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Deniau N, Shojaei T, Georges A, Danis J, Czapiuk G, Mercier S, Maari C, Pourchet S, Balladur E, Leclaire C. Home emergency response team for the seriously ill palliative care patient: feasibility and effectiveness. BMJ Support Palliat Care 2023:spcare-2023-004385. [PMID: 37844998 DOI: 10.1136/spcare-2023-004385] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 09/27/2023] [Indexed: 10/18/2023]
Abstract
OBJECTIVES To characterise trajectories associated with a new team organisation combining critical care and palliative care approaches at home. METHODS We describe the pattern of an emergency response team 24/7 directed to patients with advanced illness presenting a distressing symptom at home, who wanted to stay at home and for whom hospitalisation was considered inappropriate by a shared medical decision-making process in an emergency situation. To assess preliminary impact of this Programme, we conducted a descriptive study on all consecutive patients receiving this intervention during the first year (between 6 September 2021 and 5 September 2022). RESULTS Among the 352 patients included, main advanced illnesses were cancer (41%), dementia (28%) or chronic organ failure (10%). They were critically ill with acute failures: respiratory (52%), neurological (48%) or circulatory (20%). Main distressing symptoms were breathlessness (43%) and pain (17%). Median response time from call to home-visit (IQR) was 140 (90-265) min. Median length of follow-up (IQR) was 4 (2-7) days. Main outcomes were death at home (72%), improvement (19%) or hospitalisation (9%) including three visits to emergency department (1%). CONCLUSIONS Our study supports that shared decision-making process and urgent care at home are feasible and might prevent undesired hospitalisations.
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Affiliation(s)
- Nicolas Deniau
- Paris Public Hospital at Home (HAD AP-HP), Greater Paris University Hospitals, Assistance Publique-Hopitaux de Paris, Paris, Île-de-France, France
| | - Taraneh Shojaei
- Paris Public Hospital at Home (HAD AP-HP), Greater Paris University Hospitals, Assistance Publique-Hopitaux de Paris, Paris, Île-de-France, France
| | - Alexandre Georges
- Paris Public Hospital at Home (HAD AP-HP), Greater Paris University Hospitals, Assistance Publique-Hopitaux de Paris, Paris, Île-de-France, France
| | - Jean Danis
- Paris Public Hospital at Home (HAD AP-HP), Greater Paris University Hospitals, Assistance Publique-Hopitaux de Paris, Paris, Île-de-France, France
| | - Georges Czapiuk
- Paris Public Hospital at Home (HAD AP-HP), Greater Paris University Hospitals, Assistance Publique-Hopitaux de Paris, Paris, Île-de-France, France
| | - Stephane Mercier
- Paris Public Hospital at Home (HAD AP-HP), Greater Paris University Hospitals, Assistance Publique-Hopitaux de Paris, Paris, Île-de-France, France
| | - Claudine Maari
- Paris Public Hospital at Home (HAD AP-HP), Greater Paris University Hospitals, Assistance Publique-Hopitaux de Paris, Paris, Île-de-France, France
| | - Sylvain Pourchet
- Paris Public Hospital at Home (HAD AP-HP), Greater Paris University Hospitals, Assistance Publique-Hopitaux de Paris, Paris, Île-de-France, France
| | - Elisabeth Balladur
- Paris Public Hospital at Home (HAD AP-HP), Greater Paris University Hospitals, Assistance Publique-Hopitaux de Paris, Paris, Île-de-France, France
| | - Clement Leclaire
- Paris Public Hospital at Home (HAD AP-HP), Greater Paris University Hospitals, Assistance Publique-Hopitaux de Paris, Paris, Île-de-France, France
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Husky MM, Bitfoi A, Chan-Chee C, Carta MG, Goelitz D, Koç C, Lesinskiene S, Mihova Z, Otten R, Shojaei T, Kovess-Masfety V. Self-reported fears and mental health in elementary school children across Europe. Eur Child Adolesc Psychiatry 2022; 31:1909-1919. [PMID: 34125282 DOI: 10.1007/s00787-021-01823-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Accepted: 06/08/2021] [Indexed: 01/26/2023]
Abstract
Fears are common in the general population and particularly among children. The number of fear subtypes (animals, natural environment, situational, blood-injection-injury or other type) has been shown to be associated with psychopathology. Furthermore, there is evidence suggesting that some subtypes may be more often associated with mental disorders than others. The present study uses data from a large cross sectional survey, the School Children Mental Health in Europe (SCMHE) study, conducted in eight European countries on children ages 6 through 13-years-old attending elementary school (n = 9613). Fear subtypes and self-reported mental health were assessed using the Dominic Interactive (DI), a self-administered computerized image-based questionnaire. The findings show that the number of fear subtypes is strongly associated with self-reported internalizing and externalizing problems. In addition, adjusting for the number of subtypes, fear of animals was less likely than other fears to be associated with psychopathology. The findings support the notion that children who report excessive and generalized fear should be targeted for prevention, consistent with research identifying childhood onset generalized specific phobia as a probable precursor to subsequent psychopathology.
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Affiliation(s)
- Mathilde M Husky
- Laboratoire de Psychologie, EA4139, Université de Bordeaux, 3 ter, place de la Victoire, 33076, Bordeaux, France.
| | - Adina Bitfoi
- The Romanian League for Mental Health, Bucharest, Romania
| | | | - Mauro Giovanni Carta
- Centro Di Psichiatria Di Consulenza E Psicosomatica Azienda Ospedaliero, Universitaria Di Cagliari, Cagliari, Italy
| | - Dietmar Goelitz
- Department of Humanities, Social Sciences and Theology, Friedrich-Alexander-University, Erlangen-Nuernberg, Germany
| | - Ceren Koç
- Yeniden Health and Education Society, Istanbul, Turkey
| | - Sigita Lesinskiene
- Clinic of Psychiatry, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | | | - Roy Otten
- Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, The Netherlands
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Husky MM, Salamon R, Bitfoi A, Carta MG, Chan Chee C, Goelitz D, Koç C, Lesinskiene S, Mihova Z, Otten R, Pez O, Shojaei T, Kovess-Masfety V. Self-reported mental health problems and performance in mathematics and reading in children across Europe. European Journal of Developmental Psychology 2020. [DOI: 10.1080/17405629.2020.1728247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Mathilde M. Husky
- Laboratoire de Psychologie EA4139, Université de Bordeaux, Bordeaux, France
| | - Reda Salamon
- Inserm U1219, Université de Bordeaux, Bordeaux, France
| | - Adina Bitfoi
- The Romanian League for Mental Health, Bucharest, Romania
| | - Mauro Giovanni Carta
- Centro di Psichiatria di Consulenza e Psicosomatica, Azienda Ospedaliero Universitaria di Cagliari, Cagliari, Italy
| | - Christine Chan Chee
- Department of Chronic Disease and Trauma, Institut de Veille Sanitaire, Paris, France
| | - Dietmar Goelitz
- Institute of Psychology, University of Koblenz-Landau (Campus Koblenz), Koblenz, Germany
| | - Ceren Koç
- Yeniden Health and Education Society, Istanbul, Turkey
| | - Sigita Lesinskiene
- Clinic of Psychiatry, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania
| | | | - Roy Otten
- Behavioural Science Institute, Radboud University Nijmegen, Pluryn, Research & Development, Nijmegen, The Netherlands
| | - Ondine Pez
- EHESP Rennes, Sorbonne Paris Cite, Paris, France
| | - Taraneh Shojaei
- Screening and Prevention Bureau, SDS/DASES, Mairie de Paris, Paris, France
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4
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Husky MM, Boyd A, Bitfoi A, Carta MG, Chan-Chee C, Goelitz D, Koç C, Lesinskiene S, Mihova Z, Otten R, Pez O, Shojaei T, Kovess-Masfety V. Self-reported mental health in children ages 6-12 years across eight European countries. Eur Child Adolesc Psychiatry 2018; 27:785-795. [PMID: 29082450 DOI: 10.1007/s00787-017-1073-0] [Citation(s) in RCA: 34] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/06/2017] [Accepted: 10/24/2017] [Indexed: 11/26/2022]
Abstract
Worldwide, approximately one in eight children or adolescents suffers from a mental disorder. The present study was designed to determine the self-reported prevalence of mental health problems in children aged 6-11 years across eight European countries including Italy, France, Germany, the Netherlands, Lithuania, Bulgaria, Romania, and Turkey. Data were drawn from 6245 children participating in the School Children Mental Health in Europe (SCHME) study and a large cross-sectional survey in France. Self-reported child mental health was assessed using the Dominique Interactive (DI). Overall, 22.0% of children were identified per their own evaluation as having at least one mental disorder, ranging from 16.4% in the Netherlands to 27.9% in Bulgaria. The prevalence of internalizing disorders was 18.4% across countries and ranged from 11.8% in the Netherlands to 24.3% in Turkey. The prevalence of externalizing disorders was lower with an average of 7.8%, ranging from 3.5% in Turkey to 10.5% in Bulgaria. Combining samples across European countries, 1 in 5 children reported internalizing problems and 1 in 12 children externalizing problems. The net completion rates of 4.1-74.3% preclude conclusions about national differences in prevalence rates.
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Affiliation(s)
- Mathilde M Husky
- Department of Psychology EA4139, Institut Universitaire de France, University of Bordeaux, 3 ter, place de la Victoire, 33076, Bordeaux, France.
| | - Anders Boyd
- INSERM, UMR_S1136, Institut Pierre Louis d'Epidémiologie et de Santé Publique, Paris, France
| | - Adina Bitfoi
- The Romanian League for Mental Health, Bucharest, Romania
| | - Mauro Giovanni Carta
- Centro di Psichiatria di Consulenza e Psicosomatica Azienda Ospedaliero, Universitaria di Cagliari, Cagliari, Italy
| | - Christine Chan-Chee
- Mental Health Programme, Department of Chronic Disease and Trauma, Institut de Veille Sanitaire, Paris, France
| | - Dietmar Goelitz
- Institute of Psychology, University of Koblenz-Landau (Campus Koblenz), Koblenz, Germany
| | - Ceren Koç
- Yeniden Health and Education Society, Istanbul, Turkey
| | - Sigita Lesinskiene
- Clinic of Psychiatry, Faculty of Medicine, University of Vilnius, Vilnius, Lithuania
| | | | - Roy Otten
- Behavioural Science Institute, Radboud University Nijmegen, Pluryn, Research and Development, Nijmegen, The Netherlands
| | - Ondine Pez
- EHESP Rennes, Sorbonne Paris Cite, Paris, France
| | - Taraneh Shojaei
- Screening and Prevention Bureau, SDS/DASES, Mairie de Paris, Paris, France
| | - Viviane Kovess-Masfety
- EHESP Rennes, Sorbonne Paris Cite, Paris, France
- EA 4057, Paris Descartes University, Sorbonne Paris Cite, Paris, France
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5
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Campbell J, Shojaei T. [Not Available]. Sante Publique 2018; S1:5. [PMID: 30066548 DOI: 10.3917/spub.180.0005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
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Saliou P, Moatti JP, Migliani R, Brunet-Jailly J, Ridde V, Balique H, Boidin B, Lambert A, Shojaei T, Cantau N, Marmora L, Alpha Sall A, Martin-Blondel G, Failloux AB, Simon F, Pennetier C, Paty MC, Deubel V, Teyssou R. [Les arboviroses : autres regards]. Bull Soc Pathol Exot 2017; 110:326-334. [PMID: 29299884 DOI: 10.1007/s13149-017-0580-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Affiliation(s)
- P Saliou
- GISPE, 82 bld Tellene, 13007, Marseille, France.
| | - J-P Moatti
- Institut de recherche pour le développement (IRD), Université Montpellier 1, Montpellier, France
| | - R Migliani
- École du Val-de-Grâce, 1, place Alphonse Laveran, 75230, Paris cedex 05, France
| | - J Brunet-Jailly
- Sciences Po Paris, 27 rue Saint-Guillaume, 75007, Paris, France
| | - V Ridde
- Université de Montréal, Montréal, Canada
| | - H Balique
- Ancien conseiller technique au ministère de la Santé du Mali, Bamako, Mali
| | - B Boidin
- Université Lille 1, 59650 Villeneuve d'Ascq, Lille, France
| | - A Lambert
- Agence française de développement, 5 rue Roland Barthes, 75598, Paris cedex 12, France
| | - T Shojaei
- Ministère des affaires étrangères, 37 quai d'Orsay, 75007, Paris, France
| | - N Cantau
- Fonds mondial de lutte contre le sida, la tuberculose et le paludisme, chemin de Blandonnet 8, 1214, Genève, Suisse
| | - L Marmora
- Unitaid, Avenue Appia 20, 1211, Genève, Suisse
| | - A Alpha Sall
- Institut Pasteur de Dakar, 43 av. Pasteur, Dakar, Sénégal
| | - G Martin-Blondel
- Service des maladies infectieuses, CHU de Toulouse, Place du Docteur Baylac - TSA 40031, 31059, Toulouse cedex 9, France
| | - A-B Failloux
- Institut Pasteur, Génétique moléculaire des Bunyavirus, 25 rue du Dr. Roux, 75724, Paris, France
| | - F Simon
- École du Val-de-Grâce, 1, place Alphonse Laveran, 75230, Paris cedex 05, France
| | - C Pennetier
- Institut Pierre Richet, Bouaké, 01 BP 1500 Bouaké/INSP BP. V 47, Bouaké, Côte d'Ivoire
| | - M-C Paty
- Surveillance des maladies vectorielles, Santé publique France, 12 rue du Val d'Osne, 94415, Saint-Maurice cedex, France
| | | | - R Teyssou
- Groupe d'étude en préventologie, 351 Route de Toulouse, 33140, Villenave-d'Ornon, France
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Bourdier-Guizouarn N, Niakaté A, Gendreau J, Shojaei T. VAC-11 - Vaccination rougeole, rubéole, oreillons (RRO) en milieu scolaire en 2012-2013. Med Mal Infect 2016. [DOI: 10.1016/s0399-077x(16)30537-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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8
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Heard I, Tondeur L, Arowas L, Parent Du Chatelet I, Demazoin M, Falguières M, Bouvet E, Rondinaud E, Simon A, Tosini W, Sednaoui P, Schmit JL, Biendo M, Caillon P, Florence S, Valin N, Boukli N, Triller O, Shojaei T, Spenatto N, Delmas C, Decre D, Lalande V, Houette A, Oria F, Fresse A, Montfort L, Dhotte P. COL 5-03 - Statut vaccinal et infection génitale par les HPV en France. Med Mal Infect 2016. [DOI: 10.1016/s0399-077x(16)30278-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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9
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Charlois-Ou C, Dormant I, Dufour M, Hocine N, Mazelle G, Shojaei T, Antoun F. Activité d’un centre de lutte anti-tuberculeuse (CLAT) sur 5ans. Rev Mal Respir 2015. [DOI: 10.1016/j.rmr.2014.11.060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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10
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Pitrou I, Shojaei T, Chan-Chee C, Wazana A, Boyd A, Kovess-Masféty V. The associations between headaches and psychopathology: a survey in school children. Headache 2011; 50:1537-48. [PMID: 21198562 DOI: 10.1111/j.1526-4610.2010.01781.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND Headaches are common in childhood and significantly impact children's quality of life. On the contrary to the adolescent and adult population, there are few data on the associations between headaches and psychopathology in young children. OBJECTIVE The aim of this study was to examine the relationships between child headaches, emotional and behavioral difficulties in children aged 6-11 years old. METHODS A cross-sectional survey was conducted in 2004 in 100 primary schools from a large French region, with 2341 children aged 6-11 years old randomly selected. Child headache status, comorbid physical conditions, and socioeconomic characteristics were collected in parent-administered questionnaires. Child psychopathology outcomes were assessed using child- and parent-reported standardized instruments: respectively, the Dominic Interactive and the Strengths and the Difficulties Questionnaire. Associations were estimated using logistic regression models. RESULTS Response rates to the parent questionnaire and the Dominic Interactive were 57.4% and 95.1%, respectively. The final sample size was 1308 children. Eleven percent of the children already experienced frequent headaches in their lifetime, with no difference by age or gender. Headaches were associated with parent-reported emotional problems (OR=1.76; 95% CI: 1.03-3.01) and self-reported general anxiety disorder (OR=1.99; 1.13-3.52). Comorbid physical conditions ≥2 appeared as an independent factor significantly associated with headaches (OR =1.75; 95% CI: 1.13-2.73). Inversely, low parental punitive behaviors were less frequently associated with headaches (OR=0.41; 95% CI: 0.18-0.94). CONCLUSION Our results suggest some associations between headaches, emotional disorders, and comorbid physical conditions in young children aged 6-11 years old. Those results should be considered in the treatment approaches of childhood headaches and from the etiological aspect.
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Affiliation(s)
- Isabelle Pitrou
- EA 4069 Paris Descartes University, Ecole des Hautes Etudes de Santé Publique (EHESP), Paris, France
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11
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Di Costanzo S, Lévy P, Thépot F, Shojaei T. P54 PGD activity in France: the French specificities. Reprod Biomed Online 2010. [DOI: 10.1016/s1472-6483(10)62370-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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12
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Shojaei T, Le Masson V, Chomette E, Laqueille X. Étude de l’utilisation du système de soins et des profils de consommateurs dans un service d’addictologie. Rev Epidemiol Sante Publique 2010. [DOI: 10.1016/j.respe.2010.02.054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Pitrou I, Shojaei T, Wazana A, Gilbert F, Kovess-Masféty V. Child overweight, associated psychopathology, and social functioning: a French school-based survey in 6- to 11-year-old children. Obesity (Silver Spring) 2010; 18:809-17. [PMID: 19713951 DOI: 10.1038/oby.2009.278] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
The aim of this study was to estimate the prevalence of child overweight in a regional sample of primary school-aged children, and to examine the relationships among child overweight, psychopathology, and social functioning. A cross-sectional survey was conducted in 2004 in 100 primary schools of a large French region, with 2,341 children aged 6-11 randomly selected. Child weight and height, lifestyle variables (leisure-time physical activity (LTPA), watching television (TV), playing video games), and socioeconomic characteristics were collected in parent-administered questionnaires. Child psychopathology outcomes were assessed using child- and parent-reported instruments (Dominic Interactive (DI) and Strengths and Difficulties Questionnaire (SDQ)). Overweight and obesity were estimated according to the International Obesity Task Force (IOTF) definition. Response rates to the parent questionnaire and DI were 57.4 and 95.1%, respectively. Final sample size was 1,030 children. According to the IOTF, 17.3% of the children were overweight, of whom 3.3% were obese. In univariate analysis, correlates of overweight were low parental education, low monthly income, Disadvantaged School Areas (DSAs), self-reported generalized anxiety, parent-reported conduct disorders, emotional problems, and peer difficulties. High monthly income was less frequently associated with overweight. In multivariate analysis, parent-reported peer difficulties (odds ratio (OR) = 2.06; 95% confidence interval = 1.27-3.35) and DSAs (1.88; 1.03-3.44) were independent factors significantly associated with child overweight. There was a trend of being overweight with elevated TV times (P for trend = 0.02). The psychosocial burden of excess weight appears to be significant even in young children. Findings should be considered for preventing strategies and public health interventions. School-based overweight prevention programs should be implemented first in disadvantaged areas together with information about weight stigmatization and discrimination.
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Affiliation(s)
- Isabelle Pitrou
- EA 4069 René Descartes University, Fondation MGEN pour la Santé Publique, Paris Cedex, France.
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14
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Shojaei T, Wazana A, Pitrou I, Gilbert F, Bergeron L, Valla JP, Kovess-Masfety V. Psychometric properties of the Dominic Interactive in a large French sample. Can J Psychiatry 2009; 54:767-76. [PMID: 19961665 DOI: 10.1177/070674370905401107] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVES To examine the psychometric properties of the Dominic Interactive (DI) in school-aged children in a different cultural environment than Quebec. METHODS In a large French region, 100 schools and 25 children (aged 6 to 11 years) per school were randomly selected. Data were collected using self-administered questionnaires to children (DI), parents (sociodemographic characteristics, mental health services use), and teachers (child school achievement). DI psychometric properties were assessed by examining: the distribution of each DI diagnosis; comorbidity between diagnoses; alpha coefficients measuring internal consistency; and correlates of psychopathologies with sociodemographic status and health care services use. Estimates of DI properties were compared with those from a sample of community children in Quebec. RESULTS Complete data were available for 1274 children (54.4%). The internal consistency of each DI diagnosis of the French version was reasonable, with Cronbach's alpha coefficients ranging from 0.62 to 0.89. The psychometric properties and comorbidity were consistent with the version from Quebec. CONCLUSIONS The satisfactory psychometric properties of the DI along with other demonstrated advantages of this instrument (children enjoy the activity, parents approve of it, and it is cost-effective) and its cultural adaptability support the consideration of the DI for epidemiologic studies in diverse cultures.
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Affiliation(s)
- Taraneh Shojaei
- EA 4069 Paris Descartes University, Fondation MGEN pour la Santé Publique, Paris, France
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15
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Kovess-Masféty V, Shojaei T, Pitrou I, Gilbert F. Besoin de soins en santé mentale versus besoin de soins en pédopsychiatrie. Approche épidémiologique. ACTA ACUST UNITED AC 2009. [DOI: 10.1016/j.neurenf.2008.12.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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16
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Bouyer J, Coste J, Shojaei T, Pouly JL, Fernandez H, Gerbaud L, Job-Spira N. Risk factors for ectopic pregnancy: a comprehensive analysis based on a large case-control, population-based study in France. Am J Epidemiol 2003; 157:185-94. [PMID: 12543617 DOI: 10.1093/aje/kwf190] [Citation(s) in RCA: 189] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
This case-control study was associated with a regional register of ectopic pregnancy between 1993 and 2000 in France. It included 803 cases of ectopic pregnancy and 1,683 deliveries and was powerful enough to investigate all ectopic pregnancy risk factors. The main risk factors were infectious history (adjusted attributable risk = 0.33; adjusted odds ratio for previous pelvic infectious disease = 3.4, 95% percent confidence interval (CI): 2.4, 5.0) and smoking (adjusted attributable risk = 0.35; adjusted odds ratio = 3.9, 95% CI: 2.6, 5.9 for >20 cigarettes/day vs. women who had never smoked). The other risk factors were age (associated per se with a risk of ectopic pregnancy), prior spontaneous abortions, history of infertility, and previous use of an intrauterine device. Prior medical induced abortion was associated with a risk of ectopic pregnancy (adjusted odds ratio = 2.8, 95% CI: 1.1, 7.2); no such association was observed for surgical abortion (adjusted odds ratio = 1.1, 95% CI: 0.8, 1.6). The total attributable risk of all the factors investigated was 0.76. As close associations were found between ectopic pregnancy and infertility and between ectopic pregnancy and spontaneous abortion, further research into ectopic pregnancy should focus on risk factors common to these conditions. In terms of public health, increasing awareness of the effects of smoking may be useful for ectopic pregnancy prevention.
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Affiliation(s)
- Jean Bouyer
- INSERM U569, IFR69 (The French Institute of Health and Medical Research), Le Kremlin-Bicêtre, France.
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17
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Baud O, Zupan V, Lacaze-Masmonteil T, Audibert F, Shojaei T, Thebaud B, Ville Y, Frydman R, Dehan M. The relationships between antenatal management, the cause of delivery and neonatal outcome in a large cohort of very preterm singleton infants. BJOG 2000; 107:877-84. [PMID: 10901559 DOI: 10.1111/j.1471-0528.2000.tb11086.x] [Citation(s) in RCA: 75] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To determine whether the cause of very preterm delivery influences neonatal outcome. DESIGN A cohort study of 685 consecutive singletons born before 33 weeks of gestation. METHODS Causes of birth and perinatal outcome variables were correlated for statistical significance by uni- and multi-variate analyses. RESULTS Intrauterine growth retardation or pre-eclampsia were associated with a higher rate of respiratory distress syndrome compared with prolonged rupture of membranes, after controlling for gestational age, antenatal corticosteroid therapy, antenatal antibiotic administration, mode of delivery and origin (inborn or outborn) (adjusted OR 3.12; 95% CI 1.55-6.28). The prevalence of grade 3-4 intraventricular haemorrhage or cystic periventricular leukomalacia was 25% in newborn babies born after intrauterine infection or prolonged rupture of membranes. Among infants born after intrauterine growth retardation/pre-eclampsia, the rate of severe intraventricular haemorrhage was 3.2% and the rate of periventricular leukomalacia was 0.9%. Compared with intrauterine infection and after controlling for potential confounding covariates, intrauterine growth retardation/pre-eclampsia was associated with a lower rate of periventricular leukomalacia (adjusted OR 0.08; 95% CI 0.02-0.41). In the same multiple logistic regression model, antenatal corticosteroid administration was associated with a lower incidence of periventricular leukomalacia (adjusted OR 0.36; 95% CI 0.16-0.79). CONCLUSIONS The cause of very preterm delivery has an important influence on neonatal outcome.
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Affiliation(s)
- O Baud
- Department of Neonatology, Antoine-Béclère University Hospital, Clamart, France
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