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减少社区体育俱乐部中的酒后驾驶行为:评估“好运动”项目。

Reducing alcohol-impaired driving in community sports clubs: evaluating the good sports program.

机构信息

School of Psychology and Psychiatry, Nursing and Health Sciences, Monash University, Caulfield, Melbourne, Australia.

出版信息

J Stud Alcohol Drugs. 2012 Mar;73(2):316-27. doi: 10.15288/jsad.2012.73.316.

Abstract

OBJECTIVE

The Good Sports program uses a systematic accreditation process to implement gradual alcohol-related harm-reduction strategies in Australian community sports clubs that aim to reduce the incidence of harmful alcohol-related behaviors, such as drink driving. This study tested whether the Good Sports program reduced the incidence of drink driving and whether reductions are related to the level of program implementation.

METHOD

An adoption versus nonadoption pilot study was undertaken with 65 cricket and 48 Australian Football League clubs (N = 1,968 individuals). Associations between the stage of accreditation (Stage 1 and Stage 2) and the likelihood of driving with an illegal blood alcohol concentration (BAC) were examined. Alcohol-use diary accounts were used to calculate BAC before driving home from the club.

RESULTS

The percentage of club members driving at least once in the previous week with a BAC estimate greater than .05% (the legal limit in Australia) was lower in clubs that had achieved Stage 2 Good Sports accreditation (7%, 95% CI [5%, 9%]) than those that had not (8%, 95% CI [6%, 9%]), but this was not significantly different. However, multilevel modeling identified a larger number of the safe-transport strategies, implemented as part of Stage 2 accreditation, which were associated with a significantly lower probability of drink driving. Being a risky drinker at the club, and the average number of risky drinkers at the club, was also predictive of drink driving.

CONCLUSIONS

The findings of this pilot study suggest that implementation of the Good Sports program is likely to have a significant effect on harms associated with drink driving in Australia and elsewhere. Further community studies will be required, however, to examine precisely how the program is achieving improvements and whether it can be refined to have a greater impact in both Australia and overseas.

摘要

目的

“好运动”(Good Sports)项目采用系统认证程序,在澳大利亚社区体育俱乐部实施逐步减少与酒精相关的伤害策略,旨在减少有害的与酒精相关行为(如酒后驾车)的发生。本研究检验了“好运动”项目是否减少了酒后驾车的发生,以及减少是否与项目实施程度相关。

方法

采用采用与未采用的试点研究,涉及 65 个板球俱乐部和 48 个澳大利亚足球联赛俱乐部(N=1968 人)。研究考察了认证阶段(第 1 阶段和第 2 阶段)与酒后驾车的可能性之间的关联。使用酒精使用日记来计算从俱乐部开车回家前的血液酒精浓度(BAC)。

结果

在过去一周内至少有一次血液酒精浓度估计值大于 0.05%(澳大利亚法定上限)的俱乐部成员中,达到第 2 阶段“好运动”认证的俱乐部(7%,95%置信区间[5%,9%])低于未达到的俱乐部(8%,95%置信区间[6%,9%]),但差异无统计学意义。然而,多层次模型确定了更多作为第 2 阶段认证一部分实施的安全运输策略,与酒后驾车的可能性显著降低相关。在俱乐部中是危险饮酒者,以及俱乐部中危险饮酒者的平均数量,也预测了酒后驾车。

结论

本试点研究的结果表明,实施“好运动”计划可能对澳大利亚和其他地方与酒后驾车相关的伤害产生重大影响。然而,还需要进行进一步的社区研究,以检查该计划是如何取得改进的,以及它是否可以加以改进,以便在澳大利亚和海外产生更大的影响。

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