References of "Le Bihan, Etienne 50002178"
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See detailMental health (GHQ12; CES-D) and attitudes towards the value of work among inmates of a semi-open prison and the long-term unemployed in Luxembourg
Baumann, Michèle UL; Meyers, Raymond UL; Le Bihan, Etienne UL et al

in BMC Public Health (2008), 8(214),

Aim: To analyse the relationships between mental health and employment commitment among prisoners and the long-term unemployed (LTU) trying to return to work. Method: Fifty-two of 62 male inmates of a ... [more ▼]

Aim: To analyse the relationships between mental health and employment commitment among prisoners and the long-term unemployed (LTU) trying to return to work. Method: Fifty-two of 62 male inmates of a semi-open prison (Givenich Penitentiary Centre, the only such unit in Luxembourg), and 69 LTU registered at the Luxembourg Employment Administration completed a questionnaire exploring: 1) mental health (measured by means of scales GHQ12 and CES-D); 2) employment commitment; 3) availability of a support network, selfesteem, empowerment; and 4) socio-demographic characteristics. Results: Compared with LTU, inmates were younger, more had work experience (54.9% vs 26.1%), and more were educated to only a low level (71.1% vs 58.0%). The link between employment commitment and mental health in the LTU was the opposite of that seen among the prisoners: the more significant the perceived importance of employment, the worse the mental health (GHQ12 p = 0.003; CES-D p < 0.001) of the LTU; in contrast, among prisoners, the GHQ12 showed that the greater the perceived value of work, the lower the psychic distress (p = 0.012). Greater empowerment was associated with less depression in both populations. The education levels of people who did not reach the end of secondary school, whether inmates or LTU, were negatively linked with their mental equilibrium. Conclusion: The two groups clearly need professional support. Future research should further investigate the link between different forms of professional help and mental health. Randomized controlled trials could be carried out in both groups, with interventions to improve work commitment for prisoners and to help with getting a job for LTU. For those LTU who value employment but cannot find it, the best help may be psychological support. [less ▲]

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See detailAssociation between leisure time physical activity and health-related quality of life changes over time.
Tessier, Sabrina; Vuillemin, Anne; Bertrais, Sandrine et al

in Preventive Medicine (2007), 44(3), 202-208

Objective This study aimed to assess whether changes in leisure-time physical activity over 3 years are associated with changes in health-related quality of life. Method Among the adults enrolled in the ... [more ▼]

Objective This study aimed to assess whether changes in leisure-time physical activity over 3 years are associated with changes in health-related quality of life. Method Among the adults enrolled in the Supplementation en VItamines et Minéraux Antioxidants study in France, 3891 completed the Modifiable Activity Questionnaire to assess leisure-time physical activity and the Medical Outcomes Study 36-item Short-Form to assess health-related quality of life in 1998 and 2001. Multivariate analyses involving logistic and linear regressions determined the association between changes in leisure-time physical activity and changes in health-related quality of life. Results Over 3 years, increased leisure-time physical activity was associated with high scores in health-related quality of life dimensions: physical functioning, mental health, vitality for both sexes as well as social functioning for women only. An increase of 1 h per week of leisure-time physical activity was associated with a 0.17- and 0.39-point increase in the vitality dimension in men and women, respectively. The mental component score was also increased in women increasing their leisure-time physical activity. Conclusion The long-term association between leisure-time physical activity and health-related quality of life changes is limited and has little clinical significance, especially for men and for the physical health-related quality of life dimensions. The long-term association needs to be further explored before formulating public health recommendations. [less ▲]

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See detailHealth status among French, Polish and Romanian students
Baumann, Michèle UL; Le Bihan, Etienne UL; Amara, Marie-Emmanuelle UL et al

in Health Psychology and Society. Congressboock (2007)

Research question. Students face many school and living difficulties which alter health status and favour substance use which were assessed in this study among university students from France, Poland and ... [more ▼]

Research question. Students face many school and living difficulties which alter health status and favour substance use which were assessed in this study among university students from France, Poland and Romania. Methods. In total 934 French, 480 Polish, and 195 Romanian students from the Universities of Metz, Iaşi, and Silésie, completed a self-administred questionnaire. The data were analyzed using adjusted odds ratios (OR) and variance analysis taking age and sex into account, vs. French. Results. Mean age 20 (SD = 2) years. Female represented 58% French and 80% Polish/Romanian. Although most students were satisfied with their university integration (81-97%), many students had deteriorated heath status compared with the period before the university (13-22%), suffered from tiredness (11-85%), nervousness (42-56%), sleep disorders (19-48%), financial difficulty (15-39%), and being alone (8-23%). Were also common increasing tobacco use (15-32%), alcohol use every day (15-40%), tranquilizer pill use (1-6%), hashish/marijuana use (2-42%), suicide thinking (15-19%), and frequent consultation of health professionals (7-30%). Bad heath status was more frequent among French and Romanian overall, and suicide thinking among Polish. Higher PSS-14 and GHQ-12 scores among Polish compared with their French counterparts who used more hashish/marijuana. Satisfied social support was similar between the three groups. Conclusion. A better guidance for those who are in need of adapted mental health care seem nevertheless recommended to support them through their university success. [less ▲]

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See detailUtilisation d'un modèle de réponse à l'item pour la validation d'une échelle des attitudes professionnelles des médecins généralistes
Le Bihan, Etienne UL; Baumann, Cédric; Alla, François et al

in Journal of Educational Measurement and Applied Cognitive Sciences (2007)

Nous avons développé une échelle des attitudes professionnelles des médecins généralistes destinée à évaluer le niveau de communication thérapeutique dispensé durant les consultations. La construction de ... [more ▼]

Nous avons développé une échelle des attitudes professionnelles des médecins généralistes destinée à évaluer le niveau de communication thérapeutique dispensé durant les consultations. La construction de l'échelle a abouti à un questionnaire constitué de 15 items à 10 modalités de réponse allant de "Jamais" à "Toujours". Après avoir étudié les propriétés métriques de l’échelle selon une méthodologie classique, nous avons employé un modèle de réponse à l’item (le Generalized Partial Credit Model, GPCM) pour explorer un éventuel fonctionnement différentiel d’item (FDI) selon le genre des individus. Le modèle a été construit dans un cadre bayésien en utilisant un algorithme MCMC. La détection du FDI est basée sur le test de rapport de vraisemblance, en comparant le modèle de référence où tous les paramètres associés aux items sont communs aux hommes et aux femmes, à un modèle incluant deux ensembles de paramètres distincts selon le genre des individus pour un item particulier. La démarche a été appliquée aux 338 observations de l'échantillon de validation ne comportant pas de données manquantes. Parmi les 15 items de l'échelle, seul l'item 6 ("Mon médecin m’informe sur les effets secondaires des médicaments") présente un FDI significatif au niveau de signification de 5% (p = 0.016). Cet item est plus discriminant chez les hommes. De plus, il semble que, à un niveau de communication thérapeutique égal, les hommes ont une probabilité supérieure aux femmes de répondre aux catégories les plus élevées. Finalement, nous avons décidé de ne pas écarter cet item car 1) le FDI est modéré (si nous ajustons le test pour les comparaisons multiples, celui-ci n'est plus significatif au niveau 5%) et 2) nous n'avons aucune interprétation qualitative de cette différence. [less ▲]

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See detailAdaptation and validation of a telephone questionnaire serbian version for case detection of Rheumatoid Arthritis and Spondyloarthropathy (multicentric Eular study)
Zlatkovic-Svenda, M. I.; Stojanovic, R. M.; Milenkovic, M. P. et al

in Clinical and Experimental Rheumatology (2007), 25(1), 75-84

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See detailRheumatoid Arthritis and Spondyloarthropathies : geographical variations in prevalence in France
Roux, C.; Saraux, A.; Le Bihan, Etienne UL et al

in Journal of Rheumatology (2007), 34(1), 117-122

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See detailStatistical Analysis of Piglet Stillbirth
Canario, L.; Cantoni, E.; Le Bihan, Etienne UL et al

Scientific Conference (2006, August)

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See detailLean mass plays a gender-specific role in familial resemblance for femoral neck bone mineral density in adult subjects
Blain, Hubert; Vuillemin, Anne; Guillemin, Francis et al

in Osteoporosis International (2006), 17(6), 897-907

Introduction Whether the femoral neck bone mineral density (FN BMD) of children may be better predicted from that of their parents when taking into account the anthropometry of the children was assessed ... [more ▼]

Introduction Whether the femoral neck bone mineral density (FN BMD) of children may be better predicted from that of their parents when taking into account the anthropometry of the children was assessed in a healthy adult sample consisting of 86 mother-daughter, 32 mother-son, 32 father-daughter, and 23 father-son pairs from 128 families. Heritability for FN BMD, which is considered to be a measurement of general resemblance, was defined as the regression coefficient of the mean of the parents’ BMD. Among the anthropometric factors, lean mass was the most strongly associated with FN BMD following the adjustment for age in women (r=0.52, p<0.0001) and men (r=0.25, p=0.02). After adjustment for age, calcium intake, physical activity, and menopause and hormonal replacement therapy if relevant, heritability estimates (h2) for FN BMD were 0.68±0.23 [95% credible interval (CI): 0.15–0.99] in father-daughter pairs, 0.40±0.17 (95% CI: 0.08–0.74) in mother-daughter pairs, and 0.19±0.15 (95% CI: 0.01–0.57) in father-son pairs. Adjustment for lean mass of children increased the h2 for FN BMD in mother-son pairs [from 0.24±0.17 (95% CI: 0.01–0.57) to 0.66±0.18 (95% CI: 0.26–0.95)]. The present results show that FN BMD is heritable in adult father-daughter pairs (7.2% of a daughter’s FN BMD variance was explained by the father’s FN BMD) and that taking into account the lean mass of sons might improve the prediction of their FN BMD based on that of their mother’s (reduction of sons’ FN BMD residual variance by 5.1%). Taking the lean mass of children into account might improve the prediction of their FN BMD by 9.1% in daughters and by 18.1% in sons, irrespective of their parent’s FN BMD. These results, obtained using a Bayesian regression model, have to be confirmed in further studies involving a greater number of adult parent-offspring pairs of both genders before extrapolation to clinical practice. [less ▲]

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See detailTwo professional attitudes measurement scales evaluated by patients for general practitioners and dispensing chemists
Baumann, Michèle UL; Le Bihan, Etienne UL

in Society for Health and Medical Sociology (2006)

To construct and validate a scale of Professional Attitudes for both General Practitioners (in french, Attitudes Professionnelles des Médecins Generalistes) and dispensing chemists (Attitudes ... [more ▼]

To construct and validate a scale of Professional Attitudes for both General Practitioners (in french, Attitudes Professionnelles des Médecins Generalistes) and dispensing chemists (Attitudes Professionnelles des Pharmaciens d’Officine). Methods: Stage 1. The construction and qualitative validation of a scale. By interviewing 40 patients in a preventive-care center in east of France in addition to 21 general practitioners and 22 dispensing chemists, we targeted items which could possibly help us formalize a theoretical construction of professional attitudes which intervened in the instauration and follow-up of patient treatments. Then, with the help of a group of experts, we determined which generic items in the questionnaire could be validated and, finally, identified the functions which fulfilled these attitudes. Stage 2. We statistically validated the APMG and APPO scales and then studied the classic metric characteristics of the scales by using a questionnaire which was auto-administered to 393 patients from East of France. We have completed this validation with a differential item functioning analysis to determine if the questions have similar properties among men and women. Results: 15 relational items in general practitioners and 9 in dispensing chemists were identified. They are associated with information, communication and education. Each scale is one-dimensional. Analysis showed high internal coherence (Cronbach’s alpha coefficient was 0.91 and 0.87 respectively) and acceptable reproducibility (intra-class correlation coefficients were respectively 0.74 and 0.72). Differential item functioning analysis for gender is in progress. Conclusion: The professional attitudes, we isolated represent important criteria in the quality of interpersonal doctor-patient and chemist-patient relationships. The metric characteristics of the two scales were deemed satisfactory. This suggests that they can be used as an aid in training in the healthcare professional-patient relationship, in decision-making and in assessing relational competencies. [less ▲]

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See detailUn baromètre de la qualité de vie des étudiant-e-s au sein des universités européennes : une nécessité éthique.
Baumann, Michèle UL; Amara, Marie-Emmanuelle UL; Le Bihan, Etienne UL

in Analyse des Systèmes de Santé (2006)

Les politiques d’éducation et de formation doivent doter les étudiant-e-s d’aptitudes, de capacités et de compétences nécessaires pour affronter les transformations socioéconomiques (Conseil Européen de ... [more ▼]

Les politiques d’éducation et de formation doivent doter les étudiant-e-s d’aptitudes, de capacités et de compétences nécessaires pour affronter les transformations socioéconomiques (Conseil Européen de Lisbonne 2000). Pour augmenter la compétitivité des ressources humaines, la croissance économique et la cohésion sociale en Europe (Déclaration de Bologne 1999), la question de l'employabilité s'impose progressivement comme une des finalités des enseignements. Dans un contexte de massification des universités, les questions de politique globale suscitent plus d'intérêt que la qualité de vie et les jugements des étudiant-e-s sur leur expérience universitaire. Une attention particulière est cependant accordée dans les recherches à l'analyse des conditions de leur socialisation, de leur intégration dans l'institution (rapports avec les autres étudiant-e-s, avec leurs enseignants, épanouissement personnel, engagement civique...) et de ce qu'ils ont retiré pour leur parcours ultérieur. Des travaux sur l'évaluation de la qualité et de la satisfaction des services rendus aux étudiant-e-s sont également de plus en plus engagés par les établissements d'enseignement supérieurs pour répondre aux exigences des processus d'accréditation. Parallèlement à ces études, la problématique du bien-être des étudiant-e-s reste peu documentée. Or une bonne santé constitue un facteur positif de réussite. La qualité de vie des étudiant-e-s est pourtant une priorité de santé publique pour ces jeunes à qui on demande aujourd'hui de relever un tel défi. Dans l'enceinte de trois universités européennes, nous avons réalisé auprès d'étudiants polonais (Po), roumains (Ro) et français (Fr) de 1ère année en sciences humaines et sociales. Notre objectif est de présenter les principaux résultats de ce travail afin de susciter une discussion éthique sur la place de la qualité de vie et de la santé au sein des universités européennes. La méthode s'est appuyée sur un questionnaire auto-administré, 1602 étudiants (93 français (Fr), 190 roumains (Ro), 480 polonais (Po)) ont répondu. Des mesures sur les consommations de psychotopes, tabac, alccol, drogues, tc. ont été réalisées. La santé psychique a été évaluée à l'aide d'échelles validées (Brief Cope, Estime de soi, Général Health Qquestionnaire, etc.). Les principaux résultats. L'âge moyen est de 20 ans. Globalement, les Ro se sentent en moins bonne santé que les Fr et les Po alors qu'ils jouissent de la meilleure estime de soi. Ils sont les plus nombreux à consulter leur médecin et à vouloir rencontrer un psychiatre. Les Fr et les Po sont les plus nombreux à avoir mal au dos, mal à la tête, à se dire fatigués et à déclarer consommer des tranquillisants. Les Po consomment davantage de stimulants et de somnifères. Les Fr sont les plus nombreux à boire de l'alcool et à prendre des amphétamines et de l'ecstasy. Depuis la rentrée universitaire, les Po sont les plus nombreux à avoir modifié leur prise de drogues, et comme les Ro, ils ont augmenté leur consommation de tabac. Pour faire face à leurs problèmes, les Fr dédramatisent les situations grâce à l'humour et aux distractions, les Po recherchent un soutien social et affectif, les Ro libèrent leurs sentiments par la parole et positivent le sens qu’ils donnent aux événements. Durant les derniers mois, les Ro sont les plus nombreux à avoir entamé une action contre le stress. Discussion. L'entrée à l'universitaire exerce une influence sur l'équilibre psychique des étudiants. Les comportements à l’égard de leur qualité de vie et de leur santé méritent d’être observés, leur compréhension est une nécessité éthique: - D'abord, parce qu'il est vraisemblablement peu efficace d’agir sur ces comportements sans agir sur leurs causes. On sait aujourd’hui que des comportements considérés comme nocifs (alcool, tabac, drogues) sont produits en réponse à des carences ou à des agressions de l’environnement pour faire face à la souffrance psychique, à l’isolement, au manque de perspectives. Ce que l'on nomme "problèmes" sont plutôt « des comportements de survie ou des appels au secours » dans le contexte où ils s’expriment. - Ensuite parce qu'il paraît peu acceptable de considérer les étudiant-e-s comme responsables de ce qui leur est imposé : stress, solitude, manque de respect des droits de l’étudiant, … L'équité d'accès à la formation et à l’éducation nécessite de repenser la santé au sein des universités comme partie intégrante d’un dispositif d’accompagnement des etudiants-e-s dans leur réussite universitaire. Perspectives. Un « Baromètre européen de la qualité de vie des étudiant-e-s » permettrait d’analyser l’apparition et l’adoption des comportements bénéfiques ou délétères à l'égard de la santé et du bien-être. Ce type de recherche saisirait à la fois les représentations des jeunes et l’intrication intime, qui prédomine à l’adolescence, ente les problèmes à dominante physique et les problèmes à dominante affective ou relationnelle. Cette connaissance constituerait un support pour des programmes de prévention et de promotion de la santé qui mériterait d'être mené aussi bien du côté des étudiant-e-s que du côté des professionnels de la santé et des enseignants. [less ▲]

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See detailBetween-breed variability of stillbirth and its relationship with sow and piglet characteristics
Canario, Laurianne; Cantoni, E.; Le Bihan, Etienne UL et al

in Journal of Animal Science (2006), 84

Litter characteristics at birth were recorded in 4 genetic types of sows with differing maternal abilities. Eighty-two litters from F1 Duroc × Large White sows, 651 litters from Large White sows, 63 ... [more ▼]

Litter characteristics at birth were recorded in 4 genetic types of sows with differing maternal abilities. Eighty-two litters from F1 Duroc × Large White sows, 651 litters from Large White sows, 63 litters from Meishan sows, and 173 litters from Laconie sows were considered. Statistical models included random effects of sow, litter, or both; fixed effects of sow genetic type, parity, birth assistance, and piglet sex, as well as gestation length, farrowing duration, piglet birth weight, and litter size as linear covariates. The quadratic components of the last 2 factors were also considered. For statistical analyses, GLM were first considered, assuming a binomial distribution of stillbirth. Hierarchical models were also fitted to the data to take into account correlations among piglets from the same litter. Model selection was performed based on deviance and deviance information criterion. Finally, standard and robust generalized estimating equations (GEE) procedures were applied to quantify the importance of each effect on a piglet’s probability of stillbirth. The 5 most important factors involved were, in decreasing order (contribution of each effect to variance reduction): difference between piglet birth weight and the litter mean (2.36%), individual birth weight (2.25%), piglet sex (1.01%), farrowing duration (0.99%), and sow genetic type (0.94%). Probability of stillbirth was greater for lighter piglets, for male piglets, and for piglets from small or very large litters. Probability of stillbirth increased with sow parity number and with farrowing duration. Piglets born from Meishan sows had a lower risk of stillbirth (P < 0.0001) and were little affected by the sources of variation mentioned above compared with the 3 other sow genetic types. Standard and robust GEE approaches gave similar results despite some disequilibrium in the data set structure highlighted with the robust GEE approach. [less ▲]

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See detailPrevalence of Rheumatoid Arthritis in France : 2001
Guillemin, Francis; Saraux, A.; Guggenbuhl, P. et al

in Annals of the Rheumatic Diseases (2005), 64(10), 1427-1430

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See detailPrevalence of Spondylarthropathies in France : 2001
Saraux, A.; Guillemin, Francis; Guggenbuhl, P. et al

in Annals of the Rheumatic Diseases (2005), 64(10), 1431-1435

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