Dickson Megan F, Kissel Megan, Webster J Matthew
University of Kentucky.
Kentucky Division of Behavioral Health.
J Appalach Health. 2019 Sep 27;1(3):6-16. doi: 10.13023/jah.0103.02. eCollection 2019.
To help fill this void in the literature, the current study uses a statewide sample to examine how Appalachian DUI offenders differ from non-Appalachian DUI offenders in a predominantly rural state.
Assessment records for 11,640 Kentucky DUI offenders who completed an intervention in 2017 were examined. Appalachian DUI offenders were compared to non-Appalachian metro and non-metro DUI offenders. Demographic information, DUI violation details, DSM-5 substance use disorder criteria, and referral information were compared using ANCOVAs and logistic regression models.
More than one-fourth of the sample was convicted in an Appalachian county. Compared to non-Appalachian DUI offenders, Appalachian offenders were significantly older and more likely to have a prior DUI conviction, to meet DSM-5 criteria for a drug use disorder, and to drive drug-impaired. Referral and intervention compliance also varied across groups.
Results suggest that Appalachian DUI offenders are more drug-involved and have increased risk of recidivism. Findings indicate a need for practitioners to consider the distinct needs of Appalachian DUI offenders during service delivery. Future research should explore alternative intervention methods for preventing continued impaired driving in Appalachia given limited treatment availability in the region.
为填补文献中的这一空白，本研究使用了一个全州范围的样本，以考察在一个以农村为主的州中，阿巴拉契亚地区的酒驾违法者与非阿巴拉契亚地区的酒驾违法者有何不同。
对2017年完成一项干预措施的11640名肯塔基州酒驾违法者的评估记录进行了检查。将阿巴拉契亚地区的酒驾违法者与非阿巴拉契亚地区的城市和非城市酒驾违法者进行了比较。使用协方差分析和逻辑回归模型对人口统计学信息、酒驾违规细节、《精神疾病诊断与统计手册》第5版物质使用障碍标准以及转诊信息进行了比较。
超过四分之一的样本在阿巴拉契亚县被定罪。与非阿巴拉契亚地区的酒驾违法者相比，阿巴拉契亚地区的违法者年龄明显更大，更有可能曾有酒驾定罪记录，符合《精神疾病诊断与统计手册》第5版药物使用障碍标准，以及在药物影响下驾驶。转诊和干预依从性在不同群体中也有所不同。
结果表明，阿巴拉契亚地区的酒驾违法者与毒品的关联更大，再犯风险增加。研究结果表明，从业者在提供服务时需要考虑阿巴拉契亚地区酒驾违法者的独特需求。鉴于该地区治疗资源有限，未来的研究应探索预防阿巴拉契亚地区持续存在的酒驾行为的替代干预方法。
