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Japanese Journal of Appl ied Psychology 2009 Vo 1 .34 No.1 58-59 Alcohol-relatedProblemsand DrinkDriving:A Questionnaire Survey of MaleDrivers 1 ) Kazuko OKAMURA * and Tatsuro MITSUI* A questionnaire survey was conducted on male drink drivingoffendersandacomparison groupin order to investigate the relation between alcohol- related problems and drink driving behavior in vi wof basicevidenceprovidedon developingoptimal treat- mentprograms. Self-reports ondriving drinking and drinkdrivingbehaviorwerecomparedbetweenand withinbothgroups. Theresultsshoweda s ignificant yetlimitedassociation between drinkinganddrink drivingbehavio r. Future studies should focus on psy- chological constructs together with alcohol problems key words:drink driving alcohol-related probl ms recidivism Problems It isestablishedinwesterncountriesthatalcohol r latedproblems are among the most powerfulpredic torsofdrink-drive(DD) recidivism (Yu 2000). The predictive power of Blood AlcoholConcentration (BAC) for identifying the seriousness of alcohol-r lat d problemsis alsowidelyrecognized. Thelegallimit of BreathAlcohol Concentration(BrAC)while drivingin Japan at 0.15 mg/l is stricter than inmany other coun- tries andfewstudieshavebroachedth issueoflow BAC-leve 1 .The purpose of the study as the f i . rst phase of an attempt to understand DD b havior is to investi gatetherelationbetweendrinkingandDDbehavior not onlyby comparingDD offend rsand a comparison groupbutalsobycomparingdifferenc swithinthe groups. Method Design. A questionnaire surv ywas conducted from January toMay 2007 onmaleDDoffenderswhose drivinglicense wassuspended (N= 159)andamale comparison group (N= 196).The selection criterion for comparison washavingavaliddriving l ic nseand livinginthesameor anearbyprefectureastheDD o 仔巴nders. Questionnaire. Inclllded intheqll stJOnnalrewas information on demographics driving (i.e. driving dis- 1) ThisstudywassupportedbytheKAKENHI Grant (18730428) Department of Traffic Science NationalResearch Institute of Police Science Short Report tances fr quency sllbjectiverelianceonprivatecar llse) drinking ( i .e. dailyalcohol consumption drinking fr quency) alcoholdependency screening question- nairesCAGE(Ewing 1984)andKAST(Saito & Ike- gami 1978) andDDexperiences(e.g. Br ACatdetec- tionbythepolice DDfr qllencyinthelastyear ona semi-ordinal scale).Thecomparisongroupwasasked whether they experienced DDinthe last yea r. Subjec tiverelianceonprivatecarusewasmeasuredbypre senting11different sitlations on5-point scales. Recruitmen t. DDoffendersw resolicitedatthe drivinglicense centers inIbaraki andKanagawaupon theirentrytooffenderre-edllcationcourses. Weof- feredthemlunchandacouponworth 1000(achiev- ing a responsera t of72%) and conductedthe s urvey duringlunchbreaks. The comparisongroupwas first recrllited frommenwho hadrenewedtheir licenses at the drivinglicensecenterinIbaraki ( π =24 response rate of19%). We later r ecruitedmale driversbyplac- ingadsoffering a rewardof 4000 inso-caled free- papers. Bothgrollpsw reassuredofcon dentiality andtotal anonymity Results Descriptive statistics. DD off ndersreport dlydrink moreperday 仏イニ 72gofalcohol SD= 64)andmore oftenthanthecomparisongrollp (1¥イ=37g SD=40) AccordingtoKASTandCAGE 38%and27%ofDD offenders were respectively categorized as being possi- blyalcohold penden t . DDoffenders reportedlydrive longer distances (M 18 ,4 83km/year SD= 25 766) and more oftenthanthe comparisongroup {=9 042km/ year SD= 10 698). Slch differences between the grollpsremainedevenafterb ingcontroledforthe prefectureswheretheyreside as acovariate (F (1,350) =16 p<.OOO). DDoffend rsalsoreported strongel sllbjective reliance on privat carlse than the compari- son group (t (325) p く。 000).BrAC was reportedby 102 DD offenders (M=0.26 mg/l SD=0.15 Min.=0.13 Max.= 1. 00).Thirty-sev nperc ntof DD 0 仔巴nderssta- ted their DD freqlency in the last year was only once ," while 31% stated 6 times or more." Ten percent of the comparison grollp admittedtheir DD experience inthe lastyear BrACandrelevantvariablesamongDDoffenders. Table1showsthePearsoncon lationcoefficientbe- tween BrAC and relevant variables for DD 0仔巴nders.A signi f i . cantcorrelationwasfoundbetweenslbjective relianceon private caruseand drinking variables Bas donthisr sult regression analysis topredict BrACwas conductedusingfiveindependent variables (withfourvariablesfOlndtobesignificantlycorre- latedwithBrACasshowninTable1 plllSDDfre- qllency inthe last year). Upon applying the backward elimination method the KAST score and DD freqll ncy

Short Report Alcohol-related Problems and Drink Driving: A ...drink driving offenders and a comparison group in order to investigate the relation between alcohol-related problems and

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Japanese Journal of Applied Psychology

2009, Vo1. 34, No. 1,58-59

Alcohol-related Problems and Drink Driving: A Questionnaire

Survey of Male Drivers1)

Kazuko OKAMURA * and Tatsuro MITSUI*

A questionnaire survey was conducted on male

drink driving offenders and a comparison group in

order to investigate the relation between alcohol-

related problems and drink driving behavior in vi巴wof

basic evidence provided on developing optimal treat-

ment programs. Self-reports on driving, drinking and

drink driving behavior were compared between and

within both groups. The results showed a significant

yet limited association between drinking and drink

driving behavior. Future studies should focus on psy-

chological constructs together with alcohol problems

key words: drink driving, alcohol-related probl巴ms,

recidivism

Problems

It is established in western countries that alcohol

r巴latedproblems are among the most powerful predic

tors of drink-drive (DD) recidivism (Yu, 2000). The

predictive power of Blood Alcohol Concentration

(BAC) for identifying the seriousness of alcohol-r巴lat巴d

problems is also widely recognized. The legal limit of

Breath Alcohol Concentration (BrAC) while driving in

Japan at 0.15 mg/l is stricter than in many other coun-

tries, and few studies have broached th巴 issueof low

BAC-leve1. The purpose of the study, as the fi.rst phase

of an attempt to understand DD b巴havior,is to investi

gate the relation between drinking and DD behavior,

not only by comparing DD offend巴rsand a comparison

group but also by comparing differenc巴swithin the

groups.

Method

Design. A questionnaire surv巴ywas conducted from

January to May 2007 on male DD offenders whose

driving license was suspended (N= 159) and a male

comparison group (N= 196). The selection criterion for

comparison was having a valid driving lic巴nseand

living in the same or a nearby prefecture as the DD

o仔巴nders.

Questionnaire. Inclllded in the qll巴stJOnnalrewas

information on demographics, driving (i.e., driving dis-

1) This study was supported by the KAKENHI Grant

(18730428) 本 Departmentof Traffic Science, National Research

Institute of Police Science

Short Report

tances, fr巴quency,sllbjective reliance on private car

llse), drinking (i.e., daily alcohol consumption, drinking

fr巴quency),alcohol dependency screening question-

naires CAGE (Ewing, 1984) and KAST (Saito & Ike-

gami, 1978), and DD experiences (e.g., Br AC at detec-

tion by the police, DD fr巴qllencyin the last year on a

semi-ordinal scale). The comparison group was asked

whether they experienced DD in the last year. Subjec

tive reliance on private car use was measured by pre

senting 11 different sitllations on 5-point scales.

Recruitment. DD offenders w巴resolicited at the

driving license centers in Ibaraki and Kanagawa upon

their entry to offender re-edllcation courses. We of-

fered them lunch and a coupon worth ¥1000 (achiev-

ing a response ra t巴of72%), and conducted the survey

during lunch breaks. The comparison group was first

recrllited from men who had renewed their licenses at

the driving license center in Ibaraki (π= 24, response

rate of 19%). We later recruited male drivers by plac-

ing ads offering a reward of ¥4000 in so-called free-papers. Both grollps w巴reassured of con白dentiality

and total anonymity

Results

Descriptive statistics. DD off巴ndersreport巴dlydrink

more per day 仏イニ72g of alcohol, SD= 64) and more

often than the comparison grollp (1¥イ=37g, SD=40)

According to KAST and CAGE, 38% and 27% of DD

offenders were respectively categorized as being possi-

bly alcohol d巴pendent.DD offenders reportedly drive

longer distances (Mニ 18,483km/year, SD= 25,766) and

more often than the comparison group仏{=9,042km/

year, SD= 10,698). Sllch differences between the

grollps remained even after b巴ingcontrolled for the

prefectures where they reside as a covariate (F (1,350)

=16, p<.OOO). DD offend巴rsalso reported strongel

sllbjective reliance on privat巴carllse than the compari-

son group (t (325)ニ 4β,pく。000).BrAC was reported by

102 DD offenders (M=0.26 mg/l, SD=0.15, Min.=0.13,

Max.= 1.00). Thirty-sev巴nperc巴ntof DD 0仔巴nderssta-

ted their DD freqllency in the last year was“only once,"

while 31% stated “6 times or more." Ten percent of the

comparison grollp admitted their DD experience in the

last year

BrAC and relevant variables among DD offenders.

Table 1 shows the Pearson con巴lationcoefficient be-

tween BrAC and relevant variables for DD 0仔巴nders.A

signifi.cant correlation was found between sllbjective

reliance on private car use and drinking variables

Bas巴don this r巴sult,regression analysis to predict

BrAC was conducted using five independent variables

(with four variables fOllnd to be significantly corre-

lated with BrAC as shown in Table 1, plllS DD fre-

qllency in the last year). Upon applying the backward

elimination method, the KAST score and DD freqll巴ncy

K. OKAMURA and T. MITSUI: Alcohol-related Problems and Drink Driving ( 59 )

Table 1 Correlation between BrAC, driving-and drinking-related variables among DD offenders (η= 102)

Driving Driving Subjective reliance distances frequency on car

BrAC (mgjl) 0.00 0.00 0.22 (t =.988) (ρ=.969) (t=.047)

Daily alcohol Drinking KAST CAGE numbel consumption frequency score of Y巴s

BrAC (mgjl) 0.23 0.26 0.33 0.18 (t=.026) (t=.031) (t=.001) (t=.073)

Note. Due to missing data, the size of data is smaller than the original sample size of DD offenders

Table 2 Partial correlation between past DD frequ巴nciesand driving-and drinking-related variables among DD offenders controlling for age (n = 72)

Frequency of DD in the last year

Frequency of DD in the last year

Driving

distances

0.14

(t=.232)

Dailyalcohol

consumption

0.18

(t=.136)

Driving

frequency

0.29

(ρ=.014)

Drinking

frequency

0.25

(t=.035)

Su bjecti ve reliance

on car

0.15

(t=.225)

KAST CAGE number score of Yes

0.19 0.18 (t=.107) (ρ=.141)

Note. Due to missing data, the size of data is smaller than the original sample size of DD offenders.

remained in the final model (F (2, 72)= 14.51, Pく 000,R2= 0.29, Adjusted R2= 0.27). DD frequency and relevant variables among DD

offenders. Since a significant correlation was found between age and DD frequency (r= -.17), a partial corr巴lationwas calculated between DD frequency and relevant variables while controlling for the effect of age. As shown in Table 2, a signi白cantpartial correla-tion was found only b巴tweenfrequency of driving and drinking

DD experience and relevant variables among the comparison group. Logistic regression analysis was conducted to predict the DD experience among the comparison group in the last year by using variables shown in Tables 1 and 2. Upon applying the backward elimination method, two significant variables (subjec-tive reliance on private car use and KAST score) re mained in the final model. J-Iosmer-Lemeshow's model 自tshowed a good抗t(X2 (8)=8.71, t=0.367)

Discussion

DD offenders drink and drive more than the compari son group, and their巴xcessivedrinking may lead to alcohol-r巴latedprobl巴ms. Of the analyzed variables,

KAST scores are apparently associated with BrAC-level for DD offenders and the past DD experience for the comparison group. The results, however, also indi cate that drinking behavior only partially explains DD

behavior. Future studies should simultaneously inves-tigate such psychological constructs as beliefs, atti-tudes and drinking behavior. The limitations of this study mainly arise from its use of self-reports: some participants were perhaps influenced by social desir-ability associated with alcohol us巴 andDD behaviol This possibly led to an under-reporting of past DD experiences. Furthermore, the comparison group in-cluded men who have experienced DD. Screening ques-tionnaires such as KAST and CAGE provide us巴fulinformation, but should be followed by medical diagno sis in order to ascertain the seriousness of alcohol problems

References

Ewing, ]. A. (1984). Detecting alcoholism. The CAGE questionnaire. ]ournal 01 the American Medical As-

socialion. 252. 1905-1907

Saito, S. & Jkegami, N. (1978). KAST (Kurihama Alco-holism Scr巴巴ningTest) and its applications.]aρa-

ηese ]ournal 01 Sludies on AlcohoL, 13,229-237 Yu,]. (2000). Punishment and alcohol problems. Recidi-

vism among drunk offenders. ]oumal 01 Criminal ]uslice, 28, 261-270

(受稿 2008.8.5,受理 2009.l. 26)