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  1. Effect of valvular heart diseases, migraine headaches, and perianal diseases on the risk of involvement in motor vehicle crashes.

    Article - En anglais

    Impaired health can interfere with driving performance.

    We have launched this investigation to identify in professional military drivers health parameters that might be associated with involvement in motor vehicle crashes (MVCs).

    All Israel Defense Forces professional male drivers (N=5,605) conscripted into compulsory military service between April 1,1988 and April 1,1990 were divided into two groups according to whether (N=1,300) or not (N=4,305) the driver was involved in MVCs during the same time frame.

    Using the multivariate Cox model, a significant association was shown between involvement in MVCs and the following health parameters : mild-to-moderate valvular heart diseases (p=0.0002, khi2=13.89), migraine headaches (p=0.009, khi2=6.91), and perianal diseases (p=0.006, khi2=7.44).

    We hypothesize that interference with the driver's performance level may be a result of the discomfort associated with those clinical conditions.

    It is possible that interference with the personal performance level decreased the ability of the driver to cope with the specific driving task demands and resulted in the involvement of the driver in MVCs.

    We suggest that because of the high social and economic costs associated with road accidents, it is important to investigate further the association of involvement in MVCs and health problems.

    If our findings are confirmed in the future studies, intervention programs to reduce MVC rates would be suggested and conducted among professional drivers.

    Mots-clés Pascal : Accident circulation, Conduite véhicule, Homme, Mâle, Israël, Asie, Evaluation performance, Facteur risque, Cardiopathie valvulaire, Migraine, Périanal, Anorectale pathologie, Maladie, Milieu militaire, Céphalée, Douleur, Appareil circulatoire pathologie, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie, Vaisseau sanguin pathologie, Appareil digestif pathologie

    Mots-clés Pascal anglais : Traffic accident, Vehicle driving, Human, Male, Israel, Asia, Performance evaluation, Risk factor, Cardiac valvular disease, Migraine, Perianal, Anorectal disease, Disease, Military environment, Headache, Pain, Cardiovascular disease, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease, Vascular disease, Digestive diseases

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0081022

    Code Inist : 002B16M. Création : 199608.