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An international cross\u2010sectional survey was conducted across 10 countries in a population of subjects with sleep disturbances. Primary care physicians administered a questionnaire that included assessment of sociodemographic characteristics, sleep disturbance and accidents (motor vehicle, work and home) related to sleep problems to each subject. Insomnia was defined using the International Classification of Sleep Disorders (<jats:styled-content style=\"fixed-case\">ICSD<\/jats:styled-content>\u201010) criteria. A total of 5293 subjects were included in the study, of whom 20.9% reported having had at least one home accident within the past 12\u00a0months, 10.1% at least one work accident, 9% reported having fallen asleep while driving at least once and 4.1% reported having had at least one car accident related to their sleepiness. All types of accident were reported more commonly by subjects living in urban compared to other residential areas. Car accidents were reported more commonly by employed subjects, whereas home injuries were reported more frequently by the unemployed. Car accidents were reported more frequently by males than by females, whereas home accidents were reported more commonly by females. Patients with insomnia have high rates of home accidents, car accidents and work accidents related to sleep disturbances independently of any adverse effects of hypnotic treatments. Reduced total sleep time may be one factor explaining the high risk of accidents in individuals who complain of insomnia.<\/jats:p>","DOI":"10.1111\/jsr.12104","type":"journal-article","created":{"date-parts":[[2013,11,15]],"date-time":"2013-11-15T09:06:50Z","timestamp":1384506410000},"page":"143-152","source":"Crossref","is-referenced-by-count":148,"title":["Insomnia and accidents: cross\u2010sectional study (<scp>EQUINOX<\/scp>) on sleep\u2010related home, work and car accidents in 5293 subjects with insomnia from 10 countries"],"prefix":"10.1111","volume":"23","author":[{"given":"Damien","family":"L\u00e9ger","sequence":"first","affiliation":[{"name":"Universit\u00e9 Paris Descartes APHP H\u00f4tel\u2010Dieu Centre du Sommeil et de la Vigilance de l'H\u00f4tel Dieu de Paris Equipe d'accueil VIFASOM Stanford Sleep Epidemiology Research European Centre Paris Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginie","family":"Bayon","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Descartes APHP H\u00f4tel\u2010Dieu Centre du Sommeil et de la Vigilance de l'H\u00f4tel Dieu de Paris Equipe d'accueil VIFASOM Stanford Sleep Epidemiology Research European Centre Paris Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maurice M.","family":"Ohayon","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Descartes APHP H\u00f4tel\u2010Dieu Centre du Sommeil et de la Vigilance de l'H\u00f4tel Dieu de Paris Equipe d'accueil VIFASOM Stanford Sleep Epidemiology Research European Centre Paris Paris France"},{"name":"Stanford Sleep Epidemiology Research Centre Stanford University Palo Alto CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre","family":"Philip","sequence":"additional","affiliation":[{"name":"CNRS USR 3413\u2013SANPSY CHU Pellegrin Bordeaux France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Ement","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Descartes APHP H\u00f4tel\u2010Dieu Centre du Sommeil et de la Vigilance de l'H\u00f4tel Dieu de Paris Equipe d'accueil VIFASOM Stanford Sleep Epidemiology Research European Centre Paris Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnaud","family":"Metlaine","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Descartes APHP H\u00f4tel\u2010Dieu Centre du Sommeil et de la Vigilance de l'H\u00f4tel Dieu de Paris Equipe d'accueil VIFASOM Stanford Sleep Epidemiology Research European Centre Paris Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mounir","family":"Chennaoui","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Descartes APHP H\u00f4tel\u2010Dieu Centre du Sommeil et de la Vigilance de l'H\u00f4tel Dieu de Paris Equipe d'accueil VIFASOM Stanford Sleep Epidemiology Research European Centre Paris Paris France"},{"name":"Unit\u00e9 Fatique Vigilance Institut de Recherche Biom\u00e9dicale des Arm\u00e9es (IRBA) Equipe d'accueil VIFASOM Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brice","family":"Faraut","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Descartes APHP H\u00f4tel\u2010Dieu Centre du Sommeil et de la Vigilance de l'H\u00f4tel Dieu de Paris Equipe d'accueil VIFASOM Stanford Sleep Epidemiology Research European Centre Paris Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,11,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2869.2002.00287.x"},{"key":"e_1_2_8_3_1","volume-title":"International Classification of Sleep Disorders","author":"American Academy of Sleep Medicine","year":"2005"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890423349"},{"key":"e_1_2_8_5_1","first-page":"1","article-title":"Nonbenzodiazepine sleep medication use and hip fractures in nursing home residents","volume":"4","author":"Berry S. 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