The Evaluation of Blood Alcohol Concentration of Drivers Involved in Traffic Accidents or Suspected for Alcohol in The Roadside Controls in Four Big Cities of Turkey

Öz:

Objective: Previous studies have revealed a relationship between the driving under the influence of alcohol (DUIA) and/or driving under the influence drugs (DUID) and the increased risk of death and injury in traffic accidents. The aim of this study was to investigate of blood alcohol concentration (BAC) of drivers after involved in a traffic accident or for suspected for drunkenness in the roadside traffic control in the Turkey’s four major cities. Methods: In this study, we retrospectively reviewed the laboratory registrations in university hospitals in four big cities of Turkey (Van, Manisa, Diyarbakır and Samsun) for BAC for five years (from 1 January 2015 to 31 December 2019) of the drivers. Results: In 342 cases (7.1%), BACs were above the cut-off value (0.01 g/100 mL). Of the cases sent for alcohol determination, 11.3% were women and 88.7% were men, and their mean age was 35.3±13.1. In 342 alcohol positive cases, BACs were above 0.101% in 58.8% of cases. BAC positivity of the cases was 9.4% in Manisa, 6.3% in Van, 5.3% in Samsun, and 5% in Diyarbakır. BAC was found to be positive in 4.4% (n=24) of females and 7.4% (n=318) of males (p<0.05). Conclusion: This study is one of the limited number of multicentre studies in this field; it was concluded in the study that zero tolerance should be for drunk driving in traffic, the deterrence of fines should be increased, and roadside screening tests should be used more widely.

Anahtar Kelime:

Türkiye’nin Dört Büyük İlinde Trafik Kazalarına Karışan veya Alkol Şüphesi Bulunan Sürücülerin Yol Kenarı Kontrollerinde Kandaki Alkol Konsantrasyonlarının Değerlendirilmesi

Öz:

Amaç: Önceki çalışmalar, alkollü araç kullanma ve/veya uyuşturucu etkisi altında araç kullanma (AUAK) ile trafik kazalarında artan ölüm ve yaralanma riski arasında bir ilişki olduğunu ortaya koymuştur. Bu çalışmanın amacı, Türkiye’nin dört büyük şehrinde trafik kazası geçirdikten sonra veya yol kenarı trafik kontrolünde alkollü olduğu şüphesi bulunan sürücülerin kanlarındaki alkol konsantrasyonlarının (BAC) araştırılmasıdır. Yöntem: Bu çalışmada, Türkiye’nin dört büyük ilindeki (Van, Manisa, Diyarbakır ve Samsun) üniversite hastanelerinde sürücülerin beş yıllık (1 Ocak 2015 - 31 Aralık 2019 tarihleri arasında) BAC için laboratuar kayıtlarını geriye dönük olarak inceledik. Bulgular: Üç yüz kırk iki olguda (%7,1) BAC’ler eşik değerin (0,01 g/100 mL) üzerindeydi. Alkol tayini için gönderilen olguların %11,3’ü kadın, %88,7’si erkek olup, yaş ortalaması 35,3±13,1’dir. Üç yüz kırk iki alkol pozitif olguda, olguların %58,8’inde BAC’ler %0,101’in üzerindeydi. Olguların BAC pozitifliği Manisa’da %9,4, Van’da %6,3, Samsun’da %5,3 ve Diyarbakır’da %5 idi. Kadınların %4,4’ünde (n=24) ve erkeklerin %7,4’ünde (n=318) BAC pozitif bulundu (p<0,05). Sonuç: Bu çalışma, bu alandaki sınırlı sayıdaki çok merkezli çalışmalardan biridir; çalışmada trafikte alkollü araç kullanmaya sıfır tolerans gösterilmesi, cezaların caydırıcılığının artırılması ve yol kenarı tarama testlerinin daha yaygın olarak kullanılması gerektiği sonucuna varılmıştır.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. World Health Organization. Road traffic injuries. Available at: https:// www.who.int/news-room/fact-sheets/detail/road-traffic-injuries (Accessed: October 10, 2020).
2. Asirdizer M, Hekimoglu Y. The roadside tests for alcohol and drugs in traffic: history, evolution and usage in the present day. Bulletin of Forensic Medicine. 2015;20(3):181-187. doi: 10.17986/blm.2015314267
3. Acar F, Asirdizer M, Aker RG, Kucukibrahimoglu EE, Ates I, Erol Y, et al. A review of suspected cases of driving under the influence of drugs (DUID) involved in traffic accidents in Istanbul (Turkey). J Forensic Leg Med. 2013;20(6):626-631. doi: 10.1016/j.jflm.2013.03.028
4. Kim DG, Lee Y. Identifying the influences of demographic characteristics and personality of inveterate drunk drivers on the likelihood of driving under the influence of alcohol (DUIA) recurrence. International Journal of Urban Sciences. 2017;21(3):300-311. doi: 10.1080/12265934.2017.1365004
5. Zador PL. Alcohol-related relative risk of fatal driver injuries in relation to driver age and sex. J Stud Alcohol. 1991;52(4):302-310. doi: 10.15288/ jsa.1991.52.302
6. Fell JC, Scherer M. Estimation of the potential effectiveness of lowering the blood alcohol concentration (BAC) limit for driving from 0.08 to 0.05 grams per deciliter in the United States. Alcohol Clin Exp Res. 2017;41(12):2128- 2139. doi: 10.1111/acer.13501
7. Legrand SA, Gjerde H, Isalberti C, Van der Linden T, Lillsunde P, Dias MJ, et al. Prevalence of alcohol, illicit drugs and psychoactive medicines in killed drivers in four European countries. Int J Inj Contr Saf Promot. 2014;21(1):17- 28. doi: 10.1080/17457300.2012.748809
8. Legrand SA, Isalberti C, der Linden TV, Bernhoft IM, Hels T, Simonsen KW, et al. Alcohol and drugs in seriously injured drivers in six European countries. Drug Test Anal. 2013;5(3):156-165. doi: 10.1002/dta.1393.
9. Turkish Statistical Institute, Road Traffic Accident Statistics, 2019. Available at: https://tuikweb.tuik.gov.tr/PreHaberBultenleri.do?id=33628 (Accessed: May 03, 2021).
10. Durna T. Problem definition and agenda setting in public policies: role of grassroots organizations on drunk driving policymaking. The GLOBAL (A Journal of Policy and Strategy). 2015;1(2):49-65.
11. Avci M, Bilgin H. An analysis on the provisions of temporary termination of the drive document because of driver for vehicles with alcohol. Journal of Judgments by the Court of Jurisdictional Disputes. 2019;7(13):129-166.
12. Gjerde H, Normann PT, Christophersen AS, Samuelsen SO, Mørland J. Alcohol, psychoactive drugs and fatal road traffic accidents in Norway: a case-control study. Accid Anal Prev. 2011;43(3):1197-1203. doi: 10.1016/j. aap.2010.12.034
13. Movig KL, Mathijssen MP, Nagel PH, van Egmond T, de Gier JJ, Leufkens HG, et al. Psychoactive substance use and the risk of motor vehicle accidents. Accid Anal Prev. 2004;36(4):631-636. doi: 10.1016/S0001-4575(03)00084-8
14. Gjerde H, Normann PT, Pettersen BS, Assum T, Aldrin M, Johansen U, et al. Prevalence of alcohol and drugs among Norwegian motor vehicle drivers: a roadside survey. Accid Anal Prev. 2008;40(5):1765-1772. doi: 10.1016/j. aap.2008.06.015
15. Kelly E, Darke S, Ross J. A review of drug use and driving: epidemiology, impairment, risk factors and risk perceptions. Drug Alcohol Rev. 2004;23(3):319-344. doi: 10.1080/09595230412331289482
16. Augsburger M, Rivier L. Drugs and alcohol among suspected impaired drivers in Canton de Vaud (Switzerland). Forensic Sci Int. 1997;85(2):95-104. doi: 10.1016/s0379-0738(96)02084
17. WHO. Global Status Report on Alcohol and Health 2018. Available at: https:// web.archive.org/web/20210210160224/https://apps.who.int/iris/bitstream/ handle/10665/274603/9789241565639-eng.pdf (Accessed: May 03, 2021).
18. Girgin V, Kocabiyik A. Drunk driving behaviour. Düşünen Adam Dergisi. 2002;15(3):185-186.
19. Kabalci M, Metin G. Education Level Indicators by Province and Regions. Available at: http://tucaum.ankara.edu.tr/wp-content/uploads/ sites/280/2015/08/semp7_34.pdf (Accessed: May 03, 2021).
20. Delice M. The investigation of the relationship between female drivers and traffic accidents. Journal of Social Sciences. 2012;12(49):63-87.
21. Karjalainen K, Blencowe T, Lillsunde P. Substance use and social, health and safety-related factors among fatally injured drivers. Accid Anal Prev. 2012;45:731-736. doi: 10.1016/j.aap.2011.09.044
22. Costa N, Silva R, Mendonça MC, Real FC, Vieira DN, Teixeira HM. Prevalence of ethanol and illicit drugs in road traffic accidents in the centre of Portugal: An eighteen-year update. Forensic Sci Int. 2012;216(1-3):37-43. doi: 10.1016/j.forsciint.2011.08.013
23. Senna MC, Augsburger M, Aebi B, Briellmann TA, Donzé N, Dubugnon JL, et al. First nationwide study on driving under the influence of drugs in Switzerland. Forensic Sci Int. 2010 May 20;198(1-3):11-16. doi: 10.1016/j. forsciint.2010.02.014

APA	CAN H, Asirdizer M, Bilvanisi S, Dursun R, DURAN L, KARABAĞ G, ARICA E, BILGE A, Aydın F, Sever D (2022). The Evaluation of Blood Alcohol Concentration of Drivers Involved in Traffic Accidents or Suspected for Alcohol in The Roadside Controls in Four Big Cities of Turkey. , 129 - 135. 10.17986/blm.1572
Chicago	CAN HALE NUR,Asirdizer Mahmut,Bilvanisi Sevdegül,Dursun Recep,DURAN Latif,KARABAĞ Gökmen,ARICA ENES,BILGE ADNAN,Aydın Faruk,Sever Demet The Evaluation of Blood Alcohol Concentration of Drivers Involved in Traffic Accidents or Suspected for Alcohol in The Roadside Controls in Four Big Cities of Turkey. (2022): 129 - 135. 10.17986/blm.1572
MLA	CAN HALE NUR,Asirdizer Mahmut,Bilvanisi Sevdegül,Dursun Recep,DURAN Latif,KARABAĞ Gökmen,ARICA ENES,BILGE ADNAN,Aydın Faruk,Sever Demet The Evaluation of Blood Alcohol Concentration of Drivers Involved in Traffic Accidents or Suspected for Alcohol in The Roadside Controls in Four Big Cities of Turkey. , 2022, ss.129 - 135. 10.17986/blm.1572
AMA	CAN H,Asirdizer M,Bilvanisi S,Dursun R,DURAN L,KARABAĞ G,ARICA E,BILGE A,Aydın F,Sever D The Evaluation of Blood Alcohol Concentration of Drivers Involved in Traffic Accidents or Suspected for Alcohol in The Roadside Controls in Four Big Cities of Turkey. . 2022; 129 - 135. 10.17986/blm.1572
Vancouver	CAN H,Asirdizer M,Bilvanisi S,Dursun R,DURAN L,KARABAĞ G,ARICA E,BILGE A,Aydın F,Sever D The Evaluation of Blood Alcohol Concentration of Drivers Involved in Traffic Accidents or Suspected for Alcohol in The Roadside Controls in Four Big Cities of Turkey. . 2022; 129 - 135. 10.17986/blm.1572
IEEE	CAN H,Asirdizer M,Bilvanisi S,Dursun R,DURAN L,KARABAĞ G,ARICA E,BILGE A,Aydın F,Sever D "The Evaluation of Blood Alcohol Concentration of Drivers Involved in Traffic Accidents or Suspected for Alcohol in The Roadside Controls in Four Big Cities of Turkey." , ss.129 - 135, 2022. 10.17986/blm.1572
ISNAD	CAN, HALE NUR vd. "The Evaluation of Blood Alcohol Concentration of Drivers Involved in Traffic Accidents or Suspected for Alcohol in The Roadside Controls in Four Big Cities of Turkey". (2022), 129-135. https://doi.org/10.17986/blm.1572

APA	CAN H, Asirdizer M, Bilvanisi S, Dursun R, DURAN L, KARABAĞ G, ARICA E, BILGE A, Aydın F, Sever D (2022). The Evaluation of Blood Alcohol Concentration of Drivers Involved in Traffic Accidents or Suspected for Alcohol in The Roadside Controls in Four Big Cities of Turkey. Adli Tıp Bülteni, 27(2), 129 - 135. 10.17986/blm.1572
Chicago	CAN HALE NUR,Asirdizer Mahmut,Bilvanisi Sevdegül,Dursun Recep,DURAN Latif,KARABAĞ Gökmen,ARICA ENES,BILGE ADNAN,Aydın Faruk,Sever Demet The Evaluation of Blood Alcohol Concentration of Drivers Involved in Traffic Accidents or Suspected for Alcohol in The Roadside Controls in Four Big Cities of Turkey. Adli Tıp Bülteni 27, no.2 (2022): 129 - 135. 10.17986/blm.1572
MLA	CAN HALE NUR,Asirdizer Mahmut,Bilvanisi Sevdegül,Dursun Recep,DURAN Latif,KARABAĞ Gökmen,ARICA ENES,BILGE ADNAN,Aydın Faruk,Sever Demet The Evaluation of Blood Alcohol Concentration of Drivers Involved in Traffic Accidents or Suspected for Alcohol in The Roadside Controls in Four Big Cities of Turkey. Adli Tıp Bülteni, vol.27, no.2, 2022, ss.129 - 135. 10.17986/blm.1572
AMA	CAN H,Asirdizer M,Bilvanisi S,Dursun R,DURAN L,KARABAĞ G,ARICA E,BILGE A,Aydın F,Sever D The Evaluation of Blood Alcohol Concentration of Drivers Involved in Traffic Accidents or Suspected for Alcohol in The Roadside Controls in Four Big Cities of Turkey. Adli Tıp Bülteni. 2022; 27(2): 129 - 135. 10.17986/blm.1572
Vancouver	CAN H,Asirdizer M,Bilvanisi S,Dursun R,DURAN L,KARABAĞ G,ARICA E,BILGE A,Aydın F,Sever D The Evaluation of Blood Alcohol Concentration of Drivers Involved in Traffic Accidents or Suspected for Alcohol in The Roadside Controls in Four Big Cities of Turkey. Adli Tıp Bülteni. 2022; 27(2): 129 - 135. 10.17986/blm.1572
IEEE	CAN H,Asirdizer M,Bilvanisi S,Dursun R,DURAN L,KARABAĞ G,ARICA E,BILGE A,Aydın F,Sever D "The Evaluation of Blood Alcohol Concentration of Drivers Involved in Traffic Accidents or Suspected for Alcohol in The Roadside Controls in Four Big Cities of Turkey." Adli Tıp Bülteni, 27, ss.129 - 135, 2022. 10.17986/blm.1572
ISNAD	CAN, HALE NUR vd. "The Evaluation of Blood Alcohol Concentration of Drivers Involved in Traffic Accidents or Suspected for Alcohol in The Roadside Controls in Four Big Cities of Turkey". Adli Tıp Bülteni 27/2 (2022), 129-135. https://doi.org/10.17986/blm.1572