Pain and pain treatment were associated with traffic accident involvement in a cohort of middle-aged workers

To assess the influence of medical conditions on road traffic accidents among a cohort of middle-aged workers and pensioners. A longitudinal study of 13,548 participants from a cohort study of French workers. Follow-up data covered the 1989–2000 period. Adjusted hazards ratios (HR adj) for serious a...

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Veröffentlicht in:Journal of clinical epidemiology 2005-05, Vol.58 (5), p.524-531
Hauptverfasser: Lagarde, Emmanuel, Chastang, Jean-François, Lafont, Sylviane, Coeuret-Pellicer, Mireille, Chiron, Mireille
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container_end_page 531
container_issue 5
container_start_page 524
container_title Journal of clinical epidemiology
container_volume 58
creator Lagarde, Emmanuel
Chastang, Jean-François
Lafont, Sylviane
Coeuret-Pellicer, Mireille
Chiron, Mireille
description To assess the influence of medical conditions on road traffic accidents among a cohort of middle-aged workers and pensioners. A longitudinal study of 13,548 participants from a cohort study of French workers. Follow-up data covered the 1989–2000 period. Adjusted hazards ratios (HR adj) for serious accidents were computed by Cox's proportional hazards regression with time-dependent covariates adjusted for age, occupation, annual mileage in 2001, alcohol consumption, and number of reported health problems. Men who reported treated dental or gingival problems (HR adj = 8.57, 95% confidence interval CI = 2.70–27.2) and women who reported treated renal colic or kidney stones (HR adj = 9.71, 95% CI = 2.40–39.3) were much more likely to have a serious traffic accident. Treated glaucoma, hiatal hernia or gastric ulcers, and diabetes among women and treated cataract among men were also found to be associated with the risk of serious traffic accidents. This study raises the hypothesis that pain and pain treatment (singly or in combination) could increase the risk of road traffic accident and confirms that medical conditions traditionally found to be associated with traffic accident involvement of older drivers are also risk factors for middle-aged drivers.
doi_str_mv 10.1016/j.jclinepi.2004.09.008
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A longitudinal study of 13,548 participants from a cohort study of French workers. Follow-up data covered the 1989–2000 period. Adjusted hazards ratios (HR adj) for serious accidents were computed by Cox's proportional hazards regression with time-dependent covariates adjusted for age, occupation, annual mileage in 2001, alcohol consumption, and number of reported health problems. Men who reported treated dental or gingival problems (HR adj = 8.57, 95% confidence interval CI = 2.70–27.2) and women who reported treated renal colic or kidney stones (HR adj = 9.71, 95% CI = 2.40–39.3) were much more likely to have a serious traffic accident. Treated glaucoma, hiatal hernia or gastric ulcers, and diabetes among women and treated cataract among men were also found to be associated with the risk of serious traffic accidents. 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subjects Accidents
Accidents, Traffic
Adult
Automobile Driving
Biological and medical sciences
Chronic Disease
Epidemiology
Female
General aspects
Health problems
Health Status
Humans
Longitudinal Studies
Male
Medical conditions
Medical sciences
Methodology
Middle Aged
Occupational Diseases - therapy
Pain
Pain Management
Public health. Hygiene
Public health. Hygiene-occupational medicine
Risk Factors
traffic
Traffic accidents & safety
Womens health
Workers
title Pain and pain treatment were associated with traffic accident involvement in a cohort of middle-aged workers
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