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Drinking and recreational boating fatalities: a population-based case-control study.
G S Smith1, P M Keyl, J A Hadley
1Johns Hopkins Center for Injury Research and Policy, Baltimore, MD. Gordon.Smith@LibertyMutual.com
JAMA
|December 26, 2001
Summary
Alcohol consumption significantly increases the risk of boating fatalities for both passengers and operators. Even low blood alcohol concentrations (BAC) elevate mortality risk, highlighting the need for comprehensive prevention strategies.
Area of Science:
- Public Health
- Epidemiology
- Accident Prevention
Background:
- Alcohol is a known factor in boating fatalities, but its precise association with mortality risk among boaters requires quantification.
- Previous research has not fully elucidated the relationship between alcohol consumption and boating-related deaths.
Purpose of the Study:
- To quantify the association between alcohol use and the estimated relative risk (RR) of mortality among recreational boaters.
- To determine if this risk differs between passengers and operators.
Main Methods:
- A case-control study was conducted using data from recreational boating deaths (n=221) and a control group of boaters (n=3943) in Maryland and North Carolina.
- The study analyzed the estimated RR of fatality associated with various blood alcohol concentration (BAC) levels.
Main Results:
- A BAC of 10 mg/dL was associated with a 1.3-fold increased RR of death (OR, 1.3; 95% CI, 1.2-1.4).
- The OR for death reached 52.4 (95% CI, 25.9-106.1) at a BAC of 250 mg/dL.
- The increased risk was consistent across passengers and operators, regardless of boat type or activity.
Conclusions:
- Alcohol consumption demonstrably increases the risk of boating fatalities, with risks escalating at higher BAC levels.
- Prevention strategies solely targeting boat operators are insufficient, as passengers also face elevated risks.
- Effective countermeasures should focus on reducing alcohol consumption among all boat occupants to mitigate boating fatalities.
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