Effects of blood alcohol testing programmes on drinking behaviour among driving crash patients in emergency departments: A cluster quasi-experimental study |
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| Affiliation: | 1. Department of Family and Preventive Medicine, Prince of Songkla University, Songkhla, Thailand;2. Department of Epidemiology, Prince of Songkla University, Songkhla, Thailand;3. Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand;4. Road Safety Policy Foundation, Bangkok, Thailand;5. Department of Disaster Prevention and Mitigation, Udon Thani Provincial Public Health Office, Udon Thani, Thailand;6. The Department of Disease Control, Ministry of Public Health, Nonthaburi, Thailand;1. School of Engineering, RMIT University, Australia;2. Metro Trains Melbourne, Australia;1. Civil Aviation University of China, Tianjin 300300, PR China;2. Beijing University of Technology, Beijing 100124, PR China;1. Monash University Accident Research Centre, Monash University, Victoria, australia;2. Road Safety Victoria, Department of Transport, Victoria, Australia;3. Victorian Institute of Forensic Medicine, Victoria, Australia;4. Monash University Eastern Health Clinical School, Victoria, Australia;5. Turner Institute for Brain and Mental Health, Monash University, Victoria, Australia;6. Sunnybrook Hospital, Ontario, Canada;7. Société de l’assurance automobile du Québec, Québec, Canada;8. Royal College of Physicians of Ireland, Dublin, Ireland;1. Department of Education & Health Research Centre, University of Almeria, Spain;2. PROFITH “PROmoting FITness and Health through Physical Activity” Research Group, Department of Physical and Sports Education, Faculty of Sport Sciences, University of Granada, Granada, Spain;3. La Inmaculada Teacher Training Center, University of Granada, Granada, Spain;4. Department of Physical and Sports Education, PROFITH “PROmoting FITness and Health through Physical Activity” Research Group, Sport and Health University Research Institute (iMUDS), Faculty of Education and Sport Sciences, University of Granada, Melilla, Spain;5. Department of Education, Faculty of Education Sciences, University of Almería, Spain;6. SPORT Research Group (CTS-1024), CERNEP Research Center, University of Almería, Almería, Spain;7. Department of Didactics of Musical, Plastic and Body Expression, Faculty of Teaching Training, University of Extremadura, Cáceres, Spain;8. Faculty of Education, University of Zaragoza, Zaragoza, Spain;1. Institute for Automotive Engineering (ika), RWTH Aachen University, Germany;2. Institute of Psychology, RWTH Aachen University, Germany;1. Insurance Institute for Highway Safety, Arlington, VA, United States;2. Westat, Rockville, MD, United States |
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| Abstract: | This study aimed to evaluate the effectiveness of blood alcohol testing in decreasing the prevalence of current one-month drinkers among road traffic crash patients within emergency departments at one, two, and three months after a crash. A cluster quasi-experimental study was conducted on 600 crash patients who visited one of the emergency departments at 21 hospitals in Udon Thani province, Thailand. The hospitals were categorised into a (i) high-adherence hospital group (≥70% of all patients) and (ii) low-adherence hospital group (<70% of all patients) according to the compliance of blood alcohol testing in their emergency departments. The data were collected by a trained nurse using a structured questionnaire. The primary outcome was the prevalence of one-month current drinkers. We included 600 patients: 291 from six hospitals in the high-adherence group and 309 from 15 hospitals in the low-adherence group. The prevalence of one-month current drinkers significantly decreased in both the high-adherence and low-adherence groups. However, the prevalence of current drinkers at two and three months after a crash was not statistically significant compared to that one month prior to a crash (48.0% to 19.3% and 31.7% to 13.8% in the high- and low-adherence hospital groups, respectively; p < 0.05 from McNemar’s test). The effectiveness of blood alcohol testing in decreasing the prevalence of one-month current drinkers among traffic crash patients within emergency departments was observed to be statistically significant only at one month after a crash, and not at two and three months. |
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| Keywords: | Blood alcohol test Emergency department Crash Driver |
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