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Author Jehle, Dietrich ♦ Doshi, Chirag ♦ Karagianis, Jenna ♦ Consiglio, Joseph ♦ Jehle, Gabrielle
Source World Health Organization (WHO)-Global Index Medicus
Content type Text
Publisher Elsevier
File Format HTM / HTML
Language English
Difficulty Level Medium
Subject Domain (in DDC) Social sciences ♦ Social problems & services; associations ♦ Social welfare problems & services ♦ Natural sciences & mathematics ♦ Life sciences; biology ♦ Natural history of organisms ♦ Technology ♦ Medicine & health ♦ Personal health & safety ♦ Diseases ♦ Manufacture for specific uses ♦ Precision instruments & other devices
Subject Domain (in MeSH) Eukaryota ♦ Organisms ♦ Nutritional and Metabolic Diseases ♦ Diseases ♦ Diagnosis ♦ Investigative Techniques ♦ Equipment and Supplies ♦ Analytical, Diagnostic and Therapeutic Techniques and Equipment ♦ Persons ♦ Persons ♦ Environment and Public Health ♦ Health Care
Subject Keyword Discipline Emergency ♦ Discipline Medicine ♦ Accidents, Traffic ♦ Mortality ♦ Obesity ♦ Seat Belts ♦ Utilization ♦ Adult ♦ Body Mass Index ♦ Humans ♦ Logistic Models ♦ Middle Aged ♦ Multivariate Analysis ♦ Obesity, Morbid ♦ Odds Ratio ♦ Retrospective Studies ♦ Risk Factors ♦ Young Adult ♦ Journal Article
Abstract BACKGROUND: Seatbelts significantly reduce the risk of death in motor vehicle accidents, but a certain number of individuals from some subgroups tend not to wear their seatbelts. OBJECTIVES: In this study, we hypothesized that obese drivers (in fatal crashes) were less likely to wear seatbelts than their normal-weight counterparts. METHODS: A retrospective study was conducted on the drivers in motor vehicle crashes entered into the Fatality Analysis Reporting System database between 2003 and 2009. A number of precrash variables were found to be significantly associated with seatbelt use. These were entered into a multivariate logistic regression model using stepwise selection. Drivers were grouped into weight categories based on the World Health Organization definitions of obesity by body mass index. Seatbelt use was then examined by body mass index, adjusted for precrash variables that were significantly associated with seatbelt use. RESULTS: The odds of seatbelt use for normal-weight individuals were found to be 67% higher than the odds of seatbelt use in the morbidly obese. The relationship of seatbelt use between the different weight groups and the morbidly obese is as follows (odds ratios [ORs] for each comparison are listed with 95% confidence limits [CL]): underweight vs morbidly obese (OR, 1.62; CL, 1.47-1.79), normal weight vs morbidly obese (OR, 1.67; CL, 1.54-1.81), overweight vs morbidly obese (OR, 1.60; CL, 1.48-1.74), slightly obese vs morbidly obese (OR, 1.40; CL, 1.29-1.52), and moderately obese vs morbidly obese (OR, 1.24; CL, 1.13-1.36). CONCLUSION: Seatbelt use is significantly less likely in obese individuals compared with their normal-weight counterparts.
Description Author Affiliation: Jehle D ( Department of Emergency Medicine, Erie County Medical Center, Buffalo, NY.); Doshi C ( School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY. Electronic address: cpdoshi@buffalo.edu.); Karagianis J ( Department of Emergency Medicine, Erie County Medical Center, Buffalo, NY.); Consiglio J ( Department of Emergency Medicine and Biostatistics, Erie County Medical Center, Buffalo, NY.); Jehle G ( Department of Emergency Medicine, Erie County Medical Center, Buffalo, NY.)
ISSN 07356757
Educational Role Student ♦ Teacher
Age Range above 22 year
Educational Use Reading ♦ Research ♦ Self Learning
Interactivity Type Expositive
Education Level UG and PG
Learning Resource Type Article
Publisher Date 2014-07-01
Publisher Place United States
e-ISSN 15328171
Journal The American Journal of Emergency Medicine
Volume Number 32
Issue Number 7


Source: WHO-Global Index Medicus