ITMO public health
Last update : 10/19/2017 | Version : 1 | ID : 1202
| General | |
| Identification | |
| Detailed name | Fertility – Contraception – Sexual dysfunction survey |
| Sign or acronym | Fécond |
| CNIL registration number, number and date of CPP agreement, AFSSAPS (French Health Products Safety Agency) authorisation | CCTIRS n°12.552 / CNIL n° 909024 |
| General Aspects | |
| Medical area |
Infectious diseases |
| Health determinants |
Lifestyle and behavior |
| Keywords | Chronic diseases Sexual and reproductive health Vaccinations, elective abortion, STIs, sexuality |
| Scientific investigator(s) (Contact) | |
| Name of the director | Bajos |
| Surname | Nathalie |
| Address |
Inserm CESP U1018, team 7, 82 rue du Général Leclerc, 94276 Le Kremlin-Bicêtre Cedex |
| Phone | +33 (0)1 45 21 23 47 |
| nathalie.bajos@inserm.fr | |
| Unit | Inserm CESP U1018, team 7 |
| Organization | INSERM |
| Collaborations | |
| Funding | |
| Funding status |
Public |
| Details | INSERM, INED |
| Governance of the database | |
| Sponsor(s) or organisation(s) responsible | Inserm |
| Organisation status |
Public |
| Sponsor(s) or organisation(s) responsible | INED |
| Organisation status |
Public |
| Additional contact | |
| Main features | |
| Type of database | |
| Type of database |
Study databases |
| Study databases (details) |
Not-repeated cross-sectional studies (except case control studies) |
| Database recruitment is carried out by an intermediary |
A population file |
| Database recruitment is carried out as part of an interventional study |
Yes |
| Details |
Performed at individual level |
| Additional information regarding sample selection. | 1) The representative national survey was conducted with a random sample of women and men (n=8,645) between 15 and 49 years of age living in metropolitan France. It is intended to study the knowledge and practices of individuals regarding the management of risks associated with sexual activity, considering the interaction between the different events studied. The telephone survey also explores contraceptive and reproductive biography of individuals, periods of infertility, sexual dysfunctions and the methods of treating them. The pilot survey of this study was conducted in 2009 and the final survey was conducted between June 2010 and January 2011. 2) The survey of general practitioners (n=500) and gynaecologists (n=500) is intended to study their knowledge and their practices with regard to care for contraception, abortion, infertility and sexual dysfunctions. The pilot survey of this study was conducted in collaboration with the INED survey department and is intended to test different inclusion protocols for physicians for their participation rates. This pilot study as well as the final study (the protocol for which was determined based on the results of the methodological pilot) were carried out between the end of 2010 and September 2011. Furthermore, the FECOND programme presents an important methodological component, intended to shed light on the thinking about the evolution of general population surveys in the context of eroding quality and feasibility of classic telephone surveys. |
| Database objective | |
| Main objective |
The last few decades have been marked by a major paradigm shift in the realm of reproductive health. From an analysis focused on the health of women as mothers, there has been movement toward a perspective focused on the individuals involved in the reproductive process, then to a global approach to sexuality and the associated risks (Bonnet and Guillaume 2004). The concept of sexual and reproductive health as defined by WHO is not limited to the absence of dysfunctions, diseases or health problems (infertility, abortion, sexually transmitted infections (STI), etc.), but refers to a continuous process of physical, psychological and sociocultural well-being associated with sexuality (WHO 2004). Although their treatment is increasingly medical, sexual and reproductive health issues are today viewed within a global and multidisciplinary perspective (Hart and Wellings 2002). It is within this context of growing medicalisation (Conrad 1992, Giami 2002) that this project intends to shed light on current sexual and reproductive health issues in France. In line with the WHO perspective, we propose to study, for the first time in France, sexual and reproductive health as a process resulting from social and medical determinants that structure the representations and practices of women and men, as well as the social, medical and institutional factors that shape the practices of health care professionals.
More specifically, the research is intended to analyse: - socialisation to contraception and the transition from the condom to another contraceptive method at the beginning of reproductive life; - the norms and representations related to motherhood/fatherhood and reproductive technologies regarding health practices in this area (medical aid to procreation, contraceptive sterilisation); - contraceptive practices and the conditions of choice of methods at different stages of the life cycle (in particular during the perimenopausal period); - contraceptive failures (and the degree of practical efficacy of the principal methods used) with regard to the side effects of the methods used and the context in which they occur (relationships, preventive and procreative) as well as recourse to emergency contraception in case of badly protected or unprotected sex; - difficulties in conceiving and their treatment: perception of fertility problems, time elapsed, course of treatment (medical and non-medical) and impact on health; - medical monitoring in the realm of sexual and reproductive health, studying the question of access to care, the nature and frequency of gynaecological monitoring for women and gynaecological cancer screening practices. Recourse to treatment for certain specific conditions such as perimenopausal symptoms, sexual dysfunctions and urinary disorders will also be studied |
| Inclusion criteria | subjects from 15 to 49 years of age who speak French and live in Metropolitan France |
| Population type | |
| Age |
Adolescence (13 to 18 years) Adulthood (19 to 24 years) Adulthood (25 to 44 years) Adulthood (45 to 64 years) |
| Population covered |
General population |
| Pathology | |
| Gender |
Male Woman |
| Geography area |
National |
| Detail of the geography area | metropolitan France |
| Data collection | |
| Dates | |
| Date of first collection (YYYY or MM/YYYY) | 06/2009 |
| Date of last collection (YYYY or MM/YYYY) | 2011 |
| Size of the database | |
| Size of the database (number of individuals) |
[1000-10 000[ individuals |
| Details of the number of individuals | 8645, 1000 (doctors) |
| Data | |
| Database activity |
Data collection completed |
| Type of data collected |
Declarative data |
| Declarative data (detail) |
Internet self-questionnaire Phone interview |
| Details of collected declarative data | Sociodemographics (Marital status, Parents' level of education, Diploma level, Socioprofessional category), Quality of life (Household income, General health condition, Chronic diseases, Migraines, Urinary incontinence), Relationship to health-care system (Consultation, Treatment, Tests/examinations/vaccination, Medical coverage, Reimbursements), Sexual and reproductive health (Contraceptive history, reproductive history, Sexually transmitted infections (STIs) and HIV infection, Sexual dysfunctions, Perimenopause/Menopause), Other (Weight and height of the surveyed individual, Tobacco use, Opinion) |
| Presence of a biobank |
No |
| Health parameters studied |
Health event/morbidity Quality of life/health perception |
| Procedures | |
| Participant monitoring |
No |
| Followed pathology | |
| Links to administrative sources |
No |
| Promotion and access | |
| Promotion | |
| Access | |
| Dedicated website | https://www.ined.fr/fr/recherche/projets-recherche/P1419#tabs-3 |
| Terms of data access (charter for data provision, format of data, availability delay) |
The members of the FECOND research project team will have access to the anonymised database (no mention of the place of residence of the individuals questioned, only indirect personal data) throughout the data handling period.
The database will be made available to researchers upon request to the research team after a period of 2 years: researchers who wish to use the database should send a study protocol to the scientific supervisors of the FECOND survey. Once the protocol is validated, a member of the survey's scientific team will be designated as a point of contact. The researchers will then have to sign an agreement in which they agree: - not to provide the digital files to any other researcher or research team and not to use them to train students; - to only publish results corresponding to the project submitted to the FECOND team. Any other analysis should be the subject of a new project and a validation by the entire FECOND team. - include the FECOND group within the authors (with reference to the team members) in order to account for the work provided by the team in the preparation of the data. Send the team a final version of the article, for feedback, before it is submitted to a journal. to note the organisations that financed the survey in every paper submitted |
| Access to aggregated data |
Access on specific project only |
| Access to individual data |
Access on specific project only |
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