Estimating the Prevalence of Alcohol Use Disorders among At-Risk Drivers

估计高危驾驶员中酒精使用障碍的患病率

• 批准号: 7501698
• 负责人: Debra M. Furr-Holden
• 金额: $ 6.06万
• 依托单位: PACIFIC INSTITUTE FOR RES AND EVALUATION
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2009-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7501698
• 关键词: Address; Alcohol abuse; Alcohol consumption; Alcohol dependence; Alcohols; Appendix; Attention; Automobile Driving; Blood alcohol level measurement; Breath Tests; Cessation of life; Characteristics; Chronic; Collection; Consumption; Contracts; Criminal Justice; Data; Data Analyses; Dependence; Dependency; Destinations; Drug usage; Elements; Evaluation Research; Federal Government; Frequencies; Funding; Future; Health; Heavy Drinking; Incidence; Industry; Injury; Institutes; Insurance; Intercept; Interview; Invasive; Laws; Light; Liquid substance; Measurement; Measures; Methods; Numbers; Oral; Participant; Patient Self-Report; Persons; Pharmaceutical Preparations; Phase; Policies; Population; Preparation; Prevalence; Prevention; Preventive Intervention; Principal Investigator; Probability Samples; Protocols documentation; Questionnaires; Rate; Reading; Research Personnel; Resources; Risk; Safety; Saliva; Sampling; Schedule; Screening procedure; Severities; Signal Transduction; Surveys; System; Testing; Time; Work; alcohol use disorder; binge drinking; demographics; disability; drinking; driving under influence; insight; offender; problem drinker; programs; response; service intervention; social; tool; trafficking

This proposal seeks to implement a brief screen for alcohol use disorders (AUDs) among the approximate 6,000 participants in the upcoming 2006 National Highway Safety and Traffic Administration (NHSTA) National Roadside Survey (NRS). There is a body of evidence that purports heavy and problem drinkers are overrepresented in the population of DUI offenders and pose a significant threat to highway and traffic safety. A brief AUD screener validated as rapid roadside assessment of AUDs is proposed for inclusion in the upcoming NRS. This project will clarify the extent to which drivers in general, and more specifically drivers with elevated blood alcohol contents as measured by standardized breath tests have current alcohol problems. If successful, this screen will aid policymakers in determining appropriate intervention services for DUI offenders as well as correlate cross-sectional BAG readings with varying types of pathological alcohol use, namely binge drinking, heavy drinking, and alcohol abuse and dependence (potential signals for unmet treatment need). The alcohol screen proposed for use in this large roadside survey is grounded in existing evidence derived from and exploratory program where the screener was refined, piloted and validated as a rapid roadside screening tool. The measurement constructs to be employed are the consumption subscale of the Alcohol Use Disorders Identification Test (AUDIT) and the Alcohol Use Disorder and Associated Disabilities Interview Schedule (AUDADIS). This work is divided into three distinct phases. Phase 1 entails preparation for the 6,000 case fielding of the NRS. Phase 2 is the fielding of the NRS Program and Phase 3 is dedicated to analysis of data and dissemination of findings. The specific aims of this work are: Aim 1: To assess the extent to which persons with alcohol-use disorders (AUDs) are present in the nighttime weekend driving population, the period of greatest risk for alcohol-related crash fatalities. Aim 2;To conduct an assessment of the relationship between cross-sectional BAG and active AUD status, including adjustment for active other drug use. Aim 3: To identify characteristics of nighttime weekend drivers that signal unmet treatment need for drug- and alcohol-related prevention or intervention services. Health significance: The significance of this work is best viewed in light of the substantial societal resources being allocated to address the perceived risk posed by AUD drivers who are believed to be chronic DUI offenders as evidenced by the passage of state laws. This nationwide probability sample will enable national prevalence estimates of the extent to which persons with AUDs are represented in the most at-risk for crash, injury and death driving and passenger population.

该提案旨在在大约 即将到来的2006年国家公路安全和交通管理局（NHSTA）的6,000名参与者 国家路边调查（NRS）。有很多证据表明声称很重，饮酒者是 DUI罪犯的人口过多，对高速公路和交通构成重大威胁 安全。提出了一个简短的aud筛选器，该筛选器被证明是对auds快速评估的简短筛选器，以包含在内 即将到来的NRS。该项目将阐明一般驾驶员，更具体地说 通过标准呼吸测试测量的血液酒精含量升高的司机有当前的酒精 问题。如果成功，此屏幕将有助于决策者确定适当的干预服务 DUI罪犯以及将横截面读数与不同类型的病理酒精相关联 使用，即暴饮暴食，大量饮酒以及酗酒和依赖性（未满足的潜在信号 治疗需求）。建议在此大型路边调查中使用的酒精屏幕是基于现有的 从探索计划中得出的证据，在该计划中，筛选器被改进，试点和确认为 快速路边筛查工具。要使用的测量结构是消费量表 酒精使用障碍识别测试（审核）和酒精使用障碍以及相关 残疾面试时间表（奥迪斯）。这项工作分为三个不同的阶段。第1阶段需要 为NRS的6,000个案例外观准备。第2阶段是NRS程序和第3阶段的范围 致力于分析数据和发现的传播。这项工作的具体目的是：目标1： 评估酒精使用障碍的人在夜间周末出现的程度 驱动人口，这是与酒精有关的撞车死亡风险最大的时期。目标2； 评估横截面袋和主动AUD状态之间的关系，包括调整 活跃的其他药物使用。目标3：确定夜间周末驾驶员的特征 与毒品和酒精有关的预防或干预服务的治疗需求。 健康意义： 鉴于将大量的社会资源分配给 解决据信是慢性DUI罪犯的校准驾驶员带来的感知风险 通过州法律。该全国概率样本将实现全国患病率估计 撞车，受伤和死亡驾驶最高风险的人的代表程度 和乘客人口。

项目成果

Marijuana and Other Substance Use Among Motor Vehicle Operators: A Latent Class Analysis.

机动车辆驾驶员中大麻和其他药物的使用：潜在类别分析。

• DOI: 10.15288/jsad.2015.76.916
• 发表时间: 2015
• 期刊: Journal of studies on alcohol and drugs
• 影响因子: 3.4
• 作者: Scherer,Michael;Harrell,Paul;Romano,Eduardo
• 通讯作者: Romano,Eduardo

Marijuana as a predictor of concurrent substance use among motor vehicle operators.

• DOI: 10.1080/02791072.2013.804230
• 发表时间: 2013-07
• 期刊: Journal of psychoactive drugs
• 影响因子: 2.8
• 作者: Scherer M;Voas RB;Furr-Holden D
• 通讯作者: Furr-Holden D

Drinking drivers and drug use on weekend nights in the United States.

美国周末晚上酒后驾车和吸毒。

• DOI: 10.1016/j.drugalcdep.2012.11.007
• 发表时间: 2013
• 期刊: Drug and alcohol dependence
• 影响因子: 4.2
• 作者: Voas,RobertB;Lacey,JohnH;Jones,Kristina;Scherer,Michael;Compton,Richard
• 通讯作者: Compton,Richard

The relative risk of involvement in fatal crashes as a function of race/ethnicity and blood alcohol concentration.

• DOI: 10.1016/j.jsr.2013.12.005
• 发表时间: 2014-02
• 期刊: Journal of safety research
• 影响因子: 4.1
• 作者: Torres P;Romano E;Voas RB;de la Rosa M;Lacey JH
• 通讯作者: Lacey JH

Drinking and driving in the United States: comparing results from the 2007 and 1996 National Roadside Surveys.

• DOI: 10.1080/15389588.2012.697229
• 发表时间: 2013
• 期刊: Traffic injury prevention
• 影响因子: 2
• 作者: Kelley-Baker T;Lacey JH;Voas RB;Romano E;Yao J;Berning A
• 通讯作者: Berning A