title: Evaluation of the health effects of the new driving penalty point system in the Lazio Region, Italy, 2001-4.
abstract: OBJECTIVE
  The penalty point system was introduced in Italy in June 2003. The aim of this study was to evaluate the health effects of this legislation in the Lazio region.
  
  
  METHODS
  Poisson models were used to compare emergency department visits, hospitalizations and death between the pre-law and post-law periods (July 2001-June 2003; July 2003-June 2004).
  
  
  RESULTS
  The emergency department visit rate ratio (RR) of the two periods was 0.87 (95% confidence interval (CI) 0.86 to 0.88); the corresponding hospital admission RR was 0.87 (95% CI 0.84 to 0.9). The death RR was 0.93 (95% CI 0.82 to 1.05).
  
  
  CONCLUSIONS
  After the legislation was introduced, there were fewer visits to the emergency department, hospitalizations and death from road traffic injuries. However, the effect was lower than expected, and it decreased over time.
authors.affiliation: Public Health Agency, Lazio region, Rome, Italy. farchi@asplazio.it
authors.forename: Sara
authors.initials: S
authors.lastname: Farchi
authors.forename: Francesco
authors.initials: F
authors.lastname: Chini
authors.forename: Paolo
authors.initials: P
authors.lastname: Giorgi Rossi
authors.forename: Laura
authors.initials: L
authors.lastname: Camilloni
authors.forename: Piero
authors.initials: P
authors.lastname: Borgia
authors.forename: Gabriella
authors.initials: G
authors.lastname: Guasticchi
mesh_terms: D000056:Accident Prevention / Q000331:legislation & jurisprudence; D000063:Accidents, Traffic / Q000401:mortality / Q000517:prevention & control / Q000706:statistics & numerical data*; D001334:Automobile Driving / Q000331:legislation & jurisprudence*; D004638:Emergency Treatment / Q000706:statistics & numerical data; D006801:Humans; D007558:Italy; D016017:Odds Ratio; D010343:Patient Admission / Q000706:statistics & numerical data*; D012306:Risk