As part of its mandate, Santé publique France helps improve understanding of the population’s health status and health risks, particularly those related to the workplace. The SEESTA study represents a traditional approach to the epidemiological surveillance of occupational risks, consisting of analyzing and monitoring over time the incidence of disease and the medical causes of death in relation to occupational factors, in order to help identify the situations posing the greatest risk.

The objectives of this study are to develop and regularly disseminate to prevention stakeholders (public authorities, occupational physicians, prevention specialists, social partners, etc.) a wide variety of health indicators broken down by occupational activity, particularly by sector of activity.

Objectives

• To identify whether certain sectors of activity or types of professional careers are characterized by risks of specific health events.

• Assess the role of occupational sectors in the health inequalities observed among specific groups of workers.

The results obtained should help identify and monitor high-risk situations in order to prioritize and target relevant prevention and health promotion initiatives.

Study Design and Study Population

The analyses are based on the use of existing individual data from two sources that combine socio-professional trajectories and health-related data:

• the Permanent Demographic Sample (EDP): a representative sample of people living in France (4.4% of the population), initiated in 1968 and managed by INSEE, and enriched over time with information from multiple sources (including the census, civil registry, employers’ social security declarations, and tax sources);

• the EDP-Health: a version of the EDP enriched with health data from the National Health Data System (SNDS), established and managed by the Directorate for Research, Studies, Evaluation, and Statistics (Drees).

Data Privacy and Security

Throughout this study, specific measures were taken to ensure the confidentiality and IT security of the data processed.

All data provided undergoes preliminary processing to remove any information identifying individuals. It is stored on a highly secure server accessible only remotely (CASD) and is processed exclusively by authorized Santé publique France staff.

The published results will in no way allow individuals to be identified, even indirectly.

Information and Rights Regarding Personal Data

In accordance with the provisions of the amended French Data Protection Act and the General Data Protection Regulation (GDPR), you have the right at any time to access and correct your personal data, as well as the right to object to the processing of such data.

To this end, the notice below has been prepared to inform all data subjects and outline the steps they can take to exercise their rights with Santé publique France regarding the use of their personal information for this study.

Prior Reviews and Approvals

The protocol for this study received a favorable opinion from the Ethics and Scientific Committee for Research, Studies, and Evaluations in the Health Sector (CESREES) on December 14, 2023, a favorable opinion from the Statistical Confidentiality Committee on March 19, 2024, and authorization from the National Commission on Informatics and Civil Liberties (CNIL) on August 2, 2024 (Decision DR 2024-125), supplemented on October 25, 2024 (Decision DR 2024-264).

These opinions focus in particular on the scientific quality of the project, its ethical relevance, and the measures implemented to ensure the security and confidentiality of personal data processed as part of this study.

When and how will the results be available?

The various phases of analysis will begin as soon as the data becomes available and will continue through fall 2028.

All results from this study will be published on the Santé publique France website. They may also be featured in scientific articles.

Partnerships and Funding

To conduct this analysis, INSEE provides access to EDP data, and an agreement between Santé publique France and DRES allows for the use of SNDS data linked to this sample. These data are provided free of charge.

Access via the CASD requires a formal agreement. The implementation of the technical infrastructure enabling remote data access and the human resources mobilized to carry out the analysis are fully managed by Santé publique France.