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See detailPoor information increases depression risk after stroke.
Baumann, Michèle UL

Article for general public (2015)

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See detailSituation nach Schlaganfall
Baumann, Michèle UL

Article for general public (2015)

Unsicherheit führt zu Depressionen Ein Team der Universität Luxemburg hat knapp 100 Schlaganfallpatienten besucht und sich ein Bild von deren Lebenssituation verschafft. Viele der Befragten sorgen sich um ... [more ▼]

Unsicherheit führt zu Depressionen Ein Team der Universität Luxemburg hat knapp 100 Schlaganfallpatienten besucht und sich ein Bild von deren Lebenssituation verschafft. Viele der Befragten sorgen sich um ihre Zukunft und wünschen sich mehr medizinische Aufklärung. Häufig neigen sie zu Depressionen, die ihren Gesundheitszustand weiter verschlechtern. Mit einem Schlag ist alles anders. Durch einen Schlaganfall verändert sich das Leben abrupt. Nach der traumatischen Erfahrung gilt es grundlegende Fertigkeiten wie Laufen und Sprechen neu zu erlernen und nicht selten endet mit der. Erkrankung die berufliche Karriere. In etwa drei Viertel der Fälle bleiben Einschränkungen bestehen und stellen neue Anforderungen an den Alltag. Gesundheitspsychologen der Universität Luxemburg haben knapp 100 Schlaganfallpatienten besucht und sie zu ihren persönlichen Sorgen und Problemen interviewt. Die Befragten waren alle ca. 65 Jahre alt, stammten aus dem Großherzogtum Luxemburg und hatten vor etwa zwei Jahren einen Schlaganfall erlitten. Die ungewisse Situation wirft viele Fragen und Sorgen auf Wie sich herausstellte leiden die Schlaganfallpatienten vor allem an mangelnder Information und der Ungewissheit ihrer Situation. Sie quälen sich mit ungeklärten Fragen zu ihrer gesundheitlichen Zukunft und wissen oft nicht, woher sie Hilfe erhalten können. Häufig misstrauen sie den Informationen, die sie erhalten oder wünschen sich bessere medizinische Aufklärung. Zusätzlich scheint eine fehlende Koordination zwischen den Pflegekräften Unsicherheit zu schüren. Besonders Geringverdiener und Patienten mit niedrigem Bildungsniveau zeigen sich von der ungewissen Situation beeinträchtigt. Leichter haben es Patienten, die weiterhin einer beruflichen Tätigkeit nachgehen oder Rückhalt von Familie und Freunden erhalten. Auf den Schlaganfall folgt die Depression Häufig stießen die Forscher bei ihren Recherchen auf Zeichen depressiver Erkrankungen wie Schlafprobleme, emotionale Störungen, Kommunikationsschwierigkeiten und Müdigkeit. Sie sehen darin eine ernsthafte Gefährdung für die gesundheitliche Entwicklung der Patienten. „Depression ist dafür bekannt, physische, mentale und soziale Fähigkeiten einzuschränken und das Risiko von Behinderungen und frühzeitigem Tod zu erhöhen“, erläutert Frau Professor Michéle Baumann von der Universität Luxemburg. Mit Hilfe der Studie möchte sie die Fragen und Bedürfnisse der Patienten ermitteln und so den Teufelskreis aus Krankheit, Sorgen und Depression durchbrechen. [less ▲]

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See detailA social gradient in fatal opioids and cocaine related overdoses?
Origer, Alain; Le Bihan, Etienne UL; Baumann, Michèle UL

in PLoS ONE (2015), 4(10(5)),

To determine the existence of a social gradient in fatal overdose cases related to non-prescribed opioids and cocaine use, recorded in Luxembourg between 1994 and 2011. METHODS: Overdose cases were ... [more ▼]

To determine the existence of a social gradient in fatal overdose cases related to non-prescribed opioids and cocaine use, recorded in Luxembourg between 1994 and 2011. METHODS: Overdose cases were individually matched with four controls in a nested case-control study design, according to sex, year of birth, drug administration route and duration of drug use. The study sample, composed of 272 cases and 1,056 controls, was stratified according to a Social Inequality Accumulation Score (SIAS), based on educational attainment, employment, income, financial situation of subjects and the professional status of their father or legal guardian. Least squares linear regression analysis on overdose mortality rates and ridit scores were applied to determine the Relative Index of Inequality (RII) of the study sample. RESULTS: A negative linear relationship between the overdose mortality rate and the relative socioeconomic position was observed. We found a difference in mortality of 29.22 overdose deaths per 100 drug users in the lowest socioeconomic group compared to the most advantaged group. In terms of the Relative Inequality Index, the overdose mortality rate of opioid and cocaine users with lowest socioeconomic profiles was 9.88 times as high as that of their peers from the highest socioeconomic group (95% CI 6.49-13.26). CONCLUSIONS: Our findings suggest the existence of a marked social gradient in opioids and cocaine related overdose fatalities. Harm reduction services should integrate socially supportive offers, not only because of their general aim of social (re)integration but crucially in order to meet their most important objective, that is to reduce drug-related mortality [less ▲]

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See detailDynamic career attitudes among master students: Social disparities in employment capabilities.
Karavdic, Senad UL; Baumann, Michèle UL

in Pracana, Clara (Ed.) Social Psychology (2015)

The preparation of students’ future career trajectories is a dynamic process in relation with social and educational determinants, but their interactions must be further investigated. Our objective is to ... [more ▼]

The preparation of students’ future career trajectories is a dynamic process in relation with social and educational determinants, but their interactions must be further investigated. Our objective is to analyze the associations between generic employment capabilities, career attitudes and other related factors among postgraduate students. Method: All master's students recorded in the Centre for Documentation and Information on Higher Education from Luxembourg database were contacted by letter to participate in an online questionnaire. The online questionnaire (French and English) with five scales was scored: 1) Dynamic Career Attitudes (DCA- 13 items); 2) Employability Soft-Skills (ESS-14); 3) Search for Work Self-Efficacy (SWSES - 12 items); 4) Quality of Life domain Autonomy (QLA- 4 items); and 5) Socio-demographical characteristics. The data were analyzed using bivariate tests, correlations and multiple linear regression models. Results: Of the 481 volunteers (26.4 years; SD=5.5) a majority were women, Luxembourgish, unemployed, and had less than or equal to six months of job experiences. Higher the ESS, SWSES and QLA scores, higher was the DCA score. Nationality, being unemployed, having less than six months of job experiences and being in the first year of master were associated with lower Dynamic Career Attitudes score. Conclusion: Covering the whole period of the master’s degree, internship activities and proactive workshops may be developed to improve generic employment capabilities and quality of autonomy. The Dynamic Career Attitudes scale appears an appropriate instrument to evaluate the efficacy of the university career services programme. [less ▲]

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See detailStudents’ Well-being: Impacts of studying out-EU and perceived autonomy on the Psychological Quality of Life
Bucki, Barbara UL; Karavdic, Senad UL; Karathanasi, Chrysoula UL et al

in European Health Psychologist (2015), special

Introduction: With an increasing number of university students in preparation of their entrance in the labor market, the wellbeing of the postgraduates became a priority for many universities. Despite ... [more ▼]

Introduction: With an increasing number of university students in preparation of their entrance in the labor market, the wellbeing of the postgraduates became a priority for many universities. Despite numerous studies on this topic, respective relationships of wellbeing and other psychosocial factors still remain unclear. Aims: (1) to assess Psychological Quality of Life of postgraduates who study in Grand Duchy of Luxembourg (GDL), EU and non – EU countries; (2) to analyze its associations with their socio-economic,health and employability related cofactors. Method: All masters’ students registered at the Centre for Documentation and Information on Higher Education (CEDIES) database in GDL were contacted by mail to participate at an online questionnaire (in English or French) measuring: 1. Psychological Whoqol-bref (6 items) (dependent variable) 2. Wellbeing attributes: Quality of Life Autonomy, Health Satisfaction, and Penn state worry questionnaire (Worries). 3. Employability attributes: Search for Work Self Efficacy scale (SWSES), Career Goals setting. 4. Perceived financial situation and socio-demographic characteristics. Respondents who did not mention the country of their studies were excluded from the analysis. Bivariate tests and correlations were performed for association analyses between the variables. Only significant relationships (p<0.05) were used in the multiple linear model. Results: 490 participants were volunteers from which 13.5% study in Luxembourg, 77.8% in an EU country and 8.7% in a non EU country. Majority were women, with exception for those studying in non-EU countries who were mainly men. Participants studying in GDL were older than those studying abroad. Natives of Luxembourg were prevalent with higher percentages among those who study in a non EU-country. Those studying in non-EU showed significantly (p<0.05) higher Psychological Quality of Life (M=76.8; SD=12.8) than those in GDL (M=74.5;SD=12.6) respectively in EU (M=71.4; SD=15.3). While participants differ in their QoL-Autonomy score there isn’t any significant difference in their career goals setting, Search for work self efficacy, Health satisfaction, Worries and Perceived financial situation across the country of study.Conclusion: Better psychological quality of life mobilized the capability of students to study abroad, which is related to better wellbeing attributes. However this relationship remains true only for students studying in Non-EU countries. Implementing workshops to increase individual self-efficacy towards a future employment may improve and/or maintain wellbeing of academics and limit so, respective social inequalities. [less ▲]

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See detailNew domains of health capability of family caregivers: An exploratory study using the grounded theory.
Bucki, Barbara; Baumann, Michèle UL

in Pascara, Clara (Ed.) Clinical Psychology (2015)

Increased life expectancy, a declining economic growth, and the management of chronic diseases call for inter-generational solidarity but undermine the physical and psychological health of family ... [more ▼]

Increased life expectancy, a declining economic growth, and the management of chronic diseases call for inter-generational solidarity but undermine the physical and psychological health of family caregivers. Their health capability has already been studied through eight domains: physical and psychological functioning, lifestyle value, self-efficacy towards health services, family support, social capital, socioeconomic conditions and access to health services. Our aim was to identify new domains. Methods: A grounded theory method was applied. Family caregivers of stroke victims living at home were recruited in the Lorraine region (France; n=8) and Luxembourg (n=6). Semi-structured interviews were led face-to-face about their health status, how they currently take care of their health, and what internal resources they need to achieve optimal health. Verbatim were open-coded and grouped to form new domains of health capability. Items reflecting the main idea of the categories were formulated. Throughout the analyses, a control process was applied. Items were validated by consensus with an expert group. Results: Seven women and seven men (age 63.6±10.1) participated. Seven new domains emerged: health knowledge, health self-efficacy, health value, life skills, health decision-making, motivation, and attitude towards the future. 76 items were generated: 51 reflected generic abilities while 26 were specific to family caregiving. Discussion: Content analysis of these domains is highly instructive. First, it allows guiding the preparation of innovative supports to promote health capability, and second, this list can serve as a basis to elaborate a guide to which clinicians can refer to orient family caregivers according to their needs. [less ▲]

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See detailWorries and career employment attitudes: the role of social inequalities of master’s degree students.
Karavdic, Senad UL; Baumann, Michèle UL

in Promotion of Mental Health (2015)

University students' mental health is affected by worries about the employment of their future. Our purpose is to analyze the relationships between traits of worry and career attitudes, happiness and ... [more ▼]

University students' mental health is affected by worries about the employment of their future. Our purpose is to analyze the relationships between traits of worry and career attitudes, happiness and autonomy in their quality of life among postgraduates. Method: Independent of their socioeconomic status, all students obtained financial aid from the government of Luxembourg. A link to an online questionnaire was sent to their home address. The instrument assessed: Penn-State-Worry scale, Career dimensions (adaptability, optimism, knowledge and planning), Happiness and Quality of Life Autonomy scores, and sociodemographic characteristics. Bivariate-tests, correlations and multiple linear regression models were used for analysis. Results: A majority of the 481 volunteers (26.4 years; SD=5.5) were women and unemployed. Sociodemographical factors such as European or non-EU nationality (vs. Luxembourgish), possession of an internship employment contract (vs. fixed-term and permanent contract) and being a part of social and humanity sciences domain were related with high worries. Lower adaptability (β= -2.271; p< 0.001) and optimism career attitudes (β= -2.162; p= 0.002), low happiness (β= -1.518; p= 0.039) and autonomy in their quality of life (β= -0.669; p= 0.004), respectively, were affected by higher worry score. Conclusion: Worry indicator could be observed routinely to monitor students’ career adaptability and optimism. University career employment workshops may help to increase the individual capabilities to improve and/or to maintain their well-being. Nationality, employment contract status and chosen academic field had generated mental health inequalities that must be considered in consultations, counseling and implementation of prevention and promotion programs. [less ▲]

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See detailLife Satisfaction of Non-Luxembourgish and Native Luxembourgish Postgraduate Students
Karathanasi, Chrysoula UL; Senad, Karavdic; Odero, Angela UL et al

in International Journal of Social Welfare (2015), 9(11), 3852-3857

It is not only the economic determinants that impact on life conditions, but maintaining a good level of life satisfaction (LS) may also be an important challenge currently. In Luxembourg, university ... [more ▼]

It is not only the economic determinants that impact on life conditions, but maintaining a good level of life satisfaction (LS) may also be an important challenge currently. In Luxembourg, university students receive financial aid from the government. They are then registered at the Centre for Documentation and Information on Higher Education (CEDIES). Luxembourg is built on migration with almost half its population consisting of foreigners. It is upon this basis that our research aims to analyze the associations with mental health factors (health satisfaction, psychological quality of life, worry), perceived financial situation, career attitudes (adaptability, optimism, knowledge, planning) and LS, for non-Luxembourgish and native postgraduate students. Between 2012 and 2013, postgraduates registered at CEDIES were contacted by post and asked to participate in an online survey with either the option of English or French. The study population comprised of 644 respondents. Our statistical analysis excluded: those born abroad who had Luxembourgish citizenship, or those born in Luxembourg who did not have citizenship. Two groups were formed one consisting 147 non-Luxembourgish and the other 284 natives. A single item measured LS (1=not at all satisfied to 10=very satisfied). Bivariate tests, correlations and multiple linear regression models were used in which only significant relationships (p<0.05) were integrated. Among the two groups no differences were found between LS indicators (7.8/10 non-Luxembourgish; 8.0/10 natives) as both were higher than the European indicator of 7.2/10 (for 25-34 years). In the case of non-Luxembourgish students, they were older than natives (29.3 years vs. 26.3 years) perceived their financial situation as more difficult, and a higher percentage of their parents had an education level higher than a Bachelor's degree (father 59.2% vs 44.6% for natives; mother 51.4% vs 33.7% for natives). In addition, the father’s education was related to the LS of postgraduates and the higher was the score, the greater was the contribution to LS. Whereas for native students, when their scores of health satisfaction and career optimism were higher, their LS’ score was higher. For both groups their LS was linked to mental health-related factors, perception of their financial situation, career optimism, adaptability and planning. The higher the psychological quality of life score was, the greater the LS of postgraduates’ was. Good health and positive attitudes related to the job market enhanced their LS indicator. [less ▲]

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See detailWeight loss associated with socioeconomic status in patients with angina pectoris, 5 years after an angiography
Tchicaya, Anastase; Baumann, Michèle UL

in Cardiology (2015), (132 (suppl 1)), 60

The aim of the study is to assess the association between weight loss and socioeconomic status (SES) in patients with cardiovascular disease (CVD) such as angina pectoris. Method:In 2013-2014, 1,873 ... [more ▼]

The aim of the study is to assess the association between weight loss and socioeconomic status (SES) in patients with cardiovascular disease (CVD) such as angina pectoris. Method:In 2013-2014, 1,873 patients out of 4,391 that had undergone an angiography in 2008 -2009 participated in a follow-up study. Among these patients, 457 suffered from angina pectoris and were obese or overweight at baseline. A self-administered questionnaire was completed. Moderate weight loss was defined as the loss of 5%-10%, severe weigh loss as more than 10 % of baseline weight. Household-income was used as proxy for SES. Logistic regression was applied to assess the association between weight loss and SES. Results:During the reference period, 28% of the participants lost weight. A moderate weight loss was higher in patients with a household income between 3000€ and 4500€ per month (OR: 2.3; CI 95%: 1.0-5.2) and higher than 4500€ per month (OR: 3.0; CI 95%: 1.3-7.2) compared to the lowest income group (less than 3000€ per month). A severe weight loss was not associated with income. However, a severe weight loss was higher for retired patients (OR: 4.3; CI 95%: 1.1-17.0) compared to non-retired.Conclusion: The potential reduction of health inequality by an elimination of social inequalities in weight loss among patients with angina pectoris might be substantial. Moderate weight loss in overweight patients with angina pectoris at baseline could be associated with household income. Intervention strategies in secondary prevention should address these social inequalities in order to support equity in health. [less ▲]

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See detailWhy medication or tobacco consumption enhance the life satisfaction of cardiovascular patients?
Bucki, Barbara UL; Tchicaya, Anastase; Baumann, Michèle UL

in European Health Psychologist (2015), special

While life satisfaction (LS) promotes the health of cardiovascular patients, LS may be affected by a range of primary and secondary determinants. We analysed LS and its relationships with cardiovascular ... [more ▼]

While life satisfaction (LS) promotes the health of cardiovascular patients, LS may be affected by a range of primary and secondary determinants. We analysed LS and its relationships with cardiovascular risk factors and unhealthy behaviours. Methods. In 2013, 3,632 survivors who underwent coronary angiography in 2008-2009 at the Luxembourgish National Institute of Cardiac Surgery and Cardiological Intervention (INCCI), living at home were asked to estimate, five years after, their LS [1-10] and other health-related variables. Data were analysed via multiple regression models including interaction effects. Findings. LS of the 1,289 participants (age: 69.2±11.1) was 7.3/10. Most were men, employees or manual workers, had secondary education and a 36,000€ or more/year income. The interactions between hypercholesterolemia and hypertension (regression coefficient= 0.628) and with smoking (rc= 0.941) were positively related with LS, but physical inactivity was negatively associated (rc= -0.630). Discussion. Taking medications or maintaining tobacco consumption produces better LS than being ambivalent towards physical activity. Further research is needed to evaluate the efficacy of health interventions eliciting and promoting the behaviour change wheel based on capabilities, opportunities, and motivations. [less ▲]

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See detailThe integration process of Non-EU citizens in Luxembourg From an empirical approach towards a theoretical model
Odero, Angela UL; Karathanasi, Chrysoula UL; Baumann, Michèle UL

in International Journal of Social Welfare (2015), 9(11), 3868-3875

Integration of foreign communities has been a forefront issue in Luxembourg for some time now. The country’s continued progress depends largely on the successful integration of immigrants. The aim of our ... [more ▼]

Integration of foreign communities has been a forefront issue in Luxembourg for some time now. The country’s continued progress depends largely on the successful integration of immigrants. The aim of our study was to analyze factors which intervene in the course of integration of Non-EU citizens through the discourse of Non-EU citizens residing in Luxembourg, who have signed the Welcome and Integration Contract (CAI). The two year contract, offers integration services to assist foreigners in getting settled in the country. Semi-structured focus group discussions with 50 volunteers were held in English, French, Spanish, Serbo-Croatian or Chinese. Participants were asked to talk about their integration experiences. Recorded then transcribed, the transcriptions were analyzed with the help of NVivo 10, a qualitative analysis software. A systematic and reiterative analysis of decomposing and reconstituting was realized through (1). The identification of predetermined categories (difficulties, challenges and integration needs) (2). Initial coding – the grouping together of similar ideas (3). Axial coding – the regrouping of items from the initial coding in new ways in order to create sub-categories and identify other core dimensions. Our results show that intervening factors include language acquisition, professional career and socio-cultural activities or events. Each of these factors constitutes different components, whose weight shifts from person to person and from situation to situation. Connecting these three emergent factors are two elements essential to the success of the immigrant’s integration – the role of time and deliberate effort from the immigrants, the community and the formal institutions charged with helping immigrants integrate. We propose a theoretical model where the factors described may be classified in terms of how they predispose, facilitate and / or reinforce the process towards a successful integration. Measures currently in place propose one size fits all programs, yet integrative measures which target to the family unit and those customized to target groups based on their needs would work best. [less ▲]

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See detailLife satisfaction, five-years after a coronary angiography, between physical exercise and socio-economic inequalities.
Baumann, Michèle UL; Le Bihan, Etienne UL; Lorentz, Nathalie et al

in Pracana, Clara (Ed.) Health Psychology (2015)

Five-years after undergoing a coronary angiography, socioeconomic status and health related behaviours are known to affect life satisfaction (LS), but their respective influence remains unclear. Our aim ... [more ▼]

Five-years after undergoing a coronary angiography, socioeconomic status and health related behaviours are known to affect life satisfaction (LS), but their respective influence remains unclear. Our aim was to analyze patients’ LS and its relationships with cardiovascular diseases, risk factors and preventive behaviours developed in the last 5 years and socioeconomic conditions. Methods: Based on records from the National Institute of Cardiac Surgery and Cardiological Intervention in Luxembourg, 3632 survivors who underwent coronary angiography between 2008 and 2009 were contacted in 2013 by letter to complete a self-questionnaire assessing LS [1-10] and other cofounder factors. Data were analysed via multiple regression models. Results. Life satisfaction of 1289 volunteers (69.2 years) was 7.3/10. Majority were men, Luxembourgish, secondary education level, employees and manual workers, and those with an income of 36000 euros or more per year. Being a woman, not living in couple and having a low middle income were negatively associated with the LS level. Patients who suffered in the last 5 years from angina pectoris, diabetes, hypercholesterolemia, obesity, or who stopped smoking because of the disease were more likely to have lower LS, in contrast to those who participate in regular physical activity or exercise. Conclusions: Patients’ LS indicator was lower than the national life satisfaction in Luxembourg (7.8/10) which was higher than that from the European (7.0 for EU-27). Coaching patients with interventions that foster healthy attitudes can help sustain rehabilitation and enhance life satisfaction, adding beyond a reduction of socioeconomic inequalities. [less ▲]

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See detailFatal Opioid and Cocaine Related Overdoses: Prevention and Harm Reduction in the Light of Socioeconomic Inequality
Origer, Alain; Baumann, Michèle UL

in Addictive Behaviours (2015)

Objective. To explore socioeconomic inequalities in fatal overdose cases related to non-prescribed opioids’ and cocaine use. Methods. Overdose cases recorded in Luxembourg between 1994 and 2011 were ... [more ▼]

Objective. To explore socioeconomic inequalities in fatal overdose cases related to non-prescribed opioids’ and cocaine use. Methods. Overdose cases recorded in Luxembourg between 1994 and 2011 were individually matched with four controls, in a nested case-control study design, according to sex, year of birth, drug administration route and duration of drug use. 272 cases vs. 1,056 controls were analyzed. The study sample was stratified according to a Social Inequality Accumulation Score (SIAS), based on educational attainment, employment, income, financial situation and professional status of father or legal guardian of subjects. Least squares linear regression analysis on overdose mortality rates and ridit scores were applied to determine the Relative Index of Inequality (RII). Results. A negative linear relationship between the overdose mortality rate and the relative socioeconomic position was observed. We found a difference in mortality of 29.22 overdose deaths per 100 drug users between the lowest socioeconomic class compared to the most advantaged class. In terms of Relative Inequality Index, the overdose mortality rate of opioid and cocaine users with lowest socioeconomic profiles was 9.58 times as high as that of their peers from the highest socioeconomic class (95% CI ; 6.49 - 13.26).Conclusions. Our results suggest the existence of a social gradient in opioid and cocaine related overdose fatalities. Medical services, emergency and psychiatric wards should take due account of the socioeconomic situation of substance abusing patients and refer those at increased risk to socially supportive offers, thus contributing to reduce drug-related mortality. [less ▲]

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See detailWeight Loss Aassociated With Socioeconomic Status in Patients With Angina Pectoris, 5 Yeras After and Angiography
Tchicaya, Anastase; Baumann, Michèle UL

in Cardiology (2015), (132 (104)), 60

The aim of the study is to assess the association between weight loss and socioeconomic status (SES) in patients with cardiovascular disease (CVD) such as angina pectoris. Method: In 2013-2014, 1,873 ... [more ▼]

The aim of the study is to assess the association between weight loss and socioeconomic status (SES) in patients with cardiovascular disease (CVD) such as angina pectoris. Method: In 2013-2014, 1,873 patients out of 4,391 that had undergone an angiography in 2008- 2009 participated in a follow-up study. Among these patients, 457 suffered from angina pectoris and were obese or overweight at baseline. A self-administered questionnaire was completed. Moderate weight loss was defined as the loss of 5%-10%, severe weigh loss as more than 10% of baseline weight. Household-income was used as proxy for SES. Logistic regression was applied to assess the association between weight loss and SES. Results: During the reference period, 28% of the participants lost weight. A moderate weight loss was higher in patients with a household income between 3000€ and 4500€ per month (OR: 2.3; CI 95%: 1.0-5.2) and higher than 4500€ per month (OR: 3.0; CI 95%: 1.3-7.2) compared to the lowest income group (less than 3000€ per month). A severe weight loss was not associated with income. However, a severe weight loss was higher for retired patients (OR: 4.3; CI 95%: 1.1- 17.0) compared to non-retired. Conclusion: The potential reduction of health inequality by an elimination of social inequalities in weight loss among patients with angina pectoris might be substantial. Moderate weight loss in overweight patients with angina pectoris at baseline could be associated with household income. Intervention strategies in secondary prevention should address these social inequalities in order to support equity in health. [less ▲]

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See detailDoctor-patient communication on nutrition and the related secondary preventive behaviours
Baumann, Michèle UL; Le Bihan, Etienne UL; Lorentz, Nathalie et al

in Cardiology (2015), 132

Doctor-patient relationship impacts on the compliance. For hypercholesterolemia, diabetes, overweight and obesity, our study’s aim was to analyse the associations between the quality of communication ... [more ▼]

Doctor-patient relationship impacts on the compliance. For hypercholesterolemia, diabetes, overweight and obesity, our study’s aim was to analyse the associations between the quality of communication, evaluated in 2013, and patients’ adherence to their general practitioner (GP)’s nutritional advice, between 2008 and 2013. Methods. Five years after a coronary angiography performed by the National Institute of Cardiac Surgery and Interventional Cardiology in Luxembourg, 4391 patients were contacted. 1289 completed a self-rating questionnaire assessing the GP’Com-5 items scale (Cronbach 0.87). The variables were analysed with a multiple logistic regression model. Results. Patients declared that they reduced or stopped their consumption 71.9% of fat, 62.8% of sugar and 65% increased their consumption of fruits and vegetables. Around 37% of the patients reported having made changes to their risk behaviours following the advice of their doctor. An increased consumption of fruits and vegetables was linked with the quality of doctor-patient communication when patients were overweight (odd ratio = 1.081, IC 95%, [1.013-1.155]), obesity (OR = 1.130 [1.056-1.209]), hypercholesterolemia (OR = 1.102 [1.033–1.175]) and diabetes (OR = 1.103 [1.029-1.181]). The reduction or cessation of sugar consumption was associated with the quality of physician-patient communication when the patient was overweight (OR = 1.093 [1.020-1.170]), and more so obese (OR = 1.106 [1.031-1.187]). The same held true for patients with hypercholesterolemia (OR = 1.103 [1.031-1.180]) or diabetes (OR = 1.173 [1.088-1.265]). Conclusion. In prevention of secondary CVDs, doctor-patient communication is a relevant determinant in obtaining a favourable behavioural outcome, especially with the consumption of fresh fruit and vegetables. [less ▲]

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See detailDes souffrances multiples à la souffrance paroxystique.
Karavdic, Senad UL; Bucki, Barbara UL; Baumann, Michèle UL

in Pensée plurielle (2015), 2015/1(N°38), 9-22

The purpose of our study is to contribute to the understanding of the mechanisms playing a role in the deconstruction of mental suffering. With the support of the Luxembourgish RE.SO.NORD (REseau du ... [more ▼]

The purpose of our study is to contribute to the understanding of the mechanisms playing a role in the deconstruction of mental suffering. With the support of the Luxembourgish RE.SO.NORD (REseau du centre SOcial de la région du NORD), a diagnosis of the sufferings of people living in rural districts was completed with the first-line health and social professionals who work with their clients on a daily basis. Twenty-six professionals participated in interviews during which they described the sufferings of their clients. They appeared as the effects of a drift and show how the amplification process of psychic sufferings (permanent anxiety, depression, etc.) and the accumulation of social and family factors (job loss, family separation, etc.) can lead to the emergence of critical mental health conditions. In this logic of paroxystic gradation, mental health problems may aggregate a set of harmful behaviors. This gradation illustrates the state achieved by the clients when their intimate and social domains of life are impeded. The paroxystic suffering represents the state during which the individual seems to fail to cope with their sufferings and is no longer able to recover. The professionals recognize a lack of information and incentive during medical consultation in which their clients dread the fear of being stigmatized. They admit the existence of poor coordination and access to primary health care and a lack of support for those who suffer and their family caregivers in order to prepare them to become actors that can mobilize their "health capability". [less ▲]

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See detailLife Satisfaction between Non-Luxembourgish and Native Luxembourgish Postgraduate Students
Karathanasi, Chrysoula UL; Karavdic, Senad UL; Baumann, Michèle UL

in Sociology Migration and Integration (2015)

Life satisfaction (LS) is a potential key to social progress and contributes to the functioning of individuals. In Luxembourg, the postgraduates who receive financial aid from the government are ... [more ▼]

Life satisfaction (LS) is a potential key to social progress and contributes to the functioning of individuals. In Luxembourg, the postgraduates who receive financial aid from the government are registered at the Centre for Documentation and Information on Higher Education. In order to obtain the financial aid, one of the criteria dictates that one of the parents of foreign students should have been working in Luxembourg for at least 5 years. In this country, which is built on migration (46% of the resident population consists of foreigners), is the basis on which our scientific questions are raised: (1) between non-Luxembourgish and native Luxembourgish students is the LS different? (2) What respective relationships exist with mental health-related factors, career attributes, socio-economic characteristics, and LS? (3) What are their associations of mental health (health satisfaction, psychological quality of life, worry), perception of financial situation and career attributes (adaptability, optimism, knowledge, planning) on LS? Between 2012 and 2013, 644 postgraduates were contacted by post to complete an online questionnaire in English or French. Foreign postgraduates who are settled in Luxembourg (born in Luxembourg and did not have the Luxembourgish citizenship, N=147) and native students (born in Luxembourg and had the nationality, N=284), were compared. Postgraduates who were born in Luxembourg but did not have the citizenship or were not born in Luxembourg and had the Luxembourgish citizenship were excluded. A single item measured LS (1 = not at all satisfied to 10 = very satisfied) same as in the European quality of life survey. Bivariate tests, correlations and multiple linear models were used, in which only significant relationships (p< 0.05) were integrated. Between the two groups, no differences exist between LS’ indicators (7.8/10 non-Luxembourgish; 8.0/10 natives), both of which is higher than the European indicator 7.2/10 (for 25-34 years). However, non-Luxembourgish students are older than natives are (29.3 years vs. 26.3 years), perceive their financial situation as more difficult, and a higher percentage of their parents have an education level higher than a Bachelor's degree (father 59.2% vs 44.6% for natives; mother 51.4% vs 33.7% for natives). In addition, father’s education is related to postgraduates’ LS and the higher is their level, the greater is their contribution to LS. Whereas for the native students, the better their health satisfaction, and career optimism is, the higher their LS are. For the both group, mental health-related factors, perception of their financial situation, career optimism, adaptability, and planning are linked to LS. The higher their psychological quality of life is, the better is their LS. Good health and favourable attitudes related to the job market enhance their LS. [less ▲]

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See detailUndergraduate students’ life satisfaction, between employability and career capabilities
Karavdic, Senad UL; Baumann, Michèle UL

in Pracana, Clara (Ed.) Social Psychology (2015)

Assessment of life satisfaction (LS) is an important issue in the overall preparation of undergraduates towards an employment outcome. The aim of our study is to analyze the associations between LS and ... [more ▼]

Assessment of life satisfaction (LS) is an important issue in the overall preparation of undergraduates towards an employment outcome. The aim of our study is to analyze the associations between LS and socio-demographic factors, career attitudes, employability soft skills, academic work satisfaction and quality of life autonomy. Methods: Undergraduate students were invited to complete a paper pencil questionnaire exploring: Life satisfaction (LS), Dynamic Career Attitudes (DCA), Employability Soft-Skills (ESS-Short), academic Work Satisfaction (WS), Quality Life of Autonomy (QoLA) and socio-demographic characteristics (age, gender, educational field, year of study, work experience (less vs. more than 6 months and actual employment). Data were analyzed using correlation and multiple linear regression models. Results: 124 volunteers (22.6 years) had LS of 75.4/100. Majority were women, in the first year of Bachelor, and in applied management. Most of them had six months or less of job experiences and were unemployed. Higher the DCA, ESS-Short, QoLA and WS better was the students LS. Conclusions: LS is an indicator related with employability and career capabilities. Supporting students through wellness and career activities program in autonomy-supportive environment, to cope with their stressful period and to enhance their generic employment and career capabilities may allow to the undergraduates to maintain their LS. [less ▲]

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See detailLes aidants familiaux : Investir dans des programmes de promotion de leur« capabilité de santé »
Bucki, Barbara; Baumann, Michèle UL

Book published by L'Harmattan - Academia (2015)

Face aux changements démographiques (allongement de l’espérance de vie) et à la baisse de la croissance économique (augmentation des inégalités sociales), les répercussions du prendre soin à domicile sont ... [more ▼]

Face aux changements démographiques (allongement de l’espérance de vie) et à la baisse de la croissance économique (augmentation des inégalités sociales), les répercussions du prendre soin à domicile sont lourdes de conséquences sur la qualité de vie. Les aidants familiaux de personnes atteintes de maladie chronique présentent des risques pour leur santé physique et psychologique. Avec le temps, quelles sont les connaissances et les aptitudes requises pour être en mesure d’accompagner un proche tout en maintenant sa « capabilité de santé », c’est-à-dire en se préservant ou en adoptant un style de vie sain ? À partir de recherches menées au Luxembourg auprès d’aidants de victimes d’un accident vasculaire cérébral, huit domaines ont été identifi és: santé physique, santé psychologique, valeur accordée au mode de vie, sentiment d’auto-efficacité, soutien familial, capital social, conditions matérielles/sentiment de sécurité, satisfaction à l’égard des informations et des services de soins. Des entretiens menés en Lorraine (France) ont permis d’approfondir le contenu de ces domaines. Cet ouvrage fournit un guide utile à l’élaboration de supports innovants ainsi qu’un instrument pertinent pour l’évaluation d’actions de promotion de la capabilité de santé des aidants familiaux. [less ▲]

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