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在具有全国代表性的加拿大人样本中机动车碰撞损伤的预测因素。

Predictors of motor vehicle collision injuries among a nationally representative sample of Canadians.

作者信息

Vingilis Evelyn, Wilk Piotr

机构信息

Population and Community Health Unit, Department of Family Medicine, Schulich School of Medicine and Dentistry, The University of Western Ontario, London, Ontario, Canada.

出版信息

Traffic Inj Prev. 2007 Dec;8(4):411-8. doi: 10.1080/15389580701626202.

Abstract

OBJECTIVE

The purpose of this study was to examine predictors of subsequent motor vehicle collision injuries, with a particular focus on health-related variables, using the longitudinal dataset from the Canadian National Population Health Survey (NPHS) for the years 1994-2002.

METHODS

Multiple logistic regression analysis was used to determine the relations between motor vehicle collision injury and four risk factors: binge drinking, health status, distress, and medication use. Age and sex were included as control variables. The total sample size was 14,529.

RESULTS

A higher percentage of females and younger persons reported a motor vehicle collision injury. Binge drinkers, respondents with poor health, respondents with distress, and respondents reported using two or more medications reported a higher percentage of subsequent injuries. Logistic regression analysis found that persons with poorer health status and persons who used more medications had higher odds of motor vehicle injuries. Only one statistically significant interaction effect was found: alcohol bingeing and medication use.

CONCLUSIONS

Among a nationally representative sample of Canadians, various demographic and risk factors predict subsequent injuries. Given that this number represents a considerable economic burden, this study underscores the need for continued research and countermeasures on alcohol, drugs, and driving.

摘要

目的

本研究旨在利用1994 - 2002年加拿大国家人口健康调查(NPHS)的纵向数据集,研究后续机动车碰撞伤害的预测因素,特别关注与健康相关的变量。

方法

采用多元逻辑回归分析来确定机动车碰撞伤害与四个风险因素之间的关系:暴饮、健康状况、困扰和药物使用。年龄和性别作为控制变量。总样本量为14529。

结果

报告机动车碰撞伤害的女性和年轻人比例更高。暴饮者、健康状况差的受访者、有困扰的受访者以及报告使用两种或更多药物的受访者后续受伤的比例更高。逻辑回归分析发现,健康状况较差的人和使用更多药物的人机动车受伤的几率更高。仅发现一个具有统计学意义的交互作用:暴饮与药物使用。

结论

在具有全国代表性的加拿大人样本中,各种人口统计学和风险因素可预测后续伤害。鉴于这一数字代表了相当大的经济负担,本研究强调需要继续开展关于酒精、药物和驾驶的研究及对策。

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