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Understanding the effect of deployment on the risk of fatal motor vehicle crashes: a nested case-control study of fatalities in Gulf War era veterans, 1991-1995.
Accid Anal Prev. 2006 May; 38(3):518-25.AA

Abstract

Motor vehicle crashes (MVCs) are an important cause of morbidity and premature loss of life among military personnel during peacetime and particularly following combat. A nested case-control study of fatal MVC occurring between 1991 and 1995 was conducted in a cohort of Gulf War era veterans. Cases were validated MVC deaths in the Fatality Analysis Reporting System. Controls were selected using risk set sampling by gender and year of case ascertainment in a 10:1 ratio. Preliminary results, consistent with previous reports of increased fatal MVC risk among returning combat veterans, showed a crude odds ratio of 1.45 (95% confidence interval 1.27-1.65). Multivariable logistic regression modeling was used to identify important independent predictors, as well as to quantify the influence of deployment on a risk profile for fatal MVC. Because of significant interaction between deployment and inpatient diagnosis of substance abuse, the final model was stratified by deployment status. Results suggest that demographic, military, and behavioral characteristics of deployed healthy warriors are similar to the risk profile for fatal MVC. In addition to young, single, high school-educated, enlisted male personnel, those who served during times of ground combat, particularly in infantry, gun crews, or seamanship occupations, should be targeted for preventive interventions.

Authors+Show Affiliations

Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, Bethesda, MD 20814-4799, USA. thooper@usuhs.milNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

16405857

Citation

Hooper, Tomoko I., et al. "Understanding the Effect of Deployment On the Risk of Fatal Motor Vehicle Crashes: a Nested Case-control Study of Fatalities in Gulf War Era Veterans, 1991-1995." Accident; Analysis and Prevention, vol. 38, no. 3, 2006, pp. 518-25.
Hooper TI, Debakey SF, Bellis KS, et al. Understanding the effect of deployment on the risk of fatal motor vehicle crashes: a nested case-control study of fatalities in Gulf War era veterans, 1991-1995. Accid Anal Prev. 2006;38(3):518-25.
Hooper, T. I., Debakey, S. F., Bellis, K. S., Kang, H. K., Cowan, D. N., Lincoln, A. E., & Gackstetter, G. D. (2006). Understanding the effect of deployment on the risk of fatal motor vehicle crashes: a nested case-control study of fatalities in Gulf War era veterans, 1991-1995. Accident; Analysis and Prevention, 38(3), 518-25.
Hooper TI, et al. Understanding the Effect of Deployment On the Risk of Fatal Motor Vehicle Crashes: a Nested Case-control Study of Fatalities in Gulf War Era Veterans, 1991-1995. Accid Anal Prev. 2006;38(3):518-25. PubMed PMID: 16405857.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Understanding the effect of deployment on the risk of fatal motor vehicle crashes: a nested case-control study of fatalities in Gulf War era veterans, 1991-1995. AU - Hooper,Tomoko I, AU - Debakey,Samar F, AU - Bellis,Kimberly S, AU - Kang,Han K, AU - Cowan,David N, AU - Lincoln,Andrew E, AU - Gackstetter,Gary D, Y1 - 2006/01/06/ PY - 2005/09/13/received PY - 2005/11/14/revised PY - 2005/11/28/accepted PY - 2006/1/13/pubmed PY - 2006/10/5/medline PY - 2006/1/13/entrez SP - 518 EP - 25 JF - Accident; analysis and prevention JO - Accid Anal Prev VL - 38 IS - 3 N2 - Motor vehicle crashes (MVCs) are an important cause of morbidity and premature loss of life among military personnel during peacetime and particularly following combat. A nested case-control study of fatal MVC occurring between 1991 and 1995 was conducted in a cohort of Gulf War era veterans. Cases were validated MVC deaths in the Fatality Analysis Reporting System. Controls were selected using risk set sampling by gender and year of case ascertainment in a 10:1 ratio. Preliminary results, consistent with previous reports of increased fatal MVC risk among returning combat veterans, showed a crude odds ratio of 1.45 (95% confidence interval 1.27-1.65). Multivariable logistic regression modeling was used to identify important independent predictors, as well as to quantify the influence of deployment on a risk profile for fatal MVC. Because of significant interaction between deployment and inpatient diagnosis of substance abuse, the final model was stratified by deployment status. Results suggest that demographic, military, and behavioral characteristics of deployed healthy warriors are similar to the risk profile for fatal MVC. In addition to young, single, high school-educated, enlisted male personnel, those who served during times of ground combat, particularly in infantry, gun crews, or seamanship occupations, should be targeted for preventive interventions. SN - 0001-4575 UR - https://www.unboundmedicine.com/medline/citation/16405857/Understanding_the_effect_of_deployment_on_the_risk_of_fatal_motor_vehicle_crashes:_a_nested_case_control_study_of_fatalities_in_Gulf_War_era_veterans_1991_1995_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0001-4575(05)00197-1 DB - PRIME DP - Unbound Medicine ER -