Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
Much research is being carried out into indoor exposure to harmful agents. This review focused on the impact on children's health, taking a broad approach to the indoor environment and including chemical, microbial, physical and social aspects. Papers published from 2006 onwards were reviewed, with regards to scientific context. Most of publications dealt with chemical exposure. Apart from the ongoing issue of combustion by-products, most of these papers concerned semi volatile organic compounds (such as phthalates). These may be associated with neurotoxic, reprotoxic or respiratory effects and may, therefore, be of particular interest so far as children are concerned. In a lesser extent, volatile organic compounds (such as aldehydes) that have mainly respiratory effects are still studied. Assessing exposure to metals is still of concern, with increasing interest in bioaccessibility. Most of the papers on microbial exposure focused on respiratory tract infections, especially asthma linked to allergens and bio-aerosols. Physical exposure includes noise and electromagnetic fields, and articles dealt with the auditory and non auditory effects of noise. Articles on radiofrequency electromagnetic fields mainly concerned questions about non-thermal effects and papers on extremely low-frequency magnetic fields focused on the characterization of exposure. The impact of the indoor environment on children's health cannot be assessed merely by considering the effect of these different types of exposure: this review highlights new findings and also discusses the interactions between agents in indoor environments and also with social aspects.
ISSN: 1438-4639

hal-00687403
https://hal.archives-ouvertes.fr/hal-00687403
DOI : 10.1016/j.ijheh.2011.07.008
PUBMED : 21889403

Éditeur(s) : HAL CCSD Lippincott, Williams & Wilkins
Résumé : International audience
The aim of this study was to investigate the role of socioeconomic and healthcare use characteristics in the participation in breast, cervical and colorectal cancer screening in the French West Indies. We used data from a national health survey conducted in 2014 in Martinique (n=2026) and Guadeloupe (n=2028). Logistic regressions adjusted for various sociodemographic and morbidity variables were performed. The following determinants were investigated: having hot water at home, having received income support for low-income individuals during the last year, educational level, occupational class, complementary health insurance, healthcare renouncement and visit to the general practitioner (GP) during the last year. Multiple imputations were performed to account for missing values. We observed the following cancer screening rates: 78.1% for cervical cancer, 81.5% for breast cancer and 59.5% (women) and 50.8% (men) for colorectal cancer. Higher cervical cancer screening participation was reported among women with qualified occupation and having visited the GP during the last year and lower participation among women who never worked. Higher screening participation was reported among participants having hot water at home and having visited the GP during the last year for breast and colorectal (men and women) cancer. Unexpectedly, a lower colorectal cancer screening participation was found among women with qualified occupation. We observed social inequalities in participation in cancer screening in the French West Indies, which stresses the need to continue efforts to increase screening rates in this population.
ISSN: 0959-8278

hal-01525894
http://hal.upmc.fr/hal-01525894
http://hal.upmc.fr/hal-01525894/document
http://hal.upmc.fr/hal-01525894/file/Menvielle_2016_Socioeconomic_and.pdf
DOI : 10.1097/CEJ.0000000000000329

Éditeur(s) : Université des Antilles Études caribéennes
Résumé : Cette étude ouvre une réflexion sur les enjeux d’intégration sociale autour de la lecture dans le territoire de la Guyane française. Les handicaps socioéconomiques du développement de la lecture sont particulièrement importants dans ce département français. La Guyane n’appartient pas à une société de lecture ; c’est une société d’oralité déchirée entre la modernité par la lecture et l’écriture et la tradition par l’oralité. L’étude propose daller au-delà du simple diagnostic pour envisager des stratégies de développer destinées à populariser la lecture dans ce département, par exemple avec le développer de la lecture publique à partir de biblio/pirogue pour répondre à l’isolement des populations. Dans cette société marquée par l’importante proportion d’illettrisme et d’analphabétisme, et la faible pratique de la lecture, l’égalité d’accès à la lecture est défi pour l’avenir de ce territoire.
This study opens a discussion on issues of social integration around reading in the territory of French Guiana. The socio-economic handicaps the development of reading are particularly important in this department french. The Guyana who does not belong to a reading society, is an oral society torn between modernity by reading and writing and oral tradition. The studies propose to go beyond the simple diagnosis to consider development strategies designed to popularize reading in this department, for example with the development of the public reading from library on a boat to meet the isolation of populations. In this society marked by the large proportion of illiteracy and illiteracy, and low practice of reading, equal access to reading is challenge for the future of this territory.
Guyane française

Droits : info:eu-repo/semantics/openAccess
urn:doi:10.4000/etudescaribeennes.1012
http://journals.openedition.org/etudescaribeennes/1012

Éditeur(s) : HAL CCSD BioMed Central
Résumé : International audience
BACKGROUND: Few studies have explored how noise might contribute to social health inequalities, and even fewer have considered infant mortality or its risk factors as the health event of interest.In this paper, we investigate the impact of neighbourhood characteristics - both socio-economic status and ambient noise levels - on the spatial distribution of infant mortality in the Lyon metropolitan area, in France. METHODS: All infant deaths (n = 715) occurring between 2000 and 2009 were geocoded at census block level. Each census block was assigned multi-component socio-economic characteristics and Lden levels, which measure exposure to noise. Using a spatial-scan statistic, we examined whether there were significant clusters of high risk of infant mortality according to neighbourhood characteristics. RESULTS: Our results highlight the fact that infant mortality is non-randomly distributed spatially, with clusters of high risk in the south-east of the Lyon metropolitan area (RR = 1.44; p = 0.09). After adjustments for socio-economic characteristics and noise levels, this cluster disappears or shifts according to in line with different scenarios, suggesting that noise and socio-economic characteristics can partially explain the spatial distribution of infant mortality. CONCLUSION: Our findings show that noise does have an impact on the spatial distribution of mortality after adjustments for socio-economic characteristics. A link between noise and infant mortality seems plausible in view of the three hypothetical, non-exclusive, pathways we propose in our conceptual framework: (i) a psychological pathway, (ii) a physiological disruption process and (iii) an unhealthy behaviours pathway. The lack of studies makes it is difficult to compare our findings with others. They require further research for confirmation and interpretation.
ISSN: 1476-069X

Droits : info:eu-repo/semantics/OpenAccess
inserm-00924503
http://www.hal.inserm.fr/inserm-00924503
http://www.hal.inserm.fr/inserm-00924503/document
http://www.hal.inserm.fr/inserm-00924503/file/1476-069X-12-109.pdf
PUBMED : 24341620

Éditeur(s) : HAL CCSD Elsevier
Résumé : International audience
Background: While it is known that cancer risk is related to area-level socioeconomic status, the extent to which these inequalities are explained by contextual effects is poorly documented especially for head and neck cancer. Methods: A case-control study, ICARE, included 2415 head and neck cancer cases and 3555 controls recruited between 2001 and 2007 from 10 French regions retrieved from a general cancer registry. Individual socioeconomic status was assessed using marital status, highest educational level and occupational social class. Area-level socioeconomic status was assessed using the French version of the European Deprivation Index (EDI). The relationship between both individual and area-based socioeconomic level and the risk of head and neck cancer was assessed by multilevel analyses. Results: A higher risk for head and neck cancer was found in divorced compared with married individuals (OR = 2.14, 95% CI = 1.78-2.57), for individuals with a basic school-leaving qualification compared with those with higher education (OR = 4.55 95% CI = 3.72-5.57), for manual workers compared with managers (OR = 4.91, 95% CI = 3.92-6.15) and for individuals living in the most deprived areas compared with those living in the most affluent ones (OR = 1.98, 95% CI = 1.64-2.41). The influence of area-level socioeconomic status measured by EDI remained after controlling for individual socioeconomic characteristics (OR = 1.51; 95% confidence interval: 1.23-1.85, p-value = 0.0003). Conclusions: The role of individual socioeconomic status in the risk of head and neck cancer is undeniable, although contextual effects of deprived areas also increase the susceptibility of individuals developing the disease. (C) 2017 Elsevier Ltd. All rights reserved.
ISSN: 1368-8375

hal-01578588
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01578588
DOI : 10.1016/j.oraloncology.2017.06.014
PUBMED : 28688682

Éditeur(s) : HAL CCSD Pôle de Recherche pour l'Organisation et la diffusion de l'Information Géographique
Résumé : International audience
The Amazon has recently experienced a dramatic decline in deforestation coupled with economic development. However, this process is uneven. While large and medium-sized producers are intensifying and diversifying their production systems in the already cleared areas, thus apparently abandoning expansion strategies at the moment, family farming remains aloof from this decoupling between production and deforestation. In this article, the commitments of public authorities and sectors, their effects on deforestation and inequalities of adaptation are analyzed at the scale of the Legal Amazon and in a municipality considered as a model because involved in a Município Verde initiative: Paragominas, in the Eastern Amazon.
L’Amazonie a amorcé depuis quelques années une baisse de la déforestation couplée à un développement économique. Le processus est cependant inégal. Si les grands et moyens producteurs font évoluer leurs systèmes de production vers l’intensification et la diversification dans les espaces déjà ouverts, délaissant en apparence les stratégies d’expansion, l’agriculture familiale reste à l’écart du découplage entre production et déforestation. Dans cet article, les engagements des pouvoirs publics et des filières, leurs effets en matière de déforestation et les inégalités d’adaptation sont analysés à l’échelle de l’Amazonie Légale et à celle d’une municipalité considérée comme un modèle car à l’initiative d’une démarche de Município Verde : Paragominas, en Amazonie orientale.
ISSN: 1963-1197

halshs-01609039
https://halshs.archives-ouvertes.fr/halshs-01609039
DOI : 10.4000/echogeo.15035

Éditeur(s) : HAL CCSD Public Library of Science
Résumé : International audience
BACKGROUND: Public and scientific concerns about the social gradient of end-stage renal disease and access to renal replacement therapies are increasing. This study investigated the influence of social inequalities on the (i) access to renal transplant waiting list, (ii) access to renal transplantation and (iii) patients' survival. METHODS: All incident adult patients with end-stage renal disease who lived in Bretagne, a French region, and started dialysis during the 2004-2009 period were geocoded in census-blocks. To each census-block was assigned a level of neighborhood deprivation and a degree of urbanization. Cox proportional hazards models were used to identify factors associated with each study outcome. RESULTS: Patients living in neighborhoods with low level of deprivation had more chance to be placed on the waiting list and less risk of death (HR = 1.40 95%CI: [1.1-1.7]; HR = 0.82 95%CI: [0.7-0.98]), but this association did not remain after adjustment for the patients' clinical features. The likelihood of receiving renal transplantation after being waitlisted was not associated with neighborhood deprivation in univariate and multivariate analyses. CONCLUSIONS: In a mixed rural and urban French region, patients living in deprived or advantaged neighborhoods had the same chance to be placed on the waiting list and to undergo renal transplantation. They also showed the same mortality risk, when their clinical features were taken into account
ISSN: 1932-6203

hal-01305481
https://hal-univ-rennes1.archives-ouvertes.fr/hal-01305481
DOI : 10.1371/journal.pone.0153431
PUBMED : 27082113

Éditeur(s) : HAL CCSD BioMed Central
Résumé : International audience
INTRODUCTION: In order to study social health inequalities, contextual (or ecologic) data may constitute an appropriate alternative to individual socioeconomic characteristics. Indices can be used to summarize the multiple dimensions of the neighborhood socioeconomic status. This work proposes a statistical procedure to create a neighborhood socioeconomic index. METHODS: The study setting is composed of three French urban areas. Socioeconomic data at the census block scale come from the 1999 census. Successive principal components analyses are used to select variables and create the index. Both metropolitan area-specific and global indices are tested and compared. Socioeconomic categories are drawn with hierarchical clustering as a reference to determine "optimal" thresholds able to create categories along a one-dimensional index. RESULTS: Among the twenty variables finally selected in the index, 15 are common to the three metropolitan areas. The index explains at least 57% of the variance of these variables in each metropolitan area, with a contribution of more than 80% of the 15 common variables. CONCLUSIONS: The proposed procedure is statistically justified and robust. It can be applied to multiple geographical areas or socioeconomic variables and provides meaningful information to public health bodies. We highlight the importance of the classification method. We propose an R package in order to use this procedure.
ISSN: 1475-9276

inserm-00809310
http://www.hal.inserm.fr/inserm-00809310
http://www.hal.inserm.fr/inserm-00809310/document
http://www.hal.inserm.fr/inserm-00809310/file/1475-9276-12-21.pdf
DOI : 10.1186/1475-9276-12-21

Résumé : Les risques naturels majeurs constituent une menace plus ou moins récurrente pour la plupart des populations de la planète. Les catastrophes naturelles sont à la fois sources et révélatrices d’inégalités sociales et environnementales, dans le monde, mais aussi sur le territoire de la République française. Les Antilles françaises sont très fréquemment, et très lourdement frappées par les aléas naturels. La réponse en matière de gestion des crises, et, en amont, en matière de prévention, ne nous semble pas à la hauteur des défis, et des besoins des populations. C’est la raison pour laquelle nous nous interrogeons, à travers la présente thèse, sur la place de la solidarité et de l’égalité, dans le régime juridique des risques naturels majeurs. C’est une préoccupation doctrinale majeure, inscrite dans la constitution. La recherche du lien entre droit des risques naturels majeurs et justice sociale et environnementale est l’objet de la présente étude, s’agissant de la réponse juridique à la préoccupation des populations et catégories défavorisées, qui s’avèrent a priori les plus atteintes par les catastrophes naturelles. Les limites des textes, l’insuffisance des moyens, ainsi que les pratiques locales, facteurs d’aggravation des vulnérabilités, le laxisme des pouvoirs publics nationaux et territoriaux, l’absence de culture de risque et l’esprit « kokagneur » des populations (avec des différences de comportement entre la Guadeloupe et la Martinique), toutes ces considérations rendent illusoire la détermination proclamée des pouvoirs publics de résoudre les problèmes de risques naturels majeurs. Des voies d’un renforcement de la solidarité sont proposées. Cette contribution à la recherche sur les risques ambitionne d’apporter aux acteurs, une vision transversale de la problématique des risques naturels, par l’analyse du régime juridique confronté à une exigence de justice sociale et environnementale. Les Antilles françaises servent de support à cette étude.
Major natural hazards are more or less recurring threat for most people in the world. Natural disasters are both sources and revealing social and environmental inequalities in the world, but also in the French Republic. The French West Indies are very frequently and strongly hit by natural hazards. The answer in terms of crisis management, and beforehand, in terms of prevention, doesn’t seem to be up to the population’s challenges and needs. This is why we wonder, in this thesis, about the place of solidarity and equality in the legal system of major natural hazards. This is a major doctrinal concern in the constitution. The research of the relationship between major natural hazards law and environmental and social justice is the subject of this study, concerning the legal answer to the concerns of the underprivileged people and categories, which prove to be a priori the most struck by natural disasters. The limits of the legislation, inadequate resources and local practices, vulnerabilities worsening factor, the laxity of the national and territorial public authorities, the lack of risk culture and the "kokagneur" spirit of the populations (with behavior differences between Guadeloupe and Martinique), all these considerations make unreal the government’s proclaimed determination to solve the major natural hazards issues. Ways to strengthen solidarity are proposed. This contribution to risks research aims to bring to the players an interdisciplinary view of natural hazards issues, through the analysis of the legal system confronted with the requirement of social and environmental justice. The French West Indies are used as research support.

http://www.theses.fr/2015AGUY0824/document

Éditeur(s) : Université des Antilles Études caribéennes
Résumé : During the last couple of decades, the countries of the world have become increasingly interconnected into a single capitalist economic system. Globalization processes have facilitated the flow of goods and services. They have also led to new forms of exclusion, inequality and “culture conflict”. This paper elaborates on the nexus between transnational organized crime networks, fundamental Islamic movements and terrorist groups in the Balkan region, and argues that these movements for social, political and economic change are bi-products of globalization. After the fall of the Soviet Union, criminal-political formations expanded drastically in the newly emerging Balkan democracies. The weak government structures, the deteriorating domestic economy and the vulnerable government institutions made the Balkan region a safe haven for war profiteers, career criminals and fundamental Islamists. This paper gives a detailed overview of the origin, nature and expansion of several politicized illicit markets in the Balkans. It further elaborates on the birth of fundamental Islamic movements after communism. The complex interrelation between globalization, wars, organized crime and fundamental Islam is at the forefront of this paper.
Durant les deux dernières décennies, le monde s’est intégré dans un seul système économique capitaliste. Alors que les processus de mondialisation ont facilité les flux de biens et de services, ils ont aussi mené à des formes nouvelles d’exclusion, d’inégalité et de « conflit culturel ». Cet essai offre une réflexion sur le lien entre les réseaux transnationaux du crime organisé, les mouvements islamiques radicaux et les groupes terroristes dans la région des Balkans. Il soutient l’idée selon laquelle ces mouvements qui luttent pour le changement social, politique et économique sont les conséquences directes de la mondialisation. Après la chute de l’Union Soviétique, les formations politico-criminelles se sont rapidement accrues au sein des démocraties balkaniques émergentes. La fragilité des structures gouvernementales, la détérioration de l’économie domestique et la vulnérabilité des institutions ont transformé la région balkanique en lieu idéal pour ceux qui font des conflits armés leur fonds de commerce, pour les criminels de carrière ainsi que pour les intégristes islamiques. Cette recherche offre une analyse détaillée de l’origine, de la nature et du développement de plusieurs marchés illicites dans la région des Balkans. Elle se penche aussi sur l’origine des mouvements intégristes islamiques depuis la fin du communisme. Au cœur de cette analyse se loge donc l’interface entre la mondialisation, les conflits armés, le crime organisé et l’intégrisme islamique.
Kosovo

Droits : info:eu-repo/semantics/openAccess
urn:doi:10.4000/etudescaribeennes.5871
http://journals.openedition.org/etudescaribeennes/5871

Éditeur(s) : HAL CCSD BioMed Central
Résumé : International audience
Introduction In order to study social health inequalities, contextual (or ecologic) data may constitute an appropriate alternative to individual socioeconomic characteristics. Indices can be used to summarize the multiple dimensions of the neighborhood socioeconomic status. This work proposes a statistical procedure to create a neighborhood socioeconomic index. Methods The study setting is composed of three French urban areas. Socioeconomic data at the census block scale come from the 1999 census. Successive principal components analyses are used to select variables and create the index. Both metropolitan area-specific and global indices are tested and compared. Socioeconomic categories are drawn with hierarchical clustering as a reference to determine "optimal" thresholds able to create categories along a one-dimensional index. Results Among the twenty variables finally selected in the index, 15 are common to the three metropolitan areas. The index explains at least 57% of the variance of these variables in each metropolitan area, with a contribution of more than 80% of the 15 common variables. Conclusions The proposed procedure is statistically justified and robust. It can be applied to multiple geographical areas or socioeconomic variables and provides meaningful information to public health bodies. We highlight the importance of the classification method. We propose an R package in order to use this procedure.
International Journal for Equity in Health

hal-00854028
https://hal.archives-ouvertes.fr/hal-00854028
https://hal.archives-ouvertes.fr/hal-00854028/document
DOI : 10.1186/1475-9276-12-21