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    Preventing alcohol related traffic injury: a health promotion approach

    Access Status
    Fulltext not available
    Authors
    Howat, Peter
    Sleet, D.
    Maycock, Bruce
    Date
    2004
    Type
    Journal Article
    
    Metadata
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    Citation
    Howat, Peter and Sleet, D. and Maycock, Bruce. 2004. Preventing alcohol related traffic injury: a health promotion approach. Journal of Traffic Injury Prevention. 5(3): pp. 208-219.
    Source Title
    Journal of Traffic Injury Prevention
    DOI
    10.1080/15389580490465238
    ISSN
    15389588
    Faculty
    Faculty of Health Sciences
    School of Public Health
    Western Australian Centre for Health Promotion Research (WACHPR)
    School
    Western Australian Centre for Health Promotion Research (Curtin Research Centre)
    URI
    http://hdl.handle.net/20.500.11937/38791
    Collection
    • Curtin Research Publications
    Abstract

    The conditions that give rise to drinking and driving are complex, with multiple and interrelated causes. Prevention efforts benefit from an approach that relies on the combination of multiple interventions. Health promotion provides a useful framework for conceptualizing and implementing actions to reduce drinking and driving since it involves a combination of educational, behavioral, environmental, and policy approaches. This review draws on data from a range of settings to characterize the effectiveness of various interventions embedded within the health promotion approach. Interventions considered part of the health promotion approach include: (1) economic interventions (2) organizational interventions, (3) policy interventions, and (4) health education interventions, including the use of media, school and community education, and public awareness programs.Effective health promotion strengthens the skills and capabilities of individuals to take action and the capacity of groups or communities to act collectively to exert control over the determinants of alcohol-impaired driving. There is strong evidence for the effectiveness of some components of health promotion, including economic and retailer interventions, alcohol taxation, reducing alcohol availability, legal and legislative strategies, and strategies addressing the servers of alcohol. There is also evidence for the effectiveness of sobriety checkpoints, lower BAC laws, minimum legal drinking age laws, and supportive media promotion programs. Other interventions with moderate evidence of effectiveness include restricting alcohol advertising and promotion, and actions involving counter advertising. Health education interventions alone that have insufficient evidence for effectiveness include passive server training programs, school drug and alcohol education programs, community mobilization efforts, and health warnings. Because each intervention builds on the strengths of every other one, ecological approaches to reducing alcohol-impaired driving using all four components of the health promotion model are likely to be the most effective. Settings such as schools, workplaces, cities, and communities offer practical opportunities to implement alcohol-impaired driving prevention programs within this framework.

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