AIMS: To assess whether having multiple convictions for driving while under the influence of alcohol (MDUI) in women is a risk factor for maternal, infant and child mortality. DESIGN: Retrospective cohort design using record linkage, comparing women with MDUI convictions with propensity-matched women without alcohol-related driving offences ascertained through state records, on rates of maternal, infant and child mortality. SETTING: Missouri, United States. PARTICIPANTS: MDUI women (n = 1658) and women with no alcohol-related driving convictions (control, n = 184 252) who gave birth from 2000 to 2004. MEASUREMENTS: Data were obtained from state administrative records and US Census data. The outcomes were maternal, infant and child mortality. The input variable was presence or absence of MDUI convictions. Propensity-matching variables were maternal (smoking during pregnancy, delayed prenatal care, previous child deaths, age at birth, mother Missouri-born, education, pre-pregnancy obesity, marital status), reproductive partner (un-named partner, race/ethnicity, education, DUI status) and census tract (socio-economic advantage, urbanicity) characteristics. FINDINGS: Women with MDUI convictions had higher odds of maternal, infant and child mortality than propensity-matched controls [odds ratio (OR) = 2.65, 95% confidence interval (CI) = 2.07-3.40 and OR = 1.75, 95% CI = 1.17-2.61, respectively]. CONCLUSIONS: Having multiple convictions for driving under the influence of alcohol in women appears to be a risk factor for increased maternal, infant and child mortality.
AIMS: To assess whether having multiple convictions for driving while under the influence of alcohol (MDUI) in women is a risk factor for maternal, infant and childmortality. DESIGN: Retrospective cohort design using record linkage, comparing women with MDUI convictions with propensity-matched women without alcohol-related driving offences ascertained through state records, on rates of maternal, infant and childmortality. SETTING: Missouri, United States. PARTICIPANTS: MDUIwomen (n = 1658) and women with no alcohol-related driving convictions (control, n = 184 252) who gave birth from 2000 to 2004. MEASUREMENTS: Data were obtained from state administrative records and US Census data. The outcomes were maternal, infant and childmortality. The input variable was presence or absence of MDUI convictions. Propensity-matching variables were maternal (smoking during pregnancy, delayed prenatal care, previous childdeaths, age at birth, mother Missouri-born, education, pre-pregnancy obesity, marital status), reproductive partner (un-named partner, race/ethnicity, education, DUI status) and census tract (socio-economic advantage, urbanicity) characteristics. FINDINGS:Women with MDUI convictions had higher odds of maternal, infant and childmortality than propensity-matched controls [odds ratio (OR) = 2.65, 95% confidence interval (CI) = 2.07-3.40 and OR = 1.75, 95% CI = 1.17-2.61, respectively]. CONCLUSIONS: Having multiple convictions for driving under the influence of alcohol in women appears to be a risk factor for increased maternal, infant and childmortality.
Authors: Grace Chang; Tay K McNamara; E John Orav; Danielle Koby; Alyson Lavigne; Barbara Ludman; Nori Ann Vincitorio; Louise Wilkins-Haug Journal: Obstet Gynecol Date: 2005-05 Impact factor: 7.661
Authors: Mirte A G Kuipers; Mireille N M van Poppel; Wim van den Brink; Marleen Wingen; Anton E Kunst Journal: Drug Alcohol Depend Date: 2012-05-07 Impact factor: 4.492
Authors: Vivia V McCutcheon; Kathleen K Bucholz; Alexandra N Houston-Ludlam; Mary Waldron; Andrew C Heath Journal: Drug Alcohol Depend Date: 2021-02-16 Impact factor: 4.492