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Positive health-care effects of an alcohol ignition interlock programme among driving while impaired (DWI) offenders
Trafikverket.
Dalarnas forskningsråd.ORCID iD: 0000-0002-3140-7378
Statistiska Centralbyrån.
2007 (English)In: Addiction, ISSN 0965-2140, E-ISSN 1360-0443, Vol. 102, no 11, p. 1771-1781Article in journal (Refereed) Published
Abstract [en]

Aims: To compare the costs of hospital care and sick leave/disability pensions between two groups of driving while impaired (DWI) offenders: participants in an alcohol ignition interlock programme (AIIP) and controls with revoked licences, but with no comparable opportunity to participate in an AIIP. Setting: As an alternative to licence revocation DWI offenders can participate in a voluntary 2-year AIIP permitting the offender to drive under strict regulations entailing regular medical check-ups. The participants are forced to alter their alcohol habits and those who cannot demonstrate sobriety are dismissed from the programme. Participants: are liable for all costs themselves. Design: Quasi-experimental, with a non-equivalent control group used for comparison; intent-to-treat design. Based on the number of occasions/days in hospital and on sick leave/disability pension, the health-care costs for public insurance have been calculated. Finding: Average total health-care costs were 25% lower among AIIP participants (1156 individuals) than among controls (815 individuals) during the 2-year treatment period. This corresponds to over €1000 (SEK9610) less annual costs per average participant. For those who complete the 2-year programme the cost reduction was more pronounced; 37% during the treatment and 20% during the post-treatment period. Conclusions: The positive health-care effects were due apparently to reduced alcohol consumption. The social benefit of being allowed to drive while in the AIIP may also have contributed. The reduction in health-care costs was significant only during the 2-year treatment period, but among those who completed the entire AIIP sustained effects were also observed in the post-treatment period. The effects were comparable to those of regular alcoholism treatment programmes. (PsycINFO Database Record (c) 2012 APA, all rights reserved)(journal abstract)

Place, publisher, year, edition, pages
John Wiley & Sons, 2007. Vol. 102, no 11, p. 1771-1781
Keywords [en]
Alcoholism, Alcoholism, Driving Under the Influence, Safety Devices
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:du-16211DOI: 10.1111/j.1360-0443.2007.02006.xOAI: oai:DiVA.org:du-16211DiVA, id: diva2:756409
Available from: 2014-10-17 Created: 2014-10-17 Last updated: 2017-12-05Bibliographically approved

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Kostela, Johan

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CiteExportLink to record
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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
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  • nn-NB
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