Alcohol and drug use among motor vehicle collision victims admitted to a regional trauma unit: demographic, injury, and crash characteristics

Stoduto, Gina; Vingilis, Evelyn; Kapur, Bhushan; Sheu, Wen-Jenn; McLellan, Bruce N.; Liban, Carolyn B.

doi:10.1016/0001-4575(93)90070-d

Cited by 116 publications

(70 citation statements)

References 12 publications

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“…The adjustment and quality of the cluster model allow to support the clear difference in terms of these variables between professional drivers who have (or not) the habit of regularly drinking alcohol, in accordance to which has been suggested in several studies assessing the increased risk of misbehaviors and/or accidents at the wheel based on this behavior [1][2][3][4][5][6][7]43,77]. Furthermore, obtained differences in terms of Job Strain between drivers in both clusters (i.e., higher Job Strain rates for participants in cluster number 1) result consistent to other empirical research documenting the critical relationships existing between: a) job stress and both addressed addictive behaviors [34, 78,79], b) job stress and traffic accidents [49,80,81], and c) addictive behaviors such as alcohol consumption, lifestyle factors and safety outcomes [81,82].…”

Section: Discussionsupporting

confidence: 63%

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Alcohol Consumption, Smoking, Job Stress and Road Safety in Professional Drivers

Useche¹,

Serge²,

Alonso³

et al. 2017

J Addict Res Ther

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Objective: The aim of this study was to describe the prevalence of two addictive behaviours (regular alcohol consumption and smoking) among professional drivers and its relationship to Job Strain (job stress indicator of the Demand-Control model) and self-reported road safety outcomes. Methods:The study sample was composed by 2445 Colombian professional drivers with an average of 38.01 years of age, a mean of driving experience of 15.81 years and, in average, 7.35 hours of daily driving. Participants of this study had a mean of 0.41 road accidents and 0.50 traffic fines registered in the last two years. It was designed a questionnaire composed by three sections: a) socio-demographic data, including items such as gender, age, and driving habits, b) Job Strain (JCQ), and c) self-reported habits related to addictive behaviors, in particular smoking and alcohol consumption.Results: It was found that 20.3% of professional drivers have the habit of actively consuming tobacco, and 27.9% of drinking alcohol regularly. Furthermore, 28% of the sample presents Job Strain. Further, significant trends between smoking and: a) gender (i.e., being a male driver), and b) the fact of having Job Strain were found. Regarding alcohol consumption, two-step cluster analysis allowed to establish profiles of drivers when combining the fact of drinking alcohol regularly (or not) and the self-reported rates of fines and traffic accidents registered for the last two years. Finally, significant differences in Job Strain were established between drivers in both clusters, being the mean score higher for drivers reporting regular alcohol consumption and higher rates of fines and crashes. Conclusion:This research suggests the need for the development of comprehensive interventions on psychosocial factors at work and lifestyle issues among professional drivers, based on the reported rates of the two addressed addictive behaviors and its relationship to adverse health, occupational and safety outcomes.

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Section: Discussionsupporting

confidence: 63%

“…In fact, alcohol and psychotropic substances constitute some of the factors better significantly differentiating vehicle collision victims regarding demographic, injury type and/or severity and crash characteristics related to pre-crashes [2].…”

Section: Introductionmentioning

confidence: 99%

Alcohol Consumption, Smoking, Job Stress and Road Safety in Professional Drivers

Useche¹,

Serge²,

Alonso³

et al. 2017

J Addict Res Ther

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“…Marijuana is the most frequently used illicit drug implicated in intoxicated driving (Brookoff et al, 1994;Moskowitz, 1985;Walsh and Mann, 1999). After alcohol, marijuana accounts for the largest percentage of drug-positive motor vehicle crashes and fatalities (Soderstrom et al, 1995;Stoduto et al, 1993), and THC blood levels indicating recent use are related to increased risk of a car crash (Ramaekers et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

Acute Marijuana Effects on Human Risk Taking

Lane

Cherek

Tcheremissine

et al. 2005

Neuropsychopharmacol

148

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Previous studies have established a relationship between marijuana use and risky behavior in natural settings. A limited number of laboratory investigations of marijuana effects on human risk taking have been conducted. The present study was designed to examine the acute effects of smoked marijuana on human risk taking, and to identify behavioral mechanisms that may be involved in drug-induced changes in the probability of risky behavior. Using a laboratory measure of risk taking designed to address acute drug effects, 10 adults were administered placebo cigarettes and three doses of active marijuana cigarettes (half placebo and half 1.77%; 1.77%; and 3.58% D 9 -THC) in a within-subject repeated-measures experimental design. The risk-taking task presented subjects with a choice between two response options operationally defined as risky and nonrisky. Data analyses examined cardiovascular and subjective effects, response rates, distribution of choices between the risky and nonrisky option, and first-order transition probabilities of trial-by-trial data. The 3.58% THC dose increased selection of the risky response option, and uniquely shifted response probabilities following both winning and losing outcomes following selection of the risky option. Acute marijuana administration thereby produced measurable changes in risky decision making under laboratory conditions. Consistent with previous risk-taking studies, shifts in trial-by-trial response probabilities at the highest dose suggested a change in sensitivity to both reinforced and losing risky outcomes. Altered sensitivity to consequences may be a mechanism in drug-induced changes in risk taking. Possible neurobiological sites of action related to THC are discussed. Neuropsychopharmacology (2005) 30, 800-809.

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“…A long series of retrospective studies have involved comparison of BAC levels in individuals who have experienced a collision or trauma in comparison with selected individuals not involved in trauma, using a case-control design (Cherpitel, 1992;Freedland et al, 1993;Fuller, 1995;Stoduto et al, 1993; United States Department of Health and Human Services, 1997;Hurst et al, 1994). One of the most influential casecontrol series was the Grand Rapids study of 5,985 collisions (Borkenstein et al, 1964;Hurst et al, 1994).…”

Section: Alcohol-related Traumatic Injurymentioning

confidence: 99%

Evidence Regarding the Level of Alcohol Consumption Considered to be Low-Risk for Men and Women

Single¹,

Ashley²,

Bondy³

et al. 2000

PsycEXTRA Dataset

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The strategic intent of the NHMRC is to work with others for the health of all Australians, by promoting informed debate on ethics and policy, providing knowledge based advice, fostering a high quality and internationally recognised research base, and applying research rigour to health issues. NHMRC documents are prepared by panels of experts drawn from appropriate Australian academic, professional, community and government organisations. NHMRC is grateful to these people for the excellent work they do on its behalf. This work is usually performed on an honorary basis and in addition to their usual work commitments.

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Alcohol and drug use among motor vehicle collision victims admitted to a regional trauma unit: demographic, injury, and crash characteristics

Cited by 116 publications

References 12 publications

Alcohol Consumption, Smoking, Job Stress and Road Safety in Professional Drivers

Alcohol Consumption, Smoking, Job Stress and Road Safety in Professional Drivers

Acute Marijuana Effects on Human Risk Taking

Evidence Regarding the Level of Alcohol Consumption Considered to be Low-Risk for Men and Women

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