improve prevention and harm reduction messages for PWID.

皮肤脓肿是静脉药物使用的常见并发症。尽管这些皮肤和软组织感染是注射药物（PWID）患者急诊室就诊和住院的主要原因之一，但关于其患病率和原因的数据很少。本研究是更大的ANRS-OUTSIDER项目的一部分，旨在研究PWID中与皮肤脓肿相关的因素，特别关注注射的不同阶段。方法对参与法国ANRS-OUTSIDER项目的164名定期注射精神活性物质的患者的数据进行分析。一份面对面的问卷收集了过去六个月的社会人口统计、药物使用、注射实践和皮肤脓肿经历的数据。采用逻辑回归模型研究了与皮肤脓肿相关的因素。结果在纳入时记录了脓肿数据的140名参与者中，35%的人报告在前六个月内有皮肤脓肿。与皮肤脓肿相关的因素有：受益于全民健康保险（PUMA/CMU/AME）（比值比（OR）=0.28，置信区间（CI）à95%=0.08-0.99），通过触摸找到静脉注射（OR=3.44，95%CI=1.41–8.43）和在注射前舔针（OR=5.16，95%CI=1.10–24.30）。结论我们的结果强调，在我们的法国PWID样本中观察到的并发症中，皮肤脓肿非常常见，并且某些注射实践促进了其发生。这些数据将为利益相关者提供有用的信息，以改进PWID的预防和减少伤害信息。

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