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See detailAssociations between quality of life and socioeconomic factors, functional impairments and dissatisfaction with received information and home-care services among survivors living at home two years after stroke onset
Baumann, Michèle UL; Le Bihan, Etienne UL; Chau, Kénora et al

in BMC Neurology (2014), 14

Quality of life (QoL) assessment is important when monitoring over time the recovery of stroke-survivors living at home. This study explores the associations between QoL and socioeconomic factors ... [more ▼]

Quality of life (QoL) assessment is important when monitoring over time the recovery of stroke-survivors living at home. This study explores the associations between QoL and socioeconomic factors, functional impairments and self-reported dissatisfaction with received information and home-care services among survivors two years after stroke onset. This problem remains partially addressed though optimal information and services may improve survivors' QoL. Methods Stroke-survivors admitted to all hospitals in Luxembourg 18 months or more previously were identified using the only care-expenditure-reimbursement national system database. The clinical diagnosis was confirmed. Ninety four patients aged 65 years and living at home were interviewed to gather socioeconomic characteristics, functional impairments, dissatisfaction with information and home-care services, and QoL (using the Newcastle Stroke-Specific QoL, newsqol) assessing 11 domains. Data were analyzed using multiple linear regression models. Results About 50% of survivors had low education and lower income. Functional impairments were common: sensory (45%), motor (35%), memory (32%), language (31%), and vision (20%). Survivors with education (<12th grade) or lower income had low values for most newsqol domains (sex-age-adjusted regression coefficient saRC, i.e. mean difference, between -23 and -8). Patients who were working had better values for pain, mental feelings and sleep domains than did retired people (saRC between -3.9 and 4.2). Various functional impairments were associated with markedly low values of nearly all domains (saRC between -33.5 and -7.5) and motor, language, memory and sensory impairments had the highest impact. The survivors' perceived QoL was markedly low, especially for the domains of interpersonal relationship, sleep, cognition, mental feelings, and pain. Various QoL domains were strongly related to dissatisfaction with information about stroke and its consequences/changes over time, accuracy of information obtained, help received, coordination between services, and the possibility of receiving help when necessary (saRC reaching -30). Conclusions Stroke-survivors had major alterations in QoL that reflected depressive symptoms, which should be appropriately treated. These findings may help with the development of public policies aiming at improving QoL among stroke survivors. The newsqol could be used routinely to measure the recovery of survivors over time and their needs in terms of information, help and care services [less ▲]

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See detailTwo years post-stroke: the effects of dissatisfaction with services and quality of information on patients’ quality of life in Luxembourg
Baumann, Michèle UL; Chau, Nearkasen

in Best Investissements for Health (2013)

Stroke is the second cause of death and helps from socio-medical services and information are crucial for promoting post-stroke patient’s quality of life. We analysed the impact of dissatisfaction with ... [more ▼]

Stroke is the second cause of death and helps from socio-medical services and information are crucial for promoting post-stroke patient’s quality of life. We analysed the impact of dissatisfaction with these services and information on post-stroke patient’s quality of life taking into account socioeconomic factors and functional impairments, which remains little documented. Methods: All 2-year post-stroke patients admitted to all hospitals in Luxembourg were identified using the only care-expenditure-reimbursement national system database. Clinical diagnosis of cerebrovascular disease was confirmed. Ninety four patients living at home (mean age 65.5) were face-to-face interviewed to gather socioeconomic characteristics (sex, age, nationality, family structure, education, occupation, income and residence place) and to measure quality of life (using the Newcastle Stroke-Specific Quality of Life measure, noted Newsqol (assessing mobility, self-care, pain, cognition, vision, communication, feelings, relationships, emotion, sleep and fatigue) and dissatisfaction with various services and information. Data were analysed using multiple regression models. Results: Most functional impairments impacted multiple Newsqol dimensions. Language impairment related to most Newsqol dimensions (mobility, self-care, cognition, vision, communication, feelings, relationships, sleep and fatigue); memory impairment to pain, cognition, feeling, emotion, and sleep; motor impairment to mobility, self-care, pain, feeling and fatigue; visual impairment to relationships in addition to vision; sensory impairment to pain, communication, emotion and sleep. Controlling for all socioeconomic factors and functional impairments evidenced that dissatisfactions with helps and information about helps from community services were strongly associated with all Newsqol dimensions including mainly self-care, communication, mental feeling, relationships, emotion and sleep. Lack of information about stroke was associated with relationships and sleep. Conclusion: Improving help services and information about helps and cerebrovascular disease in chronic phase should highly impact patients’ quality of life. It is important to promote patient-centred care focusing on information need, financial need, and medical, technical and personal aids. [less ▲]

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See detailImpacts of socioeconomic, family, school, behavioural and mental difficulties on involvement in violence in boys and girls
Chau, Nearkasen; Baumann, Michèle UL

in Pracana, Clara; Silva, Liliana (Eds.) International Psychological Applications and Trends (2013)

Involvement in violence is common and may result from a number of deleterious socioeconomic, family, school, behavioral and mental difficulties, and sustained violence in early adolescence. The roles of ... [more ▼]

Involvement in violence is common and may result from a number of deleterious socioeconomic, family, school, behavioral and mental difficulties, and sustained violence in early adolescence. The roles of these factors remain partially addressed because few of them have been investigated with often unknown chronologies. Preventing these issues is crucial to promote health and school achievement. This study assessed their impacts on involvement in violence among boys and girls. Design: Cross-sectional study with lifetime history reconstruction of life events. Methods: The sample included 1,559 middle-school adolescents from north-eastern France (778 boys and 781 girls, mean age 13.5, SD 1.3), who completed a self-administered questionnaire including gender, birth date, father’s occupation, parents’ education, nationality, income, social supports, and lifetime history reconstruction of parents’ separation/divorce/death, alcohol/tobacco/cannabis/hard drugs uses, repeating a school-year, sustained physical/verbal violence, sexual abuse, depressive symptoms (Kandel scale), suicide attempts, and involvement in violence. Involvement in violence was measured with an 11-item scale on fights in group or not, verbal violence, racial actions, taking something of others/shop, set fire, using weapon,damaging public/private property, in school, in school neighborhood, at home, and elsewhere (Cronbach's alpha 0.82, score>90th percentile). Social support was measured using a 9-item scale concerning relationships with people round about (Cronbach's alpha 0.56, score>90th percentile). Data were analyzed using Cox models including all factors to compute adjusted hazard ratios (aHR). Findings: Involvement in violence affected 10.3% of adolescents (14.3% in boys, 6.4% in girls, p<0.001). Among boys, involvement in violence was influenced by being inactive (unemployed/retired) offspring (aHR 2.63, 95%CI 1.48-4.69), alcohol use (1.76, 1.11-2.79), tobacco use (2.71, 1.56-4.69), hard drugs use (3.46, 1.73-6.91), suicide attempt (2.05, 1.05-3.97), sustained physical/verbal violence (1.63, 1.02-2.62), and poor social support (2.64, 1.67-4.16 for score 1-2 and 2.80, 1.64-4.78 for score 3+, vs. score 0). Among girls, involvement in violence was influenced by being inactive offspring (2.39, 95%CI 1.09-5.27), tobacco use (3.57, 1.46-8.72), cannabis use (4.45, 1.36-14.55), depressive symptoms (8.88, 3.01-26.20), and poor social support (9.38, 2.80-31.43 for score 1-2 and 14.23, 4.11-49.23 for score 3+, vs. score 0). Boys had a much higher risk than girls (crude hazard ratio 3.57, 95%CI 2.56-5.00) which did not change when adjusting for all factors studied. Conclusions: Living difficulties highly and similarly enough impacted on involvement in violence among boys and girls in early adolescence. Our findings call for measures preventing and monitoring these difficulties in this crucial life period. [less ▲]

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See detailSelf-reporting and measurement of body mass index in adolescents: refusals and validity, and the possible role of socioeconomic and health-related factors.
Chau, Nearkasen; Mayet, A; Baumann, Michèle UL

in BMC Public Health (2013), 13(1), 815-829

Body mass index assessment using self-reported height and weight (BMIsr) can encounter refusals and under/over-reporting while for assessment with measured data (BMIm) refusals can be more frequent. This ... [more ▼]

Body mass index assessment using self-reported height and weight (BMIsr) can encounter refusals and under/over-reporting while for assessment with measured data (BMIm) refusals can be more frequent. This could relate to socioeconomic and health-related factors. We explored these issues by investigating numerous potential factors: gender, age, family structure, father's occupation, income, physical/sports activity, subjective weight perception, school performance, unhealthy behaviours, physical/psychological health, social relationships, living environment, having sustained violence, sexual abuse, and involvement in violence. The sample included 1559 adolescents from middle schools in north-eastern France. They completed a questionnaire including socioeconomic and health-related data, self-reported height/weight, measured height/weight, and weight perception (participation rate 94%). Data were analysed using logistic regression models. BMIsr encountered under-reporting (with change in BMI category, 11.8%), over-reporting (6.0%), and reporting refusals (3.6%). BMIm encountered more numerous refusals (7.9%). Reporting refusal was related to living with a single parent, low school performance, lack of physical/sports activity, sustained violence, poor psychological health, and poor social relationships (gender/age-adjusted odds ratios 1.95 to 2.91). Further to these factors, measurement refusal was related to older age, having divorced/separated parents, a father being a manual worker/inactive, insufficient family income, tobacco/cannabis use, involvement in violence, poor physical health, and poor living environment (1.30 to 3.68). Under-reporting was related to male gender, involvement in violence, poor psychological health, and overweight/obesity (as assessed with BMIm) (1.52 to 11). Over-reporting was related to male gender, younger age, alcohol consumption, and underweight (1.30 to 5.35). Weight perception was linked to reporting refusals and under/over-reporting, but slightly linked to measurement refusal. The contributions of socioeconomic and health-related factors to the associations of weight perception with reporting refusal and under/over-reporting ranged from -82% to 44%. There were substantial discrepancies in the associations between socioeconomic/health-related factors and overweight/obesity assessed with BMIsr and BMIm. BMIsr and BMIm were affected by numerous biases related to vulnerability which were also obesity risk factors. BMIsr encountered under/over-reporting which were related to some socioeconomic and health-related factors, weight perception, and BMIm. BMIm was more affected by refusals than BMIsr due to socioeconomic and health-related factors. Further research is needed. [less ▲]

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See detailLife satisfaction two-years after stroke onset: the effects of gender, occupational status, memory function and quality of life among stroke patients (Newsqol) and their family caregivers (Whoqol-bref) in Luxembourg
Baumann, Michèle UL; Couffignal, Sophie; Le Bihan, Etienne UL et al

in BMC Neurology (2012), 12

Life satisfaction (LS) of cerebrovascular disease survivors and their family caregivers may relate to socioeconomic factors, impaired functions, health-related quality of life (QoL), but their respective ... [more ▼]

Life satisfaction (LS) of cerebrovascular disease survivors and their family caregivers may relate to socioeconomic factors, impaired functions, health-related quality of life (QoL), but their respective influences remain unclear. This study assessed, two years post-stroke onset, the effects of these factors on patients' LS and family caregivers' LS in Luxembourg. METHODS: All stroke patients admitted to all hospitals in Luxembourg were identified by the 'Inspection Général de la Sécurité Sociale' using the only national system database for care expenditure reimbursement. Their diagnosis was confirmed by medical investigator. The sample included ninety four patients living at home having given consent (mean age 65.5 years) and sixty two main caregivers (mean age 59.3 years). Questionnaires were completed during face-to-face interviews. LS was assessed via European single question (range 1-10), survivors' QoL via Newsqol (11 dimensions), and caregivers' QoL via Whoqol-bref (4 domains) (range 0-100). Data were analysed using multiple regression models. RESULTS: Two years after stroke onset, 44.7% of patients suffered from impaired sensory function, 35.1% from impaired motor function, and 31.9% from impaired memory function. Mean patient' LS was 7.1/10 (SD 1.9). It was higher in women (+12.4) and lower among unemployed socioeconomically active patients (-13.1, vs. retired people). Adjusted for sex, occupation, impaired motor and memory functions, LS positively correlated with scores of Newsqol feelings, sleep, emotion, cognition and pain dimensions (slopes 0.20 to 0.31), but did not correlate with those of caregivers' Whoqol-bref domains. Family caregiver' LS was 7.2 (SD 1.7). It was lower in those with patients suffering from impaired memory function (-12.8) as well as from feelings and emotion issues (slopes 0.22). It was associated with all caregivers' Whoqol-bref domains (physical health, psychological health, environment, and social relationships) (slopes 0.53 to 0.68). CONCLUSIONS: Two-year post-cerebrovascular disease patient' LS was associated with gender, occupation, and impaired memory function. It correlated with feelings, sleep, emotion, cognition, and pain issues. Family caregivers of patients with impaired memory function had lower LS. Family caregiver' LS correlated with dimensions of patients' feelings (less independent, yourself, life changed, depressed, useless, less control because of stroke) and emotion (get more emotional, fear of another stroke or to become dependent on others), and with their own QoL. LS, Newsqol, and Whoqol appeared to be appropriate tools. Our findings may be useful for policy makers in relation to family and medical-social issues of stroke home-based rehabilitation. [less ▲]

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See detailDo relative socioeconomic deprivations impact on subjective health-related quality of life and behaviors among adolescents?
Chau, Nearkasen; Baumann, Michèle UL

in 40th World Congress of Sociology (2012)

Socioeconomic deprivations include relative parent-education, family structure, nationality, parentoccupation and income that could impact on subjective well-being among adolescents which then persists in ... [more ▼]

Socioeconomic deprivations include relative parent-education, family structure, nationality, parentoccupation and income that could impact on subjective well-being among adolescents which then persists in adulthood. In an early adolescence context, this study assessed the associations of the previous factors with subjective health-related quality of life (QoL) and behaviors. Methods: Questionnaires were completed by 1559 middle-school adolescents from north-eastern France (mean age 13.5 (SD 1.3) years) including: sex, age, family structure, parent-education/income/occupation, last-30-day tobacco/alcohol/cannabis/hard-drug consumption, sports activities, victim of violence, sexual abuse, violenceimplication, suicidal ideation, social supports, and WHOQoL (4 domains physical, psychological, socialrelationship, and environment; <10th percentile value). Data were analyzed using logistic models which yield adjusted odds ratios (OR, sex/age taken into account). Results: Low WHOQoL-physical, WHOQoL-psychological, WHOQoL-social-relationship and WHOQoLenvironment affected 14.1%, 9.6%, 16.1%, and 12.6%, respectively. Last-30-day tobacco/alcohol/cannabis/harddrug uses affected 11.2%, 35.2%, 5.6%, and 2.8%, respectively. WHOQoL-physical significantly related to parent low-education (OR=1.59), reconstructed-family (1.98, vs. intact-family), divorced/separated-parents (1.85), nonliving-with-parent (2.44), non-European-nationality (2.31), and insufficient-income (1.50). WHOQoLpsychological related to reconstructed-family (OR=1.91), divorced/separated parents (1.98), and insufficientincome (1.62). WHOQoL-social-relationship related to divorced/separated-parents (1.89), non-European nationality (4.58), and insufficient-income (1.36). WHOQoL-environment related to parent-low-education (OR=2.01), reconstructed-family (1.80), divorced/separated parents (3.25), single-parent-family (1.88), non-living with-parent (2.13), non-European-nationality (3.33), and insufficient-income (1.71). Last-30-day tobacco/alcohol/cannabis/hard-drug uses related to family-structure, European-non-French-nationality, and insufficient-income with great OR-variations across substances (up to 5.30). Parent-low-education was negatively linked with alcohol use (0.70). Regarding parent-occupation risks were lower for cannabis use among clerk/manual-worker-family (ORs about 0.30) and higher for intermediate-professional-family (1.88) and craftsman/tradesman/firm-head-family (2.02). These associations were mediated by school-performance, sports activity, obesity, sexual abuse, violence, suicidal ideation, and social support. Conclusion: Relative socioeconomic deprivations highly impact on adolescent’s subjective well-being. Risk patterns are complex and greatly vary between quality of life domains and substance uses. Since early ages adolescent’s well-being should be assessed/monitored with school-doctor-family cooperation. [less ▲]

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See detailPsychological quality of life and its association with Academic Employability Skills among newly-registered students from three European faculties.
Baumann, Michèle UL; Ionescu, Ion; Chau, Nearkasen

in BMC Psychiatry (2011)

In accord with new European university reforms initiated by the Bologna Process, our objectives were to assess psychological quality of life (QoL) and to analyse its associations with academic ... [more ▼]

In accord with new European university reforms initiated by the Bologna Process, our objectives were to assess psychological quality of life (QoL) and to analyse its associations with academic employability skills (AES) among students from the Faculty of Language, Literature, Humanities, Arts and Education, Walferdange Luxembourg (F1, mostly vocational/applied courses); the Faculty of Social and Human Sciences, Liege, Belgium (F2, mainly general courses); and the Faculty of Social Work, Iasi, Romania (F3, mainly vocational/professional courses). Method: Students who redoubled or who had studied at other universities were excluded. 355 newly-registered first-year students (145 from F1, 125 from F2, and 85 from F3) were invited to complete an online questionnaire (in French, German, English or Romanian) covering socioeconomic data, the AES scale and the QoL-psychological, QoL-social relationships and QoL-environment subscales as measured with the World Health Organisation Quality of Life short-form (WHOQoL-BREF) questionnaire. Analyses included multiple regressions with interactions. Results: QoL-psychological, QoL-social relationships and QoL-environment’ scores were highest in F1 (Luxembourg), and the QoL-psychological score in F2 (Belgium) was the lower. AES score was higher in F1 than in F3 (Romania). A positive link was found between QoL-psychological and AES for F1 (correlation coefficient 0.29, p < 0.01) and F3 (correlation coefficient 0.30, p < 0.05), but the association was negative for F2 (correlation coefficient -0.25, p < 0.01). QoL-psychological correlated positively with QoL-social relationships (regression coefficient 0.31, p < 0.001) and QoL-environment (regression coefficient 0.35, p < 0.001). Conclusions: Psychological quality of life is associated with acquisition of skills that increase employability from the faculties offering vocational/applied/professional courses in Luxembourg and Romania, but not their academically orientated Belgian counterparts. In the context of developing a European Higher Educational Area, these measurements are major indicators that can be used as a guide to promoting programs geared towards counseling, improvement of the social environment, and services to assist with university work and facilitate achievement of future professional projects. Keywords: students WHOQoL-BREF, QoL-psychological, employability, academic skills, QoL-environmental, QoLsocial relationships [less ▲]

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See detailAssociation between depressive mood and cardiovascular disease: social disparities and role of education, lifestyle, and disabilities
Chau, Nearkasen; Baumann, Michèle UL

in Health behaviours (2010)

Cardiovascular disease (CVD) may be associated with depressive mood (DM), with a range of confounding effects depending on socioeconomic factors. This study assessed the associations between DM and CVD ... [more ▼]

Cardiovascular disease (CVD) may be associated with depressive mood (DM), with a range of confounding effects depending on socioeconomic factors. This study assessed the associations between DM and CVD, their social disparities and the impact of education, living alone, smoking, alcohol abuse, and physical and cognitive disabilities. Methods: A random sample of 6216 people (2959 men and 3257 women), aged 15 years or over in north-eastern France, completed a postal survey covering alcohol abuse (Deta questionnaire), depressive mood (Duke questionnaire: giving up too easily, difficulty concentrating or sleeping, getting tired and nervousness), CVD diagnosed/treated by a physician, and disability. Data were analyzed using odds ratios (OR) computed with logistic models. Results: Depressive mood affected 17.4% (11.4% men, 22.8% women, p<0.001) and CVD 19.9% (18.6 vs 21.0% respectively, p=0.02). DM was more strongly associated with CVD among women (age-adjusted OR 2.03, 95% [CI 1.66-2.47]) than men (1.68, 1.26-2.23). These ORs decreased to 1.73 (85%) and 1.30 (77%) respectively with further adjustment for socio-occupational category, education, living alone, smoking, alcohol abuse, and physical and cognitive disability. Significant confounders were living alone (all-factors-adjusted OR 1.49 [1.00-2.22] men, NS for women), alcohol abuse (1.42 [1.04-1.97] men, 1.92 [1.24-2.99] for women), physical disability (2.99 [2.24-4.00] men, 2.63 [2.12-3.26] women), and cognitive disability (4.64 [3.56-6.05] men; 4.06 [3.36-4.91] women). Among men, DM related to CVD in manual workers only: sex-age-adjusted OR 1.76 [1.09-2.85] (similar ORs but non-significant were found for managers, clerical staff and farmers/craftsmen/tradesmen). Among women, DM related to CVD among manual workers (sex-age-adjusted OR 1.78 [1.03-3.07]), clerical workers (2.01 [1.45-2.77]) and among farmers/craftsmen/tradesmen (2.39 [1.16-4.95]), but not managers and intermediate professionals. Conclusion: Strong associations exist between depression and cardiovascular disease, and differ markedly between men and women and social groups. Alcohol abuse and physical and cognitive disabilities are potential confounders. Improving lifestyle and disability status of people with cardiovascular disease/depressive mood is important, particularly for lower social groups. [less ▲]

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See detailAssociations of obesity, alcohol abuse and smoking with cardiovascular disease: behaviours and risks vary with age among working people.
Chau, Nearkasen; Baumann, Michèle UL

in International Sociology Association. (2010)

To assess the relationships between unhealthy behaviours (obesity, alcohol abuse and smoking) and cardiovascular disease (CVD) among working people at different ages, and to consider the mediating effects ... [more ▼]

To assess the relationships between unhealthy behaviours (obesity, alcohol abuse and smoking) and cardiovascular disease (CVD) among working people at different ages, and to consider the mediating effects of socioeconomic characteristics. Methods: A random selection of 2872 working people in north-eastern France completed a postal questionnaire covering: obesity, smoking, alcohol abuse (Deta-Cage questionnaire), age, physician-diagnosed CVD, and potential confounders - sex, education, occupation, living alone and income. Data were analyzed using odds ratios (OR), adjusted odds ratios (ORa) and [95%CI] computed with logistic models. Results: Behaviours varied significantly with age. The following figures apply to ages <30, 30-49, and ≥50 years, respectively: obesity, 2.7%, 6.2% and 9.5%; alcohol abuse, 8.1%, 9.0% and 12.2%; daily smoking, 60.4%, 58.6% and 50.3%. CVD was present in 5.9%, 10.2% and 23.3%. Among young adults (<30 years), CVD related only to obesity (OR=3.64 [1.00-13.29]) and the relationship was not mediated (OR decreased to 3.54) by the confounders, among which only male sex was significant (ORa=0.27 [0.11-0.64]). In the 30-49 group, CVD related to obesity (OR=3.33 [2.12-5.23]) and alcohol abuse (OR=1.75 [1.11-2.74]). These relationships were slightly mediated (ORs changed to 3.14 and 2.10, respectively), but only male sex and insufficient income were significant (ORa=0.66 [0.47-0.94] and ORa=1.64 [1.04-2.60], respectively). Among older workers (≥50 years), CVD related to smoking (OR=1.69 [1.05-2.71]) and alcohol abuse (OR=1.92 [1.01-3.65]). These relationships were slightly mediated (ORs decreased to 1.61 and 1.72, respectively) but only low education was significant (ORa=1.73 [1.00-3.02]). Conclusions: CVD related to unhealthy behaviours, which vary with age. Obesity, and obesity-related risk factors, such as lack of physical activity and poor diet, affected more younger workers (<50 years), alcohol abuse affected primarily those aged >30 and smoking those aged >50. Socioeconomic factors play a role but have little confounding effect on the impact of unhealthy behaviour. [less ▲]

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See detailLes « comportements normatifs » des seniors dans le recours aux psychotropes
Amara, Marie-Emmanuelle UL; Chau, Nearkasen; Baumann, Michèle UL

in Interrogations (2008), 6

Confrontés aux premiers signes de l’avancée en âge, les seniors s'efforcent de conserver une image valorisante d'eux-mêmes et de continuer à faire face aux contraintes familiales, sociales et ... [more ▼]

Confrontés aux premiers signes de l’avancée en âge, les seniors s'efforcent de conserver une image valorisante d'eux-mêmes et de continuer à faire face aux contraintes familiales, sociales et professionnelles qui sont les leurs. Le recours à des substances psychoactives est, pour certains, indubitablement lié à cette situation inconfortable et stressante. Ce travail explore les différents aspects et motifs de la consommation de psychotropes déclarés par les seniors hommes et les femmes. Il tente de mettre en évidence les différentes facettes du caractère normatif de leurs discours et de leurs comportements dans leur volonté de combattre les effets du vieillissement et celle de vouloir rester performant. [less ▲]

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See detailHow patients perceive the therapeutic communications skills of their general practitioners, and how that perception affects adherence: use of the TCom-skill GP scale in a specific geographical area
Baumann, Michèle UL; Baumann, Cédric; Le Bihan, Etienne UL et al

in BMC Health Services Research (2008), 8

To study: (1) the structure and test-retest reliability of a measure of how patients perceive the therapeutic communications skills of their general practitioners (TCom-skill GP), and (2) the associations ... [more ▼]

To study: (1) the structure and test-retest reliability of a measure of how patients perceive the therapeutic communications skills of their general practitioners (TCom-skill GP), and (2) the associations of that scale with socio-demographic and health-related characteristics, and adherence. Methods: A total of 393 people who lived in the same geographic area and invited to attend a preventive medical centre for a check up were asked to complete a self-administered questionnaire concerning TCom-skill GP (15 items), socio-demographic and health-related characteristics, and to answer two questions on perceived adherence. Results: The average age of respondents was 46.8 years (SD 14), and 50.4% were men. The TCom-skill GP score was one-dimensional, had high internal coherence (Cronbach α 0.92), and good test-retest reliability (intra-class correlation coefficient 0.74). The overall score was positively related to increasing age. Respondents aged 60+ were more likely to be adherent. The higher the score, the higher the probability of adherence. Multivariate analysis showed that the TCom-skill score was associated with advancing age and the number of consultations with the GP during the previous 3 months, but not with gender, living alone, being employed, job category or educational level. Multivariate analysis also showed that adherence was associated with TCom-skill GP score which concealed the association between adherence and advancing age observed in univariate analysis. Conclusion: The TCom-skill GP scale probably has value in assessing the quality of doctor-patient relationships and therapeutic communications. The psychometric properties of the TCom-skill GP scale were appropriate for its use in this context. Adherence related to the TCom-skill GP and the latter related to the age of patients and the number of their previous consultations. The TCom-skill GP scale may be a useful way to assess, in a specific geographical location, the impact of medical professional training on therapeutic communication. [less ▲]

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