Objective: We assessed obesity trends in U.S. drivers involved in fatal crashes since 1999 and distinguished whether crash risk factors were different between obese and nonobese drivers.
Methods: We included only 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 the adjusted prevalence ratio (aPR) from log-binomial regression models. Differences in crash risks (e.g., driver's fatality, drunk driving, seat belt nonuse) between obese and nonobese drivers were estimated as adjusted odds ratios (aORs) using logistic regression models.
Results: A total of 753,024 U.S. drivers were involved in fatal crashes, for which obesity information was available for 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 interval [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 nonobese controls, obese drivers had significantly higher risks for fatality (1.10 ≤ aOR ≤ 1.47), seat belt nonuse (1.00 ≤ aOR ≤ 1.21), need for extrication (1.01 ≤ aOR ≤ 1.23), and ambulance transport time ≥30 min (1.01 ≤ aOR ≤ 1.28). Compared to nonobese controls, obese drivers were less likely to drink drive (0.41 ≤ aOR ≤ 0.72) or speed >65 mph (0.78 ≤ aOR ≤ 0.93).
Conclusion: The rising national prevalence of obesity extends to U.S. drivers involved in fatal crashes and indicates the need to improve seat belt use, vehicle design, and postcrash care for this vulnerable population. 相似文献
The purpose of this study is to evaluate the methods of reducing elevated-road traffic-noise levels in rural residential areas by controlling the relative locations and morphological parameters and to investigate the effect of noise barriers on noise attenuation along elevated roads and building facades in villages. This study selected six morphological parameters and used noise-mapping techniques to estimate the noise attenuation in 60 village sites. The results indicate that ‘quiet areas’ increase by approximately 10% for each additional 100 m increase in the distance between the elevated road and the village. The best strategy for noise reduction is keeping the elevated road 1,000 m away from the village and raising the road height to 20 m. The building façade conditions only affect the traffic noise level attenuation when the buildings are within 100 m of the elevated road. It was found that the cost-effective length of the road noise barrier is 600 m on both sides of the village parallel to the road. The results highlight the importance of using morphology to improve the traffic noise resistance of villages. The landscape shape indices of buildings and roads are the most important parameters that affect the traffic noise attenuation of elevated roads. 相似文献
The genetic composition of Poa annua L, populations with a series of traffic pollution was studied by starch electrophoresis. Five enzyme systems were stained. The results showed that: (1) Traffic pollution can dramatically change genotypic frequencies at some loci of P. annua populations. Significant deviations from HardyWeinberg equilibrium were observed on loci Fe - 1 and Me due to the excess of heterozygotes in some populations.(2) The effective number of alleles per locus and the observed and expected heterozygosity were higher in the pollution series than in the clear control site(Botanic Park population), but the increase was not related with the pollution extent. (3) Most genetic variation was found within populations, and only 6.21% was among populations of the polluted series. Slightly higher differentiation( FST = 7.98%) was observed when the control population was included. (4) The calculated gene flow(Nm) is 2.8841 per generation. The mean of genetic identity is 0.9864 and the genetic distance average to 0.0138. 相似文献
