title: The relationship between impaired driving crashes and beliefs about impaired driving: do residents in high crash rate counties have greater concerns about impaired driving?
abstract: OBJECTIVE
  The purpose of this investigation was to examine the relationship between impaired driving crashes and public beliefs and concerns about impaired driving across each of Maryland's twenty-four counties (including Baltimore City). It was hypothesized that residents of counties that experience higher impaired driving crashes would express more concerns about impaired driving and perceive more risks about driving impaired than residents of counties that have lower rates of impaired driving.
  
  
  METHODS
  Data for alcohol impaired driving crashes were obtained for the years 2004-2006. These data were compared to public opinion data that was obtained annually by random-digit-dial telephone surveys from 2004 to 2007.
  
  
  RESULTS
  Concerns about drunk driving as well as perceptions of the likelihood of being stopped by the police if one were to drive after having too much to drink were related to counties with higher serious impaired driving crash rates, as were perceptions that the police and the legal system were too lenient. Perceptions about the likelihood of being stopped by the police were higher in those counties with more impaired driving enforcement activity.
  
  
  CONCLUSIONS
  Perceptions of concern appear to be shaped more by crash exposure than enforcement activity. Campaigns that address impaired driving prevention should substantially increase enforcement, strengthen the adjudication process of impaired drivers, and emphasize the potential seriousness of drinking-driving crashes in their promotional activities.
authors.affiliation: Department of Public and Community Health, University of Maryland School of Public Health, College Park, MD 20742, USA. kbeck1@umd.edu
authors.forename: Kenneth H
authors.initials: KH
authors.lastname: Beck
authors.forename: Alice F
authors.initials: AF
authors.lastname: Yan
authors.forename: Min Qi
authors.initials: MQ
authors.lastname: Wang
authors.forename: Timothy J
authors.initials: TJ
authors.lastname: Kerns
authors.forename: Cynthia A
authors.initials: CA
authors.lastname: Burch