TY  - JOUR
PY  - 2014//
TI  - The arrest of drivers under the influence as a predictor of subsequent social disadvantage and death
JO  - Drug and alcohol dependence
A1  - Karjalainen, Karoliina
A1  - Haukka, Jari
A1  - Lillsunde, Pirjo M.
A1  - Lintonen, Tomi
A1  - Makela, Pia
SP  - 114
EP  - 120
VL  - 137
IS  - 
N2  - BACKGROUND: The association between DUI (driving under the influence) and disadvantaged social background has been shown in cross-sectional studies, but less is known about the processes behind this phenomenon. We aimed to examine the effect of DUI arrest on subsequent social disadvantage in Finland during 1993-2006 to provide more understanding about the dynamics of DUI and marginalization and to study DUI arrest as a potential point of intervention. METHODS: In this longitudinal, register-based study the Register of DUI suspects (n=68894) was linked with the Employment Register. An age- and gender-matched reference population (n=67740) was drawn from the general Finnish population. A multi-state model was used to estimate the transition intensities between three different states (advantaged social status/disadvantaged social status/death) among three different DUI groups (alcohol only, prescription drugs, illicit drugs). RESULTS: Compared to references, the movement of DUI suspects between different social states was more dynamic in that they were more likely to either move to a disadvantaged social state or to an improved status (except DUI suspects using prescription drugs). A DUI's relative risk of death compared to references was high, especially if currently in advantaged social status. The effect of DUI did not diminish over time. CONCLUSIONS: Driving under the influence is associated with an increased long-term risk for social disadvantage. DUI arrest could serve as an opportunity for intervention in the marginalization process.<p />  <p>Language: en</p>
LA  - en
SN  - 0376-8716
UR  - http://dx.doi.org/10.1016/j.drugalcdep.2014.01.018
ID  - ref1
ER  -