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PEOPLE@HES-SO - Verzeichnis der Mitarbeitenden und Kompetenzen
PEOPLE@HES-SO - Verzeichnis der Mitarbeitenden und Kompetenzen

PEOPLE@HES-SO
Verzeichnis der Mitarbeitenden und Kompetenzen

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Christie Derek

Christie Derek

Professeur HES ordinaire

Hauptkompetenzen

Health promotion

Health sustainability

Public health

Walking

Environnement

Person-environment relationships

Nursing research

  • Kontakt

  • Forschung

  • Publikationen

  • Konferenzen

  • Portfolio

Hauptvertrag

Professeur HES ordinaire

Telefon-Nummer: +41 26 429 61 12

Büro: 5.44

Haute école de santé - Fribourg
Route des Arsenaux 16a, 1700 Fribourg, CH
HEdS-FR
Es müssen keine Daten für diesen Abschnitt angezeigt werden.

Laufend

Identification des facteurs permettant de rester plus longtemps dans la profession infirmière ou ASSC

Rolle: Hauptgesuchsteller/in

Description du projet :

Contexte

Les besoins d’infirmier-ère-s du secteur tertiaire en Suisse augmenteront d’environ 30% entre 2014 et 2030 (en +30,3% EPT et +32,0% en effectifs). L’une des causes est que 45.9% des personnes qualifiées en sciences infirmières quittent prématurément la profession. Parmi elles, la moitié a changé de profession et un tiers n’exerce plus d’activité professionnelle. En parallèle à une augmentation éventuelle du nombre de personnes formées, il est donc nécessaire de développer des mesures pour allonger la durée de vie professionnelle dans les institutions de soins (ASSC et infirmier-ère-s). En effet, le rapport DSAS/OrTra 2017 a identifié 6 niveaux d’action afin de répondre à la pénurie de personnel de santé, dont le maintien des personnes en place.

 

Objectif du projet

Ce projet propose d’identifier les principales mesures susceptibles d’augmenter la durée d’activité professionnelle du personnel soignant – assistant-e-s en soins et santé communautaire (ci-après ASSC) et infirmier-ère-s – du canton de Fribourg à travers une recherche de littérature, un questionnaire en ligne et des entretiens semi-directifs. Le but du projet est de proposer des mesures concrètes, qui pourraient être mises en place rapidement, afin d’améliorer l’attractivité des deux professions précitées et la rétention du personnel de santé desdites professions dans le canton de Fribourg.

Forschungsteam innerhalb von HES-SO: Christie Derek , Déchanez Nathalie , Huber Claudia , Mooser François , Verdon Martine

Partenaires professionnels: Direction de la santé et des affaires sociales (DSAS) Fribourg

Durée du projet: 01.01.2022

Statut: Laufend

2025

Comparison of student nurses' expectations and newly qualified nurses' experiences regarding clinical practice :
Wissenschaftlicher Artikel ArODES
a secondary analysis of a cross-sectional survey

Andrea Koppitz, Frank Spichiger, Anita Keller-Senn, Marika Bana, Claudia Huber, Derek Christie, Thomas Bucher, Thomas Volken

Journal of Advanced Nursing,  2025, 81, January, 1, 237-248

Link zur Publikation

Zusammenfassung:

Aim: To compare student nurses' expectations and newly qualified nurses' experiences regarding clinical practice in Switzerland 1 year after graduation. Design: A secondary explorative analysis of a cross-sectional survey. Methods: The data were sourced from the Swiss National Graduate Survey of Health Professionals covering six universities of applied sciences between 2016 and 2019, with information on three cohorts of bachelor student nurses, with a 1-year follow-up between each year. The participants were 533 bachelor-prepared nursing graduates. Results: The student nurses' overall expectations included the following top two prioritized aspects: ‘contributing to something important’ and ‘adequate time to spend with patients’. Newly graduated nurses' clinical practice experiences demonstrated that not all expectations were met 1 year after graduation. The largest gaps were found in ‘adequate time to spend with patients’, ‘work–life balance’ and experiencing ‘good management’. Conclusion: The most crucial expectation gaps are related to having sufficient time to spend with patients and a good work–life balance. The most important result is whether there is a shortage of places for nurses to work rather than the oft-cited shortage of nurses. Implications for the Profession and/or Patient Care: The expectations of Swiss newly qualified nurses can be better met by an assessment in the first year about which individual perceptions of workplace characteristics cause them to make choices to change something about their work, affect their job satisfaction or influence their intention to stay. Impact: Few of the student nurses' expectations were met 1 year after graduation, therefore Swiss healthcare institutions should improve needs assessments to strengthen the nurse workforce starting early in employment. The results underscore the importance of a constructive management culture, such as that in magnet hospitals in the United States which underpins the philosophy of changing in nursing.

2023

Housing, street and health :
Wissenschaftlicher Artikel ArODES
a new systemic research framework

Anna Pagani, Derek Christie, Valentin Bourdon, Catarina Wall Gago, Stéphane Joost, Dusan Licina, Mathias Lerch, Céline Rozenblat, Idris Guessous, Paola Viganò

Buildings and Cities,  4, 1, 629-649

Link zur Publikation

Zusammenfassung:

As the world’s population grows in cities, urban dwellers spend a large amount of time inside their home, making housing health ever more important. Critical for residents’ health, the interactions between indoor residential environments and outdoor environmental conditions (e.g. air pollution, noise, heat) are mediated by the controversial and evolving relationship between housing and the street. Currently, there is a lack of ways to integrate and explore synergies among the plurality of perspectives that have addressed the interactions between housing, street and health (HSH). This paper proposes a systemic research framework to address conceptually, spatially and temporally HSH interactions. With a focus on European cities, determinants of housing health are identified through six perspectives, comprising environmental health, domestic architecture, building technologies, socio-economic inequalities, housing prices and urban planning. Their interrelationships are organised in a causal loop diagram, which can be used to highlight gaps in research and data. Subsequently, the paper explores the research and practical applications of the resulting systemic understanding, taking the context of Geneva, Switzerland, as an example. In sum, this study illustrates ways to integrate systemic, transdisciplinary and spatiotemporal approaches essential to holistically address the complexity of HSH relationships.

The ongoing contribution of health impact assessment to health promotion research
Buchkapitel ArODES

Jean Simos, Derek Christie, Françoise Jabot, Anne Roué Le Gall, Nicola Cantoreggi

Dans Jourdan, Didier, Global Handbook of Health Promotion Research, vol. 3  (pp. 151–169). 2023,  Cham : Springer

Link zur Publikation

Zusammenfassung:

There are many areas of convergence and mutual growth between health impact assessment (HIA) and health promotion. However, HIA is often considered a practical implementation tool and therefore not particularly suited for research. In fact, HIA is more than a tool, it is a health promotion approach and a means to effectively implement Health in All Policies (HiAP). The aim of this chapter is to investigate whether HIA can contribute to meeting research challenges in the field of health promotion. Conversely, the question is also asked whether health promotion research may be a useful source of data and insights for HIA practitioners. Across a series of examples drawn from the work of a group of HIA researchers over 25 years of practical experience, the case is made for a strong and growing link between HIA and health promotion research. The implications of this practical and scientific convergence are discussed.

Housing, street and health :
Wissenschaftlicher Artikel ArODES
a new systemic research framework

Anna Pagani, Derek Christie, Valentin Bourdon, Catarina Wall Gago, Stéphane Joost, Dusan Licina, Mathias Lerch, Céline Rozenblat, Idris Gessous, Paola Viganò

Buildings and Cities,  4, 1, 629-649

Link zur Publikation

Zusammenfassung:

This paper studies the interactions between indoor residential environments and outdoor environmental conditions (e.g. air pollution, noise, heat) and explores synergies among the plurality of perspectives that have addressed the interactions between housing, street and health (HSH). With a focus on European cities, determinants of housing health are identified through six perspectives, comprising environmental health, domestic architecture, building technologies, socio-economic inequalities, housing prices and urban planning. Their interrelationships are organised in a causal loop diagram, which can be used to highlight gaps in research and data. Subsequently, the paper explores the research and practical applications of the resulting systemic understanding, taking the context of Geneva, Switzerland, as an example. In sum, this study illustrates ways to integrate systemic, transdisciplinary and spatiotemporal approaches essential to holistically address the complexity of HSH relationships.

2022

Integrating self-management education and support in routine care of people with type 2 diabetes mellitus :
Wissenschaftlicher Artikel ArODES
a conceptional model based on critical interpretive synthesis and a consensus-building participatory consultation

Claudia Huber, Chantal Montreuil, Derek Christie, Angus Forbes

Frontiers in clinical diabetes and healthcare,  2022, vol. 3, no. 845547, pp. 1-15

Link zur Publikation

Zusammenfassung:

The integration of self-management education and support into the routine diabetes care is essential in preventing complications. Currently, however, there is no consensus on how to conceptualise integration in relation to self-management education and support. Therefore, this synthesis presents a framework conceptualising integration and self-management. Methods: Seven electronic databases (Medline, HMIC, PsycINFO, CINAHL, ERIC, Scopus and Web of Science) were searched. Twenty-one articles met the inclusion criteria. Data were synthesised using principles of critical interpretive synthesis to build the conceptual framework. The framework was presented to 49 diabetes specialist nurses working at different levels of care during a multilingual workshop. Results: A conceptual framework is proposed in which integration is influenced by five interacting components: the programme ethos of the diabetes self-management education and support intervention (content and delivery), care system organisation (the framework in which such interventions are delivered), adapting to context (the aspects of the people receiving and delivering the interventions), interpersonal relationship (the interactions between the deliverer and receiver of the intervention), and shared learning (what deliverer and receiver gain from the interactions). The critical inputs from the workshop participants related to the different priorities given to the components according to their sociolinguistic and educational experiences, Overall, they agreed with the conceptualisation of the components and their content specific to diabetes self-management education and support. Discussion: Integration was conceptualised in terms of the relational, ethical, learning, contextual adapting, and systemic organisational aspects of the intervention. It remains uncertain which prioritised interactions of components and to what extent these may moderate the integration of self-management education and support into routine care; in turn, the level of integration observed in each of the components may moderate the impact of these interventions, which may also apply to the impact of the professional training. Conclusion: This synthesis provides a theoretical framework that conceptualises integration in the context of diabetes self-management education and support in routine care. More research is required to evaluate how the components identified in the framework can be addressed in clinical practice to assess whether improvements in self-management education and support can be effectively realised in this population.

Psychological responses and strategies towards the COVID-19 pandemic among higher education students in Portugal and Switzerland :
Wissenschaftlicher Artikel ArODES
a mixed-methods study

Françoise Schwander-Maire, Ana Querido, Tanya Cara-Nova, Maria Anjos Dixe, Djamel Aissaoui, Zaida Charepe, Derek Christie, Carlos Laranjeira

Frontiers in Psychiatry,  2022, vol. 13, pp. 1-11

Link zur Publikation

Zusammenfassung:

Background: The COVID-19 pandemic has caused overwhelming changes in individual and community daily-life, resulting from the public health measures implemented to contain it, and also from its psychological and socio-economic consequences. These shifts and consequences impacted the entire population, but some groups are more likely to be affected by these changes, including higher education students. Objectives: a) to investigate mental health status and its determinants among higher-education students in Portugal and Switzerland; and b) to explore adjustment patterns used by these students to overcome the impact of the COVID-19 pandemic. Methods: A cross-sectional study with a mixed-methods sequential explanatory design was conducted in two phases. First, an online survey was conducted among higher education students in Portugal and Switzerland, in Portuguese and French respectively. A convenience sampling method was used. Second, some participants from the first phase were invited to participate in four online focus group discussions (two in each country) using a maximum variation sampling method. Results: The survey was answered by 1,880 students. Portuguese students revealed higher levels of stress and anxiety, but lower depression symptoms and less resilient coping compared to Swiss respondents. Hope was identified as an explanatory variable for mental health symptoms in students from both countries. In the focus groups (n = 27), 13 adjustment strategies were found, which were subdivided into three spheres: personal, social, and contextual. Conclusions: The results suggest that the COVID-19 pandemic had a mild to moderate impact on most of the evaluated mental health variables. Nevertheless, the students Schwander-Maire et al. Psychological Impacts of the COVID-19 Pandemic reacted and mobilized positive short-term strategies, which need to be reinforced in order to prevent long-term psychological harm. In addition, our results can inform psychosocial interventions to minimize psychological impact, anxiety, depression, and stress due to sanitary crises or other population-wide problems or disasters.

2019

Wind turbines and health: a review with suggested recommendations
Wissenschaftlicher Artikel

Jean Simos, Nicola Cantoreggi, Christie Derek, Julien Forbat

Environnement, Risques & Santé, 2019 , vol.  18, no  2, pp.  149-159

Link zur Publikation

Zusammenfassung:

Éoliennes et santé: revue de littérature et recommandations pour les projets de parcs éoliens

L’énergie éolienne possède un potentiel considérable à travers le monde. Toutefois, des préoccupations concernant la santé accompagnent son développement. Se fondant sur une revue structurée de la littérature scientifique internationale, cette contribution examine ces préoccupations, regroupées selon les catégories suivantes : bruit, infrasons et sons à basse fréquence, syndrome éolien, effets stroboscopiques et ombres mouvantes, sécurité, impacts sur le paysage, et effets sur les prix du foncier. Il existe une disparité géographique entre les effets globalement positifs de l’éolien et les éventuels effets sur la santé des riverains, objet de cette revue. Les plaintes sanitaires sont le plus souvent difficiles à relier solidement à l’activité des parcs éoliens adjacents, à l’exception de la gêne provoquée par les nuisances sonores. Une partie des impacts négatifs rapportés par les populations riveraines peut être influencée par l’effet nocebo. Toutefois, le mal-être exprimé et les souffrances ressenties doivent toujours être pris en considération par les décideurs et les responsables sanitaires. La distribution des avantages économiques et des inconvénients sanitaires doit être perçue comme équitable. L’article conclut par des recommandations, sous la forme d’une liste en neuf points, visant un développement de l’énergie éolienne dans un contexte favorable à la santé.

2018

Walking in Switzerland: urban and not so leisurely
Buchkapitel
The Routledge International Handbook of Walking (Chapter 9)

Christie Derek, Emmanuel Ravalet, Vincent Kaufmann

Dans C. Michael Hall, Yael Ram, Noam Shoval,  The Routledge International Handbook of Walking. 2018,  London, UK : Routledge

Link zur Publikation

Zusammenfassung:

Recently, walking has been embraced as a means of encouraging greater health and well-being, community improvement and more sustainable means of travel. Yet despite the significance of the subject there is as yet no integrated treatment of the subject in the social science literature. This handbook brings together a number of the main themes on the study of walking from different disciplines and literatures into a single volume that can be accessed from across the social sciences. It is divided into five main sections: culture, society and historical context; social practices, perceptions and behaviours; hiking trails and pilgrimage routes; health, well-being and psychology; and method, planning and design. Each of these highlights current approaches and major themes in research on walking in a range of different environments. This handbook carves out a unique niche in the study of walking. The international and cross-disciplinary nature of the contributions of the book are expected to be of interest to numerous academic fields in the social and health sciences, as well as to urban and regional planners and those in charge of the management of outdoor recreation and tourism globally.

Frequent walkers: from healthy individual behaviours to sustainable mobility futures
Doktorarbeit

Christie Derek

2018,  Lausanne, Switzerland : EPFL

Kaufmann, Vincent, Ravalet, Emmanuel

Link zur Publikation

Zusammenfassung:

Walking is often taken for granted or considered as an ancillary activity. Little is known about the distribution of walking in contemporary populations, and even less about the few people who walk for an hour or more in public space on most days of the week, for whom we coined the term "frequent walkers". Because they have succeeded in acquiring and maintaining this behaviour over time, frequent walkers may constitute a pioneer population with the potential to inspire change towards a sustainable and healthy mobility system. This project seeks to understand how and why people become frequent walkers, how they integrate walking into their schedules, and what they perceive as facilitators or hindrances to frequent walking. To answer these questions, we undertook a mixed-methods study with a trans-disciplinary approach. In a quantitative phase, we analysed the Swiss mobility and transport micro-census, finding that the walking is distributed in an unequal manner: over one third of all people aged 6-99 do not travel by foot on a given day, while around 13% walk for 5 km or more. Semi-structured interviews with 41 adult frequent walkers, mostly from the Geneva-Lausanne area, show that concern with personal health, pleasure and well-being are key motivators for walking. Time-management strategies such as getting up earlier in the morning or using alternative routes on the way out and on the way back home are common. Walking is facilitated - but not decisively - by parks or green spaces. Hindrances include road traffic, narrow or missing pavements (sidewalks), slow traffic lights, and exposure to traffic noise, air pollution or tobacco smoke. Environmental motivation is rarely mentioned and we find no trace of an informal community of frequent walkers, who do not know each other and tend to switch off while walking, operating in a socially closed mode. Individual rather than collective motivations emerge from the analysis. We then equipped 48 volunteers with a GPS tracker, for a duration of 8-10 days and carried out computer-assisted follow-up interviews concentrating on the details of walking routes. In an additional phase presented in the Appendix, we enabled a subset of 27 volunteers to have a check-up in the Health Bus of Geneva University Hospitals, to determine their glycaemia, total cholesterol, blood pressure, resting heart rate, body-mass index and waist-to-hip ratio. This phase aimed at acquiring preliminary data for a follow-up project to investigate the health effects of frequent walking. From the pooled analysis, there emerged a group of frequent walkers whose walking was mainly for transport and was integrated into their daily transportation routines. Another group walked for leisure but not for transportation, leading to less favourable impacts on the environment. In our general discussion, we consider frequent walking to be an embodied, situated and inconspicuous practice, with limited instrumental advantages due to the time and effort involved. So-called symbolic attributes, related to perceived status and self-identity, are likely to play an important role and are worthy of future study. We conclude with a research agenda and recommendations for promoting frequent walking at population level.

2015

The role of health impact assessment in Phase V of the Healthy Cities European Neton
Wissenschaftlicher Artikel

Jean Simos, Lucy Spanswick, Nicola Palmer, Christie Derek

Health Promotion International, 2015 , vol.  30, no  suppl 1, pp.  71-85

Link zur Publikation

Zusammenfassung:

Health impact assessment (HIA) is a prospective decision-making aid tool that aims to improve the quality of policies, programmes or projects through recommendations that promote health. It identifies how and through which pathways a decision can impact a wide range of health determinants and seeks to define the distribution of effects within populations, thereby raising the issue of equity. HIA was introduced to the WHO European Healthy Cities Network as one of its four core themes during the Phase IV (2004-08). Here we present an evaluation of the use of HIA during Phase V (2009-13), where HIA was linked with the overarching theme of health and health equity in all local policies and a requirement regarding capacity building. The evaluation was based on 10 case studies contributed by 9 Healthy Cities in five countries (France, Hungary, Italy, Spain and the UK). A Realist Evaluation framework was used to collect and aggregate data obtained through three methods: an HIA factors analysis, a case-study template analysis using Nvivo software and a detailed questionnaire. The main conclusion is that HIA significantly helps promote Health in All Policies (HiAP) and sustainability in Healthy Cities. It is recommended that all Healthy City candidates to Phase VI (2014-18) of the WHO Healthy Cities European Network effectively adopt HIA and HiAP.

Europe's White Working Class Communities - Lyon
Bericht
At Home in Europe

Christie Derek

2015,  London, UK : Open Society Foundations,  127  p.

Link zur Publikation

Zusammenfassung:

The results presented in this report form part of the research conducted in Open Society Foundations’ At Home in Europe programme examining the experiences of Europe’s white working class. The reports seek to identify and better understand the barriers to full and equal social participation and the factors leading to marginalisation. The aim is to identify and promote effective integration policies and practices in Europe.


This report on the situation of the majority French population in the city of Lyon, France, is based on 15 focus group meetings with 85 inhabitants in the 8th arrondissement (borough) of Lyon, alongside 20 individual interviews with stakeholders and an extensive literature review. The report covers a range of topics that provide the basis for exploring experiences of marginalisation and social exclusion: identity and belonging, education, employment, housing, health and social services, policing and security, civil and political participation, and the role of the media.

This report is part of a comparative study involving five other European cities (Aarhus, Amsterdam, Berlin, Manchester and Stockholm). This study is the largest and to our knowledge the only empirical study on the majority population that has been conducted in France.

Lyon’s 8th arrondissement, where this study took place, is among the most socially and economically challenged districts in the city. There are 76,000 inhabitants in the 8th arrondissement, of which the majority is considered to be in the lower socio-economic strata of society. There are several types of housing, mainly social housing (Habitat à Loyer Modéré, HLM) interspersed with higher-quality blocks of flats and areas where individual houses with gardens have been maintained.


Within France, Lyon is considered to be a role model for working actively with issues of inclusion and cohesion, a policy which is called the politique de la ville (urban policy). The Open Society Foundations’ research finds that French identity is under pressure and even in a crisis according to some focus group participants. To what extent this might be causally linked either to immigration or to the perception of immigration could not be ascertained. The discussion suggests that high immigration and a loss of national identity are simultaneous trends, with no clear link between them. Stakeholders suggested that people felt that the diminished presence of the state and its representatives in everyday life might lead to uncontrolled immigration on the one hand, and a feeling of abandonment on the other.


All participants in the focus groups felt proud to be Lyonnais, to varying degrees. In the 8th arrondissement, the Etats-Unis area has a particularly strong identity, perhaps because of its architecture and history. The strong local and city identity was reinforced by a sense that French identity was in crisis. For some, the identification with France was linked to how much the nation was seen as providing opportunities for improving their lives.
The diversity and density of Lyon, both of which are especially apparent in the Etats- Unis area, imply constant interactions and relationships between individuals of different backgrounds. This meant that focus group participants had at least indirect experiences with and insights into everyday racism and prejudice, even if they were not themselves the primary focus. The lived experience of diversity also meant that tolerance and non-tolerance seemed to live side-by-side.

Participants mentioned a growing sense of fracture in French society, but this appeared to relate to growing social inequality. One participant spoke about a French catastrophe when discussing the underprivileged majority population. He referred to the many former manual workers who had lost their jobs during the previous 20 years, whose children had been put through higher education in order to escape from these problems, but who were still unable to secure decent jobs.


Focus group participants were happy and proud about the good quality of local schools. However, feelings of discontent and anxiety were expressed about the behaviour of students inside and outside schools. There was a perceived lack of authority and discipline and a growing everyday incivility.


Lyon has many big commercial companies especially in the biomedical sector; it also has high-ranking schools and universities. The majority of focus group participants were in employment, or had been until recently. A significant number were working in the health-care sector, almost all of them women. The distribution of jobs and occupations followed classical gender lines in the Open Society Foundations’ sample, with most women working in services (nursing assistants, nannies, shop assistants, etc.) and most men in manual jobs. Only 5 percent of the focus group participants were currently looking for a job. Surprisingly few negative remarks were made about the economic situation or the job market, perhaps reflecting the strength of the labour market in Lyon compared with the rest of France. Remarks were made, however, indicating that people felt the situation was better in Germany or neighbouring
Switzerland.


A recurrent theme in relation to both education and employment was the devaluation of vocational education and traditional skilled trades and professions. They argued that training should focus on real jobs such as mechanics, plumbers or horticulturists, rather than pursuing the elusive goal of a baccalaureate for everyone. Participants in low-status jobs also talked about the increasing lack of respect that they felt was shown to people who worked in such jobs. The difficulties of getting by on jobs that paid the minimum wage were also noted by a number of participants. Similarly, a number of older women who were pensioners said they were still working in order to make ends meet.


The Emplois Francs (literally, free jobs or tax-free jobs) were cited as an example of good practice. These are financial incentives given to companies that offer full-time employment to people aged under 30, who have been unemployed for over a year and who have been living in a priority area for at least six months. A very high percentage (90 percent) of the focus group participants lived in rented apartments, around half of them in social housing in the Etats-Unis area, a long, wide avenue with a recently inaugurated tram line set along it.

The city’s housing and regeneration policy aims to do away with areas with high concentrations of poverty and to create more socio-economically mixed neighbourhoods, through the dispersal of poor households. Most participants approved of this policy. Some participants voiced concerns about housing become too expensive and/or too difficult to obtain. But altogether, most stakeholders supported the municipal policy of developing areas around the city centre in order to increase housing opportunities for the growing population. Green areas were few and far between within the 8th arrondissement, but this was not seen as a big problem because an excellent public transport system enabled local residents to travel quickly to several large parks within a 5-km radius.

In conclusion, the report finds that although an area in Lyon may be regarded as marginalised and vulnerable, the residents were generally positive about the future and did not feel particularly disempowered. This may reflect the wider safety net of social protection that is provided by the state as well as the good position that Lyon finds itself in compared with other cities in France.

2024

Promotion de la marche quotidienne chez les personnes agées : un projet pilote dans le quartier de Pérolles à Fribourg
Konferenz
Poster présenté à la Conférence suisse de santé publique le 3 septembre 2024

Schneider Cynthia, Betty Baud, Christie Derek, Mooser François, Vanbutsele Séréna

Conférence suisse de santé publique, 03.09.2024 - 03.09.2024, Fribourg

Link zur Konferenz

Zusammenfassung:

Le manque d’activité physique chez les personnes âgées favorise l'augmentation des maladies liées à la sédentarité, telles que l'obésité, le diabète et les maladies cardiovasculaires. L'étalement urbain et la dépendance à l'automobile ont tendance à exacerber les comportements sédentaires. La marche est l'activité physique la plus accessible et la plus bénéfique pour les personnes âgées, nécessitant un équipement minimal et offrant des avantages considérables pour la santé. Ce projet vise à promouvoir la marche quotidienne chez les personnes âgées pour améliorer leur santé et leur bien-être. Le projet se concentre sur le quartier de Pérolles à Fribourg, en raison de sa population âgée importante et sa proximité avec des services essentiels

2020

A Health Impact Assessment (HIA) on a motorway bypass in Strasbourg, France (2018-2019)
Konferenz

Christie Derek, Guilhem Dardier, Françoise Jabot, Anne Roué Le Gall, Nicola Cantoreggi, Yoann Mallet, Lorris Tabbone, Jean Simos

16th World Congress on Public Health 2020, 12.10.2020 - 16.10.2020, Rome, virtual edition

Link zur Konferenz

Zusammenfassung:

Abstract
Issue/problem
In 2018-2019, HIA was carried out on a projected 24-km north-south motorway bypass in a rural area west of Strasbourg, intended to alleviate pressure on a pre-existing motorway that cuts through the city centre. Although transport is a major source of impacts on health, HIA is rarely performed on new road construction projects, globally.

Description
The HIA included the screening, scoping, assessment and recommendations phases. Assessed health determinants were outdoor air quality, noise, mobility/access to health services, road safety, urban planning and the living environment. Methods included a literature review, the AirQ+ air pollution model, cartography and an NVivo analysis of answers to a public enquiry.

Results
Noise was set to increase for 1-4% of the population in the study area, but impacts related to air pollution appeared to be negligible and road safety did not change substantially. Mobility and access to health services were to improve, with strong local differences (inequalities): some areas benefitted from access to the new motorway without being affected by noise or traffic, while for others it was the opposite. Stakeholders who participated in the public enquiry were concerned about the loss of agriculturally and environmentally valuable land, viewed as a collective cultural asset. Those living in the vicinity of the bypass expressed anger at the reduction of the quantity and quality of green areas, which was experienced as an injustice given their choice to live in a rural area. Our recommendations related mainly to the pre-existing urban motorway, where reducing traffic volumes and speeds, as well as diverting trucks onto the new bypass, had the most promising effects on health.

Lessons
Due to its rural localization, the new road had limited health effects through air pollution, which is the focus of many transport-related HIAs. Through the analysis of the public enquiry, the HIA showed that the project generated anger and distress.

Message 1
The substantial investment represented by the new bypass did not solve pre-existing problems related to environmental health but generated new ones linked to social and mental health issues.

Message 2
Many HIAs miss out on valuable qualitative information because interviews or focus groups cannot be carried out with local stakeholders. Secondary analysis of public consultations can fill this gap.

Politique de prévention et de promotion de la santé à Genève: de la vision d'avenir aux applications concrètes
Konferenz

Christie Derek, Homa Attar Cohen

Swiss Public Health Conference, 02.09.2020 - 03.09.2020, Luzern (virtual conference)

Link zur Konferenz

Zusammenfassung:

Politique de prévention et de promotion de la santé à Genève: de la vision d'avenir aux applications concrètes

 

Health Impact Assessment in everyday practice: global applications and examples from the field
Konferenz
Workshop

Christie Derek, Jean Simos, Nicola Cantoreggi, Mirko Winkler

Swiss Public Health Conference, 02.09.2020 - 03.09.2020, Luzern (virtual conference)

Link zur Konferenz

Errungenschaften

2023

Programme de recherche santé & environnement

 2023 ; Programme de recherche

Collaborateurs: Christie Derek , Larcher Pascale

Depuis 2023, un programme de recherche en santé & environnement est en cours de développement.

Les premières réalisations sont attendues courant 2024, principalement dans le domaine de la promotion de la marche quotidienne.

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