Dès sa création en mai 2016, Santé publique France a marqué un engagement significatif pour la promotion de la santé dans le champ de la périnatalité, de la petite enfance et de l’enfance. Notre approche se fonde sur l’état des connaissances sur les besoins fondamentaux des enfants qui met en exergue le méta-besoin d’établir des relations affectives stables avec un adulte qui lui portera attention. L’unité soutient actuellement deux expérimentations d’interventions pour accompagner la parentalité, en s’appuyant en particulier sur le développement des compétences psychosociales : panjo (Promotion de la santé et de l’Attachement des Nouveau-nés et de leurs Jeunes parents : un Outil de renforcement des services de pmi ) et psfp (Programme de Soutien aux Familles et à la Parentalité). En complément, l’agence s’engage également dans une démarche de valorisation et de capitalisation de ces interventions jugées prometteuses ou probantes. Il est en effet indispensable de faire dialoguer ces deux courants, notamment en interrogeant nos pratiques évaluatives, qu’il ne faudrait pas percevoir en opposition mais en synergie.

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This study aims to describe changes in tobacco and alcohol consumption in France during the first COVID-19 lockdown in March 2020 and its gradual lifting in May. The associated factors and the reasons reported explaining those changes are also studied. Data came from five waves of the CoviPrev online cross-sectional survey (approximately n = 2000 per wave) and the ViQuoP qualitative survey (n = 60), which took place between April and June. Most people self-reported stable consumption compared to before the lockdown, but 27% to 32% of smokers and 10% to 16% of drinkers had increased their consumption, depending on the wave of the survey. Boredom, stress and the search for pleasure were the main reasons reported. While the sociodemographic factors associated with an increase in tobacco and alcohol use differed according to the product and month, poor mental health was associated with an increase in both products in April and May. Between 10% and 19% of smokers and 22% to 25% of drinkers reported having reduced their consumption for their health or through constraints. The measures taken to manage the spring 2020 epidemic appear to have had contrasting impacts on tobacco and alcohol consumption in France. People whose lifestyles and mental health was most affected appear to have modified their consumption more frequently.

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