Effect of Lowering the Blood Alcohol Concentration Limit to 0.03 Among Hospitalized Trauma Patients in Southern Taiwan: A Cross-Sectional Analysis

• Main Authors: Huang CY, Chou SE, Su WT, Liu HT, Hsieh TM, Hsu SY, Hsieh HY, Hsieh CH
• Format: Article
• Language: English
• Published: Dove Medical Press 2020-06-01
• Series: Risk Management and Healthcare Policy
• Subjects: alcohol; blood alcohol concentration (bac); driving under the influence (dui) of alcohol; driving while intoxicated (dwi); alcohol-related crashes; law sanction; mortality
• Online Access: https://www.dovepress.com/effect-of-lowering-the-blood-alcohol-concentration-limit-to-003-among--peer-reviewed-article-RMHP

Chun-Ying Huang,1,* Sheng-En Chou,1,* Wei-Ti Su,1 Hang-Tsung Liu,1 Ting-Min Hsieh,1 Shiun-Yuan Hsu,1 Hsiao-Yun Hsieh,2 Ching-Hua Hsieh2 1Department of Trauma Surgery, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University and College of Medicine, Kaohsiung 83301, Taiwan; 2Department of Plastic Surgery, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University and College of Medicine, Kaohsiung 83301, Taiwan*These authors contributed equally to this workCorrespondence: Ching-Hua HsiehDepartment of Plastic Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, TaiwanTel [phone]Email [e-mail]: In June 2013, the legal blood alcohol concentration (BAC) limit for driving was lowered from 0.05 to 0.03 mg/mL in Taiwan. Thus, this study aimed to assess the epidemiological changes in terms of drinking among drivers in southern Taiwan before and after the law was imposed.Methods: Only patients who had undergone the BAC test at the emergency room were included in the study. The patients during the study period before (n = 2735) and after (n = 2413) the implementation of the law were selected for comparison. Drunk patients were defined as those who had a BAC ≥ 0.005 and were considered as driving under the influence (DUI) of alcohol. Meanwhile, driving while intoxicated (DWI) was defined as a BAC ≥ 0.05, which was the level adopted in the new law.Results: Since the BAC limit lowered to 0.03, the number of DUI patients significantly decreased from 340 (12.4%) to 171 (7.1%), and that of DWI patients significantly reduced from 273 (10.0%) to 146 (6.1%) based on the alcohol test. In addition, after the implementation of the law, the number of associated injuries did not significantly decrease from that before the law was implemented in patients involved in alcohol-related crashes.Conclusion: After lowering the legal BAC limit from 0.05 to 0.03, responsiveness to the change in law was observed among the studied population. However, such responsiveness may not be observed in some citizens who may need special interventions to help reduce their behavior of drinking and driving.Keywords: alcohol, blood alcohol concentration, BAC, driving under the influence (DUI) of alcohol, driving while intoxicated, DWI, alcohol-related crashes, law sanction, mortality