Abstract
This paper identifies the variables associated with alcohol-related fatal traffic crashes (AFTC) in Spain. In addition, and for the first time in this country, these variables are used to describe the trend in AFTC, and to study the relationship between AFTC and alcohol consumption over the period 1976–1993. To this end, official data were obtained from the Traffic Department (Dirección General de Tráfico), the National Statistics Institute (Instituto Nacional de Estadística), and from international publications on trends in alcohol consumption. Nighttime fatal crashes (NFC) and male-driver single-vehicle nighttime fatal crashes (MNFC) were strongly associated with AFTC rates in Spain. A further finding was the decrease in NFC and MNFC rates during the period 1978–1993, though this decrease proved of a lower magnitude than that observed for daytime crashes. No relationship was observed between alcohol consumption at the population level and NFC or MNFC rates. The fatal crash rate, particularly the daytime rate, showed a rise with wealth level, as measured by gross domestic product and national private consumption, and an inverse relationship with the unemployment rate. The relationship between the fatal crash rate and economic variables was due, in most part, to changes in vehicle-km travelled.
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References
Dirección General de Tráfico. Boletín Informativo de Accidentes 1995 (Bulletin of Information on Traffic Crashes). Madrid: Dirección General de Tráfico, Ministerio del Interior, 1996.
World Health Organization. World Health Statistics Annual, 1995. Geneva: World Health Organization, 1996.
Dirección General de Planificación Territorial. Estudio sobre los costes de la accidentalidad en los diferentes modos de transporte (Study on costs of traffic crashes). Madrid: Dirección General de Planificación Territorial, Ministerio de Obras PÚblicas, Transportes y Medio Ambiente, 1994.
Parés A, Caballería J, Rodamilanch M, Urbano A, Bach L, Rodés J. Consumo de alcohol y accidentes en Barcelona. Estudio epidemiológico (Alcohol consumption and traffic crashes in Barcelona. Epidemiologic study). Med Clin (Barc) 1988; 90: 759–762.
Sesma FJ, Lera JM, Ardanaz E, Belzunegui T, Sola A, Gómez I. El riesgo de resultar herido en accidente de tráfico por conducir bajo los efectos del alcohol en el área de Estella, Navarra (Risk of alcohol-related crash injury in Estella, Navarra). Gac Sanit 1992; 6: 117–121.
Bermejo A, López B, García R, et al. Alcohol and drugs involved in fatal accidents in the north-west of Spain. In: Utzelmann HD, Berghaus G, Kroj G (Eds), Alcohol, Drugs and Traffic Safety. Colonia: Verlag TUÈ V Rheinland, 1993: 981–985.
Rams MA, Ortega A, Sancho M. Influencia del alcohol y las drogas en los accidentes de tráfico (Influence of alcohol and drugs in traffic crashes). Revista Española de Drogodependencias 1993; 18: 247–252.
Álvarez FJ, Del Río MC, Prada R. Drinking and driving in Spain. J Stud Alcohol 1995; 56: 403–407.
Cía MT, Arévalo JM, Ardanaz E, Barricarte A, Chueca P, Serrano S. Nivel de alcohol y riesgo de lesión por accidente de tráfico en Tudela, Navarra (Alcohol level and risk of crash injury in Tudela, Navarra). Gac Sanit 1996; 10: 55–61.
Yáñez JL, Del Río MC, Álvarez FJ. Alcohol-related mortality in Spain. Alcohol Clin Exp Res 1993; 18: 247–252.
Consejo Superior de Tráfico y Seguridad de la Circulación Vial. Plan Nacional de Seguridad Vial para el año 1996 (National Plan of Road Safety 1996). Madrid: Dirección General de Tráfico, Ministerio del Interior, 1995.
Richman A. Human risk factors in alcohol-related crashes. J Stud Alcohol 1985; 10 (Suppl): 21–31.
Biecheler MB, Fontaine H. Social and individual fac-tors, drinking-driving behaviour and risk. Alcohol, Drugs and Driving 1994; 10: 57–83.
Del Río MC, Álvarez FJ. Determinación de sustancias psicoactivas en fluidos orgánicos de conductores fallecidos en accidente de circulación (Psychoactive drugs in organic fluids from fatal crashes). Madrid: Dirección General de Tráfico, Ministerio del Interior, 1996.
Produktschap voor Gedistilleerde Dranken. World Drink Trends 1994. Oxford: Henley-on-Thames, NTC Publications Ltd, 1994.
Instituto Nacional de Estadística. Proyección de la población de derecho española 1978–1995 (base 1978) (Population projections in Spain, 1978–1995) (1978 base). Madrid: Instituto Nacional de Estadística, 1979.
Instituto Nacional de Estadística. Proyección de la población de derecho española 1980–2000 (base 1981) (Population projections in Spain, 1980–2000) (1981 base). Madrid: Instituto Nacional de Estadística, 1982.
Dirección General de Tráfico. Boletín Informativo. Datos Generales (Information bulletin. General data). Madrid: Dirección General de Tráfico, Ministerio del Interior, 1992.
Instituto Nacional de Estadística. Contabilidad Nacional de España. Serie enlazada 1964–1991 (base 1986) (National Accounts of Spain. Series 1964–1991) (1986 base). Madrid: Instituto Nacional de Estadística, 1992.
Instituto Nacional de Estadística. Contabilidad Nacional de España. Serie 1964–1986 (base 1980) (National Accounts of Spain. Series 1964–1986) (1980 base). Madrid: Instituto Nacional de Estadística, 1987.
Instituto Nacional de Estadística. Contabilidad Nacional Trimestral de España: Cuarto trimestre y estudio anual de 1994 (base 1986) (Three-month National Accounts and Annual Study, 1994) (1986 base). Madrid: Instituto Nacional de Estadística, 1994.
Banco de España. Cuentas financieras de la economía española 1975–1984 (Financial Accounts of the Spanish Economy 1975–1984). Madrid: Banco de España, 1985.
Banco de España. Cuentas financieras de la economía española 1985–1994 (Financial Accounts of the Spanish Economy 1985–1994). Madrid: Banco de España, 1995.
Instituto Nacional de Estadística. Encuesta de Población Activa. Series revisadas 1976–1987 (Survey of Active Population. Revised series 1976–1987). Madrid: Instituto Nacional de Estadística, 1990.
Instituto Nacional de Estadística. Encuesta de Población Activa. Tablas anuales (Survey of Active Population. Annual tables). Madrid: Instituto Nacional de Estadística, 1975–1993.
Real Decreto 13/1992, de 17 de enero, por el que se aprueba el Reglamento General de Circulación para la aplicacíon y desarrollo del texto articulado de la Ley sobre Tráfico, Circulación de Vehículos a Motor y Seguridad Vial (Amendment to the Traffic, Motor Vehicles Circulation and Safety Act). Boletín Oficial del Estado 1992, nÚmero 27, de 31 de enero.
Armitage P, Berry G. Statistical Methods in Medical Research, 3rd edn. Oxford: Blackwell, 1994.
Dean AG, Dean JA, Coulombier D, et al. Epi Info, version 6.03: A word processing, database and statistics program for epidemiology on microcomputers. Atlanta, GA: Centers for Disease Control and Prevention, 1996.
SPSS for Windows [software application program]. Version 6.0. Chicago, IL: SPSS Inc., 1993.
World Health Organization. Regional Office for Europe. Plan Europeo de Actuación contra el Alcohol (European Plan Against Alcohol). Rev Esp Salud PÚblica 1995; 69: 361–383.
Partyka SC. Simple models of fatality trends using employment and population data. Accid Anal Prev 1984; 16: 211–222.
Klein TM. Alcohol involvement in fatal crashes, 1990. Washington, DC: National Highway Traffic Administration. US Department of Transportation, 1991. (DOT HS 807786).
Williams AF, Wells JK. Factors associated with high blood alcohol concentrations among fatally injured drivers in the United States, 1991. Alcohol, Drugs and Driving 1993; 9: 87–96.
Krantz P. Differences between single-and multiple-automobile accidents. Accid Anal Prev 1979; 11: 225–236.
Ross HL. Deterring the drinking driver: Legal policy and social control. Lexington, MA: Lexington Books, 1982.
Hingson R, Heeren T, Kovenock D, et al. Effects of Maine's 1981 and Massachusetts' 1982 Driving-Under-Influence legislation. Am J Public Health 1987; 77: 593–597.
Transportation Research Board. National Research Council. The nature of and the reasons for the worldwide decline in drinking and driving. Washington, DC: National Research Council. Transportation Research Circular NO 422, 1994.
Mann RE, Anglin L. Alcohol availability, per capita consumption, and the alcohol-crash problem. In: Wilson RJ, Mann RE (eds), Drinking and Driving: Advances in Research and Prevention. New York: Guilford Press, 1990: 205–225.
Norstrom T. Prevention strategies and alcohol policy. Addiction 1995; 90: 515–524.
Mann RE, Smart RG, Anglin L. Alcohol-related measures as factors in traffic fatalities. J Stud Alcohol 1996; 57: 646–651.
Wagenaar AC. Alcohol consumption and the influence of acute alcohol-related problems. Br J Addict 1984; 80: 173–180.
Gutiérrez-Fisac JL. Indicadores de consumo de alcohol en España (Indicators of alcohol consumption in Spain). Med Clín (Barc) 1995; 104: 544–550.
Graciani MA, Rodríguez-Artalejo F. El consumo de bebidas alcohólicas en España (Consumption of alco-hol beverages in Spain). Med Clín (Barc) 1996; 106: 517.
Graciani MA, Rodríguez-Artalejo F, Banegas JR, Hernández-Vecino R, Del Rey-Calero J. El consumo de alimentos y nutrientes en España en el período 1940–1988. Una estimación a partir de hojas de balance alimentario (Food and nutrient consumption in Spain in the period 1940–1988. Estimates from food balance sheets). Madrid: Universidad Autónoma de Madrid, 1996.
Joksch HC, Wuerdemann H. Estimating the effects of crash phase injury countermeasures II. The fatality trend and its modifications by countermeasures. Accid Anal Prev 1973; 5: 1–26.
Baker SP, O'Neill B, Karpf R. The Injury Fact Book. Lexington, MA: Lexington Books, 1992.
Scribner RA, MacKinnon DP, Dwyer JH. Alcohol outlet density and motor vehicle crashes in Los Angeles County Cities. J Stud Alcohol 1994; 55: 447–453.
Smart RG. The relationship of availability of alcohol beverages to per capita consumption and alcoholism rates. J Stud Alcohol 1977; 38: 891–897.
Wagenaar AC. Effects of macroeconomic conditions on the incidence of motor vehicle accidents. Accid Anal Prev 1984; 16: 191–205.
Jin RL, Chandrakant PS, Svoboda TJ. The impact of unemployment on health: A review of the evidence. Can Med Assoc J 1995; 153: 529–540.
Leigh JP, Waldom HM. Unemployment and highway fatalities. J Health Polit Policy Law 1991; 16: 135–155.
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González-Luque, J.C., Rodríguez-Artalejo, F. The relationship of different socioeconomic variables and alcohol consumption with nighttime fatal traffic crashes in Spain: 1978–1993. Eur J Epidemiol 16, 955–961 (2000). https://doi.org/10.1023/A:1011008521081
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DOI: https://doi.org/10.1023/A:1011008521081