1
|
Noel JK, Rosenthal SR, Torres JN, Gately KA, Borden SK. Driving after substance use in Rhode Island adolescents: A cross-sectional analysis of surveillance data. TRAFFIC INJURY PREVENTION 2024; 25:562-570. [PMID: 38578273 DOI: 10.1080/15389588.2024.2335317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Accepted: 03/22/2024] [Indexed: 04/06/2024]
Abstract
OBJECTIVE Existing literature on driving under the influence during adolescence is sparse, especially for driving after the use of non-medical prescription drugs (DAP). This study examines the prevalence of driving after use of alcohol (DAA), cannabis (DAC), and DAP, and examines the role of several potential risk and protective factors. METHODS This was a secondary analysis of the 2022 Rhode Island Study Survey, a cross-sectional survey of middle and high school students. Separate multivariable regressions were conducted for each outcome among lifetime users for each substance, controlling for current substance use, individual-, perceived parental-, and perceived friend-substance use risk perception, age, sexual/gender minority (SGM) status, race, ethnicity, school level, and town poverty level. RESULTS Among lifetime users of alcohol (n = 3849), cannabis (n = 2289), and non-medical prescription drugs (n = 611), the prevalence of DAA, DAC, and DAP was 4.9, 14.3, and 16.9%, respectively. Current substance use, high individual risk perception, being nonwhite, and being Hispanic were risk factors for DAA while perceiving parent's risk perception as negative and being heterosexual cisgender-female were protective. Current substance use, negative individual risk perception, and being nonwhite were risk factors for DAC while perceiving parent's risk perception as negative and being in high school were protective. Current substance use and older age were risk factors for DAP while perceiving parent's risk perception as negative and perceiving friend's risk perception as negative were protective. CONCLUSIONS Driving under the influence is a concern among adolescent substance users. Current substance use and perceived parental risk perception as negative are common risks and protective factors, respectively. Findings suggest substance-specific, heterogeneous interventions are needed. For example, interventions focusing on peer perceptions are most relevant for DAP, while shifting personal perceptions of harm are most relevant for DAC.
Collapse
Affiliation(s)
- Jonathan K Noel
- Department of Health Science, College of Health & Wellness, Johnson & Wales University, Providence, Rhode Island
- Center for Student Research & Interdisciplinary Collaboration, Johnson & Wales University, Providence, Rhode Island
| | - Samantha R Rosenthal
- Department of Health Science, College of Health & Wellness, Johnson & Wales University, Providence, Rhode Island
- Center for Student Research & Interdisciplinary Collaboration, Johnson & Wales University, Providence, Rhode Island
- Department of Epidemiology, Brown School of Public Health, Providence, Rhode Island
| | - Jadyn N Torres
- Center for Student Research & Interdisciplinary Collaboration, Johnson & Wales University, Providence, Rhode Island
| | - Kelsey A Gately
- Department of Health Science, College of Health & Wellness, Johnson & Wales University, Providence, Rhode Island
- Center for Student Research & Interdisciplinary Collaboration, Johnson & Wales University, Providence, Rhode Island
| | - Samantha K Borden
- Data Evaluation, and Compliance Unit, RI Department of Behavioral Healthcare, Developmental Disabilities and Hospitals, Cranston, Rhode Island
| |
Collapse
|
2
|
Hultgren BA, Guttmannova K, Lee CM, Acuna D, Cooper RL, Kilmer JR, Cadigan JM, Calhoun BH, Larimer ME. Daily level predictors of impaired driving behaviors in young adults: Protocol design for utilizing daily assessments. PLoS One 2022; 17:e0275190. [PMID: 36166452 PMCID: PMC9514639 DOI: 10.1371/journal.pone.0275190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Accepted: 09/12/2022] [Indexed: 11/22/2022] Open
Abstract
Background Motor vehicle crashes remain a leading cause of death among young adults (ages 18–25) in the United States. Many drivers implicated in these crashes are under the influence of alcohol, cannabis, or the simultaneous use of alcohol and cannabis. Extremely limited research has assessed impaired driving behaviors and their predictors at the daily level. Perceived norms and motives to use substances have empirical support suggesting they may impact impaired driving-related behavior. Novel approaches to assess these associations at the daily level are needed and may inform future intervention and prevention programs. Objective The goal of the current study is to utilize electronic daily assessments to assess driving under the influence of alcohol, cannabis, or simultaneous use and riding with a driver impaired by these substances to assess variability and predictors of these impaired driving-related behaviors at the daily level. This present manuscript details a protocol, measures, and a plan of analyses to assess how within-person differences in perceived norms and motives to use are associated with the likelihood of engaging in impaired driving-related behaviors. Methods Participants include young adults in Washington State who report simultaneous use in the past month and either driving under the influence of alcohol, cannabis, or simultaneous use, or riding with a driver under the influence of both substances in the past 6 months. Individuals who verify their identity and meet eligibility requirements will complete a baseline assessment after which they will be scheduled for training on the daily assessment procedure via Zoom. Next, they will be invited to complete daily surveys on Thursday, Friday, Saturday, and Sunday every other week for 6 months and a 6-month follow up assessment. Analyses will utilize multilevel models with days nested within individuals. Results The study is currently recruiting participants. A total of 192 participants have been recruited and 100 have completed the study protocol. Data collection is expected to be completed in Fall 2022. Conclusions This study utilizes a novel design to assess impaired driving and predictors at the daily level among young adults at high risk of impaired driving-related behaviors. Findings will provide unique data that will shape the knowledge base in the field of social science and public health substance use research and that may be helpful for future prevention and intervention efforts on impaired driving.
Collapse
Affiliation(s)
- Brittney A. Hultgren
- Center for the Study of Health and Risk Behaviors, Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, Washington, United States of America
- * E-mail:
| | - Katarina Guttmannova
- Center for the Study of Health and Risk Behaviors, Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, Washington, United States of America
| | - Christine M. Lee
- Center for the Study of Health and Risk Behaviors, Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, Washington, United States of America
| | - Daniela Acuna
- Center for the Study of Health and Risk Behaviors, Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, Washington, United States of America
| | - Rachel L. Cooper
- Center for the Study of Health and Risk Behaviors, Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, Washington, United States of America
| | - Jason R. Kilmer
- Center for the Study of Health and Risk Behaviors, Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, Washington, United States of America
| | - Jennifer M. Cadigan
- Center for the Study of Health and Risk Behaviors, Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, Washington, United States of America
| | - Brian H. Calhoun
- Center for the Study of Health and Risk Behaviors, Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, Washington, United States of America
| | - Mary E. Larimer
- Center for the Study of Health and Risk Behaviors, Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, Washington, United States of America
- Department of Psychology, University of Washington, Seattle, Washington, United States of America
| |
Collapse
|
3
|
Vaca FE, Li K, Haynie DL, Simons-Morton B, Romano E, Fell JC. Association between a delay in driving licensure and driving while impaired and riding with an impaired driver among emerging adults. Alcohol Clin Exp Res 2021; 45:793-801. [PMID: 33616239 PMCID: PMC8076083 DOI: 10.1111/acer.14585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2020] [Revised: 02/15/2021] [Accepted: 02/18/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Teens who delay driving licensure may not be subject to graduated driver licensing restrictions that are known to reduce crash risk. We explored the association of delay in licensure with driving while impaired (DWI) and riding with an impaired driver (RWI) among emerging adults. METHODS Data from the NEXT Generation Health Study, starting with 10th grade (2009-2010), were analyzed. The outcome variables were Wave 7 (W7) self-reported DWI and RWI as dichotomous variables. The independent variable was delay in licensure. Covariates included sex, urbanicity, race/ethnicity, family structure, parent education, family affluence, teen's highest education, minimum legal drinking age laws, and onset age of alcohol use. Descriptive analysis and logistic regressions were conducted. RESULTS Of 2525 participants eligible for licensure, 887 reported a delay in licensure by 1-2 years (38.9%, weighted) and 1078 by > 2 years (30.3% weighted) across 7 waves. In W7, 23.5% (weighted and hereafter, 5.6% once, 17.8% ≥twice) of participants reported DWI and 32.42% (5.6% once, 25.4% ≥twice) reported RWI. Logistic regressions showed no overall significant association of delay in licensure with either W7 RWI or W7 DWI. However, in stratified analyses, among African American youth, delay in licensure was positively associated with DWI (OR = 2.41, p = 0.03) and RWI (OR = 2.72, p = 0.05). Among those with ≤ high school or lower education by W7, delayed licensure was positively associated with RWI (OR = 2.51, p < 0.01). CONCLUSIONS While in the overall sample, delayed licensure did not appear to be associated with DWI or RWI, our findings suggest that delayed licensure may be of concern to teen risk of DWI and RWI among African Americans and among those with lower educational attainment. Furthermore, as two-thirds of youth delayed licensure, more research is needed to determine whether this is more of a positive (i.e., protective) factor by reducing their exposure to crash risk or a negative (i.e., risk) factor due to their missing important driver safety stages of graduated driver licensing.
Collapse
Affiliation(s)
- Federico E Vaca
- Department of Emergency Medicine, Developmental Neurocognitive Driving Simulation Research Center (DrivSim Lab), Yale School of Medicine, New Haven, CT, USA
| | - Kaigang Li
- Department of Emergency Medicine, Developmental Neurocognitive Driving Simulation Research Center (DrivSim Lab), Yale School of Medicine, New Haven, CT, USA
- Department of Health & Exercise Science, Colorado State University, Fort Collins, CO, USA
- Colorado School of Public Health, Fort Collins, CO, USA
| | - Denise L Haynie
- Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health & Human Development, Bethesda, MD, USA
| | | | - Eduardo Romano
- Pacific Institute for Research and Evaluation, Calverton, MD, USA
| | - James C Fell
- NORC at the University of Chicago, Bethesda, MD, USA
| |
Collapse
|
4
|
Calverley HLM, Petrass LA, Blitvich JD. Alcohol consumption in aquatic settings: a mixed-method study exploring young adults’ attitudes and knowledge. DRUGS: EDUCATION, PREVENTION AND POLICY 2020. [DOI: 10.1080/09687637.2020.1832962] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
| | - Lauren. A. Petrass
- School of Education, Federation University Australia, Ballarat, Australia
| | - Jennifer. D. Blitvich
- School of Science, Psychology and Sport, Federation University Australia, Ballarat, Australia
| |
Collapse
|
5
|
Luecha T, Peremans L, Junprsert S, Van Rompaey B. Factors associated with alcohol consumption among early adolescents in a province in Eastern region of Thailand: a cross-sectional analysis. J Ethn Subst Abuse 2020; 21:325-343. [PMID: 32425104 DOI: 10.1080/15332640.2020.1766624] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
A cross-sectional study was applied to obtain factors associated with alcohol consumption since information among early adolescents in Thailand is limited. Data was collected from December 2016 to March 2017. A questionnaire was developed through a literature review and tested for validation and reliability. Multi-stage random sampling was used to recruit youths aged 10-14 years from Chonburi Province, Thailand. Descriptive statistics (mean and standard deviation), Chi-squared test, and multivariable logistic regression were used for data analysis. The mean and standard deviation (SD) for the age of participants was 12.07 years (1.42) with 50.23% being male. In total, 10.94% reported drinking alcohol in the past 12 months. Current drinking in the past year was positively associated with older youths of 14 years of age (AOR = 5.34, 95% CI = 2.91-9.81) having a positive attitude toward alcohol consumption behavior (AOR = 4.18 95% CI = 3.36-5.21), direct observation of friends' drinking (AOR = 4.21, 95% CI = 3.32-5.32), direct observation of villagers/community members' drinking (AOR = 1.99, 95% CI = 1.15- 3.48), adolescents whose parents stored alcohol at home (AOR = 1.35, 95% CI = 1.06-1.55), and being exposed to alcohol advertising (AOR = 1.60, 95% CI =1.16-2.23). The factor most inversely associated with current drinking appears to be male gender (AOR = 0.78, 95% CI =0.64-0.94). Strategies for delaying and reducing drinking among early adolescents should accompany these risk factors into any preventive programs.
Collapse
Affiliation(s)
| | - Lieve Peremans
- University of Antwerp, Belgium.,Vrije Universiteit Brussel, Belgium
| | | | | |
Collapse
|
6
|
Owen R, Ursachi G, Fosdick T, Horodnic AV. Driving while impaired by alcohol: An analysis of drink-drivers involved in UK collisions. TRAFFIC INJURY PREVENTION 2019; 20:453-459. [PMID: 31112416 DOI: 10.1080/15389588.2019.1606909] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/18/2017] [Revised: 04/04/2019] [Accepted: 04/08/2019] [Indexed: 06/09/2023]
Abstract
Objective: Drink-driving represents a critical issue on international organizations' agendas as one of the key behavioral risk factors in road traffic safety, alongside speed and nonuse of motorcycle helmets, seat belts, and child restraints. Changing road user behaviors regarding these 5 factors is a critical component in reducing road traffic injuries and casualties. The objective of this study is the identification of drivers who are more likely to contribute to crashes in the UK while impaired by alcohol to design targeted drink drive compliance campaigns. Method: To profile drivers with the factor "impaired by alcohol" assigned in collisions, an extensive data set is used, including all reported injury collisions between 2011 and 2015 in the UK (police records), merged with the Experian Mosaic Database. A multilevel mixed-effects logistic regression is conducted, utilizing the hierarchical nature of the data (drivers within Mosaic types). Results: Using multilevel mixed-effects logistic regression analysis, the finding is that some driver profiles are more likely to contribute to crashes and are assigned the contributory factor "impaired by alcohol." Drink-related crashes are more common in some circumstances or for some crash-involved driver groups than others. For instance, alcohol-related crashes are more likely to occur on single carriageways and among males and 25- to 35-year-olds. Drink-drive-related crashes are found to be strongly associated with dark lighting conditions and, more specifically, with late night hours (the interval between 3:00 a.m. and 4:00 a.m. accounts for a third of the drink-drive-related collisions). Using the Experian Mosaic Database which divides the UK population into 66 types based on demographic, lifestyle, and behavior characteristics, the finding is that, among crash-involved drivers, some Mosaic types are significantly more likely (e.g., pocket pensions, dependent greys, streetwise singles) and others are significantly less likely (e.g., crowded kaleidoscope, cultural comfort, penthouse chic) to contribute to a drink-related crash. Conclusions: The outcome is a more nuanced understanding of drivers contributing to drink-related crashes in the UK. The study concludes by discussing the implications for governments and other interested bodies for better targeting and delivery of public education campaigns and interventions.
Collapse
Affiliation(s)
- Richard Owen
- a Research and Evaluation Department, Agilysis Limited , Banbury , UK
- b Research Department, Road Safety Analysis Limited , Banbury , UK
| | - George Ursachi
- a Research and Evaluation Department, Agilysis Limited , Banbury , UK
- b Research Department, Road Safety Analysis Limited , Banbury , UK
| | - Tanya Fosdick
- a Research and Evaluation Department, Agilysis Limited , Banbury , UK
- b Research Department, Road Safety Analysis Limited , Banbury , UK
| | - Adrian V Horodnic
- c Faculty of Medicine , "Grigore T. Popa" University of Medicine and Pharmacy , Iasi , Romania
| |
Collapse
|
7
|
Luecha T, Peremans L, Dilles T, Van Rompaey B. The prevalence of alcohol consumption during early adolescence: a cross-sectional study in an eastern province, Thailand. INTERNATIONAL JOURNAL OF ADOLESCENCE AND YOUTH 2018. [DOI: 10.1080/02673843.2018.1482773] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/16/2023] Open
Affiliation(s)
- Trakulwong Luecha
- Faculty of Nursing, Burapha University , Chonburi, Thailand
- Faculty of Medicine and Health Sciences, Department of Nursing and Midwifery, University of Antwerp , Antwerp, Belgium
| | - Lieve Peremans
- Faculty of Medicine and Health Sciences, Department of Nursing and Midwifery, Centre for Research and Innovation in Care, University of Antwerp , Antwerp, Belgium
- Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp , Antwerp, Belgium
- Mental Health and Wellbeing Research Group, Vrije Universiteit Brussel , Brussels, Belgium
| | - Tinne Dilles
- Faculty of Medicine and Health Sciences, Department of Nursing and Midwifery, Centre for Research and Innovation in Care, University of Antwerp , Antwerp, Belgium
| | - Bart Van Rompaey
- Faculty of Medicine and Health Sciences, Department of Nursing and Midwifery, Centre for Research and Innovation in Care, University of Antwerp , Antwerp, Belgium
| |
Collapse
|
8
|
Wilson MN, Langille DB, Ogilvie R, Asbridge M. When parents supply alcohol to their children: Exploring associations with drinking frequency, alcohol-related harms, and the role of parental monitoring. Drug Alcohol Depend 2018; 183:141-149. [PMID: 29248692 DOI: 10.1016/j.drugalcdep.2017.10.037] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2017] [Revised: 10/24/2017] [Accepted: 10/25/2017] [Indexed: 11/26/2022]
Abstract
BACKGROUND Youth obtain alcohol from many sources, including friends, siblings, parents and other adults. Whether parental supply, relative to other sources, is associated with experiencing a negative alcohol-related outcome is an area of considerable debate. Less well understood is whether the observed association is further contextualized by level of parental monitoring of the child. OBJECTIVES This study has two main objectives: 1) determine if there is a relationship between parental supply, drinking frequency, and alcohol-related harms among youth; and 2) assess whether parental monitoring moderates this relationship. METHODS Participants were drawn from the 2012 Student Drug Use Survey in Canada's Atlantic Provinces, an anonymous cross-sectional survey of high school students (ages 15-19 years). Adjusted regression models assessed the association between drinking frequency, experiencing alcohol-related harms, and four different sources of supply. Additional analyses stratified on levels of parental monitoring. RESULTS Relative to receiving alcohol from friends, parental supply was associated with lower odds of experiencing any alcohol-related harm (AOR 0.42; 95% CI 0.28-0.61) and loss of control (AOR = 0.42; 95% CI 0.29-0.62). Drinking frequency did not differ by source of supply. Associations between parental supply and harm were absent among youth reporting low levels of parental monitoring. CONCLUSIONS Youth who receive alcohol from parents' report fewer alcohol-related harms relative to those who obtain their alcohol from friends, despite no observed differences in drinking frequency. Understanding how parents may help to minimize experiences of alcohol-related harm among youth beyond the simple promotion of abstinence from drinking is warranted.
Collapse
Affiliation(s)
- Maria N Wilson
- Department of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, 5790 University Avenue, Halifax, NS, Canada, B3H 1V7, Canada
| | - Donald B Langille
- Department of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, 5790 University Avenue, Halifax, NS, Canada, B3H 1V7, Canada
| | - Rachel Ogilvie
- Department of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, 5790 University Avenue, Halifax, NS, Canada, B3H 1V7, Canada
| | - Mark Asbridge
- Department of Community Health and Epidemiology, Faculty of Medicine, Dalhousie University, 5790 University Avenue, Halifax, NS, Canada, B3H 1V7, Canada.
| |
Collapse
|
9
|
Beckmeyer JJ. Non-intercourse and intercourse hookup intentions, drinking expectancies, and college students' heavy drinking. Subst Abus 2016; 38:245-248. [PMID: 27471988 DOI: 10.1080/08897077.2016.1214212] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
BACKGROUND The current study tested the associations between college students' intentions to hookup (i.e., specifically intending to go out and engage in sexual behavior with a non-romantic partner) and self-reported heavy drinking. Further, social and sexual enhancement drinking expectancies were tested as moderators of those associations. METHODS College students (N = 235) reported (a) if they had specifically intended to hookup (reported separately for non-intercourse and intercourse hookup intentions) in the past 6 months; (b) social and sexual enhancement drinking expectancies; and (c) heavy drinking (a composite of past-30-day drinking frequency, typical amount consumed per drinking occasion, and how many times they got drunk). Data were analyzed using a hierarchical multiple regression (HMR), controlling for demographic variables. RESULTS Non-intercourse hookup intentions were positively associated with heavy drinking, but intercourse hookup intentions were not. Sexual but not social enhancement drinking expectancies moderated the associations between both types of hookup intentions and heavy drinking. Among those who had intended a non-intercourse hookup, heavy drinking was greater when they also reported high (+1 SD) sexual enhancement drinking expectancies. For intercourse hookup intentions, higher (+1 SD) sexual enhancement drinking expectancies were associated with less heavy drinking. CONCLUSIONS Pursuing non-intercourse hookups appears to be associated with heavy drinking, but intercourse hookup intention is not. Sexual enhancement drinking expectancies moderated those associations. Thus, an interest in some types of casual sexual experiences may promote heavy drinking among college students.
Collapse
Affiliation(s)
- Jonathon J Beckmeyer
- a Department of Applied Health Science , Indiana University School of Public Health-Bloomington , Bloomington , Indiana , USA
| |
Collapse
|
10
|
Moving Beyond Drinking to Have a Good Time: a Person-Centered Approach to Identifying Reason Typologies in Legal-Aged College Student Drinkers. PREVENTION SCIENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR PREVENTION RESEARCH 2016; 17:679-88. [DOI: 10.1007/s11121-016-0658-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|
11
|
Duarte R, Escario JJ, Molina JA. Social Interactions in Alcohol-Impaired Driving. JOURNAL OF CHILD & ADOLESCENT SUBSTANCE ABUSE 2015. [DOI: 10.1080/1067828x.2014.896760] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
12
|
PELTZER K, PENGPID S. Drinking and Driving among University Students in 22 Low, Middle Income and Emerging Economy Countries. IRANIAN JOURNAL OF PUBLIC HEALTH 2015; 44:1330-8. [PMID: 26576345 PMCID: PMC4644577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
BACKGROUND The aim of this study was investigate drinking, driving, and socio-behavioral factors among university students in low and middle income and emerging economy countries. METHODS Using anonymous questionnaires, data were collected from 18476 university students, of which 15151 (82.0%) were drivers of a car or motorcycle (41.3% men and 58.7% women), with a mean age of 20.7 years (SD=2.9), from 22 countries across Africa, Asia and Americas. RESULTS Overall, 17.3% reported to have been driving a car or motorcycle after having had too much to drink in the past 12 months, ranging from below 5% in Bangladesh, Indonesia and Kyrgyzstan to above 35% in China, Singapore and Thailand. In multivariate logistic regression analysis, among both men and women, earlier year of study, living in an upper middle income or high income country (OR=3.58, CI=3.00-4.27 and OR=2.95, CI=2.52-3.46), low intrinsic religiosity (OR=0.67, CI=0.54-0.83 and OR=0.34, CI=0.28-0.42), injury from motorcycle accidents (OR=4.29, CI=2.69-6.82 and OR=3.24, CI=2.26-4.63), and weak belief in the importance of not drinking (OR=1.78, CI=1.50-2.11 and OR=1.61, CI=1.37-1.88) and driving were associated with drinking and driving. Further, among men, older age (OR=1.04, CI=1.01-1.07), binge drinking (OR=1.53, CI=1.27-1.86) and illicit drug use (OR=1.22, CI=1.01-1.47), and among women, younger age (OR=0.95, CI=0.97-0.98), and a lower country BAC limit (OR=0.01, CI=0.001-0.18) was associated with drinking and driving. CONCLUSION This study confirms low to high levels of drinking and driving in different cultures across Africa, Asia and the Americas. Various factors identified can be used to guide interventions to reduce drinking and driving among university students.
Collapse
Affiliation(s)
- Karl PELTZER
- ASEAN Institute for Health Development, Mahidol University, Salaya, Thailand,Dept. of Research & Innovation, University of Limpopo, Polokwane, South Africa,HIV/AIDS/STIs/and TB (HAST) Research Programme, Human Sciences Research Council, Pretoria, South Africa,Corresponding Author:
| | - Supa PENGPID
- ASEAN Institute for Health Development, Mahidol University, Salaya, Thailand,Dept. of Research & Innovation, University of Limpopo, Polokwane, South Africa
| |
Collapse
|
13
|
Bernstein J, Bernstein E, Belanoff C, Cabral HJ, Babakhanlou-Chase H, Derrington TM, Diop H, Douriez C, Evans SR, Jacobs H, Kotelchuck M. The association of injury with substance use disorder among women of reproductive age: an opportunity to address a major contributor to recurrent preventable emergency department visits? Acad Emerg Med 2014; 21:1459-68. [PMID: 25491709 PMCID: PMC4330107 DOI: 10.1111/acem.12548] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2014] [Revised: 05/20/2014] [Accepted: 05/31/2014] [Indexed: 11/27/2022]
Abstract
OBJECTIVES Substance use disorder (SUD) among women of reproductive age is a complex public health problem affecting a diverse spectrum of women and their families, with potential consequences across generations. The goals of this study were 1) to describe and compare the prevalence of patterns of injury requiring emergency department (ED) visits among SUD-positive and SUD-negative women and 2) among SUD-positive women, to investigate the association of specific categories of injury with type of substance used. METHODS This study was a secondary analysis of a large, multisource health care utilization data set developed to analyze SUD prevalence, and health and substance abuse treatment outcomes, for women of reproductive age in Massachusetts, 2002 through 2008. Sources for this linked data set included diagnostic codes for ED, inpatient, and outpatient stay discharges; SUD facility treatment records; and vital records for women and for their neonates. RESULTS Injury data (ICD-9-CM E-codes) were available for 127,227 SUD-positive women. Almost two-thirds of SUD-positive women had any type of injury, compared to 44.8% of SUD-negative women. The mean (±SD) number of events also differed (2.27 ± 4.1 for SUD-positive women vs. 0.73 ± 1.3 for SUD-negative women, p < 0.0001). For four specific injury types, the proportion injured was almost double for SUD-positive women (49.3% vs 23.4%), and the mean (±SD) number of events was more than double (0.72 ± 0.9 vs. 0.26 ± 0.5, p < 0.0001). The numbers and proportions of motor vehicle incidents and falls were significantly higher in SUD-positive women (22.5% vs. 12.5% and 26.6% vs. 11.0%, respectively), but the greatest differences were in self-inflicted injury (11.5% vs. 0.8%; mean ± SD events = 0.19 ± 0.9 vs. 0.009 ± 0.2, p < 0.0001) and purposefully inflicted injury (11.5% vs 1.9%, mean ± SD events = 0.18 ± 0.1 vs. 0.02 ± 0.2, p < 0.0001). In each of the injury categories that we examined, injury rates among SUD-positive women were lowest for alcohol disorders only and highest for alcohol and drug disorders combined. Among 33,600 women identified as using opioids, 2,132 (6.3%) presented to the ED with overdose. Multiple overdose visits were common (mean ± SD = 3.67 ± 6.70 visits). After adjustment for sociodemographic characteristics, psychiatric history, and complex/chronic illness, SUD remained a significant risk factor for all types of injury, but for the suicide/self-inflicted injury category, psychiatric history was by far the stronger predictor. CONCLUSIONS The presence of SUD increases the likelihood that women in the 15- to 49-year age group will present to the ED with injury. Conversely, women with injury may be more likely to be involved in alcohol abuse or other substance use. The high rates of injury that we identified among women with SUD suggest the utility of including a brief, validated screen for substance use as part of an ED injury treatment protocol and referring injured women for assessment and/or treatment when scores indicate the likelihood of SUD.
Collapse
|
14
|
Romer D, Lee YC, McDonald CC, Winston FK. Adolescence, attention allocation, and driving safety. J Adolesc Health 2014; 54:S6-15. [PMID: 24759442 PMCID: PMC3999412 DOI: 10.1016/j.jadohealth.2013.10.202] [Citation(s) in RCA: 65] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/18/2013] [Revised: 10/22/2013] [Accepted: 10/23/2013] [Indexed: 10/25/2022]
Abstract
Motor vehicle crashes are the leading source of morbidity and mortality in adolescents in the United States and the developed world. Inadequate allocation of attention to the driving task and to driving hazards are important sources of adolescent crashes. We review major explanations for these attention failures with particular focus on the roles that brain immaturity and lack of driving experience play in causing attention problems. The review suggests that the potential for overcoming inexperience and immaturity with training to improve attention to both the driving task and hazards is substantial. Nevertheless, there are large individual differences in both attentional abilities and risky driving tendencies that pose challenges to novice driver policies. Research that can provide evidence-based direction for such policies is urgently needed.
Collapse
Affiliation(s)
- Daniel Romer
- Annenberg Public Policy Center, University of Pennsylvania, Philadelphia, Pennsylvania.
| | - Yi-Ching Lee
- Center for Injury Research and Prevention, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
| | - Catherine C. McDonald
- Center for Injury Research and Prevention, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania,School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Flaura K. Winston
- Center for Injury Research and Prevention, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania,The Division of General Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania,Leonard Davis Institute for Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania
| |
Collapse
|
15
|
Acheampong A, Okafor C, Scheidell JD. Regarding Driving After Drug and Alcohol Use Among US High School Seniors. Am J Public Health 2014; 104:e7. [DOI: 10.2105/ajph.2013.301839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- Abenaa Acheampong
- All authors are in the Department of Epidemiology, College of Public Health and Health Profession, College of Medicine, University of Florida, Gainesville
| | - Chukwuemeka Okafor
- All authors are in the Department of Epidemiology, College of Public Health and Health Profession, College of Medicine, University of Florida, Gainesville
| | - Joy D. Scheidell
- All authors are in the Department of Epidemiology, College of Public Health and Health Profession, College of Medicine, University of Florida, Gainesville
| |
Collapse
|