Suchergebnisse

Abstract
Rather than leading to the emergence of a problem, some processes contribute to limiting their scope and impeding agenda-setting. These "nonproblems" are situations that could have led to social mobilizations or public intervention but end up neither being publicized nor subject to strong policy. We use occupational health in France to illustrate these mechanisms. The social invisibility of work-related ill-health is linked to the joint contribution of two processes. Firstly, from the perspective of research on ignorance and undone science, scientific knowledge is under-developed compared to other public health issues. And even available knowledge is rarely used by policy-makers. Secondly, policies use underestimated numbers from the occupational diseases compensation system. This specific configuration of knowledge/ignorance and official counting plays a central role in the production of occupational health issues as a nonproblem. Their invisibility contributes to the production of inertia and public inaction that characterize public policy in this field.

The Global Burden of Disease (GBD) project represents one of the most comprehensive initiatives of health quantification to date. The Institute of Health Metrics and Evaluations (IHME), its hosting organization, produces estimates that have become increasingly influential in global health, with a clear ambition to inform policies. The following working paper, first of two volumes included in this research, provides a thorough examination of the historical development of the GBD by looking at its conceptual, methodological, and organizational evolutions. In this first volume, we will focus on the main measurement of the study, the disability-adjusted life years (DALY), and its two components: years of life lost (YLL) and years lost to disability (YLD). The work will then explore some of the most prominent critiques of the project and will try to understand how the GBD has addressed these issues methodologically. Finally, the work ponders on the institutional influences that could have affected the project, while trying to trace the most important actors in the development of its estimates. The research relies on a literature review (non-structured) of published studies and commentaries. It follows a chronological development of the GBD estimates since their first publication in 1993 to the version released in 2019. ; Le projet Global Burden of Disease (GBD) représente l'une des entreprises de quantification de la santé les plus complètes à ce jour. L'Institute of Health Metrics and Evaluations (IHME), son organisation hôte, produit des estimations de plus en plus influentes en matière de santé globale et d'orientation des politiques. Le présent document de travail, premier de deux volumes issus d'une recherche en cours, propose un examen détaillé du développement du GBD en se penchant sur ses évolutions historiques conceptuelles, méthodologiques et organisationnelles. Dans ce premier volume, nous nous concentrerons sur le principal instrument de mesure mobilisé, les années de vie corrigées de l'incapacité (DALY), ...

International audience ; Following our results, based on population studies conducted in Greenland and Northern Canada, that Nunavik Inuit were thrice as highly exposed to dietary trans-fat as were Greenlandic Inuit, and that the biological levels found in Nunavik were already associated with deleterious blood lipid profiles, we decided to engage in translational activities. Our goal was to support Inuit communities in the practical implementation of a reduction of the trans-fat content of food sold in Nunavik. We carried out a preliminary feasibility study in Kuujjuaq and participated in several meetings. This translational phase involved an Inuk leader, an Inuk student, a southern student, a southern nutritionist and a southern researcher in the framework of a public health project. In the present article, we recount the different phases of the process, from research implementation to results dissemination and institutional commitment to implement a primary prevention program of reduction in trans-fat exposure in Nunavik. This is the occasion to draw broader conclusions on the factors that could either act in favour of or, on the contrary, would likely compromise the implementation of primary prevention interventions dealing with food and nutrition in the Arctic. Finally, we share some reflections on future translational activities dealing with trans-fat as well as other junk food issues. The analytical framework we propose integrates a range of factors, from geo-climatic to socio-economic, ethno-cultural, and even political, that we think should be examined while identifying and building preventive recommendations and strategies related to the Northern diet.

International audience ; Following our results, based on population studies conducted in Greenland and Northern Canada, that Nunavik Inuit were thrice as highly exposed to dietary trans-fat as were Greenlandic Inuit, and that the biological levels found in Nunavik were already associated with deleterious blood lipid profiles, we decided to engage in translational activities. Our goal was to support Inuit communities in the practical implementation of a reduction of the trans-fat content of food sold in Nunavik. We carried out a preliminary feasibility study in Kuujjuaq and participated in several meetings. This translational phase involved an Inuk leader, an Inuk student, a southern student, a southern nutritionist and a southern researcher in the framework of a public health project. In the present article, we recount the different phases of the process, from research implementation to results dissemination and institutional commitment to implement a primary prevention program of reduction in trans-fat exposure in Nunavik. This is the occasion to draw broader conclusions on the factors that could either act in favour of or, on the contrary, would likely compromise the implementation of primary prevention interventions dealing with food and nutrition in the Arctic. Finally, we share some reflections on future translational activities dealing with trans-fat as well as other junk food issues. The analytical framework we propose integrates a range of factors, from geo-climatic to socio-economic, ethno-cultural, and even political, that we think should be examined while identifying and building preventive recommendations and strategies related to the Northern diet.

International audience ; Following our results, based on population studies conducted in Greenland and Northern Canada, that Nunavik Inuit were thrice as highly exposed to dietary trans-fat as were Greenlandic Inuit, and that the biological levels found in Nunavik were already associated with deleterious blood lipid profiles, we decided to engage in translational activities. Our goal was to support Inuit communities in the practical implementation of a reduction of the trans-fat content of food sold in Nunavik. We carried out a preliminary feasibility study in Kuujjuaq and participated in several meetings. This translational phase involved an Inuk leader, an Inuk student, a southern student, a southern nutritionist and a southern researcher in the framework of a public health project. In the present article, we recount the different phases of the process, from research implementation to results dissemination and institutional commitment to implement a primary prevention program of reduction in trans-fat exposure in Nunavik. This is the occasion to draw broader conclusions on the factors that could either act in favour of or, on the contrary, would likely compromise the implementation of primary prevention interventions dealing with food and nutrition in the Arctic. Finally, we share some reflections on future translational activities dealing with trans-fat as well as other junk food issues. The analytical framework we propose integrates a range of factors, from geo-climatic to socio-economic, ethno-cultural, and even political, that we think should be examined while identifying and building preventive recommendations and strategies related to the Northern diet.