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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

The "Context of Sexuality in France" (CSF) survey took a broad perspective. It includes the three components of sexuality (acts, relationships and meanings), while simultaneously recording them in individual trajectories, in the social context, life circumstances and forms of the reports between men and women. A "Health and Sexuality" approach was prioritised to consider HIV infection as well as contraception, elective abortions, STIs (sexually transmitted infections), sexual violence, dysfunction and other sexual problems. The survey also includes an epidemiological extension aimed at studying, for the first time in France, the prevalence of Chlamydia Trachomatis infection and the risk factors for contamination.

Evaluate the prevalence of sleep disorders in an adult population living with HIV (PLHIV) monitored on an outpatient basis.
Identify risk factors for sleep disorders related to HIV infection or antiretroviral therapy.

To generate occupational health indicators for employees and to investigate changes in work-health relationships over time.