Implementation of Road Safety Countermeasures in Four Cities to Reduce the Harmful Effects of Alcohol: A Progress Report

Fell, James C.; Achoki, Tom; DeJong, William; Fisher, Deborah A.

doi:10.26502/acbr.50170271

Cited by 2 publications

(4 citation statements)

References 18 publications

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“…1 Increasing sobriety checkpoints, collecting data regarding drink-driving behaviours and reducing speed limits in high-volume pedestrian areas are costeffective strategies that have found success in reducing traffic fatalities in one sister LMIC country. 79 More research is needed in these countries to craft effective strategies that fellow LMICs may adopt. The cumulative findings observed in this population study, add to the existing dearth of research in LMICs.…”

Section: Discussionmentioning

confidence: 99%

Drunk driving: a secondary analysis of factors associated with driving under the influence of alcohol in Jamaica

et al. 2023

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ObjectivesTo determine the prevalence of alcohol use patterns, sociodemographic factors and risk of alcohol dependence among vehicle drivers in Jamaica.DesignA secondary data analysis.SettingThis study was conducted using the Jamaica National Drug Prevalence Survey 2016 dataset.ParticipantsThis included 1060 vehicle drivers derived from the population sample of 4623. The participants from each household were randomly selected as the respondent for the survey.Primary and secondary outcome measuresAlcohol use and dependence were measured using the Alcohol Use Disorders Identification Test questionnaire. Driving under the influence of alcohol (DUIA) was assessed by questions regarding its use in the past 12 months. The analysis involved the use of Pearson’s χ2test and logistic regression.Results75% of Jamaicans reported lifetime alcohol use. Approximately 65% of drivers indicated that they currently drink alcohol. 18% of drivers who currently drink alcohol admitted to DUIA. Reportedly, 54.5% of these drivers were alcohol binge drinkers, with 41.5% also driving under the influence of cannabis. The bivariate analysis demonstrated that DUIA was higher among Christian participants and those who worked in non-machine operator jobs (p=0.002 and p=0.008, respectively). Vehicle drivers altogether and drivers who drive under the influence of alcohol had significant associations with hazardous drinking (p=0.011 and p<0.001, respectively). Logistic regressions highlighted drivers 34 years and under (p=0.012), male drivers (p=0.002) and the head of the household (p=0.050) were 1.82, 3.30 and 1.86 times more likely, respectively, to report driving under the influence of alcohol in the past year.ConclusionsThe prevalence of alcohol use among Jamaica’s population and vehicle drivers is high. That one in five drivers, who currently consume alcohol, also admits to driving under the influence suggests the urgent need for mitigation strategies and legislative action as part of a preventative effort to reduce drunk driving.

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Section: Discussionmentioning

confidence: 99%

Drunk driving: a secondary analysis of factors associated with driving under the influence of alcohol in Jamaica

et al. 2023

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“…Accordingly, a further call to improve data collection protocols regarding DUI behaviours and increase sobriety checkpoints in Jamaica, represent replicable and cost-effective strategies that have found favour in other low-income and middle-income countries (LMICs). 63 Cumulatively, the findings of this study have heightened concerns regarding DUIC among Jamaican drivers, particularly in light of the island's increasing annual road fatality rate. 64 The legislation regarding drug driving must comply with global benchmarks.…”

Section: Discussionmentioning

confidence: 81%

“…As such, the opportunity for legislators to include DUIC as part of an overall national DUI interventional effort, allow for comprehensive and collaborative efforts that a siloed approach to policymaking is unlikely to foster. Accordingly, a further call to improve data collection protocols regarding DUI behaviours and increase sobriety checkpoints in Jamaica, represent replicable and cost-effective strategies that have found favour in other low-income and middle-income countries (LMICs) 63…”

Section: Discussionmentioning

confidence: 99%

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Drug driving: a secondary analysis of factors associated with driving under the influence of cannabis in Jamaica

Lalwani,

Martin,

Barton

et al. 2024

BMJ Open

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ObjectivesTo determine cannabis use patterns, the predictive sociodemographic correlates of driving under the influence of cannabis (DUIC) and the association between risk perception and cannabis dependence among vehicle drivers in Jamaica.DesignSecondary data analysis.SettingUsed the Jamaica National Drug Prevalence Survey 2016 dataset.Participants1060 vehicle drivers extracted from the population sample of 4623.Primary and secondary outcome measuresAnalysis used Pearson’s χ2test and logistic regression. ORs and 95% CIs were recorded. A p<0.05 was considered statistically significant.ResultsMore than 10% of Jamaican drivers admitted to DUIC in the past year. Approximately 43.3% of drivers who currently use cannabis reported DUIC only. Evidently, 86.8% of drivers who DUIC were heavy cannabis users. Approximately 30% of drivers with moderate to high-risk perception of smoking cannabis sometimes or often were dependent on cannabis. Notwithstanding, drivers with no to low-risk perception of smoking cannabis sometimes or often were significantly likelier to be dependent (p<0.001 and p<0.001, respectively). Logistic regression highlighted male drivers (OR 4.14, 95% CI 1.59 to 14.20, p=0.009) that were 34 years and under (OR 2.97, 95% CI 1.71 to 5.29, p<0.001) and were the head of the household (OR 2.22, 95% CI 1.10 to 4.75, p=0.031) and operated a machine as part of their job (OR 1.87, 95% CI 1.09 to 3.24, p=0.023) were more likely to DUIC, while those who were married (OR 0.42, 95% CI 0.22 to 0.74, p=0.004) and had achieved a tertiary-level education (OR 0.26, 95% CI 0.06 to 0.76, p=0.031) were less likely.ConclusionsTwo in five Jamaican drivers, who currently smoke cannabis, drive under its influence, with over 85% engaging in heavy use. Public health implications necessitate policy-makers consider mobile roadside drug testing and amending drug-driving laws to meet international standards.

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Implementation of Road Safety Countermeasures in Four Cities to Reduce the Harmful Effects of Alcohol: A Progress Report

Cited by 2 publications

References 18 publications

Drunk driving: a secondary analysis of factors associated with driving under the influence of alcohol in Jamaica

Drunk driving: a secondary analysis of factors associated with driving under the influence of alcohol in Jamaica

Drug driving: a secondary analysis of factors associated with driving under the influence of cannabis in Jamaica

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