Alcohol-impaired Walking in 16 Countries: A Theory-Based Investigation

Alcohol is a global risk factor for road trauma. Although drink driving has received most of the scholarly attention, there is growing evidence of the risks of alcohol-impaired walking. Alcohol-impaired pedestrians are over-represented in fatal crashes compared to non-impaired pedestrians. Additiona...

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Published in:Accident Analysis and Prevention
Main Author: Oviedo-Trespalacios O.; Çelik A.K.; Marti-Belda A.; Włodarczyk A.; Demant D.; Nguyen-Phuoc D.Q.; Rubie E.; Oktay E.; Argandar G.D.; Rod J.E.; Natividade J.C.; Park J.; Bastos J.T.; Martínez-Buelvas L.; Pereira da Silva M.D.F.; Velindro M.; Sucha M.; Orozco-Fontalvo M.; Barboza-Palomino M.; Yuan Q.; Mendes R.; Rusli R.; Ramezani S.; Useche S.A.; de Aquino S.D.; Tsubakita T.; Volkodav T.; Rinne T.; Enea V.; Wang Y.; King M.
Format: Article
Language:English
Published: Elsevier Ltd 2021
Online Access:https://www.scopus.com/inward/record.uri?eid=2-s2.0-85108182672&doi=10.1016%2fj.aap.2021.106212&partnerID=40&md5=2d80eac9efa5014fabbf007e17f8fc76
id 2-s2.0-85108182672
spelling 2-s2.0-85108182672
Oviedo-Trespalacios O.; Çelik A.K.; Marti-Belda A.; Włodarczyk A.; Demant D.; Nguyen-Phuoc D.Q.; Rubie E.; Oktay E.; Argandar G.D.; Rod J.E.; Natividade J.C.; Park J.; Bastos J.T.; Martínez-Buelvas L.; Pereira da Silva M.D.F.; Velindro M.; Sucha M.; Orozco-Fontalvo M.; Barboza-Palomino M.; Yuan Q.; Mendes R.; Rusli R.; Ramezani S.; Useche S.A.; de Aquino S.D.; Tsubakita T.; Volkodav T.; Rinne T.; Enea V.; Wang Y.; King M.
Alcohol-impaired Walking in 16 Countries: A Theory-Based Investigation
2021
Accident Analysis and Prevention
159

10.1016/j.aap.2021.106212
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85108182672&doi=10.1016%2fj.aap.2021.106212&partnerID=40&md5=2d80eac9efa5014fabbf007e17f8fc76
Alcohol is a global risk factor for road trauma. Although drink driving has received most of the scholarly attention, there is growing evidence of the risks of alcohol-impaired walking. Alcohol-impaired pedestrians are over-represented in fatal crashes compared to non-impaired pedestrians. Additionally, empirical evidence shows that alcohol intoxication impairs road-crossing judgements. Besides some limited early research, much is unknown about the global prevalence and determinants of alcohol-impaired walking. Understanding alcohol-impaired walking will support health promotion initiatives and injury prevention. The present investigation has three aims: (1) compare the prevalence of alcohol-impaired walking across countries; (2) identify international groups of pedestrians based on psychosocial factors (i.e., Theory of Planned Behaviour (TPB) and perceptions of risk); and (3) investigate how segments of pedestrians form their intention for alcohol-impaired walking using the extended TPB (i.e. subjective norm, attitudes, perceived control, and perceived risk). A cross-sectional design was applied. The target behaviour question was “have you been a pedestrian when your thinking or physical ability (balance/strength) is affected by alcohol?” to ensure comparability across countries. Cluster analysis based on the extended TPB was used to identify groups of countries. Finally, regressions were used to predict pedestrians’ intentions per group. A total of 6,166 respondents (Age M(SD) = 29.4 (14.2); Males = 39.2%) completed the questionnaire, ranging from 12.6% from Russia to 2.2% from Finland. The proportion of participants who reported never engaging in alcohol-impaired walking in the last three months ranged from 30.1% (Spain) to 83.1% (Turkey). Four groups of countries were identified: group-1 (Czech Republic, Spain, and Australia), group-2 (Russia and Finland), group-3 (Japan), and group-4 (final ten countries including Colombia, China, and Romania). Pedestrian intentions to engage in alcohol- impaired walking are predicted by perceptions of risk and TPB-psychosocial factors in group-1 and group-4. Favourable TPB-beliefs and low perceived risk increased alcohol-impaired walking intentions. Conversely, subjective norms were not significant in group-2 and only perceived risk predicted intention in group-3. The willingness of pedestrians to walk when alcohol-impaired differs significantly across the countries in this study. Perceived risk was the only common predictor among the 16 countries. © 2021 Elsevier Ltd
Elsevier Ltd
14575
English
Article
All Open Access; Green Open Access
author Oviedo-Trespalacios O.; Çelik A.K.; Marti-Belda A.; Włodarczyk A.; Demant D.; Nguyen-Phuoc D.Q.; Rubie E.; Oktay E.; Argandar G.D.; Rod J.E.; Natividade J.C.; Park J.; Bastos J.T.; Martínez-Buelvas L.; Pereira da Silva M.D.F.; Velindro M.; Sucha M.; Orozco-Fontalvo M.; Barboza-Palomino M.; Yuan Q.; Mendes R.; Rusli R.; Ramezani S.; Useche S.A.; de Aquino S.D.; Tsubakita T.; Volkodav T.; Rinne T.; Enea V.; Wang Y.; King M.
spellingShingle Oviedo-Trespalacios O.; Çelik A.K.; Marti-Belda A.; Włodarczyk A.; Demant D.; Nguyen-Phuoc D.Q.; Rubie E.; Oktay E.; Argandar G.D.; Rod J.E.; Natividade J.C.; Park J.; Bastos J.T.; Martínez-Buelvas L.; Pereira da Silva M.D.F.; Velindro M.; Sucha M.; Orozco-Fontalvo M.; Barboza-Palomino M.; Yuan Q.; Mendes R.; Rusli R.; Ramezani S.; Useche S.A.; de Aquino S.D.; Tsubakita T.; Volkodav T.; Rinne T.; Enea V.; Wang Y.; King M.
Alcohol-impaired Walking in 16 Countries: A Theory-Based Investigation
author_facet Oviedo-Trespalacios O.; Çelik A.K.; Marti-Belda A.; Włodarczyk A.; Demant D.; Nguyen-Phuoc D.Q.; Rubie E.; Oktay E.; Argandar G.D.; Rod J.E.; Natividade J.C.; Park J.; Bastos J.T.; Martínez-Buelvas L.; Pereira da Silva M.D.F.; Velindro M.; Sucha M.; Orozco-Fontalvo M.; Barboza-Palomino M.; Yuan Q.; Mendes R.; Rusli R.; Ramezani S.; Useche S.A.; de Aquino S.D.; Tsubakita T.; Volkodav T.; Rinne T.; Enea V.; Wang Y.; King M.
author_sort Oviedo-Trespalacios O.; Çelik A.K.; Marti-Belda A.; Włodarczyk A.; Demant D.; Nguyen-Phuoc D.Q.; Rubie E.; Oktay E.; Argandar G.D.; Rod J.E.; Natividade J.C.; Park J.; Bastos J.T.; Martínez-Buelvas L.; Pereira da Silva M.D.F.; Velindro M.; Sucha M.; Orozco-Fontalvo M.; Barboza-Palomino M.; Yuan Q.; Mendes R.; Rusli R.; Ramezani S.; Useche S.A.; de Aquino S.D.; Tsubakita T.; Volkodav T.; Rinne T.; Enea V.; Wang Y.; King M.
title Alcohol-impaired Walking in 16 Countries: A Theory-Based Investigation
title_short Alcohol-impaired Walking in 16 Countries: A Theory-Based Investigation
title_full Alcohol-impaired Walking in 16 Countries: A Theory-Based Investigation
title_fullStr Alcohol-impaired Walking in 16 Countries: A Theory-Based Investigation
title_full_unstemmed Alcohol-impaired Walking in 16 Countries: A Theory-Based Investigation
title_sort Alcohol-impaired Walking in 16 Countries: A Theory-Based Investigation
publishDate 2021
container_title Accident Analysis and Prevention
container_volume 159
container_issue
doi_str_mv 10.1016/j.aap.2021.106212
url https://www.scopus.com/inward/record.uri?eid=2-s2.0-85108182672&doi=10.1016%2fj.aap.2021.106212&partnerID=40&md5=2d80eac9efa5014fabbf007e17f8fc76
description Alcohol is a global risk factor for road trauma. Although drink driving has received most of the scholarly attention, there is growing evidence of the risks of alcohol-impaired walking. Alcohol-impaired pedestrians are over-represented in fatal crashes compared to non-impaired pedestrians. Additionally, empirical evidence shows that alcohol intoxication impairs road-crossing judgements. Besides some limited early research, much is unknown about the global prevalence and determinants of alcohol-impaired walking. Understanding alcohol-impaired walking will support health promotion initiatives and injury prevention. The present investigation has three aims: (1) compare the prevalence of alcohol-impaired walking across countries; (2) identify international groups of pedestrians based on psychosocial factors (i.e., Theory of Planned Behaviour (TPB) and perceptions of risk); and (3) investigate how segments of pedestrians form their intention for alcohol-impaired walking using the extended TPB (i.e. subjective norm, attitudes, perceived control, and perceived risk). A cross-sectional design was applied. The target behaviour question was “have you been a pedestrian when your thinking or physical ability (balance/strength) is affected by alcohol?” to ensure comparability across countries. Cluster analysis based on the extended TPB was used to identify groups of countries. Finally, regressions were used to predict pedestrians’ intentions per group. A total of 6,166 respondents (Age M(SD) = 29.4 (14.2); Males = 39.2%) completed the questionnaire, ranging from 12.6% from Russia to 2.2% from Finland. The proportion of participants who reported never engaging in alcohol-impaired walking in the last three months ranged from 30.1% (Spain) to 83.1% (Turkey). Four groups of countries were identified: group-1 (Czech Republic, Spain, and Australia), group-2 (Russia and Finland), group-3 (Japan), and group-4 (final ten countries including Colombia, China, and Romania). Pedestrian intentions to engage in alcohol- impaired walking are predicted by perceptions of risk and TPB-psychosocial factors in group-1 and group-4. Favourable TPB-beliefs and low perceived risk increased alcohol-impaired walking intentions. Conversely, subjective norms were not significant in group-2 and only perceived risk predicted intention in group-3. The willingness of pedestrians to walk when alcohol-impaired differs significantly across the countries in this study. Perceived risk was the only common predictor among the 16 countries. © 2021 Elsevier Ltd
publisher Elsevier Ltd
issn 14575
language English
format Article
accesstype All Open Access; Green Open Access
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