title: Evaluation of a program to reduce motor-vehicle collisions among young adults in the county of Landes, France.
abstract: The aim of this study was to evaluate the impact of a prevention program called "Atout-Route", based on the concept of commitment. The program was implemented in March 2000, to reduce the number of drivers under the age of 25 years involved in motor-vehicle collisions in the county of Landes (southwestern France). Using data from the regional observatory of road safety, we defined a target and three control groups similar on age or location. We used Poisson and quasi-Poisson regression to estimate whether the observed evolution of motor-vehicle collisions, after the program was implemented, was different in the targeted group than in the three control groups. The number of motor-vehicle collisions decreased everywhere and in every age group. The effect of the prevention program was not statistically significant (relative risk=0.89; 95% confidence interval 0.74-1.07). Our results are compatible with a positive effect of the program. The possible dilution of its effect by national road safety actions implemented since 2000, and our early assessment are possible reasons for the non-significant observation.
authors.affiliation: Laboratoire Santé Travail Environnement (EA 3672, IFR99), Institut de Santé Publique d'Epidémiologie et de Développement, Université Victor Segalen Bordeaux 2, France.
authors.forename: Laure I
authors.initials: LI
authors.lastname: Carcaillon
authors.forename: L Rachid
authors.initials: LR
authors.lastname: Salmi
mesh_terms: D000056:Accident Prevention / Q000379:methods*; D000063:Accidents, Traffic / Q000145:classification / Q000517:prevention & control* / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D005260:Female; D005602:France / Q000453:epidemiology; D006293:Health Promotion; D006801:Humans; D008297:Male; D016012:Poisson Distribution; D015397:Program Evaluation; D012449:Safety; D040241:Social Marketing; D019966:Substance-Related Disorders / Q000517:prevention & control