Evidence map›Paper›PMID 32192802›Full record

ArticleAmerican journal of preventive medicine2020

Alcohol Policies and Motor Vehicle Crash Deaths Involving Blood Alcohol Concentrations Below 0.08.

Marlene C Lira, Vishnudas Sarda, Timothy C Heeren, Matthew Miller, Timothy S Naimi

Open access · greenAbstract read
In one paragraph

Article in American journal of preventive medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 26 citations in OpenAlex.

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    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Marlene C LiraSection of General Internal Medicine, Boston Medical Center, Boston, Massachusetts; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
Vishnudas SardaSection of General Internal Medicine, Boston Medical Center, Boston, Massachusetts.
Timothy C HeerenDepartment of Biostatistics, Boston University School of Public Health, Boston, Massachusetts.
Matthew MillerDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts; Department of Health Sciences, Bouvé College of Health Sciences, Northeastern University, Boston, Massachusetts.
Timothy S NaimiSection of General Internal Medicine, Boston Medical Center, Boston, Massachusetts; Department of Community Health Sciences, Boston University School of Public Health, Boston, Massachusetts. Electronic address: tim.naimi@bmc.org.
Boston Medical Center · USBoston University · USNortheastern University · US

Funding

Impact of Marijuana Policies on Alcohol Use and Alcohol-Related MortalityR01AA026268 · NIAAA · BOSTON MEDICAL CENTER · PI NAIMI, TIMOTHY SIMONDS · 2018 to 2021
$2.5M
Youth Drinking: The Effects of Alcohol Control Policies and Adult Drinking PatteR01AA018377 · NIAAA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI NAIMI, TIMOTHY SIMONDS · 2009 to 2012
$2.0M
The Alcohol Policy Environment and Leading Causes of Alcohol Related MortalityR01AA023376 · NIAAA · BOSTON MEDICAL CENTER · PI NAIMI, TIMOTHY SIMONDS, XUAN, ZIMING · 2014 to 2016
$1.2M
NIAAA NIH HHS R01 AA018377NIAAA NIH HHS R01 AA023376NIAAA NIH HHS R01 AA026268
6 · The paper itself

Abstract

introductionMotor vehicle crashes are a leading cause of injury death in the U.S. Restrictive alcohol policies protect against crashes involving alcohol above the legal blood alcohol concentration of 0.08%. Characteristics of motor vehicle crash fatalities involving blood alcohol concentrations below the limit and their relationships to alcohol control policies have not been well characterized.

methodsMotor vehicle crash fatality data and crash and decedent characteristics from 2000 to 2015 came from the Fatality Analysis Reporting System and were analyzed in 2018-2019. Alcohol Policy Scale scores characterized alcohol policy environments by state-year. Generalized estimating equation alternating logistic regression models assessed these scores and the odds that a fatality involved alcohol below the legal threshold.

resultsOf 612,030 motor vehicle crash fatalities, 223,471 (37%) died in alcohol-involved crashes, of which 33,965 (15% of alcohol-involved fatalities or 6% of all fatalities) had a blood alcohol concentration <0.08%. A 10 percentage point increase in Alcohol Policy Scale score, approximating the interquartile range among states, was associated with reduced odds of fatalities involving alcohol <0.08% vs 0.00% (AOR=0.91, 95% CI=0.89, 0.93). These findings held across multiple subgroup analyses by decedent and crash characteristics. Similar results were found for odds of alcohol involvement <0.05% vs 0.00% (AOR=0.90, 95% CI=0.88, 0.93), and ≥0.05% but <0.08% vs <0.05% (AOR=0.93, 95% CI=0.89, 0.96).

conclusionsThe number of lower blood alcohol concentration fatalities is substantial. States with more restrictive alcohol policies tend to have reduced odds of lower blood alcohol concentration motor vehicle crashes than states with weaker policies.

Indexed as

Accidents, TrafficBlood Alcohol ContentPublic PolicyAdolescentAdultAlcohol DrinkingFemaleHumansMaleMiddle AgedMotor VehiclesUnited StatesYoung AdultBlood Alcohol Content

Identifiers

PMID32192802
PMCPMC7174083
OpenAlexW3011782207

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.