ArticleThe American journal of medicine2023
COVID Vaccine Hesitancy and Risk of a Traffic Crash.
Article in The American journal of medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 23 citations in OpenAlex.
- Concussions and risk of a subsequent traffic crash: retrospective cohort analysis in Ontario, Canada.BMJ open · 2025Article
- Effectiveness of a Covid mRNA Vaccine Against Two Early Variants: A Reanalysis of Published Data.Cureus · 2025Article
- Driving under viral impairment: Linking acute SARS-CoV-2 infections to elevated car crash risks.PLOS global public health · 2025Article
- [Current vaccination and immunization strategies in dermatology].Dermatologie (Heidelberg, Germany) · 2024Article
- All-cause mortality according to COVID-19 vaccination status: An analysis of the UK office for National statistics public data.F1000Research · 2024Article
- Virtual Visits With Own Family Physician vs Outside Family Physician and Emergency Department Use.JAMA network open · 2023Article
- The Reply.The American journal of medicine · 2023Article
- Vaccine hesitancy was not shown to be associated with traffic safety or driver behavior.Frontiers in public health · 2023Article
- Health Care Utilization After a Visit to a Within-Group Family Physician vs a Walk-In Clinic Physician.Annals of family medicineArticle
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCoronavirus disease (COVID) vaccine hesitancy is a reflection of psychology that might also contribute to traffic safety. We tested whether COVID vaccination was associated with the risks of a traffic crash.
methodsWe conducted a population-based longitudinal cohort analysis of adults and determined COVID vaccination status through linkages to individual electronic medical records. Traffic crashes requiring emergency medical care were subsequently identified by multicenter outcome ascertainment of all hospitals in the region over a 1-month follow-up interval (178 separate centers).
resultsA total of 11,270,763 individuals were included, of whom 16% had not received a COVID vaccine and 84% had received a COVID vaccine. The cohort accounted for 6682 traffic crashes during follow-up. Unvaccinated individuals accounted for 1682 traffic crashes (25%), equal to a 72% increased relative risk compared with those vaccinated (95% confidence interval, 63-82; P < 0.001). The increased traffic risks among unvaccinated individuals extended to diverse subgroups, was similar to the relative risk associated with sleep apnea, and was equal to a 48% increase after adjustment for age, sex, home location, socioeconomic status, and medical diagnoses (95% confidence interval, 40-57; P < 0.001). The increased risks extended across the spectrum of crash severity, appeared similar for Pfizer, Moderna, or other vaccines, and were validated in supplementary analyses of crossover cases, propensity scores, and additional controls.
conclusionsThese data suggest that COVID vaccine hesitancy is associated with significant increased risks of a traffic crash. An awareness of these risks might help to encourage more COVID vaccination.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.