434 articles – 313 references  [version française]
Short view
Failure to reduce drinking and driving in France: a 6-year prospective study in the GAZEL cohort.
Constant A., Lafont S., Chiron M., Zins M., Lagarde E., Messiah A.
Addiction/British Journal of Addictions 105, 1 (2010) 57-61 - http://www.hal.inserm.fr/inserm-00400390
 (19922521) 
Failure to reduce drinking and driving in France: a 6-year prospective study in the GAZEL cohort.
Aymery Constant () 1, Sylviane Lafont2, Mireille Chiron2, Marie Zins3, Emmanuel Lagarde1, Antoine Messiah4
1:  Epidémiologie et Biostatistique
INSERM : U897 – Université Victor Segalen - Bordeaux II – Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)
146, rue Léo-Saignat 33076 Bordeaux
France
2:  UMRESTTE - Unité Mixte de Recherche Epidémiologique et de Surveillance Transport Travail Environnement
INRETS – INVS – Université Claude Bernard - Lyon I
25, Avenue François Mitterrand, F-69675 BRON Cédex
France
3:  Santé publique et épidémiologie des déterminants professionnels et sociaux de la santé
http://www.u687.idf.inserm.fr/
INSERM : U687 – IFR69 – Université Paris XI - Paris Sud – Université de Versailles Saint-Quentin-en-Yvelines
Hôpital Paul Brousse 16, av Paul Vaillant Couturier 94807 VILLEJUIF
France
4:  Epidémiologie, santé publique et développement
INSERM : U593 – IFR99 – Université Victor Segalen - Bordeaux II – ISPED
Universite Victor Segalen 146, Rue Leo Saignat 33076 BORDEAUX CEDEX
France
AIM: An unprecedented decline in alcohol consumption and road mortality has been observed recently in France, but it is still unclear whether or not these changes affected driving while alcohol-intoxicated (DWI). The objective of the study was to estimate prospectively trends of excessive speed on the roads, alcohol consumption and DWI between 2001 and 2007 in a large cohort of experienced drivers. METHODS: Participants were current employees or recent retirees of the French national electricity and gas company, who volunteered to participate in a research cohort established in 1989 under strict conditions of anonymity. An annual cohort questionnaire is sent to participants that includes two questions about overall alcohol consumption. In 2001 and 2007, 10,684 participants reported their driving behaviours using the same self-administered questionnaire. RESULTS: Between 2001 and 2007, the proportion of participants (n = 10,684) who reported having driven at speeds at least 20 km/hour above the limit decreased from 23.7% to 4.1% in built-up areas (P < 0.001), from 34.3% to 9.3% on rural roads (P < 0.001) and from 24.3% to 2.7% on highways (P < 0.001). Regular and non-regular excessive alcohol consumption decreased from 22.7% to 19.7% and from 18.0% to 14.9%, respectively, whereas DWI increased from 22.9% to 25.3% over the same period (P < 0.001). CONCLUSIONS: A recent crackdown on road violations by the French government has failed to deter DWI. Given that DWI seems to be a sporadic and rarely punished behaviour, its prevention requires more coercive measures, such as using a breath alcohol ignition interlock device.
Life Sciences/Health Care Sciences and Epidemiology
English
0965-2140

Article in peer-reviewed journal
10.1111/j.1360-0443.2009.02725.x
Addiction/British Journal of Addictions
international
2010-01
2009-11-17
105
1
57-61

Accidents – Traffic – Adult – Alcohol Drinking – Alcoholic Intoxication – Automobile Driving – Cohort Studies – Cultural Characteristics – Female – France – Humans – Law Enforcement – Male – Middle Aged – Prospective Studies – Questionnaires – Risk-Taking – Wine
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