Publications by authors named "Nathalie Beltzer"
Background: In March 2020, several countries, including France, implemented a total lockdown policy to combat the spread of the COVID-19 epidemic, involving the closure of schools. This measure required children to stay at home for an extended period of time. Several studies have shown an increase in the number or proportion and severity of domestic accidents in children during this period.
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- France experienced a decline in self-reported health (SRH) and increased activity limitations (GALI) among adults from 2017 to 2021, with noticeable changes starting in 2019.
- The percentage of individuals reporting very good or good health dropped from 75.2% in 2017 to 68.5% in 2021, while those reporting activity limitations rose from 21.5% to 25.2% over the same period.
- This decline impacted all demographics, particularly younger people and those from higher socioeconomic positions, suggesting widening socio-territorial inequalities despite overall health deterioration affecting all groups.
Background: To assess the associations between anxiety and depressive symptoms and post-COVID-19 condition (PCC) by exploring the direction of these associations and their relevance in the definition of PCC.
Methods: Nationwide survey among French adults, recruited between March and April, 2022, using a quota method to capture a representative sample of the general population with regard to sex, age, socioeconomic status, size of the place of residence, and region. We included all participants who met the World Health Organization (WHO) definition of PCC in addition to a random sample of participants infected with SARS-COV-2 for at least 3 months but without PCC.
Objectives: To assess the annual costs 2 years before and 2 years after a hospitalized fall-related injury (HFRI) and the 2-year survival among the population 75+ years old.
Design: We performed a population-based, retrospective cohort study using the French national health insurance claims database.
Setting And Participants: Patients 75+ years old who had experienced a fall followed by hospitalization, identified using an algorithm based on International Classification of Diseases codes.
Article Synopsis
- The World Health Organization declared COVID-19 a pandemic on March 11, 2020, and this study aimed to assess the disease's impact in France for that year using a measure called disability-adjusted life years (DALYs).
- The analysis utilized national data on mortality, hospital admissions, and screening, estimating a total of 990,710 DALYs lost in France in 2020, with 99% attributed to mortality and a small percentage to morbidity from symptomatic cases.
- The findings highlighted that post-acute consequences significantly affected health outcomes, especially among younger people under 70, while the majority of life years lost occurred in individuals aged 70 and older.
Introduction: The French emergency department (ED) surveillance network OSCOUR transmits data on ED visits to Santé publique France (the national public health agency). As these data are collected daily and are almost exhaustive at a national level, it would seem relevant to use them for national epidemiological surveillance of mild traumatic brain injury (mTBI). This article presents the protocol of a planned study to validate algorithms for identifying mTBI in the OSCOUR database.
View Article and Find Full Text PDFAim: This study aimed to evaluate the implementation of France's neonatal hearing loss screening programme years after its launch, and to estimate permanent bilateral neonatal hearing loss (PBNHL) prevalence and distribution by severity.
Methods: This descriptive study used aggregated regional data on all births in France in 2015-2016. Screening coverage, refusal rate, positive predictive value (PPV), proportion of children with suspected PBNHL, PBNHL prevalence and distribution by severity were calculated.
Background: Falls in older people are a major public health problem due to associated morbidity and mortality. Their origin is most often multifactorial.
Objective, Design And Subjects: The objective of the present study, called ChuPaDom, was to identify patterns or profiles of home fallers (HF) - understood here as people who fall in their place of residence - among a sample of persons aged 65 and over who were hospitalized after a fall, and to study their association with falling-induced injuries using data from the ChuPAdom study.
Background: While life expectancy increases, it is necessary to evaluate whether the additional years are lived in good health, particularly in order to adapt the health care provision and social measures available to support these individuals. Since the 1990s, improvements in perceived health and capacities have been observed among older people, however the changes appear to be far less favourable among the working-age population and, in particular, the generation of people approaching retirement age. The aim of this study was to examine the change in the perceived health status of those aged 55 to 65 in France and investigate the role of socioeconomic factors in this change.
View Article and Find Full Text PDFIntroduction: In France, there is a lack of recent data on Traumatic brain injury (TBI), remaining a major global health challenge in terms of morbidity and mortality. The present study reports the epidemiology and the factors associated with mortality of patients with TBI admitted to 9 French trauma centres.
Method: Patients ≥ 15 years old admitted, between the 1 of January and the 31 of December 2017, following TBI (Abbreviated Injury Scale head ≥ 2) were included.
Background: Traumatic brain injury (TBI) is a major public health problem because of its severity and frequency. No recent national epidemiological study on TBI victims is currently available in France.
Objective: This study aimed to quantify and characterise TBI victims and analyse temporal trends.
Article Synopsis
- * It outlines findings from systematic searches, revealing a few local interventions that utilize varied screening methods and highlight ongoing European projects.
- * The conclusion emphasizes the need for more research and the development of community-based programs that effectively use electronic health records for monitoring frailty in primary care settings.
Article Synopsis
- * A systematic review identified only three relevant studies from community cohorts in the UK, Netherlands, and Italy, focusing on frailty trajectories.
- * The results showed varying rates of participants experiencing frailty transitions, highlighting the need for better-designed studies and standardized data collection methods.
Introduction: Because of the dynamic nature of frailty, prospective epidemiological data are essential to calibrate an adequate public health response.
Methods: A systematic review of literature on frailty incidence was conducted within the European Joint Action ADVANTAGE.
Results: Of the 6 studies included, only 3 were specifically aimed at estimating frailty incidence, and only 2 provided disaggregated results by at least gender.
The objective was to quantify the relationship between deprivation and national breast cancer screening programme (NBCSP) participation at an ecological level in mainland France. Data from 4,805,390 women-living in 36,209 municipalities within 95 departments-participating in the 2013-2014 NBCSP were analysed using the French Deprivation Index (FDep). FDep population quintiles by municipality were computed to describe NBCSP participation according to deprivation.
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- Testicular cancer is relatively rare, making up 1-3% of all cancers in men, but projections suggest a 25% rise in cases across Europe by 2025.
- A study analyzed trends in surgical treatment for testicular cancer in France from 2000 to 2014, involving 29,760 patients and highlighting an overall incidence increase of 21.3% during that period.
- The highest rates of testicular cancer were found in men aged 30-44, and geographical variations in incidence trends were observed, indicating that hospital discharge data can effectively track cancer trends in areas lacking comprehensive population-based registries.
Article Synopsis
- * Three algorithms were developed to analyze data from the French health insurance system, linking various medical databases to accurately select individuals with psychotic disorders.
- * The prevalence rates for psychotic disorders were 7.4 per 1000 people overall, with specific rates of 8.3 for males and 6.4 for females, and schizophrenia rates were 3.8 per 1000 overall, highlighting significant age-related differences in prevalence between genders.
Population-based organized cervical cancer screening pilot program in France.
Eur J Cancer Prev
September 2018
Article Synopsis
- In France, cervical cancer screening is recommended every 3 years for women aged 25-65, but it's mostly opportunistic except for a few local programs.
- A pilot program invited women who hadn't been screened in the past 3 years to encourage participation between 2010-2012, resulting in about 1.3 million invitations sent.
- The pilot showed a 62.3% screening coverage with an increase in participation, detecting significant cases of cervical precancer and cancer, paving the way for a nationwide organized screening program in France.
Background: Time-to-treatment of cancer is becoming a serious political and social issue. A greater understanding of the timeframes involved in cancer care is needed to reduce inequalities in access to care caused by delays.
Objective: To describe time delays in each phase of lung cancer treatment after bronchoscopy.
Article Synopsis
- Researchers are examining the impact of treatment delays on cancer care, particularly focusing on colon cancer (CC) and rectal cancer (RC) in France.
- A study analyzed data from 15,694 CC patients and 6,623 RC patients treated in 2009-2010, highlighting significant differences in treatment timelines, with RC patients facing longer wait times than CC patients.
- The results indicate regional disparities in treatment access, with northern areas experiencing longer delays, which could influence future healthcare policies aimed at improving timely cancer treatment.
Impact of subsequent screening episodes on the positive predictive value for advanced neoplasia and on the distribution of anatomic subsites of colorectal cancer: A population-based study on behalf of the French colorectal cancer screening program.
Cancer Epidemiol
December 2015
Article Synopsis
- The study analyzed the effects of repeated g-FOBT screening on the positive predictive value (PPV) for advanced colorectal neoplasia, including advanced adenomas (AA) and colorectal cancer (CRC), in 98,031 average-risk adults aged 50-74.
- Results showed a PPV of 24.5%, higher in men than women (30.7% vs 17.7%), with an increase in detection rates for proximal AA and CRC in subsequent screenings.
- Factors like age, gender, and prior screening episodes were significantly linked to higher detection rates, particularly with more advanced-stage cancers found in later screenings, highlighting the importance of regular monitoring.
Background: Little is known about the knowledge, perceptions and prevention practices of the French general population with respect to Hepatitis B virus (HBV) infection. This article describes this population's knowledge of HBV, their perceptions of the disease, and associated screening and vaccination practices. It compares these indicators with those observed in the same population for HIV, an infection with a chronic course and transmission modes resembling those of HBV.
View Article and Find Full Text PDFObjective: To evaluate trends over the last 18 years in HIV-related knowledge, risk perceptions, and sexual behaviors in young adults.
Methods: Data were obtained from six KABP (knowledge, attitudes, beliefs, and practices) surveys (1992, 1994, 1998, 2001, 2004, and 2010) from representative samples of the French population. Surveys were similar in terms of data collection and target populations: 2362 men and 2774 women aged 18-29 were interviewed by telephone.