Songer T J, LaPorte R E, Dorman J S, Orchard T J, Cruickshanks K J, Becker D J, Drash A L
Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, PA 15261.
Diabetes Care. 1988 Oct;11(9):701-7. doi: 10.2337/diacare.11.9.701.
A case-control study examining the 1-yr motor vehicle accident experiences of 158 insulin-dependent diabetes mellitus (IDDM) cases and 158 nondiabetic siblings was undertaken to evaluate the risk of motor vehicle accidents among drivers with IDDM. In multivariate analyses the overall accident risk of the cases and control subjects did not differ significantly. Female diabetic drivers, however, showed a marked increased risk for motor vehicle accidents. The accident risk among female cases was five times higher than among the female control subjects (P less than .05). Age and marital status were also significantly associated with accident probability in the multivariate model. The results suggest that IDDM could have an effect on the accident rate of diabetic drivers, particularly women. However, the traditional risk factors for automobile accidents, i.e., age and marital status, appear to have an equally strong influence on accident occurrence. Further studies are needed to 1) document the role of IDDM in accidents among representative samples of the IDDM population and 2) properly evaluate the licensing restrictions recommended for diabetic drivers.
一项病例对照研究对158例胰岛素依赖型糖尿病（IDDM）患者和158名非糖尿病同胞的1年机动车事故经历进行了调查，以评估IDDM患者发生机动车事故的风险。在多变量分析中，病例组和对照组的总体事故风险没有显著差异。然而，女性糖尿病司机发生机动车事故的风险显著增加。女性病例组的事故风险比女性对照组高五倍（P<0.05）。在多变量模型中，年龄和婚姻状况也与事故概率显著相关。结果表明，IDDM可能会影响糖尿病司机，尤其是女性的事故发生率。然而，传统的交通事故风险因素，即年龄和婚姻状况，似乎对事故发生有同样强烈的影响。需要进一步研究以：1）记录IDDM在IDDM人群代表性样本的事故中的作用；2）正确评估针对糖尿病司机建议的驾照限制。
