Thierry Lang
Biographic Data
| ID | 3582528 |
|---|---|
| NAME | Thierry Lang |
| GIVEN NAMES | Thierry |
| FAMILY NAME | Lang |
| SIGNATURE | LANG T |
| AFFILIATIONS | Inserm |
| ORCID | 0000-0003-3406-8970 |
| VERIFIED | Yes |
| TOTAL WORKS | 37 |
| TOTAL CITATIONS | 146 |
| AUTHOR COUNT | 37 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1993 |
| LATEST PUBLICATION YEAR | 2022 |
| H-INDEX | 5 |
Lutter contre les inégalités sociales de santé
Parmi les modes de connaissance de la société moderne sur elle-même, les sondages sont apparus tardivement, au tournant du xxe siècle. Conçus pour quantifier et légitimés par leur capacité de prédiction, les sondages entretiennent une relation paradoxale à l’incertitude. La notion d’intervalle de confiance a été clé dans le développement de la technique mais reste discutée. La perspective de « l’erreur totale » montre toute la difficulté d’une qu…
Studying the Case de Santé de Toulouse (France) as a Propaedeutic Step
Dossier. La pluridisciplinarité en santé: Quel bilan ? Quelles perspectives
La recherche en promotion de la santé: L’étude de la Case de santé de Toulouse
Il s’agit de présenter les principes et les pratiques de la recherche en promotion de la santé, fondée sur une méthode partenariale et collaborative, consacrée aux expérimentations en santé à visée de changement social, basée sur une démarche interdisciplinaire et tournée vers trois domaines : la participation, la médiation et l’innovation sociales. Ces principes sont soumis à l’épreuve de l’étude des process de réduction des inégalités sociales …
Tackling social inequalities in health: Acceptability and feasibility of a systematic approach toward health impact assessment of urban projects
INTRODUCTION: The general objective of this research project was to explore the feasibility and acceptability of an original method intended to systematically identify urban planning projects whose potential impacts on health and social inequalities in health (SIH) would be most damaging. An approach based on a short meeting and a tool would help to discuss whether or not to engage in a more comprehensive health impact assessment. METHODS: A tool…
Recherche interventionnelle en santé des populations et lutte contre les inégalités sociales de santé: Les partenariats « en train de se faire » de la Case de Santé de Toulouse, France
Une recherche interventionnelle en santé des populations permet d’analyser les modalités de lutte contre les inégalités sociales de santé que pratique la Case de Santé de Toulouse (France). Créée en 2006, selon une approche de santé communautaire, cette organisation associative comprend un centre de santé de premier recours et un pôle santé-droits visant à accroître les capacités, individuelles et collectives, d’agir des très nombreux usagers-pat…
Special Report: The Biology of Inequalities in Health: The Lifepath Consortium
Funded by the European Commission Horizon2020 programme, the Lifepath research consortium aimed to understand the impacts of socioeconomic inequalities on the biology of healthy ageing. The main research questions included the impact of inequalities on health, the role of behavioural and other risk factors, the underlying biological mechanisms, the efficacy of selected policies, and the general implications of our findings for theories and polici…
Socioeconomic status and the 25 × 25 risk factors as determinants of premature mortality: A multicohort study and meta-analysis of 1·7 million men and women
Analyser la transférabilité d’une intervention: Application du modèle fonctions clés/implémentation/contexte à un programme de prévention du diabète
INTRODUCTION: A type 2 diabetes primary prevention programme that was shown to be feasible and effective in 2003 was transferred to another vulnerable district of Reunion Island in 2004, but its short-term effectiveness could not be reproduced. Based on this example, this article analyses whether the key functions/implementation/context model can be useful to : 1- more accurately describe an evaluated intervention ; and 2- identify the factors in…
Assessment of the ecological bias of seven aggregate social deprivation indices
The study inventoried the aggregate indices available in France and evaluated their assessment of individual SES
Enabling the transferability of complex interventions: Exploring the combination of an intervention’s key functions and implementation
Mediating pathways between parental socio-economic position and allostatic load in mid-life: Findings from the 1958 British birth cohort
Déterminants sociaux, santé et politiques publiques: Mobiliser toutes les connaissances
Evaluation d’impact sur la santé et évaluation d’impact sur l’équité en santé: Éventail de pratiques et questions de recherche
L'Evaluation d'Impact sur la Santé (EIS) se développe au niveau international et est encore au stade émergent en France. Elle vise à évaluer les effets positifs et négatifs potentiels d'un projet, d'un programme ou d'une politique sur la santé. L'objectif est de produire des recommandations en direction des décideurs, afin d'en maximiser les effets positifs et d'en diminuer les effets négatifs. L'EIS est un moyen particulièrement intéressant d'ac…
A health equity impact assessment umbrella program (Aapriss) to tackle social inequalities in health: Program description
BACKGROUND: The failure to simultaneously address two objectives (increasing the average health of the population and reducing health inequalities) may have led to what has been observed in France so far: an overall decrease in mortality and increase in inequality. OBJECTIVE: The Apprendre et Agir pour Réduire les Inégalités Sociales de Santé (AAPRISS) methodology is to analyze and modify interventions that are already underway in terms of their …
Integrating Multidisciplinary Results to Produce New Knowledge About the Physician–Patient Relationship: A Methodology Applied to the Intermede Project
The INTERMEDE Project brought together a number of research teams to study the interaction between a patient and their general practitioner, and how this can produce social inequalities in health. The ultimate objective of the project was to formalize a core of common findings by integrating qualitative and quantitative results. The methodology chosen for the integration was inspired by the Delphi participatory method. It involves several rounds …
Un programme de recherche interventionnelle (Aapriss) visant à réduire les inégalités sociales de santé: Méthodes et validation
Incidences and risk factors of first-line Haart discontinuation: A limitation to the success of the “seek, test, treat, and retain” strategy
To evaluate the incidence and risk factors of first-highly active antiretroviral therapy (HAART) modifications/interruptions and their causes in a cohort of newly-treated patients by using a competing risk model. In nine centers of the French cohort Dat'AIDS, in 1 year and 2 years of censorship, a competing risk analysis was implemented in HIV1 patients aged 18 years or older first-treated between September 2002 and March 2012. In 4669 patients, …
Childhood adversity as a risk for cancer: Findings from the 1958 British birth cohort study
These findings suggest that cancer risk may be influenced by exposure to stressful conditions and events early on in life. This is potentially important in furthering our understanding of cancer aetiology, and consequently in redirecting scientific research and developing appropriate prevention policies
SRH and HrQOL: Does social position impact differently on their link with health status
Both SRH and HRQoL were lower among those reporting functional limitations or chronic low back pain. However, the change varied according SEP and the measure. In relative term, the negative impact of a given health condition seems to be greater on SRH and lower on HRQoL for people with higher SEP in comparison with people with low SEP. Using SRH could thus decrease socioeconomic differences. In contrast using HRQoL could increase these difference…
Construction of an adaptable European transnational ecological deprivation index: The French version
BACKGROUND: Studying social disparities in health implies the ability to measure them accurately, to compare them between different areas or countries and to follow trends over time. This study proposes a method for constructing a French European deprivation index, which will be replicable in several European countries and is related to an individual deprivation indicator constructed from a European survey specifically designed to study deprivati…
Do general practitioners overestimate the health of their patients with lower education
P61 Could disagreement between doctors and patients on evaluating patient's health contribute to worsening health inequalities? The Intermede study
Objective To determine whether disagreement between doctors and patients may be linked to the production of health inequalities. Methods INTERMEDE is a multidisciplinary study of doctor/patient interaction. These results are from the quantitative cross-sectional phase. 27 GPs located in Paris, Nantes and Toulouse volunteered to participate in the study. 585 eligible patients were included after being approached in the GP's waiting room. Pre-consu…
Linking hospital workers' organisational work environment to depressive symptoms: A mediating effect of effort-reward imbalance? The Orsosa study
Using self-rated health for analysing social inequalities in health: A risk for underestimating the gap between socioeconomic groups
BACKGROUND: The use of self-rated health (SRH) for measuring health inequalities could present some limits. The impact of the same disease on SRH could be different according to health expectations people have which are associated with social characteristics. The aim of this study was to analyse the link between physical health status and SRH, according to level of education. METHOD: Data from the National Health and Nutrition Examination Survey …
Can we disentangle life course processes of accumulation, critical period and social mobility? An analysis of disadvantaged socio-economic positions and myocardial infarction in the Stockholm Heart Ep…
Using self-rated health for analysing social inequalities in health: A risk for underestimating the gap between socioeconomic groups
BACKGROUND: The use of self-rated health (SRH) for measuring health inequalities could present some limits. The impact of the same disease on SRH could be different according to health expectations people have which are associated with social characteristics. The aim of this study was to analyse the link between physical health status and SRH, according to level of education. METHOD: Data from the National Health and Nutrition Examination Survey …
Mediating pathways between parental socio-economic position and allostatic load in mid-life: Findings from the 1958 British birth cohort
Construction of an adaptable European transnational ecological deprivation index: The French version
BACKGROUND: Studying social disparities in health implies the ability to measure them accurately, to compare them between different areas or countries and to follow trends over time. This study proposes a method for constructing a French European deprivation index, which will be replicable in several European countries and is related to an individual deprivation indicator constructed from a European survey specifically designed to study deprivati…
Is hospital care involved in inequalities in coronary heart disease mortality? Results from the French WHO-Monica Project in men aged 30-64
OBJECTIVES: The goal of the study was to assess whether possible disparities in coronary heart disease (CHD) management between occupational categories (OC) in men might be observed and contribute to the increasing inequalities in CHD morbidity and mortality reported in France. METHODS: The data from the three registers of the French MONICA Collaborative Centres (MCC-Lille, MCC-Strasbourg, and MCC-Toulouse) were analysed during two period: 1985-8…
Integrating Multidisciplinary Results to Produce New Knowledge About the Physician–Patient Relationship: A Methodology Applied to the Intermede Project
The INTERMEDE Project brought together a number of research teams to study the interaction between a patient and their general practitioner, and how this can produce social inequalities in health. The ultimate objective of the project was to formalize a core of common findings by integrating qualitative and quantitative results. The methodology chosen for the integration was inspired by the Delphi participatory method. It involves several rounds …
Sleeping tablet consumption, self reported quality of sleep, and working conditions. Group of Occupational Physicians of Apsat
STUDY OBJECTIVE--The aim was to assess the frequency of sleep disorders in relation to working conditions. DESIGN--This was a cross sectional study. Data were collected prospectively, on a standardised form, by 13 occupational physicians. The quality of sleep was assessed by self perceived sleep disturbances and consumption of sleeping tablets. Working conditions were described by the worksite physician as well as by the participants. SETTING--27…
Impact of Social Position on the Effect of Cardiovascular Risk Factors on Self-Rated Health
Objectives. We assessed the impact of education level on the association between self-rated health and cardiovascular risk factors (blood pressure, glycosylated hemoglobin level, and total cholesterol and triglyceride levels). Methods. We used data from the National Health and Nutrition Examination Survey for the years 2001 through 2004 (4015 men and 4066 women). Multivariate analyses were performed with a logistic regression model. Results. Afte…
Non-urgent care in the hospital medical emergency department in France: How much and which health needs does it reflect
OBJECTIVES: The goal was to describe the use of the medical emergency department as a source of non-urgent medical care in order to assess unmet health care needs among its users. The specific objectives were thus to assess the proportion of emergency department visits for non-urgent medical care and to describe those who used the department for this reason. DESIGN: A cross sectional study was performed at the emergency department in two hospital…
Do general practitioners overestimate the health of their patients with lower education
Assessing post-disaster consequences for health at the population level: Experience from the AZF factory explosion in Toulouse
Background: A major explosion occurred in the AZF chemical factory in Toulouse in September 2001. A comprehensive programme of epidemiological surveillance was set up. Objectives: To present an overview of the programme and discuss the methods and potential utility of post-disaster epidemiology. The programme had three objectives: (1) to analyse comprehensively the short-term and long-term effects of air, water and secondary soil pollution on hea…
Sleeping tablet consumption, self reported quality of sleep, and working conditions. Group of Occupational Physicians of Apsat
STUDY OBJECTIVE--The aim was to assess the frequency of sleep disorders in relation to working conditions. DESIGN--This was a cross sectional study. Data were collected prospectively, on a standardised form, by 13 occupational physicians. The quality of sleep was assessed by self perceived sleep disturbances and consumption of sleeping tablets. Working conditions were described by the worksite physician as well as by the participants. SETTING--27…
Improving hypertension control among excessive alcohol drinkers: A randomised controlled trial in France. The Walpa Group
OBJECTIVES--To improve blood pressure control among hypertensive ( > 140/90 mmHg) excessive alcohol drinkers. DESIGN--Fourteen worksite physicians were randomised onto an intervention group and a control group. The intervention was based on training the worksite physicians and follow up of those hypertensive subjects defined as excessive drinkers. Follow up was based on self monitoring of alcohol consumption by the subject, in view of the results…
Non-urgent care in the hospital medical emergency department in France: How much and which health needs does it reflect
OBJECTIVES: The goal was to describe the use of the medical emergency department as a source of non-urgent medical care in order to assess unmet health care needs among its users. The specific objectives were thus to assess the proportion of emergency department visits for non-urgent medical care and to describe those who used the department for this reason. DESIGN: A cross sectional study was performed at the emergency department in two hospital…
Predicting the outcome in elderly patients of hospital admission for acute care in Paris, France: Construction and initial validation of a simplex index
OBJECTIVE: To develop a simple index able to identify at an early stage those elderly patients at high risk of requiring discharge to a residential or nursing home after admission to hospital for acute care. For these patients, early discharge planning might lead to a more effective management and reduce the length of hospitalisation. DESIGN, SETTING, AND PATIENTS: This was a prospective study conducted in two teaching hospitals in Paris, France.…
Is hospital care involved in inequalities in coronary heart disease mortality? Results from the French WHO-Monica Project in men aged 30-64
OBJECTIVES: The goal of the study was to assess whether possible disparities in coronary heart disease (CHD) management between occupational categories (OC) in men might be observed and contribute to the increasing inequalities in CHD morbidity and mortality reported in France. METHODS: The data from the three registers of the French MONICA Collaborative Centres (MCC-Lille, MCC-Strasbourg, and MCC-Toulouse) were analysed during two period: 1985-8…
Les inégalités sociales de santé
Dix mille par an : c'est le nombre de décès prématurés que l'on pourrait éviter, si les ouvriers et employés avaient en France la mortalité des cadres supérieurs et des professions libérales. Ces données sont publiques, et pourtant, elles n'ont été jusqu'à présent que peu débattues publiquement. Alors même que la France fait partie des pays européens où les disparités devant la mort sont les plus fortes. D'où l'importance de ce livre, fruit d'un …
Les inégalités sociales de santé
Smoking cessation at the workplace. Results of a randomised controlled intervention study
METHODS Randomised controlled trial. The unit of randomisation was the work site physician and a random sample of the employees of whom he or she was in charge. The length of the follow up was one year. Each of 30 work site physicians included in the study 100 to 150 employees
Les inegalites sociales de sante
Can we disentangle life course processes of accumulation, critical period and social mobility? An analysis of disadvantaged socio-economic positions and myocardial infarction in the Stockholm Heart Ep…
Assessing post-disaster consequences for health at the population level: Experience from the AZF factory explosion in Toulouse
Background: A major explosion occurred in the AZF chemical factory in Toulouse in September 2001. A comprehensive programme of epidemiological surveillance was set up. Objectives: To present an overview of the programme and discuss the methods and potential utility of post-disaster epidemiology. The programme had three objectives: (1) to analyse comprehensively the short-term and long-term effects of air, water and secondary soil pollution on hea…
Using self-rated health for analysing social inequalities in health: A risk for underestimating the gap between socioeconomic groups
BACKGROUND: The use of self-rated health (SRH) for measuring health inequalities could present some limits. The impact of the same disease on SRH could be different according to health expectations people have which are associated with social characteristics. The aim of this study was to analyse the link between physical health status and SRH, according to level of education. METHOD: Data from the National Health and Nutrition Examination Survey …
Impact of Social Position on the Effect of Cardiovascular Risk Factors on Self-Rated Health
Objectives. We assessed the impact of education level on the association between self-rated health and cardiovascular risk factors (blood pressure, glycosylated hemoglobin level, and total cholesterol and triglyceride levels). Methods. We used data from the National Health and Nutrition Examination Survey for the years 2001 through 2004 (4015 men and 4066 women). Multivariate analyses were performed with a logistic regression model. Results. Afte…
P61 Could disagreement between doctors and patients on evaluating patient's health contribute to worsening health inequalities? The Intermede study
Objective To determine whether disagreement between doctors and patients may be linked to the production of health inequalities. Methods INTERMEDE is a multidisciplinary study of doctor/patient interaction. These results are from the quantitative cross-sectional phase. 27 GPs located in Paris, Nantes and Toulouse volunteered to participate in the study. 585 eligible patients were included after being approached in the GP's waiting room. Pre-consu…
Linking hospital workers' organisational work environment to depressive symptoms: A mediating effect of effort-reward imbalance? The Orsosa study
Do general practitioners overestimate the health of their patients with lower education
SRH and HrQOL: Does social position impact differently on their link with health status
Both SRH and HRQoL were lower among those reporting functional limitations or chronic low back pain. However, the change varied according SEP and the measure. In relative term, the negative impact of a given health condition seems to be greater on SRH and lower on HRQoL for people with higher SEP in comparison with people with low SEP. Using SRH could thus decrease socioeconomic differences. In contrast using HRQoL could increase these difference…
Construction of an adaptable European transnational ecological deprivation index: The French version
BACKGROUND: Studying social disparities in health implies the ability to measure them accurately, to compare them between different areas or countries and to follow trends over time. This study proposes a method for constructing a French European deprivation index, which will be replicable in several European countries and is related to an individual deprivation indicator constructed from a European survey specifically designed to study deprivati…
Childhood adversity as a risk for cancer: Findings from the 1958 British birth cohort study
These findings suggest that cancer risk may be influenced by exposure to stressful conditions and events early on in life. This is potentially important in furthering our understanding of cancer aetiology, and consequently in redirecting scientific research and developing appropriate prevention policies
Incidences and risk factors of first-line Haart discontinuation: A limitation to the success of the “seek, test, treat, and retain” strategy
To evaluate the incidence and risk factors of first-highly active antiretroviral therapy (HAART) modifications/interruptions and their causes in a cohort of newly-treated patients by using a competing risk model. In nine centers of the French cohort Dat'AIDS, in 1 year and 2 years of censorship, a competing risk analysis was implemented in HIV1 patients aged 18 years or older first-treated between September 2002 and March 2012. In 4669 patients, …
Déterminants sociaux, santé et politiques publiques: Mobiliser toutes les connaissances
Evaluation d’impact sur la santé et évaluation d’impact sur l’équité en santé: Éventail de pratiques et questions de recherche
L'Evaluation d'Impact sur la Santé (EIS) se développe au niveau international et est encore au stade émergent en France. Elle vise à évaluer les effets positifs et négatifs potentiels d'un projet, d'un programme ou d'une politique sur la santé. L'objectif est de produire des recommandations en direction des décideurs, afin d'en maximiser les effets positifs et d'en diminuer les effets négatifs. L'EIS est un moyen particulièrement intéressant d'ac…
A health equity impact assessment umbrella program (Aapriss) to tackle social inequalities in health: Program description
BACKGROUND: The failure to simultaneously address two objectives (increasing the average health of the population and reducing health inequalities) may have led to what has been observed in France so far: an overall decrease in mortality and increase in inequality. OBJECTIVE: The Apprendre et Agir pour Réduire les Inégalités Sociales de Santé (AAPRISS) methodology is to analyze and modify interventions that are already underway in terms of their …
Integrating Multidisciplinary Results to Produce New Knowledge About the Physician–Patient Relationship: A Methodology Applied to the Intermede Project
The INTERMEDE Project brought together a number of research teams to study the interaction between a patient and their general practitioner, and how this can produce social inequalities in health. The ultimate objective of the project was to formalize a core of common findings by integrating qualitative and quantitative results. The methodology chosen for the integration was inspired by the Delphi participatory method. It involves several rounds …
Un programme de recherche interventionnelle (Aapriss) visant à réduire les inégalités sociales de santé: Méthodes et validation
Medicine (24 works) · Political science (14 works) · Environmental health (11 works) · Health disparities and outcomes (11 works) · Healthcare Systems and Practices (10 works) · Population (10 works) · Public health (10 works) · Gerontology (9 works) · Nursing (8 works) · Demography (7 works)