Drivers obesity and road crash risks in the United States

<p dir="ltr">We assessed obesity trends in US drivers involved in fatal crashes since 1999 and distinguished whether crash risk factors were different between obese and non-obese drivers. We included drivers of passenger cars involved in fatal traffic crashes between January 1, 1999...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Junaid Ahmad Bhatti (366799) (author)
مؤلفون آخرون: Avery Nathens (2994351) (author), Donald A Redelmeier (94635) (author)
منشور في: 2015
الموضوعات:
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author Junaid Ahmad Bhatti (366799)
author2 Avery Nathens (2994351)
Donald A Redelmeier (94635)
author2_role author
author
author_facet Junaid Ahmad Bhatti (366799)
Avery Nathens (2994351)
Donald A Redelmeier (94635)
author_role author
dc.creator.none.fl_str_mv Junaid Ahmad Bhatti (366799)
Avery Nathens (2994351)
Donald A Redelmeier (94635)
dc.date.none.fl_str_mv 2015-11-12T09:00:00Z
dc.identifier.none.fl_str_mv 10.5339/jlghs.2015.itma.17
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Drivers_obesity_and_road_crash_risks_in_the_United_States/27144414
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Medical biochemistry and metabolomics
Health sciences
Epidemiology
Public health
Obesity Trends
Crash Risk Factors
Driving Behavior
Seat-Belt Non-Use
Fatality Risk
Epidemiology
Public Health
dc.title.none.fl_str_mv Drivers obesity and road crash risks in the United States
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">We assessed obesity trends in US drivers involved in fatal crashes since 1999 and distinguished whether crash risk factors were different between obese and non-obese drivers. We included drivers of passenger cars involved in fatal traffic crashes between January 1, 1999 and December 31, 2012. Obesity was classified according to the World Health Organization guidelines and profiled between 1999 and 2012 using adjusted prevalence ratio (aPR) from log-binomial regression models. Differences in crash risks (e.g., fatality, drunk-driving, seat-belt non-use) between obese and non-obese drivers were estimated as adjusted odds ratio (aOR) using logistic regression models. A total of 753,024 US drivers were involved in fatal crashes, of whom obesity information was available in 534,887. About 56% (n=299,078) were driving passenger cars. The prevalence of class I obesity increased from 10% in 1999 to 14% in 2012 (aPR=1.50, 95% confidence intervals [95%CI]=1.42-1.58), class II obesity from 3% to 5% (aPR=2.22, 95%CI=2.05-3.01), and class III obesity from 1% to 2% (aPR=2.65; 95%CI=2.27-3.10). Compared to non-obese controls, obese drivers had significantly higher risks for fatality (1.10≤aOR≤1.47), seat-belt non-use (1.00≤aOR≤1.21), need for extrication (1.01≤aOR≤1.23), and ambulance transport time ≥30min (1.01≤aOR≤1.28). Compared to non-obese controls, obese drivers were less likely to drink-drive (0.41≤aOR≤0.72) and speed ≥65mph (0.78≤aOR≤0.93).. The rising national prevalence of obesity extends to US drivers involved in fatal crashes and indicates the need to improve seat-belt use, vehicle design, and post-crash care for this vulnerable population.</p><h2 dir="ltr">Other Information</h2><p dir="ltr">Published in: Journal of Local and Global Health Science, title discontinued as of (2017)<br>License: <a href="https://creativecommons.org/licenses/by/4.0/deed.en" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.5339/jlghs.2015.itma.17" target="_blank">https://dx.doi.org/10.5339/jlghs.2015.itma.17</a></p>
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spelling Drivers obesity and road crash risks in the United StatesJunaid Ahmad Bhatti (366799)Avery Nathens (2994351)Donald A Redelmeier (94635)Biomedical and clinical sciencesMedical biochemistry and metabolomicsHealth sciencesEpidemiologyPublic healthObesity TrendsCrash Risk FactorsDriving BehaviorSeat-Belt Non-UseFatality RiskEpidemiologyPublic Health<p dir="ltr">We assessed obesity trends in US drivers involved in fatal crashes since 1999 and distinguished whether crash risk factors were different between obese and non-obese drivers. We included drivers of passenger cars involved in fatal traffic crashes between January 1, 1999 and December 31, 2012. Obesity was classified according to the World Health Organization guidelines and profiled between 1999 and 2012 using adjusted prevalence ratio (aPR) from log-binomial regression models. Differences in crash risks (e.g., fatality, drunk-driving, seat-belt non-use) between obese and non-obese drivers were estimated as adjusted odds ratio (aOR) using logistic regression models. A total of 753,024 US drivers were involved in fatal crashes, of whom obesity information was available in 534,887. About 56% (n=299,078) were driving passenger cars. The prevalence of class I obesity increased from 10% in 1999 to 14% in 2012 (aPR=1.50, 95% confidence intervals [95%CI]=1.42-1.58), class II obesity from 3% to 5% (aPR=2.22, 95%CI=2.05-3.01), and class III obesity from 1% to 2% (aPR=2.65; 95%CI=2.27-3.10). Compared to non-obese controls, obese drivers had significantly higher risks for fatality (1.10≤aOR≤1.47), seat-belt non-use (1.00≤aOR≤1.21), need for extrication (1.01≤aOR≤1.23), and ambulance transport time ≥30min (1.01≤aOR≤1.28). Compared to non-obese controls, obese drivers were less likely to drink-drive (0.41≤aOR≤0.72) and speed ≥65mph (0.78≤aOR≤0.93).. The rising national prevalence of obesity extends to US drivers involved in fatal crashes and indicates the need to improve seat-belt use, vehicle design, and post-crash care for this vulnerable population.</p><h2 dir="ltr">Other Information</h2><p dir="ltr">Published in: Journal of Local and Global Health Science, title discontinued as of (2017)<br>License: <a href="https://creativecommons.org/licenses/by/4.0/deed.en" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.5339/jlghs.2015.itma.17" target="_blank">https://dx.doi.org/10.5339/jlghs.2015.itma.17</a></p>2015-11-12T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.5339/jlghs.2015.itma.17https://figshare.com/articles/journal_contribution/Drivers_obesity_and_road_crash_risks_in_the_United_States/27144414CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/271444142015-11-12T09:00:00Z
spellingShingle Drivers obesity and road crash risks in the United States
Junaid Ahmad Bhatti (366799)
Biomedical and clinical sciences
Medical biochemistry and metabolomics
Health sciences
Epidemiology
Public health
Obesity Trends
Crash Risk Factors
Driving Behavior
Seat-Belt Non-Use
Fatality Risk
Epidemiology
Public Health
status_str publishedVersion
title Drivers obesity and road crash risks in the United States
title_full Drivers obesity and road crash risks in the United States
title_fullStr Drivers obesity and road crash risks in the United States
title_full_unstemmed Drivers obesity and road crash risks in the United States
title_short Drivers obesity and road crash risks in the United States
title_sort Drivers obesity and road crash risks in the United States
topic Biomedical and clinical sciences
Medical biochemistry and metabolomics
Health sciences
Epidemiology
Public health
Obesity Trends
Crash Risk Factors
Driving Behavior
Seat-Belt Non-Use
Fatality Risk
Epidemiology
Public Health