Efficacy of frequent monitoring with swift, certain, and modest sanctions for violations: insights from South Dakota's 24/7 Sobriety Project.
Efficacy of frequent monitoring with swift, certain, and modest sanctions for violations: insights from South Dakota's 24/7 Sobriety Project.
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DOI：
10.2105/ajph.2012.300989
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发表时间：
2013-01-01
影响因子：
12.7
通讯作者：
Midgette, Greg
中科院分区：
文献类型：
--
作者：
Kilmer, Beau;Nicosia, Nancy;Midgette, Greg
目的：我们研究了南达科他州24/7戒酒项目对公众健康的影响，这是一个创新的项目，要求因酒精相关犯罪而被捕或被定罪的个人每天接受两次酒精浓度测试，或者佩戴连续的酒精监测手镯。那些检测呈阳性的人将受到迅速、确定和适度的制裁。方法：我们进行了差异中的差异分析，比较了项目实施县与未实施项目县在酒后驾驶、家庭暴力和交通事故逮捕方面的变化。结果：2005年至2010年间，南达科他州超过17000名居民——包括一些县超过10%的18至40岁男性——参加了24/7项目。在县一级，我们记录了采用该计划后，酒后驾车的重复逮捕减少了12% (P = 0.023)，家庭暴力的逮捕减少了9% （P = 0.035）。交通事故的证据好坏参半。结论：在社区监督环境中，频繁进行酒精检测，并对违规行为进行迅速、确定和适度的处罚，可以减少饮酒问题，改善公共卫生结果。
OBJECTIVES: We examined the public health impact of South Dakota's 24/7 Sobriety Project, an innovative program requiring individuals arrested for or convicted of alcohol-involved offenses to submit to breathalyzer tests twice per day or wear a continuous alcohol monitoring bracelet. Those testing positive are subject to swift, certain, and modest sanctions.METHODS: We conducted differences-in-differences analyses comparing changes in arrests for driving while under the influence of alcohol (DUI), arrests for domestic violence, and traffic crashes in counties to the program with counties without the program.RESULTS: Between 2005 and 2010, more than 17,000 residents of South Dakota-including more than 10% of men aged 18 to 40 years in some counties-had participated in the 24/7 program. At the county level, we documented a 12% reduction in repeat DUI arrests (P = .023) and a 9% reduction in domestic violence arrests (P = .035) following adoption of the program. Evidence for traffic crashes was mixed.CONCLUSIONS: In community supervision settings, frequent alcohol testing with swift, certain, and modest sanctions for violations can reduce problem drinking and improve public health outcomes.