Alcohol use and risk of vehicle accidents
cross-sectional study in the city of São Paulo, Brazil
Keywords:
Alcohol drinking, Accidents, traffic, Risk factors, Cross-sectional studies, Mental health, Psychopathology, EpidemiologyAbstract
BACKGROUND: Harm to other people caused by an individual under the influence of alcohol (UIA) can occur in a variety of relationship situations between the drinker and these other people. OBJECTIVES: To estimate the prevalence of the risk of vehicle accidents (RVA) involving people who are UIA, according to sociodemographic variables, respondent alcohol use and gender. DESIGN AND SETTING: Cross-sectional study, in which a household survey was carried out on a cluster-stratified representative sample of urban residents in the city of São Paulo. METHODS: The final sample was composed of 1,155 subjects aged 18-59 years, who were interviewed using the GENACIS Harm-to-Others questionnaire. Individuals were defined as having been harmed if an affirmative response was given to at least one of the questions that refers to RVA involving people who had been UIA in the last twelve months. Post-stratification weights were calculated to adjust for the study design and for no response. Since the outcome was binary, logistic regression was used in multivariable analysis. RESULTS: The final response rate was 58.6%. The overall prevalence of RVA was 13.6% (95% confidence interval, CI 11.0-16.7): 16.6% among men and 10.8% among women. After the logistic regression, age remained as a protective factor (odds ratio, OR 0.95) and binge drinking as a risk factor (OR 2.03). CONCLUSION: This study showed that binge drinking was associated with RVA
Downloads
References
Karriker-Jaffe KJ, Li L, Greenfield TK. Estimating mental health impacts of alcohol’s harms from other drinkers: using propensity scoring methods with national cross-sectional data from the United States. Addiction. 2018;113(10):1826-39. PMID: 29893009; doi: 10.1111/add.14283.
Laslett AM, Room R, Ferris J, et al. Surveying the range and magnitude of alcohol’s harm to others in Australia. Addiction. 2011;106(9):1603-11. PMID: 21438943; doi: 10.1111/j.1360-0443.2011.03445.x.
de Oliveira JB, Lima MC, Simão MO, et al. Violência entre parceiros íntimos e álcool: prevalência e fatores associados [Violence between intimate partners and alcohol use: prevalence and associated factors]. Rev Panam Salud Publica. 2009;26(6):494-501. PMID: 20107703; doi: 10.1590/s1020-49892009001200004.» https://doi.org/10.1590/s1020-49892009001200004
Malta DC, Berna RT, Silva MM, et al. Consumo de bebidas alcoólicas e direção de veículos, balanço da lei seca, Brasil 2007 a 2013 [Consumption of alcoholic beverages, driving vehicles, a balance of dry law, Brazil 2007-2013]. Rev Saude Publica. 2014;48(4):692-966. PMID: 25210828; doi: 10.1590/s0034-8910.2014048005633.
Bacchieri G, Barros AJ. Traffic accidents in Brazil from 1998 to 2010: many changes and few effects. Rev Saude Publica . 2011;45(5):949-63. PMID: 21953026; doi: 10.1590/s0034-89102011005000069.
Pechansky F, De Boni R, Diemen LV, et al. Highly reported prevalence of drinking and driving in Brazil: data from the first representative household study. Braz J Psychiatry. 2009;31(2):125-30. PMID: 19578684; doi: 10.1590/s1516-44462009000200008.
Moura EC, Malta DC, Morais Neto OL, Penna GO, Temporão JG. Motor vehicle driving after binge drinking, Brazil, 2006 to 2009. Rev Saude Publica . 2009;43(5):891-4. PMID: 19784459; doi: 10.1590/s0034-89102009005000062.
Duailibi S, Pinsky I, Laranjeira R. Prevalência do beber e dirigir em Diadema, estado de São Paulo [Prevalence of drinking and driving in a city of Southeastern Brazil]. Rev Saude Publica . 2007;41(6): 1058-61. PMID: 17923887; doi: 10.1590/s0034-89102006005000045.
Araújo TA, Oliveira ADS, Souza IBJ, et al. Acidentes de trânsito e sua relação com o consumo de álcool: revisão integrativa [Traffic accidents and their relationship with alcohol use: integrative review]. J Nurs UFPE online. 2015;9(Suppl 5):8437-43. doi: 10.5205/reuol.6466-55061-3-SM.0905supl201513.
Ronaldo Laranjeira, supervision. II Levantamento Nacional de Álcool e Drogas (LENAD). São Paulo: Instituto Nacional de Ciência e Tecnologia para Políticas Públicas de Álcool e Outras Drogas (INPAD), UNIFESP; 2014. Available from: Available from: https://inpad.org.br/wp-content/uploads/2014 /03/Lenad-II-Relat%C3%B3rio.pdf Accessed in 2019 (Nov 6).
Santos Modelli ME, Pratesi R, Tauil PL. Alcoolemia em vítimas fatais de acidentes de trânsito no Distrito Federal, Brasil [Blood alcohol concentration in fatal traffic acidentes in the Federal District, Brazil]. Rev Saude Publica . 2008;42(2):350-2. PMID: 18327493; doi: 10.1590/s0034-89102008000200022.
Freitas EA, Mendes ID, Oliveira LC. Ingestão alcoólica em vítimas de causas externas atendidas em um hospital geral universitário [Alcohol consumption among victims of external causes in a university general hospital]. Rev Saude Publica . 2008;42(5):813-21. PMID: 18833382; doi: 10.1590/S0034-89102008000500005.
Abreu AMM, Lima JMB, Griep RH. Acidentes de trânsito e a frequência dos exames de alcoolemia com vítimas fatais na cidade do Rio de Janeiro [Traffic accidents with fatal victims and alcohol consumption in Rio de Janeiro City]. Esc Anna Nery 2009;13(1):44-50. doi: 10.1590/S1414-81452009000100007.
Malta DC, Bernal RT, Mascarenhas MDM, et al. Atendimentos por acidentes de transporte em serviços públicos de emergência em 23 capitais e no Distrito Federal - Brasil, 2009 [Traffic accident emergency medical care by emergency services in 23 state capitals and the Federal District - Brazil, 2009]. Epidemiol Serv Saude. 2012;21(1):31-42. doi: 10.5123/S1679-49742012000100004.
Carlini EA, supervision. II levantamento domiciliar sobre o uso de drogas psicotrópicas no Brasil: estudo envolvendo as 108 maiores cidades do país: 2005. São Paulo: CEBRID - Centro Brasileiro de Informações Sobre Drogas Psicotrópicas: UNIFESP - Universidade Federal de São Paulo; 2006. p. 472. Available from: Available from: https://www.cebrid.com.br/wp-content/uploads/201 /10/II-Levantamento-Domiciliar-sobre-o-Uso-de-Drogas-Psicotr%C3%B3picas-no-Brasil.pdf Accessed in 2019 (Nov 6).
Wilsnack SC, Greenfield TK, Bloomfield K. The GENAHTO Project (Gender and Alcohol’s Harm to Others): Design and methods for a multinational study of alcohol’s harm to persons other than the drinker. Int J Alcohol Drug Res. 2018;7(2):37-47. PMID: 30740190; doi: 10.7895/ijadr.253.
Cavariani MB, Oliveira JB, Kerr-Corrêa F, Lima MC. Expectativas positivas com o uso de álcool e o beber se embriagando: diferenças de gênero em estudo do Projeto GENACIS, São Paulo, Brasil [Positive expectations towards alcohol use and binge drinking: gender differences in a study from the GENACIS Project, São Paulo, Brazil]. Cad Saude Publica. 2012;28(7):1394-404. PMID: 22729269; doi: 10.1590/s0102-311x2012000700017.
Kish L. A procedure for objective respondent selection within the household. J Am Stat Assoc. 1949;44(247):380-7. Available from: Available from: https://amstat.tandfonline.com/doi/abs/10.1080/01621459.1949.10483314#.Xm-5xahKiUk Accessed in 2020 (Mar 16).
Departamento Estadual de Trânsito de São Paulo (DETRAN) - 2017 [Internet]. Frota de veículos em São Paulo. Available from: Available from: https://www.detran.sp.gov.br/wps/wcm/connect/portaldetran/detran/detran/estatisticastransito/sa-frotaveiculos/d28760f7-8f21-429f-b039-0547c8c46ed1 Accessed in 2019 (Nov 7).
Companhia de Engenharia de Tráfego (CET), Secretaria Municipal de Mobilidade e Transportes, Prefeitura Municipal de São Paulo [Internet]. Acidentes de trânsito - Relatório anual; 2016. Available from: Available from: http://www.cetsp.com.br/media/562061/relatorioanualacidentestransito-2016.pdf Accessed in 2019 (Nov 6).
Babor TF, Higgings-Biddle JC, Saunders JB, Monteiro MG. The Alcohol Use Disorders Identification Test: Guidelines for use in primary health care. 2nd edition. Geneva: World Health Organization; 2001.
Santos WS, Gouveia VV, Fernandes DP, Souza SSB, Grangeiro ASM. Alcohol Use Disorder Identification Test (AUDIT): explorando seus parâmetros psicométricos [Alcohol Use Disorder Identification Test (AUDIT): exploring its psychometric parameters]. J Bras Psiquiatr. 2012; 61(3):117-23. doi: 10.1590/S0047-20852012000300001.
Rao JNK, Scott AJ. On Chi-squared tests for multiway contingency tables with cell proportions estimated from survey data. The Annals of Statistics. 1984;12(1):46-60. Available from: Available from: https://projecteuclid.org/download/pdf_1/euclid.aos/1176346391 Accessed in 2019 (Nov 6).
Hosmer DW, Lemeshow S. Applied Logistic Regression. New York: Wiley; 1989.
Room R, Ferris J, Laslett AM, et al. The drinker’s effect on the social environment: a conceptual framework for studying alcohol’s harm to others. Int J Environ Res Public Health. 2010;7(4):1855-71. PMID: 20617064; doi: 10.3390/ijerph7041855.
Callinan S, Laslett AM, Rekve D, et al. Alcohol’s harm to others: An international collaborative Project. Int J Alcohol Drug Res. 2016;5(2):25-32. doi: 10.7895/ijadr.v5i2.218.
Karriker-Jaffe KJ, Greenfield TK, Kaplan LM. Distress and alcohol-related harms from intimates, friends, and strangers. J Subst Use. 2017;22(4):434-41. PMID: 28757806; doi: 10.1080/14659891.2016.1232761.
Cunha FV, Julien TMS, Santos JCS. Characterization of car accidents in the city of Guaratinguetá, Brazil involving motorcycles. J Nurs UFPE online. 2011;5(5):1112-20. doi: 10.5205/reuol.1302-9310-2-LE.0505201105.
Ministério da Saúde. Vigitel Brasil 2016: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico - estimativas sobre frequência e distribuição sócio-demográfica de fatores de risco e proteção para doenças crônicas nas capitais dos 26 estados brasileiros e no Distrito Federal em 2016. [Internet]. Brasília: Ministério da Saúde, 2017. 160p. Available from: Available from: http://portalarquivos.saude.gov.br/images/pdf/2017/junho/07/vigitel_2016_jun17.pdf Accessed in 2019 (Nov 6).
de Morais Neto OL, Montenegro M de M, Monteiro RA, et al. Mortalidade por Acidentes de Transporte Terrestre no Brasil na última década: tendência e aglomerados de risco [Mortality due to Road Traffic Accidents in Brazil in the last decade: trends and risk clusters]. Cien Saude Colet. 2012;17(9):2223-36. PMID: 22996872; doi: 10.1590/s1413-81232012000900002.
Naimi TS, Nelson DE, Brewer RD. Driving after binge drinking. Am J Prev Med. 2009;37(4):314-20. PMID: 19765503; doi: 10.1016/j.amepre.2009.06.013.
World Health Organization (WHO). Drinking and driving: a road safety manual for decision-makers and practitioners. [Internet]. Geneva: Global Road Safety Partnership; 2007. Available from: Available from: http://www.who.int/roadsafety/projects/manuals/alcohol/0-Introduction.pdf Accessed in 2019 (Nov 6).
Laranjeira R, Pinsky I, Sanches M, Zaleski M, Caetano R. Alcohol use patterns among Brazilian adults. Braz J Psychiatry. 2010;32(3):231-41. PMID: 19918673; doi: 10.1590/s1516-44462009005000012.
Kerr-Corrêa F, Hegedus AM, Sanches AF, et al. Differences in drinking patterns between men and women in Brazil. In: Obot I, Room R, editors. Alcohol, gender and drinking problems: perspectives from low and middle-income countries and drinking problems. Geneva: World Health Organization ; 2005. p. 49-68.
