A Swedish alcohol ignition interlock programme for drink-drivers:: effects on hospital care utilization and sick leave
A Swedish alcohol ignition interlock programme for drink-drivers:: effects on hospital care utilization and sick leave
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DOI：
10.1111/j.1360-0443.2006.01726.x
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发表时间：
2007-04-01
期刊：
影响因子：
6
通讯作者：
Thorsson, Ulf
中科院分区：
文献类型：
--
作者：
Bjerre, Bo;Marques, Paul;Thorsson, Ulf
目的本项目评估酒精点火联锁计划（AIIP）后的健康结果，通过评估医院护理利用率和病假登记数据相对于控制与吊销执照，但没有可比的机会参加AIIP。在瑞典，驾驶而受损（DWI）的罪犯现在可以自愿选择2年的AIIP，而不是12个月的执照吊销。AIIP包括旨在改变酒精使用的定期医疗检查。设计该研究是一个准实验性的意向治疗设计;因此，干预组包括48%的参与者谁被解雇的AIIP完成之前。对照组（865人）在DWI后吊销执照后，医院护理和病假增加。然而，在AIIP的1266人中，相对于对照组和DWI犯罪前他们自己的护理利用率，需要医院护理的人数显着减少。无论是治疗反映了所有诊断还是仅与酒精相关的诊断，都会发生这种情况。此外，病假数据显示，相对于对照组和他们自己的治疗前时期，AIIP组使用病假的人数显着减少。这些显著的健康益处在治疗后阶段消失。然而，在那些实际完成整个AIIP的人中，在DWI犯罪后3年和4年观察到持续的积极健康影响。结论自愿参加AIIP具有良好的效果，减少了住院护理或病假的需要。这可能与在该方案期间减少酒精消费和继续驾驶的能力有关。
Aims This project evaluates health outcomes following an alcohol ignition interlock programme (AIIP) by assessing hospital care utilization and sick-leave register data relative to controls with revoked licences, but with no comparable opportunity to participate in an AIIP. Setting In Sweden, driving while impaired (DWI) offenders can now select voluntarily a 2-year AIIP in lieu of 12 months' licence revocation. The AIIP includes regular medical check-ups designed to alter alcohol use. Design The study is a quasi-experimental intent-to-treat design; accordingly, the intervention group includes 48% of the participants who were dismissed from the AIIP before completion. Finding The control group (865 individuals) showed increased hospital care and sick leave after licence revocation following the DWI. Among the 1266 people in the AIIP, however, significantly fewer needed hospital care relative to controls, and relative to their own care utilization before the DWI offence. This occurred whether care reflected all diagnosis or only alcohol-related diagnosis. Also, sick-leave data showed significantly fewer AIIP group individuals using sick leave relative to the control group, and relative to their own pre-treatment period. These significant health benefits disappear in the post-treatment period. However, among those who actually do complete the entire AIIP, sustained positive health effects are observed 3 and 4 years after the DWI offence. Conclusions Voluntary participation in an AIIP has favourable effects with less need for hospital care or sick leave. This is probably linked to reduced alcohol consumption during the programme and to the ability to continue driving.