Drugged Driving in Alcohol-restricted Rural Appalachia

描述（由申请人提供）：尽管早期和持续认识到吸毒后驾驶是一个主要的公共卫生问题，但关于吸毒后驾驶的文献并没有经历与酒精相关的酒后驾驶文献相同的增长。该申请提出了一项研究，以检查阿巴拉契亚农村地区的酒后驾车和吸毒驾车，这是一群几乎没有被研究过的酒后驾车违禁者。虽然阿巴拉契亚地区的一些县允许酒类销售（湿润县），但有几个县不允许酒类销售（干旱县），或限制酒类销售到某些城镇（湿润县）。在阿巴拉契亚农村，尽管酒精供应水平不同，但酒后驾车仍然是一种常见的犯罪行为。阿巴拉契亚农村地区处方药滥用的高比率可能是这些地区酒后驾车发生率的原因之一。在这项试点研究中，将对120名阿巴拉契亚农村的酒驾违规者进行访谈，这些违规者按酒精销售限制水平（湿县、干县或湿县）进行分层。该项目的具体目标是：(1)描述阿巴拉契亚农村酒驾罪犯的个人特征，包括社会人口统计信息、酒精和药物使用历史、对酒精和药物使用的态度和信念，以及酒后驾驶历史；(2)确定阿巴拉契亚农村地区酒后驾车罪犯在毒品影响下驾驶和阿巴拉契亚农村地区酒后驾车罪犯在酒精而非毒品影响下驾驶之间的异同；(3)确定阿巴拉契亚农村地区酒后驾车罪犯在不同酒精销售限制水平的县被定罪的异同。该项目的总体目标是增加我们对阿巴拉契亚农村地区酒后和吸毒驾驶的了解。这个项目的长期目标是收集数据，以供这位新研究者开发一个有竞争力的R01应用程序，为阿巴拉契亚农村地区的酒后驾车违规者设计和测试量身定制的干预措施，同时解决酒精和药物损害驾驶问题。每年有超过3500万美国人在酒精或毒品的影响下开车。该项目将收集信息，比较来自阿巴拉契亚农村地区的酒后驾车司机和吸毒司机。阿巴拉契亚农村地区是一个尚未得到充分研究的地区，但已知酒精和处方药滥用程度很高。该项目的长期目标是开发一种干预措施，以减少该地区的不良驾驶。

DESCRIPTION (provided by applicant): The literature on drug-impaired driving has not experienced the same growth as the alcohol-related DUI literature despite the early and continued recognition that drug-impaired driving is a major public health concern. This application proposes a study to examine alcohol-impaired and drug-impaired driving in rural Appalachia, a group of DUI offenders who are virtually unstudied. Although some counties in rural Appalachia allow alcohol sales (wet counties), several do not allow alcohol to be sold (dry counties), or limit alcohol sales to certain towns (moist counties). DUI remains a frequent crime in rural Appalachia despite these differing levels of alcohol availability. The high rates of prescription drug abuse in rural Appalachia may contribute to the incidence of DUI in these areas. In this pilot study, a sample of 120 rural Appalachian DUI offenders, stratified by level of alcohol sales restriction (wet, dry, or moist county), will be interviewed. The specific aims for this project are to: (1) Describe individual characteristics of rural Appalachian DUI offenders, including socio-demographic information, alcohol and drug use histories, attitudes and beliefs about alcohol and drug use, and history of impaired driving; (2) Identify similarities and differences between individuals from rural Appalachian DUI offenders who have driven under the influence of drugs and rural Appalachian DUI offenders who have driven under the influence of alcohol but not drugs; and (3) Identify similarities and differences between rural Appalachian DUI offenders convicted in counties with varying levels of alcohol sales restriction. The overall aim of this project is to add to our understanding of alcohol- and drug-impaired driving in rural Appalachia. The long term objective of this project is to collect data to be used by this new investigator to develop a competitive R01 application to design and test a tailored intervention for rural Appalachian DUI offenders that equally addresses alcohol- and drug-impaired driving. More than 35 million Americans drive under the influence of alcohol or drugs per year. This project will collect information to compare alcohol-impaired drivers to drug-impaired drivers from rural Appalachia, an understudied area yet known to have high levels of alcohol and prescription drug abuse. The long term objective of the project is to develop an intervention to reduce impaired driving in this area.