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Determinants of drink-driving and association between drink-driving and road traffic fatalities in Ghana

机译:加纳酒后驾驶的决定因素以及酒后驾驶与道路交通死亡之间的关联

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Damsere-Derry, J., Afukaar, F., Palk, G., & King, M. (2014). Determinants of drink-driving and association between drink-driving and road traffic fatalities in Ghana. The International Journal Of Alcohol And Drug Research, 3 (2), 135-141. doi: http://dx.doi.org/10.7895/ijadr.v3i2.135 Aims: The objective is to establish determinants of drink-driving and its association with traffic crashes in Ghana. Methods: A multivariable logistic regression was used to establish significant determinants of drink-driving, and a bivariate logistic regression to establish the association between drink-driving and road traffic crashes in Ghana. Results: In total, 2,736 motorists were randomly stopped for breath testing, of whom 8.7% tested positive for alcohol. Among the total participants, 5.5% exceeded the legal BAC limit of 0.08%. Formal education is associated with a reduced likelihood of drink-driving compared with drivers without formal education. The propensity to drink-drive is 1.8 times higher among illiterate drivers than it is among drivers with basic education. Young adult drivers also recorded elevated likelihoods for driving under alcohol impairment, compared with adult drivers. The odds of drink-driving among truck drivers is OR = 1.81 (95% CI = 1.16 to 2.82) and two-wheeler riders is OR = 1.41 (95% CI = 0.47 to 4.28) compared with car drivers. Contrary to general perception, commercial car drivers have a significant reduced likelihood of 41%, OR = 0.59 (95% CI = 0.38 to 0.92) compared with private car drivers. Bivariate analysis conducted showed a significant association between the proportion of drivers exceeding the legal BAC limit and road traffic fatalities ( p < 0.001). The model predicts that a 1% increase in the proportion of drivers exceeding the legal BAC will be associated with a 4% increase in road traffic fatalities (95% CI = 3% to 5%) and vice versa. Conclusions: A positive and significant association between roadside alcohol prevalence and road traffic fatality has been established. Scaling up roadside breath tests, determining standard drink (e.g., any drink which contains about 10 grams of absolute alcohol) and disseminating this information to the populace, and formulating policies targeting youth (such as increasing minimum legal drinking age and reducing the legal BAC limit for youth and novice drivers) might reduce drink-driving related crashes in Ghana.
机译:Damsere-Derry,J.,Afukaar,F.,Palk,G.和King,M.(2014年)。加纳酒后驾驶的决定因素以及酒后驾驶与道路交通死亡之间的关联。国际酒精与药物研究杂志,3(2),135-141。 doi:http://dx.doi.org/10.7895/ijadr.v3i2.135目的:目标是确定酒后驾车及其与加纳交通事故相关的决定因素。方法:多变量logistic回归用于建立酒后驾驶的重要决定因素,而双变量logistic回归用于建立加纳的酒后驾驶与道路交通事故之间的关联。结果:总共有2736名驾驶者被随机停下来进行呼气测试,其中8.7%的酒精测试结果为阳性。在所有参与者中,有5.5%超出了法定BAC限制0.08%。与未经正规教育的驾驶员相比,正规教育与减少酒后驾驶的可能性有关。文盲驾驶员的酒后驾车倾向是基础教育驾驶员的1.8倍。与成年驾驶员相比,成年青年驾驶员在酒精中毒情况下驾驶的可能性也更高。与汽车驾驶员相比,卡车驾驶员中酒后驾驶的几率是OR = 1.81(95%CI = 1.16至2.82),而两轮车手是OR = 1.41(95%CI = 0.47至4.28)。与一般看法相反,与私家车司机相比,商用车司机的可能性大大降低了41%,OR = 0.59(95%CI = 0.38至0.92)。进行的双变量分析显示,超出法定BAC限制的驾驶员比例与道路交通事故死亡之间存在显着关联(p <0.001)。该模型预测,超过合法BAC的驾驶员比例增加1%会导致道路交通事故死亡人数增加4%(95%CI = 3%至5%),反之亦然。结论:路边酒精流行与道路交通死亡之间建立了积极且显着的联系。扩大路边呼气测试,确定标准饮料(例如,任何含有约10克无水酒精的饮料)并将此信息传播给民众,并制定针对青年的政策(例如提高最低法定饮酒年龄和降低法定BAC限制) (适用于年轻人和新手),可以减少加纳与酒后驾驶相关的交通事故。

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