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1.
European Psychiatry ; 65(Supplement 1):S534, 2022.
Article in English | EMBASE | ID: covidwho-2154089

ABSTRACT

Introduction: The COVID-19 pandemic seems associated with a worsening in mental health issues as well as a widening of preexisting social and health inequalities. Assessment of its impact on suicidal behavior might therefore be relevant. Objective(s): To assess factors associated with suicidal ideation in the general population, using data from the French nationwide Epicov study Methods: In the nationally representative Epicov study, data on occurrence of suicidal ideation from November 2019 to November 2020 were available, including timing with respect to France's lockdown periods. We studied the incidence of suicidal ideation among participants without a prior history of suicidal behavior, after May 11, 2020, when first COVID-19 related lockdown was suspended. Studied factors assessed sociodemographic and health status, including mental health, as well as COVID-19 related information such as symptom. Associations between selected factors and suicidal ideation were assessed in sex-stratified adjusted logistic regression models. Result(s): In the Epicov study, prevalence of suicidal ideation was of 2,9%, as opposed to around 4% pre-pandemic.Among 48 702 female and 41 016 male participants, health or financial issues were associated with a higher incidence of suicidal ideation. Interestingly, Covid19-like symptoms were also associated with higher risk of suicidal ideation.While an impairedmental health has been observed in survivors of past pandemics, given the unprecedented context of the current pandemic, this association needs further investigation. Conclusion(s): While the COVID-19 pandemic might have lowered suicidal ideation, it's aftermaths may reverse the trend. To prevent this rise, identification of vulnerable groups is crucial to promote tailored public health strategies.

2.
European psychiatry : the journal of the Association of European Psychiatrists ; 65(Suppl 1):S534-S534, 2022.
Article in English | EuropePMC | ID: covidwho-2072961

ABSTRACT

Introduction The COVID-19 pandemic seems associated with a worsening in mental health issues as well as a widening of pre-existing social and health inequalities. Assessment of its impact on suicidal behavior might therefore be relevant. Objectives To assess factors associated with suicidal ideation in the general population, using data from the French nationwide Epicov study Methods In the nationally representative Epicov study, data on occurrence of suicidal ideation from November 2019 to November 2020 were available, including timing with respect to France’s lockdown periods. We studied the incidence of suicidal ideation among participants without a prior history of suicidal behavior, after May 11, 2020, when first COVID-19 related lockdown was suspended. Studied factors assessed sociodemographic and health status, including mental health, as well as COVID-19 related information such as symptom. Associations between selected factors and suicidal ideation were assessed in sex-stratified adjusted logistic regression models. Results In the Epicov study, prevalence of suicidal ideation was of 2,9%, as opposed to around 4% pre-pandemic. Among 48 702 female and 41 016 male participants, health or financial issues were associated with a higher incidence of suicidal ideation. Interestingly, Covid19-like symptoms were also associated with higher risk of suicidal ideation. While an impaired mental health has been observed in survivors of past pandemics, given the unprecedented context of the current pandemic, this association needs further investigation. Conclusions While the COVID-19 pandemic might have lowered suicidal ideation, it’s aftermaths may reverse the trend. To prevent this rise, identification of vulnerable groups is crucial to promote tailored public health strategies. Disclosure No significant relationships.

3.
Médecine et Maladies Infectieuses Formation ; 1(2, Supplement):S46-S47, 2022.
Article in English | ScienceDirect | ID: covidwho-1867512

ABSTRACT

Introduction La promiscuité et la surpopulation dans les prisons sont considérées comme des facteurs de risque de transmission des virus respiratoires, mais les données sur l'étendue de l'épidémie de COVID-19 en prison sont limitées. Matériels et méthodes Etude transversale multicentrique menée dans les 12 établissements pénitentiaires de janvier à juillet 2021. L'objectif principal était d'évaluer la séroprévalence au SRAS-CoV-2 dans un échantillon représentatif de cette population. Sur les 11 413 détenus âgés de 18 à 80 ans présents dans les prisons de la région d'étude au 6 janvier 2021, 3 545 ont été tirés au sort. Résultats La population analysée comprenait 1 014 participants (âge moyen, 36,2 ans ; hommes 80,5 % ; fumeurs, 60,3 % ; obésité, 11,7 % ; vaccination COVID-19, 6,5 %). Dans l'ensemble, 18,4 % (IC95 % 16,1- 20,8) des participants étaient séropositifs pour le SRAS-CoV-2. En février 2021 (semaine 6), le taux de séroprévalence était de 20,6 % (IC95 % 16,6–24,9) dans la population générale de la région de l'étude et de 18,4 % (IC95 % 16,8–20,1) dans notre étude. Les participants séropositifs ont signalé plus fréquemment une perte d'odorat (16,7 % vs. 4,7 %) et une perte de goût (17,7 % vs. 4,1 %) depuis mars 2020. La séropositivité était significativement associée à un nombre moyen plus élevé de détenus par cellule (1,9 vs. 1,8 ; p=0,0088) et présence plus fréquente de co-détenus malades (41,3 % vs. 32,4 % ; p=0,003). Conclusion La séroprévalence du SRAS-CoV-2 dans les prisons de la région d'étude est apparue comparable à la population générale, très probablement en raison de la libération massive précoce des détenus et des mesures barrières préventives. La limitation de l'incarcération et la promotion des mesures habituelles de contrôle des infections sont des facteurs importants pour contrôler l'épidémie de COVID-19 en prison. Aucun lien d'intérêt

4.
Scientific Reports ; 11(11), 2021.
Article in English | CAB Abstracts | ID: covidwho-1758332

ABSTRACT

COVID-19 limitation strategies have led to widespread school closures around the world. The present study reports children's mental health and associated factors during the COVID-19 school closure in France in the spring of 2020. We conducted a cross-sectional analysis using data from the SAPRIS project set up during the COVID-19 pandemic in France. Using multinomial logistic regression models, we estimated associations between children's mental health, children's health behaviors, schooling, and socioeconomic characteristics of the children's families. The sample consisted of 5702 children aged 8-9 years, including 50.2% girls. In multivariate logistic regression models, children's sleeping difficulties were associated with children's abnormal symptoms of both hyperactivity-inattention (adjusted Odds Ratio (aOR) 2.05;95% Confidence Interval 1.70-2.47) and emotional symptoms (aOR 5.34;95% CI 4.16-6.86). Factors specifically associated with abnormal hyperactivity/inattention were: male sex (aOR 2.29;95% CI 1.90-2.76), access to specialized care prior to the pandemic and its suspension during school closure (aOR 1.51;95% CI 1.21-1.88), abnormal emotional symptoms (aOR 4.06;95% CI 3.11-5.29), being unschooled or schooled with assistance before lockdown (aOR 2.13;95% CI 1.43-3.17), and tutoring with difficulties or absence of a tutor (aOR 3.25;95% CI 2.64-3.99;aOR 2.47;95% CI 1.48-4.11, respectively). Factors associated with children's emotional symptoms were the following: being born pre-term (aOR 1.34;95% CI 1.03-1.73), COVID-19 cases among household members (aOR 1.72;95% CI 1.08-2.73), abnormal symptoms of hyperactivity/inattention (aOR 4.18;95% CI 3.27-5.34) and modest income (aOR 1.45;95% CI 1.07-1.96;aOR 1.36;95% CI 1.01-1.84). Multiple characteristics were associated with elevated levels of symptoms of hyperactivity-inattention and emotional symptoms in children during the period of school closure due to COVID-19. Further studies are needed to help policymakers to balance the pros and cons of closing schools, taking into consideration the educational and psychological consequences for children.

7.
European Journal of Public Health ; 31, 2021.
Article in English | ProQuest Central | ID: covidwho-1514615

ABSTRACT

Objective To contain the COVID-19 epidemic preventive measures including social distancing, economic shutdown, and school closures were introduced, carrying risk of mental health burden in adults and children. Although the knowledge base regarding children's response to trauma and adverse events has broadened, descriptions of their mental health during epidemics remain scarce. In particular, the role of family socioeconomic characteristics and parental mental health are poorly understood. Methods We assessed the correlates of children's emotional difficulties and symptoms of hyperactivity/inattention during the COVID-19 lockdown in a French community-based sample. 432 community-based parents (27-46 years, TEMPO cohort) and their children (mean age 6.8 +/- 4.1) were interviewed online. Children's symptoms of emotional difficulties and hyperactivity/inattention were assessed using the parent reported Strengths and Difficulties Questionnaire during the 5th week of home confinement. Family socioeconomic characteristics and parental mental health and substance use were assessed weekly during the first 5 weeks of home confinement. Data were analyzed using multivariate logistic regression models. Results 7.1% of children presented symptoms of emotional difficulties and 24.7% symptoms of hyperactivity/inattention. The presence of psychological difficulties was significantly associated with family characteristics including financial difficulties (OR = 4.3) and parental symptoms of anxiety and depression (OR = 2.5). Children's sleeping difficulties and screen time were statistically significant in bivariate analyses but lost statistical significance in multivariate models. Conclusions Children's emotional and behavioural difficulties are associated with parental mental health and socioeconomic difficulties. In the COVID-19 epidemic, parents and professionals involved in caring for children should pay special attention to mental health needs.

8.
European Journal of Public Health ; 31, 2021.
Article in English | ProQuest Central | ID: covidwho-1514614

ABSTRACT

Background COVID-19 limitation strategies led to widespread school closures around the world. The present study aims to provide a description of children's mental health and associated factors during the COVID-19 school closure in France. Methods We conducted a cross-sectional analysis in the SAPRIS study during the COVID-19 pandemic in France, relying on 2 ongoing national birth cohorts, ELFE and EPIPAGE 2. Using weighted multinomial logistic regression models, we estimated associations between children's mental health (i.e., hyperactivity/inattention and emotional symptoms;assessed by the Strengths and Difficulties Questionnaire), children's health behaviors, schooling, as well as sociodemographic and socioeconomic characteristics of children family. Results The sample consisted of 5702 children aged 8 - 9 years and 49.3% girls. Sleep disturbance and parents' dominant socio-professional category were associated with both hyperactivity-inattention (adjusted Odds Ratio (aOR)=2.10 95%Confidence Interval [1.85-2.38];aOR=0.45 [0.33-0.61] respectively) and emotional symptoms and (aOR=6.33 [5.26-7.63];aOR=0.62 [0.39-0.98] respectively). Specifically associated with hyperactivity/inattention were: male sex (aOR=2.51 [2.24-2.82]), presence of regular care and its pursuit during school closure (aOR=1.69 [1.33-2.15]), emotional symptoms (aOR=2.74 [2.23-3.37]), school situation (aOR=2.19 [1.69-2.82]), presence of tutoring and difficulties with it (aOR=2.56 [2.13-3.08]), type of housing (aOR=0.79 [0.70-0.89]). Factors associated with emotional symptoms were: presence of covid cases in the household (aOR=2.33 [1.92-2.82]), hyperactivity/inattention (aOR=2.94 [2.45-3.52]) and financial difficulties (aOR=1.71 [1.39-2.11]). Conclusions Policy makers need to balance pros and cons of closing schools, taking into consideration educational and psychological consequences for children and the various factors associated with mental health.

9.
Revue d'Épidémiologie et de Santé Publique ; 69:S56, 2021.
Article in French | ScienceDirect | ID: covidwho-1240590

ABSTRACT

Introduction Dans le but de réduire le nombre de personnes infectées par la COVID-19, plusieurs pays ont mis en œuvre des applications mobiles pour retracer les contacts étroits de la personne infectée par le SARS-CoV-2. Cependant, cette approche nécessite une large adhésion de la population pour être efficace. Cependant, depuis mars, de telles applications n’ont été installées que par 9,3 % des personnes dans le monde. Nos objectifs étaient d’estimer, en France, l’acceptabilité d’une application utilisant les téléphones mobiles pour retracer les contacts étroits entre les personnes lors d’épidémies, et les barrières potentielles à son utilisation. Méthodes Nos données ont été collectées parallèlement à l’enquête « Health Literacy Survey 2019 » réalisée en ligne auprès de 1003 français deux semaines après la fin du premier confinement en France (du 27 mai au 5 juin 2020). Les données utilisées étaient les caractéristiques sociodémographiques, la littératie en santé, la confiance dans les institutions et les connaissances sur la COVID-19 et les comportements préventifs. L’acceptabilité d’une application mobile de traçage a été mesurée par le biais d’une question ad hoc, dont les réponses ont été regroupées en trois modalités : App-partisan, App-favorable et App-réticent. Résultats Seulement 19,2 % étaient des partisans de l’application tandis que la moitié des participants (50,3 %) étaient réticents. Les facteurs associés à la non-réticence (App-adepte, App-favorable) étaient : l‘absence de difficultés financières et l’utilité perçue d’applications mobiles pour envoyer des questionnaires de santé aux médecins. L’âge de plus de 60 ans, la confiance dans les représentants politiques, les préoccupations envers la situation pandémique et des connaissances adéquates sur la transmission du SARS-CoV-2 augmentaient la probabilité d’adhérer complétement à l’application de traçage. Conclusion Les personnes les plus démunies, connues pour être plus à risque d’être atteintes par la COVID-19, sont également les plus réticentes à utiliser une application de traçage des contacts. Par conséquent, une adhésion optimale nécessite de mieux comprendre ces réticences et de larges campagnes de sensibilisation, proposant un discours rationalisé sur les avantages de santé publique d’adopter une telle application.

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