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Emotional stress and traffic accidents: the impact of separation and divorce
- Source :
- Epidemiology (Cambridge, Mass.). 15(6)
- Publication Year :
- 2004
-
Abstract
- BACKGROUND:: Personal responses to stressful life events are suspected of increasing the risk of serious traffic accidents. METHODS:: We analyzed data from a French cohort study (the GAZEL cohort), including a retrospective driving behavior questionnaire, from 13,915 participants (10,542 men age 52-62 years and 3373 women age 47-62 years in 2001). Follow-up data covered 1993-2000. Hazard ratios for serious accidents (n = 713) were computed by Cox's proportional hazard regression with time-dependent covariates. Separate analyses were also performed to consider only at-fault accidents. RESULTS:: Marital separation or divorce was associated with an increased risk of a serious accident (all serious accidents: hazard ratio 2.9, 95% confidence interval = 1.7-5.0; at-fault accidents: 4.4, 2.3-8.3). The impact of separation and divorce did not differ according to alcohol consumption levels. Other life events associated with increased risk of serious accident were a child leaving home (all accidents: 1.2, 0.97-1.6; at-fault accidents: 1.5, 1.1-2.1), an important purchase (all accidents: 1.4, 1.1-1.7; at-fault accidents: 1.6, 1.2-2.1), and hospitalization of the partner (all accidents: 1.4, 1.1-2.0). CONCLUSION:: This study suggests that recent separation and divorce are associated with an increase in serious traffic accidents.
- Subjects :
- Male
Epidemiology
Poison control
Marital separation
Occupational safety and health
Cohort Studies
Divorce
Risk Factors
Environmental health
Surveys and Questionnaires
Injury prevention
Medicine
Humans
Prospective Studies
Proportional Hazards Models
Proportional hazards model
business.industry
Hazard ratio
Accidents, Traffic
Age Factors
Middle Aged
Cohort
Female
France
business
Stress, Psychological
Cohort study
Subjects
Details
- ISSN :
- 10443983
- Volume :
- 15
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Epidemiology (Cambridge, Mass.)
- Accession number :
- edsair.doi.dedup.....afcb479730d4f5aecfbc25939a32c45a