Repeat DUI Offenders Who Have Had a Drug Diagnosis: Are They More Prone to Traffic Crashes and Violations?
Repeat DUI Offenders Who Have Had a Drug Diagnosis: Are They More Prone to Traffic Crashes and Violations?
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DOI：
10.1080/15389580802593202
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发表时间：
2009-01-01
影响因子：
2
通讯作者：
Lapham, Sandra C.
中科院分区：
文献类型：
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作者：
Baca, Janet C'De;Mcmillan, Garnett P.;Lapham, Sandra C.
目的：研究目的是测试（1）有终生药物使用障碍（DUD）的DUI罪犯和没有终生药物使用障碍的DUI罪犯之间的负面交通结果率的差异;以及（2）按药物类别对DUD罪犯进行分类。方法：研究样本的379名男性和74名女性重复DUI罪犯进行了采访，使用复合国际诊断访谈。结果如下：与仅患有酒精使用障碍（AUD）的人相比，患有中枢神经系统（CNS）酒精使用障碍的人发生车祸的相对风险更大。对于那些有任何DUD和CNS兴奋剂使用障碍的人来说，被判交通违法的风险更高。在调整人口统计学后，所使用药物类别的差异是47%（置信区间：6-103%）与CNS滥用障碍发生碰撞的风险增加，28%（置信区间：11-48%）与兴奋剂使用障碍发生交通定罪的风险增加。结论：结果强调，在被诊断为DUD的重复DUI罪犯中，特别是CNS神经系统疾病的负面交通结果的风险增加，支持建立包括对这一人群进行全面评估和治疗的政策的呼吁。
Objective: Study objectives are to test for differences (1) in rates of negative traffic outcomes between DUI offenders who have lifetime drug use disorders (DUD) and those with no lifetime DUD; and (2) by drug class for those with a DUD. Methods: The study sample of 379 male and 74 female repeat DUI offenders was interviewed using the Composite International Diagnostic Interview. Results: Compared to those with an alcohol use disorder (AUD) only, the relative risk of being involved in a vehicular crash was greater for those with a central nervous system (CNS) depressant use disorder. The risk of being convicted of a traffic offense was higher for those with any DUD and for those with a CNS stimulant use disorder. Differences by class of drug used, after adjusting for demographics, were a 47 percent (confidence interval: 6-103%) greater risk of being in a crash with a CNS depressant use disorder and 28 percent (confidence interval: 11-48%) greater risk of a traffic conviction with a stimulant use disorder. Conclusions: Results underscore the increased risk of negative traffic outcomes among repeat DUI offenders diagnosed with DUD, particularly CNS depressant disorders, supporting the call to establish policies that include comprehensive evaluation and treatment for this population.