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Master Thesis

Impact d'une campagne de sensibilisation aux perturbateurs endocriniens (PE) par des professionnels de santé de soins primaires sur les comportements à risque d'exposition aux PE chez des patientes en période péri-conceptionnelle

Abstract : Background: Endocrine disruptors (ED) are exogenous substances that alter the endocrine system functions of the human body or its descendants. They represent a recognized threat to human health, particularly during fetal life. The peri-conceptional period is therefore a susceptibility window where exposure to ED should be minimized. However, women of childbearing age are daily exposed to ED and do not seem to be sufficiently informed on the subject. Objective: The main objective of this study was to assess the impact of an ED awareness campaign by primary care health professionals on the change in woman behaviours during peri-conceptional period, one month after information. Methods : Quantitative, multricentric, prospective study carried out between September 2019 and January 2020. 12 general practitioners and 7 midwives interviewed 102 patients on their daily practices exposing them to ED at inclusion, then gave messages on prevention using an information sheet. The women were contacted again one month after to analyse the impact of the intervention. Results: The awareness campaign improved the ED exposure score from 16.5/30 (+/-5.0 SD) to 18.2/30 (+/-4.8 SD) (p <0.01). The success factors were a low baseline score and multiparity. The information sheet was read and saved at 88.7% by the patients. The understanding average score was 27/31 points. The professionals knowledge level and the participants interest in environmental health increased after intervention. Conclusion: Prevention improves the risk behaviours exposing people to ED, which suggests the usefulness of generalizing these actions in outpatient consultations, especially during the pre-conceptional consultation. The Nesting sheet can be used as a written support, however, official documents are recommended.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02551917
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Submitted on : Thursday, April 23, 2020 - 10:54:50 AM
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Céline Beaufils, Amélie Pelletier de Chambure Le Bourgeois. Impact d'une campagne de sensibilisation aux perturbateurs endocriniens (PE) par des professionnels de santé de soins primaires sur les comportements à risque d'exposition aux PE chez des patientes en période péri-conceptionnelle. Médecine humaine et pathologie. 2020. ⟨dumas-02551917⟩

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