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

Czech, Suzanne and Shakeshaft, Anthony P. and 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. ISSN 0001-4575


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.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Permanent restricted access to published version due to publisher copyright policy.
Faculty/School / Institute/Centre: Historic - Faculty of Sciences - Department of Psychology
Date Deposited: 18 May 2012 03:28
Last Modified: 03 Jul 2013 01:11
Uncontrolled Keywords: alcohol; traffic crash; cost; rural; fatality; injury
Fields of Research : 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified
14 Economics > 1402 Applied Economics > 140208 Health Economics
17 Psychology and Cognitive Sciences > 1701 Psychology > 170110 Psychological Methodology, Design and Analysis
Socio-Economic Objective: E Expanding Knowledge > 97 Expanding Knowledge > 970111 Expanding Knowledge in the Medical and Health Sciences
Identification Number or DOI: 10.1016/j.aap.2010.01.010

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