Anne-Laurence Le FaouHôpital Européen Georges-Pompidou (Hôpitaux Universitaires Paris-Ouest) · Centre d'Addictologie
Anne-Laurence Le Faou
Associate Professor in Public Health
About
116
Publications
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654
Citations
Introduction
Additional affiliations
September 2005 - present
September 2001 - September 2016
Position
- in charge of the smoking cessation service
February 2000 - May 2014
Position
- in charge of the smoking cessation service
Publications
Publications (116)
Introduction:
A survey on smoking prevalence was conducted among staff at the Georges Pompidou and Corentin Celton hospitals in the framework of the "smoke-free hospital" project. It aimed to determine the smoking status of different categories of personnel, their desire to be helped to quit and, as regards healthcare staff, whether or not they we...
Background
In women, smoking is particularly harmful to the cardiovascular (CV) system, and smoking cessation (SC) is a key issue for CV prevention.
Objectives
From a large nationwide database on subjects who visited SC services between 2001 and 2018, we aimed to describe the profile and abstinence rate among female smokers at high CV risk.
Metho...
Background
Compared to smokers with favorable socio-economic position (SEP), those with low SEP are less likely to have a successful smoking cessation attempt. Tailored approaches are therefore needed, and general practitioners could help reaching and assisting usually hard-to-reach population.
Method
STOP (Sevrage Tabagique à l’aide d’Outils dédi...
Background
Our aim was to examine whether work conditions could be associated with alcohol use even after taking into account life conditions outside of work. Methods: In 2019, 591 consecutive French workers were screened for alcohol use with the Fast Alcohol Consumption Evaluation (FACE). Ten different work conditions and four life conditions outs...
Objectifs
La consommation de tabac est un facteur de risque majeur du développement et de l’aggravation des maladies vasculaires. En conséquence, les objectifs de cette présentation visent à insister sur l’évaluation de la dépendance tabagique et les caractéristiques du comportement tabagique à recueillir en consultation, à faire une synthèse des t...
Background
Electronic cigarettes are increasingly being used as smoking cessation aids. Most studies assess the dual use of e-cigarettes and traditional cigarettes, but there remains a paucity of literature concerning individuals who use e-cigarettes exclusively. Objective: The aim of this study is to examine the sociodemographic and clinical chara...
Background
Smoking is the main modifiable risk factor for stroke and myocardial infarction, particularly in women; its prevalence in France is evolving, and new patterns of nicotine consumption have emerged.
Aims
To present contemporary data on smoking prevalence and the use of electronic cigarettes, and to describe current knowledge of the cardio...
Smoking cessation method effectiveness is discussed among socially disadvantaged smokers. Our aim was to measure real-life effectiveness of the choice of a multi-component group intervention in comparison with individual usual care. We report an observational study ( N = 100). Disadvantaged smokers were screened with a validated tool. We designed a...
Introduction
Many smoking cessation aids such as nicotine replacement treatments and e-cigarettes have been proven effective in aiding smoking cessation attempts. Encouraging smokers with low socioeconomic position (SEP) to choose their smoking aid tool based on their preferences, and giving that tool free of charge, might increase the odds of smok...
Résumé
Introduction
En novembre 2016, la France a mis en place l’opération « Mois sans tabac ». L’objectif de cette étude consistait à comparer les caractéristiques des fumeurs et le taux d’arrêt à un mois en consultation de tabacologie avant et après cette mise en place.
Méthodes
Dans la base nationale CDTnet, 1943 fumeurs avaient effectué au mo...
Introduction
We examined whether duration of electronic cigarette (e-cigarette) use could be associated with smoking reduction or cessation attempt.
Methods
5,409 current smokers at baseline enrolled in the French CONSTANCES cohort in 2015 or 2016 were included. Duration of e-cigarette use was categorized as follows: never; former user for more th...
Objectifs
La consommation de tabac est un facteur de risque majeur du développement et de l’aggravation des maladies vasculaires. En conséquence, les objectifs de cette présentation visent à insister sur l’évaluation de la dépendance tabagique et les caractéristiques du comportement tabagique à recueillir en consultation, à faire une synthèse des t...
Objective
To compare the effectiveness of the mobile e-Tabac Info Service (e-TIS) application (app) for helping adult smokers quit smoking with current practices.
Design
Pragmatic randomised controlled trial with a 1-year follow-up (2017–2018).
Setting
France, population-wide level.
Participants
2806 adult smokers who wished to quit smoking were...
Introduction:
Given the high prevalence of alcohol use disorder (AUD) amongst patients in Emergency Rooms (ER), it is recommended to carry out a systematized screening of at-risk drinkers, followed if necessary by a brief intervention (BI) to prevent AUD-related damages. This intervention has been the subject of numerous efficacy and feasibility s...
Introduction
Depuis 2016, les médecins et infirmiers des services de santé au travail sont autorisés à prescrire des substituts nicotiniques en France afin d’augmenter le nombre de prescripteurs potentiels afin de réduire la prévalence tabagique. De fait, la consommation de tabac représente un coût pour la société qui correspond d’une part, aux coû...
Résumé
Introduction
En France, la prévalence tabagique quotidienne était de 24 % en 2019 et la lutte contre le tabagisme reste une priorité de santé publique. Une hospitalisation représente une opportunité pour initier un sevrage tabagique. Différentes méthodes ont été implémentées dans les dossiers informatisés pour le repérage et la prise en cha...
Background: In France, daily smoking has been highly prevalent among low-income smokers.
Objectives: Our aim was to search for factors associated with both continued abstinence and attempting to quit among low-income disabled smokers. Methods: From the French national smoking cessation cohort CDT-net, we included 1624 adults living with disability...
Objectifs
La consommation de tabac est un facteur de risque majeur du développement et de l’aggravation des maladies vasculaires. En conséquence, les objectifs de cette présentation visent à insister sur l’évaluation de la dépendance tabagique et les caractéristiques du comportement tabagique à recueillir en consultation, à faire une synthèse des t...
Tous les items du programme de DFASM relevant de la santé publique.
I - Epidémiologie clinique.
II - Qualité des soins et sécurité du patient.
III - Economie de la santé et systèmes de santé.
IV - Addictions.
V - Risques infectieux.
VI - Risques cardiovasculaires.
VII - Cancers.
VIII - Entraînements
https://www.elsevier-masson.fr/sante-pu...
Les patients schizophrènes présentent la plus forte prévalence tabagique parmi les personnes souffrant de maladies psychiatriques : 80 % d’entre eux fument avec des conséquences majeures en termes de morbi-mortalité. Chez ces patients, on observe une dépendance tabagique plus importante, de moins bons résultats en termes de sevrage avec une efficac...
Les patients schizophrènes présentent la plus forte prévalence tabagique parmi les personnes souffrant de maladies psychiatriques : 80 % d’entre eux fument avec des conséquences majeures en termes de morbi-mortalité. Chez ces patients, on observe une dépendance tabagique plus importante, de moins bons résultats en termes de sevrage avec une efficac...
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Background: To evaluate a diagnostic test which can allow the comparison between Diffusion-weighted imaging with background suppression (DWIBS) the novel diagnostic modality versus PET/CT ¹⁸ F-NaF, the gold standard for the diagnosis of bone metastases (BM). Methods: University bioethics committee authorized the protocol. Patients with solid...
Introduction
Renseigner le statut tabagique des patients est une des mesures obligatoires de la certification « Meaningful Use » instaurée par le gouvernement Américain pour moderniser les systèmes d’information hospitaliers (SIH) des États-Unis d’Amérique. Il constitue un indicateur simple de la qualité des dossiers patients en particulier des com...
Patients with alcohol use disorder experience frequently alcohol withdrawal syndrome (AWS), which is a potentially life-threatening condition mainly caused by glutamate overactivity. The aim of therapeutic alcohol withdrawal is the entry into a process of complete and lasting abstinence. Therefore preparing withdrawal is crucial to optimize complia...
Introduction: By using a standardized and systematic screening with the FACE questionnaire, our aims were: – to determine the prevalence of alcohol misuse (AM) among patients admitted in the emergency department of the European Georges-Pompidou Hospital; – to search for risk factors associated with AM. Methods: Patients admitted between 9 am and 5...
Dr. Anne-Laurence Le Faou, President of “Société Francophone de Tabacologie” (SFT) and head of the outpatient addiction center at “Hôpital Européen Georges Pompidou” conducted a MOOC (Massive Open Online Course), completely free, with “Virchow-Villermé Center” (University of Paris).
This MOOC ("Tobacco, stop your own way!") Through courses, group w...
Aims:
To examine the cross-sectional and longitudinal associations between depressive symptoms and electronic cigarette (e-cig) use in a large population-based sample while taking into account smoking status and sociodemographic confounders.
Methods:
Participants from the French Constances cohort were included from February 2012 to December 2016...
Résumé
De nombreux outils ont fait preuve de leur efficacité dans le sevrage tabagique. Sur le plan pharmacologique, les traitements nicotiniques de substitutions (TNS) et le bupropion augmentent de plus 80 % l’arrêt du tabac à six mois en comparaison au placebo, tandis que la varenicline fait plus que doubler les chances d’arrêt. Cela veut dire qu...
A study was carried out in May 2014 of the first 100 patients who came to seek help to stop smoking in 2013 with the first contact led by a nurse. A mail-questionnaire was sent to this group of patients to evaluate their smoking status and the nurse's first contact organization. Among 34% respondents, 40% had not smoked for at least eight months. T...
Introduction
A French national smoking cessation service, Tabac Info Service, has been developed to provide an adapted quitline and a web and mobile application involving personalised contacts (eg, questionnaires, advice, activities, messages) to support smoking cessation. This paper presents the study protocol of the evaluation of the application...
Introduction:
Underprivileged people smoke more frequently, present with a more severe smoking profile and stop less often than wealthier smokers. They can have difficulties to afford smoking cessation treatments as the French medical insurance coverage system requires smokers to pay it in advance with a later reimbursement. The objective of this...
Introduction:
There is a particular need among HIV-infected patients to stop smoking because of the risk of smoking-related complications and the high prevalence of cigarette smoking among them. Only a few studies have focused on this population in real-world settings.
Aim of the study:
Investigate the effectiveness of a smoking cessation suppor...
En conformité avec le programme de DFASM (diplôme de formation approfondie en sciences médicales) et avec les Epreuves Classantes Nationales (ECNi), cet ouvrage rassemble l'ensemble des connaissances fondamentales en santé publique.
Il comprend 2 parties :
◾une partie « Connaissances » qui aborde tous les items de PUE 1 et d'autres UE relevant de...
Percutaneous vertebroplasty (PV) is a therapeutic option in patients with vertebral metastases (VM). However its efficacy in pain relief, improvement in quality of life and safety in patients with VM from breast cancer has not been reported. We present a longitudinal retrospective study of 31 consecutively treated female patients with VM from breas...
. This study examined the prevalence and predictors of gradual quitting among treatment-seeking smokers.
. This study examined quit attempts among 28,156 adult smokers who attended French smoking cessation services nationwide between 2007 and 2010. Predictors of gradual quitting were determined using multivariate regression models.
. Only 4.4% quit...
This study investigated perceived risks to cessation expressed by light smokers and the association with cessation outcomes at one month post-quit date.
Data from adult light smokers attending French smoking cessation services nationwide between October 2007 and December 2010 were analyzed, retrospectively. In order to identify perceived risks, we...
Smoking is one of the main causes of morbidity and mortality around the world. In France, despite increase of cost of cigarettes and exclusion of smoking in public places, daily smoking consummation remains high, particularly in women and young. Now, smoking is considered as a compartmental and/or psychologic and/or physic addiction. There are many...
In France, daily tobacco consumption increased among adults between 18 and 75 years between 2005 and 2010, particularly women. At 17 age-old, it raised 10% between 2008 and 2011 (32.7% in boys and 30.2% in girls). The number of cigarettes smoked per day decreased between 2005 and 2010 in France, from 15.4 to 13.9 cigarettes smoked per day. But acti...
Smoking is one of the main causes of morbidity and mortality around the world. In France, despite increase of cost of cigarettes and exclusion of smoking in public places, daily smoking consummation remains high, particularly in women and young. Now, smoking is considered as a compartmental and/or psychologic and/or physic addiction. There are many...
In France, daily tobacco consumption increased among adults between 18 and 75 years between 2005 and 2010, particularly women. At 17 age-old, it raised 10% between 2008 and 2011 (32.7% in boys and 30.2% in girls). The number of cigarettes smoked per day decreased between 2005 and 2010 in France, from 15.4 to 13.9 cigarettes smoked per day. But acti...
Objectives: Pregnant women are one of the target populations of the French tobacco control global policy. By characterizing this population and assessing outcomes of smoking cessation, this study aimed at defining the needs of a special subgroup of smokers. Design: A cross sectional analysis was performed on a sample of 699 pregnant women registere...
Cannabis use is very problematic among young French people, because of the young age of first consumption and its health consequences. Indeed, the average age of cannabis experimentation is about 15 in France and 49.5% of 17 year-olds report having used cannabis in their lives. To prevent this problem, tobacco and cannabis cessation services are de...
Economists usually draw a distinction between smokers. They distinguish 'happy addicts' à la Becker-Murphy from 'unhappy addicts' who state that smoking is a mistake and call for some help to quit. When evaluating tobacco control policies, it might be important to distinguish their effects on those two types of population. Indeed, such policies are...
Aim of the studyTo offer routine information on smoking cessation and bedside counseling to smokers admitted in cardiac intensive care unit. The objective is to encourage cessation and/or use of smoking cessation services after discharge.
French epidemiological data show that adolescents today experiment with tobacco at an earlier age than in the 1990s. Half of them combine tobacco consumption with other psychoactive products such as alcohol or cannabis. Tobacco consumption usually begins in adolescence and early smoking initiation is related to stronger nicotine dependence and prob...
French epidemiological data show that adolescents today experiment with tobacco at an earlier age than in the 1990s. Half of them combine tobacco consumption with other psychoactive products such as alcohol or cannabis. Tobacco consumption usually begins in adolescence and early smoking initiation is related to stronger nicotine dependence and prob...
To offer routine information on smoking cessation and bedside counseling to smokers admitted in cardiac intensive care unit. The objective is to encourage cessation and/or use of smoking cessation services after discharge.
Thirty-three smokers were admitted in cardiac intensive care unit at the Georges Pompidou European hospital (HEGP) in Paris (Fr...
We addressed the understudied topic of cessation interventions for adult light smokers (< or =10 cigarettes daily). We identified cessation aids offered in French cessation services and their impact on cessation outcomes at 1-month follow-up.
We retrospectively analyzed data from 36,594 smokers in cessation services nationwide. Smokers could be off...
To examine the impact of the social denormalization of smoking on smokers' motives for quitting and on subsequent abstinence in a context of intensified anti-smoking measures.
This study is based on data from 13,746 French smokers who were registered in cessation services nationwide between September 2006 and September 2007.
Motives freely reported...
Objectives Pregnant women are one of the target populations of the French tobacco control global policy. By characterizing this population and assessing outcomes of smoking cessation, this study aimed at defining the needs of a special subgroup of smokers. Design A cross sectional analysis was performed on a sample of 699 pregnant women registered...
This study investigated pregnant smokers' profile and attitude towards cessation to explain who stops smoking during pregnancy and who is unsuccessful.
682 pregnant smokers aged less than 50 had visited cessation services between 2004 and 2006. Pregnant smokers' profile was described using: socio-demographic details, psychological and medical histo...
French public health policies aimed at reducing smoking were reinforced in France between 1999 and 2004 to decrease tobacco consumption. The consequences of these policies are of particular interest to teachers who play a role model for young people. Depression and alcohol problems were particularly studied as they may influence smoking behaviour....
In 2001, an electronic medical record system was designed to collect data from smoking cessation services in France. By comparing two periods (2001-2003 and 2004-2006), this study assessed trends in the profile of smokers registered in the database.
A cross-sectional analysis on the 33,219 smokers registered in the database in 2001.
Sociodemographi...
The existence of efficient smoking cessation therapies should lead to a systematic management of smoking cessation. Most smokers should be managed by their general practitioner. For addicted smokers, an adequate training on drug and non-drug therapies for smoking cessation provided to general practitioners as a part of public health contracts could...
Despite their well-established tradition of negotiating, relationships between physicians’ unions, local physicians’ associations, social security funds and the State have become strained since the 2003 reform of the health system. Since the end of 2005, physicians’ unions, both of hospital doctors and independent physicians, have actively mobilize...
In France, the prevalence of tobacco consumption is 31% for teenagers between 15 and 19 years old. Nevertheless, few French studies have been published on the characteristics of young smokers seeking smoking cessation services. The development of smoking cessation centres in France since 1999 was associated to the setting up of a e-transfer system...
To assess the value of systematic smoking cessation consultations for diabetic smokers admitted to hospital.
All diabetic smokers admitted to the Diabetes Department of Georges Pompidou European Hospital between February 2003 and February 2004 were systematically offered a consultation with a physician specialised in tobacco cessation. Follow-up vi...
The national policy against addiction led to the establishment of specialized units with liaison teams trained in addiction specifically to work with the in-patients. The aim of this study has been established within the context of the implementation of one of these addiction liaison units in a Parisian Hospital, the Georges Pompidou European Hospi...
Background: The national policy against addiction led to the establishment of specialized units with liaison teams trained in addiction specifically to work with the in-patients. The aim of this study has been established within the context of the implementation of one of these addiction liaison units in a Parisian Hospital, the Georges Pompidou Eu...
