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12th ICBEN Congress on Noise as a Public Health Problem, ZURICH, SUISSE, 18-/06/2017 - 22/06/2017; Objectives: Exposure to aircraft noise has been shown to have adverse effects on health and particularly on sleep. This study aimed to investigate the relationship between aircraft noise exposure and subjective sleep quality in the population living near airports in France. Methods: Sleep interview was made through a questionnaire administered to 1,244 residents of three major French airports: Paris-CDG, Lyon-Saint-Exupéry and Toulouse-Blagnac. For each participant, aircraft noise exposure was estimated at home using noise maps. Logisticregression models were used with adjustment for potential confounders. Results: Aircraft noise exposure was associated with the risk of being a short sleeper (sleep duration £ 6h), and with the feeling of tiredness while awakening in the morning. An increase of 10 dBA in aircraft noise level at night was respectively associated with an OR of 1.66 (95% CI: 1.16 to 2.35) and an OR of 1.24 (95% CI: 1.00 to 1.63). Conclusion: These findings contribute to the overall evidence suggesting that aircraft noise exposure at nighttime may decrease subjective quality of sleep.

Background: Noise in the vicinity of airports is a crucial public health issue. Exposure to aircraft noise has been shown to have adverse effects on health and particularly on sleep. Many studies support the hypothesis that noise at night can affect subjective sleep quality. Fewer studies, however, have performed objective measurements of sleep. Objectives: The aim of the present study was to investigate the relationship between aircraft noise exposure and objective parameters assessed by actigraphy of sleep quality in the population living near two French airports. Methods: This study includes 112 participants living in the vicinity of Paris-Charles de Gaulle and Toulouse-Blagnac airports. Wrist actigraphy measurements were performed during eight nights to evaluate objective parameters of sleep quality such as sleep onset latency (SOL), wake after sleep onset (WASO), total sleep time (TST), time in bed (TB) and sleep efficiency (SE). Acoustic measurements were made simultaneously both inside the participants' bedrooms and outside (at the exterior frontage) in order to estimate aircraft noise levels. Energy indicators related to the sound energetic average for a given period of time, as well as indicators related to noise events (such as the number of events that exceed a given threshold for example) were estimated. Logistic and linear regression models were used, taking into account potential confounders: age; gender; marital status; education; and body mass index (BMI). Results: Energy indicators, and more particularly indicators related to noise events, were significantly associated with objective parameters of sleep quality. Increased levels of aircraft noise and increased numbers of aircraft noise events increased the time required for sleep onset (SOL) and the total wake time after sleep onset (WASO), and decreased sleep efficiency (SE). An association was also observed between aircraft noise exposure and an increase in total sleep time (TST) and time in bed (TB). Conclusion: The findings of the present study contribute to the overall evidence suggesting that nocturnal aircraft noise exposure may decrease objective quality of sleep. Aircraft noise exposure affects objective parameters of sleep quality, not only in terms of noise levels but also in terms of number of events. Mechanisms for adapting to sleep deprivation could be observed.

Background: Exposure to aircraft noise has been shown to have adverse effects on health, particularly on sleep. Exposure to nighttime aircraft noise clearly affects sleep architecture, as well as subjective sleep quality. Objectives: This study aimed to investigate the relationship between aircraft noise exposure and subjective sleep quality in the population living near airports in France. Methods: A total of 1,244 individuals older than 18 and living near three French airports (Paris-Charles de Gaulle, Lyon-Saint-Exupery and Toulouse-Blagnac) were randomly selected to participate in the study. Information on sleep as well as health, socioeconomic and lifestyle factors was collected by means of a face-to-face questionnaire performed at their place of residence by an interviewer. For each participant, aircraft noise exposure was estimated at home using noise maps. Logistic regression models were used with adjustment for potential confounders. Results: Aircraft noise exposure was significantly associated with a short total sleep time (TST) (£ 6 h) and with the feeling of tiredness while awakening in the morning. An increase of 10 dB(A) in aircraft noise level at night was associated with an OR of 1.63 (95%CI: 1.15-2.32) for a short TST and an OR of 1.23 (95%CI: 1.00-1.54) for the feeling of tiredness while awakening in the morning. Conclusions: These findings contribute to the overall evidence suggesting that aircraft noise exposure at nighttime may decrease the subjective amount and quality of sleep.

Atelier technique sur les cohortes environnementales, BIVIERS, FRANCE, 05-/11/2019 - 05/11/2019; L'objectif de DEBATS est de mieux connaître et de mieux quantifier les effets du bruit des avions sur la santé des populations riveraines des aéroports français. Il s'agit d'adopter une approche globale en caractérisant les relations entre l'exposition au bruit des avions et les états de santé des riverains d'aéroport à la fois sur le plan physique et mental mais aussi en termes de gêne ressentie. En 2013, 1 244 riverains des aéroports de Paris-Charles de Gaulle, Toulouse-Blagnac et Lyon-Saint-Exupéry ont répondu à un questionnaire administré par un enquêteur à leur domicile concernant leur état de santé (perturbations du sommeil, pathologies cardiovasculaires, troubles anxio-dépressifs et gêne ressentie due au bruit des avions). L'enquêteur a également mesuré la pression artérielle et la fréquence cardiaque des participants et leur a demandé de prélever un échantillon de leur salive pour déterminer la concentration de cortisol salivaire (marqueur des états de stress). Ces participants ont été réinterrogés en 2015 et en 2017. Un sous-échantillon de 100 riverains a participé à une deuxième étude plus spécifique sur le sommeil avec des mesures acoustiques.

Contexte : Le cortisol, reflet de l'activité de l'axe hypothalamo-pituito-surrénalien (HPS), est un marqueur possible du stress induit par l'exposition au bruit des transports et pourrait se positionner comme un facteur intermédiaire dans la relation entre cette exposition et la survenue de pathologies cardiovasculaires. Cependant, les effets de l'exposition au bruit des transports sur la sécrétion de cortisol sont encore largement discutés. Objectif : L'objectif de l'étude est de rechercher l'existence d'une association entre l'exposition au bruit des avions et la variation journalière du cortisol salivaire. Méthodes : En 2013, 954 participants âgés de 18 ans et plus ont prélevé deux échantillons de leur salive, un au lever et un au coucher. Des informations relatives à leur état de santé, leur statut socioéconomique et leurs habitudes de vie ont été collectées grâce à un questionnaire administré en face-à-face par un enquêteur à leur domicile. L'exposition moyenne au bruit des avions au domicile des participants a été estimée à partir de cartes de bruit. Des modèles de régression log-linéaire ont été ajustés afin d'évaluer l'effet de cette exposition sur la variation horaire journalière des niveaux de cortisol salivaire. Résultats : L'exposition au bruit des avions serait associée à une diminution statistiquement significative de la variation horaire du cortisol salivaire au cours de la journée, avec des niveaux de cortisol inchangés au lever, mais plus élevés au coucher. Cette exposition engendrerait ainsi une modification du cycle physiologique de la sécrétion du cortisol. Conclusion: Ces résultats soutiennent l'hypothèse selon laquelle l'exposition au bruit des avions serait génératrice d'un stress psychologique induisant une perturbation du fonctionnement endocrinien et du cycle circadien du cortisol. Cette relation pourrait contribuer à favoriser l'émergence de pathologies cardiovasculaires.

Background: Many studies have demonstrated adverse effects of exposure to aircraft noise on health. Possible biological pathways for these effects include hormonal disturbances. Few studies deal with aircraft noise effects on saliva cortisol in adults, and results are inconsistent. Objective: We aimed to assess the effects of aircraft noise exposure on saliva cortisol levels and its variation in people living near airports. Methods: This study focused on the 1300 residents included in the HYENA and DEBATS cross-sectional studies, with complete information on cortisol sampling. All the participants followed a similar procedure aiming to collect both a morning and an evening saliva cortisol samples. Socioeconomic and lifestyle information were obtained during a face-to-face interview. Outdoor aircraft noise exposure was estimated for each participant's home address. Associations between aircraft noise exposure and cortisol outcomes were investigated a priori for male and female separately, using linear regression models adjusted for relevant confounders. Different approaches were used to characterize cortisol levels, such as morning and evening cortisol concentrations and the absolute and relative variations between morning and evening levels. Results: Statistically significant increases of evening cortisol levels were shown in women with a 10-dB(A) increase in aircraft noise exposure in terms of LAeq, 16h (exp(?) = 1.08; CI95% = 1.00-1.16), Lden (exp(?) = 1.09; CI95% = 1.01-1.18), Lnight (exp(?) = 1.11; CI95% = 1.02-1.20). A statistically significant association was also found in women between a 10-dB(A) increase in terms of Lnight and the absolute variation per hour (exp(?) = 0.90; CI95% = 0.80-1.00). Statistically significant decreases in relative variation per hour were also evidenced in women, with stronger effects with the Lnight (exp(?) = 0.89; CI95% = 0.83-0.96) than with other noise indicators. The morning cortisol levels were unchanged whatever noise exposure indicator considered. There was no statistically significant association between aircraft noise exposure and cortisol outcomes in men. Conclusions: The results of the present study show statistically significant associations between aircraft noise exposure and evening cortisol levels and related flattening in the (absolute and relative) variations per hour in women. Further biological research is needed to deepen knowledge of the pathway between noise exposure and disturbed hormonal regulation, and specially the difference in effects between genders.

26th World Road Congress, Abou Dhabi, EMIRATS ARABES UNIS, 06-/10/2019 - 10/10/2019; When dealing with road safety in Africa, one should bear in mind that road safety problems in Africa must be seen in their own context as the solutions proposed to address them. While it is relevant to take into account international good practices, African stakeholders should become owners of the interventions addressing their problems and take the responsibility for developing and implementing the appropriate solutions, taking advantage of suitable technical assistance, if needed. Based on these considerations, in this paper a presentation is made of the process used in the European research project "SaferAfrica - Innovating dialogue and problems appraisal for a safer Africa" to develop Safe System road safety intervention proposals for Africa. SaferAfrica aims at supporting policy makers and stakeholders with evidence on critical risk factors, related actions and good practices drawn from high quality data and knowledge. This project also serves as a platform to foster effective cooperation in road safety and to propose possible next road safety steps and identify possible funding sources in those countries were capacity review is carried out. In the project, road safety and traffic management capacity reviews at the country level were carried out in four countries (Cameroon, Burkina Faso, Tunisia and Kenya), following the World Bank guidelines. After conducting such a capacity review, these guidelines recommend the preparation and implementation of Safe System projects, «stand-alone, multisector initiatives targeting high-risk corridors and areas, with outcomes large enough to be reliably measured». In SaferAfrica, this approach aims at facilitating the implementation of Safe System projects in the considered countries, by identifying detailed short-term improvement plans, and producing contextualized Terms of Reference for a number of interventions per selected country. These interventions are remedial in nature, they address high-priority concerns and demonstrate the viability of high potential gains within current administrative and legislative frameworks. In order to design interventions suitable to the existing context, a transferability assessment tool is adopted within a "participative" process, involving all possible interested parties, from the institutions to NGOs. The tool will indicate which immediate enabling actions are required to overcome legislative, regulatory, organisational, institutional and other barriers that may prevent measures or actions from being implemented. Results from the process are presented and discussed.

International audience; Simulation appears as an indispensable tool for automotive manufacturers to validate autonomous vehicle development, this latter reported to require billions of miles of driving. To involve the end users in this validation process, a project of large scale public application on smartphone allowing them to test and submit specific use cases, is presented in this paper. A first version of this application “3DAV Explore” has been released and is already available, allowing users to see in Virtual Reality traffic scenarios in subjective view from the autonomous vehicle and/or from an exterior view. This paper details more deeply the development steps and the libraries used for the second version of this application. Further development steps and implications are also detailed in the conclusion.

47th International Congress and Exposition on Noise Control Engineering (inter-noise 2018) , CHICAGO, ETATS-UNIS, 26-/08/2018 - 29/08/2018; Aircraft noise has been shown to have adverse effects on health and particularly on sleep. The aim of the study was to investigate the association between aircraft noise exposure and objective sleep quality in the population living near airports in France. Methods: Actimetric measurements were performed during eight nights to evaluate sleep quality of 112 participants in terms of total sleep time, sleep onset latency, wake time and sleep efficiency. Simultaneously, acoustic measurements were performed inside and outside (at the façade) the participants' bedroom in order to estimate integrated indicators as well as the number of noise events. Logistic regression models were used with adjustment for potential confounders. Results: Integrated indicators as well as the number of noise events were significantly associated with objective sleep quality: increased levels or numbers of aircraft noise events increased time to fall asleep and total wake time, but decreased sleep efficiency. Unexpectedly, they also increased total sleep time, and time in bed, and delayed get up time. These latter results can be interpreted as an adaptation mechanism to sleep deprivation. Conclusion: Noise event indicators have been shown to be more often associated with sleep disturbances than integrated indicators.

Background: The effects of aircraft noise on psychological ill-health have not been largely investigated and remain to be discussed. No study has been performed in France on the health effects of aircraft noise. Objectives: The present study aimed to investigate the relationship between aircraft noise in dB and in terms of annoyance and psychological ill-health in populations living near airports in France. Methods: A total of 1244 individuals older than 18 and living near three French airports (Paris&ndash, Charles de Gaulle, Lyon&ndash, Saint-Exup&eacute, ry and Toulouse&ndash, Blagnac) were randomly selected to participate in the study. Information about their personal medical history and socioeconomic and lifestyle factors was collected by means of a face-to-face questionnaire performed at their place of residence by an interviewer. Psychological ill-health was evaluated with the 12-item version of the General Heath Questionnaire (GHQ-12). For each participant, outdoor aircraft noise exposure in dB was estimated by linking their home address to noise maps. Objective noise exposure in dB was considered to be the primary exposure of interest. Four noise indicators referring to three different periods of the day were derived and used for the statistical analyses: Lden, LAeq,24hr, LAeq,6hr&ndash, 22hr, and Lnight. Noise annoyance and noise sensitivity were the secondary risk factors of interest. Logistic regression models were used with adjustment for potential confounders. Results: The participation rate in the study was 30%. Approximately 22% of the participants were considered to have psychological ill-health according to the GHQ-12. No direct association was found between exposure to aircraft noise in dB and psychological ill-health. However, annoyance due to aircraft noise and noise sensitivity were both significantly associated with psychological ill-health. Moreover, a gradient was evidenced between annoyance and psychological ill-health, with increasing ORs from 1.79 (95% CI 1.06&ndash, 3.03) for people who were not all annoyed to 4.00 (95% CI 1.67&ndash, 9.55) for extremely annoyed people.Conclusions: These findings confirm the results of previous studies, suggesting there is no direct association between aircraft noise exposure in dB and psychological ill-health, but there is a significant relationship between noise sensitivity or annoyance due to aircraft noise and psychological ill-health. This supports the hypothesis that psychological aspects, such as noise annoyance and noise sensitivity, play important roles in the association between environmental noise and adverse effects on health. However, further studies are necessary in order to better understand the links between these variables.

EUROEPI 2018, European Congress of Epidemiology , Lyon, FRANCE, 04-/07/2018 - 06/07/2018; Background: Noise in the areas near airports is considered as a public health issue. Exposure to aircraft noise has been shown to have adverse effects on health and particularly on sleep. Sleep disturbances are the most investigated health effects related to environmental noise. Many studies support that noise at night can affect subjective and objective sleep quality. If habituation to noise can be observed for subjective sleep quality, no habituation has been shown with objective sleep quality. However, few studies have evaluated the effects of aircraft noise on sleep quality with objective measurements at home. No such studies have been performed around French airports. Objectives: The aim of the present study was to investigate the association between aircraft noise exposure and objective sleep quality in the population living near airports in France. Methods: Our study includes 112 people living around Paris-CDG and Toulouse-Blagnac airports. Actimetric measurements were performed during eight nights to objectively evaluate the sleep quality of the participants in terms of sleep onset latency, wake time, total sleep time and sleep efficiency. Simultaneously, acoustic measurements were performed inside and outside (at the bedroom façade) the participants' bedroom in order to identify aircraft noise and to evaluate the impact of this noise in the participants' bedroom. Thus, integrated (that is related to energetic average for a given period of time) as well as noise event indicators (that is the number of events that exceed a given threshold) were estimated. Logistic regression models taking into account measurements repetition were used with adjustment for potential confounders: age, gender, marital status, education and body mass index (BMI). Results and discussion: Integrated indicators as well as noise event indicators were significantly associated with objective sleep quality. Increased levels of aircraft noise or increased numbers of aircraft noise events increased time to fall asleep, total wake time and decreased sleep efficiency. Unexpectedly, they also increased total sleep time, time in bed and delayed get up time. This latter result can be interpreted as an adaptation mechanism to sleep deprivation. If deterioration of the sleep quality has been observed with an increase in time to fall asleep and in total wake time, a process of recovery and sleep maintenance has been shown with an increase in total sleep time. Noise event indicators seemed to be more often associated with sleep disturbances than integrated indicators. Increased numbers of noise events during the sleep period have been found to degrade objective sleep quality. Conclusion: The present study is the first one to investigate the effects of aircraft noise exposure around French airports on sleep quality evaluated with objective measurements. The findings contribute to the overall evidence suggesting that aircraft noise exposure at nighttime may decrease objective quality of sleep. Aircraft noise exposure affects objective sleep quality whatever the type of noise indicator. In front of this nuisance, adaptation mechanisms to sleep deprivation could be observed.

EUROEPI 2018, European Congress of Epidemiology , Lyon, FRANCE, 04-/07/2018 - 06/07/2018; Background : Many studies have evidenced adverse effects of exposure to aircraft noise on health, such as annoyance, sleep disturbance, cardiovascular diseases or altered cognitive performance. Mental health has been less investigated. In France, about 18% of the population suffer from mental disorders. The effects of noise annoyance on psychological distress have rarely been evaluated, and no study exists in France. We investigated associations between annoyance due to aircraft noise and psychological distress for people living near airports in France. Methods : The DEBATS longitudinal study included 1,244 residents around three French airports: Paris-Charles-de-Gaulle, Toulouse-Blagnac, and Lyon-Saint-Exupéry. Information about psychological distress was assessed by a face-to-face questionnaire, including a single question about the feeling of depression, and the 12-version of the General Health Questionnaire (GHQ-12). Annoyance due to aircraft noise was assessed with the following question 'Thinking about the last 12 months, when you are at home, how much does aircraft noise annoy you?' The five-point verbal scale proposed by the International Commission on the Biological Effects of Noise was used: extremely, very, moderately, slightly or not at all. Associations with psychological distress were investigated using logistic regressions including relevant confounders such as gender, age, country of birth, occupational activity, marital status, alcohol consumption, smoking, sleep duration, number of stressful life events, education, income, and antidepressant use. Results : About 13% of the participants reported depression and 22% were considered to have psychological distress according to the GHQ-12. Significant associations were found between annoyance due to aircraft noise and the feeling of depression, and between annoyance due to aircraft noise and psychological distress evaluated with the GHQ-12. The Odds Ratio (OR) for the feeling of depression ranged from 0.89 (95% CI 0.50-1.59) to 2.61 (95% CI 1.09-6.23). The OR for the GHQ-12 ranged from 1.49 (95% CI 0.94-2.39) to 3.64 (95% CI 1.70-7.78). For the both outcomes, OR reached the maximum estimate for people reporting to be extremely annoyed compared to those who are not at all annoyed. Discussion : The present study found significant associations between annoyance due to aircraft noise and psychological distress assessed both with a single question about the feeling of depression and with the GHQ-12, with gradual ORs according to the different categories of noise annoyance. This result is in line with the findings of a cross-sectional study performed in Minneapolis. However the direction of the association can be questioned. Extremely annoyed people might be more at risk to have psychological disorders, and it is also possible that people with psychological disorders might be more at risk to be annoyed.

In the governorate of Sfax in Tunisia, the Grand Sfax perimeter constitutes an interesting laboratory for a multi-criteria analysis of road safety. As part of this qualitative study, we propose to develop a territorial diagnosis of Grand Sfax for better management of road safety. It is an approach that aims to understand the issues of road safety for sustainable mobility in order to identify suitable courses of action. The conception of a broader vision of road safety necessitated the consultation of several actors, namely various categories of road users and institutions. The empirical analysis of these different actors made it possible to formulate scientifically sound recommendations, in terms of planning, transport management, training and awareness-raising actions, suggestions for changes in legislation, and management road safety. It is a work that offers prospects for complementary research. Indeed, while theimplementation of certain recommendations could lead to the observation of certain improvements in the short or medium term, other elements raised will offer the opportunity for the development of new multi-disciplinary or mono-disciplinary research., Au sein du gouvernorat de Sfax en Tunisie, le périmètre du Grand Sfax constitue un laboratoire intéressant pour une analyse multicritère de la sécurité routière. Nous nous proposons, dans le cadre de cette étude qualitative, d'élaborer un diagnostic territorial du Grand Sfax pour un meilleur management de la sécurité routière. C'est une démarche qui vise à comprendre les enjeux de la sécurité routière pour une mobilité durable afin d'identifier des pistes d'actions adaptées. La conception d'une vision élargie de la sécurité routière a nécessité la consultation de plusieurs acteurs à savoir diverses catégories d'usagers de la route et d'institutionnels. L'analyse empirique auprès de ces différents acteurs a permis de formuler des recommandations scientifiquement fondées, en termes d'aménagement, de gestion des transports, d'actions de formation et de sensibilisation, de suggestions d'évolution de la législation, et de management de la sécurité routière. C'est un travail qui offre des perspectives de recherches complémentaires porteuses. En effet, si la mise en oeuvre de certaines recommandations pourrait conduire au constat de certaines améliorations à court ou moyen termes, d'autres éléments soulevés offriront l'opportunité au développement de nouvelles recherches pluri ou mono disciplinaires.

International audience; This paper presents a review of the various innovations in driver training methods which have been elaborated in the industrialized countries, in order to reduce the over‐risk of young novice drivers, and of their evaluations. First, we present the scientific and policy factors that have guided some countries to focus on the reduction of risk exposure (GDL or Graduated Driver Licensing) and other countries on driver education, in order to improve the various driving and safety skills during this phase of inexperience. Starting from the theoretical and methodological field of the GDE matrix, the various types of training are reviewed, before licensing (training with professional driving teachers, accompanied driving, simulator training) and after licensing (practical driving skills training, cognitive training like risk perception training, commented driving, task completion, life‐skills training, self‐evaluation training). Last, we conclude on what we have learnt about good practices concerning moderation of excessive confidence and development of meta‐cognitive skills (more realistic self‐evaluation) at each level of the GDE Matrix.; Cet article présente une revue des diverses innovations pédagogiques apparues dans les pays industrialisés afin de réduire le sur‐risque des jeunes conducteurs novices, ainsi que de leurs évaluations. On présente d’abord les logiques scientifiques et politiques qui ont conduit certains pays à se focaliser sur la diminution de l’exposition au risque (accès graduel à la conduite ou permis progressif) ou d’autres sur l’éducation du conducteur afin de renforcer ses diverses compétences lors de cette phase d’inexpérience. À partir du champ théorique et méthodologique impulsé à partir de la matrice GDE, on passe en revue les divers types de formation, avant le permis (apprentissage avec les enseignants de la conduite, conduite accompagnée, entraînement sur simulateur) et après (entraînements aux manœuvres de pilotage, formations cognitives, entraînement à la perception des dangers, conduite commentée, complètement de tâche, entraînements des « compétences de vie », programmes d’amélioration de l’autoévaluation). On conclura par les enseignements de cette revue à propos des bonnes pratiques visant à modérer la confiance excessive, en développant les compétences métacognitives (autoévaluation plus réaliste de soi) à chaque niveau de la matrice GDE

12th ICBEN Congress on Noise as a Public Health Problem, ZURICH, SUISSE, 18-/06/2017 - 22/06/2017; The impact of exposure to aircraft noise on health is of growing concern because of a steady rise in flights. While many studies address the annoyance associated with aircraft noise, very few studies consider the health status perceived by the population itself. We investigated associations between aircraft noise exposure and perceived health for people living near airports in France. The DEBATS longitudinal study included 1,244 residents around three French airports: Paris-Charles-de-Gaulle, Toulouse-Blagnac, and Lyon-Saint-Exupéry. Information about perceived health was assessed by a face-to-face questionnaire. Aircraft noise exposure was evaluated for each participant's home address. Associations with perceived health were investigated using logistic regressions including relevant confounders.No association was found between aircraft noise exposure and perceived health. After stratification on gender, significant associations were observed for men: OR=1.55 (95%CI=1.02-2.35) per 10-dB(A) Lnight-increase. The associations observed in this study could be due to residual confounding or to declaration bias which cannot be excluded. Further studies are necessary in order to better understand these associations.

Background Noise in the vicinity of airports is a public health problem. Many laboratory studies have shown that heart rate is altered during sleep after exposure to road or railway noise. Fewer studies have looked at the effects of exposure to aircraft noise on heart rate during sleep in populations living near airports. Objective The aim of this study was to investigate the relationship between the sound pressure level (SPL) of aircraft noise and heart rate during sleep in populations living near airports in France. Methods In total, 92 people living near the Paris-Charles de Gaulle and Toulouse-Blagnac airports participated in this study. Heart rate was recorded every 15 s during one night, using an Actiheart monitor, with simultaneous measurements of SPL of aircraft noise inside the participants&rsquo, bedrooms. Energy and event-related indicators were then estimated. Mixed linear regression models were applied, taking into account potential confounding factors, to investigate the relationship between energy indicators and heart rate during sleep measured every 15 s. Event-related analyses were also carried out in order to study the effects of an acoustic event associated with aircraft noise on heart rate during sleep. Results The more the SPL from all sources (LAeq,15s) and the SPL exceeded for 90% of the measurement period (LA90,15s) increased, the more heart rate also increased. No significant associations were observed between the maximum 1-s equivalent SPL associated with aircraft overflight (LAmax,1s) and differences between the heart rate recorded during or 15 or 30 s after an aircraft noise event and that recorded before the event. On the other hand, a positive and significant association was found between LAmax,1s and the heart rate amplitude calculated during an aircraft noise event. Results were unchanged when analyses were limited to participants who had lived more than five years in their present dwelling. Conclusion Our study shows that exposure to the maximum SPL linked to aircraft overflight affect the heart rate during sleep of residents near airports. However, further studies on a larger number of participants over several nights are needed to confirm these results.

In Côte d'Ivoire alcohol and drugs consumption in the general population is a serious issue. However, their role in Road Traffic Accidents (RTAs) has never been investigated. Our study aimed to estimate the prevalence of alcohol-impaired road users at the time of the RTA and report psychoactive drug use, in various categories of casualties, and in various circumstances of the crash. We conducted a cross-sectional study including 893 casualties involved in fatal or non-fatal RTAs and admitted at the Emergency Room or the Forensic Institute from March to September 2012. Blood alcohol dosage (BAC) and urine drug screening were carried out, and results were linked with hospital and police crash report data. The mean BAC in positive cases indicated heavy drinking before the crash: drivers (1.9 g/L), pedestrians (2.1 g/L), passengers (1.5 g/L). The prevalence of alcohol-impairment was significantly higher in drivers (41%) and riders (27%) compared to pedestrians (17%) and passengers (13%). Over 75% of casualties that tested positive for alcohol had a BAC largely above the legal limit. Psychoactive drug use was twice more prevalent in alcohol-impaired drivers than in sober drivers (20% vs 10%). Binge drinking is an emerging issue in African countries, which should be taken into account in the management or prevention of road traffic injuries.

This study is concerned initial motorcycle training delivered in motorcycle schools in France. Novice motorcyclists are a particularly vulnerable group of road users in Europe and in France. However, scientific attempts to achieve a better understanding of their behaviors have been limited. The potential value of studying initial motorcycle training, both for research purposes and with regard to public policy, is readily apparent. The aims of this paper are to describe the real educational content of training in motorcycle schools and analyze to what extent this content is related to riding after licensing. A case study of all the training process of one trainee (38 hours) was carried out in real world. Audiovisual recordings and interview data of the rider and instructors were collected at each session. This study was supplemented by ethnographic observations of the educational content provided in three motorcycle schools throughout the instructors’ working days. The results that merged from both studies show (1) the riding skills that were fostered (i.e. control skills, and especially emergency skills, in stable and restricted environments) and undervalued (i.e. hazard perception skills, everyday skills) during initial training, and (2) the poverty of observed training settings: learners spend almost all their training time riding in the same setting that is used in the test. In addition to being repeated to excess, these settings are quite different from the real traffic. These results are discussed regarding the scientific literature on motorcycle education. The conclusion presents the implications of these results for public policy in order to design a future rider training system.

The most frequent cause of motorcycle accidents involves another vehicle violating the motorcycle's right-of-way at an intersection. In addition to detection errors, the misperception of the approaching motorcycle's speed and time-to-arrival is another driver error that may account for these accidents (e.g., Horswill et al., 2005). This misperception has been shown to be related to the small size of the motorcycle and the small angular velocity when it is approaching. In two experiments we tested the impact of different motorcycle headlight configurations in various ambient lighting conditions (daytime, dusk and nighttime). The participants drove the driving simulator and had to turn left across a line of vehicles composed of motorcycles and cars. The motorcycles were equipped with either a "standard" front light, a "horizontal configuration" (additionally to the standard front light, two lights were appended on the rear view mirrors so as to visually increase the horizontal dimension of the motorcycle), a "vertical configuration" (one light on the rider helmet and two lights on the fork were added to the standard front light so as to increase the vertical dimension of the motorcycle), or a "combined" configuration (combining the horizontal and vertical configurations). The findings indicated that in nighttime conditions both the "vertical" and "combined" configurations significantly increased the gap car drivers accepted towards motorcycles when compared with the standard configuration, and that the accepted gaps did not significantly differ from those accepted towards cars. The advantage of the vertical and combined configurations showed up especially when the approach speed of the motorcycle was high. A similar pattern appeared in dusk conditions, whereas benefits were less pronounced in daytime conditions. Results will be discussed with respect to a possible applications on motorcycles.

Cet article présente une analyse en contexte naturel des comportements de conduite de motocyclistes lors de leurs trajets domicile-travail en région parisienne. Elle se focalise sur la pratique des motards qui consiste à circuler entre les files de voitures, classiquement appelée 'inter-files', et qui reste pour l’heure sans analyse scientifique approfondie. Dans une approche ergonomique, 11 motocyclistes ont conduit pendant un mois avec un véhicule équipé de caméras. Les enregistrements vidéo ont permis la description des contextes de conduite ainsi que la tenue d'entretiens d'auto-confrontation. Les résultats portent sur la description de leur activité de conduite, le poids de l’inter-files dans leurs déplacements quotidiens et l’analyse des éléments organisateurs de leurs comportements. Ces résultats sont discutés sur le plan de la compréhension de la pratique de l’inter-files et sur le plan de l’enrichissement des situations existantes : ils questionnent la possibilité d’une législation sur les remontées de files et montrent les intérêts de la formation à cette pratique.

Background: The rapid increase in mobile telephone use has generated concern about possible health risks of radiofrequency electromagnetic fields from these devices. Methods: A case-control study of 1105 patients with newly diagnosed acoustic neuroma (vestibular schwannoma) and 2145 controls was conducted in 13 countries using a common protocol. Past mobile phone use was assessed by personal interview. In the primary analysis, exposure time was censored at one year before the reference date (date of diagnosis for cases and date of diagnosis of the matched case for controls); analyses censoring exposure at five years before the reference date were also done to allow for a possible longer latent period. Results: The odds ratio (OR) of acoustic neuroma with ever having been a regular mobile phone user was 0.85 (95% confidence interval 0.69-1.04). The OR for >= 10 years after first regular mobile phone use was 0.76 (0.52-1.11). There was no trend of increasing ORs with increasing cumulative call time or cumulative number of calls, with the lowest OR (0.48 (0.30-0.78)) observed in the 9th decile of cumulative call time. In the 10th decile (>= 1640 h) of cumulative call time, the OR was 1.32 (0.88-1.97); there were, however, implausible values of reported use in those with >= 1640 h of accumulated mobile phone use. With censoring at 5 years before the reference date the OR for >= 10 years after first regular mobile phone use was 0.83 (0.58-1.19) and for >= 1640 h of cumulative call time it was 2.79(1.51-5.16). but again with no trend in the lower nine deciles and with the lowest OR in the 9th decile. In general, ORs were not greater in subjects who reported usual phone use on the same side of the head as their tumour than in those who reported it on the opposite side, but it was greater in those in the 10th decile of cumulative hours of use. Conclusions: There was no increase in risk of acoustic neuroma with ever regular use of a mobile phone or for users who began regular use 10 years or more before the reference date. Elevated odds ratios observed at the highest level of cumulative call time could be due to chance, reporting bias or a causal effect. As acoustic neuroma is usually a slowly growing tumour, the interval between introduction of mobile phones and occurrence of the tumour might have been too short to observe an effect, if there is one. (C) 2011 Elsevier Ltd. All rights reserved.

Les progrès obtenus au cours des dernières décennies sur la sécurité de la conduite automobile ne trouvent pas leur équivalent en conduite de deux-roues motorisés (DRM). Au kilomètre parcouru, le risque d'être tué est de l'ordre de 20 fois supérieur pour ces derniers. Différents travaux, ont souligné le rôle crucial des mécanismes perceptifs dans cette sur accidentalité : les DRM tendent à ne pas être vus par les autres usagers de la route, ce qui provoque une grande partie de leurs accidents avec tiers. Le projet PERCEPT se propose, sur la base d'une analyse de la façon dont la littérature permet d'appréhender la question, d'investiguer plus avant cette problématique en recourant complémentairement à 1) une analyse approfondie des mécanismes d'accidents de DRM impliquant des difficultés perceptives de la part des conducteurs confrontés, 2) une investigation expérimentale des processus sous-jacents à ces difficultés perceptives, 3) ainsi qu'à une analyse plus opérationnelle des besoins des conducteurs concernés et des mesures qui y correspondent plus particulièrement. Le présent rapport fait l'objet d'un exposé détaillé de ces différents développements. Convention Fondation Sécurité routière / Ifsttar

47th International Congress and Exposition on Noise Control Engineering (inter-noise 2018), CHICAGO, ETATS-UNIS, 26-/08/2018 - 29/08/2018; Background : The effects of annoyance due to aircraft noise on psychological distress have not been largely investigated, and remain discussed. The present study aimed to investigate the association between aircraft noise annoyance and psychological distress among people living near French airports.Methods : The DEBATS study included 1,244 residents around three major French airports. Information about psychological distress was provided by a face-to-face questionnaire including the 12-version of the General Health Questionnaire (GHQ-12). Annoyance due to aircraft noise was assessed through the verbal 5-point ICBEN scale. The association with psychological distress was investigated using logistic regressions. Results : About 22% of the participants were considered to have psychological distress according to the GHQ-12. A significant association was found between aircraft noise annoyance and psychological distress. The ORs ranged from 1.49 (95%CI=0.94-2.39) to 3.64 (95%CI=1.70-7.78), with gradual ORs across the different categories of annoyance. Conclusions : This study found a significant association between aircraft noise annoyance and psychological distress confirming the findings found in the literature. However the direction of the association can be questioned: annoyed people might be more prone to have psychological distress, but it is also possible that people with psychological distress might be more prone to be annoyed.