{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T12:54:04Z","timestamp":1781873644914,"version":"3.54.5"},"reference-count":33,"publisher":"CAIRN","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4,5]]},"abstract":"<jats:p>Introduction\u00a0: Une \u00e9tude observationnelle multicentrique a \u00e9t\u00e9 r\u00e9alis\u00e9e dans dix ESMS et mobilisait une m\u00e9thodologie mixte (visite des structures, enqu\u00eate par questionnaires, entretiens semi-directifs collectifs avec des professionnels et individuels avec des usagers). But de l\u2019\u00e9tude\u00a0: Cet article vise \u00e0 d\u00e9crire la gestion et la pr\u00e9vention du tabagisme dans des \u00e9tablissements et services m\u00e9dico-sociaux (ESMS) accueillant des personnes avec un trouble psychique, et \u00e0 caract\u00e9riser et identifier les comportements tabagiques et les repr\u00e9sentations de leurs usagers et professionnels. R\u00e9sultats\u00a0: L\u2019\u00e9tude a permis de distinguer les ESMS au regard de l\u2019organisation des espaces du tabagisme et des actions de pr\u00e9vention du tabac. Elle a permis \u00e9galement de constater que 37 % des professionnels qui ont r\u00e9pondu d\u00e9claraient fumer du tabac, une partie d\u2019entre eux expliquant fumer avec les usagers et leur donner parfois des cigarettes. Concernant la pr\u00e9vention, un consensus se d\u00e9gageait chez les professionnels sur le fait d\u2019aider les usagers qui souhaitaient arr\u00eater. Les professionnels \u00e9taient cependant divis\u00e9s \u00e0 l\u2019\u00e9gard d\u2019une pr\u00e9vention plus active, invoquant la libert\u00e9 de l\u2019usager et le fait que les ESMS sont des lieux de vie. 47 % des usagers se disaient fumeurs. 55 % des usagers fumeurs d\u00e9claraient vouloir arr\u00eater. Les entretiens avec les usagers ont permis de constater que douze d\u2019entre eux souhaitaient arr\u00eater, une partie r\u00e9clamant de l\u2019aide et d\u2019\u00eatre davantage aid\u00e9s par les professionnels. Conclusions\u00a0: Cet \u00e9tat des lieux invite \u00e0 d\u00e9velopper des recherches interventionnelles dans les ESMS accueillant des personnes avec un trouble psychique qui pourraient tirer profit des actions de pr\u00e9vention du tabac rep\u00e9r\u00e9es dans des structures enqu\u00eat\u00e9es.<\/jats:p>","DOI":"10.3917\/spub.241.0033","type":"journal-article","created":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T14:07:36Z","timestamp":1712326056000},"page":"33-44","source":"Crossref","is-referenced-by-count":1,"title":["Tabagisme et handicap psychique\u00a0: \u00e9tude observationnelle mixte dans un \u00e9chantillon diversifi\u00e9 d\u2019\u00e9tablissements et de services m\u00e9dico-sociaux"],"prefix":"10.3917","volume":"36","author":[{"given":"Adel","family":"Fernane","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00e9bastien","family":"Saetta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Trichard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laetitia","family":"Minary","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Remen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Herv\u00e9","family":"Martini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Guirimand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Rouquette","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norbert","family":"Amsellem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Lombrail","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alain","family":"Lepl\u00e8ge","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Groupe TABAPSY","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2273","reference":[{"key":"rb1","unstructured":"1California Department of Health Services, Tobacco Control Section. A Model for Change\u00a0: the California Experience in Tobacco Control [En ligne]. CDHS, TCS; 1998. 28 p. Disponible sur\u00a0: https:\/\/www.cdph.ca.gov\/Programs\/CCDPHP\/DCDIC\/CTCB\/CDPH%20Document%20Library\/Policy\/SocialNormChange\/CTCPmodelforchange1998.pdf"},{"key":"rb3","unstructured":"3Hill C, Laplanche A. Le tabac en France, les vrais chiffres. Paris, France: la Documentation fran\u00e7aise; 2004. 139 p."},{"key":"rb4","unstructured":"4Pasquereau A, Andler R, Guignard R, Soullier N, Beck F, Nguyen-Thanh V. Pr\u00e9valence du tabagisme et du vapotage en France m\u00e9tropolitaine en 2022 parmi les 18-75 ans. Bull \u00c9pid\u00e9miol Hebd. 2023;(9-10): 152-8."},{"key":"rb5","unstructured":"5Pasquereau A, Andler A, Guignard R, Richard JB, Arwidson P, Nguyen-Thanh V, le groupe Barom\u00e8tre sant\u00e9 2017. La consommation de tabac en France\u00a0: premiers r\u00e9sultats du Barom\u00e8tre sant\u00e9 2017. Bull Epid\u00e9miol Hebd. 2018;14-15\u00a0: 265-7."},{"key":"rb6","unstructured":"6Coldefy M, Gandr\u00e9 C. Personnes suivies pour des troubles psychiques s\u00e9v\u00e8res\u00a0: une esp\u00e9rance de vie fortement r\u00e9duite et une mortalit\u00e9 pr\u00e9matur\u00e9e quadrupl\u00e9e. Questions d\u2019\u00e9conomie de la sant\u00e9. sept 2018;237\u00a0: 1-8."},{"key":"rb7","doi-asserted-by":"publisher","first-page":"165-185","DOI":"10.1146\/annurev-publhealth-031816-044618","article-title":"Smoking, Mental Illness, and Public Health","volume":"38","author":"Prochaska Judith J.","year":"2017","journal-title":"Annual Review of Public Health","ISSN":"https:\/\/id.crossref.org\/issn\/0163-7525","issn-type":"print"},{"key":"rb8","doi-asserted-by":"publisher","first-page":"289-303","DOI":"10.1016\/j.neubiorev.2021.11.039","article-title":"The prevalence, odds, predictors, and management of tobacco use disorder or nicotine dependence among people with severe mental illness: Systematic review and meta-analysis","volume":"132","author":"Fornaro Michele","year":"2022","journal-title":"Neuroscience & Biobehavioral Reviews","ISSN":"https:\/\/id.crossref.org\/issn\/0149-7634","issn-type":"print"},{"key":"rb9","doi-asserted-by":"crossref","unstructured":"9Dervaux A, Laqueille X. Tabac et schizophr\u00e9nie\u00a0: aspects \u00e9pid\u00e9miologiques et cliniques. L\u2019Enc\u00e9phale. juin 2008;34(3): 299305.","DOI":"10.1016\/j.encep.2007.04.003"},{"key":"rb10","doi-asserted-by":"crossref","unstructured":"10Poirier MF, Canceil O, Bayl\u00e9 F, Millet B, Bourdel MC, Moatti C, et al. Prevalence of Smoking in Psychiatric Patients. Prog Neuropsychopharmacol Biol Psychiatry. avr 2002;26(3): 52937.","DOI":"10.1016\/S0278-5846(01)00304-9"},{"key":"rb11","doi-asserted-by":"crossref","unstructured":"11Bouvet C. Tabagisme et psychiatrie. L\u2019information psychiatrique. 2007;83(1): 417.","DOI":"10.3917\/inpsy.8301.0041"},{"key":"rb12","doi-asserted-by":"publisher","first-page":"13-15","DOI":"10.1016\/S1261-694X(06)78659-X","article-title":"L\u2019interdiction de fumer dans les lieux publics","volume":"2006","author":"Gayet Jean-Louis","year":"2006","journal-title":"Archives des Maladies du Coeur et des Vaisseaux - Pratique","ISSN":"https:\/\/id.crossref.org\/issn\/1261-694X","issn-type":"print"},{"key":"rb13","doi-asserted-by":"crossref","unstructured":"13Fouillet M, Mass\u00e9 G, Pucheault M. Un service de soins psychiatriques sans tabac\u00a0: l\u2019exp\u00e9rience du centre Henri Rousselle au centre hospitalier Sainte-Anne. L\u2019information psychiatrique. 2007;83(2): 12936.","DOI":"10.3917\/inpsy.8302.0129"},{"key":"rb14","doi-asserted-by":"crossref","unstructured":"14Fond G, Trouve M, Andrieu-Haller C, Sunhary de Verville PL, Boyer L. Barriers in Psychiatrists\u2019 Mind to Active Smoking Cessation Promotion in Severe Psychiatric Disorders. Encephale. f\u00e9v 2023;49(1): 21-6.","DOI":"10.1016\/j.encep.2021.09.007"},{"key":"rb15","doi-asserted-by":"crossref","unstructured":"15Michel L, Lang JP. L\u00e9gislation anti-tabac en psychiatrie\u00a0: une chance pour les patients\u00a0? L\u2019information psychiatrique. 2009;85(7): 6218.","DOI":"10.3917\/inpsy.8507.0621"},{"key":"rb16","unstructured":"16Loi n\u00b0 2005-102 du 11 f\u00e9vrier 2005 pour l\u2019\u00e9galit\u00e9 des droits et des chances, la participation et la citoyennet\u00e9 des personnes handicap\u00e9es."},{"key":"rb17","unstructured":"17Bergeron T, Dauphin L. L\u2019offre d\u2019accueil des personnes handicap\u00e9es dans les \u00e9tablissements et services m\u00e9dico-sociaux fin 2018. \u00c9tudes et R\u00e9sultats. nov 2020;1170\u00a0: 1-7."},{"key":"rb18","unstructured":"18Goffman E. Asiles. \u00c9tudes sur la condition sociale des malades mentaux et autres reclus. Paris, France: \u00c9ditions de Minuit; 1961. p. 41."},{"key":"rb19","unstructured":"19Moreau D. Contraindre pour soigner\u00a0? Les tensions normatives et institutionnelles de l\u2019intervention psychiatrique apr\u00e8s l\u2019asile [Th\u00e8se de doctorat]. Paris, France: \u00c9cole des hautes \u00e9tudes en sciences sociales; 2015."},{"key":"rb20","unstructured":"20Gonzalez L, H\u00e9am JC, Mikou M, Ferretti C. Les d\u00e9penses de sant\u00e9 en 2018 - \u00e9dition 2019 [En ligne]. DRESS; 2019. 155 p. Disponible sur\u00a0: https:\/\/drees.solidarites-sante.gouv.fr\/sites\/default\/files\/2020-07\/cns2019.pdf"},{"key":"rb21","unstructured":"21Code de l\u2019action sociale et des familles - Article D344-5-3 [En ligne]. Code de l\u2019action sociale et des familles. Disponible sur\u00a0: https:\/\/www.legifrance.gouv.fr\/codes\/article_lc\/LEGIARTI000020438263"},{"key":"rb22","unstructured":"22Creswell JW, Plano Clark VL. Designing and Conducting Mixed Methods Research. Thousand Oaks, United States\u00a0: Sage Publications; 2007. 520 p."},{"key":"rb23","unstructured":"23Sant\u00e9 publique France. Barom\u00e8tre de Sant\u00e9 publique France 2019. Questionnaire [En ligne]. Sant\u00e9 publique France; 2019. 27 p. Disponible sur\u00a0: https:\/\/www.santepubliquefrance.fr\/docs\/barometre-de-sante-publique-france-2019.-questionnaire"},{"key":"rb24","doi-asserted-by":"crossref","unstructured":"24Heatherton TF, Kozlowski LT, Frecker RC, Fagerstr\u00f6m KO. The Fagerstr\u00f6m Test for Nicotine Dependence\u00a0: A Revision of the Fagerstr\u00f6m Tolerance Questionnaire. Br J Addict. sept 1991;86(9): 111927.","DOI":"10.1111\/j.1360-0443.1991.tb01879.x"},{"key":"rb25","unstructured":"25Paill\u00e9 P, Mucchielli A. L\u2019analyse qualitative en sciences humaines et sociales. Paris, France: Armand Colin; 2021. 496 p."},{"key":"rb26","unstructured":"26Andler R, Richard JB, Guignard R, Quatrem\u00e8re G, Verrier F, Gane J, et al. Baisse de la pr\u00e9valence du tabagisme quotidien parmi les adultes\u00a0: r\u00e9sultats du barom\u00e8tre de Sant\u00e9 publique France 2018. Bull \u00c9pid\u00e9miol Hebd. 2019;15\u00a0: 271-7."},{"key":"rb27","unstructured":"27Picot-Ngo C, Protais C. Initiation et consommation de tabac chez les personnes d\u00e9tenues. Tendances. nov 2020;140\u00a0: 1-4."},{"key":"rb28","unstructured":"28Pasquereau A, Andler R, Arwidson P, Guignard R, Nguyen-Thanh V. Consommation de tabac parmi les adultes\u00a0: bilan de cinq ann\u00e9es de programme national contre le tabagisme, 2014-2019. Bull Epid\u00e9miol Hebd. 2020;14\u00a0: 273-81."},{"key":"rb29","isbn-type":"print","doi-asserted-by":"publisher","DOI":"10.4000\/books.pur.149492","volume-title":"Contrainte et consentement en sant\u00e9 mentale","author":"Velpry Livia","year":"2018","ISBN":"https:\/\/id.crossref.org\/isbn\/9782753574984","journal-title":""},{"key":"rb30","unstructured":"30Proctor RN. Golden Holocaust\u00a0: la conspiration des industriels du tabac. Paris, France: \u00c9ditions des \u00c9quateurs; 2014. 698 p."},{"key":"rb31","doi-asserted-by":"crossref","unstructured":"31Lasser K, Boyd JW, Woolhandler S, Himmelstein DU, McCormick D, Bor DH. Smoking and Mental Illness\u00a0: A Population-Based Prevalence Study. JAMA. nov 2000;284(20): 2606-10.","DOI":"10.1001\/jama.284.20.2606"},{"key":"rb32","doi-asserted-by":"crossref","unstructured":"32Das-Munshi J, Semrau M, Barbui C, Chowdhary N, Gronholm PC, Kolappa K, et al. Gaps and Challenges\u00a0: WHO Treatment Recommendations for Tobacco Cessation and Management of Substance Use Disorders in People with Severe Mental Illness. BMC Psychiatry. mai 2020;20(1): 237.","DOI":"10.1186\/s12888-020-02623-y"},{"key":"rb33","doi-asserted-by":"crossref","unstructured":"33Underner M, Perriot J, Brousse G, De Chazeron I, Schmitt A, Peiffer G, et al. Arr\u00eat et r\u00e9duction du tabac chez le patient souffrant de schizophr\u00e9nie. L\u2019Enc\u00e9phale. sept 2019;45(4): 34556.","DOI":"10.1016\/j.encep.2019.04.067"},{"key":"rb34","doi-asserted-by":"crossref","unstructured":"34Saetta S, Kivits J, Frohlich K, Minary L. Stigmatisation et sant\u00e9 publique\u00a0: le c\u00f4t\u00e9 obscur des interventions anti-tabac. Sant\u00e9 publique. 2020;32(56): 4738","DOI":"10.3917\/spub.205.0473"}],"container-title":["Sant\u00e9 Publique"],"original-title":[],"deposited":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T14:10:20Z","timestamp":1712326220000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cairn.info\/revue-sante-publique-2024-1-page-33.htm?ref=doi"}},"subtitle":[""],"short-title":[],"issued":{"date-parts":[[2024,4,5]]},"references-count":33,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,4,5]]}},"URL":"https:\/\/doi.org\/10.3917\/spub.241.0033","relation":{},"ISSN":["0995-3914"],"issn-type":[{"value":"0995-3914","type":"print"}],"subject":[],"published":{"date-parts":[[2024,4,5]]}}}