Driving After Binge Drinking

Driving After Binge Drinking
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DOI:
10.1016/j.amepre.2009.06.013
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发表时间:
2009-10-01
影响因子:
5.5
通讯作者:
Brewer, Robert D.
Brewer, Robert D.
中科院分区:
医学2区
文献类型:
--
作者:
Naimi, Timothy S.;Nelson, David E.;Brewer, Robert D.

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背景:尽管酗酒与酒后驾驶密切相关,但人们对酗酒后驾车的患病率或危险因素知之甚少。目的:本研究的目的是评估在特定的酗酒发作期间或之后不久驾驶的患病率和危险因素。方法:2007年和2008年对来自13个州的14,085名成年人的数据进行了分析,这些成年人分别在2003年和2004年报告了酗酒,并回答了一系列关于酗酒行为的额外问题,这些问题是行为风险因素监测系统调查的一部分。狂饮被定义为在饮酒场合饮用五杯或五杯以上。结果:总体而言,11.9%的酗酒者在最近一次酗酒期间或在两小时内开车。在有执照的场所(酒吧、俱乐部和餐馆)饮酒的人占这些驾驶事件的54.3%。酗酒后驾车的独立危险因素包括男性(AOR=1.75);35-54岁或>= 55岁比18-34岁(AOR分别为1.58和2.37);在酒吧或俱乐部饮酒与在被调查者家中饮酒相比(AOR=7.81)。在有执照的场所饮酒的司机平均饮酒8.1杯,其中25.7%的人饮酒10杯。结论:由于酗酒和随后的驾驶在有执照的酒类销售机构中很常见,并且因为许可是有条件的负责任的饮料服务实践(即,不向醉酒的人出售),防止酒后驾驶的努力应侧重于在有执照的机构中执行负责任的饮料服务。(Am J Prev Med 2009;37 (4):314-320) Elsevier Inc.代理美国《预防医学杂志》出版
Background: Although binge drinking is strongly associated with alcohol-impaired driving, little is known about the prevalence of or risk factors for driving after binge drinking.Purpose: The purpose of this study was to assess the prevalence of, and risk factors for, driving during or shortly after a specific binge drinking episode.Methods: The data were analyzed in 2007 and 2008 from 14,085 adults from 13 states in 2003 and 14 states in 2004 who reported binge drinking and answered an additional series of questions about binge drinking behaviors as part of the Behavioral Risk Factor Surveillance System survey. Binge drinking was defined as the consumption of five or more drinks during a drinking occasion.Results: Overall, 11.9% of binge drinkers drove during or within 2 hours of their most recent binge drinking episode. Those drinking in licensed establishments (bars, clubs, and restaurants) accounted for 54.3% of these driving episodes. Significant independent risk factors for driving after binge drinking included male gender (AOR=1.75); being aged 35-54 or >= 55 years compared to 18-34 years (AOR=1.58 and 2.37, respectively); and drinking in bars or clubs compared to drinking in the respondent's home (AOR=7.81). Drivers who drank most of their alcohol in licensed establishments consumed an average of 8.1 drinks, and 25.7% of them consumed >= 10 drinks.Conclusions: Because binge drinking and subsequent driving were common in establishments licensed to sell alcohol, and because licensing is conditional on responsible beverage service practices (i.e., not selling to intoxicated people), efforts to prevent impaired driving should focus on enforcing responsible beverage service in licensed establishments. (Am J Prev Med 2009;37 (4):314-320) Published by Elsevier Inc. on behalf of American journal of Preventive Medicine