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Alcohol and Alcoholism Vol. 37, No. 5, pp. 468-471, 2002
© 2002 Medical Council on Alcohol

ALCOHOL AND/OR OTHER DRUG USE AMONG ADULT NON-OCCUPANT MOTOR VEHICLE CRASH VICTIMS

Jim Edward Weber1,2,*, Ronald F. Maio1,2, Frederic C. Blow3,4, Elizabeth M. Hill2, Kristen L. Barry4 and Patricia F. Waller5

1 Department of Emergency Medicine, University of Michigan Medical School,
2 University of Michigan Injury Research Center,
3 Department of Psychiatry, University of Michigan Medical School,
4 The Serious Mental Illness Treatment Research and Evaluation Center, Division of Veterans Affairs Health Services Research and Development and
5 University of Michigan Transportation Research Institute, MI, USA

Received 6 November 2001; accepted 19 March 2002

— Aims: To identify the frequency of current or lifetime history of alcohol and/or other drug (AOD) use among the full range (admitted and discharged) of injured bicyclists and pedestrians involved in motor vehicle crashes. Methods: In a prospective study of non-occupant motor vehicle crash (NOMVC) victims >=18 years over a 29-month period, blood was obtained for alcohol and drug testing. Current alcohol abuse/alcohol dependence (AA/AD) or drug abuse/drug dependence (DA/DD) was based on the Diagnostic Interview Survey. Results: In all, there were 108 NOMVC victims. Eleven per cent were alcohol (+), 7% drug (+), and 3% both. Sixteen per cent were AA/AD (+), 2.7% DA/DD (+), and 1.4% both. Conclusions: A substantial portion of patients with NOMVC injuries tested AOD (+) and had a current or lifetime substance abuse (AA/AD; DA/DD) diagnosis.


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