PREVALENCE OF UNSOLVED DRINKING PROBLEMS FOR DUI DRIVERS REFERRED FOR MEDICAL EVALUATION IN SWITZERLAND

Authors

  • M. De Cesare Unit of Psychology and Traffic Medicine (UMPT) of Ticino, Via Trevano 4, 6901 Lugano, SWITZERLAND
  • V.Jomini University Centre of Legal Medicine, Lausanne-Geneva, Rue du Bugnon 21, 1011 Lausanne, SWITZERLAND
  • R.Selz University Centre of Legal Medicine, Lausanne-Geneva, Rue du Bugnon 21, 1011 Lausanne, SWITZERLAND
  • P. Mangin University Centre of Legal Medicine, Lausanne-Geneva, Rue du Bugnon 21, 1011 Lausanne, SWITZERLAND
  • P.Vaucher University Centre of Legal Medicine, Lausanne-Geneva, Rue du Bugnon 21, 1011 Lausanne, SWITZERLAND
  • B. Favrat University Centre of Legal Medicine, Lausanne-Geneva, Rue du Bugnon 21, 1011 Lausanne, SWITZERLAND
  • M. Augsburger University Centre of Legal Medicine, Lausanne-Geneva, Rue du Bugnon 21, 1011 Lausanne, SWITZERLAND

DOI:

https://doi.org/10.29121/granthaalayah.v3.i9.2015.2942

Keywords:

Alcohol-Related Problems, BAC, DUI, Drunk Driving Offenders, Expertise, Traffic Medicine

Abstract [English]

Estimate the proportion of heavy DUI offenders who do not initiate a treatment for their drinking problem before referring to an official medical expertise to recover their driver’s license. Evaluate the proportion of offenders with drinking problems who became abstinent during 6 months within two years after their offense and their characteristics.Between January 2010 and December 2012, data were collected from 1316 consecutive drivers who were referred to an expertise in a legal medicine Swiss institute to recover their driver’s license after driving under the influence of alcohol. 153 offenders were included in the analysis after excluding patients under the influence of other recreational drugs and patients unfit to drive for other medical reasons. Heavy DUI were defined as first time drunk driving offenders with blood alcohol concentration (BAC) ≥2.50 g/kg, or second-time drunk driving offenders within five years with BAC ≥1.60 g/kg in five years, or third-time drunk driving offenders within ten years with BAC ≥0.80 g/kg. 28 subjects of 153 (18%) were considered fit to drive. The rest of the drivers (125, 82%) were considered unfit to drive (drinking problem 77, dissociation alone 48). The majority of offenders (46,4 %) had driving under the influence of alcohol 2 times in the last five years with BAC ≥ 1.60 g/Kg, 65 (42.5%) had BAC ≥ 2.5 and the rest had 3 or more drunk driving offenses. The criteria used for medical and/or psychological assessment are appropriate.

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References

Alvarez FJ, Del Rio MC. Alcohol and driving. Lancet 1996;347(9007):985-986. DOI: https://doi.org/10.1016/S0140-6736(96)90139-7

Alvarez FJ, Del Rio MC. Screening for problem drinkers in a general population survey in Spain by use of the CAGE scale. Journal of studies on alcohol 1994;55(4):471-474. DOI: https://doi.org/10.15288/jsa.1994.55.471

Andreasson S, Hjalmarsson K, Rehnman C. Implementation and dissemination of methods for prevention of alcohol problems in primary health care: a feasibility study. Alcohol and alcoholism (Oxford, Oxfordshire) 2000;35(5):525-530. DOI: https://doi.org/10.1093/alcalc/35.5.525

Augsburger M, Rivier L. Drugs and alcohol among suspected impaired drivers in Canton de Vaud (Switzerland). Forensic SciInt 1997;85(2):95-104. DOI: https://doi.org/10.1016/S0379-0738(96)02084-1

Berghaus G, Ramaekers JG, Drummer OH. Demands on scientific studies in different fields of forensic medicine and forensic sciences: Traffic medicine—Impaired driver: Alcohol, drugs, diseases. Forensic Science International 2007;165(2–3):233-237. DOI: https://doi.org/10.1016/j.forsciint.2006.05.022

Berghaus G. Meta-analyses in research in forensic medicine: Alcohol, drugs, diseases and traffic safety. Forensic Science International 2007;165(2–3):108-110. DOI: https://doi.org/10.1016/j.forsciint.2006.05.011

BPA – Bureau de prévention des accidents. Rapport SINUS 2013. Niveau de sécuritéet accidents dans la circulation routièreen 2012. Berne: bpa; 2013. ISSN 1664-5766 (version imprimée) ISSN 1664-5782 (PDF)

Bradley KA, Curry SJ, Koepsell TD, Larson EB. Primary and secondary prevention of alcohol problems: U.S. internist attitudes and practices. Journal of general internal medicine 1995;10(2):67-72. DOI: https://doi.org/10.1007/BF02600228

Buchsbaum, D. Effectiveness of treatment in general medicine patients with drinking problems. Alcohol Health & Research World 1994;18:140–145.

Charlton J.L., Koppel S., Odell M., Devlin A., Langford J., O'Hare M., Kopinathan C., Andrea D., Smith G., Khodr B., Edquist J., Muir C., Monash University Accident Research Centre : “Influence of chronic illness on crash involvement of motor vehicle drivers: 2nd edition” available at hhttp://www.monash.edu.au/miri/research/reports/muarc300.pdf

Conigliaro J, Lofgren RP, Hanusa BH. Screening for problem drinking: impact on physician behavior and patient drinking habits. Journal of general internal medicine 1998;13(4):251-256. DOI: https://doi.org/10.1046/j.1525-1497.1998.00075.x

Del Rio, M. C., et al. (2001). "Alcohol-related problems and fitness to drive." Alcohol Alcohol 36(3): 256-261. DOI: https://doi.org/10.1093/alcalc/36.3.256

Federal Statistics Office (FSO) Available at: http://www.bfs.admin.ch/bfs/portal/en/tools/search.html Accessed April 12, 2014.

Guidelines of Swiss Society of Legal Medicine (Richtlinien der SchweizerischenGesellschaftfürRechtsmedizin SGRM). Arbeitsgruppehaaranalytik. Die forensisch-toxikologischehaaranalytik. Available at: http://www.sgrm.ch/uploads/media/rules_haaranalytik_03.pdf. Accessed april 12, 2014

Jeanrenaud C, Pellegrini S: Evaluating psychosocial and behavioural effects of alchohol dependence: a contingent valuation study. Paper to be presented at the iHEA 4th World Conference, San Francisco, June 2003.

Kaner EF, Heather N, McAvoy BR, Lock CA, Gilvarry E. Intervention for excessive alcohol consumption in primary health care: attitudes and practices of English general practitioners. Alcohol and alcoholism (Oxford, Oxfordshire) 1999; 34(4):559-566. DOI: https://doi.org/10.1093/alcalc/34.4.559

Kuendig H. Alcohol dependence figures in the swiss general population: a sisyphean challenge for epidemiologists. European addiction research 2010; 16(4):185-192. DOI: https://doi.org/10.1159/000317247

Lenaerts E, Matheï C, Matthys F, et al. Continuing care for patients with alcohol use disorders: Asystematic review. Drug Alcohol Dependence. 2014; 135:9-21. DOI: https://doi.org/10.1016/j.drugalcdep.2013.10.030

McKnight, A.J., Langston, E.A., Lange, J.E., McKnight, A.S. Development of standardized field sobriety tests for lower BAC limits. (Report prepared under NHTSA Contract no. DTNH22-92-C-00700). Washington, DC: US Department of Transportation, National Highway Traffic Safety Administration. 1995.

Moyer A, Finney JW, Swearingen CE, Vergun P. Brief interventions for alcohol problems: a meta-analytic review of controlled investigations in treatment-seeking and non-treatment-seeking populations. Addiction 2002;97(3):279-292. DOI: https://doi.org/10.1046/j.1360-0443.2002.00018.x

Mura P, Kintz P, Ludes B, Gaulier JM, Marquet P, Martin-Dupont S, Vincent F, Kaddour A, Goulle JP, Nouveau J, Moulsma M, Tilhet-Coartet S, Pourrat O. Comparison of the prevalence of alcohol, cannabis and other drugs between 900 injured drivers and 900 control subjects: results of a French collaborative study. Forensic SciInt 2003;133(1-2):79-85. DOI: https://doi.org/10.1016/S0379-0738(03)00052-5

Muskovich M, Haag-Dawoud M. Alcohol consumption among drivers subject to the Swiss license restriction of zero tolerance when driving. Traffic InjPrev 2012;13(6):537-543. DOI: https://doi.org/10.1080/15389588.2012.667888

O’Donnell A., Anderson P, Newbury-Birch D, et al. The impact of brief alcohol interventions in primary healthcare: a systematic review of reviews. Alcohol Alcohol. 2014;49(I):66-78. DOI: https://doi.org/10.1093/alcalc/agt170

Piccinelli, M., et al. Efficacy of the alcohol use disorders identification test as a screening tool for hazardous alcohol intake and related disorders in primary care: a validity study. Bmj 1997 DOI: https://doi.org/10.1136/bmj.314.7078.420

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Published

2015-09-30

How to Cite

De Cesare, M., Jomini, V., Selz, R., Mangin, P., Vaucher, P., Favrat, B., & Augsburger, M. (2015). PREVALENCE OF UNSOLVED DRINKING PROBLEMS FOR DUI DRIVERS REFERRED FOR MEDICAL EVALUATION IN SWITZERLAND. International Journal of Research -GRANTHAALAYAH, 3(9), 14–22. https://doi.org/10.29121/granthaalayah.v3.i9.2015.2942