Trend in Alcohol-related Crashes Before and After the Introduction of Mandatory Breath Testing Among Commercial Truck Drivers

Background: Since 2011, commercial truck drivers have been required to take alcohol breath tests at the beginning and end of their working hours due to their employers’ legal obligations. However, non-commercial truck drivers are not required to do so. We examined whether alcohol-related crashes had...

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Main Authors: Masao Ichikawa, Haruhiko Inada, Kota Katanoda, Shinji Nakahara
Format: Article
Language:English
Published: Japan Epidemiological Association 2023-11-01
Series:Journal of Epidemiology
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/jea/33/11/33_JE20220054/_pdf
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author Masao Ichikawa
Haruhiko Inada
Kota Katanoda
Shinji Nakahara
author_facet Masao Ichikawa
Haruhiko Inada
Kota Katanoda
Shinji Nakahara
author_sort Masao Ichikawa
collection DOAJ
description Background: Since 2011, commercial truck drivers have been required to take alcohol breath tests at the beginning and end of their working hours due to their employers’ legal obligations. However, non-commercial truck drivers are not required to do so. We examined whether alcohol-related crashes had decreased after 2011 among commercial truck drivers. Methods: Using police data, we conducted a joinpoint regression analysis to examine the trend in the proportion of alcohol-related crashes from 1995 through 2020 caused by commercial truck drivers (who were subjected to alcohol breath testing) and non-commercial truck drivers (who were not subjected to testing). The annual percentage change in this trend was also estimated. Results: During the 26-year study period, truck drivers caused 1,846,321 at-fault crashes, and 0.4% of the crashes involved intoxicated driving. A significant decreasing trend in the proportion of alcohol-related crashes was identified among both commercial and non-commercial truck drivers in the 2000s, during which several legal amendments were made against drunk driving. The annual percentage change was −13.5% from 2001 to 2012 among commercial truck drivers, and −14.9% from 2001 to 2011 among non-commercial truck drivers. No decreasing trend was observed afterwards, despite the introduction of mandatory alcohol breath testing in 2011. Conclusion: The effect of mandatory alcohol breath testing on reducing alcohol-related crashes among commercial truck drivers was not evident.
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spelling doaj.art-08580b7a09774d058e01ed03c3757cec2023-11-06T09:27:57ZengJapan Epidemiological AssociationJournal of Epidemiology0917-50401349-90922023-11-01331155656110.2188/jea.JE20220054Trend in Alcohol-related Crashes Before and After the Introduction of Mandatory Breath Testing Among Commercial Truck DriversMasao Ichikawa0Haruhiko Inada1Kota Katanoda2Shinji Nakahara3Department of Global Public Health, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, JapanJohns Hopkins International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USADivision of Surveillance and Policy Evaluation, National Cancer Center Institute for Cancer Control, Tokyo, JapanGraduate School of Health Innovation, Kanagawa University of Human Services, Kawasaki, Kanagawa, JapanBackground: Since 2011, commercial truck drivers have been required to take alcohol breath tests at the beginning and end of their working hours due to their employers’ legal obligations. However, non-commercial truck drivers are not required to do so. We examined whether alcohol-related crashes had decreased after 2011 among commercial truck drivers. Methods: Using police data, we conducted a joinpoint regression analysis to examine the trend in the proportion of alcohol-related crashes from 1995 through 2020 caused by commercial truck drivers (who were subjected to alcohol breath testing) and non-commercial truck drivers (who were not subjected to testing). The annual percentage change in this trend was also estimated. Results: During the 26-year study period, truck drivers caused 1,846,321 at-fault crashes, and 0.4% of the crashes involved intoxicated driving. A significant decreasing trend in the proportion of alcohol-related crashes was identified among both commercial and non-commercial truck drivers in the 2000s, during which several legal amendments were made against drunk driving. The annual percentage change was −13.5% from 2001 to 2012 among commercial truck drivers, and −14.9% from 2001 to 2011 among non-commercial truck drivers. No decreasing trend was observed afterwards, despite the introduction of mandatory alcohol breath testing in 2011. Conclusion: The effect of mandatory alcohol breath testing on reducing alcohol-related crashes among commercial truck drivers was not evident.https://www.jstage.jst.go.jp/article/jea/33/11/33_JE20220054/_pdfcommercial driverdrunk drivingmotor vehicle collisionprevention
spellingShingle Masao Ichikawa
Haruhiko Inada
Kota Katanoda
Shinji Nakahara
Trend in Alcohol-related Crashes Before and After the Introduction of Mandatory Breath Testing Among Commercial Truck Drivers
Journal of Epidemiology
commercial driver
drunk driving
motor vehicle collision
prevention
title Trend in Alcohol-related Crashes Before and After the Introduction of Mandatory Breath Testing Among Commercial Truck Drivers
title_full Trend in Alcohol-related Crashes Before and After the Introduction of Mandatory Breath Testing Among Commercial Truck Drivers
title_fullStr Trend in Alcohol-related Crashes Before and After the Introduction of Mandatory Breath Testing Among Commercial Truck Drivers
title_full_unstemmed Trend in Alcohol-related Crashes Before and After the Introduction of Mandatory Breath Testing Among Commercial Truck Drivers
title_short Trend in Alcohol-related Crashes Before and After the Introduction of Mandatory Breath Testing Among Commercial Truck Drivers
title_sort trend in alcohol related crashes before and after the introduction of mandatory breath testing among commercial truck drivers
topic commercial driver
drunk driving
motor vehicle collision
prevention
url https://www.jstage.jst.go.jp/article/jea/33/11/33_JE20220054/_pdf
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AT kotakatanoda trendinalcoholrelatedcrashesbeforeandaftertheintroductionofmandatorybreathtestingamongcommercialtruckdrivers
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