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El Haddad M, Hecker I, Wallez S, Mary-Krause M, Melchior M. The association between the use of video games, social media and online dating sites, and the symptoms of anxiety and/or depression in adults aged 25 and over. Glob Ment Health (Camb) 2024; 11:e11. [PMID: 38390247 PMCID: PMC10882175 DOI: 10.1017/gmh.2024.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Revised: 11/02/2023] [Accepted: 12/20/2023] [Indexed: 02/24/2024] Open
Abstract
People tend to spend more time in front of their screens, which can have repercussions on their social life, physical and mental health. This topic has mainly been studied in adolescents. Therefore, our study tested associations between the use of video games, social media and online dating leading to sexual relations (ODLSR), and symptoms of anxiety and/or depression among adults aged 25 and over. Data from the 2018 TEMPO cohort study were analyzed (n = 853, 65.0% women, aged 25-44, with an average of 37.4 ± 3.7 years). The exposure variables were as follows: (a) the frequency of video game use, (b) time spent on social media and (c) ODLSR. Data were analyzed using multivariate logistic regression models, adjusted for participants' sociodemographic characteristics as well as history of mental health problems. Among the participants, 8.6% presented symptoms of anxiety and/or depression. An association between ODLSR and symptoms of anxiety and/or depression was found, especially among women. The results of this study will facilitate the improvement of support and care for adults, especially those with symptoms of anxiety and/or depression using dating applications. Future studies should investigate the determinants of using online meeting websites and their relationship with the occurrence of psychological difficulties in longitudinal studies to establish causality.
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Affiliation(s)
- Maria El Haddad
- Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique (IPLESP), Equipe de Recherche en Epidémiologie Sociale (ERES), F75012 Paris, France
| | - Irwin Hecker
- Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique (IPLESP), Equipe de Recherche en Epidémiologie Sociale (ERES), F75012 Paris, France
| | - Solène Wallez
- Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique (IPLESP), Equipe de Recherche en Epidémiologie Sociale (ERES), F75012 Paris, France
| | - Murielle Mary-Krause
- Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique (IPLESP), Equipe de Recherche en Epidémiologie Sociale (ERES), F75012 Paris, France
| | - Maria Melchior
- Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique (IPLESP), Equipe de Recherche en Epidémiologie Sociale (ERES), F75012 Paris, France
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Sanchez Rico M, Plessz M, Airagnes G, Wiernik E, Hoertel N, Goldberg M, Zins M, Meneton P. Lifetime exposure to unemployment and prior working conditions are associated with retiree's health: A retrospective study in a large population-based French cohort. Soc Sci Med 2024; 341:116550. [PMID: 38160610 DOI: 10.1016/j.socscimed.2023.116550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Revised: 12/05/2023] [Accepted: 12/21/2023] [Indexed: 01/03/2024]
Abstract
It is unclear whether unemployment exposure, as well as working conditions, can have sustained effects on the health of retirees who are no longer exposed. The aim of the present study is to investigate this issue in 29,281 French retirees from the CONSTANCES cohort in whom the prevalence of suboptimal self-rated health, disability for routine tasks, cardiovascular diseases and cancers is assessed according to lifetime exposure to unemployment and prior working conditions. The analyses are performed retrospectively using multivariable logistic regression models with adjustment for potential confounders such as sex, birth year, parental histories of cardiovascular disease and cancer, social position, retirement age and duration. High lifetime exposure to unemployment is associated with an increased prevalence of suboptimal self-rated health (adjusted odds ratio (95% CI), 1.39 (1.23-1.57)), disability for routine tasks (1.41 (1.26-1.57)) and several cardiovascular diseases including stroke (1.66 (1.19-2.31)), myocardial infarction (1.65 (1.18-2.31)) and peripheral arterial disease (2.38 (1.46-3.90)). Bad prior working conditions are associated with an increased prevalence of disability for routine tasks (1.17 (1.04-1.33)) and cancers (1.27 (1.04-1.54)), notably prostate cancer (1.60 (1.01-2.64)). These findings suggest that unemployment and working conditions have long-term health effects that may cumulate over lifetime, emphasizing that risk evaluation and preventive strategies in retirees, as in workers, should take into account the life-course of individuals in addition to traditional risk factors.
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Affiliation(s)
- Marina Sanchez Rico
- AP-HP, DMU Psychiatrie et Addictologie, Hôpital Corentin-Celton, Issy-les-Moulineaux, France
| | - Marie Plessz
- Centre Maurice Halbwachs, INRAE, EHESS, ENS-PSL, CNRS, Paris, France
| | - Guillaume Airagnes
- AP-HP, DMU Psychiatrie et Addictologie, Hôpital européen Georges-Pompidou, Paris, France; Université Paris Cité, Faculté de Médecine, Paris, France
| | - Emmanuel Wiernik
- Université Paris Cité, Université Paris-Saclay, UVSQ, UMS_011 INSERM, Villejuif, France
| | - Nicolas Hoertel
- AP-HP, DMU Psychiatrie et Addictologie, Hôpital Corentin-Celton, Issy-les-Moulineaux, France; Université Paris Cité, Faculté de Médecine, Paris, France; UMR_1266, INSERM, Paris, France
| | - Marcel Goldberg
- Université Paris Cité, Université Paris-Saclay, UVSQ, UMS_011 INSERM, Villejuif, France
| | - Marie Zins
- Université Paris Cité, Faculté de Médecine, Paris, France; Université Paris Cité, Université Paris-Saclay, UVSQ, UMS_011 INSERM, Villejuif, France
| | - Pierre Meneton
- UMR_1142 INSERM, Sorbonne Université, Université Paris 13, Paris, France.
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Hoertel N, Sanchez Rico M, Limosin F, Ménard J, Ribet C, Bonenfant S, Goldberg M, Zins M, Meneton P. Respective Mediating Effects of Social Position and Work Environment on the Incidence of Common Cardiovascular Risk Factors. J Am Heart Assoc 2022; 11:e021373. [PMID: 35023345 PMCID: PMC9238532 DOI: 10.1161/jaha.121.021373] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Background Social position and work environment are highly interrelated and their respective contribution to cardiovascular risk is still debated. Methods and Results In a cohort of 20 625 French workers followed for 25 years, discrete‐time survival analysis with reciprocal mediating effects, adjusted for sex, age, and parental history of early coronary heart disease, was performed using Bayesian structural equation modeling to simultaneously investigate the extent to which social position mediates the effect of work environment and, inversely, the extent to which work environment mediates the effect of social position on the incidence of common cardiovascular risk factors. Depending on the factor, social position mediates 2% to 53% of the effect of work environment and work environment mediates 9% to 87% of the effect of social position. The mediation by work environment is larger than that by social position for the incidence of obesity, hypertension, dyslipidemia, diabetes, sleep complaints, and depression (mediation ratios 1.32–41.5, 6.67 when modeling the 6 factors together). In contrast, the mediation by social position is larger than that by work environment for the incidence of nonmoderate alcohol consumption, smoking, and leisure‐time physical inactivity (mediation ratios 0.16–0.69, 0.26 when modeling the 3 factors together). Conclusions The incidence of behavioral risk factors seems strongly dependent on social position whereas that of clinical risk factors seems closely related to work environment, suggesting that preventive strategies should be based on education and general practice for the former and on work organization and occupational medicine for the latter.
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Affiliation(s)
- Nicolas Hoertel
- Département de Psychiatrie Institut de Psychiatrie et Neurosciences de Paris Faculté de Médecine Hôpital Corentin-Celton INSERM UMR_S1266 AP-HPUniversité de Paris Issy-les-Moulineaux France
| | - Marina Sanchez Rico
- Département de Psychiatrie Institut de Psychiatrie et Neurosciences de Paris Faculté de Médecine Hôpital Corentin-Celton INSERM UMR_S1266 AP-HPUniversité de Paris Issy-les-Moulineaux France
| | - Frédéric Limosin
- Département de Psychiatrie Institut de Psychiatrie et Neurosciences de Paris Faculté de Médecine Hôpital Corentin-Celton INSERM UMR_S1266 AP-HPUniversité de Paris Issy-les-Moulineaux France
| | - Joël Ménard
- UMR_1142 INSERM Sorbonne UniversitéUniversité Paris 13 Paris France
| | - Céline Ribet
- UMS_011 INSERM Université Paris-Saclay Villejuif France
| | | | | | - Marie Zins
- UMS_011 INSERM Université Paris-Saclay Villejuif France
| | - Pierre Meneton
- UMR_1142 INSERM Sorbonne UniversitéUniversité Paris 13 Paris France
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Triquenot Bagan A, Crassard I, Drouet L, Barbieux-Guillot M, Marlu R, Robinet-Borgomino E, Morange PE, Wolff V, Grunebaum L, Klapczynski F, André-Kerneis E, Pico F, Martin-Bastenaire B, Ellie E, Menard F, Rouanet F, Freyburger G, Godenèche G, Allano HA, Moulin T, Mourey G, Derex L, Berruyer M, Runavot G, Trichet C, Viader F, Le Querrec A, Husein TT, Cluet-Dennetiere S, Macian-Montoro F, Donnard M, Guillon B, Ternisien C, Zuber M, Laplanche S, Tassan P, Peeltier JY, Canaple S, Roussel B, Gaillard N, Scavazza E, Le Cam Duchez V. Cerebral Venous Thrombosis: Clinical, Radiological, Biological, and Etiological Characteristics of a French Prospective Cohort (FPCCVT)-Comparison With ISCVT Cohort. Front Neurol 2021; 12:753110. [PMID: 34819911 PMCID: PMC8606816 DOI: 10.3389/fneur.2021.753110] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Accepted: 09/30/2021] [Indexed: 11/28/2022] Open
Abstract
Introduction: Cerebral venous thrombosis (CVT) is a rare disease with highly variable clinical presentation and outcome. Etiological assessment may be negative. The clinical and radiological presentation and evolution can be highly variable. The mechanisms involved in this variability remain unknown. Objective: The aim of this multicenter French study registered on ClinicalTrials.gov (NCT02013635) was therefore to prospectively recruit a cohort of patients with cerebral venous thrombosis (FPCCVT) in order to study thrombin generation and clot degradation, and to evaluate their influence on clinical radiological characteristics. The first part of the study was to compare our cohort with a reference cohort. Methods: This prospective, multicenter, French study was conducted from July 2011 to September 2016. Consecutive patients (aged >15 years) referred to the stroke units of 21 French centers and who had a diagnosis of symptomatic CVT were included. All patients gave their written informed consent. The diagnosis of CVT had to be confirmed by imaging. Clinical, radiological, biological, and etiological characteristics were recorded at baseline, at acute phase, at 3 months and at last follow-up visit. Thrombophilia screening and the choice of treatment were performed by the attending physician. All data were compared with data from the International Study on CVT published by Ferro et al. Results: Two hundred thirty-one patients were included: 117 (50.6%) had isolated intracranial hypertension, 96 (41.5%) had focal syndrome. During hospitalization, 229 (99.1%) patients received anticoagulant treatment. Median length of hospital stay was 10 days. Five patients died during hospitalization (2.2%). At 3 months, 216 patients (97.0%) had follow-up with neurological data based on an outpatient visit. The mean duration of antithrombotic treatment was 9 months, and the mean time to last follow-up was 10.5 months. At the end of follow-up, eight patients had died, and 26 patients were lost to follow-up. At least one risk factor was identified in 200 patients. Conclusions: We demonstrated that the FPCCVT cohort had radiological, biological, and etiological characteristics similar to the historical ISCVT cohort. Nevertheless, the initial clinical presentation was less severe in our study probably due to an improvement in diagnostic methods between the two studies.
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Affiliation(s)
| | - Isabelle Crassard
- Department of Neurology, Lariboisière University Hospital, Paris, France
| | - Ludovic Drouet
- Department of Biological Hematology, Lariboisière University Hospital, Paris, France
| | | | - Raphaël Marlu
- Department of Biological Hematology, Grenoble University Hospital, Grenoble, France
| | | | | | - Valérie Wolff
- Stroke Unit, Strasbourg University Hospital, Strasbourg, France
| | - Lelia Grunebaum
- Department of Biological Hematology, Strasbourg University Hospital, Strasbourg, France
| | | | | | - Fernando Pico
- Department of Neurology Versailles Hospital, Versailles, France
| | | | - Emmanuel Ellie
- Department of Neurology, Bayonne Hospital, Bayonne, France
| | - Fanny Menard
- Department of Biological Hematology, Bayonne Hospital, Bayonne, France
| | - François Rouanet
- Department of Neurology, Bordeaux University Hospital, Bordeaux, France
| | - Geneviève Freyburger
- Department of Biological Hematology, Etablissement Français du Sang, Bordeaux, France
| | - Gaëlle Godenèche
- Department of Neurology, La Rochelle Hospital, La Rochelle, France
| | - Hong-An Allano
- Department of Biological Hematology, La Rochelle Hospital, La Rochelle, France
| | - Thierry Moulin
- Department of Neurology, Besançon University Hospital, Besançon, France
| | - Guillaume Mourey
- Department of Biological Hematology, Etablissement Français du Sang, Besançon, France
| | - Laurent Derex
- Department of Neurology, Lyon University Hospital, Lyon, France
| | - Micheline Berruyer
- Department of Biological Hematology, Lyon University Hospital, Lyon, France
| | | | - Catherine Trichet
- Department of Biological Hematology, Argenteuil Hospital, Argenteuil, France
| | - Fausto Viader
- Department of Neurology, Caen University Hospital, Caen, France
| | - Agnès Le Querrec
- Department of Biological Hematology, Caen University Hospital, Caen, France
| | | | | | | | - Magali Donnard
- Department of Biological Hematology, Limoges University Hospital, Limoges, France
| | - Benoît Guillon
- Department of Neurology, Nantes University Hospital, Nantes, France
| | - Catherine Ternisien
- Department of Biological Hematology, Nantes Univeristy Hospital, Nantes, France
| | - Mathieu Zuber
- Department of Neurology, Saint Joseph Hospital, Paris, France
| | - Sophie Laplanche
- Department of Biological Hematology, Saint Joseph Hospital, Paris, France
| | - Philippe Tassan
- Department of Neurology, Poissy-Saint-Germain Hospital, Poissy, France
| | - Jean-Yves Peeltier
- Department of Biological Hematology, Poissy-Saint-Germain Hospital, Poissy, France
| | - Sandrine Canaple
- Department of Neurology, Amiens University Hospital, Amiens, France
| | - Bertrand Roussel
- Department of Biological Hematology, Amiens University Hospital, Amiens, France
| | | | - Emilie Scavazza
- Department of Biological Hematology, Perpignan Hospital, Perpignan, France
| | - Véronique Le Cam Duchez
- Normandie Univ, UNIROUEN, INSERM U1096, CHU de Rouen, Service d'Hématologie Biologique, Rouen, France
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