Alcohol/Illicit Substance Use in Fatal Motorcycle Crashes.
Accidents, Traffic
/ mortality
Adult
Blood Alcohol Content
Driving Under the Influence
/ statistics & numerical data
Ethanol
/ blood
Female
Head Protective Devices
/ statistics & numerical data
Humans
Illicit Drugs
/ blood
Male
Middle Aged
Motorcycles
Retrospective Studies
Substance Abuse Detection
/ statistics & numerical data
Substance-Related Disorders
/ blood
Young Adult
Alcohol
Crash
Drugs
Fatality
Helmet
Motorcycle
Journal
The Journal of surgical research
ISSN: 1095-8673
Titre abrégé: J Surg Res
Pays: United States
ID NLM: 0376340
Informations de publication
Date de publication:
12 2020
12 2020
Historique:
received:
28
02
2020
revised:
02
06
2020
accepted:
16
06
2020
pubmed:
28
7
2020
medline:
11
3
2021
entrez:
26
7
2020
Statut:
ppublish
Résumé
The objective of the current study is to determine how alcohol and illicit substance use contributes to motorcycle crash fatalities by examining the relationship between toxicology levels found postmortem and the behavior of riders and passengers in fatal motorcycle crashes. All motorcycle fatalities in Miami-Dade County, FL, from 2009 to 2014 were reviewed using the Miami-Dade County Medical Examiner's toxicology reports and the corresponding crash reports. Positive alcohol/illicit substance detection was found in 44% of our population of 227 fatalities. When compared with those with a negative alcohol/illicit substance detection, those with a positive alcohol/illicit substance detection were more likely to be found at fault of the crash (77% versus 50%, P < 0.001), more likely to be in a single-vehicle crash (47% versus 21%, P < 0.001) and less likely to wear a helmet (44% versus 64%, P = 0.002). However, there was no significant relationship between speeding and alcohol/illicit substance detection (29% versus 33%, P = 0.748). In addition, a regression analysis demonstrated that there was less helmet use and more single-vehicle crashes with higher blood alcohol concentration. In fatal motorcycle crashes, alcohol and illicit substance use had a significantly negative impact on the risk aversion of motorcycle fatalities in regard to fault, helmet use, and single-vehicle crashes.
Sections du résumé
BACKGROUND
The objective of the current study is to determine how alcohol and illicit substance use contributes to motorcycle crash fatalities by examining the relationship between toxicology levels found postmortem and the behavior of riders and passengers in fatal motorcycle crashes.
MATERIALS AND METHODS
All motorcycle fatalities in Miami-Dade County, FL, from 2009 to 2014 were reviewed using the Miami-Dade County Medical Examiner's toxicology reports and the corresponding crash reports.
RESULTS
Positive alcohol/illicit substance detection was found in 44% of our population of 227 fatalities. When compared with those with a negative alcohol/illicit substance detection, those with a positive alcohol/illicit substance detection were more likely to be found at fault of the crash (77% versus 50%, P < 0.001), more likely to be in a single-vehicle crash (47% versus 21%, P < 0.001) and less likely to wear a helmet (44% versus 64%, P = 0.002). However, there was no significant relationship between speeding and alcohol/illicit substance detection (29% versus 33%, P = 0.748). In addition, a regression analysis demonstrated that there was less helmet use and more single-vehicle crashes with higher blood alcohol concentration.
CONCLUSIONS
In fatal motorcycle crashes, alcohol and illicit substance use had a significantly negative impact on the risk aversion of motorcycle fatalities in regard to fault, helmet use, and single-vehicle crashes.
Identifiants
pubmed: 32711181
pii: S0022-4804(20)30429-7
doi: 10.1016/j.jss.2020.06.036
pii:
doi:
Substances chimiques
Blood Alcohol Content
0
Illicit Drugs
0
Ethanol
3K9958V90M
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
243-250Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.