Alcohol-Related Laws and Avoidable Burden and its Costs Due to Motor Vehicle Collisions in Canada

Abstract

The purpose of this study was to estimate the avoidable alcohol-attributable burden and costs of health care, criminality, and the indirect costs of lost productivity due to disability or premature death attributable to motor vehicle collisions (MVCs) in Canada. A policy effectiveness approach was used and the impact of three effective alcohol policy interventions aimed to reduce alcohol-impaired driving was modeled. The results demonstrated that implementation of drunk-driving countermeasures will further reduce the alcohol-attributable burden and costs due to MVCs in Canada. Implications for policy formation and targeted prevention efforts are discussed.

Keywords

Avoidable cost injuries mortality morbidity alcohol policy enforcement

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References

Amano

R. A.

, & MacKlem

R. T.

(1998). Unemployment persistence and costly adjustment of labour: A Canada-US comparison. Canadian Public Policy, 24(S1), 138–151.

Anderson

, & Baumberg

(2006). Alcohol in Europe: A public health perspective. A report for the European Commission. United Kingdom: Institute of Alcohol Studies. Available from http://ec.europa.eu/health-eu/news_alcoholineurope_en.htm

Babor

Caetano

Casswell

Edwards

Giesbrecht

Graham

(2003). Alcohol: No ordinary commodity. Research and public policy. Oxford and London: Oxford University Press.

Bernat

D. H.

Dunsmuir

W. T. M.

, & Wagenaar

A. C.

(2004). Effects of lowering the legal BAC to 0.08 on single-vehicle-night-time fatal traffic crashes in 19 jurisdictions. Accident Analysis & Prevention, 36(6), 1089–1097.

Canadian Centre for Justice Statistics. (2002). Justice spending in Canada, 2000–2001. Ottawa, ON: Canadian Centre for Justice Statistics, Statistics Canada.

Canadian Centre for Justice Statistics. (2002a). Youth offenders sentences in Canada. Ottawa, ON: Canadian Centre for Justice Statistics, Statistics Canada.

Canadian Centre for Justice Statistics. (2002b). Adult correctional services in Canada. Ottawa, ON: Canadian Centre for Justice Statistics, Statistics Canada.

Canadian Centre for Justice Statistics. (2002c). Canadian crime statistics 2002. Ottawa, ON: Canadian Centre for Justice Statistics, Statistics Canada.

Canadian Centre for Justice Statistics. (2003). Canadian crime statistics 2002. Catalogue no. 82–221-XIE. Ottawa, Ontario: Canadian Centre for Justice Statistics, Statistics Canada. Available from http://www.statcan.ca/english/freepub/82-221-XIE/01103/nonmed/living6.htm

10.

Canadian Centre on Substance Abuse. (2004). Canadian Addiction Survey 2004: Microdata eGuide. Ottawa, ON: Canadian Centre on Substance Abuse.

11.

Canadian Institute for Health Information. (2004). Canadian MIS database: Hospital finance performance indicators 1999–2000 to 2001–2002. Ottawa: CIHI.

12.

Canadian Medical Association. (2002). CMA demands lower legal blood-alcohol level. CMAJ, 166, 79.

13.

Chamberlin

, & Solomon

(2002). The case for a 0.05% criminal law blood alcohol concentration limit for driving. Injury Prevention, 8, 1–7.

14.

Cobiac

Vos

Doran

C. M.

, & Wallace

(2009). Cost-effectiveness of interventions to prevent alcohol-related disease and injury in Australia. Addiction, 104, 1646–1655.

15.

Collins

Lapsley

Brochu

Easton

Perez-Gomez

Rehm

, & Single

(2006). International guidelines for the estimation of the avoidable costs of substance abuse. Ottawa, ON: Health Canada.

16.

Collins

D. J.

, & Lapsley

H. M.

(2008). The avoidable costs of alcohol abuse in Australia and the potential benefits of effective policies to reduce the social costs of alcohol. National Drug Strategy Monograph Series No. 70. Canberra, Australia: Australian Government Department of Health and Ageing. Available from http://www.health.gov.au/internet/drugstrategy/publishing.nsf/Content/0A14D387E42AA201CA2574B3000028A8/$File/mono70.pdf

17.

English

D. R.

Holman

C. D. J.

Milne

Winter

M. G.

Hulse

G. K.

Bower

C. I.

(1995). The quantification of drug caused morbidity and mortality in Australia. Canberra: Commonwealth Department of Human Services and Health.

18.

Flight

(2007). Canadian Addiction Survey (CAS): A National Survey of Canadians'Use of Alcohol and Other Drugs: Substance Use by Youth. Ottawa: Health Canada.

19.

Fortin

Keil

, & Symons

(2001). The sources of unemployment in Canada, 1975–91: Evidence from a panel of regions and demographic groups. Oxford Economic Papers, 53, 67–93.

20.

Hall

W. D.

Wallace

A. L.

Cobiac

L.J.

Doran

C.M.

, & Vos

(2010). How can we reduce alcohol-related road crash deaths among young Australians? The Medical Journal of Australia, 192(8), 464–4606.

21.

Henstridge

Homel

, & MacKay

(1997). The long-term effects of random breath testing in four Australian states: A time series analysis. Canberra, Australia: Federal Office of Road Safety.

22.

Hodgson

T. A.

(1983). The state of the art of cost-of-illness estimates. Advances in Health Economics and Health Services Research, 4, 129–164.

23.

Ialomiteanu

, & Adlaf

(2007). Centre for Addiction and Mental Health (CAMH) Monitor 2006: Technical Guide. Toronto, ON: Centre for Addiction and Mental Health. Available from http://www.camh.net/Research/camh_monitor.html

24.

Koopmanschap

M. A.

& Rutten

F. F.

(1996). A practical guide for calculating indirect costs of disease. Pharmacoeconomics, 10, 460–466.

25.

Koopmanschap

M. A.

Rutten

F. F.

van Ineveld

B. M.

, & van Roijen

(1995). The friction cost method for measuring indirect costs of disease. Journal of Health Economics, 14, 171–189.

26.

Mann

R. E.

MacDonald

Stoduto

Shaikh

, & Bondy

(1998). Assessing the potential impact of lowering the legal blood alcohol limit to 50 mg% in Canada. Ottawa, Ontario: Transport Canada.

27.

Mercer

(2009). Estimating the presence of alcohol and drug impairment in traffic crashes and their costs to Canadians: 1999 to 2006. Vancouver, BC: Applied Research and Evaluation Services.

28.

Mothers Against Drunk Driving (MADD). (2006). Youth and impaired driving in Canada: Opportunities for progress. Canada: MADD.

29.

Pernanen

Cousineau

M. M.

Brochu

, & Sun

(2002). Proportion des crimes associés à l'alcool et aux autres drogues au Canada. Montréal: Centre canadien de lutte contre l'alcoolisme et les toxicomanies. Available from http://www.ccsa.ca/2003%20and%20earlier%20CCSA%20Documents/ccsa-009105-2002.pdf

30.

Rehm

Baliunas

Brochu

Fischer

Gnam

Patra

(2006). The social costs of substance abuse in Canada 2002. Ottawa, Ontario: Canadian Centre on Substance Abuse.

31.

Rehm

Patra

, & Popova

(2006). Alcohol-attributable mortality and potential years of life lost in Canada 2001: Implications for prevention and policy. Addiction, 101(3), 373–384.

32.

Rehm

Gnam

Popova

Baliunas

Brochu

Fischer

(2007). The social costs of alcohol, illegal drugs and tobacco in Canada 2002. Journal of Studies on Alcohol Drugs, 68, 886–895.

33.

Rehm

Gnam

Popova

Patra

, & Sarnocinksa-Hart

(2008). Avoidable cost of alcohol abuse in Canada 2002. Toronto, ON: Centre for Addiction and Mental Health. Available from http://www.camh.net/News_events/News_releases_and_media_advisories_and_backgrounders/Avoidable_costs_study.html

34.

Rehm

Room

Monteiro

Gmel

Graham

Rehn

(2004). Alcohol Use. In Ezzati

Lopez

A. D.

Rodgers

, & Murray

C.J.L.

(Eds.), Comparative quantification of health risks: Global and regional burden of disease attributable to selected major risk factors. (Volume 1, pp. 959–1109). Geneva: WHO.

35.

Shults

Elder

Sleet

Nichols

Alao

Carande-Kulis

Task Force on Community Preventive Services. (2001). Reviews of evidence regarding interventions to reduce alcohol-impaired driving. American Journal of Preventive Medicine, 21, 66–88.

36.

Traffic Injury Research Foundation of Canada. (2004). Alcohol-crash problem in Canada: 2002. Ottawa: Canadian Council for Motor Transport Administrators Standing Committee on Road Safety Research and Policies and Transport Canada.

37.

Traffic Injury Research Foundation of Canada. (2009). Alcohol-crash problem in Canada: 2006. Prepared for Canadian Council of Motor Transport Administrators Standing Committee on road safety research and policies and Transport Canada. Ottawa, ON: Traffic Injury Research Foundation of Canada.

38.

Transport Canada (2004). Road safety in Canada—2001. Available from http://www.tc.gc.ca/roadsafety/tp/tp13951/2001/menu.htm

39.

Villaveces

Cummings

Koepsell

Rivara

Lumley

, & Moffat

(2003). Association of alcohol-related laws with deaths due to motor vehicle and motorcycle crashes in the United States, 1980–1997. American Journal of Epidemiology, 157, 131–140.

40.

Voas

R. B.

Tippets

A. S.

, & Fell

J. C.

(2003). Assessing the effectiveness of minimum legal drinking age and zero tolerance laws in the United States. Acciddent Analysis & Prevention, 35, 579–587.

41.

World Health Organization. (2004). Global status report on alcohol 2004. Geneva: WHO, Department of Mental Health and Substance Abuse.