IFERISS

Institut Fédératif d’Etudes et de Recherches Interdisciplinaires Santé Société

From the Haute Conseil de la Santé Publique (HCSP): "Equitable/fair healthcare, made possible by actions that combat social and territorial inequalities in health and succeed in reducing them. Each action envisaged in the health sphere must be evaluated on its capacity to reduce inequalities in health."


Taking health into account more and more in policies. Health, in its global dimension and beyond whatever governmental department may be in charge of health policies, involves the decisions of numerous other sectors, such as the environment, work, agriculture, education, urban planning, and others. The interministerial aspect of health policies is essential for their success. »


The epidemiological data are in agreement that social and territorial inequalities in health persist, and are even growing in France, a fact that contrasts strongly with the increase in the average level of health. The data cited are not detailed, were collected after the 2010 HCSP report, and serve only to confirm the breadth of the problem.


The reduction of social and territorial inequalities in health is a fixed priority of the Agences Régionales de Santé, and is underscored in the first two cancer plans and reaffirmed as a priority for the third. For the IGAS, this reduction justifies the definition of a coordinated national strategy, and is therefore a central objective in the National Health Strategy.


All the work done at IFERISS has a common objective, which is to better understand how social inequalities in health are constructed throughout life, and how the healthcare system contributes to them, in order to find better targets in the chain of causality that could become the subject of interventions. Two approaches are particularly important. On the one hand lies reasoning in terms of chains of causality and integrating into such chains without excluding the elements with which social factors construct inequalities, which are macro- and microsociological, psychological, and biological. On the other hand, the question of norms is a fertile, common subject that lies at the heart of the definition of health, but refers also to social, legal, cultural, and personal norms. Health programs call voluntarily/willingly for a transformation of these norms, a process that requires ethical examination.


IFERISS has outlined 3 areas of research:


Area 1: SIH, their social determinants, and chains of causality

  • IBISS: Incorporation Biologique and Inégalités Sociales de Santé (Biological Embedding and Social Inequalities in Health). Financial support: ANR. Research laboratories: INRA, UMR 1027 INSERM-University of Toulouse 3, UMR 1037 INSERM-University of Toulouse 3, Institut de mathématiques de Toulouse, PDPS University of Toulouse 2 (2012-2015)
  • « Au cœur de la nuit » ("In the middle of the night"): Cardiovascular risk prevention in night workers. Financial support: IRESP. Research laboratories: UMR 1027 INSERM-University of Toulouse 3, DIRECCTE Midi-Pyrénées, CLLE University of Toulouse 2 (2014-2017)

Area 2: Research on healthcare systems

  • OSICAT: Optimisation de la Surveillance Ambulatoire des Insuffisants CArdiaques par Télécardiologie (Optimizing Ambulatory Monitoring for Heart Failure via Telecardiology). Financial support: CHU de Toulouse. Research laboratory: CERTOP-équipe ECORSE (2012-2016). Website: www.osicat.fr
  • BIG DATA: A project establishing Santé and Société (Health and Society), a regional institute for interdisciplinary research in public health. Financial support: Région Midi-Pyrénées. Laboratories: UMR 1027 INSERM-University of Toulouse 3, Institut de mathématiques de Toulouse (2014-2018)

Area 3: Interventions

  • EVALISS: Research on evaluation methods for public policies that endeavor to correct social inequalities in health. Financial support: ANR. Research laboratories: EHESP, PRISSMH SOI University of Toulouse 3, IFERISS, UMR 1027 INSERM-University of Toulouse 3 (2010-2015)
  • TRANSFERISS: How transferable are SIH-reducing interventions in cancer? Financial support: INCa. Laboratories: UMR 1027 INSERM-University of Toulouse 3 – University of Lyon EA 4148/ENS (2014-2017)
  • REFLEXISS: Seminars on the various types of expertise useful for population health intervention research (PHIR). Financial support: Inca (awaiting a response). Research laboratories: UMR 1027 INSERM-University of Toulouse 3, PRISSMH SOI University of Toulouse 3, LaSSP INP de Toulouse (2015-2016)

Other projects in progress:

  • The ORSOSA cohort. Examining psychological and organizational constraints in the workplace, and the health of care personnel in hospital complexes. Financial support: CNRACL, Fondation de recherche sur l'HTA (the Arterial Hypertension Research Foundation). Research laboratories: UMR 1027 INSERM-University of Toulouse 3, Laboratoire de médecine du travail CHU de Toulouse (2006-2014). Website: www.orsosa.fr
  • The VISAT cohort: Studies:

- The link between atypical working hours (shift work, etc.), quality of sleep, metabolic syndrome, and cognitive efficiency at various stages of adulthood (Financial support: ANR, IReSP, IOSH);
- The consumption of psychoactive medicine and its long-term effects (Financial support: ANR);
- The links between drudgery and health (Financial support: MSHS-T, Direccte, and the VISAT Association).
Research laboratories: UMR 1027 INSERM-University of Toulouse 3, CLLE University of Toulouse 2 (2006-present).

Finished projects:

  • Rights on the move: Rainbow families in Europe. Financial support: Europe. Project coordinated by the University of Trento (Italy). Partners: Lund University (Sweden), Panthéon-Assas University (France), the University of Trento (Italy), the Ufficio Nuovi Diritti della CGIL (Italy), IFERISS-University of Toulouse 3 (France), the University of Barcelona (Spain), The Institute for Contemporary Social and Political Studies (Slovenia), Cara-Friend (Ireland) (2013-2015)
  • AAPRISS: Learning and acting to reduce social inequalities in health—an interventional research project on the reduction of social inequalities in health. Financial support: INCa. Led by: Oncopôle, ICR, CHU, the Toulouse city hall, IRESPS Midi-Pyrénées, IFERISS. (2010-2014)
  • INTERMEDE: Doctor-patient interactions in general medicine and social inequalities in health: interdisciplinary analyses (epidemiology, sociology, linguistics, psychology). Financial support: IRESP. Research laboratories: UMR 1027 INSERM-University of Toulouse 3, PRISSMH SOI University of Toulouse 3, LISST-CERS University of Toulouse 2, CLLE-ERS University of Toulouse 2 and LERASS University of Toulouse 3 (2009-2014)
  • MOBIRISQUES: The mobility of "nano-risks". Financial support: ANSES. Research laboratories: CERTOP University of Toulouse 3, CECOJI CNRS, University of Toulouse 2 and 3, IMH, ENSIC LRGP CNRS (2012-2014)
  • National regulatory framework for professional practices relative to local conditions for organizing care for patients with respiratory and gastrointestinal cancer. Financial support: Cancéropôle GSO. Research laboratories: LISST-CERS University of Toulouse 2, the ECORSE team of CERTOP University of Toulouse 3, IMH (2012-2014)
  • Drudgery and Health: The conditions for sustainable effort at work. Financial support: IRESP. Research laboratories: CLLE University of Toulouse 2, CDA University of Toulouse 1, UMR 1027 INSERM-University of Toulouse 3, LISST-CERS University of Toulouse 2, PDPS University of Toulouse 2, CERTOP University of Toulouse 3, the Occupational Medicine Laboratory at the CHU of Toulouse (2010-2013)
  • TeGALSI: Open-access genetic testing online: the jurisdictions, developments, and consequences of an emerging commercial offering. Financial support: IRESP. Research laboratories: UMR 1027 INSERM-University of Toulouse 3, LISST-CERS University of Toulouse 2, University of Paris 5, Purpan Hospital, Louvain Catholic University, University of Copenhagen, Lancaster University (2010/2013)
  • INPRATéCHINE: The institutionalization of Chinese therapeutic practices in France: individual use and public responsibility for new therapeutic strategies. Financial support: IRESP. Research laboratories: PRISSMH SOI University of Toulouse 3, LaSSP IEP of Toulouse (2011-2012)
  • Sports and Public Health: The political sociology of programs to combat the sedentary lifestyle. Financial support: IRESP "Territoires and santé 2008". Research laboratories: PRISSMH SOI University of Toulouse 3, LACES University of Bordeaux 2, ER 3S University of Lille 2 (2009-2012)
  • Measures and provisions: The transformation of food and physical activity practices in health education: the case of obesity and cardiovascular disease. Financial support: IRESP-prévention. Research laboratories: PRISSMH SOI University of Toulouse 3, UMR 1027 INSERM-University of Toulouse 3 (2007-2011)