Violence in society has reached epidemic level and has permeated the walls of the workplace. Workplace violence has also spread across all occupations, especially those dealing with the public, and has escalated over the years. In this thesis the researcher explored the experiences, perceptions and coping mechanisms used by nurses exposed to violence in the health setting. The main focus was to determine how the nurses interpret abuse, and does this interpretation determine their response to the abuse.

Increases in alcohol availability have caused crime rates to escalate across multiple regions around the world. As individuals consume alcohol they experience impaired judgment and a dose-response escalation in aggression that, for some, leads to criminal behaviour. By limiting alcohol availability it is possible to reduce crime; however, the literature remains mixed on the best practices for alcohol access restrictions. Variances in data quality and statistical methods have created an inconsistency in the reported effects of price, hour of sales, and alcohol outlet restrictions on crime. Most notably, the research findings are influenced by the different effects of alcohol establishments on crime. The objective of this PhD research was to develop novel quantitative approaches to establish the extent alcohol access (outlets) influences the frequency of crime (liquor, disorder, violent) at a fine level of spatial detail (x,y locations and block groups). Analyses were focused on British Columbia’s largest cities where policies are changing to allow greater alcohol access, but little is known about the crime-alcohol access relationship. Two reviews were conducted to summarize and contrast the effects of alcohol access restrictions (price, hours of sales, alcohol outlet density) on crime, and evaluate the state-of-the-art in statistical methods used to associate crime with alcohol availability. Results highlight key methodological limitations and fragmentation in alcohol policy effects on crime across multiple disciplines. Using a spatial data science approach, recommendations were made to increase spatial detail in modelling to limit the scale effects on crime-alcohol association. Providing guidelines for alcohol-associated crime reduction, kernel density space-time change detection methods were also applied to provide the first evaluation of active policing on alcohol-associated crime in the Granville St. entertainment district of Vancouver, British Columbia. Foot patrols were able to reduce the spatial density of crime, but hot spots of liquor and violent assaults remained within 60m proximity to bars (nightclubs). To estimate the association between alcohol establishment size, and type on disorder and violent crime reports in block groups across Victoria, British Columbia a Poisson Generalized Linear Model with spatial lag effects was applied. Estimates provided the factor increase (1.0009) expected in crime for every additional patron seat added to an establishment capacity, and indicated that establishments should be spaced greater than 300m a part to significantly reduce alcohol-associated crime. These results offer the first evaluation of seating capacity and establishment spacing on alcohol-associated crime for alcohol license decision making, and are pertinent at a time when alcohol policy reform is being prioritized by the British Columbia government. In summary, this dissertation contributes 1) cross-disciplinary policy and methodological reviews, 2) expands the application of spatial statistics to alcohol-attributable crime research, 3) advances knowledge on local scale of effects of different alcohol establishment types on crime, 4) and develops transferable models to estimate the effects of alcohol establishment seating capacity and proximity between establishments on the frequency of crime. / Graduate / 2018-02-27

Background: Injury is an enormous public health problem in Canada. Recent studies have suggested that characteristics of the residential environment, particularly neighborhood marginalization, may be important in determining injury risk. Objective: To determine whether there is an association between neighborhood marginalization and injury in the largest urban cities of Ontario. Methods: A retrospective, cross-sectional, ecological study was conducted to evaluate the relationship between neighborhood marginalization and injury in 0-64 year olds who resided in the ten largest cities of Ontario between 2003-2005. Results: Neighborhoods with high levels of ethnic diversity had significantly lower rates of unintentional injuries, neighborhoods with high levels of material deprivation had significantly higher rates of assaults, and neighborhoods with high levels of residential instability and material deprivation had significantly higher rates of self-inflicted injuries in adults. Conclusions: The association between neighborhood marginalization and injury differs depending on the type of injury examined.

Background: Injury is an enormous public health problem in Canada. Recent studies have suggested that characteristics of the residential environment, particularly neighborhood marginalization, may be important in determining injury risk. Objective: To determine whether there is an association between neighborhood marginalization and injury in the largest urban cities of Ontario. Methods: A retrospective, cross-sectional, ecological study was conducted to evaluate the relationship between neighborhood marginalization and injury in 0-64 year olds who resided in the ten largest cities of Ontario between 2003-2005. Results: Neighborhoods with high levels of ethnic diversity had significantly lower rates of unintentional injuries, neighborhoods with high levels of material deprivation had significantly higher rates of assaults, and neighborhoods with high levels of residential instability and material deprivation had significantly higher rates of self-inflicted injuries in adults. Conclusions: The association between neighborhood marginalization and injury differs depending on the type of injury examined.

La violence contre les policiers a des répercussions importantes à la fois chez les policiers et pour les administrateurs de la police. En 2005, le taux canadien de voies de fait contre la police a atteint son plus haut sommet en plusieurs décennies, faisant état d’une situation préoccupante. Plusieurs provinces canadiennes connaissent d’ailleurs une hausse marquée de la violence contre leurs policiers depuis plusieurs années. Cette étude vise donc à examiner et à comprendre l’évolution du phénomène de violence contre les policiers au Canada par l’identification de facteurs qui pourraient expliquer les variations du taux de voies de fait contre les policiers. La méthode d’analyse privilégiée dans le cadre de cette étude est une analyse transversale de séries chronologiques regroupées (pooled time series) qui traite des données portant sur les dix provinces canadiennes pour une période allant de 1986 à 2006. Les résultats indiquent que plusieurs facteurs ont un impact sur la violence dont sont victimes les policiers : la proportion de la population âgée entre 15 et 24 ans, la proportion d’hommes de 15 ans et plus, la proportion de la population vivant dans une région urbaine, la proportion de gens divorcés, les taux résiduels de crimes de violence et de crimes rattachés aux drogues, et le nombre d’évasions et de personnes en liberté sans excuse. La présence croissante de policières, qui fait encore l’objet de débats, semble quant à elle réduire le nombre de voies de fait contre la police, quoique l’impact de ce facteur soit de faible portée. Au Québec, la une hausse importante du taux de voies de fait contre les policiers pourrait s’expliquer par la hausse de plusieurs facteurs identifiés comme jouant un rôle dans le phénomène, bien qu’il ne faille pas écarter qu’un changement dans la reportabilité puisse entrer en ligne de compte. / Violence against police officers has important implications both for police officers and police administration. In 2005, the Canadian rate of assault against police officers rose to its highest in decades, showing a worrying situation. Moreover, several Canadian provinces are experiencing a marked increase in violence against their police officers for several years. This study aims to examine and understand the trend of violence against the police officers in Canada by identifying factors affecting the rate of assaults against police officers. In order to do so, a pooled time series analysis, which processes data on the ten Canadian provinces for the period from 1986 to 2006, was performed. Findings indicate that several factors have an impact on the violence against the police: the proportion of young people aged 15-24, the proportion of males aged 15 and more, the proportion of population living in urban areas, the proportion of divorced people, the residual rates of violent crimes and drug crimes, and the number of people who escaped custody and prisoners unlawfully at large. The growing presence of women police officers, which is still debated, appears to reduce the number of assaults against police officers, although the impact of this factor is of limited scope. In Quebec, the continual increase in the rate of assaults against the police officers can possibly be explained by the increase of several factors identified as playing a role in the phenomenon, although a change in crime reporting can also be taken into account.

La violence contre les policiers a des répercussions importantes à la fois chez les policiers et pour les administrateurs de la police. En 2005, le taux canadien de voies de fait contre la police a atteint son plus haut sommet en plusieurs décennies, faisant état d’une situation préoccupante. Plusieurs provinces canadiennes connaissent d’ailleurs une hausse marquée de la violence contre leurs policiers depuis plusieurs années. Cette étude vise donc à examiner et à comprendre l’évolution du phénomène de violence contre les policiers au Canada par l’identification de facteurs qui pourraient expliquer les variations du taux de voies de fait contre les policiers. La méthode d’analyse privilégiée dans le cadre de cette étude est une analyse transversale de séries chronologiques regroupées (pooled time series) qui traite des données portant sur les dix provinces canadiennes pour une période allant de 1986 à 2006. Les résultats indiquent que plusieurs facteurs ont un impact sur la violence dont sont victimes les policiers : la proportion de la population âgée entre 15 et 24 ans, la proportion d’hommes de 15 ans et plus, la proportion de la population vivant dans une région urbaine, la proportion de gens divorcés, les taux résiduels de crimes de violence et de crimes rattachés aux drogues, et le nombre d’évasions et de personnes en liberté sans excuse. La présence croissante de policières, qui fait encore l’objet de débats, semble quant à elle réduire le nombre de voies de fait contre la police, quoique l’impact de ce facteur soit de faible portée. Au Québec, la une hausse importante du taux de voies de fait contre les policiers pourrait s’expliquer par la hausse de plusieurs facteurs identifiés comme jouant un rôle dans le phénomène, bien qu’il ne faille pas écarter qu’un changement dans la reportabilité puisse entrer en ligne de compte. / Violence against police officers has important implications both for police officers and police administration. In 2005, the Canadian rate of assault against police officers rose to its highest in decades, showing a worrying situation. Moreover, several Canadian provinces are experiencing a marked increase in violence against their police officers for several years. This study aims to examine and understand the trend of violence against the police officers in Canada by identifying factors affecting the rate of assaults against police officers. In order to do so, a pooled time series analysis, which processes data on the ten Canadian provinces for the period from 1986 to 2006, was performed. Findings indicate that several factors have an impact on the violence against the police: the proportion of young people aged 15-24, the proportion of males aged 15 and more, the proportion of population living in urban areas, the proportion of divorced people, the residual rates of violent crimes and drug crimes, and the number of people who escaped custody and prisoners unlawfully at large. The growing presence of women police officers, which is still debated, appears to reduce the number of assaults against police officers, although the impact of this factor is of limited scope. In Quebec, the continual increase in the rate of assaults against the police officers can possibly be explained by the increase of several factors identified as playing a role in the phenomenon, although a change in crime reporting can also be taken into account.