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M H Bouvier-Colle

Publications and source records attributed to M H Bouvier-Colle.

69 records · Page 4Linked to original sources
PubMed1989

Sudden infant death and immunization: an extensive epidemiological approach to the problem in France--winter 1986.

In March 1986 five sudden infant deaths were reported, following the diphtheria-tetanus toxoids-pertussis and inactivated poliomyelitis virus (DTP-IPV) immunization of the infants concerned. An epidemiological study was carried out in order to investigate the possibility of a relationship between this immunization and sudden infant death syndrome (SIDS). A detailed examination of the five cases had been carried out by a doctor. An exhaustive survey of all postneonatal deaths occurring between January and March 1986 was conducted and also a matched case-control survey. No significant differences were found in the immunization rates between SIDS and other causes of death, nor between SIDS and living controls. These results are compared with the results from previously published studies on the topic.

Autopsy↗
PubMed1989

Postneonatal mortality, sudden infant death syndrome: factors preventing the decline of infant mortality in France from 1979 to 1985.

The sudden infant death syndrome (SIDS) is known to be associated with a peak in mortality rates at 3 months of age, and a seasonal peak in winter. The aim of this study was to analyse the relationship between the month of death, month of birth and age at death for cohorts of monthly births in France between 1979 and 1985. Statistics concerning the causes of death were collected and used to calculate life-tables firstly from SIDS and secondly from all other causes. They show that the specific age distribution at death was not the same for babies born in late summer or autumn as for other newborns. Total infant death rates were higher for cohorts born in the autumn, because of the peak in deaths from SIDS at about three months of age.

Actuarial Analysis↗
PubMed1989

[Geographical variations in mortality due to diseases amenable to medical intervention in Europe--Commission of European Communities: atlas of avoidable deaths].

The urgent need to develop measures of the outcome of health-care services has led to the collaboration of 10 countries of the European Community in the production of the European Community atlas of avoidable death (1974-1978). Seventeen disease groups were chosen for which it was considered that death within specified age groups should be either wholly or substantially avoidable when appropriate medical care is sought and provided in good time. Mortality from these causes was compared across 360 health-service administrative areas in the participating countries. For all diseases there was considerable variation in mortality both within and between the countries of the European Community and it is suggested that high levels of mortality from these causes should be viewed by health authorities as warning signals of potential failures of health-care services. Work is in progress on a further edition of the Atlas for the years 1980-1984. Changes in avoidable mortality over time could indicate which health authorities have persistent problems and which authorities are succeeding in reducing avoidable mortality.

Adolescent↗
PubMed1988

[Sudden infant death in France during the winter of 1986].

From the statistics of the medical causes of deaths and the results of a retrospective survey carried out among the physicians who certified the deaths, an analysis of post-neonatal mortality during winter of 1986 was undertaken in order to know if the relative part of the sudden infant death syndrome (SIDS) had increased during that winter. It appeared that the deaths attributed to SIDS can be distinguished from deaths of other causes for several factors (place of death, former status of the baby). However, the low number of post mortem examinations performed does not allow in all the declared cases to assess SIDS as internationally defined. However, it is shown that sudden mortality was not higher during this special winter and that immunizations were not more frequently related to this cause than to other causes of death.

France↗
PubMed1987

[Relation between the level of the development of the care system and the level of "preventable" mortality according to department in France].

"Avoidable" mortality may be defined as a selection of causes of death whose occurrence is closely related to medical intervention. We have attempted to relate the variations in mortality from these selected causes to health service input among the 95 French departments. This analysis was controlled for social factors. Firstly we performed independently two factor analysis of the departmental variations in health care variables and in social factors. These studies were carried out with the aim of creating new discriminant and independent variables. Multiple stepwise regressions were then used to analyse the independent and joint associations of these new variables with mortality. The data show principally the considerable weight of social factors in explaining mortality differences. On the contrary, we found very weak relationships between health service input and mortality. However in view of the analysis method, it would appear unjustified to interpret this result in terms of a criticism of the "avoidable" mortality concept.

Adolescent↗
PubMed1986

[Mortality and occupation: theoretical problems and concrete illustrations].

This article reviews the methods generally used when studying occupational mortality. First, the different schemes of collecting data are cited; secondly, all the indexes (PMR, SMR, standardisation by direct method, etc.) that can be employed in this kind of analysis are studied, and each of them is critically evaluated. Finally, in order to compare the advantages of SMR over the effects of direct standardisation, these two indexes are combined in a brief study of the most recent data in France concerning occupational mortality. In illustration, an analysis is made of the most common causes of male deaths in 1982, among farmers, engineers, artists, teachers and those in the liberal professions.

Adult↗
PubMed1986

[Female mortality and occupational activity in France (a comparison, 1975-1982)].

The study of the relationship between occupation and health in 1975, indicated a high excess mortality among inactive females. The decline of mortality and the increase in the number of working women recorded recently, have not changed the thrust of the relation. The analysis of the 1982 data shows a rise in the excess mortality of inactives, caused by an increase of the selection effect. The study of the mortality taking into account the marital status shows that it is the transition to working status of many married--therefore preselected--women that has increased the differences in the state of health between active and inactive women. The excess mortality of inactive women varies with the cause of death and it appears that the selection effect is stronger when death is caused by a chronic or slowly developing disease, and weaker when it is due to an accident or a cancer.

Adult↗
PubMed1985

[Cause of death and young foreigners in France].

An attempt is made to analyse death rate and causes of death among a subpopulation. But the lack of strictly defined population as a basis for rate calculation gives some uncertain outcome. Nevertheless a number of detailed causes can be selected by the mean of a rather simple statistical procedure. Some of these causes are significantly higher in foreign people of 1-24 years old and seem to be specifical of them.

Adolescent↗
PubMed1985

[Contraception and the use of care systems].

A study has been made of the frequency of the use of contraceptive methods and the methods used (oral contraception, intra-uterine device and other methods). This was carried out on 2000 women aged between 20 and 44 who had not been sterilised, were not pregnant, who lived in towns and in the country. The following variables were studied: the age, the socio-professional class, the zone in which they lived, the way antenatal care had been carried out (the number of antenatal visits and preparation for labour), the number of times they had seen a gynaecologist during the pregnancy, how the baby had been looked after in its first year of life and how often it had seen a paediatrician. A statistical analysis made it possible to categorise the variables that were studied in their relationship to medical contraception. This shows that as regards age, educational level and social status medical contraception was always better in towns than in the country. On the other hand, when women in the country do use medical contraception they go to the gynaecologist much more often than their town sisters do without any particular result from these consultations. Finally, medical contraception is not linked to other medical attention. This tends to confirm that contraception can be used as a prognostic element to show how well the woman will be looked after in pregnancy.

Adult↗
PubMed1983

Health and employment of a female population in an urban area.

The authors discuss the results of a survey of women aged 25 to 50 living in a university town in southern France (Montpellier). Morbidity of these women (reported health problems, consultation with health care professionals etc) was analysed as a function of whether or not they were employed out of the home. Overall, differences were minimal; after correction for demographic factors, the only significant difference was more frequent reports of fatigue, overwork or nervousness in the employed women. Satisfaction with life situations was more closely correlated with health than was employment per se. A great similarity was seen between, on the one hand, employed women satisfied with their occupational conditions and housewives who did not report boredom, and on the other hand, between employed women dissatisfied with their occupational conditions and housewives who reported boredom.

Adult↗
PubMed1983

[Mortality by socio-occupational categories in urban and rural areas].

Mortality data in France are studied by a cross sectional analysis including both population density (urban or rural aggregates) and socio-economic groups. The socio-economic differentials in mortality increase with the size of localities. Specific social class distribution partly explains the excess of mortality in rural areas and the lowest mortality in the parisian agglomeration. On the contrary social class distribution does not affect mortality in small towns. Nevertheless, the expected effect of social class does not explain all the discrepancies in mortality between urban and rural areas. The population density is a parameter that should be taken into account when analyzing mortality.

Adolescent↗
PubMed1983

[Mortality from respiratory diseases among agricultural and non-agricultural workers in France from 1970 to 1974].

The mortality due to respiratory disease was studied in France between 1970 and 1974 as well as in seven other countries in the European Economic Community. The French results were presented as an index of mortality by cause of death, enabling a comparison of the mortality in different groups of the population. Data was supplied for 7 diagnostic groups defined according to List A of the International Classification of Diseases. The population studied consisted of men and women between 15 to 64 years, classified according to residence (urban or rural) and profession (agricultural worker or not). In addition the indices of mortality for farmers or agricultural employees were compared to men of the same social class, for the same period. The comparisons between the urban and the rural background revealed an excess mortality for respiratory tuberculosis, lung cancer, bronchitis, emphysema and asthma for those in urban areas. In the rural environment an excess mortality was noted for acute respiratory diseases in both men and women; this was also found comparing agricultural to non-agricultural workers. Lastly, if one compared agricultural and non-agricultural workers of the same social class, deaths due to acute and chronic respiratory infections were higher in the agricultural workers. These results show the relative importance already stressed in other studies, of acute respiratory diseases in agricultural workers.

Adult↗
PubMed1980

[Higher rural mortality or lower urban mortality in France? (author's transl)].

Examination of crude and standardized rates, life expectancies and death probabilities by age shows an excess of mortality for males and females in little towns (less than 10 000 inhabitants) and on the other hand a lower mortality in parisian area. One aspect of the problem--relation between mortality and urbanisation (localities size)--is not the same with the sexes. For males, there is a lower mortality in rural area, on the contrary, for females, mortality is decreasing while the size of the locality is increasing. It would be possible to explain this results by parameters closely connected with urbanisation, such as socio-economic groups, marital status, health system. A next research will take this parameters and medical causes into account.

Adolescent↗