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The development and application of a proxy measure of alcohol-related traffic crashes for rural communities.
Accid Anal Prev 2011; 43(6):2160-2165AA

Abstract

CONTEXT

To date, no studies have adequately examined whether community-level, rather than individual-level, characteristics, are associated with high rates of alcohol-related traffic crashes (ARTC).

OBJECTIVE

This study aims to identify a proxy measure of ARTC most appropriate to rural communities in New South Wales (NSW), Australia, and to identify community characteristics that predict higher rates of ARTC.

METHODS

ARTC (2001-2007) incident data from 20 rural communities in NSW were obtained. Cost data were applied to take account of ARTCs of different severity.

RESULTS

The method used to define a proxy measure of ARTCs for NSW generally was found to be inadequate when applied to local communities within NSW: specifically, two time periods were found to be alcohol-related for local communities only and seven time periods were found to be non-alcohol-related for local communities only. Applying a community-specific proxy measure of ARTCs to 20 communities identified substantial variation in ARTC cost-ratios, ranging from 1.20 to 0.15. Higher cost-ratios were statistically significantly predicted by the proportion of residents who were male and less than 25 years.

CONCLUSIONS

Proxy measures of ARTCs represent an ideal method of utilising routinely collected data to identify specific types of ARTCs that are most relevant to a defined community, identify community-specific factors associated with higher rates of ARTCs and measure the impact of interventions tailored to those risk factors. Such measures ought to be community-specific because these results suggest national or provincial-level definitions are not necessarily directly applicable to local communities. These results show substantial variability between communities in their rates of ARTC and identify communities with higher proportions of young males as being at increased risk.

Authors+Show Affiliations

National Drug and Alcohol Research Centre (NDARC), University of New South Wales, Sydney, NSW 2052, Australia.National Drug and Alcohol Research Centre (NDARC), University of New South Wales, Sydney, NSW 2052, Australia. Electronic address: a.shakeshaft@unsw.edu.au.School of Medicine and Health Science, University of Newcastle, Newcastle, NSW, Australia.National Drug and Alcohol Research Centre (NDARC), University of New South Wales, Sydney, NSW 2052, Australia.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21819847

Citation

Czech, Suzanne, et al. "The Development and Application of a Proxy Measure of Alcohol-related Traffic Crashes for Rural Communities." Accident; Analysis and Prevention, vol. 43, no. 6, 2011, pp. 2160-2165.
Czech S, Shakeshaft A, Sanson-Fisher R, et al. The development and application of a proxy measure of alcohol-related traffic crashes for rural communities. Accid Anal Prev. 2011;43(6):2160-2165.
Czech, S., Shakeshaft, A., Sanson-Fisher, R., & Breen, C. (2011). The development and application of a proxy measure of alcohol-related traffic crashes for rural communities. Accident; Analysis and Prevention, 43(6), pp. 2160-2165. doi:10.1016/j.aap.2011.06.007.
Czech S, et al. The Development and Application of a Proxy Measure of Alcohol-related Traffic Crashes for Rural Communities. Accid Anal Prev. 2011;43(6):2160-2165. PubMed PMID: 21819847.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The development and application of a proxy measure of alcohol-related traffic crashes for rural communities. AU - Czech,Suzanne, AU - Shakeshaft,Anthony, AU - Sanson-Fisher,Robert, AU - Breen,Courtney, Y1 - 2011/07/12/ PY - 2010/01/12/received PY - 2011/05/24/revised PY - 2011/06/14/accepted PY - 2011/8/9/entrez PY - 2011/8/9/pubmed PY - 2011/12/21/medline SP - 2160 EP - 2165 JF - Accident; analysis and prevention JO - Accid Anal Prev VL - 43 IS - 6 N2 - CONTEXT: To date, no studies have adequately examined whether community-level, rather than individual-level, characteristics, are associated with high rates of alcohol-related traffic crashes (ARTC). OBJECTIVE: This study aims to identify a proxy measure of ARTC most appropriate to rural communities in New South Wales (NSW), Australia, and to identify community characteristics that predict higher rates of ARTC. METHODS: ARTC (2001-2007) incident data from 20 rural communities in NSW were obtained. Cost data were applied to take account of ARTCs of different severity. RESULTS: The method used to define a proxy measure of ARTCs for NSW generally was found to be inadequate when applied to local communities within NSW: specifically, two time periods were found to be alcohol-related for local communities only and seven time periods were found to be non-alcohol-related for local communities only. Applying a community-specific proxy measure of ARTCs to 20 communities identified substantial variation in ARTC cost-ratios, ranging from 1.20 to 0.15. Higher cost-ratios were statistically significantly predicted by the proportion of residents who were male and less than 25 years. CONCLUSIONS: Proxy measures of ARTCs represent an ideal method of utilising routinely collected data to identify specific types of ARTCs that are most relevant to a defined community, identify community-specific factors associated with higher rates of ARTCs and measure the impact of interventions tailored to those risk factors. Such measures ought to be community-specific because these results suggest national or provincial-level definitions are not necessarily directly applicable to local communities. These results show substantial variability between communities in their rates of ARTC and identify communities with higher proportions of young males as being at increased risk. SN - 1879-2057 UR - https://www.unboundmedicine.com/medline/citation/21819847/The_development_and_application_of_a_proxy_measure_of_alcohol_related_traffic_crashes_for_rural_communities_http:/www.unboundmedicine.com/medline/citation/21819847/The_development_and_application_of_a_proxy_measure_of_alcohol_related_traffic_crashes_for_rural_communities_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0001-4575(11)00173-4 DB - PRIME DP - Unbound Medicine ER -