Driving following Kava Use and Road Traffic Injuries: A Population-Based Case-Control Study in Fiji (TRIP 14)
| Autor: | Josephine Herman, Berlin Kafoa, Shanthi Ameratunga, Bridget Kool, Iris Wainiqolo, Elizabeth Robinson, Eddie McCaig |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
lcsh:Medicine Poison control Social Sciences Transportation Criminology Geographical Locations 0302 clinical medicine Sociology Risk Factors Surveys and Questionnaires Medicine and Health Sciences Odds Ratio Medicine 030212 general & internal medicine lcsh:Science Flowering Plants Kava education.field_of_study Multidisciplinary Alcohol Consumption 05 social sciences Accidents Traffic Plants Middle Aged Transportation Infrastructure Police 3. Good health Professions Research Design Engineering and Technology Grapevine Female Risk assessment Research Article Adult Adolescent Population Oceania Research and Analysis Methods Pacific Islands Civil Engineering Risk Assessment Odds 03 medical and health sciences Young Adult Environmental health 0502 economics and business Injury prevention Fiji Humans education Nutrition 050210 logistics & transportation business.industry lcsh:R Organisms Biology and Life Sciences Odds ratio Roads Diet Case-Control Studies Attributable risk People and Places Automotive Engineering Multivariate Analysis lcsh:Q Population Groupings Plant Preparations business human activities |
| Zdroj: | PLoS ONE PLoS ONE, Vol 11, Iss 3, p e0149719 (2016) |
| ISSN: | 1932-6203 |
| Popis: | OBJECTIVE: To investigate the association between kava use and the risk of four-wheeled motor vehicle crashes in Fiji. Kava is a traditional beverage commonly consumed in many Pacific Island Countries. Herbal anxiolytics containing smaller doses of kava are more widely available. METHODS: Data for this population-based case-control study were collected from drivers of 'case' vehicles involved in serious injury-involved crashes (where at least one road user was killed or admitted to hospital for 12 hours or more) and 'control' vehicles representative of 'driving time' in the study base. Structured interviewer administered questionnaires collected self-reported participant data on demographic characteristics and a range of risk factors including kava use and potential confounders. Unconditional logistic regression models estimated odds ratios relating to the association between kava use and injury-involved crash risk. FINDINGS: Overall, 23% and 4% of drivers of case and control vehicles, respectively, reported consuming kava in the 12 hours prior to the crash or road survey. After controlling for assessed confounders, driving following kava use was associated with a four-fold increase in the odds of crash involvement (Odds ratio: 4.70; 95% CI: 1.90-11.63). The related population attributable risk was 18.37% (95% CI: 13.77-22.72). Acknowledging limited statistical power, we did not find a significant interaction in this association with concurrent alcohol use. CONCLUSION: In this study conducted in a setting where recreational kava consumption is common, driving following the use of kava was associated with a significant excess of serious-injury involved road crashes. The precautionary principle would suggest road safety strategies should explicitly recommend avoiding driving following kava use, particularly in communities where recreational use is common. Language: en |
| Databáze: | OpenAIRE |
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