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怀孕前和怀孕期间发生机动车祸的风险:台湾的一项基于人口的受控研究
Ya-Hui Chang1, Yu-Wen Chien2, Chiung-Hsin Chang3
1Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Surgery, Massachusetts General Hospital, Boston, MA, USA.
Injury
|October 16, 2023
概括
汽车事故 (MVC) 发生率在怀孕期间显著下降,特别是在滑板车事故中. 然而,持续的风险和孕产妇/孕产后后果需要进一步研究.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 道路交通安全 道路交通安全
背景情况:
- 关于怀孕期间机动车撞车 (MVC) 风险的研究有限.
- 以前的研究往往缺乏基于人口的数据和怀孕前和怀孕期间的设计.
研究的目的:
- 调查怀孕与MVC事件风险之间的关联.
- 利用台湾的全国性孕妇队列来评估这种风险.
主要方法:
- 采用了自我匹配的病例控制设计,比较每个妇女在怀孕前和怀孕期间的驾驶风险.
- 分析了2008-2017年间1,372,664名孕妇 (年龄18-50岁) 的数据.
- 使用条件波松回归计算率比率 (RR) 来比较MVC事件率.
主要成果:
- 在怀孕期间,总体MVC事件发生率显著降低 (RR = 0.69).
- 观察到与滑板车相关的撞车事故显著减少 (RR = 0.60).
- 怀孕期间母亲的酒与较高的RR (2.00) 有关,尽管有广泛的置信区间.
结论:
- 怀孕与减少机动车祸的风险有关.
- 尽管减少了,但孕妇继续参与MVC.
- 需要进一步的研究来探索与这些事故相关的孕产妇,围产儿和后代健康结果.
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