TY - JOUR
T1 - Elevated maternal and child mortality among women with multiple DUI convictions compared with socio-demographically matched controls
AU - McCutcheon, Vivia V.
AU - Bucholz, Kathleen K.
AU - Houston-Ludlam, Alexandra N.
AU - Heath, Andrew C.
N1 - Publisher Copyright:
© 2019 Society for the Study of Addiction
PY - 2019/11/1
Y1 - 2019/11/1
N2 - 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.
AB - 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.
KW - Child mortality
KW - DUI
KW - drunk driving
KW - maternal alcohol use
KW - maternal mortality
KW - parental alcohol use
UR - http://www.scopus.com/inward/record.url?scp=85071013258&partnerID=8YFLogxK
U2 - 10.1111/add.14762
DO - 10.1111/add.14762
M3 - Article
C2 - 31351443
AN - SCOPUS:85071013258
SN - 0965-2140
VL - 114
SP - 1981
EP - 1991
JO - Addiction
JF - Addiction
IS - 11
ER -