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See detailPsychological quality of life and employability skills among newly registered first-year students:
Baumann, Michèle UL; Karavdic, Senad UL

in Health (2013), 5(3), 617-626

In accord with new European university reforms initiated by the Bologna Process, our objective was to evaluate influences on the relationship between psychological quality of life (QoL) and the ... [more ▼]

In accord with new European university reforms initiated by the Bologna Process, our objective was to evaluate influences on the relationship between psychological quality of life (QoL) and the acquisition of academic employability skills (AES) among first-year students at the Univer- sity in Luxembourg. At the beginning (2 months in) and the end (9 months) of the academic year, 973 newly registered students participated in this study involving two cross-university sur- veys. Students who redoubled or who had stud- ied at other universities were excluded. Data were collected with an online questionnaire com- prising the psychological Whoqol-bref subscale, AES scale, and questions about other related factors. The AES score decreased from 74.2 to 65.6. At both time points, the psychological Whoqol-bref was positively correlated with en-vironmental and social relations QoL and per- ceived general health. Multiple regression mod-els including interaction terms showed that a higher psychological QoL was associated with better general health (difference satisfied-dis- satisfied 9.44), AES (slope 0.099), social rela- tionships QoL (0.321), and environmental QoL (0.298). No interaction with time effects was sig- nificant, which indicates that the effects remain stable with time. If the university could maintain the QoL indicators at appropriate levels or man- age decreases as they occur, it would have im- plications for health promotion and the crea- tion of new student support systems. The SQA- LES project provides valuable information for universities aiming to develop a European High- er Educational Area. [less ▲]

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See detailSelf-perceived academic employability skills and physical quality of life on first-year university students’ well-being
Baumann, Michèle UL; Karavdic, Senad UL; Amara, Marie-Emmanuelle UL

in Pracana, L.; Silva, L. (Eds.) INPACT - International Psychological Applications Conference and Trends (2013)

With the Bologna Process, students’ wellbeing and generic skills for employability became priorities for European universities, but their respective influences remain unclear. Our aims were to analyse the ... [more ▼]

With the Bologna Process, students’ wellbeing and generic skills for employability became priorities for European universities, but their respective influences remain unclear. Our aims were to analyse the relationships between Academic Employability Skills (AES), psychological suffering (General Health Questionnaire) and psychological quality of life (psychological Whoqol-bref) and other physical, social and environmental Whoqol-bref domains and socio-demographic characteristics. Design. Nine months after the start of their first-year at University of Luxembourg, 973 students were invited to participate at a cross-sectional study. Methods. An online questionnaire was proposed in French, German, and English to assess : a) two instruments described the student’s well-being : 1) Whoqol-bref's psychological subscale-6 items (Cronbach's alpha 0.77) with higher the score, higher the psychological quality of live; 2) GHQ-12 items scale (Cronbach's alpha 0.75) with lower the score, lower the psychological suffering; and one explored the AES-5 items scale (Cronbach's alpha 0.76) (capacities of drafting, solution problem, team work, supervision / direction of others, and use new technologies). . Data were analysed using logistic models. Findings. 321 first-year students participated in the study Psychological Whoqol-bref’s and AES’s scores are positively correlated. This relation was verified for each item (drafting, critical spirit, solution to problem, team work, and supervision/direction of others) except use new technologies. Between the correlations of the two instruments only 3/6 items of psychological Whoqol-bref (ability to concentrate, satisfaction with self, negative feelings) are correlated with 8/12 items of GHQ-12 (sleep lost, making decisions, feeling under strain, no overcome difficulties, depressed, loosing self-confidence, considering his/her self as a worthless, reasonably happy). A positive effect between the psychological Whoqol-bref and the AES scores was observed, including with physical, social relationships and environmental domains. No connection exists between the AES and the GHQ-12 scores; on the other side the GHQ-12 score has a negative influence on physical Whoqol-bref status. Conclusions. If a wellbeing suffering contributes in less physical quality of life, the better wellbeing, the higher academic employability skills. Campus should care of students ‘wellbeing and implement counselling activities and adapted environmental to improve their sustainable skills for employability. If the university could maintain the well-being indicators at appropriate levels or manage decreases as they occur, it would have implications for health promotion by creation of new student support systems and services developing sustainable conditions for better European Higher Educational Area. [less ▲]

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See detailOpiate and cocaine related Fatal Overdoses in Luxembourg from 1985 to 2011: a time-stratified
Origer, Alain UL; Baumann, Michèle UL

in Health Issues and Populations in Health Promotion (2013)

To describe trends in the national prevalence of fatal overdose (FOD) cases related to opiates and cocaine use between 1985 and 2011. To analyse male/female differences in FOD victims according to various ... [more ▼]

To describe trends in the national prevalence of fatal overdose (FOD) cases related to opiates and cocaine use between 1985 and 2011. To analyse male/female differences in FOD victims according to various time periods. Methods. A triangulation approach was chosen to cross-examining data from national law enforcement sources, the national drug use surveillance system (RELIS) and of forensic and toxicological evidence. Data have been stratified according to 3 time periods covering each 9 successive years in order to increase the visibility of long term variations and trends. Statistical analysis of male/female differences according to socio-demographic and forensic data as well as drug use trajectories was performed. Results. National FOD prevalence has been decreasing from the beginning of this century to reach a historically low rate of 1.71 cases/100,000 inhabitants in 2011. The burden of deaths caused by FOD on the general national mortality showed to be higher for men compared with women. Furthermore, the pathways towards a FOD revealed to be different for male and female victims referred to various aspects including age of decedents, criminal records, drug use trajectories, drug use patterns and the involvement of psychotropic prescription drugs. Conclusions. The time window for intervention between the onset of drug use and its potential fatal outcome might be shorter for women compared with men. Further research should address dynamics between socio-economic status of victims and various cultural components to assess their possible impact on drug overdose induced mortality. Early intervention in female drug users and increased attention to poly and psychotropic prescription drugs use should be considered in health promotion programmes and relevant research outcomes routinely provided to first line general health care providers to accelerate access to appropriate treatment if required and eventually contribute to prevent premature death and reduce gender inequalities. [less ▲]

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See detailSelf-reporting and measurement of body mass index in adolescents: refusals and validity, and the possible role of socioeconomic and health-related factors.
Chau, Nearkasen; Mayet, A; Baumann, Michèle UL

in BMC Public Health (2013), 13(1), 815-829

Body mass index assessment using self-reported height and weight (BMIsr) can encounter refusals and under/over-reporting while for assessment with measured data (BMIm) refusals can be more frequent. This ... [more ▼]

Body mass index assessment using self-reported height and weight (BMIsr) can encounter refusals and under/over-reporting while for assessment with measured data (BMIm) refusals can be more frequent. This could relate to socioeconomic and health-related factors. We explored these issues by investigating numerous potential factors: gender, age, family structure, father's occupation, income, physical/sports activity, subjective weight perception, school performance, unhealthy behaviours, physical/psychological health, social relationships, living environment, having sustained violence, sexual abuse, and involvement in violence. The sample included 1559 adolescents from middle schools in north-eastern France. They completed a questionnaire including socioeconomic and health-related data, self-reported height/weight, measured height/weight, and weight perception (participation rate 94%). Data were analysed using logistic regression models. BMIsr encountered under-reporting (with change in BMI category, 11.8%), over-reporting (6.0%), and reporting refusals (3.6%). BMIm encountered more numerous refusals (7.9%). Reporting refusal was related to living with a single parent, low school performance, lack of physical/sports activity, sustained violence, poor psychological health, and poor social relationships (gender/age-adjusted odds ratios 1.95 to 2.91). Further to these factors, measurement refusal was related to older age, having divorced/separated parents, a father being a manual worker/inactive, insufficient family income, tobacco/cannabis use, involvement in violence, poor physical health, and poor living environment (1.30 to 3.68). Under-reporting was related to male gender, involvement in violence, poor psychological health, and overweight/obesity (as assessed with BMIm) (1.52 to 11). Over-reporting was related to male gender, younger age, alcohol consumption, and underweight (1.30 to 5.35). Weight perception was linked to reporting refusals and under/over-reporting, but slightly linked to measurement refusal. The contributions of socioeconomic and health-related factors to the associations of weight perception with reporting refusal and under/over-reporting ranged from -82% to 44%. There were substantial discrepancies in the associations between socioeconomic/health-related factors and overweight/obesity assessed with BMIsr and BMIm. BMIsr and BMIm were affected by numerous biases related to vulnerability which were also obesity risk factors. BMIsr encountered under/over-reporting which were related to some socioeconomic and health-related factors, weight perception, and BMIm. BMIm was more affected by refusals than BMIsr due to socioeconomic and health-related factors. Further research is needed. [less ▲]

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See detailThe Role of occupational activities and Work environment in occupational injury and interplay of personal factors in various age groups among Indian and French coalminers.
Battacherjee, Ashis; Kunar, Bijay; Baumann, Michèle UL

in International Journal of Occupational Medicine and Environmental Health (2013), 26(6), 910-929

The role of occupational hazards in occupational injury may be mediated by individual factors across various age groups. This study assessed the role of occupational hazards as well as contribution of ... [more ▼]

The role of occupational hazards in occupational injury may be mediated by individual factors across various age groups. This study assessed the role of occupational hazards as well as contribution of individual factors to injuries among Indian and French coalminers. Material and Methods. We conducted a case-control study on 245 injured workers and on 330 controls without any injuries from Indian coal mines using face-to-face interviews, and a retrospective study on 516 French coalminers using a self-administered questionnaire including potential occupational and personal factors. Data were analyzed using logistic models. Results. The annual rate of injuries was 5.5% for Indian coalminers and 14.9% for the French ones. Logistic model including all occupational factors showed that major injury causes were: hand-tools, material handling, machines, and environment/work-geological/strata conditions among Indian miners (adjusted odds-ratios 2.01 to 3.30) and biomechanical exposure score among French miners (adjusted odds-ratio 3.01 for score the 1–4, 3.47 for the score 5–7, and 7.26 for score ≥ 8, vs. score 0). Personal factors among Indian and French coalminers reduced/exacerbated the roles of various occupational hazards to a different extent depending on workers’ age. Conclusion. We conclude that injury roles of occupational hazards were reduced or exacerbated by personal factors depending on workers’ age in both populations. This knowledge is useful when designing prevention which should definitely consider workers’ age. [less ▲]

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See detailComorbity between mental and physical illnesses and their risk factors in early adolescence.
Chau, Kénora; Baumann, Michèle UL

in The bio-psycho-social model: the future of psychiatry. (2013)

Educational Objectives: Our results provide knowledge about a wide range of deleterious factors associated with mental and physical illnesses and have to be monitored in early adolescence.Purpose: To ... [more ▼]

Educational Objectives: Our results provide knowledge about a wide range of deleterious factors associated with mental and physical illnesses and have to be monitored in early adolescence.Purpose: To assess the associations between mental and physical illnesses, and with socioeconomic factors, alcohol/tobacco/cannabis/hard drugs uses, low school-performance, lack of sports/physical activity, obesity, sustained physical/verbal violence, sexual abuse, involvement in violence, and suicide ideation among boys and girls in early adolescents.Methods: The sample included 1,559 middle-school students from north-eastern France (mean age 13.5, SD 1.3), who completed a self-administered questionnaire including gender, birth date, father’s occupation, parents’ education, nationality, family structure, income, last-30-day alcohol/tobacco/cannabis/hard drugs uses, low-school-performance (last-trimester-grade<10/20), lifetime sustained physical/verbal violence (20-item scale), lifetime sexual abuse, lifetime involvement in violence (11-item scale), last-12-month suicide ideation, and social relationship, living environment, mental and physical illnesses (measured with the four WHOQoL-Bref domains, score<10th percentiles). Data were analyzed using logistic regression models.Results: Mental and physical illnesses affected respectively 14.4% and 9.7% of adolescents. They were strongly linked: gender-age-adjusted odds ratio gaOR 7.07. They were linked with most socioeconomic factors: female (vs. male, gaORs 1.79 and 1.67), increasing age (1.25 and 1.28, per year), reconstructed family (2.25 and 2.34, vs. intact family), separated/divorced parents (2.46 and 2.35), non-significant (ns) for single-parent, other family categories (3.36 and 2.36), craftsman/tradesman/firm-head offspring (1.70 and 1.70, vs. manager/professional offspring), intermediate-professional offspring (1.84 and 1.70), manual-worker offspring (1.54 (ns) and 2.30), unemployed/retired offspring (2.88 and 3.11), European immigrants (1.39 (ns) and 2.28, vs. French), non-European immigrants (1.32 (ns) and 3.29), insufficient income (1.76 and 1.72). Mental and physical illnesses also related to low-school-performance (gaORs 2.13 and 3.80), alcohol use (1-5 times: ns; 6+ times: 3.85 and 2.23), tobacco use (1-5 times: 2.67 and 3.30; 6+ cigarettes/day: 4.41 and 3.82), cannabis use (1-5 times: 1.91 (ns) and 2.25; 6+ times: 2.55 and 2.06), hard drugs use (4.50 and 4.05), no regular sports/physical activity (2.09 and 3.49), obesity (2.00 and 1.68), sexual abuse (8.25 and 6.22), suicide ideation (10.3 and 5.61), physical/verbal violence (score 1-3: 1.37 and 1.42; score 4+: 3.08 and 2.76, vs. score 0), involvement in violence (score 1-5: 2.44 and 2.05; score 6+: 4.86 and 5.70, vs. score 0), altered social relationship (4.16 and 8.95), and altered living environment (9.59 and 11.7).Conclusion: This study has achieved our aims to identify factors associated with mental and physical illnesses in early adolescence. These original findings provided knowledge which may help public policy promoting adolescent mental and physical health. [less ▲]

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See detailSuicide attempts prior to fatal drug overdose in Luxembourg from 1994 to 2011
Origer, Alain UL; Baumann, Michèle UL

in Moussaoui, Driss; Figueira, Maria Luisa (Eds.) The bio-psycho-social model: The future of psychiatry. (2013)

Educational Objectives: This study may help participants to recognize factors influencing suicidal behavior that should be assessed or monitored in the context of substance use. Purpose: To assess the ... [more ▼]

Educational Objectives: This study may help participants to recognize factors influencing suicidal behavior that should be assessed or monitored in the context of substance use. Purpose: To assess the prevalence of lifetime suicide attempts in opiate and cocaine related (FOD) cases. To analyze associations between suicide attempts and socio-demographic, life and substance use profiles of FOD victims . Methods: A triangulation approach allowed to cross-examining data from national law enforcement sources, the national drug use surveillance system (RELIS) and of forensic and toxicological evidence. Bivariate statistical analysis was performed by means of Chi-square χ² tests as well as logistic regression analysis of the association between suicide attempts and selected variables. Results: Prior to death, 16.8% of FOD victims reported a single suicide attempt, 37% multiple attempts and 46.2% declared none. No associations were found between suicide attempts and the following variables: sex, age, nationality, penal past (including prison stays), educational, occupational status and income of victims, occupational status of parents and detection of psychotropic prescription drugs in post mortem toxicological analysis. After adjustment for sex and age, FOD victims who showed one or more lifetime suicide attempts were more likely to have experienced non-fatal overdoses [AOR = 5.755 (95% CI 1.633 – 20.278), and (licit or illicit) substance abuse of one or both parents [AOR = 2.859 (95% CI 1.250 – 6.539), p=0.013]. The greater likelihood of unmarried FOD victims to witness suicide attempts (χ²:4.573; p=0.032), compared with married decedents, was no longer observed after sex-age adjustment. Conclusion: Suicide attempts are frequent in fatal drug overdose victims and a strong association has been observed between the former and the frequency of non-fatal overdoses experienced by decedents included in our sample. Family contexts may be at stake when it comes to explain the likelihood of suicide attempts in victims of fatal drug overdose. The fact that substance abuse in parents was positively linked to suicide attempts in FOD victims suggest that increased attention should be paid to family histories in the prevention of drug overdoses and suicide, and the link between both. Our findings could inspire further research, building upon bigger study samples and prospective cohort designs, allowing to collecting more in-depth data on the social and family support experienced by FOD victims. [less ▲]

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See detailCanadiens en Europe. Elaboration d'un programme psychosocial d'appui à l'adaptation.
Blackburn, dave; Baumann, Michèle UL

Book published by L'harmattan - Académia (2013)

Les militaires des Forces canadiennes déployés au sein de l’OTAN sont affectés dans 12 pays de l’Europe, et vivent avec leur famille dans plus de 50 lieux différents. Sélectionnés, ils sont tous méritants ... [more ▼]

Les militaires des Forces canadiennes déployés au sein de l’OTAN sont affectés dans 12 pays de l’Europe, et vivent avec leur famille dans plus de 50 lieux différents. Sélectionnés, ils sont tous méritants et aptes. Or des rapatriements prématurés de l’Europe vers le Canada subsistent. Pourquoi leurs capacités à gérer les problèmes quotidiens sont-elles mises à mal ? Quels sont les déterminants culturels, environnementaux, sociaux et psychologiques qui perturbent leur adaptation? Un programme de préparation à la réussite peut-il y remédier? Que nous apprend son évaluation ? Le rapatriement prématuré a des conséquences sociales et économiques qui peuvent être ignorées. L’identification et la compréhension des facteurs impliqués présente donc un intérêt incontestable tant pour la qualité de vie et la santé des « décrocheurs » que pour celles des « nouveaux-arrivants ». A l’aide de plusieurs études de terrain, l’analyse des résultats tente de répondre à ces interrogations. Un programme innovant d’activités pédagogiques a été élaboré. Riche d’enseignements, son évaluation montre qu’il peut servir de modèle à bien d’autres situations sociales et éducatives. [less ▲]

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See detailSocioeconomic inequities patterns of multi-morbidity in early adolescence.
Chau, Kénora; Baumann, Michèle UL

in International Journal for Equity in Health (2013), 12

Background: Multi-morbidity such as cumulating mental health, behavioral, and school difficulties (consumptions of alcohol, tobacco, cannabis, and hard drugs, obesity, depressive symptoms, suicide ... [more ▼]

Background: Multi-morbidity such as cumulating mental health, behavioral, and school difficulties (consumptions of alcohol, tobacco, cannabis, and hard drugs, obesity, depressive symptoms, suicide attempts, involvement in violence, and low school performance) is common in early adolescence and can be favored by a number of socioeconomic factors (gender, age, nationality, family structure, parents’ education, father’ occupation, and income). This study assessed the concurrent roles of various socioeconomic factors in multi-morbidity defined as cumulated number of difficulties (CD) which has been partially documented. Methods: Adolescents from middle schools in north-eastern France (N = 1,559) completed a questionnaire measuring socioeconomic characteristics and mental health, behavioral, and school difficulties. Data were analyzed using logistic regression models. Results: Alcohol use affected 35.2% of subjects, tobacco use 11.2%, cannabis use 5.6%, hard drugs use 2.8%, obesity 10.6%, depressive symptoms 13.3%, suicide attempts 9.9%, involvement in violence 10.3%, and low school performance 8.2%. Insufficient income and non-intact families impacted most mental health, behavioral, and school difficulties with adjusted odds ratios (ORa) between 1.51 and 3.72. Being immigrant impacted illicit drugs use and low school performance (ORa 2.31-4.14); low parents’ education depressive symptoms (1.42) and school performance (3.32); and manual-worker/inactive offspring low school performance (2.56-3.05). Multi-morbidity was very common: CD0 44.1%, CD1 30.8%, CD2-3 18.4%, and CD ≥ 4 6.7%. Insufficient income, divorced/separated parents, reconstructed families, and single parents played impressive roles with strong ORa gradients (reaching 4.86) from CD1 to CD ≥ 4. Being European immigrant, low parents’ education, and low fathers’ occupations had significant gender-age-adjusted odds ratios for CD2-3 and CD ≥ 4, but these became non-significant when adjusted for all socioeconomic factors. Older adolescents had higher risks for multi-morbidity which did not change when adjusting for all socioeconomic factors. Conclusions: Multi-morbidity including a wide range of mental health, behavioral, and school difficulties was common in early adolescence. Insufficient income and non-intact families played impressive roles. Being immigrant, low parents’ education, and low fathers’ occupations also played strong roles but these were explained by insufficient income and non-intact families. Prevention against multi-morbidity should be designed to help adolescents to solve their difficulties, especially among adolescents with socioeconomic difficulties. [less ▲]

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See detailLifestyle as a Health Risk for Family Caregivers with Least Life Satisfaction, in Home-Based Post-Stroke Caring
Baumann, Michèle UL; Bucki, Barbara UL

in Healthcare Policy (2013), 9

Our purpose was to clarify that the caregiving role respresent a situation of risk for the health of family caregivers in home-based caring two years after cerebrovascular disease. Our aim was to ... [more ▼]

Our purpose was to clarify that the caregiving role respresent a situation of risk for the health of family caregivers in home-based caring two years after cerebrovascular disease. Our aim was to determine the social and emotional repercussions of the event on family caregivers. Family caregivers living at home with stroke survivors were identified by a national survey. The Life Satisfaction (LS) national indicator for Luxembourg is 7.9/10, while in Canada it stands at 7.7. Caregivers with a LS level ≤ 7 were more likely to care for survivors affected by motor, sensory and memory neurological impairments. For a great majority, these impairments led to serious upheaval among families, and for spouses it was “a drama.” For family caregivers with a least life satisfaction, their lifestyle poses a real health risk. [less ▲]

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See detailLife satisfaction of two-year post-stroke survivors: effects of socioeconomic factors, motor impairment, Newcastle Stroke-specific Quality of Life leasure and World health Organization quality of Life-bref of informal caregivers in Luxembourg and a rural area in Portugal.
Baumann, Michèle UL; Lurbe-Puerto, Katia UL; Leandro, M. E. et al

in Cerebrovascular Diseases (2012), 33

Background: Life satisfaction of stroke survivors is known to be associated with socio-economic factors and the survivor’s and his/her caregiver’s quality of life, but their respective influence remains ... [more ▼]

Background: Life satisfaction of stroke survivors is known to be associated with socio-economic factors and the survivor’s and his/her caregiver’s quality of life, but their respective influence remains to be fully elucidated. Purpose: To analyse the stroke survivors’ life satisfaction 2 years after the event and its relationships with quality of life, socio-economic and stroke-related characteristics, and with informal caregivers’ life satisfaction and quality of life . Methods: Over 18 months, all stroke patients from Luxembourg and northeastern Portugal who lived at home were identified from the Inspection Générale de la Sécurité Sociale and hospital records, respectively. The clinical diagnosis of cerebrovascular disease was confirmed. We excluded all patients who declared that stroke did not result in neurological impairmentsat the time of stroke from the statistical analysis. The samples comprised 79 patients in Luxembourg and 48 in Portugal. Patients and the people they identified as their main caregivers were interviewed using validated questionnaires measuring life satisfaction, i.e. the Newcastle Stroke-Specific Quality of Life (Newsqol – 11 subscales), which identifies the areas affected by stroke among patients, and the World Health Organization Quality of Life – bref (Whoqol-bref – 4 subscales) of informal caregivers. Survivors without neurological impairment at the time of stroke were excluded. Data were analysed via multiple-regression models. Results: Life satisfaction was higher among women and lower among subjects with impaired motor functions. It was lower among Portuguese respondents with low-level education ( <12th grade) and higher among those at work (37.6/100). In Luxembourg, retired people had more life satisfaction than did working people (–7.9/100). Controlling for socio-economic factors, life satisfaction was associated with feelings- Newsqol (slope 0.25) among Luxembourg residents, and with feelings-, mobility- and self-care-Newsqol (slopes 0.24, 0.27 and 0.33, respectively) among Portuguese respondents. Life satisfaction of patients was strongly related to that offamily caregivers among the Portuguese respondents (slope 0.66) but the relationship was moderate in Luxembourg (slope 0.28). The survivors’ life satisfaction was not correlated with any Whoqol-bref domain in the Luxembourg group, but was correlated with the Whoqol-bref psychological, social relationships and environment domains among the Portuguese respondents (slopes 0.55, 0.59 and 0.51, respectively). Conclusions: The life satisfaction scale and the Newsqol stroke instrument, which identify areas of quality of life affected by stroke, are reliable patient-centred markers of intervention outcome. They can be used within the framework of medical follow-up (such as telephone assistance, clinical practice and prevention). Depending on the stroke survivor’s and the family caregiver’s habitual lifestyle and material circumstances, enhancement of a caregiver’s quality of life can help maintain the patient’s life satisfaction, particularly in a rural setting. [less ▲]

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See detailWhich Caregiving esteem for which Gender ?
Bucki, Barbara UL; Baumann, Michèle UL

in Psychology & Health (2012), 27(suppl 1), 170-171

Background: Two years after stroke, are the factors of the esteem of caregiving the same by gender? Methods: Face-to-face questionnaires administered to 92 Luxembourgish and Portuguese stroke patients and ... [more ▼]

Background: Two years after stroke, are the factors of the esteem of caregiving the same by gender? Methods: Face-to-face questionnaires administered to 92 Luxembourgish and Portuguese stroke patients and their 67 men and 25 women caregivers. For each sex, a multiple regression entering:- Neurological impairments,- Patients’ and caregivers’ life satisfaction [1;10],- Reactions towards caregiving: esteem (dependent variable), lack of family support, impacts on finances, schedule and health (Caregiver Reaction Assessment subscales),- Confidence in information subscale from the Carer Satisfaction Community Services. Results: Caregivers with a high caregiving esteem are, in women: those who trust information from community services ( ¼0.412***) and care for patients keeping few sensory impairments ( ¼0.300**; R2adj.¼0.257); in men : those who are low impacted on their health ( ¼0.471*) and care for patients satisfied with life ( ¼0.371; R2adj.¼0.447). Discussion: Home-based rehabilitation can be sustained by developing men and women caregivers’ specific health capabilities. [less ▲]

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See detailVivre à domicile, deux ans après un AVC : Etude auprès des patients et des aidants du Luxembourg.
Baumann, Michèle UL

Presentation (2012)

Au Luxembourg, une recherche pluridisciplinaire a été réalisée auprès de 797 personnes victimes d’un accident vasculaire cérébral (AVC). Une enquête nationale a été menée comportant un volet ... [more ▼]

Au Luxembourg, une recherche pluridisciplinaire a été réalisée auprès de 797 personnes victimes d’un accident vasculaire cérébral (AVC). Une enquête nationale a été menée comportant un volet épidémiologique effectué par le CRP-Santé, qui a rassemblé des données médico-administratives et des données cliniques issues des dossiers d’hospitalisation, et un volet de sociologie médicale par l’Université qui a interrogé 94 patients vivant au domicile, deux après la survenue de l’AVC, et leurs 62 aidants informels principaux. Des recommandations majeures de santé publique et de politiques sociales peuvent être formulées sur la nécessité de mettre en place : 1) un système de surveillance des AVC, indispensable pour orienter les politiques de santé en termes de promotion, prévention et intervention; 2) une filière de soins AVC plus visible, mieux structurée et coordonnée; 3) un suivi social et éducatif par un « gestionnaire des familles AVC » (patients, mais aussi et surtout aidants) et des aides financières pour développer un véritable soutien à domicile à moyen et long terme; 4) une prévention primaire en faveur des aidants que les souffrances physiques, psychiques et la faible qualité de vie sociale amènent à devenir une « population à risque » du système de santé, situation qui touche directement, ou sera susceptible de concerner dans un avenir proche, la plus grande partie d'entre nous. [less ▲]

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See detailExperiences of caregiving, satisfaction of life and social repercussions among family caregivers, two years post-stroke.
Lurbe-Puerto, Katia UL; Baumann, Michèle UL

in Social Work in Health Care (2012), 51

Cerebrovascular diseases are a public health and social policy priority in Europe due to their high prevalence and the long-term disability they may result in (as the principal cause of handicap ... [more ▼]

Cerebrovascular diseases are a public health and social policy priority in Europe due to their high prevalence and the long-term disability they may result in (as the principal cause of handicap). Increasingly, family caregivers take over the care at home of these patients. Two years post-stroke, our study analyzed the feelings of family caregivers from Luxembourg and northeastern Portugal toward their experience of caregiving and its repercussions on social and couple relationships, life satisfaction, and socioeconomic characteristics. Participating hospitals identified survivors and consent was sought by letter. Patients (n = 62) and their main caregivers (n = 46 pairs) were interviewed at home. The mean life satisfaction of caregivers was similar, but the experience of providing care differed in terms of family support, and disruptions of the caregivers’ family responsibilities. More Portuguese respondents gave activities up, found little time for relaxation, and estimated that their health had deteriorated; more Luxembourgers felt strong enough to cope. More Portuguese spouses reported an impact on their sex lives. Family caregivers represent a “population at risk.” Social workers can help them by providing domestic assistance, undertaking coaching activities, fostering favorable attitudes, and offering reassurance. Home-based rehabilitation in Europe involving family care must take account of cultural lifestyle issues. [less ▲]

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See detailLife satisfaction two-years after stroke onset: the effects of gender, occupational status, memory function and quality of life among stroke patients (Newsqol) and their family caregivers (Whoqol-bref) in Luxembourg
Baumann, Michèle UL; Couffignal, Sophie; Le Bihan, Etienne UL et al

in BMC Neurology (2012), 12

Life satisfaction (LS) of cerebrovascular disease survivors and their family caregivers may relate to socioeconomic factors, impaired functions, health-related quality of life (QoL), but their respective ... [more ▼]

Life satisfaction (LS) of cerebrovascular disease survivors and their family caregivers may relate to socioeconomic factors, impaired functions, health-related quality of life (QoL), but their respective influences remain unclear. This study assessed, two years post-stroke onset, the effects of these factors on patients' LS and family caregivers' LS in Luxembourg. METHODS: All stroke patients admitted to all hospitals in Luxembourg were identified by the 'Inspection Général de la Sécurité Sociale' using the only national system database for care expenditure reimbursement. Their diagnosis was confirmed by medical investigator. The sample included ninety four patients living at home having given consent (mean age 65.5 years) and sixty two main caregivers (mean age 59.3 years). Questionnaires were completed during face-to-face interviews. LS was assessed via European single question (range 1-10), survivors' QoL via Newsqol (11 dimensions), and caregivers' QoL via Whoqol-bref (4 domains) (range 0-100). Data were analysed using multiple regression models. RESULTS: Two years after stroke onset, 44.7% of patients suffered from impaired sensory function, 35.1% from impaired motor function, and 31.9% from impaired memory function. Mean patient' LS was 7.1/10 (SD 1.9). It was higher in women (+12.4) and lower among unemployed socioeconomically active patients (-13.1, vs. retired people). Adjusted for sex, occupation, impaired motor and memory functions, LS positively correlated with scores of Newsqol feelings, sleep, emotion, cognition and pain dimensions (slopes 0.20 to 0.31), but did not correlate with those of caregivers' Whoqol-bref domains. Family caregiver' LS was 7.2 (SD 1.7). It was lower in those with patients suffering from impaired memory function (-12.8) as well as from feelings and emotion issues (slopes 0.22). It was associated with all caregivers' Whoqol-bref domains (physical health, psychological health, environment, and social relationships) (slopes 0.53 to 0.68). CONCLUSIONS: Two-year post-cerebrovascular disease patient' LS was associated with gender, occupation, and impaired memory function. It correlated with feelings, sleep, emotion, cognition, and pain issues. Family caregivers of patients with impaired memory function had lower LS. Family caregiver' LS correlated with dimensions of patients' feelings (less independent, yourself, life changed, depressed, useless, less control because of stroke) and emotion (get more emotional, fear of another stroke or to become dependent on others), and with their own QoL. LS, Newsqol, and Whoqol appeared to be appropriate tools. Our findings may be useful for policy makers in relation to family and medical-social issues of stroke home-based rehabilitation. [less ▲]

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See detailPatient-caregiver differences and dyad concordance towards psychosocial impacts of stroke
Bucki, Barbara UL; Baumann, Michèle UL

in Psychology & Health (2012), 27(suppl 1), 14

Are patient-caregiver dyads concordant when applying to stroke psychosocial impacts ? Methods: Two questionnaires administered two years poststroke in Luxemburg to 62 patients and their 62 natural ... [more ▼]

Are patient-caregiver dyads concordant when applying to stroke psychosocial impacts ? Methods: Two questionnaires administered two years poststroke in Luxemburg to 62 patients and their 62 natural caregivers include 15 common items assessing psychosocial impacts of stroke on both patients and caregivers. We (1) compare these impacts of stroke on patients and caregivers, and (2) use paired analysis of the concordance in responses within dyads. Findings: Patients feel ashamed, more often than caregivers imagine (11.3% vs. 3.2%*). Patients perceive less often than caregivers an upheaval in their couple (19.4% vs. 38.7%*), and preponderance of psychological difficulties (41.9% vs. 69.4%**). Loss of friends (90.7% convergent vs. 9.3% divergent*), social life (75% vs. 25%*) and family upheavals (76.8% vs. 23.2%*) are concordant subjects within dyads, contrary to feeling undervalued (62.8% vs. 37.2%; ns) and bonds’ strengthening (81.5% vs. 18.5%; ns). Discussion: Improving communication about feelings within patient-caregiver dyads may enhance their social capital as a health capability. [less ▲]

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See detailFailure of school project: the role of social, material, behavioural, physical and mental resources among multi-cultural students.
Chau, Kénora; Baumann, Michèle UL

in Psychosociological Work in Transcultural Contexts (2012)

Youth context require social-material-behavioral-mental resources to realize school achievement and their community participation, but they are lacking or altered for many adolescents. In an early ... [more ▼]

Youth context require social-material-behavioral-mental resources to realize school achievement and their community participation, but they are lacking or altered for many adolescents. In an early adolescence context, this study assessed the associations of these factors with repeating a school year, low school-performance, and quitting-school thinking at 16 years. Methods: Questionnaires were completed by 1559 middle-school adolescents from north-eastern France including: sex, age, family structure, parental education, income, and occupation, WHOQoL (quality of life for 4 domains physical, psychological, social relationship, and environment; <25th percentile value), last-30-day consumption of tobacco/alcohol/ cannabis/hard drug, regular sports/physical activities, victim of violence, sexual abuse, implication in violence, suicidal ideation, social supports, repeating a school year, low summer-term school-performance (<10/20), and quitting-school-thinking. Data were analyzed using logistic models which yield adjusted odds ratios (OR). Results: Repeating a school-year affected 14.7%, low school performance 8.2%, and quitting-school-thinking 3.9%. Repeating a school-year was significantly related to increasing age (OR 2.18), father being a manual worker (2.79 vs. manager/professional), clerk (2.36), craftsman/tradesman/firm-head (1.68), or unemployed (4.65), low WHOQoL-environment (2.29), tobacco use (1.70), and hard drug use (2.35). Low school-performance was linked with increasing age (OR 1.25), father being a manual worker (4.81 vs. manager/professional), clerk (3.30), craftsman/tradesman/firm-head (2.36), or unemployed (5.41), tobacco use (3.95), low WHOQoL-physical (2.27), and low WHOQoL-psychological (1.56). Quitting-school-thinking was associated with being male (OR 4.03), divorced/separated-parents (2.92 vs. intact family), not living with parent(s) (3.45), implication in violence (5.19), sexual abuse (4.11), and suicidal ideation (2.47). Conclusion: Socioeconomic living conditions and physical/mental difficulties have impressive impacts on failure of school project in youth. Public policy aiming at improving school achievement should focus on improvement of environment and living conditions, well-being, and monitoring physical/behavioral/mental difficulties as well as services appropriate to reduce school difficulties. This should promote community participation at adolescence and also at adulthood. [less ▲]

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See detailGender disparities of depressive mood and roles of family factors, school difficulty, violence, and unhealthy behaviours among adolescents
Chau, Kénora; Baumann, Michèle UL

in Social Justice and Democratization (2012)

Nowadays modern societies are to be more competitive and include more non-intact families and living difficulties due to employment and social deprivations. Adolescents may suffer from depressive mood (DM ... [more ▼]

Nowadays modern societies are to be more competitive and include more non-intact families and living difficulties due to employment and social deprivations. Adolescents may suffer from depressive mood (DM) which is common and multi-factorial. This study assessed, among boys and girls, the causal relationships between DM and parent education, nationality, occupation, income, divorce/separation, and death, repeating a school-year, lifetime alcohol/tobacco/cannabis/other drugs uses, victim of violence and sexual abuse, involvement in violence, and lack of social supports (family members/friends). Methods: 1559 middle-school adolescents from north-eastern France (mean age 13.5, SD 1.3) completed in class a questionnaire including DM (Kandel scale), factors studied, and their occurring/persisting period. Data were analyzed using Cox models taking into account risk factors which came before and persisted until DM occurring. Findings: Lifetime-DM affected 7.6% of boys and 19.1% of girls. Among girls factors with significant crude hazard ratios (HR) were: parent divorce/separation (1.57), insufficient income (1.95), repeating a school-year (1.95), victim of violence (2.99) or sexual abuse (4.96), and lack of supports (4.08 for score 1-2 and 7.74 for score 3+, vs. score 0) while tobacco use was close to significance (1.77). Taking all factors into account retained only repeating a school-year (adjusted HR 1.87), victim of violence (2.50) or sexual abuse (4.02), and lack of supports (3.83 and 7.28). Among boys, the significant factors were: hard-drug use (6.01), victim of violence (2.88), and lack of supports (2.27 and 4.78) while insufficient income (1.75), low parent education (1.60), and victim of sexual abuse (3.58) were close to significance. Full model retained only victim of violence (adjusted HR 2.29) and lack of supports (2.16 and 4.18). Conclusion: Taking chronology in consideration revealed strong gender disparities for DM and its associations with family characteristics, school difficulties, unhealthy behaviours, violence, and social supports that may be prevention targets. [less ▲]

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See detailPrevalence of Problem Drug Use and Injecting Drug Use in Luxembourg: A Longitudinal and Methodological Perspective.
Origer, Alain UL; Baumann, Michèle UL

in European Addiction Research (2012), 18

To estimate the prevalence of problem drug use (PDU) and injecting drug use (IDU) in Luxembourg and analyze trends between 1997 and 2009. To assess the feasibility of prevalence estimations based on drug ... [more ▼]

To estimate the prevalence of problem drug use (PDU) and injecting drug use (IDU) in Luxembourg and analyze trends between 1997 and 2009. To assess the feasibility of prevalence estimations based on drug use surveillance systems. Methods: Serial multi-method PDU/IDU prevalence estimations based upon capture-recapture, Poisson regression, multiplier and back-calculation methods. Comparative analysis of methods and assessment of their robustness to variations of external factors. Results: National PDU and IDU prevalence rates were estimated at 6.16/1,000 (95% CI 4.62/1,000 to 7.81/1,000) and 5.68/1,000 (95% CI 4.53/1,000 to 6.85/1,000) inhabitants aged 15–64 years, respectively. Absolute prevalence and prevalence rates of PDU increased between 1997 and 2000 and declined from 2003 onwards, whereas IDU absolute prevalence and prevalence rates witnessed an increasing trend between 1997 and 2007. Conclusions: Drug use surveillance systems can be valuable instruments for the estimation and trend analysis of drug misuse prevalence given multiple methods are applied that rely on serial and representative data from different sources and different settings, control multiple counts and build upon standardized and sustained data collection routines. The described institutional contact indicator revealed to be a useful tool in the context of PDU/IDU prevalence estimations and thus contributes to enhancing evidence-based drug policy planning. [less ▲]

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See detailReviews about university from freshmen in social sciences: what to remember for European policies!
Amara, Marie-Emmanuelle UL; Baumann, Michèle UL

in Higher Education in the 21st Century: Conceptualization and Performance (2012)

In Europe, traditional missions of university are to produce and transmit knowledge; higher education is free of any professional purpose. But in the early 21st century, the Lisbon and the Bologna process ... [more ▼]

In Europe, traditional missions of university are to produce and transmit knowledge; higher education is free of any professional purpose. But in the early 21st century, the Lisbon and the Bologna process set new goals to ensure on the one hand the competitiveness of European higher education on the global market and on the other hand the sustainable employability of graduates. The freshmen students must adapt to university environment, adopt new patterns, learn how to study at uni, etc. In the same time academic leaders focus on the need to quickly become employable, ie to be mobile, flexible, able to practice foreign languages, etc. This study which focuses on feelings of first year students in social sciences from 4 European universities was conducted in two steps: - The first objective was to explore their perceptions on university life and their approach of employability. Ten focus groups were held in France (5 groups, 39 participants) and in Luxembourg (5 groups, 51 participants). It appears that they consider their social student identity as a major determinant of their well-being at university. They are concerned about the reform of curricula in their respective countries and have difficulty making connections between training and the job market. - The second objective was to assess through an online questionnaire the scores of StUdent Social Identity (SUSI - 12 items) of Belgians (102), Luxembourgers (103) and Romanians (77), and their scores of Employability Skills acquired at University (ESU - 6 items). Our study revealed a highly significant correlation between SUSI and ESU (Spearmans rho = 0.377, p = 0.000). The mean scores (out of 100) are significantly different according to universities. If Luxembourgers get the best score SUSI (67.64 vs. Romanians 40.79, vs. Belgians 63.34), the score ESU is higher in Romania (74.94 vs. Luxembourg 71.26 vs. Belgians 63.03). These differences suggest that European universities can't develop upon a single model. The university policies must address the national context (historical and socioeconomic) and not overlook identity construction of students. As citizens and future leaders of our countries, they have to be heard and their points of view must be incorporated into thinking about missions of universities. [less ▲]

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