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See detailOpiate- and Cocaine-Related Fatal Overdoses in Luxembourg from 1985 to 2011: A study on Gender differences
Origer, Alain UL; Lopes da Costa, S; Baumann, Michèle UL

in European Addiction Research (2014), 20

We analyzed gender differences in national Fatal OverDose (FOD) cases related to opiates and cocaine use between 1985 and 2011 (n=340). Methods Cross-examination of national data from law enforcement and ... [more ▼]

We analyzed gender differences in national Fatal OverDose (FOD) cases related to opiates and cocaine use between 1985 and 2011 (n=340). Methods Cross-examination of national data from law enforcement and drug use surveillance sources and of forensic evidence. Bi-variate and logistic regression analysis of male/female differences according to socio-demographics, forensic evidence and drug use trajectories. Results The burden of deaths caused by FOD on the general national mortality was higher for men (PMR/100 = 0.55) compared with women (PMR/100 = 0.34). Compared with their male peers, women were younger at the time of death (t=3.274; p=.001) and showed shorter drug use careers (t=2.228; p=.028). Heroin use was recorded more frequently in first drug offences of female victims [AOR=6.59 (95% CI 2.97–14.63)] and according to forensic evidence, psychotropic prescription drugs were detected to a higher degree in females [AOR=2.019 (95% CI 1.065–3.827)]. Conclusion The time window between the onset of illicit drug use and its fatal outcome revealed to be shorter for women versus men included in our study. Early intervention in female drug users, routine involvement of first line general health care providers and increased attention to poly and psychotropic prescription drugs’ use might contribute to prevent premature drug-related death and reduce gendered specificities. [less ▲]

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See detailPositive Career Attitudes Effect on Happiness and Life Satisfaction by Master Students and Graduates
Karavdic, Senad UL; Baumann, Michèle UL

in Open Journal of Social Sciences (2014), 2

Background: Happiness and life satisfaction are well-known indicators. However, there has been little contribution by the scientific community on the positive career attitudes of master students and ... [more ▼]

Background: Happiness and life satisfaction are well-known indicators. However, there has been little contribution by the scientific community on the positive career attitudes of master students and graduates. In an effort to provide deeper empirical understanding, the relationships between positive career attitudes, health satisfaction, financial situation and happiness and life satisfaction among master students and graduates were analyzed. Method: A link of online questionnaire was sent by mail to all students which independently of their social economic status obtained a financial aid from the government of Luxembourg, and to all master graduates (ex-students) who havebeen finished with their courses for one year. The data was analyzed using bivariate tests, correlation and multiple linear regression models. Result: 455 voluntary postgraduate/master students vs. 144 graduates participated. Students were younger than the graduates (mean age 26 vs. 29 years). Majority was female and had Luxembourgish nationality. Most graduates had a job and lived with their parents. Luxembourg natives were happier, and those who were living with their parents showed higher life satisfaction. For both samples, self-rated health satisfaction was positively associated with happiness and life satisfaction. For the students, the higher career adaptability and career optimism are, the better the happiness and life satisfaction will be. The higher the perception of the household financial situation is, the better the happiness will be. For graduates, the higher career optimism contributed to the better happiness. Conclusion: Happiness and life satisfaction of master students and graduates were affected, related to socioeconomic and perceived health difficulties, and career attitudes. Those indicators could be used routinely to monitor the situation of young people over time and their needs in terms of adaptability and optimism capabilities, which should be appropriately treated. These findings may help with the development of university and post university interventions aimed at improving happiness and life satisfaction among postgraduate students and ex-students. [less ▲]

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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 detailFamily caregivers’ health capability: Contribution of, and relations between its dimensions
Bucki, Barbara UL; Baumann, Michèle UL

in European Health Psychologist (2014)

Background. Being family caregiver poses certain risks for physical, mental and social health. The health capability paradigm (Ruger, 2010) explores the capacity to achieve one’s optimal health. Family ... [more ▼]

Background. Being family caregiver poses certain risks for physical, mental and social health. The health capability paradigm (Ruger, 2010) explores the capacity to achieve one’s optimal health. Family caregivers’ health capability partly consists of 8 dimensions: physical and psychological functioning, lifestyle value, self-efficacy, family support, social capital, socio-economic conditions and access to health services. Which relations exist between these dimensions, and which ones contribute the most to health capability? Methods. Home-based structured interviews were led among 62 family caregivers living in Luxembourg 2 years after their relatives’ stroke. Twenty items measured the 8 dimensions of health capability. Using a Bayesian approach, a structural equation modelling was applied. Findings. Socio-economic conditions were positively correlated with all the other dimensions. Family caregivers’ fatigue and feeling abandoned by their families impeded their health capability the most. Discussion. Enhancing family caregivers’ well-being involves finding interventions relieving them physically and fostering family networking around the ill, giving priority to the socially disadvantaged. [less ▲]

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See detailFirst-year at university: the effect of academic employability skills and physical quality of life on students’ well-being.
Baumann, Michèle UL; Karavdic, Senad UL; Limbach-Reich, Arthur UL

in Work: A Journal of Prevention, Assessment, and Rehabilitation (2014), 49

With increasing access at European universities, supporting and promoting the high education, students’ mental well-being and generic employability capacities have become priorities, but their respective ... [more ▼]

With increasing access at European universities, supporting and promoting the high education, students’ mental well-being and generic employability capacities have become priorities, but their respective influences, after an adaptation period of seven months, remain unclear. <br />OBJECTIVE: To analyse the relationships between students’ well-being and self-perceived academic employability skills, and other social and environmental factors. METHODS: 321 freshmen students at the end of their first year completed an online questionnaire. Two instruments were used to assess well-being: the General Health Questionnaire (GHQ-12), which explores psychological suffering, and the psychological quality of life subdomain of the Whoqol-bref. RESULTS: Psychological Whoqol-bref scores are linked to the academic employability skills (AES) items of drafting, critical spirit, problem-solving, teamwork, and supervision/direction of others, and has positive effects on AES score and on the following Whoqol-bref domains: physical, social relationships and environmental. Although three of six psychological Whoqol-bref items (ability to concentrate, satisfaction with self, negative feelings) are correlated with GHQ-12 items (sleeping, decision-making, feeling under strain, problem-solving, depression, self-confidence, thinking about self, feeling happy). GHQ-12 score is negatively linked with Whoqol-bref physical. CONCLUSIONS: For better quality of life, and improved employability skills, innovative activities should be developed to ascertain the sustainable academic's abilities of students. [less ▲]

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See detailAssociations between Psycho-Educational Determinants and Dynamic Career Attitudes among undergradutes students
Karavdic, Senad UL; Karathanasi, Chrysoula UL; Le Bihan, Etienne UL et al

in Pracana, Clara (Ed.) Psychology Applications & Developments - Advances in Psychology and Psychological Trends Series (2014)

Monitoring and assessment of career attitudes are critical for the student’s preparation for an adapted university-to-work transition. This problem remains partially addressed though optimal services ... [more ▼]

Monitoring and assessment of career attitudes are critical for the student’s preparation for an adapted university-to-work transition. This problem remains partially addressed though optimal services proposed by universities which may enhance students’ generic career capabilities. Our study explored the relationships between the psycho-educational and socio-demographic factors, and the perception of their career attitudes. Bachelor students in social sciences, engineering, applied management from University of Luxembourg were invited to complete a paper pencil questionnaire. Data were analyzed using correlation and multiple linear regression models. Of 278 students, 124 participated. The majority studied applied management, were women, unemployed and with six months or less of job experiences. The search for work self-efficacy score is linked to the employability soft-skills and job search techniques scores which are, in parallel, with the quality of life autonomy associated to the dynamic career attitudes. Greater are employability, search for work and quality of life autonomy, the higher are dynamic career attitudes. Students who were in their final academic year also had greater career capabilities. These findings may help to elaborate interventions aiming at improving psycho-educational determinants. It must be stimulated at the entry to university with appropriately collaborative supports, pedagogical workshops and interpersonal trainings. [less ▲]

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See detailSocioeconomic inequalities in fatal opiate and cocaine related overdoses: Transgenerational baggage versus individual attainments
Origer, Alain UL; Bucki, Barbara UL; Baumann, Michèle UL

in European Health Psychologist (2014)

Background. To determine socioeconomic inequalities in opiates and cocaine related Fatal OverDose (FOD) cases and their implications in terms of preventive measures. Methods. Cross-examination of law ... [more ▼]

Background. To determine socioeconomic inequalities in opiates and cocaine related Fatal OverDose (FOD) cases and their implications in terms of preventive measures. Methods. Cross-examination of law enforcement and healthcare data sources and of forensic evidence in a nested case-control study design. FOD cases were individually matched with 4 controls, according to sex, year of birth, drug administration route and duration of drug use. 272 cases vs. 1,056 controls were compared through conditional logistic regression. Findings. Being professionally active [OR=0.662 (95% CI 0.446–0.985)], reporting salary as main income source [OR=0.417 (95% CI 0.258–0.674)], and education attainment higher than primary school [OR=0.501 (95% CI 0.344-0.729)] revealed to be protective factors, whereas parental professional status was not associated to FOD. Discussion. Compared to their peers, drug users with lower socioeconomic profiles show increased odds of FOD. However, actual and self-referred socioeconomic characteristics of drug users, impacting on daily life quality, such as educational attainment, employment and revenue, appeared to be more predictive of FOD than transgenerational factors such as the parental socioeconomic status. Thus, motivational interventions aimed at socio-professional reintegration should be given due attention in dedicated harm prevention policies. [less ▲]

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See detailSocial and economic inequalities in fatal opioid and cocaine related overdoses in Luxembourg: A case–control study
Origer, Alain UL; Le Bihan, Etienne UL; Baumann, Michèle UL

in International Journal of Drug Policy (2014), 25

Background: To investigate social and economic inequalities in fatal overdose cases related to opioid and cocaine use, recorded in Luxembourg between 1994 and 2011. Methods: Cross-examination of national ... [more ▼]

Background: To investigate social and economic inequalities in fatal overdose cases related to opioid and cocaine use, recorded in Luxembourg between 1994 and 2011. Methods: Cross-examination of national data from law enforcement and drug use surveillance sources and of forensic evidence in a nested case–control study design. Overdose cases were individually matched with four controls, when available, according to sex, year of birth, drug administration route and duration of drug use. 272 cases vs 1056 controls were analysed. Conditional logistic regression analysis was performed to assess the respective impact of a series of socioeconomic variables. Results: Being professionally active [OR = 0.66 (95% CI 0.45–0.99)], reporting salary as main legal income source [OR = 0.42 (95% CI 0.26–0.67)] and education attainment higher than primary school [OR = 0.50 (95% CI 0.34–0.73)] revealed to be protective factors, whereas the professional status of the father or legal guardian of victims was not significantly associated to fatal overdoses. Conclusions: Socioeconomic inequalities in drug users impact on the occurrence of fatal overdoses. Compared to their peers, users of illicit drugs with lower socioeconomic profiles show increased odds of dying from overdose. However, actual and self-referred socioeconomic characteristics of drug users, such as educational attainment and employment, may have a greater predictive value of overdose mortality than the parental socioeconomic status. Education, vocational training and socio-professional reintegration should be part of drug-related mortality prevention policies. [less ▲]

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See detailDéconstruction du processus cumulatif et d’amplification des souffrances :les effets d’une dérive…
Baumann, Michèle UL; Karavdic, Senad UL

in Les Déterminants de la santé (2014)

A partir du discours de professionnels de proximité qui côtoient au quotidien les souffrances psychiques de leurs clients, nos objectifs ont été d’analyser les principaux problèmes de santé mentale et les ... [more ▼]

A partir du discours de professionnels de proximité qui côtoient au quotidien les souffrances psychiques de leurs clients, nos objectifs ont été d’analyser les principaux problèmes de santé mentale et les facteurs psychosociaux qui contribuent à l’émergence des souffrances, et participent à leur maintien ou leur développement, et de déterminer leurs besoins et les actions qui pourraient être entreprises pour y répondre. Notre problématique s’inscrit une compréhension des processus présents dans la construction et la reconstruction des souffrances des clients des services sociaux et de santé. Comme aucune information n’existe sur l’accès aux soins en milieu rural, notre étude a tenté d’aborder les mécanismes de la souffrance décrits par les professionnels de proximité. Notre approche a été guidée par les questions suivantes: si la souffrance résulte d’une vision de l’individu sur sa propre existence, quelles valeurs entrent en jeu ? Si la souffrance est appréhendée comme la résultante d’une conduite particulière, dans quelle mesure est-elle aussi un produit social ? Quelles sont les interventions qui couvriraient les besoins de cette clientèle ? Quelles sont les actions qui les amèneraient à acquérir des capacités personnelles et des capabilités sociales pour s’opposer aux effets des souffrances ? Comment lorsque les souffrances interagissent de concert dans des contextes qui leur sont propices, mènent-elles les personnes aux dérives d’un état psychique qui se détériore ? La liste des professionnels de première ligne travaillant auprès de personnes âgées de 18 à 65 ans issues des communes rurales a été établie avec l’aide du comité de pilotage du RE.SO.NORD (REseau du centre SOcial de la région du NORD). Un entretien semi-structuré d’une durée de plus d’une heure a été mené en face à face. A partir des retranscriptions des discours des professionnels, une analyse de contenu a été menée. Les professionnels de proximité ayant participé à l’enquête (sept médecins généralistes, trois psychiatres, neuf assistants sociaux, trois psychologues et sept travailleurs sociaux ; moyenne d’âge 42 ans, dont les femmes sont légèrement plus nombreuses) décrivent les effets d’une dérive en montrant comment les mécanismes en jeu produisent des processus d’amplification des problèmes neuropsychiatriques et d’accumulation des facteurs psychosociaux, et comment ces souffrances peuvent aboutir à des états de santé mentale critiques. Dans cette logique de gradation, les problèmes de santé mentale viennent s’agréger à un ensemble de comportements délétères. Cette gradation illustre un état que les clients atteignent lorsque les sphères intime et sociale se dégradent de concert. Elle représente cet état au cours duquel les personnes semblent avoir comme perdu face à leurs souffrances et ne parviennent plus à s’en relever. Car la di fficulté majeure rencontrée par leurs clients ne réside pas tant dans l’existence avérée d’une souffrance, mais dans l’incapacité à la surmonter. La souffrance dite « émotionnelle » désigne le caractère privé de l’existence et concerne les aspects tels que les comportements liés à l’addiction, aux troubles neuropsychiatriques et psychologiques, aux anxiétés existentielles profondes, et aux conséquences que ces problèmes engendrent sur le bien-être mental via les maladies mentales, font ici sens au regard d’une souffrance, à tout le moins personnelle. La détresse d’ordre psychique agit alors comme le révélateur de la souffrance vécue lorsque la sphère intime de leur existence se dégrade. Quant à a souffrance dite « sociale » est le résultat de l’angoisse perçue quant à la dégradation de leur qualité de vie. Elle se réfère aux conditions psychologiques de vie ainsi qu’aux conditions matérielles de l’e xistence telles que le travail, le logement, le revenu, autant de facteurs qui, lorsque leur pérennité devient incertaine, et affecte la satisfaction à l’égard de la vie des personnes et de son entourage. La mise en avant d’une interaction résultant du choc des sphères émotionnelle et sociale montre qu’un problème survient rarement seul. La question qui demeure, est celle de comprendre si la présence simultanée de divers problèmes découle d’un effet en cascade, du glissement d’un problème vers un autre ou de la présence de facteurs de risque communs à l’apparition de cette souffrance. Dans la mesure où les souffrances sont multiples et s’interpénètrent, les observations des professionnels ont tenté de mettre au jour l’attention particulière qu’il est nécessaire de porter au développement conjoint des diverses trajectoires problématiques, et de leurs comorbidités. Les pistes d’action vers lesquels aboutissent nos résultats s’inscrivent dans les objectifs [less ▲]

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See detailWhat factors can enhance Dynamic Career Attitudes of University students?
Karavdic, Senad UL; Baumann, Michèle UL

in InPACT International Psychological Applications Conference and Trends (2014)

In order to develop a University programme to prepare students for the demands of the job market our experimental study analyzes the relationships between the job search capabilities, the employability ... [more ▼]

In order to develop a University programme to prepare students for the demands of the job market our experimental study analyzes the relationships between the job search capabilities, the employability soft-skills, the domain autonomy of the quality of life and the dynamic career attitudes. During a class, 46 undergraduate students were invited to complete a self-administered paper pencil questionnaire that explores the Job search capabilities (JSC=26 items), Employability soft-skills (ESS 32 items), Quality of life autonomy domain (QoLA 4 items), and the Dynamic career attitudes (DCA 16 items). Each instrument was scored from 0 to 100. Correlation and multiple linear regression models were used for the analysis. 43 students have participated. (1) The JSC score is linked to the ESS score (r=0.561; p=0.000). (2) The ESS score, and QoL-autonomy scores are correlated to DCA score (r=0.644, p=0.000; respectively, r=0.595, p=0.000). Enhancing dynamic carrier attitudes could be stimulated with pedagogical workshops and interpersonal trainings developing students’ autonomy and employability abilities. [less ▲]

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See detailDynamic Career Attitudes : theoretical model and evaluation protocol
Karavdic, Senad UL; Baumann, Michèle UL

Conference given outside the academic context (2013)

Monitoring and assessment of career attitudes are critical for the student’s preparation for an adapted university-to-work transition. Our study explored the relationships between the psycho-educational ... [more ▼]

Monitoring and assessment of career attitudes are critical for the student’s preparation for an adapted university-to-work transition. Our study explored the relationships between the psycho-educational and socio-demographic factors, and the perception of their dynamic career attitudes (DCA). DCA must be stimulated at the entry to university with appropriately collaborative supports, pedagogical workshops and interpersonal trainings. [less ▲]

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See detailThe Role of occupational activities and Work environment in occupational injury and interplay of personal factors in various age groups among Indian and French coalminers.
Battacherjee, Ashis; Kunar, Bijay; Baumann, Michèle UL

in International Journal of Occupational Medicine and Environmental Health (2013), 26(6), 910-929

The role of occupational hazards in occupational injury may be mediated by individual factors across various age groups. This study assessed the role of occupational hazards as well as contribution of ... [more ▼]

The role of occupational hazards in occupational injury may be mediated by individual factors across various age groups. This study assessed the role of occupational hazards as well as contribution of individual factors to injuries among Indian and French coalminers. Material and Methods. We conducted a case-control study on 245 injured workers and on 330 controls without any injuries from Indian coal mines using face-to-face interviews, and a retrospective study on 516 French coalminers using a self-administered questionnaire including potential occupational and personal factors. Data were analyzed using logistic models. Results. The annual rate of injuries was 5.5% for Indian coalminers and 14.9% for the French ones. Logistic model including all occupational factors showed that major injury causes were: hand-tools, material handling, machines, and environment/work-geological/strata conditions among Indian miners (adjusted odds-ratios 2.01 to 3.30) and biomechanical exposure score among French miners (adjusted odds-ratio 3.01 for score the 1–4, 3.47 for the score 5–7, and 7.26 for score ≥ 8, vs. score 0). Personal factors among Indian and French coalminers reduced/exacerbated the roles of various occupational hazards to a different extent depending on workers’ age. Conclusion. We conclude that injury roles of occupational hazards were reduced or exacerbated by personal factors depending on workers’ age in both populations. This knowledge is useful when designing prevention which should definitely consider workers’ age. [less ▲]

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See detailComorbity between mental and physical illnesses and their risk factors in early adolescence.
Chau, Kénora; Baumann, Michèle UL

in The bio-psycho-social model: the future of psychiatry. (2013)

Educational Objectives: Our results provide knowledge about a wide range of deleterious factors associated with mental and physical illnesses and have to be monitored in early adolescence.Purpose: To ... [more ▼]

Educational Objectives: Our results provide knowledge about a wide range of deleterious factors associated with mental and physical illnesses and have to be monitored in early adolescence.Purpose: To assess the associations between mental and physical illnesses, and with socioeconomic factors, alcohol/tobacco/cannabis/hard drugs uses, low school-performance, lack of sports/physical activity, obesity, sustained physical/verbal violence, sexual abuse, involvement in violence, and suicide ideation among boys and girls in early adolescents.Methods: The sample included 1,559 middle-school students from north-eastern France (mean age 13.5, SD 1.3), who completed a self-administered questionnaire including gender, birth date, father’s occupation, parents’ education, nationality, family structure, income, last-30-day alcohol/tobacco/cannabis/hard drugs uses, low-school-performance (last-trimester-grade<10/20), lifetime sustained physical/verbal violence (20-item scale), lifetime sexual abuse, lifetime involvement in violence (11-item scale), last-12-month suicide ideation, and social relationship, living environment, mental and physical illnesses (measured with the four WHOQoL-Bref domains, score<10th percentiles). Data were analyzed using logistic regression models.Results: Mental and physical illnesses affected respectively 14.4% and 9.7% of adolescents. They were strongly linked: gender-age-adjusted odds ratio gaOR 7.07. They were linked with most socioeconomic factors: female (vs. male, gaORs 1.79 and 1.67), increasing age (1.25 and 1.28, per year), reconstructed family (2.25 and 2.34, vs. intact family), separated/divorced parents (2.46 and 2.35), non-significant (ns) for single-parent, other family categories (3.36 and 2.36), craftsman/tradesman/firm-head offspring (1.70 and 1.70, vs. manager/professional offspring), intermediate-professional offspring (1.84 and 1.70), manual-worker offspring (1.54 (ns) and 2.30), unemployed/retired offspring (2.88 and 3.11), European immigrants (1.39 (ns) and 2.28, vs. French), non-European immigrants (1.32 (ns) and 3.29), insufficient income (1.76 and 1.72). Mental and physical illnesses also related to low-school-performance (gaORs 2.13 and 3.80), alcohol use (1-5 times: ns; 6+ times: 3.85 and 2.23), tobacco use (1-5 times: 2.67 and 3.30; 6+ cigarettes/day: 4.41 and 3.82), cannabis use (1-5 times: 1.91 (ns) and 2.25; 6+ times: 2.55 and 2.06), hard drugs use (4.50 and 4.05), no regular sports/physical activity (2.09 and 3.49), obesity (2.00 and 1.68), sexual abuse (8.25 and 6.22), suicide ideation (10.3 and 5.61), physical/verbal violence (score 1-3: 1.37 and 1.42; score 4+: 3.08 and 2.76, vs. score 0), involvement in violence (score 1-5: 2.44 and 2.05; score 6+: 4.86 and 5.70, vs. score 0), altered social relationship (4.16 and 8.95), and altered living environment (9.59 and 11.7).Conclusion: This study has achieved our aims to identify factors associated with mental and physical illnesses in early adolescence. These original findings provided knowledge which may help public policy promoting adolescent mental and physical health. [less ▲]

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See detailSuicide attempts prior to fatal drug overdose in Luxembourg from 1994 to 2011
Origer, Alain UL; Baumann, Michèle UL

in Moussaoui, Driss; Figueira, Maria Luisa (Eds.) The bio-psycho-social model: The future of psychiatry. (2013)

Educational Objectives: This study may help participants to recognize factors influencing suicidal behavior that should be assessed or monitored in the context of substance use. Purpose: To assess the ... [more ▼]

Educational Objectives: This study may help participants to recognize factors influencing suicidal behavior that should be assessed or monitored in the context of substance use. Purpose: To assess the prevalence of lifetime suicide attempts in opiate and cocaine related (FOD) cases. To analyze associations between suicide attempts and socio-demographic, life and substance use profiles of FOD victims . Methods: A triangulation approach allowed to cross-examining data from national law enforcement sources, the national drug use surveillance system (RELIS) and of forensic and toxicological evidence. Bivariate statistical analysis was performed by means of Chi-square χ² tests as well as logistic regression analysis of the association between suicide attempts and selected variables. Results: Prior to death, 16.8% of FOD victims reported a single suicide attempt, 37% multiple attempts and 46.2% declared none. No associations were found between suicide attempts and the following variables: sex, age, nationality, penal past (including prison stays), educational, occupational status and income of victims, occupational status of parents and detection of psychotropic prescription drugs in post mortem toxicological analysis. After adjustment for sex and age, FOD victims who showed one or more lifetime suicide attempts were more likely to have experienced non-fatal overdoses [AOR = 5.755 (95% CI 1.633 – 20.278), and (licit or illicit) substance abuse of one or both parents [AOR = 2.859 (95% CI 1.250 – 6.539), p=0.013]. The greater likelihood of unmarried FOD victims to witness suicide attempts (χ²:4.573; p=0.032), compared with married decedents, was no longer observed after sex-age adjustment. Conclusion: Suicide attempts are frequent in fatal drug overdose victims and a strong association has been observed between the former and the frequency of non-fatal overdoses experienced by decedents included in our sample. Family contexts may be at stake when it comes to explain the likelihood of suicide attempts in victims of fatal drug overdose. The fact that substance abuse in parents was positively linked to suicide attempts in FOD victims suggest that increased attention should be paid to family histories in the prevention of drug overdoses and suicide, and the link between both. Our findings could inspire further research, building upon bigger study samples and prospective cohort designs, allowing to collecting more in-depth data on the social and family support experienced by FOD victims. [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 detailSelf-perceived academic employability skills and physical quality of life on first-year university students’ wellbeing
Baumann, Michèle UL; Karavdic, Senad UL

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

With the Bologna Process, students’ wellbeing and generic skills for employability became priorities for European universities, but their respective influences remain unclear. Our aims were to analyse the ... [more ▼]

With the Bologna Process, students’ wellbeing and generic skills for employability became priorities for European universities, but their respective influences remain unclear. Our aims were to analyse the relationships between Academic Employability Skills (AES), psychological suffering (General Health Questionnaire) and psychological quality of life(psychological Whoqol-bref) and other physical, social and environmental Whoqol-bref domains and socio-demographic characteristics. Design: Nine months after the start of their first-year at University of Luxembourg, 973 students were invited to participate at a cross-sectional study. Methods: An online questionnaire was proposed in French, German, and English to assess : a) two instruments described the student’s well-being : 1) Whoqol-bref's psychological subscale-6 items (Cronbach's alpha 0.77) with higher the score, higher the psychological quality of live; 2) GHQ-12 items scale (Cronbach's alpha 0.75) with lower the score, lower the psychological suffering; and one explored the AES-5 items scale (Cronbach's alpha 0.76) (capacities of drafting, solution problem, team work, supervision / direction of others, and use new technologies). Data were analysed using logistic models. Findings: 321 first-year students participated in the study Psychological Whoqol-bref’s and AES’s scores are positively correlated. This relation was verified for each item (drafting, critical spirit, solution to problem, team work, and supervision/direction of others) except use new technologies. Between the correlations of the two instruments only 3/6 items of psychological Whoqol-bref (ability to concentrate, satisfaction with self, negative feelings) are correlated with 8/12 items of GHQ-12 (sleep lost, making decisions, feeling under strain, no overcome difficulties, depressed, loosing self-confidence, considering his/her self as a worthless, reasonably happy). A positive effect between the psychological Whoqol-bref and the AES scores was observed, including with physical, social relationships and environmental domains. No connection exists between the AES and the GHQ-12 scores; on the other side the GHQ-12 score has a negative influence on physical Whoqol-bref status. Conclusions: If a wellbeing suffering contributes in less physical quality of life, the better wellbeing, the higher academic employability skills. Campus should care of students ‘wellbeing and implement counselling activities and adapted environmental to improve their sustainable skills for employability. If the university could maintain the well-being indicators at appropriate levels or manage decreases as they occur, it would have implications for health promotion by creation of new student support systems and <br />services developing sustainable conditions for better European Higher Educational Area. [less ▲]

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See detailLifestyle as a Health Risk for Family Caregivers with Least Life Satisfaction, in Home-Based Post-Stroke Caring
Baumann, Michèle UL; Bucki, Barbara UL

in Healthcare Policy (2013), 9

Our purpose was to clarify that the caregiving role respresent a situation of risk for the health of family caregivers in home-based caring two years after cerebrovascular disease. Our aim was to ... [more ▼]

Our purpose was to clarify that the caregiving role respresent a situation of risk for the health of family caregivers in home-based caring two years after cerebrovascular disease. Our aim was to determine the social and emotional repercussions of the event on family caregivers. Family caregivers living at home with stroke survivors were identified by a national survey. The Life Satisfaction (LS) national indicator for Luxembourg is 7.9/10, while in Canada it stands at 7.7. Caregivers with a LS level ≤ 7 were more likely to care for survivors affected by motor, sensory and memory neurological impairments. For a great majority, these impairments led to serious upheaval among families, and for spouses it was “a drama.” For family caregivers with a least life satisfaction, their lifestyle poses a real health risk. [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 detailOpiate and cocaine related Fatal Overdoses in Luxembourg from 1985 to 2011: a time-stratified
Origer, Alain UL; Baumann, Michèle UL

in Health Issues and Populations in Health Promotion (2013)

To describe trends in the national prevalence of fatal overdose (FOD) cases related to opiates and cocaine use between 1985 and 2011. To analyse male/female differences in FOD victims according to various ... [more ▼]

To describe trends in the national prevalence of fatal overdose (FOD) cases related to opiates and cocaine use between 1985 and 2011. To analyse male/female differences in FOD victims according to various time periods. Methods. A triangulation approach was chosen to cross-examining data from national law enforcement sources, the national drug use surveillance system (RELIS) and of forensic and toxicological evidence. Data have been stratified according to 3 time periods covering each 9 successive years in order to increase the visibility of long term variations and trends. Statistical analysis of male/female differences according to socio-demographic and forensic data as well as drug use trajectories was performed. Results. National FOD prevalence has been decreasing from the beginning of this century to reach a historically low rate of 1.71 cases/100,000 inhabitants in 2011. The burden of deaths caused by FOD on the general national mortality showed to be higher for men compared with women. Furthermore, the pathways towards a FOD revealed to be different for male and female victims referred to various aspects including age of decedents, criminal records, drug use trajectories, drug use patterns and the involvement of psychotropic prescription drugs. Conclusions. The time window for intervention between the onset of drug use and its potential fatal outcome might be shorter for women compared with men. Further research should address dynamics between socio-economic status of victims and various cultural components to assess their possible impact on drug overdose induced mortality. Early intervention in female drug users and increased attention to poly and psychotropic prescription drugs use should be considered in health promotion programmes and relevant research outcomes routinely provided to first line general health care providers to accelerate access to appropriate treatment if required and eventually contribute to prevent premature death and reduce gender inequalities. [less ▲]

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See detailSocioeconomic inequities patterns of multi-morbidity in early adolescence.
Chau, Kénora; Baumann, Michèle UL

in International Journal for Equity in Health (2013), 12

Background: Multi-morbidity such as cumulating mental health, behavioral, and school difficulties (consumptions of alcohol, tobacco, cannabis, and hard drugs, obesity, depressive symptoms, suicide ... [more ▼]

Background: Multi-morbidity such as cumulating mental health, behavioral, and school difficulties (consumptions of alcohol, tobacco, cannabis, and hard drugs, obesity, depressive symptoms, suicide attempts, involvement in violence, and low school performance) is common in early adolescence and can be favored by a number of socioeconomic factors (gender, age, nationality, family structure, parents’ education, father’ occupation, and income). This study assessed the concurrent roles of various socioeconomic factors in multi-morbidity defined as cumulated number of difficulties (CD) which has been partially documented. Methods: Adolescents from middle schools in north-eastern France (N = 1,559) completed a questionnaire measuring socioeconomic characteristics and mental health, behavioral, and school difficulties. Data were analyzed using logistic regression models. Results: Alcohol use affected 35.2% of subjects, tobacco use 11.2%, cannabis use 5.6%, hard drugs use 2.8%, obesity 10.6%, depressive symptoms 13.3%, suicide attempts 9.9%, involvement in violence 10.3%, and low school performance 8.2%. Insufficient income and non-intact families impacted most mental health, behavioral, and school difficulties with adjusted odds ratios (ORa) between 1.51 and 3.72. Being immigrant impacted illicit drugs use and low school performance (ORa 2.31-4.14); low parents’ education depressive symptoms (1.42) and school performance (3.32); and manual-worker/inactive offspring low school performance (2.56-3.05). Multi-morbidity was very common: CD0 44.1%, CD1 30.8%, CD2-3 18.4%, and CD ≥ 4 6.7%. Insufficient income, divorced/separated parents, reconstructed families, and single parents played impressive roles with strong ORa gradients (reaching 4.86) from CD1 to CD ≥ 4. Being European immigrant, low parents’ education, and low fathers’ occupations had significant gender-age-adjusted odds ratios for CD2-3 and CD ≥ 4, but these became non-significant when adjusted for all socioeconomic factors. Older adolescents had higher risks for multi-morbidity which did not change when adjusting for all socioeconomic factors. Conclusions: Multi-morbidity including a wide range of mental health, behavioral, and school difficulties was common in early adolescence. Insufficient income and non-intact families played impressive roles. Being immigrant, low parents’ education, and low fathers’ occupations also played strong roles but these were explained by insufficient income and non-intact families. Prevention against multi-morbidity should be designed to help adolescents to solve their difficulties, especially among adolescents with socioeconomic difficulties. [less ▲]

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