title: Impact of lowering the legal blood alcohol concentration limit to 0.03 on male, female and teenage drivers involved alcohol-related crashes in Japan.
abstract: In June of 2002, a revision to part of the Road Traffic Act drastically increased the penalties for drinking and driving offences in Japan. Most notably, the legal blood alcohol concentration (BAC) limit for driving was lowered from 0.05 mg/ml to 0.03 mg/ml. The rationale for the new lower BAC limit was predicated on the assumption that drinking drivers will comply with the new, lower limit by reducing the amount of alcohol they consume prior to driving, thereby lowering their risk of crash involvement. This, in turn, would lead to fewer alcohol-related crashes. A key limitation of previous lower BAC evaluation research in determining the effectiveness of lower legal BAC limit policies is the assumption of population homogeneity in responding to the laws. The present analysis is unique in this perspective and focuses on the evaluation of the impact of BAC limit reduction on different segments of the population. The chief objective of this research is to quantify the extent to which lowering the legal limit of BAC has reduced male, female and teenager involvement in motor vehicle crashes in Japan since 2002. Most notably, the introduction of reduced BAC limit legislation resulted in a statistically significant decrease in the number of alcohol-impaired drivers on the road in Japan, indicating responsiveness to the legal change among adults and teenagers. In addition, this preliminary assessment appears to indicate that the implementation of 0.03 BAC laws and other associated activities are associated with statistically significant reductions in alcohol-involved motor vehicle crashes. In comparison, the rates of total crashes showed no statistically significant decline nor increase in the period following the introduction of the BAC law, indicating that the lower BAC limit only had an effect on alcohol-related crashes in Japan. The evidence suggests that the lower BAC legal limit and perceived risk of detection are the two most important factors resulting in a sustained change in drinking and driving behaviour in Japan. It is recommended that future research and resources in other countries be focused on these factors as determinants to reduced alcohol-related crashes.
authors.affiliation: Department of Pediatrics, Faculty of Medicine, University of British Columbia, BC Injury Research and Prevention Unit, Center for Community Child Health Research, Vancouver, Canada. edesap@cw.bc.ca
authors.forename: E
authors.initials: E
authors.lastname: Desapriya
authors.forename: S
authors.initials: S
authors.lastname: Shimizu
authors.forename: I
authors.initials: I
authors.lastname: Pike
authors.forename: S
authors.initials: S
authors.lastname: Subzwari
authors.forename: G
authors.initials: G
authors.lastname: Scime
mesh_terms: D000063:Accidents, Traffic / Q000331:legislation & jurisprudence / Q000517:prevention & control*; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001336:Automobiles / Q000331:legislation & jurisprudence / Q000592:standards*; D000431:Ethanol / Q000097:blood*; D005260:Female; D033161:Government Regulation; D006291:Health Policy; D006801:Humans; D007564:Japan; D008297:Male; D018570:Risk Assessment; D012449:Safety
chemical_list: D000431:Ethanol