title: Effects on alcohol related fatal crashes of a community based initiative to increase substance abuse treatment and reduce alcohol availability.
abstract: OBJECTIVE
  This analysis tested whether comprehensive community interventions that focus on reducing alcohol availability and increasing substance abuse treatment can reduce alcohol related fatal traffic crashes.
  
  
  METHODS
  Five of 14 communities awarded Fighting Back grants by The Robert Wood Johnson Foundation to reduce substance abuse and related problems attempted to reduce availability of alcohol and expand substance abuse treatment programs (FBAT communities). Program implementation began on 1 January 1992.
  
  
  METHODS
  A quasi-experimental design matched each program community to two or three other communities of similar demographic composition in the same state.
  
  
  METHODS
  The ratio of fatal crashes involving a driver or pedestrian with a blood alcohol concentration of 0.01% or higher, 0.08% or higher, or 0.15% or higher were examined relative to fatal crashes where no alcohol was involved for 10 years preceding and 10 years following program initiation.
  
  
  RESULTS
  Relative to their comparison communities, the five FBAT communities experienced significant declines of 22% in alcohol related fatal crashes at 0.01% BAC or higher, 20% at 0.08% or higher, and 17% at 0.15% or higher relative to fatal crashes not involving alcohol.
  
  
  CONCLUSIONS
  Community interventions to reduce alcohol availability and increase substance abuse treatment can reduce alcohol related fatal traffic crashes.
authors.affiliation: Boston University School of Public Health, Center to Prevent Alcohol-related Problems Among Young People, Boston, MA 02118, USA. rhingson@mail.nih.gov
authors.forename: R W
authors.initials: RW
authors.lastname: Hingson
authors.forename: R C
authors.initials: RC
authors.lastname: Zakocs
authors.forename: T
authors.initials: T
authors.lastname: Heeren
authors.forename: M R
authors.initials: MR
authors.lastname: Winter
authors.forename: D
authors.initials: D
authors.lastname: Rosenbloom
authors.forename: W
authors.initials: W
authors.lastname: DeJong
mesh_terms: D000063:Accidents, Traffic / Q000401:mortality* / Q000517:prevention & control / Q000639:trends; D000428:Alcohol Drinking / Q000517:prevention & control*; D019973:Alcohol-Related Disorders / Q000517:prevention & control*; D000434:Alcoholic Beverages / Q000600:supply & distribution; D001334:Automobile Driving; D003153:Community Health Services / Q000379:methods*; D003254:Consumer Advocacy; D000431:Ethanol / Q000097:blood; D006801:Humans; D015397:Program Evaluation / Q000379:methods; D014481:United States
chemical_list: D000431:Ethanol