Journal of Korean Medical Science

Korean Acad Medical Sciences (대한의학회)
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The Prevalence of "Drinking and Biking" and Associated Risk Factors: The Korea National Health and Nutrition Examination Survey

  • Hwang, Se Hwan (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea) ;
  • Ahn, Ma Rhip (Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea) ;
  • Han, Kyung Do (Department of Biostatistics, College of Medicine, The Catholic University of Korea) ;
  • Lee, Jung Ho (Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea)
  • Received : 2017.01.06
  • Accepted : 2017.06.03
  • Published : 2017.09.10
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Abstract

With the steady rise of health and environmental awareness, the number of bicyclists is increasing. However, there are few epidemiologic studies on bicycling under the influence (BUI). The aim of this study was to determine the prevalence of BUI and the associated risk factors in a representative Korean population. The data of 4,833 adult bicyclists who participated in the Korean National Health and Nutrition Examination Survey (2010-2012) were analyzed. Among the 4,833 participants investigated in this study, 586 (12.1%) had experienced BUI. As participants' age increased, so did the prevalence of BUI (P < 0.001), with the participants who were aged 60-69 showing the highest prevalence of BUI (19.6%). With regard to BUI and drinking habits, the likelihood of being a heavy or high-risk drinker increased with the frequency of BUI (P < 0.001). In addition, there was a positive relationship between the frequency of BUI and alcohol use disorder identification score level. Finally, those who had previous experiences of BUI were significantly more likely to drive and ride motorcycles under the influence (P < 0.001). In conclusion, the prevalence of BUI was 12.1% and several associated risk factors for BUI were elucidated in this study. The development of specific preventive strategies and educational programs aimed at deterring individuals at a high risk of engaging in BUI is expected to reduce the number of alcohol-related bicycle injuries.

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References

  1. Orsi C, Ferraro OE, Montomoli C, Otte D, Morandi A. Alcohol consumption, helmet use and head trauma in cycling collisions in Germany. Accid Anal Prev 2014; 65: 97-104. https://doi.org/10.1016/j.aap.2013.12.019
  2. Li G, Baker SP, Sterling S, Smialek JE, Dischinger PC, Soderstrom CA. A comparative analysis of alcohol in fatal and nonfatal bicycling injuries. Alcohol Clin Exp Res 1996; 20: 1553-9. https://doi.org/10.1111/j.1530-0277.1996.tb01698.x
  3. Li G, Baker SP, Smialek JE, Soderstrom CA. Use of alcohol as a risk factor for bicycling injury. JAMA 2001; 285: 893-6. https://doi.org/10.1001/jama.285.7.893
  4. Park HA. The Korea national health and nutrition examination survey as a primary data source. Korean J Fam Med 2013; 34: 79. https://doi.org/10.4082/kjfm.2013.34.2.79
  5. Kim Y, Park S, Kim NS, Lee BK. Inappropriate survey design analysis of the Korean National Health and Nutrition Examination Survey may produce biased results. J Prev Med Public Health 2013; 46: 96-104. https://doi.org/10.3961/jpmph.2013.46.2.96
  6. Park SH, Lee KS, Park HY. Dietary carbohydrate intake is associated with cardiovascular disease risk in Korean: analysis of the third Korea National Health and Nutrition Examination Survey (KNHANES III). Int J Cardiol 2010; 139: 234-40. https://doi.org/10.1016/j.ijcard.2008.10.011
  7. Andersson AL, Bunketorp O. Cycling and alcohol. Injury 2002; 33: 467-71. https://doi.org/10.1016/S0020-1383(02)00028-1
  8. Airaksinen N, Luthje P, Nurmi-Luthje I. Cyclist injuries treated in emergency department (ED): consequences and costs in south-eastern Finland in an area of 100 000 inhabitants. Ann Adv Automot Med 2010; 54: 267-74.
  9. Martinez-Ruiz V, Lardelli-Claret P, Jimenez-Mejias E, Amezcua-Prieto C, Jimenez-Moleon JJ, Luna del Castillo JD. Risk factors for causing road crashes involving cyclists: an application of a quasi-induced exposure method. Accid Anal Prev 2013; 51: 228-37. https://doi.org/10.1016/j.aap.2012.11.023
  10. Park JT, Kim BG, Jhun HJ. Alcohol consumption and the CAGE questionnaire in Korean adults: results from the Second Korea National Health and Nutrition Examination Survey. J Korean Med Sci 2008; 23: 199-206. https://doi.org/10.3346/jkms.2008.23.2.199
  11. Reinert DF, Allen JP. The Alcohol Use Disorders Identification Test (AUDIT): a review of recent research. Alcohol Clin Exp Res 2002; 26: 272-9. https://doi.org/10.1111/j.1530-0277.2002.tb02534.x
  12. Zhao G, Wu C, Houston RJ, Creager W. The effects of binge drinking and socio-economic status on sober driving behavior. Traffic Inj Prev 2010; 11: 342-52. https://doi.org/10.1080/15389581003789573

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