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A Nationwide Population-Based Study on the Association between Land Transport Accident and Peripheral Vestibular Disorders

Author

Listed:
  • Herng-Ching Lin

    (School of Health Care Administration, College of Management, Taipei Medical University, Taipei 110, Taiwan
    Sleep Research Center, Taipei Medical University Hospital, Taipei 110, Taiwan
    Equal contributions to this study.)

  • Sudha Xirasagar

    (Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, Columbia, SC 29210, USA)

  • Chia-Hui Wang

    (Department of Urban Development, University of Taipei, Taipei 110, Taiwan
    Research Center of Sleep Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan
    Equal contributions to this study.)

  • Yen-Fu Cheng

    (Research Center of Sleep Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan
    Department of Otolaryngology-Head and Neck Surgery, Taipei Veterans General Hospital, Taipei 112, Taiwan
    Department of Speech, Language and Audiology, National Taipei University of Nursing and Health, Taipei 112, Taiwan
    Equal contributions to this study.)

  • Tsai-Ching Liu

    (Department of Public Finance, Public Finance and Finance Research Center, National Taipei University, New Taipei City 237, Taiwan)

  • Tzong-Hann Yang

    (Research Center of Sleep Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan
    Department of Otorhinolaryngology, Taipei City Hospital, Taipei 110, Taiwan)

Abstract

This case–control study aimed to investigate the association of peripheral vestibular disorders (PVD) with subsequent land transport accidents. Data for this study were obtained from Taiwan’s National Health Insurance (NHI) dataset. We retrieved 8704 subjects who were newly found to have land transport accidents as cases. Their diagnosis date was used as their index date. Controls were identified by propensity score matching (one per case, n = 8704 controls) from the NHI dataset with their index date being the date of their first health service claim in 2017. Multiple logistic regressions were performed to calculate the prior PVD odds ratio of cases vs. controls. We found that 2.36% of the sampled patients had been diagnosed with PVD before the index date, 3.37% among cases and 1.36% among controls. Chi-square test revealed that there was a significant association between land transport accident and PVD ( p < 0.001). Furthermore, multiple logistic regression analysis suggested that cases were more likely to have had a prior PVD diagnosis when compared to controls (OR = 2.533; 95% CI = 2.041–3.143; p < 0.001). After adjusting for age, gender, hypertension, diabetes, coronary heart disease, and hyperlipidemia, cases had a greater tendency to have a prior diagnosis of PVD than controls (OR = 3.001, 95% CI = 2.410–3.741, p < 0.001). We conclude that patients with PVD are at twofold higher odds for land transport accidents.

Suggested Citation

  • Herng-Ching Lin & Sudha Xirasagar & Chia-Hui Wang & Yen-Fu Cheng & Tsai-Ching Liu & Tzong-Hann Yang, 2021. "A Nationwide Population-Based Study on the Association between Land Transport Accident and Peripheral Vestibular Disorders," IJERPH, MDPI, vol. 18(12), pages 1-8, June.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:12:p:6570-:d:577400
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    Cited by:

    1. Chien-Lung Chan & Chi-Chang Chang, 2022. "Big Data, Decision Models, and Public Health," IJERPH, MDPI, vol. 19(14), pages 1-9, July.

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