The Samenta study was conducted in 2009 in the Greater Paris area to estimate the prevalence of psychiatric disorders in homeless people. A cross-sectional survey was performed with a three-stage random sample of homeless people (n = 859), including users of day services, emergency shelters, hot meal distribution, long-term rehabilitation centres, and social hotels. Information was collected by a lay interviewer, using the Mini International Neuropsychiatric Interview, and completed by a psychologist through an open clinical interview. In the end, a psychiatrist assessed the psychiatric diagnosis according to the International Statistical Classification of Diseases and Related Health Problems (ICD, 10th revision). One third of homeless people in the Paris area had at least one severe psychiatric disorder (SPD): psychotic disorders (13%), anxiety disorders (12%), or severe mood disorders (7%). One in five was alcohol-dependent and 18% were drug users. Homeless women had significantly higher prevalence of anxiety disorders and depression compared to men, who were more likely to suffer from psychotic disorders. Homeless people of French origin were at higher risk of SPD, as well as people who experienced various adverse life events before the age of 18 (running away, sexual violence, parental disputes, and/or addictions) and those who experienced homelessness for the first time before the age of 26. The prevalence rates of the main psychiatric disorders within the homeless population of our study are consistent with those reported in other Western cities. Our results advocate for an improvement in the detection, housing, and care of psychiatric homeless people.

Background The COVID-19 pandemic has shaken the world in early 2020. In France, General Practitioners (GPs) were not involved in the care organization’s decision-making process before and during the first wave of the COVID-19 pandemic. This omission could have generated stress for GPs. We aimed first to estimate the self-perception of stress as defined by the 10-item Perceived Stress Score (PSS-10), at the beginning of the pandemic in France, among GPs from the Auvergne-Rhône-Alpes, a french administrative area severely impacted by COVID-19. Second, we aimed to identify factors associated with a self-perceived stress (PSS-10 ≥ 27) among socio-demographic characteristics of GPs, their access to reliable information and to personal protective equipment during the pandemic, and their exposure to well established psychosocial risk at work. Methods We conducted an online cross-sectional survey between 8th April and 10th May 2020. The self-perception of stress was evaluated using the PSS-10, so to see the proportion of “not stressed” (≤20), “borderline” (21 ≤ PSS-10 ≤ 26), and “stressed” (≥27) GPs. The agreement to 31 positive assertions related to possible sources of stress identified by the scientific study committee was measured using a 10-point numeric scale. In complete cases, factors associated with stress (PSS-10 ≥ 27) were investigated using logistic regression, adjusted on gender, age and practice location. A supplementary analysis of the verbatims was made. Results Overall, 898 individual answers were collected, of which 879 were complete. A total of 437 GPs (49%) were stressed (PSS-10 ≥ 27), and 283 GPs (32%) had a very high level of stress (PSS-10 ≥ 30). Self-perceived stress was associated with multiple components, and involved classic psychosocial risk factors such as emotional requirements. However, in this context of health crisis, the primary source of stress was the diversity and quantity of information from diverse sources (614 GPs (69%, OR = 2.21, 95%CI [1.40–3.50], p < 0.001). Analysis of verbatims revealed that GPs felt isolated in a hospital-based model. Conclusion The first wave of the pandemic was a source of stress for GPs. The diversity and quantity of information received from the health authorities were among the main sources of stress.

Firstly, this study highlights the real existence of two distinct subpopulations having different sociodemographic characteristics, with specific lifestyles and practices, and with different prevalences of ectoparasitism. Secondly, the results of the multivariate analyses will help the implementation of specific actions targeting the group of people who sleep in public places.

Abstract:The Samenta study was conducted in 2009 in the Greater Paris area to estimate the 12 prevalence of psychiatric disorders among the homeless. A cross-sectional survey was performed 13 with a three-stage random sample of homeless people (n = 859), including users of day services, 14 emergency shelters, hot meal distribution, long-term rehabilitation centres and social hotels.

La pratique d’une activité physique et sportive régulière est bénéfique pour la santé mais elle peut également occasionner un accident de sport dont la gravité peut être élevée. Les données enregistrées de 2004 à 2013 dans le cadre de l’Enquête permanente sur les accidents de la vie courante (EPAC), dans un service d’urgences d’un centre hospitalier de Haute-Savoie, ont été analysées afin de décrire les caractéristiques des accidents de sport dans une région particulièrement attractive pour les sports d’hiver et les sports aériens. Au total 43 505 accidents de sport ont été enregistrés : les sports d’équipe (30 %), les sports d’hiver (25 %) et le cyclisme (23 %) étaient les sports les plus représentés. Ces accidents concernaient davantage les hommes que les femmes (sex-ratio = 2,3), et la tranche d’âge 10-14 ans (21 % des accidentés). Tous sports confondus, les chutes ont été le mécanisme accidentel le plus fréquent. L’escalade, les sports d’hiver et les sports aériens sont les sports ayant entraîné le plus d’hospitalisations. Le risque d’hospitalisation suite à un accident de sport était plus élevé chez les hommes, quand l’âge augmentait et quand le lieu de résidence était situé hors de la Haute-Savoie. Des travaux complémentaires sont recommandés pour mesurer l’impact sur la survenue d’accident de l’utilisation de moyens de protection (casque, gants), du niveau de pratique et d’encadrement, ou de l’appartenance à un club sportif sur le risque d’hospitalisation.