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  1. Article ; Online: Precision and personalized medicine: What their current definition says and silences about the model of health they promote. Implication for the development of personalized health.

    Delpierre, Cyrille / Lefèvre, Thomas

    Frontiers in sociology

    2023  Volume 8, Page(s) 1112159

    Abstract: The US National Human Genome Research Institute defines precision medicine as follows: "Precision medicine (generally considered analogous to personalized medicine or individualized medicine) is an innovative approach that uses information about an ... ...

    Abstract The US National Human Genome Research Institute defines precision medicine as follows: "Precision medicine (generally considered analogous to personalized medicine or individualized medicine) is an innovative approach that uses information about an individual's genomic, environmental, and lifestyle information to guide decisions related to their medical management. The goal of precision medicine is to provide a more precise approach for the prevention, diagnosis, and treatment of disease." In this perspective article, we question this definition of precision medicine and the risks linked to its current practice and development. We highlight that in practice, precision medicine is based on the use of large volumes of biological data for individual purposes mostly in line with the biomedical model of health, which carries the risk of the biological reductionism of the person. A more comprehensive, precise, and even "personal" approach to health would require taking into account environmental, socio-economic, psychological, and biological determinants, an approach more in line with the biopsychosocial model of health. The role of environmental exposures, in a broad sense, is highlighted more and more, notably in the field of exposome research. Not considering the conceptual framework in which precision medicine is deployed leads to the concealment of the different responsibilities that can be mobilized within the health system. Anchoring precision medicine in a model that does not limit its definition to its biological and technical components makes it possible to envisage a personalized and more precise medicine, integrating a greater share of interventions centered on the skills and life contexts of individuals.
    Language English
    Publishing date 2023-02-21
    Publishing country Switzerland
    Document type Journal Article
    ISSN 2297-7775
    ISSN (online) 2297-7775
    DOI 10.3389/fsoc.2023.1112159
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The Influence of Sex and/or Gender on the Occurrence of Colorectal Cancer in the General Population in Developed Countries: A Scoping Review.

    Martinez, Amalia / Grosclaude, Pascale / Lamy, Sébastien / Delpierre, Cyrille

    International journal of public health

    2024  Volume 69, Page(s) 1606736

    Abstract: Objective: ...

    Abstract Objective:
    MeSH term(s) Humans ; Colorectal Neoplasms/epidemiology ; Male ; Female ; Sex Factors ; Incidence ; Risk Factors ; Developed Countries/statistics & numerical data ; Health Status Disparities ; Socioeconomic Factors
    Language English
    Publishing date 2024-04-10
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2274130-6
    ISSN 1661-8564 ; 1661-8556
    ISSN (online) 1661-8564
    ISSN 1661-8556
    DOI 10.3389/ijph.2024.1606736
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Integrating gender into cancer research.

    Martinez, Amalia / Delpierre, Cyrille / Grosclaude, Pascale / Lamy, Sébastien

    Lancet (London, England)

    2024  Volume 403, Issue 10437, Page(s) 1631

    MeSH term(s) Humans ; Neoplasms ; Female ; Male ; Biomedical Research ; Sex Factors ; Gender Identity
    Language English
    Publishing date 2024-04-10
    Publishing country England
    Document type Journal Article ; Letter
    ZDB-ID 3306-6
    ISSN 1474-547X ; 0023-7507 ; 0140-6736
    ISSN (online) 1474-547X
    ISSN 0023-7507 ; 0140-6736
    DOI 10.1016/S0140-6736(24)00593-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Editorial: Insights in life-course epidemiology and social inequalities: 2021.

    Delpierre, Cyrille / Langseth, Hilde

    Frontiers in public health

    2022  Volume 10, Page(s) 980547

    MeSH term(s) Social Class ; Socioeconomic Factors
    Language English
    Publishing date 2022-07-29
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2022.980547
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Health inequalities in cause-specific mortality in Costa Rica: a population-based cohort study.

    Fantin, Romain / Delpierre, Cyrille / Barboza-Solís, Cristina

    Revista de saude publica

    2023  Volume 57, Page(s) 3

    Abstract: Objective: To analyze health inequalities in cause-specific mortality in Costa Rica from 2010 to 2018, observing the main causes for inequality in the country.: Methods: The National Electoral Rolls were used to follow-up all Costa Rican adults aged ... ...

    Abstract Objective: To analyze health inequalities in cause-specific mortality in Costa Rica from 2010 to 2018, observing the main causes for inequality in the country.
    Methods: The National Electoral Rolls were used to follow-up all Costa Rican adults aged 20 years or older from 2010 to 2018 (n = 2,739,733) in an ecological study. A parametric survival model based on the Gompertz distribution was performed and the event death was classified according to the ICD-10.
    Results: After adjustment for urbanicity, the poorest districts had a higher mortality than the wealthier districts for most causes of death except neoplasms, mental and behavioral disorders, and diseases of the nervous system. Urban districts showed significantly higher mortality than mixed and rural districts after adjustment for wealth for most causes except mental and behavioral disorders, diseases of the nervous system, and diseases of the respiratory system. Differences according to wealth were more frequent in women than men, whereas differences according to urbanicity were more frequent in men than in women.
    Conclusions: The study's findings were consistent, but not fully similar, to the international literature.
    MeSH term(s) Adult ; Male ; Humans ; Female ; Costa Rica/epidemiology ; Cause of Death ; Cohort Studies ; Brazil ; Rural Population ; Mortality
    Language English
    Publishing date 2023-02-20
    Publishing country Brazil
    Document type Journal Article
    ZDB-ID 732179-x
    ISSN 1518-8787 ; 0034-8910
    ISSN (online) 1518-8787
    ISSN 0034-8910
    DOI 10.11606/s1518-8787.2023057004331
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The epigenome as a biological candidate to incorporate the social environment over the life course and generations.

    Castagné, Raphaële / Ménard, Sandrine / Delpierre, Cyrille

    Epigenomics

    2023  Volume 15, Issue 1, Page(s) 5–10

    MeSH term(s) Humans ; Epigenome ; Life Change Events ; Gene-Environment Interaction ; Environment ; Social Environment ; Epigenesis, Genetic ; DNA Methylation ; Inheritance Patterns
    Language English
    Publishing date 2023-03-14
    Publishing country England
    Document type Editorial
    ZDB-ID 2537199-X
    ISSN 1750-192X ; 1750-1911
    ISSN (online) 1750-192X
    ISSN 1750-1911
    DOI 10.2217/epi-2022-0457
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Framework for understanding health inequalities over the life course: the embodiment dynamic and biological mechanisms of exogenous and endogenous origin.

    Kelly-Irving, Michelle / Delpierre, Cyrille

    Journal of epidemiology and community health

    2021  Volume 75, Issue 12, Page(s) 1181–1186

    Abstract: Understanding how structural, social and psychosocial factors come to affect our health resulting in health inequalities is more relevant now than ever as trends in mortality gaps between rich and poor appear to have widened over the past decades. To ... ...

    Abstract Understanding how structural, social and psychosocial factors come to affect our health resulting in health inequalities is more relevant now than ever as trends in mortality gaps between rich and poor appear to have widened over the past decades. To move beyond description, we need to hypothesise about how structural and social factors may cause health outcomes. In this paper, we examine the construction of health over the life course through the lens of influential theoretical work. Based on concepts developed by scholars from different disciplines, we propose a novel framework for research on social-to-biological processes which may be important contributors to health inequalities. We define two broad sets of mechanisms that may help understand how socially structured exposures become embodied: mechanisms of exogenous and endogenous origin. We describe the embodiment dynamic framework, its uses and how it may be combined with an intersectional approach to examine how intermeshed oppressions affect social exposures which may be expressed biologically. We explain the usefulness of this framework as a tool for carrying out research and providing scientific evidence to challenge genetic essentialism, often used to dismiss social inequalities in health.
    MeSH term(s) Health Status Disparities ; Humans ; Mental Disorders ; Socioeconomic Factors
    Language English
    Publishing date 2021-08-10
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 391868-3
    ISSN 1470-2738 ; 0142-467X ; 0141-7681 ; 0143-005X
    ISSN (online) 1470-2738
    ISSN 0142-467X ; 0141-7681 ; 0143-005X
    DOI 10.1136/jech-2021-216430
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Early life stress in relation with risk of overweight, depression, and their comorbidity across adulthood: findings from a British birth cohort.

    Ugarteche Pérez, Ainhoa / Berger, Eloïse / Kelly-Irving, Michelle / Delpierre, Cyrille / Capuron, Lucile / Castagné, Raphaële

    Psychological medicine

    2024  , Page(s) 1–14

    Abstract: Background: Multimorbidity, known as the co-occurrence of at least two chronic conditions, has become of increasing concern in the current context of ageing populations, though it affects all ages. Early life risk factors of multimorbidity include ... ...

    Abstract Background: Multimorbidity, known as the co-occurrence of at least two chronic conditions, has become of increasing concern in the current context of ageing populations, though it affects all ages. Early life risk factors of multimorbidity include adverse childhood experiences (ACEs), particularly associated with psychological conditions and weight problems. Few studies have considered related mechanisms and focus on old age participants. We are interested in estimating, from young adulthood, the risk of overweight-depression comorbidity related to ACEs while adjusting for early life confounders and intermediate variables.
    Methods: We used data from the 1958 National Child Development Study, a prospective birth cohort study (
    Results: In our study sample (
    Conclusion: Our study provides evidence on the link and potential mechanisms between ACEs and the co-occurrence of mental and physical diseases throughout the life-course. We suggest addressing ACEs in intervention strategies and public policies to go beyond single disease prevention.
    Language English
    Publishing date 2024-01-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 217420-0
    ISSN 1469-8978 ; 0033-2917
    ISSN (online) 1469-8978
    ISSN 0033-2917
    DOI 10.1017/S0033291723003823
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Effectiveness of multilevel interventions based on socio-ecological model to decrease sedentary time in children: a systematic review of controlled studies.

    Cholley-Gomez, Marie / Laujac, Steven / Delpierre, Cyrille / Carayol, Marion

    Frontiers in public health

    2023  Volume 11, Page(s) 1106206

    Abstract: Objectives: Preventive actions of sedentary behavior (SB) based on the socio-ecological model are needed among children and young adolescents. The aim of this systematic review is to ascertain the effectiveness of multilevel interventions (i.e., ... ...

    Abstract Objectives: Preventive actions of sedentary behavior (SB) based on the socio-ecological model are needed among children and young adolescents. The aim of this systematic review is to ascertain the effectiveness of multilevel interventions (i.e., involving consideration of at least two interventional levels) in reducing sedentary time (ST) in children aged 5-12 years.
    Methods: Adhering to PRISMA guidelines, a systematic literature search was conducted in three databases (PsyInfo, PubMed and ERIC) until July 2021.
    Results: 30 trials met the eligibility criteria and were included. They showed acceptable (< 8,
    Conclusion: Interventions tend to be more effective when they involve 4 levels, using both agentic and structural strategies (targeting intrinsic determinants, in the organizational environment of the child). Findings underline the relevance of multilevel strategies to reduce ST in children, but also raise issues about operationalization of the socio-ecological perspective.
    Systematic review registration: PROSPERO, identifier: CRD42020209653.
    MeSH term(s) Adolescent ; Humans ; Child ; Sedentary Behavior ; Exercise ; Research Design
    Language English
    Publishing date 2023-06-02
    Publishing country Switzerland
    Document type Systematic Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 2711781-9
    ISSN 2296-2565 ; 2296-2565
    ISSN (online) 2296-2565
    ISSN 2296-2565
    DOI 10.3389/fpubh.2023.1106206
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Do chiropractic interns use clinical practice guidelines when managing patients with neck pain in France? A feasibility study.

    Sorondo, Delphine / Delpierre, Cyrille / Côté, Pierre / Lemeunier, Nadège

    Chiropractic & manual therapies

    2022  Volume 30, Issue 1, Page(s) 43

    Abstract: Background: In France, we lack knowledge about factors influencing chiropractors' use of French guideline for managing neck pain and associated disorders (NAD). In particular, we know little about how chiropractic interns use clinical practice ... ...

    Abstract Background: In France, we lack knowledge about factors influencing chiropractors' use of French guideline for managing neck pain and associated disorders (NAD). In particular, we know little about how chiropractic interns use clinical practice guidelines during their training.
    Objectives: We aimed to determine the feasibility of conducting a cross-sectional study of chiropractic interns to determine their utilization and conformity with clinical practice guidelines when managing patients with NAD in France.
    Method: We developed a web-based questionnaire which included 3 sections: (1) clinical vignettes; (2) determinants of practice and (3) socio-demographic and current practice information. The study was conducted in two phases. The first phase included 2 groups: chiropractors and students (interns). Ten chiropractors reviewed and made recommendations on content (especially clinical vignettes), readability, and flow of the survey. Fifteen interns were invited to pretest the proposed recruitment strategy and determine time needed to survey completion, assess completeness of data collection, and evaluate its readability and flow in students. Due to the low participation of students during the first phase, 20 additional interns were invited to participate and pilot the revised recruitment strategy during the second phase. A group of 20 interns were invited to participate and pilot the revised recruitment strategy during the second phase. Qualitative feedbacks about the recruitment strategy, the content of the questionnaire and the survey process were collected by phone to improve all these steps if necessary.
    Results: We collected data from November 2020 to February 2021. In phase 1, 70% of chiropractors (7/10) reviewed the survey and one intern responded (7% participation rate). A revised recruitment strategy was designed and 70% of interns agreed to participate in phase 2. Time to complete the questionnaire was on average 48 m:22 s. Interns evaluated survey content as relevant, comprehensive, covering the range of 4 grades of NAD, and adapted to an intern sample. Five main modifications were recommended by (1) Adjusting survey support; (2) Enhancing communication strategy; (3) Considering interns' comments about the length of the questionnaire; (4) Modifying 2 determinants not adapted to a French context; (5) Adding a proposal when determinants deal with multidisciplinary management.
    Conclusion: Conducting a web-based cross-sectional study of chiropractic interns to assess their utilization and conformity to clinical practice guideline is feasible.
    MeSH term(s) Chiropractic/education ; Cross-Sectional Studies ; Feasibility Studies ; Humans ; NAD ; Neck Pain/therapy
    Chemical Substances NAD (0U46U6E8UK)
    Language English
    Publishing date 2022-10-09
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2590836-4
    ISSN 2045-709X ; 2045-709X
    ISSN (online) 2045-709X
    ISSN 2045-709X
    DOI 10.1186/s12998-022-00453-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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