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See detailInception of an Instrument on Health Capability of Family Caregivers
Bucki, Barbara; Baumann, Michèle UL

in Pracana, Clara (Ed.) Psychology Applications & Developments II (2016)

The health capability of family caregivers has already been studied through eight factors: physical and psychological functioning, lifestyle value, self-efficacy towards health services, family support ... [more ▼]

The health capability of family caregivers has already been studied through eight factors: physical and psychological functioning, lifestyle value, self-efficacy towards health services, family support, social capital, socio-economic conditions and access to health services. Our aim was to identify new factors. Family caregivers of stroke victims living at home were recruited in the Lorraine region (France; n=8) and Luxembourg (n=6). Semi-structured interviews about their health statuses, how they currently take care of their health, and the internal resources they need to achieve optimal health were conducted face-to-face. Verbatim transcriptions were open-coded and grouped into new factors of health capability. Items reflecting the main idea of the categories were formulated. Seven women and seven men (age 63.6±10.1) participated. Statements were regrouped together into new ways, giving rise to seven new emergent factors: health knowledge, health self-efficacy, health value, life skills, health decision-making, motivation, and attitude towards the future. Of them, 76 items were generated, 51 reflecting generic abilities while 26 being specific to family caregiving. Content analysis of these factors first allows guiding the preparation of innovative supports to promote health capability. Second, this list can serve as a basis to elaborate a guide to which clinicians can refer to, in orienting family caregivers according to their needs. Further research is needed to complete the validation of the HCFC instrument. [less ▲]

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See detailDisparities in Career Attitudes among Postgraduate Students
Karavdic, Senad UL; Odero, Angela UL; Karathanasi, Chrysoula UL et al

in Pascana, Clara (Ed.) Psychology Applications & Developments II (2016)

The preparation of students’ future career trajectories is a dynamic process in relation with social and educational determinants. Our objective is to analyse the associations between generic employment ... [more ▼]

The preparation of students’ future career trajectories is a dynamic process in relation with social and educational determinants. Our objective is to analyse the associations between generic employment capabilities, career attitudes and related factors among postgraduate students. All masters’ students registered at the Centre for Documentation and Information on Higher Education (CEDIES) database in Luxembourg were contacted by post to participate in an online questionnaire. The five point scale questionnaire was scored as follows: 1) Dynamic Career Attitudes (DCA); 2) Employability Soft-Skills (ESS); 3) Search for Work Self-Efficacy (SWSES); 4) Quality of Life domain Autonomy (QLA); and 5) Socio-demographic characteristics. The data were analysed using bivariate tests, correlations and multiple linear regression models. 481 of the volunteers (26.4 years; SD=5.5) were predominantly women, Luxembourgish, unemployed and had less than or equal to six months of job experience. The higher the ESS, SWSES and QLA scores, the higher the DCA score was. Nationality, being unemployed, having less than six months job experience and being in the first year of a Master’s degree programme were associated with a lower dynamic career attitude score. The Dynamic Career Attitudes scale seems to be an appropriate instrument to evaluate the efficacy of the university career services programme. [less ▲]

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See detailThe welcome and integration contract of Luxembourg: satisfaction with the quality of services according to non-EU immigrants
Odero, Angela UL; Karathanasi, Chrysoula UL; Baumann, Michèle UL

in Pracana, Clara; Wang, Michael (Eds.) International psychological Applications Conference and Trends (2016)

Evaluating satisfaction with the quality of services is a central concern of social and educational programs, whose mission is to adhere as closely as possible to the needs of the population. Based on ... [more ▼]

Evaluating satisfaction with the quality of services is a central concern of social and educational programs, whose mission is to adhere as closely as possible to the needs of the population. Based on methodological and investigator triangulation methods, our aims were to analyze the level of satisfaction with the Welcome and Integration Contract of Luxembourg (Contract d’accueil et d’integation CAI) and its respective activities (citizenship courses, language courses and an orientation day). First, 233 out of 1084 Non-EU immigrant beneficiaries responded to a self-administrated questionnaire. Second, 11 semi-structured focus groups with 50 volunteers were conducted around four themes: Quality of activities, organization, availability of support personnel and utility of the information received. More than 72% of the participants were very satisfied with the quality, organisation and availability of personnel, in regard to the information session and the civic courses. Divergences exist because various needs were recognized. Potential activities to reduce the quality gap were proposed, for instance the creation of an interactive online platform where the beneficiaries could regularly get information and, exchange experiences and/or help each other whenever possible. The dynamism and interactivity in the focus groups revealed that the users would like to actively contribute to improving the process. Indeed, the needs and requirements of each immigrant group cannot be totally covered by these activities as they stand. Involving users in the strategy and action plans would help create more accurate solutions. [less ▲]

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See detailHealth capability of family caregivers: how different factors interrelate and their respective contributions using a Bayesian approach
Bucki, Barbara UL; Le Bihan, Etienne UL; Baumann, Michèle UL

in BMC Public Health (2016), 16

The lifestyles of family caregivers pose risks to their physical, mental and social health. The capability to stay healthy may be protective in the context of poor socioeconomic conditions and risk ... [more ▼]

The lifestyles of family caregivers pose risks to their physical, mental and social health. The capability to stay healthy may be protective in the context of poor socioeconomic conditions and risk behaviours, but the interrelations between its aspects and their respective influences remain unclear. The aim of this study was to evaluate the interrelations between the factors comprising health capability of family caregivers (HCFC) and the respective contributions of its components. Methods: All stroke patients admitted to all hospitals in Luxembourg were identified by the ‘Inspection Générale de la Sécurité Sociale’ using the national database system for care expenditure reimbursement, and asked to designate the main person caring for them. Sixty-two caregivers (mean age 59.3 years; 40 women and 22 men) responded face to face, to a questionnaire including 20 items measuring eight aspects of health capability (physical functioning, psychological functioning, lifestyle value, self-efficacy towards the use of health services, family support, social capital, material conditions/sense of security, and satisfaction with the interactions with health services). Using a Bayesian approach, significance values were estimated by comparing the test values to the posterior distribution of the parameters. Structural equation modelling with standard deviations was applied. Results: Female family caregivers had lower scores than men in physical and psychological functioning. Family caregivers with the lowest incomes had the least lifestyle value, social capital and material conditions/security. Self-efficacy towards health services increased with age. The material conditions/sense of security factor was positively correlated with almost all the others. The items that impacted health capability factors the most were - for physical functioning – fatigue, and - for family support - feeling abandoned by the family. Conclusions: During the chronic phase, relationships between risk behaviours can help guide social and health decision-makers to determine their priorities in improving the lives of family caregivers. Enhancing health capability involves implementing programs that relieve family caregivers physically, and foster family networking around the person being cared for. Special attention should also be paid to the socially disadvantaged in order to fight inequalities in health capability. [less ▲]

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See detailSurdoses et inégalités sociales. Mieux comprendre les décès liés à l’usage de drogues pour mieux agir
Origer, Alain; Baumann, Michèle UL

Book published by L'harmattan - Académia (2016)

Les abus de drogues posent d’importants défis en termes sociaux, économiques, de sécurité et de santé publique. Quel est le profil socio-économique des consommateurs ? Quelles sont les différentes ... [more ▼]

Les abus de drogues posent d’importants défis en termes sociaux, économiques, de sécurité et de santé publique. Quel est le profil socio-économique des consommateurs ? Quelles sont les différentes trajectoires familiales, professionnelles et sociales d’usagers de drogues victimes de surdose fatale ? Quel est l’impact des inégalités sociales dans la survenue de surdoses impliquant des drogues illicites? Quel rôle pourrait avoir la réduction des inégalités sociales ? Quel enjeu pour les stratégies de prévention et de réduction des risques ? Un ensemble de recherches originales menées au Luxembourg, s’appuyant sur des méthodologies innovantes et une revue de littérature scientifique abondante, ont analysé les liens qui existent entre mortalités par surdose de drogues illicites et inégalités socio-économiques d’usagers suivis durant dix-huit ans. Les pistes de réflexion mises en avant dans cet ouvrage permettent de mieux saisir comment les conséquences néfastes pour l’individu, sa famille et la collectivité peuvent être en partie évitées ou réduites grâce à la mise en place de stratégies adaptées de prévention, de programmes de promotion de la santé et d’interventions psycho-socioéducatives. Cet ouvrage fournit des éléments de réflexion aux décideurs politiques, aux intervenants spécialisés en toxicomanie, aux professionnels de santé et du social pour pouvoir mieux décider et agir. [less ▲]

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See detailDiagnostic des Besoins et des Demandes Spécifiques des Bénéficiaires de Pays Tiers du Contrat d’Accueil et d’Intégration
Baumann, Michèle UL; Bucki, Barbara

Report (2015)

Les buts du projet ont été : • Elaborer une photographie des profils sociodémographiques et économiques des 2547 signataires du CAI dont 1130 sont issus de pays tiers • Etablir un diagnostic quantitatif ... [more ▼]

Les buts du projet ont été : • Elaborer une photographie des profils sociodémographiques et économiques des 2547 signataires du CAI dont 1130 sont issus de pays tiers • Etablir un diagnostic quantitatif et qualitatif de leurs besoins spécifiques concernant le dispositif du CAI et ses prestations, de ses retombées sur l’intégration et la qualité de vie. Les objectifs du projet • Décrire le profil socioéconomique des signataires de PT au regard de celui des signataires issus de l’UE et des données sur les étrangers du recensement 2011 ainsi que leur participation aux prestations du dispositif du CAI ; • Analyser le profil socioéconomique des bénéficiaires ayant répondu au questionnaire de PT vs. EU ainsi que celui des volontaires de PT ayant participé aux consultations collectives ; • Examiner les difficultés rencontrées par les bénéficiaires PT dans leur intégration ainsi que leurs besoins et leurs demandes par rapport aux prestations existantes ; • Identifier les retombées du dispositif du CAI sur leur participation à la vie sociale, leur qualité de vie (emploi, formation, santé…) et leur utilisation des services ; • Déterminer les améliorations possibles qui pourraient renforcer le processus du dispositif du CAI afin de soutenir leur intégration. Méthode. Parmi les 452 bénéficiaires du Contrat d'Accueil et d'Intégartion, 233 personnes sont issues de Pays Tiers et ont répondu à un questionnaire. Parmi eux, 50 personnes ont été volontaires pour participer à l’une des 11 consultations collectives animées en français, anglais, espagnol, serbo-croate et chinois. [less ▲]

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See detailSituation nach Schlaganfall
Baumann, Michèle UL

Article for general public (2015)

Unsicherheit führt zu Depressionen Ein Team der Universität Luxemburg hat knapp 100 Schlaganfallpatienten besucht und sich ein Bild von deren Lebenssituation verschafft. Viele der Befragten sorgen sich um ... [more ▼]

Unsicherheit führt zu Depressionen Ein Team der Universität Luxemburg hat knapp 100 Schlaganfallpatienten besucht und sich ein Bild von deren Lebenssituation verschafft. Viele der Befragten sorgen sich um ihre Zukunft und wünschen sich mehr medizinische Aufklärung. Häufig neigen sie zu Depressionen, die ihren Gesundheitszustand weiter verschlechtern. Mit einem Schlag ist alles anders. Durch einen Schlaganfall verändert sich das Leben abrupt. Nach der traumatischen Erfahrung gilt es grundlegende Fertigkeiten wie Laufen und Sprechen neu zu erlernen und nicht selten endet mit der. Erkrankung die berufliche Karriere. In etwa drei Viertel der Fälle bleiben Einschränkungen bestehen und stellen neue Anforderungen an den Alltag. Gesundheitspsychologen der Universität Luxemburg haben knapp 100 Schlaganfallpatienten besucht und sie zu ihren persönlichen Sorgen und Problemen interviewt. Die Befragten waren alle ca. 65 Jahre alt, stammten aus dem Großherzogtum Luxemburg und hatten vor etwa zwei Jahren einen Schlaganfall erlitten. Die ungewisse Situation wirft viele Fragen und Sorgen auf Wie sich herausstellte leiden die Schlaganfallpatienten vor allem an mangelnder Information und der Ungewissheit ihrer Situation. Sie quälen sich mit ungeklärten Fragen zu ihrer gesundheitlichen Zukunft und wissen oft nicht, woher sie Hilfe erhalten können. Häufig misstrauen sie den Informationen, die sie erhalten oder wünschen sich bessere medizinische Aufklärung. Zusätzlich scheint eine fehlende Koordination zwischen den Pflegekräften Unsicherheit zu schüren. Besonders Geringverdiener und Patienten mit niedrigem Bildungsniveau zeigen sich von der ungewissen Situation beeinträchtigt. Leichter haben es Patienten, die weiterhin einer beruflichen Tätigkeit nachgehen oder Rückhalt von Familie und Freunden erhalten. Auf den Schlaganfall folgt die Depression Häufig stießen die Forscher bei ihren Recherchen auf Zeichen depressiver Erkrankungen wie Schlafprobleme, emotionale Störungen, Kommunikationsschwierigkeiten und Müdigkeit. Sie sehen darin eine ernsthafte Gefährdung für die gesundheitliche Entwicklung der Patienten. „Depression ist dafür bekannt, physische, mentale und soziale Fähigkeiten einzuschränken und das Risiko von Behinderungen und frühzeitigem Tod zu erhöhen“, erläutert Frau Professor Michéle Baumann von der Universität Luxemburg. Mit Hilfe der Studie möchte sie die Fragen und Bedürfnisse der Patienten ermitteln und so den Teufelskreis aus Krankheit, Sorgen und Depression durchbrechen. [less ▲]

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See detailPoor information increases depression risk after stroke.
Baumann, Michèle UL

Article for general public (2015)

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See detailNeeds the Integration Contract Services of Luxembourg Should Cover, for the Successful Integration of Non-EU Citizens
Odero, Angela UL; Karathanasi, Chrysoula UL; Baumann, Michèle UL

in Migration and Integration (2015)

Integration of the foreign communities has been a forefront issue in Luxembourg for some time now. With a population of approximately 563,000, Luxembourg is a kaleidoscopic of cultures, comprising over ... [more ▼]

Integration of the foreign communities has been a forefront issue in Luxembourg for some time now. With a population of approximately 563,000, Luxembourg is a kaleidoscopic of cultures, comprising over 170 nationalities. The country’s continued progress depends largely on the successful assimilation of immigrants. To better understand what constitutes the best integration, the European Investment Fund for Non-EU nationals, together with the Welcome and Integration office of Luxembourg, funded this project. The aim of our study was to explore the definition of the integration according to Non-EU citizens residing in Luxembourg, and to evaluate the services of the integration contract of Luxembourg (CAI) which should cover their needs. Eleven focus group discussions with 50 volunteers (32 women, 18 men) recruited from among 233 Non-EU beneficiaries of the CAI were held. Semi-structured discussions (4 to 8 people) were facilitated in English, French, Spanish, Serbo-Croatian or Chinese and lasted between 1.5 to 2.5 hours. Encouraged, they delved into detailed explanations of the difficulties and challenges they face, their expectations upon arrival; considering the multicultural nature of Luxembourg, the differences between these expectations and the reality, their needs, both met and unmet, and their perceptions. To grasp the requirements covered or not covered by the CAI, and the problems faced by Non-EU citizens, eight questions exploring the contract were posed. To direct these discussions were four main guidelines: (1) The quality of services and activities proposed, (2) the organization (3) the availability of the personnel and (4) the utility of the information received. Transcriptions were analysed with the help of NVivo 10. A systematic and reiterative analysis of decomposing and reconstituting the data was conducted following three main steps. (1). Identification in the transcriptions were read in order to identify potential answers to the aims of the research and main categories (difficulties, challenges and integration needs). These informed subsequent analyses (2). Similar verbatim regrouped in category and an item was formular. (3). Categories were regrouped together in dimension. Three dimensions were identified professional career, linguistic acquisitionand socio-cultural activities or events which are two core elements essential to the success of the immigrant’s integration – recognition of the role of time in the process, and deliberate effort on the part of the immigrants, the society around and the formal institutions charged with the responsibility of helping with integration. Further, there was a majority consensus on good quality of services in at least one of the components of CAI, and on the availability of the personnel. The organisation and content utility was suitable for some, but maladapted to the needs of others, since they did not address their current concerns. The one fits all structure of the CAI, would need revision through considering smaller groups with specific needs separately. [less ▲]

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See detailLife satisfaction, five-years after a coronary angiography, between physical exercise and socio-economic inequalities.
Baumann, Michèle UL; Le Bihan, Etienne UL; Lorentz, Nathalie et al

in Pracana, Clara (Ed.) Health Psychology (2015)

Five-years after undergoing a coronary angiography, socioeconomic status and health related behaviours are known to affect life satisfaction (LS), but their respective influence remains unclear. Our aim ... [more ▼]

Five-years after undergoing a coronary angiography, socioeconomic status and health related behaviours are known to affect life satisfaction (LS), but their respective influence remains unclear. Our aim was to analyze patients’ LS and its relationships with cardiovascular diseases, risk factors and preventive behaviours developed in the last 5 years and socioeconomic conditions. Methods: Based on records from the National Institute of Cardiac Surgery and Cardiological Intervention in Luxembourg, 3632 survivors who underwent coronary angiography between 2008 and 2009 were contacted in 2013 by letter to complete a self-questionnaire assessing LS [1-10] and other cofounder factors. Data were analysed via multiple regression models. Results. Life satisfaction of 1289 volunteers (69.2 years) was 7.3/10. Majority were men, Luxembourgish, secondary education level, employees and manual workers, and those with an income of 36000 euros or more per year. Being a woman, not living in couple and having a low middle income were negatively associated with the LS level. Patients who suffered in the last 5 years from angina pectoris, diabetes, hypercholesterolemia, obesity, or who stopped smoking because of the disease were more likely to have lower LS, in contrast to those who participate in regular physical activity or exercise. Conclusions: Patients’ LS indicator was lower than the national life satisfaction in Luxembourg (7.8/10) which was higher than that from the European (7.0 for EU-27). Coaching patients with interventions that foster healthy attitudes can help sustain rehabilitation and enhance life satisfaction, adding beyond a reduction of socioeconomic inequalities. [less ▲]

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See detailUndergraduate students’ life satisfaction, between employability and career capabilities
Karavdic, Senad UL; Baumann, Michèle UL

in Pracana, Clara (Ed.) Social Psychology (2015)

Assessment of life satisfaction (LS) is an important issue in the overall preparation of undergraduates towards an employment outcome. The aim of our study is to analyze the associations between LS and ... [more ▼]

Assessment of life satisfaction (LS) is an important issue in the overall preparation of undergraduates towards an employment outcome. The aim of our study is to analyze the associations between LS and socio-demographic factors, career attitudes, employability soft skills, academic work satisfaction and quality of life autonomy. Methods: Undergraduate students were invited to complete a paper pencil questionnaire exploring: Life satisfaction (LS), Dynamic Career Attitudes (DCA), Employability Soft-Skills (ESS-Short), academic Work Satisfaction (WS), Quality Life of Autonomy (QoLA) and socio-demographic characteristics (age, gender, educational field, year of study, work experience (less vs. more than 6 months and actual employment). Data were analyzed using correlation and multiple linear regression models. Results: 124 volunteers (22.6 years) had LS of 75.4/100. Majority were women, in the first year of Bachelor, and in applied management. Most of them had six months or less of job experiences and were unemployed. Higher the DCA, ESS-Short, QoLA and WS better was the students LS. Conclusions: LS is an indicator related with employability and career capabilities. Supporting students through wellness and career activities program in autonomy-supportive environment, to cope with their stressful period and to enhance their generic employment and career capabilities may allow to the undergraduates to maintain their LS. [less ▲]

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See detailLife Satisfaction between Non-Luxembourgish and Native Luxembourgish Postgraduate Students
Karathanasi, Chrysoula UL; Karavdic, Senad UL; Baumann, Michèle UL

in Sociology Migration and Integration (2015)

Life satisfaction (LS) is a potential key to social progress and contributes to the functioning of individuals. In Luxembourg, the postgraduates who receive financial aid from the government are ... [more ▼]

Life satisfaction (LS) is a potential key to social progress and contributes to the functioning of individuals. In Luxembourg, the postgraduates who receive financial aid from the government are registered at the Centre for Documentation and Information on Higher Education. In order to obtain the financial aid, one of the criteria dictates that one of the parents of foreign students should have been working in Luxembourg for at least 5 years. In this country, which is built on migration (46% of the resident population consists of foreigners), is the basis on which our scientific questions are raised: (1) between non-Luxembourgish and native Luxembourgish students is the LS different? (2) What respective relationships exist with mental health-related factors, career attributes, socio-economic characteristics, and LS? (3) What are their associations of mental health (health satisfaction, psychological quality of life, worry), perception of financial situation and career attributes (adaptability, optimism, knowledge, planning) on LS? Between 2012 and 2013, 644 postgraduates were contacted by post to complete an online questionnaire in English or French. Foreign postgraduates who are settled in Luxembourg (born in Luxembourg and did not have the Luxembourgish citizenship, N=147) and native students (born in Luxembourg and had the nationality, N=284), were compared. Postgraduates who were born in Luxembourg but did not have the citizenship or were not born in Luxembourg and had the Luxembourgish citizenship were excluded. A single item measured LS (1 = not at all satisfied to 10 = very satisfied) same as in the European quality of life survey. Bivariate tests, correlations and multiple linear models were used, in which only significant relationships (p< 0.05) were integrated. Between the two groups, no differences exist between LS’ indicators (7.8/10 non-Luxembourgish; 8.0/10 natives), both of which is higher than the European indicator 7.2/10 (for 25-34 years). However, non-Luxembourgish students are older than natives are (29.3 years vs. 26.3 years), perceive their financial situation as more difficult, and a higher percentage of their parents have an education level higher than a Bachelor's degree (father 59.2% vs 44.6% for natives; mother 51.4% vs 33.7% for natives). In addition, father’s education is related to postgraduates’ LS and the higher is their level, the greater is their contribution to LS. Whereas for the native students, the better their health satisfaction, and career optimism is, the higher their LS are. For the both group, mental health-related factors, perception of their financial situation, career optimism, adaptability, and planning are linked to LS. The higher their psychological quality of life is, the better is their LS. Good health and favourable attitudes related to the job market enhance their LS. [less ▲]

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See detailWeight loss associated with socioeconomic status in patients with angina pectoris, 5 years after an angiography
Tchicaya, Anastase; Baumann, Michèle UL

in Cardiology (2015), (132 (suppl 1)), 60

The aim of the study is to assess the association between weight loss and socioeconomic status (SES) in patients with cardiovascular disease (CVD) such as angina pectoris. Method:In 2013-2014, 1,873 ... [more ▼]

The aim of the study is to assess the association between weight loss and socioeconomic status (SES) in patients with cardiovascular disease (CVD) such as angina pectoris. Method:In 2013-2014, 1,873 patients out of 4,391 that had undergone an angiography in 2008 -2009 participated in a follow-up study. Among these patients, 457 suffered from angina pectoris and were obese or overweight at baseline. A self-administered questionnaire was completed. Moderate weight loss was defined as the loss of 5%-10%, severe weigh loss as more than 10 % of baseline weight. Household-income was used as proxy for SES. Logistic regression was applied to assess the association between weight loss and SES. Results:During the reference period, 28% of the participants lost weight. A moderate weight loss was higher in patients with a household income between 3000€ and 4500€ per month (OR: 2.3; CI 95%: 1.0-5.2) and higher than 4500€ per month (OR: 3.0; CI 95%: 1.3-7.2) compared to the lowest income group (less than 3000€ per month). A severe weight loss was not associated with income. However, a severe weight loss was higher for retired patients (OR: 4.3; CI 95%: 1.1-17.0) compared to non-retired.Conclusion: The potential reduction of health inequality by an elimination of social inequalities in weight loss among patients with angina pectoris might be substantial. Moderate weight loss in overweight patients with angina pectoris at baseline could be associated with household income. Intervention strategies in secondary prevention should address these social inequalities in order to support equity in health. [less ▲]

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See detailDynamic career attitudes among master students: Social disparities in employment capabilities.
Karavdic, Senad UL; Baumann, Michèle UL

in Pracana, Clara (Ed.) Social Psychology (2015)

The preparation of students’ future career trajectories is a dynamic process in relation with social and educational determinants, but their interactions must be further investigated. Our objective is to ... [more ▼]

The preparation of students’ future career trajectories is a dynamic process in relation with social and educational determinants, but their interactions must be further investigated. Our objective is to analyze the associations between generic employment capabilities, career attitudes and other related factors among postgraduate students. Method: All master's students recorded in the Centre for Documentation and Information on Higher Education from Luxembourg database were contacted by letter to participate in an online questionnaire. The online questionnaire (French and English) with five scales was scored: 1) Dynamic Career Attitudes (DCA- 13 items); 2) Employability Soft-Skills (ESS-14); 3) Search for Work Self-Efficacy (SWSES - 12 items); 4) Quality of Life domain Autonomy (QLA- 4 items); and 5) Socio-demographical characteristics. The data were analyzed using bivariate tests, correlations and multiple linear regression models. Results: Of the 481 volunteers (26.4 years; SD=5.5) a majority were women, Luxembourgish, unemployed, and had less than or equal to six months of job experiences. Higher the ESS, SWSES and QLA scores, higher was the DCA score. Nationality, being unemployed, having less than six months of job experiences and being in the first year of master were associated with lower Dynamic Career Attitudes score. Conclusion: Covering the whole period of the master’s degree, internship activities and proactive workshops may be developed to improve generic employment capabilities and quality of autonomy. The Dynamic Career Attitudes scale appears an appropriate instrument to evaluate the efficacy of the university career services programme. [less ▲]

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See detailWhy medication or tobacco consumption enhance the life satisfaction of cardiovascular patients?
Bucki, Barbara UL; Tchicaya, Anastase; Baumann, Michèle UL

in European Health Psychologist (The) (2015), special

While life satisfaction (LS) promotes the health of cardiovascular patients, LS may be affected by a range of primary and secondary determinants. We analysed LS and its relationships with cardiovascular ... [more ▼]

While life satisfaction (LS) promotes the health of cardiovascular patients, LS may be affected by a range of primary and secondary determinants. We analysed LS and its relationships with cardiovascular risk factors and unhealthy behaviours. Methods. In 2013, 3,632 survivors who underwent coronary angiography in 2008-2009 at the Luxembourgish National Institute of Cardiac Surgery and Cardiological Intervention (INCCI), living at home were asked to estimate, five years after, their LS [1-10] and other health-related variables. Data were analysed via multiple regression models including interaction effects. Findings. LS of the 1,289 participants (age: 69.2±11.1) was 7.3/10. Most were men, employees or manual workers, had secondary education and a 36,000€ or more/year income. The interactions between hypercholesterolemia and hypertension (regression coefficient= 0.628) and with smoking (rc= 0.941) were positively related with LS, but physical inactivity was negatively associated (rc= -0.630). Discussion. Taking medications or maintaining tobacco consumption produces better LS than being ambivalent towards physical activity. Further research is needed to evaluate the efficacy of health interventions eliciting and promoting the behaviour change wheel based on capabilities, opportunities, and motivations. [less ▲]

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See detailLife Satisfaction of Non-Luxembourgish and Native Luxembourgish Postgraduate Students
Karathanasi, Chrysoula UL; Senad, Karavdic; Odero, Angela UL et al

in International Journal of Social Welfare (2015), 9(11), 3852-3857

It is not only the economic determinants that impact on life conditions, but maintaining a good level of life satisfaction (LS) may also be an important challenge currently. In Luxembourg, university ... [more ▼]

It is not only the economic determinants that impact on life conditions, but maintaining a good level of life satisfaction (LS) may also be an important challenge currently. In Luxembourg, university students receive financial aid from the government. They are then registered at the Centre for Documentation and Information on Higher Education (CEDIES). Luxembourg is built on migration with almost half its population consisting of foreigners. It is upon this basis that our research aims to analyze the associations with mental health factors (health satisfaction, psychological quality of life, worry), perceived financial situation, career attitudes (adaptability, optimism, knowledge, planning) and LS, for non-Luxembourgish and native postgraduate students. Between 2012 and 2013, postgraduates registered at CEDIES were contacted by post and asked to participate in an online survey with either the option of English or French. The study population comprised of 644 respondents. Our statistical analysis excluded: those born abroad who had Luxembourgish citizenship, or those born in Luxembourg who did not have citizenship. Two groups were formed one consisting 147 non-Luxembourgish and the other 284 natives. A single item measured LS (1=not at all satisfied to 10=very satisfied). Bivariate tests, correlations and multiple linear regression models were used in which only significant relationships (p<0.05) were integrated. Among the two groups no differences were found between LS indicators (7.8/10 non-Luxembourgish; 8.0/10 natives) as both were higher than the European indicator of 7.2/10 (for 25-34 years). In the case of non-Luxembourgish students, they were older than natives (29.3 years vs. 26.3 years) perceived their financial situation as more difficult, and a higher percentage of their parents had an education level higher than a Bachelor's degree (father 59.2% vs 44.6% for natives; mother 51.4% vs 33.7% for natives). In addition, the father’s education was related to the LS of postgraduates and the higher was the score, the greater was the contribution to LS. Whereas for native students, when their scores of health satisfaction and career optimism were higher, their LS’ score was higher. For both groups their LS was linked to mental health-related factors, perception of their financial situation, career optimism, adaptability and planning. The higher the psychological quality of life score was, the greater the LS of postgraduates’ was. Good health and positive attitudes related to the job market enhanced their LS indicator. [less ▲]

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See detailThe integration process of Non-EU citizens in Luxembourg From an empirical approach towards a theoretical model
Odero, Angela UL; Karathanasi, Chrysoula UL; Baumann, Michèle UL

in International Journal of Social Welfare (2015), 9(11), 3868-3875

Integration of foreign communities has been a forefront issue in Luxembourg for some time now. The country’s continued progress depends largely on the successful integration of immigrants. The aim of our ... [more ▼]

Integration of foreign communities has been a forefront issue in Luxembourg for some time now. The country’s continued progress depends largely on the successful integration of immigrants. The aim of our study was to analyze factors which intervene in the course of integration of Non-EU citizens through the discourse of Non-EU citizens residing in Luxembourg, who have signed the Welcome and Integration Contract (CAI). The two year contract, offers integration services to assist foreigners in getting settled in the country. Semi-structured focus group discussions with 50 volunteers were held in English, French, Spanish, Serbo-Croatian or Chinese. Participants were asked to talk about their integration experiences. Recorded then transcribed, the transcriptions were analyzed with the help of NVivo 10, a qualitative analysis software. A systematic and reiterative analysis of decomposing and reconstituting was realized through (1). The identification of predetermined categories (difficulties, challenges and integration needs) (2). Initial coding – the grouping together of similar ideas (3). Axial coding – the regrouping of items from the initial coding in new ways in order to create sub-categories and identify other core dimensions. Our results show that intervening factors include language acquisition, professional career and socio-cultural activities or events. Each of these factors constitutes different components, whose weight shifts from person to person and from situation to situation. Connecting these three emergent factors are two elements essential to the success of the immigrant’s integration – the role of time and deliberate effort from the immigrants, the community and the formal institutions charged with helping immigrants integrate. We propose a theoretical model where the factors described may be classified in terms of how they predispose, facilitate and / or reinforce the process towards a successful integration. Measures currently in place propose one size fits all programs, yet integrative measures which target to the family unit and those customized to target groups based on their needs would work best. [less ▲]

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See detailA social gradient in fatal opioids and cocaine related overdoses?
Origer, Alain; Le Bihan, Etienne UL; Baumann, Michèle UL

in PLoS ONE (2015), 4(10(5)),

To determine the existence of a social gradient in fatal overdose cases related to non-prescribed opioids and cocaine use, recorded in Luxembourg between 1994 and 2011. METHODS: Overdose cases were ... [more ▼]

To determine the existence of a social gradient in fatal overdose cases related to non-prescribed opioids and cocaine use, recorded in Luxembourg between 1994 and 2011. METHODS: Overdose cases were individually matched with four controls in a nested case-control study design, according to sex, year of birth, drug administration route and duration of drug use. The study sample, composed of 272 cases and 1,056 controls, was stratified according to a Social Inequality Accumulation Score (SIAS), based on educational attainment, employment, income, financial situation of subjects and the professional status of their father or legal guardian. Least squares linear regression analysis on overdose mortality rates and ridit scores were applied to determine the Relative Index of Inequality (RII) of the study sample. RESULTS: A negative linear relationship between the overdose mortality rate and the relative socioeconomic position was observed. We found a difference in mortality of 29.22 overdose deaths per 100 drug users in the lowest socioeconomic group compared to the most advantaged group. In terms of the Relative Inequality Index, the overdose mortality rate of opioid and cocaine users with lowest socioeconomic profiles was 9.88 times as high as that of their peers from the highest socioeconomic group (95% CI 6.49-13.26). CONCLUSIONS: Our findings suggest the existence of a marked social gradient in opioids and cocaine related overdose fatalities. Harm reduction services should integrate socially supportive offers, not only because of their general aim of social (re)integration but crucially in order to meet their most important objective, that is to reduce drug-related mortality [less ▲]

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