Worldwide Prevalence of Alcohol Use in Non-Fatally Injured Motor Vehicle Drivers: A Systematic Review and Meta-Analysis
Kassym L. Kussainova A. Semenova Y. Kussainov A. Marapov D. Zhanaspayev M. Urazalina Z. Akhmetova A. Tokanov M. Smail Y. Bjørklund G.
March 2023MDPI
Healthcare (Switzerland)
2023#11Issue 5
Drunk driving is an important risk factor significantly contributing to traffic accidents and their associated lethality. This meta-analysis of observational studies aims to provide the estimates of drunk driving prevalence in non-lethally injured motor vehicle drivers in relation to the world region, blood alcohol concentration (BAC), and quality of the primary study. A systematic search for observational studies that examined the prevalence of drunk driving in injured drivers was performed, and 17 studies comprising 232,198 drivers were included in the pooled analysis. The pooled prevalence of drunk driving in injured drivers was found to be 16.6% (95% CI: 12.8–20.3%; I2 = 99.87%, p < 0.001). In addition, the prevalence of alcohol use ranged from 5.5% (95% CI: 0.8–10.1%) in the Middle East, North Africa, and Greater Arabia region to 30.6% (95% CI: 24.6–36.5%) in the Asia region. As for the subgroups with different thresholds of BAC, the maximum value of 34.4% (95% CI: 28.5–40.3%) was found for a dose of 0.3 g/L. The prevalence of alcohol use reported by high-quality studies was 15.7% (95% CI: 11.1–20.3%), compared to 17.7% (95% CI: 11.3–24.2%) reported by studies of moderate quality. These findings could inform law enforcement efforts to promote road safety.
alcohol , drivers , injured , meta-analysis , prevalence
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Department of General Medical Practice with a Course of Evidence-Based Medicine, NJSC “Astana Medical University”, Astana, 010000, Kazakhstan
Department of Infectious Diseases, Dermatovenereology and Immunology, NJSC “Semey Medical University”, Semey, 071400, Kazakhstan
School of Medicine, Nazarbayev University, Astana, 010000, Kazakhstan
Department of Psychiatry and Narcology, NJSC “Astana Medical University”, Astana, 010000, Kazakhstan
Department of Public Health, Economics and Health Care Management, Kazan State Medical Academy—Affiliate of Russian Medical Academy of Professional Education of the Ministry of Health of Russia, Kazan, 420000, Russian Federation
Department of Traumatology and Pediatric Surgery, NJSC “Semey Medical University”, Semey, 071400, Kazakhstan
Department of Emergency Medicine, NJSC “Semey Medical University”, Semey, 071400, Kazakhstan
Republican Scientific and Practical Center for Mental Health, Pavlodar, 140017, Kazakhstan
Council for Nutritional and Environmental Medicine, Mo i Rana, 8610, Norway
Department of General Medical Practice with a Course of Evidence-Based Medicine
Department of Infectious Diseases
School of Medicine
Department of Psychiatry and Narcology
Department of Public Health
Department of Traumatology and Pediatric Surgery
Department of Emergency Medicine
Republican Scientific and Practical Center for Mental Health
Council for Nutritional and Environmental Medicine
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