ArticleDrug and alcohol review2026
Understanding the Cause and Diversity of Women's Drink and Drug Driving-A Qualitative Exploration.
Article in Drug and alcohol review, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionDrink and drug driving continues to pose a significant public health risk, with incidents increasing among women. Building on limited prior research, this study situates women's substance-impaired driving within a psychosocial and gender-responsive criminological framework to explore women's experiences with impaired driving.
methodsSemi-structured interviews were conducted with N = 27 women apprehended for drink or drug driving within the past 5 years in Queensland, Australia. Data were analysed using ideal-type analysis, identifying typologies based on similarities and differences across accounts.
resultsFour distinct typologies emerged from the analysis: (i) Inadvertent Drink Drivers, who unintentionally exceeded the general alcohol limit due to misunderstandings about alcohol metabolism and reliance on outdated consumption guidelines; (ii) Post-Apprehension Separators, who continued using substances but implemented deliberate strategies to separate substance use from driving; (iii) Drivers Engaged in Recovery, who had ceased substance use at the time of the interview; and (iv) High-Risk Offenders, who demonstrated a high likelihood of reoffending, often influenced by permissive social environments and low responsiveness to legal sanctions. DISCUSSION AND
conclusionsSome women's profiles aligned with previous research where substance-impaired driving was shaped by gendered stressors, whereas others reflected characteristics more consistent with traditional male-typed profiles. Distinct intervention needs were identified across typologies, including substance use and mental health treatment, education initiatives, self-regulated separation strategies and legislative sanctions. Recognising how individual behaviour is shaped by social and structural factors is essential for designing equitable, gender-responsive interventions and supports that enhance women's capacity to avoid reoffending.
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