Effect of the zero-tolerance drinking and driving law on mortality due to road traffic accidents according to the type of victim, sex, and age in Rio de Janeiro, Brazil: An interrupted time series study

Jomar, Rafael Tavares; Ramos, Dandara de Oliveira; Fonseca, Vitor Augusto de Oliveira; Junger, Washington Leite

doi:10.1080/15389588.2019.1576035

Cited by 15 publications

(14 citation statements)

References 27 publications

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“…Our findings revealed that the impacts of drunk driving intervention were greater in males (ER = -9.76, 95% eCI: − 10.89% to − 8.29%) than in females (ER = -6.70, 95% eCI: − 8.76% to − 1.75%), which was in accordance with previous studies [12,22]. This phenomenon might be due to the higher driving and drinking rate among males [24,25].…”

Section: Discussionsupporting

confidence: 92%

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Time-varying effect of drunk driving regulations on road traffic mortality in Guangzhou, China: an interrupted time-series analysis

Hua

et al. 2021

BMC Public Health

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Background China has introduced a series of stricter policies to criminalize drunk driving and increase penalties since May 2011. However, there is no previous study examining the time-varying impacts of drunk driving regulations on road traffic fatalities based on daily data. Methods We collected 6536 individual data of road traffic deaths (RTDs) in Guangzhou from 2008 to 2018. The quasi-Poisson regression models with an inclusion of the intervention variable and the interaction of intervention variable and a function of time were used to quantify the time-varying effects of these regulations. Results During the 11-year study period, the number of population and motor vehicles showed a steady upward trend. However, the population- and motor vehicles- standardized RTDs rose steadily before May 2011, the criminalizing drunk driving intervention was implemented and gradually declined after that. The new drunk driving intervention were associated with an average risk reduction of RTDs (ER = -9.01, 95% eCI: − 10.05% to − 7.62%) during the 7.7 years after May 2011. On average, 75.82 (95% eCI, 54.06 to 92.04) RTDs per 1 million population annually were prevented due to the drunk driving intervention. Conclusion These findings would provide important implications for the development of integrated intervention measures in China and other countries attempting to reduce traffic fatalities by stricter regulations on drunk driving.

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Section: Discussionsupporting

confidence: 92%

“…Previous studies have commonly only used population denominator to standardize road traffic injuries or deaths or even used unstandardized data, and rarely considered the impact of the number of motor vehicles [11,12,15,22,23]. In Guangzhou, the number of car had an obvious increasing trend during the study period.…”

Section: Discussionmentioning

confidence: 99%

Time-varying effect of drunk driving regulations on road traffic mortality in Guangzhou, China: an interrupted time-series analysis

Hua

et al. 2021

BMC Public Health

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“…Alguns estudos avaliaram o impacto da primeira Lei Seca 16,17,18,19,20,21,22 e, embora tenham concluído que houve um impacto positivo, foram baseados na comparação de curtos períodos de tempo antes e depois da sua implementação, de modo que as tendências não foram consideradas. Em tempos de observação tão curtos, as mudanças poderiam ser explicadas por meras oscilações nas séries históricas 23 . De fato, Moura et al 17 relatam que nos dois primeiros meses após a sua implantação, a frequência dos condutores que informaram dirigir após beber diminuiu de 2,2% para 1,3%, mas voltou a aumentar para 2,8%, em 2009.…”

Section: Discussionunclassified

Tendência temporal das internações por acidentes de trânsito na cidade de São Paulo, Brasil, 2000-2019

2021

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Este estudo avaliou a tendência das taxas de internação por acidentes de trânsito no Sistema Único de Saúde (SUS), de residentes no Município de São Paulo, Brasil, entre 2000 e 2019, segundo sexo, faixa etária e meio de transporte (pedestres, ciclistas, motociclistas e ocupantes de veículo). Foi ajustado um modelo de regressão segmentada com resposta binomial negativa, com pontos de inflexão para acomodar possíveis mudanças de tendência. Foram registradas 189.765 internações durante o período de estudo, a maioria de homens (80,5%) com idade entre 20 e 49 anos (71,2%). O tipo de acidente mais frequente foi com motocicleta (42,8%), seguido dos atropelamentos de pedestres (33,7%). De um modo geral, o período de 2000 a 2007 foi marcado pelo crescimento das taxas de hospitalização por acidentes de trânsito para todos os meios de transporte, em ambos os sexos e na maioria das faixas etárias. O momento em que as taxas pararam de crescer ou que eventualmente passaram a cair foi diferente para os diferentes meios de transporte. Para ocupantes de veículos e ciclistas, a tendência na maioria das faixas etárias inverteu-se para uma de queda em 2008, mas para pedestres e motociclistas, isto só ocorreu em 2012. A partir de 2015, a queda cessou em pedestres e as taxas em ciclistas voltaram a subir, na maioria das faixas etárias. Para motociclistas, as taxas voltaram a crescer em homens de 20 a 59 anos (7,2% ao ano, atingindo valores superiores a 140 por 100 mil habitantes em 2019) e em mulheres, de 15 a 39 anos (4,9% ao ano). É possível que os benefícios das medidas de segurança implementadas até agora tenham atingido seu limite, de modo que as atuais medidas de controle e prevenção devem ser revistas.

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“…However, under Law 12760, from December 2012, zerotolerance drinking and driving law reached its higher effectiveness in terms of enforcement, particularly by increasing the use of sobriety checkpoints and including other evidence to prove drivers' intoxication (driver's appearance and actions at the scene). There is evidence on zero-tolerance drinking and driving law on mortality rate due to road tra c accident (12)(13)(14), but not on hospitalization rate. Investigating the avert hospitalizations due to stricter drink driving law (if any) can lead to some light on the potential bene t to the health system, such as reallocation of hospital beds to other causes and reduction of hospital expenditures owing to road tra c accidents.…”

Section: Introductionmentioning

confidence: 99%

“…However, the effectiveness of law was low. In 2008, it enacted the zero-tolerance drinking and driving law (Lei Seca), Law 11705, from the 19th of June 2008, lowering the BAC limit to 0.0 g/dl and adding the suspension of the driver's licence for 12 months, imprisonment for blood alcohol concentration over 6 dg/L, ne, and vehicle retention whether the driver's BAC was over the legal limit (12). To test intoxication, the tra c agent may ask the driver to perform a breath test (breathalyzer) or a blood test.…”

Section: Introduction Of Laws Against Drinking and Driving In Brazilmentioning

confidence: 99%

Effect of the New Zero-Tolerance Drinking and Driving Law on Hospital Admissions Due to Road Traffic Accidents in Brazil: an Interrupted Time Series Study From 2008 to 2019 Short Title New Zero-tolerance Drinking and Driving Law on Hospitalization in Brazil

Souza

Russo

Silva

2021

Preprint

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We investigated the effect of the new zero-tolerance drinking and driving law (Law 12760) on hospital admissions due to road traffic accidents in Brazil by using interrupted time series from 2008 to 2019. We used ICD-10 codes for land transport accidents (V00-V89). The hospitalization rate was calculated per 100,000 inhabitants. The sources were the Hospital Information System and the Brazilian Institute for Geography and Statistics. For Brazil, the hospitalization rate decreased by 0.400841 (p=0.052; 95% CI -0.8060128 to -0.0043307) in the first month of the intervention (December 2012), followed by a significant change in the hospitalization trend. Compared to the period prior to the intervention, the monthly trend was reduced by 0.048215 (p<0.01; 95% CI 0.0614524 to 0.0349775) in the post period. These results stand in agreement with subgroup analyses for the Brazilian regions, although North and Northeast regions did not immediately reduce hospitalization rates (level change). Our results suggested that 436,581 hospitalizations for land transport accidents were averted by the new zero-tolerance drinking and driving law from Dec. 2012 to Dec. 2019 in Brazil.

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Effect of the zero-tolerance drinking and driving law on mortality due to road traffic accidents according to the type of victim, sex, and age in Rio de Janeiro, Brazil: An interrupted time series study

Cited by 15 publications

References 27 publications

Time-varying effect of drunk driving regulations on road traffic mortality in Guangzhou, China: an interrupted time-series analysis

Time-varying effect of drunk driving regulations on road traffic mortality in Guangzhou, China: an interrupted time-series analysis

Tendência temporal das internações por acidentes de trânsito na cidade de São Paulo, Brasil, 2000-2019

Effect of the New Zero-Tolerance Drinking and Driving Law on Hospital Admissions Due to Road Traffic Accidents in Brazil: an Interrupted Time Series Study From 2008 to 2019 Short Title New Zero-tolerance Drinking and Driving Law on Hospitalization in Brazil

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