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Tuesday, February 27, 2007

Social and Behavioral Characteristics of Young Adult Drink/Drivers Adjusted for Level of Alcohol Use

Alcoholism: Clinical and Experimental Research (OnlineEarly Articles).
27 February 2007



  • 1University of Michigan Transportation Research Institute, Ann Arbor, Michigan; and 2Department of Biostatistics, University of Michigan, Ann Arbor, Michigan.
Reprint requests: C. Raymond Bingham, University of Michigan Transportation Research Institute, Ann Arbor, MI; E-mail: rbingham@umich.edu

Abstract

Background:

Alcohol consumption and drink/driving are positively correlated and many predictors of alcohol use also predict drink/driving. Past research has not fully distinguished the contributions of personal risk factors from the level of alcohol use in the prediction of drink/driving. As a result, the extent to which predictors are specific to drink/driving, versus due to a mutual association to alcohol use, is unclear.

Methods:

This study examined the unique and shared risk factors for drink/driving and alcohol use, and examined the attributable risk (AR) associated with predictors of drink/driving while adjusting for alcohol use. Study data were from a telephone survey of 3,480 Michigan-licensed young adults who were drinkers. Four groups of drink/drivers were formed based on the prior 12-month maximum severity of drink/driving: (1) never drink/driving; (2) driving at least once within an hour of 1 or 2 drinks; (3) driving within an hour of 3 or more drinks or while feeling the effects of alcohol; and (4) drinking while driving.

Results:

Lower perceived risk of drink/driving, greater social support for drinking and drink/driving, greater aggression and delinquency, more cigarette smoking, and more risky driving behaviors uniquely predicted drink/driving severity in models adjusted for alcohol use. The largest ARs were associated with social support for drinking and drink/driving and perceived risk of drink/driving.

Conclusions:

These results confirm that alcohol use and drink/driving share risk factors, but also indicate that part of the variation in these factors is specific to drink/driving. Implications for interventions to reduce drink/driving are discussed.