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      Drink driving engagement in women: An exploration of context, hazardous alcohol use, and behaviour

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          Abstract

          Background

          While drink driving continues to be significantly more common among male drivers, there is evidence from many countries that shows a growing trend of women engaging in this risky behaviour. The aims of the current study were threefold: (i) determine to what extent a sample of women drivers reported engaging in drink driving behaviour by expanding the construct into a range of definitions, (ii) determine if there were significant differences in self-reported engagement in drink driving behaviours in accordance with hazardous drinking behaviour, and (iii) identify which situational or personal factors would increase women drivers’ likelihood to engage in drink driving through presenting a range of scenarios.

          Method

          Data were collected using an on-line, purpose-designed survey and promoted to reach women aged 17 years and older, living in Queensland, Australia. In addition to questions relating to demographic characteristics, participants completed items relating to engagement in seven drink driving related behaviours in the previous 12-month period, hazardous drinking as measured by the Alcohol Use Disorders Identification Test, and likelihood of driving when unsure if over the legal limit for licence type across a range of scenarios manipulating different situational factors. A total of 644 valid responses were received in the two-week period the study was advertised.

          Results

          The results demonstrate women’s self-reported engagement in drink driving behaviour ranged from 12.6% (driving when they believed they were over the legal limit) to over 50.0% (driving when unsure if over the legal limit the morning after drinking alcohol) and was significantly more likely among those who reported hazardous levels of alcohol use. Circumstances in which women reported they would drive when unsure if over the legal BAC limit were when they were a few blocks from home, if they subjectively felt they were not too intoxicated, or if they needed their car to get somewhere the next morning.

          Conclusion

          Examining drink driving behaviour by way of responses to nuanced definitions provided valuable insight into self-reported engagement in the behaviour and highlights the usefulness of multi-measure dependent variables in order to illuminate a more accurate acknowledgement into both the type (and extent) of drink driving behaviours.

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          Most cited references25

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          Surveying the damage: a review of research on consequences of alcohol misuse in college populations.

          This article provides a review and synthesis of professional research literature on the types, extent and patterns of negative consequences produced by students' misuse of alcohol in college populations based on survey research conducted during the last two decades. Considerable evidence is available documenting a wide range of damage by some students' drinking done to themselves as well as to other individuals, although some types of consequences remain speculative. Damage and costs to institutions are likely to be substantial, but this claim remains largely an inference based on current studies. Drinking by males compared with that of females produces more consequences for self and others that involve public deviance, whereas females' drinking contributes equally with males to consequences that are personal and relatively private. Research on racial/ethnic background, time trends and developmental stages reveals patterns in student data on consequences of drinking, but these data are very limited in the literature. Evidence suggests there is only a modest correlation between students' self-perception of having a drinking problem and the many negative consequences of drinking that are reported.
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            Gender Differences in Pharmacokinetics of Alcohol

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              Alcohol-induced blackout. Phenomenology, biological basis, and gender differences.

              Blackouts from acute alcohol ingestion are defined as the inability to recall events that occurred during a drinking episode and are highly prevalent in both alcoholic and nonalcoholic populations. This article reviews the clinical manifestations, epidemiology, risk factors, cognitive impairment, and neurobiology associated with alcohol-induced blackout, with special emphasis on the neurochemical and neurophysiological basis, and gender differences. Two types of blackout have been identified: en bloc, or complete inability to recall events during a time period, and fragmentary, where memory loss is incomplete. The rapidity of rise in blood alcohol concentration is the most robust predictor of blackout. Alcohol impairs different brain functions at different rates, and cognitive and memory performance are differentially impaired by ascending versus descending blood alcohol concentration. Cognitive and memory impairment occurs before motor impairment, possibly explaining how a drinker appearing fully functional can have little subsequent memory. Blackouts are caused by breakdown in the transfer of short-term memory into long-term storage and subsequent retrieval primarily through dose-dependent disruption of hippocampal CA1 pyramidal cell activity. The exact mechanism is believed to involve potentiation of gamma-aminobutyric acid-alpha-mediated inhibition and interference with excitatory hippocampal N-methyl-d-aspartate receptor activation, resulting in decreased long-term potentiation. Another possible mechanism involves disrupted septohippocampal theta rhythm activity because of enhanced medial septal area gamma-aminobutyric acid-ergic neurotransmission. Women are more susceptible to blackouts and undergo a slower recovery from cognitive impairment than men, due in part to the effect of gender differences in pharmacokinetics and body composition on alcohol bioavailability.
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                Author and article information

                Contributors
                Role: ConceptualizationRole: Data curationRole: Formal analysisRole: Funding acquisitionRole: InvestigationRole: MethodologyRole: Project administrationRole: ResourcesRole: SupervisionRole: ValidationRole: Writing – original draftRole: Writing – review & editing
                Role: ConceptualizationRole: Formal analysisRole: Funding acquisitionRole: Writing – original draftRole: Writing – review & editing
                Role: ConceptualizationRole: Funding acquisitionRole: Writing – original draftRole: Writing – review & editing
                Role: Formal analysisRole: Writing – original draftRole: Writing – review & editing
                Role: Editor
                Journal
                PLoS One
                PLoS ONE
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                10 September 2019
                2019
                : 14
                : 9
                : e0222195
                Affiliations
                [1 ] Road Safety Research Collaboration, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
                [2 ] Centre for Accident Research and Road Safety–Queensland (CARRS-Q), Queensland University of Technology (QUT), Kelvin Grove, Queensland, Australia
                Tongii University, CHINA
                Author notes

                Competing Interests: The authors have declared no competing interests exist.

                Author information
                http://orcid.org/0000-0002-3871-7862
                Article
                PONE-D-19-14803
                10.1371/journal.pone.0222195
                6736246
                31504069
                4c634c96-849f-4b9d-b4b7-4042608edfdc
                © 2019 Armstrong et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 24 May 2019
                : 24 August 2019
                Page count
                Figures: 0, Tables: 4, Pages: 18
                Funding
                Funded by: funder-id http://dx.doi.org/10.13039/501100003550, Queensland Government;
                Award ID: Motor Accident Insurance Commission
                Award Recipient :
                This research was made possible as the result of a funding grant by the Queensland Government through the Motor Accident Insurance Commission (Queensland, Australia, https://maic.qld.gov.au/) and awarded to authors KAA, JDD and JEF. This work has been prepared exclusively by the authors and is not endorsed or guaranteed by the funder. The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
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                Biology and Life Sciences
                Nutrition
                Diet
                Alcohol Consumption
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                Nutrition
                Diet
                Alcohol Consumption
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                Physical Sciences
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                Custom metadata
                There are specific ethical requirements prohibiting the public sharing of the dataset. Researchers who seek to obtain access to the data need to contact the Queensland University of Technology Human Research Ethics Committee and submit a written request to access the ‘minimal dataset’. The contact details are: Queensland University of Technology Human Research Ethics Advisory Team, Office of Research Ethics and Integrity, p: +61 7 3138 5123, e: humanethics@ 123456qut.edu.au , w: www.orei.qut.edu.au. Please note the ethical approval number is 1400000242.

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