Comparing the cost of alcohol-related traffic crashes in rural and urban environments

Article


Czech, Suzanne, Shakeshaft, Anthony P., Byrnes, Joshua M. and Doran, Christopher M.. 2010. "Comparing the cost of alcohol-related traffic crashes in rural and urban environments." Accident Analysis and Prevention. 42 (4), pp. 1195-1198. https://doi.org/10.1016/j.aap.2010.01.010
Article Title

Comparing the cost of alcohol-related traffic crashes in rural and urban environments

ERA Journal ID13370
Article CategoryArticle
AuthorsCzech, Suzanne (Author), Shakeshaft, Anthony P. (Author), Byrnes, Joshua M. (Author) and Doran, Christopher M. (Author)
Journal TitleAccident Analysis and Prevention
Journal Citation42 (4), pp. 1195-1198
Number of Pages4
Year2010
Place of PublicationOxford, United Kingdom
ISSN0001-4575
1879-2057
Digital Object Identifier (DOI)https://doi.org/10.1016/j.aap.2010.01.010
Web Address (URL)http://www.sciencedirect.com/science/article/pii/S0001457510000138
Abstract

Context: Existing studies have identified that, although to a lesser extent than individual factors such as males and young people, rural (compared to urban) communities represent a disproportionately highrisk of alcohol-related traffic crashes (ARTCs). To date, however, few studies have attempted to apply different costs to alcohol crashes of different severity, to provide more precise, and practically useful data on which to base public health policy and intervention decisions.
Objective: The aim of this study is to quantify the per capita prevalence and differential costs of alcohol crashes of different levels of severity to determine the extent to which urban and rural geographical areas may differ in the costs attributable to ARTCs.
Design: A cross-sectional analysis of alcohol-related traffic crash and costs data from 2001 to 2007.
Setting and participants: Data from New South Wales, Australia.
Main outcome measures: Modified routinely collected traffic accident data to which costs relevant to alcohol crashes of different severity are applied.
Results: Although the rate per 10,000 population of alcohol-related crashes is 1.5 times higher in rural, relative to urban, communities, the attributable cost is four times higher, which largely reflects that rural alcohol-fatalities are seven to eight times more prevalent and costly.
Conclusions: Given that per capita alcohol-related fatal crashes in rural areas account for a disproportionately
large proportion of the harms and costs associated with alcohol-related traffic crashes, the cost-effectiveness of public health interventions and public policy initiatives should consider the relative extent of ARTC-harm in rural versus urban communities.

Keywordsalcohol; traffic crash; cost; rural; fatality; injury
ANZSRC Field of Research 2020429999. Other health sciences not elsewhere classified
380108. Health economics
520105. Psychological methodology, design and analysis
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Byline AffiliationsUniversity of New South Wales
Institution of OriginUniversity of Southern Queensland
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