Societal costs of risky driving: an economic analysis of high-risk patients visiting an urban emergency department.
Societal costs of risky driving: an economic analysis of high-risk patients visiting an urban emergency department.
复制标题
危险驾驶的社会成本：对前往城市急诊室就诊的高风险患者的经济分析。
DOI：
10.1080/15389588.2010.536599
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发表时间：
2011
影响因子：
2
通讯作者：
Sommers,MarilynS
中科院分区：
文献类型：
--
作者：
Sommers,BenjaminD;Fargo,JamisonD;Lyons,MichaelS;Shope,JeanT;Sommers,MarilynS
Objective-We estimated the societal costs implemented by and the relative contributions of riskful driving，drinking-driving，and substance use among young adults visiting a large urban emergency department who happened both high risk driving and problem drinking.Methods：急诊科患者年龄在18至44岁之间，筛查为阳性的危险驾驶和问题drinking（n = 275）进行了调查，驾驶行为，物质使用，伤害，工作缺勤，医疗保健利用，法律的问题，和交通事故在过去的一年。这些数据，加上警方的坠机报告，被用来估计费用。单变量和多变量回归测试成本之间的关联（mathematically转换）和危险驾驶，酒后驾驶，和substance use.Results：社会成本相关的驾驶行为和物质使用平均每人每年19 342美元。四分之一的人在前一年经历过轻度或中度伤害，但我们的样本中没有人涉及严重伤害或死亡。五分之一的人在前一年遭遇过车祸。在多变量模型中，风险驾驶与较高的医疗保健成本显著相关，在单变量和多变量模型中，风险驾驶与总成本显著相关。酒精的使用与受伤和撞车成本的增加有关。在多变量模型中，酒后驾车与成本增加无关，但与医疗保健成本降低有关。一个标准差的增加，危险驾驶与增加的医疗保健费用为159美元，增加的总成本为1306美元每人，每年。结论：危险驾驶施加显着的成本，即使控制物质的使用和酒后驾驶。减少危险驾驶的干预措施可能会节省社会成本。
Objectives:We estimated the societal costs imposed by and the relative contributions of risky driving, drinking–driving, and substance use among young adults visiting a large urban emergency department who exhibited both high-risk driving and problem drinking.Methods:Emergency department patients aged 18 to 44 who screened positive for risky driving and problem drinking (n = 275) were surveyed regarding driving behaviors, substance use, injuries, work absences, health care utilization, legal problems, and traffic crashes over the previous year. These data, supplemented by police crash reports, were used to estimate costs. Univariate and multivariate regressions tested for associations between costs (logarithmically transformed) and risky driving, drinking–driving, and substance use.Results:Societal costs related to driving behavior and substance use averaged $19 342 per person, annually. One in 4 individuals had experienced a mild or moderate injury in the prior year, but no one in our sample had been involved with a severe injury or fatality. One in 5 had been in a crash in the prior year. Risky driving was significantly associated with higher health care costs in multivariate models and with total costs in univariate and multivariate models. Alcohol use was associated with increased injury and crash costs. Drinking–driving was not associated with increased costs in multivariate models but was associated with reduced health care costs. A one standard deviation increase in risky driving was associated with increased health care costs of $159 and increased total costs of $1306 per person, annually.Conclusions:Risky driving imposes significant costs, even controlling for substance use and drinking–driving. Interventions to reduce risky driving may be cost-saving to society.