A. Bergeret

Hospices Civils de Lyon, Lyons, Rhône-Alpes, France

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Publications (86)110.3 Total impact

  • [Show abstract] [Hide abstract]
    ABSTRACT: Objective Many workers suffer from musculoskeletal disorders. In France, occupational physicians are able to set job aptitude restrictions obliging employers to adapt the worker's job. The present study explored the impact of job restriction from the point of view of the employees' supervisors. Methods A qualitative study was conducted in 3 public hospitals. 12 focus groups were organized, involving 61 charge nurses and head nurses supervising 1 or more workers restricted for heavy lifting or repetitive movements. Discussions were recorded for qualitative thematic analysis. Results Charge and head nurses complained that aptitude restrictions were insufficiently precise, could not be respected and failed to mention residual capability. A context of personnel cuts, absenteeism and productivity demands entailed a need for polyvalence and reorganization threatening the permanence of adapted jobs. Job restrictions had several negative consequences for the charge and head nurses, including overwork, increased conflict, and feelings of isolation and organizational injustice. Conclusion Protecting the individual interests of workers with health issues may infringe on the interests of their supervisors and colleagues, whose perception of organizational justice may go some way to explaining the support or rejection they show toward restricted workers. This paradox should be explicitly explored and discussed.
    Journal of Occupational Rehabilitation 09/2015; DOI:10.1007/s10926-015-9609-y · 2.80 Impact Factor
  • Thierry Lassiège · Emmanuel Fort · Alain Bergeret
    13th International Symposium on Maritime Health, Bergen; 06/2015
  • Source
    Lucie Anzivino · Martine Hours · Alain Bergeret
    03/2015; DOI:10.4267/dechets-sciences-techniques.634
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    ABSTRACT: The aim of this work was to review the available literature on occupational risk factors associated with ovarian cancer. A PubMed search was performed using an algorithm with the following search terms: ovary, ovarian, exposure, work, occupation. Relevant articles were selected through assessment of titles and abstracts as well as through the reference lists of related articles. A total of 54 studies were selected for this review, including 17 studies on asbestos exposure and risk of ovarian cancer and, 16 studies on other occupational factors (5 cohort studies and 11 case control studies). An increased risk of ovarian cancer has been reported for several occupations (teachers, administration employees, nurses, religious workers) and various industrial sectors (biomedical research, telephony industry, hairdresser and beautician, printing factories) with inconsistent results. Moreover, in many of these studies, individual risk factors of ovarian cancers were not considered. Despite methodological limitations of published studies, a significantly increased risk for ovarian cancer associated with asbestos exposure have been consistently reported.
    Bulletin du cancer 12/2014; 101(12):1089-1108. DOI:10.1684/bdc.2014.1978 · 0.60 Impact Factor
  • Archives des Maladies Professionnelles et de l Environnement 06/2014; 75(3):S19. DOI:10.1016/j.admp.2014.03.062 · 0.09 Impact Factor
  • Archives des Maladies Professionnelles et de l Environnement 06/2014; 75(3):S1. DOI:10.1016/j.admp.2014.03.005 · 0.09 Impact Factor
  • Archives des Maladies Professionnelles et de l Environnement 06/2014; 75(3):S1. DOI:10.1016/j.admp.2014.03.004 · 0.09 Impact Factor
  • Archives des Maladies Professionnelles et de l Environnement 06/2014; 75(3):321. DOI:10.1016/j.admp.2014.03.194 · 0.09 Impact Factor
  • T. Lassiege · E. Fort · A. Bergeret
    Archives des Maladies Professionnelles et de l Environnement 11/2013; 74(5):556. DOI:10.1016/j.admp.2013.07.112 · 0.09 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Une étude de Suivi d’une Population d’Accidentés de la Route dans le Rhône (la cohorte ESPARR) a été mise en place en 2004, en lien avec le registre des victimes d’accidents de la Route dans le Rhône. L’un des objectifs de ce suivi prospectif est de déterminer les conséquences des accidents de la route, en particulier sur la santé et la vie professionnelle. Objectif : évaluer si les victimes d’un accident de route survenu dans le cadre du travail, issues de la cohorte ESPARR, présentent des conséquences professionnelles différentes de celles d’un accident survenu dans le cadre de vie privée. Matériel et méthodes : 778 adultes (66,6% de la cohorte ESPARR) qui avaient un travail ou étaient en formation professionnelles au moment de l’accident ont été étudiés. Deux groupes ont été distingués : 354 (45,5%) victimes d’un accident de route survenu dans le cadre du travail (groupe 1) et 424 (54,5%) dans le cadre de la vie privée (groupe 2). Les deux groupes ont été comparés sur les données médicales et professionnelles recueillies lors du suivi prospectif, à 6 mois, 1 an, 2 ans et 3 ans. Des analyses multivariées pour rechercher les facteurs associés à un arrêt de travail après l’accident et à une absence de reprise du travail ont été menées à partir des statuts à 6 mois, 1 an et en tenant compte de l’ensemble des questionnaires. Résultats : aucune différence significative entre les deux groupes n’a été observée sur les données démographiques. Dans le groupe 2 il y a plus de victimes qui présentent des lésions sévères (MAIS ≥3) que dans le groupe 1 (32,6% vs 23,7%, p=0,007 ). Aucune différence significative n’a été observée entre les deux groupes sur les données recueillies sur les conséquences professionnelles au cours du suivi, en particulier sur la durée de l’arrêt de travail à la suite de l’accident, le nombre de victimes ayant repris le travail 3 ans après et le nombre de victimes ne travaillant pas à cause d’une décision d’inaptitude au poste de travail. Les conditions du retour au travail sont plutôt meilleures pour le groupe 1 (aménagement du poste de travail….). A 1 an, l’arrêt de travail est significativement associé au type d’accident ; l’odds ratio ajusté augmente pour les accidents en lien avec le travail (OR=2,0 IC95% = [1,1-3,7]). Le type d’accident n’est en revanche pas associé à une absence de reprise du travail. Conclusion : dans la cohorte ESPARR, le fait que l’accident de la route soit survenu dans le cadre du travail ne semble pas avoir d’influence sur les conséquences professionnelles.
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    ABSTRACT: Objectives: A case-control study was carried out to identify driving behaviors associated with the risk of on-duty road accident and to compare driving behaviors according to the type of journey (on duty, commuting, and private) for on-duty road accident victims. Methods: Cases were recruited from the Rhône Road Trauma Registry between January 2004 and October 2005 and were on duty at the time of the accident. Control subjects were recruited from the electoral rolls of the case subjects' constituencies of residence. Cases' and controls' driving behavior data were collected by self-administered questionnaire. A logistic regression was performed to identify behavioral risk factors for on-duty road accidents, taking into account age, sex, place of residence, road accident risk exposure, socio-occupational category, and type of road user. A second analysis focused specifically on the case subjects, comparing their self-assessed usual behaviors according to the type of journey. Results: Significant factors for multivariate analysis of on-duty road accidents were female gender, history of on-duty road accidents during the previous 10 years, severe time pressure at work, and driving a vehicle not belonging to the driver. On-duty road accident victims reported behavioral risk factors more frequently in relation to driving for work than driving for private reasons or commuting: nonsystematic seat belt use, cell phone use at least once daily while driving, and history of accidents with injury during the previous 10 years. Conclusions: This study provides knowledge on behavioral risk factors for on-duty road accidents and differences in behavior according to the type of journey for subjects who have been on-duty road accident victims. These results will be useful for the design of on-duty road risk prevention.
    Traffic Injury Prevention 03/2013; 14(4):353-9. DOI:10.1080/15389588.2012.719091 · 1.41 Impact Factor
  • 01/2013; 8(1):1-12. DOI:10.1016/S1877-7856(12)29980-5
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    ABSTRACT: Objectives: Trichloroethylene (TCE) is suspected of association with elevated risk of cervical cancer. A case-control study was performed in a geographical area in which occupational TCE exposure is high. The study objective was to analyze the correlation between occupational TCE exposure and cervical cancer (including precancerous conditions). Methods: Case and control subjects were recruited by gynecologists. General and occupational data were collected by telephonic interviews. An industrial hygienist assessed occupational TCE exposure on a task-exposure matrix. Analysis focused on occupational TCE exposure at various levels and on cumulative dose. Multivariate analysis was performed to take account of the various risk factors. Results: In total, 67 case and 67 age-matched control subjects were included. Mean age was 36 years in both groups. Five of the possible general risk factors correlated significantly with cervical dysplasia or cancer: number of partners, history of genital or anal wart, interval between first period and first sexual relation, parity, and body mass index, the last three showing inverse correlation. Elevated risk was found in women who had had jobs as manual workers according to the PCS French classification (professions and socioprofessional categories), and production and related workers according to ISCO classification (International Standard Classification of Occupations), with odds ratios (ORs), adjusted on general and medical risk factors, of 7.68 [95% confidence interval (CI): 1.39-42.54] and 7.48 (1.30-43.24), respectively, among skilled service sector workers; the adjusted OR was close to significance, at 4.67 (95% CI: 0.92-23.67). No occupational sectors were significantly associated with elevated risk. In all, 17 (25.4%) case and 15 (22.4%) control subjects were exposed to TCE: raw OR = 1.17 (95% CI: 0.54-2.52), adjusted OR = 1.51 (95% CI: 0.42-5.41). There was no significant correlation between cumulative dose and exposure time. Conclusions: The study found no significantly increased risk of cervical dysplasia or cancer associated with occupational TCE exposure.
    Annals of Occupational Hygiene 10/2012; 57(3). DOI:10.1093/annhyg/mes075 · 2.10 Impact Factor
  • M.A. Denis · R. Cadot · A. Bergeret
    Archives des Maladies Professionnelles et de l Environnement 06/2012; 73(3):459-460. DOI:10.1016/j.admp.2012.03.430 · 0.09 Impact Factor
  • R. Cadot · E. Deletre · P. Rollin · J. Messina · A. Bergeret
    Archives des Maladies Professionnelles et de l Environnement 06/2012; 73(3):460. DOI:10.1016/j.admp.2012.03.432 · 0.09 Impact Factor
  • Archives des Maladies Professionnelles et de l Environnement 06/2012; 73(3):438. DOI:10.1016/j.admp.2012.03.418 · 0.09 Impact Factor
  • Archives des Maladies Professionnelles et de l Environnement 06/2012; 73(3):570. DOI:10.1016/j.admp.2012.03.659 · 0.09 Impact Factor
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    ABSTRACT: Knowledge on the time-course (trends) of work-related asthma (WRA) remains sparse. The aim of this study was to describe WRA trends in terms of industrial activities and the main causal agents in France over the period 2001-2009. Data were collected from the French national network of occupational health surveillance and prevention (Réseau National de Vigilance et de Prévention des Pathologies Professionnelles (RNV3P)). Several statistical models (non-parametric test, zero-inflated negative binomial, logistic regression and time-series models) were used and compared with assess trends. Over the study period, 2914 WRA cases were included in the network. A significant decrease was observed overall and for some agents such as isocyanates (p = 0.007), aldehydes (p = 0.01) and latex (p = 0.01). Conversely, a significant increase was observed for cases related to exposure to quaternary ammonium compounds (p = 0.003). The health and social sector demonstrated both a growing number of cases related to the use of quaternary ammonium compounds and a decrease of cases related to aldehyde and latex exposure. WRA declined in France over the study period. The only significant increase concerned WRA related to exposure to quaternary ammonium compounds. Zero-inflated negative binomial and logistic regression models appear to describe adequately these data.
    Occupational and environmental medicine 03/2012; 69(6):391-7. DOI:10.1136/oemed-2011-100487 · 3.27 Impact Factor
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    ABSTRACT: The main objective of the present study is to determine the prevalence of lifetime use and use in the past 30 days of narcotics in French seamen and to assess factors correlated with positive urine test in seamen as a whole. A stratified survey conducted in 19 French ports collected 1,928 self-administered questionnaires on cigarette, alcohol and narcotics consumption. Seafarers were randomly selected and interviewed during their annual seafaring aptitude consultation. Only the 1847 male respondents were included in analysis. Nearly half of the seamen had tried cannabis at some point in their life, and 16% were users in the past 30 days. Lifetime use of certain other illegal drugs (cocaine, heroin, hallucinogenic mushrooms, poppers and ecstasy) was non-negligible, but cocaine and heroin were the only ones showing exceptional prevalence of consumption over the previous 30 days. Lifetime use of drugs was non-negligible among seamen. Prevalence of recent cannabis use was elevated. Recent consumption as indicated by positive urine test correlated with age group, family situation, occupational category, geographical area, young age of first alcohol consumption and experimentation with other drugs.
    Addictive behaviors 11/2011; 37(3):335-8. DOI:10.1016/j.addbeh.2011.11.009 · 2.76 Impact Factor
  • A Massardier-Pilonchery · A Bergeret
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    ABSTRACT: Diseases, including cancer induced by asbestos, usually occur after many years of latency. The follow-up of employees must therefore continue after the end of their employment (retirement, redundancy, etc.) and such an arrangement has existed in France since 1996. This article reviews the literature on the post-employment monitoring arrangements that exist outside of France, particularly in other European countries, and their characteristics. This research has revealed a limited number of national experiences in Germany, Spain, Finland, Italy, Norway, Poland, and Switzerland. The medical protocols generally involve: algorithm decisions, questionnaire, physical examination, chest radiography, CT scan, and/or spirometry. Internationally, various methods exist to select employees for follow-up and to determine the frequency of subsequent examinations. Unlike Germany, which has a long experience of such medical follow-up, several of these programs are more recent. Post-occupational medical surveillance of asbestos-related disease is uncommon, monitoring arrangements vary and depend on medical and also on social factors. The French system of post-occupational monitoring can undoubtedly improve but it bears comparison with arrangements in other countries, where these are even present.
    Revue des Maladies Respiratoires 04/2011; 28(4):556-64. · 0.62 Impact Factor

Publication Stats

536 Citations
110.30 Total Impact Points


  • 2007–2014
    • Hospices Civils de Lyon
      Lyons, Rhône-Alpes, France
  • 2003–2013
    • University of Lyon
      Lyons, Rhône-Alpes, France
  • 2001–2009
    • Claude Bernard University Lyon 1
      • Unité mixte de recherche epidémiologique et de surveillance transport travail environnement
      Villeurbanne, Rhône-Alpes, France
  • 2004
    • Centre Hospitalier Lyon Sud
      Lyons, Rhône-Alpes, France