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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| Format: | Artikel |
| Sprache: | English |
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BioMed Central Ltd
2022
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| Online Zugang: | https://repository.ugm.ac.id/279009/1/Wiratama_KKMK.pdf |
| _version_ | 1826050362891567104 |
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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 | UGM |
| 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. |
| first_indexed | 2024-03-14T00:02:47Z |
| format | Article |
| id | oai:generic.eprints.org:279009 |
| institution | Universiti Gadjah Mada |
| language | English |
| last_indexed | 2024-03-14T00:02:47Z |
| publishDate | 2022 |
| publisher | BioMed Central Ltd |
| record_format | dspace |
| spelling | oai:generic.eprints.org:2790092023-10-27T00:24:21Z https://repository.ugm.ac.id/279009/ 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 Epidemiology Public Health and Health Services 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 Ltd 2022-11-10 Article PeerReviewed application/pdf en https://repository.ugm.ac.id/279009/1/Wiratama_KKMK.pdf Lin, Hui‑An and Chan, Cheng‑Wei and Wiratama, Bayu Satria and Chen, Ping‑Ling and Wang, Ming‑Heng and Chao, Chung‑Jen and Saleh, Wafaa and Huang, Hung‑Chang and Pai, Chih‑Wei (2022) Evaluating the effect of drunk driving on fatal injuries among vulnerable road users in Taiwan: a population‑based study. BMC Public Health, 22 (2059). pp. 1-12. ISSN 14712458 https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-022-14402-3 https://doi.org/10.1186/s12889-022-14402-3 |
| spellingShingle | Epidemiology Public Health and Health Services 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 | Epidemiology Public Health and Health Services |
| url | https://repository.ugm.ac.id/279009/1/Wiratama_KKMK.pdf |
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