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Alcohol and Alcoholism Vol. 38, No. 3, pp. 281-286, 2003
© 2003 Medical Council on Alcohol

HOSPITALIZATION AND MORTALITY SUCCEEDING DRUNK DRIVING AND RISKY DRIVING

Gunilla Karlsson1,2,3, Jan Halldin2, Anders Leifman1,2, Hans Bergman1,3 and Anders Romelsjö1,2,4,*

1 Addiction Centre Stockholm, Box 125 60, SE-102 29 Stockholm,
2 Karolinska Institutet, Department of Public Health Sciences, Division of Social Medicine, Norrbacka, SE-171 76 Stockholm,
3 Karolinska Institutet, Department of Clinical Neuroscience, Section of Clinical Alcohol and Drug Addiction Research, Karolinska Sjukhuset, SE-171 76 Stockholm and
4 Centre for Social Research on Alcohol and Other Drugs, Stockholm University, SE-106 91 Stockholm, Sweden

Received 5 December 2001; first review notified 30 December 2002; accepted 12 January 2003

Aims: The association between drunk driving (DD) and/or risky driving (RD) offences and subsequent hospitalization and mortality was studied during a 25-year period. Methods: Information about drinking habits and psychosocial factors for the 8122 conscripts from Stockholm County in 1969–1970 was linked to register data on hospitalization, mortality, DD and RD. Results: Analyses comparing background characteristics of DD and RD groups showed that the prevalence of problem behaviour and drug use was highest in the RD group. The relative risk (RR) for hospitalization after DD and/or RD was significantly elevated in multivariate logistic regression analysis for all the studied diagnostic categories (alcohol diagnoses, narcotic diagnoses, suicide attempts, psychoses, E-codes, all diagnoses), and was especially high for alcohol (RR = 7.2) and diagnosis of drug misuse (RR = 9.2). The RR of all hospitalization was 1.5 for the DD group, 1.8 for the RD group, and 1.9 for those who had been sentenced both for drunk driving and risky driving (DRD), all of which were significantly increased. The RR of death was significantly elevated in all three groups. Conclusions: The results show a significantly increased risk of hospitalization and mortality both in the DD and the RD group. From a public health and traffic safety perspective, this implies a need for developing and implementing better prevention strategies.


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