Perception of Alcohol Use and Alcohol Use Disorder among persons involved in Road Accidents at an Emergency Department

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Dordoye Eugene Kobla
Affram Kwame
Emmanuel Dziwornu
Danso Abigail Frempomaa
Djankpa Francis Tanam
Adjenti Saviour Kweku


Alcohol use, Alcohol use disorder, Perception of alcohol use, Road Traffic Accidents, Road Safety


Background: Alcohol plays a significant role in road traffic accidents in Ghana. However, little is known about the perspectives of victims who suffer road traffic accidents, RTAs, and the extent to which alcohol use disorder is involved.

Methods: We conducted a three-month cross-sectional study in a teaching hospital involving 102 patients involved in a road accident and presented to the hospital’s emergency. The Alcohol Use Disorder Identification Test, AUDIT, was used to assess for Alcohol Use Disorder, AUD, at a score of 8. In addition, we used open-ended questionnaires to assess their perception of alcohol use and road accidents. 

Results: Of the 102 respondents, 75% were males, and 60% were between 15 and 35 years. About 69% of respondents admitted to using alcohol, while 31%, including a single female, screened positive for alcohol use disorder. A significant majority of about 90% of respondents believed in some myths of alcohol use in Ghana, and a similar percentage were aware of the risks alcohol use posed to road use. Over 30% of respondents, mainly drivers or riders, had used alcohol within 12 hours of the accident. All but three respondents knew alcohol-induced aggression and poor coordination of movements. A similar number of respondents knew alcohol made people cross roads carelessly and were hyperactive or disinhibited.

Conclusion: Alcohol use and alcohol use disorder are significantly high among persons presenting with RTA to the emergency. Knowledge of the deleterious effects of alcohol is high, yet their behavior did not reflect the knowledge. Therefore, a significant reduction in RTA can be achieved by enforcing blood alcohol concentration limits for road users and intensive education to the populace.

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1. Toroyan T. Global status report on road safety. Inj Prev 2009;15(4):286 -.

2. Konlan KD, Doat AR, Mohammed I, Amoah RM, Saah JA, Abdulai JA. Prevalence and pattern ofroad traffic accidents among Commercial Motorcyclists in the Central Tongu District, Ghana.Scientific World Journal. 2020;9493-718

3. Mobile device use while driving--United States and seven European countries, 2011. Morb MortalWkly Rep. 2013;62(10):177-82.

4. Barry V, Schumacher A, Sauber-Schatz E. Alcohol-impaired driving among adults-USA, 2014-2018. Inj Prev. 2022;28(3):211-7.

5. Damsere-Derry J, Palk G, King M. Prevalence of alcohol-impaired driving and riding in NorthernGhana. Traffic Inj Prev. 2016;17(3):226-32. Epub 20150706

6. Gyimah N. Contributing Factors to Road Accidents in Ghana. Mathews Journal of EmergencyMedicine. 2021;8(1).

7. Poku SA, Bandoh DA, Kenu E, Kploanyi EE, Addo-Lartey AA. Factors contributing to roadcrashes among commercial vehicle drivers in the Kintampo North Municipality, Ghana, in 2017.Ghana Med J. 2020;54(3):132-9.

8. Mock C, Asiamah, Godfiied., Amegashie, Justice. Epidemiology of Alcohol-Impaired Driving inan African Nation. Journal of Crash Prevention and Injury Control. 2001;2(3):193-202.

9. Damsere-Derry J, Palk G, King M. Prevalence of alcohol among nonfatally injured road accidentcasualties in two-level III trauma centers in northern Ghana. Traffic Inj Prev. 2018;19(2):118-24.

10. Damsere-Derry J, Palk G, King M. Motorists ’knowledge, attitudes and practices toward alcoholimpaired driving/riding in Ghana. Traffic Inj Prev. 2017;18(1):28-34.

11. Legislative Instrument. 2020 LI 2397. Ho Municipal Assembly, Ghana.

12. Dordoye EK, Asare JB, Prevalence of Alcohol Use Disorder Among Workers. PostgraduateMedical Journal of Ghana. 2021; 10(2):98-101

13. Dordoye EK, Aku TMA, Avle TDA, and Dziwornu E. The Myths of Alcohol Use in Ghana.Postgraduate Medical Journal of Ghana. 2023 Mar 15; 12(1):20-2

14. Abbey A, Smith M. The relationship between the reason for drinking alcohol and alcoholconsumption: An interactional approach. Addict Behav. 2015;45:93-98

15. Fell JC, Scolese J, Achoki T, Burks C, Goldberg A, DeJong W. The effectiveness of alternativetransportation programs in reducing impaired driving: A literature review and synthesis. J Safety Res.2020; 75:128-39. Epub 20200921.

16. Road Traffic Act (Act 683). Section 10 (b). Republic of Ghana.

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