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 - Funding Information:
This research is supported by grants AA025420(VVM & KKB), AA017688 (ACH), and AA023487 (ACH) from the NationalInstitute on Alcohol Abuse and Alcoholism. We also thank FPRC staffRadivoje Todorovic, Dejan Jovanovic, Denise Schmitz, and Stacey Marionfor their help with this project, and the reviewers and editors for thoughtful and constructive comments.
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 -