Knowledge, attitudes, and practices around drinking and driving in Cambodia: 2010–2012. (March 2017) - Bachani, A.M.
Abstract: Objective: Road traffic injuries are a leading cause of disability and death in Cambodia. Economic development has long been associated with rapid increases in road traffic injuries and fatalities. Drink driving is of particular concern in Cambodia. In 2014, the percentage of fatal crashes involving alcohol rose to 17.5% ( n = 381), representing a 34.9% ( n = 253) increase from 2012. This study aims to illustrate current knowledge, attitudes and practices (KAP) around drinking and driving in three Cambodian provinces. Methods: A roadside survey of randomly selected road users (aged 18 years and older) was conducted in Phnom Penh, Kandal, and Kampong Speu, Cambodia, between November 2010 and May 2012. Data were collected for five-day periods every 6 months. A survey was administered to assess prevailing knowledge, attitudes, and practices surrounding drink driving. Results: A total of 1187 road users responded to the KAP survey, the majority (49.6%, n = 585) of whom were from Phnom Penh. Males accounted for 96.2% ( n = 1142) of respondents; the majority (63.8%, n = 757) were aged 34 years and younger. Despite the belief that drinking and driving would increase the risk of a crash, a significant proportion of respondents (37.1%, n = 438) reported driving within 2 h of drinking alcohol at least once in the 30 days preceding the survey. This proportion was particularly high among males aged 25–34 years at 49.2% ( n = 208). Of those who reported drinking and driving, 76.5% ( n = 335) indicated they 'felt conscious enough' to drive at the time and 34.0% ( n = 149) reported having 'no other available transportation options'. Conclusions: This study shows that, in general, drinking and driving remains a problem in Cambodia. A multi-pronged, coordinated approach is needed to effectively address this issue. Such an approach ought to include social marketing and public education campaigns, enhanced enforcement, and programs that either limit the number of drinks to drivers or those that provide alternatives to drinking and driving. Highlights: More than one-third of participants drove within 2 h of drinking in past 30 days. Knowledge of risk is not predictive of one's decision to drink and drive. Findings support the need for a multi-faceted strategy to address drink driving.