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4.
Sante Publique ; 27(1 Suppl): S13-6, 2015.
Artigo em Francês | MEDLINE | ID: mdl-26168612

RESUMO

A study was conducted in the Lorraine region concerning the difficulties encountered in the management of chronic diseases in patients in a situation of precarity based on interviews of the patients concerned and general practitioners. Numerous difficulties as well as several facilitating factors were identified. The elements reported by patients and doctors frequently converged: the importance of living conditions, the frequently pejorative attitudes of doctors, administrative complexities. The doctor-patient relationship is the cornerstone of facilitating factors. Patients attach considerable importance to the relationship of confidence developed with their attending physician. They want their doctor to use simple words and avoid making them feel guilty, allowing them to enter into a real healthcare partnership in which they can actively participate in decisions concerning them. On the basis ofthesefindings, thestudy formulated recommendations for improvement of management, essentially concerning administrative measures of social protection and access to care.


Assuntos
Doença Crônica/terapia , Fidelidade a Diretrizes/normas , Populações Vulneráveis , Adulto , Idoso , Doença Crônica/epidemiologia , Feminino , Grupos Focais , França/epidemiologia , Fidelidade a Diretrizes/estatística & dados numéricos , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Populações Vulneráveis/estatística & dados numéricos
7.
Sante Publique ; 25(2 Suppl): s87-91, 2013.
Artigo em Francês | MEDLINE | ID: mdl-24313067

RESUMO

Ethical issues have only recently emerged as a topic of debate in health education. Until recently, health education was seen as "beneficent" by nature and as designed to improve well-being and quality of life. Traditionally, the purpose of health education was to promote behavior change. The idea of intruding into people's private lives raises the question of the objectives and methods of health education. The principles underlying ethical reflection--beneficence, non-malfeasance, autonomy and social justice--provide a basis for identifying a number of problems or abuses. Traditionally, people have tended to be seen as implicitly responsible for their own behavior, a view based on a moralistic, guilt-inducing and didactic approach to health and health behavior. The assumption is that these infringements affect the identity and dignity of persons. In addition, imposing standards and norms of behavior defined by others amounts to undermining or denying the autonomy of individuals. Finally, traditional health education approaches, and in particular communication campaigns, may contribute to the improvement of health, but it is at the cost of increased inequalities. To conclude, ethics is both a statement of values and a method or process. Ethics needs to be debated and discussed in a democratic forum. It is up to citizens, not experts, to establish the link between means and ends. Health promotion has resulted in a shift in perspective--a shift that has provided protection against ethical lapses and violations. This paper argues that health education must create the conditions of autonomy by focusing first on environmental factors and inequalities.


Assuntos
Beneficência , Educação em Saúde/ética , Autonomia Pessoal , Comportamentos Relacionados com a Saúde , Humanos
11.
Prom. Educ ; (supl.1): 8-13, 2008.
Artigo em Francês | CidSaúde - Cidades saudáveis | ID: cid-60871

RESUMO

La charte d'Ottawa sur la promotion de la santé date de 1986. Elle constitue un des textes fondamentaux de la santé publique moderne et suggère un capsus de méthodes particulièrement adaptée à la lutte contre les excès de la mondialisation économique et ses effets sur la santé. Cet article propose de relire ce texte fondateur, d'en débattre, de le critiquer, de le commenter, d'en triturer le contenu pour en faciliter l'adaptation aux mouvances sociales, culturelles, institutionnelles, d'en rechercher la modernité, de le confronter à l'expérience qu'il a permis d'acquérir et de mesurer les changements qu'il a pu engendrer. (AU)


Assuntos
Promoção da Saúde , Participação da Comunidade , Política Pública , Administração de Serviços de Saúde
12.
Educ Health (Abingdon) ; 19(1): 43-51, 2006 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-16531301

RESUMO

CONTEXT: Students living in university residences experience frail living conditions, being away from their homes and families, the stress of studies, a bizarre routine, and absence of readily available guidance. Their overall health suffers. OBJECTIVES: Our study aims at collecting information on health and related problems of the students in university residences and to identify the solutions to ameliorate the prevailing situation. METHODS: A qualitative study conducted in five university residences of Nancy, Metz and Strasbourg, France. FINDINGS: The majority of students have complaints about the living conditions in the residences. They mention that they are not in sound health. Stress, depression, fatigue, insomnia, and problems with diet are common. Foreign students suffer more due to culture shock, language, and nostalgia. A tendency for suicides has been observed, especially in girls. Financial problems, too much to study, and relationship break-up are important factors. For their health problems, they generally seek advice from a peer and consume medicines without prescription. Many do not use the "students' health service" because of lack of information or difficult access from certain universities or university residences. CONCLUSION: To solve their problems and to facilitate their social integration, student volunteers ought to be trained in the university residences because a majority prefers to have their peers' advice. Reinforcement of the role of administration of residences, of student-counselors and of the faculty in the university would be another crucial step. More leisure and social activities are imperative. This study itself constitutes the first element of creating awareness regarding the situation of the health of students living in residence halls in France.


Assuntos
Nível de Saúde , Habitação , Estudantes de Medicina , Adolescente , Adulto , França , Humanos , Entrevistas como Assunto , Faculdades de Medicina
13.
J Ethnopharmacol ; 104(1-2): 68-78, 2006 Mar 08.
Artigo em Inglês | MEDLINE | ID: mdl-16214302

RESUMO

This paper presents the findings of an investigation into the treatment of oral diseases with medicinal plants in the Kadiogo province, Burkina Faso. Although the region is mainly urban, it appears that traditional healers who live there, and the general population, continue to rely on plant products when dealing with a broad range of oral health concerns. Sixty-two relevant species belonging to 29 families were identified, and each was documented with regard to its local name, part used, indication, mode of administration, and the collection and storage procedure used (when those data were available). A number of ideas for research topics emerged from this work, some of which promise to help selection and prescription of improved traditional remedies for oral diseases at the primary health care level in Burkina Faso.


Assuntos
Medicina Tradicional Africana , Doenças da Boca/tratamento farmacológico , Plantas Medicinais , Odontalgia/tratamento farmacológico , Adolescente , Adulto , Idoso , Burkina Faso/etnologia , Criança , Gengivite/tratamento farmacológico , Gengivite/etnologia , Humanos , Pessoa de Meia-Idade , Doenças da Boca/etnologia , Extratos Vegetais/isolamento & purificação , Extratos Vegetais/uso terapêutico , Estruturas Vegetais , Odontalgia/etnologia
14.
Qual Life Res ; 14(10): 2229-34, 2005 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-16328902

RESUMO

PURPOSE: Quality of life in general population of adolescents has been scarcely documented. The study was aimed at evaluating the psychometric properties of the DUKE Health Profile-Adolescent version (DHP-A), an adaptation from the adult version. MATERIAL AND METHOD: Feasibility and construct validity were assessed in a sample of 618 adolescents from school settings. Test-retest reliability was assessed in another sample of 100 adolescents at 2 weeks interval. Construct validity was assessed in groups by gender, age and existence of a health problem. RESULTS: The DHP-A, a short instrument of HRQOL, easy to administer, proved its ability to discriminate between boys and girls, with or without a health problem, for all of health and dysfunction dimensions (p < 0.05). Its reliability is also acceptable for three health dimensions and anxiety, depression (ICC = 0.68-0.72), moderate for social, perceived health, self-esteem and pain (ICC = 0.43-0.59), and debatable for disability (ICC = 0.22) (single item). CONCLUSION: The initial testing of the adolescent version (DHP-A) indicates that the psychometric properties are acceptable and will provide a useful tool for the assessment of health status in adolescents. Three single-item dimensions (perceived health, pain and disability) should be interpreted with caution.


Assuntos
Psicometria , Qualidade de Vida , Inquéritos e Questionários , Adolescente , Feminino , França , Nível de Saúde , Humanos , Masculino , Satisfação Pessoal , Autorrevelação
20.
Soz Praventivmed ; 47(3): 162-71, 2002.
Artigo em Inglês | MEDLINE | ID: mdl-12238298

RESUMO

OBJECTIVES: To explore the perceptions of health and physical activity, and the associations between these two areas from a theoretical lifestyle perspective. METHODS: Data was collected by means of a self-administered questionnaire, among 3019 adults attending centres for preventive medicine in France. Correspondence analysis examined the significance of the relationships between perceptions of health and perceptions of sports and physical activity. RESULTS: Four principal types of subjects emerged from the factor analyses expressing four different lifestyle patterns. "Non physically active lifestyle: a feeling of not being healthy", "Physically active lifestyle, pleasure/leisure-oriented", "Necessarily physically active lifestyle, regardless of health", "Physically active lifestyle aimed at stress relief". CONCLUSIONS: The sociological approach helps tackle sports and physical activity as behaviour patterns but also and especially as a health orientation connected with the socio-economical climate. This approach also gives sports practice back its meaningful cultural dimension.


Assuntos
Atitude Frente a Saúde , Exercício/psicologia , Estilo de Vida , Esportes/psicologia , Adolescente , Adulto , Imagem Corporal , Feminino , França , Comportamentos Relacionados com a Saúde , Promoção da Saúde , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
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