title: Drug driving and the management of risk: the perspectives and practices of a sample of problem drug users.
abstract: This paper reports on a qualitative study of the attitudes and risk management strategies of a sample of problem drug users in relation to driving while under the influence of drugs. Interviews were conducted with 26 individuals (21 men and 5 women) all of whom had been addicted to heroin and had admitted to driving while under the influence of illegal drugs. The drug users reported four main strategies for managing the risks associated with drug driving: attempting to limit their drug intake to their tolerance level; delaying driving after taking a drug until they felt safe; stopping driving if they felt unsafe while behind the wheel; and avoiding driving altogether under the influence of certain drugs. However, the interviewees' accounts of their drug driving behaviour suggest that these strategies are not only far from reliable, they may also act to encourage drug driving by creating a false sense of security. The reassurance they provide may also undermine any educational messages targeting drug driving. There was little in the problem users' accounts to suggest that media campaigns or a more effective method of detection would have much influence upon their behaviour. The paper concludes that the most realistic approach to the problem may be to incorporate drug driving interventions within drug treatment programmes.
authors.affiliation: Centre for Drug Misuse Research, University of Glasgow, 89 Dumbarton Road, Glasgow G11 6PW, United Kingdom. J.McIntosh@socsci.gla.ac.uk
authors.forename: James
authors.initials: J
authors.lastname: McIntosh
authors.forename: Tommy
authors.initials: T
authors.lastname: O'Brien
authors.forename: Neil
authors.initials: N
authors.lastname: McKeganey
mesh_terms: D000063:Accidents, Traffic / Q000517:prevention & control; D000328:Adult; D001334:Automobile Driving / Q000523:psychology*; D015331:Cohort Studies; D003625:Data Collection; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods; D006556:Heroin Dependence / Q000523:psychology* / Q000534:rehabilitation; D006801:Humans; D008297:Male; D008402:Mass Media; D008875:Middle Aged; D011446:Prospective Studies; D012308:Risk Management / Q000379:methods*; D012309:Risk-Taking; D012606:Scotland / Q000453:epidemiology; D019966:Substance-Related Disorders / Q000523:psychology