Publications

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    • Drogues, Statistiques
    • 2012
    • Article
    • Anglais

    BACKGROUND:
    To determine the seroprevalence of hepatitis B (HBV), hepatitis C (HCV) and HIV infections in problem drug users (PDU) in Luxembourg. To measure the validity of self-reported test results provided by study participants as well as obtained through the national drug-monitoring system (RELIS).
    METHODS:
    In a cross-sectional multisite study, data were collected by voluntary, anonymous and assisted questionnaires and serological detection of antibodies and antigens. Out of 1169 contacts, 397 participants were recruited within in and out-of-treatment settings (84.2% injecting drug users; IDU).
    RESULTS:
    The prevalence of antibodies to HIV was 8/272 (2.9%; 95% CI 0.9% to 4.9%), to HCV 245/343 (71.4%; 66.6% to 76.2%), and 67/310 (21.6%; 17.1% to 26.2%) to total HBV antibodies and surface antigen (for IDU 5/202, 218/268 and 59/239, respectively). Specificity of study self-reports was very high for HBV and perfect for HCV and HIV. Sensitivity was 0.224, 0.798 and 0.800, respectively. Kappa scores provided degrees of agreement between serological tests and study self-reports of 0.89 for HIV, 0.65 for HCV and 0.25 for HBV. In contrast to simultaneous cross-sectional self-reports, secondary self-reported data (RELIS) showed high agreement for HIV and HBV infections and provided a good proxy for estimation of HCV seroprevalence.
    CONCLUSION:
    HIV testing routines in PDU should be completed at least by HBV and HCV detection given the poor validity of cross-sectional self-reports on hepatitis infections. HIV and hepatitis prevalence estimations in PDU gain by relying on multisite/setting data collection. Research should further investigate the validity of HIV and hepatitis self-reports from routine drug-monitoring systems versus cross-sectional surveys.

    Souce: Pubmed

    • Date de parution:
    • Editeur: BMJ
    • Statistiques, Drogues
    • 2014
    • Article
    • Anglais

    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.

    Souce: Pubmed

    • Date de parution:
    • Editeur: Elsevier
    • Droits du patient, Politique internationale
    • 2002
    • Charte
    • Français, Allemand, Anglais

    Cette Charte a été présentée à Bruxelles le 15 novembre 2002 et a pour but d'unifier les différents pays européens sur les droits des patients.

    • Date de parution:
    • Editeur: Active Citizenship Network (ACN)
    • Politique internationale, Alimentation
    • 2008
    • Plan d'action EU
    • Français, Anglais

    Le plan d’action vise à réduire dans une large mesure la charge des maladies non transmissibles évitables et liées à l’alimentation, de l’obésité et de toutes les autres formes de malnutrition encore répandues dans la Région européenne de l’OMS. Il préconise la prise de mesures par l’adoption d’approches pangouvernementales et pansociétales. Ses actions prioritaires contribueront à améliorer la gouvernance du système alimentaire, la qualité globale de l’alimentation de la population européenne et l’état nutritionnel de celle-ci.

    • Date de parution:
    • Editeur: Organisation Mondiale de la Santé (OMS) [World Health Organization (WHO)]
    • Alimentation, Maladies, Politique internationale
    • 2006
    • Charte
    • Français, Allemand, Anglais

    Pour relever le défi toujours plus menaçant que représente l’épidémie d’obésité pour la santé, les économies nationales et le développement, la charte européenne sur la lutte contre l’obésité a été adoptée lors de la Conférence ministérielle européenne de l'OMS sur la lutte contre l’obésité, Istanbul (Turquie), 16 novembre 2006.
    Le processus d’élaboration de cette Charte a fait intervenir, par le biais d’un dialogue et de consultations, différents secteurs ministériels, organismes internationaux, experts, membres du secteur associatif et acteurs du monde économique.

    • Date de parution:
    • Editeur: Organisation Mondiale de la Santé (OMS) [World Health Organization (WHO)]
    • Tabac
    • 2016
    • Article
    • Anglais

    [Les inégalités socio-économiques dans le tabagisme et le sevrage tabagique en raison d'une interdiction de fumer: Etude transversale basée sur la population générale du Luxembourg]
    This study aimed to measure changes in socioeconomic inequalities in smoking and smoking cessation due to the 2006 smoking ban in Luxembourg. Data were derived from the PSELL3/EU-SILC (Panel Socio-Economique Liewen Zu Letzebuerg/European Union—Statistic on Income and Living Conditions) survey, which was a representative survey of the general population aged ≥16 years conducted in Luxembourg in 2005, 2007, and 2008. Smoking prevalence and smoking cessation due to the 2006 smoking ban were used as the main smoking outcomes. Two inequality measures were calculated to assess the magnitude and temporal trends of socioeconomic inequalities in smoking: the prevalence ratio and the disparity index. Smoking cessation due to the smoking ban was considered as a positive outcome. Three multiple logistic regression models were used to assess social inequalities in smoking cessation due to the 2006 smoking ban. Education level, income, and employment status served as proxies for socioeconomic status. The prevalence of smoking decreased by 22.5% between 2005 and 2008 (from 23.1% in 2005 to 17.9% in 2008), but socioeconomic inequalities in smoking persisted. Smoking prevalence decreased by 24.2% and 20.2% in men and women, respectively; this difference was not statistically significant. Smoking cessation in daily smokers due to the 2006 smoking ban was associated with education level, employment status, and income, with higher percentages of quitters among those with a lower socioeconomic status. The decrease in smoking prevalence after the 2006 law was also associated with a reduction in socioeconomic inequalities, including differences in education level, income, and employment status. Although the smoking ban contributed to a reduction of such inequalities, they still persist, indicating the need for a more targeted approach of smoke-free policies directed toward lower socioeconomic groups.
    Source: Pubmed

    • Date de parution:
    • Editeur: Plos One
    • Drogues, Statistiques
    • 2014
    • Article
    • Anglais

    BACKGROUND/AIM:
    We analysed 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. Bivariate and logistic regression analysis of male/female differences according to sociodemographics, 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=0.001) and showed shorter drug use careers (t=2.228; p=0.028). 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 healthcare providers and increased attention to use of poly- and psychotropic prescription drugs might contribute to prevent premature drug-related death and reduce gender differences.

    Souce: Pubmed

    • Date de parution:
    • Editeur: Karger
    • Maladies
    • 2007
    • Charte
    • Allemand, Anglais, Français, Portugais

    Le réseau européen du coeur, en collaboration avec la Commission européenne et l'OMS, a lancé la première Charte européenne pour la santé du coeur instaurée dans le but de prévenir les MCV en Europe et a invité les organisations nationales et internationales à signer la Charte, à s'engager pour combattre le décès prématuré des personnes souffrant de MCV grâce à la prévention et d'agir sur la Déclaration de la Saint-Valentin 2000: "Chaque enfant né dans le nouveau millénaire a le droit de vivre jusqu'à l'âge de 65 ans au moins sans souffrir d'une maladie cardiovasculaire évitable".

    • Date de parution:
    • Editeur: Organisation Mondiale de la Santé (OMS) [World Health Organization (WHO)] European Heart Network (EHN)
    • Politique internationale, Système de santé
    • 2008
    • Charte
    • Allemand, Anglais, Français

    La Charte de Tallinn a été ratifiée en 2008 par les 53 pays qui constituent la région européenne de l’Organisation Mondiale de la Santé (OMS). Partant du constat que, dans tous les pays, des groupes n’ont pas accès à des soins de santé de qualité, la charte pointe la nécessité de systèmes de santé solides.

    • Date de parution:
    • Politique internationale
    • 2014
    • Article
    • Allemand, Français, Anglais, Portugais

    Journal officiel de l'Union Européenne, L 86, 21 mars 2014, p.1-13.
    Le troisième programme Santé de l'UE (2014-2020) est le principal instrument utilisé par la Commission européenne pour appliquer la stratégie de l'UE en matière de santé. Le programme poursuit 4 grands objectifs:

    1. agir en faveur de la santé, prévenir les maladies et créer des conditions favorables à des modes de - vie sains, en tenant compte du principe de l'intégration des questions de santé dans toutes les politiques;
    2. protéger les citoyens de l'Union des menaces transfrontières graves sur la santé;
    3. contribuer à des systèmes de santé innovants, efficaces et viables;
    4. améliorer l'accès des citoyens de l'Union à des soins de santé de meilleure qualité et plus sûrs.

    • Date de parution:
    • Editeur: Journal officiel de l'Union Européenne
  • Dernière modification le 12-10-2015