The Experts below are selected from a list of 6510 Experts worldwide ranked by ideXlab platform
Bruno Spire - One of the best experts on this subject based on the ideXlab platform.
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Renunciation of health care by people living with HIV in France is still associated with discrimination in health-care services and social insecurity - results from the ANRS-VESPA2 survey
Antiviral Therapy, 2018Co-Authors: Marion Fiorentino, Marie Suzan-monti, Antoine Vilotitch, Luis Sagaon-teyssier, Rosemary Dray-spira, France Lert, Bruno SpireAbstract:Background: This study aimed to estimate the frequency of Renunciation of health care among people living with HIV (PLHIV) in France, including health care unrelated to HIV, and to characterize associated socioeconomic and psychosocial risk factors. Methods: The cross-sectional ANRS-VESPA2 survey was conducted on adult PLHIV attending French hospitals in 2011. Correlates of health-care Renunciation in the 12 months before the survey were assessed through logistic modelling. Results: Among the 3,020 PLHIV included in the sample, 17% declared health-care Renunciation during the preceding year and 42% had a high level of social insecurity. During the previous 2 years, 8% and 11%, respectively, were discriminated against by medical staff and family. In multivariate analysis, positive associations were found between health-care Renunciation and a high level of social insecurity (adjusted odds ratio [95% CI] 3.44 [2.54, 4.65]; P
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Renunciation of health care by people living with hiv in france is still associated with discrimination in health care services and social insecurity results from the anrs vespa2 survey
Antiviral Therapy, 2018Co-Authors: Marion Fiorentino, Antoine Vilotitch, Marie Suzanmonti, Luis Sagaonteyssier, Rosemary Drayspira, Bruno SpireAbstract:BACKGROUND This study aimed to estimate the frequency of Renunciation of health care among people living with HIV (PLHIV) in France, including health care unrelated to HIV, and to characterize associated socioeconomic and psychosocial risk factors. METHODS The cross-sectional ANRS-VESPA2 survey was conducted on adult PLHIV attending French hospitals in 2011. Correlates of health-care Renunciation in the 12 months before the survey were assessed through logistic modelling. RESULTS Among the 3,020 PLHIV included in the sample, 17% declared health-care Renunciation during the preceding year and 42% had a high level of social insecurity. During the previous 2 years, 8% and 11%, respectively, were discriminated against by medical staff and family. In multivariate analysis, positive associations were found between health-care Renunciation and a high level of social insecurity (adjusted odds ratio [95% CI] 3.44 [2.54, 4.65]; P<0.001), having children (1.52 [1.10, 2.10]; P=0.01), smoking tobacco (1.50 [1.13, 1.98]; P=0.01), discrimination by medical staff (1.53 [1.22, 2.29]; P=0.04) or family (2.48 [1.75, 3.52]; P<0.001), major depressive episodes (1.46 [1.02, 2.09]; P=0.04), past or current drug injection (1.54 [1.03, 2.30]; P=0.04), and younger age (0.98 [0.97, 1.00]; P=0.03). Health-care Renunciation was also negatively associated with HIV diagnosis after 1996 (1996-2002: 0.64 [0.46, 0.90]; P=0.01; ≥2003: 0.56 [0.40, 0.77]; P=0.001). CONCLUSIONS In spite of universal health insurance in France, barrier- and refusal-Renunciation of health care by PLHIV remain frequent. Poor psychosocial outcomes and discrimination by families and health-care providers compound the negative effect of social insecurity on health-care seeking in this population. To ensure optimal medical care, strategies are needed to prevent discrimination against PLHIV in health-care services. Special attention must be provided to patients experiencing social insecurity.
Igor Weinberg - One of the best experts on this subject based on the ideXlab platform.
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The ultimate resignation: suicide and search activity.
Neuroscience and biobehavioral reviews, 2000Co-Authors: Igor WeinbergAbstract:This paper presents an integrative approach to suicidal behavior in terms of search activity concept. Search activity concept displays a broad and holistic approach to behavior, adaptation to environment, body resistance, brain amine metabolism, and REM-sleep functions. Search activity is defined as activity that is oriented to change the situation (or at least the subject's attitude to it) in the absence of a precise prediction of the outcome of such activity, but taking into consideration outcomes at all previous stages of activity. According to the proposed hypothesis, Renunciation of search (a state opposed to search activity) leads to a feeling of helplessness, problem-solution deficits, inefficient coping, dreams that represent Renunciation of search, and a drop in the activity of amines. All these factors further exacerbate the state of Renunciation of search and elevate suicidal risk. In addition, the remnants of search activity are misdirected to self-defeating behaviors that increase mental pain and contribute to Renunciation of search. This hypothesis integrates findings from a number of fields of study of suicidal behavior, resolves some paradoxes, suggests new lines of research, and raises suggestions for assessment and treatment of suicidal behavior.
Marion Fiorentino - One of the best experts on this subject based on the ideXlab platform.
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Renunciation of health care by people living with HIV in France is still associated with discrimination in health-care services and social insecurity - results from the ANRS-VESPA2 survey
Antiviral Therapy, 2018Co-Authors: Marion Fiorentino, Marie Suzan-monti, Antoine Vilotitch, Luis Sagaon-teyssier, Rosemary Dray-spira, France Lert, Bruno SpireAbstract:Background: This study aimed to estimate the frequency of Renunciation of health care among people living with HIV (PLHIV) in France, including health care unrelated to HIV, and to characterize associated socioeconomic and psychosocial risk factors. Methods: The cross-sectional ANRS-VESPA2 survey was conducted on adult PLHIV attending French hospitals in 2011. Correlates of health-care Renunciation in the 12 months before the survey were assessed through logistic modelling. Results: Among the 3,020 PLHIV included in the sample, 17% declared health-care Renunciation during the preceding year and 42% had a high level of social insecurity. During the previous 2 years, 8% and 11%, respectively, were discriminated against by medical staff and family. In multivariate analysis, positive associations were found between health-care Renunciation and a high level of social insecurity (adjusted odds ratio [95% CI] 3.44 [2.54, 4.65]; P
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Renunciation of health care by people living with hiv in france is still associated with discrimination in health care services and social insecurity results from the anrs vespa2 survey
Antiviral Therapy, 2018Co-Authors: Marion Fiorentino, Antoine Vilotitch, Marie Suzanmonti, Luis Sagaonteyssier, Rosemary Drayspira, Bruno SpireAbstract:BACKGROUND This study aimed to estimate the frequency of Renunciation of health care among people living with HIV (PLHIV) in France, including health care unrelated to HIV, and to characterize associated socioeconomic and psychosocial risk factors. METHODS The cross-sectional ANRS-VESPA2 survey was conducted on adult PLHIV attending French hospitals in 2011. Correlates of health-care Renunciation in the 12 months before the survey were assessed through logistic modelling. RESULTS Among the 3,020 PLHIV included in the sample, 17% declared health-care Renunciation during the preceding year and 42% had a high level of social insecurity. During the previous 2 years, 8% and 11%, respectively, were discriminated against by medical staff and family. In multivariate analysis, positive associations were found between health-care Renunciation and a high level of social insecurity (adjusted odds ratio [95% CI] 3.44 [2.54, 4.65]; P<0.001), having children (1.52 [1.10, 2.10]; P=0.01), smoking tobacco (1.50 [1.13, 1.98]; P=0.01), discrimination by medical staff (1.53 [1.22, 2.29]; P=0.04) or family (2.48 [1.75, 3.52]; P<0.001), major depressive episodes (1.46 [1.02, 2.09]; P=0.04), past or current drug injection (1.54 [1.03, 2.30]; P=0.04), and younger age (0.98 [0.97, 1.00]; P=0.03). Health-care Renunciation was also negatively associated with HIV diagnosis after 1996 (1996-2002: 0.64 [0.46, 0.90]; P=0.01; ≥2003: 0.56 [0.40, 0.77]; P=0.001). CONCLUSIONS In spite of universal health insurance in France, barrier- and refusal-Renunciation of health care by PLHIV remain frequent. Poor psychosocial outcomes and discrimination by families and health-care providers compound the negative effect of social insecurity on health-care seeking in this population. To ensure optimal medical care, strategies are needed to prevent discrimination against PLHIV in health-care services. Special attention must be provided to patients experiencing social insecurity.
Rosemary Drayspira - One of the best experts on this subject based on the ideXlab platform.
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Renunciation of health care by people living with hiv in france is still associated with discrimination in health care services and social insecurity results from the anrs vespa2 survey
Antiviral Therapy, 2018Co-Authors: Marion Fiorentino, Antoine Vilotitch, Marie Suzanmonti, Luis Sagaonteyssier, Rosemary Drayspira, Bruno SpireAbstract:BACKGROUND This study aimed to estimate the frequency of Renunciation of health care among people living with HIV (PLHIV) in France, including health care unrelated to HIV, and to characterize associated socioeconomic and psychosocial risk factors. METHODS The cross-sectional ANRS-VESPA2 survey was conducted on adult PLHIV attending French hospitals in 2011. Correlates of health-care Renunciation in the 12 months before the survey were assessed through logistic modelling. RESULTS Among the 3,020 PLHIV included in the sample, 17% declared health-care Renunciation during the preceding year and 42% had a high level of social insecurity. During the previous 2 years, 8% and 11%, respectively, were discriminated against by medical staff and family. In multivariate analysis, positive associations were found between health-care Renunciation and a high level of social insecurity (adjusted odds ratio [95% CI] 3.44 [2.54, 4.65]; P<0.001), having children (1.52 [1.10, 2.10]; P=0.01), smoking tobacco (1.50 [1.13, 1.98]; P=0.01), discrimination by medical staff (1.53 [1.22, 2.29]; P=0.04) or family (2.48 [1.75, 3.52]; P<0.001), major depressive episodes (1.46 [1.02, 2.09]; P=0.04), past or current drug injection (1.54 [1.03, 2.30]; P=0.04), and younger age (0.98 [0.97, 1.00]; P=0.03). Health-care Renunciation was also negatively associated with HIV diagnosis after 1996 (1996-2002: 0.64 [0.46, 0.90]; P=0.01; ≥2003: 0.56 [0.40, 0.77]; P=0.001). CONCLUSIONS In spite of universal health insurance in France, barrier- and refusal-Renunciation of health care by PLHIV remain frequent. Poor psychosocial outcomes and discrimination by families and health-care providers compound the negative effect of social insecurity on health-care seeking in this population. To ensure optimal medical care, strategies are needed to prevent discrimination against PLHIV in health-care services. Special attention must be provided to patients experiencing social insecurity.
Antoine Vilotitch - One of the best experts on this subject based on the ideXlab platform.
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Renunciation of health care by people living with HIV in France is still associated with discrimination in health-care services and social insecurity - results from the ANRS-VESPA2 survey
Antiviral Therapy, 2018Co-Authors: Marion Fiorentino, Marie Suzan-monti, Antoine Vilotitch, Luis Sagaon-teyssier, Rosemary Dray-spira, France Lert, Bruno SpireAbstract:Background: This study aimed to estimate the frequency of Renunciation of health care among people living with HIV (PLHIV) in France, including health care unrelated to HIV, and to characterize associated socioeconomic and psychosocial risk factors. Methods: The cross-sectional ANRS-VESPA2 survey was conducted on adult PLHIV attending French hospitals in 2011. Correlates of health-care Renunciation in the 12 months before the survey were assessed through logistic modelling. Results: Among the 3,020 PLHIV included in the sample, 17% declared health-care Renunciation during the preceding year and 42% had a high level of social insecurity. During the previous 2 years, 8% and 11%, respectively, were discriminated against by medical staff and family. In multivariate analysis, positive associations were found between health-care Renunciation and a high level of social insecurity (adjusted odds ratio [95% CI] 3.44 [2.54, 4.65]; P
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Renunciation of health care by people living with hiv in france is still associated with discrimination in health care services and social insecurity results from the anrs vespa2 survey
Antiviral Therapy, 2018Co-Authors: Marion Fiorentino, Antoine Vilotitch, Marie Suzanmonti, Luis Sagaonteyssier, Rosemary Drayspira, Bruno SpireAbstract:BACKGROUND This study aimed to estimate the frequency of Renunciation of health care among people living with HIV (PLHIV) in France, including health care unrelated to HIV, and to characterize associated socioeconomic and psychosocial risk factors. METHODS The cross-sectional ANRS-VESPA2 survey was conducted on adult PLHIV attending French hospitals in 2011. Correlates of health-care Renunciation in the 12 months before the survey were assessed through logistic modelling. RESULTS Among the 3,020 PLHIV included in the sample, 17% declared health-care Renunciation during the preceding year and 42% had a high level of social insecurity. During the previous 2 years, 8% and 11%, respectively, were discriminated against by medical staff and family. In multivariate analysis, positive associations were found between health-care Renunciation and a high level of social insecurity (adjusted odds ratio [95% CI] 3.44 [2.54, 4.65]; P<0.001), having children (1.52 [1.10, 2.10]; P=0.01), smoking tobacco (1.50 [1.13, 1.98]; P=0.01), discrimination by medical staff (1.53 [1.22, 2.29]; P=0.04) or family (2.48 [1.75, 3.52]; P<0.001), major depressive episodes (1.46 [1.02, 2.09]; P=0.04), past or current drug injection (1.54 [1.03, 2.30]; P=0.04), and younger age (0.98 [0.97, 1.00]; P=0.03). Health-care Renunciation was also negatively associated with HIV diagnosis after 1996 (1996-2002: 0.64 [0.46, 0.90]; P=0.01; ≥2003: 0.56 [0.40, 0.77]; P=0.001). CONCLUSIONS In spite of universal health insurance in France, barrier- and refusal-Renunciation of health care by PLHIV remain frequent. Poor psychosocial outcomes and discrimination by families and health-care providers compound the negative effect of social insecurity on health-care seeking in this population. To ensure optimal medical care, strategies are needed to prevent discrimination against PLHIV in health-care services. Special attention must be provided to patients experiencing social insecurity.
