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Research Paper: Patterns of Drunk and Drugged Driving in Fatally Injured Drivers in Tehran, Iran

Mohammadreza Ghadirzadeh, Mehdi Forouzesh, Abdolrazagh Barzegar, Seyed Davood Mirtorabi, Mohammadjavad Hedayatshodeh, Amir Mohammad Mohajerpour, Fardin Fallah
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Abstract

Background: Substance abuse in drivers is a global public health concern. We investigated patterns of alcohol and illicit drug consumption in drivers died in traffic accidents in Tehran Province, Iran.
Methods: In this cross-sectional study, presence of alcohol and illicit drugs in the body of dead drivers referred to Tehran Legal Medicine Organization during April 2016 to April 2018 were investigated. All participants underwent autopsy and their urine, visceral and vitreous samples were examined for alcohol and illicit drugs. Victims with Complete Toxicology Tests for both alcohol and non-alcoholic drugs and those autopsied during their first 24 hours of death were included. Victims’ demographic characteristics, results of their toxicology tests and accident-related factors were investigated, too. To warrant confidentiality of information, identities of victims were concealed. The obtained data were analyzed by SPSS V. 16 and statistically significant level was set at less than 0.05.
Results: Of 618 study participants (mean age of 36.95 years), 601 (97.3%) were male. Of victims, 566 (91.3%) were city inhabitants and 471 (76.2%) were with educational attainment of lower than high school. The majority (93%) of crashes happened inside the city. Causes of death were head trauma in 519 (84%) cases, multiple traumas in 62 (10%) cases and bleeding in 37 (6%) cases. Multiple and single-vehicle accidents account for 498 (80.5%) and 98 (17.5%) crashes, respectively. A total of 73 (11.8%) cases were found positive for alcohol/drug consumption: 24 (4%) were alcohol positive, 52 (8.4%) were positive for non-alcoholic drugs (3 were positive for both). Main detected non-alcoholic drugs were morphine and tramadol. There was statistically significant association between drug/alcohol consumption of drivers and cause of death and crash mechanism (Both P<0.001). Multiple traumas and single vehicle crashes were more prevalent among drivers with drug/alcohol positive tests.
Conclusion: Rate of alcohol use in our drivers was lower than many countries which is attributed to religious and legal issues. Consistent with the reported pattern of drug abuse in Iranian general population, opioids and tramadol were the main drugs of abuse among studied drivers. Drug or alcohol use result in drivers’ distraction and more fatal injuries.


Keywords

Alcohol, Driver, Drug, Mortality, Substance

References

Stanton NA, Salmon PM. Human error taxonomies applied to driving: A generic driver error taxonomy and its implications for intelligent transport systems. Safety Science. 2009; 47(2):227-37. [DOI:10.1016/j.ssci.2008.03.006]

Brady JE, Li G. Trends in alcohol and other drugs detected in fatally injured drivers in the united states, 1999–2010. American Journal of Epidemiology. 2014; 179(6):692-99. [DOI:10.1093/aje/kwt327]

World Health Organization. Drug use and road safety: A policy brief. Geneva: World Health Organization; 2016.

Cheng JY, Chan DT, Mok VK. An epidemiological study on alcohol/drugs related fatal traffic crash cases of deceased drivers in Hong Kong between 1996 and 2000. Forensic Science International. 2005; 153(2-3):196-201. [DOI:10.1016/j.forsciint.2004.08.023] [PMID]

Walsh JM, Verstraete AG, Huestis MA, Mørland J. Guidelines for research on drugged driving. Addiction. 2008; 103(8):1258-68. [DOI:10.1111/j.1360-0443.2008.02277.x]

Assari S, Lankarani MM, Dejman M, Dejman M, Farnia M, Alasvand R, et al. Drug use among Iranian drivers involved in fatal car accidents. Front Psychiatry. 2014; 5:69. [DOI:10.3389/fpsyt.2014.00069]

Sadeghi-Bazargani H, Ayubi E, Azami-Aghdash S, Abedi L, Zemestani A, Amanati L, et al. Epidemiological patterns of road traffic crashes during the last two decades in Iran: A review of the literature from 1996 to 2014. Arch Trauma Res. 2016; 5(3):e32985. [DOI:10.5812/atr.32985]

Shams M, Rahimi-Movaghar V. Risky driving behaviors in Tehran, Iran. Traffic Injury Prevention. 2009; 10(1):91-4. [DOI:10.1080/15389580802492280]

Bakhtiyari M, Mehmandar MR, Riahi SM, Mansournia MA, Sartipi M, Bahadorimonfared A. Epidemiologic pattern of fatal traffic injuries among Iranian drivers; 2004–2010. Iran Journal of Public Health. 2016; 45(4):503-14. [PMID] [PMCID]

Khanjani N, Mousavi M, Dehghanian A, Jahani Y, Soori H. The role of drug and alcohol use and the risk of motor vehicle crashes in Shiraz, Iran, 2014: A case-crossover study. Traffic Injury Prevention. 2017; 18(6):573-6. [DOI:10.1080/15389588.2017.1279736]

Narenjiha H, Rafiey H, Jahani MR, Assari S, Moharamzad Y, Roshanpazooh M. Substance-dependent professional drivers in Iran: A descriptive study. Traffic Injury Prevention. 2009; 10(3):227-30. [DOI:10.1080/15389580902849017]

Bahadorimonfared A, Soori H, Mehrabi Y, Delpisheh A, Esmaili A, Salehi M, et al. Trends of fatal road traffic injuries in Iran (2004–2011). PLOS One. 2013; 8(5):e65198. [DOI:10.1371/journal.pone.0065198]

Rhodes N, Pivik K. Age and gender differences in risky driving: the roles of positive affect and risk perception. Accident Analysis & Prevention. 2011; 43(3):923-31. [DOI:10.1016/j.aap.2010.11.015]

Montazeri A. Road-traffic-related mortality in Iran: A descriptive study. Public Health. 2004; 118(2):110-3. [DOI:10.1016/S0033-3506(03)00173-2]

Walsh JM, Flegel R, Atkins R, Cangianelli LA, Cooper C, Welsh C, et al. Drug and alcohol use among drivers admitted to a level-1 trauma center. Accident Analysis & Prevention. 2005; 37(5):894-901. [DOI:10.1016/j.aap.2005.04.013]

Liu C, Huang Y, Pressley JC. Restraint use and risky driving behaviors across drug types and drug and alcohol combinations for drivers involved in a fatal motor vehicle collision on US roadways. Injury Epidemiology. 2016; 3(1):9. [DOI:10.1186/s40621-016-0074-7]

Hamnett HJ, Ilett M, Izzati F, Smith SS, Watson KH. Toxicological findings in driver and motorcyclist fatalities in Scotland 20122015. Forensic Science International. 2017; 274:22-6. [DOI:10.1016/j.forsciint.2016.12.034]

Mørland J, Steentoft A, Simonsen KW, Ojanperä I, Vuori E, Magnusdottir K, et al. Drugs related to motor vehicle crashes in northern European countries: A study of fatally injured drivers. Accident Analysis & Prevention. 2011; 43(6):1920-6. [DOI:10.1016/j.aap.2011.05.002]

Cheng WC, Dao KL. The occurrence of alcohol/drugs by toxicological examination of selected drivers in Hong Kong. Forensic Science International. 2017; 275:242-53. [DOI:10.1016/j.forsciint.2017.03.022]

Arroyo A, Marrón MT, Leal MJ, Vidal C. Fatal road accidents in Spain: Psychoactive substances in killed drivers in 2014. Journal of Forensic Science & Criminology. 2016; 4(5):1-8. [DOI:10.15744/2348-9804.4.502]

Bakhtiyari M, Delpisheh A, Monfared AB, Kazemi-Galougahi MH, Mehmandar MR, Riahi M, et al. The road traffic crashes as a neglected public health concern; an observational study from Iranian population. Traffic Injury Prevention. 2015; 16(1):36-41. [DOI:10.1080/15389588.2014.898182]

Pechansky F, De Boni R, Diemen LV, Bumaguin D, Pinsky I, Zaleski M, et al. Highly reported prevalence of drinking and driving in Brazil: data from the first representative household study. Brazilian Journal of Psychiatry. 2009; 31(2):125-30. [DOI:10.1590/S1516-44462009000200008]

Drummer OH, Kourtis I, Beyer J, Tayler P, Boorman M, Gerostamoulos D. The prevalence of drugs in injured drivers. Forensic Science International. 2012; 215(1-3):14-7. [DOI:10.1016/j.forsciint.2011.01.040]

Ingsathit A, Woratanarat P, Anukarahanonta T, Rattanasiri S, Chatchaipun P, Wattayakorn K, et al. Prevalence of psychoactive drug use among drivers in Thailand: A roadside survey. Accident Analysis & Prevention. 2009; 41(3):474-8. [DOI:10.1016/j.aap.2009.01.010]

Mir MU, Khan I, Ahmed B, Razzak JA. Alcohol and marijuana use while driving-an unexpected crash risk in Pakistani commercial drivers: A cross-sectional survey. BMC Public Health. 2012; 12:145. [DOI:10.1186/1471-2458-12-145]

Brady JE, Li G. Prevalence of alcohol and other drugs in fatally injured drivers. Addiction. 2013; 108(1):104-14. [Doi: 10.1111/j.1360-0443.2012.03993]

Goullé JP, Verstraete A, Boulu R, Costentin J, Foucher JP, Raes E, et al. Illicit drugs, medications and traffic accidents. Annales Pharmaceutiques Françaises. 2008; 66(4):196-205. [DOI:10.1016/j.pharma.2008.06.002]

Wundersitza L, Konstadb A. Drug Driving: Analysis of current trends in South Australia. Paper Presented at: Australasian Road Safety Conference. 10-12 October 2017; Perth, Western Australia.

Ch'ng CW, Fitzgerald M, Gerostamoulos J, Cameron P, Bui D, Drummer OH, et al. Drug use in motor vehicle drivers presenting to an Australian, adult major trauma centre. Emergency Medicine Australasia. 2007; 19(4):359-65. [DOI:10.1111/j.1742-6723.2007.00958.x]

Simonsen KW, Linnet K, Rasmussen BS. Driving under the influence of alcohol and drugs in the eastern part of Denmark in 2015 and 2016: Abuse patterns and trends. Traffic Injury Prevention. 2018; 19(5):468-475. [DOI:10.1080/15389588.2018.1428743]

Alcaiz M, Guillen M, Santolino M. Prevalence of drug use among drivers based on mandatory, random tests in a roadside survey. PLoS One. 2018; 13(6):e0199302. [DOI:10.1371/journal.pone.0199302]




DOI: https://doi.org/10.22037/ijmtfm.v8i4(Autumn).22963