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Elevated maternal and child mortality among women with multiple DUI convictions compared with socio-demographically matched controls.

ABSTRACT: 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.

SUBMITTER: McCutcheon VV

PROVIDER: S-EPMC6800795 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature

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Elevated maternal and child mortality among women with multiple DUI convictions compared with socio-demographically matched controls.

McCutcheon Vivia V VV Bucholz Kathleen K KK Houston-Ludlam Alexandra N AN Heath Andrew C AC

Addiction (Abingdon, England) 20190822 11

<h4>Aims</h4>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.<h4>Design</h4>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.<h4>Setting</h4>Missouri, United States.<h4>Participants</h4 ...[more]

PMID: 31351443

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Elevated maternal and child mortality among women with multiple DUI convictions compared with socio-demographically matched controls.

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Elevated maternal and child mortality among women with multiple DUI convictions compared with socio-demographically matched controls.

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