The rape of girls and women raises questions about both prevention and the response in Burkina Faso. This article looks at the inadequacy of the response to rape in Ouagadougou. It is based on an analysis of cases of rape experienced by young women in the city and documented between 2005 and 2009. The study highlights the gap between the attitude of the victims, whether or not they are inclined to report the act and seek support, and the existing response in this area, whether in their entourage, at the community level, or at the institutional level. The study concludes that there is a need for more in-depth research into the representations and experiences of rape survivors in Ouagadougou and, more broadly, in Burkina Faso. Such research will enable us to identify gaps and appropriate strategies so that survivors are offered a holistic response that is more conducive to respect for their sexual and reproductive rights. Appropriate responses should involve improving the response system, so as to minimize obstacles and make institutional support more accessible to survivors.
{"title":"Insuffisances des réponses aux viols à Ouagadougou : réflexions à partir du vécu de jeunes survivantes","authors":"Nathalie Sawadogo","doi":"10.3917/spub.241.0151","DOIUrl":"https://doi.org/10.3917/spub.241.0151","url":null,"abstract":"The rape of girls and women raises questions about both prevention and the response in Burkina Faso. This article looks at the inadequacy of the response to rape in Ouagadougou. It is based on an analysis of cases of rape experienced by young women in the city and documented between 2005 and 2009. The study highlights the gap between the attitude of the victims, whether or not they are inclined to report the act and seek support, and the existing response in this area, whether in their entourage, at the community level, or at the institutional level. The study concludes that there is a need for more in-depth research into the representations and experiences of rape survivors in Ouagadougou and, more broadly, in Burkina Faso. Such research will enable us to identify gaps and appropriate strategies so that survivors are offered a holistic response that is more conducive to respect for their sexual and reproductive rights. Appropriate responses should involve improving the response system, so as to minimize obstacles and make institutional support more accessible to survivors.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140737590","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}
Maëva Chavin, Gillien Latour, B. Guyard-Boileau, Marie-Anne Durand
INTRODUCTION In France, pregnant women generally receive written information about their pregnancy. The efficacy of these materials is limited for socially disadvantaged women, who are more likely to have lower levels of health literacy. As an alternative tool, awareness-raising videos have become popular, and the “Tuto’Tour de la grossesse” health promotion intervention has been created, which includes videos about smoking. The study objective was to evaluate the acceptability, usability, and accessibility of two videos about smoking among pregnant smokers in vulnerable situations. METHODS We conducted semi-structured interviews with these women, using a participatory approach. We then carried out a hybrid qualitative analysis, combining an analysis based on a conceptual framework and an inductive analysis. RESULTS Out of twenty participants, nine were separated from their child’s father and nine were unemployed. Twelve participants had less than a baccalaureate level of education and seven had a mother tongue other than French. Participants found the videos acceptable, usable, and accessible. We received positive feedback about the efficacy of the videos in terms of participants’ ability, opportunity, and motivation to change their behavior. Suggestions for improving the videos were made. CONCLUSIONS Other studies have looked at health promotion with similar interventions, but acceptability, usability, and accessibility have not been tested with socially disadvantaged women. These videos, which are acceptable, usable, and accessible to socially disadvantaged people, seem to have an influence on two out of three factors leading to behavior change. They could now be tested on a larger scale in a randomized controlled study.
引言 在法国，孕妇一般都会收到有关怀孕的书面资料。这些材料对社会弱势妇女的效果有限，因为她们的健康知识水平更低。作为一种替代工具，宣传视频已成为一种流行趋势，"Tuto'Tour de la grossesse "健康促进干预项目就是其中之一。本研究的目的是评估处于弱势的怀孕吸烟者对两部吸烟视频的接受度、可用性和可及性。然后，我们进行了混合定性分析，将基于概念框架的分析与归纳分析相结合。结果 在 20 名参与者中，9 人与孩子的父亲分居，9 人失业。12 名参与者的教育程度低于高中毕业水平，7 名参与者的母语不是法语。参与者认为视频是可接受的、可用的和可访问的。我们收到了积极的反馈，认为视频在参与者改变行为的能力、机会和动机方面效果显著。结论：其他研究也采用类似的干预措施来促进健康，但尚未对社会弱势妇女的可接受性、可用性和可访问性进行测试。这些视频对于社会弱势群体来说是可接受的、可用的和可获得的，似乎对导致行为改变的三个因素中的两个产生了影响。现在可以通过随机对照研究对其进行更大规模的测试。
{"title":"Évaluation du dispositif Tuto’Tour de la grossesse chez les femmes fumeuses enceintes vulnérables","authors":"Maëva Chavin, Gillien Latour, B. Guyard-Boileau, Marie-Anne Durand","doi":"10.3917/spub.241.0045","DOIUrl":"https://doi.org/10.3917/spub.241.0045","url":null,"abstract":"INTRODUCTION\u0000In France, pregnant women generally receive written information about their pregnancy. The efficacy of these materials is limited for socially disadvantaged women, who are more likely to have lower levels of health literacy. As an alternative tool, awareness-raising videos have become popular, and the “Tuto’Tour de la grossesse” health promotion intervention has been created, which includes videos about smoking. The study objective was to evaluate the acceptability, usability, and accessibility of two videos about smoking among pregnant smokers in vulnerable situations.\u0000\u0000\u0000METHODS\u0000We conducted semi-structured interviews with these women, using a participatory approach. We then carried out a hybrid qualitative analysis, combining an analysis based on a conceptual framework and an inductive analysis.\u0000\u0000\u0000RESULTS\u0000Out of twenty participants, nine were separated from their child’s father and nine were unemployed. Twelve participants had less than a baccalaureate level of education and seven had a mother tongue other than French. Participants found the videos acceptable, usable, and accessible. We received positive feedback about the efficacy of the videos in terms of participants’ ability, opportunity, and motivation to change their behavior. Suggestions for improving the videos were made.\u0000\u0000\u0000CONCLUSIONS\u0000Other studies have looked at health promotion with similar interventions, but acceptability, usability, and accessibility have not been tested with socially disadvantaged women. These videos, which are acceptable, usable, and accessible to socially disadvantaged people, seem to have an influence on two out of three factors leading to behavior change. They could now be tested on a larger scale in a randomized controlled study.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140737942","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}
Adel Fernane, Sébastien Saetta, C. Trichard, Laetitia Minary, Thomas Remen, H. Martini, N. Guirimand, Alexandra Rouquette, Norbert Amsellem, Pierre Lombrail, Alain Leplège, Groupe Tabapsy
INTRODUCTION A multi-center observational study was carried out in ten ESMS, using a mixed methodology (site visits, questionnaire survey, semi-directive group interviews with professionals and individual interviews with users). PURPOSE OF THE RESEARCH The aim of this article is to describe the management and prevention of smoking in ESMS for people with mental health disorders, and to characterize and identify the smoking behaviors and representations of ESMS users and the professionals working there. RESULTS The study made it possible to distinguish between ESMS in terms of the organization of smoking areas and tobacco prevention initiatives. It also revealed that 37 percent of respondents among the professionals said they smoked tobacco, with some of them explaining that they smoked with users and sometimes gave them cigarettes. With regard to prevention, there was a consensus among professionals that they should help users who wanted to stop smoking. Professionals were divided, however, on the need for more active prevention, citing the users’ freedom and the fact that ESMS are places where people live. Among the users, 47 percent said they were smokers. Of the users who smoked, 55 percent said they wanted to stop. Interviews with the users revealed that twelve of them wanted to quit, with some asking for help and more assistance from professionals. CONCLUSIONS This report suggests that intervention research could be developed in ESMS for people with mental health disorders, who could benefit from the smoking prevention actions identified in the facilities and services investigated.
{"title":"Tabagisme et handicap psychique : étude observationnelle mixte dans un échantillon diversifié d’établissements et de services médico-sociaux","authors":"Adel Fernane, Sébastien Saetta, C. Trichard, Laetitia Minary, Thomas Remen, H. Martini, N. Guirimand, Alexandra Rouquette, Norbert Amsellem, Pierre Lombrail, Alain Leplège, Groupe Tabapsy","doi":"10.3917/spub.241.0033","DOIUrl":"https://doi.org/10.3917/spub.241.0033","url":null,"abstract":"INTRODUCTION\u0000A multi-center observational study was carried out in ten ESMS, using a mixed methodology (site visits, questionnaire survey, semi-directive group interviews with professionals and individual interviews with users).\u0000\u0000\u0000PURPOSE OF THE RESEARCH\u0000The aim of this article is to describe the management and prevention of smoking in ESMS for people with mental health disorders, and to characterize and identify the smoking behaviors and representations of ESMS users and the professionals working there.\u0000\u0000\u0000RESULTS\u0000The study made it possible to distinguish between ESMS in terms of the organization of smoking areas and tobacco prevention initiatives. It also revealed that 37 percent of respondents among the professionals said they smoked tobacco, with some of them explaining that they smoked with users and sometimes gave them cigarettes. With regard to prevention, there was a consensus among professionals that they should help users who wanted to stop smoking. Professionals were divided, however, on the need for more active prevention, citing the users’ freedom and the fact that ESMS are places where people live. Among the users, 47 percent said they were smokers. Of the users who smoked, 55 percent said they wanted to stop. Interviews with the users revealed that twelve of them wanted to quit, with some asking for help and more assistance from professionals.\u0000\u0000\u0000CONCLUSIONS\u0000This report suggests that intervention research could be developed in ESMS for people with mental health disorders, who could benefit from the smoking prevention actions identified in the facilities and services investigated.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140740976","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}
Éric Tchouaket, D. Sia, H. Karemere, Woolf Kapiteni, Stéphanie Robins
INTRODUCTION Due to the Democratic Republic of the Congo’s (DRC) precarious health system that provides only limited access to health care, the European Union, via Memisa Belgium, implemented a program to strengthen provision of and access to health care (known as PRO DS) in the provinces of Kongo Central and Ituri. This program took a holistic approach, seeking to improve equitable access and combat malnutrition. METHODS To measure the program’s social return on investment and to estimate the cost per capita and effectiveness per euro invested (efficiency), a 61-month (1 July 2017 to 31 July 2022) cost-effectiveness evaluation with a societal perspective was carried out. The double-difference method was used to compare the results of PRO DS and non-PRO DS zones. The social return on investment was assessed via the ratio of effectiveness to costs. RESULTS Analyses revealed the program cost between 3.72 and 3.96 euros per capita per year (2022) in Kongo Central, and between 3.12 and 3.36 euros in Ituri. Importantly, it was cost-effective in the areas of reproductive health, nutrition, and the use of health and nutrition services. CONCLUSIONS The program’s strong nutritional component and overall holistic vision may explain why it was so efficient. PRO DS stands out from other programs that focus solely on one specific problem or population. Although the program has some limitations, it would be worthwhile for the government to invest in it.
{"title":"Analyse économique d’un programme de renforcement du système de santé en République démocratique du Congo","authors":"Éric Tchouaket, D. Sia, H. Karemere, Woolf Kapiteni, Stéphanie Robins","doi":"10.3917/spub.241.0135","DOIUrl":"https://doi.org/10.3917/spub.241.0135","url":null,"abstract":"INTRODUCTION\u0000Due to the Democratic Republic of the Congo’s (DRC) precarious health system that provides only limited access to health care, the European Union, via Memisa Belgium, implemented a program to strengthen provision of and access to health care (known as PRO DS) in the provinces of Kongo Central and Ituri. This program took a holistic approach, seeking to improve equitable access and combat malnutrition.\u0000\u0000\u0000METHODS\u0000To measure the program’s social return on investment and to estimate the cost per capita and effectiveness per euro invested (efficiency), a 61-month (1 July 2017 to 31 July 2022) cost-effectiveness evaluation with a societal perspective was carried out. The double-difference method was used to compare the results of PRO DS and non-PRO DS zones. The social return on investment was assessed via the ratio of effectiveness to costs.\u0000\u0000\u0000RESULTS\u0000Analyses revealed the program cost between 3.72 and 3.96 euros per capita per year (2022) in Kongo Central, and between 3.12 and 3.36 euros in Ituri. Importantly, it was cost-effective in the areas of reproductive health, nutrition, and the use of health and nutrition services.\u0000\u0000\u0000CONCLUSIONS\u0000The program’s strong nutritional component and overall holistic vision may explain why it was so efficient. PRO DS stands out from other programs that focus solely on one specific problem or population. Although the program has some limitations, it would be worthwhile for the government to invest in it.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140738135","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}
Yolaine Glele Ahanhanzo, Farid Olatoundé Agnidé Ally, Pleck Dansou, Charles Sossa Jérôme, A. Kpozehouen, Ghislain Emmanuel Sopoh
INTRODUCTION Nowadays, Internet addiction is a major concern due to the growing number of Internet users and the consequences associated with this addiction. PURPOSE OF THE RESEARCH In this study, we aimed to determine the prevalence of and factors associated with Internet addiction among health sciences students at the University of Abomey-Calavi. METHODS A cross-sectional study was conducted among 346 students from the Faculty of Health Sciences and the National Institute of Medical and Health Sciences at the University of Abomey-Calavi. Participants were selected using simple random sampling. Internet addiction was assessed using K. Young’s “Internet Addiction Test.” Logistic regression modeling was employed to explore factors associated with Internet addiction. The strength of the association was assessed using odds ratios; the confidence interval (CI) was 95%; and a p-value < 0.05 in the final model was considered significant. RESULTS The prevalence of Internet addiction was 31.8% (95% CI: [23.26% - 41.38%]). Factors associated with Internet addiction were the participant’s field of study, poor relationships with friends and family, communication difficulties, depression, and psychoactive substance consumption. CONCLUSIONS Evidence of Internet addiction exists among students in health sciences institutions in Benin. These findings can support the development of prevention and intervention strategies centered on addressing a public health issue that is still insufficiently recognized.
研究目的在这项研究中，我们旨在确定阿波美-卡拉维大学健康科学专业学生中网络成瘾的流行程度和相关因素。方法我们对阿波美-卡拉维大学健康科学学院和国家医疗与健康科学研究所的 346 名学生进行了横断面研究。研究人员通过简单随机抽样的方式选出。使用 K. Young 的 "网络成瘾测试 "对网络成瘾进行评估。采用逻辑回归模型探讨与网络成瘾相关的因素。结果网络成瘾的发生率为 31.8%（95% CI：[23.26% - 41.38%]）。与网络成瘾相关的因素包括参与者的学习领域、与朋友和家人关系不佳、沟通困难、抑郁和精神活性物质消费。这些发现有助于制定预防和干预策略，以解决这一尚未得到充分认识的公共卫生问题。
{"title":"L’addiction à internet, une réalité contemporaine au Bénin : analyse exploratoire des facteurs associés chez des étudiants du secteur médical et paramédical en 2022","authors":"Yolaine Glele Ahanhanzo, Farid Olatoundé Agnidé Ally, Pleck Dansou, Charles Sossa Jérôme, A. Kpozehouen, Ghislain Emmanuel Sopoh","doi":"10.3917/spub.241.0109","DOIUrl":"https://doi.org/10.3917/spub.241.0109","url":null,"abstract":"INTRODUCTION\u0000Nowadays, Internet addiction is a major concern due to the growing number of Internet users and the consequences associated with this addiction.\u0000\u0000\u0000PURPOSE OF THE RESEARCH\u0000In this study, we aimed to determine the prevalence of and factors associated with Internet addiction among health sciences students at the University of Abomey-Calavi.\u0000\u0000\u0000METHODS\u0000A cross-sectional study was conducted among 346 students from the Faculty of Health Sciences and the National Institute of Medical and Health Sciences at the University of Abomey-Calavi. Participants were selected using simple random sampling. Internet addiction was assessed using K. Young’s “Internet Addiction Test.” Logistic regression modeling was employed to explore factors associated with Internet addiction. The strength of the association was assessed using odds ratios; the confidence interval (CI) was 95%; and a p-value < 0.05 in the final model was considered significant.\u0000\u0000\u0000RESULTS\u0000The prevalence of Internet addiction was 31.8% (95% CI: [23.26% - 41.38%]). Factors associated with Internet addiction were the participant’s field of study, poor relationships with friends and family, communication difficulties, depression, and psychoactive substance consumption.\u0000\u0000\u0000CONCLUSIONS\u0000Evidence of Internet addiction exists among students in health sciences institutions in Benin. These findings can support the development of prevention and intervention strategies centered on addressing a public health issue that is still insufficiently recognized.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140740176","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}
The study aimed to elicit the perception and ethical considerations of patients and proxies with respect both to the individual medical decisions and public health decisions made during the COVID-19 crisis. It used a qualitative, multi-center study based on semi-directive interviews, conducted by an interdisciplinary team. The analysis was conducted using a thematic analysis approach and an ethical framework. Three themes emerged from the analysis: 1) patients, unlike proxies, did not complain about their diminished role in the decision-making process. Both highlighted the importance of “basic care” as opposed to a technical approach to treatment; 2) despite the transparency of the information process, a deep “crisis of trust” has developed between citizens and public authorities; 3) although both patients and proxies accepted the limitations of personal liberties imposed in the name of public health, they argued that these limitations should respect certain boundaries, both temporal and spacial. Above all, they should not affect basic affective human relationships, even if such boundaries are a factor in an increased risk of infection. The study showed that there is a need to reconsider the definition and the main principles of public health ethics, namely transparency and proportionality.
{"title":"D’une « éthique d’exception » à une éthique de la santé publique. Patients et proches face à la COVID-19. Éthique et santé publique en temps de COVID-19","authors":"M. Spranzi, Nicolas Foureur, Virginie Faidherbe","doi":"10.3917/spub.241.0097","DOIUrl":"https://doi.org/10.3917/spub.241.0097","url":null,"abstract":"The study aimed to elicit the perception and ethical considerations of patients and proxies with respect both to the individual medical decisions and public health decisions made during the COVID-19 crisis. It used a qualitative, multi-center study based on semi-directive interviews, conducted by an interdisciplinary team. The analysis was conducted using a thematic analysis approach and an ethical framework. Three themes emerged from the analysis: 1) patients, unlike proxies, did not complain about their diminished role in the decision-making process. Both highlighted the importance of “basic care” as opposed to a technical approach to treatment; 2) despite the transparency of the information process, a deep “crisis of trust” has developed between citizens and public authorities; 3) although both patients and proxies accepted the limitations of personal liberties imposed in the name of public health, they argued that these limitations should respect certain boundaries, both temporal and spacial. Above all, they should not affect basic affective human relationships, even if such boundaries are a factor in an increased risk of infection. The study showed that there is a need to reconsider the definition and the main principles of public health ethics, namely transparency and proportionality.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140738281","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}
Chloé Cherrier, Charlotte Akhras-Pancaldi, Josefin De Pietro, E. Rusch, Gildas Vieira, C. Potard, Amandine Fillol, R. Courtois
INTRODUCTION The prevention of intimate partner violence (IPV) among young people is a major challenge for public policies. Nevertheless, there are a few prevention programs that have proven effective in France. “Sortir Ensemble & Se Respecter” (SE&SR) is a Swiss adaptation of “Safe Dates,” an American intervention program that has reduced violent behavior by young perpetrators and victims of IPV alike. The aim of this article is to analyze the applicability and “potential transferability” of SE&SR in France. METHODS We described the SE&SR intervention by explaining the intervention theory, the key functions (i.e., the “ingredients” allowing the SE&SR program to work), and we commented on its applicability from a perspective of adapting and transferring it to the French context. We used the ASTAIRE tool and the FIC (key functions, implementation, context) approach. RESULTS The intervention theory highlighted various factors, acting at the individual level (i.e., beliefs/representations, knowledge, life skills) and at the level of the living environment (i.e., facilities welcoming young people; families; public policies; networks of actors), that can prevent IPV among young people. Ten key functions have been identified, revealing the “skeleton” of the Swiss intervention. We drew on these results to comment on the intervention’s applicability, with a view to transferability, specifying the contextual elements to consider before implementing SE&SR in France. CONCLUSION This study aims to make the process of evaluating applicability, with a view to transferring an evidence-based program to the French context, more accessible.
{"title":"Accompagner l’applicabilité et la transférabilité du programme « Sortir Ensemble & Se Respecter » en Frances","authors":"Chloé Cherrier, Charlotte Akhras-Pancaldi, Josefin De Pietro, E. Rusch, Gildas Vieira, C. Potard, Amandine Fillol, R. Courtois","doi":"10.3917/spub.241.0023","DOIUrl":"https://doi.org/10.3917/spub.241.0023","url":null,"abstract":"INTRODUCTION\u0000The prevention of intimate partner violence (IPV) among young people is a major challenge for public policies. Nevertheless, there are a few prevention programs that have proven effective in France. “Sortir Ensemble & Se Respecter” (SE&SR) is a Swiss adaptation of “Safe Dates,” an American intervention program that has reduced violent behavior by young perpetrators and victims of IPV alike. The aim of this article is to analyze the applicability and “potential transferability” of SE&SR in France.\u0000\u0000\u0000METHODS\u0000We described the SE&SR intervention by explaining the intervention theory, the key functions (i.e., the “ingredients” allowing the SE&SR program to work), and we commented on its applicability from a perspective of adapting and transferring it to the French context. We used the ASTAIRE tool and the FIC (key functions, implementation, context) approach.\u0000\u0000\u0000RESULTS\u0000The intervention theory highlighted various factors, acting at the individual level (i.e., beliefs/representations, knowledge, life skills) and at the level of the living environment (i.e., facilities welcoming young people; families; public policies; networks of actors), that can prevent IPV among young people. Ten key functions have been identified, revealing the “skeleton” of the Swiss intervention. We drew on these results to comment on the intervention’s applicability, with a view to transferability, specifying the contextual elements to consider before implementing SE&SR in France.\u0000\u0000\u0000CONCLUSION\u0000This study aims to make the process of evaluating applicability, with a view to transferring an evidence-based program to the French context, more accessible.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140738610","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}
Hélène Fortin, Jacques Wemaere, Stéphane Robin, J. Giraud
In a context of saturation of private dental practices and medical demography issues, responses to requests for emergency dental care are a poorly documented problem. In partnership with the Observatoire Regional de la Santé, the URPS Chirurgiens-Dentistes Nouvelle-Aquitaine, a union, conducted a survey of private dentists in May and June 2022. The objective was to estimate the volume of requests for unscheduled dental care and to describe the responses provided by professionals. More than eight out of ten professionals said they were often called upon for unscheduled care and more than four out of ten set aside specific time slots to provide it. More than a quarter of them said they provided care in 90 percent of cases, in response to requests of this type, and 40 percent provided care in at least half of the cases. For most professionals, the average waiting time for patients requesting unscheduled care was less than 24 hours. Respondents cited patient education as a general avenue for improvement, in addition to the creation of a specific pricing structure for unscheduled care. This survey provides a better understanding of the difficulties faced by professionals on a subject not yet investigated by the dental profession. It documents the acceptability of possible responses in terms of improving professional practices and institutional organizations.
{"title":"Pratiques professionnelles et soins dentaires non programmés en Nouvelle-Aquitaine","authors":"Hélène Fortin, Jacques Wemaere, Stéphane Robin, J. Giraud","doi":"10.3917/spub.241.0081","DOIUrl":"https://doi.org/10.3917/spub.241.0081","url":null,"abstract":"In a context of saturation of private dental practices and medical demography issues, responses to requests for emergency dental care are a poorly documented problem. In partnership with the Observatoire Regional de la Santé, the URPS Chirurgiens-Dentistes Nouvelle-Aquitaine, a union, conducted a survey of private dentists in May and June 2022. The objective was to estimate the volume of requests for unscheduled dental care and to describe the responses provided by professionals. More than eight out of ten professionals said they were often called upon for unscheduled care and more than four out of ten set aside specific time slots to provide it. More than a quarter of them said they provided care in 90 percent of cases, in response to requests of this type, and 40 percent provided care in at least half of the cases. For most professionals, the average waiting time for patients requesting unscheduled care was less than 24 hours. Respondents cited patient education as a general avenue for improvement, in addition to the creation of a specific pricing structure for unscheduled care. This survey provides a better understanding of the difficulties faced by professionals on a subject not yet investigated by the dental profession. It documents the acceptability of possible responses in terms of improving professional practices and institutional organizations.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140736498","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}
INTRODUCTION Although the pill is still the contraceptive method most commonly used by young women in France, since the ‘00s there has been a decline in its use and a questioning of its centrality in the contraceptive norm. This questioning is part of a growing climate of mistrust toward hormonal methods. PURPOSE OF THE RESEARCH Based on an analysis of a corpus of twenty-one interviews with women aged between twenty and twenty-eight on the subject of contraceptive choice, this article aims to provide information on the ways in which rejection of hormones is expressed and to determine its concrete effects on the interviewees’ contraceptive choices. RESULTS The survey shows the prevalence of mistrust of hormones among the young women interviewed. This mistrust is rarely rooted in their contraceptive experience; with a few exceptions, it seems to be more diffuse. This mistrust is most often expressed by women when it comes to justifying stopping the pill, the logistical burden of which becomes increasingly heavy as the years go by. However, the vast majority of women who reject the use of hormones continue to use medical contraception, including hormonal contraception, as long as it is perceived to be easier to use than the pill. CONCLUSIONS By questioning hormonal contraception, and the pill in particular, young women are denouncing the lack of choice: they are not asking for less contraception, but for contraception that is better suited to their needs.
{"title":"Après la pilule. Le choix contraceptif des jeunes femmes à l’épreuve du rejet des hormones","authors":"Cécile Thomé","doi":"10.3917/spub.241.0087","DOIUrl":"https://doi.org/10.3917/spub.241.0087","url":null,"abstract":"INTRODUCTION\u0000Although the pill is still the contraceptive method most commonly used by young women in France, since the ‘00s there has been a decline in its use and a questioning of its centrality in the contraceptive norm. This questioning is part of a growing climate of mistrust toward hormonal methods.\u0000\u0000\u0000PURPOSE OF THE RESEARCH\u0000Based on an analysis of a corpus of twenty-one interviews with women aged between twenty and twenty-eight on the subject of contraceptive choice, this article aims to provide information on the ways in which rejection of hormones is expressed and to determine its concrete effects on the interviewees’ contraceptive choices.\u0000\u0000\u0000RESULTS\u0000The survey shows the prevalence of mistrust of hormones among the young women interviewed. This mistrust is rarely rooted in their contraceptive experience; with a few exceptions, it seems to be more diffuse. This mistrust is most often expressed by women when it comes to justifying stopping the pill, the logistical burden of which becomes increasingly heavy as the years go by. However, the vast majority of women who reject the use of hormones continue to use medical contraception, including hormonal contraception, as long as it is perceived to be easier to use than the pill.\u0000\u0000\u0000CONCLUSIONS\u0000By questioning hormonal contraception, and the pill in particular, young women are denouncing the lack of choice: they are not asking for less contraception, but for contraception that is better suited to their needs.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140737962","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}
Benjamin Tezier, Aurélie Van Hoye, A. Vuillemin, F. Lemonnier, Florence Rostan, Francis Guillemin
Sports clubs (SCs) are an ideal setting for promoting health. However existing health promotion (HP) interventions in SCs mainly target a single health behavior and men who do sports, and evaluations of such interventions provides little information about their deployment. To overcome these limitations, the PROSCeSS intervention was co-constructed based on the theoretical model of the health-promoting SC and multi-level, multi-determinant health strategies. The aim of this pilot study was to evaluate the deployment of the PROSCeSS intervention and identify the factors influencing its deployment. A qualitative study, using recordings of meetings, email and telephone exchanges, and interviews with project leaders of fourteen SC, was carried out. Although a low number of SCs had completed the intervention, they all considered that they have a role to play in helping their members maintain good health. Their ability to develop HP activities and to implement the intervention was influenced by the resources available, the support they received from their sports federation, and the ability of each project leader to get involved in the intervention. The SCs that deployed the intervention implemented several strategies enabling them to integrate health into the organizational, social, economic, and environmental habits of the SCs and to develop new HP activities, such as adapted sports activity sessions and activities to teach members about first aid, nutrition, and good practices for warming up. This study highlights the importance of understanding the specificities of the contexts in which HP interventions are deployed. Having led to a reworking of the intervention steps and the development of an appropriate evaluation design, it also highlights the essential role of pilot studies in the development and evaluation of interventions.
{"title":"Étude pilote d’une intervention de promotion de la santé au sein de clubs de sport","authors":"Benjamin Tezier, Aurélie Van Hoye, A. Vuillemin, F. Lemonnier, Florence Rostan, Francis Guillemin","doi":"10.3917/spub.241.0007","DOIUrl":"https://doi.org/10.3917/spub.241.0007","url":null,"abstract":"Sports clubs (SCs) are an ideal setting for promoting health. However existing health promotion (HP) interventions in SCs mainly target a single health behavior and men who do sports, and evaluations of such interventions provides little information about their deployment. To overcome these limitations, the PROSCeSS intervention was co-constructed based on the theoretical model of the health-promoting SC and multi-level, multi-determinant health strategies. The aim of this pilot study was to evaluate the deployment of the PROSCeSS intervention and identify the factors influencing its deployment. A qualitative study, using recordings of meetings, email and telephone exchanges, and interviews with project leaders of fourteen SC, was carried out. Although a low number of SCs had completed the intervention, they all considered that they have a role to play in helping their members maintain good health. Their ability to develop HP activities and to implement the intervention was influenced by the resources available, the support they received from their sports federation, and the ability of each project leader to get involved in the intervention. The SCs that deployed the intervention implemented several strategies enabling them to integrate health into the organizational, social, economic, and environmental habits of the SCs and to develop new HP activities, such as adapted sports activity sessions and activities to teach members about first aid, nutrition, and good practices for warming up. This study highlights the importance of understanding the specificities of the contexts in which HP interventions are deployed. Having led to a reworking of the intervention steps and the development of an appropriate evaluation design, it also highlights the essential role of pilot studies in the development and evaluation of interventions.","PeriodicalId":49575,"journal":{"name":"Sante Publique","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140740336","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}
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