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See detailExperiences of caregiving, satisfaction of life and social repercussions among family caregivers, two years post-stroke.
Lurbe-Puerto, Katia UL; Baumann, Michèle UL

in Social Work in Health Care (2012), 51

Cerebrovascular diseases are a public health and social policy priority in Europe due to their high prevalence and the long-term disability they may result in (as the principal cause of handicap ... [more ▼]

Cerebrovascular diseases are a public health and social policy priority in Europe due to their high prevalence and the long-term disability they may result in (as the principal cause of handicap). Increasingly, family caregivers take over the care at home of these patients. Two years post-stroke, our study analyzed the feelings of family caregivers from Luxembourg and northeastern Portugal toward their experience of caregiving and its repercussions on social and couple relationships, life satisfaction, and socioeconomic characteristics. Participating hospitals identified survivors and consent was sought by letter. Patients (n = 62) and their main caregivers (n = 46 pairs) were interviewed at home. The mean life satisfaction of caregivers was similar, but the experience of providing care differed in terms of family support, and disruptions of the caregivers’ family responsibilities. More Portuguese respondents gave activities up, found little time for relaxation, and estimated that their health had deteriorated; more Luxembourgers felt strong enough to cope. More Portuguese spouses reported an impact on their sex lives. Family caregivers represent a “population at risk.” Social workers can help them by providing domestic assistance, undertaking coaching activities, fostering favorable attitudes, and offering reassurance. Home-based rehabilitation in Europe involving family care must take account of cultural lifestyle issues. [less ▲]

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See detailHarmonie et divergences des couples sur les repercussions familiales et sociales apres la survenue d’un accident vasculaire cerebral.
Baumann, Michèle UL; Bucki, Barbara UL

in Analele Stiintifice ale Universitatii "Alexandru Ioan Cuza". Sectiunea Sociologie si Asistenta Sociala = Scientific Annals of the “Alexandru Ioan Cuza” University. Sociology and Social Work Section (2012), 5(1), 155-173

Deux ans après la survenue d’un accident vasculaire cérébral (AVC), l’harmonie et la divergence entre les déclarations des patients et des conjoints ont été analysées auprès de 51 couples vivant au ... [more ▼]

Deux ans après la survenue d’un accident vasculaire cérébral (AVC), l’harmonie et la divergence entre les déclarations des patients et des conjoints ont été analysées auprès de 51 couples vivant au Luxembourg à l’aide d’un entretien mené à leur domicile. « L’AVC a créé des bouleversements considérables dans ma famille » et « au début, personne ne savait quelle attitude avoir avec la personne AVC »; ces retentissements sont, pour les couples, indiscutables. D’autres effets les affectent: « le caractère de la personne AVC a changé complètement depuis son AVC », ils estiment que « c’est sur le plan psychologique que cela a été le plus difficile ». Malgré les changements intervenus, les voyages demeurent un sujet qui les mobilise. Les besoins « d’information concernant l’aide financière » et « d’aide pour faire des demandes administratives, d’allocations ou de services » sanitaires et socio-éducatifs sont des priorités communes. Ils sont attentifs au fait que « les services et l’équipement fournis soient de bonne qualité » et dispensés à « des moments de la journée qui conviennent ». Les personnes victimes d’un AVC sont plus nombreuses que leurs aidants à reconnaître que « lorsqu’on a un AVC, on se sent dévalorisé ». Cette différence entre les attitudes des patients et des conjoints est une forme de stigmatisation du handicap dont souffrent les victimes confrontées à une image qui n’est plus celle qu’ils avaient d’eux avant l’accident. Avec le vieillissement de la population, une conception de la prise en charge par couple devrait être pensée dans le cadre du maintien à domicile. De nouvelles perspectives de recherche en sociologie médicale pourraient être développées. [less ▲]

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See detailPrendre soin des personnes après AVC : réactions émotionnelles des aidants informels hommes et femmes.
Bucki, Barbara UL; Baumann, Michèle UL

in Santé Publique : Revue Multidisciplinaire pour la Recherche et l'Action (2012), 24(2), 143-156

The objective of this study was to assess the emotional response to caregiving among stroke caregivers living in Luxembourg, and to assess the social and psychological impact of strokes on households, two ... [more ▼]

The objective of this study was to assess the emotional response to caregiving among stroke caregivers living in Luxembourg, and to assess the social and psychological impact of strokes on households, two years after the event. Questionnaires were administered to 62 patient (64.4 years old)/caregiver (59.3 years old) dyads. The survey focused on: 1) residual impairments, based on the American Heart Association Stroke Outcome Classification; 2) the Caregiver Reaction Assessment (CRA – 24 items – 5 dimensions); and 3) changes in the division of household tasks (seven items). Although male and female caregivers care for patients with similar residual impairments, the study found that female caregivers were more likely to be affected by the impact of caregiving on their health and schedule and by lack of family support. Women were more likely to feel “tired all the time” (50% vs. 12.5%), to struggle to “find time to relax” (35.7% vs. 6.3%) and to feel that “others dumped caring onto them” (35.7% vs. 11.8%). Since the onset of stroke, women had also taken on more responsibilities in the household (37.5% vs. 5.9%), while men were more likely to “enjoy caring” for patients (93.8% vs. 67.9%) and to have become more involved in organizing holidays (29% vs. 5.6%) and seeing friends (20.6% vs. 10.5%). Because of the high level of exhaustion, particularly among women, caregivers are a high-risk population for the healthcare system. Interventions such as trialogue and counseling are required to meet the needs of male and female caregivers. [less ▲]

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See detailPour aller au-delà des incertitudes épistémologiques : une validation de cohérence entre des données existantes et le construit théorique du concept de « health capability » adapté aux aidants familiaux
Bucki, Barbara UL; Baumann, Michèle UL

in XIXè Congrès International de Sociologie (2012)

Une étude dont le questionnaire, adressé à 62 aidants familiaux, porte sur les répercussions émotionnelles, sociales et familiales d’un accident vasculaire cérébral (AVC) survenu deux ans auparavant, a ... [more ▼]

Une étude dont le questionnaire, adressé à 62 aidants familiaux, porte sur les répercussions émotionnelles, sociales et familiales d’un accident vasculaire cérébral (AVC) survenu deux ans auparavant, a été reprise en tentant d’approcher le concept novateur de « health capability ». Le chercheur devant s’interroger sur la pertinence des construits théoriques, notre hypothèse a été qu’il existe un recouvrement probable entre les thèmes explorés dans l’étude AVC et les dimensions de health capabilty. Une validation de cohérence effectuée par deux chercheures a confirmé cette hypothèse : 129/164 items ont pu être répartis dans 14 des 15 dimensions du concept à l’étude. Cette répartition met en lumière les informations de l’enquête qui couvrent partiellement le construit théorique et les dimensions restant inexplorées. Des entretiens semi-structurés suivis d’une analyse qualitative des discours seront réalisés afin d’identifier le sens des contenus. Lors de notre communication, nous présenterons, à l’aide d’exemples, les étapes de cette réflexion que nous avons menée pour faire face, mais aussi pour aller au-delà des incertitudes apparentes. Puis nous discuterons de l’intérêt d’une telle démarche de va-et-vient entre un concept emprunté à la littérature et une base de données issue d’une étude mise à notre disposition. Nous mettrons en évidence l’importance de penser l’incertain épistémologique afin de mieux appréhender la compréhension contextualisée de concepts émergents. [less ▲]

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See detailSchool difficulties and role of social, material, behavioural, physical and mental resources among multi-cultural students.
Chau, Kénora; Baumann, Michèle UL

in BMC Public Health (2012), 12

Background: School is a multi-cultural setting where students need social, material, physical, and mental resources to attain school achievement. But they are often lacking, especially for immigrant ... [more ▼]

Background: School is a multi-cultural setting where students need social, material, physical, and mental resources to attain school achievement. But they are often lacking, especially for immigrant students. In an early adolescence context, this study assessed risk for school difficulties among European and non-European immigrants and the roles of socioeconomic characteristics, physical health, psychological health, social relationships, living environment, and unhealthy behaviours. Methods: This cross-sectional study included 1,559 middle-school adolescents from north-eastern France, who completed a self-administered questionnaire including socioeconomic characteristics (gender, age, family structure, father’s occupation, and family income), WHO-Quality of life (measuring the four dimensions physical health, psychological health, social relationships, and living environment), unhealthy behaviours (last-30-day uses of tobacco, alcohol, cannabis, and other illicit drugs and no regular ports/physical activities), grade repetition, low school performance (<10/20), and school dropout ideation at 16 years. Data were analyzed using logistic models. Results: Grade repetition affected 14.8% of students, low school performance 8.2%, and school dropout ideation 3.9%. European immigrants had a higher risk for grade repetition only with a gender-age-adjusted odds ratio (OR) of 2.44, vs. French students. This odds ratio decreased to 1.76 (contribution 47%) with further adjustment for all confounders (family structure, father’s occupation, family income, physical health, psychological health, social relationships, living environment, and unhealthy behaviours). Non-European immigrants had a statistically higher risk for all grade repetition, low school performance, and school dropout ideation with ORs of 3.29, 3.02, and 3.42, respectively vs. French students. These odds ratios decreased to 1.76, 1.54, and 1.54, respectively (contributions 66%, 73%, and 78%) with further adjustment for all confounders. Conclusions: Compared with French students, European immigrant students were more affected only by grade repetition while non-European immigrant students by all grade repetition, low school performance, and school dropout ideation. The contribution of socioeconomic characteristics, physical health, psychological health, social relationships, living environment, and unhealthy behaviours was very high and much higher for non-European than for European immigrant students. Public policy should focus on these factors and services to reduce school difficulties. [less ▲]

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See detailThe configurations of a therapeutic failure with children of marginalised Roma families: for transcultural approach.
Lurbe-Puerto, Katia UL; Baumann, Michèle UL

in Psychology & Health (2011), 26(suppl 2), 165

Background: Alin (born in 1993, Timisoara, Rumania) is the elder son of a Roma family settled for ten years in France, having heavy psychomotor and cognitive deficiencies. Method: Case study of Alin’s ... [more ▼]

Background: Alin (born in 1993, Timisoara, Rumania) is the elder son of a Roma family settled for ten years in France, having heavy psychomotor and cognitive deficiencies. Method: Case study of Alin’s psychotherapeutic trajectory. Findings. Socio-cultural representations of mental handicaps, intrafamilial relationships and personal history are interactive determinants of psychological accompaniment and healthcare provision. Mental healthcare team in charge of Alin misconceived in the relations of care: the central role played by the particular status family network attributes to the person with mental handicap and the articulation between diversity, difference and inequality in the family’s experience of mental handicap and its care. Discussion: In socio-culturally diverse contexts, the quality of relations of care depends on professionals’ capability to develop socio-culturally sensitive and responsive to beneficiaries’ needs psychotherapeutics. Transcultural approach is not effective unless it is integrated to conventional psychological practice, and a collaborative work is settled with the concerned professionals of social work and associative sectors. [less ▲]

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See detailAccompagner, à leur domicile, des personnes victimes d’un accident vasculaire cérébral : des perceptions différentes entre femmes et hommes
Bucki, Barbara UL; Lurbe-Puerto, Katia UL; Baumann, Michèle UL

in Genre et parcours de vie Enfance, adolescence, vieillesse. (2011)

Au Grand-duché de Luxembourg, les aidants informels qui accompagnent au quotidien des personnes victimes d’un accident vasculaire cérébral (AVC) sont de plus en plus nombreux (OMS, 2004 ). L’évènement ... [more ▼]

Au Grand-duché de Luxembourg, les aidants informels qui accompagnent au quotidien des personnes victimes d’un accident vasculaire cérébral (AVC) sont de plus en plus nombreux (OMS, 2004 ). L’évènement majeur que représente l’AVC amène-t-il les femmes et les hommes à percevoir différemment la vie ? Notre étude tente de comparer et d’analyser, deux ans après la survenue d’un AVC, les répercussions psychosociales chez les aidants et les aidantes. A leur domicile, 41 femmes âgées de 59,1 ans (σ = 13,9) et 21 hommes âgés de 59,6 ans (σ = 13,9) ont accepté de répondre volontairement en face à face à un(e) enquêteur/trice. Le questionnaire comportait 1) la mesure de l’autonomie des victimes de l’AVC évaluée par les aidants à l’aide de l’index de Barthel (échelle 0 à 100) ; 2) la satisfaction à l’égard de la vie (échelle 0 à 10) ; 3) les assertions traduites et adaptées du Caregiver Reaction Assessment (CRA) (Given et al., 1992 ) ; 4) des questions sur l’évolution, depuis l’AVC, de la répartition des tâches, des rôles et des responsabilités au sein du foyer. <br />D’après les aidants/tes, le degré d’autonomie des personnes victimes d’AVC (âge moyen 64,8 ans ; σ = 14,1) dont ils/elles s’occupent, ne présente aucune différence significative (moyenne générale 82,2 ; σ = 28,7). Ce sont les hommes qui déclarent avoir la meilleure satisfaction à l’égard de la vie (t = - 2,52** ). D’après les scores obtenus aux dimensions du CRA, ce sont les femmes qui paraissent le plus affectées par le retentissement sur leur santé (t = 2,06**), les retombées sur l’organisation des activités quotidiennes (t = 2,54**) et le manque de soutien familial (t = 2,18**). Aucune différence entre femmes et hommes n’est mise en évidence dans le partage de la plupart des tâches quotidiennes. Il en est de même pour les scores du CRA de l’impact financier et de l’estime de soi, qui sont d’ailleurs perçues de manière positive. Cependant, les femmes reconnaissent se sentir « toujours fatiguées » (56% vs 16,7% **) et centrer leurs activités autour des soins (76,5% vs 38,9% **). Elles ne parviennent pas à trouver du temps pour pouvoir se détendre (45,5% vs 6,7% ***) et ont l’impression que les autres se sont déchargés sur elles (52,6% vs 16,7% **). Elles assurent plus qu’avant les rapports avec les professionnels (52% vs 6,3% ***) et des responsabilités au sein du foyer (37,5% vs 5,9% ***). L’AVC a modifié les parcours de vie en mobilisant des compétences culturelles et des ressources psychologiques liées au genre. Des interventions contribuant à renforcer les « health capabilities » des hommes et des femmes devraient permettre aux aidants de bénéficier d’un appui dans le maintien à domicile des personnes victimes d’un AVC. Des approches qualitatives permettront de mieux comprendre leurs besoins spécifiques. [less ▲]

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See detailEvaluation-conseil, demarche comprehensive, indicateurs de perception
Amara, Marie-Emmanuelle UL; Baumann, Michèle UL

in Evaluation et enseignement supérieur (2011)

Sous l’impulsion du processus de Bologne, les établissements de l'Espace Européen de l'Enseignement Supérieur mettent en place des systèmes Qualité. Des référentiels d'évaluation communs et des guides ... [more ▼]

Sous l’impulsion du processus de Bologne, les établissements de l'Espace Européen de l'Enseignement Supérieur mettent en place des systèmes Qualité. Des référentiels d'évaluation communs et des guides visent, au nom du processus d'harmonisation, à diffuser les "bonnes pratiques" dans tous les pays participants. Les universités sont sommées d'être productives et d'adopter une gestion rationnelle de l'ensemble de leurs ressources. Ainsi, les programmes sont généralement évalués a posteriori à l'aide d'indicateurs de performance comme les taux de réussite aux examens ou d'insertion professionnelle des diplômés, et la pratique généralisée du benchmarking tend à favoriser l'utilisation de ces statistiques descriptives pour effectuer des comparaisons puis des classements nationaux et internationaux (Shanghai, Times Higher Education). Cependant, certains enseignants et chercheurs souhaitent, dans une perspective holistique, considérer également le bien-être et le développement personnel des étudiants. Le dispositif SQALES, testé auprès d'un échantillon de 282 étudiants belges, luxembourgeois et roumains, propose une approche de l'évaluation novatrice reposant sur de la perception qu'ont les étudiants de leurs compétences relatives à l'employabilité (échelle CRE), de leur santé psychologique (GHQ12) et de leur sentiment d'appartenance à la vie étudiante (échelle d'Identité Sociale d'Etudiant, ISE). Cette évaluation-conseil s'appuie sur une démarche compréhensive qui tient compte du contexte local et implique les bénéficiaires en tant que partenaires du processus décisionnel. Réalisée en cours de cursus, elle permet de prendre en compte "en temps réel" les difficultés rencontrées par les apprenants et d'adapter les curricula à leurs besoins, lesquels évoluent au fil de la formation, en fonction de leur construction identitaire. L'évaluateur n'agit pas en juge, mais encourage la réflexivité des acteurs et des institutions. La recherche d'un consensus concernant les ajustements à réaliser permet de réduire l'écart entre les besoins ressentis et les dispositions prises, décisions dont elle permet d'obtenir une meilleure tolérance et une mise en œuvre facilitée. [less ▲]

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See detailThe place oof health and the micro-prowers of health professionals in rtenetion centers for unauthorised migrants multi-situated ethnographic research (France-Spain).
Lurbe-Puerto, Katia UL; Baumann, Michèle UL

in Social Relations in Turbulent Times (2011)

This research aimed to identify the place of health in Immigrants Retention Centres (IRC) and analyse the role of the health professionals regarding border control and immigration policies. The current ... [more ▼]

This research aimed to identify the place of health in Immigrants Retention Centres (IRC) and analyse the role of the health professionals regarding border control and immigration policies. The current structures to confine unauthorised migrants seem to address a two-fold issue: the repressive approach to controlling immigration and the increasing set-up of facilities participating in a mode of government centred on national security concern. Method. Ethnographical study was conducted in the Medical Units of a French (capacity: 35 pers.) and a Spanish (150 pers.) ICR for respectively, 9-months with a regularity of 30 half-days of presence every fortnight and 21 continuous days over a 3-weeks period. Qualitative data from observational notes and conversional interviews were triangulated and analysed under the Critical Categorical Content Discourse method, with Atlas.ti support. Findings. Illnesses that could halt deportation were infectious diseases involving treatment requiring a specialized infrastructure (tuberculosis); in France, those whose representation is bound to feelings of fear and disgust (mange) and mental illness that poses a threat to the individual and other persons; in Spain, pregnancy is a reason to allow a release from IRC. Squats are raid when expulsion quotas need to be filled; it accounted for the increased number of substance dependent persons in ICR at that time. Health professionals in IRC confront moral dilemmas. In France, they have a recognised micro-power able to overturn a deportation order: the medical certificate. Discussion. In ensuring healthcare access, they are drawn into the vigilance and control logics of the IRC security regime, despite themselves. Standardization of the medical practices is their main fall back and provides for risks management, which relies on the architecture and the neatness of the space, individual strategies of exception and social relationship that are shaped by a moral economy. The retreat into medical grounds allows keeping things “professional”and helps balance the tension resulting from providing medical care in a space that automatically appears to translate any act into one carried out in compliance with the repressive policy against undesired migration. Institutionalisation of European IRC medical units network is recommended to confront inequalities in care (access and quality). [less ▲]

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See detailConstruçao de rupturas sociais: pobreza e exclusao social na perspectiva das sociologias
Leandro, M. E.; Baumann, Michèle UL

in Da integracao social. Laços Familiares e Sociais. (2011)

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See detailGender and age disparities in the associations of occupational factors with alcohol abuse and smoking in the French working population
Legleye, Stephane; Baumann, Michèle UL

in Revue d'Epidémiologie et de Santé Publique = Epidemiology and Public Health (2011), 59

Background. – This study assessed the associations of short-term employment, physical and psychological occupational demands, and job dissatisfaction with alcohol abuse (using the Audit-C test) and daily ... [more ▼]

Background. – This study assessed the associations of short-term employment, physical and psychological occupational demands, and job dissatisfaction with alcohol abuse (using the Audit-C test) and daily smoking among working French men and women in different age groups. Methods. – The sample included 13,241 working people, 18–29, 30–39, and 40–59-years-old, randomly selected in France and interviewed by phone. Occupation, type of employment, physical demands, psychological demands, job dissatisfaction, gender, age, educational level, and income were considered. Data were analyzed with logistic models. Results. – Alcohol abuse affected 20.4% of men and 7.5% of women; smoking 32.1% and 24.2%, respectively. Their patterns of association with the occupational factors varied with gender and age. Job dissatisfaction was the leading factor among young men (adjusted odds ratio for alcohol abuse and smoking: 1.71 and 2.02), whereas short-term employment was the leading factor among young women (1.69 and 1.58), this pattern being reversed in older generations. The pattern of associations of physical and psychological demands with outcomes is more complex, but overall psychological demands were more important for women (especially the younger ones) than men, especially for smoking (OR > 1.6). Smoking within 5 min after waking was much more common among male and female smokers with these occupational factors, suggesting a potential dependency. Conclusions. – Workers with short-term employment and occupational demands are subject to a higher risk for alcohol abuse and smoking with high gender and age disparities. Gender and age should be considered when designing measures to prevent substance abuse related to occupation. [less ▲]

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See detailAssociations between occupational factors and occupational injury and the interplay of personal factors in Indian and French coal miners.
Bhattacherjee, A.; Kunar, BM.; Baumann, Michèle UL

in International Conference of Safety in Mines Research Institutes (2011)

Research studies during the last decade have shown the roles of occupational and individual factors in occupational injury but a few information is available regarding their interplay. This study aimed at ... [more ▼]

Research studies during the last decade have shown the roles of occupational and individual factors in occupational injury but a few information is available regarding their interplay. This study aimed at assessing the roles of occupational hazards and exploring their contributions to the occurrences of injuries among the Indian and French coal miners. In this study two surveys were conducted. The survey in India was a matched case-control study including 245 miners with an occupational injury during the previous two-year period and 245 controls with no injury from two underground coal mines located in the southern part of India. A standardized questionnaire was completed by trained personnel through face-to-face interviews. It included age, experience, sleep disorders, regular alcohol consumption, chronic diseases, smoking habit, number of dependents, occupation, and occupational hazards. The survey in France was a retrospective study on 516 coal miners randomly selected among those aged 32-47 years, from underground mines located in the north-eastern France. The subjects completed a questionnaire including socio-demographic characteristics, health-related behaviours, obesity, chronic diseases, psychotropic drug use, self-reportedpersonality traits, a 14-item biomechanical exposure scale, a 4-item physical exposure scale, and injury during the last two years. The data were analyzed using logistic model for the coal mines in France. The conditional logistic model was used for the matched case–control data from Indian mines. The annual rate of injuries (with sick leave) was 2.7% for the coal miners in India and 14.9% for the coal miners in France. Logistic model including all occupational factors showed that for the Indian coal miners, material handling had the highest OR (odds ratio) (3.30), followed by achinerelated hazards (2.64), hand tool-related hazards (2.21), environment/work conditions (2.10), and geological/strata control (2.01). Further adjustment for personal factors led to a substantial decrease in the OR for hand tool-related hazards (OR 1.24, reduction: 80%) and achine-related hazards (OR 1.19, reduction: 88%) and to a substantial increase in the OR for material handling (OR 5.15, - 80%), environment/work conditions (OR 2.63, -48%), and geological/strata control (to 2.35, -34%) for Indian mines. Among the French coal mines, the ORs were 3.01, 3.47, 7.26 for biomechanical exposure scores 1-4, 5-7, and ≥ 8, respectively (vs. score 0). For French coal miners, personal factors contributed to <6% of the biomechanical exposure-injury association. Among Indian coal miners, hand tool-related and machine-related hazards were significant for the <45 age group only and further adjustment for personal factors led to a decrease in their ORs by 91% and 35%, respectively. The OR for material handling increased by 513% for the <45 years age group and by 77% for the older age group. The OR for environment/work conditions increased by 65% for the <45 years age group and by 204% for the older age group. Among French coal miners further adjustment for personal factors increased the OR by 11% for the <40 years age group and decreased the OR by 26% for the older age group. Coal miners from India and France were exposed to numerous occupational hazards which played high roles in occupational injury. Personal factors had a modest confounding role among French coal miners. About the Indian coal miners, it may possibly be inferred that the combined role of personal factors increased the risk of injury for some occupational hazards such as hand tool-related hazards and machine-related hazards This knowledge may be useful when designing prevention for occupational injury. [less ▲]

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See detailQuality of life social disparities and roles of family and unhealthy behaviours among adolescents.
Chau, Kénora; Kabuth, Bernard; Baumann, Michèle UL

in Psychology & Health (2011), 26(suppl 2), 147

Adolescents’ quality of life determinants include socioeconomic characteristics and unhealthy behaviours. This study explored WHOQOL social disparities and the roles of family structure, income and ... [more ▼]

Adolescents’ quality of life determinants include socioeconomic characteristics and unhealthy behaviours. This study explored WHOQOL social disparities and the roles of family structure, income and unhealthy behaviours. Methods: 1556 middle-school adolescents from north-eastern France completed a self-administered questionnaire measuring WHOQOL domains and other factors. Data were analysed using multiple regression models. Findings: Significantly lower WHOQOL was found for clerk (gender-age-adjusted regression coefficient r 5.8 (SE 1.1)), manual-worker ( 5.7 (1.5)), unemployed/inactive ( 10.3 (1.5)) and other categories ( 1.3 to 3.2), compared with manager families. Controlling for family structure and income highly reduced the r to 2.45 (1.1), 2.3 (1.5), 5.3 (1.6) and 1.5 to 0.89 (NS), respectively. The disparities remained after further controlling for last-month tobacco/alcohol/cannabis uses and lack of sports-physical activity. Similar findings were found for all physical, psychological, social relationships and environment WHOQOL domains. Discussion: WHOQOL disparities are highly explained by family structure, income and unhealthy behaviours that may be prevention targets. [less ▲]

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See detailSQALES, Student’s QuAlity of Life and Employability Skills : l’évaluation-conseil au service de l’Université
Amara, Marie-Emmanuelle UL; Baumann, Michèle UL

in Evaluation et enseignement supérieur (2011)

Sous l’impulsion du processus de Bologne, les établissements de l’Espace Européen de l’Enseignement Supérieur mettent en place des systèmes Qualité. Des référentiels d’évaluation communs et des guides ... [more ▼]

Sous l’impulsion du processus de Bologne, les établissements de l’Espace Européen de l’Enseignement Supérieur mettent en place des systèmes Qualité. Des référentiels d’évaluation communs et des guides visent, au nom du processus d’harmonisation, à diffuser les « bonnes pratiques » dans tous les pays participants. Les universités sont sommées d’être productives et d’adopter une gestion rationnelle de l’ensemble de leurs ressources. Ainsi les programmes sont généralement évalués a posteriori à l’aide d’indicateurs de performance comme les taux de réussite aux examens ou d’insertion professionnelle des diplômés, et la pratique généralisée du benchmarking tend à favoriser l’utilisation de ces statistiques descriptives pour effectuer des comparaisons puis des classements nationaux et internationaux (Shanghai, Times Higher Education). Cependant certains enseignants et chercheurs souhaitent, dans une perspective holistique, considérer également le bien-être et le développement personnel des étudiants. Le dispositif SQALES, testé auprès d’un échantillon de 282 étudiants belges, luxembourgeois et roumains, propose une approche de l’évaluation novatrice reposant sur la perception qu’ont les étudiants de leurs compétences relatives à l’employabilité (échelle CRE), de leur santé psychologique (GHQ12) et de leur sentiment d’appartenance à la vie étudiante (échelle d’Identité Sociale d’Étudiant, ISE). Cette évaluation-conseil s’appuie sur une démarche compréhensive qui tient compte du contexte local et implique les bénéficiaires en tant que partenaires du processus décisionnel. Réalisée en cours de cursus, elle permet de prendre en compte en « temps réel » les difficultés rencontrées par les apprenants et d’adapter les curricula à leurs besoins, lesquels évoluent au fil de la formation, en fonction de leur construction identitaire. L’évaluateur n’agit pas en juge, mais encourage la réflexivité des acteurs et des institutions. La recherche d’un consensus concernant les ajustements à réaliser permet de réduire l’écart entre les besoins ressentis et les dispositions prises, décisions dont elle permet d’obtenir une meilleure tolérance et une mise en œuvre facilitée. [less ▲]

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See detailSurvivors, two years post-event, the influence of an unequality of life
Baumann, Michèle UL; Lurbe, Katia UL; Leandro, Maria-Engracia

in Social Relations in Turbulent Times (2011)

Two' years' post)event,' we' described' the' survivors’' life' satisfaction' (LS)' and'Quality'of' Life' (QoL),' the' LS' and'QoL'of' their' caregivers,'and'their'socio)demographic'and'health ... [more ▼]

Two' years' post)event,' we' described' the' survivors’' life' satisfaction' (LS)' and'Quality'of' Life' (QoL),' the' LS' and'QoL'of' their' caregivers,'and'their'socio)demographic'and'health'characteristics.' We'analysed'survivors’'LS'and'its'associations'with'these'determi) nants,'from'a'national'(mainly'urban'society)'survey'in'Luxembourg' (LU)'and'a'Bragança'district'(mainly'rural)' survey' in'the'Northeast' Portugal'(PT).' Over' 18' months' stroke' survivors' (≥18' years)' living' at' home' and' having'given'their'informed'consent'were'contacted.'The'Inspection/ Générale/de/la/Sécurité/Sociale'(LU)'and'the'District'Health'Centre' (PT)'had'previously'listed'all'confirmed'diagnosis'population.'Survi) vors' and' their' main' caregivers' were' interviewed' at' home' with' questionnaires'measuring'LS'(scale'1)10)'and'validated'QoL’'scales:' survivors’' Newcastle' Quality' of' Life' (Newsqol);' Whoqol)Bref' for' caregivers.' Participation'rate'was'26.5%'LU,'38%'PT:'94'LU'(65.5'years)'and'50' PT' (70.1)' survivors;' 62' LU' (59.3)' and' 46' PT' (60.7)' caregivers.' LU' survivors'and'caregivers'had'higher'QoL'scores'than'PT'samples.'PT' survivors' were' more' affected' by' stroke' impacts,' with' significant' differences' in'Newsqol'mobility,' ‘self)care’' (preparing' food,' shop) ping,' transport,' getting' washed,' dressed' and' showed),' feelings' (dependence,' about' oneself,' change' acceptance,' depressive,' of' useless,'loss'of'control'over'life),'and'emotional/status'(more'emo) tional,' sometimes' crying,' short)tempered,' less' tolerant' and' nerv) ous).' Only' PT' survivors' LS'was' linked' to' the' current' neurological' impairments.' Difference' estimates' were' obtained' between' survi) vors’'LS'and'Newsqol'self=care'(regression'coefficient'(rc)')0.28'PT),' caregivers’'LS'(rc')0.63'PT)'and'Whoqol)bref'psychological'(rc')0.67' PT),' environmental' (rc' )0.73' PT),' and' social/ relationship' (rc' )0.91' PT).' LU' survivors’' LS'was' associated'with' all'Newsqol'dimensions;' stronger'links'in'feelings'and'sleep;'none'with'caregivers’'Whoqol) bref.' Survivors''multi)dimensional'QoL'was' predictive' of' their' LS.' LU)PT' differences' recalled' the' idea' of' the' cumulative' effect' throughout' life'of' social' inequalities' in'health' and' highlighted' the' distinct' im) pact' of' living' in' an' urban' society' turned' towards' community' sup) ports'or'a'rural'society'based'on'domestic'care.'In'home'care'set) tings,' survivors’' LS' and' Newsqol' are' patient)centred' markers' for' individual'and'community'interventions.' [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 detailDay-to-day home caring for a stroke survivor, two-year post-stroke perceived psychosocial impacts for woman caregivers in Luxembourg
Bucki, Barbara UL; Lurbe-Puerto, Katia UL; Baumann, Michèle UL

in Women’s Mental Health (2011)

In the Grand-Duchy of Luxembourg (GDL) informal caregivers are increasingly requested to provide daily home care to stroke survivors to avoid institutionalization (Kjellstrom et al. 20071). As this major ... [more ▼]

In the Grand-Duchy of Luxembourg (GDL) informal caregivers are increasingly requested to provide daily home care to stroke survivors to avoid institutionalization (Kjellstrom et al. 20071). As this major life event brings upheavals to caregiver-survivor pairs, we aimed to identify and analyse the perceived psychosocial impacts for female caregivers. Method. Over 12 months, with the help of the Social Security, two-years post-stroke survivors were contacted, and 41 women (59,1 years) and 21 men (59,6 years) informal caregivers consented to participate in this cross national survey. Research assistants interviewed them at home, using face-to-face questionnaires, containing: 1) Life Satisfaction (LS) measure in accordance to the European Quality of Life Study (EQLS)2 (scale 0 - 10) ; 2) Caregiver Reaction Assessment 24 assertions (CRA) (Given et al., 19923); 3) 7 questions about the evolution of caregivers’ tasks and responsibilities in the household since the stroke onset. Means and percentages and, a comparison between sexes were estimated using t tests and chi². Results. The LS mean is lower in woman caregivers (6.84 vs. 8.00 male caregivers t = - 2.52). Women appear to be more affected in terms of physical health (33.0 ±22.1 vs. 19.1±20.1 t = 2.06), disrupted schedule (46.7 ±29.7 vs. 26.2 ±18.8 t = 2.54) and lack of family support (39.9 ±24.7 vs. 25.0 ±15.6 t = 2.18). More women responded to feel « tired all the time » (50.0% vs. 12.5% p=0.013) and found « difficult to find time for relaxation » (35.7% vs. 6.3% p=0.030). They admitted “others have dumped caring for their partner onto them” (35.7% vs. 11.8% p=0.078) and had difficulty “to get help from their family” (17.9% vs. 0.0% p = 0.073). Women considered to be more “in charge of the relationships with professionals” (52.0% vs. 6.3% p=0.003) and to “have more household responsibilities” than before the event (37.5% vs 5.9% p=0.020). Less women declared to « enjoy caring for their partner » (67.9% vs. 93.8% p= 0.049). Conclusions. Informal woman caregivers’ LS average (6.84) were one point lower than the indicator in 2007 for the GDL general population (7.85) who participated at the EQLS, near to the EU-27’ one (7.0). Our study showed their psychosocial repercussions them to require gender-based adaptation strategies to perform their caregiving role. Interventions reinforcing women’s health capability could improve their LS. Follow-up qualitative research would help to identify and understand women’s specific needs regarding these capabilities to develop. [less ▲]

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See detailAn assessment of the geographical approach to health inequality
Aiach, Pierre; Baumann, Michèle UL

in Critical Public Health (2011), 21(1), 63-69

New interest is being shown in the geographical approach to health inequality at both the research and the service provider level. The scientific and methodological basis of this approach does not take ... [more ▼]

New interest is being shown in the geographical approach to health inequality at both the research and the service provider level. The scientific and methodological basis of this approach does not take into consideration the social structure and the history of the locations/communities under investigation. The analysis of geographical differences must be verified and consideration given to possible variations in internal health inequalities between entities compared. Our approach to health inequalities is based on the theory that social health inequalities are essentially the final product of living conditions and lifestyle taking account of individual and collective history. [less ▲]

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See detailDeterminants of caregiving-related esteem among informal caregivers in Luxembourg, two years after their care-recipients’ stroke.
Bucki, Barbara UL; Spitz, Elisabeth; Baumann, Michèle UL

in Psychology & Health (2011), 26(suppl 2), 86

Mental health promotion policies are concerned by informal caregivers’ (ICs) suffering. What are the determinants of ICs’ caregiving-related esteem? Methods: (a) Crosssectional study. (b)62 Luxemburgish ... [more ▼]

Mental health promotion policies are concerned by informal caregivers’ (ICs) suffering. What are the determinants of ICs’ caregiving-related esteem? Methods: (a) Crosssectional study. (b)62 Luxemburgish ICs of stroke-survivors 2-year-post-event. (c)Variables: oCaregiver Reaction Assessment’s (CRA) five dimensions: caregiving-related esteem (dependent variable), impact of caregiving on health, impact on finances, impact on schedule, lack of family support, oCaregiver Satisfaction with Community Services scale, oLeisure/ couple changes/social repercussions scores. (d) Regressions adjusted on ICs’ sex and age. (e)Multiple regression including significant factors. Findings: (a) Caregiving-related esteem is determined by social repercussions (p¼0.002**), changes in couples (p¼0.004**), impact on health (p¼0.004**) and three CSCS’ dimensions: confidence (p¼0.012*), problem management (p¼0.034*) and information about stroke (p¼0.040*). (b) ICs with high caregiving related esteem (R2 adjusted¼0.275) are weakly impacted on their own health ( ¼ 0.39; p¼0.011*) and on their couple life ( ¼ 0.36; p¼0.026*). Discussion: Support programs centred on ICs’ caregiving-related esteem can reinforce ICs’ health capability. [less ▲]

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See detailDifferences between Luxembourg and Portugal in the Life Satisfaction of Stroke Survivors, two years post-event: The influence of an unequal quality of life.
Baumann, Michèle UL; Lurbe-Puerto, Katia UL; Leandro, ME.

in Health inequalities across Europe (2011)

Two years post-event, we described the survivors’ life satisfaction (LS) and Quality of Life (QoL), the LS and QoL of their caregivers, and their socio-demographic and health characteristics. We analysed ... [more ▼]

Two years post-event, we described the survivors’ life satisfaction (LS) and Quality of Life (QoL), the LS and QoL of their caregivers, and their socio-demographic and health characteristics. We analysed the survivors’ LS and its associations with the above-mentioned determinants from a national (mainly urban society) survey in Luxembourg (LU) and a Bragança district (mainly rural) survey in the Northeast of Portugal (PT). Methods. Over 18 months, survivors (≥18 years) of a stroke, living at home and having given their informed consent were contacted. The Inspection Générale de la Sécurité Sociale of LU and the District Health Centre in PT had previously confirmed all diagnoses and listed the potential participants. Survivors identified their caregivers and both were interviewed, at home, using questionnaires measuring LS (scale 1-10) and two internationally validated QoL’ scales: the survivors’ Newcastle Quality of Life (Newsqol) and the Whoqol-Bref for the caregivers. Results. The participation rate was 26.5% LU and 38% PT: 94 LU (65.5 years) and 50 PT (70.1 years) survivors; 62 LU (59.3 years) and 46 PT (60.7 years) caregivers. The LU survivors and their caregivers had higher QoL scores than the PT samples. In contrast, the PT survivors were more affected by stroke-related impacts, with significant differences in Newsqol ‘mobility’ (i.e. walking, managing stairs, bending down, standing), ‘self-care’ (i.e. preparing food, shopping, using transport, getting washed, getting dressed, and showed), feelings regarding the current situation (i.e. less independence, feelings about oneself, life changes acceptance, depressive mood, feelings of useless, loss of control over their life), and their emotional status (i.e. more emotional, sometimes crying, short-tempered, less tolerant and nervous). Only the PT survivors’ LS was linked to the ‘current neurological impairment’ domains. The LU survivors’ LS was associated with all Newsqol dimensions; stronger links (p<0.001) were found in ‘feelings’ and ‘sleep’, but no relation existed with the caregivers’ Whoqol-bref domains. Difference estimates were obtained between the survivors’ LS and the Newsqol ‘self-care’ dimension (regression coefficient (rc) -0.28 for PT), their caregivers’ LS (rc -0.63 for PT) and Whoqol-bref psychological (rc -0.67 for PT), environmental (rc -0.73 for PT), and social relationship (rc -0.91 for PT) domains. Discussion. Two years post-event, the survivors' multi-dimensional QoL was a more relevant predictor of their LS, than that of their caregivers. LU-PT differences recalled the hypothesis of the cumulative effect throughout life of social inequalities in health and highlighted the distinct impact in survivors’ LS of living in an urban society, turned towards community supports or in a rural society based on a domestic care. In home-based care settings, the survivors’ LS and Newsqol are useful patient-centred markers for individual and community interventions. [less ▲]

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