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
While there are currently a number of irrigated land datasets available for the western United States (U.S.), there is uncertainty regarding in how they relate to each other. To help understand the characteristics of available irrigated datasets, we compared (1) the Cropland Data Layer (CDL), (2) Moderate Resolution Imaging Spectroradiometer Irrigated Agriculture Dataset (IAD), (3) Digitized Irrigated Land (DIL), and (4) Consumptive Use for Irrigation (CUI) data in Arizona and Colorado, U.S. These datasets were derived from multiple sources at various spatial resolutions and temporal scales. We found spatial and temporal trends among all of them. The datasets showed decreases in irrigated land area in Arizona during the 2000–2010 time period. The change ranges and ratios were similar in all Arizona datasets. Irrigated land in Colorado decreased in DIL and CUI but increased in IAD and CDL. The agreement within the same type of dataset during different time periods was from 60% to 80% (R2 from 0.35 to 0.72) in Arizona and from 50% to 80% (R2 from 0.23 to 0.68) in Colorado. DIL had the highest agreement (80%) in both states. The agreement among different datasets acquired at approximately the same time frame ranged from 51% to 63% (R2 from 0.14 to 0.31) in Arizona and from 47% to 69% (R2 from 0.32 to 0.40) in Colorado. The results from this study support a greater understanding of the multiresolution and multitemporal nature of these datasets for various applications. 相似文献