Calafat A, Blay N, Juan M, Adrover D, Bellis M A, Hughes K, Stocco P, Siamou I, Mendes F, Bohrn K
IREFREA, European Institute of Studies on Prevention, Palma de Mallorca, Spain.
Traffic Inj Prev. 2009 Apr;10(2):162-9. doi: 10.1080/15389580802597054.
Road traffic crashes associated with nightlife alcohol and recreational drug use are a major health problem for young people.
This study explores use of different forms of transport to and from nightlife environments and the relationships between traffic risk behaviors, drunkenness, and drug consumption.
1363 regular nightlife users from nine European cities in 2006 completed a self-administered and anonymous questionnaire. Sampling utilized a variation of respondent-driven sampling.
Private car was the most frequent form of transport used when going out, especially by males and older individuals. Drug use was related to crashes and traffic risk behaviors, including having a lift from someone drunk or driving drunk or driving having taken drugs; drunkenness was related to risk behaviors but not to crashes (possibly because drunk people tend to use the private car less). Males showed higher levels of drunkenness and drug consumption, traffic risk behaviors, and traffic crashes. Age is not related to the traffic risk behaviors, but older individuals had less crashes.
There are serious health problems related to transport and recreational nightlife activities. It is necessary to improve later public transport services, complemented by actions that deter the use of private cars. The relationships of both drunkenness and cannabis/cocaine use with traffic risk behaviors should be addressed and programs implemented to change risk perceptions on the effects of illegal drugs on driving.
与夜间饮酒和娱乐性药物使用相关的道路交通事故是年轻人面临的一个主要健康问题。
本研究探讨往返夜间娱乐场所时不同交通方式的使用情况，以及交通风险行为、醉酒与药物消费之间的关系。
2006年，来自欧洲九个城市的1363名经常参与夜间娱乐活动的人完成了一份自行填写的匿名问卷。抽样采用了应答驱动抽样的变体形式。
外出时最常使用的交通方式是私家车，尤其是男性和年长者。药物使用与交通事故及交通风险行为有关，包括搭乘醉酒者驾驶的车辆、醉酒驾驶或吸毒后驾驶；醉酒与风险行为有关，但与交通事故无关（可能是因为醉酒者倾向于较少使用私家车）。男性的醉酒、药物消费、交通风险行为及交通事故发生率更高。年龄与交通风险行为无关，但年长者发生的交通事故较少。
与交通和夜间娱乐活动相关的健康问题严重。有必要改善夜间公共交通服务，并辅以劝阻使用私家车的措施。应解决醉酒以及大麻/可卡因使用与交通风险行为之间的关系，并实施相关项目以改变对非法药物对驾驶影响的风险认知。
