The purpose of this research study was to describe course content on unintentional injuries in undergraduate personal health and wellness courses at four year public and private colleges and universities identified by the Eta Sigma Gamma directory in the United States. An instrument was created, validated and tested for reliability, and used to assess course content areas related to unintentional injuries in undergraduate personal health and wellness courses. The sample for the study included 106 participants (N=106) from public and private colleges and universities in 36 states. Chi-square analysis, ANOVA, factor analysis, and MANOVA tests were used to determine if significant differences existed in course content areas based on selected demographic characteristics. Results indicated that college and university faculty members report teaching about unintentional injuries. Findings indicated that significant differences do exist in unintentional injury course content areas. The top five content areas identified by faculty members include water-related injuries, firearm safety, motorcycle injuries, motor vehicle passenger safety, and motor vehicle impaired driving. Factor analysis results revealed that unintentional injury course content areas can be categorized into three groups: personal content, motor vehicle content, and injury content. The level of statistical significance was set at 0.05.

L’attention est un prérequis à l’exécution de la majorité des tâches que nous réalisons au quotidien. Si notre niveau d’attention fluctue naturellement au cours de la journée, de nombreux facteurs peuvent également altérer notre niveau de vigilance (p. ex. alcool, médicaments) ou détourner notre attention (p. ex. téléphone, pensées) et, dès lors, nous exposer à un risque d’accident. En accidentologie routière, les défauts d’attention sont devenus un enjeu de préoccupation majeur, mais des questions demeurent en suspens. Et qu’en est-il des autres traumatismes non intentionnels ? L’objectif de ce travail de thèse était d’étudier le rôle des défauts d’attention dans la survenue de traumatismes non intentionnels. Il s’agissait d’explorer des questions épidémiologiques restées en suspens en accidentologie routière tout en élargissant la problématique à ces accidents moins connus que sont les accidents de la vie courante (AcVC). Pour ce faire, trois axes ont été explorés. Le premier a consisté à étudier le lien entre consommation de médicaments et risque d’accident de la route chez les piétons en s’appuyant sur l’appariement des données sur les remboursements de médicaments de l’Assurance Maladie avec celles sur les accidents de la circulation recueillies par les forces de l’ordre. Dans un second temps, nous nous sommes intéressés à la problématique des différents types de distraction au volant. Cette seconde partie a reposé sur les données d’une étude menée au CHU de Bordeaux. Enfin, un dernier axe a consisté à étudier le rôle des défauts d’attention dans la survenue des AcVC en s’appuyant sur les données d’une cohorte prospective et en ligne sur les AcVC. Dans cette dernière étude, les défauts d’attention ont été étudiés sous l’angle du mind-wandering en tant que trait mesuré par le biais d’un questionnaire ainsi que par l’implémentation de trois tests neuropsychologiques en ligne. Plusieurs classes de médicaments, dont les benzodiazépines, étaient associées à une augmentation du risque d’accident chez les piétons. Dans l’étude sur la distraction au volant, la distraction visuelle a été identifiée comme étant celle qui présentait le plus de risque. Enfin, si aucun lien n’a été trouvé entre les mesures aux tests neuropsychologiques et le risque d’accident de la vie courante, le mind-wandering trait a été associé à une augmentation du risque d’accident de type sports, loisirs et déplacements. Ce travail fournit un éclairage essentiel sur des questions restées jusqu’ici inexplorées. Au-delà des conducteurs et du risque routier, nos résultats indiquent que les défauts d’attention pourraient également présenter un risque pour les piétons ainsi que pour la survenue d’autres accidents du quotidien. Dans les années à venir, la part des défauts d’attention dans la survenue de traumatismes devrait encore croître du fait notamment de l’utilisation croissante des nouvelles technologies dans notre quotidien. Par conséquent, mieux comprendre le rôle de ces défauts d’attention dans la survenue de traumatismes non intentionnels est plus que jamais essentiel. / Attention is a complex process that is required in almost all our daily activities. Beyond its natural fluctuation during the day, our level of attention is also influenced by a large range of factors that can diminish our level of alertness (e.g. medicines, alcohol use) or divert our attention (e.g. mobile phone, thoughts) thus exposing us to the occurrence of unintentional injuries. In road traffic safety, attention failures have been identified as a major cause of concern but questions remain unsolved. What about attentional failures in the occurrence of daily-life injuries ? The aim of this thesis was to explore the role of attention failures on the risk of unintentional injuries. The idea was to explore epidemiological issues that remained unresolved in road traffic injuries while extending the problematic to those lesser-known injuries that are Home and Leisure Injuries (HLIs). To that end, this thesis was divided in three parts. First, we investigated the association between medicine use and the risk of road traffic injuries among pedestrians. To do that, we used data on road traffic crashes collected by the French police forces matching with data on reimbursed medicine from the French Health insurance. In a second part, we were interested in several types of driving distractions on the risk of road traffic crashes using data from a sample of road users interviewed at the Bordeaux University Hospital. The third and final part was to study the role of attentional failures on the occurrence of HLIs and was based on data from a prospective and online cohort on HLIs. Attentional failures were studied from the perspective of mind-wandering as a trait measured through a questionnaire and also the implementation of three online neuropsychological tests. Several medicine classes, including benzodiazepines, were associated with an increased risk of being involved in a road traffic crash as a pedestrian. In the study on distracted driving, the higher risk was found for visual distraction. Finally, whereas neuropsychological test scores were not associated with a higher risk of HLI, mind-wandering trait was associated with a higher risk of sport, leisure and moving-related injuries. This work provides essential insights into issues that have remained unexplored to date. Beyond the drivers and road risk, our results indicate that attentional failures could also present a risk for pedestrians as well as for the occurrence of other everyday injuries. In years, to come, the share of attentional failures in the occurrence of injuries is expected to further increase, particularly due to the increasing use of new technologies in our daily live. Therefore, a better understanding of the role of these attentional failures in the occurrence of unintentional injuries is more than ever essential.

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.

L'objectiu principal de la investigació present és l'estudi dels danys no intencionats a l'escola, que es constitueixen com un problema per a la salut i la seguretat de l'alumnat.Aquest estudi s'aborda amb una orientació que contempla la complementarietat de les metodologies qualitativa i quantitativa.La investigació s'inicia a partir del disseny d'una sèrie de categories per descriure i analitzar els factors més rellevants d'aquest fenomen. En segon lloc, s'ha construït i validat un instrument per enregistrar les dades més importants dels danys no intencionats.En tercer lloc, s'ha aplicat aquest instrument al llarg d'un curs acadèmic, en 22 centres escolars i sobre una població total de 17494 alumnes. Finalment, els resultats obtinguts han permès identificar les característiques principals dels danys no intencionats a l'escola i fer una proposta per a la seva prevenció. / El principal objetivo de la presente investigación es el estudio de los daños no intencionados en la escuela, que se constituyen como un problema para la salud y la seguridad del alumnado. Este estudio se aborda con una orientación que contempla la complementariedad de las metodologías cualitativa y cuantitativa. La investigación se inicia a partir del diseño de una serie de categorías para describir y analizar los factores más relevantes de este fenómeno.En segundo lugar, se ha construido y validado un instrumento para registrar los datos más importantes de los daños no intencionados.En tercer lugar, se ha aplicado este instrumento durante un curso académico, en 22 centros escolares y sobre una población de 17494 alumnos.Finalmente, los resultados obtenidos han permitido identificar las características principales de los daños no intencionados en la escuela y hacer una propuesta para su prevención. / The main aim of this research is the study of unintentional injuries at school, which are set up as a problem for the health and the security of the student body. This study is dealt with a methodological orientation that relies on the qualitative and quantitative methods.The starting point of the investigation is a series of categories design, in order to describe and to analyze the most relevant factors of this phenomenon. Second, an instrument to register the most significant data of unintentional injuries has been built and validated.Third, this instrument has been applied during a school year in 22 schools and on a total population of 17494 students.Finally, the obtained results have allowed to identify the main characteristics of unintentional injuries at school, and to do a proposal for their prevention.

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