职业卡车司机心血管疾病风险因素与机动车碰撞事故之间的关联
The Association Between Cardiovascular Disease Risk Factors and Motor Vehicle Crashes Among Professional Truck Drivers.
作者信息
Ronna Brenden B, Thiese Matthew S, Ott Ulrike, Effiong Atim, Murtaugh Maureen, Kapellusch Jay, Garg Arun, Hegmann Kurt
机构信息
Rocky Mountain Center for Occupational and Environmental Health, Department of Family & Preventive Medicine, University of Utah School of Medicine, Salt Lake City (Mr Ronna, Drs Thiese, Ott, Effiong, Murtaugh, Hegmann), and Department of Industrial & Manufacturing Engineering, Center for Ergonomics, University of Wisconsin, Milwaukee (Drs Kapellusch, Garg).
出版信息
J Occup Environ Med. 2016 Aug;58(8):828-32. doi: 10.1097/JOM.0000000000000806.
OBJECTIVE
This study assesses relationships between the Framingham cardiovascular disease risk (CVD risk) score and prevalence of US Department of Transportation (DOT)-reportable crashes in commercial motor vehicle (CMV) drivers, after controlling for potential confounders.
METHODS
Data were analyzed from CMV drivers (N = 797) in a large cross-sectional study. CVD risk was calculated for each driver. Adjusted odds ratios (ORs) and 95% confidence intervals (95% CIs) between CVD risk and DOT-reportable crashes were calculated.
RESULTS
Drivers in the two highest CVD risk groups had significantly higher likelihood of crash (OR = 2.08, 95% CI = 1.20 to 3.63 and OR = 1.99, 95% CI = 1.05 to 3.77, respectively) after adjusting for confounders. There was a significant trend of increasing prevalence of crashes with an increasing CVD risk score (P = 0.0298).
CONCLUSION
Drivers with a high CVD risk had a higher likelihood of a crash after controlling for confounders.
目的
本研究在控制潜在混杂因素后，评估弗雷明汉心血管疾病风险（CVD风险）评分与美国运输部（DOT）报告的商用机动车（CMV）驾驶员碰撞事故发生率之间的关系。
方法
对一项大型横断面研究中的CMV驾驶员（N = 797）的数据进行分析。计算每位驾驶员的CVD风险。计算CVD风险与DOT报告的碰撞事故之间的校正比值比（OR）和95%置信区间（95%CI）。
结果
在调整混杂因素后，CVD风险最高的两个组中的驾驶员发生碰撞的可能性显著更高（OR分别为2.08，95%CI为1.20至3.63；OR为1.99，95%CI为1.05至3.77）。随着CVD风险评分的增加，碰撞事故发生率有显著的上升趋势（P = 0.0298）。
结论
在控制混杂因素后，CVD风险高的驾驶员发生碰撞的可能性更高。
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