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The ARTEMIS Center: An Environmental Health Prevention Platform Dedicated to Reproduction

Author

Listed:
  • Fleur Delva

    (Bordeaux Population Health Research Center, Inserm UMR1219-EPICENE, University of Bordeaux, 33076 Bordeaux, France
    Environmental Health Platform Dedicated to Reproduction, ARTEMIS Center, 33076 Bordeaux, France)

  • Guyguy Manangama

    (Bordeaux Population Health Research Center, Inserm UMR1219-EPICENE, University of Bordeaux, 33076 Bordeaux, France
    Environmental Health Platform Dedicated to Reproduction, ARTEMIS Center, 33076 Bordeaux, France)

  • Patrick Brochard

    (Bordeaux Population Health Research Center, Inserm UMR1219-EPICENE, University of Bordeaux, 33076 Bordeaux, France
    Environmental Health Platform Dedicated to Reproduction, ARTEMIS Center, 33076 Bordeaux, France)

  • Raphaëlle Teysseire

    (Bordeaux Population Health Research Center, Inserm UMR1219-EPICENE, University of Bordeaux, 33076 Bordeaux, France
    Environmental Health Platform Dedicated to Reproduction, ARTEMIS Center, 33076 Bordeaux, France)

  • Loïc Sentilhes

    (Environmental Health Platform Dedicated to Reproduction, ARTEMIS Center, 33076 Bordeaux, France
    Department of Obstetrics and Gynecology, Bordeaux University Hospital, 33076 Bordeaux, France)

Abstract

In France, a new approach is being developed through the ARTEMIS Center, which is a prevention platform for environmental health dedicated to reproduction. The objective is to describe the clinical management of patients in the ARTEMIS center. Couples with a condition affecting reproduction are referred to the ARTEMIS center. Management includes a medical consultation and a standardized interview. Current exposure is assessed by a questionnaire that includes exposure circumstances to reproductive risk factor and on the basis of which it is possible to implement preventive action in clinical practice without prejudging the role of such exposure in the onset of disease. From 16 February 2016 to 2 May 2019, 779 patients were seen in the ARTEMIS center. On the day of the consultation, 88.3% men and 72.2% women were employed. Among employed men, 61.5% had at least one instance of occupational exposure to a reproductive risk factor, and among employed women, 57.8%. The main nonprofessional circumstances of exposure identified were proximity of the residence to an agricultural area (35.3%) and domestic pesticide exposure (79.7%). The preventive actions implemented by the ARTEMIS center are targeted to the individual practices of patients. However, patient care also allows their physicians to become familiarized with environmental health.

Suggested Citation

  • Fleur Delva & Guyguy Manangama & Patrick Brochard & Raphaëlle Teysseire & Loïc Sentilhes, 2020. "The ARTEMIS Center: An Environmental Health Prevention Platform Dedicated to Reproduction," IJERPH, MDPI, vol. 17(3), pages 1-13, January.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:3:p:694-:d:311593
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    References listed on IDEAS

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    1. Croteau, A. & Marcoux, S. & Brisson, C., 2006. "Work activity in pregnancy, preventive measures, and the risk of delivering a small-for-gestational-age infant," American Journal of Public Health, American Public Health Association, vol. 96(5), pages 846-855.
    2. Mathias Mund & Frank Louwen & Doris Klingelhoefer & Alexander Gerber, 2013. "Smoking and Pregnancy — A Review on the First Major Environmental Risk Factor of the Unborn," IJERPH, MDPI, vol. 10(12), pages 1-15, November.
    3. Steeve Rouillon & Chloé Deshayes-Morgand & Line Enjalbert & Sylvie Rabouan & Jean-Benoit Hardouin & Group DisProSE & Virginie Migeot & Marion Albouy-Llaty, 2017. "Endocrine Disruptors and Pregnancy: Knowledge, Attitudes and Prevention Behaviors of French Women," IJERPH, MDPI, vol. 14(9), pages 1-16, September.
    4. Raphaëlle Teysseire & Patrick Brochard & Loïc Sentilhes & Fleur Delva, 2019. "Identification and Prioritization of Environmental Reproductive Hazards: A First Step in Establishing Environmental Perinatal Care," IJERPH, MDPI, vol. 16(3), pages 1-14, January.
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    Cited by:

    1. Anaïs Pasquiou & Fanny Pelluard & Guyguy Manangama & Patrick Brochard & Sabyne Audignon & Loïc Sentilhes & Fleur Delva, 2021. "Occupational Exposure to Ultrafine Particles and Placental Histopathological Lesions: A Retrospective Study about 130 Cases," IJERPH, MDPI, vol. 18(23), pages 1-12, December.

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