Recidivist drink drivers self reported reasons for driving whilst unlicensed: A qualitative analysis

Aim: This paper presents qualitative data from an in-depth interview study of 40 repeat drink drivers in Perth Western Australia to inform countermeasures for these high risk offenders. Background: Licence sanctions are effective countermeasures for most drink drivers but the small group of repeat offenders are less responsive. Many choose to drive while unlicensed as the probability of detection is low and the social and economic costs of not driving can be high. This undermines other drink drive countermeasures.Results: Most respondents who had had their licence suspended admitted to driving while under suspension. Employment and social factors were key themes emerging in respondents accounts of driving while under licence suspension. Conclusions: While a range of enforcement countermeasures are needed to deter drunk and unlicensed driving, this study suggests that where possible we aim to keep offenders within the system that consists of formal laws and informal social controls, rather than apply penalties in ways that undermine adherence to the law by increasing unlicensed driving. Allowing for interlock installation early in the driving suspension period, and allowing fines to offset cost of interlock installation and monitoring, may maximise community benefit and reduce unlicensed driving

Health conditions of heavy vehicle drivers involved in a crash in Western Australia: a retrospective study using linked data

Issue addressed:This retrospective study investigated the health conditions of a cohort of heavy vehicle drivers involved in a crash in Western Australia.Methods: Hospital separation records of heavy vehicle drivers admitted to hospital as a result of a road crash between 1 January 1988 and 31 December 2000 in Western Australia were analysed. Heavy vehicle drivers involved in a crash were first identified using the Western Australian Road Injury Database before linking to their hospital records. All hospital admissions for each driver admitted to hospital for a crash at least once during the study period were subsequently retrieved from the Health Services Linked Database.Results: There were 146 heavy vehicle drivers in the cohort. A total of 964 distinct in-patient episodes (the collection of all hospital admissions for a single event) were recorded for these drivers, with a minimum of one and a maximum of 84 hospital in-patient episodes per driver. The mean number of in-patient episodes for each driver was seven (SD=8.44), including an in-patient episode for a heavy vehicle crash.Conclusion: The evidence presented for the cohort of heavy vehicle drivers hospitalised as a result of road crash confirms that these drivers are characterised with health conditions such as musculoskeletal problems and digestive disorders

Defining a common set of indicators to monitor road accidents in the European Union

BACKGROUND: currently road accidents are mostly monitored through mortality and injury rates. This paper reports the methodology and the results of a project set forth by the European Union (EU) and coordinated by the WHO aimed at identifying and evaluating a core set of indicators to monitor the causal chain of road accident health effects. The project is part of the ECOEHIS (Development of Environment and Health Indicators for European Union Countries). METHODS: a group of experts (WG), identified 14 indicators after a review of the information collected at the EU level, each of them representing a specific aspect of the DPSEEA (Driving, Pressure, State, Exposure, Effect, Action) model applied and adapted to the road accidents. Each indicator was scored according to a list of 16 criteria chosen by the WG. Those found to have a high score were analysed to determine if they were compatible with EU legislation and then tested in the feasibility study. RESULTS: 11 of the 14 indicators found to be relevant and compatible with the criteria of selection were proposed for the feasibility study. Mortality, injury, road accident rate, age of vehicle fleet, and distance travelled are the indicators recommended for immediate implementation. CONCLUSION: after overcoming the limitations that emerged (absence of a common definition of death by road accident and injury severity, underestimation of injuries, differences in information quality) this core set of indicators will allow Member States to carry out effective internal/external comparisons over time

Packages of Care for Alcohol Use Disorders in Low- And Middle-Income Countries

In the fourth in a series of six articles on packages of care for mental disorders in low- and middle-income countries, Vivek Benegal and colleagues discuss the treatment of alcohol use disorders

Motorcycle safety after-dark : the factors associated with greater risk of road-traffic collisions

The effect of ambient light level on road traffic collisions (RTCs) involving a motorcycle was investigated. Data were drawn from the STATS19 database of UK reported RTCs for the period 2005–2015. To isolate the effect of ambient light (daylight vs darkness) an odds ratio was used to compare RTCs at specific times of day in the weeks either side of the Spring and Autumn clock changes. This work extended previous studies by using a more precise method for distinguishing between RTCs in daylight and after dark, thus avoiding the ambiguity of twilight. Data for four-wheel motor vehicle (FWMV) RTCs were also investigated to provide a datum. As expected, the risk of an RTC occurring was significantly higher after dark compared to daylight for both motorcycles and FWMVs. Investigation of contextual factors suggests that risk after dark is significantly higher for motorcycles compared to FWMVs for RTCs with two-vehicles, on roads with low speed limits (≤30 mph), at T-junctions, and junctions controlled by a give way sign. These are the situations where visual aids for increasing conspicuity after dark have the greater potential for reducing motorcycle RTCs

Trends in road injury hospitalisation rates for Aboriginal and non-Aboriginal people in Western Australia, 1971–97

Objective: To examine trends in road injury hospitalisation rates for Aboriginal and non-Aboriginal people in Western Australia. Methods: Data from the Western Australian Hospital Morbidity Data System for the years between 1971 and 1997 were analysed. Poisson regression models were fitted to determine whether the trends were significant. Results: The rate of hospitalisation due to road injury for Aboriginal people (719.1 per 100 000 population per year) over the time period examined was almost twice as high as that for non-Aboriginal people (363.4 per 100 000 population per year). Overall, the results showed that while hospitalisations from road injury involving non-Aboriginal people have been decreasing by 6.7% per three year period since 1971, the rates of hospitalisation for Aboriginal people have been increasing by 2.6% per three year period. Both of these trends were statistically significant. The alarming increasing trend observed for Aboriginal people was more pronounced in males, those aged 0–14 years and over 45 years, and for those living in rural areas. Conclusions: As the rates of road injury for Aboriginal people are higher than for non-Aboriginal people, and are also following an increasing trend, road safety issues involving Aboriginal people need to be addressed urgently by health and transport authorities