Jewett Amy, Shults Ruth A, Banerjee Tanima, Bergen Gwen
MMWR Morb Mortal Wkly Rep. 2015 Aug 7;64(30):814-7. doi: 10.15585/mmwr.mm6430a2.
Alcohol-impaired driving crashes account for approximately one third of all crash fatalities in the United States. In 2013, 10,076 persons died in crashes in which at least one driver had a blood alcohol concentration (BAC) ≥0.08 grams per deciliter (g/dL), the legal limit for adult drivers in the United States. To estimate the prevalence, number of episodes, and annual rate of alcohol-impaired driving, CDC analyzed self-reported data from the 2012 Behavioral Risk Factor Surveillance System (BRFSS) survey. An estimated 4.2 million adults reported at least one alcohol-impaired driving episode in the preceding 30 days, resulting in an estimated 121 million episodes and a national rate of 505 episodes per 1,000 population annually. Alcohol-impaired driving rates varied by more than fourfold among states, and were highest in the Midwest U.S. Census region. Men accounted for 80% of episodes, with young men aged 21-34 years accounting for 32% of all episodes. Additionally, 85% of alcohol-impaired driving episodes were reported by persons who also reported binge drinking, and the 4% of the adult population who reported binge drinking at least four times per month accounted for 61% of all alcohol-impaired driving episodes. Effective strategies to reduce alcohol-impaired driving include publicized sobriety checkpoints, enforcement of 0.08 g/dL BAC laws, requiring alcohol ignition interlocks for everyone convicted of driving while intoxicated, and increasing alcohol taxes.
在美国,酒后驾车事故约占所有致命车祸的三分之一。2013年,有10,076人死于车祸,其中至少一名司机的血液酒精浓度(BAC)≥0.08克/分升(g/dL),这是美国成年司机的法定限值。为了估计酒后驾车的患病率、发作次数和年发生率,美国疾病控制与预防中心(CDC)分析了2012年行为危险因素监测系统(BRFSS)调查中的自我报告数据。估计有420万成年人报告在过去30天内至少有一次酒后驾车经历,导致估计有1.21亿次发作,全国年发生率为每1000人中有505次发作。各州的酒后驾车发生率相差四倍多,在美国人口普查局划分的中西部地区最高。男性占发作次数的80%,其中21至34岁的年轻男性占所有发作次数的32%。此外,85%的酒后驾车发作是由那些也报告有暴饮行为的人报告的,而每月至少暴饮四次的成年人口中的4%占所有酒后驾车发作次数的61%。减少酒后驾车的有效策略包括宣传清醒检查站、执行0.08 g/dL BAC法律、要求所有因醉酒驾车被定罪的人安装酒精点火联锁装置以及提高酒精税。