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Evaluating the effect of drunk driving on fatal injuries among vulnerable road users in Taiwan: a population-based study

BACKGROUND: Most studies have focused on injuries sustained by intoxicated drivers themselves, but few have examined the effect of drunk driving on injury outcomes among VRUs (vulnerable road users) in developing countries. This study aims to evaluate the effect of drunk driving on fatal injuries am...

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Autores principales: Lin, Hui-An, Chan, Cheng-Wei, Wiratama, Bayu Satria, Chen, Ping-Ling, Wang, Ming-Heng, Chao, Chung-Jen, Saleh, Wafaa, Huang, Hung-Chang, Pai, Chih-Wei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9650791/
https://www.ncbi.nlm.nih.gov/pubmed/36357850
http://dx.doi.org/10.1186/s12889-022-14402-3
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author Lin, Hui-An
Chan, Cheng-Wei
Wiratama, Bayu Satria
Chen, Ping-Ling
Wang, Ming-Heng
Chao, Chung-Jen
Saleh, Wafaa
Huang, Hung-Chang
Pai, Chih-Wei
author_facet Lin, Hui-An
Chan, Cheng-Wei
Wiratama, Bayu Satria
Chen, Ping-Ling
Wang, Ming-Heng
Chao, Chung-Jen
Saleh, Wafaa
Huang, Hung-Chang
Pai, Chih-Wei
author_sort Lin, Hui-An
collection PubMed
description BACKGROUND: Most studies have focused on injuries sustained by intoxicated drivers themselves, but few have examined the effect of drunk driving on injury outcomes among VRUs (vulnerable road users) in developing countries. This study aims to evaluate the effect of drunk driving on fatal injuries among VRUs (pedestrians, cyclists, or motorcyclists). METHODS: The data were extracted from the National Taiwan Traffic Crash Dataset from January 1, 2011, to December 31, 2019. Crashes involving one motorized vehicle and one VRU were considered. This study examines the effect of drunk driving by estimating multivariate logistic regression models of fatal injuries among VRUs after controlling for other variables. RESULTS: Among 1,416,168 casualties, the fatality rate of VRUs involved in drunk driving was higher than that of general road users (2.1% vs. 0.6%). Drunk driving was a significant risk factor for fatal injuries among VRUs. Other risk factors for fatal injuries among VRUs included VRU age ≥ 65 years (adjusted odds ratio [AOR]: 5.24, 95% confidence interval [CI]: 5.53–6.07), a nighttime accident (AOR: 4.52, 95% CI: 4.22–4.84), and being hit by a heavy-duty vehicle (AOR: 2.83, 95% CI: 2.26–3.55). Subgroup analyses revealed a linear relationship between driver blood alcohol concentration (BAC) and the risk of fatal injury among motorcyclists. Motorcyclists exhibited the highest fatality rate when they had a BAC ≤ 0.03% (AOR: 3.54, 95% CI: 3.08–4.08). CONCLUSION: Drunk driving was associated with a higher risk of fatality for all VRUs. The risk of fatal injury among motorcyclists was linearly related to the BAC of the drunk drivers. Injuries were more severe for intoxicated motorcyclists, even those with BAC ≤ 0.03%, which is within the legal limit.
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spelling pubmed-96507912022-11-15 Evaluating the effect of drunk driving on fatal injuries among vulnerable road users in Taiwan: a population-based study Lin, Hui-An Chan, Cheng-Wei Wiratama, Bayu Satria Chen, Ping-Ling Wang, Ming-Heng Chao, Chung-Jen Saleh, Wafaa Huang, Hung-Chang Pai, Chih-Wei BMC Public Health Research BACKGROUND: Most studies have focused on injuries sustained by intoxicated drivers themselves, but few have examined the effect of drunk driving on injury outcomes among VRUs (vulnerable road users) in developing countries. This study aims to evaluate the effect of drunk driving on fatal injuries among VRUs (pedestrians, cyclists, or motorcyclists). METHODS: The data were extracted from the National Taiwan Traffic Crash Dataset from January 1, 2011, to December 31, 2019. Crashes involving one motorized vehicle and one VRU were considered. This study examines the effect of drunk driving by estimating multivariate logistic regression models of fatal injuries among VRUs after controlling for other variables. RESULTS: Among 1,416,168 casualties, the fatality rate of VRUs involved in drunk driving was higher than that of general road users (2.1% vs. 0.6%). Drunk driving was a significant risk factor for fatal injuries among VRUs. Other risk factors for fatal injuries among VRUs included VRU age ≥ 65 years (adjusted odds ratio [AOR]: 5.24, 95% confidence interval [CI]: 5.53–6.07), a nighttime accident (AOR: 4.52, 95% CI: 4.22–4.84), and being hit by a heavy-duty vehicle (AOR: 2.83, 95% CI: 2.26–3.55). Subgroup analyses revealed a linear relationship between driver blood alcohol concentration (BAC) and the risk of fatal injury among motorcyclists. Motorcyclists exhibited the highest fatality rate when they had a BAC ≤ 0.03% (AOR: 3.54, 95% CI: 3.08–4.08). CONCLUSION: Drunk driving was associated with a higher risk of fatality for all VRUs. The risk of fatal injury among motorcyclists was linearly related to the BAC of the drunk drivers. Injuries were more severe for intoxicated motorcyclists, even those with BAC ≤ 0.03%, which is within the legal limit. BioMed Central 2022-11-10 /pmc/articles/PMC9650791/ /pubmed/36357850 http://dx.doi.org/10.1186/s12889-022-14402-3 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Lin, Hui-An
Chan, Cheng-Wei
Wiratama, Bayu Satria
Chen, Ping-Ling
Wang, Ming-Heng
Chao, Chung-Jen
Saleh, Wafaa
Huang, Hung-Chang
Pai, Chih-Wei
Evaluating the effect of drunk driving on fatal injuries among vulnerable road users in Taiwan: a population-based study
title Evaluating the effect of drunk driving on fatal injuries among vulnerable road users in Taiwan: a population-based study
title_full Evaluating the effect of drunk driving on fatal injuries among vulnerable road users in Taiwan: a population-based study
title_fullStr Evaluating the effect of drunk driving on fatal injuries among vulnerable road users in Taiwan: a population-based study
title_full_unstemmed Evaluating the effect of drunk driving on fatal injuries among vulnerable road users in Taiwan: a population-based study
title_short Evaluating the effect of drunk driving on fatal injuries among vulnerable road users in Taiwan: a population-based study
title_sort evaluating the effect of drunk driving on fatal injuries among vulnerable road users in taiwan: a population-based study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9650791/
https://www.ncbi.nlm.nih.gov/pubmed/36357850
http://dx.doi.org/10.1186/s12889-022-14402-3
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