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8. Social Stigma and COVID-19 Vaccine Refusal in France.

Author

Peretti-Watel, Patrick, Fressard, Lisa, Giry, Benoît, Verger, Pierre, and Ward, Jeremy Keith

Subjects
*IMMUNIZATION, *CLUSTER analysis (Statistics), *RESEARCH funding, *VACCINE refusal, *STATISTICAL sampling, *MULTIPLE regression analysis, *COVID-19 vaccines, *PUBLIC opinion, *DESCRIPTIVE statistics, *CHI-squared test, *SURVEYS, *SOCIAL status, *RESEARCH, *STATISTICS, *CONFIDENCE intervals, *PRACTICAL politics, *COVID-19, *SOCIAL stigma, *VACCINATION status
Abstract

Context: In 2021, French health authorities strongly promoted vaccination against COVID-19. The authors assumed that refusing this vaccine became a stigma, and they investigated potential public stigma toward unvaccinated people among the French population. Methods: A representative sample of the French adult population (N = 2,015) completed an online questionnaire in September 2021. The authors focused on participants who were already vaccinated against COVID-19 or intended to get vaccinated (N = 1,742). A cluster analysis was used to obtain contrasted attitudinal profiles, and the authors investigated associated factors with logistic regressions. Findings: Regarding attitudes toward unvaccinated people, a majority of respondents supported several pejorative statements, and a significant minority also endorsed social rejection attitudes. The authors found four contrasting attitudinal profiles: moral condemnation only (32% of respondents), full stigma (26%), no stigma (26%), and stigma rejection (16%). Early vaccination, civic motives for it, faith in science, rejection of political extremes, and being aged 65 or older were the main factors associated with stigmatizing attitudes toward unvaccinated people. Conclusions: The authors found some evidence of stigmatization toward unvaccinated people, but further research is needed, especially to investigate perceived stigmatization among them. The authors discuss their results with reference to the concept of "folk devils" and from a public health perspective. [ABSTRACT FROM AUTHOR]

Published
2024
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9. When the patient is making the (wrong?) diagnosis: a biographical approach to patients consulting for presumed Lyme disease.

Author

Lutaud, Romain, Verger, Pierre, Peretti-Watel, Patrick, and Eldin, Carole

Abstract

Background: Media coverage of Lyme disease (LD) has led to an increase in consultations for presumed LD in Europe. However, LD is confirmed in only 10%-20% of patients, with a significant number remaining in a diagnostic dead-end.Objectives: To reach a deeper understanding of how patients themselves contribute to the diagnostic process. To describe the genesis of the LD hypothesis in care pathways.Methods: In 2019, 30 patients from a prospective cohort consulting in the infectious diseases department at University Hospital in Marseille for presumed LD were recruited for semistructured interviews. The inclusion criteria were: suffering from subjective symptoms for 6 months, no clinical or paraclinical argument suggesting current LD. The patients' medical trajectories were collected using a biographical approach.Results: The diagnosis of LD was primarily triggered by identification with personal testimonies found on the Internet. Most of patients were leading their own diagnostic investigation. The majority of participants were convinced they had LD despite the lack of medical evidence and the scepticism of their referring GP.Conclusion: GPs should first systematically explore patients' aetiologic representations in order to improve adherence to the diagnosis especially in the management of medically unexplained symptoms. Long COVID-19 syndrome challenge offers an opportunity to promote active patient involvement in diagnosis. [ABSTRACT FROM AUTHOR]

Published
2024
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11. COVID-19 patient experiences in prehospital pathways: a processual approach using life-events calendar method and state sequence analysis shows detrimental delays.

Author

Lutaud, Romain, Cortaredona, Sebastien, Delorme, Lea, Peretti-watel, Patrick, Mirouse, Juliette, Borg, Manon, Cattaneo, Lucie, Thery, Didier, Gentile, Gaetan, Pradier, Christian, Irit, Touitou, Brouqui, Philippe, Tardieu, Sophie, Carles, Michel, and Gentile, Stéphanie

Subjects
SEQUENCE analysis, COVID-19, INTENSIVE care units, COVID-19 pandemic, COMMUNICABLE diseases
Abstract

Objectives: To our best knowledge, no study in France has comprehensively investigated the prehospital history of patients admitted for severe cases of COVID-19. 'Patients' voice is an excellent means to capture data on primary care pathways. We aimed to identify clusters of COVID-19 hospitalised patients with similar prehospital symptom sequences, and to test whether these clusters were associated with a higher risk of poor clinical outcomes. Design: Cross-sectional online survey using life-event calendars. Setting: All patients hospitalised for COVID-19 between September 2020 and May 2021 in the Infectious Disease Departments in Nice and in Marseilles in France. Participants: 312 patients responded to the survey. Main outcome measures: From the day of symptom onset to the day of hospitalisation, we defined a symptom sequence as the time-ordered vector of the successive symptom grades (grade 1, grade 2, grade 3). State sequence analysis with optimal matching was used to identify clusters of patients with similar symptom sequences. Multivariate logistic regressions were performed to test whether these clusters were associated with admission to intensive care unit (ICU) and COVID-19 sequelae after hospitalisation. Results: Three clusters of symptom sequences were identified among 312 complete prehospital pathways. A specific group of patients (29%) experienced extended symptoms of severe COVID-19, persisting for an average duration of 7.5 days before hospitalisation. This group had a significantly higher probability of being admitted to ICU (adjusted OR 2.01). They were less likely to know a loved one who was a healthcare worker, and more likely to have a lower level of education. Similarly, this group of patients, who were more likely to have previously visited the emergency room without exhibiting severe symptoms at that time, may have been inclined to postpone reassessment when their health worsened. Their relatives played a decisive role in their hospitalisation. [ABSTRACT FROM AUTHOR]

Published
2024
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15. Attitudes about COVID-19 Lockdown among General Population, France, March 2020

Author

Peretti-Watel, Patrick, Seror, Valerie, Cortaredona, Sebastien, Launay, Odile, Raude, Jocelyn, Verger, Pierre, Beck, Francois, Legleye, Stephane, L'Haridon, Olivier, and Ward, Jeremy

Subjects
Epidemics -- Control -- Distribution -- France, Company distribution practices, Health
Abstract

During the spring of 2020, because of the coronavirus disease (COVID-19) pandemic, >3 billion persons worldwide lived under lockdown, and many of them were probably angry, uncertain, and distrustful of [...]

Published
2021
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22. Navigating through uncertainty and controversy: lessons from the COVID-19 crisis. A crosssectional survey among French general practitioners, at the epicenter of a global scientific controversy in Marseilles (part II)

Author

Lutaud, Romain, Ward, Jeremy, Dévigne, Paul, Scronias, Dimitri, Gentile, Stephanie, Thery, Didier, Gentile, Gaetan, Peretti-Watel, Patrick, Verger, Pierre, Anthropologie bio-culturelle, Droit, Ethique et Santé (ADES), and Aix Marseille Université (AMU)-EFS ALPES MEDITERRANEE-Centre National de la Recherche Scientifique (CNRS)

Subjects
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
Published
2023

23. COVID-19 patient experiences in pre-hospital pathways (article 1): a processual approach using the life-events calendar method highlights diagnostic delays and healthcare renunciation

Author

Lutaud, Romain, Mirouse, Juliette, Borg, Manon, Cattaneo, Lucie, Constance, Jean, Pradier, Christian, Cortaredona, Sebastien, Irit, Touitou, Peretti-Watel, Patrick, Anthropologie bio-culturelle, Droit, Ethique et Santé (ADES), and Aix Marseille Université (AMU)-EFS ALPES MEDITERRANEE-Centre National de la Recherche Scientifique (CNRS)

Subjects
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, [SHS]Humanities and Social Sciences
Published
2023

24. Navigating through uncertainty and controversy: lessons from the COVID-19 crisis. A longitudinal qualitative study among French general practitioners at the epicenter of a scientific controversy in Marseilles (I)

Author

Lutaud, R., Ward, Jeremy K., Mathieu, Beglimini, Duez, Marie, Gentile, Stéphanie, Théry, Didier, Gentile, Gaetan, Peretti-Watel, Patrick, Verger, Pierre, Anthropologie bio-culturelle, Droit, Ethique et Santé (ADES), Aix Marseille Université (AMU)-EFS ALPES MEDITERRANEE-Centre National de la Recherche Scientifique (CNRS), CERMES3 - Centre de recherche Médecine, sciences, santé, santé mentale, société (CERMES3 - UMR 8211 / U988 / UM 7), and École des hautes études en sciences sociales (EHESS)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Paris Cité (UPCité)

Subjects
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
Published
2023

32. Transitions in the labor market after cancer: a comparison of self-employed workers and salaried staff

Author

Tison, Aurélia, Sagaon-Teyssier, Luis, Sansonetti, Caroline, Blatier, Jean-François, Paraponaris, Alain, Aparicio, Thomas, Babin, Emmanuel, Beck, François, Benamouzig, Robert, Bendiane, Marc-Karim, Béranger, Cyril, Bessette, Dominique, Bouhnik, Anne-Déborah, Bousquet, Philippe-Jean, Cabanel-Gicquel, Marie-Claude, Cavallini-Lambert, Marianick, Chantry, Michèle, Chauvet, Claire, Cortaredona, Sébastien, Danguy, Véronique, Dorval, Michel, Herbet, Jean-Baptiste, Huiart, Laetitia, Joutard, Xavier, Le Corroller-Soriano, Anne-Gaëlle, Mancini, Julien, Morere, Jean-François, Nabi, Herman, Paraponaris, Alain, Peretti-Watel, Patrick, Préau, Marie, Protière, Christel, Retornaz, Frédérique, Rey, Dominique, Riandey, Benoit, Sagaon-Teyssier, Luis, Tison, Aurélia, Séror, Valérie, Singh-Manoux, Archana, Thiéblemont, Catherine, Verger, Pierre, and the VICAN 2 group

Published
2016
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38. Huis-clos avec un virus. Comment les Français ont-ils vécu le premier confinement ?

Author

Peretti-Watel, Patrick, Grp, Coconel, Raude, Jocelyn, École des Hautes Études en Santé Publique [EHESP] (EHESP), The COCONEL Group, Centre de recherche en économie et management (CREM), Université de Caen Normandie (UNICAEN), Normandie Université (NU)-Normandie Université (NU)-Université de Rennes (UR)-Centre National de la Recherche Scientifique (CNRS)-Université de Caen Normandie (UNICAEN), Normandie Université (NU)-Normandie Université (NU)-Université de Rennes (UR)-Centre National de la Recherche Scientifique (CNRS)-Centre de recherche en épidémiologie et santé des populations (CESP), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Université Paris-Sud - Paris 11 (UP11)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Université Paris-Sud - Paris 11 (UP11)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-École des Hautes Études en Santé Publique [EHESP] (EHESP)-Vecteurs - Infections tropicales et méditerranéennes (VITROME), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut de Recherche Biomédicale des Armées [Brétigny-sur-Orge] (IRBA)-Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut de Recherche Biomédicale des Armées [Brétigny-sur-Orge] (IRBA)-Groupe d'Etude des Méthodes de l'Analyse Sociologique de la Sorbonne (GEMASS), and Fondation Maison des sciences de l'homme (FMSH)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS)-Fondation Maison des sciences de l'homme (FMSH)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS)- Southeastern Health Regional Observatory (ORS Paca)-Inserm CIC 1417, Université Paris, Faculté de Médecine Paris Descartes, AP-HP, Hôpital Cochin

Subjects
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
Abstract

International audience; Comment les Français ont-ils vécu le premier confinement ? Quelle place le virus a-t-il pris dans leur quotidien ? Quel a été l’impact sur leur santé mentale ? Comment ont-ils perçu la gestion de la crise, du confinement au futur vaccin ? Ont-ils perdu confiance ?Du 16 mars au 11 mai 2020, pour ralentir l’épidémie de Covid-19, les Français sont confinés chez eux. Cette parenthèse sidérante et inédite aurait pu survenir plus tôt, tant cette crise ressemble à d’autres… Pourtant cette cris...

Published
2022

39. Cannabis Use, Beliefs about 'Hard Drugs' and 'Soft Drugs', and the Ineffectiveness of Anti-Drug Interventions in French High-Schools

Author

Peretti-Watel, Patrick

Abstract

Objective: To study drug-related beliefs among adolescents, and specifically their propensity to distinguish "soft drugs" from "hard drugs"; to investigate factors associated with such a propensity as well as its relationship with cannabis use. Design & setting: A cross-sectional self-administered survey conducted among a random sample of 5,812 French high-school pupils. Method: A score was designed for assessing respondents' propensity to distinguish "soft" from "hard" drugs. The correlates were studied, and then used to model various levels of cannabis use. Separate analyses were performed for boys and girls. Results: The propensity to distinguish "soft drugs" from "hard drugs" was tightly associated with cannabis use. For both genders, exposure to preventive information during a course, or through posters or booklets had no impact on such a propensity, and indeed attending a conference on drugs reinforced this propensity among boys. For both genders, this propensity was also strongly associated with cannabis use, and exposure to anti-drug information through a specific lecture was positively associated with cannabis experimentation. Conclusion: The effectiveness of preventive information in French high schools is highly questionable, especially when it endorses an unbalanced "anti-drug" discourse that may even boomerang. As cannabis use and related beliefs are probably built together and reinforce each other, one should neither overestimate the impact of beliefs on behaviours, nor underestimate users' adherence to such beliefs. (Contains 3 tables and 2 figures.)

Published
2005
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47. Covid‐19 health crisis and lockdown associated with high level of sleep complaints and hypnotic uptake at the population level

Author

Beck, Francois, Léger, Damien, Fressard, Lisa, Peretti‐Watel, Patrick, Verger, Pierre, Seror, Valérie, Cortaredona, Sébastien, Launay, Odile, Raude, Jocelyn, Legleye, Stéphane, l’Haridon, Olivier, Ward, Jeremy, Centre de recherche en épidémiologie et santé des populations (CESP), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay, Sommeil-Vigilance-Fatigue et Santé Publique (VIFASOM (URP_7330)), Institut de Recherche Biomédicale des Armées (IRBA)-Université de Paris (UP), Vecteurs - Infections tropicales et méditerranéennes (VITROME), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut de Recherche Biomédicale des Armées (IRBA), Observatoire régional de la santé Provence-Alpes-Côte d'Azur [Marseille] (ORS PACA), CIC Cochin Pasteur (CIC 1417), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université de Paris (UP)-Groupe hospitalier Broca-Hôpital Cochin [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôtel-Dieu-Institut National de la Santé et de la Recherche Médicale (INSERM), École des Hautes Études en Santé Publique [EHESP] (EHESP), Centre de recherche en économie et management (CREM), Centre National de la Recherche Scientifique (CNRS)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Caen Normandie (UNICAEN), Normandie Université (NU)-Normandie Université (NU), Groupe d'Etude des Méthodes de l'Analyse Sociologique de la Sorbonne (GEMASS), Fondation Maison des sciences de l'homme (FMSH)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), French National Agency for Research (ANR) French the National Research Institute for Sustainable Development (IRD) France Fundation (Fondation de France), Institut de Recherche Biomédicale des Armées [Brétigny-sur-Orge] (IRBA)-Université Paris Cité (UPCité), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut de Recherche Biomédicale des Armées [Brétigny-sur-Orge] (IRBA), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Cochin [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôtel-Dieu-Groupe hospitalier Broca-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité), Université de Caen Normandie (UNICAEN), Normandie Université (NU)-Normandie Université (NU)-Université de Rennes (UR)-Centre National de la Recherche Scientifique (CNRS), ANR-20-COVI-0035,COCONEL,COronavirus et CONfinement : Enquête Longitudinale(2020), COMBE, Isabelle, and Institut de Recherche Biomédicale des Armées (IRBA)-Université Paris Cité (UPCité)

Subjects
Male, Prevalence, Review, hypnotics, Hypnotic, Behavioral Neuroscience, 0302 clinical medicine, [SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases, Epidemiology, Pandemic, Medicine, Hypnotics and Sedatives, Young adult, [SDV.MP.VIR] Life Sciences [q-bio]/Microbiology and Parasitology/Virology, [SDV.MHEP.ME] Life Sciences [q-bio]/Human health and pathology/Emerging diseases, education.field_of_study, [SDV.MHEP.ME]Life Sciences [q-bio]/Human health and pathology/Emerging diseases, General Medicine, Middle Aged, [SDV.MHEP.CSC] Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system, 3. Good health, Mental Health, Pill, [SDV.MP.VIR]Life Sciences [q-bio]/Microbiology and Parasitology/Virology, [SDV.MHEP.MI] Life Sciences [q-bio]/Human health and pathology/Infectious diseases, epidemiology, Female, France, [SDV.MP.PAR] Life Sciences [q-bio]/Microbiology and Parasitology/Parasitology, young adults, Adult, Sleep Wake Disorders, medicine.medical_specialty, Adolescent, medicine.drug_class, Cognitive Neuroscience, Population, Physical Distancing, 03 medical and health sciences, Young Adult, [SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system, COVID‐19, Humans, [SDV.MP.PAR]Life Sciences [q-bio]/Microbiology and Parasitology/Parasitology, sleep, education, Pandemics, Aged, sleep problems, business.industry, Public health, COVID-19, Health Surveys, [SDV.MP.BAC]Life Sciences [q-bio]/Microbiology and Parasitology/Bacteriology, Cross-Sectional Studies, 030228 respiratory system, Sleep Aids, Pharmaceutical, Self Report, [SDV.MP.BAC] Life Sciences [q-bio]/Microbiology and Parasitology/Bacteriology, business, 030217 neurology & neurosurgery, Demography
Abstract

International audience; The Covid-19 pandemic has disrupted the habits of billions of people around the world. Lockdown at home is mandatory, forcing many families, each member with their own sleep–wake habits, to spend 24 hr a day together, continuously. Sleep is crucial for maintaining immune systems and contributes deeply to physical and psychological health. To assess sleep problems and use of sleeping pills, we conducted a cross-sectional study of a representative sample of the general population in France. The self-reported sleep complaint items, which covered the previous 8 days, have been used in the 2017 French Health Barometer Survey, a cross-sectional survey on various public health issues. After 2 weeks of confinement, 74% of the participants (1,005 subjects) reported trouble sleeping compared with a prevalence rate of 49% in the last general population survey. Women reported more sleeping problems than men, with greater frequency or severity: 31% vs. 16%. Unusually, young people (aged 18–34 years) reported sleep problems slightly more frequently than elderly people (79% vs. 72% among those aged 35 or older), with 60% of the younger group reporting that these problems increased with confinement (vs. 51% of their elders). Finally, 16% of participants reported they had taken sleeping pills during the last 12 months, and 41% of them reported using these drugs since the lockdown started. These results suggest that the COVID crisis is associated with severe sleep disorders among the French population, especially young people.

Published
2021

48. Psychological support in general population during the COVID-19 lockdown in France: Needs and access

Author

Alleaume, Caroline, Verger, Pierre, Peretti-Watel, Patrick, Seror, Valérie, Cortaredona, Sébastien, Launay, Odile, Raude, Jocelyn, Watel, Pierre Verger, Beck, François, Legleye, Stéphane, L’haridon, Olivier, Ward, Jeremy K, Observatoire régional de la santé Provence-Alpes-Côte d'Azur [Marseille] (ORS PACA), Vecteurs - Infections tropicales et méditerranéennes (VITROME), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut de Recherche Biomédicale des Armées [Brétigny-sur-Orge] (IRBA), CIC Cochin Pasteur (CIC 1417), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Cochin [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôtel-Dieu-Groupe hospitalier Broca-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité), F-CRIN, Innovative clinical research network in vaccinology (I-REIVAC), École des Hautes Études en Santé Publique [EHESP] (EHESP), Département des sciences humaines et sociales (SHS), Centre de recherche en épidémiologie et santé des populations (CESP), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay, Centre de recherche en économie et management (CREM), Université de Caen Normandie (UNICAEN), Normandie Université (NU)-Normandie Université (NU)-Université de Rennes (UR)-Centre National de la Recherche Scientifique (CNRS), ANR-20-COVI-0035,COCONEL,COronavirus et CONfinement : Enquête Longitudinale(2020), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut de Recherche Biomédicale des Armées (IRBA), Centre National de la Recherche Scientifique (CNRS)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Université de Caen Normandie (UNICAEN), Normandie Université (NU)-Normandie Université (NU), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université de Paris (UP)-Groupe hospitalier Broca-Hôpital Cochin [AP-HP], and Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôtel-Dieu-Institut National de la Santé et de la Recherche Médicale (INSERM)

Subjects
Male, Viral Diseases, Cross-sectional study, [SDV]Life Sciences [q-bio], Social Sciences, Disease, Surveys, Anxiety, Geographical locations, Health Services Accessibility, [SHS]Humanities and Social Sciences, 0302 clinical medicine, Medical Conditions, Pandemic, Health care, Medicine and Health Sciences, Psychology, 030212 general & internal medicine, Medical Personnel, Young adult, Depression (differential diagnoses), Aged, 80 and over, education.field_of_study, Multidisciplinary, Depression, Age Factors, Middle Aged, Anxiety Disorders, 3. Good health, Europe, Clinical Psychology, Professions, Infectious Diseases, Research Design, Quarantine, Medicine, Female, France, medicine.symptom, Research Article, Adult, Mental Health Services, medicine.medical_specialty, Social Psychology, Adolescent, Science, Population, Neuropsychiatric Disorders, Neuroses, Research and Analysis Methods, 03 medical and health sciences, Young Adult, Mental Health and Psychiatry, Lockdown, medicine, Humans, European Union, education, Psychiatry, Aged, Health Services Needs and Demand, Survey Research, business.industry, Mood Disorders, Cognitive Psychology, Biology and Life Sciences, COVID-19, Covid 19, Cross-Sectional Studies, Communicable Disease Control, Cognitive Science, Population Groupings, People and places, business, 030217 neurology & neurosurgery, Stress, Psychological, Psychological support, Neuroscience
Abstract

Introduction With France one of the European countries most strongly affected by COVID-19 in the spring of 2020, French authorities imposed a nationwide lockdown for 8 weeks (March 17–May 10). This study explored the perception of the adult population about the need for—and access to—psychological support from health care professionals (HCP) in response to concerns about the psychological needs during lockdown. Material and method This online cross-sectional survey of a representative sample of the adult general population of mainland France (N = 2,003) took place during the last four days of the French lockdown (May 7–10, 2020). Results One in eight respondents (12.2%) perceived a need for psychological support from an HCP during the lockdown; most had symptoms of depression and/or anxiety of at least moderate intensity. Only a third (29.8%, 3.6% of the entire sample) actually obtained this support. Factors associated with this perceived need included: age under 35, economic difficulties due to lockdown, pre-lockdown use of psychological support, infection with COVID-19, serious worries about becoming infected, and heavy media use to obtain information about the disease. Among those who perceived a need for psychological support, the elderly were the most likely not to consult an HCP. People aged 35–64, those with high income, and those seriously worried about developing COVID-19 were the most likely to forgo seeking access to care because of their fear of infection by the coronavirus-2019. Conclusion The perceived need for psychological support from an HCP and access to it appeared to be strongly associated with COVID-19 exposure factor. More research about this association is needed to improve the health authorities’ understanding of the population’s psychological needs in this situation and to enhance HCPs’ abilities to meet them. In particular, further research of its specific impact on youth is necessary.

Published
2021

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