title: Perception of traffic accident risk and decision to drive under light alcohol consumption--a double-blind experimental study.
abstract: OBJECTIVE
  Public traffic safety campaigns in Germany have focussed on the changing risk perception of young drivers. While there is some consensus that perceptions of risk affect driving, less is understood about the relationship and interaction of alcohol consumption and risk perception on the decision to drive. We examined the influence of light alcohol consumption on risk perception and decision to drive, and the interaction of alcohol consumption and cognitive feedback on the handicapping effect of alcohol on risk perception and decision to drive.
  
  
  METHODS
  In a double-blind block-randomized experimental study of 104 young drivers between 19 and 24 years of age, with two experimentally manipulated independent factors of alcohol consumption (three levels: 0% BAC, 0.015% BAC, 0.03% BAC) and feedback (positive or negative), we assessed three dependent variables: perception of traffic accident risk, subjective judgement about driving-relevant cognitive performance, decision to drive a car. Analyses of variance and covariance were used to analyze differences between levels of experimental factors.
  
  
  RESULTS
  We found that persons with 0.015 BAC performed better than persons in both other alcohol conditions on the standardized risk perception task. Perceived handicap of driving was significantly more pronounced for negative feedback compared to positive feedback with no influence of the level of alcohol consumption. No significant influence on decision to drive was found of either level of alcohol consumption, feedback or sex.
  
  
  CONCLUSIONS
  Decision to drive in young drivers could not be influenced by feedback or light consumption. Public health approaches have to find better determining factors.
authors.affiliation: Psychiatric University Hospital, University of Regensburg, Germany. uli.frick@bkr-regensburg.de
authors.forename: U
authors.initials: U
authors.lastname: Frick
authors.forename: J
authors.initials: J
authors.lastname: Rehm
authors.forename: A
authors.initials: A
authors.lastname: Knoll
authors.forename: M
authors.initials: M
authors.lastname: Reifinger
authors.forename: J
authors.initials: J
authors.lastname: Hasford
mesh_terms: D000063:Accidents, Traffic / Q000523:psychology*; D000328:Adult; D000435:Alcoholic Intoxication / Q000523:psychology*; D001290:Attitude; D003657:Decision Making; D004311:Double-Blind Method; D005246:Feedback; D005260:Female; D006801:Humans; D008297:Male; D012309:Risk-Taking