Research Article| Volume 22, ISSUE 5, P357-361, September 1991

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An analysis of traffic injuries in Taiwan in relation to alcohol use and economic loss

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      Breath alcohol analysis of 449 patients with motor vehicle injuries attending the emergency department of a Taiwan urban general hospital during a 10-week period showed that 19.2 per cent had breath alcohol concentration (BAC) > 0.002 per cent and 8.5 per cent ≥ 0.05 per cent). Injured males were more likely to have BAC ≥ 0.05 per cent than women (11 per cent vs 0 per cent). Injuries resulting from alcohol-associated collisions were about 6.7 times more likely to occur between 1800 and 0600 than at other time periods. A telephone survey after hospital discharge showed that the risk factors of alcohol use, speed at time of collision and type and site of collision were significantly associated with degree of economic loss resulting from the accidents. Logistic regression analysis showed that the odds of high economic loss associated with BAC > 0.002 per cent were three times greater than for persons in whom no alcohol was detected. This is the first study in Taiwan to use breath alcohol analysis in assessing the effect of alcohol consumption on motor vehicle injuries. The results show that alcohol use is an important cause of motor vehicle injuries. Preventive measures such as strict legal control of drunk driving and limitation of the hours that drinking places can stay open at night are recommended to reduce the damage caused by this severe public health problem.
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        • Baker S.P.
        • O'Neill B.
        • Karpf R.S.
        The Injury Fact Book. D.C. Heath and Company, Lexington1984: 238
        • Chao S.H.
        • Tan K.Y.
        Motorcycle injuries — an epidemiologic study of emergency room patients in large hospitals in Taipei City.
        J. Nat. Pub. Health Assoc. (R.O.C). 1984; 4: 26
        • Committee on Medical Aspects of Automotive Safety
        Rating the Severity of Tissue Damage. I. The Abbreviated Scale.
        JAMA. 1971; 215: 277
        • Committee on Medical Aspects of Automotive Safety
        Rating the Severity of Tissue Damage. II. The Comprehensive Scale.
        JAMA. 1972; 220: 717
        • Council on Scientific Affairs
        Alcohol and the driver.
        JAMA. 1986; 255: 522
        • Council Report
        Automobile-related injuries, components, trends, prevention.
        JAMA. 1983; 249: 3216
        • Department of Health, Education and Welfare
        Second special report to the US Congress on Alcohol and Health. 1974: 97 (June)
        • Department of Health, Taiwan
        Trends in Motor Vehicle Accidents in the Taiwan Area — Taipei.
        Epidemiol. Bull. 1986; 2: 93
        • Department of Health, Executive Yuan, Taiwan Provincial Health Department, Taipei and Kaohsiung City Health Department
        Health Statistics — Vital Statistics. 1988; 2: 138
        • Lowenfels A.B.
        • Miller T.T.
        Alcohol and Trauma.
        Ann. Emerg. Med. 1984; 13: 1056
        • McDermott F.
        • Strang P.
        Compulsory blood alcohol testing of road crash casualties in Victoria: The first three years.
        Med. J. Aust. 1978; 2: 612
        • Ministry of Communication, Taiwan Area National Freeway Bureau
        Annual Report. 1985; : 31
        • National Police Administration, Ministry of Interior and Taiwan Provincial Police Administration
        Annual Report of Police Administration. 1986; : 254
        • Neilson R.A.
        Alcohol Involvement in Fatal Motor Vehicle Accidents, California, 1962–1968.
        California Traffic Safety Foundation, San Francisco1969 (Sept.)
        • Perrine M.W.
        Alcohol involvement in highway crashes: A review of the epidemiology evidence.
        Clin. Plast. Surg. 1975; 2: 11
        • Perrine M.W.
        • Waller J.A.
        • Harris L.S.
        Alcohol and highway safety — behavioral and medical aspects.
        in: Technical report, DOT HS-800-599. National Highway Traffic Safety Administration, Washington DC1971
        • Rutherford W.H.
        Diagnosis of alcohol ingestion in mild head injuries.
        Lancet. 1977; 1: 1021
        • Waller J.A.
        Injury control — a guide to the causes and prevention of trauma.
        in: D. C. Heath and Company, Lexington, MA1985: 115
        • Walsh M.E.
        • Macleod D.A.
        Breath alcohol analysis in the accidents and emergency department.
        Injury. 1982–1984; 15: 62