Alcohol Policies and Motor Vehicle Crash Deaths Involving Blood Alcohol Concentrations Below 0.08%

Alcohol Policies and Motor Vehicle Crash Deaths Involving Blood Alcohol Concentrations Below 0.08%
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DOI:
10.1016/j.amepre.2019.12.015
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发表时间:
2020-05-01
影响因子:
5.5
通讯作者:
Naimi, Timothy S.
Naimi, Timothy S.
中科院分区:
医学2区
文献类型:
--
作者:
Lira, Marlene C.;Sarda, Vishnudas;Naimi, Timothy S.

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简介:在美国,机动车碰撞是造成伤害死亡的主要原因。限制性酒精政策保护人们免受涉及超过法律的血液酒精浓度0.08%的酒精的碰撞。涉及血液酒精浓度低于限值的机动车碰撞死亡的特征及其与酒精控制政策的关系尚未得到很好的表征。方法:2000年至2015年的机动车碰撞死亡数据以及碰撞和死亡特征来自死亡分析报告系统,并在2018-2019年进行了分析。酒精政策量表评分表征了各州年度的酒精政策环境。广义估计方程交替逻辑回归模型评估了这些分数和死亡率涉及酒精低于法律的thresholds.Results的几率:612,030机动车碰撞死亡,223,471(37%)死于酒精涉及的碰撞,其中33,965(15%的酒精涉及的死亡或6%的死亡)有血液酒精浓度
Introduction: Motor vehicle crashes are a leading cause of injury death in the U.S. Restrictive alcohol policies protect against crashes involving alcohol above the legal blood alcohol concentration of 0.08%. Characteristics of motor vehicle crash fatalities involving blood alcohol concentrations below the limit and their relationships to alcohol control policies have not been well characterized.Methods: Motor vehicle crash fatality data and crash and decedent characteristics from 2000 to 2015 came from the Fatality Analysis Reporting System and were analyzed in 2018-2019. Alcohol Policy Scale scores characterized alcohol policy environments by state-year. Generalized estimating equation alternating logistic regression models assessed these scores and the odds that a fatality involved alcohol below the legal threshold.Results: Of 612,030 motor vehicle crash fatalities, 223,471 (37%) died in alcohol-involved crashes, of which 33,965 (15% of alcohol-involved fatalities or 6% of all fatalities) had a blood alcohol concentration