Schmitz Aurinez R, Goldim José R, Guimarães Luciano S P, Lopes Fernanda M, Kessler Felix, Sousa Tanara, Gonçalves Veralice M, Pechansky Flavio
Center for Drug and Alcohol Research (CPAD), Hospital de Clínicas de Porto Alegre (HCPA), Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil.
Laboratory of Bioethics and Ethics Research, HCPA, Porto Alegre, RS, Brazil.
Braz J Psychiatry. 2014 Sep;36(3):199-205. doi: 10.1590/1516-4446-2013-1128. Epub 2014 Mar 24.
To analyze variables associated with recurrence of blood alcohol content (BAC)-related traffic violations among drivers in southern Brazil.
This cross-sectional study included 12,204 driving-under-the-influence (DUI) offenders according to data provided by the Rio Grande do Sul state Transportation Department. Sociodemographic characteristics, license duration, license category, and psychological assessment results were analyzed. Drivers convicted of DUI more than once in 2009/2010 were considered recidivists. Variables were evaluated using descriptive statistical analysis and Poisson regression, adjusted by sex, age, and education level.
A total of 538 (4.41%) drivers were considered recidivists. The following variables showed the strongest associations with recidivism: being aged 41-50 years (prevalence ratio [PR] = 3.41), being licensed for ≥ 12 years (PR = 1.86), being licensed for motorcycles, cars and trucks (PR = 1.36), having a license with psychological restrictions (PR = 1.33), and driving a truck or a similar vehicle at the moment of notification (PR = 1.08).
In the age group with the highest risk for recurrence, drivers showed a higher probability of having a diagnosis of alcohol dependence and other psychiatric comorbidities that hinder the control of alcohol use. Psychological assessments seem to be important in predicting repeat offenses, especially when limited aptitudes are suspected, and should therefore be better investigated.
分析巴西南部驾驶员血液酒精含量（BAC）相关交通违规行为复发的相关变量。
根据南里奥格兰德州交通部门提供的数据，这项横断面研究纳入了12204名酒后驾车（DUI）违法者。分析了社会人口统计学特征、驾照有效期、驾照类别和心理评估结果。在2009/2010年因酒后驾车被定罪不止一次的驾驶员被视为累犯。使用描述性统计分析和泊松回归对变量进行评估，并根据性别、年龄和教育水平进行调整。
共有538名（4.41%）驾驶员被视为累犯。以下变量与累犯的关联最为强烈：年龄在41 - 50岁之间（患病率比[PR]=3.41）、驾照持有时间≥12年（PR = 1.86）、持有摩托车、汽车和卡车驾照（PR = 1.36）、驾照有心理限制（PR = 1.33）以及在被通知时驾驶卡车或类似车辆（PR = 1.08）。
在复发风险最高的年龄组中，驾驶员被诊断为酒精依赖和其他妨碍酒精使用控制的精神共病的可能性更高。心理评估在预测再次犯罪方面似乎很重要，尤其是在怀疑能力有限时，因此应进行更好的研究。
