Sante Publique最新文献

Introduction: Several countries have seen an increase in the number of accepted mental disorders in recent years, but the possible variations of this change in the workforce are yet to be explored.

Purpose of the study: This study examines the breakdown over time in accepted mental disorders by occupation, industrial sector, sex, and age in Quebec.

Results: Incidence rates and trends in mental disorders vary by occupation and industrial sector. While the rate is generally higher in mixed occupations and the tertiary sector, the increase in these rates is more marked in non-manual occupations and the primary sector. Significant variations are also observed by sex and for certain age groups.

Conclusions: The use of administrative data on accepted mental disorders complements survey data on mental health at work for different groups of workers. The growth in rates of accepted mental disorders points to the groups to be prioritized for prevention of this category of occupational injury..

Despite the firm entrenchment of gender equality in the laws and values of our modern societies, undeniable disparities between genders continue to exist. It's important to note that health disparities between genders are not solely a result of biological differences but are also due to sociological dynamics and the French healthcare system. The leading cause of death among women is not cancer but cardiovascular disease. Cancer occupies the second position, with breast cancer being the primary cause of mortality. Despite a very large number of cases, too little is still known about endometriosis and it is diagnosed late, with an average delay of seven years in France. Menopause is a physiological state in women, but various health problems can gradually develop as a result, like the climacteric syndrome. By placing women's health at the heart of concerns, we can transform this unacceptable situation into a victory for gender equality and justice in health.

Introduction: Global health researchers tend to focus on the social and structural determinants of health and offer solutions for the "decolonization of public health" by addressing these determinants. These solutions address the root causes of social inequalities in health, but too often ignore the affective and intersubjective dimensions that underlie the complex human relationships in global health.

Methods: In this article, we focus on experiential data through the concept of geo-corpo-political knowledge (Tlostanova & Mignolo, 2009). We explore the emotional experiences we can have as researchers engaging in authentic dialogue in research sites. We draw on collaborative research with Doctors of the World in Montreal, Quebec, focusing on barriers to health care for undocumented migrants to inform our analysis.

Results: In qualitative interviews with caregivers working with this population, we identified paradoxes, areas of silence, and difficulties in verbalizing their lived and emotional experiences.

Discussion: In this paper we go beyond what can be put into words. We aim to explore our feelings as researchers to offer a systemic understanding of the oppression experienced by patients in their interactions with healthcare institutions. We argue that to reach the most marginalized populations and better understand their experiences, it is important to develop research methods that integrate the emotional world of researchers.

Introduction: Faced with the glaring inequities between Indigenous and non-Indigenous populations, the Quebec government has proposed a bill to increase cultural safety in its health and social services for Indigenous populations.

Objective: This article aims to critically examine this bill.

Results: We show that it is marked by a colonial rationale. This rationale is as evident in the content of the bill as it is in its form. Regarding the content, Indigenous stakeholders were not consulted to jointly develop the bill, which fails to include any Indigenous demands. It denies the existence of systemic racism within healthcare institutions and neglects the inherent power dynamics integral to the concept of cultural safety. Regarding its form, the drafting of the bill is marked by paternalism, and the use of the "us/them" dichotomy reinforces a racialized and binary discourse between the dominant culture and Indigenous cultures. This dichotomy perpetuates ideologies of superiority and inferiority among population groups.

Conclusion: By focusing on Indigenous cultural realities, the government sidesteps addressing the root causes of health inequities. Instead, the government should collaborate closely with Indigenous stakeholders and support policies addressing the structural determinants of health. It must also support the self-determination of Indigenous peoples.

Introduction: In the context of the localization of health policies in France, prevention has historically been relegated to the background. The need to improve the coordination of preventive efforts at the regional level is frequently emphasized, particularly since the emergence of structures with prevention mandates, such as the Health Territorial and Professional Communities (HTPC). This study aims to describe and characterize the regional organization of prevention, and to discuss various models of cooperation proposed by actors in a pilot region.

Method: The pilot area studied is that of the Sud Yvelines CPTS. A series of focus groups was conducted, involving professional, community, and institutional actors from the region. Participants were invited, in small groups, to design an "ideal" cooperation framework for implementing prevention initiatives, selecting and discussing the approaches they considered most appropriate.

Results: The regional organization of prevention appears relatively complex, involving a wide range of actors and diverse relationships among them. The cooperation models proposed by professionals show significant heterogeneity. Health professionals tend to favor coordination through mutual adjustment, while community actors prefer more formalized coordination, such as direct supervision.

Discussion: The regional coordination of prevention is part of a broader process of localizing public health. Primary care actors are now formally mandated to take part in the implementation of regional prevention efforts.