National Institute for Health and Welfare, P.O. Box 30, FI-00271 Helsinki, Finland.
Drug Alcohol Depend. 2010 Jul 1;110(1-2):80-4. doi: 10.1016/j.drugalcdep.2010.02.007. Epub 2010 Mar 23.
The aim of this study was to examine the overall and cause-specific mortality of DUI arrestees compared to a reference population with no history of DUI and to recognize the risk factors of premature death.
The data used were a register of all DUI arrestees between April 1988 and December 2006. All drivers with drug-positive samples were excluded. DUI arrestees were compared to a reference population with no previous history of DUI. Overall and cause-specific hazard ratios were calculated and risk factors were estimated.
Alcohol causes, diseases of the circulatory system and accidents constituted the most common causes of death among DUI arrestees. Suspected DUI was linked with higher mortality in every observed cause of death. The risk of death by alcohol-related or external cause was especially high. Among women DUI arrests caused sharper increase to the risk of death than increase found among male arrestees. Within the group of DUI arrestees the risk of death was affected by age, sex, marital status, education, multiple arrests as well as time and observed blood alcohol level of the arrest. Half of the suspected DUI cases and one in five of the references had alcohol as a contributing factor to death.
Arrest on suspicion of drunk-driving is an indicator for elevated risk of death. Alcohol is often related to deaths of DUI arrestees. Drunk-drivers should be efficiently guided with respect to evaluations and treatments for harmful drinking.
本研究旨在比较有酒后驾车被捕史和无酒后驾车被捕史的参考人群，以评估酒后驾车被捕者的全因和特定原因死亡率，并识别早逝的风险因素。
该研究的数据来源于 1988 年 4 月至 2006 年 12 月期间所有的酒后驾车被捕者的登记记录。所有毒品阳性样本的驾驶员均被排除在外。酒后驾车被捕者与无既往酒后驾车史的参考人群进行比较。计算了全因和特定原因的风险比，并估计了风险因素。
酒精、循环系统疾病和意外事故是酒后驾车被捕者死亡的最常见原因。疑似酒后驾车与每种观察到的死因都存在更高的死亡率相关。酒精相关或外部原因导致死亡的风险尤其高。与男性被捕者相比，女性酒后驾车被捕导致的死亡风险增加更为显著。在酒后驾车被捕者群体中，死亡风险受年龄、性别、婚姻状况、教育程度、多次被捕以及被捕时的血液酒精水平和时间的影响。在疑似酒后驾车的案例中，有一半，而参考人群中则有五分之一的人，酒精是导致死亡的一个促成因素。
涉嫌酒后驾车被捕是死亡风险升高的一个指标。酒精通常与酒后驾车被捕者的死亡有关。对于酒后驾车者，应就有害饮酒问题进行有效的评估和治疗。
