Wagenaar Alexander C, Maldonado-Molina Mildred M, Erickson Darin J, Ma Linan, Tobler Amy L, Komro Kelli A
University of Florida, College of Medicine, Department of Epidemiology & Health Policy Research and Institute for Child Health Policy, 1329 SW 16th St. Rm 5130, Box 100177, Gainesville, FL 32610-0177, USA.
Accid Anal Prev. 2007 Sep;39(5):982-94. doi: 10.1016/j.aap.2007.01.003. Epub 2007 Mar 21.
We examined effects of state statutory changes in DUI fine or jail penalties for firsttime offenders from 1976 to 2002.
A quasi-experimental time-series design was used (n=324 monthly observations). Four outcome measures of drivers involved in alcohol-related fatal crashes are: single-vehicle nighttime, low BAC (0.01-0.07g/dl), medium BAC (0.08-0.14g/dl), high BAC (>/=0.15g/dl). All analyses of BAC outcomes included multiple imputation procedures for cases with missing data. Comparison series of non-alcohol-related crashes were included to efficiently control for effects of other factors. Statistical models include state-specific Box-Jenkins ARIMA models, and pooled general linear mixed models.
Twenty-six states implemented mandatory minimum fine policies and 18 states implemented mandatory minimum jail penalties. Estimated effects varied widely from state to state. Using variance weighted meta-analysis methods to aggregate results across states, mandatory fine policies are associated with an average reduction in fatal crash involvement by drivers with BAC>/=0.08g/dl of 8% (averaging 13 per state per year). Mandatory minimum jail policies are associated with a decline in single-vehicle nighttime fatal crash involvement of 6% (averaging 5 per state per year), and a decline in low-BAC cases of 9% (averaging 3 per state per year). No significant effects were observed for the other outcome measures.
The overall pattern of results suggests a possible effect of mandatory fine policies in some states, but little effect of mandatory jail policies.
我们研究了1976年至2002年期间各州法定酒驾罚款或监禁处罚变化对初犯者的影响。
采用准实验时间序列设计(n = 324个月度观测值)。与酒精相关的致命撞车事故中涉及的驾驶员的四项结果指标为:单车夜间事故、低血液酒精浓度(0.01 - 0.07克/分升)、中等血液酒精浓度(0.08 - 0.14克/分升)、高血液酒精浓度(≥0.15克/分升)。所有血液酒精浓度结果分析都包括对缺失数据案例的多重填补程序。纳入了非酒精相关撞车事故的比较序列,以有效控制其他因素的影响。统计模型包括特定州的Box-Jenkins自回归积分滑动平均(ARIMA)模型和合并的一般线性混合模型。
26个州实施了强制性最低罚款政策,18个州实施了强制性最低监禁处罚。各州的估计效果差异很大。使用方差加权荟萃分析方法汇总各州结果,强制性罚款政策与血液酒精浓度≥0.08克/分升的驾驶员致命撞车事故参与率平均降低8%(平均每个州每年13起)相关。强制性最低监禁政策与单车夜间致命撞车事故参与率下降6%(平均每个州每年5起)以及低血液酒精浓度案例下降9%(平均每个州每年3起)相关。其他结果指标未观察到显著影响。
结果的总体模式表明,强制性罚款政策在一些州可能有效果,但强制性监禁政策效果甚微。