A community initiative to increase use of seat belts in Northern British Columbia: impacts on casualty crashes.

OBJECTIVE: The study aimed to establish an association between seat belt ticketing by police, seat belt wearing rates, and decreases in casualty rates following the implementation of a community seat belt initiative in a northern region of British Columbia. METHODS: Annual and monthly violation ticket rates and the percentage of casualties unbelted in collisions were computed for the North Central region and a comparison region, the Southern Interior. The trends in annual seat belt ticket rates, seat belt use among injured victims, and injury data from 2001 through 2007 were examined by descriptive/univariate methods and with intervention time series analysis. Use of a casualty rate measure controlled for changes in collision frequency over time. The primary outcome measure was injury claim incidents involving injuries other than to soft tissue. Injury claims involving only soft tissue were examined as a control series, because it was reasoned this subset of casualties would be less impacted by seat belt use. RESULTS: Seat belt tickets per capita increased in the North Central (NC) region over the study period, exceeding levels in all other regions. The percentage of unbelted occupants in casualty crashes fell by about 3 percent per year in the NC region after the initiative was introduced compared to about 1 percent per year in the SI region. The time series models revealed a significant reduction in non soft tissue casualties per 100 collisions per month. No significant reduction in the soft tissue only injury criterion was detected. CONCLUSIONS: A strong community initiative backed by support at the provincial level can be successful in a largely rural and sparsely populated northern region despite the challenges faced in such regions.

Young driver risk in relation to parents' retrospective driving record.

PROBLEM: Parents are an important potential influence on the driving safety of their children. This study examined the relationship of parental driving record on male and female offspring's at-fault collision risk. METHOD: Drivers aged 16-21 on the date of full licensure were selected from driver records and a matching process was used to identify putative parents in two-parent households. Poisson regression models were developed to predict at-fault collisions of male and female youth in the three years following full licensure from parents' at-fault collisions, speeding offenses, and other moving offenses in the four years prior to children's licensure. One set of models examined the relative risk associated with increasing numbers of maternal and paternal at-fault collisions and offenses. Other models examined the joint versus separate maternal and parental contributions. RESULTS: Controlling for region of residence, both mothers' and fathers' at-fault collisions were associated with an increased risk in both male and female youth at-fault collisions. Mothers' and fathers' speeding offenses were also associated with increased relative risk of at-fault collisions for both sons and daughters, while fathers' other moving offenses increased collision risk for sons but not daughters. DISCUSSION: Further research is required to identify how parental driving risk is transmitted to children. IMPACT ON INDUSTRY: (a) Parents of young children should be informed of their role in influencing their children's future driving risk; (b) The results identify risk factors that could be of interest to licensing authorities and the insurance industry.

Sleepiness among night-time drivers: relationship to blood alcohol concentration and other factors.

OBJECTIVE: The study aimed to explore the distribution and correlates of subjective sleepiness among the general night-time driving population. METHODS: The survey took place in three British Columbia communities in June 2003 between 21:00 hours to 03:00 hours. Sites and vehicles were selected randomly. Surveyors obtained information on several demographic and situational variables including self-assessed degree of sleepiness and self-reported hours asleep and awake, as well as an objective measure of blood alcohol concentration obtained from a hand-held breath-testing device. RESULTS: The total compliance rate among intercepted drivers was 85%. Among the 2335 drivers responding to the questionnaire, 68.4% indicated that they were wide awake, 27.6% were somewhat sleepy, and 4.1% were very sleepy. Logistic regression quantified the independent contributions of the various factors to subjective sleepiness. Male drivers with positive blood alcohol concentrations under 50 mg% were more likely to report feeling sleepy than those with either higher or with zero blood alcohol concentration. Greater relative risk of sleepiness was also associated with being female, being under age 55, and advanced hour of night. Driving with passengers of the same gender was associated with lower reported sleepiness. CONCLUSIONS: A substantial proportion of night-time drivers are driving while sleepy, especially at late night and early morning hours. The combination of alcohol and sleepiness compounds impairment in experimental studies and deserves greater attention in crash risk studies and as a topic for public education and awareness.